Skip to content
Nonprofiteer
← GEISINGER-BLOOMSBURG HOSPITAL

Form 990 for tax year 2022

Filed by GEISINGER-BLOOMSBURG HOSPITAL.

Totals

Total revenue
$75,723,042
Total expenses
$73,547,479
Contributions and grants received
$103,446
Grants paid
$300
Program services expenses (Part IX)
$71,745,036
Management and general expenses
$1,802,443
Fundraising expenses
$0
Program service expenses (Part III)
$71,745,036

Program services were 97.5% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • JAEWON RYU MD JD

    PRESIDENT, D

    Total calculated
    $7,105,981
    From this org
    $0
    From related orgs
    $5,545,041
    Other
    $1,560,940

    Schedule J breakdown matched by us

    Base
    not reported + $4,189,940 related
    Bonus
    not reported
    Other
    not reported + $1,355,101 related
    Deferred
    not reported + $1,526,570 related
    Nontaxable benefits
    not reported + $34,370 related
    Filer's total
    not reported + $7,105,981 related

  • KEVIN V ROBERTS MBA CPA

    EVP, CFO, TR

    Total calculated
    $2,110,506
    From this org
    $0
    From related orgs
    $1,735,635
    Other
    $374,871

    Schedule J breakdown matched by us

    Base
    not reported + $1,652,425 related
    Bonus
    not reported
    Other
    not reported + $83,210 related
    Deferred
    not reported + $348,862 related
    Nontaxable benefits
    not reported + $26,009 related
    Filer's total
    not reported + $2,110,506 related

  • MATTHEW WALSH

    DIRECTOR

    Total calculated
    $1,679,584
    From this org
    $0
    From related orgs
    $1,371,594
    Other
    $307,990

    Schedule J breakdown matched by us

    Base
    not reported + $1,219,503 related
    Bonus
    not reported
    Other
    not reported + $152,091 related
    Deferred
    not reported + $271,570 related
    Nontaxable benefits
    not reported + $36,420 related
    Filer's total
    not reported + $1,679,584 related

  • STEVEN B BENDER ESQUIRE

    EVP, CLO, SE

    Total calculated
    $1,101,512
    From this org
    $0
    From related orgs
    $885,926
    Other
    $215,586

    Schedule J breakdown matched by us

    Base
    not reported + $846,303 related
    Bonus
    not reported
    Other
    not reported + $39,623 related
    Deferred
    not reported + $181,570 related
    Nontaxable benefits
    not reported + $34,016 related
    Filer's total
    not reported + $1,101,512 related

  • GERALD V MALONEY DO

    DIRECTOR

    Total calculated
    $942,787
    From this org
    $0
    From related orgs
    $809,293
    Other
    $133,494

    Schedule J breakdown matched by us

    Base
    not reported + $679,749 related
    Bonus
    not reported
    Other
    not reported + $129,544 related
    Deferred
    not reported + $91,570 related
    Nontaxable benefits
    not reported + $41,924 related
    Filer's total
    not reported + $942,787 related

  • ROSEMARY LEEMING MD

    CMO

    Total calculated
    $765,554
    From this org
    $0
    From related orgs
    $657,294
    Other
    $108,260

    Schedule J breakdown matched by us

    Base
    not reported + $548,351 related
    Bonus
    not reported
    Other
    not reported + $108,943 related
    Deferred
    not reported + $78,414 related
    Nontaxable benefits
    not reported + $29,846 related
    Filer's total
    not reported + $765,554 related

  • ROBERT L LOZO MD

    FORMER 5 HIG

    Total calculated
    $425,319
    From this org
    $0
    From related orgs
    $370,153
    Other
    $55,166

    Schedule J breakdown matched by us

    Base
    not reported + $331,401 related
    Bonus
    not reported
    Other
    not reported + $38,752 related
    Deferred
    not reported + $21,570 related
    Nontaxable benefits
    not reported + $33,596 related
    Filer's total
    not reported + $425,319 related

  • LORI R GRAMLEY ESQUIRE

    ACLO, ASST S

    Total calculated
    $392,858
    From this org
    $0
    From related orgs
    $347,436
    Other
    $45,422

    Schedule J breakdown matched by us

    Base
    not reported + $321,611 related
    Bonus
    not reported
    Other
    not reported + $25,825 related
    Deferred
    not reported + $21,570 related
    Nontaxable benefits
    not reported + $23,852 related
    Filer's total
    not reported + $392,858 related

  • STEPHEN J PAOLUCCI MD

    FORMER OFFIC

    Total calculated
    $366,150
    From this org
    $0
    From related orgs
    $366,150
    Other
    $0

    Schedule J breakdown matched by us

    Base
    not reported
    Bonus
    not reported
    Other
    not reported + $366,150 related
    Deferred
    not reported
    Nontaxable benefits
    not reported
    Filer's total
    not reported + $366,150 related

  • LISSA L BRYAN SMITH

    VP, OPERATIO

    Total calculated
    $287,774
    From this org
    $0
    From related orgs
    $276,735
    Other
    $11,039

    Schedule J breakdown matched by us

    Base
    not reported + $68,831 related
    Bonus
    not reported
    Other
    not reported + $207,904 related
    Deferred
    not reported + $3,497 related
    Nontaxable benefits
    not reported + $7,542 related
    Filer's total
    not reported + $287,774 related

  • COLLEEN R EDDINGER RN

    INPATIENT RN

    Total calculated
    $223,708
    From this org
    $190,400
    From related orgs
    $0
    Other
    $33,308
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $160,764
    Bonus
    $20,260
    Other
    $9,376
    Deferred
    $10,698
    Nontaxable benefits
    $22,610
    Filer's total
    $223,708

  • BONNIE L HESS RN

    AVP, NURSING

    Total calculated
    $219,481
    From this org
    $208,905
    From related orgs
    $0
    Other
    $10,576
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $93,590
    Bonus
    not reported
    Other
    $115,315
    Deferred
    $4,750
    Nontaxable benefits
    $5,826
    Filer's total
    $219,481

  • RAYANNE M ALLEN RN

    RN, CEP

    Total calculated
    $199,087
    From this org
    $174,120
    From related orgs
    $0
    Other
    $24,967
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $145,539
    Bonus
    $24,865
    Other
    $3,716
    Deferred
    $9,665
    Nontaxable benefits
    $15,302
    Filer's total
    $199,087

  • LORA L FITCH RN

    CTC, RN

    Total calculated
    $187,094
    From this org
    $145,919
    From related orgs
    $0
    Other
    $41,175
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $126,160
    Bonus
    $16,861
    Other
    $2,898
    Deferred
    $7,593
    Nontaxable benefits
    $33,582
    Filer's total
    $187,094

  • DANIEL JANKOWSKI RN

    INPATIENT RN

    Total calculated
    $184,650
    From this org
    $144,610
    From related orgs
    $0
    Other
    $40,040
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $117,893
    Bonus
    $22,689
    Other
    $4,028
    Deferred
    $7,321
    Nontaxable benefits
    $32,719
    Filer's total
    $184,650

  • JEFFREY A JACOBSON

    CHAIR, DIREC

    Total calculated
    $0
    Hours/week
    0.25 + 3.25 related

  • BENJAMIN K CHU MD MPH MACP

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.25 + 3.75 related

  • VIRGINIA MCGREGOR

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.25 + 3.5 related

  • V CHRIS HOLCOMBE PE

    VICE CHAIR,

    Total calculated
    $0
    Hours/week
    0.25 + 3.25 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 1a · Tax indemnification and gross-up payments
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Form 990 of other organizations
  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

SCHEDULE J, PAGE 1, PART I, LINE 1A
TAX INDEMNIFICATION AND GROSS-UP PAYMENTS - FROM TIME TO TIME, THE GEISINGER BOARD OF DIRECTORS OR GEISINGER SENIOR MANAGEMENT APPROVE THE GROSS-UP OF EXPENSES, WHICH FURTHER GEISINGER BUSINESS, FOR TAX OBLIGATIONS.
SCHEDULE J, PAGE 1, PART I, LINE 4
JAEWON RYU, MD, JD 0 1,322,351 0 MATTHEW WALSH 0 123,179 0 GERALD V. MALONEY, DO 0 70,375 0 ROSEMARY LEEMING, MD 0 70,433 0 STEPHEN J. PAOLUCCI, MD 366,150 0 0 LISSA L. BRYAN SMITH 205,432 0 0 BONNIE L. HESS, RN 114,650 0 0
SCHEDULE J, PART III
PART I, LINE 4A - SEVERANCE PAYMENT UPON INVOLUNTARY SEPARATION, EMPLOYEES MAY BE ELIGIBLE TO RECEIVE CONTINUATION OF SALARY FOR A TERM THAT IS BASED ON THEIR YEARS OF GEISINGER SERVICE AND POSIITON. PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN COMPENSATION FOR ELIGIBLE EMPLOYEES MAY BE DEFERRED TO A 457(F) NONQUALIFIED PLAN THAT VESTS WITH COMPLETION OF SERVICE, DEATH AND/OR PERMANENT DISABILITY. __________________________________________________________________________ FOOTNOTE: THROUGHOUT THIS DOCUMENT, THE TERMS "GEISINGER- OR "GEISINGER HEALTH" SHALL REFER TO THE ENTIRE HEALTH CARE SYSTEM COMPRISED OF GEISINGER HEALTH FOUNDATION (THE "FOUNDATION") AS PARENT AND ALL SUBSIDIARY CORPORATE ENTITIES COMPRISING THE HEALTH CARE SYSTEM. IN ADDITION, THROUGHOUT THIS DOCUMENT, THE TERM "SYSTEM" SHALL REFER TO THE ENTIRE HEALTH CARE SYSTEM AS PREVIOUSLY DEFINED PLUS ITS AFFILIATES.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2022
Filed
7 November 2023
IRS schema version
2022v5.0
Source object
202333189349304898

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.