STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

CORNING HOSPITAL: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
CORNING HOSPITAL (EIN 16-0393490)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-14
IRS object ID
201643199349310409
Schema version
2015v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-11-14T16:18:27-06:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PricewaterhouseCoopers LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12001 MARKET ST SUITE 1800AddressLine1Txt
CityPHILADELPHIACityNm
State AbbreviationPAStateAbbreviationCd
ZIP19103ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN160393490EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CORNING HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% FRANCIS M MACAFEEInCareOfNm
Business Name ControlCORNBusinessNameControlTxt
Phone6079377200PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGARRETT HOOVERPersonNm
Person TitlePRESIDENT/CEOPersonTitleTxt
Phone6079377200PhoneNum
Signature2016-11-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonANTONIO C RUSSOPreparerPersonNm
PTINP00858539PTIN
Phone2673303000PhoneNum
Preparation2016-11-11PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerGARRETT HOOVERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 GUTHRIE DRIVEAddressLine1Txt
CityCORNINGCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14830ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$160,385,933GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.GUTHRIE.ORG/LOCATION/CORNING-HOSPITALWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1900FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionSEE SCHEDULE OActivityOrMissionDesc
Voting Members Governing Body26VotingMembersGoverningBodyCnt
Voting Members Independent19VotingMembersIndependentCnt
Total Employee836TotalEmployeeCnt
Total Volunteers145TotalVolunteersCnt
Total Gross UBI$312,147TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$150,679NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,131,691PYContributionsGrantsAmt
CY Contributions Grants$1,114,916CYContributionsGrantsAmt
PY Program Service Revenue$86,353,390PYProgramServiceRevenueAmt
CY Program Service Revenue$99,034,651CYProgramServiceRevenueAmt
PY Investment Income$3,352,873PYInvestmentIncomeAmt
CY Investment Income$2,077,250CYInvestmentIncomeAmt
PY Other Revenue$793,127PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$92,631,081PYTotalRevenueAmt
CY Total Revenue$102,226,817CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$34,366,756PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$36,410,371CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$48,761,356PYOtherExpensesAmt
CY Other Expenses$58,837,038CYOtherExpensesAmt
PY Total Expenses$83,128,112PYTotalExpensesAmt
CY Total Expenses$95,247,409CYTotalExpensesAmt
PY Revenues Less Expenses$9,502,969PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$6,979,408CYRevenuesLessExpensesAmt
Total Assets BOY$226,495,537TotalAssetsBOYAmt
Total Assets EOY$225,371,410TotalAssetsEOYAmt
Total Liabilities BOY$98,244,921TotalLiabilitiesBOYAmt
Total Liabilities EOY$93,947,055TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$128,250,616NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$131,424,355NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO HELP EACH PERSON ATTAIN OPTIMAL, LIFE-LONG HEALTH AND WELL-BEING BY PROVIDING INTEGRATED CLINICALLY-ADVANCED SERVICES THAT DIAGNOSE, PREVENT AND TREAT DISEASE WITHIN AN ENVIRONMENT OF COMPASSION, LEARNING AND DISCOVERY. MAKING A MEANINGFUL DIFFERENCE IN LIVES OF THOSE WE SERVE THROUGH COMPASSION AND EXCELLENCE IN HEALTH CARE- EVERY PERSON. EVERY TIME.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$65,553,833ExpenseAmt
Grant$0GrantAmt
Revenue$98,722,504RevenueAmt
DescCORNING HOSPITAL IS A 85-BED ACUTE CARE FACILITY WITH 24 HOUR EMERGENCY SERVICES AND A FULL COMPLIMENT OF INPATIENT AND OUT-PATIENT TREATMENT SERVICES. INPATIENT DAYS OF 16,405 AND OUTPATIENT VISITS OF 128,220 DURING THE YEAR. THE HOSPITAL RUNS A CANCER CENTER THERAPEUTIC RADIOLOGY EXTENSION CLINIC WITH MEDICAL ONCOLOGY AND CANCER SUPPORT SERVICES AND A WELLNESS & FITNESS CENTER THAT IS A MEDICAL FITNESS & REHABILITATION EXTENSION CLINIC. OTHER PROGRAMS INCLUDE CARDIAC REHAB/WELLNESS, DIABETES CLASSES, JOINTCAMP, SMOKE STOPPERS, EXECUTIVE HEALTH, AND SCREENING PROGRAMS. AS MORE FULLY DESCRIBED IN FORM 990, SCHEDULE H, NO ONE IS DENIED EMERGENCY CARE BASED ON ABILITY TO PAY AND THE HOSPITAL HAS A CHARITY CARE POLICY FOR MEDICALLY NECESSARY SERVICES.Desc
Total Program Service Expenses$65,553,833TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtYes (true)CollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee836EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members26GoverningBodyVotingMembersCnt
Independent Voting Member19IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonFRANCIS M MACAFEEPersonNm
Phone6079377917PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (36 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
DAVID E IOCCO
MEMBER- BOD1.00.0Yes (X)$0$0$0
ARTHUR D FIELD
MEMBER- BOD1.00.0Yes (X)$0$0$0
JUDITH ROWE
MEMBER- BOD1.00.0Yes (X)$0$0$0
JACK E BENJAMIN
1ST VICE CHAIR- BOD1.00.0Yes (X)$0$0$0
DANIEL BOWER
MEMBER- BOD1.00.0Yes (X)$0$0$0
CHARLES A CORRAO
MEMBER- BOD1.00.0Yes (X)$0$0$0
LOUIS R DUBOIS MD
MEMBER- BOD & MED STAFF PRES.1.040.0Yes (X)$0$454,046$27,236
ALAN D LEWIS
SECRETARY- BOD1.00.0Yes (X)$0$0$0
JOSEPH SCOPELLITI MD
MEMBER- BOD1.040.0Yes (X)$0$810,141$27,616
G THOMAS TRANTER JR
MEMBER - BOD1.00.0Yes (X)$0$0$0
JOHN W VAN ZANTEN III
MEMBER- BOD1.00.0Yes (X)$0$0$0
MARCIA WEBER
MEMBER- BOD1.00.0Yes (X)$0$0$0
RUSSELL C WOGLOM MD
MEMBER- BOD1.040.0Yes (X)$0$352,630$33,354
CHRISTOPHER J FORTIER
MEMBER- BOD1.00.0Yes (X)$0$0$0
PHILIP J ROCHE ESQ
CHAIRMAN- BOD1.00.0Yes (X)$0$0$0
MARY BETH GRIMALDI-MAXA
MEMBER- BOD1.00.0Yes (X)$0$0$0
SHIRLEY MAGANA
PRESIDENT/COO (UNTIL 7/1/15)40.00.0Yes (X)$260,491$0$22,520Yes (X)
FRAN OLMSTEAD
2ND VICE CHAIR- BOD1.00.0Yes (X)$0$0$0
DANIEL ROURKE
MEMBER- BOD1.00.0Yes (X)$0$0$0
CATHY WEIL
MEMBER- BOD1.00.0Yes (X)$0$0$0
VENOGOPAL THIRUMURTI MD
MEMBER- BOD & MED STAFF VP1.040.0Yes (X)$0$408,823$51,354
JEFFREY P KENEFICK
TREASURER- BOD1.00.0Yes (X)$0$0$0
JAMES PERLE MD
MEMBER-BOD MEDICAL STAFF SEC1.040.0Yes (X)$0$264,318$23,133
JOEL MCCLURG MD
MEMBER-BOD MEDICAL STAFF TREAS1.040.0Yes (X)$0$477,450$36,385
DAWN BURLEW
MEMBER- BOD1.00.0Yes (X)$0$0$0
HOLLY SEGUR
MEMBER - BOD1.00.0Yes (X)$0$0$0
GARRETT HOOVER
PRESIDENT/COO (AS OF 8/1/15)40.00.0Yes (X)$85,675$0$9,900Yes (X)
FRANCIS M MACAFEE
CFO/VP FINANCE40.00.0$184,043$0$28,455Yes (X)
DEBRA RAUPERS
CHIEF NURSING OFFICER40.00.0$124,293$0$18,274Yes (X)
ADRIENNE ABBOTT
CHIEF NURSING OFFICER40.00.0$0$117,020$24,475Yes (X)
JENNIFER YARTYM
VICE PRESIDENT, OPERATIONS40.00.0$118,014$0$23,619Yes (X)
COLIN BAILEY
RADIATION PHYSICIST40.00.0$182,277$0$15,223Yes (X)
MARK HOPSON
PHARMACY MANAGER40.00.0$143,009$0$26,035Yes (X)
GREGORY KRIEL
PHARMACIST40.00.0$135,835$0$25,604Yes (X)
SCOTT STEVENS
PHARMACIST40.00.0$129,871$0$19,128Yes (X)
EVAN DAVIS
PHARMACIST40.00.0$119,036$0$24,594Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,482,544TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,884,428TotReportableCompRltdOrgAmt
Total Other Compensation$436,905TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K12IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
QUEST DIAGNOSTICS
2249 COLLECTION CENTER DRIVECHICAGOIL60693LAB PATHOLOGY SRVCS$233,723
PARIS COMPANIES
3850 REACH ROADWILLIAMSPORTPA17701LAUNDRY SERVICES$261,328
DOUG GROSS CONSTRUCTION INC
600 RITAS WAYPAINTED POSTNY14870SNOW REMOVAL SRVCS$306,907
NURSEFINDERS INC
PO BOX 910738DALLASTX753910738TEMP STAFFING SRVCS$306,024
HARMONY HEALTHCARE LLC
600 S MAGNOLIA AVE STE 375TAMPAFL33606CONTRACT CODERS$317,074
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K10CntrctRcvdGreaterThan100KCnt
Government Grants$261,506GovernmentGrantsAmt
All Other Contributions$853,410AllOtherContributionsAmt
Noncash Contributions$57,160NoncashContributionsAmt
Total Contributions$1,114,916TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE621990$96,819,548$96,819,548
OTHER OPERATING INCOME900099$1,902,956$1,902,956
MEDICAL LAB SERVICES621910$312,147$312,147
FieldValueIRS element (for citing)
Total Program Service Revenue$99,034,651TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,313,718TotalRevenueColumnAmt
Exclusion$1,313,718ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$58,871,578SecuritiesAmt
Other$51,070OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$58,159,116SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$712,462SecuritiesAmt
Other$51,070OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$763,532TotalRevenueColumnAmt
Exclusion$763,532ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$102,226,817TotalRevenueColumnAmt
Related Or Exempt Func Income$98,722,504RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$312,147UnrelatedBusinessRevenueAmt
Exclusion$2,077,250ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$495,509TotalAmt
Program Services$0ProgramServicesAmt
Management And General$495,509ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$28,751,979TotalAmt
Program Services$22,462,264ProgramServicesAmt
Management And General$6,289,715ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,682,752TotalAmt
Program Services$1,292,365ProgramServicesAmt
Management And General$390,387ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,335,104TotalAmt
Program Services$2,561,382ProgramServicesAmt
Management And General$773,722ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,145,027TotalAmt
Program Services$1,661,542ProgramServicesAmt
Management And General$483,485ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$4,050,305TotalAmt
Program Services$998,182ProgramServicesAmt
Management And General$3,052,123ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$286,124TotalAmt
Program Services$0ProgramServicesAmt
Management And General$286,124ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$890,420TotalAmt
Program Services$0ProgramServicesAmt
Management And General$890,420ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$11,603,846TotalAmt
Program Services$8,155,995ProgramServicesAmt
Management And General$3,447,851ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$20,662TotalAmt
Program Services$3,231ProgramServicesAmt
Management And General$17,431ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,469,500TotalAmt
Program Services$1,533,327ProgramServicesAmt
Management And General$936,173ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,057,127TotalAmt
Program Services$980,554ProgramServicesAmt
Management And General$2,076,573ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,939,105TotalAmt
Program Services$243,013ProgramServicesAmt
Management And General$1,696,092ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$81,487TotalAmt
Program Services$27,286ProgramServicesAmt
Management And General$54,201ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$36,993TotalAmt
Program Services$14,797ProgramServicesAmt
Management And General$22,196ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,207,033TotalAmt
Program Services$0ProgramServicesAmt
Management And General$2,207,033ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$10,464,963TotalAmt
Program Services$5,834,333ProgramServicesAmt
Management And General$4,630,630ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$441,051TotalAmt
Program Services$0ProgramServicesAmt
Management And General$441,051ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLY EXPENSE$19,745,283$19,745,283$0$0
ACCRETION$515,029$0$515,029$0
CAFETERIA AND CATERING$68,842$28,118$40,724$0
UBI AND SALES TAX$1,793$268$1,525$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$957,475TotalAmt
Program Services$11,893ProgramServicesAmt
Management And General$945,582ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$95,247,409TotalAmt
Program Services$65,553,833ProgramServicesAmt
Management And General$29,693,576ManagementAndGeneralAmt
Fundraising$0FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,870,384BOYAmt
EOY$4,643,087EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

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

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$760,563BOYAmt
EOY$199,834EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$10,449,278BOYAmt
EOY$15,557,999EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,600,565BOYAmt
EOY$1,780,633EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,084,297BOYAmt
EOY$2,971,235EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$193,617,874LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$60,181,647LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$139,790,060BOYAmt
EOY$133,436,227EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$67,420,712BOYAmt
EOY$64,279,715EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$120,000BOYAmt
EOY$72,000EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,399,678BOYAmt
EOY$2,430,680EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$226,495,537BOYAmt
EOY$225,371,410EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$13,484,289BOYAmt
EOY$12,998,497EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$84,760,632BOYAmt
EOY$80,948,558EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$98,244,921BOYAmt
EOY$93,947,055EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$125,580,483BOYAmt
EOY$129,299,220EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,841,708BOYAmt
EOY$1,296,710EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$128,250,616BOYAmt
EOY$131,424,355EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$226,495,537BOYAmt
EOY$225,371,410EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$6,979,408ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$2,735,456NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$1,070,213OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersYes (true)VolunteersInd
Paid Staff Or ManagementYes (true)PaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$34,158OtherActivitiesAmt
Total Lobbying Expenditures$34,158TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

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

Schedule D IRS990ScheduleD

Art Public Exhibition Amounts ArtPublicExhibitionAmountsGrp

FieldValueIRS element (for citing)
Assets Included$50,129AssetsIncludedAmt
FieldValueIRS element (for citing)
Held Works ArtHeldWorksArtGrp
Collection Used Pub ExhibitionYes (X)CollectionUsedPubExhibitionInd
Solicited Assets SalefalseSolicitedAssetsSaleInd
Incl Escrow Custodial Acct LiabfalseInclEscrowCustodialAcctLiabInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,670,132BeginningYearBalanceAmt
Contributions$261,506ContributionsAmt
Investment Earnings Or Losses-$542InvestmentEarningsOrLossesAmt
Other Expenditures$879,664OtherExpendituresAmt
End Year Balance$2,051,432EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,010,269BeginningYearBalanceAmt
Contributions$869,272ContributionsAmt
Investment Earnings Or Losses$1,681InvestmentEarningsOrLossesAmt
Other Expenditures$1,211,090OtherExpendituresAmt
End Year Balance$2,670,132EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,987,918BeginningYearBalanceAmt
Contributions$236,423ContributionsAmt
Investment Earnings Or Losses$2,383InvestmentEarningsOrLossesAmt
Other Expenditures$216,455OtherExpendituresAmt
End Year Balance$3,010,269EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,219,754BeginningYearBalanceAmt
Contributions$1,912,666ContributionsAmt
Investment Earnings Or Losses$18,673InvestmentEarningsOrLossesAmt
Other Expenditures$163,175OtherExpendituresAmt
End Year Balance$2,987,918EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,220,654BeginningYearBalanceAmt
Contributions$476,603ContributionsAmt
Investment Earnings Or Losses$6,849InvestmentEarningsOrLossesAmt
Other Expenditures$484,352OtherExpendituresAmt
End Year Balance$1,219,754EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.35000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.40000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.25000TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd
Related Org List Sch RfalseRelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,714,013OtherCostOrOtherBasisAmt
Book Value$10,714,013BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$129,022,890OtherCostOrOtherBasisAmt
Depreciation$34,283,973DepreciationAmt
Book Value$94,738,917BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,873,959OtherCostOrOtherBasisAmt
Depreciation$1,376,579DepreciationAmt
Book Value$497,380BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$52,007,012OtherCostOrOtherBasisAmt
Depreciation$24,521,095DepreciationAmt
Book Value$27,485,917BookValueAmt
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildingsGrp
Total Book Value Land Buildings$133,436,227TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
DUE TO THIRD PARTY PAYORS$6,459,361
ACCRUED PENSION COST$5,047,177
WORKERS COMP. AND LIABILITY$10,777,465
ASSET RETIREMENT OBLIGATION$8,987,463
DUE TO RELATED PARTIES$1,229,383
DEFERRED INCOME$42,669
LOAN PAY GH - TAX EXEMPT BONDS$48,405,040
FieldValueIRS element (for citing)
Total Liability$80,948,558TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$100,200,640TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$100,200,640RevenueSubtotalAmt
Other Revenues Not Included$2,026,177OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$2,026,177RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$102,226,817TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$95,247,409TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$95,247,409ExpensesSubtotalAmt
Total Expenses Per Form990$95,247,409TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4INTENDED USE OF ENDOWMENT FUNDS ALL ENDOWEMENT FUNDS ARE USED IN FURTHERANCE OF THE ORGANIZATION'S TAX-EXEMPT PURPOSE. ---------------
SCHEDULE D, PART X, LINE 2TEXT OF FIN 48 DISCLOSURE ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE HOSPITAL TO EVALUATE TAX POSITIONS TAKEN BY THE HOSPITAL AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE HOSPITAL HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICES. THE HOSPITAL HAS CONCLUDED THAT AS OF DECEMBER 31, 2015 AND 2014, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSE IN THE FINANCIAL STATEMENTS. ---------------
SCHEDULE D, PART XI, LINE 2DDETAIL OF OTHER REVENUE ITEMS NOT IN AUDITED TOTAL REVENUE: INTEREST AND DIVIDENDS NET OF FEES 1,313,718 REALIZED GAIN ON SALE OF ASSETS OTHER THAN INVENTORY 712,462

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$599,108TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$599,108NetCommunityBenefitExpnsAmt
Total Expense0.00630TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$14,589,435TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,397,665DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,191,770NetCommunityBenefitExpnsAmt
Total Expense0.05450TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,188,543TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,397,665DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,790,878NetCommunityBenefitExpnsAmt
Total Expense0.06080TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,744TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,744NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,744TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,744NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,191,287TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,397,665DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,793,622NetCommunityBenefitExpnsAmt
Total Expense0.06080TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$7,643,787BadDebtExpenseAmt
Bad Debt Expense Attributable$599,108BadDebtExpenseAttributableAmt
Reimbursed By Medicare$29,975,800ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$44,161,640CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$14,185,840MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CORNING HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 Guthrie DriveAddressLine1Txt
CityCORNINGCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14830ZIPCd
FieldValueIRS element (for citing)
Website AddressGUTHRIE.ORG/LOCATION/CORNING-HOSPITALWebsiteAddressTxt
State LicenseLICENSE # 500100HStateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1CORNING HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE SUPPLEMENTAL DISCLOSUREOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE SUPPLEMENTAL DISCLOSUREStrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE SUPPLEMENTAL DISCLOSUREFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE SUPPLEMENTAL DISCLOSUREFAPAppAvailableOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, SECTION B, LINE 5- INPUT FROM COMMUNITYTHE CORNING HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT BEGAN WITH A REVIEW OF PRIMARY DATA SOURCES, SPECIFICALLY SURVEY AND FOCUS GROUP DATA THAT HAD BEEN COLLECTED THROUGHOUT 2012. 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 TWENTY INDICATORS OF HEALTH WERE IDENTIFIED TO BE BELOW OR ABOVE THE STATE, US OR HEALTHY PEOPLE 2020 GOAL. ONCE THESE TWENTY 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 THROUGHOUT 2012 AND 2013 WITH THE S2AY RURAL HEALTH NETWORK EAST CENTRAL DIVISION OF THE AMERICAN CANCER SOCIETY, TIOGA PARTNERSHIP FOR COMMUNITY HEALTH, AND THE CHEMUNG, SCHUYLER, AND STEUBEN HEALTH DEPARTMENTS FOR THEIR REVIEW, INPUT, AND SOLICITATION OF WRITTEN COMMENTS. ---------------
PART V, SECTION B, LINE 6A & 6B- JOINT CHNATHE CHNA WAS CONDUCTED WITH OTHER HOSPITALS AND OTHER ORGANIZATIONS. ST. JAMES MERCY HOSPITAL WAS A KEY PARTNER IN THE STEUBEN HEALTH PRIORITIES TEAM THAT IS COMMITTED TO IMPROVING THE HEALTH OF STEUBEN COUNTY RESIDENTS. IRA DAVENPORT MEMORIAL HOSPITAL WAS A KEY PARTNER IN THE STEUBEN HEALTH PRIORITIES TEAM THAT IS COMMITTED TO IMPROVING THE HEALTH OF STEUBEN COUNTY RESIDENTS. ARNOTHEALTH- WAS A KEY PARTNER IN THE STEUBEN HEALTH PRIORITIES TEAM THAT IS COMMITTED TO IMPROVING THE HEALTH OF STEUBEN COUNTY RESIDENTS. THE MEMBERS OF THE TEAM HAVE AGREED TO MEET ON A REGULAR BASIS TO ENSURE THAT THE INITIATIVES OUTLINED IN THE COMMUNITY HEALTH IMPROVEMENT AND COMMUNITY SERVICE PLANS ARE IMPLEMENTED, MONITORED, AND EVALUATED. ---------------
PART V, SECTION B, LINE 7 & 10- CHNA & IMP. PLAN PUBLIC AVAILABILITYA COPY OF THE ORGANIZATION'S CHNA CAN BE FOUND AT: https://www.guthrie.org/sites/default/files/CH_CHNA.July2016.pdf A COPY OF THE ORGANIZATION'S IMPLEMENTATION PLAN CAN BE FOUND AT: https://www.guthrie.org/sites/default/files/2016%20Implementation%20Plans% 20Corning%20Hospital_0.pdf --------------------
PART V, SECTION B, LINE 11- ADDRESSING THE NEEDS IDENTIFIED IN THE CHNAFOR A COMPLETE DESCRIPTION ON HOW THE ORGANIZATION IS ADDRESSING THE NEEDS IDENTIFIED IN THE MOST RECENTLY COMPLETED CHNA, SEE THE FOLLOWING: https://www.guthrie.org/sites/default/files/2016%20Implementation%20Plans% 20Corning%20Hospital_0.pdf 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 & 16B- FAP PUBLIC AVAILABILITYA COPY OF THE ORGANIZATION'S FAP CAN BE FOUND AT: https://www.guthrie.org/sites/default/files/The%20Guthrie%20Clinic%20Chari ty%20Care%20Policy%202016.pdf --------------------
PART V, SECTION B, LINE 22(D)- DETAIL OF MAXIMUM CHARGESALL PATIENTS ARE BILLED BASED ON THE CHARGES ESTABLISHED IN THE HOSPITAL'S CHARGEMASTER. DISCOUNTS ARE GIVEN IN ACCORDANCE WITH THE FINANCIAL ASSISTANCE POLICY FOR THOSE WHO ARE UNINSURED. A PROMPT PAY DISCOUNT IS GIVEN TO THOSE WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE. ADDITIONAL DISCOUNTS ARE CONSIDERED ON A CASE BY CASE BASIS DEPENDING ON THE PATIENT'S SITUATION AND THE TOTAL AMOUNT DUE TO THE HOSPITAL. --------------------
PART V,SECTION B, LINE 22Uninsured patients of Corning Hospital that qualify for assistance under the FAP are chaged based upon income eligibility whereby the following guidelines are applied: Income as % of FPG 0-100% 101-200% 201-300% % of Charge Written off 100% 80% 50%
PART V, SECTION B, LINE 16(A)WWW.GUTHRIE.ORG/LOCATION/CORNING-HOSPITAL
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Supplemental Information Detail SupplementalInformationDetail (7 entries)

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SUPPLEMENTAL DISCLSOURESPART I, LINE 6A- PREPARATION OF A COMMUNITY BENEFIT REPORT CORNING HOSPITAL FILES AN ANNUAL COMMUNITY SERVICE PLAN IN RESPONSE TO NEW YORK STATE DEPARTMENT OF HEALTH REQUIREMENTS. --------------- PART I, LINE 7- COSTING METHODOLOGY USED 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 EXPENSETHE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINES 2 AND 3 ARE BASED ON ACTUAL CHARGES WRITTEN OFF (AMOUNTS THAT ARE DEEMED TO BE UNCOLLECTIBLE). -------------------- PART III, SECTION A, LINE 4- BAD DEBT EXPENSE FOOTNOTE THE TEXT OF THE BAD DEBT FOOTNOTE CAN BE FOUND ON PAGE 13 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. -------------------- 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 ASSESSMENTDESCRIPTION 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. CORNING HOSPITAL AND STEUBEN COUNTY PUBLIC HEALTH EMBARKED ON AN 18 MONTH LONG PROCESS TO COLLECT DATA, SOLICIT OPINIONS, FACILITATE A PROCESS AND GUIDE A DISCUSSION TO DETERMINE NOT ONLY WHAT THE MOST PRESSING PROBLEMS FACING OUR RESIDENTS ARE, BUT ALSO WHAT WE CAN EFFECTIVELY AND EFFICIENTLY ADDRESS. THE MAPP (MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP) PROCESS WAS USED TO ACCOMPLISH THIS. CORNING HOSPITAL AND STEUBEN COUNTY PUBLIC HEALTH DEPT. WERE CHARGED WITH WORKING WITH OTHER KEY LOCAL PARTNERS TO SELECT TWO KEY HEALTH PRIORITIES AND ONE DISPARITY TO ADDRESS IN THE COMMUNITY. IN THE END, CORNING HOSPITAL, STEUBEN COUNTY PUBLIC HEALTH AND THE PARTNER AGENCIES DECIDED TO TACKLE TWO TOUGH AREAS UNDER THE NEW YORK STATE DEPT. OF HEALTH PRIORITY OF THE PREVENTION OF CHRONIC DISEASE: 1. REDUCE OBESITY IN CHILDREN AND ADULTS 2. REDUCE HEART DISEASE AND HYPERTENSION THE DISPARITY THE PARTNERS CHOSE TO ADDRESS WAS TO: PROMOTE TOBACCO CESSATION, ESPECIALLY AMONG LOW SES POPULATIONS AND THOSE WITH MENTAL HEALTH ILLNESS. STATUS OF PRIORITIES- THE HOSPITAL'S FIT AND STRONG TOGETHER (FAST) COMMITTEE, FORMED TO ADDRESS PREVENTION PRIORITIES, HAS BEEN SUCCESSFUL AT INITIATING AND/OR IMPLEMENTING A NUMBER OF PROGRAMS RELATING TO CHRONIC DISEASE THAT ARE AIMED AT IMPACTING THE RESULTING HEALTH-RELATED ISSUES DOCUMENTED AS ARISING FROM CHILDHOOD OBESITY AND POOR NUTRITION AND FITNESS. THEY HAVE MADE NUMEROUS PRESENTATIONS TO INSURERS, PROVIDERS, CORPORATIONS, CIVIC GROUPS AND OTHERS TO RAISE AWARENESS OF THEIR EFFORTS AND TO ENGAGE THE ENTIRE COMMUNITY. FAST HAS ALSO SUCCESSFULLY OBTAINED FUNDING FOR TRAINING, SUPPLIES, EQUIPMENT AND MATERIALS RELATED TO THE PROGRAMS BEING IMPLEMENTED. THE GOAL OF THIS MORE FOCUSED APPROACH IS TO HAVE A DEFINITIVE IMPACT ON ACCESS TO CARE FOR OBESE CHILDREN (AND THEIR FAMILIES) IN NEED OF LIFESTYLE MANAGEMENT THAT WILL IMPROVE THEIR HEALTH. ALIGNING THIS PRIORITY WITH THE HOSPITAL'S WORK TO ADDRESS CHILDHOOD OBESITY UTILIZES THE EXPERTISE AND SYNERGY OF FAST TO ADDRESS AN UNMET COMMUNITY HEALTH NEED. PLAN OF ACTION UPDATE PE4LIFE PROGRAM: PE4LIFE IS GEARED AT REDUCING CHILDHOOD OBESITY IN SCHOOL AGE CHILDREN. CORNING HOSPITAL AND THE FIT AND STRONG TOGETHER COMMUNITY COALITION HAVE WORKED WITH THE CORNING-PAINTED POST SCHOOL DISTRICT (C-PP) TO SUCCESSFULLY IMPLEMENT THE PE4LIFE (FITNESS FOR LIFE) PROGRAM IN THE SECOND GRADES FOR THREE OF ITS SIX ELEMENTARY SCHOOLS DURING THE LAST SCHOOL YEAR. ADDITIONALLY, STUDENTS IN THE PE4LIFE PROGRAM LAST YEAR STAYED WITH THE PROGRAM DURING THE NEXT SCHOOL YEAR AS THIRD GRADERS. ONE OF THE GOALS OF IMPLEMENTING PE4LIFE WAS TO PROVIDE PE (PHYSICAL EDUCATION) FIVE DAYS/WEEK. THIS WAS QUITE CHALLENGING FOR THE C-PP DISTRICT DUE TO LACK OF APPROPRIATE SPACE AND CURRICULUM MANDATES IN THE ELEMENTARY SCHOOLS. THIS GOAL WAS MET THROUGH THE COMMITMENT AND COLLABORATION OF DISTRICT PE EDUCATORS, ADMINISTRATORS, AND CLASSROOM TEACHERS. FUNDING ACQUIRED THROUGH FAST PAID FOR PE4LIFE TRAINING FOR PE TEACHERS AND OTHER C-PP STAFF AS WELL AS PULL-UP BARS, AGE-APPROPRIATE HEART-RATE MONITORS AND OTHER EQUIPMENT FOR THE CHILDREN IN THE PROGRAM. MORE FUNDING IS BEING SECURED TO TRAIN ADDITIONAL C-PP PERSONNEL AND PURCHASE MORE EQUIPMENT TO ALLOW FOR FURTHER EXPANSION OF THE PROGRAM. PE4LIFE IS USING BMI AS THE METRIC - AND ANY CHANGE IN BMI - AS THE PERFORMANCE MEASURE FOR THIS PROGRAM. BMI DATA WAS OBTAINED FOR STUDENTS PARTICIPATING IN THE PROGRAM IN THE FALL OF 2012 SHOWING LITTLE PROGRESS, THEREFORE THE DATA IS GOING TO BE MEASURED IN A DIFFERENT WAY IN THE FUTURE SINCE AN ACCURATE RESULT COULD NOT BE OBTAINED FROM THE BMI DATA. COOL 2B FIT: THIS PROGRAM IS FUNDED BY EXCELLUS BLUE CROSS/BLUE SHIELD AND WAS INTRODUCED IN C-PP ELEMENTARY SCHOOLS TWO YEARS AGO. THE PROGRAM INCLUDES SECOND, THIRD AND FOURTH GRADE STUDENTS AND PROVIDES THEM WITH TOOLS (CORRECT PORTION-SIZED PLATE, WRIST-WATCH HEART RATE MONITOR, BACKPACK, ETC.) AND INFORMATION TO TAKE HOME AND SHARE WITH THEIR FAMILIES. THE PROGRAM ENGAGES STUDENTS IN INTERACTIVE ACTIVITIES, SUCH AS FOOD TASTINGS, MAKING HEALTHY SNACKS, GROCERY SHOPPING AND READING FOOD LABELS. THE GOAL IS TO HELP STUDENTS, AND THEIR FAMILIES, MAKE HEALTHY FOOD CHOICES AT SCHOOL AND AT HOME. CPP TRACKS THE NUMBERS OF STUDENTS INVOLVED IN THIS PROGRAM, AND USES SURVEYS TO ASSESS STUDENT REACTIONS AND PERCEPTIONS OF THE PROGRAM. 5-2-1-0: THIS PROGRAM OFFERS CHILDREN A SIMPLE WAY TO REMEMBER THE HEALTHY CHOICES THEY SHOULD STRIVE TO MAKE EACH DAY. SPECIFICALLY, THE NUMBERS REPRESENT THE FOLLOWING DAILY HEALTH GUIDELINES: 5 SERVINGS OF FRUITS/VEGETABLES, NO MORE THAN 2 HOURS OF SCREEN TIME, 1 HOUR OF VIGOROUS ACTIVITY/PLAY, AND NO SUGARY DRINKS. INFORMATIONAL POSTERS AND FLYERS ABOUT 5-2-1-0 HAVE BEEN DISTRIBUTED THROUGHOUT THE C-PP DISTRICT, THE CORNING COMMUNITY YMCA, SOUTHEAST STEUBEN COUNTY LIBRARY, CORNING CITY PARKS AND RECREATION PROGRAM AND OTHER ORGANIZATIONS THROUGHOUT THE REGION. MAY 5-12, 2012, A 5-2-1-0 WEEK WAS DECLARED IN CORNING, NY. OVER 20,000 INFORMATIONAL FLYERS WERE DISTRIBUTED AT WEGMAN'S GROCERY STORE. A DECLARATION WAS READ IN THE TOWN SQUARE IN CONJUNCTION WITH CORNING CLEAN UP DAY AND AN HOUR LONG ZUMBA CLASS WAS HELD IN THE SQUARE FOR THE COMMUNITY. CHILDHOOD OBESITY REFERRAL PROGRAM: THE FIT AND STRONG TOGETHER COMMUNITY COALITION IS ATTEMPTING TO ACQUIRE FUNDING TO ESTABLISH A PROGRAM TO WHICH PEDIATRICIANS AND OTHER PROVIDERS CAN REFER OBESE CHILDREN FOR GUIDANCE WITH LIFESTYLE ISSUES. IN TERMS OF PROGRAM DESIGN, A NUMBER OF AVENUES ARE BEING EVALUATED, INCLUDING: DUPLICATION OF A SIMILAR PROGRAM (FIT FAMILIES IN THE SOUTHERN TIER, SERVING CHEMUNG CO, NY). HEALTHY KIDS DAY: HEALTHY KIDS DAY FOR THE GREATER CORNING AREA, HELD MAY 12, 2012. THIS EVENT WAS WELL ATTENDED WITH HUNDREDS OF CHILDREN AND THEIR FAMILIES AVAILING THEMSELVES OF INFORMATION ON A HOST OF HEALTH TOPICS AS WELL AS WATCHING DEMONSTRATIONS AND ENGAGING IN ACTIVITIES. THIS EVENT WAS HELD AGAIN IN APRIL 2013 AT THE CORNING COMMUNITY YMCA. NON-PREVENTION PRIORITIES CONSIDERED IN THE ASSESSMENT PROCESS: THE HOSPITAL IS ACTIVELY ENGAGED WITH THE COMMUNITY ON MANY LEVELS AND HOSTS OR PARTICIPATES IN A VARIETY OF ACTIVITIES RELATED TO COMMUNITY HEALTH AND WELL-BEING, INCLUDING HEALTH EDUCATION AND HEALTH SCREENINGS. --------------------
PART VI, LINE 3- PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEPATIENTS 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 INFORMATIONA. 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 HEALTHTHE FOLLOWING OVERVIEW PROVIDES EXAMPLES OF THE HOSPITAL'S SUCCESSES IN PROVIDING ACCESS TO HIGH QUALITY HEALTH CARE AS WELL AS OTHER SERVICE AND ACTIVITY BEYOND THE PROVISION OF DIRECT CARE. ACCESS TO HIGH QUALITY CARE- CORNING HOSPITAL WAS RANKED AS THE TENTH BEST IN NEW YORK STATE FOR OVERALL HOSPITAL CARE BY THE DELTA GROUP AS PART OF ITS 2014 QUALITY AWARDS FROM CARE CHEX, A DIVISION OF THE DELTA GROUP, INC. THE RANKINGS BELOW INCLUDE TYPES OF CARE/SPECIALTIES FOR WHICH CORNING HOSPITAL RANKED IN THE TOP 10 PERCENT IN THE STATE, AND IN THE COUNTRY. MEDICAL EXCELLENCE AWARDS- TOP 10 PERCENT IN NEW YORK: CANCER CARE AND GALL BLADDER REMOVAL TOP 10 PERCENT IN NATION: GALL BLADDER REMOVAL 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 8 BLOOD DRIVES IN 2015 AND A TOTAL OF 199 UNITS WERE COLLECTED, WITH 10 NEW DONORS IDENTIFIED. THE HOSPITAL PARTICIPATED AS THE PRIMARY SPONSOR IN THE LOCAL AMERICAN CANCER SOCIETY'S RELAY FOR LIFE EVENT. IT RAISED MONEY, FORMED TEAMS AND HOSTED THE PRE-EVENT SURVIVOR DINNER. 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 POP CAN 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 931 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 NOW 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. ---------------
PART VI, LINE 6- DETAIL REGARDING AFFILIATED HEALTH CARE SYSTEM ROLESCORNING HOSPITAL IS PART OF THE GUTHRIE CLINIC. SEE SCHEDULE O, FORM 990, PART III, LINE 1- STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS FOR MORE INFORMATION. STATE FILING OF COMMUNITY BENEFIT REPORT NY

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
FRANCIS M MACAFEE
CFO/VP FINANCE$162,229$0$21,118$0$696$0$11,001$0$17,454$0$212,498$0$0$0
LOUIS R DUBOIS MD
MEMBER- BOD & MED STAFF PRES.$0$453,238$0$0$0$808$0$15,900$0$11,336$0$481,282$0$0
JOSEPH SCOPELLITI MD
MEMBER- BOD$0$656,417$0$149,931$0$3,793$0$17,225$0$10,391$0$837,757$0$0
RUSSELL C WOGLOM MD
MEMBER- BOD$0$333,736$0$18,294$0$600$0$15,900$0$17,454$0$385,984$0$0
SHIRLEY MAGANA
PRESIDENT/COO (UNTIL 7/1/15)$118,501$0$29,497$0$112,493$0$16,820$0$5,700$0$283,011$0$0$0
COLIN BAILEY
RADIATION PHYSICIST$181,383$0$0$0$894$0$9,523$0$5,700$0$197,500$0$0$0
MARK HOPSON
PHARMACY MANAGER$137,328$0$5,681$0$0$0$8,581$0$17,454$0$169,044$0$0$0
GREGORY KRIEL
PHARMACIST$135,835$0$0$0$0$0$8,150$0$17,454$0$161,439$0$0$0
VENOGOPAL THIRUMURTI MD
MEMBER- BOD & MED STAFF VP$0$408,130$0$0$0$693$0$33,900$0$17,454$0$460,177$0$0
JAMES PERLE MD
MEMBER-BOD MEDICAL STAFF SEC$0$251,800$0$11,918$0$600$0$11,797$0$11,336$0$287,451$0$0
JOEL MCCLURG MD
MEMBER-BOD MEDICAL STAFF TREAS$0$476,611$0$0$0$839$0$18,931$0$17,454$0$513,835$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1A- QUESTIONS REGARDING COMPENSATIONTAX 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 INFORMATIONEXECUTIVE 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.

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArtGrp
Art Historical TreasuresArtHistoricalTreasuresGrp
Art Fractional InterestArtFractionalInterestGrp
Books And PublicationsBooksAndPublicationsGrp
Clothing And Household GoodsClothingAndHouseholdGoodsGrp
Cars And Other VehiclesCarsAndOtherVehiclesGrp
Boats And PlanesBoatsAndPlanesGrp
Intellectual PropertyIntellectualPropertyGrp

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution4ContributionCnt
Noncash Contributions Rpt F990$57,160NoncashContributionsRptF990Amt
FieldValueIRS element (for citing)
Securities Closely Held StockSecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust IntrstsSecurPrtnrshpTrustIntrstsGrp
Securities MiscellaneousSecuritiesMiscellaneousGrp
Qualified Contrib Hist StructQualifiedContribHistStructGrp
Qualified Contrib OtherQualifiedContribOtherGrp
Real Estate ResidentialRealEstateResidentialGrp
Real Estate CommercialRealEstateCommercialGrp
Real Estate OtherRealEstateOtherGrp
CollectiblesCollectiblesGrp
Food InventoryFoodInventoryGrp
Drugs And Medical SuppliesDrugsAndMedicalSuppliesGrp
TaxidermyTaxidermyGrp
Historical ArtifactsHistoricalArtifactsGrp
Scientific SpecimensScientificSpecimensGrp
Archaeological ArtifactsArchaeologicalArtifactsGrp
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd
Supplemental Information DetailSupplementalInformationDetail

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (20 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 1BRIEF DESCRIPTION OF ORGANIZATION'S MISSION TO PROVIDE MEDICAL CARE SERVICES TO THE PUBLIC. HELP EACH PERSON ATTAIN OPTIMAL, LIFE-LONG HEALTH AND WELL-BEING BY PROVIDING CLINICALLY-ADVANCED SERVICES TO PREVENT, DIAGNOSE AND TREAT DISEASES. --------------- FORM 990, PART III STATEMENT OF PROGRAM SERVICES ACCOMPLISHMENTS CORNING HOSPITAL IS A SUBSIDARY OF THE GUTHRIE CLINIC. THE GUTHRIE CLINIC IS A NONPROFIT HEALTH CARE ORGANIZATION INCORPORATED FOR THE PURPOSE OF CONDUCTING EXCLUSIVELY CHARITABLE SCIENTIFIC AND EDUCATIONAL ACTIVITIES. THE GUTHRIE CLINIC (TGC)ACTS AS THE PARENT OF AN INTEGRATED SECTION 501(C)(3) HEALTH CARE DELIVERY SYSTEM, CONSISTING OF THE CORPORATION AND OTHER DIRECTLY AND INDIRECTLY CONTROLLED ENTITIES(SEE FORM 990, SCHEDULE R FOR A LISTING OF THE AFFILIATES OF TGC)INCLUDING BUT NOT LIMITED TO GUTHRIE MEDICAL GROUP, P.C.(GMG) AND ROBERT PACKER HOSPITAL(RPH). THROUGH THE ACTIVITIES OF GMG, RPH AND ITS OTHER AFFILIATES(COLLECTIVELYREFFERED 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 PRIMARRY 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 GUTHRIEE 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 COMMINITY NEEDS. GUTHRIE SEEKS TO BE THE PROVIDER OF CHOICE FOR PATIENTS IN THE TWIN TIER REGION, AND TO BERECOGNIZED 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 $1.49 MILLION IN 2016 AND $2.64 MILLION IN 2015 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 $2.86 MILLION AND $2.64 MILLION IN BAD DEBTS FOR 2016 AND 2015 RERSPECTIVELY. 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 $16.1 MILLION AND $17.5 MILLION IN 2016 AND 2015, 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 VALIDATEPATIENTS' INABILITY TO PAY FOR SERVICES AND INELIGIBILITY UNDER OTHER PROGRAMS. THE ESTIMATED LOSS INCURRED BY GUTHRIE FROM PROVIDING SERVICES TO MEDICAID PATIENTS AMOUNTED TO $37.95 MILLION AND $25.48 MILLIONN IN 2016 AND 2015, RESPECTIVELY. THE TOTAL COST TO GUTHRIEE IN SUPPORTING THESE CHARITABLE MISSION PROGRAMS WAS APPROXIMATELY $58.37 MILLION AND $48.27 MILLION IN 2016 AND 2015, 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 LEVELII 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 LEVEL1 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 EFORT IS MADE TO PROVIDE PERSONAL, COMPASSIONATE MEDICAL CARE. THE GMG OPERATESS A REGIONAL OFFICE NETWORK IN 23 COMMUNITIES IN PENNSYLVANIA AND NEW YORK, ENCOMPASSING ALL THE MAJOR POPULATION CENTERS IN THE TWIN TIERS AREA. THE GUTHRIE CLINIC HAS DEVELOPED CERTAIN GUIDING PRINCIPLES FOR THE PRVISION OF PATIENT CARE, WHICH INCLUDE A COMMITMENT THE FOLLOWING: *PRACTICE OF CLINICAL EXCELLENCE. *UTILIZATION OF THE SYNERGY OF MULTI-SPECIALTY MEDI
FORM 990, PART IV, LINE 12bDETAIL OF CONSOLIDATED FINANCIAL STATEMENTS THE ORGANIZATION'S FINANCIAL STATEMENTS WERE AUDITED SEPERATELY, AS WELL AS ON A CONSOLIDATED BASIS WITH THE GUTHRIE CLINIC AND AFFILIATES. --------------- FORM 990, PART VI, SECTION A, LINE 6 MEMBERSHIP INFORMATION THE GUTHRIE CLINIC IS THE SOLE MEMBER OF CORNING HOSPITAL. ---------------
FORM 990, PART VI, SECTION A, LINE 7aMEMBERSHIP INFORMATION AS THE SOLE MEMBER OF CORNING HOSPITAL, THE GUTHRIE CLINIC APPOINTS THE ORGANIZATION'S BOARD OF DIRECTORS. ---------------
FORM 990, PART VI, SECTION A, LINE 7bMEMBERSHIP INFORMATION AS THE SOLE MEMBER OF CORNING HOSPITAL, THE GUTHRIE CLINIC HAS APPROVAL RIGHTS OF CERTAIN BOARD DECISIONS. ---------------
FORM 990, PART VI, SECTION B, LINE 11FORM 990 REVIEW PROCESS THE FORM 990 OF THE ORGANIZATION IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW AND IS ALSO REVIEWED BY THE ORGANIZATION'S FINANCE PERSONNEL AND AN INDEPENDENT ACCOUNTING FIRM PRIOR TO FILING WITH THE IRS. ---------------
FORM 990, PART VI, SECTION B, LINE 12CCONFLICT OF INTEREST POLICY THE CONFLICT OF INTEREST DISCLOSURE POLICY SETS FORTH THAT ALL PERSONS, INCLUDING EMPLOYEES, AGENTS AND BOARD/COMMITTEE MEMBERS, PARTICULARLY THOSE INVOLVED IN DECISION-MAKING FOR THE GUTHRIE CLINIC (TGC) , ACT IN AN APPROPRIATE MANNER AND WILL NOT PARTICIPATE IN ANY ACTIONS THAT MIGHT CREATE A PERSONAL OR PROFESSIONAL CONFLICT OF INTEREST AND/OR NOT BE IN THE BEST INTEREST OF TGC. ALL MEMBERS OF ANY TGH BOARD/ COMMITTEE AND TGH SENIOR MANAGEMENT MUST MAKE FULL DISCLOSURE OF ANY POSSIBLE CONFLICT OF INTEREST THROUGH THE USE OF THE CONFLICT OF INTEREST DISCLOSURE FORM AND REFRAIN FROM VOTING OR PARTICIPATING IN DECISION-MAKING INVOLVING ANY POSSIBLE CONFLICT OF INTEREST. THE FORM IS DISTRIBUTED TO ALL BOARD/COMMITTEE MEMBERS AND EMPLOYEES (WHEN APPLICABLE) ANNUALLY BY THE TGC ADMINISTRATION OFFICE. TGC BOARD/COMMITTEE MEMBERS OR EMPLOYEES MUST COMPLETE THE CONFLICT OF INTEREST DISCLOSURE FORM. THIS FORM SHOULD BE COMPLETED WHEN THERE IS ANY SITUATION WHERE A POSSIBLE CONFLICT OF INTEREST EXISTS, AND/OR ON AN ANNUAL BASIS AND/OR AT THE TIME OF APPOINTMENT OR ELECTION OF NEW BOARD/COMMITTEE MEMBERS. IF THE FORM IS NOT COMPLETED WITHIN 13 MONTHS OF THE LAST SIGNING, THE TGC BOARD CHAIRMAN WILL BE ADVISED. ANY INDIVIDUAL HAVING A CONFLICT OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON ANY MATTER SHOULD EXCUSE THEMSELVES FROM THE PORTION OF THE MEETING OR MEETINGS WHERE THE MATTER IS DISCUSSED AND NOT VOTE OR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER. THE MINUTES OF THE MEETING OR MEETINGS SHOULD REFLECT THE DISCLOSURE, THE ABSTENTION FROM VOTING, AND ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST EXISTED. ---------------
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION REVIEW AND APPROVAL EXECUTIVE COMPENSATION IS GENERALLY ESTABLISHED WITHIN A WRITTEN EMPLOYMENT AGREEMENT. COMPENSATION IS DETERMINED BASED ON MARKET STUDIES, PRESENTED TO THE EXECUTIVE COMPENSATION COMMITTEE, AND SUBSEQUENTLY APPROVED BY THE BOARD OF DIRECTORS. ---------------
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS THE ORGANIZATION'S FORMS 1023, 990 AND 990-T FILINGS ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. THE ORGANIZATION DOES NOT ROUTINELY MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. ---------------
FORM 990, PART XI, LINE 9RECONCILIATION OF NET ASSETS DETAIL OF OTHER CHANGES IN NET ASSETS OR FUND BALANCES: PENSION OBLIGATION $(1,270,894) NET REALIZED GAIN/LOSSES ON RESTRICTED INVESTMENTS 260,964 NET ASSETS RELEASED FROM RESTRICTIONS (60,283) ------------ TOTAL $(1,070,213) ---------------
FORM 990, PART XII, LINE 2bDETAIL OF CONSOLIDATED FINANCIAL STATEMENTS THE ORGANIZATION'S FINANCIAL STATEMENTS WERE AUDITED SEPERATELY, AS WELL AS ON A CONSOLIDATED BASIS WITH THE GUTHRIE CLINIC AND AFFILIATES. ---------------
FORM 990 PART IX LINE 11GDESCRIPTION:MAINTENANCE TOTAL FEES:1288870
FORM 990 PART IX LINE 11GDESCRIPTION:COLLECTION TOTAL FEES:552169
FORM 990 PART IX LINE 11GDESCRIPTION:LABORATORY TOTAL FEES:579818
FORM 990 PART IX LINE 11GDESCRIPTION:CONSULTANTS TOTAL FEES:327324
FORM 990 PART IX LINE 11GDESCRIPTION:PHYSICIAN FEES TOTAL FEES:3739030
FORM 990 PART IX LINE 11GDESCRIPTION:TEMPORARY STAFF TOTAL FEES:776374
FORM 990 PART IX LINE 11GDESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:2667999
FORM 990 PART IX LINE 11GDESCRIPTION:LAUNDRY TOTAL FEES:244950
FORM 990 PART IX LINE 11GDESCRIPTION:IS - INTERNAL TOTAL FEES:1384975
FORM 990 PART IX LINE 11GDESCRIPTION:PHARMACY TOTAL FEES:42337

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
THE GUTHRIE CLINIC
ONE GUTHRIE SQUARESAYREPA18840233055017SUPPORTINGPA501 (C)(3)11C,IIINAfalse
GUTHRIE MEDICAL GROUP PC
ONE GUTHRIE SQUARESAYREPA18840250815795HEALTHCAREPA501 (C)(3)3TGCfalse
SAYRE HOUSE OF HOPE
ONE GUTHRIE SQUARESAYREPA18840203979472HEALTHCAREPA501 (C)(3)7TGCfalse
ROBERT PACKARD HOSPITAL
ONE GUTHRIE SQUARESAYREPA18840240795463HEALTHCAREPA501 (C)(3)3TGCfalse
DONALD GUTHRIE FOUNDATION FOR EDUCATION
200 S WILBUR AVESAYREPA18840246022957MED RESEARCHPA501 (C)(3)4TGCfalse
TROY COMMUNITY HOSPITAL INC
275 GUTHRIE DRtroyPA16947240800337HEALTHCAREPA501 (C)(3)3TGCfalse
TIOGA HEALTHCARE FACILITY
ONE GUTHRIE SQUARESAYREPA18840150532257HEALTHCARENY501 (C)(3)3TGCfalse
GUTHRIE HOME CARE
421 TOMAHAWK RDTOWANDAPA18848232394345HOME HEALTHPA501 (C)(3)9TGCfalse
GUTHRIE RISK RETENTION GROUP
151 MEETING STCHARLESTONSC29401201090801SUPPORTINGSC501 (C)(3)11A,ITGCfalse
TIOGA NURSING FACILITY
ONE GUTHRIE SQUARESAYREPA18840222979677NURSING FAC.NY501 (C)(3)3TGCfalse
GUTHRIE TOWANDA MEMORIAL HOSPITAL
91 HOSPITAL DRIVETOWANDAPA18848240786657HEALTHCAREPA501(c)(3)3TGCfalse
THE MEMORIAL HOSPITAL FOUNDATION
91 HOSPITAL DRIVETOWANDAPA18848651160811SUPPORTINGPA501(c)(3)11A,IGTMHfalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1TWIN TIER MANAGEMENT CORP INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 310AddressLine1Txt
CitySAYRECityNm
State AbbreviationPAStateAbbreviationCd
ZIP18840ZIPCd
FieldValueIRS element (for citing)
EIN232209439EIN
Primary ActivitiesMANAGEMENT COPrimaryActivitiesTxt
Legal Domicile StatePALegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeC CORPEntityTypeTxt
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd