2024-05-07T14:24:34-05:00 2023-06-30 WithumSmithBrown PC 1835 MARKET STREET SUITE 1710 PHILADELPHIA PA 19103 990 2022-07-01 233055017 THE GUTHRIE CLINIC % MICHELE SISTO GUTH 5708874625 ONE GUTHRIE SQUARE SAYRE PA 18840 edmund SABANEGH PRESIDENT/CEO 5708874625 2024-05-06 true edmund SABANEGH 000000000 Scott J Mariani P00642486 2155462140 2 2022 2023-04-26 12:10:37Z EDMUND SABANEGH MD MBA ONE GUTHRIE SQUARE SAYRE PA 18840 222727645 false X WWW.GUTHRIE.ORG X 2000 PA THE GUTHRIE CLINIC IS DEDICATED TO PROVIDING ACCESSIBLE HEALTH CARE THAT MEETS THE NEEDS OF THE PEOPLE AND COMMUNITIES IT SERVES. 13 8 835 8 6782 0 777259 2078928 114094182 127844703 11143430 13221445 967192 633000 126982063 143778076 104251602 94363725 0 0 65397849 72163204 0 0 993543 53064429 63860844 222713880 230387773 -95731817 -86609697 895683264 2160329047 793493646 2140175522 102189618 20153525 X THE GUTHRIE CLINIC IS DEDICATED TO PROVIDING ACCESSIBLE HEALTH CARE THAT MEETS THE NEEDS OF THE PEOPLE AND COMMUNITIES IT SERVES. false false 106722515 94363725 127851485 The Guthrie Clinic operates as the parent entity of a tax-exempt multi-entity healthcare system. 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DIRECTOR 55.0 0.0 X X 0 673451 36432 JOSEPH RONSIVALLE DO DIR.-PRES GMG (EFF 4/30/23) 55.0 0.0 X 0 620521 44922 MATTHEW HUFF CPA EVP/CFO 55.0 0.0 X 603700 0 40635 JOHN R PETROV EVP/CHIEF CAREGIVER OFFICER 55.0 0.0 X 478807 0 30635 DAVID A PFISTERER MD DIRECTOR 55.0 0.0 X 0 459054 34059 Lisa Esolen md EVP/CHIEF QUALITY OFFICER 55.0 0.0 X 448049 0 33412 TERRI COUTS EVP/CIO 55.0 0.0 X 428242 0 42712 Debra K Raupers EVP/CHIEF NURSING OFFICER 55.0 0.0 X 413648 0 18621 ANN PARIS CHIEF LEGAL OFFICER 55.0 0.0 X 379000 0 0 FRANCIS M MACAFEE SPEC PROJ, M&A EXECUTIVE 55.0 0.0 X 328800 0 38582 Elizabeth Jaekle EVP/Chief Strategy Officer 55.0 0.0 X 333609 0 33502 EDWARD TANIDA VP, Managed Care 55.0 0.0 X 312651 0 38582 DONALD F SKERPON EVP/Chief Strat Off(TERM 7/22) 55.0 0.0 X 289296 0 44044 EILEEN LAMPE VP, General Counsel(TERM 2022) 55.0 0.0 X 315870 0 17147 MARY ANN DOUGHERTY SVP, Strat & Growth(TERM 2022) 55.0 0.0 X 298883 0 10702 KENNETH R LEVITZKY ESQ CHAIRMAN - DIRECTOR 1.0 0.0 X X 0 0 0 JOAN M MARREN RN SECRETARY - DIRECTOR 1.0 0.0 X X 0 0 0 ETHAN ARNOLD MPH DIRECTOR 1.0 0.0 X 0 0 0 AVERY AUGUST PHD DIRECTOR 1.0 0.0 X 0 0 0 JOHANNA AMES DIRECTOR 1.0 0.0 X 0 0 0 JOHN BAYNE DIRECTOR 1.0 0.0 X 0 0 0 DONALD FERRARIO DIRECTOR 1.0 0.0 X 0 0 0 NADER MEHRAVARI PHD DIRECTOR 1.0 0.0 X 0 0 0 6657055 3128713 867923 90 false true false CROSS COUNTRY PO BOX 404674 ATLANTA GA 303844674 STAFFING SERVICES 33933813 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 753972633 STAFFING SERVICES 8703095 AVANT PO BOX 744554 ATLANTA GA 303744554 STAFFING SERVICES 4984631 COMPHEALTH PO BOX 972651 DALLAS TX 753972651 STAFFING SERVICES 3893297 QUEST DIAGNOSTICS 75 REMITTANCE DRIVE CHICAGO IL 60675 LAB SERVICES 3312479 163 42184 2036744 56397 2078928 OTHER PROGRAM RELATED REVENUE 900099 118598159 118598159 RENTAL INCOME FROM AFFILIATES 351190 9246544 9246544 127844703 8435299 8435299 0 0 0 0 0 83703724 0 78916391 1187 4787333 -1187 4786146 4786146 31991 42184 31991 0 0 0 0 0 0 BOOKKEEPING SERVICES 541200 1963 1963 ATM RENTAL FEES 532420 4819 4819 SUPPLY REBATE 900099 626218 626218 633000 143778076 127844703 6782 13847663 94358725 94358725 5000 5000 0 0 5542605 610978 4884480 47147 0 52852163 6182296 46186901 482966 2690823 2690823 7046933 1247550 5732837 66546 4030680 500863 3478397 51420 0 520464 520464 209509 209509 0 0 216761 216761 10661431 908590 9523916 228925 3833080 3828890 4190 7932439 774208 7069533 88698 11895118 1302344 10592745 29 0 2760607 152568 2594343 13696 302508 18470 279834 4204 0 134509 19115 115394 10170662 10170662 0 12878061 12878061 110329 110329 OTHER EXPENSES 2235366 641808 1587836 5722 230387773 106722515 122671715 993543 X 420 -2502 51394097 19024988 223412 119648 0 0 0 0 0 0 0 0 0 0 11788164 15701349 228258733 133578837 104690016 94679896 214302118 152539954 16337541 11996987 0 0 0 0 496947496 1866268727 895683264 2160329047 57486437 37833247 0 0 0 0 318602584 310235723 0 0 0 0 101631768 99121570 0 0 315772857 1692984982 793493646 2140175522 X 69020661 -12129484 33168957 32283009 102189618 20153525 895683264 2160329047 X -86609697 11421053 -6847449 X X false true X true true true X X X 10 ROBERT PACKER HOSPITAL 240795463 3 true 0 0 DONALD GUTHRIE FOUNDATION 246022957 4 true 0 0 GUTHRIE MEDICAL GROUP PC 250815795 3 true 94358725 0 SAYRE HOUSE OF HOPE 203979472 7 true 0 0 GUTHRIE HOME CARE 232394345 10 true 0 0 TROY COMMUNITY HOSPITAL 240800337 3 true 0 0 CORNING HOSPITAL 160393490 3 true 0 0 GUTHRIE CORTLAND MEDICAL CENTER 150532079 3 true 0 0 CORTLAND MEMORIAL FOUNDATION INC 222230692 7 true 0 0 REGIONAL MEDICAL PRACTICE PC 204848729 3 true 0 0 10 94358725 0 false false false false false false false false false false false false false false false false SCHEDULE A, PART IV, SECTION A, LINE 1 THE LANGUAGE OF THE ORGANIZATION'S BYLAWS PROVIDE THAT THE GUTHRIE CLINIC'S ("TGC") PURPOSE IS TO ACT AS THE PARENT OF AN INTEGRATED SECTION 501(C)(3) HEALTH CARE DELIVERY SYSTEM, WHICH PRESENTLY CONSISTS OF TGC AND ALL OTHER ENTITIES THAT ARE DIRECTLY OR INDIRECTLY CONTROLLED BY TGC, INCLUDING THOSE ENTITIES SPECIFICALLY LISTED HEREIN AND SUCH ADDITIONAL ENTITIES THAT ARE OR BECOME PART OF SUCH INTEGRATED HEALTH CARE DELIVERY SYSTEM. THE FOLLOWING SUPPORTED ENTITIES, WHICH ARE PART OF THE INTEGRATED HEALTH CARE DELIVERY SYSTEM, ARE NOT SPECIFICALLY LISTED IN TGC'S GOVERNING DOCUMENTS: GUTHRIE CORTLAND MEDICAL CENTER - EIN: 15-0532079 CORTLAND MEMORIAL FOUNDATION, INC. - EIN: 22-2230692 REGIONAL MEDICAL PRACTICE - EIN: 20-4848729 ALL OF THE ABOVE SUPPORTED ORGANIZATIONS NOT LISTED BY NAME IN TGC'S GOVERNING DOCUMENTS ARE PART OF TGC'S INTEGRATED HEALTH CARE DELIVERY SYSTEM. ACCORDINGLY, THEY ARE DESIGNATED BY CLASS BECAUSE THEY ARE PART OF TGC'S INTEGRATED HEALTH CARE DELIVERY SYSTEM AND ARE DIRECTLY CONTROLLED BY TGC. SCHEDULE A, PART IV, SECTION C, LINE 1 DETAIL OF POWER TO APPOINT A MAJORITY OF THE OFFICERS, DIRECTORS, OR TRUSTEES OF EACH SUPPORTED ORGANIZATION THE BOARD OF DIRECTORS OF THE GUTHRIE CLINIC, ACTING AS SOLE MEMBER OF THE CORPORATIONS, SHALL HAVE AND EXERCISE FINAL AUTHORITY WITH RESPECT TO APPOINTMENT OF ALL INDIVIDUALS WHO SERVE THE CORPORATIONS AS MEMBERS OF THE CORPORATION'S BOARD OF DIRECTORS, AS TRUSTEES, AND AS MEMBERS OF OTHER BOARDS AND COMMITTEES. ADDITIONALLY, THE BOARD OF DIRECTORS OF TGC, ACTING AS SOLE MEMBER OF THE CORPORATIONS, SHALL HAVE AND EXERCISE FINAL AUTHORITY WITH RESPECT TO: (A) APPROVAL OF FINANCIAL MATTERS INCLUDING THE ANNUAL OPERATING AND CAPITAL BUDGET OF EACH SUPPORTING CORPORATION; THE CORPORATION'S STRATEGIC PLAN; INCURRENCE OF DEBT; TRANSFER OF ASSETS; SELECTION, RETENTION, AND TERMINATION OF EXTERNAL AUDITORS; AND PARTICIPATION IN KEY STRATEGIC ALLIANCES, AFFILIATIONS, AND OTHER KEY RELATIONSHIPS WITH THIRD PARTIES; (B) ESTABLISHING EACH SUPPORTING CORPORATION'S MISSION, VISION AND VALUES; AND (C)APPROVAL OF ANY AMENDMENT TO THE ARTICLES OF INCORPORATION, BYLAWS OR OTHER GOVERNING INSTRUMENTS, MERGER, CONSOLIDATION, DIVISION, LIQUIDATION, DISSOLUTION, CONVERSION, DISPOSITION OF SUBSTANTIALLY ALL ASSETS AND ALL OTHER TRANSACTIONS OF THE SUPPORTING CORPORATIONS, AS DESCRIBED IN NONPROFIT CORPORATION LAW OF 1988, 15 PA. C.S.A. 5901 ET SEQ. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6511005 6511005 78952948 28205879 50747069 9721750 7195740 2526010 125503068 95971450 29531618 7569962 2205768 5364194 94679896 DUE FROM AFFILIATES 1848888154 DEFINED PENSION BENEFIT 15665840 OTHER ASSETS 1248110 RIGHT OF USE ASSET 466623 1866268727 0 DUE TO AFFILIATES 1689021469 SWAP CONTRACT PAYABLE 2007 495930 DEFERRED LIABILITY CAP INTEREST 914896 ACCRUED WORKERS COMP LIABILITY 203364 ACCRUED EXP PROF. LIABILITY 836004 OTHER LIABILITIES 1047096 RIGHT OF USE LIABILITY 466223 1692984982 X SCHEDULE D, PART X, LINE 2 THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENITY OF THE GUTHRIE CLINIC AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE SYSTEM AND ALL ENTITIES WITHIN THE SYSTEM FOR THE YEARS ENDED JUNE 30, 2023 AND JUNE 30, 2022; INCLUDING THIS ORGANIZATION; RESPECTIVELY. THE INDEPENDENT CPA FIRM ISSUED AN UNMODIFIED OPINION WITH RESPECT TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE FOLLOWING FOOTNOTE IS INCLUDED IN THE SYSTEM'S AUDITED CONSOLIDATED FINANCIAL STATEMENTS THAT REPORTS THE SYSTEM'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE CORPORATION TO EVALUATE TAX POSITIONS TAKEN BY THE CORPORATION AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE CORPORATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE CORPORATION HAS CONCLUDED THAT AS OF JUNE 30, 2023 AND 2022, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. Central America and the Caribbean Investments 92109156 Central America and the Caribbean Investments 3012500 95121656 95121656 true false false false false false FORM 990, SCHEDULE F, PART I, LINE 3, COLUMN (F), ITEM #1 THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENITY OF THE GUTHRIE CLINIC AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE INVESTMENT AMOUNT REPORTED IN SCHEDULE F, PART I, LINE 3; COLUMN F REPRESENTS THE TOTAL POOLED INVESTMENT FUNDS OF THE SYSTEM. THE POOLED INVESTMENT FUNDS ARE ALLOCATED AMONG THE SYSTEM AFFILIATES PURSUANT TO AN INVESTMENT POOLING ARRANGEMENT. 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X X X X true true false false false false false true false EDMUND SABANEGH MD DIRECTOR - PRESIDENT/CEO 985892 0 365734 0 29334 0 175450 0 16707 0 1573117 0 0 0 FREDERICK J BLOOM MD DIR.-PRES GMG (7/1/22-4/30/23) 0 512597 0 120267 0 49256 0 63456 0 18857 0 764433 0 42180 J MICHAEL SCALZONE MD EVP/CHIEF QUAL OFF(TERM 9/22) 0 395891 0 102790 0 194886 0 19825 0 24605 0 737997 0 34625 PAUL G VERVALIN EVP/COO 484690 0 109037 0 51813 0 66054 0 18982 0 730576 0 40006 0 DANIEL J BROWN MD VICE CHAIRMAN - DIRECTOR 0 599884 0 54067 0 19500 0 19825 0 16607 0 709883 0 0 JOSEPH RONSIVALLE DO DIR.-PRES GMG (EFF 4/30/23) 0 582373 0 38148 0 0 0 18300 0 26622 0 665443 0 0 MATTHEW HUFF CPA EVP/CFO 493147 0 109815 0 738 0 16013 0 24622 0 644335 0 0 0 JOHN R PETROV EVP/CHIEF CAREGIVER OFFICER 337892 0 84159 0 56756 0 16013 0 14622 0 509442 0 0 0 DAVID A PFISTERER MD DIRECTOR 0 425761 0 33293 0 0 0 18300 0 15759 0 493113 0 0 Lisa Esolen md EVP/CHIEF QUALITY OFFICER 336652 0 58363 0 53034 0 19825 0 13587 0 481461 0 0 0 TERRI COUTS EVP/CIO 329649 0 65995 0 32598 0 16013 0 26699 0 470954 0 0 0 Debra K Raupers EVP/CHIEF NURSING OFFICER 293517 0 70529 0 49602 0 18300 0 321 0 432269 0 0 0 ANN PARIS CHIEF LEGAL OFFICER 379000 0 0 0 0 0 0 0 0 0 379000 0 0 0 FRANCIS M MACAFEE SPEC PROJ, M&A EXECUTIVE 294250 0 34550 0 0 0 19825 0 18757 0 367382 0 0 0 Elizabeth Jaekle EVP/Chief Strategy Officer 235114 0 41619 0 56876 0 16604 0 16898 0 367111 0 0 0 EDWARD TANIDA VP, Managed Care 259863 0 52788 0 0 0 19825 0 18757 0 351233 0 0 0 DONALD F SKERPON EVP/Chief Strat Off(TERM 7/22) 180139 0 63005 0 46152 0 43426 0 618 0 333340 0 0 0 EILEEN LAMPE VP, General Counsel(TERM 2022) 154601 0 0 0 161269 0 10049 0 7098 0 333017 0 0 0 MARY ANN DOUGHERTY SVP, Strat & Growth(TERM 2022) 106807 0 36272 0 155804 0 9300 0 1402 0 309585 0 0 0 PART VII AND SCHEDULE J IN ACCORDANCE WITH INTERNAL REVENUE SERVICE FORM 990 RULES, REGULATIONS AND INSTRUCTIONS, THE COMPENSATION REPORTED IN CORE FORM, PART VII AND SCHEDULE J, PART II OF THIS FORM 990 IS DERIVED FROM 2022 FORMS W-2 AND FORMS 1099 (IF APPLICABLE). SCHEDULE J, PART I; QUESTION 4a THE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE PAYMENT DURING CALENDAR YEAR 2022 WHICH WERE INCLUDED IN EACH INDIVIDUAL'S 2022 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: J. MICHAEL SCALZONE, M.D., $148,108; EILEEN LAMPE, $161,269 AND MARY ANN DOUGHERTY, $155,804. SCHEDULE J, PART I; QUESTION 4B THE GUTHRIE CLINIC ("TGC") HAS ESTABLISHED AN EMPLOYEE BENEFIT PLAN KNOWN AS THE GUTHRIE CLINIC 457(F) DEFERRED COMPENSATION PLAN (THE "PLAN") WHICH IS DESIGNED TO PROVIDE ELIGIBLE EMPLOYEES WITH DEFERRED COMPENSATION BENEFITS IN RECOGNITION OF THEIR DEDICATED AND VALUABLE SERVICE TO TGC. THE PLAN IS INTENDED TO BE AN INELIGIBLE DEFERRED COMPENSATION PLAN AS DESCRIBED IN SECTION 457(F) OF THE INTERNAL REVENUE CODE. EACH CONTRIBUTION VESTS AFTER THREE YEARS OF EMPLOYMENT PROVIDED THE PARTICIPANT REMAINS CONTINUOUSLY EMPLOYED. A PARTICIPANT SHALL BECOME FULLY VESTED IN THE PARTICIPANT'S 457(F) ACCOUNT BENEFIT UPON ATTAINING AGE 62, WITH 5 YEARS OF SERVICE. TGC SHALL DISTRIBUTE THE PARTICIPANT'S 457(F) ACCOUNT BENEFIT, LESS TAXES WITHHELD, THIRTY DAYS AFTER THE PARTICIPANT FIRST BECOMES VESTED IN THE PLAN. FOR YEARS SUBSEQUENT TO A PARTICIPANT ATTAINING AGE 62, THE PARTICIPANT SHALL BE ENTITLED TO THE PARTICIPANT'S DEFERRED COMPENSATION AMOUNT AS OF JULY 1ST IMMEDIATELY SUBSEQUENT TO THE DATE WHEN CREDITED. THE AMOUNTS REFLECTED IN SCHEDULE J, PART II, COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES CURRENT YEAR VESTING IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) AS THE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2022 FORM W-2 AS TAXABLE