2024-05-13T12:17:19-05:00 2023-06-30 990 2022-07-01 205880364 HAZLETON PROFESSIONAL SERVICES HAZL 4842241876 PO BOX 4000 ALLENTOWN PA 18105 ROBERT THOMAS ASSISTANT TREASURER 4842241876 2024-05-09 ROBERT THOMAS XXX-XX-XXXX 0 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z LEHIGH VALLEY PHYSICIAN GROUP-HAZLET DAVID B BURMEISTER DO PO BOX 4000 ALLENTOWN PA 18105 35216959 0 X WWW.LVHN.ORG X 2006 PA IN THE HAZLETON REGION, WE PROVIDE HEALTHCARE SERVICES TO THE COMMUNITY BY PREVENTING ILLNESS, PROMOTING WELLNESS, AND ENHANCING THE HEALTH STATUS OF ALL WE SERVE. WE HEAL, COMFORT AND CARE FOR THE PEOPLE OF OUR COMMUNITY BY PROVIDING ADVANCED AND COMPASSIONATE HEALTH CARE OF SUPERIOR QUALITY AND VALUE, SUPPORTED BY EDUCATION AND CLINICAL RESEARCH. 14 0 290 0 0 0 1750 1750 34270424 35032334 1057 1058 170301 181817 34443532 35216959 0 0 0 0 30909426 37315074 0 0 0 11650192 12097119 42559618 49412193 -8116086 -14195234 9890125 31970958 20356553 49232620 -10466428 -17261662 X ESTABLISH AND MAINTAIN A MEDICAL GROUP CONSISTING OF CLINICIANS EMPLOYED BY LEHIGH VALLEY HEALTH NETWORK. THIS MEDICAL GROUP WILL FULFILL THE CHARITABLE MISSION OF PROMOTING COMMUNITY HEALTH THROUGH HEALTH EDUCATION, INJURY PREVENTION, AND HEALTHCARE SERVICES TO THE PUBLIC IN THE HAZLETON REGION. 0 0 44309368 35215209 LEHIGH VALLEY PHYSICIAN GROUP-HAZLETON WAS ESTABLISHED IN 2006 AS AN AFFILIATE OF LEHIGH VALLEY HOSPITAL - HAZLETON (PREVIOUSLY KNOWN AS HAZLETON GENERAL HOSPITAL). AS A NON-PROFIT CORPORATION WHICH SUPPORTS BOTH LEHIGH VALLEY HOSPITAL - HAZLETON (LVH-H) AND LEHIGH VALLEY HEALTH NETWORK, LVPG-H OFFERS PHYSICIAN PRACTICES IN CARDIOLOGY, FAMILY AND INTERNAL MEDICINE, HEMATOLOGY AND ONCOLOGY, ENDOCRINOLOGY, INFECTIOUS DISEASES, PULMONOLOGY, NEUROLOGY, GENERAL AND SPECIALTY SURGERY, ORTHOPEDICS, PEDIATRICS, PHYSIATRY, AND UROLOGY. LVPG-H IS DEDICATED TO SERVING OUR PATIENTS THROUGH THE DELIVERY OF HIGH QUALITY AND EXCEPTIONAL SERVICE. WITH A CURRENT COMPLIMENT OF 59 PHYSICIANS AND 24 ADVANCED PRACTICE CLINICIANS, LVPG-H OPERATES AS A SINGLE ENTITY WITH SERVICES PROVIDED AT NUMEROUS LOCATIONS WITHIN THE TRI-COUNTY. CONTINUED RECRUITMENT AND GROWTH ARE A FOCUS, WITH THE PURPOSE OF DELIVERING THE BEST RESOURCES AND SERVICES TO THE COMMUNITY. DURING FY23, LVPG-H PRACTICES HAD GREATER THAN 180,000 PATIENT VISITS.PATIENT CARE PROGRAMS:LVPG-H OFFERS A CONTINUUM OF HEALTH CARE PROMOTION, PREVENTION, DIAGNOSIS, AND TREATMENT TO THE COMMUNITY. OUTPATIENT SERVICES ARE PROVIDED AT LOCATIONS THROUGHOUT THE REGION AND ARE A PART OF A HEALTHCARE NETWORK ESTABLISHED BY LVPG-H AND LVH-H TO MEET THE MEDICAL AND SURGICAL NEEDS OF THE RESIDENTS OF THE LUZERNE AND SURROUNDING COUNTIES.INFANTS/CHILDREN/YOUNG ADULTS:THROUGH OUR PATIENT-CENTERED & INTEGRATION OF CARE PHILOSOPHY INCLUDING STATE-OF-THE-ART DIAGNOSTIC AND MEDICAL DECISION-MAKING TECHNIQUES, LVPG-H PROVIDES SUPERIOR OUTPATIENT PEDIATRIC MEDICAL CARE. A TEAM OF PHYSICIANS AND SUBSPECIALISTS COLLABORATE TO ENSURE ACCESS AND OPTIMAL OUTCOMES IN COMMUNITY AND HOSPITAL SETTINGS. PRIMARY CARE:LVPG-H PHYSICIANS AND APCS PROVIDE HIGH QUALITY, COMPREHENSIVE, COORDINATED CARE TO ADULTS AND CHILDREN. WE STRIVE TO PROVIDE ACCESS TO CARE AT THE TIME OF NEED, FOCUS ON PREVENTION AND CHRONIC ILLNESS MANAGEMENT AND PROVIDE COORDINATION AMONG SPECIALISTS AND SERVICE LINES. OUR ONGOING RECRUITMENT OF PHYSICIANS AND APCS INCREASES OUR ABILITY TO MEET THE NEEDS OF PATIENTS IN THE AREA.MEDICAL SPECIALTIES:LVPG PROVIDES A BROAD ARRAY OF MEDICAL SPECIALTY CARE ACROSS THE HAZLETON REGION. CARE COORDINATION WITH ACCESS TO SPECIALTY AREAS AND COLLABORATION WITH PRIMARY CARE COLLEAGUES IS ESSENTIAL TO PROVIDE OPTIMAL PATIENT OUTCOMES FOR OUR COMMUNITY.HEART & VASCULAR SERVICES:LVPG-H PHYSICIANS AND APCS PROVIDE GENERAL AND INVASIVE CARDIOLOGY ASSESSMENTS & CARE PLANS, HEART STATION SERVICES, ELECTROPHYSIOLOGY, AND HEART FAILURE CARE. WOMEN'S HEALTH SERVICES:LVPG-H MAINTAINS COMPREHENSIVE OBSTETRICS AND GYNECOLOGY SERVICES, INCLUDING GENERAL OBSTETRIC / GYNECOLOGIC CARE, MATERNAL FETAL MEDICINE, AND NOW A CONTRACTED SERVICE WITH SPECIALIZED OBSTETRIC/ GYNECOLOGIC HOSPITALISTS WORKING AT LVH-HAZLETON. LVPG-H CONTINUES TO PROVIDE CLINICIANS TO STAFF THE HEALTHY BEGINNINGS PLUS PRACTICE IN HAZLETON, NOW WITH A NATIVE SPANISH-SPEAKING PHYSICIAN AND A DEDICATED PHYSICIAN ASSISTANT. WE ALSO ADDED 2 GENERAL OB/GYN PHYSICIANS IN OCTOBER OF 2023. THESE COMPREHENSIVE PROGRAMS ARE DELIVERED BY TEAMS OF HEALTHCARE PROVIDERS INCLUDING PHYSICIANS, MIDWIVES, AND ADVANCED PRACTICE CLINICIANS ALONG WITH THEIR RELATED CLINICAL STAFF. ADDITIONALLY, LVPG-H SERVICES ARE NOW OFFERED IN BERWICK AFTER THE CLOSURE OF THE HOSPITAL AND PRACTICES IN THAT TOWN.CANCER SERVICES:THE CANCER CARE PROGRAM INCLUDES SEVERAL COMPONENTS, SUCH AS PREVENTION, GENETIC COUNSELING, DETECTION, DIAGNOSIS, THERAPY, CLINICAL TRIALS, REHABILITATION, AND EVALUATION OF CARE RELATED TO CANCER.HOSPICE SERVICES:HOSPICE SERVICES ARE OFFERED WITHIN THE HAZLETON MARKET, INCLUDING HOSPICE INPATIENT LEVEL OF CARE CAPABILITIES. THE PROGRAM EXCEEDED THE NATIONAL AVERAGE IN ALL 9 OF 9 PUBLICLY REPORTED OUTCOME MEASURES.SURGICAL SERVICES:LVPG-H OFFERS A FULL RANGE OF QUALITY INPATIENT AND OUTPATIENT/SHORT PROCEDURE SURGICAL SERVICES, INCLUDING BARIATRIC (WEIGHT-LOSS) AND DA VINCI ROBOTIC-ASSISTED SURGERY WITH HIGHLY QUALIFIED ROBOTIC SURGERY CERTIFIED SURGEONS. OUR OTOLARYNGOLOGY (ENT) HEAD AND NECK SURGEONS BEGAN TO OFFER THE NEWEST IN SLEEP APNEA TREATMENT, INSPIRE, TO SUPPORT THE COMMUNITY. BEHAVIORAL HEALTH SERVICES:LVPG-H PROVIDERS AND ADVANCED PRACTICE CLINICIANS PROVIDE PSYCHIATRIC CONSULTATION TO PATIENTS ADMITTED TO MEDICAL/SURGICAL SERVICES TO ADDRESS BEHAVIORAL HEALTH NEEDS AND DISCHARGE PLANNING. THEY ALSO ASSIST IN THE EVALUATION AND MANAGEMENT OF PATIENTS IN THE EMERGENCY DEPARTMENT.NEUROSCIENCES:NEUROLOGY CARE IS AVAILABLE THROUGH LVPG-H. WE WERE AWARDED ALONG WITH THE CITY OF SUGARLOAF AND APTS EMS PARTNERS WITH THE GOLDEN BRAIN AWARD FOR THEIR PHENOMENAL CARE AND THE TIMELY TRANSPORT OF AN 8-YEAR-OLD STROKE PATIENT TREATED AT OUR PRIMARY STROKE CENTER AT HAZLETON. THIS SITE ALSO HAS AN ACTIVE SLEEP DISORDERS PROGRAM, UNDER THE DIRECTORSHIP OF DR. SHAZAD KHAN.EMERGENCY MEDICINE:LVPG-H ALSO