MILLCREEK COMMUNITY HOSPITAL: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: MILLCREEK COMMUNITY HOSPITAL (EIN 25-1002937)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-05-13
IRS object ID: 201411339349303581
Schema version: 2012v2.1
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 J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-05-13T14:19:14-05:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	251690617	EIN

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	1001 STATE STREET SUITE 1300	AddressLine1
City	ERIE	City
State	PA	State
ZIP Code	16501	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	251002937	EIN

Name Name

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

Field	Value	IRS element (for citing)
Name Control	MILL	NameControl
Phone	8148644031	Phone

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

Officer Officer

Field	Value	IRS element (for citing)
Name	RICHARD P OLINGER	Name
Title	TREASURER	Title
Phone	8148644031	Phone
Date Signed	2014-05-12	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	MATTHEW J MINNAUGH CPA	Name
PTIN	P00964448	PTIN
Phone	8144541997	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	MARY L ECKERT	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

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	89586159	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.MILLCREEKCOMMUNITYHOSPITAL.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1948	YearFormation
State Legal Domicile	PA	StateLegalDomicile
Activity Or Mission Description	THE ORGANIZATION PROVIDES THE COMMUNITY WITH HEALTHCARE SERVICES AND EDUCATION.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	12	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	6	NbrIndependentVotingMembers
Total Nbr Employees	699	TotalNbrEmployees
Total Nbr Volunteers	8	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	873499	ContributionsGrantsPriorYear
Contributions Grants Current Year	1785339	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	46319831	ProgramServiceRevenuePriorYear
Program Service Revenue CY	43711265	ProgramServiceRevenueCY
Investment Income Prior Year	1101668	InvestmentIncomePriorYear
Investment Income Current Year	338596	InvestmentIncomeCurrentYear
Other Revenue Prior Year	1637821	OtherRevenuePriorYear
Other Revenue Current Year	1743213	OtherRevenueCurrentYear
Total Revenue Prior Year	49932819	TotalRevenuePriorYear
Total Revenue Current Year	47578413	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	24497141	SalariesEtcPriorYear
Salaries Etc Current Year	25617906	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	19397379	OtherExpensePriorYear
Other Expenses Current Year	20178877	OtherExpensesCurrentYear
Total Expenses Prior Year	43894520	TotalExpensesPriorYear
Total Expenses Current Year	45796783	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	6038299	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	1781630	RevenuesLessExpensesCY
Total Assets BOY	88589266	TotalAssetsBOY
Total Assets EOY	90814230	TotalAssetsEOY
Total Liabilities BOY	8247428	TotalLiabilitiesBOY
Total Liabilities EOY	9405848	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	80341838	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	81408382	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	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.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	12815763	Expense
Revenue	13627647	Revenue
Description	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 82 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, 2013, 9,540 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, 2013, 102 DAYS OF CHARITY CARE WERE PROVIDED AMOUNTING TO $531,121 OF FORGONE REVENUE AT A COST OF $199,330 TO THE HOSPITAL. BAD DEBT CHARGES INCLUDED IN ACUTE CARE - MEDICAL SURGICAL WERE $1,401,334 AT A COST OF $527,047 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.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	7950211	Expense
Revenue	9900576	Revenue
Description	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, 2013, 1,993 DISCHARGES TOTALING 13,392 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.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	6172210	Expense
Revenue	3520905	Revenue
Description	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, 2013, THE HOSPTIAL UTILIZED 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 NEUROMUSCULOSKELETAL MEDICINE.	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Expense	14244414	Expense
Revenue	16662137	Revenue
Description	OTHER PROGRAM ACTIVITIES:OTHER PROGRAM ACTIVITIES INCLUDED 29,509 OUTPATIENT VISITS INCLUDING 3,264 OUTPATIENT SURGERIES, 16,228 EMERGENCY ROOM VISITS, AND 495 ADMISSIONS FOR 6,927 DAYS TO THE TRANSITIONAL CARE UNIT.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	14244414	TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev	16662137	TotalOfOtherProgramServiceRev
Total Program Service Expense	41182598	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	1	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	70	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	699	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	12	NbrVotingGoverningBodyMembers
Number Independent Voting Members	6	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	PA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

