MILLCREEK COMMUNITY HOSPITAL: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- MILLCREEK COMMUNITY HOSPITAL (EIN 25-1002937)
- Tax period
- 2019-07-01 to 2020-06-30
- Filed
- 2021-05-13
- IRS object ID
- 202111339349304066
- Schema version
- 2019v5.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-05-13T14:18:08-05:00 | ReturnTs |
| Tax Period End | 2020-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 550486667 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ARNETT CARBIS TOOTHMAN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5700 CORPORATE DRIVE STE 650 | AddressLine1Txt |
| City | PITTSBURGH | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15237 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 251002937 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MILLCREEK COMMUNITY HOSPTIAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MILL | BusinessNameControlTxt |
| Phone | 8148644031 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5515 PEACH STREET | AddressLine1Txt |
| City | ERIE | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 16509 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | STEVEN G INMAN CPA CGMA | PersonNm |
| Person Title | VP FISCAL AFFAIRS/CFO | PersonTitleTxt |
| Phone | 8148644031 | PhoneNum |
| Signature | 2021-05-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KELLY A BROCIOUS CPA | PreparerPersonNm |
| PTIN | P01254262 | PTIN |
| Phone | 4126356270 | PhoneNum |
| Preparation | 2021-05-11 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JOHN M FERRETTI DO | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5515 PEACH STREET | AddressLine1Txt |
| City | ERIE | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 16509 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $65,229,071 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.LECOMHEALTH.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1948 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | THE ORGANIZATION PROVIDES THE COMMUNITY WITH HEALTHCARE SERVICES AND EDUCATION. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 837 | TotalEmployeeCnt |
| Total Volunteers | 8 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $305,445 | PYContributionsGrantsAmt |
| CY Contributions Grants | $91,755 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $55,661,025 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $59,573,829 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,754,877 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,674,817 | CYInvestmentIncomeAmt |
| PY Other Revenue | $940,480 | PYOtherRevenueAmt |
| CY Other Revenue | $2,888,670 | CYOtherRevenueAmt |
| PY Total Revenue | $59,661,827 | PYTotalRevenueAmt |
| CY Total Revenue | $65,229,071 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $34,681,117 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $34,838,054 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $25,130,712 | PYOtherExpensesAmt |
| CY Other Expenses | $28,514,578 | CYOtherExpensesAmt |
| PY Total Expenses | $59,811,829 | PYTotalExpensesAmt |
| CY Total Expenses | $63,352,632 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$150,002 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,876,439 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $125,849,231 | TotalAssetsBOYAmt |
| Total Assets EOY | $128,055,673 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $16,843,264 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $15,927,385 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $109,005,967 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $112,128,288 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | MILLCREEK COMMUNITY HOSPITAL PROVIDES QUALITY HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONALITY, ORIGIN, HANDICAPS, AGE OR ABILITY TO PAY. THE ORGANIZATION'S MISSION IS TO SERVE THE COMMUNITY BY PROVIDING HEALTHCARE SERVICES AND EDUCATION. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $56,203,842 | ExpenseAmt |
| Revenue | $61,521,317 | RevenueAmt |
| Desc | MILLCREEK COMMUNITY HOSPITAL (THE HOSPITAL) IS A COMMUNITY BASED HOSPITAL PROVIDING QUALITY HEALTH CARE FOR PATIENTS WITH ILLNESSES, PROMOTING HEALING, AND IMPROVING THE QUALITY OF LIFE AT AFFORDABLE COST. MILLCREEK COMMUNITY HOSPITAL IS AN OSTEOPATHIC ACUTE CARE HOSPITAL OFFERING COMPREHENSIVE INPATIENT AND OUTPATIENT SERVICES AND 24-HOUR EMERGENCY CARE IN ERIE, PENNSYLVANIA.IT IS ALSO RECOGNIZED AS THE REGIONAL LEADER IN:BEHAVIORAL HEALTH CARE, WITH 85 INPATIENT BEDS SPREAD ACROSS THREE SPECIALIZED UNITS FOR CHILDREN, ADULTS, AND OLDER ADULTS AND AN ADULT PARTIAL HOSPITALIZATION PROGRAM.MEDICAL EDUCATION, WITH MORE PHYSICIAN RESIDENCY PROGRAMS THAN ANY HOSPITAL IN THE TRI-STATE REGION. AS A TEACHING HOSPITAL, IT IS AFFILIATED WITH LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE (LECOM) WHICH IS THE NATION'S LARGEST MEDICAL SCHOOL IN TERMS OF ENROLLED STUDENTS AT ITS ERIE, PENNSYLVANIA HEADQUARTERS, AS WELL AS ITS BRADENTON, FLORIDA, AND SETON HILL, PENNSYLVANIA FACILITIES.THE HOSPITAL DEMONSTRATES FISCAL RESPONSIBILITY BY PURSUING COST REIMBURSEMENT FOR THOSE PATIENTS WHO HAVE THE MEANS AND ABILITY TO PAY WHILE PROVIDING CARE FOR THOSE WHO LACK THE FINANCIAL RESOURCES TO PAY FOR SOME OR ALL OF THE COST. FOR THE FISCAL YEAR ENDED JUNE 30, 2020, 761 DAYS OF CHARITY CARE WERE PROVIDED AMOUNTING TO $222,337 OF FORGONE REVENUE AT A COST OF $70,000 TO THE HOSPITAL. THE HOSPITAL ACTIVELY COMMITS TO ITS UNINSURED/UNDERINSURED AND CHARITY DISCOUNT POLICIES, AND IT DOES NOT DISCRIMINATE AGAINST THOSE INDIVIDUALS WHO ARE IN NEED OF FINANCIAL ASSISTANCE FROM THE FACILITY OR THOSE IN NEED OF GOVERNMENT ASSISTANCE.THE HOSPITAL'S COMMUNITY ACTIVITIES INCLUDED SEVERAL BLOOD PRESSURE SCREENING EVENTS HELD AT SENIOR DAY, THE ANNUAL CONSUMER FAIR, AND NATIONAL SENIOR HEALTH & FITNESS DAY. A BLOOD DRIVE IS CONDUCTED TWICE A YEAR TO ASSIST IN THE COMMUNITY NEED FOR BLOOD. THE HOSPITAL PARTICIPATES IN PREVENTIVE HEALTH EDUCATION CLASSES AND PROVIDES LITERATURE FOR HEALTHY LIVING. IN ADDITION, THE HOSPITAL PLAYS A PROACTIVE ROLE IN THE DISASTER/BIOTERRORISM PREPAREDNESS PROGRAM.FOR INDIVIDUALS NEEDING FINANCIAL ASSISTANCE, TRANSPORTATION IS PROVIDED TO THE HOSPITAL'S FACILITIES FOR PHYSICIAN VISITS EITHER BY THE HOSPITAL VAN, BUS TOKENS, OR A CAB. PRESCRIPTIONS AND CLOTHING ARE ALSO PROVIDED TO THOSE IN NEED. | Desc |
| Total Program Service Expenses | $56,203,842 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 83 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 837 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | PA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STEVEN G INMAN CPA CGMA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8148644031 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5515 PEACH STREET | AddressLine1Txt |
| City | ERIE | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 16509 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| JOHN M FERRETTI DO | |||||||||
| CHAIRMAN | 8.00 | 72.00 | Yes (X) | Yes (X) | $0 | $1,101,728 | $33,790 | ||
| MARY L ECKERT | |||||||||
| PRESIDENT/CEO | 67.00 | 13.00 | Yes (X) | Yes (X) | $847,565 | $12,045 | $34,093 | ||
| RICHARD P OLINGER | |||||||||
| SECRETARY/TREASURER | 28.00 | 37.00 | Yes (X) | Yes (X) | $354,588 | $42,139 | $44,530 | ||
| SILVIA M FERRETTI DO | |||||||||
| TRUSTEE | 1.00 | 79.00 | Yes (X) | $0 | $1,267,943 | $33,910 | |||
| ANTHONY JON FERRETTI DO | |||||||||
| TRUSTEE | 1.00 | 51.00 | Yes (X) | $53,448 | $509,362 | $39,490 | |||
| JAMES Y LIN DO | |||||||||
| TRUSTEE | 8.00 | 57.00 | Yes (X) | $39,258 | $419,810 | $38,635 | |||
| ROBERT J GEORGE DO | |||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| NANCY Z O'NEILL | |||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| DALE P SPARBER | |||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| WILLIAM F MCCARTHY | |||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| RICHARD B SEAGER | |||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| DAVID A RUBINO MSGR | |||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| STEVEN G INMAN CPA CGMA | |||||||||
| VP FISCAL AFFAIRS/CFO | 28.00 | 37.00 | Yes (X) | $0 | $280,665 | $28,323 | |||
| DANIELLE HANSEN DO | |||||||||
| PHYSICIAN | 19.00 | 51.00 | $111,931 | $323,318 | $38,585 | Yes (X) | |||
| RICHARD HERRICK DO | |||||||||
| PHYSICIAN | 40.00 | $316,313 | $0 | $40,149 | Yes (X) | ||||
| RANDY EDWARDS DO | |||||||||
| RADIOLOGIST | 40.00 | $383,927 | $0 | $39,561 | Yes (X) | ||||
| CHRISTOPHER CARBO DO | |||||||||
| PHYSICIAN | 40.00 | $371,394 | $0 | $42,591 | Yes (X) | ||||
| AMY FARRIS DO | |||||||||
| PHYSICIAN | 8.00 | 44.00 | $339,532 | $0 | $16,706 | Yes (X) | |||
| MICHAEL HAUK DO | |||||||||
| RADIOLOGIST | 40.00 | $407,979 | $0 | $42,455 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,225,935 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,957,010 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $472,818 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 29 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| FRONTIER GENERAL CONTRACTING INC | |||||
| 2006 HAYBARBAER AVENUE | ERIE | PA | 16502 | CONSTRUCTION SERVICES | $955,311 |
| ASSOCIATED CLINICAL LABORATORIES | |||||
| 15832 COLLECTIONS CENTER DRIVE | CHICAGO | IL | 60693 | LAB SERVICES | $724,136 |
| NORTH AMERICAN PARTNERS INC | |||||
| 68 SOUTH SERVICE ROAD SUITE 350 | MELVILLE | NY | 11747 | PROFESSIONAL ANESTHESIA SERVICES | $677,759 |
| DIVERSIFIED CLINICAL SERVICES INC | |||||
| 28525 NETWORK PLACE | CHICAGO | IL | 60673 | ADMINISTRATION AND SUPPORT | $468,052 |
| GE HEALTHCARE | |||||
| PO BOX 640200 | PITTSBURGH | PA | 15264 | EQUIPMENT MAINTENANCE | $383,554 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 22 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $90,600 | GovernmentGrantsAmt |
| All Other Contributions | $1,155 | AllOtherContributionsAmt |
| Total Contributions | $91,755 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT REVENUE | 900099 | $55,661,490 | $55,661,490 |
| RESIDENTS CONTRACTED OUT | 900099 | $3,912,339 | $3,912,339 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $59,573,829 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,478,227 | TotalRevenueColumnAmt |
| Exclusion | $1,478,227 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $941,182 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $941,182 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $941,182 | TotalRevenueColumnAmt |
| Exclusion | $941,182 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,196,590 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,196,590 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,196,590 | TotalRevenueColumnAmt |
| Exclusion | $1,196,590 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MISCELLANEOUS REVENUE | 900099 | $1,331,279 | $1,331,279 |
| PHARMACY RECEIPTS | 900099 | $429,470 | $429,470 |
| SNACKBAR/VEND MACH REV | 900099 | $186,739 | $186,739 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,947,488 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $65,229,071 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $61,521,317 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,615,999 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,362,424 | TotalAmt |
| Management And General | $1,362,424 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,160,936 | TotalAmt |
| Program Services | $24,452,991 | ProgramServicesAmt |
| Management And General | $2,707,945 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $946,739 | TotalAmt |
| Program Services | $852,349 | ProgramServicesAmt |
| Management And General | $94,390 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,508,068 | TotalAmt |
| Program Services | $3,158,314 | ProgramServicesAmt |
| Management And General | $349,754 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,859,887 | TotalAmt |
| Program Services | $1,674,456 | ProgramServicesAmt |
| Management And General | $185,431 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,931 | TotalAmt |
| Management And General | $79,931 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $101,011 | TotalAmt |
| Management And General | $101,011 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $206,384 | TotalAmt |
| Management And General | $206,384 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,771,942 | TotalAmt |
| Program Services | $8,797,679 | ProgramServicesAmt |
| Management And General | $974,263 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $264,821 | TotalAmt |
| Program Services | $238,418 | ProgramServicesAmt |
| Management And General | $26,403 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,238,783 | TotalAmt |
| Program Services | $4,716,476 | ProgramServicesAmt |
| Management And General | $522,307 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $830,066 | TotalAmt |
| Program Services | $747,308 | ProgramServicesAmt |
| Management And General | $82,758 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $934,636 | TotalAmt |
| Program Services | $841,453 | ProgramServicesAmt |
| Management And General | $93,183 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,764 | TotalAmt |
| Program Services | $41,201 | ProgramServicesAmt |
| Management And General | $4,563 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,573,855 | TotalAmt |
| Program Services | $2,317,242 | ProgramServicesAmt |
| Management And General | $256,613 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $736,064 | TotalAmt |
| Program Services | $662,678 | ProgramServicesAmt |
| Management And General | $73,386 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PHARMACY DRUGS | $5,044,729 | $5,044,729 | |
| PROVISIONS FOR BAD DEBT | $1,590,738 | $1,590,738 | |
| REPAIRS AND MAINTENANCE | $814,429 | $814,429 | |
| MISCELLANEOUS | $281,425 | $253,381 | $28,044 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,352,632 | TotalAmt |
| Program Services | $56,203,842 | ProgramServicesAmt |
| Management And General | $7,148,790 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,758,180 | BOYAmt |
| EOY | $3,527,136 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,874,436 | BOYAmt |
| EOY | $28,217,228 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,242,296 | BOYAmt |
| EOY | $5,975,966 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,213,145 | BOYAmt |
| EOY | $1,544,697 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $599,141 | BOYAmt |
| EOY | $1,026,414 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $77,175,613 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $44,660,942 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,998,358 | BOYAmt |
| EOY | $32,514,671 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,927,344 | BOYAmt |
| EOY | $29,336,847 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $885,581 | BOYAmt |
| EOY | $984,964 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,350,750 | BOYAmt |
| EOY | $24,927,750 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $125,849,231 | BOYAmt |
| EOY | $128,055,673 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,553,892 | BOYAmt |
| EOY | $4,940,901 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,875 | BOYAmt |
| EOY | $30,885 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,229,497 | BOYAmt |
| EOY | $10,955,599 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,843,264 | BOYAmt |
| EOY | $15,927,385 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $109,005,967 | BOYAmt |
| EOY | $112,128,288 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $109,005,967 | BOYAmt |
| EOY | $112,128,288 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $125,849,231 | BOYAmt |
| EOY | $128,055,673 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,876,439 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,245,882 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,341,094 | OtherCostOrOtherBasisAmt |
| Book Value | $7,341,094 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $44,415,345 | OtherCostOrOtherBasisAmt |
| Depreciation | $22,969,956 | DepreciationAmt |
| Book Value | $21,445,389 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $24,378,436 | OtherCostOrOtherBasisAmt |
| Depreciation | $21,144,604 | DepreciationAmt |
| Book Value | $3,233,832 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,040,738 | OtherCostOrOtherBasisAmt |
| Depreciation | $546,382 | DepreciationAmt |
| Book Value | $494,356 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $32,514,671 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| IRREVOCABLE SELF-INSURED TRUST FUND | $19,173,354 |
| DUE FROM AFFILIATES | $5,267,753 |
| OTHER RECEIVABLES | $486,643 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $24,927,750 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO THIRD PARTY PAYERS | $4,912,184 |
| ACCRUED MEDICAL MALPRACTICE | $6,043,415 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $10,955,599 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $64,677,831 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $1,245,882 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $1,245,882 | RevenueNotReportedAmt |
| Revenue Subtotal | $63,431,949 | RevenueSubtotalAmt |
| Other Revenues Not Included | $1,797,122 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $1,797,122 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $65,229,071 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $61,555,510 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $61,555,510 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $1,797,122 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $1,797,122 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $63,352,632 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (CODE) AND HAS BEEN RECOGNIZED AS TAX EXEMPT UNDER SECTION 501(A) OF THE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED. THE HOSPITAL FOLLOWS THE GUIDANCE FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN A COMPANY'S FINANCIAL STATEMENTS THAT PRESCRIBES A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. THE HOSPITAL'S POLICY IS TO RECOGNIZE INTEREST RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE AND PENALTIES IN OPERATING EXPENSES. THERE WERE NO INTEREST OR PENALTIES RECOGNIZED ON THE STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS IN 2020 OR 2019. GENERALLY, TAX RETURNS FOR YEARS ENDED JUNE 30, 2017, AND THEREAFTER REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | PROVISION FOR BAD DEBTS 1,590,738. INVESTMENT FEES 206,384. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | PROVISION FOR BAD DEBTS 1,590,738. INVESTMENT FEES 206,384. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | 0 | FinancialAssistanceBudgetInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $758,804 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $758,804 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01230 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,691,666 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,691,666 | DirectOffsettingRevenueAmt |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,450,470 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,691,666 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $758,804 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01230 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,536,453 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,914,478 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,621,975 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07480 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,536,453 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,914,478 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,621,975 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07480 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $22,986,923 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,606,144 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,380,779 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08710 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,590,738 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $10,816,591 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $8,716,388 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $2,100,203 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MILLCREEK COMMUNITY HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5515 PEACH STREET | AddressLine1Txt |
| City | ERIE | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 16509 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.LECOMHEALTH.ORG | WebsiteAddressTxt |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | SKILL NURS, REHAB & BEHAV UNIT | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MILLCREEK COMMUNITY HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 18 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | LECOMHEALTH.COM/COMMUNITY-HOSPITAL/PATIENT-SERVICES/VISITOR-INFORMATION/ | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 18 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | LECOMHEALTH.COM/COMMUNITY-HOSPITAL/PATIENT-SERVICES/VISITOR-INFORMATION/ | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | LECOMHEALTH.COM/COMMUNITY-HOSPITAL/PATIENT-SERVICES/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | LECOMHEALTH.COM/COMMUNITY-HOSPITAL/PATIENT-SERVICES/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | LECOMHEALTH.COM/COMMUNITY-HOSPITAL/PATIENT-SERVICES/ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| MILLCREEK COMMUNITY HOSPITAL | PART V, SECTION B, LINE 5: AS A COLLABORATIVE PROJECT, THE ASSESSMENT PROCESS WAS GUIDED BY A GROUP OF LEADERS REPRESENTING A CROSS SECTION OF THE COMMUNITY. WITH THE ERIE COUNTY DEPARTMENT OF HEALTH (ECDH) AS LEAD AGENCY, CORRY MEMORIAL HOSPITAL, MILLCREEK COMMUNITY HOSPITAL, SAINT VINCENT HOSPITAL, UPMC HAMOT, COMMUNITY HEALTH NET, THE ERIE COMMUNITY FOUNDATION, ERIE COUNTY OFFICE OF DRUG AND ALCOHOL ABUSE, SAFE HARBOR BEHAVIORAL HEALTH OF UPMC HAMOT, AND THE UNITED WAY OF ERIE COUNTY FORMED A COLLABORATION IN ORDER TO COMPLETE A COMPREHENSIVE ERIE COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT.PRIMARY DATA INCLUDES LOCAL HEALTH STATISTICS CALCULATED AND REPORTED BY ECDH EPIDEMIOLOGISTS AND AVAILABLE ON THE ECDH WEBSITE AS WELL AS HEALTH BEHAVIOR STATISTICS FOR ERIE COUNTY ADULTS ORIGINALLY REPORTED IN A 2016-2017 ERIE COUNTY HEALTH SURVEY - BRFSS THAT WAS CONDUCTED BY THE UNIVERSITY OF PITTSBURGH, GRADUATE SCHOOL OF PUBLIC HEALTH. NEW IN THIS HEALTH SURVEY ARE DATA FOR THE AFRICAN AMERICAN POPULATION AND FOR THE RESIDENTS OF ERIE CITY AREA VERSUS RESIDENTS OF THE REST OF ERIE COUNTY. |
| MILLCREEK COMMUNITY HOSPITAL | PART V, SECTION B, LINE 6A: THE HEALTHCARE PROVIDERS THAT COLLABORATED IN THE COMMUNITY NEEDS HEALTH ASSESSMENT INCLUDED ALL ERIE COUNTY HOSPITALS: ST. VINCENT HOSPITAL, UPMC HAMOT, CORRY MEMORIAL HOSPITAL, AND MILLCREEK COMMUNITY HOSPITAL. |
| MILLCREEK COMMUNITY HOSPITAL | PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED WITH THE FOLLOWING ORGANIZATIONS: ERIE COUNTY DEPARTMENT OF HEALTH (ECDH), COMMUNITY HEALTH NET (A FEDERALLY QUALIFIED HEALTH CENTER), ERIE COMMUNITY FOUNDATION, ERIE COUNTY OFFICE OF DRUG AND ALCOHOL ABUSE, SAFE HARBOR BEHAVIORAL HEALTH OF UPMC HAMOT, AND THE UNITED WAY OF ERIE COUNTY. |
| MILLCREEK COMMUNITY HOSPITAL | PART V, SECTION B, LINE 11: MILLCREEK COMMUNITY HOSPITAL DEVELOPED AN IMPLEMENTATION PLAN TO ADDRESS THE SIGNIFICANT NEEDS IDENTIFIED THROUGH ITS CHNA. AS WITH MOST HEATH CARE FACILITIES, MILLCREEK COMMUNITY HOSPITAL HAS LIMITED FINANCIAL RESOURCES TO ADDRESS ALL ISSUES IDENTIFIED IN THE CHNA. |
| MILLCREEK COMMUNITY HOSPITAL | PART V, SECTION B, LINE 16J: THE HOSPITAL PROVIDES A NOTICE OF FINANCIAL ASSISTANCE AVAILABILITY ON ITS BILLING INVOICES. |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
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| PART I, LINE 7: | COSTING METHODOLOGY EXPLANATIONLINE 7A CHARITY CARE - RATIO OF PATIENT CARE COSTS TO CHARGESLINE 7B MEDICAID - RATIO OF PATIENT CARE COSTS TO CHARGES LINE 7F HEALTH PROFESSIONAL EDUCATION - A COMBINATION OF ACTUAL COST AND COST TO CHARGES IS USED. ACTUAL IS USED FOR DIRECT EXPENSE AND COST TO CHARGES FOR COMMON EXPENSE FROM THE MEDICARE COST REPORT. LINE 7G SUBSIDIZED HEALTH SERVICES - THE COSTING METHODOLOGY WAS DETERMINED BASED ON THE PARTICULAR ACTIVITY/PROGRAM AND THE TYPE OF EXPENSE. ACTUAL COST WAS USED WHERE DIRECT EXPENSES WERE IDENTIFIABLE. A RATIO OF PATIENT CARE COST TO CHARGES WAS USED IN THE CASE OF INDIRECT EXPENSES. |
| PART I, LN 7 COL(F): | THE BAD DEBT EXPENSE OF $1,590,738 (PART IX, LINE 24A) IS INCLUDED IN THE DENOMINATOR FOR PURPOSES OF PART 1, LINE 7, COLUMN F "PERCENT OF TOTAL EXPENSE". (THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE CAN BE FOUND ON PAGE 7 OF THE ATTACHED FINANCIAL STATEMENTS.) |
| PART III, LINE 2: | BAD DEBT EXPENSE METHODOLOGYACCOUNTS RECEIVABLE ARE STATED AT THE AMOUNT THE HOSPITAL EXPECTS TO COLLECT. THE HOSPITAL PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS EQUAL TO THE ESTIMATED UNCOLLECTIBLE AMOUNTS. THE HOSPITAL'S ESTIMATE IS BASED ON HISTORICAL COLLECTION EXPERIENCE AND REVIEW OF THE CURRENT STATUS OF PATIENT ACCOUNTS RECEIVABLE. IT IS REASONABLY POSSIBLE THAT THE HOSPITAL'S ESTIMATE OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS WILL CHANGE. |
| PART III, LINE 3: | BAD DEBT EXPENSE AT COST ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR CHARITY CARE IS BASED ON ESTIMATES. |
| PART III, LINE 4: | FOR RECEIVABLES ASSOCIATED WITH UNINSURED PATIENTS (WHICH INCLUDES PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS AN ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE HOSPITALS ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS WAS 100% OF SELF-PAY AND MEDICAID PENDING ACCOUNTS RECEIVABLE. IN ADDITION TO THE ALLOWANCE ON SELF-PAY AND MEDICAID PENDING ACCOUNTS, ALL ACCOUNTS THAT HAVE AGED BEYOND 180 DAYS FROM THE DATE OF SERVICE ARE ALLOWED FOR 100% REGARDLESS OF THE PAYOR. |
| PART III, LINE 8: | EXPENSE RELATED TO ACUTE SERVICES WAS BASED ON THE RATIO OF ACUTE MEDICARE CHARGES TO TOTAL PAYOR CHARGES. COST FOR OTHER SERVICES WAS BASED ON A COMBINATION OF ACTUAL DIRECT CHARGES TIMES THE RATIO OF MEDICARE DAYS TO TOTAL DAYS, INDIRECT COSTS BASED ON A COST TO CHARGE RATIO, AND OVERHEAD COSTS BASED ON ALLOCATED COSTS FROM THE MEDICARE REPORT. NO PART OF THE SHORTFALL, IF ANY, IS TREATED AS COMMUNITY BENEFIT. |
| PART III, LINE 9B: | FINANCIAL ASSISTANCE ELIGIBLE INDIVIDUALS WILL NOT BE SENT BY THE HOSPITAL'S THIRD-PARTY COLLECTION AGENCY FOR CREDIT REPORTING EARLIER THAN 180 DAYS FROM THE FIRST POST-DISCHARGE BILLING STATEMENT. IN CASES WHERE A PATIENT LATER SUBMITS A FINANCIAL ASSISTANCE APPLICATION, MCH NOTIFIES THE THIRD-PARTY COLLECTION AGENCY TO CEASE CREDIT REPORTING. CHARITY CARE IS NOT CONSIDERED A SUBSTITUTE FOR PERSONAL RESPONSIBILITY. PATIENTS ARE EXPECTED TO FOLLOW THE HOSPITAL'S BILLING PROCEDURES AND PAY HIS/HER SHARE BASED ON FINANCIAL ABILITY. MILLCREEK COMMUNITY HOSPITAL'S COLLECTION PRACTICES TAKE INTO ACCOUNT THE EXTENT TO WHICH THE PATIENT QUALIFIES FOR CHARITY, A PATIENT'S GOOD FAITH EFFORT TO APPLY FOR A GOVERNMENTAL PROGRAM OR FOR CHARITY FROM MILLCREEK COMMUNITY HOSPITAL, AND A PATIENT'S GOOD FAITH EFFORT TO COMPLY WITH HIS OR HER PAYMENT AGREEMENTS WITH MILLCREEK COMMUNITY HOSPITAL. FOR PATIENTS WHO QUALIFY FOR CHARITY AND WHO ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR HOSPITAL BILLS, MILLCREEK COMMUNITY HOSPITAL MAY OFFER EXTENDED PAYMENT PLANS TO ELIGIBLE PATIENTS, WILL NOT IMPOSE WAGE GARNISHMENTS OR LIENS ON PRIMARY RESIDENCES, WILL NOT SEND UNPAID BILLS TO OUTSIDE COLLECTION AGENCIES, AND WILL CEASE ALL COLLECTION EFFORTS. |
| PART VI, LINE 2: | REGARDING NEED ASSESSMENT: ALSO SEE RESPONSE TO SCHEDULE H, PART V, LINE 11 THAT IS INCLUDED IN PART V, SCHEDULE C.IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), MILLCREEK COMMUNITY HOSPITAL ASSESSES THE HEALTH CARE NEEDS FOR THE COMMUNITY THROUGH SEVERAL APPROACHES. ONE APPROACH IS PATIENT'S EXPERIENCE OF CARE AUDITED REPORTS THAT PROVIDE MILLCREEK THE ABILITY TO DIRECTLY ASSESS THE PATIENT'S CONCERNS AND NEEDS. ANOTHER APPROACH IS INTERNAL REPORTS AND AUDITS THAT ARE CREATED FOR MANY ASPECTS OF CARE BEING DELIVERED. QUALITY AND PERFORMANCE DATA ARE REPORTED TO GOVERNING ORGANIZATIONS ON A REGULAR BASIS. THE SCORES AND INFORMATION WILL BE USED TO EVALUATE AND IMPROVE THE DELIVERY OF CARE. THE RESULTS OF THE REPORTS AND AUDITS ARE ANALYZED TO CAPTURE ANY STATISTICAL TRENDS OR AREAS FOR IMPROVEMENT. DISCUSSION OF ALL PREVIOUS ASSESSMENT APPROACHES AND OTHER IMPERATIVE TOPICS CONCERNING THE COMMUNITY SERVED OCCURS AT DEPARTMENTAL, PATIENT SAFETY, MEDICAL STAFF EXECUTIVE, AND OTHER VARIOUS COMMITTEE MEETINGS. MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP), DEVELOPED BY THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS, WAS SELECTED AS A GUIDE FOR THE CHNA. MAPP RELIES ON FOUR ASSESSMENTS TO PROVIDE THE INFORMATION NEEDED TO DEVELOP STRATEGIC ISSUES, GOALS, STRATEGIES, AND ACTION PLANS FOR THE COMMUNITY. THESE ASSESSMENTS ARE: (1) COMMUNITY HEALTH STATUS ASSESSMENT, WHICH PROVIDES QUANTITATIVE AND QUALITATIVE DATA ABOUT THE HEALTH NEEDS OF RESIDENTS, (2) COMMUNITY THEMES AND STRENGTHS ASSESSMENT, WHICH HELPS TO IDENTIFY ISSUES AND TOPICS OF INTEREST TO THE COMMUNITY, (3) FORCES OF CHANGE ASSESSMENT, WHICH IDENTIFIES CURRENT OR FUTURE ISSUES THAT MAY AFFECT THE COMMUNITY OR PUBLIC HEALTH SYSTEM, AND (4) LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT, WHICH IDENTIFIES ORGANIZATIONS THAT CONTRIBUTE TO THE PUBLIC'S HEALTH. BECAUSE THIS IS A COMPREHENSIVE NEEDS ASSESSMENT, BOTH QUANTITATIVE AND QUALITATIVE DATA ARE INCLUDED. HEALTH INDICATORS ARE REPORTED AS INDIVIDUAL DATA POINTS AND ARE ALSO INCLUDED IN TREND ANALYSES. STATISTICS FOR GENDER, RACE, ETHNICITY, AGE, EDUCATION, AND INCOME ARE LISTED WHEN AVAILABLE. FINALLY, INDICATORS ARE COMPARED TO STATE, NATIONAL, AND HEALTHY PEOPLE 2020 DATA. QUALITATIVE DATA WAS COMPILED FROM SEVEN FOCUS GROUPS CONDUCTED THROUGHOUT ERIE COUNTY. USING THE SAME QUESTIONS FOR EACH GROUP, PARTICIPANT RESPONSES PROVIDED PERCEPTUAL VIEWS FROM COUNTY RESIDENTS ABOUT THE HEALTH OF THEIR COMMUNITY. PRIORITIES FOR ERIE COUNTY WERE IDENTIFIED USING A PRIORITY MATRIX, RANKING SYSTEM, AND ASSET INVENTORY. FINAL STRATEGIC ISSUES AND OVERARCHING CHALLENGES WERE THEN DEVELOPED. |
| PART VI, LINE 3: | THE HOSPITAL UTILIZES THE FOLLOWING PROCEDURES TO INFORM AND EDUCATE ITS PATIENTS AND PERSONS, WHO MAY BE BILLED FOR PATIENT CARE, ABOUT THEIR ELIGIBILITY FOR ASSISTANCE:- A HOSPITAL EMPLOYEE WITH KNOWLEDGE OF GOVERNMENT PROGRAMS PERSONALLY VISITS APPLICABLE INPATIENTS AND EXPLAINS THE MEDICAL ASSISTANCE ALTERNATIVES AVAILABLE TO THE INPATIENT.- PATIENT BILLING STATEMENTS INCLUDE A NOTATION REGARDING THE FACT DISCOUNTS OR SPECIAL PAYMENT ARRANGEMENTS ARE AVAILABLE TO QUALIFYING INDIVIDUALS.- A CHARITY CARE CONTACT PHONE NUMBER IS: 1) INCLUDED IN THE HOSPITAL'S FAP; 2) PHYSICALLY POSTED IN THE HOSPITAL'S EMERGENCY ROOM AND; 3) PRINTED ON THE PATIENT'S BILLING STATEMENT. THE APPROPRIATE HOSPITAL EMPLOYEES ASSIST PATIENTS IN THE COMPLETION OF THE REQUIRED FORMS. |
| PART VI, LINE 4: | THE HOSPITAL SERVES ERIE COUNTY, PENNSYLVANIA AND PERIPHERAL AREAS SURROUNDING THE COUNTY. BASED ON 2014 INFORMATION PUBLISHED ON ERIEVITALSIGNS.ORG, 16.3% OF ERIE COUNTY RESIDENTS WERE BELOW THE POVERTY LEVEL DURING THE STUDIED TIME FRAME. IN THE CITY OF ERIE, POVERTY RATES FOR THE SAME TIME PERIOD WERE 22.7% FOR CHILDREN UNDER 18. PER CAPITA INCOME IN ERIE COUNTY WAS APPROXIMATELY $37,000, OVER 18% BELOW THE NATIONAL AVERAGE.ACCORDING TO A FORECASTED CENSUS STUDY, THE TOTAL POPULATION OF ERIE COUNTY IS APPROXIMATELY 282,000 AND IS EXPECTED TO DECREASE, WHILE THE POPULATION GROUP AGED 65 AND OVER IS EXPECTED TO INCREASE. ACCORDINGLY, THE HOSPITAL WILL LIKELY SEE ITS MEDICARE PERCENTAGE OF NET PATIENT REVENUE INCREASE FROM ITS CURRENT PERCENTAGE OF 49%. THE HOSPITAL SERVICES A DISPROPORTIONATE SHARE OF LOW INCOME HOUSEHOLDS. MEDICAL ASSISTANCE COMPRISED APPROXIMATELY 34% OF THE HOSPITAL'S NET PATIENT REVENUE. THE HOSPITAL'S GROSS CHARGES FOR UNCOMPENSATED CARE IS APPROXIMATELY 9.47% OF NET PATIENT REVENUE PLUS THE COST OF UNCOMPENSATED CARE. |
| PART VI, LINE 5: | MILLCREEK COMMUNITY HOSPITAL IS THE ONLY HOSPITAL IN ITS SERVICE AREA THAT OPERATES UNDER THE PRINCIPLES OF OSTEOPATHIC HEALTH CARE. OSTEOPATHIC MEDICINE'S ROOTS CENTER ON THE BELIEF OF THE BODY BEING ABLE TO HEAL ITSELF. THIS HOLISTIC APPROACH TO MEDICINE WAS BROUGHT TO ERIE, PENNSYLVANIA IN THE FORM OF A COMMUNITY HOSPITAL OVER 50 YEARS AGO THROUGH THE VISION AND EFFORTS OF SIX OSTEOPATHIC PHYSICIANS. THE FOUNDING PHYSICIANS BELIEVED IT WAS NOT UP TO THE PUBLIC TO GIVE THEM A PLACE TO WORK. THEY WANTED TO SUPPLY THE COMMUNITY WITH A PLACE TO HEAL. IN 1950, THE PREDECESSOR TO MILLCREEK COMMUNITY HOSPITAL, ERIE OSTEOPATHIC HOSPITAL, WAS OPENED.THE HOSPITAL EXPERIENCED RAPID GROWTH AND MOVED TO A LARGER FACILITY IN 1958 TO BETTER ACCOMMODATE THE NEEDS OF THE COMMUNITY. IN 1981, MILLCREEK COMMUNITY HOSPITAL BECAME A REALITY AFTER 31 YEARS OF COMMUNITY SERVICES AS ERIE OSTEOPATHIC HOSPITAL. THE HOSPITAL PRIDES ITSELF IN ITS COMMITMENT TOPROVIDE THE BEST PERSONAL CARE POSSIBLE FOR ITS PATIENTS. IN RECENT YEARS, THE HOSPITAL HAS CONTINUED TO EXPAND THEREBY IMPROVING THE SERVICES IT PROVIDES TO THE COMMUNITY. SMALLER EXPANSION PROJECTS FOR AN INPATIENT REHABILITATION UNIT AND WOUND CARE CENTER WERE ADDED WITHIN THE LAST 2 YEARS.THE HOSPITAL HAS ALSO UNDERGONE SEVERAL MAJOR EXPANSION PROJECTS IN RECENT YEARS:- AN EMERGENCY ROOM EXPANSION TO BETTER HANDLE ACUTE MEDICAL AND PSYCHIATRIC EMERGENCIES.- A FIFTH-FLOOR ADDITION TO THE MAIN HOSPITAL TOWER FOR A 12-BED GERIATRIC BEHAVIORAL HEALTH CARE UNIT AND AN 18-BED CHILD/ADOLESCENT PSYCHIATRIC UNIT, WHICH SERVES AS THE ONLY CHILD/ADOLESCENT UNIT OF ITS KIND IN NORTHWESTERN PA. THE HOSPITAL'S 4TH FLOOR SERVES AS A 32 BED GENERAL PSYCHIATRIC UNIT.MILLCREEK COMMUNITY HOSPITAL PROVIDES QUALITY HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONALITY, ORIGIN, HANDICAPS, AGE OR ABILITY TO PAY.IT DOES NOT DISCRIMINATE AGAINST THOSE INDIVIDUALS WHO ARE IN NEED OF FINANCIAL ASSISTANCE FROM THE FACILITY OR THOSE IN NEED OF GOVERNMENT ASSISTANCE. FOR INDIVIDUALS NEEDING FINANCIAL ASSISTANCE, TRANSPORTATION IS PROVIDED TO THE HOSPITAL'S FACILITIES FOR PHYSICIAN VISITS EITHER BY THE HOSPITAL VAN, BUS TOKENS, OR A CAB. PRESCRIPTIONS AND CLOTHING ARE ALSOPROVIDED TO THOSE IN NEED.IN AN EFFORT TO ADDRESS THE CRITICAL SHORTAGE OF PHYSICIANS, MILLCREEK COMMUNITY HOSPITAL ACTS AS A TEACHING HOSPITAL AND WORKS CLOSELY WITH ITS AFFILIATE, LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE. FOR THE FISCAL YEAR ENDED JUNE 30, 2019, THE HOSPITAL UTILIZED THE FULL-TIME EQUIVALENT OF APPROXIMATELY 89 INTERNS ACROSS A WIDE RANGE OF MEDICAL CARE SPECIALTIES INCLUDING FAMILY PRACTICE, EAR/NOSE/THROAT, INTERNAL MEDICINE, OPHTHALMOLOGY, ORTHOPEDICS, PSYCHIATRY, GASTROINTESTINAL, PODIATRY, SPORTS MEDICINE, AND NEUROMUSCULOSKETAL MEDICINE. IN ADDITION, THE HOSPITAL HAS A SHORT TERM SKILLED TRANSITIONAL CARE UNIT, AND IT WORKS IN CONJUNCTION WITH ITS AFFILIATE, MILLCREEK MANOR, TO PROVIDE LONG TERM RESIDENTIAL NURSING HOME CARE.MILLCREEK COMMUNITY HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN AN EFFORT TO ENSURE THAT HIGH QUALITY CARE IS ACCESSIBLE IN A VARIETY OF PRIMARY AND SPECIALTY CARE AREAS.THE HOSPITAL'S COMMUNITY ACTIVITIES INCLUDED SEVERAL BLOOD PRESSURE SCREENING EVENTS HELD AT SENIOR DAY, THE ANNUAL CONSUMER FAIR, NATIONAL SENIOR HEALTH & FITNESS DAY, AND THE SALVATION ARMY'S ANGEL TREE GIFT PROGRAM. A BLOOD DRIVE IS CONDUCTED TWICE A YEAR TO ASSIST IN THE COMMUNITY NEED FOR BLOOD. THE HOSPITAL HOSTS EVENTS, SUCH AS SMOKE CESSATION CLASSES SPONSORED BY THE AMERICAN LUNG ASSOCIATION AND THE CHIEF RESIDENT WORKSHOP, WHICH IS A TRAINING SESSION FOR CHIEF RESIDENTS FROM VARIOUS HOSPITALS. IN ADDITION, THE HOSPITAL PARTICIPATES IN PREVENTIVE HEALTH EDUCATION CLASSES, PROVIDES LITERATURE FOR HEALTHY LIVING, AND PLAYS A PROACTIVE ROLE IN THE DISASTER/BIOTERRORISM PREPAREDNESS PROGRAM. THE HOSPITAL IS ACTIVE IN THE BEHAVIORAL HEALTH FIELD AS IT IS REPRESENTED ON MANY COUNTY-SPONSORED AND OTHER PLANNING COMMITTEES. THE HOSPITAL IS ALSO REPRESENTED AT COMMUNITY CLINICAL FORUMS TO PROVIDE EXPERT INFORMATION AND INPUT ON DIFFICULT SITUATIONS AND CASES. |
| PART VI, LINE 6: | MEDICAL ASSOCIATES OF ERIE:MEDICAL ASSOCIATES OF ERIE (MAE), AN AFFILIATE OF THE HOSPITAL, RECEIVES OVER 133,803 PATIENT VISITS ANNUALLY. THE PATIENTS TREATED ARE PREDOMINANTLY LOW INCOME AND RESIDE IN THREE UNDERSERVED AREAS OF ERIE COUNTY. FOR 33% OF MAE'S PATIENTS, THEIR MEDICAL CHARGES ARE EITHER COVERED BY MEDICAL ASSISTANCE OR THE PATIENTS QUALIFY FOR CHARITY CARE. U.S. CENSUS STUDIES INDICATE HOUSEHOLD INCOME IN SOME OF MAE'S PRACTICE AREAS IS ONLY 2/3 OF THE NATIONAL AVERAGE, AND THE PERCENTAGE OF THE POPULATION UNDER THE FEDERAL POVERTY GUIDELINES IS 150% OF THE NATIONAL AVERAGE. MAE PATIENTS ALSO INCLUDE A LARGE NUMBER OF REFUGEES FROM AFRICA, THE MIDDLE EAST, AND NEPAL. MILLCREEK MANOR AND LECOM PRESQUE ISLE: WITH ERIE COUNTY'S SENIOR POPULATION NOW APPROACHING ONE OUT OF FOUR RESIDENTS, LECOM HEALTH NOW OFFERS A FULL CONTINUUM OF CARE FROM INDEPENDENT LIVING AT PARKSIDE AT WESTMINISTER TO PERSONAL CARE APARTMENTS AT PARKSIDE AT NORTHEAST AND THE REGENCY AT SOUTHSHORE TO SKILLED NURSING CARE AT THE 138 BED SKILLED AND LONG TERM CARE UNIT LECOM SENIOR LIVING CENTER AND 141 BED SKILLED AND LONG TERM CARE UNIT AT LECOM PRESQUE ISLE. LECOM SENIOR LIVING HAS INTRODUCED THE NEXT GENERATION OF SKILLED NURSING CARE FOR OLDER ADULTS THAT IS BRINGING TOGETHER EXCITING AND INNOVATIVE PATIENT CENTERED HEALTH CARE WITH A MAJORITY OF RESIDENTS HAVING MEDICAID AND MEDICARE PART A.LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE:THE LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE (LECOM), ALONG WITH MILLCREEK COMMUNITY HOSPITAL AND THE CLINICAL PRACTICES OF MEDICAL ASSOCIATES OF ERIE, IS THE CORE OF LECOM HEALTH AN ACADEMIC HEALTH CENTER WITH TWO HOSPITALS, MORE THAN 20 PHYSICIAN OFFICES, TWO SKILLED NURSING CENTERS, GERIATRIC HEALTH AND EDUCATION PROGRAMS AS WELL AS THE COLLEGE. LECOM HEALTH IS A HIGHLY INNOVATIVE HEALTH CARE AND EDUCATION SYSTEM THAT STRIVES TO ADD TO THE QUALITY OF LIFE OF OUR NEIGHBORS BY BRINGING TOTAL HEALTH CARE TO THE COMMUNITY. THE MEDICAL COLLEGE PREPARES STUDENTS TO ACTIVELY SERVE AND BECOME A POSITIVE FORCE FOR CHANGE IN THEIR COMMUNITIES. LECOM WAS ESTABLISHED IN 1992 AND HAS A TOTAL STUDENT ENROLLMENT OF MORE THAN 4,200 MEDICAL, PHARMACY AND DENTAL STUDENTS. THE MEDICAL COLLEGE ENROLLS 536 STUDENTS PER YEAR, THE SCHOOL OF PHARMACY ACCEPTS 280 STUDENTS PER YEAR AND THE SCHOOL OF DENTAL MEDICINE ENROLLS 100 STUDENTS PER YEAR. MCH SERVES AS THE MAIN REGIONAL TEACHING SITES IN NORTHWESTERN PENNSYLVANIA FOR THIRD AND FOURTH-YEAR LECOM MEDICAL STUDENTS AND THIRD-YEAR PHARMACY STUDENTS WHO ROTATE AT THE HOSPITAL AND AFFILIATED CLINICS. MCH AND ITS FACULTY PROVIDE INSTRUCTION FOR APPROXIMATELY 100 COLLEGE OF MEDICINE STUDENTS PER MONTH AND 70 PHARMACY STUDENTS PER YEAR. MCH PROVIDES ROOM AND BOARD FOR THESE STUDENTS AT NO COST. MCH AND ITS FACULTY VOLUNTEER THEIR SERVICES, WHICH ALLOWS LECOM TO PASS THE SAVINGS ON TO THEIR STUDENTS, MAKING LECOM THE SECOND LOWEST TUITION FOR PRIVATE MEDICAL SCHOOLS IN THE UNITED STATES. MCH, BY TRAINING MEDICAL STUDENTS, PHARMACISTS AND DENTISTS, ALLOWS NORTHWEST PENNSYLVANIA TO BE HEALTH-PROFESSIONAL RICH AND INCREASES ACCESS TO HEALTH CARE FOR THE COMMUNITY. PRESENTLY, MANY OF THE NEW PHYSICIANS AND PHARMACISTS RECRUITED TO THIS AREA ARE LECOM GRADUATES.SINCE ITS INCEPTION IN 1992, LECOM'S ADMINISTRATION HAS INSTILLED A STRONG SENSE OF COMMUNITY SERVICE TO ITS FACULTY, STAFF AND STUDENTS. LECOM'S MISSION IS BASED AROUND MAKING THE "COMMUNITY OUR CAMPUS". EACH YEAR, MORE THAN 40 STUDENT CLUBS AND ACADEMIC SOCIETIES PROVIDE NEARLY 20,000 VOLUNTEER HOURS TO LOCAL ORGANIZATIONS. THROUGHOUT THE ACADEMIC YEAR, STUDENTS ARE RAISING FUNDS, COLLECTING GOODS AND PROMOTING HEALTH TO MAKE LIFE BETTER FOR THEIR NEIGHBORS, NOT ONLY FOR OUR CAMPUSES IN ERIE AND GREENSBURG, PA AND BRADENTON, FL, BUT AROUND THE COUNTRY AND WORLDWIDE. AS ESTIMATED BY TRIPP UMBACH IN A 2016 ECONOMIC IMPACT STUDY, LECOM HEALTH EMPLOYEES, RESIDENTS, PHYSICIANS, AND MEDICAL STUDENTS WHO RECEIVE THEIR TRAINING AT LECOM GENERATE NEARLY $6.2 MILLION ANNUALLY IN CHARITABLE DONATIONS, VOLUNTEER SERVICES, AND PROVISION OF FREE HEALTH CARE THROUGHOUT THE AREA.THROUGHOUT THE ACADEMIC YEAR, LECOM STUDENTS COMPASSIONATELY HOLD FOOD, CLOTHING AND TOY DRIVES FOR ORGANIZATIONS SUCH AS THE WOMEN'S RESOURCE CENTER, SALVATION ARMY AND THE MANATEE AND ERIE COUNTY FOOD BANKS. THEY ALSO RAISE FUNDS AND PROVIDE SUPPORT FOR SUCH ORGANIZATIONS AS THE AMERICAN CANCER SOCIETY, AMERICAN RED CROSS, MARCH OF DIMES, STOP HUNGER NOW, AND AUTISM SPEAKS AND HAVE COMMITTED THROUGH THE WHITE HOUSE'S JOINING FORCES INITIATIVE TO IMPROVE EDUCATION AND WELLNESS OPPORTUNITIES FOR MILITARY VETERANS AND THEIR FAMILIES. THE COLLEGE SUPPORTS THESE ACTIVITIES THROUGH THE STUDENT GOVERNMENT ASSOCIATIONS WITH FUNDING AND ACCESS TO THE RESOURCES OF THE COLLEGE OFFICES OF STUDENT AFFAIRS AND COMMUNICATIONS AND MARKETING. LECOM HAS IDENTIFIED NEIGHBORHOODS NEAR THE CAMPUSES WHERE THE NEED FOR HEALTH AND SOCIAL SERVICES ARE THE GREATEST AND WHERE THE COLLEGE IS ABLE TO CONCENTRATE ITS EFFORTS WITH THE GREATEST IMPACT. LECOM HAS SUPPORTED A COMMUNITY HEALTH INTERNSHIP PROGRAM, BRIDGING THE GAPS (BTG). EACH YEAR, THE COLLEGE PLACES PARTICIPATING FIRST-YEAR MEDICAL STUDENTS IN COMMUNITY HEALTH AND SOCIAL SERVICE AGENCIES WHERE THEY CAN DELIVER HEALTH EDUCATION TO UNDER-SERVED POPULATIONS IN THE ERIE REGION. BTG SEEKS TO PROVIDE SERVICE TO THOSE INDIVIDUALS MOST VULNERABLE IN TERMS OF HEALTH: THOSE FOR WHOM SERVICES ARE OFTEN LIMITED, DIFFICULT TO ACCESS OR NON-EXISTENT. BTG TEACHES LECOM FUTURE PHYSICIANS ABOUT THE RECIPROCAL CONNECTIONS AMONG THE COMMUNITY'S SOCIO-ECONOMIC CIRCUMSTANCES, THE HEALTH CARE SYSTEM, AND THE HEALTH OF THE POPULATION.EACH YEAR, 25-30 LECOM MEDICAL AND POST-BACCALAUREATE STUDENTS PARTICIPATE IN THE BTG PROGRAM AT MORE THAN 25 COMMUNITY SITES, THEY VOLUNTEER FOR MORE THAN 6000 HOURS OF COMMUNITY SERVICE WITHIN THE ERIE COMMUNITY, EACH STUDENT DESIGNS A PROJECT THAT IS MEANT TO ADDRESS AN AREA OF NEED FOR THE PARTICULAR COMMUNITY SITE, WITH MOST PROJECTS FOCUSING ON EDUCATION AND IMPROVING COMMUNITY HEALTH. LECOM ALSO HAS PARTNERED WITH THE ERIE YMCA AND ERIE CITY HOUSING AUTHORITY TO PROVIDE AFTER-SCHOOL TUTORING AND MENTORING TO CHILDREN FROM UNDERPRIVILEGED FAMILIES.LECOM IS THE LEAD AGENCY FOR SAFE KIDS ERIE, A MEMBER OF THE WORLD-WIDE CHILDREN'S SAFETY ADVOCACY ORGANIZATION. EACH YEAR, SAFE KIDS ERIE CONDUCTS MORE THAN 90 CHILDREN'S SAFETY DEMONSTRATIONS IN THE AREAS OF WATER SAFETY, CAR SEAT AND SEAT BELT SAFETY, FIRE PREVENTION, HOME INJURY PREVENTION, ANTI-BULLYING CAMPAIGNS, AND MANY OTHER CHILDREN'S SAFETY ACTIVITIES. LECOM STUDENTS VOLUNTEER TO WORK WITH THE SAFE KIDS COORDINATOR ON THESE PROJECTS. SAFE KIDS ERIE VOLUNTEERS INTERACTED WITH MORE THAN 25,000 CHILDREN AND PARENTS DURING 2019.LIFEWORKS ERIE HAS JOINED THE COLLEGE AS AN MCH PARTNER. IT IS AN EDUCATIONAL AND MEDICAL SERVICE PROVIDER FOR OLDER ADULTS, WHICH PROVIDES HEALTH SCREENERS, ORGANIZES FLU VACCINATION PROGRAMS, AND OFFERS DOZENS OF EDUCATIONAL LECTURES FOR ADULTS 50 YEARS OLD AND OLDER.IN FLORIDA, LECOM PARTNERS WITH THE SHERIFF'S YOUTH RANCH, DIETICIANS FROM THE LOCAL SCHOOL SYSTEM'S HEALTHY LUNCH INITIATIVE, THE GIVE KIDS A SMILE DENTAL PROJECT, THE MANATEE COUNTY YMCA AND MANY OTHER ORGANIZATIONS TO REACH OUT WHERE THE NEED IS GREATEST AND PROMOTE THE MESSAGE OF GOOD HEALTH AND LEARNING TO THE CHILDREN OF THE REGION. THE REGIONS SURROUNDING LECOM'S CAMPUSES HAVE EXPERIENCED INCREASED RATES OF CHILDHOOD OBESITY, DIABETES, PRE-NATAL ISSUES AND OTHER COMPLICATIONS FROM POOR DIET AND LACK OF ACCESS TO HEALTHCARE. BY COMMITTING TO COMMUNITY SERVICE, SUCH AS PROVIDING FREE MEDICAL AND DENTAL CARE FOR THE HOMELESS AT THE TURNING POINTS (BILL GALVANO) CENTER IN BRADENTON OR PROVIDING NUTRITION EDUCATION FOR CHILDREN AT THE ERIE AND GREENSBURG YMCAS, LECOM IS REACHING OUT TO IMPROVE HEALTH CARE.MEDICATION NON-ADHERENCE IS A MAJOR PROBLEM IN THE U.S., WITH STUDIES ESTIMATING THAT NEARLY 3 OUT OF 4 AMERICANS DO NOT TAKE THEIR MEDICATIONS AS PRESCRIBED. NOT TAKING MEDICATIONS PROPERLY LEADS TO HEALTH ISSUES SUCH AS MORBIDITY, MORTALITY AND INCREASED HEALTHCARE COSTS. TO HELP COMBAT THOSE STAGGERING NUMBERS, STUDENTS, FACULTY AND STAFF AT THE LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE SCHOOL OF PHARMACY TEAM UP WITH OTHER HEALTHCARE PROVIDERS IN THE SCRIPT YOUR FUTURE MEDICATION ADHERENCE CHALLENGE. STUDENTS PARTICIPATE IN UP TO 50 SERVICE EVENTS IN ERIE, PA, AND BRADENTON AND SARASOTA, FL, REACHING APPROXIMATELY 2,000 PEOPLE, WITH MANY RECEIVING COUNSELING BY A HEALTHCARE PROFESSIONAL. LECOM ALSO CREATED A PUBLIC SERVICE ANNOUNCEMENT (PSA) WHICH AIRS ON TELEVISION IN ERIE, BRADENTON AND SARASOTA. THE PSA HAS REACHED OVER ONE MILLION PEOPLE. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHN M FERRETTI DO | ||||||||||||||
| CHAIRMAN | $0 | $1,068,890 | $0 | $0 | $0 | $32,838 | $0 | $22,400 | $0 | $11,390 | $0 | $1,135,518 | $0 | $0 |
| MARY L ECKERT | ||||||||||||||
| PRESIDENT/CEO | $822,207 | $0 | $0 | $0 | $25,358 | $12,045 | $22,400 | $0 | $6,164 | $5,529 | $876,129 | $17,574 | $0 | $0 |
| RICHARD P OLINGER | ||||||||||||||
| SECRETARY/TREASURER | $354,588 | $30,094 | $0 | $0 | $0 | $12,045 | $22,400 | $0 | $16,601 | $5,529 | $393,589 | $47,668 | $0 | $0 |
| SILVIA M FERRETTI DO | ||||||||||||||
| TRUSTEE | $0 | $1,241,920 | $0 | $0 | $0 | $26,023 | $0 | $22,400 | $0 | $11,510 | $0 | $1,301,853 | $0 | $0 |
| ANTHONY JON FERRETTI DO | ||||||||||||||
| TRUSTEE | $53,448 | $509,224 | $0 | $0 | $0 | $138 | $0 | $22,400 | $0 | $17,090 | $53,448 | $548,852 | $0 | $0 |
| JAMES Y LIN DO | ||||||||||||||
| TRUSTEE | $39,258 | $404,750 | $0 | $15,000 | $0 | $60 | $0 | $22,400 | $0 | $16,235 | $39,258 | $458,445 | $0 | $0 |
| STEVEN G INMAN CPA CGMA | ||||||||||||||
| VP FISCAL AFFAIRS/CFO | $0 | $280,573 | $0 | $0 | $0 | $92 | $0 | $21,899 | $0 | $6,424 | $0 | $308,988 | $0 | $0 |
| DANIELLE HANSEN DO | ||||||||||||||
| PHYSICIAN | $111,931 | $258,258 | $0 | $65,000 | $0 | $60 | $0 | $22,400 | $0 | $16,185 | $111,931 | $361,903 | $0 | $0 |
| RICHARD HERRICK DO | ||||||||||||||
| PHYSICIAN | $316,049 | $0 | $0 | $0 | $264 | $0 | $20,329 | $0 | $19,820 | $0 | $356,462 | $0 | $0 | $0 |
| RANDY EDWARDS DO | ||||||||||||||
| RADIOLOGIST | $383,663 | $0 | $0 | $0 | $264 | $0 | $22,400 | $0 | $17,161 | $0 | $423,488 | $0 | $0 | $0 |
| CHRISTOPHER CARBO DO | ||||||||||||||
| PHYSICIAN | $371,302 | $0 | $0 | $0 | $92 | $0 | $22,400 | $0 | $20,191 | $0 | $413,985 | $0 | $0 | $0 |
| AMY FARRIS DO | ||||||||||||||
| PHYSICIAN | $339,471 | $0 | $0 | $0 | $61 | $0 | $0 | $0 | $16,706 | $0 | $356,238 | $0 | $0 | $0 |
| MICHAEL HAUK DO | ||||||||||||||
| RADIOLOGIST | $407,715 | $0 | $0 | $0 | $264 | $0 | $22,400 | $0 | $20,055 | $0 | $450,434 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | DR. JOHN M. FERRETTI DR. SILVIA M. FERRETTI CHAIRMAN TRUSTEE FAMILY RELATIONSHIP DR. JOHN M. FERRETTI DR. ANTHONY J. FERRETTI CHAIRMAN TRUSTEE FAMILY RELATIONSHIP DR. ANTHONY J. FERRETTI DR. SILVIA FERRETTI TRUSTEE TRUSTEE FAMILY RELATIONSHIP |
| FORM 990, PART VI, SECTION A, LINE 6 | MILLCREEK HEALTH SYSTEM, THE FILING ORGANIZATION'S PARENT CORPORATION, IS THE SOLE MEMBER OF THE FILING ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 7B | MILLCREEK HEALTH SYSTEM IS THE PARENT ORGANIZATION OF MILLCREEK COMMUNITY HOSPITAL. IN ACCORDANCE WITH MILLCREEK HEALTH SYSTEM'S BY-LAWS, ITS BOARD OF TRUSTEES HAS THE RIGHT TO APPROVE ANY AND ALL TRANSACTIONS THAT CHANGE OR HAVE THE EFFECT OF CHANGING, THE OWNERSHIP AND/OR CONTROL OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION B, LINE 11B | PRIOR TO FILING ITS FORM 990, THE ORGANIZATION PROVIDED ITS BOARD MEMBERS WITH ACCESS TO AN ELECTRONIC COPY OF THE TAX RETURN AND INVITED COMMENTS AND QUESTIONS FROM THE BOARD MEMBERS. PRIOR TO FILING FORM 990, MEMBERS OF THE ORGANIZATION'S FINANCIAL MANAGEMENT CONDUCTED A DETAILED REVIEW OF THE TAX FILING. THROUGHOUT THE REVIEW PROCESS, THERE WAS ONGOING DISCUSSION BETWEEN THE ORGANIZATION'S FINANCIAL MANAGEMENT AND THE TAX PREPARER. |
| FORM 990, PART VI, SECTION B, LINE 12C | EACH MEMBER OF THE BOARD OF TRUSTEES IS REQUIRED TO COMPLETE A STANDARDIZED CONFLICT OF INTEREST FORM ON AN ANNUAL BASIS. ANY POTENTIAL CONFLICTS OF INTEREST ARE ADDRESSED BY AN APPOINTED COMMITTEE WHOSE MEMBERS ARE INDEPENDENT WITH REGARD TO THE MATTER BEING EXAMINED. IF A POTENTIAL CONFLICT OF INTEREST ARISES, IT IS REVIEWED AND DOCUMENTED BY THE APPOINTED COMMITTEE, AND THEN THE APPOINTED COMMITTEE REPORTS THE RESULTS OF ITS REVIEW TO THE BOARD OF TRUSTEES. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE ORGANIZATION'S BUDGET/FINANCE COMMITTEE, WHICH ALSO FUNCTIONS AS THE COMPENSATION COMMITTEE, REVIEWED A STUDY PERFORMED BY AN INDEPENDENT COMPENSATION CONSULTANT. ON AN ANNUAL BASIS, THE COMMITTEE REVIEWS VARIOUS FORM 990 FILINGS BY COMPARATIVE ORGANIZATIONS IN ORDER TO MAKE EXECUTIVE PAY COMPARISONS. |
| 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 IX, LINE 11G | OTHER FEES: PROGRAM SERVICE EXPENSES 8,797,679. MANAGEMENT AND GENERAL EXPENSES 974,263. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,771,942. |
| FORM 990, PART XII - ADDITIONAL INFORMATION | THE ASSETS OF THE SELF-INS TRUST ARE INCLUDED ON THE HOSPITAL BALANCE SHEET. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| MILLCREEK HEALTH SYSTEM (MHS) | |||||||||||
| 5515 PEACH ST | ERIE | PA | 16509 | 251766164 | PARENT CORPORATION | PA | 501(C)(3) | LINE 12C, III-FI | N/A | 0 | |
| LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE | |||||||||||
| 1858 W GRANDVIEW BLVD | ERIE | PA | 16509 | 251698677 | MEDICAL SCHOOL | PA | 501(C)(3) | LINE 2 | 0 | MILLCREEK HEALTH SYSTEM | |
| MEDICAL ASSOCIATES OF ERIE | |||||||||||
| ONE LECOM PLACE | ERIE | PA | 16509 | 113716896 | PHYSICIAN MANAGEMENT | PA | 501(C)(3) | LINE 10 | 0 | MILLCREEK HEALTH SYSTEM | |
| MILLCREEK MANOR | |||||||||||
| 5515 PEACH ST | ERIE | PA | 16509 | 251619204 | LONG TERM CARE | PA | 501(C)(3) | LINE 3 | 0 | MILLCREEK HEALTH SYSTEM | |
| MILLCREEK HEALTH SYSTEM MEDICAL PRO | |||||||||||
| 5515 PEACH ST | ERIE | PA | 16509 | 576204119 | LIABILITY INSURANCE | PA | 501(C)(3) | LINE 12C, III-FI | 0 | ||
| ERIE CENTER ON HEALTH AND AGING | |||||||||||
| 406 PEACH ST | ERIE | PA | 16507 | 251361363 | SENIOR HEALTH | PA | 501(C)(3) | LINE 7 | 0 | MILLCREEK HEALTH SYSTEM | |
| VISITING NURSE ASSOCIATION OF ERIE COUNTY | |||||||||||
| 2253 WEST GRANDVIEW BOULEVARD | ERIE | PA | 16506 | 250969488 | HOME HEALTH | PA | 501(C)(3) | LINE 7 | 0 | MILLCREEK HEALTH SYSTEM | |
| CORRY MEMORIAL HOSPITAL ASSN (CMH) | |||||||||||
| 965 SHAMROCK LANE | CORRY | PA | 16407 | 250987222 | HOSPITAL | PA | 501(C)(3) | LINE 3 | 0 | MILLCREEK HEALTH SYSTEM | |
| CORRY MEDICAL SERVICES | |||||||||||
| 965 SHAMROCK LANE | CORRY | PA | 16407 | 251425220 | HEALTH CARE | PA | 501(C)(3) | LINE 12B, II | 0 | CORRY MEMORIAL HOSPITAL ASSOCIATION | |
| CORRY MEMORIAL HOSPITAL FOUNDATION | |||||||||||
| 965 SHAMROCK LANE | CORRY | PA | 16407 | 208285800 | FUNDRAISING | PA | 501(C)(3) | LINE 12B, II | 0 | CORRY MEMORIAL HOSPITAL ASSOCIATION | |
| LECOM AT PRESQUE ISLE | |||||||||||
| 4114 SCHAPER AVE | ERIE | PA | 16508 | 475049201 | LONG TERM CARE | PA | 501(C)(3) | LINE 10 | 0 | MILLCREEK HEALTH SYSTEM | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| MCH CORPORATION | |||||||||
| 5515 PEACH ST | ERIE | PA | 16509 | 251549695 | REAL ESTATE | PA | MILLCREEK HEALTH SYSTEM | C | 0 |
| CORRY HEALTH SERVICES INC | |||||||||
| 965 SHAMROCK LAME | CORRY | PA | 16407 | 251488214 | HEALTH CARE | PA | CORRY MEMORIAL HOSPITAL ASSOCIATION | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |