Direct Patient Care 2007

$90,843,583

Medicare Shortfall*
$33,047,965

• The difference between Medicare and Medicare Managed Care payments and the cost of providing patient care.

Medical Assistance Shortfall*
$23,403,260

• The difference between Medical Assistance and Medical Assistance Managed Care payments and the cost of providing patient care.

Bad Debt
$17,237,772

• The cost of providing care to patients who LVHHN believes were able to pay for their care but did not.
• When people do not pay, regardless of whether they are able to pay and choose not to, or if they are unable to pay, it is uncompensated care. Act 55 defines this as appropriate community benefit.

Uncompensated Charity Care
$9,344,538

• Free care for people who were unable to pay.
• About shortfalls and Act 55: As per Act 55, community benefit provided by charitable organizations includes shortfalls between payments received from Medicare, Medical Assistance and patients, and the cost of providing care.

Care for People Who Are Uninsured or Underinsured
$6,192,842

• The difference between clinic payments and clinic costs.
• Includes a portion of wages and benefits for residents who care for people in our clinics.
• Includes 40 primary and specialty care clinics and programs related to those clinics, such as our Casa Guadalupe outreach.

Direct Patient Care Community Activities
$549,210

Some examples of these activities include:

• Distribution of about 10,000 free flu shots to community members.
• Distribution of free hand-sanitizer samples to patients to promotehand-washing safety in the hospital.
• Medications appropriate to patient treatment that were provided freeupon discharge to people unable to pay for them.
• Portion of wages and benefits for coordinator who obtains medicationsfrom pharmaceutical companies and distributes them to patients whocan’t afford them.
• The difference between payments for mental health services from Lehigh County and the cost of providing services at two residentialaftercare programs (called Transitional Living Centers).

Interpreting Service and Patient Representative
$547,487

• Language interpreting services from hospital-based interpreters
  and purchased foreign language, sign language and online
  interpreting services. These interpreting services are provided free of charge to patients.
• Fees associated with patient satisfaction surveys. Survey results help our patient representatives to better advocate for patients. This enables us to provide the best care for our patients.

TRICARE Shortfall*
$300,509

• The difference between TRICARE (formerly CHAMPUS)
  payments and the cost of providing patient care.
• TRICARE is a federally funded health insurance plan for
  uniformed military personnel, retirees and their families.

Blue Cross Special Care Shortfall*
$220,000

• The difference between Blue Cross Special Care payments
  and the cost of providing patient care.
• Blue Cross Special Care is a limited-benefit, low-cost health
  insurance plan for people who otherwise would be uninsured.

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