2023-05-15T15:59:18-05:00 2022-12-31 161226221 FUST CHARLES CHAMBERS LLP 5784 WIDEWATERS PARKWAY SYRACUSE NY 13214 990 2022-01-01 204848729 REGIONAL MEDICAL PRACTICE PC REGI 3157563500 134 HOMER AVENUE CORTLAND NY 130450960 FREDERICK BLOOM PRESIDENT 3157563500 2023-05-11 1 FREDERICK BLOOM 999009999 1 THOMAS J GIUFRE P00841958 3154463600 2023-05-11 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z FREDERICK BLOOM 134 HOMER AVENUE CORTLAND NY 13045 81336 0 X HTTP://WWW.REGIONALMEDICALPRACTICE.COM/ X 2006 NY ENGAGE IN THE PRACTICE OF MEDICINE AND PROVIDE PHYSICIAN SERVICES THAT IMPROVE THE STANDARDS AND QUALITY OF HEALTH CARE AVAILABLE TO THE RESIDENTS OF CORTLAND COUNTY AND OTHER AREAS SERVED BY THE CORPORATION. IN ADDITION, PARTICIPATING IN ACTIVITIES TO PROMOTE AND IMPROVE THE OVERALL HEALTH OF THE COMMUNITY. 0 0 0 0 0 0 0 0 72329 71021 0 0 44918 10315 117247 81336 0 0 0 0 0 4450 0 0 0 50272 14007 50272 18457 66975 62879 1201917 1195480 9818868 9782863 -8616951 -8587383 X REGIONAL MEDICAL PRACTICE, P.C.'S PURPOSE IS TO ENGAGE IN THE PRACTICE OF MEDICINE AND PROVIDE PHYSICIAN SERVICES THAT IMPROVE THE STANDARDS AND QUALITY OF HEALTH CARE AVAILABLE TO THE RESIDENTS OF CORTLAND COUNTY AND OTHER AREAS SERVED BY THE CORPORATION. IN ADDITION, PARTICIPATING IN ACTIVITIES TO PROMOTE AND IMPROVE THE OVERALL HEALTH OF THE COMMUNITY. 0 0 16041 81336 PROVIDING ORTHOPEDIC, CARDIOLOGY, SURGERY, PHYSIATRY, HOSPITALISTS, MEDICAL ONCOLOGY, PSYCHIATRY, PULMONOLOGY, UROLOGY, FAMILY PRACTICE, OPHTHALMOLOGY, PODIATRY, INFECTIOUS DISEASE, GASTROENTEROLOGY, MID-WIVES, AND INTERNAL MEDICINE SERVICES THROUGH ITS PHYSICIAN OFFICES. 16041 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 0 0 0 0 0 0 1 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X ROBIN CATALDO - GUTHRIE CORTLAND MEDICAL CENTER 6074285539 134 HOMER AVENUE CORTLAND NY 13045 X FREDERICK BLOOM PRESIDENT 37.50 X X 0 682120 83186 JENNIFER YARTYM SECRETARY 1.00 39.00 X X 0 298105 8943 0 980225 92129 0 0 1 0 0 PROGRAM SERVICE REVENU 621300 71021 71021 71021 OTHER REVENUE 621300 10315 10315 10315 81336 81336 0 0 X 4450 4450 10456 10456 621 621 291 291 BANK FEES 2416 2416 MISCELLANEOUS FEES 223 223 18457 16041 2416 0 1201917 1195228 252 1201917 1195480 9818868 9782863 9818868 9782863 X -8616951 -8587383 -8616951 -8587383 1201917 1195480 X 62879 -33311 X 0 0 0 X 0 0 0 0 0 0 0 0 0 FREDERICK BLOOM PRESIDENT 0 512597 0 120267 0 49256 0 64329 0 18857 0 765306 0 0 JENNIFER YARTYM SECRETARY 0 255395 0 42710 0 0 0 8943 0 0 0 307048 0 0 FORM 990, PART VI, SECTION A, LINE 6 FRED BLOOM IS THE SOLE SHAREHOLDER OF REGIONAL MEDICAL PRACTICE, P.C. FORM 990, PART VI, SECTION B, LINE 11B BEFORE THE 990 IS SUBMITTED, IT IS MADE AVAILABLE TO THE BOARD OF DIRECTORS FOR THEIR REVIEW. FORM 990, PART VI, SECTION B, LINE 12C REGIONAL MEDICAL PRACTICE, P.C. ENFORCES ITS CONFLICT OF INTEREST POLICY REQUIRING OFFICERS AND DIRECTORS TO SUBMIT ANNUAL CONFLICT OF INTEREST STATEMENTS. FORM 990, PART VI, SECTION B, LINE 15 CORTLAND REGIONAL MEDICAL CENTER, INC. (THE HOSPITAL) HAS A COMPENSATION COMMITTEE AND THEY REVIEW THE STANDARDS OF PERFORMANCE FOR THE KEY OBJECTIVES AND MEASURE RESULTS. THEY ALSO DO THE FOLLOWING: -CONSIDER FACTORS INVOLVED IN MANAGERIAL EFFECTIVENESS -CONSIDER ANY UNANTICIPATED RESPONSIBILITIES OR SPECIAL ACCOMPLISHMENTS -SOLICIT PERFORMANCE EVALUATION FROM ALL BOARD MEMBERS -CONDUCT A PERFORMANCE REVIEW OF THE CEO -DETERMINE THE OVERALL EVALUATION AND AWARD LEVEL -RECEIVE A PERFORMANCE REVIEW FROM THE CEO FOR ALL OTHER MEMBERS OF THE EXECUTIVE MANAGEMENT TEAM AND A SUMMARY OF PROPOSED SALARY AND INCENTIVE AWARDS SALARIES FOR REGIONAL MEDICAL PRACTICE P.C.'S PHYSICIANS AND MID-LEVEL PROVIDERS ARE SET BASED ON NATIONAL MGMA SPECIALTY GUIDELINES BETWEEN THE 25TH AND 50TH PERCENTILES. FORM 990, PART VI, SECTION C, LINE 18 REGIONAL MEDICAL PRACTICE, P.C.'S 990 IS AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 REGIONAL MEDICAL PRACTICE, P.C.'S GOVERNING DOCUMENTS, FINANCIAL STATEMENT AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 10,456. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,456. FORM 990, PART XI, LINE 9: ADJUSTMENT DUE TO GUTHRIE AFFILIATION -33,311. SCHEDULE A LINE 3 REGIONAL MEDICAL PRACTICE, PC IS A CAPTIVE PHYSICIAN PRACTICE WHICH HAS AS ITS MAIN PURPOSE THE PROVISION OF MEDICAL SERVICES, IT APPROPRIATELY NOTED ON FORM 1023 THAT IT IS A HOSPITAL. THE STATE OF NEW YORK DOES NOT REQUIRE CAPTIVE PHYSICIAN PRACTICES TO BE LICENSED AS A HOSPITAL. AS A CAPTIVE PHYSICIAN PRACTICE, REGIONAL MEDICAL PRACTICE, PC HAS AS ITS PRINCIPAL PURPOSE THE PROVISION OF MEDICAL CARE. ACCORDINGLY, IT WAS (I) PROPERLY IDENTIFIED AS A "HOSPITAL" ON FORM 1023; (II) PROPERLY IDENTIFIED AS A "HOSPITAL" ON FORM 990 SCHEDULE A; AND (III) SHOULD NOT BE DESIGNATED AS A "HOSPITAL/HOSPITAL FACILITY" ON FORM 990 SCHEDULE H. GUTHRIE CORTLAND MEDICAL CENTER 134 HOMER AVENUE CORTLAND NY 13045 150532079 NOT-FOR-PROFIT ACUTE CARE NY 501(C)(3) 3 N/A 0 TROY COMMUNITY HOSPITAL INC 275 GUTHRIE DRIVE TROY PA 16947 240800337 HEALTH CARE PA 501(C)(3) 3 TGC 0 CORNING HOSPITAL ONE GUTHRIE DRIVE CORNING NY 14830 160393490 HEALTH CARE NY 501(C)(3) 3 TGC 0 DONALD GUTHRIE FOUNDATION ONE GUTHRIE SQUARE SAYRE PA 18840 246022957 MEDICAL RESEARCH PA 501(C)(3) 4 TGC 0 GUTHRIE HOME CARE 421 TOMAHAWK ROAD TOWANDA PA 18848 232394345 HOME HEALTH PA 501(C)(3) 10 TGC 0 GUTHRIE MEDICAL GROUP PC ONE GUTHRIE SQUARE SAYRE PA 18840 250815795 HEALTH CARE PA 501(C)(3) 3 TGC 0 GUTHRIE RISK RETENTION GROUP 151 MEETING STREET CHARLESTON SC 29401 201090801 SUPPORTING SC 501(C)(3) 12A, I TGC 0 THE GUTHRIE CLINIC ONE GUTHRIE DRIVE SAYRE PA 18840 233055017 SUPPORTING PA 501(C)(3) 3 N/A 0 SAYRE HOUSE OF HOPE ONE GUTHRIE DRIVE SAYRE PA 18840 203979472 HEALTH CARE PA 501(C)(3) 3 TGC 0 GUTHRIE TOWANDA MEMORIAL HOSPITAL 91 HOSPITAL DRIVE TOWANDA PA 18848 240786657 HEALTH CARE PA 501(C)(3) 3 TGC 0 CORTLAND MEMORIAL FOUNDATION INC 134 HOMER AVENUE CORTLAND NY 13045 222230692 SUPPORTING NY 501(C)(3) 12B, 13 GCMC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0