FURP.ORG / PUBLIC DATA EXPLORER

GOOD SHEPHERD REHABILITATION HOSP: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
GOOD SHEPHERD REHABILITATION HOSP (EIN 23-1371947)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-12
IRS object ID
201121329349302982
Schema version
2009v1.7
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)
Timestamp2011-05-12T14:35:29-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

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 Date2009-07-01TaxPeriodBeginDate

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 Signed2011-05-11DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJulius Green CPAName
Phone2159720701Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
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 Receipts68187961GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
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 Members13NbrIndependentVotingMembers
Total Nbr Employees1409TotalNbrEmployees
Total Nbr Volunteers18TotalNbrVolunteers
Total Gross UBI4907006TotalGrossUBI
Net Unrelated Business Txbl Income564022NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1411172ContributionsGrantsPriorYear
Contributions Grants Current Year1978172ContributionsGrantsCurrentYear
Program Service Revenue Prior Year57436344ProgramServiceRevenuePriorYear
Program Service Revenue CY65763877ProgramServiceRevenueCY
Investment Income Current Year-57764InvestmentIncomeCurrentYear
Other Revenue Prior Year393488OtherRevenuePriorYear
Other Revenue Current Year308554OtherRevenueCurrentYear
Total Revenue Prior Year59241004TotalRevenuePriorYear
Total Revenue Current Year67992839TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year28746627SalariesEtcPriorYear
Salaries Etc Current Year33205810SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year31833590OtherExpensePriorYear
Other Expenses Current Year36121844OtherExpensesCurrentYear
Total Expenses Prior Year60580217TotalExpensesPriorYear
Total Expenses Current Year69327654TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1339213RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1334815RevenuesLessExpensesCY
Total Assets BOY62530240TotalAssetsBOY
Total Assets EOY65557098TotalAssetsEOY
Total Liabilities BOY37333051TotalLiabilitiesBOY
Total Liabilities EOY46609594TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY25197189NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY18947504NetAssetsOrFundBalancesEOY
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
Expense58005605Expense
Revenue61163032Revenue
DescriptionThe Good Shepherd Rehabilitation Hospital ("GSRH") is the Lehigh Valley region's only Commission on Accreditation of Rehabilitation Facilities ("CARF") accredited inpatient stroke rehabilitation program. In addition, GSRH is CARF accredited for its comprehensive integrated inpatient rehabilitation program and its and brain injury program.Programs are offered for individuals with conditions such as amputation, brain injury, childhood developmental disabilities, chronic pain, complex wounds, multiple sclerosis, orthopedic injury, pulmonary disease, spina bifida, spinal cord injury and stroke. Services provided include rehabilitative nursing, physical and occupational therapy, speech pathology and other services.In fiscal year 2010, GSRH discharged a total of 1,790 patients and had outpatient visits totaling 193,075.Description
Total Program Service Expense58005605TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
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
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
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees1409NumberOfEmployees
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 Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Nbr Voting Governing Body Members18NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
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

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
SCOTT A BAKER
TRUSTEE0.30X000
SANDRA L BODNYK
TREASURER0.40X000X
PATRICK J BRENNAN MD
TRUSTEE0.30X000
Addie J Butler EdD
Trustee0.30X000
James J Daley MD
Trustee/Physiatrist0.30X163074033094
DAVID G DECAMPLI
SECRETARY0.30X000X
RICHARD E DROBNICKI
CHAIR0.70X000X
Robert E Gadomski
TRUSTEE0.30X000
SARA T GAMMON
PRESIDENT/CEO8.00X052803677250X
Michael Goldner DO
TRUSTEE0.20X000
Elsbeth G Haymon
TrustEE0.30X000
Katherine E Hilgert
TRUSTEE0.20X000
SANDRA Jarva Weiss
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
Daniel C Confalone
SVP FINANCE/CFO15.00029202751448X
PHILLIP R BRYANT
CMO1.50035769665619X
Anthony R Bongiovanni
CPO15.00024529558166X
SAMUEL A MIRANDA JR
CNO40.00020192458275X
Chirag J Kalola
Staff Physiatrist40.00211406032600X
Brian L Fellechner
Staff Physiatrist40.00196454034255X
Daniel Q YEAGER
Staff Physiatrist40.00187014030140X
Nandini B Ivengar
Staff Physiatrist40.00165660033378X
Frank Sparandero
Staff Physiatrist40.00161863028949X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1085471TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1624978TotalReportableCompFrmRltdOrgs
Total Other Compensation503174TotalOtherCompensation
Number Individuals GT100 K23NumberIndividualsGT100K
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 SERVICES394305
POCONO MEDICAL CENTER
206 EAST BROWN STREETEAST STROUDSBURGPA18301MEDICAL SERVICES204829
Cambridge Medical Staffing
4155 Independence DriveSchnecksvillePA18078Temp Staff Services190423
BMA of Allentown
PO Box 13700 1131PhiladelphiaPA19191Medical Services161702
People 20 Global
PO Box 827932PhiladelphiaPA19182Temp Staff Services161078
FieldValueIRS element (for citing)
Number Of Contractors GT100 K7NumberOfContractorsGT100K
Fundraising Events202280FundraisingEvents
Related Organizations1676358RelatedOrganizations
All Other Contributions99534AllOtherContributions
Total Contributions1978172TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT SVC REV6230006016986460169864
PROFESSIONAL SVCS REV62111055940137178674876146
FieldValueIRS element (for citing)
Total Program Service Revenue65763877TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column16434TotalRevenueColumn
Exclusion$16,434ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other74198Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-74198Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-74198TotalRevenueColumn
Exclusion-$74,198ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events120924GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events202280CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses120924FundraisingDirectExpenses

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 CENTER713940183523183523
LIFESTYLE PRDUCTS/SVCS4461991226389177830860
MED REC ABSTRACTING5614391263$1,263

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column1130TotalRevenueColumn
Exclusion$1,130ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue308554TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column67992839TotalRevenueColumn
Related Or Exempt Function Income61163032RelatedOrExemptFunctionIncome
Unrelated Business Revenue4907006UnrelatedBusinessRevenue
Exclusion-$55,371ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total196168Total
Program Services196168ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total26074121Total
Program Services23616323ProgramServices
Management And General2457798ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1672240Total
Program Services1514694ProgramServices
Management And General157546ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3406575Total
Program Services3085257ProgramServices
Management And General321318ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1856706Total
Program Services1677968ProgramServices
Management And General178738ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1947377Total
Program Services1706835ProgramServices
Management And General240542ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total8312Total
Program Services8312ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1430311Total
Program Services1296840ProgramServices
Management And General133471ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1738706Total
Program Services778023ProgramServices
Management And General960683ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total19251Total
Program Services16703ProgramServices
Management And General2548ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4062276Total
Program Services4062276ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total88212Total
Program Services88212ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
UBI Taxes203717203717
Corporate Allocation22806711638587916420832
DRUGS21543042154304
Bad Debt Expense12916531291653
Repairs and Maintenance24571818952656192

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total125296Total
Program Services35013ProgramServices
Management And General90283ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total69327654Total
Program Services58005605ProgramServices
Management And General11322049ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY10753BOY
EOY18552EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY8292438BOY
EOY10134712EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY407119BOY
EOY519517EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1154154BOY
EOY1385294EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis113838005LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec60974703LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY52213647BOY
EOY52863302EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY452129BOY
EOY635721EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY62530240BOY
EOY65557098EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY11456956BOY
EOY16160512EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY25876095BOY
EOY30449082EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY37333051BOY
EOY46609594EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY25197189BOY
EOY18947504EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY25197189BOY
EOY18947504EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY62530240BOY
EOY65557098EOY
FieldValueIRS element (for citing)
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$11,919OtherActivitiesAmount
Total Lobbying Expenditures IIB11919TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart II-B, Line 1i:Identifier
Return ReferenceExplanation of Other Lobbying Activities:ReturnReference
ExplanationTHE GOOD SHEPHERD REHABILITATION HOSPITAL ("GSRH") PAID THE HOSPITAL ASSOCIATION OF PENNSYLVANIA ("HAP") DUES DURING THE YEAR ENDED JUNE 30, 2010. HAP HAS INFORMED GSRH THAT A PERCENTAGE OF THOSE DUES, WHICH AMOUNTED TO $7,983, WAS USED FOR LOBBYING PURPOSES. GSRH ALSO PAID DUES TO THE AMERICAN MEDICAL REHABILITATION PROVIDERS ASSOCIATION ("AMRPA") DURING THE YEAR ENDED JUNE 30, 2010. AMRPA HAS INFORMED GSRH THAT A PERCENTAGE OF THOSE DUES, WHICH AMOUNTED TO $2,611, WAS USED FOR LOBBYING PURPOSES. GSRH ALSO PAID DUES TO THE PENNSYLVANIA ASSOCIATION OF REHABILITATION FACILITIES ("PARF") DURING THE YEAR ENDED JUNE 30, 2010. PARF HAS INFORMED GSRH THAT A PERCENTAGE OF THOSE DUES, WHICH AMOUNTED TO $1,235, WAS USED FOR LOBBYING PURPOSES. GSRH ALSO PAID DUES TO LUTHERAN SERVICES IN AMERICA ("LSA") DURING THE YEAR ENDED JUNE 30, 2010. LSA HAS INFORMED GSRH THAT A PERCENTAGE OF THOSE DUES, WHICH AMOUNTED TO $90, WAS USED FOR LOBBYING PURPOSES.Explanation