WAGES: FREDERICK J. BLOOM, M.D., $44,504; J. MICHAEL SCALZONE, M.D., $34,625; PAUL G. VERVALIN, $40,006; LISA ESOLEN, M.D., $36,378; ELIZABETH JAEKLE, $36,376; TERRI COUTS, $31,671; JOHN PETROX, $35,356; DEBRA RAUPERS, $29,102. THE DEFERRED COMPENSATION AMOUNTS REFLECTED IN SCHEDULE J, PART II, COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDE UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THESE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN EACH INDIVIDUAL'S 2022, FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: EDMUND SABANEGH, M.D., $155,625; FREDERICK J. BLOOM, M.D., $43,631; PAUL G. VERVALIN, $47,754 AND DONALD SKERPON, $23,601. SCHEDULE J, PART I; QUESTION 7 CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2022 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2022 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT. SCHEDULE J, PART II; COLUMN F THE AMOUNTS REPORTED IN SCHEDULE J, PART II, COLUMN (F) INCLUDE VESTED BENEFITS IN A DEFERRED COMPENSATION PLAN AS THESE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. THESE AMOUNTS WERE REPORTED AS DEFERRED COMPENSATION ON PRIOR YEARS' FORMS 990 AND ARE NOW BEING REPORTED AGAIN ON THIS YEAR'S FORM 990. THESE HAVE BEEN TREATED AS TAXABLE INCOME AND REPORTED ON EACH INDIVIDUAL'S FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. A HEALTH CARE FACILITIES AUTH OF SAYRE 236633733 805777JAB 2007-04-03 187455000 REFUND BONDS - 2/02 & 3/02 false false false B CENTRAL BRADFORD PROGRESS AUTHORITY 232735865 2021-06-03 50335000 REFUND BONDS DATED 10/28/2012 false false false C CENTRAL BRADFORD PROGRESS AUTHORITY 232375865 2021-11-03 41570000 REFUND BONDS DATED 12/20/2016 false false false D CENTRAL BRADFORD PROGRESS AUTHORITY 232735865 152691AV3 2021-11-03 100003541 various capital projects false false false A 164420000 0 222433593 0 9954 0 1727367 0 0 0 220696271 0 2007 false true true true B 0 0 50335000 0 0 0 335000 0 0 0 50000000 0 2021 true false true true C 1240000 0 41570000 0 0 0 2929 0 0 0 41567071 0 2021 true false true true D 0 0 100003541 0 0 0 0 0 0 75741072 18365 24244204 false false false true A 0 B false false false 0.00000 0.00000 0.00000 false false false true C false true true true false 0.00020 0.00000 0.00020 false false false true D false false false false 0.00000 0.00000 0.00000 false false false true A false false false true true true JP MORGAN CHASE 24.7 false false false 0 false true B false true false false true false 0 false 0 false true C false true false false true false 0 false 0 false true D false true false false false false 0 false 0 false true A true B true C true D false TAX-EXEMPT BOND ISSUES - SCHEDULE K; PART I PART II, LINE 3, COLUMN A: THE TOTAL PROCEEDS OF ISSUE EXCEED THE ISSUE PRICE DUE TO INVESTMENT EARNINGS, NOTE THESE INVESTMENT EARNINGS MATCHED THE GUIDELINES OF THE VERIFICATION REPORT COMPLETED AT ISSUANCE. PART II, LINE 11, COLUMNS A, B, & C: THE AMOUNTS INCLUDED IN OTHER SPENT PROCEEDS REPRESENT THE REFUNDING PROCEEDS OF THE ISSUE THAT ARE NO LONGER IN ESCROW. PART III, COLUMN A: THE SERIES 2007 BONDS WERE ISSUED FOR THE PURPOSE OF REFUNDING ISSUES DATED PRIOR TO DECEMBER 31, 2002 AND, THEREFORE, THIS ISSUE IS EXEMPT FROM PART III REPORTING. PART IV, LINE 2(C), COLUMN A: A REBATE CALCULATION WAS PERFORMED ON 12/1/2011 A CENTRAL BRADFORD PROGRESS AUTHORITY 232735865 2021-10-20 103140000 SEE PART VI false false false A 3930000 0 103140000 0 0 0 0 0 0 0 103140000 0 2021 false true true true A false true true true false 0.00020 0.00000 0.00020 false false false true A false true false false true false 0 false 0 false true A true TAX-EXEMPT BOND ISSUES - SCHEDULE K; PART I PART I, COLUMN F, LINE A: SERIES 2021 - THE PURPOSE OF THE ISSUE IS A TAX-EXEMPT REISSUANCE OF A TAXABLE SERIES 2019 BOND DATED 10/24/2019, WHICH WAS ORIGINALLY ISSUED TO REFUND THE SERIES 2011 BOND DATED: 09/08/2011. PART II, COLUMN A, LINE 11: THE OTHER SPENT PROCEEDS ARE THE REFUNDING PROCEEDS OF THE ISSUE TAYLOR C SKERPON FAMILY MEMBER OF KEY EE 92365 TGC EMPLOYEE false ELYSE LANDIS FAMILY MEMBER OF KEY EE 75635 TGC EMPLOYEE false X 1 30757 FMV X MISC ITEMS 21 25640 FMV false true true Schedule M, Part I; Question 32A THE ORGANIZATION HIRES INDEPENDENT THIRD-PARTIES TO SELL NON-CASH CONTRIBUTIONS IT RECEIVES; IF THE ORGANIZATION DECIDES NOT TO RETAIN THE ITEM(S). THE ORGANIZATION PAYS FAIR MARKET VALUE RATES AND COMMISSIONS IN THESE INSTANCES. FOR ANY GIFTS OF STOCK THE ORGANIZATION'S POLICY IS TO SELL IT IMMEDIATELY FOLLOWING RECEIPT. CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS The Guthrie Clinic is a tax-exempt nonprofit health care organization incorporated for the purpose of conducting exclusively charitable, scientific and educational activities. The Guthrie Clinic ("TGC") acts as the tax-exempt parent of the system ("Guthrie"), a tax-exempt section 501(c)(3) integrated health care delivery system. The sole member of each entity is either TGC or another Guthrie system affiliate controlled or owned by TGC. Guthrie offers patients a full-spectrum of health services incorporating primary care, complex specialty care, behavioral health services, surgical services, inpatient care, durable medical equipment services, home health, long-term care, palliative care and hospice care. Our integrated approach creates a better experience for our patients and is working to decrease the cost of the delivery of health care. Guthrie serves a large population of people over a wide geographic area. Regardless of how patients enter the Guthrie system, our electronic health records enables our specialists and primary care physicians to actively collaborate - literally and virtually - to coordinate patient care. Our robust electronic health records enables Guthrie physicians and clinicians to quickly gain a comprehensive understanding of patients' health needs and our patient portal, eguthrie, allows patients to access their health information easily on a computer, tablet or smart phone. Guthrie mission & values ======================== As a non-profit tax-exempt health care system, Guthrie, its physicians and employees are focused on improving the health and well-being of the communities it serves. Guthrie's mission, vision and values statements articulate the principles on which the organization was founded and exists today. Mission ------- Guthrie works with the communities we serve to help each person attain optimal, life-long health and well-being. We will do so by providing integrated, clinically-advanced services that prevent, diagnose, and treat disease, within an environment of compassion, learning, and discovery. Vision ------ Improving health through clinical excellence and compassion; every patient; every time. Values ------ - patient-centeredness - teamwork - excellence A long history of service and growth ==================================== Guthrie Medical Group --------------------- Guthrie Medical Group is tax-exempt multispecialty group practice that was founded in 1910 by Dr. Donald Guthrie. Within a year of his arrival, Dr. Guthrie expanded services at Guthrie Robert Packer Hospital as he recruited physician specialists to join Guthrie, which he intended to model after the Mayo Clinic where he had just completed his residency. Learning and education ---------------------- Academics are a distinguishing characteristic of the Guthrie organization, which date back to 1901 when the School of Nursing was founded. The Donald Guthrie Research Foundation started in 1942 and with funds from the Emily Guthrie estate, the Guthrie Research Institute was formed in 1980. Guthrie's commitment to learning and education includes the internal medicine residency program in 1958, general surgery residency program in 1959, and the family practice residency program in 1993. Regional offices ---------------- Guthrie has grown in size and capability in the last century, and now serves as a major regional referral center where more than 1,600 physicians send their patients. In 1977, Guthrie opened its first regional office in Troy, Pa. Today, Guthrie has 76 regional offices located across 10,000 square miles, providing primary and specialty care and testing to its patients, close to where they live. Five hospitals -------------- In addition to its longstanding relationship with Robert Packer Hospital, Guthrie acquired Troy Community Hospital in 1985, Corning Hospital in 1999, Towanda Memorial Hospital in 2015 and Cortland Medical Center in 2019. Guthrie today ------------- Today, one of the longest established group practices in the country, Guthrie has close to 1,000 primary and specialty care physicians and advance practice practitioners and has more than 1.5 million patient visits each year in 29 communities in Pennsylvania and New York. Guthrie's commitment to its core values of patient centeredness, teamwork and excellence-the defining values upon which Guthrie Clinic was founded- remains robust and unchanging. Guthrie services ================ Guthrie hospitals are recognized by the Internal Revenue Service ("IRS") as internal revenue code section 501(c)(3) tax-exempt organizations. Pursuant to its charitable purposes, the Guthrie hospitals provide medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, gender identity, sexual orientation, national origin or ability to pay. Moreover, the Guthrie hospitals operate consistently with the following criteria outlined in IRS revenue ruling 69-545: 1. Provided medically necessary healthcare services to all individuals regardless of ability to pay, including charity care, self-pay, medicare and medicaid patients; 2. Operates an active emergency departments for all persons that are open 24 hours a day, 7 days a week, 365 days per year; 3. Maintains an open medical staff, with privileges available to all qualified physicians; 4. Control of each hospital rests with its board of trustees and the board of trustees of TGC; the tax-exempt parent organization of Guthrie. Both boards are comprised of independent civic leaders and other prominent members of the represented communities; and 5. Surplus funds are used to improve the quality of patient care, expand and renovate facilities/equipment and advance and improve medical care, programs and activities through patient care and medical training, education and research. The operations of each hospital, as shown through the factors outlined above and other information contained herein, clearly demonstrate that the use and control of each hospital is for the benefit of the public and that no part of the income or net earnings of the organizations inures to the benefit of any private individual, nor is any private interest being served other than incidentally. Guthrie Robert Packer Hospital ============================== A 288-bed tertiary care referral center, Guthrie Robert Packer Hospital, Sayre, PA., is the recipient of numerous national awards for the high-quality care it provides to patients. The hospital is a regional level II trauma center, accredited by the Pennsylvania Trauma Systems Foundation, and is served by Guthrie Air, a regional aeromedical helicopter program. Guthrie Robert Packer Hospital offers a full range of diagnostic, medical and surgical services, including: - Guthrie breast care center - Guthrie cancer center - Guthrie cardiac and vascular center - Guthrie musculoskeletal services - Guthrie imaging services - Guthrie specialty eye care - Guthrie surgical services - Guthrie weight loss center - Level II trauma center - medical/surgical and intensive care services Guthrie Corning Hospital ======================== Guthrie Corning Hospital, located in Corning, N.Y., opened a new 65-bed hospital and regional cancer center in 2014. The new facility provides the region emergency, icu, labor and delivery, surgical, inpatient and outpatient services including wound care, cardiology, medical imaging and cancer care services, including: - 24-hour emergency services with 24-hour laboratory, radiology and ultrasound support - ambulatory surgery - breast care center - cancer center - coronary care, cardiology stress testing and outpatient rehabilitation - endoscopy - laboratory services - labor and delivery care - medical/surgical and intensive care services - imaging services - musculoskeletal services CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Guthrie Cortland Medical Center =============================== Guthrie Cortland Medical Center, an independent, nonprofit, 162-bed acute care facility with an attached 80-bed residential care facility, joined the Guthrie healthcare system in January 2019. For over 125 years, the people of Cortland have turned to us first for the best in medical care. - acute and inpatient care - cancer care - emergency care - infusion services - labor and delivery care - laboratory services - imaging and radiology - mental health service - outpatient therapy services - respiratory services - surgical services Robert Packer Hospital at Towanda campus ======================================== Robert Packer Hospital at Towanda campus, a 21-bed community hospital in Towanda, PA, joined Guthrie in April 2015. Robert Packer Hospital at Towanda campus serves Bradford and Sullivan counties as well as the surrounding communities and offers additional specialty care services including pain management and hand surgery. Long-term care services are provided for patients at Robert Packer Hospital at Towanda campus with a skilled nursing unit and 94-bed personal care home. - imaging services - medical/surgical services - orthopedic surgery - 24-hour emergency services with 24-hour laboratory, radiology and ultrasound support - ambulatory surgery - cardiology stress testing - laboratory services - rehabilitation - physical and occupational therapy - sub-acute care - EMS services Guthrie Troy Community Hospital =============================== Located in Troy, PA., Guthrie Troy Community Hospital is 25-bed, critical access hospital. A new facility was built in 2013 and offers a wide range of inpatient and outpatient services including sub-acute and ventilator management programs and is a level IV trauma center. - imaging services - medical/surgical services - orthopedic surgery - 24-hour emergency services with 24-hour laboratory, radiology and ultrasound support - ambulatory surgery - coronary care, cardiology stress testing - rehabilitation - sub-acute care - ventilator management program Guthrie Medical Group ===================== Guthrie values are founded on the life and work of Donald Guthrie, MD, who came to the booming railroad town of Sayre, PA. In 1910. After a three-year surgical residency under the exacting tutelage of Drs. Charles A. and William Mayo of the Mayo Clinic, Dr. Guthrie began to replicate the Mayo's multi-specialty group practice model to create the organization that now bears his name. Guthrie Medical Group is a multi-specialty group practice of more than 372 physicians and 274 advanced practice providers have more than 1,380,000 patient visits each year. With its headquarters in a large medical office complex adjacent to Guthrie Robert Packer Hospital in Sayre, PA., the regional office network encompasses 45 subspecialty and primary sites in 29 communities throughout Pennsylvania and New York. Guthrie's primary care network encompasses all of the major population centers in the twin tiers and provides easy and convenient access to the best medical care available in the region. Guthrie Foundation for Education and Research ============================================= The Guthrie Foundation for Education and Research is a 501(c)(3) and separate entity within The Guthrie Clinic. The foundation was established in 1942 with an initial gift of $25,000 from Dr. Guthrie. This was prior to governmental funded research and the original charter specified that these funds were to be used to "foster education and research on the campus of the Robert Packer Hospital". Since the initial inception, the foundation has grown and evolved however, still maintains a similar vision to develop, grow and conduct meaningful quality research to improve the lives of patients in the twin tiers community. In 2014, under a broader organizational re-structure the foundation was re-named the Donald Guthrie Foundation however, still maintained its same mission statement. With the re-structure the foundation is now comprised of the three research departments of clinical research, leap testing service and the institutional review board. Medical Education ================= Includes the Mansfield University/Robert Packer department of health sciences -- nursing program, the radiology technology program and the respiratory therapy program. These education programs are all co-sponsored by Mansfield University. Other educational programs include the medical technology/medical laboratory science program, and the medical education department. The Guthrie/Robert Packer Hospital medical education department offers residency programs in family medicine, internal medicine, pharmacy, general surgery, nursing, emergency medicine, anesthesiology and orthopedic surgery. Medical student training is provided for students from affiliated medical schools (SUNY Upstate Medical University, Drexel Medical College, Lake Erie College of Osteopathic Medicine and Jefferson). The department also offers a three year cardiovascular disease fellowship, a gastroenterology fellowship and a pulmonary disease and critical care medicine fellowship. Medical education also offers continuing medical education courses, sponsors medical grand rounds each week, and supports the guthrie scholars program, which offers early acceptance to medical school for exceptional students from surrounding communities. Other services ============== Guthrie home care, home health is licensed in both Pennsylvania and New York and hospice is licensed in Pennsylvania. Home care provides various levels of care in the home, based on patient need, including: - nursing care - personal care - physical, occupational and speech therapies - hommed monitoring system for patients with chronic conditions - hospice care for terminally ill patients Quality and awards ================== Quality data ------------ Guthrie physicians, advanced practitioners and staff are dedicated to providing our patients quality health care. By measuring outcomes data and creating an environment in which quality improvement is part of the health care team's every day work, guthrie ensures patients receive the level of care and compassion they deserve. Awards ------ Guthrie has received numerous independent awards for clinical excellence, quality patient care and hospital performance. The awards span the entire spectrum of care, from excellence in nursing to recognition for specialized areas of care. The Guthrie Clinic is proud to announce that two of its hospitals have been recognized in the latest U.S. News and World Report Hospital Rankings for 2022-23. Guthrie Robert Packer Hospital (RPH) in Sayre, PA was rated as High Performing for treatment of COPD, heart failure, stroke, hip replacement and kidney disease. Guthrie Cortland Medical Center (GCMC) in Cortland, NY was rated a High Performer for the treatment of pneumonia. U.S. News generates these ranking by evaluating data from nearly 5,000 hospitals to help patients decide where to receive care. To be nationally ranked in a specialty, a hospital must excel in caring for the sickest, most medically complex patients. Guthrie Corning Hospital received an "A" Hospital Safety Grade from The Leapfrog Group as part of its Fall 2022 scorecard. This national distinction recognizes Guthrie Corning's achievements in protecting patients from preventable harm and error in the hospital, and it follows another "A" rating from the spring of this year. Guthrie Corning Hospital has been certified as a Primary Stroke Center by the Joint Commission. Guthrie Surgeon Dr. Anne Rizzo has been recognized by Castle Connolly Top Doctors on their 2022 list of "Exceptional Women in Medicine." Dr. Rizzo is the System Surgical Chair and President of Surgical Services at The Guthrie Clinic. She specializes in General Surgery, Trauma and Acute Care Surgery. She is certified by the American Board of Surgery in General Surgery, Hospice and Palliative Care and Surgical Critical Care.? In addition to being granted reaccreditation by the Intersocietal Accreditation Commission (IAC) in Echocardiography, The Guthrie Clinic has also received special recognition for its long-time commitment to quality patient care in this specialty. Guthrie is proud to be part of the select group of IAC Bronze Milestone Award recipients, celebrating 20 years of excellence in Echocardiography. CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Guthrie Robert Packer Hospital has earned two Achievement Awards from The Hospital and Health system Association of Pennsylvania (HAP) for its outstanding efforts to improve health care in the communities it serves. Winners were chosen for their exceptional work in employing innovative approaches to strengthening the safety and quality of care, enhancing operations and patients' experience, and partnering with their communities to address public health needs. Guthrie represented two of the twelve winning projects, selected from a group of 82 total submissions and was awarded the following recognitions: - Optimal Operations Award for implementing a new team-based approach to nursing to reduce staff turnover and vacancies, improve patient and staff satisfaction, and improve quality. - In Safe Hands Award for implementing new procedures to reduce hospital-acquired infections. Guthrie Robert Packer Hospital was recognized as a 2023 Outpatient Joint Replacement Excellence AwardT recipient by Healthgrades, the leading marketplace connecting doctors and patients. This achievement reflects Guthrie Robert Packer Hospital's outstanding clinical outcomes for outpatient knee and hip replacement and distinguishes Guthrie Robert Packer Hospital in the top 10% nationwide for outpatient joint replacement. Covid-19 response ----------------- Guthrie's response to covid-19 was rapid and coordinated, with system-wide interdisciplinary teams addressing everything from escalating the delivery of personal protective equipment, to creating infection prevention practices, to ensuring constant community updates and education. Guthrie's response teams focused on patient and staff safety. The organization was committed to maintaining a patient-centered approach throughout its response. The health care system also decided on a coordinated system approach to ensure a consistent response to a rapidly changing emergency spanning guthrie's wide geography. Evolution was immediate in dealing with treatment protocols for patients, safety protections, acquisition of supplies, or testing. The organization implemented outdoor testing tents at Guthrie Robert Packer Hospital in Sayre, Guthrie Cortland Medical Center and Guthrie Corning hospital in an effort to keep covid-19 outside of its facilities. In an effort to slow the spread of covid while continuing to care for patients, Guthrie's physicians and clinical staff expanded its telemedicine program. In total, the information technology department delivered and set up more than 300 webcams, 260 laptops, and 525 ipads. Before covid, Guthrie performed a small number of specialty-based telemedicine visits, approximately 12 per week, and by May 2020, the health system had rolled out virtual care for ambulatory visits and was doing more than 3,000 a week. Guthrie was heavily involved in covid vaccine distribution. Guthrie leaders recognized its unique position in the community, given the 12-county area the health system serves. This is a much broader area than Guthrie's regional health care partners, so there was a unique responsibility to distribute and administer as many vaccines as possible. The organization used its network of regional offices, offered vaccinations at some of its hospitals, and created a mass-vaccination center in a former department store in Sayre, PA. This space allowed for proper social distancing and accommodated up to 700 patients a day. The health system also coordinated with local public health departments, community leaders, businesses, and human services agencies to help improve access and overcome barriers to vaccination. Guthrie's mass-vaccination site was recognized for its efficient and patient-focused care with a visit from Pennsylvania governor Tom Wolf on April 21, 2021. Community benefit ----------------- Guthrie tax-exempt hospitals provide significant community benefit for purposes of form 990 schedule h part i reporting. Schedule h part i follows the catholic health association ("cha") model when quantifying community benefit costs. Under the cha methodology guthrie hospitals reported a total of net community benefit costs of $120,361,331; which represented a community benefit percentage of 15.13%. Most recent information published by irs (2020 year reporting) shows an overall community benefit average nationwide of approximately 11.30%. The irs and cha methodology does not include community building activities, estimated charity care amounts included in bad debt nor medicare shortfall for the year ending june 30, 2023. The american hospital association ("aha") disagrees with irs and cha and believes that a tax-exempt organization should include community building activities, estimated charity care amounts included in bad debt and medicare shortfall in community benefit reporting. Aha calls this methodology "total benefits to the community". Using this methodology guthrie hospitals reported a total of net community benefit costs of $111,016,362; which represented a community benefit percentage of 13.93% for the year ending june 30, 2023. Most recent information published by aha (2020 year reporting based upon all schedule h's filed) shows an overall total benefits to the community average nationwide of approximately 15.5%. CORE FORM, PART V; QUESTION 1A & CORE FORM, PART VII; SECTION B THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF THE GUTHRIE CLINIC AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THIS ORGANIZATION PAYS ALL OUTSTANDING ACCOUNTS PAYABLE INVOICES ON BEHALF OF MOST OTHER AFFILIATES WITHIN THE SYSTEM. IN CONJUNCTION WITH THIS SERVICE, THIS ORGANIZATION ALSO PREPARES AND ISSUES FORMS 1099 TO THESE VENDORS RECEIVING PAYMENTS WHERE APPLICABLE AND FILES THESE FORMS 1099 WITH THE INTERNAL REVENUE SERVICE. THIS ORGANIZATION ALLOCATES THESE PAYMENTS TO THE APPROPRIATE AFFILIATES WITHIN THE SYSTEM VIA AN INTERCOMPANY ACCOUNT. CORE FORM, PART V, QUESTION 15 Edmund Sabanegh, m.d. served as a voting member/officer of this organization's governing body. Dr. Sabanegh IS LISTED AS A DIRECTOR/OFFICER on other guthrie clinic related affiliates forms 990. THIS IS HIS SOLE ROLE WITH THESE ORGANIZATIONS. HE PROVIDES NO SERVICES TO OR FOR THESE ORGANIZATIONS AND IS NOT INVOLVED IN THE MANAGEMENT OR DAY TO DAY ACTIVITIES OF THESE ORGANIZATIONs. ACCORDINGLY, HIS COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH THE GUTHRIE CLINIC (EIN: 23-3055017). THE GUTHRIE CLINIC FILED A 2022 FORM 4720 WHICH INCLUDED A REMITTANCE OF EXCISE TAX RELATED TO DR. SABANEGH'S COMPENSATION IN EXCESS OF $1M. CORE FORM, PART VI, SECTION B; QUESTION 11B THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENITY OF THE GUTHRIE CLINIC AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THIS ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY (ITS BOARD OF DIRECTORS) PRIOR TO THE FILING OF THE FEDERAL FORM 990 WITH THE INTERNAL REVENUE SERVICE ("IRS"). AS PART OF THE TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CERTIFIED PUBLIC ACCOUNTING ("CPA") FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND INTERNAL WORKING GROUP TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S FINANCE PERSONNEL AND INTERNAL WORKING GROUP FOR THEIR REVIEW. THE ORGANIZATION'S FINANCE PERSONNEL AND INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S FINANCE PERSONNEL AND INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL. FOLLOWING THIS REVIEW, THE FINAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THIS ORGANIZATION'S GOVERNING BODY PRIOR TO FILING WITH THE IRS. CORE FORM, PART VI, SECTION B; QUESTION 12 THE CONFLICT OF INTEREST DISCLOSURE POLICY SETS FORTH THAT ALL PERSONS, INCLUDING EMPLOYEES, AGENTS AND BOARD/COMMITTEE MEMBERS, PARTICULARLY THOSE INVOLVED IN DECISION-MAKING FOR THE GUTHRIE CLINIC ("TGC"), ACT IN AN APPROPRIATE MANNER AND WILL NOT PARTICIPATE IN ANY ACTIONS THAT MIGHT CREATE A PERSONAL OR PROFESSIONAL CONFLICT OF INTEREST AND/OR NOT BE IN THE BEST INTEREST OF TGC. ALL MEMBERS OF ANY TGC BOARD/COMMITTEE AND TGC SENIOR MANAGEMENT MUST MAKE FULL DISCLOSURE OF ANY POSSIBLE CONFLICT OF INTEREST THROUGH THE USE OF THE CONFLICT OF INTEREST DISCLOSURE FORM AND REFRAIN FROM VOTING OR PARTICIPATING IN DECISION-MAKING INVOLVING ANY POSSIBLE CONFLICT OF INTEREST. THE FORM IS DISTRIBUTED TO ALL BOARD/COMMITTEE MEMBERS AND EMPLOYEES (WHEN APPLICABLE) ANNUALLY BY THE TGC ADMINISTRATION OFFICE. TGC BOARD/COMMITTEE MEMBERS OR EMPLOYEES MUST COMPLETE THE CONFLICT OF INTEREST DISCLOSURE FORM. THIS FORM SHOULD BE COMPLETED WHEN THERE IS ANY SITUATION WHERE A POSSIBLE CONFLICT OF INTEREST EXISTS, AND/OR ON AN ANNUAL BASIS AND/OR AT THE TIME OF APPOINTMENT OR ELECTION OF NEW BOARD/COMMITTEE MEMBERS. IF THE FORM IS NOT COMPLETED WITHIN 13 MONTHS OF THE LAST SIGNING, THE TGC BOARD CHAIRMAN WILL BE ADVISED. ANY INDIVIDUAL HAVING A CONFLICT OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON ANY MATTER SHOULD EXCUSE THEMSELVES FROM THE PORTION OF THE MEETING OR MEETINGS WHERE THE MATTER IS DISCUSSED AND NOT VOTE OR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER. THE MINUTES OF THE MEETING OR MEETINGS SHOULD REFLECT THE DISCLOSURE, THE ABSTENTION FROM VOTING, AND ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST EXISTED. CORE FORM, PART VI, SECTION B; QUESTION 15 THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF THE GUTHRIE CLINIC AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE ORGANIZATION'S BOARD OF DIRECTORS MAINTAINS THE GUTHRIE CLINIC COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF THE GUTHRIE CLINIC'S SENIOR MANAGEMENT. THE COMMITTEE ALSO REVIEWS THE COMPENSATION AND BENEFITS OF OTHER OFFICERS AND KEY EMPLOYEES OF THE GUTHRIE CLINIC AND AFFILIATES; INCLUDING, WITHOUT LIMITATION, THE CHIEF EXECUTIVE OFFICERS OF THE GUTHRIE CLINIC AND AFFILIATES HOSPITALS AND MEDICAL CENTERS. THE COMMITTEE, WHICH IS REQUIRED BY THE CORPORATION'S BYLAWS TO BE COMPRISED SOLELY OF INDEPENDENT DIRECTORS, SEEKS GUIDANCE AND SUBSTANTIATION FROM A NATIONALLY RECOGNIZED COMPENSATION CONSULTANT. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE ORGANIZATION IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF DIRECTORS EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY, THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEW OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING, BUT NOT LIMITED TO, SIMILARLY SIZED HEALTHCARE SYSTEMS AND HOSPITALS, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE COMMITTEE ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS APPLIES TO CERTAIN THE GUTHRIE CLINIC SENIOR MANAGEMENT PERSONNEL. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990, WHERE APPLICABLE, ARE REVIEWED ANNUALLY BY THE GUTHRIE CLINIC AND AFFILIATES PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM THE ORGANIZATION'S HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS. CORE FORM, PART VI, SECTION C; QUESTION 19 THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF THE GUTHRIE CLINIC AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE ORGANIZATION HAS ISSUED TAX EXEMPT BONDS TO FINANCE VARIOUS CAPITAL IMPROVEMENT PROJECTS, RENOVATIONS AND EQUIPMENT. IN CONJUNCTION WITH THE ISSUANCE OF THESE TAX-EXEMPT BONDS, THE ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED WITH THE TAX-EXEMPT BOND PROSPECTUS WHICH WAS MADE AVAILABLE TO THE GENERAL PUBLIC FOR REVIEW. IN ADDITION, THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE COMMONWEALTH OF PENNSYLVANIA. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND QUESTIONNAIRE IS NOT OPEN FOR PUBLIC INSPECTION. CORE FORM, PART VII AND SCHEDULE J CORE FORM, PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION AND/OR RELATED ORGANIZATIONS. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THIS ORGANIZATION OR A RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF DIRECTORS. FREDERICK J. BLOOM, M.D. SERVED AS THE PRESIDENT OF GUTHRIE MEDICAL GROUP, P.C.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, UNTIL APRIL 30, 2023. DR. BLOOM IS STILL EMPLOYED WITHIN THE GUTHRIE CLINIC AS THE CHIEF POPULATION HEALTH OFFICER. CORE FORM, PART VII, SECTION A, COLUMN B THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF THE GUTHRIE CLINIC; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). CERTAIN BOARD OF DIRECTORS MEMBERS, OFFICERS AND/OR DIRECTORS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF DIRECTORS OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REFLECTED IN CORE FORM, PART VII OF THIS FORM 990. THE HOURS REFLECTED ON CORE FORM, PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES ENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THE GUTHRIE CLINIC AND AFFILIATES; NOT SOLELY THIS ORGANIZATION. CORE FORM, PART XI; LINE 9 other changes in net assets or fund balance includes: - MINIMUM PENSION LIABILITY ADJUSTMENT - $1,412,590; - CHANGE IN FAIR VALUE OF DERIVATIVE INSTRUMENT - $257,080; - LOSS ON DERIVATIVE INSTRUMENT - ($76,215); - RESTRUCTURING EXPENSE - ($207,744); - OTHER LOSS - ($512,894); - TEMPORARILY RESTRICTED NET ASSETS NPV FUTURE INSTALLMENTS - $5,409; - TEMPORARILY RESTRICTED NET ASSETS EARNINGS DISTRIBUTION - ($1,511,617); - TEMPORARILY RESTRICTED NET ASSETS RELEASED FROM RESTRICTION - ($194,081); - TEMPORARILY RESTRICTED EQUITY TRANSFER TO RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION - ($1,920,050); - TEMPORARILY RESTRICTED NET ASSETS RELEASED FROM GRANTS - ($989,566); - TEMPORARILY RESTRICTED PLEDGES - ($125,022); - MERGER ACQUISITION COSTS - ($3,613,755); AND - NET ASSETS RELEASED FROM RESTRICTIONS USED FOR THE PURCHASE PPE - $628,416. CORE FORM, PART XII; QUESTION 2 THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF THE GUTHRIE CLINIC AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE SYSTEM AND ALL ENTITIES WITHIN THE SYSTEM FOR THE YEARS ENDED JUNE 30, 2023 AND JUNE 30, 2022; RESPECTIVELY. THE INDEPENDENT CPA FIRM ISSUED AN UNMODIFIED OPINION WITH RESPECT TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. CORE FORM, PART XII; QUESTION 3 THIS ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF THE GUTHRIE CLINIC AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE A SYSTEM WIDE CONSOLIDATED AUDIT UNDER THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133 AUDIT. THIS ORGANIZATION WAS INCLUDED IN THE SYSTEM WIDE A-133 AUDIT. FORM 990, SCHEDULE K, PART I THE ORGANIZATION IS A MEMBER OF THE GUTHRIE CLINIC; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM HAS A NUMBER OF OUTSTANDING LONG-TERM OBLIGATED GROUP DEBT LIABILITIES, INCLUDING THE FOLLOWING BOND ISSUANCES: - HEALTH CARE FACILITIES AUTHORITY OF SAYRE, HEALTH CARE REVENUE BONDS, SERIES 2007; and - CENTRAL BRADFORD PROGRESS AUTHORITY, HEALTH CARE REVENUE BONDS, SERIES 2021A; SERIES 2021B; SERIES 2021C; AND SERIES 2021D. THE BONDS OUTLINED ABOVE AND VARIOUS OTHER LONG-TERM BORROWINGS ARE ALLOCATED BY THE GUTHRIE CLINIC ("TGC"); THE TAX-EXEMPT PARENT OF THE SYSTEM, TO THE FOLLOWING SYSTEM MEMBER HOSPITALS AND CERTAIN OTHER AFFILIATES. THE BALANCE SHEET OF THESE RESPECTIVE MEMBER HOSPITALS AND CERTAIN OTHER AFFILIATES REFLECTS A TGC OBLIGATED GROUP LIABILITY. ACCORDINGLY, THIS TGC OBLIGATED GROUP LIABILITY IS REFLECTED ON THE BALANCE SHEET OF THE FOLLOWING SUBSIDIARY ORGANIZATIONS: - CORNING HOSPITAL, EIN: 16-0393490 - GUTHRIE CORTLAND MEDICAL CENTER, EIN: 15-0532079 - GUTHRIE MEDICAL GROUP, P.C., EIN: 25-0815795 - ROBERT PACKER HOSPITAL, EIN: 24-0795463 - TROY COMMUNITY HOSPITAL, EIN: 24-0800337 SCHEDULE K WAS PREPARED ON A CONSOLIDATED BASIS AND IS INCLUDED IN THE FORM 990 OF THE GUTHRIE CLINIC, EIN: 23-3055017. GUTHRIE MEDICAL GROUP PC ONE GUTHRIE SQUARE SAYRE PA 18840 250815795 HEALTHCARE PA 501(c)(3) 3 TGC true ROBERT PACKER HOSPITAL ONE GUTHRIE SQUARE SAYRE PA 18840 240795463 HEALTHCARE PA 501(c)(3) 3 TGC true DONALD GUTHRIE FOUNDATION 200 S WILBUR AVE SAYRE PA 18840 246022957 MED RESEARCH PA 501(c)(3) 7 TGC true TROY COMMUNITY HOSPITAL INC 275 GUTHRIE DRIVE TROY PA 16947 240800337 HEALTHCARE PA 501(c)(3) 3 TGC true GUTHRIE HOME CARE 421 TOMAHAWK ROAD TOWANDA PA 18848 232394345 HOME HEALTH PA 501(c)(3) 10 TGC true SAYRE HOUSE OF HOPE ONE GUTHRIE SQUARE SAYRE PA 18840 203979472 HEALTHCARE PA 501(c)(3) 7 TGC true CORNING HOSPITAL ONE GUTHRIE DRIVE CORNING NY 14830 160393490 HEALTHCARE NY 501(c)(3) 3 TGC true GUTHRIE RISK RETENTION GROUP 151 MEETING STREET CHARLESTON SC 29401 201090801 SUPPORTING SC 501(c)(3) 12A TGC true GUTHRIE CORTLAND MEDICAL CENTER 134 HOMER AVENUE CORTLAND NY 13045 150532079 HEALTHCARE NY 501(c)(3) 3 TGC true CORTLAND MEMORIAL FOUNDATION INC 134 HOMER AVENUE CORTLAND NY 13045 222230692 SUPPORTING NY 501(c)(3) 7 GCMC false REGIONAL MEDICAL PRACTICE PC 134 HOMER AVENUE CORTLAND NY 13045 204848729 HEALTHCARE NY 501(c)(3) 3 TGC true TWIN TIER MANAGEMENT CORP INC PO BOX 310 SAYRE PA 18840 232209439 MANAGEMENT CORP. PA TGC C CORP 8617519 4772445 1.00000 true CORNING PROPERTIES INC 1 GUTHRIE DRIVE CORNING NY 14830 383977095 REAL ESTATE HOLD NY na C CORP false CMH SERVICES INC 160 HOMER AVENUE CORTLAND NY 13045 161370440 DURABLE MED EQUIP NY na C CORP false CORTLAND MEMORIAL PROPERTIES INC 134 HOMER AVENUE CORTLAND NY 13045 161266826 INCOME ALLOCATION NY NA C CORP false true true false true false false false false false true true true false false true false false true true ROBERT PACKER HOSPITAL A 1637825 COST CORNING HOSPITAL A 1751404 COST GUTHRIE MEDICAL GROUP PC A 9650714 COST GUTHRIE MEDICAL GROUP PC B 94358725 COST ROBERT PACKER HOSPITAL K 1081634 COST DONALD GUTHRIE FOUNDATION K 885852 COST TROY COMMUNITY HOSPITAL K 52644 COST CORNING HOSPITAL K 57996 COST ROBERT PACKER HOSPITAL L 51923868 COST TWIN TIER MANAGEMENT CORP INC L 970437 COST DONALD GUTHRIE FOUNDATION L 159921 COST TROY COMMUNITY HOSPITAL L 4008243 COST GUTHRIE HOME CARE L 1395595 COST SAYRE HOUSE OF HOPE L 80646 COST CORNING HOSPITAL L 17637359 COST GUTHRIE CORTLAND MEDICAL CENTER L 10936224 COST GUTHRIE MEDICAL GROUP PC L 28882695 COST ROBERT PACKER HOSPITAL M 75836 COST GUTHRIE MEDICAL GROUP PC M 210139 COST CORTLAND MEMORIAL FOUNDATION O 172226 COST GUTHRIE MEDICAL GROUP PC O 175028 COST GUTHRIE HOME CARE O 236250 COST SCHEDULE R, PART V THIS ORGANIZATION IS THE TAX-EXEMPT PARENT ENITY OF THE GUTHRIE CLINIC AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. FUNDS ARE ROUTINELY TRANSFERRED BETWEEN AFFILIATES AND BUSINESS ACTIVITIES ARE COMMON ON BEHALF OF THE SYSTEM'S AFFILIATES, INCLUDING THIS ORGANIZATION. THESE TRANSACTIONS MAY BE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND OTHER AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY COST EFFECTIVE HEALTHCARE AND WELLNESS SERVICES TO THEIR COMMUNITIES REGARDLESS OF ABILITY TO PAY AND IN FURTHERANCE OF CHARITABLE TAX-EXEMPT PURPOSES.