THE GOOD SAMARITAN HOSPITAL OF LEBANON PENNSYLVANIA: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: THE GOOD SAMARITAN HOSPITAL OF LEBANON PENNSYLVANIA (EIN 23-0794160)
Tax period: 2011-07-01 to 2012-06-30
Filed: 2013-05-13
IRS object ID: 201331339349302938
Schema version: 2011v1.5
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-05-13T13:09:57-05:00	Timestamp
Tax Period End Date	2012-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	75 BEATTIE PLACE SUITE 800	AddressLine1
City	GREENVILLE	City
State	SC	State
ZIP Code	29601	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	230794160	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Good Samaritan Hospital The	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of Name	% ROBERT J RICHARDS	InCareOfName
Name Control	GOOD	NameControl
Phone	7172707500	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 1281 4th Walnut Sts	AddressLine1
City	Lebanon	City
State	PA	State
ZIP Code	170421281	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Robert Richards	Name
Title	VP Finance & CFO	Title
Date Signed	2013-05-13	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	8642425740	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	ROBERT J LONGO	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	4TH WALNUT STREETS	AddressLine1
City	LEBANON	City
State	PA	State
ZIP Code	17042	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	190420384	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.gshleb.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1989	YearFormation
State Legal Domicile	PA	StateLegalDomicile
Activity Or Mission Description	TO PROVIDE HIGH-QUALITY, COMPASSIONATE HEALTHCARE THAT IMPROVES THE OVERALL HEALTH OF OUR COMMUNITY.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	19	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	14	NbrIndependentVotingMembers
Total Nbr Employees	1510	TotalNbrEmployees
Total Nbr Volunteers	429	TotalNbrVolunteers
Total Gross UBI	4225568	TotalGrossUBI
Net Unrelated Business Txbl Income	404871	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1191113	ContributionsGrantsPriorYear
Contributions Grants Current Year	1579559	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	171375812	ProgramServiceRevenuePriorYear
Program Service Revenue CY	171916754	ProgramServiceRevenueCY
Investment Income Prior Year	957345	InvestmentIncomePriorYear
Investment Income Current Year	1169472	InvestmentIncomeCurrentYear
Other Revenue Prior Year	5397185	OtherRevenuePriorYear
Other Revenue Current Year	5129572	OtherRevenueCurrentYear
Total Revenue Prior Year	178921455	TotalRevenuePriorYear
Total Revenue Current Year	179795357	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	27690	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	22900	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	71982867	SalariesEtcPriorYear
Salaries Etc Current Year	73825335	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	95440354	OtherExpensePriorYear
Other Expenses Current Year	104362084	OtherExpensesCurrentYear
Total Expenses Prior Year	167450911	TotalExpensesPriorYear
Total Expenses Current Year	178210319	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	11470544	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	1585038	RevenuesLessExpensesCY
Total Assets BOY	149903555	TotalAssetsBOY
Total Assets EOY	144414767	TotalAssetsEOY
Total Liabilities BOY	121387527	TotalLiabilitiesBOY
Total Liabilities EOY	150978640	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	28516028	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	-6563873	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	TO PROVIDE HIGH-QUALITY, COMPASSIONATE HEALTHCARE THAT IMPROVES THE OVERALL HEALTH OF OUR COMMUNITY.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	150256042	Expense
Grants	22900	Grants
Revenue	165105334	Revenue
Description	Inpatient/Outpatient Services - SEE SCHEDULE O	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	2347751	Expense
Grants	0	Grants
Revenue	2618590	Revenue
Description	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. FY 6/30/12 STATISTICS: 373 REHAB ADMISSIONS AND 4,037 REHAB PATIENT DAYS.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	2034717	Expense
Grants	0	Grants
Revenue	2161447	Revenue
Description	Skilled Nursing Facility- THE GSH OPERATES A 19 BED TRANSITIONAL CARE UNIT PROVIDING A FULL RANGE OF BASIC SERVICES REQUIRED BY A HOSPITAL BASED SKILLED NURSING FACILITY, INCLUDING PHYSICAL THERAPY, SPEECH THERAPY, OCCUPATIONAL THERAPY, SOCIAL SERVICES AND AUDIOLOGY. FY 6/30/12 STATISTICS: 364 TCU ADMISSIONS AND 3,948 TCU PATIENT DAYS.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	1878200	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	0	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	2031384	TotalOfOtherProgramServiceRev
Total Program Service Expense	156516710	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	true	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	true	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	113	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	1510	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	19	NbrVotingGoverningBodyMembers
Number Independent Voting Members	14	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	ROBERT J RICHARDS	NamePerson
Telephone Number	7172707500	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	241 SOUTH FOURTH STREET	AddressLine1
City	LEBANON	City
State	PA	State
ZIP Code	170421281	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
CAROL BLECKER
TRUSTEE	1.0	X
EARL H BRINSER
TRUSTEE	1.0	X
SLOAN CAPLAN
TRUSTEE	1.0	X
EVELYN C COLON
TRUSTEE	1.0	X
PAUL R DIGIACOMO
TRUSTEE	1.0	X
DONALD H DREIBELBIS
SECOND VICE CHAIRMAN	1.0	X	X
ROBERT J FUNK
TRUSTEE	1.0	X
ROBERT P HOFFMAN
TRUSTEE	1.0	X
JANE W JUPPENLATZ
SECRETARY	1.0	X	X
FREDERICK C LAURENZO
TRUSTEE	1.0	X
ROBERT J PHILLIPS
TRUSTEE	1.0	X
WILLIAM E SCHAEFFER JR MD
TRUSTEE	1.0	X
DENNIS L SHALTERS
CHAIRMAN	1.0	X	X
GALEN G WEABER
TRUSTEE	1.0	X
JOHN P WELCH MD
FIRST VICE CHAIRMAN	1.0	X	X
DEBORAH T WEAVER
TRUSTEE	1.0	X
FREDERICK S WOLFSON ESQ
TREASURER	1.0	X	X
JULIE ZINSSER
TRUSTEE	1.0	X
ROBERT J LONGO
PRES. & CEO	40.0	X	X	513509	0	796
KIMBERLY FEEMAN
SENIOR VP & COO	40.0		X	285238	0	0
ROBERT J RICHARDS
VP FINANCE & CFO	40.0		X	291979	0	0
JACQUELYN M GOULD
VP OF NURSING	40.0			196218	0	0	X
JULIE MIKSIT
VP CV SVCS & REHAB THERAPIES	40.0			173693	0	0	X
ROBERT D SHAVER MD
VP MEDICAL AFFAIRS	40.0			335676	0	0	X
ELIZABETH MUHIIRE-NTAKI
PHYSICIAN	40.0			168981	0	0		X
DARIA KOVARIKOVA
PHYSICIAN	40.0			187680	0	0		X
BYARD YODER
PHYSICIAN	40.0			173715	0	0		X
ROBERTA SCHERR
PHYSICIAN	40.0			169280	0	0		X
RICHARD FOLLETT
CHIEF INFORMATION OFFICER	40.0			165015	0	0		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2660984	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	796	TotalOtherCompensation
Number Individuals GT100 K	24	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
MCKESSON INFORMATION SOLUTIONS
PO BOX 98347	CHICAGO	IL	606938347	IT SUPPORT	3910610
LEBANON ANESTHESIA ASSOCIATION
PO BOX 1281	LEBANON	PA	17042	ANESTHESIOLOGISTS	3213873
LEBANON CARDIOLOGY ASSOCIATES
775 NORMAN DRIVE	LEBANON	PA	17042	CARDIOLOGISTS	2185300
REHAB CARE GROUP INC
PO BOX 502096	ST LOUIS	MO	631502098	REHAB MGMT SERVICES	1291264
SODEXO OPERATIONS LLC
PO BOX 360170	PITTSBURGH	PA	152516170	DIETARY MGMT SERVICE	965437

