2018-05-08T09:38:24-05:00 2017-06-30 390859910 Baker Tilly Virchow Krause LLP 1650 Market Street Suite 4500 Philadelphia PA 191037341 990 2016-07-01 208283421 Philadelphia Post-Acute Partners LLC PHIL 6107763228 1800 Lombard Street Philadelphia PA 19146 Ronald J Petula SVP OF Finance & CFO 6107763228 2018-04-30 1 Julius C Green CPA P00350393 2159720701 2016 2022-09-23 18:48:47Z GOOD SHEPHERD PENN PARTNERS Ronald J Petula 850 S 5TH ST ALLENTOWN PA 18103 88835435 0 X WWW.PHILLYREHAB.org X LLC 2007 PA OPERATE INPATIENT REHAB AND LONG TERM ACUTE CARE HOSPITAL ALONG WITH FIFTEEN OUTPATIENT LOCATIONS. 6 1 920 20 0 0 11521 8015 86545120 88792084 6890 3577 58776 31759 86622307 88835435 0 0 0 0 54788297 59498915 0 0 111718 23286075 25309446 78074372 84808361 8547935 4027074 40438153 46594577 14587389 18630271 25850764 27964306 X We create world class, patient-centered rehabilitation and post acute care services by defining evidence-based practice and fully-integrating care throughout the continuum. 0 0 72455080 0 88792084 Good Shepherd Penn Partners ("GSPP") is a joint venture between Good Shepherd Rehabilitation Network in Allentown, PA and Penn Medicine located in Philadelphia, PA. The physicians and staff of GSPP provide comprehensive rehabilitation and specialty services, including inpatient rehabilitation care, long-term acute care, outpatient rehabilitation care, and physical, occupational, and speech therapy services within three acute-care hospitals of Penn Medicine (Hospital of The University of Pennsylvania, Pennsylvania Hospital, and Penn Presbyterian Medical Center). Patients benefit from outstanding care customized to meet their individual needs through every step of the rehabilitation process. CONTINUED ON Schedule "O".In fiscal year 2017, GSPP discharged a total of 1,149 patients from the inpatient rehabilitation hospital, 213 patients from the long-term acute care hospital, and provided 188,188 outpatient visits. 72455080 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 0 0 920 1 0 0 0 0 0 0 0 0 0 0 X 6 1 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X Ronald J Petula SVP OF Finance & CFO 6107763228 Good Shepherd Plaza 850 SOUTH 5TH ALLENTOWN PA 18103 JOHN KRISTEL chair/president/ceo 2.50 57.50 X X 0 565108 31318 Timothy Dillingham MD Vice Chair 2.00 X X 0 0 0 Ronald J Petula SVP/CFO/Secretary 2.50 57.50 X X 0 247620 18557 BLAKE C MARLES TRUSTEE 2.00 X 0 0 0 ROY SCHWARTZ TRUSTEE 2.00 X 0 0 0 Patrick J Brennan MD TRUSTEE 2.00 X 0 0 0 PETER D QUINN DMD MD TRUSTEE (Term 10/16) 2.00 X 0 0 0 Mike Cirba CIO 1.00 59.00 X 0 163036 7610 Samuel A Miranda JR SVP & CNO 0.00 60.00 X 0 243556 25873 Laura M Shaw-Porter Executive Director 60.00 X 253173 0 23919 Deborah C Masai Clinical Nurse II 40.00 X 182018 0 21575 Kim Grosch Div VP Therapy Svcs 40.00 X 148027 0 16424 Debra L Rasansky Team Leader Phys. Therapy 40.00 X 157609 0 15661 Kebbeh S Moluwoi Clinical Nurse II 40.00 X 146061 0 4382 Carolyn S Brant Nursing Clinical Coordinator 40.00 X 125287 0 4536 1012175 1219320 169855 26 0 1 0 General Healthcare Resources 2250 Hickory Rd Ste 240 Plymouth Meeting PA 19462 STAFFING 619975 Axis Construction Mgmt 215 W Church Rd Ste 111 King of Prussia PA 19406 CONSTRUCTION 484355 AMN Healthcare PO Box 281939 Atlanta GA 30384 STAFFING 470517 Progressive Nursing Staffers 5531 Hempstead Way Suite B Springfield VA 22151 STAFFING 389020 HCSC Laundry PO Box 25092 Lehigh Valley PA 18002 LAUNDRY SERVICES 362760 19 8015 8015 NET PATIENT SVC REV 621400 52549191 52549191 PROFESSIONAL SVCS REV 561000 36242893 36242893 88792084 3577 3577 Vending Machines 900099 29922 29922 EducatION COURSE REV 900099 1234 1234 Jury duty reimbursement 900099 603 603 31759 88835435 88792084 0 35336 X 277091 277091 48636147 44130555 4403407 102185 2412877 2195322 217555 4760841 4335231 425610 3411959 3078863 325128 7968 213439 43686 169753 164841 164841 75146 75146 20892 20892 10098444 6910084 3188360 183580 5430 178150 3820371 3469754 349157 1460 4168584 4012368 156216 99636 13317 86214 105 1375945 1209660 166285 2173869 791287 1382582 bad debt expense 2068395 2068395 Repairs & Maintenance 660838 106272 554566 DUES & SUBSCRIPTIONS 52158 23099 29059 Training 47728 45119 2609 85580 16638 68942 84808361 72455080 12241563 111718 1429 1580 5945798 6237216 7909249 9919803 145979 131380 16318113 15604200 16404949 5898610 6368712 10506339 2095411 3993274 1653462 200785 40438153 46594577 12140349 12131844 403971 558832 2043069 5939595 14587389 18630271 X 25746919 27863715 103845 100591 25850764 27964306 40438153 46594577 X 4027074 -1913532 X X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 20892 20892 0 Part II-B, Line 1: GSPP had lobbying expenditures through a certain percentage of membership fees paid to the Philadelphia Chamber of Commerce, the Hospital & HealthSystem Association of Pennsylvania, and other organizations during the fiscal year ending June 30, 2017. $20,892 was the total portion of the membership fees that were deemed to be used towards lobbying. 4882475 1366325 3516150 7794971 4532285 3262686 3727503 3727503 10506339 DUE TO AFFILIATES 4241946 estimated third-party payor settlements 1697649 5939595 X 84853508 -3981927 -3981927 88835435 0 88835435 82739966 0 82739966 2068395 2068395 84808361 Part X, Line 2: GSPP accounts for uncertainty in income taxes using a recognition threshold of more-likelythan-not to be sustained upon examination by the appropriate taxing authority. Measurement of the tax uncertainty occurs if the recognition threshold is met. Management determined there were no tax uncertainties that met the recognition threshold in 2017 or 2016. Part XI, Line 2d - Other Adjustments: PENSION LIABILTY ADJUSTMENT 908,468. Dividends paid to members -2,822,000. Bad Debt Expense netted to revenues on f/s -2,068,395. Part XII, Line 4b - Other Adjustments: Bad Debt Expense netted to revenues on f/s 2,068,395. 0 0 0 0 0 0 0 1 0 JOHN KRISTEL chair/president/ceo 0 522255 0 42853 0 0 0 14300 0 17018 0 596426 0 0 Ronald J Petula SVP/CFO/Secretary 0 237320 0 10300 0 0 0 6568 0 11989 0 266177 0 0 Mike Cirba CIO 0 163036 0 0 0 0 0 6630 0 980 0 170646 0 0 Samuel A Miranda JR SVP & CNO 0 233576 0 9980 0 0 0 12391 0 13482 0 269429 0 0 Laura M Shaw-Porter Executive Director 242457 0 10716 0 0 0 11673 0 12246 0 277092 0 0 0 Deborah C Masai Clinical Nurse II 181418 0 600 0 0 0 10560 0 11015 0 203593 0 0 0 Kim Grosch Div VP Therapy Svcs 145027 0 3000 0 0 0 2678 0 13746 0 164451 0 0 0 Debra L Rasansky Team Leader Phys. Therapy 137987 0 19622 0 0 0 4774 0 10887 0 173270 0 0 0 Kebbeh S Moluwoi Clinical Nurse II 141561 0 4500 0 0 0 4382 0 0 0 150443 0 0 0 Part I, Line 3 THE 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 ON COMPENSATION COMMITTEE TO ESTABLISH COMPENSATION EXCEPT FOR REVIEW OF WRITTEN EMPLOYMENT CONTRACTS. Part I, Line 7 GSRN has a performance compensation program in place which is approved by the Board. Certain members of management can receive an annual performance payment only when pre-defined and pre-approved financial and non-financial goals are achieved. For fiscal year 2017, a performance payment was achieved. The actual payment occurs in SEPTEMBER of the following fiscal year. This is not guaranteed each year. 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 PHILADELPHIA POST-ACUTE PARTNERS, LLC BY THE COMMON REPORTING AGENT CANNOT BE SEPARATELY IDENTIFIED AND DETERMINED. Form 990, Part VI, Section A, line 6 GSPP is organized as an LLC, set up as a Partnership between two primary members, The Good Shepherd Rehabilitation Network (70% ownership), and the Trustees of the University of Pennsylvania (30% ownership). Form 990, Part VI, Section A, line 7a The board shall consist of seven directors, as may be determined by the Members. Four directors will be designated and appointed by The Good Shepherd Rehabilitation Network and three directors will be designated and appointed by the University of Pennsylvania. (during the year ended 6/30/2017, there was one seat vacant.) Form 990, Part VI, Section A, line 7b Based on the Operating Agreement, there are certain organizational matters that must be approved by the Members of the joint venture. Form 990, Part VI, Section B, line 11b The IRS Form 990 is prepared using information solicited from officers, directors, trustees, board committee members and management. This group of individuals are 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 12c THERE 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 15 THE BOARD OF TRUSTEES OF GOOD SHEPHERD REHABILITATION NETWORK (GSRN) DELEGATES 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 2017 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 19 Financial statements, governing documents and policies are available upon request. Form 990, Part IX, line 11g Medical Professional Fees: Program service expenses 1,815,037. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,815,037. Bank Services Fees: Program service expenses 0. Management and general expenses 126,048. Fundraising expenses 0. Total expenses 126,048. Collection/Commission Fees: Program service expenses 0. Management and general expenses 322,673. Fundraising expenses 0. Total expenses 322,673. Pharmacy: Program service expenses 443,313. Management and general expenses 0. Fundraising expenses 0. Total expenses 443,313. Lab: Program service expenses 202,231. Management and general expenses 0. Fundraising expenses 0. Total expenses 202,231. Radiology: Program service expenses 106,708. Management and general expenses 0. Fundraising expenses 0. Total expenses 106,708. Dialysis: Program service expenses 297,894. Management and general expenses 0. Fundraising expenses 0. Total expenses 297,894. Clinical Other: Program service expenses 196,580. Management and general expenses 13,191. Fundraising expenses 0. Total expenses 209,771. Dietary: Program service expenses 1,738,940. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,738,940. Housekeeping: Program service expenses 9,039. Management and general expenses 0. Fundraising expenses 0. Total expenses 9,039. Laundry: Program service expenses 165,986. Management and general expenses 364,666. Fundraising expenses 0. Total expenses 530,652. Information Services: Program service expenses -3,495. Management and general expenses 60,293. Fundraising expenses 0. Total expenses 56,798. RECRUITING: Program service expenses 0. Management and general expenses 102,193. Fundraising expenses 0. Total expenses 102,193. Transportation: Program service expenses 209,229. Management and general expenses 257. Fundraising expenses 0. Total expenses 209,486. General Other PURCHASED SERVICES: Program service expenses 1,718,143. Management and general expenses 1,430,783. Fundraising expenses 0. Total expenses 3,148,926. Catering: Program service expenses 8,609. Management and general expenses 27,256. Fundraising expenses 0. Total expenses 35,865. Creative Design: Program service expenses 1,870. Management and general expenses 31,785. Fundraising expenses 0. Total expenses 33,655. Photography: Program service expenses 0. Management and general expenses 10,864. Fundraising expenses 0. Total expenses 10,864. CENTRAL SUPPLY SUPPORT: Program service expenses 0. Management and general expenses 698,351. Fundraising expenses 0. Total expenses 698,351. Form 990, Part XI, line 9: PENSION LIABILITY ADJUSTMENT 908,468. Dividends paid to members -2,822,000. Form 990, PART XI, 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. FORM 990, PART VI, LINE 1A: The 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. GOOD SHEPHERD HOME LONG-TERM CARE FACILITY INC GOOD SHEPHERD PLAZA 850 S 5TH STREE ALLENTOWN PA 18103 232215800 OPERATES TWO SKILLED NURSING FACILITIES FOR THE SEVERELY DISABLED PA 501(c)(3) Line 3 GOOD SHEPHERD REHABILITATION NETWORK 0 GOOD SHEPHERD HOUSING DEVELOPMENT CORPORATION GOOD SHEPHERD PLAZA 850 S 5TH STREE ALLENTOWN PA 18103 233073390 PROVIDES INDEPENDENT LIVING APTS FOR DISABLED, LOW-INCOME ADULTS PA 501(c)(3) Line 10 GOOD SHEPHERD REHABILITATION NETWORK 0 GOOD SHEPHERD REHABILITATION HOSPITAL GOOD SHEPHERD PLAZA 850 S 5TH STREE ALLENTOWN PA 18103 231371947 PROVIDES COMPREHENSIVE INPATIENT AND OUTPATIENT REHABILITATION SERVICES PA 501(c)(3) Line 3 GOOD SHEPHERD REHABILITATION NETWORK 0 GOOD SHEPHERD REHABILITATION NETWORK GOOD SHEPHERD PLAZA 850 S 5TH STREE ALLENTOWN PA 18103 232216041 PROVIDES MANAGEMENT SERVICES IN SUPPORT OF ITS TAX-EXEMPT AFFILIATES PA 501(c)(3) Line 7 N/A 0 THE ALLENTOWN SPECIALTY HOSPITAL INC GOOD SHEPHERD PLAZA 850 S 5TH STREE ALLENTOWN PA 18103 233009874 PROVIDES INPATIENT SVCS THROUGH OPERATION OF A LONG-TERM ACUTE CARE HOSP PA 501(c)(3) Line 3 GOOD SHEPHERD REHABILITATION NETWORK 0 Trustees of the University of Pennsylvania 211 COllege Hall Office of the Secr Philadelphia PA 19104 231352685 Operates Multiple Hospitals and Healthcare Facilities PA 501(c)(3) Line 2 N/A 0 Good Shepherd Reciprocal Risk Retention Group 7301 Rivers Avenue Suite 230 North Charleston SC 29406 204065112 Risk Retention Group SC N/A C 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0