2025-05-06T15:27:07-05:00 2024-06-30 WithumSmithBrown PC 1835 MARKET STREET SUITE 1710 PHILADELPHIA PA 19103 990 2023-07-01 231352213 ST LUKE'S HOSPITAL OF BETHLEHEM PA % SCOTT R WOLFE STLU 4845264000 1110 ST LUKES WAY ALLENTOWN PA 18109 SCOTT R WOLFE SVP FINANCE & CFO 4845464000 2025-05-15 true true Scott J Mariani P00642486 2155462140 2023 2025-03-06 01:10:19Z ST LUKE'S HOSPITAL SCOTT R WOLFE 1110 ST LUKES WAY ALLENTOWN PA 18109 1565019704 false X WWW.SLHN.ORG X 1872 PA TO PROVIDE COMPASSIONATE, EXCELLENT QUALITY AND COST EFFECTIVE HEALTHCARE TO THE RESIDENTS OF THE COMMUNITIES WE SERVE. 15 10 16237 1764 0 0 15584308 32287295 1373615128 1503032480 28167932 19277424 8070783 8981426 1425438151 1563578625 12494627 13850854 0 0 579147415 637427502 0 0 0 819193393 894089869 1410835435 1545368225 14602716 18210400 3343606721 3604679509 2419342925 2596586793 924263796 1008092716 X THE MISSION OF THE ORGANIZATION IS TO PROVIDE COMPASSIONATE, EXCELLENT QUALITY AND COST EFFECTIVE HEALTHCARE TO THE RESIDENTS OF THE COMMUNITIES WE SERVE REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. THE ORGANIZATION IS AN AFFILIATE WITHIN ST. LUKE'S UNIVERSITY HEALTH NETWORK ("NETWORK"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY NETWORK. ST. LUKE'S HEALTH NETWORK, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE NETWORK. THE NETWORK'S MISSION IS TO CARE FOR THE SICK AND INJURED REGARDLESS OF THEIR ABILITY TO PAY, IMPROVE OUR COMMUNITIES' OVERALL HEALTH, AND EDUCATE OUR HEALTH CARE PROFESSIONALS. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. false false 1447810375 13850854 1503032480 EXPENSES INCURRED IN PROVIDING EMERGENCY AND MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT (STATEMENT OF PROGRAM SERVICES) WHICH INCLUDES DETAILED INFORMATION REGARDING THE VARIOUS SERVICES PROVIDED BY THIS ORGANIZATION. 1447810375 true true false true false false false false false true true false true true true false false true false false true false false false true false true true true true true true false false false false false false false false true true true false false false true true true false false false true X 1173 0 true 16237 true false false false false false true true false false false false true false X 15 10 false true false false true true true true true false false true true true true true true true true true true PA X SCOTT R WOLFE 4845264000 1110 ST LUKES WAY ALLENTOWN PA 18109 X John L Nespoli PRES-CARBON/LEHIGHTON CAMPUS 55.0 0.0 X 657867 0 36560 Robert B Black CHAIRMAN - TRUSTEE 1.0 0.0 X X 0 0 0 Buddy Lesavoy ESQ VICE CHAIRMAN - TRUSTEE 1.0 0.0 X X 0 0 0 Robert A Oster VICE CHAIRMAN - TRUSTEE 1.0 0.0 X X 0 0 0 Richard A Anderson Trustee-President/CEO-SLUHN 55.0 0.0 X X 0 0 0 Susan M Dale Trustee 1.0 0.0 X 0 0 0 Paul E Huck Trustee 1.0 0.0 X 0 0 0 David M Lobach Jr Trustee 1.0 0.0 X 0 0 0 David Muething Trustee 1.0 0.0 X 0 0 0 Liz Beshel Robinson Trustee 1.0 0.0 X 0 0 0 MICHAEL P SABOL DO Trustee 55.0 0.0 X 0 0 0 Charles D Saunders MD Trustee 1.0 0.0 X 0 0 0 Vincent Sorgi Trustee 1.0 0.0 X 0 0 0 Luanne B Stauffer Trustee 1.0 0.0 X 0 0 0 Dorothy K Weik-Hange Trustee 1.0 0.0 X 0 0 0 David M Yen MD Trustee 1.0 0.0 X 0 0 0 Kristina W Warner Trustee (Termed 11/1/2023) 1.0 0.0 X 0 0 0 Scott R Wolfe Chief Financial Officer 55.0 0.0 X 0 0 0 Carol A Kuplen RN MSN PRES-BETH CAMPUS(TERM 12/9/23) 55.0 0.0 X 0 0 0 Wendy N Lazo Pres-Beth Campus(Eff 12/10/23) 55.0 0.0 X 0 0 0 William E Moyer IV President - West Region 55.0 0.0 X 0 0 0 Frank Ford Pres - SH Campus (Term 1/1/24) 55.0 0.0 X 0 0 0 Joel D Fagerstrom EVP & COO - NETWORK 55.0 0.0 X 0 0 0 Robert E Martin SVP Chief Strategy Officer 55.0 0.0 X 0 0 0 Robert L Wax ESQ SVP & GENERAL COUNSEL - NTWK 55.0 0.0 X 0 0 0 Jeffrey A Jahre MD SVP MED & ACAD AFFAIRS - NTWK 55.0 0.0 X 0 0 0 Chad T Brisendine VP & CIO - NETWORK 55.0 0.0 X 0 0 0 657867 0 36560 1841 false true false ANESTHESIA SPECIALISTS OF BETHLEHEM PO BOX 5520 BETHLEHEM PA 18015 MEDICAL STAFFING 79382201 PROGRESSIVE PHYSICIAN ASSOCIATES I 81 HIGHLAND AVENUE SUITE 220 BETHLEHEM PA 180179483 MEDICAL STAFFING 54855915 IRWIN LEIGHTON INC 1030 CONTINENTAL DRIVE KING OF PRUSSIA PA 19406 CONSTRUCTION 39423615 THE WHITING TURNER CONTRACTING COMP PO BOX 17596 BALTIMORE MD 21297 CONSTRUCTION 38178227 IMC CONSTRUCTION INC 3 GREAT VALLEY PARKWAY SUITE 200 MALVERN PA 19355 CONSTRUCTION 33568317 288 131600 511640 5111176 26532879 2472359 32287295 NET PATIENT SERVICE REVENUE 622110 1470687481 1470687481 RENTAL INCOME FROM AFFILIATES 531190 11291673 11291673 TEMPLE MED SCHOOL/SCHOOL OF NURSING 611310 10294882 10294882 OTHER HEALTHCARE RELATED REVENUE 622110 10758444 10758444 1503032480 18228703 18228703 0 0 2087805 2087805 0 2087805 2087805 1482590 433869 1482590 -433869 1048721 1048721 297735 511640 297735 0 0 0 3038453 709475 2328978 2328978 DIETARY REVENUE 722310 4564643 4564643 4564643 1563578625 1503032480 28258850 13424672 13424672 426182 426182 0 0 694427 643561 50866 0 511521905 474053190 37468715 19608858 18172519 1436339 76144843 70567273 5577570 29457469 27299725 2157744 0 0 33190 30759 2431 288194 267084 21110 0 0 5239604 4855806 383798 132277 122588 9689 54940655 50916280 4024375 1606391 1488724 117667 0 31460261 29155813 2304448 349178 323601 25577 0 1080100 1000983 79117 15943483 14775631 1167852 0 50239584 46559560 3680024 11637879 10785410 852469 MEDICAL SUPPLIES 327289650 303315852 23973798 0 SLPG RELATED 501(C)(3) EXP 199660193 199660193 0 0 PURCHASED SERVICES 82791938 76727471 6064467 0 REPAIRS & MAINTENANCE 22176676 20552246 1624430 0 89220616 82685252 6535364 1545368225 1447810375 97557850 0 14791157 21063356 215523479 248842436 15031142 14970688 130295252 145641933 0 0 0 0 0 0 30091997 32089964 32217096 32369072 1809817956 1182109392 555285535 627708564 0 0 0 0 1096263730 1184494539 40444670 35389087 1213662663 1262109870 3343606721 3604679509 361295613 361652019 0 0 4796196 7642854 827594069 838358237 0 0 0 0 107278010 127755597 0 0 1118379037 1261178086 2419342925 2596586793 X 818750150 887410524 105513646 120682192 924263796 1008092716 3343606721 3604679509 X 18210400 81565648 -15947128 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 228298 false true 59896 288194 false SCHEDULE C, PART II-B; QUESTION 1 THE ORGANIZATION IS AN AFFILIATE WITHIN ST. LUKE'S UNIVERSITY HEALTH NETWORK ("NETWORK"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY NETWORK. THIS ORGANIZATION PAYS ALL LOBBYING EXPENDITURES ON BEHALF OF ALL AFFILIATES WITHIN THE NETWORK AND ALLOCATES A PERCENTAGE OF THESE EXPENDITURES TO VARIOUS AFFILIATES. THESE LOBBYING EXPENDITURES INCLUDE (1) PAYMENT TO AN OUTSIDE INDEPENDENT FIRM, (2) AN ALLOCATED PORTION OF THE DUES PAID TO THE HOSPITAL AND HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA AND THE NEW JERSEY HOSPITAL ASSOCIATION; AND (3) A PERCENTAGE OF TOTAL COMPENSATION PAID TO THE SYSTEM'S SENIOR VICE PRESIDENT/GENERAL COUNSEL TO REPRESENT TIME SPENT ADDRESSING FEDERAL AND STATE HEALTHCARE MATTERS. DURING THE YEAR THE ORGANIZATION PAID A CONSULTING FIRM $142,394 IN ORDER TO INFORM AND EDUCATE LEGISLATORS REGARDING MEDICARE AND MEDICAL ASSISTANCE REIMBURSEMENT AS WELL AS OTHER HEALTHCARE ISSUES. THE ORGANIZATION IS A MEMBER OF THE HOSPITAL AND HEALTH SYSTEM ASSOCIATION OF PENNSYLVANIA WHICH ENGAGES IN LOBBYING EFFORTS ON BEHALF OF ITS MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THIS ORGANIZATION HAS BEEN ALLOCATED TO LOBBYING ACTIVITIES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $55,580. ADDITIONALLY, ST. LUKE'S WARREN HOSPITAL, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION IS A MEMBER OF THE NEW JERSEY HOSPITAL ASSOCIATION WHICH ENGAGES IN LOBBYING EFFORTS ON BEHALF OF ITS MEMEBER HOSPITALS. THIS ORGANIZATION PAID THE NEW JERSEY ASSOCIATION DUES ON BEHALF OF ITS TAX-EXEMPT AFFILIATE. A PORTION OF DUES PAID HAS BEEN ALLOCATED TO LOBBYING ACTIVITIES PERFORMED. THIS ALLOCATION AMOUNTED TO $4,317. THE ORGANIZATION ALSO ALLOCATES A PORTION OF TOTAL COMPENSATION PAID TO THE SYSTEM'S SENIOR VICE PRESIDENT/GENERAL COUNSEL. THE TOTAL AMOUNT OF THIS EXPENSE ALLOCATED TO LOBBYING ACTIVITIES WAS $85,904. THIS ORGANIZATION PAYS ALL EXPENSES, INCLUDING LOBBYING, ON BEHALF OF ITS AFFILIATES WITHIN THE ST. LUKE'S UNIVERSITY HEALTH NETWORK AND CHARGES THESE AFFILIATES FOR THESE COSTS. LOBBYING EXPENDITURES TO ST. LUKE'S UNIVERSITY HEALTH NETWORK AFFILIATES REPRESENTS $134,820 OF THE $288,194 REPORTED ON THIS FEDERAL FORM 990. 105513646 10153766 11373627 6358847 120682192 94408524 8826561 6360756 4082195 105513646 105069376 5093627 -11276547 4477932 94408524 79325555 13821031 15590678 3667888 105069376 75442657 4209582 2747157 3073841 79325555 1.00000 false false 74199825 74199825 671549188 398945158 272604030 54125149 29194511 24930638 942750857 752950939 189799918 67192937 1018784 66174153 627708564 MUTUAL FUNDS 860293456 F CORPORATE BONDS 128386616 F GOVERNMENT SECURITIES 97922768 F COMMON & PREFERRED STOCK 15432262 F OTHER INVESTMENTS 82459437 F 1184494539 DUE FROM AFFILIATES 918128644 LEASING ARRANGEMENTS 125139335 ANNUITY CONTRACTS 89644733 OTHER ACCOUNTS RECEIVABLE 60784328 INSURANCE RRRG ASSETS 35342198 OTHER ASSETS 33070632 1262109870 0 DUE TO AFFILIATES 837260567 ADVANCE FROM 3RD PARTY PAYORS 220403 LEASE LIABILITIES 128720292 SWAP CONTRACT LIABILITY 14326196 SELF INSURANCE COSTS 103324333 ACCRUED COMPENSATION PAYABLE 89644733 EST. 3RD PARTY SETTLEMENTS 40769187 ASSET RETIREMENT OBLIGATION 3247932 CHARITABLE GIFT ANNUITIES 551641 OTHER LIABILITIES 43112802 1261178086 SCHEDULE D, PART V; QUESTION 4 THE ORGANIZATION IS AN AFFILIATE WITHIN ST. LUKE'S UNIVERSITY HEALTH NETWORK ("NETWORK"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY NETWORK. ST. LUKE'S HEALTH NETWORK, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE NETWORK. AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTING ("CPA") FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE NETWORK AND ITS CONTROLLED AFFILIATES FOR THE YEARS ENDED JUNE 30, 2024 AND JUNE 30, 2023; RESPECTIVELY AND ISSUED A CONSOLIDATED FINANCIAL STATEMENT. THE FOLLOWING FOOTNOTE IS INCLUDED IN THE NETWORK'S AUDITED CONSOLIDATED FINANCIAL STATEMENTS THAT ADDRESSES THE NETWORK'S ENDOWMENT FUNDS: The Network's individual donor restricted endowment funds and specific purpose funds total $76,530,881 and $67,838,723 as of June 30, 2024 and 2023, respectively. Individual donor restricted endowment funds are held for a variety of purposes. The net assets associated with endowment funds are classified and reported based on the existence of donor-imposed restrictions. Return Objectives and Risk Parameters The Network has adopted endowment investment and spending policies that attempt to provide a predictable stream of funding to programs supported by its endowment while seeking to maintain the purchasing power of endowment assets. Under this policy, the return objective for the endowment assets, measured over a full market cycle, shall be to maximize the return against a blended index, based on the endowment's target allocation applied to the appropriate individual benchmarks. The Network expects its endowment funds over time, to provide an average rate of return approximating the S&P 500 Stock Index (domestic portion), MSCI EAFE Index (international portion) and Lehman Brothers Intermediate Government/Corporate Index (bond portion). Actual returns in any given year may vary from the index return amounts. Strategies Employed for Achieving Investment Objectives To achieve its long-term rate of return objectives, the Network relies on a total return strategy in which investment returns are achieved through both capital appreciation (realized and unrealized gains) and current yield (interest and dividends). The Network targets a diversified asset allocation that places greater emphasis on equity-based investments to achieve its long-term objectives within prudent risk constraints. Endowment Spending Allocation and Relationship of Spending Policy to Investment Objectives The Board of Trustees of the Network determines the method to be used to appropriate endowment funds for expenditure. Calculations are performed for individual endowment funds at a rate of 4.5 percent of a three-year moving average market value with a minimum increase of 0% and a maximum increase of 10% per year over the previous year's spending amount. The total is reduced by the income distributed from the endowment fund in accordance with the preferences/restrictions made by the donors. The corresponding calculated spending allocations are distributed annually by June 30. In establishing this policy, the Board considered the expected long-term rate of return on its endowment. Accordingly, over the long term, the Network expects the current spending policy to allow its endowment to grow at an average of 8% percent annually, consistent with its intention to maintain the purchasing power of the endowment assets as well as to provide additional real growth through new gifts. 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X X X true true X X X true X WWW.SLHN.ORG X WWW.SLHN.ORG X WWW.SLHN.ORG X X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, QUESTION 3I ST. LUKE'S HOSPITAL OF BETHLEHEM PENNSYLVANIA INCLUDES FOUR HOSPITAL FACILITIES (1) ST. LUKE'S HOSPITAL ALLENTOWN CAMPUS; (2) ST. LUKE'S HOSPITAL BETHLEHEM CAMPUS; (3) ST. LUKE'S HOSPITAL LEHIGHTON CAMPUS; AND (4) ST. LUKE'S HOSPITAL SACRED HEART CAMPUS. DURING THE FISCAL YEAR ENDED JUNE 30, 2022, THESE HOSPITAL FACILITIES COMPLETED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") AND BEGAN A THREE - YEAR IMPLEMENTATION PLAN. FOR EACH SIGNIFICANT HEALTH NEED IDENTIFIED THROUGH THE CHNA THE ORGANIZATION DEVELOPED AN IMPLEMENTATION STRATEGY THAT DESCRIBED PLANS TO ADDRESS EACH IDENTIFIED HEALTH NEED. THE MOST RECENTLY CONDUCTED CHNA'S DO NOT SPECIFICALLY DESCRIBE THE IMPACT OF ANY ACTIONS TAKEN TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE HOSPITAL'S PRIOR CHNA. HOWEVER, ANNUALLY ST. LUKE'S HEALTH NETWORK PUBLICIZES INFORMATION ON IT'S WEBSITE WHICH DESCRIBES THE IMPACT OF ANY ACTIONS TAKEN TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN EACH HOSPITAL'S MOST RECENT CHNA. THE NETWORK'S REPORT INCLUDES DETAIL WHICH SUMMARIZES AND EVALUATES MAJOR EFFORTS TIED TO THE NETWORK WIDE IMPLEMENTATION PLAN. THE NETWORK'S IMPLEMENTATION PLAN UPDATE IS MADE WIDELY AVAILABLE ON ITS WEBSITE AND CAN FOUND AT THE FOLLOWING URL: WWW.SLHN.ORG/COMMUNITY-HEALTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SCHEDULE H, PART V, SECTION B, QUESTION 5 THE COMMUNITY HEALTH NEEDS ASSESSMENTS ("CHNA") FOR ST. LUKE'S HOSPITAL - ALLENTOWN CAMPUS, ST. LUKE'S HOSPITAL - BETHLEHEM CAMPUS, ST. LUKE'S HOSPITAL - SACRED HEART CAMPUS AND ST. LUKE'S HOSPITAL - LEHIGHTON CAMPUS WERE COMPRISED OF PRIMARY AND SECONDARY DATA. THE PRIMARY DATA WAS COLLECTED THROUGH KEY INFORMANT INTERVIEWS AND COMMUNITY HEALTH SURVEYS, WHERE 11,523 SURVEYS WERE CONDUCTED WITHIN THE NETWORK'S FOURTEEN CAMPUS GEOGRAPHIC REGIONS. PRIMARY DATA WAS ALSO COLLECTED THROUGH CAMPUS SPECIFIC KEY STAKEHOLDER FOCUS GROUPS, WHERE THE MAIN PRIORITY HEALTH NEEDS WERE IDENTIFIED. SECONDARY DATA INCLUDED THE USE OF COUNTY LEVEL, STATE LEVEL, AND NATIONAL LEVEL DATA OBTAINED VIA THE U.S. CENSUS, THE ROBERT WOOD JOHNSON FOUNDATION, VITAL STATISTICS, COMMUNITY COMMONS, THE AMERICAN COMMUNITY SURVEY, U.S. DEPARTMENT OF LABOR, THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM AS WELL AS OTHER DATA SOURCES, WHICH CAN BE FOUND FOOTNOTED IN EACH CHNA. THE NEEDS IDENTIFIED WITHIN EACH FOCUS GROUP WAS SUPPLEMENTED BY SURVEY DATA AND SECONDARY DATA IN ORDER TO PROVIDE A MORE COMPREHENSIVE PICTURE OF THE NEEDS IN EACH COMMUNITY AND THE OUTSIDE FACTORS AFFECTING THESE HEALTH ISSUES. THROUGH REVIEW OF THE PRIMARY AND SECONDARY DATA, THE NETWORK WAS ABLE TO CATEGORIZE THE IDENTIFIED HEALTH NEEDS INTO FOUR MAJOR CATEGORIES FOR JUNE 30, 2022 - JUNE 30, 2025, CHNA CYCLE. SCHEDULE H, PART V, SECTION B, QUESTIONS 6A & 6B THE ST. LUKE'S HOSPITAL - SACRED HEART CAMPUS AND ST. LUKE'S HOSPITAL - ALLENTOWN CAMPUS CONDUCTED A COLLABORATIVE CHNA DUE TO OVERLAPPING DEFINED PRIMARY SERVICE AREAS. THE COMPREHENSIVE CHNA THAT RESULTED AND THE CHNA EXECUTIVE SUMMARY CAN BE FOUND ON THE ST. LUKE'S HEALTH NETWORK WEBSITE: HTTPS://WWW.SLHN.ORG/COMMUNITY-HEALTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/CA MPUS ADDITIONALLY, THESE CHNA'S WERE CONDUCTED TOGETHER, AS THE CHNA IS THE RESULT OF A COLLABORATIVE EFFORT WITH VARIOUS COMMUNITY PARTNERS WHO WORKED TOGETHER TO IDENTIFY THE MOST-PRESSING HEALTHCARE NEEDS IN THE COMMUNITY. AS OUTLINED IN THE APPENDIX OF THE ORGANIZATION'S CHNA THE ORGANIZATION'S COMMUNITY PARTNERS INCLUDE THE FOLLOWING: ALLENTOWN HEALTH BUREAU; ALLENTOWN PROMISE NEIGHBORHOOD; ALLENTOWN POLICE DEPARTMENT; ALLENTOWN SCHOOL DISTRICT; CEDAR CREST COLLEGE; CENTER FOR HUMANISTIC CHANGE; DAYBREAK; ECUMENICAL SOUP KITCHEN AT OUR LADY OF MOUNT CARMEL; GOOD SHEPHERD REHABILITATION; HABITAT FOR HUMANITY LEHIGH VALLEY; LEHIGH CONFERENCE OF CHURCHES SOUP KITCHEN; LEHIGH COUNTY DEPARTMENT OF DRUG AND ALCOHOL SERVICES; LEHIGH COUNTY JAIL; LEHIGH COUNTY MENTAL HEALTH; LEHIGH VALLEY HEALTH NETWORK STREET MEDICINE; MID ATLANTIC REHABILITATION SERVICES; MORRIS BLACK & SONS; MUHLENBERG COLLEGE; NEIGHBORHOOD HEALTH CENTERS OF THE LEHIGH VALLEY; NURSE FAMILY PARTNERSHIP; PINEBROOK FAMILY ANSWERS; PRATYUSHSINHA FOUNDATION; RESURRECTED LIFE COMMUNITY CHURCH; STAR COMMUNITY HEALTH, CITY OF ALLENTOWN, BRADBURY-SULLIVAN LGBT COMMUNITY CENTER, AIR PRODUCTS, WORKFORCE BOARD LEHIGH VALLEY, CENTURY PROMISE, BSI CORPORATE BENEFITS, COMMUNITIES IN SCHOOLS OF EASTERN PA, COMPUTER AID INTERNATIONAL LEARNING ACADEMY, TREATMENT TRENDS, COMMUNITY SERVICES FOR CHILDREN HEAD START, THE LITERACY CENTER, KELLYN FOUNDATION, BETHANY CHRISTIAN SERVICES, STATE REPRESENTATIVE PETER SCHWEYER; AND UNITED WAY OF THE GREATER LEHIGH VALLEY ST. LUKE'S HOSPITAL - BETHLEHEM CAMPUS CONDUCTED ITS' OWN CHNA DUE TO A SEPARATELY DEFINED PRIMARY SERVICE AREA. THE COMPREHENSIVE CHNA AND THE CHNA EXECUTIVE SUMMARY CAN BE FOUND ON THE ST. LUKE'S HEALTH NETWORK WEBSITE: HTTPS://WWW.SLHN.ORG/COMMUNITY-HEALTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/CA MPUS AS OUTLINED IN THE APPENDIX OF THE ORGANIZATION'S CHNA THE ORGANIZATION'S COMMUNITY PARTNERS INCLUDE THE FOLLOWING: ARTSQUEST; BETHLEHEM AREA SCHOOL DISTRICT; BETHLEHEM HEALTH BUREAU; BETHLEHEM HOUSING AUTHORITY; CAPITAL BLUE CROSS; CATHEDRAL CHURCH OF THE NATIVITY; COMMUNITY ACTION COMMITTEE OF THE LEHIGH VALLEY; HISPANIC CENTER OF THE LEHIGH VALLEY; HISPANIC CHAMBER OF COMMERCE; JUST BORN, INC.; LAROS FOUNDATION; LEHIGH UNIVERSITY; LEHIGH VALLEY ACT; LEHIGH VALLEY BUSINESS COALITION ON HEALTHCARE; LEHIGH VALLEY CHAMBER OF COMMERCE; LEHIGH VALLEY COMMUNITY FOUNDATION; LEHIGH VALLEY HEALTH NETWORK STREET MEDICINE; MAGELLAN BEHAVIORAL HEALTH OF PA, INC.; MORAVIAN COLLEGE; NEW BETHANY MINISTRIES; NORTHAMPTON COMMUNITY COLLEGE; NORTHAMPTON COUNTY DEPARTMENT OF HUMAN SERVICES, AREA AGENCY ON AGING; SECOND HARVEST; COMMUNITIES IN SCHOOLS OF EASTERN PA, COMPUTER AID INTERNATIONAL LEARNING ACADEMY, TREATMENT TRENDS; VOLUNTEER CENTER OF THE LEHIGH VALLEY; NAACP, BLACK RIVER FARMS; STAR COMMUNITY HEALTH; NEIGHBORHOOD CENTER OF THE LEHIGH VALLEY; AND THE PENNSYLVANIA HEALTH ACCESS NETWORK. THE ST. LUKE'S HOSPITAL - LEHIGHTON CAMPUS CHNA WAS CONDUCTED BY ST. LUKE'S HEALTH NETWORK. THE NETWORK CONDUCTED A COLLABORATIVE CHNA FOR ITS WESTERN RURAL CAMPUSES WHICH INCLUDED: ST. LUKE'S MINERS CAMPUS, BLUE MOUNTAIN HOSPITAL (ST. LUKE'S LEHIGHTON AND PALMERTON CAMPUSES), AND GEISINGER ST. LUKE'S HOSPITAL. THE CHNA IS THE RESULT OF A COLLABORATIVE EFFORT WITH VARIOUS COMMUNITY PARTNERS WHO WORKED TOGETHER TO IDENTIFY THE MOST-PRESSING HEALTHCARE NEEDS IN THE COMMUNITY. THE CHNA AND CHNA EXECUTIVE SUMMARY CAN BE FOUND ON THE ST. LUKE'S HEALTH NETWORK WEBSITE: HTTPS://WWW.SLHN.ORG/COMMUNITY-HEALTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/CA MPUS AS OUTLINED IN THE APPENDIX OF THE ORGANIZATION'S CHNA THE ORGANIZATION'S COMMUNITY PARTNERS INCLUDE THE FOLLOWING: ABC TAMAQUA HI-RISE APARTMENTS; AMERICAN CANCER SOCIETY; AREA HEALTH EDUCATION CENTER, EAST CENTRAL AND NORTHEAST PA; BOROUGH OF TAMAQUA; CARBON COUNTY BOARD OF COMMISSIONERS; CARBON COUNTY COMMUNITY FOUNDATION; CARBON - MONROE - PIKE MENTAL HEALTH; CHILD DEVELOPMENT INC, SCHUYLKILL COUNTY; DOMESTIC VIOLENCE SERVICE CENTER SERVING CARBON COUNTY; FAMILY PROMISE OF CARBON COUNTY; FAITH FELLOWSHIP NETWORK; CARBON COUNTY SCHOOL DISTRICT SUPERINTENDENTS; HEAD START, PATHSTONE; STAR COMMUNITY HEALTH; INDEPENDENT LIVING SERVICE; LANSFORD ALIVE - LANSFORD POLICE DEPARTMENT; LEHIGH CARBON COMMUNITY COLLEGE; MAJESTIC HOUSE APARTMENTS; NEW BEGINNINGS SOCIAL WORK; NEW LIFE ASSEMBLY OF GOD, TAMAQUA; NURSE FAMILY PARTNERSHIP; PANTHER VALLEY SCHOOL DISTRICT; PATHSTONE LEHIGHTON; PENN KIDDER LIBRARY; THE REDCO GROUP; SALVATION ARMY; SCHUYLKILL COMMUNITY ACTION; SCHUYLKILL COUNTY DRUG AND ALCOHOL PROGRAM; SCHUYLKILL COUNTY TRANSPORTATION AUTHORITY; SCHUYLKILL COUNTY VISION; SHINE AFTER SCHOOL PROGRAM; CARBON COUNTY TRANSIT AUTHORITY; ST. LUKE'S INTERNAL MEDICINE; ST. LUKE'S MINERS HOSPITAL ONCOLOGY; ST. LUKE'S NESQUEHONING RURAL HEALTH CENTER; ST. LUKE'S MINERS NURSING & REHABILITATION; ST. LUKE'S MINERS VPMA; SUMMIT HILL LIONS CLUB; TAMAQUA POLICE DEPARTMENT; TAMAQUA LIBRARY; TAMAQUA AREA ADULT DAY CARE CENTER; TAMAQUA AREA SCHOOL DISTRICT; TAMAQUA COMMUNITY ARTS CENTER; TAMAQUA FAMILY PRACTICE; TAMAQUA YMCA; TURN TO US; LEHIGHTON LIBRARY, JIM THORPE LIBRARY, PALMERTON LIBRARY AND UNITED WAY SCHUYLKILL COUNTY. SCHEDULE H, PART V, SECTION B, QUESTION 7A DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN SCHEDULE H, PART V, SECTION B, QUESTION 7A, IS THE HOME PAGE FOR THE SYSTEM. THE ORGANIZATION'S CHNA CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE NETWORK'S WEBSITE: WWW.SLHN.ORG/COMMUNITY-HEALTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/CAMPUS SCHEDULE H, PART V, SECTION B, QUESTION 10 THE NETWORK CREATED A NETWORK WIDE JOINT IMPLEMENTATION STRATEGY TO ADDRESS ALL OF THE HEALTH NEEDS IDENTIFIED WITHIN EACH HOSPITAL FACILITY'S CHNA. DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN SCHEDULE H, PART V, SECTION B, QUESTION 10, IS THE HOME PAGE FOR THE SYSTEM. THE NETWORK WIDE IMPLEMENTATION STRATEGY AN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE NETWORK'S WEBSITE: HTTPS://WWW.SLHN.ORG/COMMUNITY-HEALTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SCHEDULE H, PART V, SECTION B, QUESTION 11 THE ORGANIZATION'S CHNA'S WERE COMPLETED AND MADE WIDELY AVAILABLE PRIOR TO JUNE 30, 2022. THEREAFTER, A MULTI-DISCIPLINARY TEAM MET REGULARLY AND PARTICIPATED IN THE IMPLEMENTATION PLAN PROCESS. DURING THIS PROCESS AND THROUGH REVIEW OF THE PRIMARY AND SECONDARY DATA, THE ORGANIZATION WAS ABLE TO CATEGORIZE THE IDENTIFIED HEALTH NEEDS INTO FOUR MAJOR CATEGORIES FOR THE 2022-2025 CHNA CYCLE. THESE PRIORITY HEALTH CATEGORIES INCLUDE: 1) IMPROVING ACCESS TO CARE/REDUCING HEALTH DISPARITIES 2) PROMOTING HEALTHY LIFESTYLES AND PREVENTING CHRONIC DISEASE 3) IMPROVING ACCESS TO MENTAL/BEHAVIORAL HEALTH 4) COVID RESPONSE A NETWORK WIDE IMPLEMENTATION STRATEGY WAS CREATED TO ADDRESS THE FOUR IDENTIFIED HEALTH PRIORITIES. THE IMPLEMENTATION STRATEGY WAS DEVELOPED TO CONTINUE ESTABLISHED EFFORTS AND FOSTER COMMUNITY COLLABORATION TO MEET THE IDENTIFIED HEALTH NEEDS. THE NETWORK WIDE IMPLEMENTATION STRATEGY APPROACHES THE THREE HEALTH PRIORITY AREAS DETERMINED BY THE CHNA FROM THREE MAIN VANTAGES: 1) WELLNESS AND PREVENTION 2) CARE TRANSFORMATION 3) RESEARCH AND PARTNERSHIPS THESE PRIORITY HEALTH AREAS AND UNMET NEEDS IN THE IMPLEMENTATION PLAN ARE INTEGRAL TO OUR COMMUNITY BENEFIT STRATEGY. ST. LUKE'S LEADERS CONTINUE TO MONITOR NEW INITIATIVE DEVELOPMENTS AND SERVICES IN ORDER TO MEET AND ADDRESS THESE NEEDS. PROGRAMMING TO ADDRESS THE NEEDS IDENTIFIED IN THE CHNA IS CONDUCTED IN PARTNERSHIP WITH OVER 200 ORGANIZATIONS NETWORK WIDE, A COMPREHENSIVE LIST OF PARTNERS CAN BE FOUND ON THE LAST PAGE OF EACH OF THE CAMPUS SPECIFIC CHNAS. THE ST. LUKE'S UNIVERSITY HEALTH NETWORK CHNA IMPLEMENTATION STRATEGY AS WELL AS SEPARATE HOSPITAL CAMPUS IMPLEMENTATION UPDATES CAN BE VIEWED ON THE ORGANIZATION'S WEBSITE. THE IMPLEMENTATION STRATEGIES AND IMPLEMENTATION UPDATES INCLUDE AND DESCRIBE VARIOUS INITIATIVES AND PLANS IN PLACE TO ADDRESS THE UNMET NEEDS DISCOVERED THROUGH THE ORGANIZATION'S CHNA PROCESS. ANNUAL IMPLEMENTATION PLAN UPDATE REPORTS DESCRIBE EFFORTS UNDERTAKEN BY THE NETWORK TO ADDRESS THE CHNA IDENTIFIED NEEDS. HOSPITALS ARE NOT REQUIRED TO, NOR CAN THEY MEET ALL OF THE UNMET NEEDS IN THEIR COMMUNITIES. ANY UNMET NEEDS NOT ADDRESSED BY THE ADOPTED IMPLEMENTATION PLAN ARE ALREADY BEING ADDRESSED IN THE SERVICE AREA BY THE HOSPITAL, OTHER HEALTHCARE PROVIDERS, GOVERNMENT, OR VARIOUS LOCAL NON-PROFIT ORGANIZATIONS IN THE COMMUNITY. SCHEDULE H, PART V, SECTION B, QUESTION 16 DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN SCHEDULE H, PART V, SECTION B, QUESTION 16, IS THE HOME PAGE FOR THE NETWORK. THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND PLAIN LANGUAGE SUMMARY ARE MADE WIDELY AVAILABLE ON THE ORGANIZATION'S WEBSITE. THESE DOCUMENTS CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE NETWORK'S WEBSITE: WWW.SLHN.ORG/BILLPAY/POLICIES-AND-PROCEDURES/FINANCIAL-ASSISTANCE-POLICIES SCHEDULE H, PART V, SECTION B, QUESTION 16J OTHER MEASURES TO PUBLICIZE THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY INCLUDE INDIVIDUAL FINANCIAL COUNSELING MEETINGS WITH PATIENTS WITHOUT HEALTH INSURANCE TO REVIEW THE FINANCIAL ASSISTANCE POLICY AND TO DISCUSS PAYMENT OPTIONS. 50 SL North Medical Center 153 Brodhead Road Bethlehem PA 18017 OUTPATIENT SERVICES - VARIOUS SL West End Medical Center 501 Cetronia Road Allentown PA 18104 OUTPATIENT SERVICES - Various Integrated Health Center (IHC) 240 Cetronia Road Allentown PA 18104 OUTPATIENT SERVICES - Various SL Health Center - Macungie 2550 State Route 100 Macungie PA 18062 OUTPATIENT SERVICES - Various SL Health Center - Fogelsville 1251 Turnstone Drive Fogelsville PA 18051 OUTPATIENT SERVICES - Various SL Hospice 2455 Black River Road Bethlehem PA 18015 OUTPATIENT SERVICES - Hospice SL Health Center - Forks 2003 Sullivan Trail Easton PA 18040 OUTPATIENT SERVICES - Various SL Bethlehem - Heart & Vascular 1469 8th Avenue Bethlehem PA 18018 OUTPATIENT SERVICES - Cardio & Vascular Testing SL Whitehall - Care Now 2402 MacArthur Road Whitehall PA 18052 OUTPATIENT SERVICES - Care Now SL ObGyn Pediatrics & South Bethlehem 306 South New Street Bethlehem PA 18015 OUTPATIENT SERVICES - VARIOUS SL Health Center - Bath 6651 Silver Crest Road Bath PA 18014 OUTPATIENT SERVICES - Various SL Health Center - Hamburg 9 Daves Way Hamburg PA 19526 OUTPATIENT SERVICES - Various SL Health Center - Nazareth 4059 Jandy Boulevard Nazareth PA 18064 OUTPATIENT SERVICES - Various SL Baby & Me Lab DaVita 1425 8th Avenue Bethlehem PA 18018 OUTPATIENT SERVICES - VARIOUS SL Whitehall - PT (Cindy Miles) 3721 Crescent Court West Whitehall PA 18052 OUTPATIENT SERVICES - Physical Therapy SL Emmaus - PT 518 Chestnut Street Emmaus PA 18049 OUTPATIENT SERVICES - Physical Therapy SL Sacred Heart Campus - 325 MOB 325 North 5th Street Allentown PA 18102 OUTPATIENT SERVICES - Cardio & Vascular Testing SL Hope Clinic (Hispanic Center) 502 East 4th Street Bethlehem PA 18015 OUTPATIENT SERVICES - Community Health AIDS SERVICES Moravian College - PT & Sports Medicine 1441 Schoenersville Road Bethlehem PA 18018 OUTPATIENT SERVICES - Physical Therapy SL PALMERTON PC & CARE NOW 614 Delaware Avenue Palmerton PA 18071 OUTPATIENT SERVICES - Various SL Hellertown - PT 2301 Cherry Lane Bethlehem PA 18015 OUTPATIENT SERVICES - Physical Therapy SL Bowmanstown Partial Hospitalization 512 Bank Street Bowmanstown PA 18030 OUTPATIENT SERVICES - Psych SL Sacred Heart Campus - 451 MOB 451 West Chew Street Allentown PA 18102 OUTPATIENT SERVICES - Various SL Neurological Services & PT 1417 8th Avenue Bethlehem PA 18018 OUTPATIENT SERVICES - VARIOUS SL Illicks Mill - PT 1174 Illicks Mill Road Bethlehem PA 18017 OUTPATIENT SERVICES - Physical Therapy SL Allentown - PT 4136 West Tilghman Street Allentown PA 18014 OUTPATIENT SERVICES - Physical Therapy SL Plamerton - PT 217 Franklin Avenue Palmerton PA 18071 OUTPATIENT SERVICES - Physical Therapy SL Wound Care Neuro & Sleep Consultants 525 Iron Street Lehighton PA 18235 OUTPATIENT SERVICES - VARIOUS SL Northampton - PT 1894 Center Street Northampton PA 18067 OUTPATIENT SERVICES - Physical Therapy SL North Whitehall - FP & PT 3560 State Route 309 Orefield PA 18069 OUTPATIENT SERVICES - VARIOUS SL Bethlehem Township - PT 4317 Easton Avenue Bethlehem PA 18020 OUTPATIENT SERVICES - Physical Therapy SL New Tripoli - PT 6305 State Route 309 New Tripoli PA 18066 OUTPATIENT SERVICES - Physical Therapy SL Anthracite - PC PT & Lab 426 Railroad Street Nesquehoning PA 18240 OUTPATIENT SERVICES - VARIOUS SL Spine & Pain Assoc 830 Ostrum Street Bethlehem PA 18015 OUTPATIENT SERVICES - Pain Management SL Allentown - SLIM & PT 1901 Hamilton Street Allentown PA 18104 OUTPATIENT SERVICES - Physical Therapy SL Kutztown - PT 100 Tomahawk Drive Kutztown PA 19530 OUTPATIENT SERVICES - Physical Therapy SL Cardio - Lehighton 1241 Blakeslee Drive East Lehighton PA 18235 OUTPATIENT SERVICES - Cardio Hamilton Court Prof Center - Lab 3050 Hamilton Boulevard Allentown PA 18104 OUTPATIENT SERVICES - Lab SL Saucon Valley FP 255 Front Street Hellertown PA 18055 OUTPATIENT SERVICES - VARIOUS SL Northampton - Medical Assoc & Lab 602 East 21st Street Northampton PA 18067 Outpatient Services - Various SL MOB - Lehigh Street 3440 Lehigh Street Allentown PA 18103 Outpatient Services - Lab SL Health Center - Kutztown 15065 Kutztown Road Kutztown PA 19530 Outpatient Services - Various SL PT & Berks Trust - Exeter 4970 Demoss Road Reading PA 19606 Outpatient Services - PHYSICAL THERAPY 709 Delaware (Bethlehem OP Lab) 709 Delaware Avenue Fountain Hill PA 18015 Outpatient Services - Lab Future Northern Valley FP 2201 Schoenersville Road Bethlehem PA 18017 Outpatient Services - Occ Med Hospital MOB - Heart & Vascular 1648 West Hamilton Street ALLENTOWN PA 18104 Outpatient Services - Vascular Testing MOB - Walbert Avenue 3151 Walbert Avenue ALLENTOWN PA 18014 Outpatient Services - Various Gnaden Huetten Nursing Home 211 North 12th Street Lehighton PA 18235 Outpatient Services - Physical Therapy HEALTH CENTER - SPRING TOWNSHIP 2701 SHILLINTON ROAD Reading PA 19608 OUTPATIENT SERVICES - VARIOUS CARDIOLOGY ASSOC - TAMAQUA 17 WEST BROAD STREET TAMAQUA PA 18252 OUTPATIENT SERVICES - CARDIO SCHEDULE H, PART I, LINE 3C THE GRANTING OF FINANCIAL ASSISTANCE IS BASED UPON AN INDIVIDUALIZED DETERMINATION OF FINANCIAL NEED, AND DOES NOT TAKE INTO ACCOUNT AGE, GENDER, RACE, SOCIAL OR IMMIGRANT STATUS, SEXUAL ORIENTATION OR RELIGIOUS AFFILIATION. IN ADDITION TO THE FEDERAL POVERTY GUIDELINES ELIGIBILITY CRITERIA NOTED ELIGIBILITY FOR FINANCIAL ASSISTANCE WILL BE CONSIDERED FOR THOSE INDIVIDUALS WHO ARE UNINSURED, INELIGIBLE FOR ANY GOVERNMENT HEALTHCARE BENEFIT PROGRAM, AND THOSE WHO ARE UNABLE TO PAY FOR THEIR CARE, BASED UPON DETERMINATION OF FINANCIAL NEED IN ACCORDANCE WITH THE FINANCIAL ASSISTANCE POLICY. PATIENTS WHOSE FAMILY INCOME EXCEEDS 300% OF THE FPL MAY BE ELIGIBLE TO RECEIVE DISCOUNTED RATES ON A CASE-BY-CASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES, SUCH AS CATASTROPHIC ILLNESS OR MEDICAL INDIGENCE, AT THE DISCRETION OF ST. LUKE'S UNIVERSITY HEALTH NETWORK. THERE ARE INSTANCES WHEN A PATIENT APPEARS TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE, BUT THERE IS NO FINANCIAL ASSISTANCE FORM ON FILE DUE TO LACK OF SUPPORTING DOCUMENTATION. OFTEN THERE IS ADEQUATE INFORMATION PROVIDED BY THE PATIENT OR OBTAINED THROUGH OTHER SOURCES, WHICH COULD PROVIDE SUFFICIENT EVIDENCE TO PROVIDE THE PATIENT WITH FINANCIAL ASSISTANCE. IN THE EVENT THERE IS NO EVIDENCE TO SUPPORT A PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE, ST. LUKE'S UNIVERSITY HEALTH NETWORK MAY USE OUTSIDE AGENCIES IN DETERMINING ESTIMATED INCOME AMOUNTS FOR THE BASIS OF DETERMINING FINANCIAL ASSISTANCE ELIGIBILITY AND POTENTIAL DISCOUNT AMOUNTS. PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCE THAT MAY INCLUDE: - STATE-FUNDED PRESCRIPTION PROGRAMS; - HOMELESS OR RECEIVED CARE FROM A HOMELESS CLINIC; - PARTICIPATION IN WOMEN, INFANTS AND CHILDREN PROGRAMS (WIC); - FOOD STAMP ELIGIBILITY; - SUBSIDIZED SCHOOL LUNCH PROGRAM ELIGIBILITY; - ELIGIBILITY FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS THAT ARE UNFUNDED (E.G., MEDICAID SPEND DOWN); - LOW INCOME/SUBSIDIZED HOUSING IS PROVIDED AS A VALID ADDRESS; - PATIENT IS DECEASED WITH NO KNOWN ESTATE; - DECLARED CHAPTER 7 BANKRUPTCY AND CARE WAS INCURRED PRIOR TO BANKRUPTCY; AND - DECLARED CHAPTER 13 BANKRUPTCY AND PATIENT WILL HAVE UNPAID BALANCE AFTER THE PAYMENT SCHEDULE IS RECEIVED. ADDITIONALLY, PRESUMPTIVE ELIGIBILITY MIGHT INCLUDE THE USE OF EXTERNAL PUBLICLY AVAILABLE DATA SOURCES THAT PROVIDE INFORMATION ON A PATIENT'S OR A PATIENT'S GUARANTOR'S ABILITY TO PAY (SUCH AS CREDIT SCORING). ONCE DETERMINED, DUE TO THE INHERENT NATURE OF THE PRESUMPTIVE CIRCUMSTANCES, THE PATIENT MAY BE ELIGIBLE FOR UP TO 100% WRITE OFF OF THE ACCOUNT BALANCE. ST. LUKE'S UNIVERSITY HEALTH NETWORK PROVIDES, WITHOUT DISCRIMINATION, CARE FOR ALL EMERGENCY MEDICAL CONDITIONS TO INDIVIDUALS REGARDLESS OF THEIR FINANCIAL ASSISTANCE ELIGIBILITY OR ABILITY TO PAY. IT IS THE POLICY OF ST. LUKE'S UNIVERSITY HEALTH NETWORK TO COMPLY WITH THE STANDARDS OF THE FEDERAL EMERGENCY MEDICAL TREATMENT AND ACTIVE LABOR TRANSPORT ACT OF 1986 ("EMTALA") AND THE EMTALA REGULATIONS IN PROVIDING A MEDICAL SCREENING EXAMINATION AND SUCH FURTHER TREATMENT AS MAY BE NECESSARY TO STABILIZE AN EMERGENCY MEDICAL CONDITION FOR ANY INDIVIDUAL COMING TO THE EMERGENCY DEPARTMENT SEEKING TREATMENT. SCHEDULE H, PART I, LINE 6A NOT APPLICABLE. SCHEDULE H, PART I, LINE 7 THE STRATAJAZZ DECISION SUPPORT/COST ACCOUNTING SYSTEM ("STRATAJAZZ") WAS THE TOOL UTILIZED TO DETERMINE THE COST OF FINANCIAL ASSISTANCE, UNREIMBURSED MEDICAID, MEDICAID HMO AND SUBSIDIZED HEALTH SERVICES. THE ENTIRE ACTIVITY WAS COSTED THROUGH THE STRATAJAZZ APPLICATION, TO INCLUDE INPATIENT, OUTPATIENT, EMERGENCY ROOM AND ALL PAYERS. COSTING CONSISTED OF ALLOCATING COST FROM THE DEPARTMENTAL LEVEL DOWN TO THE SERVICE ITEM LEVEL. ONCE COSTS WERE DETERMINED AT THE SERVICE ITEM LEVEL, WE THEN AGGREGATED ENCOUNTERS INTO THE DEFINED TARGETED GROUPS. FOR DETERMINATION OF THE UNREIMBURSED COSTS FOR MEDICAID, MEDICAID HMO AND SUBSIDIZED SERVICES REPORTED ON PART I, LINE 7, FINANCIAL ASSISTANCE AT COST, BAD DEBT, AND ALL OVERLAPPING CASES REPORTED ELSEWHERE WERE EXCLUDED. THE RATIO OF PATIENT CARE COST TO CHARGES WAS UTILIZED TO DETERMINE THE FINANCIAL ASSISTANCE AT COST. THE DEVELOPMENT OF THE RATIO CONFORMS TO THE FORM 990 INSTRUCTIONS. THE MEDICARE SHORTFALL/SURPLUS WAS DETERMINED USING THE MEDICARE COMPLEX COST REPORTING FORM UTILIZING ALLOWABLE MEDICARE COSTS. SCHEDULE H, PART I, LINE 7G THE AMOUNT INCLUDED IN SCHEDULE H, PART I, LINE 7G AS COMMUNITY BENEFIT EXPENSE REPRESENT SUBSIDIZED HEALTH SERVICES RELATED TO BEHAVIORAL HEALTH AND PRIMARY CARE HEALTH SERVICES, BOTH OF WHICH ARE DOCUMENTED HEALTH NEEDS WITHIN THE COMMUNITY. SCHEDULE H, PART II THIS ORGANIZATION HAS DIRECT INVOLVEMENT IN NUMEROUS COMMUNITY BUILDING ACTIVITIES THAT PROMOTE AND IMPROVE THE HEALTH STATUS AND GENERAL BETTERMENT OF THE COMMUNITIES SERVED BY THE HOSPITAL. THIS IS ACCOMPLISHED THROUGH SERVICE ON STATE AND REGIONAL ADVOCACY COMMITTEES AND BOARDS, VOLUNTEERISM WITH LOCAL COMMUNITY-BASED NON-PROFIT ADVOCACY GROUPS, AND PARTICIPATION IN CONFERENCES AND OTHER EDUCATIONAL ACTIVITIES TO PROMOTE UNDERSTANDING OF THE ROOT CAUSES OF HEALTH CONCERNS. THIS ORGANIZATION PROVIDES EDUCATIONAL MATERIALS, CONDUCTS COMMUNITY HEALTH FAIRS AND HOLDS HEALTH EDUCATION SEMINARS AND OUTREACH SESSIONS FOR ITS PATIENTS AND FOR COMMUNITY PROVIDERS. PRESENTATIONS ARE PROVIDED BY PHYSICIANS, NURSES AND OTHER HEALTHCARE PROFESSIONALS. SCHEDULE H, PART III, LINES 2, 3 & 4 BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE MULTIPLIED BY ITS COST TO CHARGE RATIO. THE NETWORK RECOGNIZED REVENUE FROM CONTRACTS WITH CUSTOMERS IN ACCORDANCE WITH ASC 606. THE STANDARD'S CORE PRINCIPLE IS THAT AN ENTITY WILL RECOGNIZE REVENUE WHEN IT TRANSFERS PROMISED GOODS OR SERVICES TO CUSTOMERS IN AN AMOUNT THAT REFLECTS THE CONSIDERATION TO WHICH THE COMPANY EXPECTS TO BE ENTITLED IN EXCHANGE FOR THOSE GOODS OR SERVICES. PLEASE REFER TO FOOTNOTE 3 WITHIN THE NETWORK'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR ADDITIONAL INFORMATION ON THIS TOPIC AND THE REPORTING OF THE NETWORK'S REVENUE RECOGNITION AND ACCOUNTS RECEIVABLE. SCHEDULE H, PART III, LINE 8 MEDICARE COSTS WERE DERIVED FROM THE MEDICARE COST REPORT FILED BY THE ORGANIZATION. THE ORGANIZATION FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. AS OUTLINED MORE FULLY BELOW THE ORGANIZATION BELIEVES THAT THESE SERVICES AND RELATED COSTS PROMOTE THE HEALTH OF THE COMMUNITY AS A WHOLE AND ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND MISSION IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUAL'S IN A NON-DISCRIMINATORY MANNER WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY AND CONSISTENT WITH THE COMMUNITY BENEFIT STANDARD PROMULGATED BY THE INTERNAL REVENUE SERVICE ("IRS"). THE COMMUNITY BENEFIT STANDARD IS THE CURRENT STANDARD FOR A HOSPITAL FOR RECOGNITION AS A TAX-EXEMPT AND CHARITABLE ORGANIZATION UNDER INTERNAL REVENUE CODE ("IRC") 501(C)(3). THE ORGANIZATION IS RECOGNIZED AS A TAX-EXEMPT ENTITY AND CHARITABLE ORGANIZATION UNDER 501(C)(3) OF THE IRC. ALTHOUGH THERE IS NO DEFINITION IN THE TAX CODE FOR THE TERM "CHARITABLE", A REGULATION PROMULGATED BY THE DEPARTMENT OF THE TREASURY PROVIDES SOME GUIDANCE AND STATES THAT "[T]HE TERM CHARITABLE IS USED IN 501(C)(3) IN ITS GENERALLY ACCEPTED LEGAL SENSE,PROVIDES EXAMPLES OF CHARITABLE PURPOSES, INCLUDING THE RELIEF OF THE POOR OR UNPRIVILEGED; THE PROMOTION OF SOCIAL WELFARE; AND THE ADVANCEMENT OF EDUCATION, RELIGION, AND SCIENCE. NOTE: IT DOES NOT EXPLICITLY ADDRESS THE ACTIVITIES OF HOSPITALS. IN THE ABSENCE OF EXPLICIT STATUTORY OR REGULATORY REQUIREMENTS APPLYING THE TERM "CHARITABLE" TO HOSPITALS, IT HAS BEEN LEFT TO THE IRS TO DETERMINE THE CRITERIA HOSPITALS MUST MEET TO QUALIFY AS IRC 501(C)(3) CHARITABLE ORGANIZATIONS. THE ORIGINAL STANDARD WAS KNOWN AS THE CHARITY CARE STANDARD. THIS STANDARD WAS REPLACED BY THE IRS WITH THE COMMUNITY BENEFIT STANDARD WHICH IS THE CURRENT STANDARD. CHARITY CARE STANDARD IN 1956, THE IRS ISSUED REVENUE RULING 56-185, WHICH ADDRESSED THE REQUIREMENTS HOSPITALS NEEDED TO MEET IN ORDER TO QUALIFY FOR IRC 501(C)(3) STATUS. ONE OF THESE REQUIREMENTS IS KNOWN AS THE "CHARITY CARE STANDARD." UNDER THE STANDARD, A HOSPITAL HAD TO PROVIDE, TO THE EXTENT OF ITS FINANCIAL ABILITY, FREE OR REDUCED-COST CARE TO PATIENTS UNABLE TO PAY FOR IT. A HOSPITAL THAT EXPECTED FULL PAYMENT DID NOT, ACCORDING TO THE RULING, PROVIDE CHARITY CARE BASED ON THE FACT THAT SOME PATIENTS ULTIMATELY FAILED TO PAY. THE RULING EMPHASIZED THAT A LOW LEVEL OF CHARITY CARE DID NOT NECESSARILY MEAN THAT A HOSPITAL HAD FAILED TO MEET THE REQUIREMENT SINCE THAT LEVEL COULD REFLECT ITS FINANCIAL ABILITY TO PROVIDE SUCH CARE. THE RULING ALSO NOTED THAT PUBLICLY SUPPORTED COMMUNITY HOSPITALS WOULD NORMALLY QUALIFY AS CHARITABLE ORGANIZATIONS BECAUSE THEY SERVE THE ENTIRE COMMUNITY AND A LOW LEVEL OF CHARITY CARE WOULD NOT AFFECT A HOSPITAL'S EXEMPT STATUS IF IT WAS DUE TO THE SURROUNDING COMMUNITY'S LACK OF CHARITABLE DEMANDS. COMMUNITY BENEFIT STANDARD IN 1969, THE IRS ISSUED REVENUE RULING 69-545, WHICH "REMOVE[D]" FROM REVENUE RULING 56-185 "THE REQUIREMENTS RELATING TO CARING FOR PATIENTS WITHOUT CHARGE OR AT RATES BELOW COST." UNDER THE STANDARD DEVELOPED IN REVENUE RULING 69-545, WHICH IS KNOWN AS THE "COMMUNITY BENEFIT STANDARD," HOSPITALS ARE JUDGED ON WHETHER THEY PROMOTE THE HEALTH OF A BROAD CLASS OF INDIVIDUALS IN THE COMMUNITY. THE RULING INVOLVED A HOSPITAL THAT ONLY ADMITTED INDIVIDUALS WHO COULD PAY FOR THE SERVICES (BY THEMSELVES, PRIVATE INSURANCE, OR PUBLIC PROGRAMS SUCH AS MEDICARE), BUT OPERATED A FULL-TIME EMERGENCY ROOM THAT WAS OPEN TO EVERYONE. THE IRS RULED THAT THE HOSPITAL QUALIFIED AS A CHARITABLE ORGANIZATION BECAUSE IT PROMOTED THE HEALTH OF PEOPLE IN ITS COMMUNITY. THE IRS REASONED THAT BECAUSE THE PROMOTION OF HEALTH WAS A CHARITABLE PURPOSE ACCORDING TO THE GENERAL LAW OF CHARITY, IT FELL WITHIN THE "GENERALLY ACCEPTED LEGAL SENSE" OF THE TERM "CHARITABLE," AS REQUIRED BY TREAS. REG. 1.501(C)(3)-1(D)(2). THE IRS RULING STATED THAT THE PROMOTION OF HEALTH, LIKE THE RELIEF OF POVERTY AND THE ADVANCEMENT OF EDUCATION AND RELIGION, IS ONE OF THE PURPOSES IN THE GENERAL LAW OF CHARITY THAT IS DEEMED BENEFICIAL TO THE COMMUNITY AS A WHOLE EVEN THOUGH THE CLASS OF BENEFICIARIES ELIGIBLE TO RECEIVE A DIRECT BENEFIT FROM ITS ACTIVITIES DOES NOT INCLUDE ALL MEMBERS OF THE COMMUNITY, SUCH AS INDIGENT MEMBERS OF THE COMMUNITY, PROVIDED THAT THE CLASS IS NOT SO SMALL THAT ITS RELIEF IS NOT OF BENEFIT TO THE COMMUNITY. THE IRS CONCLUDED THAT THE HOSPITAL WAS "PROMOTING THE HEALTH OF A CLASS OF PERSONS THAT IS BROAD ENOUGH TO BENEFIT THE COMMUNITY" BECAUSE ITS EMERGENCY ROOM WAS OPEN TO ALL AND IT PROVIDED CARE TO EVERYONE WHO COULD PAY, WHETHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT. OTHER CHARACTERISTICS OF THE HOSPITAL THAT THE IRS HIGHLIGHTED INCLUDED THE FOLLOWING: ITS SURPLUS FUNDS WERE USED TO IMPROVE PATIENT CARE, EXPAND HOSPITAL FACILITIES, AND ADVANCE MEDICAL TRAINING, EDUCATION, AND RESEARCH; IT WAS CONTROLLED BY A BOARD OF TRUSTEES THAT CONSISTED OF INDEPENDENT CIVIC LEADERS; AND HOSPITAL MEDICAL STAFF PRIVILEGES WERE AVAILABLE TO ALL QUALIFIED PHYSICIANS. THE AMERICAN HOSPITAL ASSOCIATION ("AHA") FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THIS ORGANIZATION AGREES WITH THE AHA POSITION. AS OUTLINED IN THE AHA LETTER TO THE IRS DATED AUGUST 21, 2007 WITH RESPECT TO THE FIRST PUBLISHED DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA FELT THAT THE IRS SHOULD INCORPORATE THE FULL VALUE OF THE COMMUNITY BENEFIT THAT HOSPITALS PROVIDE BY COUNTING MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT AS QUANTIFIABLE COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - PROVIDING CARE FOR THE ELDERLY AND SERVING MEDICARE PATIENTS IS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD. - MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. RECENTLY, MEDICARE REIMBURSES HOSPITALS ONLY 92 CENTS FOR EVERY DOLLAR THEY SPEND TO TAKE CARE OF MEDICARE PATIENTS. THE MEDICARE PAYMENT ADVISORY COMMISSION ("MEDPAC") IN ITS MARCH 2007 REPORT TO CONGRESS CAUTIONED THAT UNDERPAYMENT WILL GET EVEN WORSE, WITH MARGINS REACHING A 10-YEAR LOW AT NEGATIVE 5.4 PERCENT. - MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR. MORE THAN 46 PERCENT OF MEDICARE SPENDING IS FOR BENEFICIARIES WHOSE INCOME IS BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL. MANY OF THOSE MEDICARE BENEFICIARIES ARE ALSO ELIGIBLE FOR MEDICAID -- SO CALLED ELIGIBLES". THERE IS EVERY COMPELLING PUBLIC POLICY REASON TO TREAT MEDICARE AND MEDICAID UNDERPAYMENTS SIMILARLY FOR PURPOSES OF A HOSPITAL'S COMMUNITY BENEFIT AND INCLUDE THESE COSTS ON FORM 990, SCHEDULE H, PART I. MEDICARE UNDERPAYMENT MUST BE SHOULDERED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE COMMUNITY'S ELDERLY AND POOR. THESE UNDERPAYMENTS REPRESENT A REAL COST OF SERVING THE COMMUNITY AND SHOULD COUNT AS A QUANTIFIABLE COMMUNITY BENEFIT. BOTH THE AHA AND THIS ORGANIZATION ALSO FEEL THAT PATIENT BAD DEBT IS A COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THERE ARE COMPELLING REASONS THAT PATIENT BAD DEBT SHOULD BE COUNTED AS QUANTIFIABLE COMMUNITY BENEFIT AS FOLLOWS: - A SIGNIFICANT MAJORITY OF BAD DEBT IS ATTRIBUTABLE TO LOW-INCOME PATIENTS, WHO, FOR MANY REASONS, DECLINE TO COMPLETE THE FORMS REQUIRED TO ESTABLISH ELIGIBILITY FOR HOSPITALS' CHARITY CARE OR FINANCIAL ASSISTANCE PROGRAMS. A 2006 CONGRESSIONAL BUDGET OFFICE ("CBO") REPORT, NONPROFIT HOSPITALS AND THE PROVISION OF COMMUNITY BENEFITS, CITED TWO STUDIES INDICATING THAT "THE GREAT MAJORITY OF BAD DEBT WAS ATTRIBUTABLE TO PATIENTS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LINE". - THE REPORT ALSO NOTED THAT A SUBSTANTIAL PORTION OF BAD DEBT IS PENDING CHARITY CARE. UNLIKE BAD DEBT IN OTHER INDUSTRIES, HOSPITAL BAD DEBT IS COMPLICATED BY THE FACT THAT HOSPITALS FOLLOW THEIR MISSION TO THE COMMUNITY AND TREAT EVERY PATIENT THAT COMES THROUGH THEIR EMERGENCY DEPARTMENT, REGARDLESS OF ABILITY TO PAY. PATIENTS WHO HAVE OUTSTANDING BILLS ARE NOT TURNED AWAY, UNLIKE OTHER INDUSTRIES. BAD DEBT IS FURTHER COMPLICATED BY THE AUDITING INDUSTRY'S STANDARDS ON REPORTING CHARITY CARE. MANY PATIENTS CANNOT OR DO NOT PROVIDE THE NECESSARY, EXTENSIVE DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE BY AUDITORS. AS A RESULT, ROUGHLY 10% OF BAD DEBT IS PENDING CHARITY CARE. - THE CBO CONCLUDED THAT ITS FINDINGS "SUPPORT THE VALIDITY OF THE USE OF UNCOMPENSATED CARE [BAD DEBT AND CHARITY CARE] AS A MEASURE OF COMMUNITY BENEFITS" ASSUMING THE FINDINGS ARE GENERALIZABLE NATIONWIDE; THE EXPERIENCE OF HOSPITALS AROUND THE NATION REINFORCES THAT THEY ARE GENERALIZABLE. AS OUTLINED BY THE AHA, DESPITE THE HOSPITAL'S BEST EFFORTS AND DUE DILIGENCE, PATIENT BAD DEBT IS A PART OF THE HOSPITAL'S MISSION AND CHARITABLE PURPOSES. BAD DEBT REPRESENTS SCHEDULE H, PART III, LINE 9B ST. LUKE'S UNIVERSITY HEALTH NETWORK MANAGEMENT DEVELOPED POLICIES AND PROCEDURES FOR INTERNAL AND EXTERNAL COLLECTION PRACTICES THAT TAKE INTO ACCOUNT THE EXTENT TO WHICH THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, A PATIENT'S GOOD FAITH EFFORT TO APPLY FOR A GOVERNMENTAL PROGRAM OR FINANCIAL ASSISTANCE FROM ST. LUKE'S UNIVERSITY HEALTH NETWORK AND A PATIENT'S GOOD FAITH EFFORT TO COMPLY WITH HIS OR HER PAYMENT AGREEMENTS. BILLING & COLLECTION POLICY --------------------------- THE CREDIT AND COLLECTION POLICY IS ADMINISTERED IN ACCORDANCE WITH THE MISSION AND VALUES OF THE HOSPITAL AS WELL AS FEDERAL AND STATE LAW. THE POLICY IS DESIGNED TO PROMOTE APPROPRIATE ACCESS TO MEDICAL CARE FOR ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY WHILE MAINTAINING THE NETWORK'S FISCAL RESPONSIBILITY TO MAXIMIZE REIMBURSEMENT AND MINIMIZE BAD DEBT. THE ORGANIZATION'S CREDIT AND COLLECTION POLICY IS INTENDED TO TAKE INTO ACCOUNT EACH INDIVIDUAL'S ABILITY TO CONTRIBUTE TO THE COST OF HIS OR HER CARE. THE ORGANIZATION MAKES SURE THAT PATIENTS ARE ASSISTED IN OBTAINING HEALTH INSURANCE COVERAGE FROM PRIVATELY AND PUBLICLY FUNDED SOURCES, WHENEVER POSSIBLE. ALL PATIENT BUSINESS SERVICE DEPARTMENT REPRESENTATIVES ARE EDUCATED ON ALL ASPECTS OF THE CREDIT AND COLLECTION POLICY AND ARE EXPECTED TO ADMINISTER THE POLICY ON A REGULAR AND CONSISTENT BASIS. PATIENT BUSINESS SERVICE REPRESENTATIVES ARE HELD ACCOUNTABLE TO TREAT ALL PATIENTS WITH COURTESY, RESPECT, CONFIDENTIALITY AND CULTURAL SENSITIVITY. THE CREDIT AND COLLECTION POLICY IS ADMINISTERED IN CONJUNCTION WITH THE PROCEDURES OUTLINED IN INTERNAL ADMINISTRATIVE POLICIES. THE SENIOR VICE PRESIDENT AND VICE PRESIDENT OF FINANCE HAVE OVERALL RESPONSIBILITY FOR THE CREDIT AND COLLECTION ACTIVITIES OF THE HOSPITAL. THE BUSINESS OFFICE MANAGEMENT STAFF IS RESPONSIBLE FOR THE DAY-TO-DAY ENFORCEMENT OF APPROVED POLICIES AND PROCEDURES. ST. LUKE'S UNIVERSITY HEALTH NETWORK MAY OFFER EXTENDED PAYMENT PLANS TO PATIENTS WHO ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR HOSPITAL BILLS. EMERGENCY & MEDICALLY NECESSARY SERVICES ---------------------------------------- ST. LUKE'S UNIVERSITY HEALTH NETWORK DOES NOT ENGAGE IN ANY ACTIONS THAT DISCOURAGE INDIVIDUALS FROM SEEKING EMERGENCY MEDICAL CARE. THE ORGANIZATION WILL NEVER DEMAND THAT AN EMERGENCY DEPARTMENT PATIENT PAY BEFORE RECEIVING TREATMENT FOR EMERGENCY MEDICAL CONDITIONS. ADDITIONALLY, ST. LUKE'S DOES NOT PERMIT DEBT COLLECTION ACTIVITIES IN THE EMERGENCY DEPARTMENT OR OTHER AREAS WHERE SUCH ACTIVITIES COULD INTERFERE WITH THE PROVISION OF EMERGENCY CARE ON A NONDISCRIMINATORY BASIS. ALL MEDICALLY NECESSARY HOSPITAL SERVICES ARE PROVIDED WITHOUT CONSIDERATION OF ABILITY TO PAY AND ARE NOT DELAYED PENDING APPLICATION OR APPROVAL OF MEDICAL ASSISTANCE OR THE ST. LUKE'S FINANCIAL ASSISTANCE PROGRAM. ADVANCE PAYMENT IS NOT REQUIRED FOR ANY MEDICALLY NECESSARY SERVICES. COMPLIANCE WITH INTERNAL REVENUE CODE SECTION 501(R)(6) ------------------------------------------------------- ST. LUKE'S UNIVERSITY HEALTH NETWORK DOES NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS ("ECAS") AS DEFINED BY INTERNAL REVENUE CODE SECTION 501(R)(6) PRIOR TO THE EXPIRATION OF THE NOTIFICATION PERIOD. THE NOTIFICATION PERIOD IS DEFINED AS A 120-DAY PERIOD OR GREATER, WHICH BEGINS ON THE DATE OF THE 1ST POST-DISCHARGE BILLING STATEMENT, IN WHICH NO ECAS ARE INITIATED AGAINST THE PATIENT. SUBSEQUENT TO THE NOTIFICATION PERIOD ST. LUKE'S UNIVERSITY HEALTH NETWORK, OR ANY THIRD PARTIES ACTING ON ITS BEHALF, MAY INITIATE THE FOLLOWING ECAS AGAINST A PATIENT FOR AN UNPAID BALANCE IF THE FINANCIAL ASSISTANCE ELIGIBILITY DETERMINATION HAS NOT BEEN MADE OR IF AN INDIVIDUAL IS INELIGIBLE FOR FINANCIAL ASSISTANCE. ST. LUKE'S UNIVERSITY HEALTH NETWORK MAY AUTHORIZE THIRD PARTIES TO REPORT ADVERSE INFORMATION ABOUT THE INDIVIDUAL TO CONSUMER CREDIT REPORTING AGENCIES OR CREDIT BUREAUS ON DELINQUENT PATIENT ACCOUNTS AFTER THE NOTIFICATION PERIOD. THE ORGANIZATION ENSURES REASONABLE EFFORTS HAVE BEEN TAKEN TO DETERMINE WHETHER AN INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY AND ENSURES THE FOLLOWING ACTIONS ARE TAKEN AT LEAST 30 DAYS PRIOR TO INITIATING ANY ECA: 1) THE PATIENT IS PROVIDED WITH WRITTEN NOTICE WHICH: - INDICATES THAT FINANCIAL ASSISTANCE IS AVAILABLE FOR ELIGIBLE PATIENTS; - IDENTIFIES THE ECA(S) THAT ST. LUKE'S UNIVERSITY HEALTH NETWORK INTENDS TO INITIATE TO OBTAIN PAYMENT FOR THE CARE; AND - STATES A DEADLINE AFTER WHICH SUCH ECAS MAY BE INITIATED. 2) THE PATIENT IS PROVIDED WITH A COPY OF THE PLAIN LANGUAGE SUMMARY; AND 3) REASONABLE EFFORTS ARE MADE TO ORALLY NOTIFY THE PATIENT ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE AND HOW THE INDIVIDUAL MAY OBTAIN ASSISTANCE WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS. ST. LUKE'S UNIVERSITY HEALTH NETWORK ACCEPTS AND PROCESSES ALL APPLICATIONS FOR FINANCIAL ASSISTANCE SUBMITTED DURING THE APPLICATION PERIOD. THE APPLICATION PERIOD BEGINS ON THE DATE THE CARE IS PROVIDED AND ENDS ON THE 240TH DAY AFTER THE DATE OF THE FIRST POST-DISCHARGE BILLING STATEMENT. SCHEDULE H, PART VI; QUESTION 2 ST. LUKE'S UNIVERSITY HEALTH NETWORK'S DEPARTMENT OF COMMUNITY HEALTH OVERSEES ASSESSMENT OF THE HEALTHCARE NEEDS OF THE COMMUNITIES SERVED BY HOSPITALS WITHIN THE NETWORK. THE DEPARTMENT IS LED BY VICE PRESIDENT RAJIKA E. REED, PHD, MPH, MED. WITH OVER 20 YEARS' EXPERIENCE IN PUBLIC HEALTH. ANALYSIS OF INFORMATION FROM THE FOLLOWING SOURCES IS PART OF THE DEPARTMENT'S ONGOING HEALTH NEEDS ASSESSMENT PROCESS: VITAL STATISTICS, PENNSYLVANIA DEPARTMENT OF HEALTH DATA, HOSPITAL DISCHARGE DATA, THE ROBERT WOOD JOHNSON COUNTY HEALTH PROFILES AND OTHER COUNTY DATA AVAILABLE FROM VARIOUS OTHER STATE AGENCIES. IN ADDITION, THE DEPARTMENT COLLECTS ONGOING DATA AND OUTCOMES FROM ITS COMPREHENSIVE COMMUNITY BASED PROGRAMMING INITIATIVES AND FROM ESTABLISHED COLLABORATIVE PARTNERSHIPS. IN 1996, WITH THE FULL APPROVAL AND SUPPORT OF THE BOARD OF TRUSTEES, ST. LUKE'S COMMUNITY HEALTH DEPARTMENT ASSUMED A LEADERSHIP ROLE IN CREATING A HEALTH IMPROVEMENT PARTNERSHIP WITH KEY AGENCIES AND ORGANIZATIONS IN THE GREATER BETHLEHEM AREA. THE BETHLEHEM PARTNERSHIP FOR A HEALTHY COMMUNITY WAS FORMED, CONSISTING OF OVER 60 REPRESENTATIVES FROM HEALTHCARE, BUSINESS, COMMUNITY, EDUCATION AND SERVICE ORGANIZATIONS. THIS GROUP COLLECTIVELY DEVELOPED PROGRAMS TO MEET THE IDENTIFIED NEEDS OF ECONOMICALLY DISADVANTAGED FAMILIES, ESPECIALLY CHILDREN, IN BETHLEHEM AND THROUGHOUT THE LEHIGH VALLEY BY CONDUCTING FORMALIZED COMMUNITY ASSESSMENTS ON A REGULAR BASIS. THIS PROCESS ALLOWED ST. LUKE'S TO IDENTIFY THE MOST PREVAILING HEALTH CARE NEEDS OF RESIDENTS AND BASE PROGRAM DEVELOPMENT AND DELIVERY ACCORDING TO THESE NEEDS. OVER THE LAST SEVERAL YEARS, THE BETHLEHEM PARTNERSHIP HAS TRANSFORMED INTO AN EVIDENCED BASED MODEL. THIS COMPREHENSIVE APPROACH MAINTAINED THE MOST SUCCESSFUL AND OUTCOMES-DRIVEN WORK WITHIN THE ALLENTOWN AND BETHLEHEM SCHOOL DISTRICTS, WHILE CREATING A MODEL OF SERVICE THAT COULD BE IMPLEMENTED IN OTHER URBAN AND RURAL SCHOOL DISTRICTS WITH MINOR ACCOMMODATIONS. THIS ALLOWED US TO BETTER ADDRESS THE NEEDS OF OUR EXPANDING SERVICE AREAS AS OUR ORGANIZATION GREW FROM A ONE CAMPUS COMMUNITY HOSPITAL TO A 15 CAMPUS HOSPITAL NETWORK. WE NOW SPEARHEAD A NATIONAL MODEL OF COLLABORATION WITH 200+ PARTNERS REPRESENTING LOCAL BUSINESSES, GOVERNMENT, EDUCATIONAL, SOCIAL SERVICE AND COMMUNITY ORGANIZATIONS. A NUMBER OF OUR CHNA DETERMINED HEALTH PRIORITIES ARE ADDRESSED USING THE EVIDENCE BASED COMMUNITY SCHOOLS AND COMMUNITY HEALTH WORKER MODELS TO FOCUSED ON MEDICAL, DENTAL, VISION, MENTAL HEALTH AND INSURANCE WHILE PROMOTING HEALTHY LIVING INITIATIVES, LITERACY AND LEADERSHIP TO IMPROVE THE HEALTH AND EDUCATIONAL OUTCOMES OF OUR COMMUNITY. SCHOOL DISTRICTS ARE THE HUB TO CULTIVATE THE PHYSICAL AND MENTAL WELL-BEING OF INDIVIDUALS AND FAMILIES IN OUR COMMUNITY THROUGH COLLABORATIVE PARTNERSHIPS, USING EVIDENCE-BASED PROGRAMS, TO CONNECT FAMILIES TO HEALTH SERVICES. THE MISSION IS TO CREATE PATHWAYS FOR EQUITY TOWARD MEASURABLE HEALTH OUTCOMES THROUGH ADVOCACY, ACCESS, AND NAVIGATION OF RESOURCES FOR PARTNERS AND UNDERSERVED COMMUNITIES. THE VISION IS FOR EVERYONE IN OUR COMMUNITY TO HAVE ACCESS TO EXCEPTIONAL HEALTHCARE BUILT ON A FOUNDATION OF TRUST AND COMPASSION. BASED ON THE IDENTIFIED NEEDS AND PRIORITIES, EACH HOSPITAL CAMPUS DEVELOPS PLANS AND PROGRAMS TO IMPROVE THE HEALTH OF THOSE IN THE COMMUNITIES. THROUGH OUR PARTNERSHIP EFFORTS AND INITIATIVES, WE PROVIDE MOBILE YOUTH HEALTH SERVICES (CONNECTING STUDENTS TO MEDICAL, DENTAL & VISION VANS, INSURANCE, PHYSICAL, BEHAVIORAL, AND MENTAL HEALTH ASSESSMENTS AND SERVICES), HEALTHY LIVING INITIATIVES (GET YOUR TAIL ON THE TRAIL AND NUTRITION PROGRAMS), LITERACY PROGRAMS (READ ACROSS AMERICA, REACH OUT AND READ, AND LITTLE FREE LIBRARIES), AND YOUTH DEVELOPMENT (ADOLESCENT CAREER MENTORING). OUR INITIATIVES ARE CONTINUALLY ASSESSED AND EVALUATED TO PROVIDE MEASURABLE AND EFFECTIVE HEALTH OUTCOMES. LOCAL SCHOOL COORDINATORS AND COMMUNITY LEADERSHIP COMMITTEES ASSESS, EVALUATE AND GUIDE THE INITIATIVES THAT FEED INTO THE COMPREHENSIVE MODEL USING EVIDENCE-BASED PROGRAMS/SERVICEs. SCHEDULE H, PART VI; QUESTION 3 ST. LUKE'S UNIVERSITY HEALTH NETWORK IS COMMITTED TO PROVIDING THE HIGHEST QUALITY HEALTHCARE SERVICES TO OUR COMMUNITY. ST. LUKE'S UNIVERSITY HEALTH NETWORK IS COMMITTED TO A SERVICE EXCELLENCE PHILOSOPHY THAT STRIVES TO MEET OR EXCEED PATIENT EXPECTATIONS. ALL PATIENTS WILL RECEIVE A UNIFORM STANDARD OF CARE THROUGHOUT ALL ST. LUKE'S FACILITIES, REGARDLESS OF SOCIAL, CULTURAL, FINANCIAL, RELIGIOUS, RACIAL, GENDER OR SEXUAL ORIENTATION FACTORS. ST. LUKE'S UNIVERSITY HEALTH NETWORK STRIVES TO ENSURE THAT ALL PATIENTS RECEIVE ESSENTIAL EMERGENCY AND OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES REGARDLESS OF THEIR ABILITY TO PAY. ST. LUKE'S UNIVERSITY HEALTH NETWORK IS COMMITTED TO PROVIDING FINANCIAL ASSISTANCE TO PERSONS WHO HAVE HEALTHCARE NEEDS AND ARE UNINSURED, INELIGIBLE FOR GOVERNMENT ASSISTANCE, OR OTHERWISE UNABLE TO PAY, FOR MEDICALLY NECESSARY CARE BASED ON THEIR INDIVIDUAL FINANCIAL SITUATION. ALL PERSONS WHO PRESENT THEMSELVES FOR EMERGENCY OR OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES ARE ADMITTED AND TREATED; THEY ARE REGISTERED AS PATIENTS OF THE HOSPITAL AND RECEIVE ANY NECESSARY SERVICES AS PRESCRIBED BY THE PATIENT'S PHYSICIAN. A PROSPECTIVE PATIENT OF ST. LUKE'S UNIVERSITY HEALTH NETWORK IS NEVER DENIED NECESSARY HEALTHCARE SERVICES ON THE BASIS OF THEIR ABILITY TO PAY. ST. LUKE'S UNIVERSITY HEALTH NETWORK DOES ITS BEST TO EDUCATE AND INFORM PATIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. FOR THE BENEFIT OF THE PATIENTS, THE FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND PLAIN LANGUAGE SUMMARY ARE ALL AVAILABLE ON-LINE. ADDITIONALLY, PAPER COPIES ARE AVAILABLE UPON REQUEST WITHOUT CHARGE BY MAIL AND ARE AVAILABLE WITHIN THE HOSPITAL FACILITY REGISTRATION AREAS. THESE INCLUDE EMERGENCY ROOMS, ADMITTING AND REGISTRATION DEPARTMENTS, HOSPITAL BASED CLINICS AND PATIENT FINANCIAL SERVICES. THE FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE IN ENGLISH AND IN THE PRIMARY LANGUAGE OF POPULATIONS WITH LIMITED PROFICIENCY IN ENGLISH ("LEP") THAT CONSTITUTES THE LESSER OF 1,000 INDIVIDUALS OR 5% OF THE NETWORK'S PRIMARY SERVICE AREA. SIGNS OR DISPLAYS ARE CONSPICUOUSLY POSTED IN PUBLIC HOSPITAL LOCATIONS INCLUDING THE EMERGENCY DEPARTMENT, ADMISSIONS DEPARTMENT AND REGISTRATION DEPARTMENT THAT NOTIFY AND INFORM PATIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. THROUGH ITS COMMUNICATION DEPARTMENT, ST. LUKE'S UNIVERSITY HEALTH NETWORK ALSO MAKES REASONABLE EFFORTS TO INFORM MEMBERS OF THE COMMUNITY ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. FINANCIAL ASSISTANCE REFERRALS CAN BE MADE BY A MEMBER OF THE HOSPITAL STAFF OR MEDICAL STAFF, INCLUDING PHYSICIANS, NURSES, FINANCIAL COUNSELORS, SOCIAL WORKERS, CASE MANAGERS, CHAPLAINS AND RELIGIOUS SPONSORS. ALL PATIENTS ARE OFFERED A COPY OF THE PLAIN LANGUAGE SUMMARY AS PART OF THE INTAKE OR DISCHARGE PROCESS. ADDITIONALLY, FINANCIAL COUNSELORS AND CUSTOMER SERVICE REPRESENTATIVES ARE AVAILABLE TO ASSIST PATIENTS WITH QUESTIONS CONCERNING CHARGES, PAYMENTS OR ANY OTHER CONCERNS. SCHEDULE H, PART VI, QUESTION 4 THE FOLLOWING INFORMATION REGARDING THE COMMUNITY DEMOGRAPHICS IS INCLUDED IN EACH RESPECTIVE ORGANIZATION'S CHNA. GEOGRAPHIC DESCRIPTION OF MEDICAL SERVICE AREA & COMMUNITY SERVED ================================================================= ST. LUKE'S HOSPITAL - BETHLEHEM CAMPUS: --------------------------------------- A TOTAL OF 615,890 PEOPLE LIVE IN THE 704.95 SQUARE MILE REPORT AREA DEFINED FOR THIS ASSESSMENT, ACCORDING TO THE U.S. CENSUS BUREAU AMERICAN COMMUNITY SURVEY (2017) 5-YEAR ESTIMATES. THE POPULATION DENSITY FOR THIS AREA, ESTIMATED AT 873.66 PERSONS PER SQUARE MILE, IS GREATER THAN THE NATIONAL AVERAGE POPULATION DENSITY OF 89.61 PERSONS PER SQUARE MILE. WE DEFINED OUR SERVICE AREA BY DETERMINING THE TOP PATIENT ZIP CODES OF OUR RESIDENTS WHO RECEIVE SERVICES FROM ST. LUKE'S BETHLEHEM. WE DEFINED THE TOP ZIP CODES AS THOSE THAT MAKE UP 80% OF THE POPULATION SERVED BY THIS HOSPITAL. THE CHNA REPORT REFERS TO THIS AREA AS THE "ST. LUKE'S BETHLEHEM SERVICE AREA". THE TOP FIVE COUNTIES SERVED BY ST. LUKE'S BETHLEHEM IN PENNSYLVANIA INCLUDE NORTHAMPTON, LEHIGH, CARBON, AND BUCKS COUNTIES IN PENNSYLVANIA, AND WARREN COUNTY IN NEW JERSEY. THERE ARE A TOTAL OF 24 ZIP CODES THAT WERE INCLUDED IN THE FINAL ANALYSES. ST. LUKE'S HOSPITAL - ALLENTOWN CAMPUS & SACRED HEART CAMPUS: ------------------------------------------------------------- A TOTAL OF 675,027 PEOPLE LIVE IN THE 723.24 SQUARE MILE AREA OUTLINED IN FIGURE 3 ACCORDING TO THE U.S. CENSUS BUREAU AMERICAN COMMUNITY SURVEY 5-YEAR ESTIMATES (2015-2019). THE POPULATION DENSITY FOR THIS AREA IS ESTIMATED AT 933.34 PERSONS PER SQUARE MILE, COMPARED TO 285.89 PERSONS PER SQUARE MILE IN PENNSYLVANIA AND 91.93 PERSONS PER SQUARE MILE NATIONALLY. ACCORDING TO THE 2010 DECENNIAL CENSUS, 89.8% OF THE BETHLEHEM CAMPUS AND STAR COMMUNITY HEALTH SERVICE AREA LIVES IN AN URBAN SETTING AND 10.2% OF THE SERVICE AREA LIVE IN A RURAL SETTING. A TOTAL OF 365,473 PEOPLE LIVE IN THE 316.11 SQUARE MILE AREA OUTLINED IN FIGURE 3 ACCORDING TO THE U.S. CENSUS BUREAU AMERICAN COMMUNITY SURVEY (ACS) 5-YEAR ESTIMATES (2015-2019). THE POPULATION DENSITY FOR THIS AREA IS ESTIMATED AT 1156.17 PERSONS PER SQUARE MILE, COMPARED TO 285.89 PERSONS PER SQUARE MILE IN PENNSYLVANIA AND 91.93 PERSONS PER SQUARE MILE NATIONALLY. THE 2010 DECENNIAL CENSUS REPORTED THAT 94% OF THE ALLENTOWN, SACRED HEART, AND STAR COMMUNITY HEALTH SERVICE AREA LIVES IN AN URBAN SETTING AND 6% OF THE SERVICE AREA LIVES IN A RURAL SETTING. URBAN AREAS ARE DEFINED BY POPULATION DENSITY, COUNT, SIZE THRESHOLDS, AND THE AMOUNT OF IMPERVIOUS SURFACE OR DEVELOPMENT (I.E., AREAS IMPERVIOUS TO WATER SEEPING INTO THE GROUND, CONCRETE-HEAVY AREAS). ST. LUKE'S HOSPITAL - LEHIGHTON CAMPUS: --------------------------------------- A TOTAL OF 95,103 PEOPLE LIVE IN THE 438.03 SQUARE MILE AREA OUTLINED IN FIGURE 3 ACCORDING TO THE U.S. CENSUS BUREAU AMERICAN COMMUNITY SURVEY (ACS) 5-YEAR ESTIMATES (2015-2019). THE POPULATION DENSITY FOR THIS AREA IS ESTIMATED AT 217.11 PERSONS PER SQUARE MILE, COMPARED TO 285.89 PERSONS PER SQUARE MILE IN PENNSYLVANIA AND 91.93 PERSONS PER SQUARE MILE NATIONALLY. ACCORDING TO THE 2010 DECENNIAL CENSUS, 56.5% OF THE RURAL WEST SERVICE AREA LIVES IN AN URBAN SETTING AND 43.5% OF THE SERVICE AREA LIVE IN A RURAL SETTING. GENDER ====== ST. LUKE'S HOSPITAL - BETHLEHEM CAMPUS: --------------------------------------- ACCORDING TO THE 5-YEAR ESTIMATES BY THE ACS, 51.2% OF PEOPLE IDENTIFIED AS FEMALE AND 48.8% IDENTIFIED AS MALE IN THE ST. LUKE'S BETHLEHEM CAMPUS AND STAR COMMUNITY HEALTH SERVICE AREA (FIGURE 5). THIS IS SIMILAR TO THE NATIONAL AVERAGE, 50.8% AND 49.2%, RESPECTIVELY. IN LEHIGH COUNTY, 51.1% OF PEOPLE IDENTIFY AS FEMALE AND 48.9% AS MALE. IN NORTHAMPTON COUNTY, 50.8% OF PEOPLE IDENTIFIED AS FEMALE AND 49.2% AS MALE. IN BETHLEHEM CITY, 51.9% OF PEOPLE IDENTIFIED AS FEMALE AND 48.1% IDENTIFIED AS MALE. WHEN ASKED ABOUT SEX AT BIRTH IN THE CHNA SURVEY, 63% OF BETHLEHEM CAMPUS AND STAR COMMUNITY HEALTH SURVEY RESPONDENTS INDICATED FEMALE AND 37% INDICATED MALE. ST. LUKE'S HOSPITAL - ALLENTOWN CAMPUS & SACRED HEART CAMPUS: ------------------------------------------------------------- ACCORDING TO 2015-2019 5-YEAR ESTIMATES BY THE ACS, 50.9% OF PEOPLE IDENTIFIED AS FEMALE AND 49.1% IDENTIFIED AS MALE IN THE ST. LUKE'S ALLENTOWN, SACRED HEART, AND STAR COMMUNITY HEALTH SERVICE AREA (FIGURE 5). THIS IS SIMILAR TO THE NATIONAL AVERAGE, 50.8% AND 49.2%, RESPECTIVELY. IN LEHIGH COUNTY, 51.1% OF PEOPLE IDENTIFY AS FEMALE AND 48.9% AS MALE. IN ALLENTOWN CITY, 51.1% OF PEOPLE IDENTIFY AS FEMALE AND 48.9% AS MALE. WHEN ASKING CHNA SURVEY RESPONDENTS ABOUT SEX ASSIGNED AT BIRTH IN THE SURVEY, 63% INDICATED FEMALE AND 37% INDICATED MALE. ST. LUKE'S HOSPITAL - LEHIGHTON CAMPUS: --------------------------------------- ACCORDING TO THE ACS, 49.7% OF PEOPLE IDENTIFIED AS FEMALE AND 50.3% IDENTIFIED AS MALE IN THE RURAL WEST SERVICE AREA (FIGURE 5). THIS IS SIMILAR TO THE NATIONAL AVERAGE, 50.8% AND 49.2%, RESPECTIVELY. IN CARBON COUNTY, CONVERSELY TO RURAL WEST, 50.3% OF PEOPLE IDENTIFY AS FEMALE AND 49.7% AS MALE. IN SCHUYLKILL COUNTY, 48.9% OF PEOPLE IDENTIFY AS FEMALE AND 51.1% AS MALE. WHEN ASKED ABOUT SEX ASSIGNED AT BIRTH IN THE CHNA SURVEY, 66% OF RURAL WEST SERVICE AREA RESPONDENTS INDICATED FEMALE AND 34% INDICATED MALE. AGE === ST. LUKE'S HOSPITAL - BETHLEHEM CAMPUS: --------------------------------------- THE ACS REPORTS 21.4% OF THE SERVICE AREA POPULATION ARE UNDER 18 YEARS OLD AND 17.6% ARE 65 YEARS AND OLDER (FIGURE 4). COMBINED, THESE GROUPS ACCOUNT FOR 39% OF THE SERVICE AREA POPULATION LEAVING 61% BETWEEN THE AGES OF 18 AND 64. IN LEHIGH COUNTY, 22.7% OF THE POPULATION ARE UNDER 18 YEARS OLD AND 16.5% ARE 65 AND OLDER, LEAVING 60.8% OF THE POPULATION BETWEEN THE AGES OF 18 AND 64. IN NORTHAMPTON COUNTY, 20.1% OF THE POPULATION ARE UNDER 18 YEARS OLD AND 18.6% ARE 65 AND OLDER, LEAVING 61.3% OF THE POPULATION BETWEEN THE AGES OF 18 AND 64. IN BETHLEHEM CITY, 18.4% OF THE POPULATION IS UNDER 18 YEARS OLD AND 16.6% IS 65 AND OLDER, LEAVING 65% OF THE POPULATION BETWEEN THE AGES OF 18 AND 64. MOST SURVEY RESPONDENTS FROM THE BETHLEHEM CAMPUS AND STAR COMMUNITY HEALTH SERVICE AREA WERE OVER THE AGE OF 55, WITH 22% BETWEEN 55-64 AND 39% 65 AND ABOVE. AGES 18-24 WAS THE SMALLEST GROUP ACCOUNTING FOR 2% OF BETHLEHEM CAMPUS AND STAR COMMUNITY HEALTH RESPONDENTS. ADDITIONALLY, 16% WERE AGES 45 TO 54, 13% AGES 35 TO 44, AND 8% WERE AGES 25 TO 34. THE SURVEY WAS NOT ADMINISTERED TO PATIENTS BELOW 18 YEARS OLD, THEREFORE, THERE ARE NO RESPONSES FROM THAT AGE GROUP. THE MEDIAN AGE OF RESPONDENTS WAS 60 YEARS OLD. ST. LUKE'S HOSPITAL - ALLENTOWN CAMPUS & SACRED HEART CAMPUS: ------------------------------------------------------------- THE ACS REPORTS THAT 22.7% OF THE SERVICE AREA POPULATION ARE PEOPLE UNDER 18 YEARS OLD AND 16.2% ARE 65 YEARS AND OLDER (FIGURE 4). COMBINED, THESE GROUPS ACCOUNT FOR 38.9% OF THE SERVICE AREA POPULATION, LEAVING 61.1% BETWEEN THE AGES OF 18 AND 64. IN LEHIGH COUNTY, 22.7% OF THE POPULATION ARE PEOPLE UNDER 18, 16.5% ARE 65 AND OLDER, AND 60.8% ARE BETWEEN THE AGES OF 18 AND 64. IN ALLENTOWN CITY, 26.4% ARE UNDER THE AGE OF 18, 61.7% ARE AGES 18 AND 64, AND 11.9% ARE 65 AND OLDER. ST. LUKE'S HOSPITAL - LEHIGHTON CAMPUS: --------------------------------------- THE ACS REPORTS 20% OF THE SERVICE AREA POPULATION ARE PEOPLE UNDER 18 YEARS OLD AND 19.4% ARE 65 YEARS AND OLDER (FIGURE 4). COMBINED, THESE GROUPS ACCOUNT FOR 39.4% OF THE SERVICE AREA POPULATION, LEAVING 60.6% BETWEEN THE AGES OF 18 AND 64. IN CARBON COUNTY, 19.4% OF THE POPULATION IS UNDER 18 YEARS OLD AND 20.7% ARE 65 YEARS AND OLDER, LEAVING 59.9% BETWEEN THE AGES OF 18 AND 64. IN SCHUYLKILL COUNTY, 19.8% OF THE POPULATION ARE UNDER 18 AND 20% ARE 65 YEARS AND OLDER, LEAVING 60.2% BETWEEN THE AGES OF 18 AND 24. MOST CHNA SURVEY RESPONDENTS FROM THE RURAL WEST SERVICE AREA WERE 55 AND ABOVE; 22% WERE 55 TO 64 YEARS OLD AND 33% WERE 65 YEARS AND OLDER. ONLY 19% OF RESPONDENTS WERE AGES 45 TO 54, 13% AGES 35 TO 44, 10% AGES 25 TO 34, AND 3% AGES 18 TO 24. THE SURVEY WAS ONLY ADMINISTERED TO PEOPLE 18 YEARS AND OLDER, THEREFORE, YOUNGER AGES ARE NOT REFLECTED IN THE SURVEY RESULTS. THE MEDIAN AGE OF RESPONDENTS WAS 57 YEARS OLD. RACE ==== ST. LUKE'S HOSPITAL - BETHLEHEM CAMPUS: --------------------------------------- THE ACS REPORTS THAT 80.7% OF THE SERVICE AREA IDENTIFIES AS WHITE, FOLLOWED BY OTHER RACE (8.4%), BLACK (7.7%), AND ASIAN (3.2%). DATA FOR PEOPLE IDENTIFYING AS NATIVE HAWAIIAN/PACIFIC ISLANDER, NATIVE AMERICAN/ALASKA NATIVE, OTHER RACE, AND MULTIPLE RACES WERE COMBINED WITH OTHER RACE DUE TO SMALL SAMPLE SIZES. IN LEHIGH COUNTY, THE MAJORITY OF THE POPULATION IDENTIFIES AS WHITE (79.3%), FOLLOWED BY OTHER RACE (10%), BLACK (7.4%), AND ASIAN (3.3%). IN NORTHAMPTON COUNTY, 85.6% OF THE POPULATION IDENTIFIES AS WHITE, FOLLOWED BY BLACK (5.7%), OTHER RACE (5.7%), AND ASIAN (2.8%). IN BETHLEHEM CITY, 76.9% OF THE SCHEDULE H, PART VI; QUESTION 5 THE ENTIRE ST. LUKE'S UNIVERSITY HEALTH NETWORK PROMOTES THE HEALTH OF THE COMMUNITY ON A DAILY BASIS THROUGHOUT THE YEAR. THE NETWORK COORDINATES AND OFFERS NUMEROUS COMMUNITY BENEFIT PROGRAMS, OUTCOMES BASED INITIATIVES AND SUPPORT GROUPS TO THE COMMUNITY, WITH A SPECIAL EMPHASIS ON OUR VULNERABLE POPULATIONS. PLEASE REFER TO SCHEDULE O FOR A DETAILED COMMUNITY BENEFIT STATEMENT. SCHEDULE H, PART VI; QUESTION 6 OUTLINED BELOW IS A SUMMARY OF THE ENTITIES WHICH COMPRISE THE ST. LUKE'S UNIVERSITY HEALTH NETWORK: ST. LUKE'S HEALTH NETWORK, INC. ------------------------------- ST. LUKE'S HEALTH NETWORK, INC. IS THE TAX-EXEMPT PARENT OF ST. LUKE'S UNIVERSITY HEALTH NETWORK ("ST. LUKE'S"). THIS INTEGRATED HEALTHCARE DELIVERY SYSTEM CONSISTS OF A GROUP OF AFFILIATED HEALTHCARE ORGANIZATIONS. THIS ORGANIZATION IS THE SOLE MEMBER OF EACH AFFILIATED ENTITY. ST. LUKE'S IS AN INTEGRATED NETWORK OF HEALTHCARE PROVIDERS THROUGHOUT THE STATES OF PENNSYLVANIA AND NEW JERSEY. ST. LUKE'S HEALTH NETWORK, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). AS THE PARENT ORGANIZATION, ST. LUKE'S HEALTH NETWORK, INC. STRIVES TO CONTINUALLY DEVELOP AND OPERATE A MULTI-HOSPITAL HEALTHCARE NETWORK WHICH PROVIDES SUBSTANTIAL COMMUNITY BENEFIT THROUGH THE PROVISION OF A COMPREHENSIVE SPECTRUM OF HEALTHCARE SERVICES TO THE RESIDENTS OF PENNSYLVANIA AND NEW JERSEY AND SURROUNDING COMMUNITIES. ST. LUKE'S HEALTH NETWORK, INC. ENSURES THAT ITS NETWORK PROVIDES EMERGENCY AND MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. THE NETWORK'S ACTIVE HOSPITALS INCLUDE: ST. LUKE'S ALLENTOWN CAMPUS, ST. LUKE'S ANDERSON CAMPUS, ST. LUKE'S BETHLEHEM CAMPUS, ST. LUKE'S CARBON CAMPUS, ST. LUKE'S EASTON CAMPUS, ST. LUKE'S LEHIGHTON CAMPUS, ST. LUKE'S MINERS CAMPUS, ST. LUKE'S MONROE CAMPUS, ST. LUKE'S SACRED HEART CAMPUS, ST. LUKE'S UPPER BUCKS CAMPUS AND ST. LUKE'S WARREN CAMPUS. EACH OF THESE HOSPITALS OPERATE CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN INTERNAL REVENUE SERVICE ("IRS") REVENUE RULING 69-545: 1) PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2) OPERATES AN ACTIVE EMERGENCY DEPARTMENT FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3) MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4) CONTROL RESTS WITH ITS BOARD OF TRUSTEES AND THE BOARD OF TRUSTEES OF ST. LUKE'S HEALTH NETWORK, INC. BOTH BOARDS ARE COMPRISED OF A MAJORITY OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5) SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE, PROGRAMS AND ACTIVITIES. ST. LUKE'S HOSPITAL OF BETHLEHEM, PENNSYLVANIA ---------------------------------------------- ST. LUKE'S HOSPITAL OF BETHLEHEM, PENNSYLVANIA IS COMPRISED OF FOUR ACUTE CARE NON-PROFIT HOSPITAL CAMPUSES: (1) ST. LUKE'S ALLENTOWN CAMPUS LOCATED IN ALLENTOWN, PENNSYLVANIA; (2) ST. LUKE'S BETHLEHEM CAMPUS LOCATED IN BETHLEHEM CAMPUS LOCATED IN BETHLEHEM, PENNSYLVANIA; (3) ST. LUKE'S SACRED HEART CAMPUS LOCATED IN ALLENTOWN, PENNSYLVANIA; AND (4) ST. LUKE'S LEHIGHTON CAMPUS LOCATED IN LEHIGHTON, PENNSYLVANIA. ST. LUKE'S HOSPITAL OF BETHLEHEM, PENNSYLVANIA IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, ST. LUKE'S HOSPITAL OF BETHLEHEM, PENNSYLVANIA OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. ST. LUKE'S AIRMED, LLC ---------------------- A LIMITED LIABILITY COMPANY DISREGARDED FOR FEDERAL INCOME TAX PURPOSES OWNED BY ST. LUKE'S HOSPITAL OF BETHLEHEM, PENNSYLVANIA. THIS ENTITY IS CURRENTLY INACTIVE. ST. LUKE'S HOMESTAR SERVICES, LLC --------------------------------- A LIMITED LIABILITY COMPANY DISREGARDED FOR FEDERAL INCOME TAX PURPOSES OWNED BY ST. LUKE'S HOSPITAL OF BETHLEHEM, PENNSYLVANIA. THE ORGANIZATION SUPPORTS THE HEALTH CARE SYSTEM; PRIMARILY ITS TAX-EXEMPT ACUTE CARE HOSPITALS, WHICH PROVIDE MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THIS ORGANIZATION ENGAGES IN HEALTHCARE SERVICES WHICH ARE HIGH QUALITY AND COST EFFECTIVE FOR THE BENEFIT OF THE COMMUNITY AND IN SUPPORT OF THE CHARITABLE PURPOSES OF THE HEALTH CARE SYSTEM. POCONO MRI IMAGING AND DIAGNOSTIC CENTER, LLC --------------------------------------------- A LIMITED LIABILITY COMPANY DISREGARDED FOR FEDERAL INCOME TAX PURPOSES OWNED BY ST. LUKE'S HOSPITAL OF BETHLEHEM, PENNSYLVANIA. THIS ENTITY IS CURRENTLY INACTIVE. EVANTAGE HEALTH, LLC -------------------- A LIMITED LIABILITY COMPANY DISREGARDED FOR FEDERAL INCOME TAX PURPOSES OWNED BY ST. LUKE'S HOSPITAL OF BETHLEHEM, PENNSYLVANIA. THIS ENTITY IS CURRENTLY INACTIVE. ST. LUKE'S CARE, LLC -------------------- A LIMITED LIABILITY COMPANY DISREGARDED FOR FEDERAL INCOME TAX PURPOSES OWNED BY ST. LUKE'S HOSPITAL OF BETHLEHEM, PENNSYLVANIA. THE ORGANIZATION SUPPORTS THE HEALTH CARE SYSTEM; PRIMARILY ITS TAX-EXEMPT ACUTE CARE HOSPITALS, WHICH PROVIDE MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THIS ORGANIZATION ENGAGES IN HEALTHCARE SERVICES WHICH ARE HIGH QUALITY AND COST EFFECTIVE FOR THE BENEFIT OF THE COMMUNITY AND IN SUPPORT OF THE CHARITABLE PURPOSES OF THE HEALTH CARE SYSTEM. ST. LUKE'S SHARED SAVINGS PLAN, LLC ----------------------------------- A LIMITED LIABILITY COMPANY DISREGARDED FOR FEDERAL INCOME TAX PURPOSES OWNED BY ST. LUKE'S HOSPITAL OF BETHLEHEM, PENNSYLVANIA. THIS ENTITY IS LOCATED IN ALLENTOWN PENNSYLVANIA. THE ORGANIZATION IS CURRENTLY INACTIVE. QUALITY PATIENT CARE, LLC ------------------------- A LIMITED LIABILITY COMPANY DISREGARDED FOR FEDERAL INCOME TAX PURPOSES OWNED BY ST. LUKE'S HOSPITAL OF BETHLEHEM, PENNSYLVANIA. THE ORGANIZATION IS CURRENTLY INACTIVE. MAHONING SELF STORAGE, LLC -------------------------- A LIMITED LIABILITY COMPANY DISREGARDED FOR FEDERAL INCOME TAX PURPOSES OWNED BY ST. LUKE'S HOSPITAL OF BETHLEHEM, PENNSYLVANIA. THE ORGANIZATION SUPPORTS THE HEALTH CARE SYSTEM; PRIMARILY ITS TAX-EXEMPT ACUTE CARE HOSPITALS, WHICH PROVIDE MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. ST. LUKE'S HOSPITAL ANDERSON CAMPUS ----------------------------------- ST. LUKE'S HOSPITAL ANDERSON CAMPUS IS AN ACUTE CARE NON-PROFIT HOSPITAL LOCATED IN EASTON, PENNSYLVANIA. ST. LUKE'S HOSPITAL ANDERSON CAMPUS IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, ST. LUKE'S HOSPITAL ANDERSON CAMPUS OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. ST. LUKE'S HOSPITAL - CARBON CAMPUS ----------------------------------- ST. LUKE'S HOSPITAL - CARBON CAMPUS IS AN ACUTE CARE NON-PROFIT HOSPITAL RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, SACRED HEART HOSPITAL OF ALLENTOWN OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. ST. LUKE'S HOSPITAL - EASTON CAMPUS ----------------------------------- ST. LUKE'S HOSPITAL - EASTON CAMPUS IS AN ACUTE CARE NON-PROFIT HOSPITAL LOCATED IN EASTON, PENNSYLVANIA. ST. LUKE'S HOSPITAL - EASTON CAMPUS IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, SACRED HEART HOSPITAL OF ALLENTOWN OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. ST. LUKE'S HOSPITAL MONROE CAMPUS ---------------------------------- ST. LUKE'S HOSPITAL MONROE CAMPUS IS AN ACUTE CARE NON-PROFIT HOSPITAL LOCATED IN STROUDSBURG, PENNSYLVANIA. ST. LUKE'S HOSPITAL MONROE CAMPUS IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, ST. LUKE'S HOSPITAL MONROE CAMPUS OPERATES CONSISTENTLY WITH SCHEDULE H, PART VI; QUESTION 7 NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN PENNSYLVANIA AND NEW JERSEY. NO COMMUNITY BENEFIT REPORT IS REQUIRED TO BE FILED WITH EITHER PENNSYLVANIA OR NEW JERSEY. true STAR COMMUNITY HEALTH CENTER 520 E BROAD STREET BETHLEHEM PA 18018 831933437 501(C)(3) 8338333 PROGRAM SUPPORT ALLENTOWN SCHOOL DISTRICT 31 S PENN STREET ALLENTOWN PA 18105 236003488 GOV'T ORG 483964 PROGRAM SUPPORT PARKLAND SCHOOL DISTRICT 1210 SPRINGHOUSE ROAD ALLENTOWN PA 18104 452645543 GOV'T ORG 400165 PROGRAM SUPPORT EASTON AREA SCHOOL DISTRICT 1801 BUSHKILL DRIVE EASTON PA 180408186 231726731 GOV'T ORG 290805 PROGRAM SUPPORT BETHLEHEM AREA SCHOOL DISTRICT 1516 Sycamore Street BETHLEHEM PA 18017 240862592 GOV'T ORG 258370 PROGRAM SUPPORT EAST STROUDSBURG AREA SCHOOL DISTRICT 50 VINE STREET EAST STROUDSBURG PA 18301 231669371 GOV'T ORG 203500 PROGRAM SUPPORT ATHLIFE FOUNDATION INC 273 MAIN STREET HUNTINGTON NY 11743 270821899 501(C)(3) 160000 PROGRAM SUPPORT POCONO MOUNTAIN SCHOOL DISTRICT 135 POCONO SCHOOL road Swiftwater PA 18370 246002378 GOV'T ORG 136300 PROGRAM SUPPORT WHITEHALL COPLAY SCHOOL DISTRICT 2940 Macarthur Road Whitehall PA 18052 231670258 GOV'T ORG 123500 PROGRAM SUPPORT NAZARETH AREA SCHOOL DISTRICT One Education Plaza Nazareth PA 18064 246002500 GOV'T ORG 120000 PROGRAM SUPPORT MORAVIAN ACADEMY 7 EAST MARKET STREET BETHLEHEM PA 18018 240829838 501(C)(3) 115000 PROGRAM SUPPORT SOUTHERN LEHIGH SCHOOL DISTRICT 5775 MAIN STREET CENTER VALLEY PA 18034 236004983 GOV'T ORG 111250 PROGRAM SUPPORT PLEASANT VALLEY SCHOOL DISTRICT 2233 ROUTE 115 SUITE 100 BRODHEADSVILLE PA 18322 233011952 GOV'T ORG 108957 PROGRAM SUPPORT QUAKERTOWN COMMUNITY SCHOOL DISTRICT 100 COMMERCE DR QUAKERTOWN PA 18951 231667980 GOV'T ORG 105800 PROGRAM SUPPORT DESALES UNIVERSITY 2755 STATION AVENUE CENTER VALLEY PA 18034 231653718 501(C)(3) 103493 PROGRAM SUPPORT MORAVIAN UNIVERSITY 1200 MAIN STREET BETHLEHEM PA 18018 240795460 501(C)(3) 90000 PROGRAM SUPPORT STROUDSBURG AREA SCHOOL DISTRICT 123 LINDEN STREET STROUDSBURG PA 18360 231668292 GOV'T ORG 87500 PROGRAM SUPPORT BLUE MOUNTAIN SCHOOL DISTRICT 685 RED DALE ROAD ORWIGSBURG PA 17961 232045884 GOV'T ORG 85000 PROGRAM SUPPORT NORTHAMPTON COMM COLLEGE FOUNDATION 3835 GREEN POND ROAD BETHLEHEM PA 18020 232064496 501(C)(3) 78554 PROGRAM SUPPORT PASD GENERAL FUND 680 FOURTH STREET PALMERTON PA 18071 246002371 GOV'T ORG 77000 PROGRAM SUPPORT NORTHAMPTON AREA SCHOOL DISTRICT 2014 Laubach Avenue Northampton PA 18067 246021020 GOV'T ORG 75500 PROGRAM SUPPORT PEN ARGYL AREA SCHOOL DISTRICT 501 West Laurel Aveneue Pen Argyl PA 18052 231642666 GOV'T ORG 69700 PROGRAM SUPPORT BRANDYWINE HEIGHTS AREA SCHOOL 200 W WEIS STREET TOPTON PA 19562 231671515 GOV'T ORG 66960 PROGRAM SUPPORT WILSON AREA SCHOOL DISTRICT 2040 WASHINGTON BLVD EASTON PA 18042 231729126 GOV'T ORG 59700 PROGRAM SUPPORT TAMAQUA AREA SCHOOL DISTRICT 138 West Broad Street Tamaqua PA 18252 231675014 GOV'T ORG 58490 PROGRAM SUPPORT HISPANIC CENTER LEHIGH VALLEY 520 E 4TH STREET BETHLEHEM PA 18015 231182308 GOV'T ORG 56750 PROGRAM SUPPORT KEYSTONE ATHLETIC PO BOX 209 SCIOTA PA 183540209 232619695 501(C)(3) 50000 PROGRAM SUPPORT PANTHER VALLEY SCHOOL DISTRICT 1 PANTHER WAY LANSFORD PA 18232 231667977 GOV'T ORG 47500 PROGRAM SUPPORT PERKIOMEN VALLEY SCHOOL DISTRICT THREE IRON BRIDGE DRIVE COLLEGEVILLE PA 19426 231710476 GOV'T ORG 35000 PROGRAM SUPPORT WARREN HILLS REGIONAL BOARD OF EDUCATION 89 BOWERSTOWN ROAD WASHINGTON NJ 07882 221806546 GOV'T ORG 32000 PROGRAM SUPPORT NOTRE DAME HIGH SCHOOL 3417 CHURCH ROAD EASTON PA 18045 240834373 GOV'T ORG 29500 PROGRAM SUPPORT POTTSVILLE AREA SCHOOL DISTRICT 1501 W LAUREL BLVD POTTSVILLE PA 17901 231670512 GOV'T ORG 27500 PROGRAM SUPPORT SALISBURY TOWNSHIP SCHOOL DISTRICT 500 E MONTGOMERY STREET ALLENTOWN PA 18103 236004179 GOV'T ORG 26000 PROGRAM SUPPORT HEADSTRONG FOUNDATION 232 GREEN AVENUE HOLMES PA 19043 260283021 501(C)(3) 25000 PROGRAM SUPPORT NORTHERN LEHIGH SCHOOL DISTRICT 1201 SHADOW OAKS LANE SLATINGTON PA 18080 231667852 GOV'T ORG 23329 PROGRAM SUPPORT GREATER LEHIGH VALLEY CHAMBER OF COMMERCE 158A NORTH HAMPTON STREET EASTON PA 18042 230337580 501(C)(6) 22905 PROGRAM SUPPORT LEHIGH VALLEY YOUTH SOCCER 1159 WELLINGTON CIRCLE LAURYS STATION PA 180591135 232655810 501(C)(3) 22500 PROGRAM SUPPORT GIRLS ON THE RUN LEHIGH VALLEY PO Box 833 Fogelsville PA 18051 881559099 501(C)(3) 22500 PROGRAM SUPPORT CENTENARY UNIVERSITY 400 JEFFERSON STREET HACKETTSTOWN NJ 07852 221500484 501(C)(3) 21000 PROGRAM SUPPORT MARIAN CATHOLIC HIGH SCHOOL 166 Marian Avenue Tamaqua PA 18252 231445630 501(C)(3) 20000 PROGRAM SUPPORT ALLENTOWN SCHOOL DISTRICT FOUNDATION 31 SOUTH PENN STREET ALLENTOWN PA 18105 270743152 501(C)(3) 20000 PROGRAM SUPPORT PHILLIPSBURG BOARD OF EDUCATION 50 SARGENT AVENUE PHILLIPSBURG NJ 08865 226002213 GOV'T ORG 20000 PROGRAM SUPPORT BERKS CATHOLIC HIGH SCHOOL 955 E WYOMMING BLVD READING PA 19611 320336345 GOV'T ORG 17580 PROGRAM SUPPORT BELVIDERE BOARD OF EDUCATION 809 OXFORD STREET BELVIDERE NJ 07823 226001649 GOV'T ORG 16000 PROGRAM SUPPORT CARVE FOR CANCER INC 6024 RIDGE AVENUE PHILADELPHIA PA 19128 474969983 501(C)(3) 15150 PROGRAM SUPPORT SPECIAL OLYMPICS PENNSYLVANIA INC 2158 AVENUE C SUITE 201 BETHLEHEM PA 18017 232078543 501(C)(3) 15000 PROGRAM SUPPORT HISTORIC BETHLEHEM MUSEUMS & SITES 74 W BROAD STREET BETHLEHEM PA 18018 232741808 501(C)(3) 14500 PROGRAM SUPPORT SOUTHERN LEHIGH HIGH SCHOOL 5800 MAIN STREET CENTER VALLEY PA 18034 811584821 GOV'T ORG 13000 PROGRAM SUPPORT BETHLEHEM AREA EDUCATION FDN PO BOX 646 BETHLEHEM PA 18016 232896860 501(C)(3) 12500 PROGRAM SUPPORT ALVERNIA UNIVERSITY 400 SAINT BERNARDINE Street READING PA 19607 231522643 501(C)(3) 12500 PROGRAM SUPPORT BOYERTOWN AREA SCHOOL DISTRICT 911 Montgomery Avenue Boyertown PA 19512 231667661 GOV'T ORG 12500 PROGRAM SUPPORT LEHIGH VALLEY WRESTLING CLUB PO BOX 1902 BETHLEHEM PA 18016 233019288 501(C)(3) 12500 PROGRAM SUPPORT UNITED WAY OF THE GREATER LEHIGH VALLEY 1110 AMERICAN PKWY NE ALLENTOWN PA 18109 232657933 501(C)(3) 11223 PROGRAM SUPPORT BETHLEHEM ECONOMIC DEVELOPMENT CORP 10 EAST CHURCH STREET BETHLEHEM PA 18018 232211627 501(C)(3) 11000 PROGRAM SUPPORT GEISINGER HEALTH FOUNDATION 100 N ACADEMY AVENUE DANVILLE PA 17822 231995911 501(C)(3) 10500 PROGRAM SUPPORT LEHIGH VALLEY ECONOMIC DEVELOPMENT 520 N NEW STREET BETHLEHEM PA 18018 232798276 501(C)(3) 10000 PROGRAM SUPPORT CANCER SUPPORT COMMUNITY 944 MARCON BLVD ALLENTOWN PA 18109 731657537 501(C)(3) 10000 PROGRAM SUPPORT HUNTERDON WARREN SUSSEX ATHLETIC ASSOC 1913 MAPLE AVENUE EASTON PA 18040 270400130 501(C)(3) 10000 PROGRAM SUPPORT BOROUGH OF EMMAUS AMBULANCE 100 N 6TH STREET EMMAUS PA 18049 236002863 GOV'T ORG 10000 PROGRAM SUPPORT DELAWARE AND LEHIGH NATIONAL HERITAGE 2750 HUGH MOORE PARK ROAD EASTON PA 18042 232977618 501(C)(3) 10000 PROGRAM SUPPORT FRIENDS OF THE TOWN OF CLINTON 19 GEORGES PLACE CLINTON NJ 08809 873514528 501(C)(3) 10000 PROGRAM SUPPORT SCHUYLKILL INTERMEDIATE UNIT 29 PO BOX 130 MAR LIN PA 17951 231740435 501(C)(3) 10000 PROGRAM SUPPORT SCHUYLKILL LEAGUE 6 ROSEWOOD DRIVE POTTSVILLE PA 17901 843092116 501(C)(3) 10000 PROGRAM SUPPORT NORTH SCHUYKILL SCHOOL DISTRICT 15 ACADEMY LANE ASHLAND PA 17921 231671438 GOV'T ORG 9860 PROGRAM SUPPORT STEEL VALLEY RENEGADES WRESTLING 708B EAST STREET EASTON PA 18042 851723474 501(C)(3) 9000 PROGRAM SUPPORT SHENANDOAH VALLEY SCHOOL DISTRICT 805 West Centre Street Shenandoah PA 17976 231697134 GOV'T ORG 8000 PROGRAM SUPPORT KELLYN FOUNDATION 336 BUSHKILL STREET TATAMY PA 18085 262623498 501(C)(3) 7500 PROGRAM SUPPORT NATIVITY BVM HIGH SCHOOL ONE LAWTONS HILL POTTSVILLE PA 17901 231472489 501(C)(3) 7500 PROGRAM SUPPORT ST THOMAS MORE SOCCER CLUB 1040 FLEXER AVENUE ALLENTOWN PA 18103 231679471 501(C)(3) 7500 PROGRAM SUPPORT TREATMENT TRENDS INC PO BOX 685 ALLENTOWN PA 18105 231856007 501(C)(3) 7500 PROGRAM SUPPORT FLEETWOOD AREA SCHOOL DISTRICT 801 N RICHMOND STREET Fleetwood PA 19522 201613345 GOV'T ORG 6500 PROGRAM SUPPORT SALEM CHRISTIAN SCHOOL 8031 Salem Bible Church Road Macungie PA 18062 232113752 GOV'T ORG 6200 PROGRAM SUPPORT CIVIC THEATRE OF ALLENTOWN 527 N 19TH STREET ALLENTOWN PA 18104 232152581 501(C)(3) 6000 PROGRAM SUPPORT LEHIGH VALLEY PHANTOMS YOUTH PO BOX 1174 BETHLEHEM PA 18016 223448142 501(C)(3) 6000 PROGRAM SUPPORT PEDIATRIC CANCER FOUNDATION 4501 CRACKERSPORT ROAD ALLENTOWN PA 18104 202297295 501(C)(3) 6000 PROGRAM SUPPORT FUND TO BENEFIT CHILDREN AND YOUTH INC 904 WEST HIGHLAND STREET WHITEHALL PA 18052 232643243 501(C)(3) 5450 PROGRAM SUPPORT 76 1 MEDICAL SCHOOL SCHOLARSHIPS 28 408552 SCHOOL OF NURSING SCHOLARSHIPS 106 146376 NURSING DIPLOMA SCHOLARSHIPS 40 6284 SCHOLARSHIPS 8 1873 SCHEDULE I, PART I; QUESTION 2 GRANTS ARE MONITORED BY THE NETWORK'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS. X true true X X X X X false false false false false true true true false John L Nespoli PRES-CARBON/LEHIGHTON CAMPUS 441996 0 191641 0 24230 0 13200 0 23360 0 694427 0 0 0 CORE FORM, PART VII AND SCHEDULE J TAXABLE COMPENSATION REPORTED HEREIN IS DERIVED FROM 2023 FORMS W-2. SCHEDULE J, PART I; QUESTION 1A THE ORGANIZATION MAINTAINS A MEMBERSHIP IN A COUNTRY CLUB FOR BUSINESS PURPOSES. THE COUNTRY CLUB REQUIRES THAT AN INDIVIDUAL IS NAMED AS THE MEMBER; ACCORDINGLY THE ORGANIZATION HAS DESIGNATED ITS PRESIDENT/CEO, RICHARD A. ANDERSON, AS THE MEMBER. SCHEDULE J, PART I; QUESTION 3 COMPENSATION REVIEW ------------------- EXECUTIVE COMPENSATION FOR THE HEALTH NETWORK CONSISTS OF FIXED SALARY, AT-RISK COMPENSATION AND OTHER DEFERRED COMPENSATION ARRANGEMENTS. TOTAL COMPENSATION FOR NETWORK EXECUTIVES IS APPROVED ANNUALLY BY THE NETWORK'S BOARD OF TRUSTEES. THE RECOMMENDED COMPENSATION IS ESTABLISHED THROUGH A MULTI-FACETED APPROACH INCLUDING USE OF AN INDEPENDENT CONSULTANT ENGAGED ON AN ONGOING BASIS BY THE BOARD OF TRUSTEES AND WHO WORKS DIRECTLY WITH THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD. ALSO INCLUDED IS THE REVIEW OF FORMS 990 AND COMPENSATION SURVEYS OF OTHER COMPARABLE HEALTHCARE ORGANIZATIONS. BONUS/INCENTIVE --------------- THE AT-RISK COMPENSATION IS APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD AND IS BASED ON SEVERAL QUALITATIVE AND QUANTITATIVE COMPONENTS, INCLUDING JOINT COMMISSION, PENNSYLVANIA DEPARTMENT OF HEALTH AND PENNSYLVANIA TRAUMA SYSTEMS FOUNDATION ACCREDITATIONS, EVIDENCE-BASED HOSPITAL PROCESS OF CARE MEASURES, OUTCOME MEASURES, SUCH AS PATIENT SATISFACTION, MORTALITY RATE, AND LENGTH OF STAY; EFFICIENCY MEASURES AS DEMONSTRATED BY COST-PER-ADJUSTED DISCHARGE AND NET INCOME. OTHER REPORTABLE COMPENSATION ----------------------------- OTHER BENEFITS INCLUDE DEFERRED COMPENSATION BENEFITS THAT HAD ACCUMULATED OVER YEARS OF SERVICE AND WAS REPORTED AND DISTRIBUTED IN ACCORDANCE WITH VESTING REQUIREMENTS AND INTERNAL REVENUE SERVICE RULES AND REGULATIONS. DEFERRED COMPENSATION --------------------- DEFERRED COMPENSATION REPRESENTS RETIREMENT BENEFITS EARNED DURING THE REPORTING PERIOD, NOT RECOGNIZED AS COMPENSATION ON THE EMPLOYEE'S 2023 FORM W-2. NONTAXABLE BENEFITS ------------------- NONTAXABLE BENEFITS REPRESENTS HEALTH AND WELFARE BENEFITS RECEIVED DURING THE REPORTING PERIOD, NOT RECOGNIZED AS COMPENSATION ON THE EMPLOYEE'S 2023 FORM W-2. COMPENSATION REPORTED ON PRIOR 990 ---------------------------------- TOTAL COMPENSATION REPORTED ON PRIOR FORMS 990 REPRESENTS RECOGNITION OF DEFERRED COMPENSATION BENEFITS THAT HAD ACCUMULATED OVER YEARS OF SERVICE AND WAS REPORTED AND DISTRIBUTED IN ACCORDANCE WITH VESTING REQUIREMENTS AND INTERNAL REVENUE SERVICE RULES AND REGULATIONS. THESE AMOUNTS WERE PREVIOUSLY REPORTED IN SCHEDULE J, COLUMN C - RETIREMENT AND OTHER DEFERRED COMPENSATION. SCHEDULE J, PART I; QUESTIONS 6A AND 6B THE EXECUTIVE COMPENSATION PACKAGE FOR THE HEALTH NETWORK CONSISTS OF BOTH A FIXED SALARY AND ADDITIONAL AT-RISK COMPENSATION THAT IS BASED ON SEVERAL QUALITATIVE AND QUANTITATIVE COMPONENTS. THE COMPONENTS OF THE AT-RISK COMPENSATION PLAN INCLUDES JCAHO, DEPARTMENT OF HEALTH AND TRAUMA CENTER ACCREDITATIONS, EVIDENCE BASED HOSPITAL PROCESS OF CARE MEASURES, OUTCOME MEASURES SUCH AS PATIENT SATISFACTION, MORTALITY RATE, LENGTH OF STAY, EFFICIENCY MEASURES AS DEMONSTRATED BY COST PER ADJUSTED DISCHARGE AND FINALLY NET INCOME. SCHEDULE J, PART I; QUESTION 7 CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS COMPENSATION DURING CALENDAR YEAR 2023 WHICH WAS INCLUDED IN SCHEDULE J, PART II, COLUMN B(II) HEREIN AND IN THE INDIVIDUAL'S 2023 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT. A NORTHAMPTON COUNTY GENERAL PURPOSE AUTHORITY 233007498 66353RBJ2 2016-07-21 247783644 REFER TO SCHEDULE K PART VI false false false B NORTHAMPTON COUNTY GENERAL PURPOSE AUTHORITY 233007498 66353RCE2 2018-06-08 151481703 REFER TO SCHEDULE K PART VI false false false C LEHIGH COUNTY GENERAL PURPOSE AUTHORITY 911886539 52480GDC5 2017-09-20 62915000 REFER TO SCHEDULE K PART VI false false false D BUCKS COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY 911886539 52480GDC5 2019-09-05 109227603 REFER TO SCHEDULE K PART VI false false false A 0 0 247783644 0 1022591 14180000 2355561 0 0 65158245 165066247 0 2017 true false true true B 0 0 151481703 0 3521846 0 1666500 0 0 112316062 0 0 2019 false false false true C 0 0 62915000 0 0 2825000 185000 0 0 0 59905000 0 2019 true false true true D 0 0 109227603 0 975476 0 1227603 0 0 108343408 0 0 2020 false false true true A false false false false 0 true false false true B false false false false 0 true false false true C false false false false 0 true false false true D false false false false 0 true false false true A false false false true false false 0 false 0 false true B false true false false false false 0 false 0 false true C false true false false true false 0 false 0 false true D false true false false false false 0 false 0 false true A true B true C true D true SCHEDULE K; PART I, LINE A; COLUMN C THE 2016 SERIES A BOND REPORTED IN SCHEDULE K, PART I, LINE A, COLUMN C INCLUDES THE FOLLOWING CUSIP NUMBERS: 66353RBJ2, 66353RBK9, 66353RBL7, 66353RBM5, 66353RBN3, 66353RBP8, 66353RBQ6, 66353RBR4, 66353RBS2, 66353RBT0, 66353RBU7, 66353RBV5, 66353RBW3, 66353RBX1, 66353RBY9, 66353RBZ6, 66353RCA0, 66353RVB8, 66353RCC6 AND 66353RCD4. SCHEDULE K; PART I, LINE B; COLUMN C THE 2018 SERIES A BOND REPORTED IN SCHEDULE K, PART I, LINE B, COLUMN C INCLUDES THE FOLLOWING CUSIP NUMBERS: 66353RCE2, 66353RCG7, 66353RCF9 AND 66353RCH5 SCHEDULE K; PART I, LINE D; COLUMN C THE 2019 BOND REPORTED IN SCHEDULE K, PART I, LINE D, COLUMN C INCLUDES THE FOLLOWING CUSIP NUMBERS: 11861MAF3, 11861MAG1, 11861MAH9, 11861MAJ5, 11861MAK2, 11861MAL0, 11861MAM8, 11861MAN6, 11861MAP1, 11861MAR7, 11861MAQ9 SCHEDULE K; PART I, COLUMN F SERIES 2016: THE 2016 BONDS WERE ISSUED TO PROVIDE A PORTION OF THE FUNDSFOR THE "2016 PROJECT" CONSISTING OF THE ADVANCE REFUNDING OF ALL PORTIONOF THE AUTHORITY'S OUTSTANDING HOSPITAL REVENUE BONDS SERIES A OF 2008 AND THE FUNDING OF VARIOUS CAPITAL PROJECTS. SERIES 2017: THE SERIES 2017 BONDS WERE ISSUED TO PROVIDE FUNDS FOR A PROJECT CONSISTING OF THE REDEMPTION AND RETIREMENT OF A PORTION OF THE OUTSTANDING LEHIGH COUNTY GENERAL PURPOSE AUTHORITY REVENUE BONDS, SERIES 2007 (ST. LUKE'S HOSPITAL PROJECT) AND THE PAYMENT OF CERTAIN COSTS OF THE BONDS. SERIES 2019: THE SERIES 2019 BONDS WERE ISSUED FOR THE PURPOSE OF THE REIMBURSEMENT AND FINANCING OF THE CONSTRUCTION, ACQUISITION, RENOVATION AND INSTALLATION OF CAPITAL IMPROVEMENTS OR THE ACQUISITION AND INSTALLATION OF EQUIPMENT IN THE FACILITIES. SCHEDULE K; PART IV, QUESTION 2 THE REBATE CALCULATION FOR THE SERIES 2016 BONDS WAS PERFORMED ON JULY 21, 2021. A NORTHAMPTON COUNTY GENERAL PURPOSE AUTHORITY 233007498 2020-06-16 89555000 REFER TO SCHEDULE K PART VI false false false B BUCKS COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY 232174016 11861MAS5 2021-01-27 136414072 REFER TO SCHEDULE K PART VI false false false C NATIONAL FINANCE AUTHORITY 521034598 63609XAA8 2021-01-11 137271163 REFER TO SCHEDULE K PART VI false false false D NORTHAMPTON COUNTY GENERAL PURPOSE AUTHORITY 233007498 2022-02-01 26260000 REFER TO SCHEDULE K PART VI false false false A 0 0 89555000 0 0 8855000 421497 0 0 0 80278503 0 2020 true false true true B 0 0 136414072 0 3330265 0 1414072 0 0 87924941 0 43917520 2021 false false false true C 0 0 137271163 0 1022591 1494303 0 776860 0 2369435 0 123187306 2021 false false false true D 0 0 26260000 0 0 0 291409 0 0 0 25968591 0 2022 true false true true A false false false false 0 true false false true B false false false false 0 true false false true C false false false false 0 true false false true D false false false false 0 true false false true A false true false false true false 0 false 0 false true B false true false false false false 0 false 0 false true C false true false false false false 0 false 0 false true D false true false false false false 0 false 0 true true A true B true C true D true SCHEDULE K; PART I, LINE C; COLUMN C THE 2021 SERIES B BOND REPORTED IN SCHEDULE K, PART I, LINE C, COLUMN C INCLUDES THE FOLLOWING CUSIP NUMBERS: 63609XAB6, 63609XAC4, 63609XAD2, 63609XAE0, 63609XAF7, 63609XAG5, 63609XAH3, 63609XAJ9, 63609XAK6, 63609XAL4, 63609XAM2, 63609XAN0, 63609XAP5, 63609XAQ3, 63609XAR1, 63609XAS9, 63609XAT7, 63609XAU4, 63609XAV2, 63609XAW0 SCHEDULE K; PART I, COLUMN F SERIES 2020: THE SERIES 2020 BONDS WERE ISSUED FOR THE REDEMPTION OF 2013B BONDS, THE 2017A BONDS AND THE REMAINING BALANCE OF THE 2010 BONDS. SERIES 2021: THE SERIES 2021 BONDS WERE ISSUED TO PROVIDE A PORTION OF THE FUNDS, TOGETHER WITH OTHER AVAILABLE FUNDS, FOR REIMBURSEMENT AND FINANCING OF THE CONSTRUCTION, ACQUISITION, RENOVATION AND INSTALLATION OF CAPITAL IMPROVEMENTS AND EQUIPMENT AS WELL AS THE PAYMENTS OF COST OF ISSUANCE OF THE BONDS AND RELATED COSTS. SERIES 2021B: THE SERIES 2021B BONDS WERE ISSUED TO PROVIDE A PORTION OF THE FUNDS, TOGETHER WITH OTHER AVAILABLE FUNDS, FOR REIMBURSEMENT AND FINANCING OF THE CONSTRUCTION, ACQUISITION, RENOVATION AND INSTALLATION OF CAPITAL IMPROVEMENTS AND EQUIPMENT AS WELL AS THE PAYMENTS OF COST OF ISSUANCE OF THE BONDS AND RELATED COSTS. SERIES 2022B: THE SERIES 2022B BONDS WERE ISSUED TO REFUND THE NORHAMPTON COUNTY GENERAL PURPOSE AUTHORITY HOSPITAL REVENUE BONDS SERIES 2013A AND THE PAYMENT OF COST OF ISSUANCE OF THE BONDS AND RELATED COSTS. A Northampton County General Purpose Authority 233007498 66353RDG6 2024-04-04 349477209 REFER TO SCHEDULE K PART VI false false false B Northampton County General Purpose Authority 233007498 66353RDJO 2024-04-04 80585000 REFER TO SCHEDULE K PART VI false false false A 0 0 349477209 0 1483711 0 3306293 1588287 47079335 0 153855403 144754195 2024 true false false true B 0 0 80585000 0 134326 0 555547 0 54526361 0 0 25661653 2024 true false false true A false false false false 0 true false false true B false false false false 0 true false false true A false true false false false false 0 false 0 true true B false true false false false false 0 false 0 true true A true B true SCHEDULE K; PART I, COLUMN F SERIES 2024A: The series 2024 A Bonds are being issued to deposit to project fund, refund the Northampton County General Purpose Authority Hospital Revenue Bonds series 2020, refund part B of 2018 B Bonds, paydown of other indebtedness and to cover cost of issuance related to the bonds. SERIES 2024B: The series 2024 B Bonds are being issued to provide a portion of the funds, together with other available funds, for the purpose of reimbursement and financing of the construction, acquisition, renovation, and installation of capital improvements the acquisition and installation of equipment in facilities and payment of the cost of issuance related to the bonds. RAYMOND S MIDLAM FAMILY MEMBER OF TRUSTEE 401996 EMPLOYEE false PATRICIA MUETHING FAMILY MEMBER OF TRUSTEE 79500 EMPLOYEE false Comsi St Luke's SAUNDERS - TRUSTEE 12029896 MEDICAL SERVICES false Morris Black Son COMPANY - TRUSTEE 172415 REMODLING SERVICES false SCHEDULE L, PART IV DURING THE YEAR ENDED JUNE 30, 2024, THIS ORGANIZATION HELD A 50% EQUITY INTEREST IN THE CENTER FOR ORAL AND MAXILLOFACIAL SURGERY AND IMPLANTOLOGY AT ST. LUKE'S, LLC, WHICH PROVIDES ORAL SURGERY SERVICES AND ENABLES THE JOINT VENTURE TO RESPOND TO COMMUNITY NEEDS. THE REMAINING 50% OF THE JOINT VENTURE WAS OWNED BY A FAMILY MEMBER OF A CURRENT MEMBER OF THE BOARD OF TRUSTEES. EFFECTIVE DECEMBER 17, 2021, ST. LUKE'S ENTERED INTO A MEMBERSHIP INTEREST PURCHASE AGREEMENT AND SOLD ITS MEMBERSHIP IN THE JOINT VENTURE TO THE OTHER 50% PARTNER. THIS ORGANIZATION PAID ORAL AND MAXILLOFACIAL SURGERY AND IMPLANTOLOGY AT ST. LUKE'S, LLC $12,029,896 FOR MEDICAL SERVICES PROVIDED DURING THE FISCAL YEAR ENDED JUNE 30, 2024. ALL TRANSACTIONS AND SERVICES ARE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. ROBERT B. BLACK IS A TRUSTEE OF THE ORGANIZATION. ST. LUKE'S HOSPITAL OF BETHLEHEM PENNSYLVANIA UTILIZED THE SERVICES OF MORRIS BLACK & SONS. TOTAL FEES PAID TO MORRIS BLACK & SONS DURING THE YEAR ENDED JUNE 30, 2024 AMOUNTED TO $172,415. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. X 1 2472359 FMV false true true SCHEDULE M, PART I; QUESTION 32B THE ORGANIZATION UTILIZES THE SERVICES OF AN INDEPENDENT INVESTMENT MANAGEMENT FIRM TO SELL DONATED SECURITIES. THE ORGANIZATION PAYS FAIR MARKET VALUE RATES AND COMMISSIONS IN THESE INSTANCES. CORE FORM, PAGE 1, BOX C PLEASE NOTE, THIS ORGANIZATION ALSO DOES BUSINESS (D/B/A) UNDER THE FOLLOWING ORGANIZATION NAMES: - ST. LUKE'S HOSPITAL - BETHLEHEM CAMPUS - ST. LUKE'S HOSPITAL - ALLENTOWN CAMPUS - ST. LUKE'S HOSPITAL - SACRED HEART CAMPUS - ST. LUKE'S HOSPITAL - LEHIGHTON CAMPUS - ST. LUKE'S ALLENTOWN FAMILY HEALTH CENTER - INNOVATIONS OF ST. LUKE'S HOSPITAL - INNOVATIONS FOR SENIORS - St. Luke's Hospital - West End Campus CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS St. Luke's University Health Network's largest hospital organization is St. Luke's Hospital of Bethlehem Pennsylvania which includes (1) St. Luke's Hospital Bethlehem Campus; (2) St. Luke's Hospital Allentown Campus; (3) St. Luke's Hospital Lehighton Campus; and (4) St. Luke's Hospital Sacred Heart Campus. The organization is recognized by the Internal Revenue Service as an Internal Revenue Code section 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, St. Luke's Hospital of Bethlehem provides medically necessary health care services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Moreover, St. Luke's Hospital of Bethlehem operates consistently with the following criteria outlined in the IRS Revenue Ruling 69-545: 1) St. Luke's Hospital of Bethlehem provides medically necessary health care services to all individuals regardless of ability to pay, including charity care, self-pay, Medicare and Medicaid patients; 2) St. Luke's Hospital of Bethlehem operates an active emergency room for all persons, which is open 24 hours a day, seven days a week, 365 days per year; 3) St. Luke's Hospital of Bethlehem maintains an open medical staff, with privileges available to all qualified physicians; 4) Control of St. Luke's Hospital of Bethlehem rests with its Board of Directors and the Board of Directors of St. Luke's Health Network, Inc., d.b.a. St. Luke's University Health Network. All boards comprise a majority of independent civic leaders and other prominent members of the community, as well as physicians on the hospital/network medical staff; and 5) Surplus funds are used to improve the quality of patient care, expand and renovate facilities and advance medical care, programs and activities. The operations of the St. Luke's Hospital of Bethlehem, as shown through the factors outlined above and other information contained herein, clearly demonstrate that the use and control of St. Luke's Hospital of Bethlehem is for the benefit of the public and that no part of the income or net earnings of the organization inures to the benefit of any private individual nor is any private interest being served other than incidentally. Mission ======= The mission of the organization is to care for the sick and injured regardless of their ability to pay, improve our communities' overall health and educate our health care professionals. The mission will be accomplished by the following: - Making the patient our highest priority. - Promoting healthy lifestyles and continuously improving care provided to heal the sick and injured. - Coordinating and integrating services into a seamless, easily accessible system of care. - Improving the level of service provided throughout the network. - Ensuring all health care services are relevant to the needs of the community. - Striving to maximize the satisfaction of our patients, employees, medical staff and volunteers and - Training allied health professionals, nursing and medical students and residents and fellows and attracting them to practice within our network's service area. Combined, the campuses of St. Luke's Hospital of Bethlehem had 37,993 patient admissions and observations, 175,134 emergency department visits and 958,145 outpatient visits in fiscal year 23-24 (FY 24). Volunteers provided 83,646 volunteer hours. ST. LUKE'S BETHLEHEM CAMPUS =========================== St. Luke's Bethlehem Campus is the flagship of the network and contains 929,891 square feet of building space housed on 38.33 acres of land. St. Luke's Bethlehem Campus has 400 acute-care beds. St. Luke's Bethlehem Campus is a joint commission-accredited, not-for-profit, tertiary care, teaching hospital located in Bethlehem, PA, founded in 1872. St. Luke's Bethlehem Campus offers more than 90 medical specialties and has 403 licensed acute care and rehabilitation beds. In FY 24, there were 20,527 admissions and observations, 48,938 emergency department visits and 525,379 outpatient registrations. In FY 24, long-time St. Luke's University Hospital - Bethlehem Campus President Carol Kuplen retired. Wendy Lazo was selected as the new president. Lazo also oversees the Network's Trauma and Internal Agency Staffing programs and oversees the Patient Access Center. Prior to her promotion, Lazo served as president of St. Luke's Miners Campus, where she hired numerous physician specialists to better serve the community and led the expansion of St. Luke's Network Trauma Program to include five Level IV trauma centers and a Level II Center at the Anderson Campus. She also oversaw the establishment of the region's first internal nurse staffing agency to address nurse staffing shortages. Lazo holds a bachelor's degree in business management and a Master of Business Administration in healthcare management. In November, St. Luke's opened the new six-bed Isaacman Family Children's Emergency Room at St. Luke's Children's Hospital in Bethlehem. The kid-friendly space, designed with a welcoming "under the sea" theme, allows children to avoid the added stress of an adult emergency room environment and reduces their anxiety while being treated. In addition to our board-certified pediatric emergency medicine physicians and specialized pediatric ER nurses, St. Luke's Child Life Specialist uses therapeutic play and education to make ER visits less frightening. As needed, the Isaacman Family St. Luke's Children's ER provides streamlined admissions to St. Luke's Pediatric Intensive Care Unit and Pediatric Inpatient Unit. As appropriate, staff members refer patients to any of more than 40 pediatric specialists at St. Luke's University Health Network. Also in FY 24, Physical Therapy at St. Luke's obtained accreditation for its Neurologic Residency and candidacy for its Pediatric Physical Therapy Residency. Neurologic physical therapists rehabilitate individuals with neurologic disorders such as stroke, spinal cord injuries and multiple sclerosis. Pediatric physical therapists address developmental, neuromuscular and skeletal issues in infants, children and adolescents, fostering improved motor skills and functional independence. The one-year Neurologic Residency Program requires extensive mentoring in both the inpatient and outpatient settings. All core faculty members are board-certified specialists in neurology. The program offers opportunities in program development, leadership development and community engagement. Nationally, there are 73 accredited neurologic physical therapy residencies, including four in Pennsylvania and two in New Jersey. St. Luke's University Health Network has been investing significantly in the growth of pediatric services over the past decade. In June 2023, the Network announced St. Luke's Children's Hospital at the Bethlehem Campus representing the culmination of the expansion in pediatric care. St. Luke's Children's Hospital is home to a Pediatric Intensive Care Unit, Inpatient Pediatric Unit, Pediatric Emergency Department and various pediatric specialty services. St. Luke's Children's Hospital also added a child life program in 2023. St. Luke's Certified Child Life Specialists help children and families cope with the stress and uncertainty of acute and chronic illness, injury, trauma, disability, loss and bereavement. They provide evidence-based developmentally and psychologically appropriate interventions including therapeutic play, preparation for procedures and education to reduce fear, anxiety and pain. Child Life Specialists can support children on the inpatient units, during surgical procedures and in the emergency department. In FY 23, St. Luke's Bethlehem Campus invested approximately $9 million dollars in equipment and facility improvements. The investments included the completion of one of the catheterization laboratories on the campus. Smaller facility improvements included HVAC and heat pump repairs and upgrades, parking deck repairs and improvements, the installation of new secure doors on select floors, upgrade of pneumatic tube stations and a variety of other investments. Work was also initiated on six bays in the Emergency Department (ED) to isolate pediatric patients, as we move toward constructing a segregated pediatric ED. Beyond these facility updates to the campus, investments were made in and upgrades tied to critical care beds, med surg beds and emergency room (ER) stretchers. The campus acquired operating room equipment including but not limited to spine tables, laparoscopic towers and camera heads, laryngoscope equipment, defibrillators and ENT (ears, nose and throat) equipment. The campus invested in anesthesia, er and medical intensive care patient monitors, as well as various adult and pediatric scopes, portable ventilators, ultrasounds and various other equipment to support the nursing units and other numerous departments that support the Bethlehem Campus. CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS St. Luke's University Hospital, Bethlehem, for the tenth time in a row and the twelfth time overall (among the 15 Best Major Teaching Hospitals category. No other hospital in the Major Teaching category this year has been named to the list more times than St. Luke's). Fortune/PINC, formerly IBM Watson Health, is a multinational health care company that delivers unbiased information, analytic tools, benchmarks, research and services to the health care industry. In addition, St. Luke's University Hospital, Bethlehem was named a Leapfrog Top Hospital. The Safety Grade assigns letter grades to hospitals nationwide based on their performance in preventing medical errors, infections, accidents, and other harms. Only 132 hospitals in the U.S. and nine in Pennsylvania were named Leapfrog Top Hospitals. In FY 24, St. Luke's Bethlehem Campus volunteers provided 52,798 volunteer hours. ST. LUKE'S ALLENTOWN CAMPUS =========================== Located in the west end of the city of Allentown, St. Luke's Allentown Campus was founded in 1945 as the Allentown Osteopathic Medical Center. In 1997, the not-for-profit medical center entered into a merger with St. Luke's University Health Network. St. Luke's Allentown Campus has 163 licensed beds and is accredited by the Joint Commission. In FY 24, there were 12,724 admissions and observations, 53,613 emergency department visits and 329,383 outpatient registrations. St. Luke's Allentown Campus has invested more than $220 million in technologic and facility improvements since it joined the network. Among the major accomplishments in FY 24, was the opening of St. Luke's University Health Network's specialty hospital for orthopedic surgery, where expert teams perform same-day surgeries of the knee, hip, spine, hand and shoulder and treat a myriad of sports-related fractures and other injuries. Built with American steel, St. Luke's Orthopedic Hospital is a two-story, 52,000-square-foot facility located at the St. Luke's West End Campus, 501 Cetronia Road, Allentown, in western Lehigh County. St. Luke's Orthopedic Hospital's first floor houses eight operating rooms and 24 rooms for pre- and post-surgery care of patients, along with support, auxiliary space and comfortable family waiting rooms. The VELYS robot-assisted orthopedic surgery system and other advanced technology will be used to maximize safety, accuracy and quality operative outcomes. The second floor will contain patient overnight rooms, staff and supplies space and shelled-in rooms for future use. In February 2024, St. Luke's Allentown opened its new Women & Babies Pavilion. This expanded facility will increase the community's access to high-quality birthing, post-partum and newborn services, including neonatal intensive care. The five-story, 85,000 square-foot tower, built onto the east side of the hospital, will meet the growing patient needs for these services at this hospital campus. Babies will be delivered here starting February 14. St. Luke's Allentown Campus capital expenditures for equipment and infrastructure needs in FY 24 totaled $1.5 million. In FY 23, the Campus prepared for its new Women and Babies Pavilion, scheduled to open in February 2024. This new expansion will include a Level 3 NICU with 10 NICU beds, nine Labor & Delivery rooms and 13 post-partum rooms. Funding of the project through FY 23 was $34M. When completed the total project cost will be $56 million. Major upgrades to medical equipment in FY 23 included various upgrades to the operating room equipment ($900,000). In addition, the West End Medical Center received a new MRI ($1.8 million) in FY 23. FY 22, improvements included a $9.6 million investment that included a parking deck, new lobby and operating room. Over the years, St. Luke's University Health Network's investment in St. Luke's Allentown Campus' outpatient services have included the St. Luke's West End Medical Center, a 107,000-square-foot outpatient center and an outpatient cancer center at the Integrated Health Campus in South Whitehall Township and many other outpatient facilities near St. Luke's Allentown Campus. In FY 24, St. Luke's Allentown Campus volunteers provided more than 13,404 volunteer hours. ST. LUKE'S SACRED HEART CAMPUS ============================== St. Luke's Sacred Heart Campus is a 175-bed community and teaching hospital in center city Allentown, Pennsylvania. In March 2018, St. Luke's Sacred Heart Campus continued to care for Lehigh Valley residents by joining St. Luke's University Health Network and became St. Luke's Sacred Heart Campus. Since joining the network, St. Luke's has made a significant financial investment in the facility and equipment at Sacred Heart. In FY 24, St. Luke's Sacred Heart Campus patient care included 4,708 observations and admissions, 29,363 emergency department visits and 101,842 outpatient visits. St. Luke's Sacred Heart provides compassionate care to a diverse population. A robust 63-bed adult and 46-bed geriatric behavioral health program provides care to adults in one of five behavioral health inpatient units and includes the region's only 16-bed Level 4 Medical Detox Program, opened in 2021. St. Luke's Sacred Heart Campus also has 22 licensed beds for a skilled nursing facility and offers family practice and dental residency programs that educate providers in a clinical setting. Two adjacent medical office buildings house a retail pharmacy, breast imaging center, cardiovascular center and specialty physician offices. St. Luke's Sacred Heart Campus ranked among the safest hospitals in the United States having received an "A" grade from the Leapfrog Group in 2016, 2017, 2020, 2021, 2022, 2023 and 2024. It was and continues to be nationally recognized in case management and is a recipient of the American Stroke Association's Gold Plus Quality Achievement Award. The Joint Commission recognized the hospital as a top performer in key quality measures and awarded it Primary Stroke Center Certification. St. Luke's Sacred Heart Campus capital expenditures for equipment and infrastructure needs in FY 24 totaled $1.5 million. Accreditation ------------- St. Luke's Sacred Heart Campus is accredited by the Joint Commission. Unannounced accreditation surveys are performed on a triennial basis. The purpose of these surveys is to evaluate each organization's compliance with nationally established joint commission standards. The survey results are used to determine whether the Campus meets the conditions under which, accreditation should be awarded to the organization. Joint Commission standards deal with organizational quality of care issues and the safety of the environment in which care is provided. Awards and Certifications ------------------------- - CMS 5-star rating. Nationally, 14% of hospitals received 5 stars, 29% received 4 stars and 29% received 3 stars - HAP (Hospital Association of Pennsylvania) Excellence in Patient Safety Recognition 2022 and 2023 - All imaging modalities at St. Luke's Sacred Heart Campus and Sacred Heart Imaging Northampton have been awarded a three-year term of accreditation in imaging by the American College of Radiology (ACR). - The laboratory of St. Luke's Sacred Heart Campus is accredited by the College of American Pathologists (CAP). The CAP accreditation process is designed to ensure the highest standard of care for all laboratory patients. The U.S. federal government recognizes the CAP laboratory accreditation program as being equal to or more stringent than the government's own inspection program. - St. Luke's Sacred Heart Campus has been granted Primary Stroke Center Certification by the Joint Commission. The Joint Commission's certificate recognizes centers that make exceptional efforts to foster better outcomes for stroke care. Achievement of certification signals that the services St. Luke's Sacred Heart Campus provides have the critical elements to achieve long-term success in improving outcomes. Critical elements to achieve long-term success in improving outcomes. - St. Luke's Sacred Heart Campus has received the American Heart Association/American Stroke Association's Get with The Guidelines - Stroke Silver Plus Quality Achievement Award. This award recognizes the hospital's commitment and success in ensuring stroke patients receive the most appropriate treatment according to nationally recognized, research-based guidelines based on the latest scientific evidence. St. Luke's Sacred Heart Campus is part of an elite group of hospitals recognized by the American Heart Association/American Stroke Association. CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS - Sacred Heart Hospital Transitional Care Facility (TCF) was rated the highest rating of five stars by the U.S. Centers for Medicare and Medicaid Services, Department of Health and Human Services. - St. Luke's Sacred Heart Campus's Vascular Laboratory has been accredited by the Intersocietal Commission for the Accreditation of Vascular Labs (ICAVI) since 1996. Parish Nursing -------------- Parish nursing is a specialty practice of registered nurses and professional model of health ministry. Parish nurses provide holistic nursing care to faith community members across the life span and facilitate wellness and the promotion of a healing community. In keeping with the organization's mission, the Parish Nursing Program seeks to strengthen and reinforce the relationship between health and spirituality by working together with faith communities to promote wellness of body, mind and spirit. The program enables St. Luke's Sacred Heart Campus to return to its original mission of caring for the spiritual needs of the community and the physical needs of the sick. Parish nursing is a member of the Coalition Board of the Greater Lehigh Valley, an ecumenical group of community members committed to supporting the parish nurse coalition membership in their ministry. This support is manifested through educational networking meetings, spiritual retreats and conferences developed for parish nurses by the parish nurse coordinator and the coalition board council members. The parish nurse coordinator is also available as a resource for community services. The programs and services the Parish Nursing Program offers are developed based on the needs of the people they serve. Additionally, parish nurses are specially trained to work within faith communities. The department includes a community outreach staff members who focuses specifically on women's health issues. Parish Nursing Services include: - Helping people of all ages overcome obstacles to obtain the health services they need and answer questions or concerns about personal health. - Helping people identify their own health challenges and provide referrals to services needed to meet those challenges. - Offering health screenings including blood pressure and health assessments. - Providing health information that may be of special interest or importance to the community, such as information concerning insurances, access to care and bilingual or cultural information. - Scheduling free screening mammograms and pap smears for uninsured and underinsured women. Senior Services --------------- - St. Luke's Sacred Heart Campus is committed to serving its senior population by providing a comprehensive continuum of care and is also dedicated to providing programs and resources for caregivers of the elderly. - Comprehensive senior services provide preventive treatment options, treatment for existing conditions, educational programs and senior living services. The focus for Senior Services is to improve the quality of life for each individual. - West Turner Residences offer both personal care and independent living. Short, long, respite, rehabilitation, post-hospital and vacation stays are available. - Personal care enhances the lives of seniors who wish to maintain their independent lifestyle but find they need a helping hand. Independent living maximizes retirement lifestyle with the assurance of 24-hour security, housekeeping services, an inclusive dining package and the close companionship of family and friends. If the level of care or daily requirements changes from independent living to personal care, there is no need to change the suite or apartment. The same services can be provided in the current residence. Also, couples can have diverse levels of care and remain living together. In FY 24, St. Luke's Sacred Heart Campus volunteers provided 12,905 volunteer hours. ST. LUKE'S LEHIGHTON CAMPUS =========================== St. Luke's Lehighton Campus, formerly known as, previously part of the Blue Mountain Health Network, became part of St. Luke's University Health Network on January 1, 2018. The Palmerton Hospital, also part of the Blue Mountain Health acquisition closed in June 2019, however, it re-opened as an urgent care facility, with extended hours, to the Carbon community on July 1, 2019. On June 1, 2021, St. Luke's Lehighton Campus fell under the Bethlehem Campus operating license. In FY 24, patient care provided by St. Luke's Lehighton Campus included 1,220 and 54,634 outpatient registrations. St. Luke's Lehighton Campus provides behavioral health inpatient care and outpatient medical and surgical care. As of Nov. 20, 2021, emergency services were relocated to the new hospital at 500 St. Luke's drive off Harrity Road in Franklin Township, Lehighton. With the opening of the new hospital, the focus of St. Luke's Lehighton Campus operations shifted to in-patient behavioral health, outpatient services, the Summit Nursing Facility and the Patient Acute Rehabilitation Center (ARC), along with additional physician offices. The Campus is also home to the 22-bed adult and 20-bed older adult mental health units, St. Luke's Penn Foundation Psychiatric Associates - Lehighton, and the region's first Mental Health Walk-in Center. The Center provides services in a welcoming, comfortable, safe environment for individuals aged 14 and older who need support for non-life-threatening mental health issues such as anxiety, panic attacks, depression, grief, thoughts of self-harm, mood swings, anger and school phobia. In FY 2022, the Carbon County Veteran's Affairs Office opened a satellite office at St. Luke's Lehighton Campus. With approximately 5,000 veterans, Carbon County has led the state in veteran suicides, according to center for rural Pennsylvania data. Locating the office in a hospital facilitates and encourages veterans coping with behavioral health issues to seek help available at the Campus. St. Luke's Lehighton Campus operates a 22-bed inpatient acute rehabilitation unit on the third floor of St. Luke's Lehighton hospital. The unit provides inpatient rehabilitation for patients who have experienced stroke, major-multi traumas, complex joint replacements, amputation, severe arthritis, multiple sclerosis and other physical and neurological conditions. The acute rehabilitation team offers specialized rehabilitation care in beautifully appointed rooms and is the most comprehensive unit of its type in the Carbon County area. In FY 24, the services available at St. Luke's Lehighton Campus included: - Adult Behavioral Health - Adult Partial Hospitalization - Cardiac Catheterization - Cardiology - Critical Care - ECT (Electro-Convulsive Therapy) - Emergency Services - Endoscopies - Endocrinology - Gynecology - Infusion Services - Neurology - Older Adult Behavioral Health - Orthopedics, Joint and Muscle Disorders - Pain Management - Radiology (Advanced, Interventional) - Sleep Disorders Center - Physical And Occupational Therapy, Rehabilitation - Surgery (General, Specialty and Laparoscopic) - Vascular Services - Pulmonology St. Luke's Lehighton Campus also includes the Summit Nursing and Rehabilitation Center. It features advanced skilled nursing care for patients provided by a team of physical, occupational and speech therapists, as well as knowledgeable and dedicated physicians, nurses and support staff. All patients can take advantage of restorative nursing programs, planned activities and religious services in a comfortable environment. The St. Luke's Lehighton Campus works closely with the St. Luke's Carbon Campus in serving patients in the area. St. Luke's Carbon hospital is a three-story, 52-patient-room, 160,000 square-feet facility. It is the largest Campus of its kind in the history of Carbon County and the first new hospital built in the County in 65 years. It is the centerpiece of the network's new 108-acre technologically advanced, multipurpose, rural medical and wellness complex. It redefines health care access, convenience and quality for the local population and surrounding areas. CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS All rooms are private and outfitted with wall-mounted, 55-inch smart TVs to facilitate two-way audio/visual communication between patients and their providers anywhere, as well as patients and their family members worldwide. Real-time, computer system-linked digital whiteboards in patient rooms display the names of the patient's caregivers, day of the week, scheduled activities and other useful safety information. First of its kind Life-Aire Air Purification Systems installed in the air ducts throughout the hospital's treatment areas kill all air pathogens, including COVID-19 and anthrax, making it one of the few hospitals in the nation with this novel technology. FY 24 highlights included significant improvement in the retention of staff at both the St. Luke's Carbon and Lehighton campuses when compared to the prior year performance. The fiscal year to date turnover rate at the Carbon Campus is 8.5% and represents a 15% decrease from the prior year. The year-to-date turnover rate at the Lehighton Campus is 9.9%, a 49% improvement over the prior year. This improvement was achieved through a multipronged strategy including educational initiatives for department managers, expanded clinical rotations of nursing and other students, strengthening of recruitment talent, expanded social media posts to potential candidates and ongoing efforts to build a strong organizational culture at both campuses. Volunteers: in FY 24, St. Luke's Lehighton volunteers provided 4,539 volunteer hours. ST. LUKE'S HOSPITAL OF BETHLEHEM, PA AWARDS =========================================== Lown Institute Awards Hospitals for Socially Responsibility and Charitable Giving: In July 2023, St. Luke's University Hospital in Bethlehem was ranked #1 in Pennsylvania for social responsibility on the 2023-24 Lown Institute Hospitals Index, utilizing various diverse metrics such as community benefit and racial inclusivity. Nationwide, St. Luke's University Hospital was ranked sixth. St. Luke's University Health Network earned an 'A' in social responsibility, ranking #12 nationally out of nearly 300 health systems, and each of the Network's hospitals also earned an 'A.' St. Luke's Bethlehem Campus was named an Honor Roll Hospital. It earned straight 'A' grades across all categories in the index's top measures: social responsibility, health equity, value of care and patient outcomes. Only 54 hospitals nationwide earned Honor Roll status. In March, Lown Institute identified St. Luke's University Health Network for the third consecutive year as the Pennsylvania's No. 1 health system for charitable giving. St. Luke's is the only health system in the Lehigh Valley with a "fair share" surplus, meaning it spends more on charity and community investment than it receives in tax breaks, according to Lown. No Pennsylvania hospital had a greater surplus than St. Luke's University Hospital, comprising both the Bethlehem Campus in Fountain Hill and the Allentown Campus. U.S. Centers for Medicare & Medicaid (CMS) Top Quality Scores: In August 2023, St. Luke's received the highest possible quality rating - five stars - from the annual quality and safety hospital review conducted by the U.S. Centers for Medicare & Medicaid (CMS). St. Luke's was the only health network in the Lehigh Valley to receive the highest rating. The CMS ratings are based on an examination of the quality of care at more than 4,000 Medicare-certified hospitals across the country. The quality measures include safety and value of care, readmission, infection, complication rates, mortality, patient experience, effectiveness and timeliness of care and efficient use of medical imaging. Leapfrog's Top Ranked Nationally for Safety: Leapfrog, an independent nonprofit hospital safety watchdog, named multiple St. Luke's University Health Network (SLUHN) hospitals to the Top Hospital list announced in December 2023. Of the nine hospitals in Pennsylvania to earn the prestigious Top Hospital designation from Leapfrog, more than half are St. Luke's facilities, including St. Luke's University Hospital - Bethlehem Campus and St. Luke's Allentown Campus. Leapfrog's Top Hospital award recognizes the highest-performing hospitals in the United States in the teaching, general, rural and children's categories. It is based on objective data across many areas of hospital care, including infection rates and the hospital's capacity to prevent medication errors. HAP Quality and Safety Awards: In January, the Hospital and Healthsystem Association of Pennsylvania (HAP) recognized the Pennsylvania hospitals that have achieved exemplary results preventing infections - and St. Luke's had more hospitals on the list than any other health system in the state. Five of the 22 hospitals honored for patient safety are St. Luke's, including St. Luke's University Hospital, Bethlehem Campus and St. Luke's Allentown Campus. In October 2024, St. Luke's Bethlehem Campus was designated a Premiere Fortune/PINC AI (formerly Fortune/Merative) 100 Top Hospital in 2023, for the 10th time in a row and 12th time overall. St. Luke's Bethlehem Campus was also identified as the #4 Top Teaching Hospital in the country. Fortune/ PINC AIT 100 Top Hospitals - 10th year in a Row Plus Multiple 100 Top Hospital Awards: In April 2024, St. Luke's University Hospital, Bethlehem, Allentown and Sacred Heart campuses, for the tenth time in a row and the twelfth time overall among the 15 Best Major Teaching Hospitals category. No other hospital in the Major Teaching category this year has been named to the list more times than St. Luke's. In Pennsylvania, only six hospitals earned a place on the 100 Top Hospitals list, three of which are St. Luke's campuses including St. Luke's Hospital of Bethlehem, PA, which comprises the Bethlehem, Allentown and Sacred Heart campuses, was recognized among the 15 best Major Teaching Hospitals. No other hospital in the Major Teaching category this year has been named to the list more times than St. Luke's. USDA Honors St. Luke's Community Health with Gold-Level Turnip the Beet Award for Its Summer Meals Program for Schoolchildren: In June 2024, the U.S. Department of Agriculture's Food and Nutrition Service (USDA FNS) awarded St. Luke's University Health Network's Department of Community Health the 2023 Gold-Level Turnip the Beet Award - the highest level possible - for its Summer Meals program, providing nutritious, high-quality meals to children in need in the Allentown and Quakertown school districts during the summer months. St. Luke's was one of only 140 summer programs to receive the Turnip the Beet Award in 2024, one of only two, and the only one in Pennsylvania, to receive the gold award. The St. Luke's Summer Meals program was recognized for demonstrating a commitment to serving fresh produce to families, which is provided by St. Luke's Rodale Institute Organic Farm. In addition to produce from the farm being used in their lunches, families also had the opportunity to take home bags of fresh produce, along with recipes and meal preparation ideas, through the St. Luke's Community Supported Agriculture (CSA) program. The St. Luke's Summer Meals program was launched in response to the Network's 2019 Community Health Needs Assessment (CHNA). According to Whitney Szmodis, PhD, St. Luke's Department of Community Health epidemiologist, there has been a 228% increase in meals served to children since the program started. CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Community Outreach ================== During Fiscal Year 2024 (FY 24), St. Luke's University Health Network (SLUHN) continued efforts related to top priorities established through the 2022 Community Health Needs Assessment (CHNA). These priorities, outlined in the 2022-2025 Implementation Strategy, progress with initiative updates from FY 24 are detailed in the report. Our efforts to implement sustainable initiatives that focus on a wide range of health and quality of life outcomes are a result of data-driven strategies to promote overall health and wellbeing. While there are many issues facing our communities, the results from the 2022 CHNA found the top priorities for the St. Luke's Network to include: Access to Care (Connection to Care, Workforce Development, Transportation and Housing), Chronic Disease Prevention (Food Security, Nutrition Education and Promotion, Physical Activity Promotion), Mental and Behavioral Health (Access to Mental and Behavioral Health Services, Access to Opioid and other Substance Use Disorder Services, Access to Prevention, Treatment and Recovery). The needs outlined in our implementation strategy serve as a guide to support strategic initiatives through the pillars of prevention and wellness, care transformation and research and partnerships. Through collaborations with community and Network partners, we aim to promote a more equitable society with better health outcomes for all, with an emphasis on supporting the diverse needs of our most vulnerable populations. more equitable society with better health outcomes for all, with an emphasis on supporting the diverse needs of our most vulnerable populations. emphasis on supporting the diverse needs of our most vulnerable populations. The needs related to the priority areas outlined in this document served as our guide in creating this Network Implementation Plan to best address the needs of populations within the SLUHN service areas. Results from the 2022 CHNA found access to care as the main barrier facing our community, particularly within the four main priority areas. The updates to the Fiscal Year 2022-2025 implementation strategy include removing the priority area of COVID-19. Given the end of the public health emergency and continued decline of the pandemic, COVID-19 was removed from the implementation strategy as a top priority for the Fiscal Year 2023 update as well as for Fiscal Year 2024. Continued monitoring of COVID-19 ensures that the Network is prepared to pivot and re-prioritize as necessary. St. Luke's University Health Network (SLUHN) conducts a Community Health Needs Assessment (CHNA) every three years as part of the Patient Protection and Affordable Care Act. Through our analysis of primary and secondary data, as well as the CHNA key informant interviews, forums and surveys with community members, we see significant issues facing our communities that impede healthy lifestyles. Our efforts in prevention, care transformation, research and partnerships help support our work to implement sustainable initiatives that focus on a wide range of health and quality of life outcomes. SLUHN supports a Department of Community Health that utilizes CHNA results to inform its strategic plan and catalyze initiatives that address priority needs for underserved communities. The Department's mission is to create pathways for equity toward measurable health outcomes through advocacy, access and navigation of resources for partners and underserved communities. The Department's vision is for everyone in our community to have access to exceptional health care built on a foundation of trust and compassion. Through collaborations with community and Network partners, the Department of Community Health aims to promote a more equitable society with better health outcomes, especially within the Network's most vulnerable populations. Community Health Liaisons and Community Health Workers (CHW) help to build trust to improve access to care, services and resources. Pathways have been established and strengthened to connect families to primary care, social services, food access, financial literacy, career mentoring and workforce development. St. Luke's University Hospital Bethlehem Campus ----------------------------------------------- St. Luke's University Health Network (SLUHN) partners with local schools, civic organizations and provides community resources to improve the health of the residents of Lehigh and Northampton counties and the surrounding area. Community Health liaisons and community health workers (CHW) build trust in the community to improve access to care, services and resources. Established pathways strengthen connections to primary care, social services, food access, financial literacy, career mentoring and workforce development. The overarching top priority that emerged from the results of the 2022 CHNA was access to care. This prioritizes access to primary care, mental health, dental care and other services, with an emphasis on promoting connections to care for underserved communities. Strategies to support vulnerable populations include a comprehensive approach in our urban and rural communities and school-based efforts in high-need schools and school districts. Schools serve as a community hub and provide sustainable access points to connect with students, families and the surrounding community. Based on the identified needs and priorities, each campus develops plans and sustainable initiatives to improve the health of the community. CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS St. Luke's Bethlehem supports the CHNA priority areas that are identified within the campus service area by collecting and analyzing data and incorporating community input. Based on the identified needs and priorities, each campus develops plans and programs to improve the health of the community. The St. Luke's Bethlehem Community Forum for the 2025 CHNA was held on May 17, 2024, and engaged 18 external and 12 internal partners. Partner input and feedback was integrated into the strategy and response for implementing evidence-based community health initiatives. Overall assessment results from 2022 highlight three main priority focus areas for our community health initiatives that include improving access to care, preventing chronic disease and improving mental and behavioral health. Improving Access to Care ------------------------ Bethlehem Area School District (BASD): The partnership between Community Health and BASD began more than 25 years ago and continues to connect students and their families to a medical home (i.e., primary care physician), vision, dental, behavioral health and other social services. These efforts have improved access and services to families in need. St. Luke's is part of the BASD Wellness Committee to strategize how best to improve and promote student and staff wellbeing and the BASD Attendance Committee. Community School Model: St. Luke's partners with the United Way of the Greater Lehigh Valley, as well as other local partners, to implement the Community School Model. This includes financial and programmatic support of a full-time school-based Community School Coordinator at Marvine Elementary School that works school-wide and a Family Development Specialist (FDS) at Donegan Elementary School that supports and connect students and families in need to services. During FY 24, the Marvine Community School Coordinator worked with more than 700 elementary school families to address barriers to student attendance and improve parent and caregiver engagement. At Donegan Elementary, the FDS supported more than 70 families referred by staff. Literacy promotion through Read Across America was implemented at Marvine and Donegan Elementary Schools. Mobile Youth Health Center (MYHC): During FY 24 the MYHC provided care and services to 334 unique students through 529 encounters at Broughal Middle School, Freedom High School, Liberty High School and Northeast Middle School. These encounters included connections to medical insurance, a medical home, vision and dental services and additional community resources. The MYHC team also provided an additional 4,350 health screenings, vaccines and other services to students. The MYHC care team provided 142 vision vouchers to the district students with a value of $9,645. Star Community Health: Star Community Health is a Federally Qualified Health Center Look-Alike (FQHC-LA) affiliated with St. Luke's that provides care and wraparound services to uninsured and underinsured individuals and families at little or no out-of-pocket cost. Southside Medical and Family Medicine (Easton Avenue), located in Bethlehem, provided connection to care and services for families, medical and dental service. In Bethlehem, Star Community Health's Dental Van visited 13 schools and provided care to 575 students with a total of 634 sealants and 177 restorations. Temple/St. Luke's Medical Students Community Health Engagement Program (CHEP): Temple/St. Luke's offers the opportunity to participate in a Mentorship Program for students from the Bethlehem Area School District. This program seeks to connect medical students with twelve tier-two high school students who could benefit from additional support. Tier two interventions include increased instruction, supervision, positive reinforcements, academic support and more. The medical students meet with the high school students on a one-on-one basis, twice monthly, for forty-five minutes. Their time together is spent discussing college preparation, studying techniques and any other topics identified by the high school students. Workforce Development and Career Mentoring: St. Luke's supports workforce development initiatives for both adults and school-aged populations including the School-to-Work initiative, Health Career Exploration Program and the new Cultural and Linguistic Workforce Centers. These opportunities promote education, experiential learning and skills-based training to prepare individuals for the workforce and help them gain employment that provides them with a livable wage. Adolescent career mentoring programs target both in school and out-of-school youth between the ages of 15-24 years old who reside in Lehigh and Northampton Counties through a combination of hospital rotations, professional development sessions and work experience. School-to-Work (STW): The STW partnership between SLUHN and BASD has been operating for more than 25 years to help expand learning and career opportunities for local students. Since the program was founded in 1997, it has offered 400 local students an opportunity to sharpen personal communication skills while providing hands-on experience in the health care field. For many of them, it has led directly to successful careers which, in turn, helped to enrich St. Luke's work force. During FY 24 the initiative enrolled 18 ESL students, with 17 completing the program. Health Career Exploration Program (HCEP): HCEP was established more than 15 years ago. Through HCEP, St. Luke's provides experiential learning opportunities for students from diverse backgrounds to explore careers in the health care industry to help them gain insight into clinical and non-clinical roles, teach them job-keeping and job-seeking skills, help them understand future employment opportunities and build confidence in their abilities. The students spend approximately 15 hours each week working in their assigned department and receiving group instruction in key life skills including financial literacy, leadership, resume development and interviewing skills. Since the program inception, 98% of students who participated in HCEP have graduated from high school. During FY 24, 29 HCEP students enrolled the program, 15 placed at the Bethlehem Campus and shared a final presentation where they highlighted their experiences and the skills they learned. Cultural and Linguistic Workforce Development Centers: The Centers assist workers at any stage in their career to train for and access employment opportunities that meet the demands of local employers in the Lehigh Valley. During FY 24, the Bethlehem Center engaged 163 individuals of which 73.6% enrolled in ESL classes or skill-based trainings with Northampton Community College and/or received employment services. findhelp: St. Luke's partners with findhelp, a free self-navigating online platform (sluhn.findhelp.com). findhelp is a social care network established to provide a comprehensive platform for people to find social services in their communities and for nonprofit and other community-based organizations to coordinate their service delivery and support services. St. Luke's Information Technology, Quality, Case Management and Community Health work collaboratively, especially with Star Community Health, with more than 1,246 established (i.e., claimed) community-based partners in the communities we serve. findhelp allows community members to search for and connect to Social Determinants of Health (SDOH) support such as financial assistance, food pantries, medical care, transportation and more. This platform, as well as United Way's 211, are tools that Community Health liaisons use to assist our community members, patients and staff to connect to vital resources. Community Health continues to onboard priority partners to ensure accurate and up-to-date resources are available to our communities. Network-wide there were 30,227 searches during FY 24 with the top searches including food, housing and utilities. In the Bethlehem service area, there were a total of 9,261 searches during FY 24 in Northampton County, with the top services including food, housing and transportation. In Lehigh County, there were a total of 8,950 searches with the top searches including food, transportation and federal and state assistance programs. HOPE (Health, Outreach, Prevention, Education): HOPE at St. Luke's provides clinical, case management and prevention services to persons living with HIV. CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS At the end of FY 24, 368 active (unduplicated) patients were receiving medical care at the Bethlehem and Easton locations and there has been an increase in patients with complex needs (e.g., medically compromised, homeless, uninsured, undocumented). There were 489 active patients that received Medical Case Management services in Allentown, Bethlehem, Easton and Tannersville. In collaboration with AIDSNET and the Pennsylvania Department of Health, HOPE opened an office at St. Luke's Sacred Heart Campus in 2022, expanding HOPWA (Housing Opportunities for People with AIDS) services to Lehigh County. HOPE hired five Housing Coordinators and two additional Case Managers to meet the growing needs of those served. During FY 24, 127 patients received housing assistance through ongoing rental assistance, connection to public housing, or by actively working with a Housing Coordinator to identify housing opportunities and additional housing services were provided. Hispanic Center of the Lehigh Valley (HCLV): St. Luke's has established collaborative processes with community partners, such HCLV, to meet individuals where they are and promote connections and access to care and services, including a community food pantry that served 742 households, with 2,256 visits and a total of 7,556 encounters in FY 24. St. Luke's continues to support the infrastructure and capacity building at HCLV. Transportation -------------- St. Luke's transportation services, in collaboration with Lyft and Uber rideshares, ensures access to care by supporting rides to and from appointments. Transportation initiatives supported by SLUHN align with the primary goal of improving access to primary care for homeless and near homeless populations. By providing complimentary Lyft rides to and from appointments with primary care doctors and other specialists, this initiative allows patients to receive routine care in a timely manner, with the added goal of reducing the frequency and overuse of Emergency Department resources. More than $900,000 in Lyft and Uber rides were provided for services Network-wide. Housing ------- Stable housing greatly impacts an individual's ability to access and maintain regular medical care. St. Luke's partners with local organizations to address the housing shortage through community partnerships at the campus-level to build capacity within the community. St. Luke's is also working with the City of Bethlehem on a Choice Neighborhood Planning Grant. Maternal and Child Health: Since 1919, St. Luke's Visiting Nurse Association (VNA) has been serving the Lehigh Valley and surrounding communities. It is a not-for-profit agency that provides a full range of services including home health and hospice services; and mother/baby care to residents of the communities served. The VNA operates three programs under the Maternal Child Health department that support children and families. The first is a prevention model Nurse-Family Partnership (NFP) which supports and fosters positive parenting in our community making the Lehigh Valley a better place for families and children. St. Luke's NFP program was established in 2001 and serves low-income families in Lehigh and Northampton counties and its goals are to improve pregnancy outcomes, improve child health and development and enhance the economic self-sufficiency of the family. Each NFP family is partnered with a Registered Nurse (RN) early in the mother's pregnancy and receives ongoing nurse home visits throughout the pregnancy and after birth through the child's second birthday. During FY 24, NFP had 1,038 referrals, 440 families served, and 4,839 visits completed. There were 84% of babies in the program born at term and 85% of those babies born at a healthy weight. There were 97% of children vaccinated at two years of age and 66% of mothers working at the time they graduated from the NFP program. Additionally, 87% of mothers who completed the program delayed their next pregnancy beyond two years. The second is a new model brought to the VNA this fiscal year in collaboration with St. Luke's Behavioral Health Integrations team, Moving Beyond Depression, is in the pilot phase to help support mothers enrolled in NFP with a diagnosis of major depression. Initial results indicate a 93% client satisfaction score, with 83% of clients reporting improved quality of life and 83% more likely to seek mental health care in the future. The third program is an intervention program, the Visiting Nurse Advocate for the County (VNAC). This intensively focused program provides services to families that are referred by the Offices of Children, Youth and Family Services (OCYS) in Lehigh and Northampton Counties. The program works to promote positive growth in the families and serves to create safety nets for the children involved. Families are partnered with a RN, who provide family support, parenting education and guidance, life skills and case management services. The services are provided using a holistic nursing approach, centered on family preservation. The goals of this program are that the parent/caregiver will provide a safe environment for the child, to increase parenting knowledge and skills and that the parent/caregiver will mee the child's health and medical needs. During FY 24, there were 99 families served, with 82% showing improved safety in the living environment, 73% improved parenting knowledge and skills and 85% improved child's health and medical needs being met. Preventing Chronic Disease -------------------------- Food access is a critical component of maintaining health and preventing chronic disease. Issues related to food access include access to healthy foods. SLUHN partners with local organizations through our schools and community partners to decrease food insecurity and promote healthy lifestyles. Marvine Food Pantry: Through partnerships with Second Harvest Food Bank, Marvine Elementary School provides a food pantry for students and families facing food insecurity. During FY 24, more than 1,100 households (duplicated) were supported through Marvine's food initiatives. Community Supported Agriculture (CSA): St. Luke's Bethlehem CSA donated 121 shares to local community organizations including the cancer support community and local churches. A total of $86,520 was invested back into the community in revenue for local farmers. Hispanic Center Lehigh Valley (HCLV): The food pantry at HCLV provided access to food for families in need through their pantry in Southside Bethlehem. During FY 24, the food pantry assisted 742 households, with 2,256 visits and a total of 7,556 encounters. New Bethany Inc: St. Luke's Bethlehem Campus works closely with New Bethany Inc to help address food insecurity. To date, they have provided over $3,592.56 of food donations to New Bethany Inc. Physical Activity: Get Your Tail on the Trail is a free program created in 2013 by SLUHN and Delaware & Lehigh National Heritage Corridor. The program aims to help people of all ages and abilities to meet their personal fitness goals. Since program inception, there have been a total of 5,757,196 miles recorded. Network-wide, there were 2,382 active users that logged 712,995 miles during FY 24. Diabetes Education and Prevention --------------------------------- Diabetes Self-Management, Education and Support (DSMES) is provided for patients In Allentown, Bethlehem and Coaldale through the Department of Community Health. This program is executed through our partnership with the Association of Diabetes Care and Execution Specialists for our Diabetes Education Accreditation Program (DEAP). Additionally, St. Luke's Center for Diabetes & Endocrinology serves additional sites throughout the network. The Department of Community Health established a quality improvement initiative, Diabetes CARES (Clinical Assessment, Resources, Education and Support), for patients at Star Community Health (Allentown and Bethlehem). This program, in collaboration with our residencies, provides DSMES and a focused team approach to reduce the percentage of patients with poorly controlled diabetes (HgbA1c > 9.0). This initiative included clinical diabetes visits, diabetes education with a bilingual Community Health Worker, physical activity opportunities, diabetes self-management, support and access to healthy food. The project's goal was to decrease the clinic's overall Diabetes Poor Control from 34% to 30%; Star Community Health Southside Bethlehem achieved 30%. CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Smoking Cessation: SLUHN's smoking cessation program provides services with certified tobacco treatment specialists, physicians and/or advanced practitioners for individuals currently using tobacco and interested in quitting. During FY 24, 324 SLUHN patients received treatment for nicotine/tobacco, a 17% increase from FY23. St. Luke's received a Comprehensive Center of Excellence accreditation from the Smoking Treatment Accreditation & Recognition (STAR) team, a program funded by the PA Department of Health and managed by the Health Promotion Council. STAR's mission is to facilitate the integration of tobacco dependence treatment into existing health care workflows and to recognize organizations whose smoking cessation services exceed exceptional standards. Employee Wellness: St. Luke's University Health Network recognizes that the health of its workforce is important and vital to the success of our organization. To support our employees and their spouses, the St. Luke's Employee Wellness Team provides evidence-based programming and health education to empower individuals to positively impact their health and reduce their risk of chronic health conditions through making healthy lifestyle choices. In alignment with the Network CHNA top priorities (i.e., Access to Care, Chronic Disease Prevention, Mental and Behavioral Health), Employee Wellness provides opportunities for employees and their spouses to focus on their physical, mental and social well-being, to help foster a high quality of life while managing the demands of their roles at work and home. During FY 24, the following programs and resources were provided to support employee wellness: Caring Starts with You Core (annual biometric and health risk assessment program), Community Supported Agriculture Program (CSA), health coaching, Plant Based Eating Class, Diabetes Prevention Program (DPP), tobacco cessation, Employee Fitness Incentive Program, massage therapy, Silver Cloud, Employee Assistance Program and Therapy Anywhere. The CSA program provided the opportunity to improve access to fresh, local produce. Through this initiative, 121 shares were donated in the Bethlehem service area to a local food pantries and non-profit organizations. Improving Mental and Behavioral Health -------------------------------------- St. Luke's Substance Use Disorder (SUD) Response Warm Hand Off (WHO): WHO is an initiative to support the continuum of care for patients in need of multiple services and providers. It is a transfer of care between providers with the patient (and potentially family) present to ensure clear communication, transparency and helps to build relationships between patients and providers. St. Luke's collaborates with local community-based organizations and local county to support WHO efforts. In the Bethlehem University Hospital, a total of 144 WHO were conducted for alcohol, cannabis, cocaine, opioids and other stimulants during FY 24. Northampton County Task Forces: Community Health worked with the Northampton County Opioid Task Force to connect patients to SUD treatment and recovery services as well as the Northampton County Suicide Task Force to provide mental health trainings, including Question, Persuade, Refer (QPR) Suicide Prevention. School-based Programs: Your Emotional Strength Supported (YESS!) school-based mental health counseling is designed to support students with mental health needs at school. A total of 4,408 student encounters for the YESS! Program occurred during FY 24 in nine Bethlehem elementary schools and Northeast Middle School. Your Emotional Strength Supported (YESS!) established school-based mental health counseling in Bethlehem Area School District. Mindfulness rooms were created at Marvine Elementary School for staff, Donegan Elementary School for students and Boys and Girls Club of Bethlehem for adults and children to support mental health and self-care. St. Luke's Penn Foundation Education: St. Luke's Penn Foundation Mental Health provides educational lectures series, videos and podcasts during the year on topics such as Recognizing Signs and Symptoms of Childhood Anxiety and Depression and Interventions that Parents Can Use. St. Luke's "Just STARt the Conversation: a dialogue on mental health" podcast is available throughout the community to discuss timely topics in mental health. Over 30 episodes discuss topics ranging from Dealing with A Loved One's Addiction as a Family to Youth Sports and Mental Health. St. Luke's Wellness 101 show is fun and educational and the short video series is designed to help students 12 + and adults thrive (with over 100 episodes). Wellness 101 Junior is for children ages 6-12 with 30 episodes to choose from that range in topics from sleep to how to ask for help. Partnerships and Collaborations: ------------------------------- - Boys and Girls Club Bethlehem - Bethlehem Health Bureau - Community Action Lehigh Valley (CALV) - Bethlehem Library - Northampton Community College - Coalition for Appropriate Transportation - Bethlehem Police Department - SHARE Housing - Pinebrook Family Services - Moravian University - Star Community Health - Hispanic Center Lehigh Valley - Just Born - Lehigh University - New Bethany Ministries - Northampton County SUD Response - Northampton County Suicide Task Force and Question, Persuade, Refer trainings - Second Harvest Lehigh Valley - United Way of the Greater Lehigh Valley - Volunteer Center Lehigh Valley - Cay Galgon - CITY OF BETHLEHEM - Bethlehem Emergency Shelter St. Luke's Allentown and Sacred Heart Campuses ---------------------------------------------- St. Luke's University Health Network (SLUHN) conducts a Community Health Needs Assessment (CHNA) every three years as part of the Patient Protection and Affordable Care Act. Through our analysis of primary and secondary data, including the CHNA key informant interviews, forums and surveys with community members, we see significant issues related to social determinants of health (SDOH) facing our communities. Our efforts in prevention, care transformation, research and partnerships help support our work to implement sustainable initiatives that focus on a wide range of health and quality of life outcomes. Through collaborations with community and Network partners, the Department of Community Health (Community Health) aims to promote a more equitable society with improved health outcomes, especially within the Network's most vulnerable populations. Community Health's mission is to create pathways for equity toward measurable health outcomes through advocacy, access and navigation of resources for partners and underserved communities. The Department envisions a community where everyone has access to exceptional health care built on a foundation of trust and compassion. SLUHN partners with local schools, civic organizations and community-based organizations to provide community resources to improve the health of the residents of Lehigh County and the surrounding area. Community health liaisons and community health workers (CHW) build trust in the community to improve access to care, services and resources. Established pathways strengthen connections to primary care, social services, food access, financial literacy, career mentoring and workforce development. The overarching top priority that emerged from the results of the 2022 CHNA was access to care. This prioritizes access to primary care, mental health, dental care and other services, with an emphasis on promoting connections to care for underserved communities. Strategies to support vulnerable populations include a comprehensive approach in our urban and rural communities and school-based efforts in high-need schools and school districts. Schools serve as a community hub and provide sustainable access points to connect with students, families and the surrounding community. Based on the identified needs and priorities, each campus develops plans and sustainable initiatives to improve the health of the community. St. Luke's Allentown and Sacred Heart Campuses support the CHNA priority areas that are identified within the campus service area through monitoring and evaluating current initiatives and incorporating community input. The St. Luke's Allentown and Sacred Heart Community Forum for the 2025 CHNA was held on May 31, 2024, and engaged 28 external and 17 internal partners. Partner input and feedback was integrated into the strategy and response for implementing evidence-based community health initiatives. Overall assessment results from 2022 highlight three main priority focus areas for our Community Health initiatives that include improving access to care, preventing chronic disease and improving mental and behavioral health. CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Improving Access to Care ------------------------ Allentown School District (ASD) Partnership Committees: Community Health and ASD have a longstanding collaboration that connects students and their families to a medical home (i.e., primary care physician), vision, dental, behavioral health and other social services. These efforts have improved access to care and services to families in need. St. Luke's participates in the ASD health partner monthly meetings to address emerging medical issues facing children and their families, as well as the ASD Homelessness Task Force which brings together key community partners to help address issues for students experiencing homelessness. Raub Middle School: St. Luke's partners with the United Way of the Greater Lehigh Valley, as well as other local partners, to implement the Community School Model. This includes financial and programmatic support of the school-based Community School Coordinator (CSC) who is cross-trained as a Community Health Worker (CHW). An After School Coordinator (ASC) is also employed to provide enrichment opportunities and to support and connect students and families to services. The Raub CSC and ASC organized 20 diverse programs and initiatives resulting in more than 700 encounters (duplicated), as well as school-wide events available to all students. The Allentown Nurse Excellence Committee supports priority needs at Raub through fundraising efforts, contributing more than $4,500 dollars to assist students with identified barriers. A financial literacy program called the Money Club, in collaboration with First Commonwealth Credit Union, was implemented in September 2023. The program ran for 12 consecutive weeks and was led by two representatives from the bank. The goal was to give students and parents the ability to understand and effectively use various financial skills, including personal financial management, budgeting and investing. From September 2023-May 2024 there were 20 families in the adult classes and 32 students in the after-school program. The Raub food pantry served only Raub families during the second half of FY 24, when the community mobile market transitioned to a school-based pantry. From January-May 2024, the school-based pantry served 388 families (1,858 individuals) and a total of 12,626 pounds of food valued at $53,855. Mobile Youth Health Centers (MYHC): The MYHC provided care and services at Newcomer Academy, Raub Middle School and William Allen High School to 370 unique students in the Allentown School District through 1,066 encounters and connected them to medical insurance, a medical home, vision services, dental services and community resources. The Allentown MYHC care team completed referrals resulting in 58 completed visits with a primary care physician. A total of 88 vision vouchers were provided to ASD district students with a monetary value of $15,851. Additional health screenings, vaccines and other services were provided to 580 students. School partnerships and activities were also provided at Harrison Morton Middle School, Hays Elementary School and Union Terrace Elementary School. Star Community Health: Star Community Health is a Federally Qualified Health Center Look-Alike (FQHCLA) affiliated with St. Luke's that provides care and wraparound services to uninsured and underinsured individuals and families at little or no out-of-pocket cost. Sigal Center, located in Allentown, provided connection to care and services including Primary Care, Family Medicine, Pediatrics, Women's Health, Same-Day Care and Dental. Star Community Health's Dental Van visited 10 ASD schools, they served 658 patients and a total of 733 sealants and 218 restorations were provided. Family Medicine Resident Community Education: St. Luke's Sacred Heart Family Medicine first-year medical residents participated in the evidence-based model "See the City You Serve" to provide an opportunity to meet with key partners that help promote overall health and wellbeing. Family Medicine Residents also rotate through the Department of Community Health annually to work with Allentown based community initiatives. Workforce Development and Career Mentoring: St. Luke's supports workforce development initiatives for both school-aged populations and adults including CareerLinking Academy, Health Career Exploration Program and the new Cultural and Linguistic Workforce Development Centers. CareerLinking Academy: CareerLinking Academy combines observational learning experiences and professional development sessions focusing on exposure to health care careers with job readiness skills training. During the 2023-24 academic year, the program partnered with Lincoln Leadership Academy to serve 8 high school students. Health Career Exploration Program (HCEP): Established more than 15 years ago, HCEP offers experiential learning opportunities for high school students from diverse backgrounds explore careers in the health care industry. The program assists students to gain insight into clinical and non-clinical roles, learn employability skills, understand future employment opportunities and build confidence in their abilities. The students spend a maximum of 20 hours per week working in their assigned department and receiving group instruction on a variety of topics to increase their knowledge on employability skills, (e.g., resume development, interviewing skills, leadership, communication in the workplace). Since program inception, 98% of participating students have graduated from high school. During FY 24, 14 students from the Allentown School District enrolled in the program, with all students successfully completing the program. Cultural and Linguistic Workforce Development Centers (CLWDC): The Centers assist workers at any stage in their career to train for and access employment opportunities that meet the demands of local employers in the Lehigh Valley. During FY 24, the Allentown Center engaged a total of 269 individuals. Of these clients, 68% enrolled in English as a Second Language (ESL) classes in partnership with The Literacy Center, skill-based trainings with Lehigh Carbon Community College and/or received employment services. Community Health Navigation: Community Health Navigation had 1,591 encounters (e.g., calls, appointments, follow ups) with 408 unique individuals. These encounters resulted in 235 referrals and 178 established and completed visits. Of those referrals, 155 patients completed a visit with a primary care physician. Various resources such as clothing, hygiene and bus passes were provided to patients in need. This includes homeless or near homeless, adults, families and others facing hardships. Bridging the Gap funds were distributed to patients to support their basic needs totaling $7,460.57. Community Health Navigation also partners with local community-based organizations such as Ripple Community Inc. and Daybreak to coordinate care and connection to services, as well as the student-Led Interdisciplinary Care Center (SLICC) led by Temple/St. Luke's medical students. findhelp: St. Luke's partners with findhelp, a free self-navigating online platform (sluhn.findhelp.com). findhelp is a social care network established to provide a comprehensive platform for people to find social services in their communities and for nonprofit and other community-based organizations to coordinate their service delivery and support services. St. Luke's Information Technology, Quality, Case Management and Community Health teams work collaboratively, especially with Star Community Health, to 1,246 established (i.e., claimed) community-based partners in the communities we serve. findhelp allows community members to search for and connect to Social Determinants of Health (SDOH) support such as financial assistance, food pantries, medical care, transportation and more. This platform, as well as United Way's 211, are tools that Community Health Liaisons use to assist our community members, patients and staff to connect to vital resources. Community Health continues to onboard priority partners to ensure accurate and up-to-date resources are available to our communities. Network-wide there were 30,227 searches during FY 24 with the top searches including food, housing and utilities. In Lehigh County, there were a total of 8,950 searches during FY 24, with the top searches including food, transportation and federal and state assistance programs. CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS SLICC (Student-led Interdisciplinary Care Center): SLICC is a student-run center in collaboration with Temple/St. Luke's School of Medicine. The goal of the center is to meet community needs, especially in, or near, the housing insecure populations in the community. Students work with medical faculty mentors to establish a bridge between those with limited access to care and the greater health system by promoting cooperation and trust between the health care system and the community. SLICC not only provides clinical services with the goal of connecting patients to a medical home, but they also address SDOH by providing basic needs during clinic hours (e.g., food, clothing, hygiene products). During FY 24, SLICC provided clinical services to 68 unique individuals with 129 encounters and more than 500 SDOH resources (e.g., clothing, food, hygiene products) to individuals and families in need. Transportation -------------- St. Luke's transportation services, in collaboration with Lyft and Uber rideshares, ensures access to care by supporting rides to and from appointments. Transportation initiatives supported by SLUHN align with the primary goal of improving access to primary care for homeless and near homeless populations. By providing complimentary Lyft and Uber rides to and from appointments with primary care doctors and other specialists, this initiative allows patients to receive routine care in a timely manner, with the added goal of reducing the frequency and overuse of Emergency Department resources. More than $900,000 in Lyft and Uber rides were provided for services Network-wide. Housing ------- Blueprint Community Program: The Federal Home Loan Bank of Pittsburgh (FHLBank) selected ten new communities to become a Blueprint Community Program, including Allentown's 1st, 6th and Jordan Heights areas. The program invests in the revitalization of communities and neighborhoods in Delaware, Pennsylvania and West Virginia. St. Luke's, the only health care network to join this community team, will participate for the next 18 months in a comprehensive training to plan for a revitalization effort in Allentown. The effort was spearheaded by Embassy Bank of the Lehigh Valley and includes the following organizations: Casa Guadalupe, Allentown Economic Development Corp, Lehigh County Housing Authority, Allentown Housing Authority, City of Allentown and Community Action of the Lehigh Valley. The team will develop strategies for revitalization that improve quality of life for residents and focus on building community assets, engagement, housing improvements and increased employment and economic engagement. Past participating communities have leveraged the Blueprint Communities efforts into millions of public/private investments for their communities. Housing Action Committee: Habitat for Humanity Lehigh Valley, Community Action Lehigh Valley, City of Allentown and additional partners provided home repairs and lead abatement services in Allentown. St. Luke's continues to be part of the monthly meeting to discuss current work orders and collaborations on work projects, as well as providing support and resources to community members. HOPE (Health, Outreach, Prevention, Education): HOPE at St. Luke's provides clinical, case management and prevention services to persons living with HIV. At the end of FY 24, 368 active (unduplicated) patients were receiving medical care at the Bethlehem and Easton locations. There has been an increase in patients with complex needs (e.g., medically compromised, homeless, uninsured, undocumented). There were 489 active patients that received Medical Case Management services in Allentown, Bethlehem, Easton and Tannersville. In collaboration with AIDSNET and the Pennsylvania Department of Health, HOPE opened an office at St. Luke's Sacred Heart Campus in 2022, expanding HOPWA (Housing Opportunities for People with AIDS) services to Lehigh County. HOPE hired five Housing Coordinators and two additional Case Managers to meet the growing needs of those served. During FY 24, 127 patients received housing assistance through ongoing rental assistance, connection to public housing, or by actively working with a Housing Coordinator to identify housing opportunities for 182 housing services. Maternal and Child Health ------------------------- Since 1919, St. Luke's Visiting Nurse Association (VNA) has been serving the Lehigh Valley and surrounding communities. It is a not-for-profit agency that provides a full range of services including home health and hospice services; and mother/baby care to residents of the communities served. The VNA operates three programs under the Maternal Child Health department that support children and families. The first is a prevention model Nurse-Family Partnership (NFP) which supports and fosters positive parenting in our community making the Lehigh Valley a better place for families and children. St. Luke's NFP program was established in 2001 and serves low-income families in Lehigh and Northampton counties and its goals are to improve pregnancy outcomes, improve child health and development and enhance the economic self-sufficiency of the family. Each NFP family is partnered with a Registered Nurse (RN) early in the mother's pregnancy and receives ongoing nurse home visits throughout the pregnancy and after birth through the child's second birthday. During FY 24, NFP had 1,038 referrals, 440 families served, and 4,839 visits completed. There were 84% of babies in the program born at term and 85% of those babies born at a healthy weight. There were 97% of children vaccinated at two years of age and 66% of mothers working at the time they graduated from the NFP program. Additionally, 87% of mothers who completed the program delayed their next pregnancy beyond two years. The second is a new model brought to the VNA this fiscal year in collaboration with St. Luke's Behavioral Health Integrations team, Moving Beyond Depression, is in the pilot phase to help support mothers enrolled in NFP with a diagnosis of major depression. Initial results indicate a 93% client satisfaction score, with 83% of clients reporting improved quality of life and 83% more likely to seek mental health care in the future. The third program is an intervention program, the Visiting Nurse Advocate for the County (VNAC). This intensively focused program provides services to families that are referred by the Offices of Children, Youth and Family Services (OCYS) in Lehigh and Northampton Counties. The program works to promote positive growth in the families and serves to create safety nets for the children involved. Families are partnered with a RN, who provide family support, parenting education and guidance, life skills and case management services. The services are provided using a holistic nursing approach, centered on family preservation. The goals of this program are that the parent/caregiver will provide a safe environment for the child, to increase parenting knowledge and skills and that the parent/ caregiver will mee the child's health and medical needs. During FY 24, there were 99 families served, with 82% showing improved safety in the living environment, 73% improved parenting knowledge and skills and 85% improved child's health and medical needs being met. Preventing Chronic Disease -------------------------- Raub Food Pantry: Through a partnership with Second Harvest Food Bank, St. Luke's school-based staff implemented a monthly mobile food pantry at Raub Middle School for students, families and the school community. The pantry was open to the community until November 2023 and was serving approximately 350 households each month, providing approximately $91,000 of food. Beginning in November 2023, the pantry shifted to become an internal school-based pantry to provide more frequent access to food for students and their families. From January-May 2024, the school-based pantry served 388 families (1,858 individuals) and a total of 12,626 pounds of food valued at $53,855. Summer Meals Food Access: St. Luke's Sacred Heart Campus, in partnership with Catholic Charities and other local organizations, provided daily meals (Monday-Friday) for food insecure children from the ages of 0-18 during the summer months. There were 1,366 meals served to children and 592 meals to adults at the Sacred Heart site between June-August 2024. Through grant funds, families were provided fresh vegetables every week with shares from local farmers along with weekend bags of nonperishable items. These bags also included recipes, community resources and education. Financial support for the program was provided by Westside Hammer Electric, a division of Hatzel and Buehler. CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Employee Wellness: St. Luke's University Health Network recognizes that the health of its workforce is important and vital to the success of our organization. In order to support our employees and their spouses, the St. Luke's Employee Wellness Team provides evidence-based programming and health education to empower individuals to positively impact their health and reduce their risk of chronic health conditions through making healthy lifestyle choices. In alignment with the Network CHNA top priorities (i.e., Access to Care, Chronic Disease Prevention, Mental and Behavioral Health), Employee Wellness provides opportunities for employees and their spouses to focus on their physical, mental and social well-being, to help foster a high quality of life while managing the demands of their roles at work and home. During FY 24, the following programs and resources were provided to support employee wellness: Caring Starts with You Core (annual biometric and health risk assessment program), Community Supported Agriculture (CSA) Program, health coaching, Plant Based Eating Class, Diabetes Prevention Program (DPP), tobacco cessation, Employee Fitness Incentive Program, massage therapy, Silver Cloud, Employee Assistance Program and Therapy Anywhere. The CSA program provided the opportunity to improve access to fresh, local produce. In the Allentown and Sacred Heart service area, a total of $52,560 was invested in our local farms during the 2023 CSA season. Additionally, through this initiative, 284 shares were donated in the Allentown and Sacred Heart service area to a local food pantries and non-profit organizations. Diabetes Education and Prevention: Diabetes Self-Management, Education and Support (DSMES) is provided for patients In Allentown, Bethlehem and Coaldale through the Department of Community Health. This program is executed through our partnership with the Association of Diabetes Care and Execution Specialists for our Diabetes Education Accreditation Program (DEAP). Additionally, St. Luke's Center for Diabetes & Endocrinology serves additional sites throughout the network. The Department of Community Health established a quality improvement initiative, Diabetes CARES (Clinical Assessment, Resources, Education and Support), for patients at Star Community Health (Allentown and Bethlehem). This program, in collaboration with our residencies, provides DSMES and a focused team approach to reduce the percentage of patients with poorly controlled diabetes (HgbA1c > 9.0). This initiative included clinical diabetes visits, diabetes education with a bilingual Community Health Worker, physical activity opportunities, diabetes self-management, support and access to healthy food. The project's goal was to decrease the clinic's overall Diabetes Poor Control from 34% to 30%; Star Community Health Sigal Center achieved 30%. Smoking Cessation: SLUHN's smoking cessation program provides services with certified tobacco treatment specialists, physicians and/or advanced practitioners for individuals currently using tobacco and interested in quitting. During FY 24, 324 SLUHN patients received treatment for nicotine/tobacco, a 17% increase from FY 23. St. Luke's received a Comprehensive Center of Excellence accreditation from the Smoking Treatment Accreditation & Recognition (STAR) team, a program funded by the PA Department of Health and managed by the Health Promotion Council. STAR's mission is to facilitate the integration of tobacco dependence treatment into existing health care workflows and to recognize organizations whose smoking cessation services exceed exceptional standards. Physical Activity: Get Your Tail on the Trail is a free program created in 2013 by SLUHN and Delaware & Lehigh National Heritage Corridor. The program aims to help people of all ages and abilities to meet their personal fitness goals. Since program inception, there have been a total of 5,757,196 miles recorded. Network-wide, there were 2,382 active users that logged 712,995 miles during FY 24. Improving Mental and Behavioral Health -------------------------------------- St. Luke's Substance Use Disorder (SUD) Response Warm Hand Off (WHO): WHO is an initiative to support the continuum of care for patients in need of multiple services and providers. It is a transfer of care between providers with the patient (and potentially family) present to ensure clear communication and transparency, while helping to build relationships between patients and providers. St. Luke's collaborates with local community-based organizations and local county to support WHO efforts. Additionally, a Certified Recovery Specialist (CRS) is employed in both the Allentown and Sacred Heart emergency departments to support WHO. In the Allentown and Sacred Heart Hospitals, a total of 793 WHO were conducted for alcohol, cannabis, cocaine, opioids and other stimulants during FY 24. Narcan Education and Distribution: This service is provided to the community and in the Emergency Department, including a Certified Recovery Specialist, for individuals that present with Opioid Use Disorder (OUD) and/or overdose. St. Luke's SUD Services: St. Luke's Sacred Heart Campus' Medical Detox Unit and SUD services (e.g., Medication Assisted Treatment (MAT), SHARE clinic, behavioral health services) continue to provide vital SUD services. Recovery Center Support: Partnership between St. Luke's and Treatment Trends Inc. provides an opportunity for Temple/St. Luke's medical students to implement the student-Led Interdisciplinary Care Center (SLICC) which engages with underserved populations, provide connections to care and other SDOH services. Through our Community School partnership, positive mental health messaging and support was provided to Raub Middle School students, teachers and staff. Suicide Prevention Coalition of the Lehigh County: St. Luke's supports the Lehigh County Suicide Task Force's steering committee as well as their action teams (Prevention and Intervention and Awareness and Engagement). St. Luke's, along with other partners, collaborate to support social service organizations concerned about the rising number of deaths by suicide. This is funded by Lehigh County Mental Health and a community project grant from SAMHSA. St. Luke's Penn Foundation Education: St. Luke's Penn Foundation Mental Health provides educational lectures series, videos and podcasts during the year on topics such as Recognizing Signs and Symptoms of Childhood Anxiety and Depression and Interventions that Parents Can Use. St. Luke's "Just STARt the Conversation: a dialogue on mental health" podcast is available throughout the community to discuss timely topics in mental health. Over 30 episodes discuss topics ranging from Dealing with A Loved One's Addiction as a Family to Youth Sports and Mental Health. St. Luke's Wellness 101 show is a fun, educational and the short video series is designed to help students 12+ and adults thrive (with over 100 episodes). Wellness 101 Junior is for children ages 6-12 with 30 episodes to choose from that range in topics from sleep to how to ask for help. Partnership Collaborations -------------------------- - Allentown Police Department - Allentown Health Bureau - Allentown Public Library - Allentown Economic Development Corporation - Allentown School District - Allentown Housing Authority - Bloom - Allentown Economic Development Corp. - CareerLink (Sacred Heart Campus) - Bradberry Sullivan LGBT Community Center - Embassy Bank for the Lehigh Valley - Casa Guadalupe - Catholic Charities - Cedar Crest College - Century Promise - Community Service for Children - City of Allentown - Cohesion - Community Action of the Lehigh Valley - Daybreak (Lehigh Conference of Churches) - DeSales University - Embassy Bank - First Commonwealth Federal Credit Union - Habitat for Humanity of the Lehigh Valley - LANTA - Laundry on Linden - Lehigh Carbon Community College - Lehigh Valley Planning Commission - Lehigh Carbon Technical Institute - Lehigh Valley Economic Development Cooperation - Coalition for Transportation Lehigh Valley - Lehigh Conference of Churches - Lehigh County Suicide Task Force - Muhlenberg College - Penn College - Pennsylvania Downtown Center - Promise Neighborhoods - Pinebrook Family Answers - Ripple Community, Inc. - Sacred Heart Church - Second Harvest Food Bank of the Lehigh Valley and Northeastern Pennsylvania - Star Community Health - Treatment Trends, Inc. - The Center (Treatment Trends, Inc.) - United Way of the Greater Lehigh Valley - YMCA CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS St. Luke's Lehighton Campus --------------------------- St. Luke's University Health Network (SLUHN) conducts a Community Health Needs Assessment (CHNA) every three years as part of the Patient Protection and Affordable Care Act. Through our analysis of primary and secondary data, including the CHNA key informant interviews, forums and surveys with community members, we see significant issues related to social determinants of health (SDOH) facing our communities. Our efforts in prevention, care transformation, research and partnerships help support our work to implement sustainable initiatives that focus on a wide range of health and quality of life outcomes. Through collaborations with community and Network partners, the Department of Community Health (Community Health) aims to promote a more equitable society with improved health outcomes, especially within the Network's most vulnerable populations. Community Health's mission is to create pathways for equity toward measurable health outcomes through advocacy, access and navigation of resources for partners and underserved communities. The Department envisions a community where everyone has access to exceptional health care built on a foundation of trust and compassion. SLUHN partners with local schools, civic organizations and provides community resources to improve the health of the residents of Carbon and Schuylkill counties and the surrounding area. Community health liaisons and community health workers (CHW) build trust in the community to improve access to care, services and resources. Established pathways strengthen connections to primary care, social services, food access, financial literacy, career mentoring and workforce development. The overarching top priority that emerged from the results of the 2022 CHNA was access to care. This prioritizes access to primary care, mental health, dental care and other services, with an emphasis on promoting connections to care for underserved communities. Strategies to support vulnerable populations include a comprehensive approach in our urban and rural communities and school-based efforts in high-need schools and school districts. Schools serve as a community hub and provide sustainable access points to connect with students, families and the surrounding community. Based on the identified needs and priorities, each campus develops plans and sustainable initiatives to improve the health of the community. St. Luke's Carbon and Lehighton Campuses supports the Community Health Needs Assessment (CHNA) priority areas that are identified within the campus service area by collecting and analyzing data and community input. The St. Luke's Carbon and Lehighton 2025 CHNA Community Forum was held on April 26, 2024 and engaged 17 external and 13 internal partners. Partner input and feedback was integrated into the strategy and response for implementing evidence-based community health initiatives in the communities we serve. Overall, 2022 assessment results highlight three main priority focus areas for our community health initiatives that include improving access to care, preventing chronic disease and improving mental and behavioral health. Improving Access to Care ------------------------ Head Start: Head Start is a federally funded program designed to promote school readiness for children from low-income families. It serves children from birth to age five and supports their cognitive, social and emotional development. Community Health staff, cross trained as CHWs, provide connection to care services to students and families at PathStone Head Start. findhelp: St. Luke's partners with findhelp, a free self-navigating online platform (sluhn.findhelp.com). findhelp is a social care network established to provide a comprehensive platform for people to find social services in their communities and for nonprofit and other community-based organizations to coordinate their service delivery and support services. St. Luke's Information Technology, Quality, Case Management and Community Health work collaboratively, especially with Star Community Health, with more than 1,246 established (i.e., claimed) community-based partners in the communities we serve. findhelp allows community members to search for and connect to Social Determinants of Health (SDOH) support such as financial assistance, food pantries, medical care, transportation and more. This platform, as well as United Way's 211, are tools that Community Health liaisons use to assist our community members, patients and staff to connect to vital resources. Community Health continues to onboard priority partners to ensure accurate and up-to-date resources are available to our communities. Network-wide there were 30,227 searches during FY 24 with the top searches including food, housing and utilities. In the Carbon and Lehighton service area, there were a total of 1,951 searches during FY 24 (Carbon County), with the top services including food, housing and health (e.g., dental care, disability benefits). Literacy: St. Luke's promotes literacy in Carbon County through the evidence-based Reach Out and Read (ROR) program in partnership with Carbon County Community Foundation. ROR is integrated into our Carbon County pediatric and family medicine practices to engage families during each well patient visit. In addition, Brush, Book, Bed (BBB), an American Academy of Pediatrics initiative to engage families on the importance of a regular bedtime routine, is integrated to promote oral health, literacy and healthy lifestyles and behaviors. The Dolly Parton Imagination Library initiative, also funded by the Carbon County Community Foundation, further supports literacy and provides age-appropriate books for all Carbon County children enrolled. During FY 24, participating St. Luke's Physician Group pediatrics and family medicine practices completed 1,711 well visits for children ages 0-5 years in which trained providers and staff engaged families with messaging and resources vital for growth and development. The Dolly Parton Imagination Library initiative provides Carbon County children with an age-appropriate new book each month. At the end of FY 24, there were 1,281 active children in the program and since 2021, 649 have "graduated", meaning they aged-out of the program (i.e., reached age six). Additionally, literacy promotion through Read Across America was implemented at local schools along with the Veterans Literacy Initiative at the St. Luke's Lehighton Campus as well as Little Free Libraries. Carbon Collaborative: St. Luke's Community Health partners with the Carbon County Interagency Collaborative to provide consistent communications and support. More than 100 Carbon County social service organizations and nonprofit partners are represented, with over 35 regularly contributing to collaborative meetings. The committee identifies gaps, barriers and opportunities and prioritizes how to best align existing services and strengthen connections to care, education and resources. Additionally, several subcommittees and initiatives are established to build capacity for key community needs (e.g., transportation, literacy, early childhood education, prevention efforts, homeless task force). Transportation: St. Luke's transportation services, in collaboration with Lyft and Uber rideshare, ensures access to care by supporting rides to and from appointments. Transportation initiatives supported by SLUHN align with the primary goal of improving access to primary care for homeless and near homeless populations. By providing complimentary Lyft and Uber rides to and from appointments with primary care doctors and other specialists, this initiative allows patients to receive routine care in a timely manner, with the added goal of reducing the frequency and overuse of Emergency Department resources. More than $900,000 in Lyft and Uber rides were provided for services Network-wide. CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Carbon County School Districts: St. Luke's University Health Network (SLUHN) school-based staff provide services to students and families in the Panther Valley School District (PVSD) and our Community Health Workers (CHW) help support programs and initiatives at Carbon County School Districts. St. Luke's staff also help to implement a food pantry for PVSD families facing food insecurity. In collaboration with the St. Luke's Rural Health Centers and with support from CHWs, connections to care were established to improve access to school physicals, vaccinations, education and resources. The Star Community Health Dental Van partnered with 11 local schools during FY 24 providing services to 555 patients, including 452 sealants and 119 restorations. The Carbon County schools the dental van visits are Panther Valley Elementary, Intermediate and High School, SS Palmer Elementary School, Weatherly Elementary School, Behavioral Health Associates (BHA), as well as visits to PathStone Lehighton Head Start. Priorities in Panther Valley School District (PVSD) aligned with the Community School Model to connect students and their families to a medical home, vision, dental, behavioral health services and other social services. During FY 24, through the Mobile Youth Health Centers, 73 unique students were provided care and services through 73 encounters and consistent connection to care with school-based coordinators. Preventing Chronic Disease -------------------------- Community Supported Agriculture: St. Luke's Community Supported Agriculture (CSA) donated 22 shares of fresh fruits and vegetables from the St. Luke's Anderson Rodale Organic Farm to PathStone Head Start families. The Panther Valley Community Food Pantry was held monthly at Panther Valley Elementary and parent outreach services were provided at the pantry. The CSA invested a total of $12,440 as revenue for local farmers. Older Adult Meal Program: The Carbon Campus Older Adult Meals Program is designed to provide subsidized meals to adults 65 and older at the Carbon Campus cafeteria, which served 6,101 meals during FY 24. This initiative addresses food security and loneliness among older adults. Food Security: The Rural Health Center food access partnership was implemented to improve patient intake of fresh produce to help support healthy eating habits. The VALOR Foundation Stand Down Lansford for veterans provided quarterly food access support services. Physical Activity: Get Your Tail on the Trail is a free program created in 2013 by SLUHN and Delaware & Lehigh National Heritage Corridor. The program aims to help people of all ages and abilities to meet their personal fitness goals. Since program inception, there have been a total of 5,757,196 miles recorded. Network-wide, there were 2,382 active users that logged 712,995 miles during FY 24. Employee Wellness: St. Luke's University Health Network recognizes that the health of its workforce is important and vital to the success of our organization. In order to support our employees and their spouses, the St. Luke's Employee Wellness Team provides evidence-based programming and health education to empower individuals to positively impact their health and reduce their risk of chronic health conditions through making healthy lifestyle choices. In alignment with the Network CHNA top priorities (i.e., Access to Care, Chronic Disease Prevention, Mental and Behavioral Health), Employee Wellness provides opportunities for employees and their spouses to focus on their physical, mental and social well-being, to help foster a high quality of life while managing the demands of their roles at work and home. During FY 24, the following programs and resources were provided to support employee wellness: Caring Starts with You Core (annual biometric and health risk assessment program), Community Supported Agriculture Program (CSA), health coaching, Plant Based Eating Class, Diabetes Prevention Program (DPP), tobacco cessation, Employee Fitness Incentive Program, massage therapy, Silver Cloud, Employee Assistance Program and Therapy Anywhere. The CSA program provided the opportunity to improve access to fresh, local produce. Through this initiative, 22 shares were donated in the Carbon and Lehighton service area to a local food pantries and non-profit organizations. Smoking Cessation: SLUHN's smoking cessation program provides services with certified tobacco treatment specialists, physicians and/or advanced practitioners for individuals currently using tobacco and interested in quitting. During FY 24, 324 SLUHN patients received treatment for nicotine/tobacco, a 17% increase from FY 23. St. Luke's received a Comprehensive Center of Excellence accreditation from the Smoking Treatment Accreditation & Recognition (STAR) team, a program funded by the PA Department of Health and managed by the Health Promotion Council. STAR's mission is to facilitate the integration of tobacco dependence treatment into existing health care workflows and to recognize organizations whose smoking cessation services exceed exceptional standards. Improving Mental and Behavioral Health -------------------------------------- St. Luke's Substance Use Disorder (SUD) Response Warm Hand Off (WHO): WHO is an initiative to support the continuum of care for patients in need of multiple services and providers. It is a transfer of care between providers with the patient (and potentially family) present to ensure clear communication, transparency and helps to build relationships between patients and providers. St. Luke's collaborates with local community-based organizations and local county to support WHO efforts. In the Carbon Hospital (Lehighton does not have an emergency department), a total of 63 WHO were conducted for alcohol, cannabis, cocaine, opioids and other stimulants during FY 24. Stigma Presentations: The Department of Community Health worked with partners to deliver a Community Stigma Presentation for Carbon and Schuylkill Counties. Narcan Education and Distribution: Narcan education and distribution was provided during FY 24 to community members in Carbon and Schuylkill Counties through eleven events and providing 141 boxes of Narcan to the community. Safe Medication Disposal: Safe medication disposal boxes continued to provide a space to dispose of unwanted medicines at the St. Luke's Carbon Campus. During FY 24, 297.7 pounds of unused medication were safely disposed. Behavioral Health Walk-in Center: St. Luke's Psychiatric Associates' behavioral health walk-in center is located at the Lehighton Campus, offers a welcoming and comfortable, nonresidential environment for those dealing with a variety of mental health issues. Those seeking services or support for a non-life-threatening mental health circumstance will be greeted by a medical receptionist and will be assessed by a professional crisis intervention specialist in a relaxed, non-clinical environment. Individuals will be evaluated and provided with the resources and/or referrals needed to deal with the immediate situation. This may include psychotherapy sessions or connections other community resources (e.g., Veterans Affairs) and specialists. A case manager may be assigned to provide ongoing support. St. Luke's Penn Foundation Education: St. Luke's Penn Foundation Mental Health provides educational lectures series, videos and podcasts during the year on topics such as Recognizing Signs and Symptoms of Childhood Anxiety and Depression and Interventions that Parents Can Use. St. Luke's "Just STARt the Conversation: a dialogue on mental health" podcast is available throughout the community to discuss timely topics in mental health. Over 30 episodes discuss topics ranging from Dealing with A Loved One's Addiction as a Family to Youth Sports and Mental Health. St. Luke's Wellness 101 show is fun and educational and the short video series is designed to help students 12 + and adults thrive (with over 100 episodes). Wellness 101 Junior is for children ages 6-12 with 30 episodes to choose from that range in topics from sleep to how to ask for help. Partnerships and Collaborations ------------------------------- - Area Health Education Center (AHEC) - Blue Mountain Ski Resort Community partnership - Carbon County Area Agency on Aging - Carbon County Transit - Carbon County KidZone - Carbon County Interagency Collaborative Council - Carbon County Mental Health - Carbon County Technical Institute - College and Carbon County CareerLink Career Mentoring - Carbon County Veteran Affairs - Houser Newman - Panther Valley School District - Waverly School District - Lehighton School District - Palmerton School District - Jim Thorpe School District - Weatherly School District - PathStone Head Start - Pennsylvania State Police CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS SPONSORSHIP =========== In FY 24, the campuses of St. Luke's Hospital of Bethlehem Pennsylvania provided community sponsorships to the following organizations serving our mutual community populations in need: St. Luke's Bethlehem Campus --------------------------- - Athlife Foundation, Inc. - Bethlehem Area School District - Bethlehem Chamber 0f Commerce - Bethlehem Economic Development Corporation (BEDCO) - Bethlehem Golf Club - Bloom for Women, Inc. - Friends of the Bethlehem Mounted Police - Greater Lehigh Valley Athletics Inc - Greater Lehigh Valley Chamber of Commerce - Healing Through the Arts - Hispanic Center of The Lehigh Valley - Historic Bethlehem Museum and Sites - Latino Medical Student Association Northeast - Lehigh Valley Charter High School - Lehigh Valley Softball Academy - Lehigh Valley Sports Hall of Fame - Lehigh Sports Association - Lehigh Valley Academy Regional - Lehigh Valley Wrestling Club - Lehigh Valley Youth Soccer League - Lehigh University - Lehigh Valley Charter School for The Arts - Lehigh Valley Senior All-Star - Liberty High School Football - Liberty High School Football - Moravian Academy - Moravian University - New Bethany Ministries - Northampton Community College - Salem Christian School - Salisbury Township School District - Saucon Valley School District - South Bethlehem Historical Society - Southside Arts District - Special Olympics Pennsylvania, Inc. - The Foundation for the Bethlehem Area School District - Upper Saucon Chamber of Commerce - Via of the Lehigh Valley, Inc. - Volunteer Center of The Lehigh Valley - Yasso Rothrock Christmas City Classic St. Luke's Allentown Campus and St. Luke's Sacred Heart Campus -------------------------------------------------------------- - 911 Heroes Run - Allentown Area Corvette Club - Allentown Athletic Association - Allentown Fair - Allentown Rescue Mission - Allentown School District - Allentown St. Patrick's Parade - Andre Reed Foundation - Athlife Foundation, Inc. - Baum School of Art - Boys And Girls Club of Allentown - Cedar Beach Basketball Showcase - Cedar Crest College - Community Music School - Dieruff Athletic Booster Club - Dieruff Girls Basketball - East Penn Raiders LLC - EC/BCLS Training Center - Good Shepherd - Greater Lehigh Valley Chamber of Commerce - Ironpigs Charities - Jewish Federation - Justin Sheftel Memorial Fund - Lehigh Carbon Community College - Lehigh Career and Technical Institute Health Occupation Students of America) - Lehigh Valley Scholastic Hockey League - Lehigh Valley Iron Pigs (Baseball Team) - Lehigh Valley Phantoms - Lower Macungie Township - Metro Decorators, Inc. - Northampton Area Konkrete Kids - Northampton Area School - Northampton Kids Swim Club - Northeast Bethlehem Raiders - North Catasauqua Police Dept - North Parkland Athletic Association - Pa Latino Convention - Parkland Area School District - Parkland Field Hockey Booster Club - Salem Christian School - Salisbury Township School District - Second Harvest Food Bank - Southern Lehigh School District - St Thomas More Soccer Club - Suicide Prevention Coalition of The Lehigh Valley - Western Lehigh United Soccer Club - Whitehall Sports Turf - Whitehall-Coplay School District - YWCA Allentown St. Luke's Lehighton Campus --------------------------- - Blue Mountain Athletics - Blue Mountain Resort - Blue Mountain School District - Bo Thach Foundation - Carbon County Community Foundation - Bowmanstown Area Residents Connected (BARC) - Boyertown Area School District - Carbon County Community Foundation - City of Hazleton Parks & Rec - Dream Come True, Blue Ridge Chapter - Hippie 5K - Lehigh Carbon Community College - Lehighton Area School District - North Schuylkill School District - Northern Lehigh Area School District - Palmerton Area School District - Schuylkill Haven School District - Schuylkill League, Inc. - Tamaqua's Safer Streets for Little Feet - Valley Royale Foundation CORE FORM, PART V; QUESTIONS 1A & 1B AND CORE FORM, PART VII THE ORGANIZATION IS AN AFFILIATE WITHIN ST. LUKE'S UNIVERSITY HEALTH NETWORK ("NETWORK"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY NETWORK. THIS ORGANIZATION PAYS ALL OUTSTANDING ACCOUNTS PAYABLE INVOICES ON BEHALF OF MOST OTHER AFFILIATES WITHIN THE ST. LUKE'S UNIVERSITY HEALTH NETWORK. IN CONJUNCTION WITH THIS SERVICE, THIS ORGANIZATION ALSO PREPARES AND ISSUES FORMS 1099 TO THESE VENDORS RECEIVING PAYMENTS WHERE APPLICABLE AND FILES THESE FORMS 1099 WITH THE INTERNAL REVENUE SERVICE. THIS ORGANIZATION ALLOCATES THESE PAYMENTS TO THE APPROPRIATE AFFILIATES WITHIN THE NETWORK VIA AN INTERCOMPANY ACCOUNT. IN ADDITION, THIS ORGANIZATION ISSUES FORMS W-2 TO INDIVIDUALS WHO PROVIDE SERVICES AT VARIOUS AFFILIATES WITHIN THE NETWORK. IN CONJUNCTION WITH THIS SERVICE, THIS ORGANIZATION FILES THE APPLICABLE FORMS WITH THE INTERNAL REVENUE SERVICE. THIS ORGANIZATION ALLOCATES PERSONNEL COSTS AND ALL ASSOCIATED BENEFITS TO THE APPROPRIATE AFFILIATES WITHIN THE ST. LUKE'S HOSPITAL & HEALTH NETWORK VIA AN INTERCOMPANY ACCOUNT. CORE FORM, PART V; QUESTION 15 DURING THE FISCAL YEAR ENDED JUNE 30, 2024, RICHARD A. ANDERSON, CAROL A. KUPLEN, RN, MSN, JOEL D. FAGERSTROM, ROBERT E. MARTIN, ROBERT L. WAX, ESQ. AND SCOTT R. WOLFE SERVED AS OFFICERS AND WERE INVOLVED IN THE LEADERSHIP AND MANAGEMENT OF St. Luke's Health Network, Inc. ON A FULL TIME BASIS. ALTHOUGH THESE INDIVIDUALS RECEIVE A FEDERAL FORM W-2 FROM ST. LUKE'S HOSPITAL OF BETHLEHEM PENNSYLVANIA (EIN: 23-1352213), THEIR COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH ST. LUKE'S HEALTH NETWORK, INC. ACCORDINGLY, St. Luke's Health Network, Inc. FILED A 2023 FEDERAL FORM 4720 WHICH INCLUDED A REMITTANCE OF EXCISE TAX RELATED TO EACH INDIVIDUAL'S COMPENSATION IN EXCESS OF $1M. JEFFREY A. JAHRE, M.D. SERVES AS THE SVP MEDICAL & ACADEMIC AFFAIRS FOR ST. LUKE'S HEALTH NETWORK, INC. HE IS EMPLOYED BY AND RECEIVES A FEDERAL FORM W-2 FROM THIS ORGANIZATION. ACCORDINGLY, HIS COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH ST. LUKE'S HEALTH NETWORK, INC. ST. LUKE'S HEALTH NETWORK INC. DID NOT FILE A 2023 FEDERAL FORM 4720 FOR ANY REMITTANCE OF EXCISE TAX RELATED TO HIS COMPENSATION IN EXCESS OF $1M BECAUSE HIS 2023 W-2 BOX 1 AMOUNT DID NOT EXCEED THE $1M THRESHOLD AND THUS EXEMPT FROM EXCISE TAX AS PROVIDED FOR UNDER INTERNAL REVENUE CODE SECTION 4960. CORE FORM, PART VI, SECTION A; QUESTION 3 The organization is an affiliate within St. Luke's University Health Network ("Network"); a tax-exempt integrated healthcare delivery network. St. Luke's Health Network, Inc. serves as the parent organization of the Network. As the parent organization St. Luke's Health Network, Inc. provides various corporate related services for the benefit of various Network entities. These corporate services, include, but are not limited to, executive, legal and risk management, compliance and governance, human resources and finance (accounting, payroll, accounts payable). The costs associated with these services are paid for by St. Luke's Hospital of Bethlehem, Pennsylvania. St. Luke's Hospital of Bethlehem, Pennsylvania allocates a portion of the costs for these corporate services to various Network entities subject to approval by St. Luke's Health Network. In addition, St. Luke's Health Network, Inc. senior management personnel reported on this Form 990 are issued Forms W-2 from St. Luke's Hospital of Bethlehem, Pennsylvania. CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 ST. LUKE'S HEALTH NETWORK, INC. IS THE SOLE MEMBER OF THIS ORGANIZATION. ST. LUKE'S HEALTH NETWORK, INC. HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS. CORE FORM, PART VI, SECTION B; QUESTION 11B THE ORGANIZATION IS AN AFFILIATE WITHIN ST. LUKE'S UNIVERSITY HEALTH NETWORK ("NETWORK"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY NETWORK. ST. LUKE'S HEALTH NETWORK, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE NETWORK. THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY (ITS BOARD OF TRUSTEES) PRIOR TO THE FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). IN ADDITION, THE ST. LUKE'S UNIVERSITY HEALTH NETWORK FINANCE COMMITTEE WAS UPDATED AS TO THIS ORGANIZATION'S CURRENT YEAR FORM 990 PRIOR TO FILING. ST. LUKE'S HEALTH NETWORK, INC. BOARD OF TRUSTEES HAS DELEGATED TO THE FINANCE COMMITTEE THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION AND FILING PROCESS FOR THE TAX-EXEMPT AFFILIATES OF THE NETWORK. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CERTIFIED PUBLIC ACCOUNTING ("CPA") FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE NETWORK'S FINANCE PERSONNEL, INCLUDING ITS SENIOR VICE PRESIDENT OF FINANCE, VICE PRESIDENT OF FINANCE, DIRECTOR OF ACCOUNTING AND VARIOUS OTHER NETWORK INDIVIDUALS ("INTERNAL WORKING GROUP") TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE NETWORK'S INTERNAL WORKING GROUP FOR THEIR REVIEW. THE NETWORK'S INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE NETWORK'S INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL PRIOR TO PRESENTATION OF THE FEDERAL FORM 990 TO THE MEMBERS OF THE ST. LUKE'S HEALTH NETWORK, INC. FINANCE COMMITTEE. THEREAFTER, THE FINAL FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO FILING WITH THE IRS. CORE FORM, PART VI, SECTION B; QUESTION 12 THE ORGANIZATION IS AN AFFILIATE WITHIN ST. LUKE'S UNIVERSITY HEALTH NETWORK ("NETWORK"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY NETWORK. ST. LUKE'S HEALTH NETWORK, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE NETWORK. THE NETWORK HAS A WRITTEN CONFLICT OF INTEREST POLICY AND REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH THAT POLICY. THE POLICY REQUIRES THAT A CONFLICT OF INTEREST DISCLOSURE FORM CONSISTENT WITH BEST GOVERNANCE PRACTICES AND INTERNAL REVENUE SERVICE GUIDELINES BE CIRCULATED TO OFFICERS, TRUSTEES, BOARD COMMITTEE MEMBERS AND SENIOR MANAGEMENT ANNUALLY. THE NETWORK'S COMPLIANCE DEPARTMENT, INCLUDING ITS CORPORATE COMPLIANCE OFFICER AND SENIOR VICE PRESIDENT/GENERAL COUNSEL, ASSUME RESPONSIBILITY FOR THE COMPLETION OF THE CONFLICT OF INTEREST QUESTIONNAIRES AND ENFORCEMENT WITH THE POLICY. IF A TRUSTEE DISCLOSES AN INTEREST THAT COULD GIVE RISE TO A CONFLICT, THE TRUSTEE'S POTENTIAL CONFLICT MAY BE DISCLOSED TO THE ORGANIZATION'S GOVERNING BODY, WHICH EVALUATES THE CONFLICT AND ITS POTENTIAL IMPACT ON THE TRUSTEE'S PARTICIPATION ON THE BOARD. AFTER CONSULTATION AND DISCUSSION THE BOARD OF TRUSTEES MAY TAKE ACTION, IF APPROPRIATE AND NECESSARY, TO ADDRESS ANY SUCH CONFLICT IN A MANNER CONSISTENT WITH THE NETWORK'S CONFLICT OF INTEREST POLICY. CORE FORM, PART VI, SECTION B; QUESTION 15 THE ORGANIZATION IS AN AFFILIATE WITHIN ST. LUKE'S UNIVERSITY HEALTH NETWORK ("NETWORK"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY NETWORK. ST. LUKE'S HEALTH NETWORK, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE NETWORK. COMPENSATION REVIEW EXECUTIVE COMPENSATION FOR THE NETWORK CONSISTS OF FIXED SALARY, AT-RISK COMPENSATION AND OTHER DEFERRED COMPENSATION ARRANGEMENTS. TOTAL COMPENSATION FOR NETWORK EXECUTIVES IS APPROVED ANNUALLY BY THE NETWORK'S BOARD OF TRUSTEES. THE RECOMMENDED COMPENSATION IS ESTABLISHED THROUGH A MULTI-FACETED APPROACH INCLUDING USE OF AN INDEPENDENT CONSULTANT ENGAGED ON AN ONGOING BASIS BY THE BOARD OF TRUSTEES AND WHO WORKS DIRECTLY WITH THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD. ALSO INCLUDED IS THE REVIEW OF FORMS 990 AND COMPENSATION SURVEYS OF OTHER COMPARABLE HEALTHCARE ORGANIZATIONS. CORE FORM, PART VI, SECTION C; QUESTION 19 THE ORGANIZATION IS AN AFFILIATE WITHIN ST. LUKE'S UNIVERSITY HEALTH NETWORK ("NETWORK"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY NETWORK. ST. LUKE'S HEALTH NETWORK, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE NETWORK. ST. LUKE'S HEALTH NETWORK, INC. HAS ISSUED TAX-EXEMPT BONDS TO FINANCE VARIOUS CAPITAL IMPROVEMENT PROJECTS, RENOVATIONS AND EQUIPMENT. IN CONJUNCTION WITH THE ISSUANCE OF THESE TAX-EXEMPT BONDS, THE ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED WITH THE TAX-EXEMPT BOND PROSPECTUS WHICH WAS MADE AVAILABLE TO THE GENERAL PUBLIC FOR REVIEW. IN ADDITION, THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE COMMONWEALTH OF PENNSYLVANIA. CORE FORM, PART VII AND SCHEDULE J CORE FORM, PART VII AND SCHEDULE J REFLECT CERTAIN INDIVIDUALS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THIS ORGANIZATION OR A RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES. CORE FORM, PART VII AND SCHEDULE J RICHARD A. ANDERSON AND MICHAEL P. SABOL, D.O. SERVE AS VOTING MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES, AN UNCOMPENSATED POSITION. THESE INDIVIDUALS ARE NOT COMPENSATED FOR SERVING AS VOTING MEMBERS OF THE ORGANIZATION'S GOVERNING BODY. SCOTT R. WOLFE IS THE CHIEF FINANCIAL OFFICER OF THE NETWORK. MR. WOLFE IS INCLUDED ON THIS FORM 990 BECAUSE DURING THE FISCAL YEAR ENDED JUNE 30, 2024 HE SERVED AS THE TOP FINANCIAL OFFICIAL OF ST. LUKE'S UNIVERSITY HEALTH NETWORK. CAROL A. KUPLEN RN, MSN SERVED AS THE CHIEF NURSING OFFICER AND PRESIDENT OF ST. LUKE'S HOSPITAL BETHLEHEM CAMPUS THROUGH DECEMBER 9, 2023. EFFECTIVE DECEMBER 10, 2023, WENDY N. LAZO BECAME THE PRESIDENT OF ST. LUKE'S HOSPITAL BETHLEHEM CAMPUS AND EFFECTIVE DECEMBER 24, 2023, WILLIAM MOYER IS THE PRESIDENT OF ST. LUKE'S HOSPITAL ALLENTOWN, SACRED HEART, AND WEST END CAMPUSES, THE 'WEST REGION'. FRANK FORD SERVED AS THE PRESIDENT OF ST. LUKE'S SACRED HEART CAMPUS THROUGH JANUARY 1, 2024. THESE INDIVIDUALS ARE ALL OFFICERS OF THIS ORGANIZATION BUT ALSO SERVE IN A NETWORK ROLE FOR ST. LUKE'S UNIVERSITY HEALTH NETWORK. JOEL D. FAGERSTROM, ROBERT E. MARTIN, ROBERT L. WAX, ESQ., JEFFREY A, JAHRE, M.D. AND CHAD T. BRISENDINE ARE REPORTED AS THE TOP FIVE HIGHEST COMPENSATED EMPLOYEES ON THIS ORGANIZATION'S FORM 990. THESE INDIVIDUALS CURRENTLY SERVE IN NETWORK ROLES FOR ST. LUKE'S UNIVERSITY HEALTH NETWORK. MR. ANDERSON, MR. WOLFE, MS. KUPLEN, MS. LAZO, MR. MOYER, MR. FORD, MR. FAGERSTROM, MR. MARTIN, MR. WAX, DR. JAHRE AND MR. BRISENDINE ALL RECEIVE A FEDERAL FORM W-2 FROM ST. LUKE'S HOSPITAL OF BETHLEHEM PENNSYLVANIA. ADDITIONALLY, THESE INDIVIDUALS CURRENTLY SERVE IN A NETWORK ROLE FOR ST. LUKE'S UNIVERSITY HEALTH NETWORK. THEIR COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIPS ARE WITH ST. LUKE'S HEALTH NETWORK. ACCORDINGLY, THEIR RESPECTIVE REPORTABLE COMPENSATION, RETIREMENT/OTHER DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS ARE REPORTED WITHIN CORE FORM, PART VII AND SCHEDULE J OF THE ST. LUKE'S HEALTH NETWORK, INC. (EIN: 23-2384282) FEDERAL FORM 990. PLEASE REFER TO THE ST. LUKE'S HEALTH NETWORK, INC. FORM 990 FOR THIS INFORMATION. DR. SABOL IS AN EMPLOYED PHYSICIAN THAT RECEIVES A FEDERAL FORM W-2 FROM ST. LUKE'S PHYSICIAN GROUP, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. HIS REPORTABLE COMPENSATION, RETIREMENT/OTHER DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS ARE REPORTED WITHIN CORE FORM, PART VII AND SCHEDULE J OF THE ST. LUKE'S HEALTH NETWORK, INC. (EIN: 23-2384282) FEDERAL FORM 990. PLEASE REFER TO THE ST. LUKE'S HEALTH NETWORK, INC. FEDERAL FORM 990 FOR THIS INFORMATION. CORE FORM, PART VII, SECTION A, COLUMN B THE ORGANIZATION IS AN AFFILIATE WITHIN ST. LUKE'S UNIVERSITY HEALTH NETWORK ("NETWORK"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY NETWORK. CERTAIN BOARD OF TRUSTEE MEMBERS AND OFFICERS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE NETWORK. THE HOURS SHOWN ON THIS FORM 990 FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENTS THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS WITHIN THE NETWORK, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REFLECTED ON CORE FORM, PART VII OF THIS FORM 990. THE HOURS REFLECTED ON CORE FORM, PART VII OF THIS FORM 990, FOR INDIVIDUALS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THE NETWORK; NOT SOLELY THIS ORGANIZATION. CORE FORM, PART XI; QUESTION 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES INCLUDE: - RESTRUCTURING COSTS - ($522,537); - PRE-ACQUISITION/MERGER COSTS - ($643,576); - PENSION ANNUITY SETTLEMENT COST - ($7,489,144); - NET ASSETS RELEASED FROM RESTRICTIONS USED FOR PURCHASE - PPE - $2,002,076; - CHANGE IN PENSION ACCUMULATED BENEFIT OBLIGATION - ($7,031,864); - OTHER CHANGES IN NET ASSETS WITHOUT DONOR RESTRICTIONS - ($23); - NEW PLEDGES - $10,752,694; - PLEDGES RECEIVED - ($10,735,784); - NET ASSETS RELEASED FROM RESTRICTIONS - PPE - ($2,903,252); - NET ASSETS RELEASED FROM RESTRICTIONS - OPERATIONS - ($2,611,436); - ALLOWANCE FOR PLEDGES WRITTEN OFF AND ACTUAL WRITE-OFFS - ($87,062); - INCOME TRANSFER FROM ENDOWMENT - $1,092,232; - ENDOWMENT SPENDING POLICY TRANSFER - ($300,819); - INCOME RELEASED AND TRANSFERRED TO GENERAL FUND FOR OPERATIONS - ($543,338); - INCOME TRANSFER TO TEMPORARILY RESTRICTED - ($1,092,867); - CHANGE IN FMV OF TOTAL RETURN SWAPS - $6,695,398; - GAIN (LOSS) on Refinancing - ($540,475); - GOODWILL IMPAIRMENT - ($5,055,584); AND - OTHER CHANGES IN NET ASSETS - $3,068,233. CORE FORM, PART XII; QUESTION 2 THE ORGANIZATION IS AN AFFILIATE WITHIN ST. LUKE'S UNIVERSITY HEALTH NETWORK ("NETWORK"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY NETWORK. ST. LUKE'S HEALTH NETWORK, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE NETWORK. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE TAXPAYER AND ITS CONTROLLED AFFILIATES FOR THE YEARS ENDED JUNE 30, 2024 AND JUNE 30, 2023; RESPECTIVELY, AND ISSUED A CONSOLIDATED FINANCIAL STATEMENT. AN UNMODIFIED OPINION WAS ISSUED EACH YEAR BY THE INDEPENDENT CPA FIRM. THE NETWORK'S FINANCE COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE NETWORK'S CONSOLIDATED FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR. CORE FORM, PART XII; QUESTION 3 THE ORGANIZATION IS AN AFFILIATE WITHIN ST. LUKE'S UNIVERSITY HEALTH NETWORK ("NETWORK"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY NETWORK. THE NETWORK'S FINANCE COMMITTEE ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE A NETWORK WIDE CONSOLIDATED AUDIT UNDER THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133. ST LUKE'S AIRMED LLC 1110 ST LUKES WAY ALLENTOWN PA 18109 274643964 INACTIVE PA 0 0 BETHLEHEM ST LUKE'S HOMESTAR SERVICES LLC 1110 ST LUKES WAY ALLENTOWN PA 18109 260369246 HEALTH SVCS. PA 134803132 32170505 BETHLEHEM POCONO MRI IMAGING AND DIAGNOSTIC CENTER 1110 ST LUKES WAY ALLENTOWN PA 18109 204960982 INACTIVE PA 0 0 BETHLEHEM EVANTAGE HEALTH LLC 1110 ST LUKES WAY ALLENTOWN PA 18109 INACTIVE PA 0 0 BETHLEHEM ST LUKE'S CARE LLC 1110 ST LUKES WAY ALLENTOWN PA 18109 811085699 HEALTH SVCS. 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NJ NA C CORP. false SACRED HEART ANCILLARY SERVICES INC 421 W CHEW STREET ALLENTOWN PA 18102 232384987 HEALTHCARE SVCS. PA NA C CORP. false false false false true true false false false false true false false false true true true true true true SCHEDULE R, PART V THIS ORGANIZATION IS A MEMBER OF ST. LUKE'S UNIVERSITY HEALTH NETWORK ("NETWORK"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. ST. LUKE'S HEALTH NETWORK, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE NETWORK. FUNDS ARE ROUTINELY TRANSFERRED BETWEEN AFFILIATES AND BUSINESS ACTIVITIES ARE COMMON ON BEHALF OF THE SYSTEM'S AFFILIATES, INCLUDING THIS ORGANIZATION. THESE TRANSACTIONS MAY BE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND OTHER AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY COST EFFECTIVE HEALTHCARE AND WELLNESS SERVICES TO THEIR COMMUNITIES REGARDLESS OF ABILITY TO PAY AND IN FURTHERANCE OF CHARITABLE TAX-EXEMPT PURPOSES.