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
2012
Open to Public Inspection
A For the 2012 calendar year, or tax year beginning 07-01-2012 , 2012, and ending 06-30-2013
BCheck if applicable:
CName of organization
ST LUKE'S HOSPITAL OF BETHLEHEM PA
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
801 OSTRUM STREET
Suite
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 $ 742,820,592
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 17
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 15
5 Total number of individuals employed in calendar year 2011 (Part V, line 2a) ...... 5 6,111
6 Total number of volunteers (estimate if necessary) ............. 6 940
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 67,044
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) ......... 5,735,327 5,962,360
9 Program service revenue (Part VIII, line 2g) ......... 652,707,121 715,110,010
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 23,617,731 14,345,203
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 5,638,767 6,040,698
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 687,698,946 741,458,271
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 674,195 484,014
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) 311,278,579 319,470,513
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–24e).... 330,806,742 378,679,738
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 642,759,516 698,634,265
19 Revenue less expenses. Subtract line 18 from line 12....... 44,939,430 42,824,006
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 1,292,517,730 1,439,352,641
21 Total liabilities (Part X, line 26)............. 930,951,701 942,608,738
22 Net assets or fund balances. Subtract line 21 from line 20..... 361,566,029 496,743,903
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 MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2012)
Form 990 (2012)
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 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 $ 78,378,328 including grants of $ 0 ) (Revenue $ 77,774,303 )
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 $ 57,905,300 including grants of $ 0 ) (Revenue $ 66,740,031 )
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.
4c (Code:   ) (Expenses $ 54,726,491 including grants of $ 0 ) (Revenue $ 53,630,110 )
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.
4d Other program services (Describe in Schedule O.)
(Expenses $ 437,809,119 including grants of $ 484,014 ) (Revenue $ 516,965,566 )
4e Total program service expensesMediumBullet628,819,238
Form 990 (2012)
Form 990 (2012)
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 (see instructions)? 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, or have a section 501(h) election in effect during the tax year? If “Yes,” complete Schedule C, Part IIClick 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
Click to see attachment............................
5
 
No
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 for escrow or custodial account liability; 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 IVClick 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, line 10?
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 VIIClick 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 VIIIClick 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 IXClick 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 XClick 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 XClick 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 and XII 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 and XII 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, Parts I and IV.........
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 United States? If “Yes,” complete Schedule F, Parts II and IV
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 United States? If “Yes,” complete Schedule F, Parts III and IV...
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 (see instructions).... Click to see attachment
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............ Click to see attachment
18
Yes
 
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................... Click to see attachment
19
 
No
20a
Did the organization operate one or more hospital facilities? 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 statements to this return? Click to see list of attachments
20b
Yes
 
Form 990 (2012)
Form 990 (2012)
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, line 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 lines 24b through 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........
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...................
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highest compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II
..........................
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.........
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 ..........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV
.....................
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 direct or indirect owner? If “Yes,” complete Schedule L, Part IV...
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M..Click to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............. Click to see attachment
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, Part II, III, or IV, and Part 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 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2012)
Form 990 (2012)
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
987
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
6,111
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, securities account, or other financial 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 as charitable contributions?...
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.
See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the 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 amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2012)
Form 990 (2012)
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 .....................
1a
17
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
15
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
 
No
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 this 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:
MediumBulletTHOMAS P LICHTENWALNER801 OSTRUM STREETBETHLEHEMPA180151000 (484) 526-4000
Form 990 (2012)
Form 990 (2012)
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. 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 organization compensated any current officer, director, or trustee.
(A)
Name and Title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(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) CHARLES D SAUNDERS MD........................................................................
CHAIRMAN - DIRECTOR
1.0
.......................  
X   X       0 0 0
(2) SAMUEL R GIAMBER MD........................................................................
VICE CHAIRMAN - DIRECTOR
1.0
.......................  
X   X       0 253,910 32,087
(3) RICHARD A ANDERSON........................................................................
DIRECTOR - PRESIDENT/CEO
55.0
.......................  
X   X       1,897,073 0 288,522
(4) REVEREND DR DOUGLAS W CALDWELL........................................................................
DIRECTOR
1.0
.......................  
X           0 0 0
(5) FAUST E CAPOBIANCO........................................................................
DIRECTOR
1.0
.......................  
X           0 0 0
(6) H CHRISTINA CONNAR........................................................................
DIRECTOR
1.0
.......................  
X           0 0 0
(7) JOHN M DALY MD........................................................................
DIRECTOR
1.0
.......................  
X           0 0 0
(8) ROBERT J GREY........................................................................
DIRECTOR
1.0
.......................  
X           0 0 0
(9) KOSTAS KALOGEROPOULOS........................................................................
DIRECTOR
1.0
.......................  
X           0 0 0
(10) THOMAS J MCGINLEY........................................................................
DIRECTOR
1.0
.......................  
X           0 0 0
(11) DOUGLAS A MICHELS........................................................................
DIRECTOR
1.0
.......................  
X           0 0 0
(12) ROBERT A OSTER........................................................................
DIRECTOR
1.0
.......................  
X           0 0 0
(13) DANIEL P PETROZZO........................................................................
DIRECTOR
1.0
.......................  
X           0 0 0
(14) TERENCE REILLY MD........................................................................
DIRECTOR
1.0
.......................  
X           0 0 0
(15) ROBERT D RUMFIELD........................................................................
DIRECTOR
1.0
.......................  
X           0 0 0
(16) LUANN B STAUFFER........................................................................
DIRECTOR
1.0
.......................  
X           0 0 0
(17) DONALD E WIEAND ESQ........................................................................
DIRECTOR
1.0
.......................  
X           0 0 0
Form 990 (2012)
Form 990 (2012)
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 (list any hours for related organizations below dotted line)
(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) JOEL D FAGERSTROM........................................................................
EXECUTIVE VICE PRESIDENT/COO
55.0
.......................  
    X       785,559 0 53,553
(19) THOMAS P LICHTENWALNER........................................................................
SVP FINANCE/CFO
55.0
.......................  
    X       626,112 0 171,552
(20) JEFFREY A JAHRE MD........................................................................
SVP MEDICAL & ACADEMIC AFFAIRS
55.0
.......................  
    X       615,596 0 79,564
(21) JAN S HELLER........................................................................
VP FINANCE (TERMED 7/1/2012)
55.0
.......................  
    X       372,545 0 8,742
(22) ROBERT P ZIMMEL........................................................................
SVP HUMAN RESOURCES
55.0
.......................  
      X     552,084 0 92,476
(23) CAROL A KUPLEN RN MSN........................................................................
SVP & CHIEF NURSING OFFICER
55.0
.......................  
      X     535,305 0 108,824
(24) ROBERT E MARTIN........................................................................
SVP PLANNING
55.0
.......................  
      X     493,622 0 72,760
(25) EDWARD R NAWROCKI........................................................................
PRESIDENT ANDERSON CAMPUS
55.0
.......................  
      X     480,757 0 48,427
(26) ROBERT L WAX ESQ........................................................................
SVP & GENERAL COUNSEL
55.0
.......................  
      X     433,228 0 28,254
(27) FRANK FORD........................................................................
PRESIDENT ALLENTOWN CAMPUS
55.0
.......................  
      X     412,502 0 62,802
(28) JOSEPH C MEROLA MD........................................................................
CHIEF OF OB/GYN
55.0
.......................  
        X   685,058 0 194,607
(29) MARC A GRANSON MD........................................................................
CHIEF OF SURGERY
55.0
.......................  
        X   587,220 0 62,356
(30) BRIAN A HOEY MD........................................................................
TRAUMA SURGEON
55.0
.......................  
        X   567,492 0 33,816
(31) WILLIAM S HOFF MD........................................................................
TRAUMA SURGEON
55.0
.......................  
        X   501,587 0 34,383
(32) MICHAEL D GROSSMAN MD........................................................................
TRAUMA SURGEON
55.0
.......................  
        X   420,119   27,264
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 9,965,859 253,910 1,399,989
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet288
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
PROGRESSIVE PHYSICIAN ASSOCIATES IN, 3735 NAZARETH ROAD SUITE 206EASTONPA18052 PROF. PHYSICIAN SVCS 14,279,690
ANESTHESIA SPECIALISTS OF BETHLEHEM, PO BOX 5520BETHLEHEMPA18015 PROF. PHYSICIAN SVCS 6,166,020
SODEXO INC AFFILIATES, PO BOX 360170PITTSBURGHPA152516170 FOOD/DIETARY SVCS 5,205,220
POCONO MRI IMAGING DIAGNOSTIC CEN, 3 PARKINSON ROADEAST STROUDSBURGPA18301 PROF. PHYSICIAN SVCS 5,083,618
BOYLE CONSTRUCTION INC, 1209 HAUSMAN ROADALLENTOWNPA18104 CONSTRUCTION 5,009,762
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet141
Form 990 (2012)
Form 990 (2012)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response to any question in this Part VIII ..............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, Gifts, Grants and Other Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c 90,258
d Related organizations...1d 510,494
e Government grants (contributions)1e 1,560,661
f All other contributions, gifts, grants, and
similar amounts not included above
1f
3,800,947
g Noncash contributions included in lines
1a-1f:$
50,528
h Total. Add lines 1a-1f.......MediumBullet 5,962,360
 Program Service Revenue Business Code
2a NET PATIENT SERVICE REVENUE 541900 701,261,132 701,261,132    
b OTHER HEATHCARE RELATED REVENUE 900099 13,848,878 13,781,834 67,044  
c
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 715,110,010
 Other Revenue 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 15,095,803     15,095,803
4 Income from investment of tax-exempt bond proceeds..MediumBullet 0      
5 Royalties...........MediumBullet 0      
(i) Real (ii) Personal
6a Gross rents 1,746,801  
b Less: rental expenses    
c Rental income or (loss) 1,746,801 0
d Net rental income or (loss).......MediumBullet 1,746,801     1,746,801
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 26,149 548,181
b Less: cost or other basis and sales expenses   1,324,930
c Gain or (loss) 26,149 -776,749
d Net gain or (loss)..........MediumBullet -750,600     -750,600
8a Gross income from fundraising events (not including
$ 90,258
of contributions reported on line 1c). See Part IV, line 18 ..
a 37,391
b Less: direct expenses ...b 37,391
c Net income or (loss) from fundraising events..MediumBullet 0    
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 722514 2,571,607     2,571,607
b TUITION REVENUE 611600 1,628,754     1,628,754
c CLEANING REVENUE 812900 93,536     93,536
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet 4,293,897
12 Total revenue. See Instructions......MediumBullet 741,458,271 715,042,966 67,044 20,385,901
Form 990 (2012)
Form 990 (2012)
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).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 21 484,014 484,014
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 .... 8,219,860 7,397,875 821,985 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 249,118,328 224,206,496 24,911,832  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 19,201,001 17,280,901 1,920,100  
9 Other employee benefits ....... 27,656,858 24,891,171 2,765,687  
10 Payroll taxes ........... 15,274,466 13,747,019 1,527,447  
11 Fees for services (non-employees):        
a Management ...... 2,209,494 1,988,545 220,949  
b Legal ......... 5,476 4,928 548  
c Accounting ........... 15,096 13,586 1,510  
d Lobbying ........... 329,666 296,699 32,967  
e Professional fundraising services. See Part IV, line 17 0  
f Investment management fees ...... 0      
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 197,166 177,450 19,716  
12 Advertising and promotion .... 87,986 79,187 8,799  
13 Office expenses ....... 21,841,536 19,657,382 2,184,154  
14 Information technology ...... 704,061 633,655 70,406  
15 Royalties .. 0      
16 Occupancy ........... 7,224,897 6,502,407 722,490  
17 Travel ............ 287,712 258,941 28,771  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 780,479 702,431 78,048  
20 Interest ........... 20,365,406 18,328,865 2,036,541  
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization ..... 51,417,498 46,275,748 5,141,750  
23 Insurance .............. 7,156,258 6,440,632 715,626  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a MEDICAL SUPPLIES 131,313,384 118,182,046 13,131,338 0
b OTHER SERVICES/SUPPORT 47,221,716 42,499,544 4,722,172 0
c PURCHASED SERVICES 27,066,137 24,359,523 2,706,614 0
d UTILITIES 6,804,990 6,124,491 680,499 0
e All other expenses 53,650,780 48,285,702 5,365,078  
25 Total functional expenses. Add lines 1 through 24e 698,634,265 628,819,238 69,815,027 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 (2012)
Form 990 (2012)
Page 11
Part X Balance Sheet Check if Schedule O contains a response to any question in this Part X ...............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash—non-interest-bearing ............. 20,635 1 24,640
2 Savings and temporary cash investments ......... 54,922,289 2 46,328,282
3 Pledges and grants receivable, net ........... 2,707,995 3 9,016,725
4 Accounts receivable, net ............. 123,943,919 4 153,962,590
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
0 6 0
7 Notes and loans receivable, net ............. 241,329,351 7 233,243,373
8 Inventories for sale or use .............. 13,768,109 8 14,094,081
9 Prepaid expenses and deferred charges .......... 11,572,834 9 13,884,318
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 1,044,507,823
b Less: accumulated depreciation ..... 10b 541,426,302 473,183,236 10c 503,081,521
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 ..... 321,201,330 13 407,886,966
14 Intangible assets ............... 43,466 14 6,430,660
15 Other assets. See Part IV, line 11 ........... 49,824,566 15 51,399,485
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 1,292,517,730 16 1,439,352,641
Liabilities 17 Accounts payable and accrued expenses ......... 205,199,052 17 181,625,216
18 Grants payable ................. 0 18 0
19 Deferred revenue ................ 1,603,462 19 2,348,130
20 Tax-exempt bond liabilities ............. 374,312,990 20 432,763,199
21 Escrow or custodial account liability. Complete Part IV of Schedule D.. 0 21 0
22 Loans and other 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 .. 38,905,622 23 48,313,595
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.................... 310,930,575 25 277,558,598
26 Total liabilities. Add lines 17 through 25......... 930,951,701 26 942,608,738
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 321,053,773 27 445,668,323
28 Temporarily restricted net assets ........... 18,983,273 28 29,074,984
29 Permanently restricted net assets ........... 21,528,983 29 22,000,596
Organizations that do not follow SFAS 117 (ASC 958), 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 ........... 361,566,029 33 496,743,903
34 Total liabilities and net assets/fund balances ........ 1,292,517,730 34 1,439,352,641
Form 990 (2012)
Form 990 (2012)
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
741,458,271
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
698,634,265
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
42,824,006
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
361,566,029
5
Net unrealized gains (losses) on investments ...............
5
22,766,854
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
69,587,014
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
496,743,903
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
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If “Yes,” to line 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?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
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 (2012)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID:  
Software Version:  
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
2012
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 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
Provide the following information about the supported organization(s).
(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 monetary support
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 2
Part II
Support Schedule for Organizations Described in Sections 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) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (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) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (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. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 3
Part III
Support Schedule for Organizations Described in Section 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) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (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) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (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) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 4
Part IV
Supplemental Information. Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and 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) 2012

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
2012
Name of the 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) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 2
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) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 3
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) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 4
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) (2012)

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
2012
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, Part V, 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 Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2012

Schedule C (Form 990 or 990-EZ) 2012
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 SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
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) 2009 (b) 2010 (c) 2011 (d) 2012 (e) Total
             
2a Lobbying nontaxable 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) 2012


Schedule C (Form 990 or 990-EZ) 2012
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)
No
Yes
(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
 
303,087
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
Yes
 
26,579
i
Other activities? ..........................
 
 
 
j
Total. Add lines 1c through 1i ...............................
329,666
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, line 5; Part II-A (affiliated group list); Part II-A, line 2; 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 $201,087. 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 $107,851 OF THE $329,666 REPORTED ON THIS FEDERAL FORM 990.
Schedule C (Form 990 or 990EZ) 2012

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
2012
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 section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, 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 XIII, 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 Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, 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 XIII.
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 XIII 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 XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance .... 40,512,256 39,776,236 31,778,170    
b Contributions ........ 10,050,736 3,211,916 3,998,132    
c Net investment earnings, gains, and losses 4,844,743 464,531 6,549,596    
d Grants or scholarships .....          
e Other expenditures for facilities
and programs ........
4,332,155 2,940,427 2,549,662    
f Administrative expenses ....          
g End of year balance ...... 51,075,580 40,512,256 39,776,236    
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet43.070 %
c
Temporarily restricted endowment SchDMd Bullet56.930 %
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 XIII 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 .................   78,098,861 78,098,861
b Buildings ................   493,278,485 220,862,177 272,416,308
c Leasehold improvements ............   16,859,111 7,157,960 9,701,151
d Equipment ................   409,022,315 313,406,165 95,616,150
e Other .................   47,249,051   47,249,051
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 503,081,521
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
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 77,622,559 F
(2) GOVERNMENT SECURITIES 9,497,434 F
(3) CORPORATE BONDS 25,623,435 F
(4) COMMON & PREFERRED STOCK 521,656 F
(5) MUTUAL FUNDS 290,434,974 F
(6) CASH & EQUIVALENTS 4,186,908 F



Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet 407,886,966
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 6,464,524
CURRENT PORTION OF PENSION COS 2,913,621
DUE TO AFFILIATES 173,087,654
ASSET RETIREMENT OBLIGATION 3,247,932
CHARITABLE GIFT ANNUITIES 9,187,043
SWAP CONTRACT LIABILITY 66,942,036
SELF INSURANCE COSTS 12,059,622
OTHER LIABILITIES 1,556,666
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 277,558,598
2. Fin 48 (ASC 740) Footnote. In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII .....................................................
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 4
Part XI 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 XIII.) ............ 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 XIII.) ........... 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 XII 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 XIII.) ............ 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 XIII.) ............ 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 XIII
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, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
Schedule D (Form 990) 2012

Additional Data


Software ID:  
Software Version:  




SCHEDULE G (Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. Form 990-EZ filers are not required to complete this part. right arrowAttach to Form 990 or Form 990-EZ. right arrowSee separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
ST LUKE'S HOSPITAL OF BETHLEHEM PA
 
Employer identification number

23-1352213
Part I
Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If “Yes,” list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.
(i) Name and address of individual
or entity (fundraiser)
(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity
(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i)
(vi) Amount paid to
(or retained by)
organization
Yes No
             
             
             
             
             
             
             
             
             
             
Total .................right arrow      
3
List all states in which the organization is registered or licensed to solicit funds or has been notified it is exempt from registration or licensing.
For Paperwork Reduction Act Notice, see the Instructions for Form 990or 990-EZ.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2012
Schedule G (Form 990 or 990-EZ) 2012
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.
(a) Event #1

DINNER
(event type)
(b) Event #2

RED & WHITE
(event type)
(c) Other events

0
(total number)
(d) Total events
(add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 86,674 40,975   127,649
2 Less: Contributions . . 54,959 35,299   90,258
3 Gross income (line 1
minus line 2) . . .
31,715 5,676   37,391
VerticalDirectExpenses 4 Cash prizes . . .        
5 Noncash prizes . .        
6 Rent/facility costs . . 11,289 817   12,106
7 Food and beverages .   3,820   3,820
8 Entertainment . . .        
9 Other direct expenses . 20,426 1,039   21,465
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 37,391
11 Net income summary. Combine line 3, column (d), and line 10. .......... right arrow  
Part III
Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue (a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo
(c) Other gaming (d) Total gaming (add col.(a) through col.(c))
1 Gross revenue . . . .        
VerticalDirectExpenses 2 Cash prizes . . . .        
3 Non-cash prizes . . .        
4 Rent/facility costs . . .        
5 Other direct expenses . .        
6 Volunteer labor . . .
 
 
 
7 Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow  
8 Net gaming income summary. Combine lines 1 and 7 in column (d) .......... right arrow  
9
Enter the state(s) in which the organization operates gaming activities:
a
Is the organization licensed to operate gaming activities in each of these states? ............
b
If "No," explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....
b
If "Yes," explain:
 
Schedule G (Form 990 or 990-EZ) 2012
Schedule G (Form 990 or 990-EZ) 2012
Page 3
11
Does the organization operate gaming activities with nonmembers? .................
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? ..........................
13
Indicate the percentage of gaming activity operated in:
a
The organization's facility ......................
13a
 
b
An outside facility ........................
13b
 
14
Enter the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? ......................................
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address of the third party:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? ............................
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Supplemental Information. Complete this part to provide the explanations required by Part I, line 2b, columns (iii) and (v), and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide any additional information (see instructions).
Identifier Return Reference Explanation
Schedule G (Form 990 or 990-EZ) 2012
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
2012
Open to Public Inspection
Name of the organization
ST LUKE'S HOSPITAL OF BETHLEHEM PA
 
Employer identification number

23-1352213
Part I
Financial Assistance 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) as a factor in determining 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 as a factor in determining 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 used factors other than FPG in determining 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, as a factor in determining 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) ..
    7,982,501 0 7,982,501 1.140 %
b Medicaid (from Worksheet 3,
column a) ....
    96,882,330 66,722,761 30,159,570 4.320 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) .
           
d Total Financial Assistance
and Means-Tested
Government Programs .
    104,864,831 66,722,761 38,142,071 5.460 %
Other Benefits
    5,848,927 1,722,953 4,125,974 0.590 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) ..
    46,093,647 15,678,425 30,415,222 4.350 %
g Subsidized health services
(from Worksheet 6) ..
    19,508,594 14,748,814 4,759,780 0.680 %
h Research (from Worksheet 7)     27,803 0 27,803 0 %
i Cash and in-kind
contributions for community
benefit (from Worksheet 8)
    2,830,450 0 2,830,450 0.410 %
j Total. Other Benefits ..     74,309,421 32,150,192 42,159,229 6.030 %
k Total. Add lines 7d and 7j .     179,174,252 98,872,953 80,301,300 11.490 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
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. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
45,479,883
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
6,692,916
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
272,725,071
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
294,645,513
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-21,920,442
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(owned 10% or more by officers, directors, trustees, key employees, and physicians—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) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?3
Name, address, and primary website address
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 ST LUKE'S HOSPITAL-BETHLEHEM CAMPUS
801 OSTRUM STREET
BETHLEHEM,PA180151000
WWW.SLHN.ORG
X X   X   X X     1
2 ST LUKE'S HOSPITAL-ALLENTOWN CAMPUS
1736 W HAMILTON STREET
ALLENTOWN,PA18104
WWW.SLHN.ORG
X X   X     X     1
3 ST LUKE'S HOSPITAL-ANDERSON CAMPUS
1872 RIVERSIDE CIRCLE
EASTON,PA18045
WWW.SLHN.ORG
X X         X     1
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
ST LUKE'S HOSPITAL
Name of hospital facility or facility reporting group  
For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A) 1
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If “Yes,” indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 12
3 In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health? 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 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................ 4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If “Yes,” indicate how the CHNA report was made widely available (check all that apply):
a
b
c
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 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.
11 Used FPG to determine eligibility for providing discounted care?................. 11 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.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 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?....... 15 Yes  
16 Check all of the following 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
b
c
d
e
17 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?.......... 17   No
If “Yes,” check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 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?.......... 19 Yes  
If “No,” indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 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
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individuals 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? ............................ 21   No
If “Yes,” explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
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?44
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 WEST END MEDICAL CENTER
501 CETRONIA ROAD
ALLENTOWN,PA18105
OUTPATIENT SERVICES - URGENT CARE CENTER
12 ST LUKE'S BEHAVIORAL HEALTH
1107 EATON AVENUE
BETHLEHEM,PA18018
OUTPATIENT SERVICES - BEHAVIORAL HEALTH
13 ST LUKE'S PHYSICAL THERAPY
2301 CHERRY LANE
BETHLEHEM,PA18015
OUTPATIENT SERVICES - PHYSICAL THERAPY
14 ST LUKE'S URGENT CARE - JIM THORPE
1104 NORTH STREET
JIM THORPE,PA18229
OUTPATIENT SERVICES - URGENT CARE, IMAGING & LAB
15 ST LUKE'S WOMEN'S IMAGING CENTER
1901 HAMILTON STREET SUITE 200
ALLENTOWN,PA18104
OUTPATIENT SERVICES - WOMEN'S HEALTH
16 ST LUKE'S PERINATAL ASSOCIATES
1837 LINDEN STREET
ALLENTOWN,PA18104
OUTPATIENT SERVICES - HIGH RISK PREGNANCY
17 ST LUKE'S REHABILITATION CENTER
495 BUSHKILL LANE
WIND GAP,PA18091
OUTPATIENT SERVICES - PHYSICAL THERAPY
18 PHYSICAL THERAPY OF ST LUKE'S
1901 HAMILTON STREET SUITE 400
ALLENTOWN,PA18104
OUTPATIENT SERVICES - PHYSICAL THERAPY
19 ST LUKE'S FAMILY HEALTH CENTER
1501 LEHIGH STREET
ALLENTOWN,PA18103
OUTPATIENT SERVICES - FAMILY HEALTH CENTER
20 UNION STATION PLAZA
240 UNION STATION PLAZA
BETHLEHEM,PA18015
OUTPATIENT SERVICES - VARIOUS
21 ST LUKE'S FAMILY MEDICINE CENTER
2830 EASTON AVENUE
BETHLEHEM,PA18017
OUTPATIENT SERVICES - FAMILY HEALTH CENTER
22 ST LUKE'S WIND GAP MEDICAL CENTER
487 EAST MOORESTOWN ROAD
WIND GAP,PA18091
OUTPATIENT SERVICES - VARIOUS
23 WOMEN'S HEALTH CENTER
1837 LINDEN STREET
ALLENTOWN,PA18104
OUTPATIENT SERVICES - DIAGNOSTIC CENTER
24 ST LUKE'S HEALTH CENTER
414-416 NORTHHAMPTON STREET
EASTON,PA18042
OUTPATIENT SERVICES - FAMILY MEDICINE CLINIC
25 ST LUKE'S PERINATAL ASSOCIATES
108 PLAZA DRIVE SUITE 101
BLADEN,PA18510
OUTPATIENT SERVICES - HIGH RISK PREGNANCY
26 ST LUKE'S SPINE & PAIN CENTER
830 OSTRUM STREET
BETHLEHEM,PA18015
OUTPATIENT SERVICES - PAIN MANAGEMENT
27 ST LUKE'S PEDIATRIC ASSOCIATES
1227 LIBERTY STREET
ALLENTOWN,PA18102
OUTPATIENT SERVICES - PEDIATRIC CARE
28 ST LUKE'S CENTER FOR PELVIC HEALTH
701 OSTRUM STREET SUITE 102
BETHLEHEM,PA18015
OUTPATIENT SERVICES - WOMEN'S HEALTH
29 ST LUKE'S WM PENN DIAGNOSTIC CENTER
4379 EASTON AVENUE SUITE 103
BETHLEHEM,PA18020
OUTPATIENT SERVICES - IMAGING
30 ST LUKE'S PERINATAL ASSOCIATES
500 INDEPENDENCE ROAD
EAST STROUDSBURG,PA18301
OUTPATIENT SERVICES - HIGH RISK PREGNANCY
31 FOWLER FAMILY CENTER AT DONEGAN
1210 EAST 4TH STREET
BETHLEHEM,PA18015
OUTPATIENT SERVICES - FAMILY HEALTH CENTER
32 ST LUKE'S IMAGING CENTER
1901 HAMILTON STREET STE 100
ALLENTOWN,PA18104
OUTPATIENT SERVICES - DIAGNOSTIC CENTER
33 WALNUTPORT MEDICAL OFFICE
330 N BEST AVENUE
WALNUTPORT,PA18088
OUTPATIENT SERVICES - LAB DRAW SITE
34 ST LUKE'S DIABETES EDUCATION CENTER
3701 CORPORATE PARKWAY
CENTER VALLEY,PA18034
OUTPATIENT SERVICES - DIABETES EDUCATION
35 ST LUKE'S PHYSICAL THERAPY
487 E MOORESTOWN ROAD
WINDGAP,PA18091
OUTPATIENT SERVICES - PHYSICAL THERAPY
36 ST LUKE'S PHYSICAL THERAPY
1174 ILLICKS MILL ROAD
BETHLEHEM,PA18017
OUTPATIENT SERVICES - PHYSICAL THERAPY
37 ST LUKE'S PHYSICAL THERAPY
4317 EASTON AVENUE
EASTON,PA18020
OUTPATIENT SERVICES - PHYSICAL THERAPY
38 ST LUKE'S PHYSICAL THERAPY
3213 NAZARETH ROAD
EASTON,PA18045
OUTPATIENT SERVICE - PHYSICAL THERAPY
39 ST LUKE'S PHYSICAL THERAPY
4316 W TILGHMAN STREET
ALLENTOWN,PA18104
OUTPATIENT SERVICES - PHYSICAL THERAPY
40 ST LUKE'S PHYSICAL THERAPY
518 CHESTNUT STREET
EMMAUS,PA18049
OUTPATIENT SERVICES - PHYSICAL THERAPY
41 ST LUKE'S PHYSICAL THERAPY
1894 CENTER STREET
NORTHAMPTON,PA18067
OUTPATIENT SERVICES - PHYSICAL THERAPY
42 ST LUKE'S PHYSICAL THERAPY
3560 ROUTE 309
OREFIELD,PA18069
OUTPATIENT SERVICES - PHYSICAL THERAPY
43 ST LUKE'S PHYSICAL THERAPY
3760 BROOKSIDE ROAD
MACUNGIE,PA18106
OUTPATIENT SERVICES - PHYSICAL THERAPY
44 ST LUKE'S PHYSICAL THERAPY
5848 OLD BETHLEHEM PIKE
CENTER VALLEY,PA18034
OUTPATIENT SERVICES - PHYSICAL THERAPY
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
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; Part V, Section A; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
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.
8 Facility reporting group(s). If applicable, for each hospital facility in a facility reporting group provide the descriptions required for Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
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. 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. 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 $116,300,000 and $118,310,000 in 2013 and 2012, respectively. The costs incurred to provide such care is determined using a cost to charge ratio and were approximately $98,330,000 and $98,440,000 for 2013 and 2012, 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 who meet a hardship exemption for the Affordable Care Act (ACA) may apply for Financial Assistance upon signing an attestation form of hardship eligibility. Patients receiving inpatient or high dollar outpatient services will be evaluated for Medical Assistance eligibility and ACA in order to qualify for the St. Luke's Hospital Financial Assistance Program. Individuals will not be eligible for financial assistance if Medical Assistance or ACA 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 Uninsured 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 ACA. 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, 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. 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 Collecti
FACILITY INFORMATION SCHEDULE H, PART V, SECTION B, QUESTIONS 1J, 5C & 6I Not applicable.
FACILITY INFORMATION SCH H, PART V, SECTION B, QUESTIONS 3 & 4 THE COALITION OF HOSPITALS HELD FOUR SEPARATE PUBLIC MEETINGS IN THE LEHIGH VALLEY THAT INCLUDED MEMBERS OF THE ALLENTOWN AND BETHLEHEM BUREAUS OF HEALTH, MANY MEMBERS OF THE PUBLIC AND HEALTHCARE PROFESSIONALS INCLUDING THOSE NOT AFFILIATED WITH OUR HOSPITALS. AS AN ACTIVE MEMBER OF THE HEALTH CARE COUNCIL OF THE LEHIGH VALLEY ("HCCLV"), ST. LUKE'S HEALTH NETWORK WORKED IN COLLABORATION WITH FOUR OTHER REGIONAL, NON-PROFIT ACUTE AND POST-ACUTE CARE HOSPITALS AND THE DOROTHY RIDER POOL TRUST TO DEVELOP THE REGION'S COMMUNITY HEALTH NEEDS ASSESSMENT. THE HOSPITAL PARTNERS OF THE HCCLV INCLUDE: - SACRED HEART HEALTHCARE SYSTEM - LEHIGH VALLEY HEALTH NETWORK - ST. LUKE'S UNIVERSITY HEALTH NETWORK - GOOD SHEPHERD REHABILITATION HOSPITAL - KIDSPEACE THE HCCLV'S APPROACH TO THE CHNA INCORPORATES BEST PRACTICE STANDARDS RECOMMENDED BY THE AMERICAN PUBLIC HEALTH ASSOCIATION ("APHA") AND THE ASSOCIATION FOR COMMUNITY HEALTH IMPROVEMENT ("ACHI") AND HAS ACTIVELY PARTNERED WITH MANY STAKEHOLDERS, COMMUNITY BASED ORGANIZATIONS AND COMMUNITY MEMBERS. THE DOROTHY RIDER POOL TRUST REACHED OUT TO TWO COMMUNITY-BASED ORGANIZATIONS, THE HISPANIC CENTER LEHIGH VALLEY IN BETHLEHEM AND THE RESURRECTED COMMUNITY DEVELOPMENT CORPORATION IN ALLENTOWN, AS ORGANIZATIONS TRUSTED WITHIN EACH COMMUNITY TO HOST THE FORUMS. THESE ORGANIZATIONS PUBLICIZED THE EVENTS AMONG STAKEHOLDERS, RECRUITED ATTENDEES, ORGANIZED REFRESHMENTS FROM LOCAL INDEPENDENT VENDORS, AND PROVIDED WELCOME AND INTRODUCTIONS AT THE START OF EACH FORUM.
FACILITY INFORMATION SCHEDULE H, PART V, SECTION B, QUESTION 7 THE REQUIRED COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") WAS COMPLETED AND MADE WIDELY AVAILABLE PRIOR TO FISCAL YEAR END JUNE 30, 2013. A MULTI-DISCIPLINARY TEAM MET AND THROUGH A RIGOROUS PROCESS AN IMPLEMENTATION PLAN WAS ADOPTED TO MEET CERTAIN OF THE IDENTIFIED UNMET NEEDS WHICH WERE WITHIN THE HOSPITAL'S MISSION AND ABILITY TO POSITIVELY IMPACT. HOSPITALS ARE NOT REQUIRED TO, NOR CAN THEY MEET ALL UNMET NEEDS IN THE COMMUNITY. ANY UNMET NEEDS NOT ADDRESSED BY THE ADOPTED IMPLEMENTATION PLAN ARE ALREADY BEING ADDRESSED IN THE SERVICE AREA BY THE HOSPITAL, OTHER HEALTHCARE PROVIDERS, GOVERNMENT, AND LOCAL NON-PROFIT ORGANIZATIONS; AMONGST OTHERS. OUR PRIORITY UNMET NEEDS IN THE IMPLEMENTATION PLAN ARE INTEGRAL TO OUR COMMUNITY BENEFIT STRATEGY. ST. LUKE'S LEADERS CONTINUE TO MONITOR NEW PROGRAM DEVELOPMENTS AND SERVICES.
FACILITY INFORMATION SCH H, PART V, SECTION B, QUESTIONS 10,11,12H,16E,17E,18E,19C,19D,21&22 Not applicable.
FACILITY INFORMATION SCHEDULE H, PART V, SECTION B, QUESTION 14G 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 20D 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 Uninsured 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 and 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, PA, 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 Hospital of Bethlehem, Pennsylvania St. Luke's Hospital of Bethlehem, Pennsylvania is comprised of three non-profit hospital campuses: a 480-bed campus in Bethlehem, Pennsylvania, a 158 bed campus in Allentown, Pennsylvania and a 72-bed campus in Easton, Pennsylvania. St. Luke's Hospital of Bethlehem, Pennsylvania is recognized by the Internal Revenue Service as an Internal Revenue Code 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, the organization provides medically necessary healthcare services to all individuals regardless of race, color, creed, sex, national origin, religion or ability to pay. Moreover, St. Luke's Hospital of Bethlehem, Pennsylvania operates consistently with the criteria outlined in IRS Revenue Ruling 69-545. Cancer Immunotherapies, L.L.C. A limited liability company disregarded for federal income tax purposes owned by St. Luke's Hospital of Bethlehem, Pennsylvania. This entity is currently inactive. St. Luke's Airmed, L.L.C. A limited liability company disregarded for federal income tax purposes owned by St. Luke's Hospital of Bethlehem, Pennsylvania. This entity is currently inactive. St. Luke's Homestar Services, L.L.C. A limited liability company disregarded for federal income tax purposes owned by St. Luke's Hospital of Bethlehem, Pennsylvania. This entity provides outpatient services in Bethlehem, Pennsylvania. St. Luke's Windgap Property, L.L.C. A limited liability company disregarded for federal income tax purposes owned by St. Luke's Hospital of Bethlehem, Pennsylvania. This entity is currently inactive. Pocono MRI Imaging and Diagnostic Center, L.L.C. A limited liability company disregarded for federal income tax purposes owned by St. Luke's Hospital of Bethlehem, Pennsylvania. This entity provides outpatient services in Bethlehem, Pennsylvania. 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. St. Luke's 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 pursu
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.
FACILITY REPORTING GROUP(S) SCHEDULE H, PART VI; QUESTION 8 THE ORGANIZATION HAS THREE HOSPITAL FACILITIES INCLUDED IN ONE FACILITY REPORTING GROUP. THESE INCLUDE ST. LUKE'S HOSPITAL - BETHLEHEM CAMPUS, ST. LUKE'S HOSPITAL - ALLENTOWN CAMPUS AND ST. LUKE'S HOSPITAL - ANDERSON CAMPUS AS REFLECTED IN SCHEDULE H, PART V, SECTION A. PLEASE REFER TO OUR RESPONSES IN SCHEDULE H, PART VI, QUESTION 1 ABOVE.
Schedule H (Form 990) 2012
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
2012
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. Part II can be duplicated if additional space is needed.
(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 COUNCIL
4801 KERNSVILLE ROAD SUITE 100
OREFIELD,PA18069
23-1988814 501(C)(3) 14,042       PROGRAM SUPPORT
(2) BOROUGH OF FOUNTAIN HILL
941 LONG STREET
FOUNTAIN HILL,PA18015
23-6003116   137,621       PROGRAM SUPPORT
(3) BETHLEHEM TOWNSHIP
4225 EASTON AVENUE
BETHLEHEM,PA18020
24-6001363   75,000       PROGRAM SUPPORT
(4) LEHIGH VALLEY ROAD RUNNERS INC
PO BOX 592
ALLENTOWN,PA18105
23-2377635 501(C)(3) 30,100       PROGRAM SUPPORT
(5) CITY OF ALLENTOWN
435 HAMILTON STREET
ALLENTOWN,PA18101
23-6003116   125,000       PROGRAM SUPPORT
(6) MORAVIAN VILLAGE OF BETHLEHEM
526 WOOD STREET
BETHLEHEM,PA18018
23-3022262 501(C)(3) 25,000       PROGRAM SUPPORT
(7) NATIONAL MULTIPLE SCLEROSIS SOCIETY
30 S 17TH STREET
PHILADELPHIA,PA19103
22-6080521 501(C)(3) 11,000       PROGRAM SUPPORT
(8) LEHIGH VALLEY ECONOMIC DEVELOPMENT CORP
2158 AVENUE C SUITE 200
BETHLEHEM,PA18017
23-2798276 501(C)(3) 7,500       PROGRAM SUPPORT








2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
8
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2012

Schedule I (Form 990) 2012
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.
Part III can be duplicated 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, Part III, column (b), 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) 2012


Additional Data


Software ID:  
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
2012
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 of 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 filing organization used 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
Yes
 
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 Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2012

Schedule J (Form 990) 2012
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 (E) amounts for that individual.
(A) Name and Title (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)SAMUEL R GIAMBER MDVICE CHAIRMAN - DIRECTOR (i)
(ii)
0
252,451
0
0
0
1,459
0
9,616
0
22,471
0
285,997
0
0
(2)RICHARD A ANDERSONDIRECTOR - PRESIDENT/CEO (i)
(ii)
1,195,305
0
361,558
0
340,210
0
267,795
0
20,727
0
2,185,595
0
245,999
0
(3)JOEL D FAGERSTROMEXECUTIVE VICE PRESIDENT/COO (i)
(ii)
603,954
0
164,655
0
16,950
0
24,261
0
29,292
0
839,112
0
0
0
(4)THOMAS P LICHTENWALNERSVP FINANCE/CFO (i)
(ii)
472,697
0
128,218
0
25,197
0
162,031
0
9,521
0
797,664
0
0
0
(5)JEFFREY A JAHRE MDSVP MEDICAL & ACADEMIC AFFAIRS (i)
(ii)
476,481
0
112,465
0
26,650
0
58,281
0
21,283
0
695,160
0
0
0
(6)JAN S HELLERVP FINANCE (TERMED 7/1/2012) (i)
(ii)
204,368
0
0
0
168,177
0
5,115
0
3,627
0
381,287
0
0
0
(7)ROBERT P ZIMMELSVP HUMAN RESOURCES (i)
(ii)
383,639
0
103,030
0
65,415
0
83,475
0
9,001
0
644,560
0
33,977
0
(8)CAROL A KUPLEN RN MSNSVP & CHIEF NURSING OFFICER (i)
(ii)
402,767
0
108,978
0
23,560
0
82,467
0
26,357
0
644,129
0
0
0
(9)ROBERT E MARTINSVP PLANNING (i)
(ii)
369,812
0
100,126
0
23,684
0
43,251
0
29,509
0
566,382
0
0
0
(10)EDWARD R NAWROCKIPRESIDENT ANDERSON CAMPUS (i)
(ii)
376,363
0
86,944
0
17,450
0
20,518
0
27,909
0
529,184
0
0
0
(11)ROBERT L WAX ESQSVP & GENERAL COUNSEL (i)
(ii)
318,048
0
109,037
0
6,143
0
12,058
0
16,196
0
461,482
0
0
0
(12)FRANK FORDPRESIDENT ALLENTOWN CAMPUS (i)
(ii)
313,534
0
76,378
0
22,590
0
43,909
0
18,893
0
475,304
0
0
0
(13)JOSEPH C MEROLA MDCHIEF OF OB/GYN (i)
(ii)
461,529
0
120,046
0
103,483
0
175,911
0
18,696
0
879,665
0
84,774
0
(14)MARC A GRANSON MDCHIEF OF SURGERY (i)
(ii)
455,084
0
113,156
0
18,980
0
41,959
0
20,397
0
649,576
0
0
0
(15)BRIAN A HOEY MDTRAUMA SURGEON (i)
(ii)
566,502
0
0
0
990
0
6,250
0
27,566
0
601,308
0
0
0
(16)WILLIAM S HOFF MDTRAUMA SURGEON (i)
(ii)
500,069
0
0
0
1,518
0
6,250
0
28,133
0
535,970
0
0
0
(17)MICHAEL D GROSSMAN MDTRAUMA SURGEON (i)
(ii)
407,968
 
0
 
12,151
 
0
 
27,264
 
447,383
 
0
 
Schedule J (Form 990) 2012

Schedule J (Form 990) 2012
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
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 2012 FORMS W-2.
COMPENSATION INFORMATION SCHEDULE J, PART I; QUESTION 1A THE ORGANIZATION MAINTAINS A MEMBERSHIP IN A COUNTRY CLUB FOR BUSINESS PURPOSES. THE COUNTRY CLUB REQUIRES THAT AN INDIVIDUAL IS NAMED AS THE MEMBER; ACCORDINGLY THE ORGANIZATION HAS DESIGNATED ITS PRESIDENT/CEO, CURRENTLY RICHARD A. ANDERSON, AS THE MEMBER.
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 2012 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 4A THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT DURING CALENDAR YEAR 2012 WHICH WAS INCLUDED IN THE INDIVIDUAL'S 2012 FORM W-2, AS TAXABLE MEDICARE WAGES: JAN S. HELLER, $166,887.
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 2012 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: RICHARD A. ANDERSON, $245,999, ROBERT P. ZIMMEL, $33,977 AND JOSEPH C. MEROLA, M.D. $84,774. 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 2012 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: RICHARD A. ANDERSON, $189,667; THOMAS P. LICHTENWALNER, $106,605; ROBERT P. ZIMMEL, $21,569; CAROL A. KUPLEN, RN, MSN, $44,040 AND JOSEPH C. MEROLA, M.D., $113,155.
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 2012 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2012 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 2012. THIS AMOUNT WAS INCLUDED IN THEIR RESPECTIVE 2012 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 2012 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: RICHARD A. ANDERSON, $245,999, ROBERT P. ZIMMEL, $33,977 AND JOSEPH C. MEROLA, M.D. $84,774; 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) 2012

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
2012
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
NORTHAMPTON COUNTY GENERAL PURPOSE AUTHORITY
 
23-1352213 66353RBG8 06-27-2013 65,000,000 ANDERSON EXPANSION   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 . . . . . . . . . . . . 10,232,514 18,670,460 2,558,527 1,088,802
5 Capitalized interest from proceeds . . . . . . . . . . . 6,241,731 9,130,300 0 0
6 Proceeds in refunding escrows . . . . . . . . . . . . 136,945,603 0 21,026,176 8,947,858
7 Issuance costs from proceeds . . . . . . . . . . . . 2,663,140 2,053,609 455,665 193,912
8 Credit enhancement from proceeds . . . . . . . . . . . 0 0 0 0
9 Working capital expenditures from proceeds . . . . . . . . . 0 0 0 0
10 Capital expenditures from proceeds . . . . . . . . . . . 120,616,807 146,175,468 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 Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
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  
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If “Yes” to line 8a, enter the percentage of bond-financed property sold or disposed of.   %   %   %   %
c If “Yes” to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .   X   X   X   X
9 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 the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . . X   X   X   X  
b Exception to rebate? . . . . . . . .   X   X   X   X
c No rebate due? . . . . . . . . . .
  X   X   X   X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . . X     X   X   X
4a 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 . . . . . . . . . . 9.8      
d Was the hedge superintegrated? . . . . . .   X            
e Was a hedge terminated? . . . . . . .   X            
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a 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? . . . . .                
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . . X   X   X   X  
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
1 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? X   X   X   X  
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) 2012

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
2012
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
NORTHAMPTON COUNTY GENERAL PURPOSE AUTHORITY
 
23-1352213 66353RBG8 06-27-2013 65,000,000 ANDERSON EXPANSION   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 . . . . . . . . . . . . 10,232,514 18,670,460 2,558,527 1,088,802
5 Capitalized interest from proceeds . . . . . . . . . . . 6,241,731 9,130,300 0 0
6 Proceeds in refunding escrows . . . . . . . . . . . . 136,945,603 0 21,026,176 8,947,858
7 Issuance costs from proceeds . . . . . . . . . . . . 2,663,140 2,053,609 455,665 193,912
8 Credit enhancement from proceeds . . . . . . . . . . . 0 0 0 0
9 Working capital expenditures from proceeds . . . . . . . . . 0 0 0 0
10 Capital expenditures from proceeds . . . . . . . . . . . 120,616,807 146,175,468 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 Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
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  
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If “Yes” to line 8a, enter the percentage of bond-financed property sold or disposed of.   %   %   %   %
c If “Yes” to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .   X   X   X   X
9 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 the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . . X   X   X   X  
b Exception to rebate? . . . . . . . .   X   X   X   X
c No rebate due? . . . . . . . . . .
  X   X   X   X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . . X     X   X   X
4a 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 . . . . . . . . . . 9.8      
d Was the hedge superintegrated? . . . . . .   X            
e Was a hedge terminated? . . . . . . .   X            
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a 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? . . . . .                
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . . X   X   X   X  
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
1 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? X   X   X   X  
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) 2012

Additional Data


Software ID:  
Software Version:  

SCHEDULE M
(Form 990)


Department of the Treasury
Internal Revenue Service
Noncash Contributions
Right pointing arrow large imageComplete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
ST LUKE'S HOSPITAL OF BETHLEHEM PA
 
Employer identification number

23-1352213
Part I
Types of Property
(a)
Check if applicable
(b)
Number of contributions or items contributed
(c)
Noncash contribution amounts reported on
Form 990, Part VIII, line 1g
(d)
Method of determining
noncash contribution amounts
1 Art—Works of art ....        
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications ..      
5 Clothing and household
goods .......
     
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded . X 1 50,528 FMV
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests ....
       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures .....
       
14 Qualified conservation
contribution—Other ...
       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ...        
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( )
26 Other Right pointing arrow large image( )
27 Other Right pointing arrow large image( )
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement
...
29
 
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1-28 that it
must hold for at least three years from the date of the initial contribution, and which is not required to be used
for exempt purposes for the entire holding period? ..................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?
31
Yes
 
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash
contributions? ..........................
32a
Yes
 
b
If "Yes," describe in Part II.
33
If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) (2012)
Schedule M (Form 990) (2012)
Page 2
Part II
Supplemental Information. Complete this part to provide the information required by Part I, lines 30b,
32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.
Identifier Return Reference Explanation
NON-CASH CONTRIBUTIONS SCHEDULE M, PART I; QUESTION 32A THE ORGANIZATION UTILIZES THE SERVICES OF AN INDEPENDENT INVESTMENT MANAGEMENT FIRM TO SELL DONATED SECURITIES SHOULD ANY BE RECEIVED. THE ORGANIZATION PAYS FAIR MARKET VALUE RATES AND COMMISSIONS IN THESE INSTANCES.
Schedule M (Form 990) (2012)
Additional Data


Software ID:  
Software Version:  
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
2012
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 not-for-profit, tertiary care, teaching hospital. SL-Bethlehem offers more than 90 medical specialties and has 480 licensed acute care beds, including 15 licensed acute rehabilitation beds. In FY '13, there were 26,582 admissions and observations; 558,223 outpatient registrations and 56,927 ED visits. In FY '13, SL-Bethlehem invested more than $10.4 million in technologic and facility improvements, including the following: $4.44 million in construction, equipment 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, SL-Bethlehem is the first U.S. hospital to have this technology; $1.33 million to consolidate neurology/neurosurgical services to improve patient access and convenience; $537,000 to relocate dental clinic for easier patient access; $2.2 million to expand acute rehabilitation facilities; $300,000 to relocate Community Health Department to improve patient access; and $1.6 million to renovate an inpatient floor. Additionally, SL-Bethlehem opened a 15-bed Older Adult Behavioral Health Unit (January 2013), a new Wound Management Center with Hyperbaric Therapy (August 2012), an Epilepsy Monitoring Unit (March 2012), a Functional Neurosurgery Program (August 2012), opened a 31-bed Universal are Unit offering evidence-based, innovative patient-centered care that includes an acuity-adaptable model allowing patients a single team of caregivers throughout their hospitalization (January 2013). The Network established and strengthened its referral base in Monroe County to support SL-Bethlehem and St. Luke's Anderson Campus. This effort included: $4.5 million acquisition of Pocono MRI and Imaging Center (7/10) and $2.9 million purchase of Medical Associates of Monroe County (7/11), which includes two diagnostic testing sites and 10 physicians. The Network acquired Pocono Pediatric Associates (6/13) at a cost of $435,000. Areas of exceptional medical expertise include: - Level I adult trauma center: fully accredited by Pennsylvania Trauma Systems Foundation; more than 2,300 FY '13 trauma cases; 2.33 percent 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 and Anderson Hospitals provide care to approximately 2,400 new patients each year. St. Luke's is one of only two heathcare networks in Pennsylvania to earn national accreditation with commendation as an Integrated Network Cancer Program from the Commission on Cancer of the American College of Surgeons, and one of only 51 healthcare networks nationwide. Prior to being named an Integrated Network Cancer Program, St. Luke's was the first and only Comprehensive Community Cancer Program in Pennsylvania to earn the CoC's highest quality recognition, the Outstanding Achievement Award, for three consecutive terms (2004, 2007,2010) and the only Pennsylvania program to receive the award in 2010. St. Luke's Cancer Centers are staffed by a team of fellowship-trained cancer experts specializing in surgical oncology, medical oncology, radiation oncology, gynecologic oncology, thoracic surgery, urologic surgery and neurosurgical oncology. The Center emphasizes patient satisfaction and treats all types of cancer, including: abdominal, bones and joints, brain and spine, breast, colon and rectum, cancer of the digestive system, gynecologic cancer, head and neck, liver, lung/thoracic, lymphoma/leukemia, melanoma, prostate, thyroid/endocrine, and urinary. The Center offers advanced programs for melanoma, lung, breast, brain and spine, prostate, gynecological and gastrointestinal cancers. - Cardiology and Cardiovascular Surgery - only hospital in region named one of nation's Top Cardiovascular Hospitals, sixth-year recipient (Truven, formerly Thomson-Reuters, 1999, 2001, 2002, 2003, 2012, 2014); multiple-year recipient of highest rating for cardiac bypass surgery, represents top decide performance achieved by only 6 percent of U.S. hospitals (Society of Thoracic Surgery, 2008, 2009, 2011); region's first accredited Chest Pain Center; region's first Joint Commission-certified heart failure program, one of two certified for stroke programs. SL - Bethlehem offers comprehensive cardiovascular surgical services excluding heart transplants and was selected as one of the few hospitals in the U.S. to offer transcatheter aortic valve replacement (TAVR), a catheter-based valve replacement procedure, and is the first institution in the region approved to perform the TAVR procedure independently. SL - Bethlehem is also one of the region's busiest sites for thoracic stent graft repair of thoracic aortic diseases resulting from trauma or aneurysms. St. Luke's Heart & Vascular Center (SLHVC) has offices in Allentown, Bethlehem, Coaldale, Easton, East Stroudsburg, Pennsburg, Quakertown, Walnutport and Wind Gap in Pennsylvania and in Phillipsburg and Warren Hills in New Jersey. SLHVC 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, each offering a multidisciplinary approach to diagnosis and treatment options. Additionally, SL - Bethlehem has attained 100 percent compliance for cardiac surgery and AMI evidence-based care and all St. Luke's cath labs have achieved 100 percent 90-minute or less, AMI door-to-procedure.
COMMUNITY BENEFIT STATEMENT CONTINUED CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Neuroscience - coordinated care is provided for neurology, neurosurgery, neuro rehabilitation, stroke, pain management, psychology and sleep services. St. Luke's provides accredited stroke centers in Allentown and Bethlehem and earned the American Heart Association's Stroke Gold Plus Quality Achievement Award (2013), achieving 85 percent or higher adherence to all national evidence-based stroke care interventions for two or more consecutive 12-month intervals, and was also recognized as a recipient of the AHA-ASA's Stroke Honor Roll (2013) for improving stroke care by providing ED patients with a clot-busting agent within three hours of onset of stroke symptoms. Only 225 out of nearly 5,000 hospitals nationwide and 41 out of 175 hospitals statewide achieved this accomplishment. Neuroscience services also include the following centers of excellence include: balance center, headache center, epilepsy center (including epilepsy monitoring unit), memory disorders center, movement disorder center, normal pressure hydrocephalus center, brain and spine tumor center, multiple sclerosis center and sleep disorders center. - Orthopedics - 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 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 over the world to visit the Network and observe procedures being performed by advanced equipment. St. Luke's was first in the 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. St. Luke's Anderson Campus features advanced technologies including a wide-bore MRI that offers uncompromised image quality; and a high-definition, low-dose CT that reduces radiation exposure up to 50 percent. - Women's/Children's Health: leader in state and national programs to improve perinatal care, achieving an early elective delivery rate of 1.5 percent, well below 26.2 percent national and 11.2 percent state average rates; specialized care for high-risk pregnancy; one of the region's most utilized obstetrical service (Allentown/Bethlehem); two neonatal intensive care units (Allentown/Bethlehem) achieved zero infections per 1,000 ventilator days, below the 1.1 infections per 1,000 days national benchmark established by the National Healthcare Safety Network; 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 fellowship-trained gynecologic oncologists perform robotic surgery for gynecologic cancers. Mission ------- The mission of St. Luke's University Hospital is to provide compassionate, excellent quality and cost-effective healthcare to residents of the communities served regardless of race, color, creed, sex, national origin, religion or ability to pay. The mission of St. Luke's University Hospital is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other healthcare providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for their care. Community Outreach ------------------ In keeping with its commitment to the communities it serves. SL-Bethlehem annually reaches more than 7,336 people through its community outreach endeavors. The Hospital offers a variety of free screenings/services for community-run events throughout the year. Community outreach, includes, but is not limited to, the following: - Utilization of numerous media outlets to educate the community about health issues that may impact them; - Sponsorship of the Depression Support Group; Prostate Support Group; - Conducted Matter of Balance Classes at Moravian Village; - Conducted 12 breastfeeding classes; - Conducted 35 CPR, ACLS, PALS courses; - Conducted EMS educational outreach; - Conducted genetic cancer risk assessments, prostate screenings and oral cancer screenings; - Conducted New Born / New Mom Care, Baby's First Year and Grandparenting classes and 14 pregnancy orientations; - Conducted/ participated in 18 community-based health fairs; - Provided in-kind donations and administrative for the following non-profit groups/events: Bethlehem Chamber of Commerce, Bethlehem YMCA, Sonography Advisory Board, Radiology Advisory Board, Meals on Wheels, Chriskindlmarkt, Blueberry Festival, The Great Allentown Fair, SportsFest, Tail on the Trial, St. Luke's Half Marathon Expo, Parkettes Fundraiser, MS Beach Bash, VegFest, Cops and Kids Literacy Event, Saucon Valley Relay for Life, Hellertown Relay for Life, AtsQuest Farmer's Market, Runner's World Half Marathon, Lamprey Systems Cyclocross, Celtic Classic, Endurorama Cycling event, Southern Lehigh Swimming Championships, Connie Mack Baseball Tournament; - Participated in Breast Screening Day. Allentown Campus ---------------- St. Luke's Hospital - Allentown Campus ("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 not-for-profit medical center entered into a merger with St. Luke's. Since joining St. Luke's, the 149-licensed bed, Joint Commission -accredited SL-Allentown has experienced triple-digit increases in observations and admissions (FY '13 9,408) and ED visits (FY '13 45,577) and outpatient visits (FY '13 161,687). St. Luke's has invested more than $158 million in technologic and facility improvements since SL-Allentown joined the Network. 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 an accredited center of the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program. SL-Allentown provides extensive education and support programs for bariatric patients. In August 2007, St. Luke's 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. Additional outpatient services at the Integrated Health Campus include: Center for Neuroscience, Sleep Disorders Center, Center for Urology, Weight Loss (Bariatric) Program. 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 1,300 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.
COMMUNITY BENEFIT STATEMENT CONTINUED CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS St. Luke's has added outpatient facilities in close proximity to the SL-Allentown to meet the community's healthcare needs. These include: St. Luke's Family Health Center, 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, neurology, pulmonology, nephrology and general surgery. Outpatient physical therapy is also provided. The pediatric clinic was expanded and enhanced in 2012. 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 support SL-Allentown. The $8.2 million renovation opened in May 2013 and includes: QuickCare, lab services, imaging, physician offices for OB/Gyn, neurosurgery, spine/pain care. A Pediatric Urgent Care Center, in partnership with St. Christopher's Hospital for Children, opened in July 2013 and St. Luke's Sports & Human Performance Center opened in November 2013. Additionally, a new $9.6 million, 360-space parking deck and Hospital lobby at SL-Allentown was added in April 2013. These new facilities improve access for patients and visitors. An additional operating room was added in November 2013. SL-Allentown Specialty Services include: - bariatric services - cardiac catheterization - cardiology - emergency services - family health center clinic - general and laparoscopic surgery - hyperbaric medicine - KidsCare children's clinic - neurology and neurosurgery - NICU - obstetrics and gynecology - oncology - orthopedics and orthopedic surgery - pain management - pediatric urgent care provided by St. Christopher's Hospital - perinatal services - physical and occupational therapy and rehabilitation - podiatry and foot care clinic - pulmonary critical care - QuickCare (urgent care) - radiology (advanced) - renal dialysis - respiratory therapy - Sleep Center - Stroke Center (Joint Commission designated) - vascular services - Women's Imaging Center - Women's Health Center - Wound Management Center Mission ------- The mission of St. Luke's Hospital - Allentown Campus is to provide compassionate, excellent quality and cost-effective healthcare to residents of the communities served regardless of race, color, creed, sex, national origin, religion or ability to pay. The mission of St. Luke's Hospital - Allentown Campus is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other healthcare providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for their care. Community Outreach ------------------ In keeping with its commitment to the communities it serves. SL-Allentown annually reaches more than 9,780 people through its community outreach endeavors. The Hospital offers a variety of free screenings/services for community-run events throughout the year. Community outreach, includes, but is not limited to, the following: - Utilization of numerous media outlets to educate the community about health issues that may impact them; - Conducted/participated in the following health fairs, which included provision of multiple free health screenings: Allentown YMCA Senior Health & Fitness Day, St. Luke's Half Marathon, Emergency Preparedness Fair, March for Babies, St. Luke's Hospice Charity Bike Ride; - Provided in-kind medical services at the following community events: Women's 5K Expo, City of Allentown 250th Parade & Festival, The Great Allentown Fair, SportsFest and City of Allentown Fireworks Display; - Provided cholesterol screenings at Asbury United Methodist Church and held a Breast Screening Day; - Provided monthly educational sessions on weight management and bariatric surgery, 24-hour online support and a monthly support group for bariatric patients; - Provided mobile medical services to 344 children in the Allentown School District, during 712 visits including physicals, adolescent health assessments, vision services, insurance referrals and nutrition counseling; - Provided mobile dental services to children in the Allentown School District; - Conduct literacy initiatives at Union Terrace Elementary School, Allentown School District; - Provided nutrition education, Live Your Life Program and Healthy Habits, to second grade and Kindergarten at Union Terrace Elementary School, Allentown School District; - Conducted/participated in the following health fairs, which included provision of multiple free health screenings: Allentown YMCA Senior Health & Fitness Day, St. Luke's Half Marathon, Emergency Preparedness Fair, March for Babies, St. Luke's Hospice Charity Bike Ride. Anderson Campus --------------- St. Luke's Hospital - Anderson Campus ("SL-Anderson"), located in Bethlehem Township, Northampton County, Pennsylvania near the Route 33 interchange, held its grand opening on November 11, 2011 and was the first new, non-replacement 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. A not-for-profit acute care hospital, SL-Anderson operates 108-licensed beds. From the day it opened, SL-Anderson has been embraced by the public. Admissions and ED visits have consistently exceeded projections; FY '13 6,540 total admissions and observations were 116.9 percent above the prior year; and 30,412 ED visits were 106 percent above the prior year. Additionally, SL-Anderson provided care for 89,764 outpatient visits in FY '13. Demand for services necessitated an 11,000-sq.ft, $5.9 million ED expansion, doubling capacity from 30,000 to 60,000 annual visits; and the $5.13 million addition of 36 new inpatient beds for the provision of specialized care for oncology patients, increasing the number of private patient rooms from 72 to 108-licensed beds. A $4 million operating room expansion was completed in late 2013. 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 service. The medical office building provides imaging, physical therapy, laboratory and other outpatient testing, 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: flat screen televisions, free WiFi service, daily newspaper delivery, 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 Sunday and all-digital mammography is offered at 6:30 am to accommodate working women. Areas of advanced clinical expertise include: - INTRABEAM Intraoperative Radiation Therapy (IORT) One of only about 50 hospitals nationwide to acquire this system to treat early-stage breast cancer. IORT delivers a full course of radiation treatment to the tumor site immediately following breast cancer surgery, potentially saving a patient from having to undergo the typical six weeks of radiation therapy after surgery. SL-Anderson Specialty Services include: - cardiac catheterization - cardiology - emergency services - endoscopies - general and laparoscopic surgery - gynecology - infusion therapy - interventional radiology - lithotripsy - neurology and neurosurgery - oncology - orthopedics and orthopedic surgery - pain management - perinatal services - physical and occupational therapy and rehabilitation - plastic surgery - pulmonary critical care - radiation oncology - radiology (advanced) - renal dialysis - urology - urogyncology - vascular services - Women's Imaging Center Mission ------- The mission of St. Luke's Anderson Hospital is to provide compassionate, excellent quality and cost-effective healthcare to residents of the communities served regardless of race, color, creed, sex, national origin, religion or ability to pay. The mission of St. Luke's Hospital - Anderson Campus is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other healthcare providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for their care.
COMMUNITY BENEFIT STATEMENT CONTINUED CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Community Outreach ------------------ In keeping with its commitment to the communities it serves. SL-Anderson annually reaches more than 2,632 people through its community outreach endeavors. The Hospital offers a variety of free screenings/services for community-run events throughout the year. Community outreach, includes, but is not limited to, the following: - Utilization of numerous media outlets to educate the community about health issues that may impact them; - Conducted five cancer-related educational programs on the following topics: Helping Your Immune System Fight Cancer, Cancer: Sun Safety, Risk vs. Reward, Myth Buster-Lung Cancer and "To Embarrassed to Ask;" - Conducted additional educational programs on the following topics: Men's Health: What You Need to Know, Healthy Living: A Healthy Colon and You, How to Talk With Your Doctor, Vertigo, Dizziness or Balance Difficulties, National Healthcare Decisions Day, Your Voice Heard: Making Sure Your End-of-Life Wishes are Granted, Aging in Place-Keeping Your Loved Ones Safe at Home, Heart & Vascular: Understanding Coronary Artery Disease, Heart Attack: How Do I Know I Am Having One?, Bariatric Surgery-Informational Seminar, Understanding the Gluten-Free Diet, Weight Management, Creating Healthy Food Habits, Overcoming Incontinence; - Conducted/participated in the following health fairs: St. Luke's Wind Gap Medical Center Open House, Anderson Campus Community Day; - Provided the following free screenings: Alzheimer's, cholesterol (various locations); - Conducted two sports injury educational programs: Putting the Break on Knee Pain, Neck and Back Pain; - Hosted the Better Breathers Support Group. 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 440 employed primary care, specialty care and hospital 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 '13, St. Luke's provided treatment and services to 55,316 admissions/observations, 1,065,728 outpatients and 192,842 ED visits. Ninety-two percent of the 1,342 Network medical staff are board certified; a significant portion of medical staff see patients at multiple Network hospitals. St. Luke's encompasses more 9,400 employees, making St. Luke's the region's second largest employer, and more than 1,652 volunteers. Awards and Clinical Achievements -------------------------------- The Network has received more than 100 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: Truven (formerly Thomson Reuters, Solucient). 100 Top Hospitals; 100 Top Teaching Hospitals (1997, 2001), only hospital in region to receive this award. Top Cardiovascular Hospitals (1999, 2001, 2002, 2003, 2012, 2014). 100 Top ICU Hospitals (2000). U.S. News & World Report - America's Best Hospitals: - Best Heart Hospitals (1999, 2000, 2001, 2002, 2003, 2004, 2005). - Best Digestive Disease Hospitals (2007, 2008). - Best Ear, Nose & Throat Hospitals (2008). U.S. News & World Report - Top Performance: - GI, Geriatrics, Nephrology, Neurology, Pulmonary, Urology (2011). - Cardiac, Diabetes, GI, Geriatrics, Nephrology, Neurology, Ortho, Pulmonary, Urology (2012). - Diabetes, GI, Geriatrics, Neurology, Ortho, Pulmonary (2013). Top 50 Hospitals in U.S. (2009, 2010, 2011 - HealthGrades). Bariatric Center of Excellence (2009) -Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program, Medicare patients are required to utilize Center of Excellence Bariatric Programs. Commission on Cancer Outstanding Achievement Award (2004, 2007, 2010 - American College of Surgeons), first and only Pennsylvania cancer program to receive highest quality recognition for three consecutive survey cycles. Highest Quality Rating for Open Heart Surgery (2008, 2009, 2011, 2012 - American College of Thoracic Surgeons), only 6 percent of nation's hospitals attain this distinction. Most Wired Award for 2013 - American Hospital Association. Premier Quality Award for CABG (2006). Premier Quality Award for Hip/Knee Replacement (2006, 2007, 2008). Premier QUEST Award for High Value Healthcare (SL-Allentown, SL-Bethlehem, SL-Quakertown - 2011, SL-Miners, SL-Quakertown - 2013). National Medal of Honor for Organ Donation (2005, 2006, 2007, 2008, 2009, 2010, 2011, 2012 - U.S. Department of Health & Human Services). Top Integrated Healthcare Networks (2004, 2005, 2007 - IHN). American Heart Association Stroke Silver Plus Quality Award (2012), Gold Plus Award (2013), National Stroke Honor Roll (2013). Hospital of Choice Award - U.S. Alliance of Healthcare Providers (2005, 2006). The Joint Commission Top Performer on Key Quality Measures Recognition (2011, 2012, 2013) . HomeCare Elite (St. Luke's Home Care Agency- 2012 and 2013). PENNSYLVANIA AWARDS: Best Place to Work in PA (2003, 2004, 2005). HAP Achievement Awards [2004, 2006, 2008, 2010 - four awards (most ever by one healthcare organization in one year) 2011, 2012 - two awards, 2013 - two awards]. Pennsylvania Donate Life Hospital Challenge Gold Level Achievement Award (2013) Sponsored by HAP, PA DOH and Gift of Life Donor Program. Honors hospitals for activities held to increase donor awareness; only 20 PA healthcare organizations attained gold distinction. NEW JERSEY AWARDS: NJHA Excellence in Quality Improvement Award (2014). NATIONAL/STATE QUALITY RECOGNITION: Leapfrog Hospital Safety Score -all five eligible St. Luke's hospitals received "A" rating (5/2013). The Joint Commission Top Performer on Key Quality Measures - all five eligible St. Luke's hospitals attained top performance (2013). Recognized by Blue Cross/Blue Shield as a Blue Distinction Center for Cardiac Care. First in region to perform TAVR procedures independently (2013). St. Luke's cath labs have achieved 100 percent 90-minute or less, AMI door-to-procedure for 34 consecutive months since February 2012. SL-Bethlehem has attained 100 percent compliance for cardiac surgery and AMI evidence-based care measures. Fully accredited Level 1 Adult Trauma Center, Best Performance Improvement Program, 2.33 percent mortality, top decile performance (Source: National Trauma Data Bank). Leader in state and national programs to improve perinatal care, 2013 elective early delivery rate of 1.5 percent is significantly below the state (26.2 percent) and national (11.2 percent) rates. St. Luke's Warren Hospital's Center for Hyperbaric and Wound Management, only New Jersey hospital to earn distinction of University of Medical and Health Sciences accreditation. Pay-for-Performance Recognition St. Luke's qualified for additional payment from the following programs: Highmark Quality BLUE, Capital BLUE Pay-for-Performance Program, CMS Value-Based Purchasing Program . Highest performance in the region for Evidence-Based Care Overall Score as publicly reported by Pennsylvania Health Care Quality Alliance (2013).
COMMUNITY BENEFIT STATEMENT CONTINUED CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Affiliation with Temple University School of Medicine ----------------------------------------------------- According to the Association of American Medical Colleges, our nation faces an anticipated shortage of 91,000 physicians by 2020 and 130,000 by 2025. To ensure continued regional access to physicians, St. Luke's and Temple University School of Medicine have developed the regional 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 and the third class in August 2013. Full enrollment of 120 medical students will be achieved in August 2014 and the School expects to graduate 300 physicians in 10 years (beginning with the Class of 2015 graduation) and expects to retain 150 (50 percent) in the greater Lehigh Valley. 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. Clinical medical skills, 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 faculty members of the Temple University School of Medicine faculty, teach the first year doctoring course in Philadelphia. St. Luke's is also a Comprehensive Clinical Teaching Campus for Temple University School of Medicine. Sixteen third- and sixteen fourth-year medical students enrolled at the Temple Philadelphia campus may complete their clinical rotations at St. Luke's University Hospital. St. Luke's also trains students from the Philadelphia College of Osteopathic Medicine and other medical schools who rotate on electives at St. Luke's. 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. Medical education programs are conducted primarily at the Bethlehem, Allentown and Warren campuses. Each year, more than 180 interns/residents/fellows train at St. Luke's 21 fully accredited programs which include: Dental, Emergency Medicine (dually accredited allopathic and osteopathic), Family Medicine (dually accredited allopathic and osteopathic), General Surgery, Internal Medicine (dually accredited allopathic and osteopathic), OB-GYN, Orthopedic Surgery, Pharmacy, Podiatry residencies; and Cardiology, Hospice & Palliative Care, Podiatric Dermatology, Sports Medicine, Surgical Critical Care and Geriatrics fellowships, Transitional Year residency and traditional rotating osteopathic internships. More than 100 members of St. Luke's medical staff hold faculty appointments at prestigious medical schools including Temple University, The University of Pennsylvania and Philadelphia College of Osteopathic Medicine. St. Luke's also conducts postgraduate continuing medical education through its sponsorship of more than 500 annual continuing medical education (CME) programs for physicians, nurses and ancillary healthcare professionals. St. Luke's offers clinical rotations in the following advanced practice programs: certified registered nurse anesthetist program (enrollees from LaSalle University), certified registered nurse practitioners programs (enrollees from DeSales University, Drexel University), emergency medicine PA/NP fellowships, trauma/surgical critical care PA/NP fellowships, physician assistant program (enrollees from DeSales, Drexel, King's College, Pennsylvania, Arcadia and Salus) and the only formal physician assistant observer programs. St. Luke's serves as a major training site for allied health professionals. More than 200 allied health students annually 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 education 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 country to operate a school for nurses. Established in 1884, St. Luke's School of Nursing is the nation's oldest hospital-based, diploma nursing school in continuous operation. More than 4,000 nursing students have successfully completed the program. St. Luke's School of Nursing is approved by the Pennsylvania State Board of Nursing and was fully reaccredited in 2004 by the Accreditation Commission for Education in Nursing. More than 150 students are enrolled in the 20-month program. Community Support ------------------ In keeping with its commitment to the communities it serves, St. Luke's, through its hospitals and other affiliates, offers a variety of free services/screenings for community-run events throughout the year. St. Luke's also accepts requests for donations to fellow non-profit institutions. St. Luke's Community Health Department's supports the mission of the Bethlehem Partnership (Partnership) for a Healthy Community which focuses on improving the health status and quality of life of the community, especially those with limited resources. 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 healthcare services. Currently more than 200 participating/funding agencies, including those from local business, government, educational and community organizations, are actively involved in Partnership programs. St. Luke's provides the administrative and medical leadership, staff and financial support for the Partnership. 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 '13 included, but are not limited to, the following: - Dental and medical care, primarily to underserved children and adolescents. Care is generally provided in four mobile health vans which regularly visit various schools, an adolescent shelter, and other community gathering sites. In FY' 13, mobile health vans provided nearly 2,000 patient visits to 700 uninsured students; mobile dental health vans provided 1,149 patient visits to 442 uninsured, at-risk patients. Specialized pediatric dental care and adult care was provided at The Easton Dental Center for 3,493 patient visits. A comprehensive vision program is also offered to screen and provide glasses for children at risk. In FY '13, 618 patients received vision care.
COMMUNITY BENEFIT STATEMENT CONTINUED CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS - The Fowler Family Center at Donegan Elementary School provides a number of primary and preventive care services to low-income, at-risk families primarily through St. Luke's Family Practice (SLFP) which is located at the Center. SLFP provided primary and preventive care through 2,164 visits to 821 community members in FY'13. SLFP expanded services from 21 hours to 30 hours per week in FY '13, increasing access to care for the students at Donegan Elementary School, their families and the surrounding community. More than 10 percent of patients served were uninsured. SLFP's Donegan Adolescent Vaccination Rate in FY '13 was 93 percent, significantly higher than the Healthy People 2020 target. SLFP participates in Reach Out and Read, a nationally recognized literacy program. More than 200 books were given to children age six months through 5 years of age at their annual well child visit. Additional programs include: free health promotion/prevention classes offered to the community, programs to increase physical activity and good nutrition. - The AIDS Service Center fully supports the Expanded HIV Testing Initiative endorsed by the CDC. A total of 231 HIV tests were performed with two identified positives. The Center also offers two CDC evidence-based interventions to help clients reduce the risk of HIV infection or re-infection. Thirty-three high school students were served by this program. The Center also provided case management to 363 clients from five counties, more than doubling the number of clients served since 2007. The Center provided primary and specialty care to 171 AIDs patients in FY '13. - The Partnership offers an extensive Adolescent Career Mentoring Program. Over the course of 16 years, St. Luke's has partnered with the Bethlehem Area School District and Lehigh Valley Workforce Investment Board, Inc. to provide English as a Second Language to at-risk community youths, as well as the opportunity to explore healthcare careers through the School-to-Work Program; while encouraging and mentoring them to graduate from high school and enroll in post-secondary education or enter the workforce. In FY '13, 94 percent (17 of 18 enrolled) of the students completed the program successfully; 74 percent of participants increased their English language proficiency. As of July 2013, 66 percent (20 of 30) of the former participants of the Adolescent Career Mentoring Program who are employed at St. Luke's started their healthcare experience in the School-to-Work Program. The investment in the Adolescent Career Mentoring Program increased bilingual/bicultural healthcare workers at St. Luke's, increased new employees in a high priority occupation cluster in the Lehigh Valley, PA and diversified the healthcare workforce in the overall community. - Smoking remains the leading preventable cause of death in the U.S. and the Partnership offers an extensive Tobacco Cessation Treatment Center. The majority of patients enrolled in counseling have Medicaid. In FY '13, 296 patients fro Lehigh and Northampton counties enrolled in counseling, representing a 16 percent increase from the previous 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 '13, Reading Rocks! provided reading services to 213 students and collected 16,000 books to distribute to the children. St. Luke's community outreach programs include an extensive network of pediatric and adult medical and specialty clinics at various easily accessible locations. In FY '13, more than 156,867 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 Service to comply with new IRS Form 990 Guidelines (Effective 2009) to report community benefit activities / expenditures. Additional community support included, but is not limited to, the following: - St. Luke's Nurse-Family Partnership is an evidence-based, nurse home visiting program to improve the health, wellbeing 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. In FY '13, the nurse-family partnership served 267 families residing in the Lehigh Valley (encompassing the cities of Allentown, Bethlehem and Easton and the surrounding rural areas). - Parent Advocate in the Home (PATH) provides health and supportive services to families with children age 3 years or younger. In FY '13, PATH provided 2,500 visits to 336 patients. 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 13, 7,150 hours of service were provided to 188 families. - For more than 20 years, St. Luke's employees have sponsored an annual children's winter coat drive, purchasing new coats and other articles of clothing for more than 100 children in need. - St. Luke's University Health Network's InfoLink Toll-free health information telephone number: At an annual cost of $80,000, more than 53,000 callers annually are assisted with a range of services including registration for free community health programs, screenings and other health services, referrals to physician and information on St. Luke's Charity Care Program. - Television Programs: St. Luke's University Health Network produces a live, call-in weekly television program that highlights various healthcare topics and weekly reaches more than 400,000 viewers at an annual production and marketing cost of $109,987. St. Luke's physicians and other healthcare providers supply information on healthy living, health screenings, advances in healthcare treatment and technology and related topics. St. Luke's also co-produces Peak, a weekly television program that features health and wellness segments at an annual cost of $100,000. - St. Luke's University Health Network invested $296,000 in paid advertising in area publications and for direct mail distribution of a calendar of events to ensure the collective paid circulation of 150,000 residences received notification of the Network's free health classes/events/screenings. - In-kind donations, including first aid kits for non-profit organizations - Sponsorships for community events - Health Check Wellness Center for older adults - Heart Smart - St. Luke's work with area restaurants and provides them with heart smart recipes, serving suggestions and food substitutions.
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; 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.
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 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 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES INCLUDE: - NET ASSETS RELEASED FROM RESTRICTIONS USED FOR PURCHASES OF PROPERTY AND EQUIPMENT; $1,698,753; - CHANGE IN FAIR MARKET VALUE OF 2007 DERIVATIVE; $26,862,226; - CHANGE IN ADDITIONAL PENSION LIABILITY; $46,277,647; - TRANSFER BETWEEN ENTITIES; ($5,409,613); - POCONO MRI BEGINNING UNRESTRICTED NET ASSETS; $293,351; - EXTRAORDINARY LOSS; ($2,661,253); - PLEDGES RECEIVED - TEMPORARILY RESTRICTED; ($3,288,865); - NEW PLEDGES - TEMPORARILY RESTRICTED; $10,419,035; - NET ASSETS RELEASED FROM RESTRICTIONS USED FOR PURCHASES OF PROPERTY AND EQUIPMENT - TEMPORARILY RESTRICTED; ($1,042,355); - NET ASSETS RELEASED FROM RESTRICTIONS USED FOR OPERATIONS - TEMPORARILY RESTRICTED; ($1,942,292); - NET ASSETS RELEASED FROM RESTRICTIONS USED FOR CAPITAL CAMPAIGN - TEMPORARILY RESTRICTED; ($4,610); - NET ASSETS RELEASED (PLEDGES) FROM RESTRICTIONS USED FOR PURCHASE OF PROPERTY AND EQUIPMENT (BUILDING FUND) - TEMPORARILY RESTRICTED; ($50,176); - INCOME TRANSFERRED TO OPERATIONS - TEMPORARILY RESTRICTED; ($19,230); - ALLOWANCE FOR PLEDGES WRITTEN OFF AND ACTUAL WRITE-OFFS - TEMPORARILY RESTRICTED; ($272,112); - APPRECIATION TRANSFER FROM ENDOWMENT - TEMPORARILY RESTRICTED; $3,425,747; - INCOME TRANSFER FROM ENDOWMENT - TEMPORARILY RESTRICTED; $196,806; - ENDOWMENT SPENDING POLICY TRANSFER TO TEMPORARILY RESTRICTED - TEMPORARILY RESTRICTED; $335,822; - INCOME RELEASED AND TRANSFERRED TO GENERAL FUND FOR OPERATIONS - PERMANENTLY RESTRICTED; ($889,125); - APPRECIATION TRANSFER TO TEMPORARILY RESTRICTED - PERMANENTLY RESTRICTED; ($3,645,936); - APPRECIATION TRANSFER TO GENERAL FUND - PERMANENTLY RESTRICTED; ($500,000); AND - INCOME TRANSFER TO TEMPORARILY RESTRICTED - PERMANENTLY RESTRICTED; ($196,806).
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, 2013 AND JUNE 30, 2012; 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) 2012

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
2012
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" to Form 990, Part IV, line 33.)
(a)
Name, address, and EIN (if applicable) 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 16,833,501 3,364,268 BETHLEHEM
 
(4) ST LUKE'S WINDGAP PROPERTY LLC
801 OSTRUM STREET
BETHLEHEM,PA18015
23-2641715
INACTIVE PA 0 0 BETHLEHEM
 
(5) POCONO MRI IMAGING AND DIAGNOSTIC CENTER
801 OSTRUM STREET
BETHLEHEM,PA18015
HEALTH SVCS. PA 91,221 8,081,717 BETHLEHEM
 


Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" to 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 entity?
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 SLHN INC
 
 
No
(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
(13) ST LUKE'S HOSPITAL ANDERSON CAMPUS

801 OSTRUM STREET

BETHLEHEM,PA18015
45-4394739
INACTIVE PA 501(C)(3) HOSPITAL SLHN INC
 
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to 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 276,442 0   No 0   No 99.990 %
(2) 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" to 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
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) ST LUKE'S EIGHTH & EATON HOLDINGS INC

801 OSTRUM STREET
BETHLEHEM,PA180151000
23-7192801
HEALTHCARE SVCS. PA BETHLEHEM
 
C CORP. 0 0 100.000 % Yes  
(2) ST LUKE'S HEALTH NETWORK INSURANCE COMP

801 OSTRUM STREET
BETHLEHEM,PA180151000
75-2993150
FINANCIAL VEHICLE VT BETHLEHEM
 
C CORP. 12,156,524 51,084,319 88.000 % Yes  
(3) ST LUKE'S HOSP OF BETH PA AMBUL SURGERY

801 OSTRUM STREET
BETHLEHEM,PA180151000
23-3018850
INACTIVE PA BETHLEHEM
 
C CORP. 0 0 100.000 % Yes  
(4) ST LUKE'S PHYSICIAN HOSPITAL ORG

801 OSTRUM STREET
BETHLEHEM,PA180151000
23-2786818
HEALTHCARE SVCS. PA BETHLEHEM
 
C CORP. 55,941 1,219,834 80.000 % Yes  
(5) HILLCREST EMERGENCY SERVICES PC

185 ROSEBERRY STREET
PHILLIPSBURG,NJ08865
20-4429976
HEALTHCARE SVCS. NJ N/A
C CORP.         No
(6) HILLCREST MANAGEMENT SERVICES ORG INC

185 ROSEBERRY STREET
PHILLIPSBURG,NJ08865
22-2591084
BILLING & MGMT NJ N/A
C CORP.         No
(7) TWO RIVERS ENTERPRISES INC

185 ROSEBERRY STREET
PHILLIPSBURG,NJ08865
52-1552606
REAL ESTATE NJ N/A
C CORP.         No
(8) WARREN PA PROFESSIONAL ALLIANCE INC

185 ROSEBERRY STREET
PHILLIPSBURG,NJ08865
20-2652788
HEALTHCARE SVCS. NJ N/A
C CORP.         No
(9) ST LUKE'S WARREN PHYSICIAN GROUP PC

185 ROSEBERRY STREET
PHILLIPSBURG,NJ08865
22-3837316
HEALTHCARE SVCS. NJ N/A
C CORP.         No
(10) WARREN RISK RETENTION GROUP INC

865 MEMORIAL PARKWAY
PHILLIPSBURG,NJ08865
20-0250315
FINANCIAL VEHICLE VT N/A
C CORP.         No
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34, 35b, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
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 or (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 Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
Yes
 
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
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-s)
(c)
Amount involved
(d)
Method of determining amount involved





Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to 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 section 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) 2012
Schedule R (Form 990) 2012
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 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.

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