2013-05-13T13:09:57-05:00 2012-06-30 ERNST & YOUNG US LLP 75 BEATTIE PLACE SUITE 800 GREENVILLE SC 29601 990 2011-07-01 230794160 Good Samaritan Hospital The % ROBERT J RICHARDS GOOD 7172707500 PO Box 1281 4th Walnut Sts Lebanon PA 170421281 Robert Richards 2013-05-13 8642425740 2011 2016-02-24 21:20:13Z ROBERT J LONGO 4TH WALNUT STREETS LEBANON PA 17042 190420384 false X www.gshleb.org X 1989 PA TO PROVIDE HIGH-QUALITY, COMPASSIONATE HEALTHCARE THAT IMPROVES THE OVERALL HEALTH OF OUR COMMUNITY. 19 14 1510 429 4225568 404871 1191113 1579559 171375812 171916754 957345 1169472 5397185 5129572 178921455 179795357 27690 22900 0 0 71982867 73825335 0 0 0 95440354 104362084 167450911 178210319 11470544 1585038 149903555 144414767 121387527 150978640 28516028 -6563873 X TO PROVIDE HIGH-QUALITY, COMPASSIONATE HEALTHCARE THAT IMPROVES THE OVERALL HEALTH OF OUR COMMUNITY. false false 150256042 22900 165105334 Inpatient/Outpatient Services - SEE SCHEDULE O 2347751 0 2618590 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. 2034717 0 2161447 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. 1878200 0 2031384 156516710 true true false true false false false false false true true false false true true true true true false false false false false false false false true true false true true true false false false false false false false false false true false false false false false true true true true false true 113 0 true 1510 true true true false false false false false false false false false X 19 14 false false false false true true true true true false false true true true true true true true false false X ROBERT J RICHARDS 7172707500 241 SOUTH FOURTH STREET LEBANON PA 170421281 X CAROL BLECKER 1.0 X EARL H BRINSER 1.0 X SLOAN CAPLAN 1.0 X EVELYN C COLON 1.0 X PAUL R DIGIACOMO 1.0 X DONALD H DREIBELBIS 1.0 X X ROBERT J FUNK 1.0 X ROBERT P HOFFMAN 1.0 X JANE W JUPPENLATZ 1.0 X X FREDERICK C LAURENZO 1.0 X ROBERT J PHILLIPS 1.0 X WILLIAM E SCHAEFFER JR MD 1.0 X DENNIS L SHALTERS 1.0 X X GALEN G WEABER 1.0 X JOHN P WELCH MD 1.0 X X DEBORAH T WEAVER 1.0 X FREDERICK S WOLFSON ESQ 1.0 X X JULIE ZINSSER 1.0 X ROBERT J LONGO 40.0 X X 513509 0 796 KIMBERLY FEEMAN 40.0 X 285238 0 0 ROBERT J RICHARDS 40.0 X 291979 0 0 JACQUELYN M GOULD 40.0 X 196218 0 0 JULIE MIKSIT 40.0 X 173693 0 0 ROBERT D SHAVER MD 40.0 X 335676 0 0 ELIZABETH MUHIIRE-NTAKI 40.0 X 168981 0 0 DARIA KOVARIKOVA 40.0 X 187680 0 0 BYARD YODER 40.0 X 173715 0 0 ROBERTA SCHERR 40.0 X 169280 0 0 RICHARD FOLLETT 40.0 X 165015 0 0 2660984 0 796 24 false true false 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 24 500000 203968 875591 1579559 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 171916754 747021 747021 117451 117451 0 129483 244158 -114675 -114675 -114675 10685869 10353674 27195 332195 -27195 305000 305000 0 0 0 MALPRACTICE INSURANCE 524298 969890 969890 PENSION INCOME 524292 670178 670178 SNACK BAR/CAFE SALES 722210 582040 582040 3022139 3022139 5244247 179795357 171683215 4225568 2307015 0 22900 22900 0 0 1945870 1945870 0 55758965 47395120 8363845 4520237 3842201 678036 7434885 6319652 1115233 4165378 3540571 624807 0 219971 186975 32996 218000 185300 32700 15129 12860 2269 0 600397 510337 90060 7971806 6776035 1195771 1331219 1131536 199683 1728769 1469454 259315 4343160 3691686 651474 0 5558005 4931839 626166 68314 58067 10247 0 181709 154453 27256 3903907 3318321 585586 1511796 1285027 226769 9768637 8303341 1465296 2094587 1780399 314188 MEDICAL SUPPLIES 31139419 31139419 BAD DEBT 12066975 12066975 PURCHASED SERVICES 11486512 9763535 1722977 TAXES 3350764 2848149 502615 6803008 5782558 1020450 178210319 156516710 21693609 0 5370 