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HELP EACH PERSON ATTAIN OPTIMAL, LIFE-LONG HEALTH AND WELL-BEING BY PROVIDING CLINICALLY- ADVANCED SERVICES TO PREVENT, DIAGNOSE AND TREAT DISEASE. 26 18 695 81 386720 -50912 545477 2587547 82086631 89975415 67364 8999824 218462 -10057 82917934 101552729 0 0 0 0 31430568 31961627 0 0 94838 41118113 42955605 72548681 74917232 10369253 26635497 132327686 160141982 57943683 59118032 74384003 101023950 X 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. false false 56949719 89975415 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. 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PART II-B LINE 1i American Hospital Association, Hospital Association of New York State, and Rochester Regional Healthcare Associates memberships false 1219754 1912666 18673 163175 2987918 1220654 476603 6849 484352 1219754 1100445 205846 47423 133060 1220654 1511610 405722 100939 917826 1100445 1632599 497193 -114295 503887 1511610 0.20000 0.67000 0.13000 false false 4951666 4951666 23476040 20393576 3082464 1967180 940544 1026636 27520164 19939433 7580731 17833995 17833995 34475492 0 DUE TO THIRD PARTY PAYORS 9169269 ACCRUED PENSION COST 7975257 WORKERS COMP. 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176 DENISON PARKWAY E CORNING NY 14830

www.corninghospital.com X X X CORNING HOSPITAL 1 true true 100 true 300. true X X X true true X X X X X true false X X X X true X false false 1 Healthworks

9768 Liberty Drive Painted Post NY 14870

Wellness and Fitness Center, a portion is dedicated to not for profit fitness center 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 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE Patients are aware of charity care assistance through signage and handout materials samples of the content is as follows: Signage content: Patient Notice of Financial Assistance for the Uninsured and/or Underinsured: Guthrie Health is proud of its mission to provide quality care to all who need it. If you do not have health insurance or worry that you may not be able to pay for part or all of your care, we may be able to help. Guthrie Health provides financial aid to patients based on their income, assets, and financial needs. In addition, we may be able to help you get free or low-cost health insurance or work with you to arrange a manageable payment plan. Federal and state laws require all hospitals / clinics to seek payment for care provided. This means we could ultimately turn unpaid bills over to a collections agency, which could affect your credit status. Therefore, it is important that you let us know if there may be a problem paying your bill. For more information, please contact our patient financial services office at 570-887-2051. We will treat your questions and any information you provide us with confidentiality and courtesy. Guthrie Health Financial Assistance Summary Guthrie Health recognizes that there are times when patients in need of care will have difficulty paying for the services provided. Guthrie Health Charity Care Program provides discounts to qualifying individuals based on your income. In addition, we can help you apply for free or low-cost insurance if you qualify. Just visit or contact our Corning Hospital Financial Counselor at (607) 937-7518 for free, confidential assistance. You may also visit our website at www.guthrie.org to download the Guthrie Health financial assistance application and instructions. Who qualifies for a discount? Financial Assistance is available for those patients with limited incomes, and who do not have health insurance and are worried about paying for part or all of their care. Everyone in New York State who needs emergency services can receive care and get a discount if they meet the income limits. Everyone who lives in Bradford, Sullivan, and Tioga counties in Pennsylvania, and Allegany, Chemung, Livingston, Ontario, Schuyler, Steuben, Tioga, Tompkins, and Yates counties in New York may receive a discount, by completing an application for medically necessary services at Corning Hospital if they meet the income limits. You cannot be denied medically necessary care because you need financial assistance. What are the income limits? The amount of the discount varies based on your income and the size of your family. If you have no health insurance, these are the income limits: Fam size Ann Fam Income* Mthly Fam Income Wkly Fam Income 1 Up to $22,980 Up to $1,915 Up to $442 2 Up to $31,020 Up to $2,585 Up to $597 3 Up to $39,060 Up to $3,255 Up to $751 4 Up to $47,100 Up to $3,925 Up to $906 5 Up to $55,140 Up to $4,595 Up to $1,060 6 Up to $61,940 Up to $5,162 Up to $1,191 *Based on 2013 Federal Poverty Guidelines Can someone explain the discount? Can someone help me apply? Yes, free, confidential help is available. Our Corning Hospital Financial Counselor is available at (607) 937-7518 or our Patient Financial Services office at (570) 887-2051 to assist you and/or answer any questions you may have. The Financial Counselor can tell you if you qualify for free or low-cost insurance, such as Medicaid, Child Health Plus and Family Health Plus. If the Financial Counselor finds that you don't qualify for low-cost insurance, they will help you apply for a discount. The Counselor will help you fill out all the forms and tell you what documents you need to bring. What do I need to apply for a discount? The following documents should be attached to the application: -Bank & Investment Account Statements -Pay Stubs -Receipts as referenced in the Financial Assistance application -Latest Federal Income Tax Return -Medicaid Denial Letter (if applicable) -Health Savings Account (HSS) Statement showing current balance, if Applicable What services are covered? All medically necessary services provided by Corning Hospital are covered by the discount. This includes outpatient services, emergency care, and inpatient admissions. Services provided by non-Guthrie providers are not covered. You should talk to your non-Guthrie providers to see if they offer a discount or payment plan. How much do I have to pay? Our Patient Financial Services Department will give you the details about your specific discount(s) once your application is processed. How do I get the discount? You have to fill out the application form. As soon as we have proof of your income, we can process your application for a discount according to your income level. You can apply for a discount before you have an appointment, when you come to the hospital to get care, or when the bill comes in the mail. Send the completed form to: Guthrie Clinic Patient Financial Service Department One Guthrie Square Sayre, PA 18840 Attn: Patient Representative-Charity Care Office or deliver to the Corning Hospital Financial Counselor's office located on the 1st Level of Corning Hospital. You have up to 180 days after receiving services to submit the application. How will I know if I was approved for the discount? The Patient Financial Services Department will send you a letter generally within 30 days after completion and submission of documentation, telling you if you have been approved and the level of discount received. What if I receive a bill while I'm waiting to hear if I can get a discount? You cannot be required to pay a hospital bill while your application for a discount is being considered. If your application is turned down, the hospital must tell you why in writing and must provide you with a way to appeal this decision to a higher level within the hospital. What if I have a problem I cannot resolve with the hospital? You may call the New York State Department of Health complaint hotline at 1-800-804-5447. PART VI, LINE 4 Community Information A.Hospital Service Area The Hospital's service area remains unchanged. It considers its service area to encompass communities within several counties, based on the utilization of its three facilities, as described below: Its primary facility is a 99-bed acute care hospital that provides 24-hour emergency services and a complement of inpatient and outpatient services, located at 176 Denison Parkway East, Corning, N.Y. The Hospital also provides a range of treatment, diagnostic and preventive health services and programs. The Guthrie Cancer Center at Corning Hospital, a separate facility located at 114 Columbia Street, Corning, N.Y., provides therapeutic radiology, medical oncology and cancer support services, including access to clinical trials. The Hospital also operates HealthWorks, a 43,000-square-foot wellness and fitness center located at 9768 Liberty Drive, Painted Post, N.Y. HealthWorks' services are based on a medical model. In addition to traditional fitness center services, it also offers a range of physical rehabilitation services. The Hospital employs 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. PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH The following overview provides examples of the Hospital's successes in providing access to high quality health care as well as other service and activity beyond the provision of direct care. Access to High Quality Care Corning Hospital was ranked as the tenth best in New York State for overall hospital care by the Delta Group as part of its 2013 Quality Awards from Care Chex, a division of the Delta Group, Inc. The rankings below include types of care/specialties for which Corning Hospital ranked in the top 10 percent in the state, and in the country. Medical Excellence Awards - Top 10 percent in New York: Cancer Care and Gall Bladder Removal Top 10 percent in Nation: Gall Bladder Removal The Hospital has received Gold Plus and Target Stroke designations by the American Heart Association for stroke care. The Hospital continues to use the electronic health record (Epic). Epic allows the hospital to provide safe and effective patient care and improve communication among providers, using a secure system to put important health information about patients at providers' fingertips. The Hospital continues to offer cancer screenings in collaboration with the Cancer Service Partnership of Steuben County, providing low-cost mammograms to women who meet the program's criteria. Community Outreach: Hospital Board members and members of the Administrative team have held a number of community and neighborhood-based informational sessions to provide more in-depth information about the new Corning Hospital and to answer questions and address concerns. The response to these open meetings has been very positive. The Hospital received the Bronze Award in recognition of its participation in the local United Way fund drive. The Hospital is a partner in the Red Cross program Unite for Life Plus. At the time of this report, the Hospital and Centerway held 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. X true true X X X X true false false false false false false false false FRANCIS M MACAFEE 154400 32055 0 400 13551 200406 0 DAVID AUSTIN MD 345520 0 0 32750 12520 390790 0 LOUIS R DUBOIS MD 381058 0 0 32750 12520 426328 0 MARIE DROEGE 353632 60330 0 11299 4090 429351 0 J MICHAEL SCALZONE MD 305535 25000 685 32750 12520 376490 0 MARK STENSAGER 290464 151463 219267 7067 9307 677568 0 RUSSELL C WOGLOM MD 325385 13454 0 32750 12520 384109 0 David McCorvey MD 164077 0 0 25516 10863 200456 0 SHIRLEY MAGANA 226613 39903 0 11477 4090 282083 0 COLIN BAILEY 174762 0 0 2060 4090 180912 0 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 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). 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