Field	Value	IRS element (for citing)
Telephone Number	8148644031	TelephoneNumber

Address US AddressUS

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 Form990PartVIISectionA (18 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
MARY L ECKERT
PRESIDENT/CEO	72.00	X	X	495189	7269	29546
RICHARD P OLINGER
SECRETARY/TREASURER/CFO	31.00	X	X	224527	224273	35660
JOHN M FERRETTI DO
CHAIRMAN	10.00	X	X	0	625901	29810
SILVIA M FERRETTI DO
TRUSTEE	2.00	X		0	799318	29810
MARIO EJ LANNI DSC
TRUSTEE	1.00	X		0	0	0
NANCY Z O'NEILL
TRUSTEE	1.00	X		0	0	0
MARK R RENDULIC
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		43423	0	0
PAUL A KOHUT DO
EMERGENCY MEDICINE	40.00			272556	0	28492	X
MAX GOTTESMAN DO
PSYCHIATRIST	40.00			234967	0	33375	X
THOMAS ZIEGLER MD
CLINICAL LAB PHYSICIAN	40.00			252093	0	24421		X
ELISEO ROQUIZ MD
ANETHESIOLOGIST	40.00			270224	0	32825		X
MARVIN WIELAND DO
RADIOLOGY ANESTHESIOLOGIST	40.00			382873	0	25263		X
RICHARD HERRICK DO
PSYCHIATRIST	40.00			232716	0	29847		X
G RENEE THOMAS-CLARK DO
PSYCHIATRIST	40.00			229507	0	19431		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2638075	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	1656761	TotalReportableCompFrmRltdOrgs
Total Other Compensation	318480	TotalOtherCompensation
Number Individuals GT100 K	16	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
PERRY CONSTRUCTION
1440 WW 21ST STREET	ERIE	PA	16502	CONSTRUCTION SERVICES	1559458
CLINICAL PATHOLOGY INSTITUTE
1526 PEACH STREET	ERIE	PA	16501	PROFESSIONAL PATHOLOGY SERVICES	1136999
ERDMAN CONSTRUCTION
PO BOX 88670	MILWAUKEE	WI	53288	CONSTRUCTION SERVICES	856647
SODEXO
PO BOX 360170	PITTSBURGH	PA	15251	FOOD SERVICES	650520
CONCEPT REHAB
7150 GRANITE CIRCLE	TOLEDO	OH	43167	THERAPY SERVICES	611487

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	28	NumberOfContractorsGT100K
Government Grants	1668667	GovernmentGrants
All Other Contributions	116672	AllOtherContributions
Total Contributions	1785339	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT REVENUE	900099	41253346	41253346
RESIDENT CONTRACT REV	900099	2457919	2457919

Field	Value	IRS element (for citing)
Total Program Service Revenue	43711265	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	979399	TotalRevenueColumn
Exclusion	$979,399	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	892409	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	123425	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	768984	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	768984	TotalRevenueColumn
Exclusion	$768,984	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	41243518	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	41108567	Securities
Other	775754	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	134951	Securities
Other	-775754	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-640803	TotalRevenueColumn
Exclusion	-$640,803	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
MISCELLANEOUS REVENUE	900099	318602	$318,602
CAFETERIA REVENUE	900099	310675	$310,675
SNACKBAR/ VEND MACH REV	900099	167682	$167,682

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	177270	TotalRevenueColumn
Exclusion	$177,270	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	974229	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	47578413	TotalRevenueColumn
Related Or Exempt Function Income	43711265	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$2,081,809	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1389155	Total
Program Services	1041866	ProgramServices
Management And General	347289	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	19404705	Total
Program Services	17541853	ProgramServices
Management And General	1862852	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	531449	Total
Program Services	475647	ProgramServices
Management And General	55802	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	2641668	Total
Program Services	2364293	ProgramServices
Management And General	277375	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	1650929	Total
Program Services	1477581	ProgramServices
Management And General	173348	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	94835	Total
Program Services	84688	ProgramServices
Management And General	10147	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	13540	Total
Management And General	13540	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	82895	Total
Management And General	82895	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	188270	Total
Management And General	188270	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	4176869	Total
Program Services	3729944	ProgramServices
Management And General	446925	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	61260	Total
Program Services	54705	ProgramServices
Management And General	6555	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	4544019	Total
Program Services	4057809	ProgramServices
Management And General	486210	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	806950	Total
Program Services	720606	ProgramServices
Management And General	86344	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	703936	Total
Program Services	628615	ProgramServices
Management And General	75321	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	51239	Total
Program Services	45756	ProgramServices
Management And General	5483	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	2192648	Total
Program Services	1958035	ProgramServices
Management And General	234613	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1269711	Total
Program Services	1173786	ProgramServices
Management And General	95925	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
PROVISION FOR BAD DEBTS	3746377	3746377
REPAIRS AND MAINTENANCE	831796	742794	89002
PHARMACY DRUGS	821363	821363
MISCELLANEOUS	392580	350574	42006

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	200589	Total
Program Services	166306	ProgramServices
Management And General	34283	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	45796783	Total
Program Services	41182598	ProgramServices
Management And General	4614185	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	3229829	BOY
EOY	1934794	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	8744690	BOY
EOY	11764022	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	5947324	BOY
EOY	5657541	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	705952	BOY
EOY	727504	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	642598	BOY
EOY	717434	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	66349654	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	27400941	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	39308827	BOY
EOY	38948713	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	18735101	BOY
EOY	18789910	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	965581	BOY
EOY	965581	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	10309364	BOY
EOY	11308731	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	88589266	BOY
EOY	90814230	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	3348683	BOY
EOY	3357777	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	24396	BOY
EOY	23471	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	4874349	BOY
EOY	6024600	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	8247428	BOY
EOY	9405848	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	80341838	BOY
EOY	81408382	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	80341838	BOY
EOY	81408382	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	88589266	BOY
EOY	90814230	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	1781630	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	-215086	ReconciliationUnrealizedInvest
Reconcilation Other Changes	-500000	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Separate	X	FinancialStatementSeparate

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	10190756	OtherCostOrOtherBasis
Book Value	10190756	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	37933817	OtherCostOrOtherBasis
Depreciation	13281303	Depreciation
Book Value	24652514	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	17295440	OtherCostOrOtherBasis
Depreciation	13829583	Depreciation
Book Value	3465857	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	929641	OtherCostOrOtherBasis
Depreciation	290055	Depreciation
Book Value	639586	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	38948713	TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescription	Book ValueBookValue
IRREVOCABLE SELF-INSURED TRUST FUND	9637179
OTHER RECEIVABLES	906154
DUE FROM AFFILIATES	765398

Field	Value	IRS element (for citing)
Total Book Value Other Assets	11308731	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
ACCRUED MEDICAL MALPRACTICE	$4,617,864
DUE TO THIRD PARTY PAYERS	$1,406,736

Field	Value	IRS element (for citing)
Total Of Amounts	6024600	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt	43552116	TotRevenueEtcAuditedFinclStmt
Other Revenues	-215064	OtherRevenues
Revenue Not Rptd F990	-215064	RevenueNotRptdF990
Revenue Subtotal	43767180	RevenueSubtotal
Other Revenues Not Included	3811233	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	3811233	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	47578413	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	41985572	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	123436	OtherExpensesIncluded
Expenses Not Rptd F990	123436	ExpensesNotRptdF990
Expenses Subtotal	41862136	ExpensesSubtotal
Other Expenses Not Included	3934647	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	3934647	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	45796783	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	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 -215,064.
PART XI, LINE 4B - OTHER ADJUSTMENTS:		INVESTMENT MANAGEMENT FEES NETTED AGAINST DIVIDEND INCOME 188,270. DEPRECIATION EXPENSE RELATED TO RENTAL INCOME -123,425. PROVISION FOR BAD DEBTS 3,746,377. OTHER MISC. 11.
PART XII, LINE 2D - OTHER ADJUSTMENTS:		DEPRECIATION EXPENSE REFLECTED ON STMT OF REVENUE 123,425. OTHER MISC. 11.
PART XII, LINE 4B - OTHER ADJUSTMENTS:		INVESTMENT MANAGEMENT FEES NETTED AGAINST DIVIDEND INCOME 188,270. PROVISION FOR BAD DEBTS 3,746,377.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
FPG Reference Free Care	1	FPGReferenceFreeCare

Other Percentage OtherPercentage

Field	Value	IRS element (for citing)
Other	X	Other
Free Other Percentage	140.000000000000	FreeOtherPercentage

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent200 D	X	Pcent200D
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	0	AmountsBudgetedForCharityCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	14	NumberOfActivitiesOrPrograms
Persons Served	312	PersonsServed
Total Community Benefit Expense	354549	TotalCommunityBenefitExpense
Net Community Benefit Expense	354549	NetCommunityBenefitExpense
Percent Of Total Expense	0.00770	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	14	NumberOfActivitiesOrPrograms
Persons Served	1426	PersonsServed
Total Community Benefit Expense	10635109	TotalCommunityBenefitExpense
Direct Offsetting Revenue	10421980	DirectOffsettingRevenue
Net Community Benefit Expense	213129	NetCommunityBenefitExpense
Percent Of Total Expense	0.00470	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	28	NumberOfActivitiesOrPrograms
Persons Served	1738	PersonsServed
Total Community Benefit Expense	10989658	TotalCommunityBenefitExpense
Direct Offsetting Revenue	10421980	DirectOffsettingRevenue
Net Community Benefit Expense	567678	NetCommunityBenefitExpense
Percent Of Total Expense	0.01240	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	10	NumberOfActivitiesOrPrograms
Persons Served	84	PersonsServed
Total Community Benefit Expense	6172210	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3520905	DirectOffsettingRevenue
Net Community Benefit Expense	2651305	NetCommunityBenefitExpense
Percent Of Total Expense	0.05790	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Persons Served	1126	PersonsServed
Total Community Benefit Expense	5575028	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3815862	DirectOffsettingRevenue
Net Community Benefit Expense	1759166	NetCommunityBenefitExpense
Percent Of Total Expense	0.03840	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	13	NumberOfActivitiesOrPrograms
Persons Served	1210	PersonsServed
Total Community Benefit Expense	11747238	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7336767	DirectOffsettingRevenue
Net Community Benefit Expense	4410471	NetCommunityBenefitExpense
Percent Of Total Expense	0.09630	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	41	NumberOfActivitiesOrPrograms
Persons Served	2948	PersonsServed
Total Community Benefit Expense	22736896	TotalCommunityBenefitExpense
Direct Offsetting Revenue	17758747	DirectOffsettingRevenue
Net Community Benefit Expense	4978149	NetCommunityBenefitExpense
Percent Of Total Expense	0.10870	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$3,746,377	BadDebtExpenseAmount
Amount Attributable To	702999	AmountAttributableTo
Amount Reimbursed By Medicare	9112560	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	9879719	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-767159	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

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

Address Address

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	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Teaching Hospital	X	TeachingHospital
Er24 Hours	X	Er24Hours
Other	SKILLED NURSING UNIT AND BEHAVIORAL UNIT	Other

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	1	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Needs Assessment Conducted	12	NeedsAssessmentConducted
Take Into Account	1	TakeIntoAccount
Other Facilities	1	OtherFacilities
CHNA Widely Available	1	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
Adopt Implement Strategy	X	AdoptImplementStrategy
Execute Implement Strategy	X	ExecuteImplementStrategy
Prioritize Health Needs	X	PrioritizeHealthNeeds
Prioritize Services	X	PrioritizeServices
All Needs Addressed	1	AllNeedsAddressed
Organization Incur Excise Tax	0	OrganizationIncurExciseTax
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	200.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	140.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
State Regulation	X	StateRegulation
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Available On Request	X	AvailableOnRequest
Other Publicity	X	OtherPublicity
Actions On Nonpayment	1	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
Notify Upon Admission	X	NotifyUponAdmission
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

ExplanationExplanation	IdentifierIdentifier
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 $597,133 FOR MEDICAL ASSISTANCE CLINICS
PART I, L7 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: 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 $3,325,265 AND $3,542,952 AS OF JUNE 2013 AND 2012, 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. 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 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 14G: THE HOSPITAL PROVIDES A NOTICE OF FINANCIAL ASSISTANCE AVAILABILITY ON ITS BILLING INVOICES.	MILLCREEK COMMUNITY HOSPITAL
PART V, SECTION B, LINE 20D: AN AMOUNT THAT EQUALS OR NEARS MEDICAID RATES	MILLCREEK COMMUNITY HOSPITAL
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 CONSISTS OF A MEDICAL COLLEGE ENROLLMENT OF 536 STUDENTS PER YEAR, A SCHOOL OF PHARMACY WITH 240 STUDENTS PER YEAR AND A SCHOOL OF DENTAL MEDICINE WITH AN ENROLLMENT OF 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 PHARAMACISTS 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 ECONOMIC IMPACT OF LECOM'S COMMUNITY SERVICE EFFORTS IS CLOSE TO $1 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.FOR 18 YEARS, LECOM HAS SUPPORTED A COMMUNITY HEALTH INTERNSHIP PROGRAM, BRIDGING THE GAPS. 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. LECOM ALSO HAS PARTNERED WITH THE HOUSING AUTHORITY AND CITY OF ERIE FOR MORE THAN 10 YEARS TO PROVIDE AFTER-SCHOOL TUTORING AND MENTORING TO CHILDREN FROM UNDERPRIVILEGED FAMILIES.IN FLORIDA, LECOM PARTNERS WITH THE SHERIFFS YOUTH RANCH, DIETICIANS FROM THE LOCAL SCHOOL SYSTEM'S HEALTHY LUNCH INITIATIVE AND THE MANATEE COUNTY YMCA, TO REACH OUT WHERE THE NEED IS GREATEST AND PROMOTE THE MESSAGE OF GOOD HEALTH AND LEARNING TO THE CHILDREN OF THE REGION.THE REGIONS SURROUNDING LECOM'S CAMPUSES HAVE EXPERIENCED INCREASED RATES OF CHILDHOOD OBESITY, DIABETES, PRE-NATAL ISSUES AND OTHER COMPLICATIONS FROM POOR DIET AND LACK OF ACCESS TO HEALTHCARE. BY COMMITTING TO COMMUNITY SERVICE, SUCH AS PROVIDING FREE MEDICAL AND DENTAL CARE FOR THE HOMELESS AT THE BILL GALVANO ONE-STOP CENTER IN BRADENTON OR PROVIDING NUTRITION EDUCATION FOR CHILDREN AT THE ERIE AND GREENSBURG YMCAS, LECOM IS REACHING OUT TO IMPROVE HEALTH CARE.MEDICATION NON-ADHERENCE IS A MAJOR PROBLEM IN THE U.S., WITH STUDIES ESTIMATING THAT NEARLY 3 OUT OF 4 AMERICANS DO NOT TAKE THEIR MEDICATIONS AS PRESCRIBED. NOT TAKING MEDICATIONS PROPERLY LEADS TO HEALTH ISSUES SUCH AS MORBIDITY, MORTALITY AND INCREASED HEALTHCARE COSTS. TO HELP COMBAT THOSE STAGGERING NUMBERS, STUDENTS, FACULTY AND STAFF AT THE LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE SCHOOL OF PHARMACY TEAMED UP WITH OTHER HEALTHCARE PROVIDERS IN THE SCRIPT YOUR FUTURE MEDICATION ADHERENCE CHALLENGE. STUDENTS PARTICIPATED IN 47 SERVICE EVENTS IN ERIE, PA, AND BRADENTON AND SARASOTA, FL, REACHING APPROXIMATELY 2,000 PEOPLE, WITH 627 BEING COUNSELED BY A HEALTHCARE PROFESSIONAL. LECOM ALSO CREATED A PUBLIC SERVICE ANNOUNCEMENT (PSA) WHICH AIRED IN LOCAL MOVIE THEATERS IN ERIE, BRADENTON AND SARASOTA. THE PSA (WWW.LECOM.EDU/SCRIPTYOURFUTURE) REACHED OVER ONE MILLION PEOPLE.BRIDGING THE GAPS (BTG) IS A COMMUNITY HEALTH INTERNSHIP PROGRAM THAT PLACES MEDICAL STUDENTS AT VARIOUS SOCIAL SERVICE SITES WITH THE PRIMARY GOAL OF ASSISTING THE UNDER-SERVED AND TRAINING COMMUNITY HEALTH AND SOCIAL SERVICE PROFESSIONALS.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 COMMUNITYS SOCIO-ECONOMIC CIRCUMSTANCES, THE HEALTH CARE SYSTEM, AND THE HEALTH OF THE POPULATION.TWENTY-SIX LECOM MEDICAL AND POST-BACCALAUREATE STUDENTS PARTICIPATED IN THE BTG PROGRAM AT 19 DIFFERENT COMMUNITY SITES, VOLUNTEERING OVER 5,800 HOURS OF COMMUNITY SERVICE WITHIN THE ERIE COMMUNITY. EACH STUDENT DESIGNED A PROJECT THAT WAS MEANT TO ADDRESS AN AREA OF NEED FOR THE PARTICULAR COMMUNITY SITE, WITH MOST PROJECTS FOCUSING ON EDUCATION AND IMPROVING COMMUNITY HEALTH.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 CLINICS SERVING POPULATIONS LACKING ADEQUATE DENTAL CARE.LECOM INTRODUCED ITS SECOND THREE-YEAR MEDICAL DEGREE PROGRAM. THE ACCELERATED PHYSICIAN ASSISTANT PATHWAY WILL ALLOW CERTIFIED PHYSICIAN ASSISTANTS (PA-C) TO EARN THE DOCTOR OF OSTEOPATHIC MEDICINE DEGREE IN THREE YEARS TAKING INTO ACCOUNT THE PA-C CLINICAL EXPERIENCE PRIOR TO ENTERING MEDICAL SCHOOL.US NEWS AND WORLD REPORT ON THE TOP MEDICAL SCHOOLS IN PRIMARY CARE HAS RANKED LECOM #51 THIS YEAR. LECOM IS LISTED AMONG THE MOST AFFORDABLE PRIVATE MEDICAL SCHOOLS AT #2. AMONG THE TOP TEN MEDICAL SCHOOLS THAT RECEIVE THE MOST APPLICANTS, LECOM IS #2. AND THE COLLEGE IS RANKED #4 AMONG THE MEDICAL SCHOOLS THAT TURN OUT THE MOST PRIMARY CARE RESIDENTS. 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 J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	0	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
MARY L ECKERT
PRESIDENT/CEO	473222	0	0	0	21967	7269	20000	0	5263	4283	520452	11552	0	0
RICHARD P OLINGER
SECRETARY/TREASURER/CFO	224527	196821	0	0	0	27452	16752	0	14611	4297	255890	228570	0	0
JOHN M FERRETTI DO
CHAIRMAN	0	605285	0	0	0	20616	0	20000	0	9810	0	655711	0	0
SILVIA M FERRETTI DO
TRUSTEE	0	778702	0	0	0	20616	0	20000	0	9810	0	829128	0	0
PAUL A KOHUT DO
EMERGENCY MEDICINE	272556	0	0	0	0	0	15667	0	12825	0	301048	0	0	0
MAX GOTTESMAN DO
PSYCHIATRIST	234967	0	0	0	0	0	18764	0	14611	0	268342	0	0	0
THOMAS ZIEGLER MD
CLINICAL LAB PHYSICIAN	252093	0	0	0	0	0	19159	0	5262	0	276514	0	0	0
ELISEO ROQUIZ MD
ANETHESIOLOGIST	270224	0	0	0	0	0	20000	0	12825	0	303049	0	0	0
MARVIN WIELAND DO
RADIOLOGY ANESTHESIOLOGIST	382873	0	0	0	0	0	20000	0	5263	0	408136	0	0	0
RICHARD HERRICK DO
PSYCHIATRIST	232716	0	0	0	0	0	15236	0	14611	0	262563	0	0	0
G RENEE THOMAS-CLARK DO
PSYCHIATRIST	229507	0	0	0	0	0	14168	0	5263	0	248938	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Identifier	SUPPLEMENTAL INFORMATION	Identifier
Return Reference	PART III	ReturnReference
Explanation	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.	Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

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

Field	Value	IRS element (for citing)
Relationship	INDEPENDENT CONTRACTOR - SHARES ONE COMMON TRUSTEE WITH THE FILING ORGANIZA	Relationship
Amount Of Transaction	430368	AmountOfTransaction
Description Of Transaction	INDEPENDENT CONTRACTOR - SELLS MEDICAL SUPPLIES AND SERVICES TO MILLCREEK COMMUNITY HOSPITAL.	DescriptionOfTransaction
Sharing Of Revenues	0	SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
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. IN ADDITION, THE COMMITTEE ALSO REVIEWED VARIOUS FORM 990 FILINGS BY COMPARATIVE ORGANIZATIONS IN ORDER TO MAKE EXECUTIVE PAY COMPARISONS. FOR FISCAL YEARS ENDED JUNE 30, 2008 THROUGH 2013, THE COMMITTEE REVIEWED THE SAME FORM 990 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 XI, LINE 9:	EQUITY TRANSFER TO AFFILIATE -500,000.	CHANGES IN NET ASSETS OR FUND BALANCES:
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 VII, SECTION A:	DR. JOHN M. FERRETTI, D.O.: MEDICAL ASSOCIATES OF ERIE - 5 HOURS PER WEEK MILLCREEK HEALTH SYSTEM MEDICAL PROFESSIONAL LIABILITY SELF-INSURANCE TRUST - 1 HOUR PER WEEK MILLCREEK MANOR - 5 HOURS PER WEEK MILLCREEK HEALTH SYSTEM - 1 HOUR PER WEEK LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE - 58 HOURS PER WEEK DR. SILVIA M. FERRETTI, D.O.: MEDICAL ASSOCIATES OF ERIE - 1 HOUR PER WEEK MILLCREEK MANOR - 1 HOUR PER WEEK MILLCREEK HEALTH SYSTEM - 1 HOUR PER WEEK LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE - 75 HOURS PER WEEK MARY L. ECKERT: MEDICAL ASSOCIATES OF ERIE - 1 HOUR PER WEEK MILLCREEK HEALTH SYSTEM MEDICAL PROFESSIONAL LIABILITY SELF-INSURANCE TRUST - 1 HOUR PER WEEK MILLCREEK MANOR - 1 HOUR PER WEEK MILLCREEK HEALTH SYSTEM - 1 HOUR PER WEEK LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE - 4 HOURS PER WEEK RICHARD P. OLINGER: MEDICAL ASSOCIATES OF ERIE - 1 HOUR PER WEEK MILLCREEK HEALTH SYSTEM MEDICAL PROFESSIONAL LIABILITY SELF-INSURANCE TRUST - 1 HOUR PER WEEK MILLCREEK MANOR - 1 HOUR PER WEEK MILLCREEK HEALTH SYSTEM - 1 HOUR PER WEEK LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE -30 HOURS PER WEEK	ESTIMATE OF AVERAGE HOURS DEVOTED TO RELATED ORGANIZATIONS
FORM 990, PART IV, LINE 28C:	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, 2013. 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, 2013. THE HOSPITAL PAID ENGEL & O'NEILL $40,609 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 $18,500 TO SCHAFFNER KNIGHT MINNAUGH & COMPANY, P.C. DURING THE FISCAL YEAR ENDED JUNE 30, 2013.	SUPPLEMENTAL DISCLOSURE REGARDING BUSINESS TRANSACTIONS
FORM 990, PART X:	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.	SUPPLEMENTAL BALANCE SHEET DISCLOSURE:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg	Direct Controlling Entity NADirectControllingEntityNA
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

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

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

Address US AddressUS

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 Activity	LESSOR OF REAL ESTATE	PrimaryActivity
Legal Domicile State	PA	LegalDomicileState
Direct Controlling Entity NA	N/A	DirectControllingEntityNA
Type Of Entity	C	TypeOfEntity
Controlled Org	0	ControlledOrg

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	0	DividendsRelatedOrganization
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	1	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	1	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	0	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (14 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE
B	10000	ACTUAL AMOUNT CONTRIBUTED
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE
J	527904	ACTUAL AMOUNT PAID BASED ON USAGE
MEDICAL ASSOCIATES OF ERIE
J	60000	ACTUAL AMOUNT PAID BASED ON USAGE
MILLCREEK MANOR
L	338991	ACTUAL COST OF SERVICES
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE
P	31030	ACTUAL EXPENSES REIMBURSED
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE
Q	1155055	ACTUAL EXPENSES REIMBURSED
MILLCREEK MANOR
Q	358320	ACTUAL EXPENSES REIMBURSED
MCH CORPORATION
Q	32533	ACTUAL EXPENSES REIMBURSED
MILLCREEK HEALTH SYSTEM
R	500000	ACTUAL AMOUNT TRANSFERRED
MILLCREEK HEALTH SYSTEM MEDICAL PROF LIAB SELF-INS TRUST
R	123000	ACTUAL AMOUNT TRANSFERRED
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE
K	95760	ACTUAL AMOUNT PAID BASED ON USAGE
MILLCREEK MANOR
P	66699	ACTUAL EXPENSES REIMBURSED
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE
C	100672	ACTUAL AMOUNT CONTRIBUTED
MEDICAL ASSOCIATES OF ERIE
P	555678	ACTUAL EXPENSES REIMBURSED