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
Depreciation22197530Depreciation
Book Value34671436BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis6114194OtherCostOrOtherBasis
Depreciation3053206Depreciation
Book Value3060988BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis44125560OtherCostOrOtherBasis
Depreciation33382375Depreciation
Book Value10743185BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4540328OtherCostOrOtherBasis
Depreciation2341592Depreciation
Book Value2198736BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings52863302TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS$882,792
ADVANCE FROM THIRD-PARTY PAYOR$277,900
ESTIMATED MEDICAL MALPRACTICE CLAIMS LIABILITY$9,003
AMOUNTS DUE TO AFFILIATES$29,279,387
FieldValueIRS element (for citing)
Total Of Amounts30449082TotalOfAmounts
Total Revenue67992839TotalRevenue
Total Expenses69327654TotalExpenses
Excess Or Deficit For Year-1334815ExcessOrDeficitForYear
Other-$4,914,870OtherAmount
Total Adjustments-4914870TotalAdjustments
Excess Or Deficit Per FS-6249685ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt63198893TotRevenueEtcAuditedFinclStmt
Other Revenues-4591666OtherRevenues
Revenue Not Rptd F990-4591666RevenueNotRptdF990
Revenue Subtotal67790559RevenueSubtotal
Other Revenues Not Included202280OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt202280RevenueNotRptdOnFinStmt
Total Revenue Per Form99067992839TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt69448578TotExpensesEtcAuditedFinclStmt
Other Expenses Included120924OtherExpensesIncluded
Expenses Not Rptd F990120924ExpensesNotRptdF990
Expenses Subtotal69327654ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99069327654TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part X:Description of Uncertain Tax Positions Under FIN 48: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: -4591485. Net Assets Released Adjustment: -181. Net Assets Release Adjustment for Special Events: -323204.
Part XII, Line 2d - Other Adjustments:PENSION LIABILITY ADJUSTMENT: -4591485. Net Assets Released Adjustment: -181.
Part XII, Line 4b - Other Adjustments:Special Events Expense: -120924. Net Assets Released Adjustment for Special Events: 323204.
Part XIII, Line 2d - Other Adjustments:Special events expense: 120924.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Golf & Tennis ClassicNameOfEvent1
Gross Receipts Event1165774GrossReceiptsEvent1
Charitable Contributions Event1118582CharitableContributionsEvent1
Gross Revenue Event147192GrossRevenueEvent1
Non Cash Prizes Event1750NonCashPrizesEvent1
Rent Facility Costs Event124940RentFacilityCostsEvent1
Food And Beverage Event113419FoodAndBeverageEvent1
Other Direct Expenses Event18083OtherDirectExpensesEvent1
Name Of Event2Gala in the GardenNameOfEvent2
Gross Receipts Event299555GrossReceiptsEvent2
Charitable Contributions Event246872CharitableContributionsEvent2
Gross Revenue Event252683GrossRevenueEvent2
Rent Facility Costs Event29348RentFacilityCostsEvent2
Food And Beverage Event222799FoodAndBeverageEvent2
Entertainment Event2700EntertainmentEvent2
Other Direct Expenses Event219836OtherDirectExpensesEvent2
Total Number Of Other Events1TotalNumberOfOtherEvents
Gross Receipts Other Events57875GrossReceiptsOtherEvents
Charitable Contrib Other Events36826CharitableContribOtherEvents
Gross Revenue Other Events21049GrossRevenueOtherEvents
Non Cash Prizes Other Events750NonCashPrizesOtherEvents
Rent Facility Costs Other Events7097RentFacilityCostsOtherEvents
Food And Beverage Other Events5503FoodAndBeverageOtherEvents
Other Direct Expenses Other Events7699OtherDirectExpensesOtherEvents
Gross Receipts Total323204GrossReceiptsTotal
Charitable Contributions Total202280CharitableContributionsTotal
Gross Revenue Total Events120924GrossRevenueTotalEvents
Non Cash Prizes Total Events1500NonCashPrizesTotalEvents
Rent Facility Costs Total Events41385RentFacilityCostsTotalEvents
Food And Beverage Total Events41721FoodAndBeverageTotalEvents
Entertainment Total Events700EntertainmentTotalEvents
Other Direct Expenses Total Events35618OtherDirectExpensesTotalEvents
Direct Expense Summary Events120924DirectExpenseSummaryEvents
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 Expense690440TotalCommunityBenefitExpense
Net Community Benefit Expense690440NetCommunityBenefitExpense
Percent Of Total Expense0.01010PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense8337318TotalCommunityBenefitExpense
Direct Offsetting Revenue4783600DirectOffsettingRevenue
Net Community Benefit Expense3553718NetCommunityBenefitExpense
Percent Of Total Expense0.05220PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense9027758TotalCommunityBenefitExpense
Direct Offsetting Revenue4783600DirectOffsettingRevenue
Net Community Benefit Expense4244158NetCommunityBenefitExpense
Percent Of Total Expense0.06230PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense22036TotalCommunityBenefitExpense
Net Community Benefit Expense22036NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense701437TotalCommunityBenefitExpense
Net Community Benefit Expense701437NetCommunityBenefitExpense
Percent Of Total Expense0.01030PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense5044341TotalCommunityBenefitExpense
Direct Offsetting Revenue2872472DirectOffsettingRevenue
Net Community Benefit Expense2171869NetCommunityBenefitExpense
Percent Of Total Expense0.03190PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense3192TotalCommunityBenefitExpense
Net Community Benefit Expense3192NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense5771006TotalCommunityBenefitExpense
Direct Offsetting Revenue2872472DirectOffsettingRevenue
Net Community Benefit Expense2898534NetCommunityBenefitExpense
Percent Of Total Expense0.04250PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense14798764TotalCommunityBenefitExpense
Direct Offsetting Revenue7656072DirectOffsettingRevenue
Net Community Benefit Expense7142692NetCommunityBenefitExpense
Percent Of Total Expense0.10480PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$451,268BadDebtExpenseAmount
Amount Attributable To45127AmountAttributableTo
Amount Reimbursed By Medicare19869222AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare20248579CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-379357MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV

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 VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Income Based CriteriaPart 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, 2010 and 2009, measured at charges, was $1,696,000 and $2,026,000, respectively.""These amounts do not include doubtful accounts. In August 2010, the FASB issued Accounting Standards Update No. 2010-23, Health Care Entities: Measuring Charity Care for Disclosure ("ASU 2010-23"). ASU 2010-23 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. ASC 2010-23 is effective for fiscal years beginning December 15, 2010. Adoption of ASC 2010-23 will result in revised disclosures in the notes to Good Shepherd's consolidated financial statements but will not impact amounts reported in the consolidated financial statements."IncomeBasedCriteria
Annual Community Benefit ExplnPart 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.AnnualCommunityBenefitExpln
Costing Method UsedPart 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.CostingMethodUsed
Subsidized Health Services ExplnPart I, Line 7g: Of the net community benefit expense of $2,171,869, reported on Part I, Line 7g. column (e), $908,725 is related to the net loss from the Hospital's Developmental 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, $128,044 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.SubsidizedHealthServicesExpln
Percent Of Total Expense ExplnPart I, Line 7f: 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 $1,291,653.PercentOfTotalExpenseExpln
Bad Debt FootnotePart 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 2010 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.BadDebtFootnote
Shortfall As Community BenefitPart 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 ($379,357) 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.ShortfallAsCommunityBenefit
Debt Collection PolicyPart 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 are not subject to the collection provisions of this policy.DebtCollectionPolicy
General ExplanationPart II: While minimal community building activities are provided directly within the Hospital, GSRN, the Hospital's parent company, provided $35,238 of such activities during the 2010 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 Board Memberships as well as various workforce development activities.The value of the community building activities provided during the 2010 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.GeneralExplanation
Needs AssessmentPart 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.Good Shepherd is currently planning the manner in which Good Shepherd will undertake their next health needs assessment. Specifically, for the past five months, Good Shepherd's Vice President for Government and Community Relations, has been meeting with representatives from Lehigh Valley Health Network, St. Luke's Hospital and Sacred Heart Hospital to develop a joint strategy for collaborating on conducting a community health needs assessment and for complying with the requirements of Section 9007 of the Patient Protection and Affordable Care Act of 2010 (the PP&AC Act of 2010). The executive staff from the Dorothy Rider Pool Health Care Trust have helped guide the process. The group, which is calling itself the Lehigh Valley Health Council (the Council), was formed to measure and use the findings from that measurement to improve clinical decision-making and community health improvement efforts in the Lehigh Valley with an emphasis toward preventing illness and injury and reducing health disparities. The Council has agreed, in principal, to gather a series of primary and secondary qualitative and quantitative data sets and share health system-specific data to form the foundation for the health needs assessment. No collective or individual costs for doing this have yet been determined. The Council expects to gather data over the next two to four months and plans to invite representatives from government, school districts, human and social service agencies, business, civic and religious sectors and higher education to eventually join the Council, even though they are not subject to any requirements in the PP&AC Act of 2010. Their participation and receptivity, however, will be necessary to successfully develop and fully implement any community health programs the founding members of the Council individually or collectively create.NeedsAssessment
Patient Education AssistancePart 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.PatientEducationAssistance
Community InformationPart VI, Line 4: Based upon Health Care Cost Containment Council data for the 2010 fiscal 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 13%-Lehigh County 73%-Northampton County 49%-Monroe County 71%-Berks County 4%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 $47,425 and 11.0%Lehigh County $53,894 and 10.2% Northampton County $59,771 and 8.7%Monroe County $56,854 and 10.1%Berks County $54,492 and 11.3%2. Rates of Uninsured or Underinsured PersonsCarbon County 5,996 Individuals or 9.6% of the County PopulationLehigh County 31,905 Individuals or 9.5% of County PopulationNorthampton County 20,079 Individuals or 6.9% of the County PopulationMonroe County 17,690 Individuals or 10.7% of the County PopulationBerks County 31,198 Individuals or 8.0% of the County Population3. Percent of Families Who are on Medicaid or Other Assistance Carbon County July 2009 Percentage Enrolled in Medicaid - 14.5%Lehigh County July 2009 Percentage Enrolled in Medicaid - 6.6%Northampton County July 2009 Percentage Enrolled in Medicaid - 12.0%Monroe County July 2009 Percentage Enrolled in Medicaid - 15.6%Berks County July 2009 Percentage Enrolled in Medicaid - 16.6%4. Population Age Breakdown (Pennsylvania Population > Age 65 is 15.4%)Carbon County Population > Age 65 - 17.3%Lehigh County Population > Age 65 - 15.3%Northampton County Population > Age 65 - 15.1%Monroe County Population > Age 65 - 12.5%Berks County Population > Age 65 - 14.4%5. Percentages of Non-English-Speaking PopulationsCarbon County 511 Individuals or 0.9% Not Proficient in EnglishLehigh County 22,436 Individuals or 7.1% Not Proficient in EnglishNorthampton County 10,574 Individuals or 3.8% Not Proficient in EnglishMonroe County 6,140 Individuals or 4.0% Not Proficient in EnglishBerks County 21,637 Individuals or 5.8% 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 Population with a Disability (5+) - 19.52% vs.16.75% in PALehigh County Hispanic or Latino Population - 16.9% vs. 5.1% in PANorthampton County Hispanic or Latino Population - 9.9% vs. 5.1% in PAMonroe County Hispanic or Latino Population - 12.7% vs. 5.1% in PABerks County Hispanic or Latino Population - 14.9% vs. 5.1% in PACommunityInformation
Community Building ActivitiesPart VI, Line 5: While minimal community building activities are provided directly within the Hospital corporation, GSRN, the Hospital's parent company, provided $35,238 of such activities during the 2010 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 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.CommunityBuildingActivities
Other InformationPart 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.OtherInformation
Affiliated Health Care SystemPart 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 $79,614 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 $658,214 for the fiscal year ended June 30, 2010, 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 are operated at a loss, which totaled $211,688 for the fiscal year ended June 30, 2010, 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.AffiliatedHealthCareSystem

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
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 Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 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
James J Daley MD
1630740000095780235160196168000
SARA T GAMMON
05280360000031014046236060528600
Daniel C Confalone
02920270000017152034296034347500
PHILLIP R BRYANT
03576960000021009044610042331500
Anthony R Bongiovanni
02452950000014407043759030346100
SAMUEL A MIRANDA JR
02019240000011860046415026019900
Chirag J Kalola
178206033200000124170201830244006000
Brian L Fellechner
19645400000115390227160230709000
Daniel Q YEAGER
18701400000109840191560217154000
Nandini B Ivengar
1656600000097300236480199038000
Frank Sparandero
1618630000095070194420190812000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 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 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 (9 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part V, Line 1:ACCOUNTS PAYABLE PAYMENTS ARE CONSOLIDATED UNDER A COMMON PAYMASTER 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 PAYMASTER CANNOT BE SEPARATELY IDENTIFIED AND DETERMINED.
Form 990, Part VI, Section A, line 7aThe 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 7bSee explanation for Form 990, Part VI, Section A, line 7a.
Form 990, Part VI, Section B, line 11The 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 12cTHERE IS A SYSTEMATIC PROCESS COORDINATED THROUGH THE GOVERNANCE COMMITTEE WHERE THE CONFLICT OF INTEREST STATEMENT FOR EVERYONE IS 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 the independent compensation consultant were most recently used during fiscal year 2010. 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.
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 StatusPublicCharityStatusDirect 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 3N/A
GOOD SHEPHERD HOUSING DEVELOPMENT CORPORATION
GOOD SHEPHERD PLAZA 850 SOUTH 5TH SALLENTOWNPA18103233073390PROVIDES INDEPENDENT LIVING APARTMENTS FOR DISABLED, LOW-INCOME ADULTSPA501(c)(3)Line 7N/A
GOOD SHEPHERD REHABILITATION NETWORK
GOOD SHEPHERD PLAZA 850 SOUTH 5TH SALLENTOWNPA18103232216041PROVIDES MANAGEMENT SERVICES IN SUPPORT OF ITS TAX-EXEMPT AFFILIATESPA501(c)(3)Line 7N/A
GOOD SHEPHERD WORKSHOPVOCATIONAL SERVICES INC
1901 LEHIGH STREETALLENTOWNPA18103232215801PROVIDES EMPLOYMENT DEVELOPMENT PROGRAMS AND VOCATIONAL EVALUATIONSPA501(c)(3)Line 11a, IN/A
PHILADELPHIA POST-ACUTE PARTNERS LLC
1800 LOMBARD STREETPHILADELPHIAPA19146208283421OPERATES AN INPATIENT REHAB HOSP, ACUTE CARE HOSP & 8 OUTPATIENT FACILITIESPA501(c)(3)Line 3N/A
THE ALLENTOWN SPECIALTY HOSPITAL INC
GOOD SHEPHERD PLAZA 850 SOUTH 5TH SALLENTOWNPA18103233009874PROVIDES INPATIENT SERVICES THROUGH OPERATION OF A LONG-TERM ACUTE CARE HOSPPA501(c)(3)Line 3N/A

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