Civic Intelligence

The Good Samaritan Hospital of Lebanon Pennsylvania

990 • Fiscal year 2015 • EIN 23-0794160

Jul 01, 2014 to Jun 30, 2015 • Filed on May 16, 2016

Organization Profilewww.gshleb.org

View Organization Page

PO Box 1281 4th Walnut StreetsLebanon, PA 17042-1281

(717) 270-7500

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

94th percentile

1.07x

Higher debt load relative to assets than 94% of similar nonprofits.

2015 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2015

Liabilities / Revenue

66th percentile

0.79x

Higher debt load relative to revenue than 66% of similar nonprofits.

2015 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2015

Net Margin

41st percentile

2.4%

Higher net margin than 41% of similar nonprofits.

2015 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2015

Top Officer Pay

55th percentile

$524,111

Higher top officer pay than 55% of similar nonprofits.

Top officer pay equals 0.3% of source-year revenue.

2015 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2015

Asset Growth

11th percentile

-5.9%

Faster asset growth than 11% of similar nonprofits.

2015 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2014 to 2015

Revenue Growth

57th percentile

5.7%

Faster revenue growth than 57% of similar nonprofits.

2015 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2014 to 2015

Balance Sheet
Liabilities / Assets94th percentile

Assets

Down

$137,841,236

Down $8,638,010 (-5.9%) from 2014

Net Assets

Down

-$10,230,522

Down $12,970,000 (-473%) from 2014

Liabilities

Up

$148,071,758

Up $4,331,990 (+3.0%) from 2014

Revenue And Expenses
Liabilities / Revenue66th percentileNet Margin41st percentile

Revenue

Up

$188,426,039

Up $10,182,792 (+5.7%) from 2014

Expenses

Down

$183,950,951

Down $606,589 (-0.3%) from 2014

Net Income

Up

$4,475,088

Up $10,789,381 (+171%) from 2014

Historical Trend

Balance Sheet Trend

Asset Growth11th percentile

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$300M$200M$100M$0-$100M-$200MAssets 2010: $144,533,049Liabilities 2010: $132,516,543Net Assets 2010: $12,016,5062010Assets 2011: $149,903,555Liabilities 2011: $121,387,527Net Assets 2011: $28,516,0282011Assets 2012: $144,414,767Liabilities 2012: $150,978,640Net Assets 2012: -$6,563,8732012Assets 2013: $141,426,575Liabilities 2013: $135,544,512Net Assets 2013: $5,882,0632013Assets 2014: $146,479,246Liabilities 2014: $143,739,768Net Assets 2014: $2,739,4782014Assets 2015: $137,841,236Liabilities 2015: $148,071,758Net Assets 2015: -$10,230,5222015Assets 2016: $115,305,046Liabilities 2016: $142,740,374Net Assets 2016: -$27,435,3282016Assets 2017: $113,440,514Liabilities 2017: $165,979,904Net Assets 2017: -$52,539,3902017Assets 2018: $114,478,169Liabilities 2018: $181,287,787Net Assets 2018: -$66,809,6182018Assets 2019: $113,316,772Liabilities 2019: $199,149,393Net Assets 2019: -$85,832,6212019Assets 2020: $114,912,013Liabilities 2020: $216,530,180Net Assets 2020: -$101,618,1672020Assets 2021: $117,612,049Liabilities 2021: $201,252,331Net Assets 2021: -$83,640,2822021Assets 2022: $117,483,758Liabilities 2022: $209,330,699Net Assets 2022: -$91,846,9412022Assets 2023: $116,393,015Liabilities 2023: $142,663,596Net Assets 2023: -$26,270,5812023Assets 2024: $116,365,909Liabilities 2024: $113,874,702Net Assets 2024: $2,491,2072024

Highlighted filing

2015

Assets$137,841,236
Liabilities$148,071,758
Net Assets-$10,230,522
Open 2015 Filing

Operations Trend

Revenue Growth57th percentile

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$400M$300M$200M$100M$0-$100MExpenses 2010: $168,290,2962010Expenses 2011: $167,450,9112011Expenses 2012: $178,210,3192012Expenses 2013: $195,900,0012013Revenue 2014: $178,243,247Expenses 2014: $184,557,540Net Income 2014: -$6,314,2932014Revenue 2015: $188,426,039Expenses 2015: $183,950,951Net Income 2015: $4,475,0882015Revenue 2016: $182,262,322Expenses 2016: $189,276,455Net Income 2016: -$7,014,1332016Revenue 2017: $174,056,262Expenses 2017: $201,048,730Net Income 2017: -$26,992,4682017Revenue 2018: $204,273,543Expenses 2018: $224,222,532Net Income 2018: -$19,948,9892018Revenue 2019: $221,785,397Expenses 2019: $233,353,732Net Income 2019: -$11,568,3352019Revenue 2020: $232,811,350Expenses 2020: $237,241,910Net Income 2020: -$4,430,5602020Revenue 2021: $249,501,268Expenses 2021: $250,406,180Net Income 2021: -$904,9122021Revenue 2022: $290,048,224Expenses 2022: $291,749,824Net Income 2022: -$1,701,6002022Revenue 2023: $286,142,172Expenses 2023: $293,910,564Net Income 2023: -$7,768,3922023Revenue 2024: $324,702,509Expenses 2024: $321,195,177Net Income 2024: $3,507,3322024

Highlighted filing

2015

Revenue$188,426,039
Expenses$183,950,951
Net Income$4,475,088
Open 2015 Filing
Jump To
Filing Snapshot
Filing Period
Jul 1, 2014 to Jun 30, 2015
Signed
May 16, 2016
Return Version
2014v6.0
Gross Receipts
$188,426,039
Mission and Program Overview

Mission

The Good Samaritan Hospital is a tax-exempt organization dedicated to providing high-quality, compassionate healthcare that improves the overall health of the community.

To provide high-quality, compassionate healthcare that improves the overall health of our community.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$57,851,996$58,404,475▲ $552,479
Investments in Publicly Traded Securities$44,266,754$35,226,593▼ $9,040,161
Accounts Receivable$19,527,175$21,847,380▲ $2,320,205
Pledges and Grants Receivable$4,971,913$5,082,853▲ $110,940
Prepaid Expenses and Deferred Charges$3,178,058$3,094,902▼ $83,156
Savings and Temporary Cash Investments$4,425,803$2,016,900▼ $2,408,903
Inventories for Sale or Use$1,378,552$1,404,122▲ $25,570
Other Notes and Loans Receivable, Net$630,974$540,242▼ $90,732
Cash and Non-Interest-Bearing Accounts$5,870$5,926▲ $56
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Intangible Assets$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$146,479,246$137,841,236▼ $8,638,010
Other Assets Total$10,242,151$10,217,843▼ $24,308
Liabilities
Tax Exempt Bond Liabilities$61,155,896$60,794,000▼ $361,896
Other Liabilities$54,988,728$52,681,546▼ $2,307,182
Accounts Payable and Accrued Expenses$22,457,026$28,482,428▲ $6,025,402
Mortgage Notes Payable Secured by Investment Property$5,138,118$6,113,784▲ $975,666
Grants Payable$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Total Liabilities$143,739,768$148,071,758▲ $4,331,990
Net Assets / Fund Balance
Temporarily Rstr Net Assets$6,725,000$6,182,000▼ $543,000
Permanently Rstr Net Assets$688,478$688,478→ $0
Unrestricted Net Assets$-4,674,000$-17,101,000▼ $12,427,000
Total Net Assets Fund Balance$2,739,478$-10,230,522▼ $12,970,000
Total Liabilities and Net Assets / Fund Balance$146,479,246$137,841,236▼ $8,638,010

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$10,547,582$86,904,736$97,452,318
Buildings$42,012,683$48,170,116$90,182,799
Leasehold Improvements$394,929$5,130,349$5,525,278
Other Land Buildings$3,980,434-$3,980,434
Land$1,468,847-$1,468,847

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2014$7,412,227$989,598▲ $19,671$1,553,044$6,868,452
2013$4,073,656$3,551,208▲ $40,947$253,584$7,412,227
2012$2,719,409$2,252,267▲ $54,351$952,371$4,073,656
2011$2,945,233$424,618▲ $53,135$703,577$2,719,409
2010$3,005,818$834,833▲ $26,652$922,070$2,945,233
Compensation and Service Providers
Top Officer Pay55th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Robert J LongoPres/Asst Sec&Trea/Trustee/CEOFT$408,584$115,527$524,111
aaron laneResidency PhysicianFT$143,697$236,630$380,327
Robert ShaverVP Medical AffairsFT$304,783$53,677$358,460
Kimberly FeemanSenior VP & COOFT$274,106$73,245$347,351
robert j richardsVP finance & CFOFT$241,471$83,566$325,037
Daria KovarikovaResidency PhysicianFT$193,521$22,510$216,031
Jacquelyn M GouldVP of NursingFT$170,591$43,852$214,443
byard yoderresidency physicianFT$177,099$17,907$195,006
John SheffieldResidency PhysicianFT$167,611$20,941$188,552
Victoria BrownResidency PhysicianFT$163,856$23,000$186,856
William MulliganVP Strategic Planning & MKTGFT$124,244$39,919$164,163

Board Members and Trustees

NameTitle
John P Welch MDChairman/Trustee
Dennis L ShaltersPast Chairman/Trustee
Donald H DreibelbisFirst Vice Chairman/Trustee
Robert J FunkSecond Vice Chairman/Trustee
Jane JuppenlatzSecretary/Trustee
Frederick S WolfsonTreasurer/Trustee
Bryan G Pilkington MDTrustee
Carol BleckerTrustee
Deborah T WeaverTrustee
Evelyn C ColonTrustee
Frederick C LaurenzoTrustee
Galen G WeaberTrustee
Julie ZinsserTrustee
Paul R DiGiacomo MDTrustee
Robert J PhillipsTrustee
Robert P HoffmanTrustee
William E SchaefferTrustee

Highest Paid Contractors

ContractorServicesLocationCompensation
Mckesson TechnologiesIT SupportPO Box 98347, Chicago, IL 60693-8347$5,035,920
Lebanon Anesthesia Assoc LtdAnesthesiologistsPO Box 1281, Lebanon, PA 17042$3,241,185
Lebanon Cardiology AssociatesCardiologists775 Norman Drive, Lebanon, PA 17042$2,003,341
Arthur Funk And Sons INCBuilding Contractor1405 BIRTH ROAD, Lebanon, PA 17042$1,891,553
Sodexo Operations LLCDietary mgmt ServicePO Box 360170, Pittsburgh, PA 15251-6170$1,508,800
Revenue and Support

Revenue Composition

Contributions and Grants
$2,091,000
Program Service Revenue
$181,425,802
Investment Income
$681,500
Other Revenue
$4,227,737
All Other Contributions
$2,091,000
Change in Net Assets
$4,475,088
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$108,604,723
Salaries, Compensation, and Employee Benefits$75,332,328
Grants and Similar Amounts Paid$13,900
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$49,538,724$8,165,134-$57,703,858
Other Employee Benefits$7,898,440$1,393,842-$9,292,282
Other Expenses$7,686,667$4,795,664-$7,686,667
Depreciation Depletion$6,232,474$1,099,848-$7,332,322
Payroll Taxes$3,198,983$1,130,318-$4,329,301
Fees for Services Other$3,589,561$633,452-$4,223,013
Interest$3,487,315$615,409-$4,102,724
Occupancy$2,129,581$375,808-$2,505,389
Pension Plan Contributions$1,707,876$301,390-$2,009,266
Current Officers, Directors, Trustees, and Key Employees-$1,997,621-$1,997,621
Insurance$1,682,940$296,989-$1,979,929
Advertising$2,258$1,363,141-$1,365,399
Office Expenses$831,476$146,731-$978,207
Fees for Services Legal-$732,203-$732,203
Travel$46,943$8,284-$55,227
Fees for Services Lobbying-$15,931-$15,931
Grants to Domestic Individuals$13,900--$13,900
Total Functional Expenses$160,879,186$23,071,765$0$183,950,951
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
John P Welch MDSee Part VProperty RentalNo$316,119
Frederick S WolfsonSee Part VAttorney FeesNo$138,334
Frederick C LaurenzoSee Part VCar SalesNo$86,014

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Accrued Retirement Benefit Costs$43,016,537
Insurance Reserves$4,191,000
3rd Party Payables$3,591,000
Due to Affiliates$1,078,009
Other Liabilities$805,000

Bond Issues

BondIssuerIssuedIssue PricePurpose
ALebanon County Health Facilities Authority2004-03-11$17,255,816See Part VI

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$17,255,816$0$0$0

Bond Financing Compliance

Form 8038-T filed
No
Gross proceeds invested
No
Exception to rebate
Yes
Corrective action procedures
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

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.”

Part VI, Section A, Line 6

“At June 30, 2015, The Good Samaritan Health Services Foundation, another 501(c)(3) organization, is the sole member of the Good Samaritan Hospital. Effective July 1, 2015, Wellspan Health acquired Good Samaritan Hospital.”

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.”

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.”

Part VI, Section B, Line 11

“Management provides an electronic copy of the form 990 to each voting member of the organization's governing body prior to its filing with the IRS.”

Part VI, Section B, Line 12A

“The Good Samaritan Hospital has a Compliance Officer who is responsible for monitoring and enforcing the compliance of policies. 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/herself from the discussion and abstain from voting on the issue.”

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.”

Part VI, Section C, Line 19

“The governing documents, conflict of interest policy and audited financial statements are available upon request.”

Filing and Contact Details

Filer

Filer Name
Good Samaritan Hospital
EIN
23-0794160
In Care Of
% DAVID RIZZUTO
Phone
7172707500
Address
PO Box 1281 4th Walnut Streets, Lebanon, PA 17042-1281

Signing Officer

Name
Michael F O'Connor
Title
Chief Financial Officer
Phone
7178512706
Signed
2016-05-16
Discuss with paid preparer
Yes

Organization Details

Principal Officer
jane hyde
Formed
1989
Legal Domicile
Pa
Voting Board Members
18
Independent Board Members
17
Employees
1,484
Volunteers
285

Preparer

Firm
Grant Thornton Llp
Address
2001 MARKET STREET SUITE 700, PHILADELPHIA, PA 19103
Preparer
Russlee Armstrong
Phone
2155614200
Supplemental Narrative

Additional Explanations

Other Changes in Net Assets or Fund Balance

“Change in accrued reitrement benefit costs ($ 9,568,768) Transfer to Affiliates ($ 8,502,320) ------------- total ($18,071,088)”

Financial Statement Notes

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, 2015, GSH'S TAX YEARS ENDED JUNE 30, 2012 THROUGH 2015 FOR THE FEDERAL TAX JURISDICTION REMAIN OPEN.”

Raw XML AppendixShowing 400 of 1,329 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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Document Assets

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Filings

Displayed year

2015 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$137,841,236
Liabilities
$148,071,758
Net assets
-$10,230,522
Revenue
$188,426,039
Expenses
$183,950,951
Net income
$4,475,088
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$116$114$2.49$325$321$3.51
2023Detailed filing. Detailed filing data is available for this year.$116$143$26.3$286$294$7.77
2022Detailed filing. Detailed filing data is available for this year.$117$209$91.8$290$292$1.70
2021Detailed filing. Detailed filing data is available for this year.$118$201$83.6$250$250$0.90
2020Detailed filing. Detailed filing data is available for this year.$115$217$102$233$237$4.43
2019Detailed filing. Detailed filing data is available for this year.$113$199$85.8$222$233$11.6
2018Detailed filing. Detailed filing data is available for this year.$114$181$66.8$204$224$19.9
2017Detailed filing. Detailed filing data is available for this year.$113$166$52.5$174$201$27.0
2016Detailed filing. Detailed filing data is available for this year.$115$143$27.4$182$189$7.01
2015Detailed filing. Detailed filing data is available for this year.$138$148$10.2$188$184$4.48
2014Detailed filing. Detailed filing data is available for this year.$146$144$2.74$178$185$6.31
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$141$136$5.88$196
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$144$151$6.56$178
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$150$121$28.5$167
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$145$133$12.0$168
Peer Organizations

Similar nonprofits based on the same Siviq industry and scale cohort. 2015 filings • 501(c)3 • $100M-$250M nonprofits