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GUTHRIE MEDICAL GROUP PC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
GUTHRIE MEDICAL GROUP PC (EIN 25-0815795)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-14
IRS object ID
201321349349304582
Schema version
2011v1.5
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)
Timestamp2013-05-14T15:52:33-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

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 Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN250815795EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Guthrie Clinic LTDBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% MICHELE SISTOInCareOfName
Name ControlGUTHNameControl
Phone5708885858Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameJOSEPH SCOPELLITIName
TitlePRESIDENT/CEOTitle
Date Signed2013-04-30DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone2673303000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts363554542GrossReceipts
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 1,161,964.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees1825TotalNbrEmployees
Total Nbr Volunteers42TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year72990ContributionsGrantsPriorYear
Contributions Grants Current Year20558ContributionsGrantsCurrentYear
Program Service Revenue Prior Year220880827ProgramServiceRevenuePriorYear
Program Service Revenue CY230201153ProgramServiceRevenueCY
Investment Income Prior Year1870292InvestmentIncomePriorYear
Investment Income Current Year3360993InvestmentIncomeCurrentYear
Other Revenue Prior Year224575OtherRevenuePriorYear
Other Revenue Current Year-950294OtherRevenueCurrentYear
Total Revenue Prior Year223048684TotalRevenuePriorYear
Total Revenue Current Year232632410TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year15600GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY14950GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year150747107SalariesEtcPriorYear
Salaries Etc Current Year158846405SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year96793085OtherExpensePriorYear
Other Expenses Current Year91872168OtherExpensesCurrentYear
Total Expenses Prior Year247555792TotalExpensesPriorYear
Total Expenses Current Year250733523TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-24507108RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-18101113RevenuesLessExpensesCY
Total Assets BOY108061206TotalAssetsBOY
Total Assets EOY111141815TotalAssetsEOY
Total Liabilities BOY151436663TotalLiabilitiesBOY
Total Liabilities EOY151468116TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-43375457NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-40326301NetAssetsOrFundBalancesEOY
Mission DescriptionGUTHRIE CLINIC LTD IS AN AFFILIATE OF GUTHRIE HEALTH. GUTHRIE HEALTH IS A NONPROFIT HEALTH CARE ORGANIZATION THAT SERVES TO COORDINATE THE ACTIVITY OF GUTHRIE CLINIC (CLINIC) 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 CLINIC, GHS, RPH, AND ITS OTHER AFFILIATES (COLLECTIVELY REFERRED TO AS "GUTHRIE"), GUTHRIE HEALTH 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 GUTHRIE FOUNDATION FOR MEDICAL EDMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense207252170Expense
Grants14950Grants
Revenue228091153Revenue
DescriptionPROVISION OF MEDICAL CARE FOR THE BENEFIT OF THE COMMUNITY. TOTAL ENCOUNTERS IN WHICH PATIENTS WERE TREATED TOTALLED: 1,161,964Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense5522996Expense
Grants0Grants
Revenue2110000Revenue
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 Expense212775166TotalProgramServiceExpense
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 With10969NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1825NumberOfEmployees
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 (45 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Joseph Scopelliti MD
President40.0XX601261040468
Daniel P Sporn MD
MEMBER - BOD40.0X487844044293
David Talenti MD
Treasurer - BOD40.0X475042044293
Thomas Vandermeer MD
Member - BOD40.0X461003044293
Thomas Yaeger MD
Member - BOD40.0X231923039814
Edward Jones MD
SECRETARY - BOD40.0X327082040468
Douglas Trostle MD
CHAIR - BOD40.0X484657044293
Mark Mauer MD
Member - BOD40.0X347423044293
David Pfisterer MD
MEMBER - BOD40.0X268599044293
Francis Belardi MD
PRESIDENT40.0XX355795040468
Kishore Harjai MD
MEMBER - BOD40.0X523485044293
Rodrigo Samodal MD
Member - BOD40.0X228700038980
MATTHEW ESTILL MD
MEMBER - BOD40.0X227937041169
ROBERT LARSON MD
MEMBER - BOD40.0X356337044293
Paul Chacona
Senior Vice President40.0265430040468X
Thomas Collins
Director - Regional Ops/Mkt St40.0166349027375X
Staci Thompson
VP Med Srv/Dir Oncology Srv Ln40.0159596028346X
Lynne Yaeger
VP Med Srv/Dir Cardiac Srv Ln40.016238308119X
Daniel Brown MD
Chairman - Anesthesiology40.0430097044293X
Dwight David Stapleton MD
Chairman - Medicine40.0401944044293X
Craig Faerber
CFO40.0372709039397X
David Scopelliti MD
Section Chief, Dentistry40.0221638039657X
Philip Lowry MD
Section Chief, Hema/Oncology40.0385198024043X
Timothy Entry
CFO40.0219039022745X
Lisa Grazul
Administrative Director40.010981305491X
J MICHAEL SCALZONE MD
VICE PRESIDENT MEDICAL AFFAIRS40.0317268044293X
DAVID CHANNIN MD
CHAIRMAN - RADIOLOGY40.0486833024043X
RAM SHARMA MD
CHAIRMAN - GUTHRIE HEALTH CME40.0307419044293X
CARLOS GARCIA MD
SECTION CHIEF, HOSPITALISTS40.0216696036760X
Dermot ReynoldsMD
Physician40.01386128044293X
Terece Devine MD
Physician40.0914072044293X
Pramod Deshmukh MD
Physician40.0837935044293X
Tony Pasquale MD
Physician40.0985993044293X
RAHUL RENJEN MD
PHYSICIAN40.0867575044293X
Robert Cohen MD
PHYSICIAN40.0148096032967X
Ferrol Lee MD
Physician40.0241640044125X
Vance Good MD
Physician40.0253228044293X
Anthony Gillott MD
Physician40.0264683044293X
Hal Sussman MD
Physician40.0481162044293X
Surya Narayanan MD
Physician40.0303776039140X
Thomas McDonald MD
Physician40.0552694044293X
George Pokorny MD
Physician40.0221471043117X
Kevin Carey MD
Physician40.0126610029900X
Felice Reitknecht MD
Physician40.0408198040468X
Burdett Porter MD
Physician40.0381022044293X
FieldValueIRS element (for citing)
Total Reportable Comp From Org17973783TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation1741974TotalOtherCompensation
Number Individuals GT100 K45NumberIndividualsGT100K
Formers ListedtrueFormersListed
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 TRANSCRIPTION878517
STAFF CARE INC
PO BOX 281923ATLANTAGA303841923PHYSICIAN SERVICES816469
COMPHEALTH MEDICAL STAFFING
PO BOX 972670DALLASTX753972670MED TRANSCRIPTION463049
WELLIVER MCGUIRE INC
250 NORTH GENESEE STREETMONTOUR FALLSNY14865CONTRACTOR SERVICES1117156
MED-LINK STAFFING INC
163 HAMPTON POINT DRIVE SUITE 3ST AUGUSTINEFL32092PHYSICIAN SERVICES407049
FieldValueIRS element (for citing)
Number Of Contractors GT100 K26NumberOfContractorsGT100K
Federated Campaigns0FederatedCampaigns
Membership Dues0MembershipDues
Fundraising Events0FundraisingEvents
Related Organizations0RelatedOrganizations
Government Grants0GovernmentGrants
All Other Contributions20558AllOtherContributions
Noncash Contributions2250NoncashContributions
Total Contributions20558TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE REVENUE621110148785080148785080
RENT INCOME EXEMPT PURPOSES621110635487635487
MEDICARE/MEDICAID PAYMENTS6211108078058680780586
FieldValueIRS element (for citing)
Total Program Service Revenue230201153TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1484041TotalRevenueColumn
Exclusion$1,484,041ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities132688615Securities
Other110469Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities130779143Securities
Other142989Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1909472Securities
Other-32520Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1876952TotalRevenueColumn
Exclusion$137,248ExclusionAmount

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 ColumnTotalRevenueColumnExclusionExclusionAmount
INTEREST INCOME - NOTES REC.90009916654$16,654
CHANGE IN DERIVATIVE INSTRUMENT900099-966948-$966,948
FieldValueIRS element (for citing)
Total Other Revenue-950294TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column232632410TotalRevenueColumn
Related Or Exempt Function Income230201153RelatedOrExemptFunctionIncome
Exclusion$670,995ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total14950Total
Program Services14950ProgramServices

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)
Total10668827Total
Program Services8003578ProgramServices
Management And General2665249ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total124150802Total
Program Services116718906ProgramServices
Management And General7431896ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total5176834Total
Program Services4566771ProgramServices
Management And General610063ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total11807681Total
Program Services10085293ProgramServices
Management And General1722388ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total7042261Total
Program Services6191423ProgramServices
Management And General850838ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total6002109Total
Program Services0ProgramServices
Management And General6002109ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total379109Total
Program Services239ProgramServices
Management And General378870ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total1478298Total
Program Services0ProgramServices
Management And General1478298ManagementAndGeneral

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)
Total13062695Total
Program Services7701011ProgramServices
Management And General5361684ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total78471Total
Program Services18240ProgramServices
Management And General60231ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total35928188Total
Program Services34129760ProgramServices
Management And General1798428ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total5499284Total
Program Services424055ProgramServices
Management And General5075229ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total8686681Total
Program Services1398269ProgramServices
Management And General7288412ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1350157Total
Program Services1202328ProgramServices
Management And General147829ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total171208Total
Program Services154491ProgramServices
Management And General16717ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total3015796Total
Management And General3015796ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total5509190Total
Program Services3362817ProgramServices
Management And General2146373ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total458616Total
Program Services9305532ProgramServices
Management And General-8846916ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
CORPORATE TAXES56205620
BAD DEBT8290270138290257
CAFETERIA/CATERING18206252239129823
ALL OTHER EXPENSES17744146969911077423

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total250733523Total
Program Services212775166ProgramServices
Management And General37958357ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY14380BOY
EOY14580EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY9519690BOY
EOY8641096EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY19684281BOY
EOY19230526EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY35873BOY
EOY21029EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY124984BOY
EOY60127EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1336133BOY
EOY1603225EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1810255BOY
EOY2127231EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis82218789LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec55123023LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY24957488BOY
EOY27095766EOY

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)
BOY49188569BOY
EOY46132785EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1389553BOY
EOY6215450EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY108061206BOY
EOY111141815EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY30986498BOY
EOY29140404EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY780384BOY
EOY564418EOY

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)
BOY33883750BOY
EOY24713322EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY85786031BOY
EOY97049972EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY151436663BOY
EOY151468116EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-43401836BOY
EOY-40353767EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY26379BOY
EOY27466EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-43375457BOY
EOY-40326301EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY108061206BOY
EOY111141815EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-18101113ReconcilationRevenueExpenses
Reconcilation Other Changes21150269ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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 Minus20CurrentYearMinus2
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$2,600OtherActivitiesAmount
Total Lobbying Expenditures IIB2600TotalLobbyingExpendituresIIB

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 Balance26379BeginningOfYearBalance
Contributions18160Contributions
Other Expenditures17073OtherExpenditures
End Of Year Balance27466EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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

Current Year Minus3 Years CurrentYearMinus3Years

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)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis1011507OtherCostOrOtherBasis
Book Value1011507BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis38941018OtherCostOrOtherBasis
Depreciation26826805Depreciation
Book Value12114213BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis3019031OtherCostOrOtherBasis
Depreciation1524346Depreciation
Book Value1494685BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis36633000OtherCostOrOtherBasis
Depreciation25089922Depreciation
Book Value11543078BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis2614233OtherCostOrOtherBasis
Depreciation1681950Depreciation
Book Value932283BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings27095766TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
CONSTRUCTION FUND1725317F
SELF INSURANCE TRUST FUND44407468F
FieldValueIRS element (for citing)
Total Of Book Value Program Related46132785TotalOfBookValueProgramRelated

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
DEFERRED FINANCING COST, NET501542
DUE FROM/TO AFFLIATES1033415
INTEREST RECEIVABLES239824
OTHER RECEIVABLES361160
INSURANCE RECOVERIES RECEIVABL4079509
FieldValueIRS element (for citing)
Total Book Value Other Assets6215450TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
DEFERRED LIABILITY$13,118
PROFESSIONAL LIABILITY RESERVE$43,939,207
WORKERS COMP RESERVE$4,218,231
SWAP CONTRACT PAYABLE$5,572,876
LOAN PAY GH - TAX EXEMPT BONDS$43,209,769
DEFERRED RENT$96,771
FieldValueIRS element (for citing)
Total Of Amounts97049972TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (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, 2012, 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 Recipients46NumberOfRecipients
Amount Of Cash Grant14950AmountOfCashGrant

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 (44 entries)

Base 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
Joseph Scopelliti MD
486090011249902672000404680641729000
Robert Cohen MD
147385000711000329670181063000
Daniel P Sporn MD
4878440000000442930532137000
David Talenti MD
4673850007657000442930519335000
Ferrol Lee MD
2389720002668000441250285765000
Thomas Vandermeer MD
4610030000000442930505296000
Thomas Yaeger MD
2300640001859000398140271737000
Edward Jones MD
30006602500002016000404680367550000
Douglas Trostle MD
47305500011602000442930528950000
Mark Mauer MD
3474230000000442930391716000
David Pfisterer MD
23407402762506900000442930312892000
Vance Good MD
2532280000000442930297521000
Anthony Gillott MD
23851102325102921000442930308976000
Hal Sussman MD
4811620000000442930525455000
Surya Narayanan MD
3037760000000391400342916000
Thomas McDonald MD
5437130008981000442930596987000
George Pokorny MD
2214710000000431170264588000
Kevin Carey MD
1251350001475000299000156510000
Felice Reitknecht MD
4081980000000404680448666000
Burdett Porter MD
3810220000000442930425315000
Paul Chacona
22582803960200000404680305898000
Francis Belardi MD
3036240514500721000404680396263000
Thomas Collins
1435750221600614000273750193724000
Staci Thompson
147689011842065000283460187942000
Lynne Yaeger
151480010781012200081190170502000
Daniel Brown MD
4253010004796000442930474390000
Dwight David Stapleton MD
37444402750000000442930446237000
Kishore Harjai MD
487344023714012427000442930567778000
Craig Faerber
214510015588102318000393970412106000
Dermot ReynoldsMD
7519740634154000004429301430421000
Terece Devine MD
87564800038424000442930958365000
Pramod Deshmukh MD
8288440009091000442930882228000
Tony Pasquale MD
56049404066410188580004429301030286000
Rodrigo Samodal MD
21370001500000000389800267680000
David Scopelliti MD
2216380000000396570261295000
Philip Lowry MD
37029400014904000240430409241000
Timothy Entry
19397802506100000227450241784000
MATTHEW ESTILL MD
20793702000000000411690269106000
J MICHAEL SCALZONE MD
30351801375000000442930361561000
DAVID CHANNIN MD
44709403506304676000240430510876000
RAM SHARMA MD
29024200017177000442930351712000
ROBERT LARSON MD
32684402500004493000442930400630000
CARLOS GARCIA MD
19656801690703221000367600253456000
RAHUL RENJEN MD
555419031215600000442930911868000

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 EXECUTIVE COMPENSATION COMMITTEE, AND SUBSEQUENTLY APPROVED BY THE BOARD OF DIRECTORS. AN ANNUAL REVIEW OF GUTHRIE CLINIC'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
Purpose Of LoanEDUCATION LOANPurposeOfLoan
Loan From OrganizationXLoanFromOrganization
Original Principal$115,000OriginalPrincipalAmount
Balance Due21069BalanceDue
DefaultfalseDefault
Approved By BoardtrueApprovedByBoard
Written AgreementtrueWrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due21069TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (6 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
DAVID SCOPELLITI
RELATED TO BOARD MEMBER261294EMPLOYMENTfalse
CHARLENE TALENTI
RELATED TO BOARD MEMBER32663EMPLOYMENTfalse
DANIEL TALENTI
RELATED TO BOARD MEMBER163245EMPLOYMENTfalse
LYNNE YAEGER
RELATED TO BOARD MEMBER170502EMPLOYMENTfalse
TINA COLLINS
SPOUSE OF KEY EMPLOYEE74184EMPLOYMENTfalse
CAMELOT DEVELOPMENT GROUP
OWNED BY MARK MAUER281764RENTAL OFFICE SPACEfalse

Schedule M IRS990ScheduleM

Works Of Art WorksOfArt

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F9902250NoncashContribsRptdF990
Method Of Determining RevenuesCOSTMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest
Books And PublicationsBooksAndPublications
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 Guthrie Health and Affiliates. Form 990 Part VI Line 6 Guthrie Clinic 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 Clinic, Ltd. elect the organization's Board of Directors. Form 990 Part VI Line 7b Pursuant to the Alignment Agreement, Guthrie Health has approval rights of certain Guthrie Clinic 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 Guthrie Health (GH), 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 GH. All Members of any GH 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 GH Administration office. GH 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 GH 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 Executive 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 VII Section A Line 1a Compensation to former officers and directors is based upon the position that the individual continues to hold following their term as a member of the Board of Directors and is not related to their former role as an officer or director. Form 990 Part XI Line 5 Other changes in net assets or fund balances are due to Equity Transfers ($25,001,899) and an entry to prior year accumulative earnings ($5,835), and unrealized gains $3,857,485. Form 990 Part XII Line 2b The organization's financial statements were audited on a consolidated basis with Guthrie Health 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
GUTHRIE HEALTH
ONE GUTHRIE SQUARESAYREPA18840233055017SUPPORTINGPA501(C)(3)11B - IINAfalse
GUTHRIE HEALTHCARE SYSTEM
ONE GUTHRIE SQUARESAYREPA18840232200910SUPPORTINGPA501(C)(3)11C - IIIGHtrue
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 FOR EDUCATION
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 SQUARESAYREPA18840020551081AMBULATORYNY501(C)(3)9GHStrue
GUTHRIE CORNING DEVELOPMENT COMPANY INC
176 DENISON PARKWAY ECORNINGNY14830161594628SUPPORTNY501(C)(3)11B - IIGHStrue
SAYRE HOUSE OF HOPE
ONE GUTHRIE SQUARESAYREPA18840203979472HEALTH ACCESSPA501(C)(3)7GHStrue
CORNING HOSPITAL
176 DENISON PARKWAY ECORNINGNY14830160393490HEALTH CARENY501(C)(3)3GHStrue
GUTHRIE RISK RETENTION GROUP
151 MEETING STREETCHARLESTONSC29401201090801SUPPORTINGSC501(C)(3)11A - IGHtrue

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 ActivityMANAGEMENTPrimaryActivity
Legal Domicile StatePALegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC CORPTypeOfEntity
Share Of Total Income5406163ShareOfTotalIncome
Share Of EOY Assets5907461ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
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 (19 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
GUTHRIE HEALTHCARE SYSTEM
c25001899PER AGREEMENT
GUTHRIE HEALTHCARE SYSTEM
e43677334PER AGREEMENT
GUTHRIE HEALTHCARE SYSTEM
j3306105PER AGREEMENT
GUTHRIE HEALTHCARE SYSTEM
k56270CONTRACT AGREE
GUTHRIE HEALTHCARE SYSTEM
l14075732CONTRACT AGREE
ROBERT PACKER HOSPITAL
j844319CONTRACT AGREE
ROBERT PACKER HOSPITAL
k18822610CONTRACT AGREE
ROBERT PACKER HOSPITAL
l1371613CONTRACT AGREE
DONALD GUTHRIE FDN FOR EDUC AND RESEARCH
k66549CONTRACT AGREE
TROY COMMUNITY HOSPITAL INC
k804806CONTRACT AGREE
GUTHRIE SAME DAY SURGERY CENTER INC
k239205CONTRACT AGREE
CORNING HOSPITAL
j253109CONTRACT AGREE
CORNING HOSPITAL
k2423497CONTRACT AGREE
CORNING HOSPITAL
l203178CONTRACT AGREE
GUTHRIE HEALTHCARE SYSTEM
n2303650ACTUAL COST
ROBERT PACKER HOSPITAL
a509425CONTRACT AGREE
ROBERT PACKER HOSPITAL
p70757DIRECT COST EXP
ROBERT PACKER HOSPITAL
o926903DIRECT COST EXP
GUTHRIE SAME DAY SURGERY CENTER
K239205CONTRACT AGREE