2018-05-15T10:10:17-05:00 2017-06-30 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2016-07-01 240795463 ROBERT PACKER HOSPITAL % MICHELE SISTO ROBE 5708874625 ONE GUTHRIE SQUARE SAYRE PA 18840 PAUL VERVALIN EVP/COO 5708874625 2018-05-15 true ANTONIO C RUSSO P00858539 2673303000 2018-05-10 2016 2022-09-23 18:48:47Z JOSEPH SAWYER GUTHRIE SQUARE SAYRE PA 18840 582456269 false X WWW.GUTHRIE.ORG X 1885 PA THE PROVISION OF CHARITABLE HEALTHCARE SERVICES TO RESIDENTS OF THE SURROUNDING COMMUNITY ON AN IN-PATIENT AND OUT-PATIENT BASIS. 13 8 2038 124 0 0 657886 1652491 303819785 297712383 17847420 15729932 12781452 14719185 335106543 329813991 127425 148778 0 0 102988872 103160753 0 0 0 183006450 188410636 286122747 291720167 48983796 38093824 601401283 662803442 197105434 184403159 404295849 478400283 X THE PROVISION OF CHARITABLE HEALTHCARE SERVICES TO RESIDENTS OF THE SURROUNDING COMMUNITY ON AN IN-PATIENT AND OUT-PATIENT BASIS. APPROXIMATELY 14,312 PATIENTS WERE ADMITTED TO RPH IN FYE 6/30/17. false false 198000762 0 301447117 ROBERT PACKER HOSPITAL PROVIDES HEALTHCARE SERVICES TO RESIDENTS OF THE SURROUNDING COMMUNITY ON AN IN-PATIENT AND OUT-PATIENT BASIS. APPROXIMATELY 14,312 PATIENTS WERE ADMITTED TO THE HOSPITAL IN FYE 6/30/2017. PATIENT DAYS TOTALED 62,880. 11600404 148778 467407 ROBERT PACKER HOSPITAL PROVIDES EDUCATIONAL SERVICES TO ITS EMPLOYEES AND MEMBERS OF THE COMMUNITY. THE FOLLOWING EDUCATIONAL SERVICES ARE PROVIDED: 1) X-RAY TECHNOLOGY; 2) RESPIRATORY THERAPY; 3) MEDICAL RESIDENTS & STUDENTS; 4) LABORATORY TECHNOLOGY; AND 5) ROBERT PACKER SCHOOL OF NURSING IN CONJUNCTION WITH MANSFIELD UNIVERSITY. 209601166 true true false true false false false false false false true true false false true true false true false false false false false false false false true true false true true false false false false false false true false false false false false false true false false false true 0 0 true 2038 true false false false false false false false false false false false false X 13 8 false false false false true true true true true false false true true true true true true true true false PA X MICHELE SISTO 5708874625 ONE GUTHRIE SQUARE SAYRE PA 18840 X MARIE DROEGE PRESIDENT & COO THRU 2/2017 37.0 3.0 X X 456667 0 21995 DAVID LR GIBBS MEMBER BOD 1.0 0.0 X 0 0 0 DANIEL J BROWN MD MEMBER BOD 1.0 39.0 X 0 496734 34565 RHONDA G MOSS-TATICH SECRETARY/TREASURER BOD 1.0 0.0 X X 0 0 0 DONALD FERRARIO MEMBER BOD 1.0 0.0 X 0 0 0 SEAN NICHOLSON MEMBER BOD 1.0 0.0 X 0 0 0 DOUGLAS G RICH MEMBER BOD 1.0 0.0 X 0 0 0 DANIEL SPORN MD CHAIRMAN 1.0 39.0 X X 0 618325 28023 PAUL VERVALIN PRESIDENT & COO BEGINNING 2/17 1.0 39.0 X 0 479778 34565 GAIL ORCHARD MEMBER BOD 1.0 0.0 X 0 0 0 JOSEPH A SCOPELLITI MD MEMBER BOD 1.0 39.0 X 0 1003706 29348 RICHARD T RYNONE MEMBER BOD 1.0 0.0 X 0 0 0 SARAH RANSOM MEMBER BOD 1.0 0.0 X 0 0 0 DEBRA RYAN MD MEMBER BOD 1.0 39.0 X 0 214396 32601 SCOTT SILVESTRI CFO 39.0 1.0 X 0 164487 18303 BARBARA PENNYPACKER VP SURGICAL SERVICES 40.0 0.0 X 178488 0 25041 JOSEPH SAWYER VP IMAGING & ANCILLARY TESTING 40.0 0.0 X 183851 0 28317 BRIAN FILLIPO MD EVP-CHIEF MED QUALITY OFFICER 40.0 0.0 X 0 438944 24507 CATHERINE MOHR EVP-CHIEF NURSING OFFICER 40.0 0.0 X 0 138868 17244 MARC HARRIS PHYSICIAN 40.0 0.0 X 519571 0 6095 JAMES RAFTIS PHYSICIAN 40.0 0.0 X 497549 0 34565 GEORGE ELLIS PHYSICIAN 40.0 0.0 X 489649 0 35406 CHARLES MCGURK PHYSICIAN 40.0 0.0 X 384051 0 35890 DANIEL TALENTI RADIATION PHYSICIST 40.0 0.0 X 172886 0 34565 BONNIE ONOFRE FORMER CHIEF NURSING OFFICER 40.0 0.0 X 106101 0 12112 2988813 3555238 453142 60 true true false ZF ENERGY DEVELOPMENT LLC 55 WEST AVENUE WAYNE PA 19087 CONTRACTOR SERVICES 3115926 NELCORP ELECTRICAL CONTRACTING CORP 33 N KELLY STREET ENDWELL NY 13760 CONTRACTOR SERVICES 1536810 KIMBLE INCORPORATED 1004 SULLIVAN STREET ELMIRA NY 14901 CONTRACTOR SERVICES 1468171 AMN HEALTHCARE INC 2735 COLLECTIONS DRIVE CHICAGO IL 60693 HEALTH PROF SERVICES 1268046 WEATHERBY PO BOX 972633 DALLAS TX 75397 HEALTH PROF SERVICES 757684 24 X 13802 1276626 362063 1652491 NET PATIENT SERVICE REVENUES 621990 149490786 149490786 0 0 EDUCATIONAL SERVICES 611600 467407 467407 0 0 MEDICARE AND MEDICAID PAYMENTS 621990 147754190 147754190 0 0 297712383 7189207 0 0 7189207 0 0 11560 9795 1765 0 1765 1765 261047562 125646 252536508 95975 8511054 29671 8540725 8540725 0 0 0 0 0 0 0 0 0 MITIGATION/STABILITY/COST REPORT SETTLEMENT 900099 4202141 4202141 0 0 ALL OTHER REVENUE 900099 10515279 0 0 10515279 14717420 329813991 301914524 0 26246976 X 0 148778 148778 0 0 894358 203528 690830 0 84203063 70516846 13686217 1023941 854835 169106 10693284 8966412 1726872 6346107 5298035 1048072 20250366 3276066 16974300 317133 152764 164369 2323412 2323412 21356 21356 0 0 40831420 37558780 3272640 0 51051 43740 7311 8503622 4576445 3927177 6887893 1540594 5347299 0 4346198 828228 3517970 383530 343076 40454 0 259741 226077 33664 3700926 1164 3699762 0 15765085 18533 15746552 2619479 509578 2109901 MEDICAL SUPPLIES 73730496 73647724 82772 OTHER EXPENSES 7620319 528647 7091672 CAFETERIA/CATERING 540245 361316 178929 ACCRETION EXPENSE 258364 0 258364 291720167 209601166 82119001 0 X 0 0 6642421 3516759 0 0 34104607 40028335 0 0 0 0 0 0 7123737 7479679 6099135 6210470 303282319 205783445 100101271 97498874 384997311 428832336 50910093 63435858 0 0 0 0 11422708 15801131 601401283 662803442 36025377 34662567 0 0 72602 53166 47015000 0 0 0 0 0 0 0 0 0 113992455 149687426 197105434 184403159 X 397603418 471396849 5206407 5516630 1486024 1486804 404295849 478400283 601401283 662803442 X 38093824 31520988 -1322115 5811737 X X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 21356 21356 false SCHEDULE C, PART II-B, LINE 1I DETAIL OF OTHER LOBBYING ACTIVITITES AMOUNT REPRESENTS MEMBERSHIPS IN AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE HOSPITAL & HEALTH SYSTEM ASSOCIATION OF PENNSYLVANIA (HAP). 947484 947484 166615100 107200791 59414309 4066159 2483079 1583080 119041757 92855945 26185812 12611819 3243630 9368189 97498874 INVESTMENT IN POOLED FUNDS 63435858 F 63435858 0 ESTIMATED THIRD PARTY PAYABLE 3903191 RPH AUXILARY INVESTMENTS 64121 ASSET RETIREMENT OBLIGATION 5396996 SWAP CONTRACT PAYABLE 2007 146879 SWAP CONTRACT PAY FMV 2007 15513198 LOAN PAY-GH TAX EXEMPT BONDS 125781005 CAPITAL LEASE 13626 FINANCING COSTS -1131590 149687426 X 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 false 773672 773672 0.00270 43571554 24441240 19130314 0.06560 44345226 24441240 19903986 0.06830 372006 372006 0.00130 12242063 4313590 7928473 0.02720 2251951 2251951 0 14866020 6565541 8300479 0.02850 59211246 31006781 28204465 0.09680 true 25130859 2513086 89033288 87679111 1354177 X true true 1 1 ROBERT PACKER HOSPITAL GUTHRIE SQUARE SAYRE PA 18840 WWW.GUTHRIE.ORG LICENSE# 440601 X X X X ROBERT PACKER HOSPITAL 1 false false true X X X X X X X X X 16 true true false true X SEE SUPPLEMENTAL DISCLOSURE X true 16 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 ROBERT PACKER HOSPITAL 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 THE COLLECTED INFORMATION FROM THE FOUR COUNTIES, SECONDARY DATA SOURCES WERE HEAVILY USED FOR THIS ASSESSMENT. THE SECONDARY DATA SOURCES INCLUDED THE MOST RECENT COUNTY HEALTH RANKINGS AND DATA COLLECTED THROUGH THE STRATEGIC PLANNING AND 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 32 PERSON, 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 FOUR COUNTIES THAT COMPRISE THE PRIMARY SERVICE AREA FOR RPH, FORTY-ONE INDICATORS OF HEALTH WERE IDENTIFIED TO BE WORSE THAN THE STATE, US OR HEALTHY PEOPLE 2020 GOAL. ONCE THESE FORTY-ONE INDICATORS WERE IDENTIFIED, THEY WERE PRIORITIZED BY EACH INDIVIDUAL MEMBER OF THE CHNA GROUP. IN ADDITION TO THE CHNA GROUP, THIS REPORT IN ITS ENTIRETY WILL BE SHARED DURING REGULAR MEETINGS THROUGHOUT 2017 AND 2018 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- JOINT CHNA ROBERT PACKER HOSPITAL'S CHNA WAS CONDUCTED JOINTLY WITH TROY COMMUNITY HOSPITAL AND CORNING HOSPITAL, AFFILIATED IRC SECTION 501(c)(3) TAX EXEMPT HOSPITAL ORGANIZATIONS. --------------- 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: * ACCESS TO PRIMARY CARE * DIABETES -------------------- 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 -------------------- SUPPLEMENTAL INFORMATION 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 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- 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 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 ROBERT PACKER 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 B, 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 ROBERT PACKER HOSPITAL AND THE GUTHRIE CLINIC EMPHASIZE PRIMARY HEALTH CARE SERVICES, HEALTH PROMOTION, AND CHRONIC DISEASE PREVENTION AND MANAGEMENT FOR THE COMMUNITY WE SERVE. RPH'S OVERALL APPROACH TO COMMUNITY BENEFIT IS TO EXAMINE THE INTERSECTION OF DOCUMENTED UNMET COMMUNITY NEEDS AND MATCH THESE NEEDS WITH ORGANIZATIONAL STRENGTHS. THESE UNMET COMMUNITY NEEDS CAN BE DEFINED AS A DISCREPANCY OR GAP BETWEEN WHAT IS CURRENTLY AVAILABLE AND WHAT THE COMMUNITY DESIRES. THE OVERARCHING GOALS OF THIS COMMUNITY HEALTH NEEDS ASSESSMENT ARE TO (1) IDENTIFY STRENGTHS AND LIMITATION WITHIN RPH'S SERVICE AREA; (2) DEFINE THE NEEDS AND ASSETS ASSOCIATED WITH THE COMMUNITY WE SERVE; (3) DESCRIBE RESOURCES SUCH AS HEALTH PROFESSIONALS, REGIONAL ECONOMICS AND COMMUNICATION NETWORKS WHOSE GOAL IS TO MAXIMIZE COMMUNITY HEALTH. THE IDENTIFIED NEEDS WILL RESULT IN THE FORMATION OF AN IMPLEMENTATION PLAN THAT WILL BUILD UPON THE CONTINUUM OF CARE CURRENTLY OFFERED AT RPH BY CLEARLY LINKING OUR CLINICAL SERVICES WITH OUR COMMUNITY-BASED SERVICES THROUGH THIS COMMUNITY BENEFIT PROCESS. THE IMPLEMENTED COMMUNITY BENEFIT PLAN WILL BE INTEGRATED INTO THE STRATEGIC ORGANIZATIONAL GOALS OF RPH. THE PLAN PROGRESS WILL BE MONITORED TO ENSURE TIMELY IMPLEMENTATION. FURTHER COLLABORATIVE PARTNERSHIPS WILL BE INTEGRAL TO THE SUCCESS OF THE PLAN. THE RPH 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 THE COLLECTED INFORMATION FROM THE FOUR COUNTIES, SECONDARY DATA SOURCES WERE HEAVILY USED FOR THIS ASSESSMENT. THE SECONDARY DATA SOURCES INCLUDED THE MOST RECENT COUNTY HEALTH RANKINGS AND DATA COLLECTED THROUGH THE STRATEGIC PLANNING AND 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 32 PERSON, 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 FOUR COUNTIES THAT COMPRISE THE PRIMARY SERVICE AREA FOR RPH, FORTY-ONE INDICATORS OF HEALTH WERE IDENTIFIED TO BE WORSE THAN THE STATE, US OR HEALTHY PEOPLE 2020 GOAL. ONCE THESE FORTY-ONE INDICATORS WERE IDENTIFIED, THEY WERE PRIORITIZED BY EACH INDIVIDUAL MEMBER OF THE CHNA GROUP. THE HANLON METHOD USES A TWO-STEP PROCESS TO SCORE INDICATORS OF HEALTH. THE FIRST STEP ENSURES THAT EACH NEED MEETS THE PEARL TEST WHICH INCLUDES: PROPRIETY - IS AN INTERVENTION SUITABLE?; ECONOMICS- DOES 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 REQUIRES ASSIGNING A SCORE FROM 1-10 FOR EACH NEED BASED IN REGARDS TO THE (1) SIZE OF THE PROBLEM (2) SERIOUSNESS OF THE PROBLEM AND (3) EFFECTIVENESS POTENTIAL OF AN INTERVENTION. USING THIS METHODOLOGY, THE CHNA GROUP SCORED EACH OF THE UNMET NEEDS FROM WHICH SEVERAL PRIORITY NEEDS WERE IDENTIFIED FOR THE PRIMARY SERVICE AREA OF RPH. FURTHER, ONCE SCORED, THE RESULTS WERE SHARED WITH THE CHNA GROUP FOR DISCUSSION. THE GROUP WAS ALSO GIVEN THE OPPORTUNITY TO ADJUST ANY RANKINGS. THIS PROCESS OF PRIORITIZATION CLASSIFIED THREE AREAS OF UNMET HEALTH CARE NEEDS. IN SEQUENTIAL ORDER (HIGHEST TO LOWEST SCORE) THESE PRIORITY NEEDS INCLUDED: * OBESITY (WITH A SUBSET FOCUS OF CHILDHOOD OBESITY) * ACCESS TO MENTAL HEALTH PROVIDERS (WITH A SUBSET FOCUS OF OPIATE USAGE) * CANCER INCIDENCE (WITH A SUBSET FOCUS OF TOBACCO USAGE) 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 IMPLEMENTATION STRATEGY IN THE SUBSEQUENT FISCAL YEARS. THESE NEEDS INCLUDE: ACCESS TO PRIMARY CARE AND DIABETES (ADULT POPULATION) HTTP://WWW.GUTHRIE.ORG/SITES/DEFAULT/FILES/RPH_CHNA_July2016.PDF -------------------- PART VI, LINE 3- PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE CHARITY CARE AVAILABILITY AND CONTACT INFORMATION ARE POSTED IN ALL REGISTRATION AREAS AND IN THE HOSPITAL'S BUSINESS OFFICE. THE CHARITY CARE POLICY, APPLICATION, AND CONTACT INFORMATION ARE POSTED ON THE HOSPITAL'S WEBSITE. SELF PAY PATIENTS ARE REFERRED TO THE HOSPITAL'S FINANCIAL COUNSELOR FROM PHYSICIAN OFFICES, SOCIAL WORKERS, OR SELF REFERRED. THE FINANCIAL COUNSELOR AS WELL AS THE BUSINESS OFFICE STAFF FOLLOW UP WITH SELF PAY PATIENTS TO ASSESS THEIR NEED AND ASSIST IN DETERMINING THEIR ELIGIBILITY FOR SECURING A PAYMENT SOURCE (I.E. COBRA COVERAGE, SPECIAL NEEDS PROGRAM, MEDICAID, OTHER FEDERAL/STATE PROGRAMS, OR CHARITY CARE). STAFF ALSO ASSIST WITH THE APPLICATION PROCESS AS REQUESTED BY SELF PAY PATIENTS. THE HOSPITAL'S BILLING STATEMENTS ALSO HAVE INFORMATION REGARDING WHOM TO CONTACT IN CASE A PATIENT NEEDS ASSISTANCE MEETING ITS FINANCIAL OBLIGATIONS. --------------- PART VI, LINE 4- COMMUNITY INFORMATION ROBERT PACKER HOSPITAL (RPH) IS A NOT-FOR-PROFIT COMMUNITY TEACHING HOSPITAL AND A MEMBER OF THE GUTHRIE CLINIC (TGC). RPH LOCATED IN SAYRE, PA AND IS A 254-BED TERTIARY CARE HOSPITAL THAT SERVES THE SOUTHERN TIER REGION OF NEW YORK AND THE NORTHERN TIER REGION OF PENNSYLVANIA. THE PRIMARY SERVICE AREA FOR RPH INCLUDES BRADFORD COUNTY, PA, TIOGA COUNTY, PA, CHEMUNG COUNTY, NY, AND TIOGA COUNTY, NY. IN FISCAL YEAR 2015, RPH HAD OVER 14,960 INPATIENT VISITS, MORE THAN 11,540 OUTPATIENT SUERGIES, 4,530 INPATIENT SURGERIES AND THE RPH EMERGENCY DEPARTMENT HAD OVER 33,000 VISITS. FURTHER, DURING THE SAME TIME PERIOD, THERE WERE APPROXIMATELY 1,597 BIRHTS AND OVER 172,380 OUTPATIENT VISITS AT RPH. RPH HAS RECEIVED NUMEROUS NATIONAL AWARDS FOR HIGH QUALITY PATIENT CARE SUCH AS THE TRUVEN TOP 50 CARDIOVASCULAR HOSPITAL AND WAS DESIGNATED ONE OF THE MOST CONNECTED HOSPITALS BY U.S. NEWS AND WORLD REPORT IN 2015. RPH IS A REGIONAL LEVEL II TRAUMA CENTER, ACCREDITED BY THE PENNSYLVANIA TRAUMA SYSTEMS FOUNDATION AND IS SERVED BY GUTHRIE AIR, A REGIONAL AERO-MEDICAL HELICOPTER PROGRAM. RPH OFFERS A FULL RANGE OF DIAGNOSTIC, MEDICAL AND SURGICAL SERVICES INCLUDING GUTHRIE CARDIAC AND VASCULAR CENTER, GUTHRIE RPH CHEST PAIN CENTER, GUTHRIE CANCER AND INFUSION CENTER, GUTHRIE BREAST CARE CENTER, GUTHRIE BEHAVIORAL HEALTH SCIENCE CENTER AND GUTHRIE WEIGHT LOSS CENTER. GUTHRIE RPH MEDICAL IMAGING PROVIDES A WIDE RANGE OF DIAGNOSTIC AND THERAPEUTIC IMAGING STUDIES, INCLUDING: COMPUTED TOMOGRAPHY AND A NEWLY UPGRADED MAGNETIC RESONANCE IMAGING, INTERVENTIONAL RADIOLOGY SERVICES, DIGITAL MAMMOGRAPHY WITH COMPUTER ASSISTED DETECTION, NUCLEAR MEDICINE INCLUDING NUCLEAR CARDIOLOGY AND SINGLE-PHOTON EMISSION COMPUTED TOMOGRAPHY, POSITRON EMISSION TOMOGRAPHY/COMPUTED TOMOGRAPHY, ULTRASOUND INCLUDING VASCULAR AND OBSTETRIC ULTRASOUND, X-RAY AND FLUOROSCOPY. MOREOVER, RPH ALSO HAS TEACHING PROGRAMS IN NURSING, RADIOLOGY, RESPIRATORY THERAPY, LABORATORY SCIENCES, GENERAL SURGERY, FAMILY PRACTICE, INTERNAL MEDICINE AND CARDIOVASCULAR SPECIALTIES. THESE TEACHING AREAS ARE SUPPORTED BY AN ACTIVE SKILLS LAB AND RESEARCH FOUNDATION. RPH MOSTLY SERVES A RURAL POPULATION OVER A LARGE GEOGRAPHIC AREA FROM FOUR COUNTIES COVERING THE TWIN TIER REGIONS OF NEW YORK AND PENNSYLVANIA. THE PRIMARY SERVICE AREA OF RPH IS DEFINED AS 67 CONTIGUOUS ZIP CODES FROM WHICH OVER 75% OF THE INPATIENT POPULATION IS DERIVED. THE 67 CONTIGUOUS ZIP CODES INCLUDE 241,643 PEOPLE, THE MAJORITY OF WHICH ARE WHITE, NON-HISPANIC, BETWEEN THE AGES OF 35-54. IN THE GEOGRAPHIC AREA, 40.7% OF INDIVIDUALS AGED TWENTY-FIVE OR OLDER HAVE AT LEAST A HIGH SCHOOL DEGREE WITH 28.1% AND 19.8% HAVING SOME COLLEGE AND BACHELOR'S DEGREE/HIGHER, RESPECTIVELY. FROM 2010 UNTIL 2015 THERE WAS A 0.9% DECREASE IN THE OVERALL POPULATION SERVED BY RPH. IT IS ANTICIPATED BETWEEN 2015 AND 2020, A SIMILAR DECREASE OF 0.5% WILL BE OBSERVED IN THE OVERALL POPULATION SERVED BY RPH. --------------- PART VI, LINE 5- PROMOTION OF COMMUNITY HEALTH SEE SCHEDULE O, FORM 990, PART III, LINE 1- STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS FOR MORE INFORMATION REGARDING HOW THE HOSPITAL FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUMNITY. --------------- PART VI, LINE 6- DETAIL REGARDING AFFILIATED HEALTH CARE SYSTEM ROLES ROBERT PACKER HOSPITAL IS PART OF THE GUTHRIE CLINIC. SEE SCHEDULE O, FORM 990, PART III, LINE 1- STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS FOR MORE INFORMATION. true EDUCATIONAL AID - VARIOUS INDIVIDUALS 91 148778 N/A SCHEDULE I, PART I, LINE 2 DETAIL OF GRANTS TO INDIVIDUALS IN THE UNITED STATES HEALTH PROFESSION SCHOLARSHIPS - SENIORS MUST PLAN TO ENTER AN ACCREDITED COLLEGE, UNIVERSITY, HOSPITAL BASED NURSING, OR ALLIED HEALTH PROGRAM WITH CAREERS IN HEALTH PROFESSIONS, INCLUDING HOSPITAL ADMINISTRATION OR A PLANNED CAREER IN MEDICAL RESEARCH. GUTHRIE EMPLOYEE SCHOLARSHIPS - THESE SCHOLARSHIPS ARE OFFERED TO CHILDREN OF FULL-TIME EMPLOYEES OF GUTHRIE. SENIORS MUST PLAN TO ENTER AN ACCREDITED COLLEGE OR UNIVERSITY. ANY CAREER INTEREST IS ALLOWED.MANSFIELD UNIVERSITY SCHOLARSHIPS - AWARDED TO NURSING STUDENTS WHO MEET THE CRITERIA OF THE SCHOLARSHIP PROTOCOLS. OTHER VARIOUS SCHOLARSHIPS/AWARDS - AWARDED TO ALLIED HEALTH STUDENTS OR CURRENT EMPLOYEES THAT MEET THE CRITERIA OF THE SCHOLARSHIP/AWARD PROTOCOLS. ALL SCHOLARSHIPS ARE RECONCILED AND MONITORED ON A MONTHLY BASIS AS PART OF NORMAL OPERATING PROCEDURES. X true true X X X X false false false false false false false false false MARIE DROEGE PRESIDENT & COO THRU 2/2017 407723 0 48944 0 0 0 15900 0 6095 0 478662 0 0 0 DANIEL J BROWN MD MEMBER BOD 0 476734 0 20000 0 0 0 15900 0 18665 0 531299 0 0 DANIEL SPORN MD CHAIRMAN 0 568325 0 50000 0 0 0 15900 0 12123 0 646348 0 0 PAUL VERVALIN PRESIDENT & COO BEGINNING 2/17 0 427771 0 52007 0 0 0 15900 0 18665 0 514343 0 0 BARBARA PENNYPACKER VP SURGICAL SERVICES 171994 0 6494 0 0 0 12918 0 12123 0 203529 0 0 0 JOSEPH SAWYER VP IMAGING & ANCILLARY TESTING 171226 0 11371 0 1254 0 9652 0 18665 0 212168 0 0 0 SCOTT SILVESTRI CFO 0 124515 0 25000 0 14972 0 8971 0 9332 0 182790 0 0 JOSEPH A SCOPELLITI MD MEMBER BOD 0 700200 0 300236 0 3270 0 17225 0 12123 0 1033054 0 0 DEBRA RYAN MD MEMBER BOD 0 198007 0 16389 0 0 0 13936 0 18665 0 246997 0 0 BRIAN FILLIPO MD EVP-CHIEF MED QUALITY OFFICER 0 391925 0 47019 0 0 0 15900 0 8607 0 463451 0 0 MARC HARRIS PHYSICIAN 494571 0 25000 0 0 0 0 0 6095 0 525666 0 0 0 JAMES RAFTIS PHYSICIAN 485549 0 12000 0 0 0 15900 0 18665 0 532114 0 0 0 GEORGE ELLIS PHYSICIAN 429649 0 60000 0 0 0 23283 0 12123 0 525055 0 0 0 CHARLES MCGURK PHYSICIAN 376485 0 7566 0 0 0 17225 0 18665 0 419941 0 0 0 DANIEL TALENTI RADIATION PHYSICIST 167886 0 5000 0 0 0 15900 0 18665 0 207451 0 0 0 CATHERINE MOHR EVP-CHIEF NURSING OFFICER 0 131868 0 0 0 7000 0 7912 0 9332 0 156112 0 0 BONNIE ONOFRE FORMER CHIEF NURSING OFFICER 19451 0 0 0 86650 0 6051 0 6061 0 118213 0 0 0 SCHEDULE J, PART I, LINE 1A QUESTIONS REGARDING COMPENSATION GROSS-UP PAYMENTS ARE PERIODICALLY PROVIDED TO EMPLOYEES. ALL PAYMENTS ARE MADE PURSUANT TO WRITTEN ORGANIZATION POLICIES. --------------- SCHEDULE J, PART I, LINE 3 COMPENSATION INFORMATION 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. SHARON SPORN SPOUSE OF BOARD MEMBER 15678 EMPLOYMENT false FORM 990, PART III STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS THE GUTHRIE CLINIC IS THE SOLE MEMBER OF ROBERT PACKER HOSPITAL. 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. THE FACILITIES AND PROVIDER OFFICES OF GUTHRIE ARE LOCATED IN 23 COMMUNITIES THROUGHOUT THE NORTHERN TIER OF PENNSYLVANIA AND SOUTHERN TIER OF NEW YORK, WITH THE GREATEST CONCENTRATION OF SERVICES PROVIDED PRINCIPALLY IN BRADFORD COUNTY, 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. COSTS 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 2017 AND 2016, 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 $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 GUTHRIE 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 DISESASE. 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 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. 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 ASSOCIATIONS 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 OF 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 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 ROBERT PACKER HOSPITAL. --------------- FORM 990, PART VI, SECTION A, LINE 7A MEMBERSHIP INFORMATION AS THE SOLE MEMBER OF ROBERT PACKER 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 ROBERT PACKER 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 19 AND PART X GOVERNING DOCUMENTS THE ORGANIZATION'S FORM 1023 AND 990 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 X CERTAIN PRIOR YEAR BALANCE SHEET AMOUNTS HAVE BEEN RECLASSIFIED 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 $ 16,731 PENSION ADJUSTMENT 5,231,882 INTEREST DIVIDEND INCOME ON INVESTMENTS 396,953 NET REALIZED GAINS AND LOSSES 97,385 ON RESTRICTED INVESTMENTS EARNINGS DISTRIBUTION 68,545 OTHER 241 ---------- TOTAL $5,811,737 --------------- FORM 990, PART XII, LINE 2B DETAIL OF CONSOLIDATED FINANCIAL STATEMENTS THE ORGANIZATION'S FINANCIAL STATEMENTS WERE AUDITED ON A CONSOLIDATED BASIS WITH THE GUTHRIE CLINIC AND AFFILIATES. --------------- FORM 990, SCHEDULE D, PART X & SCHEDULE K ADDITIONAL TAX EXEMPT BONDS ROBERT PACKER HOSPITAL HAS BEEN ALLOCATED A PORTION OF THE HEALTH CARE FACILITIES AUTHORITY OF SAYRE, HEALTH CARE REVENUE BONDS, SERIES 2007, FROM THE GUTHRIE CLINIC, A RELATED IRC SECTION 501(C)(3) ORGANIZATION. SINCE THE GUTHRIE CLINIC REMAINS AS THE PRIMARY OBLIGOR OF THE BOND, ALL INFORMATION REGARDING THIS BOND HAS BEEN REPORTED ON THE FORM 990, SCHEDULE K OF THE GUTHRIE CLINIC. THE TOTAL OUTSTANDING ALLOCATED BALANCE FOR THE ROBERT PACKER HOSPITAL WAS $39,280,287 AS OF JUNE 30, 2017. THIS AMOUNT IS INCLUDED IN OTHER LIABILITIES. ROBERT PACKER HOSPITAL HAS BEEN ALLOCATED A PORTION OF THE CENTRAL BRADFORD PROGRESS AUTHORITY, HEALTH CARE REVENUE BONDS, SERIES 2012, FROM THE GUTHRIE CLINIC, A RELATED IRC SECTION 501(C)(3) ORGANIZATION. SINCE THE GUTHRIE CLINIC REMAINS AS THE PRIMARY OBLIGOR OF THE BOND, ALL INFORMATION REGARDING THIS BOND HAS BEEN REPORTED ON THE FORM 990, SCHEDULE K OF THE GUTHRIE CLINIC. THE TOTAL OUTSTANDING ALLOCATED BALANCE FOR THE ROBERT PACKER HOSPITAL WAS $7,500,000 AS OF JUNE 30, 2017. THIS AMOUNT IS INCLUDED IN OTHER LIABILITIES. ROBERT PACKER HOSPITAL HAS BEEN ALLOCATED A PORTION OF THE CENTRAL BRADFORD PROGRESS AUTHORITY, HEALTH CARE REVENUE BONDS, SERIES 2011, FROM THE GUTHRIE CLINIC, A RELATED IRC SECTION 501(C)(3) ORGANIZATION. SINCE THE GUTHRIE CLINIC REMAINS AS THE PRIMARY OBLIGOR OF THE BOND, ALL INFORMATION REGARDING THIS BOND HAS BEEN REPORTED ON THE FORM 990, SCHEDULE K OF THE GUTHRIE CLINIC. THE TOTAL OUTSTANDING ALLOCATED BALANCE FOR THE ROBERT PACKER HOSPITAL WAS $31,343,272 AS OF JUNE 30, 2017. THIS AMOUNT IS INCLUDED IN OTHER LIABILITIES. ROBERT PACKER HOSPITAL HAS BEEN ALLOCATED A PORTION OF THE CENTRAL BRADFORD PROGRESS AUTHORITY, HEALTH CARE REVENUE BONDS, SERIES 2016, FROM THE GUTHRIE CLINIC, A RELATED IRC SECTION 501(C)(3) ORGANIZATION. SINCE THE GUTHRIE CLINIC REMAINS AS THE PRIMARY OBLIGOR OF THE BOND, ALL INFORMATION REGARDING THIS BOND HAS BEEN REPORTED ON THE FORM 990, SCHEDULE K OF THE GUTHRIE CLINIC. THE TOTAL OUTSTANDING ALLOCATED BALANCE FOR THE ROBERT PACKER HOSPITAL WAS $47,235,000 AS OF JUNE 30, 2017. THIS AMOUNT IS INCLUDED IN OTHER LIABILITIES. --------------- FORM 990 PART IX LINE 11G DESCRIPTION:MAINTENANCE AGREEMENT TOTAL FEES:4085881 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTIVE SERVICE TOTAL FEES:496369 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTANTS TOTAL FEES:1327583 FORM 990 PART IX LINE 11G DESCRIPTION:TEMP STAFF TOTAL FEES:2173484 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:15136800 FORM 990 PART IX LINE 11G DESCRIPTION:LOCUM SERVICES TOTAL FEES:1439161 FORM 990 PART IX LINE 11G DESCRIPTION:LAUNDRY TOTAL FEES:702419 FORM 990 PART IX LINE 11G DESCRIPTION:DIAGNOSTIC TESTING TOTAL FEES:1033097 FORM 990 PART IX LINE 11G DESCRIPTION:TEACHING FEES TOTAL FEES:2051808 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER TOTAL FEES:12384818 THE GUTHRIE CLINIC ONE GUTHRIE SQUARE SAYRE PA 18840 233055017 SUPPORTING PA 501(c)(3) 12C, II NA false SAYRE HOUSE OF HOPE ONE GUTHRIE SQUARE SAYRE PA 18840 203979472 HEALTHCARE PA 501(c)(3) 7 TGC false DONALD GUTHRIE FOUNDATION 200 S WILBUR AVENUE SAYRE PA 18840 246022957 MED RESEARCH PA 501(c)(3) 4 TGC false TROY COMMUNITY HOSPITAL INC 275 GUTHRIE DRIVE 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 ROAD TOWANDA PA 18848 232394345 HOME HEALTH PA 501(c)(3) 10 TGC false GUTHRIE RISK RETENTION GROUP 151 MEETING STREET 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 MEDICAL GROUP PC ONE GUTHRIE SQUARE SAYRE PA 18840 250815795 HEALTHCARE PA 501(c)(3) 3 TGC false CORNING HOSPITAL 1 GUTHRIE DRIVE CORNING NY 14830 160393490 HEALTHCARE 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 ROBERT PACKER HOSPITAL AUXILIARY 200 SOUTH WILBUR AVE SAYRE PA 18840 231650350 GIFT SHOP PA 501(C)(3) 10 RPH true 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 false false true false false false false true true false true true true true false false true true false false