CORNING HOSPITAL: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: CORNING HOSPITAL (EIN 16-0393490)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-11-14
IRS object ID: 201333189349306438
Schema version: 2012v2.1
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 O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-11-14T15:55:53-06:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PricewaterhouseCoopers LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

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	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	160393490	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	CORNING HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of Name	% FRANCIS M MACAFEE	InCareOfName
Name Control	CORN	NameControl
Phone	6079377200	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	176 DENISON PARKWAY E	AddressLine1
Address Line2	Suite	AddressLine2
City	CORNING	City
State	NY	State
ZIP Code	148302814	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	FRANCIS M MACAFEE	Name
Title	CFO	Title
Phone	2673303000	Phone
Date Signed	2013-11-13	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	2673303000	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Shirley Magana	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

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)
Gross Receipts	269249830	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	http://www.corninghospital.com	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1900	YearFormation
State Legal Domicile	NY	StateLegalDomicile
Activity Or Mission Description	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 DISEASE.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	26	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	18	NbrIndependentVotingMembers
Total Nbr Employees	695	TotalNbrEmployees
Total Nbr Volunteers	81	TotalNbrVolunteers
Total Gross UBI	386720	TotalGrossUBI
Net Unrelated Business Txbl Income	-50912	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	545477	ContributionsGrantsPriorYear
Contributions Grants Current Year	2587547	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	82086631	ProgramServiceRevenuePriorYear
Program Service Revenue CY	89975415	ProgramServiceRevenueCY
Investment Income Prior Year	67364	InvestmentIncomePriorYear
Investment Income Current Year	8999824	InvestmentIncomeCurrentYear
Other Revenue Prior Year	218462	OtherRevenuePriorYear
Other Revenue Current Year	-10057	OtherRevenueCurrentYear
Total Revenue Prior Year	82917934	TotalRevenuePriorYear
Total Revenue Current Year	101552729	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	31430568	SalariesEtcPriorYear
Salaries Etc Current Year	31961627	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	94838	TotalFundrsngExpCurrentYear
Other Expense Prior Year	41118113	OtherExpensePriorYear
Other Expenses Current Year	42955605	OtherExpensesCurrentYear
Total Expenses Prior Year	72548681	TotalExpensesPriorYear
Total Expenses Current Year	74917232	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	10369253	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	26635497	RevenuesLessExpensesCY
Total Assets BOY	132327686	TotalAssetsBOY
Total Assets EOY	160141982	TotalAssetsEOY
Total Liabilities BOY	57943683	TotalLiabilitiesBOY
Total Liabilities EOY	59118032	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	74384003	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	101023950	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	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.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	56949719	Expense
Revenue	89975415	Revenue
Description	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 14,697 and outpatient visits of 122,199. 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.	Description
Total Program Service Expense	56949719	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	1	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	695	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	true	QuidProQuoContributions
Quid Pro Quo Disclosure	true	QuidProQuoDisclosure
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	false	Form1098CFiled
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	26	NbrVotingGoverningBodyMembers
Number Independent Voting Members	18	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	NY	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	FRANCIS M MACAFEE	NamePerson
Telephone Number	6079377917	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	176 DENSION PARKWAY E	AddressLine1
City	CORNING	City
State	NY	State
ZIP Code	14830	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (34 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
DAVID E IOCCO
MEMBER - BOD	1.0	X
MICHAEL W DONNELLY
MEMBER - BOD	1.0	X
ARTHUR D FIELD
MEMBER - BOD	1.0	X
JUDITH ROWE
MEMBER - BOD	1.0	X
DAVID AUSTIN MD
MEMBER-BOD-MED STAFF VP	1.0	X	40.0	345520	45270
JOHN E BENJAMIN
MEMBER - BOD	1.0	X
DANIEL BOWER
2ND VICE CHAIR	1.0	X
CHARLES A CORRAO
MEMBER - BOD	1.0	X
LOUIS R DUBOIS MD
MEMBER-BOD-Med Staff Pres.	1.0	X	40.0	381058	45270
ALAN D LEWIS
SECRETARY - BOD	1.0	X
MARIE DROEGE
MEMBER - BOD	1.0	X	40.0	413962	15389
J MICHAEL SCALZONE MD
MEMBER - BOD Med Staff Sec.		X	40.0	331220	45270
MARK STENSAGER
MEMBER - BOD	1.0	X	20.0	661194	16374
G THOMAS TRANTER JR
1st VICE CHAIR-BOD	1.0	X
JOHN VAN ZANTEN III
MEMBER - BOD	1.0	X
MARCIA WEBER
MEMBER - BOD	1.0	X
RUSSELL C WOGLOM MD
MEMBER - BOD	1.0	X	40.0	338839	45270
JEFFREY P KENEFICK
TREASURER - BOD	1.0	X
CHRISTOPHER J FORTIER
MEMBER - BOD	1.0	X
David McCorvey MD
MEMBER-BOD-Med Staff Treas.	1.0	X	40.0	164077	36379
Philip J Roche ESQ
CHAIRMAN - BOD	1.0	X
Mary Beth Grimaldi-Maxa
MEMBER - BOD	1.0	X
SHIRLEY MAGANA
PRESIDENT/COO	40.0	X			15567	X	266516
FRAN OLMSTEAD
MEMBER-BOD	1.0	X
DANIEL ROURKE
MEMBER-BOD	1.0	X
CATHY WEIL
MEMBER-BOD	1.0	X
FRANCIS M MACAFEE
CFO/VP FINANCE	40.0				13951	X	186455
LAURA MANNING
DIRECTOR HR OPERATIONS	1.0		40.0	126916	8421			X
DEBRA RAUPERS
CHIEF NURSING OFFICER	40.0				18928		126762	X
JOHN DIBONA
DIRECTOR OF PHARMACY	40.0				8729		137067		X
COLIN BAILEY
RADIATION PHYSICIST	40.0				6150		174762		X
Scott Stevens
Pharmacist	40.0				14839		128504		X
LISA STODDARD
RN CARDIAC REHAB	40.0				22480		101817		X
Evan Davis
Pharmacist	40.0				18627		115651		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1237534	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	2762786	TotalReportableCompFrmRltdOrgs
Total Other Compensation	376914	TotalOtherCompensation
Number Individuals GT100 K	24	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
QUEST DIAGNOSTICS
2249 COLLECTION CENTER DRIVE	CHICAGO	IL	60693	Lab Pathology Servs	253147
SIEMENS MEDICAL
51 VALLEY STREAM PARKWAY	MALVERN	PA	19355	MAINT SVCE AGREEMT	271939
EXECUTIVE HEALTH RESOURCE
PO Box 822688	PHILADELPHIA	PA	19182	CONSULT-HEALTHRECORD	407993
PARIS COMPANIES
3850 REACH ROAD	WILLIAMSPORT	PA	17701	LAUNDRY SERVICES	216833
NURSEFINDERS
PO BOX 910738	DALLAS	TX	753910738	TEMPORARY STAFFING	187601

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	11	NumberOfContractorsGT100K
Government Grants	44293	GovernmentGrants
All Other Contributions	2543254	AllOtherContributions
Noncash Contributions	23298	NoncashContributions
Total Contributions	2587547	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SERVICE REVENUE	621990	85116812	85116812
OTHER OPERATING INCOME	900099	2455518	2455518
MEDICAL LAB SERVICES	621500	386720		386720
MEANINGFUL USE REVENUE	621990	2016365	2016365

Field	Value	IRS element (for citing)
Total Program Service Revenue	89975415	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	2479717	TotalRevenueColumn
Exclusion	$2,479,717	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	13680	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	23737	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-10057	Real
Personal	0	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-10057	TotalRevenueColumn
Exclusion	-$10,057	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	174160451	Securities
Other	33020	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	167644890	Securities
Other	28474	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	6515561	Securities
Other	4546	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	6520107	TotalRevenueColumn
Exclusion	$6,520,107	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Field	Value	IRS element (for citing)
Total Other Revenue	0	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	101552729	TotalRevenueColumn
Related Or Exempt Function Income	89588695	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	386720	UnrelatedBusinessRevenue
Exclusion	$8,989,767	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	628180	Total
Management And General	628180	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	24603705	Total
Program Services	21401159	ProgramServices
Management And General	3176797	ManagementAndGeneral
Fundraising	25749	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	1792556	Total
Program Services	1521413	ProgramServices
Management And General	270185	ManagementAndGeneral
Fundraising	958	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	3077494	Total
Program Services	2611991	ProgramServices
Management And General	463859	ManagementAndGeneral
Fundraising	1644	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	1859692	Total
Program Services	1576467	ProgramServices
Management And General	282245	ManagementAndGeneral
Fundraising	980	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	2083520	Total
Management And General	2083520	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	220026	Total
Management And General	220026	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	637273	Total
Management And General	637273	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	8509175	Total
Program Services	5546660	ProgramServices
Management And General	2961338	ManagementAndGeneral
Fundraising	1177	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	55348	Total
Program Services	1013	ProgramServices
Management And General	54335	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	2112232	Total
Program Services	1277005	ProgramServices
Management And General	776164	ManagementAndGeneral
Fundraising	59063	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	2200923	Total
Program Services	660940	ProgramServices
Management And General	1539983	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	1882519	Total
Program Services	284602	ProgramServices
Management And General	1597722	ManagementAndGeneral
Fundraising	195	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	116826	Total
Program Services	39539	ProgramServices
Management And General	76895	ManagementAndGeneral
Fundraising	392	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	89185	Total
Program Services	8686	ProgramServices
Management And General	80499	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	314295	Total
Management And General	314295	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	5108674	Total
Program Services	2105007	ProgramServices
Management And General	2999767	ManagementAndGeneral
Fundraising	3900	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	807916	Total
Management And General	807916	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
BAD DEBT EXPENSE	5627948	5695462	-67514
MEDICAL SUPPLY EXPENSE	13891595	14100850	-209583	328
CAFETERIA AND CATERING	42108	16567	25089	452
UBI AND SALES TAX	58092	50004	8088

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	-802050	Total
Program Services	52354	ProgramServices
Management And General	-854404	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	74917232	Total
Program Services	56949719	ProgramServices
Management And General	17872675	ManagementAndGeneral
Fundraising	94838	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	4211759	BOY
EOY	2216602	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	184983	BOY
EOY	1871414	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	9201235	BOY
EOY	9485659	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	3004673	BOY
EOY	2901645	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	1486453	BOY
EOY	1488946	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1594703	BOY
EOY	3843002	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	75749045	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	41273553	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	17112340	BOY
EOY	34475492	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	94529755	BOY
EOY	98409063	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	320000	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	1001785	BOY
EOY	5130159	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	132327686	BOY
EOY	160141982	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	8272724	BOY
EOY	11638404	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	49670959	BOY
EOY	47479628	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	57943683	BOY
EOY	59118032	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	73164249	BOY
EOY	98036032	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	391330	BOY
EOY	2159494	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	828424	BOY
EOY	828424	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	74384003	BOY
EOY	101023950	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	132327686	BOY
EOY	160141982	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	26635497	ReconcilationRevenueExpenses
Reconcilation Prior Adjustment	-72774	ReconcilationPriorAdjustment
Reconcilation Other Changes	77224	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	true	Volunteers
Paid Staff Or Management	true	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	true	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$18,009	OtherActivitiesAmount
Total Lobbying Expenditures IIB	18009	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV (2 entries)

IdentifierIdentifier	ExplanationExplanation
PART II-A LINES 1a, b & h	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 Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts
Included On FS	false	IncludedOnFS

