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MILLCREEK COMMUNITY HOSPITAL: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
MILLCREEK COMMUNITY HOSPITAL (EIN 25-1002937)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-07-13
IRS object ID
202031959349302483
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)
Return2020-07-13T12:20:01-05:00ReturnTs
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)
EIN251002937EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MILLCREEK COMMUNITY HOSPTIALBusinessNameLine1Txt
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
Signature2020-07-09SignatureDt
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)
IP2020-07-09IPDt
IP Tm13:12:58IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdAA33865D103AC6BAEDC6D52EC28D34883AF57A1FAtSubmissionCreationDeviceId
At Submission Filing Device Id67B110490B93909987464B17A37AD0017C5A62C1AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

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$59,661,827GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.LECOMHEALTH.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1948FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionTHE ORGANIZATION PROVIDES THE COMMUNITY WITH HEALTHCARE SERVICES AND EDUCATION.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee875TotalEmployeeCnt
Total Volunteers6TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$912,488PYContributionsGrantsAmt
CY Contributions Grants$305,445CYContributionsGrantsAmt
PY Program Service Revenue$57,169,375PYProgramServiceRevenueAmt
CY Program Service Revenue$55,661,025CYProgramServiceRevenueAmt
PY Investment Income$3,799,924PYInvestmentIncomeAmt
CY Investment Income$2,754,877CYInvestmentIncomeAmt
PY Other Revenue$1,584,004PYOtherRevenueAmt
CY Other Revenue$940,480CYOtherRevenueAmt
PY Total Revenue$63,465,791PYTotalRevenueAmt
CY Total Revenue$59,661,827CYTotalRevenueAmt
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$33,451,628PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$34,681,117CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$26,814,789PYOtherExpensesAmt
CY Other Expenses$25,130,712CYOtherExpensesAmt
PY Total Expenses$60,266,417PYTotalExpensesAmt
CY Total Expenses$59,811,829CYTotalExpensesAmt
PY Revenues Less Expenses$3,199,374PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$150,002CYRevenuesLessExpensesAmt
Total Assets BOY$126,626,447TotalAssetsBOYAmt
Total Assets EOY$125,849,231TotalAssetsEOYAmt
Total Liabilities BOY$15,151,222TotalLiabilitiesBOYAmt
Total Liabilities EOY$16,843,264TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$111,475,225NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$109,005,967NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionMILLCREEK 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 Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$10,970,918ExpenseAmt
Revenue$15,484,356RevenueAmt
DescACUTE IMPATIENT CARE: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. THE HOSPITAL INPATIENT SERVICES INCLUDE, BUT ARE NOT LIMITED TO, SURGERY, RADIOLOGY, INTENSIVE CARE, PHYSICAL THERAPY, ENDOSCOPY, AND A CATH LAB. THE FACILITY HAS 68 BEDS (THAT INCLUDES A 16 BED DETOXIFICATION UNIT AND A 6 BED OBSTETRICS UNIT) ACCOMMODATING THE WELLNESS OF THE COMMUNITY. FOR THE FISCAL YEAR ENDED JUNE 30, 2019, 29,947 PATIENT DAYS WERE PROVIDED. 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, 2019, 98 DAYS OF CHARITY CARE WERE PROVIDED AMOUNTING TO $607,206 OF FORGONE REVENUE AT A COST OF $230,000 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

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$13,297,452ExpenseAmt
Revenue$15,057,766RevenueAmt
DescBEHAVIORAL UNIT CARE:IN 2001, A LARGE LOCAL BEHAVIORAL HEALTH INPATIENT PROVIDER ANNOUNCED THAT IT WAS DISCONTINUING ITS LINE OF SERVICE. A COMMUNITY TASK FORCE WAS FORMED TO ADDRESS THE VOID AND, AT THIS GROUP'S REQUEST, MILLCREEK COMMUNITY HOSPITAL FILLED A CRITICAL NEED FOR MENTAL HEALTH OFFERINGS INCLUDE 62 BEDS OF LICENSED ACUTE PSYCHIATRIC CARE AND AN ACUTE ADULT PARTIAL HOSPITALIZATION PROGRAM. THE HOSPITAL'S CHILD/ADOLESCENT UNIT IS THE REGION'S ONLY SUCH BEHAVIORAL HEALTH ACUTE CARE FACILITY. FOR THE FISCAL YEAR ENDED JUNE 30, 2019, 1,867 DISCHARGES TOTALING 18,314 PATIENT DAYS WERE PROVIDED.THE HOSPITAL PURSUES COLLABORATION WITH THE ERIE HEALTH CARE AND HUMAN SERVICES COMMUNITY. THE HOSPITAL IS REPRESENTED ON MANY COUNTY-SPONSORED AND OTHER PLANNING COMMITTEES, AND IS PART OF INITIATIVES TO IMPROVE OUTCOMES FOR MUTUAL CLIENTS. THE HOSPITAL IS ALSO REPRESENTED AT COMMUNITY CLINICAL FORUMS TO PROVIDE EXPERT INFORMATION AND INPUT ON DIFFICULT SITUATIONS AND CASES. THE HOSPITAL HOSTS MEETINGS AT THE FACILITY IN ORDER TO IMPROVE CONTINUITY OF CARE; THESE MEETINGS ARE ATTENDED BY REPRESENTATIVES FROM MORE THAN TWENTY LOCAL SCHOOLS, SCHOOL DISTRICTS, AND SERVICE PROVIDERS. THE HOSPITAL ALSO WELCOMES REPRESENTATIVES FROM JUVENILE JUSTICE, THE OFFICE OF CHILDREN AND YOUTH, AND OTHER GOVERNMENTAL ORGANIZATIONS IN THE INTEREST OF IMPROVING THE LIVES OF ITS PATIENTS. WORKING AGREEMENTS ARE DEVELOPED WITH LOCAL SERVICE AGENCIES TO ALLOW BOTH PATIENTS AND RECEIVING PROVIDERS TO BE LINKED WITH EACH OTHER WHILE THE PATIENT IS AT THE HOSPITAL RECEIVING CARE.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$7,712,188ExpenseAmt
Revenue$2,540,352RevenueAmt
DescRESIDENT TRAINING:IN AN EFFORT TO ADDRESS THE CRITICAL SHORTAGE OF PHYSICIANS, MILLCREEK COMMUNITY HOSPITAL ACTS AS A TEACHING HOSPITAL AND OFFERS MORE PHYSICIAN RESIDENCY PROGRAMS THAN ANY OTHER HOSPITAL IN NORTHWESTERN PENNSYLVANIA. FOR THE FISCAL YEAR ENDED JUNE 30, 2019, THE HOSPITAL UTILIZED 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 NEUROMUSCULOSKELETAL MEDICINE.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$20,571,803ExpenseAmt
Revenue$22,580,552RevenueAmt
DescOTHER PROGRAM ACTIVITIES: OTHER PROGRAM ACTIVITIES INCLUDED 38,376 OUTPATIENT VISITS PLUS 4,849 OUTPATIENT SURGERIES, 17,668 EMERGENCY ROOM VISITS, AND 236 ADMISSIONS FOR 3,191 DAYS TO THE INPATIENT REHABILITATION UNIT.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$20,571,803TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$22,580,552TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$52,552,361TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
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 AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
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 HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
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 Document89IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee875EmployeeCnt
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 Members12GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
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 CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
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 (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
JOHN M FERRETTI DO
CHAIRMAN8.0072.00Yes (X)Yes (X)$0$982,429$32,004
MARY L ECKERT
PRESIDENT/CEO67.0013.00Yes (X)Yes (X)$895,716$12,045$33,010
RICHARD P OLINGER
SECRETARY/TREASURER28.0037.00Yes (X)Yes (X)$296,511$415,514$42,746
SILVIA M FERRETTI DO
TRUSTEE1.0079.00Yes (X)$0$1,216,066$32,182
ANTHONY JON FERRETTI DO
TRUSTEE1.0051.00Yes (X)$52,478$495,823$38,910
JAMES Y LIN DO
TRUSTEE8.0057.00Yes (X)$44,228$319,946$37,052
MARIO EJ LANNI DSC
TRUSTEE1.00Yes (X)$0$0$0
NANCY Z O'NEILL
TRUSTEE1.00Yes (X)$0$0$0
DALE P SPARBER
TRUSTEE1.00Yes (X)$0$0$0
WILLIAM F MCCARTHY
TRUSTEE1.00Yes (X)$0$0$0
RICHARD B SEAGER
TRUSTEE1.00Yes (X)$0$0$0
DAVID A RUBINO MSGR
TRUSTEE1.00Yes (X)$0$0$0
STEVEN G INMAN CPA CGMA
VP FISCAL AFFAIRS/CFO28.0037.00Yes (X)$0$181,998$19,837
DANIELLE HANSEN DO
PHYSICIAN19.0051.00$69,129$356,074$36,391Yes (X)
TERRY BUCKWALTER DO
ANESTHESIOLOGIST PHYSICIAN40.00$446,843$0$39,727Yes (X)
RANDY EDWARDS DO
RADIOLOGIST40.00$399,557$0$32,568Yes (X)
CHRISTOPHER CARBO DO
PHYSICIAN40.00$355,274$0$39,929Yes (X)
MICHAEL VISNOSKY ESQ
DIRECTOR OF GOVERNMENTAL AFFAIRS8.0044.00$321,967$0$22,000Yes (X)
MICHAEL HAUK DO
RADIOLOGIST40.00$329,194$0$39,929Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,210,897TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,979,895TotReportableCompRltdOrgAmt
Total Other Compensation$446,285TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K32IndivRcvdGreaterThan100KCnt
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
MGM GENERAL CONSTRUCTION CORP
933 WEST 19TH STREETERIEPA16502CONSTRUCTION SERVICES$1,297,426
CLINICAL PATHOLOGY INSTITUTE COOP
1526 PEACH STREETERIEPA16501PROFESSIONAL PATHOLOGY SERVICES$1,253,029
ASSOCIATED CLINICAL LABORATORIES
15832 COLLECTIONS CENTER DRIVECHICAGOIL60693LAB SERVICES$591,939
DIVERSIFIED CLINICAL SERVICES INC
28525 NETWORK PLACECHICAGOIL60673ADMINISTRATION AND SUPPORT$484,129
GE HEALTHCARE
PO BOX 640200PITTSBURGHPA15264EQUIPMENT MAINTENANCE$454,595
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K21CntrctRcvdGreaterThan100KCnt
Government Grants$96,445GovernmentGrantsAmt
All Other Contributions$209,000AllOtherContributionsAmt
Total Contributions$305,445TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE900099$52,302,088$52,302,088
RESIDENTS CONTRACTED OUT900099$3,358,937$3,358,937
FieldValueIRS element (for citing)
Total Program Service Revenue$55,661,025TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,736,299TotalRevenueColumnAmt
Exclusion$1,736,299ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$938,479RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$938,479RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$938,479TotalRevenueColumnAmt
Exclusion$938,479ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,018,578SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,018,578SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,018,578TotalRevenueColumnAmt
Exclusion$1,018,578ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PHARMACY RECEIPTS900099$327,276$327,276
SNACKBAR/VEND MACH REV900099$215,026$215,026
MISCELLANEOUS REVENUE900099-$540,301-$540,301
FieldValueIRS element (for citing)
Other Revenue Total$2,001OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$59,661,827TotalRevenueColumnAmt
Related Or Exempt Func Income$55,663,026RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$3,693,356ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,404,213TotalAmt
Management And General$1,404,213ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$26,671,902TotalAmt
Program Services$24,012,713ProgramServicesAmt
Management And General$2,659,189ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$961,238TotalAmt
Program Services$865,403ProgramServicesAmt
Management And General$95,835ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,759,641TotalAmt
Program Services$3,384,805ProgramServicesAmt
Management And General$374,836ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,884,123TotalAmt
Program Services$1,696,276ProgramServicesAmt
Management And General$187,847ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$88,719TotalAmt
Management And General$88,719ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$141,982TotalAmt
Management And General$141,982ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$184,290TotalAmt
Management And General$184,290ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$8,724,586TotalAmt
Program Services$7,854,745ProgramServicesAmt
Management And General$869,841ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$136,948TotalAmt
Program Services$123,294ProgramServicesAmt
Management And General$13,654ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,297,279TotalAmt
Program Services$4,769,140ProgramServicesAmt
Management And General$528,139ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$989,196TotalAmt
Program Services$890,573ProgramServicesAmt
Management And General$98,623ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$914,386TotalAmt
Program Services$823,222ProgramServicesAmt
Management And General$91,164ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$71,914TotalAmt
Program Services$64,744ProgramServicesAmt
Management And General$7,170ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,492,656TotalAmt
Program Services$2,244,138ProgramServicesAmt
Management And General$248,518ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,392,675TotalAmt
Program Services$1,253,825ProgramServicesAmt
Management And General$138,850ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PROVISIONS FOR BAD DEBT$2,218,836$2,218,836
PHARMACY DRUGS$1,207,505$1,207,505
REPAIRS AND MAINTENANCE$985,025$886,818$98,207
MISCELLANEOUS$284,715$256,324$28,391

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$59,811,829TotalAmt
Program Services$52,552,361ProgramServicesAmt
Management And General$7,259,468ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,069,761BOYAmt
EOY$6,758,180EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$30,332,226BOYAmt
EOY$24,874,436EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,166,054BOYAmt
EOY$7,242,296EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,216,635BOYAmt
EOY$1,213,145EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$627,197BOYAmt
EOY$599,141EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$76,109,750LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$42,111,392LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$37,459,127BOYAmt
EOY$33,998,358EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$26,010,754BOYAmt
EOY$27,927,344EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$885,581BOYAmt
EOY$885,581EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$22,859,112BOYAmt
EOY$22,350,750EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$126,626,447BOYAmt
EOY$125,849,231EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$4,270,445BOYAmt
EOY$4,553,892EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$57,075BOYAmt
EOY$59,875EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,823,702BOYAmt
EOY$12,229,497EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$15,151,222BOYAmt
EOY$16,843,264EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$111,475,225BOYAmt
EOY$109,005,967EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$111,475,225BOYAmt
EOY$109,005,967EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$126,626,447BOYAmt
EOY$125,849,231EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$150,002ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,471,235NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments-$3,790,491PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,475,696OtherCostOrOtherBasisAmt
Book Value$7,475,696BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$44,347,644OtherCostOrOtherBasisAmt
Depreciation$21,531,804DepreciationAmt
Book Value$22,815,840BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$23,339,611OtherCostOrOtherBasisAmt
Depreciation$20,074,397DepreciationAmt
Book Value$3,265,214BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$946,799OtherCostOrOtherBasisAmt
Depreciation$505,191DepreciationAmt
Book Value$441,608BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$33,998,358TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
IRREVOCABLE SELF-INSURED TRUST FUND$17,333,987
DUE FROM AFFILIATES$4,383,665
OTHER RECEIVABLES$633,098
FieldValueIRS element (for citing)
Total Book Value Other Assets$22,350,750TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
DUE TO THIRD PARTY PAYERS$6,195,915
ACCRUED MEDICAL MALPRACTICE$6,033,582
FieldValueIRS element (for citing)
Total Liability$12,229,497TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$58,729,936TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$1,471,235NetUnrealizedGainsInvstAmt
Revenue Not Reported$1,471,235RevenueNotReportedAmt
Revenue Subtotal$57,258,701RevenueSubtotalAmt
Investment Expenses Not Incld$184,290InvestmentExpensesNotIncldAmt
Other Revenues Not Included$2,218,836OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$2,403,126RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$59,661,827TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$57,408,703TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$57,408,703ExpensesSubtotalAmt
Investment Expenses Not Incld2$184,290InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$2,218,836OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$2,403,126ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$59,811,829TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 2019 OR 2018. GENERALLY, TAX RETURNS FOR YEARS ENDED JUNE 30, 2016, AND THEREAFTER REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES.
PART XI, LINE 4B - OTHER ADJUSTMENTS:PROVISION FOR BAD DEBTS 2,218,836.
PART XII, LINE 4B - OTHER ADJUSTMENTS:PROVISION FOR BAD DEBTS 2,218,836.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance Budget0FinancialAssistanceBudgetInd
Annual Community Bnft Report0AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$229,396TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$229,396NetCommunityBenefitExpnsAmt
Total Expense0.00400TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$16,030,685TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$16,030,685DirectOffsettingRevenueAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$16,260,081TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$16,030,685DirectOffsettingRevenueAmt
Net Community Benefit Expns$229,396NetCommunityBenefitExpnsAmt
Total Expense0.00400TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,712,188TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,540,352DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,171,836NetCommunityBenefitExpnsAmt
Total Expense0.08980TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,323,452TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,546,596DirectOffsettingRevenueAmt
Net Community Benefit Expns$776,856NetCommunityBenefitExpnsAmt
Total Expense0.01350TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,035,640TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,086,948DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,948,692NetCommunityBenefitExpnsAmt
Total Expense0.10330TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$28,295,721TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$22,117,633DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,178,088NetCommunityBenefitExpnsAmt
Total Expense0.10730TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$2,218,836BadDebtExpenseAmt
Reimbursed By Medicare$13,317,881ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$13,244,750CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$73,131MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MILLCREEK COMMUNITY HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line15515 PEACH STREETAddressLine1Txt
CityERIECityNm
State AbbreviationPAStateAbbreviationCd
ZIP16509ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.LECOMHEALTH.ORGWebsiteAddressTxt
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherSKILL NURS, REHAB & BEHAV UNITOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1MILLCREEK COMMUNITY HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLLECOMHEALTH.COM/COMMUNITY-HOSPITAL/PATIENT-SERVICES/VISITOR-INFORMATION/OwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt18ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLLECOMHEALTH.COM/COMMUNITY-HOSPITAL/PATIENT-SERVICES/VISITOR-INFORMATION/StrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLLECOMHEALTH.COM/COMMUNITY-HOSPITAL/PATIENT-SERVICES/FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLLECOMHEALTH.COM/COMMUNITY-HOSPITAL/PATIENT-SERVICES/FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLLECOMHEALTH.COM/COMMUNITY-HOSPITAL/PATIENT-SERVICES/FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
MILLCREEK COMMUNITY HOSPITALPART 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 HOSPITALPART 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 HOSPITALPART 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 HOSPITALPART 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 HOSPITALPART 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 ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 $2,218,836 (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. PATIENT ACCOUNTS RECEIVABLE ARE PRESENTED NET OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS OF $1,538,016 AND $3,464,215 AS OF JUNE 30, 2019 AND 2018, RESPECTIVELY.
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

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
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 (13 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
CHAIRMAN$0$950,115$0$0$0$32,314$0$21,154$0$10,850$0$1,014,433$0$0
MARY L ECKERT
PRESIDENT/CEO$872,202$0$0$0$23,514$12,045$22,000$0$5,772$5,238$923,488$17,283$0$0
RICHARD P OLINGER
SECRETARY/TREASURER$296,511$391,217$0$0$0$24,297$22,000$0$15,508$5,238$334,019$420,752$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
ANTHONY JON FERRETTI DO
TRUSTEE$52,478$495,685$0$0$0$138$0$22,000$0$16,910$52,478$534,733$0$0
JAMES Y LIN DO
TRUSTEE$44,228$259,886$0$60,000$0$60$0$20,998$0$16,054$44,228$356,998$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
DANIELLE HANSEN DO
PHYSICIAN$69,129$254,227$0$101,787$0$60$0$20,386$0$16,005$69,129$392,465$0$0
TERRY BUCKWALTER DO
ANESTHESIOLOGIST PHYSICIAN$446,843$0$0$0$0$0$22,000$0$17,727$0$486,570$0$0$0
RANDY EDWARDS DO
RADIOLOGIST$399,557$0$0$0$0$0$16,858$0$15,710$0$432,125$0$0$0
CHRISTOPHER CARBO DO
PHYSICIAN$355,274$0$0$0$0$0$22,000$0$17,929$0$395,203$0$0$0
MICHAEL VISNOSKY ESQ
DIRECTOR OF GOVERNMENTAL AFFAIRS$321,967$0$0$0$0$0$22,000$0$0$0$343,967$0$0$0
MICHAEL HAUK DO
RADIOLOGIST$329,194$0$0$0$0$0$22,000$0$17,929$0$369,123$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2DR. 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 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 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 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 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 15THE 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 19THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
FORM 990, PART IX, LINE 11GOTHER FEES: PROGRAM SERVICE EXPENSES 7,854,745. MANAGEMENT AND GENERAL EXPENSES 869,841. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,724,586.
FORM 990, PART XII - ADDITIONAL INFORMATIONTHE 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/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
MEDICAL ASSOCIATES OF ERIE
ONE LECOM PLACEERIEPA16509113716896PHYSICIAN MANAGEMENTPA501(C)(3)LINE 100MILLCREEK HEALTH SYSTEM
MILLCREEK MANOR
5515 PEACH STERIEPA16509251619204LONG TERM CAREPA501(C)(3)LINE 30MILLCREEK 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 OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
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 OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd