2015-05-14T08:00:19-05:00 2014-06-30 251690617 SCHAFFNER KNIGHT MINNAUGH & CO PC 1545 WEST 38TH STREET ERIE PA 16508 990 2013-07-01 251002937 MILLCREEK COMMUNITY HOSPITAL MILL 8148644031 5515 PEACH STREET ERIE PA 16509 RICHARD P OLINGER TREASURER 8148644031 2015-05-12 1 DENNIS W GROW CPA P00190259 8144541997 2013 2016-02-25 16:41:14Z MARY L ECKERT 5515 PEACH STREET ERIE PA 16509 68668228 0 X WWW.MILLCREEKCOMMUNITYHOSPITAL.ORG X 1948 PA THE ORGANIZATION PROVIDES THE COMMUNITY WITH HEALTHCARE SERVICES AND EDUCATION. 12 6 749 7 0 0 1785339 1209551 43711265 48921465 338596 679680 1743213 1927977 47578413 52738673 0 30000 0 0 25617906 28697737 0 0 0 20178877 19531938 45796783 48259675 1781630 4478998 90814230 103800451 9405848 14903804 81408382 88896647 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. 1 0 12785818 15797572 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. 8372481 12204417 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. 6803595 3672433 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. 15267201 30000 17248536 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. 15267201 30000 17248536 43229095 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 1 58 0 1 749 1 0 0 0 0 0 0 0 0 0 0 X 12 6 1 0 0 0 1 0 1 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X RICHARD P OLINGER 8148644031 5515 PEACH STREET ERIE PA 16509 MARY L ECKERT PRESIDENT/CEO 72.00 8.00 X X 555774 7426 29307 RICHARD P OLINGER SECRETARY/TREASURER/CFO 31.00 34.00 X X 232972 265413 35708 JOHN M FERRETTI DO CHAIRMAN 10.00 70.00 X X 0 626825 29489 SILVIA M FERRETTI DO TRUSTEE 1.00 79.00 X 0 810781 29489 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 JOHN J KALATA DO TRUSTEE/CHIEF OF STAFF 7.00 X 50000 0 0 JAMES Y LIN DO TRUSTEE 8.00 57.00 X 31385 241134 29704 DAVID A RUBINO MSGR TRUSTEE 1.00 X 0 0 0 DANIELLE HANSEN DO PHYSICIAN 40.00 X 45154 246728 28738 THOMAS ZIEGLER MD CLINICAL LAB PHYSICIAN 40.00 X 255997 0 24281 ELISEO ROQUIZ MD ANETHESIOLOGIST 40.00 X 249109 0 32113 MARVIN WIELAND DO RADIOLOGY ANESTHESIOLOGIST 40.00 X 268279 0 25024 RICHARD HERRICK DO PSYCHIATRIST 40.00 X 248826 0 29728 CHRISTOPHER CARBO DO PHYSICIAN 40.00 X 320254 0 34413 2257750 2198307 327994 18 0 1 0 CLINICAL PATHOLOGY INSTITUTE 1526 PEACH STREET ERIE PA 16501 PROFESSIONAL PATHOLOGY SERVICES 1118360 AMERISOURCE BERGEN 27550 NETWORK PLACE CHICAGO IL 60673 PHARMACEUTICAL & MEDICAL 944588 OWENS & MINOR PO BOX 644783 PITTSBURGH PA 15264 MEDICAL 623204 SODEXO PO BOX 360170 PITTSBURGH PA 15251 FOOD SERVICES 621305 CONCEPT REHAB 7150 GRANITE CIRCLE TOLEDO OH 43167 THERAPY SERVICES 595301 26 1059486 150065 1209551 NET PATIENT REVENUE 900099 46533614 46533614 RESIDENTS CONTRACTED OUT 900099 2387851 2387851 48921465 978637 978637 876714 149723 726991 726991 726991 15479382 1493 15779832 0 -300450 1493 -298957 1493 -300450 MISCELLANEOUS REVENUE 900099 457115 457115 CAFETERIA REVENUE 900099 315748 315748 PHARMACY RECEIPTS 446110 219611 219611 208512 208512 1200986 52738673 48922958 0 2606164 X 30000 30000 971720 728790 242930 22230393 20096275 2134118 656092 587202 68890 3034234 2715639 318595 1805298 1615742 189556 53810 48052 5758 2903 2903 110740 110740 243188 243188 4974264 4442018 532246 90440 80763 9677 4716014 4211401 504613 883262 788753 94509 656557 586305 70252 94864 84714 10150 2223326 1985430 237896 1004407 905215 99192 PROVISION FOR BAD DEBTS 1852784 1852784 PHARMACY DRUGS 1142325 1142325 REPAIRS AND MAINTENANCE 850478 759477 91001 MISCELLANEOUS 419850 374926 44924 212726 193284 19442 48259675 43229095 5030580 0 1934794 2358393 11764022 19791541 5657541 5578935 727504 695414 717434 789231 68857414 29773990 38948713 39083424 18789910 21776111 965581 965581 11308731 12761821 90814230 103800451 3357777 3481111 23471 25896 6024600 11396797 9405848 14903804 X 81408382 88896647 81408382 88896647 90814230 103800451 X 4478998 3509267 -500000 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 10718074 10718074 38943657 14585377 24358280 18707195 14885968 3821227 488488 302645 185843 39083424 IRREVOCABLE SELF-INSURED TRUST FUND 10893055 OTHER RECEIVABLES 1174129 DUE FROM AFFILIATES 694637 12761821 ACCRUED MEDICAL MALPRACTICE 5004553 DUE TO THIRD PARTY PAYERS 6392244 11396797 X 54301691 3509267 3509267 50792424 1946249 1946249 52738673 46313426 149723 149723 46163703 2095972 2095972 48259675 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. 1 1 1 X 140.000000000000 1 X 1 0 1 1 14 958 722561 722561 0.01500 14 1659 13092860 12984306 108554 0.00220 28 2617 13815421 12984306 831115 0.01720 10 92 6803595 3672433 3131162 0.06490 3 1787 5664435 3693628 1970807 0.04080 13 1879 12468030 7366061 5101969 0.10570 41 4496 26283451 20350367 5933084 0.12290 1 1852784 336539 14863125 13169180 1693945 X 1 1 1 1 MILLCREEK COMMUNITY HOSPITAL 5515 PEACH STREET ERIE PA 16509 X X X X SKILLED NURSING UNIT AND BEHAVIORAL UNIT MILLCREEK COMMUNITY HOSPITAL 1 1 X X X X X X X X 12 1 1 1 X X X X X X 0 0 1 1 200.000000000000 1 140.000000000000 1 X X X X X X X 1 1 X X X X X 1 0 X X X 1 X 0 0 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 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. 0 ERIE COUNTY 140 WEST 6TH STREET ERIE PA 16501 30000 EMERGENCY VEHICLE ENHANCEMENT 1 X X X X X 0 0 0 0 0 0 0 0 0 MARY L ECKERT PRESIDENT/CEO 533655 0 0 0 22119 7426 20400 0 4624 4283 580798 11709 0 0 RICHARD P OLINGER SECRETARY/TREASURER/CFO 232972 233705 0 0 0 31708 17398 0 14013 4297 264383 269710 0 0 JOHN M FERRETTI DO CHAIRMAN 0 602302 0 0 0 24523 0 20400 0 9089 0 656314 0 0 SILVIA M FERRETTI DO TRUSTEE 0 789631 0 0 0 21150 0 20400 0 9089 0 840270 0 0 JAMES Y LIN DO TRUSTEE 31385 241080 0 0 0 54 0 14807 0 14897 31385 270838 0 0 DANIELLE HANSEN DO PHYSICIAN 45154 246668 0 0 0 60 0 13968 0 14770 45154 275466 0 0 THOMAS ZIEGLER MD CLINICAL LAB PHYSICIAN 255997 0 0 0 0 0 19657 0 4624 0 280278 0 0 0 ELISEO ROQUIZ MD ANETHESIOLOGIST 249109 0 0 0 0 0 19896 0 12217 0 281222 0 0 0 MARVIN WIELAND DO RADIOLOGY ANESTHESIOLOGIST 268279 0 0 0 0 0 20400 0 4624 0 293303 0 0 0 RICHARD HERRICK DO PSYCHIATRIST 248826 0 0 0 0 0 15715 0 14013 0 278554 0 0 0 CHRISTOPHER CARBO DO PHYSICIAN 320254 0 0 0 0 0 20400 0 14013 0 354667 0 0 0 SCHEDULE J, PART II, COLUMN F: 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. VANTAGE TRUSTEE M. ECKERT IS ALSO A TRUSTEE OF VANTAGE 508190 INDEPENDENT CONTRACTOR - SELLS MEDICAL SUPPLIES AND SERVICES TO MILLCREEK COMMUNITY HOSPITAL. 0 0 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. 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 N/A 0 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 N/A 0 MEDICAL ASSOCIATES OF ERIE ONE LECOM PLACE ERIE PA 16505 113716896 PHYSICIAN PRACTICE CORPORATION PA 501(C)(3) LINE 9 MILLCREEK HEALTH SYSTEM 0 MCH CORPORATION 5515 PEACH STREET ERIE PA 16509 251549695 LESSOR OF REAL ESTATE PA N/A C 0 0 1 1 0 0 0 0 0 0 1 1 1 0 0 0 1 1 1 0 LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE B 1500 ACTUAL AMOUNT CONTRIBUTED LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE J 535128 ACTUAL AMOUNT PAID BASED ON USAGE MEDICAL ASSOCIATES OF ERIE J 60000 ACTUAL AMOUNT PAID BASED ON USAGE MILLCREEK MANOR L 364675 ACTUAL COST OF SERVICES LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE P 31807 ACTUAL EXPENSES REIMBURSED LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE Q 1161807 ACTUAL EXPENSES REIMBURSED MILLCREEK MANOR Q 436283 ACTUAL EXPENSES REIMBURSED MCH CORPORATION Q 34058 ACTUAL EXPENSES REIMBURSED MILLCREEK HEALTH SYSTEM R 500000 ACTUAL AMOUNT TRANSFERRED MILLCREEK HEALTH SYSTEM MEDICAL PROF LIAB SELF-INS TRUST R 600000 ACTUAL AMOUNT TRANSFERRED LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE K 95760 ACTUAL AMOUNT PAID BASED ON USAGE MILLCREEK MANOR P 83326 ACTUAL EXPENSES REIMBURSED LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE C 149055 ACTUAL AMOUNT CONTRIBUTED MEDICAL ASSOCIATES OF ERIE P 541324 ACTUAL EXPENSES REIMBURSED