2026-05-14T08:13:30-05:00 2025-06-30 390859910 BAKER TILLY ADVISORY GROUP LP 20 STANWIX STREET PITTSBURGH PA 15222 990 2024-07-01 251002937 MILLCREEK COMMUNITY HOSPITAL MILL 8148644031 5515 PEACH STREET ERIE PA 16509 STEVEN G INMAN CPA CGMA VP FISCAL AFFAIRS/CFO 8148644031 2026-05-11 1 1 KELLY A BROCIOUS P01254262 4126976400 2026-05-11 2024 2025-03-06 01:10:19Z JOHN M FERRETTI DO 5515 PEACH STREET ERIE PA 16509 138625478 0 X WWW.LECOMHEALTH.COM X 1948 PA THE ORGANIZATION PROVIDES THE COMMUNITY WITH HEALTHCARE SERVICES AND EDUCATION. 11 4 845 3 6313137 29350 565457 650655 70632581 78905422 8292044 4166203 6681696 8127708 86171778 91849988 0 0 0 0 46249692 47964380 0 0 0 41432386 49590731 87682078 97555111 -1510300 -5705123 131445504 145884992 19294873 17098720 112150631 128786272 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. 0 0 88203854 79727085 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. MILLCREEK COMMUNITY HOSPITAL IS AN OSTEOPATHIC ACUTE CARE HOSPITAL OFFERING COMPREHENSIVE INPATIENT AND OUTPATIENT SERVICES AND 24-HOUR EMERGENCY CARE IN ERIE, PENNSYLVANIA.IT IS ALSO RECOGNIZED AS THE REGIONAL LEADER IN:BEHAVIORAL HEALTH CARE, WITH 85 INPATIENT BEDS SPREAD ACROSS THREE SPECIALIZED UNITS FOR CHILDREN, ADULTS, AND OLDER ADULTS AND AN ADULT PARTIAL HOSPITALIZATION PROGRAM.MEDICAL EDUCATION, WITH MORE PHYSICIAN RESIDENCY PROGRAMS THAN ANY HOSPITAL IN THE TRI-STATE REGION. AS A TEACHING HOSPITAL, IT IS AFFILIATED WITH LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE (LECOM) WHICH IS THE NATION'S LARGEST MEDICAL SCHOOL IN TERMS OF ENROLLED STUDENTS AT ITS ERIE, PENNSYLVANIA HEADQUARTERS, AS WELL AS ITS BRADENTON, FLORIDA, AND SETON HILL, PENNSYLVANIA FACILITIES.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. THE HOSPITAL ACTIVELY COMMITS TO ITS UNINSURED/UNDERINSURED AND CHARITY DISCOUNT POLICIES, AND IT DOES NOT DISCRIMINATE AGAINST THOSE INDIVIDUALS 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. 88203854 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 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 84 0 845 1 1 1 0 0 0 0 0 0 0 0 0 X 11 4 1 0 0 0 1 0 1 1 1 0 0 1 1 1 1 1 1 0 0 0 PA X STEVEN G INMAN CPA CGMA 8148688258 5515 PEACH STREET ERIE PA 16509 JOHN M FERRETTI DO CHAIRMAN/PRESIDENT & CEO 8.00 72.00 X X 0 1570358 39125 MARY L ECKERT PRESIDENT/CEO 67.00 13.00 X X 690230 0 33308 SILVIA M FERRETTI DO TRUSTEE/PROVOST & VP OF ACADEMICS 1.00 79.00 X 0 1727650 39266 ROBERT J GEORGE DO TRUSTEE 1.00 10.00 X 0 29588 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 DAVID A RUBINO MSGR TRUSTEE/VP OF EXTERNAL AFFAIR 1.00 40.00 X 0 142702 17736 DANIELLE HANSEN DO TRUSTEE/REGIONAL PRESIDENT 19.00 51.00 X X 69923 529570 49438 JAMES LIN DO TRUSTEE/PHYSICIAN 1.00 50.00 X 97500 545411 54879 SETH CARTER DO TRUSTEE/PHYSICIAN 1.00 50.00 X 0 305400 44140 STEVEN G INMAN CPA CGMA VP FISCAL AFFAIRS/CFO 28.00 37.00 X 0 406338 38955 LISA STEVENS DO PHYSICIAN 40.00 X 376282 0 28145 MARCUS BABIAK PHARMD CHIEF OPERATING OFFICER/PH 40.00 X 178600 0 30996 CHRISTOPHER CARBO DO PHYSICIAN 40.00 X 456807 0 40812 RICHARD LUSK CHIEF FINANCIAL OFFICER 40.00 X 294494 0 31583 TRACY ROTH RN 40.00 X 172375 0 15723 2336211 5257017 464106 43 0 1 0 BUILDING SYSTEMS INC 7335 OLD PERRY HIGHWAY ERIE PA 16509 CONSTRUCTION SERVICES 17886253 CARDINAL HEALTH 5303 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 PHARMACEUTICALS 8942895 ASSOCIATED CLINICAL LABORATORIES PO BOX 645723 PITTSBURGH PA 15264 LAB SERVICES 2179405 AMERISOURCE BERGEN 27550 NETWORK PLACE CHICAGO IL 60673 PHARMACEUTICALS 1240278 NORTH AMERICAN PARTNERS IN ANESTHESIA 1305 WALT WHITMAN ROAD SUITE 300 MELVILLE NY 11747 ANESTHESIA SERVICES 1218562 55 650655 650655 NET PATIENT REVENUE 900099 75325084 75325084 RESIDENTS CONTRACTED OUT 900099 3580338 3580338 78905422 1674682 1674682 992908 0 992908 992908 992908 49254498 12513 46775490 0 2479008 12513 2491521 2491521 PHARMACY REVENUE 900099 6313137 6313137 MISCELLANEOUS REVENUE 900099 564204 564204 SNACKBAR/VEND MACH REV 900099 257459 257459 7134800 91849988 79727085 6313137 5159111 X 891513 891513 38832536 34960932 3871604 805110 724841 80269 5046228 4543119 503109 2388993 2150810 238183 146163 146163 170324 170324 16383729 14750271 1633458 64646 58201 6445 8012877 7213993 798884 1027105 924703 102402 1554769 1399759 155010 17123 15416 1707 2811138 2530868 280270 4184425 3767238 417187 PHARMACY DRUGS 11091610 11091610 PROVISIONS FOR BAD DEBT 2694379 2694379 REPAIRS AND MAINTENANCE 883512 883512 MISCELLANEOUS 548931 494202 54729 97555111 88203854 9351257 0 1009016 2769271 8888039 3119159 9891216 12491459 1835170 2129248 1188693 1097817 123142254 53446306 52677333 69695948 35835987 34271727 1354381 1604381 18765669 18705982 131445504 145884992 9404733 7211775 43575 29280 9846565 9857665 19294873 17098720 X 112150631 128786272 112150631 128786272 131445504 145884992 X -5705123 1605764 20735000 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 7187078 7187078 77108321 28649550 48458771 32859234 23883875 8975359 5987621 912881 5074740 69695948 DUE FROM AFFILIATES 2513484 IRREVOCABLE SELF-INSURED TRUST FUND 15203594 RIGHT-OF-USE ASSET 140265 OTHER ASSETS 848639 18705982 DUE TO THIRD PARTY PAYERS 690962 ACCRUED MEDICAL MALPRACTICE 5653530 DUE TO AFFILIATES 3372530 OPERATING LEASE LIABILITY 140643 9857665 X 90761373 1605764 1605764 89155609 2694379 2694379 91849988 94860732 0 94860732 2694379 2694379 97555111 PART X, LINE 2: THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (CODE) AND HAS BEEN RECOGNIZED AS TAX EXEMPT UNDER SECTION 501(A) OF THE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED. THE HOSPITAL FOLLOWS THE GUIDANCE FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN A COMPANY'S FINANCIAL STATEMENTS THAT PRESCRIBES A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. THE HOSPITAL'S POLICY IS TO RECOGNIZE INTEREST RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE AND PENALTIES IN OPERATING EXPENSES. THERE WERE NO INTEREST OR PENALTIES RECOGNIZED ON THE STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS IN 2025 OR 2024. GENERALLY, TAX RETURNS FOR YEARS ENDED JUNE 30, 2022, AND THEREAFTER REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. PART XI, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS 2,694,379. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS 2,694,379. 1 1 1 X 1 X 1 0 0 796878 796878 0.00840 24311744 18030133 6281611 0.06620 25108622 18030133 7078489 0.07460 5479544 1327557 4151987 0.04380 5479544 1327557 4151987 0.04380 30588166 19357690 11230476 0.11840 0 2694379 9731304 6594678 3136626 X 1 1 1 1 MILLCREEK COMMUNITY HOSPITAL 5515 PEACH STREET ERIE PA 16509 WWW.LECOMHEALTH.ORG X X X X SKILL NURS, REHAB & BEHAV UNIT MILLCREEK COMMUNITY HOSPITAL 1 0 0 1 X X X X X X X X 24 1 1 0 1 X LECOMHEALTH.COM/HEALTH-NEEDS-ASSESSMENT X 1 24 1 LECOMHEALTH.COM/HEALTH-NEEDS-ASSESSMENT 0 1 X 200.000000000000 400.000000000000 X X X 1 1 X X X 1 X LECOMHEALTH.COM/COMMUNITY-HOSPITAL/PATIENT-SERVICES/ X LECOMHEALTH.COM/COMMUNITY-HOSPITAL/PATIENT-SERVICES/ X LECOMHEALTH.COM/COMMUNITY-HOSPITAL/PATIENT-SERVICES/ X X X X X X X 1 X 0 X X X 1 X 0 0 MILLCREEK COMMUNITY HOSPITAL PART V, SECTION B, LINE 5: DATA COMES FROM MULTIPLE SOURCES INCLUDING RESIDENTS LIVING IN THE COUNTY, ERIE, AND SURROUNDING AREA OF ERIE COUNTY. THE MILLCREEK COMMUNITY HOSPITAL CHNA WAS DEVELOPED FROM DATA OBTAINED FROM DATA FROM THE ERIE COUNTY DEPARTMENT OF HEALTH. THERE WERE MULTIPLE SURVEYS THROUGHOUT THE 3-YEAR PROJECT. MILLCREEK COMMUNITY HOSPITAL PART V, SECTION B, LINE 6A: THE