2012-05-14T13:24:58-05:00 2011-06-30 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1700 PHILADELPHIA PA 19103 990 2010-07-01 232200910 GUTHRIE HEALTHCARE SYSTEM GUTH 5708874625 GUTHRIE SQUARE SAYRE PA 18840 MARIE DROEGE 5708824312 2012-05-08 2673303000 2010 2016-02-24 21:20:13Z MARK STENSAGER GUTHRIE SQUARE SAYRE PA 18840 369981424 false X WWW.GUTHRIE.ORG X 1982 PA ACQUIRE, HOLD AND MANAGE INVESTMENTS, CONTROL MEMBERSHIP AND OWNERSHIP INTERESTS IN OTHER RELATED NOT-FOR-PROFIT CORPORATIONS AND IN CORPORATIONS FOR PROFIT. 14 10 323 10 111 -4514 708453 638556 35242846 39168937 21588271 9719400 -858834 1214403 56680736 50741296 0 0 0 0 18933277 20372349 0 0 350038 13191344 15678307 32124621 36050656 24556115 14690640 328503170 314129042 74792258 54975559 253710912 259153483 THE ORGANIZATION'S PRIMARY EXEMPT PURPOSE IS TO ACQUIRE, HOLD AND MANAGE INVESTMENTS, CONTROL MEMBERSHIP AND OWNERSHIP INTERESTS IN OTHER RELATED NOT-FOR-PROFIT CORPORATIONS AND IN CORPORATIONS FOR PROFIT. THE ORGANIZATION'S MISSION, VISION, AND VALUES STATEMENT IS AS FOLLOWS: MISSION: GUTHRIE HEALTHCARE SYSTEM WILL IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE AND COMMUNITIES WE SERVE. VISION: GUTHRIE HEALTHCARE SYSTEM AND GUTHRIE CLINIC, IN COLLABORATION WITH OUR PHYSICIANS AND OTHER PROVIDERS, WILL SHAPE THE DELIVERY OF HEALTH CARE IN THE REGION, WITH SERVICES DISTRIBUTED THROUGHOUT THE REGION BASED ON COMMUNITY NEEDS. WE SEEK TO BE THE PROVIDER OF CHOICE FOR PATIENTS IN THE TWIN TIER REGION, RECOGNIZED FOR OUR SUPERIOR QUALITY AND SERVICE. TOGETHER WE WILL ADVANCE THE PRACTICE OF MEDICINE THROUGH OUR COMMITMENT TO TEACHING AND RESEARCH. VALUES: SERVICE TO PATIENTS, FAMILIES, AND ONE ANOTHER DIGNITY, RESPECT, AND HONESTY CONTINUOUS IMPROVEMENT AND INNOVATION RESPONSIBLE STEWARDSHI false false 32198960 0 39168937 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 EDUCATION AND RESEARCH (RESEARCH INSTITUTE), A SUBSIDIARY OF GHS, FURTHERS THESE CHARITABLE ACTIVITIES THROUGH PROVIDING BASIC SCIENCE RESEARCH AND PATIENT ACCESS TO THE REGION'S LARGEST PANEL OF CLINICAL TRIALS. THE FACILITIES AND PROVIDER OFFICES OF GUTHRIE ARE LOCATED IN 23 COMMUNITIES THROUGHOUT THE NORTHERN TIER OF PENNSYLVANIA AND SOUTHERN TIER OF NEW YORK, WITH THE GREATEST CONCENTRATION OF SERVICES PROVIDED PRINCIPALLY IN BRADFORD COUNTY, PENNSYLVANIA AND CHEMUNG AND STEUBEN COUNTIES, NEW YORK. THE VISION OF GUTHRIE IS TO HELP SHAPE THE DELIVERY OF HEALTH CARE IN THE REGION THROUGH WORKING COLLABORATIVELY WITH PHYSICIANS AND OTHER PROVIDERS, AND BY DISTRIBUTING ITS SERVICES THROUGHOUT THE REGION BASED ON COMMUNITY NEEDS. GUTHRIE SEEKS TO BE THE PROVIDER OF CHOICE FOR PATIENTS IN THE TWIN TIER REGION, AND TO BE RECOGNIZED FOR ITS SUPERIOR QUALITY AND SERVICE. IT ALSO STRIVES TO ADVANCE THE PRACTICE OF MEDICINE THROUGH ITS COMMITMENT TO TEACHING AND RESEARCH. IN KEEPING WITH THIS VISION, THE CORE VALUES OF GUTHRIE HEALTH ARE AS FOLLOWS: PATIENT-CENTEREDNESS, EXCELLENCE AND TEAMWORK. GUTHRIE PROVIDERS AND FACILITIES PROVIDE CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE IT DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE ON THE FINANCIAL STATEMENTS OF GUTHRIE ENTITIES. COSTS FOR SERVICES AND SUPPLIES FURNISHED UNDER GUTHRIE'S CHARITY CARE POLICY AMOUNTED TO APPROXIMATELY $1.57 MILLION IN 2010 AND $1.55 MILLION IN 2009 WHEN MEASURED AT THE APPROPRIATE ENTITY'S ESTABLISHED RATES. AS PART OF ITS CHARITABLE MISSION, GUTHRIE PROVIDES CARE THROUGH ITS HOSPITAL EMERGENCY DEPARTMENTS. IT ENSURES THAT AN EMERGENCY-BASED TREATMENT OR HOSPITAL ADMISSION IS NOT DELAYED OR DENIED PENDING DETERMINATION OF COVERAGE OR A REQUIREMENT FOR PREPAYMENT OR DEPOSIT. AS A RESULT OF THIS POLICY, GUTHRIE EXPERIENCED APPROXIMATELY $2.8 MILLION AND $3.1 MILLION IN BAD DEBTS FOR 2010 AND 2009, RESPECTIVELY. IN ADDITION TO THE CHARITY CARE PROGRAM AND THE EMERGENCY DEPARTMENT BAD DEBTS DISCUSSED ABOVE, GUTHRIE SUPPORTS NUMEROUS OTHER CHARITABLE COMMUNITY ACTIVITIES. EXAMPLES OF THESE ACTIVITIES INCLUDE MEDICAL EDUCATION FOR PHYSICIANS AND NURSES, THE TRAUMA PROGRAM AND MEDICAL RESEARCH. THE ESTIMATED COST, NET OF REIMBURSEMENT, FOR THESE PROGRAMS WAS $9.8 MILLION AND $9.4 MILLION IN 2010 AND 2009, RESPECTIVELY. GUTHRIE ALSO PROVIDES SERVICES TO PATIENTS WHO PARTICIPATE IN THE MEDICAID PROGRAMS. REVENUES GENERATED FROM PATIENTS WHO PARTICIPATE IN THE MEDICAID PROGRAM ARE SUBJECT TO SUBSTANTIAL DISCOUNTS THAT RESULT IN REIMBURSEMENT FOR SERVICES RENDERED BELOW THE COST OF PROVIDING SUCH SERVICES. IN ORDER FOR PATIENTS TO MEET THE GUIDELINES FOR THE MEDICAID PROGRAM, VARIOUS INCOME-BASED CRITERIA MUST BE MET THAT VALIDATE PATIENTS' INABILITY TO PAY FOR SERVICES AND INELIGIBILITY UNDER OTHER PROGRAMS. THE ESTIMATED LOSS INCURRED BY GUTHRIE FROM PROVIDING SERVICES TO MEDICAID PATIENTS AMOUNTED TO $18.1 MILLION AND $20.5 MILLION IN 2010 AND 2009, RESPECTIVELY. THE TOTAL COST TO GUTHRIE IN SUPPORTING THESE CHARITABLE MISSION PROGRAMS WAS APPROXIMATELY $31.6 MILLION AND $33.7 MILLION IN 2010 AND 2009, RESPECTIVELY. AS DISCUSSED, RPH AND THE CLINIC WORK CLOSELY TOGETHER IN FULFILLING GUTHRIE'S CHARITABLE MISSION. A REGIONAL LEVEL II TRAUMA CENTER, RPH IS A TERTIARY CARE TEACHING HOSPITAL, LOCATED IN SAYRE, PENNSYLVANIA, SERVING THE SOUTHERN TIER OF NEW YORK AND THE NORTHERN TIER OF PENNSYLVANIA. IT ALSO PROVIDES RESIDENCY PROGRAMS IN FAMILY PRACTICE, INTERNAL MEDICINE, AND GENERAL SURGERY AS WELL AS A FELLOWSHIP PROGRAM IN VASCULAR SURGERY. MEDICAL STUDENT TRAINING IS PROVIDED FOR STUDENTS FROM AFFILIATED MEDICAL SCHOOLS. ALLIED HEALTH EDUCATION IS ALSO PROVIDED FOR RESPIRATORY THERAPY, NURSING, LABORATORY SCIENCE AND RADIOLOGIC TECHNOLOGY FOR STUDENTS FROM PENNSYLVANIA AND NEW YORK COLLEGES AND UNIVERSITIES. CENTERS OF EXCELLENCE WITHIN RPH INCLUDE THE FOLLOWING: ADVANCED & MINIMALLY INVASIVE SURGERY; BEHAVIORAL HEALTH SERVICES; BREAST AND IMAGING CENTER; COMPREHENSIVE CANCER CENTER; CARDIOVASCULAR CARE CENTER; THE CENTER FOR WOUND CARE AND HYPERBARIC MEDICINE; DIALYSIS CENTERS; JOINT CAMP PROGRAM FOR ORTHOPEDIC SURGERY, SPORTS MEDICINE; KIDNEY STONE TREATMENT CENTER; FIRST IMPRESSIONS BIRTHING CENTER; SLEEP DISORDERS TESTING; AND SPECIALTY EYE CARE. RPH STRIVES TO ENHANCE THE QUALITY OF LIFE IN THE COMMUNITIES IT SERVES BY PROVIDING SUPERIOR HEALTH CARE SERVICES AND BY LEADING CONTINUOUS IMPROVEMENT OF COMMUNITY HEALTH. IT ACHIEVES THIS MISSION BY ORGANIZING SERVICES AND DIRECTING RESOURCES TOWARD MEETING COMMUNITY HEALTH NEEDS THROUGH COLLABORATION WITH COMMUNITY AGENCIES AND BY COMPASSIONATE, EFFECTIVE AND AFFORDABLE MEANS. RPH WORKS CLOSELY WITH THE CLINIC TO ENSURE THAT THE SKILLS AND KNOWLEDGE OF THE MEDICAL STAFF PRODUCE THE MAXIMUM COMMUNITY HEALTH BENEFIT. AS A MEMBER OF THE GUTHRIE HEALTHCARE SYSTEM, RPH INTEGRATES ITS PROGRAMS AND ACTIVITIES WITH THOSE OF THE LONG-TERM CARE AND EDUCATION AND RESEARCH DIVISIONS, SO THAT CONTINUITY AND SYNERGY RESULT. AS PART OF GHS, THE VISION OF RPH IS TO PLAY A LEADERSHIP ROLE IN THE DEVELOPMENT AND PROVISION OF TERTIARY-LEVEL ACUTE CARE SERVICES. EVIDENCE THAT RPH IS SUCCESSFULLY FULFILLING THIS ROLE CAN BE SEEN IN ITS ACCOMPLISHMENTS THIS PAST YEAR. HIGHLIGHTS OF THOSE ACHIEVEMENTS INCLUDE ACCREDITATION BY THE PENNSYLVANIA TRAUMA SYSTEMS FOUNDATION BOARD AS A LEVEL II TRAUMA CENTER, RECIPIENT OF THOMSON REUTERS EVEREST AWARD (ONE OF ONLY 23 HOSPITALS IN THE COUNTRY) FOR TWO CONSECUTIVE YEARS, AS WELL AS RECEIVING THE THOMAS REUTERS 100 TOP HOSPITAL: NATIONAL BENCHMARKS AWARD FOR THE FORTH CONSECUTIVE YEAR. RPH, A MAGNET DESIGNATED HOSPITAL, HAS ALSO BEEN NAMED A THOMSON REUTERS 100 TOP HOSPITAL: CARDIOVASCULAR SIX TIMES. GHS HAS BEEN NAMED ONE OF THE TOP 50 HEALTHCARE SYSTEMS IN THE COUNTRY BY THOMSON REUTERS. AS PART OF A FULLY-INTEGRATED HEALTH DELIVERY SYSTEM THAT ORGANIZES ITS SERVICES ON A REGIONAL BASIS AND IS ACCOUNTABLE FOR IMPROVING THE HEALTH OF THE POPULATION IT SERVES; RPH ACCEPTS RESPONSIBILITY FOR MEETING THE HEALTH CARE NEEDS OF THE COMMUNITY AND IS ABLE TO DOCUMENT THE COST EFFECTIVENESS AND QUALITY OF SERVICES PROVIDED. THE CLINIC IS A MULTI-SPECIALTY PHYSICIAN GROUP PRACTICE THAT INCLUDES NEARLY 350 SPECIALIST AND PRIMARY CARE PHYSICIANS AND MID-LEVEL PROVIDERS, HEADQUARTERED IN A FACILITY ADJACENT TO RPH. PHYSICIANS WITHIN THE CLINIC PROVIDE COMPREHENSIVE MEDICAL CARE USING ADVANCED TECHNOLOGIES AND METHODOLOGIES FOR BOTH DIAGNOSIS AND TREATMENT. FURTHER, THE CLINIC PROVIDES A BROAD RANGE OF EDUCATIONAL OPPORTUNITIES FOR PHYSICIANS AND OTHER HEALTH CARE PROVIDERS. IT ALSO WORKS CLOSELY WITH THE RESEARCH INSTITUTE, WHERE RESEARCH CONTRIBUTES TO RECRUITING AND RETAINING PHYSICIAN SPECIALISTS TO SERVE THE REGION AND SUSTAINING PROFICIENT MEDICAL PRACTICES. THE CLINIC IS COMMITTED TO THE ADVANCEMENT OF MEDICAL KNOWLEDGE AND SKILLS, AND EVERY EFFORT IS MADE TO PROVIDE PERSONAL, COMPASSIONATE MEDICAL CARE. THE CLINIC OPERATES A REGIONAL OFFICE NETWORK IN 23 COMMUNITIES IN PENNSYLVANIA AND NEW YORK, ENCOMPASSING ALL OF THE MAJOR POPULATION CENTERS IN THE TWIN TIERS AREA. THE CLINIC AND GHS HAVE DEVELOPED CERTAIN GUIDING PRINCIPLES FOR THE PROVISION OF PATIENT CARE, WHICH INCLUDE A COMMITMENT THE FOLLOWING: PRACTICE OF CLINICAL EXCELLENCE, UTILIZATION OF THE SYNERGY OF A MULTI-SPECIALTY MEDICAL GROUP PRACTICE, DEVELOPMENT OF AN INTEGRATED SYSTEM THAT PROVIDES A CONTINUUM OF CARE, PROVISION OF LOCAL ACCESS TO CARE THROUGH SUPPORT OF A REGIONAL MEDICAL OFFICE NETWORK, PROVISION OF SERVICES TO A DISTINCT GEOGRAPHIC REGION, AND PROACTIVE OPERATIONS. THE CLINIC, THROUGH THE PROVISION OF PRIMARY CARE SERVICES WITH EASE OF ACCESS TO SPECIALTY AND SUB-SPECIALTY CARE, FOCUSES ON MAKING AN INTEGRATED SYSTEM OF HEALTH CARE EASILY ACCESSIBLE TO PATIENTS. WITH ITS PRIMARY CONCERN THE DIAGNOSIS AND TREATMENT OF DISEASE AND ILLNESS, IT AL 0 0 0 32198960 true true false false false false false false false true false false false true true false true false false false false false false false false false false false true false false false false false true true true false false false false false true true true true false true 268 0 true 323 true true true false false false false false false false false false X 14 10 false false false false false true true true true false false true true true true true true true true false PA X MICHELE Y SISTO 5708874625 GUTHRIE HEALTHCARE SYSTEM SAYRE PA 18840 Mark Stensager 40.0 X X 562994 0 20626 William H Ransom III 1.0 X 0 0 0 A John Peck Jr 1.0 X 0 0 0 Kevin V Carey MD 1.0 X 0 323058 39612 David LR Gibbs 1.0 X 0 0 0 Edward L Jones MD 1.0 X 0 316060 39612 Kenneth R Levitzky 1.0 X 0 0 0 Joseph R Joyce 1.0 X 0 0 0 Susan P Storch 1.0 X 0 0 0 Joseph A Scopelliti MD 1.0 X 0 583193 32862 David E Iocco 1.0 X 0 0 0 Andrew S Ripic III 1.0 X 0 0 0 Richard T Rynone 1.0 X 0 0 0 Jay Chadwick 1.0 X 0 0 0 Craig Faerber 40.0 X 0 525733 43751 Francis Pinkosky 40.0 X 0 259250 43751 Carol Koenecke-Grant 40.0 X 280361 0 4018 Dale Swingle 40.0 X 203597 0 29766 Donna Watson 40.0 X 150445 0 25259 Marie Droege 40.0 X 352282 0 16268 Minhphuong Dang 40.0 X 219209 0 25027 Michele Sisto 40.0 X 147710 0 31090 Lucia Saggiomo 40.0 X 129621 0 18851 Bernard Smith 40.0 X 115973 0 5361 Mark Middaugh 40.0 X 111160 0 13445 Staci Covey 40.0 X 121880 0 22837 2395232 2007294 412136 13 false true false AUSTIN EXCAVATING PAVING 121 TALMADGE HILL WEST ROAD WAVERLY NY 14892 CONTRACTOR SERVICES 1489429 PRICEWATERHOUSECOOPERS LLP PO BOX 3026 BOSTON MA 02241 ACCOUNTING SERVICES 657417 BEACON PARTNERS INC 97 LIBBEY PARKWAY STE 310 WEYMOUTH MA 021893101 CONSULTANT SERVICES 548460 STEVENS LEE PO BOX 679 READING PA 19603 LEGAL SERVICES 443547 BURKAVAGE DESIGN ASSOCIATES 200 ABINGTON EXECUTIVE PARK CLARKS SUMMIT PA 18411 CONSULTING SERVICES 350467 12 638556 638556 MANAGEMENT & CONSULTING 541610 39168937 39168937 39168937 5058360 5058360 0 0 14302 8555 5747 0 5747 5747 322832739 1059874 318165153 1066420 4667586 -6546 4661040 4661040 0 0 0 BOOKKEEPING SVCS 541200 111 111 CHANGE IN DERIVATIVE INSTRUMENT 900099 166632 166632 GAIN ON RETIREMENT OF DEBT 900099 1035760 1035760 6153 6153 1208656 50741296 39168937 111 10933692 0 0 0 0 2189085 1973898 215187 0 13909644 12368796 1348401 192447 1014101 903484 98494 12123 2213873 1967622 214503 31748 1045646 932280 101634 11732 0 509711 459606 50105 577138 520405 56733 0 0 0 1659385 1474853 154196 30336 1433698 1292765 140933 219019 165651 18059 35309 1497567 1343914 146509 7144 0 765874 672927 73360 19587 191364 170520 18590 2254 0 131590 118655 12935 484316 436708 47608 0 7470562 6736931 732467 1164 -51516 -46452 -5064 CAFETERIA/CATERING 103612 91403 9964 2245 BAD DEBT -5123 -4619 -504 ALL OTHER EXPENSES 691110 619613 67548 3949 36050656 32198960 3501658 350038 802286 379318 8441 1234 0 0 52409629 57518596 2108838 2075796 72724913 42538140 29437379 30186773 227519429 215520117 16217168 8447208 328503170 314129042 16938628 16589293 57853630 38386266 74792258 54975559 X 230272247 231734232 23382616 27363202 56049 56049 253710912 259153483 328503170 314129042 X 14690640 -9248069 X false true true X false X X X false false false ROBERT PACKER HOSPITAL 240795463 03 true true true 0 ROBERT PACKER SCHOOL OF NURSING 236408773 02 true true true 0 TIOGA HEALTHCARE FACILITY 150532257 03 true true true 0 TIOGA NURSING FACILITY 222979677 03 true true true 0 GUTHRIE HOME CARE 232394345 04 true true true 0 TROY COMMUNITY HOSPITAL 240800337 03 true true true 0 DARWAY NURSING HOME 231733967 04 true true true 0 SAYRE HOUSE INC 231643404 04 true true true 0 DONALD GUTHRIE FOUNDATION 246022957 04 true true true 0 CORNING HOSPITAL 160393490 03 true true true 0 SAYRE HOUSE OF HOPE 203979472 03 true true true 0 GUTHRIE SAME DAY SURGERY CENTER INC 020551081 04 true true true 0 12 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false 0 0 false 0 0 0 0 0 0 749387 747864 0 17223927 -6575052 10648875 0 7883663 -3954551 3929112 0 46867936 -32007014 14860922 0 0 0 0 30186773 0 DUE TO AFFILIATES 2642465 ACCRUED PENSION COSTS 9574360 LOAN PAY-GH-TAX EXEMPT BONDS 26169441 38386266 0 0 0 0 0 0 0 0 0 0 SCH D PART X LINE 2 THE CORPORATION HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATION AND HAS CONCLUDED THAT AS OF JUNE 30, 2011, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. X true true X X X X false false false false false false false false false Mark Stensager 442481 0 110779 0 9734 0 0 0 20626 0 583620 0 0 0 Kevin V Carey MD 0 319047 0 0 0 4011 0 0 0 39612 0 362670 0 0 Edward L Jones MD 0 288206 0 25916 0 1938 0 0 0 39612 0 355672 0 0 Joseph A Scopelliti MD 0 444822 0 135996 0 2375 0 0 0 32862 0 616055 0 0 Craig Faerber 0 371248 0 153281 0 1204 0 0 0 43751 0 569484 0 0 Francis Pinkosky 0 210566 0 48151 0 533 0 0 0 43751 0 303001 0 0 Carol Koenecke-Grant 235306 0 36091 0 8964 0 0 0 4018 0 284379 0 0 0 Dale Swingle 170511 0 32886 0 200 0 0 0 29766 0 233363 0 0 0 Donna Watson 125484 0 24916 0 45 0 0 0 25259 0 175704 0 0 0 Minhphuong Dang 184993 0 34216 0 0 0 0 0 25027 0 244236 0 0 0 Michele Sisto 122794 0 24916 0 0 0 0 0 31090 0 178800 0 0 0 Marie Droege 299678 0 52604 0 0 0 0 0 16268 0 368550 0 0 114988 PART 1 LINE 1A GROSS-UP PAYMENTS ARE PERIODICALLY PROVIDED TO EMPLOYEES. ALL PAYMENTS ARE MADE PURSUANT TO WRITTEN ORGANIZATIONAL POLICIES. PART 1 LINE 3 EXECUTIVE COMPENSATION IS GENERALLY ESTABLISHED WITHIN A WRITTEN EMPLOYMENT AGREEMENT. COMPENSATION IS DETERMINED BASED ON MARKET STUDIES, PRESENTED TO THE EXECUTIVE COMPENSATION COMMITTEE, AND SUBSEQUENTLY APPROVED BY THE BOARD OF DIRECTORS. SHELLI RIPIC SPOUSE OF BOARD MEMBER 124561 EMPLOYMENT false JOAN CAREY SPOUSE OF BOARD MEMBER 13863 EMPLOYMENT false DAVID SCOPELLITI Related to Board Member 259142 Employment false VICKY DETRICK RELATED TO KEY EMPLOYEE 55596 EMPLOYMENT false FORM 990 PART IV LINE 12 The organization's financial statements were audited on a consolidated basis with Guthrie Health and Affiliates. FORM 990 PART IV LINE 6 GUTHRIE HEALTHCARE IS A NONPROFIT, NONSTOCK CORPORATION WITH NO MEMBERS. FORM 990 PART IV LINE 7A GUTHRIE HEALTHCARE SYSTEM BOARD OF DIRECTORS ARE APPOINTED BY EXISTING MEMBERS OF THE BOARD. FORM 990 PART IV LINE 7B PURSUANT TO THE ALIGNMENT AGREEMENT, GUTHRIE HEALTH HAS APPROVAL RIGHTS OF CERTAIN GUTHRIE HEALTHCARE SYSTEM BOARD DECISIONS. FORM 990 PART VI LINE 11A The organization's Form 990 is presented to the Board of Directors for review and is also reviewed by 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 & 15B EXECUTIVE 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 LINE 18 THE ORGANIZATION'S FORMS 1023, 990, AND 990-T ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. FORM 990 PART VI LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. form 990 PART VII SECTION A AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS MARK STENSAGER, PRESIDENT & CEO, 40 HOURS, KEVIN V. CAREY, MD, MEMBER-BOD, 40 HOURS, EDWARD L. JONES, MD, MEMBER-BOD, 40 HOURS, JOSEPH A. SCOPELLITI, MD MEMBER-BOD, 40 HOURS, CRAIG FAEBER, CFO, 40 HOURS, MARIE DROEGE, COO, 40 HOURS, FRANCIS PINKOSKY, SENIOR VICE PRESIDENT, 40 HOURS, CAROL KOENECKE-GRANT, SR. VP, STRATEGIC PLAN & IMPL, 40 HOURS. FORM 990 PART XII LINE 2b THE ORGANIZATION'S FINANCIAL STATEMENTS WERE AUDITED ON A CONSOLIDATED BASIS WITH GUTHRIE HEALTH AND AFFILIATES. FORM 990 PART X TAX EXEMPT BONDS GUTHRIE HEALTHCARE SYSTEM has been allocated certain proceeds of tax-exempt bonds that were issued to Guthrie Health (EIN: 23-3055017). As such, all of the tax-exempt bond reporting for Guthrie Health and its affiliates has been made on Guthrie Health's Form 990. FORM 990 PART XI LINE 5 EQUITY TRANSFER TO/FROM AFFILIATES (26,383,577) PENSION ADJUSTMENT 1,390,633 NET ASSETS RELEASED FROM RESTRICTION (55,900) NET REALIZED AND UNREALIZED GAIN/LOSS ON INVESTMENTS 15,906,579 INTEREST & DIVIDENT INCOME ON INVESTMENTS (105,804) SAYRE HOUSE OF HOPE ONE GUTHRIE SQUARE SAYRE PA 18840 203979472 HEALTH CARE PA 501 (c)(3) 7 NA true ROBERT PACKER HOSPITAL ONE GUTHRIE SQUARE SAYRE PA 18840 240795463 HEALTH CARE PA 501 (c)(3) 3 NA true DONALD GUTHRIE FDN FOR EDUC & RESEARCH 200 SOUTH WILBUR AVENUE SAYRE PA 18840 246022957 MED RESEARCH PA 501 (c)(3) 4 NA true ROBERT PACKER HOSPITAL SCHOOL OF NURSING 200 SOUTH WILBUR AVENUE SAYRE PA 18840 236408773 EDUCATION PA 501 (c)(3) 2 NA true TROY COMMUNITY HOSPITAL INC 100 JOHN STREET TROY PA 16947 240800337 HEALTH CARE PA 501 (c)(3) 3 NA true TIOGA HEALTHCARE FACILITY ONE GUTHRIE SQUARE SAYRE PA 18840 150532257 HEALTH CARE NY 501 (c)(3) 3 NA true SAYRE HOUSE INC 1001 NORTH ELMER AVENUE SAYRE PA 18840 231643404 NURSING FAC PA 501 (c)(3) 9 NA true GUTHRIE HOME CARE RR1 BOX 154 TOWANDA PA 18848 232394345 HOME HEALTH PA 501 (c)(3) 9 NA true GUTHRIE CORNING DEVELOPMENT COMPANY INC 176 DENISON PARKWAY E CORNING NY 14830 161594628 SUPPORTING NY 501 (c)(3) 11B TYPE II NA true GUTHRIE RISK RETENTION GROUP 151 MEETING STREET CHARLESTON SC 29401 201090801 SUPPORTING SC 501 (c)(3) 11A TYPE 1 NA true TIOGA NURSING FACILITY ONE GUTHRIE SQUARE SAYRE PA 18840 222979677 NURSING FAC NY 501 (c)(3) 3 NA true GUTHRIE CLINIC LTD ONE GUTHRIE SQUARE SAYRE PA 18840 250815795 HEALTH CARE PA 501 (c)(3) 3 NA true DARWAY NURSING HOME INC ONE GUTHRIE SQUARE SAYRE PA 18840 231733967 NURSING FAC PA 501 (c)(3) 9 NA true CORNING HOSPITAL 176 DENISON PARKWAY E CORNING NY 14830 160393490 HEALTH CARE NY 501 (c)(3) 3 NA true GUTHRIE HEALTH ONE GUTHRIE SQUARE SAYRE PA 18840 233055017 SUPPORTING PA 501 (c)(3) 11B TYPE II NA false GUTHRIE SAME DAY SURGERY CTR INC ONE GUTHRIE SQUART SAYRE PA 18840 020551081 AMBULATORY CA PA 501 (c)(3) 9 NA true TWIN TIER MANAGEMENT CORP INC PO BOX 310 SAYRE PA 18840 232209439 MANAGEMENT PA NA C-CORP 5907461 5406163 1.00000 true true false true false false false false true true true true false true false false false false ROBERT PACKER HOSPITAL A 59592 PER AGREEMENT ROBERT PACKER HOSPITAL B 664025 PER AGREEMENT GUTHRIE HOME CARE K 246745 PER AGREEMENT TWIN TIER MANAGEMENT CORP INC A 14302 PER AGREEMENT GUTHRIE SAME DAY SURGERY CENTER INC A 203842 PER AGREEMENT SAYRE HOUSE OF HOPE A 10376 PER AGREEMENT GUTHRIE CORNING DEVELOPMENT COMPANY A 73403 PER AGREEMENT ROBERT PACKER SCHOOL OF NURSING J 176113 PER AGREEMENT DONALD GUTHRIE FDN FOR EDUCATION & RESEARCH J 514144 PER AGREEMENT DONALD GUTHRIE FDN FOR EDUCATION & RESEARCH K 103411 PER AGREEMENT TROY COMMUNITY HOSPITAL K 1066447 PER AGREEMENT SAYRE HOUSE INC K 276868 PER AGREEMENT GUTHRIE SAME DAY SURGERY CENTER INC K 223426 PER AGREEMENT CORNING HOSPITAL K 4392961 PER AGREEMENT ROBERT PACKER HOSPITAL K 15167293 PER AGREEMENT TWIN TIER MANAGEMENT K 465799 PER AGREEMENT ROBERT PACKER HOSPITAL L 96926 ACTUAL COST SAYRE HOUSE INC R 88952 ACTUAL COST ROBERT PACKER HOSPITAL R 140308 ACTUAL COST ROBERT PACKER HOSPITAL N 209454 PER AGREEMENT GUTHRIE CLINIC LTD A 2694878 PER AGREEMENT GUTHRIE CLINIC LTD B 25827004 PER AGREEMENT GUTHRIE CLINIC LTD D 53008214 PER AGREEMENT GUTHRIE CLINIC LTD K 13339459 CONTRACTU AGREE GUTHRIE CLINIC LTD N 2506281 ACTUAL COST GUTHRIE CLINIC LTD L 54631 CONTRACTU AGREE GUTHRIE CLINIC LTD I 1357720 PER AGREEMENT ROBERT PACKER HOSPITAL I 59572 PER AGREEMENT TWIN TIER MANAGEMENT CORP INC I 14302 PER AGREEMENT