GOOD SHEPHERD REHABILITATION HOSP: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
GOOD SHEPHERD REHABILITATION HOSP (EIN 23-1371947)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-05-13
IRS object ID
202021349349303767
Schema version
2018v3.1
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)
Return2020-05-13T22:05:18-05:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390859910PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BAKER TILLY VIRCHOW KRAUSE LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11570 FRUITVILLE PIKE SUITE 400AddressLine1Txt
CityLANCASTERCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17601ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN231371947EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE GOOD SHEPHERD REHABILITATIONBusinessNameLine1Txt
Business Name Line2HOSPITALBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlGOODBusinessNameControlTxt
Phone6107763261PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1GOOD SHEPHERD PLAZA 850 S 5TH STAddressLine1Txt
CityALLENTOWNCityNm
State AbbreviationPAStateAbbreviationCd
ZIP18103ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGARY R SCHMIDTPersonNm
Person TitleINTERIM PRESIDENT & CEOPersonTitleTxt
Phone6107763261PhoneNum
Signature2020-05-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKERRI N BOGDA CPAPreparerPersonNm
PTINP00760402PTIN
Phone7177404863PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address23.130.16.102IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-05-13IPDt
IP Tm21:48:30IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device IdAE0C272A69DD34E2EDF3B6A185DE1CF90EACE8A4AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-11-19 02:30:22ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerGARY R SCHMIDTPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1GOOD SHEPHERD PLAZA 850 S 5TH STAddressLine1Txt
CityALLENTOWNCityNm
State AbbreviationPAStateAbbreviationCd
ZIP18103ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$83,738,139GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.GOODSHEPHERDREHAB.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1909FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionTO ENHANCE LIVES, MAXIMIZE FUNCTION, INSPIRE HOPE, AND PROMOTE DIGNITY AND WELL-BEING.ActivityOrMissionDesc
Voting Members Governing Body21VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee888TotalEmployeeCnt
Total Volunteers19TotalVolunteersCnt
Total Gross UBI$14,522TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$14,726NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,770,362PYContributionsGrantsAmt
CY Contributions Grants$1,789,692CYContributionsGrantsAmt
PY Program Service Revenue$78,454,272PYProgramServiceRevenueAmt
CY Program Service Revenue$78,752,739CYProgramServiceRevenueAmt
PY Investment Income$9,736PYInvestmentIncomeAmt
CY Investment Income$7,575CYInvestmentIncomeAmt
PY Other Revenue$2,447,713PYOtherRevenueAmt
CY Other Revenue$3,014,008CYOtherRevenueAmt
PY Total Revenue$84,682,083PYTotalRevenueAmt
CY Total Revenue$83,564,014CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$47,471,704PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$48,261,045CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$43,465,338PYOtherExpensesAmt
CY Other Expenses$48,772,489CYOtherExpensesAmt
PY Total Expenses$90,937,042PYTotalExpensesAmt
CY Total Expenses$97,033,534CYTotalExpensesAmt
PY Revenues Less Expenses-$6,254,959PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$13,469,520CYRevenuesLessExpensesAmt
Total Assets BOY$55,177,258TotalAssetsBOYAmt
Total Assets EOY$58,144,718TotalAssetsEOYAmt
Total Liabilities BOY$12,468,654TotalLiabilitiesBOYAmt
Total Liabilities EOY$36,434,373TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$42,708,604NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$21,710,345NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionMOTIVATED BY THE DIVINE GOOD SHEPHERD AND THE PHYSICAL AND COGNITIVE REHABILITATION NEEDS OF OUR COMMUNITIES, OUR MISSION IS TO ENHANCE LIVES, MAXIMIZE FUNCTION, INSPIRE HOPE, AND PROMOTE DIGNITY AND WELL-BEING WITH EXPERTISE AND COMPASSION.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$83,934,378ExpenseAmt
Grant$0GrantAmt
Revenue$81,703,867RevenueAmt
DescTHE GOOD SHEPHERD REHABILITATION HOSPITAL ("GSRH") IS A 106-BED REHABILITATION HOSPITAL WITH LOCATIONS IN ALLENTOWN, BETHLEHEM, AND STROUDSBURG, PENNSYLVANIA. GSRH HOLDS THE FOLLOWING CARF (COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES) ACCREDITATIONS: - INPATIENT REHABILITATION PROGRAMS - HOSPITAL (ADULTS)- INPATIENT REHABILITATION PROGRAMS - HOSPITAL (PEDIATRIC SPECIALTY PROGRAM)- INPATIENT REHABILITATION PROGRAMS - HOSPITAL: AMPUTATION SPECIALTY PROGRAM (ADULTS)CONTINUED ON SCHEDULE O- INPATIENT REHABILITATION PROGRAMS - HOSPITAL: BRAIN INJURY SPECIALTY PROGRAM (ADULTS)- INPATIENT REHABILITATION PROGRAMS - HOSPITAL: SPINAL CORD SYSTEM OF CARE (ADULTS)- INPATIENT REHABILITATION PROGRAMS - HOSPITAL: STROKE SPECIALTY PROGRAM (ADULTS)- INTERDISCIPLINARY OUTPATIENT MEDICAL REHABILITATION PROGRAMS: SPINAL CORD SYSTEM OF CARE (ADULTS)POST-ACUTE CARE IS PROVIDED FOR CHILDREN, ADOLESCENTS AND ADULTS WHO HAVE CONDITIONS THAT INCLUDE: AMPUTATION, ARTHRITIS, BRAIN INJURY, CHILDHOOD DEVELOPMENTAL DISABILITIES, CHRONIC PAIN, COMPLEX WOUNDS, MULTIPLE SCLEROSIS, MULTIPLE TRAUMA, ORTHOPEDIC INJURY, PULMONARY DISEASE, SPINAL CORD INJURY, AND STROKE. SERVICES ARE PROVIDED BY PHYSICAL MEDICINE AND REHABILITATION PHYSICIANS, REHABILITATION NURSES, PHYSICAL AND OCCUPATIONAL THERAPISTS, RESPIRATORY THERAPISTS, NEURO-PSYCHOLOGISTS, AND SPEECH-LANGUAGE PATHOLOGISTS.IN FISCAL YEAR 2019, GSRH DISCHARGED A TOTAL OF 1,204 PATIENTS FROM THE INPATIENT REHAB HOSPITALS, 123 PATIENTS FROM THE INPATIENT PEDIATRIC UNIT, AND PROVIDED 247,967 OUTPATIENT VISITS.Desc
Total Program Service Expenses$83,934,378TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee888EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members21GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GARY R SCHMIDT INTERIM PRESIDENT & CEOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6107763261PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1GOOD SHEPHERD PLAZA 850 S 5TH STAddressLine1Txt
CityALLENTOWNCityNm
State AbbreviationPAStateAbbreviationCd
ZIP18103ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
GARY R SCHMIDT
CHAIR/INTERIM PRESIDENT & CEO8.5051.50Yes (X)Yes (X)$0$55,274$0
F MARK GUMZ
VICE CHAIR0.250.75Yes (X)Yes (X)$0$0$0
LAURIE STEWART
TREASURER0.250.75Yes (X)Yes (X)$0$0$0
JOHN C RICHTER
SECRETARY0.250.75Yes (X)Yes (X)$0$0$0
JOHN KRISTEL
PRESIDENT/CEO (UNTIL 11/24/18)8.5051.50Yes (X)Yes (X)$0$656,000$25,272
POLLY BESTE
TRUSTEE0.250.75Yes (X)$0$0$0
SANDRA BODNYK
TRUSTEE0.250.75Yes (X)$0$0$0
JAMES J DALEY MD
TRUSTEE54.006.00Yes (X)$195,431$0$10,927
PAMELA DECAMPLI
TRUSTEE0.250.75Yes (X)$0$0$0
ALVARO DIAZ
TRUSTEE0.250.75Yes (X)$0$0$0
PAUL EMRICK
TRUSTEE0.250.75Yes (X)$0$0$0
DAVID FESSLER
TRUSTEE0.250.75Yes (X)$0$0$0
JAN S HELLER
TRUSTEE0.250.75Yes (X)$0$0$0
THOMAS LYNCH
TRUSTEE0.250.75Yes (X)$0$0$0
STEVEN MORRISON
TRUSTEE0.250.75Yes (X)$0$0$0
JAAN PETER NAKTIN MD
TRUSTEE0.250.75Yes (X)$0$0$0
PETER D QUINN
TRUSTEE0.250.75Yes (X)$0$0$0
TINA RICHARDSON
TRUSTEE0.250.75Yes (X)$0$0$0
DONALD SNYDER
TRUSTEE0.250.75Yes (X)$0$0$0
MAURA TOPPER
TRUSTEE0.250.75Yes (X)$0$0$0
JONATHAN WARNER
TRUSTEE0.250.75Yes (X)$0$0$0
RONALD J PETULA
SVP & CFO8.5051.50$0$325,990$17,999Yes (X)
MIKE CIRBA
CIO (UNTIL 06/15/19)8.5051.50$0$179,247$9,910Yes (X)
SAMUEL A MIRANDA JR
SVP & CNO (UNTIL 09/22/18)40.0020.00$0$489,860$8,952Yes (X)
SANDEEP SINGH
SVP & CMO40.0020.00$475,025$0$30,580Yes (X)
ASARE B CHRISTIAN
ASSOCIATE MEDICAL DIRECTOR40.00$301,137$0$21,879Yes (X)
DEMETRICE L WARD PURVIS
STAFF PHYSIATRIST40.00$273,139$0$26,801Yes (X)
JAMES B KIM
STAFF PHYSIATRIST40.00$268,711$0$31,227Yes (X)
KIMBERLY S KUCHINSKI
PROG. DIR. PEDS PHYSIATRY40.00$264,655$0$28,364Yes (X)
ANDREW G REISH
STAFF PHYSIATRIST40.00$254,309$0$18,431Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,032,407TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,706,371TotReportableCompRltdOrgAmt
Total Other Compensation$230,342TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K39IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ONDRA HUYETT ASSOCIATES
7584 MORRIS COURT STE 210ALLENTOWNPA18106CONTRACTING SVCS$585,672
MILTON HERSHEY MEDICAL CENTER
PO BOX 853HERSHEYPA17033STAFFING SVCS$409,997
BDA ARCHITECTS
200 ABINGTON EXEC PARKCLARKS SUMMITPA18411ARCHITECTURAL SVCS$274,626
SERFASS CONSTRUCTION CO INC
3764 MAUCH CHUNK RDALLENTOWNPA18104CONTRACTING SVCS$253,051
ALLIED RESOURCES MEDICAL STAFFING
135 DOWLIN FORGE RDEXTONPA19341STAFFING SVCS$209,921
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K7CntrctRcvdGreaterThan100KCnt
Fundraising$403,810FundraisingAmt
Related Organizations$1,347,708RelatedOrganizationsAmt
All Other Contributions$38,174AllOtherContributionsAmt
Total Contributions$1,789,692TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT SVC REVDesc
Business623000BusinessCd
Total Revenue Column$78,752,739TotalRevenueColumnAmt
Related Or Exempt Func Income$78,752,739RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$78,752,739TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,575TotalRevenueColumnAmt
Exclusion$7,575ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$178,610FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$403,810ContriRptFundraisingEventAmt
Fundraising Direct Expenses$174,125FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,485TotalRevenueColumnAmt
Exclusion$4,485ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PROFESSIONAL SVCS REV621110$2,734,325$2,734,325
FITNESS CENTER713940$145,367$145,367
LIFESTYLE PRODUCTS/SVCS446199$85,958$71,436$14,522

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$43,873TotalRevenueColumnAmt
Exclusion$43,873ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$3,009,523OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$83,564,014TotalRevenueColumnAmt
Related Or Exempt Func Income$81,703,867RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$14,522UnrelatedBusinessRevenueAmt
Exclusion$55,933ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$690,194TotalAmt
Management And General$690,194ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$39,065,873TotalAmt
Program Services$36,912,288ProgramServicesAmt
Management And General$2,153,585ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,827,452TotalAmt
Program Services$1,715,364ProgramServicesAmt
Management And General$112,088ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,895,148TotalAmt
Program Services$3,650,655ProgramServicesAmt
Management And General$244,493ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,782,378TotalAmt
Program Services$2,576,291ProgramServicesAmt
Management And General$206,087ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$8,219TotalAmt
Management And General$8,219ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,085,510TotalAmt
Program Services$2,451,616ProgramServicesAmt
Management And General$633,894ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$42,323TotalAmt
Program Services$33,399ProgramServicesAmt
Management And General$8,924ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$371,890TotalAmt
Program Services$332,149ProgramServicesAmt
Management And General$39,741ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,741,639TotalAmt
Program Services$1,771,676ProgramServicesAmt
Management And General$969,963ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$127,474TotalAmt
Program Services$89,296ProgramServicesAmt
Management And General$38,178ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$109,870TotalAmt
Program Services$61,723ProgramServicesAmt
Management And General$48,147ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,945,923TotalAmt
Program Services$3,945,923ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$62,052TotalAmt
Program Services$62,052ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
CORPORATE ALLOCATION$31,123,040$23,417,208$7,705,832
MEDICAL SUPPLIES$4,121,816$4,108,458$13,358
BAD DEBT EXPENSE$2,536,207$2,536,207
REPAIRS & MAINTENANCE$214,528$86,298$128,230

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$281,998TotalAmt
Program Services$183,775ProgramServicesAmt
Management And General$98,223ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$97,033,534TotalAmt
Program Services$83,934,378ProgramServicesAmt
Management And General$13,099,156ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$6,934BOYAmt
EOY$9,592EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$13,010,045BOYAmt
EOY$16,941,060EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$539,026BOYAmt
EOY$562,145EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,173,848BOYAmt
EOY$2,594,978EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$133,850,542LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$97,386,889LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$38,812,262BOYAmt
EOY$36,463,653EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$1,635,143BOYAmt
EOY$1,573,290EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$55,177,258BOYAmt
EOY$58,144,718EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$6,980,777BOYAmt
EOY$14,307,546EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,487,877BOYAmt
EOY$22,126,827EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$12,468,654BOYAmt
EOY$36,434,373EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$42,708,604BOYAmt
EOY$21,710,345EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$42,708,604BOYAmt
EOY$21,710,345EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$55,177,258BOYAmt
EOY$58,144,718EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$13,469,520ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$7,528,739OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$8,219OtherActivitiesAmt
Total Lobbying Expenditures$8,219TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationTHE GOOD SHEPHERD REHABILITATION HOSPITAL ("GSRH") PAID DUES TO VARIOUS ORGANIZATIONS DURING THE YEAR ENDED JUNE 30, 2019. THESE ORGANIZATIONS INFORMED GSRH THAT A PERCENTAGE OF THOSE DUES WERE USED FOR LOBBYING PURPOSES, AS FOLLOWS: 1) THE HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA ("HAP") $2,716 2) THE AMERICAN MEDICAL REHABILITATION PROVIDERS ASSOCIATION ("AMRPA") $5,503ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,188,956OtherCostOrOtherBasisAmt
Book Value$2,188,956BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$57,680,018OtherCostOrOtherBasisAmt
Depreciation$35,127,164DepreciationAmt
Book Value$22,552,854BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$14,603,442OtherCostOrOtherBasisAmt
Depreciation$9,166,880DepreciationAmt
Book Value$5,436,562BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$53,973,230OtherCostOrOtherBasisAmt
Depreciation$48,875,319DepreciationAmt
Book Value$5,097,911BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,404,896OtherCostOrOtherBasisAmt
Depreciation$4,217,526DepreciationAmt
Book Value$1,187,370BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$36,463,653TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS$1,152,445
ADVANCE FROM THIRD-PARTY PAYOR$277,900
DUE TO PHILADELPHIA POST ACUTE$37,480
DUE TO RELATED PARTIES$20,659,002
FieldValueIRS element (for citing)
Total Liability$22,126,827TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$73,673,193TotalRevEtcAuditedFinclStmtAmt
Other Revenue-$10,064,946OtherRevenueAmt
Revenue Not Reported-$10,064,946RevenueNotReportedAmt
Revenue Subtotal$83,738,139RevenueSubtotalAmt
Other Revenues Not Included-$174,125OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$174,125RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$83,564,014TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$94,671,452TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$174,125OtherExpensesIncludedAmt
Expenses Not Reported$174,125ExpensesNotReportedAmt
Expenses Subtotal$94,497,327ExpensesSubtotalAmt
Other Expenses Not Included$2,536,207OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$2,536,207ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$97,033,534TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:GOOD SHEPHERD PRESCRIBES A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY IN RECORDING TAX LIABILITIES IN THE FINANCIAL STATEMENTS. MEASUREMENT AND RECOGNITION OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET.
PART XI, LINE 2D - OTHER ADJUSTMENTS:PENSION LIABILITY ADJUSTMENT -7,528,739. BAD DEBT EXPENSE NETTED TO REVENUES ON FINANCIAL STATEMENTS -2,536,207.
PART XI, LINE 4B - OTHER ADJUSTMENTS:FUNDRAISING EXPENSES -174,125.
PART XII, LINE 2D - OTHER ADJUSTMENTS:FUNDRAISING EXPENSES 174,125.
PART XII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE NETTED TO REVENUES ON FINANCIAL STATEMENTS 2,536,207.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GALA IN THE GARDENEvent1Nm
Gross Receipts Event1$327,786GrossReceiptsEvent1Amt
Charitable Contri Event1$237,586CharitableContriEvent1Amt
Gross Revenue Event1$90,200GrossRevenueEvent1Amt
Rent Facility Costs Event1$35,799RentFacilityCostsEvent1Amt
Food And Beverage Event1$43,515FoodAndBeverageEvent1Amt
Entertainment Event1$6,452EntertainmentEvent1Amt
Other Direct Expenses Event1$17,717OtherDirectExpensesEvent1Amt
Event2GOLF & TENNIS CLASSICEvent2Nm
Gross Receipts Event2$186,825GrossReceiptsEvent2Amt
Charitable Contri Event2$127,290CharitableContriEvent2Amt
Gross Revenue Event2$59,535GrossRevenueEvent2Amt
Rent Facility Costs Event2$16,986RentFacilityCostsEvent2Amt
Food And Beverage Event2$15,079FoodAndBeverageEvent2Amt
Other Direct Expenses Event2$15,101OtherDirectExpensesEvent2Amt
Other Events Total1OtherEventsTotalCnt
Gross Receipts Other Events$67,809GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$38,934CharitableContriOtherEventsAmt
Gross Revenue Other Events$28,875GrossRevenueOtherEventsAmt
Rent Fclty Costs Other Events$11,716RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$7,568FoodAndBeverageOtherEventsAmt
Oth Direct Expnss Other Events$4,192OthDirectExpnssOtherEventsAmt
Gross Receipts Total$582,420GrossReceiptsTotalAmt
Charitable Contributions Tot$403,810CharitableContributionsTotAmt
Gross Revenue Total Events$178,610GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$64,501RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$66,162FoodAndBeverageTotalEventsAmt
Entertainment Total Events$6,452EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$37,010OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$174,125DirectExpenseSummaryEventsAmt
Net Income Summary$4,485NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted Care0FPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$180,824TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$180,824NetCommunityBenefitExpnsAmt
Total Expense0.00190TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,528,871TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,168,537DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,360,334NetCommunityBenefitExpnsAmt
Total Expense0.05670TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,709,695TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,168,537DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,541,158NetCommunityBenefitExpnsAmt
Total Expense0.05860TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$44,966TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$300DirectOffsettingRevenueAmt
Net Community Benefit Expns$44,666NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,723,392TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,723,392NetCommunityBenefitExpnsAmt
Total Expense0.08170TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,019,654TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,740,377DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,279,277NetCommunityBenefitExpnsAmt
Total Expense0.02410TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,272TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,272NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,800,284TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,740,677DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,059,607NetCommunityBenefitExpnsAmt
Total Expense0.10640TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$28,509,979TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,909,214DirectOffsettingRevenueAmt
Net Community Benefit Expns$15,600,765NetCommunityBenefitExpnsAmt
Total Expense0.16500TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$144,394BadDebtExpenseAmt
Bad Debt Expense Attributable$16,692BadDebtExpenseAttributableAmt
Reimbursed By Medicare$24,217,437ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$31,438,656CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$7,221,219MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GOOD SHEPHERD REHABILITATION HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1850 SOUTH 5TH STREETAddressLine1Txt
CityALLENTOWNCityNm
State AbbreviationPAStateAbbreviationCd
ZIP18103ZIPCd
FieldValueIRS element (for citing)
State License070801StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
OtherREHABILITATION HOSPITALOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1GOOD SHEPHERD REHABILITATION HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.GOODSHEPHERDREHAB.ORG/ABOUT-GOOD-SHEPHERD/CHNA/OwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt18ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.GOODSHEPHERDREHAB.ORG/ABOUT-GOOD-SHEPHERD/CHNA/StrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLHTTPS://WWW.GOODSHEPHERDREHAB.ORG/FOR-PATIENTS-AND-VISITORS/CHARITY-CARE/FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTPS://WWW.GOODSHEPHERDREHAB.ORG/FOR-PATIENTS-AND-VISITORS/CHARITY-CARE/FAPAppAvailableOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care Policy0NondisEmergencyCarePolicyInd
No Emergency CareYes (X)NoEmergencyCareInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
GOOD SHEPHERD REHABILITATION HOSPITALPART V, SECTION B, LINE 5: THIS STUDY USED A TWO-PRONGED RESEARCH METHOD TO IDENTIFY COMMUNITY HEALTH NEEDS AMONG PEOPLE WITH DISABILITIES.1. FIRST, THIS STUDY UPDATED AND EXTENDED INFORMATION DERIVED FROM KEY SECONDARY SOURCES OF DATA, INCLUDING PRIMARILY THE U.S. CENSUS BUREAU, THE CENTERS' FOR DISEASE CONTROL'S BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), THE ROBERT WOOD JOHNSON COUNTY HEALTH RANKINGS, AND THE PENNSYLVANIA DEPARTMENT OF HEALTH. DATA PROVIDED BY KEY FEDERAL AND STATE AGENCIES WAS CRITICALLY IMPORTANT FOR TRACKING COMMUNITY HEALTH OVER TIME. IT ALSO HELPED IDENTIFY SOCIAL AND ENVIRONMENTAL DETERMINANTS OF HEALTH AND FEATURES OF THE SOCIAL ENVIRONMENT THAT INTERACT WITH INDIVIDUAL-LEVEL CHARACTERISTICS IN SHAPING OVERALL INDIVIDUAL AND COMMUNITY HEALTH. FINALLY, THE DATA WAS ALSO USEFUL FOR IDENTIFYING HEALTH DISPARITIES BETWEEN PEOPLE WITH DISABILITIES AND PEOPLE WITHOUT DISABILITIES.2. SECOND, THIS STUDY ALSO INCLUDED PRIMARY QUALITATIVE DATA DERIVED FROM A COMMUNITY FORUM OF KEY STAKEHOLDERS (INCLUDING PEOPLE WITH DISABILITIES, HEADS OF PUBLIC AND PRIVATE AGENCIES SERVING THE DISABILITY COMMUNITY, EDUCATORS, ELECTED REPRESENTATIVES, COUNTY OFFICIALS, ADVOCACY ORGANIZATIONS, REPRESENTATIVES FROM THE ARTS, RELIGIOUS, AND COMMUNITY ORGANIZATIONS), AND A SERIES OF FOCUS GROUPS IN WHICH KEY INFORMANTS, PEOPLE WITH DISABILITIES AND THEIR FAMILIES WERE INVITED TO SHARE INSIGHT ABOUT THEIR OWN CHALLENGES TO LIVING FULLY, INDEPENDENTLY, AND HEALTHFULLY.BOTH FEDERAL REGULATIONS AND BEST PRACTICES FOR CARRYING OUT CHNAS EMPHASIZE THE ROLE OF COMMUNITY INPUT. A CENTRAL GOAL OF THE CURRENT STUDY WAS TO ENGAGE DIVERSE STAKEHOLDERS AS PARTNERS IN RESEARCH FOR PEOPLE WITH DISABILITIES, RATHER THAN SIMPLY AS SUBJECTS OR OBJECTS OF THE RESEARCH.
GOOD SHEPHERD REHABILITATION HOSPITALPART V, SECTION B, LINE 6B: GOOD SHEPHERD'S MOST RECENT CHNA WAS CONDUCTED IN PARTNERSHIP WITH THE MUHLENBERG COLLEGE INSTITUTE OF PUBLIC OPINION UNDER THE LEADERSHIP OF DR. LANETHEA MATHEWS-SCHULTZ, PROFESSOR AND CHAIR OF POLITICAL SCIENCE AT MUHLENBERG COLLEGE. THE MUHLENBERG COLLEGE INSTITUTE OF PUBLIC OPINION IS DIRECTED BY DR. CHRISTOPHER BORICK, PROFESSOR OF POLITICAL SCIENCE AT MUHLENBERG COLLEGE. IN ADDITION, GOOD SHEPHERD PARTNERED WITH THE DISABILITY FRIENDLY COMMUNITY OF THE LEHIGH VALLEY WHICH INCLUDES PEOPLE WITH DISABILITIES, REPRESENTATIVES OF NON-PROFITS AND FOR-PROFIT SERVICE ORGANIZATIONS, CAREGIVERS, FAMILY MEMBERS, GOVERNMENT AND COMMUNITY LEADERS AS WELL AS PEOPLE ADVOCATING FOR INCLUSION.
GOOD SHEPHERD REHABILITATION HOSPITALPART V, SECTION B, LINE 11: ON JUNE 10, 2019, THE BOARD OF TRUSTEES OF GOOD SHEPHERD REHABILITATION NETWORK PASSED A RESOLUTION ADOPTING THEIR FY 2020-22 CHNA IMPLEMENTATION PLAN. THE PLAN IDENTIFIES STRATEGIES AND ACTION STEPS DESIGNED TO IMPACT PRIORITY AREAS IDENTIFIED THROUGH THE 2019 CHNA PROCESS. THE IMPLEMENTATION PLAN IDENTIFIED FOUR HEALTH PRIORITIES GOOD SHEPHERD COMMITTED TO WORKING ON OVER THE THREE YEAR PERIOD. THE FIRST GOAL IS IMPROVING DATA COLLECTION BY CREATING AND IMPLEMENTING A SURVEY THAT WILL BE ADMINISTERED TO OUR PATIENTS TO HELP US BETTER UNDERSTAND AND SERVE THEIR NEEDS. THE SECOND GOAL IS IMPROVING UNIVERSAL ACCESSIBILITY OF BATHROOMS BY CONVERTING EXISTING BATHROOMS INTO ACCESSIBLE BATHROOMS WHEN POSSIBLE AND BY STRIVING TO OFFER ACCESSIBLE BATHROOMS IN FUTURE GSRN FACILITIES. THE THIRD GOAL IS IMPROVING SERVICES & RESOURCES FOR FAMILIES WITH POST-TEENAGE CHILDREN IN THE 21-64 AGE RANGE BY CREATING AN EXPLORER POST TO EDUCATE HIGH SCHOOL STUDENTS ON WHAT GOOD SHEPHERD DOES AND HOPEFULLY INSPIRE THEM TO PURSUE A CAREER IN HEALTHCARE. IN ADDITION, WE WILL BE LOOKING TO LEARN MORE ABOUT OTHER RESOURCES AVAILABLE IN THE COMMUNITY THAT COULD BE USEFUL TO OUR PATIENTS AND CAREGIVERS. THE FOURTH GOAL IS INCREASING THE NUMBER OF SUPPORT GROUPS WE OFFER BY STRATEGICALLY IDENTIFYING LOCATIONS IN OUR SERVICE AREA THAT ARE IN NEED OF ADDITIONAL SUPPORT GROUPS AND SEEING IF WE CAN UTILIZE OUR OUTPATIENT LOCATIONS TO SERVE THESE NEEDS.
GOOD SHEPHERD REHABILITATION HOSPITALPART V, SECTION B, LINE 13H: GOOD SHEPHERD REHABILITATION HOSPITAL (THE HOSPITAL) HAS A WRITTEN CHARITY CARE POLICY. ALL PATIENTS ARE NOTIFIED OF GOOD SHEPHERD'S CHARITY CARE AVAILABILITY PRIOR TO THE START OF THEIR CARE. GENERALLY, PATIENTS AUTOMATICALLY QUALIFY UNDER THE HOSPITAL'S CHARITY CARE POLICY IF THEIR INCOME IS LESS THAN 200% OF THE CURRENT FEDERAL POVERTY GUIDELINES. HOWEVER, OTHER FACTORS ARE ALSO USED TO DETERMINE ELIGIBILITY INCLUDING:- SOURCES OF INCOME- LIVING EXPENSES- OTHER PERSONAL ASSETS AND LIABILITIES- DEMOGRAPHIC INFORMATION- ONGOING HEALTHCARE NEEDSQUALIFICATION UNDER THE HOSPITAL'S CHARITY CARE POLICY ENTITLES PATIENTS TO COMPLETELY FREE CARE. THE HOSPITAL DOES NOT OFFER A PROGRAM OF DISCOUNTED CHARITY CARE. HOWEVER, PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE AND HAVE NO INSURANCE ARE OFFERED A DISCOUNTED PRIVATE PAY RATE FOR SERVICES, PAYABLE AT THE TIME OF SERVICE. THE DISCOUNTED PRIVATE PAY RATE IS DETERMINED CONSIDERING THE ESTIMATED COST OF SERVICES PROVIDED.

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:GOOD SHEPHERD REHABILITATION HOSPITAL (THE HOSPITAL) HAS A WRITTEN CHARITY CARE POLICY. ALL PATIENTS ARE NOTIFIED OF GOOD SHEPHERD'S CHARITY CARE AVAILABILITY PRIOR TO THE START OF THEIR CARE. GENERALLY, PATIENTS AUTOMATICALLY QUALIFY UNDER THE HOSPITAL'S CHARITY CARE POLICY IF THEIR INCOME IS LESS THAN 200% OF THE CURRENT FEDERAL POVERTY GUIDELINES. HOWEVER, OTHER FACTORS ARE ALSO USED TO DETERMINE ELIGIBILITY INCLUDING:-SOURCES OF INCOME-LIVING EXPENSES-OTHER PERSONAL ASSETS AND LIABILITIES-DEMOGRAPHIC INFORMATION-ONGOING HEALTHCARE NEEDSQUALIFICATION UNDER THE HOSPITAL'S CHARITY CARE POLICY ENTITLES PATIENTS TO COMPLETELY FREE CARE. THE HOSPITAL DOES NOT OFFER A PROGRAM OF DISCOUNTED CHARITY CARE. HOWEVER, PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE AND HAVE NO INSURANCE ARE OFFERED A DISCOUNTED PRIVATE PAY RATE FOR SERVICES, PAYABLE AT THE TIME OF SERVICE. THE DISCOUNTED PRIVATE PAY RATE IS DETERMINED CONSIDERING THE ESTIMATED COST OF SERVICES PROVIDED. THE HOSPITAL'S POLICY ALSO PROVIDES FOR CHARITY CARE FOR CERTAIN PATIENTS UNDER UNIQUE CIRCUMSTANCES. THESE CIRCUMSTANCES INCLUDE PATIENTS WHO MAY EXPERIENCE SIGNIFICANT FINANCIAL HARDSHIP OR PERSONAL FINANCIAL LOSS REGARDLESS OF THEIR INCOME, INCLUDING PATIENTS WHO MAY BE CLASSIFIED AS "MEDICALLY INDIGENT." THESE UNIQUE CIRCUMSTANCES ARE REVIEWED BY ADMINISTRATION, PURSUANT TO POLICY. THE GOOD SHEPHERD AUDITED FINANCIAL STATEMENTS PROVIDE THE FOLLOWING DISCLOSURES WITH RESPECT TO CHARITY CARE:"GOOD SHEPHERD PROVIDES CHARITY CARE TO PATIENTS WHO MEET CERTAIN CRITERIA REGARDLESS OF THEIR ABILITY TO PAY. THE CRITERIA FOR CHARITY CONSIDERS FAMILY SIZE, SOURCES OF INCOME, LIVING EXPENSES, NET WORTH, ONGOING HEALTHCARE NEEDS, AS WELL AS OTHER PERTINENT INFORMATION. BECAUSE GOOD SHEPHERD DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUES. GOOD SHEPHERD MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE AMOUNT OF CHARITY CARE IT PROVIDES. THE COSTS ASSOCIATED WITH THE CHARITY CARE SERVICES PROVIDED ARE ESTIMATED BY APPLYING A COST-TO-CHARGE RATIO TO THE AMOUNT OF GROSS UNCOMPENSATED CHARGES FOR THE PATIENTS RECEIVING CHARITY CARE. THE LEVEL OF CHARITY CARE PROVIDED BY GOOD SHEPHERD AMOUNTED TO APPROXIMATELY $191,000 IN 2019 AND $196,000 IN 2018. GOOD SHEPHERD RECEIVED $2,081 AND $2,400 IN CONTRIBUTIONS RESTRICTED FOR CHARITY CARE DURING 2019 AND 2018, RESPECTIVELY."
PART I, LINE 6A:THE HOSPITAL'S COMMUNITY BENEFIT ACTIVITIES ARE INCLUDED WITHIN AND REPORTED AS PART OF AN ANNUAL REPORT TO THE COMMUNITY, PUBLISHED ON A CONSOLIDATED BASIS BY GOOD SHEPHERD REHABILITATION NETWORK (GSRN). THIS REPORT INCLUDES THE COMMUNITY BENEFIT ACTIVITIES PROVIDED BY GSRN, AS WELL AS BY ITS CONTROLLED ENTITIES (INCLUDING THE HOSPITAL). THIS REPORT IS DISTRIBUTED AND MADE AVAILABLE TO THE PUBLIC ON THE GSRN WEBSITE. A COMMUNITY BENEFIT REPORT IS NOT REQUIRED TO BE FILED WITH THE COMMONWEALTH OF PENNSYLVANIA AND, ACCORDINGLY, GSRN HAS NOT FILED ONE.IN ORDER TO BETTER UNDERSTAND THE ORGANIZATIONAL, FINANCIAL AND OPERATIONAL COMPLEXITIES OF THE ORGANIZATIONS CONTAINED WITHIN GSRN, THE FOLLOWING INFORMATION IS PROVIDED:THE HOSPITAL'S FINANCIAL RESULTS ARE REPORTED AS A COMPONENT OF THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF GOOD SHEPHERD REHABILITATION NETWORK AND CONTROLLED ENTITIES (GOOD SHEPHERD). SEPARATE AUDITED FINANCIAL STATEMENTS ARE NOT PREPARED FOR THE HOSPITAL. THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF GOOD SHEPHERD INCLUDE THE FOLLOWING CORPORATIONS:-GOOD SHEPHERD REHABILITATION NETWORK (GSRN), THE CONTROLLING PARENT CORPORATION, FORMERLY GOOD SHEPHERD HOME-GOOD SHEPHERD REHABILITATION HOSPITAL (THE HOSPITAL)-GOOD SHEPHERD HOME LONG-TERM CARE FACILITY, INC. (LTC)-GOOD SHEPHERD LONG-TERM ACUTE SERVICES, INC., D/B/A GOOD SHEPHERD SPECIALTY HOSPITAL (THE SPECIALTY HOSPITAL)-GOOD SHEPHERD HOUSING DEVELOPMENT CORPORATION (SUPPIL)-GOOD SHEPHERD RECIPROCAL RISK RETENTION GROUP (THE RRG)-GOOD SHEPHERD GROUP, LLC (GS GROUP)-GOOD SHEPHERD DEVELOPMENT, LLC (GSD)GOOD SHEPHERD'S PRIMARY OPERATIONS ARE CONDUCTED WITHIN THE HOSPITAL, WHICH PROVIDES COMPREHENSIVE INPATIENT REHABILITATION SERVICES AND OUTPATIENT REHABILITATION SERVICES AT NUMEROUS LOCATIONS. THE LTC OPERATES TWO SKILLED NURSING FACILITIES WHICH SERVICE THE NEEDS OF SEVERELY DISABLED ADULTS. THE SPECIALTY HOSPITAL PROVIDES SERVICES THAT REPRESENT THE FIRST STEP IN THE POST ACUTE CARE PROCESS OF RECOVERY. THE RRG IS A SELF INSURANCE COMPANY THAT PROVIDES PRIMARY LIABILITY INSURANCE AND RISK MANAGEMENT SERVICES. SUPPIL PROVIDES SUPPORTIVE INDEPENDENT HOUSING TO PERSONS WITH DISABILITIES UNDER SECTION 811 OF THE DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT. GS GROUP WAS ESTABLISHED TO DEVELOP A WHEELCHAIR DEVICE TO ASSIST REHABILITATION PATIENTS.IN ADDITION TO THE ORGANIZATIONS DESCRIBED ABOVE, IN JANUARY 2007, GSRN ENTERED INTO A JOINT VENTURE AGREEMENT WITH THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA (THE UNIVERSITY) TO CREATE PHILADELPHIA POST ACUTE PARTNERS, LLC D/B/A GOOD SHEPHERD PENN PARTNERS (GSPP). GSPP WAS CREATED TO ESTABLISH AND OPERATE A NEW LONG-TERM ACUTE CARE HOSPITAL, TO ASSUME THE OWNERSHIP OF AND CONTINUE TO OPERATE ALL OF THE OUTPATIENT OPERATIONS OF THE UNIVERSITY, TO CARRY OUT THE DAY-TO-DAY OPERATIONS OF THE HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA'S (HUP'S) INPATIENT REHABILITATION UNIT, AND TO PROVIDE THE UNIVERSITY AND ITS AFFILIATES WITH CERTAIN CLINICAL AND/OR STAFFING SERVICES RELATING TO REHABILITATION. GSRN IS A 70% OWNER OF GSPP; HOWEVER, THE OPERATIONS OF GSPP ARE NOT CONSOLIDATED WITHIN THE CONSOLIDATED FINANCIAL STATEMENTS OF GOOD SHEPHERD AS GSRN IS NOT DEEMED TO HAVE CONTROL OVER GSPP. AS A RESULT, GSRN RECORDS THEIR INVESTMENT IN GSPP UNDER THE EQUITY METHOD OF ACCOUNTING WITHIN THE GSRN CONSOLIDATED FINANCIAL STATEMENTS.
PART I, LINE 7:THE HOSPITAL USED A COST-TO-CHARGE RATIO IN DETERMINING THE FIGURES REPORTED IN THIS TABLE. THIS COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 RATIO OF PATIENT CARE COST-TO CHARGES.
PART I, LINE 7G:OF THE NET COMMUNITY BENEFIT EXPENSE OF $2,279,277 REPORTED ON PART I, LINE 7G. COLUMN (E), $858,505 IS RELATED TO THE NET LOSS FROM THE HOSPITAL'S DEVELOPMENTAL PEDIATRICIAN AND PEDIATRICIAN OPERATING UNIT. THIS OPERATING LOSS INCLUDES THE PROFESSIONAL FEES EARNED BY THESE PHYSICIANS, AS WELL AS THE DIRECT SALARY AND WAGES AND OTHER OPERATING EXPENSES NECESSARY TO GENERATE SUCH PROFESSIONAL FEES. IN ADDITION, $77,365 OF OVERHEAD COSTS WAS ALLOCATED TO THIS OPERATING UNIT, BASED UPON THE SAME RELATIVE NET REVENUE ALLOCATION METHODOLOGY USED IN THE DEVELOPMENT OF INTERNAL FINANCIAL STATEMENTS.
PART I, LN 7 COL(F):THE AMOUNT OF BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $2,536,207.
PART III, LINE 2:THE COSTING METHODOLOGY USED IN DETERMINING BAD DEBT EXPENSE AT COST IS BAD DEBT EXPENSE TIMES THE COST TO CHARGE RATIO.
PART III, LINE 3:WE BELIEVE THAT A PORTION OF OUR BAD DEBTS RESULTS FROM SERVICES PROVIDED TO PATIENTS WHO MEET THE CHARITY CARE GUIDELINES BUT WERE UNABLE OR UNWILLING TO PROVIDE THE APPROPRIATE DOCUMENTATIONS TO ALLOW THAT CLASSIFICATION. THESE WOULD BE CLASSIFIED AS BAD DEBT EXPENSE AT COST TIMES THE AVERAGE ESTIMATED POVERTY PERCENTAGE WITHIN THE HOSPITAL'S 5 COUNTY PRIMARY SERVICE AREA. THE HOSPITAL PROVIDES CARE TO ALL PATIENTS WHO NEED IT, REGARDLESS OF THEIR ABILITY TO PAY. THIS IS PART OF THE HOSPITAL'S MISSION.
PART III, LINE 4:GOOD SHEPHERD ASSESSES COLLECTABILITY ON PATIENT CONTRACTS PRIOR TO THE RECOGNITION OF NET PATIENT SERVICE REVENUES. ACCOUNTS RECEIVABLE, PATIENTS, ARE RECORDED AT NET REALIZABLE VALUE. ACCOUNTS ARE WRITTEN OFF THROUGH THE PROVISION FOR BAD DEBTS WHEN GOOD SHEPHERD HAS EXHAUSTED ALL COLLECTION EFFORTS AND DETERMINES ACCOUNTS ARE IMPAIRED BASED ON CHANGES IN PATIENT CREDIT WORTHINESS.
PART III, LINE 8:THE COSTING METHODOLOGY UTILIZED IN THE DETERMINATION OF THE MEDICARE ALLOWABLE COSTS REPORTED IN THE HOSPITAL'S COST REPORT IS QUITE COMPREHENSIVE. DIRECTLY ALLOCATED COSTS ARE USED AS A STARTING POINT AND OTHER COSTS ARE STEPPED-DOWN TO THE HOSPITAL BASED UPON INDUSTRY-ACCEPTABLE ALLOCATION METHODOLOGIES. THE HOSPITAL HAS REPORTED A MEDICARE SHORTFALL OF ($7,221,219) IN PART III, SECTION B (MEDICARE), LINE 7. THIS SHORTFALL SHOULD BE CONSIDERED AS A COMPONENT OF COMMUNITY BENEFIT BECAUSE THE HOSPITAL TREATS ALL MEDICALLY NECESSARY PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY AND REGARDLESS OF WHETHER THE EXPECTED REIMBURSEMENT IS ADEQUATE TO COVER ALL RELATED AND NECESSARY EXPENSES.
PART III, LINE 9B:THE HOSPITAL HAS A WRITTEN BILLING AND COLLECTION POLICY AND SUCH POLICY COVERS THE PROCEDURES NECESSARY TO BILL AND COLLECT FOR THE MEDICAL SERVICES PROVIDED TO PATIENTS. PATIENTS KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY (AS EVIDENCED BY A PROPERLY COMPLETED AND APPROVED CHARITY CARE APPLICATION) ARE NOT SUBJECT TO THE COLLECTION PROVISIONS OF THIS POLICY. RATHER, THEIR ACCOUNT BALANCES ARE WRITTEN-OFF FROM THE PATIENT ACCOUNTING RECORDS AS CHARITY CARE. IN INSTANCES WHERE THE HOSPITAL BELIEVES A PATIENT MAY QUALIFY FOR CHARITY CARE AND THE PATIENT DOES NOT OR CAN NOT COMPLETE THE REQUIRED CHARITY CARE APPLICATION, THE HOSPITAL MAKES REASONABLE EFFORTS TO INDEPENDENTLY SUPPORT THE APPROPRIATE WRITE-OFF OF THE PATIENT ACCOUNT BALANCES AS CHARITY CARE. IN INSTANCES WHERE REASONABLE EFFORTS ARE INSUFFICIENT OR INCONCLUSIVE TO SUPPORT THE APPROPRIATE WRITE-OFF OF THE PATIENT ACCOUNT BALANCES AS CHARITY CARE, THE PATIENT ACCOUNT BALANCES BECOME SUBJECT TO THE COLLECTION PROVISIONS OF THE HOSPITAL'S BILLING AND COLLECTION POLICY.
PART VI, LINE 2:TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES WE SERVE FOR OUR MOST RECENT CHNA, COMMUNITY FORUM OF KEY STAKEHOLDERS (INCLUDING PEOPLE WITH DISABILITIES, HEADS OF PUBLIC AND PRIVATE AGENCIES SERVING THE DISABILITY COMMUNITY, EDUCATORS, ELECTED REPRESENTATIVES, COUNTY OFFICIALS, ADVOCACY ORGANIZATIONS, REPRESENTATIVES FROM THE ARTS, RELIGIOUS, AND COMMUNITY ORGANIZATIONS) WERE HELD. IN ADDITION, WE HELD A SERIES OF FOCUS GROUPS IN WHICH KEY INFORMANTS, PEOPLE WITH DISABILITIES AND THEIR FAMILIES WERE INVITED TO SHARE INSIGHT ABOUT THEIR OWN CHALLENGES TO LIVING FULLY, INDEPENDENTLY, AND HEALTHFULLY.IN ADDITION TO THESE EFFORTS FOR OUR MOST RECENT CHNA, GOOD SHEPHERD REGULARLY ASSESSES MARKET POTENTIAL AND DEMAND FOR SERVICES THROUGHOUT VARIOUS REGIONS, ON AVERAGE, THESE ASSESSMENTS ARE PERFORMED ON AN ANNUAL BASIS AND DO NOT SPECIFICALLY TARGET NEEDS BUT RATHER OPPORTUNITIES TO EXPAND SERVICE TO OTHER AREAS IN NEED.
PART VI, LINE 3:1) GOOD SHEPHERD'S MISSION IS AS FOLLOWS:"MOTIVATED BY THE DIVINE GOOD SHEPHERD AND THE PHYSICAL AND COGNITIVE REHABILITATION NEEDS OF OUR COMMUNITIES, OUR MISSION IS TO ENHANCE LIVES, MAXIMIZE FUNCTION, INSPIRE HOPE AND PROMOTE DIGNITY AND WELL-BEING WITH EXPERTISE AND COMPASSION."GOOD SHEPHERD VIGOROUSLY PURSUES THEIR MISSION REGARDLESS OF A PATIENT'S ABILITY TO PAY.2) IN EACH INPATIENT ROOM, GOOD SHEPHERD PROVIDES A REFERENCE BINDER OF IMPORTANT INFORMATION TO ALL INPATIENTS. THIS BINDER SUPPLEMENTS THE PATIENT'S ADMISSIONS PACKAGE AND INCLUDES A NOTICE OF FINANCIAL AID WHICH INCLUDES THE FOLLOWING WORDING:"IF YOU HAVE LITTLE OR NO HEALTH INSURANCE TO PAY FOR THE SERVICES YOU RECEIVE FROM GOOD SHEPHERD AND WORRY THAT YOU MAY NOT BE ABLE TO PAY FOR PART OR ALL OF YOUR CARE, WE MAY BE ABLE TO HELP. GOOD SHEPHERD PROVIDES CHARITY CARE TO PATIENTS BASED ON THEIR INCOME, ASSETS AND FINANCIAL NEEDS. IN ADDITION, IF YOU DO NOT MEET THE CRITERIA TO BE ELIGIBLE FOR CHARITY CARE, WE WILL HELP YOU ARRANGE FOR AN INTEREST-FREE PAYMENT PLAN TO RESOLVE ANY BALANCES YOU OWE."3) CHARITY CARE INFORMATION IS AVAILABLE ON THE GOOD SHEPHERD WEBSITE IN ENGLISH AND SPANISH. IN PARTICULAR, PATIENTS MAY ACCESS A COPY OF THE NOTICE OF FINANCIAL AID AND A CHARITY CARE APPLICATION.4) GOOD SHEPHERD PUBLISHES AND DISTRIBUTES A NOTICE OF PAYMENT RESPONSIBILITY TO ALL PATIENTS. THE FIRST PARAGRAPH OF THIS FORM STATES THE FOLLOWING:"GOOD SHEPHERD IS A NON-PROFIT CHARITABLE ORGANIZATION THAT PROVIDES HEALTHCARE SERVICES TO ALL MEDICALLY APPROPRIATE PATIENTS WHO SEEK CARE REGARDLESS OF THEIR FUNDS TO PAY FOR SERVICES. THIS INCLUDES THE UNINSURED AND THE UNDER INSURED."THE NOTICE GOES ON TO STATE:"IT HAS BEEN BROUGHT TO OUR ATTENTION THAT YOU POTENTIALLY LACK THE FINANCIAL RESOURCES TO PAY FOR YOUR MEDICAL CARE. YOUR ADMISSION TO GOOD SHEPHERD IS CONTINGENT UPON YOUR ASSISTANCE IN HELPING US SECURE PAYMENT OF YOUR MEDICAL BILL FOR THE CARE BEING PROVIDED TO YOU. TO ADDRESS THE PAYMENT OF YOUR BILL, WE ARE REQUESTING THAT YOU APPLY FOR MEDICAL ASSISTANCE BENEFITS THROUGH THE PENNSYLVANIA MEDICAID PROGRAM AND APPLY FOR GOOD SHEPHERD'S CHARITY CARE PROGRAM."5) EACH PATIENT BILL OR STATEMENT INCLUDES THE FOLLOWING STATEMENT:"GOOD SHEPHERD REHABILITATION HOSPITAL IS A NON-PROFIT ORGANIZATION AND OFFERS CHARITY CARE TO THOSE WHO QUALIFY. IF YOU DO NOT HAVE THE FUNDS TO PAY, PLEASE CONTACT US."6) TRANSLATION SERVICES ARE AVAILABLE TO ANY NON-ENGLISH-SPEAKING PATIENT. THESE SERVICES ALSO INCLUDE ASSISTANCE WITH CHARITY CARE ELIGIBILITY AND OTHER FINANCIAL MATTERS. 7) AS PART OF INTERNAL DEPARTMENTAL ORIENTATION AND TRAINING, ADMISSIONS, CARE MANAGEMENT AND PATIENT ACCOUNTING PERSONNEL ARE TRAINED IN GOOD SHEPHERD'S CHARITY CARE POLICIES AND PROCEDURES.
PART VI, LINE 4:BASED UPON PA HEALTH CARE COST CONTAINMENT COUNCIL DATA FOR THE 2018 CALENDAR YEAR, THE HOSPITAL'S PRIMARY SERVICE AREA IS COMPRISED OF THE FOLLOWING FIVE PENNSYLVANIA COUNTIES. IN ADDITION, THE HOSPITAL'S MARKET SHARE PERCENTAGE IS INDICATED FOR EACH COUNTY WITHIN ITS PRIMARY SERVICE AREA.REHABILITATION HOSPITAL - CARBON COUNTY 9% LEHIGH COUNTY 26% NORTHAMPTON COUNTY 20% MONROE COUNTY 53% BERKS COUNTY 2%LEHIGH, NORTHAMPTON AND BERKS COUNTIES ARE A MIX OF URBAN, SUBURBAN AND RURAL COMMUNITIES WHILE CARBON AND MONROE COUNTIES ARE PRIMARILY RURAL. THE FOLLOWING HOSPITALS ARE LOCATED WITHIN EACH OF THESE COUNTIES:CARBON COUNTYTWO (2) NOT-FOR-PROFIT ACUTE CARE HOSPITALSLEHIGH COUNTYFIVE (5) NOT-FOR-PROFIT ACUTE CARE HOSPITALS TWO (2) NOT-FOR-PROFIT INPATIENT REHABILITATION HOSPITALS (THE HOSPITAL - NOTE ONE LICENSE IN TWO LOCATIONS)ONE (1) NOT-FOR-PROFIT LONG-TERM ACUTE CARE HOSPITAL (THE SPECIALTY HOSPITAL)ONE (1) PSYCHIATRICNORTHAMPTON COUNTY THREE (3) NOT-FOR-PROFIT ACUTE CARE HOSPITALSONE (1) FOR PROFIT GENERAL ACUTE CARE HOSPITALMONROE COUNTYTWO (2) NOT-FOR-PROFIT ACUTE CARE HOSPITALSONE (1) PSYCHIATRICBERKS COUNTYTWO (2) NOT-FOR-PROFIT ACUTE CARE HOSPITALSONE (1) FOR-PROFIT INPATIENT REHABILITATION HOSPITALONE (1) FOR-PROFIT SPECIALTY GENERAL ACUTE CARE HOSPITALTWO (2) PSYCHIATRICTHESE COUNTIES HAVE THE FOLLOWING DEMOGRAPHICS AND CHARACTERISTICS:1. AVERAGE INCOME LEVEL AND POVERTY RATES (US CENSUS 2018 ESTIMATES MEDIAN HOUSEHOLD INCOME AND POPULATION PERCENTAGE BELOW THE POVERTY LEVEL)CARBON COUNTY - $53,624 AND 11.9%LEHIGH COUNTY - $62,178 AND 12.0% NORTHAMPTON COUNTY - $67,565 AND 10.2%MONROE COUNTY - $63,931 AND 12.3%BERKS COUNTY - $61,522 AND 11.4%2. RATES OF UNINSURED OR UNDERINSURED PERSONS (US CENSUS 2018 ESTIMATES)CARBON COUNTY 3,037 INDIVIDUALS OR 6.0% OF THE COUNTY POPULATIONLEHIGH COUNTY 22,997 INDIVIDUALS OR 7.5% OF COUNTY POPULATIONNORTHAMPTON COUNTY 15,061 INDIVIDUALS OR 6.1% OF THE COUNTY POPULATIONMONROE COUNTY 10,526 INDIVIDUALS OR 7.5% OF THE COUNTY POPULATIONBERKS COUNTY 26,091 INDIVIDUALS OR 7.5% OF THE COUNTY POPULATION3. PERCENT OF FAMILIES WHO ARE ELIGIBLE FOR MEDICAL ASSISTANCE (PA 2018 STATE HEALTH ASSESSMENT-LATEST AVAILABLE DATA) CARBON COUNTY JULY 2017 PERCENTAGE ELIGIBLE FOR MEDICAL ASSISTANCE 21.5%LEHIGH COUNTY JULY 2017 PERCENTAGE ELIGIBLE FOR MEDICAL ASSISTANCE 23.9%NORTHAMPTON COUNTY JULY 2017 PERCENTAGE ELIGIBLE FOR MEDICAL ASSISTANCE 18.3%MONROE COUNTY JULY 2017 PERCENTAGE ELIGIBLE FOR MEDICAL ASSISTANCE 22.5%BERKS COUNTY JULY 2017 PERCENTAGE ELIGIBLE FOR MEDICAL ASSISTANCE 22.9%4. POPULATION AGE BREAKDOWN (US CENSUS 2018 ESTIMATED PENNSYLVANIA POPULATION > AGE 65 IS 18.2%)CARBON COUNTY - POPULATION > AGE 65 - 21.2%LEHIGH COUNTY - POPULATION > AGE 65 - 16.7%NORTHAMPTON COUNTY - POPULATION > AGE 65 - 19.0%MONROE COUNTY - POPULATION > AGE 65 - 17.2%BERKS COUNTY - POPULATION > AGE 65 - 17.2%5. PERCENTAGES OF LIMITED-ENGLISH-SPEAKING POPULATIONS (PERCENT SPEAK ENGLISH LESS THAN "VERY WELL")CARBON COUNTY - PERCENT OF POPULATION NOT PROFICIENT IN ENGLISH; 1.4%LEHIGH COUNTY - PERCENT OF POPULATION NOT PROFICIENT IN ENGLISH; 9.7% NORTHAMPTON COUNTY - PERCENT OF POPULATION NOT PROFICIENT IN ENGLISH; 4.9% MONROE COUNTY - PERCENT OF POPULATION NOT PROFICIENT IN ENGLISH; 4.3% BERKS COUNTY - PERCENT OF POPULATION NOT PROFICIENT IN ENGLISH; 7.6%6. AREAS DESIGNATED AS FEDERALLY MEDICALLY UNDERSERVED AREAS OR POPULATIONS (FEBRUARY, 2020)CARBON COUNTY- BOROUGHS OF: LANSFORD, NESQUEHONING, AND SUMMIT HILL LEHIGH COUNTY - ALLENTOWN SERVICE AREA - CT 0004.00 AND CT 0005.00NORTHAMPTON COUNTY -EASTON SERVICE AREA - CT: 144.00 AND SOUTH BETHLEHEM SERVICE AREA -CT: 109-113MONROE COUNTY - STROUDSBURG BOROUGH (MDC 74888) BERKS COUNTY - CITY OF READING SERVICE AREAS - CT: 1, 2, 10, 11, 13, 14, 17, 19, 21, 22, 23 AND 257. SPECIAL POPULATIONS WITHIN THE AREA SERVED, INCLUDING ETHNIC AND CULTURAL GROUPSCARBON COUNTY BACHELOR'S DEGREE OR HIGHER, PCT OF PERSONS AGE 25+ 16.8% VS 30.8% IN PALEHIGH COUNTY HISPANIC OR LATINO POPULATION 25.4% VS. 7.6% IN PANORTHAMPTON COUNTY HISPANIC OR LATINO POPULATION 13.8% VS. 7.6% IN PAMONROE COUNTY HISPANIC OR LATINO POPULATION 16.6% VS. 7.6% IN PABERKS COUNTY HISPANIC OR LATINO POPULATION 21.9% VS. 7.6% IN PASOURCE: MARKET SHARE-PHC4 DATA FOR 12 MONTHS ENDING Q1 CY2019. NOTE LEHIGH VALLEY-MUHLENBURG, ST. LUKE'S AND GNADEN HEUTTEN DID NOT REPORT REHAB UNIT VOLUME. AHD DATA FOR THESE FACILITIES USED TO NORMALIZE DATA SET. SOURCE: FACILITY CENSUS BY COUNTY-AHD.COM. NOTE, LVH MUHLENBURG IS ACTUALLY IN LEHIGH COUNTY, NOT NORTHAMPTON AS REPORTED BY AHD, HOWEVER KEPT IT IN NORTHAMPTON PER AHD AS THIS IS WIDELY USED SOURCE. SOURCES: #1, 2, 4, 5, & 7 US CENSUS STATE AND COUNTY QUICK FACTS; #3 2018 PA STATE HEALTH ASSESSMENT-LATES AVAILABLE DATA; MORE CURRENT UPDATES APPEAR UNAVAILABLE. , #6 US DEPT. HEALTH & HUMAN SERVICES- HEALTH RESOURCES AND SERVICE ADMINISTRATION.
PART VI, LINE 5:WITH RESPECT TO HOW THE HOSPITAL FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY, THE FOLLOWING INFORMATION IS PROVIDED:1) THE GSRN BOARD OF TRUSTEES GOVERNS ALL OF THE ENTITIES DESCRIBED IN PART I, LINE 6A (INCLUDING THE HOSPITAL). THE GSRN BOARD OF TRUSTEE MEMBERS (BOARD MEMBERS) ALL LIVE IN THE HOSPITAL'S PRIMARY SERVICE AREA AS DEFINED IN PART VI (SUPPLEMENTAL INFORMATION), LINE 4. THE VAST MAJORITY OF THE BOARD MEMBERS ARE NOT EMPLOYEES OR CONTRACTORS OF THE HOSPITAL. NONE OF THE BOARD MEMBERS ARE FAMILY MEMBERS.2) THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS PRIMARY SERVICE AREA. ALL APPLICANTS ARE APPROVED BY THE HOSPITAL'S MEDICAL EXECUTIVE COMMITTEE.3) THE HOSPITAL PARTICIPATES IN THE MEDICARE, MEDICAID, CHAMPUS, TRICARE, OVR AND OTHER GOVERNMENT SPONSORED HEALTHCARE PROGRAMS.4) THE HOSPITAL OPERATES IN A PRIMARY SERVICE AREA, WHICH INCLUDES ONLY ONE OTHER FREE-STANDING INPATIENT REHABILITATION HOSPITAL (A FOR-PROFIT FACILITY). HOWEVER, CERTAIN OF THE ACUTE CARE HOSPITALS WITHIN THE HOSPITAL'S PRIMARY SERVICE AREA OPERATE SMALLER REHABILITATION UNITS UNDER THEIR ACUTE CARE LICENSE. 5) TO THE EXTENT THE HOSPITAL GENERATES SURPLUS OPERATING MARGINS AND/OR FREE CASH FLOW, THE AMOUNTS ARE COMPLETELY REINVESTED WITHIN THE HOSPITAL AND/OR THE OTHER AFFILIATED CORPORATIONS UNDER THE CONTROL OF GOOD SHEPHERD REHABILITATION NETWORK (GSRN). SUCH REINVESTMENT CAN TAKE THE FORM OF INFRASTRUCTURE IMPROVEMENTS, INVESTMENTS IN MEDICAL EQUIPMENT AND TECHNOLOGY, OR OTHER INVESTMENTS INTENDED TO ENHANCE PATIENT SATISFACTION, IMPROVE THE QUALITY OF CARE, CONFORM WITH SAFETY CODES OR REGULATIONS, ETC.6) THE HOSPITAL AND OTHER AFFILIATED CORPORATIONS UNDER THE CONTROL OF GOOD SHEPHERD REHABILITATION NETWORK (GSRN) ARE INVOLVED IN HEALTH PROFESSIONS EDUCATION, PARTICULARLY FOR NURSING AND THERAPY.
PART VI, LINE 6:WITHIN THE GOOD SHEPHERD REHABILITATION NETWORK AND CONTROLLED ENTITIES (GOOD SHEPHERD), THE GOOD SHEPHERD LONG-TERM ACUTE SERVICES, INC., D/B/A GOOD SHEPHERD SPECIALTY HOSPITAL (THE SPECIALTY HOSPITAL), PROVIDES "CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST" AS REPORTED ON THEIR SCHEDULE H TO FORM 990. THESE AMOUNTS AGGREGATE $45,201 OR APPROXIMATELY 0.25% OF THE SPECIALTY HOSPITAL'S EXPENSES. THROUGH ITS GOOD SHEPHERD HOUSING DEVELOPMENT CORPORATION (SUPPIL) SUBSIDIARY, GOOD SHEPHERD REHABILITATION NETWORK AND CONTROLLED ENTITIES (GOOD SHEPHERD), PROVIDES SUPPORTIVE INDEPENDENT HOUSING TO PERSONS WITH DISABILITIES UNDER SECTION 811 OF THE DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT. THESE SERVICES WERE OPERATED AT A LOSS, WHICH TOTALED $82,266 FOR THE FISCAL YEAR ENDED JUNE 30, 2019, AND WHICH WAS FUNDED BY GOOD SHEPHERD. THE LOSS WAS DETERMINED AFTER REDUCING SUPPIL RENTAL REVENUE AND OTHER INCOME BY THE DIRECTLY ASSIGNED EXPENSES INCURRED TO OPERATE THE PROGRAM.GSRN IS A 70% OWNER OF GSPP; HOWEVER, THE OPERATIONS OF GSPP ARE NOT CONSOLIDATED WITHIN THE CONSOLIDATED FINANCIAL STATEMENTS OF GOOD SHEPHERD AS GSRN IS NOT DEEMED TO HAVE CONTROL OVER GSPP. AS A RESULT, GSRN RECORDS THEIR INVESTMENT IN GSPP UNDER THE EQUITY METHOD OF ACCOUNTING WITHIN THE GSRN CONSOLIDATED FINANCIAL STATEMENTS. THROUGH ITS OWNERSHIP IN THE GSPP UNCONSOLIDATED AFFILIATE, GSRN PROVIDES THE FOLLOWING COMMUNITY BENEFITS, WHICH TOTAL TO $4,772,000:FINANCIAL ASSISTANCE AT COST $16,000UNREIMBURSED MEDICAID $3,277,000COMMUNITY HEALTH IMPROVEMENT SERVICES $10,000HEALTH PROFESSIONS EDUCATION $1,171,000RESEARCH $294,000COMMUNITY BUILDING ACTIVITIES $3,000FINANCIAL AND IN-KIND CONTRIBUTIONS $0TO OTHER COMMUNITY GROUPS $0SUBSIDIZED HEALTH SERVICES $1,000TOTAL $4,772,000THESE AMOUNTS ARE REPORTED ABOVE AT THEIR FULL COST ALTHOUGH GOOD SHEPHERD HAS A 70% OWNERSHIP INTEREST IN GSPP.
PART VI, LINE 7:N/A

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JOHN KRISTEL
PRESIDENT/CEO (UNTIL 11/24/18)$0$656,000$0$0$0$0$0$9,250$0$16,022$0$681,272$0$0
JAMES J DALEY MD
TRUSTEE$177,931$0$17,500$0$0$0$0$0$10,927$0$206,358$0$0$0
RONALD J PETULA
SVP & CFO$0$306,190$0$19,800$0$0$0$8,192$0$9,807$0$343,989$0$0
MIKE CIRBA
CIO (UNTIL 06/15/19)$0$175,747$0$3,500$0$0$0$9,100$0$810$0$189,157$0$0
SAMUEL A MIRANDA JR
SVP & CNO (UNTIL 09/22/18)$0$241,484$0$15,728$0$232,648$0$4,034$0$4,918$0$498,812$0$118,935
SANDEEP SINGH
SVP & CMO$305,661$0$169,364$0$0$0$14,479$0$16,101$0$505,605$0$0$0
ASARE B CHRISTIAN
ASSOCIATE MEDICAL DIRECTOR$237,949$0$63,188$0$0$0$10,893$0$10,986$0$323,016$0$0$0
DEMETRICE L WARD PURVIS
STAFF PHYSIATRIST$184,003$0$89,136$0$0$0$13,612$0$13,189$0$299,940$0$0$0
JAMES B KIM
STAFF PHYSIATRIST$226,939$0$41,772$0$0$0$18,356$0$12,871$0$299,938$0$0$0
KIMBERLY S KUCHINSKI
PROG. DIR. PEDS PHYSIATRY$225,960$0$38,695$0$0$0$12,894$0$15,470$0$293,019$0$0$0
ANDREW G REISH
STAFF PHYSIATRIST$146,875$0$107,434$0$0$0$7,621$0$10,810$0$272,740$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3THE CEO IS COMPENSATED BY GOOD SHEPHERD REHABILITATION NETWORK ("GSRN"), AN AFFILIATED TAX-EXEMPT ORGANIZATION. THE HOSPITAL RELIED ON GSRN'S USE OF COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH COMPENSATION.
PART I, LINES 4A-BFOLLOWING INDIVIDUALS ARE SCHEDULED TO RECEIVE SEVERANCE PAYMENTS DURING CALENDAR YEAR 2019 AND 2020: - MIKE CIRBA (CIO) - SAMUEL A. MIRANDA (SVP & CNO) SAMUEL A. MIRANDA (SVP & CNO) RECEIVED DISTRIBUTIONS FROM 457(F) PLAN IN THE AMOUNT OF $232,648 DURING CALENDAR YEAR 2018.
PART I, LINE 7GSRN HAS A PERFORMANCE COMPENSATION PROGRAM IN PLACE WHICH IS APPROVED BY THE BOARD. CERTAIN MEMBERS OF MANAGEMENT CAN RECEIVE AN ANNUAL PERFORMANCE PAYMENT WHEN PRE-DEFINED AND PRE-APPROVED FINANCIAL AND NON-FINANCIAL GOALS ARE ACHIEVED. FOR FISCAL YEAR 2019, A PERFORMANCE PAYMENT WAS NOT ACHIEVED. IN LIEU OF A PERFORMANCE PAYMENT, SPOT BONUSES WERE PAID. THIS IS NOT GUARANTEED EACH YEAR.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART V, LINE 1:ACCOUNTS PAYABLE PAYMENTS ARE CONSOLIDATED UNDER A COMMON REPORTING SYSTEM. SINCE TOTALS FOR EACH VENDOR MAY CONTAIN TRANSACTIONS FROM MULTIPLE CORPORATIONS, THE NUMBER OF 1099'S FILED ON BEHALF OF THE GOOD SHEPHERD REHABILITATION HOSPITAL BY THE COMMON REPORTING AGENT CANNOT BE SEPARATELY IDENTIFIED AND DETERMINED.
FORM 990, PART V, LINE 2:THE GOOD SHEPHERD REHABILITATION HOSPITAL IS THE COMMON PAY AGENT FOR W-2 REPORTING FOR ALL AFFILIATES. THE NUMBER OF W-2S REPORTED ON FORM 990, PART V, LINE 2 REPRESENTS THE TOTAL NUMBER OF W-2 FORMS FILED FOR HOSPITAL EMPLOYEES. THERE WERE 1,710 W-2S FILED FOR ALL AFFILIATE ENTITIES FOR CALENDAR YEAR 2018.
FORM 990, PART VI, SECTION A, LINE 1THE EXECUTIVE COMMITTEE IS COMPRISED OF THE CHAIRS OF ALL THE BOARD COMMITTEES AS WELL AS THE CHAIR AND VICE CHAIR OF THE BOARD. ALL EXECUTIVE COMMITTEE MEMBERS ARE MEMBERS OF THE BOARD OF TRUSTEES. THE EXECUTIVE COMMITTEE CAN ACT ON BEHALF OF THE BOARD OF TRUSTEES IN MOST CASES. ANY FUNDAMENTAL CHANGES WILL GO TO THE FULL BOARD.
FORM 990, PART VI, SECTION A, LINE 7ATHE SOLE CORPORATE MEMBER OF THE ORGANIZATION IS THE GOOD SHEPHERD REHABILITATION NETWORK ("GSRN"), A RELATED TAX-EXEMPT ENTITY. GSRN HAS THE ULTIMATE AUTHORITY AND RESPONSIBILITY FOR THE FOLLOWING ACTIVITIES WITH RESPECT TO THE GOOD SHEPHERD REHABILITATION HOSPITAL: AMENDMENT, APPROVAL OR REVOCATION OF BYLAWS; INSTITUTIONAL DEVELOPMENT; CORPORATE AND STRATEGIC PLANNING; FINANCIAL PLANNING AND BUDGETING; AUDIT AND FISCAL MATTERS; RESOURCE ALLOCATION; PUBLIC RELATIONS; APPOINTMENT OF TRUSTEES AND OFFICERS; AND COMPENSATION AND HUMAN RESOURCE POLICIES.
FORM 990, PART VI, SECTION A, LINE 7BSEE EXPLANATION FOR FORM 990, PART VI, SECTION A, LINE 7A.
FORM 990, PART VI, SECTION B, LINE 11BTHE IRS FORM 990 IS PREPARED USING INFORMATION SOLICITED FROM OFFICERS, DIRECTORS, TRUSTEES, BOARD COMMITTEE MEMBERS, AND MANAGEMENT. THIS GROUP OF INDIVIDUALS IS PROVIDED A DRAFT RETURN BEFORE THE FINAL RETURN IS FILED. QUESTIONS, COMMENTS, AND ADDITIONAL INFORMATION PROVIDED BY THIS GROUP ARE INCORPORATED INTO THE FINAL RETURN. THE FINAL RETURN IS REVIEWED AT A COMMITTEE LEVEL OF THE BOARD PRIOR TO IT BEING FILED.
FORM 990, PART VI, SECTION B, LINE 12CTHERE IS A SYSTEMATIC PROCESS COORDINATED THROUGH THE GOVERNANCE COMMITTEE WHERE THE CONFLICT OF INTEREST STATEMENTS COMPLETED ANNUALLY BY BOARD MEMBERS AND SENIOR LEADERSHIP TEAM MEMBERS ARE REVIEWED BY THE GOVERNANCE COMMITTEE. WHENEVER THE COMMITTEE FEELS THE CONFLICT STATEMENT IS EITHER INCOMPLETE OR FEELS SOMETHING MAY BE MISSING, THE COMMITTEE WILL ASK MANAGEMENT TO PURSUE FURTHER DUE DILIGENCE. WHEN A BOARD MEMBER DOES HAVE AN INHERENT CONFLICT, THE TRUSTEE IS ASKED TO EITHER ABSTAIN FROM VOTING OR EXCUSE HIMSELF FROM THE ROOM DURING THE DISCUSSION AND VOTING.
FORM 990, PART VI, SECTION B, LINE 15THE BOARD OF TRUSTEES OF GOOD SHEPHERD REHABILITATION NETWORK (GSRN) DELEGATE RESPONSIBILITY FOR ADHERENCE TO ALL LEGAL AND REGULATORY REQUIREMENTS AFFECTING EXECUTIVE COMPENSATION TO THE HUMAN RESOURCES / COMPENSATION COMMITTEE OF THE BOARD (THE COMMITTEE). THE COMMITTEE IS PERMITTED TO ENGAGE EXTERNAL RESOURCES AS NECESSARY TO EDUCATE THEM ON NEW LEGAL OR REGULATORY GUIDELINES, MARKET TRENDS AND TO SUPPORT DELIBERATIONS AND DECISION MAKING RELATED TO EXECUTIVE COMPENSATION. THE COMMITTEE SELECTED AND UTILIZES AN INDEPENDENT COMPENSATION CONSULTANT, MERCER- A MARSH & MCCLENNAN COMPANY, (THE CONSULTANT) AS A RESOURCE TO ASSIST WITH DECISIONS RELATED TO EXECUTIVE COMPENSATION. IN ACCORDANCE WITH THE COMMITTEE'S ANNUAL WORK PLAN, THE COMMITTEE REVIEWED AT THE JUNE 2019 MEETING THE FOLLOWING: MERCER (US), INC. CERTIFIES THAT IT (1) IS A COMPENSATION CONSULTING FIRM, (2) PERFORMS COMPENSATION VALUATION STUDIES OF THIS TYPE ON A REGULAR BASIS, AND (3) IS QUALIFIED TO PERFORM THE VALUATIONS OF THE TYPE OF PROPERTY OR SERVICES INVOLVED. DURING MERCER'S REVIEW OF EXECUTIVE COMPENSATION, IT WAS FOUND IN THEIR OPINION TO BE FAIR, REASONABLE AND MARKET APPROPRIATE BASED ON THEIR ANALYSIS OF COMPETITIVE COMPENSATION AND BENEFIT PRACTICES FOR FUNCTIONALLY COMPARABLE POSITIONS IN SIMILARLY SITUATED ORGANIZATIONS. ALL OF THE COMPENSATION MEETINGS ARE FORMALLY DOCUMENTED CONSISTENT WITH BEST GOVERNANCE PRACTICES.
FORM 990, PART VI, SECTION C, LINE 19FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND POLICIES ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:PENSION LIABILITY ADJUSTMENT -7,528,739.
FORM 990, PART XII, LINE 2C:THE PROCESSES USED BY THE COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT HAVE NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
GOOD SHEPHERD HOME LONG-TERM CARE FACILITY INC
GOOD SHEPHERD PLAZA 850 SOUTH 5TH SALLENTOWNPA18103232215800OPERATES TWO SKILLED NURSING FACILITIES FOR THE SEVERELY DISABLEDPA501(C)(3)LINE 3GOOD SHEPHERD REHABILITATION NETWORK0
GOOD SHEPHERD HOUSING DEVELOPMENT CORPORATION
GOOD SHEPHERD PLAZA 850 SOUTH 5TH SALLENTOWNPA18103233073390PROVIDES INDEPENDENT LIVING APTS FOR DISABLED, LOW-INCOME ADULTSPA501(C)(3)LINE 10GOOD SHEPHERD REHABILITATION NETWORK0
GOOD SHEPHERD REHABILITATION NETWORK
GOOD SHEPHERD PLAZA 850 SOUTH 5TH SALLENTOWNPA18103232216041PROVIDES MANAGEMENT SERVICES IN SUPPORT OF ITS TAX-EXEMPT AFFILIATESPA501(C)(3)LINE 70N/A
PHILADELPHIA POST-ACUTE PARTNERS LLC
1800 LOMBARD STREETPHILADELPHIAPA19146208283421OPERATES INPATIENT REHAB HOSP, ACUTE CARE HOSP & 8 OUTPATIENT FACILITIESPA501(C)(3)LINE 3GOOD SHEPHERD REHABILITATION NETWORK0
THE ALLENTOWN SPECIALTY HOSPITAL INC
GOOD SHEPHERD PLAZA 850 SOUTH 5TH SALLENTOWNPA18103233009874PROVIDES INPATIENT SVCS THROUGH OPERATION OF A LONG-TERM ACUTE CARE HOSPPA501(C)(3)LINE 3GOOD SHEPHERD REHABILITATION NETWORK0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1GOOD SHEPHERD RECIPROCAL RISK RENTENTION GROUPBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line17301 RIVERS AVENUE SUITE 230AddressLine1Txt
CityNORTH CHARLESTONCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29406ZIPCd
FieldValueIRS element (for citing)
EIN204065112EIN
Primary ActivitiesRISK RETENTION GROUPPrimaryActivitiesTxt
Legal Domicile StateSCLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset ExchangeYes (1)AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

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