The Guthrie Clinic

“Changes to governing documents since prior year form 990 was filed the organizations bylaws were amended to add guthrie towanda memorial hospital as a supported organization. Additionally, the bylaws were amended to indicate that the governance of the organization and the management of its affairs shall be vested in the board of directors composed of not less than twelve (12) nor more than eighteen (18) directors and no fewer than five (5) directors shall be medical, administrative and other professional members and no fewer than seven (7) directors shall be independent individuals who generally represent the broad interest of the public. --------------- form 990, part vi, section a, line 6 & 7a membership information the guthrie clinic is a non-member corporation governed by a self-perpetuating board of directors. The guthrie clinic board of directors are appointed by existing members of the board. ---------------”

“Form 990 review process the form 990 of the organization is provided to the board of directors for review and is also reviewed by the organization's finance personnel and an independent accounting firm prior to filing with the irs. ---------------”

“Conflict of interest policy the conflict of interest disclosure policy sets forth that all persons, including employees, agents and board/committee members, particularly those involved in decision-making for the guthrie clinic (tgc) , act in an appropriate manner and will not participate in any actions that might create a personal or professional conflict of interest and/or not be in the best interest of tgc. All members of any tgc board/committee and tgc senior management must make full disclosure of any possible conflict of interest through the use of the conflict of interest disclosure form and refrain from voting or participating in decision-making involving any possible conflict of interest. The form is distributed to all board/committee members and employees (when applicable) annually by the tgc administration office. Tgc board/committee members or employees must complete the conflict of interest disclosure form. This form should be completed when there is any situation where a possible conflict of interest exists, and/or on an annual basis and/or at the time of appointment or election of new board/committee members. If the form is not completed within 13 months of the last signing, the tgc board chairman will be advised. Any individual having a conflict of interest or possible conflict of interest on any matter should excuse themselves from the portion of the meeting or meetings where the matter is discussed and not vote or use his or her personal influence on the matter. The minutes of the meeting or meetings should reflect the disclosure, the abstention from voting, and any action taken to determine whether a conflict of interest existed. ---------------”

“Compensation review and approval executive compensation is generally established within a written employment agreement. Compensation is determined based on market studies, presented to the guthrie clinic compensation committee, and subsequently approved by the board of directors. ---------------”

“Governing documents the organization's form 1023, 990, and 990-t are available for public inspection upon request. --------------- form 990, part vi, section c, line 19 the organization does not routinely make its governing documents and conflict of interest policy available to the public. --------------- form 990 part vii, section b, line 1 the amount reported includes sub-contractor payments and amounts paid for time and materials. --------------- form 990 part ix, line 23 detail of negative insurance expense during the fiscal year ending june 30, 2019, the guthrie clinic elected to change its method of evaluation for professional and general liability based on positive claim experience, resulting in a favorable adjustment to existing reserves. The new method of accounting for these reserves was adopted because management believes the new methodology provides a more meaningful presentation of its financial position because it reflects more accurate estimates for incurred but not reported claims in the balance sheet. ----------------”

“Statement of program service accomplishments the guthrie clinic is a nonprofit health care organization incorporated for the purpose of conducting exclusively charitable, scientific and educational activities. The guthrie clinic (tgc) acts as the parent of an integrated section 501(c)(3) health care delivery system, consisting of the corporation and other directly and indirectly controlled entities (see form 990, schedule r, for a listing of the affiliates of tgc) including but not limited to guthrie medical group, p.c. (gmg) and robert packer hospital (rph). Through the activities of gmg, rph and its other affiliates (collectively referred to as "guthrie"), the guthrie clinic provides charitable community-based health care services and programs to improve the health and well-being of the people and communities served by its facilities and providers. These charitable activities include providing primary care and specialty physician services, as well as operating a tertiary care teaching hospital, community hospitals, a research institute, home care, and hospice care. The guthrie research institute and guthrie clinical research functions of the donald guthrie foundation, a subsidiary of tgc, furthers these charitable activities through providing patient access to the region's largest panel of clinical trials. Guthrie is comprised of a research institute, homecare/hospice, hospitals in sayre, pa, corning, ny, towanda, pa, troy, pa, and cortland, ny, as well as a multi-specialty group practice of more than 325 physicians and 210 advanced practice providers offering 47 specialities through a regional office network providing primary and specialty care in 33 communities in pennsylvania and new york. The vision of guthrie is to help shape the delivery of health care in the region through working collaboratively with physicians and other providers, and by distributing its services throughout the region based on community needs. Guthrie seeks to be the provider of choice for patients in the region it serves, and to be recognized for its superior quality and service. It also strives to advance the practice of medicine through its commitment to teaching and research. In keeping with this vision, the core values of the guthrie clinic are as follows: patient-centeredness, excellence, and teamwork. Guthrie providers and facilities provide care to patients who meet certain criteria under its charity care policy without charge or at amounts less than its established rates. Because it does not pursue collection of amounts determined to qualify as charity care, they are not reported as revenue on the financial statements of guthrie entities. Costs for services and supplies furnished under guthrie's charity care policy amounted to approximately $2.32 million in 2019 and $1.21 million in 2018 when measured at the appropriate entity's estimated cost. As part of its charitable mission, guthrie provides care through its hospital emergency departments. It ensures that an emergency-based treatment or hospital admission is not delayed or denied pending determination of coverage or a requirement for prepayment or deposit. As a result of this policy, guthrie experienced approximately $3.84 million and $2.16 million in bad debts for 2019 and 2018, respectively. In addition to the charity care program and the emergency department bad debts discussed above, guthrie supports numerous other charitable community activities. Examples of these activities include medical education for physicians and nurses, the trauma program, and medical research. The estimated cost, net of reimbursement, for these programs was $20.5 million and $16.2 million in 2019 and 2018, respectively. Guthrie also provides services to patients who participate in the medicaid programs. Revenues generated from patients who participate in the medicaid program are subject to substantial discounts that result in reimbursement for services rendered below the cost of providing such services. In”

“The gmg is committed to the advancement of medical knowledge and skills, and every effort is made to provide personal, compassionate medical care. The gmg operates a regional office network in 22 communities in pennsylvania and new york, encompassing all of the major population centers in the twin tiers area. The guthrie clinic has developed certain guiding principles for the provision of patient care, which include a commitment the following: * practice of clinical excellence, * utilization of the synergy of a multi-specialty medical group practice, * development of an integrated system that provides a continuum of care, * provision of local access to care through support of a regional medical office network, * provision of services to a distinct geographic region, and * proactive operations. The gmg, through the provision of primary care services with ease of access to specialty and sub-specialty care, focuses on making an integrated system of health care easily accessible to patients. With its primary concern the diagnosis and treatment of disease and illness, it also seeks to actively improve the health of the community it serves through prevention, health screenings, and education. The gmg welcomes any patient seeking care. --------------- form 990, part iv, line 12b detail of consolidated financial statements the organization's financial statements were audited on a consolidated basis with the guthrie clinic's affiliates. --------------”

“Detail of other changes in net assets or fund balances equity transfer to/from affiliates $ 64,153,595 pension adjustment (2,544,525) interest/dividend on investment 375,802 earnings distribution (493,726) net realized gains and losses on restricted investment 1,311,039 pledges 729,450 ------------ total $ 63,531,635 ---------------”

“Detail of consolidated financial statements the organization's financial statements were audited on a consolidated basis with the guthrie clinic's affiliates. ---------------”

“Allocation of proceeds a portion of the health care facilities authority of sayre, health care revenue bonds, series 2007, has been allocated to robert packer hospital (ein 24-0795463) and guthrie medical group, p.c. (ein 25-0815795), related irc section 501(c)(3) organizations. Since the guthrie clinic remains as the primary obligor of the bond, all information regarding this bond has been reported on the form 990, schedule k of the guthrie clinic. The total allocated outstanding balance was $30,874,363 for robert packer hospital and $16,115,637 for guthrie medical group, p.c. As of june 30, 2019. A portion of the central bradford progress authority, health care revenue bonds, series 2012, has been allocated to robert packer hospital (ein 24-0795463) and corning hospital (ein 16-0393490), related irc section 501(c)(3) organizations. Since the guthrie clinic remains as the primary obligor of the bond, all information regarding this bond has been reported on the form 990, schedule k of the guthrie clinic. The total allocated outstanding balance was $7,500,000 for robert packer hospital and $42,500,000 for corning hospital as of june 30, 2019. A portion of the central bradford progress authority, health care revenue bonds, series 2011, has been allocated to robert packer hospital (ein 24-0795463), guthrie medical group, p.c. (ein 25-0815795), troy community hospital (24-0800337), and corning hospital (ein 16-0393490), related irc section 501(c)(3) organizations. Since the guthrie clinic remains as the primary obligor of the bond, all information regarding this bond has been reported on the form 990, schedule k of the guthrie clinic. The total allocated outstanding balance was $31,078,810 for robert packer hospital, $16,068,917 for guthrie medical group, p.c., $27,063,759 for troy community hospital, and $5,798,524 for corning hospital as of june 30, 2019. ---------------”