2018-05-15T10:13:40-05:00 2017-06-30 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2016-07-01 160393490 CORNING HOSPITAL % FRANCIS M MACAFEE CORN 6079377200 1 GUTHRIE DRIVE CORNING NY 148302814 FRANCIS M MACAFEE CFO 6079377917 2018-05-14 true ANTONIO C RUSSO P00858539 2673303000 2018-05-11 2016 2022-09-23 18:48:47Z FRANCIS M MACAFEE 1 GUTHRIE DRIVE CORNING NY 14830 155202051 false X WWW.GUTHRIE.ORG/LOCATION/CORNING-HOSPITAL X 1900 NY SEE SCHEDULE O 25 18 838 129 255811 -40038 421398 708387 53401446 109986977 5214806 2700416 364680 0 59402330 113395780 0 0 0 0 19437567 38709170 0 0 0 32081673 65578008 51519240 104287178 7883090 9108602 221967745 230715605 84997316 78373218 136970429 152342387 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. 72206183 true true false true false false false true false true true false false false true true false true false false false false false false false false true true false false true false false false false false false false false true false false false false true false false false true 1 0 true 838 true true true false false false false true true false false false false false false X 25 18 false false false false true true true true true false false true true true true true true true true false NY X FRANCIS M MACAFEE 6079377917 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 JUDITH ROWE MEMBER- BOD 1.0 0.0 X 0 0 0 JACK E BENJAMIN 1ST VICE CHAIR- 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 LOUIS R DUBOIS MD MEMBER- BOD & MED STAFF PRES. 1.0 39.0 X X 0 461383 28023 ALAN D LEWIS SECRETARY- BOD 1.0 0.0 X 0 0 0 JOSEPH SCOPELLITI MD MEMBER- BOD 1.0 39.0 X 0 1003706 29348 G THOMAS TRANTER JR MEMBER - BOD 1.0 0.0 X 0 0 0 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 387405 34565 CHRISTOPHER J FORTIER MEMBER- BOD 1.0 0.0 X 0 0 0 PHILIP J ROCHE ESQ CHAIRMAN- BOD 1.0 0.0 X X 0 0 0 FRAN OLMSTEAD 2ND VICE CHAIR- BOD 1.0 0.0 X X 0 0 0 DANIEL ROURKE MEMBER- BOD 1.0 0.0 X 0 0 0 CATHY WEIL MEMBER- BOD 1.0 0.0 X 0 0 0 VENOGOPAL THIRUMURTI MD MEMBER- BOD & MED STAFF VP 1.0 39.0 X X 0 425970 52565 JEFFREY P KENEFICK TREASURER- BOD 1.0 0.0 X X 0 0 0 JAMES PERLE MD MEMBER-BOD MEDICAL STAFF SEC 1.0 39.0 X X 0 288540 26036 JOEL MCCLURG MD MEMBER-BOD MEDICAL STAFF TREAS 1.0 39.0 X X 0 494314 23504 DAWN BURLEW MEMBER- 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 274693 0 34564 FRANCIS M MACAFEE CFO/VP FINANCE 40.0 0.0 X 185847 0 23238 ADRIENNE ABBOTT CHIEF NURSING OFFICER 40.0 0.0 X 118658 18977 31261 JENNIFER YARTYM VICE PRESIDENT, OPERATIONS 40.0 0.0 X 129612 0 29222 COLIN BAILEY RADIATION PHYSICIST 40.0 0.0 X 184281 0 15739 GREGORY KRIEL PHARMACIST 40.0 0.0 X 168710 0 27513 MARK HOPSON MANAGER, PHARMACY 40.0 0.0 X 147469 0 28788 SCOTT STEVENS PHARMACIST 40.0 0.0 X 131874 0 20035 AMYBETH MILLER PHARMACIST 40.0 0.0 X 126807 0 24626 1467951 3080295 429027 14 false true false AMN HEALTHCARE INC 2735 COLLECTIONS CENTER DR CHICAGO IL 60693 TEMP STAFFING 1000325 PONS PHYSICIAN SERVICES PLLC 28526 NETWORK PLACE CHICAGO IL 606731285 WOUNDCARE STAFF 540109 QUEST DIAGNOSTICS 1290 