Skip to content
Nonprofiteer
← SCHUYLKILL HEALTH SYSTEM MEDICAL GROUP INC

Form 990 for tax year 2023

Filed by SCHUYLKILL HEALTH SYSTEM MEDICAL GROUP INC.

Totals

Total revenue
$21,101,484
Total expenses
$32,165,745
Contributions and grants received
$20,826
Grants paid
$0
Program service revenue
$20,212,528
Investment income
$0
Other revenue
$868,130
Total assets, end of year
$12,164,332
Total liabilities, end of year
$12,085,865
Net assets or fund balances, end of year
$78,467
Program services expenses (Part IX)
$30,343,460
Management and general expenses
$1,822,285
Fundraising expenses
$0
Program service expenses (Part III)
$30,343,460

Program services were 94.3% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1f · All other contributions, gifts and grants

    $20,826

  • 2a · Program service revenue: OUTPATIENT REVENUE

    total $15,062,142 · related or exempt $15,062,142

  • 2b · Program service revenue: INPATIENT REVENUE

    total $5,150,386 · related or exempt $5,150,386

  • 6a · Gross rents

    real property $11,778

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $11,778

  • 6d · Net rental income or loss

    total $11,778 · related or exempt $11,778

  • 11a · Other revenue: PHYSICIAN FEE REVENUE

    total $553,867 · related or exempt $553,867

  • 11b · Other revenue: OTHER MISC OPERATING REV

    total $302,485 · related or exempt $302,485

  • 11e · Other revenue, total

    $856,352

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $20,415,220 · program services $19,055,779 · management and general $1,359,441

  • 8 · Pension plan contributions

    total $624,660 · program services $583,064 · management and general $41,596

  • 9 · Other employee benefits

    total $3,498,445 · program services $3,355,440 · management and general $143,005

  • 10 · Payroll taxes

    total $1,133,832 · program services $1,058,331 · management and general $75,501

  • 11g · Fees: other

    total $126,250 · program services $126,250

  • 12 · Advertising and promotion

    total $586 · management and general $586

  • 13 · Office expenses

    total $53,719 · program services $53,719

  • 16 · Occupancy

    total $1,802,089 · program services $1,781,860 · management and general $20,229

  • 17 · Travel

    total $38,319 · program services $23,843 · management and general $14,476

  • 19 · Conferences, conventions and meetings

    total $48,426 · program services $33,015 · management and general $15,411

  • 22 · Depreciation, depletion and amortization

    total $292,782 · program services $262,565 · management and general $30,217

  • 23 · Insurance

    total $167,513 · program services $166,073 · management and general $1,440

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $2,546,510 · program services $2,475,386 · management and general $71,124

  • 24b · Other expenses: BAD DEBTS

    total $869,928 · program services $869,928

  • 24c · Other expenses: CONTRACT PERSONNEL

    total $434,776 · program services $414,298 · management and general $20,478

  • 24e · All other expenses

    total $112,690 · program services $83,909 · management and general $28,781

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $1,861,179 · end of year $4,452,427

  • 4 · Accounts receivable

    beginning of year $1,254,399 · end of year $1,681,046

  • 7 · Other notes and loans receivable

    beginning of year $3,552,237 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $175,552 · end of year $190,153

  • 9 · Prepaid expenses and deferred charges

    beginning of year $9,592 · end of year $75,417

  • 10a · Land, buildings and equipment: cost or other basis

    $2,398,095

  • 10b · Land, buildings and equipment: accumulated depreciation

    $1,818,959

  • 10c · Land, buildings and equipment, net

    beginning of year $766,221 · end of year $579,136

  • 14 · Intangible assets

    beginning of year $4,681,418 · end of year $5,186,153

  • 17 · Accounts payable and accrued expenses

    beginning of year $2,500,335 · end of year $2,592,477

  • 19 · Deferred revenue

    beginning of year -$487 · end of year -$351

  • 25 · Other liabilities

    beginning of year $19,758,022 · end of year $9,493,739

  • 27 · Net assets without donor restrictions

    beginning of year -$9,957,272 · end of year $78,467

Mission and programs · 2023

Mission

ESTABLISH AND MAINTAIN A MEDICAL GROUP CONSISTING OF CLINICIANS PARTNERED WITH LEHIGH VALLEY HEALTH NETWORK. THIS MEDICAL GROUP WILL FULFILL THE CHARITABLE MISSION OF PROMOTING COMMUNITY HEALTH THROUGH HEALTH EDUCATION, INJURY PREVENTION, AND HEALTHCARE SERVICES TO THE PUBLIC IN THE SCHUYLKILL REGION.

Activities or mission (Part I)

IN THE SCHUYLKILL REGION, WE PROVIDE HEALTHCARE SERVICES TO THE COMMUNITY BY PREVENTING ILLNESS, PROMOTING WELLNESS, AND ENHANCING HEALTH. WE HEAL, COMFORT AND CARE FOR THE PEOPLE OF OUR COMMUNITY BY PROVIDING ADVANCED AND COMPASSIONATE HEALTH CARE OF SUPERIOR QUALITY AND VALUE, SUPPORTED BY EDUCATION AND CLINICAL RESEARCH.

  • LEHIGH VALLEY PHYSICIAN GROUP - SCHUYLKILL (LVPG-S) WAS ESTABLISHED IN 1998 AS AN AFFILIATE OF THE LEHIGH VALLEY HOSPITAL - SCHUYLKILL (PREVIOUSLY SCHUYLKILL MEDICAL CENTER - EAST NORWEGIAN STREET AND SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET). AS A NON-PROFIT CORPORATION WHICH SUPPORTS BOTH THE LEHIGH VALLEY HOSPITAL - SCHUYLKILL (LVH-S) AND LEHIGH VALLEY HEALTH NETWORK, LVPG-S HAS DEVELOPED PHYSICIAN PRACTICES IN FAMILY AND INTERNAL MEDICINE, HEMATOLOGY AND ONCOLOGY, GENERAL SURGERY, ORTHOPEDICS, BEHAVIORAL HEALTH, PAIN MANAGEMENT, PULMONOLOGY, CARDIOLOGY & VASCULAR, CRITICAL CARE, PHYSIATRY AND PODIATRY.LVPG-S IS DEDICATED TO SERVING OUR PATIENTS THROUGH THE DELIVERY OF HIGH QUALITY AND EXCEPTIONAL SERVICE. WITH A CURRENT SIZE OF APPROXIMATELY 30 PHYSICIANS AND 15 ADVANCED PRACTICE CLINICIANS, LVPG-S OPERATES AS A SINGLE ENTITY WITH SERVICES PROVIDED AT NUMEROUS SITES WITHIN THE SCHUYLKILL COUNTY REGION. CONTINUED RECRUITMENT AND GROWTH ARE A FOCUS, WITH THE PURPOSE OF DELIVERING THE BEST RESOURCES AND SERVICES TO THE COMMUNITY. DURING THE MOST RECENT FISCAL LVPG-S PRACTICES PERFORMED OVER 125,000 PATIENT VISITS IN FY 2024.PATIENT CARE PROGRAMS:LVPG-S OFFERS A CONTINUUM OF HEALTH CARE PROMOTION, PREVENTION, DIAGNOSIS, AND TREATMENT TO THE COMMUNITY. OUTPATIENT SERVICES ARE PROVIDED AT LOCATIONS THROUGHOUT THE REGION AND ARE A PART OF A HEALTHCARE NETWORK ESTABLISHED BY LVPG-S AND LVH-S TO MEET THE MEDICAL AND SURGICAL NEEDS OF THE RESIDENTS OF SCHUYLKILL AND SURROUNDING COUNTIES. OF NOTE, THIS PAST YEAR AN ASTHMA MANAGEMENT PROGRAM WAS EXPANDED IN COLLABORATION WITH SCHUYLKILL COMMUNITY ACTION (SCA). THIS PROGRAM IDENTIFIED PATIENTS RESIDING IN SCHUYLKILL COUNTY LIVING WITH UNCONTROLLED OR POORLY CONTROLLED ASTHMA OR CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) SECONDARY TO OR EXACERBATED BY ENVIRONMENTAL FACTORS IN THE HOME ENVIRONMENT. ONCE IDENTIFIED, LVHN COMMUNITY HEALTH WORKERS (CHWS) OFFER AN INITIAL HOME VISIT THAT WOULD INCLUDE AN INITIAL SYMPTOM SCREENING (USING AN EVIDENCE-BASED SYMPTOM ASSESSMENT TOOL), A SOCIAL DETERMINANT OF HEALTH (SDOH) SCREEN, AND A HOME ASSESSMENT. THE HOME ASSESSMENT WILL SCREEN FOR THE PRESENCE OF PHYSICAL & ENVIRONMENTAL FACTORS THAT INFLUENCE HEALTH AND WELL-BEING. IF A PATIENT'S HOME ENVIRONMENT DOES PRESENT A POTENTIAL RISK, THE PATIENT IS REFERRED TO SCHUYLKILL COMMUNITY ACTION VIA THE FINDHELP REFERRAL PLATFORM TO FURTHER ASSESS FOR PROGRAM ELIGIBILITY.INFANTS/CHILDREN/YOUNG ADULTS:THROUGH OUR PATIENT-CENTRIC PHILOSOPHY INCLUDING STATE-OF-THE-ART DIAGNOSTIC AND MEDICAL TECHNIQUES, LVPG-S PROVIDES SUPERIOR INPATIENT PEDIATRIC MEDICAL CARE, AS WELL AS OUTPATIENT PRIMARY CARE PROVIDED BY FAMILY MEDICINE.A TEAM OF PEDIATRIC AND FAMILY MEDICINE PHYSICIANS, SUBSPECIALISTS, AND APCS BOTH FROM THE COMMUNITY AND FROM THE HOSPITAL, PROVIDES AN INTEGRATED APPROACH TO SERVICES. THIS INCLUDES AN EXPRESSCARE SITE IN POTTSVILLE TO PROVIDE EXPANDED PRIMARY CARE ACCESS FOR CHILDREN AS WELL AS ADULTS.PRIMARY CARE:PRIMARY CARE PHYSICIANS AND APCS PROVIDE HIGH-QUALITY, COMPREHENSIVE, COORDINATED CARE TO ADULTS AND CHILDREN. WE FOCUS ON A HIGH-VALUE, PATIENT-CENTERED APPROACH BASED IN LONGITUDINAL RELATIONSHIPS. OUR CARE MODEL INCLUDES SAME-DAY ILLNESS AND INJURY CARE, COMPLEX DISEASE MANAGEMENT, CHRONIC CARE MANAGEMENT, AND PREVENTIVE CARE. WE ACCEPT MEDICAL ASSISTANCE PATIENTS, OFFER VFC AT ALL OUR LOCATIONS THAT SERVE THE PEDIATRIC POPULATION, AND PROMOTE AN EQUITABLE, SAFE, AND FRIENDLY CARE ENVIRONMENT FOR PATIENTS OF ALL DEMOGRAPHICS. OUR PATIENTS NOW HAVE ACCESS TO CARE THROUGH TELEHEALTH BOTH TO THEIR ESTABLISHED PRIMARY CARE CLINICIAN AS WELL AS TO EXPRESSCARE AND SPECIALTY CARE. THIS TECHNOLOGY CREATES A PARADIGM OF ENHANCED ACCESS IN A CONVENIENT MANNER.WE ALSO HAVE SEVERAL PROGRAMS WHICH ENHANCE THE WELL-BEING OF THE COMMUNITY. WE OFFER A PHYSICIAN-LED LITERACY PROGRAM CALLED "REACH OUT AND READ," THROUGH WHICH CHILDREN VISITING A PARTICIPATING PRACTICE RECEIVE AN AGE-APPROPRIATE BOOK DURING THEIR ANNUAL WELL-CHILD VISIT. IN COLLABORATION WITH THE LEHIGH VALLEY TOPPER CANCER INSTITUTE, WE HAVE INCREASED RATES OF LUNG CANCER SCREENING INCLUDING EFFORTS TO REDUCE DISPARITIES IN SCREENING RATES. OUR LINKAGE TO ADDICTION TREATMENT & OPIOID STEWARDSHIP PROGRAM HAS CONTINUED TO SUPPORT OUR PRACTICES IN PROVIDING MEDICATIONS FOR OPIOID USE DISORDER (MOUD) ACROSS 7 COUNTIES. MANY OF THESE PATIENTS FACE INTENSE BARRIERS TO CARE SUCH AS CHRONIC HOMELESS, PAST INCARCERATION, AND UNDERTREATED MENTAL HEALTH CONDITIONS.OUR PRACTICES ARE HIGHLY ENGAGED IN EDUCATIONAL EFFORTS, CONTRIBUTING TO THE SKILL DEVELOPMENT OF PRIMARY CARE NURSE PRACTITIONERS, PHYSICIAN ASSISTANTS, AND PHYSICIANS. IN SCHUYLKILL, FAMILY MEDICINE HAS A FULLY ACCREDITED RURAL RESIDENCY TRAINING PROGRAM THAT WAS ESTABLISHED IN 2022. OUR EDUCATIONAL INVESTMENT INCLUDES PARTNERSHIPS WITH MANY LOCAL COLLEGES AND UNIVERSITIES, AS WELL AS THE PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE AND THE UNIVERSITY OF SOUTH FLORIDA MORSANI COLLEGE OF MEDICINE. OUR PRACTICES ALSO SUPPORT LOCAL NURSING HOMES, SCHOOL SPORTS, AND COMMUNITY EVENTS.EXPRESSCARE:EXPRESSCARE LOCATIONS PROVIDE IMMEDIATE CARE 8AM-8PM 7 DAYS/WEEK. THE SCOPE OF CARE INCLUDES MANAGEMENT OF COMMON ILLNESSES AND MINOR INJURIES SUCH AS SPRAINS, CUTS, RASHES, SEASONAL ALLERGIES, FLU SYMPTOMS, BRONCHITIS, EAR INFECTIONS, SORE THROATS, FEVERS, AND MORE. FURTHERMORE, WE OFFER COVERAGE FOR ROUTINE SCHOOL PHYSICALS, INFLUENZA, AND COVID-19 VACCINATIONS.THIS CLINICAL CARE MODEL IS A LOWER COST, EASY ACCESS ALTERNATIVE FOR LOWER ACUITY PATIENTS AS COMPARED TO THE EMERGENCY ROOM. ADDITIONALLY, EXPRESSCARE OFFERS TELEHEALTH "VIDEO VISITS" PROVIDING PATIENTS THE OPTION TO UTILIZE TELEMEDICINE SERVICES TO TREAT ACUTE ILLNESSES AND MINOR INJURY CARE WITHOUT NEED TO TRAVEL OR WAIT IN AN OFFICE BUILDING.MEDICAL SPECIALTIES:LVPG-S PROVIDES A BROAD ARRAY OF MEDICAL SPECIALTY CARE ACROSS THE SCHUYLKILL REGION. CARE COORDINATION WITH ACCESS TO SPECIALTY AREAS AND COLLABORATION WITH PRIMARY CARE COLLEAGUES IS ESSENTIAL TO PROVIDE OPTIMAL PATIENT OUTCOMES FOR OUR COMMUNITY. PHYSICIANS AND APCS FROM ENDOCRINOLOGY, BARIATRIC MEDICINE, RHEUMATOLOGY REGULARLY PROVIDE OUTPATIENT SERVICES TO THE HAZLETON COMMUNITY. STARTING IN OCTOBER 2023, RHEUMATOLOGY HIRED A FULL-TIME PHYSICIAN DEDICATED TO THE HAZLETON AND SCHUYLKILL REGION.ECONSULT PROGRAM:AS PART OF THE ECONSULT PROGRAM, LVPG-S CLINICIANS CAN POSE NON-URGENT QUESTIONS REGARDING THEIR PATIENTS TO THEIR SPECIALIST COLLEAGUES ACROSS MULTIPLE DISCIPLINES. REQUESTS AND RECOMMENDATIONS ARE FORMALLY INCORPORATED INTO THE EMR AND ARE INCLUDED IN THE PATIENT'S MEDICAL RECORD. THE AVAILABILITY OF SPECIALISTS ACROSS THE AMBULATORY LANDSCAPE HAS IMPROVED ACCESS AND ENHANCED CONTINUITY OF CARE. ADULT ECONSULT SERVICES INCLUDE ADDICTION MEDICINE, ANTICOAGULATION MANAGEMENT, CARDIOLOGY, DISABILITY SUPPORT, ENDOCRINOLOGY, ENT, GERIATRICS, GYNECOLOGY, HEMATOLOGY, HIV/PRE-EXPOSURE PROPHYLAXIS, INFECTIOUS DISEASES, LONG COVID, MEDICAL ONCOLOGY (DIAGNOSTIC ADVICE), NEUROLOGY, ORTHOPEDICS, PAIN MANAGEMENT, PULMONOLOGY, PSYCHIATRY, RHEUMATOLOGY, TOXICOLOGY AND UROLOGY. OUR PEDIATRIC ECONSULT PROGRAM ALSO INCLUDES ENDOCRINOLOGY, INFECTIOUS DISEASE, GASTROENTEROLOGY AND HEMATOLOGY. INPATIENT MEDICINE ALSO LIVE WITH ECONSULTS.NEUROSCIENCES:NEUROLOGY SERVICES ARE AVAILABLE AT LVPG-S BOTH IN THE OUTPATIENT SETTING AND ACUTE AND IP NEUROLOGY THROUGH OUR INTERNAL TELENEUROLOGY AND TELESTROKE SERVICES. UPDATES FROM THE PAST YEAR INCLUDE:-LVHN IS NOW OFFERING THE INSPIRE MASKLESS SYSTEM FOR TREATING SLEEP APNEA BY CLINICIANS IN PULMONOLOGY, ENT, AND NEUROLOGY IN LEHIGHTON.-BASED ON QUALITY AND REGULATION STANDARDS BY THE AMERICAN HEART ASSOCIATION, SCHUYLKILL RECEIVED THE AHA/GWTG STROKE GOLD PLUS AWARD FOR PERFORMANCE AS WELL AS MADE THE STROKE HONOR ROLL. ADDITIONALLY, THEY WELCOMED THE JOINT COMMISSION ONSITE FOR THEIR PRIMARY STROKE CENTER RECERTIFICATION VISIT AND ACHIEVED THE 2-YEAR AWARD WITH A PERFECT SURVEY.-OUTPATIENT EEG HOURS WERE EXPANDED AT CARBON OPENING ACCESS THAT DOES NOT REQUIRE ADDITIONAL TRAVEL. -ALL HOSPITALS HAVE TRANSITIONED FROM IV ALTEPLASE TO IV TENECTEPLASE (TNK). IN ADDITION TO BEST PRACTICE CRITERIA, THIS TRANSITION OFFERS A 30% COST-SAVINGS TO THE ORGANIZATION.-IN PARTNERSHIP WITH NEURO REHAB, THE VIVISTIM FUNCTIONAL NEUROSURGERY BEGAN IN DECEMBER 2023, WHICH IS A SURGICAL TREATMENT FOR PATIENTS WHO ARE STILL EXPERIENCING UPPER EXTREMITY WEAKNESS FOLLOWING A STROKE. OUR 6TH PATIENT WAS IMPLANTED IN AUGUST 2024.-OUR TEAM CONDUCTED THE 20TH ANNUAL STROKE SYMPOSIUM THROUGH BOTH IN-PERSON AND VIRTUAL PLATFORMS. THE EVENT WAS A HUGE SUCCESS AND HAD OVER 200 COLLECTIVE PARTICIPANTS ACROSS THE 2-DAY EVENT.

    Expenses $30,343,460 · Revenue $21,080,658

  • HEART & VASCULAR SERVICES:LVPG-S PHYSICIANS AND APCS PROVIDE GENERAL AND INVASIVE CARDIOLOGY ASSESSMENTS & CARE PLANS, PROVIDE INPATIENT AND OFFICE BASED CLINICAL SERVICES, AND HOSPITAL BASED AND IN OFFICE CARDIAC DIAGNOSTIC TESTING, SUCH AS STRESS TEST. WOMEN'S HEALTH SERVICES:LVPG-S MAINTAINS COMPREHENSIVE OBSTETRICS AND GYNECOLOGY SERVICES, INCLUDING GENERAL OBSTETRIC / GYNECOLOGIC CARE AND MATERNAL FETAL MEDICINE. THESE COMPREHENSIVE PROGRAMS ARE DELIVERED BY TEAMS OF HEALTHCARE PROVIDERS INCLUDING PHYSICIANS, MIDWIVES, AND ADVANCED PRACTICE CLINICIANS ALONG WITH THEIR RELATED CLINICAL STAFF.TO MEET THE NEEDS OF THE LARGER SCHUYLKILL COMMUNITY, WE OFFER SITES OF SERVICE IN ORWIGSBURG AND HOMETOWN. ADDITIONALLY, UNIQUE PROGRAMS ARE OFFERED FOR OBSTETRICAL PATIENTS INCLUDING A VIRTUAL PRENATAL CARE PROGRAM AND CONNECTIONS, WHICH PROVIDES CARE TO PREGNANT AND POSTPARTUM PATIENTS WITH SUBSTANCE USE DISORDERS.THE OBSTETRICS AND GYNECOLOGY PHYSICIANS ALSO SUPPORT THE TRAINING AND EXPERIENCE OF THE FAMILY MEDICINE RURAL RESIDENCY TRAINING PROGRAM. PART OF THIS COLLABORATION INCLUDES WORKING WITH A FAMILY MEDICINE PHYSICIAN WHO HERSELF PROVIDES OBSTETRICAL OUTPATIENT AND INPATIENT CARE AND OFFERS A FAMILY-CENTERED APPROACH.CANCER SERVICES:THE CANCER PROGRAM AT LVPG-S HAS EXPANDED WITH CONTINUED GROWTH. WE HAVE EXPANDED ACCESS TO OUR PATIENTS TO INNOVATED CANCER CARE CLOSER TO THEIR HOMES INCLUDING MEDICAL ONCOLOGY AND OTHER SUPPORT SERVICES. WE PROVIDE SEVERAL SERVICES DEDICATED TO TREATMENT, DIAGNOSIS, PREVENTION, INFUSION THERAPY, REHABILITATION, AND FULL LONGITUDINAL CANCER CARE.ORTHOPEDIC SERVICES:THE LVOI HAS A MULTIDISCIPLINARY PRACTICE IN POTTSVILLE, AND WE PROVIDED 767 PROCEDURES TO THE COMMUNITY IN FY24. THESE PROCEDURES INCLUDE TOTAL JOINT REPLACEMENTS, FOOT AND ANKLE SURGERY, GENERAL ORTHOPEDICS, HAND SURGERY AND PAIN MANAGEMENT PROCEDURES. WE ARE PROUD OF OUR MULTIDISCIPLINARY PROGRAM LOCATED AT 316 MAUCH CHUNK STREET AND 205 E LAUREL BLVD POTTSVILLE WHERE WE PROVIDE CARE TO A DIVERSE GROUP OF PATIENTS IN THE COMMUNITY. WE PROVIDE 24/7 ORTHOPEDIC TRAUMA COVERAGE AT THE LVHN SCHUYLKILL HOSPITAL. OUR TEAM IS VERY ACTIVE IN THE COMMUNITY AND COMMITTED TO HIGH QUALITY CARE IN THIS REGION.SURGICAL SERVICES:LVPG-S OFFERS A FULL RANGE OF QUALITY INPATIENT AND OUTPATIENT/SHORT PROCEDURE SURGICAL SERVICES, INCLUDING GENERAL SURGERY, GYNECOLOGIC SURGERY, AND DA VINCI ROBOTIC-ASSISTED SURGERY WITH THE HIGHLY QUALIFIED ROBOTIC SURGERY CERTIFIED SURGEONS. UROLOGY AND OTOLARYNGOLOGY (ENT) HEAD AND NECK SERVICES HAVE BEEN ADDED VIA THE TELEHEALTH HUB AND CONCUSSION SERVICES HAVE ALSO BEEN ADDED WITHIN THE REGION. ADDITIONALLY, GENERAL SURGERY EXPANDED THE REFLUX TREATMENT PROGRAM ACROSS ALL ENTITIES.BEHAVIORAL HEALTH SERVICES:LVPG PHYSICIANS AND ADVANCED PRACTICE CLINICIANS PROVIDE TELE-PSYCHIATRIC CONSULTATION TO PATIENTS ADMITTED TO MEDICAL/SURGICAL SERVICES TO ADDRESS BEHAVIORAL HEALTH NEEDS AND DISCHARGE PLANNING. THEY ALSO ASSIST IN THE EVALUATION AND MANAGEMENT OF PATIENTS IN THE EMERGENCY DEPARTMENT. PHYSICIANS AND ADVANCED PRACTICE CLINICIANS PROVIDE MEDICAL LEADERSHIP FOR THE LVH ACUTE CARE INPATIENT MENTAL HEALTH PROGRAM FOR GERIATRIC, ADULT, AND CHILD/ADOLESCENT PATIENTS IN PRIMARILY SCHUYLKILL COUNTY AND PROVIDE INPATIENT PSYCHIATRIC, PSYCHOLOGICAL, SUBSTANCE ABUSE AND SOCIAL SERVICES IN ALL CLINICAL AREAS. ADDITIONALLY, LVPG-SCHUYLKILL COUNSELING IS A LICENSED OUTPATIENT ALCOHOL AND DRUG ABUSE COUNSELING PROGRAM.ANESTHESIOLOGY SERVICES:A DEDICATED GROUP OF 4 PHYSICIANS AND 3 NURSE ANESTHETISTS IN LVPG-ANESTHESIOLOGY FOCUS THEIR CLINICAL PRACTICE AT LVH-SCHUYLKILL PROVIDING PERIOPERATIVE CARE TO PATIENTS UNDERGOING SURGERY IN ADDITION TO PRIORITIZED AVAILABILITY TO THE OBSTETRICAL SERVICE ON THIS CAMPUS AT ALL TIMES.VIRTUAL CARE AND TELEMEDICINE:LVHN HAS REMAINED A LEADER IN THE DEVELOPMENT AND IMPLEMENTATION OF INNOVATIVE VIRTUAL CARE PROGRAMS THAT HAVE EXPANDED OUR CAPACITY TO PROVIDE HIGH-QUALITY HEALTHCARE SERVICES THROUGHOUT OUR GROWING NETWORK AND BEYOND. ANOTHER EXAMPLE OF THIS IS THE START OF A FIRST-EVER FULLY VIRTUAL PRIMARY CARE PRACTICE, LAUNCHING IN 2023. VIRTUAL CARE PROGRAMS ALLOW OUR TEAM TO OFFER SPECIALTY CARE TO SITES AND PATIENTS THAT WOULD OTHERWISE NOT HAVE ACCESS TO THESE SERVICES. IN ADDITION, VIRTUAL CARE HUBS HAVE BEEN CREATED IN THE AREA TO SUPPORT SPECIALTY ACCESS TO THE REGION. PATIENTS CAN COME TO A LVHN LOCATION, WHERE A COMPUTER AND SCREEN ARE SETUP, TO VIRTUALLY CONNECT WITH SPECIALISTS CONSULTING ON KEY CONDITIONS.SCHUYLKILL VIRTUAL HUB PROGRAM:RECOGNIZING THE CHALLENGES THAT PATIENTS AND FAMILIES FACE WITH CONNECTING TO OUR HEALTH CARE TEAM VIA VIDEO VISITS FROM HOME, LVPG LAUNCHED A VIRTUAL HUB PROGRAM IN MARCH 2023 WITH OUR FIRST HUB LOCATED IN THE SCHUYLKILL REGION. PATIENTS COME TO OUR VIRTUAL HUB LOCATION AND RECEIVE CARE LIKE A REGULAR OFFICE VISIT, COMPLETE WITH REGISTRATION, MEDICATION RECONCILIATION & VITAL SIGNS.OUR TEAM CONNECTS THE PATIENT VIA A HIGH-DEFINITION CAMERA TO A PHYSICIAN LOCATED OFF SITE. PATIENTS BENEFIT WITH QUICKER ACCESS TO SPECIALISTS IN REMOTE REGIONS, ENHANCED VIRTUAL CARE WITH ON-SITE CLINICAL STAFF TO CHECK VITALS AND ADMINISTER TESTS OR VACCINES, SUPERIOR VIDEO WITH HIGH-DEFINITION CAMERA, AND CONVENIENT CARE LOCATED CLOSE TO HOME, ELIMINATED THE NEED FOR TRAVELING LONG DISTANCES. CURRENTLY THE SCHUYLKILL HUB PROGRAM OFFERS CLINICAL SERVICES IN INFECTIOUS DISEASE, ENDOCRINOLOGY, UROLOGY, AND NEUROLOGY. IN JULY 2024, LVPG HIRED A FULL-TIME VIRTUAL NEUROLOGIST WHO SEES PATIENTS ENTIRELY THROUGH THE VIRTUAL HUBS IN HAZLETON AND SCHUYLKILL. THE ORIGINAL SCHUYLKILL VIRTUAL HUB SERVES AS OUR REFERENCE FOR ALL EXPANDED VIRTUAL HUB LOCATIONS THROUGHOUT LVPG.NEW IN 2024, THE VIRTUAL HUB PROGRAM EXPANDED TO THE SCRANTON MARKET, WITH A NEW VIRTUAL HUB SET TO OPEN IN 2024 TO OFFER PULMONOLOGY AND INFECTIOUS DISEASE SERVICES TO PATIENTS IN THE SCRANTON REGION.EDUCATIONAL PROGRAMS AND AFFILIATIONS:THE GRADUATE MEDICAL EDUCATION MISSION HAS BEEN EXTENDED TO LVH-S IN THE PAST 3 YEARS WITH THE INITIATION OF OUR RURAL FAMILY MEDICINE RESIDENCY PROGRAM AT THE SITE. THIS PROGRAM LEVERAGES THE HOSPITAL'S UNIQUE LEARNING ENVIRONMENT WITH A FOCUS ON RURAL, MULTIDISCIPLINARY CARE MODEL. THE PROGRAM HAS ACHIEVED ITS FULL COMPLEMENT OF 12 RESIDENTS WHO PARTICIPATE IN A UNIQUE CURRICULUM AND SERVE AS VITAL WORKFORCE IN THE HOSPITAL AND AMBULATORY SETTING. MANY OF THESE RESIDENTS WILL BE, OR ARE CONSIDERING, JOINING OUR LVPG PRACTICE GROUP AND OUR MEDICAL STAFF WHEN THEY COMPLETE THEIR TRAINING. THE PROGRAM ALSO INCLUDES SCHOLARLY ACTIVITY REQUIREMENTS THAT ARE SUPPORTING OUR RESEARCH MISSION.NUMEROUS LVPG PHYSICIANS, WHO WORK LOCALLY AND WHO SPEND TIME AT THE SITE, SERVE AS THE FACULTY FOR THIS LVH RESIDENCY AND FELLOWSHIP PROGRAMS. LVPG PROVIDES CONTINUING MEDICAL EDUCATION (CME) TO ITS PHYSICIANS AND ALLIED HEALTH PERSONNEL AS WELL AS TO PHYSICIANS IN THE COMMUNITY THROUGH VARIOUS EDUCATIONAL PROGRAMS OFFERED DURING THE YEAR. AS WE CONTINUE TO SUPPORT THE CLINICAL ENVIRONMENT FOR EDUCATION FUTURE GME PROGRAMS ARE BEING CONSIDERED AT LVH-S INCLUDING RURAL PROGRAMS IN INTERNAL MEDICINE, OBGYN, AND PSYCHIATRY.COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA):A CHNA REPORT EXAMINES THE FACTORS IMPACTING PEOPLE'S HEALTH AND WELLNESS IN A PARTICULAR GEOGRAPHICAL AREA. THE CHNA REPORT PROVIDES AN OVERVIEW OF THE CURRENT STATE OF HEALTH IN THE REGION AND IDENTIFIES POTENTIAL AREAS OF CONCERN THAT CAN INFORM THE DESIGN OF CLINICAL PROGRAMS.THESE REPORTS ARE GENERATED ANNUALLY AND ARE REVIEWED BY LVHN EXECUTIVE LEADERSHIP AT EACH CAMPUS. POPULATION HEALTH NEEDS ARE PRIORITIZED BASED ON THE COMMUNITY'S INPUT AND LVHN'S ABILITY TO MAKE A DIFFERENCE ON THOSE INITIATIVES. NEXT STEPS INCLUDE DEVELOPING STRATEGIES TO ADDRESS PRIORITIZED HEALTH NEEDS WHICH WILL BE PRESENTED IN LVHN'S CHNA IMPLEMENTATION PLAN.

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • DAVID B BURMEISTER DO

    PRESIDENT / TRUSTEE

    Total calculated
    $755,945
    From this org
    $0
    From related orgs
    $731,100
    Other
    $24,845
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $608,437 related
    Bonus
    $0 + $87,738 related
    Other
    $0 + $34,925 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $24,845 related
    Filer's total
    $0 + $755,945 related

  • JENNIFER L STEPHENS DO

    VICE CHAIRPERSON

    Total calculated
    $629,611
    From this org
    $0
    From related orgs
    $613,033
    Other
    $16,578
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $485,528 related
    Bonus
    $0 + $76,153 related
    Other
    $0 + $51,352 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $16,578 related
    Filer's total
    $0 + $629,611 related

  • JOSEPH D DEFULVIO DO

    CHAIRPERSON / TREASURER

    Total calculated
    $553,488
    From this org
    $0
    From related orgs
    $537,265
    Other
    $16,223
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $466,191 related
    Bonus
    $0 + $71,712 related
    Other
    $0 + -$638 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $16,223 related
    Filer's total
    $0 + $553,488 related

  • AMMAR S ABBASI MD FAAPMR

    SECRETARY / TRUSTEE

    Total calculated
    $433,261
    From this org
    $0
    From related orgs
    $424,736
    Other
    $8,525
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $371,477 related
    Bonus
    $0 + $65,077 related
    Other
    $0 + -$11,818 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $8,525 related
    Filer's total
    $0 + $433,261 related

  • JAMES N DEMOPOULOS SR MHA

    TRUSTEE (NON-VOTING)

    Total calculated
    $579,009
    From this org
    $0
    From related orgs
    $561,876
    Other
    $17,133
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $443,322 related
    Bonus
    $0 + $66,701 related
    Other
    $0 + $51,853 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $17,133 related
    Filer's total
    $0 + $579,009 related

  • AMANDA B FLICKER MD

    TRUSTEE

    Total calculated
    $632,733
    From this org
    $0
    From related orgs
    $621,817
    Other
    $10,916
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $504,071 related
    Bonus
    $0 + $79,596 related
    Other
    $0 + $38,150 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $10,916 related
    Filer's total
    $0 + $632,733 related

  • RONALD S FREUDENBERGER MD

    TRUSTEE

    Total calculated
    $913,225
    From this org
    $0
    From related orgs
    $887,766
    Other
    $25,459
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $726,392 related
    Bonus
    $0 + $114,639 related
    Other
    $0 + $46,735 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $25,459 related
    Filer's total
    $0 + $913,225 related

  • TIMOTHY J FRIEL MD

    TRUSTEE

    Total calculated
    $732,354
    From this org
    $0
    From related orgs
    $706,895
    Other
    $25,459
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $579,756 related
    Bonus
    $0 + $87,229 related
    Other
    $0 + $39,910 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $25,459 related
    Filer's total
    $0 + $732,354 related

  • GRANT M GREENBERG MD

    TRUSTEE

    Total calculated
    $472,564
    From this org
    $0
    From related orgs
    $453,648
    Other
    $18,916
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $379,305 related
    Bonus
    $0 + $58,200 related
    Other
    $0 + $16,143 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $18,916 related
    Filer's total
    $0 + $472,564 related

  • J NATHAN HAGSTROM MD

    TRUSTEE

    Total calculated
    $603,843
    From this org
    $0
    From related orgs
    $578,422
    Other
    $25,421
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $475,990 related
    Bonus
    $0 + $75,162 related
    Other
    $0 + $27,270 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $25,421 related
    Filer's total
    $0 + $603,843 related

  • ROBERT X MURPHY JR MD MS

    TRUSTEE

    Total calculated
    $1,712,819
    From this org
    $0
    From related orgs
    $1,687,633
    Other
    $25,186
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $870,869 related
    Bonus
    $0 + $264,472 related
    Other
    $0 + $552,292 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $25,186 related
    Filer's total
    $0 + $1,712,819 related

  • SURESH G NAIR MD

    TRUSTEE

    Total calculated
    $835,676
    From this org
    $0
    From related orgs
    $816,097
    Other
    $19,579
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $675,676 related
    Bonus
    $0 + $95,018 related
    Other
    $0 + $45,403 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $19,579 related
    Filer's total
    $0 + $835,676 related

  • MICHAEL D PASQUALE MD

    TRUSTEE

    Total calculated
    $1,089,361
    From this org
    $0
    From related orgs
    $1,063,902
    Other
    $25,459
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $876,727 related
    Bonus
    $0 + $131,911 related
    Other
    $0 + $55,264 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $25,459 related
    Filer's total
    $0 + $1,089,361 related

  • MICHAEL A ROSSI MD MBA

    TRUSTEE

    Total calculated
    $1,460,621
    From this org
    $0
    From related orgs
    $1,442,873
    Other
    $17,748
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $814,148 related
    Bonus
    $0 + $252,268 related
    Other
    $0 + $376,457 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $17,748 related
    Filer's total
    $0 + $1,460,621 related

  • PATRICK C SIMONSON

    TRUSTEE (NON-VOTING)

    Total calculated
    $63,494
    From this org
    $0
    From related orgs
    $60,482
    Other
    $3,012
    Hours/week
    1 + 39 related

  • KARL HELMOLD

    PHYSICIAN

    Total calculated
    $687,313
    From this org
    $668,985
    From related orgs
    $0
    Other
    $18,328
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $515,317
    Bonus
    $145,796
    Other
    $7,872
    Deferred
    $0
    Nontaxable benefits
    $18,328
    Filer's total
    $687,313

  • DAVID KREWSON

    PHYSICIAN

    Total calculated
    $593,416
    From this org
    $569,014
    From related orgs
    $0
    Other
    $24,402
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $431,055
    Bonus
    $136,600
    Other
    $1,359
    Deferred
    $0
    Nontaxable benefits
    $24,402
    Filer's total
    $593,416

  • CRISTIN A WEICKER

    PHYSICIAN

    Total calculated
    $542,307
    From this org
    $526,319
    From related orgs
    $0
    Other
    $15,988
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $339,125
    Bonus
    $191,245
    Other
    -$4,051
    Deferred
    $0
    Nontaxable benefits
    $15,988
    Filer's total
    $542,307

  • ROBERT ZIMMERMAN

    PHYSICIAN

    Total calculated
    $545,985
    From this org
    $521,544
    From related orgs
    $0
    Other
    $24,441
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $456,911
    Bonus
    $64,251
    Other
    $382
    Deferred
    $0
    Nontaxable benefits
    $24,441
    Filer's total
    $545,985

  • JAMES C XENOPHON

    PHYSICIAN

    Total calculated
    $432,252
    From this org
    $415,678
    From related orgs
    $0
    Other
    $16,574
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $354,147
    Bonus
    $57,934
    Other
    $3,597
    Deferred
    $0
    Nontaxable benefits
    $16,574
    Filer's total
    $432,252

  • ANTHONY P BUONANNO MD

    FORMER TRUSTEE

    Total calculated
    $48,797
    From this org
    $0
    From related orgs
    $46,892
    Other
    $1,905
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $47,412 related
    Bonus
    $0
    Other
    $0 + -$520 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $1,905 related
    Filer's total
    $0 + $48,797 related

  • DIANE C DOYNE

    FORMER ASSISTANT SECRETARY

    Total calculated
    $80,323
    From this org
    $0
    From related orgs
    $63,003
    Other
    $17,320
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $65,309 related
    Bonus
    $0 + $500 related
    Other
    $0 + -$2,806 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $17,320 related
    Filer's total
    $0 + $80,323 related

  • MICHAEL W EVANS MD

    FORMER SECRETARY / TRUSTEE

    Total calculated
    $662,369
    From this org
    $0
    From related orgs
    $637,950
    Other
    $24,419
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $479,287 related
    Bonus
    $0 + $160,702 related
    Other
    $0 + -$2,039 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $24,419 related
    Filer's total
    $0 + $662,369 related

  • WILLIAM J REPPY

    FORMER PRESIDENT

    Total calculated
    $444,298
    From this org
    $0
    From related orgs
    $443,800
    Other
    $498
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $316,426 related
    Bonus
    $0 + $38,756 related
    Other
    $0 + $88,618 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $498 related
    Filer's total
    $0 + $444,298 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
COMPENSATION FOR THE CEO IS DETERMINED BY A RELATED ORGANIZATION USING THE FOLLOWING METHODS: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION STUDY, AND APPROVAL BY THE BOARD AND COMPENSATION COMMITTEE.
PART I, LINES 4A-B
THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE 457(F) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN OF LEHIGH VALLEY PHYSICIAN GROUP, A RELATED ORGANIZATION, AND RECEIVED A DISTRIBUTION IN CALENDAR YEAR 2023: DAVID B. BURMEISTER, DO, PRESIDENT/TRUSTEE - $ 43,859 JENNIFER L. STEPHENS, DO, VICE CHAIRPERSON - $ 55,842 JAMES N. DEMOPOULOS, SR, MHA, TRUSTEE (NON-VOTING) - $ 51,002 AMANDA B. FLICKER, MD, TRUSTEE - $ 37,355 TIMOTHY J. FRIEL, MD, TRUSTEE - $ 41,353 GRANT M. GREENBERG, MD, TRUSTEE - $ 21,875 J. NATHAN HAGSTROM, MD, TRUSTEE - $ 32,518 ROBERT X. MURPHY, JR., MD MS, TRUSTEE - $ 170,211 MICHAEL D. PASQUALE, MD, TRUSTEE - $ 59,510 THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE 457(F) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN OF LEHIGH VALLEY HOSPITAL, A RELATED ORGANIZATION, AND RECEIVED A DISTRIBUTION IN CALENDAR YEAR 2023: RONALD S. FREUDENBERGER, MD, TRUSTEE - $ 50,858 SURESH G. NAIR, MD, TRUSTEE - $ 45,471 MICHAEL A. ROSSI, MD MBA, TRUSTEE - $ 187,689 THE FOLLOWING INDIVIDUAL PARTICIPATED IN THE 457(F) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN OF LEHIGH VALLEY HOSPITAL - SCHUYLKILL, A RELATED ORGANIZATION, AND RECEIVED A DISTRIBUTION IN CALENDAR YEAR 2023: WILLIAM J. REPPY, FORMER PRESIDENT - $ 36,066 THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT FROM LEHIGH VALLEY HOSPITAL - SCHUYLKILL, A RELATED ORGANIZATION, IN CALENDAR YEAR 2023: WILLIAM J. REPPY, FORMER PRESIDENT - $ 41,878

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2023
Filed
8 May 2025
IRS schema version
2023v6.0
Source object
202541289349301814

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.