2018-05-11T09:53:06-05:00 2017-12-31 550486667 ARNETT CARBIS TOOTHMAN LLP 5700 CORPORATE DRIVE STE 650 PITTSBURGH PA 15237 990 2017-01-01 251073144 SAINT MARY'S HOME OF ERIE SAIN 8144590621 607 EAST 26TH STREET ERIE PA 165042887 ROBERT COX CFO 8144590621 2018-05-07 1 JEFFREY J PETRELL CPA P00138808 4126356270 2018-05-07 216.12.119.47 2018-05-07 16:13:29 ED P 8D85B9B75385D671309DB796237E04A2273E6F22 B0BD96B6EB2192BFB4E83100FE574D6809CADE2F 2017 2021-01-29 14:40:06Z SEE SCHEDULE O SR PHYLLIS MCCRACKEN 607 EAST 26TH STREET ERIE PA 16504 32600873 0 0928 X WWW.STMARYSHOME.ORG X 1974 PA FOUNDED BY THE SISTERS OF ST. JOSEPH AND OPERATED IN THE CATHOLIC TRADITION, SAINT MARY'S HOME OF ERIE IS COMMITTED TO AN ENVIRONMENT OF LOVING TO CARE WHERE PRIMARILY SENIORS, THEIR FAMILIES, STAFF AND VOLUNTEERS PARTICIPATE IN FOSTERING AN ATMOSPHERE OF COMMUNITY. 19 19 567 110 0 0 402063 682401 30681558 29971257 1072801 1303431 169844 182637 32326266 32139726 0 0 0 0 18645189 19776094 0 0 77995 14633954 13780682 33279143 33556776 -952877 -1417050 85213388 87250116 43925257 43970019 41288131 43280097 FOUNDED BY THE SISTERS OF ST. JOSEPH AND OPERATED IN THE CATHOLIC TRADITION, SAINT MARY'S HOME OF ERIE IS COMMITTED TO AN ENVIRONMENT OF LOVING TO CARE WHERE PRIMARILY SENIORS, THEIR FAMILIES, STAFF AND VOLUNTEERS PARTICIPATE IN FOSTERING AN ATMOSPHERE OF COMMUNITY. 0 0 29675859 30094714 TO PROVIDE FOR THE PHYSICAL, PSYCHOLOGICAL, SOCIAL AND SPIRITUAL NEEDS OF SENIOR MEMBERS OF SOCIETY IN RETIREMENT, RESIDENTIAL, NURSING HOME, COMMUNITY, CONTINUING CARE RETIREMENT COMMUNITY (CCRC) AND RELATED SETTINGS. THE FACILITIES INCLUDE 219 LONG TERM BEDS, 295 PERSONAL CARE/ INDEPENDENT LIVING BEDS, ADULT DAY CARE SERVICES, AND INDEPENDENT LIVING INCLUDING 26 CARRIAGE HOMES AND 60 APARTMENTS. 29675859 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 56 0 567 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 19 19 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 PA AK AZ CA CT DE FL GA HI ID IL IN IA KS KY LA ME MD MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR RI SC SD TN TX UT VT VA WA WV WI WY AR X STACY KEMMLER CONTROLLER 8144590621 607 EAST 26TH STREET ERIE PA 165042887 SSJSR PHYLLIS MCCRACKEN PRESIDENT/CEO 40.00 X X 215335 0 43067 CAROL MINGARELLE CHAIRPERSON 2.00 X X 0 0 0 CHRISTOPHER DENNIS COUGHLIN VICE CHAIRPERSON 2.00 X X 0 0 0 MARY RZYMEK WINGROVE TREASURER 2.00 X X 0 0 0 ALMITRA MARIA CLERKIN SECRETARY 2.00 X X 0 0 0 BRIDGET POWER BARBER BOARD MEMBER 2.00 X 0 0 0 REV THOMAS BROOKS BOARD MEMBER 2.00 X 0 0 0 GERALD P DILL BOARD MEMBER 2.00 X 0 0 0 JANE K STEPHERSON BOARD MEMBER 2.00 X 0 0 0 MAUDIE FORD BOARD MEMBER 2.00 X 0 0 0 AUSTIN JOHN BRUGGER BOARD MEMBER 2.00 X 0 0 0 SR MARY HERRMANN BOARD MEMBER 2.00 X 0 0 0 JAMES MCNAMARA ESQ BOARD MEMBER 2.00 X 0 0 0 KAREN MARIE MCELHINNY BOARD MEMBER 2.00 X 0 0 0 ROBERT GERARD EK BOARD MEMBER 2.00 X 0 0 0 BARBARA LOUISE DREW BOARD MEMBER 2.00 X 0 0 0 DANNY JONES BOARD MEMBER 2.00 X 0 0 0 RON SEIGLEY BOARD MEMBER 2.00 X 0 0 0 MARY ZENNER BOARD MEMBER 2.00 X 0 0 0 ROBERT COX CFO 10.00 X 92184 0 11062 AUDREY URBAN ADMINISTRATOR, ASBURY 40.00 X 116684 0 