2013-05-09T14:25:17-05:00 2012-06-30 250988255 CARBIS WALKER LLP 5700 CORPORATE DRIVE STE 650 PITTSBURGH PA 15237 990 2011-07-01 232193572 GEISINGER-BLOOMSBURG HOSPITAL GEIS 5703872100 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 DAVID FELICIO ESQUIRE 5703872100 2013-05-02 1 JEFFREY J PETRELL CPA P00138808 4126356270 2013-05-02 2011 2016-02-25 16:41:14Z X GLENN D STEELE JR MD 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 40848975 0 X WWW.BLOOMHEALTH.NET X 1982 PA THE 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 WIDE VARIETY OF SERVICES. 12 8 505 76 -104199 -111862 182916 167545 39857558 38800903 49080 -68087 216657 905442 40306211 39805803 0 0 0 0 19231240 20791644 0 0 108275 22468968 22277637 41700208 43069281 -1393997 -3263478 22894022 30101308 28652931 38859052 -5758909 -8757744 X THE 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 WIDE VARIETY OF SERVICES. 0 0 37359462 38800903 TO OPERATE A 72 BED GENERAL MEDICAL AND SURGICAL HOSPITAL, WHICH PROVIDED 5,821 MEDICAL SURGICAL PATIENT DAYS, 3,930 PSYCHIATRIC PATIENT DAYS, 708 NURSERY PATIENT DAYS, 2,522 SAME DAY SURGICAL PROCEDURES, 13,818 EMERGENCY ROOM VISITS DURING THE YEAR ENDED JUNE 30, 2012. THE ORGANIZATION ALSO PROVIDED CHARITY CARE TO PATIENTS WHO MET CERTAIN CRITERIA WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. 37359462 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 1 1 0 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 0 1 34 0 1 505 1 1 1 0 0 0 0 1 1 0 0 0 0 X 12 8 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X ERIN M FITZGERALD AVP FINANCE CFO 5703872100 549 EAST FAIR STREET BLOOMSBURG PA 17815 REGIS P CABONOR 25.00 X X 0 298558 31917 LUCILLE F LUKAS 1.00 X X 0 0 0 GEORGE A TURNER 1.00 X X 0 0 0 GLENN E HALTERMAN 1.00 X X 0 0 0 PATRICK J ERWIN MD 1.00 X X 0 308051 29990 RICHARD M ANGELO PHD 1.00 X 0 0 0 MATTHEW E BEAGLE 1.00 X 0 0 0 VIRGINIA L HENRIE 1.00 X 0 0 0 JOANNE T HUNT 1.00 X 0 0 0 THOMAS E LEIPOLD ESQUIRE 1.00 X 0 0 0 MICHAEL C MARINO DO 1.00 X 15000 218775 28131 JOHN E WIDGER MD 1.00 X 0 0 0 JOSEPH DEVITO 25.00 X 0 279545 19393 JEAN THOMAS 43.00 X 207230 0 7790 JOSEPH RUDA 44.00 X 201806 0 13453 TIMOTHY GUSCHEL 43.00 X 133450 0 12769 ALESIA GADRAJ 43.00 X 207283 0 7791 LINDA BRENNAN 43.00 X 209008 0 7808 973777 1104929 159042 7 0 1 0 LAB CORP OF AMERICA HOLDINGS 20 JOHNSON DRIVE RARITAN NJ 08869 LAB SERVICES 1481915 MARIANO CONSTRUCTION INC 1123 OLD BERWICK ROAD BLOOMSBURG PA 17815 CONSTRUCTION 1197596 CARBIS WALKER LLP 2599 WILMINGTON ROAD NEW CASTLE PA 16105 AUDIT AND FINANCIAL CONSULTING 259060 STEVENS & LEE PC 111 NORTH 6TH STREET READING PA 19603 LEGAL SERVICES 244772 SOKOL INC 128 HARRIS ROAD BLOOMSBURG PA 17815 CONSTRUCTION 244213 12 38330 129215 167545 NET PATIENT SERVICE RE 621500 37541066 37541066 MANAGEMENT FEE REVENUE 900099 1195512 1195512 OTHER PROGRAM SERVICE 621500 64325 64325 38800903 56394 56394 1226201 864335 361866 361866 -105924 467790 83661 40820 -83661 -40820 -124481 -124481 51437 38330 54356 -2919 -2919 MISCELLANEOUS REVENUE 621500 199951 1725 198226 CAFETERIA SALES 621500 193181 193181 TRUST INCOME 900099 153363 153363 546495 39805803 38800903 -104199 941554 15000 15000 17198348 14182866 2975965 39517 73204 73204 2196912 2187521 9391 1308180 1308180 799393 799393 206790 206790 128015 128015 4403831 3839413 563968 450 11908 4429 7479 357540 147598 207391 2551 129892 98334 31347 211 1062236 993938 53439 14859 31297 29881 963 453 63716 17760 8041 37915 977726 977726 2285873 2285873 873066 869970 156 2940 MEDICAL SUPPLIES 4661685 4661685 BAD DEBT 4058708 4058708 REPAIRS & MAINT. EXPENS 951927 822667 129260 EQUIPMENT RENTAL 545553 444735 99248 1570 728481 344403 383748 330 43069281 37359462 5601544 108275 1150 100912 966937 445932 3510668 3022919 547049 517999 196204 90549 58328996 43375679 10867915 14953317 128751 126366 6675348 10843314 22894022 30101308 6700581 7319053 6017168 5618433 9648560 11988554 6286622 13933012 28652931 38859052 X -10092326 -16675252 697334 64589 3636083 7852919 -5758909 -8757744 22894022 30101308 X -3263478 264643 X X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 7725 7725 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: A PORTION OF GEISINGER-BLOOMSBURG HOSPITAL'S DUES TO AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE HOSPITAL & HEALTHSYSTEM ASSOCIATION (HAP) OF PENNSYLVANIA ARE USED FOR LOBBYING 4333417 4656499 -250365 822043 7917508 4128199 282178 270432 347392 4333417 3972720 357290 175353 377164 4128199 4309492 587532 993 925297 3972720 0.00820 0.99180 0 1 1 366815 366815 19086230 13015002 6071228 491392 491391 1 34005084 28246385 5758699 4379475 1622901 2756574 14953317 DUE FROM AFFILIATES 81096 ACCRUED INTEREST RECEIVABLE 29362 BENEFICIAL INTEREST IN PERPETUAL TRUSTS 7852919 DEFERRED FINANCING COSTS (NET) 220814 PENSIONS 217410 TRUST INDENTURE, HELD BY TRUSTEE 762039 TRUST AGREEMENT FOR LIABILITY SELF-INSURANCE PROGRAM, HELD BY TRUSTEE 1679674 10843314 PENSION COSTS 7876469 MEDICAL MALPRACTICE CLAIMS 1700216 EST. 3RD PARTY PAYOR SETTLEMENTS 2880636 DUE TO AFFILIATES 960746 LONG TERM HEALTH INSURANCE 514945 13933012 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE ORGANIZATION FOLLOWS THE GUIDANCE FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ORGANIZATION'S FINANCIAL STATEMENTS THAT PRESCRIBES A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. THE GUIDANCE ALSO ADDRESSES DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, AND DISCLOSURE. MANAGEMENT HAS DETERMINED THAT THIS GUIDANCE HAD NO MATERIAL EFFECT ON THE CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION'S POLICY IS TO RECOGNIZE INTEREST RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE AND PENALTIES IN GENERAL AND ADMINISTRATIVE EXPENSES. THERE WERE NO INTEREST OR PENALTIES RECOGNIZED ON THE CONSOLIDATED STATEMENTS OF OPERATIONS AS A RESULT OF THIS GUIDANCE. GENERALLY, TAX RETURNS FOR YEARS ENDED JUNE 30, 2009, AND THEREAFTER REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. CAR SHOW 41953 7355 34598 1000 2248 9054 16253 WINE TASTING 25235 14375 10860 500 9131 200 4678 1 22579 16600 5979 800 3415 3850 3227 89767 38330 51437 1800 5663 9554 12981 200 24158 54356 -2919 1 1 1 X 1 X 1 1 1 0 0 295197 295197 0.00760 4478953 2473820 2005133 0.05140 4774150 2473820 2300330 0.05900 10294 10294 0.00030 88 88 0.00000 3853 3853 0.00010 14235 14235 0.00040 4788385 2473820 2314565 0.05940 14891 14891 0.00040 14891 14891 0.00040 0 4058708 5966077 7754401 -1788324 X 1 1 1 1 GEISINGER-BLOOMSBURG HOSPITAL

549 EAST FAIR STREET BLOOMSBURG PA 17815

X X X GEISINGER-BLOOMSBURG HOSPITAL 1 0 1 1 200.000000000000 1 200.000000000000 1 X X X X X 1 1 X X X X X X 1 0 1 X 0 0 PART I, LINE 7: A COST-TO-CHARGE RATIO CALCULATED FROM WORKSHEET 2, RATIO OF PATIENT CARE COSTS-TO-CHARGES IS THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNTS REPORTED ON PART I, LINE 7. PART I, LINE 7G: GEISINGER-BLOOMSBURG HOSPITAL PROVIDES ANCILLARY SERVICES AT NO CHARGE TO THE COLUMBIA COUNTY VOLUNTEER CLINIC. PART I, L7 COL(F): THE BAD DEBT EXPENSE OF 4,058,708 INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN A WAS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE OF TOTAL EXPENSES. PART II: GEISINGER-BLOOMSBURG HOSPITAL PAYS DUES TO ACTION HEALTH. ACTION HEALTH IS THE RECOGNIZED LEADER IN PROVIDING QUALITY, INNOVATIVE, EASILY ACCESSIBLE HEALTH PROGRAMS FOCUSED ON ENHANCING COMMUNITY SERVICES AND DEVELOPING NEW INITIATIVES TO ADDRESS UNMET HEALTH AND WELLNESS NEEDS. SHIP IS A COORDINATED, CONTINUOUS AND INTEGRATED PROGRAM THAT LINKS PUBLIC HEALTH, COMMUNITY HEALTH AND INDIVIDUAL HEALTH TO ADDRESS THE HEALTH NEEDS OF THE PUBLIC. ACTION HEALTH IS THE DESIGNATED SHIP PARTNER FOR THE FIVE SERVICE COUNTIES OF COLUMBIA, MONTOUR, NORTHUMBERLAND, SNYDER, AND UNION COUNTIES. ACTION HEALTH WORKS COLLABORATIVELY WITH OVER 65 AGENCIES TO MEET THE UNMET HEALTH NEEDS AND IMPROVE THE HEALTH STATUS OF THE PEOPLE IN OUR COMMUNITIES. PART III, LINE 4: THE GEISINGER-BLOOMSBURG HOSPITAL'S FINANCIAL STATEMENTS DO NOT INCLUDE A BAD DEBT FOOTNOTE. THE BAD DEBT EXPENSE CONSISTS OF BALANCES THAT ARE SENT TO COLLECTIONS AS WELL AN ADDITIONAL AMOUNT ASSESSED BY MANAGEMENT. EVERY MONTH MANAGEMENT REVIEWS THE ACCOUNTS RECEIVABLE BALANCE AND WRITES OFF ADDITIONAL AMOUNTS BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL COLLECTIONS AND ECONOMIC CONDITIONS.A COST-TO-CHARGE RATIO CALCULATED FROM WORKSHEET 2, RATIO OF PATIENT CARE COSTS-TO-CHARGES IS THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNTS REPORTED ON LINES 2 AND 3 OF PART III. 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. PART VI, LINE 2: GEISINGER-BLOOMSBURG HOSPITAL, AS A MEMBER OF ACTION HEALTH, PARTICIPATED IN COMPLETION OF A COMMUNITY NEEDS ASSESSMENT OF 5 SURROUNDING COUNTIES OF THE CENTRAL SUSQUEHANNA VALLEY OF PENNSYLVANIA.THE ASSESSMENT FOCUSED ON EVALUATING THE CURRENT STATUS OF ACCESS AND BARRIERS TO USE OF REGIONAL HEALTH AND HUMAN SERVICES AND WAS CONDUCTED IN THREE PHASES: FOCUS GROUPS, PERSONAL INTERVIEWS WITH HEALTH AND HUMAN SERVICE CLIENT HOUSEHOLDS, AND A POPULATION BASED SURVEY. ALL PHASES OF THE STUDY WERE REVIEWED AND APPROVED BY GEISINGER HEALTH SYSTEM'S INSTITUTIONAL REVIEW BOARD CHARGED WITH HUMAN SUBJECT'S PROTECTION.FOCUS GROUP FINDINGS VARIED SOMEWHAT FROM COUNTY TO COUNTY AND COMMUNITY TO COMMUNITY. HOWEVER, A NUMBER OF FINDINGS WERE CONSISTENT ACROSS THE REGION:1. MEDICAL CARE AND SPECIALTY CARE: RESIDENTS HAVE DIFFICULTY NAVIGATING THE HEALTH CARE SYSTEM. 2. DENTAL CARE FOR AREA RESIDENTS IS LIMITED. 3. MENTAL HEALTH AND SUBSTANCE ABUSE TREATMENT IS LIMITED. 4. THERE IS A GENERAL AGREEMENT THAT AREA RESIDENTS DO NOT KNOW WHERE TO GO TO OBTAIN INFORMATION ABOUT AVAILABILITY OF ALL KINDS OF SOCIAL AND SUPPORT SERVICES5. LIMITED ACCESS TO HOMELESS SHELTERS AND TRANSITIONAL HOUSING SUPPORT.6. NEED FOR HEALTH AND CONSUMER EDUCATION AND PROMOTION OF CONSUMER LITERACY, HEALTH AND WELLNESS EDUCATION, PARENTING, AND PREVENTION PROGRAMS.7. NEED FOR EXPANDED PUBLIC TRANSPORTATION. 8. LIMITED FOOD RESOURCES. 9. NEED FOR AFFORDABLE CHILD CARE AND CHILD CARE FOR ALL WORK SHIFTS. 10. SERVICES AND EDUCATION DESIGNED FOR SPECIAL GROUPS INCLUDING SENIORS, ADOLESCENTS, GRANDPARENTS RAISING GRAND CHILDREN, NON-ENGLISH-SPEAKING SENIORS. 11. RISING UNEMPLOYMENT WAS NOTED AS THE ECONOMIC DOWNTURN REACHED THIS AREA.12. INCREASE IN DOMESTIC VIOLENCE. 13. REDUCTION IN TOBACCO USE, BUT CONTINUED NEED FOR AFFORDABLE TOBACCO CESSATION PROGRAMS. 14. COMPUTER ACCESS WAS VIEWED AS POTENTIALLY INCREASING DISPARITY. PART VI, LINE 3: GEISINGER-BLOOMSBURG HOSPITAL PROVIDES INFORMATION FROM A LINK ON THEIR WEBSITE. DURING THE REGISTRATION PROCESS, PATIENTS ARE DIRECTED TO THE FINANCIAL COUNSELOR AND/OR GIVEN CHARITY CARE APPLICATIONS WHEN PATIENTS INDICATE THEY HAVE/MAY HAVE DIFFICULTY IN PAYMENT OF MEDICAL BILLS. THERE IS SIGNAGE POSTED INDICATING THAT FINANCIAL ASSISTANCE IS AVAILABLE. THE BILLING AND FINANCIAL SERVICES STAFF PROVIDES INFORMATION TO PATIENTS DURING FACE-TO-FACE, PHONE AND/OR CORRESPONDENCE (INCLUDING PATIENT BILLING STATEMENTS AND LETTERS) THAT FINANCIAL ASSISTANCE MAY BE AVAILABLE. DISCUSSIONS WOULD INCLUDE REVIEWING POTENTIAL APPLICATION FOR GOVERNMENT PROGRAMS AS WELL AS CHARITY CARE. PART VI, LINE 4: THE PRIMARY GEOGRAPHIC AREA THAT IS SERVICED BY THE HOSPITAL IS COLUMBIA COUNTY. WE ALSO HAVE PATIENTS FROM MONTOUR AND LUZERNE COUNTIES, BUT COLUMBIA IS WHERE THE MAJORITY OF OUR LOCAL BUSINESS IS FROM. COLUMBIA COUNTY IS APPROXIMENTLY 486 SQUARE MILES AND HAS A POPULATION OF 65,000. THE 2009 ESTIMATED MEDIAN HOUSEHOLD INCOME WAS $42,575 WHICH IS BELOW THE PENNSYLVANIA ESTIMATED HOUSEHOLD INCOME OF $49,520. APPROXIMATELY 14% OF RESIDENTS LIVE IN POVERTY. PART VI, LINE 5: GEISINGER-BLOOMSBURG HOSPITAL IS A COMMUNITY BASED HEALTH SYSTEM OFFERING EXCEPTIONAL CARE FOR THE COMMUNITIES OF COLUMBIA COUNTY AND SURROUNDING AREAS. WE OFFER OUR COMMUNITIES COMPLETE ACCESS TO ADVANCED TECHNOLOGY, A CONTINUUM OF HEALTH SERVICES AND A HIGHLY SKILLED, CARING STAFF, WHICH INCLUDES SOME OF THE AREA'S FINEST DOCTORS AND NURSES. YOU WILL FIND THE EXPERT QUALITY CARE AND SOPHISTICATION YOU EXPECT FROM A LARGER HOSPITAL IN THE COMFORT AND CONVENIENCE OF A COMMUNITY HOSPITAL SETTING. WE ARE COMMITTED TO HELPING RESIDENTS IMPROVE THEIR HEALTH THROUGH EDUCATION AND PREVENTION PROGRAMS AS WELL AS KEEPING UP WITH RAPIDLY CHANGING TECHNOLOGY TO PROVIDE ADVANCED SERVICES, WHILE REMAINING FOCUSED ON COMPASSION, RESPECT AND QUALITY OF CARE. OUR MISSION IS TO PROMOTE, RESTORE AND MAINTAIN OUR COMMUNITY'S HEALTH. WE DO THIS THROUGH A FULLY INTEGRATED HEALTH SYSTEM AND PROVIDE A WIDE VARIETY OF SERVICES, INCLUDING INPATIENT HOSPITALIZATION, INPATIENT AND OUTPATIENT REHABILITATION, AND OUTPATIENT SURGERY. THE GEISINGER-BLOOMSBURG HOSPITAL HAS ALWAYS BEEN A NOT-FOR-PROFIT COMMUNITY HOSPITAL GOVERNED BY CITIZENS OF THE BLOOMSBURG AREA WHO ARE NOT EMPLOYEES OR CONTRACTORS OF THE ORGANIZATION OR FAMILY MEMBERS. X X 0 0 0 0 0 0 0 0 0 REGIS P CABONOR 0 265894 0 32664 0 0 0 19486 0 12431 0 330475 0 0 PATRICK J ERWIN MD 0 303133 0 4918 0 0 0 6117 0 23873 0 338041 0 0 MICHAEL C MARINO DO 15000 218775 0 0 0 0 0 4212 0 23919 15000 246906 0 0 JOSEPH DEVITO 0 232952 0 46593 0 0 0 2795 0 16598 0 298938 0 0 JEAN THOMAS 200230 0 7000 0 0 0 2072 0 5718 0 215020 0 0 0 JOSEPH RUDA 194806 0 7000 0 0 0 2018 0 11435 0 215259 0 0 0 ALESIA GADRAJ 200283 0 7000 0 0 0 2073 0 5718 0 215074 0 0 0 LINDA BRENNAN 202008 0 7000 0 0 0 2090 0 5718 0 216816 0 0 0 LAURA DEVITO ORGANIZATION EMPLOYED THE SPOUSE OF THE CFO, JOSEPH DEVITO. 25768 LAURA DEVITO WAS EMPLOYED BY THE ORGANIZATION AS AN ADMINISTRATIVE ASSISTANT. SHE IS THE SPOUSE OF JOSEPH DEVITO, WHO IS THE ORGANIZATION'S CHIEF FINANCIAL OFFICER. 0 FIRST COLUMBIA BANK & TRUST GLENN HALTERMAN, BOARD MEMBER 642148 INTEREST EXPENSE AND BANK FEES ARE PAID TO FIRST COLUMBIA BANK & TRUST. GLENN HALTERMAN, BOARD MEMBER OF THE GEISINGER-BLOOMSBURG HOSPITAL IS ON FIRST COLUMBIA BANK & TRUST'S BOARD. 0 FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE CORPORATION IS BLOOMSBURG HEALTH SYSTEM, INC. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD MEMBERS ARE ELECTED BY THE SOLE MEMBER (BLOOMSBURG HEALTH SYSTEM, INC.) FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING POWERS ARE SPECIFICALLY RESERVED TO THE SOLE MEMBER (BLOOMSBURG HEALTH SYSTEM, INC.) AND MAY ONLY BE UNDERTAKEN BY THE BOARD WITH THE APPROVAL OF THE SOLE MEMBER. 1. AMENDMENT OF THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THE CORPORATION 2. PURCHASE, SALE, LEASE OR ENCUMBRANCE WITH DEBT, IN ANY WAY, OF THE REAL PROPERTY OF THE CORPORATION OR CREATION OF ANY ENCUMBRANCE UPON OR EXECUTION OF ANY DEBT INSTRUMENT AFFECTING OR RESTRICTING ANY ASSET OF THE CORPORATION, IN EXCESS OF AN AMOUNT SPECIFIED FROM TIME TO TIME BY RESOLUTION OF THE SOLE MEMBER 3. TRANSFER OF ANY ASSETS OF THE CORPORATION IF THE AMOUNT INVOLVED IN ANY SUCH TRANSACTION IS IN EXCESS OF AN AMOUNT SPECIFIED FROM TIME TO TIME BY RESOLUTION OF THE SOLE MEMBER 4. ELECTION AND REMOVAL OF MEMBERS OF THE BOARD OF DIRECTORS OF THE CORPORATION 5. APPROVAL OF THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION 6. APPROVAL OF NON-BUDGETED EXPENDITURES IN EXCESS OF AMOUNTS AS DETERMINED FROM TIME TO TIME BY THE SOLE MEMBER 7. SELECTION AND RETENTION OF INVESTMENT ADVISORS, OUTSIDE LEGAL COUNSEL AND AUDITOR 8. MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION OR ANY SUBSIDIARY 9. EXPENDITURES (INCLUDING, BUT NOT LIMITED TO ANY TRANSFER OF FUNDS BY GIFT, GRANT OR LOAN), BORROWINGS OR OTHER FINANCIAL COMMITMENTS BY THE CORPORATION OR ANY SUBSIDIARY IN AMOUNTS WHICH INDIVIDUALLY OR IN AGGREGATE, MATERIALLY EXCEED THOSE PROVIDED FOR IN THE APPROVED ANNUAL BUDGET OR APPROVED MODIFICATIONS THERETO FOR THE CORPORATION OR ANY SUBSIDIARY 10. ANY OTHER MATTER THAT BY LAW WOULD REQUIRE THE APPROVAL OF THE MEMBERS OF A NON-PROFIT CORPORATION IN PENNSYLVANIA FORM 990, PART VI, SECTION B, LINE 11 FORM 990, PART VI, EFFECTIVE JULY 1, 2012, THE BLOOMSBURG HOSPITAL (NOW GEISINGER-BLOOMSBURG HOSPITAL) (GBH) AND ITS RELATED ENTITIES (GEISINGER-BLOOMSBURG HEALTH CARE CENTER (FORMERLY BLOOMSBURG HEALTH CARE CENTER), BLOOMSBURG PHYSICIANS SERVICES, COLUMBIA MONTOUR HOME HEALTH SERVICES, AND THE BLOOMSBURG HOSPITAL MEDICAL PROFESSIONAL LIABILITY SELF-INSURANCE TRUST) MERGED WITH GEISINGER HEALTH SYSTEM. PRIOR TO FILING THE 2011 FORM 990, GEISINGER HEALTH SYSTEM FOUNDATION BOARD OF DIRECTORS APPOINTED NEW OFFICERS AND A NEW BOARD OF DIRECTORS FOR GBH AND ALL RELATED ENTITIES. THE NEWLY APPOINTED 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 WAS 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 GEISINGER HEALTH SYSTEM (GHS) ORGANIZATIONS' FORM 990 FILINGS. THE FORM 990 IS PREPARED BY THE 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 AND FOR THE GBH CONSOLIDATED FINANCIAL STATEMENTS, INDEPENDENT AUDITORS REVIEW ALL FEDERAL TAX RETURNS FILED BY THE GHS AND GBH ORGANIZATIONS TO IDENTIFY MATERIAL ITEMS, INCLUDING IF THERE ARE ANY UNCERTAIN TAX POSITIONS THAT MAY BE REQUIRED TO BE RECOGNIZED. THE ORGANIZATIONS HAD NO UNCERTAIN TAX POSITIONS REQUIRED TO BE REPORTED FOR FISCAL YEAR ENDED JUNE 30, 2012. 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. FORM 990, PART VI, SECTION B, LINE 12C THE GEISINGER-BLOOMSBURG HOSPITAL ANNUALLY REQUIRES ITS BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES TO FILL OUT A CONFLICTS OF INTEREST FORM. DURING BOARD MEETINGS, IF AN INTERESTED PARTY HAS A CONFLICT OF INTEREST, HE OR SHE RECUSES THEMSELVES FROM VOTING. FORM 990, PART VI, SECTION B, LINE 15 THE GEISINGER-BLOOMSBURG HOSPITAL'S BOARD OF DIRECTORS DETERMINES THE COMPENSATION OF THE CHIEF EXECUTIVE OFFICER. THE CHIEF EXECUTIVE OFFICER SETS THE SALARY FOR THE OTHER KEY EMPLOYEES AND OFFICERS. SALARIES ARE REVIEWED ANNUALLY BY THE BOARD OF DIRECTORS AND THE CHIEF EXECUTIVE OFFICER. FORM 990, PART VI, SECTION C, LINE 18 THE GEISINGER-BLOOMSBURG HOSPITAL MAKES ITS FORM 990, FORM 990-T, CONSOLIDATED FINANCIAL STATEMENTS, AND FORM 1023 AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 AT THIS TIME, THE GEISINGER-BLOOMSBURG HOSPITAL ONLY MAKES ITS GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC TO THE EXTENT THAT THE DOCUMENTS ARE REQUIRED DISCLOSURES OR ATTACHMENTS TO OTHER PUBLICLY AVAILABLE INFORMATION. ALL OTHER GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICIES ARE NOT AVAILABLE TO THE GENERAL PUBLIC. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 397,581. PENSION LIABILITY ADJUSTMENT -4,854,930. TRANSFER TO AFFILIATES -6,146,635. TEMPORARILY RESTRICTED CONTRIBUTIONS 147,322. TEMPORARILY RESTRICTED INVESTMENT INCOME 6,565. VALUATION GAIN, BENEFICIAL INTEREST IN PERPETUAL TRUSTS -256,930. TRANSFER OF NET ASSETS FROM AFFILIATES 10,971,670. TOTAL TO FORM 990, PART XI, LINE 5: 264,643. FORM 990, PART XII, LINE 2C: THE GEISINGER-BLOOMSBURG HOSPITAL HAS AN AUDIT COMMITTEE THAT IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT AUDITORS. THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR. FORM 990, PART VII, SECTION A, LINE 1A: THE OFFICERS REGIS P. CABONOR, CEO AND JOSEPH DEVITO, CFO SPLIT THE HOURS WORKED PER WEEK BETWEEN EACH OF THE BLOOMSBURG ENTITIES IN THE FOLLOWING MANNER: GEISINGER-BLOOMSBURG HOSPITAL - 25 HR BLOOMSBURG HEALTH SYSTEM, INC. - 1 HR COLUMBIA MONTOUR VISITING NURSES - 2 HR GEISINGER-BLOOMSBURG HEALTH CARE CENTER - 6 HR BLOOMSBURG PHYSICIANS SERVICES - 4 HR BLOOMSBURG HEALTH SYSTEM INC 549 EAST FAIR STREET BLOOMSBURG PA 17815 232262540 HEALTH CARE PA 501(C)(3) 509(A)(1) 0 GEISINGER-BLOOMSBURG HEALTH CARE CENTER 549 EAST FAIR STREET BLOOMSBURG PA 17815 232242854 HEALTH CARE PA 501(C)(3) 509(A)(1) BLOOMSBURG HEALTH SYSTEM INC 0 BLOOMSBURG PHYSICIANS SERVICES 549 EAST FAIR STREET BLOOMSBURG PA 17815 232979856 HEALTH CARE PA 501(C)(3) 509(A)(1) BLOOMSBURG HEALTH SYSTEM INC 0 COLUMBIA-MONTOUR HOME HEALTH SERVICESVISITING NURSE ASSOCIATION INC 410 GLENN AVENUE SUITE 200 BLOOMSBURG PA 17815 231704399 HEALTH CARE PA 501(C)(3) 509(A)(1) BLOOMSBURG HEALTH SYSTEM INC 0 BLOOMSBURG HOSPITAL MEDICAL PROF LIABILITY SELF-INSURANCE TRUST 549 EAST FAIR STREET BLOOMSBURG PA 17815 146222837 HEALTH CARE PA 501(C)(3) 509(A)(2) BLOOMSBURG HEALTH SYSTEM INC 0 BLOOMSBURG HEALTH VENTURES 549 EAST FAIR STREET BLOOMSBURG PA 17815 202852206 HEALTH CARE PA 501(C)(3) 509(A)(2) BLOOMSBURG HEALTH SYSTEM INC 0 0 0 0 0 1 0 0 0 0 1 0 0 1 1 1 1 1 1