2016-05-12T12:14:04-05:00 2015-06-30 PRICEWATERHOUSECOOPERS LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2014-07-01 240786657 GUTHRIE TOWANDA MEMORIAL HOSPITAL % MICHELE SISTO GUTH 5702652191 91 HOSPITAL DRIVE TOWANDA PA 188489703 STACI COVEY PRESIDENT 6079377200 2016-05-09 true ANTONIO C RUSSO P00858539 2673303000 2014 2016-08-17 19:52:53Z JOHN L SCHOONOVER III 91 HOSPITAL DRIVE TOWANDA PA 188489703 36079356 false X WWW.MEMORIALHOSPITAL.ORG X 1946 PA THE PROVISION OF SUPERIOR QUALITY CHARITABLE HEALTHCARE SERVICES IN A CARING, EFFICIENT, AND FINANCIALLY RESPONSIBLE MANNER. 15 13 554 24 0 0 595843 533713 36441457 33852555 140531 294348 1575186 1298961 38753017 35979577 0 0 0 0 21771275 21871851 0 0 0 17944145 14147550 39715420 36019401 -962403 -39824 50052242 52283080 23623035 23633765 26429207 28649315 X THE MISSION OF GUTHRIE TOWANDA MEMORIAL HOSPITAL IS TO PROVIDE SUPERIOR QUALITY HEALTHCARE SERVICES IN A CARING, EFFICIENT, AND FINANCIALLY RESPONSIBLE MANNER THAT WILL IMPROVE THE QUALITY OF LIFE IN OUR COMMUNITY. false false 33407653 0 33973032 GUTHRIE TOWANDA MEMORIAL HOSPITAL IS A NOT-FOR-PROFIT ACUTE CARE HOSPITAL AND LONG TERM CARE FACILITY LOCATED IN TOWANDA, PA. THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT, EMERGENCY CARE, LONG-TERM CARE AND HOME HEALTH SERVICES TO RESIDENTS OF TOWANDA, PA AND SURROUNDING COMMUNITIES. OUR DOCTORS CONTINUOUSLY WORK WITH OUR OWN QUALIFIED SPECIALISTS AND MANY OTHERS WITHIN THE BRADFORD AND SULLIVAN COUNTY MEDICAL COMMUNITY AS WELL AS OUTSIDE OF THIS AREA TO PROVIDE ACCESS TO QUALITY SPECIALTY CARE. WE ROUTINELY WORK WITH SPECIALISTS IN SAYRE, PA; ELMIRA, NY; BINGHAMTON, NY; WILLIAMSPORT, PA; SCRANTON, PA; DANVILLE, PA; AND PHILADELPHIA, PA, TO MEET OUR PATIENTS' HEALTHCARE NEEDS. 33407653 true true false true false false false false true false true false false true true true false true false false false false false false false false true true false false true true false false false false false false false false false false false false false false true true true false false false true 35 0 true 554 true false false false false false false false false false false X 15 13 false true true false false false false true true false false true true true true true true true true false PA X MICHELE SISTO 5708874625 ONE GUTHRIE SQUARE SAYRE PA 18840 X PETER BRODERICK SECRETARY 5.0 2.0 X X 0 0 0 JOSEPH CAMA MD TRUSTEE 5.0 0.0 X 0 0 0 RAY DEPAOLA ESQ TRUSTEE 5.0 0.0 X 0 0 0 MARK GANNON TRUSTEE 5.0 0.0 X 0 0 0 LARRY HUBER TRUSTEE 5.0 0.0 X 0 0 0 MARJORY KREISCHER TRUSTEE 5.0 0.0 X 0 0 0 LEO LAMBERT TRUSTEE 5.0 0.0 X 0 0 0 JAMES PARKS VICE-CHAIRMAN 5.0 2.0 X X 0 0 0 JODY PLACE TRUSTEE 5.0 0.0 X 0 0 0 ERIC R ROWE TREASURER 5.0 2.0 X X 0 0 0 JOHN L SCHOONOVER III CHAIRMAN 5.0 2.0 X X 0 0 0 MARGUERITE SHANER TRUSTEE 5.0 2.0 X 0 0 0 BARBARA YANAK TRUSTEE 5.0 0.0 X 0 0 0 PAUL VERVALIN COO TRUSTEE 5.0 35.0 X 0 441027 24696 WILLIAM K ROHRBACH PRESIDENT 40.0 2.0 X X 285593 0 19447 GARY A BAKER PRESIDENT & CEO- THRU 3/31/15 40.0 2.0 X 0 0 0 LINDA BERRY VP HUMAN RESOURCES 40.0 0.0 X 153817 0 15663 WINGROVE JARVIS MD ORTHOPEDIC SURGEON 40.0 0.0 X 450146 0 519 MARC ALPERT MD GENERAL SURGEON 40.0 0.0 X 268752 0 18135 LISA CERAOLO MD INTERNAL MEDICINE 40.0 0.0 X 180205 0 11165 LYNN DIBBLE VP PATIENT CARE SERVICES 40.0 0.0 X 179604 0 16629 CAROL SAGER VP DEVELOPMENT 40.0 0.0 X 171342 0 16377 1689459 441027 122631 13 false true false TEAM CARE PC 2031 ORANGE HILL ROAD ATHENS PA 18810 EMERGENCY PHYSICIANS 1182600 QUORUM HEALTH RESOURCES 105 CONTINENTAL PLACE BRENTWOOD TN 303682289 HOSP. MGMT SERVICES 759204 GULFSTREAM ANESTHESIA CONSULTANTS PO BOX 212110 ROYAL PALM BEACH FL 33421 ANESTHESIA SERVICES 583098 MORRISON MANAGEMENT SPECIALIST PO BOX 102289 ATLANTA GA 303682289 DIETARY MGMT SERVS 273428 COMPLETE HEALTHCARE RESOURCES 200 DRYDEN ROAD SUITE 3100 DRESHER PA 190251049 NURSING FACIL MGMT 204582 10 60546 473167 0 533713 NET PATIENT SERVICE REVENUES 621990 33852555 33852555 33852555 307274 305119 0 0 90616 86853 3763 0 3763 3763 12926 -12926 -12926 0 0 0 MEANINGFUL USE 900099 760627 760627 OTHER PATIENT SERVICES 621990 120477 120477 CAFETERIA/VENDING 623000 101731 101731 312363 312363 1295198 35979577 33973032 1483603 X 0 0 0 0 305040 305040 0 17112287 16332933 779354 0 267108 261308 5800 0 2969899 2791705 178194 0 1217517 1144466 73051 0 554626 394626 160000 0 35577 0 35577 0 83255 0 83255 0 2426 0 2426 0 0 0 5406177 4669349 736828 0 27243 21229 6014 0 2034179 1819609 214570 0 0 0 747792 738139 9653 0 167587 165635 1952 0 0 13979 13979 0 0 501957 501957 0 0 0 1771715 1771715 0 0 689020 689020 0 0 MEDICAL SUPPLIES 1254339 1254339 0 0 DIETARY 509308 491699 17609 0 REPAIRS & MAINTENANCE 348370 345945 2425 0 36019401 33407653 2611748 0 1188 1139 543757 895593 0 0 5052002 5272161 0 0 0 0 0 0 480112 503649 711539 535223 56319577 28871295 25824407 27448282 72495 66578 1025070 1168051 0 0 0 0 16341672 16392404 50052242 52283080 2359723 2442346 0 0 0 0 13327283 12264235 0 0 0 0 131933 108006 0 0 7804096 8819178 23623035 23633765 X 25936611 28077680 427596 506635 65000 65000 26429207 28649315 50052242 52283080 X -39824 2142 2257790 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 2426 2426 false SCHEDULE C, PART II-B, LINE 1i DETAIL OF LOBBYING ACTIVITIES GUTHRIE TOWANDA MEMORIAL HOSPITAL INCURS LOBBYING EXPENSES ONLY AS A PORTION OF THEIR HAP DUES APPLICABLE TO THE TAX YEAR ENDED 6/30/15. THESE EXPENSES WERE APPROX. 17.77% OF DUES FOR THE YEAR. --------------- true 13001 170001 171806 11196 false 0 330000 330000 0 35178510 11586726 23591784 0 0 0 0 0 20297118 16781437 3515681 513949 503132 10817 27448282 DEFERRED FINANCING COSTS, NET 96866 INTEREST IN ASSETS HELD BY MH 16116190 OTHER CURRENT ASSETS 155109 ESTIMATED 3RD PARTY SETTLEMENT 0 DUE FROM AFFILIATES 24239 16392404 0 AMTS W/H FROM EMPLOYEES FOR TAXES, ETC. 91385 BLUE CROSS ADVANCE 184441 AMOUNTS DUE TO AFFILIATES 6676664 ESTIMATED MED MAL CLAIMS LIABILITY 1243103 ESTIMATED THIRD PARTY SETTLEMENTS 623585 8819178 X SCHEDULE D, PART IV, LINE 1B ESCROW/CUSTODIAL ACCOUNT DETAILS GUTHRIE TOWANDA MEMORIAL HOSPITAL MAINTAINS A SEPARATE ACCOUNT FOR SKILLED NURSING FACILITY RESIDENT FUNDS, OF WHICH WE ARE THE REPRESENTATIVE PAYEE. FUNDS ARE USED TO PAY PATIENTS' BILLS AND PERSONAL EXPENSES. --------------- SCHEDULE D, PART X, LINE 2 TEXT OF FIN 48 DISCLOSURE ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE CORPORATION TO EVALUATE TAX POSITIONS TAKEN BY THE CORPORATION AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE CORPORATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE CORPORATION HAS CONCLUDED THAT AS OF JUNE 30, 2015 AND 2014, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. --------------- true true X true X true X true true true false false 156168 0 156168 0.00430 2983040 1469139 1513901 0.04200 3139208 1469139 1670069 0.04630 25261 0 25261 0.00070 7443179 4866103 2577076 0.07160 7468440 4866103 2602337 0.07230 10607648 6335242 4272406 0.11860 false 956873 143531 5781523 6092765 -311242 X true true 1 1 GUTHRIE TOWANDA MEMORIAL HOSPITAL 91 HOSPITAL DRIVE TOWANDA PA 18848 LICENSE# 650201 X X X GUTHRIE TOWANDA MEMORIAL HOSPITAL 1 false false true X X X X X X 12 true false false true X SEE SUPPLEMENTAL SECTION X true 15 true SEE SUPPLEMENTAL SECTION false false true X 100 300. X X X true true X X X true X SEE SUPPLEMENTAL SECTION X 0 X X X X true X false X X X X true X false false PART V, SECTION B, LINE 5- INPUT FROM COMMUNITY A TOTAL OF 19 INDIVIDUALS ATTENDED A STRATEGIC PLANNING SESSION ON MAY 16, 2013. THESE INDIVIDUALS REPRESENTED A VARIETY OF PUBLIC AGENCIES AND ORGANIZATIONS, INCLUDING LEADERSHIP OF MEMORIAL HOSPITAL, BRADFORD COUNTY ACTION, STATE HEALTH DEPARTMENT, STATE REPRESENTATIVE, SULLIVAN COUNTY COMMISSIONER, TOWANDA SCHOOL DISTRICT, AND AAA. --------------- PART V, SECTION B, LINE 7 & 10- CHNA & IMP. PLAN PUBLIC AVAILABILITY A COPY OF THE ORGANIZATION'S CHNA AND IMPLEMENTATION PLAN CAN BE FOUND AT: HTTPS://WWW.GUTHRIE.ORG/SITES/DEFAULT/FILES/TOWANDA-HOSPITAL-CHNA_IMPLEMEN TATION_STRATEGY.PDF --------------- PART V, SECTION B, LINE 11- ADDRESSING THE NEEDS IDENTIFIED IN THE CHNA FOR A COMPLETE DESCRIPTION ON HOW THE ORGANIZATION IS ADDRESSING THE NEEDS IDENTIFIED IN THE MOST RECENTLY COMPLETED CHNA, SEE THE FOLLOWING: HTTPS://WWW.GUTHRIE.ORG/SITES/DEFAULT/FILES/TOWANDA-HOSPITAL-CHNA_IMPLEMEN TATION_STRATEGY.PDF --------------- PART V, SECTION B, LINE 16A & 16B FAP PUBLIC AVAILABILITY A COPY OF THE ORGANIZATION'S FAP AND FAP APPLICATION CAN BE FOUND AT: HTTPS://WWW.GUTHRIE.ORG/PATIENTS-VISITORS/PAY-MY-BILL/FINANCIAL-ASSISTANCE --------------- PART I, LINE 7- COSTING METHODOLOGY USED THE RATIO OF COST TO CHARGES WAS COMPUTED USING PATIENT CHARGES AND PATIENT COST EXCLUDING RELATED BAD DEBT COSTS COUNTED ELSEWHERE IN THE COMMUNITY BENEFITS NUMBERS. THE NUMBERS USED IN THE CALCULATION OF THE RATIO WERE OBTAINED FROM THE MEDICARE COST REPORT FOR THE RELATED PEROID. THIS RATIO IS USED IN THE CALCULATION OF CHARITY CARE, MEDICAID, OTHER MEANS-TESTED GOVERNMENT PROGRAMS AND SUBSIDIZED HEALTH SERVICES. FOR THE REMAINING LINES, DIRECT EXPENSES WERE IDENTIFIED BY PROGRMA BASED ON PROGRAM RECORDS. --------------- PART I, LINE 7, COLUMN (F)- BAD DEBT EXPENSE THE AMOUNT OF BAD DEBT EXPENSES INCLUDED ON FORM 990, PART IX, LINE 25 COLUMN (A) BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES ON FORM 990, SCHEDULE H, PART I, LINE 7, COLUMN (F) WAS $3,414,288. --------------- PART III, SECTION A, LINE 2- BAD DEBT EXPENSE TOTAL RATIO OF COST TO CHARGES (BAD DEBT EXPENSE WAS BACKED OUT TO CALCULATE THE RATIO) WAS USED TO CALCULATE BAD DEBT EXPENSE. --------------- PART III, SECTION A, LINE 3- METHODOLOGY USED TO ESTIMATE FAP BAD DEBTS GUTHRIE TOWANDA MEMORIAL HOSPITAL ("MEMORIAL HOSPITAL"). PROVIDES CARE TO ALL PATIENTS WHO NEED IT, REGARDLESS OF THEIR ABILITY TO PAY. THIS IS PART OF THE HOSPITAL'S MISSION. THE HOSPITAL ESTIMATES THAT 15% OF THE BAD DEBT EXPENSE AT COST IS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY THAT HAVE NOT FILLED OUT THE PROPER FORMS OR PROVIDED THE PROPER INFORMATION TO QUALIFY FOR THE PROGRAM. --------------- PART III, SECTION A, LINE 4- BAD DEBT EXPENSE FOOTNOTE THE TEXT OF THE BAD DEBT FOOTNOTE CAN BE FOUND ON PAGE 13 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. --------------- PART III, SECTION B, LINE 8- COSTING METHODOLOGY, MEDICARE SHORTFALL THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 6 IS BASED ON THE THE HOSPITAL'S MEDICARE COST REPORT FILING FOR THE YEAR. CONSISTENT WITH THE CHARITABLE HEALTHCARE MISSION OF MEMORIAL HOSPITAL AND THE COMMUNITY BENEFIT STANDARD SET FORTH IN IRS REVENUE RULING 69-545, THE HOSPITAL PROVIDES CARE FOR ALL PATIENTS COVERED BY MEDICARE SEEKING MEDICAL CARE AT THE HOSPITAL. SUCH CARE IS PROVIDED REGARDLESS OF WHETHER THE REIMBURSEMENT PROVIDED FOR SUCH SERVICES MEETS OR EXCEEDS THE COSTS INCURRED BY THE ROBERT PACKER HOSPITAL TO PROVIDE SUCH SERVICES. AS A RESULT, THE HOSPITAL VIEWS ANY SHORTFALL REPORTED IN LINE 7 AS AN ADDITIONAL ITEM OF COMMUNITY BENEFIT PROVIDED BY THE ORGANIZATION. --------------- PART III, SECTION B, LINE 9B- COLLECTION POLICY PRACTICES IF UPON RESTORATION, PATIENT IS DETERMINED TO HAVE NO INSURANCE AND QUALIFIES FOR FINANCIAL ASSISTANCE THEY ARE ASKED TO PROVIDE COPIES OF A W-2, PAY STUB, OR INCOME TAX RETURN TO COMPLETE OUR CHARITY CARE APPLICATION. DETERMINATION IS BASED ON INFORMATION RECEIVED AND FINANCIAL GUIDELINES BEFORE UNDERTAKING COLLECTION EFFORTS. --------------- PART VI, LINE 2- NEEDS ASSESSMENT MEMORIAL HOSPITAL CONDUCTS ITS OWN HEALTH CARE ASSESSMENT ON AN ONGOING BASIS FOR THE HOSPITAL'S PRIMARY (ZIP CODES: 18837, 18854, 18815, 18853, 18814, 18832, 18833, 18614, 16947, 16926, 17743, 17724 AND 17735) AND SECONDARY (16914, 18817, 18840, 18831, 1850, 18851, 18829, 18845, 18818, 18828, 18839, 18801, 18843, 18846, 18616 AND 18632) SERVICE AREA. THE HOSPITAL USES ITS BOARD OF TRUSTEES, PHYSICIANS ON STAFF, EMPLOYEES AND COMMUNITY MEMBERS TO IDENTIFY NEEDS BASED ON INFORMATION OBTAINED BY THESE INDIVIDUALS OR GROUPS. BASED ON WHAT IS OBTAINED, THE HOSPITAL CAN THEN DETERMINE WHAT HEALTHCARE SERVICES SHOULD BE CONSIDERED TO BE OFFERED IN THE COMMUNITY. --------------- PART VI, LINE 3- PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE INFORMATION IS PROVIDED THROUGHOUT THE HOSPITAL REGARDING THE CHARITY CARE PROGRAM. TELEPHONE CALLS ARE MADE TO ALL SELF PAY PATIENTS AS WELL AS SEEING THEM PERSONALLY IF THEY HAPPEN TO BE AN INPATIENT OF THE HOSPITAL. EVERY INTAKE AREA OF THE HOSPITAL HAS INFORMATION REGARDING THE FINANCIAL ASSISTANCE THE HOSPITAL CAN PROVIDE AND THE CONTACT INFORMATION FOR THE HOSPITAL'S FINANCIAL COUNSELOR IS MADE AVAILABLE. ALL NEW HIRED EMPLOYEES IN INTAKE AREAS ARE TRAINED IN THE FINANCIAL ASSISTANCE POLICIES AS PART OF THEIR ORIENTATION PROCESS. A NOTICE FOR FINANCIAL AID IS POSTED ON THE HOSPITAL'S WEB SITE FOR THOSE SEEKING THE INFORMATION VIA THE WEB. IN THE EVENT AN INTERPRETER IS NEEDED TO ASSIST A PATIENT WHO DOES NOT SPEAK ENGLISH, ONE CAN BE PROVIDED. --------------- PART VI, LINE 4- COMMUNITY INFORMATION MEMORIAL HOSPITAL SERVES A RURAL PORTION OF BRADFORD AND SULLIVAN COUNTIES IN NORTHEAST PA. THE TOTAL POPULATION FOR BOTH COUNTIES IS APPROXIMATELY 67,000. THE HOSPITAL SERVES A HIGH PERCENTAGE OF MEDICAL ASSISTANCE PATIENTS AND IS ELIGIBLE FOR DSH REIMBURSEMENT AS A RESULT. ACCORDING TO THE PENNSYLVANIA HEALTH CARE COST CONTAINMENT COUNCIL (PHC4), MEMORIAL HOSPITAL HAD A 14.19% SHARE OF NET PATIENT REVENUE COMING FROM MEDICAL ASSISTANCE PATIENTS. THE HOSPITAL'S 24 HOUR EMERGENCY ROOM CARES FOR MANY PATIENTS SEEKING PRIMARY CARE WHO DO NOT HAVE AN EXISTING PRIMARY CARE PHYSICIAN. WITHIN BRADFORD AND SULLIVAN COUNTIES THERE ARE AREAS DESIGNATED AS MEDICALLY UNDESERVED, WITH THE HOSPITAL CARING FOR MANY PATIENTS WITHIN THOSE AREAS. --------------- PART VI, LINE 5- PROMOTION OF COMMUNITY HEALTH MEMORIAL HOSPITAL IS GOVERNED BY A 15 MEMBER VOLUNTEER BOARD OF TRUSTEES WITH THE MAJORITY OF THOSE TRUSTEES RESIDING IN THE HOSPITAL'S PRIMARY SERVICE AREA. THE PRESIDENT IS A MEMBER OF THE BOARD OF TRUSTEES. THE REMAINING 14 MEMBERS ARE COMMUNITY MEMBERS OF THE AREAS THE HOSPITAL SERVES THAT ARE NEITHER EMPLOYEES, CONTRACTORS OF THE ORGANIZATION, OR FAMILY MEMBERS THEREOF. THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY WHO SEEK THOSE PRIVILEGES. ANY SURPLUS FUNDS GENERATED BY THE HOSPITAL ARE USED FOR FUNDING IMPROVEMENTS IN PATIENT CARE. THE HOSPITAL'S 24 HOUR EMERGENCY ROOM TREATS ALL PATIENTS WHO PRESENT REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITAL PARTICIPATES WITH ALL GOVERNMENT SPONSORED HEALTH CARE PROGRAMS AND OFFERS FINANCIAL ASSISTANCE TO PATIENTS WHO SEEK ASSISTANCE AND MEET THE GUIDELINES. --------------- PART VI, LINE 6- DETAIL REGARDING AFFILIATED HEALTH CARE SYSTEM ROLES MEMORIAL HOSPITAL IS PART OF THE GUTHRIE CLINIC. SEE SCHEDULE O, FORM 990, PART III, LINE 1- STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS FOR MORE INFORMATION. MEMORIAL HOSPITAL IS ALSO SUPPORTED BY THE MEMORIAL HOSPITAL FOUNDATION, WHICH WAS ESTABLISHED IN 2003 TO FOSTER AND SUPPORT SPECIFIC PROJECTS AND PROGRAMS TO IMPROVE THE HOSPITAL'S SERVICES TO ITS PATIENTS. THE MISSION OF THE MEMORIAL HOSPITAL FOUNDAITON IS TO GENERATE RESOURCES FOR THE SUSTAINABILITY AND ADVANCEMENT OF HEALTHCARE IN THE COMMUNITIES IT HAS THE PRIVILEGE OF SERVING. X true true X X X X false false false false false false false false false PAUL VERVALIN COO TRUSTEE 0 388922 0 51264 0 841 0 13000 0 11696 0 465723 0 0 WILLIAM K ROHRBACH PRESIDENT 166467 0 119126 0 0 0 8024 0 11423 0 305040 0 0 0 WINGROVE JARVIS MD ORTHOPEDIC SURGEON 450146 0 0 0 0 0 519 0 0 0 450665 0 0 0 MARC ALPERT MD GENERAL SURGEON 268752 0 0 0 0 0 6970 0 11165 0 286887 0 0 0 LISA CERAOLO MD INTERNAL MEDICINE 180205 0 0 0 0 0 0 0 11165 0 191370 0 0 0 LYNN DIBBLE VP PATIENT CARE SERVICES 108030 0 71574 0 0 0 5464 0 11165 0 196233 0 0 0 CAROL SAGER VP DEVELOPMENT 100307 0 71035 0 0 0 5212 0 11165 0 187719 0 0 0 LINDA BERRY VP HUMAN RESOURCES 92500 0 61317 0 0 0 4689 0 10974 0 169480 0 0 0 FORM 990, SCHEDULE J, PART I, LINE 3 TOP MANAGEMENT COMPENSATION EXECUTIVE COMPENSATION IS GENERALLY ESTABLISHED WITHIN A WRITTEN EMPLOYMENT AGREEMENT. COMPENSATION IS DETERINED BASED ON MARKET STUDIES, PRESENTED TO THE GUTHRIE CLINIC COMPENSATION COMMITTEE AND SUBSEQUENTLY APPROVED BY THE BOARD OF DIRECTORS. A MUNICIPAL HOSPITAL AUTHORITY OF TH E TOWNSHIP 232308413 2012-10-05 10000000 SEE PART Vi false false false B MUN HOSP AUTHORITY OF THE TOWNSHIP OF N TOWANDA 232308413 2004-10-19 9800000 CONSTRUCTION, RENOVATION & REFINAN false false false A 774564 0 10000000 0 0 0 112309 0 0 5279697 4607994 0 2014 true false true true B 5698153 0 9800000 0 0 0 0 0 0 4621214 5178786 0 2004 true false true true A false false false false 0.00000 0.00000 0.00000 false false 0.00000 false true B false false false false 0.00000 0.00000 0.00000 false false 0.00000 false true A false true false false true false 0 false 0 false true B false true false false true false 0 false 0 false true A true B true FORM 990, PART III STATEMENT OF PROGRAM SERVICES ACCOMPLISHMENTS GUTHRIE TOWANDA MEMORIAL HOSPITAL IS A SUBSIDIARY OF THE GUTHRIE CLINIC. THE GUTHRIE CLINIC IS A NONPROFIT HEALTH CARE ORGANIZATION INCORPORATED FOR THE PURPOSE OF CONDUCTING EXCLUSIVELY CHARITABLE, SCIENTIFIC AND EDUCATIONAL ACTIVITIES. THE GUTHRIE CLINIC (TGC) ACTS AS THE PARENT OF AN INTEGRATED SECTION 501(C)(3) HEALTH CARE DELIVERY SYSTEM, CONSISTING OF THE CORPORATION AND OTHER DIRECTLY AND INDIRECTLY CONTROLLED ENTITIES (SEE FORM 990, SCHEDULE R, FOR A LISTING OF THE AFFILIATES OF TGC) INCLUDING BUT NOT LIMITED TO GUTHRIE MEDICAL GROUP, P.C.(GMG) AND ROBERT PACKER HOSPITAL (RPH). THROUGH THE ACTIVITIES OF GMG, 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, A SUBSIDIARY OF TGC, FURTHERS THESE CHARITABLE ACTIVITIES THROUGH PROVIDING PATIENT ACCESS TO THE REGION'S LARGEST PANEL OF CLINICAL TRIALS. THE FACILITIES AND PROVIDER OFFICES OF GUTHRIE ARE LOCATED IN 23 COMMUNITIES THROUGHOUT THE NORTHERN TIER OF PENNSYLVANIA AND SOUTHERN TIER OF NEW YORK, WITH THE GREATEST CONCENTRATION OF SERVICES PROVIDED PRINCIPALLY IN BRADFORD COUNTY, PENNSYLVANIA AND CHEMUNG AND STEUBEN COUNTIES, NEW YORK. THE VISION OF GUTHRIE IS TO HELP SHAPE THE DELIVERY OF HEALTH CARE IN THE REGION THROUGH WORKING COLLABORATIVELY WITH PHYSICIANS AND OTHER PROVIDERS, AND BY DISTRIBUTING ITS SERVICES THROUGHOUT THE REGION BASED ON COMMUNITY NEEDS. GUTHRIE SEEKS TO BE THE PROVIDER OF CHOICE FOR PATIENTS IN THE TWIN TIER REGION, AND TO BE RECOGNIZED FOR ITS SUPERIOR QUALITY AND SERVICE. IT ALSO STRIVES TO ADVANCE THE PRACTICE OF MEDICINE THROUGH ITS COMMITMENT TO TEACHING AND RESEARCH. IN KEEPING WITH THIS VISION, THE CORE VALUES OF THE GUTHRIE CLINIC ARE AS FOLLOWS: PATIENT-CENTEREDNESS, EXCELLENCE, AND TEAMWORK. GUTHRIE PROVIDERS AND FACILITIES PROVIDE CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE IT DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE ON THE FINANCIAL STATEMENTS OF GUTHRIE ENTITIES. COSTS FOR SERVICES AND SUPPLIES FURNISHED UNDER GUTHRIE'S CHARITY CARE POLICY AMOUNTED TO APPROXIMATELY $2.64 MILLION IN 2015 AND $2.6 MILLION IN 2014 WHEN MEASURED AT THE APPROPRIATE ENTITY'S ESTIMATED COST. AS PART OF ITS CHARITABLE MISSION, GUTHRIE PROVIDES CARE THROUGH ITS HOSPITAL EMERGENCY DEPARTMENTS. IT ENSURES THAT AN EMERGENCY-BASED TREATMENT OR HOSPITAL ADMISSION IS NOT DELAYED OR DENIED PENDING DETERMINATION OF COVERAGE OR A REQUIREMENT FOR PREPAYMENT OR DEPOSIT. AS A RESULT OF THIS POLICY, GUTHRIE EXPERIENCED APPROXIMATELY $2.64 MILLION AND $3.74 MILLION IN BAD DEBTS FOR 2015 AND 2014, RESPECTIVELY. IN ADDITION TO THE CHARITY CARE PROGRAM AND THE EMERGENCY DEPARTMENT BAD DEBTS DISCUSSED ABOVE, GUTHRIE SUPPORTS NUMEROUS OTHER CHARITABLE COMMUNITY ACTIVITIES. EXAMPLES OF THESE ACTIVITIES INCLUDE MEDICAL EDUCATION FOR PHYSICIANS AND NURSES, THE TRAUMA PROGRAM, AND MEDICAL RESEARCH. THE ESTIMATED COST, NET OF REIMBURSEMENT, FOR THESE PROGRAMS WAS $17.5 MILLION AND $15.7 MILLION IN 2015 AND 2014, RESPECTIVELY. GUTHRIE ALSO PROVIDES SERVICES TO PATIENTS WHO PARTICIPATE IN THE MEDICAID PROGRAMS. REVENUES GENERATED FROM PATIENTS WHO PARTICIPATE IN THE MEDICAID PROGRAM ARE SUBJECT TO SUBSTANTIAL DISCOUNTS THAT RESULT IN REIMBURSEMENT FOR SERVICES RENDERED BELOW THE COST OF PROVIDING SUCH SERVICES. IN ORDER FOR PATIENTS TO MEET THE GUIDELINES FOR THE MEDICAID PROGRAM, VARIOUS INCOME-BASED CRITERIA MUST BE MET THAT VALIDATE PATIENTS' INABILITY TO PAY FOR SERVICES AND INELIGIBILITY UNDER OTHER PROGRAMS. THE ESTIMATED LOSS INCURRED BY GUTHRIE FROM PROVIDING SERVICES TO MEDICAID PATIENTS AMOUNTED TO $24.8 MILLION AND $22.0 MILLION IN 2015 AND 2014, RESPECTIVELY. THE TOTAL COST TO GUTHRIE IN SUPPORTING THESE CHARITABLE MISSION PROGRAMS WAS APPROXIMATELY $47.6 MILLION AND $44.0 MILLION IN 2015 AND 2014, RESPECTIVELY. AS DISCUSSED, RPH AND THE GMG WORK CLOSELY TOGETHER IN FULFILLING GUTHRIE'S CHARITABLE MISSION. A REGIONAL LEVEL II TRAUMA CENTER, RPH IS A TERTIARY CARE TEACHING HOSPITAL, LOCATED IN SAYRE, PENNSYLVANIA, SERVING THE SOUTHERN TIER OF NEW YORK AND THE NORTHERN TIER OF PENNSYLVANIA. IT ALSO PROVIDES RESIDENCY PROGRAMS IN FAMILY PRACTICE, INTERNAL MEDICINE, AND GENERAL SURGERY AS WELL AS A FELLOWSHIP PROGRAM IN VASCULAR SURGERY AND CARDIOVASCULAR DISESASE. MEDICAL STUDENT TRAINING IS PROVIDED FOR STUDENTS FROM AFFILIATED MEDICAL SCHOOLS. ALLIED HEALTH EDUCATION IS ALSO PROVIDED FOR RESPIRATORY THERAPY, NURSING, LABORATORY SCIENCE, AND RADIOLOGIC TECHNOLOGY FOR STUDENTS FROM PENNSYLVANIA AND NEW YORK COLLEGES AND UNIVERSITIES. CENTERS OF EXCELLENCE WITHIN RPH INCLUDE THE FOLLOWING: ADVANCED & MINIMALLY INVASIVE SURGERY; BEHAVIORAL HEALTH SERVICES; BREAST AND IMAGING CENTER; COMPREHENSIVE CANCER CENTER; CARDIOVASCULAR CARE CENTER; THE CENTER FOR WOUND CARE AND HYPERBARIC MEDICINE; DIALYSIS CENTERS; JOINT CAMP PROGRAM FOR ORTHOPEDIC SURGERY; SPORTS MEDICINE; KIDNEY STONE TREATMENT CENTER; FIRST IMPRESSIONS BIRTHING CENTER; SLEEP DISORDERS TESTING; AND SPECIALTY EYE CARE. RPH STRIVES TO ENHANCE THE QUALITY OF LIFE IN THE COMMUNITIES IT SERVES BY PROVIDING SUPERIOR HEALTH CARE SERVICES AND BY LEADING CONTINUOUS IMPROVEMENT OF COMMUNITY HEALTH. IT ACHIEVES THIS MISSION BY ORGANIZING SERVICES AND DIRECTING RESOURCES TOWARD MEETING COMMUNITY HEALTH NEEDS THROUGH COLLABORATION WITH COMMUNITY AGENCIES AND BY COMPASSIONATE, EFFECTIVE, AND AFFORDABLE MEANS. RPH WORKS CLOSELY WITH THE GMG TO ENSURE THAT THE SKILLS AND KNOWLEDGE OF THE MEDICAL STAFF PRODUCE THE MAXIMUM COMMUNITY HEALTH BENEFIT. AS A MEMBER OF GUTHRIE, RPH INTEGRATES ITS PROGRAMS AND ACTIVITIES WITH THOSE OF THE LONG-TERM CARE AND EDUCATION AND RESEARCH DIVISIONS, SO THAT CONTINUITY AND SYNERGY RESULT. AS PART OF TGC, THE VISION OF RPH IS TO PLAY A LEADERSHIP ROLE IN THE DEVELOPMENT AND PROVISION OF TERTIARY-LEVEL ACUTE CARE SERVICES. EVIDENCE THAT RPH IS SUCCESSFULLY FULFILLING THIS ROLE CAN BE SEEN IN ITS CONTINUED ACCOMPLISHMENTS. HIGHLIGHTS OF THOSE ACHIEVEMENTS INCLUDE CONTINUED ACCREDITATION BY THE PENNSYLVANIA TRAUMA SYSTEMS FOUNDATION BOARD AS A LEVEL II TRAUMA CENTER AND RECEIPT OF FULL CHEST PAIN CENTER ACCREDITATION WITH PCI (PERCUTANEOUS CORONARY INTERVENTION) FROM THE SOCIETY OF CARDIOVASCULAR PATIENT CARE. GUTHRIE WEIGHT LOSS CENTER HAS BEEN ACCREDITED AS A LEVEL 1 FACILITY UNDER THE BARIATRIC SURGERY CENTER NETWORK (BSCN) ACCREDITATION PROGRAM OF THE AMERICAN COLLEGE OF SURGEONS (ACS). AS PART OF A FULLY-INTEGRATED HEALTH DELIVERY SYSTEM THAT ORGANIZES ITS SERVICES ON A REGIONAL BASIS AND IS ACCOUNTABLE FOR IMPROVING THE HEALTH OF THE POPULATION IT SERVES, RPH ACCEPTS RESPONSIBILITY FOR MEETING THE HEALTH CARE NEEDS OF THE COMMUNITY AND IS ABLE TO DOCUMENT THE COST EFFECTIVENESS AND QUALITY OF SERVICES PROVIDED. CORNING HOSPITAL BREAST CARE CENTER WAS AWARDED A FULL THREE-YEAR ACCREDITATION IN STEREOTACTIC BREAST BIOPSY BY THE AMERICAN COLLEGE OF RADIOLOGY (ACR) AND RECEIVED THE AMERICAN HEART ASSOCIATION/AMERICAN STOKE ASSOCIATION'S GET WITH THE GUIDELINES STROKE GOLD PLUS ACHIEVEMENT AWARD. THE GMG IS A MULTI-SPECIALTY PHYSICIAN GROUP PRACTICE THAT INCLUDES NEARLY 350 SPECIALIST AND PRIMARY CARE PHYSICIANS AND MID-LEVEL PROVIDERS, HEADQUARTERED IN A FACILITY ADJACENT TO RPH. PHYSICIANS WITHIN THE GMG PROVIDE COMPREHENSIVE MEDICAL CARE USING ADVANCED TECHNOLOGIES AND METHODOLOGIES FOR BOTH DIAGNOSIS AND TREATMENT. FURTHER, THE GMG PROVIDES A BROAD RANGE OF EDUCATIONAL OPPORTUNITIES FOR PHYSICIANS AND OTHER HEALTH CARE PROVIDERS. IT ALSO WORKS CLOSELY WITH THE RESEARCH INSTITUTE, WHERE RESEARCH CONTRIBUTES TO RECRUITING AND RETAINING PHYSICIAN SPECIALISTS TO SERVE THE REGION AND SUSTAINING PROFICIENT MEDICAL PRACTICES. THE GMG IS COMMITTED TO THE ADVANCEMENT OF MEDICAL KNOWLEDGE AND SKILLS, AND EVERY EFFORT IS MADE TO PROVIDE PERSONAL, COMPASSIONATE MEDICAL CARE. THE GMG OPERATES A REGIONAL OFFICE NETWORK IN 23 COMMUNITIES IN PENNSYLVANIA AND NEW YORK, ENCOMPASSING ALL OF THE MAJOR POPULATION CENTERS IN THE TWIN TIERS AREA. THE GUTHRIE CLINIC HAS DEVELOPED CERTAIN GUIDING PRINCIPLES FOR THE PROVISION OF PATIENT CARE, WHICH INCLUDE A COMMITMENT THE FOLLOWING: * PRACTICE OF CLINICAL EXCELLENCE, * UTILIZATION OF THE SYNERGY OF A MULTI-SPECIALTY MEDICAL GROUP PRACTICE, * DEVELOPMENT OF AN INTEGRATED SYSTEM THAT PROVIDES A CONTINUUM OF CARE, * PROVISION OF LOCAL AC FORM 990 PART IV, LINE 12B DETAIL OF CONSOLIDATED FINANCIAL STATEMENTS THE ORGANIZATION'S FINANCIAL STATEMENTS WERE AUDITED ON A CONSOLIDATED BASIS WITH THE GUTHRIE CLINIC AND AFFILIATES. --------------- FORM 990, PART VI, SECTION A, LINE 3 DELEGATION OF CONTROL GUTHRIE TOWANDA MEMORIAL HOSPITAL ("MEMORIAL HOSPITAL") BECAME AN AFFILIATE OF THE GUTHRIE CLINIC ON APRIL 1, 2015. THROUGH MARCH 31, 2015, MEMORIAL HOSPITAL HAD A MANAGEMENT CONTRACT IN PLACE WITH QUORUM HEALTH RESOURCES. GARY BAKER, PRESIDENT & CEO OF MEMORIAL HOSPITAL THROUGH MARCH 31, 2015, WAS EMPLOYED BY QUORUM HEALTH RESOURCES. --------------- FORM 990, PART VI, SECTION A, LINE 4 CHANGES TO GOVERNING DOCUMENTS THROUGH AN AMENDMENT TO THE ARTICLES OF INCORPORATION AND BYLAWS OF GUTHRIE TOWANDA MEMORIAL HOSPITAL ("MEMORIAL HOSPITAL"), THE GUTHRIE CLINIC BECAME THE SOLE MEMBER OF MEMORIAL HOSPITAL ON APRIL 1, 2015. PRIOR TO SUCH AFFILIATION, MEMORIAL HOSPITAL'S NAME WAS "THE MEMORIAL HOSPITAL, INC. OF TOWANDA, PA". SUCH NAME CHANGE WAS PREVIOUSLY REPORTED TO THE IRS. --------------- FORM 990, PART VI, SECTION A, LINE 6 MEMBERSHIP INFORMATION THE GUTHRIE CLINIC IS THE SOLE MEMBER OF GUTHRIE TOWANDA MEMORIAL HOSPITAL. --------------- FORM 990, PART VI, SECTION A, LINE 7A MEMBERSHIP INFORMATION AS THE SOLE MEMBER OF GUTHRIE TOWANDA MEMORIAL HOSPITAL, THE GUTHRIE CLINIC APPOINTS THE ORGANIZATION'S BOARD OF DIRECTORS. --------------- FORM 990, PART VI, SECTION A, LINE 7B MEMBERSHIP INFORMATION AS THE SOLE MEMBER OF GUTHRIE TOWANDA MEMORIAL HOSPITAL, THE GUTHRIE CLINIC HAS APPROVAL RIGHTS OF CERTAIN BOARD DECISIONS. --------------- FORM 990, PART VI, SECTION B, LINE 11 FORM 990 REVIEW PROCESS THE ORGANIZATION'S FORM 990 IS PROVIDED 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 CONFLICT OF INTEREST POLICY 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 TGH BOARD/ COMMITTEE AND TGH 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 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 15 COMPENSATION REVIEW AND APPROVAL 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 19 GOVERNING DOCUMENTS THE ORGANIZATION'S FORMS 1023 AND 990 FILINGS ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. --------------- FORM 990, PART XI, LINE 9 RECONCILIATION OF NET ASSETS DETAIL OF OTHER CHANGES IN NET ASSETS OR FUND BALANCES GAIN ON ACQUISITION RELATED TO AFFILIATION WITH THE GUTHRIE CLINIC $1,901,681 OTHER CHANGE IN ASSETS $ 356,109 ____________ TOTAL $2,257,790 --------------- FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTED SERVICES TOTAL FEES:1639949 FORM 990 PART IX LINE 11G DESCRIPTION:DUES & SUBSCRIPTIONS TOTAL FEES:45929 FORM 990 PART IX LINE 11G DESCRIPTION:ALLOCATED ADMINISTRATIVE TOTAL FEES:134114 FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL SERVICES TOTAL FEES:3442459 FORM 990 PART IX LINE 11G DESCRIPTION:MISCELLANEOUS TOTAL FEES:143726 COMMUNITY HEALTH ASSOCIATES LLC 91 HOSPITAL DRIVE TOWANDA PA 18848 262096228 MEDICAL SRVCS PA 1574602 7030063 GTMH THE GUTHRIE CLINIC ONE GUTHRIE SQUARE SAYRE PA 18840 233055017 SUPPORTING PA 501 (C)(3) 11C,III NA false GUTHRIE MEDICAL GROUP PC ONE GUTHRIE SQUARE SAYRE PA 18840 250815795 HEALTHCARE PA 501 (C)(3) 3 TGC false SAYRE HOUSE OF HOPE ONE GUTHRIE SQUARE SAYRE PA 18840 203979472 HEALTHCARE PA 501 (C)(3) 7 TGC false ROBERT PACKER HOSPITAL ONE GUTHRIE SQUARE SAYRE PA 18840 240795463 HEALTHCARE PA 501 (C)(3) 3 TGC false DONALD GUTHRIE FOUNDATION 200 S WILBUR AVE SAYRE PA 18840 246022957 MED RESEARCH PA 501 (C)(3) 4 TGC false ROBERT PACKER HOSPITAL SCHOOL OF NURSING 200 S WILBUR AVE SAYRE PA 18840 236408773 EDUCATION PA 501 (C)(3) 2 TGC false TROY COMMUNITY HOSPITAL INC 275 GUTHRIE DR troy PA 16947 240800337 HEALTHCARE PA 501 (C)(3) 3 TGC false TIOGA HEALTHCARE FACILITY ONE GUTHRIE SQUARE SAYRE PA 18840 150532257 HOUSING NY 501 (C)(3) 3 TGC false SAYRE HOUSE INC ONE GUTHRIE SQUARE SAYRE PA 18840 231643404 NURSING FAC. PA 501 (C)(3) 9 TGC false GUTHRIE HOME CARE 421 TOMAHAWK RD TOWANDA PA 18848 232394345 HOME HEALTH PA 501 (C)(3) 9 TGC false GUTHRIE SAME DAY SURGERY CENTER INC ONE GUTHRIE SQUARE SAYRE PA 18840 020551081 AMBULATORY NY 501 (C)(3) 9 TGC false GUTHRIE RISK RETENTION GROUP 151 MEETING ST CHARLESTON SC 29401 201090801 SUPPORTING SC 501 (C)(3) 11A,I TGC false TIOGA NURSING FACILITY ONE GUTHRIE SQUARE SAYRE PA 18840 222979677 NURSING FAC. NY 501 (C)(3) 3 TGC false DARWAY NURSING HOME INC ONE GUTHRIE SQUARE SAYRE PA 18840 231733967 NURSING FAC. PA 501 (C)(3) 9 TGC false THE MEMORIAL HOSPITAL FOUNDATION 91 HOSPITAL DRIVE TOWANDA PA 18848 651160811 SUPPORTING PA 501(C)(3) 11A,1 GTMH true CORNING HOSPITAL 176 DENISON PARKWAY E CORNING NY 14830 160393490 HEALTHCARE NY 501(C)(3) 3 TGC false TWIN TIER MANAGEMENT CORP INC PO BOX 310 SAYRE PA 18840 232209439 MANAGEMENT CO PA TGC C CORP false true false false false false false false false false true true true true false true false false false false