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	24	NumberOfContractorsGT100K
Related Organizations	500000	RelatedOrganizations
Government Grants	203968	GovernmentGrants
All Other Contributions	875591	AllOtherContributions
Total Contributions	1579559	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
IP/OP PATIENTS	900099	160879765	160879765
REHAB PATIENTS	900099	2618590	2618590
HH/VNA SERVICES	621610	2031384	2031384
TCU PATIENTS	900099	2161447	2161447
DROP LAB REVENUE	621500	4225568		4225568

Field	Value	IRS element (for citing)
Total Program Service Revenue	171916754	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	747021	TotalRevenueColumn
Exclusion	$747,021	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	117451	TotalRevenueColumn
Exclusion	$117,451	ExclusionAmount

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	129483	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	244158	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-114675	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-114675	TotalRevenueColumn
Exclusion	-$114,675	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	10685869	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	10353674	Securities
Other	27195	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	332195	Securities
Other	-27195	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	305000	TotalRevenueColumn
Exclusion	$305,000	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount
MALPRACTICE INSURANCE	524298	969890	969890
PENSION INCOME	524292	670178		$670,178
SNACK BAR/CAFE SALES	722210	582040		$582,040

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	3022139	TotalRevenueColumn
Related Or Exempt Function Income	3022139	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	5244247	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	179795357	TotalRevenueColumn
Related Or Exempt Function Income	171683215	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	4225568	UnrelatedBusinessRevenue
Exclusion	$2,307,015	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	22900	Total
Program Services	22900	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1945870	Total
Management And General	1945870	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	55758965	Total
Program Services	47395120	ProgramServices
Management And General	8363845	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	4520237	Total
Program Services	3842201	ProgramServices
Management And General	678036	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	7434885	Total
Program Services	6319652	ProgramServices
Management And General	1115233	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	4165378	Total
Program Services	3540571	ProgramServices
Management And General	624807	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	219971	Total
Program Services	186975	ProgramServices
Management And General	32996	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	218000	Total
Program Services	185300	ProgramServices
Management And General	32700	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	15129	Total
Program Services	12860	ProgramServices
Management And General	2269	ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	600397	Total
Program Services	510337	ProgramServices
Management And General	90060	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	7971806	Total
Program Services	6776035	ProgramServices
Management And General	1195771	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1331219	Total
Program Services	1131536	ProgramServices
Management And General	199683	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	1728769	Total
Program Services	1469454	ProgramServices
Management And General	259315	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	4343160	Total
Program Services	3691686	ProgramServices
Management And General	651474	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	5558005	Total
Program Services	4931839	ProgramServices
Management And General	626166	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	68314	Total
Program Services	58067	ProgramServices
Management And General	10247	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	181709	Total
Program Services	154453	ProgramServices
Management And General	27256	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	3903907	Total
Program Services	3318321	ProgramServices
Management And General	585586	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	1511796	Total
Program Services	1285027	ProgramServices
Management And General	226769	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	9768637	Total
Program Services	8303341	ProgramServices
Management And General	1465296	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	2094587	Total
Program Services	1780399	ProgramServices
Management And General	314188	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	31139419	31139419
BAD DEBT	12066975	12066975
PURCHASED SERVICES	11486512	9763535	1722977
TAXES	3350764	2848149	502615

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	6803008	Total
Program Services	5782558	ProgramServices
Management And General	1020450	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	178210319	Total
Program Services	156516710	ProgramServices
Management And General	21693609	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	5370	BOY
EOY	5220	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	2403439	BOY
EOY	2272501	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	1373674	BOY
EOY	1029573	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	18802608	BOY
EOY	18637951	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	1153750	BOY
EOY	1130188	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	1656440	BOY
EOY	1686147	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2464927	BOY
EOY	2851253	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	186994825	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	117407607	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	73244003	BOY
EOY	69587218	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	29142551	BOY
EOY	29850306	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	2269669	BOY
EOY	2269669	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	17387124	BOY
EOY	15094741	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	149903555	BOY
EOY	144414767	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	13289408	BOY
EOY	18574578	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	327222	BOY
EOY	375508	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	65273066	BOY
EOY	63955676	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	791851	BOY
EOY	700819	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	3593583	BOY
EOY	2871683	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	38112397	BOY
EOY	64500376	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	121387527	BOY
EOY	150978640	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	25570795	BOY
EOY	-9283282	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2273056	BOY
EOY	2047232	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	672177	BOY
EOY	672177	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	28516028	BOY
EOY	-6563873	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	149903555	BOY
EOY	144414767	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	1585038	ReconcilationRevenueExpenses
Reconcilation Other Changes	-36664939	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	false	AuditCommittee
Financial Statement Both	X	FinancialStatementBoth
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	true	DirectContactLegislators
Direct Contact Legislators	$15,129	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	false	OtherActivities
Total Lobbying Expenditures IIB	15129	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3
Substantially All Dues Nondeduct	false	SubstantiallyAllDuesNondeduct
Only In House Lobbying	false	OnlyInHouseLobbying
Agree To Carryover Prior Year	false	AgreeToCarryoverPriorYear

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	LOBBYING ACTIVITIES	Identifier
Return Reference	SCHEDULE C, PART II-B, LINE 1G	ReturnReference
Explanation	THE HOSPITAL HOLDS MEMBERSHIP IN THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA BOTH OF WHICH ENGAGE IN LOBBYING AS A PART OF THEIR MISSION TO REPRESENT THE INTERESTS OF HOSPITALS AT BOTH THE FEDERAL AND STATE LEVELS. FOR THE YEAR ENDED 6-30-12 THE AMOUNT OF DUES PAID TO THE HHAP TOTALED $65,781 WHICH 23% ($15,129) WAS USED FOR LOBBYING PURPOSES. 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.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	2945233	BeginningOfYearBalance
Contributions	424618	Contributions
Investment Earnings Or Losses	53135	InvestmentEarningsOrLosses
Other Expenditures	703577	OtherExpenditures
End Of Year Balance	2719409	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	3005818	BeginningOfYearBalance
Contributions	834833	Contributions
Investment Earnings Or Losses	26652	InvestmentEarningsOrLosses
Other Expenditures	922070	OtherExpenditures
End Of Year Balance	2945233	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	3236426	BeginningOfYearBalance
Contributions	458155	Contributions
Investment Earnings Or Losses	36900	InvestmentEarningsOrLosses
Other Expenditures	725663	OtherExpenditures
End Of Year Balance	3005818	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	3712782	BeginningOfYearBalance
Contributions	-26711	Contributions
Investment Earnings Or Losses	-22884	InvestmentEarningsOrLosses
Other Expenditures	426761	OtherExpenditures
End Of Year Balance	3236426	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.00000	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.24720	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.75280	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1468847	OtherCostOrOtherBasis
Book Value	1468847	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	89594063	OtherCostOrOtherBasis
Depreciation	40035289	Depreciation
Book Value	49558774	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3782430	OtherCostOrOtherBasis
Depreciation	3155023	Depreciation
Book Value	627407	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	89589473	OtherCostOrOtherBasis
Depreciation	72679639	Depreciation
Book Value	16909834	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2560012	OtherCostOrOtherBasis
Depreciation	1537656	Depreciation
Book Value	1022356	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	69587218	TotalOfBookValueLandBuildings

Other Assets OtherAssets (10 entries)

DescriptionDescription	Book ValueBookValue
ACCRUED INT BOARD DESIG FUNDS	2000
DEBT SVC FUNDS NON-CURRENT	5656510
DEBT SVC FUNDS CURRENT	1390000
INTERCOMPANY RECEIVABLES	215396
DUE FROM FOUNDATION	72804
DUE FROM EMPL, STAFF, PHYS	98354
OTHER RECEIVABLES	410212
MALPRACTICE INSURANCE REC	2333702
DEFERRED BOND ISSUE COSTS	611481
OTHER ASSETS	4304282

Field	Value	IRS element (for citing)
Total Book Value Other Assets	15094741	TotalBookValueOtherAssets
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescription	AmountAmount
EMPLOYEE W/H PAYABLE	$505,481
3RD PARTY PAYABLES	$4,540,487
LONG TERM POST RETIRE BENEFITS	$2,927,137
INSURANCE RESERVES	$3,777,267
PENSION LIABILITY	$52,750,004

Field	Value	IRS element (for citing)
Total Of Amounts	64500376	TotalOfAmounts
Total Revenue	179795357	TotalRevenue
Total Expenses	178210319	TotalExpenses
Excess Or Deficit For Year	1585038	ExcessOrDeficitForYear
Net Unrealized GL On Investments	-240114	NetUnrealizedGLOnInvestments
Other	-$36,424,825	OtherAmount
Total Adjustments	-36664939	TotalAdjustments
Excess Or Deficit Per FS	-35079901	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	179321646	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	-240114	NetUnrealizedGainsInvestments
Other Revenues	-477755	OtherRevenues
Revenue Not Rptd F990	-717869	RevenueNotRptdF990
Revenue Subtotal	180039515	RevenueSubtotal
Other Revenues Not Included	-244158	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	-244158	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	179795357	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	178454477	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	244158	OtherExpensesIncluded
Expenses Not Rptd F990	244158	ExpensesNotRptdF990
Expenses Subtotal	178210319	ExpensesSubtotal
Total Expenses Per Form990	178210319	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
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.
RECONCILIATION	SCHEDULE D, PART XI, XII, XIII	PART XI, LINE 8 THE GOOD SAMARITAN HOSPITAL NEEDED TO RESERVE MONEY IN ORDER TO PROVIDE THE RETIRED EMPLOYEES AND FUTURE RETIRED EMPLOYEES WITH SUFFICIENT PENSION PAYMENTS. THE GOOD SAMARITAN HOSPITAL WAS ABLE TO RELEASE FUNDS THAT WERE RESTRICTED FOR A SPECIFIC PURPOSE. THE GOOD SAMARITAN HOSPITAL ALSO WROTE OFF A LARGE RECEIVABLE THAT WAS DUE FROM AN AFFILIATED EXEMPT ORGANIZATION, GOOD SAMARITAN PHYSICIAN SERVICES. THE AMOUNT OF THE PENSION RESERVE ADJUSTMENT WAS $27,651,540 AND THE AMOUNT OF THE WRITEOFF FOR THE GOOD SAMARITAN PHYSICIAN SERVICES RECEIVABLE WAS $8,748,175. THERE WAS ALSO A $25,110 CHANGE IN UNRESTRICTED NET ASSETS TO RECALCULATE THE BOYER ANNUITY LIABILITY. PART XII, LINE 2D LESS TEMPORARILY RESTRICTED CONTRIBUTIONS OF $424,618. ALSO LESS TEMPORARILY RESTRICTED INCOME FROM INVESTMENTS OF $53,137. PART XII, LINE 4B RENTAL EXPENSES OF $244,158 PART XIII, LINE 2D RENTAL EXPENSES OF $244,158 PART X, LINE 2 ASC 740 (FORMERLY FIN 48) IN THE COURSE OF PREPARING THE HOSPITAL'S TAX RETURNS, THE HOSPITAL EVALUATES TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN TO DETERMINE WHETHER THE TAX POSITIONS ARE "MORE-LIKELY-THAN-NOT" OF BEING SUSTAINED BY THE APPLICABLE TAX AUTHORITIES. TAX POSITIONS NOT DEEMED TO MEET THE MORE-LIKELY-THAN-NOT THRESHOLD ARE RECORDED AS TAX BENEFITS OR EXPENSE IN THE CURRENT YEAR. MANAGEMENT HAS ANALYZED ALL TAX POSITIONS TAKEN ON FEDERAL, STATE, AND LOCAL INCOME TAX RETURNS FOR ALL OPEN TAX YEARS AND HAS CONCLUDED THAT NO PROVISION FOR FEDERAL INCOME TAX IS REQUIRED IN THE FINANCIAL STATEMENTS. THERE ARE NO INTEREST AND PENALTIES DEDUCTED IN THE CURRENT PERIOD AND NO INTEREST AND PENALTIES ACCRUED AT JUNE 30, 2012.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1819202	TotalCommunityBenefitExpense
Net Community Benefit Expense	1819202	NetCommunityBenefitExpense
Percent Of Total Expense	0.01090	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2969712	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1389416	DirectOffsettingRevenue
Net Community Benefit Expense	1580296	NetCommunityBenefitExpense
Percent Of Total Expense	0.00950	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	14082079	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6666614	DirectOffsettingRevenue
Net Community Benefit Expense	7415465	NetCommunityBenefitExpense
Percent Of Total Expense	0.04460	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	18870993	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8056030	DirectOffsettingRevenue
Net Community Benefit Expense	10814963	NetCommunityBenefitExpense
Percent Of Total Expense	0.06500	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	71762	TotalCommunityBenefitExpense
Net Community Benefit Expense	71762	NetCommunityBenefitExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2140330	TotalCommunityBenefitExpense
Direct Offsetting Revenue	931524	DirectOffsettingRevenue
Net Community Benefit Expense	1208806	NetCommunityBenefitExpense
Percent Of Total Expense	0.00730	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2212092	TotalCommunityBenefitExpense
Direct Offsetting Revenue	931524	DirectOffsettingRevenue
Net Community Benefit Expense	1280568	NetCommunityBenefitExpense
Percent Of Total Expense	0.00770	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	21083085	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8987554	DirectOffsettingRevenue
Net Community Benefit Expense	12095531	NetCommunityBenefitExpense
Percent Of Total Expense	0.07270	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	32293	TotalCommunityBuildingExpense
Net Community Building Expense	32293	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	25480	TotalCommunityBuildingExpense
Net Community Building Expense	25480	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	57773	TotalCommunityBuildingExpense
Net Community Building Expense	57773	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$12,066,975	BadDebtExpenseAmount
Amount Attributable To	6339649	AmountAttributableTo
Amount Reimbursed By Medicare	34644838	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	78222253	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-43577415	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	THE GOOD SAMARITAN HOSPITAL	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	FOURTH AND WALNUT STREETS	AddressLine1
City	LEBANON	City
State	PA	State
ZIP Code	17042	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Teaching Hospital	X	TeachingHospital
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	THE GOOD SAMARITAN HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	200.	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	300.	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Medical Indigency	X	MedicalIndigency
Uninsured Discount	X	UninsuredDiscount
Other Factors	X	OtherFactors
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	true	ActionsOnNonpayment
Collection Activities	false	CollectionActivities
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	true	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	11	NumberOfOtherFacilities

Other Facilities OtherFacilities (11 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
THE GOOD SAMARITAN HOSPITAL
FOURTH AND WILLOW STREETS	LEBANON	PA	17042	REHAB AND TCU 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 CENTER
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 CENTER & LABORATORY
THE GOOD SAMARITAN HOSPITAL
297 WEST LINCOLN AVENUE	MYERSTOWN	PA	17067	OUTPATIENT DIAGNOSTIC CENTER
THE GOOD SAMARITAN HOSPITAL
1400 SOUTH FORGE ROAD	PALMYRA	PA	17078	AMBULATORY SERVICES CENTER
THE GOOD SAMARITAN HOSPITAL
100 QUEEN STREET	JONESTOWN	PA	17038	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 CENTER

Form990 Schedule H Part VI Form990ScheduleHPartVI (9 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
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 EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN (A) WAS $178,210,319. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT WAS $12,066,975. THIS LEFT US WITH A TOTAL EXPENSE OF $166,143,344 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 AND 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 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. THE HOSPITAL REGULARLY PERFORMS A DETAILED ANALYSIS OF THE COLLECTIBILITY 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 THE 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 6/30/12, THE TOOL ESTIMATED THAT $6,339,649 OF THE ORGANIZATION'S BAD DEBT EXPENSE SHOULD BE CONSIDERED CHARITY CARE. PART III, LINE 8 MEDICARE ALLOWABLE 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 $43,577,415 MEDICARE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT. 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.
FACILITY INFORMATION	PART V, SECTION B, Q. 11H	THE GOOD SAMARITAN HOSPITAL CALCULATES THE AMOUNT CHARGED TO A PATIENT BASED ON CATESTROPHIC OR PHYSICAL HARDSHIP AND THE NUMBER OF INDIVIDUALS LIVING IN A HOUSEHOLD. PART V, SECTION B, Q. 19D THE GOOD SAMARITAN HOSPITAL BILLS INDIVIDUALS WITHOUT INSURANCE THEIR GROSS CHARGES ASSOCIATED WITH THE SERVICES THEY RECEIVED DURING THEIR VISIT. GSH OFFERS ALL SELF PAY PATIENTS A 35% DISCOUNT IF THEY PAY THEIR BILL WITHIN 30 DAYS OF THEIR SERVICES. PART V, SECTION B, Q. 21 THE GOOD SAMARITAN HOSPITAL CHARGES ITS SELF PAY PATIENTS THEIR GROSS CHARGES FOR THE SERVICES RENDERED.
NEEDS ASSESSMENT	PART VI, LINE 2	THE GOOD SAMARITAN 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 GOOD SAMARITAN HOSPITAL IS CURRENTLY PARTNERED WITH OTHER COMMUNITY ORGANIZATIONS AND COMPLETED A COMMUNITY HEALTH ASSESSMENT DURING THE FALL OF 2011. 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. 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 ON OUR CHARITY CARE PROGRAM ALONG WITH CONTACT 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 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. 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: US CENSUS BUREAU). THE US 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 VETERANS ADMINISTRATION HOSPITAL AND FORT INDIANTOWN GAP. THE GOOD SAMARITAN HOSPITAL IS THE LARGEST NON-GOVERNMENTAL EMPLOYER WITH 1,500 EMPLOYEES. ACCORDING TO THE US 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 PROVIDES EMERGENCY CARE TO APPROXIMATELY 54,000 INDIVIDUALS EACH YEAR. THE HOSPITAL CARED FOR 8,139 ACUTE CARE PATIENTS. IN ADDITION, 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 HOSPTIAL 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 HOSPTIAL HAS TAKEN STEPS TO ADDRESS THESE AREAS BY EXPANDING SERVICES AND EDUCATIONAL OPPORTUNITIES.
COMMUNITY BENEFIT REPORT	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 -Dialysis -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 $579,401 GOOD SAMARITAN AND ITS EMPLOYEES DONATE MANY HOURS OF TIME TO IMPROVE THE HEALTH OF THE COMMUNITY. IN 2012, KEY PROJECTS INCLUDED HEALTH FAIRS: THE COUNTYWIDE 50+ FESTIVAL AND 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, 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 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 $17.5 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 $165 MILLION IN 2012. SERVICE STATISTICS: THE GOOD SAMARITAN HOSPITAL TREATED 8,893 PATIENTS IN 2012. 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: THE GOOD SAMARITAN EMERGENCY DEPARTMENT IS ONE OF THE REGION'S BUSIEST AND HAS ONE OF THE LOWEST WAIT TIMES. IT OPERATES THE ONLY EMERGENCY ROOM IN THE COUNTY. TO HELP IMPROVE COMMUNITY CARE, THE GOOD SAMARITAN HOSPITAL HAS INVESTED TO UPGRADE TO DIGITAL PRE-HOSPITAL EKG SOFTWARE. THIS ALLOWS THE EMERGENCY DEPARTMENT TO RECEIVE REAL-TIME, DIGITAL EKG READINGS BEFORE THE PATIENT ARRIVES AT THE HOSPITAL. THE JOINT VENTURE WITH FIRST AID & SAFETY OF LEBANON ORIGINATED IN 2006 WITH THE DEPLOYMENT OF EKG EQUIPMENT IN THE FIELD. A PATIENT EXPERIENCING CHEST PAIN WOULD RECEIVE AN EKG ON THE SCENE AND THE RESULTS WERE FAXED TO THE EMERGENCY DEPARTMENT. DUE TO THE JOINT VENTURE WITH FIRST AID & SAFETY, THE GOOD SAMARITAN HOSPITAL EMERGENCY DEPARTMENT NOW INTERACTS WITH SIX EKG MACHINES DEPLOYED TO THE UNITS IN THE COUNTY. THE DATA TRANSMITTED BY THE UNITS IS READ BY A PHYSICIAN WHO DETERMINES WHETHER OR NOT THE PATIENT WILL REQUIRE CARDIAC CATHETERIZATION. THIS ALLOWS THE HOSPITAL TO ACTIVATE THE CATHETERIZATION LAB RESPONSE TEAM PRIOR TO THE PATIENT'S ARRIVAL. BECAUSE THE DATA IS TRANSMITTED DIGITALLY, GOOD SAMARITAN CLINICIANS ARE ABLE TO RECEIVE THE INFORMATION MUCH FASTER AND SIGNIFICANTLY DECREASE OUR CARDIAC DOOR-TO-BALLOON TIME. THIS CREATES BETTER OUTCOMES FOR THE PATIENTS BECAUSE THEY ARE RECEIVING CRUCIAL CARE MUCH SOONER. 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 -NARCOTICS ANONYMOUS -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) -I CAN COPE (CANCER SUPPORT) -LELECHE LEAGUE 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; NARCOTICS ANONYMOUS; AND SMOKE STOPPERS. 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 DEPARTMENT ALSO ASSISTS IN THE COORDINATION OF NURSING STUDENT CLINICAL ROTATIONS. WORKING IN CONJUNCTION WITH HARRISBURG AREA COMMUNITY COLLEGE AND THE LEBANON COUNTY CAREER AND TECHNOLOGY CENTER, GOOD SAMARITAN HEALTH SYSTEM ASSISTS WITH PROVIDING NURSING STUDENTS THE OPPORTUNITY TO RECEIVE ON-THE-JOB TRAINING WHILE BEING MENTORED AND SUPERVISED BY A NURSING INSTRUCTOR. THE AVAILABILITY OF THESE PROGRAMS WOULD NOT BE POSSIBLE IF IT WERE NOT FOR THE MANY DEDICATED AND HIGHLY SKILLED MEMBERS OF THE EDUCATIONAL SERVICES DEPARTMENT. THESE ARE INDIVIDUALS WHO SEEK PROGRAMS WHICH ARE RELEVANT, TIMELY AND VERY MUCH A NECESSITY IN THE COMMUNITY. IF YOU OR SOMEONE YOU KNOW MAY BENEFIT FROM THE PROGRAMS MENTIONED OR IF YOU WOULD LIKE TO FIND AVAILABILITY FOR ANY OF OUR CLASSES AND SUPPORT GROUPS, PLEASE VISIT OUR WEBSITE AT WWW.GSHLEB.ORG. BELOW IS A LISTING AND BRIEF DESCRIPTION OF PROGRAMS AND SUPPORT GROUPS CURRENTLY OFFERED AT GOOD SAMARITAN: HEALTH EDUCATION -DIABETIC EDUCATION - ASSISTS INDIVIDUALS WITH DIABETES IN CONTROLLING AND COPING WITH THEIR DISEASE (4 CLASSES PER SESSION) -SMOKE STOPPERS - COMPREHENSIVE EDUCATION AND SUPPORT PROGRAM FOR SMOKING CESSATION (8 CLASSES PER SESSION) CPR & FIRST AID TRAINING BABYSITTING COURSE - TRAINING FOR GIRLS AND BOYS 12 YEARS OF AGE AND OVER (3 CLASSES PER SESSION) -HEARTSAVER CPR - BASIC CPR SKILLS FOR ADULT/CHILD AND MANAGEMENT OF CHOKING -HEARTSAVER FIRST AID AND PEDIATRIC FIRST AID - BASIC FIRST AID TRAINING FOR ADULTS AND CHILDREN -BASIC LIFE
MEETING UNMET COMMUNITY NEEDS		THE GOOD SAMARITAN HOSPITAL STRIVES TO FULFILL UNMET COMMUNITY HEALTH NEEDS. AS LEBANON COUNTY'S ONLY HOSPITAL, GOOD SAMARITAN DELIVERS SERVICES THAT CLOSE HEALTHCARE GAPS. THE FOLLOWING PAGES SHOW HOW GOOD SAMARITAN HAS REINVESTED TO MAINTAIN, TO IMPROVE AND TO INCREASE PUBLIC ACCESS TO QUALITY HEALTHCARE SERVICES. HERE ARE SOME EXAMPLES OF HOW GOOD SAMARITAN HAS MADE A DIFFERENCE IN LEBANON COUNTY: WOUND CARE & HYPERBARIC MEDICINE IN 2009 GOOD SAMARITAN OPENED THE FIRST WOUND CARE CENTER IN LEBANON COUNTY TO FULFILL THE UNDERMET NEEDS OF OUR COMMUNITY. CHRONIC OR NON-HEALING WOUNDS CAN RESULT FROM MANY TYPES OF HEALTH CONDITIONS SUCH AS A LACK OF MOBILITY, DIABETES, POOR CIRCULATION, TRAUMA AND VASCULAR DISEASE. THE SPECIALLY TRAINED STAFF AT THE WOUND CARE CENTER INCLUDES A PHYSICIAN, REGISTERED NURSES AND HYPERBARIC THERAPY TECHNICIANS WHO HAVE HAD SPECIALIZED TRAINING IN WOUND CARE. FOR PATIENTS LIKE SCOT ADAMS, THE WOUND CARE CENTER OFFERED HOPE WHEN IT SEEMED AS IF THERE WAS NONE LEFT. SCOT CAME TO US WITH A VERY DEEP INFECTION IN HIS ANKLE CAUSED BY MRSA (METHICILLIN-RESISTANT STAPHYLOCOCCUS AUREUS), POTENTIALLY A VERY VIRULENT AND DIFFICULT TO TREAT BACTERIA, ESPECIALLY IN THE BONE. IT WAS A PERSISTENT INFECTION THAT HAD NOT BEEN ERADICATED BY PREVIOUS TREATMENTS INCLUDING SURGERY AND INTRAVENOUS ANTIBIOTICS. "I WAS LOOKING AT THE POSSIBILITY OF LOSING MY FOOT, EVEN PART OF MY LEG," SAID SCOT. "MY OTHER DOCTORS WERE RUNNING OUT OF OPTIONS. MY WIFE READ AN ARTICLE ABOUT THE WOUND CARE CENTER AND RECOMMENDED THAT I ASK MY DOCTOR IF IT WAS WORTH A TRY. I WAS LUCKY, IT OPENED A FEW WEEKS LATER AND I WAS ONE OF THE FIRST PATIENTS." AFTER FOUR MONTHS AND OVER 60 HYPERBARIC TREATMENTS, SCOT'S WOUND FINALLY HEALED. HE SAID, "IT WAS AMAZING. AFTER EACH TREATMENT YOU COULD SEE AN IMPROVEMENT IN A COUPLE OF DAYS." HE ADDED, "THE EXPERIENCE WAS LIFE-CHANGING AND I AM GRATEFUL FOR THE CARE I RECEIVED FROM THE STAFF. NOT JUST THE MEDICINE, BUT THE WAY THEY TREATED ME AS A PERSON. I FELT LIKE THEY GENUINELY CARED. I WOULD DEFINITELY RECOMMEND THAT PEOPLE WITH A WOUND THAT WON'T HEAL GO TO GOOD SAMARITAN; IT CHANGED MY LIFE." LIFESAVING HYPOTHERMIA TREATMENT: WHEN DALE LONG SUFFERED A SUDDEN CARDIAC ARREST WHILE WORKING AT LEBANON SEABOARD, HIS CO-WORKERS CALLED 911 AND STARTED CPR IMMEDIATELY. ONCE EMTS WERE ON THE SCENE, THEY WERE ABLE TO RESTORE A LIFE SUSTAINING HEART RHYTHM AND TRANSPORT HIM TO THE GOOD SAMARITAN HOSPITAL. STILL UNCONSCIOUS WHEN HE ARRIVED AT THE ER, DOCTORS FOUND THAT DALE HAD SUSTAINED AN INJURY TO HIS HEAD WHEN HE COLLAPSED. FEARING HIS FALL MAY HAVE CAUSED BRAIN DAMAGE, HIS MEDICAL TEAM DECIDED TO IMPLEMENT A PROTOCOL KNOWN AS THERAPEUTIC HYPOTHERMIA, A LIFE-SAVING PROTOCOL OFFERED BY ONLY A FEW HOSPITALS IN THE AREA. THERAPEUTIC HYPOTHERMIA LOWERS THE PATIENT'S BODY TEMPERATURE AND REDUCES THE BRAIN'S DEMAND FOR OXYGEN AND NUTRIENTS RESULTING IN A LOWER RISK OF NEUROLOGICAL IMPAIRMENT. ONCE DALE AWOKE AND SHOWED NO SIGNS OF NEUROLOGICAL IMPAIRMENT, THE TEAM STARTED TO WORK ON HIS HEART TO REPAIR THE VENTRICULAR FIBRILLATION WHICH CAUSED THE SUDDEN ATTACK. DALE RECEIVED A CARDIAC CATHETERIZATION WHERE IT WAS DETERMINED THAT HE SUFFERED FROM FOUR SEVERE BLOCKAGES AND REQUIRED QUADRUPLE BYPASS SURGERY. ALTHOUGH DALE'S BYPASS SURGERY WAS A SUCCESS, HIS HEART MUSCLE WAS WEAKENED LEAVING HIM SUSCEPTIBLE TO HEART RHYTHM ISSUES, KNOWN AS ARRHYTHMIA, WHICH COULD CAUSE FUTURE ATTACKS. DALE WAS FITTED WITH A TEMPORARY EXTERNAL DEFIBRILLATOR CALLED A LIFE VEST. THE LIFE VEST WOULD PAINLESSLY SHOCK HIS HEART BACK INTO A HEALTHY RHYTHM IF IT SUDDENLY WENT INTO A LIFE THREATENING ARRHYTHMIA. AFTER IT WAS DETERMINED HE WAS A CANDIDATE FOR A MORE PERMANENT DEFIBRILLATOR, HE RECEIVED A DEVICE THAT WILL MAINTAIN HIS HEART RHYTHM FOR SEVERAL YEARS AND REQUIRES ONLY AN OUTPATIENT VISIT TO REPLACE IT. FOLLOWING SURGERY DALE WAS ADMITTED TO THE OUTPATIENT CARDIAC REHABILITATION PROGRAM IN ORDER TO SLOWLY REBUILD HIS STAMINA AND DECREASE HIS RISK FOR FUTURE HEART RELATED ILLNESS. AFTER COMPLETING THE PROGRAM IN 18 WEEKS, DALE WAS ABLE TO RETURN TO WORK WITHIN A FEW MONTHS OF SUFFERING A MAJOR CARDIAC EVENT. DALE IS ALIVE TODAY THANKS TO THE QUICK ACTIONS OF HIS CO-WORKERS AND THE ADVANCED CARDIAC CARE HE RECEIVED AT GOOD SAMARITAN. ACCORDING TO DALE, "PERSONAL CARE AND ATTENTION ARE A HUGE PART OF THE HEALING PROCESS AT GOOD SAMARITAN. I ATTRIBUTE THAT TO HOW QUICKLY I RECOVERED." FINDING SPECIALISTS: THE GOOD SAMARITAN HOSPITAL IS ALSO WORKING TO PROTECT THE HEALTH OF LEBANON VALLEY RESIDENTS BY ENSURING THAT THE COUNTY'S PHYSICIAN COMPLEMENT INCLUDES SPECIALISTS NEEDED TO CLOSE GAPS IN THE HEALTHCARE SYSTEM. GOOD SAMARITAN HAS CREATED NEW PRACTICES TO STRENGTHEN PHYSICIAN RECRUITMENT EFFORTS TO ENSURE A LONG-TERM, SUSTAINABLE PHYSICIAN BASE FOR THE COUNTY. THE HOSPITAL ALSO PARTNERS WITH LOCAL PHYSICIANS TO AID IN RECRUITMENT EFFORTS WHEN NECESSARY. ACCESS TO QUALITY HEALTH CARE IMPROVED WHEN GOOD SAMARITAN RECRUITED KEY SPECIALISTS IN RECENT YEARS: GOOD SAMARITAN SURGICAL ASSOCIATES - LEBANON COUNTY HAD LOST A NUMBER OF GENERAL SURGEONS TO RETIREMENT OVER RECENT YEARS. GOOD SAMARITAN CREATED A NEW PRACTICE TO HIRE ONE LOCAL SURGEON AND ADD THREE NEW GENERAL SURGEONS FROM OUTSIDE THE COUNTY. GOOD SAMARITAN GASTROENTEROLOGY ASSOCIATES - THIS PRACTICE HAS STABILIZED THE NUMBER OF GASTROENTEROLOGISTS IN THE COUNTY AND PROVIDES A PLATFORM TO RECRUIT MORE SURGEONS IN THE FUTURE. GOOD SAMARITAN ONCOLOGY & HEMATOLOGY ASSOCIATES - THIS PRACTICE ENABLED THE HOSPITAL TO RECRUIT A NEW ONCOLOGIST TO ACCOMPANY THE TWO TALENTED PROVIDERS ALREADY IN THE COUNTY. GOOD SAMARITAN CARDIOVASCULAR SURGICAL ASSOCIATES - THIS PRACTICE FEATURES THE COUNTY'S ONLY CARDIAC, THORACIC AND VASCULAR SURGEONS. GOOD SAMARITAN PEDIATRICS - THIS PRACTICE IS THE LARGEST PEDIATRIC PRACTICE IN THE COUNTY AND ONE OF THE FEW PRIMARY CARE PROVIDERS ACCEPTING MEDICAID PATIENTS. IN ADDITION, THE HOSPITAL HAS ASSISTED LOCAL PHYSICIANS IN THEIR EFFORTS TO RECRUIT OB/GYN, GASTROENTEROLOGY, CARDIAC AND OTHER KEY SPECIALISTS THAT ARE NEEDED TO ADDRESS THE HEALTH NEEDS OF THE LOCAL POPULATION, BUT WERE NOT AVAILABLE PREVIOUSLY. SAFE NURSES HELP SEXUAL ASSAULT VICTIMS: THE GOOD SAMARITAN HOSPITAL WORKED DILIGENTLY TO IMPROVE THE LIVES OF SEXUAL ASSAULT VICTIMS. OVER THE PAST SEVERAL YEARS, THE HOSPITAL AND ITS NURSES INVESTED THE TIME AND RESOURCES NECESSARY TO CREATE A SEXUAL ASSAULT FORENSIC EXAMINER PROGRAM FOR LEBANON COUNTY - THE FIRST TIME THESE SERVICES HAVE BEEN MADE AVAILABLE WITHIN THE COUNTY. TEN EMERGENCY AND MATERNITY NURSES VOLUNTEERED FOR THE REQUIRED 42.6 HOURS OF TRAINING TO BECOME CERTIFIED AS SAFE NURSES. BY VOLUNTEERING FOR CERTIFICATION, THE MEMBERS OF THE GOOD SAMARITAN HOSPITAL NURSING STAFF WENT ABOVE AND BEYOND THEIR REGULAR DUTIES. THEY NOW ARE ABLE TO EXAMINE THE VICTIMS AND COLLECT FORENSIC EVIDENCE FOR USE BY LAW ENFORCEMENT OFFICIALS IN COURT CASES. IN ADDITION, THE NURSES LEARNED ABOUT HOW TO MAINTAIN THE CHAIN OF EVIDENCE NECESSARY TO PROSECUTE OFFENDERS AND MAY BE ASKED TO SERVE AS EXPERT WITNESSES IN COURT CASES. THE NURSES WERE TRAINED IN HOW TO CONDUCT AN INTERVIEW IN THE BEST POSSIBLE AND MOST THERAPEUTIC WAY, AS WELL AS HOW TO USE THE FORENSIC KIT THAT IS USED DURING THE EXAMINATION OF A SEXUAL ASSAULT VICTIM. THIS HELPS ELIMINATE THE LIKELIHOOD OF MISSED OR IMPROPERLY COLLECTED EVIDENCE AND INCREASES THE NUMBER OF SUCCESSFUL CONVICTIONS OF GUILTY PERPETRATORS DUE TO ADEQUATE PREPARATION FOR COURTROOM TESTIMONY. THE NURSES ARE ALSO TRAINED TO DEAL WITH THE EMOTIONAL TRAUMA OF A SEXUAL ASSAULT VICTIM BY OFFERING A CALMING, COMFORTING AND REASSURING ENVIRONMENT. THE PROGRAM IS INTENDED TO CARE FOR THE WHOLE PERSON, NOT ONLY THE MEDICAL CONDITION, BUT THE EMOTIONAL HEALTH AS WELL. TO ENSURE THAT SEXUAL ASSAULT VICTIMS RECEIVE COORDINATED CARE, THE SAFE NURSES TOOK THE INITIATIVE TO MEET DIRECTLY WITH LOCAL POLICE, THE DISTRICT ATTORNEY'S OFFICE AND THE SEXUAL ASSAULT RESOURCE COUNSELING CENTER. THE FOCUS OF THESE EFFORTS WAS TO ENSURE PROPER COORDINATION TO SUPPORT CRIMINAL PROCEEDINGS AS WELL AS TO PROVIDE A THERAPEUTIC ENVIRONMENT THAT TRANSITIONS INTO A LONG-TERM HEALING PROCESS. THE GOOD SAMARITAN HOSPITAL HAS MADE A FIRM COMMITMENT TO IMPROVING THE QUALITY OF CARE IT PROVIDES TO COUNTY RESIDENTS WHO HAVE BEEN TRAUMATIZED BY SEXUAL ASSAULT. BY PARTNERING WITH LOCAL SEXUAL ASSAULT SUPPORT GROUPS AND LAW ENFORCEMENT, THE GOOD SAMARITAN HOSPITAL IS BETTER ABLE TO HELP PATIENTS MOVE TOWARD RECOVERY AND HEALING. FINDING BREAST CANCER SOONER: DEDICATED TO ADVANCING WOMEN'S HEALTH CARE IN LEBANON COUNTY, GOOD SAMARITAN HEALTH SYSTEM HAS DELIVERED THE LATEST BREAST IMAGING TECHNOLOGY TO OUR COMMUNITY. GOOD SAMARITAN HEALTH SYSTEM NOW PROVIDES ANALOG AND DIGITAL MAMMOGRAPHY, BREAST MRI AND MRI-GUIDED BREAST BIOPSY IN ADDITION TO THE OTHER BREAST-IMAGING SERVICES AVAILABLE THROUGHOUT THE SYSTEM. OUR COMPREHENSIVE BREAST IMAGING SERVICES NOW INCLUDE: DI
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, DIALYSIS CENTER, REAL ESTATE COMPANIES, MRI CENTER, FAMILY PRACTICES, SPECIALITY 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.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII (4 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Cash GrantAmountOfCashGrant
DAVID BRODERIC SCHOLARSHIP	21	7500
MARGARET CONNELL SCHOLARSHIP	6	5000
GSH AUXILIARY SCHOLARSHIP	3	2200
CAPLAN NURSING SCHOLARSHIP	4	8200

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURES TO MONITOR USE OF GRANTS	Identifier
Return Reference	SCHEDULE I, PART I, LINE 2	ReturnReference
Explanation	THE DAVID BRODERIC EMPLOYEE SCHOLARSHIP PROGRAM AND THE MARGARET L. CONNELL 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. PART III, COLUMN (B) THE GOOD SAMARITAN HOSPITAL DISTRIBUTES A PORTION OF THE MONEY ALLOTTED TO EVERY PERSON WHO APPLIES FOR THE SCHOLARSHIP.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	true	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ROBERT J LONGO
407197	0	85050	0	21262	0	0	0	796	0	514305	0	0	0
KIMBERLY FEEMAN
232644	0	37180	0	15414	0	0	0	0	0	285238	0	0	0
JACQUELYN M GOULD
159373	0	27287	0	9558	0	0	0	0	0	196218	0	0	0
ROBERT J RICHARDS
234109	0	38744	0	19126	0	0	0	0	0	291979	0	0	0
JULIE MIKSIT
138408	0	23250	0	12035	0	0	0	0	0	173693	0	0	0
ROBERT D SHAVER MD
292136	0	43540	0	0	0	0	0	0	0	335676	0	0	0
ELIZABETH MUHIIRE-NTAKI
153213	0	15768	0	0	0	0	0	0	0	168981	0	0	0
DARIA KOVARIKOVA
179441	0	8239	0	0	0	0	0	0	0	187680	0	0	0
BYARD YODER
165197	0	0	0	8518	0	0	0	0	0	173715	0	0	0
ROBERTA SCHERR
169280	0	0	0	0	0	0	0	0	0	169280	0	0	0
RICHARD FOLLETT
147952	0	5000	0	12063	0	0	0	0	0	165015	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Identifier	SUPPLEMENTAL COMPENSATION INFORMATION	Identifier
Return Reference	PART I, LINE 3	ReturnReference
Explanation	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. IF A BOARD MEMBER WOULD LIKE TO REVIEW THE CONTRACT, THEY CAN CONTACT A MEMBER OF THE COMPENSATION COMMITTEE TO REVIEW THE CONTRACT PRIVATELY. PART I, LINE 4B ROBERT J. LONGO IS A PARTICIPANT IN A 457F RETIREMENT PLAN. HE RECEIVED 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.	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	LEBANON COUNTY HEALTH FACILITIES AUTHORITY	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	232546819	IssuerEIN
CUSIP Number	522455BE3	CUSIPNumber
Date Issued	2004-03-11	DateIssued
Issue Price	17255816	IssuePrice
Description Of Purpose	SEE PART VI	DescriptionOfPurpose
Defeased	false	Defeased
On Behalf Of Issuer	false	OnBehalfOfIssuer
Pool Financing	false	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Amount Retired	0	AmountRetired
Amount Bond Defeased	0	AmountBondDefeased
Total Proceeds	17255816	TotalProceeds
Amount In Reserve Fund	0	AmountInReserveFund
Capitalized Interest	0	CapitalizedInterest
Refunding Escrow	0	RefundingEscrow
Issuance Costs From Proceeds	0	IssuanceCostsFromProceeds
Credit Enhancement	0	CreditEnhancement
Working Capital Expenditures	0	WorkingCapitalExpenditures
Capital Expenditures	0	CapitalExpenditures
Other Spent Proceeds	0	OtherSpentProceeds
Amount Unspent	0	AmountUnspent
Year Of Subst Completion	2004	YearOfSubstCompletion
Current Refunding	true	CurrentRefunding
Advance Refunding	false	AdvanceRefunding
Final Allocation Made	true	FinalAllocationMade
Adequate Books And Recds Maintaind	true	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Prcntge Prvt Business Use By Others	0	PrcntgePrvtBusinessUseByOthers

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Form8038 T Filed	false	Form8038TFiled
Variable Rate Issue	false	VariableRateIssue
Hedge Identified In Books And Recds	false	HedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1

Field	Value	IRS element (for citing)
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvested
Exception To Rebate	true	ExceptionToRebate

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	SCHEDULE K	Identifier
Return Reference	0	ReturnReference
Explanation	REFUND OUTSTANDING 94 BONDS ISSUED ON 1/13/94	Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
ARTHUR FUNK AND SONS
SEE PART V	365370	CONSTRUCTION PROJECTS	false
WELCH WAGNER PARTNERSHIP
SEE PART V	280071	PROPERTY RENTAL	false
FREDERICK CHEVROLET CADILLAC TOYO
SEE PART V	111382	CAR SALES	false
REILLYWOLFSONSHEFFEYSCHRUMLUNDB
SEE PART V	108857	ATTORNEY FEES	false

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Identifier	SCHEDULE L	Identifier
Explanation	PART IV, LINE 1 ROBERT J. FUNK, A TRUSTEE OF THE GOOD SAMARITAN HOSPITAL, IS A PARTNER IN ARTHUR FUNK AND SONS. 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 FREDERICK 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.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
EXPLANATION FOR CHANGES TO PRIOR YEAR REVENUE AMOUNTS FROM 2010 RETURN	FORM 990, PART I, LINES 9 AND 11	During the audit for the year ending 6/30/2012, the auditors determined that the money received from the state of Pennsylvania for the Medicaid Modernization Act should be considered program service revenue rather than other revenue. As a result of this determination, the auditors restated the program service and other revenue for 6/30/2011. On Part I of the 2011 990, the revenue listed on lines 9 and 11 for the prior year will not match the 2010 990 revenue numbers due to the revised audited financial statements. PART III, LINE 4A - PROGRAM SERVICE EXPENSE #1 THE GSH IS A 196 LICENSED BED, (ACUTE CARE 177, SKILLED CARE 19) TAX EXEMPT, NON-PROFIT ACUTE CARE HOSPITAL PROVIDING A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES INCLUDING RESPIRATORY THERAPY, PHYSICAL THERAPY, RADIOLOGY, INPATIENT AND OUTPATIENT SURGERY, PEDIATRICS, INTENSIVE CARE, TELEMETRY, CARDIAC CARE, HEMODIALYSIS, INHALATION THERAPY, PULMONARY FUNCTIONS, ENDOSCOPY, 24 HOUR EMERGENCY CARE, OCCUPATIONAL MEDICINE, TRACTION, PACEMAKERS, EEG, EKG, STRESS MONITORING, MAMMOGRAPHY, ULTRASOUND, CT SCAN, CANCER CARE, NUCLEAR MEDICINE, PHARMACY, OBSTETRICS, BLOOD BANK, PERIPHERAL VASCULAR LAB, CARDIOVASCULAR LAB, CARDIOVASCULAR SURGERY, AND LABORATORY WHICH INCLUDE CHEMISTRY, HEMATOLOGY, HISTOLOGY, CYTOLOGY AND MICROBIOLOGY. FY 6/30/12 STATISTICS: 7,402 ADMISSIONS, 32,552 INPATIENT DAYS; 283,650 OUTPATIENT REGISTRATIONS. PART III, LINE 4D - PROGRAM SERVICE EXPENSE #4 THE GSH OPERATES HOME HEALTH/VISITING NURSE ASSOCIATION PROVIDING A FULL RANGE OF IN-HOME HEALTH CARE INCLUDING IV THERAPY, MATERNAL/INFANT CARE, HOSPICE, PHYSICAL THERAPY, SPEECH THERAPY, OCCUPATIONAL THERAPY, NUTRITIONAL THERAPY, SOCIAL SERVICES AND HOME HEALTH AIDES. FY 6/30/12 STATISTICS: 15,904 IN-HOME CARE VISITS WERE PROVIDED.
COMMITTEES WITH BROAD AUTHORITY	FORM 990, PART VI, 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 PRESIDENTS, THE PRESIDENT OF THE MEDICAL STAFF, THE SOLICITOR, THE CHAIRMEN 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 FORM 990, PART VI, LINE 6 THE GOOD SAMARITAN HEALTH SERVICES FOUNDATION, ANOTHER 501(C)(3) ORGANIZATION, IS THE SOLE MEMBER OF THE GOOD SAMARITAN HOSPITAL.
MEMBERS WHO MAY ELECT TRUSTEES OF THE GOVERNING BODY	FORM 990, PART VI, 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 FORM 990, PART VI, 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.
REVIEW PROCESS OF FORM 990	FORM 990, PART VI, LINE 11B	AN ACCOUNTANT PREPARES THE 990 AND 990-T FOR THE GOOD SAMARITAN HOSPITAL. THE HOSPITAL THEN PAYS AN AUDITING FIRM TO REVIEW THE 990 TAX RETURN. THE CONTROLLER AND THE CFO REVIEW THE FINAL DRAFT OF THE RETURN BEFORE IT IS DISTRIBUTED TO THE BOARD OF DIRECTORS AND THEN FILED WITH THE IRS.
MONITORING & ENFORCEMENT OF CONFLICT OF INTEREST POLICY	FORM 990, PART VI, LINE 12C	THE GOOD SAMARITAN HOSPITAL HAS A COMPLIANCE OFFICER THAT IS RESPONSIBLE FOR 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 AND THERE IS A CONFLICT OF INTEREST THAT INVOLVES ONE OF THE BOARD MEMBERS THAT BOARD MEMBER WOULD REMOVE HIMSELF OR HERSELF FROM THE DISCUSSION AND ABSTAIN FROM VOTING ON THE ISSUE. DETERMINATION OF COMPENSATION FORM 990, PART VI, LINE 15A THE COMPENSATION COMMITTEE HIRES AN INDEPENDENT COMPENSATION CONSULTANT TO ESTABLISH THE CEO'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 MINUTES.
DISCLOSURE OF DOCUMENTS TO THE PUBLIC	FORM 990, PART VI, LINE 19	THE GOOD SAMARITAN HOSPITAL HAS ALL OF ITS POLICIES AND FINANCIAL STATEMENTS AVAILABLE FOR THE GENERAL PUBLIC. THE PUBLIC NEEDS TO SCHEDULE AN APPOINTMENT WITH ADMINISTRATION TO COME IN AND VIEW THE INFORMATION UNDER HOSPITAL SUPERVISION.
AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS	FORM 990, PART VII, SECTION A, COLUMN (B)	ALL OF THE HOSPITAL TRUSTEES ALSO SERVE 1 HOUR PER WEEK ON THE GOOD SAMARITAN HEALTH SERVICE FOUNDATION'S BOARD. ROBERT J. LONGO GOOD SAMARITAN HOSPITAL - 40 HOURS/WEEK GOOD SAMARITAN HEALTH SERVICES FOUNDATION - 1 HOUR/WEEK GOOD SAMARITAN PHYSICIAN SERVICES - 12 HOURS/WEEK GSH SERVICES, INC. - 1 HOUR/WEEK GOOD SAMARITAN REAL ESTATE, INC. - 1 HOUR/WEEK GSH REALTY, INC. - 1 HOUR/WEEK GSH HOME MED CARE, INC. - 1 HOUR/WEEK GSH DIALYSIS, INC. - 1 HOUR/WEEK LEBANON MRI ASSOCIATES, LTD. - 1 HOUR/WEEK GOOD SAMARITAN PHYSICIAN HOSPITAL ORGANIZATION - 1 HOUR/WEEK ROBERT J. RICHARDS GOOD SAMARITAN HOSPITAL - 40 HOURS/WEEK GOOD SAMARITAN PHYSICIAN SERVICES - 12 HOURS/WEEK GSH SERVICES, INC. - 1 HOUR/WEEK GOOD SAMARITAN REAL ESTATE, INC. - 1 HOUR/WEEK GSH REALTY, INC. - 1 HOUR/WEEK GSH HOME MED CARE, INC. - 1 HOUR/WEEK GSH DIALYSIS, INC. - 1 HOUR/WEEK LEBANON MRI ASSOCIATES, LTC. - 1 HOUR/WEEK GOOD SAMARITAN PHYSICIAN HOSPITAL ORGANIZATION - 1 HOUR/WEEK KIMBERLY FEEMAN GOOD SAMARITAN HOSPITAL - 40 HOURS/WEEK GOOD SAMARITAN PHYSICIAN SERVICES - 12 HOURS/WEEK LEBANON MRI ASSOCIATES, LTC. - 3 HOURS/WEEK JACQUELYN M. GOULD GOOD SAMARITAN HOSPITAL - 40 HOURS/WEEK GOOD SAMARITAN PHYSICIAN SERVICES - 12 HOURS/WEEK GSH DIALYSIS, INC. - 3 HOURS/WEEK JULIE MIKSIT GOOD SAMARITAN HOSPITAL - 40 HOURS/WEEK GOOD SAAMRITAN PHYSICIAN SERVICES - 10 HOURS/WEEK ROBERT D. SHAVER, M.D. GOOD SAMARITAN HOSPITAL - 40 HOURS/WEEK GOOD SAMARITAN PHYSICIAN SERVICES - 10 HOURS/WEEK
OTHER CHANGES IN NET ASSETS OR FUND BALANCE	FORM 990, PART XI, LINE 5	THE GOOD SAMARITAN HOSPITAL NEEDED TO RESERVE MONEY IN ORDER TO PROVIDE THE RETIRED EMPLOYEES AND FUTURE RETIRED EMPLOYEES WITH SUFFICIENT PENSION PAYMENTS. THE GOOD SAMARITAN HOSPITAL WAS ABLE TO RELEASE FUNDS THAT WERE RESTRICTED FOR A SPECIFIC PURPOSE. THE GOOD SAMARITAN HOSPITAL WROTE OFF A LARGE RECEIVABLE THAT WAS DUE FROM THE AFFILIATED CORPORATION GOOD SAMARITAN PHYSICIAN SERVICES. THE HOSPITAL ALSO HAD UNREALIZED LOSSES FROM ITS INVESTMENT PORTFOLIO. UNREALIZED LOSS ON INVESTMENTS $ (265,224) PENSION RESERVE ADJUSTMENT (27,651,540) GOOD SAMARITAN PHY SVCS REC WRITE-OFF (8,748,175) ----------- $(36,664,939) ============= **NOTE: GOOD SAMARITAN PHYSICIAN SERVICES IS A RELATED 501(C)(3) EXEMPT ORGANIZATION.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
GOOD SAMARITAN HEALTH SERVICE FOUNDATION
259 SOUTH FOURTH STREET	LEBANON	PA	17042	232356151	PARENT	PA	501(C)(3)	11,TYPE I	NA	false
GOOD SAMARITAN REAL ESTATE
241 SOUTH FOURTH STREET	LEBANON	PA	17042	232447262	TITLE HOLDING	PA	501(C)(2)		GSHS FDN	true
GSH DIALYSIS INC
440 OAK STREET	LEBANON	PA	17042	232500940	DIALYSIS SVCS	PA	501(C)(3)	3	GSHS FDN	true
GOOD SAMARITAN PHYSICIAN SERVICES
259 SOUTH FOURTH STREET	LEBANON	PA	17042	231832359	FAMILY MED	PA	501(C)(3)	9	GSHS FDN	true

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	LEBANON MRI ASSOCIATES LTD	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	4THWALNUT ST	AddressLine1
City	LEBANON	City
State	PA	State
ZIP Code	17042	ZIPCode

Field	Value	IRS element (for citing)
EIN	363730905	EIN
Primary Activity	MRI SERVICES	PrimaryActivity
Legal Domicile State	PA	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity
GSH SERVICES INC
241 SOUTH FOURTH STREET	LEBANON	PA	17042	232353047	MGMT & ACCTG	PA	GSHS FOUNDATION	C CORP
GSH HOME MED CARE INC
301 SCHNEIDER DRIVE	LEBANON	PA	17046	232028099	MEDICAL EQUIP	PA	GSHS FOUNDATION	C CORP
GSH REALTY INC
241 SOUTH FOURTH STREET	LEBANON	PA	17042	232446622	TITLE HOLDING	PA	GSHS FOUNDATION	C CORP

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	true	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	false	SharingOfPaidEmployees
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (14 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
GOOD SAMARITAN REAL ESTATE INC
J	605522	LEASE AGREEMENT
GSH REALTY INC
J	312966	LEASE AGREEMENT
LEBANON MRI ASSOCIATES LTD
L	486123	MEDICARE REIMB
GSH HOME MED CARE INC
L	105982	CASH
GSH HOME MED CARE INC
P	94236	FMV
GSH HOME MED CARE INC
P	59645	SALARIES
GSH DIALYSIS INC
K	145379	MEDICARE REIMB
GSH DIALYSIS INC
P	286617	CASH
GSH DIALYSIS INC
P	51708	SALARIES
GOOD SAMARITAN PHYSICIAN SERVICES
P	473190	INSURANCE
GOOD SAMARITAN PHYSICIAN SERVICES
P	96264	FMV
GOOD SAMARITAN PHYSICIAN SERVICES
P	498658	SALARIES
GOOD SAMARITAN PHYSICIAN SERVICES
I	229254	LEASE AGREEMENT
LEBANON MRI ASSOCIATES LTD
I	125653	LEASE AGREEMENT