STRATEGY STUDIO / PUBLIC DATA EXPLORER

MILLCREEK MANOR: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
MILLCREEK MANOR (EIN 25-1619204)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-07-13
IRS object ID
202011959349302131
Schema version
2018v3.2
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

FieldValueIRS element (for citing)
Return2020-07-13T12:19:37-05:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN550486667PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ARNETT CARBIS TOOTHMAN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line15700 CORPORATE DRIVE STE 650AddressLine1Txt
CityPITTSBURGHCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15237ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN251619204EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MILLCREEK MANORBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMILLBusinessNameControlTxt
Phone8148644031PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15515 PEACH STREETAddressLine1Txt
CityERIECityNm
State AbbreviationPAStateAbbreviationCd
ZIP16509ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSTEVEN G INMAN CPA CGMAPersonNm
Person TitleVP FISCAL AFFAIRS/CFOPersonTitleTxt
Phone8148644031PhoneNum
Signature2020-07-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKELLY A BROCIOUS CPAPreparerPersonNm
PTINP01254262PTIN
Phone4126356270PhoneNum
Preparation2020-07-08PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address216.12.119.47IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-07-08IPDt
IP Tm11:42:15IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdAA33865D103AC6BAEDC6D52EC28D34883AF57A1FAtSubmissionCreationDeviceId
At Submission Filing Device Id722E68A3860333A1F75A7ACEB82B7EB352F0136FAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-09-22 18:59:49ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1LECOM SENIOR LIVING CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerJOHN M FERRETTI DOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line15515 PEACH STREETAddressLine1Txt
CityERIECityNm
State AbbreviationPAStateAbbreviationCd
ZIP16509ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$23,256,918GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHTTPS://LECOMHEALTH.COM/SENOR-LIVINGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1989FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionTO PROVIDE LONG TERM MEDICAL CARE TO THE COMMUNITY.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee542TotalEmployeeCnt
Total Volunteers18TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$73PYContributionsGrantsAmt
CY Contributions Grants$28CYContributionsGrantsAmt
PY Program Service Revenue$19,981,841PYProgramServiceRevenueAmt
CY Program Service Revenue$22,337,719CYProgramServiceRevenueAmt
PY Investment Income$13,246PYInvestmentIncomeAmt
CY Investment Income$57,193CYInvestmentIncomeAmt
PY Other Revenue$402,420PYOtherRevenueAmt
CY Other Revenue$861,978CYOtherRevenueAmt
PY Total Revenue$20,397,580PYTotalRevenueAmt
CY Total Revenue$23,256,918CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$13,234,928PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$13,493,355CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$9,098,981PYOtherExpensesAmt
CY Other Expenses$10,011,128CYOtherExpensesAmt
PY Total Expenses$22,333,909PYTotalExpensesAmt
CY Total Expenses$23,504,483CYTotalExpensesAmt
PY Revenues Less Expenses-$1,936,329PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$247,565CYRevenuesLessExpensesAmt
Total Assets BOY$80,167,765TotalAssetsBOYAmt
Total Assets EOY$83,682,096TotalAssetsEOYAmt
Total Liabilities BOY$2,300,005TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,272,621TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$77,867,760NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$81,409,475NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROVIDE LONG TERM MEDICAL CARE TO THE COMMUNITY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$20,518,973ExpenseAmt
Revenue$23,199,697RevenueAmt
DescIN MID-2015, MILLCREEK MANOR, DOING BUSINESS AS LECOM SENIOR LIVING CENTER, MOVED TO A NEW NURSING FACILITY. MILLCREEK MANOR IS A 138 BED FACILITY. IN ADDITION TO THE OPENING OF THIS FACILITY, MILLCREEK MANOR ALSO PURCHASED THREE INDEPENDENT LIVING CENTERS IN 2015. THE FACILITIES HAVE A LITTLE MORE THAN 240 UNITS COMBINED. TWO OF THE FACILITIES ARE ALSO LICENSED PERSONAL CARE HOMES.MILLCREEK MANOR PROVIDES QUALITY LONG-TERM MEDICAL CARE TO INDIVIDUALS REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAPS, AGE, OR ABILITY TO PAY. APPROXIMATELY 132 PERSONS A DAY BENEFITTED FROM THIS PROGRAM DURING THE FISCAL YEAR. WITH THE PURCHASE OF THE THREE FACILITIES IN 2015, MILLCREEK MANOR ALSO PROVIDES INDEPENDENT AND PERSONAL CARE SERVICES.Desc
Total Program Service Expenses$20,518,973TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document59IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee542EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1STEVEN G INMAN CPA CGMABusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8148644031PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15515 PEACH STREETAddressLine1Txt
CityERIECityNm
State AbbreviationPAStateAbbreviationCd
ZIP16509ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
JOHN M FERRETTI DO
PRESIDENT4.0076.00Yes (X)Yes (X)$0$982,429$32,004
RICHARD P OLINGER
TREASURER1.0064.00Yes (X)Yes (X)$0$712,025$42,746
MARY L ECKERT
SECRETARY1.0079.00Yes (X)Yes (X)$0$907,761$33,010
SILVIA M FERRETTI DO
TRUSTEE1.0064.00Yes (X)$0$1,216,066$32,182
VINCENT S FIERRO JR DO
TRUSTEE1.002.00Yes (X)$0$0$0
ESTHER J FUCCI
TRUSTEE1.00Yes (X)$0$0$0
JOSEPH S KUJAWA
TRUSTEE1.00Yes (X)$0$0$0
JOYCE SAVOCCHIO
TRUSTEE1.00Yes (X)$0$0$0
STEVEN G INMAN CPA CGMA
VP FISCAL AFFAIRS/CFO1.0064.00Yes (X)$0$181,998$19,837
SHOLIN MONTGOMERY
NURSING HOME ADMINISTRATOR40.00$101,264$0$15,553Yes (X)
ASHLEY KING
PHARMACIST40.00$101,308$0$13,673Yes (X)
JAMES CZARNECKI
DIRECTOR OF IT40.00$124,293$0$17,140Yes (X)
JAIME BABIAK PHARMD MHSA
DIRECTOR OF PHARMACY40.00$116,518$0$9,315Yes (X)
MELANIE TITZEL PHD
DIRECTOR OF SENIOR COMMUNITIES40.001.00$107,486$0$18,762Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$550,869TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$4,000,279TotReportableCompRltdOrgAmt
Total Other Compensation$234,222TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K5IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
BUILDING SYSTEMS INC
7335 OLD PERRY HIGHWAYERIEPA16509CONSTRUCTION SERVICES$1,095,145
EAT'N PARK - CURA HOSPITALITY
PO BOX 743676ATLANTAGA303743676DIETARY SERVICES$952,664
US FOODSERVICE INC
PO BOX 643190PITTSBURGHPA152643160FOOD SERVICES$334,619
ROTH MARZ PARTNERSHIP PC
3505 CHAPIN STREETERIEPA16508ARCHITECTURAL/ SCHEMATIC DESIGN$286,599
LM WANDER & SONS LANDSCAPING
8711 PEACH STREETERIEPA16509LANDSCAPING SERVICES$236,959
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K9CntrctRcvdGreaterThan100KCnt
All Other Contributions$28AllOtherContributionsAmt
Total Contributions$28TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT REVENUEDesc
Business623000BusinessCd
Total Revenue Column$22,337,719TotalRevenueColumnAmt
Related Or Exempt Func Income$22,337,719RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$22,337,719TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$57,193TotalRevenueColumnAmt
Exclusion$57,193ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER REVENUEDesc
Business900099BusinessCd
Total Revenue Column$861,978TotalRevenueColumnAmt
Related Or Exempt Func Income$861,978RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$861,978OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$23,256,918TotalRevenueColumnAmt
Related Or Exempt Func Income$23,199,697RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$57,193ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$10,383,977TotalAmt
Program Services$8,989,308ProgramServicesAmt
Management And General$1,394,669ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$305,007TotalAmt
Program Services$265,519ProgramServicesAmt
Management And General$39,488ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,024,094TotalAmt
Program Services$1,762,044ProgramServicesAmt
Management And General$262,050ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$780,277TotalAmt
Program Services$679,258ProgramServicesAmt
Management And General$101,019ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$40,667TotalAmt
Management And General$40,667ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,290,449TotalAmt
Program Services$1,964,040ProgramServicesAmt
Management And General$326,409ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$66,866TotalAmt
Program Services$59,975ProgramServicesAmt
Management And General$6,891ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$733,355TotalAmt
Program Services$630,993ProgramServicesAmt
Management And General$102,362ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,251,882TotalAmt
Program Services$945,434ProgramServicesAmt
Management And General$306,448ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$88,647TotalAmt
Program Services$54,245ProgramServicesAmt
Management And General$34,402ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,653,264TotalAmt
Program Services$2,559,010ProgramServicesAmt
Management And General$94,254ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$180,011TotalAmt
Program Services$143,303ProgramServicesAmt
Management And General$36,708ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PHARMACY DRUGS$1,638,913$1,638,913
FOOD$574,254$574,254
REPAIRS AND MAINTENANCE$317,492$194,294$123,198
EDUCATION AND TRAINING$29,801$27,161$2,640

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$145,527TotalAmt
Program Services$31,222ProgramServicesAmt
Management And General$114,305ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$23,504,483TotalAmt
Program Services$20,518,973ProgramServicesAmt
Management And General$2,985,510ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,339,231BOYAmt
EOY$1,258,936EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,313,363BOYAmt
EOY$3,262,449EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,006,226BOYAmt
EOY$1,536,418EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$150,781BOYAmt
EOY$228,963EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$398,516BOYAmt
EOY$598,740EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$74,056,403LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$12,099,987LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$56,530,714BOYAmt
EOY$61,956,416EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$14,482,135BOYAmt
EOY$14,482,135EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,946,799BOYAmt
EOY$358,039EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$80,167,765BOYAmt
EOY$83,682,096EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,240,758BOYAmt
EOY$2,214,582EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$59,247BOYAmt
EOY$58,039EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,300,005BOYAmt
EOY$2,272,621EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$77,808,513BOYAmt
EOY$81,351,436EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$59,247BOYAmt
EOY$58,039EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$77,867,760BOYAmt
EOY$81,409,475EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$80,167,765BOYAmt
EOY$83,682,096EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$247,565ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$3,789,280OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,180,123OtherCostOrOtherBasisAmt
Book Value$5,180,123BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$58,095,085OtherCostOrOtherBasisAmt
Depreciation$7,158,012DepreciationAmt
Book Value$50,937,073BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,159,817OtherCostOrOtherBasisAmt
Depreciation$4,874,644DepreciationAmt
Book Value$4,285,173BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,621,378OtherCostOrOtherBasisAmt
Depreciation$67,331DepreciationAmt
Book Value$1,554,047BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$61,956,416TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescRESIDENT TRUST FUNDSDesc
Amt$58,039Amt
FieldValueIRS element (for citing)
Total Liability$58,039TotalLiabilityAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JOHN M FERRETTI DO
PRESIDENT$0$950,115$0$0$0$32,314$0$21,154$0$10,850$0$1,014,433$0$0
RICHARD P OLINGER
TREASURER$0$687,728$0$0$0$24,297$0$22,000$0$20,746$0$754,771$0$0
MARY L ECKERT
SECRETARY$0$872,202$0$0$0$35,559$0$22,000$0$11,010$0$940,771$0$0
SILVIA M FERRETTI DO
TRUSTEE$0$1,190,543$0$0$0$25,523$0$21,154$0$11,028$0$1,248,248$0$0
STEVEN G INMAN CPA CGMA
VP FISCAL AFFAIRS/CFO$0$181,907$0$0$0$91$0$13,655$0$6,182$0$201,835$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 3FormAndLineReferenceDesc
ExplanationMILLCREEK MANOR'S TOP MANAGEMENT OFFICIAL AND CERTAIN MEMBERS OF ITS BOARD OF TRUSTEES ARE PAID BY LECOM. LECOM USES THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE CEO: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -FORM 990 OF OTHER ORGANIZATIONS -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEEExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2SILVIA M. FERRETTI JOHN M. FERRETTI TREASURER PRESIDENT FAMILY RELATIONSHIP
FORM 990, PART VI, SECTION A, LINE 6MILLCREEK HEALTH SYSTEM, THE FILING ORGANIZATION'S PARENT CORPORATION, IS THE SOLE MEMBER OF THE FILING ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7BMILLCREEK HEALTH SYSTEM IS THE PARENT ORGANIZATION OF MILLCREEK MANOR. 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 11BPRIOR 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 12CEACH 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 REVIEWED. 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 15THE SALARIES OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL AND CERTAIN MEMBERS OF ITS BOARD OF TRUSTEES ARE DETERMINED BY THE EMPLOYING ORGANIZATION'S BUDGET/FINANCE COMMITTEE, WHICH ALSO FUNCTIONS AS A COMPENSATION COMMITTEE. THE BUDGET/FINANCE 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 19THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, BY-LAWS AND FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC.
FORM 990, PART XI, LINE 9:CHANGE IN TEMPORARILY RESTRICTED ASSETS -210,720. TRANSFER FROM RELATED ENTITY 4,000,000.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
MILLCREEK HEALTH SYSTEM (MHS)
5515 PEACH STERIEPA16509251766164PARENT CORPORATIONPA501(C)(3)LINE 12C, III-FIN/A0
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE
1858 W GRANDVIEW BLVDERIEPA16509251698677MEDICAL SCHOOLPA501(C)(3)LINE 20MILLCREEK HEALTH SYSTEM
MILLCREEK COMMUNITY HOSPITAL
5515 PEACH STERIEPA16509251002937HOSPITALPA501(C)(3)LINE 30MILLCREEK HEALTH SYSTEM
MEDICAL ASSOCIATES OF ERIE
ONE LECOM PLACEERIEPA16509113716896PHYSICIAN MANAGEMENTPA501(C)(3)LINE 100MILLCREEK HEALTH SYSTEM
MILLCREEK HEALTH SYSTEM MEDICAL PRO
5515 PEACH STERIEPA16509576204119LIABILITY INSURANCEPA501(C)(3)LINE 12C, III-FI0
ERIE CENTER ON HEALTH AND AGING
406 PEACH STERIEPA16507251361363SENIOR HEALTHPA501(C)(3)LINE 70MILLCREEK HEALTH SYSTEM
VISITING NURSE ASSOCIATION OF ERIE COUNTY
2253 WEST GRANDVIEW BOULEVARDERIEPA16506250969488HOME HEALTHPA501(C)(3)LINE 70MILLCREEK HEALTH SYSTEM
CORRY MEMORIAL HOSPITAL ASSN (CMH)
965 SHAMROCK LANECORRYPA16407250987222HOSPITALPA501(C)(3)LINE 30MILLCREEK HEALTH SYSTEM
CORRY MEDICAL SERVICES
965 SHAMROCK LANECORRYPA16407251425220HEALTH CAREPA501(C)(3)LINE 12B, II0CORRY MEMORIAL HOSPITAL ASSOCIATION
CORRY MEMORIAL HOSPITAL FOUNDATION
965 SHAMROCK LANECORRYPA16407208285800FUNDRAISINGPA501(C)(3)LINE 12B, II0CORRY MEMORIAL HOSPITAL ASSOCIATION
LECOM AT PRESQUE ISLE
4114 SCHAPER AVEERIEPA16508475049201LONG TERM CAREPA501(C)(3)LINE 100MILLCREEK HEALTH SYSTEM

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
MCH CORPORATION
5515 PEACH STERIEPA16509251549695REAL ESTATEPAMILLCREEK HEALTH SYSTEMC0
CORRY HEALTH SERVICES INC
965 SHAMROCK LAMECORRYPA16407251488214HEALTH CAREPACORRY MEMORIAL HOSPITAL ASSOCIATIONC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd