2016-05-13T13:56:43-05:00 2015-06-30 251690617 SCHAFFNER KNIGHT MINNAUGH & CO PC 1545 WEST 38TH STREET ERIE PA 165082347 990 2014-07-01 251002937 MILLCREEK COMMUNITY HOSPITAL MILL 0814864403 5515 PEACH STREET ERIE PA 16509 RICHARD P OLINGER TREASURER 0814864403 2016-05-13 true DENNIS W GROW CPA P00190259 8144541997 2016-05-13 2014 2016-08-17 19:52:53Z 82276176 false X WWW.LECOMHEALTH.COM X 1948 PA 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. 12 6 798 7 0 1209551 613481 48921465 57821675 679680 1948347 1927977 1698363 52738673 62081866 30000 0 0 28697737 30963663 0 0 19531938 21483420 48259675 52447083 4478998 9634783 103800451 111693738 14903804 15163967 88896647 96529771 X 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. false false 12471705 16332477 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, 2015, 9,863 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, 2015, 154 DAYS OF CHARITY CARE WERE PROVIDED AMOUNTING TO 2,011,181 OF FORGONE REVENUE AT A COST OF 683,000 TO THE HOSPITAL. BAD DEBT CHARGES INCLUDED IN ACUTE CARE - MEDICAL SURGICAL WERE 1,027,218 AT A COST OF 362,094 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 & 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. 8372481 12482891 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, 2015, 2,092 DISCHARGES TOTALING 15,433 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. 7421045 4160723 RESIDENT TRAINING: IN AN EFFORT TO ADDRESS THE CRITICAL SHORTAGE OF PHYSICIANS, MILLCREEK COMMUNITY HOSPITAL ACTS AS A TEACHING HOSPITAL AND OFFERS MORE PHYSICIAN RESIDENCY PROGRAMS THAN ANY OTHER HOSPITAL IN NORTHWESTERN PENNSYLVANIA. FOR THE FISCAL YEAR ENDED JUNE 30, 2015, THE HOSPTIAL UTILIZED 95 INTERNS ACROSS A WIDE RANGE OF MEDICAL CARE SPECIALTIES INCLUDING FAMILY PRACTICE, EAR/NOSE/THROAT, INTERNAL MEDICINE, OPHTHALMOLOGY, ORTHOPEDICS, PSYCHIATRY, GASTROINTESTINAL, PODIATRY, SPORTS MEDICINE, AND NEUROMUSCULOSKELETAL MEDICINE. 18948971 28056777 OTHER PROGRAM ACTIVITIES: OTHER PROGRAM ACTIVITIES INCLUDED 34,636 OUTPATIENT VISITS INCLUDING 3,253 OUTPATIENT SURGERIES, 16,099 EMERGENCY ROOM VISITS, 567 ADMISSIONS FOR 7,666 DAYS TO THE TRANSITIONAL CARE UNIT, AND 372 ADMISSIONS FOR 4,536 DAYS TO THE INPATIENT REHABILITATION UNIT. 18948971 28056777 47214202 true true false false false false false false false false true false false true true true true false false false false false false false false false true true false false true false false false false false false false true false false false false false true false true false true 64 0 true 798 true false false false false false false X 12 6 true false false false true false true true true false false true true true true true true true true false PA X RICHARD P OLINGER 8148644031 5515 PEACH STREET ERIE PA 16509 SILVIA M FERRETTI DO TRUSTEE 1.00 79.00 X 0 821290 31154 JOHN M FERRETTI DO CHAIRMAN 10.00 70.00 X X 0 700423 31154 MARY L ECKERT PRESIDENT/CE 72.00 8.00 X X 626674 7426 30722 RICHARD P OLINGER SECRETARY/TR 31.00 34.00 X X 262636 296474 38489 JAMES Y LIN DO TRUSTEE 8.00 57.00 X 40000 303062 33128 JOHN J KALATA DO TRUSTEE/CHIE 7.00 X 50150 0 0 MARIO EJ LANNI DSC TRUSTEE 1.00 X 0 0 0 NANCY Z O'NEILL TRUSTEE 1.00 X 0 0 0 DALE P SPARBER TRUSTEE 1.00 X 0 0 0 WILLIAM F MCCARTHY TRUSTEE 1.00 X 0 0 0 RICHARD B SEAGER TRUSTEE 1.00 X 0 0 0 DAVID A RUBINO MSGR TRUSTEE 1.00 X 0 0 0 DANIELLE HANSEN DO PHYSICIAN 20.00 40.00 X 50000 270396 35398 CHRISTOPHER CARBO DO PHYSICIAN 40.00 X 333870 0 35473 RICHARD HERRICK DO PSYCHIATRIST 40.00 X 279423 0 30243 ELISEO ROQUIZ MD ANETHESIOLOG 40.00 X 261712 0 33259 THOMAS ZIEGLER MD CLINICAL LAB 40.00 X 260429 0 24218 MARVIN WIELAND DO RADIOLOGY AN 40.00 X 257836 0 25354 2422730 2399071 348592 18 false true false CLINICAL PATHOLOGY INSTITUTE 1526 PEACH STREET ERIE PA 16501 PATHOLOGY 1363527 AMERISOURCE BERGEN 27550 NETWORK PLACE CHICAGO IL 60673 PHARMACEUTICAL 1290627 OWENS & MINOR PO BOX 644783 PITTSBURGH PA 15264 MEDICAL 664681 US FOOD SERVICE PO BOX 643190 PITTSBURGH PA 15264 DIETARY 540124 ZIMMER US INC 14235 COLLECTIONS CENTER DR CHICAGO IL 60693 MEDICAL 467387 27 159285 445827 8369 613481 NET PATIENT REVENUE 55374637 55374637 RESIDENTS CONTRACTED OUT 2447038 2447038 57821675 1048998 1048998 897677 897677 897677 897677 21090004 3655 20194310 895694 3655 899349 899349 CAFETERIA REVENUE 315333 315333 SNACKBAR/ VEND MACH REV 213130 213130 PHARMACY RECEIPTS 185496 185496 86727 86727 800686 62081866 60419387 1048998 X 1088325 816244 272081 23689522 21415328 2274194 740752 662973 77779 3586560 3209971 376589 1858504 1663361 195143 54096 48646 5450 374 374 94920 94920 203749 203749 5892123 5298471 593652 74243 66763 7480 4472848 4022193 450655 1068792 961107 107685 719080 646630 72450 41576 37387 4189 2333935 2098783 235152 1579796 1478520 101276 PROVISION FOR BAD DEBTS 2324437 2324437 PHARMACY DRUGS 1086566 1086566 REPAIRS AND MAINTENANCE 863725 776702 87023 MISCELLANEOUS 471596 424080 47516 201564 176040 25524 52447083 47214202 5232881 0 2358393 5653199 19791541 23836304 5578935 5862293 695414 982920 789231 621774 70080274 32107531 39083424 37972743 21776111 22119299 965581 965581 12761821 13679625 103800451 111693738 3481111 4173544 25896 15106 11396797 10975317 14903804 15163967 X 88896647 96529771 88896647 96529771 103800451 111693738 9634783 -1001659 -1000000 X X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 10799489 10799489 38928707 15872412 23056295 19560021 15899142 3660879 792057 335977 456080 37972743 IRREVOCABLE SELF-INSURED TRUST FUND 10870324 DUE FROM AFFILIATES 1739952 OTHER RECEIVABLES 1069349 13679625 DUE TO THIRD PARTY PAYERS 5951695 ACCRUED MEDICAL MALPRACTICE 5023622 10975317 X 58552021 -1001659 -1001659 59553680 2528186 2528186 62081866 49918897 49918897 2528186 2528186 52447083 SCHEDULE D, PAGE 3, PART X 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 30,2012 AND THEREAFTER REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. SCHEDULE D, PAGE 4, PART XI, LINE 4B INVESTMENT MANAGEMENT FEES NETTED AGAINST DIVIDEND INCOME 203,749 PROVISION FOR BAD DEBTS 2,324,437 SCHEDULE D, PAGE 4, PART XII, LINE 4B INVESTMENT MANAGEMENT FEES NETTED AGAINST DIVIDEND INCOME 203,749 PROVISION FOR BAD DEBTS 2,324,437 true true true X 1.400000000000 true X true false true true 14 959 722624 722624 0.01380 14 1478 12910406 13163185 28 2437 13633030 13163185 722624 0.01380 10 95 7421045 4160723 3260322 0.06220 3 2163 6808844 3600328 3208516 0.06120 13 2258 14229889 7761051 6468838 0.12330 41 4695 27862919 20924236 7191462 0.13710 true 2324437 819435 16764201 14906080 1858121 X true true 1 1 MILLCREEK COMMUNITY HOSPITAL 5515 PEACH STREET ERIE PA 16509 WWW.LECOMHEALTH.COM X X X X SKILLED NURSING AND BEHAV UNIT MILLCREEK COMMUNITY HOSPITAL 1 false false true X X X X X X X X 15 true true false true X WWW.LECOMHEALTH.COM X true 12 true WWW.LECOMHEALTH.COM false false true X 140.000000000000 200.000000000000 X X X true true X X X true X WWWLECOMHEALTHCOM X WWWLECOMHEALTHCOM X WWWLECOMHEALTHCOM X X X X X true X true X X X true X false false FACILITY 1, MILLCREEK COMMUNITY HOSPITAL - PART V, LINE 5 DATA OBTAINED FROM THE PA DEPARTMENT OF HEALTH SURVEY FOR ERIE COUNTY AGGREGATED OVER THE RECENT 3 YEAR PERIOD WAS USED TO SUPPLEMENT SAMPLING FROM THE LAST TRIENNIAL CHNA REPORTING PERIOD WHICH INCLUDED OVERSAMPLING FOR THE AFRICAN-AMERICAN AND HISPANIC DISPARATE POPULATIONS. QUALITATIVE DATA WAS OBTAINED THROUGH NINE FOCUS GROUPS THAT REPRESENTED A CROSS SECTION GEOGRAPHICAL AND ORGANIZATIONAL FUNCTIONS AS WELL AS NEED AND DISPARITY. INDIVIDUALS REPRESENTED A BROAD LIST OF AGENCIES INCLUDING EDUCATION, GOVERNMENT, RELIGION, HEALTH, AND SOCIAL SERVICES. THE DISPARATE POPULATIONS INCLUDED LOW INCOME, RACIAL AND ETHNIC MINORITIES, AND THOSE WITH LIMITED ENGLISH PROFICIENCY. A MAIL INVITATION WAS SENT TO ORGANIZATIONS REPRESENTING THE ABOVE MENTIONED GROUPS, FOLLOWED 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. FACILITY 1, MILLCREEK COMMUNITY HOSPITAL - PART V, LINE 6A THE HEALTHCARE PROVIDERS THAT COLLABORATED IN THE COMMUNITY NEEDS HEALTH ASSESSMENT INCLUDED ALL ERIE COUNTY HOSPITALS: ST. VINCENT HOSPITAL, UPMC HAMOT, CORRY MEMORIAL HOSPITAL, AND MILLCREEK COMMUNITY HOSPITAL. FACILITY 1, MILLCREEK COMMUNITY HOSPITAL - PART V, LINE 8 AN IMPLEMENTATION STRATEGY HAD BEEN COMPLETED FOR THE MOST RECENTLY CONDUCTED CHNA FOR THE 2012 YEAR (FYE 6-30-13), AND THE IMPLEMENTATION STRATEGY FOR THE UPCOMING CHNA FOR THE 2015 (FYE 6-30-16) IS PENDING BOARD APPROVAL BY THE 11-15-16 DUE DATE (THAT WILL BE REPORTED ON THE NEXT 2015 (FYE 6-30-16)FORM 990 REPORTING). FACILITY 1, MILLCREEK COMMUNITY HOSPITAL - PART V, LINE 11 REGARDING NEEDS ASSESSMENT: ALSO SEE RESPONSE TO SCHEDULE H, PART VI, LINE 2. THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROVIDED STRATEGIC AREAS FOR MILLCREEK COMMUNITY HOSPITAL TO ADDRESS THE NEEDS OF THE COMMUNITY. ALL OF THE NEEDS MENTIONED IN THE PREVIOUS CHNA WERE MET AND WILL CONTINUE TO BE ADDRESSED. THE FOLLOWING ARE MORE PRECISE WAYS AND ACTIONS THAT MILLCREEK COMMUNITY HOSPITAL HAS CONDUCTED TO ADDRESS THE STRATEGIC AREAS. MILLCREEK COMMUNITY HOSPITAL IDENTIFIED LUNG CANCER, BREAST CANCER, PROSTATE CANCER, AND CERVICAL CANCER AS PRIORITIES WITHIN THE ISSUE OF CANCER PREVENTION AND EARLY DETECTION IN THE COMMUNITY. AN EMPHASIS ON THE IMPORTANCE OF PREVENTIVE HEALTH HAS CONTINUED TO HELP INCREASE THE AMOUNT OF PREVENTIVE SCREENINGS. THE HOSPITAL HAS BEEN ABLE TO RETAIN PRIMARY CARE PHYSICIANS AND CONTINUE TO RECRUIT MORE TO BETTER SERVE THE COMMUNITY. CONTINUING MEDICAL EDUCATION HAS INCREASED THE KNOWLEDGE AND SKILLS OF HEALTHCARE PROFESSIONALS. ALSO, THE GRADUATE MEDICAL EDUCATION CONTINUES TO CONDUCT RESEARCH THAT IMPROVES THE QUALITY AND DELIVERY OF CARE AT MILLCREEK. REGARDING CHRONIC DISEASE PREVENTION AND CONTROL, MILLCREEK COMMUNITY HOSPITAL IDENTIFIED THE FOLLOWING AS PRIORITY AREAS: HEART DISEASE, OBESITY, HYPERTENSION, DIABETES AND PRE-DIABETES, CHRONIC OBSTRUCTIVE PULMONARY DISEASE, ASTHMA, AND COPD/ADULT ASTHMA PREVENTABLE HOSPITALIZATIONS. TECHNOLOGY EVIDENCE-BASED PRACTICES AND TOOLS HAVE HAD AN INTEGRAL ROLE IN DISEASE PREVENTION AND CONTROL. THE TRANSITION TO AN ENTIRELY ELECTRONIC MEDICAL RECORD PROVIDES A PATIENT-CENTERED AND STANDARDIZED RECORD FOR NOT ONLY THE HOSPITAL, BUT FOR THE PATIENT AND OTHER HEALTHCARE FACILITIES. AND AS PREVIOUSLY MENTIONED, RETAINING AND RECRUITING PRIMARY CARE PHYSICIANS BENEFITS DISEASE PREVENTION AND CONTROL; ALONG WITH CONTINUING EDUCATION AND KNOWLEDGE FOR ALL HEALTHCARE PROFESSIONALS. MILLCREEK COMMUNITY HOSPITAL ESTABLISHED THAT POOR MENTAL HEALTH, SUICIDE, AND FINANCIAL DISTRESS WERE PRIORITY AREAS FOR THE STRATEGIC ISSUE OF MENTAL HEALTH. BEHAVIORAL HEALTH SERVICES PROGRAM IMPROVEMENTS ARE CONTINUOUS TO BETTER SERVE THE ADULT, GERIATRIC, AND CHILD/ADOLESCENT PATIENTS. A DRIVEN WORKFORCE ENVIRONMENT IS MAINTAINED THAT SUPPORTS RETAINING AND ENTICING TALENTED BEHAVIORAL HEALTH PROFESSIONALS AT MILLCREEK COMMUNITY HOSPITAL. ALSO, INFORMATIONAL TECHNOLOGY ADVANCEMENTS AND EDUCATION CONTINUE TO ENHANCE THE KNOWLEDGE OF HEALTH PROFESSIONALS AND EDUCATION TO THE COMMUNITY. TOBACCO USE (INCLUDING SMOKING DURING PREGNANCY), PHYSICAL ACTIVITY, NUTRITION, AND ALCOHOL USE WERE IDENTIFIED AS PRIORITY AREAS PERTAINING TO THE LIFESTYLE BEHAVIOR CHANGE STRATEGIC ISSUE. EDUCATION PLAYED ANOTHER PIVOTAL ROLE IN ASSISTING MILLCREEK COMMUNITY HOSPITAL TO ADDRESS THE PRIORITY AREAS. EDUCATION RELATED TO TOBACCO AND NUTRITION IS GIVEN TO PATIENTS, FAMILIES, STAFF, AND THE COMMUNITY. THE HOSPITAL ALSO ENSURES THAT THE PATIENT'S NUTRITIONAL MEDICAL NEEDS ARE MET BY ADHERENCE TO DIET ORDERS AND PATIENT PREFERENCES. THE DETOXIFICATION UNIT ENCOURAGES THEIR PATIENTS' ALCOHOL CESSATION AND MAINTENANCE OF ABSTINENCE THROUGHOUT AND AFTER THEIR STAY. LECOM MEDICAL FITNESS AND WELLNESS CENTER IS TRYING TO IMPROVE THE HEALTH OF THE COMMUNITY BY INCREASING MEMBERSHIP AND PROVIDING EDUCATION TO THE COMMUNITY ON THE BENEFITS OF PHYSICAL ACTIVITY. 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. FACILITY 1, MILLCREEK COMMUNITY HOSPITAL - PART V, LINE 16I THE HOSPITAL PROVIDES A NOTICE OF FINANCIAL ASSISTANCE AVAILABILITY ON ITS BILLING INVOICES. PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION 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 2,324,437 (PART IX, LINE 24A) IS INCLUDED IN THE DENOMINATOR FOR PURPOSES OF PART 1, LINE 7, COLUMN F "PERCENT OF TOTAL EXPENSE". (THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE CAN BE FOUND ON PAGE 7 OF THE ATTACHED FINANCIAL STATEMENTS.) PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY 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 1,901,929 AND 2,227,626 AS OF JUNE 2015 AND 2014, 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. PART III, LINE 3 BAD DEBT EXPENSE, PATIENTS ELIGIBLE FOR ASSISTANCE BAD DEBT EXPENSE AT COST ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR CHARITY CARE IS BASED ON ESTIMATES. BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS REFER TO THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE ON PAGE 7 OF THE ATTACHED FINANCIAL STATEMENTS. PART III, LINE 8 - MEDICARE EXPLANATION EXPENSE RELATED TO ACUTE SERVICES WAS BASED ON THE RATIO OF ACUTE MEDICARE CHARGES TO TOTAL PAYOR CHARGES. COST FOR OTHER SERVICES WAS BASED ON A COMBINATION OF ACTUAL DIRECT CHARGES TIMES THE RATIO OF MEDICARE DAYS TO TOTAL DAYS, INDIRECT COSTS BASED ON A COST TO CHARGE RATIO, AND OVERHEAD COSTS BASED ON ALLOCATED COSTS FROM THE MEDICARE REPORT. NO PART OF THE SHORTFALL, IF ANY, IS TREATED AS COMMUNITY BENEFIT. PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION FINANCIAL ASSISTANCE ELIGIBLE INDIVIDUALS WILL NOT BE SENT BY THE HOSPITAL'S THIRD-PARTY COLLECTION AGENCY FOR CREDIT REPORTING EARLIER THAN 180 DAYS FROM THE FIRST POST- DISCHARGE BILLING STATEMENT. IN CASES WHERE A PATIENT LATER SUBMITS A FINANCIAL ASSISTANCE APPLICATION, MCH NOTIFIES THE THIRD-PARTY COLLECTION AGENCY TO CEASE CREDIT REPORTING. CHARITY CARE IS NOT CONSIDERED A SUBSTITUTE FOR PERSONAL RESPONSIBILITY. PATIENTS ARE EXPECTED TO FOLLOW THE HOSPITAL'S BILLING PROCEDURES AND PAY HIS/HER SHARE BASED ON FINANCIAL ABILITY. MILLCREEK COMMUNITY HOSPITAL'S COLLECTION PRACTICES TAKE INTO ACCOUNT THE EXTENT TO WHICH THE PATIENT QUALIFIES FOR CHARITY, A PATIENT'S GOOD FAITH EFFORT TO APPLY FOR A GOVERNMENTAL PROGRAM OR FOR CHARITY FROM MILLCREEK COMMUNITY HOSPITAL, AND A PATIENT'S GOOD FAITH EFFORT TO COMPLY WITH HIS OR HER PAYMENT AGREEMENTS WITH MILLCREEK COMMUNITY HOSPITAL. FOR PATIENTS WHO QUALIFY FOR CHARITY AND WHO ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR HOSPITAL BILLS, MILLCREEK COMMUNITY HOSPITAL MAY OFFER EXTENDED PAYMENT PLANS TO ELIGIBLE PATIENTS, WILL NOT IMPOSE WAGE GARNISHMENTS OR LIENS ON PRIMARY RESIDENCES, WILL NOT SEND UNPAID BILLS TO OUTSIDE COLLECTION AGENCIES, AND WILL CEASE ALL COLLECTION EFFORTS. PART VI, LINE 2 - NEEDS ASSESSMENT REGARDING NEED ASSESSMENT: ALSO SEE RESPONSE TO SCHEDULE H, PART V, LINE 11 THAT IS INCLUDED IN PART V, SCHEDULE C. IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), MILLCREEK COMMUNITY HOSPITAL ASSESSES THE HEALTH CARE NEEDS FOR THE COMMUNITY THROUGH SEVERAL APPROACHES. ONE APPROACH IS PATIENT'S EXPERIENCE OF CARE AUDITED REPORTS THAT PROVIDE MILLCREEK THE ABILITY TO DIRECTLY ASSESS THE PATIENT'S CONCERNS AND NEEDS. ANOTHER APPROACH IS INTERNAL REPORTS AND AUDITS THAT ARE CREATED FOR MANY ASPECTS OF CARE BEING DELIVERED. QUALITY AND PERFORMANCE DATA ARE REPORTED TO GOVERNING ORGANIZATIONS ON A REGULAR BASIS. THE SCORES AND INFORMATION WILL BE USED TO EVALUATE AND IMPROVE THE DELIVERY OF CARE. THE RESULTS OF THE REPORTS AND AUDITS ARE ANALYZED TO CAPTURE ANY STATISTICAL TRENDS OR AREAS FOR IMPROVEMENT. DISCUSSION OF ALL PREVIOUS ASSESSMENT APPROACHES AND OTHER IMPERATIVE TOPICS CONCERNING THE COMMUNITY SERVED OCCURS AT DEPARTMENTAL, PATIENT SAFETY, MEDICAL STAFF EXECUTIVE, AND OTHER VARIOUS COMMITTEE MEETINGS. MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP), DEVELOPED BY THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS, WAS SELECTED AS A GUIDE FOR THE CHNA. MAPP RELIES ON FOUR ASSESSMENTS TO PROVIDE THE INFORMATION NEEDED TO DEVELOP STRATEGIC ISSUES, GOALS, STRATEGIES, AND ACTION PLANS FOR THE COMMUNITY. THESE ASSESSMENTS ARE: (1) COMMUNITY HEALTH STATUS ASSESSMENT, WHICH PROVIDES QUANTITATIVE AND QUALITATIVE DATA ABOUT THE HEALTH NEEDS OF RESIDENTS, (2) COMMUNITY THEMES AND STRENGTHS ASSESSMENT, WHICH HELPS TO IDENTIFY ISSUES AND TOPICS OF INTEREST TO THE COMMUNITY, (3) FORCES OF CHANGE ASSESSMENT, WHICH IDENTIFIES CURRENT OR FUTURE ISSUES THAT MAY AFFECT THE COMMUNITY OR PUBLIC HEALTH SYSTEM, AND (4) LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT, WHICH IDENTIFIES ORGANIZATIONS THAT CONTRIBUTE TO THE PUBLIC'S HEALTH. BECAUSE THIS IS A COMPREHENSIVE NEEDS ASSESSMENT, BOTH QUANTITATIVE AND QUALITATIVE DATA ARE INCLUDED. HEALTH INDICATORS ARE REPORTED AS INDIVIDUAL DATA POINTS AND ARE ALSO INCLUDED IN TREND ANALYSES. STATISTICS FOR GENDER, RACE, ETHNICITY, AGE, EDUCATION, AND INCOME ARE LISTED WHEN AVAILABLE. FINALLY, INDICATORS ARE COMPARED TO STATE, NATIONAL, AND HEALTHY PEOPLE 2020 DATA. QUALITATIVE DATA WAS COMPILED FROM SEVEN FOCUS GROUPS CONDUCTED THROUGHOUT ERIE COUNTY. USING THE SAME QUESTIONS FOR EACH GROUP, PARTICIPANT RESPONSES PROVIDED PERCEPTUAL VIEWS FROM COUNTY RESIDENTS ABOUT THE HEALTH OF THEIR COMMUNITY. PRIORITIES FOR ERIE COUNTY WERE IDENTIFIED USING A PRIORITY MATRIX, RANKING SYSTEM, AND ASSET INVENTORY. FINAL STRATEGIC ISSUES AND OVERARCHING CHALLENGES WERE THEN DEVELOPED. PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE 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 PHYSICALLY POSTED IN THE HOSPITAL'S EMERGENCY ROOM AND PRINTED ON THE PATIENT'S BILLING STATEMENT. THE APPROPRIATE HOSPITAL EMPLOYEES ASSIST PATIENTS IN THE COMPLETION OF THE REQUIRED FORMS. PART VI, LINE 4 - COMMUNITY INFORMATION 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 28% OF THE HOSPITAL'S NET PATIENT REVENUE. THE HOSPITAL'S UNCOMPENSATED CARE IS APPROXIMATELY 8.17% OF NET PATIENT REVENUE PLUS THE COST OF UNCOMPENSATED CARE. PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH 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, 2015, THE HOSPITAL UTILIZED THE FULL-TIME EQUIVALENT OF APPROXIMATELY 95 INTERNS ACROSS A WIDE RANGE OF MEDICAL CARE SPECIALTIES INCLUDING FAMILY PRACTICE, EAR/NOSE/THROAT, INTERNAL MEDICINE, OPHTHALMOLOGY, ORTHOPEDICS, PSYCHIATRY, GASTROINTESTINAL, PODIATRY, SPORTS MEDICINE, AND NEUROMUSCULOSKETAL MEDICINE. IN ADDITION, THE HOSPITAL HAS A SHORT TERM SKILLED TRANSITIONAL CARE UNIT, AND IT WORKS IN CONJUNCTION WITH ITS AFFILIATE, MILLCREEK MANOR, TO PROVIDE LONG TERM RESIDENTIAL NURSING HOME CARE. MILLCREEK COMMUNITY HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN AN EFFORT TO ENSURE THAT HIGH QUALITY CARE IS ACCESSIBLE IN A VARIETY OF PRIMARY AND SPECIALTY CARE AREAS. THE HOSPITAL'S COMMUNITY ACTIVITIES INCLUDED SEVERAL BLOOD PRESSURE SCREENING EVENTS HELD AT SENIOR DAY, THE ANNUAL CONSUMER FAIR, NATIONAL SENIOR HEALTH & FITNESS DAY, AND THE SALVATION ARMY'S ANGEL TREE GIFT PROGRAM. A BLOOD DRIVE IS CONDUCTED TWICE A YEAR TO ASSIST IN THE COMMUNITY NEED FOR BLOOD. THE HOSPITAL HOSTS EVENTS, SUCH AS SMOKE CESSATION CLASSES SPONSORED BY THE AMERICAN LUNG ASSOCIATION AND THE CHIEF RESIDENT WORKSHOP, WHICH IS A TRAINING SESSION FOR CHIEF RESIDENTS FROM VARIOUS HOSPITALS. IN ADDITION, THE 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. PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM MEDICAL ASSOCIATES OF ERIE: MEDICAL ASSOCIATES OF ERIE (MAE), AN AFFILIATE OF THE HOSPITAL, RECEIVES OVER 93,000 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: 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. LECOM SENIOR LIVING CENTER 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), A MILLCREEK COMMUNITY HOSPITAL AFFILIATE, IS A MEDICAL COLLEGE THAT 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 4,000 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 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 2013 ECONOMIC IMPACT STUDY, THE ANNUAL ECONOMIC IMPACT OF LECOM'S COMMUNITY SERVICE EFFORTS IS MORE THAN 2.6 MILLION. 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 50 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. 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 BILL GALVANO ONE-STOP 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 IN LOCAL MOVIE THEATERS AND 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 POPULATIONS LACKING ADEQUATE DENTAL CARE. DENTAL STUDENTS IN ERIE, PA, BRADENTON AND DEFUNIAK SPRINGS, FL HOLD ANNUAL GIVE KIDS A SMILE EVENTS AND HAVE PROVIDED FREE DENTAL TREATMENTS TO MORE THAN 200 CHILDREN. AT THE BRADENTON LOCATION, PARENTS WERE ABLE TO SAVE MORE THAN 70,000 ON DENTAL CARE. LECOM FURTHER DEMONSTRATED ITS COMMITMENT TO THE COMMUNITY WHEN IT CONSTRUCTED AND OPENED AN 82,000 SQUARE FOOT STATE-OF-THE-ART MEDICALLY INTEGRATED FITNESS AND WELLNESS CENTER IN MARCH 2009. THE FACILITY FEATURES CARDIOVASCULAR EQUIPMENT, CIRCUIT/FREE WEIGHT TRAINING AREAS, FOUR GROUP EXERCISE STUDIOS, THREE SWIMMING POOLS: A LAP POOL, EXERCISE POOL, AND THERAPY POOL, A THREE LANE WALKING/RUNNING TRACK, A FULL-SIZED BASKETBALL GYMNASIUM, RACQUETBALL C X X X X X false false false false false false false false false SILVIA M FERRETTI DO TRUSTEE 800140 21150 20800 10354 852444 JOHN M FERRETTI DO CHAIRMAN 675900 24523 20800 10354 731577 MARY L ECKERT PRESIDENT/CEO 604276 22398 7426 20800 4749 5173 652223 12599 RICHARD P OLINGER SECRETARY/TREASURER/ 262636 264870 31604 19442 13874 5173 295952 301647 JAMES Y LIN DO TRUSTEE 40000 303008 54 17554 15574 40000 336190 DANIELLE HANSEN DO PHYSICIAN 50000 270342 54 19857 15541 50000 305794 CHRISTOPHER CARBO DO PHYSICIAN 333870 20800 14673 369343 RICHARD HERRICK DO PSYCHIATRIST 279423 15570 14673 309666 ELISEO ROQUIZ MD ANETHESIOLOGIST 261712 20485 12774 294971 THOMAS ZIEGLER MD CLINICAL LAB PHYSICI 260429 19469 4749 284647 MARVIN WIELAND DO RADIOLOGY ANESTHESIO 257836 20605 4749 283190 VANTAGE COMMON TRUSTEE 483995 VENDOR false SCHEDULE L, PART V 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, 2015. 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 & O'NEILL TO PERFORM ADVERTISING SERVICES DURING THE FISCAL YEAR ENDED JUNE 30, 2015. THE HOSPITAL PAID ENGEL & O'NEILL 35,017 FOR THOSE SERVICES. NANCY O'NEILL OWNS 50% OF ENGEL & O'NEILL. MICHAEL J. VISNOSKY, ESQUIRE (TRUSTEE OF A RELATED ENTITY): MR. VISNOSKY, A TRUSTEE OF LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE (LECOM), WAS EMPLOYED BY THE LAW FIRM KNOX MCLAUGHLIN GORNALL & SENNETT, P.C. UNTIL JANUARY 2015 WHEN HE ACCEPTED A NEW POSITION WITHIN THE LECOM HEALTH SYSTEM AS DIRECTOR OF GOVERNMENTAL AFFAIRS. MCH ENGAGED ATTORNEY VISNOSKY'S PREVIOUS EMPLOYER, KNOX MCLAUGHLIN GORNALL & SENNETT, P.C., TO PERFORM VARIOUS LEGAL SERVICES. DURING THE FISCAL YEAR ENDED JUNE 30, 2015, MCH PAID LEGAL FEES TOTALING 79,129 TO KNOX MCLAUGHLIN GORNALL & SENNETT, P.C. IN ADDITION, LECOM PAID LEGAL FEES TO THE KNOX FIRM TOTALING 27,339. DURING THE FIRST HALF OF THE FICAL YEAR ENDED JUNE 30, 2015, MR VISNOSKY WAS A SHAREHOLDER OF KNOX MCLAUGHLIN GORNALL & SENNETT, P.C. MR. VISNOSKY'S SON-IN-LAW, MARK A. DENLINGER, IS ALSO A SHAREHOLDER. NEITHER ATTORNEY VISNOSKY OR ATTORNEY DENLINGER INDIVIDUALLY HELD AN OWNERSHIP INTEREST OF GREATER THAN 5% IN THE LAW FIRM. COLLECTIVELY, THEIR OWNERSHIP INTERESTS DID EXCEED 5% DURING THE FIRST HALF OF THE FISCL YEAR. FORM 990 - ORGANIZATION'S MISSION MILLCREEK COMMUNITY HOSPITAL PROVIDES QUALITY HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONALITY, ORIGIN, HANDICAPS, AGE OR ABILITY TO PAY. THE ORGANIZATION'S MISSION IS TO SERVE THE COMMUNITY BY PROVIDING HEALTHCARE SERVICES AND EDUCATION. FORM 990, PAGE 2, PART III, LINE 4A 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, 2015, 154 DAYS OF CHARITY CARE WERE PROVIDED AMOUNTING TO 2,011,181 OF FORGONE REVENUE AT A COST OF 683,000 TO THE HOSPITAL. BAD DEBT CHARGES INCLUDED IN ACUTE CARE - MEDICAL SURGICAL WERE 1,027,218 AT A COST OF 362,094 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 & 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. FORM 990, PAGE 2, PART III, LINE 4B 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. FORM 990, PAGE 2, PART III, LINE 4D OTHER PROGRAM ACTIVITIES: OTHER PROGRAM ACTIVITIES INCLUDED 34,636 OUTPATIENT VISITS INCLUDING 3,253 OUTPATIENT SURGERIES, 16,099 EMERGENCY ROOM VISITS, 567 ADMISSIONS FOR 7,666 DAYS TO THE TRANSITIONAL CARE UNIT, AND 372 ADMISSIONS FOR 4,536 DAYS TO THE INPATIENT REHABILITATION UNIT. FORM 990, PAGE 6, PART VI, LINE 2 DR. JOHN M. FERRETTI DR. SYLVIA M. FERRETTI CHAIRMAN TRUSTEE FAMILY RELATONSHIP FORM 990, PAGE 6, PART VI, LINE 6 MILLCREEK HEALTH SYSTEM, THE FILING ORGANIZATION'S PARENT CORPORATION, IS THE SOLE MEMBER OF THE FILING ORGANIZATION. FORM 990, PAGE 6, PART VI, LINE 7B MILLCREEK HEALTH SYSTEM IS THE PARENT ORGANIZATION OF MILLCREEK COMMUNITY HOSPITAL. IN ACCORDANCE WITH MILLCREEK HEALTH SYSTEM'S BY-LAWS, ITS BOARD OF TRUSTEES HAS THE RIGHT TO APPROVE ANY AND ALL TRANSACTIONS THAT CHANGE, OR HAVE THE EFFECT OF CHANGING, THE OWNERSHIP AND/OR CONTROL OF THE ORGANIZATION. FORM 990, PAGE 6, PART VI, LINE 11B PRIOR TO FILING ITS FORM 990, THE ORGANIZATION PROVIDED ITS BOARD MEMBERS WITH ACCESS TO AN ELECTRONIC COPY OF THE TAX RETURN AND INVITED COMMENTS AND QUESTIONS FROM THE BOARD MEMBERS. PRIOR TO FILING FORM 990, MEMBERS OF THE ORGANIZATION'S FINANCIAL MANAGEMENT CONDUCTED A DETAILED REVIEW OF THE TAX FILING. THROUGHOUT THE REVIEW PROCESS, THERE WAS ONGOING DISCUSSION BETWEEN THE ORGANIZATION'S FINANCIAL MANAGEMENT AND THE TAX PREPARER. FORM 990, PAGE 6, PART VI, LINE 12C EACH MEMBER OF THE BOARD OF TRUSTEES IS REQUIRED TO COMPLETE A STANDARDIZED CONFLICT OF INTEREST FORM ON AN ANNUAL BASIS. ANY POTENTIAL CONFLICTS OF INTEREST ARE ADDRESSED BY AN APPOINTED COMMITTEE WHOSE MEMBERS ARE INDEPENDENT WITH REGARD TO THE MATTER BEING EXAMINED. IF A POTENTIAL CONFLICT OF INTEREST ARISES, IT IS REVIEWED AND DOCUMENTED BY THE APPOINTED COMMITTEE, AND THEN THE APPOINTED COMMITTEE REPORTS THE RESULTS OF ITS REVIEW TO THE BOARD OF TRUSTEES. FORM 990, PAGE 6, PART VI, LINE 15A THE ORGANIZATION'S BUDGET/FINANCE COMMITTEE, WHICH ALSO FUNCTIONS AS THE COMPENSATION COMMITTEE, REVIEWED A STUDY PERFORMED BY AN INDEPENDENT COMPENSATION CONSULTANT IN MARCH 2007. ON AN ANNUAL BASIS, THE COMMITTEE REVIEWS VARIOUS FORM 990 FILINGS BY COMPARATIVE ORGANIZATIONS IN ORDER TO MAKE EXECUTIVE PAY COMPARISONS. FORM 990, PAGE 6, PART VI, LINE 15B THE ORGANIZATION'S BUDGET/FINANCE COMMITTEE, WHICH ALSO FUNCTIONS AS THE COMPENSATION COMMITTEE, REVIEWED A STUDY PERFORMED BY AN INDEPENDENT COMPENSATION CONSULTANT IN MARCH 2007. ON AN ANNUAL BASIS, THE COMMITTEE REVIEWS VARIOUS FORM 990 FILINGS BY COMPARATIVE ORGANIZATIONS IN ORDER TO MAKE EXECUTIVE PAY COMPARISONS. FORM 990, PAGE 6, PART VI, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G CONTRACTED SERVICES 5,298,471 593,652 0 FORM 990, PART XI, LINE 9 INVESTMENT MANAGEMENT FEES NETTED AGAINST DIVIDEND INCOME -203,749 PROVISION FOR BAD DEBTS -2,324,437 INVESTMENT MANAGEMENT FEES NETTED AGAINST DIVIDEND INCOME 203,749 PROVISION FOR BAD DEBTS 2,324,437 FORM 990, PART XI, LINE 9 EQUITY TRANSFER TO AFFILIATE 1,000,000 FORM 990, PART XII THE ASSETS OF THE SELF-INS TRUST ARE INCLUDED ON THE HOSPITAL BALANCE SHEET LAKE ERIE COLLEGE OF OSTEOPATHIC ME 5515 PEACH STREET ERIE PA 16509 251698677 MED SCHOOL PA 2 MHS false MILLCREEK HEALTH SYSTEM (MHS) 5515 PEACH STREET ERIE PA 16509 251766164 PARENT COR PA 11C NA false MILLCREEK MANOR 5515 PEACH STREET ERIE PA 16509 251619204 LT CARE/SE PA 3 MHS false MILLCREEK HEALTH SYSTEM MEDICAL PRO 5515 PEACH STREET ERIE PA 16509 576204119 LIAB COVER PA 11D NA false MEDICAL ASSOCIATES OF ERIE ONE LECOM PLACE ERIE PA 16505 113716896 PHYS PRAC PA 9 MHS false ERIE CENTER ON HEALTH AND AGING 406 PEACH STREET ERIE PA 16507 251361363 SR HEALTH PA 7 MHS false MCH CORPORATION 5515 PEACH STREET ERIE PA 16509 251549695 REAL ESTAT PA N/A false false true true false false false false false false true true true false false false true true true false