2015-05-12T15:10:13-05:00 2014-06-30 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1700 PHILADELPHIA PA 19103 990 2013-07-01 250815795 Guthrie Medical Group PC % MICHELE Y SISTO GUTH 5708885858 Guthrie Square Suite Sayre PA 18840 FREDERICK BLOOM JR PRESIDENT 5708874625 2015-05-08 true MATTHEW D PETROSKI P00853132 5708874625 2013 2016-03-07 17:11:31Z Bloom Fredrick MD 1 GUTHRIE SQUARE SAYRE PA 18840 306096726 false X www.guthrie.org X 1987 PA PROVISION OF MEDICAL CARE FOR THE BENEFIT OF THE COMMUNITY. OF THE COMMUNITY. TOTAL ENCOUNTERS IN WHICH PATIENTS WERE TREATED TOTALED 1,127,979. 9 0 1921 40 281 -67364 44482 38852 225699205 227357834 2115534 1963547 -921410 -852062 226937811 228508171 15925 16250 0 0 165750187 172787336 0 0 0 95812134 90597387 261578246 263400973 -34640435 -34892802 117135267 114230223 165537957 169670763 -48402690 -55440540 X The Guthrie Clinic is a nonprofit health care organization incorporated for the purpose of conducting exclusively charitable, scientific and educational activities. The Guthrie Clinic (TGC) acts as the parent of an integrated Section 501(c)(3) health care delivery system, consisting of the corporation and other directly and indirectly controlled entities (See Form 990, Schedule R, for a listing of the affiliates of TGC) including but not limited to Guthrie Medical Group, P.C.(GMG) and Robert Packer Hospital (RPH). Through the activities of GMG, RPH and its other affiliates (collectively referred to as "Guthrie"), The Guthrie Clinic provides charitable community-based health care services and programs to improve the health and well-being of the people and communities served by its facilities and providers. These charitable activities include providing primary care and specialty physician services, as well as operating a tertiary care teaching hospital, community hospitals, a research in false false 210759546 16250 225307834 PROVISION OF MEDICAL CARE FOR THE BENEFIT OF THE COMMUNITY. TOTAL ENCOUNTERS IN WHICH PATIENTS WERE TREATED TOTALING: 1,127,979 5506039 2050000 EDUCATION- TO ESTABLISH, CONDUCT, MAINTAIN, AND OPERATE EDUCATIONAL PROGRAMS, COURSES AND STUDIES, INCLUDING WITHOUT LIMITATION, FELLOWSHIPS, AND GRADUATE EDUCATION AND MEDICAL RESEARCH. 216265585 true false false true false false false false false true true false true false true true false true false false false true false false false false false false true true false false false false false false true false false false false false false true true true false false true 14 0 true 1921 true false false false false false false false false false false X 9 0 true false true false true true true true true false false true true true true true true true false false NY PA X MICHELE Y SISTO 5708874625 GUTHRIE SQUARE SAYRE PA 18440 X Francis Belardi MD President 39.8 0.2 X X 417208 0 41496 Douglas Trostle MD Chair - BOD 39.0 1.0 X 589274 0 46080 Edward Jones MD Secretary - BOD 35.7 4.3 X 329060 0 41496 Thomas Vandermeer MD Treasurur - BOD 38.0 2.0 X 447897 0 46080 Matthew Estill MD Member - BOD 40.0 0.0 X 265703 0 43443 Robert Larson MD Member - BOD 40.0 0.0 X 337789 0 46080 Thomas McDonald MD Member - BOD 39.7 0.3 X 582269 0 46080 David Pfisterer MD Member - BOD 39.0 1.0 X 412189 0 46080 Rodrigo Samodal MD Member - BOD 40.0 0.0 X 265165 0 46080 Thomas Yaeger MD MEMBER - BOD 40.0 0.0 X 240833 0 39638 Timothy Entry CFO 40.0 0.0 X 226262 0 43676 Daniel Brown MD Chairman - Anesthesiology 38.0 2.0 X 427922 0 46080 Dwight David Stapleton Chairman - Medicine 40.0 0.0 X 413689 0 46080 David Channin MD Chairman - Radiology 14.0 26.0 X 471039 0 46080 Philip Lowry MD Section Chief - Hema/Oncology 40.0 0.0 X 350469 0 46080 J Michael Scalzone MD Vice President Medical Affairs 40.0 0.0 X 319382 0 46080 Ram Sharma MD Chairman - Guthrie Health CME 40.0 0.0 X 294707 0 46080 David Scopelliti MD Section Chief - Dentistry 40.0 0.0 X 219429 0 40412 Carlos Garcia MD Section Chief - Hospitalists 40.0 0.0 X 219993 0 41487 Daniel Sporn MD Section Chief - Cardiology 38.0 2.0 X 568499 0 46080 Paul Chacona Senior Vice President 39.7 0.3 X 285483 0 41496 Staci Thompson Exec VP & COO 40.0 0.0 X 231505 0 38321 Thomas Collins Director - Regional Ops/Mkt St 40.0 0.0 X 165504 0 28564 Lynne Yaeger VP Med Srv/Dir Cardiac Srv Ln 39.0 1.0 X 181990 0 17310 Lisa Grazul Administrative Director 40.0 0.0 X 154215 0 7711 Dermot Reynolds MD Physician 40.0 0.0 X 1286643 0 46080 Terence Devine MD Physician 39.0 1.0 X 931425 0 46080 Pramod Deshmukh MD Physician 40.0 0.0 X 861174 0 46080 William Ward MD Physician 40.0 0.0 X 733450 0 25908 Paul Granet MD Physician 40.0 0.0 X 589689 0 46080 Jospeh Scopelliti MD Former President 0.0 0.0 X 830697 0 41496 13650553 0 1275814 374 true true false Weatherby Locum Inc PO Box 972633 DALLAS TX 75397 Physician Services 1943028 CompHealth Medical Staffing PO Box 281923 DALLAS TX 75397 PHYSICIAN SERVICES 1255294 Retterer and Sons Cleaning 566 St RT 414 BEAVER DAMS NY 14812 Housekeeping 559713 Med-Link Staffing Inc 163 Hampton Point Drive Suite 3 ST AUGUSTINE FL 32092 Physician Services 505097 Streeter Associates Inc PO Box 118 ELMIRA NY 14901 Laboratory 465828 25 38852 38852 NET PATIENT SERVICE REVENUE 622110 138836102 138836102 RENT INCOME EXEMPT PURPOSES 622110 560153 560153 MEDICARE/MEDICAID PAYMENTS 622110 87961579 87961579 227357834 1039758 1039758 0 0 67926 67645 281 0 281 281 78218507 226193 77439981 80929 778526 145264 923789 923789 0 0 0 INTEREST INCOME - NOTES REC. 622110 4786 4786 LOSS ON SALE OF DERIVATIVE INSTRUMENT 622110 -857129 -857129 -852343 228508171 227357834 281 1111204 0 16250 16250 0 0 9279641 7195364 2084277 0 138079274 129504659 8574615 5590072 5007380 582692 11975802 10332263 1643539 7862547 6901585 960962 5309095 -1303201 6612296 283662 283662 1527430 1527430 0 0 0 12234001 8780943 3453058 6352 5103 1249 4573948 2477181 2096767 5574366 649889 4924477 0 10545000 1639652 8905348 1526031 1383441 142590 0 67894 2404 65490 3566110 3566110 0 5385061 3427890 1957171 7223419 8449179 -1225760 CORPORATE TAXES 5680 5680 CAFETERIA/CATERING 216662 159942 56720 MEDICAL SUPPLY EXPENSE 31022643 31061276 -38633 ALL OTHER EXPENSE 1530033 574385 955648 263400973 216265585 47135388 0 14790 15140 8414201 6503077 7095 4925 20497219 20679625 6185 0 0 0 44373 135428 1982584 1670915 2352963 2981956 84758336 61382138 26147767 23376198 0 0 0 0 51530445 55372312 0 0 6137645 3490647 117135267 114230223 33122356 33034394 0 0 572578 437998 0 0 0 0 0 0 37009193 40914990 0 0 94833830 95283381 165537957 169670763 X -48449885 -55512873 47195 72333 0 0 -48402690 -55440540 117135267 114230223 X -34892802 3096182 24758770 X false true X true false X false false false false false false false false true 3025 3025 INDIRECT LOBBYING MEMBER OF AMERICAN MEDICAL GROUP ASSOCIATION, ESTIMATE OF 20% OF DUES ATTRIBUTED TO LOBBYING ACTIVITIES. false 36790 33157 10614 59333 27466 23127 13803 36790 26379 18160 17073 27466 17789 19954 11364 26379 17886 7299 7396 17789 1.00000 false false 988507 988507 39969657 30064459 9905198 3667843 2064673 1603170 37220686 27095344 10125342 2911643 2157662 753981 23376198 CONSTRUCTION FUND 6 F SELF INSURANCE TRUST FUND 55372306 F 55372312 0 DEFERRED LIABILITY 12506 PROFESSIONAL LIABILITY RESERVE 48240717 WORKERS COMP RESERVE 3203748 SWAP CONTRACT PAYABLE 3641627 LOAN PAY GH - TAX EXEMPT BONDS 40070514 DEFERRED RENT 114269 95283381 X SCHEDULE D PART V LINE 4 FUNDS ARE DONATED TO HELP CANCER PATIENTS OFFSET UNEXPECTED FINANCIAL DIFFICULTIES RELATED TO THEIR ILLNESS. SCHEDULE D PART X LINE 2 THE CORPORATION HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATION AND HAS CONCLUDED THAT AS OF JUNE 30, 2014, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. true EDUCATIONAL AID SCHOLARSHIPS AND AWARDS 50 16250 SCHEDULE I, PART I LINE 2 and PART III LINE 1 PART I LINE 2 GRANTS TO INDIVIDUALS IN THE UNITED STATES PART III, LINE 1 HEALTH PROFESSION SCHOLARSHIPS (10 AWARDED) ARE AVAILABLE TO HIGH SCHOOL SENIORS. TO BE ELIGIBLE, THE SENIOR MUST PLAN TO ENTER AN ACCREDITED COLLEGE, UNIVERSITY, HOSPITAL BASED NURSING OR ALLIED HEALTH PROGRAM, WITH CAREERS IN HEALTH PROFESSIONS, INCLUDING HOSPITAL ADMINISTRATION OR A PLANNED CAREER IN MEDICAL RESEARCH. GUTHRIE EMPLOYEE SCHOLARSHIPS (3 AWARDED) ARE OFFERED TO CHILDREN OF FULL-TIME EMPLOYEES OF GUTHRIE. SENIORS MUST PLAN TO ATTEND AN ACCREDITED COLLEGE OR UNIVERSITY. ANY CAREER INTEREST IS ALLOWED. X true true X X X X false false false false false false false false false Francis Belardi MD President 363827 0 52607 0 774 0 33000 0 8496 0 458704 0 Douglas Trostle MD Chair - BOD 527895 0 59660 0 1719 0 33000 0 13080 0 635354 0 Edward Jones MD Secretary - BOD 311604 0 15500 0 1956 0 33000 0 8496 0 370556 0 Thomas Vandermeer MD Treasurur - BOD 447897 0 0 0 33000 0 13080 0 493977 0 Matthew Estill MD Member - BOD 220353 0 45250 0 100 0 30362 0 13080 0 309145 0 Robert Larson MD Member - BOD 325289 0 12500 0 0 33000 0 13080 0 383869 0 Thomas McDonald MD Member - BOD 575148 0 0 7121 0 33000 0 13080 0 628349 0 David Pfisterer MD Member - BOD 265289 0 25000 0 121900 0 33000 0 13080 0 458269 0 Rodrigo Samodal MD Member - BOD 236665 0 28500 0 0 33000 0 13080 0 311245 0 Thomas Yaeger MD MEMBER - BOD 238877 0 0 1956 0 31142 0 8496 0 280471 0 Timothy Entry CFO 202259 0 24003 0 0 30596 0 13080 0 269938 0 Daniel Brown MD Chairman - Anesthesiology 409053 0 18869 0 0 33000 0 13080 0 474002 0 Dwight David Stapleton Chairman - Medicine 388489 0 25200 0 0 33000 0 13080 0 459769 0 David Channin MD Chairman - Radiology 430539 0 40500 0 0 33000 0 13080 0 517119 0 Philip Lowry MD Section Chief - Hema/Oncology 349413 0 0 1056 0 33000 0 13080 0 396549 0 J Michael Scalzone MD Vice President Medical Affairs 305266 0 12500 0 1616 0 33000 0 13080 0 365462 0 Ram Sharma MD Chairman - Guthrie Health CME 280039 0 0 14668 0 33000 0 13080 0 340787 0 David Scopelliti MD Section Chief - Dentistry 219429 0 0 0 27331 0 13080 0 259840 0 Carlos Garcia MD Section Chief - Hospitalists 205810 0 14183 0 0 28406 0 13080 0 261479 0 Daniel Sporn MD Section Chief - Cardiology 562003 0 6496 0 0 33000 0 13080 0 614579 0 Paul Chacona Senior Vice President 252912 0 32571 0 0 33000 0 8496 0 326979 0 Staci Thompson Exec VP & COO 207931 0 23474 0 100 0 25241 0 13080 0 269826 0 Thomas Collins Director - Regional Ops/Mkt St 153619 0 11258 0 627 0 15483 0 13080 0 194067 0 Lynne Yaeger VP Med Srv/Dir Cardiac Srv Ln 169965 0 11885 0 140 0 17310 0 0 0 199300 0 Lisa Grazul Administrative Director 143549 0 10666 0 0 0 7711 0 0 0 161926 0 Dermot Reynolds MD Physician 805737 0 480906 0 0 33000 0 13080 0 1332723 0 Terence Devine MD Physician 904409 0 0 27016 0 33000 0 13080 0 977505 0 Pramod Deshmukh MD Physician 855081 0 0 6093 0 33000 0 13080 0 907254 0 William Ward MD Physician 688007 0 45000 0 443 0 12500 0 13408 0 759358 0 Paul Granet MD Physician 589689 0 0 0 33000 0 13080 0 635769 0 Jospeh Scopelliti MD Former President 722532 0 105373 0 2792 0 33000 0 8496 0 872193 0 PART I LINE 1a AND LINE 3 PART I LINE 1A GROSS-UP PAYMENTS ARE PERIODICALLY PROVIDED TO EMPLOYEES. ALL PAYMENTS ARE MADE PURSUANT TO WRITTEN ORGANIZATIONAL POLICIES. PART I LINE 3 EXECUTIVE COMPENSATION IS ESTABLISHED WITHIN A WRITTEN EMPLOYMENT AGREEMENT. COMPENSATION IS DETERMINED BASED ON MARKET STUDIES, PRESENTED TO THE GUTHRIE CLINIC COMPENSATION COMMITTEE, AND SUBSEQUENTLY APPROVED BY THE BOARD OF DIRECTORS. AN ANNUAL REVIEW OF GUTHRIE MEDICAL GROUP'S COMPENSATION IS CONDUCTED BY AN OUTSIDE CONSULTING FIRM. AN ANNUAL REVIEW OF PHYSICIAN COMPENSATION IS CONDUCTED BY AN OUTSIDE CONSULTING FIRM. 0 DAVID SCOPELLITI Related to former Preside 259841 EMPLOYMENT false CHARLENE TALENTI Related to former board m 35545 EMPLOYMENT false LYNNE YAEGER Spouse of Board Member 199299 EMPLOYMENT false JOSEPH SCOPELLITI Related to Key Employee 764028 EMPLOYMENT false THOMAS YEAEGER Spouse of Key Employee 280470 EMPLOYMENT false FORM 990 PART IV LINE 12B The organization's financial statements were audited on a consolidated basis with The Guthrie Clinic and Affiliates. Form 990 Part VI Line 4 In November 2013, a structure plan was approved and Guthrie Medical Group, P.C. was recapitalized with a single physician nominally holding all shares, and with reserved parental power residing with The Guthrie Clinic (TGC), parent of the integrated health system. Additionally, in order to effectuate the single physician shareholder structure, all existing shareholders surrendered their shares and approved the issuance of new shares to the single shareholder pursuant to the Shareholder Control Agreement with TGC. Form 990 Part VI Line 6 Guthrie Medical Group, P.C. is a nonprofit professional corporation, each of the share holders being physicians licensed to practice medicine or surgery. Form 990 Part VI Line 7a Pursuant to the Shareholder Control Agreement, The Guthrie Clinic holds parental powers. Form 990 Part VI Line 7b Pursuant to the Alignment Agreement, The Guthrie Clinic has approval rights of certain Guthrie Medical Group, P.C. Board decisions. Form 990 Part VI Line 11a The Form 990 OF THE ORGANIZATION is presented to the Board of Directors for review and is also reviewed by THE ORGANIZATION'S FINANCE PERSONNEL AND AN INDEPENDENT ACCOUNTING FIRM prior to filing with the IRS. Form 990 Part VI Line 12c The Conflict of Interest Disclosure Policy sets forth that all persons, including employees, agents and Board/Committee members, particularly those involved in decision-making for The Guthrie Clinic (TGC), act in an appropriate manner and will not participate in any actions that might create a personal or professional conflict of interest and/or not be in the best interest of TGC. All Members of any TGC Board/Committee and TGC senior management must make full disclosure of any possible conflict of interest through the use of the Conflict of Interest Disclosure Form and refrain from voting or participating in decision-making involving any possible conflict of interest. The form is distributed to all Board/Committee members, and employees (when applicable) annually by the TGC Administration office. TGC Board/Committee members or employees must complete the Conflict of Interest Disclosure Form. This form should be completed when there is any situation where a possible conflict of interest exists, and/or on an annual basis and/or at the time of appointment or election of new Board/Committee members. If the form is not completed within 13 months of the last signing, the TGC Board Chairman will be advised. Any individual having a conflict of interest or possible conflict of interest on any matter should excuse themselves from the portion of the meeting or meetings where the matter is discussed and not vote or use his or her personal influence on the matter. The minutes of the meeting or meetings should reflect the disclosure, the abstention from voting, and any action taken to determine whether a conflict of interest existed. Form 990 Part VI Lines 15a & 15b 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 Line 18 The organization's Form 1023, 990, and 990-T are available for public inspection upon request. Form 990 Part VI Line 19 The organization does not make its governing documents, conflict of interest policy, and financial statements available to the public. Form 990 Part XI Line 5 Net Unrealized Gains on investments (3,096,163.11) and an entry to prior year accumulated earnings (19.50). Form 990 Part XI Line 9 Other changes in net assets or fund balances are due to Equity Transfers $24,758,770. Form 990 Part XII Line 2b The organization's financial statements were audited on a consolidated basis with The Guthrie Clinic and Affiliates. THE GUTHRIE CLINIC ONE GUTHRIE SQUARE SAYRE PA 18840 233055017 SUPPORTING PA 501 (C)(3) 11C-III-FI NA false GUTHRIE HEALTHCARE SYSTEM ONE GUTHRIE SQUARE SAYRE PA 18840 232200910 SUPPORTING PA 501 (C)(3) 11C-III-FI TGC true ROBERT PACKER HOSPITAL ONE GUTHRIE SQUARE SAYRE PA 18840 240795463 HEALTH CARE PA 501 (C)(3) 3 TGC true ROBERT PACKER SCHOOL OF NURSING 200 SOUTH WILBUR AVENUE SAYRE PA 18840 236408773 EDUCATION PA 501 (C)(3) 2 TGC true DONALD GUTHRIE FOUNDATION FOR EDUCATION 200 SOUTH WILBUR AVENUE SAYRE PA 18840 246022957 MED RESEARCH PA 501 (C)(3) 4 TGC true TROY COMMUNITY HOSPITAL INC 275 GUTHRIE DRIVE TROY PA 16947 240800337 HEALTH CARE PA 501 (C)(3) 3 TGC true TIOGA HEALTHCARE FACILITY ONE GUTHRIE SQUARE SAYRE PA 18840 150532257 HEALTH CARE NY 501 (C)(3) 3 TGC true TIOGA NURSING FACILITY ONE GUTHRIE SQUARE SAYRE PA 18840 222979677 NURSING FAC NY 501 (C)(3) 3 TGC true DARWAY NURSING HOME INC ONE GUTHRIE SQUARE SAYRE PA 18840 231733967 NURSING FAC PA 501 (C)(3) 9 TGC true SAYRE HOUSE INC 1001 NORTH ELMER AVE SAYRE PA 18840 231643404 NURSING FAC PA 501 (C)(3) 9 TGC true GUTHRIE HOME CARE 421 TOMAHAWK ROAD TOWANDA PA 18848 232394345 HOME HEALTH PA 501 (C)(3) 9 TGC true GUTHRIE SAME DAY SURGERY CENTER INC ONE GUTHRIE SQUARE SAYRE PA 18840 020551081 AMBULATORY NY 501 (C)(3) 9 TGC true SAYRE HOUSE OF HOPE ONE GUTHRIE SQUARE SAYRE PA 18840 203979472 HEALTH CARE PA 501 (C)(3) 7 TGC true CORNING HOSPITAL 1 GUTHRIE DRIVE CORNING NY 14830 160393490 HEALTH CARE NY 501 (C)(3) 3 TGC true GUTHRIE RISK RETENTION GROUP 151 MEETING STREET CHARLESTON SC 29401 201090801 SUPPORTING SC 501 (C)(3) 11A - I TGC true TWIN TIER MANAGEMENT CORP INC PO BOX 310 SAYRE PA 18840 232209439 MANAGEMENT CONSUL PA NA C CORP true true false true false true true true false true true true true false true true true true false CORNING HOSPITAL L 3505270 CONTRACT AGREE CORNING HOSPITAL M 229585 CONTRACT AGREE CORNING HOSPITAL K 152657 CONTRACT AGREE GUTHRIE HEALTHCARE SYSTEM O 2267760 ACTUAL COST THE GUTHRIE CLINIC O 1510443 ACTUAL COST GUTHRIE HEALTHCARE SYSTEM C 14000000 PER AGREEMENT THE GUTHRIE CLINIC C 10758770 PER AGREEMENT GUTHRIE HEALTHCARE SYSTEM E 59035663 PER AGREEMENT THE GUTHRIE CLINIC E -956442 PER AGREEMENT GUTHRIE HEALTHCARE SYSTEM K 2607851 PER AGREEMENT THE GUTHRIE CLINIC K 2094292 PER AGREEMENT GUTHRIE HEALTHCARE SYSTEM L 9236 CONTRACT AGREE THE GUTHRIE CLINIC L 24874 CONTRACT AGREE GUTHRIE HEALTHCARE SYSTEM M 7413935 CONTRACT AGREE THE GUTHRIE CLINIC M 4010488 CONTRACT AGREE GUTHRIE HEALTHCARE SYSTEM A 10884 PER AGREEMENT THE GUTHRIE CLINIC A 7775 PER AGREEMENT GUTHRIE HEALTHCARE SYSTEM P 1491559 PER AGREEMENT THE GUTHRIE CLINIC P 1189871 PER AGREEMENT ROBERT PACKER HOSPITAL J 713195 CONTRACT AGREE ROBERT PACKER HOSPITAL P 1008597 DIRECT COST EXP ROBERT PACKER HOSPITAL Q 87798 ACTUAL COST ROBERT PACKER HOSPITAL K 874599 CONTRACT AGREE ROBERT PACKER HOSPITAL L 19484462 CONTRACT AGREE ROBERT PACKER HOSPITAL M 1433401 CONTRACT AGREE ROBERT PACKER HOSPITAL R 321874 ACTUAL COST DONALD GUTHRIE FOUNDATION L 91043 CONTRACT AGREE TROY COMMUNITY HOSPITAL L 1050492 CONTRACT AGREE