FURP.ORG / PUBLIC DATA EXPLORER

GOOD SHEPHERD REHABILITATION HOSP: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
GOOD SHEPHERD REHABILITATION HOSP (EIN 23-1371947)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-09
IRS object ID
201231309349301573
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-05-09T16:27:40-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PARENTEBEARD LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11650 MARKET STREET SUITE 4500AddressLine1
CityPHILADELPHIACity
StatePAState
ZIP Code19103ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN231371947EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE GOOD SHEPHERD REHABILITATION HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlGOODNameControl
Phone6107763303Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1GOOD SHEPHERD PLAZA 850 S 5TH STAddressLine1
CityALLENTOWNCity
StatePAState
ZIP Code18103ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDANIEL C CONFALONEName
TitleSVP FINANCE/CFOTitle
Phone6107763303Phone
Date Signed2012-05-08DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJULIUS GREEN CPAName
Phone2159720701Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDANIEL C CONFALONENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1GOOD SHEPHERD PLAZA 850 S 5TH STAddressLine1
CityALLENTOWNCity
StatePAState
ZIP Code18103ZIPCode
FieldValueIRS element (for citing)
Gross Receipts76233087GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.GOODSHEPHERDREHAB.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1909YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionTO ENHANCE LIVES, MAXIMIZE FUNCTION, INSPIRE HOPE, AND PROMOTE DIGNITY AND WELL-BEING.ActivityOrMissionDescription
Nbr Voting Members Governing Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees1485TotalNbrEmployees
Total Nbr Volunteers49TotalNbrVolunteers
Total Gross UBI5226493TotalGrossUBI
Net Unrelated Business Txbl Income867282NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1978172ContributionsGrantsPriorYear
Contributions Grants Current Year1960827ContributionsGrantsCurrentYear
Program Service Revenue Prior Year65763877ProgramServiceRevenuePriorYear
Program Service Revenue CY73844067ProgramServiceRevenueCY
Investment Income Prior Year-57764InvestmentIncomePriorYear
Investment Income Current Year19871InvestmentIncomeCurrentYear
Other Revenue Prior Year308554OtherRevenuePriorYear
Other Revenue Current Year276317OtherRevenueCurrentYear
Total Revenue Prior Year67992839TotalRevenuePriorYear
Total Revenue Current Year76101082TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year33205810SalariesEtcPriorYear
Salaries Etc Current Year36933266SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year36121844OtherExpensePriorYear
Other Expenses Current Year37727805OtherExpensesCurrentYear
Total Expenses Prior Year69327654TotalExpensesPriorYear
Total Expenses Current Year74661071TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1334815RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1440011RevenuesLessExpensesCY
Total Assets BOY65557098TotalAssetsBOY
Total Assets EOY63395274TotalAssetsEOY
Total Liabilities BOY46609594TotalLiabilitiesBOY
Total Liabilities EOY37612188TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY18947504NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY25783086NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionGOOD SHEPHERD'S MISSION IS: "MOTIVATED BY THE DIVINE GOOD SHEPHERD AND THE PHYSICAL AND COGNITIVE REHABILITATION NEEDS OF OUR COMMUNITIES, OUR MISSION IS TO ENHANCE LIVES, MAXIMIZE FUNCTION, INSPIRE HOPE, AND PROMOTE DIGNITY AND WELL-BEING WITH EXPERTISE AND COMPASSION."MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense62463316Expense
Revenue68893519Revenue
DescriptionTHE GOOD SHEPHERD REHABILITATION HOSPITAL ("GSRH") IS A 102 BED REHABILITATION HOSPITAL WITH LOCATIONS IN ALLENTOWN, BETHLEHEM AND EAST STROUDSBURG, PENNSYLVANIA. GOOD SHEPHERD HOLDS THE FOLLOWING CARF (COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES) ACCREDITATIONS: - COMPREHENSIVE INTEGRATED INPATIENT (CHILDREN, ADOLESCENTS, ADULTS)- BRAIN INJURY INPATIENT REHABILITATION PROGRAM (CHILDREN, ADOLESCENTS, ADULTS)- INPATIENT STROKE REHABILITATION SPECIALTY PROGRAMPOST-ACUTE CARE IS PROVIDED FOR CHILDREN, ADOLESCENTS AND ADULTS WHO HAVE CONDITIONS THAT INCLUDE: AMPUTATION, ARTHRITIS, BRAIN INJURY, CHILDHOOD DEVELOPMENTAL DISABILITIES, CHRONIC PAIN, COMPLEX WOUNDS, MULTIPLE SCLEROSIS, MULTIPLE TRAUMA, ORTHOPEDIC INJURY, PULMONARY DISEASE, SPINAL CORD INJURY AND STROKE. SERVICES ARE PROVIDED BY PHYSICAL MEDICINE AND REHABILITATION PHYSICIANS, REHABILITATION NURSES, PHYSICAL AND OCCUPATIONAL THERAPISTS, RESPIRATORY THERAPISTS, NEURO-PSYCHOLOGISTS AND SPEECH-LANGUAGE PATHOLOGISTS. IN FISCAL YEAR 2011, GSRH DISCHARGED A TOTAL OF 1,890 PATIENTS AND HAD OUTPATIENT VISITS TOTALING 203,549.Description
Total Program Service Expense62463316TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees1485NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members18NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledPAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1DANIEL C CONFALONE SVP FINANCECFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6107763303TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1GOOD SHEPHERD PLAZA 850 SOUTH 5THAddressLine1
CityALLENTOWNCity
StatePAState
ZIP Code18103ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
SCOTT A BAKER
SECRETARY0.30XX000
SANDRA L BODNYK
TREASURER0.40XX000
PATRICK J BRENNAN MD
TRUSTEE0.30X000
ADDIE J BUTLER EDD
TRUSTEE0.30X000
DAVID G DECAMPLI
CHAIR0.70XX000
RICHARD E DROBNICKI
VICE CHAIR0.70XX000
ROBERT E GADOMSKI
TRUSTEE0.30X000
MICHAEL GOLDNER DO
TRUSTEE0.20X000
ELSBETH G HAYMON
TRUSTEE0.30X000
KATHERINE E HILGERT
TRUSTEE0.20X000
SANDRA JARVA WEISS
TRUSTEE0.20X000
JAAN PETER NAKTIN MD
TRUSTEE0.20X000
GERALD A NAU
TRUSTEE0.20X000
EDITH D RITTER
TRUSTEE0.20X000
GARY R SCHMIDT
TRUSTEE0.30X000
THE REV DAVID R STROBEL
TRUSTEE0.20X000
DANIEL J WILSON PHD
TRUSTEE0.30X000
SARA T GAMMON
PRESIDENT/CEO8.00XX0501846192186
DANIEL C CONFALONE
SVP FINANCE/CFO15.00X028065035311
PHILLIP R BRYANT
CMO50.00034107946991X
ANTHONY R BONGIOVANNI
CPO15.00021796396197X
SAMUEL A MIRANDA JR
CNO40.00020530377371X
ROSAURO A DALOPE
PEDIATRIC HOSPITALIST40.00224217017006X
DANIEL Q YEAGER
STAFF PHYSIATRIST40.00185657017667X
CHIRAG J KOLALA
MED. DIR. SPINE & JOINT40.00183853017412X
JAMES J DALEY
MED. DIR. AMPUTEE PROGRAM39.00171263022447X
YASMEEN I BHATTI
STAFF PHYSIATRIST40.00163199021933X
FieldValueIRS element (for citing)
Total Reportable Comp From Org928189TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1546841TotalReportableCompFrmRltdOrgs
Total Other Compensation544521TotalOtherCompensation
Number Individuals GT100 K16NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HEALTH NETWORK LABORATORIES
2024 LEHIGH STREETALLENTOWNPA18103LABORATORY SERVICES380605
POCONO MEDICAL CENTER
206 EAST BROWN STREETEAST STROUDSBURGPA18301MEDICAL SERVICES376199
CAMBRIDGE MEDICAL STAFFING
4155 INDEPENDENCE DRIVESCHNECKSVILLEPA18078TEMP STAFF SERVICES310580
COMPHEALTH MEDICAL STAFFING
PO BOX 972651DALLASTX75397TEMP MEDICAL STAFF SERVICES271082
PEOPLE 20 GLOBAL
PO BOX 827932PHILADELPHIAPA19182TEMP STAFF SERVICES209301
FieldValueIRS element (for citing)
Number Of Contractors GT100 K10NumberOfContractorsGT100K
Fundraising Events277463FundraisingEvents
Related Organizations1587587RelatedOrganizations
All Other Contributions95777AllOtherContributions
Total Contributions1960827TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT SVC REV6230006841690968416909
PROFESSIONAL SVCS REV62111054271582208105206348
FieldValueIRS element (for citing)
Total Program Service Revenue73844067TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column19871TotalRevenueColumn
Exclusion$19,871ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events132005GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events277463CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses132005FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
FITNESS CENTER713940162092162092
LIFESTYLE PRDUCTS/SVCS4461991138539370820145
MED REC ABSTRACTING561439372$372
FieldValueIRS element (for citing)
Total Other Revenue276317TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column76101082TotalRevenueColumn
Related Or Exempt Function Income68893519RelatedOrExemptFunctionIncome
Unrelated Business Revenue5226493UnrelatedBusinessRevenue
Exclusion$20,243ExclusionAmount

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total193710Total
Program Services193710ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total29037401Total
Program Services26403360ProgramServices
Management And General2634041ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1901297Total
Program Services1728752ProgramServices
Management And General172545ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3789410Total
Program Services3446742ProgramServices
Management And General342668ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2011448Total
Program Services1820691ProgramServices
Management And General190757ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total11309Total
Program Services11309ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2072653Total
Program Services1685479ProgramServices
Management And General387174ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total23624Total
Program Services23457ProgramServices
Management And General167ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1508339Total
Program Services1381859ProgramServices
Management And General126480ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1908397Total
Program Services1012069ProgramServices
Management And General896328ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total54494Total
Program Services40946ProgramServices
Management And General13548ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total52168Total
Program Services45380ProgramServices
Management And General6788ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4287013Total
Program Services4287013ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total77415Total
Program Services77415ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
UBI TAXES290094290094
CORPORATE ALLOCATION24495349685869817636651
DRUGS18381921838192
BAD DEBT EXPENSE734139734139
REPAIRS AND MAINTENANCE26263418944073194

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total111985Total
Program Services22958ProgramServices
Management And General89027ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total74661071Total
Program Services62463316ProgramServices
Management And General12197755ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY18552BOY
EOY23585EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY10134712BOY
EOY10606150EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY519517BOY
EOY457572EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1385294BOY
EOY1289271EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis115054755LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec65445023LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY52863302BOY
EOY49609732EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY635721BOY
EOY605516EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY
EOY803448EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY65557098BOY
EOY63395274EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY16160512BOY
EOY11739905EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY30449082BOY
EOY25872283EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY46609594BOY
EOY37612188EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY18947504BOY
EOY25783086EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY18947504BOY
EOY25783086EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY65557098BOY
EOY63395274EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1440011ReconcilationRevenueExpenses
Reconcilation Other Changes5395571ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$11,309OtherActivitiesAmount
Total Lobbying Expenditures IIB11309TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF OTHER LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1I:ReturnReference
ExplanationTHE GOOD SHEPHERD REHABILITATION HOSPITAL ("GSRH") PAID DUES TO VARIOUS ORGANIZATIONS DURING THE YEAR ENDED JUNE 30, 2011. THESE ORGANIZATIONS INFORMED GSRH THAT A PERCENTAGE OF THOSE DUES WERE USED FOR LOBBYING PURPOSES, AS FOLLOWS: 1) THE HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA ("HAP") - $7,143 2) THE AMERICAN MEDICAL REHABILITATION PROVIDERS ASSOCIATION ("AMRPA") - $2,866 3) THE PENNSYLVANIA ASSOCIATION OF REHABILITATION FACILITIES ("PARF") - $1,272 4) LUTHERAN SERVICES IN AMERICA ("LSA") - $28Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2188957OtherCostOrOtherBasis
Book Value2188957BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis56868966OtherCostOrOtherBasis
Depreciation23739673Depreciation
Book Value33129293BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis6357394OtherCostOrOtherBasis
Depreciation3638396Depreciation
Book Value2718998BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis45111074OtherCostOrOtherBasis
Depreciation35349017Depreciation
Book Value9762057BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4528364OtherCostOrOtherBasis
Depreciation2717937Depreciation
Book Value1810427BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings49609732TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS$890,563
ADVANCE FROM THIRD-PARTY PAYOR$277,900
AMOUNTS DUE TO AFFILIATES$24,703,820
FieldValueIRS element (for citing)
Total Of Amounts25872283TotalOfAmounts
Total Revenue76101082TotalRevenue
Total Expenses74661071TotalExpenses
Excess Or Deficit For Year1440011ExcessOrDeficitForYear
Other$5,395,571OtherAmount
Total Adjustments5395571TotalAdjustments
Excess Or Deficit Per FS6835582ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt81628658TotRevenueEtcAuditedFinclStmt
Other Revenues5805039OtherRevenues
Revenue Not Rptd F9905805039RevenueNotRptdF990
Revenue Subtotal75823619RevenueSubtotal
Other Revenues Not Included277463OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt277463RevenueNotRptdOnFinStmt
Total Revenue Per Form99076101082TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt74793076TotExpensesEtcAuditedFinclStmt
Other Expenses Included132005OtherExpensesIncluded
Expenses Not Rptd F990132005ExpensesNotRptdF990
Expenses Subtotal74661071ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99074661071TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:GOOD SHEPHERD PRESCRIBES A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY IN RECORDING TAX LIABILITIES IN THE FINANCIAL STATEMENTS. MEASUREMENT AND RECOGNITION OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. GOOD SHEPHERD'S POLICY IS TO RECOGNIZE INTEREST RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE AND PENALTIES IN OPERATING EXPENSES.
PART XI, LINE 8 - OTHER ADJUSTMENTS:PENSION LIABILITY ADJUSTMENT 5,805,039. NET ASSETS RELEASED ADJUSTMENT FOR SPECIAL EVENTS -409,468.
PART XII, LINE 2D - OTHER ADJUSTMENTS:PENSION LIABILITY ADJUSTMENT 5,805,039.
PART XII, LINE 4B - OTHER ADJUSTMENTS:SPECIAL EVENTS EXPENSE -132,005. NET ASSETS RELEASED ADJUSTMENT FOR SPECIAL EVENTS 409,468.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:SPECIAL EVENTS EXPENSE 132,005.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF & TENNIS CLASSICNameOfEvent1
Gross Receipts Event1184692GrossReceiptsEvent1
Charitable Contributions Event1133932CharitableContributionsEvent1
Gross Revenue Event150760GrossRevenueEvent1
Non Cash Prizes Event1750NonCashPrizesEvent1
Rent Facility Costs Event124940RentFacilityCostsEvent1
Food And Beverage Event113419FoodAndBeverageEvent1
Other Direct Expenses Event111651OtherDirectExpensesEvent1
Name Of Event2GALA IN THE GARDENNameOfEvent2
Gross Receipts Event2174356GrossReceiptsEvent2
Charitable Contributions Event2113122CharitableContributionsEvent2
Gross Revenue Event261234GrossRevenueEvent2
Rent Facility Costs Event218530RentFacilityCostsEvent2
Food And Beverage Event225513FoodAndBeverageEvent2
Entertainment Event2700EntertainmentEvent2
Other Direct Expenses Event216491OtherDirectExpensesEvent2
Total Number Of Other Events1TotalNumberOfOtherEvents
Gross Receipts Other Events50420GrossReceiptsOtherEvents
Charitable Contrib Other Events30409CharitableContribOtherEvents
Gross Revenue Other Events20011GrossRevenueOtherEvents
Non Cash Prizes Other Events750NonCashPrizesOtherEvents
Rent Facility Costs Other Events5697RentFacilityCostsOtherEvents
Food And Beverage Other Events7132FoodAndBeverageOtherEvents
Other Direct Expenses Other Events6432OtherDirectExpensesOtherEvents
Gross Receipts Total409468GrossReceiptsTotal
Charitable Contributions Total277463CharitableContributionsTotal
Gross Revenue Total Events132005GrossRevenueTotalEvents
Non Cash Prizes Total Events1500NonCashPrizesTotalEvents
Rent Facility Costs Total Events49167RentFacilityCostsTotalEvents
Food And Beverage Total Events46064FoodAndBeverageTotalEvents
Entertainment Total Events700EntertainmentTotalEvents
Other Direct Expenses Total Events34574OtherDirectExpensesTotalEvents
Direct Expense Summary Events132005DirectExpenseSummaryEvents
Net Income Summary0NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care0FPGReferenceDiscountedCare
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense602084TotalCommunityBenefitExpense
Net Community Benefit Expense602084NetCommunityBenefitExpense
Percent Of Total Expense0.00810PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense9647257TotalCommunityBenefitExpense
Direct Offsetting Revenue6897055DirectOffsettingRevenue
Net Community Benefit Expense2750202NetCommunityBenefitExpense
Percent Of Total Expense0.03720PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense10249341TotalCommunityBenefitExpense
Direct Offsetting Revenue6897055DirectOffsettingRevenue
Net Community Benefit Expense3352286NetCommunityBenefitExpense
Percent Of Total Expense0.04530PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense32862TotalCommunityBenefitExpense
Net Community Benefit Expense32862NetCommunityBenefitExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense1801827TotalCommunityBenefitExpense
Net Community Benefit Expense1801827NetCommunityBenefitExpense
Percent Of Total Expense0.02440PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense2643822TotalCommunityBenefitExpense
Direct Offsetting Revenue800058DirectOffsettingRevenue
Net Community Benefit Expense1843764NetCommunityBenefitExpense
Percent Of Total Expense0.02490PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense2021TotalCommunityBenefitExpense
Net Community Benefit Expense2021NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense4480532TotalCommunityBenefitExpense
Direct Offsetting Revenue800058DirectOffsettingRevenue
Net Community Benefit Expense3680474NetCommunityBenefitExpense
Percent Of Total Expense0.04970PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense14729873TotalCommunityBenefitExpense
Direct Offsetting Revenue7697113DirectOffsettingRevenue
Net Community Benefit Expense7032760NetCommunityBenefitExpense
Percent Of Total Expense0.09500PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$200,099BadDebtExpenseAmount
Amount Attributable To20070AmountAttributableTo
Amount Reimbursed By Medicare21447778AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare21700801CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-253023MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1GOOD SHEPHERD REHABILITATION HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1850 SOUTH 5TH STREETAddressLine1
CityALLENTOWNCity
StatePAState
ZIP Code18103ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
OtherREHABILITATION HOSPITALOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

ExplanationExplanationReturn ReferenceReturnReference
PART I, LINE 3C: GOOD SHEPHERD REHABILITATION HOSPITAL (THE HOSPITAL) HAS A WRITTEN CHARITY CARE POLICY. ALL PATIENTS ARE NOTIFIED OF GOOD SHEPHERD'S CHARITY CARE AVAILABILITY PRIOR TO THE START OF THEIR CARE. GENERALLY, PATIENTS AUTOMATICALLY QUALIFY UNDER THE HOSPITAL'S CHARITY CARE POLICY IF THEIR INCOME IS LESS THAN 200% OF THE CURRENT FEDERAL POVERTY GUIDELINES. HOWEVER, OTHER FACTORS ARE ALSO USED TO DETERMINE ELIGIBILITY INCLUDING:-SOURCES OF INCOME-LIVING EXPENSES-OTHER PERSONAL ASSETS AND LIABILITIES-DEMOGRAPHIC INFORMATION-ONGOING HEALTHCARE NEEDSQUALIFICATION UNDER THE HOSPITAL'S CHARITY CARE POLICY ENTITLES PATIENTS TO COMPLETELY FREE CARE. THE HOSPITAL DOES NOT OFFER A PROGRAM OF DISCOUNTED CARE. THE HOSPITAL'S POLICY ALSO PROVIDES FOR CHARITY CARE FOR CERTAIN PATIENTS UNDER UNIQUE CIRCUMSTANCES. THESE CIRCUMSTANCES INCLUDE PATIENTS WHO MAY EXPERIENCE SIGNIFICANT FINANCIAL HARDSHIP OR PERSONAL FINANCIAL LOSS REGARDLESS OF THEIR INCOME, INCLUDING PATIENTS WHO MAY BE CLASSIFIED AS "MEDICALLY INDIGENT". THESE UNIQUE CIRCUMSTANCES ARE REVIEWED BY ADMINISTRATION, PURSUANT TO POLICY. THE GOOD SHEPHERD AUDITED FINANCIAL STATEMENTS PROVIDE THE FOLLOWING DISCLOSURES WITH RESPECT TO CHARITY CARE:"GOOD SHEPHERD PROVIDES A SIGNIFICANT AMOUNT OF CHARITY CARE TO PATIENTS WHO MEET CERTAIN CRITERIA REGARDLESS OF THEIR ABILITY TO PAY. THE CRITERIA FOR CHARITY CONSIDERS FAMILY SIZE, SOURCES OF INCOME, LIVING EXPENSES, NET WORTH, ONGOING HEALTHCARE NEEDS, AS WELL AS OTHER PERTINENT INFORMATION. BECAUSE GOOD SHEPHERD DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUES. THE AMOUNT OF CHARITY CARE PROVIDED TO PATIENTS FOR THE YEARS ENDED JUNE 30, 2011 AND 2010, MEASURED AT CHARGES, WAS $1,809,000 AND $1,696,000, RESPECTIVELY. THESE AMOUNTS DO NOT INCLUDE DOUBTFUL ACCOUNTS.""GOOD SHEPHERD WILL BE REQUIRED TO ADOPT AMENDED GUIDANCE RELATING TO HEALTH CARE ENTITIES WHICH REQUIRES THAT DIRECT AND INDIRECT COSTS BE USED AS THE MEASUREMENT FOR CHARITY CARE DISCLOSURE PURPOSES. THE GUIDANCE WAS ALSO AMENDED TO REQUIRE DISCLOSURE OF THE METHOD USED TO IDENTIFY OR DETERMINE SUCH COSTS. THE AMENDED GUIDANCE IS EFFECTIVE FOR FISCAL YEARS BEGINNING AFTER DECEMBER 15, 2010. ADOPTION OF THE AMENDED GUIDANCE WILL REVISE DISCLOSURE IN THE NOTES TO GOOD SHEPHERD'S CONSOLIDATED FINANCIAL STATEMENTS BUT WILL NOT IMPACT AMOUNTS REPORTED IN THE PRIMARY CONSOLIDATED FINANCIAL STATEMENTS."
PART I, LINE 6A: THE HOSPITAL'S COMMUNITY BENEFIT ACTIVITIES ARE INCLUDED WITHIN AND REPORTED AS PART OF AN ANNUAL REPORT TO THE COMMUNITY, PUBLISHED ON A CONSOLIDATED BASIS BY GOOD SHEPHERD REHABILITATION NETWORK (GSRN). THIS REPORT INCLUDES THE COMMUNITY BENEFIT ACTIVITIES PROVIDED BY GSRN, AS WELL AS BY ITS CONTROLLED ENTITIES (INCLUDING THE HOSPITAL). THIS REPORT IS DISTRIBUTED AND MADE AVAILABLE TO THE PUBLIC IN SEVERAL MANNERS, INCLUDING BEING AVAILABLE ON THE GSRN WEBSITE. A COMMUNITY BENEFIT REPORT IS NOT REQUIRED TO BE FILED WITH THE COMMONWEALTH OF PENNSYLVANIA AND, ACCORDINGLY, GSRN HAS NOT FILED ONE.IN ORDER TO BETTER UNDERSTAND THE ORGANIZATIONAL, FINANCIAL AND OPERATIONAL COMPLEXITIES OF THE ORGANIZATIONS CONTAINED WITHIN GSRN, THE FOLLOWING INFORMATION IS PROVIDED:THE HOSPITAL'S FINANCIAL RESULTS ARE REPORTED AS A COMPONENT OF THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF GOOD SHEPHERD REHABILITATION NETWORK AND CONTROLLED ENTITIES (GOOD SHEPHERD). SEPARATE AUDITED FINANCIAL STATEMENTS ARE NOT PREPARED FOR THE HOSPITAL. THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF GOOD SHEPHERD INCLUDE THE FOLLOWING CORPORATIONS:-GOOD SHEPHERD REHABILITATION NETWORK (GSRN), THE CONTROLLING PARENT CORPORATION, FORMERLY GOOD SHEPHERD HOME-GOOD SHEPHERD REHABILITATION HOSPITAL (THE HOSPITAL)-GOOD SHEPHERD HOME LONG-TERM CARE FACILITY, INC. (LTC)-GOOD SHEPHERD WORKSHOP/VOCATIONAL SERVICES, INC. (WORK SERVICES)-GOOD SHEPHERD LONG-TERM ACUTE SERVICES, INC., D/B/A GOOD SHEPHERD SPECIALTY HOSPITAL (THE SPECIALTY HOSPITAL)-GOOD SHEPHERD HOUSING DEVELOPMENT CORPORATION (SUPPIL)-GOOD SHEPHERD RECIPROCAL RISK RETENTION GROUP (THE RRG)-GOOD SHEPHERD GROUP, LLC (GS GROUP)GOOD SHEPHERD'S PRIMARY OPERATIONS ARE CONDUCTED WITHIN THE HOSPITAL, WHICH PROVIDES COMPREHENSIVE INPATIENT REHABILITATION SERVICES AND OUTPATIENT REHABILITATION SERVICES AT NUMEROUS LOCATIONS. THE LTC OPERATES TWO SKILLED NURSING FACILITIES WHICH SERVICE THE NEEDS OF SEVERELY DISABLED ADULTS. WORK SERVICES SPECIALIZES IN EMPLOYMENT AND DEVELOPMENT PROGRAMS FOR PERSONS WITH PHYSICAL, EMOTIONAL AND INTELLECTUAL DISABILITIES, HEARING AND SIGHT IMPAIRMENTS AND INDUSTRIAL INJURIES BY PROVIDING SUBCONTRACTING SERVICES. THE SPECIALTY HOSPITAL PROVIDES SERVICES THAT REPRESENT THE FIRST STEP IN THE POST ACUTE CARE PROCESS OF RECOVERY. THE RRG IS A SELF INSURANCE COMPANY THAT PROVIDES PRIMARY LIABILITY INSURANCE AND RISK MANAGEMENT SERVICES. SUPPIL PROVIDES SUPPORTIVE INDEPENDENT HOUSING TO PERSONS WITH DISABILITIES UNDER SECTION 811 OF THE DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT. GS GROUP WAS ESTABLISHED TO DEVELOP A WHEELCHAIR DEVICE TO ASSIST REHABILITATION PATIENTS.IN ADDITION TO THE ORGANIZATIONS DESCRIBED ABOVE, IN JANUARY 2007, GSRN ENTERED INTO A JOINT VENTURE AGREEMENT WITH THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA (THE UNIVERSITY) TO CREATE PHILADELPHIA POST ACUTE PARTNERS, LLC D/B/A GOOD SHEPHERD PENN PARTNERS (GSPP). GSPP WAS CREATED TO ESTABLISH AND OPERATE A NEW LONG-TERM ACUTE CARE HOSPITAL, TO ASSUME THE OWNERSHIP OF AND CONTINUE TO OPERATE ALL OF THE OUTPATIENT OPERATIONS OF THE UNIVERSITY, TO CARRY OUT THE DAY-TO-DAY OPERATIONS OF THE HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA'S (HUP'S) INPATIENT REHABILITATION UNIT, AND TO PROVIDE THE UNIVERSITY AND ITS AFFILIATES WITH CERTAIN CLINICAL AND/OR STAFFING SERVICES RELATING TO REHABILITATION. GSRN IS A 70% OWNER OF GSPP; HOWEVER, THE OPERATIONS OF GSPP ARE NOT CONSOLIDATED WITHIN THE CONSOLIDATED FINANCIAL STATEMENTS OF GOOD SHEPHERD AS GSRN IS NOT DEEMED TO HAVE CONTROL OVER GSPP. AS A RESULT, GSRN RECORDS THEIR INVESTMENT IN GSPP UNDER THE EQUITY METHOD OF ACCOUNTING WITHIN THE GSRN CONSOLIDATED FINANCIAL STATEMENTS.
PART I, LINE 7: THE HOSPITAL USED A COST-TO-CHARGE RATIO IN DETERMINING THE FIGURES REPORTED IN THIS TABLE. THIS COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 RATIO OF PATIENT CARE COST-TO CHARGES.
PART I, LINE 7G: OF THE NET COMMUNITY BENEFIT EXPENSE OF $1,843,764, REPORTED ON PART I, LINE 7G, COLUMN (E), $882,869 IS RELATED TO THE NET LOSS FROM THE HOSPITAL'S DEVELOPMENT PEDIATRICIAN AND PEDIATRICIAN OPERATING UNIT. THIS OPERATING LOSS INCLUDES THE PROFESSIONAL FEES EARNED BY THESE PHYSICIANS, AS WELL AS THE DIRECT SALARY AND WAGES AND OTHER OPERATING EXPENSES NECESSARY TO GENERATE SUCH PROFESSIONAL FEES. IN ADDITION, $102,566 OF OVERHEAD COSTS WAS ALLOCATED TO THIS OPERATING UNIT, BASED UPON THE SAME RELATIVE NET REVENUE ALLOCATION METHODOLOGY USED IN THE DEVELOPMENT OF INTERNAL FINANCIAL STATEMENTS.
PART I, L7 COL(F): THE AMOUNT OF BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $734,139.
PART II: WHILE MINIMAL COMMUNITY BUILDING ACTIVITIES ARE PROVIDED DIRECTLY WITHIN THE HOSPITAL CORPORATION, GSRN, THE HOSPITAL'S PARENT COMPANY, PROVIDED $27,925 OF SUCH ACTIVITIES DURING THE 2011 FISCAL YEAR. THESE ACTIVITIES TOOK THE FORM OF EXECUTIVE AND GOVERNMENT AND COMMUNITY RELATIONS BOARD MEMBERSHIPS, PARTICIPATION IN THE PARTNERSHIP FOR A DISABILITY FRIENDLY COMMUNITY, AMRPA BOARD AND UNITED WAY COMMITTEE AND BOARD MEMBERSHIPS AS WELL AS VARIOUS WORKFORCE DEVELOPMENT ACTIVITIES. THESE ACTIVITIES WERE NOT PROVIDED FOR PURPOSES OF MARKETING, TO INCREASE REFERRALS OF PATIENTS WITH THIRD-PARTY INSURANCE COVERAGE, IN FULFILLMENT OF REGULATORY REQUIREMENTS OR CURRENT STANDARDS OF CARE, OR TO BENEFIT PERSONS AFFILIATED WITH GSRN. RATHER, THE PRIMARY PURPOSE OF THESE COMMUNITY BUILDING ACTIVITIES IS TO BENEFIT THE COMMUNITY AND SHOULD BE CONSIDERED AS A COMPONENT OF COMMUNITY BENEFIT. FOR EXAMPLE, PARTICIPATION IN THE PARTNERSHIP FOR A DISABILITY FRIENDLY COMMUNITY DIRECTLY BENEFITS THE DISABILITY COMMUNITY. SPECIFICALLY, THE PARTNERSHIP EDUCATES AND EMPOWERS INDIVIDUALS WITH DISABILITIES AND THEIR CAREGIVERS TO BETTER CARE FOR THEMSELVES AND TO IDENTIFY AND UTILIZE RESOURCES THAT ARE ALREADY AVAILABLE TO THEM WITHIN THE COMMUNITY. WITHOUT SUCH EDUCATION AND EMPOWERMENT, THERE IS A RISK THAT THOSE INDIVIDUALS WITH DISABILITIES EITHER DO NOT RECEIVE THE CARE OR ASSISTANCE THEY REQUIRE, OR THEY OVER-RELY ON THE SERVICES OF THE MEDICAL COMMUNITY FOR EVEN THE MOST BASIC OF NEEDS. THE VALUE OF THE COMMUNITY BUILDING ACTIVITIES PROVIDED DURING THE 2011 FISCAL YEAR WAS DETERMINED BASED UPON ACTUAL REPORTED HOURS VALUED AT THE AVERAGE SALARY AND BENEFIT RATE PER HOUR OF ALL GOOD SHEPHERD EMPLOYEES. CONSERVATIVELY, NO APPLICATION OF INDIRECT OR OVERHEAD COSTS WAS APPLIED TO THESE DIRECT COSTS.ALL GSRN COSTS, INCLUSIVE OF THE COSTS ASSOCIATED WITH COMMUNITY BUILDING ACTIVITIES, ARE ALLOCATED TO GSRN'S SUBSIDIARY CORPORATIONS BASED UPON A COMPREHENSIVE ALLOCATION METHODOLOGY WHICH CONSIDERS DEPARTMENTAL RESOURCE UTILIZATION AND RELATIVE NET PATIENT SERVICE REVENUE, AMONG OTHER FACTORS.
PART III, LINE 4: THE FOLLOWING IS THE TEXT OF THE FOOTNOTE TO GOOD SHEPHERD'S AUDITED FINANCIAL STATEMENTS (WHICH CONTAIN THE ACCOUNTS OF THE HOSPITAL) THAT DESCRIBES BAD DEBT EXPENSE:"ACCOUNTS RECEIVABLE, PATIENTS ARE REPORTED AT NET REALIZABLE VALUE. ACCOUNTS ARE WRITTEN-OFF WHEN THEY ARE DETERMINED TO BE UNCOLLECTIBLE BASED UPON MANAGEMENT'S ASSESSMENTS OF INDIVIDUAL ACCOUNTS. THE ALLOWANCE FOR DOUBTFUL COLLECTIONS IS ESTIMATED BASED UPON A PERIODIC REVIEW OF THE ACCOUNTS RECEIVABLE AGING, PAYOR CLASSIFICATIONS, AND APPLICATION OF HISTORICAL WRITE-OFF PERCENTAGES."BAD DEBT EXPENSE IS REPORTED IN THE AUDITED FINANCIAL STATEMENT AND IS ACCOUNTED FOR IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NUMBER 15. IN THIS CONNECTION, THE AMOUNT RECORDED AS BAD DEBT EXPENSE IS COMPRISED OF A COMBINATION OF ACTUAL BAD DEBT WRITE-OFFS AND RECOVERIES, AS WELL AS AN AMOUNT DERIVED BY APPLYING ESTIMATED HISTORICAL BAD DEBT WRITE-OFF PERCENTAGES AGAINST AGED ACCOUNTS RECEIVABLE BALANCES. FOR PURPOSES OF PART III, SECTION A, LINE 2, TOTAL BAD DEBT EXPENSE (AT COST) WAS DETERMINED BY APPLYING THE COST-TO-CHARGE RATIO, DERIVED FROM WORKSHEET 2 RATIO OF PATIENT CARE COST-TO CHARGES TO TOTAL THE NET OF ACTUAL BAD DEBT WRITE-OFF'S AND RECOVERIES PROCESSED DURING THE 2011 FISCAL YEAR. FOR PURPOSES OF PART III, SECTION A, LINE 3, THE FOLLOWING PROCESS WAS USED TO ESTIMATE THE AMOUNT OF THE HOSPITAL'S BAD DEBT EXPENSE (AT COST) ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE HOSPITAL'S CHARITY CARE POLICY:TOTAL BAD DEBT EXPENSE (AT COST), PER PART III, SECTION A, LINE 2, WAS USED AS A STARTING POINT. THEN, THE ESTIMATED POVERTY PERCENTAGE (10%), OF THE HOSPITAL'S 5-COUNTY PRIMARY SERVICE AREA, WAS DETERMINED BASED UPON THE EXAMINATION OF COMMONWEALTH OF PENNSYLVANIA REPORTS, GENERATED FROM THE MOST RECENTLY-PUBLISHED US CENSUS DATA.
PART III, LINE 8: THE COSTING METHODOLOGY UTILIZED IN THE DETERMINATION OF THE MEDICARE ALLOWABLE COSTS REPORTED IN THE HOSPITAL'S COST REPORT IS QUITE COMPREHENSIVE. DIRECTLY ALLOCATED COSTS ARE USED AS A STARTING POINT AND OTHER COSTS ARE STEPPED-DOWN TO THE HOSPITAL BASED UPON INDUSTRY-ACCEPTABLE ALLOCATION METHODOLOGIES. THE HOSPITAL HAS REPORTED A MEDICARE SHORTFALL OF ($253,023) IN PART III, SECTION B (MEDICARE), LINE 7. THIS SHORTFALL SHOULD BE CONSIDERED AS A COMPONENT OF COMMUNITY BENEFIT BECAUSE THE HOSPITAL TREATS ALL MEDICALLY NECESSARY PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY AND REGARDLESS OF WHETHER THE EXPECTED REIMBURSEMENT IS ADEQUATE TO COVER ALL RELATED AND NECESSARY EXPENSES.
PART III, LINE 9B: THE HOSPITAL HAS A WRITTEN BILLING AND COLLECTION POLICY AND SUCH POLICY COVERS THE PROCEDURES NECESSARY TO BILL AND COLLECT FOR THE MEDICAL SERVICES PROVIDED TO PATIENTS. PATIENTS KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY (AS EVIDENCED BY A PROPERLY COMPLETED AND APPROVED CHARITY CARE APPLICATION) ARE NOT SUBJECT TO THE COLLECTION PROVISIONS OF THIS POLICY. RATHER, THEIR ACCOUNT BALANCES ARE WRITTEN-OFF FROM THE PATIENT ACCOUNTING RECORDS AS CHARITY CARE.
PART VI, LINE 2: GOOD SHEPHERD PERIODICALLY ASSESSES THE NEEDS OF THE COMMUNITIES IT SERVES IN DIFFERENT WAYS. THE MOST RECENT COMPREHENSIVE ASSESSMENT WAS PREPARED IN THE FORM OF A RESEARCH PROJECT COMMISSIONED AND FUNDED BY GOOD SHEPHERD AND CONDUCTED BY THE LEHIGH VALLEY RESEARCH CONSORTIUM (LVRC), AN AFFILIATE OF THE LEHIGH VALLEY ASSOCIATION OF INDEPENDENT COLLEGES AND UNIVERSITIES (LVAIC). THIS RESEARCH PROJECT WAS CONDUCTED OVER THE 18-MONTH PERIOD ENDED OCTOBER 2009 AND CULMINATED IN THE PREPARATION OF A 139-PAGE REPORT, ENTITLED THE LEHIGH VALLEY DISABILITY COMMUNITY: A SURVEY OF NEEDS AND OPPORTUNITIES, AND PUBLISHED AS OF DECEMBER 3, 2009. THIS REPORT WILL HEREINAFTER BE REFERRED TO AS "THE RESEARCH PROJECT." THE RESEARCH PROJECT WAS CONDUCTED AS A SERVICE TO THE COMMUNITIES GOOD SHEPHERD SERVES AND IN THE INTEREST OF GATHERING INFORMATION THAT CAN ASSIST THE LEHIGH VALLEY IN BECOMING MORE ACCESSIBLE AND INCLUSIVE OF PEOPLE WITH DISABILITIES. FOR PURPOSES OF THE RESEARCH PROJECT, "LEHIGH VALLEY" WAS DEFINED AS LEHIGH COUNTY AND NORTHAMPTON COUNTY. THIS DEFINITION WAS A BIT NARROWER IN SCOPE THAN THE HOSPITAL'S PRIMARY SERVICE AREA AS DEFINED IN PART VI (SUPPLEMENTAL INFORMATION), LINE 4.GOOD SHEPHERD'S AIM IN SUPPORTING THE STUDY WAS TO PROVIDE A FOUNDATION FOR LONG-TERM EFFORTS TO BUILD A MORE DISABILITY FRIENDLY COMMUNITY IN PARTNERSHIP WITH COMMUNITY ORGANIZATIONS, CIVIC AND BUSINESS LEADERS, AND CITIZENS. THE GOALS OF THE RESEARCH PROJECT INCLUDED EMPOWERING PEOPLE WITH DISABILITIES AND THEIR ADVOCATES TO RECOGNIZE THE LEHIGH VALLEY'S RICH RESOURCES AND ACHIEVEMENTS, WHILE ADVANCING POSITIVE CHANGE FOR OUR COMMUNITIES. SPECIFICALLY, THE RESEARCH PROJECT ADDRESSED THE FOLLOWING THREE QUESTIONS:1. WHAT ARE THE GREATEST UNMET NEEDS TO LIVING FULLY AND FREELY IN THE LEHIGH VALLEY FOR PERSONS WITH DISABILITIES TODAY?2. WHAT ARE THE GREATEST CONCERNS AMONG COMMUNITY ORGANIZATIONS AND LEADERS WHO SERVE, WORK WITH, AND ADVOCATE FOR PERSONS WITH DISABILITIES AND THEIR CAREGIVERS?3. WHAT ARE THE WELL-ESTABLISHED BEST PRACTICES THAT MAY BE USED AS POTENTIAL SOLUTIONS TO ADDRESS UNMET NEEDS OF PERSONS WITH DISABILITIES LIVING IN THE LEHIGH VALLEY?ON DECEMBER 3, 2009, A PUBLIC FORUM WAS HELD AT NORTHAMPTON COMMUNITY COLLEGE TO SHARE THE FINDINGS FROM THE RESEARCH PROJECT ON THE UNMET NEEDS OF PERSONS WITH DISABILITIES WHO LIVE IN LEHIGH AND NORTHAMPTON COUNTIES. AT THE FORUM, ATTENDEES WERE PROVIDED WITH PRINTED COPIES OF THE EXECUTIVE SUMMARY, CONTAINED WITHIN THE RESEARCH PROJECT AS WELL AS A LINK TO THE LVRC'S WEBSITE, WHERE THE COMPLETE REPORT IS AVAILABLE. THE COMPLETE REPORT IS STILL AVAILABLE ON THE LVRC'S WEBSITE. INFORMATION REGARDING THE RESEARCH PROJECT APPEARS ON GOOD SHEPHERD'S WEBSITE AND HAS ALSO BEEN DESCRIBED AND DISCUSSED THROUGH VARIOUS TELEVISION SPOTS AND PRINT MEDIA.IN THE TWO-YEAR PERIOD SINCE THE COMMUNITY FORUM FOR THE RESEARCH PROJECT WAS HELD, GOOD SHEPHERD HAS USED THE FINDINGS FROM THE NEEDS ASSESSMENT TO LAUNCH A COMMUNITY NETWORK OF PERSONS WITH DISABILITIES, CARE GIVERS, FAMILY MEMBERS, SERVICE PROVIDERS, BUSINESS, RELIGIOUS, EDUCATIONAL AND CIVIC LEADERS, FUNDING SOURCE REPRESENTATIVES AND MANY OTHERS WORKING COLLABORATIVELY TO MAKE THE LEHIGH VALLEY REGION OF EASTERN PENNSYLVANIA MORE DISABILITY-FRIENDLY. THIS NETWORK IS DESIGNED AS A SELF-GOVERNING COMMUNITY COLLABORATIVE THAT OPERATES ON - AND MOST DEFINITELY BENEFITS FROM - THE TALENTS, RESOURCES, GOODWILL AND ENERGIES CONTRIBUTED BY ITS MEMBERS. HOWEVER, GOOD SHEPHERD PROVIDES ALL ADMINISTRATIVE AND CLERICAL SUPPORT FOR MEETINGS OF THE NETWORK AND ITS STEERING COMMITTEE. THE NETWORK DOES NOT REPLACE NOR COMPETE WITH EXISTING DISABILITY SPECIFIC AGENCIES OR PROGRAMS SERVING PERSONS WITH DISABILITIES AND THEIR FAMILIES OR OTHER CAREGIVERS IN OUR REGION. RATHER, THE NETWORK PROVIDES THE ARENA FOR ALL ADVOCATES TO COME TOGETHER FOR INFORMATION-SHARING, COLLABORATION, AND ACTION AROUND ISSUES OF TRANSPORTATION, EMPLOYMENT, HOUSING, EDUCATION AND IMPROVING COMMUNITY PERCEPTIONS AND ATTITUDES ABOUT PERSONS WITH DISABILITIES.IN LATE 2010, GOOD SHEPHERD BEGAN PLANNING FOR ITS NEXT COMMUNITY HEALTH NEEDS ASSESSMENT - THIS TIME IN COLLABORATION WITH EACH OF THE FOUR NOT-FOR-PROFIT HOSPITALS THAT SERVE THE LEHIGH VALLEY REGION (LEHIGH AND NORTHAMPTON COUNTIES) OF EASTERN PENNSYLVANIA. AS A MEMBER OF THE LEHIGH VALLEY HEALTH CARE COUNCIL (LVHCC), COMPRISED OF REPRESENTATIVES FROM THE VALLEY'S NOT-FOR-PROFIT HOSPITALS, GOOD SHEPHERD IS PART OF A JOINT EFFORT DESIGNED TO IMPROVE CLINICAL DECISION-MAKING AND SPECIFIC HEALTH ISSUES AFFECTING PEOPLE IN THE LEHIGH VALLEY. THE ULTIMATE GOAL OF THE WORK OF THE LVHCC WILL BE TO DEVELOP AND IMPLEMENT COMMUNITY-WIDE STRATEGIES, BEGINNING IN FY 2014, THAT WILL PLACE AN EMPHASIS ON PREVENTION ACTIVITIES AND REDUCING HEALTH DISPARITIES IN THE REGION.THE LVHCC IS GATHERING PRIMARY AND SECONDARY QUALITATIVE AND QUANTITATIVE DATA SETS AND SHARING HEALTH SYSTEM-SPECIFIC DATA TO FORM THE FOUNDATION FOR A COMMUNITY HEALTH NEEDS ASSESSMENT THAT WILL COMPLY WITH THE REQUIREMENTS OF SECTION 9007 OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA) OF 2010. THE LVHCC EXPECTS TO COMPLETE DATA GATHERING AND BEGIN A PROCESS OF SHARING PRELIMINARY FINDINGS WITH OTHER COMMUNITY HEALTH STAKEHOLDERS AND PROVIDERS BY JUNE 2012. THESE STAKEHOLDERS WILL INCLUDE REPRESENTATIVES FROM GOVERNMENT, SCHOOL DISTRICTS, HUMAN AND SOCIAL SERVICE AGENCIES, BUSINESS, CIVIC AND RELIGIOUS SECTORS AND HIGHER EDUCATION. THEIR PARTICIPATION IN THE PROCESS WILL BE CRITICAL TO SUCCESSFULLY DEVELOP AND FULLY IMPLEMENT ANY COMMUNITY HEALTH STRATEGIES CREATED AND ADOPTED BY THE MEMBER HOSPITALS OF THE LVHCC.
PART VI, LINE 3: 1. GOOD SHEPHERD'S MISSION IS AS FOLLOWS:"MOTIVATED BY THE DIVINE GOOD SHEPHERD AND THE PHYSICAL AND COGNITIVE REHABILITATION NEEDS OF OUR COMMUNITIES, OUR MISSION IS TO ENHANCE LIVES, MAXIMIZE FUNCTION, INSPIRE HOPE AND PROMOTE DIGNITY AND WELL-BEING WITH EXPERTISE AND COMPASSION."GOOD SHEPHERD VIGOROUSLY PURSUES THEIR MISSION REGARDLESS OF A PATIENT'S ABILITY TO PAY.2. IN EACH INPATIENT ROOM, GOOD SHEPHERD PROVIDES A REFERENCE BINDER OF IMPORTANT INFORMATION TO ALL INPATIENTS. THIS BINDER SUPPLEMENTS THE PATIENT'S ADMISSIONS PACKAGE AND INCLUDES A NOTICE OF FINANCIAL AID WHICH INCLUDES THE FOLLOWING WORDING:"IF YOU HAVE LITTLE OR NO HEALTH INSURANCE TO PAY FOR THE SERVICES YOU RECEIVE FROM GOOD SHEPHERD AND WORRY THAT YOU MAY NOT BE ABLE TO PAY FOR PART OR ALL OF YOUR CARE, WE MAY BE ABLE TO HELP. GOOD SHEPHERD PROVIDES CHARITY CARE TO PATIENTS BASED ON THEIR INCOME, ASSETS AND FINANCIAL NEEDS. IN ADDITION, IF YOU DO NOT MEET THE CRITERIA TO BE ELIGIBLE FOR CHARITY CARE, WE WILL HELP YOU ARRANGE FOR AN INTEREST-FREE PAYMENT PLAN TO RESOLVE ANY BALANCES YOU OWE."3. CHARITY CARE INFORMATION IS AVAILABLE ON THE GOOD SHEPHERD WEBSITE. IN PARTICULAR, PATIENTS MAY ACCESS A COPY OF THE NOTICE OF FINANCIAL AID AND A CHARITY CARE APPLICATION.4. GOOD SHEPHERD PUBLISHES AND DISTRIBUTES A NOTICE OF PAYMENT RESPONSIBILITY TO ALL PATIENTS. THE FIRST PARAGRAPH OF THIS FORM STATES THE FOLLOWING:"GOOD SHEPHERD IS A NON-PROFIT CHARITABLE ORGANIZATION THAT PROVIDES HEALTHCARE SERVICES TO ALL MEDICALLY APPROPRIATE PATIENTS WHO SEEK CARE REGARDLESS OF THEIR FUNDS TO PAY FOR SERVICES. THIS INCLUDES THE UNINSURED AND THE UNDER INSURED."THE NOTICE GOES ON TO STATE:"IT HAS BEEN BROUGHT TO OUR ATTENTION THAT YOU POTENTIALLY LACK THE FINANCIAL RESOURCES TO PAY FOR YOUR MEDICAL CARE. YOUR ADMISSION TO GOOD SHEPHERD IS CONTINGENT UPON YOUR ASSISTANCE IN HELPING US SECURE PAYMENT OF YOUR MEDICAL BILL FOR THE CARE BEING PROVIDED TO YOU. TO ADDRESS THE PAYMENT OF YOUR BILL, WE ARE REQUESTING THAT YOU APPLY FOR MEDICAL ASSISTANCE BENEFITS THROUGH THE PENNSYLVANIA MEDICAID PROGRAM AND APPLY FOR GOOD SHEPHERD'S CHARITY CARE PROGRAM."5. EACH PATIENT BILL OR STATEMENT INCLUDES THE FOLLOWING STATEMENT:"GOOD SHEPHERD REHABILITATION HOSPITAL IS A NON-PROFIT ORGANIZATION AND OFFERS CHARITY CARE TO THOSE WHO QUALIFY. IF YOU DO NOT HAVE THE FUNDS TO PAY, PLEASE CONTACT US." 6. TRANSLATION SERVICES ARE AVAILABLE TO ANY NON-ENGLISH-SPEAKING PATIENT. THESE SERVICES ALSO INCLUDE ASSISTANCE WITH CHARITY CARE ELIGIBILITY AND OTHER FINANCIAL MATTERS. 7. AS PART OF INTERNAL DEPARTMENTAL ORIENTATION AND TRAINING, ADMISSIONS, CARE MANAGEMENT AND PATIENT ACCOUNTING PERSONNEL ARE TRAINED IN GOOD SHEPHERD'S CHARITY CARE POLICIES AND PROCEDURES.
PART VI, LINE 4: BASED UPON HEALTH CARE COST CONTAINMENT COUNCIL DATA FOR THE 2010 CALENDAR YEAR, THE HOSPITAL'S PRIMARY SERVICE AREA IS COMPRISED OF THE FOLLOWING FIVE PENNSYLVANIA COUNTIES. IN ADDITION, THE HOSPITAL'S MARKET SHARE PERCENTAGE IS INDICATED FOR EACH COUNTY WITHIN ITS PRIMARY SERVICE AREA.-CARBON COUNTY 15%-LEHIGH COUNTY 72%-NORTHAMPTON COUNTY 45%-MONROE COUNTY 66%-BERKS COUNTY 2%LEHIGH, NORTHAMPTON AND BERKS COUNTIES ARE A MIX OF URBAN, SUBURBAN AND RURAL COMMUNITIES WHILE CARBON AND MONROE COUNTIES ARE PRIMARILY RURAL. THE FOLLOWING HOSPITALS ARE LOCATED WITHIN EACH OF THESE COUNTIES:CARBON COUNTY-TWO (2) NOT-FOR-PROFIT ACUTE CARE HOSPITALSLEHIGH COUNTY-SEVEN (7) ACUTE CARE HOSPITALS - SIX (6) NOT-FOR-PROFIT, ONE (1) FOR-PROFIT-ONE (1) NOT-FOR-PROFIT INPATIENT REHABILITATION HOSPITAL (THE HOSPITAL)-ONE (1) NOT-FOR-PROFIT LONG-TERM ACUTE CARE HOSPITAL (THE SPECIALTY HOSPITAL)NORTHAMPTON COUNTY -ONE (1) FOR-PROFIT ACUTE CARE HOSPITAL-ONE (1) FOR-PROFIT LONG-TERM ACUTE CARE HOSPITALMONROE COUNTY-ONE (1) NOT-FOR-PROFIT ACUTE CARE HOSPITALBERKS COUNTY-TWO (2) NOT-FOR-PROFIT ACUTE CARE HOSPITALS-ONE (1) FOR-PROFIT INPATIENT REHABILITATION HOSPITALTHESE COUNTIES HAVE THE FOLLOWING DEMOGRAPHICS AND CHARACTERISTICS:1. AVERAGE INCOME LEVEL AND POVERTY RATES (MEDIAN 2008 HOUSEHOLD INCOMES AND POPULATION PERCENTAGE BELOW THE POVERTY LEVEL)CARBON COUNTY $47,744 AND 10.5%LEHIGH COUNTY $53,541 AND 11.9% NORTHAMPTON COUNTY $58,762 AND 8.8%MONROE COUNTY $56,733 AND 10.4%BERKS COUNTY $53,470 AND 12.4%2. RATES OF UNINSURED OR UNDERINSURED PERSONSCARBON COUNTY 6,104 INDIVIDUALS OR 9.6% OF THE COUNTY POPULATIONLEHIGH COUNTY 33,990 INDIVIDUALS OR 9.9% OF COUNTY POPULATIONNORTHAMPTON COUNTY 28,185 INDIVIDUALS OR 9.4% OF THE COUNTY POPULATIONMONROE COUNTY 17,628 INDIVIDUALS OR 10.6% OF THE COUNTY POPULATIONBERKS COUNTY 41,909 INDIVIDUALS OR 10.3% OF THE COUNTY POPULATION3. PERCENT OF FAMILIES WHO ARE ON MEDICAID OR OTHER ASSISTANCE CARBON COUNTY DEC 2010 PERCENTAGE ENROLLED IN MEDICAID - 15.3%LEHIGH COUNTY DEC 2010 PERCENTAGE ENROLLED IN MEDICAID - 18.4%NORTHAMPTON COUNTY DEC 2010 PERCENTAGE ENROLLED IN MEDICAID - 13.2%MONROE COUNTY DEC 2010 PERCENTAGE ENROLLED IN MEDICAID - 16.9%BERKS COUNTY DEC 2010 PERCENTAGE ENROLLED IN MEDICAID - 18.7%4. POPULATION AGE BREAKDOWN (PENNSYLVANIA POPULATION > AGE 65 IS 15.4%)CARBON COUNTY POPULATION > AGE 65 - 17.8%LEHIGH COUNTY POPULATION > AGE 65 - 14.8%NORTHAMPTON COUNTY POPULATION > AGE 65 - 15.7%MONROE COUNTY POPULATION > AGE 65 - 12.8%BERKS COUNTY POPULATION > AGE 65 - 14.5%5. PERCENTAGES OF NON-ENGLISH-SPEAKING POPULATIONSCARBON COUNTY 737 INDIVIDUALS OR 1.2% NOT PROFICIENT IN ENGLISHLEHIGH COUNTY 25,047 INDIVIDUALS OR 7.8% NOT PROFICIENT IN ENGLISHNORTHAMPTON COUNTY 10,949 INDIVIDUALS OR 3.9% NOT PROFICIENT IN ENGLISHMONROE COUNTY 6,739 INDIVIDUALS OR 4.2% NOT PROFICIENT IN ENGLISHBERKS COUNTY 24,109 INDIVIDUALS OR 6.3% NOT PROFICIENT IN ENGLISH6. AREAS DESIGNATED AS FEDERALLY MEDICALLY UNDERSERVED AREAS OR POPULATIONSCARBON COUNTY: COALDALE AND THE BOROUGHS OF: LANSFORD, NESQUEHONING AND SUMMIT HILLLEHIGH COUNTY: ALLENTOWN SERVICE AREA - CT 0004.00 AND CT 0005.00NORTHAMPTON COUNTY: EASTON SERVICE AREA - CT: 143-147 AND SOUTH BETHLEHEM SERVICE AREA - CT: 109-113MONROE COUNTY: LOW INCOME STROUDSBURG BOROUGH - MCD (74888) BERKS COUNTY :CITY OF READING SERVICE AREAS - CT: 1, 2, 10, 11, 13, 14, 17, 19, 21, 22, 23 AND 257. SPECIAL POPULATIONS WITHIN THE AREA SERVED, INCLUDING ETHNIC AND CULTURAL GROUPSCARBON COUNTY BACHELOR'S DEGREE OR HIGHER, PCT OF PERSONS AGE 25+ 14.6% VS. 26.4% IN PALEHIGH COUNTY HISPANIC OR LATINO POPULATION - 18.8% VS. 5.7% IN PANORTHAMPTON COUNTY HISPANIC OR LATINO POPULATION - 10.5% VS. 5.7% IN PAMONROE COUNTY HISPANIC OR LATINO POPULATION - 13.1% VS. 5.7% IN PABERKS COUNTY HISPANIC OR LATINO POPULATION - 16.4% VS. 5.7% IN PA
PART VI, LINE 6: WITH RESPECT TO HOW THE HOSPITAL FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY, THE FOLLOWING INFORMATION IS PROVIDED:- THE GSRN BOARD OF TRUSTEES GOVERNS ALL OF THE ENTITIES DESCRIBED IN PART I, LINE 6A (INCLUDING THE HOSPITAL). THE GSRN BOARD OF TRUSTEE MEMBERS (BOARD MEMBERS) ALL LIVE IN THE HOSPITAL'S PRIMARY SERVICE AREA AS DEFINED IN PART VI (SUPPLEMENTAL INFORMATION), LINE 4. THE VAST MAJORITY OF THE BOARD MEMBERS ARE NOT EMPLOYEES OR CONTRACTORS OF THE HOSPITAL. NONE OF THE BOARD MEMBERS ARE FAMILY MEMBERS.- THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS PRIMARY SERVICE AREA. ALL APPLICANTS ARE APPROVED BY THE HOSPITAL'S MEDICAL EXECUTIVE COMMITTEE.- THE HOSPITAL PARTICIPATES IN THE MEDICARE, MEDICAID, CHAMPUS, TRICARE, OVR AND OTHER GOVERNMENT SPONSORED HEALTHCARE PROGRAMS.- THE HOSPITAL OPERATES IN A PRIMARY SERVICE AREA, WHICH INCLUDES ONLY ONE OTHER FREE-STANDING INPATIENT REHABILITATION HOSPITAL (A FOR-PROFIT FACILITY). HOWEVER, CERTAIN OF THE ACUTE CARE HOSPITALS WITHIN THE HOSPITAL'S PRIMARY SERVICE AREA OPERATE SMALLER REHABILITATION UNITS UNDER THEIR ACUTE CARE LICENSE. - TO THE EXTENT THE HOSPITAL GENERATES SURPLUS OPERATING MARGINS AND/OR FREE CASH FLOW, THE AMOUNTS ARE COMPLETELY REINVESTED WITHIN THE HOSPITAL AND/OR THE OTHER AFFILIATED CORPORATIONS UNDER THE CONTROL OF GOOD SHEPHERD REHABILITATION NETWORK (GSRN). SUCH REINVESTMENT CAN TAKE THE FORM OF INFRASTRUCTURE IMPROVEMENTS, INVESTMENTS IN MEDICAL EQUIPMENT AND TECHNOLOGY, OR OTHER INVESTMENTS INTENDED TO ENHANCE PATIENT SATISFACTION, IMPROVE THE QUALITY OF CARE, CONFORM WITH SAFETY CODES OR REGULATIONS, ETC.- THE HOSPITAL AND OTHER AFFILIATED CORPORATIONS UNDER THE CONTROL OF GOOD SHEPHERD REHABILITATION NETWORK (GSRN) ARE INVOLVED IN HEALTH PROFESSIONS EDUCATION, PARTICULARLY FOR NURSING AND THERAPY.
PART VI, LINE 7: WITHIN THE GOOD SHEPHERD REHABILITATION NETWORK AND CONTROLLED ENTITIES (GOOD SHEPHERD), THE GOOD SHEPHERD LONG-TERM ACUTE SERVICES, INC., D/B/A GOOD SHEPHERD SPECIALTY HOSPITAL (THE SPECIALTY HOSPITAL), PROVIDES "CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST" AS REPORTED ON THEIR SCHEDULE H TO FORM 990. THESE AMOUNTS AGGREGATE $107,933 OR APPROXIMATELY 1% OF THE SPECIALTY HOSPITAL'S EXPENSES. THROUGH ITS GOOD SHEPHERD WORKSHOP/VOCATIONAL SERVICES, INC. (WORK SERVICES) SUBSIDIARY, GOOD SHEPHERD REHABILITATION NETWORK AND CONTROLLED ENTITIES (GOOD SHEPHERD), PROVIDES EMPLOYMENT AND DEVELOPMENT PROGRAMS FOR PERSONS WITH PHYSICAL, EMOTIONAL AND INTELLECTUAL DISABILITIES, HEARING AND SIGHT IMPAIRMENTS AND INDUSTRIAL INJURIES BY PROVIDING SUBCONTRACTING SERVICES. THESE PROGRAMS ARE OPERATED AT A LOSS, WHICH TOTALED $638,623 FOR THE FISCAL YEAR ENDED JUNE 30, 2011, AND WHICH WAS FUNDED BY GOOD SHEPHERD. THE LOSS WAS DETERMINED BY REDUCING REVENUES GENERATED BY THE WORK SERVICES PROGRAMS BY DIRECTLY ASSIGNED EXPENSES AND ALLOCATED CORPORATE OVERHEAD COSTS (WHICH WERE ALLOCATED ON THE BASIS OF RELATIVE OPERATING UNIT REVENUE).THROUGH ITS GOOD SHEPHERD HOUSING DEVELOPMENT CORPORATION (SUPPIL) SUBSIDIARY, GOOD SHEPHERD REHABILITATION NETWORK AND CONTROLLED ENTITIES (GOOD SHEPHERD), PROVIDES SUPPORTIVE INDEPENDENT HOUSING TO PERSONS WITH DISABILITIES UNDER SECTION 811 OF THE DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT. THESE SERVICES WERE OPERATED AT A LOSS, WHICH TOTALED $227,266 FOR THE FISCAL YEAR ENDED JUNE 30, 2011, AND WHICH WAS FUNDED BY GOOD SHEPHERD. THE LOSS WAS DETERMINED AFTER REDUCING SUPPIL RENTAL REVENUE AND OTHER INCOME BY THE DIRECTLY ASSIGNED EXPENSES INCURRED TO OPERATE THE PROGRAM.GSRN IS A 70% OWNER OF GSPP; HOWEVER, THE OPERATIONS OF GSPP ARE NOT CONSOLIDATED WITHIN THE CONSOLIDATED FINANCIAL STATEMENTS OF GOOD SHEPHERD AS GSRN IS NOT DEEMED TO HAVE CONTROL OVER GSPP. AS A RESULT, GSRN RECORDS THEIR INVESTMENT IN GSPP UNDER THE EQUITY METHOD OF ACCOUNTING WITHIN THE GSRN CONSOLIDATED FINANCIAL STATEMENTS. THROUGH ITS OWNERSHIP IN THE GSPP UNCONSOLIDATED AFFILIATE, GSRN PROVIDES THE FOLLOWING COMMUNITY BENEFITS, WHICH TOTAL TO $3,219,000:FINANCIAL ASSISTANCE AT COST $ 215,000UNREIMBURSED MEDICAID 2,059,000COMMUNITY HEALTH IMPROVEMENT SERVICES 4,000HEALTH PROFESSIONS EDUCATION 828,000RESEARCH 82,000COMMUNITY BUILDING ACTIVITIES 31,000 TOTAL $3,219,000THESE AMOUNTS ARE REPORTED ABOVE AT THEIR FULL COST ALTHOUGH GOOD SHEPHERD HAS A 70% OWNERSHIP INTEREST IN GSPP.
NONEPART VI, LINE 7

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org1CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs1CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs1CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
SARA T GAMMON
050184600000175460016726069403200
DANIEL C CONFALONE
02806500000019726015585031596100
PHILLIP R BRYANT
03410790000023974023017038807000
ANTHONY R BONGIOVANNI
02179630000069226026971031416000
SAMUEL A MIRANDA JR
02053030000045612031759028267400
ROSAURO A DALOPE
21221701200000015760012460241223000
DANIEL Q YEAGER
184757090000013050046170203324000
CHIRAG J KOLALA
1778530600000012923044890201265000
JAMES J DALEY
17126300000120380104090193710000
YASMEEN I BHATTI
1627490450000114710104620185132000

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINE 1AGOOD SHEPHERD DOES NOT PAY ANY DUES ON BEHALF OF CEO, SARA GAMMON, DIRECTLY TO A SOCIAL CLUB. GOOD SHEPHERD REIMBURSES THE CEO FOR CERTAIN SOCIAL CLUB DUES RELEVANT IN PURSUING THE OVERALL MISSION OF GOOD SHEPHERD. THESE EXPENSES ARE ACCOUNTED FOR UNDER AN ACCOUNTABLE REIMBURSEMENT PLAN. THE AMOUNT OF THIS REIMBURSEMENT IS INCLUDED IN MS. GAMMON'S TAXABLE COMPENSATION.
PART I, LINE 5GSRN HAS A PERFORMANCE COMPENSATION PROGRAM IN PLACE WHICH IS APPROVED BY THE BOARD. CERTAIN MEMBERS OF MANAGEMENT CAN RECEIVE AN ANNUAL PERFORMANCE PAYMENT ONLY WHEN PRE-DEFINED AND PRE-APPROVED FINANCIAL AND NON-FINANCIAL GOALS ARE ACHIEVED. FOR FISCAL YEAR 2011, A PERFORMANCE PAYMENT WAS ACHIEVED. THIS IS NOT GUARANTEED EACH YEAR.
PART I, LINE 6GSRN HAS A PERFORMANCE COMPENSATION PROGRAM IN PLACE WHICH IS APPROVED BY THE BOARD. CERTAIN MEMBERS OF MANAGEMENT CAN RECEIVE AN ANNUAL PERFORMANCE PAYMENT ONLY WHEN PRE-DEFINED AND PRE-APPROVED FINANCIAL AND NON-FINANCIAL GOALS ARE ACHIEVED. FOR FISCAL YEAR 2011, A PERFORMANCE PAYMENT WAS ACHIEVED. THIS IS NOT GUARANTEED EACH YEAR.
PART IIIPART I, LINE 3: SARA T. GAMMON WAS PAID BY THE GOOD SHEPHERD REHABILITATION NETWORK ("GSRN"), AN AFFILIATED TAX-EXEMPT ORGANIZATION. THE GOOD SHEPHERD REHABILITATION HOSPITAL RELIED ON GSRN'S USE OF THE DESCRIBED METHODS TO ESTABLISH MS. GAMMON'S COMPENSATION.SUPPLEMENTAL INFORMATION

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART V, LINE 1:ACCOUNTS PAYABLE PAYMENTS ARE CONSOLIDATED UNDER A COMMON REPORTING SYSTEM. SINCE TOTALS FOR EACH VENDOR MAY CONTAIN TRANSACTIONS FROM MULTIPLE CORPORATIONS, THE NUMBER OF 1099'S FILED ON BEHALF OF THE GOOD SHEPHERD REHABILITATION HOSPITAL BY THE COMMON REPORTING AGENT CANNOT BE SEPARATELY IDENTIFIED AND DETERMINED.
THE SOLE CORPORATE MEMBER OF THE ORGANIZATION IS THE GOOD SHEPHERD REHABILITATION NETWORK ("GSRN"), A RELATED TAX-EXEMPT ENTITY. GSRN HAS THE ULTIMATE AUTHORITY AND RESPONSIBILITY FOR THE FOLLOWING ACTIVITIES WITH RESPECT TO THE GOOD SHEPHERD REHABILITATION HOSPITAL: AMENDMENT, APPROVAL OR REVOCATION OF BYLAWS; INSTITUTIONAL DEVELOPMENT; CORPORATE AND STRATEGIC PLANNING; FINANCIAL PLANNING AND BUDGETING; AUDIT AND FISCAL MATTERS; RESOURCE ALLOCATION; PUBLIC RELATIONS; APPOINTMENT OF TRUSTEES AND OFFICERS; COMPENSATION AND HUMAN RESOURCE POLICIES; MEDICAL STAFF AND GENERAL POLICY MATTERS.FORM 990, PART VI, SECTION A, LINE 7A
SEE EXPLANATION FOR FORM 990, PART VI, SECTION A, LINE 7A.FORM 990, PART VI, SECTION A, LINE 7B
THE IRS FORM 990 IS PREPARED USING INFORMATION SOLICITED FROM OFFICERS, DIRECTORS, TRUSTEES, BOARD COMMITTEE MEMBERS, AND MANAGEMENT. THIS GROUP OF INDIVIDUALS ARE PROVIDED A DRAFT RETURN BEFORE THE FINAL RETURN IS FILED. QUESTIONS, COMMENTS, AND ADDITIONAL INFORMATION PROVIDED BY THIS GROUP ARE INCORPORATED INTO THE FINAL RETURN. THE FINAL RETURN IS REVIEWED AT A COMMITTEE LEVEL OF THE BOARD PRIOR TO IT BEING FILED.FORM 990, PART VI, SECTION B, LINE 11
FORM 990, PART VI, SECTION B, LINE 12CTHERE IS A SYSTEMATIC PROCESS COORDINATED THROUGH THE GOVERNANCE COMMITTEE WHERE THE CONFLICT OF INTEREST STATEMENTS COMPLETED ANNUALLY BY BOARD MEMBERS AND SENIOR LEADERSHIP TEAM MEMBERS ARE REVIEWED BY THE GOVERNANCE COMMITTEE. WHENEVER THE COMMITTEE FEELS THE CONFLICT STATEMENT IS EITHER INCOMPLETE OR FEELS SOMETHING MAY BE MISSING, THE COMMITTEE WILL ASK MANAGEMENT TO PURSUE FURTHER DUE DILIGENCE. WHEN A BOARD MEMBER DOES HAVE AN INHERENT CONFLICT, THE TRUSTEE IS ASKED TO EITHER ABSTAIN FROM VOTING OR EXCUSE HIMSELF FROM THE ROOM DURING THE DISCUSSION AND VOTING.
FORM 990, PART VI, SECTION B, LINE 15THE GOOD SHEPHERD REHABILITATION NETWORK BOARD DELEGATES RESPONSIBILITY FOR FOLLOWING ALL LEGAL AND REGULATORY REQUIREMENTS AFFECTING EXECUTIVE COMPENSATION TO THE HUMAN RESOURCES/EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD. THIS COMMITTEE IS CHARGED WITH ADMINISTRATION OF COMPENSATION PRACTICES FOR OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION. THIS COMMITTEE SELECTED AND USES AN INDEPENDENT CONSULTING FIRM SPECIALIZING IN HEALTHCARE EXECUTIVE COMPENSATION MATTERS AND USES COMPARABLE COMPETITIVE MARKET DATA IN THEIR ANALYSIS. THE SERVICES OF AN INDEPENDENT COMPENSATION CONSULTANT (IHS) WERE UTILIZED AND THEIR LATEST REPORT TO THE HUMAN RESOURCE COMPENSATION COMMITTEE WAS DATED AUGUST 30, 2011. COMMITTEE MEETINGS ARE HELD ON AN ONGOING BASIS AND ARE DOCUMENTED IN DETAIL.
FORM 990, PART VI, SECTION C, LINE 19FINANCIAL STATEMENTS ARE PUBLISHED TO THE ORGANIZATION'S WEBSITE AT LEAST ANNUALLY. THE GOVERNING DOCUMENTS AND POLICIES ARE AVAILABLE UPON REQUEST.
FORM 990, PART VII, SECTION A:SARA T. GAMMON, DANIEL C. CONFALONE, PHILLIP R. BRYANT, ANTHONY R. BONGIOVANNI, AND SAMUEL A MIRANDA, JR. ARE OFFICERS/KEY EMPLOYEES FOR ALL 7 ENTITIES WITHIN THE GOOD SHEPHERD REHABILITATION NETWORK. THEY EACH DEVOTE APPROXIMATELY 60 HOURS PER WEEK TO THE ENTIRE GROUP OF ENTITIES. THE AVERAGE HOURS LISTED IN COLUMN (B) FOR EACH INDIVIDUAL REPRESENTS THE APPROXIMATE PORTION OF 60 HOURS DEVOTED TO THE GOOD SHEPHERD REHABILITATION HOSPITAL PER WEEK. THE COMPENSATION AND BENEFIT INFORMATION REPORTED IN COLUMNS (E) AND (F) REPRESENTS WHAT EACH INDIVIDUAL EARNS FOR THEIR TIME SPENT ON THE ENTIRE GROUP OF 7 ENTITIES. THE BOARD MEMBERS ALSO DEVOTE TIME TO FIVE OTHER ORGANIZATIONS IN THE GROUP. TOTAL TIME SPENT BY BOARD MEMBERS RANGES FROM .75 HOURS PER WEEK TO 3.25 HOURS PER WEEK. THE AVERAGE HOURS LISTED IN COLUMN (B) FOR EACH BOARD MEMBER REPRESENTS THE APPROXIMATE PORTION OF HOURS DEVOTED TO THE GOOD SHEPHERD REHABILITATION HOSPITAL PER WEEK. THE TOP FIVE HIGHEST COMPENSATED EMPLOYEES ONLY DEVOTE TIME TO THE GOOD SHEPHERD REHABILITATION HOSPITAL, WITH THE EXCEPTION OF JAMES DALEY. DR. DALEY IS ALSO A BOARD MEMBER OF THE ALLENTOWN SPECIALTY HOSPITAL WHERE HE DEVOTES APPROXIMATELY 1 HOUR PER WEEK FOR A TOTAL OF 40 HOURS AT BOTH ORGANIZATIONS.
FORM 990, PART XI, LINE 5:PENSION LIABILITY ADJUSTMENT 5,805,039. NET ASSETS RELEASED ADJUSTMENT FOR SPECIAL EVENTS -409,468. TOTAL TO FORM 990, PART XI, LINE 5: 5,395,571.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XI, LINE 2CTHE PROCESSES USED BY THE COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT HAVE NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
GOOD SHEPHERD HOME LONG-TERM CARE FACILITY INC
GOOD SHEPHERD PLAZA 850 SOUTH 5TH SALLENTOWNPA18103232215800OPERATES TWO SKILLED NURSING FACILITIES FOR THE SEVERELY DISABLEDPA501(C)(3)LINE 3GOOD SHEPHERD REHABILITATION NETWORK0
GOOD SHEPHERD HOUSING DEVELOPMENT CORPORATION
GOOD SHEPHERD PLAZA 850 SOUTH 5TH SALLENTOWNPA18103233073390PROVIDES INDEPENDENT LIVING APTS FOR DISABLED, LOW-INCOME ADULTSPA501(C)(3)LINE 7GOOD SHEPHERD REHABILITATION NETWORK0
GOOD SHEPHERD REHABILITATION NETWORK
GOOD SHEPHERD PLAZA 850 SOUTH 5TH SALLENTOWNPA18103232216041PROVIDES MANAGEMENT SERVICES IN SUPPORT OF ITS TAX-EXEMPT AFFILIATESPA501(C)(3)LINE 70N/A
GOOD SHEPHERD WORKSHOPVOCATIONAL SERVICES INC
1901 LEHIGH STREETALLENTOWNPA18103232215801PROVIDES EMPLOYMENT DEVELOPMENT PROGRAMS AND VOCATIONAL EVALUATIONSPA501(C)(3)LINE 11A, IGOOD SHEPHERD REHABILITATION NETWORK0
PHILADELPHIA POST-ACUTE PARTNERS LLC
1800 LOMBARD STREETPHILADELPHIAPA19146208283421OPERATES INPATIENT REHAB HOSP, ACUTE CARE HOSP & 8 OUTPATIENT FACILITIESPA501(C)(3)LINE 3GOOD SHEPHERD REHABILITATION NETWORK0
THE ALLENTOWN SPECIALTY HOSPITAL INC
GOOD SHEPHERD PLAZA 850 SOUTH 5TH SALLENTOWNPA18103233009874PROVIDES INPATIENT SVCS THROUGH OPERATION OF A LONG-TERM ACUTE CARE HOSPPA501(C)(3)LINE 3GOOD SHEPHERD REHABILITATION NETWORK0

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1GOOD SHEPHERD RECIPROCAL RISK RENTENTION GROUPBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line17301 RIVERS AVENUE SUITE 230AddressLine1
CityNORTH CHARLESTONCity
StateSCState
ZIP Code29406ZIPCode
FieldValueIRS element (for citing)
EIN204065112EIN
Primary ActivityRISK RETENTION GROUPPrimaryActivity
Legal Domicile StateSCLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets1ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg