Civic Intelligence

The Memorial Hospital Foundation

EIN 65-1160811 • 501(c)3 • Towanda, PA

Profile

The mission of memorial hospital's foundation is to generate resources for the sustainability and advancement of health care in the communities we have the privilege to serve.

91 Hospital DriveTowanda, PA 18848-9703

www.memorialhospital.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2019

Liabilities / Revenue

7th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)3 • $10M-$25M nonprofits • Source year 2019

Net Margin

100th percentile

100%

Higher net margin than 100% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2019

Top Officer Pay

92nd percentile

$578,262

Higher top officer pay than 92% of similar nonprofits.

Top officer pay equals 357.2% of source-year revenue.

501(c)3 • $10M-$25M nonprofits • Source year 2019

Asset Growth

1st percentile

-100%

Faster asset growth than 1% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2018 to 2019

Revenue Growth

3rd percentile

-66%

Faster revenue growth than 3% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2018 to 2019

Assets

Down

$0

Down $16,848,079 (-100%) from 2018

Liabilities

Down

$0

Down $9,426,924 (-100%) from 2018

Net Assets

Down

$0

Down $7,421,155 (-100%) from 2018

Revenue

Down

$161,902

Down $309,021 (-66%) from 2018

Expenses

Down

$0

Down $29,608 (-100%) from 2018

Net Income

Down

$161,902

Down $279,413 (-63%) from 2018

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$20M$15M$10M$5.0M$0Assets 2010: $9,439,293Liabilities 2010: $5,647,670Net Assets 2010: $3,791,6232010Assets 2011: $11,523,152Liabilities 2011: $6,132,362Net Assets 2011: $5,390,7902011Assets 2012: $12,265,970Liabilities 2012: $6,348,156Net Assets 2012: $5,917,8142012Assets 2013: $11,157,587Liabilities 2013: $5,815,923Net Assets 2013: $5,341,6642013Assets 2014: $15,892,085Liabilities 2014: $9,433,509Net Assets 2014: $6,458,5762014Assets 2015: $16,353,014Liabilities 2015: $9,426,924Net Assets 2015: $6,926,0902015Assets 2016: $16,347,949Liabilities 2016: $9,426,924Net Assets 2016: $6,921,0252016Assets 2017: $16,466,918Liabilities 2017: $9,426,924Net Assets 2017: $7,039,9942017Assets 2018: $16,848,079Liabilities 2018: $9,426,924Net Assets 2018: $7,421,1552018Assets 2019: $0Liabilities 2019: $0Net Assets 2019: $02019

Highlighted filing

2019

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$3.0M$2.0M$1.0M$0Expenses 2010: $192,8322010Expenses 2011: $47,1922011Revenue 2012: $776,964Expenses 2012: $65,968Net Income 2012: $710,9962012Expenses 2013: $2,134,3352013Revenue 2014: $989,894Expenses 2014: $210,077Net Income 2014: $779,8172014Revenue 2015: $1,007,547Expenses 2015: $98,046Net Income 2015: $909,5012015Revenue 2016: $869,925Expenses 2016: $91,673Net Income 2016: $778,2522016Revenue 2017: $452,669Expenses 2017: $26,837Net Income 2017: $425,8322017Revenue 2018: $470,923Expenses 2018: $29,608Net Income 2018: $441,3152018Revenue 2019: $161,902Expenses 2019: $0Net Income 2019: $161,9022019

Highlighted filing

2019

Revenue$161,902
Expenses$0
Net Income$161,902

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2018 to Jun 30, 2019
Signed
Jul 14, 2020
Return Version
2018v3.3
Gross Receipts
$10,110,533
Mission and Program Overview

Mission

The mission of the memorial hospital foundation is to generate resources for the sustainability and advancement of health care in the communities we have the privilege to serve.

To foster and support the activities and purposes of the guthrie towanda memorial hospital.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$10,109,536$0▼ $10,109,536
Savings and Temporary Cash Investments$37,427$0▼ $37,427
Cash and Non-Interest-Bearing Accounts$0$0→ $0
Accounts Receivable$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Land, Buildings, and Equipment, Net$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Prepaid Expenses and Deferred Charges$0$0→ $0
Total Assets$16,848,079$0▼ $16,848,079
Other Assets Total$6,701,116$0▼ $6,701,116
Liabilities
Other Liabilities$9,426,924$0▼ $9,426,924
Accounts Payable and Accrued Expenses$0$0→ $0
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$9,426,924$0▼ $9,426,924
Net Assets / Fund Balance
Unrestricted Net Assets$7,136,236$0▼ $7,136,236
Temporarily Rstr Net Assets$284,919$0▼ $284,919
Permanently Rstr Net Assets$0$0→ $0
Total Net Assets Fund Balance$7,421,155$0▼ $7,421,155
Total Liabilities and Net Assets / Fund Balance$16,848,079$0▼ $16,848,079
Compensation and Service Providers

Employees

NameTitleOtherTotal
Tricia HustonMember - Bod$134,205$134,205
Jeffrey HundmanCFO$88,788$88,788

Board Members and Trustees

NameTitle
David PackardChair - Bod
Staci Covey Retired 123118Former President, Member - Bod
Robert FerrarioVice Chair - Bod
Donald BrennanMember - Bod
Eric HopeMember - Bod
Hank DunnMember - Bod
Lewis HopeMember - Bod
Marguerite ShamerMember - Bod
Paul VervalinMember - Bod
Stacy L GarrityMember - Bod
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$161,902
Other Revenue
$0
Change in Net Assets
$161,902
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$0
Other Expenses$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
Yes
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

Membership information the guthrie clinic is the sole member of guthrie towanda memorial hospital, which is the sole member of the memorial hospital foundation. --------------- membership information the guthrie clinic is the sole member of guthrie towanda memorial hospital, which is the sole member of the memorial hospital foundation. ---------------

Form 990, Part VI, Section A, Line 7A

Membership information the guthrie clinic is the sole member of guthrie towanda memorial hospital, which is the sole member of the memorial hospital foundation. The guthrie clinic appoints the memorial hospital foundation's board of directors. ---------------

Form 990, Part VI, Section A, Line 7B

Membership information the guthrie clinic is the sole member of guthrie towanda memorial hospital, which is the sole member of the memorial hospital foundation. The guthrie clinic appoints the memorial hospital foundation's board of directors. 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. ---------------

Filing and Contact Details

Filer

Filer Name
The Memorial Hospital Foundation
EIN
65-1160811
In Care Of
% MICHELE SISTO
Phone
5702652191
Address
91 HOSPITAL DRIVE, TOWANDA, PA 18848-9703

Signing Officer

Name
Paul Vervalin
Title
COO
Phone
5702652191
Signed
2020-07-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
David Packard
Formed
2003
Legal Domicile
Pa
Voting Board Members
10
Independent Board Members
8
Employees
0
Volunteers
0

Preparer

Firm
PricewaterhouseCoopers LLP
Address
2001 MARKET ST SUITE 1800, PHILADELPHIA, PA 19103
Preparer
Antonio C Russo
Phone
2673303000
Supplemental Narrative

Additional Explanations

Form 990, Part III

Statement of program services accomplishments 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. Guthrie is comprised of a research institute, home care/hospice, hospitals in sayre,pa., corning, n.y., towanda, pa. And cortland, n.y., as well as a multo-specialty group practice of more than 325 physicians and 210 advanced practice providers offering 47 specialties through a regional office network providing primary and specialty care in 33 communities in pennsylvania and 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 region it serves, 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 $2.32 million in 2019 and $1.21 million in 2018 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 $3.84 million and $2.16 million in bad debts for 2019 and 2018, 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 $20.5 million and $16.2 million in 2019 and 2018, 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

Form 990, Part III (continued)

The gmg is a multi-specialty physician group practice that includes nearly 500 specialist and primary care physicians and advanced practice 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 22 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 access to care through support of a regional medical office network, * provision of services to a distinct geographic region, and * proactive operations. The gmg, through the provision of primary care services with ease of access to specialty and sub-specialty care, focuses on making an integrated system of health care easily accessible to patients. With its primary concern the diagnosis and treatment of disease and illness, it also seeks to actively improve the health of the community it serves through prevention, health screenings, and education. The gmg welcomes any patient seeking care. --------------- 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 4 detail of changes to governing documents in june 2019, a statement of merger was filed to merge the memorial hospital foundation into guthrie towanda memorial hospital, with guthrie towanda memorial hospital the survivor. ---------------

Form 990, Part XI, Line 9

Detail of other changes in net assets or fund balances equity transfer to guthrie towanda memorial hospital ($7,173,521) ------------ total ($7,173,521) -----------

Form 990, Part XII, Line 2B

Detail of consolidated financial statements the organization's financial statements were audited on a consolidated basis with the guthrie clinic and affiliates. ------------------

Financial Statement Notes

Schedule D, Part X, Line 2

Text of fin 48 disclosure this organization is an affiliate of the guthrie clinic ("guthrie"). The fin 48 (asc 740) footnote below derives from the consolidated june 30, 2019 financial statements of guthrie: 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, 2019 and 2018, 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.

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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0TEXT OF FIN 48 DISCLOSURE THIS ORGANIZATION IS AN AFFILIATE OF THE GUTHRIE CLINIC ("GUTHRIE"). THE FIN 48 (ASC 740) FOOTNOTE BELOW DERIVES FROM THE CONSOLIDATED JUNE 30, 2019 FINANCIAL STATEMENTS OF GUTHRIE: 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, 2019 AND 2018, 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.
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