2013-05-14T13:26:22-05:00 2012-06-30 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1700 PHILADELPHIA PA 19103 990 2011-07-01 233055017 GUTHRIE HEALTH % MICHELE Y SISTO GUTH 5708874625 GUTHRIE SQUARE SAYRE PA 18840 Joseph Scopelliti 5708824312 2013-04-30 true 2673303000 2011 2016-02-24 21:20:13Z JOSEPH SCOPELLITI MD GUTHRIE SQUARE SAYRE PA 18840 3088491 false X WWW.GUTHRIE.ORG X 2000 PA Guthrie Health is dedicated to providing high-quality and accessible health care that meets the needs of the people and communities it serves. 16 9 0 9 0 0 0 0 0 0 2242788 0 0 0 2242788 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2242788 146244220 196114248 146234220 192754643 10000 3359605 X 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 SUBSIDIAR false false 0 0 0 - 0 true false false false false false false false false false false false true false 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 16 9 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 X Michael W Donnelly 1.0 X X 0 0 0 Terrance M Devine MD 1.0 X X 0 914072 44293 William H Ransom III 1.0 X X 0 0 0 Edward L Jones MD 1.0 X X 0 327082 40468 Mark Stensager 1.0 X X 0 584930 20218 Joseph A Scopelliti MD 1.0 X X 0 601261 40468 Kyra H Bannister MD 1.0 X 0 306730 44293 PHILIP J ROCHE ESQUIRE 1.0 X 0 0 0 JOSEPH R JOYCE JR 1.0 X 0 0 0 H EUGENE LINDSEY MD 1.0 X 0 0 0 Kenneth R Levitzky Esquire 1.0 X 0 0 0 A JOHN PECK JR ESQUIRE 1.0 X 0 0 0 DONALD HARTMAN 1.0 X 0 0 0 David Pfisterer MD 1.0 X 0 268599 44293 Douglas Trostle MD 1.0 X 0 484657 44293 ETHAN ARNOLD 1.0 X 0 0 0 Craig Faerber 1.0 X 0 372709 39397 0 3860040 317723 0 false true false NONE 0 0 0 9440 9440 0 0 3079051 845703 2233348 2233348 2233348 0 0 0 0 2242788 2242788 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 348644 779061 0 0 0 60576 2020715 0 0 0 0 145835000 193314472 146244220 196114248 409220 524643 0 0 0 0 132325000 192230000 0 0 0 0 0 0 0 0 13500000 0 146234220 192754643 X 10000 3359605 0 0 0 0 10000 3359605 146244220 196114248 X 2242788 1106817 X X false true true X 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 09 true true true 0 TROY COMMUNITY HOSPITAL 240800337 03 true true true 0 DARWAY NURSING HOME INC 231733967 09 true true true 0 SAYRE HOUSE INC 231643404 09 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 09 true true true 0 GUTHRIE CLINIC LTD 250815795 03 true true true 0 SAYRE HOUSE OF HOPE 203979472 07 true true true 0 13 false RELATED PARTY RCVBL-CURRENT 6030000 TRUSTEE HELD FUNDS 13 SELF INSURED TRUST FUNDS 0 CAPITAL SUBLEASE RCVBL-NET CUR 186200000 SWAP CONTRACT RECEIVABLE 1084459 193314472 0 OTHER PAYABLES 0 0 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, 2012, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. X true true X X X X false false false false false false false false false Terrance M Devine MD 0 875648 0 0 0 38424 0 0 0 44293 0 958365 0 0 Edward L Jones MD 0 300066 0 25000 0 2016 0 0 0 40468 0 367550 0 0 Mark Stensager 0 476009 0 98150 0 10771 0 0 0 20218 0 605148 0 0 Joseph A Scopelliti MD 0 486090 0 112499 0 2672 0 0 0 40468 0 641729 0 0 Kyra H Bannister MD 0 306730 0 0 0 0 0 0 0 44293 0 351023 0 0 David Pfisterer MD 0 234074 0 27625 0 6900 0 0 0 44293 0 312892 0 0 Douglas Trostle MD 0 473055 0 0 0 11602 0 0 0 44293 0 528950 0 0 Craig Faerber 0 214510 0 155881 0 2318 0 0 0 39397 0 412106 0 0 PART I, LINE 1A QUESTIONS REGARDING COMPENSATION GROSS-UP PAYMENTS ARE PERIODICALLY PROVIDED TO EMPLOYEES. ALL PAYMENTS ARE MADE PURSUANT TO WRITTEN ORGANIZATIONAL POLICIES. 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 EXECUTIVE COMPENSATION COMMITTEE, AND SUBSEQUENTLY APPROVED BY THE BOARD OF DIRECTORS. THE PHYSICIAN OFFICERS AND DIRECTORS OF THE ORGANIZATION ARE COMPENSATED BY THE GUTHRIE CLINIC. COMPENSATION FOR THOSE INDIVIDUALS IS DETERMINED BASED ON MARKET STUDIES, PRESENTED TO THE GUTHRIE CLINIC AND EXECUTIVE COMPENSATION COMMITTEES, AND SUBSEQUENTLY APPROVED BY THE GUTHRIE CLINIC BOARD OF DIRECTORS. ALSO, AN ANNUAL REVIEW OF GUTHRIE CLINIC'S EXECUTIVE OFFICER AND PHYSICIAN COMPENSATION IS CONDUCTED BY AN OUTSIDE CONSULTING FIRM. HEALTH CARE FACILITIES AUTHORITY OF SAYRE 236633733 805777JA8 2007-04-03 187455000 REFUND PRIOR ISSUES (2/14/02) & (3 true false false CENTRAL BRADFORD PROGRESS AUTHORITY 232735865 152691AP6 2011-09-08 103722134 SEE PART VI false false false 97595000 0 222433593 0 9954 0 1727367 0 0 0 220696271 0 2007 false true true true 0 0 103762546 0 3523265 0 1694525 0 0 53047660 11521578 33975518 true false false true 0 false true true false false 0.01700 0.01700 false false true true SEE PART VI 24.7 true false false 0 false false false false false 0 false 0 false true X PART I, ROW B, COLUMN(F): 0 CONSTRUCT FACILITY AND REFUND PRIOR ISSUES,(2/14/2002 & 4/3/2007). PART II, LINE 3 - 0 THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I,COLUMN(E) DUE TO INVESTMENT EARNINGS. PART IV, COLUMN A, LINE 3b: 0 J.P. MORGAN CHASE BANK, N.A. DAVID SCOPELLITI RELATED TO BOARD MEMBER 250212 EMPLOYMENT false SCHEDULE O SUPPLEMENTAL INFORMATION DISCLOSURES Form 990 Part III Line 1 Guthrie Health is a nonprofit Health Care organization that serves to coordinate the activities 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 healthcare services and programs to improve the health and well-being of the people and communities served by its facilities and providers. Form 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 Section A Line 6 Guthrie Healthcare System and Guthrie Clinic Ltd are the sole members of Guthrie Health. Form 990 Part VI Section A Line 7a Guthrie Healthcare System and Guthrie Clinic Ltd appoint the members of the Guthrie Health Board of Directors. 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 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 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 Executive Compensation Committee, and subsequently approved by the Board of Directors. The Physician Officers and Directors of the Organization are compensated by the Guthrie Clinic, as described on the form 990 for the Guthrie Clinic. Compensation for these individuals is determined based on market studies, presented to the Guthrie Clinic Executive Compensation Committee, and subsequently approved by the Guthrie Clinic Board of Directors. Also, an annual review of Guthrie Clinic'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, 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: Terence Devine, MD, Vice Chair - BOD/40 hours; Edward Jones, MD, Treasurer - BOD/40 hours; Mark Stensager, Co-CEO Admin Affairs/40 hours; Joseph Scopelliti, MD, Co-CEO Medical affairs/40 hours; Kyra H. Bannister, MD, Member - BOD/40 hours; David Pfisterer, MD, Member - BOD/40 hours; Douglas Trostle, MD, Member - BOD/40 hours; Craig Faerber, CFO/40 hours Form 990 Part X Balance Sheet Activity - In 2001, Guthrie Clinic Ltd (the "Clinic") 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 Guthrie Health. Guthrie Health has direct oversight of both the Clinic and GHS and is responsible for the overall strategic, financial, and operational direction of the Organization. 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 XI, Line 5 Unrealized Gains 22,358. Unrealized change in Derivative Instruments 1,089,459. GUTHRIE HEALTHCARE SYSTEM ONE GUTHRIE SQUARE SAYRE PA 18840 232200910 SUPPORTING PA 501(C((3) 11C - III GH true GUTHRIE CLINIC GUTHRIE SQUARE SAYRE PA 18840 250815795 HEALTH CARE PA 501(C)(3) 3 GH 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 GH 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 GHS C CORP 5781220 5453276 1.00000 false false false false false false false false false false false false false true false false false false