Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2011
Open to Public Inspection
A For the calendar year, or tax year beginning 07-01-2011 and ending 06-30-2012
BCheck if applicable:
CName of organization
ST LUKE'S HOSPITAL OF BETHLEHEM PA
 
Doing Business As
St Luke's University Hospital
 
Number and street (or P.O. box if mail is not delivered to street address)
801 OSTRUM STREET
 
Room/suite
City or town, state or country, and ZIP + 4
BETHLEHEM, PA180151000
D Employer identification number

23-1352213
E Telephone number

G Gross receipts $ 688,485,650
F Name and address of principal officer:
THOMAS P LICHTENWALNER
801 OSTRUM STREET
BETHLEHEM,PA180151000
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.SLHN.ORG
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1872
M State of legal domicile: PA
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: 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, RELIGION OR ABILITY TO PAY.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a)..... 3 20
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 16
5 Total number of individuals employed in calendar year 2011 (Part V, line 2a) ... 5 5,848
6 Total number of volunteers (estimate if necessary) .... 6 1,223
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 0
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b  
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 10,464,337 5,735,327
9 Program service revenue (Part VIII, line 2g) ......... 650,884,574 652,707,121
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 16,790,048 23,617,731
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 4,755,543 5,638,767
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 682,894,502 687,698,946
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 460,141 674,195
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 306,730,225 311,278,579
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 337,151,310 330,806,742
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 644,341,676 642,759,516
19 Revenue less expenses. Subtract line 18 from line 12....... 38,552,826 44,939,430
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 1,116,306,829 1,292,517,730
21 Total liabilities (Part X, line 26)............. 688,461,201 930,951,701
22 Net assets or fund balances. Subtract line 21 from line 20..... 427,845,628 361,566,029
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid preparer use only
Print/type preparer's name
 
Preparer's signature
Date
PTIN
Firm's name Right pointing arrowhead image

Firm's EIN Right pointing arrowhead image
Firm's address Right pointing arrowhead image



Phone no.
May the IRS discuss this return with the preparer shown above? See instructions .........bullet
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2011)
Form 990 (2011)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III .........
1
Briefly describe the organization’s mission: 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, RELIGION OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 71,570,185 including grants of $ 0 ) (Revenue $ 69,998,123 )
General medicine: coordinated care is provided for patients in both an outpatient and inpatient setting, in which care is managed by hospitalists. Emphasis is also placed on health promotion and disease prevention. Preventive and healthy living medical education, routine care of common medical illnesses and ongoing management and coordination of care for complex disease states is provided. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.
4b (Code:   ) (Expenses $ 54,524,725 including grants of $ 0 ) (Revenue $ 51,795,502 )
Cardiovascular medicine: St. Luke's Heart and Vascular Center offers a full spectrum of advanced heart and vascular services generally available only at major metropolitan teaching hospitals. The hospital's heart care program has earned Chest Pain Center accreditation and Joint Commission Certification for heart failure. It has repeatedly earned the highest overall open-heart surgery quality rating from the Society of Thoracic Surgeons and was named one of the nation's 50 Top Cardiovascular Hospitals by Thomson Reuters. The National Committee for Quality Assurance has awarded the hospital's clinics for the underserved special recognition in the area of heart and stroke care. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.
4c (Code:   ) (Expenses $ 52,603,245 including grants of $ 0 ) (Revenue $ 61,015,289 )
General surgery: hospital surgeons, combined with available leading-edge surgical technologies, provide patients with some of the most advanced surgical care available today. St. Luke's has one of the nation's oldest and most experienced minimally invasive robotic surgery programs and was the first in the U.S. to offer a "guarantee" for robotic prostatectomy. Other innovative advanced surgical techniques are offered for a wide range of conditions, such as surgery resulting from trauma injuries, neurosurgical pain management and bariatric surgery. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.
4d Other program services (Describe in Schedule O.)
(Expenses $ 399,852,851 including grants of $ 674,195 ) (Revenue $ 469,898,207 )
4e Total program service expensesMediumBullet$ 578,551,006
Form 990 (2011)
Form 990 (2011)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part II
Click to see attachment.........................
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part III........................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete Schedule D, Part IClick to see attachment....................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment
...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IV
Click to see attachment
...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
Yes
 
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
Yes
 
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States or aggregate foreign investments valued at $100,000 or more? If “Yes,” complete Schedule F, Part I.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II..
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III..
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II..........
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H..... Click to see attachment
20a
Yes
 
b
If “Yes” to line 20a, did the organization attach a copy of its audited financial statement to this return? Note. All Form 990 filers that operated one or more hospitals must attach audited financial statements. Click to see attachment
20b
Yes
 
Form 990 (2011)
Form 990 (2011)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants and other assistance to any government or organization in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III..... Click to see attachment
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................ Click to see list of attachments
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?
......................
24c
 
No
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I...... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................ Click to see attachment
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II
......................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If “Yes,” complete Schedule L, Part III......... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ......................... Click to see attachment
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV
................... Click to see attachment
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV.. Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I
...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
35b
 
No
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2011)
Form 990 (2011)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V .........
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
747
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
 
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
5,848
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note.
All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2011)
Form 990 (2011)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI .........
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
If the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
1a
20
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
16
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
Yes
 
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? .................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ............
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ..........
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes? ....
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Did the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Were officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this was done ....................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes," to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If “Yes,” did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
THOMAS P LICHTENWALNER
801 OSTRUM STREET
BETHLEHEM,PA180151000
(484) 526-4000
Form 990 (2011)
Form 990 (2011)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII .........
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title
(B)
Average hours per week (describe hours for related organizations in Schedule O)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) DAVID M LOBACH JR
CHAIRMAN - DIRECTOR
1.0 X   X       0 0 0
(2) CHARLES D SAUNDERS MD
VICE CHAIRMAN - DIRECTOR
1.0 X   X       0 0 0
(3) RICHARD A ANDERSON
DIRECTOR - PRESIDENT/CEO
55.0 X   X       1,803,650 0 244,380
(4) REVEREND DR DOUGLAS W CALDWELL
DIRECTOR
1.0 X           0 0 0
(5) FAUST CAPOBIANCO
DIRECTOR
1.0 X           0 0 0
(6) CHRISTINA CONNAR
DIRECTOR
1.0 X           0 0 0
(7) JOHN M DALY MD
DIRECTOR
1.0 X           0 0 0
(8) JAMES G GALLAGHER MD
DIRECTOR
1.0 X           0 0 0
(9) SAMUEL R GIAMBER MD
DIRECTOR
1.0 X           0 0 0
(10) JAN S HELLER
DIRECTOR-VP FINANCE(EFF 9/11)
55.0 X   X       148,625 0 6,041
(11) KOSTAS KALOGEROPOULOS
DIRECTOR
1.0 X           0 0 0
(12) THOMAS J MCGINLEY
DIRECTOR
1.0 X           0 0 0
(13) DOUGLAS A MICHELS
DIRECTOR
1.0 X           0 0 0
(14) ROBERT A OSTER
DIRECTOR
1.0 X           0 0 0
(15) ROBERT RUMFIELD
DIRECTOR
1.0 X           0 0 0
(16) ARTHUR SCOTT EDD
DIRECTOR
1.0 X           0 0 0
(17) KENNETH R SMITH
DIRECTOR
1.0 X           0 0 0
Form 990 (2011)
Form 990 (2011)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title
(B)
Average hours per week (describe hours for related organizations in Schedule O)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) REVEREND DR CHRISTOPHER M THOMFORDE
DIRECTOR
1.0 X           0 0 0
(19) ANDREW F S WARNER
DIRECTOR
1.0 X           0 0 0
(20) DONALD E WIEAND ESQ
DIRECTOR
1.0 X           0 0 0
(21) JOEL D FAGERSTROM
EXECUTIVE VICE PRESIDENT/COO
55.0     X       659,126 0 36,712
(22) THOMAS P LICHTENWALNER
SVP FINANCE/CFO
55.0     X       588,212 0 162,754
(23) JEFFREY A JAHRE MD
SVP MEDICAL & ACADEMIC AFFAIRS
55.0     X       648,542 0 77,339
(24) ROBERT P ZIMMEL
SVP HUMAN RESOURCES
55.0       X     1,180,499 0 93,072
(25) ROBERT E MARTIN
SVP PLANNING
55.0       X     447,074 0 68,909
(26) CAROL A KUPLEN RN MSN
SVP & CHIEF NURSING OFFICER
55.0       X     435,165 0 87,282
(27) ROBERT L WAX ESQ
SVP & GENERAL COUNSEL
55.0       X     395,411 0 37,872
(28) EDWARD NAWROCKI
PRESIDENT ANDERSON CAMPUS
55.0       X     405,563 0 45,444
(29) FRANK FORD
PRESIDENT ALLENTOWN CAMPUS
55.0       X     354,226 0 61,607
(30) JOSEPH C MEROLA MD
CHIEF OF OB/GYN
55.0         X   744,185 0 165,166
(31) MARC A GRANSON MD
CHIEF OF SURGERY
55.0         X   619,355 0 57,134
(32) MICHAEL D GROSSMAN MD
TRAUMA SURGEON
55.0         X   523,360 0 51,157
(33) WILLIAM S HOFF MD
TRAUMA SURGEON
55.0         X   501,353 0 51,259
(34) BRIAN A HOEY MD
TRAUMA SURGEON
55.0         X   494,756 0 58,938
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 9,949,102 0 1,305,066
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet283
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
JG PETRUCCI COMPANY INC
171 STATE ROUTE 173 SUITE 201
ASBURY,NJ08802
CONSTRUCTION 19,764,387
NORTH STAR CONSTRUCTION
7562 PEN DRIVE SUITE 100
ALLENTOWN,PA18106
CONSTRUCTION 14,636,677
PROGRESSIVE PHYSICIAN ASSOCIATES
3735 NAZARETH ROAD SUITE 206
EASTON,PA18052
PROF. PHYSICIAN SVCS 12,362,782
ANESTHESIA SPECIALISTS OF BETHLEHEM
PO BOX 5520
BETHLEHEM,PA18015
PROF. PHYSICIAN SVCS 5,133,528
SODEXO INC AFFILIATES
PO BOX 360170
PITTSBURGH,PA152516170
FOOD/DIETARY SVCS 4,878,227
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet106
Form 990 (2011)
Form 990 (2011)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, Gifts, Grants and Other Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 401,396
e Government grants (contributions)1e 740,959
f All other contributions, gifts, grants, and
similar amounts not included above
1f
4,592,972
g Noncash contributions included in lines 1a-1f:$  
h Total. Add lines 1a-1f.......MediumBullet 5,735,327
 Program Service Revenue Business Code
2a NET PATIENT SERVICE REVENUE 541,900 645,785,584 645,785,584    
b OTHER HEATHCARE RELATED REVENUE 900,099 6,921,537 6,921,537    
c
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 652,707,121
 Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 22,443,811     22,443,811
4 Income from investment of tax-exempt bond proceeds..MediumBullet 0      
5 Royalties............MediumBullet 0      
(i) Real (ii) Personal
6a Gross rents 1,485,043  
b Less: rental expenses    
c Rental income or (loss) 1,485,043  
d Net rental income or (loss).......MediumBullet 1,485,043     1,485,043
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 1,960,624  
b Less: cost or other basis and sales expenses 216,666 570,038
c Gain or (loss) 1,743,958 -570,038
d Net gain or (loss)..........MediumBullet 1,173,920     1,173,920
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ...
a 8,479
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet 8,479   8,479
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet 0      
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet 0      
Miscellaneous Revenue Business Code
11a DIETARY REVENUE 722,210 2,268,038     2,268,038
b TUITION REVENUE 611,600 1,724,859     1,724,859
c CLEANING REVENUE 812,900 152,348     152,348
d All other revenue ....        
e Total. Add lines 11a–11d ......MediumBullet 4,145,245
12 Total revenue. See Instructions....MediumBullet 687,698,946 652,707,121   29,256,498
Form 990 (2011)
Form 990 (2011)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Check if Schedule O contains a response to any question in this Part IX. .........
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service expenses
(C)
Management and general expenses
(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the United States. See Part IV, line 21 674,195 674,195
2 Grants and other assistance to individuals in the United States. See Part IV, line 22 0  
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16 0  
4 Benefits paid to or for members 0  
5 Compensation of current officers, directors, trustees, and key employees .... 7,987,504 7,188,754 798,750 0
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 0      
7 Other salaries and wages 239,697,958 215,728,162 23,969,796  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 16,296,340 14,666,706 1,629,634  
9 Other employee benefits ....... 31,743,799 28,569,419 3,174,380  
10 Payroll taxes ........... 15,552,978 13,997,680 1,555,298  
11 Fees for services (non-employees):        
a Management ...... 2,373,917 2,136,525 237,392  
b Legal ......... 58,790 52,911 5,879  
c Accounting ........... 12,984 11,686 1,298  
d Lobbying ........... 382,293 344,064 38,229  
e Professional fundraising. See Part IV, line 17.. 0  
f Investment management fees ...... 0      
g Other .......... 159,208 143,287 15,921  
12 Advertising and promotion .... 508,219 457,397 50,822  
13 Office expenses ....... 17,740,372 15,966,335 1,774,037  
14 Information technology ...... 881,260 793,134 88,126  
15 Royalties .. 0      
16 Occupancy ........... 6,516,325 5,864,693 651,632  
17 Travel ............ 1,145,017 1,030,515 114,502  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 0      
20 Interest ........... 16,101,707 14,491,536 1,610,171  
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization ..... 43,908,639 39,517,775 4,390,864  
23 Insurance .............. 7,087,156 6,378,440 708,716  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24f. If line 24f amount exceeds 10% of line 25, column (A) amount, list line 24f expenses on Schedule O.)
a MEDICAL SUPPLIES 119,003,779 107,103,401 11,900,378  
b OTHER SERVICES/SUPPORT 35,954,579 32,359,121 3,595,458  
c PURCHASED SERVICES 26,103,466 23,493,119 2,610,347  
d UTILITIES 7,186,190 6,467,571 718,619  
e
f All other expenses 45,682,841 41,114,580 4,568,261  
25 Total functional expenses. Add lines 1 through 24f 642,759,516 578,551,006 64,208,510 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2011)
Form 990 (2011)
Page 11
Part X Balance Sheet
(A)
Beginning of year
(B)
End of year
Assets 1 Cash—non-interest-bearing .......... 17,220 1 20,635
2 Savings and temporary cash investments ....... 74,090,443 2 54,922,289
3 Pledges and grants receivable, net ......... 981,228 3 2,707,995
4 Accounts receivable, net ......... 104,476,336 4 123,943,919
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L .......... 0 5 0
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L .......... 0 6 0
7 Notes and loans receivable, net ............. 62,305,139 7 241,329,351
8 Inventories for sale or use .............. 11,106,608 8 13,768,109
9 Prepaid expenses and deferred charges ............ 7,593,169 9 11,572,834
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 960,705,039
b Less: accumulated depreciation. ..... 10b 487,521,803 425,329,939 10c 473,183,236
11 Investments—publicly traded securities .......... 0 11 0
12 Investments—other securities. See Part IV, line 11 ...... 0 12 0
13 Investments—program-related. See Part IV, line 11 .. 382,275,669 13 321,201,330
14 Intangible assets ......... 68,466 14 43,466
15 Other assets. See Part IV, line 11 ........... 48,062,612 15 49,824,566
16 Total assets. Add lines 1 through 15 (must equal line 34)... 1,116,306,829 16 1,292,517,730
Liabilities 17 Accounts payable and accrued expenses . 169,102,010 17 205,199,052
18 Grants payable .......... 0 18 0
19 Deferred revenue .......... 2,593,708 19 1,603,462
20 Tax-exempt bond liabilities .......... 411,428,810 20 413,218,612
21 Escrow or custodial account liability. Complete Part IV of Schedule D.. 0 21 0
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L.......... 0 22 0
23 Secured mortgages and notes payable to unrelated third parties .. 0 23 0
24 Unsecured notes and loans payable to unrelated third parties .... 0 24 0
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D..... 105,336,673 25 310,930,575
26 Total liabilities. Add lines 17 through 25..... 688,461,201 26 930,951,701
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 388,069,392 27 321,053,773
28 Temporarily restricted net assets ..... 19,708,039 28 18,983,273
29 Permanently restricted net assets ..... 20,068,197 29 21,528,983
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... 427,845,628 33 361,566,029
34 Total liabilities and net assets/fund balances ..... 1,116,306,829 34 1,292,517,730
Form 990 (2011)
Form 990 (2011)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI .........
1
Total revenue (must equal Part VIII, column (A), line 12) ...
1
687,698,946
2
Total expenses (must equal Part IX, column (A), line 25) ....
2
642,759,516
3
Revenue less expenses. Subtract line 2 from line 1 ...
3
44,939,430
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
427,845,628
5
Other changes in net assets or fund balances (explain in Schedule O) ...
5
-111,219,029
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) ....
6
361,566,029
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII .........
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?....
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant? If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O. ...........................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
Yes
 
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
Yes
 
Form 990 (2011)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2011
Open to Public
Inspection
Name of the organization
ST LUKE'S HOSPITAL OF BETHLEHEM PA
 
Employer identification number

23-1352213
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
 
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
(i)
Name of supported organization
(ii)
EIN
(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv)
Is the organization in col. (i) listed in your governing document?
(v)
Did you notify the organization in col. (i) of your support?
(vi)
Is the organization in col. (i) organized in the U.S.?
(vii)
Amount of support?
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) 2011 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3..            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public Support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) 2011 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) 2011 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public Support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) 2011 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)            
13 Total support (Add lines 9, 10c, 11 and 12.).            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2011

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2011
Name of organization
ST LUKE'S HOSPITAL OF BETHLEHEM PA
 
Employer identification number

23-1352213
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on Part I, line 2, of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 2
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Name of organization
ST LUKE'S HOSPITAL OF BETHLEHEM PA
 
Employer identification number

23-1352213
Part I
Contributors (see Instructions). Use duplicate copies of Part I if additional space is needed.
     
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 3
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Name of organization
ST LUKE'S HOSPITAL OF BETHLEHEM PA
 
Employer identification number

23-1352213
Part II
Noncash Property (see Instructions). Use duplicate copies of Part II if additional space is needed.
     
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions).
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions).
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions).
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions).
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions).
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions).
(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 4
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Name of organization
ST LUKE'S HOSPITAL OF BETHLEHEM PA
 
Employer identification number

23-1352213
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  

Use duplicate copies of Part III if additional space is needed
(a) No.
from
Part I
(b)
Purpose of gift
(c)
Use of gift
(d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b)
Purpose of gift
(c)
Use of gift
(d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b)
Purpose of gift
(c)
Use of gift
(d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b)
Purpose of gift
(c)
Use of gift
(d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.
SchCMd Bullet Attach to Form 990 or Form 990-EZ. SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2011
Open to Public
Inspection
If the organization answered “Yes” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, line 35c (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
ST LUKE'S HOSPITAL OF BETHLEHEM PA
 
Employer identification number

23-1352213
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c) except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ...................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2011

Schedule C (Form 990 or 990-EZ) 2011
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check expenses, and share of excess lobbying expenditures).
B Check
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.)
(a) Filing
organization's
totals
(b) Affiliated group
totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.
   
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in)
(a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) Total
             
2a Lobbying non-taxable amount          
             
b Lobbying ceiling amount
(150% of line 2a, column(e))
         
             
c Total lobbying expenditures          
             
d Grassroots nontaxable amount          
             
e Grassroots ceiling amount
(150% of line 2d, column (e))
         
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2011


Schedule C (Form 990 or 990-EZ) 2011
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each “Yes” response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
 
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
Yes
 
c
Media advertisements? ....................................
 
 
 
d
Mailings to members, legislators, or the public? .........................
 
 
 
e
Publications, or published or broadcast statements? .......................
 
 
 
f
Grants to other organizations for lobbying purposes? .......................
 
 
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
Yes
 
355,714
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
Yes
 
26,579
i
Other activities? ..........................
 
 
 
j
Total. Add lines 1c through 1i ...............................
382,293
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
 
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2 are answered “No” OR (b) Part III-A, line 3 is answered “Yes”.
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ...........................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, Part II-A; line 5; and Part ll-B, line 1.
Also, complete this part for any additional information.
Identifier Return Reference Explanation
LOBBYING ACTIVITIES SCHEDULE C, PART II-B; QUESTION 1 THE ORGANIZATION PAID A CONSULTING FIRM $102,000 IN ORDER TO INFORM AND EDUCATE LEGISLATORS REGARDING MEDICARE AND MEDICAL ASSISTANCE REIMBURSEMENT AS WELL AS OTHER HEALTHCARE ISSUES. IN ADDITION, THE ORGANIZATION IS A MEMBER OF THE HOSPITAL AND HEALTHSYSTEM 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 $26,579. THE ORGANIZATION ALSO ALLOCATES A PORTION OF TOTAL COMPENSATION OF TWO ST. LUKE'S UNIVERSITY HEALTH NETWORK SENIOR MANAGEMENT PERSONNEL. THE TOTAL AMOUNT OF THIS EXPENSE ALLOCATED TO LOBBYING ACTIVITIES WAS $253,714. THIS ORGANIZATION PAYS ALL EXPENSES, INCLUDING LOBBYING, ON BEHALF OF ALL 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 REPRESENTED $97,062 OF THE $382,293 REPORTED ON THIS FEDERAL FORM 990.
Schedule C (Form 990 or 990EZ) 2011

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
ST LUKE'S HOSPITAL OF BETHLEHEM PA
 
Employer identification number

23-1352213
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year .......    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958), relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2011

Schedule D (Form 990) 2011
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance .... 39,776,236 31,778,170    
b Contributions ........ 3,211,916 3,998,132    
c Net investment earnings, gains, and losses ... 464,531 6,549,596    
d Grants or scholarships .....        
e Other expenditures for facilities
and programs ........
2,940,427 2,549,662    
f Administrative expenses ....        
g End of year balance ...... 40,512,256 39,776,236    
2
Provide the estimated percentage of the year end balance (line 1g) held as:
a
Board designated or quasi-endowment SchDMd Bullet46.860 %
b
Permanent endowment SchDMd Bullet53.140 %
c
Temporarily restricted endowment SchDMd Bullet  
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   73,836,767 73,836,767
b Buildings ................   447,679,656 201,682,581 245,997,075
c Leasehold improvements ............   14,734,194 6,096,796 8,637,398
d Equipment ................   373,864,684 278,479,151 95,385,533
e Other .................   50,589,738 1,263,275 49,326,463
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 473,183,236
Schedule D (Form 990) 2011

Schedule D (Form 990) 2011
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)
(b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1) MONEY MARKET FUNDS 15,685,499 F
(2) GOVERNMENT SECURITIES 9,743,751 F
(3) CORPORATE BONDS 34,214,016 F
(4) COMMON & PREFERRED STOCK 100,128 F
(5) MUTUAL FUNDS 257,017,116 F
(6) CASH & EQUIVALENTS 4,440,820 F



Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet 321,201,330
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Book value
Federal Income Taxes 0
ADVANCE FROM THIRD PARTY PAYOR 2,099,500
DUE TO THIRD PARTIES 10,598,585
CURRENT PORTION OF PENSION COS 4,888,084
DUE TO AFFILIATES 187,312,265
ASSET RETIREMENT OBLIGATION 3,247,932
CHARITABLE GIFT ANNUITIES 7,858,399
SWAP CONTRACT LIABILITY 83,210,652
SELF INSURANCE COSTS 11,357,524
OTHER LIABILITIES 357,634
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 310,930,575
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).
Schedule D (Form 990) 2011

Schedule D (Form 990) 2011
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1  
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2  
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3  
4 Net unrealized gains (losses) on investments .......................... 4  
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV.) ................................. 8  
9 Total adjustments (net). Add lines 4 through 8 ......................... 9  
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10  
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIV.) ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total Revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV.) ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIV.) ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
Schedule D (Form 990) 2011

Additional Data


Software ID:  
Software Version:  




SCHEDULE H (Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
ST LUKE'S HOSPITAL OF BETHLEHEM PA
 
Employer identification number

23-1352213
Part I
Charity Care and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a....
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Did the organization use FPG to determine eligibility for providing discounted care? If "Yes," indicate which of the
following was the family income limit for eligibility for discounted care: ............
3b
Yes
 
c
If the organization did not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount?......
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care?...............
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year?...........
6a
 
No
b
If "Yes," did the organization make it available to the public? ...............
6b
 
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance
and Means-Tested Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) ..
    12,044,755   12,044,755 1.870 %
b Medicaid (from Worksheet 3, column a) .....     89,058,734 63,592,707 25,466,027 3.960 %
c Costs of other means-tested government programs (from Worksheet 3, column b) .            
dTotal Financial Assistance and
Means-Tested Government Programs .....
    101,103,489 63,592,707 37,510,782 5.830 %
Other Benefits
e Community health improvement
services and community
benefit operations (from
(Worksheet 4) ....
    6,363,416 2,819,442 3,543,974 0.550 %
f Health professions education
(from Worksheet 5) ..
    44,490,384 14,334,603 30,155,781 4.690 %
g Subsidized health services
(from Worksheet 6) ..
    17,802,599 10,805,058 6,997,541 1.090 %
h Research (from Worksheet 7)     16,452   16,452  
i Cash and in-kind contributions for community benefit (from Worksheet 8) ....     1,561,997   1,561,997 0.240 %
jTotal Other Benefits ...     70,234,848 27,959,103 42,275,745 6.570 %
kTotal. Add lines 7d and 7j. ..     171,338,337 91,551,810 79,786,527 12.400 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total            
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense........
2
8,075,707
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy .....
3
807,571
4
Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
160,186,080
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
142,717,954
7
Subtract line 6 from line 5. This is the surplus or (shortfall)........
7
17,468,126
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

9b

Yes

 
Part IV
Management Companies and Joint Ventures
(see instructions)
(a) Name of entity (b) Description of primary
activity of entity
(c) Organization's
profit % or stock
ownership %
(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership%
(e) Physicians'
profit % or stock
ownership %
1THE CENTER FOR ORAL
 
       
2& MAXILLOFACIAL
 
       
3SURGERY & IMPLANT
 
ORAL SURGERY 50.000 %   50.000 %
4DIALYSIS LIMITEDLLC
 
DIALYSIS 50.000 %   50.000 %
5ST LUKE'S NORTH
 
       
6DIALYSIS CENTERLP
 
DIALYSIS 49.500 %   49.500 %
7
8
9
10
11
12
13
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest)
How many hospital facilities did the organization operate during the tax year?3
Name and address
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe)
1 ST LUKE'S HOSPITAL - BETHLEHEM CAMPUS
801 OSTRUM STREET
BETHLEHEM,PA180151000
X X   X   X X    
2 ST LUKE'S HOSPITAL - ALLENTOWN CAMPUS
1736 W HAMILTON STREET
ALLENTOWN,PA18104
X X   X     X    
3 ST LUKE'S HOSPITAL - ANDERSON CAMPUS
1872 RIVERSIDE CIRCLE
EASTON,PA18045
X X         X    
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
ST LUKE'S HOSPITAL - BETHLEHEM CAMPUS
Name of Hospital Facility:  
Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2011)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet the community health needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Participation in the development of a community-wide community benefit plan
d Participation in the execution of a community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the Needs Assessment
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs. .... 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8 Yes  
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 9 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 300.%
If "No," explain in Part VI the criteria the hospital facility used.
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care?................. 10 Yes  
If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 300.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Explained the basis for calculating amounts charged to patients?................. 11 Yes  
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12 Yes  
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 14 Yes  
15 Check all of the following collection actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other similar actions (describe in Part VI)
16 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?.......... 16 Yes  
If “Yes,” check all actions in which the hospital facility or a third party engaged:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other similar actions (describe in Part VI)
17 Indicate which efforts the hospital facility made before initiating any of the actions checked in line 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy
e Other (describe in Part VI)
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18 Yes  
If “No,” indicate why:
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility’s policy was not in writing
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Individuals Eligible for Financial Assistance
19 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged
b The hospital facility used the average of it's three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged
c The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20   No
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its FAP-eligible patients an amount equal to the gross charge for any services provided to that patient?............................... 21   No
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
ST LUKE'S HOSPITAL - ALLENTOWN CAMPUS
Name of Hospital Facility:  
Line Number of Hospital Facility (from Schedule H, Part V, Section A):2

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2011)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet the community health needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Participation in the development of a community-wide community benefit plan
d Participation in the execution of a community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the Needs Assessment
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs. .... 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8 Yes  
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 9 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 300.%
If "No," explain in Part VI the criteria the hospital facility used.
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care?................. 10 Yes  
If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 300.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Explained the basis for calculating amounts charged to patients?................. 11 Yes  
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12 Yes  
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 14 Yes  
15 Check all of the following collection actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other similar actions (describe in Part VI)
16 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?.......... 16 Yes  
If “Yes,” check all actions in which the hospital facility or a third party engaged:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other similar actions (describe in Part VI)
17 Indicate which efforts the hospital facility made before initiating any of the actions checked in line 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy
e Other (describe in Part VI)
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18 Yes  
If “No,” indicate why:
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility’s policy was not in writing
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Individuals Eligible for Financial Assistance
19 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged
b The hospital facility used the average of it's three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged
c The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20 Yes  
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its FAP-eligible patients an amount equal to the gross charge for any services provided to that patient?............................... 21 Yes  
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
ST LUKE'S HOSPITAL - ANDERSON CAMPUS
Name of Hospital Facility:  
Line Number of Hospital Facility (from Schedule H, Part V, Section A):3

