MILLCREEK COMMUNITY HOSPITAL: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: MILLCREEK COMMUNITY HOSPITAL (EIN 25-1002937)
Tax period: 2013-07-01 to 2014-06-30
Filed: 2015-05-14
IRS object ID: 201501349349300135
Schema version: 2013v4.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-05-14T08:00:19-05:00	ReturnTs
Tax Period End	2014-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	251690617	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	SCHAFFNER KNIGHT MINNAUGH & CO PC	BusinessNameLine1

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1545 WEST 38TH STREET	AddressLine1
City	ERIE	City
State	PA	State
ZIP Code	16508	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	251002937	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MILLCREEK COMMUNITY HOSPITAL	BusinessNameLine1

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5515 PEACH STREET	AddressLine1
City	ERIE	City
State	PA	State
ZIP Code	16509	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	RICHARD P OLINGER	PersonNm
Person Title	TREASURER	PersonTitleTxt
Phone	8148644031	PhoneNum
Signature	2015-05-12	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	DENNIS W GROW CPA	PreparerPersonNm
PTIN	P00190259	PTIN
Phone	8144541997	PhoneNum

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	MARY L ECKERT	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5515 PEACH STREET	AddressLine1
City	ERIE	City
State	PA	State
ZIP Code	16509	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$68,668,228	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MILLCREEKCOMMUNITYHOSPITAL.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1948	FormationYr
Legal Domicile State	PA	LegalDomicileStateCd
Activity Or Mission	THE ORGANIZATION PROVIDES THE COMMUNITY WITH HEALTHCARE SERVICES AND EDUCATION.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	6	VotingMembersIndependentCnt
Total Employee	749	TotalEmployeeCnt
Total Volunteers	7	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,785,339	PYContributionsGrantsAmt
CY Contributions Grants	$1,209,551	CYContributionsGrantsAmt
PY Program Service Revenue	$43,711,265	PYProgramServiceRevenueAmt
CY Program Service Revenue	$48,921,465	CYProgramServiceRevenueAmt
PY Investment Income	$338,596	PYInvestmentIncomeAmt
CY Investment Income	$679,680	CYInvestmentIncomeAmt
PY Other Revenue	$1,743,213	PYOtherRevenueAmt
CY Other Revenue	$1,927,977	CYOtherRevenueAmt
PY Total Revenue	$47,578,413	PYTotalRevenueAmt
CY Total Revenue	$52,738,673	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$30,000	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$25,617,906	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$28,697,737	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$20,178,877	PYOtherExpensesAmt
CY Other Expenses	$19,531,938	CYOtherExpensesAmt
PY Total Expenses	$45,796,783	PYTotalExpensesAmt
CY Total Expenses	$48,259,675	CYTotalExpensesAmt
PY Revenues Less Expenses	$1,781,630	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$4,478,998	CYRevenuesLessExpensesAmt
Total Assets BOY	$90,814,230	TotalAssetsBOYAmt
Total Assets EOY	$103,800,451	TotalAssetsEOYAmt
Total Liabilities BOY	$9,405,848	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$14,903,804	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$81,408,382	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$88,896,647	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	MILLCREEK COMMUNITY HOSPITAL PROVIDES QUALITY HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONALITY, ORIGIN, HANDICAPS, AGE OR ABILITY TO PAY. THE ORGANIZATION'S MISSION IS TO SERVE THE COMMUNITY BY PROVIDING HEALTHCARE SERVICES AND EDUCATION.	MissionDesc
Significant New Program Srvc	Yes (1)	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$12,785,818	ExpenseAmt
Revenue	$15,797,572	RevenueAmt
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, 2014, 10,230 PATIENT DAYS WERE PROVIDED. REFER TO SCHEDULE O FOR ADDITIONAL INFORMATION REGARDING ACUTE INPATIENT CARE.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, 2014, 172 DAYS OF CHARITY CARE WERE PROVIDED AMOUNTING TO $1,989,168 OF FORGONE REVENUE AT A COST OF $722,624 TO THE HOSPITAL. BAD DEBT CHARGES INCLUDED IN ACUTE CARE - MEDICAL SURGICAL WERE $905,286 AT A COST OF $328,890 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.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$8,372,481	ExpenseAmt
Revenue	$12,204,417	RevenueAmt
Desc	BEHAVIORAL UNIT CARE: IN 2001, A LARGE LOCAL BEHAVIORAL HEALTH INPATIENT PROVIDER ANNOUNCED THAT IT WAS DISCONTINUING ITS LINE OF SERVICE. A COMMUNITY TASK FORCE WAS FORMED TO ADDRESS THE VOID AND, AT THIS GROUP'S REQUEST, MILLCREEK COMMUNITY HOSPITAL FILLED A CRITICAL NEED FOR MENTAL HEALTH 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. REFER TO SCHEDULE O FOR ADDITIONAL INFORMATION REGARDING BEHAVIORAL CARE.FOR THE FISCAL YEAR ENDED JUNE 30, 2014, 2,048 DISCHARGES TOTALING 14,201 PATIENT DAYS WERE PROVIDED.THE HOSPITAL PURSUES COLLABORATION WITH THE ERIE HEALTH CARE AND HUMAN SERVICES COMMUNITY. THE HOSPITAL IS REPRESENTED ON MANY COUNTY-SPONSORED AND OTHER PLANNING COMMITTEES, AND IS PART OF INITIATIVES TO IMPROVE OUTCOMES FOR MUTUAL CLIENTS. THE HOSPITAL IS ALSO REPRESENTED AT COMMUNITY CLINICAL FORUMS TO PROVIDE EXPERT INFORMATION AND INPUT ON DIFFICULT SITUATIONS AND CASES. THE HOSPITAL HOSTS MEETINGS AT THE FACILITY IN ORDER TO IMPROVE CONTINUITY OF CARE; THESE MEETINGS ARE ATTENDED BY REPRESENTATIVES FROM MORE THAN TWENTY LOCAL SCHOOLS, SCHOOL DISTRICTS, AND SERVICE PROVIDERS. THE HOSPITAL ALSO WELCOMES REPRESENTATIVES FROM JUVENILE JUSTICE, THE OFFICE OF CHILDREN AND YOUTH, AND OTHER GOVERNMENTAL ORGANIZATIONS IN THE INTEREST OF IMPROVING THE LIVES OF ITS PATIENTS. WORKING AGREEMENTS ARE DEVELOPED WITH LOCAL SERVICE AGENCIES TO ALLOW BOTH PATIENTS AND RECEIVING PROVIDERS TO BE LINKED WITH EACH OTHER WHILE THE PATIENT IS AT THE HOSPITAL RECEIVING CARE.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$6,803,595	ExpenseAmt
Revenue	$3,672,433	RevenueAmt
Desc	RESIDENT TRAINING:IN AN EFFORT TO ADDRESS THE CRITICAL SHORTAGE OF PHYSICIANS, MILLCREEK COMMUNITY HOSPITAL ACTS AS A TEACHING HOSPITAL AND OFFERS MORE PHYSICIAN RESIDENCY PROGRAMS THAN ANY OTHER HOSPITAL IN NORTHWESTERN PENNSYLVANIA. FOR THE FISCAL YEAR ENDED JUNE 30, 2014, THE HOSPTIAL UTILIZED 89 INTERNS ACROSS A WIDE RANGE OF MEDICAL CARE SPECIALTIES INCLUDING FAMILY PRACTICE, EAR/NOSE/THROAT, INTERNAL MEDICINE, OPHTHALMOLOGY, ORTHOPEDICS, PSYCHIATRY, GASTROINTESTINAL, PODIATRY, SPORTS MEDICINE, AND NEUROMUSCULOSKELETAL MEDICINE.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$15,267,201	ExpenseAmt
Grant	$30,000	GrantAmt
Revenue	$17,248,536	RevenueAmt
Desc	OTHER PROGRAM ACTIVITIES:OTHER PROGRAM ACTIVITIES INCLUDED 29,157 OUTPATIENT VISITS INCLUDING 3,502 OUTPATIENT SURGERIES, 15,463 EMERGENCY ROOM VISITS, AND 570 ADMISSIONS FOR 7,628 DAYS TO THE TRANSITIONAL CARE UNIT.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$15,267,201	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$30,000	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$17,248,536	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$43,229,095	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (1)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (1)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	58	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	749	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	6	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	PA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RICHARD P OLINGER	BusinessNameLine1

Field	Value	IRS element (for citing)
Phone	8148644031	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5515 PEACH STREET	AddressLine1
City	ERIE	City
State	PA	State
ZIP Code	16509	ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
MARY L ECKERT
PRESIDENT/CEO	72.00	8.00	Yes (X)	Yes (X)	$555,774	$7,426	$29,307
RICHARD P OLINGER
SECRETARY/TREASURER/CFO	31.00	34.00	Yes (X)	Yes (X)	$232,972	$265,413	$35,708
JOHN M FERRETTI DO
CHAIRMAN	10.00	70.00	Yes (X)	Yes (X)	$0	$626,825	$29,489
SILVIA M FERRETTI DO
TRUSTEE	1.00	79.00	Yes (X)		$0	$810,781	$29,489
MARIO EJ LANNI DSC
TRUSTEE	1.00		Yes (X)		$0	$0	$0
NANCY Z O'NEILL
TRUSTEE	1.00		Yes (X)		$0	$0	$0
DALE P SPARBER
TRUSTEE	1.00		Yes (X)		$0	$0	$0
WILLIAM F MCCARTHY
TRUSTEE	1.00		Yes (X)		$0	$0	$0
RICHARD B SEAGER
TRUSTEE	1.00		Yes (X)		$0	$0	$0
JOHN J KALATA DO
TRUSTEE/CHIEF OF STAFF	7.00		Yes (X)		$50,000	$0	$0
JAMES Y LIN DO
TRUSTEE	8.00	57.00	Yes (X)		$31,385	$241,134	$29,704
DAVID A RUBINO MSGR
TRUSTEE	1.00		Yes (X)		$0	$0	$0
DANIELLE HANSEN DO
PHYSICIAN	40.00				$45,154	$246,728	$28,738	Yes (X)
THOMAS ZIEGLER MD
CLINICAL LAB PHYSICIAN	40.00				$255,997	$0	$24,281		Yes (X)
ELISEO ROQUIZ MD
ANETHESIOLOGIST	40.00				$249,109	$0	$32,113		Yes (X)
MARVIN WIELAND DO
RADIOLOGY ANESTHESIOLOGIST	40.00				$268,279	$0	$25,024		Yes (X)
RICHARD HERRICK DO
PSYCHIATRIST	40.00				$248,826	$0	$29,728		Yes (X)
CHRISTOPHER CARBO DO
PHYSICIAN	40.00				$320,254	$0	$34,413		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,257,750	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,198,307	TotReportableCompRltdOrgAmt
Total Other Compensation	$327,994	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	18	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
CLINICAL PATHOLOGY INSTITUTE
1526 PEACH STREET	ERIE	PA	16501	PROFESSIONAL PATHOLOGY SERVICES	$1,118,360
AMERISOURCE BERGEN
27550 NETWORK PLACE	CHICAGO	IL	60673	PHARMACEUTICAL & MEDICAL	$944,588
OWENS & MINOR
PO BOX 644783	PITTSBURGH	PA	15264	MEDICAL	$623,204
SODEXO
PO BOX 360170	PITTSBURGH	PA	15251	FOOD SERVICES	$621,305
CONCEPT REHAB
7150 GRANITE CIRCLE	TOLEDO	OH	43167	THERAPY SERVICES	$595,301

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	26	CntrctRcvdGreaterThan100KCnt
Government Grants	$1,059,486	GovernmentGrantsAmt
All Other Contributions	$150,065	AllOtherContributionsAmt
Total Contributions	$1,209,551	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE	900099	$46,533,614	$46,533,614
RESIDENTS CONTRACTED OUT	900099	$2,387,851	$2,387,851

Field	Value	IRS element (for citing)
Total Program Service Revenue	$48,921,465	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$978,637	TotalRevenueColumnAmt
Exclusion	$978,637	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$876,714	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$149,723	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$726,991	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$726,991	TotalRevenueColumnAmt
Exclusion	$726,991	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$15,479,382	SecuritiesAmt
Other	$1,493	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$15,779,832	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$300,450	SecuritiesAmt
Other	$1,493	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$298,957	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,493	RelatedOrExemptFuncIncomeAmt
Exclusion	-$300,450	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
MISCELLANEOUS REVENUE	900099	$457,115	$457,115
CAFETERIA REVENUE	900099	$315,748	$315,748
PHARMACY RECEIPTS	446110	$219,611	$219,611

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$208,512	TotalRevenueColumnAmt
Exclusion	$208,512	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,200,986	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$52,738,673	TotalRevenueColumnAmt
Related Or Exempt Func Income	$48,922,958	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$2,606,164	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$30,000	TotalAmt
Program Services	$30,000	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$971,720	TotalAmt
Program Services	$728,790	ProgramServicesAmt
Management And General	$242,930	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$22,230,393	TotalAmt
Program Services	$20,096,275	ProgramServicesAmt
Management And General	$2,134,118	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$656,092	TotalAmt
Program Services	$587,202	ProgramServicesAmt
Management And General	$68,890	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$3,034,234	TotalAmt
Program Services	$2,715,639	ProgramServicesAmt
Management And General	$318,595	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,805,298	TotalAmt
Program Services	$1,615,742	ProgramServicesAmt
Management And General	$189,556	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$53,810	TotalAmt
Program Services	$48,052	ProgramServicesAmt
Management And General	$5,758	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,903	TotalAmt
Management And General	$2,903	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$110,740	TotalAmt
Management And General	$110,740	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$243,188	TotalAmt
Management And General	$243,188	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$4,974,264	TotalAmt
Program Services	$4,442,018	ProgramServicesAmt
Management And General	$532,246	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$90,440	TotalAmt
Program Services	$80,763	ProgramServicesAmt
Management And General	$9,677	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,716,014	TotalAmt
Program Services	$4,211,401	ProgramServicesAmt
Management And General	$504,613	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$883,262	TotalAmt
Program Services	$788,753	ProgramServicesAmt
Management And General	$94,509	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$656,557	TotalAmt
Program Services	$586,305	ProgramServicesAmt
Management And General	$70,252	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$94,864	TotalAmt
Program Services	$84,714	ProgramServicesAmt
Management And General	$10,150	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,223,326	TotalAmt
Program Services	$1,985,430	ProgramServicesAmt
Management And General	$237,896	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,004,407	TotalAmt
Program Services	$905,215	ProgramServicesAmt
Management And General	$99,192	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
PROVISION FOR BAD DEBTS	$1,852,784	$1,852,784
PHARMACY DRUGS	$1,142,325	$1,142,325
REPAIRS AND MAINTENANCE	$850,478	$759,477	$91,001
MISCELLANEOUS	$419,850	$374,926	$44,924

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$212,726	TotalAmt
Program Services	$193,284	ProgramServicesAmt
Management And General	$19,442	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$48,259,675	TotalAmt
Program Services	$43,229,095	ProgramServicesAmt
Management And General	$5,030,580	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,934,794	BOYAmt
EOY	$2,358,393	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$11,764,022	BOYAmt
EOY	$19,791,541	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$5,657,541	BOYAmt
EOY	$5,578,935	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$727,504	BOYAmt
EOY	$695,414	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$717,434	BOYAmt
EOY	$789,231	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$68,857,414	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$29,773,990	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$38,948,713	BOYAmt
EOY	$39,083,424	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$18,789,910	BOYAmt
EOY	$21,776,111	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$965,581	BOYAmt
EOY	$965,581	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$11,308,731	BOYAmt
EOY	$12,761,821	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$90,814,230	BOYAmt
EOY	$103,800,451	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$3,357,777	BOYAmt
EOY	$3,481,111	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$23,471	BOYAmt
EOY	$25,896	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$6,024,600	BOYAmt
EOY	$11,396,797	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$9,405,848	BOYAmt
EOY	$14,903,804	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$81,408,382	BOYAmt
EOY	$88,896,647	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$81,408,382	BOYAmt
EOY	$88,896,647	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$90,814,230	BOYAmt
EOY	$103,800,451	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$4,478,998	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$3,509,267	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$500,000	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,718,074	OtherCostOrOtherBasisAmt
Book Value	$10,718,074	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$38,943,657	OtherCostOrOtherBasisAmt
Depreciation	$14,585,377	DepreciationAmt
Book Value	$24,358,280	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$18,707,195	OtherCostOrOtherBasisAmt
Depreciation	$14,885,968	DepreciationAmt
Book Value	$3,821,227	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$488,488	OtherCostOrOtherBasisAmt
Depreciation	$302,645	DepreciationAmt
Book Value	$185,843	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$39,083,424	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
IRREVOCABLE SELF-INSURED TRUST FUND	$10,893,055
OTHER RECEIVABLES	$1,174,129
DUE FROM AFFILIATES	$694,637

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$12,761,821	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
ACCRUED MEDICAL MALPRACTICE	$5,004,553
DUE TO THIRD PARTY PAYERS	$6,392,244

Field	Value	IRS element (for citing)
Total Liability	$11,396,797	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$54,301,691	TotalRevEtcAuditedFinclStmtAmt
Other Revenue	$3,509,267	OtherRevenueAmt
Revenue Not Reported	$3,509,267	RevenueNotReportedAmt
Revenue Subtotal	$50,792,424	RevenueSubtotalAmt
Other Revenues Not Included	$1,946,249	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$1,946,249	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$52,738,673	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$46,313,426	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$149,723	OtherExpensesIncludedAmt
Expenses Not Reported	$149,723	ExpensesNotReportedAmt
Expenses Subtotal	$46,163,703	ExpensesSubtotalAmt
Other Expenses Not Included	$2,095,972	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$2,095,972	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$48,259,675	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART X, LINE 2:	THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AND IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED. THE HOSPITAL ADOPTED THE STANDARD 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 STANDARD ALSO PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING FOR INTERIM PERIODS, AND DISCLOSURE. MANAGEMENT HAS DETERMINED THAT ADOPTION OF THE STANDARD DID NOT HAVE A MATERIAL EFFECT ON THE FINANCIAL STATEMENTS. THE HOSPITAL'S INCOME TAX RETURNS FOR THE YEARS ENDED 2012, 2011, AND 2010 REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE AND STATE AGENCIES.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	NET UNREALIZED LOSSES ON INVESTMENTS 3,509,267.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	INVESTMENT MANAGEMENT FEES NETTED AGAINST DIVIDEND INCOME 243,188. DEPRECIATION EXPENSE RELATED TO RENTAL INCOME -149,723. PROVISION FOR BAD DEBTS 1,852,784. OTHER MISC.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	DEPRECIATION EXPENSE REFLECTED ON STMT OF REVENUE 149,723. OTHER MISC.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	INVESTMENT MANAGEMENT FEES NETTED AGAINST DIVIDEND INCOME 243,188. PROVISION FOR BAD DEBTS 1,852,784.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	140.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent200 D	Yes (X)	Percent200DInd
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	0	FinancialAssistanceBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Activities Or Programs	14	ActivitiesOrProgramsCnt
Persons Served	958	PersonsServedCnt
Total Community Benefit Expns	$722,561	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$722,561	NetCommunityBenefitExpnsAmt
Total Expense	0.01500	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	14	ActivitiesOrProgramsCnt
Persons Served	1659	PersonsServedCnt
Total Community Benefit Expns	$13,092,860	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,984,306	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$108,554	NetCommunityBenefitExpnsAmt
Total Expense	0.00220	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	28	ActivitiesOrProgramsCnt
Persons Served	2617	PersonsServedCnt
Total Community Benefit Expns	$13,815,421	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,984,306	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$831,115	NetCommunityBenefitExpnsAmt
Total Expense	0.01720	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	10	ActivitiesOrProgramsCnt
Persons Served	92	PersonsServedCnt
Total Community Benefit Expns	$6,803,595	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,672,433	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,131,162	NetCommunityBenefitExpnsAmt
Total Expense	0.06490	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	1787	PersonsServedCnt
Total Community Benefit Expns	$5,664,435	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,693,628	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,970,807	NetCommunityBenefitExpnsAmt
Total Expense	0.04080	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	13	ActivitiesOrProgramsCnt
Persons Served	1879	PersonsServedCnt
Total Community Benefit Expns	$12,468,030	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,366,061	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,101,969	NetCommunityBenefitExpnsAmt
Total Expense	0.10570	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	41	ActivitiesOrProgramsCnt
Persons Served	4496	PersonsServedCnt
Total Community Benefit Expns	$26,283,451	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,350,367	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,933,084	NetCommunityBenefitExpnsAmt
Total Expense	0.12290	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$1,852,784	BadDebtExpenseAmt
Bad Debt Expense Attributable	$336,539	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$14,863,125	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$13,169,180	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$1,693,945	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MILLCREEK COMMUNITY HOSPITAL	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5515 PEACH STREET	AddressLine1
City	ERIE	City
State	PA	State
ZIP Code	16509	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	SKILLED NURSING UNIT AND BEHAVIORAL UNIT	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	MILLCREEK COMMUNITY HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
CHNA Conducted	12	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Rpt Available Upon Request	Yes (X)	RptAvailableUponRequestInd
Adopt Implementation Strategy	Yes (X)	AdoptImplementationStrategyInd
Exec Implementation Strategy	Yes (X)	ExecImplementationStrategyInd
Prioritize Health Needs	Yes (X)	PrioritizeHealthNeedsInd
Prioritize Services	Yes (X)	PrioritizeServicesInd
All Needs Addressed	0	AllNeedsAddressedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Used Deter Elig Free Care	Yes (1)	FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt Care	Yes (1)	FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care	140.000000000000	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (1)	ExplainedBasisInd
Income Level	Yes (X)	IncomeLevelInd
Asset Level	Yes (X)	AssetLevelInd
Medical Indigency	Yes (X)	MedicalIndigencyInd
Insurance Status	Yes (X)	InsuranceStatusInd
Uninsured Discount	Yes (X)	UninsuredDiscountInd
Medicaid Medicare	Yes (X)	MedicaidMedicareInd
State Regulation	Yes (X)	StateRegulationInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
Posted On Website	Yes (X)	PostedOnWebsiteInd
Posted In Emergency Room	Yes (X)	PostedInEmergencyRoomInd
Posted In Admission Office	Yes (X)	PostedInAdmissionOfficeInd
Available On Request	Yes (X)	AvailableOnRequestInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Collection Activities	0	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
MILLCREEK COMMUNITY HOSPITAL	PART V, SECTION B, LINE 4: THE HEALTHCARE PROVIDERS THAT COLLABORATED IN THE COMMUNITY NEEDS HEALTH ASSESSMENT INCLUDED ALL ERIE COUNTY HOSPITALS: ST. VINCENT HOSPITAL, UPMC HAMOT, CORRY MEMORIAL HOSPITAL, AND MILLCREEK COMMUNITY HOSPITAL.
MILLCREEK COMMUNITY HOSPITAL	PART V, SECTION B, LINE 7: EVEN THOUGH THE HOSPITAL PROVIDES SEVERAL FREE COMMUNITY SERVICES TO THE COMMUNITY AND DISCOUNTED CARE FOR THE FINANCIALLY DISTRESSED, THE HOSPITAL IS NOT ABLE TO ADDRESS ALL FACTORS RELATING TO THE FINANCIAL DISTRESS AND POVERTY CHALLENGES OF THE COMMUNITY IT SERVES DUE TO ITS OWN FINANCIAL LIMITATIONS AND SCOPE OF ITS MISSION.
MILLCREEK COMMUNITY HOSPITAL	PART V, SECTION B, LINE 14G: THE HOSPITAL PROVIDES A NOTICE OF FINANCIAL ASSISTANCE AVAILABILITY ON ITS BILLING INVOICES.
MILLCREEK COMMUNITY HOSPITAL	PART V, SECTION B, LINE 20D: MEDICAID RATES

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7:	LINE 7A CHARITY CARE - RATIO OF PATIENT CARE COSTS TO CHARGESLINE 7B MEDICAID - RATIO OF PATIENT CARE COSTS TO CHARGESLINE 7F HEALTH PROFESSIONAL EDUCATION - A COMBINATION OF ACTUAL COST AND COST TO CHARGES IS USED. ACTUAL IS USED FOR DIRECT EXPENSE AND COST TO CHARGES FOR COMMON EXPENSE FROM THE MEDICARE COST REPORT.LINE 7G SUBSIDIZED HEALTH SERVICES - THE COSTING METHODOLOGY WAS DETERMINED BASED ON THE PARTICULAR ACTIVITY/PROGRAM AND THE TYPE OF EXPENSE. ACTUAL COST WAS USED WHERE DIRECT EXPENSES WERE IDENTIFIABLE. A RATIO OF PATIENT CARE COST TO CHARGES WAS USED IN THE CASE OF INDIRECT EXPENSES.
PART I, LINE 7G:	EXPENSE INCLUDES $499,770 FOR MEDICAL ASSISTANCE CLINICS
PART I, LN 7 COL(F):	BAD DEBT OF $0 IS EXCLUDED FROM THE DENOMINATOR FOR PURPOSES OF PART 1, LINE 7, COLUMN F - "PERCENT OF TOTAL EXPENSE". BAD DEBT EXPENSE IS A REDUCTION OF NET PATIENT REVENUE.
PART III, LINE 4:	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, LINES 2 AND 3: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 $2,227,626 AND $4,113,735 AS OF JUNE 2014 AND 2013, 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 IN NOT INCLUDED AS PART OF BAD DEBT EXPENSE. LINE 3 - BAD DEBT EXPENSE AT COST ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR CHARITY CARE IS BASED ON ESTIMATES.
PART III, LINE 8:	EXPENSE RELATED TO ACUTE SERVICES WAS BASED ON THE RATIO OF ACUTE MEDICARE CHARGES TO TOTAL PAYOR CHARGES. COST FOR OTHER SERVICES WAS BASED ON A COMBINATION OF ACTUAL DIRECT CHARGES TIMES THE RATIO OF MEDICARE DAYS TO TOTAL DAYS, INDIRECT COSTS BASED ON A COST TO CHARGE RATIO, AND OVERHEAD COSTS BASED ON ALLOCATED COSTS FROM THE MEDICARE REPORT. NO PART OF THE SHORTFALL IS DUE TO COMMUNITY BENEFIT.
PART III, LINE 9B:	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:	RESIDENTS OF ERIE COUNTY (THE COMMUNITY SERVED) WERE RANDOMLY SURVEYED USING THE SERVICES OF MOORE RESEARCH SERVICES. AFTER THE INITIAL RANDOM SURVEY, OVERSAMPLING WAS THEN CONDUCTED FOR THE DISPARATE POPULATION GROUPS; AFRICAN-AMERICAN AND HISPANIC.QUALITATIVE DATA WAS DRAWN THROUGH FOCUS GROUPS, AND THEIR PURPOSE WAS TO OBTAIN INFORMATION PERTAINING TO THE PERCEIVED NEEDS OF THE CLIENTS THEY SERVED. THE FOCUS GROUPS WERE COMPRISED OF A DIVERSE GROUP OF ORGANIZATIONS INCLUDING HEALTH CARE, EDUCATION, GOVERNMENT, SOCIAL SERVICE, MENTAL HEALTH, LAW ENFORCEMENT, MENTAL HEALTH, AND ADVOCATE GROUPS. ORGANIZATIONS WITHIN THE DIVERSE ORGANIZATIONS ABOVE WERE SENT A MAIL INVITATION FOLLOWED UP WITH A PHONE CALL THAT RESULTED IN FIVE SEPARATE FOCUS GROUP MEETINGS HELD AT VARIOUS LOCATIONS WITHIN ERIE COUNTY (TO ACCOMMODATE THE METROPOLITAN AND RURAL DIVERSITY). 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, TWO ADDITIONAL FOCUS GROUPS WERE CONDUCTED. THE FIRST GROUP WAS FOR REFUGEE, MIGRANT WORKER, AND IMMIGRANT INTERPRETERS, AND THE SECOND GROUP WAS FOR AFRICAN-AMERICANS.
PART VI, LINE 3:	THE HOSPITAL UTILIZES THE FOLLOWING PROCEDURES TO INFORM AND EDUCATE ITS PATIENTS AND PERSONS, WHO MAY BE BILLED FOR PATIENT CARE, ABOUT THEIR 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:	THE HOSPITAL SERVES ERIE COUNTY, PENNSYLVANIA AND PERIPHERAL AREAS SURROUNDING THE COUNTY. BASED ON 2012 INFORMATION PUBLISHED ON ERIEVITALSIGNS.ORG, 15.8% OF ERIE COUNTY RESIDENTS WERE BELOW THE POVERTY LEVEL DURING THE STUDIED TIME FRAME. POVERTY RATES FOR THE SAME TIME PERIOD EXCEEDED 25.7% IN THE CITY OF ERIE. PER CAPITA INCOME IN ERIE COUNTY WAS $36,671, 18.7% BELOW THE NATIONAL AVERAGE.ACCORDING TO A FORECASTED CENSUS STUDY, THE POPULATION OF ERIE COUNTY IS APPROXIMATELY 282,000 AND IS EXPECTED TO DECREASE BY 2.1% BY 2015 WHILE THE POPULATION GROUP AGED 65 AND OVER IS EXPECTED TO INCREASE BY 7.6%. ACCORDINGLY, THE HOSPITAL WILL LIKELY SEE ITS MEDICARE PERCENTAGE OF NET PATIENT REVENUE INCREASE FROM ITS CURRENT PERCENTAGE OF 39%.THE HOSPITAL SERVICES A DISPROPORTIONATE SHARE OF LOW INCOME HOUSEHOLDS. MEDICAL ASSISTANCE COMPRISED APPROXIMATELY 23% OF THE HOSPITAL'S NET PATIENT REVENUE. THE HOSPITAL'S UNCOMPENSATED CARE IS APPROXIMATELY 3.24% OF NET PATIENT REVENUE PLUS THE COST OF UNCOMPENSATED CARE.
PART VI, LINE 5:	MILLCREEK COMMUNITY HOSPITAL IS THE ONLY HOSPITAL IN ITS SERVICE AREA THAT OPERATES UNDER THE PRINCIPLES OF OSTEOPATHIC HEALTH CARE. 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 IN THE AREAS OF PARTIAL HOSPITALIZATION, THE DIETARY DEPARTMENT AND NURSING ADMINISTRATION/SOCIAL SERVICES HAVE ALL BEEN COMPLETED. 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, 2013, THE HOSPITAL UTILIZED THE FULL-TIME EQUIVALENT OF 84 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:	MEDICAL ASSOCIATES OF ERIE (MAE), AN AFFILIATE OF THE HOSPITAL, RECEIVES OVER 74,000 PATIENT VISITS ANNUALLY. THE PATIENTS TREATED ARE PREDOMINANTLY LOW INCOME AND RESIDE IN THREE UNDERSERVED AREAS OF ERIE COUNTY. FOR 57% 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.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 1993 AND HAS A TOTAL STUDENT ENROLLMENT OF MORE THAN 3,700 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 AND THE THIRD AND FOURTH-YEAR STUDENTS 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 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. THE ANNUAL ECONOMIC IMPACT OF LECOM'S COMMUNITY SERVICE EFFORTS IS MORE THAN $2 MILLION.DURING THE HOLIDAY SEASON, 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 FOR MORE THAN 10 YEARS 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 WITH THE SAFE KIDS COORDINATOR ON THESE PROJECTS.THE LECOM INSTITUTE FOR SUCCESSFUL AGING HAS ACQUIRED LIFEWORKS ERIE, AN EDUCATIONAL AND MEDICAL SERVICE PROVIDER FOR OLDER ADULTS. LIFEWORKS 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.
PART IV, LINE 6 CONTINUED	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 REACHES OVER ONE MILLION PEOPLE.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 COURTS, AND INDOOR GOLF SIMULATOR. THE FACILITY IS STAFFED BY HEALTH PROMOTION EXPERTS, AND EACH TRAINER IN THE FACILITY POSSESSES AT LEAST A BACHELOR DEGREE IN A FIELD RELATED TO THE MISSION OF THE WELLNESS CENTER. THE WELLNESS CENTER ALSO OFFERS SPA AND MASSAGE THERAPY SERVICES, A HEALTHY CAFE WITH A COOKING DEMONSTRATION KITCHEN, A CONFERENCE/EDUCATION CENTER, AND A SAFE ENVIRONMENT FOR CHILDREN TO PLAY WHILE THEIR RESPONSIBLE ADULTS UTILIZE THE FACILITY. THE FACILITY ALSO HOUSES A DESIGNATED PHYSICAL THERAPY AREA OPERATED BY THE HOSPITAL, AND PHYSICAN OFFICES STAFFED BY DOCTORS EMPLOYED BY THE HOSPITAL'S AFFILIATE, MEDICAL ASSOCIATES OF ERIE.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 IN ERIE, PA AND DEFUNIAK SPRINGS, FL WHERE STUDENTS ARE SERVING POPULATIONS LACKING ADEQUATE DENTAL CARE.THE US NEWS AND WORLD REPORT ON THE TOP MEDICAL SCHOOLS IN PRIMARY CARE HAS RANKED LECOM #52 (WITH TIES) THIS YEAR. LECOM IS LISTED AMONG THE MOST AFFORDABLE PRIVATE MEDICAL SCHOOLS AT #2. AND THE COLLEGE IS RANKED #4 AMONG THE MEDICAL SCHOOLS THAT TURN OUT THE MOST PRIMARY CARE RESIDENTS (68% OF LECOM GRADUATES GO INTO PRIMARY CARE). US NEWS AND WORLD REPORT RECEIVED RESPONSES FROM 144 MEDICAL COLLEGES.FOR MORE INFORMATION REGARDING THE ACTIVITIES OF THE HOSPITAL AND ITS AFFILIATES, PLEASE VIST THE MILLCREEK COMMUNITY HOSPITAL WEBSITE AT WWW.MILLCREEKCOMMUNITYHOSPITAL.COM. LINKS TO THE HOSPITAL'S AFFILIATES ARE AVAILABLE ON THE HOSPITAL'S WEBSITE.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	0	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ERIE COUNTY	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	140 WEST 6TH STREET	AddressLine1
City	ERIE	City
State	PA	State
ZIP Code	16501	ZIPCode

Field	Value	IRS element (for citing)
Cash Grant	$30,000	CashGrantAmt
Purpose Of Grant	EMERGENCY VEHICLE ENHANCEMENT	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total Other Org	1	TotalOtherOrgCnt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MARY L ECKERT
PRESIDENT/CEO	$533,655	$0	$0	$0	$22,119	$7,426	$20,400	$0	$4,624	$4,283	$580,798	$11,709	$0	$0
RICHARD P OLINGER
SECRETARY/TREASURER/CFO	$232,972	$233,705	$0	$0	$0	$31,708	$17,398	$0	$14,013	$4,297	$264,383	$269,710	$0	$0
JOHN M FERRETTI DO
CHAIRMAN	$0	$602,302	$0	$0	$0	$24,523	$0	$20,400	$0	$9,089	$0	$656,314	$0	$0
SILVIA M FERRETTI DO
TRUSTEE	$0	$789,631	$0	$0	$0	$21,150	$0	$20,400	$0	$9,089	$0	$840,270	$0	$0
JAMES Y LIN DO
TRUSTEE	$31,385	$241,080	$0	$0	$0	$54	$0	$14,807	$0	$14,897	$31,385	$270,838	$0	$0
DANIELLE HANSEN DO
PHYSICIAN	$45,154	$246,668	$0	$0	$0	$60	$0	$13,968	$0	$14,770	$45,154	$275,466	$0	$0
THOMAS ZIEGLER MD
CLINICAL LAB PHYSICIAN	$255,997	$0	$0	$0	$0	$0	$19,657	$0	$4,624	$0	$280,278	$0	$0	$0
ELISEO ROQUIZ MD
ANETHESIOLOGIST	$249,109	$0	$0	$0	$0	$0	$19,896	$0	$12,217	$0	$281,222	$0	$0	$0
MARVIN WIELAND DO
RADIOLOGY ANESTHESIOLOGIST	$268,279	$0	$0	$0	$0	$0	$20,400	$0	$4,624	$0	$293,303	$0	$0	$0
RICHARD HERRICK DO
PSYCHIATRIST	$248,826	$0	$0	$0	$0	$0	$15,715	$0	$14,013	$0	$278,554	$0	$0	$0
CHRISTOPHER CARBO DO
PHYSICIAN	$320,254	$0	$0	$0	$0	$0	$20,400	$0	$14,013	$0	$354,667	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE J, PART II, COLUMN F:	FormAndLineReferenceDesc
Explanation	IN ACCORDANCE WITH THE SCHEDULE J INSTRUCTIONS, COLUMN F REPRESENTS ANY PAYMENT REPORTED IN THE CURRENT YEAR'S COLUMN (B) TO THE EXTENT SUCH PAYMENT WAS ALREADY REPORTED AS COMPENSATION TO THE LISTED PERSON ON A PRIOR FORM 990.	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
VANTAGE
TRUSTEE M. ECKERT IS ALSO A TRUSTEE OF VANTAGE	$508,190	INDEPENDENT CONTRACTOR - SELLS MEDICAL SUPPLIES AND SERVICES TO MILLCREEK COMMUNITY HOSPITAL.	0
(no name)
			0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 2	THE HOSPITAL STARTED A 14 BED ACUTE INPATIENT REHABILITATION UNIT. THE FACILITY HAD 358 ADMISSIONS PROVIDING 4,365 PATIENT DAYS.
FORM 990, PART VI, SECTION A, LINE 2	DR. JOHN M. FERRETTI, D.O. AND DR. SILVIA M. FERRETTI, D.O. - FAMILY RELATIONSHIP
FORM 990, PART VI, SECTION A, LINE 6	MILLCREEK HEALTH SYSTEM, THE FILING ORGANIZATION'S PARENT CORPORATION, IS THE SOLE MEMBER OF THE FILING ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7B	MILLCREEK HEALTH SYSTEM IS THE PARENT ORGANIZATION OF MILLCREEK COMMUNITY HOSPITAL. IN ACCORDANCE WITH MILLCREEK HEALTH SYSTEM'S BY-LAWS, ITS BOARD OF TRUSTEES HAS THE RIGHT TO APPROVE ANY AND ALL TRANSACTIONS THAT CHANGE, OR HAVE THE EFFECT OF CHANGING, THE OWNERSHIP AND/OR CONTROL OF THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11	PRIOR TO FILING ITS FORM 990, THE ORGANIZATION PROVIDED ITS BOARD MEMBERS WITH ACCESS TO AN ELECTRONIC COPY OF THE TAX RETURN AND INVITED COMMENTS AND QUESTIONS FROM THE BOARD MEMBERS. PRIOR TO FILING FORM 990, MEMBERS OF THE ORGANIZATION'S FINANCIAL MANAGEMENT CONDUCTED A DETAILED REVIEW OF THE TAX FILING. THROUGHOUT THE REVIEW PROCESS, THERE WAS ONGOING DISCUSSION BETWEEN THE ORGANIZATION'S FINANCIAL MANAGEMENT AND THE TAX PREPARER.
FORM 990, PART VI, SECTION B, LINE 12C	EACH MEMBER OF THE BOARD OF TRUSTEES IS REQUIRED TO COMPLETE A STANDARDIZED CONFLICT OF INTEREST FORM ON AN ANNUAL BASIS. ANY POTENTIAL CONFLICTS OF INTEREST ARE ADDRESSED BY AN APPOINTED COMMITTEE WHOSE MEMBERS ARE INDEPENDENT WITH REGARD TO THE MATTER BEING EXAMINED. IF A POTENTIAL CONFLICT OF INTEREST ARISES, IT IS REVIEWED AND DOCUMENTED BY THE APPOINTED COMMITTEE, AND THEN THE APPOINTED COMMITTEE REPORTS THE RESULTS OF ITS REVIEW TO THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION B, LINE 15	THE ORGANIZATION'S BUDGET/FINANCE COMMITTEE, WHICH ALSO FUNCTIONS AS THE COMPENSATION COMMITTEE, REVIEWED A STUDY PERFORMED BY AN INDEPENDENT COMPENSATION CONSULTANT 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, PART VI, SECTION C, LINE 19	THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
FORM 990, PART IX, LINE 11G	CONTRACTUAL: PROGRAM SERVICE EXPENSES 4,442,018. MANAGEMENT AND GENERAL EXPENSES 532,246. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,974,264.
FORM 990, PART XI, LINE 9:	EQUITY TRANSFER TO AFFILIATE -500,000.
FORM 990, PART XI, LINE 2C:	THE FINANCE COMMITTEE ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE ORGANIZATION'S INDEPENDENT FINANCIAL STATEMENT AUDIT. THE PROCESS ASSOCIATED WITH THE OVERSIGHT OF THE INDEPENDENT FINANCIAL STATEMENT AUDIT REMAINS CONSISTENT WITH THE PRIOR FISCAL YEAR.
FORM 990, PART IV, LINE 28C:	SUPPLEMENTAL DISCLOSURE REGARDING BUSINESS TRANSACTIONS CERTAIN CURRENT OR FORMER OFFICERS OR TRUSTEES ARE EMPLOYED OR HAVE AN OWNERSHIP INTEREST IN ORGANIZATIONS WITH WHOM MILLCREEK COMMUNITY HOSPITAL (THE HOSPITAL) TRANSACTS BUSINESS. BASED ON THE REPORTING THRESHOLDS STATED IN THE FILING INSTRUCTIONS, THESE 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, 2014. 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, 2014. THE HOSPITAL PAID ENGEL & O'NEILL $38,985 FOR THOSE SERVICES. NANCY O'NEILL OWNS 50% OF ENGEL & O'NEILL. JAMES A. SCHAFFNER, CPA/ABV, CFF, CVA (FORMER OFFICER AND TRUSTEE): MR. SCHAFFNER'S EMPLOYER, SCHAFFNER KNIGHT MINNAUGH & CO, P.C., WAS ENGAGED TO PREPARE THE HOSPITAL'S TAX RETURNS AS WELL AS THE TAX FILINGS FOR RELATED ORGANIZATIONS. MR. SCHAFFNER'S FIRM IS ALSO ENGAGED FOR CONSULTING SERVICES AS NEEDED. THE HOSPITAL PAID ACCOUNTING FEES TOTALING $19,000 TO SCHAFFNER KNIGHT MINNAUGH & COMPANY, P.C. DURING THE FISCAL YEAR ENDED JUNE 30, 2014.
FORM 990, PART X:	SUPPLEMENTAL BALANCE SHEET DISCLOSURE: THE ASSETS OF A RELATED ORGANIZATION, MILLCREEK HEALTH SYSTEM MEDICAL PROFESSIONAL LIABILITY SELF-INSURANCE TRUST (EIN 57-6204119), ARE INCLUDED ON THE BALANCE SHEET OF THE FILING ORGANIZATION.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE
5515 PEACH STREET	ERIE	PA	16509	251698677	MEDICAL SCHOOL AND SCHOOL OF PHARMACY	PA	501(C)(3)	LINE 2	MILLCREEK HEALTH SYSTEM	0
MILLCREEK HEALTH SYSTEM
5515 PEACH STREET	ERIE	PA	16509	251766164	PARENT CORPORATION	PA	501(C)(3)	LINE 11C, III-FI		0	N/A
MILLCREEK MANOR
5515 PEACH STREET	ERIE	PA	16509	251619204	LONG TERM CARE NURSING FACILITY	PA	501(C)(3)	LINE 3	MILLCREEK HEALTH SYSTEM	0
MILLCREEK HEALTH SYSTEM MEDICAL PROF LIABILITY SELF-INS TRUST
5515 PEACH STREET	ERIE	PA	16509	576204119	PROVIDES MANDATORY PROFESSIONAL LIABILITY COVERAGE TO AFFILIATE ORGS	PA	501(C)(3)	LINE 11D, III-O		0	N/A
MEDICAL ASSOCIATES OF ERIE
ONE LECOM PLACE	ERIE	PA	16505	113716896	PHYSICIAN PRACTICE CORPORATION	PA	501(C)(3)	LINE 9	MILLCREEK HEALTH SYSTEM	0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	MCH CORPORATION	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5515 PEACH STREET	AddressLine1
City	ERIE	City
State	PA	State
ZIP Code	16509	ZIPCode

Field	Value	IRS element (for citing)
EIN	251549695	EIN
Primary Activities	LESSOR OF REAL ESTATE	PrimaryActivitiesTxt
Legal Domicile State	PA	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd
Entity Type	C	EntityTypeTxt
Controlled Organization	0	ControlledOrganizationInd

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

Transactions Related Org TransactionsRelatedOrgGrp (14 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE
B	$1,500	ACTUAL AMOUNT CONTRIBUTED
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE
J	$535,128	ACTUAL AMOUNT PAID BASED ON USAGE
MEDICAL ASSOCIATES OF ERIE
J	$60,000	ACTUAL AMOUNT PAID BASED ON USAGE
MILLCREEK MANOR
L	$364,675	ACTUAL COST OF SERVICES
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE
P	$31,807	ACTUAL EXPENSES REIMBURSED
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE
Q	$1,161,807	ACTUAL EXPENSES REIMBURSED
MILLCREEK MANOR
Q	$436,283	ACTUAL EXPENSES REIMBURSED
MCH CORPORATION
Q	$34,058	ACTUAL EXPENSES REIMBURSED
MILLCREEK HEALTH SYSTEM
R	$500,000	ACTUAL AMOUNT TRANSFERRED
MILLCREEK HEALTH SYSTEM MEDICAL PROF LIAB SELF-INS TRUST
R	$600,000	ACTUAL AMOUNT TRANSFERRED
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE
K	$95,760	ACTUAL AMOUNT PAID BASED ON USAGE
MILLCREEK MANOR
P	$83,326	ACTUAL EXPENSES REIMBURSED
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE
C	$149,055	ACTUAL AMOUNT CONTRIBUTED
MEDICAL ASSOCIATES OF ERIE
P	$541,324	ACTUAL EXPENSES REIMBURSED