2014-05-13T10:59:06-05:00 2013-06-30 990 2012-07-01 232193572 GEISINGER-BLOOMSBURG HOSPITAL GEIS 5702716624 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 DAVID J 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 32676671 false X WWW.GEISINGER.ORG X 1982 PA GEISINGER-BLOOMSBURG HOSPITAL IS COMMITTED TO PROVIDING EXCEPTIONAL INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES FOR RESIDENTS OF BLOOMSBURG, PA AND THE SURROUNDING AREAS...SEE SCHEDULE O X 10 9 542 78 0 167545 42504 38800903 32121758 -68087 145251 905442 358827 39805803 32668340 300 0 20791644 19825007 0 38844 22277637 16605045 43069281 36430352 -3263478 -3762012 30101308 27824618 38859052 37693887 -8757744 -9869269 X GEISINGER-BLOOMSBURG HOSPITAL IS COMMITTED TO PROVIDING EXCEPTIONAL INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES FOR RESIDENTS OF BLOOMSBURG, PA AND THE SURROUNDING AREAS...SEE SCHEDULE O false false 31452042 300 31470796 TO OPERATE A 72 BED GENERAL MEDICAL AND SURGICAL HOSPITAL WHICH PROVIDED 5,733 PATIENT DAYS; 3,292 BEHAVIOR HEALTH SERVICES PATIENT DAYS; 526 NURSERY PATIENT DAYS; 2,058 SANE DAY SURGICAL PROCEDURES; 14,051 EMERGENCY ROOM VISITS DURIGN THE YEAR ENDED JUNE 30, 2013. THE ORGANIZATION ALSO PROVIDED CHARTIY CARE TO PATIENTS WHO MET CERTAIN CRITERIA WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. SEE SCHEDULE O I. MISSION: GEISINGER-BLOOMSBURG HOSPITAL IS COMMITTED TO PROVIDING EXCEPTIONAL INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES FOR RESIDENTS OF BLOOMSBURG, PA AND THE SURROUNDING AREAS. THE ORGANIZATION PROMOTES, RESTORES, AND MAINTAINS COMMUNITY HEALTH THROUGH A FULLY INTEGRATED HEALTH SYSTEM AND PROVIDES A VARIETY OF SERVICES. II.GENERAL INFORMATION GEISINGER-BLOOMSBURG HOSPITAL(GBH), A 501(C)(3) NOT-FOR-PROFIT CORPORATION AND MEMBER OF GEISINGER HEALTH SYSTEM, OWNS AND OPERATES A 72 BED, ACUTE CARE, HOSPITAL IN BLOOMSBURG, PA. GBH IS CONVENIENTLY LOCATED ONLY A FEW MILES FROM SEVERAL MAJOR HIGHWAYS THROUGHOUT CENTRAL PA. THE FACILITY OPENED IN 1905, ANSWERING A PRESSING NEED FOR HEALTH AND WELLNESS CARE IN THE COMMUNITY. GBH PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. SERVICES OFFERED BY GBH INCLUDE: GENERAL MEDICAL CARE PROVIDED BY INHOUSE HOSPITALIST AND SUPPORTED BY CONSULTATIVE SERVICES IN THE AREAS OF CARDIOLOGY,NEUROLOGY AND PULMONOLOGY. EMERGENCY DEPARTMENT IS COMMITTED TO PROVIDING HIGH QUALITY, PROMPT EMERGENCY SERVICES. GBH'S ED IS STAFFED 24/7 WITH FULL-TIME PHYSICIANS AND NURSES THAT ARE TRAINED IN ALL SPECIALTIES FROM PEDIATRICS TO CRITICAL CARE. IMMEDIATE ACCESS TO LABORATORY SERVICES, X-RAYS, CAT SCANS, 3D-4D ULTRASOUND, MRI AND SURGICAL SERVICES. ON AVERAGE PATIENTS IN THE EMERGENCY DEPARTMENT ARE TREATED AND RELEASED WITHIN 90 MINUTES. MOST INSURANCES, INCLUDING MEDICARE AND MEDICAID, ARE ACCEPTED AND NO PATIENT IS REFUSED TREATMENT BECAUSE OF INABILITY TO PAY. OB/GYN FOCUSES ON ALL ASPECTS OF WOMEN'S HEALTH AND EDUCATION, PROVIDING OBSTETRICAL AND GYNECOLOGICAL CARE FOR WOMEN OF ALL AGES. SERVICES INCLUDE BUT NOT LIMITED TO ROUTINE VISITS AND TREATMENTS, PREVENTATIVE HEALTHCARE, BIRTH CONTROL EDUCATION, FAMILY PLANNING, OBSTETRICS, SURGERY & SURGERY CONSULTATIONS, MENOPAUSE COUNSELING, AND MIDWIFERY. MENTAL HEALTH & PSYCHIATRIC SERVICES IS A DESIGNATED COUNT 302 TRIAGE SITE THAT PROVIDES BOTH INPATIENT AND OUTPATIENT SERVICES DESIGNED TO HELP INDIVIDUALS LIVE AS INDEPENDENTLY AS POSSIBLE. ALL AGE GROUPS FROM ADOLESCENTS TO GERIATRICS CAN ACCESS QUICK, EFFICIENT ADMISSION 24/7 AND RECEIVE TREATMENT THROUGH ONE-ON-ONE PATIENT COUNSELING, TREATMENT MEETINGS 5 DAYS PER WEEK, AND A PSYCHIATRIST AVAILABLE ON A DAILY BASIS. SUBSTANCE ABUSE COUNSELING IS ALSO AVAILABLE INCLUDING RELAPSE PREVENTION TEAM MEETINGS. ADMISSIONS ARE CONFIDENTIAL AND MAY BE MADE BY PROFESSIONALS AS WELL BY INDIVIDUALS CONCERNED ABOUT THEMSELVES OR OTHERS. HOSPITALIZATION MEANS PATIENT CARE IS PROVIDED THROUGH MULTIPLE PROFESSIONALS WHO COMPRISE THE TREATMENT TEAM. OTHER SERVICES INCLUDE: CARDIAC SERVICES SURGERY SPECIALTIES RADIOLOGY ORTHOPEDIC ICCU UROLOGY LABORATORY SERVICES GYNOCOLOGY PHYSICAL THERAPY OTOLARYNGOLOGY RESPIRATORY SERVICES GENERAL SURGERY III. UNCOMPENSATED CARE GEISINGER-BLOOMSBURG HOSPITAL RECOGNIZES ITS MISSION IS TO SERVE ALL MEMBERS OF THE COMMUNITY WITH RESPECT TO THE PROVISION OF HEALTHCARE SERVICES AND EDUCATION. IN THIS REGARD, GBH PROVIDES FREE OR SUBSIDIZED CARE BELOW COST AND SUPPORTS VARIOUS HEALTH-RELATED ACTIVITIES AND PROGRAMS IN SUPPORT OF THE COMMUNITY. A.CHARITY CARE THE PRIMARY CONCERN OF GBH IS THE DELIVERY OF HEALTH CARE TO ALL CITIZENS OF CENTRAL PENNSYLVANIA REGARDLESS OF THEIR ABILITY TO PAY. THE UNREIMBURSED COST OF CHARITY CARE REPRESENTS THE COST GBH INCURS BY PROVIDING FREE OR DISCOUNTED SERVICES TO THOSE WHO CANNOT AFFORD TO PAY. FOR THE FISCAL YEAR ENDED JUNE 30, 2013, THE COST OF THE CHARITY CARE WAS 225 THOUSAND. B.MEDICARE/MEDICAID IN RECOGNIZING ITS MISSION TO THE COMMUNITY, GBH PROVIDES SERVICES TO THE ELDERLY (MEDICARE) AND THE INDIGENT (MEDICAID). GBH PROVIDES CARE, BELOW COST, TO PERSONS COVERED BY THESE GOVERNMENTAL PROGRAMS TO THE EXTENT THE GOVERNMENT REIMBURSEMENT IS BELOW THE COST OF PROVIDING HEALTH CARE. THE UNREIMBURSED VALUE OF MEDICARE AND/OR MEDICAID IS EQUAL TO THE COST OF PROVIDING SERVICES LESS THE AMOUNT RECEIVED AS REIMBURSEMENT UNDER THE PROGRAM. THE COST OF PROVIDING HEALTHCARE SERVICES TO MEDICARE AND MEDICAID PATIENTS EXCEEDED REIMBURSEMENT BY APPROXIMATELY 5.3 MILLION DURING THE FISCAL YEAR ENDED JUNE 30, 2013. C.OTHER UNCOMPENSATED PATIENT SERVICES IN ADDITION, GBH PROVIDES 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 664 THOUSAND. IV. VOLUNTEER SERVICES THE VOLUNTEERS OF GEISINGER-BLOOMSBURG HOSPITAL ARE AN ACTIVE AND VITAL PART OF THE ACTIVITIES OF THE HOSPITAL. THE HOURS OF VOLUNTEER SERVICES ARE AN IMPORTANT CONTRIBUTION TO THE MISSION OF GEISINGER-BLOOMSBURG HOSPITAL. THE VOLUNTEERS FROM LOCAL COMMUNITIES CONTRIBUTED 98 HOURS TOWARD THE COMMON PURPOSE OF SERVICING THE HEALTHCARE OF THE COMMUNITY. V.COMMUNITY HEALTH, EDUCATION, AND OUTREACH GBH STRIVES TO BE A VALUABLE RESOURCE FOR THE COMMUNITY AND ITS RESIDENTS. GBH PROVIDES MANY REDUCED-PRICE SERVICES AND FREE PROGRAMS THROUGHOUT THE YEAR THAT SERVE COMMUNITY HEALTH NEEDS. AT A COST OF 3 THOUSAND, THESE SERVICES AND PROGRAMS INCLUDED: SUPPORT GROUPS, COMMUNITY HEALTH EDUCATION, AND OTHER UNIQUE SERVICES. A.GROUPS GBH PROVIDES PROGRAMS FOR ALL DEMOGRAPHICS. SILVER CIRCLE IS A GROUP THAT PROVIDES BENEFITS FOR 55+ AGE INDIVIDUALS SUCH AS MONTHLY NEWSLETTER WITH HEALTH AND LIFESTYLE INFORMATION, FREE HEALTH SCREENINGS, YOGA CLASSES, HEALTHY EATING SEMINARS, TRAVEL OPPORTUNITIES, AND OTHER SOCIAL EVENTS. GBH CONTINUES TO MAKE INROADS WITH THE NEIGHBORING BLOOMSBURG UNIVERSITY WITH INVOLVEMENT BETWEEN LEADERSHIP AND STUDENTS WHO ARE INTERESTED IN COMMUNITY HEALTH CARE. B.COMMUNITY HEALTH EDUCATION COMMUNITY HEALTH NEEDS ASSESSMENT WOMEN'S HEALTH RELATED TOPICS CARDIAC AND DIABETIC COOKING CLASSES VI. COMMUNITY SERVICE SUMMARY AT COST CHARITY CARE 225,244 MEDICARE/MEDICAID 5,285,954 BAD DEBT 664,280 COMMUNITY HEALTH, EDUCATION, AND OUTREACH 3,160 VOLUNTEER SERVICES (VALUED AT 1/1/2013 PA STATEWIDE AVERAGE WEEKLY WAGE) 2,246 TOTAL 6,180,884 VII. STATISTICS GEISINGER-BLOOMSBURG HOSPTIAL FISCAL YEAR ENDED JUNE 30, 2013 ADMISSIONS (INCLUDING NEWBORNS) 2,351 ADMISSIONS (EXCLUDING NEWBORNS) 2,137 OUTPATIENT VISITS INCLUDING EMERGENCY DEPARTMENT 33,624 AVERAGE LENGTH OF STAY (EXCLUDING NEWBORNS AND PSYCH) 4.2 PERCENT OF OCCUPANCY (EXCLUDING NEWBORNS) 34.20% PATIENT DAYS (EXCLUDING NEWBORNS) 8,991 IN AND OUT SURGERY VISITS 2,407 BEDS (EXCLUDING BASSINETS) (SET UP AND STAFFED) 20 BASSINETS IN NURSERY 10 31452042 true false false true false false false false false true true false false true true false false true false false false false false false false false true true false false true false false false false false false true false false false false true false true true true true false true 32 0 true 542 true 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 STEPHEN PAOLUCCI MD 0.00 40.00 X 0 448514 41131 LISSA L BRYAN SMITH 0.00 40.00 X 0 414636 30767 FRANK J TREMBULAK 0.00 40.00 X 0 1245352 216867 REGIS P CABONOR 40.00 0.00 X 136694 256470 12816 JOSEPH M DEVITO 40.00 0.00 X 120663 260635 16953 JEAN R THOMAS CRNA 40.00 0.00 X 203384 0 10659 JOSPEH P RUDA CRNA 40.00 0.00 X 209296 37846 20736 LINDA D BRENNAN CRNA 40.00 0.00 X 204613 0 10567 PENNY E YENCHICK CRNA 40.00 0.00 X 2532 213463 26415 THOMAS G SMITH CRNA 40.00 0.00 X 46646 302592 36299 PATRICK J ERWIN MD 0.00 40.00 X 0 349333 39206 923828 8599518 1479030 16 true true false PYRAMID CONSTRUCTION SERVICE INC 840 N FRONT STREET WORMLEYSBURG PA 17043 CONSTRUCTION 2239293 LABORATORY CORPORATION OF AMERICA PO BOX 12140 BURLINGTON NC 272162140 LAB SERVICES 1144228 MARIANO CONSTRUCTION INC 1123 OLD BERWICK ROAD BLOOMSBURG PA 17815 CONSTRUCTION 247557 MRO CORPORATION PO BOX 61507 KING OF PRUSSIA PA 19406 ABSTRACTING SVC 221107 HCSC LAUNDRY 2171 28TH ST SW ALLENTOWN PA 18103 LINEN SERVICES 197845 10 42504 42504 PATIENT SERVICE REVENUE 621110 29816814 29816814 IC SHARED SERVICE 541900 1505809 1505809 RENTAL TO AFFILIATE 531120 685656 685656 RENTALS TO OTHER HEALTH PROV 531120 113479 113479 32121758 144638 144638 127226 7944 119282 119282 119282 1000 387 613 613 613 CAFETERIA SALES 900099 164139 164139 GIFT SHOP SALES 900099 48563 48563 FITNESS OTHER PT 900099 12640 12640 14203 2922 11281 239545 32668340 31470183 1155653 300 300 16206110 13548714 2632721 24675 171923 143951 27972 2220604 1858623 361981 1226370 1030151 196219 1640 1640 48739 48739 209 209 18026 10029 7997 3491775 3203824 287951 3462 3462 2166832 1898150 268587 95 150950 134600 16350 986633 625185 361448 44118 38096 5969 53 31333 40 17272 14021 188861 158643 30218 2154927 1854425 300502 687239 687239 MEDICAL SUPPLIES 4137687 4137687 INTER-ENTITY SERVICES 1473024 1218790 254234 BIOMEDICAL ENGINEERING 462509 462509 LICENSES 393274 321899 71375 163807 119187 44620 36430352 31452042 4939466 38844 100912 1169981 445932 1655838 3022919 2171207 517999 393258 90549 146886 14864665 2176914 14953317 12687751 126366 143125 10843314 9456572 30101308 27824618 7319053 2477761 5618433 11988554 17448058 13933012 17768068 38859052 37693887 X -16675252 -18238545 64589 81799 7852919 8287477 -8757744 -9869269 30101308 27824618 X -3762012 2650487 X X false true X true true true X false false false false false false false false true 209 209 false SCHEDULE C, PART II-B, LINE 1 A PORTION OF MEMBERSHIP DUES PAID TO THE HOSPITAL AND HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA IS USED FOR LOBBYING ACTIVITIES. 7917508 51067 34087 8369275 4333417 4656499 -250365 822043 7917508 4128199 282178 270432 347392 4333417 3972720 357290 175353 377164 4128199 4309492 587532 993 925297 3972720 0.99000 0.01000 true false 422883 422883 10909529 1213010 9696519 3118591 914346 2204245 413662 49558 364104 12687751 BENEFICIAL INT. PERPETUAL TRUST 8287477 457B DEFERRED COMP 750796 TRUST INDENTURE -LIMITED USE ASSETS 178852 DUE FROM AFFILIATES 139990 ACCRUED RENTS AND OTHER REC 96896 ACCRUED INTEREST 2561 9456572 PENSION COSTS 8301949 DUE TO AFFILIATES 3391675 EST. 3RD PARTY PAYOR SETTLEMENTS 3295986 MEDICAL MALPRACTICE CLAIMS 2466091 MEDICAL STAFF AND OTHER LIABILITY 281050 DEFERRED RENTS/SECURITY DEPOSITS 31317 17768068 INTENDED USES FOR ENDOWMENT FUNDS SCHEDULE D, PAGE 2, PART V, LINE 4 PART V LINE 4 - PERMANENTLY RESTRICTED ENDOWMENT FUNDS ARE HELD AT UNRELATED FINANCIAL INSTITUTIONS WHO ARE RESPONSIBLE FOR MAINTAINING AND INVESTING THE PRINCIPLE AND THE DISTRIBUTION OF THE FUNDS IN ACCORDANCE WITH THE DONOR STIPULATIONS. DISTRIBUTIONS FROM THE FUNDS ARE MADE BY THE RESPECTIVE FINANCIAL INSTITIONS TO GEISINGER BLOOMSBURG HOSPITAL WHO USES THE FUNDS AS DIRECTED IN THE TRUST AGREEMENTS. 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 THEACCOUTNING 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)THROUGHOUT 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. true true X true X true X 3.80000 true true true false true true 225244 225244 0.00620 4186479 2477198 1709281 0.04690 4411723 2477198 1934525 0.05310 3160 3160 0.00010 3160 3160 0.00010 4414883 2477198 1937685 0.05320 true 2643294 5281990 7719809 -2437819 X true true 1 1 GEISINGER-BLOOMSBURG HOSPITAL

549 FAIR STREET BLOOMSBURG PA 17815

WWWGEISINGEREDU X X X GEISINGER-BLOOMSBURG HOSPITAL 1 true X X X X X X X X X X 11 true true true X X X X X X X X X X X true false true true 200.0 true 380.0 true X X X X X X true true X X X X X X X true false true X false false RELATED ORGANIZATION INFORMATION PART I LINE 6A A SUMMARY OF THE COMMUNITY BENEFIT PROVIDED BY GEISINGERBLOOMSBURG HOSPITAL GBH AND ITS RELATED CHARITABLE ORGANIZATIONS IS AVAILABLE AT GEISINGERORG AND MADE AVAILABLE TO THE PUBLIC UPON REQUEST GO TO HTTPWWWGEISINGERORGABOUTMISSIONHTML AND CLICK ON 2013 ANNUAL REPORT COSTING METHODOLOGY EXPLANATION PART I LINE 7 A COST ACCOUNTING SYSTEM WAS USED TO DETERMINE THE COSTS REPORTED ON LINE 7 AND ADDRESSED PATIENT SEGMENTS BY PAYOR EG MEDICARE MEDICAID COMMERCIAL PAYERS SELFPAY ETC BAD DEBT EXPENSE EXPLANATION PART III LINE 4 GEISINGERBLOOMSBURG HOSPITAL GBH IS A MEMBER OF A GROUP WITH CONSOLIDATED FINANCIAL STATEMENTS PER THE FOOTNOTE RELATED TO ACCOUNTS RECEIVABLE THE ORGANIZATIONS WRITE OFF ALL ACCOUNTS THAT HAVE BEEN IDENTIFIED AS UNCOLLECTABLE AN ALLOWANCE FOR UNCOLLECTABLES IS RECORDED FOR ACCOUNTS NOT YET WRITTEN OFF THAT ARE ANTICIPATED TO BECOME COLLECTABLE IN FUTURE PERIODS SEE PAGE 13 OF THE ATTACHED GEISINGER HEALTH SYSTEM CONSOLIDATED FINANCIAL STATEMENTS JUNE 30 2013 AND JUNE 30 2012 MEDICARE EXPLANATION PART III LINE 8 LINE 6 ONLY INCLUDES THOSE COSTS THAT ARE REPORTED ON GBHS MEDICARE COST REPORT THAT IS FILED WITH THE FEDERAL GOVERNMENT THESE COSTS DO NOT INCLUDE ALL OF THE COSTS THAT ARE REQUIRED TO TREAT MEDICARE PATIENTS WHEN ALL OR GBHS COSTS ARE INCLUDED THE TOTAL COST OF PROVIDING CARE EXCEEDS REVENUE BY 3576672 THIS SHORTFALL IS THE TOTAL COMMUNITY BENEFIT PROVIDED THROUGH THE MEDICARE PROGRAM ALONG WITH PROVIDING CARE TO MEDICAID PATIENTS AND PROVIDING FREE OR DISCOUNTED CARE TO OTHER LOW INCOME PATIENTS THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS FOR MANY OF THE MEDICAL SERVICES PROVIDED BY THE HOSPITAL MEDICARE DOES NOT PROVIDE SUFFICIENT REIMBURSEMENT TO COVER THE COST OF PROVIDING CARE TO THESE PATIENTS FORCING GBH TO USE OTHER FUNDS TO COVER THE SHORTFALL MEDICARE SHORTFALLS MUST BE ABSORBED BY GBH IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITY GBH PROVIDES CARE REGARDLESS OF THE MEDICARE SHORTFALL AND IS THEREBY PROVIDING ACCESS TO MEDICAL SERVICES FOR THE ELDERLY AND RELIEVING THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR PROVIDING CARE TO MEDICARE PATIENTS ABSENT THE MEDICARE PROGRAM IT IS LIKELY THAT MEDICARE PATIENTS WOULD BE ELIGIBLE FOR CHARITY CARE OR OTHER NEEDS BASED GOVERNMENT PROGRAMS THE AMOUNT EXPENDED TO COVER THE SHORTFALL IS MONEY NOT AVAILABLE FOR FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFIT NEEDS PENNSYLVANIA REQUIRES NONPROFIT HOSPITALS LIKE GBH TO PROVIDE A MINIMUM LEVEL OF COMMUNITY BENEFIT TO RETAIN EXEMPTION FROM STATE AND LOCAL TAXES ACCORDING TO STATE GUIDANCE AND CASE LAW THE UNREIMBURSED COST OF MEDICARE IS CONSIDERED TO BE COMMUNITY BENEFIT FOR STATE TAX EXEMPTION PURPOSES COLLECTION PRACTICES EXPLANATION PART III LINE 9B PATIENTS KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE ARE HANDLED IN ACCORDANCE WITH CHARITY CARE GUIDELINES AND EXCLUDED FROM BAD DEBT COLLECTION PRACTICES GBH IS COMMITTED TO PROVIDING MEDICAL NECESSARY SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY AND GBHS COLLECTION ACTIONS ARE CONSISTENTLY APPLIED TO ALL PATIENTS IT IS GBH POLICY TO PROVIDE FINANCIAL ASSISTANCE AND COUNSELING TO PATIENTS WITH LIMITED FINANCIAL MEANS A PATIENT MAY BECOME ELIGIBLE FOR FINANCIAL ASSISTANCE AT ANY TIME DURING TREATMENT OR DURING THE CONTINUUM OF THE FINANCIALBILLING AND COLLECTION PROCESS IN ANY STAGE OF THE BILLING PROCESS COLLECTION ACTIONS ARE NOT PURSUED WHENEVER A PATIENT APPLIES AND IS BEING EVALUATED FOR FINANCIAL ASSISTANCE UNDER NO CIRCUMSTANCE WILL GBH FREEZE OR ATTACH BANK ACCOUNTS OF A PATIENT ENFORCE LIENS ACTIVELY PURSUE ASSETS FROM A PRIOR JUDGMENT OR GARNISH THE WAGES OF A PATIENT ANDOR FAMILY MEMBER BEFORE DETERMINING IF THE PATIENT IS ELIGIBLE FOR ASSISTANCE UNDER GBHS FINANCIAL ASSISTANCE PROGRAM NEEDS ASSESSMENT PART VI GBH ALONG WITH OTHER NONPROFIT HOSPITALS WITHIN GBHS MULTICOUNTY SERVICE AREA HAS HISTORICALLY PARTNERED WITH ACTION HEALTH TO ENGAGE THE COMMUNITIES TO ASSESS AND IDENTIFY THE HEALTH NEEDS OF THE COMMUNITIES SERVED AND TO FACILITATE THE PARTNERS COMMUNITY BENEFIT EFFORTS PARTICIPATING PARTNERS HAVE INCLUDED BERWICK HOSPITAL GEISINGER MEDICAL CENTER GEISINGER HEALTHSOUTH REHABILITATION HOSPITAL EVANGELICAL COMMUNITY HOSPITAL SHAMOKIN AREA COMMUNITY HOSPITAL AND SUNBURY HOSPITAL ACTION HEALTHS 501C3 CHARITABLE MISSION WAS TO PROVIDE COMMUNITY HEALTH OUTREACH AND EDUCATION THROUGH EASILY ACCESSIBLE HEALTH PROGRAMS FOCUSED ON ENHANCING COMMUNITY SERVICES AND DEVELOPING NEW INITIATIVES TO ADDRESS UNMET HEALTH AND WELLNESS NEEDS DATA FROM A VARIETY OF SPONSORS AND REFERENCE RESOURCES WAS REVIEWED TO DETERMINE THE COMMUNITIES SPECIFICS NEEDS INCLUDING PENNSYLVANIA DEPARTMENT OF HEALTH PENNSYLVANIAS STATE HEALTH IMPROVEMENT PLAN SHIP SPECIAL REPORT AND PLAN TO IMPROVE RURAL HEALTH STATUS PENNSYLVANIA DEPARTMENT OF HEALTH AND THE PENNSYLVANIA ADVOCATES FOR NUTRITION ACTIVITY PENNSYLVANIA NUTRITION PHYSICAL ACTIVITY PLAN TO PREVENT OBESITY AND RELATED CHRONIC DISEASES THE GOVERNORS INTERAGENCY COORDINATING COUNCIL ON CHILD NUTRITION HEALTH PHYSICAL EDUCATION PENNSYLVANIA CHILD WELLNESS PLAN 200607 2006 GOVERNORS CABINET ON CHILDREN FAMILIES PA HEALTHY KIDS PENNSYLVANIA STRATEGY FOR BALANCING NUTRITION AND EXERCISE IN KIDS U S DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTHY PEOPLE 2010 AND HEALTHY PEOPLE 2020 DATA BY COUNTY MONTOUR COLUMBIA NORTHUMBERLAND SNYDER UNION NATIONAL ACADEMY OF SCIENCES PREVENTING CHILDHOOD OBESITY HEALTH IN THE BALANCE COLUMBIA COUNTY HUMAN SERVICE COALITION COLUMBIA COUNTY NEEDS ASSESSMENT 2006 STEPS TO HEALTHIER PA LUZERNE COUNTY STEPPING INTO A HEALTHIER FUTURE CENTER COUNTY PARTNERSHIP FOR COMMUNITY HEALTH SHIP PARTNER 2007 BEHAVIORAL HEALTH RISKS OF CENTRE COUNTY ADULTS GEISINGER HEALTH SYSTEM IS ALSO AN ACTIVE PARTICIPANT IN MULTIPLE COMMUNITYBASED ORGANIZATIONS THAT STRIVE TO IMPROVE THE HEALTH AND WELLBEING OF THE COMMUNITY INCLUDING CONDUCTING COMMUNITY NEEDS ASSESSMENTS OF VARYING SCOPE THESE RELATIONSHIPS HAVE ENABLED GEISINGER TO PARTICIPATE AND UNDERSTAND MORE CLEARLY THE UNDERLYING REASONS FOR A SPECIFIC COMMUNITYS HEALTH STATUS AND TO USE THAT INFORMATION IN MAKING FOCUSED DECISIONS ABOUT APPROPRIATE SERVICE MIX AND COMMUNITY OUTREACH SERVICES PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI FOR URGENT AND EMERGENT SERVICES PATIENTS ARE PROVIDED CARE REGARDLESS OF THEIR ABILITY TO PAY IN THE EVENT A PATIENT HAS AN EMERGENCY MEDICAL CONDITION TREATMENT IS NOT DELAYED TO PERMIT AN INQUIRY REGARDING A PATIENTS METHOD OF PAYMENT OR INSURANCE STATUS FOR OTHER THAN URGENT AND EMERGENT SERVICES THE HOSPITAL PROVIDES UNCOMPENSATED CARE FREE OF CHARGE OR ON A DISCOUNTED BASIS TO THOSE PATIENTS WHO DEMONSTRATE AN INABILITY TO PAY DEPENDING UPON FAMILY SIZE AND INCOME FREE OR DISCOUNTED SERVICES ARE AVAILABLE TO A PATIENT WITH FAMILY INCOME RANGING FROM 200 UP TO 380 OF THE FEDERAL POVERTY GUIDELINES IT IS GEISINGER POLICY TO PROVIDE FINANCIAL ASSISTANCE AND FINANCIAL COUNSELING TO PATIENTS OF LIMITED MEANS A PATIENT MAY BECOME ELIGIBLE FOR CHARITY CARE OR FINANCIAL ASSISTANCE AT ANY TIME DURING TREATMENT OR DURING THE CONTINUUM OF THE FINANCIALBILLING PROCESS INFORMATION SIGNS BROCHURES ETC REGARDING GEISINGERS CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES ARE PROVIDED AT THE EMERGENCY ROOM REGISTRATION AND VARIOUS ACCESS POINTS THROUGHOUT THE HOSPITAL REGISTRATION PERSONNEL ALSO REFER UNINSURED ANDOR LOW INCOME PATIENTS TO FINANCIAL COUNSELORS TO DISCUSS THE FINANCIAL ASSISTANCE POLICY NOTICE OF GEISINGERS CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES CAN ALSO BE FOUND ON THE GEISINGER WEB SITE AT WWWGEISINGERORG PATIENTS ARE ALSO PROVIDED INFORMATION ON GEISINGERS CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES WITH EACH PATIENT BILL COMMUNITY INFORMATION PART VI GEISINGERBLOOMSBURG HOSPITALS SERVICE AREA INCLUDES ONE COUNTY IN CENTRAL PENNSYLVANIA COLUMBIA THE APPROXIMATE 2013 TOTAL POPULATION WITHIN THIS SERVICE AREA WAS 71369 THIS POPULATION IS EXPECTED TO INCREASE BY 08 BY 2018 WHICH IS LESS THAN RATE OF POPULATION GROWTH EXPECTED IN THE COMMONWEALTH 10 AND THE NATION 33 THE 65 AND OVER AGE GROUP WAS 176 OF THE TOTAL POPULATION WHICH IS GREATER THAN THE STATE 164 AND NATIONAL 139 PROPORTIONS ADDITIONALLY THE 65 AND OVER AGE GROUP IS PROJECTED TO EXPERIENCE THE SECOND LARGEST FIVEYEAR POPULATION GROWTH AT 128 THE LARGEST GROWTH IN POPULATION IS WITHIN THE 2534 AGE GROUP WHICH IS PROJECTED TO SEE A 241 INCREASE THE REGION WHICH INCLUDES COLUMBIA COUNTY IS PRIMARILY RURAL AVERAGE HOUSEHOLD INCOME IN 2013 WAS 53121 WITH APPROXIMATELY 139 OF THE POPULATION FALLING BELOW FEDERAL POVERTY GUIDELINES IN 2012 WHICH IS A GREATER PROPORTION THAN THE STATE AND SMALLER PROPORTION THAN THE NATION 137 AND 159 RESPECTIVELY THE 2012 AVERAGE ANNUAL UNEMPLOYMENT RATE THE MOST CURRENT FULL YEAR OF COUNTY LEVEL DATA AVAILABLE FROM THE BUREAU OF LABOR STATISTICS WAS 81 WHICH IS HIGHER THAN THE COMMONWEALTH RATE OF 79 BUT COMPARABLE TO THE NATIONAL RATE OF 81 WITHIN THE ONE COUNTY SERVICE AREA 152 OF GBHS INPATIENT DISCHARGES DURING FISCAL YEAR 2013 WERE SELF PAY CHARITY CARE OR MEDICAID RECIPIENTS COMPARATIVELY OF ALL HOSPITAL INPATIENTS FROM THE REGION REGARDLESS OF THEIR SOURCE OF CARE 143 WERE SELF PAY CHARITY CARE OR MEDICAID RECIPIENTS THE REGION WHICH INCLUDES COLUMBIA COUNTY INCLUDES MULTIPLE MEDICALLY UNDERSERVED AREAS AND POPULATIONS DURING THE ASSOCIATED TIME PERIOD THERE WAS ONE GENERAL MEDICALSURGICAL GEISINGER HOSPITAL GBH AND ONE GENERAL MEDICALSURGICAL NONGEISINGER HOSPITAL IN COLUMBIA COUNTY HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE PART VI SEE THE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTSCOMMUNITY BENEFIT REPORTED IN SCHEDULE O AFFILIATED HEALTH CARE INFORMATION PART VI GEISINGERBLOOMSBURG HOSPITAL GBH IS 501C3 NOTFORPROFIT CORPORATION OWNING AND OPERATING A 72BED HOSPITAL IN BLOOMSBURG PA GBH IS AN AFFILIATE WITHIN THE GEISINGER HEALTH SYSTEM GHS OR SYSTEM WHICH IS ONE OF THE LARGEST RURAL HEALTH CARE SYSTEMS IN THE NATION AND COVERS A 20000 SQUARE MILE AREA IN NORTHERN AND CENTRAL PENNSYLVANIA AS AN INTEGRATED HEALTH CARE SYSTEM IT SERVES MORE THAN TWO MILLION PEOPLE IN 41 OF PENNSYLVANIAS 67 COUNTIES WITH A VARIETY OF CHARITABLE HEALTH CARE PROVIDERS AND A NONPROFIT HMO GEISINGER HEALTH SYSTEM FOUNDATION GHSF IS A 501C3 NOTFORPROFIT CORPORATION THAT SERVES AS CORPORATE PARENT WHICH COORDINATES AND SUPERVISES THE ACTIVITIES OF THE SYSTEMS AFFILIATED ENTITIES GHSF IS NOT A LICENSED HEALTH CARE PROVIDER NOT DOES IT PROVIDE HEALTH CARE SERVICES PATIENTS IT SERVES TO ENSURE THAT THE SYSTEM AFFILIATED ENTITIES HAVE ADEQUATE FINANCIAL RESOURCES TO FULFILL THEIR CHARITABLE MISSIONS AND TO INITIATE AND ADMINISTER GRANT AND PHILANTHROPIC SUPPORT PROGRAMS FOR ALL GEISINGER ENTITIES THE SYSTEM MISSION IS TO ENHANCE THE QUALITY OF LIFE THROUGH AN INTEGRATED HEALTH SERVICE ORGANIZATION BASED ON A BALANCED PROGRAM OF PATIENT CARE EDUCATION RESEARCH AND COMMUNITY SERVICE GEISINGER MEDICAL CENTER GMC A 501C3 NOTFORPROFIT CORPORATION IS A 404 BED TERTIARY AND QUATERNARY MEDICAL CENTER IS LOCATED IN DANVILLE PENNSYLVANIA A SMALL COMMUNITY OF 6000 PEOPLE SINCE ITS BEGINNING IN 1915 GHS HAS EMPHASIZED MULTISPECIALTY CARE AND HAS MORE THAN 80 MEDICAL SPECIALTIES AND SUBSPECIALTIES GMC IS A LEVEL 1 REGIONAL RESOURCE TRAUMA CENTER AND HAS RECENTLY BEEN NAMED TO THE TOP 100 HOSPITALS IN THE COUNTRY THE MEDICAL CENTER HAS ALSO BEEN DESIGNATED AS A MAGNET HOSPITAL BY THE AMERICAN NURSES CREDENTIALING CENTER ANCC GHS PHYSICIANS WERE LISTED IN THE BEST DOCTORS IN AMERICA AND THE GHS INTEGRATED COSTEFFECTIVE DELIVERY OF MANAGED CARE WAS FEATURED IN A FRONTPAGE NEW YORK TIMES ARTICLE MEDICAL EDUCATION HAS PLAYED A PROMINENT ROLE AT THE GMC WITH MORE THAN 200 RESIDENTS AND FELLOWS RECEIVING POSTDOCTORAL TRAINING AND RESEARCH EXPOSURE GMC IS ALSO HOME TO THE JANET WEIS WOMENS AND CHILDRENS HOSPITAL THE FIRST RURAL ACUTECARE CHILDRENS HOSPITAL IN THE NATION THE 85 BED CHILDRENS HOSPITAL WAS CONSTRUCTED IN 1995 ENTIRELY FROM DONATIONS AND BOASTS A NEONATAL INTENSIVE CARE UNIT A PEDIATRIC INTENSIVE CARE UNIT AND TWO FLOORS OF MEDICALSURGICAL INPATIENT ROOMS IN JANUARY OF 2000 THE TWOSTORY WOMENS PAVILION OPENED AND STRATEGICALLY ADJOINS THE CHILDRENS HOSPITAL FOSTERING FAMILYCENTERED CARE FOR ALL OBSTETRICAL AND NEWBORN SERVICES THE PAVILION FEATURES 19 LABOR DELIVERY RECOVERY POSTPARTUM ROOMS AND HAS THE STATES FIRST PASSTHROUGH WINDOWS FROM TWO HIGHRISK AND CSECTION DELIVERY ROOMS DIRECTLY INTO THE ADJOINING NEONATAL INTENSIVE CARE UNIT GEISINGER WYOMING VALLEY MEDICAL CENTER GWV IS A 501C3 NOTFORPROFIT CORPORATION THAT SERVES PATIENTS IN THE GREATER WYOMING VALLEY AND WESTERN POCONO REGION OF THE STATE WITH A COMPREHENSIVE MATERNITY PROGRAM PEDIATRIC SERVICES MEDICAL AND SURGICAL UNITS THE FRANK M AND DOROTHEA HENRY CANCER CENTER A COMPLETE EMERGENCY DEPARTMENT AS WELL AS OFFERING AN EXTENSIVE COMMUNITYHEALTH EDUCATION PROGRAM OPENING IN THE FALL OF 2001 AND CONNECTED DIRECTLY TO GWV WAS THE REGIONS FIRST AND ONLY HEART HOSPITAL THE THREESTORY STRUCTURE OFFERED LIFESAVING HEART PROCEDURES THAT WERE NOT CURRENTLY AVAILABLE IN THE REGION AS WELL AS A RESEARCH PROGRAM NEW THERAPIES AND SPECIAL HEART SERVICES THE ENTIRE HEALTH SYSTEM IS SERVED BY LIFE FLIGHT THE 20 PLUSYEAR OLD AIRMEDICAL TRANSPORT PROGRAM ONE HELICOPTER IS HOUSED ON THE CAMPUS OF GEISINGER MEDICAL CENTER AND ANOTHER IS STATIONED AT THE UNIVERSITY PARK AIRPORT IN STATE COLLEGE GHS PROVIDED THE FIRST FULLSERVICE FULLTIME MEDICAL HELICOPTER STATIONED IN THE WILKESBARRESCRANTON AREA BY ADDING A THIRD HELICOPTER IN THE FLEET IN JULY 2001 A FOURTH HELICOPTER WAS ADDED IN WILLIAMSPORT IN 2005 WITH A FIFTH GOING ONLINE IN POTTSVILLE IN 2006 COMMUNITY MEDICAL CENTER DBA GEISINGERCOMMUNITY MEDICAL CENTER GCMC IS 501C3 NOTFORPROFIT CORPORATION OWNING AND OPERATING A 297BED ACUTE CARE HOSPITAL IN SCRANTON PA GEISINGER CLINIC GC IS A 501C3 NOTFORPROFIT CORPORATION OPERATING A MULTISPECIALTY GROUP PRACTICE GEISINGER CLINIC PROVIDES PATIENT STAFF FOR PATIENT CARE EDUCATION AND RESEARCH THERE ARE MORE THAN 1000 EMPLOYED PHYSICIANS PRACTICING AT AN ARRAY OF HEALTH CARE DELIVERY PROVIDER FACILITIES AT 61 MEDICAL GROUPS SERVING 31 COUNTIES OPERATED WITHIN THE GEISINGER CLINIC ORGANIZATION THE WEIS CENTER FOR RESEARCH LOCATED ON THE CAMPUS OF GEISINGER MEDICAL CENTER IS HOME TO THE HENRY HOOD RESEARCH PROGRAM THE PREEMINENT FUNCTION OF THE HOOD RESEARCH PROGRAM IS TO CONDUCT ORIGINAL AND INNOVATIVE RESEARCH OF WORLD CLASS QUALITY OUR SCIENTISTS APPLY MODERN MOLECULAR AND CELLULAR APPROACHES TO DIVERSE RESEARCH PROBLEMS IN THE AREAS OF CARDIOVASCULAR FUNCTION CANCER AND DEVELOPMENTAL BIOLOGY COMMUNITY MEDICAL CARE INC IS A 501C3 NOTFORPROFIT CORPORATION THAT EMPLOYS AND ENGAGES PHYSICIANS AND OTHER HEALTH CARE PROFESSIONALS WHO PROVIDE PROFESSIONAL SERVICES TO PATIENTS BEGUN IN 1972 THE GEISINGER HEALTH PLAN IS A 501C4 NOTFORPROFIT CORPORATION THAT HAS GROWN TO BE ONE OF THE LARGEST RURAL HMOS IN THE COUNTRY IT CURRENTLY SERVES APPROXIMATELY 200000 MEMBERS IN A 42COUNTY SERVICE AREA MARWORTH IS A 501C 3 NOTFORPROFIT ORGANIZATION AND OPERATES A 77 BED CENTER THAT ALSO OFFERS A BROADBASED OUTPATIENT PROGRAM FOR THE TREATMENT OF ALCOHOL AND CHEMICAL DEPENDENCY MARWORTH IS LOCATED IN WAVERLY PA AND IS ANNUALLY RANKED AMONG THE TOP 20 TREATMENT CENTERS IN THE UNITED STATES GEISINGER COMMUNITY HEALTH SERVICES IS A 501C3 NOTFORPROFIT CORPORATION DESIGNED TO CONDUCT CHARITABLE SCIENTIFIC AND EDUCATIONAL ACTIVITIES FOR THE CITIZENS OF THE COMMUNITIES SERVED BY THE SYSTEM INCLUDING THE OPERATION OF A MEDICARECERTIFIED HOME HEALTH AGENCY PROVIDING HEALTH CARE SERVICES IN A PATIENTS PLACE OF RESIDENCE COLUMBIAMONTOUR HOME HEALTH AND HOSPICEVISITING NURSE ASSOCIATION INCORPORATED DBA GEISINGER COLUMBIA MONTOUR HOME HEALTH SERVICES IS A 501C3 NOTFORPROFIT CORPORATION THAT PROVIDES COMPREHENSIVE HOME HEALTH SERVICES GEISINGERBLOOMSBURG HEALTH CARE CENTER IS A 501C3 NOTFORPROFIT CORPORATION OPERATING A 149BED LONGTERM CARE NURSING HOME IN BLOOMSBURG PA MOUNTAIN VIEW NURSING HOME INC DBA MOUNTAIN VIEW CARE CENTER IS A 501 C3 NOTFORPROFIT CORPORATION OPERATING A 180BED LONGTERM CARE SKILLED NURSING AND REHABILITATION FACILITY PROVIDING SKILLED NURSING CARE IN SCRANTON PA THE FACILITY FEATURES A SPECIALIZED 24BED UNIT DEDICATED TO THE SPECIAL NEEDS AND CARE OF PEOPLE WITH ALZHEIMERS OR MEMORYRELATED ILLNESSES THESE PATIENTS NEED A SAFE AND SECURE PLACE TO LIVE MOUNTAIN VIEW HAS DEVELOPED A SEPARATE UNIT DEDICATED TO THE SPECIAL NEEDS OF PEOPLE WITH ALZHEIMERS MOUNTAIN VIEW ALSO PROVIDES HOSPICE CARE SPECIFICALLY DEVOTED TO THE SPECIAL NEEDS OF SERIOUSLY ILL RESIDENTS THE HOSPICE TEAM PROVIDES COMPASSIONATE CARE WITH DIGNITY GEISINGERBLOOMSBURG HEALTH CARE CENTER IS A 501C3 NOTFORPROFIT CORPORATION OPERATING A 149BED LONGTERM CARE NURSING HOME IN BLOOMSBURG PA GEISINGER SYSTEM SERVICES IS A 501C3 NOTFORPROFIT SUPPORT SERVICE CORPORATION PROVIDING FINANCIAL SERVICES HUMAN RESOURCES INFORMATION SYSTEMS INTERNAL AUDITS LEGAL SERVICES STRATEGIC PLANNING MARKETING AND PUBLIC RELATIONS AND FACILITIES SERVICES TO AFFILIATES WITHIN THE SYSTEM GEISINGER INSURANCE CORPORATION RISK RETENTION GROUP IS A 501C3 NOT FORPROFIT CORPORATION DOMICILED IN VERMONT AND REGISTERED BY THE PENNSYLVANIA INSURANCE DEPARTMENT PROVIDING PRIMARY PROFESSIONAL LIABILITY COVERAGE FOR SEVERAL SYSTEM ENTITIES INCLUDING GEISINGER MEDICAL CENTER GEISINGER CLINIC GEISINGER WYOMING VALLEY MEDICAL CENTER GEISINGER COMMUNITY MEDICAL CENTER GEISINGERBLOOMSBURG HOSPITAL AND GEISINGER COMMUNITY HEALTH SERVICES MEDICAL DIMENSIONS INC IS A 501C2 NOTFORPROFIT CORPORATION OPERATING AS A REAL ESTATE HOLDING COMPANY WHICH HOLDS TITLE TO PROPERTY LIFESOURCE GEISINGER BLOOD CENTER LLC IS A PENNSYLVANIA NONPROFIT LIMITED LIABILITY COMPANY REPRESENTING A JOINT VENTURE BETWEEN GMC AND INSTITUTE FOR TRANSFUSION MEDICINE ITXM A PENNSYLVANIA NOTFORPROFIT CORPORATION TO ENGAGE IN BLOOD COLLECTION MANUFACTURING AND DISTRIBUTION SERVICES GEISINGER MEDICAL MANAGEMENT CORPORATION GMMC IS A WHOLLY OWNED FOR PROFIT SUBSIDIARY OF THE FOUNDATION ITS MISSION IS TO CREATE BUSINESSES AND PARTNERSHIPS THAT DISSEMINATE GEISINGERS EXPERTISE TECHNOLOGY AND KNOWHOW WHILE GENERATING ADDITION SOURCES OF CAPITAL FOR GEISINGERS CORE OF PATIENT CARE ON JANUARY 1 2013 INTERNATIONAL SHARED SERVICES INC ISS DBA ISS SOLUTIONS MERGED INTO GMMC PRIOR TO THAT DATE ISS HAD BEEN A WHOLLY OWNED COMPANY OF GMMC ISS SOLUTIONS PROVIDES BIOMEDICAL AND INFORMATION TECHNOLOGY EQUIPMENT AND MAINTENANCE SERVICES IN 21 STATES AND DISTRICT OF COLUMBIA GEISINGER INDEMNITY INSURANCE COMPANY GIIC IS A WHOLLYOWNED FORPROFIT SUBSIDIARY OF THE FOUNDATION PROVIDING INDEMNITY HEALTH INSURANCE GEISINGER QUA ADDITIONAL INFORMATION PART VI FORM 990 SCHEDULE H PART V LINE 21 DID THE HOSPITAL FACILITY CHARGE ANY OF ITS PATIENTS WHO WERE ELIGIBLE FOR ASSISTANCE UNDER THE HOSPITAL FACILITYS FINANCIAL ASSISTANCE POLICY AND TO WHOM THE HOSPITAL FACILITY PROVIDED EMERGENCY OR OTHER MEDICALLY NECESSARY SERVICES MORE THAN THE AMOUNTS GENERALLY BILLED TO INDIVIDUALS WHO HAD INSURANCE COVERING SUCH CARE GBH POLICY ALLOWS FOR A MINIMUM DISCOUNT OF 70 TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE WITH INCOME AT 260 TO 380 OF THE FEDERAL POVERTY GUIDELINES WHICH RESULTS IN AMOUNTS LESS THAN THE AVERAGE OF THREE BEST NEGOTIATED COMMERCIAL RATES PATIENTS WHO ARE AT LESS THAN 260 OF THE FEDERAL POVERTY GUIDELINES ARE ELIGIBLE TO RECEIVE UP TO A 100 DISCOUNT FORM 990 SCHEDULE H PART VI LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT AT THIS TIME GBH AND ITS AFFILIATES ARE NOT REQUIRED TO FILE A COMMUNITY BENEFIT REPORT WITH ANY STATE GEISINGERBLOOMSBURG HOSPITAL LINE NUMBER 1 PART V LINE 3 PART V LINE 3 ACTION HEALTH A COLLABORATIVE PARTNERSHIP IN THE CENTRAL SUSQUEHANNA VALLEY THAT INCLUDES GEISINGER MEDICAL CENTER GEISINGER HEALTH SOUTH REHABILITATION HOSPITAL GEISINGER SHAMOKIN AREA COMMUNITY HOSPITAL EVANGELICAL COMMUNITY HOSPITAL GEISINGERBLOOMSBURG HOSPITAL AND BLOOMSBURG UNIVERSITY CONTRACTED WITH TRIPP UMBACH TO FACILITATE A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT CHNA THE CHNA WAS CONDUCTED BETWEEN NOVEMBER 2011 AND APRIL 2012 AND RESULTED IN FIVE SEPARATE CHNA REPORTS FOUR THAT ASSESSED THE HEALTH NEEDS OF THE COMMUNITIES WITHIN EACH HOSPITAL SERVICE AREA AS WELL AS AN ASSESSMENT OF THE REGIONAL NEEDS WITHIN THE FIVECOUNTY SERVICE AREA COLUMBIA MONTOUR NORTHUMBERLAND SNYDER AND UNION COUNTY TRIPP UMBACH IS A RECOGNIZED NATIONAL LEADER IN CONDUCTING CHNA HAVING CONDUCTED MORE THAN 200 CHNA OVER THE PAST 20 YEARS PAUL UMBACH FOUNDER AND PRESIDENT OF TRIPP UMBACH IS AMONG THE MOST EXPERIENCED COMMUNITY HEALTH PLANNERS IN THE NATION HAVING DIRECTED PROJECTS IN EVERY STATE AND INTERNATIONALLY TRIPP UMBACH HAS WRITTEN TWO NATIONAL GUIDE BOOKS ON THE TOPIC OF COMMUNITY HEALTH AND HAS PRESENTED AT MORE THAN 50 STATE AND NATIONAL HEALTH CONFERENCES THE CHNA PROCESS INCLUDED INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY GEISINGERBLOOMSBURG HOSPITAL INCLUDING THOSE WITH SPECIAL KNOWLEDGE AND EXPERTISE IN PUBLIC HEALTH ISSUES COMMUNITY HEALTH ASSESSMENT PLANNING A SERIES OF MEETINGS WERE CONDUCTED CONSISTING OF LEADERSHIP FROM GBH AND THE OTHER PARTICIPATING HOSPITALS AND ORGANIZATIONS GEISINGER SHAMOKIN AREA COMMUNITY HOSPITAL EVANGELICAL COMMUNITY HOSPITAL GEISINGER MEDICAL CENTER AND BLOOMSBURG UNIVERSITY SECONDARY DATA THE HEALTH OF THE COMMUNITY IS LARGELY RELATED TO THE CHARACTERISTICS OF ITS RESIDENTS TRIPP UMBACH COMPLETED COMPREHENSIVE ANALYSIS OF HEALTH STATUS AND SOCIOECONOMIC FACTORS RELATED TO THE HEALTH OF RESIDENTS WITHIN THE COMMUNITY FROM EXISTING DATA SOURCES SUCH AS STATE AND COUNTY PUBLIC HEALTH AGENCIES THE CENTERS FOR DISEASE CONTROL AND PREVENTION COUNTY HEALTH RANKINGS THOMSON REUTERS COMMUNITY NEED INDEX PREVENTION QUALITY INDICATORS INDEX THE CENTER OF RURAL PA PENNDOT AND OTHER DATA SOURCES INTERVIEWS WITH KEY COMMUNITY STAKEHOLDERS WORKING CLOSELY WITH ACTION HEALTH TRIPP UMBACH IDENTIFIED LEADERS FROM ORGANIZATIONS THAT HAVE SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH AND A SERIES OF 18 INTERVIEWS WERE CONDUCTED WITH THESE KEY STAKEHOLDERS IE GEISINGER MEDICAL CENTER PENNSYLVANIA OFFICE OF RURAL HEALTH CARE MONTOUR COUNTY ASSISTANCE OFFICE AMONG OTHERS FOCUS GROUPS WITH COMMUNITY RESIDENTS TO ASSURE THAT COMMUNITY MEMBERS INCLUDING UNDERREPRESENTED RESIDENTS WERE INCLUDED IN THE NEEDS ASSESSMENT THREE FOCUS GROUPS WERE CONDUCTED BY TRIPP UMBACH SECONDARY DATA WAS USED TO IDENTIFY HEALTH NEEDS AND DEFICITS IN TARGETED POPULATIONS FOCUS GROUP AUDIENCES INCLUDED NURSES EMPLOYED BY A PUBLIC SCHOOL SMALL BUSINESS OWNERS FARMERS AND WORKING PROFESSIONALS WITH YOUNG CHILDREN IDENTIFICATION OF TOP COMMUNITY HEALTH NEEDS NEEDS WERE PRIORITIZED BY COMMUNITY LEADERS DURING A REGIONAL COMMUNITY HEALTH NEEDS IDENTIFICATION FORUM HELD APRIL 5 2012 THE FINDINGS PRESENTED WERE FROM ANALYZING DATA KEY STAKEHOLDERS INTERVIEWS AND FOCUS GROUP INPUTS COMMUNITY LEADERS DISCUSSED THE DATA PRESENTED SHARED THEIR VISIONS AND PLANS FOR COMMUNITY HEALTH IMPROVEMENT IN THEIR COMMUNITIES AND IDENTIFIED THE TOP HEALTH NEEDS IN THE GBH COMMUNITY GEISINGERBLOOMSBURG HOSPITAL LINE NUMBER 1 PART V LINE 4 PART V LINE 4 GEISINGER MEDICAL CENTER GEISINGER HEALTH SOUTH REHABILITATION HOSPITAL GEISINGER SHAMOKIN AREA COMMUNITY HOSPITAL EVANGELICAL COMMUNITY HOSPITAL AND GEISINGERBLOOMSBURG HOSPITAL PARTICIPATED IN THE CHNA GEISINGERBLOOMSBURG HOSPITAL LINE NUMBER 1 PART V LINE 5C PART V LINE 5C THE COMMUNITY HEALTH NEEDS ASSESSMENT AND RELATED IMPLEMENTATION STRATEGIES ARE LOCATED AT WWWGEISINGERORGCHNA GEISINGERBLOOMSBURG HOSPITAL LINE NUMBER 1 PART V LINE 14G PART V LINE 14G REGISTRATION PERSONNEL ALSO REFER UNINSURED ANDOR LOW INCOME PATIENTS TO FINANCIAL COUNSELORS TO DISCUSS THE FINANCIAL ASSISTANCE POLICY X X X X X X true true false false false false false false 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 STEPHEN PAOLUCCI MD 309000 112999 26515 18096 23035 489645 LISSA L BRYAN SMITH 261065 74070 79501 18096 12671 445403 30414 FRANK J TREMBULAK 592806 305296 347250 203077 13790 1462219 274280 REGIS P CABONOR 10515 256470 126179 1367 2565 8884 138061 267919 JOSEPH M DEVITO 9175 260635 111488 1207 2606 115 13025 121985 276266 JEAN R THOMAS CRNA 203384 2034 8625 214043 JOSPEH P RUDA CRNA 209296 37638 208 2093 1854 16789 228178 39700 LINDA D BRENNAN CRNA 204613 2046 8521 215180 PENNY E YENCHICK CRNA 2532 197368 300 15795 13569 18 12828 2550 239860 THOMAS G SMITH CRNA 46646 294459 300 7833 18096 18 18185 46664 338873 PATRICK J ERWIN MD 343046 6287 10638 28568 388539 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 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. GEISINGER INDEMNITY INSURANCE CO BUSINESS 249147 IC SHARED SRVC. REV. false GEISINGER QUALITY OPTIONS INC BUSINESS 700210 IC SHARED SRVC. REV. false INTERNATIONAL SHARED SERVICES INC BUSINESS 268319 IC SHARED SRVC. EXP. false GEISINGER MEDICAL MANAGEMENT CORP BUSINESS 194190 IC SHARED SRVC. EXP. false GEISINGER ASSURANCE COMPANY LTD BUSINESS 321204 IC SHARED SRVC. EXP. false LAURA A DEVITO FAMILY MEMBER 18120 EMPLOYEECOMPENSATION false ADDITIONAL INFORMATION SCHEDULE L PART V LAURA A DEVITO IS A FAMILY MEMBER OF JOSEPH M DEVITO A KEY EMPLOYEE OF GEISINGERBLOOMSBURG HOSPITAL GEISINGERBLOOMSBURG HOSPITAL GBH IS CLOSELY AFFILIATED WITH SEVERAL OTHER ORGANIZATIONS IN THE NORMAL COURSE OF OPERATIONS OF THESE AFFILIATED ORGANIZATIONS THERE ARE NUMEROUS INTERORGANIZATIONAL TRANSACTIONS WHICH MAY INCLUDE SALES EXCHANGES AND LEASE 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 IRS 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 THE FOLLOWING ORGANIZATIONS REPRESENT THE AFFILIATED FORPROFIT ORGANIZATIONS WITHIN THE GEISINGERBLOOMSBURG HOSPITAL FOR WHOM BUSINESS TRANSACTIONS MUST BE DISCLOSED FOR PURPOSES OF SCHEDULE L PART IV TRANSACTIONS WITH INTERESTED PERSONS GEISINGER MEDICAL MANAGEMENT CORPORATION GEISINGER QUALITY OPTIONS INC GEISINGER INDEMNITY INSURANCE COMPANY INTERNATIONAL SHARED SERVICES INC GEISINGER ASSURANCE COMPANY LTD THE FOLLOWING OFFICERS ANDOR DIRECTORS OF GEISINGERBLOOMSBURG HOSPITAL ARE OFFICERS ANDOR DIRECTORS OF SOME OR ALL OF THESE ORGANIZATIONS WILLIAM H ALEXANDER DAVID J FELICIO ESQUIRE RICHARD A GRAFMYRE WILLIAM R GRUVER THOMAS H LEE JR MD ROBERT E POOLE DON A ROSINI GLENN D STEELE MD PHD FRANK J TREMBULAK EDWARD J ZYCH ESQUIRE 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 AND EQUIVALENTS 2012-07-01 111589 FMV 231995911 GEISINGER HEALTH SYSTEM FOUNDATION 100 NORTH ACADEMY AVENUE MC 49-40 DANVILLE PA 17822 501C3 ASSETS HELD BY TRUSTEE 2012-07-01 55765 FMV 231995911 GEISINGER HEALTH SYSTEM FOUNDATION 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 501C3 ACCOUNTS RECEIVABLE 2012-07-01 2673805 BOOK VALUE 231995911 GEISINGER HEALTH SYSTEM FOUNDATION 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 501C3 INVENTORIES 2012-07-01 517998 BOOK VALUE 231995911 GEISINGER HEALTH SYSTEM FOUNDATION 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 501C3 PREPAID EXPENSES 2012-07-01 220423 BOOK VALUE 231995911 GEISINGER HEALTH SYSTEM FOUNDATION 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 501C3 LT LIMITED USE ASSETS 2012-07-01 1048886 FMV 231995911 GEISINGER HEALTH SYSTEM FOUNDATION 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 501C3 PROPERTY AND EQUIPMENT 2012-07-01 12277459 BOOK VALUE 231995911 GEISINGER HEALTH SYSTEM FOUNDATION 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 501C3 RESTRICTED CASH 2012-07-01 197441 FMV 231995911 GEISINGER HEALTH SYSTEM FOUNDATION 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 501C3 457B DEFERRED COMP 2012-07-01 217410 FMV 231995911 GEISINGER HEALTH SYSTEM FOUNDATION 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 501C3 BENEFICIAL INTEREST TR 2012-07-01 7852919 FMV 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 FIRST ACCOMPLISHMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4A I. MISSION: GEISINGER-BLOOMSBURG HOSPITAL IS COMMITTED TO PROVIDING EXCEPTIONAL INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES FOR RESIDENTS OF BLOOMSBURG, PA AND THE SURROUNDING AREAS. THE ORGANIZATION PROMOTES, RESTORES, AND MAINTAINS COMMUNITY HEALTH THROUGH A FULLY INTEGRATED HEALTH SYSTEM AND PROVIDES A VARIETY OF SERVICES. II.GENERAL INFORMATION GEISINGER-BLOOMSBURG HOSPITAL(GBH), A 501(C)(3) NOT-FOR-PROFIT CORPORATION AND MEMBER OF GEISINGER HEALTH SYSTEM, OWNS AND OPERATES A 72 BED, ACUTE CARE, HOSPITAL IN BLOOMSBURG, PA. GBH IS CONVENIENTLY LOCATED ONLY A FEW MILES FROM SEVERAL MAJOR HIGHWAYS THROUGHOUT CENTRAL PA. THE FACILITY OPENED IN 1905, ANSWERING A PRESSING NEED FOR HEALTH AND WELLNESS CARE IN THE COMMUNITY. GBH PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. SERVICES OFFERED BY GBH INCLUDE: GENERAL MEDICAL CARE PROVIDED BY INHOUSE HOSPITALIST AND SUPPORTED BY CONSULTATIVE SERVICES IN THE AREAS OF CARDIOLOGY,NEUROLOGY AND PULMONOLOGY. EMERGENCY DEPARTMENT IS COMMITTED TO PROVIDING HIGH QUALITY, PROMPT EMERGENCY SERVICES. GBH'S ED IS STAFFED 24/7 WITH FULL-TIME PHYSICIANS AND NURSES THAT ARE TRAINED IN ALL SPECIALTIES FROM PEDIATRICS TO CRITICAL CARE. IMMEDIATE ACCESS TO LABORATORY SERVICES, X-RAYS, CAT SCANS, 3D-4D ULTRASOUND, MRI AND SURGICAL SERVICES. ON AVERAGE PATIENTS IN THE EMERGENCY DEPARTMENT ARE TREATED AND RELEASED WITHIN 90 MINUTES. MOST INSURANCES, INCLUDING MEDICARE AND MEDICAID, ARE ACCEPTED AND NO PATIENT IS REFUSED TREATMENT BECAUSE OF INABILITY TO PAY. OB/GYN FOCUSES ON ALL ASPECTS OF WOMEN'S HEALTH AND EDUCATION, PROVIDING OBSTETRICAL AND GYNECOLOGICAL CARE FOR WOMEN OF ALL AGES. SERVICES INCLUDE BUT NOT LIMITED TO ROUTINE VISITS AND TREATMENTS, PREVENTATIVE HEALTHCARE, BIRTH CONTROL EDUCATION, FAMILY PLANNING, OBSTETRICS, SURGERY & SURGERY CONSULTATIONS, MENOPAUSE COUNSELING, AND MIDWIFERY. MENTAL HEALTH & PSYCHIATRIC SERVICES IS A DESIGNATED COUNT 302 TRIAGE SITE THAT PROVIDES BOTH INPATIENT AND OUTPATIENT SERVICES DESIGNED TO HELP INDIVIDUALS LIVE AS INDEPENDENTLY AS POSSIBLE. ALL AGE GROUPS FROM ADOLESCENTS TO GERIATRICS CAN ACCESS QUICK, EFFICIENT ADMISSION 24/7 AND RECEIVE TREATMENT THROUGH ONE-ON-ONE PATIENT COUNSELING, TREATMENT MEETINGS 5 DAYS PER WEEK, AND A PSYCHIATRIST AVAILABLE ON A DAILY BASIS. SUBSTANCE ABUSE COUNSELING IS ALSO AVAILABLE INCLUDING RELAPSE PREVENTION TEAM MEETINGS. ADMISSIONS ARE CONFIDENTIAL AND MAY BE MADE BY PROFESSIONALS AS WELL BY INDIVIDUALS CONCERNED ABOUT THEMSELVES OR OTHERS. HOSPITALIZATION MEANS PATIENT CARE IS PROVIDED THROUGH MULTIPLE PROFESSIONALS WHO COMPRISE THE TREATMENT TEAM. OTHER SERVICES INCLUDE: CARDIAC SERVICES SURGERY SPECIALTIES RADIOLOGY ORTHOPEDIC ICCU UROLOGY LABORATORY SERVICES GYNOCOLOGY PHYSICAL THERAPY OTOLARYNGOLOGY RESPIRATORY SERVICES GENERAL SURGERY III. UNCOMPENSATED CARE GEISINGER-BLOOMSBURG HOSPITAL RECOGNIZES ITS MISSION IS TO SERVE ALL MEMBERS OF THE COMMUNITY WITH RESPECT TO THE PROVISION OF HEALTHCARE SERVICES AND EDUCATION. IN THIS REGARD, GBH PROVIDES FREE OR SUBSIDIZED CARE BELOW COST AND SUPPORTS VARIOUS HEALTH-RELATED ACTIVITIES AND PROGRAMS IN SUPPORT OF THE COMMUNITY. A.CHARITY CARE THE PRIMARY CONCERN OF GBH IS THE DELIVERY OF HEALTH CARE TO ALL CITIZENS OF CENTRAL PENNSYLVANIA REGARDLESS OF THEIR ABILITY TO PAY. THE UNREIMBURSED COST OF CHARITY CARE REPRESENTS THE COST GBH INCURS BY PROVIDING FREE OR DISCOUNTED SERVICES TO THOSE WHO CANNOT AFFORD TO PAY. FOR THE FISCAL YEAR ENDED JUNE 30, 2013, THE COST OF THE CHARITY CARE WAS 225 THOUSAND. B.MEDICARE/MEDICAID IN RECOGNIZING ITS MISSION TO THE COMMUNITY, GBH PROVIDES SERVICES TO THE ELDERLY (MEDICARE) AND THE INDIGENT (MEDICAID). GBH PROVIDES CARE, BELOW COST, TO PERSONS COVERED BY THESE GOVERNMENTAL PROGRAMS TO THE EXTENT THE GOVERNMENT REIMBURSEMENT IS BELOW THE COST OF PROVIDING HEALTH CARE. THE UNREIMBURSED VALUE OF MEDICARE AND/OR MEDICAID IS EQUAL TO THE COST OF PROVIDING SERVICES LESS THE AMOUNT RECEIVED AS REIMBURSEMENT UNDER THE PROGRAM. THE COST OF PROVIDING HEALTHCARE SERVICES TO MEDICARE AND MEDICAID PATIENTS EXCEEDED REIMBURSEMENT BY APPROXIMATELY 5.3 MILLION DURING THE FISCAL YEAR ENDED JUNE 30, 2013. C.OTHER UNCOMPENSATED PATIENT SERVICES IN ADDITION, GBH PROVIDES 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 664 THOUSAND. IV. VOLUNTEER SERVICES THE VOLUNTEERS OF GEISINGER-BLOOMSBURG HOSPITAL ARE AN ACTIVE AND VITAL PART OF THE ACTIVITIES OF THE HOSPITAL. THE HOURS OF VOLUNTEER SERVICES ARE AN IMPORTANT CONTRIBUTION TO THE MISSION OF GEISINGER-BLOOMSBURG HOSPITAL. THE VOLUNTEERS FROM LOCAL COMMUNITIES CONTRIBUTED 98 HOURS TOWARD THE COMMON PURPOSE OF SERVICING THE HEALTHCARE OF THE COMMUNITY. V.COMMUNITY HEALTH, EDUCATION, AND OUTREACH GBH STRIVES TO BE A VALUABLE RESOURCE FOR THE COMMUNITY AND ITS RESIDENTS. GBH PROVIDES MANY REDUCED-PRICE SERVICES AND FREE PROGRAMS THROUGHOUT THE YEAR THAT SERVE COMMUNITY HEALTH NEEDS. AT A COST OF 3 THOUSAND, THESE SERVICES AND PROGRAMS INCLUDED: SUPPORT GROUPS, COMMUNITY HEALTH EDUCATION, AND OTHER UNIQUE SERVICES. A.GROUPS GBH PROVIDES PROGRAMS FOR ALL DEMOGRAPHICS. SILVER CIRCLE IS A GROUP THAT PROVIDES BENEFITS FOR 55+ AGE INDIVIDUALS SUCH AS MONTHLY NEWSLETTER WITH HEALTH AND LIFESTYLE INFORMATION, FREE HEALTH SCREENINGS, YOGA CLASSES, HEALTHY EATING SEMINARS, TRAVEL OPPORTUNITIES, AND OTHER SOCIAL EVENTS. GBH CONTINUES TO MAKE INROADS WITH THE NEIGHBORING BLOOMSBURG UNIVERSITY WITH INVOLVEMENT BETWEEN LEADERSHIP AND STUDENTS WHO ARE INTERESTED IN COMMUNITY HEALTH CARE. B.COMMUNITY HEALTH EDUCATION COMMUNITY HEALTH NEEDS ASSESSMENT WOMEN'S HEALTH RELATED TOPICS CARDIAC AND DIABETIC COOKING CLASSES VI. COMMUNITY SERVICE SUMMARY AT COST CHARITY CARE 225,244 MEDICARE/MEDICAID 5,285,954 BAD DEBT 664,280 COMMUNITY HEALTH, EDUCATION, AND OUTREACH 3,160 VOLUNTEER SERVICES (VALUED AT 1/1/2013 PA STATEWIDE AVERAGE WEEKLY WAGE) 2,246 TOTAL 6,180,884 VII. STATISTICS GEISINGER-BLOOMSBURG HOSPTIAL FISCAL YEAR ENDED JUNE 30, 2013 ADMISSIONS (INCLUDING NEWBORNS) 2,351 ADMISSIONS (EXCLUDING NEWBORNS) 2,137 OUTPATIENT VISITS INCLUDING EMERGENCY DEPARTMENT 33,624 AVERAGE LENGTH OF STAY (EXCLUDING NEWBORNS AND PSYCH) 4.2 PERCENT OF OCCUPANCY (EXCLUDING NEWBORNS) 34.20% PATIENT DAYS (EXCLUDING NEWBORNS) 8,991 IN AND OUT SURGERY VISITS 2,407 BEDS (EXCLUDING BASSINETS) (SET UP AND STAFFED) 20 BASSINETS IN NURSERY 10 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. INCLUDING THE VOTING MEMBERS DESCRIBED ABOVE, A TOTAL OF SEVEN VOTING MEMBERS OF THE GOVERNING BODY ARE ALSO VOTING MEMBERS OF RELATED TAXABLE ORGANIZATIONS FOR WHICH BUSINESS TRANSACTIONS, BETWEEN GBH AND THE RELATED TAXABLE ORGANIZATION ARE REPORTED IN SCHEDULE L, PART IV. HOWEVER, IF THE RELATED TAXABLE ORGANIZATIONS WERE REQUIRED TO FILE SCHEDULE L, THESE TRANSACTIONS WOULD NOT BE OF A TYPE THAT WOULD BE REPORTABLE ON THEIR SCHEDULE L. IN ADDITION, THESE VOTING MEMBERS ARE NOT COMPENSATED BY THE RELATED TAXABLE ORGANIZATIONS FOR WHICH TRANSACTIONS ARE DISCLOSED IN SCHEDULE L, PART IV, DO NOT HAVE AN OWNERSHIP INTEREST IN OR RECEIVE ANY ECONOMIC BENEFIT FROM THE ACTIVITIES OF THESE RELATED TAXABLE ORGANIZATIONS, RECEIVE NO PRIVATE INUREMENT / PRIVATE BENEFIT FROM THE TRANSACTIONS WITH THE RELATED TAXABLE ORGANIZATIONS AND THE VOTING MEMBERS OF THE GOVERNING BODY ABSTAIN FROM VOTING AND ARE ABSENT FROM BOARD DELIBERATIONS AND DECISIONS ON MATTERS IF A CONFLICT EXISTS. REFER TO THE RESPONSE FOR FORM 990, PART VI, SECTION B, QUESTION 12A, 12B, AND 12C REGARDING THE GEISINGER HEALTH SYSTEM CONFLICTS OF INTEREST POLICY, DISCLOSURE, AND ENFORCEMENT. 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, AND DON A. ROSINI ALL HAVE A BUSINESS RELATIONSHIP WITH ONE ANOTHER BECAUSE THEY SERVE AS OFFICERS AND/OR DIRECTORS ON ONE OR MORE FOR-PROFIT AFFILIATES OF GEISINGER-BLOOMSBURG HOSPITAL. 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 THE 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 + PENSION LIABILITY DECREASE 170,334 + TRANSFER FROM MALPRACTICE TRUST 1,943,522 + ENDOWMENT FUND GAINS 434,557 + TEMPORARILY RESTRICTED CONTRIBUTIONS 51,067 + TEMPORARILY RESTRICTED INTEREST INCOME 230 + TRANSFER FROM GHSF 9,474,373 - ACQUISITION ACCOUNTING-SEE EXPLANATION BELOW 9,120,596 - TRANSFER TO RRG 1,000 - MALPRACTICE TRUST FUNDING 302,000 TOTAL OTHER CHANGES 2,650,487 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, GBH 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, GEISINGER-BLOOMSBURG HOSPITAL 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 BLOOMSBURG PHYSICIANS SERVICES 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232979856 PHYS SVCS 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 true false true false false false false false false false true true true false false true false false true BLOOMSBURG HOSP MED PROF LIAB TRUST S 2131801 FMV BLOOMSBURG PHYSICIANS SERVICES M 114193 FMV BLOOMSBURG PHYSICIANS SERVICES A 99519 FMV BLOOMSBURG PHYSICIANS SERVICES L 74903 FMV COLUMBIA MONTOUR HOME HEALTH SVC A 158283 FMV GEISINGER ASSURANCE COMPANY LTD M 321204 FMV GEISINGER BLOOMSBURG HEALTHCARE CTR L 88299 FMV GEISINGER CLINIC P 618510 FMV GEISINGER CLINIC A 422078 FMV GEISINGER CLINIC L 1279458 FMV GEISINGER COMMUNITY HEALTH SERVICES A 5775 FMV GEISINGER HEALTH PLAN M 1734649 FMV GEISINGER HEALTH PLAN L 5198107 FMV GEISINGER HEALTH SYSTEM FOUNDATION C 25795851 GAAP GEISINGER INDEMNITY INSURANCE COMPA L 249147 FMV GEISINGER INSURANCE CORPORATION RRG M 1430000 FMV GEISINGER MEDICAL CENTER P 100908 FMV GEISINGER MEDICAL MANAGEMENT CORP M 194190 FMV GEISINGER QUALITY OPTIONS INC L 700210 FMV GEISINGER SYSTEM SERVICES P 611210 FMV GEISINGER WYOMING VALLEY MED CTR M 176460 FMV HEALTHSOUTH GHS LLC A 18150 FMV INTERNATIONAL SHARED SERVICES INC M 268319 FMV GEISINGER HEALTH SYSTEM FOUNDATION C 9500510 FMV GEISINGER HEALTH SYSTEM FOUNDATION S 7950 FMV BLOOMSBURG HOSP MED PROF LIAB TRUST S 2131801 FMV BLOOMSBURG PHYSICIANS SERVICES M 114193 FMV BLOOMSBURG PHYSICIANS SERVICES A 99519 FMV BLOOMSBURG PHYSICIANS SERVICES L 74903 FMV COLUMBIA MONTOUR HOME HEALTH SVC A 158283 FMV GEISINGER ASSURANCE COMPANY LTD M 321204 FMV GEISINGER BLOOMSBURG HEALTHCARE CTR L 88299 FMV GEISINGER CLINIC P 618510 FMV GEISINGER CLINIC A 422078 FMV GEISINGER CLINIC L 1279458 FMV GEISINGER COMMUNITY HEALTH SERVICES A 5775 FMV GEISINGER HEALTH PLAN M 1734649 FMV GEISINGER HEALTH PLAN L 5198107 FMV GEISINGER HEALTH SYSTEM FOUNDATION C 25795851 GAAP GEISINGER INDEMNITY INSURANCE COMPA L 249147 FMV GEISINGER INSURANCE CORPORATION RRG M 1430000 FMV GEISINGER MEDICAL CENTER P 100908 FMV GEISINGER MEDICAL MANAGEMENT CORP M 194190 FMV GEISINGER QUALITY OPTIONS INC L 700210 FMV GEISINGER SYSTEM SERVICES P 611210 FMV GEISINGER WYOMING VALLEY MED CTR M 176460 FMV HEALTHSOUTH GHS LLC A 18150 FMV INTERNATIONAL SHARED SERVICES INC M 268319 FMV GEISINGER HEALTH SYSTEM FOUNDATION C 9500510 FMV GEISINGER HEALTH SYSTEM FOUNDATION S 7950 FMV BLOOMSBURG HOSP MED PROF LIAB TRUST S 2131801 FMV BLOOMSBURG PHYSICIANS SERVICES M 114193 FMV BLOOMSBURG PHYSICIANS SERVICES A 99519 FMV BLOOMSBURG PHYSICIANS SERVICES L 74903 FMV COLUMBIA MONTOUR HOME HEALTH SVC A 158283 FMV GEISINGER ASSURANCE COMPANY LTD M 321204 FMV GEISINGER BLOOMSBURG HEALTHCARE CTR L 88299 FMV GEISINGER CLINIC P 618510 FMV GEISINGER CLINIC A 422078 FMV GEISINGER CLINIC L 1279458 FMV GEISINGER COMMUNITY HEALTH SERVICES A 5775 FMV GEISINGER HEALTH PLAN M 1734649 FMV GEISINGER HEALTH PLAN L 5198107 FMV GEISINGER HEALTH SYSTEM FOUNDATION C 25795851 GAAP GEISINGER INDEMNITY INSURANCE COMPA L 249147 FMV GEISINGER INSURANCE CORPORATION RRG M 1430000 FMV GEISINGER MEDICAL CENTER P 100908 FMV GEISINGER MEDICAL MANAGEMENT CORP M 194190 FMV GEISINGER QUALITY OPTIONS INC L 700210 FMV GEISINGER SYSTEM SERVICES P 611210 FMV GEISINGER WYOMING VALLEY MED CTR M 176460 FMV HEALTHSOUTH GHS LLC A 18150 FMV INTERNATIONAL SHARED SERVICES INC M 268319 FMV GEISINGER HEALTH SYSTEM FOUNDATION C 9500510 FMV GEISINGER HEALTH SYSTEM FOUNDATION S 7950 FMV BLOOMSBURG HOSP MED PROF LIAB TRUST S 2131801 FMV BLOOMSBURG PHYSICIANS SERVICES M 114193 FMV BLOOMSBURG PHYSICIANS SERVICES A 99519 FMV BLOOMSBURG PHYSICIANS SERVICES L 74903 FMV COLUMBIA MONTOUR HOME HEALTH SVC A 158283 FMV GEISINGER ASSURANCE COMPANY LTD M 321204 FMV GEISINGER BLOOMSBURG HEALTHCARE CTR L 88299 FMV GEISINGER CLINIC P 618510 FMV GEISINGER CLINIC A 422078 FMV GEISINGER CLINIC L 1279458 FMV GEISINGER COMMUNITY HEALTH SERVICES A 5775 FMV GEISINGER HEALTH PLAN M 1734649 FMV GEISINGER HEALTH PLAN L 5198107 FMV GEISINGER HEALTH SYSTEM FOUNDATION C 25795851 GAAP GEISINGER INDEMNITY INSURANCE COMPA L 249147 FMV GEISINGER INSURANCE CORPORATION RRG M 1430000 FMV GEISINGER MEDICAL CENTER P 100908 FMV GEISINGER MEDICAL MANAGEMENT CORP M 194190 FMV GEISINGER QUALITY OPTIONS INC L 700210 FMV GEISINGER SYSTEM SERVICES P 611210 FMV GEISINGER WYOMING VALLEY MED CTR M 176460 FMV HEALTHSOUTH GHS LLC A 18150 FMV INTERNATIONAL SHARED SERVICES INC M 268319 FMV GEISINGER HEALTH SYSTEM FOUNDATION C 9500510 FMV GEISINGER HEALTH SYSTEM FOUNDATION S 7950 FMV BLOOMSBURG HOSP MED PROF LIAB TRUST S 2131801 FMV BLOOMSBURG PHYSICIANS SERVICES M 114193 FMV BLOOMSBURG PHYSICIANS SERVICES A 99519 FMV BLOOMSBURG PHYSICIANS SERVICES L 74903 FMV COLUMBIA MONTOUR HOME HEALTH SVC A 158283 FMV GEISINGER ASSURANCE COMPANY LTD M 321204 FMV GEISINGER BLOOMSBURG HEALTHCARE CTR L 88299 FMV GEISINGER CLINIC P 618510 FMV GEISINGER CLINIC A 422078 FMV GEISINGER CLINIC L 1279458 FMV GEISINGER COMMUNITY HEALTH SERVICES A 5775 FMV GEISINGER HEALTH PLAN M 1734649 FMV GEISINGER HEALTH PLAN L 5198107 FMV GEISINGER HEALTH SYSTEM FOUNDATION C 25795851 GAAP GEISINGER INDEMNITY INSURANCE COMPA L 249147 FMV GEISINGER INSURANCE CORPORATION RRG M 1430000 FMV GEISINGER MEDICAL CENTER P 100908 FMV GEISINGER MEDICAL MANAGEMENT CORP M 194190 FMV GEISINGER QUALITY OPTIONS INC L 700210 FMV GEISINGER SYSTEM SERVICES P 611210 FMV GEISINGER WYOMING VALLEY MED CTR M 176460 FMV HEALTHSOUTH GHS LLC A 18150 FMV INTERNATIONAL SHARED SERVICES INC M 268319 FMV GEISINGER HEALTH SYSTEM FOUNDATION C 9500510 FMV GEISINGER HEALTH SYSTEM FOUNDATION S 7950 FMV ADDITIONAL INFORMATION SCHEDULE R INFORMATION REGARDING TRANSFERS TO AND FROM CONTROLLED ORGANIZATIONS GEISINGERBLOOMSBURG HOSPITAL 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