FURP.ORG / PUBLIC DATA EXPLORER

LECOM AT PRESQUE ISLE INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
LECOM AT PRESQUE ISLE INC (EIN 47-5049201)
Tax period
2022-07-01 to 2023-06-30
Filed
2024-05-13
IRS object ID
202401349349307415
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-05-13T15:26:45-05:00ReturnTs
Tax Period End2023-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390859910PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BAKER TILLY US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line120 STANWIX STREETAddressLine1Txt
CityPITTSBURGHCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15222ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN475049201EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LECOM AT PRESQUE ISLE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLECOBusinessNameControlTxt
Phone8148687767PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15515 PEACH STREETAddressLine1Txt
CityERIECityNm
State AbbreviationPAStateAbbreviationCd
ZIP16509ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSTEVEN G INMAN CPA CGMAPersonNm
Person TitleVP FISCAL AFFAIRS/CFOPersonTitleTxt
Phone8148687767PhoneNum
Signature2024-05-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstSTEVENPersonFirstNm
Person LastINMAN CPA CGMAPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJEFFREY J PETRELLPreparerPersonNm
PTINP00138808PTIN
Phone4126976400PhoneNum
Preparation2024-05-02PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1LECOM NURSING AND REHABILITATION CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerSTEVEN G INMAN CPA CGMPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line15515 PEACH STREETAddressLine1Txt
CityERIECityNm
State AbbreviationPAStateAbbreviationCd
ZIP16509ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$11,234,207GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHTTPS://LECOMHEALTH.COM/SENIOR-LIVINGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2015FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionTHE SOLE ACTIVITY OF LECOM AT PRESQUE ISLE IS TO PROVIDE A SKILLED NURSING FACILITY TO ADDRESS THE NEEDS OF A GROWING ELDERLY POPULATION. THIS FACILITY IS SPECIFICALLY DESIGNED FOR SENIOR RESIDENTS WHO ARE UNABLE TO LIVE ON THEIR OWN TO ALLOW THEM TO AGE IN A COMFORTABLE SAFE ENVIRONMENT. THE FACILITY EMPLOYS NURSES WHO PROVIDE RESIDENTS WITH 24 HOURS OF EMERGENCY SUPPORT WHICH WILL GIVE FAMILIES AND LOVED ONES PEACE OF MIND. IN ADDITION, OTHER PROVIDED SERVICES INCLUDE MEALS, HOUSEKEEPING, RESIDENT ACTIVITIES, WELLNESS ACTIVITIES, AND SOCIAL SERVICES.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent1VotingMembersIndependentCnt
Total Employee203TotalEmployeeCnt
Total Volunteers1TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,975,545PYContributionsGrantsAmt
CY Contributions Grants$202,531CYContributionsGrantsAmt
PY Program Service Revenue$9,310,077PYProgramServiceRevenueAmt
CY Program Service Revenue$10,994,088CYProgramServiceRevenueAmt
PY Investment Income-$1,181,474PYInvestmentIncomeAmt
CY Investment Income$37,588CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$10,104,148PYTotalRevenueAmt
CY Total Revenue$11,234,207CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$7,898,568PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$7,536,575CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,716,254PYOtherExpensesAmt
CY Other Expenses$3,712,146CYOtherExpensesAmt
PY Total Expenses$11,614,822PYTotalExpensesAmt
CY Total Expenses$11,248,721CYTotalExpensesAmt
PY Revenues Less Expenses-$1,510,674PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$14,514CYRevenuesLessExpensesAmt
Total Assets BOY$22,394,003TotalAssetsBOYAmt
Total Assets EOY$21,890,288TotalAssetsEOYAmt
Total Liabilities BOY$3,278,150TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,788,949TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$19,115,853NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$19,101,339NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE A SKILLED NURSING FACILITY TO ADDRESS THE NEEDS OF A GROWING ELDERLY POPULATION.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$9,799,382ExpenseAmt
Revenue$10,994,088RevenueAmt
DescLECOM AT PRESQUE ISLE MAINTAINS 135 BEDS AND PROVIDES NURSING CARE TO ITS RESIDENTS. THE FACILITIES ARE SPECIFICALLY DESIGNED FOR SENIOR RESIDENTS WHO ARE UNABLE TO LIVE ON THEIR OWN TO ALLOW THEM TO AGE IN A COMFORTABLE SAFE ENVIRONMENT. THE FACILITY EMPLOYS NURSES WHO PROVIDE RESIDENTS WITH 24 HOURS OF EMERGENCY SUPPORT WHICH WILL GIVE FAMILIES AND LOVED ONES PEACE OF MIND. IN ADDITION, OTHER PROVIDED SERVICES INCLUDE MEALS, HOUSEKEEPING, RESIDENT ACTIVITIES, WELLNESS ACTIVITIES, AND SOCIAL SERVICES.Desc
Total Program Service Expenses$9,799,382TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document10IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee203EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member1IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSTEVEN G INMAN CPA CGMAPersonNm
Phone8148644031PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15515 PEACH STREETAddressLine1Txt
CityERIECityNm
State AbbreviationPAStateAbbreviationCd
ZIP16509ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
MARY L ECKERT
PRESIDENT/CEO1.0079.00Yes (X)Yes (X)$0$685,987$27,033
JOHN M FERRETTI DO
PRESIDENT1.0079.00Yes (X)Yes (X)$0$1,331,566$30,818
MELANIE TITZEL PHD
SECRETARY & TREASURER1.0040.00Yes (X)Yes (X)$0$114,803$12,947
RICHARD P OLINGER
BOARD MEMBER1.0064.00Yes (X)$0$106,729$17,511
DANIELLE HANSEN DO
BOARD MEMBER1.0069.00Yes (X)$0$544,025$41,549
JAMES Y LIN DO
BOARD MEMBER1.0064.00Yes (X)$0$506,484$43,404
MARLENE D MOSCO
BOARD MEMBER1.001.00Yes (X)$0$0$0
STEVEN G INMAN CPA CGMA
VP FISCAL AFFAIRS/CFO1.0064.00Yes (X)$0$332,130$30,376
GWENDOLYN BUTLER
LPN40.00$124,661$0$13,449Yes (X)
AARON KLEPS
PHYSICIAN ASSISTANT40.00$152,450$0$7,849Yes (X)
DANA OYEBANJI
LPN40.00$156,926$0$16,359Yes (X)
LISA MAKIN
LPN40.00$129,566$0$9,926Yes (X)
CASSANDRA BURT
LPN40.00$122,096$0$23,352Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$685,699TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,621,724TotReportableCompRltdOrgAmt
Total Other Compensation$274,573TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K6IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
US FOODSERVICES INC
PO BOX 643190PITTSBURGHPA15264FOOD SERVICES$157,463
VANTAGE HC LINEN SERVICES LLP
1305 S MAIN STREETMEADVILLEPA16335LINEN SERVICES$136,882
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Government Grants$202,531GovernmentGrantsAmt
Total Contributions$202,531TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescRESIDENT REVENUEDesc
Business623000BusinessCd
Total Revenue Column$10,994,088TotalRevenueColumnAmt
Related Or Exempt Func Income$10,994,088RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$10,994,088TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$37,588TotalRevenueColumnAmt
Exclusion$37,588ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,234,207TotalRevenueColumnAmt
Related Or Exempt Func Income$10,994,088RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$37,588ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,848,044TotalAmt
Program Services$5,214,276ProgramServicesAmt
Management And General$633,768ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$163,069TotalAmt
Program Services$145,397ProgramServicesAmt
Management And General$17,672ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,114,048TotalAmt
Program Services$993,316ProgramServicesAmt
Management And General$120,732ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$411,414TotalAmt
Program Services$366,828ProgramServicesAmt
Management And General$44,586ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$10,012TotalAmt
Management And General$10,012ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$39,644TotalAmt
Management And General$39,644ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$508,108TotalAmt
Program Services$504,066ProgramServicesAmt
Management And General$4,042ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$5,928TotalAmt
Program Services$5,928ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$142,206TotalAmt
Program Services$137,472ProgramServicesAmt
Management And General$4,734ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$129,585TotalAmt
Program Services$129,585ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$409,116TotalAmt
Program Services$186,632ProgramServicesAmt
Management And General$222,484ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$82,544TotalAmt
Program Services$81,485ProgramServicesAmt
Management And General$1,059ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$695,031TotalAmt
Program Services$695,031ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$438,453TotalAmt
Program Services$103,795ProgramServicesAmt
Management And General$334,658ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES & EQUI$746,185$733,387$12,798
DIETARY EXPENSES$386,334$386,334
REPAIRS & MAINTENANCE$83,648$83,648
EDUCATION AND TRAINING$1,821$1,646$175

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$33,531TotalAmt
Program Services$30,556ProgramServicesAmt
Management And General$2,975ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$11,248,721TotalAmt
Program Services$9,799,382ProgramServicesAmt
Management And General$1,449,339ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,231,334BOYAmt
EOY$5,430,661EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,171,111BOYAmt
EOY$6,455EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,074,947BOYAmt
EOY$2,033,749EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$21,190BOYAmt
EOY$21,190EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$250,193BOYAmt
EOY$386,526EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$20,334,968LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$6,698,173LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$14,293,228BOYAmt
EOY$13,636,795EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$352,000BOYAmt
EOY$374,912EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$22,394,003BOYAmt
EOY$21,890,288EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,226,150BOYAmt
EOY$2,714,037EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$52,000BOYAmt
EOY$74,912EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,278,150BOYAmt
EOY$2,788,949EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$19,115,853BOYAmt
EOY$19,101,339EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$19,115,853BOYAmt
EOY$19,101,339EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$22,394,003BOYAmt
EOY$21,890,288EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$14,514ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$1,293,220CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,975,545CurrentTaxYearMinus1YearAmt
Current Tax Year$202,531CurrentTaxYearAmt
Total$3,471,296TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,254,745CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,248,473CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,740,581CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,310,077CurrentTaxYearMinus1YearAmt
Current Tax Year$10,994,088CurrentTaxYearAmt
Total$51,547,964TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,254,745CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,248,473CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,033,801CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,285,622CurrentTaxYearMinus1YearAmt
Current Tax Year$11,196,619CurrentTaxYearAmt
Total$55,019,260TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$55,019,260PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,648CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,567CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,128CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,774CurrentTaxYearMinus1YearAmt
Current Tax Year$37,588CurrentTaxYearAmt
Total$53,705TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,648CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,567CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,128CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,774CurrentTaxYearMinus1YearAmt
Current Tax Year$37,588CurrentTaxYearAmt
Total$53,705TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,260,393CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,254,040CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,034,929CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,289,396CurrentTaxYearMinus1YearAmt
Current Tax Year$11,234,207CurrentTaxYearAmt
Total$55,072,965TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99900PublicSupportCY509Pct
Public Support PY5090.99970PublicSupportPY509Pct
Investment Income CY0.00100InvestmentIncomeCYPct
Investment Income PY0.00030InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,500,000OtherCostOrOtherBasisAmt
Book Value$1,500,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,663,065OtherCostOrOtherBasisAmt
Depreciation$3,613,820DepreciationAmt
Book Value$10,049,245BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,841,178OtherCostOrOtherBasisAmt
Depreciation$2,504,200DepreciationAmt
Book Value$336,978BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,330,725OtherCostOrOtherBasisAmt
Depreciation$580,153DepreciationAmt
Book Value$1,750,572BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$13,636,795TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescRESIDENT TRUST FUNDDesc
Amt$74,912Amt
FieldValueIRS element (for citing)
Total Liability$74,912TotalLiabilityAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JOHN M FERRETTI DO
PRESIDENT$0$1,297,755$0$0$0$33,811$0$24,400$0$6,418$0$1,362,384$0$0
MARY L ECKERT
PRESIDENT/CEO$0$647,405$0$0$0$38,582$0$18,300$0$8,733$0$713,020$0$0
DANIELLE HANSEN DO
BOARD MEMBER$0$536,232$0$0$0$7,793$0$22,795$0$18,754$0$585,574$0$0
JAMES Y LIN DO
BOARD MEMBER$0$500,513$0$0$0$5,971$0$24,400$0$19,004$0$549,888$0$0
STEVEN G INMAN CPA CGMA
VP FISCAL AFFAIRS/CFO$0$326,548$0$0$0$5,582$0$23,958$0$6,418$0$362,506$0$0
DANA OYEBANJI
LPN$130,942$0$25,984$0$0$0$3,189$0$13,170$0$173,285$0$0$0
AARON KLEPS
PHYSICIAN ASSISTANT$152,450$0$0$0$0$0$7,621$0$228$0$160,299$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 3FormAndLineReferenceDesc
ExplanationLECOM AT PRESQUE ISLE'S TOP MANAGEMENT OFFICIAL AND CERTAIN MEMBERS OF ITS BOARD OF TRUSTEES ARE 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 COMMITTEEExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6MILLCREEK HEALTH SYSTEM, THE FILING ORGANIZATION'S PARENT CORPORATION, IS THE SOLE MEMBER OF THE FILING ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7ALECOM AT PRESQUE ISLE, INC.'S BOARD IS ELECTED BY MILLCREEK HEALTH SYSTEM, INC.
FORM 990, PART VI, SECTION A, LINE 7BMILLCREEK HEALTH SYSTEM IS THE PARENT CORPORATION OF LECOM AT PRESQUE ISLE. 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 CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7BMILLCREEK HEALTH SYSTEM, INC. HAS THE FOLLOWING RESERVED POWERS: (1) THE RIGHT TO ALTER, AMEND OR REPEAL THE ARTICLES OF INCORPORATION OF LECOM AT PRESQUE ISLE; (2) THE RIGHT TO APPROVE ANY AND ALL TRANSACTIONS THAT CHANGE, OR HAVE THE EFFECT OF CHANGING, THE OWNERSHIP AND/OR CONTROL OF LECOM AT PRESQUE ISLE. SUCH A TRANSACTION SHALL INCLUDE, BUT NOT BE LIMITED TO, ANY PROPOSED ATTEMPT TO MERGE, ACQUIRE OR COMBINE LECOM AT PRESQUE ISLE WITH ANY OTHER FACILITY, SYSTEM, AFFILIATE, ENTITY OR PERSON, WHETHER SUCH TRANSACTION IS BY CONTRACT, SALE OF ALL OR SUBSTANTIALLY ALL OF ITS ASSETS OR BY OPERATION OF LAW; (3) THE RIGHT TO APPOINT OR REMOVE BOARD MEMBERS OF LECOM AT PRESQUE ISLE; AND (4) THE RIGHT TO APPROVE THE BUDGET AND ALL PROPOSED CAPITAL EXPENDITURES OF LECOM AT PRESQUE ISLE.
FORM 990, PART VI, SECTION B, LINE 11BLECOM AT PRESQUE ISLE HAS A CPA FIRM PREPARE ITS FORM 990. THE RETURN IS COMPLETED IN DRAFT FORM AND REVIEWED BY MANAGEMENT OF THE ORGANIZATION. THE RETURN IS THEN FINALIZED AND THE BOARD IS PROVIDED A COPY OF THE FORM 990 TO REVIEW BEFORE IT IS FILED.
FORM 990, PART VI, SECTION B, LINE 12CEACH MEMBER OF THE BOARD OF TRUSTEES IS REQUIRED TO COMPLETE A 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 UNDER REVIEW. 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 15THE SALARIES OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL AND CERTAIN MEMBERS OF ITS BOARD OF TRUSTEES ARE DETERMINED BY THE EMPLOYING ORGANIZATION'S BUDGET/FINANCE COMMITTEE, WHICH ALSO FUNCTIONS AS A COMPENSATION COMMITTEE. THE BUDGET/FINANCE 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 18LECOM AT PRESQUE ISLE MAKES ITS FORM 990 AND FORM 1023 AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19AT THIS TIME, LECOM AT PRESQUE ISLE DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (13 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
MILLCREEK HEALTH SYSTEM (MHS)
5515 PEACH STERIEPA16509251766164PARENT CORPORATIONPA501(C)(3)LINE 12C, III-FIN/A0
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE
1858 W GRANDVIEW BLVDERIEPA16509251698677MEDICAL SCHOOLPA501(C)(3)LINE 20MILLCREEK HEALTH SYSTEM
MILLCREEK COMMUNITY HOSPITAL
5515 PEACH STERIEPA16509251002937HOSPITALPA501(C)(3)LINE 30MILLCREEK HEALTH SYSTEM
MEDICAL ASSOCIATES OF ERIE
ONE LECOM PLACEERIEPA16509113716896PHYSICIAN MANAGEMENTPA501(C)(3)LINE 100MILLCREEK HEALTH SYSTEM
MILLCREEK MANOR
5515 PEACH STERIEPA16509251619204LONG TERM CAREPA501(C)(3)LINE 30MILLCREEK HEALTH SYSTEM
MILLCREEK HEALTH SYSTEM MEDICAL PRO
5515 PEACH STERIEPA16509576204119LIABILITY INSURANCEPA501(C)(3)LINE 12C, III-FI0
VISITING NURSE ASSOCIATION OF ERIE COUNTY
2253 WEST GRANDVIEW BOULEVARDERIEPA16506250969488HOME HEALTHPA501(C)(3)LINE 70MILLCREEK HEALTH SYSTEM
CORRY MEMORIAL HOSPITAL ASSN (CMH)
965 SHAMROCK LANECORRYPA16407250987222HOSPITALPA501(C)(3)LINE 30MILLCREEK HEALTH SYSTEM
CORRY MEDICAL SERVICES
965 SHAMROCK LANECORRYPA16407251425220HEALTH CAREPA501(C)(3)LINE 12B, II0CORRY MEMORIAL HOSPITAL ASSOCIATION
CORRY MEMORIAL HOSPITAL FOUNDATION
965 SHAMROCK LANECORRYPA16407208285800FUNDRAISINGPA501(C)(3)LINE 12B, II0CORRY MEMORIAL HOSPITAL ASSOCIATION
ACHIEVEMENT CENTER INC
4950 WEST 23RD STREET SUITE 1ERIEPA16506250965336THERAPEUTIC SERVICESPA501(C)(3)LINE 100MILLCREEK HEALTH SYSTEM
COUNSELING SERVICES CENTER INC DBA CORRY COUNSELING SERVICES
45 EAST WASHINGTON STREETCORRYPA16407251323591MENTAL HEALTH SERVICESPA501(C)(3)LINE 70MILLCREEK HEALTH SYSTEM
LECOM HEALTH RISK RETENTION GROUP
1858 W GRANDVIEW BLVDERIEPA16509854350386LIABILITY INSURANCEPA501(C)(3)LINE 12A, I0MILLCREEK HEALTH SYSTEM

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
MCH CORPORATION
5515 PEACH STREETERIEPA16509251549695REAL ESTATEPAN/AC0
CORRY HEALTH SERVICES INC
965 SHAMROCK LANECORRYPA16407251488214HEALTH CAREPAN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd