2012-05-14T13:37:12-05:00 2011-06-30 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1700 PHILADELPHIA PA 19103 990 2010-07-01 250815795 Guthrie Clinic LTD GUTH 5708885858 Guthrie Square Sayre PA 18840 JOSEPH SCOPELLITI 2012-05-08 2673303000 2010 2016-02-24 21:20:13Z JOSEPH SCOPELLITI MD GUTHRIE SQUARE SAYRE PA 18840 300801432 false X www.guthrie.org X 1987 PA PROVISION OF MEDICAL CARE FOR THE BENEFIT OF THE COMMUNITY. TOTAL ENCOUNTERS IN WHICH PATIENTS WERE TREATED TOTALED 1,132,269. 9 0 1773 37 4908 0 35244 72990 208759424 220880827 4232188 1870292 -2190761 224575 210836095 223048684 15925 15600 0 0 140366479 150747107 0 0 0 90337680 96793085 230720084 247555792 -19883989 -24507108 91429351 108061206 138501363 151436663 -47072012 -43375457 X GUTHRIE CLINIC LTD 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 MEDICAL ED false false 198053331 15600 218890827 PROVISION OF MEDICAL CARE FOR THE BENEFIT OF THE COMMUNITY. TOTAL ENCOUNTERS IN WHICH PATIENTS WERE TREATED: 1,132,269 5416675 0 1990000 EDUCATION- TO ESTABLISH, CONDUCT, MAINTAIN, AND OPERATE EDUCATIONAL PROGRAMS, COURSES, AND STUDIES, INCLUDING WITHOUT LIMITATION, FELLOWSHIPS, AND GRADUATE EDUCATION AND MEDICAL RESEARCH. 0 0 0 203470006 true true false true false false false false true true false true false true true false true false false false false false false false false false false true true false false false true false true true true false false false false false true true true true false true 1 0 true 1773 true true true false false false false false false false false false X 9 0 true false false false true true true true true false false true true true true true true true false false NY PA X MICHELE SISTO 5708874625 GUTHRIE SQUARE SAYRE PA 18440 X Joseph Scopelliti MD 40.0 X X 583193 0 32862 Robert Cohen MD 40.0 X 382426 0 39612 Daniel P Sporn MD 40.0 X 562670 0 43752 David Talenti MD 40.0 X 488312 0 43752 Thomas Vandermeer MD 40.0 X 375470 0 43752 Thomas Yaeger MD 40.0 X 227424 0 38963 Edward Jones MD 40.0 X 316060 0 39612 Douglas Trostle MD 40.0 X 531729 0 43752 Mark Mauer MD 40.0 X 358068 0 39612 David Pfisterer MD 40.0 X 295649 0 43752 Rodrigo Samodal MD 40.0 X 212876 0 40990 Paul Chacona 40.0 X 274406 0 39626 Francis Belardi MD 40.0 X 365307 0 39612 Thomas Collins 40.0 X 153638 0 27628 Staci Thompson 40.0 X 159334 0 28956 Lynne Yaeger 40.0 X 163428 0 16177 Daniel Brown MD 40.0 X 452152 0 43752 Joseph Bifano MD 40.0 X 472515 0 43752 Dwight David Stapleton MD 40.0 X 416190 0 43752 Kishore Harjai MD 40.0 X 627023 0 43752 S Bryan Rouse MD 40.0 X 301621 0 39612 Richard Rohr MD 40.0 X 230627 0 15550 David Sciortino MD 40.0 X 341436 0 39547 Craig Faerber 40.0 X 525733 0 43751 Julie Godfrey 40.0 X 0 101204 17562 David Scopelliti MD 40.0 X 218917 0 40225 Philip Lowry MD 40.0 X 133197 0 11869 Timothy Entry 40.0 X 75560 0 7945 Lisa Grazul 40.0 X 82023 0 16603 Dermot ReynoldsMD 40.0 X 1123463 0 43752 Terece Devine MD 40.0 X 909450 0 43752 Pramod Deshmukh MD 40.0 X 821483 0 43752 Tony Pasquale MD 40.0 X 923830 0 43752 Carson Thompson MD 40.0 X 726958 0 39612 Ferrol Lee MD 40.0 X 272028 0 39612 Vance Good MD 40.0 X 273613 0 39846 Anthony Gillott MD 40.0 X 261670 0 43752 Hal Sussman MD 40.0 X 497955 0 43752 Surya Narayanan MD 40.0 X 319268 0 39612 Thomas McDonald MD 40.0 X 556120 0 43752 Narayan Deshmukh MD 40.0 X 52625 0 2631 George Pokorny MD 40.0 X 341153 0 43752 Hari Sharma MD 40.0 X 298785 0 43752 Kevin Carey MD 40.0 X 323058 0 39612 Felice Reitknecht MD 40.0 X 427627 0 39612 Burdett Porter MD 40.0 X 358590 0 43752 17814660 101204 1688139 313 true true false NUANCE COMMUNICATIONS PO BOX 7247-6924 PHILADELPHIA PA 19170 MED TRANSCRIPTION 904876 STAFF CARE INC PO BOX 281923 ATLANTA GA 303841923 PHYSICIAN SERVICES 652034 COMPHEALTH MEDICAL STAFFING PO BOX 972670 DALLAS TX 753972670 MED TRANSCRIPTION 606853 VIRTUAL RADIOLOGIC PROFESSION DEPT 7067 CAROL STREAM IL 601227067 PHYSICIAN SERVICES 519283 QUEST DIAGNOSTIC 2249 COLLECTION CENTER DRIVE CHICAGTO IL 60611 LAB SERVICES 347201 22 0 0 0 0 0 72990 0 72990 NET PATIENT SERVICE REVENUE 621110 141154555 141149647 4908 RENT INCOME EXEMPT PURPOSES 621110 66950 66950 MEDICARE/MEDICAID PAYMENTS 621110 79659322 79659322 220880827 1073738 1073738 0 0 78490722 58580 77692742 60006 797980 -1426 796554 796554 0 0 0 0 0 0 0 INTEREST INCOME - NOTES REC. 900099 15774 15774 CHANGE IN DERIVATIVE INSTRUMENT 900099 -1016454 -1016454 GAIN ON RETIREMENT OF DEBT 900099 1225255 1225255 224575 223048684 220875919 4908 2094867 0 15600 15600 0 0 10438268 7683722 2754546 0 118514393 111963274 6551119 4884662 4416470 468192 10175292 8697659 1477633 6734492 5937497 796995 5533507 0 5533507 905196 26562 878634 1340645 0 1340645 0 0 0 0 0 0 0 10308160 7832420 2475740 23996 15176 8820 36510470 34810125 1700345 8526972 402478 8124494 0 0 0 6048970 823674 5225296 1263098 1051380 211718 0 0 0 134527 103003 31524 2232751 0 2232751 0 0 0 4990065 2706769 2283296 0 10485655 8965103 1520552 CORPORATE TAXES 5662 0 5662 BAD DEBT 6802731 6938006 -135275 CAFETERIA/CATERING 162183 105357 56826 ALL OTHER EXPENSES 1518497 975731 542766 247555792 203470006 44085786 0 13730 14380 4964560 9519690 0 0 19667586 19684281 51323 35873 0 0 171973 124984 1392390 1336133 1516060 1810255 76961432 52003944 23145399 24957488 0 0 0 0 38695337 49188569 0 0 1810993 1389553 91429351 108061206 27118942 30986498 679454 780384 0 0 0 0 26755822 33883750 0 0 83947145 85786031 138501363 151436663 X -47089800 -43401836 17788 26379 -47072012 -43375457 91429351 108061206 X -24507108 28203663 X X false true true X false X false false false RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 false false false false false false false false true 2600 2600 0 0 PART II-B, LINE 1I INDIRECT LOBBYING MEMBER OF AMERICAN MEDICAL GROUP ASSOCIATION, ESTIMATE OF 20% OF DUES ATTRIBUTE TO LOBBYING ACTIVITIES. 0 0 false 17789 19954 11364 26379 17886 7299 7396 17789 13584 129681 0 0 125380 17885 1.00000 false false 0 1011507 1011507 0 37544294 25346541 12197753 0 2227865 1362573 865292 0 33263253 23831596 9431657 0 2914513 1463234 1451279 24957488 CONSTRUCTION FUND 1172489 F SELF INSURANCE TRUST FUND 48016080 F 49188569 0 DEFERRED LIABILITY 13118 PROFESSIONAL LIABILITY RESERVE 48292523 WORKERS COMP RESERVE 1966217 SWAP CONTRACT PAYABLE 3461530 LOAN PAY GH - TAX EXEMPT BONDS 31969175 DEFERRED RENT 83468 85786031 SCHEDULE D PART V LINE 4 FUNDS ARE DONATED TO HELP CANCER PATIENTS OFFSET UNEXPECTED FINANCIAL DIFFICULTIES RELATED TO THEIR ILLNESS. 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 EDUCATIONAL AID SCHOLARSHIPS AND AWARDS 48 15600 SCHEDULE I, PART I LINE 2 and PART III GRANTS TO INDIVIDUALS IN THE UNITED STATES PART I LINE 2 HEALTH PROFESSION SCHOLARSHIPS (10 AWARDED) ARE AVAILABLE TO HIGH SCHOOL SENIORS. TO BE ELIGIBLE, THE SENIOR 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 (3 AWARDED) 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 true false Joseph Scopelliti MD 444822 0 135996 0 2375 0 0 0 32862 0 616055 0 0 0 Robert Cohen MD 379600 0 0 0 2826 0 0 0 39612 0 422038 0 0 0 Daniel P Sporn MD 562670 0 0 0 0 0 0 0 43752 0 606422 0 0 0 David Talenti MD 480386 0 0 0 7926 0 0 0 43752 0 532064 0 0 0 Ferrol Lee MD 268808 0 0 0 3220 0 0 0 39612 0 311640 0 0 0 Thomas Vandermeer MD 375470 0 0 0 0 0 0 0 43752 0 419222 0 0 0 Thomas Yaeger MD 225585 0 0 0 1839 0 0 0 38963 0 266387 0 0 0 Edward Jones MD 288206 0 25916 0 1938 0 0 0 39612 0 355672 0 0 0 Douglas Trostle MD 474590 0 45000 0 12139 0 0 0 43752 0 575481 0 0 0 Mark Mauer MD 358068 0 0 0 0 0 0 0 39612 0 397680 0 0 0 David Pfisterer MD 235067 0 21250 0 39332 0 0 0 43752 0 339401 0 0 0 Vance Good MD 273613 0 0 0 0 0 0 0 39846 0 313459 0 0 0 Anthony Gillott MD 258590 0 0 0 3080 0 0 0 43752 0 305422 0 0 0 Hal Sussman MD 497955 0 0 0 0 0 0 0 43752 0 541707 0 0 0 Surya Narayanan MD 319268 0 0 0 0 0 0 0 39612 0 358880 0 0 0 Thomas McDonald MD 546859 0 0 0 9261 0 0 0 43752 0 599872 0 0 0 Narayan Deshmukh MD 52625 0 0 0 0 0 0 0 2631 0 55256 0 0 0 George Pokorny MD 341153 0 0 0 0 0 0 0 43752 0 384905 0 0 0 Hari Sharma MD 282655 0 100 0 16030 0 0 0 43752 0 342537 0 0 0 Kevin Carey MD 319047 0 0 0 4011 0 0 0 39612 0 362670 0 0 0 Felice Reitknecht MD 427627 0 0 0 0 0 0 0 39612 0 467239 0 0 0 Burdett Porter MD 358590 0 0 0 0 0 0 0 43752 0 402342 0 0 0 Paul Chacona 220596 0 53810 0 0 0 0 0 39626 0 314032 0 0 0 Francis Belardi MD 297766 0 66831 0 710 0 0 0 39612 0 404919 0 0 0 Thomas Collins 140963 0 12100 0 575 0 0 0 27628 0 181266 0 0 0 Staci Thompson 145031 0 14239 0 64 0 0 0 28956 0 188290 0 0 0 Lynne Yaeger 148572 0 14734 0 122 0 0 0 16177 0 179605 0 0 0 Daniel Brown MD 438857 0 13295 0 0 0 0 0 43752 0 495904 0 0 0 Joseph Bifano MD 424590 0 47925 0 0 0 0 0 43752 0 516267 0 0 0 Dwight David Stapleton MD 376190 0 40000 0 0 0 0 0 43752 0 459942 0 0 0 Kishore Harjai MD 503275 0 123748 0 0 0 0 0 43752 0 670775 0 0 0 S Bryan Rouse MD 295371 0 6250 0 0 0 0 0 39612 0 341233 0 0 0 Richard Rohr MD 230627 0 0 0 0 0 0 0 15550 0 246177 0 0 0 David Sciortino MD 341436 0 0 0 0 0 0 0 39547 0 380983 0 0 0 Craig Faerber 371248 0 153281 0 1204 0 0 0 43751 0 569484 0 0 0 Dermot ReynoldsMD 764889 0 358574 0 0 0 0 0 43752 0 1167215 0 0 0 Terece Devine MD 871047 0 0 0 38403 0 0 0 43752 0 953202 0 0 0 Pramod Deshmukh MD 812590 0 0 0 8893 0 0 0 43752 0 865235 0 0 0 Tony Pasquale MD 420556 0 486619 0 16655 0 0 0 43752 0 967582 0 0 0 Rodrigo Samodal MD 212876 0 0 0 0 0 0 0 40990 0 253866 0 0 0 David Scopelliti MD 218917 0 0 0 0 0 0 0 40225 0 259142 0 0 0 Carson Thompson MD 479904 0 0 0 247054 0 0 0 39612 0 766570 0 0 0 PART 1 LINE 1A AND LINE 3 PART I LINE 1A GROSS-UP PAYMENTS ARE PERIODICALLY PROVIDED TO EMPLOYEES. ALL PAYMENTS ARE MADE PURSUANT TO WRITTEN ORGANIZATIONAL POLICIES. PART I LINE 3 EXECUTIVE COMPENSATION IS 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. AN ANNUAL REVIEW OF GUTHRIE CLINIC'S EXECUTIVE COMPENSATION IS CONDUCTED BY AN OUTSIDE CONSULTING FIRM. PART I, LINE 8 A BINDING WRITTEN CONTRACT HAS BEEN ENTERED INTO BY GUTHRIE CLINIC AND AN INDIVIDUAL REPORTED ON FORM 990, PART VII WHERE SUCH PERSON WAS NOT A DISQUALIFIED PERSON WITHIN THE MEANING OF INTERNAL REVENUE CODE SECTION 4958(F)(1) IMMEDIATELY PRIOR TO ENTERING INTO THE CONTRACT. DAVID A PFISTERER MD EDUCATION LOAN X 115000 35873 false true true 35873 JOAN CAREY SPOUSE OF BOARD MEMBER 13863 EMPLOYMENT false DAVID SCOPELLITI RELATED TO BOARD MEMBER 259142 EMPLOYMENT false RACHEL LEE SPOUSE OF BOARD MEMBER 165219 EMPLOYMENT false CHARLENE TALENTI RELATED TO BOARD MEMBER 24881 EMPLOYMENT false DANIEL TALENTI RELATED TO BOARD MEMBER 140497 EMPLOYMENT false LYNN YAEGER SPOUSE OF BOARD MEMBER 179604 EMPLOYMENT false TINA COLLINS SPOUSE OF KEY EMPLOYEE 69594 EMPLOYMENT false LINDA BRINK RELATIVE OF KEY EMPLOYEE 47756 EMPLOYMENT false CAMELOT DEVELOPMENT GROUP OWNED BY MARK MAUER 281764 RENTAL OFFICE SPACE false SCHEDULE O SUPPLEMENTAL INFORMATION DISCLOSURES Form 990 Part IV Line 12b The organization's financial statements were audited on a consolidated basis with Guthrie Health and Affiliates. Form 990 Part VI Line 2 Thomas Yaeger MD, Board of Directors member, is married to Lynn Yaeger, VP Med Serv/Director, Cardiac Service Line. Form 990 Part VI Line 6 Guthrie Clinic is a nonprofit professional corporation, each of the share holders being physicians licensed to practice medicine or surgery. Form 990 Part VI Line 7a Physician membership of the Guthrie Clinic, Ltd elect the organization's Board of Directors. Form 990 Part VI Line 7b Pursuant to the Alignment Agreement, Guthrie Health has approval rights of certain Guthrie Clinic Board decisions. Form 990 Part VI 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 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 Line 15a Executive Officer and Physician 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. An annual review of Guthrie Clinic's Executive Officers 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 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 Line 1a Compensation to former officers and directors is based upon the position that the individual continues to hold following their term as a member of the Board of Directors and is not related to their former role as an officer or director. Form 990 Part XI Line 5 Other changes in net assets or fund balances are due to Equity Transfers ($25,826,959) and an entry to prior year accumulative earnings (-$87,163), and unrealized gains ($2,463,867). Form 990 Part XII Line 2b The organization's financial statements were audited on a consolidated basis with Guthrie Health and Affiliates, 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. GUTHRIE HEALTH ONE GUTHRIE SQUARE SAYRE PA 18840 233055017 SUPPORTING PA 501(c)(3) 11B - II NA false GUTHRIE HEALTHCARE SYSTEM ONE GUTHRIE SQUARE SAYRE PA 18840 232200910 SUPPORTING PA 501(c)(3) 11C - III GH true ROBERT PACKER HOSPITAL ONE GUTHRIE SQUARE SAYRE PA 18840 240795463 HEALTH CARE PA 501(c)(3) 3 GHS true ROBERT PACKER SCHOOL OF NURSING 200 SOUTH WILBUR AVENUE SAYRE PA 18840 236408773 EDUCATION PA 501(c)(3) 2 GHS true DONALD GUTHRIE FOUNDATION FOR EDUCATION 200 SOUTH WILBUR AVENUE SAYRE PA 18840 246022957 MED RESEARCH PA 501(c)(3) 4 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 NY 501(c)(3) 3 GHS true TIOGA NURSING FACILITY ONE GUTHRIE SQUARE SAYRE PA 18840 222979677 NURSING FAC NY 501(c)(3) 3 GHS true DARWAY NURSING HOME INC ONE GUTHRIE SQUARE SAYRE PA 18840 231733967 NURSING FAC PA 501(c)(3) 9 GHS true SAYRE HOUSE INC 1001 NORTH ELMER AVE 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 SAME DAY SURGERY CENTER INC ONE GUTHRIE SQUARE SAYRE PA 18840 020551081 AMBULATORY NY 501(c)(3) 9 GHS true GUTHRIE CORNING DEVELOPMENT COMPANY INC 176 DENISON PARKWAY E CORNING NY 14830 161594628 SUPPORT NY 501(c)(3) 11B - II GHS true SAYRE HOUSE OF HOPE ONE GUTHRIE SQUARE SAYRE PA 18840 203979472 HEALTH ACCESS PA 501(c)(3) 7 GHS true CORNING HOSPITAL 176 DENISON PARKWAY E CORNING NY 14830 160393490 HEALTH CARE NY 501(c)(3) 3 GHS true GUTHRIE RISK RETENTION GROUP 151 MEETING STREET CHARLESTON SC 29401 201090801 SUPPORTING SC 501(c)(3) 11A - I GH true TWIN TIER MANAGEMENT CORP INC PO BOX 310 SAYRE PA 18840 232209439 MANAGEMENT PA NA C CORP 5907461 5406163 1.00000 true false true false true true true false true true true true false true true true false false GUTHRIE HEALTHCARE SYSTEM c 25827004 PER AGREEMENT GUTHRIE HEALTHCARE SYSTEM e 53008214 PER AGREEMENT GUTHRIE HEALTHCARE SYSTEM j 1357720 PER AGREEMENT GUTHRIE HEALTHCARE SYSTEM k 54631 CONTRACT AGREE GUTHRIE HEALTHCARE SYSTEM l 13339459 CONTRACT AGREE ROBERT PACKER HOSPITAL j 4477222 CONTRACT AGREE ROBERT PACKER HOSPITAL k 18467185 CONTRACT AGREE ROBERT PACKER HOSPITAL l 1291340 CONTRACT AGREE DONALD GUTHRIE FDN FOR EDUC AND RESEARCH k 63923 CONTRACT AGREE TROY COMMUNITY HOSPITAL INC k 979819 CONTRACT AGREE GUTHRIE SAME DAY SURGERY CENTER INC k 166186 CONTRACT AGREE CORNING HOSPITAL j 115143 CONTRACT AGREE CORNING HOSPITAL k 2435187 CONTRACT AGREE CORNING HOSPITAL l 109933 CONTRACT AGREE GUTHRIE HEALTHCARE SYSTEM n 2506281 ACTUAL COST ROBERT PACKER HOSPITAL a 6309 CONTRACT AGREE ROBERT PACKER HOSPITAL p 60012 DIRECT COST EXP ROBERT PACKER HOSPITAL o 916299 DIRECT COST EXP