GUTHRIE CORTLAND MEDICAL CENTER: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
GUTHRIE CORTLAND MEDICAL CENTER (EIN 15-0532079)
Tax period
2024-07-01 to 2025-06-30
Filed
2026-05-11
IRS object ID
202601319349303045
Schema version
2024v5.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2026-05-11T12:14:26-04:00ReturnTs
Tax Period End2025-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WithumSmithBrown PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11835 MARKET STREET SUITE 1710AddressLine1Txt
CityPHILADELPHIACityNm
State AbbreviationPAStateAbbreviationCd
ZIP19103ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN150532079EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GUTHRIE CORTLAND MEDICAL CENTERBusinessNameLine1Txt
Business Name Line2FKA CORTLAND REGIONAL MEDICAL CENTERBusinessNameLine2Txt
FieldValueIRS element (for citing)
In Care Of% SEAN MONAHAN CPAInCareOfNm
Business Name ControlGUTHBusinessNameControlTxt
Phone6077563501PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1134 HOMER AVENUEAddressLine1Txt
CityCORTLANDCityNm
State AbbreviationNYStateAbbreviationCd
ZIP13045ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJENNIER YARTYMPersonNm
Person TitleSVPPersonTitleTxt
Phone6077563501PhoneNum
Signature2026-04-30SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonScott J MarianiPreparerPersonNm
PTINP00642486PTIN
Phone2155462140PhoneNum
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJENNIFER YARTYMPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1134 HOMER AVENUEAddressLine1Txt
CityCORTLANDCityNm
State AbbreviationNYStateAbbreviationCd
ZIP13045ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$169,046,504GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.GUTHRIE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1892FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTHE PROVISION OF CHARITABLE HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee1037TotalEmployeeCnt
Total Volunteers53TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$612,244PYContributionsGrantsAmt
CY Contributions Grants$8,789,681CYContributionsGrantsAmt
PY Program Service Revenue$141,776,533PYProgramServiceRevenueAmt
CY Program Service Revenue$151,520,387CYProgramServiceRevenueAmt
PY Investment Income$449,070PYInvestmentIncomeAmt
CY Investment Income$482,876CYInvestmentIncomeAmt
PY Other Revenue$460,218PYOtherRevenueAmt
CY Other Revenue$559,596CYOtherRevenueAmt
PY Total Revenue$143,298,065PYTotalRevenueAmt
CY Total Revenue$161,352,540CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$392,382CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$56,499,658PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$63,310,679CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$68,580,954PYOtherExpensesAmt
CY Other Expenses$73,906,951CYOtherExpensesAmt
PY Total Expenses$125,080,612PYTotalExpensesAmt
CY Total Expenses$137,610,012CYTotalExpensesAmt
PY Revenues Less Expenses$18,217,453PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$23,742,528CYRevenuesLessExpensesAmt
Total Assets BOY$406,933,241TotalAssetsBOYAmt
Total Assets EOY$441,103,504TotalAssetsEOYAmt
Total Liabilities BOY$322,391,063TotalLiabilitiesBOYAmt
Total Liabilities EOY$329,080,882TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$84,542,178NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$112,022,622NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionGUTHRIE CORTLAND MEDICAL CENTER, INC., LOCATED IN CORTLAND, NY, IS A NOT-FOR-PROFIT ACUTE CARE HOSPITAL. THE HOSPITAL PROVIDES GENERAL INPATIENT, INPATIENT PSYCHIATRIC, OUTPATIENT, EMERGENCY, LONG-TERM HOME HEALTHCARE AND SKILLED NURSING SERVICES TO ITS RESIDENTS IN THE GREATER CORTLAND COUNTY AREA.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$91,896,560ExpenseAmt
Grant$392,382GrantAmt
Revenue$151,520,387RevenueAmt
DescGUTHRIE CORLTAND MEDICAL CENTER IS DEDICATED TO SERVING THE LIFELONG HEALTH CARE NEEDS OF CORTLAND AND THE SURROUNDING AREA. AS A TEAM-ORIENTED COMMUNITY HEALTH AND MEDICAL ORGANIZATION, GUTHRIE CORTLAND MEDICAL CENTER PROVIDES QUALITY CARE, SKILL AND COMPASSION TO ALL PEOPLE REGARDLESS OF THEIR ABILITY TO PAY. OUR HOSPITAL IS COMMITTED TO: - IMPROVING THE WELLNESS OF THE COMMUNITY THROUGH LEADERSHIP IN HEALTH-RELATED ACTIVITIES AND EDUCATION. - SUPPORTING AND PRESERVING THE PERSONAL AND PROFESSIONAL GROWTH OF OUR QUALITY HEALTH-CARE TEAM, THEREBY PROVIDING STIMULATING ENVIRONMENT FOR ALL EMPLOYEES. - RECRUITING AND RETAINING QUALITY HEALTHCARE PROFESSIONALS. - COOPERATING WITH OTHER HEALTHCARE PROVIDERS,REGULATORY AGENCIES, AND INSURANCE COMPANIES TO ADVANCE OUR SERVICE TO EVERY MEMBER OF THE COMMUNITY. - MAINTAINING THE HOSPITALS FINANCIAL VIABILITY FOR THE WELL-BEING OF THE COMMUNITY. - ACQUIRING AND MAINTAINING EQUIPMENT REQUIRED TO PROVIDE QUALITY CARE. - ENCOURAGING THE ACTIVE PARTICIPATION OF COMMUNITY MEMBERS IN A VOLUNTEER CAPACITY IN ORDER TO AUGMENT OUR SERVICES. GUTHRIE CORTLAND MEDICAL CENTER IS A VOLUNTARY, NOT-FOR-PROFIT CORPORATION. THE MEDICAL CENTER PROVIDES HEALTH CARE SERVICES OF PREVENTIVE, CURATIVE AND EDUCATIONAL NATURE. THE PRIMARY SERVICES PROVIDED ARE: ACUTE MEDICAL INPATIENT CARE (INCLUDING MATERNITY), PSYCHIATRIC INPATIENT CARE, RESIDENTIAL CARE (SKILLED NURSING FACILITY), EMERGENCY ROOM, AMBULATORY SURGERY, OUTPATIENT DIAGNOSTIC SERVICES, LONG TERM HOME HEALTH CARE PROGRAM, COMMUNITY HEALTH WELLNESS SCREENING, ADULT DAY CARE AND CLINIC.Desc
Total Program Service Expenses$91,896,560TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee1037EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSEAN MONAHAN CPAPersonNm
Phone5708875981PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE GUTHRIE SQUAREAddressLine1Txt
CitySAYRECityNm
State AbbreviationPAStateAbbreviationCd
ZIP18840ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
PAUL G VERVALIN
DIRECTOR - EVP/COO TGC55.00.0Yes (X)$0$888,829$100,058
JENNIFER L YARTYM
DIRECTOR - PRESIDENT55.00.0Yes (X)$510,725$0$23,397Yes (X)
CHRISTOPHER MOHEIMANI MD
DIRECTOR - MED STAFF PRES55.00.0Yes (X)$0$481,913$22,421
PHILIP HEAVNER MD
DIRECTOR55.00.0Yes (X)$0$437,449$50,963
FRANCIS M MACAFEE
FORMER OFFICER55.00.0$0$405,120$43,923Yes (X)
KANSAS UNDERWOOD
VP NURSING/CNO55.00.0$321,435$0$47,517Yes (X)
EDWARD BENDER
RADIATION PHYSICIST55.00.0$206,703$0$38,738Yes (X)
NANCY TOWNE
DIRECTOR, PREOPERATIVE SVCS55.00.0$216,756$0$13,512Yes (X)
Annette Wagner
Director, Long Term Care55.00.0$200,869$0$23,470Yes (X)
HEATHER HOWELL rn
REGISTERED NURSE55.00.0$205,476$0$12,257Yes (X)
Tara Cottrell
Manager, Oncology55.00.0$185,632$0$12,535Yes (X)
ROBIN CATALDO
SR. DIRECTOR/CFO55.00.0$0$165,858$27,221Yes (X)
DAVID WIRTZ MD
DIRECTOR55.00.0Yes (X)$0$170,660$5,120
REV DAVID JOHNSON
CHAIRMAN - DIRECTOR1.00.0Yes (X)$0$0$0Yes (X)
JOSEPH PUZO
VICE CHAIR - DIRECTOR1.00.0Yes (X)$0$0$0Yes (X)
NASRIN PARVIZI
SECRETARY - DIRECTOR1.00.0Yes (X)$0$0$0Yes (X)
ERIC BROWN
TREASURER - DIRECTOR1.00.0Yes (X)$0$0$0Yes (X)
ERIC BOYLAN
DIRECTOR1.00.0Yes (X)$0$0$0
STEPHANIE KOSLOWSKI
DIRECTOR1.00.0Yes (X)$0$0$0
AMY KREMENEK
DIRECTOR1.00.0Yes (X)$0$0$0
DARLENE LATTEN
DIRECTOR1.00.0Yes (X)$0$0$0
AMANDA NORTON
DIRECTOR1.00.0Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,847,596TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,549,829TotReportableCompRltdOrgAmt
Total Other Compensation$421,132TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K120IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

FieldValueIRS element (for citing)
Personthe guthrie clinicPersonNm

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1one guthrie squareAddressLine1Txt
CitySAYRECityNm
State AbbreviationPAStateAbbreviationCd
ZIP18840ZIPCd
FieldValueIRS element (for citing)
ServicesMANAGEMENTServicesDesc
Compensation$13,618,841CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Government Grants$3,823,332GovernmentGrantsAmt
All Other Contributions$4,966,349AllOtherContributionsAmt
Total Contributions$8,789,681TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE621990$150,366,053$150,366,053
OTHER HEALTHCARE RELATED REVENUE900099$614,403$614,403
RENTAL INCOME - AFFILIATES531110$539,931$539,931
FieldValueIRS element (for citing)
Total Program Service Revenue$151,520,387TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$315,928TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$315,928ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$141,820RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$141,820RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$141,820TotalRevenueColumnAmt
Exclusion$141,820ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$7,860,912SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$7,664,960SecuritiesAmt
Other$29,004OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$195,952SecuritiesAmt
Other-$29,004OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$166,948TotalRevenueColumnAmt
Exclusion$166,948ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescCAFETERIA REVENUEDesc
Business722514BusinessCd
Total Revenue Column$417,776TotalRevenueColumnAmt
Exclusion$417,776ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$417,776OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$161,352,540TotalRevenueColumnAmt
Related Or Exempt Func Income$151,520,387RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,042,472ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$390,172TotalAmt
Program Services$390,172ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$2,210TotalAmt
Program Services$2,210ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$903,074TotalAmt
Program Services$686,394ProgramServicesAmt
Management And General$216,680ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$50,770,404TotalAmt
Program Services$41,870,630ProgramServicesAmt
Management And General$8,899,774ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,519,546TotalAmt
Management And General$2,519,546ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$5,241,626TotalAmt
Program Services$16,884ProgramServicesAmt
Management And General$5,224,742ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,876,029TotalAmt
Program Services$3,194,780ProgramServicesAmt
Management And General$681,249ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$13,618,841TotalAmt
Management And General$13,618,841ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$571,158TotalAmt
Program Services$24,886ProgramServicesAmt
Management And General$546,272ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$96,138TotalAmt
Management And General$96,138ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$26,014TotalAmt
Management And General$26,014ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$18,822,150TotalAmt
Program Services$16,769,862ProgramServicesAmt
Management And General$2,052,288ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$10,115TotalAmt
Program Services$5,219ProgramServicesAmt
Management And General$4,896ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,383,591TotalAmt
Program Services$1,811,142ProgramServicesAmt
Management And General$2,572,449ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,644,050TotalAmt
Program Services$568,914ProgramServicesAmt
Management And General$1,075,136ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,847,200TotalAmt
Program Services$78,022ProgramServicesAmt
Management And General$1,769,178ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$140,007TotalAmt
Program Services$110,353ProgramServicesAmt
Management And General$29,654ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$89,774TotalAmt
Program Services$91,883ProgramServicesAmt
Management And General-$2,109ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$464,058TotalAmt
Management And General$464,058ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$5,545,123TotalAmt
Program Services$52,506ProgramServicesAmt
Management And General$5,492,617ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$55,157TotalAmt
Management And General$55,157ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$25,650,628$25,765,534-$114,906
NYS HOSPITAL ASSESSMENT$862,512$457,169$405,343
OTHER EXPENSES$80,435$80,435

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$137,610,012TotalAmt
Program Services$91,896,560ProgramServicesAmt
Management And General$45,713,452ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$6,315,814BOYAmt
EOY$8,520,117EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$18,982,223BOYAmt
EOY$22,406,489EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,688,888BOYAmt
EOY$3,339,352EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,633,755BOYAmt
EOY$8,505,082EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$91,136,977LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$33,498,033LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$57,585,039BOYAmt
EOY$57,638,944EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$10,166,134BOYAmt
EOY$21,270,469EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$309,561,388BOYAmt
EOY$319,423,051EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$406,933,241BOYAmt
EOY$441,103,504EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$10,638,246BOYAmt
EOY$11,681,931EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$198,803BOYAmt
EOY$244,618EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$311,554,014BOYAmt
EOY$317,154,333EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$322,391,063BOYAmt
EOY$329,080,882EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$84,310,735BOYAmt
EOY$109,775,248EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$231,443BOYAmt
EOY$2,247,374EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$84,542,178BOYAmt
EOY$112,022,622EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$406,933,241BOYAmt
EOY$441,103,504EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$23,742,528ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$512,499NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$3,225,417OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$96,138OtherActivitiesAmt
Total Lobbying Expenditures$96,138TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind
Form4720 Filed4912 Tax0Form4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, QUESTION 1IFormAndLineReferenceDesc
ExplanationTHE ORGANIZATION PAID AN OUTSIDE LOBBYING FIRM TO PERFORM LOBBYING ACTIVITIES ON BEHALF OF THE ORGANIZATION WHICH TOTALED $75,000 DURING THE YEAR ENDED JUNE 30, 2025. IN ADDITION, THIS ORGANIZATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION, HEALTHCARE ASSOCIATION OF NEW YORK STATE and IROQUOIS HEALTHCARE ASSOCIATION AND LEADING AGE WHICH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER ORGANIZATIONS. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITIES PERFORMED ON BEHALF OF THE ORGANIZATION DURING THE YEAR ENDED JUNE 30, 2025. THIS ALLOCATION AMOUNTED TO $21,138 DURING THE YEAR ENDED JUNE 30, 2025.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
Incl Escrow Custodial Acct LiabfalseInclEscrowCustodialAcctLiabInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$231,443BeginningYearBalanceAmt
Contributions$5,003,048ContributionsAmt
Investment Earnings Or Losses$13,680InvestmentEarningsOrLossesAmt
Other Expenditures$3,000,797OtherExpendituresAmt
End Year Balance$2,247,374EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$177,466BeginningYearBalanceAmt
Contributions$458,120ContributionsAmt
Investment Earnings Or Losses$7,417InvestmentEarningsOrLossesAmt
Other Expenditures$411,560OtherExpendituresAmt
End Year Balance$231,443EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$163,281BeginningYearBalanceAmt
Contributions$655,867ContributionsAmt
Investment Earnings Or Losses$2,538InvestmentEarningsOrLossesAmt
Other Expenditures$644,220OtherExpendituresAmt
End Year Balance$177,466EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$160,318BeginningYearBalanceAmt
Contributions$113,577ContributionsAmt
Investment Earnings Or Losses-$3,434InvestmentEarningsOrLossesAmt
Other Expenditures$107,180OtherExpendituresAmt
End Year Balance$163,281EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$141,360BeginningYearBalanceAmt
Contributions$4,407ContributionsAmt
Investment Earnings Or Losses$14,551InvestmentEarningsOrLossesAmt
End Year Balance$160,318EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.95550PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.04450TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,254,582OtherCostOrOtherBasisAmt
Book Value$1,254,582BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$49,476,176OtherCostOrOtherBasisAmt
Depreciation$10,455,197DepreciationAmt
Book Value$39,020,979BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,013OtherCostOrOtherBasisAmt
Depreciation$549DepreciationAmt
Book Value$464BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$35,629,756OtherCostOrOtherBasisAmt
Depreciation$22,393,700DepreciationAmt
Book Value$13,236,056BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,775,450OtherCostOrOtherBasisAmt
Depreciation$648,587DepreciationAmt
Book Value$4,126,863BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$57,638,944TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
DUE FROM AFFILIATES$317,695,353
OTHER ASSETS$1,726,113
RIGHT OF USE ASSET$1,585
FieldValueIRS element (for citing)
Total Book Value Other Assets$319,423,051TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
DUE TO THIRD PARTY PAYORS$2,472,028
DUE TO AFFILIATES$294,923,732
ASSET RETIREMENT OBLIGATION$962,058
LONG-TERM INSURANCE LIABILITY$2,153,216
RIGHT OF USE LIABILITIES$1,585
TGC BOND LIABILITY$16,641,714
FieldValueIRS element (for citing)
Total Liability$317,154,333TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4ENDOWMENT FUNDS ARE TO BE USED CONSISTENT WITH INTENT AND IN FURTHERANCE OF THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES.
SCHEDULE D, PART X, LINE 2THE ORGANIZATION IS AN AFFILIATE WITHIN THE GUTHRIE CLINIC AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM'S PARENT ENTITY IS THE GUTHRIE CLINIC. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE SYSTEM AND ALL ENTITIES WITHIN THE SYSTEM FOR THE YEARS ENDED JUNE 30, 2025 AND JUNE 30, 2024; 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, 2025 AND 2024, 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.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,392,823TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,392,823NetCommunityBenefitExpnsAmt
Total Expense0.01010TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$33,090,175TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$28,080,912DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,009,263NetCommunityBenefitExpnsAmt
Total Expense0.03640TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$34,482,998TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$28,080,912DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,402,086NetCommunityBenefitExpnsAmt
Total Expense0.04650TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$136,348TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$136,348NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,875,039TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$7,875,039NetCommunityBenefitExpnsAmt
Total Expense0.05720TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,011,387TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$8,011,387NetCommunityBenefitExpnsAmt
Total Expense0.05820TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$42,494,385TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$28,080,912DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,413,473NetCommunityBenefitExpnsAmt
Total Expense0.10470TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$6,063,961BadDebtExpenseAmt
Bad Debt Expense Attributable$606,396BadDebtExpenseAttributableAmt
Reimbursed By Medicare$27,505,292ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$25,357,937CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$2,147,355MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GUTHRIE CORTLAND MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1134 HOMER AVENUEAddressLine1Txt
CityCORTLANDCityNm
State AbbreviationNYStateAbbreviationCd
ZIP13045ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.guthrie.orgWebsiteAddressTxt
State License110100HStateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1GUTHRIE CORTLAND MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted24CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.GUTHRIE.ORGOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt24ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLWWW.GUTHRIE.ORGStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Other MethodYes (X)OtherMethodInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.GUTHRIE.ORGFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.GUTHRIE.ORGFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.GUTHRIE.ORGFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, QUESTION 5Guthrie Cortland medical center ("GCMC") is a not-for-profit community hospital and an affiliate within the Guthrie Clinic and affiliates; a tax-exempt integrated healthcare delivery system ("system"). GCMC completed its most recent Community Health Needs Assessment (CHNA) during the January 2025 through May 2025 research period, incorporating both primary and secondary data sources. Special attention was given to the needs of individuals and communities that are more vulnerable and evidence of unmet health needs or gaps in service delivery. Community input was gathered through an online community survey (294 participants, conducted February 2025 through April 2025), in-depth interviews with key community stakeholders (10 one-on-one interviews, conducted February 2025 through March 2025), and community focus groups (two focus groups with 14 participants, conducted March 18, 2025 through March 25, 2025). Guthrie Cortland Medical Center did not receive any community-based comments or feedback on the prior CHNA report. Primary data sources included information gathered from groups and individuals, including but not limited to community residents, healthcare consumers, health care professionals, community stakeholders, multi-sector representatives, and partnering organizations. Multiple methods were used to gather community input, including conducting an online survey, in-depth interviews with key community stakeholders, and community focus groups. An on-line survey was conducted by RMS Healthcare in partnership with Guthrie Clinic to gather the perceptions, thoughts, opinions, and concerns of the community regarding health outcomes, health behaviors, social determinants of health, and clinical care for the Greater Cortland Region. In total, 294 individuals participated in the on-line survey, held between February 2025 and April 2025. The survey contained 33 questions and was distributed by the Guthrie Cortland Medical Center leadership team to over 25 various key community stakeholders, community partners and agencies through a promotional flyer containing a QR code which allowed easy access to open a direct link to complete the survey. A hyperlink was also sent to community members to ensure participation for community members that are not fully acquainted with the use of QR codes. A series of 10 one-on-one interviews were conducted by RMS Healthcare on behalf of Guthrie Cortland Medical Center to gather feedback from key stakeholders on the health needs and assets of the Greater Cortland Region. The interviews included 10 representatives from 10 different organizations and agencies, held between February 2025 and March 2025. A series of two community focus groups were conducted by RMS Healthcare on behalf of Guthrie Cortland Medical Center to gather feedback from community members on the health needs and assets of the Greater Cortland Region. Fourteen (14) individuals participated in the focus groups, held between March 18, 2025 and March 25, 2025. Based upon the CHNA results and prioritization process, Guthrie Cortland Medical Center used a process based upon the American Hospital Association (AHA) Community Health Improvement (ACHI) key components for prioritizing community health needs and assets. The CHNA steering committee stakeholders, in collaboration with senior leadership, applied defined criteria (including magnitude and severity of the problem, community capacity and willingness to act, potential measurable impact, and availability of hospital and community resources) to identify significant needs and select prioritized needs for the June 2025-June 2028 CHNA cycle. The prioritized health needs identified for Guthrie Cortland Medical Center's service area are: 1. Mental Health Problems 2. Heart Disease and Stroke In addition to the CHNA group, this report in its entirety was prepared for availability to the broader community and is posted on Guthrie's public website.
SCHEDULE H, PART V, SECTION B, QUESTIONS 7A & 7DThe organization is an affiliate within the Guthrie Clinic and affiliates; a tax-exempt integrated healthcare delivery system ("system"). Due to character limitations, the website listed in Schedule H, Part V, Section B, Question 7a, is the home page for the system. The CHNA can be accessed at the following page included in the system's website: https://www.guthrie.org/about-us/community-benefits/community-health-needs -assessment Guthrie Cortland Medical Center's Community Health Needs Assessment is also placed in the county's public libraries, including Cincinnatus, Cortland, Homer, Marathon and McGraw.
SCHEDULE H, PART V, SECTION B, QUESTION 10AThe organization is an affiliate within the Guthrie Clinic and affiliates; a tax-exempt integrated healthcare delivery system ("system"). Due to character limitations, the website listed in Schedule H, Part V, Section B, Question 10a, is the home page for the system. The most recently adopted implementation strategy can be accessed at the following page included in the system's website: https://www.guthrie.org/about-us/community-benefits/community-health-needs -assessment
SCHEDULE H, PART V, SECTION B, QUESTION 11For a complete description of how the organization is addressing the needs identified in the most recently completed CHNA, see the following: https://www.guthrie.org/about-us/community-benefits/community-health-needs -assessment Due to resource limitations, the organization may not be able to address all identified needs through its implementation strategy.
SCHEDULE H, PART V, SECTION B, QUESTION 16The organization is an affiliate within the Guthrie Clinic and affiliates; a tax-exempt integrated healthcare delivery system ("system"). Due to character limitations, the website listed in Schedule H, Part V, Section B, Question 16 is the home page for the system. The organization's financial assistance policy, financial assistance application, and plain language summary are made widely available on the organization's website. These documents can be accessed at the following page included in the system's website: https://www.guthrie.org/patients-visitors/pay-my-bill/financial-assistance
FieldValueIRS element (for citing)
Facility6FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
CR NURSING & REHABILITATION FACILITY
134 HOMER AVENUECORTLANDNY13045SKILLED NURSING FACILITY
GCMC OUTPATIENT WOUND CLINIC
4005 WEST ROAD - ROUTE 281CORTLANDNY13045WOUND CARE
GCMC HOME HEALTH CARE
134 HOMER AVENUECORTLANDNY13045HOME HEALTH CARE
GCMC OUTPATIENT REHAB SERVICES
1259 FISHER AVENUECORTLANDNY13045PHYSICAL & OCCUPATIONAL THERAPY
GCMC LABORATORY SERVICE CENTER
4077 WEST ROAD - ROUTE 281CORTLANDNY13045LABORATORY SERVICES
GCMC LABORATORY SERVICE CENTER
6 EUCLID AVENUECORTLANDNY13045LABORATORY SERVICES

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART I, LINE 7Information reported on Schedule H, Part I, line 7 table was derived utilizing the ratio of cost to charges calculated using Worksheet 2, except line 7b, which was taken from the Medicare cost report, and line 7g, which was calculated based upon an internal cost accounting system. Within the cost accounting system, some patient segments were based on a ratio of cost to charge - total departmental expense plus allocated overhead spread based on charges.
SCHEDULE H, PART III, SECTION A, QUESTIONS 2, 3 & 4The costing methodology used in determining the amounts reported on lines 2 and 3 are based on actual charges written off (amounts that are deemed to be uncollectible and recorded as implicit price concessions under accounting pronouncement asc 606). Guthrie Cortland Medical Center provides care to all patients who need it, regardless of their ability to pay. This is part of the hospital's mission. The hospital estimates that 10% of the bad debt expense at cost is attributable to patients eligible under the organization's charity care policy that have not filled out the proper forms or provided the proper information to qualify for the program. The text of the bad debt footnote can be found on page 14 of the electronically attached audited financial statements for the Guthrie Clinic and affiliates.
SCHEDULE H, PART III, SECTION C, QUESTION 8MEDICARE COSTS WERE DERIVED FROM THE 2024 MEDICARE COST REPORT. The organization feels that Medicare underpayments (shortfall), bad debt and associated costs are community benefit and are includable on Form 990, Schedule H, Part I. As outlined more fully below, the organization believes that these services and related costs promote the health of the community as a whole and are rendered in conjunction with the organization's charitable tax-exempt purposes and mission in providing medically necessary healthcare services to all individuals in a non-discriminatory manner without regard to race, color, creed, sex, national origin or ability to pay and consistent with the community benefit standard promulgated by the IRS. The community benefit standard is the current standard for a hospital for recognition as a tax-exempt and charitable organization under Internal Revenue Code ("IRC") 501(c)(3). The organization is recognized as a tax-exempt entity and charitable organization under 501(c)(3) of the IRC. Although there is no definition in the tax code for the term "charitable" a regulation promulgated by the Department of the Treasury provides some guidance and states that "the term charitable is used in section 501(c)(3) in its generally accepted legal sense,provides examples of charitable purposes, including the relief of the poor or unprivileged; the promotion of social welfare; and the advancement of education, religion, and science. Note it does not explicitly address the activities of hospitals. In the absence of explicit statutory or regulatory requirements applying the term "charitable" to hospitals, it has been left to the IRS to determine the criteria hospitals must meet to qualify as IRC 501(c)(3) charitable organizations. The original standard was known as the charity care standard. This standard was replaced by the IRS with the community benefit standard which is the current standard. Charity Care Standard In 1956, the IRS issued Revenue Ruling 56-185, which addressed the requirements hospitals needed to meet in order to qualify for IRC 501(c)(3) status. One of these requirements is known as the "charity care standard." under the standard, a hospital must provide, to the extent of its financial ability, free or reduced-cost care to patients who cannot pay for such services. A hospital that expected full payment did not, according to the ruling, provide charity care based on the fact that some patients ultimately failed to pay. The ruling emphasized that a low level of charity care did not necessarily mean that a hospital had failed to meet the requirement since that level could reflect its financial ability to provide such care. The ruling also noted that publicly supported community hospitals would normally qualify as charitable organizations because they serve the entire community and a low level of charity care would not affect a hospital's exempt status if it was due to the surrounding community's lack of charitable demands. Community Benefit Standard In 1969, the IRS issued Revenue Ruling 69-545, which "removed" from Revenue Ruling 56-185 "the requirements relating to caring for patients without charge or at rates below cost." under the standard developed in Revenue Ruling 69-545, which is known as the "community benefit standard," hospitals are judged on whether they promote the health of a broad class of individuals in the community. The ruling involved a hospital that only admitted individuals who could pay for the services (by themselves, private insurance, or public programs such as Medicare), but operated a full-time emergency room that was open to everyone. The IRS ruled that the hospital qualified as a charitable organization because it promoted the health of people in its community. The IRS reasoned that because the promotion of health was a charitable purpose according to the general law of charity, it fell within the "generally accepted legal sense" of the term "charitable," as required by the Department of Treasury reg. 1.501(c)(3)-1(d)(2). The IRS ruling stated that the promotion of health, like the relief of poverty and the advancement of education and religion, is one of the purposes in the general law of charity that is deemed beneficial to the community as a whole even though the class of beneficiaries eligible to receive a direct benefit from its activities does not include all members of the community, such as indigent members of the community, provided that the class is not so small that its relief is not of benefit to the community. The IRS concluded that the hospital was "promoting the health of a class of persons that is broad enough to benefit the community" because its emergency room was open to all and it provided care to everyone who could pay, whether directly or through third-party reimbursement. Other characteristics of the hospital that the IRS highlighted included the following: its surplus funds were used to improve patient care, expand hospital facilities, and advance medical training, education and research; it was controlled by a board of trustees that consisted of independent civic leaders; and hospital medical staff privileges were available to all qualified physicians. The American Hospital Association ("AHA") feels that Medicare underpayments (shortfall) and bad debt are community benefit and thus includable on Form 990, Schedule H, Part I. This organization agrees with the AHA's position. As outlined in the AHA's letter to the IRS dated August 21, 2007 with respect to the first published draft of the new Form 990 and Schedule H, the AHA felt that the IRS should incorporate the full value of the community benefit that hospitals provide by counting Medicare underpayments (shortfall) as quantifiable community benefit for the following reasons: - providing care for the elderly and serving Medicare patients is an essential part of the community benefit standard. - Medicare, like Medicaid, does not pay the full cost of care. From the latest data provided by the AHA, Medicare reimburses hospitals only 87 cents for every dollar they spend to take care of Medicare patients. - many Medicare beneficiaries, like their Medicaid counterparts, are poor. More than 42 percent of Medicare spending is for beneficiaries whose income is below 200 percent of the federal poverty level. Many of those Medicare beneficiaries are also eligible for Medicaid -- so called eligible." There is every compelling public policy reason to treat Medicare and Medicaid underpayments similarly for purposes of a hospital's community benefit and include these costs on Form 990, Schedule H, Part I. Medicare underpayment must be shouldered by the hospital in order to continue treating the community's elderly and poor. These underpayments represent a real cost of serving the community and should count as a quantifiable community benefit. Both the AHA and this organization also feel that patient bad debt is a community benefit and thus includable on Form 990, Schedule H, Part I. Like Medicare underpayment (shortfalls), there also are compelling reasons that patient bad debt should be counted as quantifiable community benefit as follows: - a significant majority of bad debt is attributable to low-income patients, who, for many reasons, decline to complete the forms required to establish eligibility for hospitals' charity care or those who do not pay all, or a portion of the already discounted billed amounts under our financial assistance policy. A 2006 congressional budget office ("cbo") report, nonprofit hospitals and the provision of community benefits, cited two studies indicating that "the great majority of bad debt was attributable to patients with incomes below 200% of the federal poverty line." - the report also noted that a substantial portion of bad debt is pending charity care. Unlike bad debt in other industries, hospital bad debt is complicated by the fact that hospitals follow their mission to the community and treat every patient that comes through their emergency department, regardless of ability to pay. Patients who have outstanding bills are not turned away, unlike other industries. Bad debt is further complicated by the auditing industry's standards on reporting charity care. Many patients cannot or do not provide the necessary, extensive documentation required to be deemed charity care by auditors. As a result, roughly 40% of bad debt is pending charity care. The cbo concluded that its findings "support the validity of the use of uncompensated care [bad debt and charity care] as a measure of community benefit" assuming the findings are generalizable nationwide; the experience of hospitals around the nation reinforces that they are generalizable. As outlined by the aha, despite the hospital's best efforts and due diligence, patient bad debt is a part of the hospital's mission and charitable purposes. Bad debt represents part of the burden hospitals shoulder in serving all patients regardless of
SCHEDULE H, PART III, SECTION C, QUESTION 9BSee the financial assistance policy information provided in response to Schedule H, Part V, Section B, Question 16.
SCHEDULE H, PART VI, QUESTION 2Guthrie Cortland Medical Center ("GCMC") and the Guthrie Clinic ("TGC") emphasize primary health care services, health promotion, and chronic disease prevention and management for the community we serve. GCMC's overall approach to community benefit is to examine the intersection of documented unmet community needs and match these needs with organizational strengths. These unmet community needs can be defined as a discrepancy or gap between what is currently available and what the community desires. The overarching goals of this community health needs assessment (CHNA) are to (1) identify strengths and limitations within GCMC's service area; (2) define the needs and assets associated with the community we serve; (3) describe resources such as health professionals, regional economics and communication networks whose goal is to maximize community health. The identified needs will result in the formation of an implementation plan that will build upon the continuum of care currently offered at GCMC by clearly linking our clinical services with our community-based services through this community benefit process. The implemented community benefit plan will be integrated into strategic organizational goals of GCMC. The plan progress will be monitored to ensure timely implementation. Further collaborative partnerships will be integral to the success of the plan. Guthrie Cortland Medical Center completed its most recent CHNA during the January 2025 through May 2025 research period, incorporating both primary and secondary data sources, including an online community survey (294 participants, February 2025 through April 2025), key stakeholder interviews (10 interviews, February 2025 through March 2025), and community focus groups (2 focus groups with 14 participants, March 18, 2025 through March 25, 2025). Based upon the 2025 CHNA results and prioritization process, the prioritized health needs identified for the service area for the June 2025-June 2028 CHNA cycle are: (1) Mental Health Problems and (2) Heart Disease and Stroke. Guthrie Cortland Medical Center did not receive any community-based comments or feedback on the prior CHNA report.
SCHEDULE H, PART VI, QUESTION 3Charity care availability and contact information are posted in all registration areas and in the hospital's business office. The charity care policy, application, and contact information are posted on the hospital's website. Self-pay patients are referred to the hospital's financial counselor from physician offices, social workers, or self-referred. The financial counselor as well as the business office staff follow up with self-pay patients to assess their need and assist in determining their eligibility for securing a payment source (i.e. COBRA coverage, special needs program, Medicaid, other federal/state programs, or charity care). Staff also assist with the application process as requested by self-pay patients. The hospital's billing statements also have information regarding who to contact in case a patient needs assistance meeting its financial obligations.
SCHEDULE H, PART VI, QUESTION 4Guthrie Cortland Medical Center ("GCMC") is a not-for-profit community hospital and an affiliate within the Guthrie Clinic and affiliates; a tax-exempt integrated healthcare delivery system ("system"). GCMC serves a rural population over the geographic area of Cortland County, New York. The primary service area of GCMC is defined as 8 contiguous zip codes from which over 70% of the inpatient population is derived. The 8 contiguous zip codes include 46,809 people, 88.1% of Cortland County residents identified as White alone, 5.7% identify as two or more races. The highest percentage of the population is between ages 20-29. In this geographic area, 28.0% of individuals age 25 and over attained a bachelor's degree, and those that attained a high school diploma or higher was 90.7%. From 2010 until 2020 there was a 5.1% decrease in the overall population served by GCMC, while the overall population of New York State increased 4.25%.
SCHEDULE H, PART VI, QUESTION 5Please refer to the organization's community benefit statement in Schedule O for more information regarding how the hospital furthers its exempt purpose by promoting the health of the community.
SCHEDULE H, PART VI, QUESTION 6The organization is an affiliate within the Guthrie Clinic and affiliates; a tax-exempt integrated healthcare delivery system ("system"). All affiliates are committed to enhancing the overall health status of the community by providing the highest quality healthcare and related services in a cost-effective manner and regardless of ability to pay. The system strives to exceed the patients' expectations by emphasizing commitment, competence, collaboration, communication and compassion. The Guthrie Clinic is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code 501(c)(3) and as a supporting organization pursuant to Internal Revenue Code 509(a)(3). The Guthrie Clinic operates as the tax-exempt parent entity of a multi-corporate healthcare system. It was created to coordinate, supervise and ensure the continuation and improvement of the quality of healthcare services provided by its qualifying affiliates to the community. The Guthrie Clinic ensures that its system provides medically necessary healthcare services to all individuals regardless of race, color, creed, sex, national origin or ability to pay. The sole member or stockholder of each entity within the system is either the Guthrie Clinic or another system affiliate controlled or owned by the Guthrie Clinic. Outlined below is a summary of the entities which comprise the system. Active hospital legal entities include Corning Hospital, Guthrie Cortland Medical Center, Our Lady of Lourdes Memorial Hospital, Robert Packer Hospital and Troy Community Hospital, Inc. Each of these hospitals operates consistently with the following criteria outlined in IRS Revenue Ruling 69-545: 1. Each provides medically necessary healthcare services to all individuals regardless of ability to pay, including charity care, self-pay, Medicare and Medicaid patients; 2. Each acute care hospital operates an active emergency department for all persons, which is open 24 hours a day, 7 days a week, 365 days per year; 3. Each maintains an open medical staff, with privileges available to all qualified physicians; 4. Control of each rests with its board of directors and the board of directors of the Guthrie Clinic (both boards are comprised of independent civic leaders and other prominent members of the community); and 5. Surplus funds are used to improve the quality of patient care, expand and renovate facilities and advance medical care, programs and activities. Affiliated Guthrie Clinic entities are as follows: Corning Hospital ("CH") is a 65-bed non-profit acute care medical center located in Corning, New York. CH is recognized by the Internal Revenue Service as an Internal Revenue Code 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, CH provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Moreover, CH operates consistently with the criteria outlined in IRS Revenue Ruling 69-545. Guthrie Cortland Medical Center ("GCMC") is a 144-bed non-profit acute care medical center located in Cortland, New York. GCMC is recognized by the Internal Revenue Service as an Internal Revenue Code 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, GCMC provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Moreover, GCMC operates consistently with the criteria outlined in IRS Revenue Ruling 69-545. Our Lady of Lourdes Memorial Hospital ("OLLMH") is a 197-bed non-profit acute care medical center located in Binghamton, New York. OLLMH is recognized by the Internal Revenue Service as an Internal Revenue Code 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, OLLMH provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Moreover, OLLMH operates consistently with the criteria outlined in IRS Revenue Ruling 69-545. Robert Packer Hospital ("RPH") is a 267-bed non-profit tertiary care referral center located in Sayre, Pennsylvania that also operates Robert Packer Hospital at Towanda Campus, a 35-bed non-profit acute care medical center located in Towanda, Pennsylvania. RPH is recognized by the Internal Revenue Service as an Internal Revenue Code 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, RPH provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Moreover, RPH operates consistently with the criteria outlined in IRS Revenue Ruling 69-545. Troy Community Hospital, Inc. ("TCH") is a 25-bed non-profit critical access hospital located in Troy, Pennsylvania. TCH is recognized by the Internal Revenue Service as an Internal Revenue Code 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, TCH provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Moreover, TCH operates consistently with the criteria outlined in IRS Revenue Ruling 69-545. Binghamton Health Corporation is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code 501(c)(3) and as a non-private foundation pursuant to Internal Revenue Code 509(a)(1). The organization supports the health care system, which provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin, religion or ability to pay. Cortland Memorial Foundation, Inc. is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code 501(c)(3) and as a non-private foundation pursuant to Internal Revenue Code 509(a)(1). Through fundraising activities, the organization supports the charitable purposes, programs and services of GCMC; a related Internal Revenue Code 501(c)(3) tax-exempt organization, that provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Guthrie Home Care is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code 501(c)(3) and as a non-private foundation pursuant to Internal Revenue Code 509(a)(2). The organization's mission is to establish, maintain, and support home health agency, provide for home health services, provide for hospice services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Guthrie Medical Group, P.C. is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code 501(c)(3) and as a non-private foundation pursuant to Internal Revenue Code 509(a)(1). The organization supports the health care system; primarily its tax-exempt acute care hospitals, which provide medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin, religion or ability to pay. Guthrie Risk Retention Group is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code 501(c)(3) and as a supporting organization pursuant to Internal Revenue Code 509(a)(3). The organization operates as a risk retention group under the Federal Liability Risk Retention Act of 1986 to the system. The organization supports the charitable purposes, programs and services of the system; which provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Lourdes Realty Company, Inc. ("LRC") is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code 501(c)(2). LRC acts as a real estate holding company for various healthcare-related properties of the system. Sayre House of Hope is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code 501(c)(3) and as a non-private foundation pursuant to Internal Revenue Code 509(a)(1). The organization alleviates the additional financial and emotional burdens on patients and families while enduring a medical crisis by providing temporary housing and support. The organization supports the charitable purposes, programs and services of the system; which provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Southern Tier Medical Care-NY PC is an organizat
SCHEDULE H, PART VI, QUESTION 7NOT APPLICABLE.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1the guthrie clinicBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE GUTHRIE SQUAREAddressLine1Txt
CitySAYRECityNm
State AbbreviationPAStateAbbreviationCd
ZIP18840ZIPCd
FieldValueIRS element (for citing)
Recipient EIN233055017RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$390,172CashGrantAmt
Valuation Method UsedFMVValuationMethodUsedDesc
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I; QUESTION 2FormAndLineReferenceDesc
ExplanationGRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
PAUL G VERVALIN
DIRECTOR - EVP/COO TGC$0$628,474$0$233,227$0$27,128$0$70,359$0$29,699$0$988,887$0$0
JENNIFER L YARTYM
DIRECTOR - PRESIDENT$387,983$0$121,997$0$745$0$20,700$0$2,697$0$534,122$0$0$0
CHRISTOPHER MOHEIMANI MD
DIRECTOR - MED STAFF PRES$0$437,469$0$44,444$0$0$0$20,700$0$1,721$0$504,334$0$0
PHILIP HEAVNER MD
DIRECTOR$0$393,762$0$34,542$0$9,145$0$20,700$0$30,263$0$488,412$0$0
FRANCIS M MACAFEE
FORMER OFFICER$0$305,925$0$97,148$0$2,047$0$22,425$0$21,498$0$449,043$0$0
KANSAS UNDERWOOD
VP NURSING/CNO$245,948$0$75,247$0$240$0$16,863$0$30,654$0$368,952$0$0$0
EDWARD BENDER
RADIATION PHYSICIST$206,496$0$0$0$207$0$10,841$0$27,897$0$245,441$0$0$0
NANCY TOWNE
DIRECTOR, PREOPERATIVE SVCS$190,111$0$26,051$0$594$0$12,970$0$542$0$230,268$0$0$0
Annette Wagner
Director, Long Term Care$178,726$0$21,687$0$456$0$12,025$0$11,445$0$224,339$0$0$0
HEATHER HOWELL rn
REGISTERED NURSE$205,432$0$0$0$44$0$10,785$0$1,472$0$217,733$0$0$0
Tara Cottrell
Manager, Oncology$172,129$0$13,297$0$206$0$11,126$0$1,409$0$198,167$0$0$0
ROBIN CATALDO
SR. DIRECTOR/CFO$0$153,521$0$11,874$0$463$0$9,924$0$17,297$0$193,079$0$0
DAVID WIRTZ MD
DIRECTOR$0$170,660$0$0$0$0$0$5,120$0$0$0$175,780$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART VII AND SCHEDULE JIN 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 2024 FORMS W-2 AND FORMS 1099 (IF APPLICABLE).
SCHEDULE J, PART I; QUESTION 4BTHE 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 DEFERRED COMPENSATION AMOUNT REFLECTED IN SCHEDULE J, PART II, COLUMN C FOR THE FOLLOWING INDIVIDUAL INCLUDES UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH IS SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUAL MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNT OUTLINED HEREIN WAS NOT INCLUDED IN HIS 2024 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: PAUL G. VERVALIN, $47,934.
SCHEDULE J, PART I; QUESTION 7CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2024 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2024 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 L IRS990ScheduleL

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Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (17 entries)

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CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTSThe 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 enable our specialists and primary care physicians to actively collaborate - literally and virtually - to coordinate patient care. Our robust electronic health records enable 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. Six 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, Cortland Medical Center in 2019 and our lady of lourdes memorial hospital in 2024. Guthrie today ------------- Today, one of the longest established group practices in the country, Guthrie has over 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 department 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 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. Cortland includes 300 Guthrie and community-based providers representing 12 medical fields and 10 specialties. The Renzi Cancer Center provides comprehensive cancer care in a state-of-the-art facility. They purchased new medical imaging equipment and will soon be adding a new CT scanner, which will allow them to receive results more quickly. - 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
CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTSRobert 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 68- bed skilled nursing unit and 94-bed personal care home. - imaging services - medical/surgical services - 24-hour emergency services with 24-hour laboratory, radiology and ultrasound support - ambulatory surgery - cardiology stress testing - Newman W. Benson Acute Rehabilitation Unit - 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 Lourdes Hospital ======================== Guthrie Lourdes Hospital, an independent, nonprofit, 197-bed acute care facility, joined the Guthrie healthcare system in February 2024. Guthrie Lourdes is home to a surgery center, cancer center and birthing center. They also offer infusion services, laboratory services, complete imaging and radiology services, and mental health services. In addition, hospice and home care teams provide care to patients in their homes. Unique to the region, Guthrie Lourdes operates two mobile mammography vans, two mobile dental vans and a mobile medical van. - acute and inpatient care - cancer care - emergency care - hospice and home care - infusion services - labor and delivery care - laboratory services - imaging and radiology - mental health service - outpatient therapy services - respiratory services - surgical services 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 375 physicians and 306 advanced practice providers have more than 1,406,000 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 orthopaedic 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 everyday 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. Guthrie Cortland Nursing and Rehabilitation Center has been recognized as a 2025 recipient of the Bronze - Commitment to Quality Award by the American Health Care Association and National Center for Assisted Living (AHCA/NCAL) for its commitment to improving the lives of residents through quality care. This distinction is the first of three progressive award levels through the AHCA/NCAL National Quality Award Program. The Program honors providers across the nation that have demonstrated their dedication to enhancing the quality of care for our nation's elders and individuals with disabilities. Guthrie Troy Community Hospital has been named one of the nation's 2025 Best Places to Work in Healthcare by Modern Healthcare magazine. The prestigious award recognizes outstanding employers in the healthcare industry. Troy is the only hospital in the region that earned this distinction from Modern Healthcare. The recognition highlights Guthrie Troy Community Hospital's commitment to fostering a strong workplace culture and prioritizing employee satisfaction and engagement. This achievement reflects the staff's dedication to excellent patient care and a supportive, collaborative work environment - recognizing that a positive workplace culture leads to better outcomes for patients and the community. The Guthrie Clinic has earned a spot on Becker's Healthcare's "150 Top Places to Work in Healthcare" list for the third consecutive year, cementing its status as one of the nation's leading health care employers. Guthrie stands alone as the only health care system in the region to receive this recognition. The recognition from Becker's Healthcare, a leading industry authority, honors health care organizations that demonstrate an exceptional commitment to employee satisfaction and community impact.
CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTSGuthrie Corning Hospital has earned an "A," Hospital Safety Grade from The Leapfrog Group, an independent national nonprofit watchdog focused on patient safety. Leapfrog assigns an "A," "B," "C," "D"F" grade to general hospitals across the country based on more than 30 measures of errors, accidents, injuries and infections, as well as the systems hospitals have in place to prevent them. The Guthrie Clinic has been named to Becker's list of "Simulation and Education Programs to Know" for 2024. The list includes organizations dedicated to advancing their workforce and service lines through innovative education and simulation initiatives. Paul VerValin, FACHE, FACMPE, EVP/Chief Operating Officer, The Guthrie Clinic, has been named to the Becker's Hospital Review "Hospital and Health System COOs to Know" list for 2024. Chief operating officers lead the charge in streamlining operations across hospitals and health systems, driven by a passion for improving patient outcomes and delivering measurable results. Paul is a driving force behind the organization's operational excellence and strategic growth. Under his leadership, Guthrie has achieved significant milestones, including the acquisition and integration of multiple hospital systems and national recognition for clinical outcomes and caregiver engagement. Becker's spotlighted his focus on transparency, continuous improvement and staff engagement, leading to millions in cost savings, elevated care standards and enhanced operational performance. Two Guthrie hospitals have been recognized with Women's Choice Awards. The Women's Choice Award for Best HospitalsT is a trusted referral source and credential that identifies the nation's best hospitals based on robust criteria that includes relevant clinical performance, patient satisfaction and appropriate accreditations. Guthrie Robert Packer Hospital has been recognized as one of America's Best Hospitals for Comprehensive Breast Care. This award signifies that RPH is in the top 7% of the 4,675 U.S. hospitals offering breast care services. Guthrie Troy Community Hospital has been recognized as one of America's Best Hospitals for Emergency Care. This award signifies that Troy is in the top 11% of 4,675 U.S. hospitals offering emergency care services. Guthrie Cortland Medical Center (GCMC) has been recognized as "High Performing" in U.S. News & World Report's 2025 Best Hospitals for Maternity Care, the highest possible rating. The "High Performing" rating indicates results that are well above average on a range of objective quality measures, including rates of unexpected complications, C-sections, and exclusive breast milk feeding. GCMC was also recognized as a Maternity Access Hospital, which means it provides care in an area of the country that, if not for this hospital, would be a "maternity desert." Guthrie is pleased to announce its inclusion in Becker's Healthcare "100 Hospitals and Health Systems with Great Orthopedic Programs" list for 2024. This prestigious recognition highlights Guthrie's commitment to providing comprehensive, innovative and compassionate musculoskeletal care to patients across the region. Becker's Healthcare selected Guthrie for this honor based on the health system's dedication to excellence in various areas. The College of Healthcare Information Management Executives (CHIME) has announced the results of the highly anticipated Digital Health Most Wired Survey for the 2024 data collection period. Guthrie is proud to announce our Level 9 achievement for both Acute and Ambulatory survey selections. Among the almost 48,000 facilities represented, Guthrie distinguished itself by ranking above peers in critical categories such as analytics and data management, population health, infrastructure, and patient engagement. The survey evaluates the adoption, integration, and impact of technologies across healthcare organizations, from early-stage adopters to industry leaders. These national honors spotlight Guthrie's continued investment in equipment and technology, as well as experienced clinicians and caregivers who are dedicated to offering safe, high-quality care to keep the communities we serve healthy and active. Our teams were recognized by Healthgrades in a variety of categories. Guthrie Lourdes Hospital: - 100 Best Hospitals for Orthopedic Surgery - 100 Best Hospitals for Joint Replacement - Orthopedic Excellence Award - Joint Replacement Excellence Award - Surgical Care Excellence Award - #2 in the state for Surgical Care - #2 in the state for Joint Replacement - #3 in the state for Orthopedic Surgery - Top 5% in the nation for Surgical Care - Top 5% in the nation for Overall Orthopedic Services - Top 10% in the nation for Joint Replacement - Five-Star Recipient for Total Knee Replacement - Five-Star Recipient for Total Hip Replacement - Five-Star Recipient for Hip Fracture Treatment - Five-Star Recipient for Outpatient Rotator Cuff Repair - Five-Star Recipient for Spinal Fusion Surgery - Five-Star Recipient for Treatment of Stroke - Five-Star Recipient for Treatment of Sepsis - Five-Star Recipient for Treatment of Respiratory Failure Guthrie Robert Packer Hospital: - Five-Star Recipient for Outpatient Total Hip Replacement - Joint Replacement Excellence Award - Top 10% in the nation for Outpatient Joint Replacement Guthrie Corning Hospital: - Five-Star Recipient for Treatment of Pulmonary Embolism Guthrie Cortland Medical Center: - Five-Star Recipient for Treatment of Stroke 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 $241,396,646; which represented a community benefit percentage of 15.17%. Most recent information published by irs (2022 year reporting) shows an overall community benefit average nationwide of approximately 11.00%. 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, 2025.
CORE FORM, PART V; QUESTION 1A & CORE FORM, PART VII; SECTION BTHE ORGANIZATION IS AN AFFILIATE WITHIN THE GUTHRIE CLINIC AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE ORGANIZATION'S FORM 990 REFLECTS ONE TOP FIVE INDEPENDENT CONTRACTOR FOR SERVICES AND REPORTS THAT NO FORMS 1099 WERE FILED WITH THE INTERNAL REVENUE SERVICE ("IRS"). THE GUTHRIE CLINIC, A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION PAYS ALL OUTSTANDING ACCOUNTS PAYABLE INVOICES ON BEHALF OF THIS ORGANIZATION. IN CONJUNCTION WITH THIS SERVICE, THE GUTHRIE CLINIC ALSO PREPARES AND ISSUES FORMS 1099 TO THESE VENDORS RECEIVING PAYMENTS WHERE APPLICABLE AND FILES THESE FORMS 1099 WITH THE IRS. THE GUTHRIE CLINIC ALLOCATES THESE PAYMENTS TO THE ORGANIZATION VIA AN INTERCOMPANY ACCOUNT.
CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7THE GUTHRIE CLINIC IS THE SOLE MEMBER OF THIS ORGANIZATION. THE GUTHRIE CLINIC HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF DIRECTORS AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS.
CORE FORM, PART VI, SECTION B; QUESTION 11BTHE ORGANIZATION IS AN AFFILIATE WITHIN THE GUTHRIE CLINIC AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE GUTHRIE CLINIC IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THE 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 draft form 990 was provided to the system's audit committee members. Thereafter, the cpa firm gave a form 990 and healthcare industry tax update presentation to the audit committee members and certain senior management personnel. After this presentation, 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 12THE 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 15THE ORGANIZATION IS AN AFFILIATE WITHIN THE GUTHRIE CLINIC AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH INCLUDES THE GUTHRIE CLINIC ("TGC"); A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. TGC'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 TGC'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 TGC 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 19THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW YORK. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND QUESTIONNAIRE IS NOT OPEN FOR PUBLIC INSPECTION.
CORE FORM, PART VII AND SCHEDULE JCORE 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. FRANCIS M. MACAFEE IS STILL EMPLOYED WITHIN THE GUTHRIE CLINIC AND SERVES AS THE VP/CHIEF FINANCIAL OFFICER OF OUR LADY OF LOURDES MEMORIAL HOSPITAL; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION.
CORE FORM, PART VII, SECTION A, COLUMN BTHIS ORGANIZATION IS AN AFFILIATE WITHIN THE GUTHRIE CLINIC AND AFFILIATES; 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 RENDERED 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 9OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDES: - MINIMUM PENSION LIABILITY ADJUSTMENT - $3,406,686; - TEMPORARY RESTRICTED ASSETS RELEASED FOR PURCHASE OF PROPERTY, PLANT AND EQUIPMENT - $2,784,049; - TEMPORARY RESTRICTED RELEASED FOR RESTRICTIONS - ($39,937); - TEMPORARY RESTRICTED RELEASED FOR GRANTS - ($2,960,860); - TEMPORARY RESTRICTED EQUITY TRANSFER - $138,012; AND - OTHER COMPREHENSIVE NET PERIODIC PENSION COST - ($102,533).
CORE FORM, PART XII; QUESTION 2THE ORGANIZATION IS AN AFFILIATE WITHIN THE GUTHRIE CLINIC AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE GUTHRIE CLINIC IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE GUTHRIE CLINIC AND ALL ENTITIES WITHIN THE SYSTEM FOR THE YEARS ENDED JUNE 30, 2025 AND JUNE 30, 2024; RESPECTIVELY. THE INDEPENDENT CPA FIRM ISSUED AN UNMODIFIED OPINION WITH RESPECT TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS.
CORE FORM, PART XII; QUESTION 3THIS ORGANIZATION IS AN AFFILIATE WITHIN 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 D, PART X & SCHEDULE KTHE 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; - CENTRAL BRADFORD PROGRESS AUTHORITY, HEALTH CARE REVENUE BONDS, SERIES 2021A; SERIES 2021B; SERIES 2021C; AND SERIES 2021D; AND - CENTRAL BRADFORD PROGRESS AUTHORITY, HEALTH CARE REVENUE BONDS, SERIES 2024B. 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 - OUR LADY OF LOURDES MEMORIAL HOSPITAL, EIN: 15-0532221 - 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.
FORM 990 PART IX LINE 11GDESCRIPTION:PURCHASED SERVICES TOTAL FEES:18216617
FORM 990 PART IX LINE 11GDESCRIPTION:CONSULTANT FEES TOTAL FEES:605533

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (14 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
BINGHAMTON HEALTH CORPORATION
169 RIVERSIDE DRIVEBINGHAMTONNY13905881655027HEALTHCARENY501(c)(3)3OLLMHfalse
CORNING HOSPITAL
ONE GUTHRIE DRIVECORNINGNY14830160393490HEALTHCARENY501(c)(3)3TGCfalse
CORTLAND MEMORIAL FOUNDATION INC
134 HOMER AVENUECORTLANDNY13045222230692SUPPORTINGNY501(c)(3)7GCMCYes (true)
DONALD GUTHRIE FOUNDATION
200 S WILBUR AVESAYREPA18840246022957MED RESEARCHPA501(c)(3)7TGCfalse
GUTHRIE HOME CARE
421 TOMAHAWK ROADTOWANDAPA18848232394345HOME HEALTHPA501(c)(3)10TGCfalse
GUTHRIE MEDICAL GROUP PC
ONE GUTHRIE SQUARESAYREPA18840250815795HEALTHCAREPA501(c)(3)3TGCfalse
GUTHRIE RISK RETENTION GROUP
151 MEETING STREETCHARLESTONSC29401201090801SUPPORTINGSC501(c)(3)12ATGCfalse
LOURDES REALTY COMPANY INC
169 RIVERSIDE DRIVEBINGHAMTONNY13905222873637TITLE HLDNG.NY501(c)(2)N/AOLLMHfalse
OUR LADY OF LOURDES MEMORIAL HOSPITAL
169 RIVERSIDE DRIVEBINGHAMTONNY13905150532221HEALTHCARENY501(c)(3)3TGCfalse
ROBERT PACKER HOSPITAL
ONE GUTHRIE SQUARESAYREPA18840240795463HEALTHCAREPA501(c)(3)3TGCfalse
SAYRE HOUSE OF HOPE
ONE GUTHRIE SQUARESAYREPA18840203979472HEALTHCAREPA501(c)(3)7TGCfalse
SOUTHERN TIER MEDICAL CARE-NY PC
169 RIVERSIDE DRIVEBINGHAMTONNY13905821103087HEALTHCARENY501(c)(3)3OLLMHfalse
THE GUTHRIE CLINIC
ONE GUTHRIE SQUARESAYREPA18840223055017SUPPORTINGPA501(c)(3)12BNAfalse
TROY COMMUNITY HOSPITAL INC
275 GUTHRIE DRIVETROYPA16947240800337HEALTHCAREPA501(c)(3)3TGCfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
BINGHAMTON PROJECT LLC
169 RIVERSIDE DRIVEBINGHAMTONNY13905874272798HEALTH SVCS.NYNA
NEW YORK HOLDCO LLC
169 RIVERSIDE DRIVEBINGHAMTONNY13905873651523HEALTH SVCS.NYNA

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
CMH SERVICES INC
160 HOMER AVENUECORTLANDNY13045161370440DURABLE MED EQUIPNYGCMCC CORP$0$01.00000Yes (true)
CORBETT CORPORATION
169 RIVERSIDE DRIVEBINGHAMTONNY13905161268267PROP. MANAGEMENTNYNAC CORPfalse
CORNING PROPERTIES INC
1 GUTHRIE DRIVECORNINGNY14830383977095REAL ESTATE HOLDNYNAC CORPfalse
CORTLAND MEMORIAL PROPERTIES INC
134 HOMER AVENUECORTLANDNY13045161266826INCOME ALLOCATIONNYGCMCC CORP$0$01.00000Yes (true)
TWIN TIER MANAGEMENT CORP INC
PO BOX 310SAYREPA18840232209439MANAGEMENT CORP.PANAC CORPfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE R, PART VFormAndLineReferenceDesc
ExplanationTHIS ORGANIZATION IS A MEMBER 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.ExplanationTxt

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