2014-05-14T10:11:49-05:00 2013-06-30 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1700 PHILADELPHIA PA 19103 990 2012-07-01 240795463 ROBERT PACKER HOSPITAL % MICHELE Y SISTO ROBE 5708874625 ONE GUTHRIE SQUARE Suite SAYRE PA 18840 MARIE DROEGE 5708886666 2014-05-06 2673303000 2012 2015-11-30 17:44:51Z MARIE DROEGE GUTHRIE SQUARE SAYRE PA 18840 653206925 false X WWW.GUTHRIE.ORG X 1885 PA ROBERT PACKER HOSPITAL PROVIDES HEALTHCARE SERVICES TO RESIDENTS OF THE SURROUNDING COMMUNITY ON AN IN-PATIENT AND OUT-PATIENT BASIS. APPROXIMATELY 14,826 PATIENTS WERE ADMITTED TO RPH IN FYE 6/30/13. 14 10 1966 212 0 0 1118089 1090408 272336280 258818356 18847726 16463128 6557982 5282510 298860077 281654402 14950 15925 0 0 88147045 95902278 0 0 0 160167845 143472952 248329840 239391155 50530237 42263247 426796580 463856823 236079304 207701305 190717276 256155518 X Robert Packer Hospital is an affliate of The Guthrie Clinic. The Guthrie Clinic is a nonprofit health care organization that serves to coordinate the activity of Guthrie Medical Group, PC (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 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, and hospice care. The Guthrie Research Institute and Guthrie Clinical Research functions of the Donald Guthrie Foundation (Research Ins false false 161864069 258542816 ROBERT PACKER HOSPITAL PROVIDES HEALTHCARE SERVICES TO RESIDENTS OF THE SURROUNDING COMMUNITY ON AN IN-PATIENT AND OUT-PATIENT BASIS. APPROXIMATELY 14,826 PATIENTS WERE ADMITTED TO THE HOSPITAL IN FYE 6/30/2013. PATIENT DAYS TOTALED 68,835. 11381426 15925 275540 ROBERT PACKER HOSPITAL PROVIDES EDUCATIONAL SERVICES TO ITS EMPLOYEES AND MEMBERS OF THE COMMUNITY. THE FOLLOWING EDUCATIONAL SERVICES ARE PROVIDED: 1) X-RAY TECHNOLOGY; 2) RESPIRATORY THERAPY; 3) MEDICAL RESIDENTS & STUDENTS; 4) LABORATORY TECHNOLOGY; AND 5) ROBERT PACKER SCHOOL OF NURSING (AN AFFILIATE). 173245495 true true false true false false false false false false true false false false true true false false false false false false false false false false true true false true true true false false false false false false false false true false false false true true true true false true 0 0 true 1966 true false false false false false false false false false false false false X 14 10 false false false false true true true 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 MARIE DROEGE 40.0 X X 413962 15389 DAVID LR GIBBS 1.0 X JOSEPH R JOYCE 1.0 X DANIEL J BROWN MD 1.0 40.0 X 427027 45270 MARVIN L FISHER II 1.0 X DEAN W HOSTERMAN 1.0 X RHONDA G MOSS-TATICH 1.0 X SEAN NICHOLSON 1.0 X DOUGLAS G RICH 1.0 X DANIEL SPORN MD 1.0 40.0 X 549520 45270 GEORGE ELLIS MD 40.0 X 471706 52133 GAIL ORCHARD 1.0 X JACKSON C FAULKNER 1.0 X MICHAEL NARCAVAGE III 1.0 X MINH DANG 39.0 1.0 X 244867 33083 BONNIE ONOFRE 36.0 4.0 X 213261 17578 BARBARA PENNYPACKER 27.0 13.0 X 156602 21480 DAVID CHANNIN MD 20.0 20.0 X 464811 45270 JOSEPH SAWYER 20.0 20.0 X 159696 20157 NATHAN SHINAGAWA 40.0 X 27524 3611 CHARLES MCGURK MD 40.0 X 381903 24770 JAY SHAH 40.0 X 213547 20884 RUSSELL BURKETT 40.0 X 288865 25020 MARC HARRIS 40.0 X 302578 16590 JAMES RAFTIS 40.0 X 323730 25020 2953374 1686225 411525 124 false true false WELLIVER MCGUIRE INC 250 NORTH GENESEE ST MONTOUR FALLS NY 14865 CONTRACTOR SERVICES 4981386 KIMBLE INCORPORATED 1004 SULLIVAN STREET ELMIRA NY 14901 CONTRACTOR SERVICES 760450 EXECUTIVE HEALTH RESOURCE PO BOX 822688 PHILADELPHIA PA 19182 HEALTH PROF SERVICES 934231 NURSEFINDERS PO BOX 910738 DALLAS TX 75391 HEALTHCARE SERVICES 1128391 STREETER PO BOX 118 ELMIRA NY 14901 CONTRACTOR SERVICES 3106244 18 15003 207341 868064 1199 1090408 NET PATIENT SERVICE REVENUE 621990 129684012 129684012 EDUCATIONAL SERVICES 611600 275540 275540 MEDICARE AND MEDICAID PAYMENTS 621990 125735341 125735341 MEANINGFUL USE REVENUE 621990 3123463 3123463 258818356 7525737 7525737 0 0 0 0 0 380480779 9135 371429804 122719 9050975 -113584 8937391 8937391 0 0 0 LOSS ON DERIVATIVE INSTRUMENT 900099 -3922238 -3922238 ALL OTHER REVENUE 9204748 9204748 5282510 281654402 258818356 21745638 0 15925 15925 0 0 1573097 701920 871177 0 73881822 62098527 11783295 5806431 4835328 971103 9167291 7315202 1852089 5473637 4558193 915444 8276017 269874 8006143 74672 6138 68534 2301094 2301094 22992 22992 0 0 33423920 28292574 5131346 53359 52798 561 10564261 3969924 6594337 6296740 1088593 5208147 0 5179212 925736 4253476 414256 377303 36953 0 237830 223205 14625 4080677 1924 4078753 0 13515674 43752 13471922 957673 603483 354190 ACCRETION EXPENSE 194186 194186 MEDICAL SUPPLY EXPENSE 56076679 57037688 -961009 CAFETERIA/CATERING 511359 371591 139768 NONE 1292351 455817 836534 239391155 173245495 66145660 0 X 0 0 7234827 4943758 500 500 29794218 32567812 0 0 0 0 0 0 6631796 6157682 4323663 4843377 249235445 155828113 82757865 93407332 289925361 316784305 0 0 0 0 0 0 6128350 5152057 426796580 463856823 34234674 34820716 0 0 66305 70374 50000000 48500000 0 0 0 0 0 0 0 0 151778325 124310215 236079304 207701305 X 187088107 251899790 3577913 4186537 51256 69191 190717276 256155518 426796580 463856823 X 42263247 8964958 -934543 15144580 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 22992 22992 false SCHEDULE C, PART II-B, LINE 1J OTHER LOBBYING ACTIVITIES MEMBERSHIPS IN AMERICAN HOSPITAL ASSOCIATION(AHA) AND THE HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA (HAP) false 877575 877575 136886918 85246042 51640876 4337599 2281980 2055619 98905869 65605783 33300086 8227484 2694308 5533176 93407332 0 ESTIMATED THIRD PARTY PAYABLE 5875090 RPH AUXILARY INVESTMENTS 63827 ASSET RETIREMENT OBLIGATION 4067060 SWAP CONTRACT PAYABLE 2007 290077 SWAP CONTRACT PAY FMV 2007 17405311 DUE TO AFFILIATES 2027257 LOAN PAY 94480338 CAPITAL LEASE 101255 124310215 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. true true X true X true X true true true false false 2036355 312292 1724063 0.00720 26721948 16782699 9939249 0.04150 28758303 17094991 11663312 0.04870 537194 243266 293928 0.00120 10038396 3501149 6537247 0.02730 7849285 6759181 1090104 0.00460 18424875 10503596 7921279 0.03310 47183178 27598587 19584591 0.08180 true 22484257 85827794 86161298 -333504 X true false 1 1 Robert Packer Hospital

Guthrie Square Sayre PA 18840

www.guthrie.org X X X X Robert Packer Hospital true X X X X X X X X X 12 true true true X X X X X X false false true true 100 true 300. true X X X X X X X true true X X X X X X true false true X false false SUPPLEMENTAL INFORMATION PART I, LINE 7A - COST TO CHARGE RATIO WAS DERIVED FROM WORKSHEET #2. PART I, LINE 7B - COST TO CHARGE RATIO WAS DERIVED FROM WORKSHEET #2. PART I, LINE 7E - THE COST METHODOLOGY USED WAS ACTUAL EXPENDITURES. PART I, LINE 7F- THE COST WAS TAKEN FROM THE MEDICARE COST REPORT. PART I, LINE 7G - A COST ACCOUNTING SYSTEM WAS USED. WITHIN THE COST ACCOUNTING SYSTEM, SOME PATIENT SEGMENTS WERE BASED ON A RATIO OF COST TO CHARGE - TOTAL DEPARTMENTAL EXPENSE PLUS ALLOCATED OVERHEAD SPREAD BASED ON CHARGES. PART III, LINE 4 - SEE PAGE 12 OF ATTACHED FINANCIAL STATEMENTS. PART III, LINE 8 - ALLOWABLE COST FROM MEDICARE COST REPORT. PART III, LINE 9B - ONCE A PATIENT IS APPROVED FOR CHARITY CARE OR AN INSTALLMENT PLAN, THEIR ACCOUNT IS TRANSFERRED TO EITHER THE BUDGET OR CHARITY CARE FINANCIAL CLASS. ACCOUNTS IN THESE FINANCIAL CLASSES ARE NOT PLACED WITH COLLECTION. PART V, LINE 3 - All information was assembled and a CHNA group consisting of community members, health care providers (physicians and nurses), administrators and an individual with experience in public health was invited to review the findings. PART V, LINE 4 - THE HOSPITAL'S CHNA WAS CONDUCTED WITH TROY COMMUNITY HOSPITAL AND CORNING HOSPITAL. PART V, LINE 6 - THE ITEMS CHECKED IN PART V, LINE 6 WERE COMPLETED PRIOR TO THE EXTENDED DEADLINE OF 11/15/2013. PART V, LINE 7 - Due to available resources these needs will not be addressed through an implementation strategy in the subsequent fiscal years. These needs include: Cancer Mortality Heart Disease Mortality/Prevalence PART V, LINE 20D - ALL PATIENTS ARE BILLED BASED ON THE CHARGES ESTABLISHED IN THE HOSPITAL'S CHARGEMASTER. DISCOUNTS ARE GIVEN IN ACCORDANCE WITH THE FINANCIAL ASSISTANCE POLICY FOR THOSE WHO ARE UNINSURED. A PROMPT PAY DISCOUNT IS GIVEN TO THOSE WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE. ADDITIONAL DISCOUNTS ARE CONSIDERED ON A CASE BY CASE BASIS DEPENDING ON THE PATIENT'S SITUATION AND THE TOTAL AMOUNT DUE TO THE HOSPITAL. PART VI, LINE 2 - RPH and The Guthrie Clinic emphasize primary health care services, health promotion, and chronic disease prevention and management for the community we serve. RPH's overall approach to community benefit is to examine the intersection of documented unmet community needs and match these needs with organizational strengths. These unmet community needs can be defined as a discrepancy or gap between what is currently available and what the community desires. The overlying goals of this community needs assessment are to (1) identify strengths and limitation within RPH's service area; (2) define the needs and assets associated with the community we serve; (3) describe resources such as health professionals, regional economics and communication networks whose goal is to maximize community health. The identified needs will result in the formation of an implementation plan that will build upon the continuum of care currently offered at RPH by clearly linking our clinical services with our community-based services through this community benefit process. The implemented community benefit plan will be integrated into the strategic organizational goals of RPH and monitored for success or failure through ongoing efforts. Further collaborative partnerships will be integral to the success of our plan. The RPH community health needs assessment began with a review of primary data sources, specifically survey and focus group data that had been collected throughout 2012. Due to the limitations surrounding health needs perceptions contained in this collected information from the five counties we primarily relied on secondary data sources for this assessment. The secondary data sources included the most recent County Health Rankings and data collected through the strategic marketing department (demographic information, discharge data, etc). Recent indicators of