2014-05-13T10:59:06-05:00 2013-06-30 990 2012-07-01 232979856 BLOOMSBURG PHYSICIANS SERVICES BLOO 5702716624 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 DAVID FELICIO ESQUIRE 5702716624 2014-05-02 false 2014-05-13 2012 2015-11-30 17:44:51Z GLENN D STEELE MD PHD 100 NORTH ACADEMY AVENUE MC 22-01 DANVILLE PA 17822 1490880 false X WWW.GEISINGER.ORG X 1998 PA BLOOMSBURG PHYSICIANS SERVICES IS COMMITTED TO EMPLOYING PRIMARY CARE PHYSICIANS TO STAFF AND OPERATE PRIMARY CARE CLINICS. X 10 9 90 0 0 7016928 1466374 454 2991 21515 7017382 1490880 0 0 7486181 1613076 0 0 3118297 618730 10604478 2231806 -3587096 -740926 1325406 58458 2194457 1404181 -869051 -1345723 X BLOOMSBURG PHYSICIANS SERVICES IS COMMITTED TO EMPLOYING PRIMARY CARE PHYSICIANS TO STAFF AND OPERATE PRIMARY CARE CLINICS. false true 1989774 1490374 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 1989774 true false false false false false false false false false false false false false true false false true false false false false false false false false false false false true false false false false false false false false false false false true false true true true true false true 4 0 true 90 true false false false false false false false false false false false false X 10 9 true false true false true true false true true false false true true true true true true true true false PA X ERIN FITZGERALD AVPCFO 5703872156 549 EAST FAIR STREET BLOOMSBURG PA 17815 WILLIAM H ALEXANDER 0.25 5.25 X 0 0 0 E ALLEN DEAVER 0.25 4.25 X 0 0 0 DORRANCE R BELIN ESQUIRE 0.25 4.25 X 0 0 0 RICHARD A GRAFMYRE 0.25 5.25 X 0 0 0 WILLIAM R GRUVER 0.25 4.50 X 0 0 0 FRANK M HENRY 0.25 4.25 X 0 0 0 THOMAS H LEE JR MD 0.25 5.00 X 0 0 0 GLENN D STEELE JR MD PHD 0.00 40.00 X X 0 2062556 418454 ROBERT E POOLE 0.25 4.50 X 0 0 0 DON A ROSINI 0.25 5.25 X 0 0 0 DAVID J FELICIO ESQUIRE 0.00 40.00 X 0 512681 140659 EDWARD J ZYCH ESQUIRE 0.00 40.00 X 0 344575 65798 KEVIN F BRENNAN CPA FHFMA 0.00 40.00 X 0 1079326 202187 ALBERT BOTHE JR MD 0.00 40.00 X 0 1071539 189516 LISSA L BRYAN SMITH 0.00 40.00 X 0 414636 30767 FRANK J TREMBULAK 0.00 40.00 X 0 1245352 216867 MICHAEL C GERST DO 40.00 0.00 X 259183 65116 34035 JOSEPH C ORZECHOWSKI MD 40.00 0.00 X 224077 62251 17418 BEN MONTGOMERY MD 40.00 0.00 X 338092 97180 36491 PATRICK J ERWIN MD 40.00 0.00 X 266562 82771 39206 ZEFERINO MARTINEZ MD 40.00 0.00 X 492039 107885 23126 REGIS P CABONOR 0.00 40.00 X 0 393164 12816 JOSEPH M DEVITO 0.00 40.00 X 0 381298 16953 1579953 7920330 1444293 14 true true false 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 2 NET PATIENT SERVICE REVENUE 621110 1342598 1342598 IC SHARED SERVICES 621110 123776 123776 1466374 506 506 2485 2485 2485 2485 ELECTRONIC HEALTH RECORD 12000 12000 MEDICAL RECORDS FEES 5315 5315 PHYSICIAN DEPOSITION FEES 4200 4200 21515 1490880 1487889 2991 1411019 1292241 118778 18621 18621 124138 124138 59298 59298 69997 69997 1937 1937 139880 139803 77 3780 3780 46297 31311 14986 5916 5277 639 106126 106126 17545 16725 820 3782 3782 5517 5517 36004 21385 14619 74923 74923 LICENSES & FEES 57679 44860 12819 DRUGS & PHARMACEUTICALS 46465 46465 MEDICAL EXPENSES 2882 2882 2231806 1989774 242032 0 41705 58444 404892 4007 8431 50634 291134 524603 14 1325406 58458 1710244 7790 413749 70464 1396391 2194457 1404181 X -869051 -1345723 -869051 -1345723 1325406 58458 X -740926 264254 X X false true X true false X DUE TO AFFILIATES 1396391 1396391 SUPPLEMENTAL FINANCIAL INFORMATION SCHEDULE D, PAGE 4, PART XIII 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. X X X X X X true true false false false false false true false GLENN D STEELE JR MD PHD 1021563 920000 120993 388588 29866 2481010 DAVID J FELICIO ESQUIRE 313540 152506 46635 120520 20139 653340 EDWARD J ZYCH ESQUIRE 250888 74435 19252 43763 22035 410373 KEVIN F BRENNAN CPA FHFMA 501671 290967 286688 181114 21073 1281513 247768 ALBERT BOTHE JR MD 528879 268143 274517 178224 11292 1261055 221209 LISSA L BRYAN SMITH 261065 74070 79501 18096 12671 445403 30414 FRANK J TREMBULAK 592806 305296 347250 203077 13790 1462219 274280 MICHAEL C GERST DO 231995 61422 27188 3694 8700 3094 18043 4198 285926 72408 JOSEPH C ORZECHOWSKI MD 196889 42880 27188 19371 5154 3090 7652 1522 236883 66863 BEN MONTGOMERY MD 338092 96413 767 8576 4838 18993 4084 365661 106102 PATRICK J ERWIN MD 266562 76484 6287 6700 3938 22558 6010 295820 92719 ZEFERINO MARTINEZ MD 367694 95217 124345 12668 5344 12676 5106 504715 118335 REGIS P CABONOR 266985 126179 3932 8884 405980 JOSEPH M DEVITO 269810 111488 3813 13140 398251 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. CASH 2012-07-01 41704 FMV 231995911 GEISINGER HEALTH SYSTEM FOUNDATION 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 501C3 ACCTS RECEIVABLE, NET 2012-07-01 363362 BOOK VALUE 231995911 GEISINGER HEALTH SYSTEM FOUNDATION 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 501C3 PPD EXP AND OTHER 2012-07-01 114586 BOOK VALUE 231995911 GEISINGER HEALTH SYSTEM FOUNDATION 100 NORTH ACADEMY MC 49-70 DANVILLE PA 17822 501C3 PROPERTY PLANT EQUIP 2012-07-01 9823 BOOK VALUE 231995911 GEISINGER HEALTH SYSTEM FOUNDATION 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 501C3 OTHER ASSETS 2012-07-01 439133 BOOK VALUE 231995911 GEISINGER HEALTH SYSTEM FOUNDATION 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 501C3 false false false false ADDITIONAL INFORMATION SCHEDULE N 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 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. 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 GHSF true GEISINGER CLINIC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 236291113 PHYS SVCS PA 501C3 11A GHSF true GEISINGER WYOMING VALLEY MED CTR 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 231996150 HOSPITAL PA 501C3 3 GHSF true MARWORTH 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232171417 D&A REHAB PA 501C3 3 GHSF true GEISINGER HEALTH PLAN 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232311553 HEALTH INS PA 501C4 GHSF true HERSHEY MEDICAL CENTER 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232891807 HOSPITAL PA 501C3 3 GHSF true GEISINGER SYSTEM SERVICES 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232164794 SUPPORT SV PA 501C3 11A GHSF true GEISINGER COMMUNITY HEALTH SERVICES 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232967235 HEALTHCARE PA 501C3 9 GSS true GEISINGER INSURANCE CORPORATIONRRG 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 141909894 SELF INS VT 501C3 11A GHSF true GEISINGER MED CTR PROF LIAB TRUST 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 256220019 SELF INS PA 501C3 11A GMC true GEISINGER EXCESS COV PROF LIAB TR 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 236852932 SELF INS PA 501C3 11A GMC true COMMUNITY MEDICAL CENTER 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 240862246 HOSPITAL PA 501C3 3 GHSF true COMMUNITY MEDICAL CARE INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232429776 PHYS SVCS PA 501C3 9 GHSF true MEDICAL DIMENSIONS INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232369788 HOLDING CO PA 501C2 GHSF true CMC HEALTHCARE SYS MED PROF LIAB TR 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 046990600 SELF INS PA 501C3 11A GHSF true MOUNTAIN VIEW NURSING HOME INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232568288 LONG TERM PA 501C3 9 GHSF true COMMUNITY MEDICAL CTR HEALTHCARE SY 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232279376 SUPPORT SV PA 501C3 11A GHSF true NORTHEAST CANCER CENTER INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 201687320 HEALTHCARE PA 501C3 3 NA true HEALTH CARE CORP OF NORTHEAST PA 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232337286 SUPPORT SV PA 501C3 11A NA true GEISINGER-BLOOMSBURG HOSPITAL 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232193572 HOSPITAL PA 501C3 3 GHSF true GEISINGER-BLOOMSBURG HEALTHCARE CTR 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232242854 SKLD NURSE PA 501C3 9 GHSF true COLUMBIA-MONTOUR HOME HEALTH SVC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 231704399 HOME HLTH PA 501C3 9 GHSF true BLOOMSBURG HOSP MED PROF LIAB TRUST 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 146222837 SELF INS PA 501C3 11B GHSF true 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 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 PO BOX 2196GT GRAND CAYMAN CJ 981016737 INSURANCE CJ N/A true 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 PO BOX 2196GT GRAND CAYMAN CJ 981016737 INSURANCE CJ N/A true XG HEALTH SOLUTIONS INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 461657345 CONSULTING DE N/A true false true true false false false false false false false true true true false false false false true false 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 ADDITIONAL INFORMATION SCHEDULE R 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