BLOOMSBURG PHYSICIANS SERVICES: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- BLOOMSBURG PHYSICIANS SERVICES (EIN 23-2979856)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-05-13
- IRS object ID
- 201401339349301980
- Schema version
- 2012v2.3
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-05-13T10:59:06-05:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 232979856 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLOOMSBURG PHYSICIANS SERVICES | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | BLOO | NameControl |
| Phone | 5702716624 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 NORTH ACADEMY AVENUE MC 49-70 | AddressLine1 |
| City | DANVILLE | City |
| State | PA | State |
| ZIP Code | 17822 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DAVID FELICIO ESQUIRE | Name |
| Title | SECRETARY | Title |
| Phone | 5702716624 | Phone |
| Date Signed | 2014-05-02 | DateSigned |
| Authorize Third Party | false | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Date Prepared | 2014-05-13 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | GLENN D STEELE MD PHD | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 NORTH ACADEMY AVENUE MC 22-01 | AddressLine1 |
| City | DANVILLE | City |
| State | PA | State |
| ZIP Code | 17822 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 1490880 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.GEISINGER.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1998 | YearFormation |
| State Legal Domicile | PA | StateLegalDomicile |
| Activity Or Mission Description | BLOOMSBURG PHYSICIANS SERVICES IS COMMITTED TO EMPLOYING PRIMARY CARE PHYSICIANS TO STAFF AND OPERATE PRIMARY CARE CLINICS. | ActivityOrMissionDescription |
| Termination Or Contraction | X | TerminationOrContraction |
| Nbr Voting Members Governing Body | 10 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 90 | TotalNbrEmployees |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 7016928 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 1466374 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 454 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2991 | InvestmentIncomeCurrentYear |
| Other Revenue Current Year | 21515 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 7017382 | TotalRevenuePriorYear |
| Total Revenue Current Year | 1490880 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 7486181 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 1613076 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 3118297 | OtherExpensePriorYear |
| Other Expenses Current Year | 618730 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 10604478 | TotalExpensesPriorYear |
| Total Expenses Current Year | 2231806 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -3587096 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -740926 | RevenuesLessExpensesCY |
| Total Assets BOY | 1325406 | TotalAssetsBOY |
| Total Assets EOY | 58458 | TotalAssetsEOY |
| Total Liabilities BOY | 2194457 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1404181 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -869051 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -1345723 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | BLOOMSBURG PHYSICIANS SERVICES IS COMMITTED TO EMPLOYING PRIMARY CARE PHYSICIANS TO STAFF AND OPERATE PRIMARY CARE CLINICS. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | true | SignificantChange |
| Expense | 1989774 | Expense |
| Revenue | 1490374 | Revenue |
| Description | PATIENT HEALTHCARE SERVICES SEE SCHEDULE O I.GENERAL INFORMATION BLOOMSBURG PHYSICIANS SERVICES (BPS), A 501(C)(3) NOT FOR PROFIT CORPORATION, EMPLOYED 16 PHYSICIANS PRACTICING AT 7 SITES IN 4 COMMUNITIES LOCATED IN NORTHEASTERN PENNSYLVANIA. DURING THE THREE MONTHS ENDING SEPTEMBER 30, 2012 PROVIDED APPROXIMATELY 13,000 CLINIC VISITS IN THE FOLLOWING AREAS: FAMILY MEDICINE, INTERNAL MEDICINE, GENERAL SURGERY, OBSTETRICS AND ORTHOPEDICS. PRACTICE LOCATIONS INCLUDED: BENTON, PA BERWICK, PA BLOOMSBURG, PA ELYSBURG, PA II.UNCOMPENSATED CARE BPS RECOGNIZES THAT ITS MISSION IS TO SERVE ALL THE MEMBERS OF THE COMMUNITY WITH RESPECT TO THE PROVISION OF HEALTHCARE SERVICES. BPS PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. IN THIS REGARD, BPS PROVIDES FREE CARE OR SUBSIDIZED CARE, TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT OR BELOW COST. A.CHARITY CARE THE PRIMARY CONCERN OF BPS IS THE DELIVERY OF HEALTH CARE TO ALL THE CITIZENS IN NORTHEASTERN AND PENNSYLVANIA, REGARDLESS OF THEIR ABILITY TO PAY. THE UNREIMBURSED COST OF CHARITY CARE REPRESENTS THE COST BPS INCURS BY PROVIDING FREE OR DISCOUNTED SERVICES TO THOSE WHO CANNOT AFFORD TO PAY. FOR FISCAL YEAR ENDED JUNE 30, 2013, THE COST OF CHARITY CARE WAS 1,766. B.MEDICARE/MEDICAID RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO THE ELDERLY (MEDICARE) AND THE POOR (MEDICAID). BPS PROVIDES CARE, BELOW COST, TO PERSONS COVERED BY THESE GOVERNMENTAL PROGRAMS. TO THE EXTENT REIMBURSEMENT IS BELOW THE COST OF PROVIDING HEALTHCARE, BPS IS FURTHERING ITS MISSION TO THE ENTIRE COMMUNITY. THE UNREIMBURSED VALUE OF MEDICARE AND/OR MEDICAID IS EQUAL TO THE COST OF PROVIDING SERVICES LESS THE AMOUNT OF REIMBURSEMENT RECEIVED UNDER THE PROGRAM. FOR FISCAL YEAR ENDED JUNE 30, 2013, THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS 297,502. C.OTHER UNCOMPENSATED PATIENT SERVICES IN ADDITION, BPS PROVIDES OTHER PATIENT SERVICES FOR WHICH FULL PAYMENT IS NOT RECEIVED. THE UNCOMPENSATED COST OF PROVIDING SUCH PATIENT SERVICES DURING THE FISCAL YEAR ENDED JUNE 30, 2013, WAS 87,387. D.ORGANIZATION CHANGES EFFECTIVE JULY 1, 2012, GEISINGER BLOOMSBURG HOSPITAL AND ITS RELATED ENTITIES INCLUDING BPS, MERGED WITH GEISINGER HEALTH SYSTEM (THE "SYSTEM"). AS OF OCTOBER 1, 2012, PHYSICIANS WHO WERE IN GOOD STANDING WERE OFFERED EMPLOYMENT BY GEISINGER CLINIC (SEE SCHEDULE R, PART II). SUBSEQUENTLY, PHYSICIAN PRACTICE OPERATIONS WERE CONDUCTED THROUGH GEISINGER CLINIC. NO ONGOING OPERATIONS CONTINUE FOR BPS. III. COMMUNITY SERVICE SUMMARY CHARITY CARE 1,766 MEDICARE/MEDICAID 297,502 OTHER UNCOMPENSATED PATIENT SERVICES 87,387 TOTAL 386,655 | Description |
| Total Program Service Expense | 1989774 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | false | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | true | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | true | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 4 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 90 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 10 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | true | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | PA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | ERIN FITZGERALD AVPCFO | NamePerson |
| Telephone Number | 5703872156 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 549 EAST FAIR STREET | AddressLine1 |
| City | BLOOMSBURG | City |
| State | PA | State |
| ZIP Code | 17815 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (23 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| WILLIAM H ALEXANDER | |||||||||
| DIRECTOR | 0.25 | 5.25 | X | 0 | 0 | 0 | |||
| E ALLEN DEAVER | |||||||||
| DIRECTOR | 0.25 | 4.25 | X | 0 | 0 | 0 | |||
| DORRANCE R BELIN ESQUIRE | |||||||||
| VICE CHAIR, | 0.25 | 4.25 | X | 0 | 0 | 0 | |||
| RICHARD A GRAFMYRE | |||||||||
| DIRECTOR | 0.25 | 5.25 | X | 0 | 0 | 0 | |||
| WILLIAM R GRUVER | |||||||||
| DIRECTOR | 0.25 | 4.50 | X | 0 | 0 | 0 | |||
| FRANK M HENRY | |||||||||
| DIRECTOR | 0.25 | 4.25 | X | 0 | 0 | 0 | |||
| THOMAS H LEE JR MD | |||||||||
| DIRECTOR | 0.25 | 5.00 | X | 0 | 0 | 0 | |||
| GLENN D STEELE JR MD PHD | |||||||||
| PRES,CHAIR, | 0.00 | 40.00 | X | 0 | 2062556 | 418454 | X | ||
| ROBERT E POOLE | |||||||||
| DIRECTOR | 0.25 | 4.50 | X | 0 | 0 | 0 | |||
| DON A ROSINI | |||||||||
| DIRECTOR | 0.25 | 5.25 | X | 0 | 0 | 0 | |||
| DAVID J FELICIO ESQUIRE | |||||||||
| CLO, SECRETA | 0.00 | 40.00 | 0 | 512681 | 140659 | X | |||
| EDWARD J ZYCH ESQUIRE | |||||||||
| ACLO, ASST S | 0.00 | 40.00 | 0 | 344575 | 65798 | X | |||
| KEVIN F BRENNAN CPA FHFMA | |||||||||
| EVP, FINANCE | 0.00 | 40.00 | 0 | 1079326 | 202187 | X | |||
| ALBERT BOTHE JR MD | |||||||||
| CMO | 0.00 | 40.00 | 0 | 1071539 | 189516 | X | |||
| LISSA L BRYAN SMITH | |||||||||
| CAO | 0.00 | 40.00 | 0 | 414636 | 30767 | X | |||
| FRANK J TREMBULAK | |||||||||
| SR VP, TREAS | 0.00 | 40.00 | 0 | 1245352 | 216867 | X | |||
| MICHAEL C GERST DO | |||||||||
| ER PHYSICIAN | 40.00 | 0.00 | 259183 | 65116 | 34035 | X | |||
| JOSEPH C ORZECHOWSKI MD | |||||||||
| ER PHYSICIAN | 40.00 | 0.00 | 224077 | 62251 | 17418 | X | |||
| BEN MONTGOMERY MD | |||||||||
| PHYSICIAN | 40.00 | 0.00 | 338092 | 97180 | 36491 | X | |||
| PATRICK J ERWIN MD | |||||||||
| PHYSICIAN,FM | 40.00 | 0.00 | 266562 | 82771 | 39206 | X | |||
| ZEFERINO MARTINEZ MD | |||||||||
| PHYSICIAN | 40.00 | 0.00 | 492039 | 107885 | 23126 | X | |||
| REGIS P CABONOR | |||||||||
| FORMER OFFIC | 0.00 | 40.00 | 0 | 393164 | 12816 | X | |||
| JOSEPH M DEVITO | |||||||||
| FORMER OFFIC | 0.00 | 40.00 | 0 | 381298 | 16953 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1579953 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 7920330 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1444293 | TotalOtherCompensation |
| Number Individuals GT100 K | 14 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (2 entries)
| Business Name Line2NameOfContractor/NameBusiness/BusinessNameLine2 | Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|---|
| ALLIED AFFILIATED FUNDING | ||||||
| WESTERN HEALTHCARE LLC | PO BOX 67649 | DALLAS | TX | 75267 | LOCUM TENENS | 139601 |
| WEATHERBY LOCUMS INC | ||||||
| PO BOX 972633 | DALLAS | TX | 753972633 | LOCUM TENENS | 115899 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 2 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621110 | 1342598 | 1342598 |
| IC SHARED SERVICES | 621110 | 123776 | 123776 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 1466374 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 506 | TotalRevenueColumn |
| Exclusion | $506 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 2485 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 2485 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2485 | TotalRevenueColumn |
| Exclusion | $2,485 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|
| ELECTRONIC HEALTH RECORD | 12000 | 12000 |
| MEDICAL RECORDS FEES | 5315 | 5315 |
| PHYSICIAN DEPOSITION FEES | 4200 | 4200 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 21515 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1490880 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1487889 | RelatedOrExemptFunctionIncome |
| Exclusion | $2,991 | ExclusionAmount |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1411019 | Total |
| Program Services | 1292241 | ProgramServices |
| Management And General | 118778 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18621 | Total |
| Program Services | 18621 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 124138 | Total |
| Program Services | 124138 | ProgramServices |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 59298 | Total |
| Program Services | 59298 | ProgramServices |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 69997 | Total |
| Management And General | 69997 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1937 | Total |
| Program Services | 1937 | ProgramServices |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 139880 | Total |
| Program Services | 139803 | ProgramServices |
| Management And General | 77 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3780 | Total |
| Management And General | 3780 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 46297 | Total |
| Program Services | 31311 | ProgramServices |
| Management And General | 14986 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5916 | Total |
| Program Services | 5277 | ProgramServices |
| Management And General | 639 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 106126 | Total |
| Program Services | 106126 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17545 | Total |
| Program Services | 16725 | ProgramServices |
| Management And General | 820 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3782 | Total |
| Program Services | 3782 | ProgramServices |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5517 | Total |
| Management And General | 5517 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 36004 | Total |
| Program Services | 21385 | ProgramServices |
| Management And General | 14619 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 74923 | Total |
| Program Services | 74923 | ProgramServices |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| LICENSES & FEES | 57679 | 44860 | 12819 |
| DRUGS & PHARMACEUTICALS | 46465 | 46465 | |
| MEDICAL EXPENSES | 2882 | 2882 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2231806 | Total |
| Program Services | 1989774 | ProgramServices |
| Management And General | 242032 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41705 | BOY |
| EOY | 58444 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 404892 | BOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4007 | BOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8431 | BOY |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 50634 | BOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 291134 | BOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 524603 | BOY |
| EOY | 14 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1325406 | BOY |
| EOY | 58458 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1710244 | BOY |
| EOY | 7790 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 413749 | BOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 70464 | BOY |
| EOY | 1396391 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2194457 | BOY |
| EOY | 1404181 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -869051 | BOY |
| EOY | -1345723 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -869051 | BOY |
| EOY | -1345723 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1325406 | BOY |
| EOY | 58458 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -740926 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 264254 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule D IRS990ScheduleD
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DUE TO AFFILIATES | Description |
| Amount | $1,396,391 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 1396391 | TotalOfAmounts |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SUPPLEMENTAL FINANCIAL INFORMATION | Identifier |
| Return Reference | SCHEDULE D, PAGE 4, PART XIII | ReturnReference |
| Explanation | EFFECTIVE JULY 1, 2007, GEISINGER HEALTH SYSTEM(1) ("GHS") ADOPTED FASB INTERPRETATION NO. 48, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, AN INTERPRETATION OF FASB STATEMENT NO. 109 ("FIN 48"). FIN 48 CLARIFIES THE ACCOUTNING AND REPORTING FOR INCOME TAXES WHERE THE INTERPREATION OF THE TAX LAW MAY BE UNCERTAIN. FIN 48 PRESCRIBES A COMPREHENSIVE MODEL FOR THE FINANCIAL STATEMENT RECOGNITION, MANAGEMENT, PRESENTATION AND DISCLOURES OF INCOME TAX UNCERTAINTIES WITH RESPECT TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN INCOME TAX RETURNS. THE ADOPTION OF FIN 48 HAD NO IMPACT ON UNRESTRICTED NET ASSETS AS OF JUNE 30, 2013 OR ANY PREVIOUS YEAR SINCE ADOPTION. ACCORDINGLY, NO FIN 48 FOOTNOTE DISCLOSURE WAS MADE IN THE JUNE 30, 2013 GHS CONSOLIDATED FINANCIAL STATEMENTS. (1) THROUGOUT THIS DOCUMENT, THE ACRONYM "GHS" OR THE TERMS "SYSTEM", "GEISINGER", OR "GEISINGER HEALTH SYSTEM" SHALL REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF THE GEISINGER HEALTH SYSTEM FOUDNATION ("THE FOUNDATION") AS PARENT AND ALL SUBSIDIARY CORPORATE ENTITIES COMPRISING THE SYSTEM. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)
| TitleTitle | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs | Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GLENN D STEELE JR MD PHD | |||||||||||||
| PRESCHAIR DIRECTOR | 1021563 | 920000 | 120993 | 388588 | 29866 | 2481010 | |||||||
| DAVID J FELICIO ESQUIRE | |||||||||||||
| CLO SECRETARY | 313540 | 152506 | 46635 | 120520 | 20139 | 653340 | |||||||
| EDWARD J ZYCH ESQUIRE | |||||||||||||
| ACLO ASST SECRETARY | 250888 | 74435 | 19252 | 43763 | 22035 | 410373 | |||||||
| KEVIN F BRENNAN CPA FHFMA | |||||||||||||
| EVP FINANCE CFO | 501671 | 290967 | 286688 | 181114 | 21073 | 1281513 | 247768 | ||||||
| ALBERT BOTHE JR MD | |||||||||||||
| CMO | 528879 | 268143 | 274517 | 178224 | 11292 | 1261055 | 221209 | ||||||
| LISSA L BRYAN SMITH | |||||||||||||
| CAO | 261065 | 74070 | 79501 | 18096 | 12671 | 445403 | 30414 | ||||||
| FRANK J TREMBULAK | |||||||||||||
| SR VP TREASURER | 592806 | 305296 | 347250 | 203077 | 13790 | 1462219 | 274280 | ||||||
| MICHAEL C GERST DO | |||||||||||||
| ER PHYSICIAN | 61422 | 3694 | 3094 | 4198 | 72408 | 231995 | 27188 | 8700 | 18043 | 285926 | |||
| JOSEPH C ORZECHOWSKI MD | |||||||||||||
| ER PHYSICIAN | 42880 | 19371 | 3090 | 1522 | 66863 | 196889 | 27188 | 5154 | 7652 | 236883 | |||
| BEN MONTGOMERY MD | |||||||||||||
| PHYSICIAN | 96413 | 767 | 4838 | 4084 | 106102 | 338092 | 8576 | 18993 | 365661 | ||||
| PATRICK J ERWIN MD | |||||||||||||
| PHYSICIANFMR OFFICE | 76484 | 6287 | 3938 | 6010 | 92719 | 266562 | 6700 | 22558 | 295820 | ||||
| ZEFERINO MARTINEZ MD | |||||||||||||
| PHYSICIAN | 95217 | 12668 | 5344 | 5106 | 118335 | 367694 | 12676 | 504715 | 124345 | ||||
| REGIS P CABONOR | |||||||||||||
| FORMER OFFICER | 266985 | 126179 | 3932 | 8884 | 405980 | ||||||||
| JOSEPH M DEVITO | |||||||||||||
| FORMER OFFICER | 269810 | 111488 | 3813 | 13140 | 398251 | ||||||||
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS | SCHEDULE J, PAGE 1, PART I, LINE 4 | KEVIN F. BRENNAN, CPA, FHFMA 0 247,768 0 ALBERT BOTHE, JR., M.D. 0 221,209 0 LISSA L. BRYAN SMITH 0 59,838 0 FRANK J. TREMBULAK 0 276,507 0 REGIS P. CABONOR 126,179 0 0 JOSEPH M. DEVITO 111,488 0 0 |
| NON-FIXED PAYMENTS PROVIDED | SCHEDULE J, PAGE 1, PART I, LINE 7 | PERFORMANCE BASED COMPENSATION IS DETERMED BY MEETING INDIVIDUALLY MEASURED PERFORMANCE GOALS THAT ARE ALIGNED WITH OVERALL SYSTEM OBJECTIVES, INCLUDING: CLINICAL, QUALITY, COMMUNITY MISSION ACHIEVEMENT, AND FINANCIAL STEWARDSHIP. |
| OTHER ADDITIONAL INFORMATION | SCHEDULE J, PART III | PART I, LINE 4A - SEVERANCE PAYMENT: UPON INVOLUNTARY SEPARATION, EMPLOYEES MAY BE ELIGIBLE TO RECEIVE CONTINUATION OF SALARY FOR A TERM THAT IS BASED ON THEIR YEARS OF GEISINGER HEALTH SYSTEM SERVICE AND POSITION. PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN COMPENSATION FOR ELIGIBLE EMPLOYEES MAY BE DEFERRED TO A 457(F) NONQUALIFIED PLAN THAT VESTS WITH COMPLETION OF SERVICE, DEATH AND/OR PERMANENT DISABILITY. __________________________________________________________________________ FOOTNOTE: THROUGHOUT FORM 990, THE TERMS "GEISINGER HEALTH SYSTEM" AND "SYSTEM" OR THE ACRONYM "GHS" SHALL REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF GEISINGER HEALTH SYSTEM FOUNDATION ("THE FOUNDATION") AS PARENT AND ALL SUBSIDIARY CORPORATIONS COMPRISING THE SYSTEM. |
Schedule N IRS990ScheduleN
Disposition Table DispositionTable (5 entries)
| Description Of AssetDescriptionOfAsset | Date Of DistributionDateOfDistribution | FMV Of AssetFMVOfAsset | Method Of FMV DeterminationMethodOfFMVDetermination | EINEIN | Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | IRC SectionIRCSection |
|---|---|---|---|---|---|---|---|---|---|
| GEISINGER HEALTH SYSTEM FOUNDATION | |||||||||
| CASH | 2012-07-01 | 41704 | FMV | 231995911 | 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 501C3 |
| GEISINGER HEALTH SYSTEM FOUNDATION | |||||||||
| ACCTS RECEIVABLE, NET | 2012-07-01 | 363362 | BOOK VALUE | 231995911 | 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 501C3 |
| GEISINGER HEALTH SYSTEM FOUNDATION | |||||||||
| PPD EXP AND OTHER | 2012-07-01 | 114586 | BOOK VALUE | 231995911 | 100 NORTH ACADEMY MC 49-70 | DANVILLE | PA | 17822 | 501C3 |
| GEISINGER HEALTH SYSTEM FOUNDATION | |||||||||
| PROPERTY PLANT EQUIP | 2012-07-01 | 9823 | BOOK VALUE | 231995911 | 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 501C3 |
| GEISINGER HEALTH SYSTEM FOUNDATION | |||||||||
| OTHER ASSETS | 2012-07-01 | 439133 | BOOK VALUE | 231995911 | 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 501C3 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor2 | false | DirectorOfSuccessor2 |
| Employee Of Successor2 | false | EmployeeOfSuccessor2 |
| Owner Of Successor2 | false | OwnerOfSuccessor2 |
| Receive Compensation2 | false | ReceiveCompensation2 |
Form990 Schedule N Part III Form990ScheduleNPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | ADDITIONAL INFORMATION | Identifier |
| Return Reference | SCHEDULE N | ReturnReference |
| Explanation | EFFECTIVE JULY 1 2012 THE BLOOMSBURG HOSPITAL NOW GEISINGERBLOOMSBURG HOSPITAL GBH AND ITS RELATED ENTITIES GEISINGERBLOOMSBURG HEALTH CARE CENTER FORMERLY BLOOMSBURG HEALTH CARE CENTER BLOOMSBURG PHYSICIANS SERVICES COLUMBIA MONTOUR HOME HEALTH SERVICES AND THE BLOOMSBURG HOSPITAL MEDICAL PROFESSIONAL SELFINSURANCE TRUST MERGED WITH GEISINGER HEALTH SYSTEM GEISINGER HEALTH SYSTEM FOUNDATION APPOINTED NEW OFFICERS AND A NEW BOARD OF DIRECTORS FOR GBH AND ALL RELATED ENTITIES SEE ATTACHED MERGER DOCUMENTS | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (14 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ANY SIGNIFICANT CHANGES IN CONDUCT FOR PROGRAM SERVICES | FORM 990, PAGE 2, PART III, LINE 3 | EFFECTIVE OCTOBER 1, 2012 PHYSICIANS WHO WERE EMPLOYED BY BLOOMSBURG PHYSICIANS SERVICES AND IN GOOD STANDING WERE OFFERED EMPLOYMENT BY GEISINGER CLINIC (SEE SCHEDULE R, PART II). REMAINING STAFF BECAME EMPLOYEES OF GEISINGER-BLOOMSBURG HOPSITAL (SEE SCHEDULE R, PART II). AS SUCH ALL ACTIVE OPERATIONS CEASED SEPTEMBER 30, 2012. |
| FIRST ACCOMPLISHMENT DESCRIPTION | FORM 990, PAGE 2, PART III, LINE 4A | I.GENERAL INFORMATION BLOOMSBURG PHYSICIANS SERVICES (BPS), A 501(C)(3) NOT FOR PROFIT CORPORATION, EMPLOYED 16 PHYSICIANS PRACTICING AT 7 SITES IN 4 COMMUNITIES LOCATED IN NORTHEASTERN PENNSYLVANIA. DURING THE THREE MONTHS ENDING SEPTEMBER 30, 2012 PROVIDED APPROXIMATELY 13,000 CLINIC VISITS IN THE FOLLOWING AREAS: FAMILY MEDICINE, INTERNAL MEDICINE, GENERAL SURGERY, OBSTETRICS AND ORTHOPEDICS. PRACTICE LOCATIONS INCLUDED: BENTON, PA BERWICK, PA BLOOMSBURG, PA ELYSBURG, PA II.UNCOMPENSATED CARE BPS RECOGNIZES THAT ITS MISSION IS TO SERVE ALL THE MEMBERS OF THE COMMUNITY WITH RESPECT TO THE PROVISION OF HEALTHCARE SERVICES. BPS PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. IN THIS REGARD, BPS PROVIDES FREE CARE OR SUBSIDIZED CARE, TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT OR BELOW COST. A.CHARITY CARE THE PRIMARY CONCERN OF BPS IS THE DELIVERY OF HEALTH CARE TO ALL THE CITIZENS IN NORTHEASTERN AND PENNSYLVANIA, REGARDLESS OF THEIR ABILITY TO PAY. THE UNREIMBURSED COST OF CHARITY CARE REPRESENTS THE COST BPS INCURS BY PROVIDING FREE OR DISCOUNTED SERVICES TO THOSE WHO CANNOT AFFORD TO PAY. FOR FISCAL YEAR ENDED JUNE 30, 2013, THE COST OF CHARITY CARE WAS 1,766. B.MEDICARE/MEDICAID RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO THE ELDERLY (MEDICARE) AND THE POOR (MEDICAID). BPS PROVIDES CARE, BELOW COST, TO PERSONS COVERED BY THESE GOVERNMENTAL PROGRAMS. TO THE EXTENT REIMBURSEMENT IS BELOW THE COST OF PROVIDING HEALTHCARE, BPS IS FURTHERING ITS MISSION TO THE ENTIRE COMMUNITY. THE UNREIMBURSED VALUE OF MEDICARE AND/OR MEDICAID IS EQUAL TO THE COST OF PROVIDING SERVICES LESS THE AMOUNT OF REIMBURSEMENT RECEIVED UNDER THE PROGRAM. FOR FISCAL YEAR ENDED JUNE 30, 2013, THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS 297,502. C.OTHER UNCOMPENSATED PATIENT SERVICES IN ADDITION, BPS PROVIDES OTHER PATIENT SERVICES FOR WHICH FULL PAYMENT IS NOT RECEIVED. THE UNCOMPENSATED COST OF PROVIDING SUCH PATIENT SERVICES DURING THE FISCAL YEAR ENDED JUNE 30, 2013, WAS 87,387. D.ORGANIZATION CHANGES EFFECTIVE JULY 1, 2012, GEISINGER BLOOMSBURG HOSPITAL AND ITS RELATED ENTITIES INCLUDING BPS, MERGED WITH GEISINGER HEALTH SYSTEM (THE "SYSTEM"). AS OF OCTOBER 1, 2012, PHYSICIANS WHO WERE IN GOOD STANDING WERE OFFERED EMPLOYMENT BY GEISINGER CLINIC (SEE SCHEDULE R, PART II). SUBSEQUENTLY, PHYSICIAN PRACTICE OPERATIONS WERE CONDUCTED THROUGH GEISINGER CLINIC. NO ONGOING OPERATIONS CONTINUE FOR BPS. III. COMMUNITY SERVICE SUMMARY CHARITY CARE 1,766 MEDICARE/MEDICAID 297,502 OTHER UNCOMPENSATED PATIENT SERVICES 87,387 TOTAL 386,655 |
| ADDITIONAL INFORMATION | FORM 990, PART VI | FORM 990, PART I, SECTION A, LINE 4: FORM 990, PART VI, SECTION A, LINE 1B: ENTER THE NUMBER OF VOTING MEMBERS THAT ARE INDEPENDENT. BASED ON THE FORM 990 DEFINITION OF "INDEPENDENCE" AS IT RELATES TO VOTING MEMBERS OF THE GOVERNING BODY, ONE VOTING MEMBER IS NOT INDEPENDENT BECAUSE HE IS COMPENSATED AS AN EMPLOYEE OF A RELATED TAX-EXEMPT ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 2: DID ANY OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE HAVE A FAMILY RELATION- SHIP OR BUSINESS RELATIONSHIP WITH ANY OTHER OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE? GLENN D. STEELE, JR. M.D., PH.D., DAVID J. FELICIO, ESQUIRE, FRANK J. TREMBULAK, EDWARD J. ZYCH, ESQUIRE, WILLIAM H. ALEXANDER, RICHARD GRAFMYRE, WILLIAM R. GRUVER, THOMAS H. LEE, JR., M.D., ROBERT E. POOLE, DON A. ROSINI AND ALBERT BOTHE, M.D. ALL HAVE A BUSINESS RELATIONSHIP WITH ONE ANOTHER BECAUSE THEY SERVE AS OFFICERS AND/OR DIRECTORS ON ONE OR MORE FOR-PROFIT AFFILIATES OF BLOOMSBURG PHYSICIANS SERVICES. ALL OF THE AFFILIATES ARE PART OF THE GEISINGER HEALTH SYSTEM. |
| SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTS | FORM 990, PAGE 6, PART VI, LINE 4 | ON JULY 1, 2012, THE ORGANIZATION CHANGED ITS RESPECTIVE ARTICLES OF INCORPORATION AND CORPORATE BYLAWS TO REFLECT THE MERGER AND INTEGRATION BY AND BETWEEN BLOOMSBURG HEALTH SYSTEM AND GEISINGER HEALTH SYSTEM IN WHICH GEISINGER HEALTH SYSTEM FOUNDATION BECAME SOLE MEMBER OF EACH OF THE FOLLOWING NON-PROFIT ORGANIZATIONS: BLOOMSBURG HOSPITAL, NOW KNOWN AS GEISINGER-BLOOMSBURG HOSPITAL, BLOOMSBURG HEALTH CARE CENTER, NOW KNOWN AS GEISINGER-BLOOMSBURG HEALTH CARE CENTER, COLUMBIA MONTOUR HOME HEALTH SERVICES/VISITING NURSES ASSOCIATION, INC., AND BLOOMSBURG PHYSICIANS SERVICES, INC. |
| CLASSES OF MEMBERS OR STOCKHOLDERS | FORM 990, PAGE 6, PART VI, LINE 6 | THE MEMBERS OF THE CORPORATION HAVE THE POWER AND AUTHORITY TO ELECT AND REMOVE THE DIRECTORS; ELECT AND REMOVE THE PRESIDENT AND FILL ANY VACANCY IN THE OFFICE OF THE PRESIDENT OF THE CORPORATION; AND, MAY APPROVE AMENDMENTS TO THE CORPORATE BYLAWS IN LIEU OF SUCH APPROVAL BY THE BOARD OF DIRECTORS. THE MEMBERS ALSO HAVE THE RESERVE POWERS AS SET FORTH IN THE PENNSYLVANIA NONPROFIT CORPORATION LAW. |
| ELECTION OF MEMBERS AND THEIR RIGHTS | FORM 990, PAGE 6, PART VI, LINE 7A | THE BOARD OF DIRECTORS OF THE CORPORATION SHALL SERVE AS THE GOVERNING BODY OF THE CORPORATION. THE PRESIDENT OF THE CORPORATION SHALL BE A DIRECTOR BY REASON OF HOLDING SUCH OFFICE. THE REMAINING DIRECTORS SHALL BE ELECTED BY THE MEMBERS AT THE ANNUAL MEETING OF THE MEMBERS. THE MEMBERS OF THE CORPORATION MAY SERVE AS DIRECTORS AND DIRECTORS MAY SUCCEED THEMSELVES FROM TERM TO TERM. VACANCIES ON THE BOARD OF DIRECTORS SHALL BE FILLED BY THE MEMBERS AT THEIR DISCRETION AT THE ANNUAL MEETING OF THE MEMBERS OR AT A SPECIAL MEETING CALLED FOR SUCH PURPOSE. |
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | FORM 990, PAGE 6, PART VI, LINE 11B | ALL OFFICERS AND DIRECTORS WERE ELECTRONICALLY PROVIDED A FINAL COPY OF THE FORM 990 PRIOR TO FILING THE RETURN WITH THE IRS. AN EXECUTIVE SUMMARY OF THE INFORMATION REPORTED ON THE RETURN IS PROVIDED TO ASSIST IN THE REVIEW. IN ACCORDANCE WITH THE GEISINGER HEALTH SYSTEM FOUNDATION BOARD OF DIRECTOR'S FINANCE COMMITTEE CHARTER, STAFF PERIODICALLY REVIEWS THE GHS ORGANIZATIONS' FORM 990 FILINGS. THE FORM 990 IS PREPARED BY THE GEISINGER HEALTH SYSTEM (GHS) TAX AND FINANCIAL REPORTING DEPARTMENTS WITH INFORMATION PROVIDED FROM FINANCE, TAX, HUMAN RESOURCES, LEGAL SERVICES AND OTHER RELEVANT DEPARTMENTS WITHIN THE GEISINGER HEALTH SYSTEM. THE CHIEF FINANCIAL OFFICER (CFO) OF GHS AND THE INDIVIDUAL ORGANIZATIONS SENIOR FINANCIAL MANAGERS REVIEW THEIR RESPECTIVE FORM 990 PRIOR TO MAKING THE FINAL RETURN AVAILABLE TO THE BOARD. IN ADDITION, THE CHIEF LEGAL OFFICER AND CHIEF HUMAN RESOURCE OFFICER OF GHS REVIEW THE INFORMATION DISCLOSED ON THE FORM 990 RELEVANT TO THEIR RESPECTIVE AREAS OF RESPONSIBILITY. FOR PURPOSES OF THEIR ANNUAL AUDIT OF THE GHS CONSOLIDATED FINANCIAL STATEMENTS, INDEPENDENT AUDITORS REVIEW ALL FEDERAL TAX RETURNS FILED BY THE GHS ORGANIZATIONS TO IDENTIFY MATERIAL ITEMS, INCLUDING IF THERE ARE ANY UNCERTAIN TAX POSITIONS THAT MAY BE REQUIRED TO BE RECOGNIZED. THE COMPANY HAD NO UNCERTAIN TAX POSITIONS REQUIRED TO BE REPORTED FOR FISCAL YEAR. |
| ENFORCEMENT OF CONFLICTS POLICY | FORM 990, PAGE 6, PART VI, LINE 12C | THE OFFICERS AND DIRECTORS OF TEH ORGANIZATION ARE SUBJECT TO THE GHS CONFLICT OF INTEREST POLICY FOR DIRECTORS, OFFICERS AND SENIOR LEADERS (MAY INCLUDE INDEPENDENT CONTRACTORS). AT LEAST ONCE EACH YEAR DIRECTORS, OFFICERS, KEY EMPLOYEES, SENIOR LEADERS (INCLUDING INDEPENDENT CONTRACTORS) AND OTHERS DESIGNATED BY THE BOARD OF DIRECTORS ARE REQUIRED TO DISCLOSE IN WRITING THE EXISTENCE OF ANY POTENTIAL FINANCIAL INTERESTS THAT MAY GIVE RISE TO A CONFLICT OF INTEREST WITH ANY AFFILIATE WITHIN THE GEISINGER HEALTH SYSTEM. THE DISCLOSURES ARE REVIEWED BY THE OFFICE OF THE CHIEF LEGAL OFFICER AND REPORTED TO THE AUDIT COMMITTEE AND BOARD OF DIRECTORS. AFTER REVIEW OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, INPUT FROM DEPARTMENT OF LEGAL SERVICES AND ANY DISCUSSION WITH THE PERSON DESIRED BY THE BOARD OR COMMITTEE, THE BOARD DECIDES IF A CONFLICT EXISTS AND TAKES APPROPRIATE ACTION. THE INDIVIDUAL DISCLOSING THE FINANCIAL INTEREST IS ABSENT DURING THE BOARD DELIBERATIONS AND DECISIONS ON THE MATTER. |
| COMPENSATION PROCESS FOR TOP OFFICIAL | FORM 990, PAGE 6, PART VI, LINE 15A | THE PROCESS TO REVIEW AND APPROVE THE COMPENSATION OF GHS EMPLOYED BOARD DIRECTORS, OFFICERS AND EXECUTIVE MANAGEMENT IS DESIGNED TO SATISFY THE REBUTTABLE PRESUMPTION PROCEDURE AVAILABLE FOR INTERMEDIATE SANCTION PURPOSES. THE PROCESS REQUIRES A REVIEW OF COMPENSATION DETERMINATIONS BY DISINTERESTED PARTIES, USE OF APPROPRIATE COMPARABILITY DATA AND CONTEMPORANEOUS DOCUMENTATION OF THE PROCESS. ON AN ANNUAL BASIS AN INDEPENDENT, NATIONALLY RECOGNIZED COMPENSATION CONSULTANT COMPLETES A COMPARATIVE ASSESSMENT OF COMPENSATION FOR THE CEO AND SENIOR MANAGEMENT WITHIN GHS. THE CONSULTANT'S REPORT IS PRESENTED TO THE MANAGEMENT AND COMPENSATION COMMITTEE PRIOR TO ANY COMPENSATION ADJUSTMENT. THE REPORT SUPPORTS THE RIGOROUS REVIEW COMPLETED BY THE MANAGEMENT AND COMPENSATION COMMITTEE TO ENSURE THAT THE PROGRAM IS RESPONSIBLE TO THE GEISINGER CHARITABLE MISSION, REFLECTS REASONABLE COMPENSATION WITHIN THE NONPROFIT MARKET AND IS COMPLIANT WITH THE IRS'S INTERMEDIATE SANCTION REQUIREMENTS. THE SURVEY DATA IN THE COMPARATIVE ANALYSIS IS CAPTURED FOR FUNCTIONALLY COMPARABLE POSITIONS IN MULTIPLE SIMILAR NONPROFIT ORGANIZATIONS AND REFLECTS TOTAL REMUNERATION PROVIDED IN THE MARKET. ALL SURVEYS ARE CONDUCTED BY THIRD PARTY ORGANIZATIONS AND NOT CONDUCTED AT THE SPECIFIC DIRECTION OF GEISINGER. ANY COMPENSATION ADJUSTMENTS ARE APPROVED BY MANAGEMENT AND COMPENSATION COMMITTEE PRIOR TO THE EFFECTIVE DATE OF THE PAYMENT. THE MANAGEMENT AND COMPENSATION COMMITTEE AT ITS SOLE DISCRETION MAY POSITIVELY OR NEGATIVELY ADJUST ANY RECOMMENDED COMPENSATION. |
| COMPENSATION PROCESS FOR OFFICERS | FORM 990, PAGE 6, PART VI, LINE 15B | SEE SCHEDULE O RESPONSE TO FORM 990, PART VI, SECTION B, QUESTION 15A. |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | FORM 990, PAGE 6, PART VI, LINE 19 | THE MISSION STATEMENT IS AVAILABLE ON THE GEISINGER HEALTH SYSTEM WEBSITE AT WWW.GEISINGER.ORG. THE ANNUAL REPORT FOR GEISINGER HEALTH SYSTEM, CONTAINING COMMUNITY BENEFIT INFORMATION, CONSOLIDATED FINANCIAL INFORMATION AND OTHER INFORMATION, ARE AVAILABLE ON THE GEISINGER HEALTH SYSTEM WEBSITE. GO TO: WWW.GEISINGER.ORG/ABOUT/MISSION.HTML AND SELECT 2013 ANNUAL REPORT. FINANCIAL STATEMENTS, THE COMPLETE FORM 990 AND FORM 990-T, THE CONFLICTS OF INTEREST POLICY, AND OTHER GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| OTHER CHANGES IN NET ASSETS EXPLANATION | FORM 990, PART XI, LINE 9 | ACQUISITION ACCOUNTING 264,254 EFFECTIVE JULY 1, 2012, GEISINGER-BLOOMSBURG HOSPITAL ("GBH") AND ITS RELATED ENTITIES (GEISINGER-BLOOMSBURG HEALTHCARE CENTER ("GBHCC"), BLOOMSBURG PHYSICIANS SERVICES ("BPS"), COLUMBIA MONTOUR HOME HEATH SERVICES ("CMHHS") AND THE BLOOMSBURG HOSPITAL MEDICAL PROFESSIONAL LIABILITY SELF-INSURANCE TRUST ("BSIT")) MERGED WITH GEISINGER HEALTH SYSTEM. AS PART OF THAT MERGER, BPS EVALUATED ALL ASSETS AND LIABILITIES AND ADJUSTED TO FAIR MARKET VALUES. |
| ADDITIONAL INFORMATION | FORM 990, PART XII | FORM 990, PART XII, LINE 3A: AS A RESULT OF A FEDERAL AWARD, WAS THE ORGANIZATION REQUIRED TO UNDERGO AN AUDIT OR AUDITS AS SET FORTH IN THE AUDIT ACT OR OMB CIRCULAR A-133? FEDERAL AWARDS ARE AUDITED AS A PART OF THE GEISINGER HEALTH SYSTEM'S CONSOLIDATED REPORT ON FEDERAL AWARDS IN ACCORDANCE WITH OMB CIRCULAR A-133. FOOTNOTE: THROUGHOUT THE FORM 990, THE TERMS "GEISINGER HEALTH SYSTEM" AND SYSTEM OR THE ACRONYM "GHS" SHALL REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF GEISINGER HEALTH SYSTEM FOUNDATION ("THE FOUNDATION") AS PARENT AND ALL SUBSIDIARY CORPORATIONS COMPRISING THE SYSTEM. |
| CHANGE IN FINANCIAL REVIEW PROCESS | FORM 990, PAGE 12, PART XII, LINE 2C | EFFECTIVE JULY 1, 2012, BLOOMSBURG PHYSICIANS SERVICES WAS INTEGRATED INTO THE GEISINGER HEALTH SYSTEM. AS A RESULT OF THAT INTEGRATION, THE GEISINGER HEALTH SYSTEM FORM 990 REVIEW PROCESS, AS DESCRIBED IN THE SCHEDULE O RESPONSE TO FORM 990 PART VI, LINE 11B, WAS IMPLEMENTED. IN ADDITION, THE GEISINGER HEALTH SYSTEM AUDIT COMMITTEE IS NOW RESPONSIBLE FOR THE OVERSIGHT OF THE CONSOLIDATED AUDIT AND SELECTION OF THE INDEPENDENT AUDITORS. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (24 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| GEISNGER HEALTH SYSTEM FOUNDATION | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 231995911 | PHILANTHOP | PA | 501C3 | 7 | N/A | true | |
| GEISINGER MEDICAL CENTER | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 240795959 | HOSPITAL | PA | 501C3 | 3 | true | GHSF | |
| GEISINGER CLINIC | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 236291113 | PHYS SVCS | PA | 501C3 | 11A | true | GHSF | |
| GEISINGER WYOMING VALLEY MED CTR | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 231996150 | HOSPITAL | PA | 501C3 | 3 | true | GHSF | |
| MARWORTH | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232171417 | D&A REHAB | PA | 501C3 | 3 | true | GHSF | |
| GEISINGER HEALTH PLAN | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232311553 | HEALTH INS | PA | 501C4 | true | GHSF | ||
| HERSHEY MEDICAL CENTER | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232891807 | HOSPITAL | PA | 501C3 | 3 | true | GHSF | |
| GEISINGER SYSTEM SERVICES | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232164794 | SUPPORT SV | PA | 501C3 | 11A | true | GHSF | |
| GEISINGER COMMUNITY HEALTH SERVICES | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232967235 | HEALTHCARE | PA | 501C3 | 9 | true | GSS | |
| GEISINGER INSURANCE CORPORATIONRRG | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 141909894 | SELF INS | VT | 501C3 | 11A | true | GHSF | |
| GEISINGER MED CTR PROF LIAB TRUST | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 256220019 | SELF INS | PA | 501C3 | 11A | true | GMC | |
| GEISINGER EXCESS COV PROF LIAB TR | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 236852932 | SELF INS | PA | 501C3 | 11A | true | GMC | |
| COMMUNITY MEDICAL CENTER | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 240862246 | HOSPITAL | PA | 501C3 | 3 | true | GHSF | |
| COMMUNITY MEDICAL CARE INC | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232429776 | PHYS SVCS | PA | 501C3 | 9 | true | GHSF | |
| MEDICAL DIMENSIONS INC | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232369788 | HOLDING CO | PA | 501C2 | true | GHSF | ||
| CMC HEALTHCARE SYS MED PROF LIAB TR | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 046990600 | SELF INS | PA | 501C3 | 11A | true | GHSF | |
| MOUNTAIN VIEW NURSING HOME INC | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232568288 | LONG TERM | PA | 501C3 | 9 | true | GHSF | |
| COMMUNITY MEDICAL CTR HEALTHCARE SY | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232279376 | SUPPORT SV | PA | 501C3 | 11A | true | GHSF | |
| NORTHEAST CANCER CENTER INC | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 201687320 | HEALTHCARE | PA | 501C3 | 3 | true | NA | |
| HEALTH CARE CORP OF NORTHEAST PA | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232337286 | SUPPORT SV | PA | 501C3 | 11A | true | NA | |
| GEISINGER-BLOOMSBURG HOSPITAL | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232193572 | HOSPITAL | PA | 501C3 | 3 | true | GHSF | |
| GEISINGER-BLOOMSBURG HEALTHCARE CTR | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232242854 | SKLD NURSE | PA | 501C3 | 9 | true | GHSF | |
| COLUMBIA-MONTOUR HOME HEALTH SVC | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 231704399 | HOME HLTH | PA | 501C3 | 9 | true | GHSF | |
| BLOOMSBURG HOSP MED PROF LIAB TRUST | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 146222837 | SELF INS | PA | 501C3 | 11B | true | GHSF | |
Form990 Schedule R Part III Form990ScheduleRPartIII (14 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner |
|---|---|---|---|---|---|---|---|---|---|
| KEYSTONE ACCOUNTABLE CARE ORG LLC | |||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 454475297 | ACO | PA | N/A | false | false |
| LIFESOURCE GEISINGER BLOOD CTR LLC | |||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 364718005 | BLOOD COLL | PA | N/A | false | false |
| MERIDIAN GEISINGER HLTH NTWRK LLC | |||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 455484165 | ORG DL SYS | NJ | N/A | false | false |
| HEALTHSOUTH GHS LLC | |||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 721398803 | PHY THERAP | PA | N/A | false | false |
| EVANGELICAL-GEISINGER HEALTH LLC | |||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 460567687 | HEALTHCARE | PA | N/A | false | false |
| GEISINGER-SCA HOLDINGS LLC | |||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 461615328 | HOLDING CO | DE | N/A | false | false |
| LACKAWANNA PHYSICIANS AMB SURG CTR | |||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 233024998 | HEALTHCARE | PA | N/A | false | false |
| KEYSTONE ACCOUNTABLE CARE ORG LLC | |||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 454475297 | ACO | PA | N/A | false | false |
| LIFESOURCE GEISINGER BLOOD CTR LLC | |||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 364718005 | BLOOD COLL | PA | N/A | false | false |
| MERIDIAN GEISINGER HLTH NTWRK LLC | |||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 455484165 | ORG DL SYS | NJ | N/A | false | false |
| HEALTHSOUTH GHS LLC | |||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 721398803 | PHY THERAP | PA | N/A | false | false |
| EVANGELICAL-GEISINGER HEALTH LLC | |||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 460567687 | HEALTHCARE | PA | N/A | false | false |
| GEISINGER-SCA HOLDINGS LLC | |||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 461615328 | HOLDING CO | DE | N/A | false | false |
| LACKAWANNA PHYSICIANS AMB SURG CTR | |||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 233024998 | HEALTHCARE | PA | N/A | false | false |
Form990 Schedule R Part IV Form990ScheduleRPartIV (12 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Address Line1AddressForeign/AddressLine1 | Province Or StateAddressForeign/ProvinceOrState | CountryAddressForeign/Country | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GEISINGER MEDICAL MANAGEMENT CORP | ||||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232077663 | HOTEL/REST | PA | N/A | true | ||||
| INTERNATIONAL SHARED SERVICES INC | ||||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232159597 | COMPUTER | PA | N/A | true | ||||
| GEISINGER INDEMNITY INSURANCE COMP | ||||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232815174 | HLTH INSUR | PA | N/A | true | ||||
| GEISINGER QUALITY OPTIONS INC | ||||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 204275139 | HLTH INSUR | PA | N/A | true | ||||
| GEISINGER ASSURANCE COMPANY LTD | ||||||||||||
| 981016737 | INSURANCE | N/A | true | PO BOX 2196GT | GRAND CAYMAN | CJ | CJ | |||||
| XG HEALTH SOLUTIONS INC | ||||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 461657345 | CONSULTING | DE | N/A | true | ||||
| GEISINGER MEDICAL MANAGEMENT CORP | ||||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232077663 | HOTEL/REST | PA | N/A | true | ||||
| INTERNATIONAL SHARED SERVICES INC | ||||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232159597 | COMPUTER | PA | N/A | true | ||||
| GEISINGER INDEMNITY INSURANCE COMP | ||||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232815174 | HLTH INSUR | PA | N/A | true | ||||
| GEISINGER QUALITY OPTIONS INC | ||||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 204275139 | HLTH INSUR | PA | N/A | true | ||||
| GEISINGER ASSURANCE COMPANY LTD | ||||||||||||
| 981016737 | INSURANCE | N/A | true | PO BOX 2196GT | GRAND CAYMAN | CJ | CJ | |||||
| XG HEALTH SOLUTIONS INC | ||||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 461657345 | CONSULTING | DE | N/A | true | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | false | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (16 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| GEISINGER HEALTH SYSTEM FOUNDATION | ||
| C | 604796 | GAAP |
| GEISINGER HEALTH PLAN | ||
| M | 91341 | FMV |
| GEISINGER INSURANCE CORPORATION | ||
| M | 333897 | FMV |
| GEISINGER BLOOMSBURG HOSPITAL | ||
| M | 74903 | FMV |
| GEISINGER BLOOMSBURG HOSPITAL | ||
| K | 99519 | FMV |
| GEISINGER HEALTH PLAN | ||
| L | 287613 | FMV |
| GEISINGER BLOOMSBURG HOSPITAL | ||
| L | 114193 | FMV |
| GEISINGER QUALITY OPTIONS INC | ||
| L | 57356 | FMV |
| GEISINGER HEALTH SYSTEM FOUNDATION | ||
| C | 604796 | GAAP |
| GEISINGER HEALTH PLAN | ||
| M | 91341 | FMV |
| GEISINGER INSURANCE CORPORATION | ||
| M | 333897 | FMV |
| GEISINGER BLOOMSBURG HOSPITAL | ||
| M | 74903 | FMV |
| GEISINGER BLOOMSBURG HOSPITAL | ||
| K | 99519 | FMV |
| GEISINGER HEALTH PLAN | ||
| L | 287613 | FMV |
| GEISINGER BLOOMSBURG HOSPITAL | ||
| L | 114193 | FMV |
| GEISINGER QUALITY OPTIONS INC | ||
| L | 57356 | FMV |
Form990 Schedule R Part VII Form990ScheduleRPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | ADDITIONAL INFORMATION | Identifier |
| Return Reference | SCHEDULE R | ReturnReference |
| Explanation | INFORMATION REGARDING TRANSFERS TO AND FROM CONTROLLED ORGANIZATIONS BLOOMSBURG PHYSICIANS SERVICES IS CLOSELY AFFILIATED WITH SEVERAL OTHER ORGANIZATIONS IN THE NORMAL COURSE OF THE OPERATIONS OF THESE AFFILIATED ORGANIZATIONS THERE ARE NUMEROUS INTERORGANIZATIONAL TRANSACTIONS WHICH MAY INCLUDE SALES EXCHANGES AND LEASES OF PROPERTY EXTENSIONS OF CREDIT FURNISHING OF GOODS SERVICES AND FACILITIES AND TRANSFERS OF ASSETS THESE TYPES OF INTERORGANIZATIONAL TRANSACTIONS WERE DESCRIBED TO THE INTERNAL REVENUE SERVICE IN A RULING APPLICATION AND WERE RECOGNIZED BY THE NATIONAL OFFICE OF THE IRS IN A SERIES OF PRIVATE LETTER RULINGS AS BEING ENTIRELY CONSISTENT WITH THE ORGANIZATIONS TAX EXEMPT STATUS | Explanation |