2015-05-12T14:53:32-05:00 2014-06-30 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1700 PHILADELPHIA PA 19103 990 2013-07-01 233055017 The Guthrie Clinic % MICHELE Y SISTO GUTH 5708874625 GUTHRIE SQUARE Suite SAYRE PA 18840 JOSEPH SCOPELLITI PRESIDENT/CEO 5708874625 2015-05-08 true MATTHEW D PETROSKI P00853132 5708874625 2013 2016-03-07 17:11:31Z JOSEPH SCOPELLITI MD GUTHRIE SQUARE SAYRE PA 18840 112333002 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. 14 8 0 9 447 0 0 21527 60262 17976044 208334 2463731 2777995 1764212 3046591 22225514 0 0 0 0 0 10233705 0 0 177682 17774 7590353 17774 17824058 3028817 4401456 213719101 486941607 207916055 256657339 5803046 230284268 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. AND ROBERT PACKER HOSPITAL (RPH). THROUGH THE ACTIVITIES OF GMG, RPH AND ITS OTHER AFFILIATES (COLLECTIVELY REFERRED TO A S"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, false false 16547006 17976044 ATTACHMENT 1 16547006 true false false false false false false false false true false false false true true false true false false false false false false false 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 0 0 true 0 false false false false false false false false false false X 14 8 false false true false false false false true true false false true true true true true true true true false PA X MICHELE Y 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 931425 46080 William H Ransom III Secretary - BOD 1.0 0.0 X X Edward L Jones MD Treasurer - BOD 1.0 39.0 X X 0 329059 41496 Joseph A Scopelliti MD CEO 1.0 39.0 X X 0 722533 41496 Kyra H Bannister MD Member - BOD 1.0 39.0 X 0 333169 42145 PHILIP J ROCHE ESQUIRE Member - BOD 1.0 0.0 X JOSEPH R JOYCE JR Member - BOD 1.0 0.0 X H EUGENE LINDSEY MD Member - BOD 1.0 0.0 X Kenneth R Levitzky Esquire Member - BOD 1.0 3.0 X DONALD HARTMAN Member - BOD 1.0 0.0 X David Pfisterer MD Member - BOD 1.0 39.0 X 0 412189 46080 Douglas Trostle MD Member - BOD 1.0 39.0 X 0 589274 46080 ETHAN ARNOLD MEMBER - BOD 1.0 0.0 X Richard Bennett CFO 1.0 39.0 X 0 483171 25580 0 3800820 288957 0 false true false G WEBSTER INCORPORATED 460 GATEWAY INDUSTRIAL PARK ROAD ATHENS PA 18840 CONTRACTOR SERVICES 797969 STEVENS LEE PO BOX 679 READING PA 19603 LEGAL SERVICES 359567 LAYTON CONSTRUCTION COMPANY INC 9090 SOUTH SANDY PARKWAY SANDY UT 84070 CONTRACTOR SERVICES 309443 PRICEWATERHOUSECOOPERS LLP PO BOX 3026 BOSTON MA 02241 ACCOUNTING SERVICES 277130 TRANSFORMEDLLC 11400 TOMAHAWK CREEK PARKWAY SUITE LEAWOOD KS 66211 CONSULTANT SERVICES 134495 5 21527 21527 OPERATING REVENUE AND SUPPORT 541610 17976044 17976044 17976044 1600352 1600352 0 0 0 0 0 90584132 386735 89695286 412202 888846 -25467 863379 863379 0 0 0 GAIN IN DERIVATIVE INSTRUMENT 622110 1750738 1750738 BOOKKEEPING SERVICES 541200 447 447 ALL OTHER REVENUE 622110 13027 13027 1764212 22225514 17976044 447 4227496 0 0 0 0 0 0 8337886 7724538 513212 100136 384585 356294 23672 4619 1042703 965981 64179 12543 468531 432698 28748 7084 0 247283 231877 15406 214634 201262 13372 0 0 0 1058396 986602 65549 6245 915337 858312 57026 406136 365273 24268 16594 768047 717197 47650 3200 0 722819 669007 44448 9364 112229 99004 6578 6647 0 80170 75176 4995 616310 577914 38396 0 2228667 2087528 138694 2445 198310 185956 12354 MEDICAL SUPPLY EXPENSE -348264 -326573 -21697 6 CAFETERIA/CATERING 82567 77070 5120 377 OTHER 287712 261890 17400 8422 17824058 16547006 1099370 177682 232 144893 0 0 0 0 0 0 0 0 0 0 0 247257799 0 0 767508 2470614 102656139 61457333 0 41198806 0 191349570 5527808 0 0 0 0 0 207423553 4519925 213719101 486941607 515940 16487504 0 0 0 0 206470510 230313899 0 0 0 0 0 0 0 0 929605 9855936 207916055 256657339 X 5803046 200176846 0 30051373 0 56049 5803046 230284268 213719101 486941607 X 4401456 6319927 -253198 214013037 X false true X true false X 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 INC 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 GUTHRIE SAME DAY SURGERY CENTER INC 020551081 04 true true true 0 GUTHRIE MEDICAL GROUP PC 250815795 03 true true true 0 SAYRE HOUSE OF HOPE 203979472 03 true true true 0 13 1589926 1589926 34834780 10323260 24511520 7539369 4620614 2918755 55166584 46513459 8653125 3525480 0 3525480 41198806 0 SWAP CONTRACT PAYABLE 2007 1872824 DEFERRED REVENUE FINANCING COS 707535 DEFERRED LIABILITY CAP INTERES 1252671 SWAP CONTRACT PAYABLE 2007 PASS THROUGH 2529681 ACCD EXP WORKERS COMP LT 1512990 ACCD EXP PROF LIABILITY LT 984468 OTHER LIABILITIES 484553 UNFUNDED ACC PENSION BENEFIT 511214 9855936 X SCHEDULE 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. false false false false false false false false false Terence M Devine MD Vice Chairman - BOD 0 904409 0 0 0 27016 0 33000 0 13080 0 977505 0 0 Edward L Jones MD Treasurer - BOD 0 311604 0 15550 0 1905 0 33000 0 8496 0 370555 0 0 Joseph A Scopelliti MD CEO 0 614368 0 105373 0 2792 0 33000 0 8496 0 764029 0 0 Kyra H Bannister MD Member - BOD 0 315532 0 17637 0 0 0 33000 0 9145 0 375314 0 0 David Pfisterer MD Member - BOD 0 265289 0 25000 0 121900 0 33000 0 13080 0 458269 0 0 Douglas Trostle MD Member - BOD 0 527895 0 59660 0 1719 0 33000 0 13080 0 635354 0 0 Richard Bennett CFO 0 427269 0 55902 0 0 0 12500 0 13080 0 508751 0 0 PART I, LINE 3 EXECUTIVE COMPENSATION IS ESTABLISHED WITHIN A WRITTEN EMPLOYMENT AGREEMENT. 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 187445000 REFUND BONDS-2/14/02 & 3/27/02 false false false B CENTRAL BRADFORD PROGRESS AUTHORITY 232735865 152691AP6 2011-09-08 103722134 SEE PART VI false false false C Central Bradford Progress Authority 232735865 2012-10-18 50000000 See Part VI false false false A 109440000 0 222433593 0 9954 0 1727367 0 0 0 220696271 0 false true true true B 470000 0 103792613 0 12359206 0 1694525 0 0 78217248 11521578 56 true false false true C 0 0 20270510 0 0 0 341075 0 0 19929435 0 0 false false false true A 0 B false true true false false 0.00000 0.00000 0.00000 false false false true C false false false false false 0 false false false true A false false false true true true JP MORGAN CHASE 24.7 false false 0 false true B false true false false false false 0 0 false true C false true false false true false 0 0 false true A true B true C true PART I, ROW B, COLUMN F: CONSTRUCT FACILITY AND REFUND PRIOR ISSUES (2/14/2002 & 4/3/2007). PART I, ROW C, COLUMN F: CONSTRUCT FACILITIES PART II, LINE 3: COLUMN A & B: THE TOTAL PROCEEDS EXCEED THE ISSUE PRICE DUE TO INVESTMENT EARNINGS; NOTE FOR COLUMN A: THESE INVESTMENT EARNINGS MATCHED THE GUIDELINES OF THE VERIFICATION REPORT COMPLETED AT ISSUANCE. PART II, LINE 3, COLUMN C: THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE AS THIS DEBT WAS ISSUED ON A DRAW DOWN BASIS. PART II, LINE 11, COLUMNS A&B: THE OTHER SPENT PROCEEDS ARE THE PROCEEDS USED TO REFUND THE PRIOR ISSUES. PART IV, LINE 2C COLUMN A: 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. SCHEDULE O SUPPLEMENTAL INFORMATION DISCLOSURES Form 990 Part III Line 1 The Guthrie Clinic is a nonprofit Health Care organization that serves to coordinate the activities 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 healthcare services and programs to improve the health and well-being of the people and communities served by its facilities and providers. Prior to 2/1/14, The Guthrie Clinic was called Guthrie Health. 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. As a result of the merger, The Guthrie Clinic became a non-member corporation governed by a self-perpetuating board of directors. Form 990 Part VI Line 6 The Guthrie Clinic is a non-member corporation governed by a self-perpetuating board of directors. Form 990 Part VI Section A Line 7a The Guthrie Clinic Board of Directors are appointed by existing members of the Board. Form 990 Part VI Section B Line 11a & 11b 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 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 Section B Line 15a and 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 Section C Line 18 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 make its governing documents and conflict of interest policy available to the public. Form 990 Part XI Line 9 Equity Transfer to/from Affiliates (11,551,099), Pension Adjustment (2,252,207), Earnings Distribution 7,767, Interest/Dividend on Investments 72,424, Net Realized Gains and Losses on Investments 1,017,763, Transfer from Guthrie Healthcare System 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. GUTHRIE HEALTHCARE SYSTEM ONE GUTHRIE SQUARE SAYRE PA 18840 232200910 SUPPORTING PA 501(c)(3) 11C-III-FI TGC true GUTHRIE MEDICAL GROUP PC GUTHRIE SQUARE SAYRE PA 18840 250815795 HEALTH CARE PA 501(c)(3) 3 TGC true ROBERT PACKER HOSPITAL ONE GUTHRIE SQUARE SAYRE PA 18840 240795463 HEALTH CARE 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 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 HOUSING 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 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 HEALTH CARE NY 501(c)(3) 3 TGC true SAYRE HOUSE OF HOPE ONE GUTHRIE SQUARE SAYRE PA 18840 203979472 HEALTH CARE PA 501(c)(3) 7 TGC true TWIN TIER MANAGEMENT CORP INC PO BOX 310 SAYRE PA 18840 232209439 MANAGEMENT PA TGC C CORP 5525897 5649781 1.00000 true true true false true false false false false true true true false false true false false false false CORNING HOSPITAL A 17499 PER AGREEMENT GUTHRIE MEDICAL GROUP PC A 3265341 PER AGREEMENT GUTHRIE MEDICAL GROUP PC B 10758770 PER AGREEMENT ROBERT PACKER HOSPITAL B 645525 PER AGREEMENT ROBERT PACKER HOSPITAL L 6707217 ACTUAL COST TWIN TIER MANAGEMENT CORP INC L 182728 ACTUAL COST DONALD GUTHRIE FOUNDATION L 50463 ACTUAL COST TROY COMMUNITY HOSPITAL L 565904 ACTUAL COST GUTHRIE HOME CARE L 103326 ACTUAL COST CORNING HOSPITAL L 2331693 ACTUAL COST GUTHRIE MEDICAL GROUP PC L 4010488 ACTUAL COST ROBERT PACKER HOSPITAL K 217367 PER AGREEMENT ROBERT PACKER SCHOOL OF NURSING K 147404 PER AGREEMENT DONALD GUTHRIE FOUNDATION K 200582 PER AGREEMENT ROBERT PACKER HOSPITAL O 73015 PER AGREEMENT GUTHRIE MEDICAL GROUP PC O 1510422 ACTUAL COST