health were collected from Community Commons and compared to county, state, national and Healthy People 2020 reference data. All information was assembled and a CHNA group consisting of community members, health care providers (physicians and nurses), administrators and an individual with experience in public health was invited to review the findings. The data was stratified into three categories which included clinical care, health behaviors and health outcomes. Within the five counties that comprise the primary service area for RPH twenty-seven indicators of health were identified to be below or above the state, US or Healthy People 2020 goal. Once these twenty-seven indicators were identified they were assigned a score using the Hanlon Method by the CHNA group. The Hanlon Method uses a two-step process to score indicators of health. The first step ensures that each need meets the PEARL test which includes: Propriety - is an intervention suitable?; Economics- does it make economic sense to address the need?; Acceptability- is the community open to addressing this need and will it accept the intervention?; Resources- are resources available?; Legality- is the intervention lawful?. The second step of the Hanlon Method includes assigning a score from 0-10 for each need based in regards to the (1) size of the problem (2) seriousness of the problem and (3) effectiveness potential of an intervention. Using this methodology, the CHNA group scored each of the unmet needs from which several priority needs were identified for the primary service area of RPH. Further, once scored, the results were shared with the CHNA group for discussion. The group was also given the opportunity to adjust any rankings. This process of prioritization classified three areas of unmet health care needs. In sequential order (highest to lowest score) these priority needs included: Lung Cancer Incidence Access to Primary Care/Lack of a Consistent Source of Primary Care Obesity * Note: Access to Primary Care and Cancer Mortality received the same weight by the CHNA group In addition to the priorities set by the CHNA group two more unmet community needs were identified and will be described within this CHNA as areas for potential health improvement. However, due to available resources these needs will not be addressed through an implementation strategy in the subsequent fiscal years. These needs include: Cancer Mortality Heart Disease Mortality/Prevalence http://www.guthrie.org/sites/default/files/robertpackerhospital-implementa tion-plans.pdf PART VI, LINE 3 - CHARITY CARE AVAILABILITY AND CONTACT INFORMATION ARE POSTED IN ALL REGISTRATION AREAS AND IN THE HOSPITAL'S BUSINESS OFFICE. THE CHARITY CARE POLICY, APPLICATION, AND CONTACT INFORMATION ARE POSTED ON THE HOSPITAL'S WEBSITE. SELF PAY PATIENTS ARE REFERRED TO THE HOSPITAL'S FINANCIAL COUNSELOR FROM PHYSICIAN OFFICES, SOCIAL WORKERS, OR SELF REFERRED. PART VI, LINE 3 - THE FINANCIAL COUNSELOR AS WELL AS THE BUSINESS OFFICE STAFF FOLLOW UP WITH SELF PAY PATIENTS TO ASSESS THEIR NEED AND ASSIST IN DETERMINING THEIR ELIGIBILITY FOR SECURING A PAYMENT SOURCE (I.E. COBRA COVERAGE, SPECIAL NEEDS PROGRAM, MEDICAID, OTHER FEDERAL/STATE PROGRAMS, OR CHARITY CARE). STAFF ALSO ASSIST WITH THE APPLICATION PROCESS AS REQUESTED BY SELF PAY PATIENTS. PART VI, LINE 3 - THE HOSPITAL'S BILLING STATEMENTS ALSO HAVE INFORMATION REGARDING WHOM TO CONTACT IN CASE A PATIENT NEEDS ASSISTANCE MEETING ITS FINANCIAL OBLIGATIONS. PART VI, LINE 4 - Robert Packer Hospital (RPH) is a community teaching hospital, a Pennsylvania not-for-profit health care system and a member of The Guthrie Clinic (TGC). RPH located in Sayre, PA is a 238-bed tertiary care hospital that serves the southern tier region of New York and the northern tier region of Pennsylvania. The primary service area for RPH includes Bradford County, PA, Tioga County, PA, Chemung County, NY, Steuben County, NY, and Tioga County, NY. Robert Packer Hospital is a general medical and surgical hospital in Sayre, PA. Annually, over 4000 inpatient and more than 9000 outpatient surgeries are performed at RPH while its emergency room had over 29,000 visits. Further, on an annual basis the hospital manages over 13,000 admissions, approximately 700 births and over 159,000 outpatient visits. RPH has received multiple awards for clinical excellence including Thomson Reuters Top 100 Hospitals and is nationally recognized for its cardiovascular program and is home to a state-of-the-art cancer center. RPH mostly serves a rural population over a large geographic area from five counties covering the Twin Tier regions of New York and Pennsylvania. Our primary service area is defined as 60 contiguous ZIP codes from which we derive at least 75% of our inpatient population. This 60 county ZIP code includes 255,323 people the majority of which are white non-hispanic ages 35-54. Thirty-nine percent of individuals aged twenty-five or older originating from this group have at least a high school degree with 26.9% and 20.7% having some college and bachelor's degree/higher, respectively. From 2000 until 2011 true Educational Aid - Undergraduate Students 49 15925 SCHEDULE I, PART I LINE 2 GRANTS TO INDIVIDUALS IN THE UNITED STATES Health Profession Scholarships - Seniors 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 - These scholarships 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 false false false false false false false false false MARIE DROEGE 353632 60330 11299 4090 429351 DANIEL J BROWN MD 402238 24789 32750 12520 472297 DANIEL SPORN MD 534304 15216 32750 12520 594790 MINH DANG 208273 36594 20563 12520 277950 BONNIE ONOFRE 181084 32177 9249 8329 230839 GEORGE ELLIS MD 462398 9308 39613 12520 523839 BARBARA PENNYPACKER 146799 9803 13151 8329 178082 CHARLES MCGURK MD 380355 1548 12250 12520 406673 JAY SHAH 213547 12500 8384 234431 RUSSELL BURKETT 288865 12500 12520 313885 MARC HARRIS 290578 12000 12500 4090 319168 JAMES RAFTIS 314130 9600 12500 12520 348750 DAVID CHANNIN MD 426561 38250 32750 12520 510081 JOSEPH SAWYER 148145 10515 1036 7637 12520 179853 PART I, LINE 1A QUESTIONS REGARDING COMPENSATION GROSS-UP PAYMENTS ARE PERIODICALLY PROVIDED TO EMPLOYEES. ALL PAYMENTS ARE MADE PURSUANT TO WRITTEN ORGANIZATION POLICIES. PART I, LINE 3 QUESTIONS REGARDING COMPENSATION 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. A CENTRAL BRADFORD PROGRESS AUTHORITY 232735865 152691AA9 2011-09-08 50000000 SEE PART VI false false false A 1500000 0 50039401 0 3565941 0 804312 0 0 5460696 20175557 20032895 true false false true A false true true false false 0.00020 0.00000 0.00020 false false 0.00000 false true A false true true false false false 0 false 0 false true A true PART I, ROW A, COLUMN(F): 0 CONSTRUCT FACILITY AND REFUND PRIOR ISSUE (2/14/2002). PART II, LINE 3: 0 THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS. X 1 1199 COST false true false FORM 990 SCHEDULE O DISCLOSURES 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 6 Guthrie Healthcare System is the sole member of Robert Packer Hospital. Form 990 Part VI Line 7a As the sole member of Robert Packer Hospital, Guthrie Healthcare System appoints the organization's Board of Directors. Form 990 Part VI Line 7b As the sole member of Robert Packer Hospital, Guthrie Healthcare System has approval rights of certain board decisions. Form 990 Part VI Line 11a The Form 990 of the organization is provided 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 manner 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 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. Form 990 Part VI Line 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. 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 X TAX EXEMPT BONDS - GUTHRIE HEALTHCARE SYSTEM HAS BEEN ALLOCATED CERTAIN PROCEEDS OF TAX-EXEMPT BONDS THAT WERE ISSUED TO THE GUTHRIE CLINIC (EIN: 23-3055017). AS SUCH, ALL OF THE TAX-EXEMPT BOND REPORTING FOR THE GUTHRIE CLINIC AND ITS AFFILIATES HAS BEEN MADE ON THE GUTHRIE CLINIC'S FORM 990. FORM 990, PART XI, LINE 5 OTHER CHANGES IN NET ASSETS: EQUITY TRANSFER TO/FROM AFFILIATES $645,525; PENSION ADJUSTMENT $14,526,584; INTEREST DIVIDEND INCOME ON INVESTMENTS $38,401; NET REALIZED GAINS AND LOSSES ON RESTRICTED INVESTMENTS $4,746; EARNINGS DISTRIBUTION ($70,676)=$15,144,580 FORM 990, PART XII, LINE 2B THE ORGANIZATIONS 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 false SAYRE HOUSE OF HOPE ONE GUTHRIE SQUARE SAYRE PA 18840 203979472 HEALTH CARE PA 501(c)(3) 7 GHS true DONALD GUTHRIE FOUNDATION 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 101 Elmira Street TROY PA 16947 240800337 HEALTH CARE PA 501(c)(3) 3 GHS true TIOGA HEALTHCARE FACILITY ONE GUTHRIE SQUARE SAYRE PA 18840 150532257 HEALTH CARE PA 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 421 Tomahawk Road 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 CA 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 GUTHRIE MEDICAL GROUP PC ONE GUTHRIE SQUARE SAYRE PA 18840 250815795 HEALTH CARE PA 501(c)(3) 3 TGC 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 THE GUTHRIE CLINIC ONE GUTHRIE SQUARE SAYRE PA 18840 233055017 SUPPORTING PA 501(c)(3) 11C - III NA false TWIN TIER MANAGEMENT CORP INC PO BOX 310 SAYRE PA 18840 232209439 MANAGEMENT PA NA C CORP true true true false false false false false true false false true true true false false true true false false GUTHRIE MEDICAL GROUP PC A 854822 CONTRACT AGREE GUTHRIE MEDICAL GROUP PC K 519613 CONTRACT AGREE GUTHRIE MEDICAL GROUP PC L 1458419 CONTRACT AGREE GUTHRIE MEDICAL GROUP PC P 84195 DIRECT COST EXP GUTHRIE MEDICAL GROUP PC Q 961630 DIRECT COST EXP GUTHRIE MEDICAL GROUP PC M 18966286 CONTRACT AGREE CORNING HOSPITAL L 1244038 CONTRACT AGREE GUTHRIE HOME CARE L 142966 CONTRACT AGREE TROY COMMUNITY HOSPITAL L 679522 CONTRACT AGREE TROY COMMUNITY HOSPITAL Q 364935 DIRECT COST EXP ROBERT PACKER SCHOOL OF NURSING A 317 CONTRACT AGREE ROBERT PACKER SCHOOL OF NURSING Q 126236 DIRECT COST EXP ROBERT PACKER SCHOOL OF NURSING K 190249 CONTRACT AGREE DONALD GUTHRIE FOUNDATION Q 148586 DIRECT COST EXP DONALD GUTHRIE FOUNDATION B 50000 DIRECT COST EXP DONALD GUTHRIE FOUNDATION A 793 CONTRACT AGREE TWIN TIER MANAGEMENT CORP INC K 52725 CONTRACT AGREE TWIN TIER MANAGEMENT CORP INC A 80 CONTRACT AGREE GUTHRIE MEDICAL GROUP PC H 126606 ASSET VALUE