2015-01-15T14:07:42-06:00 2014-02-01 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1700 PHILADELPHIA PA 19103 990 2013-07-01 232200910 GUTHRIE HEALTHCARE SYSTEM % MICHELE Y SISTO GUTH 5708874625 ONE GUTHRIE SQUARE Suite SAYRE PA 18840 MARIE DROEGE EXECUTIVE VICE PRESIDENT 5708874625 2015-01-15 true MATTHEW D PETROSKI P00853132 5708874625 2013 2016-02-25 16:41:14Z X JOSEPH SCOPELLITI MD GUTHRIE SQUARE SAYRE PA 18840 213304926 false X WWW.GUTHRIE.ORG X 1982 PA ACQUIRE, HOLD, MANAGE INVESTMENTS AND CONTROL OWNERSHIP INTERESTS IN OTHER RELATED NOT-FOR-PROFIT CORPORATIONS AND IN CORPORATIONS FOR PROFIT. X 16 11 315 11 3733 550120 393081 44326681 27606077 10501701 3357585 -299353 -183511 55079149 31173232 0 0 0 0 23147108 13787568 0 0 253664 17332424 9010385 40479532 22797953 14599617 8375279 303818136 0 68944223 0 234873913 0 X THE ORGANIZATION'S PRIMARY EXEMPT PURPOSE IS TO ACQUIRE, HOLD AND MANAGE INVESTMENTS, CONTROL MEMBERSHIP AND OWNERSHIP INTERESTS IN OTHER RELATED NOT-FOR-PROFIT CORPORATIONS AND IN CORPORATIONS FOR PROFIT. THE ORGANIZATION'S MISSION, VISION, AND VALUES STATEMENT IS AS FOLLOWS: MISSION: GUTHRIE HEALTHCARE SYSTEM WILL IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE AND COMMUNITIES WE SERVE. VISION: GUTHRIE HEALTHCARE SYSTEM AND GUTHRIE MEDICAL GROUP P.C., IN COLLABORATION WITH OUR PHYSICIANS AND OTHER PROVIDERS, WILL SHAPE THE DELIVERY OF HEALTH CARE IN THE REGION, WITH SERVICES DISTRIBUTED THROUGHOUT THE REGION BASED ON COMMUNITY NEEDS. WE SEEK TO BE THE PROVIDER OF CHOICE FOR PATIENTS IN THE TWIN TIER REGION, RECOGNIZED FOR OUR SUPERIOR QUALITY AND SERVICE. TOGETHER WE WILL ADVANCE THE PRACTICE OF MEDICINE THROUGH OUR COMMITMENT TO TEACHING AND RESEARCH. VALUES: SERVICE TO PATIENTS, FAMILIES, AND ONE ANOTHER DIGNITY, RESPECT, AND HONESTY CONTINUOUS IMPROVEMENT AND INNOVATION RESPONSIBL false true 20258299 27606077 THE GUTHRIE CLINIC IS A NONPROFIT HEALTH CARE ORGANIZATION THAT SERVES TO COORDINATE THE ACTIVITY OF GUTHRIE MEDICAL GROUP, P.C. (GMG) AND THE AFFILIATES WITHIN GUTHRIE HEALTHCARE SYSTEM (GHS; SEE FORM 990, SCHEDULE R, FOR A LISTING OF AFFILIATES OF GHS, INCLUDING ROBERT PACKER HOSPITAL (RPH)). THROUGH THE ACTIVITIES OF THE GMG, GHS, 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, HOSPICE CARE AND A LONG-TERM CARE FACILITY. THE GUTHRIE RESEARCH INSTITUTE AND GUTHRIE CLINICAL RESEARCH FUNCTIONS OF THE DONALD GUTHRIE FOUNDATION (RESEARCH INSTITUTE), A SUBSIDIARY OF GHS, FURTHERS THESE CHARITABLE ACTIVITIES THROUGH PROVIDING BASIC SCIENCE RESEARCH AND 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 $2.6 MILLION IN 2014 AND $3.2 MILLION IN 2013 WHEN MEASURED AT THE APPROPRIATE ENTITY'S ESTABLISHED RATES. AS PART OF ITS CHARITABLE MISSION, GUTHRIE PROVIDES CARE THROUGH ITS HOSPITAL EMERGENCY DEPARTMENTS. IT ENSURES THAT AN EMERGENCY-BASED TREATMENT OR HOSPITAL ADMISSION IS NOT DELAYED OR DENIED PENDING DETERMINATION OF COVERAGE OR A REQUIREMENT FOR PREPAYMENT OR DEPOSIT. AS A RESULT OF THIS POLICY, GUTHRIE EXPERIENCED APPROXIMATELY $3.74 MILLION AND $3.71 MILLION IN BAD DEBTS FOR 2014 AND 2013, RESPECTIVELY. IN ADDITION TO THE CHARITY CARE PROGRAM AND THE EMERGENCY DEPARTMENT BAD DEBTS DISCUSSED ABOVE, GUTHRIE SUPPORTS NUMEROUS OTHER CHARITABLE COMMUNITY ACTIVITIES. EXAMPLES OF THESE ACTIVITIES INCLUDE MEDICAL EDUCATION FOR PHYSICIANS AND NURSES, THE TRAUMA PROGRAM AND MEDICAL RESEARCH. THE ESTIMATED COST, NET OF REIMBURSEMENT, FOR THESE PROGRAMS WAS $16.1 MILLION AND $16.4 MILLION IN 2014 AND 2013, 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 $22.0 MILLION AND $19.9 MILLION IN 2014 AND 2013, RESPECTIVELY. THE TOTAL COST TO GUTHRIE IN SUPPORTING THESE CHARITABLE MISSION PROGRAMS WAS APPROXIMATELY $44.0 MILLION AND $42.9 MILLION IN 2014 AND 2013, 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. 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 THE GUTHRIE HEALTHCARE SYSTEM, RPH INTEGRATES ITS PROGRAMS AND ACTIVITIES WITH THOSE OF THE LONG-TERM CARE AND EDUCATION AND RESEARCH DIVISIONS, SO THAT CONTINUITY AND SYNERGY RESULT. AS PART OF GHS, THE VISION OF RPH IS TO PLAY A LEADERSHIP ROLE IN THE DEVELOPMENT AND PROVISION OF TERTIARY-LEVEL ACUTE CARE SERVICES. EVIDENCE THAT RPH IS SUCCESSFULLY FULFILLING THIS ROLE CAN BE SEEN IN ITS 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 BARIARTIC SURGERY CENTER NETWORK (BSCN) ACCREDIATION PROGRAM OF THE AMERICAN COLLEGE OF SURGEONS (ACS). RPH IS A MAGNET DESIGNATED HOSPITAL. 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 ACCREDIATION IN STEREOTACTIC BREAST BIOPSY BY THE AMERICAN COLLEGE OF RADIOLOGY (ACR) AND RECEIVED THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATIONS'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 GMG AND GHS HAVE 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 20258299 true true false false false false false false false false false false false false true false true false false false false false false false false false false false true false false false false false false true false false false true false false true true true true false true 227 0 true 315 true true true false false false false false false false false false X 16 11 false false true false false true true true true false false true true true true true true true true false PA X MICHELE Y SISTO 5708874625 GUTHRIE HEALTHCARE SYSTEM SAYRE PA 18840 William H Ransom III Chairman - BOD 1.0 0.0 X David LR Gibbs Board Member 1.0 0.0 X Edward L Jones MD Board Member 1.0 39.0 X 0 329059 41496 Kenneth R Levitzky ESQ VICE CHAIR-BOD 1.0 0.0 X Joseph R Joyce Board Member 1.0 0.0 X Susan P Storch Secretary/Treasurer-BOD 1.0 0.0 X Joseph A Scopelliti MD Board Member 1.0 39.0 X 0 722533 41496 David E Iocco Board Member 1.0 0.0 X Andrew S Ripic III Board Member 1.0 0.0 X Richard T Rynone Board Member 1.0 0.0 X Marie Droege PRESIDENT & COO 1.0 39.0 X X 0 468465 16328 Jay Chadwick Board Member 1.0 0.0 X PHILLIP J ROCHE ESQ BOARD MEMBER 1.0 0.0 X JUDITH A ROWE BOARD MEMBER 1.0 0.0 X FRANCIS G BELARDI MD BOARD MEMBER 1.0 39.0 X 0 417208 41496 Francis Pinkosky Exec Vice President CHRO 0.0 40.0 X 0 248143 45987 Dale Swingle Vice President - IS 40.0 0.0 X 220545 0 32945 Michele Sisto Vice President - Controller 40.0 0.0 X 200099 0 31104 RICHARD BENNETT EXEC VP AND CFO 0.0 40.0 X 0 483171 25580 DONALD SKERPON ADMINISTRATIVE CHIEF OF STAFF 40.0 0.0 X 157080 0 7854 Minhphuong Dang Vice President - Finance 40.0 0.0 X 256950 0 36224 Lucia Saggiomo VP - Internal Audit/Compl 40.0 0.0 X 142225 0 19906 Staci Covey SVP-Pres TCH/Post Acute 40.0 0.0 X 131579 0 20686 ANITA KINGSBAUER VICE PRES-PLANNING & CONSTRUCT 40.0 0.0 X 187728 0 8896 VICKIE KAMATARIS DIRECTOR-OPER EXCELLENCE 40.0 0.0 X 137279 10714 Mark Stensager Former President & CEO 0.0 0.0 X 366600 0 4972 1800085 2668579 385684 26 true true false LAYTON CONSTRUCTION COMPANY INC 9090 SOUTH SANDY PARKWAY SANDY UT 84070 CONTRACTOR 2530132 STEVENS LEE PO BOX 679 READING PA 19603 LEGAL SERVICES 779177 PRICEWATERHOUSECOOPERS LLP PO BOX 3026 BOSTON MA 02241 ACCOUNTING SERVICES 328449 3 393081 393081 MANAGEMENT & CONSULTING 541610 27606077 27606077 27606077 1937644 1937644 0 0 0 0 0 183527740 23895 182104341 27353 1423399 -3458 1419941 1419941 0 0 0 BOOKKEEPING SVCS 541200 3733 3733 CHANGE IN DERIVATIVE INSTRUMENT 622110 -214642 -214642 ALL OTHER REVENUE 622110 27398 27398 -183511 31173232 27606077 3733 3170341 0 0 0 0 2320695 2085377 235318 0 8917851 7907103 892255 118493 459956 408965 46149 4842 1430079 1270253 143338 16488 658987 583512 65845 9630 0 745858 670228 75630 360323 323786 36537 0 0 0 652382 579748 65420 7214 570491 512643 57848 454159 400127 45151 8881 1153091 1032221 116478 4392 0 977844 866911 97824 13109 116529 103845 11718 966 0 82728 73333 8275 1120 758830 681885 76945 0 3080472 2765514 312067 2891 -62040 -55749 -6291 CAFETERIA/CATERING 76455 67362 7601 1492 MEDICAL SUPPLY EXPENSE -395656 -355540 -40120 4 ALL OTHER EXPENSES 438919 336775 38002 64142 22797953 20258299 2285990 253664 X 0 0 938199 0 0 0 0 0 0 0 0 0 59238916 0 0 0 1870936 0 37868744 198742699 0 0 0 0 0 0 0 5158642 0 303818136 0 18456324 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50487899 0 68944223 0 X 207895229 0 26922635 0 56049 0 234873913 0 303818136 0 X 8375279 4611807 -323134 -247537865 X X false true X true false X X X false false false ROBERT PACKER HOSPITAL 240795463 03 true true true 0 ROBERT PACKER SCHOOL OF NURSING 236408773 02 true true true 0 TIOGA HEALTHCARE FACILITY 150532257 03 true true true 0 TIOGA NURSING FACILITY 222979677 03 true true true 0 GUTHRIE HOME CARE 232394345 04 true true true 0 TROY COMMUNITY HOSPITAL 240800337 03 true true true 0 DARWAY NURSING HOME 231733967 04 true true true 0 SAYRE HOUSE INC 231643404 04 true true true 0 DONALD GUTHRIE FOUNDATION 246022957 04 true true true 0 CORNING HOSPITAL 160393490 03 true true true 0 SAYRE HOUSE OF HOPE 203979472 03 true true true 0 GUTHRIE SAME DAY SURGERY CENTER INC 020551081 04 true true true 0 12 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false 0 0 X SCH D PART X LINE 2 THE CORPORATION HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATION AND HAS CONCLUDED THAT AS OF JUNE 30, 2014 THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. X true true X X X X true false false false false false false false false Mark Stensager Former President & CEO 0 0 0 0 366600 0 0 0 0 0 366600 0 0 0 Edward L Jones MD Board Member 0 311604 0 15550 0 1905 0 0 0 0 0 329059 0 0 Joseph A Scopelliti MD Board Member 0 614368 0 105373 0 2792 0 0 0 0 0 722533 0 0 Francis Pinkosky Exec Vice President CHRO 0 225315 0 22319 0 509 0 0 0 0 0 248143 0 0 Dale Swingle Vice President - IS 177691 0 42610 0 244 0 0 0 0 0 220545 0 0 0 Minhphuong Dang Vice President - Finance 209423 0 47377 0 150 0 0 0 0 0 256950 0 0 0 Michele Sisto Vice President - Controller 161333 0 38766 0 0 0 0 0 0 0 200099 0 0 0 Lucia Saggiomo VP - Internal Audit/Compl 129723 0 12231 0 271 0 0 0 0 0 142225 0 0 0 Marie Droege PRESIDENT & COO 0 435602 0 32863 0 0 0 0 0 0 0 468465 0 0 Staci Covey SVP-Pres TCH/Post Acute 124177 0 4397 0 3005 0 0 0 0 0 131579 0 0 0 FRANCIS G BELARDI MD BOARD MEMBER 0 363827 0 52607 0 774 0 0 0 0 0 417208 0 0 RICHARD BENNETT EXEC VP AND CFO 0 427269 0 55902 0 0 0 0 0 0 0 483171 0 0 DONALD SKERPON ADMINISTRATIVE CHIEF OF STAFF 143799 0 13281 0 0 0 0 0 0 0 157080 0 0 0 ANITA KINGSBAUER VICE PRES-PLANNING & CONSTRUCT 173696 0 13584 0 448 0 0 0 0 0 187728 0 0 0 PART 1 LINE 1A GROSS-UP PAYMENTS ARE PERIODICALLY PROVIDED TO EMPLOYEES. ALL PAYMENTS ARE MADE PURSUANT TO WRITTEN ORGANIZATIONAL POLICIES. PART 1 LINE 3 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. PART I LINE 4A SEVERANCE PAYMENTS: MARK STENSAGER $366,600 LISTED PERSON PARTICIPATED IN ARRANGEMENTS ENTITLING HIM TO SEVERANCE BENEFITS IN THE EVENT OF SEPARATION FROM SERVICE. SHELLI RIPIC SPOUSE OF BOARD MEMBER 148005 EMPLOYMENT false DAVID SCOPELLITI Related to BOARD MEMBER 259841 Employment false BARBARA NATOLI RELATED TO KEY EMPLOYEE 55358 EMPLOYMENT false GARRETT SWINGLE RELATED TO KEY EMPLOYEE 11470 EMPLOYMENT false CASH 2014-02-01 1329376 COST 233055017 THE GUTHRIE CLINIC ONE GUTHRIE SQUARE SAYRE PA 18840 501 (C)(3) NOTES RECEIVABLE 2014-02-01 64724792 COST 233055017 THE GUTHRIE CLINIC ONE GUTHRIE SQUARE SAYRE PA 18840 501 (C)(3) PREPAID AND OTHER ASSETS 2014-02-01 1916055 COST 233055017 THE GUTHRIE CLINIC ONE GUTHRIE SQUARE SAYRE PA 18840 501 (C)(3) INVESTMENTS-PUBLICALY TRADED SEC 2014-02-01 179257364 COST 233055017 THE GUTHRIE CLINIC ONE GUTHRIE SQUARE SAYRE PA 18840 501 (C)(3) OTHER ASSETS 2014-02-01 5603201 COST 233055017 THE GUTHRIE CLINIC ONE GUTHRIE SQUARE SAYRE PA 18840 501 (C)(3) LAND, BUILDINGS, AND EQUIP 2014-02-01 38898080 COST 233055017 THE GUTHRIE CLINIC ONE GUTHRIE SQUARE SAYRE PA 18840 501 (C)(3) false true false false true true true true false PART I LINE 2B THE KEY EMPLOYEES (DALE SWINGLE, MICHELE SISTO, AND DONALD SKERPON) BECAME EMPLOYEES OF THE SUCCESSOR ORGANIZATION. FORM 990 PART III LINE 3 IN NOVEMBER 2013, THE BOARD APPROVED A RESTRUCTURE PLAN TO MERGE GUTHRIE HEALTHCARE SYSTEM INTO GUTHRIE HEALTH, WITH GUTHRIE HEALTH, RENAMED THE GUTHRIE CLINIC, THE SURVIVOR. FORM 990 PART IV LINE 12B The organization's financial statements were audited on a consolidated basis with The Guthrie Clinic and Affiliates. FORM 990 PART VI LINE 4 IN NOVEMBER 2013, THE BOARD APPROVED A RESTRUCTURE PLAN TO MERGE GUTHRIE HEALTHCARE SYSTEM INTO GUTHRIE HEALTH, WITH GUTHRIE HEALTH, RENAMED THE GUTHRIE CLINIC, THE SURVIVOR. FORM 990 PART VI LINE 6 GUTHRIE HEALTHCARE SYSTEM IS A NONPROFIT, NONSTOCK CORPORATION WITH NO MEMBERS. FORM 990 PART VI LINE 7A GUTHRIE HEALTHCARE SYSTEM BOARD OF DIRECTORS ARE APPOINTED BY EXISTING MEMBERS OF THE BOARD. FORM 990 PART VI LINE 7B PURSUANT TO THE ALIGNMENT AGREEMENT, THE GUTHRIE CLINIC HAS APPROVAL RIGHTS OF CERTAIN GUTHRIE HEALTHCARE SYSTEM BOARD DECISIONS. FORM 990 PART VI LINE 11A & 11B The Form 990 OF THE ORGANIZATION is presented to the Board of Directors for review and is also reviewed by THE ORGANIZATION'S FINANCE PERSONNEL AND an independent accounting firm PRIOR TO FILING WITH THE IRS. FORM 990 PART VI LINE 12C The Conflict of Interest Disclosure Policy sets forth that all persons, including employees, agents and Board/Committee members, particularly those involved in decision-making for 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. FORM 990 PART VI LINE 15A & 15B 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 LINE 18 THE ORGANIZATION'S FORMS 1023, 990, AND 990-T ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. FORM 990 PART VI LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990 PART X Tax Exempt Bonds GUTHRIE HEALTHCARE SYSTEM has been allocated certain proceeds of tax-exempt bonds that were issued to The Guthrie Clinic (EIN: 23-3055017). As such, all of the tax-exempt bond reporting for The Guthrie Clinic and its Affiliates has been made on The Guthrie Clinic's Form 990. FORM 990 PART XI LINE 9 EQUITY TRANSFER TO/FROM AFFILIATES (21,475,679), EARNINGS DISTRIBUTION (282,752), INTEREST AND DIVIDEND INCOME ON INVESTMENTS 227,348, NET REALIZED GAIN/LOSS ON INVESTMENTS 711,607, TRANSFER TO THE GUTHRIE CLINIC (226,718,389). FORM 990 PART XII LINE 2B THE ORGANIZATION'S FINANCIAL STATEMENTS WERE AUDITED ON A CONSOLIDATED BASIS WITH THE GUTHRIE CLINIC AND AFFILIATES. SAYRE HOUSE OF HOPE ONE GUTHRIE SQUARE SAYRE PA 18840 203979472 HEALTH CARE PA 501 (C)(3) 7 TGC true ROBERT PACKER HOSPITAL ONE GUTHRIE SQUARE SAYRE PA 18840 240795463 HEALTH CARE PA 501 (C)(3) 3 TGC true DONALD GUTHRIE FDN 200 SOUTH WILBUR AVENUE SAYRE PA 18840 246022957 MED RESEARCH PA 501 (C)(3) 4 TGC true ROBERT PACKER HOSPITAL SCHOOL OF NURSING 200 SOUTH WILBUR AVENUE SAYRE PA 18840 236408773 EDUCATION PA 501 (C)(3) 2 TGC true TROY COMMUNITY HOSPITAL INC 100 JOHN STREET TROY PA 16947 240800337 HEALTH CARE PA 501 (C)(3) 3 TGC true TIOGA HEALTHCARE FACILITY ONE GUTHRIE SQUARE SAYRE PA 18840 150532257 HEALTH CARE NY 501 (C)(3) 3 TGC true SAYRE HOUSE INC 1001 NORTH ELMER AVENUE SAYRE PA 18840 231643404 NURSING FAC PA 501 (C)(3) 9 TGC true GUTHRIE HOME CARE RR1 BOX 154 TOWANDA PA 18848 232394345 HOME HEALTH PA 501 (C)(3) 9 TGC true GUTHRIE RISK RETENTION GROUP 151 MEETING STREET CHARLESTON SC 29401 201090801 SUPPORTING SC 501 (C)(3) 11B TYPE I TGC true TIOGA NURSING FACILITY ONE GUTHRIE SQUARE SAYRE PA 18840 222979677 NURSING FAC NY 501 (C)(3) 3 TGC true GUTHRIE MEDICAL GROUP PC ONE GUTHRIE SQUARE SAYRE PA 18840 250815795 HEALTH CARE PA 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 HEALTH CARE NY 501 (C)(3) 3 TGC true THE GUTHRIE CLINIC ONE GUTHRIE SQUARE SAYRE PA 18840 233055017 SUPPORTING PA 501 (C)(3) 11C TYPEIII NA false GUTHRIE SAME DAY SURGERY CTR INC ONE GUTHRIE SQUART SAYRE PA 18840 020551081 AMBULATORY CA PA 501 (C)(3) 9 TGC true TWIN TIER MANAGEMENT CORP INC PO BOX 310 SAYRE PA 18840 232209439 MANAGEMENT PA NA C-CORP 0 0 0.00000 true true true false true false false false false true true true true false true false false false false DONALD GUTHRIE FDN FOR EDUCATION & RESEARCH B 5000000 PER AGREEMENT TWIN TIER MANAGEMENT CORP INC A 1910 PER AGREEMENT GUTHRIE SAME DAY SURGERY CENTER INC A 117590 PER AGREEMENT CORNING HOSPITAL A 28077 PER AGREEMENT DONALD GUTHRIE GDN FOR EDUCATION & RESEARCH L 312194 ACTUAL COST TROY COMMUNITY HOSPITAL L 990431 ACTUAL COST DONALD GUTHRIE FDN FOR EDUCATION & RESEARCH L 86669 ACTUAL COST DONALD GUTHRIE FDN FOR EDUCATION & RESEARCH K 280815 PER AGREEMENT ROBERT PACKER HOSPITAL O 116330 PER AGREEMENT GUTHRIE MEDICAL GROUP PC O 2389774 ACTUAL COST GUTHRIE MEDICAL GROUP PC L 7413935 CONTRACTUAL AGR CORNING HOSPITAL L 3310293 ACTUAL COST ROBERT PACKER HOSPITAL K 304314 PER AGREEMENT GUTHRIE MEDICAL GROUP PC A 4099410 PER AGREEMENT ROBERT PACKER HOSPITAL L 10917779 ACTUAL COST GUTHRIE MEDICAL GROUP PC B 2000000 PER AGREEMENT GUTHRIE HOME CARE L 188785 PER AGREEMENT ROBERT PACKER SCHOOL OF NURSING K 206366 PER AGREEMENT ROBERT PACKER HOSPITAL M 57570 PER AGREEMENT GUTHRIE SAME DAY SURGERY CENTER INC B 2475679 PER AGREEMENT