THE GOOD SAMARITAN HOSPITAL OF LEBANON PENNSYLVANIA: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- THE GOOD SAMARITAN HOSPITAL OF LEBANON PENNSYLVANIA (EIN 23-0794160)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-05-15
- IRS object ID
- 201511369349300801
- Schema version
- 2013v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-05-15T23:37:57-05:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRANT THORNTON LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2001 MARKET STREET SUITE 700 | AddressLine1 |
| City | PHILADELPHIA | City |
| State | PA | State |
| ZIP Code | 19103 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 230794160 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Good Samaritan Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % ROBERT J RICHARDS | InCareOfNm |
| Business Name Control | GOOD | BusinessNameControlTxt |
| Phone | 7172707500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 1281 4th Walnut Streets | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | Lebanon | City |
| State | PA | State |
| ZIP Code | 170421281 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ROBERT RICHARDS | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 7172707864 | PhoneNum |
| Signature | 2015-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Frank Giardini | PreparerPersonNm |
| PTIN | P00532355 | PTIN |
| Phone | 7172707864 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Robert J Longo | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4th walnut Streets | AddressLine1 |
| City | Lebanon | City |
| State | PA | State |
| ZIP Code | 170421281 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $178,263,952 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.gshleb.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1989 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE HIGH-QUALITY, COMPASSIONATE HEALTHCARE THAT IMPROVES THE OVERALL HEALTH OF OUR COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 1508 | TotalEmployeeCnt |
| Total Volunteers | 385 | TotalVolunteersCnt |
| Total Gross UBI | $4,131,559 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $394,600 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,433,131 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,957,723 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $173,975,259 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $165,702,225 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,821,436 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,767,172 | CYInvestmentIncomeAmt |
| PY Other Revenue | $6,872,248 | PYOtherRevenueAmt |
| CY Other Revenue | $6,816,127 | CYOtherRevenueAmt |
| PY Total Revenue | $186,102,074 | PYTotalRevenueAmt |
| CY Total Revenue | $178,243,247 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $9,573,550 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $7,058,000 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $77,743,685 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $76,866,688 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $108,582,766 | PYOtherExpensesAmt |
| CY Other Expenses | $100,632,852 | CYOtherExpensesAmt |
| PY Total Expenses | $195,900,001 | PYTotalExpensesAmt |
| CY Total Expenses | $184,557,540 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$9,797,927 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$6,314,293 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $141,426,575 | TotalAssetsBOYAmt |
| Total Assets EOY | $146,479,246 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $135,544,512 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $143,739,768 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $5,882,063 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,739,478 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE MISSION OF GOOD SAMARITAN HEALTH SYSTEM IS TO PROVIDE HIGH-QUALITY, COMPASSIONATE HEALTHCARE THAT IMPROVES THE OVERALL HEALTH OF OUR COMMUNITY. TO FULFILL THIS MISSION, GOOD SAMARITAN HAS FOCUSED ITS EFFORTS ON MAKING YOUR COMMUNITY HOSPITAL ONE OF THE TOP PERFORMING HOSPITALS IN THE NATION WITH ADVANCED, HIGH-QUALITY CARE THAT ALSO CARES ABOUT THE RESIDENTS OF LEBANON COUNTY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $163,255,003 | ExpenseAmt |
| Grant | $7,058,000 | GrantAmt |
| Desc | Inpatient/Outpatient Services 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. | Desc |
| Total Program Service Expenses | $163,255,003 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (true) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | Yes (true) | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 101 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1508 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ROBERT J RICHARDS | PersonNm |
| Phone | 7172707500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 241 SOUTH FOURTH STREET | AddressLine1 |
| City | Lebanon | City |
| State | PA | State |
| ZIP Code | 170421281 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| John P Welch MD | |||||||||
| Chairman/ Trustee | 1.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Dennis L Shalters | |||||||||
| Past Chairman/ Trustee | 1.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Donald H Dreibelbis | |||||||||
| First Vice Chairman/ Trustee | 1.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Robert J Funk | |||||||||
| Second Vice Chairman/ Trustee | 1.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Jane W Juppenlatz | |||||||||
| Secretary/ Trustee | 1.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Frederick S Wolfson | |||||||||
| Treasurer/ Trustee | 1.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Carol Blecker | |||||||||
| Trustee | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| Evelyn C Colon | |||||||||
| Trustee | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| Paul R DiGiacomo MD | |||||||||
| Trustee | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| Robert P Hoffman | |||||||||
| Trustee | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| Frederick C Laurenzo | |||||||||
| Trustee | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| Robert J Phillips | |||||||||
| Trustee | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| William E Schaeffer Jr MD | |||||||||
| Trustee | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| Galen G Weaber | |||||||||
| Trustee | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| Deborah T Weaver | |||||||||
| Trustee | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| Gregory S Wickey MD | |||||||||
| Trustee | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| Julie Zinsser | |||||||||
| Trustee | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| Robert J Longo | |||||||||
| President & CEO | 49.0 | 1.0 | Yes (X) | Yes (X) | $422,046 | $0 | $27,010 | ||
| Kimberly Feeman | |||||||||
| Senior VP & COO | 35.0 | 15.0 | Yes (X) | $314,945 | $0 | $19,382 | |||
| Robert J Richards | |||||||||
| VP Finance & CFO | 35.0 | 15.0 | Yes (X) | $313,729 | $0 | $28,809 | |||
| Jacquelyn M Gould | |||||||||
| VP of Nursing | 35.0 | 15.0 | $223,953 | $0 | $13,831 | Yes (X) | |||
| Robert Shaver | |||||||||
| VP Medical Affairs | 50.0 | $347,698 | $0 | $3,308 | Yes (X) | ||||
| William Mulligan | |||||||||
| VP Strategic Planning & MKTG | 50.0 | $135,340 | $0 | $19,116 | Yes (X) | ||||
| Marc Bonin | |||||||||
| medical director- ed | 50.0 | $449,366 | $0 | $28,080 | Yes (X) | ||||
| Daria Kovarikova | |||||||||
| Residency Physician | 50.0 | $217,376 | $0 | $3,146 | Yes (X) | ||||
| Elizabeth Muhiire-Ntaki | |||||||||
| Residency Physician | 50.0 | $214,231 | $0 | $988 | Yes (X) | ||||
| aaron lane | |||||||||
| Residency Physician | 50.0 | $207,259 | $0 | $1,620 | Yes (X) | ||||
| byard yoder | |||||||||
| residency physician | 50.0 | $203,765 | $0 | $14,754 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,049,708 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $160,044 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 38 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MCKESSON TECHNOLOGIES | |||||
| PO Box 98347 | CHICAGO | IL | 606938347 | IT Support | $4,286,041 |
| LEBANON ANESTHESIA ASSOC LTD | |||||
| PO Box 1281 | LEBANON | PA | 17042 | Anesthesiologists | $3,579,688 |
| LEBANON CARDIOLOGY ASSOCIATES | |||||
| 775 Norman Drive | LEBANON | PA | 17042 | Cardiologists | $2,130,021 |
| REHAB CARE GROUP INC | |||||
| PO Box 502096 | ST LOUIS | MO | 631502096 | Rehab Mgmt Services | $1,610,795 |
| Sodexo Operations LLC | |||||
| PO Box 360170 | PITTSBURGH | PA | 152516170 | Dietary mgmt Service | $1,442,867 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 110 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $92,900 | FundraisingAmt |
| Related Organizations | $35,000 | RelatedOrganizationsAmt |
| Government Grants | $70,321 | GovernmentGrantsAmt |
| All Other Contributions | $3,759,502 | AllOtherContributionsAmt |
| Total Contributions | $3,957,723 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT SERVICE REVENUE/LABORATORY | 900099 | $165,546,721 | $161,415,162 | $4,131,559 |
| HEALTH PROGRAMS | 900099 | $125,335 | $125,335 | |
| PHARMACY SALES | 900099 | $30,169 | $30,169 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $165,702,225 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,730,522 | TotalRevenueColumnAmt |
| Exclusion | $1,730,522 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $40,917 | TotalRevenueColumnAmt |
| Exclusion | $40,917 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $507,313 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $507,313 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $507,313 | TotalRevenueColumnAmt |
| Exclusion | $507,313 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$4,267 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$4,267 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$4,267 | TotalRevenueColumnAmt |
| Exclusion | -$4,267 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rpt Fundraising Event | $92,900 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $20,705 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$20,705 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| MALPRACTICE INSURANCE | 524298 | $1,612,045 | $1,612,045 |
| SNACK BAR/CAFE | 722511 | $559,395 | $559,395 |
| MANAGEMENT SERVICES | 900099 | $551,520 | $551,520 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,606,559 | TotalRevenueColumnAmt |
| Exclusion | $3,606,559 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $6,329,519 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $178,243,247 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $161,570,666 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $4,131,559 | UnrelatedBusinessRevenueAmt |
| Exclusion | $8,604,004 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,035,000 | TotalAmt |
| Program Services | $7,035,000 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,000 | TotalAmt |
| Program Services | $23,000 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,869,167 | TotalAmt |
| Program Services | $588,790 | ProgramServicesAmt |
| Management And General | $1,280,377 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,672,156 | TotalAmt |
| Program Services | $48,321,334 | ProgramServicesAmt |
| Management And General | $7,350,822 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,912,251 | TotalAmt |
| Program Services | $5,875,413 | ProgramServicesAmt |
| Management And General | $1,036,838 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,307,621 | TotalAmt |
| Program Services | $7,061,478 | ProgramServicesAmt |
| Management And General | $1,246,143 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,105,493 | TotalAmt |
| Program Services | $3,489,669 | ProgramServicesAmt |
| Management And General | $615,824 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $540,269 | TotalAmt |
| Management And General | $540,269 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,160 | TotalAmt |
| Management And General | $1,160 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,569 | TotalAmt |
| Management And General | $13,569 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $640,971 | TotalAmt |
| Management And General | $640,971 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,028,673 | TotalAmt |
| Program Services | $6,824,372 | ProgramServicesAmt |
| Management And General | $1,204,301 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,060,731 | TotalAmt |
| Program Services | $901,621 | ProgramServicesAmt |
| Management And General | $159,110 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,296,128 | TotalAmt |
| Program Services | $1,101,709 | ProgramServicesAmt |
| Management And General | $194,419 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,431,023 | TotalAmt |
| Program Services | $2,066,370 | ProgramServicesAmt |
| Management And General | $364,653 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,876 | TotalAmt |
| Program Services | $47,495 | ProgramServicesAmt |
| Management And General | $8,381 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,936,320 | TotalAmt |
| Program Services | $3,345,872 | ProgramServicesAmt |
| Management And General | $590,448 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,691,709 | TotalAmt |
| Program Services | $9,937,953 | ProgramServicesAmt |
| Management And General | $1,753,756 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,246,721 | TotalAmt |
| Program Services | $1,909,713 | ProgramServicesAmt |
| Management And General | $337,008 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $30,869,508 | $30,869,508 | |
| BAD DEBT | $11,390,274 | $11,390,274 | |
| PURCHASED SERVICES | $23,637,112 | $20,091,545 | $3,545,567 |
| UNRELATED BUSINESS INC TAXES | $345,000 | $345,000 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,447,808 | TotalAmt |
| Program Services | $2,373,887 | ProgramServicesAmt |
| Management And General | $73,921 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $184,557,540 | TotalAmt |
| Program Services | $163,255,003 | ProgramServicesAmt |
| Management And General | $21,302,537 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,601 | BOYAmt |
| EOY | $5,870 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,025,060 | BOYAmt |
| EOY | $4,425,803 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,378,611 | BOYAmt |
| EOY | $4,971,913 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,078,552 | BOYAmt |
| EOY | $19,527,175 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $770,817 | BOYAmt |
| EOY | $630,974 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,458,540 | BOYAmt |
| EOY | $1,378,552 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,448,490 | BOYAmt |
| EOY | $3,178,058 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $190,785,667 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $132,933,671 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,689,949 | BOYAmt |
| EOY | $57,851,996 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,777,746 | BOYAmt |
| EOY | $44,266,754 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,269,669 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,523,540 | BOYAmt |
| EOY | $10,242,151 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $141,426,575 | BOYAmt |
| EOY | $146,479,246 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,216,970 | BOYAmt |
| EOY | $22,457,026 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,583,286 | BOYAmt |
| EOY | $61,155,896 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,042,313 | BOYAmt |
| EOY | $5,138,118 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,701,943 | BOYAmt |
| EOY | $54,988,728 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $135,544,512 | BOYAmt |
| EOY | $143,739,768 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,808,407 | BOYAmt |
| EOY | -$4,674,000 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,385,178 | BOYAmt |
| EOY | $6,725,000 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $688,478 | BOYAmt |
| EOY | $688,478 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,882,063 | BOYAmt |
| EOY | $2,739,478 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $141,426,575 | BOYAmt |
| EOY | $146,479,246 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$6,314,293 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $3,126,253 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $45,455 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $13,569 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $13,569 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Lobbying Activities | FormAndLineReferenceDesc |
| Explanation | Schedule C, Part II-B, Line 1G The Hospital holds membership in the American Hospital Association (AHA) and the Hospital & Health system Association of Pennsylvania (HHAP) both of which engage in lobbying as a part of their mission to represent the interests of the hospitals at both the federal and state levels. For the year end 6/30/14 the amount of dues paid to the HHAP for General membership dues totaled $37,871 of which 17.77 percent was used for lobbying purposes and HHAP AHA dues totaled $29,999 of which 22.80 percent was used for lobbying purposes. The total used for lobbying purposes is $13,569. 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. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,073,656 | BeginningYearBalanceAmt |
| Contributions | $3,551,208 | ContributionsAmt |
| Investment Earnings Or Losses | $40,947 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $253,584 | OtherExpendituresAmt |
| End Year Balance | $7,412,227 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,719,409 | BeginningYearBalanceAmt |
| Contributions | $2,252,267 | ContributionsAmt |
| Investment Earnings Or Losses | $54,351 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $952,371 | OtherExpendituresAmt |
| End Year Balance | $4,073,656 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,945,233 | BeginningYearBalanceAmt |
| Contributions | $424,618 | ContributionsAmt |
| Investment Earnings Or Losses | $53,135 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $703,577 | OtherExpendituresAmt |
| End Year Balance | $2,719,409 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,005,818 | BeginningYearBalanceAmt |
| Contributions | $834,833 | ContributionsAmt |
| Investment Earnings Or Losses | $26,652 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $922,070 | OtherExpendituresAmt |
| End Year Balance | $2,945,233 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,236,426 | BeginningYearBalanceAmt |
| Contributions | $458,155 | ContributionsAmt |
| Investment Earnings Or Losses | $36,900 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $725,663 | OtherExpendituresAmt |
| End Year Balance | $3,005,818 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.24720 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.75280 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,468,847 | OtherCostOrOtherBasisAmt |
| Book Value | $1,468,847 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $90,150,052 | OtherCostOrOtherBasisAmt |
| Depreciation | $45,680,401 | DepreciationAmt |
| Book Value | $44,469,651 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,525,278 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,030,634 | DepreciationAmt |
| Book Value | $494,644 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $92,241,140 | OtherCostOrOtherBasisAmt |
| Depreciation | $82,222,636 | DepreciationAmt |
| Book Value | $10,018,504 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,400,350 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $1,400,350 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $57,851,996 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (7 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DEBT SERVICES FUND NON-CURRENT | $5,776,564 |
| MALPRACTICE INS RECEIVABLE | $2,354,298 |
| DEFERRED BOND INSURANCE COST | $525,116 |
| INTERCOMPANY RECEIVABLES | $190,211 |
| OTHER RECEIVABLES | $1,300,236 |
| DUE FROM FOUNDATION | $32,158 |
| DUE FROM EMP/STAFF/PHY | $63,568 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $10,242,151 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (10 entries)
| DescDesc | AmtAmt |
|---|---|
| PENSION LIABILITY | $36,559,050 |
| POST RETIREMENT BENEFITS | $2,143,128 |
| 3RD PARTY PAYABLES | $1,538,738 |
| INSURANCE RESERVES | $4,616,380 |
| ANNUITY PAYABLE | $848,298 |
| EMPLOYEE W/H PAYABLE | $487,550 |
| INTEREST PAYABLE | $473,390 |
| DUE TO OTHER | $1,063,199 |
| OTHER PAYABLES | $2,200 |
| REHAB LIABILITY | $7,256,795 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $54,988,728 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $162,367,941 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $3,126,253 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$18,381,293 | OtherRevenueAmt |
| Revenue Not Reported | -$15,255,040 | RevenueNotReportedAmt |
| Revenue Subtotal | $177,622,981 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $640,971 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | -$20,705 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $620,266 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $178,243,247 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $165,512,000 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $20,705 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $20,705 | ExpensesNotReportedAmt |
| Expenses Subtotal | $165,491,295 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $640,971 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $18,425,274 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $19,066,245 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $184,557,540 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 |
| Fin 48 (ASC 740) Footnote | Schedule D, Part X, Line 2 GOOD SAMARITAN Hospital is included in the consolidated audited financial statements of Good Samaritan Health services Foundation. GOOD SAMARITAN Hospital FOLLOWS THE ACCOUNTING GUIDANCE FOR UNCERTAINTIES IN INCOME TAX POSITIONS WHICH REQUIRES THAT A TAX POSITION BE RECOGNIZED OR DERECOGNIZED BASED ON A "MORE LIKELY THAN NOT" THRESHOLD. THIS APPLIES TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. GSH DOES NOT BELIEVE ITS CONSOLIDATED FINANCIAL STATEMENTS INCLUDE ANY MATERIAL UNCERTAIN TAX POSITIONS. AT JUNE 30, 2014, GSH'S TAX YEARS ENDED JUNE 30, 2011 THROUGH 2014 FOR THE FEDERAL TAX JURISDICTION REMAIN OPEN. |
| Part XI, Line 2d | Pension Income Adjustment 971,941 Change in Post Retirement Obligation 3,303,038 Change in Pension Obligation (1,961,000) Good Impairment (2,270,000) Rounding Adjustment 1,476 Reclass: Bad Debt (11,390,274) Reclass: Grant to Affiliate (7,035,000) ------------ Total (18,381,293) Part XI, Line 4b Reclass: Special Events Expenses (20,705) |
| Part XII, Line 2d | Reclass: Special Event Expenses 20,705 Part XII, Line 4b Reclass: Bad Debt (11,390,274) Reclass: Grant to Affiliate (7,035,000) ------------ Total (18,425,274) |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Golf Tournament | NameOfEvent1Amt |
| Charitable Contri Event1 | $92,900 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | -$92,900 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $20,705 | OtherDirectExpensesEvent1Amt |
| Other Events Total | 0 | OtherEventsTotalCnt |
| Charitable Contributions Tot | $92,900 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | -$92,900 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $20,705 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $20,705 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$113,605 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,674,078 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,674,078 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01590 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,316,669 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,574,416 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,742,253 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01040 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,312,637 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,838,681 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,473,956 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04460 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $21,303,384 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,413,097 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,890,287 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07090 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $33,150 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $33,150 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,930,039 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $764,156 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,165,883 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01290 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,963,189 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $764,156 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,199,033 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01310 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,266,573 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,177,253 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,089,320 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08400 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $46,664 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $46,664 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $33,613 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $33,613 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $80,277 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $80,277 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $11,390,274 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $9,639,000 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $35,582,177 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $68,783,408 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$33,201,231 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Good Samaritan Hospital | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | fourth and walnut street | AddressLine1 |
| City | lebanon | City |
| State | PA | State |
| ZIP Code | 17042 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.gshleb.org | WebsiteAddressTxt |
| State License | 230794160 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Good Samaritan Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.gshleb.org | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Exec Community Wide Plan | Yes (X) | ExecCommunityWidePlanInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Adopt Budget | Yes (X) | AdoptBudgetInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | false | AllNeedsAddressedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (true) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 200. | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (true) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 300. | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Other Factors | Yes (X) | OtherFactorsInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Provided On Admission | Yes (X) | ProvidedOnAdmissionInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Collection Activities | false | CollectionActivitiesInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | Yes (true) | GrossChargesInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 11 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (11 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt |
|---|---|---|---|---|
| The Good Samaritan Hospital | ||||
| fourth Willow Streets | Lebanon | PA | 17042 | Rehab & Tuc 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 Cntr |
| 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 Cntr & Lab |
| The Good Samaritan Hospital | ||||
| 297 West Lincoln Ave | Lebanon | PA | 17042 | Outpatient Diagnostics Center |
| The Good Samaritan Hospital | ||||
| 1400 South Forge Road | Lebanon | PA | 17042 | Ambulatory Services Center |
| The Good Samaritan Hospital | ||||
| 100 Queen Street | Lebanon | PA | 17042 | 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 |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Community Benefit Report | Part I, Line 6a Our annual community benefit report is prepared by our marketing department. The report can be found at our website, www.gshleb.org. We also mail the report out to the members of our community. |
| Part I, Line 7, Column (f) | Our total expenses from form 990, part ix, line 25, column (a) was $184,557,540. the bad debt exchange included in this amount was $11,390,274. This left us with a total expense of $173,167,266 for purposes of calculating Line 7, column (f). |
| Part I, Line 7 | The Good Samaritan Hospital used the cost to charge ratio cost methodology to calculate the charity unreimbursed Medicaid and other government programs. The hospital used direct costs for the other community benefits on Line 7. |
| Community Building Activities | Part II The Good Samaritan Health System is involved in some community building programs which are designed to - improve the overall health of our community - (mission statement). The GSH participates in a disaster preparedness program which provides a plan in the case of a disaster that affects the community. The GSH also provides space for support groups to meet and education classes for the people within the community, like expectant parents. The activities are not included elsewhere on the Schedule H. |
| Bad Debt, Medicare, & Collection Practices | Part III, Line 4 AFS Footnote: The Hospital establishes an allowance for doubtful accounts to report the net realizable amounts to be received from patients. Increases to this allowance are reflected as a provision for doubtful accounts in the statements of operations and changes in net assets (deficiency). The Hospital regularly performs a detailed analysis of the collectability of patient accounts receivable and considers such factors as prior collection experience and the age of the receivables to determine the appropriate allowance level. Bad Debt Methodology: The Good Samaritan Hospital is a tax-exempt non-for-profit hospital that provides quality medical services to patients regardless of their ability to pay. By providing medical services to all community members regardless of their ability to pay, the hospital's bad debt expense qualifies as a community benefit. The bad debt expense calculated on line 2 was calculated using the patient care cost to charges methodology. The Good Samaritan Hospital uses an automated system called presumptive to charity care tool to calculate the amount on line 3. All self-pay accounts and all the self-pay after insurance accounts are imported into the tool, then the tool scores each account based on the government guidelines for poverty levels. For FYE 6/30/14, the tool estimated $9,639,000 of the organization's bad debt expense should be considered charity care. |
| Medicare Shortfall | Part III, Line 8 Medicare allowance 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 $33,201,231 Medicare shortfall should be considered a community benefit. |
| Collection Policies | Part III, Line 9b Collection policies are the same for all patients. if a patient notifies the hospital about their inability to pay, the hospital will send them the charity care and financial assistance forms to fill out. Once the forms are completed and returned to the hospital and the patient qualifies for financial assistance, then the patient's account will be removed from collections and the account will be written off. |
| Needs Assessment | Part VI, Line 2 The Good Samaritan Hospital (the Hospital) has participated in a variety of community health needs assessments over the past 17 years. The hospital was instrumental in helping to launch the Community Health Council of Lebanon County. In partnership with the council, a community health needs assessment was created 17 years ago and an updated assessment completed 12 years ago. Another assessment was created in 2005, led by efforts of The United Way of Lebanon County. The Hospital's most recent community health needs assessment was completed in conjunction with the Community Health Council of Lebanon County, the United Way and Lebanon Family Health Services. The assessment report was developed by Civic Research Alliance LLC, published in June 2012 and subsequently approved by the Board of Directors of the Hospital on July 24, 2012. Data were collected and analyzed by the Hospital from sources that included the Pennsylvania Department of Health, the Centers for Disease Control and Prevention, the U.S. Census, the American Community Surveys, and interviews of community leaders and healthcare professionals in Lebanon County. over time. Additional data were gathered when a trend identified a high priority need. Priorities were then categorized as a need to be addressed by the community or by the Hospital. The following were identified as the priority health care needs of the communities the Hospital serves and the action plan adopted by the Board of Directors of the Hospital. - Chronic Disease Management Provide programs that educate and assist patients with chronic diseases to self-manage their condition. Continue to offer Medical Home services at Good Samaritan primary care practices to deliver preventive care that reduces need for acute care services. Increase awareness and use of Diabetic Education services in community. Promote tobacco cessation programs. Offer cardiac education at hospital and in community. Participate in healthy lifestyle events, such as Give Thanks for Lebanon 5k/10k event. - Overweight and Obesity Raise community awareness about obesity issues. Provide education about healthy lifestyles to patients and to community groups. - Smoking Promote smoking cessation among hospital employees. Support community smoking cessation programs. Encourage doctors to tell patients to quit and share information about hospital and community-based cessation programs. - Accidents and Injuries Emergency department readiness. Continue to enforce hospital rules for use of child care seats. Raise awareness about accidents for young drivers. Raise awareness and provide education for patients and families about the risks of falling for the population 75 years and older. - Oral Health Services These services are not part of the acute health care mission of the Hospital. - Mental Health Services These services are not part of the acute health care mission of the Hospital. - Maternal and Child Health Prepare for younger maternity patients as demographics shift. Maintain high-quality maternity facilities. Raise awareness for pre- natal health checks. Promote smoking cessation to those in child- bearing years. - Access to Healthcare This issue falls outside the scope of The Hospital because most primary care is provided by independent community physicians. Encourage providers to accept Medicaid and Medicare. Keep access to public insurance at The Good Samaritan Family Practice Center, ELCO Family Practice, and Good Samaritan Pediatrics. - Culturally and linguistically appropriate healthcare Continue to provide diversity education to employees. Conduct additional outreach efforts to non- English speaking populations in community. Additional supplemental information: The hospital also maintains an independent, countywide physician needs assessment to evaluate gaps in healthcare access. A new physician needs assessment was also completed in 2011. In addition to these countywide efforts, the hospital has performed a variety of studies on specific health concerns and community needs. Key studies have included services for cardiovascular, oncology, gastroenterology, wound care, and more. The hospital has also acted to fulfill the needs identified in these studies. The hospital created one of the nation's leading cardiac and vascular centers, which has earned several national awards for quality of care. The hospital introduced a new wound care service to deal with patients suffering from complications of diabetes - a particular problem to Lebanon County - and has already expanded operations to add a third hyperbaric oxygen treatment chamber to the two originally installed in the center. In addition, the hospital has protected the community by recruiting new physicians for key services - general surgery, oncology, and gastroenterology - allowing patients to get access to care in Lebanon County instead of traveling throughout the region. |
| Patient Education of eligibilty for assistance | Part VI, Line 3 The Good Samaritan Hospital Charity Care policy outlines the process of financial, medical and catastrophic categories where a patient could qualify for charity care. the hospital has a self-pay brochure available that provides information and available hours. Financial counselors are on site to meet with patients to discuss their financial obligations, assist them in completing the application for the 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. |
| Community Information | 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: U.S. Census Bureau). The U.S. census bureau also reports that 8% of the population speaks a language other than English at home. Employment rates in the county are currently at 6.8% - one of the lowest rates in the state - and average household income is at $50,334 according to the USDA economic research service. The federal government is the county's largest employer, with large work forces at the Lebanon veteran's administration hospital and fort Indiantown gap. The Good Samaritan hospital is the largest non-governmental employer with 1,500 employees. according to the U.S. 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 has performed thousands of outpatient procedures - from surgeries to imaging to laboratory to physical therapy - every year. The hospital also provides a continuity of care through a skilled nursing unit, rehabilitation services, home healthcare, and hospice care. the hospital is the largest provider of care to Medicaid and Medicare populations. while most Lebanon county residents choose to stay in the county for their care, with more than 60% choosing the Good Samaritan hospital 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 hospital has taken steps to address these areas by expanding services and educational opportunities. |
| Promotion of Community Health | Part VI, Line 5 Good Samaritan strives to deliver powerful medicine with comforting care every day. As part of our non-profit mission, The Good Samaritan Hospital and its affiliated organizations deliver healthcare services that improve the quality of life throughout the region. As Lebanon County's only hospital, Good Samaritan is the community's primary - and sometimes only - resource for: -Inpatient hospital care -Emergency care -Surgical services -Digestive health services -Maternity services -Cardiac & vascular services -Radiology and medical imaging services -Laboratory diagnostic services and blood bank -Physical and occupational therapies -Transitional care and rehabilitation services -Home health and hospice services -Wound care and hyperbaric medicine -Diabetic education and nutrition counseling -Audiology and speech therapy -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 $2,371,205 Good Samaritan and its employees donate many hours of time to improve the health of the community. In 2014, key projects included: -Health Fairs - the countywide 50+ Festival and Women's Health Expo as well as 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, breast health and more -Medical clinic - Good Samaritan donated employee time to support a new independent medical clinics for poor and low-income patients -Health screenings - screenings for cholesterol, blood glucose, BMI, 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 over $21 million dollars in charitable and uncompensated care to the community. Economic Impact In addition to our core healthcare mission, Good Samaritan is Lebanon County's largest non-government employer - and positively impacts the economy by generating more than 1,000 jobs outside of the health system. The Good Samaritan Hospital had a Net Hospital Revenue of $160 million in 2014. Service Statistics The Good Samaritan Hospital treated 7,582 patients in 2014. 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 Many of the 109,852 radiology services we provided in 2014 include those services provided by our Women's Imaging Center, mainly screening mammograms. Breast cancer remains an important women's health issue with thirty-two percent of women in Pennsylvania diagnosed daily with the disease. One in eight women will be diagnosed with invasive breast cancer in their lifetime, including those with no family history of the disease. To help women fight this disease, Good Samaritan provides the latest, comprehensive breast imaging services and follow-up care to improve detection and shorten the time from diagnosis until treatment can begin. Dense breast tissue can make cancer harder to find on a mammogram, which increases the risk of a late-stage cancer diagnosis in many women. Because of this, Pennsylvania now requires all patients with dense breast tissue be notified in their result letter after a mammogram. Good Samaritan goes beyond the required notification for our patients, introducing new software that utilizes several different risk assessment tools to assist in calculating if a woman is high-risk for developing breast cancer in her lifetime. This risk assessment may recommend that breast ultrasound or magnetic resonance imaging (MRI) be utilized in conjunction with screening mammography to assist in detecting breast cancer. In addition to the use of this risk assessment tool in screening, Good Samaritan has focused our efforts on reducing the "door-to-diagnosis" time for women having diagnostic imaging. All diagnostic mammograms and ultrasounds are promptly read by a board-certified radiologist who specializes in breast imaging so the patient receives the results before leaving the Women's Imaging Center. If an abnormality is detected, a certified breast patient navigator in imaging and cancer care works with the patient to help her understand the process and schedule a biopsy. Good Samaritan is now able to perform all minimally-invasive biopsies in the Women's Imaging Center under stereotactic or ultrasound guidance and MRI-guided breast biopsies also available. Reducing the time from imaging to treatment is important both psychologically and physically. In the past women may have had to wait weeks after an abnormality was found for a biopsy and the following surgical consultation if the biopsy was positive. Now many women are having diagnostic imaging, a biopsy and their surgical consult in days rather than weeks. By shortening this process, women are able to either eliminate unnecessary worry more quickly or receive the earliest possible treatment for a cure. Breast cancer remains a focus of Good Samaritan's efforts to provide quality care that changes lives. 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 -I Can Cope (cancer support) -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) -Narcotics Anonymous 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; and Narcotics Anonymous. 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 dep |
| Affiliated Health Care System | Part VI, Line 6 The Good Samaritan Hospital is a part of the Good Samaritan Health System. The system includes a foundation, real estate companies, family practices, specialty health services, and a DME company. In addition to the community benefits provided by the hospital, the health system evaluates the needs the community and the system will participate in community benefit programs, like supporting the volunteers in medicine free clinic which serves the underprivileged members of the community. |
| State Filing of the community benefit report | Part VI, Line 7 Pennsylvania |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Good Samaritan Health Services Foundation | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 259 Fourth Street | AddressLine1 |
| City | Lebanon | City |
| State | PA | State |
| ZIP Code | 17042 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 232356151 | RecipientEIN |
| IRC Section | 501(c)(3) | IRCSectionDesc |
| Cash Grant | $7,035,000 | CashGrantAmt |
| Purpose Of Grant | Program Support | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (4 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt |
|---|---|---|
| David Broderic Scholarship | 15 | $7,500 |
| Margaret Connel Scholarship | 8 | $5,000 |
| GSH Auxiliary Scholarship | 2 | $4,000 |
| Caplan Nursing Scholarship | 5 | $6,500 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Procedures to monitor use of grants | FormAndLineReferenceDesc |
| Explanation | Parts I, Line 2 The david broderic employee scholarship program and the margaret l. connelY 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. The Good Samaritan hospital distributes a portion of the money allotted to every person who applies for the scholarship. The Good Samaritan Hospital has internal controls with regards to issuing grants to individuals. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Robert J Longo | ||||||||||||
| President & CEO | $417,922 | $0 | $0 | $0 | $4,124 | $0 | $21,202 | $0 | $5,808 | $0 | $449,056 | $0 |
| Kimberly Feeman | ||||||||||||
| Senior VP & COO | $264,579 | $0 | $50,000 | $0 | $366 | $0 | $16,073 | $0 | $3,309 | $0 | $334,327 | $0 |
| Jacquelyn M Gould | ||||||||||||
| VP of Nursing | $172,063 | $0 | $50,000 | $0 | $1,890 | $0 | $10,522 | $0 | $3,309 | $0 | $237,784 | $0 |
| Robert J Richards | ||||||||||||
| VP Finance & CFO | $255,552 | $0 | $50,000 | $0 | $8,177 | $0 | $23,000 | $0 | $5,809 | $0 | $342,538 | $0 |
| Robert Shaver | ||||||||||||
| VP Medical Affairs | $297,584 | $0 | $50,000 | $0 | $114 | $0 | $0 | $0 | $3,308 | $0 | $351,006 | $0 |
| William Mulligan | ||||||||||||
| VP Strategic Planning & MKTG | $135,214 | $0 | $0 | $0 | $126 | $0 | $15,166 | $0 | $3,950 | $0 | $154,456 | $0 |
| Marc Bonin | ||||||||||||
| medical director- ed | $349,178 | $0 | $99,449 | $0 | $739 | $0 | $22,719 | $0 | $5,361 | $0 | $477,446 | $0 |
| Daria Kovarikova | ||||||||||||
| Residency Physician | $183,814 | $0 | $32,856 | $0 | $706 | $0 | $0 | $0 | $3,146 | $0 | $220,522 | $0 |
| Elizabeth Muhiire-Ntaki | ||||||||||||
| Residency Physician | $148,421 | $0 | $65,672 | $0 | $138 | $0 | $0 | $0 | $988 | $0 | $215,219 | $0 |
| aaron lane | ||||||||||||
| Residency Physician | $142,047 | $0 | $65,171 | $0 | $41 | $0 | $0 | $0 | $1,620 | $0 | $208,879 | $0 |
| byard yoder | ||||||||||||
| residency physician | $176,523 | $0 | $26,200 | $0 | $1,042 | $0 | $9,108 | $0 | $5,646 | $0 | $218,519 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3 | The compensation committee hires an independent compensation consultant to establish the CEO's compensation amount and compose the contract. the compensation committee presents the information to the board and the board member can ask to review the contract privately. |
| Part I, Line 4b | Robert Longo is a participant in a 457f retirement plan. he recieved no payment from the plan this year. |
| Part I, Line 7 | The executive bonus program is a non-fixed payment program. discretion is exercised as to the amount and when/if payment will be made. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Lebanon County Health Facilities Authority | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 232546819 | BondIssuerEIN |
| Bond Issued | 2004-03-11 | BondIssuedDt |
| Issue Price | $17,255,816 | IssuePriceAmt |
| Purpose | See Part VI | PurposeDesc |
| Defeased | false | DefeasedInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Pool Financing | false | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $0 | RetiredAmt |
| Bond Defeased | $0 | BondDefeasedAmt |
| Total Proceeds | $17,255,816 | TotalProceedsAmt |
| In Reserve Fund | $0 | InReserveFundAmt |
| Capitalized Interest | $0 | CapitalizedInterestAmt |
| Refunding Escrow | $0 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $0 | IssuanceCostsFromProceedsAmt |
| Credit Enhancement | $0 | CreditEnhancementAmt |
| Working Capital Expenditures | $0 | WorkingCapitalExpendituresAmt |
| Capital Expenditures | $0 | CapitalExpendituresAmt |
| Other Spent Proceeds | $0 | OtherSpentProceedsAmt |
| Unspent | $0 | UnspentAmt |
| Substantial Completion | 2004 | SubstantialCompletionYr |
| Current Refunding | Yes (true) | CurrentRefundingInd |
| Advance Refunding | false | AdvanceRefundingInd |
| Final Allocation Made | Yes (true) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (true) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | false | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | false | MgmtContractBondFincdPropInd |
| Any Research Agreements | false | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0 | PrivateBusUseByOthersPct |
| Bond Iss Meet Prvt Sec Pymt Test | false | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedPropInd |
| Remedial Action Taken | false | RemedialActionTakenInd |
| Procs Nonqualified Bond Remdtd | false | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiledInd |
| Exception To Rebate | Yes (true) | ExceptionToRebateInd |
| Variable Rate Issue | false | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | false | HedgeIdentifiedInBksAndRecInd |
Hedge Provider Name HedgeProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGICInd |
GIC Provider Name GICProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested | false | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | false | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | false | ProceduresCorrectiveActionInd |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| John P Welch MD | |||
| See Part V | $310,157 | Property Rental | false |
| Frederick C Laurenzo | |||
| See Part V | $15,129 | Car Sales | false |
| Frederick S Wolfson | |||
| See Part V | $154,767 | Attorney Fees | false |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part IV, line 2 | John Welch, a trustee of the good samaritan hospital, is a partner in Welch wagner partnership. |
| Part IV, Line 3 | Frederick Laurenzo, a trustee of the good samaritan hospital, is a partner in federick chevrolet, cadillac, and toyota. |
| Part IV, Line 4 | Frederick Wolfson, a trustee of the good samaritan hospital, is a partner in reilly, wolfson, sheffey, schrum & lundberg. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Committees With Board Authority | Part VI, Section A, Line 1a There are no material differences in voting rights among the members of the governing body. The executive committee shall consist of the officers of the corporation other than the vice president, the president of the medical staff, the solicitor, the chairman of all standing committees and the most recent past chairman of the board. It shall be the duty of the executive committee to review matters brought to its attention and to make recommendations to the board for board action. It shall have the power to transact emergency business of the corporation during the interval between board meetings, provided such action does not conflict with policies and expressed wishes of the board. It shall report any actions taken to the board at the board's next regular meeting. |
| Members or Stockholders | Part VI, Section A, Line 6 The Good Samaritan Health Services Foundation, another 501(c)(3) organization, is the sole member of the good samaritian hospital. |
| Members who may elect trustees of the governing body | Part VI, Section A, Line 7a The Good Samaritan Health Services Foundation, as the sole member of the Good Samaritan Hospital, may elect one or more trustees of the hospital's governing body. |
| decision of governing body subject to approval by members | Part VI, Section A, Line 7b Certain decisions of the hospital's governing body are subject to approval by the Hospital's sole member, The Good Samaritan Health Services Foundation. |
| Form 990 Review Process | Part VI, Section B, Line 11 An external accounting firm prepares the Form 990 for the Good Samaritan Hospital. The Hospital accounting and finance personnel and the chief financial officer then review the completed Form 990. The completed Form 990 will be provided to the full board. |
| Conflict of Interest Policy | Part VI, Section B, Line 12a The Good Samaritan Hospital has a Compliance Officer that is responsible for the monitoring and enforcing the compliance of policies. The board members sign a conflict of interest statement every year which states what organizations or businesses he or she is the owner, officer, member or employee. If an issue is brought to the board members, the board member would remove himself from the discussion and abstain from voting on the issue. |
| Compensation Review | Part VI, Section B, Line 15a The compensation committee hires an independent compensation consultant to establish the CFO's compensation and compose the contract. The compensation committee presents the information to the board for discussion. The deliberation and compensation decision are documented in the committee and/or Board meetings. |
| Disclosure of Documents to the Public | Part VI, Section C, Line 19 The governing documents, conflict of interest policy and audited financial statements are available upon request. |
| Form 990, Part XI, Line 9 | Pension Income Adjustment 971,941 Change in Post Retirement Benefits 3,303,038 Change in Pension Obligation (1,961,000) Goodwill Impairment (2,270,000) Rounding Adjustment 1,476 ----------- Total 45,455 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Good Samaritan Health Service Foundation | ||||||||||
| 259 South 4th Street | Lebanon | PA | 17042 | 232356151 | Parent | PA | 501(c)(3) | 11 Type I | NA | false |
| Good Samaritan Physician Services | ||||||||||
| 259 South 4th Street | Lebanon | PA | 17042 | 251832359 | Family Med | PA | 501(c)(3) | 9 | GSHS FDN | false |
| GSH Dialysis Inc | ||||||||||
| 440 Oak Street | Lebanon | PA | 17042 | 232500940 | Dialysis | PA | 501(c)(3) | 3 | GSHS FDN | false |
| Good Samaritan Real Estate Inc | ||||||||||
| 241 South 4th Street | Lebanon | PA | 17042 | 232447262 | Titleholding | PA | 501(c)(2) | GSHS FDN | false | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Lebanon MRI Assoc | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4th and Walnut St | AddressLine1 |
| City | Lebanon | City |
| State | PA | State |
| ZIP Code | 17042 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 363730905 | EIN |
| Primary Activities | Imaging | PrimaryActivitiesTxt |
| Legal Domicile State | PA | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GSH Services | BusinessNameLine1 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Entity TypeEntityTypeTxt |
|---|---|---|---|---|---|---|---|---|
| GSH Services Inc | ||||||||
| 241 South 4th Street | Lebanon | PA | 17042 | 232353047 | Mgmt/Acct | PA | GSH Fnd | C Corp |
| GSH Home Med Center Inc | ||||||||
| 301 Schneider Drive | Lebanon | PA | 17042 | 232028099 | Med Equip | PA | GSH FDN | C Corp |
| GSH Realty Inc | ||||||||
| 241 South 4th Street | Lebanon | PA | 17042 | 232446622 | Title Holding | PA | GSH FDN | C Corp |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |