FURP.ORG / PUBLIC DATA EXPLORER

SACRED HEART HOSPITAL OF ALLENTOWN: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
SACRED HEART HOSPITAL OF ALLENTOWN (EIN 23-1352208)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-13
IRS object ID
201341339349301134
Schema version
2011v1.5
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-05-13T09:20:58-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WithumSmithBrown PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1465 South St Ste 200AddressLine1
CityMorristownCity
StateNJState
ZIP Code079606497ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN231352208EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SACRED HEART HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% CHRISANNE KATKOVCIN CPAInCareOfName
Name ControlSACRNameControl
Phone6107764500Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1421 W CHEW STREETAddressLine1
CityALLENTOWNCity
StatePAState
ZIP Code181023406ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOHN NESPOLIName
TitlePRESIDENT/CEOTitle
Date Signed2013-05-10DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameScott MarianiName
Phone9738989494Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJOHN NESPOLINameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1421 W CHEW STREETAddressLine1
CityALLENTOWNCity
StatePAState
ZIP Code181023406ZIPCode
FieldValueIRS element (for citing)
Gross Receipts109591932GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.SHH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1917YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionTHE ORGANIZATION IS COMMITTED TO PROVIDING HEALTHCARE AND WELLNESS, FROM CONCEPTION TO NATURAL DEATH, THROUGH QUALITY SERVICES AND PROGRAMS BASED ON CATHOLIC ETHICAL AND RELIGIOUS DIRECTIVES.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees1258TotalNbrEmployees
Total Nbr Volunteers314TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year3179147ContributionsGrantsPriorYear
Contributions Grants Current Year1687408ContributionsGrantsCurrentYear
Program Service Revenue Prior Year102793666ProgramServiceRevenuePriorYear
Program Service Revenue CY106403727ProgramServiceRevenueCY
Investment Income Prior Year239702InvestmentIncomePriorYear
Investment Income Current Year116674InvestmentIncomeCurrentYear
Other Revenue Prior Year1204092OtherRevenuePriorYear
Other Revenue Current Year1199974OtherRevenueCurrentYear
Total Revenue Prior Year107416607TotalRevenuePriorYear
Total Revenue Current Year109407783TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY29962GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year48992348SalariesEtcPriorYear
Salaries Etc Current Year51329357SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year125421TotalFundrsngExpCurrentYear
Other Expense Prior Year49187503OtherExpensePriorYear
Other Expenses Current Year50528106OtherExpensesCurrentYear
Total Expenses Prior Year98179851TotalExpensesPriorYear
Total Expenses Current Year101887425TotalExpensesCurrentYear
Revenues Less Expenses Prior Year9236756RevenuesLessExpensesPriorYear
Revenues Less Expenses CY7520358RevenuesLessExpensesCY
Total Assets BOY70951443TotalAssetsBOY
Total Assets EOY69641934TotalAssetsEOY
Total Liabilities BOY52495056TotalLiabilitiesBOY
Total Liabilities EOY45549993TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY18456387NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY24091941NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE ORGANIZATION IS COMMITTED TO PROVIDING HEALTHCARE AND WELLNESS, FROM CONCEPTION TO NATURAL DEATH, THROUGH QUALITY SERVICES AND PROGRAMS BASED ON CATHOLIC ETHICAL AND RELIGIOUS DIRECTIVES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense57885182Expense
Grants29962Grants
Revenue65583930Revenue
DescriptionEXPENSES INCURRED (DIRECT EXPENSES ONLY ARE REFLECTED, INDIRECT EXPENSES OF APPROXIMATELY $6,429,587 ARE NOT INCLUDED ABOVE) IN PROVIDING MEDICALLY NECESSARY INPATIENT SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL, ORIGIN, RELIGION OR ABILITY TO PAY. DURING THE FISCAL YEAR ENDED JUNE 30, 2012 THERE WERE 6,659 CASES FOR A TOTAL OF 45,553 PATIENT DAYS. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense28066293Expense
Grants0Grants
Revenue34940174Revenue
DescriptionEXPENSES INCURRED (DIRECT EXPENSES ONLY ARE REFLECTED, INDIRECT EXPENSES OF APPROXIMATELY $3,117,459 ARE NOT INCLUDED ABOVE) IN PROVIDING MEDICALLY NECESSARY OUTPATIENT SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL, ORIGIN, RELIGION OR ABILITY TO PAY. DURING THE FISCAL YEAR ENDED JUNE 30, 2012 THERE WERE 191,458 CASES FOR A TOTAL OF 191,458 PATIENT DAYS. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense5750202Expense
Grants0Grants
Revenue5879623Revenue
DescriptionEXPENSES INCURRED (DIRECT EXPENSES ONLY ARE REFLECTED, INDIRECT EXPENSES OF APPROXIMATELY $638,703 ARE NOT INCLUDED ABOVE) IN PROVIDING MEDICALLY NECESSARY EMERGENCY ROOM SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL, ORIGIN, RELIGION OR ABILITY TO PAY. DURING THE FISCAL YEAR ENDED JUNE 30, 2012 THERE WERE 29,225 CASES FOR A TOTAL OF 29,225 PATIENT DAYS. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.Description
FieldValueIRS element (for citing)
Total Program Service Expense91701677TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvesttrueReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109656NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1258NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonCHRISANNE KATKOVCIN CPANamePerson
Telephone Number6107765150TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1421 W CHEW STREETAddressLine1
CityALLENTOWNCity
StatePAState
ZIP Code181023406ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (24 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
ROBERT ZENTZ
CHAIRMAN - DIRECTOR1.0XX000
DOUGLAS SHOENBERGER MD
FIRST VICE CHAIRMAN - DIRECTOR1.0XX000
JAMES FRONHEISER
SECOND VICE CHAIR - DIRECTOR1.0XX000
ANTHONY AUTERI MD
DIRECTOR1.0X000
TRICIA BERNECKER PHD
DIRECTOR1.0X000
RAVINDRA BOLLU MD
DIRECTOR1.0X000
MSGR JOHN GRABISH
DIRECTOR1.0X000
JOHN NESPOLI
DIRECTOR - PRESIDENT/CEO55.0XX049681219534
BRENT L PETERS
DIRECTOR1.0X000
WILLIAM SCHARLE
DIRECTOR1.0X000
MAHMOOD TAHIR MD
DIRECTOR - PRES MEDICAL STAFF12.0X6150000
STEPHEN A LANSHE ESQ
SECRETARY - VP GENERAL COUNSEL55.0X021702618400
DENNIS PFLEIGER
VP CLINICAL SERVICES55.0017210211489X
JOHN HRUBENAK
VP BUSINESS DEVELOPMENT55.0016489413662X
PATRICIA MATULA
VP NURSING (TERMED 9/8/11)55.0016452413732X
JOSEPH MIKITKA
VP HR (TERMED 11/23/11)55.0015393312862X
VALERIE DOWNING
VP PUBLIC RELATIONS55.0014643212412X
ANGIE LONG
VP NURSING (EFF 9/19/11)55.01008764123315184X
ANN MOLESEVICH
VP BEHAV. HEALTH (EFF 9/19/11)55.077922337629976X
FARROKH SADR MD
PHYSICIAN55.0250611016190X
RICHARD MARTIN MD
PHYSICIAN55.0211051016964X
DANIEL COLLER MD
PHYSICIAN55.0184464014689X
MIGUEL RUELAS SALGADO MD
PHYSICIAN55.0178993010960X
STANLEY YELLIN MD
PHYSICIAN55.0158967013311X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1224384TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1590718TotalReportableCompFrmRltdOrgs
Total Other Compensation199365TotalOtherCompensation
Number Individuals GT100 K30NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SODEXO
PO BOX 360170PITTSBURGHPA152516170FOOD SERVICE2209489
GRANT FACILITIES MANAGEMENT INC
88 FRIES MILL ROADTURNERSVILLENJ08012MANAGEMENT959935
QUEST DIAGNOSTICS
PO BOX 828669PHILADELPHIAPA191828669LAB538927
HCSC LAUNDRY
2171 28TH STREET SWALLENTOWNPA18103LAUNDRY378215
HAMILTON OBSTETRICS GYNECOLOGY
1941 W HAMILTON STREETALLENTOWNPA18104MEDICAL296190
FieldValueIRS element (for citing)
Number Of Contractors GT100 K15NumberOfContractorsGT100K
Fundraising Events88400FundraisingEvents
Government Grants47278GovernmentGrants
All Other Contributions1551730AllOtherContributions
Total Contributions1687408TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE REVENUE541900105480869105480869
OTHER HEALTHCARE RELATED REVENUE541900922858922858
FieldValueIRS element (for citing)
Total Program Service Revenue106403727TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column149806TotalRevenueColumn
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$149,806ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real597181Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real597181Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column597181TotalRevenueColumn
Exclusion$597,181ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities0Securities
Other6025Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities39157Securities
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-39157Securities
Other6025Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-33132TotalRevenueColumn
Exclusion-$33,132ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events32765GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events88400CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses32765FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Sales Of Inventory300212GrossSalesOfInventory
Cost Of Goods Sold112227CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column187985TotalRevenueColumn
Exclusion$187,985ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
PARKING812930339949$339,949
TELEVISION90009942730$42,730
TELEPHONE90009932129$32,129
FieldValueIRS element (for citing)
Total Other Revenue414808TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column109407783TotalRevenueColumn
Related Or Exempt Function Income106403727RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,316,648ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total29962Total
Program Services29962ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total258082Total
Program Services232274ProgramServices
Management And General25808ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total40314199Total
Program Services36282779ProgramServices
Management And General3950323ManagementAndGeneral
Fundraising81097Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total445391Total
Program Services400852ProgramServices
Management And General43091ManagementAndGeneral
Fundraising1448Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total6934548Total
Program Services6241093ProgramServices
Management And General671898ManagementAndGeneral
Fundraising21557Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3377137Total
Program Services3039423ProgramServices
Management And General330714ManagementAndGeneral
Fundraising7000Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total5834259Total
Program Services5250833ProgramServices
Management And General583426ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total114196Total
Program Services102776ProgramServices
Management And General11420ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total112060Total
Program Services100854ProgramServices
Management And General11206ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total13907Total
Program Services12516ProgramServices
Management And General1391ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total9468389Total
Program Services8521550ProgramServices
Management And General936708ManagementAndGeneral
Fundraising10131Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total286800Total
Program Services258120ProgramServices
Management And General28680ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1171738Total
Program Services1054564ProgramServices
Management And General113633ManagementAndGeneral
Fundraising3541Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total393018Total
Program Services353716ProgramServices
Management And General39302ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1540022Total
Program Services1386020ProgramServices
Management And General154002ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total169583Total
Program Services152625ProgramServices
Management And General16958ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total68124Total
Program Services61312ProgramServices
Management And General6812ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1736717Total
Program Services1563045ProgramServices
Management And General173672ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total5127342Total
Program Services4614608ProgramServices
Management And General512734ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1899032Total
Program Services1709129ProgramServices
Management And General189903ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
MEDICAL SUPPLIES149858331348725014985830
REPAIRS AND MAINTENANCE377766933999023777670
UTILITIES167969815117281679700
PROGRAM EXPENSES897322807590897320

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1252397Total
Program Services1127156ProgramServices
Management And General124594ManagementAndGeneral
Fundraising647Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total101887425Total
Program Services91701677ProgramServices
Management And General10060327ManagementAndGeneral
Fundraising125421Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2655BOY
EOY2863EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY5603294BOY
EOY4411057EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY1293919EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY11954515BOY
EOY10356268EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY3270757BOY
EOY3824594EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1981727BOY
EOY1879290EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1569266BOY
EOY1119058EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis146750408LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec115730760LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY31826321BOY
EOY31019648EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY13701940BOY
EOY14751456EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1040968BOY
EOY983781EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY70951443BOY
EOY69641934EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY19138433BOY
EOY15938562EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY27023481BOY
EOY22786522EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY3738869BOY
EOY3105600EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2594273BOY
EOY3719309EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY52495056BOY
EOY45549993EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY17045318BOY
EOY20643532EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY145965BOY
EOY2150225EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1265104BOY
EOY1298184EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY18456387BOY
EOY24091941EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY70951443BOY
EOY69641934EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses7520358ReconcilationRevenueExpenses
Reconcilation Other Changes-1884804ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$4,604DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$9,303OtherActivitiesAmount
Total Lobbying Expenditures IIB13907TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLOBBYING ACTIVITIESIdentifier
Return ReferenceSCHEDULE C, PART II-B; LINES 1G AND 1IReturnReference
ExplanationTHE ORGANIZATION HAS ALLOCATED TOWARD LOBBYING ACTIVITY A PERCENTAGE OF COMPENSATION PAID TO CERTAIN SENIOR MANAGEMENT PERSONNEL TO REPRESENT TIME SPENT ADDRESSING FEDERAL AND STATE HEALTHCARE MATTERS. THIS ALLOCATION AMOUNTED TO $4,604. THE ORGANIZATION IS A MEMBER OF THE HOSPITAL & 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 $9,303.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance2743989BeginningOfYearBalance
Contributions5053037Contributions
Investment Earnings Or Losses30968InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures2981690OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance4846304EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance1918806BeginningOfYearBalance
Contributions5967387Contributions
Investment Earnings Or Losses212855InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures5355059OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance2743989EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2126096BeginningOfYearBalance
Contributions2432752Contributions
Investment Earnings Or Losses-235523InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures2404519OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance1918806EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2889685BeginningOfYearBalance
Contributions456338Contributions
Investment Earnings Or Losses-557188InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures662739OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance2126096EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.31000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.27000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.42000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1435773OtherCostOrOtherBasis
Book Value1435773BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis70415677OtherCostOrOtherBasis
Depreciation48128486Depreciation
Book Value22287191BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis74044587OtherCostOrOtherBasis
Depreciation67602274Depreciation
Book Value6442313BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis854371OtherCostOrOtherBasis
Book Value854371BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings31019648TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (8 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
CASH AND CASH EQUIVALENTS3027613F
MUTUAL FUNDS601996F
MORTGAGE BACKED SECURITIES2424253F
CORPORATE BONDS141762F
U.S. GOVERNMENT SECURITIES1777904F
AGREEMENT5456782F
AGREEMENT22962F
PERPETUAL TRUSTS1298184F
FieldValueIRS element (for citing)
Total Of Book Value Program Related14751456TotalOfBookValueProgramRelated
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO THIRD-PARTY PAYORSDescription
Amount$3,719,309Amount
FieldValueIRS element (for citing)
Total Of Amounts3719309TotalOfAmounts
Total Revenue109407783TotalRevenue
Total Expenses101887425TotalExpenses
Excess Or Deficit For Year7520358ExcessOrDeficitForYear
Net Unrealized GL On Investments-4442NetUnrealizedGLOnInvestments
Other-$1,880,362OtherAmount
Total Adjustments-1884804TotalAdjustments
Excess Or Deficit Per FS5635554ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt109515568TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-4442NetUnrealizedGainsInvestments
Other Revenues112227OtherRevenues
Revenue Not Rptd F990107785RevenueNotRptdF990
Revenue Subtotal109407783RevenueSubtotal
Total Revenue Per Form990109407783TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt101999652TotExpensesEtcAuditedFinclStmt
Other Expenses Included112227OtherExpensesIncluded
Expenses Not Rptd F990112227ExpensesNotRptdF990
Expenses Subtotal101887425ExpensesSubtotal
Total Expenses Per Form990101887425TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ENDOWMENT FUNDSSCHEDULE D, PART V, QUESTION 4RESTRICTED FUNDS ARE USED TO SUPPORT THE CHARITABLE ACTIVITIES AND PROGRAMS OF THE ORGANIZATION AND ITS AFFILIATES.
TEXT OF FIN 48 AUDITED FINANCIAL STATEMENT FOOTNOTESCHEDULE D, PART XTHE ORGANIZATION IS AN AFFILIATE OF SACRED HEART HEALTHCARE SYSTEM ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE SYSTEM ISSUES CONSOLIDATED AUDITED FINANCIAL STATEMENTS WHICH INCLUDE ALL RELATED ENTITIES; INCLUDING THIS ORGANIZATION. THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ALSO CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. IN ADDITION, AN INDEPENDENT CPA FIRM AUDITED THE FINANCIAL STATEMENTS OF SACRED HEART HOSPITAL FOR THE YEARS ENDED JUNE 30, 2012 AND JUNE 30, 2011; RESPECTIVELY. THE FIN 48 FOOTNOTE BELOW IS FROM THE ORGANIZATIONS'S YEAR ENDED JUNE 30, 2012 AUDITED FINANCIAL STATEMENTS. THE ORGANIZATION IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON ITS EXEMPT INCOME UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES BY PRESCRIBING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2012 OR 2011.
REC. OF CHANGE IN NET ASSETS FROM 990 TO AUDITED FINANCIAL STATEMENTSSCHEDULE D, PART XI; LINE 8OTHER CHANGES IN FUND BALANCE INCLUDE: - NET ASSETS RELEASED FROM RESTRICTION FOR CAPITAL PURPOSE, $611,095; - TRANSFERS TO AFFILIATE, NET, ($4,528,797); - TEMPORARILY RESTRICTED CONTRIBUTIONS AND GRANT INCOME, $3,512,458; - NET ASSETS RELEASED FROM TEMPORARY RESTRICTION FOR CAPITAL PURPOSES, ($611,095); - NET ASSETS RELEASED FROM TEMPORARY RESTRICTION FOR OPERATING PURPOSES, ($897,103); - CHANGE IN FAIR VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUSTS, $33,080.
RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTSSCHEDULE D, PART XII; LINE 2DOTHER RECONCILIATION ITEMS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART VIII, LINE 12 INCLUDE: - COST OF GOODS SOLD, $112,227
RECONCILIATION OF EXPENSES PER AUDITED FINANCIAL STATEMENTSSCHEDULE D, PART XIII; LINE 2DOTHER RECONCILIATION ITEMS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART IX, LINE 25 INCLUDE: - COST OF GOODS SOLD, $112,227

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1LINKS TO HEARTNameOfEvent1
Gross Receipts Event151830GrossReceiptsEvent1
Charitable Contributions Event135644CharitableContributionsEvent1
Gross Revenue Event116186GrossRevenueEvent1
Food And Beverage Event14333FoodAndBeverageEvent1
Other Direct Expenses Event111853OtherDirectExpensesEvent1
Name Of Event2NGHT OF CHANCENameOfEvent2
Gross Receipts Event269335GrossReceiptsEvent2
Charitable Contributions Event252756CharitableContributionsEvent2
Gross Revenue Event216579GrossRevenueEvent2
Food And Beverage Event213414FoodAndBeverageEvent2
Entertainment Event22981EntertainmentEvent2
Other Direct Expenses Event2184OtherDirectExpensesEvent2
Total Number Of Other Events0TotalNumberOfOtherEvents
Gross Receipts Total121165GrossReceiptsTotal
Charitable Contributions Total88400CharitableContributionsTotal
Gross Revenue Total Events32765GrossRevenueTotalEvents
Food And Beverage Total Events17747FoodAndBeverageTotalEvents
Entertainment Total Events2981EntertainmentTotalEvents
Other Direct Expenses Total Events12037OtherDirectExpensesTotalEvents
Direct Expense Summary Events32765DirectExpenseSummaryEvents

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent150XPcent150
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent250XPcent250
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReportfalseAnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense582816TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense582816NetCommunityBenefitExpense
Percent Of Total Expense0.00570PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense20403920TotalCommunityBenefitExpense
Direct Offsetting Revenue14223991DirectOffsettingRevenue
Net Community Benefit Expense6179929NetCommunityBenefitExpense
Percent Of Total Expense0.06070PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense20986736TotalCommunityBenefitExpense
Direct Offsetting Revenue14223991DirectOffsettingRevenue
Net Community Benefit Expense6762745NetCommunityBenefitExpense
Percent Of Total Expense0.06640PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense311215TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense311215NetCommunityBenefitExpense
Percent Of Total Expense0.00310PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense4018045TotalCommunityBenefitExpense
Direct Offsetting Revenue1310712DirectOffsettingRevenue
Net Community Benefit Expense2707333NetCommunityBenefitExpense
Percent Of Total Expense0.02660PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense1501944TotalCommunityBenefitExpense
Direct Offsetting Revenue888224DirectOffsettingRevenue
Net Community Benefit Expense613720NetCommunityBenefitExpense
Percent Of Total Expense0.00600PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense4095TotalCommunityBenefitExpense
Direct Offsetting Revenue1000DirectOffsettingRevenue
Net Community Benefit Expense3095NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense27125TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense27125NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense5862424TotalCommunityBenefitExpense
Direct Offsetting Revenue2199936DirectOffsettingRevenue
Net Community Benefit Expense3662488NetCommunityBenefitExpense
Percent Of Total Expense0.03600PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense26849160TotalCommunityBenefitExpense
Direct Offsetting Revenue16423927DirectOffsettingRevenue
Net Community Benefit Expense10425233NetCommunityBenefitExpense
Percent Of Total Expense0.10240PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense31030TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense31030NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense9618TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense9618NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense6147TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense6147NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense46795TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense46795NetCommunityBuildingExpense
Percent Of Total Expense0.00050PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$14,765,443BadDebtExpenseAmount
Amount Attributable To7751858AmountAttributableTo
Amount Reimbursed By Medicare29788790AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare26734560CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall3054230MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1SACRED HEART HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1421 CHEW STREETAddressLine1
CityALLENTOWNCity
StatePAState
ZIP Code181023490ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Er24 HoursXEr24Hours
OtherBEHAVIORAL HEALTH, HOME HEALTH, HOSPICE SERVICESOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1SACRED HEART HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent150.FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent250.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiestrueCollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargestrueGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities12NumberOfOtherFacilities

Other Facilities OtherFacilities (12 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
SH CARDIOVASCULAR CENTER
325 NORTH 5TH STREET SUITE 2001ALLENTOWNPA18102OUTPATIENT FACILITY
SH IMAGING NORTHAMPTON
602 B EAST 21ST STREETNORTHAMPTONPA18067OUTPATIENT FACILITY
SH VISITING NURSES
2268 S 12TH STREET 4TH FLOORALLENTOWNPA18103OUTPATIENT FACILITY
NUCLEAR MEDICINE
325 NORTH 5TH STREETALLENTOWNPA18102OUTPATIENT FACILITY
SH HOSPICE
2268 S 12TH STREET 4TH FLOORALLENTOWNPA18103OUTPATIENT FACILITY
ALLENTOWN FAMILY PRACTICE
450 CHEW STREET SUITE 101ALLENTOWNPA18102OUTPATIENT FACILITY
SACRED HEART OUTPATIENT REHAB SERVICES
325 NORTH 5TH STREETALLENTOWNPA18102OUTPATIENT FACILITY
LANSHE BREAST CENTER
451 CHEW STREET SUITE 210ALLENTOWNPA18102OUTPATIENT FACILITY
CENTER FOR CANCER CARE
325 NORTH 5TH STREETALLENTOWNPA18102OUTPATIENT FACILITY
SH PEDIATRIC AND ADOLESCENT SERVICES
450 CHEW STREET SUITE 202ALLENTOWNPA18102OUTPATIENT FACILITY
OBGYN SERVICES
450 CHEW STREET SUITE 201ALLENTOWNPA18102OUTPATIENT FACILITY
SH DENTAL CENTER
450 CHEW STREET SUITE 201ALLENTOWNPA18102OUTPATIENT FACILITY

Form990 Schedule H Part VI Form990ScheduleHPartVI (17 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
COMMUNITY BENEFIT REPORTSCHEDULE H, PART I, LINE 6ANOT APPLICABLE.
SUBSIDIZED HEALTH SERVICESSCHEDULE H, PART I, LINE 7ALL OF LINE 7 G IS ATTRIBUTABLE TO CLINICS AND OTHER SUBSIDIZED HEALTH SERVICES RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS CONSTITUTING COMMUNITY BENEFIT.
PERCENT OF TOTAL EXPENSESCHEDULE H, PART I; QUESTIONS 7 COLUMN (F)BAD DEBT EXPENSE OF $14,765,443 WAS EXCLUDED WHEN CALCULATING THE RATIO OF COST TO CHARGES.
CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFIT COSTSCHEDULE H, PART I, QUESTION 7WITH THE EXCEPTION OF LINE G, THE COST TO CHARGE RATIO, CALCULATED BY USING WORKSHEET 2, WAS APPLIED. FOR LINE G - THE ACTUAL DEPARTMENTAL COST TO CHARGE RATIO WAS APPLIED.
BAD DEBT EXPENSESCHEDULE H, PART III, SECTION A; QUESTION 4BAD DEBT EXPENSE WAS CALCULATED USING THE ORGANIZATION'S BAD DEBT EXPENSE FROM ITS AUDITED FINANCIAL STATEMENTS, NET OF ACCOUNTS WRITTEN OFF AT CHARGES AND MULTIPLIED BY ITS COST TO CHARGE RATIO. THE ORGANIZATION PREPARES AND ISSUES AUDITED FINANCIAL STATEMENTS. THE ATTACHED TEXT WAS OBTAINED FROM THE FOOTNOTES TO THE AUDITED FINANCIAL STATEMENTS OF THE ORGANIZATION. ACCOUNTS RECEIVABLE, PATIENTS ARE REPORTED AT NET REALIZABLE VALUE. ACCOUNTS ARE WRITTEN OFF WHEN THEY ARE DETERMINED TO BE UNCOLLECTIBLE BASED UPON MANAGEMENT'S ASSESSMENT OF INDIVIDUAL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUAL AMOUNTS DUE AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE BILLED RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE HOSPITAL'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS INCREASED TO 85% OF SELF-PAY ACCOUNTS RECEIVABLE AT JUNE 30, 2012, FROM 84% OF SELF-PAY ACCOUNTS RECEIVABLE AT JUNE 30, 2011. IN ADDITION, THE HOSPITAL'S SELF-PAY ACCOUNT WRITE-OFFS (NET OF RECOVERIES) INCREASED TO $14,765,000 IN 2012 FROM $13,648,000 IN 2011. THE INCREASES WERE THE RESULT OF A 6% CHARGE INCREASE AND AN INCREASE IN THE NUMBER OF ACCOUNTS WRITTEN OFF. THE HOSPITAL HAS NOT CHANGED ITS FINANCIAL ASSISTANCE POLICY IN 2012 OR 2011. THE HOSPITAL DOES NOT MAINTAIN A MATERIAL ALLOWANCE FOR DOUBTFUL ACCOUNTS FROM THIRD-PARTY PAYORS, NOR DID IT HAVE SIGNIFICANT WRITE-OFFS FROM THIRD-PARTY PAYORS.
COMMUNITY BENEFITSCHEDULE H, PART III, SECTION B; QUESTION 8MEDICARE 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.
COLLECTION POLICYSCHEDULE H, PART III, SECTION C; QUESTION 9BA COMPUTERIZED STATEMENT IS GENERATED WITHIN 30 DAYS AFTER AN ACCOUNT INDICATES A REMAINING PATIENT LIABILITY. FOLLOW-UP STATEMENTS ARE MAILED AT 30-DAY CYCLES THEREAFTER, FOR A TOTAL OF THREE STATEMENTS. AFTER THREE STATEMENTS AND NO RESPONSE THE ACCOUNTS ARE TRANSFERRED TO A COLLECTION AGENCY WORK LIST FOR EITHER REFERENCE TO COLLECTIONS OR ADDITIONAL COLLECTION ACTIVITIES. THE COLLECTORS ASK THE PATIENT FOR PROMISE TO PAY AND A DATE. IF THE PATIENT CANNOT PAY IN FULL, THE COLLECTOR WILL SET UP FOR CONTRACT PAYMENTS WITH FOLLOW UP STATEMENTS BASED ON A SCHEDULE.
FACILITY INFORMATIONSCHEDULE H, PART V, SECTION B, QUESTIONS 1J, 3, 4, 5C, 6I & 7NOT APPLICABLE.
FACILITY INFORMATIONSCHEDULE H, PART V, SECTION B, QUESTIONS 9,10,11H,15E,16E,17E,18D & 20NOT APPLICABLE.
FACILITY INFORMATIONSCHEDULE H, PART V, SECTION B, QUESTION 19DSLIDING FEE SCHEDULE.
FACILITY INFORMATIONSCHEDULE H, PART V, SECTION B, QUESTION 21FOR PATIENTS THAT COULD NOT BE CONTACTED FOR INFORMATION, THE TOTAL AMOUNT IS SENT TO COLLECTION. WHEN NO PATIENT FINANCIAL INFORMATION IS AVAILABLE DUE TO NON-COOPERATION BY THE PATIENT, A REVIEW OF CHARGES FOR CHARITY DISCOUNT CANNOT OCCUR.
NEEDS ASSESSMENTSCHEDULE H, PART VI; QUESTION 2SACRED HEART HOSPITAL, IN CONJUNCTION WITH THREE OTHER REGIONAL NON-PROFIT HOSPITALS AND A LOCAL TRUST ARE COLLABORATING ON A COMMUNITY HEALTH NEEDS ASSESSMENT AND ACTION PLAN. INTERNALLY, SACRED HEART HOSPITAL HAS CREATED A COMMUNITY HEALTH COMMITTEE COMPRISED OF BOARD MEMBERS AND STAFF THAT WILL ADMINISTER THE IMPLEMENTATION OF THE ACTION PLAN. THE OBJECTIVE OF THIS COLLABORATION IS TO DEVELOP A COMMUNITY HEALTH NEEDS ASSESSMENT THAT WILL FULFILL THE REQUIREMENTS OF SECTION 9007 OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT. JUST AS IMPORTANTLY AND IN THE SPIRIT OF THIS ACT, THE GROUP'S FINDINGS WILL SERVE AS A VEHICLE TO PROMOTE BETTER COOPERATION AMONG ITS MEMBERS AND OUR COMMUNITY PARTNERS WHILE CREATING A PLAN OF ACTION THAT WILL ALLOW US TO BETTER SERVE THE HEALTH CARE NEEDS OF THE REGION. A COMMUNITY PROFILE (A PUBLIC ANALYSIS OF THE FINDINGS) WILL BE UPLOADED TO THE PUBLIC WEBSITES OF THE COALITION MEMBERS IN THE FALL OF 2012 AND PUBLIC HEARINGS RELATING TO THIS PROFILE ARE SCHEDULED FOR DECEMBER 2012. THE FINAL COMMUNITY HEALTH NEEDS ASSESSMENT WILL BE AVAILABLE IN JANUARY 2013 AND AN ACTION PLAN WILL BE DEVELOPED BY EARLY SPRING OF 2013. ALL DOCUMENTS WILL BE ACCEPTED AND APPROVED BY THE SACRED HEART HOSPITAL BOARD OF DIRECTORS BY MAY 2013.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCESCHEDULE H, PART VI; QUESTION 3ON EACH OF THE BILLING STATEMENTS IT STATES: "SACRED HEART HOSPITAL PROVIDES FREE CARE TO PERSONS WHO QUALIFY. IF YOU CANNOT AFFORD THE COST OF YOUR CARE, YOU ARE ENCOURAGED TO APPLY FOR FREE CARE BY CALLING 610-776-4566". IF THE PATIENT CALLS IN, THE HOSPITAL WOULD HELP SCREEN THEM FOR MEDICAL ASSISTANCE (MA) ELIGIBILITY AND REFER TO ADREIMA, ADVANCED REIMBURSEMENT MANAGEMENT TO DO AN MA APPLICATION IF APPROPRIATE. IF THE PATIENT DOES NOT QUALIFY FOR MA, THE HOSPITAL WOULD REQUEST THE NECESSARY DOCUMENTATION TO DETERMINE ELIGIBILITY FOR CHARITY. FOR THE PATIENTS THAT DO NOT QUALIFY FOR MA OR CHARITY, THE HOSPITAL OFFERS A 25% SELF PAY DISCOUNT OR A PAYMENT PLAN. IN ADDITION TO THE STATEMENTS THIS INFORMATION IS PROVIDED IN ADMISSION PACKETS, AT REGISTRATION, IN THE EMERGENCY FACILITY, ON ALL BILLS AND ON THE HOSPITAL'S WEB SITE.
COMMUNITY INFORMATIONSCHEDULE H, PART VI; QUESTION 4SACRED HEART HOSPITAL IS LOCATED IN THE LOWEST PER CAPITA INCOME ZIP CODE IN ALLENTOWN, PA. OVER 50% OF THE POPULATION OF ALLENTOWN IS MINORITY, IN THE SCHOOLS IT IS MORE LIKE 70-80% MINORITY. ALLENTOWN SCHOOL DISTRICT HAS 86% OF ITS STUDENTS RECEIVING FREE OR REDUCED LUNCH, AN INDICATOR OF POVERTY. MANY CHILDREN IN ALLENTOWN ARE INSURED BY PA-CHIP OR HAVE NO INSURANCE BECAUSE THEY MAY BE ILLEGALLY IN THE UNITED STATES WITH THEIR FAMILIES. A TOTAL OF 78% OF INPATIENTS HAVE EITHER GOVERNMENT PAID INSURANCE (MEDICARE/MEDICAID, MA MANAGED CARE) OR ARE SELF-PAY; OF OUTPATIENT CARE, 66% IS PAID BY GOVERNMENT INSURANCE OR SELF-PAY.
PROMOTION OF COMMUNITY HEALTHSCHEDULE H, PART VI; QUESTION 5THE EXAMPLES LISTED IN NEEDS ASSESSMENT HELP BUILD OUR COMMUNITY BY IMPROVING THE HEALTH STATUS OF CHILDREN, IMPROVING IMMUNIZATION RATES, PROVIDE CARE FOR CHRONIC DISEASE MANAGEMENT (ASTHMA, DIABETES, OBESITY). PARISH NURSING PROVIDES NEEDED ACCESS TO CARE FOR THE MOST INDIGENT OF ALLENTOWN, INCLUDING THE HOMELESS AND UNDOCUMENTED INDIVIDUALS.
AFFILIATED HEALTHCARE SYSTEMSCHEDULE H, PART VI; QUESTION 6OUTLINED BELOW IS A SUMMARY OF THE ENTITIES WHICH COMPRISE SACRED HEART HEALTHCARE SYSTEM: NOT FOR-PROFIT SACRED HEART HEALTHCARE SYSTEM ENTITIES: SACRED HEART HEALTHCARE SYSTEM SACRED HEART HEALTHCARE SYSTEM IS THE TAX-EXEMPT PARENT OF SACRED HEART HEALTHCARE SYSTEM ("SYSTEM"). 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. THE SYSTEM'S IS AN INTEGRATED HEALTHCARE SYSTEM OF PROVIDERS THROUGHOUT THE STATE OF PENNSYLVANIA. SACRED HEART HEALTHCARE SYSTEM 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, SACRED HEART HEALTHCARE SYSTEM STRIVES TO CONTINUALLY DEVELOP AND OPERATE A 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. SACRED HEART HEALTHCARE SYSTEM ENSURES THAT THE SYSTEM 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. SACRED HEART HEALTHCARE SYSTEM INCLUDES SACRED HEART HOSPITAL. THE HOSPITAL OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. OPERATES AN ACTIVE EMERGENCY ROOM FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL RESTS WITH ITS BOARD OF DIRECTORS AND THE BOARD OF DIRECTORS OF SACRED HEART HEALTHCARE SYSTEM. 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. SACRED HEART HOSPITAL SACRED HEART HOSPITAL IS A 215-BED NON-PROFIT CATHOLIC MEDICAL CENTER HOSPITAL LOCATED IN ALLENTOWN, PENNSYLVANIA. SACRED HEART 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, SACRED HEART HOSPITAL OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. SACRED HEART FOUNDATION SACRED HEART FOUNDATION 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). THROUGH MANAGEMENT SERVICES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF SACRED HEART HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT 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. SH REALTY CORPORATION SH REALTY CORPORATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(2). THE ORGANIZATION SUPPORTS SACRED HEART HOSPITAL, A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT 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, AND IS PRIMARILY RESPONSIBLE FOR THE MANAGEMENT AND OPERATION OF RENTAL SPACE FOR VARIOUS AFFILIATES OF THE SACRED HEART HEALTHCARE SYSTEM. FOR-PROFIT SACRED HEART HEALTHCARE SYSTEM ENTITIES: SACRED HEART ANCILLARY SERVICES, INC. SACRED HEART ANCILLARY SERVICES, INC. IS A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS SACRED HEART HEALTHCARE SYSTEM. THE ORGANIZATION IS LOCATED IN ALLENTOWN, LEHIGH COUNTY, PENNSYLVANIA. THE ORGANIZATION PROVIDES HEALTHCARE SERVICES TO INDIVIDUALS.
STATE FILING OF COMMUNITY BENEFIT REPORTSCHEDULE H, PART VI, QUESTION 7NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN PENNSYLVANIA. NO COMMUNITY BENEFIT REPORT IS FILED WITH THE STATE OF PENNSYLVANIA.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
GREATER LV CHAMBER OF COMMERCE
158A NORTHAMPTON STREETEASTONPA18042230337580501(C)(3)12060GENERAL SUPPORT
CATHOLIC CHARITIES DIOCESES OF ALLENTOWN
530 UNION BOULEVARDALLENTOWNPA181093230231598117501(C)(3)6100GENERAL SUPPORT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierGRANT AND FUND MONITORINGIdentifier
Return ReferenceSCHEDULE I, PART I; QUESTION 2ReturnReference
ExplanationGRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JOHN NESPOLI
038175001101600490207573011961051634600
STEPHEN A LANSHE ESQ
0168927047685041403466014934023542600
DENNIS PFLEIGER
0137497034425018000011489018359100
JOHN HRUBENAK
0131330033150041402650011012017855600
PATRICIA MATULA
09172303315003965101874011858017825600
JOSEPH MIKITKA
011320803060001012502258010604016679500
VALERIE DOWNING
0116927029325018002344010068015884400
ANGIE LONG
74101410982677500135001083843461117144557900
FARROKH SADR MD
2487670001844050370111530266801000
RICHARD MARTIN MD
2099300001121042780126860228015000
DANIEL COLLER MD
183642000822037140109750199153000
MIGUEL RUELAS SALGADO MD
178881000112000109600189953000
STANLEY YELLIN MD
158145000822031850101260172278000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
COMPENSATION INFORMATIONPART VII AND SCHEDULE JTAXABLE COMPENSATION REPORTED HEREIN IS DERIVED FROM 2011 FORMS W-2.
COMPENSATION INFORMATIONSCHEDULE J, PART I; QUESTION 4ATHE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE PAYMENT DURING 2011. THESE AMOUNTS WERE INCLUDED IN EACH INDIVIDUAL'S 2011 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: PATRICIA MATULA, $38,760 AND JOSEPH MIKITKA, $9,415.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1ALLENTOWN AREA HOSPITAL AUTHORITYBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN231653718IssuerEIN
CUSIP Number018347EP5CUSIPNumber
Date Issued2005-12-01DateIssued
Issue Price26621216IssuePrice
Description Of PurposeTO REFUND SERIES 1993 BONDSDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired12280000AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds30800379TotalProceeds
Amount In Reserve Fund2665158AmountInReserveFund
Capitalized Interest0CapitalizedInterest
Refunding Escrow27467113RefundingEscrow
Issuance Costs From Proceeds552904IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures0CapitalExpenditures
Other Spent Proceeds0OtherSpentProceeds
Amount Unspent0AmountUnspent
Year Of Subst Completion2005YearOfSubstCompletion
Current RefundingtrueCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementstrueAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtytrueMngmentCntrctBondFinancdPrprty
Engage Bond Counsel ContractsfalseEngageBondCounselContracts
Any Research AgreementsfalseAnyResearchAgreements
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Post Issuance Compliance ProcdrsfalsePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatetrueExceptionToRebate
FieldValueIRS element (for citing)
Fed Tax Requirements ComplianceXFedTaxRequirementsCompliance

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierTAX-EXEMPT BONDSIdentifier
Return ReferenceSCHEDULE K; PART VIReturnReference
ExplanationSACRED HEART HOSPITAL WILL UNDERTAKE A PRIVATE USE ANALYSIS IN CONJUNCTION WITH A POTENTIAL REFINANCING TO OCCUR WITHIN THE NEXT 12 TO 18 MONTHS.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
COMMUNITY BENEFIT STATEMENTCORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTSSACRED HEART HEALTHCARE SYSTEM IS A NOT-FOR-PROFIT ENTITY THAT OPERATES AS THE PARENT ORGANIZATION OF SACRED HEART HOSPITAL, SACRED HEART ANCILLARY SERVICES, INC., SACRED HEART FOUNDATION AND S H REALTY CORPORATION. SACRED HEART HOSPITAL, A NOT-FOR-PROFIT ENTITY, PROVIDES ACUTE CARE SERVICES TO THE LOCAL COMMUNITY. SACRED HEART ANCILLARY SERVICES, INC. IS A PENNSYLVANIA FOR-PROFIT ENTITY PROVIDING PHARMACY AND INFUSION SERVICES TO THE GENERAL PUBLIC. SACRED HEART FOUNDATION IS A NOT-FOR PROFIT ENTITY PROVIDING MANAGEMENT SERVICES. S H REALTY CORPORATION, A NOT-FOR-PROFIT ENTITY, HOLDS REAL ESTATE. MISSION: SACRED HEART HEALTHCARE SYSTEM IS COMMITTED TO PROVIDING HEALTH CARE AND WELLNESS, FROM CONCEPTION TO NATURAL DEATH, THROUGH QUALITY SERVICES AND PROGRAMS BASED ON THE CATHOLIC ETHICAL AND RELIGIOUS DIRECTIVES. OUR HEALTH CARE NETWORK CONTINUES ITS LEADERSHIP IN THE COMMUNITY THROUGH COLLABORATION AND AFFILIATION WITH RECOGNIZED REGIONAL AND NATIONAL EXPERTS. WE ASSURE THAT THE SYSTEM WILL REMAIN VIABLE BY PROVIDING COST EFFECTIVE AND VALUE-DRIVEN SERVICES. A PROGRAM OF CONTINUOUS PERFORMANCE IMPROVEMENT ENABLES US TO RESPOND TO THE NEEDS OF THE COMMUNITY WHILE GIVING MEANINGFUL EMPLOYMENT, EDUCATION AND TRAINING TO OUR EMPLOYEES. IN FULFILLING THIS MISSION, SACRED HEART HEALTHCARE SYSTEM RECOGNIZES THE DIGNITY AND ETERNAL DESTINY OF EACH INDIVIDUAL WITH SPECIAL CONCERN FOR THE SICK AND THE POOR. SACRED HEART HOSPITAL IS LOCATED IN AN AREA WITH A HIGH CONCENTRATION OF LOW INCOME HOUSEHOLDS. AS A RESULT, THE HOSPITAL PROVIDES CARE TO A LARGE NUMBER OF INDIGENT PATIENTS. IN THE FISCAL YEAR ENDED JUNE 30, 2012 PATIENTS WITH MEDICAID, MA MANAGED CARE OR NO INSURANCE AT ALL MADE UP 27% OF SACRED HEART'S INPATIENT VOLUME AND 33% OF ITS OUTPATIENT VOLUME. THE HOSPITAL PROVIDES CHARITY CARE TO PATIENTS WHO MEET CERTAIN CRITERIA BY PROVIDING SERVICES AT A REDUCED RATE OR AT NO CHARGE AT ALL. IN FISCAL YEAR 2012 THE HOSPITAL WROTE OFF $2.9 MILLION IN CHARGES PURSUANT TO ITS CHARITY CARE POLICY. ALSO, IN RECOGNIZING ITS MISSION TO THE COMMUNITY, THE HOSPITAL PROVIDES CARE TO PERSONS COVERED BY MEDICAL ASSISTANCE WHICH REIMBURSES THE HOSPITAL BELOW INCURRED COSTS. SACRED HEART HOSPITAL ("SHH") IS A GENERAL MEDICAL, SURGICAL AND TEACHING HOSPITAL. SHH IS RECOGNIZED BY THE IRS AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. SHH IS AN AFFILIATE OF THE SACRED HEART HEALTHCARE SYSTEM; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. PURSUANT TO ITS CHARITABLE PURPOSES, SHH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, SHH OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1) SHH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2) SHH OPERATES AN ACTIVE EMERGENCY DEPARTMENT FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3) SHH MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; AND 4) CONTROL OF SHH RESTS WITH ITS BOARD OF DIRECTORS; WHICH IS COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY. 5) SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES. THE MISSIONARY SISTERS OF THE MOST SACRED HEART RELIGIOUS ORDER IN GERMANY ARRIVED IN ALLENTOWN ON JUNE 15, 1912 TO HELP CARE FOR THE SICK AND INJURED OF THE SACRED HEART PARISH DURING A WIDESPREAD DIPHTHERIA OUTBREAK. AS DIPHTHERIA RAGED, THE SISTERS GAVE DISPENSARY SERVICES AS WELL AS VISITING NURSE SERVICES. THIS WAS THE ACTUAL "START" OF SACRED HEART HOSPITAL. IN 1915, THE ACTUAL FOUNDING OF SACRED HEART HOSPITAL AS A COMMUNITY INSTITUTION WAS FORMALIZED AND DEDICATED. TWO YEARS LATER, SACRED HEART HOSPITAL WAS OFFICIALLY INCORPORATED UNDER PENNSYLVANIA LAW. IN 1920, SACRED HEART HOSPITAL RECEIVED APPROVAL TO TRAIN INTERNS AND IN 1922 WAS ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS. SINCE THEN, SACRED HEART HOSPITAL HAS EXPANDED ITS CAMPUS AND ITS REACH ACROSS OUR COMMUNITY. OUR CAMPUS INCLUDES A 215-BED CATHOLIC MEDICAL CENTER WHICH OFFERS A WIDE RANGE OF ADVANCED MEDICAL, SURGICAL AND OUTPATIENT HOSPITAL SERVICES. SACRED HEART HEALTHCARE SYSTEM AND ITS AFFILIATES ("SACRED HEART") PROVIDE A VAST RANGE OF SPECIALTY SERVICES AT OUR 421 CHEW STREET LOCATION IN ALLENTOWN, PA, INCLUDING BARIATRIC SERVICES, BEHAVIORAL HEALTH, CANCER CARE, CARDIAC SERVICES, EMERGENCY SERVICES, ENDOVASCULAR SERVICES, IMAGING SERVICES, LABORATORY SERVICES, LUNG AND RESPIRATORY SERVICES, NEURODIAGNOSTIC TESTING, NEUROLOGY, ORTHOPEDICS, PAIN MANAGEMENT, SENIOR SERVICES, SLEEP DISORDERS, STROKE CARE, SURGICAL SERVICES, TRANSITIONAL CARE, WOMEN'S HEALTH AND WOUND CARE SERVICES. IN ADDITION TO HOSPITAL SERVICES, SACRED HEART PROVIDES AN EXTENSIVE LIST OF MEDICAL SERVICES OUTSIDE OF THE HOSPITAL TO BETTER MEET THE NEEDS OF OUR PATIENTS AND COMMUNITY POPULATIONS. A NETWORK OF PHYSICIAN PRACTICES THROUGHOUT LEHIGH AND NORTHAMPTON COUNTIES PROVIDES COMPLETE PRIMARY MEDICAL CARE TO THE REGION'S RESIDENTS. IN ADDITION TO THE PHYSICIAN PRACTICES, SACRED HEART PROVIDES ACCESS TO OUTPATIENT SERVICES INCLUDING LABORATORY, IMAGING, RETAIL PHARMACY, INFUSION, MEDICAL EQUIPMENT, RESPIRATORY AND OUTPATIENT REHABILITATION. SACRED HEART OFFERS OUTREACH TO COMMUNITY MEMBERS IN NEED OF CARE THROUGH ITS VIBRANT HOME HEALTH PROGRAM REACHING PATIENTS IN THEIR HOME ENVIRONMENT AFTER HOSPITALIZATION OR MEDICAL CARE. SACRED HEART'S HOSPICE PROGRAM SUPPORTS MANY FAMILIES WITH A GOAL OF ENABLING TERMINALLY ILL PATIENTS, YOUNG AND OLD, TO LIVE LIFE TO THE FULLEST IN THEIR HOMES AMONG FAMILY AND FRIENDS. THROUGH FOUR PARISH NURSES, SACRED HEART IMPACTS CONGREGATIONS OF INDIVIDUALS, PROVIDING HOLISTIC NURSING CARE TO FAITH COMMUNITY MEMBERS ACROSS THE LIFE SPAN AND FACILITATES WELLNESS AND THE PROMOTION OF A HEALING COMMUNITY. SACRED HEART ALSO FUNCTIONS AS AN EDUCATOR FOR PARISH NURSES THROUGHOUT THE LEHIGH VALLEY THROUGH THE PARISH NURSING COALITION OF THE GREATER LEHIGH VALLEY. TO HELP ENSURE CHILDREN IN OUR COMMUNITY RECEIVE HIGH QUALITY HEALTH CARE, SACRED HEART PROVIDES CARE THROUGH FIVE SCHOOL-BASED HEALTH CENTERS. OUR GOAL FOR THE CENTERS IS TO PROVIDE ACCESSIBLE AND AFFORDABLE CHILDREN'S HEALTH CARE AND TO OFFER HEALTH EDUCATION TO THE CHILDREN AND THEIR FAMILIES. THESE CENTERS ARE HOUSED IN ELEMENTARY SCHOOLS IN THE ALLENTOWN SCHOOL DISTRICT. IN ADDITION TO SCHOOL-BASED HEALTH CENTERS, SACRED HEART OFFERS A PEDIATRIC PRACTICE TO MEET THE NEEDS OF OUR YOUNGEST CITIZENS. SACRED HEART OFFERS A DENTAL CLINIC TO MEET INCREASED NEED FOR ADULTS AND CHILDREN IN OUR COMMUNITY AS WELL AS AN OB/GYN CLINIC TO MEET THE NEEDS OF WOMEN IN OUR COMMUNITY. THROUGHOUT SACRED HEART HEALTHCARE SYSTEM 287,615 PATIENTS WERE SERVICED FROM JULY 1, 2011 TO JUNE 30, 2012. SACRED HEART HEALTHCARE SYSTEM IS PROUD TO OFFER RESIDENCIES AND EDUCATIONAL PROGRAMS TO PHYSICIANS AND OTHER HEALTH CARE PROFESSIONALS. WE OFFER THREE RESIDENCY PROGRAMS AS WELL AS A LUNCH & LEARN LECTURE SERIES ABOUT GERIATRICS AND VARIOUS HEALTH CARE TOPICS. SACRED HEART HEALTHCARE SYSTEM OFFERS DENTAL MEDICINE, FAMILY MEDICINE, AND GERIATRIC MEDICINE RESIDENCY PROGRAMS. OUR FAMILY MEDICINE RESIDENCY PROGRAM ALSO INCLUDES AN OSTEOPATHIC MEDICINE RESIDENCY OPTION. SACRED HEART HEALTHCARE SYSTEM IS COMMITTED TO PROVIDING HIGH QUALITY HEALTH CARE TO ALL PEOPLE. WE HAVE RECEIVED RECOGNITION IN MANY DIFFERENT AREAS FOR OUR EXCELLENCE IN HEALTH CARE. A SAMPLE OF THESE AWARDS AND RECOGNITIONS ARE BELOW.
COMMUNITY BENEFIT STATEMENT CONTINUEDCORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTSPRIMARY STROKE CENTER CERTIFICATION - SACRED HEART HOSPITAL HAS BEEN GRANTED PRIMARY STROKE CENTER CERTIFICATION BY THE JOINT COMMISSION. THE JOINT COMMISSION'S CERTIFICATE OF DISTINCTION FOR PRIMARY STROKE CENTERS RECOGNIZES CENTERS THAT MAKE EXCEPTIONAL EFFORTS TO FOSTER BETTER OUTCOMES FOR STROKE CARE. ACHIEVEMENT OF CERTIFICATION SIGNALS THAT THE SERVICES SACRED HEART HOSPITAL PROVIDES HAVE THE CRITICAL ELEMENTS TO ACHIEVE LONG-TERM SUCCESS IN IMPROVING OUTCOMES. TRANSITIONAL CARE FACILITY - OUR TRANSITIONAL CARE FACILITY (TCF) RECEIVED A "FIVE STAR" RATING BY THE U.S. CENTERS FOR MEDICARE AND MEDICAID SERVICES. OUR TCF WAS ONE OF ONLY TWO FACILITIES IN LEHIGH AND NORTHAMPTON COUNTIES TO RECEIVE THIS HONOR. MOSSREHAB - OUR ACUTE REHABILITATION UNIT, MOSSREHAB, HOLDS A THREE-YEAR ACCREDITATION FOR ITS STROKE SPECIALTY INPATIENT REHABILITATION PROGRAM. MOSSREHAB'S STROKE CENTER IS ONE OF SIX EINSTEIN PROGRAMS RECOGNIZED AS CENTERS OF EXCELLENCE. CERTIFIED FOR ACUTE AND REHABILITATION CARE, MOSSREHAB HAS SPECIALTY PROGRAMS IN GAIT AND MOTION ANALYSIS, ROBOTIC-ASSISTED PHYSICAL THERAPY, AND APHASIA. IMAGING SERVICES - ALL IMAGING MODALITIES AT SACRED HEART HOSPITAL AND SACRED HEART IMAGING NORTHAMPTON HAVE BEEN AWARDED A THREE-YEAR TERM OF ACCREDITATION IN IMAGING BY THE AMERICAN COLLEGE OF RADIOLOGY (ACR). PHARMACY - SACRED HEART PHARMACY WAS GRANTED ACCREDITATION FOR HOME INFUSION THERAPY SERVICES FROM THE COMMUNITY HEALTH ACCREDITATION PROGRAM (CHAP). CHAP IS THE LEADER IN COMMUNITY-BASED HEALTH CARE ACCREDITATION SERVICES IN THE U.S. AND IS AN ALTERNATIVE TO THE JOINT COMMISSION. CHAP IS AN INDEPENDENT AND NON-PROFIT ACCREDITING BODY. CHAP'S GOAL IS FOR HOME CARE TO NOT ONLY PROSPER BUT GAIN STRENGTH IN THE OVERALL HEALTH CARE INDUSTRY. VASCULAR SERVICES - OUR VASCULAR LABORATORY HAS BEEN ACCREDITED BY THE INTERSOCIETAL COMMISSION FOR THE ACCREDITATION OF VASCULAR LABS (ICAVL) SINCE 1996 AND WAS GRANTED A THREE-YEAR RE-ACCREDITATION. STROKE CARE - SACRED HEART HOSPITAL RECEIVED THE GET WITH THE GUIDELINES-STROKE AWARD FOR STROKE RECOGNITION. GET WITH THE GUIDELINES-STROKE (GWTG-STROKE) HELPS ENSURE CONTINUOUS QUALITY IMPROVEMENT OF ACUTE STROKE TREATMENT AND ISCHEMIC STROKE PREVENTION. IT FOCUSES ON CARE TEAM PROTOCOLS TO ENSURE THAT PATIENTS ARE TREATED AND DISCHARGED APPROPRIATELY. THE PROGRAM IS AVAILABLE FOR IMPLEMENTATION AT ACUTE CARE HOSPITALS NATIONWIDE. CARDIOVASCULAR REHABILITATION - THE CARDIOVASCULAR REHABILITATION PROGRAM IS ACCREDITED BY THE AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION (AACVPR) AND WAS GRANTED A THREE-YEAR RE-ACCREDITATION. OSTEOPATHIC MEDICINE RESIDENCY PROGRAM - SACRED HEART HEALTHCARE SYSTEM'S OSTEOPATHIC MEDICINE RESIDENCY PROGRAM RECEIVED A FIVE-YEAR ACCREDITATION FROM THE AMERICAN OSTEOPATHIC ASSOCIATION (AOA). THE AOA SERVES AS THE PRIMARY CERTIFYING BODY FOR D.O.S (OSTEOPATHIC PHYSICIANS) AND IS THE ACCREDITING AGENCY FOR ALL OSTEOPATHIC MEDICAL COLLEGES AND HEALTH CARE FACILITIES. IN ADDITION TO THE CLINICAL RECOGNITION AND AWARDS NOTED ABOVE, SACRED HEART HOSPITAL RECEIVED RECOGNITION THROUGHOUT THE YEAR FOR BEING A GREAT COMMUNITY PARTNER AND FOR SUPPORTING THE GREATER ALLENTOWN COMMUNITY. AWARDS RECEIVED INCLUDE: GREATER LEHIGH VALLEY CHAMBER OF COMMERCE NAMED SACRED HEART THE 2011 BUSINESS OF THE YEAR, THE ALLENTOWN CHAMBER OF COMMERCE PRESENTED SACRED HEART WITH THE GOOD NEIGHBOR AWARD AND CATHOLIC CHARITIES PRESENTED SACRED HEART WITH THE COMMUNITY LEADERSHIP AWARD.
DISCLOSURE INFORMATIONCORE FORM, PART VI, SECTION A; QUESTION 3THE ORGANIZATION DELEGATED CONTROL OVER MANAGEMENT DUTIES OF THE CHIEF FINANCIAL OFFICER POSITION TO AN INDEPENDENT FIRM; REGNER & ASSOCIATES, L.L.C. FOR THE FISCAL YEAR ENDED JUNE 30, 2012. AMOUNTS PAID FOR THESE SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS.
DISCLOSURE INFORMATIONCORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7SACRED HEART HEALTHCARE SYSTEM IS THE SOLE MEMBER OF THIS ORGANIZATION. SACRED HEART HEALTHCARE SYSTEM HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF DIRECTORS AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS.
DISCLOSURE INFORMATIONCORE FORM, PART VI, SECTION B; QUESTION 11BTHE ORGANIZATION IS AN AFFILIATE IN THE SACRED HEART HEALTHCARE SYSTEM ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. SACRED HEART HEALTHCARE SYSTEM IS THE PARENT ENTITY OF THE SYSTEM. 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 SACRED HEART HEALTHCARE SYSTEM AUDIT COMMITTEE ALSO PERFORMED A DETAILED REVIEW OF THE FEDERAL FORM 990 PRIOR TO PROVIDING IT TO EACH VOTING MEMBER OF ITS BOARD OF DIRECTORS. SACRED HEART HEALTHCARE SYSTEM BOARD OF DIRECTORS HAS DELEGATED TO THE AUDIT 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 CONTROLLER AND VARIOUS OTHER INDIVIDUALS OF THE SYSTEM 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 SACRED HEART HEALTHCARE SYSTEM AUDIT COMMITTEE. FOLLOWING THE AUDIT 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 INFORMATIONCORE FORM, PART VI, SECTION B; QUESTION 12THE ORGANIZATION HAS ADOPTED A CONFLICT OF INTEREST POLICY WHICH SETS FORTH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND PROCESSES. ANNUALLY, ALL THOSE SERVING THE ORGANIZATION IN A FIDUCIARY CAPACITY, INCLUDING DIRECTORS, OFFICERS AND KEY EMPLOYEES RECEIVE A COPY OF THE POLICY AND ANNUAL DISCLOSURE STATEMENTS TO BE COMPLETED. IN ACCORDANCE WITH THE POLICY, THOSE DISCLOSURES ARE REVIEWED AND CONSIDERED BY THE ORGANIZATION'S PRESIDENT AND CEO AND, AS APPROPRIATE, THE BOARD OF DIRECTORS.
DISCLOSURE INFORMATIONCORE FORM, PART VI, SECTION B; QUESTION 15ON AN ANNUAL BASIS THE HUMAN RESOURCES DEPARTMENT OF THE ORGANIZATION PROVIDES THE BOARD WITH COMPENSATION MARKET DATA TO REVIEW AND CONSIDER WITH RESPECT TO ALL KEY EMPLOYEES AND OFFICERS OF THE ORGANIZATION. THE BOARD REVIEWS THE MARKET DATA, APPROVES ANY SALARY ADJUSTMENTS FOR THE EXECUTIVE POPULATION, CONSIDERS BOTH REASONABLENESS AND EFFECTIVENESS OF ALL REMUNERATIVE PROGRAMS AND ESTABLISHES THE DETAILED PERFORMANCE EXPECTATIONS WHICH ARE INCORPORATED INTO THE ORGANIZATION'S INCENTIVE PLANS. ALL OF THESE DISCUSSIONS ARE DOCUMENTED THROUGH THE PROVISION OF MEETING MINUTES.
DISCLOSURE INFORMATIONCORE FORM, PART VI, SECTION C; QUESTION 19THE ORGANIZATION 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. THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE COMMONWEALTH OF PENNSYLVANIA.
COMPENSATION INFORMATION DISCLOSURECORE FORM, PART VII AND SCHEDULE JPART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THIS ORGANIZATION AND RELATED ORGANIZATIONS AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF DIRECTORS.
RELATED HOURS DISCLOSURECORE FORM, PART VII, SECTION A, COLUMN BTHE ORGANIZATION IS AN AFFILIATE IN THE SACRED HEART HEALTHCARE SYSTEM ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY NETWORK. THE SYSTEM 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 SYSTEM. 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 SYSTEM, 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 SYSTEM; NOT SOLELY THIS ORGANIZATION.
OTHER CHANGES IN NET ASSETSCORE FORM, PART XI; QUESTION 5OTHER CHANGES IN NET ASSETS OR FUND BALANCES INCLUDE: - NET UNREALIZED LOSSES ON INVESTMENTS, ($4,442); - NET ASSETS RELEASED FROM RESTRICTION FOR CAPITAL PURPOSE, $611,095; - TRANSFERS TO AFFILIATE, NET, ($4,528,797); - TEMPORARILY RESTRICTED CONTRIBUTIONS AND GRANT INCOME, $3,512,458; - NET ASSETS RELEASED FROM TEMPORARY RESTRICTION FOR CAPITAL PURPOSES, ($611,095); - NET ASSETS RELEASED FROM TEMPORARY RESTRICTION FOR OPERATING PURPOSES, ($897,103); - CHANGE IN FAIR VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUSTS, $33,080.
AUDITED FINANCIAL STATEMENTSCORE FORM, PART XII; QUESTION 2THE ORGANIZATION IS AN AFFILIATE WITHIN THE SACRED HEART HEALTHCARE SYSTEM ("SYSTEM"), A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE SYSTEM'S PARENT ENTITY IS SACRED HEART HEALTHCARE SYSTEM. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE TAXPAYER AND ALL AFFILIATES FOR THE YEARS ENDED JUNE 30, 2012 AND JUNE 30, 2011; RESPECTIVELY AND ISSUED A CONSOLIDATED FINANCIAL STATEMENT WITH CONSOLIDATING SCHEDULES BY ENTITY. AN UNQUALIFIED OPINION WAS ISSUED EACH YEAR BY THE INDEPENDENT CPA FIRM. SACRED HEART HEALTHCARE SYSTEM'S AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE NETWORK'S CONSOLIDATED FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR. IN ADDITION, AN INDEPENDENT CPA FIRM AUDITED THE FINANCIAL STATEMENTS OF SACRED HEART HOSPITAL FOR THE YEARS ENDED JUNE 30, 2012 AND JUNE 30, 2011; RESPECTIVELY. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE AUDITED FINANCIAL STATEMENTS.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
SACRED HEART HEALTHCARE SYSTEM
421 W CHEW STREETALLENTOWNPA18102232328297HEALTH SVCS.PA501(C)(3)509(A)(3)NAfalse
SACRED HEART FOUNDATION
421 W CHEW STREETALLENTOWNPA18102232328300MGMT. SVCS.PA501(C)(3)509(A)(3)SHHStrue
SH REALTY CORPORATION
421 W CHEW STREETALLENTOWNPA18102232384986TITLE HLDNG.PA501(C)(2)N/ASHHStrue

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1SACRED HEART ANCILLARY SERVICES INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1421 W CHEW STREETAddressLine1
CityALLENTOWNCity
StatePAState
ZIP Code18102ZIPCode
FieldValueIRS element (for citing)
EIN232384987EIN
Primary ActivityHEALTH SVCS.PrimaryActivity
Legal Domicile StatePALegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC CORP.TypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
SACRED HEART HEALTHCARE SYSTEM
Q4528797COST
SACRED HEART HEALTHCARE SYSTEM
D200843COST
SACRED HEART HEALTHCARE SYSTEM
L3935385COST