MILLCREEK COMMUNITY HOSPITAL: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: MILLCREEK COMMUNITY HOSPITAL (EIN 25-1002937)
Tax period: 2017-07-01 to 2018-06-30
Filed: 2019-05-14
IRS object ID: 201901349349306640
Schema version: 2017v2.3
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-05-14T14:23:03-05:00	ReturnTs
Tax Period End	2018-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	550486667	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ARNETT CARBIS TOOTHMAN LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	5700 CORPORATE DRIVE STE 650	AddressLine1Txt
City	PITTSBURGH	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	15237	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	251002937	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MILLCREEK COMMUNITY HOSPTIAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	MILL	BusinessNameControlTxt
Phone	8148644031	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5515 PEACH STREET	AddressLine1Txt
City	ERIE	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	16509	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	RICHARD P OLINGER	PersonNm
Person Title	SECRETARY/TREASURER	PersonTitleTxt
Phone	8148644031	PhoneNum
Signature	2019-05-10	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JEFFREY J PETRELL CPA	PreparerPersonNm
PTIN	P00138808	PTIN
Phone	4126356270	PhoneNum
Preparation	2019-05-10	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	216.12.119.47	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2019-05-10	IPDt
IP Tm	13:16:17	IPTm
IP Timezone	ED	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	8E6CC3A4A33C43859C9F40809ACB2F0EBE53913D	AtSubmissionCreationDeviceId
At Submission Filing Device Id	B63641FD917328AACC938A84FA1A6194A206D824	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	JOHN M FERRETTI DO	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5515 PEACH STREET	AddressLine1Txt
City	ERIE	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	16509	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$63,465,791	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.LECOMHEALTH.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1948	FormationYr
Legal Domicile State	PA	LegalDomicileStateCd
Activity Or Mission	THE ORGANIZATION PROVIDES THE COMMUNITY WITH HEALTHCARE SERVICES AND EDUCATION.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	6	VotingMembersIndependentCnt
Total Employee	884	TotalEmployeeCnt
Total Volunteers	6	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$533,086	PYContributionsGrantsAmt
CY Contributions Grants	$912,488	CYContributionsGrantsAmt
PY Program Service Revenue	$59,448,076	PYProgramServiceRevenueAmt
CY Program Service Revenue	$57,169,375	CYProgramServiceRevenueAmt
PY Investment Income	$1,556,061	PYInvestmentIncomeAmt
CY Investment Income	$3,799,924	CYInvestmentIncomeAmt
PY Other Revenue	$1,546,119	PYOtherRevenueAmt
CY Other Revenue	$1,584,004	CYOtherRevenueAmt
PY Total Revenue	$63,083,342	PYTotalRevenueAmt
CY Total Revenue	$63,465,791	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$34,688,926	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$33,451,628	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$24,069,182	PYOtherExpensesAmt
CY Other Expenses	$26,814,789	CYOtherExpensesAmt
PY Total Expenses	$58,758,108	PYTotalExpensesAmt
CY Total Expenses	$60,266,417	CYTotalExpensesAmt
PY Revenues Less Expenses	$4,325,234	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$3,199,374	CYRevenuesLessExpensesAmt
Total Assets BOY	$124,451,053	TotalAssetsBOYAmt
Total Assets EOY	$126,626,447	TotalAssetsEOYAmt
Total Liabilities BOY	$15,597,261	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$15,151,222	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$108,853,792	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$111,475,225	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	MILLCREEK COMMUNITY HOSPITAL PROVIDES QUALITY HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONALITY, ORIGIN, HANDICAPS, AGE OR ABILITY TO PAY. THE ORGANIZATION'S MISSION IS TO SERVE THE COMMUNITY BY PROVIDING HEALTHCARE SERVICES AND EDUCATION.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$11,816,712	ExpenseAmt
Revenue	$14,496,021	RevenueAmt
Desc	ACUTE 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, 2018, 27,655 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, 2018, 101 DAYS OF CHARITY CARE WERE PROVIDED AMOUNTING TO $789,568 OF FORGONE REVENUE AT A COST OF $276,000 TO THE HOSPITAL. BAD DEBT CHARGES INCLUDED IN ACUTE CARE - MEDICAL SURGICAL WERE $567,919 AT A COST OF $207,631 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

Field	Value	IRS element (for citing)
Expense	$9,170,518	ExpenseAmt
Revenue	$12,857,822	RevenueAmt
Desc	BEHAVIORAL 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, 2018, 1,697 DISCHARGES TOTALING 15,478 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

Field	Value	IRS element (for citing)
Expense	$7,745,840	ExpenseAmt
Revenue	$3,018,495	RevenueAmt
Desc	RESIDENT 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, 2018, 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

Field	Value	IRS element (for citing)
Expense	$24,344,245	ExpenseAmt
Revenue	$27,469,379	RevenueAmt
Desc	OTHER PROGRAM ACTIVITIES: OTHER PROGRAM ACTIVITIES INCLUDED 36,265 OUTPATIENT VISITS PLUS 4,445 OUTPATIENT SURGERIES, 16,022 EMERGENCY ROOM VISITS, 15 ADMISSIONS FOR 336 DAYS TO THE TRANSITIONAL CARE UNIT, AND 253 ADMISSIONS FOR 3,440 DAYS TO THE INPATIENT REHABILITATION UNIT.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$24,344,245	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$27,469,379	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$53,077,315	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	86	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	884	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	6	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	PA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RICHARD P OLINGER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	8148644031	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5515 PEACH STREET	AddressLine1Txt
City	ERIE	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	16509	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
JOHN M FERRETTI DO
CHAIRMAN	8.00	72.00	Yes (X)	Yes (X)	$0	$929,190	$31,861
MARY L ECKERT
PRESIDENT/CEO	67.00	13.00	Yes (X)	Yes (X)	$861,513	$12,046	$32,250
RICHARD P OLINGER
SECRETARY/TREASURER	28.00	37.00	Yes (X)	Yes (X)	$292,950	$412,617	$41,415
SILVIA M FERRETTI DO
TRUSTEE	1.00	79.00	Yes (X)		$0	$1,160,950	$31,986
ANTHONY JON FERRETTI DO
TRUSTEE	1.00	51.00	Yes (X)		$52,436	$485,893	$37,713
JAMES Y LIN DO
TRUSTEE	8.00	57.00	Yes (X)		$43,080	$324,181	$33,361
MARIO EJ LANNI DSC
TRUSTEE	1.00		Yes (X)		$0	$0	$0
NANCY Z O'NEILL
TRUSTEE	1.00		Yes (X)		$0	$0	$0
DALE P SPARBER
TRUSTEE	1.00		Yes (X)		$0	$0	$0
WILLIAM F MCCARTHY
TRUSTEE	1.00		Yes (X)		$0	$0	$0
RICHARD B SEAGER
TRUSTEE	1.00		Yes (X)		$0	$0	$0
DAVID A RUBINO MSGR
TRUSTEE	1.00		Yes (X)		$0	$0	$0
DANIELLE HANSEN DO
PHYSICIAN	19.00	51.00			$53,859	$443,707	$34,459	Yes (X)
TERRY BUCKWALTER DO
ANESTHESIOLOGIST PHYSICIAN	40.00				$406,892	$0	$21,600		Yes (X)
JOSEPH NEDRESKY DO
RADIOLOGIST	40.00				$303,566	$0	$33,576		Yes (X)
CHRISTOPHER CARBO DO
PHYSICIAN	40.00				$351,527	$0	$38,487		Yes (X)
MICHAEL VISNOSKY ESQ
DIRECTOR OF GOVERNMENTAL AFFAIRS	8.00	44.00			$316,279	$0	$21,600		Yes (X)
MICHAEL HAUK DO
RADIOLOGIST	40.00				$302,943	$0	$38,487		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,985,045	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,768,584	TotReportableCompRltdOrgAmt
Total Other Compensation	$396,795	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	35	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
MEDICAL ASSOCIATES OF ERIE
ONE LECOM PLACE	ERIE	PA	16505	CONTRACTED SERVICES	$1,727,695
ASSOCIATED CLINICAL LABORATORIES
15832 COLLECTIONS CENTER DRIVE	CHICAGO	IL	60693	LAB SERVICES	$1,721,611
DIVERSIFIED CLINICAL SERICES INC
28525 NETWORK PLACE	CHICAGO	IL	60673	CLINICAL CARE	$522,899
GE HEALTHCARE
PO BOX 640200	PITTSBURGH	PA	15264	EQUIPMENT MAINTENANCE	$457,320
US FOODSERVICE INC
9399 WEST HIGGINS ROAD SUITE 100	ROSEMONT	IL	60018	FOOD SERVICES	$415,799

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	21	CntrctRcvdGreaterThan100KCnt
Government Grants	$723,893	GovernmentGrantsAmt
All Other Contributions	$188,595	AllOtherContributionsAmt
Total Contributions	$912,488	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE	900099	$54,232,200	$54,232,200
RESIDENTS CONTRACTED OUT	900099	$2,937,175	$2,937,175

Field	Value	IRS element (for citing)
Total Program Service Revenue	$57,169,375	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,450,530	TotalRevenueColumnAmt
Exclusion	$1,450,530	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$911,662	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$911,662	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$911,662	TotalRevenueColumnAmt
Exclusion	$911,662	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$2,349,394	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$2,349,394	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,349,394	TotalRevenueColumnAmt
Exclusion	$2,349,394	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PHARMACY RECEIPTS	900099	$318,956	$318,956
SNACKBAR/VEND MACH REV	900099	$208,452	$208,452
MISCELLANEOUS REVENUE	900099	$75,103	$75,103

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$69,831	TotalRevenueColumnAmt
Related Or Exempt Func Income	$69,831	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$672,342	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$63,465,791	TotalRevenueColumnAmt
Related Or Exempt Func Income	$57,841,717	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$4,711,586	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,313,212	TotalAmt
Management And General	$1,313,212	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$25,225,899	TotalAmt
Program Services	$22,710,877	ProgramServicesAmt
Management And General	$2,515,022	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,041,222	TotalAmt
Program Services	$937,412	ProgramServicesAmt
Management And General	$103,810	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$4,071,211	TotalAmt
Program Services	$3,665,311	ProgramServicesAmt
Management And General	$405,900	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,800,084	TotalAmt
Program Services	$1,620,616	ProgramServicesAmt
Management And General	$179,468	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$281,454	TotalAmt
Management And General	$281,454	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$99,702	TotalAmt
Management And General	$99,702	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$223,010	TotalAmt
Management And General	$223,010	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$8,390,867	TotalAmt
Program Services	$7,554,298	ProgramServicesAmt
Management And General	$836,569	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$73,405	TotalAmt
Program Services	$66,087	ProgramServicesAmt
Management And General	$7,318	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,033,275	TotalAmt
Program Services	$4,531,457	ProgramServicesAmt
Management And General	$501,818	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$920,428	TotalAmt
Program Services	$828,661	ProgramServicesAmt
Management And General	$91,767	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$889,677	TotalAmt
Program Services	$800,976	ProgramServicesAmt
Management And General	$88,701	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$81,590	TotalAmt
Program Services	$73,455	ProgramServicesAmt
Management And General	$8,135	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,588,299	TotalAmt
Program Services	$2,330,246	ProgramServicesAmt
Management And General	$258,053	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,483,247	TotalAmt
Program Services	$1,335,367	ProgramServicesAmt
Management And General	$147,880	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
PROVISIONS FOR BAD DEBT	$4,390,492	$4,390,492
PHARMACY DRUGS	$1,082,683	$1,082,683
REPAIRS AND MAINTENANCE	$960,743	$864,957	$95,786
MISCELLANEOUS	$315,917	$284,420	$31,497

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$60,266,417	TotalAmt
Program Services	$53,077,315	ProgramServicesAmt
Management And General	$7,189,102	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$3,706,684	BOYAmt
EOY	$1,069,761	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$30,013,209	BOYAmt
EOY	$30,332,226	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$5,714,499	BOYAmt
EOY	$6,166,054	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,178,696	BOYAmt
EOY	$1,216,635	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$799,052	BOYAmt
EOY	$627,197	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$77,076,746	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$39,617,619	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$38,777,068	BOYAmt
EOY	$37,459,127	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$24,273,292	BOYAmt
EOY	$26,010,754	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$885,581	BOYAmt
EOY	$885,581	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$19,102,972	BOYAmt
EOY	$22,859,112	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$124,451,053	BOYAmt
EOY	$126,626,447	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$3,767,508	BOYAmt
EOY	$4,270,445	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$42,075	BOYAmt
EOY	$57,075	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$11,787,678	BOYAmt
EOY	$10,823,702	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$15,597,261	BOYAmt
EOY	$15,151,222	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$108,853,792	BOYAmt
EOY	$111,475,225	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$108,853,792	BOYAmt
EOY	$111,475,225	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$124,451,053	BOYAmt
EOY	$126,626,447	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$3,199,374	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$77,941	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$500,000	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,158,671	OtherCostOrOtherBasisAmt
Book Value	$11,158,671	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$43,094,529	OtherCostOrOtherBasisAmt
Depreciation	$20,088,158	DepreciationAmt
Book Value	$23,006,371	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$22,132,131	OtherCostOrOtherBasisAmt
Depreciation	$19,065,677	DepreciationAmt
Book Value	$3,066,454	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$691,415	OtherCostOrOtherBasisAmt
Depreciation	$463,784	DepreciationAmt
Book Value	$227,631	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$37,459,127	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
IRREVOCABLE SELF-INSURED TRUST FUND	$14,816,987
DUE FROM AFFILIATES	$4,866,875
OTHER RECEIVABLES	$2,024,037
CONSTRUCTION IN PROGRESS	$1,151,213

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$22,859,112	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
DUE TO THIRD PARTY PAYERS	$5,556,680
ACCRUED MEDICAL MALPRACTICE	$5,267,022

Field	Value	IRS element (for citing)
Total Liability	$10,823,702	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$58,774,348	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$77,941	NetUnrealizedGainsInvstAmt
Revenue Not Reported	-$77,941	RevenueNotReportedAmt
Revenue Subtotal	$58,852,289	RevenueSubtotalAmt
Investment Expenses Not Incld	$223,010	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$4,390,492	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$4,613,502	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$63,465,791	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$55,652,915	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$55,652,915	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$223,010	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$4,390,492	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$4,613,502	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$60,266,417	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART X, LINE 2:	THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AND IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE 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. GENERALLY, TAX RETURNS FOR THE YEARS ENDED JUNE 30, 2015 AND THEREAFTER REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	PROVISION FOR BAD DEBTS 4,390,492.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	PROVISION FOR BAD DEBTS 4,390,492.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	0	FinancialAssistanceBudgetInd
Annual Community Bnft Report	0	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Activities Or Programs	14	ActivitiesOrProgramsCnt
Persons Served	495	PersonsServedCnt
Total Community Benefit Expns	$324,825	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$324,825	NetCommunityBenefitExpnsAmt
Total Expense	0.00580	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	14	ActivitiesOrProgramsCnt
Persons Served	12284	PersonsServedCnt
Total Community Benefit Expns	$13,778,202	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,778,202	DirectOffsettingRevenueAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	28	ActivitiesOrProgramsCnt
Persons Served	12779	PersonsServedCnt
Total Community Benefit Expns	$14,103,027	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,778,202	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$324,825	NetCommunityBenefitExpnsAmt
Total Expense	0.00580	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	10	ActivitiesOrProgramsCnt
Persons Served	89	PersonsServedCnt
Total Community Benefit Expns	$7,745,840	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,018,495	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,727,345	NetCommunityBenefitExpnsAmt
Total Expense	0.08460	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	18094	PersonsServedCnt
Total Community Benefit Expns	$4,805,403	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,254,376	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,551,027	NetCommunityBenefitExpnsAmt
Total Expense	0.02780	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	14	ActivitiesOrProgramsCnt
Persons Served	18183	PersonsServedCnt
Total Community Benefit Expns	$12,551,243	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,272,871	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,278,372	NetCommunityBenefitExpnsAmt
Total Expense	0.11240	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	42	ActivitiesOrProgramsCnt
Persons Served	30962	PersonsServedCnt
Total Community Benefit Expns	$26,654,270	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,051,073	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,603,197	NetCommunityBenefitExpnsAmt
Total Expense	0.11820	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$4,390,492	BadDebtExpenseAmt
Bad Debt Expense Attributable	$868,849	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$14,073,910	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$13,609,721	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$464,189	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MILLCREEK COMMUNITY HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5515 PEACH STREET	AddressLine1Txt
City	ERIE	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	16509	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.LECOMHEALTH.ORG	WebsiteAddressTxt
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	SKILL NURS, REHAB & BEHAV UNIT	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	MILLCREEK COMMUNITY HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	LECOMHEALTH.COM/COMMUNITY-HOSPITAL/PATIENT-SERVICES/VISITOR-INFORMATION/	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	LECOMHEALTH.COM/COMMUNITY-HOSPITAL/PATIENT-SERVICES/VISITOR-INFORMATION/	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	LECOMHEALTH.COM/COMMUNITY-HOSPITAL/PATIENT-SERVICES/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	LECOMHEALTH.COM/COMMUNITY-HOSPITAL/PATIENT-SERVICES/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	LECOMHEALTH.COM/COMMUNITY-HOSPITAL/PATIENT-SERVICES/	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
MILLCREEK COMMUNITY HOSPITAL	PART V, SECTION B, LINE 5: DATA OBTAINED FROM THE PA DEPARTMENT OF HEALTH SURVEY FOR ERIE COUNTY AGGREGATED OVER THE RECENT 3 YEAR PERIOD WAS USED TO SUPPLEMENT SAMPLING FROM THE LAST TRIENNIAL CHNA REPORTING PERIOD WHICH INCLUDED OVERSAMPLING FOR THE AFRICAN-AMERICAN AND HISPANIC DISPARATE POPULATIONS.QUALITATIVE DATA WAS OBTAINED THROUGH NINE FOCUS GROUPS THAT REPRESENTED A CROSS SECTION GEOGRAPHICAL AND ORGANIZATIONAL FUNCTIONS AS WELL AS NEED AND DISPARITY. INDIVIDUALS REPRESENTED A BROAD LIST OF AGENCIES INCLUDING EDUCATION, GOVERNMENT, RELIGION, HEALTH, AND SOCIAL SERVICES. THE DISPARATE POPULATIONS INCLUDED LOW INCOME, RACIAL AND ETHNIC MINORITIES, AND THOSE WITH LIMITED ENGLISH PROFICIENCY. A MAIL INVITATION WAS SENT TO ORGANIZATIONS REPRESENTING THE ABOVE MENTIONED GROUPS, FOLLOWED WITH A PHONE CALL.AFRICAN AMERICAN RESIDENTS REPRESENT A LARGE SHARE OF THE MINORITY POPULATION IN ERIE COUNTY (7%) AND ERIE COUNTY TAKES IN THE LARGEST NUMBER OF SETTLED REFUGEES AMONG PENNSYLVANIA COUNTIES. ACCORDINGLY, A TARGETED FOCUS GROUP WAS CONDUCTED FOR REFUGEES AND AFRICAN-AMERICANS.
MILLCREEK COMMUNITY HOSPITAL	PART V, SECTION B, LINE 6A: THE HEALTHCARE PROVIDERS THAT COLLABORATED IN THE COMMUNITY NEEDS HEALTH ASSESSMENT INCLUDED ALL ERIE COUNTY HOSPITALS: ST. VINCENT HOSPITAL, UPMC HAMOT, CORRY MEMORIAL HOSPITAL, AND MILLCREEK COMMUNITY HOSPITAL.
