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GUTHRIE MEDICAL GROUP PC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
GUTHRIE MEDICAL GROUP PC (EIN 25-0815795)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-14
IRS object ID
201401349349301220
Schema version
2012v2.3
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)
Timestamp2014-05-14T10:12:41-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PricewaterhouseCoopers LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12001 MARKET ST SUITE 1700AddressLine1
CityPHILADELPHIACity
StatePAState
ZIP Code19103ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN250815795EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Guthrie Medical Group PCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% MICHELE SISTOInCareOfName
Name ControlGUTHNameControl
Phone5708885858Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1Guthrie SquareAddressLine1
Address Line2SuiteAddressLine2
CitySayreCity
StatePAState
ZIP Code18840ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOSEPH SCOPELLITIName
TitlePRESIDENTTitle
Phone5708872852Phone
Date Signed2014-05-07DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone2673303000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonFRANCIS BELARDI MDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11 GUTHRIE SQUAREAddressLine1
CitySAYRECity
StatePAState
ZIP Code18840ZIPCode
FieldValueIRS element (for citing)
Gross Receipts284973295GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.guthrie.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1987YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionPROVISION OF MEDICAL CARE FOR THE BENEFIT OF THE COMMUNITY. TOTAL ENCOUNTERS IN WHICH PATIENTS WERE TREATED TOTALED 1,144,755.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees1876TotalNbrEmployees
Total Nbr Volunteers43TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income-68070NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year20558ContributionsGrantsPriorYear
Contributions Grants Current Year44482ContributionsGrantsCurrentYear
Program Service Revenue Prior Year230201153ProgramServiceRevenuePriorYear
Program Service Revenue CY225699205ProgramServiceRevenueCY
Investment Income Prior Year3360993InvestmentIncomePriorYear
Investment Income Current Year2115534InvestmentIncomeCurrentYear
Other Revenue Prior Year-950294OtherRevenuePriorYear
Other Revenue Current Year-921410OtherRevenueCurrentYear
Total Revenue Prior Year232632410TotalRevenuePriorYear
Total Revenue Current Year226937811TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year14950GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY15925GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year158846405SalariesEtcPriorYear
Salaries Etc Current Year165750187SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year91872168OtherExpensePriorYear
Other Expenses Current Year95812134OtherExpensesCurrentYear
Total Expenses Prior Year250733523TotalExpensesPriorYear
Total Expenses Current Year261578246TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-18101113RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-34640435RevenuesLessExpensesCY
Total Assets BOY111141815TotalAssetsBOY
Total Assets EOY117135267TotalAssetsEOY
Total Liabilities BOY151468116TotalLiabilitiesBOY
Total Liabilities EOY165537957TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-40326301NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-48402690NetAssetsOrFundBalancesEOY
Mission DescriptionThe 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 The Guthrie Clinic (TGC; see Form 990, Schedule R, for a listing of affiliates of TGC, including Robert Packer Hospital (RPH)). Through the activities of the GMG, TGC, 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 for Medical Education and Research (Research Institute), a subsidiary of TGC, fuMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense213573839Expense
Grants15925Grants
Revenue223715799Revenue
DescriptionPROVISION OF MEDICAL CARE FOR THE BENEFIT OF THE COMMUNITY. TOTAL ENCOUNTERS IN WHICH PATIENTS WERE TREATED TOTALLED: 1,144,755Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense5365291Expense
Grants0Grants
Revenue2050000Revenue
DescriptionEDUCATION- TO ESTABLISH, CONDUCT, MAINTAIN, AND OPERATE EDUCATIONAL PROGRAMS, COURSES AND STUDIES, INCLUDING WITHOUT LIMITATION, FELLOWSHIPS, AND GRADUATE EDUCATION AND MEDICAL RESEARCH.Description
FieldValueIRS element (for citing)
Total Program Service Expense213573828TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvesttrueReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPtrueLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationtrueBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArttrueDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgtrueTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10966NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1876NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledPAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMICHELE SISTONamePerson
Telephone Number5708874625TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1GUTHRIE SQUAREAddressLine1
CitySAYRECity
StatePAState
ZIP Code18440ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (30 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Thomas Yaeger MD
Member - BOD40.00.0X237601038591
Edward Jones MD
SECRETARY - BOD40.00.0X340537041079
Douglas Trostle MD
CHAIR - BOD40.00.0X591707045270
David Pfisterer MD
MEMBER - BOD40.00.0X282116045270
Thomas Vandermeer MD
Treasurer-BOD40.00.0X451561045270
Thomas McDonald MD
Member-BOD40.00.0X564296045270
Francis Belardi MD
PRESIDENT40.00.0X425738041079X
Rodrigo Samodal MD
Member - BOD40.00.0X245153043686
MATTHEW ESTILL MD
MEMBER - BOD40.00.0X226835042393
ROBERT LARSON MD
MEMBER - BOD40.00.0X326561045270
Daniel P Sporn MD
Section Chief - Cardiology40.00.0549520045270X
Ram Sharma MD
Chairman-Guthrie Health CME40.00.0337030045270X
Paul Chacona
Senior Vice President40.00.0297026041079X
Thomas Collins
Director - Regional Ops/Mkt St40.00.0155962029493X
Staci Thompson
Exec VP & COO40.00.0195172030972X
Lynne Yaeger
VP Med Srv/Dir Cardiac Srv Ln40.00.0166706016399X
Daniel Brown MD
Chairman - Anesthesiology40.00.0427027045270X
Dwight David Stapleton MD
Chairman - Medicine40.00.0425061045270X
David Scopelliti MD
Section Chief, Dentistry40.00.0220926040644X
Philip Lowry MD
Section Chief, Hema/Oncology40.00.0360510045270X
Timothy Entry
CFO40.00.0234343024237X
Lisa Grazul
Administrative Director40.00.014211207106X
J MICHAEL SCALZONE MD
VICE PRESIDENT MEDICAL AFFAIRS40.00.0331220045270X
DAVID CHANNIN MD
CHAIRMAN - RADIOLOGY40.00.0464811045270X
CARLOS GARCIA MD
SECTION CHIEF, HOSPITALISTS40.00.0225701040055X
Dermot ReynoldsMD
Physician40.00.01318814045270X
Terece Devine MD
Physician40.00.0911305045270X
Pramod Deshmukh MD
Physician40.00.0852429045270X
Tony Pasquale MD
Physician40.00.0759197045270X
RAHUL RENJEN MD
PHYSICIAN40.00.076204445270X
FieldValueIRS element (for citing)
Total Reportable Comp From Org12829021TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation1206403TotalOtherCompensation
Number Individuals GT100 K372NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
NUANCE COMMUNICATIONS
PO BOX 7247-6924PHILADELPHIAPA19170MED TRANSCRIPTION643801
G Webster
460 Gateway Industrial ParkATHENSPA18810Construction/Renovat769103
Global Industries
5677 Pennsylvania AveAPALACHINNY13732Houskeeping Services446645
CDW Government
220 N Milwaukee AveVERNON HILLSIL60061Information Technolo342674
Quest
1290 Wallstreet WestLYNDHURSTNJ07071Lab Services320389
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
All Other Contributions44482AllOtherContributions
Total Contributions44482TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE REVENUE621110140449923140449923
RENT INCOME EXEMPT PURPOSES621110547307547307
MEDICARE/MEDICAID PAYMENTS6211108470197584701975
FieldValueIRS element (for citing)
Total Program Service Revenue225699205TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1048251TotalRevenueColumn
Exclusion$1,048,251ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real66594Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real67332Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-738Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-738TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities58999786Securities
Other35649Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities57952154Securities
Other15998Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1047632Securities
Other19651Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1067283TotalRevenueColumn
Exclusion$1,639,625ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
INTEREST INCOME - NOTES REC.900099130980$13,098
LOSS ON SALE DERIVATIVE INSTRUMENT900099-9337700-$933,770
FieldValueIRS element (for citing)
Total Other Revenue-920672TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column226937811TotalRevenueColumn
Related Or Exempt Function Income225699205RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,767,204ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total15925Total
Program Services15925ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total9056067Total
Program Services7021370ProgramServices
Management And General2034697ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total132398548Total
Program Services123398324ProgramServices
Management And General9000224ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total5487670Total
Program Services4821071ProgramServices
Management And General666599ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total11309004Total
Program Services9669754ProgramServices
Management And General1639250ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total7498898Total
Program Services6587418ProgramServices
Management And General911480ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total6388139Total
Management And General6388139ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total174657Total
Management And General174657ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total1536927Total
Management And General1536927ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total14528632Total
Program Services10616633ProgramServices
Management And General3911999ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total76748Total
Program Services6767ProgramServices
Management And General69981ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total4649981Total
Program Services2658400ProgramServices
Management And General1991581ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total5687708Total
Program Services446332ProgramServices
Management And General5241376ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total9524039Total
Program Services1534127ProgramServices
Management And General7989912ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1390001Total
Program Services1220862ProgramServices
Management And General169139ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total187078Total
Program Services162621ProgramServices
Management And General24457ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total3009859Total
Management And General3009859ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total6157758Total
Program Services4158587ProgramServices
Management And General1999171ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total8792191Total
Program Services8103973ProgramServices
Management And General688218ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
CORPORATE TAXES57075707
MEDICAL SUPPLY EXPENSE31797175-5387631851051
CAFETERIA/CATERING18707945901141178
ALL OTHER EXPENSES17184555590201159435

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total261578246Total
Program Services213573828ProgramServices
Management And General48004418ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY14580BOY
EOY14790EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY8641096BOY
EOY8414201EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY7095EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY19230526BOY
EOY20497219EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY21029BOY
EOY6185EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY60127BOY
EOY44373EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1603225BOY
EOY1982584EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2127231BOY
EOY2352963EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis85404174LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec59256407LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY27095766BOY
EOY26147767EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY46132785BOY
EOY51530445EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY6215450BOY
EOY6137646EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY111141815BOY
EOY117135267EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY29140404BOY
EOY33122356EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY564418BOY
EOY572578EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY24713322BOY
EOY37009193EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY97049972BOY
EOY94833830EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY151468116BOY
EOY165537957EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-40353767BOY
EOY-48449885EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY27466BOY
EOY47195EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-40326301BOY
EOY-48402690EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY111141815BOY
EOY117135267EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-34640435ReconcilationRevenueExpenses
Reconciliation Unrealized Invest2300763ReconciliationUnrealizedInvest
Reconcilation Other Changes24263283ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx

Grassroots Lobbying Expenditures GrassrootsLobbyingExpenditures

FieldValueIRS element (for citing)
Current Year Minus30CurrentYearMinus3
Total0Total
FieldValueIRS element (for citing)
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$2,750OtherActivitiesAmount
Total Lobbying Expenditures IIB2750TotalLobbyingExpendituresIIB

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPART II-B, LINE 1IIdentifier
Return ReferenceINDIRECT LOBBYINGReturnReference
ExplanationMEMBER OF AMERICAN MEDICAL GROUP ASSOCIATION, ESTIMATE OF 20% OF DUES ATTRIBUTE TO LOBBYING ACTIVITIES.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Included On FSfalseIncludedOnFS

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance27466BeginningOfYearBalance
Contributions23127Contributions
Other Expenditures13803OtherExpenditures
End Of Year Balance36790EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance26379BeginningOfYearBalance
Contributions18160Contributions
Other Expenditures17073OtherExpenditures
End Of Year Balance27466EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance17789BeginningOfYearBalance
Contributions19954Contributions
Other Expenditures11364OtherExpenditures
End Of Year Balance26379EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance17886BeginningOfYearBalance
Contributions7299Contributions
Other Expenditures7396OtherExpenditures
End Of Year Balance17789EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance13584BeginningOfYearBalance
Contributions129681Contributions
Investment Earnings Or Losses0InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures125380OtherExpenditures
End Of Year Balance17885EndOfYearBalance
FieldValueIRS element (for citing)
Term Endowment EOY Balance1.00000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1011507OtherCostOrOtherBasis
Book Value1011507BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis39878129OtherCostOrOtherBasis
Depreciation28649706Depreciation
Book Value11228423BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis3224486OtherCostOrOtherBasis
Depreciation1770051Depreciation
Book Value1454435BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis38393480OtherCostOrOtherBasis
Depreciation26857949Depreciation
Book Value11535531BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2896573OtherCostOrOtherBasis
Depreciation1978702Depreciation
Book Value917871BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings26147767TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
CONSTRUCTION FUND701519F
SELF INSURANCE TRUST FUND50828926F
FieldValueIRS element (for citing)
Total Of Book Value Program Related51530445TotalOfBookValueProgramRelated

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
DEFERRED FINANCING COST, NET480433
DUE FROM/TO AFFLIATES584110
INTEREST RECEIVABLES248471
OTHER RECEIVABLES1012443
INSURANCE RECOVERIES RECEIVABL3812189
FieldValueIRS element (for citing)
Total Book Value Other Assets6137646TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
DEFERRED LIABILITY$13,118
PROFESSIONAL LIABILITY RESERVE$45,260,857
WORKERS COMP RESERVE$3,939,246
SWAP CONTRACT PAYABLE$3,837,235
LOAN PAY GH - TAX EXEMPT BONDS$41,679,777
DEFERRED RENT$103,597
FieldValueIRS element (for citing)
Total Of Amounts94833830TotalOfAmounts

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierExplanationExplanation
SCHEDULE D PART V LINE 4FUNDS ARE DONATED TO HELP CANCER PATIENTS OFFSET UNEXPECTED FINANCIAL DIFFICULTIES RELATED TO THEIR ILLNESS.
SCHEDULE D PART X LINE 2The Corporation has analyzed the tax positions taken by the organization, and has concluded that as of June 30, 2013 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.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantEDUCATIONAL AID SCHOLARSHIPS AND AWARDSTypeOfGrant
Number Of Recipients49NumberOfRecipients
Amount Of Cash Grant15925AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierSCHEDULE I, PART I LINE 2 and PART III LINE 1Identifier
ExplanationPART I LINE 2 GRANTS TO INDIVIDUALS IN THE UNITED STATES PART III, LINE 1 HEALTH PROFESSION SCHOLARSHIPS (10 AWARDED) ARE AVAILABLE TO HIGH SCHOOL SENIORS. TO BE ELIGIBLE, THE SENIOR MUST PLAN TO ENTER AN ACCREDITED COLLEGE, UNIVERSITY, HOSPITAL BASED NURSING OR ALLIED HEALTH PROGRAM, WITH CAREERS IN HEALTH PROFESSIONS, INCLUDING HOSPITAL ADMINISTRATION OR A PLANNED CAREER IN MEDICAL RESEARCH. GUTHRIE EMPLOYEE SCHOLARSHIPS (3 AWARDED) ARE OFFERED TO CHILDREN OF FULL-TIME EMPLOYEES OF GUTHRIE. SENIORS MUST PLAN TO ATTEND AN ACCREDITED COLLEGE OR UNIVERSITY. ANY CAREER INTEREST IS ALLOWED.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (29 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Daniel P Sporn MD
Section Chief - Cardiology534304015216000327500125200594790000
Thomas Yaeger MD
Member - BOD2357710001830030262083290276192000
Edward Jones MD
SECRETARY - BOD31133802722801971032750083290381616000
Douglas Trostle MD
CHAIR - BOD532230055115043620327500125200636977000
David Pfisterer MD
MEMBER - BOD256466018750069000327500125200327386000
Thomas Vandermeer MD
Treasurer-BOD45156100000327500125200496831000
Thomas McDonald MD
Member-BOD55749500068010327500125200609566000
Ram Sharma MD
Chairman-Guthrie Health CME318285000187450327500125200382300000
Paul Chacona
Senior Vice President24957004745600032750083290338105000
Francis Belardi MD
PRESIDENT3515330734510754032750083290466817000
Thomas Collins
Director - Regional Ops/Mkt St14462601077505610169730125200185455000
Staci Thompson
Exec VP & COO1734380216550790184520125200226144000
Lynne Yaeger
VP Med Srv/Dir Cardiac Srv Ln1553970111900119016399000183105000
Daniel Brown MD
Chairman - Anesthesiology402238024789000327500125200472297000
Dwight David Stapleton MD
Chairman - Medicine385061040000000327500125200470331000
Dermot ReynoldsMD
Physician72950905893050003275001252001364084000
Terece Devine MD
Physician886778000245270327500125200956575000
Pramod Deshmukh MD
Physician84656100058680327500125200897699000
Tony Pasquale MD
Physician676883072318099960327500125200804467000
Rodrigo Samodal MD
Member - BOD231153014000000311660125200288839000
David Scopelliti MD
Section Chief, Dentistry21855800023680281240125200261570000
Philip Lowry MD
Section Chief, Hema/Oncology350402000101080327500125200405780000
Timothy Entry
CFO193471040872000117170125200258580000
MATTHEW ESTILL MD
MEMBER - BOD210585016250000298730125200269228000
J MICHAEL SCALZONE MD
VICE PRESIDENT MEDICAL AFFAIRS306220025000000327500125200376490000
DAVID CHANNIN MD
CHAIRMAN - RADIOLOGY426561038250000327500125200510081000
ROBERT LARSON MD
MEMBER - BOD32656100000327500125200371831000
CARLOS GARCIA MD
SECTION CHIEF, HOSPITALISTS209550016151000275350125200265756000
RAHUL RENJEN MD
PHYSICIAN67168890356032750125208073140

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierPART 1 LINE 1A AND LINE 3Identifier
ExplanationPART I LINE 1A GROSS-UP PAYMENTS ARE PERIODICALLY PROVIDED TO EMPLOYEES. ALL PAYMENTS ARE MADE PURSUANT TO WRITTEN ORGANIZATIONAL POLICIES. PART I LINE 3 EXECUTIVE COMPENSATION IS ESTABLISHED WITHIN A WRITTEN EMPLOYMENT AGREEMENT. COMPENSATION IS DETERMINED BASED ON MARKET STUDIES, PRESENTED TO THE COMPENSATION COMMITTEE, AND SUBSEQUENTLY APPROVED BY THE BOARD OF DIRECTORS. AN ANNUAL REVIEW OF GUTHRIE MEDICAL GROUP, PC'S EXECUTIVE COMPENSATION IS CONDUCTED BY AN OUTSIDE CONSULTING FIRM.Explanation

Schedule L IRS990ScheduleL

Loan Table LoanTable

FieldValueIRS element (for citing)
Name PersonDAVID A PFISTERERMDNamePerson
Relationship With OrganizationBoard MemberRelationshipWithOrganization
Purpose Of LoanEDUCATION LOANPurposeOfLoan
Loan From OrganizationXLoanFromOrganization
Original Principal$115,000OriginalPrincipalAmount
Balance Due6185BalanceDue
DefaultfalseDefault
Approved By BoardtrueApprovedByBoard
Written AgreementtrueWrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due6185TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (6 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
DAVID SCOPELLITI
RELATED TO BOARD MEMBER261570EMPLOYMENTfalse
CHARLENE TALENTI
RELATED TO BOARD MEMBER31910EMPLOYMENTfalse
DANIEL TALENTI
RELATED TO BOARD MEMBER182928EMPLOYMENTfalse
LYNNE YAEGER
RELATED TO BOARD MEMBER175041EMPLOYMENTfalse
TINA COLLINS
SPOUSE OF KEY EMPLOYEE93831EMPLOYMENTfalse
CAMELOT DEVELOPMENT GROUP
OWNED BY MARK MAUER281764RENTAL OFFICE SPACEfalse

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArt
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest

Books And Publications BooksAndPublications

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F990985NoncashContribsRptdF990
Method Of Determining RevenuesCostMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Clothing And Household GoodsClothingAndHouseholdGoods
Cars And Other VehiclesCarsAndOtherVehicles
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty
Securities Publicly TradedSecuritiesPubliclyTraded
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential
Real Estate CommercialRealEstateCommercial
Real Estate OtherRealEstateOther
CollectiblesCollectibles
Food InventoryFoodInventory
Drugs And Medical SuppliesDrugsAndMedicalSupplies
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation

FieldValueIRS element (for citing)
IdentifierSCHEDULE O SUPPLEMENTAL INFORMATION DISCLOSURESIdentifier
ExplanationForm 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 6 Guthrie Medical Group, PC is a nonprofit professional corporation, each of the share holders being physicians licensed to practice medicine or surgery. Form 990 Part VI Line 7a Physician membership of the Guthrie Medical Group P.C.. elect the organization's Board of Directors. Form 990 Part VI Line 7b Pursuant to the Alignment Agreement, The Guthrie Clinic has approval rights of certain Guthrie Medical Group P.C. Board decisions. Form 990 Part VI Line 11a 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 GH 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 Executive Officer and Physician Compensation is generally established within a written employment agreement. Compensation is determined based on market studies, presented to the 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 Line 19 The organization does not make its governing documents, conflict of interest policy, and financial statements available to the public. Form 990 Part XI Line 5 Net unrealized gains on Investments $2,300,763. Form 990 Part XI Line 9 Other changes in net assets or fund balances are due to Equity Transfers $24,263,283 Form 990 Part XII Line 2b The organization's financial statements were audited on a consolidated basis with The Guthrie Clinc and Affiliates.Explanation

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (16 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
The Guthrie Clinic
ONE GUTHRIE SQUARESAYREPA18840233055017SUPPORTINGPA501(c)(3)11C - IIINAfalse
GUTHRIE HEALTHCARE SYSTEM
ONE GUTHRIE SQUARESAYREPA18840232200910SUPPORTINGPA501(c)(3)11C - IIITGCtrue
ROBERT PACKER HOSPITAL
ONE GUTHRIE SQUARESAYREPA18840240795463HEALTH CAREPA501(c)(3)3GHStrue
ROBERT PACKER SCHOOL OF NURSING
200 SOUTH WILBUR AVENUESAYREPA18840236408773EDUCATIONPA501(c)(3)2GHStrue
DONALD GUTHRIE FOUNDATION
200 SOUTH WILBUR AVENUESAYREPA18840246022957MED RESEARCHPA501(c)(3)4GHStrue
TROY COMMUNITY HOSPITAL INC
101 ELMIRA STREETTROYPA16947240800337HEALTH CAREPA501(c)(3)3GHStrue
TIOGA HEALTHCARE FACILITY
ONE GUTHRIE SQUARESAYREPA18840150532257HEALTH CARENY501(c)(3)3GHStrue
TIOGA NURSING FACILITY
ONE GUTHRIE SQUARESAYREPA18840222979677NURSING FACNY501(c)(3)3GHStrue
DARWAY NURSING HOME INC
ONE GUTHRIE SQUARESAYREPA18840231733967NURSING FACPA501(c)(3)9GHStrue
SAYRE HOUSE INC
1001 NORTH ELMER AVESAYREPA18840231643404NURSING FACPA501(c)(3)9GHStrue
GUTHRIE HOME CARE
421 TOMAHAWK ROADTOWANDAPA18848232394345HOME HEALTHPA501(c)(3)9GHStrue
GUTHRIE SAME DAY SURGERY CENTER INC
ONE GUTHRIE SQUARESAYREPA18840020551081AMBULATORY CANY501(c)(3)9GHStrue
GUTHRIE CORNING DEVELOPMENT COMPANY INC
176 DENISON PARKWAY ECORNINGNY14830161594628SUPPORTINGNY501(c)(3)11B - IIGHStrue
SAYRE HOUSE OF HOPE
ONE GUTHRIE SQUARESAYREPA18840203979472HEALTH CAREPA501(c)(3)7GHStrue
CORNING HOSPITAL
176 DENISON PARKWAY ECORNINGNY14830160393490HEALTH CARENY501(c)(3)3GHStrue
GUTHRIE RISK RETENTION GROUP
151 MEETING STREETCHARLESTONSC29401201090801SUPPORTINGSC501(c)(3)11A - ITGCtrue

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1TWIN TIER MANAGEMENT CORP INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 310AddressLine1
CitySAYRECity
StatePAState
ZIP Code18840ZIPCode
FieldValueIRS element (for citing)
EIN232209439EIN
Primary ActivityMANAGEMENT CONSULPrimaryActivity
Legal Domicile StatePALegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC CORPTypeOfEntity
Percentage Ownership0.00000PercentageOwnership
Controlled OrgtrueControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgtrueSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgtruePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (21 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
GUTHRIE HEALTHCARE SYSTEM
c24263286PER AGREEMENT
GUTHRIE HEALTHCARE SYSTEM
e55094376PER AGREEMENT
GUTHRIE HEALTHCARE SYSTEM
k4086593PER AGREEMENT
GUTHRIE HEALTHCARE SYSTEM
l451571CONTRACT AGREE
GUTHRIE HEALTHCARE SYSTEM
m13209480CONTRACT AGREE
ROBERT PACKER HOSPITAL
j519613CONTRACT AGREE
ROBERT PACKER HOSPITAL
l18966286CONTRACT AGREE
ROBERT PACKER HOSPITAL
m1458419CONTRACT AGREE
DONALD GUTHRIE FOUNDATION
l97287CONTRACT AGREE
TROY COMMUNITY HOSPITAL INC
l886238CONTRACT AGREE
GUTHRIE SAME DAY SURGERY CENTER INC
l103030CONTRACT AGREE
CORNING HOSPITAL
k188638CONTRACT AGREE
CORNING HOSPITAL
l2852116CONTRACT AGREE
CORNING HOSPITAL
m209544CONTRACT AGREE
GUTHRIE HEALTHCARE SYSTEM
o2844905ACTUAL COST
ROBERT PACKER HOSPITAL
k854822CONTRACT AGREE
ROBERT PACKER HOSPITAL
p961630DIRECT COST EXP
ROBERT PACKER HOSPITAL
r126606ACTUAL COST
GUTHRIE HEALTHCARE SYSTEM
a18293PER AGREEMENT
GUTHRIE HEALTHCARE SYSTEM
p2093377PER AGREEMENT
ROBERT PACKER HOSPITAL
q84195ACTUAL COST