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        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>43062</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>568019</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Craig Faerber</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>381458</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>109127</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>1126</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>43062</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>534773</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>PART I, LINE 1A</Identifier>
        <ReturnReference>QUESTIONS REGARDING COMPENSATION</ReturnReference>
        <Explanation>GROSS-UP PAYMENTS ARE PERIODICALLY PROVIDED TO EMPLOYEES. ALL PAYMENTS ARE MADE PURSUANT TO WRITTEN ORGANIZATIONAL POLICIES.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>PART I, LINE 3</Identifier>
        <ReturnReference>QUESTIONS REGARDING COMPENSATION</ReturnReference>
        <Explanation>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 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.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>HEALTH CARE FACILITIES AUTHORITY OF SAYRE</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>236633733</IssuerEIN>
        <CUSIPNumber>805777JA8</CUSIPNumber>
        <DateIssued>2007-04-03</DateIssued>
        <IssuePrice>187455000</IssuePrice>
        <DescriptionOfPurpose>SEE SCHEDULE O</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <TotalProceeds>172561246</TotalProceeds>
        <AmountDefeased>170823924</AmountDefeased>
        <IssuanceCostsFromProceeds>1727368</IssuanceCostsFromProceeds>
        <YearOfSubstCompletion>2005</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>true</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>true</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>JP MORGAN CHASE BANK</BusinessNameLine1>
        </NameOfHedgeProvider>
        <TermOfHedge>24.7</TermOfHedge>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <TotalBalanceDue>0</TotalBalanceDue>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>JOAN CAREY</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SPOUSE OF KEVIN CAREY, MD</Relationship>
        <AmountOfTransaction>18503</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYMENT</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>RACHEL LEE</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SPOUSE OF FERROL LEE, MD</Relationship>
        <AmountOfTransaction>157850</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYMENT</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>DAVID SCOPELLITI</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>BROTHER OF JOE SCOPELLITI</Relationship>
        <AmountOfTransaction>265397</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYMENT</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>SCHEDULE O SUPPLEMENTAL INFORMATION DISCLOSURES</Identifier>
        <Explanation>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 12 - 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 - 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 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, present 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; Kevin V. Carey, MD, Member - BOD/40 hours; Robert Cohen, 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. Guthrie Health has no revenue and expense activity. The financial activity on Guthrie Health's balance sheet represents intercompany transactions that are eliminated during the consolidation of Guthrie Health's Audited Financial Statements. Form 990 Part X Line 20 - Certain tax-exempt bond proceeds that were issued to Guthrie Health have been allocated to the following affiliates: Guthrie Healthcare System, Robert Packer Hospital, and Guthrie Clinic. Form 990 Part XI Line 2b - The organization's financial statements were audited on a consolidated basis with Guthrie Health and Affiliates. Form 990 Schedule K Part 1 Column (f) - The purpose of the tax-exempt bond listed on Schedule K was to refund prior issues 2/14/2002 and 3/27/2002.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>GUTHRIE HEALTHCARE SYSTEM</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>ONE GUTHRIE SQUARE</AddressLine1>
          <City>SAYRE</City>
          <State>PA</State>
          <ZIPCode>18840</ZIPCode>
        </AddressUS>
        <EIN>232200910</EIN>
        <PrimaryActivities>SUPPORTING</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11C - III</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAYRE HOUSE OF HOPE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>ONE GUTHRIE SQUARE</AddressLine1>
          <City>SAYRE</City>
          <State>PA</State>
          <ZIPCode>18840</ZIPCode>
        </AddressUS>
        <EIN>203979472</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>GHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ROBERT PACKER HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>ONE GUTHRIE SQUARE</AddressLine1>
          <City>SAYRE</City>
          <State>PA</State>
          <ZIPCode>18840</ZIPCode>
        </AddressUS>
        <EIN>240795463</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>GHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>DONALD GUTHRIE FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>200 SOUTH WILBUR AVENUE</AddressLine1>
          <City>SAYRE</City>
          <State>PA</State>
          <ZIPCode>18840</ZIPCode>
        </AddressUS>
        <EIN>246022957</EIN>
        <PrimaryActivities>MED RESEARCH</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>4</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>GHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ROBERT PACKER SCHOOL OF NURSING</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>200 SOUTH WILBUR AVENUE</AddressLine1>
          <City>SAYRE</City>
          <State>PA</State>
          <ZIPCode>18840</ZIPCode>
        </AddressUS>
        <EIN>236408773</EIN>
        <PrimaryActivities>EDUCATION</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>2</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>GHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>TROY COMMUNITY HOSPITAL INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>100 JOHN STREET</AddressLine1>
          <City>TROY</City>
          <State>PA</State>
          <ZIPCode>16947</ZIPCode>
        </AddressUS>
        <EIN>240800337</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>GHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>TIOGA HEALTHCARE FACILITY</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>ONE GUTHRIE SQUARE</AddressLine1>
          <City>SAYRE</City>
          <State>PA</State>
          <ZIPCode>18840</ZIPCode>
        </AddressUS>
        <EIN>150532257</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>GHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAYRE HOUSE INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1001 NORTH ELMER AVENUE</AddressLine1>
          <City>SAYRE</City>
          <State>PA</State>
          <ZIPCode>18840</ZIPCode>
        </AddressUS>
        <EIN>231643404</EIN>
        <PrimaryActivities>NURSING FAC</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>GHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>GUTHRIE HOME CARE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>RR1 BOX 154</AddressLine1>
          <City>TOWANDA</City>
          <State>PA</State>
          <ZIPCode>18848</ZIPCode>
        </AddressUS>
        <EIN>232394345</EIN>
        <PrimaryActivities>HOME HEALTH</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>GHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>GUTHRIE CORNING DEVELOPMENT COMPANY INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>176 DENISON PARKWAY E</AddressLine1>
          <City>CORNING</City>
          <State>NY</State>
          <ZIPCode>14830</ZIPCode>
        </AddressUS>
        <EIN>161594628</EIN>
        <PrimaryActivities>SUPPORTING</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11B TYPE II</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>GHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>GUTHRIE SAME DAY SURGERY CENTER INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>ONE GUTHRIE SQUARE</AddressLine1>
          <City>SAYRE</City>
          <State>PA</State>
          <ZIPCode>18840</ZIPCode>
        </AddressUS>
        <EIN>020551081</EIN>
        <PrimaryActivities>AMBULATORY</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>GHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>GUTHRIE RISK RETENTION GROUP</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>151 MEETING STREET</AddressLine1>
          <City>CHARLESTON</City>
          <State>SC</State>
          <ZIPCode>29401</ZIPCode>
        </AddressUS>
        <EIN>201090801</EIN>
        <PrimaryActivities>SUPPORTING</PrimaryActivities>
        <LegalDomicileState>SC</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11A TYPE 1</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>GHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>TIOGA NURSING FACILITY</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>ONE GUTHRIE SQUARE</AddressLine1>
          <City>SAYRE</City>
          <State>PA</State>
          <ZIPCode>18840</ZIPCode>
        </AddressUS>
        <EIN>222979677</EIN>
        <PrimaryActivities>NURSING FAC</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>GHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>GUTHRIE CLINIC LTD</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>ONE GUTHRIE SQUARE</AddressLine1>
          <City>SAYRE</City>
          <State>PA</State>
          <ZIPCode>18840</ZIPCode>
        </AddressUS>
        <EIN>250815795</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>DARWAY NURSING HOME INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>ONE GUTHRIE SQUARE</AddressLine1>
          <City>SAYRE</City>
          <State>PA</State>
          <ZIPCode>18840</ZIPCode>
        </AddressUS>
        <EIN>231733967</EIN>
        <PrimaryActivities>NURSING FAC</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>GHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CORNING HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>176 DENISON PARKWAY E</AddressLine1>
          <City>CORNING</City>
          <State>NY</State>
          <ZIPCode>14830</ZIPCode>
        </AddressUS>
        <EIN>160393490</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>GHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>TWIN TIER MANAGEMENT CORP INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>PO BOX 310</AddressLine1>
          <City>SAYRE</City>
          <State>PA</State>
          <ZIPCode>18840</ZIPCode>
        </AddressUS>
        <EIN>232209439</EIN>
        <PrimaryActivity>MANAGEMENT</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>GHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
        <ShareOfTotalIncome>4870914</ShareOfTotalIncome>
        <ShareOfEOYAssets>5551101</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>