2020-07-15T12:24:00-05:00 2019-06-30 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2018-07-01 160393490 CORNING HOSPITAL % PAUL VERVALIN CORN 6079377200 1 GUTHRIE DRIVE CORNING NY 148302814 PAUL VERVALIN EVP/COO 5708874312 2020-07-14 true ANTONIO C RUSSO P00858539 2673303000 2020-07-14 155.201.35.117 23522320201975000054 2020-07-15 P EF5B3814805F0F9B4F28DAB720FD265C3CDD9DA5 1165BB5F41A71AB0D781DA876A823BF1466164C1 2018 2021-01-29 14:40:06Z PAUL VERVALIN 1 GUTHRIE DRIVE CORNING NY 14830 233665407 false X WWW.GUTHRIE.ORG/LOCATION/CORNING-HOSPITAL X 1900 NY SEE SCHEDULE O 24 17 844 132 173914 376702 310826 124999742 126466637 2655002 6619090 0 3292528 128031446 136689081 0 0 0 0 38401818 41326918 0 0 0 67285234 71905009 105687052 113231927 22344394 23457154 241721956 252720594 72750260 68634543 168971696 184086051 X TO 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. 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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. 80234125 true true false true false false false true false true true false false false true true false true false false false false false false true false true true false false true false false false false false false false false false false false false false true true true false false true 1 0 true 844 true true true false false false false true true false false false false false false false false X 24 17 false false false false true true true true true false false true true true true true true true true false NY X PAUL VERVALIN 5708874312 1 GUTHRIE DRIVE CORNING NY 14830 X DAVID E IOCCO MEMBER - BOD 1.0 0.0 X 0 0 0 ARTHUR D FIELD MEMBER - BOD 1.0 0.0 X 0 0 0 JACK E BENJAMIN CHAIRMAN - BOD 1.0 0.0 X X 0 0 0 DANIEL BOWER MEMBER - BOD 1.0 0.0 X 0 0 0 CHARLES A CORRAO MEMBER - BOD 1.0 0.0 X 0 0 0 ALAN D LEWIS SECRETARY - BOD 1.0 0.0 X 0 0 0 JOSEPH SCOPELLITI MD MEMBER - BOD 1.0 39.0 X 0 995515 30884 JOHN W VAN ZANTEN III MEMBER - BOD 1.0 0.0 X 0 0 0 MARCIA WEBER MEMBER - BOD 1.0 0.0 X 0 0 0 RUSSELL C WOGLOM MD MEMBER - BOD 1.0 39.0 X 0 441088 36529 CHRISTOPHER J FORTIER MEMBER - BOD 1.0 0.0 X 0 0 0 FRAN OLMSTEAD 2ND VICE CHAIR - BOD 1.0 0.0 X X 0 0 0 CATHY WEIL MEMBER - BOD 1.0 0.0 X 0 0 0 VENOGOPAL THIRUMURTI MD MEMBER-BOD & MED STAFF SEC'Y 1.0 39.0 X X 0 477423 34467 JEFFREY P KENEFICK 1ST VICE CHAIR - BOD 1.0 0.0 X X 0 0 0 DAWN BURLEW TREASURER - BOD 1.0 0.0 X 0 0 0 HOLLY SEGUR MEMBER - BOD 1.0 0.0 X 0 0 0 GARRETT HOOVER PRESIDENT/COO 40.0 0.0 X X 291330 0 36529 FREDERICK TERIBURY MD MEMBER- BOD MEDICAL STAFF PRES 1.0 39.0 X 0 378470 36529 GENEVA BALLARD MEMBER - BOD MEDICAL STAFF VP 1.0 39.0 X 0 472416 12375 MATTHEW PALADINO MEMBER-BOD MEDICAL STAFF TREAS 1.0 39.0 X 0 437039 32404 GARRET CALLAHAN MEMBER - BOD 1.0 0.0 X 0 0 0 JEFF EVANS MEMBER - BOD 1.0 0.0 X 0 0 0 THOMAS PISANO MEMBER - BOD 1.0 0.0 X 0 0 0 FRANCIS M MACAFEE CFO/VP FINANCE 1.0 39.0 X 0 203652 25228 ADRIENNE ABBOTT CHIEF NURSING OFFICER 40.0 0.0 X 135650 0 28168 JENNIFER YARTYM VICE PRESIDENT, OPERATIONS 40.0 0.0 X 151376 0 27976 KIM DIBARI MD CMO/REGIONAL MEDICAL DIRECTOR 40.0 0.0 X 0 349566 21518 COLIN BAILEY RADIATION PHYSICIST 40.0 0.0 X 193617 0 16706 GREGORY KRIEL PHARMACIST 40.0 0.0 X 158687 0 29550 MARK HOPSON MANAGER, PHARMACY 40.0 0.0 X 150049 0 29032 SCOTT STEVENS PHARMACIST 40.0 0.0 X 136548 0 21202 EVAN DAVIS PHARMACIST 40.0 0.0 X 126947 0 27646 LOUIS