PROVIDES COMPREHENSIVE EMERGENCY AND LEVEL 4 TRAUMA SERVICES AT LVH-HAZLETON. WITH OUR EXPANDED EMERGENCY DEPARTMENT CAPACITY, WE HAVE BEEN ABLE TO PROVIDE EFFICIENT AND EXPEDITIOUS CARE TO OUR COMMUNITY. WE HAVE ADDED PSYCHIATRIC EMERGENCY SERVICES OVER THE PAST YEAR TO EFFICIENTLY EVALUATE, TREAT AND DISPOSITION THIS HIGH ACUITY PATIENT POPULATION.VIRTUAL CARE PROGRAMS (TELEMEDICINE):LVHN HAS REMAINED A LEADER IN THE DEVELOPMENT AND IMPLEMENTATION OF INNOVATIVE VIRTUAL CARE PROGRAMS THAT HAVE EXPANDED OUR CAPACITY TO PROVIDE HIGH QUALITY HEALTHCARE SERVICES THROUGHOUT OUR GROWING NETWORK AND BEYOND. ANOTHER EXAMPLE OF THIS IS THE START OF A FIRST-EVER FULLY VIRTUAL PRIMARY CARE PRACTICE, LAUNCHING IN 2023. VIRTUAL CARE PROGRAMS ALLOW OUR TEAM TO OFFER SPECIALTY CARE TO SITES AND PATIENTS THAT WOULD OTHERWISE NOT HAVE ACCESS TO THESE SERVICES. ECONSULT PROGRAM:AS PART OF THE ECONSULT PROGRAM, LVPG-H CLINICIANS CAN POSE NON-URGENT QUESTIONS REGARDING THEIR PATIENTS TO THEIR SPECIALIST COLLEAGUES ACROSS MULTIPLE DISCIPLINES. REQUESTS AND RECOMMENDATIONS ARE FORMALLY INCORPORATED INTO THE EMR AND ARE INCLUDED IN THE PATIENT'S MEDICAL RECORD. THE AVAILABILITY OF SPECIALISTS ACROSS THE AMBULATORY LANDSCAPE HAS IMPROVED ACCESS AND ENHANCED CONTINUITY OF CARE. COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA):A CHNA REPORT EXAMINES THE FACTORS IMPACTING PEOPLE'S HEALTH AND WELLNESS IN A PARTICULAR GEOGRAPHICAL AREA. THE CHNA REPORT PROVIDES AN OVERVIEW OF THE CURRENT STATE OF HEALTH IN THE REGION AND IDENTIFIES POTENTIAL AREAS OF CONCERN THAT CAN INFORM THE DESIGN OF CLINICAL PROGRAMS.THESE REPORTS ARE GENERATED ANNUALLY AND ARE REVIEWED BY LVHN EXECUTIVE LEADERSHIP AT EACH CAMPUS. POPULATION HEALTH NEEDS ARE PRIORITIZED BASED ON THE COMMUNITY'S INPUT AND LVHN'S ABILITY TO MAKE A DIFFERENCE ON THOSE INITIATIVES. NEXT STEPS INCLUDE DEVELOPING STRATEGIES TO ADDRESS PRIORITIZED HEALTH NEEDS WHICH WILL BE PRESENTED IN LVHN'S CHNA IMPLEMENTATION PLAN. 44309368 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 23 0 1 290 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X X THE ORGANIZATION 4842241876 PO BOX 4000 ALLENTOWN PA 18105 AMMAR S ABBASI MD FAAPMR SECRETARY / TRUSTEE 37.50 2.50 X X 439992 0 10376 ANTHONY P BUONANNO MD FORMER TRUSTEE 0.00 0.00 X 0 481892 33857 DAVID B BURMEISTER DO PRESIDENT/TRUSTEE 2.50 37.50 X X 0 840583 35071 JOSEPH D DEFULVIO DO CHAIRPERSON / TREASURER 2.50 37.50 X X 0 540293 20825 JAMES N DEMOPOULOS SR MHA TRUSTEE (NON-VOTING) 2.50 37.50 X 0 590692 20439 MICHAEL W EVANS MD FORMER SECRETARY 40.00 0.00 X 574503 0 30683 AMANDA B FLICKER MD TRUSTEE 2.50 37.50 X 0 629873 9847 RONALD S FREUDENBERGER MD TRUSTEE 2.50 37.50 X 0 936411 31021 TIMOTHY J FRIEL MD TRUSTEE 2.50 37.50 X 0 752592 30769 GRANT M GREENBERG MD TRUSTEE 2.50 37.50 X 0 449135 35157 J NATHAN HAGSTROM MD TRUSTEE 2.50 37.50 X 0 600040 32607 THOMAS MCLOUGHLIN MD FORMER TRUSTEE 0.00 40.00 X 0 870482 35445 ROBERT X MURPHY JR MD MS TRUSTEE 2.50 57.50 X 0 1390927 33521 SURESH G NAIR MD TRUSTEE 2.50 37.50 X 0 779589 27025 EDWARD R NORRIS MD FORMER TRUSTEE 0.00 40.00 X 0 596175 33857 MICHAEL D PASQUALE MD TRUSTEE 2.50 37.50 X 0 1116486 34821 MICHAEL A ROSSI MD MBA TRUSTEE 2.50 37.50 X 0 1417395 23609 JENNIFER L STEPHENS DO VICE CHAIRPERSON 2.50 37.50 X X 0 622609 23153 YAQOOB A MOHYUDDIN MD PHYSICIAN 40.00 X 1141225 0 34814 ANTHONY M CARRATO MD PHYSICIAN 40.00 X 668726 0 31107 HARVEY J HOTCHNER MD PHYSICIAN 40.00 X 536729 0 20591 PHILIP J BENYO MD PHYSICIAN 40.00 X 505203 0 20795 ANTHONY VALENTE MD PHYSICIAN 40.00 X 466141 0 34173 4332519 12615174 643563 54 1 1 0 GHR REVCYCLE WORKFORCE 2250 HICKORY RD STE 240 PLYMOUTH MEETING PA 19462 STAFFING SERVICES 578772 PINNACLE CLEANING SERVICE PO BOX 128 MOUNTAIN TOP PA 187070128 HOUSEKEEPING SERVICES 465546 THE CODING NETWORK LLC PO BOX 101794 PASADENA CA 911891794 STAFFING SERVICES 153030 3 1750 1750 OUTPATIENT REVENUE 621110 27057862 27057862 INPATIENT REVENUE 621110 7974472 7974472 35032334 1058 1058 8325 0 8325 8325 8325 MISCELLANEOUS REVENUE 900099 173492 173492 173492 35216959 35215209 0 0 450367 450367 29255862 27368921 1886941 811154 747332 63822 5353919 4932669 421250 1443772 1330175 113597 -4000 -4000 360554 367578 -7024 187649 187649 151525 150867 658 314291 314291 2403114 2377363 25751 81640 70862 10778 87963 87813 150 397427 388075 9352 361056 446812 -85756 PURCHASED SERVICES 3388939 1150389 2238550 MEDICAL SUPPLIES 3240857 3078305 162552 BAD DEBT EXPENSE 891431 891499 -68 LICENSES AND FEES 68346 68346 166327 91704 74623 49412193 44309368 5102825 0 2252 2552 141640 109221 2151583 2318556 0 22152072 328422 385943 15534 51643 4703336 2865474 2137896 1837862 5112798 5113109 9890125 31970958 4759735 4770820 4982517 5002771 10614301 39459029 20356553 49232620 X -10466428 -17261662 -10466428 -17261662 9890125 31970958 X -14195234 7400000 X 0 1 X 1 0 X 7975 3190 4785 2701207 1588760 1112447 1968634 1273524 695110 25520 25520 1837862 INSURANCE LIABILITY 386449 DUE TO/FROM AFFILIATES 39072580 39459029 X PART X, LINE 2: LVHN, ITS HOSPITALS, AND OTHER SUBSIDIARIES ARE GENERALLY EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, EXCEPT FOR TAX IMPOSED ON UNRELATED BUSINESS INCOME. THE MOST RECENT DETERMINATION LETTER, RECEIVED BY THE ORGANIZATION, IS DATED MAY 1, 2014. LVHN AND ITS SUBSIDIARIES ACCOUNT FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC 740. THE ORGANIZATION'S FOR-PROFIT COMPONENTS RECOGNIZE DEFERRED TAX ASSETS AND LIABILITIES FOR THE FUTURE TAX IMPACT OF TEMPORARY DIFFERENCES BETWEEN AMOUNTS RECORDED IN THE CONSOLIDATED FINANCIAL STATEMENTS AND THEIR RESPECTIVE TAX BASES AND THE FUTURE BENEFIT OF UTILIZATION NET OPERATING LOSS CARRYFORWARDS. INCOME TAXES OF THE ORGANIZATION'S TAX-EXEMPT AND FOR-PROFIT COMPONENTS ARE NOT MATERIAL TO THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. X X X X X 0 1 0 0 0 0 0 0 0 AMMAR S ABBASI MD FAAPMR SECRETARY / TRUSTEE 332862 0 122362 0 -15232 0 0 0 10376 0 450368 0 0 0 ANTHONY P BUONANNO MD FORMER TRUSTEE 0 399678 0 85844 0 -3630 0 0 0 33857 0 515749 0 0 DAVID B BURMEISTER DO PRESIDENT/TRUSTEE 0 590716 0 211397 0 38470 0 0 0 35071 0 875654 0 0 JOSEPH D DEFULVIO DO CHAIRPERSON / TREASURER 0 440000 0 101023 0 -730 0 0 0 20825 0 561118 0 0 JAMES N DEMOPOULOS SR MHA TRUSTEE (NON-VOTING) 0 430409 0 104512 0 55771 0 0 0 20439 0 611131 0 0 MICHAEL W EVANS MD FORMER SECRETARY 430000 0 147504 0 -3001 0 0 0 30683 0 605186 0 0 0 AMANDA B FLICKER MD TRUSTEE 0 472063 0 118888 0 38922 0 0 0 9847 0 639720 0 0 RONALD S FREUDENBERGER MD TRUSTEE 0 705372 0 179550 0 51489 0 0 0 31021 0 967432 0 0 TIMOTHY J FRIEL MD TRUSTEE 0 562870 0 138353 0 51369 0 0 0 30769 0 783361 0 0 GRANT M GREENBERG MD TRUSTEE 0 348018 0 87060 0 14057 0 0 0 35157 0 484292 0 0 J NATHAN HAGSTROM MD TRUSTEE 0 456005 0 115479 0 28556 0 0 0 32607 0 632647 0 0 THOMAS MCLOUGHLIN MD FORMER TRUSTEE 0 670551 0 160825 0 39106 0 0 0 35445 0 905927 0 0 ROBERT X MURPHY JR MD MS TRUSTEE 0 804196 0 403176 0 183555 0 0 0 33521 0 1424448 0 0 SURESH G NAIR MD TRUSTEE 0 624307 0 112550 0 42732 0 0 0 27025 0 806614 0 0 EDWARD R NORRIS MD FORMER TRUSTEE 0 462693 0 107276 0 26206 0 0 0 33857 0 630032 0 0 MICHAEL D PASQUALE MD TRUSTEE 0 851391 0 206685 0 58410 0 0 0 34821 0 1151307 0 0 MICHAEL A ROSSI MD MBA TRUSTEE 0 790434 0 403176 0 223785 0 0 0 23609 0 1441004 0 0 JENNIFER L STEPHENS DO VICE CHAIRPERSON 0 458581 0 119273 0 44755 0 0 0 23153 0 645762 0 0 YAQOOB A MOHYUDDIN MD PHYSICIAN 555328 0 593500 0 -7603 0 0 0 34814 0 1176039 0 0 0 ANTHONY M CARRATO MD PHYSICIAN 553973 0 116300 0 -1547 0 0 0 31107 0 699833 0 0 0 HARVEY J HOTCHNER MD PHYSICIAN 420600 0 109352 0 6777 0 0 0 20591 0 557320 0 0 0 PHILIP J BENYO MD PHYSICIAN 484324 0 17600 0 3279 0 0 0 20795 0 525998 0 0 0 ANTHONY VALENTE MD PHYSICIAN 417797 0 49350 0 -1006 0 0 0 34173 0 500314 0 0 0 PART I, LINE 4B THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE 457(F) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN OF LEHIGH VALLEY PHYSICIAN GROUP, A RELATED ORGANIZATION, IN CALENDAR YEAR 2022: DAVID BURMEISTER, DO, PRESIDENT/TRUSTEE - $ 45,808 JAMES N. DEMOPOULOS SR., MHA, TRUSTEE (NON-VOTING) - $ 53,492 AMANDA B. FLICKER, MD, TRUSTEE - $ 37,821 TIMOTHY J. FRIEL, MD, TRUSTEE - $ 43,476 GRANT M. GREENBERG, MD, TRUSTEE - $ 21,754 J. NATHAN HAGSTROM, MD, TRUSTEE - $ 33,682 THOMAS MCLOUGHLIN, MD, FORMER TRUSTEE - $ 41,569 ROBERT X. MURPHY, JR., MD MS, TRUSTEE - $ 180,971 EDWARD R. NORRIS, MD, FORMER TRUSTEE - $ 34,317 MICHAEL D, PASQUALE, MD, TRUSTEE - $ 62,415 JENNIFER L. STEPHENS, DO, VICE CHAIRPERSON - $ 51,548 THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE 457(F) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN OF LEHIGH VALLEY HOSPITAL, A RELATED ORGANIZATION, IN CALENDAR YEAR 2022: RONALD S. FREUDENBERGER, MD, TRUSTEE - $ 53,506 SURESH G. NAIR, MD, TRUSTEE - $ 43,463 MICHAEL A. ROSSI, MD MBA, TRUSTEE - $ 210,076 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION'S SOLE CORPORATE MEMBER IS LEHIGH VALLEY PHYSICIAN GROUP. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION'S SOLE CORPORATE MEMBER, LEHIGH VALLEY PHYSICIAN GROUP, HAS THE POWER TO ELECT, APPOINT, APPROVE, OR REJECT MEMBERS OF THE ORGANIZATION'S GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B THE ORGANIZATION'S SOLE CORPORATE MEMBER, LEHIGH VALLEY PHYSICIAN GROUP, HAS THE POWER TO APPROVE OR REJECT CERTAIN MAJOR OPERATING DECISIONS MADE BY THE ORGANIZATION'S GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE PROCESS TO REVIEW THE FORM 990'S INCLUDES: DRAFT 1 OF THE RETURNS IS REVIEWED IN DETAIL WITH A FOCUS ON ACCURACY, COMPLETENESS, AND PERSPECTIVE BY THE LVHN VICE-PRESIDENT, FINANCE & CONTROLLER. DRAFT 2 OF THE RETURNS IS REVIEWED BY THE EXECUTIVE VICE PRESIDENT AND CHIEF FINANCIAL OFFICER. ALL COMPENSATION DISCLOSURES ARE REVIEWED BY THE DIRECTOR, COMPENSATION - HUMAN RESOURCES. DRAFT 3 OF THE RETURNS IS REVIEWED TOGETHER WITH THE PRESIDENT & CEO, THE EXECUTIVE VICE PRESIDENT & CHIEF FINANCIAL OFFICER, THE VICE-PRESIDENT, FINANCE & CONTROLLER, AND THE ADMINISTRATOR, TAX. FINAL RETURNS ARE PROVIDED TO THE FULL BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C IN JANUARY 2016, LVHN IMPLEMENTED AN ELECTRONIC TOOL DESIGNED TO SEND NOTIFICATIONS AND TRACK DISCLOSURES REPORTED ON CONFLICT OF INTEREST QUESTIONNAIRES. THE NETWORK ALSO EXPANDED THE SCOPE OF THE CONFLICT OF INTEREST OR COMMITMENT POLICY, SUCH THAT ADDITIONAL COLLEAGUES ARE NOW REQUIRED TO COMPLETE A QUESTIONNAIRE EACH YEAR. PRIOR TO JANUARY, THE VP, INTERNAL AUDIT AND COMPLIANCE SERVICES ISSUED A NOTICE TO BOARD MEMBERS AND MEMBERS OF THE SENIOR MANAGEMENT COUNCIL WHEN IT WAS TIME FOR THEM TO SUBMIT THEIR CONFLICT OF INTEREST QUESTIONNAIRES. THE VP ALSO INSTRUCTED MEMBERS OF THE SENIOR MANAGEMENT COUNCIL TO IDENTIFY AND REQUEST COMPLETED CONFLICT OF INTEREST QUESTIONNAIRES FROM INDIVIDUALS WHO HAD POTENTIAL CONFLICTS OF INTEREST AND TO PROVIDE HER WITH THE IDENTITY OF THOSE INDIVIDUALS. COMPLIANCE SERVICES TRACKED COMPLETION OF THE QUESTIONNAIRES. ALL PHYSICIANS ON LVHN'S MEDICAL STAFF ARE ALSO REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY. MEDICAL STAFF SERVICES MONITORS THIS PROCESS TO ENSURE THAT ALL PHYSICIANS COMPLY. POTENTIAL CONFLICTS ARE MANAGED BY THE LVHN CONFLICT OF INTEREST COMMITTEE AND/OR BY THE BOARD OF TRUSTEES, DEPENDING ON WHOSE INTEREST(S) POSE THE CONFLICT AND THE NATURE OF THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 LEHIGH VALLEY HEALTH NETWORK 2023 EXECUTIVE COMPENSATION REVIEW IN COMPLIANCE WITH THE REBUTTABLE PRESUMPTION OF REASONABLENESS PROCESS OUTLINED IN THE INTERMEDIATE SANCTIONS REGULATIONS (ISSUED UNDER SECTION 4958 OF THE INTERNAL REVENUE CODE); SULLIVAN COTTER AND ASSOCIATES, INC. (SULLIVAN COTTER) QUALIFIES AS AN INDEPENDENT EXECUTIVE COMPENSATION EXPERT, SPECIALIZING IN THE HEALTH CARE INDUSTRY. SULLIVAN COTTER PROVIDES ADVICE TO THE LEHIGH VALLEY HEALTH NETWORK EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES TO SUPPORT ITS ATTAINMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS REGULATIONS. THEY ALSO SUPPORT THE COMMITTEE IN ENSURING THAT THE LVHN EXECUTIVE COMPENSATION PROGRAM IS COMPETITIVE AND ALIGNED WITH THE ORGANIZATION'S EXECUTIVE COMPENSATION PHILOSOPHY. CHIEF EXECUTIVE OFFICER TOTAL COMPENSATION REVIEW: PROGRAM ANALYSIS: ANALYZE THE MARKET POSITION OF TOTAL COMPENSATION (BASE SALARY, INCENTIVE, BENEFITS, AND PERQUISITES) FOR LVHN'S PRESIDENT AND CHIEF EXECUTIVE OFFICER (CEO) IN RELATION TO CEO MARKET DATA OBTAINED FOR A DEFINED PEER GROUP OF COMPARABLE HEALTH SYSTEMS. THIS INCLUDES THE PREPARATION OF TALLY SHEETS FOR THE PRESIDENT AND CEO AS WELL AS AN ANALYSIS OF FORM 990 COMPENSATION DATA. THEY ASSESS THE ALIGNMENT OF THE PRESIDENT AND CEO'S COMPENSATION WITH LVHN'S COMPENSATION PHILOSOPHY AND NOTE THE IMPLICATIONS OF THE REVIEW. SULLIVAN COTTER'S ANALYSES AND FINDINGS ARE SUMMARIZED IN A REPORT TO THE COMMITTEE THAT PROVIDES A REASONABLENESS OPINION FOR THE INTERMEDIATE SANCTIONS COMPLIANCE. THE REPORT WAS PROVIDED BY SULLIVAN COTTER AT THE AUGUST 16, 2022 EXECUTIVE COMPENSATION COMMITTEE MEETING. CEO COUNCIL EXECUTIVE TOTAL COMPENSATION REVIEW: PROGRAM ANALYSIS: ANALYZE THE MARKET POSITION OF TOTAL COMPENSATION (SALARIES, INCENTIVES, BENEFITS, AND PERQUISITES) FOR LVHN'S CEO COUNCIL EXECUTIVES (APPROXIMATELY 10 TOTAL POSITIONS) IN RELATION TO COMPARABLE POSITIONS IN PEER ORGANIZATIONS. THIS INCLUDES THE PREPARATION OF TALLY SHEETS FOR EACH INDIVIDUAL. SULLIVAN COTTER'S ANALYSES AND FINDINGS ARE SUMMARIZED IN A REPORT TO THE COMMITTEE THAT ALSO PROVIDES AN OPINION OF REASONABLENESS FOR INTERMEDIATE SANCTIONS COMPLIANCE. THE REPORT WAS PROVIDED BY SULLIVAN COTTER AT THE AUGUST 16, 2022 EXECUTIVE COMPENSATION COMMITTEE MEETING. SUMMARY OF METHODOLOGY TO CONDUCT THIS ANALYSIS, SULLIVAN COTTER: COLLECTED BACKGROUND INFORMATION REGARDING LVHN'S OPERATIONS, STRUCTURE, SIZE AND SCOPE, AS WELL AS EACH POSITION'S DUTIES. COMPILED MARKET DATA FOR CEO COUNCIL EXECUTIVES CONSISTENT WITH THE EXECUTIVE COMPENSATION PHILOSOPHY APPROVED BY THE COMMITTEE DURING ITS SEPTEMBER 22, 2022 MEETING: THE MARKET DATA USED FOR LVHN SYSTEM EXECUTIVES IN THIS ASSESSMENT ARE AN EQUALLY WEIGHTED BLEND OF: (1) LVHN'S COMMITTEE-APPROVED PEER GROUP OF 25 NOT-FOR-PROFIT HEALTH SYSTEMS LOCATED IN THE NORTHEAST (EXCLUDING NEW YORK CITY) WITH NET OPERATING REVENUES BETWEEN $2.0 BILLION AND $9.0 BILLION (MEDIAN OF $3.2 BILLION); AND (2) NATIONAL DATA REFLECTING ORGANIZATIONS OF SIMILAR SCOPE AND SIZE TO LVHN. PEER GROUP AND NATIONAL MARKET DATA WERE ABSTRACTED FROM SULLIVAN COTTER'S 2022 SURVEY OF MANAGER AND EXECUTIVE COMPENSATION IN HOSPITALS AND HEALTH SYSTEMS, AS WELL AS OTHER PUBLISHED COMPENSATION SURVEYS REFLECTING PAY AT COMPARABLY SIZED ORGANIZATIONS, WHICH INCLUDED NATIONAL HOSPITALS AND NATIONAL MEDICAL GROUPS. COMPILED MARKET DATA FOR THE LVHN CLINICAL CHAIRS PREPARED BY THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES (AAMC) FOR THE CHAIRS OF CLINICAL DEPARTMENTS IN MEDICAL SCHOOLS, LVHN'S TRADITIONAL COMPARATOR GROUP FOR THESE JOBS. ADJUSTED THE MARKET DATA TO AN EFFECTIVE DATE OF JANUARY 1, 2023 AT AN ANNUALIZED RATE OF 3.0% BASED ON SALARY INCREASE TRENDS. COMPARED EACH COMPONENT OF LVHN'S BENEFIT PROGRAM AGAINST TYPICAL MARKET BENEFIT PRACTICES IN HEALTH SYSTEMS AND HOSPITALS BASED ON MULTIPLE PUBLISHED SURVEYS, SUPPLEMENTED BY SULLIVAN COTTER'S PROPRIETARY DATA AND EXPERIENCE. DEVELOPED MARKET TOTAL COMPENSATION DATA BY COMBINING MARKET TCC WITH TYPICAL MARKET BENEFIT COSTS. COMPARED LVHN'S TC TO MARKET RATES AND ASSESSED OVERALL POSITIONING. FOR PHYSICIAN EXECUTIVES HAVING BOTH CLINICAL AND ADMINISTRATIVE ROLES, RELEVANT MARKET DATA WERE COLLECTED BASED ON FTE ALLOCATION. SULLIVAN COTTER HAS NOT COMPLETED AN ASSESSMENT OF THE PHYSICIANS' PRODUCTIVITY OR THE FAIR MARKET VALUE (FMV) OF THEIR CLINICAL COMPENSATION, AS LVHN HAS ADVISED THAT SUCH AMOUNTS ARE APPROPRIATE AND WITHIN FMV. SULLIVAN COTTER USED THE FOLLOWING METHODOLOGY TO ASSESS THE COMPETITIVENESS AND REASONABLENESS OF LVHN'S EXECUTIVE TOTAL COMPENSATION LEVELS: COLLECTED BACKGROUND INFORMATION REGARDING LVHN'S OPERATIONS, STRUCTURE, SIZE AND SCOPE. COLLECTED INFORMATION ON EACH CEO COUNCIL EXECUTIVE MEMBER'S CURRENT COMPENSATION. DATA COLLECTED INCLUDE BASE SALARIES, ANNUAL INCENTIVE OPPORTUNITY LEVELS (TARGET AND MAXIMUM), ACTUAL ANNUAL INCENTIVE PAYOUT AMOUNTS, ANNUAL COSTS OF ALL STANDARD AND SUPPLEMENTAL BENEFITS AND ANNUAL COST AND DESCRIPTION OF EXECUTIVE PERQUISITES. REVIEWED JOB DESCRIPTIONS AND ORGANIZATIONAL CHARTS TO IDENTIFY EACH POSITION'S FUNCTIONAL RESPONSIBILITIES AND REPORTING RELATIONSHIPS. SELECTED THE APPROPRIATE BENCHMARK POSITION MATCH FOR EACH POSITION AND APPLIED PREMIUMS/DISCOUNTS TO THE MARKET DATA IN INSTANCES WHERE LVHN'S JOB DUTIES DIFFER MATERIALLY FROM BENCHMARK POSITION MATCHES. POSITION MATCHES AND MARKET ADJUSTMENTS WERE REVIEWED WITH LVHN'S SENIOR VICE PRESIDENT, HUMAN RESOURCES AND COMPENSATION STAFF. LVHN'S PROJECTED FY2022 NET REVENUES AND PHYSICIAN FTE'S WERE USED AS THE SCOPE SIZE FOR EACH ENTITY. FORM 990, PART VI, SECTION C, LINE 18 ANOTHER'S WEBSITE - GUIDESTAR. UPON REQUEST - HARD COPIES WITH SENIOR MANAGEMENT AND MARKETING DEPARTMENT. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC THROUGH ITS ANNUAL REPORT TO THE COMMUNITY. THE ANNUAL REPORT IS DISTRIBUTED TO ALL ATTENDEES AT THE ORGANIZATIONS ANNUAL PUBLIC MEETING. THE ANNUAL REPORT IS AVAILABLE ON THE ORGANIZATION'S WEBSITE - WWW.LVHN.ORG. IN ADDITION, IT IS DISTRIBUTED VIA MAIL TO MEMBERS OF THE COMMUNITY. THE ORGANIZATIONS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9: TRANSFERS FROM AFFILIATES 7,400,000. 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181054000 232440891 HEALTH CARE ORGANIZATION PA 501(C)(3) LINE 3 LEHIGH VALLEY HEALTH NETWORK 0 BELTWAY HEALTH LP (FINAL 12-31-2022) PO BOX 4000 ALLENTOWN PA 181054000 203586257 REAL ESTATE RENTALS PA N/A 0 0 CHP-LVHN JV LLC 1509 BANKS STREET HOUSTON TX 770066019 863918453 HOSPITAL OPERATIONS DE N/A 0 0 EASTERN PENNSYLVANIA ENDOSCOPY CENTER LLC 1501 N CEDAR CREST BLVD STE 100 ALLENTOWN PA 181042309 842257961 ENDOSCOPY SERVICES PA N/A 0 0 FAIRGROUNDS MEDICAL CENTER 400 N 17TH STREET STE 102 ALLENTOWN PA 181045052 232530427 REAL ESTATE RENTALS PA N/A 0 0 HAZLETON SURGERY CENTER LLC 17480 DALLAS PARKWAY STE 210 DALLAS TX 752877304 201232531 SURGICAL SERVICES PA N/A 0 0 HEALTH NETWORK LABORATORIES LLC 794 ROBLE ROAD ALLENTOWN PA 181099110 232932802 LABORATORY SERVICES PA N/A 0 0 HEALTH NETWORK LABORATORIES LP 794 ROBLE ROAD ALLENTOWN PA 181099110 232948774 LABORATORY SERVICES PA N/A 0 0 LEHIGH VALLEY IMAGING LLC 1247 S CEDAR CREST BLVD STE 105 ALLENTOWN PA 181036202 464551937 IMAGING 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