Lutheran Services in America Living and Thriving at Home Angela Bovill, David Fenoglietto, and John Kristel Moderated by Julie Kaminski

We have grown quite a bit since our humble beginnings… Good Shepherd Rehabilitation Network is the eighth largest rehabilitation provider in the country, according to Modern Healthcare magazine.

Good Shepherd Rehabilitation Network Nationally recognized not-for-profit rehabilitation leader Founded in 1908 in Allentown, Pennsylvania Offers an unmatched continuum of care for people with physical and cognitive disabilities More than 65,000 people treated annually at more than 60 locations throughout the Lehigh Valley and Philadelphia regions International leader in the use of rehabilitation technology World’s leading clinical user of the Ekso Bionics’ exoskeleton Recognized Center for Robotic Excellence Good Shepherd is a international leader in rehabilitation, offering a comprehensive continuum of post-acute care for individuals who have had accidents, illnesses or were born with disabilities Good Shepherd is the world’s leading clinical user of the Ekso bionic exoskeleton, which helps those with lower extremity weakness or paralysis walk. Our patients, many of which have suffered strokes or spinal cord injuries, have taken more than 5 million steps in the device, walking roughly the circumference of the moon or the distance of the Appalachian Trail. In 2017, Ekso Bionics named Good Shepherd a Center for Robotic Excellence – one of four facilities internationally to earn the designation

Levels of Care Inpatient Outpatient Long-Term Acute Care Allentown: 74 beds Monroe County: 12 beds Bethlehem: 20 pediatric beds Wayne Memorial Hospital: 14 managed beds GSPP: 58 managed beds Outpatient GSRN: 27 sites GSPP: 17 sites (PA/NJ) Long-Term Acute Care Bethlehem: 32 beds Philadelphia: 38 beds Long-Term Care Allentown: 99 beds Bethlehem: 60 beds Lehigh County: 670 managed beds

Assisted Living and Skilled Nursing Facilities Good Shepherd currently provides rehabilitation services to the residents of nine assisted living facilities and one skilled nursing facility. We expect to have formal agreements for two more assisted living facilities within the next month. We are proud to bring to these facilities the model of rehabilitation care and staff expertise that Good Shepherd is well known for. We believe that the elderly deserve the best life possible. Good Shepherd works with senior living communities to develop customized, proactive therapies that result in stronger, healthier residents who are at less risk for falls and subsequent injuries. Traditionally, these facilities do not receive the level of rehabilitation expertise that Good Shepherd provides. As a result, we have been very well received and are being asked regularly to expand our presence in these facilities.

Assisted Living and Skilled Nursing Facilities Good Shepherd provides rehabilitation services to meet the specific needs of the residents in these facilities. Program offerings, among many, include the following: Fall risk assessment and reduction program. Dementia program – including cognitive rehabilitation and functional restoration and safety programs. Parkinson’s disease rehabilitation and wellness programming. Swallowing / feeding programs. Stay Strong Program – program that keeps residents fit, strong, and healthy in their residence.

(IHOP) In-Home Outpatient Therapy IHOP is outpatient therapy where the therapist provides physical, occupational, and / or speech therapy in the patient’s home. This service is designed to reach patients who are unable to take part in traditional outpatient therapy. The goal of Good Shepherd’s In-Home Therapy is to help patients maintain a healthy lifestyle and to help them develop the necessary skills so that they can remain living in their home. Good Shepherd’s IHOP therapists also provide therapy services to patients living in residences in senior communities, independent living apartments and assisted living facilities.

(IHOP) In-Home Outpatient Therapy Good Shepherd’s IHOP services provided in the home are reimbursable by Medicare as long as the patient is not receiving formal home health care services. As the patient improves, the patient may elect to transfer to one of Good Shepherd’s outpatient facilities for their therapy to take advantage of the state of the art rehabilitation equipment located there.

Lutheran Services in America Living and Thriving at Home David Fenoglietto

DEMOGRAPHIC PRESSURE DEFINES THE MARKET: Looking to the future We Are Here 85 yrs. and over 75 yrs. and over 65 yrs. and over Source: U.S. Census Bureau National Population Projections (released 2008, based on Census 2000)

Living and Thriving at Home (organizational repositioning) 750 Emerging Start-ups 500 SilverSmart Technology ™ Care Navigator Senior Center in Shopping Mall 450 300 Skilled Nursing Home Health PACE

Living and Thriving at Home Independence at Home (IAH) Medicare demonstration program. PACE (all inclusive care for the elderly) Managed Medicaid and Accountable Care Organizations (ACOs) Acute care and home health care partnerships New “Age Encouraged Communities”

Living and Thriving at Home (The growing shift) Uber Health GoGoGrandparent.com Amazon Health Suite, Google Home Safety HealthStream, Connect Home, other