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2011)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet the community health needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Participation in the development of a community-wide community benefit plan
d Participation in the execution of a community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the Needs Assessment
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs. .... 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8 Yes  
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 9 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 300.%
If "No," explain in Part VI the criteria the hospital facility used.
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care?................. 10 Yes  
If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 300.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Explained the basis for calculating amounts charged to patients?................. 11 Yes  
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12 Yes  
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 14 Yes  
15 Check all of the following collection actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other similar actions (describe in Part VI)
16 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?.......... 16 Yes  
If “Yes,” check all actions in which the hospital facility or a third party engaged:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other similar actions (describe in Part VI)
17 Indicate which efforts the hospital facility made before initiating any of the actions checked in line 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy
e Other (describe in Part VI)
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18 Yes  
If “No,” indicate why:
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility’s policy was not in writing
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Individuals Eligible for Financial Assistance
19 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged
b The hospital facility used the average of it's three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged
c The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20   No
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its FAP-eligible patients an amount equal to the gross charge for any services provided to that patient?............................... 21   No
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part VFacility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?43
Name and address Type of Facility (describe)
1 ST LUKE'S NORTH
153 BRODHEAD ROAD
BETHLEHEM,PA18017
OUTPATIENT SERVICES - VARIOUS
2 INTEGRATED HEALTH CAMPUS
240 CETRONIA ROAD
ALLENTOWN,PA18105
CANCER CENTER & OTHER OUTPATIENT CLINIC
3 ST LUKE'S POCONO MRI
3 PARKINSONS ROAD
EAST STROUDSBURG,PA18301
OUTPATIENT SERVICES - IMAGING
4 ST LUKE'S DIALYSIS CENTER
1425 EIGHTH AVENUE
BETHLEHEM,PA18018
OUTPATIENT SERVICES - SPECIALIZED DIALYSIS CARE
5 ST LUKE'S SLEEP DISORDER CENTER
561 EAST MARKET STREET
BETHLEHEM,PA18018
OUTPATIENT SERVICES - EVALUATION & TREATMENT OF SLEEP DISORDERS
6 ST LUKE'S REGIONAL BREAST CENTER
5848 OLD BETHLEHEM PIKE
CENTER VALLEY,PA18034
OUTPATIENT SERVICES - DIAGNOSTIC BREAST CARE
7 ST LUKE'S PERINATAL ASSOCIATES
701 OSTRUM STREET SUITE 303
BETHLEHEM,PA18015
OUTPATIENT SERVICES - HIGH RISK PREGNANCY
8 ST LUKE'S HEART & VASCULAR DIAG CTR
1469 EIGHTH AVENUE
BETHLEHEM,PA18018
OUTPATIENT SERVICES - CARDIAC & VASCULAR TESTING
9 HEART & VASCULAR CENTER
1648 W HAMILTON STREET
ALLENTOWN,PA18104
OUTPATIENT SERVICES - CARDIAC & VASCULAR TESTING
10 ST LUKE'S SOUTHSIDE MEDICAL CENTER
511 3RD STREET
BETHLEHEM,PA18015
OUTPATIENT SERVICES - FAMILY MEDICINE CLINIC
11 ST LUKE'S BEHAVIORAL HEALTH
1107 EATON AVENUE
BETHLEHEM,PA18018
OUTPATIENT SERVICES - BEHAVIORAL HEALTH
12 ST LUKE'S PHYSICAL THERAPY
2301 CHERRY LANE
BETHLEHEM,PA18015
OUTPATIENT SERVICES - PHYSICAL THERAPY
13 ST LUKE'S URGENT CARE - JIM THORPE
1104 NORTH STREET
JIM THORPE,PA18229
OUTPATIENT SERVICES - URGENT CARE, IMAGING & LAB
14 ST LUKE'S WOMEN'S IMAGING CENTER
1901 HAMILTON STREET SUITE 200
ALLENTOWN,PA18104
OUTPATIENT SERVICES - WOMEN'S HEALTH
15 ST LUKE'S PERINATAL ASSOCIATES
1837 LINDEN STREET
ALLENTOWN,PA18104
OUTPATIENT SERVICES - HIGH RISK PREGNANCY
16 ST LUKE'S REHABILITATION CENTER
495 BUSHKILL LANE
WIND GAP,PA18091
OUTPATIENT SERVICES - PHYSICAL THERAPY
17 PHYSICAL THERAPY OF ST LUKE'S
1901 HAMILTON STREET SUITE 400
ALLENTOWN,PA18104
OUTPATIENT SERVICES - PHYSICAL THERAPY
18 ST LUKE'S FAMILY HEALTH CENTER
1501 LEHIGH STREET
ALLENTOWN,PA18103
OUTPATIENT SERVICES - FAMILY HEALTH CENTER
19 UNION STATION PLAZA
240 UNION STATION PLAZA
BETHLEHEM,PA18015
OUTPATIENT SERVICES - VARIOUS
20 ST LUKE'S FAMILY MEDICINE CENTER
2830 EASTON AVENUE
BETHLEHEM,PA18017
OUTPATIENT SERVICES - FAMILY HEALTH CENTER
21 ST LUKE'S WIND GAP MEDICAL CENTER
487 EAST MOORESTOWN ROAD
WIND GAP,PA18091
OUTPATIENT SERVICES - VARIOUS
22 WOMEN'S HEALTH CENTER
1837 LINDEN STREET
ALLENTOWN,PA18104
OUTPATIENT SERVICES - DIAGNOSTIC CENTER
23 ST LUKE'S HEALTH CENTER
414-416 NORTHHAMPTON STREET
EASTON,PA18042
OUTPATIENT SERVICES - FAMILY MEDICINE CLINIC
24 ST LUKE'S PERINATAL ASSOCIATES
108 PLAZA DRIVE SUITE 101
BLADEN,PA18510
OUTPATIENT SERVICES - HIGH RISK PREGNANCY
25 ST LUKE'S SPINE & PAIN CENTER
830 OSTRUM STREET
BETHLEHEM,PA18015
OUTPATIENT SERVICES - PAIN MANAGEMENT
26 ST LUKE'S PEDIATRIC ASSOCIATES
1227 LIBERTY STREET
ALLENTOWN,PA18102
OUTPATIENT SERVICES - PEDIATRIC CARE
27 ST LUKE'S CENTER FOR PELVIC HEALTH
701 OSTRUM STREET SUITE 102
BETHLEHEM,PA18015
OUTPATIENT SERVICES - WOMEN'S HEALTH
28 ST LUKE'S WM PENN DIAGNOSTIC CENTER
4379 EASTON AVENUE SUITE 103
BETHLEHEM,PA18020
OUTPATIENT SERVICES - IMAGING
29 ST LUKE'S PERINATAL ASSOCIATES
500 INDEPENDENCE ROAD
EAST STROUDSBURG,PA18301
OUTPATIENT SERVICES - HIGH RISK PREGNANCY
30 FOWLER FAMILY CENTER AT DONEGAN
1210 EAST 4TH STREET
BETHLEHEM,PA18015
OUTPATIENT SERVICES - FAMILY HEALTH CENTER
31 ST LUKE'S IMAGING CENTER
1901 HAMILTON STREET SUITE 100
ALLENTOWN,PA18104
OUTPATIENT SERVICES - DIAGNOSTIC CENTER
32 WALNUTPORT MEDICAL OFFICE
330 N BEST AVENUE
WALNUTPORT,PA18088
OUTPATIENT SERVICES - LAB DRAW SITE
33 ST LUKE'S DIABETES EDUCATION CENTER
3701 CORPORATE PARKWAY
CENTER VALLEY,PA18034
OUTPATIENT SERVICES - DIABETES EDUCATION
34 ST LUKE'S PHYSICAL THERAPY
487 E MOORESTOWN ROAD
WINDGAP,PA18091
OUTPATIENT SERVICES - PHYSICAL THERAPY
35 ST LUKE'S PHYSICAL THERAPY
1174 ILLICKS MILL ROAD
BETHLEHEM,PA18017
OUTPATIENT SERVICES - PHYSICAL THERAPY
36 ST LUKE'S PHYSICAL THERAPY
4317 EASTON AVENUE
EASTON,PA18020
OUTPATIENT SERVICES - PHYSICAL THERAPY
37 ST LUKE'S PHYSICAL THERAPY
3213 NAZARETH ROAD
EASTON,PA18045
OUTPATIENT SERVICES - PHYSICAL THERAPY
38 ST LUKE'S PHYSICAL THERAPY
4316 W TILGHMAN STREET
ALLENTOWN,PA18104
OUTPATIENT SERVICE - PHYSICAL THERAPY
39 ST LUKE'S PHYSICAL THERAPY
518 CHESTNUT STREET
EMMAUS,PA18049
OUTPATIENT SERVICES - PHYSICAL THERAPY
40 ST LUKE'S PHYSICAL THERAPY
1894 CENTER STREET
NORTHAMPTON,PA18067
OUTPATIENT SERVICES - PHYSICAL THERAPY
41 ST LUKE'S PHYSICAL THERAPY
3560 ROUTE 309
OREFIELD,PA18069
OUTPATIENT SERVICES - PHYSICAL THERAPY
42 ST LUKE'S PHYSICAL THERAPY
3760 BROOKSIDE ROAD
MACUNGIE,PA18106
OUTPATIENT SERVICES - PHYSICAL THERAPY
43 ST LUKE'S PHYSICAL THERAPY
5848 OLD BETHLEHEM PIKE
CENTER VALLEY,PA18034
OUTPATIENT SERVICES - PHYSICAL THERAPY
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 9, 10, 11h, 13g, 15e, 16e, 17e, 18d, 19d, 20, and 21.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any needs assessments reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Identifier ReturnReference Explanation
COMMUNITY BENEFIT REPORT SCHEDULE H, PART I, LINE 6A Not applicable.
FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST SCHEDULE H, PART I, LINE 7 The Mckesson, Horizon performance management costing application 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 Mckesson HPM 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, we excluded charity care, bad debt, and all overlapping cases reported elsewhere. We utilized the ratio of patient care cost to charges to determine the charity care and bad debt costs. 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. No costs relating to subsidized healthcare services are attributable to any physician clinics.
COMMUNITY BUILDING ACTIVITIES SCHEDULE H, PART II St. Luke's Hospital of Bethlehem, Pennsylvania 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.
BAD DEBT EXPENSE SCHEDULE H, PART III, LINE 4 Bad debt expense was calculated using the organization's bad debt expense from its audited financial statements, net of accounts written off at charges and multiplied by its cost to charge ratio. The organization and its affiliates prepare and issue audited consolidated financial statements. The system's allowance for doubtful accounts (bad debt expense) methodology and charity care policies are consistently applied across all hospital affiliates. The attached text was obtained from the footnotes to the audited financial statements of the organization Patient accounts receivable The Network's patient accounts receivable consist of unsecured amounts due for patient services billed to patients and other third-party payors such as Medicare, Medical Assistance, Blue Cross and various commercial insurance companies and managed care companies. The primary service area of the Network is located in Lehigh, Northampton, Carbon, Schuylkill and Bucks Counties, Pennsylvania. The ability of these patients to pay is subject to changes in general economic conditions of the Network's service area. The Network performs ongoing credit evaluations and maintains reserves for potential credit losses. Charity care The Network provides care to all patients who meet certain criteria under its charity care policy without charge or at amounts less than its established rates. Charges for services to patients who meet the Network's guidelines for charity care are not reflected in the accompanying consolidated financial statements. The charges associated with these services for charity care provided by the Network approximate $118,310,000 and $100,586,000 in 2012 and 2011, respectively. The costs incurred to provide such care is determined using a cost to charge ratio and were approximately $98,440,000 and $81,686,000 for 2012 and 2011, respectively.
MEDICARE SCHEDULE H, PART III, LINE 8 Medicare costs were derived from the Medicare cost report filed by the organization. Bad debt is community benefit and associated costs are includable on the Form 990, Schedule H, Part I. The organization feels that bad debt is 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, religion or ability to pay and consistent with the community benefit standard promulgated by the 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," and 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. Bad debt is community benefit and associated costs are includable on the Form 990, Schedule H, Part I. The American Hospital Association ("AHA") feels that bad debt is 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 bad debt as 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 part of the burden hospitals shoulder in serving all patients regardless of race, color, creed, sex, national origin, religion or ability to pay. In addition, the hospital invests significant resources in systems and staff training to assist patients that are in need of financial assistance.
DEBT COLLECTION POLICY SCHEDULE H, PART III, LINE 9B Accounts considered to be charity care are not included in the bad debt expense, but rather, are accounted for as an allowance against the organization's patient service revenue. St. Luke's financial assistance program St. Luke's is a non-profit organization dedicated to the care and treatment of the sick and the prevention of illness. The first consideration in the admission and placement or treatment of a patient is the medical needs of the patient. Patients shall be provided and encouraged to obtain medically necessary care regardless of ability to pay or eligibility for financial assistance. However, all patients will be required to pay for the care which they receive if they are financially able to do so. Advance payment will not be required for any medically necessary service. Some individuals fail to obtain necessary care due to financial concerns. In order to encourage such patients to obtain appropriate care, St. Luke's shall operate a Financial Assistance program for the uninsured indigent population and a discount program for all other uninsured patients. All patients presenting for medically necessary services with no insurance will have the opportunity to qualify for St. Luke's Financial Assistance Program. Services excluded from the program include but are not limited to; cosmetic, bariatric, IVF, IUDs, tubal ligations, sleep study. St. Luke's reserves the right to exclude services if upon review it is determined that they are not medically necessary. In addition, patients scheduled for elective procedures or studies will be assessed for medical need and timing for the procedure along with ability to pay for a portion of the procedure. Eligibility for the Pa Fair Care program will be reviewed and application required if eligible. Medical Assistance application may be required and completed prior to service for elective cases. Patients receiving inpatient or high dollar outpatient services will be evaluated for Medical Assistance eligibility in order to qualify for the St. Luke's Hospital Financial Assistance Program. Individuals will not be eligible for financial assistance if Medical Assistance coverage is denied due to lack of cooperation (i.e., timeliness or failure to produce required documentation). Any patient payments made for services that subsequently receive Medical Assistance approval will be refunded to the patient. Financial Assistance Individuals with family income at or below 300% of the current federal poverty guidelines may be eligible for a 100% financial assistance allowance on the cost of their medically necessary services, after a minimum copay amount for certain outpatient services as follows; Clinic visits, including the hospital family practice centers, rural health centers, women's and children's clinics = $10. Other programs within the clinics may establish a flat rate minimum amount due for elective procedures that are at or below the Medical Assistance fee schedule for patients not eligible for Medical Assistance but are under the 300% federal poverty guidelines. Urgent care center visits = $15 Emergency room visits= $25 Patients with income exceeding 300% of federal poverty guidelines will automatically receive an 80% discount on hospital charges. No proof of income is required for this discount and this is not considered Financial Assistance. Patients with routine co-pays and deductibles from managed care and commercial insurances are not eligible for financial assistance or a discount unless a financial hardship can be proven. Patients having limited benefit coverage through insurance and who demonstrate a financial hardship may be eligible for the Financial Assistance program. Patients who have received financial assistance in the past but who are having services that are elective or high dollar procedures, visits will be required to comply with the process of Medical Assistance eligibility or eligibility for programs such as Pa Fair Care. Case by case decisions will be made re financial liability in each instance. Determining Eligibility for Financial Assistance Designated business service department employees will utilize independent third party income estimation software information as the determinant of eligibility. The income estimation software application utilized by St. Luke's is based upon a statistically validated methodology to provide income and family size determination. This information is then automatically cross-walked to St. Luke's financial assistance eligibility matrix ranging from 0% to 300% of the current federal poverty guidelines to determine the level of financial assistance to be applied. When insufficient information is returned via the software application, the manual process below will be utilized to determine eligibility. In determining family income and family size, a family unit will be defined as immediate family members /significant other/domestic partner living in the household. All income of occupants will be considered in determining total household income. In determining income the following will be considered: - Wages - Pension - Annuities - Social Security - Interest, Dividend, and other Investment Income such as Capital Gains - Unemployment Compensation - Workers Comp - Disability Benefits - Child Support - Alimony - Public Assistance - Net Rental Income (Income Less Expenses) as calculated for Federal Tax purposes Assets may be considered in determining eligibility and the level of discount approved for financial assistance. Designated business service department employees may also discuss financial assistance with patients who upon receiving a billing statement express an inability to pay for services rendered. Financial assistance applications may be supplied to these patients along with the information regarding required documentation or the income estimation software may be used to determine eligibility status. Medical Indigence Assessment If the patient does not qualify for any of the financial assistance categories identified above, but the medical expenses exceed an ability to pay, the patient will be encouraged to write a hardship letter to be submitted to the Associate Vice President of Finance for consideration of a hardship write-off of all or part of the outstanding medical liability. In the case of foreign visitors, the hospital will attempt to identify the person who sponsored the visitor's entry into the United States. If the sponsor is legally responsible for the visitor's medical bills, the hospital will apply its normal collection efforts in attempting to collect from the sponsor. Application for financial assistance will be based on the sponsor's income. St. Luke's Hospital reserves the right to deny an application for financial assistance based upon lack of reasonably required documentation or the submission of fraudulent documentation. If information is not provided within 30 days of a request, an application may be denied unless the information was not provided for reasons beyond the applicant's control. In these cases the patient will not be eligible for the financial assistance program. Notification to Patient All patients receiving inpatient or high dollar OP services will receive a notice of determination from the business office with the amount of financial assistance granted and any remaining financial liability. Patients may provide documentation if they feel the automatic estimation of income and assets is incorrect or incomplete. The business office will assess and revise the determination as appropriate for future encounters based on the software information provided. All patient statements will have the phone number to call for patients having difficulty meeting financial obligations. St. Luke's credit and collection policy The Credit and Collection policy is established and is to be 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. All medically necessary hospital services are provided without consideration of ability to pay and are not delayed pending application and/or approval of Medical Assistance or St. Luke's Financial Assistance Program (see Administrative Policy No. 111). Advance payment is not required for any medically necessary service. This Credit and Collection policy is intended to take into account each individual's ability to contribute to the cost of his or her care. Patients will be assisted in obtaining health insurance coverage from privately and publicly funded sources whenever possible. All Patient Business Service department representatives will be 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 repres
FACILITY INFORMATION SCHEDULE H, PART V, SECTION B, QUESTIONS 1J, 3, 4, 5C, 6I & 7 Not applicable.
FACILITY INFORMATION SCHEDULE H, PART V, SECTION B,QUESTIONS 9,10,11H,15E,16E,17E,18D,20&21 Not applicable.
FACILITY INFORMATION SCHEDULE H, PART V, SECTION B, QUESTION 13G 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.
FACILITY INFORMATION SCHEDULE H, PART V, SECTION B, QUESTION 19D Individuals with family income at or below 300% of the current federal poverty guidelines may be eligible for a 100% financial assistance allowance on the cost of their medically necessary services, after a minimum copay amount for certain outpatient services as follows; Clinic visits, including the hospital family practice centers, rural health centers, women's and children's clinics = $10. Other programs within the clinics may establish a flat rate minimum amount due for elective procedures that are at or below the Medical Assistance fee schedule for patients not eligible for Medical Assistance but are under the 300% federal poverty guidelines. Urgent care center visits = $15 Emergency room visits= $25 Patients with income exceeding 300% of federal poverty guidelines will automatically receive an 80% discount on hospital charges. No proof of income is required for this discount and this is not considered Financial Assistance.
NEEDS ASSESSMENT 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, including this organization. The department is led by Dr. Bonnie Coyle, board certified in preventative medicine, with 16 years' experience in public and preventative 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 statistics from its comprehensive community outreach initiatives and from financial support for the Bethlehem partnership for a health community. Established in 1996 by the board of directors of St. Luke's University Health Network, the partnership is a national model for collaborative efforts to improve access to healthcare services. Currently more than 165 participating/funding agencies, representing local business, government, educational and community organizations are actively involved in partnership programs which serve the greater Lehigh Valley. Through community ownership and shared responsibility, the partnership strives to enhance the physical, mental, emotional and spiritual wellness of individuals and communities, thereby improving the quality of life for all. The department's healthcare needs assessment process is enhanced by data obtained through the Bethlehem partnership's various school-based programs, such as numbers of children failing dental and vision examinations and number of children not receiving medical examinations. The department also utilizes guidelines for adolescent preventive services (gaps) in the Bethlehem partnership's various mobile van service programs to collect data on risk factors for students and to monitor community health problems. For example, data has been tracked on risk factors such as smoking, obesity, seatbelt use and drug and alcohol use. Gaps is also used on an ongoing basis to build modify programs. Most recently, the network has contracted with the Lehigh Valley Research Consortium to conduct a formal health needs assessment for the greater Lehigh Valley and Upper Bucks County area, served by St. Luke's Hospital (Allentown/Bethlehem), St. Luke's Quakertown Hospital and the Visiting Nurse Association of St. Luke's. The process will be completed by the IRS required date.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SCHEDULE H, PART VI; QUESTION 3 As a not for-profit entity, St. Luke's Hospital of Bethlehem, Pennsylvania's first consideration in the admission and placement or treatment of any patient is the patient's medical needs. Some patients hesitate to obtain necessary care because of their financial concerns. In order to encourage such patients to obtain appropriate care, in December 2008, the network's board of directors redesigned the network's charity care program for patient system access to discounted hospital services. This policy is updated annually. The network also established a community benefit tracking system to comply with new IRS Form 990 guidelines (effective 2009) to report community benefit activities/expenditures. The charity care program is widely communicated in both English and Spanish. A bilingual notice of the program is posted in all outpatient and inpatient registration areas. All patient statements include a number for patients to call if they are having difficulty paying their bills. St. Luke's website has extensive information regarding the financial assistance program, including eligibility guidelines and contact information. Additionally, St. Luke's financial counselors assess each patient for eligibility for coverage through medical assistance, chip, adult basic and other programs. Bilingual counselors are available.
COMMUNITY INFORMATION SCHEDULE H, PART VI; QUESTION 4 St. Luke's Hospital of Bethlehem, Pennsylvania's primary service area consists of an urban population in Lehigh and Northampton Counties in southeastern Pennsylvania with a total population of 647,232. The average household income is $55,340 and 10.5 percent of the population has income below the poverty level. Seven hospitals serve the primary service area and 19 percent of hospital discharges are Medicaid patients and 3 percent are uninsured. As of the 2008 American community survey conducted by the U.S. Census Bureau, the Lehigh Valley consisted of the following groups: 87.1% of the population was Caucasian, 11.3% of the population were Hispanics and Latinos of any race and 4.6% were black or African American. South Bethlehem, Easton and Tamaqua have been designated medically underserved areas. Population growth from 2000 to 2030, projected by the Lehigh Valley planning commission, is as follows: ages 0 to 54 years, 9%, ages 55 to 64 years, 49%, ages 65 to 74 years, 76% and ages 75+, 57%.
PROMOTION OF COMMUNITY HEALTH SCHEDULE H, PART VI; QUESTION 5 The organization and the entire St. Luke's University Health Network promote the health of the community on a daily basis throughout the year. The network coordinates and offers numerous community benefit programs, activities and support groups to the community. Please refer to schedule o for a detailed community benefit statement.
AFFILIATED HEALTHCARE SYSTEM SCHEDULE H, PART VI; QUESTION 6 OUTLINED BELOW IS A SUMMARY OF THE ENTITIES WHICH COMPRISE THE ST. LUKE'S UNIVERSITY HEALTH NETWORK: NOT FOR-PROFIT ST. LUKE'S UNIVERSITY HEALTH NETWORK ENTITIES: ST. LUKE'S HEALTH NETWORK, INC. ST. LUKE'S HEALTH NETWORK, INC. IS THE TAX-EXEMPT PARENT OF THE 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 OR STOCKHOLDER OF EACH AFFILIATED ENTITY. ST. LUKE'S IS AN INTEGRATED NETWORK OF HEALTHCARE PROVIDERS THROUGHOUT THE STATE OF PENNSYLVANIA. 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 SURROUNDING COMMUNITIES. ST. LUKE'S HEALTH NETWORK, INC. ENSURES THAT ITS NETWORK PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. NO INDIVIDUALS ARE DENIED NECESSARY MEDICAL CARE, TREATMENT OR SERVICES. ST. LUKE'S ACTIVE HOSPITALS INCLUDE ST. LUKE'S HOSPITAL OF BETHLEHEM, P.A., ST. LUKE'S QUAKERTOWN HOSPITAL, CARBON-SCHUYLKILL COMMUNITY HOSPITAL, INC. AND ST. LUKE'S WARREN HOSPITAL. EACH OF THESE HOSPITALS OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. EACH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. EACH OPERATES AN ACTIVE EMERGENCY ROOM FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. EACH MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF EACH RESTS WITH ITS BOARD OF DIRECTORS AND THE BOARD OF DIRECTORS 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 QUAKERTOWN HOSPITAL ST. LUKE'S QUAKERTOWN HOSPITAL IS A 62-BED NON-PROFIT HOSPITAL LOCATED IN QUAKERTOWN, PENNSYLVANIA. ST. LUKE'S QUAKERTOWN HOSPITAL 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, RELIGION OR ABILITY TO PAY. MOREOVER, ST. LUKE'S QUAKERTOWN HOSPITAL OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. CARBON-SCHUYLKILL COMMUNITY HOSPITAL, INC. CARBON-SCHUYLKILL COMMUNITY HOSPITAL, INC. IS A 45-BED NON-PROFIT ACUTE CARE HOSPITAL LOCATED IN COALDALE, PENNSYLVANIA. CARBON-SCHUYLKILL COMMUNITY HOSPITAL, INC. 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, RELIGION OR ABILITY TO PAY. MOREOVER, CARBON-SCHUYLKILL COMMUNITY HOSPITAL, INC. OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. ST. LUKE'S WARREN HOSPITAL, INC. ST. LUKE'S WARREN HOSPITAL, INC. IS A 214-BED NON-PROFIT ACUTE CARE HOSPITAL LOCATED IN PHILLIPSBURG, NEW JERSEY. ST. LUKE'S WARREN HOSPITAL, INC. 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, RELIGION OR ABILITY TO PAY. MOREOVER, ST. LUKE'S WARREN HOSPITAL, INC. OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. ST. LUKE'S WARREN HEALTHCARE, INC. ST. LUKE'S WARREN HEALTHCARE, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS DESIGNED TO SUPPORT THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF ST. LUKE'S UNIVERSITY HEALTH NETWORK. WARREN HOSPITAL FOUNDATION, INC. ST. LUKE'S WARREN HOSPITAL FOUNDATION, 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). THE ORGANIZATION SUPPORTS ST. LUKE'S WARREN HOSPITAL; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, AND ITS AFFILIATES IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO THE COMMUNITY IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. ST. LUKE'S PHYSICIAN GROUP, INC. ST. LUKE'S PHYSICIAN GROUP, 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). THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. ST. LUKE'S EMERGENCY & TRANSPORT SERVICES, INC. ST. LUKE'S EMERGENCY & TRANSPORT SERVICES, 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 170(B)(1)(A)(III). THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. QUAKERTOWN REHABILITATION CENTER QUAKERTOWN REHABILITATION CENTER 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 170(B)(1)(A)(III). THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. NEW VALLEY REHAB, L.L.C. A LIMITED LIABILITY COMPANY DISREGARDED FOR FEDERAL INCOME TAX PURPOSES OWNED BY QUAKERTOWN REHABILITATION CENTER. THIS ENTITY PROVIDES OUTPATIENT REHABILITATION SERVICES IN NAZARETH, PENNSYLVANIA. VISITING NURSE ASSOCIATION OF ST. LUKE'S - HOME HEALTH/HOSPICE, INC. VISITING NURSE ASSOCIATION OF ST. LUKE'S - HOME HEALTH/HOSPICE, 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)(1). THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. HOMESTAR MEDICAL EQUIPMENT AND INFUSION SERVICES, INC. HOMESTAR MEDICAL EQUIPMENT AND INFUSION SERVICES, 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)(2). THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. ST. LUKE'S HOSPITAL AND HEALTH NETWORK AUXILIARY, INC. ST. LUKE'S HOSPITAL AND HEALTH NETWORK AUXILIARY, 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 170(B)(1)(A)(III). THE ORGANIZATION IS DESIGNED TO SUPPORT THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF ST. LUKE'S UNIVERSITY HEALTH NETWORK. FOR-PROFIT ST. LUKE'S UNIVERSITY HEALTH NETWORK ENTITIES: EIGHTH & EATON PROFESSIONAL BUILDING, L.P. A LIMITED PARTNERSHIP WHOSE MAJORITY PARTNER IS ST. LUKE'S HOSPITAL OF BETHLEHEM, PENNSYLVANIA. THIS ENTITY OWNS A PROFESSIONAL MEDICAL ARTS BUILDING. WIND GAP PROFESSIONAL CENTER PARTNERS A PARTNERSHIP WHOSE MAJORITY PARTNER IS ST. LUKE'S HOSPITAL OF BETHLEHEM, PENNSYLVANIA. THIS ENTITY SERVES AS THE JOINT VENTURE VEHICLE FOR A MEDICAL OFFICE BUILDING JOINTLY OWNED WITH OTHERS. ST. LUKE'S EIGHTH & EATON HOLDINGS, INC. AN ENTITY WHOSE SOLE SHAREHOLDER IS ST. LUKE'S HOSPITAL OF BETHLEHEM, PENNSYLVANIA. THE ENTITY WAS INCORPORATED TO SERVE AS TH
State Filing of Community Benefit Report Schedule H, Part VI, Question 7 Not applicable. The entity and related provider organizations are located in Pennsylvania. No community benefit report is filed with the state of Pennsylvania.
Schedule H (Form 990) 2011
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2011
Open to Public
Inspection
Name of the organization
ST LUKE'S HOSPITAL OF BETHLEHEM PA
 
Employer identification number
23-1352213
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed
......................... lBullet
(a) Name and address of organization
or government
(b) EIN (c) IRC Code section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
(1) EASTERN PENSYLVANIA EMS COUNCIL4801 KERNSVILLE ROAD SUITE 100
OREFIELD,PA18069
23-1988814 501(C)(3) 9,762       PROGRAM SUPPORT
(2) BOROUGH OF FOUNTAIN HILL941 LONG STREET
FOUNTAIN HILL,PA18015
  76,597       PROGRAM SUPPORT
(3) BETHLEHEM TOWNSHIP4225 EASTON AVENUE
BETHLEHEM,PA18020
  90,000       PROGRAM SUPPORT
(4) LEHIGH VALLEY ROAD RUNNERS INCPO BOX 592
ALLENTOWN,PA18105
23-2377635 501(C)(3) 32,660       PROGRAM SUPPORT
(5) CITY OF BETHLEHEM10 EAST CHURCH STREET
BETHLEHEM,PA18018
  7,408       PROGRAM SUPPORT
(6) COMMUNICATION SYSTEMS INC10900 RED CIRCLE DRIVE
MINNETONKA,MN55343
  15,160       PROGRAM SUPPORT
(7) GREATER LEHIGH VALLEY CHAMBER OF COMMERCE561 MAIN STREET SUITE 200
BETHLEHEM,PA18018
23-0337580 501(C)(3) 8,135       PROGRAM SUPPORT
(8) LEHIGH VALLEY ECONOMIC DEVELOPMENT CORP2158 AVENUE C SUITE 200
BETHLEHEM,PA18017
23-2798276 501(C)(3) 13,000       PROGRAM SUPPORT
(9) LIBERTY HIGH SCHOOL GRENADIER BAND1115 LINDEN STREET
BETHLEHEM,PA18018
  6,000       PROGRAM SUPPORT
(10) ZOELLNER ARTS CENTER420 E PACKER AVENUE
BETHLEHEM,PA18015
  5,550       PROGRAM SUPPORT
(11) JD ECKMAN INC4781 LOWER VALLEY ROAD
ATGLEN,PA19310
  350,000       PROGRAM SUPPORT


2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
4
3
Enter total number of other organizations listed in the line 1 table ......................... . Bullet Image
7
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2011

Schedule I (Form 990) 2011
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients
(c)Amount of
cash grant
(d)Amount of
non-cash assistance
(e)Method of valuation (book,
FMV, appraisal, other)
(f)Description of non-cash assistance













Part IV
Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.
Identifier Return Reference Explanation
GRANT FUND MONITORING SCHEDULE I, PART I; QUESTION 2 GRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS.
Schedule I (Form 990) 2011


Additional Data


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Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
ST LUKE'S HOSPITAL OF BETHLEHEM PA
 
Employer identification number

23-1352213
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all the expenses described above? If "No," complete Part III to explain....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
Yes
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
Yes
 
b
Any related organization? .........................
6b
Yes
 
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2011

Schedule J (Form 990) 2011
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and column (E) for that individual.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits
(E) Total of columns
(B)(i)-(D)
(F) Compensation
reported as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) RICHARD A ANDERSON (i)
(ii)
898,916
0
338,524
0
566,210
0
225,011
0
19,369
0
2,048,030
0
482,122
0
(2) JAN S HELLER (i)
(ii)
148,327
0
0
0
298
0
3,716
0
2,325
0
154,666
0
0
0
(3) JOEL D FAGERSTROM (i)
(ii)
490,918
0
143,406
0
24,802
0
7,376
0
29,336
0
695,838
0
0
0
(4) THOMAS P LICHTENWALNER (i)
(ii)
437,319
0
126,188
0
24,705
0
153,612
0
9,142
0
750,966
0
0
0
(5) JEFFREY A JAHRE MD (i)
(ii)
381,607
0
239,838
0
27,097
0
57,463
0
19,876
0
725,881
0
0
0
(6) ROBERT P ZIMMEL (i)
(ii)
326,114
0
93,046
0
761,339
0
84,430
0
8,642
0
1,273,571
0
745,718
0
(7) ROBERT E MARTIN (i)
(ii)
325,340
0
98,542
0
23,192
0
39,357
0
29,552
0
515,983
0
0
0
(8) CAROL A KUPLEN RN MSN (i)
(ii)
332,798
0
96,839
0
5,528
0
62,215
0
25,067
0
522,447
0
0
0
(9) ROBERT L WAX ESQ (i)
(ii)
295,829
0
94,157
0
5,425
0
11,384
0
26,488
0
433,283
0
0
0
(10) EDWARD NAWROCKI (i)
(ii)
310,033
0
95,077
0
453
0
17,892
0
27,552
0
451,007
0
0
0
(11) FRANK FORD (i)
(ii)
259,054
0
72,758
0
22,414
0
43,246
0
18,361
0
415,833
0
0
0
(12) JOSEPH C MEROLA MD (i)
(ii)
460,175
0
137,837
0
146,173
0
147,177
0
17,989
0
909,351
0
126,515
0
(13) MARC A GRANSON MD (i)
(ii)
455,443
0
136,765
0
27,147
0
37,944
0
19,190
0
676,489
0
0
0
(14) MICHAEL D GROSSMAN MD (i)
(ii)
521,407
0
0
0
1,953
0
24,366
0
26,791
0
574,517
0
0
0
(15) WILLIAM S HOFF MD (i)
(ii)
500,308
0
0
0
1,045
0
24,366
0
26,893
0
552,612
0
0
0
(16) BRIAN A HOEY MD (i)
(ii)
494,075
0
0
0
681
0
32,328
0
26,610
0
553,694
0
0
0
Schedule J (Form 990) 2011

Schedule J (Form 990) 2011
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
COMPENSATION INFORMATION PART VII AND SCHEDULE J TAXABLE COMPENSATION REPORTED HEREIN IS DERIVED FROM 2011 FORMS W-2.
COMPENSATION INFORMATION SCHEDULE J, PART I; QUESTION 1A THE 0RGANIZATION 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, CURRENTLY RICHARD A. ANDERSON, AS THE MEMBER. DURING 2011, MR. ANDERSON DID NOT USE THE COUNTRY CLUB FOR ANY PERSONAL USE OR BENEFIT.
COMPENSATION INFORMATION 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 directors. 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 DIRECTORS 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, yet not recognized as compensation on the employee's 2011 form W-2. Nontaxable Benefits: Health and welfare benefits. Compensation Reported on prior 990 Total compensation reported on prior formS 990 represented 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. The amount was reported in Schedule J, column b(iii)-other compensation.
COMPENSATION INFORMATION SCHEDULE J, PART I; QUESTION 4B THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES AMOUNTS RELATING TO PARTICIPATION IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP"). THE INDIVIDUALS HAVE SATISFIED BOTH THE AGE AND THE YEARS OF SERVICE REQUIREMENTS SPECIFIED BY THE SERP. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2011 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: RICHARD A. ANDERSON, $482,122, ROBERT P. ZIMMEL, $745,718 AND JOSEPH C. MEROLA, M.D. $126,515. THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDES UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN THE INDIVIDUAL'S 2011 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: RICHARD A. ANDERSON, $147,300; THOMAS P. LICHTENWALNER, $79,138; ROBERT P. ZIMMEL, $27,953; CAROL A. KUPLEN, RN, MSN, $26,936 AND JOSEPH C. MEROLA, M.D., $84,759.
COMPENSATION INFORMATION 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, and length of stay, efficiency measures as demonstrated by cost per adjusted discharge and finally net income.
COMPENSATION INFORMATION SCHEDULE J, PART I; QUESTION 7 CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED AT-RISK COMPENSATION DURING CALENDAR YEAR 2011 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2011 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. CERTAIN INDIVIDUALS INCLUDED IN THIS FORM 990 RECEIVED A VACATION SELL BACK AND/OR TERM PAY OUT DURING THE CALENDAR YEAR 2011. THIS AMOUNT WAS INCLUDED IN THEIR RESPECTIVE 2011 FORM W-2 AND INCLUDED IN SCHEDULE J, PART II, COLUMN B(III), WHERE APPLICABLE.
COMPENSATION INFORMATION SCHEDULE J, PART II; COLUMN F THE AMOUNTS REPORTED IN SCHEDULE J, PART II, COLUMN F FOR THE FOLLOWING INDIVIDUALS INCLUDE VESTED BENEFITS IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") BECAUSE THE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE; THUS A TAXABLE EVENT OCCURRED FOR TAX REPORTING PURPOSES. THESE AMOUNTS WERE TREATED AS TAXABLE INCOME AND REPORTED ON EACH INDIVIDUAL'S 2011 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: RICHARD A. ANDERSON, $482,122, ROBERT P. ZIMMEL, $745,718 AND JOSEPH C. MEROLA, M.D. $126,515; HOWEVER, THESE INDIVIDUALS DID NOT ACTUALLY RECEIVE ALL OF THESE FUNDS. THESE AMOUNTS WERE REPORTED ON PRIOR YEAR FORMS 990 AS ACCRUED NON-TAXABLE DEFERRED COMPENSATION.
Schedule J (Form 990) 2011

Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.

OMB No. 1545-0047
2011
Open to Public
Inspection
Name of the organization
ST LUKE'S HOSPITAL OF BETHLEHEM PA
 
Employer identification number
23-1352213
Part I
Bond Issues
(a) Issuer Name (b) Issuer EIN (c) CUSIP # (d) Date Issued (e) Issue Price (f) Description of Purpose (g) Defeased (h) On
Behalf of
Issuer
(i) Pool
financing
Yes No Yes No Yes No
A LEHIGH COUNTY GENERAL PURPOSE AUTHORITY
 
23-1352213 5248055C8 02-21-2007 266,310,000 REFUND; ALLENTOWN & EQUIPMENT   X   X   X
B NORTHAMPTON COUNTY GENERAL PURPOSE AUTHORITY
 
23-1352213 66353RAA2 06-11-2008 175,000,000 ANDERSON; LAND & EQUIPMENT   X   X   X
C NORTHAMPTON COUNTY GENERAL PURPOSE AUTHORITY
 
23-1352213 66353RBF0 05-13-2010 24,415,000 REFUND; ANDERSON & EQUIPMENT   X   X   X
D NORTHAMPTON COUNTY GENERAL PURPOSE AUTHORITY
 
23-1352213 66353RAA1 05-13-2010 10,390,000 REFUND; ANDERSON & EQUIPMENT   X   X   X
NORTHAMPTON COUNTY GENERAL PURPOSE AUTHORITY
 
23-1352213 66353RBC7 05-13-2010 34,925,000 REFUND; ANDERSON & EQUIPMENT   X   X   X
NEW JERSEY HEALTHCARE FINANCING AUTHORITY
 
22-1987084 64579FX73 01-31-2012 42,150,000 ACQUISITION OF WARREN HOSPITAL   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . 0 0 0 0
2 Amount of bonds legally defeased . . . . . . . . . . 0 0 0 0
3 Total proceeds of issue . . . . . . . . . . . . . 266,310,000 175,000,000 24,415,000 10,390,000
4 Gross proceeds in reserve funds . . . . . . . . 10,340,306 18,471,629 2,531,969 1,077,500
5 Capitalized interest from proceeds . . . . . . . . . . 6,241,731 9,130,000 0 0
6 Proceeds in refunding escrows . . . . . . . . . . . 2,663,140 0 21,026,176 8,947,858
7 Issuance costs from proceeds . . . . . . . . . . . 0 2,053,609 455,665 193,912
8 Credit enhancement from proceeds . . . . . . . . . . 0 0 0 0
9 Working capital expenditures from proceeds . . . . . . . 120,616,807 0 0 0
10 Capital expenditures from proceeds . . . . . . . . . . 0 146,175,468 3,158,279 1,344,032
11 Other spent proceeds . . . . . . . . . . . 0 0 0 0
12 Other unspent proceeds . . . . . . . . . . . 0 0 0 0
13 Year of substantial completion . . . . . . . . . . . 2011 2011 2011 2011
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . .   X   X   X   X
15 Were the bonds issued as part of an advance refunding issue? . . . . X   X   X   X  
16 Has the final allocation of proceeds been made? . . . . . . X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .   X   X   X   X
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2011
Schedule K (Form 990) 2011
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . .   X   X   X   X
b If ‘Yes’ to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . .                
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . .   X   X   X   X
d If ‘Yes’ to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? .                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0% 0% 0% 0%
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet   %   %   %   %
6 Total of lines 4 and 5 . . .. . . . . . . . .   %   %   %   %
7 Does the bond issue meet the private security or payment test? . . . X   X   X   X  
8 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2?
X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . . X   X     X   X
2 Is the bond issue a variable rate issue? X     X   X   X
3a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue? X     X   X   X
b Name of provider . . . . . . . . BANK OF AMERICA
 
0
 
0
 
 
 
c Term of hedge . . . . . . . . 8.9      
d Was the hedge superintegrated? . . . .   X            
e Was a hedge terminated? . . . . .   X            
4a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . .   X   X   X   X
b Name of provider . . . . . . 0
 
0
 
0
 
0
 
c Term of GIC . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . . .                
5 Were any gross proceeds invested beyond an available temporary period? . . . . . . X   X   X   X  
6 Did the bond issue qualify for an exception to rebate? .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .   X   X   X   X
Schedule K (Form 990) 2011

Schedule K (Form 990) 2011
Page 3
Part V
Procedures To Undertake Corrective Action
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? . . . . . . . . . . . . . .
Part VI
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
TAX-EXEMPT BONDS SCHEDULE K PLEASE REFER TO THE SCHEDULE O SUPPLEMENTAL NARRATIVE INFORMATION WITH RESPECT TO CORE FORM, PART X, LINE 20, TAX-EXEMPT BOND LIABILITIES.
Schedule K (Form 990) 2011

Additional Data


Software ID:  
Software Version:  

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.

OMB No. 1545-0047
2011
Open to Public
Inspection
Name of the organization
ST LUKE'S HOSPITAL OF BETHLEHEM PA
 
Employer identification number
23-1352213
Part I
Bond Issues
(a) Issuer Name (b) Issuer EIN (c) CUSIP # (d) Date Issued (e) Issue Price (f) Description of Purpose (g) Defeased (h) On
Behalf of
Issuer
(i) Pool
financing
Yes No Yes No Yes No
A LEHIGH COUNTY GENERAL PURPOSE AUTHORITY
 
23-1352213 5248055C8 02-21-2007 266,310,000 REFUND; ALLENTOWN & EQUIPMENT   X   X   X
B NORTHAMPTON COUNTY GENERAL PURPOSE AUTHORITY
 
23-1352213 66353RAA2 06-11-2008 175,000,000 ANDERSON; LAND & EQUIPMENT   X   X   X
C NORTHAMPTON COUNTY GENERAL PURPOSE AUTHORITY
 
23-1352213 66353RBF0 05-13-2010 24,415,000 REFUND; ANDERSON & EQUIPMENT   X   X   X
D NORTHAMPTON COUNTY GENERAL PURPOSE AUTHORITY
 
23-1352213 66353RAA1 05-13-2010 10,390,000 REFUND; ANDERSON & EQUIPMENT   X   X   X
NORTHAMPTON COUNTY GENERAL PURPOSE AUTHORITY
 
23-1352213 66353RBC7 05-13-2010 34,925,000 REFUND; ANDERSON & EQUIPMENT   X   X   X
NEW JERSEY HEALTHCARE FINANCING AUTHORITY
 
22-1987084 64579FX73 01-31-2012 42,150,000 ACQUISITION OF WARREN HOSPITAL   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . 0 0 0 0
2 Amount of bonds legally defeased . . . . . . . . . . 0 0 0 0
3 Total proceeds of issue . . . . . . . . . . . . . 266,310,000 175,000,000 24,415,000 10,390,000
4 Gross proceeds in reserve funds . . . . . . . . 10,340,306 18,471,629 2,531,969 1,077,500
5 Capitalized interest from proceeds . . . . . . . . . . 6,241,731 9,130,000 0 0
6 Proceeds in refunding escrows . . . . . . . . . . . 2,663,140 0 21,026,176 8,947,858
7 Issuance costs from proceeds . . . . . . . . . . . 0 2,053,609 455,665 193,912
8 Credit enhancement from proceeds . . . . . . . . . . 0 0 0 0
9 Working capital expenditures from proceeds . . . . . . . 120,616,807 0 0 0
10 Capital expenditures from proceeds . . . . . . . . . . 0 146,175,468 3,158,279 1,344,032
11 Other spent proceeds . . . . . . . . . . . 0 0 0 0
12 Other unspent proceeds . . . . . . . . . . . 0 0 0 0
13 Year of substantial completion . . . . . . . . . . . 2011 2011 2011 2011
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . .   X   X   X   X
15 Were the bonds issued as part of an advance refunding issue? . . . . X   X   X   X  
16 Has the final allocation of proceeds been made? . . . . . . X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .   X   X   X   X
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2011
Schedule K (Form 990) 2011
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . .   X   X   X   X
b If ‘Yes’ to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . .                
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . .   X   X   X   X
d If ‘Yes’ to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? .                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0% 0% 0% 0%
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet   %   %   %   %
6 Total of lines 4 and 5 . . .. . . . . . . . .   %   %   %   %
7 Does the bond issue meet the private security or payment test? . . . X   X   X   X  
8 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2?
X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . . X   X     X   X
2 Is the bond issue a variable rate issue? X     X   X   X
3a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue? X     X   X   X
b Name of provider . . . . . . . . BANK OF AMERICA
 
0
 
0
 
 
 
c Term of hedge . . . . . . . . 8.9      
d Was the hedge superintegrated? . . . .   X            
e Was a hedge terminated? . . . . .   X            
4a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . .   X   X   X   X
b Name of provider . . . . . . 0
 
0
 
0
 
0
 
c Term of GIC . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . . .                
5 Were any gross proceeds invested beyond an available temporary period? . . . . . . X   X   X   X  
6 Did the bond issue qualify for an exception to rebate? .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .   X   X   X   X
Schedule K (Form 990) 2011

Schedule K (Form 990) 2011
Page 3
Part V
Procedures To Undertake Corrective Action
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? . . . . . . . . . . . . . .
Part VI
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
TAX-EXEMPT BONDS SCHEDULE K PLEASE REFER TO THE SCHEDULE O SUPPLEMENTAL NARRATIVE INFORMATION WITH RESPECT TO CORE FORM, PART X, LINE 20, TAX-EXEMPT BOND LIABILITIES.
Schedule K (Form 990) 2011

Additional Data


Software ID:  
Software Version:  

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBulletSee separate instructions.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
ST LUKE'S HOSPITAL OF BETHLEHEM PA
 
Employer identification number

23-1352213
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Description of transaction (c) Corrected?
Yes No





2
Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.
(a) Name of interested person and purpose (b) Loan to or from the organization? (c)Original principal amount (d)Balance due (e) In default? (f) Approved by board or committee? (g)Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b)Relationship between interested person and the organization (c)Amount of grant or type of assistance
For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2011
Schedule L (Form 990 or 990-EZ) 2011
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) PARK AVE QUAKERTOWN LP DIRECTOR - WARNER 859,643 LEASE OF OFFICE SPACE   No
(2) STEVENS LEE DIRECTOR - WIEAND, JR. 98,024 LEGAL SERVICES   No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS SCHEDULE L, PART IV ANDREW F. S. WARNER IS A DIRECTOR OF THIS ORGANIZATION. THIS ORGANIZATION UTILIZED THE SERVICES OF HIS COMPANY, PARK AVE. QUAKERTOWN, L.P., DURING THE FISCAL YEAR ENDED JUNE 30, 2012. TOTAL FEES PAID TO PARK AVE. QUAKERTOWN, L.P. WERE $859,643 SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. DONALD E. WIEAND, ESQ. IS A DIRECTOR OF THIS ORGANIZATION. THIS ORGANIZATION UTILIZED THE SERVICES OF HIS COMPANY, STEVENS & LEE, DURING THE FISCAL YEAR ENDED JUNE 30, 2012. TOTAL FEES PAID TO STEVENS & LEE WERE $98,024. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS.
Schedule L (Form 990 or 990-EZ) 2011

Additional Data


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SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2011
Open to Public
Inspection
Name of the organization
ST LUKE'S HOSPITAL OF BETHLEHEM PA
 
Employer identification number

23-1352213
Identifier Return Reference Explanation
COMMUNITY BENEFIT STATEMENT CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS St. Luke's University Hospital of Bethlehem, Pennsylvania is comprised of three campuses in Lehigh County, Pennsylvania: one in Bethlehem ("SL-Bethlehem") d.b.a. as St. Luke's University Hospital; one in Allentown ("SL-Allentown"), d.b.a. St. Luke's Allentown Hospital; and one in Bethlehem Township, d.b.a. as St. Luke's Anderson Hospital ("SL-Anderson). St. Luke's University Hospital is recognized by the IRS as an internal revenue code section 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, St. Luke's University Hospital provides 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. Moreover, St. Luke's University Hospital operates consistently with the following criteria outlined in IRS revenue ruling 69-545: 1. St. Luke's University Hospital provides medically necessary healthcare services to all individuals regardless of ability to pay, including charity care, self-pay, Medicare and Medicaid patients; 2. St. Luke's University Hospital operates an active emergency room for all persons; which is open 24 hours a day, 7 days a week, 365 days per year; 3. St. Luke's University Hospital maintains an open medical staff, with privileges available to all qualified physicians; 4. Control of St. Luke's University Hospital rests with its board of trustees and the board of trustees of St. Luke's Health Network, Inc., d.b.a. St. Luke's University Health Network. 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. The operations of St. Luke's University Hospital, as shown through the factors outlined above and other information contained herein, clearly demonstrate that the use and control of St. Luke's University Hospital 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. St. Luke's University Hospital - Bethlehem ------------------------------------------ St. Luke's University Hospital - Bethlehem ("SL-Bethlehem"), founded in 1872 and located in Bethlehem, Pennsylvania, is a tertiary care, teaching hospital. SL-Bethlehem offers more than 90 medical specialties and has 480 licensed acute care beds, including16 licensed acute rehabilitation beds. In FY '12, there were 28,941 admissions; 586,700 outpatient registrations and 65,495 ED visits. In FY '12, $34 million was invested in technologic and facility improvements. In December 2008, St. Luke's completed the construction of a new 16,827 sq/ft Health and Fitness Center in Hanover Township. The new fitness center includes an indoor running track, all new state of the art fitness equipment, and fully equipped locker rooms. This modern fitness center not only serves St. Luke's employees, but also serves the community with a total membership exceeding 1,400. In FY '11, SL-Bethlehem initiated a major expansion into Monroe County with the purchase of Pocono MRI & Imaging Center and Pocono Medical Associates of Monroe County, which includes five primary care physicians, seven physician specialists and three physician assistants. Areas of exceptional medical expertise include: - level I adult trauma center: fully accredited by Pennsylvania Trauma Systems Foundation; more than 2,400 annual trauma patients; 1.68% mortality rate for severely injured patients represents top decile performance, significantly better than peer group as measured by National Trauma Data Bank of the American College of Surgeons; aero-medical transport services; extensive published research. - oncology: St. Luke's Cancer Centers at Allentown, Bethlehem, Anderson hospitals provide care to approximately 2,211 new patients each year; first and only cancer program in Pennsylvania to earn the American College of Surgeons' highest quality recognition for three consecutive years (2004, 2007, 2010), only Pennsylvania program to receive award in 2010, award is top distinction attainable by caners programs across the U.S.; fellowship-trained surgical oncologists, medical oncologists, radiation oncologists, breast surgeon, thoracic surgeon, gynecologic oncologist, neurosurgical oncologist; advanced programs for melanoma (internationally recognized melanoma investigator), lung, breast, prostate, gynecologic and gastrointestinal cancers and tumors of the brain and spine. - cardiology and cardiovascular surgery: multiple-year recipient of highest rating for cardiac bypass surgery, represents top decile performance achieved by only 6 percent of U.S. hospitals (Society of Thoracic Surgeons); region's first accredited Chest Pain Center; region's first Joint Commission-certified heart failure program and one of two certified for stroke programs; comprehensive surgical services excluding heart transplants; established St. Luke's Heart Valve Center, St. Luke's Atrial Fibrillation Center, St. Luke's Vascular Center and St. Luke's Women's Heart Center, offering multidisciplinary approaches to diagnosis and treatment options. St. Luke's was selected as one of the few hospitals in the U.S. to offer Transaortic Valve Replacement (TAVR), a catheter-based valve replacement procedure, the first institution in the region approved to perform the TAVR procedure independently. St. Luke's is also one of the region's busiest sites for thoracic stent graft repair of thoracic aortic diseases resulting from trauma or aneurysms. In FY '12, St. Luke's was named one of the 50 Top Cardiovascular Hospitals in the nation by Thomson Reuters. St. Luke's Heart & Vascular Center has offices in Allentown, Bethlehem, Coaldale, Easton, East Stroudsburg, Quakertown and Wind Gap. - neuroscience: coordinated care is provided for neurology, neurosurgery, neuro rehabilitation, stroke, pain management, psychology and sleep services. accredited stroke center (Allentown/Bethlehem); additional centers of excellence include: balance center, headache center, epilepsy center (including an Epilepsy Monitoring Unit), memory disorders center, movement disorders center, normal pressure hydrocephalus center, brain and spine tumor center, multiple sclerosis center, and sleep disorders center. -orthopaedics: advanced expertise in total joint replacement and reconstruction, computer-assisted minimally invasive surgery, primary and reconstructive surgery of the spine, sports injuries, diseases and conditions of the shoulder, hand and elbow, traumatic injuries, comprehensive sports medicine - radiology/interventional services: enterprise agreement with GE Healthcare, making St. Luke's one of only a few healthcare networks in the country partnering with GE to develop new imaging technology through the use of all-digital systems. In addition, St. Luke's is an international show site for GE, bringing physicians from all of the world to visit the Network and observe procedures being performed by advanced equipment. St. Luke's was first in U.S. to install GE Discovery IGS 730 Hybrid Operating Room, an interventional suite that combines the best of imaging and surgical technology in one operating room; first hospital in Pennsylvania to earn American College of Radiology recognition in cardiac MRI; regional breast center provides diagnostic mammograms and higher-level breast imaging. A fully accredited vascular lab offers the latest ultrasound imaging, the Logic 9, which provides 3-D ultrasound images for optimal diagnosis. - women's/children's health: specialized care for high-risk pregnancy; one of the region's most utilized obstetrical services (Allentown/Bethlehem); two neonatal intensive care units (Allentown/Bethlehem); pediatric specialty care provided by St. Christopher's Hospital for Children and St. Luke's Pediatric Endocrinology and Gastroenterology. - robotic/minimally invasive surgery: Pennsylvania's most experienced robotic surgical teams; St. Luke's is the first hospital in the nation to offer patients "surgical guarantees." This unique program is provided for robotic prostatectomy and minimally invasive surgery for pelvic prolapse; St. Luke's fellowship-trained gynecologic oncologist performs robotic surgery for gynecologic cancers. St. Luke's fellowship-trained gynecologic oncologist performs robotic surgery for gynecologic cancers.
COMMUNITY BENEFIT STATEMENT CONTINUED CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS St. Luke's Allentown Hospital ----------------------------- St. Luke's Allentown Hospital (SL-Allentown) was founded in 1945 as the Allentown Osteopathic Medical Center and is located in the west end of the city of Allentown. In 1997, the Medical Center entered into a merger with St. Luke's. Since joining St. Luke's, the 158-bed SL-Allentown has experienced triple digit increases in admissions and St. Luke's has invested more than $150 million in technologic and facility improvements. A five-story addition, opened in June 2003, included: a 10,000-square-foot emergency department expansion, five state-of-the-art operating room suites, some of the most advanced imaging technology from GE Healthcare, the addition of a 10-bed intensive care unit and various support departments. In January 2007, St. Luke's nationally-recognized cardiovascular program was introduced at SL-Allentown. The comprehensive program includes emergency care for heart attacks, provides 24 hours-a-day, seven days-a-week cardiac testing; cardiac catheterization electrophysiology studies and other cardiac procedures by some of the most experienced physicians in the region. SL-Allentown's bariatric surgery program has been designated a center of excellence by the American Society for Metabolic and Bariatric Surgery. SL-Allentown provides extensive education and support programs for bariatric patients. In August 2007, SL-Allentown opened an outpatient cancer center at the Integrated Health Campus in South Whitehall Township, adjacent to Allentown. The center provides a very comfortable, inviting environment where patients can receive high quality, compassionate, comprehensive and coordinated outpatient cancer care under one roof. SL -Allentown doubled its size and the size of the emergency department in September 2008. The renovation added six new ICU beds for critical care patients, 22 new medical/surgical beds, two cardiac catheterization laboratories, a 680-sq. ft-open heart operating room suite and a post anesthesia unit (surgical recovery area). The New Beginnings Birthing Center underwent a significant renovation and expansion in the summer of 2009. Fifteen private post partum rooms were added to accommodate more than 1,400 annual births. In early spring 2010 a new medical unit was opened, as well as a new wound management center with two new hyperbaric chambers, and in early April, a HomeStar retail pharmacy was added to fill prescriptions for patients, visitors and employees. St. Luke's has added outpatient facilities in close proximity to SL-Allentown to meet the community's healthcare needs. These include, St. Luke's Family Health Center, a women's health center, St. Luke's Perinatal Center and St. Luke's Women's Imaging Center, as well as specialty St. Luke's physician practices for orthopedics, cardiology, pulmonology, nephrology and general surgery. Outpatient physical therapy is also provided. Construction began in May 2012 to expand and enhance the Pediatric Clinic, increasing the square footage from 2,000 to 3,400 sq. ft. In December 2011, SL-Allentown acquired a 107,000-sq.-ft. facility in a highly visible area adjacent to Allentown for development of St. Luke's West End Medical Center, an outpatient facility to supports SL-Allentown. Phase I opened in spring 2013. Additionally, a new 360 space parking deck at SL-Allentown, to improve access for patients and visitors, was added in 2013. St. Luke's Anderson Hospital ---------------------------- St. Luke's Anderson Hospital (Hospital), located in Bethlehem Township near the Route 33 interchange, opened on Nov. 11, 2011 and was the first new hospital in Pennsylvania in more than four decades. SL-Anderson is located on a 500-acre site owned by St. Luke's University Health Network and is LEED Certified. In addition to SL-Anderson, the first phase of site development includes an outpatient cancer center and a medical office building. ED volume has been 100 percent above projections and admissions/observations 70 percent above projections since SL-Anderson opened. Demand for ED services necessitated an 11,000-sq.-ft. expansion which opened in spring 2013. The new ED doubles capacity from 30,000 to 60,000 annual patient visits. In FY '12 (a partial year of SL-Anderson operations), SL-Anderson experienced 3,015 inpatient admissions, 32,052 outpatient visits and 14,763 ED visits. From the day it opened, SL-Anderson has been embraced by the public. ED patient satisfaction scores are at the 73th percentile and inpatient satisfaction at the 93rd percentile. An additional medical/surgical unit will open in June 2013, as well an additional operating room and cath lab space. The outpatient Cancer Center offers radiation oncology, neurosurgical oncology, medical oncology, surgical oncology, infusion and genetics counseling. A tranquil landscape, featuring a pond and walkways, is adjacent to the Cancer Center. The Infusion Therapy Department expanded from 9 to 13 bays to meet patient demand for services. The Medical Office Building provides imaging, physical therapy, laboratory and other outpatient testing, a health and fitness center and offices for a wide range of physician specialists. SL-Anderson is service oriented with a goal to reduce patient and family stress and anxiety and to provide a calm and reassuring environment by meeting, and often exceeding, their personal needs. Softer lighting is used in the hallways and the dcor is done in relaxing earth tones, available amenities include: plush robes; iPads to connect to the internet, a recliner and comfortable sofa bed in every room and an afternoon tea service. SL-Anderson also focuses on making its services easy to access. For example, MRI appointments are available on Saturdays and all-digital mammography is offered at 6:30 a.m. to accommodate working women. Areas of advanced clinical expertise include: Advanced imaging technologies such as a wide-bore MRI that offers uncompromised image quality; and a high-definition, low-dose CT that reduces radiation exposure up to 50 percent --fewer than 50 of these CTs have been installed in the U.S. Normal Pressure Hydrocephalus (NPH) Center - the first of its kind in the region, the center provides a unique multi-disciplinary approach for early diagnosis and treatment for NPH, an increase in intracranial pressure due to an abnormal accumulation of cerebrospinal fluid in the ventricles of the brain. Additionally, patients have access to tertiary and specialty care provided on site by physicians based at St. Luke's University Hospital as noted elsewhere in this document. Background and statistical information ====================================== St. Luke's was originally founded in 1872 to care for the workers at the steel foundries in Bethlehem. Today, St. Luke's has grown into one of Pennsylvania's largest integrated healthcare networks and enjoys a national reputation for clinical excellence. St. Luke's provides services at more than 150 locations which include five Pennsylvania hospital sites and St. Luke's Warren Hospital in Phillipsburg, NJ. More than 350 employed primary care, specialty care and hospitalist physicians provide services at more than 125 practice sites, as well as in all Network hospitals. St. Luke's also includes: various outpatient testing and service facilities, home health, inpatient/outpatient hospice services, and other related organizations. St. Luke's offers emergency and transport services in Pennsylvania and New Jersey and is the largest hospital-based EMS unit in Pennsylvania. In FY '12, St. Luke's provided treatment and services to 43,303 admissions and 3,801 observations for a cumulative 47,104 patients. The medical staff of St. Luke's Pennsylvania hospitals includes 1,266 physicians with 96% of them board certified. The medical staff of St. Luke's Warren Hospital is comprised of 243 physicians. St. Luke's encompasses more than 8,600 employees, making St. Luke's the region's second largest employer, and more than 1,350 volunteers. Awards and Clinical Achievements -------------------------------- The Network has received 59 significant awards for clinical excellence and efficient management, as well as additional national and state recognition for clinical excellence. These include, but are not limited to: National Awards - Named 2012 Thomson Reuters Top 50 Cardiovascular Hospital. - Repeatedly earned highest overall open heart surgery quality rating from Society of Thoracic Surgeons. Represents top decile performance (mortality, length of stay, complications and evidence-based care); only 6 percent of U. S. hospitals achieve this distinction. - Fully accredited Level I Adult Trauma Center (1.68 percent mortality, top decile, National Trauma Data Bank). - First and only PA cancer program to receive American College of Surgeons' highest quality recognition for three consecutive survey cycles; only PA program to receive award in 2010.
COMMUNITY BENEFIT STATEMENT CONTINUED CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS - St. Luke's Allentown/Bethlehem received Joint Commission's Disease Specific Care Certification for Stroke. - Designated Center of Excellence by American Society for Metabolic and Bariatric Surgery and Surgical Review corporation; Medicare patients are required to utilize Center of Excellence bariatric programs; zero mortality, top decile performance length of stay. - Only hospital in region named one of the nation's 100 Top Hospitals (Truven); St. Luke's honored twice. - Received 2012 American Heart Association Stroke Quality Achievement Award. State Awards - Received seven HAP Achievement Awards (2010) most ever by one health care organization. Community Support ----------------- In keeping with their commitment to the communities they serve, St. Luke's University Hospital, St. Luke's Allentown Hospital and St. Luke's Anderson Hospital offer a variety of free services/screenings for community-run events throughout the year. Services offered include: NCQA Certification - Highest number of physicians in the state to achieve certification in diabetes care. Leader in P4P/VBP Initiatives - 2003 - 2009 CMS/Premier Hospital Quality Improvement Demonstration. - Only participating hospital in the region. - Received bonus payments in all five clinical areas in all six years. - One of only 230 participating hospitals nationwide. - Premier QUEST Demonstration Project. - Three St. Luke's hospitals are top performers in all three measures; evidence-based care, mortality, efficiency. - SLB 9th lowest mortality of 157 hospitals nationwide. - Highmark Quality BLUE 2011 and 2012 P4P Programs. - Attained maximum achievement level for CAUTI, Stroke Care, Emergency Department throughput and Perinatal Care projects. - Received awards for greatest percent improvement and highest overall compliance. - 2013 CMS VBP Program. - All eligible St. Luke's Hospitals qualified for a payment reward based on performance in HCAHPS and 12 evidence-based care measures. - Only 50 percent of hospitals nationwide qualified for reward payment. Other Outstanding Achievements - Region's first and only medical school campus - 1st in the region to earn the distinction to perform TAVR procedures independently (without a proctor) - July 25, 2013. - Evidence-based care measures for Cardiac Surgery and AMI at 100 percent compliance for CY2012. - 100 percent performance for AMI Door-to-Procedure of 90 minutes for 24 consecutive months at all three St. Luke's Cath Labs. - A leader in state and national programs to improve Perinatal Care. Current early elective delivery rate of 1.3 percent is well below the national rate of 5 percent. - Central line associated blood stream infection rate is significantly better than the national rate as reported by CMS. - 11th consecutive year as one of region's most utilized OB programs (Allentown/Bethlehem). - St. Luke's (Allentown/Bethlehem) received the Inez and Edward Donnelly Award for children's advocacy in 2010 presented by Community Services for Children in recognition of St. Luke's KidsCare centers and school-based programs. The honor recognized St. Luke's "for its care and compassion for children from low-income families". St. Luke's and Temple University School of Medicine have developed the Medical School of Temple University/St. Luke's University Health Network, the first and only medical school campus in the greater Lehigh Valley. Enrolled students complete the first year at Temple, followed by years two, three and four at St. Luke's University Hospital in Bethlehem. The inaugural class began August, 2011, followed by the second class in August 2012. The courses and competencies of this program are identical to the requirements for students training the full four years at the Temple Campus in Philadelphia. Students applying to the program are interviewed at St. Luke's by St. Luke's physicians, who are faculty members of the Temple University School of Medicine Admissions Committee. Introduction to clinical medicine, interpersonal and communication skills, professionalism, multiculturalism, socioeconomic and social and ethical issues are taught throughout the four years as part of the doctoring course. St. Luke's physicians, who are Temple University School of Medicine faculty, teach the first year doctoring course in Philadelphia. In the wake of the nation's greatest physician shortage in history, St. Luke's expects to graduate 300 physicians in 10 years and retain 50 percent - 150 physicians - in the region served by St. Luke's University Health Network. St. Luke's is also a comprehensive clinical teaching campus for the Temple University School of Medicine. Third- and fourth -year medical students enrolled at Temple may complete their clinical rotations at St. Luke's University Hospital Graduate medical education and other education programs ------------------------------------------------------- St. Luke's has a long history of involvement in medical education, especially graduate medical education and is one of only 400 members of the prestigious Council of Teaching Hospitals. St. Luke's is dedicated to quality medical education coupled with compassionate patient-centered, technologically sophisticated care. The goal of St. Luke's graduate medical education program is to train young physicians who will have the knowledge and skills to enter private practice and/or go into fellowships for further training. Each year, more than 180 interns/residents/fellows train at Luke's 23 fully accredited programs Medical education programs are conducted primarily at the Bethlehem and Allentown campuses. St. Luke's residency programs include: dental, emergency medicine, family medicine, internal medicine, general surgery, obstetrics and gynecology, orthopaedic surgery, pharmacy, podiatry; fellowships include: sports medicine, hospice and palliative care, geriatrics, cardiology, surgical critical care, podiatric dermatology. St. Luke's offers the following advanced practitioner programs: Certified Registered Nurse Anesthetist Program (enrollees from La Salle University), Certified Registered Nurse Practitioner Programs (enrollees from DeSales University, Drexel University), Emergency Medicine PA/NP Fellowships, Trauma/Surgical Critical Care PA/NP Fellowships, Physician Assistant Program (enrollees from Clemson University, DeSales University, King's College, Penn State University) and Physician Assistant Observer Programs. St. Luke's serves as a major training site for allied health professions, Yearly, more than 200 allied health students spend more than 55,000 hours at St. Luke's - an average of 250 hours per student. Allied health professionals work in teams to facilitate functionality of the healthcare system through provision of a range of diagnostic, technical, therapeutic and direct patient care and support services. Allied health professionals train in many disciplines including lab, medical assistants, MRI, nuclear medicine, phlebotomy, physical/occupational therapy, athletic trainers, radiology and respiratory care. Students from 22 colleges, universities and technical institutes are enrolled in St. Luke's programs. St. Luke's also trains students in surgical technology in its own School of Surgical Technology. Additional educational programs include: pastoral care, pharmacy and hospital administration internships. St. Luke's School of Nursing ---------------------------- St. Luke's University Hospital of Bethlehem, Pennsylvania was the fourth hospital in the United States to operate a school for nurses. Established in 1884, St. Luke's School of Nursing is the nation's oldest hospital-based, diploma school in continuous operation. More than 4,000 nursing students have successfully completed the program. The School of Nursing is approved by the Pennsylvania State Board of Nursing and was fully reaccredited in 1997 by the Accreditation Commission of the National League for Nursing. More than 140 students are enrolled in the 20-month program. In partnership with Moravian College in Bethlehem, St. Luke's also offers an accredited four-year BS in Nursing Program for more than 140 enrolled students and accredited MS Nursing Programs in three areas: Nurse Educator, Nurse Administrator, Clinical Nurse Leader. More than 50 St. Luke's nurses are enrolled in the Master's programs.
COMMUNITY BENEFIT STATEMENT CONTINUED CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS St. Luke's Community Health Department's mission is to improve the health status and quality of life of the community, especially for individuals with limited resources. St. Luke's provides the administrative leadership, staff and financial support for the Bethlehem Partnership for a Healthy Community. Established in 1996 by the Board of Trustees of St. Luke's University Health Network, the Partnership is a national model for collaborative efforts to improve access to health care services. Currently more than 200 participating / funding agencies, including those from local business, government, educational and community organizations, are actively involved in Partnership programs. The Partnership philosophy is through community participation with shared responsibility, the physical, mental, emotional and spiritual wellness of individuals and the quality of life in the community can be enhanced. Services are provided primarily to at-risk and underserved children and adults through St. Luke's four mobile health/dental vans. Under St. Luke's leadership, Partnership achievements for FY '12 included: Mobile Youth Health Centers traveled to area high schools, middle schools and adolescent shelters and provided nearly 2,000 patient visits to 238 individual uninsured students; Mobile Dental Center visited more than 30 schools and agencies throughout the region and provided dental care to for 2,811 patient visits for low-income, at-risk children; provided specialized pediatric dental care and adult care at the Easton Dental Center for 3,995 patient visits; the Dental Health Center in South Bethlehem provided care for 3,995 patient visits; provided primary and preventive care for low-income families through 2,583 patient visits at the Donegan Fowler Family Center at Donegan Elementary School in South Bethlehem [According to Gateway Health Plan, adolescent well-care visit (12-21 years) completion rate rose to 95 percent, as compared to the previous year at 88 percent and children's access to primary care physician increased to 94 percent vs. 88 percent the previous year.]; provided tobacco cessation counseling to 339 clients; and provided free health screenings, prevention education and referral services provided to community members living in low-income neighborhoods. Other St. Luke's Community Health Department outreach efforts included programs designed to reduce minority health disparities such as a community-health center network, access to culturally and linguistically responsive services and specific community-based services. These initiatives are an extension of the Partnership's approach to set long-term strategies aimed at achieving measurable improvement in the health status of the Lehigh Valley's local minority community. St. Luke's Nurse-Family Partnership is an evidence-based, nurse home visiting program to improve the health, well-being and economic self-sufficiency of low-income, first-time parents and their children. Care is provided in this voluntary prevention program by specially trained registered nurses beginning early in the mother's pregnancy and continuing until her child's second birthday. The Nurse-Family Partnership served 374 families residing in the Lehigh Valley (encompassing the cities of Allentown, Bethlehem and Easton and the surrounding rural areas) during FY '12. Parent Advocate in the Home (PATH) provides health and supportive services to families with children age 3 years or younger. In FY '12, PATH provided 6,696 hours of services to 376 families through 3,435 visits. A visiting nurse assists families to understand child growth and development, home safety, discipline, healthy eating, problem solving and parenting. This program focuses on early child development, nutrition, health and preparing the families and their children to be ready for school. The Visiting Nurse Advocate provides child health monitoring and child advocacy services to children living in troubled homes in Northampton and Lehigh counties, in Southeastern Pennsylvania. In FY '12, 8,568 hours of service were provided to 226 families. In FY '12, the Community Health Department provided HIV prevention education through its AIDS Service Center to 5,373 individuals; HIV testing and counseling to 196 community members. Case management and supportive services were provided to 305 clients accounting for 10,651 Network patient visits throughout the year. St. Luke's and Lehigh University formed a highly successful partnership in 2009 to develop and implement Reading Rocks!, a reading supplemental/mentoring program for at-risk students at Donegan Elementary School in South Bethlehem. St. Luke's assumes all costs associated with this program. In FY '12, Reading Rocks! provided reading services to 383 students and collected 16,000 books to distribute to the children. St. Luke's offers an extensive Network of pediatric and adult medical and specialty clinics at various easily accessible locations. In FY '12 more than 110,000 clinic patient visits were provided. In December 2008, the Board of Trustees of St. Luke's University Health Network redesigned the Network's Charity Care Program for patient access to discounted hospital services. The Network has established a community benefit tracking system to comply with new IRS Form 990 Guidelines (effective 2009) to report community benefit activities / expenditures. Additional community supported included, but is not limited to, the following: -Opening of St. Luke's Anderson Hospital community event: 3,500 people attended the two-day Hospital Open House Weekend on Oct. 15, 16, 2011; Hospital tours provided; screenings included: blood pressure, bone density and children's height and weight checks; health and safety, Hospital technology and specialist service information provided; event services and programs provided through 120 hours of clinical service hours and 71 hours of non-clinical volunteer hours; 120 hours of nutritional services to prepare/serve food, 16 hours of security/housekeeping services. Total cost: $32,000. -St. Luke's Anderson Campus Community Day, June 2, 2012; 1,300 people attended; activities included: Hospital and St. Luke's Health & Fitness Center tours, free screenings (dexa heel scans, cholesterol, grip strength testing, balance/fall, vascular, skin cancer, blood pressure, body composition analysis, sun safe information, family and friends CPR); children' activities focused primarily on safety; event services and programs provided through 64 hours of clinical service hours,132 hours non-clinical volunteer hours; 78 hours nutritional services to prepare/serve $3,500 in food; 8 hours of security/housekeeping services; $21,500 costs, excluding food. - St. Luke's hospitals in Allentown, Bethlehem and Bethlehem Township offered a full range of free health screenings, immunizations, educational programs, health fairs, first aid services, tours of hospital facilities and numerous other community programs. These programs served 178,695 people -St. Luke's employees also sponsor an annual children's winter coat drive, purchasing new coats and other articles of clothing for more than 100 children in need. - Adolescent Career Mentoring Program: the goal is to create a long-term impact both for low-income youth and the general minority community by increasing diversity of the workforce providing healthcare. As of the end of FY '12, 24 youths from the Program were employed by St. Luke's University Health Network. -School-to-Work Program: Now in its 15th year of operation, the program exposes at-risk youth to career options while strengthening language skills; 39 hospital departments participate in this program providing observational experiences for the students to explore potential careers while practicing their English. 94 percent of enrolled students successfully completed the program and their collective average GPA rose from 2.9 percent in FY '11 to 3.1 in FY '12. The Health Career Exploration Program and the Next-Step Program build upon experiences and skills the students receive in the School-to-Work Program and give the youths the opportunity to work part-time within St. Luke's, learning specific skills while gaining actual work experiences. -InfoLink toll-free health information telephone number: more than 50,000 callers annually are assisted with a range of services including registration for free community health programs, screenings and other health services, referrals to physicians and information on St. Luke's charity care program at a cost of $272,248. - television program : St. Luke's produces a live, call-in weekly television program that highlights various healthcare topics and weekly reaches more than 200,000 viewers at an annual cost of $104,954. St. Luke's physicians and other healthcare providers supply information on healthy living, health screenings, advances in healthcare treatment and technology and related topics.
OTHER PROGRAM SERVICES CORE FORM, PART III; QUESTION 4D EXPENSES INCURRED IN PROVIDING VARIOUS OTHER 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. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.
DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION A; QUESTION 4 ON JANUARY 31, 2012, ST. LUKE'S UNIVERSITY HEALTH NETWORK, INC. PURCHASED WARREN HEALTHCARE, INC., A NOT FOR-PROFIT HOLDING COMPANY. WARREN HEALTHCARE, INC. AND ITS SUBSIDIARIES BECAME A PART OF THE ST. LUKE'S CORPORATE SYSTEM. ON THIS DATE THE ORGANIZATION BECAME THE SOLE MEMBER OF WARREN HEALTHCARE, INC. AND THE SOLE MEMBER OF WARREN HOSPITAL BECAME ST. LUKE'S UNIVERSITY HOSPITAL. THE SUBSIDIARIES INCLUDE (A) WARREN HOSPITAL, A NOT FOR-PROFIT ACUTE CARE FACILITY LOCATED IN PHILLIPSBURG, NEW JERSEY, (B) WARREN RISK RETENTION GROUP, (C) WARREN PA PROFESSIONAL ALLIANCE, INC., (D) WARREN HEALTH CARE ALLIANCE, P.C., AND (E) HILLCREST EMERGENCY SERVICES, P.C. ALSO INCLUDED IN THE ACQUISITION WAS (A) THE WARREN HOSPITAL FOUNDATION, INC., A NOT FOR-PROFIT CHARITABLE FOUNDATION, (B) HILLCREST MANAGEMENT SERVICES ORGANIZATION, INC., AND (C) TWO RIVERS ENTERPRISES, INC. IN CONNECTION WITH THE ACQUISITION, WARREN HOSPITAL'S NAME WAS CHANGED TO ST. LUKE'S WARREN HOSPITAL, INC., THE PARENT'S NAME WAS CHANGED TO ST. LUKE'S WARREN HEALTHCARE, INC. AND THE FOUNDATION WAS RENAMED ST. LUKE'S WARREN HOSPITAL FOUNDATION, INC.
DISCLOSURE INFORMATION 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.
DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION B; QUESTION 11b THE ORGANIZATION IS AN AFFILIATE IN THE ST. LUKE'S UNIVERSITY HEALTH NETWORK ("NETWORK"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY NETWORK. ST. LUKE'S HEALTH NETWORK, INC. IS THE 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 DIRECTORS) PRIOR TO THE FILING WITH THE 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 DIRECTORS 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 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 ORGANIZATION'S VICE PRESIDENT FINANCE AND SENIOR VICE PRESIDENT FINANCE AND VARIOUS OTHER INDIVIDUALS OF THE NETWORK 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 ORGANIZATION'S INTERNAL WORKING GROUP, INCLUDING, BUT NOT LIMITED TO, THOSE INDIVIDUALS OUTLINED ABOVE, FOR THEIR REVIEW. THE ORGANIZATION'S INTERNAL WORKING GROUP AND OTHER INDIVIDUALS 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 ORGANIZATION'S INTERNAL WORKING GROUP AND VARIOUS OTHER INDIVIDUALS 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. FOLLOWING THE FINANCE COMMITTEE'S REVIEW THE FINAL FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO THE FILING WITH THE IRS.
DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION B; QUESTION 12 THE ORGANIZATION 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, DIRECTORS, AND KEY EMPLOYEES ANNUALLY. THE NETWORK'S 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 DIRECTOR DISCLOSES AN INTEREST THAT COULD GIVE RISE TO A CONFLICT, THE DIRECTOR'S POTENTIAL CONFLICT MAY BE DISCLOSED TO THE BOARD OF DIRECTORS, WHICH EVALUATES THE CONFLICT AND ITS POTENTIAL IMPACT ON THE DIRECTOR'S PARTICIPATION ON THE BOARD. AFTER CONSULTATION AND DISCUSSION, THE BOARD OF DIRECTORS MAY TAKE ACTION, IF APPROPRIATE AND NECESSARY, TO ADDRESS ANY SUCH CONFLICT IN A MANNER CONSISTENT WITH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY.
DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION B; QUESTION 15 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 directors. 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 DIRECTORS 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. Please refer to the schedule J, part III response to Schedule J, Part I, Question 3 for a more detailed description.
DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION C; QUESTION 19 ST. LUKE'S HEALTH NETWORK, INC., WHICH IS THE PARENT ENTITY OF THIS AFFILIATE, 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 SECRETARY OF STATE.
COMPENSATION INFORMATION DISCLOSURE CORE FORM, PART VII AND SCHEDULE J PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS 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 AND RELATED ORGANIZATIONS AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF DIRECTORS.
RELATED HOURS DISCLOSURE CORE FORM, PART VII, SECTION A, COLUMN B THE ORGANIZATION IS AN AFFILIATE IN THE ST. LUKE'S UNIVERSITY HEALTH NETWORK ("NETWORK"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY NETWORK. THE NETWORK INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF DIRECTOR MEMBERS, OFFICERS AND/OR DIRECTORS 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 DIRECTORS OF OTHER RELATED ORGANIZATIONS IN THE NETWORK, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY ONE HOUR. THE HOURS REFLECTED ON PART VII OF THIS FORM 990, FOR BOARD MEMBERS 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.
INDEPENDENT CONTRACTORS INFORMATION DISCLOSURE CORE FORM, PART VII, SECTION B This organization is an affiliate within the St. Luke's UNIVERSITY Health 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 also files these Forms 1099 with the Internal Revenue Service. This organization allocates these payments to the other affiliates within the St. Luke's Hospital & Health Network via an intercompany account.
BALANCE SHEET RESTATEMENT CORE FORM, PART X In 2012, St. Luke's determined that the estimated fair value of the total return interest rate swaps were not correct in that they did not reflect the estimated current market prices that would be considered in a termination payment as of the balance sheet date if St. Luke's were to elect to terminate the swaps without redeeming the bonds. Although St. Luke's has no intention to do so, the agreements allow for this possibility and, as a result, must be taken into consideration in determining the estimated fair value of the swaps on a standalone basis. Management has evaluated this error and concluded that it was not material to any prior period. As a result, a revision has been made to correct the previously issued financial statements to account for a related unrealized loss on the value of the swaps. This change has also been reflected in Part X of the Core Form of this Form 990.
BALANCE SHEET CORE FORM, PART X; LINE 20 THE 2007 SERIES TAX-EXEMPT BOND ISSUANCE INCLUDED IN SCHEDULE K, PART I INCLUDES A CUSIP NUMBER IN ADDITION TO THE ONE DISCLOSED IN SCHEDULE K, PART I; LINE (A), COLUMN (C). THIS IS THE FOLLOWING: 5248055D6. THE 2008A SERIES TAX-EXEMPT BOND ISSUANCE INCLUDED IN SCHEDULE K, PART I INCLUDES CUSIP NUMBERS IN ADDITION TO THE ONE DISCLOSED IN SCHEDULE K, PART I; LINE (A), COLUMN (C). THESE ARE THE FOLLOWING: 66353RAB0; 66353RAC8; 66353RAD6; 66353RAE4; 66353RAF1; 66353RAG9; 66353RAH7 AND 66353RAJ3. THE 2010A SERIES TAX-EXEMPT BOND ISSUANCE INCLUDED IN SCHEDULE K, PART I INCLUDES CUSIP NUMBERS IN ADDITION TO THE ONE DISCLOSED IN SCHEDULE K, PART I; LINE (A), COLUMN (C). THESE ARE THE FOLLOWING: 66353RBD5; 66353RBE3; 66353RAK0; 66353RAL8; 66353RAM6; 66353RAN4; 66353RAP9; 66353RAQ7; 66353RAR5; 66353RAS3; 66353RAT1; 66353RAU8; 66353RAV6; 66353RAW4; 66353RAX2; 66353RAY0 AND 66353RAZ7. THE 2010B SERIES TAX-EXEMPT BOND ISSUANCE INCLUDED IN SCHEDULE K, PART I INCLUDES A CUSIP NUMBER IN ADDITION TO THE ONE DISCLOSED IN SCHEDULE K, PART I; LINE (A), COLUMN (C). THIS IS THE FOLLOWING: 66353RBB9.
OTHER CHANGES IN NET ASSETS CORE FORM, PART XI; QUESTION 5 OTHER CHANGES IN NET ASSETS OR FUND BALANCES INCLUDE: - NET ASSETS RELEASED FROM RESTRICTIONS USED FOR PURCHASES OF PROPERTY AND EQUIPMENT; $1,345,013; - NET UNREALIZED losses ON INVESTMENTS; ($10,493,598); - CHANGE IN FAIR MARKET VALUE OF 2007 DERIVATIVE; ($31,184,808); - CHANGE IN ADDITIONAL PENSION LIABILITY; ($45,611,898); - TRANSFER BETWEEN ENTITIES; ($19,390,280); - PLEDGES RECEIVED - TEMPORARILY RESTRICTED; ($2,295,204); - NEW PLEDGES - TEMPORARILY RESTRICTED; $1,602,992; - NET UNREALIZED LOSSES ON INVESTMENTS - TEMPORARILY RESTRICTED; ($28,840); - NET ASSETS RELEASED FROM RESTRICTIONS USED FOR PURCHASES OF PROPERTY AND EQUIPMENT - TEMPORARILY RESTRICTED; ($489,692); - NET ASSETS RELEASED FROM RESTRICTIONS USED FOR OPERATIONS - TEMPORARILY RESTRICTED; ($1,012,121); - NET ASSETS RELEASED FROM RESTRICTIONS USED FOR CAPITAL CAMPAIGN - TEMPORARILY RESTRICTED; ($25,463); - INCOME TRANSFERRED TO OPERATIONS - TEMPORARILY RESTRICTED; ($65,080); - ALLOWANCE FOR PLEDGES WRITTEN OFF AND ACTUAL WRITE-OFFS - TEMPORARILY RESTRICTED; ($43,885); - APPRECIATION TRANSFER FROM ENDOWMENT - TEMPORARILY RESTRICTED; $(522,177); - INCOME TRANSFER FROM ENDOWMENT - TEMPORARILY RESTRICTED; $168,888; - NET UNREALIZED losses ON SALE OF INVESTMENTS - PERMANENTLY RESTRICTED; ($2,178,095); - INCOME RELEASED AND TRANSFERRED TO GENERAL FUND FOR OPERATIONS - PERMANENTLY RESTRICTED; ($1,373,867); - APPRECIATION TRANSFER TO TEMPORARILY RESTRICTED - PERMANENTLY RESTRICTED; $4,876; - APPRECIATION TRANSFER TO GENERAL FUND - PERMANENTLY RESTRICTED; $543,098; AND - INCOME TRANSFER TO TEMPORARILY RESTRICTED - PERMANENTLY RESTRICTED; ($168,888).
AUDITED FINANCIAL STATEMENTS CORE FORM, PART XII; QUESTION 2 THE ORGANIZATION IS AN AFFILIATE WITHIN THE ST. LUKE'S UNIVERSITY HEALTH NETWORK ("NETWORK"), A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY NETWORK. THE NETWORK'S PARENT ENTITY IS ST. LUKE'S HEALTH NETWORK, INC. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE TAXPAYER AND ALL AFFILIATES FOR THE YEARS ENDED JUNE 30, 2012 AND JUNE 30, 2011; RESPECTIVELY AND ISSUED A CONSOLIDATED FINANCIAL STATEMENT WITH CONSOLIDATING SCHEDULES BY ENTITY. AN UNQUALIFIED 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.
FINANCIAL STATEMENTS AND REPORTING CORE FORM, PART XII; QUESTION 3 THIS ORGANIZATION IS AN AFFILIATE IN THE ST. LUKE'S UNIVERSITY HEALTH NETWORK ("NETWORK"). THE NETWORK'S FINANCE COMMITTEE ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE A NETWORK WIDE CONSOLIDATED A-133 AUDIT. THIS ORGANIZATION WAS INCLUDED IN THE NETWORK WIDE A-133 AUDIT.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2011

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
ST LUKE'S HOSPITAL OF BETHLEHEM PA
 
Employer identification number

23-1352213
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income



(e)
End-of-year assets


(f)
Direct controlling
entity









(1) CANCER IMMUNOTHERAPIES LLC
801 OSTRUM STREET
BETHLEHEM,PA18015
20-8783508
INACTIVE PA 0 0 BETHLEHEM
 
(2) ST LUKE'S AIRMED LLC
801 OSTRUM STREET
BETHLEHEM,PA18015
27-4643964
INACTIVE PA 0 0 BETHLEHEM
 
(3) ST LUKE'S HOMESTAR SERVICES LLC
801 OSTRUM STREET
BETHLEHEM,PA18015
26-0369246
HEALTH SVCS. PA 16,069,116 7,420,229 BETHLEHEM
 
(4) ST LUKE'S WINDGAP PROPERTY LLC
801 OSTRUM STREET
BETHLEHEM,PA18015
23-2641715
INACTIVE PA 0 0 BETHLEHEM
 




Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section



(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled organization
Yes No
(1) ST LUKE'S HEALTH NETWORK INC

801 OSTRUM STREET

BETHLEHEM,PA18015
23-2384282
HEALTH SVCS. PA 501(C)(3) 509(A)(3) NA
 
 
No
(2) ST LUKE'S QUAKERTOWN HOSPITAL

801 OSTRUM STREET

BETHLEHEM,PA18015
23-1352203
HEALTH SVCS. PA 501(C)(3) HOSPITAL SLHN INC
 
 
No
(3) CARBON-SCHUYLKILL COMMUNITY HOSPITAL

801 OSTRUM STREET

BETHLEHEM,PA18015
25-1550350
HEALTH SVCS. PA 501(C)(3) HOSPITAL SLHN INC
 
 
No
(4) QUAKERTOWN REHABILITATION CENTER

801 OSTRUM STREET

BETHLEHEM,PA18015
23-2543924
HEALTH SVCS. PA 501(C)(3) 170B1AIII SLHN INC
 
 
No
(5) ST LUKE'S EMERGENCY & TRANSPORT SVCS

801 OSTRUM STREET

BETHLEHEM,PA18015
23-2179542
HEALTH SVCS. PA 501(C)(3) 170B1AIII SLHN INC
 
 
No
(6) ST LUKE'S PHYSICIAN GROUP INC

801 OSTRUM STREET

BETHLEHEM,PA18015
23-2380812
HEALTH SVCS. PA 501(C)(3) 509(A)(3) SLHN INC
 
 
No
(7) VNA OF ST LUKE'S - HOME HEALTHHOSPICE

801 OSTRUM STREET

BETHLEHEM,PA18015
24-0795497
HEALTH SVCS. PA 501(C)(3) 509(A)(1) BETHLEHEM
 
Yes
 
(8) HOMESTAR MEDICAL EQUIP & INFUSION SVCS

801 OSTRUM STREET

BETHLEHEM,PA18015
23-2418254
INACTIVE PA 501(C)(3) 509(A)(2) VNA
 
 
No
(9) ST LUKE'S HHN AUXILIARY INC

801 OSTRUM STREET

BETHLEHEM,PA18015
23-2134479
FUNDRAISING PA 501(C)(3) 170B1AIII NA
 
 
No
(10) ST LUKE'S WARREN HOSPITAL INC

185 ROSEBERRY STREET

PHILLIPSBURG,NJ08865
22-1494454
HEALTH SVCS. NJ 501(C)(3) HOSPITAL BETHLEHEM
 
Yes
 
(11) ST LUKE'S WARREN HEALTHCARE INC

185 ROSEBERRY STREET

PHILLIPSBURG,NJ08865
22-2522478
HOLDING CO. NJ 501(C)(3) 509(A)(3) SLHN INC
 
 
No
(12) ST LUKE'S WARREN HOSPITAL FDN INC

185 ROSEBERRY STREET

PHILLIPSBURG,NJ08865
22-2522476
SUPPORT SLWH NJ 501(C)(3) 509(A)(3) SLWH INC
 
 
No
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2011
Schedule R (Form 990) 2011
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No
(1) EIGHTH & EATON

801 OSTRUM STREET
BETHLEHEM,PA180151000
26-3017143
FINANCIAL VEHICLE PA BETHLEHEM
 
RELATED 4,379,623 0   No 0   No 99.990 %
(2) NEW VALLEY REHAB

2301 CHERRY LANE
BETHLEHEM,PA18015
13-4257049
HEALTHCARE SVCS. PA QUAKERTWN REHAB
 
        No     No  
(3) WIND GAP PROF

3435 WINCHESTER ROAD SUITE 300
ALLENTOWN,PA181042284
23-2641715
HEALTHCARE SVCS. PA BETHLEHEM
 
RELATED 0 0   No 0   No 67.000 %








Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization



(b)
Primary activity



(c)
Legal domicile
(state or
foreign
country)
(d)
Direct controlling
entity


(e)
Type of entity
(C corp, S corp,
or trust)

(f)
Share of total income



(g)
Share of
end-of-year
assets

(h)
Percentage
ownership


(1) ST LUKE'S EIGHTH & EATON HOLDINGS INC
801 OSTRUM STREET
BETHLEHEM,PA180151000
23-7192801
HEALTHCARE SVCS. PA BETHLEHEM
 
C CORP. 8 17 100.000 %
(2) ST LUKE'S HEALTH NETWORK INSURANCE COMP
801 OSTRUM STREET
BETHLEHEM,PA180151000
75-2993150
FINANCIAL VEHICLE VT BETHLEHEM
 
C CORP. 8,780,607 42,642,130 88.000 %
(3) ST LUKE'S HOSP OF BETH PA AMBUL SURGERY
801 OSTRUM STREET
BETHLEHEM,PA180151000
23-3018850
HEALTHCARE SVCS. PA BETHLEHEM
 
C CORP. 0 0 100.000 %
(4) ST LUKE'S PHYSICIAN HOSPITAL ORG
801 OSTRUM STREET
BETHLEHEM,PA180151000
23-2786818
HEALTHCARE SVCS. PA BETHLEHEM
 
C CORP. 8,861 737,446 50.000 %
(5) HILLCREST EMERGENCY SERVICES PC
185 ROSEBERRY STREET
PHILLIPSBURG,NJ08865
20-4429976
HEALTHCARE SVCS. NJ N/A
C CORP.      
(6) HILLCREST MANAGEMENT SERVICES ORG INC
185 ROSEBERRY STREET
PHILLIPSBURG,NJ08865
22-2591084
BILLING & MGMT NJ N/A
C CORP.      
(7) TWO RIVERS ENTERPRISES INC
185 ROSEBERRY STREET
PHILLIPSBURG,NJ08865
52-1552606
REAL ESTATE NJ N/A
C CORP.      
(8) WARREN PA PROFESSIONAL ALLIANCE INC
185 ROSEBERRY STREET
PHILLIPSBURG,NJ08865
20-2652788
HEALTHCARE SVCS. NJ N/A
C CORP.      
(9) ST LUKE'S WARREN PHYSICIAN GROUP PC
185 ROSEBERRY STREET
PHILLIPSBURG,NJ08865
22-3837316
HEALTHCARE SVCS. NJ N/A
C CORP.      
(10) WARREN RISK RETENTION GROUP INC
865 MEMORIAL PARKWAY
PHILLIPSBURG,NJ08865
20-0250315
FINANCIAL VEHICLE VT N/A
C CORP.      
(11) HILLCREST PSYCHIATRIC SERVICES PC
185 ROSEBERRY STREET
PHILLIPSBURG,NJ08865
27-0634298
INACTIVE NJ N/A
C CORP.      
Schedule R (Form 990) 2011
Schedule R (Form 990) 2011
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III or IV.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
Yes
 
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
Yes
 
f Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
Yes
 
o Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization
(b)
Transaction
type(a-r)
(c)
Amount involved
(d)
Method of determining amount involved
(1)
(2)

(3)

(4)

(5)

(6)

Schedule R (Form 990) 2011
Schedule R (Form 990) 2011
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(e)
Are all
partners
section
501(c)(3)
organizations?
(f)
Share of total income




(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2011
Schedule R (Form 990) 2011
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
TRANSACTIONS WITH RELATED ORGANIZATIONS SCHEDULE R, PART V AS OUTLINED IN SCHEDULE O, THIS ORGANIZATION ROUTINELY PAYS EXPENSES FOR VARIOUS AFFILIATES WITHIN THE ST. LUKE'S HOSPITAL & HEALTH NETWORK IN THE ORDINARY COURSE OF BUSINESS. THESE RELATED PARTY TRANSACTIONS ARE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND ITS AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY HEALTHCARE AND WELLNESS SERVICES TO THE COMMUNITIES IN WHICH THEY ARE SITUATED.
Additional Data


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