5220 2403439 2272501 1373674 1029573 18802608 18637951 0 0 0 0 1153750 1130188 1656440 1686147 2464927 2851253 186994825 117407607 73244003 69587218 29142551 29850306 0 0 0 0 2269669 2269669 17387124 15094741 149903555 144414767 13289408 18574578 0 0 327222 375508 65273066 63955676 0 0 0 0 791851 700819 3593583 2871683 38112397 64500376 121387527 150978640 X 25570795 -9283282 2273056 2047232 672177 672177 28516028 -6563873 149903555 144414767 X 1585038 -36664939 X false true false X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 15129 false false 15129 false false false false LOBBYING ACTIVITIES SCHEDULE C, PART II-B, LINE 1G 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. 2945233 424618 53135 703577 2719409 3005818 834833 26652 922070 2945233 3236426 458155 36900 725663 3005818 3712782 -26711 -22884 426761 3236426 0.00000 0.24720 0.75280 false false 1468847 1468847 89594063 40035289 49558774 3782430 3155023 627407 89589473 72679639 16909834 2560012 1537656 1022356 69587218 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 15094741 0 EMPLOYEE W/H PAYABLE 505481 3RD PARTY PAYABLES 4540487 LONG TERM POST RETIRE BENEFITS 2927137 INSURANCE RESERVES 3777267 PENSION LIABILITY 52750004 64500376 179795357 178210319 1585038 -240114 -36424825 -36664939 -35079901 179321646 -240114 -477755 -717869 180039515 -244158 -244158 179795357 178454477 244158 244158 178210319 178210319 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. true true X true X true X true true true false true true 1819202 1819202 0.01090 2969712 1389416 1580296 0.00950 14082079 6666614 7415465 0.04460 18870993 8056030 10814963 0.06500 71762 71762 0.00040 2140330 931524 1208806 0.00730 2212092 931524 1280568 0.00770 21083085 8987554 12095531 0.07270 32293 32293 0.00020 25480 25480 0.00010 57773 57773 0.00030 true 12066975 6339649 34644838 78222253 -43577415 X true true 1 1 THE GOOD SAMARITAN HOSPITAL

FOURTH AND WALNUT STREETS LEBANON PA 17042

X X X X THE GOOD SAMARITAN HOSPITAL 1 true true 200. true 300. true X X X X true true X true false true X false true 11 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 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. true DAVID BRODERIC SCHOLARSHIP 21 7500 0 MARGARET CONNELL SCHOLARSHIP 6 5000 0 GSH AUXILIARY SCHOLARSHIP 3 2200 0 CAPLAN NURSING SCHOLARSHIP 4 8200 0 PROCEDURES TO MONITOR USE OF GRANTS SCHEDULE I, PART I, LINE 2 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. X X X X false true false false false false false true false 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 SUPPLEMENTAL COMPENSATION INFORMATION PART I, LINE 3 THE COMPENSATION COMMITTEE HIRES AN INDEPENDENT COMPENSATION CONSULTANT TO ESTABLISH THE CEO'S COMPENSATION AMOUNT AND COMPOSE THE CONTRACT. THE COMPENSATION COMMITTEE PRESENTS THE INFORMATION TO THE BOARD. 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. LEBANON COUNTY HEALTH FACILITIES AUTHORITY 232546819 522455BE3 2004-03-11 17255816 SEE PART VI false false false 0 0 17255816 0 0 0 0 0 0 0 0 0 2004 true false true true 0 false false false 0 false 0 false true SCHEDULE K 0 REFUND OUTSTANDING 94 BONDS ISSUED ON 1/13/94 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 SCHEDULE L 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 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. 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 LEBANON MRI ASSOCIATES LTD 4THWALNUT ST LEBANON PA 17042 363730905 MRI SERVICES PA NA 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 false false false false false false false false true true true true false false false true false false 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