HEALTHCARE PROVIDERS THAT COLLABORATED IN THE COMMUNITY NEEDS HEALTH ASSESSMENT INCLUDED ERIE COUNTY HOSPITALS: CORRY MEMORIAL HOSPITAL AND MILLCREEK COMMUNITY HOSPITAL. MILLCREEK COMMUNITY HOSPITAL PART V, SECTION B, LINE 11: MILLCREEK COMMUNITY HOSPITAL DEVELOPED AN IMPLEMENTATION PLAN TO ADDRESS THE SIGNIFICANT NEEDS IDENTIFIED THROUGH ITS CHNA. AS WITH MOST HEATH CARE FACILITIES, MILLCREEK COMMUNITY HOSPITAL HAS LIMITED FINANCIAL RESOURCES TO ADDRESS ALL ISSUES IDENTIFIED IN THE CHNA. MILLCREEK COMMUNITY HOSPITAL PART V, SECTION B, LINE 16J: THE HOSPITAL PROVIDES A NOTICE OF FINANCIAL ASSISTANCE AVAILABILITY ON ITS BILLING INVOICES. PART I, LINE 7: COSTING METHODOLOGY EXPLANATIONLINE 7A CHARITY CARE - RATIO OF PATIENT CARE COSTS TO CHARGESLINE 7B MEDICAID - RATIO OF PATIENT CARE COSTS TO CHARGES LINE 7F HEALTH PROFESSIONAL EDUCATION - A COMBINATION OF ACTUAL COST AND COST TO CHARGES IS USED. ACTUAL IS USED FOR DIRECT EXPENSE AND COST TO CHARGES FOR COMMON EXPENSE FROM THE MEDICARE COST REPORT. LINE 7G SUBSIDIZED HEALTH SERVICES - THE COSTING METHODOLOGY WAS DETERMINED BASED ON THE PARTICULAR ACTIVITY/PROGRAM AND THE TYPE OF EXPENSE. ACTUAL COST WAS USED WHERE DIRECT EXPENSES WERE IDENTIFIABLE. A RATIO OF PATIENT CARE COST TO CHARGES WAS USED IN THE CASE OF INDIRECT EXPENSES. PART I, LN 7 COL(F): THE BAD DEBT EXPENSE OF $2,694,379 (PART IX, LINE 24A) IS INCLUDED IN THE DENOMINATOR FOR PURPOSES OF PART 1, LINE 7, COLUMN F "PERCENT OF TOTAL EXPENSE". (THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE CAN BE FOUND ON PAGE 7 OF THE ATTACHED FINANCIAL STATEMENTS.) PART III, LINE 2: BAD DEBT EXPENSE METHODOLOGYACCOUNTS 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. PART III, LINE 3: BAD DEBT EXPENSE AT COST ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR CHARITY CARE IS BASED ON ESTIMATES. PART III, LINE 4: FOR RECEIVABLES ASSOCIATED WITH UNINSURED PATIENTS (WHICH INCLUDES PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS AN ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE HOSPITALS ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS WAS 100% OF SELF-PAY AND MEDICAID PENDING ACCOUNTS RECEIVABLE. IN ADDITION TO THE ALLOWANCE ON SELF-PAY AND MEDICAID PENDING ACCOUNTS, ALL ACCOUNTS THAT HAVE AGED BEYOND 180 DAYS FROM THE DATE OF SERVICE ARE ALLOWED FOR 100% REGARDLESS OF THE PAYOR. 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, IF ANY, IS TREATED AS COMMUNITY BENEFIT. PART III, LINE 9B: FINANCIAL ASSISTANCE ELIGIBLE INDIVIDUALS WILL NOT BE SENT BY THE HOSPITAL'S THIRD-PARTY COLLECTION AGENCY FOR CREDIT REPORTING EARLIER THAN 180 DAYS FROM THE FIRST POST-DISCHARGE BILLING STATEMENT. IN CASES WHERE A PATIENT LATER SUBMITS A FINANCIAL ASSISTANCE APPLICATION, MCH NOTIFIES THE THIRD-PARTY COLLECTION AGENCY TO CEASE CREDIT REPORTING. CHARITY CARE IS NOT CONSIDERED A SUBSTITUTE FOR PERSONAL RESPONSIBILITY. PATIENTS ARE EXPECTED TO FOLLOW THE HOSPITAL'S BILLING PROCEDURES AND PAY HIS/HER SHARE BASED ON FINANCIAL ABILITY. MILLCREEK COMMUNITY HOSPITAL'S COLLECTION PRACTICES TAKE INTO ACCOUNT THE EXTENT TO WHICH THE PATIENT QUALIFIES FOR CHARITY, A PATIENT'S GOOD FAITH EFFORT TO APPLY FOR A GOVERNMENTAL PROGRAM OR FOR CHARITY FROM MILLCREEK COMMUNITY HOSPITAL, AND A PATIENT'S GOOD FAITH EFFORT TO COMPLY WITH HIS OR HER PAYMENT AGREEMENTS WITH MILLCREEK COMMUNITY HOSPITAL. FOR PATIENTS WHO QUALIFY FOR CHARITY AND WHO ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR HOSPITAL BILLS, MILLCREEK COMMUNITY HOSPITAL MAY OFFER EXTENDED PAYMENT PLANS TO ELIGIBLE PATIENTS, WILL NOT IMPOSE WAGE GARNISHMENTS OR LIENS ON PRIMARY RESIDENCES, WILL NOT SEND UNPAID BILLS TO OUTSIDE COLLECTION AGENCIES, AND WILL CEASE ALL COLLECTION EFFORTS. PART VI, LINE 2: REGARDING NEED ASSESSMENT: ALSO SEE RESPONSE TO SCHEDULE H, PART V, LINE 11 THAT IS INCLUDED IN PART V, SCHEDULE C.IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), MILLCREEK COMMUNITY HOSPITAL ASSESSES THE HEALTH CARE NEEDS FOR THE COMMUNITY THROUGH SEVERAL APPROACHES. ONE APPROACH IS PATIENT'S EXPERIENCE OF CARE AUDITED REPORTS THAT PROVIDE MILLCREEK THE ABILITY TO DIRECTLY ASSESS THE PATIENT'S CONCERNS AND NEEDS. ANOTHER APPROACH IS INTERNAL REPORTS AND AUDITS THAT ARE CREATED FOR MANY ASPECTS OF CARE BEING DELIVERED. QUALITY AND PERFORMANCE DATA ARE REPORTED TO GOVERNING ORGANIZATIONS ON A REGULAR BASIS. THE SCORES AND INFORMATION WILL BE USED TO EVALUATE AND IMPROVE THE DELIVERY OF CARE. THE RESULTS OF THE REPORTS AND AUDITS ARE ANALYZED TO CAPTURE ANY STATISTICAL TRENDS OR AREAS FOR IMPROVEMENT. DISCUSSION OF ALL PREVIOUS ASSESSMENT APPROACHES AND OTHER IMPERATIVE TOPICS CONCERNING THE COMMUNITY SERVED OCCURS AT DEPARTMENTAL, PATIENT SAFETY, MEDICAL STAFF EXECUTIVE, AND OTHER VARIOUS COMMITTEE MEETINGS. MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP), DEVELOPED BY THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS, WAS SELECTED AS A GUIDE FOR THE CHNA. MAPP RELIES ON FOUR ASSESSMENTS TO PROVIDE THE INFORMATION NEEDED TO DEVELOP STRATEGIC ISSUES, GOALS, STRATEGIES, AND ACTION PLANS FOR THE COMMUNITY. THESE ASSESSMENTS ARE: (1) COMMUNITY HEALTH STATUS ASSESSMENT, WHICH PROVIDES QUANTITATIVE AND QUALITATIVE DATA ABOUT THE HEALTH NEEDS OF RESIDENTS, (2) COMMUNITY THEMES AND STRENGTHS ASSESSMENT, WHICH HELPS TO IDENTIFY ISSUES AND TOPICS OF INTEREST TO THE COMMUNITY, (3) FORCES OF CHANGE ASSESSMENT, WHICH IDENTIFIES CURRENT OR FUTURE ISSUES THAT MAY AFFECT THE COMMUNITY OR PUBLIC HEALTH SYSTEM, AND (4) LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT, WHICH IDENTIFIES ORGANIZATIONS THAT CONTRIBUTE TO THE PUBLIC'S HEALTH. BECAUSE THIS IS A COMPREHENSIVE NEEDS ASSESSMENT, BOTH QUANTITATIVE AND QUALITATIVE DATA ARE INCLUDED. HEALTH INDICATORS ARE REPORTED AS INDIVIDUAL DATA POINTS AND ARE ALSO INCLUDED IN TREND ANALYSES. STATISTICS FOR GENDER, RACE, ETHNICITY, AGE, EDUCATION, AND INCOME ARE LISTED WHEN AVAILABLE. FINALLY, INDICATORS ARE COMPARED TO STATE, NATIONAL, AND HEALTHY PEOPLE 2020 DATA. QUALITATIVE DATA WAS COMPILED FROM SEVEN FOCUS GROUPS CONDUCTED THROUGHOUT ERIE COUNTY. USING THE SAME QUESTIONS FOR EACH GROUP, PARTICIPANT RESPONSES PROVIDED PERCEPTUAL VIEWS FROM COUNTY RESIDENTS ABOUT THE HEALTH OF THEIR COMMUNITY. PRIORITIES FOR ERIE COUNTY WERE IDENTIFIED USING A PRIORITY MATRIX, RANKING SYSTEM, AND ASSET INVENTORY. FINAL STRATEGIC ISSUES AND OVERARCHING CHALLENGES WERE THEN DEVELOPED. PART VI, LINE 3: THE HOSPITAL UTILIZES THE FOLLOWING PROCEDURES TO INFORM AND EDUCATE ITS PATIENTS AND PERSONS, WHO MAY BE BILLED FOR PATIENT CARE, ABOUT THEIR ELIGIBILITY FOR ASSISTANCE:- A HOSPITAL EMPLOYEE WITH KNOWLEDGE OF GOVERNMENT PROGRAMS PERSONALLY VISITS APPLICABLE INPATIENTS AND EXPLAINS THE MEDICAL ASSISTANCE ALTERNATIVES AVAILABLE TO THE INPATIENT.- PATIENT BILLING STATEMENTS INCLUDE A NOTATION REGARDING THE FACT DISCOUNTS OR SPECIAL PAYMENT ARRANGEMENTS ARE AVAILABLE TO QUALIFYING INDIVIDUALS.- A CHARITY CARE CONTACT PHONE NUMBER IS: 1) INCLUDED IN THE HOSPITAL'S FAP; 2) PHYSICALLY POSTED IN THE HOSPITAL'S EMERGENCY ROOM AND; 3) PRINTED ON THE PATIENT'S BILLING STATEMENT. THE APPROPRIATE HOSPITAL EMPLOYEES ASSIST PATIENTS IN THE COMPLETION OF THE REQUIRED FORMS. PART VI, LINE 4: THE HOSPITAL SERVES ERIE COUNTY, PENNSYLVANIA AND PERIPHERAL AREAS SURROUNDING THE COUNTY. BASED ON 2020 CENSUS INFORMATION PUBLISHED ON CENSUS.GOV, 15.8% OF ERIE COUNTY RESIDENTS WERE BELOW THE POVERTY LEVEL DURING THE STUDIED TIME FRAME. IN THE CITY OF ERIE, POVERTY RATES FOR THE SAME TIME PERIOD WERE 24.7% FOR CHILDREN UNDER 18. PER CAPITA INCOME IN ERIE COUNTY WAS APPROXIMATELY $30,715, OVER 18% BELOW THE NATIONAL AVERAGE.ACCORDING TO A FORECASTED CENSUS STUDY, THE TOTAL POPULATION OF ERIE COUNTY IS APPROXIMATELY 269,000 AND IS EXPECTED TO DECREASE, WHILE THE POPULATION GROUP AGED 65 AND OVER IS EXPECTED TO INCREASE. ACCORDINGLY, THE HOSPITAL WILL LIKELY SEE ITS MEDICARE PERCENTAGE OF NET PATIENT REVENUE INCREASE FROM ITS CURRENT PERCENTAGE OF 35%. THE HOSPITAL SERVICES A DISPROPORTIONATE SHARE OF LOW INCOME HOUSEHOLDS. MEDICAL ASSISTANCE COMPRISED APPROXIMATELY 32% OF THE HOSPITAL'S NET PATIENT REVENUE. THE HOSPITAL'S GROSS CHARGES FOR UNCOMPENSATED CARE IS APPROXIMATELY 9.47% 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. OSTEOPATHIC 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 ACCOMMODATE 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. OVER THE YEARS, THE HOSPITAL HAS EXPANDED TO IMPROVE THE SERVICES IT PROVIDES TO THE COMMUNITY. THE HOSPITAL HAS ALSO UNDERGONE SEVERAL MAJOR EXPANSION PROJECTS IN RECENT YEARS:-INCLUDING THE CONSTRUCTION OF A 10 BED PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY (PRTF)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 INDIVIDUALS 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. THE HOSPITAL UTILIZES RESIDENTS AND FELLOWS ACROSS A WIDE RANGE OF MEDICAL CARE SPECIALTIES INCLUDING FAMILY PRACTICE, INTERNAL MEDICINE, ORTHOPEDICS, PSYCHIATRY, PULMONARY GASTROINTESTINAL, PODIATRY, SPORTS MEDICINE, AND NEUROMUSCULOSKELETAL MEDICINE. 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. A BLOOD DRIVE IS CONDUCTED TWICE A YEAR TO ASSIST IN THE COMMUNITY NEED FOR BLOOD. THE HOSPITAL 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:MEDICAL ASSOCIATES OF ERIE (MAE), AN AFFILIATE OF THE HOSPITAL, RECEIVES OVER 60,000 PATIENT VISITS ANNUALLY. THE PATIENTS TREATED ARE PREDOMINANTLY LOW INCOME AND RESIDE IN THREE UNDERSERVED AREAS OF ERIE COUNTY. FOR 33% OF MAE'S PATIENTS, THEIR MEDICAL CHARGES ARE EITHER COVERED BY MEDICAL ASSISTANCE OR THE PATIENTS QUALIFY FOR CHARITY CARE. U.S. CENSUS STUDIES INDICATE HOUSEHOLD INCOME IN SOME OF MAE'S PRACTICE AREAS IS ONLY 2/3 OF THE NATIONAL AVERAGE, AND THE PERCENTAGE OF THE POPULATION UNDER THE FEDERAL POVERTY GUIDELINES IS 150% OF THE NATIONAL AVERAGE. MAE PATIENTS ALSO INCLUDE A LARGE NUMBER OF REFUGEES FROM AFRICA, THE MIDDLE EAST, AND NEPAL.MILLCREEK MANOR, LECOM AT PRESQUE ISLE, AND LECOM AT VILLAGE SQUARE, LLC (AS A WHOLE KNOWN AS LECOM INSTITUTE FOR SUCCESSFUL AGING):WITH ERIE COUNTY'S SENIOR POPULATION NOW APPROACHING ONE OUT OF FOUR RESIDENTS, LECOM HEALTH NOW OFFERS A FULL CONTINUUM OF CARE FROM INDEPENDENT LIVING AT PARKSIDE AT WESTMINISTER OR PARKSIDE AT CORRY TO PERSONAL CARE APARTMENTS AT PARKSIDE AT NORTHEAST, REGENCY AT SOUTHSHORE, AND PARKSIDE AT GLENWOOD TO SKILLED NURSING CARE AT THE 144 BED SKILLED AND LONG TERM CARE UNIT LECOM SENIOR LIVING CENTER, 135 BED SKILLED AND LONG TERM CARE UNIT AT LECOM PRESQUE ISLE OR 110 BED SKILLED AND LONG TERM CARE UNIT LECOM AT VILLAGE SQUARE. LECOM INSTITUTE FOR SUCCESSFUL AGING HAS INTRODUCED THE NEXT GENERATION OF SKILLED NURSING CARE FOR OLDER ADULTS THAT IS BRINGING TOGETHER EXCITING AND INNOVATIVE PATIENT CENTERED HEALTH CARE WITH A MAJORITY OF RESIDENTS HAVING MEDICAID AND MEDICARE PART A.LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE:THE LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE (LECOM), ALONG WITH MILLCREEK COMMUNITY HOSPITAL AND THE CLINICAL PRACTICES OF MEDICAL ASSOCIATES OF ERIE, IS THE CORE OF LECOM HEALTH AN ACADEMIC HEALTH CENTER WITH TWO HOSPITALS, MORE THAN 20 PHYSICIAN OFFICES, 3 SKILLED NURSING CENTERS, GERIATRIC HEALTH AND EDUCATION PROGRAMS AS WELL AS THE COLLEGE. LECOM HEALTH IS A HIGHLY INNOVATIVE HEALTH CARE AND EDUCATION SYSTEM THAT STRIVES TO ADD TO THE QUALITY OF LIFE OF OUR NEIGHBORS BY BRINGING TOTAL HEALTH CARE TO THE COMMUNITY. THE MEDICAL COLLEGE PREPARES STUDENTS TO ACTIVELY SERVE AND BECOME A POSITIVE FORCE FOR CHANGE IN THEIR COMMUNITIES. LECOM WAS ESTABLISHED IN 1992 AND HAS A TOTAL STUDENT ENROLLMENT OF MORE THAN 4,300 MEDICAL, PHARMACY, DENTAL AND GRADUATE STUDENTS. THE MEDICAL COLLEGE ENROLLS 714 STUDENTS PER YEAR, THE SCHOOL OF PHARMACY ACCEPTS 300 STUDENTS PER YEAR, THE SCHOOL OF DENTAL MEDICINE ENROLLS 100 STUDENTS PER YEAR AND THE SCHOOL OF GRADUATE STUDIES 300 STUDENTS PER YEAR.MCH SERVES AS THE MAIN REGIONAL TEACHING SITES IN NORTHWESTERN PENNSYLVANIA FOR THIRD AND FOURTH-YEAR LECOM MEDICAL STUDENTS AND THIRD-YEAR PHARMACY STUDENTS WHO ROTATE AT THE HOSPITAL AND AFFILIATED CLINICS. MCH AND ITS FACULTY PROVIDE INSTRUCTION FOR APPROXIMATELY 100 COLLEGE OF MEDICINE STUDENTS PER MONTH AND 70 PHARMACY STUDENTS PER YEAR. MCH PROVIDES ROOM AND BOARD FOR THESE STUDENTS AT NO COST. MCH AND ITS FACULTY VOLUNTEER THEIR SERVICES, WHICH ALLOWS LECOM TO PASS THE SAVINGS ON TO THEIR STUDENTS, MAKING LECOM THE SECOND LOWEST TUITION FOR PRIVATE MEDICAL SCHOOLS IN THE UNITED STATES. MCH, BY TRAINING MEDICAL STUDENTS, PHARMACISTS AND DENTISTS, ALLOWS NORTHWEST PENNSYLVANIA TO BE HEALTH-PROFESSIONAL RICH AND INCREASES ACCESS TO HEALTH CARE FOR THE COMMUNITY. PRESENTLY, MANY OF THE NEW PHYSICIANS AND PHARMACISTS RECRUITED TO THIS AREA ARE LECOM GRADUATES.SINCE ITS INCEPTION IN 1992, LECOM'S ADMINISTRATION HAS INSTILLED A STRONG SENSE OF COMMUNITY SERVICE TO ITS FACULTY, STAFF AND STUDENTS. LECOM'S MISSION IS BASED AROUND MAKING THE "COMMUNITY OUR CAMPUS". EACH YEAR, MORE THAN 40 STUDENT CLUBS AND ACADEMIC SOCIETIES PROVIDE NEARLY 20,000 VOLUNTEER HOURS TO LOCAL ORGANIZATIONS. THROUGHOUT THE ACADEMIC YEAR, STUDENTS ARE RAISING FUNDS, COLLECTING GOODS AND PROMOTING HEALTH TO MAKE LIFE BETTER FOR THEIR NEIGHBORS, NOT ONLY FOR OUR CAMPUSES IN ERIE AND GREENSBURG, PA AND BRADENTON, FL, BUT AROUND THE COUNTRY AND WORLDWIDE.AS ESTIMATED BY TRIPP UMBACH IN A 2016 ECONOMIC IMPACT STUDY, LECOM HEALTH EMPLOYEES, RESIDENTS, PHYSICIANS, AND MEDICAL STUDENTS WHO RECEIVE THEIR TRAINING AT LECOM GENERATE NEARLY $6.2 MILLION ANNUALLY IN CHARITABLE DONATIONS, VOLUNTEER SERVICES, AND PROVISION OF FREE HEALTH CARE THROUGHOUT THE AREA.THROUGHOUT THE ACADEMIC YEAR, LECOM STUDENTS COMPASSIONATELY HOLD FOOD, CLOTHING AND TOY DRIVES FOR ORGANIZATIONS SUCH AS THE WOMEN'S RESOURCE CENTER, SALVATION ARMY AND THE MANATEE AND ERIE COUNTY FOOD BANKS. THEY ALSO RAISE FUNDS AND PROVIDE SUPPORT FOR SUCH ORGANIZATIONS AS THE AMERICAN CANCER SOCIETY, AMERICAN RED CROSS, MARCH OF DIMES, STOP HUNGER NOW, AND AUTISM SPEAKS AND HAVE COMMITTED THROUGH THE WHITE HOUSE'S JOINING FORCES INITIATIVE TO IMPROVE EDUCATION AND WELLNESS OPPORTUNITIES FOR MILITARY VETERANS AND THEIR FAMILIES. THE COLLEGE SUPPORTS THESE ACTIVITIES THROUGH THE STUDENT GOVERNMENT ASSOCIATIONS WITH FUNDING AND ACCESS TO THE RESOURCES OF THE COLLEGE OFFICES OF STUDENT AFFAIRS AND COMMUNICATIONS AND MARKETING. LECOM HAS IDENTIFIED NEIGHBORHOODS NEAR THE CAMPUSES WHERE THE NEED FOR HEALTH AND SOCIAL SERVICES ARE THE GREATEST AND WHERE THE COLLEGE IS ABLE TO CONCENTRATE ITS EFFORTS WITH THE GREATEST IMPACT.LECOM HAS SUPPORTED A COMMUNITY HEALTH INTERNSHIP PROGRAM, BRIDGING THE GAPS (BTG). EACH YEAR, THE COLLEGE PLACES PARTICIPATING FIRST-YEAR MEDICAL STUDENTS IN COMMUNITY HEALTH AND SOCIAL SERVICE AGENCIES WHERE THEY CAN DELIVER HEALTH EDUCATION TO UNDER-SERVED POPULATIONS IN THE ERIE REGION. BTG SEEKS TO PROVIDE SERVICE TO THOSE INDIVIDUALS MOST VULNERABLE IN TERMS OF HEALTH: THOSE FOR WHOM SERVICES ARE OFTEN LIMITED, DIFFICULT TO ACCESS OR NON-EXISTENT. BTG TEACHES LECOM FUTURE PHYSICIANS ABOUT THE RECIPROCAL CONNECTIONS AMONG THE COMMUNITY'S SOCIO-ECONOMIC CIRCUMSTANCES, THE HEALTH CARE SYSTEM, AND THE HEALTH OF THE POPULATION.EACH YEAR, 25-30 LECOM MEDICAL AND POST-BACCALAUREATE STUDENTS PARTICIPATE IN THE BTG PROGRAM AT MORE THAN 25 COMMUNITY SITES, THEY VOLUNTEER FOR MORE THAN 6000 HOURS OF COMMUNITY SERVICE WITHIN THE ERIE COMMUNITY, EACH STUDENT DESIGNS A PROJECT THAT IS MEANT TO ADDRESS AN AREA OF NEED FOR THE PARTICULAR COMMUNITY SITE, WITH MOST PROJECTS FOCUSING ON EDUCATION AND IMPROVING COMMUNITY HEALTH. LECOM ALSO HAS PARTNERED WITH THE ERIE YMCA AND ERIE CITY HOUSING AUTHORITY TO PROVIDE AFTER-SCHOOL TUTORING AND MENTORING TO CHILDREN FROM UNDERPRIVILEGED FAMILIES.LECOM IS THE LEAD AGENCY FOR SAFE KIDS ERIE, A MEMBER OF THE WORLD-WIDE CHILDREN'S SAFETY ADVOCACY ORGANIZATION. EACH YEAR, SAFE KIDS ERIE CONDUCTS MORE THAN 90 CHILDREN'S SAFETY DEMONSTRATIONS IN THE AREAS OF WATER SAFETY, CAR SEAT AND SEAT BELT SAFETY, FIRE PREVENTION, HOME INJURY PREVENTION, ANTI-BULLYING CAMPAIGNS, AND MANY OTHER CHILDREN'S SAFETY ACTIVITIES. LECOM STUDENTS VOLUNTEER TO WORK WITH THE SAFE KIDS COORDINATOR ON THESE PROJECTS. SAFE KIDS ERIE VOLUNTEERS INTERACTED WITH MORE THAN 25,000 CHILDREN AND PARENTS DURING 2019.LIFEWORKS ERIE HAS JOINED THE COLLEGE AS AN MCH PARTNER. IT IS AN EDUCATIONAL AND MEDICAL SERVICE PROVIDER FOR OLDER ADULTS, WHICH PROVIDES HEALTH SCREENERS, ORGANIZES FLU VACCINATION PROGRAMS, AND OFFERS DOZENS OF EDUCATIONAL LECTURES FOR ADULTS 50 YEARS OLD AND OLDER.IN FLORIDA, LECOM PARTNERS WITH THE SHERIFF'S YOUTH RANCH, DIETICIANS FROM THE LOCAL SCHOOL SYSTEM'S HEALTHY LUNCH INITIATIVE, THE GIVE KIDS A SMILE DENTAL PROJECT, THE MANATEE COUNTY YMCA AND MANY OTHER ORGANIZATIONS TO REACH OUT WHERE THE NEED IS GREATEST AND PROMOTE THE MESSAGE OF GOOD HEALTH AND LEARNING TO THE CHILDREN OF THE REGION.THE REGIONS SURROUNDING LECOM'S CAMPUSES HAVE EXPERIENCED INCREASED RATES OF CHILDHOOD OBESITY, DIABETES, PRE-NATAL ISSUES AND OTHER COMPLICATIONS FROM POOR DIET AND LACK OF ACCESS TO HEALTHCARE. BY COMMITTING TO COMMUNITY SERVICE, SUCH AS PROVIDING FREE MEDICAL AND DENTAL CARE FOR THE HOMELESS AT THE TURNING POINTS (BILL GALVANO) CENTER IN BRADENTON OR PROVIDING NUTRITION EDUCATION FOR CHILDREN AT THE ERIE AND GREENSBURG YMCAS, LECOM IS REACHING OUT TO IMPROVE HEALTH CARE.MEDICATION NON-ADHERENCE IS A MAJOR PROBLEM IN THE U.S., WITH STUDIES ESTIMATING THAT NEARLY 3 OUT OF 4 AMERICANS DO NOT TAKE THEIR MEDICATIONS AS PRESCRIBED. NOT TAKING MEDICATIONS PROPERLY LEADS TO HEALTH ISSUES SUCH AS MORBIDITY, MORTALITY AND INCREASED HEALTHCARE COSTS. TO HELP COMBAT THOSE STAGGERING NUMBERS, STUDENTS, FACULTY AND STAFF AT THE LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE SCHOOL OF PHARMACY TEAM UP WITH OTHER HEALTHCARE PROVIDERS IN THE SCRIPT YOUR FUTURE MEDICATION ADHERENCE CHALLENGE. STUDENTS PARTICIPATE IN UP TO 50 SERVICE EVENTS IN ERIE, PA, AND BRADENTON AND SARASOTA, FL, REACHING APPROXIMATELY 2,000 PEOPLE, WITH MANY RECEIVING COUNSELING BY A HEALTHCARE PROFESSIONAL. 0 0 0 0 0 0 0 0 0 SILVIA M FERRETTI DO TRUSTEE/PROVOST & VP OF ACADEMICS 0 1693526 0 0 0 34124 0 27600 0 11666 0 1766916 0 0 JOHN M FERRETTI DO CHAIRMAN/PRESIDENT & CEO 0 1541076 0 0 0 29282 0 27600 0 11525 0 1609483 0 0 MARY L ECKERT PRESIDENT/CEO 673270 0 0 0 16960 0 20700 0 12608 0 723538 0 0 0 JAMES LIN DO TRUSTEE/PHYSICIAN 97500 533295 0 0 0 12116 0 24678 0 30201 97500 600290 0 0 DANIELLE HANSEN DO TRUSTEE/REGIONAL PRESIDENT 69923 515101 0 0 0 14469 0 23838 0 25600 69923 579008 0 0 CHRISTOPHER CARBO DO PHYSICIAN 456666 0 0 0 141 0 20700 0 20112 0 497619 0 0 0 STEVEN G INMAN CPA CGMA VP FISCAL AFFAIRS/CFO 0 390775 0 0 0 15563 0 27600 0 11355 0 445293 0 0 LISA STEVENS DO PHYSICIAN 376190 0 0 0 92 0 20700 0 7445 0 404427 0 0 0 SETH CARTER DO TRUSTEE/PHYSICIAN 0 305346 0 0 0 54 0 24056 0 20084 0 349540 0 0 RICHARD LUSK CHIEF FINANCIAL OFFICER 294252 0 0 0 242 0 11231 0 20352 0 326077 0 0 0 MARCUS BABIAK PHARMD CHIEF OPERATING OFFICER/PH 178539 0 0 0 61 0 10934 0 20062 0 209596 0 0 0 TRACY ROTH RN 172308 0 0 0 67 0 8314 0 7409 0 188098 0 0 0 DAVID A RUBINO MSGR TRUSTEE/VP OF EXTERNAL AFFAIR 0 142146 0 0 0 556 0 11434 0 6302 0 160438 0 0 PART I, LINE 3 MILLCREEK COMMUNITY HOSPITAL'S CEO IS PAID BY LECOM. LECOM USES THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE CEO: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -FORM 990 OF OTHER ORGANIZATIONS -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE FORM 990, PART VI, SECTION A, LINE 2 DR. JOHN M. FERRETTI DR. SILVIA M. FERRETTI CHAIRMAN TRUSTEE 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 11B PRIOR TO FILING ITS FORM 990, THE ORGANIZATION PROVIDED ITS BOARD MEMBERS WITH ACCESS TO AN ELECTRONIC COPY OF THE TAX RETURN AND INVITED COMMENTS AND QUESTIONS FROM THE BOARD MEMBERS. PRIOR TO FILING FORM 990, MEMBERS OF THE ORGANIZATION'S FINANCIAL MANAGEMENT CONDUCTED A DETAILED REVIEW OF THE TAX FILING. THROUGHOUT THE REVIEW PROCESS, THERE WAS ONGOING DISCUSSION BETWEEN THE ORGANIZATION'S FINANCIAL MANAGEMENT AND THE TAX PREPARER. FORM 990, 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. 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 OTHER FEES: PROGRAM SERVICE EXPENSES 14,750,271. MANAGEMENT AND GENERAL EXPENSES 1,633,458. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,383,729. FORM 990, PART XI, LINE 9: TRANSFER TO AFFILIATES 20,735,000. FORM 990, PART XII - ADDITIONAL INFORMATION THE ASSETS OF THE SELF-INS TRUST ARE INCLUDED ON THE HOSPITAL BALANCE SHEET. MILLCREEK HEALTH SYSTEM (MHS) 5515 PEACH ST ERIE PA 16509 251766164 PARENT CORPORATION PA 501(C)(3) LINE 12C, III-FI N/A 0 LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE 1858 W GRANDVIEW BLVD ERIE PA 16509 251698677 MEDICAL SCHOOL PA 501(C)(3) LINE 2 MILLCREEK HEALTH SYSTEM 0 MEDICAL ASSOCIATES OF ERIE ONE LECOM PLACE ERIE PA 16509 113716896 PHYSICIAN MANAGEMENT PA 501(C)(3) LINE 10 MILLCREEK HEALTH SYSTEM 0 MILLCREEK MANOR 5515 PEACH ST ERIE PA 16509 251619204 LONG TERM CARE PA 501(C)(3) LINE 3 MILLCREEK HEALTH SYSTEM 0 MILLCREEK HEALTH SYSTEM MEDICAL PRO 5515 PEACH ST ERIE PA 16509 576204119 LIABILITY INSURANCE PA 501(C)(3) LINE 12C, III-FI 0 VISITING NURSE ASSOCIATION OF ERIE COUNTY 2253 WEST GRANDVIEW BOULEVARD ERIE PA 16506 250969488 HOME HEALTH PA 501(C)(3) LINE 7 MILLCREEK HEALTH SYSTEM 0 CORRY MEMORIAL HOSPITAL ASSN (CMH) 965 SHAMROCK LANE CORRY PA 16407 250987222 HOSPITAL PA 501(C)(3) LINE 3 MILLCREEK HEALTH SYSTEM 0 CORRY MEDICAL SERVICES 965 SHAMROCK LANE CORRY PA 16407 251425220 HEALTH CARE PA 501(C)(3) LINE 12B, II CORRY MEMORIAL HOSPITAL ASSOCIATION 0 CORRY MEMORIAL HOSPITAL FOUNDATION 965 SHAMROCK LANE CORRY PA 16407 208285800 FUNDRAISING PA 501(C)(3) LINE 12B, II CORRY MEMORIAL HOSPITAL ASSOCIATION 0 LECOM AT PRESQUE ISLE 4114 SCHAPER AVE ERIE PA 16508 475049201 LONG TERM CARE PA 501(C)(3) LINE 10 MILLCREEK HEALTH SYSTEM 0 ACHIEVEMENT CENTER INC 4950 WEST 23RD STREET SUITE 1 ERIE PA 16506 250965336 THERAPEUTIC SERVICES PA 501(C)(3) LINE 10 MILLCREEK HEALTH SYSTEM 0 COUNSELING SERVICES CENTER INC DBA CORRY COUNSELING SERVICES 45 EAST WASHINGTON STREET CORRY PA 16407 251323591 MENTAL HEALTH SERVICES PA 501(C)(3) LINE 7 MILLCREEK HEALTH SYSTEM 0 LECOM HEALTH RISK RETENTION GROUP 1858 W GRANDVIEW BLVD ERIE PA 16509 854350386 LIABILITY INSURANCE PA 501(C)(3) LINE 12A, I MILLCREEK HEALTH SYSTEM 0 MCH CORPORATION 5515 PEACH ST ERIE PA 16509 251549695 REAL ESTATE PA N/A C 0 CORRY HEALTH SERVICES INC 965 SHAMROCK LAME CORRY PA 16407 251488214 HEALTH CARE PA N/A C 0 0 1 1 0 0 0 0 0 0 1 1 1 0 0 0 1 1 1 0