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      <Desc>ACUTE INPATIENT 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) ACCOMODATING THE WELLNESS OF THE COMMUNITY. FOR THE FISCAL YEAR ENDED JUNE 30, 2016, 9,403 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, 2016, 114 DAYS OF CHARITY CARE WERE PROVIDED AMOUNTING TO 868,309 OF FORGONE REVENUE AT A COST OF 294,000 TO THE HOSPITAL. BAD DEBT CHARGES INCLUDED IN ACUTE CARE - MEDICAL SURGICAL WERE 620,070 AT A COST OF 214,916 TO THE HOSPITAL. THE HOSPITAL ACTIVELY COMMITS TO ITS UNINSURED/UNDERINSURED AND CHARITY DISCOUNT POLICIES, AND IT DOES NOT DISCRIMINATE AGAINST THOSE INDIVIUDALS 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 &amp; 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>
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        <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 CARE FACILITIES IN THE AREA. TODAY, THE HOSPITAL'S BEHAVIORAL 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, 2016, 1,665 DISCHARGES TOTALING 15,519 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>
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      <TotExpnsEtcAuditedFinclStmtAmt>52750719</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>52750719</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>2810416</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>2810416</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>55561135</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>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. THE HOSPITAL'S POLICY IS TO RECOGNIZE INTEREST RELATED TO UNRECOGNIZED TAX BENEFITS AND PENALTIES IN SUPPLIES, PURCHASED SERVICES, AND GENERAL ON THE STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS. THERE WERE NO INTEREST OR PENALTIES RECOGNIZED ON THE STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS AS A RESULT OF THIS GUIDANCE. GENERALLY, TAX RETURNS FOR THE YEARS ENDED JUNE 30,2013 AND THEREAFTER REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>INVESTMENT MANAGEMENT FEES NETTED AGAINST DIVIDEND INCOME 209,444 PROVISION FOR BAD DEBTS 2,600,972</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XII, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>INVESTMENT MANAGEMENT FEES NETTED AGAINST DIVIDEND INCOME 209,444 PROVISION FOR BAD DEBTS 2,600,972</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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      <WrittenPolicyInd>true</WrittenPolicyInd>
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        <PersonsServedCnt>1771</PersonsServedCnt>
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        <DirectOffsettingRevenueAmt>13539146</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>300922</NetCommunityBenefitExpnsAmt>
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        <PersonsServedCnt>97</PersonsServedCnt>
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        <DirectOffsettingRevenueAmt>3689832</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>3819838</NetCommunityBenefitExpnsAmt>
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        <PersonsServedCnt>2167</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>6906152</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>3600328</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>3305824</NetCommunityBenefitExpnsAmt>
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        <PersonsServedCnt>2264</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>14415822</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>7290160</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>7125662</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.12820</TotalExpensePct>
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      <TotalCommunityBenefitsGrp>
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        <PersonsServedCnt>4035</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>27884330</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>20829306</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>7426584</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.13370</TotalExpensePct>
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      <BadDebtExpenseReportedInd>true</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>2600972</BadDebtExpenseAmt>
      <BadDebtExpenseAttributableAmt>901497</BadDebtExpenseAttributableAmt>
      <ReimbursedByMedicareAmt>16523561</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>15416998</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>1106563</MedicareSurplusOrShortfallAmt>
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        <CostToChargeRatioInd>X</CostToChargeRatioInd>
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      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
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      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>MILLCREEK COMMUNITY HOSPITAL</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>5515 PEACH STREET</AddressLine1Txt>
          <CityNm>ERIE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>16509</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.LECOMHEALTH.COM</WebsiteAddressTxt>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <TeachingHospitalInd>X</TeachingHospitalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <OtherDesc>SKILL NURS, REHAB &amp; BEHAV UNIT</OtherDesc>
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        <HospitalFacilityName>
          <BusinessNameLine1Txt>MILLCREEK COMMUNITY HOSPITAL</BusinessNameLine1Txt>
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        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
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        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>true</CHNAConductedWithOtherFcltsInd>
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        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
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        <OwnWebsiteURLTxt>WWW.LECOMHEALTH.COM</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>15</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>WWW.LECOMHEALTH.COM</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>140.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>200.000000000000</FPGFamilyIncmLmtDscntCarePct>
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        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
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        <FAPAvailableOnWebsiteURLTxt>WWWLECOMHEALTHCOM</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>WWWLECOMHEALTHCOM</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>WWWLECOMHEALTHCOM</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <FAPNoticeDisplayedInd>X</FAPNoticeDisplayedInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <OtherPublicityInd>X</OtherPublicityInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>true</CollectionActivitiesInd>
        <FAPNotifiedUponAdmissionInd>X</FAPNotifiedUponAdmissionInd>
        <FAPNotifiedAllPatientsInd>X</FAPNotifiedAllPatientsInd>
        <DocumentedEligDeterminationInd>X</DocumentedEligDeterminationInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
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        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, MILLCREEK COMMUNITY HOSPITAL - PART V, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>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 UP 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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, MILLCREEK COMMUNITY HOSPITAL - PART V, LINE 6A</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, MILLCREEK COMMUNITY HOSPITAL - PART V, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>REGARDING NEEDS ASSESSMENT: ALSO SEE RESPONSE TO SCHEDULE H, PART VI, LINE 2. AN IMPLEMENTATION STRATEGY FOR 2016-2019 WAS COMPLETED BASED ON THE NEW 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 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. 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. MCH ENCOURAGES ALCOHOL AND OTHER SUBSTANCE CESSATION AND ABSTINENCE FOR PATIENTS ADMITTED TO THE DETOXIFICATION UNIT. 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 IS MAKING ADVANCEMENTS IN CLINICAL QUALITY AND INTERDISCIPLINARY COLLABORATION FOR PATIENTS ADMITTED TO ITS BEHAVIORAL HEALTH UNITS. 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. 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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, MILLCREEK COMMUNITY HOSPITAL - PART V, LINE 16I</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL PROVIDES A NOTICE OF FINANCIAL ASSISTANCE AVAILABILITY ON ITS BILLING INVOICES.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION</FormAndLineReferenceDesc>
        <ExplanationTxt>LINE 7A CHARITY CARE - RATIO OF PATIENT CARE COSTS TO CHARGES LINE 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. LINE 7, COLUMN (F) - BAD DEBT EXPENSE OF 2,600,972 (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.)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY</FormAndLineReferenceDesc>
        <ExplanationTxt>ACCOUNTS RECEIVABLE ARE STATED AT THE AMOUNT THE HOSPITAL EXPECTS TO COLLECT. THE HOSPITAL PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS EQUAL TO THE ESTIMATED UNCOLLECTIBLE AMOUNTS. THE HOSPITAL'S ESTIMATE IS BASED ON HISTORICAL COLLECTION EXPERIENCE AND REVIEW OF THE CURRENT STATUS OF PATIENT ACCOUNTS RECEIVABLE. IT IS REASONABLY POSSIBLE THAT THE HOSPITAL'S ESTIMATE OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS WILL CHANGE. PATIENT ACCOUNTS RECEIVABLE ARE PRESENTED NET OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS OF 1,761,286 AND 1,901,929 AS OF JUNE 2016 AND 2015, RESPECTIVELY. THE METHODOLOGY FOR DETERMINING THE COST OF BAD DEBT FOR LINE 2 IS THE RATIO OF PATIENT CARE COSTS TO CHARGES TIMES THE GROSS CHARGES ATTRIBUTABLE TO THE BAD DEBT PATIENT ACCOUNTS. OFFERED DISCOUNTS RELATING TO CHARITY CARE EXPENSES ARE RECORDED AS PART OF THE CONTRACTUAL ALLOWANCE OFFSET AGAINST GROSS CHARGES. ACCORDINGLY, A DISCOUNT IS NOT INCLUDED AS PART OF BAD DEBT EXPENSE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 3 BAD DEBT EXPENSE, PATIENTS ELIGIBLE FOR ASSISTANCE</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE AT COST ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR CHARITY CARE IS BASED ON ESTIMATES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS</FormAndLineReferenceDesc>
        <ExplanationTxt>REFER TO THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE ON PAGE 7 OF THE ATTACHED FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8 - MEDICARE EXPLANATION</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2 - NEEDS ASSESSMENT</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL UTILIZES THE FOLLOWING PROCEDURES TO INFORM AND EDUCATE ITS PATIENTS AND PERSONS, WHO MAY BE BILLED FOR PATIENT CARE, ABOUT THEIR ELIGIBLITY 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4 - COMMUNITY INFORMATION</FormAndLineReferenceDesc>
        <ExplanationTxt>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 40%. THE HOSPITAL SERVICES A DISPROPORTIONATE SHARE OF LOW INCOME HOUSEHOLDS. MEDICAL ASSISTANCE COMPRISED APPROXIMATELY 31% OF THE HOSPITAL'S NET PATIENT REVENUE. THE HOSPITAL'S GROSS CHARGES FOR UNCOMPENSATED CARE IS APPROXIMATELY 6.39% OF NET PATIENT REVENUE PLUS THE COST OF UNCOMPENSATED CARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH</FormAndLineReferenceDesc>
        <ExplanationTxt>MILLCREEK COMMUNITY HOSPITAL IS THE ONLY HOSPITAL IN ITS SERVICE AREA THAT OPERATES UNDER THE PRINCIPLES OF OSTEOPATHIC HEALTH CARE. OSTEOPHATHIC 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 ACCOMODATE 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 TO PROVIDE 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: - A THREE-STORY ADDITION TO THE SOUTHEAST SIDE OF THE HOSPITAL, WHICH INCLUDES A 24 BED TRANSITIONAL CARE UNIT TO SERVE PATIENTS WHO NO LONGER NEED ACUTE CARE, BUT WHO ARE NOT WELL ENOUGH TO RETURN HOME; A MEDICAL LIBARY; ADDITIONAL CONFERENCE ROOMS AND OFFICES. - 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 INDIVIUDALS 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 ALSO PROVIDED 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, 2016, THE HOSPITAL UTILIZED THE FULL-TIME EQUIVALENT OF APPROXIMATELY 97 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 &amp; 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 HOSPTIAL 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICAL ASSOCIATES OF ERIE: MEDICAL ASSOCIATES OF ERIE (MAE), AN AFFILIATE OF THE HOSPITAL, RECEIVES OVER 108,000 PATIENT VISITS ANNUALLY. THE PATIENTS TREATED ARE PREDOMINANTLY LOW INCOME AND RESIDE IN THREE UNDERSERVED AREAS OF ERIE COUNTY. FOR 37% 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 THE ONLY ACADEMIC HEALTH CENTER IN THE OSTEOPATHIC PROFESSION. 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 SITE 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 THIS 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 MORE THAN 30,000 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 80 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 11,000 CHILDREN AND PARENTS DURING 2016. 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, ORGANIZERS 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. 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</ExplanationTxt>
      </SupplementalInformationDetail>
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        <BaseCompensationFilingOrgAmt>41028</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>250912</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>54</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>17743</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>16668</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>41028</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>285377</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DANIELLE HANSEN DO</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>51293</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>303553</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>54</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>21200</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>16634</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>51293</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>341441</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TERRY BUCKWALTER DO</PersonNm>
        <TitleTxt>ANESTHESIOLOGIST PHY</TitleTxt>
        <BaseCompensationFilingOrgAmt>400091</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>144</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>400235</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHRISTOPHER CARBO DO</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>336590</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>21200</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16474</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>374264</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARVIN WIELAND DO</PersonNm>
        <TitleTxt>RADIOLOGY ANESTHESIO</TitleTxt>
        <BaseCompensationFilingOrgAmt>319774</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>21200</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>5246</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>346220</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RICHARD HERRICK DO</PersonNm>
        <TitleTxt>PSYCHIATRIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>287452</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>21200</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16474</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>325126</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL VISNOSKY ESQ</PersonNm>
        <TitleTxt>DIR OF GOVT AFFAIRS</TitleTxt>
        <BaseCompensationFilingOrgAmt>266165</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>144</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>266309</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc6">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>VANTAGE</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>COMMON TRUSTEE</RelationshipDescriptionTxt>
        <TransactionAmt>498885</TransactionAmt>
        <TransactionDesc>VENDOR</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE L, PART V</FormAndLineReferenceDesc>
        <ExplanationTxt>MARY ECKERT, PRESIDENT AND CEO OF MILLCREEK COMMMUNITY HOSPITAL (MCH), ALSO SERVES ON THE VANTAGE BOARD. VANTAGE SELLS MEDICAL SERVICES AND SUPPLIES TO MILLCREEK COMMUNITY HOSPITAL (MCH). IN ADDITION, LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE (LECOM), A RELATED ENTITY, OWNS A 12.15% INTEREST IN VANTAGE. BASED ON THE REPORTING RULES/THRESHOLDS STATED IN THE FILING INSTRUCTIONS, THE FOLLOWING BUSINESS TRANSACTIONS ARE NOT REQUIRED TO BE REPORTED ON SCHEDULE L, PART IV. THE HOSPITAL'S BOARD OF TRUSTEES VOLUNTARILY DISCLOSES THE FOLLOWING BUSINESS RELATIONSHIPS: DR. JOHN M. FERRETTI, D.O. (CURRENT OFFICER AND TRUSTEE): THE HOSPITAL ENGAGED OSTEOPATHIC INTERNAL MEDICINE ASSOCIATES (OIMA) TO PERFORM SPECIFIED MEDICAL SERVICES DURING THE FISCAL YEAR ENDED JUNE 30, 2016. THE HOSPITAL PAID OIMA 48,000 FOR THOSE SERVICES. OIMA IS A PROFESSIONAL CORPORATION IN WHICH DR. FERRETTI HOLDS A 100% OWNERSHIP INTEREST. NANCY Z. O'NEILL (CURRENT TRUSTEE): THE HOSPITAL ENGAGED ENGEL &amp; O'NEILL TO PERFORM ADVERTISING SERVICES DURING THE FISCAL YEAR ENDED JUNE 30, 2016. THE HOSPITAL PAID ENGEL &amp; O'NEILL 79,984 FOR THOSE SERVICES. NANCY O'NEILL OWNS 50% OF ENGEL &amp; O'NEILL.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc7">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>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, 2016, 114 DAYS OF CHARITY CARE WERE PROVIDED AMOUNTING TO 868,309 OF FORGONE REVENUE AT A COST OF 294,000 TO THE HOSPITAL. BAD DEBT CHARGES INCLUDED IN ACUTE CARE - MEDICAL SURGICAL WERE 620,070 AT A COST OF 214,916 TO THE HOSPITAL. THE HOSPITAL ACTIVELY COMMITS TO ITS UNINSURED/UNDERINSURED AND CHARITY DISCOUNT POLICIES, AND IT DOES NOT DISCRIMINATE AGAINST THOSE INDIVIUDALS 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 &amp; 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROGRAM ACTIVITIES: OTHER PROGRAM ACTIVITIES INCLUDED 36,739 OUTPATIENT VISITS PLUS 4,415 OUTPATIENT SURGERIES, 17,333 EMERGENCY ROOM VISITS, 543 ADMISSIONS FOR 7,257 DAYS TO THE TRANSITIONAL CARE UNIT, AND 363 ADMISSIONS FOR 4,332 DAYS TO THE INPATIENT REHABILITATION UNIT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>DR. JOHN M. FERRETTI DR. SILVIA M. FERRETTI CHAIRMAN TRUSTEE FAMILY RELATONSHIP</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>MILLCREEK HEALTH SYSTEM, THE FILING ORGANIZATION'S PARENT CORPORATION, IS THE SOLE MEMBER OF THE FILING ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRACTED SERVICES 5,817,187 676,948 0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>EQUITY TRANSFER TO AFFILIATE -500,000 TOTAL -500,000</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ASSETS OF THE SELF-INS TRUST ARE INCLUDED ON THE HOSPITAL BALANCE SHEET</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc10">
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>LAKE ERIE COLLEGE OF OSTEOPATHIC ME</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>5515 PEACH STREET</AddressLine1Txt>
          <CityNm>ERIE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>16509</ZIPCd>
        </USAddress>
        <EIN>251698677</EIN>
        <PrimaryActivitiesTxt>MED SCHOOL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>2</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MILLCREEK HEALTH SYSTEM (MHS)</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>5515 PEACH STREET</AddressLine1Txt>
          <CityNm>ERIE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>16509</ZIPCd>
        </USAddress>
        <EIN>251766164</EIN>
        <PrimaryActivitiesTxt>PARENT COR</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11C</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MILLCREEK MANOR</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>5515 PEACH STREET</AddressLine1Txt>
          <CityNm>ERIE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>16509</ZIPCd>
        </USAddress>
        <EIN>251619204</EIN>
        <PrimaryActivitiesTxt>SR CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MILLCREEK HEALTH SYSTEM MEDICAL PRO</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>5515 PEACH STREET</AddressLine1Txt>
          <CityNm>ERIE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>16509</ZIPCd>
        </USAddress>
        <EIN>576204119</EIN>
        <PrimaryActivitiesTxt>LIAB COVER</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MEDICAL ASSOCIATES OF ERIE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>ONE LECOM PLACE</AddressLine1Txt>
          <CityNm>ERIE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>16505</ZIPCd>
        </USAddress>
        <EIN>113716896</EIN>
        <PrimaryActivitiesTxt>PHYS PRAC</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>9</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ERIE CENTER ON HEALTH AND AGING</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>406 PEACH STREET</AddressLine1Txt>
          <CityNm>ERIE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>16507</ZIPCd>
        </USAddress>
        <EIN>251361363</EIN>
        <PrimaryActivitiesTxt>SR HEALTH</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CORRY MEMORIAL HOSPITAL ASSN (CMH)</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>965 SHAMROCK LANE</AddressLine1Txt>
          <CityNm>CORRY</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>16407</ZIPCd>
        </USAddress>
        <EIN>250987222</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LECOM AT PRESQUE ISLE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>4114 SCHAPER AVE</AddressLine1Txt>
          <CityNm>ERIE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>16508</ZIPCd>
        </USAddress>
        <EIN>475049201</EIN>
        <PrimaryActivitiesTxt>SR CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>9</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VISITING NURSE ASSN OF ERIE COUNTY</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2253 WEST GRANDVIEW BLVD</AddressLine1Txt>
          <CityNm>ERIE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>16506</ZIPCd>
        </USAddress>
        <EIN>250969488</EIN>
        <PrimaryActivitiesTxt>HOME HLTH</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CORRY MEDICAL SERVICES</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>965 SHAMROCK LANE</AddressLine1Txt>
          <CityNm>CORRY</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>16407</ZIPCd>
        </USAddress>
        <EIN>251425220</EIN>
        <PrimaryActivitiesTxt>HLTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11A</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CMH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CORRY MEMORIAL HOSPITAL FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>965 SHAMROCK LANE</AddressLine1Txt>
          <CityNm>CORRY</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>16407</ZIPCd>
        </USAddress>
        <EIN>208285800</EIN>
        <PrimaryActivitiesTxt>FNDRAISING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11A</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CMH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MCH CORPORATION INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>5515 PEACH STREET</AddressLine1Txt>
          <CityNm>ERIE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>16509</ZIPCd>
        </USAddress>
        <EIN>251549695</EIN>
        <PrimaryActivitiesTxt>REAL ESTAT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C CORP</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>CORRY HEALTH SERVICES</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>965 SHAMROCK LANE</AddressLine1Txt>
          <CityNm>CORRY</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>16407</ZIPCd>
        </USAddress>
        <EIN>251488214</EIN>
        <PrimaryActivitiesTxt>HLTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CMH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C CORP</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>true</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>