STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

CORNING HOSPITAL: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
CORNING HOSPITAL (EIN 16-0393490)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-07-15
IRS object ID
202001979349302835
Schema version
2018v3.3
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

FieldValueIRS element (for citing)
Return2020-07-15T12:24:00-05:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PricewaterhouseCoopers LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12001 MARKET ST SUITE 1800AddressLine1Txt
CityPHILADELPHIACityNm
State AbbreviationPAStateAbbreviationCd
ZIP19103ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN160393490EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CORNING HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% PAUL VERVALINInCareOfNm
Business Name ControlCORNBusinessNameControlTxt
Phone6079377200PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 GUTHRIE DRIVEAddressLine1Txt
CityCORNINGCityNm
State AbbreviationNYStateAbbreviationCd
ZIP148302814ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPAUL VERVALINPersonNm
Person TitleEVP/COOPersonTitleTxt
Phone5708874312PhoneNum
Signature2020-07-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonANTONIO C RUSSOPreparerPersonNm
PTINP00858539PTIN
Phone2673303000PhoneNum
Preparation2020-07-14PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address155.201.35.117IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id23522320201975000054FederalOriginalSubmissionId
Federal Original Submission Id2020-07-15FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdEF5B3814805F0F9B4F28DAB720FD265C3CDD9DA5AtSubmissionCreationDeviceId
At Submission Filing Device Id1165BB5F41A71AB0D781DA876A823BF1466164C1AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerPAUL VERVALINPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 GUTHRIE DRIVEAddressLine1Txt
CityCORNINGCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14830ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$233,665,407GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.GUTHRIE.ORG/LOCATION/CORNING-HOSPITALWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1900FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionSEE SCHEDULE OActivityOrMissionDesc
Voting Members Governing Body24VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee844TotalEmployeeCnt
Total Volunteers132TotalVolunteersCnt
Total Gross UBI$173,914TotalGrossUBIAmt
PY Contributions Grants$376,702PYContributionsGrantsAmt
CY Contributions Grants$310,826CYContributionsGrantsAmt
PY Program Service Revenue$124,999,742PYProgramServiceRevenueAmt
CY Program Service Revenue$126,466,637CYProgramServiceRevenueAmt
PY Investment Income$2,655,002PYInvestmentIncomeAmt
CY Investment Income$6,619,090CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$3,292,528CYOtherRevenueAmt
PY Total Revenue$128,031,446PYTotalRevenueAmt
CY Total Revenue$136,689,081CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$38,401,818PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$41,326,918CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$67,285,234PYOtherExpensesAmt
CY Other Expenses$71,905,009CYOtherExpensesAmt
PY Total Expenses$105,687,052PYTotalExpensesAmt
CY Total Expenses$113,231,927CYTotalExpensesAmt
PY Revenues Less Expenses$22,344,394PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$23,457,154CYRevenuesLessExpensesAmt
Total Assets BOY$241,721,956TotalAssetsBOYAmt
Total Assets EOY$252,720,594TotalAssetsEOYAmt
Total Liabilities BOY$72,750,260TotalLiabilitiesBOYAmt
Total Liabilities EOY$68,634,543TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$168,971,696NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$184,086,051NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO HELP EACH PERSON ATTAIN OPTIMAL, LIFE-LONG HEALTH AND WELL-BEING BY PROVIDING INTEGRATED CLINICALLY-ADVANCED SERVICES THAT DIAGNOSE, PREVENT AND TREAT DISEASE WITHIN AN ENVIRONMENT OF COMPASSION, LEARNING AND DISCOVERY. MAKING A MEANINGFUL DIFFERENCE IN LIVES OF THOSE WE SERVE THROUGH COMPASSION AND EXCELLENCE IN HEALTH CARE- EVERY PERSON. EVERY TIME.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$80,234,125ExpenseAmt
Grant$0GrantAmt
Revenue$129,773,228RevenueAmt
DescCORNING HOSPITAL IS A 85-BED ACUTE CARE FACILITY WITH 24 HOUR EMERGENCY SERVICES AND A FULL COMPLIMENT OF INPATIENT AND OUT-PATIENT TREATMENT SERVICES. APPROXIMATELY 5,082 PATIENTS WERE ADMITTED TO THE HOSPITAL IN FYE 06/30/2019. PATIENT DAY TOTALED 15,331. THE HOSPITAL RUNS A CANCER CENTER THERAPEUTIC RADIOLOGY EXTENSION CLINIC WITH MEDICAL ONCOLOGY AND CANCER SUPPORT SERVICES AND A WELLNESS & FITNESS CENTER THAT IS A MEDICAL FITNESS & REHABILITATION EXTENSION CLINIC. OTHER PROGRAMS INCLUDE CARDIAC REHAB/WELLNESS, DIABETES CLASSES, JOINTCAMP, SMOKE STOPPERS, EXECUTIVE HEALTH, AND SCREENING PROGRAMS. AS MORE FULLY DESCRIBED IN FORM 990, SCHEDULE H, NO ONE IS DENIED EMERGENCY CARE BASED ON ABILITY TO PAY AND THE HOSPITAL HAS A CHARITY CARE POLICY FOR MEDICALLY NECESSARY SERVICES.Desc
Total Program Service Expenses$80,234,125TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtYes (true)CollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document1IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee844EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members24GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonPAUL VERVALINPersonNm
Phone5708874312PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 GUTHRIE DRIVEAddressLine1Txt
CityCORNINGCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14830ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (36 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DAVID E IOCCO
MEMBER - BOD1.00.0Yes (X)$0$0$0
ARTHUR D FIELD
MEMBER - BOD1.00.0Yes (X)$0$0$0
JACK E BENJAMIN
CHAIRMAN - BOD1.00.0Yes (X)$0$0$0Yes (X)
DANIEL BOWER
MEMBER - BOD1.00.0Yes (X)$0$0$0
CHARLES A CORRAO
MEMBER - BOD1.00.0Yes (X)$0$0$0
ALAN D LEWIS
SECRETARY - BOD1.00.0Yes (X)$0$0$0
JOSEPH SCOPELLITI MD
MEMBER - BOD1.039.0Yes (X)$0$995,515$30,884
JOHN W VAN ZANTEN III
MEMBER - BOD1.00.0Yes (X)$0$0$0
MARCIA WEBER
MEMBER - BOD1.00.0Yes (X)$0$0$0
RUSSELL C WOGLOM MD
MEMBER - BOD1.039.0Yes (X)$0$441,088$36,529
CHRISTOPHER J FORTIER
MEMBER - BOD1.00.0Yes (X)$0$0$0
FRAN OLMSTEAD
2ND VICE CHAIR - BOD1.00.0Yes (X)$0$0$0Yes (X)
CATHY WEIL
MEMBER - BOD1.00.0Yes (X)$0$0$0
VENOGOPAL THIRUMURTI MD
MEMBER-BOD & MED STAFF SEC'Y1.039.0Yes (X)$0$477,423$34,467Yes (X)
JEFFREY P KENEFICK
1ST VICE CHAIR - BOD1.00.0Yes (X)$0$0$0Yes (X)
DAWN BURLEW
TREASURER - BOD1.00.0Yes (X)$0$0$0
HOLLY SEGUR
MEMBER - BOD1.00.0Yes (X)$0$0$0
GARRETT HOOVER
PRESIDENT/COO40.00.0Yes (X)$291,330$0$36,529Yes (X)
FREDERICK TERIBURY MD
MEMBER- BOD MEDICAL STAFF PRES1.039.0Yes (X)$0$378,470$36,529
GENEVA BALLARD
MEMBER - BOD MEDICAL STAFF VP1.039.0Yes (X)$0$472,416$12,375
MATTHEW PALADINO
MEMBER-BOD MEDICAL STAFF TREAS1.039.0Yes (X)$0$437,039$32,404
GARRET CALLAHAN
MEMBER - BOD1.00.0Yes (X)$0$0$0
JEFF EVANS
MEMBER - BOD1.00.0Yes (X)$0$0$0
THOMAS PISANO
MEMBER - BOD1.00.0Yes (X)$0$0$0
FRANCIS M MACAFEE
CFO/VP FINANCE1.039.0$0$203,652$25,228Yes (X)
ADRIENNE ABBOTT
CHIEF NURSING OFFICER40.00.0$135,650$0$28,168Yes (X)
JENNIFER YARTYM
VICE PRESIDENT, OPERATIONS40.00.0$151,376$0$27,976Yes (X)
KIM DIBARI MD
CMO/REGIONAL MEDICAL DIRECTOR40.00.0$0$349,566$21,518Yes (X)
COLIN BAILEY
RADIATION PHYSICIST40.00.0$193,617$0$16,706Yes (X)
GREGORY KRIEL
PHARMACIST40.00.0$158,687$0$29,550Yes (X)
MARK HOPSON
MANAGER, PHARMACY40.00.0$150,049$0$29,032Yes (X)
SCOTT STEVENS
PHARMACIST40.00.0$136,548$0$21,202Yes (X)
EVAN DAVIS
PHARMACIST40.00.0$126,947$0$27,646Yes (X)
LOUIS DUBOIS MD
FORMER MED STAFF PRESIDENT40.00.0$0$516,247$29,509Yes (X)
JAMES PERLE MD
FORMER MED STAFF SECRETARY40.00.0$0$122,273$9,629Yes (X)
JOEL MCCLURG MD
FORMER MEDICAL STAFF TREASURER40.00.0$0$530,681$34,279Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,344,204TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$4,924,370TotReportableCompRltdOrgAmt
Total Other Compensation$520,160TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K18IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
LECHASE CONSTRUCTION SERVICES LLC
205 INDIGO CREEK DRIVEROCHESTERNY14626CONSTRUCTION$1,276,908
CROSS COUNTRY STAFFING
5201 CONGRESS AVENUE SUITE 100BBOCA RATONFL33487TEMP STAFFING$1,138,934
AMN HEALTHCARE INC
2735 COLLECTIONS CENTER DRCHICAGOIL60693TEMPOARY STAFFING$1,049,134
PONS PHYSICIAN SERVICES PLLC
28526 NETWORK PLACECHICAGOIL606731285WOUND CARE STAFF$560,522
QUEST DIAGNOSTICS
75 REMITTANCE DRIVECHICAGOIL60675LAB PATHOLOGY$342,616
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K23CntrctRcvdGreaterThan100KCnt
Fundraising$73,943FundraisingAmt
Government Grants$197,552GovernmentGrantsAmt
All Other Contributions$39,331AllOtherContributionsAmt
Noncash Contributions$750NoncashContributionsAmt
Total Contributions$310,826TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUES621990$69,556,318$69,556,318
OTHER OPERATING INCOME900099$1,506,797$1,506,797
MEDICAL LAB SERVICES621500$173,914$173,914
MEDICARE AND MEDICAID621990$55,229,608$55,229,608
FieldValueIRS element (for citing)
Total Program Service Revenue$126,466,637TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,295,310TotalRevenueColumnAmt
Exclusion$2,295,310ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$100,629,098SecuritiesAmt
Other$638,511OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$96,343,106SecuritiesAmt
Other$602,608OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$4,285,992SecuritiesAmt
Other$35,903OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,323,780TotalRevenueColumnAmt
Exclusion$4,323,780ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$16,549FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$73,943ContriRptFundraisingEventAmt
Fundraising Direct Expenses$30,612FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$14,063TotalRevenueColumnAmt
Exclusion-$14,063ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
HEALTHWORKS FITNESS FACILITY713940$1,268,998$1,268,998
CAFETERIA/VENDING722514$439,683$439,683
OTHER OPERATING INCOME900099$1,597,910$1,597,910
FieldValueIRS element (for citing)
Other Revenue Total$3,306,591OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$136,689,081TotalRevenueColumnAmt
Related Or Exempt Func Income$129,599,314RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$173,914UnrelatedBusinessRevenueAmt
Exclusion$6,605,027ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$671,029TotalAmt
Program Services$163,818ProgramServicesAmt
Management And General$507,211ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$31,653,961TotalAmt
Program Services$25,683,985ProgramServicesAmt
Management And General$5,969,976ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,658,180TotalAmt
Program Services$1,325,919ProgramServicesAmt
Management And General$332,261ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$4,985,101TotalAmt
Program Services$3,987,015ProgramServicesAmt
Management And General$998,086ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,358,647TotalAmt
Program Services$1,889,136ProgramServicesAmt
Management And General$469,511ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$11,168,883TotalAmt
Program Services$998,182ProgramServicesAmt
Management And General$10,170,701ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$157,521TotalAmt
Management And General$157,521ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,272,518TotalAmt
Management And General$1,272,518ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$16,217TotalAmt
Management And General$16,217ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$14,564,870TotalAmt
Program Services$13,036,740ProgramServicesAmt
Management And General$1,528,130ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$23,329TotalAmt
Program Services$308ProgramServicesAmt
Management And General$23,021ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,711,446TotalAmt
Program Services$1,824,753ProgramServicesAmt
Management And General$886,693ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,720,033TotalAmt
Program Services$893,876ProgramServicesAmt
Management And General$826,157ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,807,132TotalAmt
Program Services$360,141ProgramServicesAmt
Management And General$1,446,991ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$73,481TotalAmt
Program Services$41,072ProgramServicesAmt
Management And General$32,409ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$34,731TotalAmt
Program Services$8,261ProgramServicesAmt
Management And General$26,470ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,188,168TotalAmt
Management And General$2,188,168ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$9,762,390TotalAmt
Program Services$4,283,744ProgramServicesAmt
Management And General$5,478,646ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total-$168,629TotalAmt
Management And General-$168,629ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$25,685,627$25,676,689$8,938
CAFETERIA AND CATERING$74,300$29,068$45,232
UBI AND SALES TAX$1,775$250$1,525
ALL OTHER EXPENSES$811,217$31,168$780,049

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$113,231,927TotalAmt
Program Services$80,234,125ProgramServicesAmt
Management And General$32,997,802ManagementAndGeneralAmt
Fundraising$0FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$889,020BOYAmt
EOY$3,748EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$19,084BOYAmt
EOY$13,417EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$13,813,117BOYAmt
EOY$13,188,790EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$220,833EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,317,846BOYAmt
EOY$2,350,329EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,543,028BOYAmt
EOY$3,239,878EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$166,434,244LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$61,620,981LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$111,269,780BOYAmt
EOY$104,813,263EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$105,591,818BOYAmt
EOY$106,171,227EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$10,437,621EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$5,278,263BOYAmt
EOY$12,281,488EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$241,721,956BOYAmt
EOY$252,720,594EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$22,424,240BOYAmt
EOY$19,625,744EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$156,530BOYAmt
EOY$83,821EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$50,169,490BOYAmt
EOY$48,924,978EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$72,750,260BOYAmt
EOY$68,634,543EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$167,827,700BOYAmt
EOY$183,062,399EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$315,571BOYAmt
EOY$195,227EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$828,425BOYAmt
EOY$828,425EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$168,971,696BOYAmt
EOY$184,086,051EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$241,721,956BOYAmt
EOY$252,720,594EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$23,457,154ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$33,624NetUnrlzdGainsLossesInvstAmt
Investment Expense-$247,122InvestmentExpenseAmt
Other Changes In Net Assets-$8,129,301OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersYes (true)VolunteersInd
Paid Staff Or ManagementYes (true)PaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$16,217OtherActivitiesAmt
Total Lobbying Expenditures$16,217TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE C, PART II-B, LINES 1(A), (B) & (G)DETAIL OF LOBBYING ACTIVITIES LOCAL MEETINGS WITH VARIOUS LEGISLATORS. ---------------
SCHEDULE C, PART II-B, LINE 1(i)DETAIL OF LOBBYING EXPENSES LOBBYING EXPENSE AMOUNT REPRESENTS AMERICAN HOSPITAL ASSOCIATION, HOSPITAL ASSOCIATION OF NEW YORK STATE, AND ROCHESTER REGIONAL HEALTHCARE ASSOCIATES MEMBERSHIPS.

Schedule D IRS990ScheduleD

Art Public Exhibition Amounts ArtPublicExhibitionAmountsGrp

FieldValueIRS element (for citing)
Assets Included$47,250AssetsIncludedAmt
FieldValueIRS element (for citing)
Held Works ArtHeldWorksArtGrp
Collection Used Pub ExhibitionYes (X)CollectionUsedPubExhibitionInd
Solicited Assets SalefalseSolicitedAssetsSaleInd
Incl Escrow Custodial Acct LiabfalseInclEscrowCustodialAcctLiabInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,143,995BeginningYearBalanceAmt
Contributions$259,026ContributionsAmt
Investment Earnings Or Losses$2,755InvestmentEarningsOrLossesAmt
Other Expenditures$382,125OtherExpendituresAmt
End Year Balance$1,023,651EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,151,311BeginningYearBalanceAmt
Contributions$180,515ContributionsAmt
Investment Earnings Or Losses$2,687InvestmentEarningsOrLossesAmt
Other Expenditures$190,518OtherExpendituresAmt
End Year Balance$1,143,995EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,667,890BeginningYearBalanceAmt
Contributions$211,842ContributionsAmt
Investment Earnings Or Losses$3,981InvestmentEarningsOrLossesAmt
Other Expenditures$732,402OtherExpendituresAmt
End Year Balance$1,151,311EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,051,432BeginningYearBalanceAmt
Contributions$216,671ContributionsAmt
Investment Earnings Or Losses-$70InvestmentEarningsOrLossesAmt
Other Expenditures$600,143OtherExpendituresAmt
End Year Balance$1,667,890EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,670,132BeginningYearBalanceAmt
Contributions$261,506ContributionsAmt
Investment Earnings Or Losses-$542InvestmentEarningsOrLossesAmt
Other Expenditures$879,664OtherExpendituresAmt
End Year Balance$2,051,432EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.10000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.81000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.09000TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd
Related Org List Sch RfalseRelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,636,273OtherCostOrOtherBasisAmt
Book Value$3,636,273BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$103,330,595OtherCostOrOtherBasisAmt
Depreciation$24,339,989DepreciationAmt
Book Value$78,990,606BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,997,906OtherCostOrOtherBasisAmt
Depreciation$1,753,559DepreciationAmt
Book Value$244,347BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$44,876,160OtherCostOrOtherBasisAmt
Depreciation$33,782,824DepreciationAmt
Book Value$11,093,336BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,593,310OtherCostOrOtherBasisAmt
Depreciation$1,744,609DepreciationAmt
Book Value$10,848,701BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$104,813,263TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
DUE TO THIRD PARTY PAYORS$1,192,271
LOAN PAY GH - TAX EXEMPT BONDS$48,368,423
DEFERRED LIAB-RENT LT$1,586
FINANCING COSTS-$646,675
MEDICAL STAFF ACTIVITY FUND$9,373
FieldValueIRS element (for citing)
Total Liability$48,924,978TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4INTENDED USE OF ENDOWMENT FUNDS ALL ENDOWEMENT FUNDS ARE USED IN FURTHERANCE OF THE ORGANIZATION'S TAX-EXEMPT PURPOSE. ---------------
SCHEDULE D, PART X, LINE 2TEXT OF FIN 48 DISCLOSURE THIS ORGANIZATION IS AN AFFILIATE OF THE GUTHRIE CLINIC ("GUTHRIE"). THE FIN 48 (ASC 740) FOOTNOTE BELOW DERIVES FROM THE CONSOLIDATED JUNE 30, 2019 FINANCIAL STATEMENTS OF GUTHRIE: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE CORPORATION TO EVALUATE TAX POSITIONS TAKEN BY THE CORPORATION AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE CORPORATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE CORPORATION HAS CONCLUDED THAT AS OF JUNE 30, 2019 AND 2018, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. ---------------

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Special Fundraising EventsYes (X)SpecialFundraisingEventsInd
Agrmt Prof Fundraising ActyfalseAgrmtProfFundraisingActyInd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1VALENTINES BALLEvent1Nm
Gross Receipts Event1$90,492GrossReceiptsEvent1Amt
Charitable Contri Event1$73,943CharitableContriEvent1Amt
Gross Revenue Event1$16,549GrossRevenueEvent1Amt
Cash Prizes Event1$0CashPrizesEvent1Amt
Non Cash Prizes Event1$0NonCashPrizesEvent1Amt
Rent Facility Costs Event1$4,740RentFacilityCostsEvent1Amt
Food And Beverage Event1$16,202FoodAndBeverageEvent1Amt
Entertainment Event1$4,100EntertainmentEvent1Amt
Other Direct Expenses Event1$5,570OtherDirectExpensesEvent1Amt
Other Events Total1OtherEventsTotalCnt
Gross Receipts Total$90,492GrossReceiptsTotalAmt
Charitable Contributions Tot$73,943CharitableContributionsTotAmt
Gross Revenue Total Events$16,549GrossRevenueTotalEventsAmt
Cash Prizes Total Events$0CashPrizesTotalEventsAmt
Non Cash Prizes Total Events$0NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$4,740RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$16,202FoodAndBeverageTotalEventsAmt
Entertainment Total Events$4,100EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$5,570OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$30,612DirectExpenseSummaryEventsAmt
Net Income Summary-$14,063NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$351,694TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$351,694NetCommunityBenefitExpnsAmt
Total Expense0.00310TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$16,496,276TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,361,236DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,135,040NetCommunityBenefitExpnsAmt
Total Expense0.04540TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$16,847,970TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,361,236DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,486,734NetCommunityBenefitExpnsAmt
Total Expense0.04850TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$16,847,970TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,361,236DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,486,734NetCommunityBenefitExpnsAmt
Total Expense0.04850TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$6,407,072BadDebtExpenseAmt
Bad Debt Expense Attributable$640,707BadDebtExpenseAttributableAmt
Reimbursed By Medicare$20,890,736ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$30,302,060CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$9,411,324MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CORNING HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 GUTHRIE DRIVEAddressLine1Txt
CityCORNINGCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14830ZIPCd
FieldValueIRS element (for citing)
Website AddressGUTHRIE.ORG/LOCATION/CORNING-HOSPITALWebsiteAddressTxt
State LicenseLICENSE #500100HStateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1CORNING HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE SUPPLEMENTAL DISCLOSUREOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt18ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE SUPPLEMENTAL DISCLOSUREStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE SUPPLEMENTAL DISCLOSUREFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE SUPPLEMENTAL DISCLOSUREFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE SUPPLEMENTAL DISCLOSUREFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, SECTION B, LINE 5- INPUT FROM COMMUNITYTHE CORNING HOSPITAL ("CH") COMMUNITY HEALTH NEEDS ASSESSMENT BEGAN WITH A REVIEW OF PRIMARY DATA SOURCES, SPECIFICALLY SURVEY AND FOCUS GROUP DATA THAT HAD BEEN COLLECTED THROUGHOUT 2018 AND EARLY 2019. DUE TO THE LIMITATIONS SURROUNDING HEALTH NEEDS PERCEPTIONS CONTAINED IN THIS COLLECTED INFORMATION FROM THE THREE COUNTIES WE PRIMARILY RELIED ON SECONDARY DATA SOURCES FOR THIS ASSESSMENT. THE SECONDARY DATA SOURCES INCLUDED THE MOST RECENT COUNTY HEALTH RANKINGS AND DATA COLLECTED THROUGH THE STRATEGIC MARKETING DEPARTMENT (DEMOGRAPHIC INFORMATION, DISCHARGE DATA, ETC). RECENT INDICATORS OF HEALTH WERE COLLECTED FROM COMMUNITY COMMONS AND COMPARED TO COUNTY, STATE, NATIONAL AND HEALTHY PEOPLE 2020 REFERENCE DATA. ALL INFORMATION WAS ASSEMBLED AND A CHNA GROUP CONSISTING OF COMMUNITY MEMBERS, HEALTH CARE PROVIDERS (PHYSICIANS AND NURSES), ADMINISTRATORS AND AN INDIVIDUAL WITH EXPERIENCE IN PUBLIC HEALTH WAS INVITED TO REVIEW THE FINDINGS. THE DATA WAS STRATIFIED INTO THREE CATEGORIES WHICH INCLUDED CLINICAL CARE, HEALTH BEHAVIORS AND HEALTH OUTCOMES. WITHIN THE THREE COUNTIES THAT COMPRISE THE PRIMARY SERVICE AREA FOR CH THIRTY-ONE INDICATORS OF HEALTH WERE IDENTIFIED TO BE BELOW THE STATE, NATIONAL OR HEALTHY PEOPLE 2020 GOAL. ONCE THESE THIRTY-ONE INDICATORS WERE IDENTIFIED, THEY WERE PRIORITZED BY EACH INDIVDUAL OF THE CHNA GOURP USING THE HANLON METHOD. IN ADDITION TO THE CHNA GROUP THE CHNA REPORT IN ITS ENTIRETY WAS SHARED DURING REGULAR MEETINGS WITH THE S2AY RURAL HEALTH NETWORK EAST CENTRAL DIVISION OF THE AMERICAN CANCER SOCIETY, TIOGA PARTNERSHIP FOR COMMUNITY HEALTH, AND THE CHEMUNG, SCHUYLER, AND STEUBEN HEALTH DEPARTMENTS FOR THEIR REVIEW, INPUT, AND SOLICITATION OF WRITTEN COMMENTS. ---------------
PART V, SECTION B, LINE 6A & 6B- JOINT CHNATHE CHNA WAS CONDUCTED WITH OTHER HOSPITALS AND OTHER ORGANIZATIONS. ROBERT PACKER HOSPITAL, TROY COMMUNITY HOSPITAL, AND TOWANDA MEMORIAL HOSPITAL AFFILIATED IRC SECTION 501 (C)3 TAX EXPEMPT HOSPITAL ORGANIZATIONS. ST. JAMES MERCY HOSPITAL WAS A KEY PARTNER IN THE STEUBEN HEALTH PRIORITIES TEAM THAT IS COMMITTED TO IMPROVING THE HEALTH OF STEUBEN COUNTY RESIDENTS. IRA DAVENPORT MEMORIAL HOSPITAL WAS A KEY PARTNER IN THE STEUBEN HEALTH PRIORITIES TEAM THAT IS COMMITTED TO IMPROVING THE HEALTH OF STEUBEN COUNTY RESIDENTS. ARNOTHEALTH- WAS A KEY PARTNER IN THE STEUBEN HEALTH PRIORITIES TEAM THAT IS COMMITTED TO IMPROVING THE HEALTH OF STEUBEN COUNTY RESIDENTS. THE MEMBERS OF THE TEAM HAVE AGREED TO MEET ON A REGULAR BASIS TO ENSURE THAT THE INITIATIVES OUTLINED IN THE COMMUNITY HEALTH IMPROVEMENT AND COMMUNITY SERVICE PLANS ARE IMPLEMENTED, MONITORED, AND EVALUATED. ---------------
PART V, SECTION B, LINE 7 & 10- CHNA & IMP. PLAN PUBLIC AVAILABILITYA COPY OF THE ORGANIZATION'S MOST RECENT CHNA AND IMPLEMENTATION PLAN CAN BE FOUND AT: https://www.guthrie.org/about-us/community-benefits/community-health-needs -assessment --------------------
PART V, SECTION B, LINE 11- ADDRESSING THE NEEDS IDENTIFIED IN THE CHNAFOR A COMPLETE DESCRIPTION ON HOW THE ORGANIZATION IS ADDRESSING THE NEEDS IDENTIFIED IN THE MOST RECENTLY COMPLETED CHNA, SEE THE FOLLOWING: https://www.guthrie.org/about-us/community-benefits/community-health-needs -assessment DUE TO RESOURCE LIMITATIONS, THE FOLLOWING IDENTIFIED NEEDS WERE NOT ABLE TO BE ADDRESSED IN THE IMPLEMENTATION PLAN: * PREVENTABLE HOSPITAL EVENTS * HIV SCREENINGS --------------------
PART V, SECTION B, LINE 16A, B & C- FAP PUBLIC AVAILABILITYA COPY OF THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, APPLICATION, AND PLAIN LANGUAGE SUMMARY CAN BE FOUND AT: https://www.guthrie.org/patients-visitors/pay-my-bill/financial-assistance --------------------
FieldValueIRS element (for citing)
Facility1FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HEALTHWORKSBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line19768 LIBERTY DRIVEAddressLine1Txt
CityPAINTED POSTCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14870ZIPCd
FieldValueIRS element (for citing)
FacilityWELLNESS AND FITNESS CENTER, A PORTION IS DEDICATED TO NOT FOR PROFIT FITNESS CENTERFacilityTxt

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SUPPLEMENTAL DISCLSOURESPART I, LINE 6A- PREPARATION OF A COMMUNITY BENEFIT REPORT CORNING HOSPITAL FILES AN ANNUAL COMMUNITY SERVICE PLAN IN RESPONSE TO NEW YORK STATE DEPARTMENT OF HEALTH REQUIREMENTS. --------------- PART I, LINE 7- COSTING METHODOLOGY USED DUE TO THE ADOPTION OF NEW ACCOUNTING PRONOUNCEMENT ASC 606, CURRENT YEAR IMPLICIT PRICE CONCESSIONS ARE TREATED AS A CONTRA-REVENUE ITEM ON THE STATEMENT OF REVENUE (CONSISTENT WITH THE PRIOR YEAR TREATMENT OF PATIENT SERVICE BAD DEBTS). INFORMATION REPORTED ON THE SCHEDULE H, PART I, LINE 7 TABLE WAS DERIVED UTILIZING THE RATIO OF COST TO CHARGES CALCULATED USING WORKSHEET 2, EXCEPT LINE 7E, WHICH WAS TAKEN FROM THE MEDICARE COST REPORT, AND LINE 7G, WHICH WAS CALCULATED BASED UPON AN INTERNAL COST ACCOUNTING SYSTEM, WITHIN THE COST ACCOUNTING SYSTEM, SOME PATIENT SEGMENTS WERE BASED ON A RATIO OF COST TO CHARGE - TOTAL DEPARTMENTAL EXPENSE PLUS ALLOCATED OVERHEAD SPREAD BASED ON CHARGES. ---------------
PART III, SECTION A, LINE 2- IMPLICIT PRICE CONCESSIONS/BAD DEBT EXPENSETHE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINES 2 AND 3 ARE BASED ON ACTUAL CHARGES WRITTEN OFF (AMOUNTS THAT ARE DEEMED TO BE UNCOLLECTIBLE AND RECORDED AS IMPLICIT PRICE CONCESSIONS UNDER NEW ACCOUNTING PRONOUNCEMENT ASC 606). CORNING HOSPITAL PROVIDES CARE TO ALL PATIENTS WHO NEED IT, REGARDLESS OF THEIR ABILITY TO PAY. THIS IS PART OF THE HOSPITAL'S MISSION. THE HOSPITAL ESTIMATES THAT 10% OF THE BAD DEBT EXPENSE AT COST IS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY THAT HAVE NOT FILLED OUT THE PROPER FORMS OR PROVIDED THE PROPER INFORMATION TO QUALIFY FOR THE PROGRAM. -------------------- PART III, SECTION A, LINE 4- BAD DEBT EXPENSE FOOTNOTE THE TEXT OF THE IMPLICIT PRICE CONCESSION (BAD DEBT EXPENSE)FOOTNOTE CAN BE FOUND ON PAGE 11 OF THE ELECTONICALLY ATTACHED AUDITED FINANCIAL STATEMENTS FOR THE GUTHRIE CLINIC AND AFFILIATES. -------------------- PART III, SECTION B, LINE 8- COSTING METHODOLOGY, MEDICARE SHORTFALL THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 6 IS BASED ON THE THE HOSPITAL'S MEDICARE COST REPORT FILING FOR THE YEAR. CONSISTENT WITH THE CHARITABLE HEALTHCARE MISSION OF CORNING HOSPITAL AND THE COMMUNITY BENEFIT STANDARD SET FORTH IN IRS REVENUE RULING 69-545, THE HOSPITAL PROVIDES CARE FOR ALL PATIENTS COVERED BY MEDICARE SEEKING MEDICAL CARE AT THE HOSPITAL. SUCH CARE IS PROVIDED REGARDLESS OF WHETHER THE REIMBURSEMENT PROVIDED FOR SUCH SERVICES MEETS OR EXCEEDS THE COSTS INCURRED BY THE ROBERT PACKER HOSPITAL TO PROVIDE SUCH SERVICES. AS A RESULT, THE HOSPITAL VIEWS ANY SHORTFALL REPORTED IN LINE 7 AS AN ADDITIONAL ITEM OF COMMUNITY BENEFIT PROVIDED BY THE ORGANIZATION. -------------------- PART III, SECTION C, LINE 9B - COLLECTION POLICY PRACTICES ONCE A PATIENT IS APPROVED FOR CHARITY CARE OR AN INSTALLMENT PLAN, THEIR ACCOUNT IS TRANSFERRED TO EITHER THE BUDGET OR CHARITY CARE FINANCIAL CLASS. ACCOUNTS IN THESE FINANCIAL CLASSES ARE NOT PLACED WITH COLLECTION. --------------------
PART VI, LINE 2- NEEDS ASSESSMENTTHE CH COMMUNITY HEALTH NEEDS ASSESSMENT BEGAN WITH A REVIEW OF PRIMARY DATA SOURCES, SPECIFICALLY SURVEY AND FOCUS GROUP DATA THAT HAD BEEN COLLECTED THROUGHOUT 2018 AND EARLY 2019. DUE TO THE LIMITATIONS SURROUNDING HEALTH NEEDS PERCEPTIONS CONTAINED IN THIS COLLECTED INFORMATION FROM THE THREE COUNTIES WE PRIMARLIY RELIED ON SECONDARY DATA SOURCES FOR THIS ASSESSMENT. THE SECONDARY DATA SOURCES INCLUDED THE MOST RECENT COUNTY HEALTH RANKINGS AND DATA COLLECTED THROUGH THE STRATEGIC MARKETING DEPARTMENT (DEMOGRAPHIC INFORMATION, DISCHARGE DATA, ETC.) RECENT INDICATORS OF HEALTH WERE COLLECTED FROM COMMUNITY COMMONS AND COMPARED TO COUNTY, STATE, NATIONAL AND HEALTHY PEOPLE 2020 REFERENCE DATA. ALL INFORMATION WAS ASSEMBLED AND A CHNA GROUP OF COMMUNITY MEMBERS, HEALTH CARE PROVIDERS (PHYSICIAN AND NURSES), ADMINISTRATORS, AND AN INDIVIDUAL WITH EXPERIENCE IN PUBLIC HEALTH WAS INVITED TO REVIEW THE FINDINGS. THE DATA WAS STRATIFIED INTO THREEE CATEDGORIES WHICH INCLUDED CLINICAL CARE, HEALTH BEHAVIORS AND HEALTH OUTCOMES. WITHIN THE THREE COUNTIES THAT COMPRISE THE PRIMARY SERVICE AREA FOR CH THIRTY-ONE INDICATORS OF HEALTH WERE IDENTIFIED TO BE BELOW THE STATE, NATIONAL, OR HEALTHY PEOPLE 2020 GOAL. ONCE THE THIRTY-ON INDICATORS WERE IDENTIFIES, THEY WERE PRIORITIZED BY EACH INDIVIDUAL OF THE CHNA GROUP USING THE HANLON METHOD. THE HANLON METHOD USES A TWO-STEP PROCESS TO SCORE INDICATORS OF HEALTH. THE FIRST STEP ENSURES THAT EACH NEEDS MEETS THE PEARL TEST WHICH INCLUDES: PROPRIETY - IS AN INTERVENTION SUITABLE?; ENCONOMICS - DOE IT MAKE ECONOMIC SENSE TO ADDRESS THE NEED?; ACCEPTABILITY - IS THE COMMUNITY OPEN TO ADDRESSING THIS NEED AND WILL IT ACCEPT THE INTERVENTION?; RESOURCES - ARE RESOURCES AVAILABLE?; LEGALITY - IS THE INTERVENTION LAWFUL?. THE SECOND STEP OF THE HANLON METHOD INCLUDES ASSIGNING A SCORE FROM 0-10 FOR EACH NEED BASED REGARDING THE (1)SIZE OF THE PROBLEM (2) SERIOUSNESS OF THE PROBLEM AND (3) EFFECTIVENESS POTENTIAL OF AN INTERVENTION. USING THIS METHODOLOGY, TH ECHNA GROUP SCORED EACH OF THE UNMET NEEDS FORM WHICH SEVERAL PRIORITY NEEDS WERE IDENTIFIED FOR THE PRIMARY SERVICE AREA OF CH. FURTHER, ONCE SCORED, THE RESULTS WERE SHARED WITH THE CHNA GROUP FOR DISCUSSION. THE GROUP WAS ALSO GIVEN THE OPPORTUNITY TO ADJUST ANY REANKINGS. THEIS PROCESS OF PRIORITIZATION CLASSIFIED THREE AREAS OF UNMET HEALTH CARE NEEDS. IN SQUENTIAL ORDER (HIGHEST TO LOWEST SCORE) THESE PRIORITY NEEDS INCLUDED: 1) ACCESS TO MENTAL HEALTH PROVIDERS (WITH SUBSET FOCUS OF OPIOID USAGE) 2) CANCER INCIDENCE - LUNG (WITH A SUBSET FOCUS OF TOBACCO USAGE) 3) OBESITY - (NOT ORIGINALLY RANKED IN TOP THREE NEEDS, HOWEVER UPON DISCUSSION IT WAS DETERMINED TO BE A TOP PRIORITY NEED - RANKINGS ADJUSTED ACCORDINGLY). IN ADDITION TO THE PRIORITIES SET BY THE CHNA GROUP TWO MORE UNMET COMMUNITY NEEDS WERE IDENTIFIED AND WILL BE DESCRIBED WITHIN THIS CHNA AS AREAS FOR POTENTIAL HEALTH IMPROVEMENT. HOWEVER, DUE TO AVAILABLE RESOURCES THESE NEEDS WILL NOT BE ADDRESSED THROUGH AN IMPLEMENTATON STRATEGY IN THE SUBSQUENT FISCAL YEARS. THESE NEEDS INCLUDE: *PREVENTABLE HOSPITAL EVENTS *HIV SCREENING HTTP://WWW.GUTHRIE.ORG/ABOUT US/COMMUNITY BENEFITS --------------------
PART VI, LINE 3- PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEPATIENTS ARE AWARE OF CHARITY CARE ASSISTANCE AND ELIGIBILITY THROUGH SIGNAGE, HANDOUT MATERIALS, AND HTTPS://GUTHRIE.ORG/PATIENTS-VISTORS/PAY-MY-BILL/FINANCIAL ASSISTANCE. GUTHRIE HEALTH IS PROUD OF ITS MISSION TO PROVIDE QUALITY CARE TO ALL WHO NEED IT. IF YOU DO NOT HAVE HEALTH INSURANCE OR WORRY THAT YOU MAY NOT BE ABLE TO PAY FOR PART OR ALL OF YOUR CARE, WE MAY BE ABLE TO HELP. GUTHRIE PROVIDES FINANCIAL AID TO PATIENTS BASED ON THEIR INCOME, ASSETS, AND FINANCIAL NEEDS. IN ADDITION, WE MAY BE ABLE TO HELP YOU GET FREE OR LOW-COST HEALTH INSURANCE OR WORK WITH YOU TO ARRANGE A MANAGEABLE PAYMENT PLAN. FOR MORE INFORMATION, PLEASE CONTACT OUR PATIENT FINANCIAL SERVICES OFFICE AT 570-887-2051. WE WILL TREAT YOUR QUESTIONS AND ANY INFORMATION YOU PROVIDE US WITH CONFIDENTIALITY AND COURTESY. THE GUTHRIE CLINIC FINANCIAL ASSISTANCE SUMMARY- THE FINANCIAL ASSISTANCE POLICY ("FAP") OF THE GUTHRIE CLINIC, WHICH INCLUDES GUTHRIE MEDICAL GROUP, P.C, ROBERT PACKER HOSPITAL, CORNING HOSPITAL, TROY COMMUNITY HOSPITAL AND TOWANDA MEMORIAL HOSPITAL (COLLECTIVELY "THE GUTHRIE CLINIC") EXISTS TO PROVIDE FINANCIAL ASSISTANCE TO PATIENTS WHO HAVE HEALTHCARE NEEDS AND ARE UNINSURED, UNDERINSURED, INELIGIBLE FOR OTHER GOVERMENT ASSISTANCE, OR ARE OTHERWISE UNABLE TO PAY FOR EMERGENCY OR OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES BASED ON THEIR INDIVIDUAL FINANCIAL SITUATION. PATIENTS SEEKING FINANCIAL ASSISTANCE MUST APPLY FOR THE PROGRAM. HOW TO APPLY: -DONWLOAD THE DOCUMENTS FROM THE FOLLOWING WEBSITE: HTTPS://WWW.GUTHRIE.ORG/PATIENTS-VISITORS/PAY-MY-BILL/FINANCIAL-ASSISTANCE -REQUEST DOCUMENTS BE MAILED TO YOU, BY CALLING THE FINANCIAL COUNSELING OFFICE AT (570)887-2051 -PAPER COPIES ARE AVAILABLE WITHIN VARIOUS AREAS THROUGHOUT THE GUTHRIE CLINIC HOSPITAL FACILITIES. THI INCLUDES, BUT IS NOT LIMITED TO, EMERGENCY ROOMS, PATIENT REGISTRATION CHECK-IN AREAS AND THE FINANCIAL COUNSLEING OFFICE WITHIN EACH HOSPITAL FACILITY. -FINANCIAL REPRESENTATIVES ARE ON-SITE TO ASSIST INDIVIDUALS WITH THE FAP APPLICATION, IF NEEDED. -COMPLETED APPLICATIONS (WITH ALL REQUIRED SUPPORTING DOCUMENTATION) SHOULD BE MAILED TO: ATTENTION: FINANCIAL COUNSELORS, THE GUTHRIE CLINIC, PATIENT FINANCIAL SERVICES DEPARTMENT, ONE GUTHRIE SQUARE, SAYRE PA 18840 FINANCIAL ASSISTANCE IS AVAILABLE FOR THOSE PATIENTS WITH LIMITED INCOMES, AND WHO DO NOT HAVE HEALTH INSURANCE AND ARE WORRIED ABOUT PAYING FOR PART OR ALL OF THEIR CARE. EVERYONE IN NEW YORK STATE WHO NEEDS EMERGENCY SERVICES CAN RECEIVE CARE AND GET A DISCOUNT IF THEY MEET THE INCOME LIMITS. EVERYONE WHO LIVES IN BRADFORD, SULLIVAN, AND TIOGA COUNTIES IN PENNSYLVANIA, AND ALLEGANY, CHEMUNG, LIVINGSTON, ONTARIO, SCHUYLER, STEUBEN, TIOGA, TOMPKINS, AND YATES COUNTIES IN NEW YORK MAY RECEIVE A DISCOUNT, BY COMPLETING AN APPLICATION FOR MEDICALLY NECESSARY SERVICES AT CORNING HOSPITAL IF THEY MEET THE INCOME LIMITS. YOU CANNOT BE DENIED MEDICALLY NECESSARY CARE BECAUSE YOU NEED FINANCIAL ASSISTANCE. FREE, CONFIDENTIAL HELP IS AVAILABLE. OUR CORNING HOSPITAL FINANCIAL COUNSELOR IS AVAILABLE AT (607) 937-7518 OR OUR PATIENT FINANCIAL SERVICES OFFICE AT (570) 887-2051 TO ASSIST YOU AND/OR ANSWER ANY QUESTIONS YOU MAY HAVE. THE FINANCIAL COUNSELOR CAN TELL YOU IF YOU QUALIFY FOR FREE OR LOW-COST INSURANCE, SUCH AS MEDICAID, CHILD HEALTH PLUS AND FAMILY HEALTH PLUS. IF THE FINANCIAL COUNSELOR FINDS THAT YOU DON'T QUALIFY FOR LOW-COST INSURANCE, THEY WILL HELP YOU APPLY FOR A DISCOUNT. THE COUNSELOR WILL HELP YOU FILL OUT ALL THE FORMS AND TELL YOU WHAT DOCUMENTS YOU NEED TO BRING. SEND THE COMPLETED FORM TO: GUTHRIE CLINIC PATIENT FINANCIAL SERVICE DEPARTMENT ONE GUTHRIE SQUARE SAYRE, PA 18840 ATTN: PATIENT REPRESENTATIVE-CHARITY CARE OFFICE OR DELIVER TO THE CORNING HOSPITAL FINANCIAL COUNSELOR'S OFFICE LOCATED ON THE 1ST LEVEL OF CORNING HOSPITAL. YOU CANNOT BE REQUIRED TO PAY A HOSPITAL BILL WHILE YOUR APPLICATION FOR A DISCOUNT IS BEING CONSIDERED. IF YOUR APPLICATION IS TURNED DOWN, THE HOSPITAL MUST TELL YOU WHY IN WRITING AND MUST PROVIDE YOU WITH A WAY TO APPEAL THIS DECISION TO A HIGHER LEVEL WITHIN THE HOSPITAL. IF YOU HAVE A PROBLEM THAT CANNOT RESOLVED WITH THE HOSPITAL? YOU MAY CALL THE NEW YORK STATE DEPARTMENT OF HEALTH COMPLAINT HOTLINE AT 1-800-804-5447. ---------------
PART VI, LINE 4- COMMUNITY INFORMATIONA. HOSPITAL SERVICE AREA CORNING HOSPITAL (CH)IS A FULL-SERVICE, 65 BED COMMUNITY HOSPITAL, LOCATED IN CORNING, NY. CH IS A 501(c)3 NOT-FOR PROFIT ORGANIZATION AND A MEMBER OF THE GUTHRIE CLINIC (TGC). CH PROVIDES CARE FOR THOSE LIVING IN THE SOUTHERN TIER REGION OF NEW YORK. THE PRIMARY SERVICE AREA FOR CH INCLUDES CHEMUNG, STEUBEN, AND SCHUYLER COUNTIES IN NY. IN FISCAL YEAR 2018, CH HAD OVER 5,000 INPATIENT ADMISSIONS, PERFORMED MORE THAN 11,000 OUTPATIENT PROCEDURES, AND COMPLETED OVER 1,244 INPATIENT SURGERIES. THE EMERGENCY DEPARTMENT HAD OVER 28,400 VISITS. FURTHER, ON AN ANNUAL BASIS THE HOSPITAL HAD APPROXIMATELY 557 BIRTHS AND OVER 54,815 OUTPATIENT VISITS. CH WAS REGCOGNIZED IN THE 2016 EXCELLUS BLUECROSS BLUESHIELD HOSPITAL PERFORMANCE INCENTIVE PROGRAM FOR DELIVERING QUAILITY HEALTH OUTCOMES FOR ITS PATIENTS. CH WAS ALSO A RECIPIENT OF THE WOMEN'S CHOICE AWARD RECOGNIZING AMERICA'S BEST HOSPITALS FOR PATIENT SAFETY IN 2017 AND 2018. A NY STATE DESIGNATED STROKE CENTER, THE HOSPITAL OFFERS A BROAD RANGE OF INPATIENT AND OUTPATIENT SERVICES, INCLULDING ADVANCED CARE DELIVERED IN COLLABORATION WITH GUTHRIE PHYSICIANS AND SPECIALISTS. IN 2014, CH OPENED A FACILITY WITH THE FOLLOWING SERVICES: AMBULATORY SURGERY SERVICES, GUTHRIE BREAST CARE CENTER, GUTHRIE CANCER CENTER, CORONARY CARE, CARDIOLOGY STRESS TESTING AND OUTPATIENT REHABILITATION. ADDITIONAL SERVICES INCLUDE ENDOSCOPY PROCEDURES, LABORATORY SERVICES, LABOR AND DELIVERY CARE, IMAGING SERVICES, MUSCULOSKELETAL SERVICES AND INTENSIVE CARE SERVICES. CH SERVES A PREDOMINANTLY RURAL POPULATION OVER A LARGE GEOGRAPHIC AREA COMPRISED OF THREE COUNTIES LOCATED IN THE SOUTHER TIER OF NEW YORK. THE PRIMARY SERVICE AREA OF CH IS DEFINED AS 11 CONTIGUOUS ZIP CODES FROM WHICH OVER 75% OF THE INPATIENT POPULATION IS DERVIED. THE 11 CONTIGUOUS ZIP CODES INCLUDE 88,892 PEOPLE, THE MAJORITY OF WHICH ARE WHITE, NON-HISPANIC, BETWEEN THE AGES OF 35-54. IN THIS GEOGRAPHIC AREA, 33.8% OF INDIVIDUALS AGE 25 PLUS, HAVE AT LEAST A HIGH SCHOOL DEGEE WITH 29.1% AND 27.9% HAVING SOME COLLEGE AND BACHELOR'S DEGREE/HIGHER, RESPECTIVELY. FROM 2010 UNTIL 2018 THERE WAS A 2.2% DECREASE IN THE OVERALL POPULATION SERVED BY CH. IT IS ANTICIPATED THAT BETWEEN 2018 AND 2023, A DECREASE OF 0.9% WILL BE OBSERVED IN THE OVERALL POPULATION SERVED BY CH. --------------
PART VI, LINE 5- PROMOTION OF COMMUNITY HEALTHTHE FOLLOWING OVERVIEW PROVIDES EXAMPLES OF THE HOSPITAL'S SUCCESSES IN PROVIDING ACCESS TO HIGH QUALITY HEALTH CARE AS WELL AS OTHER SERVICE AND ACTIVITY BEYOND THE PROVISION OF DIRECT CARE. THE HOSPITAL HAS RECEIVED GOLD PLUS AND TARGET STROKE DESIGNATIONS BY THE AMERICAN HEART ASSOCIATION FOR STROKE CARE. THE HOSPITAL WAS RECOGNIZED IN 2016 EXCELLUS BLUECROSSS BLUESHIELD HOSPITAL PERFORMANCE INCENTIVE PROGRAM FOR DELIVERING QUALITY HEALTH OUTCOMES FOR ITS PATIENTS. CH WAS ALSO A RECIPIENT OF THE WOMEN'S CHOICE AWARD RECOGNIZING AMERICA'S BEST HOSPITALS FOR PATIENT SAFETY IN 2017 AND 2018. THE HOSPITAL CONTINUES TO USE THE ELECTRONIC HEALTH RECORD (EPIC). EPIC ALLOWS THE HOSPITAL TO PROVIDE SAFE AND EFFECTIVE PATIENT CARE AND IMPROVE COMMUNICATION AMONG PROVIDERS, USING A SECURE SYSTEM TO PUT IMPORTANT HEALTH INFORMATION ABOUT PATIENTS AT PROVIDERS' FINGERTIPS. THE HOSPITAL CONTINUES TO OFFER CANCER SCREENINGS IN COLLABORATION WITH THE CANCER SERVICE PARTNERSHIP OF STEUBEN COUNTY, PROVIDING LOW-COST MAMMOGRAMS TO WOMEN WHO MEET THE PROGRAM'S CRITERIA. THE HOSPITAL IS A PARTNER IN THE RED CROSS PROGRAM UNITE FOR LIFE PLUS. AT THE TIME OF THIS REPORT, THE HOSPITAL 8 BLOOD DRIVES COLLECTING 148 UNITS OF BLOOD IN 2018, WITH A NUMBER OF NEW DONORS IDENTIFIED. THE HOSPITAL'S AUXILIARY HOLDS A NUMBER OF FUND RAISING EVENTS IN THE COMMUNITY THROUGHOUT THE YEAR TO SUPPORT THE HOSPITAL'S NEED FOR NEW EQUIPMENT. PROCEEDS FROM THE AUXILIARY'S PRIMARY EVENT HAVE AMOUNTED TO MORE THAN $1 MILLION SINCE ITS INCEPTION IN 1997. WELLNESS AND PREVENTION EDUCATION- HEALTHWORKS HOSTED SEVERAL COMMUNITY WELLNESS DAYS, OPEN TO THE PUBLIC, OFFERING FREE BLOOD PRESSURE SCREENINGS, BODY FAT ANALYSIS, AND INFORMATIONAL MATERIALS REGARDING DISEASE PREVENTION. THE HOSPITAL PROVIDED SEASONAL FLU SHOTS TO STAFF, VOLUNTEERS AND COMMUNITY MEMBERS. HEALTHWORKS CONTINUES TO PROVIDE A MONTHLY DIABETES SUPPORT GROUP OPEN TO THE PUBLIC IN WHICH GUEST SPEAKERS ARE AVAILABLE EACH MONTH TO DISCUSS TOPICS OF INTEREST FOR INDIVIDUALS WITH DIABETES TO HELP THEM BETTER UNDERSTAND AND MANAGE THEIR HEALTH NEEDS. THE HOSPITAL HAS TWO RNS TRAINED AS CERTIFIED CAR SEAT SAFETY INSTRUCTORS, WHICH ENABLES THE HOSPITAL TO PARTICIPATE IN HEALTH FAIRS/COMMUNITY EDUCATION DAYS THAT DEMONSTRATE THE CORRECT AGE/WEIGHT APPROPRIATE FOR CHILDREN USING CAR SEATS. GUTHRIE HOSTED A FREE COMMUNITY SEMINAR ON BREAT CANCER. TOPICS COVERED INCLUDED THE IMPORTANCE OF SCREENINGS, USE OF DIAGNOSTIC TOOLS TO MONITOR BREAST HEALTH AND THE VARIOUS OPTIONS AVAILABLE FOR TREATMENT OF BREAST CANCER. THE HOSPITAL OFFERS SEVERAL EDUCATION PROGRAMS DESIGNED TO EDUCATE THE GENERAL PUBLIC ABOUT HEALTHY EATING HABITS AND THE IMPACT NUTRITION HAS ON STAYING HEALTHY. SMOKING CESSATION: PATIENTS WHO SMOKE OR USE TOBACCO ARE ENCORAGED TO PARTICIPATE IN SMOKING CESSATION PROGRAMS. PRESENTLY, PATIENTS WHO USE TOBACCO ARE PROVIDED INFORMATION ABOUT, AND ENCOURAGED TO CONTACT, THE SOUTHERN TIER TOBACCO AWARENESS COALITION OR THE NY QUIT LINE, WHICH OFFERS SMOKING CESSATION SERVICES. THE HOSPITAL INSTALLED A MEDSAFE MEDICATION DISPOSAL UNIT AT ITS FACILITY. LOCATED NEAR THE HOSPITAL PHARMACY, THE UNIT PROVIDES A WAY FOR PATIENTS, STAFF AND COMMUNITY MEMBERS TO SAFELY AND ANONYMOUSLY DISPOSE OF UNUSED OR EXPIRED MEDICINES AND CONTROLLED SUBSTANCES. ---------------
PART VI, LINE 6- DETAIL REGARDING AFFILIATED HEALTH CARE SYSTEM ROLESCORNING HOSPITAL IS PART OF THE GUTHRIE CLINIC. SEE SCHEDULE O, FORM 990, PART III, LINE 1- STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS FOR MORE INFORMATION. -------------------- PART VI, LINE 7- STATE FILING OF COMMUNITY BENEFIT REPORT NY

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
FRANCIS M MACAFEE
CFO/VP FINANCE$0$176,394$0$27,258$0$0$0$12,219$0$13,009$0$228,880$0$0
JOSEPH SCOPELLITI MD
MEMBER - BOD$0$813,067$0$182,448$0$0$0$17,875$0$13,009$0$1,026,399$0$0
RUSSELL C WOGLOM MD
MEMBER - BOD$0$397,874$0$43,214$0$0$0$16,500$0$20,029$0$477,617$0$0
ADRIENNE ABBOTT
CHIEF NURSING OFFICER$127,319$0$8,331$0$0$0$8,139$0$20,029$0$163,818$0$0$0
VENOGOPAL THIRUMURTI MD
MEMBER-BOD & MED STAFF SEC'Y$0$443,923$0$33,500$0$0$0$14,438$0$20,029$0$511,890$0$0
GARRETT HOOVER
PRESIDENT/COO$259,153$0$32,177$0$0$0$16,500$0$20,029$0$327,859$0$0$0
JENNIFER YARTYM
VICE PRESIDENT, OPERATIONS$141,575$0$9,801$0$0$0$7,947$0$20,029$0$179,352$0$0$0
COLIN BAILEY
RADIATION PHYSICIST$193,617$0$0$0$0$0$10,165$0$6,541$0$210,323$0$0$0
GREGORY KRIEL
PHARMACIST$158,687$0$0$0$0$0$9,521$0$20,029$0$188,237$0$0$0
MARK HOPSON
MANAGER, PHARMACY$146,323$0$3,726$0$0$0$9,003$0$20,029$0$179,081$0$0$0
SCOTT STEVENS
PHARMACIST$136,548$0$0$0$0$0$8,193$0$13,009$0$157,750$0$0$0
EVAN DAVIS
PHARMACIST$126,947$0$0$0$0$0$7,617$0$20,029$0$154,593$0$0$0
FREDERICK TERIBURY MD
MEMBER- BOD MEDICAL STAFF PRES$0$290,137$0$88,333$0$0$0$16,500$0$20,029$0$414,999$0$0
GENEVA BALLARD
MEMBER - BOD MEDICAL STAFF VP$0$428,416$0$44,000$0$0$0$12,375$0$0$0$484,791$0$0
MATTHEW PALADINO
MEMBER-BOD MEDICAL STAFF TREAS$0$418,303$0$18,736$0$0$0$12,375$0$20,029$0$469,443$0$0
KIM DIBARI MD
CMO/REGIONAL MEDICAL DIRECTOR$0$330,426$0$19,140$0$0$0$14,438$0$7,080$0$371,084$0$0
LOUIS DUBOIS MD
FORMER MED STAFF PRESIDENT$0$516,247$0$0$0$0$0$16,500$0$13,009$0$545,756$0$0
JAMES PERLE MD
FORMER MED STAFF SECRETARY$0$115,329$0$6,944$0$0$0$9,629$0$0$0$131,902$0$0
JOEL MCCLURG MD
FORMER MEDICAL STAFF TREASURER$0$530,437$0$0$0$244$0$14,250$0$20,029$0$564,960$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1AQUESTIONS REGARDING COMPENSATION TAX INDEMNIFICATION AND GROSS-UP PAYMENTS, AS WELL AS HOUSING ALLOWANCES AND HEALTH CLUB DUES, ARE PERIODICALLY PROVIDED TO EMPLOYEES. ALL PAYMENTS ARE MADE PURSUANT TO WRITTEN ORGANIZATIONAL POLICIES. THE HOUSING ALLOWANCE WAS TEMPORARILY PROVIDED TO GARRETT HOOVER AS A CONDITION OF HIS HIRING AGREEMENT AND WAS INCLUDED IN TAXABLE COMPENSATION. ALL CORNING EMPLOYEES ARE ELIGIBLE FOR HEALTH CLUB DUES REIMBURSEMENT WHICH ARE INCLUDED IN TAXABLE COMPENSATION. FOUR OF THE REPORTED INDIVIDUALS RECEIVED THE BENEFIT. ---------------
SCHEDULE J, PART I, LINE 3COMPENSATION INFORMATION EXECUTIVE COMPENSATION IS ESTABLISHED WITHIN A WRITTEN EMPLOYMENT AGREEMENT. COMPENSATION IS DETERMINED BASED ON MARKET STUDIES, PRESENTED TO THE GUTHRIE HEALTH COMPENSATION COMMITTEE AND SUBSEQUENTLY APPROVED BY THE GUTHRIE HEALTH BOARD OF DIRECTORS. ---------------
FORM 990, SCHEDULE J, PART I, LINE 4BSUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PARTICIPATION THE GUTHRIE CLINIC ("TGC") HAS ESTABLISHED AN EMPLOYEE BENEFIT PLAN KNOWN AS THE GUTHRIE CLINIC 457(F) DEFERRED COMPENSATION PLAN (THE "PLAN") WHICH IS DESIGNED TO PROVIDE ELIGIBLE EMPLOYEES WITH DEFERRED COMPENSATION BENEFITS IN RECOGNITION OF THEIR DEDICATED AND VALUABLE SERVICE TO TGC. THE PLAN IS INTENDED TO BE AN INELIGIBLE DEFERRED COMPENSATION PLAN AS DESCRIBED IN SECTION 457(F) OF THE INTERNAL REVENUE CODE. EACH CONTRIBUTION VESTS AFTER THREE YEARS OF EMPLOYMENT PROVIDED THE PARTICIPANT REMAINS CONTINUOUSLY EMPLOYED. A PARTICIPANT SHALL BECOME FULLY VESTED IN THE PARTICIPANTS 457(F) ACCOUNT BENEFIT UPON ATTAINING AGE 62, WITH 5 YEARS OF SERVICE. TGC SHALL DISTRIBUTE THE PARTICIPANTS 457(F) ACCOUNT BENEFIT, LESS TAXES WITHHELD, THIRTY DAYS AFTER THE PARTICIPANT FIRST BECOMES VESTED IN THE PLAN. FOR YEARS SUBSEQUENT TO A PARTICIPANT ATTAINING AGE 62, THE PARTICIPANT SHALL BE ENTITLED TO THE PARTICIPANTS DEFERRED COMPENSATION AMOUNT AS OF JULY 1ST IMMEDIATELY SUBSEQUENT TO THE DATE WHEN CREDITED. THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN THE PLAN DURING THE YEAR AND/OR RECEIVED DISTRIBUTIONS DURING THE YEAR: JOSEPH SCOPELLITI - $62,115 (MARCH 2018 - NO ADDITIONAL DISTRIBUTION UNTIL JULY 2019)

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 1BRIEF DESCRIPTION OF ORGANIZATION'S MISSION TO PROVIDE MEDICAL CARE SERVICES TO THE PUBLIC. HELP EACH PERSON ATTAIN OPTIMAL, LIFE-LONG HEALTH AND WELL-BEING BY PROVIDING CLINICALLY-ADVANCED SERVICES TO PREVENT, DIAGNOSE AND TREAT DISEASES. --------------- FORM 990, PART III STATEMENT OF PROGRAM SERVICES ACCOMPLISHMENTS CORNING HOSPITAL IS A SUBSIDARY OF THE GUTHRIE CLINIC. THE GUTHRIE CLINIC IS A NONPROFIT HEALTH CARE ORGANIZATION INCORPORATED FOR THE PURPOSE OF CONDUCTING EXCLUSIVELY CHARITABLE, SCIENTIFIC AND EDUCATIONAL ACTIVITIES. THE GUTHRIE CLINIC (TGC) ACTS AS THE PARENT OF AN INTEGRATED SECTION 501(C)(3) HEALTH CARE DELIVERY SYSTEM, CONSISTING OF THE CORPORATION AND OTHER DIRECTLY AND INDIRECTLY CONTROLLED ENTITIES (SEE FORM 990, SCHEDULE R, FOR A LISTING OF THE AFFILIATES OF TGC) INCLUDING BUT NOT LIMITED TO GUTHRIE MEDICAL GROUP, P.C. (GMG) AND ROBERT PACKER HOSPITAL (RPH). THROUGH THE ACTIVITIES OF GMG, RPH AND ITS OTHER AFFILIATES (COLLECTIVELY REFERRED TO AS "GUTHRIE"), THE GUTHRIE CLINIC PROVIDES CHARITABLE COMMUNITY-BASED HEALTH CARE SERVICES AND PROGRAMS TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE AND COMMUNITIES SERVED BY ITS FACILITIES AND PROVIDERS. THESE CHARITABLE ACTIVITIES INCLUDE PROVIDING PRIMARY CARE AND SPECIALTY PHYSICIAN SERVICES, AS WELL AS OPERATING A TERTIARY CARE TEACHING HOSPITAL, COMMUNITY HOSPITALS, A RESEARCH INSTITUTE, HOME CARE, AND HOSPICE CARE. THE GUTHRIE RESEARCH INSTITUTE AND GUTHRIE CLINICAL RESEARCH FUNCTIONS OF THE DONALD GUTHRIE FOUNDATION, A SUBSIDIARY OF TGC, FURTHERS THESE CHARITABLE ACTIVITIES THROUGH PROVIDING PATIENT ACCESS TO THE REGION'S LARGEST PANEL OF CLINICAL TRIALS. GUTHRIE IS COMPRISED OF A RESEARCH INSTITUTE, HOME CARE/HOSPICE, HOSPITALS IN SAYRE, PA., CORNING, NY., TOWANDA, PA., TROY, PA., AND CORTLAND, NY., AS WELL AS A MULTI-SPECIALTY GROUP PRACTICE OF MORE THAN 325 PHYSICIANS AND 210 ADVANCED PRACTICE PROVIDERS OFFERING 47 SPECIALITIES THROUGH A REGIONAL OFFICE NETWORK PROVIDING PRIMARY AND SPECIALTY CARE IN 33 COMMUNITIES IN PENNSYLVANIA AND NEW YORK. THE VISION OF GUTHRIE IS TO HELP SHAPE THE DELIVERY OF HEALTH CARE IN THE REGION THROUGH WORKING COLLABORATIVELY WITH PHYSICIANS AND OTHER,PROVIDERS, AND BY DISTRIBUTING ITS SERVICES THROUGHOUT THE REGION BASED ON COMMUNITY NEEDS. GUTHRIE SEEKS TO BE THE PROVIDER OF CHOICE FOR PATIENTS IN THE REGION IT SERVES, AND TO BE RECOGNIZED FOR ITS SUPERIOR QUALITY AND SERVICE. IT ALSO STRIVES TO ADVANCE THE PRACTICE OF MEDICINE THROUGH ITS COMMITMENT TO TEACHING AND RESEARCH. IN KEEPING WITH THIS VISION, THE CORE VALUES OF THE GUTHRIE CLINIC ARE AS FOLLOWS: PATIENT-CENTEREDNESS, EXCELLENCE, AND TEAMWORK. GUTHRIE PROVIDERS AND FACILITIES PROVIDE CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE IT DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE ON THE FINANCIAL STATEMENTS OF GUTHRIE ENTITIES. COSTS FOR SERVICES AND SUPPLIES FURNISHED UNDER GUTHRIE'S CHARITY CARE POLICY AMOUNTED TO APPROXIMATELY $2.32 MILLION IN 2019 AND $1.21 MILLION IN 2018 WHEN MEASURED AT THE APPROPRIATE ENTITY'S ESTIMATED COST. AS PART OF ITS CHARITABLE MISSION, GUTHRIE PROVIDES CARE THROUGH ITS HOSPITAL EMERGENCY DEPARTMENTS. IT ENSURES THAT AN EMERGENCY-BASED TREATMENT OR HOSPITAL ADMISSION IS NOT DELAYED OR DENIED PENDING DETERMINATION OF COVERAGE OR A REQUIREMENT FOR PREPAYMENT OR DEPOSIT. AS A RESULT OF THIS POLICY, GUTHRIE EXPERIENCED APPROXIMATELY $3.84 MILLION AND $2.16 MILLION IN BAD DEBTS FOR 2019 AND 2018, RESPECTIVELY. IN ADDITION TO THE CHARITY CARE PROGRAM AND THE EMERGENCY DEPARTMENT BAD DEBTS DISCUSSED ABOVE, GUTHRIE SUPPORTS NUMEROUS OTHER CHARITABLE COMMUNITY ACTIVITIES. EXAMPLES OF THESE ACTIVITIES INCLUDE MEDICAL EDUCATION FOR PHYSICIANS AND NURSES, THE TRAUMA PROGRAM, AND MEDICAL RESEARCH. THE ESTIMATED COST, NET OF REIMBURSEMENT, FOR THESE PROGRAMS WAS $20.5 MILLION AND $16.2 MILLION IN 2019 AND 2018, RESPECTIVELY. GUTHRIE ALSO PROVIDES SERVICES TO PATIENTS WHO PARTICIPATE IN THE MEDICAID PROGRAMS. REVENUES GENERATED FROM PATIENTS WHO PARTICIPATE IN THE MEDICAID PROGRAM ARE SUBJECT TO SUBSTANTIAL DISCOUNTS THAT RESULT IN REIMBURSEMENT FOR SERVICES RENDERED BELOW THE COST OF PROVIDING SUCH SERVICES. IN ORDER FOR PATIENTS TO MEET THE GUIDELINES FOR THE MEDICAID PROGRAM, VARIOUS INCOME-BASED CRITERIA MUST BE MET THAT VALIDATE PATIENTS' INABILITY TO PAY FOR SERVICES AND INELIGIBILITY UNDER OTHER PROGRAMS. THE ESTIMATED LOSS INCURRED BY GUTHRIE FROM PROVIDING SERVICES TO MEDICAID PATIENTS AMOUNTED TO $53.63 MILLION AND $52.15 MILLION IN 2019 AND 2018, RESPECTIVELY. THE TOTAL COST TO GUTHRIE IN SUPPORTING THESE CHARITABLE MISSION PROGRAMS WAS APPROXIMATELY $80.32 MILLION AND $71.72 MILLION IN 2019 AND 2018, RESPECTIVELY. AS DISCUSSED, RPH AND THE GMG WORK CLOSELY TOGETHER IN FULFILLING GUTHRIE'S CHARITABLE MISSION. A REGIONAL LEVEL II TRAUMA CENTER, RPH IS A TERTIARY CARE TEACHING HOSPITAL, LOCATED IN SAYRE, PENNSYLVANIA, SERVING THE SOUTHERN TIER OF NEW YORK AND THE NORTHERN TIER OF PENNSYLVANIA. GUTHRIE ALSO OFFERS RESIDENCY PROGRAMS IN FAMILY PRACTICE, INTERNAL MEDICINE,GENERAL SURGERY, EMERGENCY MEDICINE, AS WELL AS NURSE RESIDENCY AND PHARMACY RESIDENCY. FELLOWHIP PROGRAMS ARE OFFERED IN CARDIOVASCULAR DISEASE, GASTROENTEROLOGY AND PULMONARY DISEASE/CRITICAL CARE. MEDICAL STUDENT TRAINING IS PROVIDED FOR STUDENTS FROM AFFILIATED MEDICAL SCHOOLS. ALLIED HEALTH EDUCATION IS ALSO PROVIDED FOR RESPIRATORY THERAPY, NURSING, LABORATORY SCIENCE, AND RADIOLOGIC TECHNOLOGY FOR STUDENTS FROM PENNSYLVANIA AND NEW YORK COLLEGES AND UNIVERSITIES. RPH OFFERS A FULL RANGE OF DIAGNOSTIC, MEDICAL AND SURGICAL SERVICES, NCLUDING THE FOLLOWING: GUTHRIE BREAST CARE CENTER; GUTHRIE CANCER CENTER; GUTHRIE CARDIAC AND VASCULAR CENTER; GUTHRIE MUSCULOSKELETAL SERVICES; GUTHRIE IMAGING SERVICES; GUTHRIE SPECIALTY EYE CARE; GUTHRIE SURGICAL SERVICES; WEIGHT LOSS CENTER; LEVEL II TRAUMA CENTER; AND MEDICAL/SURGICAL AND INTENSIVE CARE SERVICES . RPH STRIVES TO ENHANCE THE QUALITY OF LIFE IN THE COMMUNITIES IT SERVES BY PROVIDING SUPERIOR HEALTH CARE SERVICES AND BY LEADING CONTINUOUS IMPROVEMENT OF COMMUNITY HEALTH. IT ACHIEVES THIS MISSION BY ORGANIZING SERVICES AND DIRECTING RESOURCES TOWARD MEETING COMMUNITY HEALTH NEEDS THROUGH COLLABORATION WITH COMMUNITY AGENCIES AND BY COMPASSIONATE, EFFECTIVE, AND AFFORDABLE MEANS. RPH WORKS CLOSELY WITH THE GMG TO ENSURE THAT THE SKILLS AND KNOWLEDGE OF THE MEDICAL STAFF PRODUCE THE MAXIMUM COMMUNITY HEALTH BENEFIT. AS A MEMBER OF GUTHRIE, RPH INTEGRATES ITS PROGRAMS AND ACTIVITIES WITH THOSE OF THE LONG-TERM CARE AND EDUCATION AND RESEARCH DIVISIONS, SO THAT CONTINUITY AND SYNERGY RESULT. AS PART OF TGC, THE VISION OF RPH IS TO PLAY A LEADERSHIP ROLE IN THE DEVELOPMENT AND PROVISION OF TERTIARY-LEVEL ACUTE CARE SERVICES. EVIDENCE THAT RPH IS SUCCESSFULLY FULFILLING THIS ROLE CAN BE SEEN IN ITS CONTINUED ACCOMPLISHMENTS. HIGHLIGHTS OF THOSE ACHIEVEMENTS INCLUDE CONTINUED ACCREDITATION BY THE PENNSYLVANIA TRAUMA SYSTEMS FOUNDATION BOARD AS A LEVEL II TRAUMA CENTER AND RECEIPT OF FULL CHEST PAIN CENTER ACCREDITATION WITH PCI (PERCUTANEOUS CORONARY INTERVENTION) FROM THE SOCIETY OF CARDIOVASCULAR PATIENT CARE; NATIONAL ACCREDIATION FOR TWO NEW EDUCATIONAL PROGRAMS: EMERGENCY MEDICINE RESIDENCY AND PULMONARY AND CRITITCAL CARE FELLOWSHIP; NAMED TO AMERICA'S 100 BEST FOR CORONARY INTERVENTION; RECEIPT OF CCAP ACCREDIATION FOR GUTHRIE SAYRE LAB; AWARDED ADVANCED CERTIFICATION FOR PRIMARY STROKE CENTER; GUTHRIE ROBERT PACKER HOSPITAL RECEIVED GET WITH THE GUIDELINES STROKE PLUS QUALITY ACHIEVEMENT AWARD AND GUTHRIE RECEIVES BRONZE RECOGNITION FOR AMERICAN HEART ASSOCIATION WORKPLACE HEALTH ACHIEVEMENT INDEX. GUTHRIE WEIGHT LOSS CENTER HAS BEEN ACCREDITED AS A LEVEL 1 FACILITY UNDER THE BARIATRIC SURGERY CENTER NETWORK (BSCN) ACCREDITATION PROGRAM OF THE AMERICAN COLLEGE OF SURGEONS (ACS). AS PART OF A FULLY-INTEGRATED HEALTH DELIVERY SYSTEM THAT ORGANIZES ITS SERVICES ON A REGIONAL BASIS AND IS ACCOUNTABLE FOR IMPROVING THE HEALTH OF THE POPULATION IT SERVES, RPH ACCEPTS RESPONSIBILITY FOR MEETING THE HEALTH CARE NEEDS OF THE COMMUNITY AND IS ABLE TO DOCUMENT THE COST EFFECTIVENESS AND QUALITY OF SERVICES PROVIDED. CORNING HOSPITAL BREAST CARE CENTER WAS AWARDED A FULL THREE-YEAR ACCREDITATION IN STEREOTACTIC BREAST BIOPSY BY THE AMERICAN COLLEGE OF RADIOLOGY (ACR) AND RECEIVED THE AMERICAN HEART ASSOCIATION/AMERICAN STOKE ASSOCIATION'S GET WITH THE GUIDELINES STROKE GOLD PLUS ACHIEVEMENT AWARD.
FORM 990, PART III (CONTINUED)THE GMG IS A MULTI-SPECIALTY PHYSICIAN GROUP PRACTICE THAT INCLUDES NEARLY 500 SPECIALIST AND PRIMARY CARE PHYSICIANS AND ADVANCE PRACTICE PROVIDERS, HEADQUARTERED IN A FACILITY ADJACENT TO RPH. PHYSICIANS WITHIN THE GMG PROVIDE COMPREHENSIVE MEDICAL CARE USING ADVANCED TECHNOLOGIES AND METHODOLOGIES FOR BOTH DIAGNOSIS AND TREATMENT. FURTHER, THE GMG PROVIDES A BROAD RANGE OF EDUCATIONAL OPPORTUNITIES FOR PHYSICIANS AND OTHER HEALTH CARE PROVIDERS. IT ALSO WORKS CLOSELY WITH THE RESEARCH INSTITUTE, WHERE RESEARCH CONTRIBUTES TO RECRUITING AND RETAINING PHYSICIAN SPECIALISTS TO SERVE THE REGION AND SUSTAINING PROFICIENT MEDICAL PRACTICES. THE GMG IS COMMITTED TO THE ADVANCEMENT OF MEDICAL KNOWLEDGE AND SKILLS, AND EVERY EFFORT IS MADE TO PROVIDE PERSONAL, COMPASSIONATE MEDICAL CARE. THE GMG OPERATES A REGIONAL OFFICE NETWORK IN 22 COMMUNITIES IN PENNSYLVANIA AND NEW YORK, ENCOMPASSING ALL OF THE MAJOR POPULATION CENTERS IN THE TWIN TIERS AREA. THE GUTHRIE CLINIC HAS DEVELOPED CERTAIN GUIDING PRINCIPLES FOR THE PROVISION OF PATIENT CARE, WHICH INCLUDE A COMMITMENT THE FOLLOWING: * PRACTICE OF CLINICAL EXCELLENCE, * UTILIZATION OF THE SYNERGY OF A MULTI-SPECIALTY MEDICAL GROUP PRACTICE, * DEVELOPMENT OF AN INTEGRATED SYSTEM THAT PROVIDES A CONTINUUM OF CARE, * PROVISION OF LOCAL ACCESS TO CARE THROUGH SUPPORT OF A REGIONAL MEDICAL OFFICE NETWORK, * PROVISION OF SERVICES TO A DISTINCT GEOGRAPHIC REGION, AND * PROACTIVE OPERATIONS. THE GMG, THROUGH THE PROVISION OF PRIMARY CARE SERVICES WITH EASE OF ACCESS TO SPECIALTY AND SUB-SPECIALTY CARE, FOCUSES ON MAKING AN INTEGRATED SYSTEM OF HEALTH CARE EASILY ACCESSIBLE TO PATIENTS. WITH ITS PRIMARY CONCERN THE DIAGNOSIS AND TREATMENT OF DISEASE AND ILLNESS, IT ALSO SEEKS TO ACTIVELY IMPROVE THE HEALTH OF THE COMMUNITY IT SERVES THROUGH PREVENTION, HEALTH SCREENINGS, AND EDUCATION. THE GMG WELCOMES ANY PATIENT SEEKING CARE. --------------- FORM 990, PART IV, LINE 12B DETAIL OF CONSOLIDATED FINANCIAL STATEMENTS THE ORGANIZATION'S FINANCIAL STATEMENTS WERE AUDITED ON A CONSOLIDATED BASIS WITH THE GUTHRIE CLINIC AND AFFILIATES. --------------- FORM 990, PART VI, SECTION A, LINE 6 MEMBERSHIP INFORMATION THE GUTHRIE CLINIC IS THE SOLE MEMBER OF CORNING HOSPITAL. --------------- ---------------
FORM 990, PART VI, SECTION A, LINE 7AMEMBERSHIP INFORMATION AS THE SOLE MEMBER OF CORNING HOSPITAL, THE GUTHRIE CLINIC APPOINTS THE ORGANIZATION'S BOARD OF DIRECTORS. ---------------
FORM 990, PART VI, SECTION A, LINE 7BMEMBERSHIP INFORMATION AS THE SOLE MEMBER OF CORNING HOSPITAL, THE GUTHRIE CLINIC HAS APPROVAL RIGHTS OF CERTAIN BOARD DECISIONS. ---------------
FORM 990, PART VI, SECTION B, LINE 11FORM 990 REVIEW PROCESS THE FORM 990 OF THE ORGANIZATION IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW AND IS ALSO REVIEWED BY THE ORGANIZATION'S FINANCE PERSONNEL AND AN INDEPENDENT ACCOUNTING FIRM PRIOR TO FILING WITH THE IRS. ---------------
FORM 990, PART VI, SECTION B, LINE 12CCONFLICT OF INTEREST POLICY THE CONFLICT OF INTEREST DISCLOSURE POLICY SETS FORTH THAT ALL PERSONS, INCLUDING EMPLOYEES, AGENTS AND BOARD/COMMITTEE MEMBERS, PARTICULARLY THOSE INVOLVED IN DECISION-MAKING FOR THE GUTHRIE CLINIC (TGC), ACT IN AN APPROPRIATE MANNER AND WILL NOT PARTICIPATE IN ANY ACTIONS THAT MIGHT CREATE A PERSONAL OR PROFESSIONAL CONFLICT OF INTEREST AND/OR NOT BE IN THE BEST INTEREST OF TGC. ALL MEMBERS OF ANY TGH BOARD/ COMMITTEE AND TGH SENIOR MANAGEMENT MUST MAKE FULL DISCLOSURE OF ANY POSSIBLE CONFLICT OF INTEREST THROUGH THE USE OF THE CONFLICT OF INTEREST DISCLOSURE FORM AND REFRAIN FROM VOTING OR PARTICIPATING IN DECISION-MAKING INVOLVING ANY POSSIBLE CONFLICT OF INTEREST. THE FORM IS DISTRIBUTED TO ALL BOARD/COMMITTEE MEMBERS AND EMPLOYEES (WHEN APPLICABLE) ANNUALLY BY THE TGC ADMINISTRATION OFFICE. TGC BOARD/COMMITTEE MEMBERS OR EMPLOYEES MUST COMPLETE THE CONFLICT OF INTEREST DISCLOSURE FORM. THIS FORM SHOULD BE COMPLETED WHEN THERE IS ANY SITUATION WHERE A POSSIBLE CONFLICT OF INTEREST EXISTS, AND/OR ON AN ANNUAL BASIS AND/OR AT THE TIME OF APPOINTMENT OR ELECTION OF NEW BOARD/COMMITTEE MEMBERS. IF THE FORM IS NOT COMPLETED WITHIN 13 MONTHS OF THE LAST SIGNING, THE TGC BOARD CHAIRMAN WILL BE ADVISED. ANY INDIVIDUAL HAVING A CONFLICT OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON ANY MATTER SHOULD EXCUSE THEMSELVES FROM THE PORTION OF THE MEETING OR MEETINGS WHERE THE MATTER IS DISCUSSED AND NOT VOTE OR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER. THE MINUTES OF THE MEETING OR MEETINGS SHOULD REFLECT THE DISCLOSURE, THE ABSTENTION FROM VOTING, AND ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST EXISTED. ---------------
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION REVIEW AND APPROVAL EXECUTIVE COMPENSATION IS GENERALLY ESTABLISHED WITHIN A WRITTEN EMPLOYMENT AGREEMENT. COMPENSATION IS DETERMINED BASED ON MARKET STUDIES, PRESENTED TO THE GUTHRIE CLINIC COMPENSATION COMMITTEE, AND SUBSEQUENTLY APPROVED BY THE BOARD OF DIRECTORS. ---------------
FORM 990, PART VI, SECTION C, LINE 18DOCUMENT AVAILABILITY TO THE PUBLIC THE ORGANIZATION'S FORM 1023, 990, AND 990T FILINGS ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. --------------- FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. --------------- FORM 990, PART VII, SECTION B, LINE 1 INDEPENDENT CONTRACTORS THE AMOUNTS REPORTED INCLUDES SUB-CONTRACTOR PAYMENTS AND AMOUNTS PAID FOR TIME AND MATERIALS. --------------- FORM 990, PART IX, LINE 23 DETAIL OF NEGATIVE INSURANCE EXPENSE DURING THE FISCAL YEAR ENDING JUNE 30, 2019, THE GUTHRIE CLINIC ELECTED TO CHANAGE ITS METHOD OF EVALUATION FOR PROFESSIONAL AND GENERAL LIABILITY BASED ON POSITIVE CLAIM EXPERIENCE, RESULTING IN A FAVORABLE ADJUSTMENT TO EXISTING RESERVES. THE NEW METHOD OF ACCOUNTING FOR THESE RESERVES WAS ADOPTED BECAUSE MANAGEMENT BELIEVES THE NEW METHODOLOGY PROVIDES A MORE MEANINGFUL PRESENTATION OF ITS FINANCIAL POSITION BECAUSE IT REFLECTS MORE ACCURATE ESTIMATES FOR INCURRED BUT NOT REPORTED CLAIMS IN THE BALANCE SHEET. --------------- FORM 990, PART X BALANCE SHEET CERTAIN PRIOR YEAR BALANCES HAVE BEEN RESTATED TO CONFORM TO THE CURRENT YEAR PRESENTATION. ---------------
FORM 990, PART XI, LINE 9DETAIL OF OTHER CHANGES IN NET ASSETS OR FUND BALANCES EQUITY TRANSFER TO/FROM AFFILIATES $(7,229,038) PENSION ADJUSTMENT (1,618,271) OTHER COMPONETS OF NET PERIODIC PENSION 716,085 COST INTEREST DIVIDEND INCOME ON INVESTMENTS 944 PLEDGES (13,085) NET INCOME FUNDRAISING EVENT 14,063 OTHER 1 ---------- TOTAL OTHER CHANGES IN NET ASSETS $(8,129,301) ---------------
FORM 990, PART XII, LINE 2BDETAIL OF CONSOLIDATED FINANCIAL STATEMENTS THE ORGANIZATIONS FINANCIAL STATEMENTS WERE AUDITED ON A CONSOLIDATED BASIS WITH THE GUTHRIE CLINIC AND AFFILIATES.
FORM 990 PART IX LINE 11GDESCRIPTION:PS TEMP STAFF TOTAL FEES:2572281
FORM 990 PART IX LINE 11GDESCRIPTION:PS PHYSICIAN FEES TOTAL FEES:4485790
FORM 990 PART IX LINE 11GDESCRIPTION:PS MGMT CONTRACT TOTAL FEES:1850847
FORM 990 PART IX LINE 11GDESCRIPTION:PS LAB TOTAL FEES:1077999
FORM 990 PART IX LINE 11GDESCRIPTION:PS CONSULTANTS TOTAL FEES:390388
FORM 990 PART IX LINE 11GDESCRIPTION:PS DSRIP TOTAL FEES:1067539
FORM 990 PART IX LINE 11GDESCRIPTION:PS OTHER TOTAL FEES:3120026

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (13 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
THE GUTHRIE CLINIC
ONE GUTHRIE SQUARESAYREPA18840233055017SUPPORTINGPA501(C)(3)12B,IINAfalse
GUTHRIE MEDICAL GROUP PC
ONE GUTHRIE SQUARESAYREPA18840250815795HEALTHCAREPA501(C)(3)3TGCfalse
SAYRE HOUSE OF HOPE
ONE GUTHRIE SQUARESAYREPA18840203979472HEALTHCAREPA501(C)(3)7TGCfalse
ROBERT PACKARD HOSPITAL
ONE GUTHRIE SQUARESAYREPA18840240795463HEALTHCAREPA501(C)(3)3TGCfalse
DONALD GUTHRIE FOUNDATION
200 S WILBUR AVESAYREPA18840246022957MED RESEARCHPA501(C)(3)4TGCfalse
TROY COMMUNITY HOSPITAL INC
275 GUTHRIE DRtroyPA16947240800337HEALTHCAREPA501(C)(3)3TGCfalse
GUTHRIE HOME CARE
421 TOMAHAWK RDTOWANDAPA18848232394345HOME HEALTHPA501(C)(3)10TGCfalse
GUTHRIE RISK RETENTION GROUP
151 MEETING STCHARLESTONSC29401201090801SUPPORTINGSC501(C)(3)12A,ITGCfalse
GUTHRIE TOWANDA MEMORIAL HOSPITAL
91 HOSPITAL DRIVETOWANDAPA18848240786657HEALTHCAREPA501(C)(3)3TGCfalse
THE MEMORIAL HOSPITAL FOUNDATION
91 HOSPITAL DRIVETOWANDAPA18848651160811SUPPORTINGPA501(C)(3)12A,IGTMHfalse
GUTHRIE CORTLAND MEDICAL CENTER
134 HOMER AVENUECORTLANDNY13045150532079HEALTHCARENY501(C)(3)3TGCfalse
CORTLAND MEMORIAL FOUNDATION INC
134 HOMER AVENUECORTLANDNY13045222230692SUPPORTINGNY501(C)(3)7GCMCfalse
REGIONAL MEDICAL PRACTICE
134 HOMER AVENUECORTLANDNY13045204848729HEALTHCARENY501(C)(3)3TGCfalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPct
TWIN TIER MANAGEMENT CORP INC
PO BOX 310SAYREPA18840232209439MANAGEMENT CORPPATGCC CORPfalse
CORNING PROPERTIES INC
1 GUTHRIE DRIVECORNINGNY14830383977095REAL ESTATE HOLDNYCHC CORPYes (true)$389,774$1,831,7071.00000
CMH SERVICES INC
160 HOMER AVENUECORTLANDNY13045161370440DURABLE MED EQUIPNYGCMCC CORPfalse
CORTLAND MEMORIAL PROPERTIES INC
134 HOMER AVENUECORTLANDNY13045161266826INCOME ALLOCATIONNYGCMCC CORPfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1CORNING PROPERTIES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeRTransactionTypeTxt
Involved$1,522,007InvolvedAmt
Method Of Amount DeterminationACTUAL COSTMethodOfAmountDeterminationTxt