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GUTHRIE MEDICAL GROUP PC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
GUTHRIE MEDICAL GROUP PC (EIN 25-0815795)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-14
IRS object ID
201211359349301606
Schema version
2010v3.7
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)
Timestamp2012-05-14T13:37:12-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

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 Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN250815795EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Guthrie Clinic LTDBusinessNameLine1
FieldValueIRS element (for citing)
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 Signed2012-05-08DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone2673303000Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJOSEPH SCOPELLITI MDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1GUTHRIE SQUAREAddressLine1
CitySAYRECity
StatePAState
ZIP Code18840ZIPCode
FieldValueIRS element (for citing)
Gross Receipts300801432GrossReceipts
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 1,132,269.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees1773TotalNbrEmployees
Total Nbr Volunteers37TotalNbrVolunteers
Total Gross UBI4908TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year35244ContributionsGrantsPriorYear
Contributions Grants Current Year72990ContributionsGrantsCurrentYear
Program Service Revenue Prior Year208759424ProgramServiceRevenuePriorYear
Program Service Revenue CY220880827ProgramServiceRevenueCY
Investment Income Prior Year4232188InvestmentIncomePriorYear
Investment Income Current Year1870292InvestmentIncomeCurrentYear
Other Revenue Prior Year-2190761OtherRevenuePriorYear
Other Revenue Current Year224575OtherRevenueCurrentYear
Total Revenue Prior Year210836095TotalRevenuePriorYear
Total Revenue Current Year223048684TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year15925GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY15600GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year140366479SalariesEtcPriorYear
Salaries Etc Current Year150747107SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year90337680OtherExpensePriorYear
Other Expenses Current Year96793085OtherExpensesCurrentYear
Total Expenses Prior Year230720084TotalExpensesPriorYear
Total Expenses Current Year247555792TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-19883989RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-24507108RevenuesLessExpensesCY
Total Assets BOY91429351TotalAssetsBOY
Total Assets EOY108061206TotalAssetsEOY
Total Liabilities BOY138501363TotalLiabilitiesBOY
Total Liabilities EOY151436663TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-47072012NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-43375457NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
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
Expense198053331Expense
Grants15600Grants
Revenue218890827Revenue
DescriptionPROVISION OF MEDICAL CARE FOR THE BENEFIT OF THE COMMUNITY. TOTAL ENCOUNTERS IN WHICH PATIENTS WERE TREATED: 1,132,269Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense5416675Expense
Grants0Grants
Revenue1990000Revenue
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 Of Other Program Service Exp0TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev0TotalOfOtherProgramServiceRev
Total Program Service Expense203470006TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
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 AssetsfalseReportOtherAssets
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 ArtfalseDeductibleContributionsOfArt
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 With10961NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1773NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
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 (46 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Joseph Scopelliti MD
President40.0XX583193032862
Robert Cohen MD
MEMBER - BOD40.0X382426039612
Daniel P Sporn MD
MEMBER - BOD40.0X562670043752
David Talenti MD
Treasurer - BOD40.0X488312043752
Thomas Vandermeer MD
Member - BOD40.0X375470043752
Thomas Yaeger MD
Member - BOD40.0X227424038963
Edward Jones MD
SECRETARY - BOD40.0X316060039612
Douglas Trostle MD
Member - BOD40.0X531729043752
Mark Mauer MD
Member - BOD40.0X358068039612
David Pfisterer MD
CHAIR - BOD40.0X295649043752
Rodrigo Samodal MD
Member - BOD40.0X212876040990
Paul Chacona
Senior Vice President40.0274406039626X
Francis Belardi MD
Executive VP Clinical Affairs40.0365307039612X
Thomas Collins
Director - Regional Ops/Mkt St40.0153638027628X
Staci Thompson
VP Med Srv/Dir Oncology Srv Ln40.0159334028956X
Lynne Yaeger
VP Med Srv/Dir Cardiac Srv Ln40.0163428016177X
Daniel Brown MD
Chairman - Anesthesiology40.0452152043752X
Joseph Bifano MD
Interim Chairman - Radiology40.0472515043752X
Dwight David Stapleton MD
Chairman - Medicine40.0416190043752X
Kishore Harjai MD
Director - Cardiac Cath Lab40.0627023043752X
S Bryan Rouse MD
Chairman - OB-GYN - Sayre40.0301621039612X
Richard Rohr MD
Section Chief, Hospitalists40.0230627015550X
David Sciortino MD
Section Chief, Hematology/Onco40.0341436039547X
Craig Faerber
CFO40.0525733043751X
Julie Godfrey
Acting CFO40.0010120417562X
David Scopelliti MD
Section Chief, Dentistry40.0218917040225X
Philip Lowry MD
Section Chief, Hema/Oncology40.0133197011869X
Timothy Entry
CFO40.07556007945X
Lisa Grazul
Administrative Director40.082023016603X
Dermot ReynoldsMD
Physician40.01123463043752X
Terece Devine MD
Physician40.0909450043752X
Pramod Deshmukh MD
Physician40.0821483043752X
Tony Pasquale MD
Physician40.0923830043752X
Carson Thompson MD
Physician40.0726958039612X
Ferrol Lee MD
Physician40.0272028039612X
Vance Good MD
Physician40.0273613039846X
Anthony Gillott MD
Physician40.0261670043752X
Hal Sussman MD
Physician40.0497955043752X
Surya Narayanan MD
Physician40.0319268039612X
Thomas McDonald MD
Physician40.0556120043752X
Narayan Deshmukh MD
Physician40.05262502631X
George Pokorny MD
Physician40.0341153043752X
Hari Sharma MD
Physician40.0298785043752X
Kevin Carey MD
Physician40.0323058039612X
Felice Reitknecht MD
Physician40.0427627039612X
Burdett Porter MD
Physician40.0358590043752X
FieldValueIRS element (for citing)
Total Reportable Comp From Org17814660TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs101204TotalReportableCompFrmRltdOrgs
Total Other Compensation1688139TotalOtherCompensation
Number Individuals GT100 K313NumberIndividualsGT100K
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 TRANSCRIPTION904876
STAFF CARE INC
PO BOX 281923ATLANTAGA303841923PHYSICIAN SERVICES652034
COMPHEALTH MEDICAL STAFFING
PO BOX 972670DALLASTX753972670MED TRANSCRIPTION606853
VIRTUAL RADIOLOGIC PROFESSION
DEPT 7067CAROL STREAMIL601227067PHYSICIAN SERVICES519283
QUEST DIAGNOSTIC
2249 COLLECTION CENTER DRIVECHICAGTOIL60611LAB SERVICES347201
FieldValueIRS element (for citing)
Number Of Contractors GT100 K22NumberOfContractorsGT100K
Federated Campaigns0FederatedCampaigns
Membership Dues0MembershipDues
Fundraising Events0FundraisingEvents
Related Organizations0RelatedOrganizations
Government Grants0GovernmentGrants
All Other Contributions72990AllOtherContributions
Noncash Contributions0NoncashContributions
Total Contributions72990TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT SERVICE REVENUE6211101411545551411496474908
RENT INCOME EXEMPT PURPOSES6211106695066950
MEDICARE/MEDICAID PAYMENTS6211107965932279659322
FieldValueIRS element (for citing)
Total Program Service Revenue220880827TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1073738TotalRevenueColumn
Exclusion$1,073,738ExclusionAmount

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)
Securities78490722Securities
Other58580Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities77692742Securities
Other60006Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities797980Securities
Other-1426Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column796554TotalRevenueColumn
Exclusion$796,554ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events0GrossIncomeFundraisingEvents
Fundraising Direct Expenses0FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Gaming0GrossIncomeGaming
Gaming Direct Expenses0GamingDirectExpenses

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 (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
INTEREST INCOME - NOTES REC.90009915774$15,774
CHANGE IN DERIVATIVE INSTRUMENT900099-1016454-$1,016,454
GAIN ON RETIREMENT OF DEBT9000991225255$1,225,255
FieldValueIRS element (for citing)
Total Other Revenue224575TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column223048684TotalRevenueColumn
Related Or Exempt Function Income220875919RelatedOrExemptFunctionIncome
Unrelated Business Revenue4908UnrelatedBusinessRevenue
Exclusion$2,094,867ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total15600Total
Program Services15600ProgramServices

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)
Total10438268Total
Program Services7683722ProgramServices
Management And General2754546ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total118514393Total
Program Services111963274ProgramServices
Management And General6551119ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total4884662Total
Program Services4416470ProgramServices
Management And General468192ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total10175292Total
Program Services8697659ProgramServices
Management And General1477633ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total6734492Total
Program Services5937497ProgramServices
Management And General796995ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total5533507Total
Program Services0ProgramServices
Management And General5533507ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total905196Total
Program Services26562ProgramServices
Management And General878634ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total1340645Total
Program Services0ProgramServices
Management And General1340645ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total10308160Total
Program Services7832420ProgramServices
Management And General2475740ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total23996Total
Program Services15176ProgramServices
Management And General8820ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total36510470Total
Program Services34810125ProgramServices
Management And General1700345ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total8526972Total
Program Services402478ProgramServices
Management And General8124494ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total6048970Total
Program Services823674ProgramServices
Management And General5225296ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1263098Total
Program Services1051380ProgramServices
Management And General211718ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total134527Total
Program Services103003ProgramServices
Management And General31524ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2232751Total
Program Services0ProgramServices
Management And General2232751ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4990065Total
Program Services2706769ProgramServices
Management And General2283296ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total10485655Total
Program Services8965103ProgramServices
Management And General1520552ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
CORPORATE TAXES566205662
BAD DEBT68027316938006-135275
CAFETERIA/CATERING16218310535756826
ALL OTHER EXPENSES1518497975731542766

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total247555792Total
Program Services203470006ProgramServices
Management And General44085786ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY13730BOY
EOY14380EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4964560BOY
EOY9519690EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY19667586BOY
EOY19684281EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY51323BOY
EOY35873EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY171973BOY
EOY124984EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1392390BOY
EOY1336133EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1516060BOY
EOY1810255EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis76961432LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec52003944LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY23145399BOY
EOY24957488EOY

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)
BOY38695337BOY
EOY49188569EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1810993BOY
EOY1389553EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY91429351BOY
EOY108061206EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY27118942BOY
EOY30986498EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY679454BOY
EOY780384EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

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)
BOY26755822BOY
EOY33883750EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY83947145BOY
EOY85786031EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY138501363BOY
EOY151436663EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-47089800BOY
EOY-43401836EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY17788BOY
EOY26379EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-47072012BOY
EOY-43375457EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY91429351BOY
EOY108061206EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-24507108ReconcilationRevenueExpenses
Reconcilation Other Changes28203663ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
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 Exmpt Function Expenditures0TotalExmptFunctionExpenditures
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 Minus10CurrentYearMinus1
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
Non Ded Lobby Political Total0NonDedLobbyPoliticalTotal
Taxable$0TaxableAmount

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
Beginning Balance0BeginningBalance
Ending Balance0EndingBalance
Included On FSfalseIncludedOnFS

Current Year CurrentYear

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

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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 Basis37544294OtherCostOrOtherBasis
Depreciation25346541Depreciation
Book Value12197753BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis2227865OtherCostOrOtherBasis
Depreciation1362573Depreciation
Book Value865292BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis33263253OtherCostOrOtherBasis
Depreciation23831596Depreciation
Book Value9431657BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis2914513OtherCostOrOtherBasis
Depreciation1463234Depreciation
Book Value1451279BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings24957488TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
CONSTRUCTION FUND1172489F
SELF INSURANCE TRUST FUND48016080F
FieldValueIRS element (for citing)
Total Of Book Value Program Related49188569TotalOfBookValueProgramRelated
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
DEFERRED LIABILITY$13,118
PROFESSIONAL LIABILITY RESERVE$48,292,523
WORKERS COMP RESERVE$1,966,217
SWAP CONTRACT PAYABLE$3,461,530
LOAN PAY GH - TAX EXEMPT BONDS$31,969,175
DEFERRED RENT$83,468
FieldValueIRS element (for citing)
Total Of Amounts85786031TotalOfAmounts

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, 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.

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 Recipients48NumberOfRecipients
Amount Of Cash Grant15600AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierSCHEDULE I, PART I LINE 2 and PART IIIIdentifier
Return ReferenceGRANTS TO INDIVIDUALS IN THE UNITED STATESReturnReference
ExplanationPART I LINE 2 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 ENTER 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 ExceptiontrueInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (42 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
444822013599602375000328620616055000
Robert Cohen MD
3796000002826000396120422038000
Daniel P Sporn MD
5626700000000437520606422000
David Talenti MD
4803860007926000437520532064000
Ferrol Lee MD
2688080003220000396120311640000
Thomas Vandermeer MD
3754700000000437520419222000
Thomas Yaeger MD
2255850001839000389630266387000
Edward Jones MD
28820602591601938000396120355672000
Douglas Trostle MD
474590045000012139000437520575481000
Mark Mauer MD
3580680000000396120397680000
David Pfisterer MD
235067021250039332000437520339401000
Vance Good MD
2736130000000398460313459000
Anthony Gillott MD
2585900003080000437520305422000
Hal Sussman MD
4979550000000437520541707000
Surya Narayanan MD
3192680000000396120358880000
Thomas McDonald MD
5468590009261000437520599872000
Narayan Deshmukh MD
5262500000002631055256000
George Pokorny MD
3411530000000437520384905000
Hari Sharma MD
2826550100016030000437520342537000
Kevin Carey MD
3190470004011000396120362670000
Felice Reitknecht MD
4276270000000396120467239000
Burdett Porter MD
3585900000000437520402342000
Paul Chacona
22059605381000000396260314032000
Francis Belardi MD
2977660668310710000396120404919000
Thomas Collins
1409630121000575000276280181266000
Staci Thompson
145031014239064000289560188290000
Lynne Yaeger
1485720147340122000161770179605000
Daniel Brown MD
43885701329500000437520495904000
Joseph Bifano MD
42459004792500000437520516267000
Dwight David Stapleton MD
37619004000000000437520459942000
Kishore Harjai MD
503275012374800000437520670775000
S Bryan Rouse MD
2953710625000000396120341233000
Richard Rohr MD
2306270000000155500246177000
David Sciortino MD
3414360000000395470380983000
Craig Faerber
371248015328101204000437510569484000
Dermot ReynoldsMD
7648890358574000004375201167215000
Terece Devine MD
87104700038403000437520953202000
Pramod Deshmukh MD
8125900008893000437520865235000
Tony Pasquale MD
4205560486619016655000437520967582000
Rodrigo Samodal MD
2128760000000409900253866000
David Scopelliti MD
2189170000000402250259142000
Carson Thompson MD
479904000247054000396120766570000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierExplanationExplanation
PART 1 LINE 1A AND LINE 3PART 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.
PART I, LINE 8A BINDING WRITTEN CONTRACT HAS BEEN ENTERED INTO BY GUTHRIE CLINIC AND AN INDIVIDUAL REPORTED ON FORM 990, PART VII WHERE SUCH PERSON WAS NOT A DISQUALIFIED PERSON WITHIN THE MEANING OF INTERNAL REVENUE CODE SECTION 4958(F)(1) IMMEDIATELY PRIOR TO ENTERING INTO THE CONTRACT.