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1219754	BeginningOfYearBalance
Contributions	1912666	Contributions
Investment Earnings Or Losses	18673	InvestmentEarningsOrLosses
Other Expenditures	163175	OtherExpenditures
End Of Year Balance	2987918	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1220654	BeginningOfYearBalance
Contributions	476603	Contributions
Investment Earnings Or Losses	6849	InvestmentEarningsOrLosses
Other Expenditures	484352	OtherExpenditures
End Of Year Balance	1219754	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1100445	BeginningOfYearBalance
Contributions	205846	Contributions
Investment Earnings Or Losses	47423	InvestmentEarningsOrLosses
Other Expenditures	133060	OtherExpenditures
End Of Year Balance	1220654	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1511610	BeginningOfYearBalance
Contributions	405722	Contributions
Investment Earnings Or Losses	100939	InvestmentEarningsOrLosses
Other Expenditures	917826	OtherExpenditures
End Of Year Balance	1100445	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1632599	BeginningOfYearBalance
Contributions	497193	Contributions
Investment Earnings Or Losses	-114295	InvestmentEarningsOrLosses
Other Expenditures	503887	OtherExpenditures
End Of Year Balance	1511610	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.20000	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.67000	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.13000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4951666	OtherCostOrOtherBasis
Book Value	4951666	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	23476040	OtherCostOrOtherBasis
Depreciation	20393576	Depreciation
Book Value	3082464	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1967180	OtherCostOrOtherBasis
Depreciation	940544	Depreciation
Book Value	1026636	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	27520164	OtherCostOrOtherBasis
Depreciation	19939433	Depreciation
Book Value	7580731	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	17833995	OtherCostOrOtherBasis
Book Value	17833995	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	34475492	TotalOfBookValueLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescription	AmountAmount
DUE TO THIRD PARTY PAYORS	$9,169,269
ACCRUED PENSION COST	$7,975,257
WORKERS COMP. AND LIABILITY	$15,273,358
ASSET RETIREMENT OBLIGATION	$7,583,975
DUE TO RELATED PARTIES	$268,235
DEFERRED INCOME	$12,733
LOAN PAY GH - TAX EXEMPT BONDS	$7,196,801

Field	Value	IRS element (for citing)
Total Of Amounts	47479628	TotalOfAmounts

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent100	X	Pcent100
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	584079	TotalCommunityBenefitExpense
Net Community Benefit Expense	584079	NetCommunityBenefitExpense
Percent Of Total Expense	0.00840	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	5930640	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5443690	DirectOffsettingRevenue
Net Community Benefit Expense	486950	NetCommunityBenefitExpense
Percent Of Total Expense	0.00700	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	6514719	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5443690	DirectOffsettingRevenue
Net Community Benefit Expense	1071029	NetCommunityBenefitExpense
Percent Of Total Expense	0.01540	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	60921	TotalCommunityBenefitExpense
Net Community Benefit Expense	60921	NetCommunityBenefitExpense
Percent Of Total Expense	0.00090	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	60921	TotalCommunityBenefitExpense
Net Community Benefit Expense	60921	NetCommunityBenefitExpense
Percent Of Total Expense	0.00090	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	6575640	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5443690	DirectOffsettingRevenue
Net Community Benefit Expense	1131950	NetCommunityBenefitExpense
Percent Of Total Expense	0.01630	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$2,004,387	BadDebtExpenseAmount
Amount Reimbursed By Medicare	26058111	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	33108321	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-7050210	MedicareSurplusOrShortfall
Costing Methodology Used		CostingMethodologyUsed
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	false	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	CORNING HOSPITAL	BusinessNameLine1

Address Address

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.corninghospital.com	WebsiteAddress
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	CORNING HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	100	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	300.	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Uninsured Discount	X	UninsuredDiscount
State Regulation	X	StateRegulation
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Provided On Admission	X	ProvidedOnAdmission
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	true	ActionsOnNonpayment
Collection Activities	false	CollectionActivities
Notify Upon Admission	X	NotifyUponAdmission
Notify Before Discharge	X	NotifyBeforeDischarge
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	1	NumberOfOtherFacilities

Other Facilities OtherFacilities

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Healthworks	BusinessNameLine1

Address Address

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 Type	Wellness and Fitness Center, a portion is dedicated to not for profit fitness center	FacilityType

Form990 Schedule H Part VI Form990ScheduleHPartVI (6 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
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 $294,000 and $213,000 in 2012 and 2011, 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 $1,365,000 and $1,214,000 in bad debts in 2012 and 2011, 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 $1,164,000 and $2,022,000 in 2012 and 2011, respectively. The provision for bad debts is net of pool receipts of approximately $1,196,300 and $1,651,500 in 2012 and 2011, respectively. PART III, LINE 8 Internal cost accounting system utilized to identify Medicare revenue and Medicare cost. PART III, LINE 9B The current collection policy does not specifically address and segregate collection efforts during the charity care application process. 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.
PART VI, LINE 3	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.	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE
PART VI, LINE 4	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 695 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.	Community Information
PART VI, LINE 5	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 7 blood drives in 2012 and a total of 187 units were collected, with 16 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 1,686 seasonal flu shots to staff, volunteers and community members. HealthWorks continues to provide a monthly Diabetes Support Group open to the public in which guest speakers are available each month to discuss topics of interest for individuals with diabetes to help them better understand and manage their health needs. The Hospital now has two RNs trained as certified car seat safety instructors, which enables the Hospital to participate in health fairs/community education days that demonstrate the correct age/weight appropriate for children using car seats. These staff members will be assisting the Steuben County Public Health educators in bringing this important information to parents throughout Steuben County. PART VI, LINE 6 See Schedule O Form 990 Part III, Line 1 Statement of Program Service Accomplishments 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.corninghospital.org. When completed and issued to the NYS DOH, a news release was issued advising the public that the report has been submitted.	PROMOTION OF COMMUNITY HEALTH

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	true	SeverancePayment
Supplemental Nonqual Retire Plan	false	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Bonus Filing OrgBonusFilingOrg	Other Compensation Filing OrgOtherCompensationFilingOrg	Deferred Comp Filing OrgDeferredCompFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
FRANCIS M MACAFEE
CFO/VP FINANCE	154400	32055	0	400	13551	200406	0
DAVID AUSTIN MD
MEMBER-BOD-MED STAFF VP								345520	0	0	32750	12520	390790	0
LOUIS R DUBOIS MD
MEMBER-BOD-Med Staff Pres.								381058	0	0	32750	12520	426328	0
MARIE DROEGE
MEMBER - BOD								353632	60330	0	11299	4090	429351	0
J MICHAEL SCALZONE MD
MEMBER - BOD Med Staff Sec.								305535	25000	685	32750	12520	376490	0
MARK STENSAGER
MEMBER - BOD								290464	151463	219267	7067	9307	677568	0
RUSSELL C WOGLOM MD
MEMBER - BOD								325385	13454	0	32750	12520	384109	0
David McCorvey MD
MEMBER-BOD-Med Staff Treas.								164077	0	0	25516	10863	200456	0
SHIRLEY MAGANA
PRESIDENT/COO	226613	39903	0	11477	4090	282083	0
COLIN BAILEY
RADIATION PHYSICIST	174762	0	0	2060	4090	180912	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifier	ExplanationExplanation
PART I LINE 1A	HOUSING ALLOWANCES 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.
PART I LINE 4A	THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT FOR THE PERIOD JULY 22, 2012 - DECEMBER 31, 2012: MARK STENSAGER - $213,109.60

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (14 entries)

IdentifierIdentifier	ExplanationExplanation
FORM 990, Part III, Line 1	Statement of Program Service Accomplishments: Guthrie Health is a nonprofit health care organization that serves to coordinate the activity of Guthrie Clinic (Clinic) 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 Clinic, GHS, RPH, and its other affiliates (collectively referred to as "Guthrie"), Guthrie Health 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, hospice care, and a long-term care facility. The Guthrie Research Institute and Guthrie Clinical Research functions of the Guthrie Foundation for Medical Education and Research (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 Guthrie Health 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 $3.2 million in 2013 and $2.46 million in 2012 when measured at the appropriate entity's established rates. 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 $3.71 million and $3.16 million in bad debts for 2013 and 2012, respectively. In addition to the charity care program and the emergency department bad debts discussed above, Guthrie supports numerous other charitable community activities. Examples of these activities include medical education for physicians and nurses, the trauma program, and medical research. The estimated cost, net of reimbursement, for these programs was $16.4 million and $13.2 million in 2013 and 2012, respectively. Guthrie also provides services to patients who participate in the Medicaid programs. Revenues generated from patients who participate in the Medicaid programs 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 $19.9 million and $18.8 million in 2013 and 2012, respectively. The total cost to Guthrie in supporting these charitable mission programs was approximately $42.9 million and $37.3 million in 2013 and 2012, respectively. As discussed, RPH and the Clinic work closely together in fulfilling Guthrie's charitable mission. A regional Level II trauma center, RPH is a tertiary care teaching hospital, located in Sayre, Pennsylvania, serving the southern tier of New York and the northern tier of Pennsylvania. It also provides residency programs in family practice, internal medicine, and general surgery as well as a fellowship program in vascular surgery and cardiovascular disease. Medical student training is provided for students from affiliated medical schools. Allied health education is also provided for respiratory therapy, nursing, laboratory science, and radiologic technology for students from Pennsylvania and New York colleges and universities. Centers of Excellence within RPH include the following: Advanced & Minimally Invasive Surgery; Behavioral Health Services; Breast and Imaging Center; Comprehensive Cancer Center; Cardiovascular Care Center; the Center for Wound Care and Hyperbaric Medicine; Dialysis Centers; Joint Camp Program for Orthopedic Surgery; Sports Medicine; Kidney Stone Treatment Center; First Impressions Birthing Center; Sleep Disorders Testing; and Specialty Eye Care.
FORM 990, PART III, LINE 1 (CONT'D)	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 Clinic 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 accomplishments this past year. Highlights of those achievements include accreditation by the Pennsylvania Trauma Systems Foundation Board as a Level II Trauma Center, recipient of Thomson Reuters Everest Award (one of only 23 hospitals in the country) for two consecutive years, as well as receiving the Thomson Reuters 100 Top Hospital: National Benchmarks award for the fourth consecutive year. RPH, a magnet designated hospital, has also been named a Thomson Reuters 100 Top Hospital: Cardiovascular six times. GHS has been named one of the top 50 healthcare systems in the country by Thomson Reuters. 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. The Clinic 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 Clinic provide comprehensive medical care using advanced technologies and methodologies for both diagnosis and treatment. Further, the Clinic 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 Clinic is committed to the advancement of medical knowledge and skills, and every effort is made to provide personal, compassionate medical care. The Clinic 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 Clinic and GHS have developed certain guiding principles for the provision of patient care, which include a commitment to the following: Practice of clinical excellence, Utilization of the synergy of a multi-specialty medical group practice, Development of an integrated system that provides a continuum of care, Provision of local access to care through support of a regional medical office network, Provision of services to a distinct geographic region, and Proactive operations. The Clinic, through the provision of primary care services with ease of access to specialty and sub-specialty care, focuses on making an integrated system of health care easily accessible to patients. With its primary concern the diagnosis and treatment of disease and illness, it also seeks to actively improve the health of the community it serves through prevention, health screenings, and education. The Clinic welcomes any patient seeking care.
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, LINE 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.
FORM 990, PART XI, LINE 9	The Change in Net Assets is related to a change in Pension Obligation of $77,224.
FORM 990, PART XI, LINE 8	THE CHANGE IN NET ASSETS IN RELATED TO A PRIOR PERIOD ADJUSTMENT FOR INVESTMENT LOSSES $(72,774).

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (16 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
Guthrie Healthcare System
One Guthrie Square	Sayre	PA	18840	232200910	SUPPORT	PA	501 (C)(3)	11C TypeIII	GH	false
Guthrie Health
One Guthrie Square	Sayre	PA	18840	233055017	Support	PA	501 (C)(3)	11B Type II	NA	false
Sayre House of Hope
One Guthrie Square	Sayre	PA	18840	203979472	Enhance acces	PA	501 (C)(3)	7	GHS	true
Robert Packer Hospital
One Guthrie Square	Sayre	PA	18840	240795463	Health Care	PA	501 (C)(3)	3	GHS	true
Donald Guthrie Foundation for Education
200 south wilbur ave	sayre	PA	18840	246022957	Research	PA	501 (C)(3)	4	GHS	true
Robert Packer Hospital School of Nursing
200 South Wilbur Ave	Sayre	PA	18840	236408773	Education	PA	501 (C)(3)	2	GHS	true
Troy Community Hospital Inc
100 John Street	Troy	PA	16947	240800337	Healthcare	PA	501 (C)(3)	3	GHS	true
TIOGA HEALTHCARE FACILITY
ONE GUTHRIE SQUARE	SAYRE	PA	18840	150532257	HOUSING	PA	501 (C)(3)	3	GHS	true
SAYRE HOUSE INC
1001 NORTH ELMER AVE	SAYRE	PA	18840	231643404	NURSING	PA	501 (C)(3)	9	GHS	true
GUTHRIE HOME CARE
R R 1 bOX 154	SAYRE	PA	18840	232394345	HOME HEALTH	PA	501 (C)(3)	9	GHS	true
GUTHRIE CORNING DEVELOPMENT COMPANY
176 DENISON pKWY E	CORNING	NY	14830	161594628	SUPPORT	NY	501 (C)(3)	11B TYPE II	GHS	true
GUTHRIE SAME DAY SURGERY CENTER INC
ONE GUTHRIE SQUARE	SAYRE	PA	18840	020551081	AMBULATORY	NY	501 (C)(3)	9	GHS	true
GUTHRIE RISK RETENTION GROUP
151 MEETING STREET	CHARLESTON	SC	29401	201090801	SUPPORT	SC	501 (C)(3)	11A TYPE I	GH	true
TIOGA NURSING FACILITY
ONE GUTHRIE SQUARE	SAYRE	PA	18840	150532257	NURSING	PA	501 (C)(3)	3	GHS	true
GUTHRIE CLINIC LTD
ONE GUTHRIE SQUARE	SAYRE	PA	18840	250815795	HEALTHCARE	PA	501 (C)(3)	3	GH	true
DARWAY NURSING HOME INC
ONE GUTHRIE SQUARE	SAYRE	PA	18840	231733967	NURSING	PA	501 (C)(3)	9	GHS	true

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	TWIN TIER MANAGEMENT CORP INC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	p o bOX 310	AddressLine1
City	SAYRE	City
State	PA	State
ZIP Code	18840	ZIPCode

Field	Value	IRS element (for citing)
EIN	232209439	EIN
Primary Activity	mANAGEMENT CO	PrimaryActivity
Legal Domicile State	PA	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1

Field	Value	IRS element (for citing)
Type Of Entity	C CORP	TypeOfEntity
Controlled Org	true	ControlledOrg

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	true	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	false	DividendsRelatedOrganization
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	true	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
GUTHRIE CORNING DEVELOPMENT COMPANY
A	168463	FMV
GUTHRIE CORNING DEVELOPMENT COMPANY
K	522308	FMV
GUTHRIE CLINIC
J	255638	FMV
GUTHRIE CLINIC
M	2515983	FMV
GUTHRIE CLINIC
L	233430	FMV
GUTHRIE HEALTHCARE SYSTEM
M	4857031	FMV
ROBERT PACKER HOSPITAL
M	1101065	FMV
ROBERT PACKER HOSPITAL
O	69483	FMV
GUTHRIE SAME DAY SURGERY CENTER
O	68908	FMV