GEISINGER-BLOOMSBURG HOSPITAL: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- GEISINGER-BLOOMSBURG HOSPITAL (EIN 23-2193572)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-05-13
- IRS object ID
- 201101339349302220
- Schema version
- 2009v1.7
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-13T11:26:12-05:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Carbis Walker LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5700 Corporate Drive Ste 650 | AddressLine1 |
| City | Pittsburgh | City |
| State | PA | State |
| ZIP Code | 15237 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 232193572 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Bloomsburg Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | BLOO | NameControl |
| Phone | 5703872100 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 549 East Fair Street | AddressLine1 |
| City | Bloomsburg | City |
| State | PA | State |
| ZIP Code | 17815 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOSEPH DEVITO | Name |
| Title | CHIEF FINANCIAL OFFICER | Title |
| Phone | 5703872100 | Phone |
| Date Signed | 2011-05-11 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Jeffrey J Petrell CPA | Name |
| Phone | 4126356270 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | REGIS P CABONOR | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 549 EAST FAIR STREET | AddressLine1 |
| City | BLOOMSBURG | City |
| State | PA | State |
| ZIP Code | 17815 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 40411354 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | www.bloomhealth.net | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1982 | YearFormation |
| State Legal Domicile | PA | StateLegalDomicile |
| Activity Or Mission Description | The 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 7 | NbrIndependentVotingMembers |
| Total Nbr Employees | 555 | TotalNbrEmployees |
| Total Nbr Volunteers | 132 | TotalNbrVolunteers |
| Total Gross UBI | 5402 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -6873 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 723390 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 212612 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 40997716 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 39857302 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -93862 | InvestmentIncomePriorYear |
| Investment Income Current Year | 55679 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 545825 | OtherRevenuePriorYear |
| Other Revenue Current Year | 206397 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 42173069 | TotalRevenuePriorYear |
| Total Revenue Current Year | 40331990 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 18451634 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 19442047 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 216480 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 22088911 | OtherExpensePriorYear |
| Other Expenses Current Year | 20796590 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 40540545 | TotalExpensesPriorYear |
| Total Expenses Current Year | 40238637 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1632524 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 93353 | RevenuesLessExpensesCY |
| Total Assets BOY | 26460631 | TotalAssetsBOY |
| Total Assets EOY | 28988590 | TotalAssetsEOY |
| Total Liabilities BOY | 26826696 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 29492324 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -366065 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -503734 | NetAssetsOrFundBalancesEOY |
| Mission Description | the 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 35393970 | Expense |
| Revenue | 39857302 | Revenue |
| Description | to operate a 72 bed general medical and surgical hospital, which provided 8,236 medical surgical patient days, 4,023 psychiatric patient days, 768 nursery patient days, 2,989 same day surgical procedures, 14,764 emergency room visits during the year ended June 30, 2010. The organization also provided charity care to patients who met certain criteria without charge or at amounts less than established rates. | Description |
| Total Program Service Expense | 35393970 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 43 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 555 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Form8899 Filed | 0 | Form8899Filed |
| Form1098 C Filed | 0 | Form1098CFiled |
| Excess Business Holdings | 0 | ExcessBusinessHoldings |
| Taxable Distributions | 0 | TaxableDistributions |
| Distribution To Donor | 0 | DistributionToDonor |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 7 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 0 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | PA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | JOSEPH DEVITO | NamePerson |
| Telephone Number | 5703872100 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 549 EAST FAIR STREET | AddressLine1 |
| City | BLOOMSBURG | City |
| State | PA | State |
| ZIP Code | 17815 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (20 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| REGIS P CABONOR | |||||||
| DIRECTOR/CEO | 25.00 | X | X | 0 | 252606 | 29570 | |
| JOSEPH DEVITO | |||||||
| CFO | 25.00 | X | 0 | 224066 | 32486 | ||
| RICHARD M ANGELO PHD | |||||||
| CHAIRPERSON | 1.00 | X | X | 0 | 0 | 0 | |
| LUCILLE F LUKAS | |||||||
| VICE CHAIRPERSON | 1.00 | X | X | 0 | 0 | 0 | |
| JOHN R THOMPSON | |||||||
| TREASURER | 1.00 | X | X | 0 | 0 | 0 | |
| GEORGE A TURNER | |||||||
| SECRETARY | 1.00 | X | X | 0 | 0 | 0 | |
| Jan Swan | |||||||
| dIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| FRANCIS J WELK PT DPT | |||||||
| DIRECTOR | 1.00 | X | 24950 | 0 | 1909 | ||
| Beverly Ribble | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| PATRICK J ERWIN MD | |||||||
| DIRECTOR | 1.00 | X | 0 | 347718 | 25461 | ||
| GLENN E HALTERMAN | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| VIRGINIA L HENRIE | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| Michael C Marino DO | |||||||
| DIRECTOR | 1.00 | X | 0 | 240410 | 23707 | ||
| JAMES W JOSEPH MD | |||||||
| DIRECTOR | 1.00 | X | 13850 | 148000 | 22630 | ||
| Thomas E Leipold Esquire | |||||||
| dIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| MARA DAME | |||||||
| CRNA | 43.00 | 208781 | 0 | 30965 | X | ||
| JOSEPH RUDA | |||||||
| CRNA | 44.00 | 192785 | 0 | 26300 | X | ||
| Stephanie Novotny | |||||||
| CRNA | 43.00 | 183123 | 0 | 19412 | X | ||
| ALESIA GADRAJ | |||||||
| CRNA | 43.00 | 184188 | 0 | 19468 | X | ||
| LINDA BRENNAN | |||||||
| CRNA | 43.00 | 183155 | 0 | 19424 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 990832 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1212800 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 251332 | TotalOtherCompensation |
| Number Individuals GT100 K | 5 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Lab Corp of America Holdings | |||||
| 20 Johnson Drive | Raritan | NJ | 08869 | Lab Services | 1079681 |
| PREMIER HOSPITALISTS | |||||
| 13610 Barrett Office Dr | MANCHESTER | MO | 63021 | HOSPITALIST SERVICES | 582000 |
| Stevens & Lee PC | |||||
| PO Box 679 | Reading | PA | 19603 | Legal Services | 179409 |
| Allen Cornell | |||||
| 112 Lamoreaux Road | Bloomsburg | PA | 17815 | ROOFING | 155700 |
| Bloomsburg Emergency Physician | |||||
| PO Box 58129 | Oklahoma City | OK | 73157 | ER Management & Staffing | 112750 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
| Fundraising Events | 64968 | FundraisingEvents |
| All Other Contributions | 147644 | AllOtherContributions |
| Total Contributions | 212612 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| NET PATIENT SERVICE RE | 621500 | 39840519 | 39840519 | |
| OTHER PROGRAM SERVICE | 621500 | 11381 | 11381 | |
| LAB SERVICES TO NONPAT | 621500 | 5402 | 5402 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 39857302 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 57662 | TotalRevenueColumn |
| Exclusion | $57,662 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 19235 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 19235 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 19235 | TotalRevenueColumn |
| Exclusion | $19,235 | ExclusionAmount |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1983 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -1983 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -1983 | TotalRevenueColumn |
| Exclusion | -$1,983 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 61466 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 64968 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 77381 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -15915 | TotalRevenueColumn |
| Exclusion | -$15,915 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| CAFETERIA SALES | 621500 | 175324 | $175,324 |
| Miscellaneous Revenue | 621500 | 27753 | $27,753 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 203077 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 40331990 | TotalRevenueColumn |
| Related Or Exempt Function Income | 39851900 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 5402 | UnrelatedBusinessRevenue |
| Exclusion | $262,076 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13850 | Total |
| Program Services | 13850 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15750655 | Total |
| Program Services | 13624845 | ProgramServices |
| Management And General | 1997175 | ManagementAndGeneral |
| Fundraising | 128635 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 364514 | Total |
| Program Services | 364514 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2150490 | Total |
| Program Services | 2119510 | ProgramServices |
| Management And General | 30980 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1162538 | Total |
| Program Services | 1162538 | ProgramServices |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 585500 | Total |
| Management And General | 585500 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 125917 | Total |
| Management And General | 125917 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 41888 | Total |
| Management And General | 41888 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4692184 | Total |
| Program Services | 3911894 | ProgramServices |
| Management And General | 780290 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34097 | Total |
| Management And General | 26861 | ManagementAndGeneral |
| Fundraising | 7236 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 445998 | Total |
| Program Services | 230979 | ProgramServices |
| Management And General | 209831 | ManagementAndGeneral |
| Fundraising | 5188 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 145452 | Total |
| Program Services | 90949 | ProgramServices |
| Management And General | 52350 | ManagementAndGeneral |
| Fundraising | 2153 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1251875 | Total |
| Program Services | 1140892 | ProgramServices |
| Management And General | 105540 | ManagementAndGeneral |
| Fundraising | 5443 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 56847 | Total |
| Program Services | 45641 | ProgramServices |
| Management And General | 11118 | ManagementAndGeneral |
| Fundraising | 88 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 109775 | Total |
| Program Services | 16178 | ProgramServices |
| Management And General | 26257 | ManagementAndGeneral |
| Fundraising | 67340 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 843162 | Total |
| Program Services | 843162 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2198810 | Total |
| Program Services | 2198810 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 206505 | Total |
| Program Services | 206505 | ProgramServices |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Medical SUPPLIES | 5251574 | 5249001 | 2573 |
| BAD DEBT | 3021565 | 3021565 | |
| REPAIRS & MAINTENANCE | 790685 | 477769 | 312916 |
| EQUIPMENT RENTAL | 514006 | 370838 | 143168 |
| LICENSES & DUES | 254914 | 79091 | 175823 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 225836 | Total |
| Program Services | 225439 | ProgramServices |
| Fundraising | 397 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 40238637 | Total |
| Program Services | 35393970 | ProgramServices |
| Management And General | 4628187 | ManagementAndGeneral |
| Fundraising | 216480 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1250 | BOY |
| EOY | 1250 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 836992 | BOY |
| EOY | 1316188 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4226484 | BOY |
| EOY | 3495479 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 628696 | BOY |
| EOY | 616201 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 358100 | BOY |
| EOY | 150513 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 42236957 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 30894094 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9768750 | BOY |
| EOY | 11342863 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 102903 | BOY |
| EOY | 110109 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10537456 | BOY |
| EOY | 11955987 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26460631 | BOY |
| EOY | 28988590 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7748832 | BOY |
| EOY | 6758327 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6778681 | BOY |
| EOY | 6399407 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4486273 | BOY |
| EOY | 8504165 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7812910 | BOY |
| EOY | 7830425 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26826696 | BOY |
| EOY | 29492324 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -4338785 | BOY |
| EOY | -4631934 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 781734 | BOY |
| EOY | 762233 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3190986 | BOY |
| EOY | 3365967 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -366065 | BOY |
| EOY | -503734 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26460631 | BOY |
| EOY | 28988590 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $22,210 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 22210 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part II-B, Line 1i: | Identifier |
| Return Reference | Explanation of Other Lobbying Activities: | ReturnReference |
| Explanation | A portion of Bloomsburg Hospital's dues to American Hospital Association (AHA) and The Hospital & Healthsystem Association (HAP) of Pennsylvania are used for Lobbying | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3972720 | BeginningOfYearBalance |
| Contributions | 357290 | Contributions |
| Investment Earnings Or Losses | 175353 | InvestmentEarningsOrLosses |
| Other Expenditures | 377164 | OtherExpenditures |
| End Of Year Balance | 4128199 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 4309492 | BeginningOfYearBalance |
| Contributions | 587532 | Contributions |
| Investment Earnings Or Losses | 993 | InvestmentEarningsOrLosses |
| Other Expenditures | 925297 | OtherExpenditures |
| End Of Year Balance | 3972720 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.18500 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.81500 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 1 | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | 1 | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 16792 | OtherCostOrOtherBasis |
| Book Value | 16792 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 24722286 | OtherCostOrOtherBasis |
| Depreciation | 19134464 | Depreciation |
| Book Value | 5587822 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 336521 | OtherCostOrOtherBasis |
| Depreciation | 312643 | Depreciation |
| Book Value | 23878 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 16957712 | OtherCostOrOtherBasis |
| Depreciation | 11361732 | Depreciation |
| Book Value | 5595980 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 203646 | OtherCostOrOtherBasis |
| Depreciation | 85255 | Depreciation |
| Book Value | 118391 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 11342863 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (8 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| DUE FROM AFFILIATES | 5889340 |
| ACCRUED INTEREST RECEIVABLE | 28720 |
| BENEFICIAL INTEREST IN PERPETUAL TRUSTS | 3365967 |
| DEFERRED FINANCING COSTS (NET) | 254793 |
| DEPOSITS | 194005 |
| PENSIONS | 111946 |
| TRUST INDENTURE, HELD BY TRUSTEE | 762161 |
| TRUST AGREEMENT FOR LIABILITY SELF-INSURANCE PROGRAM, HELD BY TRUSTEE | 1349055 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 11955987 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (6 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| LONG TERM HEALTH INSURANCE | $111,946 |
| PENSION COSTS | $4,694,809 |
| MEDICAL MALPRACTICE CLAIMS LIABILITY | $1,165,462 |
| ESTIMATED THIRD PARTY PAYOR SETTLEMENTS | $776,576 |
| DUE TO AFFILIATES | $564,745 |
| OBLIGATIONS UNDER CAPITAL LEASE | $516,887 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 7830425 | TotalOfAmounts |
| Total Revenue | 40331990 | TotalRevenue |
| Total Expenses | 40238637 | TotalExpenses |
| Excess Or Deficit For Year | 93353 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -118520 | NetUnrealizedGLOnInvestments |
| Other | -$112,502 | OtherAmount |
| Total Adjustments | -231022 | TotalAdjustments |
| Excess Or Deficit Per FS | -137669 | ExcessOrDeficitPerFS |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Part X: | Description of Uncertain Tax Positions Under FIN 48: | The System adopted the standard for accounting for uncertainty in income taxes recognized in a company'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 not been met. The standard also provides guidance on derecognition, classification, interest and penalties, accounting for interim periods, and disclosure. Management has determined that the adoption of the standard did not have a material effect on the consolidated financial statements. The System's federal Forms 990, Return of Organization Exempt from Income Tax, for the years ended June 30, 2009, 2008, and 2007, remain subject to examination by the Internal Revenue Service and various state agencies. |
| Part XI, Line 8 - Other Adjustments: | PENSION LIABILITY ADJUSTMENT: -590868. NET ASSETS RELEASED FROM RESTRICTIONS: 303385. VALUATION GAIN ON BENEFICIAL INTEREST IN PERPETUAL TRUSTS: 174981. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | CAR SHOW | NameOfEvent1 |
| Gross Receipts Event1 | 74326 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 23919 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 50407 | GrossRevenueEvent1 |
| Cash Prizes Event1 | 4020 | CashPrizesEvent1 |
| Non Cash Prizes Event1 | 4022 | NonCashPrizesEvent1 |
| Rent Facility Costs Event1 | 3500 | RentFacilityCostsEvent1 |
| Other Direct Expenses Event1 | 33648 | OtherDirectExpensesEvent1 |
| Name Of Event2 | Golf Tournament | NameOfEvent2 |
| Gross Receipts Event2 | 30085 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 28126 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 1959 | GrossRevenueEvent2 |
| Cash Prizes Event2 | 975 | CashPrizesEvent2 |
| Non Cash Prizes Event2 | 4601 | NonCashPrizesEvent2 |
| Other Direct Expenses Event2 | 12833 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 1 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 22023 | GrossReceiptsOtherEvents |
| Charitable Contrib Other Events | 12923 | CharitableContribOtherEvents |
| Gross Revenue Other Events | 9100 | GrossRevenueOtherEvents |
| Cash Prizes Other Events | 270 | CashPrizesOtherEvents |
| Non Cash Prizes Other Events | 782 | NonCashPrizesOtherEvents |
| Other Direct Expenses Other Events | 12730 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 126434 | GrossReceiptsTotal |
| Charitable Contributions Total | 64968 | CharitableContributionsTotal |
| Gross Revenue Total Events | 61466 | GrossRevenueTotalEvents |
| Cash Prizes Total Events | 5265 | CashPrizesTotalEvents |
| Non Cash Prizes Total Events | 9405 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 3500 | RentFacilityCostsTotalEvents |
| Other Direct Expenses Total Events | 59211 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 77381 | DirectExpenseSummaryEvents |
| Net Income Summary | -15915 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 333.000000000000 | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 0 | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 184923 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 184923 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00500 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3966737 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2599377 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1367360 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03670 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4151660 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2599377 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1552283 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04170 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 17526 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 17526 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1507 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 930 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 577 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 630 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 630 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2690 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2690 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 22353 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 930 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 21423 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00060 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4174013 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2600307 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1573706 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04230 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 14563 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 14563 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 14563 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 14563 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $790,788 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 7292379 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 7621210 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -328831 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part V Form990ScheduleHPartV
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE BLOOMSBURG HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 549 EAST FAIR STREET | AddressLine1 |
| City | BLOOMSBURG | City |
| State | PA | State |
| ZIP Code | 17815 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Costing Method Used | 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. | CostingMethodUsed |
| Subsidized Health Services Expln | Part I, Line 7g: Bloomsburg Hospital provides ancillary services at no charge to the Columbia County Volunteer Clinic. | SubsidizedHealthServicesExpln |
| Percent Of Total Expense Expln | Part I, Line 7f: The Bad debt expense of 3,021,565 included on Form 990, Part IX, line 25, column A was subtracted for purposes of calculating the percentage of total expenses. | PercentOfTotalExpenseExpln |
| Bad Debt Footnote | Part III, Line 4: The 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. | BadDebtFootnote |
| Debt Collection Policy | 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. | DebtCollectionPolicy |
| Needs Assessment | Part VI, Line 2: 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. | NeedsAssessment |
| Patient Education Assistance | Part VI, Line 3: The 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. | PatientEducationAssistance |
| Community Information | 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. | CommunityInformation |
| Community Building Activities | Part VI, Line 5: The 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. | CommunityBuildingActivities |
| Other Information | Part VI, Line 6: The 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 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. | OtherInformation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | X | IndependentConsultant |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| REGIS P CABONOR | |||||||||||||
| 0 | 252606 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 29570 | 0 | 282176 | 0 | 0 |
| JOSEPH DEVITO | |||||||||||||
| 0 | 224066 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 32486 | 0 | 256552 | 0 | 0 |
| PATRICK J ERWIN MD | |||||||||||||
| 0 | 282000 | 0 | 40322 | 0 | 25396 | 0 | 5719 | 0 | 19742 | 0 | 373179 | 0 | 0 |
| Michael C Marino DO | |||||||||||||
| 0 | 223154 | 0 | 17256 | 0 | 0 | 0 | 4200 | 0 | 19507 | 0 | 264117 | 0 | 0 |
| JAMES W JOSEPH MD | |||||||||||||
| 13850 | 148000 | 0 | 0 | 0 | 0 | 0 | 2960 | 0 | 19670 | 13850 | 170630 | 0 | 0 |
| MARA DAME | |||||||||||||
| 175108 | 0 | 8000 | 0 | 25673 | 0 | 0 | 0 | 30965 | 0 | 239746 | 0 | 0 | 0 |
| JOSEPH RUDA | |||||||||||||
| 184785 | 0 | 8000 | 0 | 0 | 0 | 0 | 0 | 26300 | 0 | 219085 | 0 | 0 | 0 |
| Stephanie Novotny | |||||||||||||
| 174123 | 0 | 9000 | 0 | 0 | 0 | 0 | 0 | 19412 | 0 | 202535 | 0 | 0 | 0 |
| ALESIA GADRAJ | |||||||||||||
| 176188 | 0 | 8000 | 0 | 0 | 0 | 0 | 0 | 19468 | 0 | 203656 | 0 | 0 | 0 |
| LINDA BRENNAN | |||||||||||||
| 175155 | 0 | 8000 | 0 | 0 | 0 | 0 | 0 | 19424 | 0 | 202579 | 0 | 0 | 0 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| LAURA DEVITO | |||
| ORGANIZATION EMPLOYED THE SPOUSE OF THE CFO, JOSEPH DEVITO. | 27857 | 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 | |||
| John thompson & GLENN HALTERMAN, board members | 418922 | Interest expense and bank fees are paid to First Columbia Bank & Trust. John Thompson, TREASURER of the Bloomsburg Hospital is a key employee of First Columbia Bank & Trust. GLENN HALTERMAN, board member of the Bloomsburg Hospital is Chairman of First Columbia Bank & Trust's board. | 0 |
| (no name) | |||
| 0 | |||
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| 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 | The Bloomsburg Hospital has A CPA FIRM PREPARE ITS FORM 990. The return is completed in draft form and reviewed by management of the organization. |
| Form 990, Part VI, Section B, line 12c | THE 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 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. THE COMPENSATION AMOUNTS ARE ALSO COMPARED TO A COMPREHENSIVE EXECUTIVE COMPENSATION STUDY WHICH WAS PERFORMED BY THE ORGANIZATION APPROXIMATELY TWO YEARS AGO. |
| Form 990, Part VI, Section C, line 18 | THE BLOOMSBURG HOSPITAL MAKES ITS FORM 990, Form 990-T and FOrm 1023 AVAILABLE TO THE PUBLIC. |
| Form 990, Part VI, Section C, line 19 | AT THIS TIME, THE 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, THE CONFLICT OF INTEREST POLICIES, AND THE CONSOLIDATED FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE GENERAL PUBLIC. |
| FORM 990, PART XI, LINE 2C: | The 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: THE BLOOMSBURG HOSPITAL - 25 HR BLOOMSBURG HEALTH SYSTEM, INC. - 1 HR COLUMBIA MONTOUR VISITING NURSES - 2 HR BLOOMSBURG HEALTH CARE CENTER - 6 HR BLOOMSBURG PHYSICIANS SERVICES - 4 HR |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| BLOOMSBURG HEALTH SYSTEM INC | |||||||||
| 549 EAST FAIR STREET | BLOOMSBURG | PA | 17815 | 232262540 | HEALTH CARE | PA | 501(C)(3) | 509(a)(1) | |
| 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 |
| BLOOMSBURG PHYSICIANS SERVICES | |||||||||
| 549 EAST FAIR STREET | BLOOMSBURG | PA | 17815 | 232979856 | HEALTH CARE | PA | 501(C)(3) | 509(a)(1) | BLOOMSBURG HEALTH SYSTEM INC |
| 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 |
| 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 |
| BLOOMSBURG HEALTH VENTURES | |||||||||
| 549 EAST FAIR STREET | bLOOMSBURG | PA | 17815 | 202852206 | HEALTH CARE | PA | 501(C)(3) | 509(a)(2) | BLOOMSBURG HEALTH SYSTEM INC |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |