2012-05-14T13:25:16-05:00 2011-06-30 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1700 PHILADELPHIA PA 19103 990 2010-07-01 240795463 ROBERT PACKER HOSPITAL ROBE 5708874625 ONE GUTHRIE SQUARE SAYRE PA 18840 MARIE DROEGE 2012-05-08 2673303000 2010 2016-02-24 21:20:13Z MARIE DROEGE GUTHRIE SQUARE SAYRE PA 18840 531720610 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 14,628 PATIENTS WERE ADMITTED TO RPH IN FYE 6/30/11. 14 10 1735 194 0 0 1824613 2040853 240099269 263735137 15375473 9769400 -2477988 4751467 254821367 280296857 15925 15600 0 0 74736374 81752577 0 0 0 133967056 148963309 208719355 230731486 46102012 49565371 290767514 345324611 176817165 159605290 113950349 185719321 X ROBERT PACKER HOSPITAL 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 MEDICA false false 161433178 0 263452599 ROBERT PACKER HOSPITAL PROVIDES HEALTHCARE SERVICES TO RESIDENTS OF THE SURROUNDING COMMUNITY ON AN IN-PATIENT AND OUT-PATIENT BASIS. APPROXIMATELY 14,628 PATIENTS WERE ADMITTED TO THE HOSPITAL IN FYE 6/30/2011. PATIENT DAYS TOTALED 64,721. 9603835 15600 282538 ROBERT PACKER HOSPITAL PROVIDES EDUCATION 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). 0 0 0 171037013 true true false true false false false false false true false false false true true false true false false false false false false false false true true false true true false false false false false false false false false true false false false true true true true false true 0 0 true 1735 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 352282 0 16268 DAVID LR GIBBS 1.0 X 0 0 0 JOSEPH R JOYCE 1.0 X 0 0 0 DANIEL J BROWN MD 1.0 X 0 452152 43752 MARK A DIXON 1.0 X 0 0 0 MARVIN L FISHER II 1.0 X 0 0 0 KATHRYN B HASSEE 1.0 X 0 0 0 DEAN HOSTERMAN 1.0 X 0 0 0 RHONDA G MOSS-TATICH 1.0 X 0 0 0 SURYA NARAYANAN MD 1.0 X 0 319268 39612 SEAN NICHOLSON 1.0 X 0 0 0 BURDETT R PORTER MD 1.0 X 0 358590 43752 DOUGLAS G RICH 1.0 X 0 0 0 DANIEL SPORN MD 1.0 X 0 562670 43752 GAIL ORCHARD 1.0 X 0 0 0 MINH DANG 39.0 X 0 219209 31090 BONNIE ONOFRE 34.0 X 197605 0 14750 GEORGE ELLIS MD 40.0 X 312161 0 40939 ANTHONY OLIVA DO CMO 32.0 X 415814 0 20301 BARBARA PENNYPACKER 27.0 X 147329 0 20870 DAVID CHANNIN MD 40.0 X 0 174829 21243 JOSEPH SAWYER 26.0 X 136909 0 19236 NATHAN SHINAGAWA 40.0 X 69881 0 320 CHARLES MCGURK MD 40.0 X 316182 0 12901 JAY SHAH MD 40.0 X 278563 0 24751 RUSSETT BURKETT MD 40.0 X 262300 0 24751 MARC HARRIS MD 40.0 X 271429 0 16268 JAMES RAFTIS MD 40.0 X 264900 0 24751 3025355 2086718 459307 35 false true false WELLIVER MCGUIRE INC 250 NORTH GENESEE ST MONTOUR FALLS NY 14865 CONTRACTOR SERVICES 2263950 GR NOTO ELECTRIC CONSTRUCTION PO BOX 247 CLARKS SUMMIT PA 18411 CONTRACTOR SERVICES 2233066 EXECUTIVE HEALTH RESOURCES PO BOX 822688 PHILADELPHIA PA 19182 HEALTH PROF SERVICES 833329 NURSEFINDERS PO BOX 910738 DALLAS TX 75391 HEALTHCARE SERVICES 719773 DIVERSIFIED CLINICAL SERVICES PO BOX 636981 CINCINNATI OH 37483 HEALTHCARE SERVICES 627953 14 0 0 0 18500 464104 1558249 3456 2040853 NET PATIENT SERVICE REVENUE 621990 140228189 140228189 EDUCATIONAL SERVICES 611600 282538 282538 MEDICARE AND MEDICAID PAYMENTS 621990 123224410 123224410 263735137 5597620 5597620 0 0 0 0 0 255539892 55641 251011266 412487 4528626 -356846 4171780 4171780 0 0 0 0 0 0 0 0 0 0 CHANGE IN DERIVATIVE INSTRUMENT 900099 -4212083 -4212083 GAIN ON RETIREMENT OF DEBT 900099 1172854 1172854 ALL OTHER REVENUE 7790696 7790696 4751467 280296857 263735137 0 14520867 0 15600 15600 0 0 1764667 521300 1243367 0 62070358 52129415 9940943 4067296 3357720 709576 9128687 7128129 2000558 4721569 3897841 823728 7301517 239952 7061565 528893 33683 495210 2053325 2053325 20189 20189 0 0 30585879 25616647 4969232 69531 67682 1849 61951809 56894834 5056975 5676289 928216 4748073 0 4463525 474775 3988750 360958 328772 32186 0 208275 190150 18125 2613757 2613757 0 11629036 43962 11585074 0 2129450 797146 1332304 BAD DEBT 17758326 17758326 CAFETERIA/CATERING 363819 262848 100971 ACCRETION EXPENSES 177913 177913 ALL OTHER EXPENSES 1070818 350015 720803 230731486 171037013 59694473 0 2578326 6890030 781 522 27816844 29914564 90000 0 0 0 5411981 5711862 3498390 4045545 227836783 149166719 73370017 78670064 174570063 217413633 0 0 0 0 0 0 3431112 2678391 290767514 345324611 32284215 33806818 1683754 603027 0 0 0 0 0 0 142849196 125195445 176817165 159605290 X 110089583 182038126 3812814 3631291 47952 49904 113950349 185719321 290767514 345324611 X 49565371 22203601 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 20189 20189 false SCHEDULE C, PART II-B, LINE 1J OTHER LOBBYING ACTIVITIES MEMBERSHIPS IN AMERICAN HOSPITAL (AHA) AND THE HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA (HAP) false 877575 877575 126379544 78871291 47508253 4269109 1960800 2308309 91811075 65812146 25998929 4499480 2522482 1976998 78670064 0 ESTIMATED THIRD PARTY PAYABLE 8052588 RPH AUXILARY INVESTMENTS 63810 ASSET RETIREMENT OBLIGATION 3727472 SWAP CONTRACT PAYABLE 2007 356850 SWAP CONTRACT PAY FMV 2007 14658022 DUE TO AFFILIATES 4718757 LOAN PAY-GH TAX EXEMPT BONDS 93617946 125195445 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, 2011, 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 1536799 243417 1293382 0.00560 22766185 18801412 3964773 0.01720 0 0 0 24302984 19044829 5258155 0.02280 733627 347001 386626 0.00170 8476753 3103138 5373615 0.02330 7359125 5504951 1854174 0.00800 0 0 0 0 0 0 16569505 8955090 7614415 0.03300 40872489 27999919 12872570 0.05580 true 5403859 85169968 72347335 12822633 true true 1 1 ROBERT PACKER HOSPITAL

ONE GUTHRIE SQUARE SAYRE PA 18840

X X X X ROBERT PACKER HOSPITAL 1 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 - COST TO CHARGE WAS DERIVED FROM WORKSHEET #2. THIS WAS APPLIED TO GROSS BAD DEBT EXPENSE FROM THE FINANCIAL STATEMENTS. PART III, LINE 8 - MEDICARE 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 VI, LINE 2 - THE ORGANIZATION HAS NOT DONE A HEALTH ASSESSMENT OF THE COMMUNITIES IT SERVES. THERE ARE PLANS TO COMPLETE AN ASSESSMENT DURING THE ORGANIZATION'S 2012 FISCAL YEAR. 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 IS A 238-BED TERTIARY CARE TEACHING HOSPITAL LOCATED IN SAYRE, PA. THE HOSPITAL OFFERS A FULL COMPLEMENT OF MEDICAL AND SURGICAL SERVICES AS WELL AS SPECIALIZED PROGRAMS. THE HOSPITAL'S PRIMARY SERVICE LIES IN BRADFORD COUNTY IN PA AND STEUBEN AND TIOGA COUNTIES IN NEW YORK. THE SECONDARY SERVICE AREA INCLUDES CONTIGUOUS COUNTIES IN BOTH PA AND NY. PART VI, LINE 4 - THE POPULATION FOR THE TOTAL SERVICE AREA IS APPROXIMATELY 630,000 WITH 50% OF THE HOUSEHOLD INCOMES GENERALLY FALLING IN TWO CATEGORIES: $25,000 - $50,000 AND $50,000 - $75,000. PART VI, LINE 6 - SEE THE ATTACHED STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS ATTACHED TO THE FORM 990 AS TO HOW THE HOSPITAL FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUMNITY. PART VI, LINE 7 - SEE THE ATTACHED STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS ATTACHED TO THE FORM 990. true Educational Aid - Undergraduate Students 48 15600 SCHEDULE I, PART I LINE 2 AND PART III 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 X true true X X X X false false false false false false false false false MARIE DROEGE 299678 0 52604 0 0 0 0 0 16268 0 368550 0 0 0 DANIEL J BROWN MD 0 438857 0 13295 0 0 0 0 0 43752 0 495904 0 0 SURYA NARAYANAN MD 0 319268 0 0 0 0 0 0 0 39612 0 358880 0 0 BURDETT R PORTER MD 0 358590 0 0 0 0 0 0 0 43752 0 402342 0 0 DANIEL SPORN MD 0 562670 0 0 0 0 0 0 0 43752 0 606422 0 0 MINH DANG 0 184993 0 34216 0 0 0 0 0 31090 0 250299 0 0 BONNIE ONOFRE 171810 0 25795 0 0 0 0 0 14750 0 212355 0 0 0 GEORGE ELLIS MD 302428 0 9733 0 0 0 0 0 40939 0 353100 0 0 0 ANTHONY OLIVA DO CMO 321312 0 55952 0 38550 0 0 0 20301 0 436115 0 0 0 BARBARA PENNYPACKER 142000 0 5329 0 0 0 0 0 20870 0 168199 0 0 0 CHARLES MCGURK MD 308529 0 7653 0 0 0 0 0 12901 0 329083 0 0 0 JAY SHAH MD 268563 0 10000 0 0 0 0 0 24751 0 303314 0 0 0 RUSSETT BURKETT MD 262300 0 0 0 0 0 0 0 24751 0 287051 0 0 0 MARC HARRIS MD 250429 0 21000 0 0 0 0 0 16268 0 287697 0 0 0 JAMES RAFTIS MD 246900 0 18000 0 0 0 0 0 24751 0 289651 0 0 0 DAVID CHANNIN MD 0 149829 0 25000 0 0 0 0 0 21243 0 196072 0 0 JOSEPH SAWYER 131010 0 4970 0 929 0 0 0 19236 0 156145 0 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 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. X 1 3456 COST false true false FORM 990 SCHEDULE O 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 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 11 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 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 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 Executive 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 Executive 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 VII 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: Daniel J. Brown, MD Member BOD 40 hours per week Surya Narayanan, MD Member BOD 40 hours per week Burdett R. Porter, MD Member BOD 40 hours per week. Daniel Sporn, MD Member BOD 40 hours per week Minh Dang, CFO 1 hour per week Bonnie Onofre, Chief Nursing Officer 6 hours per week Anthony Oliva, DO, Chief Medical Officer 8 hours per week Barbara Pennypacker, VP Surgical Services 14 hours per week Joseph Sawyer, VP Imaging & Ancillary Testing 14 hours per week Form 990 Schedule D, Part X Due To Affiliates Robert Packer Hospital 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. Form 990 Part XI Line 5 Other changes in net assets = $22,203,601 GUTHRIE HEALTHCARE SYSTEM ONE GUTHRIE SQUARE SAYRE PA 18840 232200910 SUPPORTING PA 501 (C)(3) 11C - III GH false SAYRE HOUSE OF HOPE ONE GUTHRIE SQUARE SAYRE PA 18840 203979472 HEALTH CARE PA 501 (C)(3) 7 GHS true DONALD GUTHRIE FOUNDATION 200 SOUTH WILBUR AVENUE SAYRE PA 18840 246022957 MED RESEARCH PA 501 (C)(3) 4 GHS true ROBERT PACKER HOSPITAL 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 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 GUTHRIE CLINIC LTD ONE GUTHRIE SQUARE SAYRE PA 18840 250815795 HEALTH CARE PA 501 (C)(3) 3 GH 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 GUTHRIE HEALTH ONE GUTHRIE SQUARE SAYRE PA 18840 233055017 SUPPORTING PA 501 (C)(3) 11B TYPE II NA false TWIN TIER MANAGEMENT CORP INC PO BOX 310 SAYRE PA 18840 232209439 MANAGEMENT PA NA C CORP 5907461 5406163 1.00000 true true true false false true true false true true true true true true true true false true GUTHRIE CLINIC A 447722 CONTRACT AGREE GUTHRIE CLINIC I 447722 CONTRACT AGREE GUTHRIE CLINIC K 1291340 CONTRACT AGREE GUTHRIE CLINIC P 916299 CONTRACT AGREE GUTHRIE CLINIC O 60012 CONTRACT AGREE GUTHRIE CLINIC L 18467185 CONTRACT AGREE CORNING HOSPITAL K 1060515 CONTRACT AGREE CORNING HOSPITAL F 91890 ASSET VALUE GUTHRIE HOME CARE K 142366 CONTRACT AGREE TROY COMMUNITY HOSPITAL K 679126 CONTRACT AGREE TROY COMMUNITY HOSPITAL P 316699 DIRECT COST EXP GUTHRIE SAME DAY SURGERY CENTER INC K 52904 CONTRACT AGREE ROBERT PACKER SCHOOL OF NURSING P 125436 DIRECT COST EXP ROBERT PACKER SCHOOL OF NURSING J 100584 DIRECT COST EXP DONALD GUTHRIE FDN FOR EDUCATION & RESEARCH P 192120 DIRECT COST EXP DONALD GUTHRIE FDN FOR EDUCATION & RESEARCH B 52239 DIRECT COST EXP SAYRE HOUSE INC R 195919 ASSET VALUE