WALL STREET WEST LYNDHURST NJ 07071 LAB PATHOLOGY 388703 HARMONY HEALTHCARE LLC 600 S MAGNOLIA AVE TAMPA FL 33606 TEMP STAFFING 238913 TELE-PHYSICIANS PC 1768 BUSINESS CENTER DR STE 100 RESTON VA 20190 NEUROLOGY CONSULT 234683 13 211842 496545 64461 708387 PATIENT SERVICE REVENUE 621990 106672237 106672237 OTHER OPERATING INCOME 900099 3058929 3058929 MEDICAL LAB SERVICES 621910 255811 255811 109986977 1520015 1520015 0 0 0 0 0 42986672 41806271 1180401 1180401 1180401 0 0 0 0 0 0 0 0 0 0 113395780 109731166 255811 2700416 X 0 0 0 0 1467950 0 1467950 0 0 28453588 23156477 5297111 0 2369195 1833536 535659 0 4198920 3241110 957810 0 2219517 1719413 500104 0 5962319 998182 4964137 0 215402 0 215402 0 747109 0 747109 0 0 0 0 13522685 10658107 2864578 0 25875 0 25875 0 2433090 1497301 935789 0 3358348 1484935 1873413 0 0 1705790 235882 1469908 0 53345 22819 30526 0 0 36248 11267 24981 0 2192116 0 2192116 0 0 10225640 4349396 5876244 0 1428619 0 1428619 0 MEDICAL SUPPLY EXPENSE 22891030 22891030 0 0 CAFETERIA AND CATERING 76303 28714 47589 0 UBI AND SALES TAX 3550 500 3050 0 ALL OTHER EXPENSES 700539 77514 623025 0 104287178 72206183 32080995 0 X 2193141 996844 0 0 72589 76351 12881591 16193769 0 0 0 0 0 0 1873110 1992635 3511020 2571736 160466498 41466862 127183290 118999636 71592503 87494796 0 0 0 0 48000 0 2612501 2389838 221967745 230715605 13429915 12690966 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71567401 65682252 84997316 78373218 X 135302539 151191075 839465 322887 828425 828425 136970429 152342387 221967745 230715605 X 9108602 3869977 2393379 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 16493 16493 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. 50129 X false false 1667890 211842 3981 732402 1151311 2051432 216671 -70 600143 1667890 2670132 261506 -542 879664 2051432 3010269 869272 1681 1211090 2670132 2987918 236423 2383 216455 3010269 0.10000 0.72000 0.18000 false false false 14071230 14071230 102629569 16194781 86434788 1927590 1576807 350783 41838109 23695274 18142835 118999636 0 DUE TO THIRD PARTY PAYORS 3055120 ACCRUED PENSION COST 2714706 WORKERS COMP. AND LIABILITY 11540351 DUE TO RELATED PARTIES 411717 DEFERRED INCOME 262422 LOAN PAY GH - TAX EXEMPT BONDS 47681481 DEFERRED LIAB-RENT LT 7928 CURRENT MATURITIES OF LT DEBT 8527 65682252 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, 2017 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, 2017 AND 2016, 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. --------------- true true X true X true X true true true false true true 464893 0 464893 0.00450 15982192 10203906 5778286 0.05540 16447085 10203906 6243179 0.05990 3721 0 3721 0.00000 3721 0 3721 0.00000 16450806 10203906 6246900 0.05990 true 8619585 464893 31486416 48158836 -16672420 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 16 true true true true X SEE SUPPLEMENTAL DISCLOSURE X true 16 true SEE SUPPLEMENTAL DISCLOSURE false 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 2015 AND EARLY 2016. DUE TO THE LIMITATIONS SURROUNDING HEALTH NEEDS PERCEPTIONS CONTAINED IN THIS COLLECTED INFORMATION FROM THE FIVE 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 TWO COUNTIES THAT COMPRISE THE PRIMARY SERVICE AREA FOR CH FORTY-TWO INDICATORS OF HEALTH WERE IDENTIFIED TO BE BELOW OR ABOVE THE STATE, US OR HEALTHY PEOPLE 2020 GOAL. ONCE THESE FORTY-TWO INDICATORS WERE IDENTIFIED THEY WERE ASSIGNED A SCORE USING THE HANLON METHOD BY THE CHNA GROUP. 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. 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: * CANCER MORTALITY * HEART DISEASE MORTALITY AND PREVALENCE -------------------- 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 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 7B, WHICH WAS CALCULATED BASED UPON AN INTERNAL COST ACCOUNTING SYSTEM THAT ADDRESSES ALL PATIENT SEGMENTS. --------------- PART III, SECTION A, LINE 2- 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). -------------------- PART III, SECTION A, LINE 4- BAD DEBT EXPENSE FOOTNOTE THE TEXT OF THE BAD DEBT FOOTNOTE CAN BE FOUND ON PAGE 8 OF THE ELECTONICALLY ATTACHED AUDITED FINANCIAL STATEMENTS FOR THE GUTHRIE CLINIC AND AFFILIATES. -------------------- 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 DESCRIPTION OF SERVICE AREA- CORNING HOSPITAL'S PRIMARY SERVICE AREA ENCOMPASSES ALL OF STEUBEN COUNTY, NY, WITH A NUMBER OF PATIENTS COMING FROM CHEMUNG AND SCHUYLER COUNTIES, NY AS WELL AS TIOGA COUNTY, PA. IN ADDITION TO CORNING AND PAINTED POST, NY, PATIENTS UTILIZING THE HOSPITAL ALSO COME FROM THE SURROUNDING COMMUNITIES OF ADDISON, BATH, BIG FLATS, BEAVER DAMS, CAMPBELL, AND SAVONA, NY. A COMMUNITY HEALTH ASSESSMENT WAS RECENTLY COMPLETED FOR THE PERIOD OF 2016 TO 2018 FOR THE COUNTIES OF THE S2AY RURAL HEALTH NETWORK(SENECA, SCHUYLER, STEUBEN, ONTARIO, WAYNE AND YATES) AND CONTINUES TO BE USED TO IDENTIFY AND COMPARE DATA BETWEEN NETWORK COUNTIES, DEVELOP COMMON OBJECTIVES AND IDENTIFY COLLABORATIVE OPPORTUNITIES. SIMILARLY, A BROADER-BASED COMMUNITY HEALTH ASSESSMENT WAS COMPLETED FOR ALL GUTHRIE HOSPITALS RELATIVE TO THE COMMUNITIES THEY SERVE. THE PRIORITIES SELECTED BY STEUBEN COUNTY HEALTH PRIORITIES TEAM (SMART STEUBEN)CONTINUE TO ALIGN WITH THE HOSPITAL'S CURRENT EFFORTS TO INSURE THAT COMMUNITY HEALTH NEEDS ARE MET AS WELL AS GUIDE NEW INITIATIVES UNDER DISCUSSION WITH COMMUNITYPARTNERS. THE PRIORITY AREAS BEING ADDRESSED BY GUTHRIE CORNING HOSPITAL ARE: 1) REDUCE OBESITY IN ADULTS AND CHILDREN 2) PREVENT CHRONIC DISEASE -------------------- PART VI, LINE 3- PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PATIENTS ARE AWARE OF CHARITY CARE ASSISTANCE AND ELIGIBILITY THROUGH SIGNAGE AND HANDOUT MATERIALS. SAMPLES OF THE CONTENT IS AS FOLLOWS: SIGNAGE CONTENT: PATIENT NOTICE OF FINANCIAL ASSISTANCE FOR THE UNINSURED AND/OR UNDERINSURED: 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 HEALTH 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. GUTHRIE HEALTH FINANCIAL ASSISTANCE SUMMARY- GUTHRIE HEALTH RECOGNIZES THAT THERE ARE TIMES WHEN PATIENTS IN NEED OF CARE WILL HAVE DIFFICULTY PAYING FOR THE SERVICES PROVIDED. GUTHRIE HEALTH CHARITY CARE PROGRAM PROVIDES DISCOUNTS TO QUALIFYING INDIVIDUALS BASED ON YOUR INCOME. IN ADDITION, WE CAN HELP YOU APPLY FOR FREE OR LOW-COST INSURANCE IF YOU QUALIFY. JUST VISIT OR CONTACT OUR CORNING HOSPITAL FINANCIAL COUNSELOR AT (607) 937-7518 FOR FREE, CONFIDENTIAL ASSISTANCE. YOU MAY ALSO VISIT OUR WEBSITE AT WWW.GUTHRIE.ORG TO DOWNLOAD THE GUTHRIE HEALTH FINANCIAL ASSISTANCE APPLICATION AND INSTRUCTIONS. WHO QUALIFIES FOR A DISCOUNT? 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. WHAT ARE THE INCOME LIMITS? THE AMOUNT OF THE DISCOUNT VARIES BASED ON YOUR INCOME AND THE SIZE OF YOUR FAMILY. CAN SOMEONE EXPLAIN THE DISCOUNT? CAN SOMEONE HELP ME APPLY? YES, 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. WHAT DO I NEED TO APPLY FOR A DISCOUNT? THE FOLLOWING DOCUMENTS SHOULD BE ATTACHED TO THE APPLICATION: -BANK & INVESTMENT ACCOUNT STATEMENTS -PAY STUBS -RECEIPTS AS REFERENCED IN THE FINANCIAL ASSISTANCE APPLICATION -LATEST FEDERAL INCOME TAX RETURN -MEDICAID DENIAL LETTER (IF APPLICABLE) -HEALTH SAVINGS ACCOUNT (HSS) STATEMENT SHOWING CURRENT BALANCE, IF APPLICABLE. WHAT SERVICES ARE COVERED? ALL MEDICALLY NECESSARY SERVICES PROVIDED BY CORNING HOSPITAL ARE COVERED BY THE DISCOUNT. THIS INCLUDES OUTPATIENT SERVICES, EMERGENCY CARE, AND INPATIENT ADMISSIONS. SERVICES PROVIDED BY NON-GUTHRIE PROVIDERS ARE NOT COVERED. YOU SHOULD TALK TO YOUR NON-GUTHRIE PROVIDERS TO SEE IF THEY OFFER A DISCOUNT OR PAYMENT PLAN. HOW MUCH DO I HAVE TO PAY? OUR PATIENT FINANCIAL SERVICES DEPARTMENT WILL GIVE YOU THE DETAILS ABOUT YOUR SPECIFIC DISCOUNT(S) ONCE YOUR APPLICATION IS PROCESSED. HOW DO I GET THE DISCOUNT? YOU HAVE TO FILL OUT THE APPLICATION FORM. AS SOON AS WE HAVE PROOF OF YOUR INCOME, WE CAN PROCESS YOUR APPLICATION FOR A DISCOUNT ACCORDING TO YOUR INCOME LEVEL. YOU CAN APPLY FOR A DISCOUNT BEFORE YOU HAVE AN APPOINTMENT, WHEN YOU COME TO THE HOSPITAL TO GET CARE, OR WHEN THE BILL COMES IN THE MAIL. 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 HAVE UP TO 180 DAYS AFTER RECEIVING SERVICES TO SUBMIT THE APPLICATION. HOW WILL I KNOW IF I WAS APPROVED FOR THE DISCOUNT? THE PATIENT FINANCIAL SERVICES DEPARTMENT WILL SEND YOU A LETTER GENERALLY WITHIN 30 DAYS AFTER COMPLETION AND SUBMISSION OF DOCUMENTATION, TELLING YOU IF YOU HAVE BEEN APPROVED AND THE LEVEL OF DISCOUNT RECEIVED. WHAT IF I RECEIVE A BILL WHILE I'M WAITING TO HEAR IF I CAN GET A DISCOUNT? 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. WHAT IF I HAVE A PROBLEM I CANNOT RESOLVE 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'S SERVICE AREA REMAINS UNCHANGED. IT CONSIDERS ITS SERVICE AREA TO ENCOMPASS COMMUNITIES WITHIN SEVERAL COUNTIES, BASED ON THE UTILIZATION OF ITS THREE FACILITIES, AS DESCRIBED BELOW: ITS PRIMARY FACILITY IS A 85-BED ACUTE CARE HOSPITAL THAT PROVIDES 24-HOUR EMERGENCY SERVICES AND A COMPLEMENT OF INPATIENT AND OUTPATIENT SERVICES, LOCATED AT 1 GUTHRIE DRIVE, CORNING, N.Y. THE HOSPITAL ALSO PROVIDES A RANGE OF TREATMENT, DIAGNOSTIC AND PREVENTIVE HEALTH SERVICES AND PROGRAMS. THE CORNING HOSPITAL ALSO PROVIDES THERAPEUTIC RADIOLOGY, MEDICAL ONCOLOGY AND CANCER SUPPORT SERVICES, INCLUDING ACCESS TO CLINICAL TRIALS. THE HOSPITAL ALSO OPERATES HEALTHWORKS, A 43,000-SQUARE-FOOT WELLNESS AND FITNESS CENTER LOCATED AT 9768 LIBERTY DRIVE, PAINTED POST, N.Y. HEALTHWORKS' SERVICES ARE BASED ON A MEDICAL MODEL. IN ADDITION TO TRADITIONAL FITNESS CENTER SERVICES, IT ALSO OFFERS A RANGE OF PHYSICAL REHABILITATION SERVICES. THE HOSPITAL EMPLOYS 836 INDIVIDUALS AND HAS A MEDICAL STAFF OF 196 PHYSICIANS. THE HOSPITAL ALSO USES PHYSICIANS AND MID-LEVEL PROVIDERS AS HOSPITALISTS, WHO PROVIDE CONTINUITY OF CARE FOR INPATIENT SERVICES. B. DESCRIPTION OF SERVICE AREA THE HOSPITAL'S PRIMARY SERVICE AREA ENCOMPASSES ALL OF STEUBEN COUNTY, NY, WITH A NUMBER OF PATIENTS COMING FROM CHEMUNG AND SCHUYLER COUNTIES, NY AS WELL AS TIOGA COUNTY, PA. IN ADDITION TO CORNING AND PAINTED POST, NY, PATIENTS UTILIZING THE HOSPITAL ALSO COME FROM THE SURROUNDING COMMUNITIES OF ADDISON, BATH, BIG FLATS, BEAVER DAMS, CAMPBELL, AND SAVONA, NY. --------------- 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 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. COMMUNITY OUTREACH- HOSPITAL BOARD MEMBERS AND MEMBERS OF THE ADMINISTRATIVE TEAM HAVE HELD A NUMBER OF COMMUNITY AND NEIGHBORHOOD-BASED INFORMATIONAL SESSIONS TO PROVIDE MORE IN-DEPTH INFORMATION ABOUT THE NEW CORNING HOSPITAL AND TO ANSWER QUESTIONS AND ADDRESS CONCERNS. THE RESPONSE TO THESE OPEN MEETINGS HAS BEEN VERY POSITIVE. THE HOSPITAL RECEIVED THE BRONZE AWARD IN RECOGNITION OF ITS PARTICIPATION IN THE LOCAL UNITED WAY FUND DRIVE. THE HOSPITAL IS A PARTNER IN THE RED CROSS PROGRAM UNITE FOR LIFE PLUS. AT THE TIME OF THIS REPORT, THE HOSPITAL AND CENTERWAY HELD 6 BLOOD DRIVES COLLECTING 124 UNITS OF BLOOD IN 2016, WITH A NUMBER OF NEW DONORS IDENTIFIED. THE HOSPITAL PARTICIPATED AS THE PRIMARY SPONSOR IN THE LOCAL AMERICAN CANCER SOCIETY'S RELAY FOR LIFE EVENT. THE HOSPITAL PARTICIPATED IN AN AWARENESS AND FUND RAISING ACTIVITY FOR CATHOLIC CHARITIES OF STEUBEN COUNTY. THE "WALK A MILE IN THEIR SHOES" EVENT, HELD IN THREE STEUBEN COUNTY COMMUNITIES, RAISED AWARENESS ABOUT POVERTY IN STEUBEN COUNTY. 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. FITNESS AND NUTRITION- THE HOSPITAL SPONSORED THE ANNUAL KIDS FUN RUN, HELD FOR YOUTH AGES 2 TO 10, WITH APPROXIMATELY 300 CHILDREN PARTICIPATING IN AGE-APPROPRIATE RACES. HEALTHWORKS PARTICIPATED IN HEALTHY KIDS DAY, A PROGRAM DEVELOPED BY THE CORNING COMMUNITY YMCA, WHICH ATTRACTED HUNDREDS OF CHILDREN AND THEIR FAMILIES. HEALTHWORKS STAFF DEVELOPED A NUMBER OF INTERACTIVE ACTIVITIES FOR CHILDREN TO HELP THEM BE BETTER INFORMED ABOUT THE HEALTH BENEFITS OF EXERCISE. 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. THESE STAFF MEMBERS WILL BE ASSISTING THE STEUBEN COUNTY PUBLIC HEALTH EDUCATORS IN BRINGING THIS IMPORTANT INFORMATION TO PARENTS THROUGHOUT STEUBEN COUNTY. THE HOSPITAL HOSTED TWO WELL-ATTENDED FREE COMMUNITY SEMINARS ON HEART HEALTH WITH THE FIRST SEMINAR PRESENTATION ON HEART VALVE DISEASE AND THE LATEST ADVANCEMENTS IN AORTIC STENOSIS. THE SECOND FOCUSED ON HEART FAILURE AND HEART ARRHYTHMIAS. 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 X true true X X X X false false false false false false false false false FRANCIS M MACAFEE CFO/VP FINANCE 166611 0 18642 0 594 0 11115 0 12123 0 209085 0 0 0 LOUIS R DUBOIS MD MEMBER- BOD & MED STAFF PRES. 0 461383 0 0 0 0 0 15900 0 12123 0 489406 0 0 JOSEPH SCOPELLITI MD MEMBER- BOD 0 700200 0 300236 0 3270 0 17225 0 12123 0 1033054 0 0 RUSSELL C WOGLOM MD MEMBER- BOD 0 359251 0 28154 0 0 0 15900 0 18665 0 421970 0 0 ADRIENNE ABBOTT CHIEF NURSING OFFICER 117691 18977 967 0 0 0 10862 1734 15554 3111 145074 23822 0 0 VENOGOPAL THIRUMURTI MD MEMBER- BOD & MED STAFF VP 0 425280 0 0 0 690 0 33900 0 18665 0 478535 0 0 JAMES PERLE MD MEMBER-BOD MEDICAL STAFF SEC 0 263540 0 25000 0 0 0 13913 0 12123 0 314576 0 0 JOEL MCCLURG MD MEMBER-BOD MEDICAL STAFF TREAS 0 494057 0 0 0 257 0 7950 0 15554 0 517818 0 0 GARRETT HOOVER PRESIDENT/COO 248006 0 23487 0 3200 0 15900 0 18664 0 309257 0 0 0 JENNIFER YARTYM VICE PRESIDENT, OPERATIONS 124037 0 5080 0 495 0 10557 0 18665 0 158834 0 0 0 COLIN BAILEY RADIATION PHYSICIST 183687 0 0 0 594 0 9644 0 6095 0 200020 0 0 0 GREGORY KRIEL PHARMACIST 168710 0 0 0 0 0 8848 0 18665 0 196223 0 0 0 MARK HOPSON MANAGER, PHARMACY 141541 0 5928 0 0 0 10123 0 18665 0 176257 0 0 0 SCOTT STEVENS PHARMACIST 131874 0 0 0 0 0 7912 0 12123 0 151909 0 0 0 AMYBETH MILLER PHARMACIST 126477 0 0 0 330 0 5961 0 18665 0 151433 0 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. X 5 64461 FMV false true false 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 REFFERED 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. THE FACILITIES AND PROVIDER OFFICES OF GUTHRIE ARE LOCATED IN 23 COMMUNITIES THROUGHOUT THE NORTHERN TIER OF PENNSYLVANIA AND CHEMUNG AND STEUBEN COUNTIES, 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 TWIN TIER REGION, 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. COST FOR SERVICES AND SUPPLIES FURNISHED UNDER GUTHRIE'S CHARITY CARE POLICY AMOUNTED TO APPROXIMATELY $1.56 MILLION IN 2017 AND $1.49 MILLION IN 2016 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 $2.56 MILLION AND $2.86 MILLION IN BAD DEBTS FOR 2016 AND 2015 RERPECTIVELY. 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 $16.4 MILLION AND $16.1 MILLION IN 2017 AND 2016, 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 $48.33 MILLION AND $37.95 MILLION IN 2017 AND 2016, RESPECTIVELY. THE TOTAL COST TO GUTHRIEE IN SUPPORTING THESE CHARITABLE MISSION PROGRAMS WAS APPROXIMATELY $68.84 MILLION AND $58.37 MILLION IN 2017 AND 2016, 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. IT ALSO PROVIDES RESIDENCY PROGRAMS IN FAMILY PRACTICE, INTERNAL MEDICINE AND GENERAL SURGERY AS WELL AS A FELLOWSHIP PROGRAM IN VASCULAR SURGERY AND CARDIOVASCULAR DISEASE. 