2015-05-15T23:37:57-05:00 2014-06-30 GRANT THORNTON LLP 2001 MARKET STREET SUITE 700 PHILADELPHIA PA 19103 990 2013-07-01 230794160 Good Samaritan Hospital % ROBERT J RICHARDS GOOD 7172707500 PO Box 1281 4th Walnut Streets Suite Lebanon PA 170421281 ROBERT RICHARDS CFO 7172707864 2015-05-15 true Frank Giardini P00532355 7172707864 2013 2016-02-25 16:41:14Z Robert J Longo 4th walnut Streets Lebanon PA 170421281 178263952 false X www.gshleb.org X 1989 PA TO PROVIDE HIGH-QUALITY, COMPASSIONATE HEALTHCARE THAT IMPROVES THE OVERALL HEALTH OF OUR COMMUNITY. 18 14 1508 385 4131559 394600 3433131 3957723 173975259 165702225 1821436 1767172 6872248 6816127 186102074 178243247 9573550 7058000 0 0 77743685 76866688 0 0 0 108582766 100632852 195900001 184557540 -9797927 -6314293 141426575 146479246 135544512 143739768 5882063 2739478 THE MISSION OF GOOD SAMARITAN HEALTH SYSTEM IS TO PROVIDE HIGH-QUALITY, COMPASSIONATE HEALTHCARE THAT IMPROVES THE OVERALL HEALTH OF OUR COMMUNITY. TO FULFILL THIS MISSION, GOOD SAMARITAN HAS FOCUSED ITS EFFORTS ON MAKING YOUR COMMUNITY HOSPITAL ONE OF THE TOP PERFORMING HOSPITALS IN THE NATION WITH ADVANCED, HIGH-QUALITY CARE THAT ALSO CARES ABOUT THE RESIDENTS OF LEBANON COUNTY. false false 163255003 7058000 Inpatient/Outpatient Services Rehabilitation Unit - The GSH operates a 14 bed rehabilitation unit providing a full range of basic services required by an acute care rehab program including physical therapy, speech therapy, occupational therapy, social services and audiology. 163255003 true true false true false false false false false true true false false true true true false true false false false false false false true false true true true true true true false false false false false false false false false true false false false false false true true true true false true 101 0 true 1508 true true true false false false false false false false false false X 18 14 false false false false true true true true true false false false true true true true true true false false X ROBERT J RICHARDS 7172707500 241 SOUTH FOURTH STREET Lebanon PA 170421281 John P Welch MD Chairman/ Trustee 1.0 1.0 X X 0 0 0 Dennis L Shalters Past Chairman/ Trustee 1.0 1.0 X X 0 0 0 Donald H Dreibelbis First Vice Chairman/ Trustee 1.0 1.0 X X 0 0 0 Robert J Funk Second Vice Chairman/ Trustee 1.0 1.0 X X 0 0 0 Jane W Juppenlatz Secretary/ Trustee 1.0 1.0 X X 0 0 0 Frederick S Wolfson Treasurer/ Trustee 1.0 1.0 X X 0 0 0 Carol Blecker Trustee 1.0 1.0 X 0 0 0 Evelyn C Colon Trustee 1.0 1.0 X 0 0 0 Paul R DiGiacomo MD Trustee 1.0 1.0 X 0 0 0 Robert P Hoffman Trustee 1.0 1.0 X 0 0 0 Frederick C Laurenzo Trustee 1.0 1.0 X 0 0 0 Robert J Phillips Trustee 1.0 1.0 X 0 0 0 William E Schaeffer Jr MD Trustee 1.0 1.0 X 0 0 0 Galen G Weaber Trustee 1.0 1.0 X 0 0 0 Deborah T Weaver Trustee 1.0 1.0 X 0 0 0 Gregory S Wickey MD Trustee 1.0 1.0 X 0 0 0 Julie Zinsser Trustee 1.0 1.0 X 0 0 0 Robert J Longo President & CEO 49.0 1.0 X X 422046 0 27010 Kimberly Feeman Senior VP & COO 35.0 15.0 X 314945 0 19382 Robert J Richards VP Finance & CFO 35.0 15.0 X 313729 0 28809 Jacquelyn M Gould VP of Nursing 35.0 15.0 X 223953 0 13831 Robert Shaver VP Medical Affairs 50.0 X 347698 0 3308 William Mulligan VP Strategic Planning & MKTG 50.0 X 135340 0 19116 Marc Bonin medical director- ed 50.0 X 449366 0 28080 Daria Kovarikova Residency Physician 50.0 X 217376 0 3146 Elizabeth Muhiire-Ntaki Residency Physician 50.0 X 214231 0 988 aaron lane Residency Physician 50.0 X 207259 0 1620 byard yoder residency physician 50.0 X 203765 0 14754 3049708 0 160044 38 false true false MCKESSON TECHNOLOGIES PO Box 98347 CHICAGO IL 606938347 IT Support 4286041 LEBANON ANESTHESIA ASSOC LTD PO Box 1281 LEBANON PA 17042 Anesthesiologists 3579688 LEBANON CARDIOLOGY ASSOCIATES 775 Norman Drive LEBANON PA 17042 Cardiologists 2130021 REHAB CARE GROUP INC PO Box 502096 ST LOUIS MO 631502096 Rehab Mgmt Services 1610795 Sodexo Operations LLC PO Box 360170 PITTSBURGH PA 152516170 Dietary mgmt Service 1442867 110 92900 35000 70321 3759502 3957723 PATIENT SERVICE REVENUE/LABORATORY 900099 165546721 161415162 4131559 HEALTH PROGRAMS 900099 125335 125335 PHARMACY SALES 900099 30169 30169 165702225 1730522 1730522 40917 40917 0 507313 507313 0 507313 507313 -4267 -4267 -4267 -4267 92900 20705 -20705 0 0 MALPRACTICE INSURANCE 524298 1612045 1612045 SNACK BAR/CAFE 722511 559395 559395 MANAGEMENT SERVICES 900099 551520 551520 3606559 3606559 6329519 178243247 161570666 4131559 8604004 7035000 7035000 23000 23000 0 0 1869167 588790 1280377 0 55672156 48321334 7350822 6912251 5875413 1036838 8307621 7061478 1246143 4105493 3489669 615824 0 540269 540269 1160 1160 13569 13569 0 640971 640971 8028673 6824372 1204301 1060731 901621 159110 1296128 1101709 194419 0 0 2431023 2066370 364653 55876 47495 8381 0 0 3936320 3345872 590448 0 11691709 9937953 1753756 2246721 1909713 337008 MEDICAL SUPPLIES 30869508 30869508 BAD DEBT 11390274 11390274 PURCHASED SERVICES 23637112 20091545 3545567 UNRELATED BUSINESS INC TAXES 345000 345000 2447808 2373887 73921 184557540 163255003 21302537 0 5601 5870 1025060 4425803 2378611 4971913 19078552 19527175 0 0 0 0 770817 630974 1458540 1378552 2448490 3178058 190785667 132933671 63689949 57851996 38777746 44266754 0 0 0 0 2269669 0 9523540 10242151 141426575 146479246 20216970 22457026 0 0 0 0 62583286 61155896 0 0 0 0 4042313 5138118 0 0 48701943 54988728 135544512 143739768 X 1808407 -4674000 3385178 6725000 688478 688478 5882063 2739478 141426575 146479246 X -6314293 3126253 45455 X false true X true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 13569 13569 false Lobbying Activities Schedule C, Part II-B, Line 1G The Hospital holds membership in the American Hospital Association (AHA) and the Hospital & Health system Association of Pennsylvania (HHAP) both of which engage in lobbying as a part of their mission to represent the interests of the hospitals at both the federal and state levels. For the year end 6/30/14 the amount of dues paid to the HHAP for General membership dues totaled $37,871 of which 17.77 percent was used for lobbying purposes and HHAP AHA dues totaled $29,999 of which 22.80 percent was used for lobbying purposes. The total used for lobbying purposes is $13,569. On occasion, HHAP requests the help of member providers to communicate concerns to legislators regarding pending legislation which could impact hospitals. This can involve direct contact with legislators or letter writing. This occurs infrequently and the cost to the hospital is negligible. 4073656 3551208 40947 253584 7412227 2719409 2252267 54351 952371 4073656 2945233 424618 53135 703577 2719409 3005818 834833 26652 922070 2945233 3236426 458155 36900 725663 3005818 0.24720 0.75280 false false 1468847 1468847 90150052 45680401 44469651 5525278 5030634 494644 92241140 82222636 10018504 1400350 0 1400350 57851996 DEBT SERVICES FUND NON-CURRENT 5776564 MALPRACTICE INS RECEIVABLE 2354298 DEFERRED BOND INSURANCE COST 525116 INTERCOMPANY RECEIVABLES 190211 OTHER RECEIVABLES 1300236 DUE FROM FOUNDATION 32158 DUE FROM EMP/STAFF/PHY 63568 10242151 0 PENSION LIABILITY 36559050 POST RETIREMENT BENEFITS 2143128 3RD PARTY PAYABLES 1538738 INSURANCE RESERVES 4616380 ANNUITY PAYABLE 848298 EMPLOYEE W/H PAYABLE 487550 INTEREST PAYABLE 473390 DUE TO OTHER 1063199 OTHER PAYABLES 2200 REHAB LIABILITY 7256795 54988728 X 162367941 3126253 -18381293 -15255040 177622981 640971 -20705 620266 178243247 165512000 20705 20705 165491295 640971 18425274 19066245 184557540 Endowment Funds Schedule D, Part V, Line 4 The Good Samaritan Hospital maintains temporarily restricted and permanently restricted assets to purchase specific pieces of equipment and provide qualified applicants a scholarship Fin 48 (ASC 740) Footnote Schedule D, Part X, Line 2 GOOD SAMARITAN Hospital is included in the consolidated audited financial statements of Good Samaritan Health services Foundation. GOOD SAMARITAN Hospital FOLLOWS THE ACCOUNTING GUIDANCE FOR UNCERTAINTIES IN INCOME TAX POSITIONS WHICH REQUIRES THAT A TAX POSITION BE RECOGNIZED OR DERECOGNIZED BASED ON A "MORE LIKELY THAN NOT" THRESHOLD. THIS APPLIES TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. GSH DOES NOT BELIEVE ITS CONSOLIDATED FINANCIAL STATEMENTS INCLUDE ANY MATERIAL UNCERTAIN TAX POSITIONS. AT JUNE 30, 2014, GSH'S TAX YEARS ENDED JUNE 30, 2011 THROUGH 2014 FOR THE FEDERAL TAX JURISDICTION REMAIN OPEN. Part XI, Line 2d Pension Income Adjustment 971,941 Change in Post Retirement Obligation 3,303,038 Change in Pension Obligation (1,961,000) Good Impairment (2,270,000) Rounding Adjustment 1,476 Reclass: Bad Debt (11,390,274) Reclass: Grant to Affiliate (7,035,000) ------------ Total (18,381,293) Part XI, Line 4b Reclass: Special Events Expenses (20,705) Part XII, Line 2d Reclass: Special Event Expenses 20,705 Part XII, Line 4b Reclass: Bad Debt (11,390,274) Reclass: Grant to Affiliate (7,035,000) ------------ Total (18,425,274) Golf Tournament 92900 -92900 20705 0 92900 -92900 20705 20705 -113605 true true X true X true X true true true false true true 2674078 2674078 0.01590 3316669 1574416 1742253 0.01040 15312637 7838681 7473956 0.04460 21303384 9413097 11890287 0.07090 33150 33150 0.00020 2930039 764156 2165883 0.01290 2963189 764156 2199033 0.01310 24266573 10177253 14089320 0.08400 46664 46664 0.00030 33613 33613 0.00020 80277 80277 0.00050 true 11390274 9639000 35582177 68783408 -33201231 X true true 1 1 The Good Samaritan Hospital fourth and walnut street lebanon PA 17042 www.gshleb.org 230794160 X X X X The Good Samaritan Hospital 1 true X X X X X X X X X 12 true false true X www.gshleb.org X X X X X X X X X false false true true 200. true 300. true X X X X true true X X X X true false true X false true 11 The Good Samaritan Hospital fourth Willow Streets Lebanon PA 17042 Rehab & Tuc Units The Good Samaritan Hospital 830 Tuck Street Lebanon PA 17042 Outpatient surgical center The Good Samaritan Hospital 840 Tuck Street Lebanon PA 17042 Wound Care & Hyperbaric Cntr The Good Samaritan Hospital 206 Hathaway Park Lebanon PA 17042 Sleep Disorders Center The Good Samaritan Hospital 805 Helen Drive Lebanon PA 17042 Outpatient Radiology Center The Good Samaritan Hospital 750 Norman Drive Lebanon PA 17042 Blood Donor Cntr & Lab The Good Samaritan Hospital 297 West Lincoln Ave Lebanon PA 17042 Outpatient Diagnostics Center The Good Samaritan Hospital 1400 South Forge Road Lebanon PA 17042 Ambulatory Services Center The Good Samaritan Hospital 100 Queen Street Lebanon PA 17042 Satellite Services Center The Good Samaritan Hospital 950 Isabel Drive Lebanon PA 17042 Outpatient Physical Therapy The Good Samaritan Hospital 781 Norman Drive Lebanon PA 17042 Cardiovascular Diagnostic Community Benefit Report Part I, Line 6a Our annual community benefit report is prepared by our marketing department. The report can be found at our website, www.gshleb.org. We also mail the report out to the members of our community. Part I, Line 7, Column (f) Our total expenses from form 990, part ix, line 25, column (a) was $184,557,540. the bad debt exchange included in this amount was $11,390,274. This left us with a total expense of $173,167,266 for purposes of calculating Line 7, column (f). Part I, Line 7 The Good Samaritan Hospital used the cost to charge ratio cost methodology to calculate the charity unreimbursed Medicaid and other government programs. The hospital used direct costs for the other community benefits on Line 7. Community Building Activities Part II The Good Samaritan Health System is involved in some community building programs which are designed to - improve the overall health of our community - (mission statement). The GSH participates in a disaster preparedness program which provides a plan in the case of a disaster that affects the community. The GSH also provides space for support groups to meet and education classes for the people within the community, like expectant parents. The activities are not included elsewhere on the Schedule H. Bad Debt, Medicare, & Collection Practices Part III, Line 4 AFS Footnote: The Hospital establishes an allowance for doubtful accounts to report the net realizable amounts to be received from patients. Increases to this allowance are reflected as a provision for doubtful accounts in the statements of operations and changes in net assets (deficiency). The Hospital regularly performs a detailed analysis of the collectability of patient accounts receivable and considers such factors as prior collection experience and the age of the receivables to determine the appropriate allowance level. Bad Debt Methodology: The Good Samaritan Hospital is a tax-exempt non-for-profit hospital that provides quality medical services to patients regardless of their ability to pay. By providing medical services to all community members regardless of their ability to pay, the hospital's bad debt expense qualifies as a community benefit. The bad debt expense calculated on line 2 was calculated using the patient care cost to charges methodology. The Good Samaritan Hospital uses an automated system called presumptive to charity care tool to calculate the amount on line 3. All self-pay accounts and all the self-pay after insurance accounts are imported into the tool, then the tool scores each account based on the government guidelines for poverty levels. For FYE 6/30/14, the tool estimated $9,639,000 of the organization's bad debt expense should be considered charity care. Medicare Shortfall Part III, Line 8 Medicare allowance costs were calculated using a cost to charge ratio. The Good Samaritan Hospital provides quality medical services to all patients regardless of what insurance they have. Approximately 58% of The Good Samaritan Hospital's revenue is attributable to Medicare patients. The Good Samaritan Hospital is relieving the government's burden, because the hospital is providing services to Medicare patients which cost more than the Medicare reimbursement. Therefore, the $33,201,231 Medicare shortfall should be considered a community benefit. Collection Policies Part III, Line 9b Collection policies are the same for all patients. if a patient notifies the hospital about their inability to pay, the hospital will send them the charity care and financial assistance forms to fill out. Once the forms are completed and returned to the hospital and the patient qualifies for financial assistance, then the patient's account will be removed from collections and the account will be written off. Needs Assessment Part VI, Line 2 The Good Samaritan Hospital (the Hospital) has participated in a variety of community health needs assessments over the past 17 years. The hospital was instrumental in helping to launch the Community Health Council of Lebanon County. In partnership with the council, a community health needs assessment was created 17 years ago and an updated assessment completed 12 years ago. Another assessment was created in 2005, led by efforts of The United Way of Lebanon County. The Hospital's most recent community health needs assessment was completed in conjunction with the Community Health Council of Lebanon County, the United Way and Lebanon Family Health Services. The assessment report was developed by Civic Research Alliance LLC, published in June 2012 and subsequently approved by the Board of Directors of the Hospital on July 24, 2012. Data were collected and analyzed by the Hospital from sources that included the Pennsylvania Department of Health, the Centers for Disease Control and Prevention, the U.S. Census, the American Community Surveys, and interviews of community leaders and healthcare professionals in Lebanon County. over time. Additional data were gathered when a trend identified a high priority need. Priorities were then categorized as a need to be addressed by the community or by the Hospital. The following were identified as the priority health care needs of the communities the Hospital serves and the action plan adopted by the Board of Directors of the Hospital. - Chronic Disease Management Provide programs that educate and assist patients with chronic diseases to self-manage their condition. Continue to offer Medical Home services at Good Samaritan primary care practices to deliver preventive care that reduces need for acute care services. Increase awareness and use of Diabetic Education services in community. Promote tobacco cessation programs. Offer cardiac education at hospital and in community. Participate in healthy lifestyle events, such as Give Thanks for Lebanon 5k/10k event. - Overweight and Obesity Raise community awareness about obesity issues. Provide education about healthy lifestyles to patients and to community groups. - Smoking Promote smoking cessation among hospital employees. Support community smoking cessation programs. Encourage doctors to tell patients to quit and share information about hospital and community-based cessation programs. - Accidents and Injuries Emergency department readiness. Continue to enforce hospital rules for use of child care seats. Raise awareness about accidents for young drivers. Raise awareness and provide education for patients and families about the risks of falling for the population 75 years and older. - Oral Health Services These services are not part of the acute health care mission of the Hospital. - Mental Health Services These services are not part of the acute health care mission of the Hospital. - Maternal and Child Health Prepare for younger maternity patients as demographics shift. Maintain high-quality maternity facilities. Raise awareness for pre- natal health checks. Promote smoking cessation to those in child- bearing years. - Access to Healthcare This issue falls outside the scope of The Hospital because most primary care is provided by independent community physicians. Encourage providers to accept Medicaid and Medicare. Keep access to public insurance at The Good Samaritan Family Practice Center, ELCO Family Practice, and Good Samaritan Pediatrics. - Culturally and linguistically appropriate healthcare Continue to provide diversity education to employees. Conduct additional outreach efforts to non- English speaking populations in community. Additional supplemental information: The hospital also maintains an independent, countywide physician needs assessment to evaluate gaps in healthcare access. A new physician needs assessment was also completed in 2011. In addition to these countywide efforts, the hospital has performed a variety of studies on specific health concerns and community needs. Key studies have included services for cardiovascular, oncology, gastroenterology, wound care, and more. The hospital has also acted to fulfill the needs identified in these studies. The hospital created one of the nation's leading cardiac and vascular centers, which has earned several national awards for quality of care. The hospital introduced a new wound care service to deal with patients suffering from complications of diabetes - a particular problem to Lebanon County - and has already expanded operations to add a third hyperbaric oxygen treatment chamber to the two originally installed in the center. In addition, the hospital has protected the community by recruiting new physicians for key services - general surgery, oncology, and gastroenterology - allowing patients to get access to care in Lebanon County instead of traveling throughout the region. Patient Education of eligibilty for assistance Part VI, Line 3 The Good Samaritan Hospital Charity Care policy outlines the process of financial, medical and catastrophic categories where a patient could qualify for charity care. the hospital has a self-pay brochure available that provides information and available hours. Financial counselors are on site to meet with patients to discuss their financial obligations, assist them in completing the application for the charity care, and answer their questions. Patients are encouraged to apply for charity care if they are unable to come in for an appointment. There is a note on the statements that is mailed to patients, letting them know that financial assistance is available. The Good Samaritan hospital's website also provides the contact information for those community members who need medical services and financial assistance. Community Information Part VI, Line 4 Lebanon County includes a mix of urban, suburban, and rural areas. The city of Lebanon is centrally located, serving as the county seat. The city is home to more than 24,000 residents and is classified by the commonwealth of Pennsylvania as a third class city. The county includes 25 other municipalities. the rest of the county is made up of suburban and rural areas, with rural farmland providing a dominant character of county life. while most of the population tends to be of white ancestry (91%), the county has a fast-growing Hispanic population (7.8%) that centers in the city of Lebanon (source: U.S. Census Bureau). The U.S. census bureau also reports that 8% of the population speaks a language other than English at home. Employment rates in the county are currently at 6.8% - one of the lowest rates in the state - and average household income is at $50,334 according to the USDA economic research service. The federal government is the county's largest employer, with large work forces at the Lebanon veteran's administration hospital and fort Indiantown gap. The Good Samaritan hospital is the largest non-governmental employer with 1,500 employees. according to the U.S. census bureau American community survey, 8% of the population lives in poverty. The Good Samaritan Hospital is the only hospital in Lebanon county. The hospital has performed thousands of outpatient procedures - from surgeries to imaging to laboratory to physical therapy - every year. The hospital also provides a continuity of care through a skilled nursing unit, rehabilitation services, home healthcare, and hospice care. the hospital is the largest provider of care to Medicaid and Medicare populations. while most Lebanon county residents choose to stay in the county for their care, with more than 60% choosing the Good Samaritan hospital for services. according to the Robert Wood Johnson Foundation community health rankings, Lebanon county is the 13th most healthy of Pennsylvania's 67 counties. the health rankings indicate key areas of improvement, including diabetes, tobacco use, and other health behaviors that are problematic. the hospital has taken steps to address these areas by expanding services and educational opportunities. Promotion of Community Health Part VI, Line 5 Good Samaritan strives to deliver powerful medicine with comforting care every day. As part of our non-profit mission, The Good Samaritan Hospital and its affiliated organizations deliver healthcare services that improve the quality of life throughout the region. As Lebanon County's only hospital, Good Samaritan is the community's primary - and sometimes only - resource for: -Inpatient hospital care -Emergency care -Surgical services -Digestive health services -Maternity services -Cardiac & vascular services -Radiology and medical imaging services -Laboratory diagnostic services and blood bank -Physical and occupational therapies -Transitional care and rehabilitation services -Home health and hospice services -Wound care and hyperbaric medicine -Diabetic education and nutrition counseling -Audiology and speech therapy -Sleep disorders -Physician services for needed specialties including cardiac, gastroenterology, general surgery, hematology, hospitalists, oncology, pediatrics, primary care (particularly for Medicaid population), thoracic, vascular, and wound care. -Medical residency program to train new physicians -And many more Community Benefit Total $2,371,205 Good Samaritan and its employees donate many hours of time to improve the health of the community. In 2014, key projects included: -Health Fairs - the countywide 50+ Festival and Women's Health Expo as well as individual events hosted by various nursing and retirement facilities, employers and other community groups -Education programs - offered at the hospital or presented to community groups on topics such as smoking cessation, cardiac health, cancer prevention, sleep disorders, diabetic health, breast health and more -Medical clinic - Good Samaritan donated employee time to support a new independent medical clinics for poor and low-income patients -Health screenings - screenings for cholesterol, blood glucose, BMI, skin cancer, blood pressure, varicose veins and other health conditions were provided throughout the year Charitable and Uncompensated Care In reflection of our non-profit mission, Good Samaritan delivered over $21 million dollars in charitable and uncompensated care to the community. Economic Impact In addition to our core healthcare mission, Good Samaritan is Lebanon County's largest non-government employer - and positively impacts the economy by generating more than 1,000 jobs outside of the health system. The Good Samaritan Hospital had a Net Hospital Revenue of $160 million in 2014. Service Statistics The Good Samaritan Hospital treated 7,582 patients in 2014. In addition, the health system offers a wide variety of diagnostic and non-acute health services that are needed by the community. Many of these services would not be available to the community if they were not offered by Good Samaritan. Behind the Statistics Many of the 109,852 radiology services we provided in 2014 include those services provided by our Women's Imaging Center, mainly screening mammograms. Breast cancer remains an important women's health issue with thirty-two percent of women in Pennsylvania diagnosed daily with the disease. One in eight women will be diagnosed with invasive breast cancer in their lifetime, including those with no family history of the disease. To help women fight this disease, Good Samaritan provides the latest, comprehensive breast imaging services and follow-up care to improve detection and shorten the time from diagnosis until treatment can begin. Dense breast tissue can make cancer harder to find on a mammogram, which increases the risk of a late-stage cancer diagnosis in many women. Because of this, Pennsylvania now requires all patients with dense breast tissue be notified in their result letter after a mammogram. Good Samaritan goes beyond the required notification for our patients, introducing new software that utilizes several different risk assessment tools to assist in calculating if a woman is high-risk for developing breast cancer in her lifetime. This risk assessment may recommend that breast ultrasound or magnetic resonance imaging (MRI) be utilized in conjunction with screening mammography to assist in detecting breast cancer. In addition to the use of this risk assessment tool in screening, Good Samaritan has focused our efforts on reducing the "door-to-diagnosis" time for women having diagnostic imaging. All diagnostic mammograms and ultrasounds are promptly read by a board-certified radiologist who specializes in breast imaging so the patient receives the results before leaving the Women's Imaging Center. If an abnormality is detected, a certified breast patient navigator in imaging and cancer care works with the patient to help her understand the process and schedule a biopsy. Good Samaritan is now able to perform all minimally-invasive biopsies in the Women's Imaging Center under stereotactic or ultrasound guidance and MRI-guided breast biopsies also available. Reducing the time from imaging to treatment is important both psychologically and physically. In the past women may have had to wait weeks after an abnormality was found for a biopsy and the following surgical consultation if the biopsy was positive. Now many women are having diagnostic imaging, a biopsy and their surgical consult in days rather than weeks. By shortening this process, women are able to either eliminate unnecessary worry more quickly or receive the earliest possible treatment for a cure. Breast cancer remains a focus of Good Samaritan's efforts to provide quality care that changes lives. Supporting Our Community The employees of the Good Samaritan Health System have a spirit of generosity. Each year employees donate their time, goods and money to support worthy causes. -United Way - Good Samaritan employees donate more than $30,000 annually to the United Way of Lebanon County. -Reach Out and Read - a national program to give free books to children of low income families. -Cribs for Kids - brand new cribs provided to low-income families -Bridge of Love - personal care items provided to families in need -Car Seats - new car seats are made available to low-income families -American Heart Association - more than 100 employees participate in the annual Heart Walk, raising thousands of dollars each year -Operation Good Sam - During the Thanksgiving Food Drive, food is collected and delivered to more than 100 families in need. -Good Samaritan Christmas Toy Drive - employees donate toys that are delivered to more than 250 children each year to spread holiday cheer Community Health Council The Good Samaritan Hospital helped to create the independent Community Health Council of Lebanon County. From its humble inception, the Council has grown into a premier county organization. More than 400 volunteers collaborate on programs to increase healthy lifestyles and to eliminate alcohol and drug abuse in the county. The Council sponsors programs that address the special needs of youth, parents and seniors. A Home for Community Groups The Good Samaritan Hospital opens its doors to support a variety of community groups. The hospital provides rent-free classroom space for a variety of support groups such as: -Alcoholics Anonymous -Alanon -Better Breather's Club -I Can Cope (cancer support) -Journey Through Grief Bereavement Support (adult focused Hospice support) -Support and Help in Airing and Resolving Experiences (for grieving parents) -Rainbow Connection (teen focused Hospice support) -Narcotics Anonymous Sharing Our Knowledge At Good Samaritan Health System, caring for our community extends beyond providing medical services. Through our educational services department, we offer classes and support groups that address multiple health related topics, which in turn offer the members of our community an opportunity to improve their health, both physically and emotionally. The educational services department oversees community education classes such as babysitter training and a variety of Heartsaver CPR programs, which range from basic first aid to advanced cardiac life support. These classes provide individuals a chance to obtain skills which can benefit their lives both personally and professionally. Diabetes is prominent in the Lebanon County. To address this growing health concern, Good Samaritan offers Diabetic Education Classes. This program is a series of four classes which addresses topics such as: the importance of managing diabetes; meal planning; use of medication; glucose monitoring; and coping with diabetes. Community members dealing with substance addiction or those who are grieving can receive much needed support through community groups whose meetings are scheduled through the educational services department. These include: Al-Anon; Journey through Grief; and Narcotics Anonymous. Most of these programs are offered on a weekly or bi-weekly basis and all are free of charge. In addition to offering classes to the general public, the educational services dep Affiliated Health Care System Part VI, Line 6 The Good Samaritan Hospital is a part of the Good Samaritan Health System. The system includes a foundation, real estate companies, family practices, specialty health services, and a DME company. In addition to the community benefits provided by the hospital, the health system evaluates the needs the community and the system will participate in community benefit programs, like supporting the volunteers in medicine free clinic which serves the underprivileged members of the community. State Filing of the community benefit report Part VI, Line 7 Pennsylvania true Good Samaritan Health Services Foundation 259 Fourth Street Lebanon PA 17042 232356151 501(c)(3) 7035000 Program Support 1 David Broderic Scholarship 15 7500 Margaret Connel Scholarship 8 5000 GSH Auxiliary Scholarship 2 4000 Caplan Nursing Scholarship 5 6500 Procedures to monitor use of grants Parts I, Line 2 The david broderic employee scholarship program and the margaret l. connelY scholarship fund are for the sons and daughters of employees. the GSH auxiliary and caplan nursing scholarships are awarded to lebanon county residents enrolled in a nursing program. The Good Samaritan hospital distributes a portion of the money allotted to every person who applies for the scholarship. The Good Samaritan Hospital has internal controls with regards to issuing grants to individuals. X X X X false true false false false false false true false Robert J Longo President & CEO 417922 0 0 0 4124 0 21202 0 5808 0 449056 0 Kimberly Feeman Senior VP & COO 264579 0 50000 0 366 0 16073 0 3309 0 334327 0 Jacquelyn M Gould VP of Nursing 172063 0 50000 0 1890 0 10522 0 3309 0 237784 0 Robert J Richards VP Finance & CFO 255552 0 50000 0 8177 0 23000 0 5809 0 342538 0 Robert Shaver VP Medical Affairs 297584 0 50000 0 114 0 0 0 3308 0 351006 0 William Mulligan VP Strategic Planning & MKTG 135214 0 0 0 126 0 15166 0 3950 0 154456 0 Marc Bonin medical director- ed 349178 0 99449 0 739 0 22719 0 5361 0 477446 0 Daria Kovarikova Residency Physician 183814 0 32856 0 706 0 0 0 3146 0 220522 0 Elizabeth Muhiire-Ntaki Residency Physician 148421 0 65672 0 138 0 0 0 988 0 215219 0 aaron lane Residency Physician 142047 0 65171 0 41 0 0 0 1620 0 208879 0 byard yoder residency physician 176523 0 26200 0 1042 0 9108 0 5646 0 218519 0 Part I, Line 3 The compensation committee hires an independent compensation consultant to establish the CEO's compensation amount and compose the contract. the compensation committee presents the information to the board and the board member can ask to review the contract privately. Part I, Line 4b Robert Longo is a participant in a 457f retirement plan. he recieved no payment from the plan this year. Part I, Line 7 The executive bonus program is a non-fixed payment program. discretion is exercised as to the amount and when/if payment will be made. A Lebanon County Health Facilities Authority 232546819 2004-03-11 17255816 See Part VI false false false A 0 0 17255816 0 0 0 0 0 0 0 0 0 2004 true false true true A false false false false 0 false false false false A false true false false 0 false 0 false false A false John P Welch MD See Part V 310157 Property Rental false Frederick C Laurenzo See Part V 15129 Car Sales false Frederick S Wolfson See Part V 154767 Attorney Fees false Part IV, line 2 John Welch, a trustee of the good samaritan hospital, is a partner in Welch wagner partnership. Part IV, Line 3 Frederick Laurenzo, a trustee of the good samaritan hospital, is a partner in federick chevrolet, cadillac, and toyota. Part IV, Line 4 Frederick Wolfson, a trustee of the good samaritan hospital, is a partner in reilly, wolfson, sheffey, schrum & lundberg. Committees With Board Authority Part VI, Section A, Line 1a There are no material differences in voting rights among the members of the governing body. The executive committee shall consist of the officers of the corporation other than the vice president, the president of the medical staff, the solicitor, the chairman of all standing committees and the most recent past chairman of the board. It shall be the duty of the executive committee to review matters brought to its attention and to make recommendations to the board for board action. It shall have the power to transact emergency business of the corporation during the interval between board meetings, provided such action does not conflict with policies and expressed wishes of the board. It shall report any actions taken to the board at the board's next regular meeting. Members or Stockholders Part VI, Section A, Line 6 The Good Samaritan Health Services Foundation, another 501(c)(3) organization, is the sole member of the good samaritian hospital. Members who may elect trustees of the governing body Part VI, Section A, Line 7a The Good Samaritan Health Services Foundation, as the sole member of the Good Samaritan Hospital, may elect one or more trustees of the hospital's governing body. decision of governing body subject to approval by members Part VI, Section A, Line 7b Certain decisions of the hospital's governing body are subject to approval by the Hospital's sole member, The Good Samaritan Health Services Foundation. Form 990 Review Process Part VI, Section B, Line 11 An external accounting firm prepares the Form 990 for the Good Samaritan Hospital. The Hospital accounting and finance personnel and the chief financial officer then review the completed Form 990. The completed Form 990 will be provided to the full board. Conflict of Interest Policy Part VI, Section B, Line 12a The Good Samaritan Hospital has a Compliance Officer that is responsible for the monitoring and enforcing the compliance of policies. The board members sign a conflict of interest statement every year which states what organizations or businesses he or she is the owner, officer, member or employee. If an issue is brought to the board members, the board member would remove himself from the discussion and abstain from voting on the issue. Compensation Review Part VI, Section B, Line 15a The compensation committee hires an independent compensation consultant to establish the CFO's compensation and compose the contract. The compensation committee presents the information to the board for discussion. The deliberation and compensation decision are documented in the committee and/or Board meetings. Disclosure of Documents to the Public Part VI, Section C, Line 19 The governing documents, conflict of interest policy and audited financial statements are available upon request. Form 990, Part XI, Line 9 Pension Income Adjustment 971,941 Change in Post Retirement Benefits 3,303,038 Change in Pension Obligation (1,961,000) Goodwill Impairment (2,270,000) Rounding Adjustment 1,476 ----------- Total 45,455 Good Samaritan Health Service Foundation 259 South 4th Street Lebanon PA 17042 232356151 Parent PA 501(c)(3) 11 Type I NA false Good Samaritan Physician Services 259 South 4th Street Lebanon PA 17042 251832359 Family Med PA 501(c)(3) 9 GSHS FDN false GSH Dialysis Inc 440 Oak Street Lebanon PA 17042 232500940 Dialysis PA 501(c)(3) 3 GSHS FDN false Good Samaritan Real Estate Inc 241 South 4th Street Lebanon PA 17042 232447262 Titleholding PA 501(c)(2) GSHS FDN false Lebanon MRI Assoc 4th and Walnut St Lebanon PA 17042 363730905 Imaging PA GSH Services GSH Services Inc 241 South 4th Street Lebanon PA 17042 232353047 Mgmt/Acct PA GSH Fnd C Corp GSH Home Med Center Inc 301 Schneider Drive Lebanon PA 17042 232028099 Med Equip PA GSH FDN C Corp GSH Realty Inc 241 South 4th Street Lebanon PA 17042 232446622 Title Holding PA GSH FDN C Corp false true false false false false false false true true true true false false false true false false