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Nonprofiteer
← GUTHRIE CORTLAND MEDICAL CENTER

Form 990 for tax year 2022

Filed by GUTHRIE CORTLAND MEDICAL CENTER.

Totals

Total revenue
$113,419,354
Total expenses
$121,765,073
Contributions and grants received
$1,457,319
Grants paid
$0
Program service revenue
$111,113,303
Investment income
$498,603
Other revenue
$350,129
Total assets, end of year
$254,020,038
Total liabilities, end of year
$190,705,080
Net assets or fund balances, end of year
$63,314,958
Program services expenses (Part IX)
$86,458,780
Management and general expenses
$35,306,293
Fundraising expenses
$0
Program service expenses (Part III)
$86,458,780

Program services were 71.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • PAUL G VERVALIN

    DIRECTOR - EVP/COO TGC

    Total calculated
    $730,576
    From this org
    $0
    From related orgs
    $645,540
    Other
    $85,036
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $484,690 related
    Bonus
    $0 + $109,037 related
    Other
    $0 + $51,813 related
    Deferred
    $0 + $66,054 related
    Nontaxable benefits
    $0 + $18,982 related
    Filer's total
    $0 + $730,576 related

  • MOHAMMAD ALI MD

    DIRECTOR (TERM 3/1/23)

    Total calculated
    $640,213
    From this org
    $0
    From related orgs
    $596,728
    Other
    $43,485
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $576,228 related
    Bonus
    $0
    Other
    $0 + $20,500 related
    Deferred
    $0 + $16,013 related
    Nontaxable benefits
    $0 + $27,472 related
    Filer's total
    $0 + $640,213 related

  • FRANCIS M MACAFEE

    CFO (7/1/22-12/31/22)

    Total calculated
    $367,382
    From this org
    $0
    From related orgs
    $328,800
    Other
    $38,582
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $294,250 related
    Bonus
    $0 + $34,550 related
    Other
    $0
    Deferred
    $0 + $19,825 related
    Nontaxable benefits
    $0 + $18,757 related
    Filer's total
    $0 + $367,382 related

  • JENNIFER YARTYM

    DIRECTOR - PRESIDENT

    Total calculated
    $324,231
    From this org
    $308,218
    From related orgs
    $0
    Other
    $16,013
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $265,508
    Bonus
    $42,710
    Other
    $0
    Deferred
    $16,013
    Nontaxable benefits
    $0
    Filer's total
    $324,231

  • BRANDON JOHNSON

    SR. DIR LONG TERM CARE

    Total calculated
    $259,982
    From this org
    $254,398
    From related orgs
    $0
    Other
    $5,584
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $246,898
    Bonus
    $7,500
    Other
    $0
    Deferred
    $5,584
    Nontaxable benefits
    $0
    Filer's total
    $259,982

  • JOSEPH JOHNSTON

    VICE PRESIDENT, OPERATIONS

    Total calculated
    $253,747
    From this org
    $218,936
    From related orgs
    $0
    Other
    $34,811
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $193,197
    Bonus
    $25,739
    Other
    $0
    Deferred
    $11,494
    Nontaxable benefits
    $23,317
    Filer's total
    $253,747

  • KANSAS UNDERWOOD

    VP NURSING/CNO

    Total calculated
    $245,529
    From this org
    $208,980
    From related orgs
    $0
    Other
    $36,549
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $191,395
    Bonus
    $17,585
    Other
    $0
    Deferred
    $10,971
    Nontaxable benefits
    $25,578
    Filer's total
    $245,529

  • LUKE ATWATER

    MANAGER, NURSING

    Total calculated
    $232,330
    From this org
    $228,897
    From related orgs
    $0
    Other
    $3,433
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $228,897
    Bonus
    $0
    Other
    $0
    Deferred
    $3,433
    Nontaxable benefits
    $0
    Filer's total
    $232,330

  • KATELYN BELCHER

    REGISTERED NURSE

    Total calculated
    $231,506
    From this org
    $212,575
    From related orgs
    $0
    Other
    $18,931
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $199,075
    Bonus
    $13,500
    Other
    $0
    Deferred
    $9,058
    Nontaxable benefits
    $9,873
    Filer's total
    $231,506

  • EDWARD BENDER

    RADIATION PHYSICIST

    Total calculated
    $226,670
    From this org
    $207,838
    From related orgs
    $0
    Other
    $18,832
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $207,838
    Bonus
    $0
    Other
    $0
    Deferred
    $10,911
    Nontaxable benefits
    $7,921
    Filer's total
    $226,670

  • HEATHER HOWELL

    REGISTERED NURSE

    Total calculated
    $224,111
    From this org
    $212,962
    From related orgs
    $0
    Other
    $11,149
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $211,462
    Bonus
    $1,500
    Other
    $0
    Deferred
    $9,971
    Nontaxable benefits
    $1,178
    Filer's total
    $224,111

  • MARY L WRIGHT

    VP NURSING/CNO (TERMED)

    Total calculated
    $193,658
    From this org
    $185,264
    From related orgs
    $0
    Other
    $8,394
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $43,053
    Bonus
    $0
    Other
    $142,211
    Deferred
    $2,798
    Nontaxable benefits
    $5,596
    Filer's total
    $193,658

  • ROBIN CATALDO

    SR. DIRECTOR/CFO (EFF 1/1/23)

    Total calculated
    $155,141
    From this org
    $0
    From related orgs
    $131,869
    Other
    $23,272
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $130,067 related
    Bonus
    $0 + $1,802 related
    Other
    $0
    Deferred
    $0 + $7,912 related
    Nontaxable benefits
    $0 + $15,360 related
    Filer's total
    $0 + $155,141 related

  • DAVID WIRTZ MD

    DIRECTOR

    Total calculated
    $116,937
    From this org
    $0
    From related orgs
    $112,500
    Other
    $4,437
    Hours/week
    55

  • DARSHAN PATEL MD

    DIRECTOR

    Total calculated
    $76,280
    From this org
    $0
    From related orgs
    $76,280
    Other
    $0
    Hours/week
    20

  • REV DAVID JOHNSON

    VICE CHAIRMAN - DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • JOSEPH PUZO

    SECRETARY - DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • ERIC BOYLAN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • ERIC BROWN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • STEPHANIE KOSLOWSKI

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • DARLENE LATTEN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • MATTHEW NEUMAN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • NASRIN PARVIZI

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • GARRY VANGORDER

    CHAIRMAN - DIR. (TERM 1/1/23)

    Total calculated
    $0
    Hours/week
    1

  • MARK RAYMOND

    TREASURER - DIR. (TERM 1/1/23)

    Total calculated
    $0
    Hours/week
    1

  • PATRICK HAYES MD

    DIRECTOR (TERM 1/1/23)

    Total calculated
    $0
    Hours/week
    1

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART VII AND SCHEDULE J
IN ACCORDANCE WITH INTERNAL REVENUE SERVICE FORM 990 RULES, REGULATIONS AND INSTRUCTIONS, THE COMPENSATION REPORTED IN CORE FORM, PART VII AND SCHEDULE J, PART II OF THIS FORM 990 IS DERIVED FROM 2022 FORMS W-2 AND FORMS 1099 (IF APPLICABLE).
SCHEDULE J, PART I; QUESTION 4A
THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT DURING CALENDAR YEAR 2022 WHICH WAS INCLUDED IN HER 2022 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: MARY L. WRIGHT, $109,170.
SCHEDULE J, PART I; QUESTION 4B
THE GUTHRIE CLINIC ("TGC") HAS ESTABLISHED AN EMPLOYEE BENEFIT PLAN KNOWN AS THE GUTHRIE CLINIC 457(F) DEFERRED COMPENSATION PLAN (THE "PLAN") WHICH IS DESIGNED TO PROVIDE ELIGIBLE EMPLOYEES WITH DEFERRED COMPENSATION BENEFITS IN RECOGNITION OF THEIR DEDICATED AND VALUABLE SERVICE TO TGC. THE PLAN IS INTENDED TO BE AN INELIGIBLE DEFERRED COMPENSATION PLAN AS DESCRIBED IN SECTION 457(F) OF THE INTERNAL REVENUE CODE. EACH CONTRIBUTION VESTS AFTER THREE YEARS OF EMPLOYMENT PROVIDED THE PARTICIPANT REMAINS CONTINUOUSLY EMPLOYED. A PARTICIPANT SHALL BECOME FULLY VESTED IN THE PARTICIPANT'S 457(F) ACCOUNT BENEFIT UPON ATTAINING AGE 62, WITH 5 YEARS OF SERVICE. TGC SHALL DISTRIBUTE THE PARTICIPANT'S 457(F) ACCOUNT BENEFIT, LESS TAXES WITHHELD, THIRTY DAYS AFTER THE PARTICIPANT FIRST BECOMES VESTED IN THE PLAN. FOR YEARS SUBSEQUENT TO A PARTICIPANT ATTAINING AGE 62, THE PARTICIPANT SHALL BE ENTITLED TO THE PARTICIPANT'S DEFERRED COMPENSATION AMOUNT AS OF JULY 1ST IMMEDIATELY SUBSEQUENT TO THE DATE WHEN CREDITED. THE AMOUNT REFLECTED IN SCHEDULE J, PART II, COLUMN B(III) FOR THE FOLLOWING INDIVIDUAL INCLUDES CURRENT YEAR VESTING IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) AS THE AMOUNT WAS NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNT OUTLINED HEREIN WAS INCLUDED IN HIS 2022 FORM W-2 AS TAXABLE WAGES: PAUL G. VERVALIN, $40,006. THE DEFERRED COMPENSATION AMOUNT REFLECTED IN SCHEDULE J, PART II, COLUMN C FOR THE FOLLOWING INDIVIDUAL INCLUDES UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH IS SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUAL MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNT OUTLINED HEREIN WAS NOT INCLUDED IN HIS 2022 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: PAUL G. VERVALIN, $47,754.
SCHEDULE J, PART I; QUESTION 7
CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2022 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2022 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT.
SCHEDULE J, PART II; COLUMN F
THE AMOUNTS REPORTED IN SCHEDULE J, PART II, COLUMN (F) INCLUDE VESTED BENEFITS IN A DEFERRED COMPENSATION PLAN AS THESE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. THESE AMOUNTS WERE REPORTED AS DEFERRED COMPENSATION ON PRIOR YEARS' FORMS 990 AND ARE NOW BEING REPORTED AGAIN ON THIS YEAR'S FORM 990. THESE HAVE BEEN TREATED AS TAXABLE INCOME AND REPORTED ON EACH INDIVIDUAL'S FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2022
Filed
3 May 2024
IRS schema version
2022v5.0
Source object
202441289349301829

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