2014-05-14T10:13:10-05:00 2013-06-30 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1700 PHILADELPHIA PA 19103 990 2012-07-01 233055017 The Guthrie Clinic % MICHELE Y SISTO GUTH 5708874625 GUTHRIE SQUARE Suite SAYRE PA 18840 JOSEPH SCOPELLITI 5708872852 2014-05-07 2673303000 2012 2015-11-30 17:44:51Z JOSEPH SCOPELLITI MD GUTHRIE SQUARE SAYRE PA 18840 4234509 false X WWW.GUTHRIE.ORG X 2000 PA The Guthrie Clinic is dedicated to providing high-quality and accessible health care that meets the needs of the people and communities it serves. 14 8 0 9 0 0 0 0 60262 2242788 208334 0 2777995 2242788 3046591 0 0 0 0 0 0 0 0 0 0 17774 0 17774 2242788 3028817 196114248 213719101 192754643 207916055 3359605 5803046 THE GUTHRIE CLINIC IS A NONPROFIT HEALTH CARE ORGANIZATION THAT SERVES TO COORDINATE THE ACTIVITY OF GUTHRIE MEDICAL GROUP P.C. (GMG) AND THE AFFILIATES WITHIN 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 GMG, GHS, RPH, AND ITS OTHER AFFILIATES (COLLECTIVELY REFERRED TO AS "GUTHRIE"), THE GUTHRIE CLINIC PROVIDES CHARITABLE COMMUNITY-BASED HEALTH CARE SERVICES AND PROGRAMS TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE AND COMMUNITIES SERVED BY ITS FACILITIES AND PROVIDERS. THESE CHARITABLE ACTIVITIES INCLUDE PROVIDING PRIMARY CARE AND SPECIALTY PHYSICIAN SERVICES, AS WELL AS OPERATING A TERTIARY CARE TEACHING HOSPITAL, COMMUNITY HOSPITALS, A RESEARCH INSTITUTE, HOME CARE, HOSPICE CARE AND A LONG-TERM CARE FACILITY. THE GUTHRIE RESEARCH INSTITUTE AND GUTHRIE CLINICAL RESEARCH FUNCTIONS OF THE GUTHRIE FOUNDATION (RESEARCH INSTITUTE), A SUBSIDIARY OF GHS, FURTHERS THESE false false 60262 Operating Revenue true false false false false false false false false false false false true true true false true false false false false false false false false false false false true true false false false false false false false false true false false false false false false true true false false false true 0 0 true 0 false false false false false false false false false false X 14 8 false false false false true true false true true false false true true true true true true true true false PA X MICHELE Y SISTO 5708874625 ONE GUTHRIE SQUARE SAYRE PA 18840 Michael W Donnelly 1.0 1.0 X X 0 0 0 Terrance M Devine MD 1.0 39.0 X X 0 911305 45270 William H Ransom III 1.0 2.0 X X 0 0 0 Edward L Jones MD 1.0 39.0 X X 0 340537 41079 Joseph A Scopelliti MD 1.0 39.0 X X 0 742755 41079 Kyra H Bannister MD 1.0 39.0 X 0 331949 45270 PHILIP J ROCHE ESQUIRE 1.0 2.0 X 0 0 0 JOSEPH R JOYCE JR 1.0 2.0 X 0 0 0 H EUGENE LINDSEY MD 1.0 0.0 X 0 0 0 Kenneth R Levitzky Esquire 1.0 3.0 X 0 0 0 DONALD HARTMAN 1.0 0.0 X 0 0 0 David Pfisterer MD 1.0 39.0 X 0 282116 45270 Douglas Trostle MD 1.0 39.0 X 0 591707 45270 ETHAN ARNOLD 1.0 0.0 X 0 0 0 Richard Bennett 1.0 39.0 X 0 202691 0 0 3403060 263238 0 false true false NONE 0 0 OPERATING REVENUE 900099 60262 60262 60262 91213 91213 0 0 0 0 0 1305039 1187918 117121 117121 117121 0 0 0 GAIN IN DERIVATIVE INSTRUMENT 900099 2777995 2777995 2777995 3046591 60262 2986329 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 338 338 0 0 0 0 0 0 17436 17436 0 0 0 17774 0 17774 0 0 232 0 0 0 0 0 0 0 0 0 0 0 0 0 0 779061 767508 0 0 0 2020715 5527808 0 0 0 0 193314472 207423553 196114248 213719101 524643 515940 0 0 0 0 192230000 206470510 0 0 0 0 0 0 0 0 0 929605 192754643 207916055 X 3359605 5803046 0 0 0 0 3359605 5803046 196114248 213719101 3028817 -573827 -11549 X false true X true false X 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 INC 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 GUTHRIE SAME DAY SURGERY CENTER INC 020551081 04 true true true 0 GUTHRIE MEDICAL GROUP PC 250815795 03 true true true 0 SAYRE HOUSE OF HOPE 203979472 03 true true true 0 13 false RELATED PARTY RCVBL-CURRENT 6285000 TRUSTEE HELD FUNDS 7500 SELF INSURED TRUST FUNDS 0 CAPITAL SUBLEASE RCVBL-NET CUR 200185510 SWAP CONTRACT RECEIVABLE 945543 207423553 0 SWAP CONTRACT PAYABLE 33057 DEFERRED REVENUE FINANCING COSTS GH 2012 732433 DEFERRED LIABILITY CAP INTEREST 2012 164115 929605 X SCHEDULE D PART X LINE 2 THE CORPORATION HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATION AND HAS CONCLUDED THAT AS OF JUNE 30, 2013, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. false false false false false false false false false Terrance M Devine MD 0 886778 0 0 0 24527 0 32750 0 12520 0 956575 0 0 Edward L Jones MD 0 311338 0 27228 0 1971 0 32750 0 8329 0 381616 0 0 Joseph A Scopelliti MD 0 573633 0 166577 0 2545 0 32750 0 8329 0 783834 0 0 Kyra H Bannister MD 0 306549 0 25400 0 0 0 32750 0 12520 0 377219 0 0 David Pfisterer MD 0 256466 0 18750 0 6900 0 32750 0 12520 0 327386 0 0 Douglas Trostle MD 0 532230 0 55115 0 4362 0 32750 0 12520 0 636977 0 0 Richard Bennett 0 202691 0 0 0 0 0 0 0 0 0 202691 0 0 PART I, LINE 3 QUESTIONS REGARDING COMPENSATION EXECUTIVE COMPENSATION IS ESTABLISHED WITHIN A WRITTEN EMPLOYMENT AGREEMENT. FOR NON-PHYSICIAN OFFICERS OF THE ORGANIZATION, COMPENSATION IS DETERMINED BASED ON MARKET STUDIES, PRESENTED TO THE GUTHRIE CLINIC COMPENSATION COMMITTEE, AND SUBSEQUENTLY APPROVED BY THE BOARD OF DIRECTORS. THE PHYSICIAN OFFICERS AND DIRECTORS OF THE ORGANIZATION ARE COMPENSATED BY GUTHRIE MEDICAL GROUP P.C. FOR THEIR PROFESSIONAL ROLE IN THE GUTHRIE MEDICAL GROUP (I.E. CHAIRMAN OF SURGERY, ETC.) COMPENSATION FOR THOSE INDIVIDUALS IS DETERMINED BASED ON MARKET STUDIES, PRESENTED TO THE GUTHRIE MEDICAL GROUP P.C. AND THE GUTHRIE CLINIC COMPENSATION COMMITTEES, AND SUBSEQUENTLY APPROVED BY THE GUTHRIE MEDICAL GROUP P.C. BOARD OF DIRECTORS. ALSO, AN ANNUAL REVIEW OF GUTHRIE MEDICAL GROUP P.C.'S EXECUTIVE OFFICER AND PHYSICIAN COMPENSATION IS CONDUCTED BY AN OUTSIDE CONSULTING FIRM. NO COMPENSATION WAS PAID BY THE GUTHRIE CLINIC. A Healthcare Facilities Auth of Sayre 236633733 805777JA8 2007-04-03 187445000 Refund bonds -2/14/02 & 3/27/02 true false false B Central Bradford Progress Authority 232735865 152691AP6 2011-09-08 103722134 See Part VI false false false C Central Bradford Progress Authority 232735865 2012-10-18 50000000 See Part VI false false false A 103395000 0 222433593 0 9954 0 1727367 0 0 0 220696271 0 2007 false true true true B 230000 0 103791411 0 8342608 0 1694525 0 0 69896384 11521578 12336316 true false false true C 0 0 20270510 0 0 0 341075 0 0 19929435 0 0 false false false true A 0 B false true true false false 0.00020 0.00020 false false false true C false false false false false 0.00000 0.00000 0.00000 false false false true A false false false true true true SE PART VI 24.7 true false false 0 false true B false true true false false false 0 false 0 false true C false true false false true false 0 false 0 false true A true B true C true PART I, ROW B, COLUMN F: 0 CONSTRUCT FACILITY AND REFUND PRIOR ISSUES (2/14/2002 & 4/3/2007). PART I, ROW C, COLUMN F: 0 CONSTRUCT FACILITIES PART II, LINE 3: 0 COLUMN A & B: THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART Part IV, COLUMN A, LINE 4b: 0 Part IV, Arbitrage, Line 2c: 0 DAVID SCOPELLITI RELATED TO BOARD MEMBER 261570 EMPLOYMENT false SCHEDULE O SUPPLEMENTAL INFORMATION DISCLOSURES Form 990 Part III Line 1 The Guthrie Clinic is a nonprofit Health Care organization that serves to coordinate the activities of Guthrie Medical Group P.C.(GMG) 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 GMG, GHS, RPH and its other affiliates (collectively referred to as "Guthrie"), The Guthrie Clinic provides charitable community-based healthcare services and programs to improve the health and well-being of the people and communities served by its facilities and providers. Prior to 2/1/14, The Guthrie Clinic was called Guthrie Health. 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 Section A Line 6 As of 6/30/13 Guthrie Healthcare System and GMG are the sole members of The Guthrie Clinic. Form 990 Part VI Section A Line 7a As of 6/30/13 Guthrie Healthcare System and GMG appoint the members of The Guthrie Clinic Board of Directors. The Guthrie Clinic board became self perpetuating as of 2/1/14. Form 990 Part VI Section B Line 11a & 11b - The organization's Form 990 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 Section B 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 Section B Line 15a and 15b Executive compensation is generally 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. The Physician Officers and Directors of the Organization are compensated by GMG, as described on the form 990 for the GMG. Compensation for these individuals is determined based on market studies, presented to the GMG and The Guthrie Clinic Compensation Committees, and subsequently approved by the GMG Board of Directors. Also, an annual review of GMG's Executive Officer 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 Section C Line 19 The organization does not make its governing documents and conflict of interest policy available to the public. The Organization makes its financial statements available through the Electronic Municipal Market Access website. Form 990 Part X Balance Sheet Activity - In 2001, Guthrie Medical Group P.C. (GMG) and Guthrie Healthcare System (GHS) entered into an alignment agreement that brought the two health care institutions together under the sole membership of a Non-Profit Organization called The Guthrie Clinic. The Guthrie Clinic has direct oversight of both GMG and GHS and is responsible for the overall strategic, financial, and operational direction of the Organization. As of 2/1/14, GHS merged into The Guthrie Clinic. Form 990 Part XII Line 2b The organization's financial statements were audited on a consolidated basis with The Guthrie Clinic and Affiliates. GUTHRIE HEALTHCARE SYSTEM ONE GUTHRIE SQUARE SAYRE PA 18840 232200910 SUPPORTING PA 501(c)(3) 11C - III TGC true GUTHRIE MEDICAL GROUP PC GUTHRIE SQUARE SAYRE PA 18840 250815795 HEALTH CARE PA 501(c)(3) 3 TGC true ROBERT PACKER HOSPITAL ONE GUTHRIE SQUARE SAYRE PA 18840 240795463 HEALTH CARE PA 501(c)(3) 3 GHS true DONALD GUTHRIE FOUNDATION 200 SOUTH WILBUR AVENUE SAYRE PA 18840 246022957 MED RESEARCH PA 501(c)(3) 4 GHS true ROBERT PACKER SCHOOL OF NURSING 200 SOUTH WILBUR AVENUE SAYRE PA 18840 236408773 EDUCATION PA 501(c)(3) 2 GHS true TROY COMMUNITY HOSPITAL INC 100 JOHN STREET TROY PA 16947 240800337 HEALTH CARE PA 501(c)(3) 3 GHS true TIOGA HEALTHCARE FACILITY ONE GUTHRIE SQUARE SAYRE PA 18840 150532257 HOUSING NY 501(c)(3) 3 GHS true SAYRE HOUSE INC 1001 NORTH ELMER AVENUE SAYRE PA 18840 231643404 NURSING FAC PA 501(c)(3) 9 GHS true GUTHRIE HOME CARE RR1 BOX 154 TOWANDA PA 18848 232394345 HOME HEALTH PA 501(c)(3) 9 GHS true GUTHRIE CORNING DEVELOPMENT COMPANY INC 176 DENISON PARKWAY E CORNING NY 14830 161594628 SUPPORTING NY 501(c)(3) 11B TYPE II GHS true GUTHRIE SAME DAY SURGERY CENTER INC ONE GUTHRIE SQUARE SAYRE PA 18840 020551081 AMBULATORY NY 501(c)(3) 9 GHS true GUTHRIE RISK RETENTION GROUP 151 MEETING STREET CHARLESTON SC 29401 201090801 SUPPORTING SC 501(c)(3) 11A TYPE 1 TGC true TIOGA NURSING FACILITY ONE GUTHRIE SQUARE SAYRE PA 18840 222979677 NURSING FAC NY 501(c)(3) 3 GHS true DARWAY NURSING HOME INC ONE GUTHRIE SQUARE SAYRE PA 18840 231733967 NURSING FAC PA 501(c)(3) 9 GHS true CORNING HOSPITAL 176 DENISON PARKWAY E CORNING NY 14830 160393490 HEALTH CARE NY 501(c)(3) 3 GHS true SAYRE HOUSE OF HOPE ONE GUTHRIE SQUARE SAYRE PA 18840 203979472 HEALTH CARE PA 501(c)(3) 7 GHS true TWIN TIER MANAGEMENT CORP INC PO BOX 310 SAYRE PA 18840 232209439 MANAGEMENT PA NA C CORP -147851 5228139 1.00000 true false false false false false false false false false false false false false true false false false false