Schedule L IRS990ScheduleL

Loan Table LoanTable

FieldValueIRS element (for citing)
Name PersonDAVID A PFISTERER MDNamePerson
Purpose Of LoanEDUCATION LOANPurposeOfLoan
Loan From OrganizationXLoanFromOrganization
Original Principal$115,000OriginalPrincipalAmount
Balance Due35873BalanceDue
DefaultfalseDefault
Approved By BoardtrueApprovedByBoard
Written AgreementtrueWrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due35873TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (9 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
JOAN CAREY
SPOUSE OF BOARD MEMBER13863EMPLOYMENTfalse
DAVID SCOPELLITI
RELATED TO BOARD MEMBER259142EMPLOYMENTfalse
RACHEL LEE
SPOUSE OF BOARD MEMBER165219EMPLOYMENTfalse
CHARLENE TALENTI
RELATED TO BOARD MEMBER24881EMPLOYMENTfalse
DANIEL TALENTI
RELATED TO BOARD MEMBER140497EMPLOYMENTfalse
LYNN YAEGER
SPOUSE OF BOARD MEMBER179604EMPLOYMENTfalse
TINA COLLINS
SPOUSE OF KEY EMPLOYEE69594EMPLOYMENTfalse
LINDA BRINK
RELATIVE OF KEY EMPLOYEE47756EMPLOYMENTfalse
CAMELOT DEVELOPMENT GROUP
OWNED BY MARK MAUER281764RENTAL OFFICE SPACEfalse

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 2 Thomas Yaeger MD, Board of Directors member, is married to Lynn Yaeger, VP Med Serv/Director, Cardiac Service Line. 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 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 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. An annual review of Guthrie Clinic's Executive Officers and Physician Compensation is conducted by an outside consulting firm. 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 ($25,826,959) and an entry to prior year accumulative earnings (-$87,163), and unrealized gains ($2,463,867). Form 990 Part XII Line 2b The organization's financial statements were audited on a consolidated basis with Guthrie Health and Affiliates, 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.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 Income5907461ShareOfTotalIncome
Share Of EOY Assets5406163ShareOfEOYAssets
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 (18 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
GUTHRIE HEALTHCARE SYSTEM
c25827004PER AGREEMENT
GUTHRIE HEALTHCARE SYSTEM
e53008214PER AGREEMENT
GUTHRIE HEALTHCARE SYSTEM
j1357720PER AGREEMENT
GUTHRIE HEALTHCARE SYSTEM
k54631CONTRACT AGREE
GUTHRIE HEALTHCARE SYSTEM
l13339459CONTRACT AGREE
ROBERT PACKER HOSPITAL
j4477222CONTRACT AGREE
ROBERT PACKER HOSPITAL
k18467185CONTRACT AGREE
ROBERT PACKER HOSPITAL
l1291340CONTRACT AGREE
DONALD GUTHRIE FDN FOR EDUC AND RESEARCH
k63923CONTRACT AGREE
TROY COMMUNITY HOSPITAL INC
k979819CONTRACT AGREE
GUTHRIE SAME DAY SURGERY CENTER INC
k166186CONTRACT AGREE
CORNING HOSPITAL
j115143CONTRACT AGREE
CORNING HOSPITAL
k2435187CONTRACT AGREE
CORNING HOSPITAL
l109933CONTRACT AGREE
GUTHRIE HEALTHCARE SYSTEM
n2506281ACTUAL COST
ROBERT PACKER HOSPITAL
a6309CONTRACT AGREE
ROBERT PACKER HOSPITAL
p60012DIRECT COST EXP
ROBERT PACKER HOSPITAL
o916299DIRECT COST EXP