2014-05-15T08:34:26-05:00 2013-06-30 GRANT THORNTON LLP 2001 MARKET STREET SUITE 700 PHILADELPHIA PA 19103 990 2012-07-01 230794160 Good Samaritan Hospital % ROBERT J RICHARDS GOOD 7172707500 PO Box 1281 4th Walnut Streets Suite Lebanon PA 170421281 Robert Richards 7172707864 2014-05-13 true Frank Giardini 2155614200 2012 2015-11-30 17:44:51Z Robert J Longo 4th walnut Streets Lebanon PA 170421281 190762621 false X www.gshleb.org X 1989 PA To provide high-quality, compassionate healthcare that improves the overall health of our community. 18 13 1535 385 4154875 269780 1579559 3433131 171916754 173975259 1169472 1821436 5129572 6872248 179795357 186102074 22900 9573550 0 0 73825335 77743685 0 0 0 104362084 108582766 178210319 195900001 1585038 -9797927 144414767 141426575 150978640 135544512 -6563873 5882063 X 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. false false 170762963 9573550 169817384 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. FY 6/30/13 Statistics: Rehab Admissions and Rehab Patient Days. Skilled Nursing Facility - The GSH operates a 19 bed transitional care unit providing a full range of basic services required by a hospital based skilled nursing facility, including physical therapy, speech therapy, occupational therapy, social services and audiology. Fy 6/30/13 Statistics: TCU Admissions and TCU Patient Days. Home Health/Visiting Nurse Program The GSH operates Home Health/Visiting nurse association providing a full range of in-home care including IV Therapy, Maternal/Infant Care, Hospice, Physical Therapy, Speech Therapy, Occupational Therapy, Nutritional Therapy, Social Services and Home Health Aides. 170762963 true true false true false false false false false true true false false true true true true true false false false false false false true false true true true true true true false false false false false false false false false true false false false false false true true true true false true 101 0 true 1535 true true true false false false false false false false false false X 18 13 false false false false true true true true true false false true true true true true true true false false X ROBERT J RICHARDS 7172707500 241 SOUTH FOURTH STREET Lebanon PA 170421281 John P Welch MD 1.0 1.0 X X 0 0 0 Dennis L Shalters 1.0 1.0 X X 0 0 0 Donald H Dreibelbis 1.0 1.0 X X 0 0 0 Robert J Funk 1.0 1.0 X X 0 0 0 Jane W Juppenlatz 1.0 1.0 X X 0 0 0 Frederick S Wolfson 1.0 1.0 X X 0 0 0 Carol Blecker 1.0 1.0 X 0 0 0 Evelyn C Colon 1.0 1.0 X 0 0 0 Paul R DiGiacomo MD 1.0 1.0 X 0 0 0 Robert P Hoffman 1.0 1.0 X 0 0 0 Frederick C Laurenzo 1.0 1.0 X 0 0 0 Robert J Phillips 1.0 1.0 X 0 0 0 William E Schaeffer Jr MD 1.0 1.0 X 0 0 0 Galen G Weaber 1.0 1.0 X 0 0 0 Deborah T Weaver 1.0 1.0 X 0 0 0 Gregory S Wickey MD 1.0 1.0 X 0 0 0 Julie Zinsser 1.0 1.0 X 0 0 0 Robert J Longo 40.0 20.0 X X 493398 0 25745 Kimberly Feeman 40.0 15.0 X 295362 0 18917 Robert J Richards 40.0 19.0 X 290657 0 19605 Jacquelyn M Gould 40.0 15.0 X 195204 0 13506 Julie Miksit 40.0 10.0 X 168774 0 13827 Robert Shaver 40.0 X 340088 0 3185 William Mulligan 40.0 X 148262 0 22074 Daria Kovarikova 40.0 X 191301 0 3055 Aaron Lane 40.0 X 186991 0 1561 Elizabeth Muhiire-Ntaki 40.0 X 182400 0 2230 Byard Yoder 40.0 X 169105 0 16713 Richard Follett 40.0 X 175493 0 23150 2837035 0 163568 39 false true false MCKESSON TECHNOLOGIES PO Box 98347 CHICAGO IL 606938347 IT Support 3735893 LEBANON ANESTHESIA ASSOC LTD PO Box 1281 LEBANON PA 17042 Anesthesiologists 3391734 LEBANON CARDIOLOGY ASSOCIATES 775 Norman Drive LEBANON PA 17042 Cardiologists 2205170 SODEXO OPERATIONS LLC PO Box 360170 PITTSBURGH PA 152516170 Dietary MGMT service 1420952 REHAB CARE GROUP INC PO Box 502096 ST LOUIS MO 631502096 Rehab Mgmt Services 1190170 110 50450 30000 169454 3183227 3433131 PATIENT SERVICE REVENUE 900099 173674711 169519836 4154875 LABORATORY REVENUE 900099 162489 162489 HEALTH PROGRAMS 900099 117328 117328 PHARMACY SALES 900099 20731 20731 173975259 1311160 1311160 71276 71276 0 523717 523717 0 523717 523717 5055547 44000 4660547 395000 44000 439000 439000 19600 50450 19600 19600 0 0 MEANINGFUL USE 900099 2564000 2564000 MALPRACTICE INSURANCE 524298 1564530 1564530 SNACK BAR/CAFE 722511 600988 600988 1599413 1599413 6328931 186102074 169820384 4154875 8693684 9551000 9551000 22550 22550 0 0 3288844 3288844 0 55288417 46995154 8293263 7253564 6165529 1088035 7699070 6544209 1154861 4213790 3581721 632069 0 607321 607321 218006 218006 8442 8442 0 603057 603057 8637165 7341590 1295575 1080174 918148 162026 1388612 1180320 208292 0 0 2679007 2277156 401851 60423 51360 9063 0 0 3904304 3318658 585646 0 9855475 8377154 1478321 2131434 1811719 319715 MEDICAL SUPPLIES 30675904 30675904 BAD DEBT 14849102 14849102 PURCHASED SERVICES 26591137 22602466 3988671 UNRELATED BUSINESS TAXES 3203868 2723288 480580 2089335 1775935 313400 195900001 170762963 25137038 0 5220 5601 2272501 1025060 1029573 2378611 18637951 19078552 0 0 0 0 1130188 770817 1686147 1458540 2851253 2448490 187534014 123844065 69587218 63689949 35437714 38777746 0 0 0 0 2269669 2269669 9507333 9523540 144414767 141426575 17950772 20216970 0 0 82000 0 63955676 62583286 0 0 0 0 2687442 4042313 0 0 66302750 48701943 150978640 135544512 X -9283282 1808407 2047232 3385178 672177 688478 -6563873 5882063 144414767 141426575 X -9797927 1836590 -1000 20408273 X false true X true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 8442 8442 false Lobbying Activities 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 6/30/13 the amount of dues paid to the HHAP totaled $36,947 of which 22.85 percent $8,442 was used for lobbying purposes. On occasion, HHAP requests the help of member providers to communicate concerns to legislators regarding pending legislation which could impact hospitals. This can involve direct contact with legislators or letter writing. This occurs infrequently and the cost to the hospital is negligible. 2719409 2252267 54351 952371 4073656 2945233 424618 53135 703577 2719409 3005818 834833 26652 922070 2945233 3236426 458155 36900 725663 3005818 3712782 -26711 -22884 426761 3236426 0.24720 0.75280 false false 1468847 1468847 90086071 42932256 47153815 5435154 4905172 529982 89843764 76006637 13837127 700178 0 700178 63689949 DEBT SERVICES FUND NON-CURRENT 5649885 MALPRACTICE INS RECEIVABLE 2033239 DEFERRED BOND INSURANCE COST 568298 INTERCOMPANY RECEIVABLES 504075 OTHER RECEIVABLES 389425 DUE FROM FOUNDATION 271402 DUE FROM EMP/STAFF/PHY 107216 9523540 0 PENSION LIABILITY 36707967 POST RETIREMENT BENEFITS 2574515 3RD PARTY PAYABLES 1678558 INSURANCE RESERVES 3853163 ANNUITY PAYABLE 876310 EMPLOYEE W/H PAYABLE 423530 INTEREST PAYABLE 478336 DUE TO OTHER 2109564 48701943 X 183153778 1836590 -4784886 -2948296 186102074 186102074 170706842 170706842 25193159 25193159 195900001 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 In the course of preparing the Hospital's tax returns, the Hospital evaluates tax positions taken or expected to be taken to determine whether the tax positions are "more-likely-than-not" of being sustained by the applicable tax authorities. Tax positions not deemed to meet the more-likely-than-not threshold are recorded as tax benefits or expenses in the current year. Management has analyzed all tax positions taken on federal, state, and local income tax returns for all open tax years and has concluded that no provision for federal income tax is required in the financial statements. There are no interest and penalties deducted in the current period and no interest and penalties accrued at June 30, 2013. Reconciliation of Revenue Part XI, Line 2d Provision for doubtful accounts $(14,849,102) Investment management fees (603,057) Other than Temp decline in FMV of Investments (6,174) Change in Post Retirement Benefits 19,269,157 Transfer to Parent (9,551,000) Physician Loan Amortization (190,000) Change in Pension Obligation 1,145,290 ----------- Total (4,784,886) Reconciliation of Expenses Part XII, Line 4b Provision for doubtful accounts $ 14,849,102 Investment management fees 603,057 Transfer to Parent 9,551,000 Physician Loan Amortization 190,000 ------------ Total 25,193,159 Golf Tournament 70050 50450 19600 0 70050 50450 19600 19600 true true X true X true X true true true false true true 932973 932973 0.00520 3820992 1804130 2016862 0.01110 15018562 7180999 7837563 0.04330 19772527 8985129 10787398 0.05960 33150 33150 0.00020 2330628 968785 1361843 0.00750 2363778 968785 1394993 0.00770 22136305 9953914 12182391 0.06730 28240 28240 0.00020 41340 41340 0.00020 69580 69580 0.00040 true 14849102 7744000 35394631 71927364 -36532733 X true true 1 1 The Good Samaritan Hospital

fourth and walnut street lebanon PA 17042

X X X X The Good Samaritan Hospital 1 true X X X X X X X X X 12 true true true X X X X X X X X X X false false true true 200. true 300. true X X X X true true X X true false true X false true 11 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 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 $195,900,001. the bad debt exchange included in this amount was $14,849,012. This left us with a total expense of $181,050,989 for purposes of calculating Line 7, column (f). Part I, Line 7 The Good Samaritan Hospital used the cost to change 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 changes methodolgy. 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 6/30/13, the tool estimated $7,744,000 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 $36,532,733 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 assistence, then the patient's account will be removed from collections and the account will be written off. Facility Information Part V, Section B, Question 12H The Good Samaritan hospital calculates the amount charged to a patient based on catestrophic or physical hardship and the number of individuals living in a household. Part V, Section B, Question 20d The Good Samaritan Hospital bills individuals without insurance their gross charges associated with the services they received during their visit. GSH offers all self-pay patients a 35% discount if they pay their bill within 30 days of their services. Part V, Section B, Question 22 The Good Samaritan Hospital charges its self-pay patients their gross charges for the services rendered. Needs Assessment Part VI, Line 2 The Good Samaritan Hospital (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. Community needs were identified through trends revealed by analyzing data 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 castastrophic categories where a patient could qualify for charity care. the hospital has a self-pay brochure available that provides informtaion 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 veterans 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, rehabilitaion 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 Our Community Benefit 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 $1,538,443 Good Samaritan and its employees donate many hours of time to improve the health of the community. In 2013, key projects included: -Health Fairs - the countywide 50+ Festival, Women's Health Expo and Latino Fair 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 $22.6 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 $174 million in 2013. Service Statistics The Good Samaritan Hospital treated 7,708 patients in 2013. 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 110,283 radiology services we provided in 2013 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 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 service Affiliated Health Care System Part VI, Line 6 The Good Samaritan Hospital is a part of the good samaritan health system. the system includes a foundation, dialysis center, real estate companies, mri center, family practices, speciality health services, and a DME company. in addition to the community benefits provided by the hospital, the health system evaluates the needs the community and the system will participate in community benefit programs, like supporting the volunteers in medicine free clinic which serves the underprivileged members of the community. State Filing of the community benefit report Part VI, Line 7 Pennsylvania true The Good Samaritan Health Service Foundation 259 Fourth Street Lebanon PA 17042 232356151 501(c)(3) 9551000 Program Support 1 David Broderic Scholarship 21 7150 Margaret Connel Scholarship 6 5000 GSH Auxiliary Scholarship 3 2200 Caplan Nursing Scholarship 6 8200 Procedures to monitor use of grants Parts I, Line 2 The david broderic employee scholarship program and the margaret l. connell scholarship fund are for the sons and daughters of employees. the GSH auxiliary and caplan nursing scholarships are awarded to lebanon county residents enrolled in a nursing program. 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. X X X X false true false false false false false true false Robert J Longo 415249 0 74025 0 4124 0 21000 0 4745 0 519143 0 Kimberly Feeman 252855 0 42501 0 6 0 15732 0 3185 0 314279 0 Jacquelyn M Gould 168836 0 24549 0 1819 0 10321 0 3185 0 208710 0 Robert J Richards 248619 0 33880 0 8158 0 15120 0 4485 0 310262 0 Julie Miksit 147542 0 21133 0 99 0 11009 0 2818 0 182601 0 Robert Shaver 298609 0 41191 0 288 0 0 0 3185 0 343273 0 William Mulligan 129506 0 18612 0 144 0 14989 0 7085 0 170336 0 Daria Kovarikova 178873 0 11747 0 681 0 0 0 3055 0 194356 0 Aaron Lane 138889 0 48038 0 64 0 0 0 1561 0 188552 0 Elizabeth Muhiire-Ntaki 152614 0 29685 0 101 0 0 0 2230 0 184630 0 Byard Yoder 168452 0 0 0 653 0 8658 0 8055 0 185818 0 Richard Follett 164911 0 10000 0 582 0 22500 0 650 0 198643 0 Part I, Line 3 The compensation committee hires an independent compensation consultant to establish the CEO's compensation amount and compose the contract. the compensation committee presents the information to the board. if a board member would like to review the contract 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. A Lebanon County Health Facilities Authority 232546819 522455BE3 2004-03-11 17255816 See Part VI false false false A 0 0 17255816 0 0 0 0 0 0 0 0 0 2004 true false true true A false false false false 0 false false false false A false true false false 0 false 0 false false A false Aurthur Funk See Part V 123888 Construction Project false John P Welch See Part V 280057 Property Rental false Frederick Laurenzo See Part V 86940 Car Sales false Frederick Wolfson See Part V 186366 Attorney Fees false Part IV, Line 1 Robert J. Funk, a trustee of the good samaritan hospital, is a partner in arthur funk and sons. Part IV, line 2 John Welch, a trustee of the good samaritan hospital, is a partner in Welch wagner partnership. Part IV, Line 3 Frederick Laurenzo, a trustee of the good samaritan hospital, is a partner in 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. 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 accountant prepares the 990 and 990-T for the Good Samaritan Hospital. The Hospital then pays an auditing firm to review the 990 tax return. The controller and the CFO the reviews the final draft of the return before it is given to the board of directors and then filed with the IRS 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 Good Samaritan Hospital has all of its policies and financial statements available for the general public. The public needs to schedule an appointment with administration to come in and view the information under hospital supervision. Other Changes in Net Assets or Fund Balance Form 990, Part XI, Line 9 Other than Temp decline in FMV of Investments (6,174) Change in Post Retirement Benefits 19,269,157 Change in Pension Obligation 1,145,290 ---------- Total 20,408,273 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 Lebanon MRI Assoc 4th and Walnut St Lebanon PA 17042 363730905 Imaging PA GSH Services 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 false false false false false false false false false true true true true false false false true false false