GEISINGER-BLOOMSBURG HEALTH CARE: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- GEISINGER-BLOOMSBURG HEALTH CARE (EIN 23-2242854)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-05-13
- IRS object ID
- 201111339349302221
- 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 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 | 232242854 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLOOMSBURG HEALTH CARE CENTER | 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 PA | City |
| State | PA | State |
| ZIP Code | 17815 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOSEPH DEVITO | Name |
| Title | CFO | 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 | 11665402 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | WWW.BLOOMHEALTHCARE.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1983 | YearFormation |
| State Legal Domicile | PA | StateLegalDomicile |
| Activity Or Mission Description | BLOOMSBURG HEALTH CARE CENTER IS COMMITTED TO PROVIDING LONG-TERM CARE SERVICES TO THE MEDICALLY UNDERSERVED AND FINANCIALLY NEEDY INDIVIDUALS LOCATED IN BLOOMSBURG, PA, AS WELL AS THE SURROUNDING COMMUNITIES OF COLUMBIA AND MONTOUR COUNTIES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 7 | NbrIndependentVotingMembers |
| Total Nbr Employees | 176 | TotalNbrEmployees |
| Total Nbr Volunteers | 83 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 10773310 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 11624399 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 40157 | InvestmentIncomePriorYear |
| Investment Income Current Year | 38466 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 3419 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2537 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 10816886 | TotalRevenuePriorYear |
| Total Revenue Current Year | 11665402 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 5477237 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 5678710 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 5114958 | OtherExpensePriorYear |
| Other Expenses Current Year | 5411976 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 10592195 | TotalExpensesPriorYear |
| Total Expenses Current Year | 11090686 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 224691 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 574716 | RevenuesLessExpensesCY |
| Total Assets BOY | 8526509 | TotalAssetsBOY |
| Total Assets EOY | 7658282 | TotalAssetsEOY |
| Total Liabilities BOY | 8202961 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 7918001 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 323548 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -259719 | NetAssetsOrFundBalancesEOY |
| Mission Description | BLOOMSBURG HEALTH CARE CENTER IS COMMITTED TO PROVIDING LONG-TERM CARE SERVICES TO THE MEDICALLY UNDERSERVED AND FINANCIALLY NEEDY INDIVIDUALS LOCATED IN BLOOMSBURG, PA, AS WELL AS THE SURROUNDING COMMUNITIES OF COLUMBIA AND MONTOUR COUNTIES. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 9952660 | Expense |
| Revenue | 10237436 | Revenue |
| Description | TO OPERATE A SKILLED NURSING FACILITY AND PROVIDE CARE TO MEDICALLY UNDERSERVED AND FINANCIALLY NEEDY INDIVIDUALS IN BLOOMSBURG, PA AND SURROUNDING COMMUNITIES IN COLUMBIA AND MONTOUR COUNTIES. TO PROVIDE LONG-TERM CARE SERVICES TO ALL INDIVDIUALS ABLE TO PAY FOR THAT CARE EITHER THEMSELVES, THROUGH PRIVATE HEALTH INSURANCE OR WITH THE AID OF PUBLIC PROGRAMS SUCH AS MEDICARE AND MEDICAL ASSISTANCE. RESidents WILL NOT BE DENIED LONG-TERM CARE SERVICES ON ACCOUNT OF THEIR INABILITY TO PAY. THE FACILITY IS AGGRESSIVE IN REHABILITATION AND FIFTY (50) PERCENT OF THE DISCHARGES WERE TO HOME OR OTHER LESS ACUTE SETTINGS. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 736347 | Expense |
| Revenue | 1386963 | Revenue |
| Description | SKILLED PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY IS PROVIDED TO ALL RESIDENTS AS SPECIFIED IN THE MEDICAL CARE RECORD OF THE ATTENDING PHYSICIAN AND LICENSED THERAPIST. THE MISSION IS TO REHABILITATE RESIDENTS IN THE MOST EFFICIENT AND COST EFFECTIVE MANNER TO ACHIEVE THEIR HIGHEST LEVEL OF FUNCTIONING WITH THE GOAL OF DISCHARGING TO A LESSER SKILLED SETTING PREFERABLY TO HOME OR ASSISTED LIVING. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 10689007 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | 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 | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | 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 | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | 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 | 2 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 176 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| 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 | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| 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 | 1 | 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 | 1 | 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | X | NoListedPersonsCompensated |
Form990 Part VII Section A Form990PartVIISectionA (15 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| REGIS P CABONOR | ||||||
| diRECTOR/CEO | 6.00 | X | X | 0 | 252606 | 29570 |
| JOSEPH DEVITO | ||||||
| CFO | 6.00 | 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 | 0 | 24950 | 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 | 0 | 148000 | 22630 | |
| Thomas E Leipold Esquire | ||||||
| dIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1237750 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 135763 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | 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 |
|---|---|---|---|---|---|
| SELECT MEDICAL REHAB | |||||
| PO BOX 643920 | PITTSBURGH | PA | 15264 | THERAPY SERVICES | 591848 |
| GEISINGER HEALTH PLAN | |||||
| PO BOX 822434 | PHILADELPHIA | PA | 19182 | INSURANCE | 430291 |
| CARE FIRST PHARMACY | |||||
| 1015 N VINE STREET | BERWICK | PA | 18603 | PHARMACY SERVICES | 412860 |
| JDK MANAGEMENT | |||||
| 1388 STATE ROUTE 487 | BLOOMSBURG | PA | 17815 | MANAGEMENT SERVICES | 286092 |
| RELIABLE STAFFING | |||||
| 85 RHODOMOYER ROAD | MILLVILLE | PA | 17846 | NURSE STAFFING SERVICES | 189733 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 7 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NET PATIENT SERVICE RE | Description |
| Business Code | 623000 | BusinessCode |
| Total Revenue Column | 11624399 | TotalRevenueColumn |
| Related Or Exempt Function Income | 11624399 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 11624399 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 38466 | TotalRevenueColumn |
| Exclusion | $38,466 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| MISCELLANEOUS REVENUE | 623000 | 1829 | $1,829 |
| VENDING MACHINE REVENU | 623000 | 708 | $708 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 2537 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 11665402 | TotalRevenueColumn |
| Related Or Exempt Function Income | 11624399 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $41,003 | ExclusionAmount |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4601725 | Total |
| Program Services | 4601725 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 625829 | Total |
| Program Services | 625829 | ProgramServices |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 451156 | Total |
| Program Services | 451156 | ProgramServices |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 282406 | Total |
| Management And General | 282406 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18715 | Total |
| Management And General | 18715 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35813 | Total |
| Management And General | 35813 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1241608 | Total |
| Program Services | 1238542 | ProgramServices |
| Management And General | 3066 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 43069 | Total |
| Management And General | 43069 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 411120 | Total |
| Program Services | 393350 | ProgramServices |
| Management And General | 17770 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 363433 | Total |
| Program Services | 363433 | ProgramServices |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 408915 | Total |
| Program Services | 408915 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 339860 | Total |
| Program Services | 339860 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 123584 | Total |
| Program Services | 123584 | ProgramServices |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| PA NURSING HOME ASSESSM | 1016500 | 1016500 |
| PHARMACY COSTS | 379441 | 379441 |
| FOOD COSTS | 292663 | 292663 |
| Repairs & Maintenance | 137386 | 137386 |
| BAD DEBT | 131496 | 131496 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 185967 | Total |
| Program Services | 185127 | ProgramServices |
| Management And General | 840 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11090686 | Total |
| Program Services | 10689007 | ProgramServices |
| Management And General | 401679 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1200 | BOY |
| EOY | 1200 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 701991 | BOY |
| EOY | 1190417 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1724410 | BOY |
| EOY | 1198363 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 54069 | BOY |
| EOY | 68869 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 8867563 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 4042381 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5099453 | BOY |
| EOY | 4825182 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 945386 | BOY |
| EOY | 374251 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8526509 | BOY |
| EOY | 7658282 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1195431 | BOY |
| EOY | 1094963 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6979867 | BOY |
| EOY | 6788645 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27663 | BOY |
| EOY | 34393 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8202961 | BOY |
| EOY | 7918001 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 323548 | BOY |
| EOY | -259719 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 323548 | BOY |
| EOY | -259719 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8526509 | BOY |
| EOY | 7658282 | 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) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 6801 | CurrentTaxYearMinus4Years |
| Total | 6801 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 10299622 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 10284980 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 10107096 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 10773310 | CurrentTaxYearMinus1Year |
| Current Tax Year | 11624399 | CurrentTaxYear |
| Total | 53089407 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 10306423 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 10284980 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 10107096 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 10773310 | CurrentTaxYearMinus1Year |
| Current Tax Year | 11624399 | CurrentTaxYear |
| Total | 53096208 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 53096208 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 73446 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 75394 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 56906 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 40157 | CurrentTaxYearMinus1Year |
| Current Tax Year | 38466 | CurrentTaxYear |
| Total | 284369 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 73446 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 75394 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 56906 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 40157 | CurrentTaxYearMinus1Year |
| Current Tax Year | 38466 | CurrentTaxYear |
| Total | 284369 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3243 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 8203 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5614 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3419 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2537 | CurrentTaxYear |
| Total | 23016 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 10383112 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 10368577 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 10169616 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 10816886 | CurrentTaxYearMinus1Year |
| Current Tax Year | 11665402 | CurrentTaxYear |
| Total | 53403593 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99420 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99400 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00530 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00560 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 330935 | OtherCostOrOtherBasis |
| Book Value | 330935 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5514325 | OtherCostOrOtherBasis |
| Depreciation | 1829247 | Depreciation |
| Book Value | 3685078 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2960926 | OtherCostOrOtherBasis |
| Depreciation | 2160286 | Depreciation |
| Book Value | 800640 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 61377 | OtherCostOrOtherBasis |
| Depreciation | 52848 | Depreciation |
| Book Value | 8529 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 4825182 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | RESIDENT FUNDS | Description |
| Amount | $34,393 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 34393 | TotalOfAmounts |
| Total Revenue | 11665402 | TotalRevenue |
| Total Expenses | 11090686 | TotalExpenses |
| Excess Or Deficit For Year | 574716 | ExcessOrDeficitForYear |
| Other | -$1,157,983 | OtherAmount |
| Total Adjustments | -1157983 | TotalAdjustments |
| Excess Or Deficit Per FS | -583267 | 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: | TRANSFER TO AFFILIATE: -1157983. |
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 (5 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 | |||||||||||||
| 0 | 148000 | 0 | 0 | 0 | 0 | 0 | 2960 | 0 | 19670 | 0 | 170630 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Form 990, Part VI, Section A, line 3 | BLOOMSBURG HEALTH CARE CENTER ENGAGES JDK MANAGEMENT COMPANY, LLP TO PROVIDE SERVICES CONSISTING OF GENERAL OVERALL MANAGEMENT OF THE ORGANIZATION, INCLUDING PATIENT CARE, FINANCIAL OVERSIGHT, HUMAN RESOURCES management, AND MATERIALS MANAGEMENT SERVICES. |
| 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 | Bloomsburg Health Care Center has A CPA FIRM PREPARE ITS FORM 990. The return is completed in draft form and reviewed by management of the organization before it is filed. |
| Form 990, Part VI, Section B, line 12c | BLOOMSBURG HEALTH CARE CENTER ANNUALLY REQUIRES ITS BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES TO COMPLETE A CONFLICTS OF INTEREST FORM. DURING BOARD MEETINGS, IF AN INTERESTED PARTY HAS A CONFLICT, HE/SHE RECUSES THEMSELVES FROM VOTING. |
| Form 990, Part VI, Section B, line 15 | BLOOMSBURG HEALTH CARE CENTER'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 | BLOOMSBURG HEALTH CARE CENTER MAKES ITS FORM 990 AVAILABLE TO THE PUBLIC. |
| Form 990, Part VI, Section C, line 19 | AT THIS TIME, BLOOMSBURG HEALTH CARE CENTER 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: | Bloomsburg Health Care Center 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 PHYSICIAN 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 ASSOC | |||||||||
| 410 GLENN AVENUE SUITE 200 | BLOOMSBURG | PA | 17815 | 231704399 | HEALTH CARE | PA | 501(C)(3) | 509(a)(1) | BLOOMSBURG HEALTH SYSTEM INC |
| BLOOMSBURG HOSPITAL | |||||||||
| 549 EAST FAIR STREET | BLOOMSBURG | PA | 17815 | 232193572 | HEALTH CARE | PA | 501(C)(3) | 509(a)(1) | BLOOMSBURG HEALTH SYSTEM INC |
| BLOOMSBURG HOSPITAL MEDICAL PROF LIABILITY SELF-INS 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 | 0 | 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 | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
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