2011-05-13T15:26:50-05:00 2010-06-30 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1700 PHILADELPHIA PA 19103 990 2009-07-01 250815795 Guthrie Clinic LTD GUTH 5708885858 Guthrie Square Sayre PA 18840 JOSEPH SCOPELLITI 2011-05-10 true 2673303000 2009 2016-02-24 21:20:13Z JOSEPH SCOPELLITI MD GUTHRIE SQUARE SAYRE PA 18840 271129898 false X www.guthrie.org X 1987 PA PROVISION OF MEDICAL CARE FOR THE BENEFIT OF THE COMMUNITY. TOTAL ENCOUNTERS IN WHICH PATIENTS WERE TREATED TOTALLED 1,092,888. 9 0 1676 55 3125 -18507 193912 35244 196699128 208759424 -1213390 4232188 -1733339 -2190761 193946311 210836095 16250 15925 0 0 133367725 140366479 0 0 0 94604926 90337680 227988901 230720084 -34042590 -19883989 84328454 91429351 128218099 138501363 -43889645 -47072012 GUTHRIE 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 ED false false 184707919 15925 206769424 PROVISION OF MEDICAL CARE FOR THE BENFIT OF THE COMMUNITY. TOTAL ENCOUNTERS IN WHICH PATIENTS WERE TREATED (1,092,888). 5279559 0 1990000 EDUCATION- TO ESTABLISH, CONDUCT, MAINTAIN, AND OPERATE EDUCATIONAL PROGRAMS, COURSES, AND STUDIES, INCLUDING WITHOUT LIMITATION, FELLOWSHIPS, AND GRADUATE EDUCATION AND MEDICAL RESEARCH. 0 0 0 189987478 true false false true false false false false true true false true false false false false false false false false false false true true false false false true false true true true false false false false false true false false false true 1 0 true 1676 true true true false false false false false false false false 9 0 true false false false true true true true true false false true true true true true true true false false NY PA X MICHELE SISTO 5708874625 GUTHRIE SQUARE SAYRE PA 18440 Joseph Scopelliti MD 40.0 X X 540222 0 43062 Robert Cohen MD 40.0 X 549688 0 43062 Daniel P Sporn MD 40.0 X 731102 0 43062 David Talenti MD 40.0 X 485946 0 43062 Ferrol Lee MD 40.0 X 273104 0 38770 Tomas Vandermeer MD 40.0 X 375957 0 43062 Thomas Yaeger MD 40.0 X 227176 0 35902 Edward Jones MD 40.0 X 315733 0 38770 Douglas Trostle MD 40.0 X 524957 0 43062 Mark Mauer MD 40.0 X 375113 0 43062 David Pfisterer MD 40.0 X 265718 0 38739 Paul Chacona 40.0 X 277879 0 38784 Francis Belardi MD 40.0 X 352631 0 38770 Mark Jenkins 40.0 X 132381 0 10896 Thomas Collins 40.0 X 158897 0 27817 Staci Thompson 40.0 X 166185 0 29702 Lynne Yaeger 40.0 X 165606 0 16244 Daniel Brown MD 40.0 X 464257 0 43062 Joseph Bifano MD 40.0 X 477533 0 43062 Dwight David Stapleton MD 40.0 X 415657 0 43062 Kishore Harjai MD 40.0 X 789318 0 43062 S Bryan Rouse MD 40.0 X 303993 0 38770 Richard Rohr MD 40.0 X 215615 0 3989 David Sciortino MD 40.0 X 248702 0 8374 Craig Faerber 40.0 X 491711 0 43062 Dermot ReynoldsMD 40.0 X 918233 0 43062 Terece Devine MD 40.0 X 886783 0 43062 Pramod Deshmukh MD 40.0 X 786366 0 43062 Tony Pasquale MD 40.0 X 637818 0 36068 Barry Esrig MD 40.0 X 629221 0 41633 Vance Good MD 40.0 X 214544 0 38474 Anthony Gillott MD 40.0 X 275324 0 43062 Hal Sussman MD 40.0 X 495569 0 43062 Surya Narayanan MD 40.0 X 346405 0 38770 Thomas McDonald MD 40.0 X 566308 0 43062 George Pokorny MD 40.0 X 427756 0 43062 Hari Sharma MD 40.0 X 297431 0 43062 Kevin Carey MD 40.0 X 314956 0 38770 Felice Reitknecht MD 40.0 X 443757 0 43062 James Freiji MD 40.0 X 215452 0 33963 Burdett Porter MD 40.0 X 382903 0 43062 17163907 0 1540569 273 true true false WELLIVER MCGUIRE INC 250 N GENESEE ST MONTOUR FALLS NY 14865 CONSTRUCTION SERVICE 1222276 STAFF CARE INC PO BOX 281923 ATLANTA GA 303841923 PHYSICIAN SERVICES 1072781 NUANCE COMMUNICATIONS PO BOX 7247-6924 PHILADELPHIA PA 19170 MED TRANSCRIPTION 1019686 MORGAN LEWIS BROCKIUS 2000 ONE LOGAN SQUARE PHILADELPHIA PA 19103 LEGAL SERVICES 956134 WHITAKER MEDICAL LTD PO BOX 4346 HOUSTON TX 772104346 PHYSICIAN SERVICES 505194 30 0 0 0 0 0 35244 0 35244 NET PATIENT SERVICE REVENUE 621110 137176885 137173760 3125 RENT INCOME EXEMPT PURPOSES 621110 64258 64258 MEDICARE/MEDICAID PAYMENTS 621110 71518281 71518281 208759424 1413089 1413089 0 0 63080912 31990 60280208 13595 2800704 18395 2819099 2819099 0 0 0 0 0 0 0 INTEREST INCOME - NOTES REC. 900099 20557 20557 CHANGE IN DERIVATIVE INSTRUMENT 900099 -2211318 -2211318 -2190761 210836095 208756299 3125 2041427 0 15925 15925 0 0 10207352 7673504 2533848 0 110535554 104295572 6239982 4517138 4098228 418910 8821273 7585966 1235307 6285162 5527972 757190 4566379 4566379 700327 775 699552 1363051 1363051 0 0 0 10839228 8505612 2333616 143459 12057 131402 32858873 31130703 1728170 7930417 260948 7669469 0 5733222 682003 5051219 1288681 1069183 219498 0 128709 87909 40800 1864643 27164 1837479 0 4733064 2420595 2312469 0 8997367 7649654 1347713 CORPORATE TAXES 9385 9385 BAD DEBT 8126476 8007801 118675 CAFETERIA/CATERING 134810 78428 56382 ALL OTHER EXPENSES 919589 857479 62110 230720084 189987478 40732606 0 13905 13730 5960521 4964560 0 0 18438155 19667586 65987 51323 0 0 206426 171973 978921 1392390 1303964 1516060 71300648 48155249 23106411 23145399 0 0 0 0 32293109 38695337 0 0 1961055 1810993 84328454 91429351 26737371 27118942 404189 679454 0 0 0 0 17882166 26755822 0 0 83194373 83947145 128218099 138501363 X -43907531 -47089800 17886 17788 -43889645 -47072012 84328454 91429351 X false true true X false X false false false 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 0.00000 0.00000 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 0.00000 0.00000 0.00000 0.00000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 false false false false false false false false true 2450 2450 false 0 0 PART II-B, LINE 1J INDIRECT LOBBYING MEMBER OF AMERICAN MEDICAL GROUP ASSOCIATION, ESTIMATE OF 20% OF DUES ATTRIBUTE TO LOBBYING ACTIVITIES. 0 0 false 17886 7299 7396 17789 13584 129681 0 0 125380 17885 1.00000 false false 0 1011507 1011507 0 33647530 23776022 9871508 0 2199854 1214096 985758 0 30736725 21885125 8851600 0 3705032 1280006 2425026 23145399 CONSTRUCTION FUND 1172489 F SELF INSURANCE TRUST FUND 37522848 F 38695337 0 DEFERRED LIABILITY 13118 PROFESSIONAL LIABILITY RESERVE 43541416 WORKERS COMP RESERVE 1556789 SWAP CONTRACT PAYABLE 4234828 LOAN PAY GH - TAX EXEMPT BONDS 34600994 83947145 PART V, LINE 4 FUNDS ARE DONATED TO HELP CANCER PATIENTS OFFSET UNEXPECTED FINANCIAL DIFFICULTIES RELATED TO THEIR ILLNESS. true EDUCATIONAL AID SCHOLARSHIPS AND AWARDS 49 15925 SCHEDULE I, PART I LINE 2 and PART III GRANTS TO INDIVIDUALS IN THE UNITED STATES 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. X true true X X X X X false false false false false false false false true false Joseph Scopelliti MD 413851 0 124328 0 2043 0 0 0 43062 0 583284 0 0 0 Robert Cohen MD 544860 0 0 0 4828 0 0 0 43062 0 592750 0 0 0 Daniel P Sporn MD 557157 0 173945 0 0 0 0 0 43062 0 774164 0 0 0 David Talenti MD 478557 0 0 0 7389 0 0 0 43062 0 529008 0 0 0 Ferrol Lee MD 269917 0 0 0 3187 0 0 0 38770 0 311874 0 0 0 Tomas Vandermeer MD 375957 0 0 0 0 0 0 0 43062 0 419019 0 0 0 Thomas Yaeger MD 225351 0 0 0 1825 0 0 0 35902 0 263078 0 0 0 Edward Jones MD 288950 0 25040 0 1743 0 0 0 38770 0 354503 0 0 0 Douglas Trostle MD 474957 0 50000 0 0 0 0 0 43062 0 568019 0 0 0 Mark Mauer MD 337991 0 37122 0 0 0 0 0 43062 0 418175 0 0 0 David Pfisterer MD 244468 0 21250 0 0 0 0 0 38739 0 304457 0 0 0 Vance Good MD 214544 0 0 0 0 0 0 0 38474 0 253018 0 0 0 Anthony Gillott MD 258957 0 13070 0 3297 0 0 0 43062 0 318386 0 0 0 Hal Sussman MD 495569 0 0 0 0 0 0 0 43062 0 538631 0 0 0 Surya Narayanan MD 346405 0 0 0 0 0 0 0 38770 0 385175 0 0 0 Thomas McDonald MD 557226 0 0 0 9082 0 0 0 43062 0 609370 0 0 0 George Pokorny MD 427756 0 0 0 0 0 0 0 43062 0 470818 0 0 0 Hari Sharma MD 283497 0 0 0 13934 0 0 0 43062 0 340493 0 0 0 Kevin Carey MD 311239 0 0 0 3717 0 0 0 38770 0 353726 0 0 0 Felice Reitknecht MD 443757 0 0 0 0 0 0 0 43062 0 486819 0 0 0 James Freiji MD 215452 0 0 0 0 0 0 0 33963 0 249415 0 0 0 Burdett Porter MD 358957 0 23946 0 0 0 0 0 43062 0 425965 0 0 0 Paul Chacona 228539 0 48624 0 716 0 0 0 38784 0 316663 0 0 0 Francis Belardi MD 291726 0 60229 0 676 0 0 0 38770 0 391401 0 0 0 Thomas Collins 145955 0 12328 0 614 0 0 0 27817 0 186714 0 0 0 Staci Thompson 152721 0 13396 0 68 0 0 0 29702 0 195887 0 0 0 Lynne Yaeger 153121 0 12360 0 125 0 0 0 16244 0 181850 0 0 0 Daniel Brown MD 417332 0 46925 0 0 0 0 0 43062 0 507319 0 0 0 Joseph Bifano MD 390117 0 87416 0 0 0 0 0 43062 0 520595 0 0 0 Dwight David Stapleton MD 375657 0 40000 0 0 0 0 0 43062 0 458719 0 0 0 Kishore Harjai MD 504157 0 285161 0 0 0 0 0 43062 0 832380 0 0 0 S Bryan Rouse MD 303993 0 0 0 0 0 0 0 38770 0 342763 0 0 0 Richard Rohr MD 215615 0 0 0 0 0 0 0 3989 0 219604 0 0 0 David Sciortino MD 223702 0 25000 0 0 0 0 0 8374 0 257076 0 0 0 Craig Faerber 381458 0 109127 0 1126 0 0 0 43062 0 534773 0 0 0 Dermot ReynoldsMD 765256 0 152977 0 0 0 0 0 43062 0 961295 0 0 0 Terece Devine MD 853915 0 0 0 32868 0 0 0 43062 0 929845 0 0 0 Pramod Deshmukh MD 778957 0 0 0 7409 0 0 0 43062 0 829428 0 0 0 Tony Pasquale MD 357083 0 269379 0 11356 0 0 0 36068 0 673886 0 0 0 Barry Esrig MD 629221 0 0 0 0 0 0 0 41633 0 670854 0 0 0 PART 1 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 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 8 A 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. DAVID A PFISTERER MD EDUCATION LOAN X 115000 51323 false true true 51323 JOAN CAREY SPOUSE OF BOARD MEMBER 18503 EMPLOYMENT false DAVID SCOPELLITI RELATED TO BOARD MEMBER 265397 EMPLOYMENT false RACHEL LEE SPOUSE OF BOARD MEMBER 157850 EMPLOYMENT false CHARLENE TALENTI RELATED TO BOARD MEMBER 25162 EMPLOYMENT false DANIEL TALENTI RELATED TO BOARD MEMBER 124954 EMPLOYMENT false CAMELOT DEVELOPMENT GROUP OWNED BY MARK MAUER 281764 RENTAL OFFICE SPACE false SCHEDULE O SUPPLEMENTAL INFORMATION DISCLOSURES Form 990 Part IV Line 12 - The organization's financial statements were audited on a consolidated basis with Guthrie Health and Affiliates. Form 990 Part 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 organizations 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 11 - 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 and 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. 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 VI Section A Line 2 - Thomas Yaeger, MD Board Member and Lynn Yaeger, VP Med Services/Director of Cardiac Services - Family Relationship. Form 990 Part VII Section A - Average Hours per week devoted to Related Organizations - Craig Faerber, CFO - 25 hours. Form 990 Schedule D, Part X Due To Affiliates - Guthrie Clinic, LTD. has been allocated certain proceeds of tax-exempt bonds that were issued to Guthrie Health (EIN: 23-3055017). As such, all of the tax-exempt bond reporting for Guthrie Health and its affiliates has been made on Guthrie Health's Form 990. GUTHRIE HEALTH ONE GUTHRIE SQUARE SAYRE PA 18840 233055017 SUPPORTING PA 501(c)(3) 11B - II NA GUTHRIE HEALTHCARE SYSTEM ONE GUTHRIE SQUARE SAYRE PA 18840 232200910 SUPPORTING PA 501(c)(3) 11C - III NA ROBERT PACKER HOSPITAL ONE GUTHRIE SQUARE SAYRE PA 18840 240795463 HEALTH CARE PA 501(c)(3) 3 NA ROBERT PACKER SCHOOL OF NURSING 200 SOUTH WILBUR AVENUE SAYRE PA 18840 236408773 EDUCATION PA 501(c)(3) 2 NA DONALD GUTHRIE FOUNDATION FOR EDUCATION 200 SOUTH WILBUR AVENUE SAYRE PA 18840 246022957 MED RESEARCH PA 501(c)(3) 4 NA TROY COMMUNITY HOSPITAL INC 101 ELMIRA STREET TROY PA 16947 240800337 HEALTH CARE PA 501(c)(3) 3 NA TIOGA HEALTHCARE FACILITY ONE GUTHRIE SQUARE SAYRE PA 18840 150532257 HEALTH CARE NY 501(c)(3) 3 NA TIOGA NURSING FACILITY ONE GUTHRIE SQUARE SAYRE PA 18840 222979677 NURSING FAC NY 501(c)(3) 3 NA DARWAY NURSING HOME INC ONE GUTHRIE SQUARE SAYRE PA 18840 231733967 NURSING FAC PA 501(c)(3) 9 NA SAYRE HOUSE INC 1001 NORTH ELMER AVE SAYRE PA 18840 231643404 NURSING FAC PA 501(c)(3) 9 NA GUTHRIE HOME CARE 421 TOMAHAWK ROAD TOWANDA PA 18848 232394345 HOME HEALTH PA 501(c)(3) 9 NA GUTHRIE SAME DAY SURGERY CENTER INC ONE GUTHRIE SQUARE SAYRE PA 18840 020551081 AMBULATORY NY 501(c)(3) 9 NA GUTHRIE CORNING DEVELOPMENT COMPANY INC 176 DENISON PARKWAY E CORNING NY 14830 161594628 SUPPORT NY 501(c)(3) 11B - II NA SAYRE HOUSE OF HOPE ONE GUTHRIE SQUARE SAYRE PA 18840 203979472 HEALTH ACCESS PA 501(c)(3) 7 NA CORNING HOSPITAL 176 DENISON PARKWAY E CORNING NY 14830 160393490 HEALTH CARE NY 501(c)(3) 3 NA GUTHRIE RISK RETENTION GROUP 151 MEETING STREET CHARLESTON SC 29401 201090801 SUPPORTING SC 501(c)(3) 11A - I NA TWIN TIER MANAGEMENT CORP INC PO BOX 310 SAYRE PA 18840 232209439 MANAGEMENT PA NA C CORP 4870914 5551101 1.00000 false true true false true false false false true true true true false true false false false false