2011-05-12T08:56:15-04:00 2010-06-30 ERNST & YOUNG US LLP 75 BEATTIE PLACE SUITE 800 GREENVILLE SC 29601 990 2009-07-01 230794160 Good Samaritan Hospital The GOOD 7172707500 PO Box 1281 4th Walnut Sts Lebanon PA 170421281 ROBERT J RICHARDS 2011-05-11 8642425740 2009 2016-02-24 21:20:13Z ROBERT J LONGO 4TH WALNUT STREET LEBANON PA 17042 173426088 false X www.gshleb.org X 1989 PA TO BE THE CHOICE FOR HIGH-QUALITY, INNOVATIVE SERVICES THAT IMPROVE THE OVERALL HEALTH OF OUR COMMUNITY. 19 16 1692 444 4281050 121799 1438596 792179 150946709 161243680 366284 1036715 4259843 5129384 157011432 168201958 45995 32800 0 0 72200667 73656041 0 0 0 88862205 94601455 161108867 168290296 -4097435 -88338 152881665 144533049 127888786 132516543 24992879 12016506 TO BE THE CHOICE FOR HIGH-QUALITY, INNOVATIVE SERVICES THAT IMPROVE THE OVERALL HEALTH OF OUR COMMUNITY. false false 135341138 32800 149997964 Inpatient/Outpatient Services - SEE SCHEDULE O 1840413 2041733 Rehabilitation Unit- THE GSH OPERATES A 14 BED REHABILITATION UNIT PROVIDING A FULL RANGE OF BASIC SERVICES REQUIRED BY AN ACUTE CARE REHAB PROGRAM INCLUDING PHYSICAL THERAPY, SPEECH THERAPY, OCCUPATIONAL THERAPY, SOCIAL SERVICES AND AUDIOLOGY. FY 6/30/10 STATISTICS: 313 REHAB ADMISSIONS AND 3,279 REHAB PATIENT DAYS. 2265124 2462251 Skilled Nursing Facility- THE GSH OPERATES A 19 BED TRANSITIONAL CARE UNIT PROVIDING A FULL RANGE OF BASIC SERVICES REQUIRED BY A HOSPITAL BASED SKILLED NURSING FACILITY, INCLUDING PHYSICAL THERAPY, SPEECH THERAPY, OCCUPATIONAL THERAPY, SOCIAL SERVICES AND AUDIOLOGY. FY 6/30/10 STATISTICS: 400 TCU ADMISSIONS AND 4,585 TCU PATIENT DAYS. 2123553 2460682 141570228 true true false true false false false false true true true true false false false false false false false false true false true true true false false false false false false false false false true false false false false false true false true false true 499 0 false 1692 true true true false false false false false false false false 19 16 false false false false false false false true true false false true true true true true true false false false X ROBERT J RICHARDS 7172707500 241 SOUTH FOURTH STREET LEBANON PA 17042 CAROL BLECKER 1.0 X 0 0 0 EARL H BRINSER 1.0 X 0 0 0 SLOAN CAPLAN 1.0 X 0 0 0 EVELYN C COLON 1.0 X 0 0 0 PAUL R DIGIACOMO 1.0 X 0 0 0 DONALD H DREIBELBIS 1.0 X X 0 0 0 ROBERT J FUNK 1.0 X 0 0 0 ROBERT P HOFFMAN 1.0 X 0 0 0 JANE W JUPPENLATZ 1.0 X X 0 0 0 FEDERICK C LAURENZO 1.0 X 0 0 0 ROBERT J PHILLIPS 1.0 X 0 0 0 WILLIAM E SCHAEFFER JR MD 1.0 X 0 0 0 DENNIS L SHALTERS 1.0 X X 0 0 0 GALEN G WEABER 1.0 X 0 0 0 JOHN P WELCH MD 1.0 X X 0 0 0 DEBORAH T WEAVER 1.0 X 0 0 0 FREDERICK S WOLFSON ESQ 1.0 X X 0 0 0 JULIE ZINSSER 1.0 X 0 0 0 ROBERT J LONGO 40.0 X X 780674 0 1813 ROBERT J RICHARDS 40.0 X 232262 0 0 WILLIAM HENDRICK 40.0 X 243021 0 0 KIMBERLY FREEMAN 40.0 X 168508 0 0 JACQUELYN M GOULD 40.0 X 152779 0 0 ROBERT D SHAVER MD 40.0 X 265568 0 0 ELLEN JOHNSON 40.0 X 182327 0 0 DARIA KOVARIKOVA 40.0 X 174913 0 0 BYARD YODER 40.0 X 161878 0 0 JAMES MCGEARY 40.0 X 150899 0 0 ROBERTA SCHERR 40.0 X 160030 0 0 2672859 0 1813 33 false true false LEBANON ANESTHESIA ASSOCIATES LT PO BOX 1281 LEBANON PA 17042 ANESTHESIOLOGISTS 2688204 MILTON HERSHEY MEDICAL CENTER PO BOX 853 HERSHEY PA 170330853 RESIDENTS 1512969 McKesson Information Solutions PO Box 98347 CHICAGO IL 606938347 IT SUPPORT 3782938 PRICE WATERHOUSE COOPER PO BOX 7247-8001 PHILADELPHIA PA 191708001 REVENUE CYCLE CONSLT 845655 HCSC LAUNDRY PO BOX 25092 LEHIGH VALLEY PA 180025092 LAUNDRY SERVICE 644177 19 302125 490054 792179 IP/OP PATIENTS 900099 149997964 149997964 REHAB PATIENTS 900099 2041733 2041733 HH/VNA SERVICES 621610 2460682 2460682 TCU PATIENTS 900099 2462251 2462251 DROP LAB REVENUE 621500 4281050 4281050 161243680 901844 901844 37055 37055 0 105033 153971 -48938 -48938 -48938 5164002 3973 5070159 0 93843 3973 97816 97816 0 0 0 PENSION INCOME 524292 876658 876658 MALPRACTICE INSURANCE 524298 758823 758823 OTHER OPERATING REV 900099 712569 712569 2830272 2228828 601444 5178322 168201958 160662850 4281050 2465879 0 32800 32800 0 0 1896846 1896846 0 50747249 43135161 7612088 6455575 5487239 968336 10754899 9141664 1613235 3801472 3231251 570221 0 125168 106393 18775 145951 124058 21893 14734 12524 2210 0 906362 770408 135954 3358301 2854556 503745 989536 841106 148430 1726386 1467428 258958 4684077 3981465 702612 0 5829827 5086228 743599 78873 67042 11831 0 121589 103351 18238 4150745 3528133 622612 1553847 1320770 233077 9780532 8313452 1467080 1787183 1519106 268077 HEALTHCARE PROFESSIONALS PMTS 1154876 981645 173231 PURCHASED SERVICES 9731369 8271664 1459705 SERVICE CONTRACTS 1847205 1570124 277081 MEDICAL SUPPLIES 29443345 25026843 4416502 PROVISION FOR BAD DEBT 15415372 13103066 2312306 1756177 1492751 263426 168290296 141570228 26720068 0 5270 5270 1964049 3265392 1816085 1500827 17289764 16364675 930000 1431250 1622087 1704883 2398363 1983398 177382321 99303552 84351205 78078769 23448915 25395014 2398069 2269669 16657858 12533902 152881665 144533049 15392367 19867022 381746 396562 67782846 66550456 1857659 875941 4008857 2527469 38465311 42299093 127888786 132516543 X 21756453 9010688 2564249 2333641 672177 672177 24992879 12016506 152881665 144533049 X false true false X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 14734 false false 14734 false LOBBYING ACTIVITIES SCHEDULE C, PART II-B, LINE G THE HOSPITAL HOLDS MEMBERSHIP IN THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA BOTH OF WHICH ENGAGE IN LOBBYING AS A PART OF THEIR MISSION TO REPRESENT THE INTERESTS OF HOSPITALS AT BOTH THE FEDERAL AND STATE LEVELS. FOR THE YEAR ENDED 6-30-10 THE AMOUNT OF DUES PAID TO THE HHAP TOTALED $64,059 WHICH 23% ($14,734) WAS USED FOR LOBBYING PURPOSES. ON OCCASION, HHAP REQUESTS THE HELP OF MEMBER PROVIDERS TO COMMUNICATE CONCERNS TO LEGISLATORS REGARDING PENDING LEGISLATION, WHICH COULD IMPACT HOSPITALS. THIS CAN INVOLVE DIRECT CONTACT WITH LEGISLATORS OR LETTER WRITING. THIS OCCURS INFREQUENTLY AND THE COST TO THE HOSPITAL IS NEGLIGIBLE. 3236426 458155 36900 725663 3005818 3712782 -26711 -22884 426761 3236426 0.23000 0.77000 false false 1468847 1468847 88697907 34056191 54641716 3695638 2606869 1088769 80887150 6129162 19757988 2632779 1511330 1121449 78078769 INTEREST RECEIVABLE 24281 ACCRUED INT BOARD DESIG FUNDS 2000 DEBT SERVICE NON-CURRENT 5558472 DEBT SERVICE CURRENT 1295000 INTERCOMPANY RECEIVABLES 1068478 DUE FROM FOUNDATION 19536 DUE FROM EMPL, STAFF, PHYS 46731 OTHER RECEIVABLES 3542 DUE FROM LEBANON COUNTY 84208 INVESTMENT- OTHER ASSETS 4431654 12533902 0 EMPLOYEE W/H PAYABLE 373893 LONG TERM LVC PLEDGE PAYABLE 2 3RD PARTY PAYABLES 528479 LONG TERM POST RETIRE BENEFITS 3433034 INSURANCE RESERVES 1766606 PENSION LIABILITY 36197081 ROUNDING -2 42299093 168201958 168290296 -88338 1421791 -14309827 -12888036 -12976374 169282665 1421791 -341084 1080707 168201958 168201958 168444267 153971 153971 168290296 168290296 ENDOWMENT FUNDS SCHEDULE D, PART V, LINE 4 THE GOOD SAMARITAN HOSPITAL MAINTAINS TEMPORARILY RESTRICTED AND PERMANENTLY RESTRICTED ASSETS TO PURCHASE SPECIFIC PIECES OF EQUIPMENT AND PROVIDE QUALIFIED APPLICANTS A SCHOLARSHIP. RECONCILIATION SCHEDULE D, PART XI, XII, XIII PART XI, LINE 8 THE GOOD SAMARITAN HOSPITAL NEEDED TO RESERVE MONEY IN ORDER TO PROVIDE THE RETIRED EMPLOYEES AND FUTURE RETIRED EMPLOYEES WITH SUFFICIENT PENSION PAYMENTS. THE GOOD SAMARITAN HOSPITAL WAS ABLE TO RELEASE FUNDS THAT WERE RESTRICTED FOR A SPECIFIC PURPOSE. THE GOOD SAMARITAN HOSPITAL WROTE OFF A LARGE RECEIVABLE THAT WAS DUE FROM THE AFFILIATED CORPORATION GOOD SAMARITAN PHYSICIAN SERVICES. ADDITIONAL PENSION FUNDING $ -2,662,924 NET ASSETS RELEASED FOR PP&E 725,664 NET ASSETS RELEASED TEMP RESTRICTED -725,664 WRITEOFF GSPS RECEIVABLE -11,646,904 ROUNDING 1 ------------- $ -14,309,827 PART XII, LINE 2D RENTAL INCOME $ 105,033 OTHER LOSSES -446,117 --------- $-341,084 PART XIII, LINE 2D RENTAL EXPENSES $ 153,971 PART X, LINE 2 THE GOOD SAMARITAN HOSPITAL DID NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT WERE MATERIAL TO ITS AUDITED FINANCIAL STATEMENTS. THEREFORE, THE HOSPITAL DID NOT HAVE A FIN 48 FOOTNOTE IN ITS FINANCIAL STATEMENTS. true true true X true X true true true false true true 498710 0 498710 0.00330 2568589 1039012 1529577 0.01000 11337965 6303728 5034237 0.03290 14405264 7342740 7062524 0.04620 74087 0 74087 0.00050 1776830 897521 879309 0.00580 1850917 897521 953396 0.00630 16256181 8240261 8015920 0.05250 37180 54928 -17748 0.00010 38610 0 38610 0.00030 75790 54928 20862 0.00020 true 4778765 2441358 39952791 87976185 -48023394 X true true THE GOOD SAMARITAN HOSPITAL

FOURTH AND WALNUT STREETS LEBANON PA 17042

X X X X THE GOOD SAMARITAN HOSPITAL

FOURTH AND WILLOW STREETS LEBANON PA 17042

REHAB AND TCU UNITS THE GOOD SAMARITAN HOSPITAL

830 TUCK STREET LEBANON PA 17042

OUTPATIENT SURGICAL CENTER THE GOOD SAMARITAN HOSPITAL

840 TUCK STREET LEBANON PA 17042

WOUND CARE & HYPERBARIC CENTER THE GOOD SAMARITAN HOSPITAL

206 HATHAWAY PARK LEBANON PA 17042

SLEEP DISORDERS CENTER THE GOOD SAMARITAN HOSPITAL

805 HELEN DRIVE LEBANON PA 17042

OUTPATIENT RADIOLOGY CENTER THE GOOD SAMARITAN HOSPITAL

750 NORMAN DRIVE LEBANON PA 17042

BLOOD DONOR CENTER & LABORATORY THE GOOD SAMARITAN HOSPITAL

297 WEST LINCOLN AVENUE MYERSTOWN PA 17067

OUTPATIENT DIAGNOSTIC CENTER THE GOOD SAMARITAN HOSPITAL

1400 SOUTH FORGE ROAD PALMYRA PA 17078

AMBULATORY SERVICES CENTER THE GOOD SAMARITAN HOSPITAL

100 QUEEN STREET JONESTOWN PA 17038

SATELLITE SERVICES CENTER THE GOOD SAMARITAN HOSPITAL

950 ISABEL DRIVE LEBANON PA 17042

OUTPATIENT PHYSICAL THERAPY THE GOOD SAMARITAN HOSPITAL

781 NORMAN DRIVE LEBANON PA 17042

CARDIOVASCULAR DIAGNOSTIC CENTER NOT APPLICABLE OUR ANNUAL COMMUNITY BENEFIT REPORT IS PREPARED BY OUR MARKETING DEPARTMENT. THE REPORT CAN BE FOUND AT OUR WEBSITE, WWW.GSHLEB.ORG. WE ALSO MAIL THE REPORT OUT TO THE MEMBERS OF OUR COMMUNITY. The Good Samaritan Hospital used the cost to charge ratio cost methodology to calculate the charity and unreimbursed Medicaid and other government programs. The hospital used direct costs for the other community benefits on line 7. NOT APPLICABLE OUT TOTAL EXPENSE FROM FORM 990, PART XI, LINE 25, COLUMN (A) WAS $168,290,296. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT WAS $15,415,372. THIS LEFT US WITH A TOTAL EXPENSE OF $152,874,924 FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F). THE HOSPITAL ESTABLISHES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS TO REPORT THE NET REALIZABLE AMOUNTS TO BE RECEIVED FROM PATIENTS. INCREASES TO THIS ALLOWANCE ARE REFLECTED AS A PROVISION FOR DOUBTFUL ACCOUNTS IN THE STATEMENTS OF OPERATIONS. THE HOSPITAL REGULARLY PERFORMS A DETAILED ANALYSIS OF THE COLLECTIBILITY OF PATIENT ACCOUNTS RECEIVABLE AND CONSIDERS SUCH FACTORS AS PRIOR COLLECTION EXPERIENCE AND THE AGE OF THE RECEIVABLES TO DETERMINE THE APPROPRIATE ALLOWANCE LEVEL. BAD DEBT METHODOLOGY- THE GOOD SAMARITAN HOSPTIAL IS A TAX-EXEMPT NON-F0R-PROFIT HOSPITAL THAT PROVIDES QUALITY MEDICAL SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. BY PROVIDING MEDICAL SERVICES TO ALL COMMUNITY MEMBERS REGARDLESS OF THEIR ABILITY TO PAY, THE HOSPITAL'S BAD DEBT EXPENSE QUALIFIES AS A COMMUNITY BENEFIT. THE BAD DEBT EXPENSE CALCULATED ON LINE 2 WAS CALCULATED USING THE PATIENT CARE COST TO CHARGES METHODOLOGY. THE GOOD SAMARITAN HOSPITAL USES AN AUTOMATED SYSTEM CALLED PRESUMPTIVE TO CHARITY CARE TOOL TO CALCULATE THE AMOUNT ON LINE 3. ALL THE SELF PAY ACCOUNTS AND ALL THE SELF PAY AFTER INSURANCE ACCOUNTS ARE IMPORTED INTO THE TOOL, THEN THE TOOL SCORES EACH ACCOUNT BASED ON THE GOVERNMENT GUIDELINES FOR POVERTY LEVELS. FOR LAST YEAR, THE TOOL ESTIMATED THAT $2,441,358 OF THE ORGANIZATION'S BAD DEBT EXPENSE SHOULD BE CONSIDERED CHARITY CARE. MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST TO CHARGE RATIO. THE GOOD SAMARITAN HOSPITAL PROVIDES QUALITY MEDICAL SERVICES TO ALL PATIENTS REGARDLESS OF WHAT INSURANCE THEY HAVE. APPROXIMATELY 58% OF THE GOOD SAMARITAN HOSPITAL'S REVENUE IS ATTRIBUTABLE TO MEDICARE PATIENTS. THE GOOD SAMARITAN HOSPITAL IS RELIEVING THE GOVERNMENT'S BURDEN, BECAUSE THE HOSPITAL IS PROVIDING SERVICES TO MEDICARE PATIENTS WHICH COST MORE THAN THE MEDICARE REIMBURSEMENT. THEREFORE, THE $48,023,394 MEDICARE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFITY. Collection policies are the same for all patients. If a patient notifies the hospital about their inability to pay, the hospital will send them the charity care and financial assistance forms to fill out. Once the forms are complete and returned to the hospital and the patient qualifies for financial assistance, then the patient's account will be removed from collections and the account will be written off. THE GOOD SAMARITAN HOSPITAL DOES NOT HAVE ANY UNLICENSED OR UNRECOGNIZED FACILITIES. PART VI, LINE 2 THE GOOD SAMARITAN HOSPITAL HAS PARTICIPATED IN A VARIETY OF COMMUNITY HEALTH NEEDS ASSESSMENTS OVER THE PAST 15 YEARS. THE HOSPITAL WAS INSTRUMENTAL IN HELPING TO LAUNCH THE COMMUNITY HEALTH COUNCIL OF LEBANON COUNTY. IN PARTNERSHIP WITH THE COUNCIL, A COMMUNITY HEALTH NEEDS ASSESSMENT WAS CREATED 15 YEARS AGO AND AN UPDATED ASSESSMENT COMPLETED 10 YEARS AGO. ANOTHER ASSESSMENT WAS CREATED IN 2005, LEAD BY EFFORTS OF THE UNITED WAY OF LEBANON COUNTY. THE GOOD SAMARITAN HOSPITAL IS CURRENTLY PARTNERED WITH OTHER COMMUNITY ORGANIZATIONS TO COMPLETE A COMMUNITY HEALTH ASSESSMENT BY THE FALL OF 2011. THE HOSPITAL ALSO MAINTAINS AN INDEPENDENT, COUNTYWIDE PHYSICIAN NEEDS ASSESSMENT TO EVALUATE GAPS IN HEALTHCARE ACCESS. A NEW PHYSICIAN NEEDS ASSESSMENT WILL ALSO BE COMPLETED IN 2011. IN ADDITION TO THESE COUNTYWIDE EFFORTS, THE HOSPITAL HAS PERFORMED A VARIETY OF STUDIES ON SPECIFIC HEALTH CONCERNS AND COMMUNITY NEEDS. KEY STUDIES HAVE INCLUDED SERVICES FOR CARDIOVASCULAR, ONCOLOGY, GASTROENTEROLOGY, WOUND CARE, AND MORE. THE HOSPTIAL HAS ALSO ACTED TO FULFILL THE NEEDS INDENTIFIED IN THESE STUDIES. THE HOSPITAL CREATED ONE OF THE NATION'S LEADING CARDIAC AND VASCULAR CENTERS, WHICH HAS EARNED SEVERAL NATIONAL AWARDS FOR QUALITY OF CARE. THE HOSPTIAL INTRODUCED A NEW WOUND CARE SERVICE TO DEAL WITH PATIENTS SUFFERING FROM COMPLICATIONS OF DIABETES- A PARTICULAR PROBLEM TO LEBANON COUNTY- AND HAS ALREADY EXPANDED OPERATIONS TO ADD A THIRD HYPERBARIC OXYGEN TREATMENT CHAMBER TO THE TWO ORIGINALLY INSTALLED IN THE CENTER. IN ADDITION, THE HOSPTIAL HAS PROTECTED THE COMMUNITY BY RECRUITING NEW PHYSICIANS FOR KEY SERVICES- GENERAL SURGERY, ONCOLOGY, AND GASTROENTEROLOGY- ALLOWING PATIENTS TO GET ACCESS TO CARE IN LEBANON COUNTY INSTEAD OF TRAVELING THROUGHOUT THE REGION. PART VI, LINE 3 THE GOOD SAMARITAN HOSPITAL CHARITY CARE POLICY OUTLINES THE PROCESS OF FINANCIAL, MEDICAL AND CATASTROPHIC CATEGORIES WHERE A PATIENT COULD QUALIFY FOR CHARITY CARE. THE HOSPTIAL HAS A SELF PAY BROCHURE AVAILABLE THAT PROVIDES INFORMATION ON OUR CHARITY CARE PROGRAM ALONG WITH CONTACT INFORMATION AND AVAILABLE HOURS. FINANCIAL COUNSELORS ARE ON SITE TO MEET WITH PATIENTS TO DISCUSS THEIR FINANCIAL OBLIGATIONS, ASSIST THEM IN COMPLETING THE APPLICATION FOR CHARITY CARE, AND ANSWER THEIR QUESTIONS. PATIENTS ARE ENCOURAGED TO APPLY FOR CHARITY CARE IF THEY ARE UNABLE TO COME IN FOR AN APPOINTMENT. THERE IS A NOTE ON THE STATEMENTS THAT IS MAILED TO PATIENTS, LETTING THEM KNOW THAT FINANCIAL ASSISTANCE IS AVAILABLE. THE GOOD SAMARITAN HOSPITAL'S WEBSITE ALSO PROVIDES THE CONTACT INFORMATION FOR THOSE COMMUNITY MEMBERS WHO NEED MEDICAL SERVICES AND FINANCIAL ASSISTANCE. PART VI, LINE 4 LEBANON COUNTY INCLUDES A MIX OF URBAN, SUBURBAN, AND RURAL AREAS. THE CITY OF LEBANON IS CENTRALLY LOCATED, SERVING AS THE COUNTY SEAT. THE CITY IS HOME TO MORE THAN 24,000 RESIDENTS AND IS CLASSIFIED BY THE COMMONWEALTH OF PENNSYLVANIA AS A THIRD CLASS CITY. THE COUNTY INCLUDES 25 OTHER MUNICIPALITIES. THE REST OF THE COUNTY IS MADE UP OF SUBURBAN AND RURAL AREAS, WITH RURAL FARMLAND PROVIDING A DOMINANT CHARACTER OF COUNTY LIFE. WHILE MOST OF THE POPULATION TENDS TO BE OF WHITE ANCESTRY (91%), THE COUNTY HAS A FAST-GROWING HISPANIC POPULATION (7.8%) THAT CENTERS IN THE CITY OF LEBANON (SOURCE: US CENSUS BUREAU). THE US CENSUS BUREAU ALSO REPORTS THAT 8% OF THE POPULATION SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME. EMPLOYMENT RATES IN THE COUNTY ARE CURRENTLY AT 6.8%- ONE OF THE LOWEST RATES IN THE STATE- AND AVERAGE HOUSEHOLD INCOME IS AT $50,334 ACCORDING TO THE USDA ECONOMIC RESEARCH SERVICE. THE FEDERAL GOVERNMENT IS THE COUNTY'S LARGEST EMPLOYER, WITH LARGE WORK FORCES AT THE LEBANON VETERANS ADMINISTRATION HOSPITAL AND FOR INDIANTOWN GAP. THE GOOD SAMARITAN HOSPTIAL IS THE LARGEST NON-GOVERNMENTAL EMPLOYER WITH 1,500 EMPLOYEES. ACCORDING TO THE US CENSUS BUREAU AMERICAN COMMUNITY SURVEY, 8% OF THE POPULATION LIVES IN POVERTY. THE GOOD SAMARITAN HOSPITAL IS THE ONLY HOSPITAL IN LEBANON COUNTY. THE HOSPITAL PROVIDES EMERGENCY CAER TO 51,000 INDIVIDUALS EACH YEAR. THE HOSPITAL CARED FROM 8,421 ACUTE CARE PATIENTS. IN ADDITION, THE HOSPITAL HAS PERFORMED THOUSANDS OF OUTPATIENT PROCEDURES- FROM SURGERIES TO IMAGING TO LABORATORY TO PHYSICAL THERAPY- EVERY YEAR. THE HOSPTIAL ALSO PROVIDES A CONTINUITY OF CARE THROUGH A SKILLED NURSING UNIT, REHABILITATION SERVICES, HOME HEALTHCARE, AND HOSPICE CARE. THE HOSPITAL IS THE LARGEST PROVIDER OF CARE TO MEDICAID AND MEDICARE POPULATIONS. WHILE MOST LEBANON COUNTY RESIDENTS CHOOSE TO STAY IN THE COUNTY FOR THEIR CARE, WITH MORE THAN 60% CHOOSIGN THE GOOD SAMARITAN HOSPTIAL FOR SERVICES. ACCORDING TO THE ROBERT WOOD JOHNSON FOUNDATION COMMUNITY HEALTH RANKINGS, LEBANON COUNTY IS THE 13TH MOST HEALTHY OF PENNSYLVANIA'S 67 COUNTIES. THE HEALTH RANKINGS INDICATE KEY AREAS OF IMPROVEMENT, INCLUDING DIABETES, TOBACCO USE, AND OTHER HEALTH BEHAVIORS THAT ARE PROBLEMATIC. THE HOSPTIAL HAS TAKEN STEPS TO ADDRESS THESE AREAS BY EXPANDING SERVICES AND EDUCATIONAL OPPORTUNITIES. PART VI, LINE 5 THE GOOD SAMARITAN HEALTH SYSTEM IS INVOLVED IN SOME COMMUNITY BUILDING PROGRAMS WHICH ARE DESIGNED TO "IMPROVE THE OVERALL HEALTH OF OUR COMMUNITY" (MISSION STATEMENT). THE GOOD SAMARITAN HOSPITAL PARTICIPATES IN A DISASTER PREPAREDNESS PROGRAM WHICH PROVIDES A PLAN IN A CASE OF A DISASTER THAT EFFECTS THE COMMUNITY. THE GOOD SAMARITAN HOSPITAL ALSO PROVIDES SPACE FOR SUPPORT GROUPS TO MEET AND EDUCATION CLASSES FOR PEOPLE WITHIN THE COMMUNITY, LIKE EXPECTANT PARENTS. THE ACTIVITIES ARE NOT INCLUDED ELSEWHERE ON THE SCHEDULE H. PART VI, LINE 6 Good Samaritan strives to deliver powerful medicine with comforting care every day. As part of our non-profit mission, The Good Samaritan Hospital and its affiliated organizations deliver healthcare services that improve the quality of life throughout the region. As Lebanon County's only hospital, Good Samaritan is the community's primary - and sometimes only - resource for Inpatient hospital care Emergency care Surgical services Maternity services Cardiac services Radiology and medical imaging services Laboratory diagnostic services and blood bank Physical and occupational therapies Transitional care and rehabilitation services Home health and hospice services Wound care and hyperbaric medicine Dialysis Sleep disorders Physician services for needed specialties including cardiac, gastroenterology, general surgery, hematology, hospitalists, oncology, pediatrics, primary care (particularly for Medicaid population), thoracic, vascular, and wound care. Medical residency program to train new physicians and many more. Community Benefit Total $1,127,904 Good Samaritan and its employees donate many hours of time to improve the health of the community. In 2009, key projects included: Health Fairs: the countywide 50+ Festival and individual events hosted by various nursing and retirement facilities, employers and other community groups Education programs: offered at the hospital or presented to community groups on topics such as smoking cessation, cardiac health, cancer prevention, sleep disorders, diabetic health, and more Medical clinic: Good Samaritan donated time and hundreds of hours of employee time to support the creation of independent medical clinics for poor and low-income patients Health screenings: screenings for skin cancer, blood pressure, varicose veins and other health conditions were provided throughout the year Charitable and Uncompensated Care In reflection of our non-profit mission, Good Samaritan delivered $17.8 million dollars in charitable and uncompensated care to the community. Economic Impact In addition to our core healthcare mission, Good Samaritan is one of Lebanon County's largest employers - and positively impacts the economy by generating more than 1,000 jobs outside of the health system. The Good Samaritan Hospital had a Net Hospital Revenue of $150,831,067 in 2009. Service Statistics The Good Samaritan Hospital treated 9,722 patients in 2009. In addition, the health system offers a wide variety of diagnostic and non-acute health services that are needed by the community. Many of these services would not be available to the community if they were not offered by Good Samaritan. Behind the Statistics The Good Samaritan Emergency Department is one of the region's busiest and has one of the lowest wait times. It operates the only emergency room in the county. To help improve community care, The Good Samaritan Hospital has invested to upgrade to digital pre-hospital EKG software. This allows the emergency department to receive real-time, digital EKG readings before the patient arrives at the hospital. The joint venture with First Aid & Safety of Lebanon originated in 2006 with the deployment of EKG equipment in the field. A patient experiencing chest pain would receive an EKG on the scene and the results were faxed to the emergency department. Due to the joint venture with First Aid & Safety, The Good Samaritan Hospital Emergency Department now interacts with six EKG machines deployed to the units in the county. The data transmitted by the units is read by a physician who determines whether or not the patient will require cardiac catheterization. This allows the hospital to activate the catheterization lab response team prior to the patient's arrival. Because the data is transmitted digitally, Good Samaritan clinicians are able to receive the information much faster and significantly decrease our cardiac door-to-balloon time. This creates better outcomes for the patients because they are receiving crucial care much sooner. Supporting Our Community The employees of the Good Samaritan Health System have a spirit of generosity. Each year employees donate their time, goods and money to support worthy causes. United Way - Good Samaritan employees donate more than $30,000 annually to the United Way of Lebanon County. Reach Out and Read - A national program to give free books to children of low income families. Cribs for Kids - brand new cribs provided to low-income families Bridge of Love - personal care items provided to families in need Car Seats - new car seats are made available to low-income families American Heart Association - more than 100 employees participate in the annual Heart Walk, raising thousands of dollars each year Operation Good Sam - During the Thanksgiving Food Drive, food is collected and delivered to more than 100 families in need. Good Samaritan Christmas Toy Drive - employees donate toys that are delivered to more than 250 children each year to spread holiday cheer Community Health Council The Good Samaritan Hospital helped to create the independent Community Health Council of Lebanon County. From its humble inception, the Council has grown into a premier county organization. More than 400 volunteers collaborate on programs to increase healthy lifestyles and to eliminate alcohol and drug abuse in the county. The Council sponsors programs that address the special needs of youth, parents and seniors. A Home For Community Groups The Good Samaritan Hospital opens its doors to support a variety of community groups. The hospital provides rent-free classroom space for a variety of support groups such as: Alcoholics Anonymous Alanon Better Breather's Club Narcotics Anonymous Journey Through Grief Bereavement Support (adult focused Hospice support) Support and Help in Airing and Resolving Experiences (for grieving parents) Rainbow Connection (teen focused Hospice support) I Can Cope (cancer support) LeLeche League Sharing Our Knowledge At Good Samaritan Health System, caring for our community extends beyond providing medical services. Through our educational services department, we offer classes and support groups that address multiple health related topics, which in turn offer the members of our community an opportunity to improve their health, both physically and emotionally. The educational services department oversees community education classes such as babysitter training and a variety of Heartsaver CPR programs, which range from basic first aid to advanced cardiac life support. These classes provide individuals a chance to obtain skills which can benefit their lives both personally and professionally. Diabetes is prominent in the Lebanon County. To address this growing health concern, Good Samaritan offers Diabetic Education Classes. This program is a series of four classes which addresses topics such as: the importance of managing diabetes; meal planning; use of medication; glucose monitoring; and coping with diabetes. Community members dealing with substance addiction or those who are grieving can receive much needed support through community groups whose meetings are scheduled through the educational services department. These include: Al-Anon; Journey Through Grief; Narcotics Anonymous; and Smoke Stoppers. Most of these programs are offered on a weekly or bi-weekly basis and all are free of charge. In addition to offering classes to the general public, the educational services department also assists in the coordination of nursing student clinical rotations. Working in conjunction with Harrisburg Area Community College and the Lebanon County Career and Technology Center, Good Samaritan Health System assists with providing nursing students the opportunity to receive on-the-job training while being mentored and supervised by a nursing instructor. The availability of these programs would not be possible if it were not for the many dedicated and highly skilled members of the educational services department. These are individuals who seek programs which are relevant, timely and very much a necessity in the community. If you or someone you know may benefit from the programs mentioned or if you would like to find availability for any of our classes and support groups, please visit our website at www.gshleb.org. Below is a listing and brief description of programs and support groups currently offered at Good Samaritan: HEALTH EDUCATION Diabetic Education - assists individuals with diabetes in controlling and coping with their disease (4 classes per session) Smoke Stoppers - comprehensive education and support program for smoking cessation (8 classes per session) CPR & FIRST AID TRAINING Babysitting Course - training for girls and boys 12 years of age and over (3 classes per session) Heartsaver CPR - basic CPR skills for adult/child and management of choking Heartsaver First Aid and Pediatric First Aid - basic first aid training for adults and children Basic Life Support for Health Ca PART VI, LINE 7 THE GOOD SAMARITAN HOSPITAL IS A PART OF THE GOOD SAMARITAN HEALTH SYSTEM. THE SYSTEM INCLUDES A FOUNDATION, DIALYSIS CENTER, REAL ESTATE COMPANIES, MRI CENTER, FAMILY PRACTICES, SPECIALITY HEALTH SERVICES, A DME COMPANY, AND A URGENT CARE CENTER. IN ADDITION, THE COMMUNITY BENEFITS PROVIDED BY THE HOSPTIAL, THE HEALTH SYSTEM EVALUATES THE NEEDS THE COMMUNITY AND THE SYSTEM WILL PARTICIPATE IN COMMUNITY BENEFIT PROGRAMS, LIKE SUPPORTING THE VOLUNTEERS IN MEDICINE FREE CLINIC WHICH SERVES THE UNDERPRIVILEGED MEMBERS OF THE COMMUNITY. true DAVID BRODERIC SCHOLARSHIP 31 10000 OTHER MARGARET CONNELL SCHOLARSHIP 5 5000 OTHER GSH AUXILIARY SCHOLARSHIP 3 2800 OTHER CAPLAN NURSING SCHOLARSHIP 10 15000 OTHER PROCEDURES TO MONITOR USE OF GRANTS SCHEDULE I, PART I, LINE 2 THE DAVID BRODERIC EMPLOYEE SCHOLARSHIP PROGRAM AND THE MARGARET L. CONNELL SCHOLARSHIP FUND ARE FOR THE SONS AND DAUGHTERS OF EMPLOYEES. THE GSH AUXILIARY AND CAPLAN NURSING SCHOLARSHIPS ARE AWARDED TO LEBANON COUNTY RESIDENTS ENROLLED IN A NURSING PROGRAM. X false true false false false false false false false ROBERT J LONGO 407246 0 0 0 373428 0 0 0 1813 0 782487 0 79800 0 KIMBERLY FREEMAN 151912 0 0 0 16596 0 0 0 0 0 168508 0 0 0 JACQUELYN M GOULD 145179 0 0 0 7600 0 0 0 0 0 152779 0 0 0 ROBERT J RICHARDS 212272 0 0 0 19990 0 0 0 0 0 232262 0 0 0 WILLIAM HENDRICK 187361 0 0 0 55660 0 0 0 0 0 243021 0 0 0 ROBERT D SHAVER MD 265568 0 0 0 0 0 0 0 0 0 265568 0 0 0 ELLEN JOHNSON 165827 0 0 0 16500 0 0 0 0 0 182327 0 0 0 DARIA KOVARIKOVA 174913 0 0 0 0 0 0 0 0 0 174913 0 0 0 BYARD YODER 153811 0 0 0 8067 0 0 0 0 0 161878 0 0 0 JAMES MCGEARY 150899 0 0 0 0 0 0 0 0 0 150899 0 0 0 ROBERTA SCHERR 160030 0 0 0 0 0 0 0 0 0 160030 0 0 0 SUPPLEMENTAL COMPENSATION INFORMATION SCHEDULE J, PART I, LINE 4B ROBERT J. LONGO IS A PARTICIPANT IN A 457F RETIREMENT PLAN. HE RECEIVED A $352,185.99 PAYMENT FROM THE PLAN 5/14/2010. LEBANON COUNTY HEALTH FACILITIES AUTHORITY 232546819 522455BE3 2004-03-11 17255816 SEE SCHEDULE O false false 17255816 2004 true false true true false false false false false true JOHN P WELCH MD SEE SCHEDULE O 279404 PROPERTY RENTAL false FREDERICK WOLFSON SEE SCHEDULE O 144571 ATTORNEY FEES false Form 990, Part III STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Program Service Expense #1 The GSH is a 196 licensed bed, (Acute Care 177, Skilled Care 19) tax exempt , non-profit acute care hospital providing a full range of inpatient and outpatient services including Respiratory Therapy, Physical Therapy, Radiology, Inpatient and Outpatient surgery, Pediatrics, Intensive Care, Telemetry, Cardiac Care, Hemodialysis, Inhalation Therapy, Pulmonary Functions, endoscopy, 24 hour emergency care, occupational medicine, traction, pacemakers, EEG, EKG, Stress Monitoring, Mammography, Ultrasound, CT Scan, Cancer Care, Nuclear Medicine, Pharmacy, Obstetrics, Blood Bank, Peripheral vascular Lab, Cardiovascular Lab, Cardiovascular Surgery, and Laboratory which include chemistry, hematology, histology, cytology and microbiology. FY 6/30/10 statistics: 7,708 admissions, 32,847 inpatient days; 267,453 outpatient registrations. Program Service Expense #4 The GSH operates home health/visiting nurse association providing a full range of in-home health care including IV therapy, maternal/infant care, hospice, physical therapy, speech therapy, occupational therapy, nutritional therapy, social services and home health aides. FY 6/30/10 statistics: 22,546 in-home care visits were provided. PROCESS OF GOVERNING BODY TO REVIEW FORM 990 FORM 990, PART VI, LINE 11A An accountant prepares the 990 and 990-T for the Good Samaritan Hospital. The Hospital then pays an auditing firm to review the 990 tax return. The controller and the CFO review the final draft of the return before it is distributed to the board of directors and then filed with the IRS. CONFLICT OF INTEREST POLICY FORM 990, PART VI, LINE 12C THE GOOD SAMARITAN HOSPITAL HAS A COMPLIANCE OFFICER THAT IS RESPONSIBLE FOR MONITORING AND ENFORCING THE COMPLIANCE OF POLICIES. DISCLOSURE FORM 990, PART VI, LINE 19 THE GOOD SAMARITAN HOSPITAL HAS ALL OF ITS POLICIES AND FINANCIAL STATEMENTS AVAILABLE FOR THE GENERAL PUBLIC. THE PUBLIC NEEDS TO SCHEDULE AN APPOINTMENT WITH ADMINISTRATION TO COME IN AND VIEW THE INFORMATION UNDER HOSPITAL SUPERVISION. DESCRIPTION OF PURPOSE SCHEDULE K, PART I, COLUMN (F) Refund outstanding '94 bonds issued 1/13/94. DESCRIPTION OF RELATIONSHIP BETWEEN INTERESTED PERSON AND ORG SCHEDULE L, PART IV, COLUMN (B) John P. Welch, MD is a trustee of The Good Samaritan Hospital and is a partner of Welch Wagner Partnership. Frederick Wolfson is a trustee of The Good Samaritan Hospital and is a partner of Reilly, Wolfson, Sheffey, Schrum and Lundberg. GOOD SAMARITAN HOSPITAL SVCS FOUNDATION PO BOX 1281 LEBANON PA 17042 232356151 SUPPORT ORG PA 501(C)(3) 11,TYPE I GOOD SAMARITAN REAL ESTATE PO BOX 1281 LEBANON PA 17042 232447262 REAL ESTATE PA 501(C)(2) GSH DIALYSIS INC PO BOX 1218 LEBANON PA 17042 232500940 RENAL DIAL PA 501(c)(3) 3 GOOD SAMARITAN PHYSICIAN SERVICES PO BOX 1281 LEBANON PA 17042 231832359 MEDICAL CARE PA 501(C)(3) 9 LEBANON MRI ASSOC 4THWALNUT ST LEBANON PA 17042 363730905 MRI SERVICES PA GSH SERVICES INC 241 SOUTH 4TH STREET LEBANON PA 17042 232353047 MGT&ACCTG SVCS PA NA C CORP GSH HOME MED CARE INC 301 SCHNEIDER DRIVE LEBANON PA 17046 232028099 MEDICAL EQUIP PA NA C CORP GSH REALTY INC 241 SOUTH 4TH STREET LEBANON PA 17042 232446622 TITLE HOLDING CO PA NA C CORP GSH URGENT CARE INC 954 ISABEL DRIVE LEBANON PA 17042 251816053 URGENT MEDICINE PA NA C CORP false false false false true false false false true true true true false false true true false false