2024-11-14T15:19:38-06:00 2023-12-31 990 2023-07-01 232611474 POCONO AMBULATORY SERVICES INC POCO 4842241876 PO BOX 4000 ALLENTOWN PA 18105 ROBERT THOMAS SENIOR VP 4842241876 2024-11-14 0 2023 2024-10-15 13:58:12Z X CORNELIO CATENA PO BOX 4000 ALLENTOWN PA 18105 1235 0 X WWW.LVHN.ORG X 1990 PA SUPPORT LEHIGH VALLEY HOSPITAL - POCONO BY PROVIDING SERVICES FOR AMBULATORY, OUTPATIENT SURGICAL PROCEDURES THROUGH ITS INVESTMENT IN POCONO AMBULATORY SURGERY CENTER, LTD. X 6 0 0 0 0 0 0 0 0 0 5031 1235 3001 0 8032 1235 0 0 0 0 0 0 0 0 0 679134 169040 679134 169040 -671102 -167805 780359 0 1280640 0 -500281 0 X OUR MISSION IS WHO WE ARE AND WHAT WE DO: TO PROVIDE WORLD CLASS CARE CLOSE TO HOME. OUR VISION IS WHAT WE AIM FOR TO BEST SERVE OUR COMMUNITY: TO BUILD A HEALTHIER COMMUNITY. 0 0 169040 0 POCONO AMBULATORY SERVICES, IN SUPPORT OF LEHIGH VALLEY HOSPITAL - POCONO, PROVIDES OUTPATIENT SERVICES TO ITS PATIENTS THROUGH ITS GENERAL PARTNERSHIP INTEREST IN POCONO AMBULATORY SURGERY CENTER (PASC). LEHIGH VALLEY HOSPITAL - POCONO, AN AFFILIATE OF POCONO AMBULATORY SERVICES, INC., PROVIDED SERVICES FOR AMBULATORY, OUTPATIENT SURGICAL PROCEDURES BY ALLOCATING ROOMS WHICH WERE UTILIZED FOR BOTH OUTPATIENT AND INPATIENT PROCEDURES. POCONO AMBULATORY SERVICES, INC. WAS ORGANIZED FOR THE PURPOSE OF DEVELOPING A CENTER DEDICATED TO PERFORMING OUTPATIENT PROCEDURES. IN THIS REGARD, POCONO AMBULATORY SERVICES ACQUIRED A GENERAL PARTNERSHIP INTEREST IN PASC. IN ORDER TO ENSURE THAT PASC OPERATES IN A MANNER CONSISTENT WITH THE HEALTH CARE STANDARDS AND MISSION OF THE LEHIGH VALLEY HOSPITAL - POCONO, THE PARTNERSHIP AGREEMENT EXPRESSLY PROVIDES THAT PASC WILL ADOPT AND MAINTAIN VARIOUS STANDARDS AND PRACTICES OF THE LEHIGH VALLEY HOSPITAL - POCONO. POCONO AMBULATORY SERVICES PRIMARILY OPERATES IN A MANAGEMENT CAPACITY FOR THE CENTER BY PROVIDING OUTPATIENT SERVICES IN A STATE-OF-THE-ART, COST EFFECTIVE OFFSITE FACILITY, INVOLVING SURGEONS ON STAFF AT LEHIGH VALLEY HOSPITAL - POCONO. ACCORDINGLY, THE UNINSURED AND UNDERINSURED WILL NOT BE DENIED TREATMENT, THUS ALLOWING THE OVERALL HEALTH SYSTEM TO COPE WITH THIS INCREASING SOCIAL RESPONSIBILITY. INCLUDED AMONG MULTIPLE SPECIALTY SERVICES PROVIDED BY THE CENTER ARE ORTHOPEDICS, OPHTHALMOLOGY, GYNECOLOGY, EAR, NOSE, AND THROAT, RECTAL, PODIATRY, ENDOSCOPY, GENERAL SURGERY, AND UROLOGY. POCONO AMBULATORY SERVICES MERGED INTO ITS SOLE CORPORATE MEMBER, LEHIGH VALLEY HOSPITAL - POCONO, EFFECTIVE 12/31/2023. 169040 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 6 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 CORNELIO R CATENA CHAIRPERSON 1.00 39.00 X X 0 714900 16860 ALICE J WILSON VICE CHAIRPERSON 1.00 39.00 X X 0 210076 16179 STEVEN T CLARK TREASURER 1.00 39.00 X X 0 207920 24920 JOHN J CROCKETT DIRECTOR 1.00 39.00 X 0 318432 21663 JAMES C MILLER DIRECTOR 1.00 39.00 X 0 636051 25459 AMY H NYBERG DIRECTOR 1.00 39.00 X 0 652317 26854 ROBERT A BEGLIOMINI PHARMD MBA FORMER DIRECTOR 0.00 60.00 X 0 828521 26473 WILLIAM K CORS MD FORMER SECRETARY 0.00 40.00 X 0 40691 3878 JONATHAN A GOLDNER DO FORMER SECRETARY 0.00 40.00 X 0 438513 16424 CHRISTINE A HAYES FORMER TREASURER / DIRECTOR 0.00 40.00 X 0 88786 26288 0 4136207 204998 0 1 1 0 0 1235 1235 1235 0 0 1235 LOSS FROM JOINT VENTURE 169040 169040 169040 169040 0 0 0 387411 0 0 0 0 0 0 0 0 0 52197 0 0 340751 0 0 0 780359 0 1280640 0 1280640 0 X -500281 0 -500281 0 780359 0 X -167805 668086 X 0 1 X 1 0 X 0 X 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, EXCEPT FOR TAX IMPOSED ON UNRELATED BUSINESS INCOME. THE MOST RECENT DETERMINATION LETTER RECEIVED BY THE ORGANIZATION IS DATED MAY 1, 2014. THE ORGANZIATION 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 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 OF 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. 1 1 0 0 0 0 0 0 0 CORNELIO R CATENA CHAIRPERSON 0 622278 0 89734 0 2888 0 0 0 16860 0 731760 0 0 ALICE J WILSON VICE CHAIRPERSON 0 192284 0 20532 0 -2740 0 0 0 16179 0 226255 0 0 STEVEN T CLARK TREASURER 0 197055 0 17789 0 -6924 0 0 0 24920 0 232840 0 0 JOHN J CROCKETT DIRECTOR 0 168658 0 17099 0 132675 0 0 0 21663 0 340095 0 0 JAMES C MILLER DIRECTOR 0 554419 0 88760 0 -7128 0 0 0 25459 0 661510 0 0 AMY H NYBERG DIRECTOR 0 437980 0 64723 0 149614 0 0 0 26854 0 679171 0 0 ROBERT A BEGLIOMINI PHARMD MBA FORMER DIRECTOR 0 651504 0 103320 0 73697 0 0 0 26473 0 854994 0 0 WILLIAM K CORS MD FORMER SECRETARY 0 27000 0 14850 0 -1159 0 0 0 3878 0 44569 0 0 JONATHAN A GOLDNER DO FORMER SECRETARY 0 397172 0 25210 0 16131 0 0 0 16424 0 454937 0 0 CHRISTINE A HAYES FORMER TREASURER / DIRECTOR 0 97016 0 500 0 -8730 0 0 0 26288 0 115074 0 0 PART I, LINES 4A-B THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT FROM LEHIGH VALLEY HOSPITAL, A RELATED ORGANIZATION, IN CALENDAR YEAR 2023: JOHN J. CROCKETT, DIRECTOR - $139,953 THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE 457(F) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN OF LEHIGH VALLEY HOSPITAL, A RELATED ORGANIZATION, IN CALENDAR YEAR 2023: AMY H. NYBERG, DIRECTOR - $156,667 ROBERT A. BEGLIOMINI, PHARMD, MBA, FORMER DIRECTOR - $75,482 VARIOUS BALANCE SHEET ITEMS 2023-12-31 0 N/A 240795623 LEHIGH VALLEY HOSPITAL-POCONO PO BOX 4000 ALLENTOWN PA 181054000 501(C)(3) 1 1 0 0 1 1 1 1 0 PART I, LINE 2E: EXPLANATION OF INVOLVEMENT: ALL OFFICERS AND TRUSTEES OF POCONO AMBULATORY SERVICES ARE EMPLOYEES OF LEHIGH VALLEY HOSPITAL-POCONO, A RELATED ORGANIZATION, AND HAVE REMAINED EMPLOYEES OF THIS RELATED ORGANIZATION POST-MERGER. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION'S SOLE CORPORATE MEMBER IS POCONO HEALTH SYSTEM, A PENNSYLVANIA NON-PROFIT CORPORATION. ON DECEMBER 11, 2015, LEHIGH VALLEY HEALTH NETWORK (LVHN) EXECUTED AN AFFILIATION AGREEMENT WITH THE POCONO HEALTH SYSTEM (PHS) PROVIDING FOR AN AFFILIATION BETWEEN LVHN AND POCONO MEDICAL CENTER (PMC), POCONO HEALTH FOUNDATION (FOUNDATION), FAMILY CARE CENTERS (FCC), POCONO VNA/HOSPICE (VNA), POCONO HEALTHCARE PARTNERS (PHP), AND POCONO AMBULATORY SERVICES (PAS). THE GOVERNING DOCUMENTS OF PHS WERE AMENDED SUCH THAT EFFECTIVE JANUARY 1, 2017, THE CLOSING DATE OF THE AFFILIATION, PHS MERGED INTO LVHN AND LVHN BECAME THE SOLE MEMBER OF POCONO HEALTH SYSTEM. PHS CONSISTS PRIMARILY OF PMC, A 239-BED INPATIENT ACUTE CARE HOSPITAL, ALSO PROVIDING REHAB AND EMERGENCY CARE TO EAST STROUDSBURG, PENNSYLVANIA, AND SURROUNDING COMMUNITIES; POCONO VNA/HOSPICE, PROVIDING HOME HEALTH AND HOSPICE SERVICES; AND FCC, A MULTI-SPECIALTY PHYSICIAN GROUP. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION'S SOLE CORPORATE MEMBER, POCONO HEALTH SYSTEM, 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, POCONO HEALTH SYSTEM, 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 THIS FORM 990 INCLUDES PREPARATION AND THOROUGH REVIEW BY THE LEHIGH VALLEY HEALTH NETWORK TAX DEPARTMENT. FORM 990, PART VI, SECTION B, LINE 12C IN JANUARY 2016, LVHN IMPLEMENTED AN ELECTRONIC TOOL DESIGNED TO SEND NOTIFICATIONS AND TRACK DISCLOSURES REPORTED ON CONFLICT OF INTEREST QUESTIONNAIRES. THE NETWORK ALSO EXPANDED THE SCOPE OF THE CONFLICT OF INTEREST OR COMMITMENT POLICY, SUCH THAT ADDITIONAL COLLEAGUES ARE NOW REQUIRED TO COMPLETE A QUESTIONNAIRE EACH YEAR. PRIOR TO JANUARY, THE VP, INTERNAL AUDIT AND COMPLIANCE SERVICES ISSUED A NOTICE TO BOARD MEMBERS AND MEMBERS OF THE SENIOR MANAGEMENT COUNCIL WHEN IT WAS TIME FOR THEM TO SUBMIT THEIR CONFLICT OF INTEREST QUESTIONNAIRES. THE VP ALSO INSTRUCTED MEMBERS OF THE SENIOR MANAGEMENT COUNCIL TO IDENTIFY AND REQUEST COMPLETED CONFLICT OF INTEREST QUESTIONNAIRES FROM INDIVIDUALS WHO HAD POTENTIAL CONFLICTS OF INTEREST AND TO PROVIDE HER WITH THE IDENTITY OF THOSE INDIVIDUALS. COMPLIANCE SERVICES TRACKED COMPLETION OF THE QUESTIONNAIRES. ALL PHYSICIANS ON LVHN'S MEDICAL STAFF ARE ALSO REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY. MEDICAL STAFF SERVICES MONITORS THIS PROCESS TO ENSURE THAT ALL PHYSICIANS COMPLY. POTENTIAL CONFLICTS ARE MANAGED BY THE LVHN CONFLICT OF INTEREST COMMITTEE AND/OR BY THE BOARD OF TRUSTEES, DEPENDING ON WHOSE INTEREST(S) POSE THE CONFLICT AND THE NATURE OF THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 LEHIGH VALLEY HEALTH NETWORK 2024 EXECUTIVE COMPENSATION REVIEW IN COMPLIANCE WITH THE REBUTTABLE PRESUMPTION OF REASONABLENESS PROCESS OUTLINED IN THE INTERMEDIATE SANCTIONS REGULATIONS (ISSUED UNDER SECTION 4958 OF THE INTERNAL REVENUE CODE); SULLIVAN COTTER AND ASSOCIATES, INC. (SULLIVAN COTTER) QUALIFIES AS AN INDEPENDENT EXECUTIVE COMPENSATION EXPERT, SPECIALIZING IN THE HEALTH CARE INDUSTRY. SULLIVAN COTTER PROVIDES ADVICE TO THE LEHIGH VALLEY HEALTH NETWORK EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES TO SUPPORT ITS ATTAINMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS REGULATIONS. THEY ALSO SUPPORT THE COMMITTEE IN ENSURING THAT THE LVHN EXECUTIVE COMPENSATION PROGRAM IS COMPETITIVE AND ALIGNED WITH THE ORGANIZATION'S EXECUTIVE COMPENSATION PHILOSOPHY. CHIEF EXECUTIVE OFFICER TOTAL COMPENSATION REVIEW: PROGRAM ANALYSIS: ANALYZE THE MARKET POSITION OF TOTAL COMPENSATION (BASE SALARY, INCENTIVE, BENEFITS, AND PERQUISITES) FOR LVHN'S PRESIDENT AND CHIEF EXECUTIVE OFFICER (CEO) IN RELATION TO CEO MARKET DATA OBTAINED FOR A DEFINED PEER GROUP OF COMPARABLE HEALTH SYSTEMS. THIS INCLUDES THE PREPARATION OF TALLY SHEETS FOR THE PRESIDENT AND CEO AS WELL AS AN ANALYSIS OF FORM 990 COMPENSATION DATA. THEY ASSESS THE ALIGNMENT OF THE PRESIDENT AND CEO'S COMPENSATION WITH LVHN'S COMPENSATION PHILOSOPHY AND NOTE THE IMPLICATIONS OF THE REVIEW. SULLIVAN COTTER'S ANALYSES AND FINDINGS ARE SUMMARIZED IN A REPORT TO THE COMMITTEE THAT PROVIDES A REASONABLENESS OPINION FOR THE INTERMEDIATE SANCTIONS COMPLIANCE. THE REPORT WAS PROVIDED BY SULLIVAN COTTER AT THE JULY 19, 2023 EXECUTIVE COMPENSATION COMMITTEE MEETING. CEO COUNCIL EXECUTIVE TOTAL COMPENSATION REVIEW: PROGRAM ANALYSIS: ANALYZE THE MARKET POSITION OF TOTAL COMPENSATION (SALARIES, INCENTIVES, BENEFITS, AND PERQUISITES) FOR LVHN'S CEO COUNCIL EXECUTIVES (APPROXIMATELY 10 TOTAL POSITIONS) IN RELATION TO COMPARABLE POSITIONS IN PEER ORGANIZATIONS. THIS INCLUDES THE PREPARATION OF TALLY SHEETS FOR EACH INDIVIDUAL. SULLIVAN COTTER'S ANALYSES AND FINDINGS ARE SUMMARIZED IN A REPORT TO THE COMMITTEE THAT ALSO PROVIDES AN OPINION OF REASONABLENESS FOR INTERMEDIATE SANCTIONS COMPLIANCE. THE REPORT WAS PROVIDED BY SULLIVAN COTTER AT THE JULY 19, 2023 EXECUTIVE COMPENSATION COMMITTEE MEETING. SUMMARY OF METHODOLOGY TO CONDUCT THIS ANALYSIS, SULLIVAN COTTER: COLLECTED BACKGROUND INFORMATION REGARDING LVHN'S OPERATIONS, STRUCTURE, SIZE AND SCOPE, AS WELL AS EACH POSITION'S DUTIES. COMPILED MARKET DATA FOR CEO COUNCIL EXECUTIVES CONSISTENT WITH THE EXECUTIVE COMPENSATION PHILOSOPHY APPROVED BY THE COMMITTEE DURING ITS SEPTEMBER 18, 2023 MEETING: THE MARKET DATA USED FOR LVHN SYSTEM EXECUTIVES IN THIS ASSESSMENT ARE AN EQUALLY WEIGHTED BLEND OF: (1) LVHN'S COMMITTEE-APPROVED PEER GROUP OF 25 NOT-FOR-PROFIT HEALTH SYSTEMS LOCATED IN THE NORTHEAST (EXCLUDING NEW YORK CITY) WITH NET OPERATING REVENUES BETWEEN $2.1 BILLION AND $9.3 BILLION (MEDIAN OF $3.8 BILLION); AND (2) NATIONAL DATA REFLECTING ORGANIZATIONS OF SIMILAR SCOPE AND SIZE TO LVHN. PEER GROUP AND NATIONAL MARKET DATA WERE ABSTRACTED FROM SULLIVAN COTTER'S 2022 SURVEY OF MANAGER AND EXECUTIVE COMPENSATION IN HOSPITALS AND HEALTH SYSTEMS, AS WELL AS OTHER PUBLISHED COMPENSATION SURVEYS REFLECTING PAY AT COMPARABLY SIZED ORGANIZATIONS, WHICH INCLUDED NATIONAL HOSPITALS AND NATIONAL MEDICAL GROUPS. COMPILED MARKET DATA FOR THE LVHN CLINICAL CHAIRS PREPARED BY THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES (AAMC) FOR THE CHAIRS OF CLINICAL DEPARTMENTS IN MEDICAL SCHOOLS, LVHN'S TRADITIONAL COMPARATOR GROUP FOR THESE JOBS. ADJUSTED THE MARKET DATA TO AN EFFECTIVE DATE OF JANUARY 1, 2024 AT AN ANNUALIZED RATE OF 3.0% BASED ON SALARY INCREASE TRENDS. COMPARED EACH COMPONENT OF LVHN'S BENEFIT PROGRAM AGAINST TYPICAL MARKET BENEFIT PRACTICES IN HEALTH SYSTEMS AND HOSPITALS BASED ON MULTIPLE PUBLISHED SURVEYS, SUPPLEMENTED BY SULLIVAN COTTER'S PROPRIETARY DATA AND EXPERIENCE. DEVELOPED MARKET TOTAL COMPENSATION DATA BY COMBINING MARKET TCC WITH TYPICAL MARKET BENEFIT COSTS. COMPARED LVHN'S TC TO MARKET RATES AND ASSESSED OVERALL POSITIONING. FOR PHYSICIAN EXECUTIVES HAVING BOTH CLINICAL AND ADMINISTRATIVE ROLES, RELEVANT MARKET DATA WERE COLLECTED BASED ON FTE ALLOCATION. SULLIVAN COTTER HAS NOT COMPLETED AN ASSESSMENT OF THE PHYSICIANS' PRODUCTIVITY OR THE FAIR MARKET VALUE (FMV) OF THEIR CLINICAL COMPENSATION, AS LVHN HAS ADVISED THAT SUCH AMOUNTS ARE APPROPRIATE AND WITHIN FMV. SULLIVAN COTTER USED THE FOLLOWING METHODOLOGY TO ASSESS THE COMPETITIVENESS AND REASONABLENESS OF LVHN'S EXECUTIVE TOTAL COMPENSATION LEVELS: COLLECTED BACKGROUND INFORMATION REGARDING LVHN'S OPERATIONS, STRUCTURE, SIZE AND SCOPE. COLLECTED INFORMATION ON EACH CEO COUNCIL EXECUTIVE MEMBER'S CURRENT COMPENSATION. DATA COLLECTED INCLUDE BASE SALARIES, ANNUAL INCENTIVE OPPORTUNITY LEVELS (TARGET AND MAXIMUM), ACTUAL ANNUAL INCENTIVE PAYOUT AMOUNTS, ANNUAL COSTS OF ALL STANDARD AND SUPPLEMENTAL BENEFITS AND ANNUAL COST AND DESCRIPTION OF EXECUTIVE PERQUISITES. REVIEWED JOB DESCRIPTIONS AND ORGANIZATIONAL CHARTS TO IDENTIFY EACH POSITION'S FUNCTIONAL RESPONSIBILITIES AND REPORTING RELATIONSHIPS. SELECTED THE APPROPRIATE BENCHMARK POSITION MATCH FOR EACH POSITION AND APPLIED PREMIUMS/DISCOUNTS TO THE MARKET DATA IN INSTANCES WHERE LVHN'S JOB DUTIES DIFFER MATERIALLY FROM BENCHMARK POSITION MATCHES. POSITION MATCHES AND MARKET ADJUSTMENTS WERE REVIEWED WITH LVHN'S SENIOR VICE PRESIDENT, HUMAN RESOURCES AND COMPENSATION STAFF. LVHN'S PROJECTED FY2023 NET REVENUES AND PHYSICIAN FTE'S WERE USED AS THE SCOPE SIZE FOR EACH ENTITY. FORM 990, PART VI, SECTION C, LINE 18 ANOTHER'S WEBSITE - GUIDESTAR. UPON REQUEST - HARD COPIES WITH SENIOR MANAGEMENT AND MARKETING DEPARTMENT. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC THROUGH ITS ANNUAL REPORT TO THE COMMUNITY. THE ANNUAL REPORT IS DISTRIBUTED TO ALL ATTENDEES AT THE 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 ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9: TRANSFER TO/FROM AFFILIATES UPON MERGER 668,086. FAMILY CARE CENTERS INC PO BOX 4000 ALLENTOWN PA 181054000 232349341 PHYSICIAN PRACTICE ORGANIZATION PA 501(C)(3) LINE 3 LEHIGH VALLEY PHYSICIAN GROUP 0 HAZLETON HEALTH & WELLNESS CENTER PO BOX 4000 ALLENTOWN PA 181054000 232580968 STAFFING SERVICES PA 501(C)(3) LINE 12B, II LEHIGH VALLEY HEALTH NETWORK 0 HAZLETON PROFESSIONAL SERVICES PO BOX 4000 ALLENTOWN PA 181054000 205880364 PHYSICIAN PRACTICE ORGANIZATION PA 501(C)(3) LINE 3 LEHIGH VALLEY PHYSICIAN GROUP 0 HAZLETON SURGICAL ALLIANCE (FINAL 12-31-2023) PO BOX 4000 ALLENTOWN PA 181054000 202038456 SURGICAL SERVICES PA 501(C)(3) LINE 3 LEHIGH VALLEY HOSPITAL - HAZLETON 0 LEHIGH VALLEY HEALTH NETWORK PO BOX 4000 ALLENTOWN PA 181054000 222458317 PARENT COMPANY PA 501(C)(3) LINE 12C, III-FI N/A 0 LEHIGH VALLEY HEALTH NETWORK EMERGENCY MEDICAL SERVICES PO BOX 4000 ALLENTOWN PA 181054000 232532377 AMBULATORY MEDICAL SERVICES PA 501(C)(3) LINE 10 LEHIGH VALLEY HEALTH NETWORK 0 LEHIGH VALLEY HEALTH NETWORK REALTY HOLDING CO (FINAL 12-31-2023) PO BOX 4000 ALLENTOWN PA 181054000 232586770 REAL ESTATE HOLDING CO. PA 501(C)(2) LEHIGH VALLEY HEALTH NETWORK 0 LEHIGH VALLEY HOSPITAL PO BOX 4000 ALLENTOWN PA 181054000 231689692 HEALTH CARE ORGANIZATION PA 501(C)(3) LINE 3 LEHIGH VALLEY HEALTH NETWORK 0 LEHIGH VALLEY HOSPITAL - HAZLETON PO BOX 4000 ALLENTOWN PA 181054000 232421970 HEALTH CARE ORGANIZATION PA 501(C)(3) LINE 3 LEHIGH VALLEY HEALTH NETWORK 0 LEHIGH VALLEY HOSPITAL - POCONO PO BOX 4000 ALLENTOWN PA 181054000 240795623 HEALTH CARE ORGANIZATION PA 501(C)(3) LINE 3 LEHIGH VALLEY HEALTH NETWORK 0 LEHIGH VALLEY HOSPITAL - SCHUYLKILL PO BOX 4000 ALLENTOWN PA 181054000 231352202 HEALTH CARE ORGANIZATION PA 501(C)(3) LINE 3 LEHIGH VALLEY HEALTH NETWORK 0 LEHIGH VALLEY PHYSICIAN GROUP PO BOX 4000 ALLENTOWN PA 181054000 232700908 PHYSICIAN PRACTICE ORGANIZATION PA 501(C)(3) LINE 3 LEHIGH VALLEY HEALTH NETWORK 0 LEONARD PARKER POOL INSTITUTE FOR HEALTH PO BOX 4000 ALLENTOWN PA 181054000 851211082 SUPPORT RELATED ORGANIZATIONS PA 501(C)(3) LINE 3 LEHIGH VALLEY HOSPITAL 0 MUHLENBERG REALTY CORPORATION PO BOX 4000 ALLENTOWN PA 181054000 232245513 REAL ESTATE RENTALS PA 501(C)(3) LINE 12C, III-FI LEHIGH VALLEY HEALTH NETWORK 0 POCONO HEALTH FOUNDATION PO BOX 4000 ALLENTOWN PA 181054000 232516451 FUNDRAISING PA 501(C)(3) LINE 12A, I LEHIGH VALLEY HOSPITAL - POCONO 0 POCONO HEALTH SYSTEM (FINAL 12-31-2023) PO BOX 4000 ALLENTOWN PA 181054000 232336285 SUPPORT RELATED ORGANIZATIONS PA 501(C)(3) LINE 12B, II LEHIGH VALLEY HEALTH NETWORK 0 POCONO HEALTH SYSTEM MEDICAL PROFESSIONAL LIABILITY SELF-INSURANCE TRUST PO BOX 4000 ALLENTOWN PA 181054000 206560453 SELF-INSURANCE PA 501(C)(3) LINE 12A, I LEHIGH VALLEY HOSPITAL - POCONO 0 POCONO VNA-HOSPICE PO BOX 4000 ALLENTOWN PA 181054000 232535297 HEALTH CARE ORGANIZATION PA 501(C)(3) LINE 10 LEHIGH VALLEY HOSPITAL - POCONO 0 SCHUYLKILL HEALTH SYSTEM MEDICAL GROUP INC PO BOX 4000 ALLENTOWN PA 181054000 232866006 PHYSICIAN PRACTICE ORGANIZATION PA 501(C)(3) LINE 10 LEHIGH VALLEY PHYSICIAN GROUP 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 (FINAL 03-31-2024) 794 ROBLE ROAD ALLENTOWN PA 181099110 232932802 LABORATORY SERVICES PA N/A 0 0 HEALTH NETWORK LABORATORIES LLC 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 SERVICES PA N/A 0 0 LVHN RECIPROCAL RISK RETENTION GROUP 151 MEETING STREET STE 301 CHARLESTON SC 294012238 200037118 INSURANCE SERVICES PA N/A 0 0 MONROE ENDOSCOPY CENTER LLC 1501 N CEDAR CREST BLVD STE 100 ALLENTOWN PA 181042309 884118030 ENDOSCOPY SERVICES PA N/A 0 0 NAZARETH ENDOSCOPY CENTER LLC 1501 N CEDAR CREST BLVD STE 110 ALLENTOWN PA 181042309 824072967 ENDOSCOPY SERVICES PA N/A 0 0 POCONO AMBULATORY SURGERY CENTER LTD 1 STORM STREET STROUDSBURG PA 183602406 232611442 SURGICAL SERVICES PA POCONO AMBULATORY SERVICES INC RELATED -302396 17694119 0 0 0.70750 POCONO HEALTH SYSTEM INVESTMENT COLLABORATIVE LP PO BOX 4000 ALLENTOWN PA 181054000 472125419 INVESTMENTS PA N/A 0 0 SCHUYLKILL HEALTH SYSTEM MEDICAL MALL LP PO BOX 4000 ALLENTOWN PA 181054000 232514813 REAL ESTATE RENTALS PA N/A 0 0 UHS-LVHN JV LLC 367 S GULPH ROAD KING OF PRUSSIA PA 194063121 871641782 HOSPITAL OPERATIONS PA N/A 0 0 CARBON SCHUYLKILL ENDOSCOPY CENTER INC 400 S NINTH STREET LEHIGHTON PA 182351812 731662391 ENDOSCOPY SERVICES PA N/A S 0 LEHIGH VALLEY ANESTHESIA SERVICES PC (FINAL 09-30-2023) PO BOX 4000 ALLENTOWN PA 181054000 233906125 ANESTHESIA SERVICES PA N/A C 0 LEHIGH VALLEY HEALTH SERVICES INC PO BOX 4000 ALLENTOWN PA 181054000 232263665 HEALTH CARE RELATED SERVICES PA N/A C 0 LEHIGH VALLEY PHYSICIAN HOSPITAL ORGANIZATION INC 1605 N CEDAR CREST BLVD STE 411 ALLENTOWN PA 181042323 232750430 HEALTH CARE RELATED SERVICES PA N/A C 0 POPULYTICS INC PO BOX 4000 ALLENTOWN PA 181054000 232539282 HEALTH CARE RELATED SERVICES PA N/A C 0 SCHUYLKILL HEALTH SYSTEM DEVELOPMENT CORPORATION (FINAL 03-31-2024) PO BOX 4000 ALLENTOWN PA 181054000 232432417 REAL ESTATE RENTALS PA N/A C 0 SCHUYLKILL MEDICAL PLAZA - CONDOMINIUM ASSOCIATION PO BOX 4000 ALLENTOWN PA 181054000 232931821 CONDOMINIUM ASSOCIATION PA N/A C 0 SPECTRUM HEALTH VENTURES INC PO BOX 4000 ALLENTOWN PA 181054000 232391479 HEALTH CARE RELATED SERVICES PA N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1