2014-05-14T10:12:41-05:00 2013-06-30 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1700 PHILADELPHIA PA 19103 990 2012-07-01 250815795 Guthrie Medical Group PC % MICHELE SISTO GUTH 5708885858 Guthrie Square Suite Sayre PA 18840 JOSEPH SCOPELLITI 5708872852 2014-05-07 true 2673303000 2012 2015-11-30 17:44:51Z FRANCIS BELARDI MD 1 GUTHRIE SQUARE SAYRE PA 18840 284973295 false X www.guthrie.org X 1987 PA PROVISION OF MEDICAL CARE FOR THE BENEFIT OF THE COMMUNITY. TOTAL ENCOUNTERS IN WHICH PATIENTS WERE TREATED TOTALED 1,144,755. 9 0 1876 43 0 -68070 20558 44482 230201153 225699205 3360993 2115534 -950294 -921410 232632410 226937811 14950 15925 0 0 158846405 165750187 0 0 0 91872168 95812134 250733523 261578246 -18101113 -34640435 111141815 117135267 151468116 165537957 -40326301 -48402690 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 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, fu false false 213573839 15925 223715799 PROVISION OF MEDICAL CARE FOR THE BENEFIT OF THE COMMUNITY. TOTAL ENCOUNTERS IN WHICH PATIENTS WERE TREATED TOTALLED: 1,144,755 5365291 0 2050000 EDUCATION- TO ESTABLISH, CONDUCT, MAINTAIN, AND OPERATE EDUCATIONAL PROGRAMS, COURSES AND STUDIES, INCLUDING WITHOUT LIMITATION, FELLOWSHIPS, AND GRADUATE EDUCATION AND MEDICAL RESEARCH. 213573828 true true false true false false false false false true true false true true true true false true false false false false false false false false false false true true false false false true false true true true false true false false false true true true true false true 6 0 true 1876 true false false false false false false false false false false X 9 0 true false false false true true true true true false false true true true true true true true false false NY PA X MICHELE SISTO 5708874625 GUTHRIE SQUARE SAYRE PA 18440 X Thomas Yaeger MD 40.0 0.0 X 237601 0 38591 Edward Jones MD 40.0 0.0 X 340537 0 41079 Douglas Trostle MD 40.0 0.0 X 591707 0 45270 David Pfisterer MD 40.0 0.0 X 282116 0 45270 Thomas Vandermeer MD 40.0 0.0 X 451561 0 45270 Thomas McDonald MD 40.0 0.0 X 564296 0 45270 Francis Belardi MD 40.0 0.0 X X 425738 0 41079 Rodrigo Samodal MD 40.0 0.0 X 245153 0 43686 MATTHEW ESTILL MD 40.0 0.0 X 226835 0 42393 ROBERT LARSON MD 40.0 0.0 X 326561 0 45270 Daniel P Sporn MD 40.0 0.0 X 549520 0 45270 Ram Sharma MD 40.0 0.0 X 337030 0 45270 Paul Chacona 40.0 0.0 X 297026 0 41079 Thomas Collins 40.0 0.0 X 155962 0 29493 Staci Thompson 40.0 0.0 X 195172 0 30972 Lynne Yaeger 40.0 0.0 X 166706 0 16399 Daniel Brown MD 40.0 0.0 X 427027 0 45270 Dwight David Stapleton MD 40.0 0.0 X 425061 0 45270 David Scopelliti MD 40.0 0.0 X 220926 0 40644 Philip Lowry MD 40.0 0.0 X 360510 0 45270 Timothy Entry 40.0 0.0 X 234343 0 24237 Lisa Grazul 40.0 0.0 X 142112 0 7106 J MICHAEL SCALZONE MD 40.0 0.0 X 331220 0 45270 DAVID CHANNIN MD 40.0 0.0 X 464811 0 45270 CARLOS GARCIA MD 40.0 0.0 X 225701 0 40055 Dermot ReynoldsMD 40.0 0.0 X 1318814 0 45270 Terece Devine MD 40.0 0.0 X 911305 0 45270 Pramod Deshmukh MD 40.0 0.0 X 852429 0 45270 Tony Pasquale MD 40.0 0.0 X 759197 0 45270 RAHUL RENJEN MD 40.0 0.0 X 762044 45270 12829021 0 1206403 372 false true false NUANCE COMMUNICATIONS PO BOX 7247-6924 PHILADELPHIA PA 19170 MED TRANSCRIPTION 643801 G Webster 460 Gateway Industrial Park ATHENS PA 18810 Construction/Renovat 769103 Global Industries 5677 Pennsylvania Ave APALACHIN NY 13732 Houskeeping Services 446645 CDW Government 220 N Milwaukee Ave VERNON HILLS IL 60061 Information Technolo 342674 Quest 1290 Wallstreet West LYNDHURST NJ 07071 Lab Services 320389 5 44482 44482 NET PATIENT SERVICE REVENUE 621110 140449923 140449923 RENT INCOME EXEMPT PURPOSES 621110 547307 547307 MEDICARE/MEDICAID PAYMENTS 621110 84701975 84701975 225699205 1048251 1048251 0 0 66594 67332 -738 0 -738 58999786 35649 57952154 15998 1047632 19651 1067283 1639625 0 0 0 INTEREST INCOME - NOTES REC. 900099 13098 0 13098 LOSS ON SALE DERIVATIVE INSTRUMENT 900099 -933770 0 -933770 -920672 226937811 225699205 0 1767204 0 15925 15925 0 0 9056067 7021370 2034697 0 132398548 123398324 9000224 5487670 4821071 666599 11309004 9669754 1639250 7498898 6587418 911480 6388139 6388139 174657 174657 1536927 1536927 0 0 0 14528632 10616633 3911999 76748 6767 69981 4649981 2658400 1991581 5687708 446332 5241376 0 9524039 1534127 7989912 1390001 1220862 169139 0 187078 162621 24457 3009859 3009859 0 6157758 4158587 1999171 8792191 8103973 688218 CORPORATE TAXES 5707 5707 MEDICAL SUPPLY EXPENSE 31797175 31851051 -53876 CAFETERIA/CATERING 187079 141178 45901 ALL OTHER EXPENSES 1718455 1159435 559020 261578246 213573828 48004418 0 14580 14790 8641096 8414201 0 7095 19230526 20497219 21029 6185 0 0 60127 44373 1603225 1982584 2127231 2352963 85404174 59256407 27095766 26147767 0 0 0 0 46132785 51530445 0 0 6215450 6137646 111141815 117135267 29140404 33122356 0 0 564418 572578 0 0 0 0 0 0 24713322 37009193 0 0 97049972 94833830 151468116 165537957 X -40353767 -48449885 27466 47195 0 0 -40326301 -48402690 111141815 117135267 X -34640435 2300763 24263283 X false true X true false X false false false RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 false false false false false false false false true 2750 2750 PART II-B, LINE 1I INDIRECT LOBBYING MEMBER OF AMERICAN MEDICAL GROUP ASSOCIATION, ESTIMATE OF 20% OF DUES ATTRIBUTE TO LOBBYING ACTIVITIES. false 27466 23127 13803 36790 26379 18160 17073 27466 17789 19954 11364 26379 17886 7299 7396 17789 13584 129681 0 0 125380 17885 1.00000 false false 1011507 1011507 39878129 28649706 11228423 3224486 1770051 1454435 38393480 26857949 11535531 2896573 1978702 917871 26147767 CONSTRUCTION FUND 701519 F SELF INSURANCE TRUST FUND 50828926 F 51530445 DEFERRED FINANCING COST, NET 480433 DUE FROM/TO AFFLIATES 584110 INTEREST RECEIVABLES 248471 OTHER RECEIVABLES 1012443 INSURANCE RECOVERIES RECEIVABL 3812189 6137646 0 DEFERRED LIABILITY 13118 PROFESSIONAL LIABILITY RESERVE 45260857 WORKERS COMP RESERVE 3939246 SWAP CONTRACT PAYABLE 3837235 LOAN PAY GH - TAX EXEMPT BONDS 41679777 DEFERRED RENT 103597 94833830 SCHEDULE D PART V LINE 4 FUNDS ARE DONATED TO HELP CANCER PATIENTS OFFSET UNEXPECTED FINANCIAL DIFFICULTIES RELATED TO THEIR ILLNESS. 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, 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. true EDUCATIONAL AID SCHOLARSHIPS AND AWARDS 49 15925 SCHEDULE I, PART I LINE 2 and PART III LINE 1 PART 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. X true true X X X X false false false false false false false false false Daniel P Sporn MD 534304 0 15216 0 0 0 32750 0 12520 0 594790 0 0 0 Thomas Yaeger MD 235771 0 0 0 1830 0 30262 0 8329 0 276192 0 0 0 Edward Jones MD 311338 0 27228 0 1971 0 32750 0 8329 0 381616 0 0 0 Douglas Trostle MD 532230 0 55115 0 4362 0 32750 0 12520 0 636977 0 0 0 David Pfisterer MD 256466 0 18750 0 6900 0 32750 0 12520 0 327386 0 0 0 Thomas Vandermeer MD 451561 0 0 0 0 0 32750 0 12520 0 496831 0 0 0 Thomas McDonald MD 557495 0 0 0 6801 0 32750 0 12520 0 609566 0 0 0 Ram Sharma MD 318285 0 0 0 18745 0 32750 0 12520 0 382300 0 0 0 Paul Chacona 249570 0 47456 0 0 0 32750 0 8329 0 338105 0 0 0 Francis Belardi MD 351533 0 73451 0 754 0 32750 0 8329 0 466817 0 0 0 Thomas Collins 144626 0 10775 0 561 0 16973 0 12520 0 185455 0 0 0 Staci Thompson 173438 0 21655 0 79 0 18452 0 12520 0 226144 0 0 0 Lynne Yaeger 155397 0 11190 0 119 0 16399 0 0 0 183105 0 0 0 Daniel Brown MD 402238 0 24789 0 0 0 32750 0 12520 0 472297 0 0 0 Dwight David Stapleton MD 385061 0 40000 0 0 0 32750 0 12520 0 470331 0 0 0 Dermot ReynoldsMD 729509 0 589305 0 0 0 32750 0 12520 0 1364084 0 0 0 Terece Devine MD 886778 0 0 0 24527 0 32750 0 12520 0 956575 0 0 0 Pramod Deshmukh MD 846561 0 0 0 5868 0 32750 0 12520 0 897699 0 0 0 Tony Pasquale MD 676883 0 72318 0 9996 0 32750 0 12520 0 804467 0 0 0 Rodrigo Samodal MD 231153 0 14000 0 0 0 31166 0 12520 0 288839 0 0 0 David Scopelliti MD 218558 0 0 0 2368 0 28124 0 12520 0 261570 0 0 0 Philip Lowry MD 350402 0 0 0 10108 0 32750 0 12520 0 405780 0 0 0 Timothy Entry 193471 0 40872 0 0 0 11717 0 12520 0 258580 0 0 0 MATTHEW ESTILL MD 210585 0 16250 0 0 0 29873 0 12520 0 269228 0 0 0 J MICHAEL SCALZONE MD 306220 0 25000 0 0 0 32750 0 12520 0 376490 0 0 0 DAVID CHANNIN MD 426561 0 38250 0 0 0 32750 0 12520 0 510081 0 0 0 ROBERT LARSON MD 326561 0 0 0 0 0 32750 0 12520 0 371831 0 0 0 CARLOS GARCIA MD 209550 0 16151 0 0 0 27535 0 12520 0 265756 0 0 0 RAHUL RENJEN MD 671688 90356 0 32750 12520 807314 0 PART 1 LINE 1A AND LINE 3 PART 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. DAVID A PFISTERERMD Board Member EDUCATION LOAN X 115000 6185 false true true 6185 DAVID SCOPELLITI RELATED TO BOARD MEMBER 261570 EMPLOYMENT false CHARLENE TALENTI RELATED TO BOARD MEMBER 31910 EMPLOYMENT false DANIEL TALENTI RELATED TO BOARD MEMBER 182928 EMPLOYMENT false LYNNE YAEGER RELATED TO BOARD MEMBER 175041 EMPLOYMENT false TINA COLLINS SPOUSE OF KEY EMPLOYEE 93831 EMPLOYMENT false CAMELOT DEVELOPMENT GROUP OWNED BY MARK MAUER 281764 RENTAL OFFICE SPACE false X 985 Cost false true false SCHEDULE O SUPPLEMENTAL INFORMATION DISCLOSURES 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 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. The Guthrie Clinic ONE GUTHRIE SQUARE SAYRE PA 18840 233055017 SUPPORTING PA 501(c)(3) 11C - III NA false GUTHRIE HEALTHCARE SYSTEM ONE GUTHRIE SQUARE SAYRE PA 18840 232200910 SUPPORTING PA 501(c)(3) 11C - III TGC true ROBERT PACKER HOSPITAL ONE GUTHRIE SQUARE SAYRE PA 18840 240795463 HEALTH CARE PA 501(c)(3) 3 GHS true ROBERT PACKER SCHOOL OF NURSING 200 SOUTH WILBUR AVENUE SAYRE PA 18840 236408773 EDUCATION PA 501(c)(3) 2 GHS true DONALD GUTHRIE FOUNDATION 200 SOUTH WILBUR AVENUE SAYRE PA 18840 246022957 MED RESEARCH PA 501(c)(3) 4 GHS true TROY COMMUNITY HOSPITAL INC 101 ELMIRA STREET TROY PA 16947 240800337 HEALTH CARE PA 501(c)(3) 3 GHS true TIOGA HEALTHCARE FACILITY ONE GUTHRIE SQUARE SAYRE PA 18840 150532257 HEALTH CARE NY 501(c)(3) 3 GHS true TIOGA NURSING FACILITY ONE GUTHRIE SQUARE SAYRE PA 18840 222979677 NURSING FAC NY 501(c)(3) 3 GHS true DARWAY NURSING HOME INC ONE GUTHRIE SQUARE SAYRE PA 18840 231733967 NURSING FAC PA 501(c)(3) 9 GHS true SAYRE HOUSE INC 1001 NORTH ELMER AVE SAYRE PA 18840 231643404 NURSING FAC PA 501(c)(3) 9 GHS true GUTHRIE HOME CARE 421 TOMAHAWK ROAD TOWANDA PA 18848 232394345 HOME HEALTH PA 501(c)(3) 9 GHS true GUTHRIE SAME DAY SURGERY CENTER INC ONE GUTHRIE SQUARE SAYRE PA 18840 020551081 AMBULATORY CA NY 501(c)(3) 9 GHS true GUTHRIE CORNING DEVELOPMENT COMPANY INC 176 DENISON PARKWAY E CORNING NY 14830 161594628 SUPPORTING NY 501(c)(3) 11B - II GHS true SAYRE HOUSE OF HOPE ONE GUTHRIE SQUARE SAYRE PA 18840 203979472 HEALTH CARE PA 501(c)(3) 7 GHS true CORNING HOSPITAL 176 DENISON PARKWAY E CORNING NY 14830 160393490 HEALTH CARE NY 501(c)(3) 3 GHS true GUTHRIE RISK RETENTION GROUP 151 MEETING STREET CHARLESTON SC 29401 201090801 SUPPORTING SC 501(c)(3) 11A - I TGC true TWIN TIER MANAGEMENT CORP INC PO BOX 310 SAYRE PA 18840 232209439 MANAGEMENT CONSUL PA NA C CORP 0.00000 true true false true false true true true false true true true true false true true true false false GUTHRIE HEALTHCARE SYSTEM c 24263286 PER AGREEMENT GUTHRIE HEALTHCARE SYSTEM e 55094376 PER AGREEMENT GUTHRIE HEALTHCARE SYSTEM k 4086593 PER AGREEMENT GUTHRIE HEALTHCARE SYSTEM l 451571 CONTRACT AGREE GUTHRIE HEALTHCARE SYSTEM m 13209480 CONTRACT AGREE ROBERT PACKER HOSPITAL j 519613 CONTRACT AGREE ROBERT PACKER HOSPITAL l 18966286 CONTRACT AGREE ROBERT PACKER HOSPITAL m 1458419 CONTRACT AGREE DONALD GUTHRIE FOUNDATION l 97287 CONTRACT AGREE TROY COMMUNITY HOSPITAL INC l 886238 CONTRACT AGREE GUTHRIE SAME DAY SURGERY CENTER INC l 103030 CONTRACT AGREE CORNING HOSPITAL k 188638 CONTRACT AGREE CORNING HOSPITAL l 2852116 CONTRACT AGREE CORNING HOSPITAL m 209544 CONTRACT AGREE GUTHRIE HEALTHCARE SYSTEM o 2844905 ACTUAL COST ROBERT PACKER HOSPITAL k 854822 CONTRACT AGREE ROBERT PACKER HOSPITAL p 961630 DIRECT COST EXP ROBERT PACKER HOSPITAL r 126606 ACTUAL COST GUTHRIE HEALTHCARE SYSTEM a 18293 PER AGREEMENT GUTHRIE HEALTHCARE SYSTEM p 2093377 PER AGREEMENT ROBERT PACKER HOSPITAL q 84195 ACTUAL COST