23337 CHERYL TRUETT ADMINISTRATOR, EAST 40.00 X 115694 0 23139 ALLEN BONACE VP OF SPECIAL PROJECTS 40.00 X 104824 0 12579 644721 0 113184 4 0 1 0 SYMBRIA REHAB BILLING 28100 TOURCH PARKWAY SUITE 600 WARRENVILLE IL 60555 REHAB THERAPY SERVICES 1694449 VANTAGE LTC 1305 SOUTH MAIN ST MEADVILLE PA 16335 PHARMACY SUPPLIES 624616 VANTAGE LINEN SERVICES 1305 SOUTH MAIN ST MEADVILLE PA 16335 LINEN SERVICES 334965 ALLEGHENY HEALTH NETWORK HOME INFUSION 1305 SOUTH MAIN ST MEADVILLE PA 16335 INFUSION/PHARMACY SERVICES 112621 4 74680 607721 682401 RESIDENT & ADULT DAY CARE 623000 29971257 29971257 29971257 1206844 1206844 502225 415801 86424 86424 86424 97409 0 822 97409 -822 96587 96587 17280 74680 44524 -27244 -27244 MISCELLANEOUS REVENUE 623000 122443 122443 MEAL REIMBURSEMENT 623000 1014 1014 123457 32139726 30094714 0 1362611 361648 361648 14260760 12573907 1646987 39866 321940 277867 43192 881 3757382 3289722 457230 10430 1074364 927285 144139 2940 71649 71649 50953 50953 46666 46666 474602 400869 73733 200069 200069 370662 227083 141818 1761 36585 36585 1224041 1224041 24624 3781 6506 14337 19509 16081 3428 1128951 1128951 3185317 3185317 322502 322502 DIETARY 1539887 1539887 THERAPY EXPENSE 1531928 1531928 REPAIRS & MAINTENANCE 1496666 1141447 355219 MEDICAL SUPPLIES 1296420 1296420 759651 588771 163100 7780 33556776 29675859 3802922 77995 17064 24237 2250253 1785576 2379734 3684234 150765 145812 188011 271750 96578644 47428806 51462260 49149838 28194701 31672410 570600 516259 85213388 87250116 3197092 4382548 593740 551130 32577328 31663834 7557097 7372507 43925257 43970019 X 40883779 42816804 49118 66826 355234 396467 41288131 43280097 85213388 87250116 X -1417050 3162417 246599 X X 0 1 X 1 0 X 1097484 423061 295168 402063 682401 2900177 29913799 29970844 29590300 30681558 29971257 150127758 31011283 30393905 29885468 31083621 30653658 153027935 0 0 0 153027935 1171996 1180191 1181398 1193528 1709069 6436182 1171996 1180191 1181398 1193528 1709069 6436182 124854 135479 242903 123096 123457 749789 32308133 31709575 31309769 32400245 32486184 160213906 0.95510 0.95890 0.04020 0.03640 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5829178 5829178 76108076 35784040 40324036 11620262 9981447 1638815 3021128 1663319 1357809 49149838 BENEFICIAL INTEREST IN PERPETUAL TRUSTS 396467 F BOARD DESIGNATED CASH 944807 F BOND FUND INVESTMENTS 1800895 F COMMON STOCK 1339173 F DEPOSITS TO SELF FUNDED HEALTH INSURANCE PLAN 331675 C MUTUAL FUNDS 26859393 F 31672410 RESIDENT FUND LIABILITY 28210 REFUNDABLE FEES 7194100 APARTMENT SECURITY DEPOSITS 28937 OTHER LIABILITIES 121260 7372507 X 35666438 3162417 478917 3641334 32025104 114622 114622 32139726 33970435 460325 460325 33510110 46666 46666 33556776 PART X, LINE 2: THE HOME FOLLOWS THE GUIDANCE FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN A COMPANY'S FINANCIAL STATEMENTS THAT PRESCRIBES A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. THE GUIDANCE ALSO ADDRESSES DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, AND DISCLOSURE. MANAGEMENT HAS DETERMINED THAT THIS GUIDANCE DID NOT HAVE A MATERIAL EFFECT ON THE FINANCIAL STATEMENTS. THE HOME'S POLICY IS TO RECOGNIZE INTEREST RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE AND PENALTIES IN OPERATING EXPENSES. THERE WERE NO INTEREST OR PENALTIES RECOGNIZED ON THE STATEMENTS OF OPERATIONS AS A RESULT OF THIS GUIDANCE. GENERALLY, TAX RETURNS FOR YEARS ENDED DECEMBER 31, 2014, AND THEREAFTER REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 415,801. FUNDRAISING EVENT EXPENSES 44,524. NET ASSETS RELEASED FROM RESTRICTIONS 18,592. PART XI, LINE 4B - OTHER ADJUSTMENTS: TEMPORARILY RESTRICTED CONTRIBUTIONS 66,826. INVESTMENT MANAGEMENT FEES 46,666. PERMANENTLY RESTRICTED INVESTMENT INCOME 1,130. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 415,801. FUNDRAISING EVENT EXPENSES 44,524. PART XII, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT MANAGEMENT FEES 46,666. SAINT MARY'S FOLLIES 91960 74680 17280 5859 17295 1800 19570 91960 74680 17280 5859 17295 1800 19570 44524 -27244 X X X X X 0 0 0 0 0 0 0 0 0 SSJSR PHYLLIS MCCRACKEN PRESIDENT/CEO 206835 0 8500 0 0 0 0 0 43067 0 258402 0 0 0 A THE ERIE COUNTY HOSPITAL AUTHORITY 232302072 295201AM9 2006-06-15 26297311 REFUND PRIOR ISSUES (4/17/90 & 10/13/99) 1 0 0 B THE ERIE COUNTY HOSPITAL AUTHORITY 232302072 2013-05-09 23235000 REFUND BONDS 6/5/08 0 0 0 A 15620000 29280890 1203745 438214 710280 75524 26853126 2001 1 1 1 1 B 1562992 23235000 363266 22871734 2009 1 0 1 1 B 0 0 0 0 1 0 1 A 0 0 1 1 1 1 DEUTSCHE BANK AG 5.000000000000 0 1 1 MBIA 23.000000000000 1 0 1 B 0 0 1 1 1 1 CITIZENS BANK OF PA 10.100000000000 1 0 0 0 1 A 1 B 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: THE ERIE COUNTY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 05/31/2016 ISSUER NAME: THE ERIE COUNTY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/09/2013 PART I, LINE A, COLUMN C CUSIP # 295201AM9 / 295201AN7 PART II, LINE 3 THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS. PART IV, LINE 2C, COLUMN B NOTE REGARDING THE REBATE COMPUTATION ON 11/9/13: SINCE THE BOND PROCEEDS HAVE BEEN SPENT, A SPENDING EXCEPTION WAS MET, AND THE DEBT SERVICE FUND WAS OPERATED ON A BONA FIDE BASIS, NO FURTHER REBATE CALCULATIONS ARE NECESSARY. PART V, LINE 5C, COLUMN A THE GIC WAS TERMINATED IN JUNE OF 2008. FORM 990, PART VI, SECTION A, LINE 2 BRIDGET POWER BARBER AND KAREN MARIE MCELHINNY ARE EMPLOYED BY THE DR GERTRUDE A BARBER CENTER. FORM 990, PART VI, SECTION A, LINE 6 THE MEMBERS OF SAINT MARY'S HOME OF ERIE SHALL BE PERSONS WHO, AT ANY GIVEN TIME, ARE THE PRESIDENT AND ELECTED LEADERSHIP OF THE SISTERS OF ST. JOSEPH OF NORTHWESTERN PENNSYLVANIA. FORM 990, PART VI, SECTION A, LINE 7A THE PRESIDENT OF THE SISTERS OF ST. JOSEPH OF NORTHWESTERN PENNSYLVANIA, OR HER DESIGNEE, THE PRESIDENT OF SAINT MARY'S HOME AND A REPRESENTATIVE OF THE BISHOP OF THE ROMAN CATHOLIC DIOCESE OF ERIE SHALL BE NON-ELECTED VOTING MEMBERS OF THE BOARD. FORM 990, PART VI, SECTION A, LINE 7B THE CORPORATION SHALL NOT PURCHASE, LEASE, SELL, OR ENCUMBER REAL ESTATE IN EXCESS OF $5,000,000 WITHOUT THE PRIOR APPROVAL OF THE SISTERS OF ST. JOSEPH OF NORTHWESTERN PENNSYLVANIA. THE CORPORATION SHALL NOT HAVE THE POWER TO MERGE, IN ANY MANNER WHATSOEVER, INTO ANOTHER CORPORATION OR TO DISSOLVE ITSELF WITHOUT PRIOR APPROVAL OF THE SISTERS OF ST. JOSEPH OF NORTHWESTERN PENNSYLVANIA. FORM 990, PART VI, SECTION B, LINE 11B SAINT MARY'S HOME OF ERIE HAS A CPA FIRM PREPARE ITS FORM 990. THE RETURN IS COMPLETED IN DRAFT FORM AND REVIEWED BY MANAGEMENT OF THE ORGANIZATION. THE RETURN IS THEN FINALIZED AND THE BOARD IS PROVIDED A COPY OF THE FORM 990 TO REVIEW BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C SAINT MARY'S HOME OF ERIE ANNUALLY REQUIRES ITS BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES TO FILL OUT A CONFLICT OF INTEREST FORM. DURING BOARD MEETINGS, IF AN INTERESTED PARTY HAS A CONFLICT, HE OR SHE RECUSES THEMSELVES FROM VOTING. FORM 990, PART VI, SECTION B, LINE 15 SAINT MARY'S HOME OF ERIE'S BOARD OF DIRECTORS PERIODICALLY REVIEWS AND APPROVES THE COMPENSATION OF THEIR ORGANIZATION'S TOP MANAGEMENT AND KEY EMPLOYEES. IN 2008, SAINT MARY'S HOME OF ERIE HIRED AN INDEPENDENT CONSULTANT TO REVIEW THEIR TOP MANAGEMENT AND KEY EMPLOYEE'S COMPENSATION. THE INDEPENDENT CONSULTANT COMPARED THE COMPENSATION OF SAINT MARY'S EXECUTIVES TO EXECUTIVES IN OTHER SIMILAR ORGANIZATIONS IN ORDER TO ENSURE REASONABLENESS OF COMPENSATION. SAINT MARY'S ALSO OBTAINED AND UTILIZED THE 2016-2017 CONTINUING CARE RETIREMENT COMMUNITY SALARY AND BENEFIT REPORT BY HOSPITAL AND HEALTHCARE COMPENSATION SERVICE. SAINT MARY'S UTILIZED GUIDESTAR TO ENSURE REASONABLE COMPENSATION DURING FISCAL YEAR 2017. FORM 990, PART VI, SECTION C, LINE 19 SAINT MARY'S HOME OF ERIE MAKES ITS FORM 990 AVAILABLE TO THE PUBLIC. THE 990 IS AVAILABLE FOR PUBLIC VIEWING UPON REQUEST, THE FINANCIAL STATEMENTS ARE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST, AND SOME FINANCIAL INFORMATION IS DISCLOSED IN THE ANNUAL REPORT. AT THIS TIME, SAINT MARY'S DOES NOT MAKE ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE GENERAL PUBLIC. FORM 990, PART XI, LINE 9: UNREALIZED GAIN ON SWAP 187,904. UNREALIZED GAINS ON BENEFICIAL INTEREST ON PERPETUAL TRUSTS 58,695. FORM 990, PART XII, LINE 2C: THE PROCESS OF ASSUMING RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT REMAINS CONSISTENT WITH PRIOR YEARS. FORM 990, PAGE 1 DOING BUSINESS AS: SAINT MARY'S EAST SAINT MARY'S AT ASBURY RIDGE FORM 990, PART VI, SECTION B, QUESTION 16B WHEN SAINT MARY'S HOME OF ERIE CONTEMPLATES ENTERING INTO A JOINT VENTURE WITH FOR PROFIT ORGANIZATIONS, IT ENGAGES LEGAL COUNSEL AND TAX COUNSEL TO ENSURE THAT THE TAX EXEMPT STATUS OF SAINT MARY'S HOME OF ERIE IS SAFEGUARDED. SAINT MARY'S HOME OF ERIE ADOPTED A WRITTEN POLICY ON JOINT VENTURES IN MAY 2010. FORM 990, PART VII, SECTION A COMPENSATION TO SISTER PHYLLIS MCCRACKEN IS CONTRIBUTED DIRECTLY TO THE SISTERS OF ST. JOSEPH OF NORTHWESTERN PA (SSJ) FOR THE SERVICES SHE PROVIDES. NO COMPENSATION IS PAID DIRECTLY TO SISTER PHYLLIS MCCRACKEN FROM SAINT MARY'S HOME OF ERIE. COLLEEN STUMPF IS A NON-VOTING BOARD MEMBER. SISTERS OF ST JOSEPH OF NORTHWESTERN PA 5031 W RIDGE RD ERIE PA 16506 250965595 CATHOLIC RELIGIOUS ORDER OF WOMEN WHO WORK TO IMPROVE LIVES OF OTHERS PA 501(C)(3) LINE 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0