2021-05-12T11:30:06-05:00 2020-06-30 990 2019-07-01 240804365 The Green Home % GRETCHEN REGINA GREE 4126472345 600 GRANT ST 58TH FL C/O CORP TAX PITTSBURGH PA 15219 CHRISTOPHER STOCKHAUSEN CFO 5703213175 2021-05-12 2019 2022-09-23 18:48:47Z STEVEN JOHNSON 600 GRANT ST PITTSBURGH PA 15219 10980897 false X www.susquehannahealth.org X 1974 PA Skilled nursing facility. 7 4 167 0 0 0 10791 10696744 10969943 3083 163 0 0 10699827 10980897 0 0 0 0 6575998 6891147 0 0 0 6807245 6527559 13383243 13418706 -2683416 -2437809 5192411 4935629 6070701 8520274 -878290 -3584645 X SEE SCHEDULE O false false 11392311 10980897 SEE SCHEDULE O 11392311 true true false false false false false false false false true false false false true false false false false false false false false false false false false false false true false false false false false false false false false false false false false true false false false false 0 0 true 167 true false false false false false false false false false false false false X 7 4 false false false false true true true true true false false true true true true true true false false false PA X GRETCHEN REGINA 5707230605 32-36 CENTRAL AVE Wellsboro PA 16901 Steven Johnson Reg Pres/Dir (R 12/31/2019) 1.0 50.0 X X 0 996352 1224949 Darius Abadi DO Director (R 12/31/2019) 1.0 2.0 X 0 429969 491073 Eric Pohjala Former CFO (R 10/31/2019) 1.0 0.0 X 0 366050 368280 Jill Burns MD Former Director/Physician 1.0 0.0 X 0 321731 368484 Janie Hilfiger Secretary (J 1/1/2020) 1.0 3.0 X X 0 271078 315906 Donald Owrey President/COO (J 9/1/2019) 1.0 50.0 X 0 205680 368702 Ron Reynolds Chair (J 1/1/2020) 1.0 1.0 X X 0 232980 292182 Tammy Sheehan Director (J 1/1/2020) 1.0 0.0 X 0 112972 162156 Roxanne Sutton RN Clinician 40.0 0.0 X 110480 0 136741 Daisy Bova Clinician 40.0 0.0 X 105928 0 133605 Patricia Bailey Director (R 4/3/2020) 1.0 0.0 X 0 466 92189 Matthew Decamp Director (R 12/31/2019) 1.0 3.0 X 0 0 0 Lisa Feil PsyD Director (R 12/31/2019) 1.0 3.0 X 0 0 0 Robert Fitzgerald Director (R 12/31/2019) 1.0 3.0 X 0 0 0 Harold Hoose III Board Vice Chair (R 12/31/19) 1.0 3.0 X X 0 0 0 Michael Lichty Director (R 12/31/2019) 1.0 3.0 X 0 0 0 J Dennis Murray PhD Director (R 12/31/2019) 1.0 6.0 X 0 0 0 Glenn Poirier Board Chair (R 12/31/2019) 1.0 6.0 X X 0 0 0 Wendy Swartz Board Treasurer (R 12/31/2019) 1.0 3.0 X X 0 0 0 Donna Wilson Director (R 12/31/2019) 1.0 3.0 X 0 0 0 Kathy Wright PhD Board Secretary (R 12/31/2019) 1.0 3.0 X X 0 0 0 Anne Holladay President/Director (J 1/1/20) 1.0 0.0 X X 0 0 0 Gretchen Regina Treasurer (J 1/1/2020) 1.0 0.0 X X 0 0 0 Boobie Woolock Director (J 1/1/2020) 1.0 0.0 X 0 0 0 Stephanie Confer Director (J 1/1/2020) 1.0 0.0 X 0 0 0 Christopher Stockhausen Chief Financial Officer 1.0 50.0 X 0 0 0 216408 2937278 3954267 2 true true false Genesis Eldercare Rehab 101 East State St KENNETT SQUARE PA 19348 Rehab Services 561029 1 10791 10791 NET PATIENT SERVICE REVENUE 621110 9543656 9543656 OTHER PATIENT SERVICE REVENUE 621110 2865 2865 OTHER PROGRAM SERVICE REVENUE 621110 1423422 1423422 10969943 163 163 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10980897 10969943 163 0 0 0 0 0 0 5466742 4587759 878983 0 1025303 891067 134236 399102 338247 60855 65029 65029 2368 2368 47900 47900 0 0 0 394202 394202 0 47928 34835 13093 42305 23533 18772 0 1410021 1403735 6286 26289 17441 8848 0 0 0 0 496820 496820 107559 62695 44864 BAD DEBT 282743 282743 DRUGS 445148 445148 LAUNDRY AND LINEN SERVICES 243889 243889 PURCHASED SERVICES 1724708 1724708 1190650 839691 350959 13418706 11392311 2026395 0 26111 63638 6014 0 0 0 1892639 1634804 0 0 0 0 0 0 0 0 489 0 10743745 7578826 3196431 3164919 0 0 0 0 0 0 0 0 70727 72268 5192411 4935629 156631 709402 0 0 160682 0 0 0 0 0 0 0 0 0 0 0 5753388 7810872 6070701 8520274 X -1720948 -4376611 842658 791966 -878290 -3584645 5192411 4935629 X -2437809 -268546 X X false true X true false X 660 36367 0 0 10791 47818 10731412 10980230 10715767 10696744 10969943 54094096 0 0 0 10732072 11016597 10715767 10696744 10980734 54141914 0 0 0 54141914 13021 7701 0 3083 163 23968 0 13021 7701 0 3083 163 23968 0 0 10745093 11024298 10715767 10699827 10980897 54165882 0.99956 0.99934 0.00044 0.00066 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 318359 318359 8734262 6672005 2062256 1289325 712407 576918 401799 194414 207386 3164919 0 DUE TO EXEMPT AFFILIATES 7776268 OTHER LIABILITES 34604 7810872 Form 990, Part X, Line 2 UPMC has no uncertain tax positions recorded. Tax benefits are recognized when it is more likely than not that a tax position will be sustained upon examination by the tax authorities based on the technical merits of the position. Such tax positions are measured as the largest amount of tax benefit that is greater than 50% likely to be realized upon ultimate settlement with the tax authorities assuming full knowledge of the position and all relevant facts. As of June 30, 2020, UPMC does not have any unrecorded tax benefits. An external audit is completed at a consolidated UPMC System level only, including UPMC and all taxable and tax-exempt subsidiaries. X false false false false false false false true false Darius Abadi DO Director (R 12/31/2019) 0 426099 0 0 0 3870 0 19922 0 471151 0 921042 0 0 Jill Burns MD Former Director/Physician 0 294238 0 21768 0 5725 0 20011 0 348473 0 690215 0 0 Steven Johnson Reg Pres/Dir (R 12/31/2019) 0 540704 0 368850 0 86798 0 95878 0 1129071 0 2221301 0 0 Janie Hilfiger Secretary (J 1/1/2020) 0 175728 0 92900 0 2450 0 21820 0 294086 0 586984 0 0 Eric Pohjala Former CFO (R 10/31/2019) 0 289436 0 76614 0 0 0 0 0 368280 0 734330 0 0 Roxanne Sutton RN Clinician 110250 0 0 0 230 0 7809 0 128932 0 247221 0 0 0 Ron Reynolds Chair (J 1/1/2020) 0 157322 0 74902 0 756 0 14183 0 277999 0 525162 0 0 Tammy Sheehan Director (J 1/1/2020) 0 112894 0 0 0 78 0 6926 0 155230 0 275128 0 0 Donald Owrey President/COO (J 9/1/2019) 0 117774 0 60000 0 27906 0 70048 0 298654 0 574382 0 0 Daisy Bova Clinician 103628 0 0 0 2300 0 8822 0 124783 0 239533 0 0 0 QUESTION 7: UPMC PROVIDES INCENTIVE COMPENSATION AS PART OF ITS TOTAL COMPENSATION PROGRAM FOR OFFICERS AND KEY EMPLOYEES. THIS COMPONENT IS BASED UPON THE ACCOMPLISHMENT OF PREDETERMINED PERFORMANCE GOALS AND OBJECTIVES WHICH FOCUS ON THE ACHIEVEMENT OF MULTIPLE ANNUAL AND THREE YEAR INDIVIDUAL AND GROUP PERFORMANCE CRITERIA IN THE CONTEXT OF APPROPRIATE RISK TAKING. THESE CRITERIA DIRECTLY SUPPORT UPMC'S MISSION AND INCLUDE: PATIENT QUALITY AND SATISFACTION, COMMUNITY BENEFITS, OPERATIONAL AND FINANCIAL STRENGTH, LEADERSHIP DEVELOPMENT, AND STRATEGIC BUSINESS INITIATIVES AMONG OTHERS. FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION The Green Home operated a 120-bed skilled nursing facility that provided long-term care and short-term services for residents. Services provided included round-the-clock professional nursing; physical, occupational, and speech rehabilitation services; medical social work and counseling services, nutrition services; podiatry services; radiology services; dentistry; and a variety of activities and recreational programs. FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION The Green Home operated a 120-bed skilled nursing facility that provided long-term care and short-term services for residents. Services provided included round-the-clock professional nursing; physical, occupational, and speech rehabilitation services; medical social work and counseling services, nutrition services; podiatry services; radiology services; dentistry; and a variety of activities and recreational programs. PART III STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS THE GREEN HOME EIN: 24-0804365 FORM 990 FOR TAX YEAR ENDING JUNE 30, 2020 Part III, Statement of Program Service Accomplishments The Green Home operated a 120-bed skilled nursing facility that provided long-term care and short-term services for residents. Services provided included round-the-clock professional nursing; physical, occupational, and speech rehabilitation services; medical social work and counseling services, nutrition services; podiatry services; radiology services; dentistry; and a variety of activities and recreational programs. The average daily census was 108. The payor mix was 76% Medicaid, 11% Medicare and 12% self-pay residents. Rehabilitation services provided included 13,082 physical therapy treatments, 11,975 occupational therapy treatments and 2,782 speech therapy treatments. The Green Home operated the laurels, 30-unit personal care home serving individuals aged 62 and older. The laurels had an occupancy rate of 84% with 100% self-pay residents. PART VI GOVERNANCE, MANAGEMENT, AND DISCLOSURE SECTION A: GOVERNING BODY AND MANAGEMENT QUESTION 6: THE GREEN HOME HAS ONE SOLE MEMBER, THE EXEMPT ENTITY UPMC SUSQUEHANNA. PART VI GOVERNANCE, MANAGEMENT, AND DISCLOSURE SECTION B: POLICIES QUESTION 11 B - THE BOARD OF DIRECTORS MEMBERS OF THE FILING ENTITY HAVE BEEN PROVIDED A COPY OF THE FORM 990 PRIOR TO FILING. QUESTION 12 C UPMC REQUIRES KEY EMPLOYED AND NON-EMPLOYED PERSONNEL TO COMPLY WITH ITS CONFLICT OF INTEREST POLICIES WHEN THEY ENGAGE IN UPMC RELATED BUSINESS. PERSONS COVERED BY THE POLICIES INCLUDED UPMC BOARD MEMBERS, BOARD COMMITTEE MEMBERS, CORPORATE OFFICERS, KEY EMPLOYEES, UPMC PHYSICIANS AND NON PHYSICIANS EMPLOYEES WHO HOLD A POSITION OF INFLUENCE,NON EMPLOYED MEMBERS OF THE UPMC MEDICAL STAFF WHO HOLD A POSITION OF INFLUENCE OR TRUST, INDIVIDUALS CONDUCTING CLINICAL RESEARCH AT UPMC WHETHER OR NOT THEY ARE EMPLOYED BY UPMC. THESE PEOPLE ARE REQUIRED TO COMPLETE A QUESTIONNAIRE AT LEAST ANNUALLY, WHICH ALONG WITH OTHER DATA IS USED TO IDENTIFY POSSIBLE INDIVIDUAL AND INSTITUTIONAL CONFLICTS OF INTEREST. IF A POTENTIAL CONFLICT IS IDENTIFIED REGARDING A SPECIFIC UPMC ACTIVITY, THE CORPORATE COMPLIANCE DEPARTMENT, WITH THE ASSISTANCE OF THE LEGAL DEPARTMENT, EITHER DEVELOPS A WRITTEN PLAN TO PREVENT THE CONFLICT FROM INFLUENCING DECISIONS RELATED TO THAT ACTIVITY, OR REQUIRES THAT THE CONFLICTING RELATIONSHIP BE DIVESTED, AS APPROPRIATE. FOR EMPLOYED PERSONNEL AND NON BOARD MEMBERS, NON EMPLOYED PERSONNEL, THE CONFLICT OF INTEREST IDENTIFICATION AND MANAGEMENT PROCESS IS ULTIMATELY OVERSEEN BY AN ETHICS AND COMPLIANCE COMMITTEE OF THE UPMC BOARD OF DIRECTORS ON BEHALF OF UPMC AND ALL OF ITS SUBSIDIARIES. POTENTIAL CONFLICT OF INTEREST TRANSACTIONS INVOLVING UPMC BOARD MEMBERS AND ENTITIES WITH WHICH THEY ARE AFFILIATED ARE MONITORED AND SUBJECT TO PRE-APPROVAL BY THE GOVERNANCE AND NOMINATING COMMITTEE OF THE UPMC BOARD OF DIRECTORS. IN ADDITION TO THE GENERAL CORPORATE AND BOARD POLICIES DESCRIBED ABOVE, UPMC HAS ALSO DEVELOPED AND IMPLEMENTED A SEPARATE TAX QUESTIONNAIRE DISTRIBUTED TO OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES ANNUALLY THAT SPECIFICALLY ADDRESSES DISCLOSURE REQUIREMENTS OF FORM 990. PART VI GOVERNANCE, MANAGEMENT, AND DISCLOSURE SECTION B: POLICIES QUESTION 15 - TO SUPPORT UPMC'S MISSION AS SET FORTH IN THE UPMC BYLAWS, THE BOARD OF DIRECTORS HAS FORMED AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE") AND DELEGATED TO IT THE RESPONSIBILITY FOR ESTABLISHMENT AND IMPLEMENTATION OF OFFICER AND KEY EMPLOYEE TOTAL COMPENSATION PROGRAMS. AS PART OF THIS RESPONSIBILITY THE COMMITTEE REPORTS REGULARLY TO THE BOARD OF DIRECTORS. WITH BOARD OF DIRECTORS APPROVAL, THE COMMITTEE HAS ADOPTED A FORMAL CHARTER, WHICH INCLUDES THE ESTABLISHMENT OF A COMPENSATION PHILOSOPHY AND RELATED POLICIES WITH RESPECT TO THE TOTAL COMPENSATION PAID BY UPMC TO ITS OFFICERS AND KEY EMPLOYEES. THE UPMC TOTAL COMPENSATION PROGRAM FOR OFFICERS AND KEY EMPLOYEES IS PREDICATED UPON AN INCENTIVE COMPENSATION COMPONENT. THIS COMPONENT IS BASED UPON THE ACCOMPLISHMENT OF PREDETERMINED PERFORMANCE GOALS AND OBJECTIVES WHICH FOCUS ON THE ACHIEVEMENT OF MULTIPLE ANNUAL AND THREE YEAR INDIVIDUAL AND GROUP PERFORMANCE CRITERIA IN THE CONTEXT OF APPROPRIATE RISK TAKING. THESE CRITERIA DIRECTLY SUPPORT UPMC'S MISSION AND INCLUDE PATIENT QUALITY AND SATISFACTION, COMMUNITY BENEFITS, OPERATIONAL AND FINANCIAL STRENGTH, LEADERSHIP DEVELOPMENT, AND STRATEGIC BUSINESS INITIATIVES AMONG OTHERS. THE TOTAL COMPENSATION PROGRAM IS INTEGRATED WITH AND REINFORCES THE UPMC BUSINESS PLANNING CYCLE AS WELL AS MANAGEMENT DEVELOPMENT AND SUCCESSION PLANNING PROCESSES. IT IS THE COMMITTEE'S JUDGMENT THAT THE STRUCTURE OF THE TOTAL COMPENSATION PROGRAM IS VITAL TO, AND STRONGLY SUPPORTIVE OF, THE HIGH LEVEL OF ONGOING SUCCESS OF UPMC AND FOSTERS THE RETENTION OF CRITICAL OFFICER AND KEY EMPLOYMENT TALENT. THE TOTAL COMPENSATION DETERMINATION PROCESS UTILIZED BY THE COMMITTEE IS INTENDED TO SATISFY THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" AS SET FORTH IN THE REGULATIONS TO SECTION 4958 OF THE INTERNAL REVENUE CODE ("CODE").THIS MEANS THAT COMPENSATION PROGRAMS AND LEVELS ARE APPROVED IN ADVANCE BY THE COMMITTEE WHICH IS COMPOSED ENTIRELY OF OUTSIDE DIRECTORS WHO DO NOT HAVE A CONFLICT OF INTEREST, AS DEFINED BY THE RELEVANT REGULATIONS, WITH RESPECT TO THE COMPENSATION PROGRAM AND LEVELS. THE COMMITTEE OBTAINS AND RELIES UPON A BROAD RANGE OF APPROPRIATE DATA AS TO COMPARABILITY PRIOR TO MAKING ITS DETERMINATIONS. THE COMMITTEE THEN CONTEMPORANEOUSLY DOCUMENTS, IN FORMAL MEETING MINUTES, THE BASIS AND REASONS FOR ITS DETERMINATIONS. THE TOTAL COMPENSATION PROGRAM IS DESIGNED AND ADMINISTERED IN ACCORDANCE WITH THE UPMC BYLAWS, SOUND BUSINESS PRACTICES, THE TENETS OF COMMON LAW BUSINESS JUDGMENT AND FIDUCIARY RESPONSIBILITY AS WELL AS ADHERENCE TO ALL RELEVANT FEDERAL, STATE AND LOCAL LAWS. IN ADDITION TO CODE SECTION 4958, AS SET FORTH ABOVE, THIS INCLUDES BUT IS NOT LIMITED TO CODE SECTION 501(C)(3) AND THE APPLICABLE REGULATIONS THEREUNDER AS WELL AS ALL LAWS AND REGULATIONS PROHIBITING PRIVATE INUREMENT, PRIVATE BENEFIT TRANSACTIONS AND DISCRIMINATION. FURTHER, THE COMMITTEE HAS IDENTIFIED AND ADOPTED AS APPROPRIATELY MODIFIED FOR UPMC, COMPENSATION PROGRAM "BEST PRACTICES" FROM THE BUSINESS WORLD (E.G. SARBANES OXLEY, SEC,ETC.). THE COMMITTEE BELIEVES THAT WHILE THESE PRACTICES ARE NOT REQUIRED IN THE TAX EXEMPT SECTOR, THEY ARE IN THE BEST INTERESTS OF THE ORGANIZATION AND FURTHER SUPPORT UPMC'S NONPROFIT MISSION. IN ACCORDANCE WITH THE ABOVE, DETERMINATION OF TOTAL COMPENSATION FOR THE CEO IS MADE EXCLUSIVELY BY THE COMMITTEE. DETERMINATION OF TOTAL COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES IS RECOMMENDED BY THE CEO AND SUBJECT TO REVIEW AND APPROVAL BY THE COMMITTEE. THE COMMITTEE, WHICH MEETS AT LEAST FOUR TIMES A YEAR, OBTAINS PROFESSIONAL ADVICE FROM ITS OWN EXPERTS, INCLUDING ACCOUNTANTS, EXECUTIVE COMPENSATION CONSULTANTS AND LEGAL COUNSEL. PART VI GOVERNANCE, MANAGEMENT, AND DISCLOSURE SECTION C: DISCLOSURE QUESTION 19 FORM 990 IS AVAILABLE TO THE PUBLIC UPON REQUEST. OTHER GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS MAY BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. PART XI RECONCILIATION OF NET ASSETS TRANSFER TO EXEMPT PARENT (17,313) OTHER (251,236) TOTAL (268,549) PART XII FINANCIAL STATEMENTS AND REPORTING QUESTION 2B : THE ORGANIZATION'S FINANCIAL STATEMENTS ARE PART OF A CONSOLIDATED FINANCIAL STATEMENT AUDIT PERFORMED BY EY FOR UPMC AND ALL SUBSIDIARIES. THE ENTIRE SYSTEM'S FINANCIAL STATEMENTS, OF WHICH THIS ORGANIZATIONS IS PART OF, ARE POSTED ON THE UPMC WEBSITE. (WWW.UPMC.COM) THE FINANCIAL STATEMENT AUDIT DURING THE 990 FILING PERIOD IS FOR THE CALENDAR YEAR ENDED DECEMBER 31,2018. 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"RELATED PARTIES", AS DEFINED BY THE IRS FORM 990 INSTRUCTIONS, OF THE FILING ORGANIZATION. HOWEVER, THEY ARE LISTED ON SCHEDULE R TO REFLECT THAT THEY ARE PART OF THE UPMC SYSTEM OF ENTITIES, AS THEY ALL SHARE UPMC AS THE ULTIMATE PARENT. SCHEDULE R - RELATED ORGANIZATIONS AND UNRELATED PARTNERSHIPS THERE ARE ORGANIZATIONS INCLUDED IN THE UPMC GROUP FORM 990 TAX RETURN FOR FISCAL YEAR 2020 WHICH ARE "RELATED" TO THE GREEN HOME (SEE PRIOR NOTE). THESE ORGANIZATIONS ARE NOT REQUIRED TO BE LISTED IN SCHEDULE R.