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. CENTERS OF EXCELLENCE WITHIN RPH INCLUDE THE FOLLOWING: ADVANCED & MINIMALLY INVASIVE SURGERY, BEHAVIORAL HEALTH SERVICES, BREAST AND IMAGING CENTER, COMPREHENSIVE CANCER CENTER, CARDIOVASCULAR CARE CENTER, THE CENTER FOR WOUND CARE AND HYPERBARIC MEDICINE, DIALYSIS CENTERS, JOINT CAMP PROGRAM FOR ORTHOPEDIC SURGERY, SPORTS MEDICINE, KIDNEY STONE TREATMENT CENTER, FIRST IMPRESSIONS BIRTHING CENTER, SLEEP DISORDERS TESTING, WEIGHT LOSS CENTER AND SPECIALTY EYE CARE. 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 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 SOCIETY OF CARDIOVASCULAR PATIENT CARE. 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 STERETACTIC BREAST BIOPSY BY THE AMERICAN COLLEGE OF RADIOLOGY (ACR) AND RECEIVED THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES STROKE GOLD PLUS ACHIEVEMENT AWARD. THE GMG IS A MULTI-SPECIALTY PHYSICIAN GROUP PRACTICE THAT INCLUDES NEARLY 350 SPECIALIST AND PRIMARY CARE PHYSICIANS AND MID-LEVEL 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 23 COMMUNITIES IN PENNSYLVANIA AND NEW YORK, ENCOMPASSING ALL THE MAJOR POPULATION CENTERS IN THE TWIN TIERS AREA. FORM 990, PART III (CONTINUED) 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 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. *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 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 EXECUTIVE COMPENSATION COMMITTEE, AND SUBSEQUENTLY APPROVED BY THE BOARD OF DIRECTORS. --------------- FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS THE ORGANIZATION'S FORM 1023 AND 990 FILINGS ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. THE ORGANIZATION DOES NOT ROUTINELY MAKE ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. --------------- FORM 990, PART XI, LINE 9 DETAIL OF OTHER CHANGES IN NET ASSETS OR FUND BALANCES PENSION OBLIGATION $6,561,574 EQUITY TRANSFER (3,784,398) TEMP RESTRICTED FUNDS (339,400) RESTRUCTURED EXPENSE (44,397) ---------- TOTAL OTHER CHANGES IN NET ASSETS $2,393,379 ------------------------------ FORM 990 PART IX LINE 11G DESCRIPTION:MAINTENANCE TOTAL FEES:1779594 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION TOTAL FEES:639047 FORM 990 PART IX LINE 11G DESCRIPTION:LABORATORY TOTAL FEES:630037 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTANTS TOTAL FEES:474607 FORM 990 PART IX LINE 11G DESCRIPTION:TEMPORARY STAFF TOTAL FEES:1591170 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:1500776 FORM 990 PART IX LINE 11G DESCRIPTION:LAUNDRY TOTAL FEES:252184 FORM 990 PART IX LINE 11G DESCRIPTION:PHARMACY TOTAL FEES:26143 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:4430477 FORM 990 PART IX LINE 11G DESCRIPTION:IS-INTERNAL TOTAL FEES:2198650 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 TIOGA HEALTHCARE FACILITY ONE GUTHRIE SQUARE SAYRE PA 18840 150532257 HEALTHCARE NY 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 TIOGA NURSING FACILITY ONE GUTHRIE SQUARE SAYRE PA 18840 222979677 NURSING FAC. NY 501(C)(3) 3 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 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 100 100 1.00000 true false false false false false false false false false false false false false false false false false true false