CORNING HOSPITAL: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- CORNING HOSPITAL (EIN 16-0393490)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-17
- IRS object ID
- 201403219349308410
- Schema version
- 2013v3.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-11-17T14:22:41-06:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PricewaterhouseCoopers LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2001 MARKET ST SUITE 1700 | AddressLine1 |
| City | PHILADELPHIA | City |
| State | PA | State |
| ZIP Code | 19103 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 160393490 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CORNING HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % FRANCIS M MACAFEE | InCareOfNm |
| Business Name Control | CORN | BusinessNameControlTxt |
| Phone | 6079377200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 Guthrie Drive | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | CORNING | City |
| State | NY | State |
| ZIP Code | 148302814 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | FRANCIS M MACAFEE | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 6079377200 | PhoneNum |
| Signature | 2014-11-17 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MATTHEW D PETROSKI | PreparerPersonNm |
| PTIN | P00853132 | PTIN |
| Phone | 6079377200 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Principal Officer | Shirley Magana | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 Guthrie Drive | AddressLine1 |
| City | Corning | City |
| State | NY | State |
| ZIP Code | 14830 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $220,109,241 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | http://www.corninghospital.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1900 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | SEE SCHEDULE O | ActivityOrMissionDesc |
| Voting Members Governing Body | 24 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 18 | VotingMembersIndependentCnt |
| Total Employee | 748 | TotalEmployeeCnt |
| Total Volunteers | 88 | TotalVolunteersCnt |
| Total Gross UBI | $363,842 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$82,708 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,587,547 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,936,627 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $89,975,415 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $88,253,308 | CYProgramServiceRevenueAmt |
| PY Investment Income | $8,999,824 | PYInvestmentIncomeAmt |
| CY Investment Income | $6,157,681 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$10,057 | PYOtherRevenueAmt |
| CY Other Revenue | -$13,082 | CYOtherRevenueAmt |
| PY Total Revenue | $101,552,729 | PYTotalRevenueAmt |
| CY Total Revenue | $96,334,534 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $31,961,627 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $31,902,597 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $94,996 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $42,955,605 | PYOtherExpensesAmt |
| CY Other Expenses | $40,577,256 | CYOtherExpensesAmt |
| PY Total Expenses | $74,917,232 | PYTotalExpensesAmt |
| CY Total Expenses | $72,479,853 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $26,635,497 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $23,854,681 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $160,141,982 | TotalAssetsBOYAmt |
| Total Assets EOY | $215,528,310 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $59,118,032 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $88,414,896 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $101,023,950 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $127,113,414 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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 Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $50,974,824 | ExpenseAmt |
| Revenue | $88,253,308 | RevenueAmt |
| Desc | We are a 99-bed acute care facility with 24 hour emergency services and a full compliment of inpatient and out-patient treatment services. Inpatient days of 15,320 and outpatient visits of 127,675. Run 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. No one denied emergency care based on ability to pay. Have a charity care policy for medically necessary services. | Desc |
| Total Program Service Expenses | $50,974,824 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 748 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 24 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 18 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | FRANCIS M MACAFEE | PersonNm |
| Phone | 6079377917 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 GUTHRIE DRIVE | AddressLine1 |
| City | CORNING | City |
| State | NY | State |
| ZIP Code | 14830 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| DAVID E IOCCO | |||||||||
| MEMBER - BOD | 1.0 | 0.0 | Yes (X) | ||||||
| MICHAEL W DONNELLY | |||||||||
| MEMBER - BOD | 1.0 | 0.0 | Yes (X) | ||||||
| ARTHUR D FIELD | |||||||||
| MEMBER - BOD | 1.0 | 0.0 | Yes (X) | ||||||
| JUDITH ROWE | |||||||||
| MEMBER - BOD | 1.0 | 0.0 | Yes (X) | ||||||
| JACK E BENJAMIN | |||||||||
| 2ND VICE CHAIR - BOD | 1.0 | 0.0 | Yes (X) | ||||||
| DANIEL BOWER | |||||||||
| MEMBER | 1.0 | 0.0 | Yes (X) | ||||||
| CHARLES A CORRAO | |||||||||
| MEMBER - BOD | 1.0 | 0.0 | Yes (X) | ||||||
| LOUIS R DUBOIS MD | |||||||||
| MEMBER-BOD-MED STAFF PRES. | 1.0 | 40.0 | Yes (X) | $399,631 | $46,080 | ||||
| ALAN D LEWIS | |||||||||
| SECRETARY - BOD | 1.0 | 0.0 | Yes (X) | ||||||
| JOSEPH SCOPELLITI MD | |||||||||
| MEMBER - BOD | 1.0 | 40.0 | Yes (X) | $722,533 | $41,496 | ||||
| G THOMAS TRANTER JR | |||||||||
| 1st VICE CHAIR-BOD | 1.0 | 0.0 | Yes (X) | ||||||
| JOHN VAN ZANTEN III | |||||||||
| MEMBER - BOD | 1.0 | 0.0 | Yes (X) | ||||||
| MARCIA WEBER | |||||||||
| MEMBER - BOD | 1.0 | 0.0 | Yes (X) | ||||||
| RUSSELL C WOGLOM MD | |||||||||
| MEMBER - BOD | 1.0 | 40.0 | Yes (X) | $316,993 | $46,080 | ||||
| CHRISTOPHER J FORTIER | |||||||||
| MEMBER - BOD | 1.0 | 0.0 | Yes (X) | ||||||
| PHILIP J ROCHE ESQ | |||||||||
| CHAIRMAN - BOD | 1.0 | 0.0 | Yes (X) | ||||||
| MARY BETH GRIMALDI-MAXA | |||||||||
| MEMBER - BOD | 1.0 | 0.0 | Yes (X) | ||||||
| SHIRLEY MAGANA | |||||||||
| PRESIDENT/COO | 40.0 | 0.0 | Yes (X) | $13,446 | Yes (X) | $242,297 | |||
| FRAN OLMSTEAD | |||||||||
| MEMBER-BOD | 1.0 | 0.0 | Yes (X) | ||||||
| DANIEL ROURKE | |||||||||
| MEMBER-BOD | 1.0 | 0.0 | Yes (X) | ||||||
| CATHY WEIL | |||||||||
| MEMBER-BOD | 1.0 | 0.0 | Yes (X) | ||||||
| VENOGOPAL THIRUMURI MD | |||||||||
| MEMBER-BOD-Med. Staff VP | 1.0 | 40.0 | Yes (X) | $390,620 | $46,080 | ||||
| HAL SUSSMAN MD | |||||||||
| Member-BOD-Med. Staff Treas. | 1.0 | 40.0 | Yes (X) | $480,891 | $46,080 | ||||
| JEFFREY P KENEFICK | |||||||||
| TREASURER - BOD | 1.0 | 0.0 | Yes (X) | ||||||
| FRANCIS M MACAFEE | |||||||||
| CFO/VP FINANCE | 40.0 | 0.0 | $13,480 | Yes (X) | $176,800 | ||||
| DEBRA RAUPERS | |||||||||
| CHIEF NURSING OFFICER | 40.0 | 0.0 | $19,243 | $125,726 | Yes (X) | ||||
| COLIN BAILEY | |||||||||
| RADIATION PHYSICIST | 40.0 | 0.0 | $11,048 | $176,850 | Yes (X) | ||||
| SCOTT STEVENS | |||||||||
| Pharmacist | 40.0 | 0.0 | $20,510 | $133,891 | Yes (X) | ||||
| EVAN DAVIS | |||||||||
| Pharmacist | 40.0 | 0.0 | $19,449 | $119,979 | Yes (X) | ||||
| JENNIFER YARTYM | |||||||||
| SR. DIRECTOR, REHAB SERVICES | 40.0 | 0.0 | $15,534 | $108,247 | Yes (X) | ||||
| LILLIE ROLLINS | |||||||||
| DIRECTOR | 40.0 | 0.0 | $11,268 | $108,088 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,191,878 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,310,668 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $349,794 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 12 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| QUEST DIAGNOSTICS | |||||
| 2249 COLLECTION CENTER DRIVE | CHICAGO | IL | 60693 | Lab Pathology Servs | $265,780 |
| SIEMENS MEDICAL | |||||
| 51 VALLEY STREAM PARKWAY | MALVERN | PA | 19355 | MAINT SVCE AGREEMT | $146,357 |
| EXECUTIVE HEALTH RESOURCE | |||||
| PO Box 822688 | PHILADELPHIA | PA | 19182 | CONSULT-HEALTHRECORD | $315,370 |
| PARIS COMPANIES | |||||
| 3850 REACH ROAD | WILLIAMSPORT | PA | 17701 | LAUNDRY SERVICES | $216,162 |
| HARMONY HEALTHCARE LLC | |||||
| 600 S MAGNOLIA AVE SUITE 375 | TAMPA | FL | 33606 | Contract Coders | $205,136 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 8 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $189,001 | GovernmentGrantsAmt |
| All Other Contributions | $1,747,626 | AllOtherContributionsAmt |
| Noncash Contributions | $365,496 | NoncashContributionsAmt |
| Total Contributions | $1,936,627 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT SERVICE REVENUE | 621990 | $84,904,247 | $84,904,247 | |
| OTHER OPERATING INCOME | 900099 | $1,483,039 | $1,483,039 | |
| MEDICAL LAB SERVICES | 621910 | $363,842 | $363,842 | |
| MEANINGFUL USE REVENUE | 621990 | $1,502,180 | $1,502,180 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $88,253,308 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,915,855 | TotalRevenueColumnAmt |
| Exclusion | $1,915,855 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $17,920 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $31,002 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$13,082 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$13,082 | TotalRevenueColumnAmt |
| Exclusion | -$13,082 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $127,979,486 | SecuritiesAmt |
| Other | $6,045 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $123,739,626 | SecuritiesAmt |
| Other | $4,079 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $4,239,860 | SecuritiesAmt |
| Other | $1,966 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,241,826 | TotalRevenueColumnAmt |
| Exclusion | $4,241,826 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $96,334,534 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $87,889,466 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $363,842 | UnrelatedBusinessRevenueAmt |
| Exclusion | $6,144,599 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $562,708 | TotalAmt |
| Management And General | $562,708 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,004,835 | TotalAmt |
| Program Services | $19,914,183 | ProgramServicesAmt |
| Management And General | $6,060,917 | ManagementAndGeneralAmt |
| Fundraising | $29,735 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,716,942 | TotalAmt |
| Program Services | $1,288,886 | ProgramServicesAmt |
| Management And General | $428,056 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,611,101 | TotalAmt |
| Program Services | $1,210,681 | ProgramServicesAmt |
| Management And General | $400,420 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,007,011 | TotalAmt |
| Program Services | $1,510,313 | ProgramServicesAmt |
| Management And General | $496,698 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,421,232 | TotalAmt |
| Management And General | $2,421,232 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,999 | TotalAmt |
| Management And General | $57,999 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $709,205 | TotalAmt |
| Management And General | $709,205 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,944,477 | TotalAmt |
| Program Services | $6,213,309 | ProgramServicesAmt |
| Management And General | $2,731,168 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,181 | TotalAmt |
| Program Services | $2,224 | ProgramServicesAmt |
| Management And General | $34,957 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,307,791 | TotalAmt |
| Program Services | $1,511,414 | ProgramServicesAmt |
| Management And General | $731,771 | ManagementAndGeneralAmt |
| Fundraising | $64,606 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,471,639 | TotalAmt |
| Program Services | $817,249 | ProgramServicesAmt |
| Management And General | $1,654,390 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,719,324 | TotalAmt |
| Program Services | $478,375 | ProgramServicesAmt |
| Management And General | $1,240,949 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $116,729 | TotalAmt |
| Program Services | $30,821 | ProgramServicesAmt |
| Management And General | $85,751 | ManagementAndGeneralAmt |
| Fundraising | $157 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,801 | TotalAmt |
| Program Services | $7,338 | ProgramServicesAmt |
| Management And General | $43,463 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $378,572 | TotalAmt |
| Management And General | $378,572 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,910,970 | TotalAmt |
| Program Services | $3,077,960 | ProgramServicesAmt |
| Management And General | $1,833,010 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $918,926 | TotalAmt |
| Management And General | $918,926 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLY EXPENSE | $13,999,890 | $14,165,713 | -$165,823 | |
| CAFETERIA AND CATERING | $64,312 | $25,183 | $38,631 | $498 |
| UBI AND SALES TAX | -$54,330 | -$56,090 | $1,760 | |
| ACCRETION | $322,303 | $322,303 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,200,235 | TotalAmt |
| Program Services | $777,265 | ProgramServicesAmt |
| Management And General | $422,970 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $72,479,853 | TotalAmt |
| Program Services | $50,974,824 | ProgramServicesAmt |
| Management And General | $21,410,033 | ManagementAndGeneralAmt |
| Fundraising | $94,996 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,216,602 | BOYAmt |
| EOY | $6,447,259 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,871,414 | BOYAmt |
| EOY | $1,254,172 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,485,659 | BOYAmt |
| EOY | $8,983,158 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,901,645 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,488,946 | BOYAmt |
| EOY | $1,530,567 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,843,002 | BOYAmt |
| EOY | $4,905,365 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $146,352,265 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $47,846,360 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,475,492 | BOYAmt |
| EOY | $98,505,905 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $98,409,063 | BOYAmt |
| EOY | $91,481,353 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $320,000 | BOYAmt |
| EOY | $188,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,130,159 | BOYAmt |
| EOY | $2,232,531 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $160,141,982 | BOYAmt |
| EOY | $215,528,310 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,638,404 | BOYAmt |
| EOY | $22,590,501 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,479,628 | BOYAmt |
| EOY | $65,824,395 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,118,032 | BOYAmt |
| EOY | $88,414,896 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $98,036,032 | BOYAmt |
| EOY | $124,103,145 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,159,494 | BOYAmt |
| EOY | $2,181,844 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $828,424 | BOYAmt |
| EOY | $828,425 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $101,023,950 | BOYAmt |
| EOY | $127,113,414 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $160,141,982 | BOYAmt |
| EOY | $215,528,310 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $23,854,681 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $2,234,783 | NetUnrlzdGainsLossesInvstAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | Yes (true) | VolunteersInd |
| Paid Staff Or Management | Yes (true) | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (true) | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $16,786 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $16,786 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART II-B LINES 1A, B & G | LOCAL MEETINGS WITH VARIOUS LEGISLATORS. |
| PART II-B LINE 1i | American Hospital Association, Hospital Association of New York State, and Rochester Regional Healthcare Associates memberships |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| Incl Escrow Custodial Acct Liab | false | InclEscrowCustodialAcctLiabInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,987,918 | BeginningYearBalanceAmt |
| Contributions | $236,423 | ContributionsAmt |
| Investment Earnings Or Losses | $2,383 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $216,455 | OtherExpendituresAmt |
| End Year Balance | $3,010,269 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,219,754 | BeginningYearBalanceAmt |
| Contributions | $1,912,666 | ContributionsAmt |
| Investment Earnings Or Losses | $18,673 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $163,175 | OtherExpendituresAmt |
| End Year Balance | $2,987,918 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,220,654 | BeginningYearBalanceAmt |
| Contributions | $476,603 | ContributionsAmt |
| Investment Earnings Or Losses | $6,849 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $484,352 | OtherExpendituresAmt |
| End Year Balance | $1,219,754 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,100,445 | BeginningYearBalanceAmt |
| Contributions | $205,846 | ContributionsAmt |
| Investment Earnings Or Losses | $47,423 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $133,060 | OtherExpendituresAmt |
| End Year Balance | $1,220,654 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,511,610 | BeginningYearBalanceAmt |
| Contributions | $405,722 | ContributionsAmt |
| Investment Earnings Or Losses | $100,939 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $917,826 | OtherExpendituresAmt |
| End Year Balance | $1,100,445 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.61000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.28000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.11000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | false | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,173,762 | OtherCostOrOtherBasisAmt |
| Book Value | $4,375,178 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $32,005,089 | OtherCostOrOtherBasisAmt |
| Depreciation | $24,072,369 | DepreciationAmt |
| Book Value | $7,932,720 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $583,579 | OtherCostOrOtherBasisAmt |
| Depreciation | $543,907 | DepreciationAmt |
| Book Value | $39,672 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $28,545,494 | OtherCostOrOtherBasisAmt |
| Depreciation | $23,607,577 | DepreciationAmt |
| Book Value | $4,937,917 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $79,268,004 | OtherCostOrOtherBasisAmt |
| Book Value | $79,268,004 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $96,553,491 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO THIRD PARTY PAYORS | $10,563,099 |
| WORKERS COMP. AND LIABILITY | $13,934,641 |
| ASSET RETIREMENT OBLIGATION | $7,953,925 |
| DUE TO RELATED PARTIES | $513,139 |
| DEFERRED INCOME | $28,117 |
| LOAN PAY GH - TAX EXEMPT BONDS | $32,831,474 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $65,824,395 | TotalLiabilityAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $556,007 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $556,007 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00770 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,055,033 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,065,498 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $989,535 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01360 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,611,040 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,065,498 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,545,542 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02130 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $37,660 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $37,660 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $37,660 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $37,660 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,648,700 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,065,498 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,583,202 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02180 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,642,397 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $28,250,714 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $32,454,231 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$4,203,517 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CORNING HOSPITAL | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 176 DENISON PARKWAY E | AddressLine1 |
| City | CORNING | City |
| State | NY | State |
| ZIP Code | 14830 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.guthrie.org/location/corning-hospita | WebsiteAddressTxt |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CORNING HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.corninghospital.org | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Exec Community Wide Plan | Yes (X) | ExecCommunityWidePlanInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Adopt Budget | Yes (X) | AdoptBudgetInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | false | AllNeedsAddressedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (true) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 100 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (true) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 300. | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| State Regulation | Yes (X) | StateRegulationInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Provided On Admission | Yes (X) | ProvidedOnAdmissionInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Collection Activities | false | CollectionActivitiesInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| St. James Mercy Hospital | St James Mercy Hospial 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 endsure that the inititiaves outlined in the Community Health Improvement and Communty Service Plans are implemented, montiored and evaulated. |
| Ira Davenport Memorial Hospital | Ira Davenport Memorial Hospial 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 endsure that the inititiaves outlined in the Community Health Improvement and Communty Service Plans are implemented, montiored and evaulated. |
| ArnotHealth | 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 endsure that the inititiaves outlined in the Community Health Improvement and Communty Service Plans are implemented, montiored and evaulated. and evaulated. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Healthworks | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9768 Liberty Drive | AddressLine1 |
| City | Painted Post | City |
| State | NY | State |
| ZIP Code | 14870 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | Wellness and Fitness Center, a portion is dedicated to not for profit fitness center | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 6A | CORNING HOSPITAL FILES A COMMUNITY SERVICE PLAN IN RESPONSE TO NEW YORK STATE DEPARTMENT OF HEALTH REQUIREMENTS. PART I, LINE 7 Information reported on Schedule H Part I, Line 7 was derived utilizing the ratio of cost to charges calculated using Worksheet 2 except Line 7b which was based upon an internal cost accounting system that addresses all patient segments. |
| PART III, LINE 4 | FOOTNOTE FROM AUDITED FINANCIALS Charity Care and Community Service The Hospital provides care to patients who meet certain criteria under its charity care policy without charge or at amounts less than its established rates. Because the Hospital does not pursue collection of amounts determined to qualify as charity care, they are not reported as revenue. The direct and indirect costs associated with these services for charity care provided by the Hospital approximate $301,000 and $294,000 in 2013 and 2012, respectively. The Hospital estimated these costs by application of the standard cost-to-charge ratio. As part of its charitable mission, the Hospital provides care through its emergency department. It ensures that an emergency admission or treatment is not delayed or denied pending determination of coverage or a requirement for prepayment or deposit. As a result of this policy, the Hospital had approximately $1,656,000 and $1,365,000 in bad debts in 2013 and 2012, respectively. Revenues generated from patients who participate in the Medicaid program are subject to substantial discounts that result in reimbursement for services rendered below the cost of providing such services. In order for patients to meet the guidelines for the Medicaid program, various income-based criteria must be met that validate the patient's inability to pay for services and ineligibility under other programs. The estimated loss incurred from providing services to Medicaid patients amounted to approximately $1,106,000 and $1,164,000 in 2013 and 2012, respectively. The provision for bad debts is net of pool receipts of approximately $835,000 and $1,196,300 in 2013 and 2012,respectively. PART III, LINE 8 Internal cost accounting system utilized to identify Medicare revenue and Medicare cost. PART III, LINE 9B Once a patient is approved for Charity Care or an Installment plan, thier account is transferred to either the budget or charity care financial class. Accounts in these financial classes are not placed with collection. PART V, LINE 7 DUE TO RESOURCE LIMITATIONS, THE FOLLOWING IDENTIFIED NEEDS WERE NOT ABLE TO BE ADDRESSED IN THE IMPLEMENTATION PLANS: * CANCER MORTALITY * HEART DISEASE MORTALITY AND PREVALENCE PART V, LINE 20D All 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 VI, LINE 2 | Needs Assessment 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. 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. |
| PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | Patients are aware of charity care assistance 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. Federal and state laws require all hospitals / clinics to seek payment for care provided. This means we could ultimately turn unpaid bills over to a collections agency, which could affect your credit status. Therefore, it is important that you let us know if there may be a problem paying your bill. 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. If you have no health insurance, these are the income limits: Fam size Ann Fam Income* Mthly Fam Income Wkly Fam Income 1 Up to $22,980 Up to $1,915 Up to $442 2 Up to $31,020 Up to $2,585 Up to $597 3 Up to $39,060 Up to $3,255 Up to $751 4 Up to $47,100 Up to $3,925 Up to $906 5 Up to $55,140 Up to $4,595 Up to $1,060 6 Up to $61,940 Up to $5,162 Up to $1,191 *Based on 2013 Federal Poverty Guidelines 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. |
| Community Information | A.Hospital Service Area The 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 99-bed acute care hospital that provides 24-hour emergency services and a complement of inpatient and outpatient services, located at 176 Denison Parkway East, Corning, N.Y. The Hospital also provides a range of treatment, diagnostic and preventive health services and programs. The Guthrie Cancer Center at Corning Hospital, a separate facility located at 114 Columbia Street, Corning, N.Y., 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 748 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. |
| PROMOTION OF COMMUNITY HEALTH | The following overview provides examples of the Hospital's successes in providing access to high quality health care as well as other service and activity beyond the provision of direct care. 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 2013 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 6 blood drives in 2013 and a total of 125 units were collected, with 6 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 737 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. FORM 990, PART VI, LINE 6 CORNING HOSPITAL IS PART OF THE GUTHRIE CLINIC. SEE SCHEDULE O, FORM 990, PART III, LINE 1 STATE OF PROGRAM SERVICE ACCOMPLISHMENTS. FORM 990, PART VI, LINE 7 The 2013-2015 Community Service Plan will be made available to the public through a downloadable pdf file on the Hospital's website: www.guthrie.org/location/corning-hospital. When completed and issued to the NYS DOH, a news release was issued advising the public that the report has been submitted. The Implementation Strategy detail can be found at www.guthrie.org/location/corning-hospital. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FRANCIS M MACAFEE | ||||||||||||
| CFO/VP FINANCE | $156,372 | $20,428 | $0 | $400 | $13,080 | $190,280 | ||||||
| LOUIS R DUBOIS MD | ||||||||||||
| MEMBER-BOD-MED STAFF PRES. | $399,631 | $0 | $0 | $33,000 | $13,080 | $445,711 | ||||||
| JOSEPH SCOPELLITI MD | ||||||||||||
| MEMBER - BOD | $614,368 | $105,373 | $2,792 | $33,000 | $8,496 | $764,029 | ||||||
| RUSSELL C WOGLOM MD | ||||||||||||
| MEMBER - BOD | $302,602 | $14,391 | $0 | $33,000 | $13,080 | $363,073 | ||||||
| SHIRLEY MAGANA | ||||||||||||
| PRESIDENT/COO | $223,255 | $19,042 | $0 | $11,323 | $2,123 | $255,743 | ||||||
| COLIN BAILEY | ||||||||||||
| RADIATION PHYSICIST | $176,850 | $0 | $0 | $8,925 | $2,123 | $187,898 | ||||||
| SCOTT STEVENS | ||||||||||||
| Pharmacist | $133,891 | $0 | $0 | $6,408 | $14,102 | $154,401 | ||||||
| VENOGOPAL THIRUMURI MD | ||||||||||||
| MEMBER-BOD-Med. Staff VP | $389,289 | $0 | $1,331 | $33,000 | $13,080 | $436,700 | ||||||
| HAL SUSSMAN MD | ||||||||||||
| Member-BOD-Med. Staff Treas. | $480,891 | $0 | $0 | $33,000 | $13,080 | $526,971 | ||||||
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I LINE 1A | Tax indemnification and gross-up payments are periodically provided to employees. All payments are made pursuant to written organizational policies. |
| PART I LINE 3 | Executive compensation is established within a written employment agreement. Compensation is determined based on market studies, presented to the Guthrie Health Compensation Committee and subsequently approved by the Guthrie Health Board of Directors. |
Schedule M IRS990ScheduleM
| Field | Value | IRS element (for citing) |
|---|---|---|
| Works Of Art | WorksOfArtGrp | |
| Art Historical Treasures | ArtHistoricalTreasuresGrp | |
| Art Fractional Interest | ArtFractionalInterestGrp | |
| Books And Publications | BooksAndPublicationsGrp |
Clothing And Household Goods ClothingAndHouseholdGoodsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Noncash Contributions Rpt F990 | $40,000 | NoncashContributionsRptF990Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cars And Other Vehicles | CarsAndOtherVehiclesGrp | |
| Boats And Planes | BoatsAndPlanesGrp | |
| Intellectual Property | IntellectualPropertyGrp |
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Noncash Contributions Rpt F990 | $318,683 | NoncashContributionsRptF990Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities Closely Held Stock | SecuritiesCloselyHeldStockGrp | |
| Secur Prtnrshp Trust Intrsts | SecurPrtnrshpTrustIntrstsGrp | |
| Securities Miscellaneous | SecuritiesMiscellaneousGrp | |
| Qualified Contrib Hist Struct | QualifiedContribHistStructGrp | |
| Qualified Contrib Other | QualifiedContribOtherGrp | |
| Real Estate Residential | RealEstateResidentialGrp | |
| Real Estate Commercial | RealEstateCommercialGrp | |
| Real Estate Other | RealEstateOtherGrp | |
| Collectibles | CollectiblesGrp | |
| Food Inventory | FoodInventoryGrp | |
| Drugs And Medical Supplies | DrugsAndMedicalSuppliesGrp | |
| Taxidermy | TaxidermyGrp | |
| Historical Artifacts | HistoricalArtifactsGrp | |
| Scientific Specimens | ScientificSpecimensGrp | |
| Archaeological Artifacts | ArchaeologicalArtifactsGrp | |
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (true) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, Part I, Line 1 | 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, LINE 1 Statement of Program Service Accomplishments: The Guthrie Clinic is a nonprofit health care organization that serves to coordinate the activity of Guthrie Medical Group PC(GMG) and the affiliates within Guthrie Healthcare System (GHS; see Form 990, Schedule R, for a listing of affiliates of GHS, including Robert Packer Hospital (RPH)). Through the activities of the GMG, GHS, RPH, and its other affiliates (collectively referred to as "Guthrie"), The Guthrie Clinic provides charitable community-based health care services and programs to improve the health and well-being of the people and communities served by its facilities and providers. These charitable activities include providing primary care and specialty physician services, as well as operating a tertiary care teaching hospital, community hospitals, a research institute, home care, and hospice care. The Guthrie Research Institute and Guthrie Clinical Research functions of the Donald Guthrie Foundation (Research Institute), a subsidiary of GHS, furthers these charitable activities through providing patient access to the region's largest panel of clinical trials. The facilities and provider offices of Guthrie are located in 23 communities throughout the northern tier of Pennsylvania and southern tier of New York, with the greatest concentration of services provided principally in Bradford County, Pennsylvania and Chemung and Steuben Counties, New York. The vision of Guthrie is to help shape the delivery of health care in the region through working collaboratively with physicians and other providers, and by distributing its services throughout the region based on community needs. Guthrie seeks to be the provider of choice for patients in the Twin Tier region, and to be recognized for its superior quality and service. It also strives to advance the practice of medicine through its commitment to teaching and research. In keeping with this vision, the core values of The Guthrie Clinic are as follows: patient-centeredness, excellence, and teamwork. Guthrie providers and facilities provide care to patients who meet certain criteria under its charity care policy without charge or at amounts less than its established rates. Because it does not pursue collection of amounts determined to qualify as charity care,they are not reported as revenue on the financial statements of Guthrie entities. Costs for services and supplies furnished under Guthrie's charity care policy amounted to approximately $2.6 million in 2014 and $3.2 million in 2013 when measured at the appropriate entity's estimated cost. As part of its charitable mission, Guthrie provides care through its hospital emergency departments. It ensures that an emergency-based treatment or hospital admission is not delayed or denied pending determination of coverage or a requirement for prepayment or deposit. As a result of this policy, Guthrie experienced approximately $3.74 million and $3.71 million in bad debts for 2014 and 2013, respectively. In addition to the charity care program and the emergency department bad debts discussed above, Guthrie supports numerous other charitable community activities. Examples of these activities include medical education for physicians and nurses, the trauma program, and medical research. The estimated cost, net of reimbursement, for these programs was $16.1 million and $16.4 million in 2014 and 2013, respectively. Guthrie also provides services to patients who participate in the Medicaid programs. Revenues generated from patients who participate in the Medicaid program are subject to substantial discounts that result in reimbursement for services rendered below the cost of providing such services. In order for patients to meet the guidelines for the Medicaid program, various income-based criteria must be met that validate patients' inability to pay for services and ineligibility under other programs. The estimated loss incurred by Guthrie from providing services to Medicaid patients amounted to $22.0 million and $19.9 million in 2014 and 2013, respectively. The total cost to Guthrie in supporting these charitable mission programs was approximately $44.0 million and $42.9 million in 2014 and 2013, 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 northerntier of Pennsylvania. It also provides residency programs in family practice, internal medicine, and general surgery as well as a fellowship program in vascular surgery and cardiovascular disesase. Medical student training is provided for students from affiliated medical schools. Allied health education is also provided for respiratory therapy, nursing, laboratory science, and radiologic technology for students from Pennsylvania and New York colleges and universities. Centers of Excellence within RPH include the following: Advanced & Minimally Invasive Surgery; Behavioral Health Services; Breast and Imaging Center; Comprehensive Cancer Center; Cardiovascular Care Center; the Center for Wound Care and Hyperbaric Medicine; Dialysis Centers; Joint Camp Program for Orthopedic Surgery; Sports Medicine; Kidney Stone Treatment Center; First Impressions Birthing Center; Sleep Disorders Testing; and Specialty Eye Care. RPH strives to enhance the quality of life in the communities it serves by providing superior health care services and by leading continuous improvement of community health. It achieves this mission by organizing services and directing resources toward meeting community health needs through collaboration with community agencies and by compassionate, effective, and affordable means. RPH works closely with the GMG to ensure that the skills and knowledge of the medical staff produce the maximum community health benefit. As a member of the Guthrie Healthcare System, 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 GHS, the vision of RPH is to play a leadership role in the development and provision of tertiary-level acute care services. Evidence that RPH is successfully fulfilling this role can be seen in its continued accomplishments. Highlights of those achievements include continued accreditation by the Pennsylvania Trauma Systems Foundation Board as a Level II Trauma Center and receipt of full Chest Pain Center accreditation with PCI (percutaneous coronary intervention) from the Society of cardiovascular Patient Care. Guthrie Weight Loss Center has been accredited as a Level 1 facility under the Bariatric Surgery Center Network (BSCN) Accreditation Program of the American College of Surgeons (ACS). RPH is a magnet designated hospital. As part of a fully-integrated health delivery system that organizes its services on a regional basis and is accountable for improving the health of the population it serves, RPH accepts responsibility for meeting the health care needs of the community and is able to document the cost effectiveness and quality of services provided. Corning Hospital Breast Care Center was awarded a full three-year accreditation in Stereotactic Breast Biopsy by the American College of Radiology (ACR) and received the American Heart Association/American Stoke Associations Get with the Guidelines Stroke Gold Plus Achievement Award. The GMG is a multi-specialty physician group practice that includes nearly 350 specialist and primary care physicians and mid-level providers, headquartered in a facility adjacent to RPH. Physicians within the GMG provide comprehensive medical care using advanced technologies and methodologies for both diagnosis and treatment. Further, the GMG provides a broad range of educational opportunities for physicians and other health care providers. It also works closely with the Research Institute, where research contributes to recruiting and retaining physician specialists to serve the region and sustaining proficient medical practices. The GMG is committed to the advancement of medical knowledge and skills, and every effort is made to provide personal, compassionate medical care. The GMG operates a regional office network in 23 communities in Pennsylvania and New York, encompassing all of the major population centers in the Twin Tiers area. The GMG and GHS have developed certain guiding principles for the provision of patient care, which include a commitment yhe following: * Practice of clinical excellence, * Utilization of the synergy of a multi-specialty medical group practice, * Development of an integrated system that provides a continuum of care, * Provision of lo |
| FORM 990, PART IV, LINE 12 | The organization's financial statements were audited on a consolidated basis with Guthrie Health and Affiliates. FORM 990, PART VI, LINE 6 Guthrie Healthcare System is the sole member of Corning Hospital. |
| FORM 990, PART VI, LINE 7A | As the sole member of Corning Hospital, Guthrie Healthcare System appoints the organization's Board of Directors. |
| FORM 990, PART VI, LINE 7B | As the sole member of Corning Hospital, Guthrie Healthcare System has approval rights of certain board decisions. |
| FORM 990, PART VI, LINES 11A & 11B | The Form 990 of the organization is presented 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, LINE 12C | 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 Guthrie Health (GH) 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 GH. All members of any GH Board/Committee and GH 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 GH Administration office. GH 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 GH 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, LINE 15A | 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, LINE 15B | Executive compensation is generally established within a written employment agreement. Compensation is determined based on market studies, presented to the indpendent Executive Compensation Committee and subsequently approved by the Board of Directors. |
| FORM 990, PART VI, LINE 18 | The organization's Form 1023, 990 and 990-T are available for public inspection upon request. |
| FORM 990, PART VI, LINE 19 | The organization does not make its governing documents, conflict of interest policy or financial statements available to the public. |
| FORM 990, PART XII, LINE 2B | The organization's financial statements were audited on a consolidated basis with Guthrie Health and Affiliates. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (16 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Guthrie Healthcare System | ||||||||||
| One Guthrie Square | Sayre | PA | 18840 | 232200910 | SUPPORTING | PA | 501 (C)(3) | 11C TypeIII | TGC | false |
| The Guthrie Clinic | ||||||||||
| One Guthrie Square | Sayre | PA | 18840 | 233055017 | Supporting | PA | 501 (C)(3) | 11C TypeIII | NA | false |
| Sayre House of Hope | ||||||||||
| One Guthrie Square | Sayre | PA | 18840 | 203979472 | Health Care | PA | 501 (C)(3) | 7 | GHS | Yes (true) |
| Robert Packer Hospital | ||||||||||
| One Guthrie Square | Sayre | PA | 18840 | 240795463 | Health Care | PA | 501 (C)(3) | 3 | GHS | Yes (true) |
| Donald Guthrie Foundation for Education | ||||||||||
| 200 south wilbur ave | sayre | PA | 18840 | 246022957 | Med Research | PA | 501 (C)(3) | 4 | GHS | Yes (true) |
| Robert Packer Hospital School of Nursing | ||||||||||
| 200 South Wilbur Ave | Sayre | PA | 18840 | 236408773 | Education | PA | 501 (C)(3) | 2 | GHS | Yes (true) |
| Troy Community Hospital Inc | ||||||||||
| 100 John Street | Troy | PA | 16947 | 240800337 | Health Care | PA | 501 (C)(3) | 3 | GHS | Yes (true) |
| TIOGA HEALTHCARE FACILITY | ||||||||||
| ONE GUTHRIE SQUARE | SAYRE | PA | 18840 | 150532257 | HOUSING | NY | 501 (C)(3) | 3 | GHS | Yes (true) |
| SAYRE HOUSE INC | ||||||||||
| 1001 NORTH ELMER AVE | SAYRE | PA | 18840 | 231643404 | Nursing Fac | PA | 501 (C)(3) | 9 | GHS | Yes (true) |
| GUTHRIE HOME CARE | ||||||||||
| 421 Tomahawk Road | Towanda | PA | 18848 | 232394345 | HOME HEALTH | PA | 501 (C)(3) | 9 | GHS | Yes (true) |
| GUTHRIE CORNING DEVELOPMENT COMPANY | ||||||||||
| 176 DENISON pKWY E | CORNING | NY | 14830 | 161594628 | SUPPORTING | NY | 501 (C)(3) | 11B TYPE II | GHS | Yes (true) |
| GUTHRIE SAME DAY SURGERY CENTER INC | ||||||||||
| ONE GUTHRIE SQUARE | SAYRE | PA | 18840 | 020551081 | AMBULATORY | NY | 501 (C)(3) | 9 | GHS | Yes (true) |
| GUTHRIE RISK RETENTION GROUP | ||||||||||
| 151 MEETING STREET | CHARLESTON | SC | 29401 | 201090801 | SUPPORTING | SC | 501 (C)(3) | 11A TYPE I | TGC | Yes (true) |
| TIOGA NURSING FACILITY | ||||||||||
| ONE GUTHRIE SQUARE | SAYRE | PA | 18840 | 222979677 | NURSING FAC | NY | 501 (C)(3) | 3 | GHS | Yes (true) |
| GUTHRIE MEDICAL GROUP PC | ||||||||||
| ONE GUTHRIE SQUARE | SAYRE | PA | 18840 | 250815795 | HEALTH CARE | PA | 501 (C)(3) | 3 | TGC | Yes (true) |
| DARWAY NURSING HOME INC | ||||||||||
| ONE GUTHRIE SQUARE | SAYRE | PA | 18840 | 231733967 | NURSING FAC | PA | 501 (C)(3) | 9 | GHS | Yes (true) |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TWIN TIER MANAGEMENT CORP INC | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 310 | AddressLine1 |
| City | SAYRE | City |
| State | PA | State |
| ZIP Code | 18840 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 232209439 | EIN |
| Primary Activities | MANAGEMENT CO | PrimaryActivitiesTxt |
| Legal Domicile State | PA | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C CORP | EntityTypeTxt |
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (6 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| GUTHRIE CORNING DEVELOPMENT COMPANY | ||
| A | $7,185 | FMV |
| GUTHRIE CORNING DEVELOPMENT COMPANY | ||
| K | $475,705 | FMV |
| GUTHRIE CLINIC | ||
| M | $3,195,359 | FMV |
| GUTHRIE CLINIC | ||
| L | $217,863 | FMV |
| GUTHRIE HEALTHCARE SYSTEM | ||
| M | $5,256,764 | FMV |
| ROBERT PACKER HOSPITAL | ||
| M | $31,635 | FMV |