MILLCREEK COMMUNITY HOSPITAL	PART V, SECTION B, LINE 11: REGARDING NEEDS ASSESSMENT: ALSO SEE RESPONSE TO SCHEDULE H, PART VI, LINE 2.AN IMPLEMENTATION STRATEGY FOR 2016-2018 WAS COMPLETED BASED ON THE 2015 (FYE 6-30-16) ERIE COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND APPROVED BY THE BOARD OF TRUSTEES. THE CHNA IDENTIFIED FOUR STRATEGIC ISSUES: (1) CANCER PREVENTION AND EARLY DETECTION, (2) CHRONIC DISEASE PREVENTION AND CONTROL, (3) LIFESTYLE BEHAVIOR CHANGE, AND (4) MENTAL HEALTH. MILLCREEK COMMUNITY HOSPITAL IS ABLE TO ADDRESS ALL FOUR STRATEGIC ISSUES AS FOLLOWS:MCH IDENTIFIED LUNG CANCER, BREAST CANCER, PROSTATE CANCER, AND COLORECTAL CANCER AS PRIORITIES WITHIN THE CANCER PREVENTION AND EARLY DETECTION STRATEGIC ISSUE. TO MEET THIS NEED, MCH IS GROWING THE NUMBER OF PRIMARY CARE PROVIDERS AND SITES OF SERVICE TO ENSURE ACCESS TO PRIMARY CARE AND PREVENTATIVE HEALTH MEASURES. THIS LEADS TO AN INCREASE IN THE NUMBER OF PREVENTATIVE SCREENINGS PERFORMED AT MCH. MCH RECRUITED A PULMONOLOGIST AND REFINED ITS LOW DOSE CT LUNG CANCER SCREENING PROGRAM. MCH PROVIDES EDUCATION ON THE IMPORTANCE OF PREVENTATIVE HEALTH THROUGH COMMUNITY OUTREACH PROGRAMS, TRAINS FUTURE PRIMARY CARE PHYSICIANS THROUGH ITS RESIDENCY PROGRAMS, AND PROVIDES CONTINUING EDUCATION TO PRACTICING PHYSICIANS.MCH IDENTIFIED OBESITY, CARDIOVASCULAR DISEASE, DIABETES AND PRE-DIABETES, AND COPD/ADULT ASTHMA PREVENTABLE HOSPITALIZATIONS AS PRIORITIES WITHIN THE CHRONIC DISEASE PREVENTION AND CONTROL STRATEGIC ISSUE. TO MEET THIS NEED, MCH HAS BEEN IMPLEMENTING EVIDENCE BASED PRACTICES AND CLINICAL DECISION SUPPORT TOOLS WITHIN THE ELECTRONIC MEDICAL RECORD SYSTEM UNDER THE GUIDANCE OF THE NEW PULMONOLOGIST AND ENDOCRINOLOGIST. MCH RE-LAUNCHED OUTPATIENT MEDICAL NUTRITION THERAPY WITH THE DIETICIAN. MCH IS GROWING THE NUMBER OF PRIMARY CARE PROVIDERS AND SITES OF SERVICE TO ENSURE ACCESS TO CHRONIC DISEASE MANAGEMENT. MCH PROVIDES EDUCATION ON THE IMPORTANCE OF CHRONIC DISEASE PREVENTION AND CONTROL THROUGH COMMUNITY OUTREACH PROGRAMS, TRAINS FUTURE PRIMARY CARE PHYSICIANS THROUGH ITS RESIDENCY PROGRAMS, AND PROVIDES CONTINUING EDUCATION TO PRACTICING PHYSICIANS. MCH HAS IDENTIFIED NUTRITION, PHYSICAL INACTIVITY, TOBACCO, ALCOHOL/OTHER SUBSTANCE USE DISORDERS AS PRIORITIES WITHIN THE LIFESTYLE BEHAVIOR CHANGE STRATEGIC ISSUE. TO MEET THIS NEED, MCH PROVIDES EDUCATION TO PATIENTS AND CAREGIVERS THROUGH COMMUNITY OUTREACH PROGRAMS, TRAINS FUTURE PRIMARY CARE PHYSICIANS THROUGH ITS RESIDENCY PROGRAMS, AND PROVIDES CONTINUING EDUCATION TO PRACTICING PHYSICIANS. MCH ENSURES NUTRITION IS IDEAL DURING HOSPITALIZATION BY MONITORING ADHERENCE TO PRESCRIBED DIETS AND MEETING PATIENT PREFERENCES AND RE-LAUNCHED OUTPATIENT NUTRITION THERAPY SERVICES. MCH ENCOURAGES ALCOHOL AND OTHER SUBSTANCE MISUSE CESSATION FOR PATIENTS ADMITTED TO THE DETOXIFICATION UNIT AND FOR THOSE ON THE BEHAVIORAL HEALTH UNITS WITH A DUAL DIAGNOSIS USING AN ABSTINENCE OR MEDICATION ASSISTED TREATMENT APPROACH. MCH OFFERS TOBACCO CESSATION ASSISTANCE DURING HOSPITALIZATION AND THROUGH ITS AFFILIATED OUTPATIENT CLINICS. MCH PROMOTES UTILIZATION OF THE MEDICAL FITNESS AND WELLNESS CENTER TO INCREASE PHYSICAL ACTIVITY.MCH HAS IDENTIFIED DEPRESSION AND SUICIDE AS PRIORITIES WITHIN THE MENTAL HEALTH STRATEGIC ISSUE. TO MEET THIS NEED, MCH EXPANDED THE NUMBER OF PSYCHIATRIC BEDS FROM 62 TO 85 AND EXPANDED THE OUTPATIENT CLINIC OFFERINGS. MCH CONTINUES TO TRAIN PSYCHIATRY RESIDENTS AND MOST OF THEM ARE RETAINED IN THE ERIE COMMUNITY AFTER RESIDENCY COMPLETION WHICH HELPS ENSURE ACCESS TO BEHAVIORAL HEALTH CARE. MCH HAS ALSO ENGAGED IN A MARKETING CAMPAIGN TO REDUCE THE STIGMA ASSOCIATED WITH MENTAL HEALTH AND IMPROVE ACCESS TO CARE.IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT, MILLCREEK COMMUNITY HOSPITAL ASSESSES THE HEALTH CARE NEEDS FOR THE COMMUNITY THROUGH SEVERAL APPROACHES. TO UNDERSTAND PATIENTS' CONCERNS AND NEEDS, MCH EVALUATES PATIENTS' EXPERIENCE OF CARE THROUGH REVIEW OF SURVEYS AND DIRECT INTERACTIONS WITH PATIENTS BY OUR PATIENT RELATIONS PERSONNEL. ANOTHER APPROACH IS ANALYSIS OF INTERNAL REPORTS AND AUDITS THAT ARE CREATED FOR MANY ASPECTS OF CARE BEING DELIVERED. THESE REPORTS ARE ROUTINELY RUN TO ASSESS OPERATIONS AND ADDITIONAL REPORTS ARE CREATED TO TARGET SPECIFIC AREAS OF OPPORTUNITY OR CONCERN. QUALITY AND PERFORMANCE DATA FOR SPECIFIC INDICTORS ARE REPORTED TO GOVERNING ORGANIZATIONS ON A REGULAR BASIS. THE SCORES AND INFORMATION ARE USED TO EVALUATE AND IMPROVE THE DELIVERY OF CARE. QUALITY AND PERFORMANCE DATA FOR EACH DEPARTMENT ARE MAINTAINED BY MANAGERS AND SHARED WITH THE QUALITY ASSESSMENT AND PERFORMANCE IMPROVEMENT COMMITTEE, MEDICAL STAFF EXECUTIVE COMMITTEE, AND BOARD OF TRUSTEES PERIODICALLY. THE RESULTS OF ALL THE REPORTS AND AUDITS ARE ANALYZED TO CAPTURE ANY STATISTICAL TRENDS OR AREAS FOR IMPROVEMENT. DISCUSSION OF ALL ASSESSMENT APPROACHED AND OTHER IMPERATIVE TOPICS CONCERNING THE COMMUNITY SERVED OCCURS AT DEPARTMENTAL, PATIENT SAFETY, MEDICAL STAFF EXECUTIVE, BOARD OF TRUSTEES, AND OTHER VARIOUS COMMITTEE MEETINGS. MCH ADMINISTRATORS ARE MINDFUL OF THE CHANGING HEALTHCARE LANDSCAPE IN OUR COMMUNITY AS WELL AS ON A BROADER LEVEL AND UTILIZE INFORMATION FROM OUR GOVERNMENT AFFAIRS OFFICE AMONG OTHER SOURCES OF COLLABORATION TO MORE FULLY EVALUATE THE NEEDS OF THE COMMUNITY.EVEN THOUGH THE HOSPITAL PROVIDES SEVERAL FREE COMMUNITY SERVICES TO THE COMMUNITY AND DISCOUNTED CARE FOR THE FINANCIALLY DISTRESSED, THE HOSPITAL IS NOT ABLE TO ADDRESS ALL FACTORS RELATING TO THE FINANCIAL DISTRESS AND POVERTY CHALLENGES OF THE COMMUNITY IT SERVES DUE TO ITS OWN FINANCIAL LIMITATIONS AND SCOPE OF ITS MISSION.
MILLCREEK COMMUNITY HOSPITAL	PART V, SECTION B, LINE 16J: THE HOSPITAL PROVIDES A NOTICE OF FINANCIAL ASSISTANCE AVAILABILITY ON ITS BILLING INVOICES.

Supplemental Information Detail SupplementalInformationDetail (13 entries)

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PART I, LINE 7:	COSTING METHODOLOGY EXPLANATIONLINE 7A CHARITY CARE - RATIO OF PATIENT CARE COSTS TO CHARGESLINE 7B MEDICAID - RATIO OF PATIENT CARE COSTS TO CHARGES LINE 7F HEALTH PROFESSIONAL EDUCATION - A COMBINATION OF ACTUAL COST AND COST TO CHARGES IS USED. ACTUAL IS USED FOR DIRECT EXPENSE AND COST TO CHARGES FOR COMMON EXPENSE FROM THE MEDICARE COST REPORT. LINE 7G SUBSIDIZED HEALTH SERVICES - THE COSTING METHODOLOGY WAS DETERMINED BASED ON THE PARTICULAR ACTIVITY/PROGRAM AND THE TYPE OF EXPENSE. ACTUAL COST WAS USED WHERE DIRECT EXPENSES WERE IDENTIFIABLE. A RATIO OF PATIENT CARE COST TO CHARGES WAS USED IN THE CASE OF INDIRECT EXPENSES.
PART I, LN 7 COL(F):	THE BAD DEBT EXPENSE OF $4,390,492 (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 $3,464,215 AND $1,986,745 AS OF JUNE 2018 AND 2017, 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, 2018, 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 4,100 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 2018.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.
PART VI, LINE 6:	LECOM OPENED A SCHOOL OF DENTAL MEDICINE IN BRADENTON, FL IN 2011, THE SCHOOL OF DENTAL MEDICINE HAS A COMMUNITY BASED CURRICULLUM WHERE STUDENTS HAVE CLINICAL EXPERIENCES IN OFF-CAMPUS DENTAL OFFICES LOCATED NEAR POPULATIONS LACKING ADEQUATE DENTAL CARE. DENTAL STUDENTS IN ERIE, PA, BRADENTON AND DEFUNIAK SPRINGS, FL HOLD ANNUAL GIVE KIDS A SMILE EVENTS AND HAVE PROVIDED FREE DENTAL TREATMENTS TO MORE THAN 200 CHILDREN. AT THE BRADENTON LOCATION, PARENTS WERE ABLE TO SAVE MORE THAN $70,000 ON DENTAL CARE.LECOM FURTHER DEMONSTRATED ITS COMMITMENT TO THE COMMUNITY WHEN IT CONSTRUCTED AND OPENED A STATE-OF-THE-ART MEDICALLY INTEGRATED FITNESS AND WELLNESS CENTER IN MARCH 2009. THE FACILITY FEATURES CARDIOVASCULAR EQUIPMENT, CIRCUIT/FREE WEIGHT TRAINING AREAS, FOUR GROUP EXERCISE STUDIOS, THREE SWIMMING POOLS: A LAP POOL, EXERCISE POOL, AND THERAPY POOL, A THREE LANE WALKING/RUNNING TRACK, A FULL-SIZED BASKETBALL GYMNASIUM, RACQUETBALL COURTS, AND INDOOR GOLF SIMULATOR. THE FACILITY IS STAFFED BY HEALTH PROMOTION EXPERTS, AND EACH TRAINER IN THE FACILITY POSSESSES AT LEAST A BACHELOR DEGREE IN A FIELD RELATED TO THE MISSION OF THE WELLNESS CENTER. THE WELLNESS CENTER ALSO OFFERS SPA AND MASSAGE THERAPY SERVICES, A HEALTHY CAFE WITH A COOKING DEMONSTRATION KITCHEN AND A CONFERENCE/EDUCATION CENTER. THE FACILITY ALSO HOUSES A DESIGNATED PHYSICAL THERAPY AREA OPERATED BY THE HOSPITAL, AND PHYSICAN OFFICES STAFFED BY DOCTORS EMPLOYED BY THE HOSPITAL'S AFFILIATE, MEDICAL ASSOCIATES OF ERIE. IN THE US NEWS AND WORLD REPORT ON THE TOP MEDICAL SCHOOLS, LECOM IS LISTED AS THE #1 MEDICAL COLLEGE WITH MORE THAN 2200 STUDENTS; #2 LOWEST TUITION AMONG PRIVATE MEDICAL COLLEGES ($33,620); #1 MOST POPULAR/MOST APPLICANTS (16,314); #4 COLLEGES GRADUATING THE MOST PRIMARY CARE PHYSICIANS (69%). FOR MORE INFORMATION REGARDING THE ACTIVITIES OF THE HOSPITAL AND ITS AFFILIATES, PLEASE VIST THE MILLCREEK COMMUNITY HOSPITAL WEBSITE AT WWW.LECOMHEALTH.COM. LINKS TO THE HOSPITAL'S AFFILIATES ARE AVAILABLE ON THE HOSPITAL'S WEBSITE. CORRY MEMORIAL HOSPITAL: CORRY MEMORIAL HOSPITAL, A CRITICAL ACCESS FACILITY, BECAME A PART OF THE LECOM HEALTH SYSTEM IN FEBRUARY 2016. THE HOSPITAL HAS 20 BEDS AND IT INCURRED 406 ACUTE ADMISSIONS AND 112 SWING BED ADMISSIONS THAT RESULTED IN 1,417 ACUTE PATIENT DAYS AND 1,010 SWING BED DAYS, RESPECTIVELY, FOR THE FISCAL YEAR END JUNE 30, 2018. THE HOSPITAL HELPS THE HEALTH SYSTEM ROVIDE CRITICAL MEDICAL SERVICES IN THE ADJACENT RURAL AREAS OF SOUTHWEST ERIE COUNTY, NORTHWEST CRAWFORD COUNTY, AND NORTHWEST WARREN COUNTY AREAS THAT WOULD NOT BE AVAILABLE WITHOUT ITS PRESENCE. THE HOSPITAL HELPS ENGAGE THE COMMUNITY REGARDING NECESSARY HEALTHCARE EXPERTISE, HEALTHCARE DEVELOPMENTS, AND A SEAMLESS TRANSITION FROM IMMEDIATE CRITICAL CARE TO LARGER MORE EXPANSIVE HEALTHCARE SERVICES.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JOHN M FERRETTI DO
CHAIRMAN	$0	$901,097	$0	$0	$0	$28,093	$0	$21,600	$0	$10,261	$0	$961,051	$0	$0
MARY L ECKERT
PRESIDENT/CEO	$836,958	$0	$0	$0	$24,555	$12,046	$21,600	$0	$5,434	$5,216	$888,547	$17,262	$0	$0
RICHARD P OLINGER
SECRETARY/TREASURER	$292,950	$382,618	$0	$0	$0	$29,999	$21,600	$0	$14,599	$5,216	$329,149	$417,833	$0	$0
SILVIA M FERRETTI DO
TRUSTEE	$0	$1,135,927	$0	$0	$0	$25,023	$0	$21,600	$0	$10,386	$0	$1,192,936	$0	$0
ANTHONY JON FERRETTI DO
TRUSTEE	$52,436	$485,803	$0	$0	$0	$90	$0	$21,600	$0	$16,113	$52,436	$523,606	$0	$0
JAMES Y LIN DO
TRUSTEE	$43,080	$223,266	$0	$100,855	$0	$60	$0	$18,081	$0	$15,280	$43,080	$357,542	$0	$0
DANIELLE HANSEN DO
PHYSICIAN	$53,859	$237,535	$0	$206,112	$0	$60	$0	$19,222	$0	$15,237	$53,859	$478,166	$0	$0
TERRY BUCKWALTER DO
ANESTHESIOLOGIST PHYSICIAN	$406,892	$0	$0	$0	$0	$0	$21,600	$0	$0	$0	$428,492	$0	$0	$0
JOSEPH NEDRESKY DO
RADIOLOGIST	$303,566	$0	$0	$0	$0	$0	$18,774	$0	$14,802	$0	$337,142	$0	$0	$0
CHRISTOPHER CARBO DO
PHYSICIAN	$351,527	$0	$0	$0	$0	$0	$21,600	$0	$16,887	$0	$390,014	$0	$0	$0
MICHAEL VISNOSKY ESQ
DIRECTOR OF GOVERNMENTAL AFFAIRS	$316,279	$0	$0	$0	$0	$0	$21,600	$0	$0	$0	$337,879	$0	$0	$0
MICHAEL HAUK DO
RADIOLOGIST	$302,943	$0	$0	$0	$0	$0	$21,600	$0	$16,887	$0	$341,430	$0	$0	$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2	DR. JOHN M. FERRETTI DR. SILVIA M. FERRETTI CHAIRMAN TRUSTEE FAMILY RELATIONSHIP DR. JOHN M. FERRETTI DR. ANTHONY J. FERRETTI CHAIRMAN TRUSTEE FAMILY RELATIONSHIP DR. ANTHONY J. FERRETTI DR. SILVIA FERRETTI TRUSTEE TRUSTEE FAMILY RELATIONSHIP
FORM 990, PART VI, SECTION A, LINE 6	MILLCREEK HEALTH SYSTEM, THE FILING ORGANIZATION'S PARENT CORPORATION, IS THE SOLE MEMBER OF THE FILING ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7B	MILLCREEK HEALTH SYSTEM IS THE PARENT ORGANIZATION OF MILLCREEK COMMUNITY HOSPITAL. IN ACCORDANCE WITH MILLCREEK HEALTH SYSTEM'S BY-LAWS, ITS BOARD OF TRUSTEES HAS THE RIGHT TO APPROVE ANY AND ALL TRANSACTIONS THAT CHANGE OR HAVE THE EFFECT OF CHANGING, THE OWNERSHIP AND/OR CONTROL OF THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11B	PRIOR TO FILING ITS FORM 990, THE ORGANIZATION PROVIDED ITS BOARD MEMBERS WITH ACCESS TO AN ELECTRONIC COPY OF THE TAX RETURN AND INVITED COMMENTS AND QUESTIONS FROM THE BOARD MEMBERS. PRIOR TO FILING FORM 990, MEMBERS OF THE ORGANIZATION'S FINANCIAL MANAGEMENT CONDUCTED A DETAILED REVIEW OF THE TAX FILING. THROUGHOUT THE REVIEW PROCESS, THERE WAS ONGOING DISCUSSION BETWEEN THE ORGANIZATION'S FINANCIAL MANAGEMENT AND THE TAX PREPARER.
FORM 990, PART VI, SECTION B, LINE 12C	EACH MEMBER OF THE BOARD OF TRUSTEES IS REQUIRED TO COMPLETE A STANDARDIZED CONFLICT OF INTEREST FORM ON AN ANNUAL BASIS. ANY POTENTIAL CONFLICTS OF INTEREST ARE ADDRESSED BY AN APPOINTED COMMITTEE WHOSE MEMBERS ARE INDEPENDENT WITH REGARD TO THE MATTER BEING EXAMINED. IF A POTENTIAL CONFLICT OF INTEREST ARISES, IT IS REVIEWED AND DOCUMENTED BY THE APPOINTED COMMITTEE, AND THEN THE APPOINTED COMMITTEE REPORTS THE RESULTS OF ITS REVIEW TO THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION B, LINE 15	THE ORGANIZATION'S BUDGET/FINANCE COMMITTEE, WHICH ALSO FUNCTIONS AS THE COMPENSATION COMMITTEE, REVIEWED A STUDY PERFORMED BY AN INDEPENDENT COMPENSATION CONSULTANT. ON AN ANNUAL BASIS, THE COMMITTEE REVIEWS VARIOUS FORM 990 FILINGS BY COMPARATIVE ORGANIZATIONS IN ORDER TO MAKE EXECUTIVE PAY COMPARISONS.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
FORM 990, PART IX, LINE 11G	OTHER FEES: PROGRAM SERVICE EXPENSES 7,554,298. MANAGEMENT AND GENERAL EXPENSES 836,569. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,390,867.
FORM 990, PART XI, LINE 9:	TRANSFER TO RELATED PARTY -500,000.
FORM 990, PART XII - ADDITIONAL INFORMATION	THE ASSETS OF THE SELF-INS TRUST ARE INCLUDED ON THE HOSPITAL BALANCE SHEET.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
MILLCREEK HEALTH SYSTEM (MHS)
5515 PEACH ST	ERIE	PA	16509	251766164	PARENT CORPORATION	PA	501(C)(3)	LINE 12C, III-FI	N/A	0
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE
1858 W GRANDVIEW BLVD	ERIE	PA	16509	251698677	MEDICAL SCHOOL	PA	501(C)(3)	LINE 2		0	MILLCREEK HEALTH SYSTEM
MEDICAL ASSOCIATES OF ERIE
ONE LECOM PLACE	ERIE	PA	16509	113716896	PHYSICIAN MANAGEMENT	PA	501(C)(3)	LINE 10		0	MILLCREEK HEALTH SYSTEM
MILLCREEK MANOR
5515 PEACH ST	ERIE	PA	16509	251619204	LONG TERM CARE	PA	501(C)(3)	LINE 3		0	MILLCREEK HEALTH SYSTEM
MILLCREEK HEALTH SYSTEM MEDICAL PRO
5515 PEACH ST	ERIE	PA	16509	576204119	LIABILITY INSURANCE	PA	501(C)(3)	LINE 12C, III-FI		0
ERIE CENTER ON HEALTH AND AGING
406 PEACH ST	ERIE	PA	16507	251361363	SENIOR HEALTH	PA	501(C)(3)	LINE 7		0	MILLCREEK HEALTH SYSTEM
VISITING NURSE ASSOCIATION OF ERIE COUNTY
2253 WEST GRANDVIEW BOULEVARD	ERIE	PA	16506	250969488	HOME HEALTH	PA	501(C)(3)	LINE 7		0	MILLCREEK HEALTH SYSTEM
CORRY MEMORIAL HOSPITAL ASSN (CMH)
965 SHAMROCK LANE	CORRY	PA	16407	250987222	HOSPITAL	PA	501(C)(3)	LINE 3		0	MILLCREEK HEALTH SYSTEM
CORRY MEDICAL SERVICES
965 SHAMROCK LANE	CORRY	PA	16407	251425220	HEALTH CARE	PA	501(C)(3)	LINE 12B, II		0	CORRY MEMORIAL HOSPITAL ASSOCIATION
CORRY MEMORIAL HOSPITAL FOUNDATION
965 SHAMROCK LANE	CORRY	PA	16407	208285800	FUNDRAISING	PA	501(C)(3)	LINE 12B, II		0	CORRY MEMORIAL HOSPITAL ASSOCIATION
LECOM AT PRESQUE ISLE
4114 SCHAPER AVE	ERIE	PA	16508	475049201	LONG TERM CARE	PA	501(C)(3)	LINE 10		0	MILLCREEK HEALTH SYSTEM

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
MCH CORPORATION
5515 PEACH ST	ERIE	PA	16509	251549695	REAL ESTATE	PA	MILLCREEK HEALTH SYSTEM	C	0
CORRY HEALTH SERVICES INC
965 SHAMROCK LAME	CORRY	PA	16407	251488214	HEALTH CARE	PA	CORRY MEMORIAL HOSPITAL ASSOCIATION	C	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd