2016-05-12T10:08:12-05:00 2015-06-30 PRICEWATERHOUSECOOPERS LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2014-07-01 233055017 THE GUTHRIE CLINIC % MICHELE SISTO GUTH 5708874625 GUTHRIE SQUARE SAYRE PA 18840 JOSEPH SCOPELLITI PRESIDENT 5708874625 2016-05-09 true ANTONIO C RUSSO P00858539 2673303000 2014 2016-08-17 19:52:53Z JOSEPH SCOPELLITI MD GUTHRIE SQUARE SAYRE PA 18840 200598101 false X WWW.GUTHRIE.ORG X 2000 PA THE GUTHRIE CLINIC IS DEDICATED TO PROVIDING ACCESSIBLE HEALTH CARE THAT MEETS THE NEEDS OF THE PEOPLE AND COMMUNITIES IT SERVES. 13 8 321 8 10102 -1306 21527 241682 17976044 49149222 2463731 8385375 1764212 953560 22225514 58729839 0 0 0 0 10233705 24564533 0 0 399522 7590353 19397072 17824058 43961605 4401456 14768234 486941607 468027787 256657339 255629718 230284268 212398069 X THE GUTHRIE CLINIC IS DEDICATED TO PROVIDING ACCESSIBLE HEALTH CARE THAT MEETS THE NEEDS OF THE PEOPLE AND COMMUNITIES IT SERVES. false false 40904797 0 49149222 SEE SCHEDULE O ATTACHMENT 40904797 true true false false false false false false false true false false false true true false true false false true false false false true false false false false true true false false false false false false false false false false false false false false false true true true false false true 186 0 true 321 true true true false false false false false false false false false X 13 8 false false false false false false false true true false false true true true true true true true true false PA X MICHELE SISTO 5708874625 ONE GUTHRIE SQUARE SAYRE PA 18840 MICHAEL W DONNELLY CHAIRMAN - BOD 1.0 0.0 X X 0 0 0 TERENCE M DEVINE MD VICE CHAIRMAN - BOD 1.0 39.0 X X 0 948247 45446 FREDERICK J BLOOM JR MD MEMBER - BOD 1.0 39.0 X 0 266140 18264 JOSEPH A SCOPELLITI MD CEO 1.0 39.0 X X 0 739365 41459 PHILLIP J ROCHE ESQ MEMBER - BOD 1.0 0.0 X 0 0 0 JOSEPH R JOYCE JR MEMBER - BOD 1.0 0.0 X 0 0 0 H EUGENE LINDSEY MD MEMBER - BOD 1.0 0.0 X 0 0 0 KENNETH R LEVITZKY ESQ SECRETARY - BOD 1.0 0.0 X X DONALD HARTMAN MEMBER - BOD 1.0 0.0 X 0 0 0 DAVID PFISTERER MD MEMBER - BOD 1.0 39.0 X 0 334237 45446 DOUGLAS TROSTLE MD MEMBER - BOD 1.0 39.0 X 0 571724 41459 ETHAN ARNOLD MEMBER - BOD 1.0 0.0 X 0 0 0 JOAN M MARREN RN MEMBER - BOD 1.0 0.0 X 0 0 0 RICHARD BENNETT TREASURER, CFO 39.0 1.0 X 0 488763 24696 PAUL VERVALIN EVP -COO 40.0 0.0 X 0 441027 24696 FRANCIS PINKOSKY EVP - CHIEF HR OFFICER 40.0 0.0 X 0 256994 44682 DONALD SKERPON ADMINISTRATIVE CHIEF OF STAFF 40.0 0.0 X 165164 0 0 DALE SWINGLE VP, INFORMATION SYSTEMS 40.0 0.0 X 207259 0 28306 MICHELE SISTO VP, CONTROLLER 40.0 0.0 X 183814 0 27342 MINHPHUONG DANG VP, HOSPITAL OPERATIONS 40.0 0.0 X 234320 0 31641 ANITA KINGSBAUER VP, PLANNING & CONSTRUCTION 40.0 0.0 X 192113 0 16252 LUCIA SAGGIOMO SR.DIR, INT AUDIT/COMPLIANCE 40.0 0.0 X 148368 0 8942 MARY ANN DOUGHERTY VP, STRATEGIC PLANNING & MKTNG 40.0 0.0 X 147002 0 15302 BERNARD SMITH VP, FINANCE 40.0 0.0 X 140926 0 11655 1418966 4046497 425588 37 false true false G WEBSTER INCORPORATED 460 GATEWAY INDUSTRIAL PARK ROAD ATHENS PA 18810 CONTRACTOR SERVICES 802023 EPIC SYSTEMS CORPORATION BOX 88314 MILWAUKEE WI 53288 CONTRACTED SERVICES 702812 PRICEWATERHOUSECOOPERS LLP PO BOX 3026 BOSTON MA 02241 ACCOUNTING SERVICES 401366 STEVENS LEE PO BOX 679 READING PA 19603 LEGAL SERVICES 356819 TRANSFORMED LLC 11400 TOMAHAWK CREEK PARKWAY STE 3 LEAWOOD KS 66211 CONSULTANT SERVICES 209079 12 X 9330 232352 241682 OPERATING REVENUES AND SUPPORT 541610 49149222 49149222 49149222 4713790 4713790 0 0 0 0 0 141742604 3789542 138085380 3775181 3657224 14361 3671585 3671585 5695 9330 7701 -2006 -2006 0 0 TRAINING SERVICES 611430 3720 3720 BOOKKEEPING SERVICES 541200 6382 6382 PURCHASE DISCOUNTS 900099 930107 930107 15357 15357 955566 58729839 50079329 10102 8398726 0 0 0 0 1623621 1524580 99041 0 0 18765352 17455711 1133970 175671 343540 319805 20775 2960 2549031 2373583 154194 21254 1282989 1170883 76064 36042 0 764915 718255 46660 0 222485 208913 13572 0 0 0 0 2227041 2057105 133637 36299 1443561 1355504 88057 0 816846 742604 48242 26000 2070426 1936486 125799 8141 0 1970914 1829164 118827 22923 178219 160476 10425 7318 0 232896 217844 14152 900 1758301 1651045 107256 0 0 6060709 5685403 369339 5967 456934 429061 27873 0 MEDICAL SUPPLIES 84230 79093 5137 0 CAFETERIA/CATERING 141301 132095 8581 625 OTHER 968294 857187 55685 55422 43961605 40904797 2657286 399522 X 144893 6972113 0 0 0 0 0 0 0 0 0 0 247257799 242789929 0 0 2470614 2192838 106128518 63738245 41198806 42390273 179867853 153568479 11481717 12081642 0 0 0 0 4519925 8032513 486941607 468027787 16487504 22447799 0 0 0 0 230313899 223734215 0 0 0 0 0 0 0 0 9855936 9447704 256657339 255629718 X 200176846 183050591 30051373 29291429 56049 56049 230284268 212398069 486941607 468027787 X 14768234 -5898056 -483393 -26272984 X X false true X true false X X X 14 ROBERT PACKER HOSPITAL 240795463 3 true 0 0 ROBERT PACKER SCHOOL OF NURSING 236408773 2 true 0 0 TIOGA HEALTHCARE FACILITY 150532257 3 true 0 0 TIOGA NURSING FACILITY 222979677 3 true 0 0 GUTHRIE HOME CARE 232394345 4 true 0 0 TROY COMMUNITY HOSPITAL 240800337 3 true 0 0 DARWAY NURSING HOME INC 231733967 4 true 0 0 SAYRE HOUSE INC 231643404 4 true 0 0 DONALD GUTHRIE FOUNDATION 246022957 4 true 0 0 CORNING HOSPITAL 160393490 3 true 0 0 GUTHRIE SAME DAY SURGERY CENTER INC 020551081 4 true 0 0 GUTHRIE MEDICAL GROUP PC 250815795 3 true 0 0 SAYRE HOUSE OF HOPE 203979472 3 true 0 0 GUTHRIE TOWANDA MEMORIAL HOSPITAL 240786657 3 true 0 0 14 0 0 true false false false true false false false false false false false false false false true true false X true true FORM 990, SCHEDULE A, PART IV, SECTION E, LINE 3A DETAIL OF POWER TO APPOINT A MAJORITY OF THE OFFICERS, DIRECTORS, OR TRUSTEES OF EACH SUPPORTED ORGANIZATIONS THE BOARD OF DIRECTORS OF THE GUTHRIE CLINIC, ACTING AS SOLE MEMBER OF THE CORPORATIONS, SHALL HAVE AND EXERCISE FINAL AUTHORITY WITH RESPECT TO APPOINTMENT OF ALL INDIVIDUALS WHO SERVE THE CORPORATIONS AS MEMBERS OF THE CORPORATION'S BOARD OF DIRECTORS, AS TRUSTEES, AND AS MEMBERS OF OTHER BOARDS AND COMMITTEES. --------------- FORM 990, SCHEDULE A, PART IV, SECTION E, LINE 3B DETAIL OF DEGREE OF DIRECTION OVER THE POLICIES, PROGRAMS, AND ACTIVITIES OF EACH SUPPORTED ORGANIZATIONS THE BOARD OF DIRECTORS OF THE GUTHRIE CLINIC, ACTING AS SOLE MEMBER OF THE CORPORATIONS, SHALL HAVE AND EXERCISE FINAL AUTHORITY WITH RESPECT TO: (A) APPROVAL OF FINANCIAL MATTERS INCLUDING THE ANNUAL OPERATING AND CAPITAL BUDGET OF EACH SUPPORTING CORPORATION; THE CORPORATION'S STRATEGIC PLAN; INCURRENCE OF DEBT; TRANSFER OF ASSETS; SELECTION, RETENTION, AND TERMINATION OF EXTERNAL AUDITORS; AND PARTICIPATION IN KEY STRATEGIC ALLIANCES, AFFILIATIONS, AND OTHER KEY RELATIONSHIPS WITH THIRD PARTIES; (B) ESTABLISHING EACH SUPPORTING CORPORATION'S MISSION, VISION AND VALUES; AND (C)APPROVAL OF ANY AMENDMENT TO THE ARTICLES OF INCORPORATION, BYLAWS OR OTHER GOVERNING INSTRUMENTS, MERGER, CONSOLIDATION, DIVISION, LIQUIDATION, DISSOLUTION, CONVERSION, DISPOSITION OF SUBSTANTIALLY ALL ASSETS AND ALL OTHER TRANSACTIONS OF THE SUPPORTING CORPORATIONS, AS DESCRIBED IN NONPROFIT CORPORATION LAW OF 1988, 15 PA. C.S.A. 5901 ET SEQ. --------------- FORM 990, SCHEDULE A, PART IV, SECTION E, LINE 5A DETAIL OF NEW SUPPORTED ORGANIZATION (I) NAME AND EIN OF SUPPORTED ORGANIZATION ADDED: GUTHRIE TOWANDA MEMORIAL HOSPITAL, EIN: 24-0786657 (II) REASON FOR SUCH ACTION: THE GUTHRIE CLINIC ("TGC") ACQUIRED GUTHRIE TOWANDA MEMORIAL HOSPITAL AND BECAME THE SOLE MEMBER OF THE ORGANIZATION EFFECTIVE 04/01/2015. (III) AUTHORITY UNDER THE ORGANIZATION'S ORGANIZING DOCUMENT AUTHORIZING SUCH ACTION: TGC CORPORATE BY-LAWS AUTHORIZE ACQUISITIONS (IV) HOW THE ACTION WAS ACCOMPLISHED: ACCOMPLISHED VIA AMENDMENT TO BY-LAWS --------------- RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1589926 1589926 36659806 12159129 24500677 6590954 4285312 2305642 58985410 47293804 11691606 2302422 2302422 42390273 0 SWAP CONTRACT PAYABLE 2007 1850048 DEFERRED REVENUE FINANCING COS 682636 DEFERRED LIABILITY CAP INTERES 1261758 SWAP CONTRACT PAYABLE 2007 PAS 2619037 ACCD EXP WORKERS COMP LT 1469838 ACCD EXP PROF LIABILITY LT 1145037 OTHER LIABILITIES 419350 9447704 X SCHEDULE D, PART X, LINE 2 TEXT OF FIN 48 DISCLOSURE 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, 2015 AND 2014, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. Central America and the Caribbean INVESTMENTS 60937298 60937298 60937298 true false true false false false FORM 990, SCHEDULE F, PART I, LINE 3, COLUMN (F), ITEM #1 DETAIL OF INVESTMENTS THE GUTHRIE CLINIC ("TGC") SERVES AS THE PARENT OF AN INTEGRATED IRC SECTION 501(C)(3) HEALTH CARE DELIVERY SYSTEM. THE INVESTMENT AMOUNT REPORTED IN COLUMN (F) REPRESENTS THE TOTAL POOLED INVESTMENT FUNDS OF TGC AND ITS AFFILIATES. TGC ALLOCATES SUCH INVESTMENT AMONG ITS AFFILIATES PURSUANT TO AN INVESTMENT POOLING ARRANGEMENT. GALLOP 15025 9330 5695 0 0 0 1309 0 6392 NONE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15025 9330 5695 0 0 0 1309 0 6392 7701 -2006 X X X X false false false false false false false false false TERENCE M DEVINE MD VICE CHAIRMAN - BOD 0 948247 0 0 0 0 0 33750 0 11696 0 993693 0 0 FREDERICK J BLOOM JR MD MEMBER - BOD 0 139440 0 125000 0 1700 0 13000 0 5264 0 284404 0 0 JOSEPH A SCOPELLITI MD CEO 0 614072 0 122491 0 2802 0 33750 0 7709 0 780824 0 0 DAVID PFISTERER MD MEMBER - BOD 0 314153 0 18598 0 1486 0 33750 0 11696 0 379683 0 0 DOUGLAS TROSTLE MD MEMBER - BOD 0 529109 0 42615 0 0 0 33750 0 7709 0 613183 0 0 RICHARD BENNETT TREASURER, CFO 0 422236 0 66527 0 0 0 13000 0 11696 0 513459 0 0 PAUL VERVALIN EVP-COO 0 388922 0 51264 0 841 0 13000 0 11696 0 465723 0 0 FRANCIS PINKOSKY EVP - CHIEF HR OFFICER 0 225127 0 31275 0 592 0 32986 0 11696 0 301676 0 0 DONALD SKERPON ADMINISTRATIVE CHIEF OF STAFF 147143 0 18021 0 0 0 0 0 0 0 165164 0 0 0 DALE SWINGLE VP, INFORMATION SYSTEMS 181113 0 26001 0 145 0 17641 0 10665 0 235565 0 0 0 MICHELE SISTO VP, CONTROLLER 160258 0 23556 0 0 0 15646 0 11696 0 211156 0 0 0 MINHPHUONG DANG VP, HOSPITAL OPERATIONS 208347 0 25973 0 0 0 19945 0 11696 0 265961 0 0 0 ANITA KINGSBAUER VP, PLANNING & CONSTRUCTION 174264 0 16186 0 1663 0 8543 0 7709 0 208365 0 0 0 LUCIA SAGGIOMO SR.DIR, INT AUDIT/COMPLIANCE 136933 0 11167 0 268 0 7246 0 11696 0 167310 0 0 0 MARY ANN DOUGHERTY VP, STRATEGIC PLANNING & MKTNG 147002 0 0 0 0 0 7593 0 7709 0 162304 0 0 0 BERNARD SMITH VP, FINANCE 131758 0 8868 0 300 0 11655 0 0 0 152581 0 0 0 FORM 990, SCHEDULE J, PART I, LINE 3 TOP MANAGEMENT COMPENSATION THE ORGANIZATION RELIES ON A RELATED ORGANIZATION WHICH USES ONE OR MORE OF THE METHODS DESCRIBED IN LINE 3 TO ESTABLISH THE TOP MANAGEMENT OFFICIALS' COMPENSATION. EXECUTIVE COMPENSATION IS GENERALLY ESTABLISHED WITHIN A WRITTEN EMPLOYMENT AGREEMENT. COMPENSATION IS DETERINED BASED ON MARKET STUDIES, PRESENTED TO THE GUTHRIE CLINIC COMPENSATION COMMITTEE AND SUBSEQUENTLY APPROVED BY THE BOARD OF DIRECTORS. FOR NON-PHYSICIAN OFFICERS OF THE ORGANIZATION, COMPENSATION IS DETERMINED BASED ON MARKET STUDIES, PRESENTED TO THE GUTHRIE CLINIC COMPENSATION COMMITTEE, AND SUBSEQUENTLY APPROVED BY THE BOARD OF DIRECTORS. THE PHYSICIAN OFFICERS AND DIRECTORS OF THE ORGANIZATION ARE COMPENSATED BY GUTHRIE MEDICAL GROUP P.C. COMPENSATION FOR THOSE INDIVIDUALS IS DETERMINED BASED ON MARKET STUDIES, PRESENTED TO THE GUTHRIE MEDICAL GROUP P.C. AND THE GUTHRIE CLINIC COMPENSATION COMMITTEES, AND SUBSEQUENTLY APPROVED BY THE GUTHRIE CLINIC BOARD OF DIRECTORS. ALSO, AN ANNUAL REVIEW OF GUTHRIE MEDICAL GROUP P.C.'S EXECUTIVE OFFICER AND PHYSICIAN COMPENSATION IS CONDUCTED BY AN OUTSIDE CONSULTING FIRM. A HEALTH CARE FACILITIES AUTHORITY OF SAYRE 236633733 805777JA8 2007-04-03 187455000 REFUND BONDS-2/02 & 3/02 false false false B CENTRAL BRADFORD PROGRESS AUTHORITY 232735865 2012-10-18 50000000 CONSTRUCT FACILITIES false false false C Central Bradford Progress Authority 232735865 152691AP6 2011-09-08 103722134 CONSTRUCT FACILITIES & REFUND 2/02 false false false A 115760000 0 222433593 0 9954 0 1727367 0 0 0 220696271 0 2007 false true true true B 0 0 50000000 0 0 0 360000 0 0 49640000 0 0 2015 false false false true C 1185000 0 103792613 0 12320595 0 1692392 0 40745 78217249 11521578 55 2014 true false false true A 0.00000 0.00000 0.00000 B false false false false 0.00000 0.00000 0.00000 false false 0.00000 false true C false true true true false 0.00010 0.00000 0.00010 false false 0.00000 false true A false false false true true true JP MORGAN CHASE 24.7 false false false 0 false true B false true false false true false 0 false 0 false true C false true false false false false 0 false 0 false true A true B true C true SUPPLEMENTAL DISCLOSURES FORM 990, SCHEDULE K, PART II, LINE 3 DETAIL OF PROCEEDS OF ISSUE FOR COLUMNS A AND C, THE TOTAL PROCEEDS OF ISSUE REPORTED EXCEED THE ORIGINAL ISSUE PRICE DUE TO INVESTMENT EARNINGS; NOTE FOR COLUMN A: THESE INVESTMENT EARNINGS MATCHED THE GUIDELINES OF THE VERIFICATION REPORT COMPLETED AT ISSUANCE. --------------- FORM 990, SCHEDULE K, PART II, LINE 11, COLUMNS A&C DETAIL OF OTHER SPENT PROCEEDS THE AMOUNTS INCLUDED IN OTHER SPENT PROCEEDS REPRESENT THE REFUNDING PROCEEDS OF THE ISSUE THAT ARE NO LONGER HELD IN ESCROW. --------------- FORM 990, SCHEDULE K, PART IV, LINE 2(C), COLUMN A DETAIL OF ARBITRAGE CALCULATIONS A REBATE CALCULATION WAS PERFORMED ON 12/1/2011. THIS WAS THE FINAL ARBITRAGE REBATE CALCULATION, AS ALL PROCEEDS WERE SPENT AND THE DEBT SERVICE FUND WAS OPERATED ON A BONA FIDE BASIS. FORM 990, PART III 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. THE FACILITIES AND PROVIDER OFFICES OF GUTHRIE ARE LOCATED IN 23 COMMUNITIES THROUGHOUT THE NORTHERN TIER OF PENNSYLVANIA AND SOUTHERN TIER OF NEW YORK, WITH THE GREATEST CONCENTRATION OF SERVICES PROVIDED PRINCIPALLY IN BRADFORD COUNTY, PENNSYLVANIA AND CHEMUNG AND STEUBEN COUNTIES, NEW YORK. THE VISION OF GUTHRIE IS TO HELP SHAPE THE DELIVERY OF HEALTH CARE IN THE REGION THROUGH WORKING COLLABORATIVELY WITH PHYSICIANS AND OTHER PROVIDERS, AND BY DISTRIBUTING ITS SERVICES THROUGHOUT THE REGION BASED ON COMMUNITY NEEDS. GUTHRIE SEEKS TO BE THE PROVIDER OF CHOICE FOR PATIENTS IN THE TWIN TIER REGION, AND TO BE RECOGNIZED FOR ITS SUPERIOR QUALITY AND SERVICE. IT ALSO STRIVES TO ADVANCE THE PRACTICE OF MEDICINE THROUGH ITS COMMITMENT TO TEACHING AND RESEARCH. IN KEEPING WITH THIS VISION, THE CORE VALUES OF 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 $2.64 MILLION IN 2015 AND $2.6 MILLION IN 2014 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 $2.64 MILLION AND $3.74 MILLION IN BAD DEBTS FOR 2015 AND 2014, 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 $17.5 MILLION AND $15.7 MILLION IN 2015 AND 2014, 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 ORDER FOR PATIENTS TO MEET THE GUIDELINES FOR THE MEDICAID PROGRAM, VARIOUS INCOME-BASED CRITERIA MUST BE MET THAT VALIDATE PATIENTS' INABILITY TO PAY FOR SERVICES AND INELIGIBILITY UNDER OTHER PROGRAMS. THE ESTIMATED LOSS INCURRED BY GUTHRIE FROM PROVIDING SERVICES TO MEDICAID PATIENTS AMOUNTED TO $24.8 MILLION AND $22.0 MILLION IN 2015 AND 2014, RESPECTIVELY. THE TOTAL COST TO GUTHRIE IN SUPPORTING THESE CHARITABLE MISSION PROGRAMS WAS APPROXIMATELY $47.6 MILLION AND $44.0 MILLION IN 2015 AND 2014, RESPECTIVELY. AS DISCUSSED, RPH AND THE GMG WORK CLOSELY TOGETHER IN FULFILLING GUTHRIE'S CHARITABLE MISSION. A REGIONAL LEVEL II TRAUMA CENTER, RPH IS A TERTIARY CARE TEACHING HOSPITAL, LOCATED IN SAYRE, PENNSYLVANIA, SERVING THE SOUTHERN TIER OF NEW YORK AND THE NORTHERN TIER OF PENNSYLVANIA. IT ALSO PROVIDES RESIDENCY PROGRAMS IN FAMILY PRACTICE, INTERNAL MEDICINE, AND GENERAL SURGERY AS WELL AS A FELLOWSHIP PROGRAM IN VASCULAR SURGERY AND CARDIOVASCULAR DISESASE. MEDICAL STUDENT TRAINING IS PROVIDED FOR STUDENTS FROM AFFILIATED MEDICAL SCHOOLS. ALLIED HEALTH EDUCATION IS ALSO PROVIDED FOR RESPIRATORY THERAPY, NURSING, LABORATORY SCIENCE, AND RADIOLOGIC TECHNOLOGY FOR STUDENTS FROM PENNSYLVANIA AND NEW YORK COLLEGES AND UNIVERSITIES. CENTERS OF EXCELLENCE WITHIN RPH INCLUDE THE FOLLOWING: ADVANCED & MINIMALLY INVASIVE SURGERY; BEHAVIORAL HEALTH SERVICES; BREAST AND IMAGING CENTER; COMPREHENSIVE CANCER CENTER; CARDIOVASCULAR CARE CENTER; THE CENTER FOR WOUND CARE AND HYPERBARIC MEDICINE; DIALYSIS CENTERS; JOINT CAMP PROGRAM FOR ORTHOPEDIC SURGERY; SPORTS MEDICINE; KIDNEY STONE TREATMENT CENTER; FIRST IMPRESSIONS BIRTHING CENTER; SLEEP DISORDERS TESTING; AND SPECIALTY EYE CARE. RPH STRIVES TO ENHANCE THE QUALITY OF LIFE IN THE COMMUNITIES IT SERVES BY PROVIDING SUPERIOR HEALTH CARE SERVICES AND BY LEADING CONTINUOUS IMPROVEMENT OF COMMUNITY HEALTH. IT ACHIEVES THIS MISSION BY ORGANIZING SERVICES AND DIRECTING RESOURCES TOWARD MEETING COMMUNITY HEALTH NEEDS THROUGH COLLABORATION WITH COMMUNITY AGENCIES AND BY COMPASSIONATE, EFFECTIVE, AND AFFORDABLE MEANS. RPH WORKS CLOSELY WITH THE GMG TO ENSURE THAT THE SKILLS AND KNOWLEDGE OF THE MEDICAL STAFF PRODUCE THE MAXIMUM COMMUNITY HEALTH BENEFIT. AS A MEMBER OF GUTHRIE, RPH INTEGRATES ITS PROGRAMS AND ACTIVITIES WITH THOSE OF THE LONG-TERM CARE AND EDUCATION AND RESEARCH DIVISIONS, SO THAT CONTINUITY AND SYNERGY RESULT. AS PART OF TGC, THE VISION OF RPH IS TO PLAY A LEADERSHIP ROLE IN THE DEVELOPMENT AND PROVISION OF TERTIARY-LEVEL ACUTE CARE SERVICES. EVIDENCE THAT RPH IS SUCCESSFULLY FULFILLING THIS ROLE CAN BE SEEN IN ITS CONTINUED ACCOMPLISHMENTS. HIGHLIGHTS OF THOSE ACHIEVEMENTS INCLUDE CONTINUED ACCREDITATION BY THE PENNSYLVANIA TRAUMA SYSTEMS FOUNDATION BOARD AS A LEVEL II TRAUMA CENTER AND RECEIPT OF FULL CHEST PAIN CENTER ACCREDITATION WITH PCI (PERCUTANEOUS CORONARY INTERVENTION) FROM THE SOCIETY OF CARDIOVASCULAR PATIENT CARE. GUTHRIE WEIGHT LOSS CENTER HAS BEEN ACCREDITED AS A LEVEL 1 FACILITY UNDER THE BARIATRIC SURGERY CENTER NETWORK (BSCN) ACCREDITATION PROGRAM OF THE AMERICAN COLLEGE OF SURGEONS (ACS). AS PART OF A FULLY-INTEGRATED HEALTH DELIVERY SYSTEM THAT ORGANIZES ITS SERVICES ON A REGIONAL BASIS AND IS ACCOUNTABLE FOR IMPROVING THE HEALTH OF THE POPULATION IT SERVES, RPH ACCEPTS RESPONSIBILITY FOR MEETING THE HEALTH CARE NEEDS OF THE COMMUNITY AND IS ABLE TO DOCUMENT THE COST EFFECTIVENESS AND QUALITY OF SERVICES PROVIDED. CORNING HOSPITAL BREAST CARE CENTER WAS AWARDED A FULL THREE-YEAR ACCREDITATION IN STEREOTACTIC BREAST BIOPSY BY THE AMERICAN COLLEGE OF RADIOLOGY (ACR) AND RECEIVED THE AMERICAN HEART ASSOCIATION/AMERICAN STOKE ASSOCIATION'S GET WITH THE GUIDELINES STROKE GOLD PLUS ACHIEVEMENT AWARD. THE GMG IS A MULTI-SPECIALTY PHYSICIAN GROUP PRACTICE THAT INCLUDES NEARLY 350 SPECIALIST AND PRIMARY CARE PHYSICIANS AND MID-LEVEL PROVIDERS, HEADQUARTERED IN A FACILITY ADJACENT TO RPH. PHYSICIANS WITHIN THE GMG PROVIDE COMPREHENSIVE MEDICAL CARE USING ADVANCED TECHNOLOGIES AND METHODOLOGIES FOR BOTH DIAGNOSIS AND TREATMENT. FURTHER, THE GMG PROVIDES A BROAD RANGE OF EDUCATIONAL OPPORTUNITIES FOR PHYSICIANS AND OTHER HEALTH CARE PROVIDERS. IT ALSO WORKS CLOSELY WITH THE RESEARCH INSTITUTE, WHERE RESEARCH CONTRIBUTES TO RECRUITING AND RETAINING PHYSICIAN SPECIALISTS TO SERVE THE REGION AND SUSTAINING PROFICIENT MEDICAL PRACTICES. THE 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 23 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, * PROVI 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. --------------- 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. --------------- FORM 990, PART VI, SECTION B, LINE 11 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. --------------- FORM 990, PART VI, SECTION B, LINE 12C 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 TGH BOARD/COMMITTEE AND TGH 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. --------------- FORM 990, PART VI, SECTION B, LINE 15 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. --------------- FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS THE ORGANIZATION'S FORM 1023, 990, AND 990-T ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. THE ORGANIZATION DOES NOT ROUTINELY MAKE ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. --------------- FORM 990, PART XI, LINE 9 DETAIL OF OTHER CHANGES IN NET ASSETS OR FUND BALANCES EQUITY TRANSFER TO/FROM AFFILIATES $(26,970,163) PENSION ADJUSTMENT (352,139) INTEREST/DIVIDEND ON RESTRICTED INVESTMENT 258,738 EARNINGS DISTRIBUTION (404,655) NET REALIZED GAINS AND LOSSES ON RESTRICTED INVESTMENT 1,195,235 ------------ TOTAL $(26,272,984) --------------- FORM 990, PART XII, LINE 2B DETAIL OF CONSOLIDATED FINANCIAL STATEMENTS THE ORGANIZATION'S FINANCIAL STATEMENTS WERE AUDITED ON A CONSOLIDATED BASIS WITH THE GUTHRIE CLINIC'S AFFILIATES. --------------- FORM 990, PART X BALANCE SHEET CERTAIN PRIOR YEAR BALANCES HAVE BEEN RESTATED TO CONFORM TO THE CURRENT YEAR PRESENTATION. --------------- GUTHRIE MEDICAL GROUP PC GUTHRIE SQUARE SAYRE PA 18840 250815795 HEALTHCARE PA 501(c)(3) 3 TGC true ROBERT PACKER HOSPITAL ONE GUTHRIE SQUARE SAYRE PA 18840 240795463 HEALTHCARE PA 501(c)(3) 3 TGC true DONALD GUTHRIE FOUNDATION 200 SOUTH WILBUR AVENUE SAYRE PA 18840 246022957 MED RESEARCH PA 501(c)(3) 4 TGC true ROBERT PACKER SCHOOL OF NURSING 200 SOUTH WILBUR AVENUE SAYRE PA 18840 236408773 EDUCATION PA 501(c)(3) 2 TGC true TROY COMMUNITY HOSPITAL INC 275 GUTHRIE DRIVE TROY PA 16947 240800337 HEALTHCARE PA 501(c)(3) 3 TGC true SAYRE HOUSE INC ONE GUTHRIE SQUARE SAYRE PA 18840 231643404 NURSING FAC. PA 501(c)(3) 9 TGC true GUTHRIE HOME CARE 421 TOMAHAWK RD TOWANDA PA 18848 232394345 HOME HEALTH PA 501(c)(3) 9 TGC true GUTHRIE SAME DAY SURGERY CENTER INC ONE GUTHRIE SQUARE SAYRE PA 18840 020551081 AMBULATORY NY 501(c)(3) 9 TGC true GUTHRIE RISK RETENTION GROUP 151 MEETING STREET CHARLESTON SC 29401 201090801 SUPPORTING SC 501(c)(3) 11A,I TGC true TIOGA NURSING FACILITY ONE GUTHRIE SQUARE SAYRE PA 18840 222979677 NURSING FAC. NY 501(c)(3) 3 TGC true DARWAY NURSING HOME INC ONE GUTHRIE SQUARE SAYRE PA 18840 231733967 NURSING FAC. PA 501(c)(3) 9 TGC true CORNING HOSPITAL 176 DENISON PARKWAY E CORNING NY 14830 160393490 HEALTHCARE NY 501(c)(3) 3 TGC true SAYRE HOUSE OF HOPE ONE GUTHRIE SQUARE SAYRE PA 18840 203979472 HEALTHCARE PA 501(c)(3) 7 TGC true TIOGA HEALTHCARE FACILITY ONE GUTHRIE SQUARE SAYRE PA 18840 150532257 HOUSING NY 501(C)(3) 3 TGC true GUTHRIE TOWANDA MEMORIAL HOSPITAL 91 HOSPITAL DRIVE TOWANDA PA 18848 240786657 HEALTHCARE PA 501(C)(3) 3 TGC true THE MEMORIAL HOSPITAL FOUNDATION 91 HOSPITAL DRIVE TOWANDA PA 18848 651160811 SUPPORTING PA 501(C)(3) 11A,I GTMH false TWIN TIER MANAGEMENT CORP INC PO BOX 310 SAYRE PA 18840 232209439 MANAGEMENT PA TGC C CORP -195477 5735688 1.00000 true true true false true false false false false false true true true false false true false false false false CORNING HOSPITAL A 1866319 PER AGREEMENT GUTHRIE MEDICAL GROUP PC A 7560685 PER AGREEMENT GUTHRIE MEDICAL GROUP PC B 26292772 PER AGREEMENT ROBERT PACKER HOSPITAL B 645525 PER AGREEMENT ROBERT PACKER HOSPITAL L 19730865 ACTUAL COST TWIN TIER MANAGEMENT CORP INC L 460709 ACTUAL COST DONALD GUTHRIE FOUNDATION L 150528 ACTUAL COST TROY COMMUNITY HOSPITAL L 1524104 ACTUAL COST GUTHRIE HOME CARE L 451662 ACTUAL COST CORNING HOSPITAL L 6967706 ACTUAL COST GUTHRIE MEDICAL GROUP PC L 9692848 ACTUAL COST ROBERT PACKER HOSPITAL K 699586 PER AGREEMENT ROBERT PACKER SCHOOL OF NURSING K 171721 PER AGREEMENT DONALD GUTHRIE FOUNDATION K 759605 PER AGREEMENT ROBERT PACKER HOSPITAL O 207909 PER AGREEMENT GUTHRIE MEDICAL GROUP PC O 3905869 ACTUAL COST TOWANDA MEMORIAL HOSPITAL B 31866 PER AGREEMENT ROBERT PACKER HOSPITAL A 327768 PER AGREEMENT ROBERT PACKER HOSPITAL M 111575 PER AGREEMENT GUTHRIE MEDICAL GROUP PC M 60891 PER AGREEMENT