DUBOIS MD FORMER MED STAFF PRESIDENT 40.0 0.0 X 0 516247 29509 JAMES PERLE MD FORMER MED STAFF SECRETARY 40.0 0.0 X 0 122273 9629 JOEL MCCLURG MD FORMER MEDICAL STAFF TREASURER 40.0 0.0 X 0 530681 34279 1344204 4924370 520160 18 true true false LECHASE CONSTRUCTION SERVICES LLC 205 INDIGO CREEK DRIVE ROCHESTER NY 14626 CONSTRUCTION 1276908 CROSS COUNTRY STAFFING 5201 CONGRESS AVENUE SUITE 100B BOCA RATON FL 33487 TEMP STAFFING 1138934 AMN HEALTHCARE INC 2735 COLLECTIONS CENTER DR CHICAGO IL 60693 TEMPOARY STAFFING 1049134 PONS PHYSICIAN SERVICES PLLC 28526 NETWORK PLACE CHICAGO IL 606731285 WOUND CARE STAFF 560522 QUEST DIAGNOSTICS 75 REMITTANCE DRIVE CHICAGO IL 60675 LAB PATHOLOGY 342616 23 73943 197552 39331 750 310826 NET PATIENT SERVICE REVENUES 621990 69556318 69556318 OTHER OPERATING INCOME 900099 1506797 1506797 MEDICAL LAB SERVICES 621500 173914 173914 MEDICARE AND MEDICAID 621990 55229608 55229608 126466637 2295310 2295310 0 0 0 0 0 100629098 638511 96343106 602608 4285992 35903 4323780 4323780 16549 73943 30612 -14063 -14063 0 0 0 0 0 0 HEALTHWORKS FITNESS FACILITY 713940 1268998 1268998 CAFETERIA/VENDING 722514 439683 439683 OTHER OPERATING INCOME 900099 1597910 1597910 3306591 136689081 129599314 173914 6605027 X 0 0 0 0 671029 163818 507211 0 0 31653961 25683985 5969976 1658180 1325919 332261 4985101 3987015 998086 2358647 1889136 469511 11168883 998182 10170701 157521 157521 1272518 1272518 16217 16217 0 0 14564870 13036740 1528130 0 23329 308 23021 2711446 1824753 886693 1720033 893876 826157 0 1807132 360141 1446991 73481 41072 32409 0 34731 8261 26470 2188168 2188168 0 9762390 4283744 5478646 -168629 -168629 MEDICAL SUPPLIES 25685627 25676689 8938 CAFETERIA AND CATERING 74300 29068 45232 UBI AND SALES TAX 1775 250 1525 ALL OTHER EXPENSES 811217 31168 780049 113231927 80234125 32997802 0 X 889020 3748 0 0 19084 13417 13813117 13188790 0 0 0 0 0 220833 2317846 2350329 2543028 3239878 166434244 61620981 111269780 104813263 105591818 106171227 0 10437621 0 0 0 0 5278263 12281488 241721956 252720594 22424240 19625744 0 0 156530 83821 0 0 0 0 0 0 0 0 0 0 50169490 48924978 72750260 68634543 X 167827700 183062399 315571 195227 828425 828425 168971696 184086051 241721956 252720594 X 23457154 33624 -247122 -8129301 X X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false false false false true false true 16217 16217 false 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. 47250 X false false 1143995 259026 2755 382125 1023651 1151311 180515 2687 190518 1143995 1667890 211842 3981 732402 1151311 2051432 216671 -70 600143 1667890 2670132 261506 -542 879664 2051432 0.10000 0.81000 0.09000 false false false 3636273 3636273 103330595 24339989 78990606 1997906 1753559 244347 44876160 33782824 11093336 12593310 1744609 10848701 104813263 0 DUE TO THIRD PARTY PAYORS 1192271 LOAN PAY GH - TAX EXEMPT BONDS 48368423 DEFERRED LIAB-RENT LT 1586 FINANCING COSTS -646675 MEDICAL STAFF ACTIVITY FUND 9373 48924978 X SCHEDULE D, PART V, LINE 4 INTENDED USE OF ENDOWMENT FUNDS ALL ENDOWEMENT FUNDS ARE USED IN FURTHERANCE OF THE ORGANIZATION'S TAX-EXEMPT PURPOSE. --------------- SCHEDULE D, PART X, LINE 2 TEXT 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. --------------- X false VALENTINES BALL 90492 73943 16549 0 0 4740 16202 4100 5570 1 90492 73943 16549 0 0 4740 16202 4100 5570 30612 -14063 true true X true X true X true true true false true true 351694 351694 0.00310 16496276 11361236 5135040 0.04540 16847970 11361236 5486734 0.04850 16847970 11361236 5486734 0.04850 true 6407072 640707 20890736 30302060 -9411324 X true true 1 1 CORNING HOSPITAL 1 GUTHRIE DRIVE CORNING NY 14830 GUTHRIE.ORG/LOCATION/CORNING-HOSPITAL LICENSE #500100H X X X CORNING HOSPITAL 1 false false true X X X X X X X X X 18 true true true true X SEE SUPPLEMENTAL DISCLOSURE X true 18 true SEE SUPPLEMENTAL DISCLOSURE false true X 100 300. X X X X X true true X X X true X SEE SUPPLEMENTAL DISCLOSURE X SEE SUPPLEMENTAL DISCLOSURE X SEE SUPPLEMENTAL DISCLOSURE X X X X X X true X false X X X X true X false false PART V, SECTION B, LINE 5- INPUT FROM COMMUNITY THE 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 CHNA THE 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 AVAILABILITY A 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 CHNA FOR 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 AVAILABILITY A 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 -------------------- 1 HEALTHWORKS 9768 LIBERTY DRIVE PAINTED POST NY 14870 WELLNESS AND FITNESS CENTER, A PORTION IS DEDICATED TO NOT FOR PROFIT FITNESS CENTER SUPPLEMENTAL DISCLSOURES PART 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 EXPENSE THE 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 ASSESSMENT THE 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 ASSISTANCE PATIENTS 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 INFORMATION A. 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 HEALTH THE 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 ROLES CORNING 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 X X true true X X X X false true false false false false false false false FRANCIS M MACAFEE CFO/VP FINANCE 0 176394 0 27258 0 0 0 12219 0 13009 0 228880 0 0 JOSEPH SCOPELLITI MD MEMBER - BOD 0 813067 0 182448 0 0 0 17875 0 13009 0 1026399 0 0 RUSSELL C WOGLOM MD MEMBER - BOD 0 397874 0 43214 0 0 0 16500 0 20029 0 477617 0 0 ADRIENNE ABBOTT CHIEF NURSING OFFICER 127319 0 8331 0 0 0 8139 0 20029 0 163818 0 0 0 VENOGOPAL THIRUMURTI MD MEMBER-BOD & MED STAFF SEC'Y 0 443923 0 33500 0 0 0 14438 0 20029 0 511890 0 0 GARRETT HOOVER PRESIDENT/COO 259153 0 32177 0 0 0 16500 0 20029 0 327859 0 0 0 JENNIFER YARTYM VICE PRESIDENT, OPERATIONS 141575 0 9801 0 0 0 7947 0 20029 0 179352 0 0 0 COLIN BAILEY RADIATION PHYSICIST 193617 0 0 0 0 0 10165 0 6541 0 210323 0 0 0 GREGORY KRIEL PHARMACIST 158687 0 0 0 0 0 9521 0 20029 0 188237 0 0 0 MARK HOPSON MANAGER, PHARMACY 146323 0 3726 0 0 0 9003 0 20029 0 179081 0 0 0 SCOTT STEVENS PHARMACIST 136548 0 0 0 0 0 8193 0 13009 0 157750 0 0 0 EVAN DAVIS PHARMACIST 126947 0 0 0 0 0 7617 0 20029 0 154593 0 0 0 FREDERICK TERIBURY MD MEMBER- BOD MEDICAL STAFF PRES 0 290137 0 88333 0 0 0 16500 0 20029 0 414999 0 0 GENEVA BALLARD MEMBER - BOD MEDICAL STAFF VP 0 428416 0 44000 0 0 0 12375 0 0 0 484791 0 0 MATTHEW PALADINO MEMBER-BOD MEDICAL STAFF TREAS 0 418303 0 18736 0 0 0 12375 0 20029 0 469443 0 0 KIM DIBARI MD CMO/REGIONAL MEDICAL DIRECTOR 0 330426 0 19140 0 0 0 14438 0 7080 0 371084 0 0 LOUIS DUBOIS MD FORMER MED STAFF PRESIDENT 0 516247 0 0 0 0 0 16500 0 13009 0 545756 0 0 JAMES PERLE MD FORMER MED STAFF SECRETARY 0 115329 0 6944 0 0 0 9629 0 0 0 131902 0 0 JOEL MCCLURG MD FORMER MEDICAL STAFF TREASURER 0 530437 0 0 0 244 0 14250 0 20029 0 564960 0 0 SCHEDULE J, PART I, LINE 1A QUESTIONS 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 3 COMPENSATION 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 4B SUPPLEMENTAL 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) FORM 990, PART I, LINE 1 BRIEF 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 7A MEMBERSHIP 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 7B MEMBERSHIP 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 11 FORM 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 12C CONFLICT 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 15 COMPENSATION 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 18 DOCUMENT 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 9 DETAIL 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 2B DETAIL 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 11G DESCRIPTION:PS TEMP STAFF TOTAL FEES:2572281 FORM 990 PART IX LINE 11G DESCRIPTION:PS PHYSICIAN FEES TOTAL FEES:4485790 FORM 990 PART IX LINE 11G DESCRIPTION:PS MGMT CONTRACT TOTAL FEES:1850847 FORM 990 PART IX LINE 11G DESCRIPTION:PS LAB TOTAL FEES:1077999 FORM 990 PART IX LINE 11G DESCRIPTION:PS CONSULTANTS TOTAL FEES:390388 FORM 990 PART IX LINE 11G DESCRIPTION:PS DSRIP TOTAL FEES:1067539 FORM 990 PART IX LINE 11G DESCRIPTION:PS OTHER TOTAL FEES:3120026 THE GUTHRIE CLINIC ONE GUTHRIE SQUARE SAYRE PA 18840 233055017 SUPPORTING PA 501(C)(3) 12B,II NA false GUTHRIE MEDICAL GROUP PC ONE GUTHRIE SQUARE SAYRE PA 18840 250815795 HEALTHCARE PA 501(C)(3) 3 TGC false SAYRE HOUSE OF HOPE ONE GUTHRIE SQUARE SAYRE PA 18840 203979472 HEALTHCARE PA 501(C)(3) 7 TGC false ROBERT PACKARD HOSPITAL ONE GUTHRIE SQUARE SAYRE PA 18840 240795463 HEALTHCARE PA 501(C)(3) 3 TGC false DONALD GUTHRIE FOUNDATION 200 S WILBUR AVE SAYRE PA 18840 246022957 MED RESEARCH PA 501(C)(3) 4 TGC false TROY COMMUNITY HOSPITAL INC 275 GUTHRIE DR troy PA 16947 240800337 HEALTHCARE PA 501(C)(3) 3 TGC false GUTHRIE HOME CARE 421 TOMAHAWK RD TOWANDA PA 18848 232394345 HOME HEALTH PA 501(C)(3) 10 TGC false GUTHRIE RISK RETENTION GROUP 151 MEETING ST CHARLESTON SC 29401 201090801 SUPPORTING SC 501(C)(3) 12A,I TGC false GUTHRIE TOWANDA MEMORIAL HOSPITAL 91 HOSPITAL DRIVE TOWANDA PA 18848 240786657 HEALTHCARE PA 501(C)(3) 3 TGC false THE MEMORIAL HOSPITAL FOUNDATION 91 HOSPITAL DRIVE TOWANDA PA 18848 651160811 SUPPORTING PA 501(C)(3) 12A,I GTMH false GUTHRIE CORTLAND MEDICAL CENTER 134 HOMER AVENUE CORTLAND NY 13045 150532079 HEALTHCARE NY 501(C)(3) 3 TGC false CORTLAND MEMORIAL FOUNDATION INC 134 HOMER AVENUE CORTLAND NY 13045 222230692 SUPPORTING NY 501(C)(3) 7 GCMC false REGIONAL MEDICAL PRACTICE 134 HOMER AVENUE CORTLAND NY 13045 204848729 HEALTHCARE NY 501(C)(3) 3 TGC false TWIN TIER MANAGEMENT CORP INC PO BOX 310 SAYRE PA 18840 232209439 MANAGEMENT CORP PA TGC C CORP false CORNING PROPERTIES INC 1 GUTHRIE DRIVE CORNING NY 14830 383977095 REAL ESTATE HOLD NY CH C CORP 389774 1831707 1.00000 true CMH SERVICES INC 160 HOMER AVENUE CORTLAND NY 13045 161370440 DURABLE MED EQUIP NY GCMC C CORP false CORTLAND MEMORIAL PROPERTIES INC 134 HOMER AVENUE CORTLAND NY 13045 161266826 INCOME ALLOCATION NY GCMC C CORP false false false false false false false false false false false false false false false false false false true false CORNING PROPERTIES INC R 1522007 ACTUAL COST