STRATEGY STUDIO / PUBLIC DATA EXPLORER

MILLCREEK MANOR: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
MILLCREEK MANOR (EIN 25-1619204)
Tax period
2017-07-01 to 2018-06-30
Filed
2019-05-14
IRS object ID
201921349349307067
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 ReturnHeader

FieldValueIRS element (for citing)
Return2019-05-14T14:24:00-05:00ReturnTs
Tax Period End2018-06-30TaxPeriodEndDt

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 Begin2017-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN251619204EIN

Business Name BusinessName

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRICHARD P OLINGERPersonNm
Person TitleCFOPersonTitleTxt
Phone8148644031PhoneNum
Signature2019-05-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJEFFREY J PETRELL CPAPreparerPersonNm
PTINP00138808PTIN
Phone4126356270PhoneNum
Preparation2019-05-13PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address216.12.119.47IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-05-13IPDt
IP Tm11:33:07IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id8E6CC3A4A33C43859C9F40809ACB2F0EBE53913DAtSubmissionCreationDeviceId
At Submission Filing Device Id6B47C1C61615727145B087E9C1085A907F8EA79DAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

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

US Address USAddress

FieldValueIRS element (for citing)
Address Line15515 PEACH STREETAddressLine1Txt
CityERIECityNm
State AbbreviationPAStateAbbreviationCd
ZIP16509ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$20,397,580GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHTTPS://LECOMHEALTH.COM/SENOR-LIVINGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1989FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionTO PROVIDE LONG TERM MEDICAL CARE TO THE COMMUNITY.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee485TotalEmployeeCnt
Total Volunteers11TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$400PYContributionsGrantsAmt
CY Contributions Grants$73CYContributionsGrantsAmt
PY Program Service Revenue$18,640,874PYProgramServiceRevenueAmt
CY Program Service Revenue$19,981,841CYProgramServiceRevenueAmt
PY Investment Income$3,155PYInvestmentIncomeAmt
CY Investment Income$13,246CYInvestmentIncomeAmt
PY Other Revenue$397,120PYOtherRevenueAmt
CY Other Revenue$402,420CYOtherRevenueAmt
PY Total Revenue$19,041,549PYTotalRevenueAmt
CY Total Revenue$20,397,580CYTotalRevenueAmt
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$12,693,823PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$13,234,928CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$10,412,935PYOtherExpensesAmt
CY Other Expenses$9,098,981CYOtherExpensesAmt
PY Total Expenses$23,106,758PYTotalExpensesAmt
CY Total Expenses$22,333,909CYTotalExpensesAmt
PY Revenues Less Expenses-$4,065,209PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,936,329CYRevenuesLessExpensesAmt
Total Assets BOY$78,576,692TotalAssetsBOYAmt
Total Assets EOY$80,167,765TotalAssetsEOYAmt
Total Liabilities BOY$2,740,376TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,300,005TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$75,836,316NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$77,867,760NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROVIDE LONG TERM MEDICAL CARE TO THE COMMUNITY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$18,760,998ExpenseAmt
Revenue$20,384,261RevenueAmt
DescIN MID-2015, MILLCREEK MANOR, DOING BUSINESS AS LECOM SENIOR LIVING CENTER, MOVED TO A NEW NURSING FACILITY. MILLCREEK MANOR IS A 138 BED FACILITY. IN ADDITION TO THE OPENING OF THIS FACILITY, MILLCREEK MANOR ALSO PURCHASED THREE INDEPENDENT LIVING CENTERS IN 2015. THE FACILITIES HAVE A LITTLE MORE THAN 240 UNITS COMBINED. TWO OF THE FACILITIES ARE ALSO LICENSED PERSONAL CARE HOMES.MILLCREEK MANOR PROVIDES QUALITY LONG-TERM MEDICAL CARE TO INDIVIDUALS REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAPS, AGE, OR ABILITY TO PAY. APPROXIMATELY 132 PERSONS A DAY BENEFITTED FROM THIS PROGRAM DURING THE FISCAL YEAR. WITH THE PURCHASE OF THE THREE FACILITIES IN 2015, MILLCREEK MANOR ALSO PROVIDES INDEPENDENT AND PERSONAL CARE SERVICES.Desc
Total Program Service Expenses$18,760,998TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document71IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee485EmployeeCnt
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RICHARD P OLINGERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8148687767PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
JOHN M FERRETTI DO
PRESIDENT4.0076.00Yes (X)Yes (X)$0$929,190$31,861
SILVIA M FERRETTI DO
TREASURER1.0079.00Yes (X)Yes (X)$0$1,160,950$31,986
MARY L ECKERT
SECRETARY1.0079.00Yes (X)Yes (X)$0$873,559$32,250
RICHARD P OLINGER
TRUSTEE1.0064.00Yes (X)$0$705,567$41,415
VINCENT S FIERRO JR DO
TRUSTEE1.002.00Yes (X)$0$1,800$0
ESTHER J FUCCI
TRUSTEE1.00Yes (X)$0$0$0
JOSEPH S KUJAWA
TRUSTEE1.00Yes (X)$0$0$0
JOYCE SAVOCCHIO
TRUSTEE1.00Yes (X)$0$0$0
JAMES Y LIN DO
TRUSTEE1.0064.00Yes (X)$0$367,261$33,361
SHOLIN MONTGOMERY
ADMINISTRATOR40.00$100,280$0$4,437Yes (X)
CARRIE SHALLENBERGER
RN/ASSISTANT DIRECTOR OF NURSING40.00$101,109$0$5,405Yes (X)
JAMES CZARNECKI
DIRECTOR OF INFORMATION TECHNOLOGY40.00$121,882$0$16,108Yes (X)
JAIME BABIAK PHARMD MHSA
DIRECTOR OF LONG TERM CARE OPERATIONS40.00$113,561$0$9,078Yes (X)
MELANIE TITZEL PHD
DIRECTOR OF SENIOR LIVING COMMUNITIES40.001.00$104,568$0$14,720Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$541,400TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$4,038,327TotReportableCompRltdOrgAmt
Total Other Compensation$220,621TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K5IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
EAT'N PARK - CURA HOSPITALITY
PO BOX 743676ATLANTAGA303743676DIETARY SERVICES$2,081,910
BUILDING SYSTEMS INC
7335 OLD PERRY HIGHWAYERIEPA16509CONSTRUCTION SERVICES$870,615
SEAWAY WINDOW
2250 EAST 33RD STREETERIEPA16510WINDOW INSTALLATION$401,218
US FOODSERVICE INC
PO BOX 643190PITTSBURGHPA152643160FOOD SERVICES$375,692
STEVENS & LEE
PO BOX 679READINGPA19603LEGAL$213,264
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K10CntrctRcvdGreaterThan100KCnt
All Other Contributions$73AllOtherContributionsAmt
Total Contributions$73TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT REVENUEDesc
Business623000BusinessCd
Total Revenue Column$19,981,841TotalRevenueColumnAmt
Related Or Exempt Func Income$19,981,841RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$19,981,841TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,246TotalRevenueColumnAmt
Exclusion$13,246ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER REVENUEDesc
Business900099BusinessCd
Total Revenue Column$402,420TotalRevenueColumnAmt
Related Or Exempt Func Income$402,420RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$402,420OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$20,397,580TotalRevenueColumnAmt
Related Or Exempt Func Income$20,384,261RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$13,246ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$10,385,021TotalAmt
Program Services$8,686,408ProgramServicesAmt
Management And General$1,698,613ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$217,933TotalAmt
Program Services$182,287ProgramServicesAmt
Management And General$35,646ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,851,732TotalAmt
Program Services$1,548,856ProgramServicesAmt
Management And General$302,876ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$780,242TotalAmt
Program Services$652,623ProgramServicesAmt
Management And General$127,619ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$261,181TotalAmt
Management And General$261,181ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,419,837TotalAmt
Program Services$2,083,321ProgramServicesAmt
Management And General$336,516ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$47,027TotalAmt
Program Services$31,860ProgramServicesAmt
Management And General$15,167ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$666,234TotalAmt
Program Services$549,959ProgramServicesAmt
Management And General$116,275ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$775,252TotalAmt
Program Services$450,780ProgramServicesAmt
Management And General$324,472ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$79,400TotalAmt
Program Services$56,336ProgramServicesAmt
Management And General$23,064ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,068,298TotalAmt
Program Services$2,944,821ProgramServicesAmt
Management And General$123,477ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total-$46,050TotalAmt
Program Services-$82,392ProgramServicesAmt
Management And General$36,342ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PHARMACY DRUGS$885,007$885,007
FOOD$459,549$459,549
REPAIRS AND MAINTENANCE$364,292$239,277$125,015
EDUCATION AND TRAINING$38,996$33,876$5,120

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$79,958TotalAmt
Program Services$38,430ProgramServicesAmt
Management And General$41,528ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$22,333,909TotalAmt
Program Services$18,760,998ProgramServicesAmt
Management And General$3,572,911ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,865,748BOYAmt
EOY$1,339,231EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$91,474BOYAmt
EOY$3,313,363EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,160,585BOYAmt
EOY$1,006,226EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$189,676BOYAmt
EOY$150,781EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$451,241BOYAmt
EOY$398,516EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$65,977,437LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$9,446,723LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$58,757,983BOYAmt
EOY$56,530,714EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$577,850BOYAmt
EOY$2,946,799EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$78,576,692BOYAmt
EOY$80,167,765EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,740,376BOYAmt
EOY$2,240,758EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$59,247EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,740,376BOYAmt
EOY$2,300,005EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$75,744,842BOYAmt
EOY$77,808,513EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$91,474BOYAmt
EOY$59,247EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$75,836,316BOYAmt
EOY$77,867,760EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$78,576,692BOYAmt
EOY$80,167,765EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$1,936,329ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$3,967,773OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,389,633OtherCostOrOtherBasisAmt
Book Value$1,389,633BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$55,862,012OtherCostOrOtherBasisAmt
Depreciation$5,349,005DepreciationAmt
Book Value$50,513,007BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,439,861OtherCostOrOtherBasisAmt
Depreciation$4,062,142DepreciationAmt
Book Value$4,377,719BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$285,931OtherCostOrOtherBasisAmt
Depreciation$35,576DepreciationAmt
Book Value$250,355BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$56,530,714TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescRESIDENT TRUST FUNDSDesc
Amt$59,247Amt
FieldValueIRS element (for citing)
Total Liability$59,247TotalLiabilityAmt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JOHN M FERRETTI DO
PRESIDENT$0$901,097$0$0$0$28,093$0$21,600$0$10,261$0$961,051$0$0
SILVIA M FERRETTI DO
TREASURER$0$1,135,927$0$0$0$25,023$0$21,600$0$10,386$0$1,192,936$0$0
MARY L ECKERT
SECRETARY$0$836,958$0$0$0$36,601$0$21,600$0$10,650$0$905,809$0$0
RICHARD P OLINGER
TRUSTEE$0$675,568$0$0$0$29,999$0$21,600$0$19,815$0$746,982$0$0
JAMES Y LIN DO
TRUSTEE$0$266,346$0$100,855$0$60$0$18,081$0$15,280$0$400,622$0$0

Supplemental Information Detail SupplementalInformationDetail

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2SILVIA M. FERRETTI JOHN M. FERRETTI TREASURER PRESIDENT FAMILY RELATIONSHIP
FORM 990, PART VI, SECTION A, LINE 6MILLCREEK HEALTH SYSTEM, THE FILING ORGANIZATION'S PARENT CORPORATION, IS THE SOLE MEMBER OF THE FILING ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7BMILLCREEK HEALTH SYSTEM IS THE PARENT ORGANIZATION OF MILLCREEK MANOR. IN ACCORDANCE WITH MILLCREEK HEALTH SYSTEM'S BY-LAWS, ITS BOARD OF TRUSTEES HAS THE RIGHT TO APPROVE ANY AND ALL TRANSACTIONS THAT CHANGE, OR HAVE THE EFFECT OF CHANGING, THE OWNERSHIP AND/OR CONTROL OF THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11BPRIOR TO FILING ITS FORM 990, THE ORGANIZATION PROVIDED ITS BOARD MEMBERS WITH ACCESS TO AN ELECTRONIC COPY OF THE TAX RETURN AND INVITED COMMENTS AND QUESTIONS FROM THE BOARD MEMBERS. PRIOR TO FILING FORM 990, MEMBERS OF THE ORGANIZATION'S FINANCIAL MANAGEMENT CONDUCTED A DETAILED REVIEW OF THE TAX FILING. THROUGHOUT THE REVIEW PROCESS, THERE WAS ONGOING DISCUSSION BETWEEN THE ORGANIZATION'S FINANCIAL MANAGEMENT AND THE TAX PREPARER.
FORM 990, PART VI, SECTION B, LINE 12CEACH MEMBER OF THE BOARD OF TRUSTEES IS REQUIRED TO COMPLETE A STANDARDIZED CONFLICT OF INTEREST FORM ON AN ANNUAL BASIS. ANY POTENTIAL CONFLICTS OF INTEREST ARE ADDRESSED BY AN APPOINTED COMMITTEE WHOSE MEMBERS ARE INDEPENDENT WITH REGARD TO THE MATTER BEING REVIEWED. IF A POTENTIAL CONFLICT OF INTEREST ARISES, IT IS REVIEWED AND DOCUMENTED BY THE APPOINTED COMMITTEE, AND THEN THE APPOINTED COMMITTEE REPORTS THE RESULTS OF ITS REVIEW TO THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION B, LINE 15THE SALARIES OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL AND CERTAIN MEMBERS OF ITS BOARD OF TRUSTEES ARE DETERMINED BY THE EMPLOYING ORGANIZATION'S BUDGET/FINANCE COMMITTEE, WHICH ALSO FUNCTIONS AS A COMPENSATION COMMITTEE. THE BUDGET/FINANCE COMMITTEE REVIEWED A STUDY PERFORMED BY AN INDEPENDENT COMPENSATION CONSULTANT. ON AN ANNUAL BASIS, THE COMMITTEE REVIEWS VARIOUS FORM 990 FILINGS BY COMPARATIVE ORGANIZATIONS IN ORDER TO MAKE EXECUTIVE PAY COMPARISONS.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, BY-LAWS AND FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC.
FORM 990, PART IX, LINE 11GOTHER FEES: PROGRAM SERVICE EXPENSES 2,083,321. MANAGEMENT AND GENERAL EXPENSES 336,516. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,419,837.
FORM 990, PART XI, LINE 9:CHANGE IN TEMPORARILY RESTRICTED ASSETS -32,227. TRANSFER FROM RELATED ENTITY 4,000,000.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 entries)

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

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

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