LECOM AT PRESQUE ISLE INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- LECOM AT PRESQUE ISLE INC (EIN 47-5049201)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-05-12
- IRS object ID
- 202241329349305939
- Schema version
- 2020v4.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-12T14:32:37-05:00 | ReturnTs |
| Tax Period End | 2021-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390859910 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAKER TILLY US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5700 CORPORATE SUITE 650 | AddressLine1Txt |
| City | PITTSBURGH | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15237 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 475049201 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LECOM AT PRESQUE ISLE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LECO | BusinessNameControlTxt |
| Phone | 8148687767 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5515 PEACH STREET | AddressLine1Txt |
| City | ERIE | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 16509 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | STEVEN G INMAN CPA CGMA | PersonNm |
| Person Title | VP FISCAL AFFAIRS/CFO | PersonTitleTxt |
| Phone | 8148687767 | PhoneNum |
| Signature | 2022-05-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | STEVEN | PersonFirstNm |
| Person Last | INMAN CPA CGMA | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JEFFREY J PETRELL | PreparerPersonNm |
| PTIN | P00138808 | PTIN |
| Phone | 4126356270 | PhoneNum |
| Self Employed | Yes (X) | SelfEmployedInd |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LECOM NURSING AND REHABILITATION CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | STEVEN G INMAN CPA CGM | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5515 PEACH STREET | AddressLine1Txt |
| City | ERIE | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 16509 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $11,034,929 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTPS://LECOMHEALTH.COM/SENIOR-LIVING | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2015 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | THE 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 Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 1 | VotingMembersIndependentCnt |
| Total Employee | 241 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,293,220 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $11,248,473 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $9,740,581 | CYProgramServiceRevenueAmt |
| PY Investment Income | $5,567 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,128 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $11,254,040 | PYTotalRevenueAmt |
| CY Total Revenue | $11,034,929 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $8,415,608 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $7,592,572 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,094,544 | PYOtherExpensesAmt |
| CY Other Expenses | $4,190,532 | CYOtherExpensesAmt |
| PY Total Expenses | $12,510,152 | PYTotalExpensesAmt |
| CY Total Expenses | $11,783,104 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,256,112 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$748,175 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $22,559,530 | TotalAssetsBOYAmt |
| Total Assets EOY | $21,458,135 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,184,828 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,831,608 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $19,374,702 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $18,626,527 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE A SKILLED NURSING FACILITY TO ADDRESS THE NEEDS OF A GROWING ELDERLY POPULATION. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $10,114,338 | ExpenseAmt |
| Revenue | $9,740,581 | RevenueAmt |
| Desc | LECOM 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 | $10,114,338 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 20 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 241 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 1 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | PA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | STEVEN G INMAN CPA CGMA | PersonNm |
| Phone | 8148644031 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5515 PEACH STREET | AddressLine1Txt |
| City | ERIE | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 16509 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| MARY L ECKERT | ||||||||
| PRESIDENT/CEO | 1.00 | 79.00 | Yes (X) | Yes (X) | $0 | $841,021 | $34,787 | |
| JOHN M FERRETTI DO | ||||||||
| PRESIDENT | 1.00 | 79.00 | Yes (X) | Yes (X) | $0 | $1,082,993 | $34,380 | |
| MELANIE TITZEL PHD | ||||||||
| SECRETARY & TREASURER | 1.00 | 40.00 | Yes (X) | Yes (X) | $0 | $116,384 | $15,432 | |
| RICHARD P OLINGER | ||||||||
| BOARD MEMBER | 1.00 | 64.00 | Yes (X) | $0 | $333,128 | $45,265 | ||
| DANIELLE HANSEN DO | ||||||||
| BOARD MEMBER | 1.00 | 69.00 | Yes (X) | $0 | $434,872 | $40,526 | ||
| JAMES Y LIN DO | ||||||||
| BOARD MEMBER | 1.00 | 64.00 | Yes (X) | $0 | $538,511 | $40,758 | ||
| MARLENE D MOSCO | ||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| STEVEN G INMAN CPA CGMA | ||||||||
| VP FISCAL AFFAIRS/CFO | 1.00 | 64.00 | Yes (X) | $0 | $286,423 | $29,217 | ||
| CATHERINE DEFORCE-HART | ||||||||
| RN SUPERVISOR | 40.00 | $135,373 | $0 | $27,459 | Yes (X) | |||
| ELIZABETH KACHEL | ||||||||
| ADMINISTRATOR | 40.00 | $104,127 | $0 | $20,229 | Yes (X) | |||
| AARON KLEPS | ||||||||
| PHYSICIAN ASSISTANT | 40.00 | $103,332 | $0 | $7,882 | Yes (X) | |||
| DANA OYEBANJI | ||||||||
| LPN | 40.00 | $107,929 | $0 | $18,381 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $450,761 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,633,332 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $314,316 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 4 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| JPI DEVELOPMENT PARTNERS LLC | |||||
| 2601 WEST 26TH STREET | ERIE | PA | 16506 | DEVELOPMENT AND DESIGN SERVICES | $885,393 |
| MEDLINE INDUSTRIES INC | |||||
| PO BOX 382075 | PITTSBURGH | PA | 15251 | MEDICAL SERVICES | $284,066 |
| VANTAGE HOME MEDICAL EQUIPMENT | |||||
| 105 SOUTH MAIN STREET | ERIE | PA | 16335 | MEDICAL EQUIPMENT RENTALS AND SUPPLIES | $216,753 |
| US FOOD SERVICES | |||||
| PO BOX 643190 | PITTSBURGH | PA | 15264 | FOOD SERVICES | $202,774 |
| VANTAGE HC LINEN SERVICES LLP | |||||
| 1305 S MAIN STREET | MEADVILLE | PA | 16335 | LINEN SERVICES | $152,368 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 7 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,293,220 | GovernmentGrantsAmt |
| Total Contributions | $1,293,220 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | RESIDENT REVENUE | Desc |
| Business | 623000 | BusinessCd |
| Total Revenue Column | $9,740,581 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $9,740,581 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $9,740,581 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,128 | TotalRevenueColumnAmt |
| Exclusion | $1,128 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,034,929 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $9,740,581 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,128 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,755,076 | TotalAmt |
| Program Services | $4,817,252 | ProgramServicesAmt |
| Management And General | $937,824 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,383,102 | TotalAmt |
| Program Services | $1,157,717 | ProgramServicesAmt |
| Management And General | $225,385 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $454,394 | TotalAmt |
| Program Services | $380,348 | ProgramServicesAmt |
| Management And General | $74,046 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $74,172 | TotalAmt |
| Management And General | $74,172 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $580,425 | TotalAmt |
| Program Services | $563,430 | ProgramServicesAmt |
| Management And General | $16,995 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $128,000 | TotalAmt |
| Program Services | $109,988 | ProgramServicesAmt |
| Management And General | $18,012 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $325,105 | TotalAmt |
| Program Services | $121,212 | ProgramServicesAmt |
| Management And General | $203,893 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,165 | TotalAmt |
| Program Services | $15,165 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $893,624 | TotalAmt |
| Program Services | $893,624 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $257,545 | TotalAmt |
| Program Services | $172,513 | ProgramServicesAmt |
| Management And General | $85,032 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES & EQUI | $1,146,783 | $1,146,370 | $413 |
| DIETARY EXPENSES | $615,206 | $615,206 | |
| REPAIRS & MAINTENANCE | $83,666 | $83,666 | |
| EDUCATION AND TRAINING | $3,525 | $3,525 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,316 | TotalAmt |
| Program Services | $34,322 | ProgramServicesAmt |
| Management And General | $32,994 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,783,104 | TotalAmt |
| Program Services | $10,114,338 | ProgramServicesAmt |
| Management And General | $1,668,766 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,434,838 | BOYAmt |
| EOY | $3,166,401 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,114,368 | BOYAmt |
| EOY | $1,608,606 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,778 | BOYAmt |
| EOY | $55,204 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $126,708 | BOYAmt |
| EOY | $158,159 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $21,388,694 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,319,420 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,426,214 | BOYAmt |
| EOY | $16,069,274 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $417,624 | BOYAmt |
| EOY | $400,491 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,559,530 | BOYAmt |
| EOY | $21,458,135 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,905,357 | BOYAmt |
| EOY | $2,656,739 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,161,847 | BOYAmt |
| EOY | $74,378 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $117,624 | BOYAmt |
| EOY | $100,491 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,184,828 | BOYAmt |
| EOY | $2,831,608 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,257,078 | BOYAmt |
| EOY | $18,626,527 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $117,624 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,374,702 | BOYAmt |
| EOY | $18,626,527 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,559,530 | BOYAmt |
| EOY | $21,458,135 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$748,175 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $1,293,220 | CurrentTaxYearAmt |
| Total | $1,293,220 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,794,204 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,138,383 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,254,745 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,248,473 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,740,581 | CurrentTaxYearAmt |
| Total | $50,176,386 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,794,204 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,138,383 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,254,745 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,248,473 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,033,801 | CurrentTaxYearAmt |
| Total | $51,469,606 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $51,469,606 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $5,648 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,567 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,128 | CurrentTaxYearAmt |
| Total | $12,343 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $5,648 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,567 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,128 | CurrentTaxYearAmt |
| Total | $12,343 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,794,204 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,138,383 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,260,393 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,254,040 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,034,929 | CurrentTaxYearAmt |
| Total | $51,481,949 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99980 | PublicSupportCY509Pct |
| Investment Income CY | 0.00020 | InvestmentIncomeCYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,500,000 | OtherCostOrOtherBasisAmt |
| Book Value | $1,500,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,644,064 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,545,362 | DepreciationAmt |
| Book Value | $11,098,702 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,728,657 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,351,876 | DepreciationAmt |
| Book Value | $376,781 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,515,973 | OtherCostOrOtherBasisAmt |
| Depreciation | $422,182 | DepreciationAmt |
| Book Value | $3,093,791 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $16,069,274 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | RESIDENT TRUST FUND | Desc |
| Amt | $100,491 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $100,491 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $11,034,929 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $11,034,929 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $11,034,929 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $11,783,104 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $11,783,104 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $11,783,104 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | LECOM AT PRESQUE ISLE, INC. D/B/A LECOM HEALTH NURSING AND REHABILITATION CENTER IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (CODE) AND IS RECOGNIZED AS TAX EXEMPT UNDER 501(A) OF THE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE ORGANIZATION TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY OR ASSET IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICES (IRS). THE ORGANIZATION HAS CONCLUDED THAT AS OF JUNE 30, 2021, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR ASSET OR DISCLOSURE IN THE FINANCIAL STATEMENTS. GENERALLY, TAX RETURNS FOR YEAR ENDED JUNE 30, 2018, AND THEREAFTER REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHN M FERRETTI DO | ||||||||||||||
| PRESIDENT | $0 | $1,049,897 | $0 | $0 | $0 | $33,096 | $0 | $22,800 | $0 | $11,580 | $0 | $1,117,373 | $0 | $0 |
| MARY L ECKERT | ||||||||||||||
| PRESIDENT/CEO | $0 | $804,094 | $0 | $0 | $0 | $36,927 | $0 | $22,800 | $0 | $11,987 | $0 | $875,808 | $0 | $0 |
| JAMES Y LIN DO | ||||||||||||||
| BOARD MEMBER | $0 | $423,451 | $0 | $115,000 | $0 | $60 | $0 | $22,800 | $0 | $17,958 | $0 | $579,269 | $0 | $0 |
| DANIELLE HANSEN DO | ||||||||||||||
| BOARD MEMBER | $0 | $377,797 | $0 | $57,015 | $0 | $60 | $0 | $22,800 | $0 | $17,726 | $0 | $475,398 | $0 | $0 |
| RICHARD P OLINGER | ||||||||||||||
| BOARD MEMBER | $0 | $321,083 | $0 | $0 | $0 | $12,045 | $0 | $22,800 | $0 | $22,465 | $0 | $378,393 | $0 | $0 |
| STEVEN G INMAN CPA CGMA | ||||||||||||||
| VP FISCAL AFFAIRS/CFO | $0 | $286,331 | $0 | $0 | $0 | $92 | $0 | $22,800 | $0 | $6,417 | $0 | $315,640 | $0 | $0 |
| CATHERINE DEFORCE-HART | ||||||||||||||
| RN SUPERVISOR | $135,373 | $0 | $0 | $0 | $0 | $0 | $11,016 | $0 | $16,443 | $0 | $162,832 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 3 | FormAndLineReferenceDesc |
| Explanation | LECOM 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 COMMITTEE | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 7A | LECOM AT PRESQUE ISLE, INC.'S BOARD IS ELECTED BY MILLCREEK HEALTH SYSTEM, INC. |
| FORM 990, PART VI, SECTION A, LINE 7B | MILLCREEK 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 7B | MILLCREEK 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 11B | LECOM 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 12C | EACH 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 15 | THE 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 18 | LECOM AT PRESQUE ISLE MAKES ITS FORM 990 AND FORM 1023 AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART VI, SECTION C, LINE 19 | AT 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/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | 0 | MILLCREEK HEALTH SYSTEM | |
| MILLCREEK COMMUNITY HOSPITAL | |||||||||||
| 5515 PEACH ST | ERIE | PA | 16509 | 251002937 | HOSPITAL | PA | 501(C)(3) | LINE 3 | 0 | MILLCREEK HEALTH SYSTEM | |
| MEDICAL ASSOCIATES OF ERIE | |||||||||||
| ONE LECOM PLACE | ERIE | PA | 16509 | 113716896 | PHYSICIAN MANAGEMENT | PA | 501(C)(3) | LINE 10 | 0 | MILLCREEK HEALTH SYSTEM | |
| MILLCREEK MANOR | |||||||||||
| 5515 PEACH ST | ERIE | PA | 16509 | 251619204 | LONG TERM CARE | PA | 501(C)(3) | LINE 3 | 0 | MILLCREEK HEALTH SYSTEM | |
| MILLCREEK HEALTH SYSTEM MEDICAL PRO | |||||||||||
| 5515 PEACH ST | ERIE | PA | 16509 | 576204119 | LIABILITY INSURANCE | PA | 501(C)(3) | LINE 12C, III-FI | 0 | ||
| ERIE CENTER ON HEALTH AND AGING | |||||||||||
| 406 PEACH ST | ERIE | PA | 16507 | 251361363 | SENIOR HEALTH | PA | 501(C)(3) | LINE 7 | 0 | MILLCREEK HEALTH SYSTEM | |
| VISITING NURSE ASSOCIATION OF ERIE COUNTY | |||||||||||
| 2253 WEST GRANDVIEW BOULEVARD | ERIE | PA | 16506 | 250969488 | HOME HEALTH | PA | 501(C)(3) | LINE 7 | 0 | MILLCREEK HEALTH SYSTEM | |
| CORRY MEMORIAL HOSPITAL ASSN (CMH) | |||||||||||
| 965 SHAMROCK LANE | CORRY | PA | 16407 | 250987222 | HOSPITAL | PA | 501(C)(3) | LINE 3 | 0 | MILLCREEK HEALTH SYSTEM | |
| CORRY MEDICAL SERVICES | |||||||||||
| 965 SHAMROCK LANE | CORRY | PA | 16407 | 251425220 | HEALTH CARE | PA | 501(C)(3) | LINE 12B, II | 0 | CORRY MEMORIAL HOSPITAL ASSOCIATION | |
| CORRY MEMORIAL HOSPITAL FOUNDATION | |||||||||||
| 965 SHAMROCK LANE | CORRY | PA | 16407 | 208285800 | FUNDRAISING | PA | 501(C)(3) | LINE 12B, II | 0 | CORRY MEMORIAL HOSPITAL ASSOCIATION | |
| ACHIEVEMENT CENTER INC | |||||||||||
| 4950 WEST 23RD STREET SUITE 1 | ERIE | PA | 16506 | 250965336 | THERAPEUTIC SERVICES | PA | 501(C)(3) | LINE 10 | 0 | MILLCREEK HEALTH SYSTEM | |
| 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 | 0 | MILLCREEK HEALTH SYSTEM | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| MCH CORPORATION | |||||||||
| 5515 PEACH STREET | ERIE | PA | 16509 | 251549695 | REAL ESTATE | PA | N/A | C | 0 |
| CORRY HEALTH SERVICES INC | |||||||||
| 965 SHAMROCK LANE | CORRY | PA | 16407 | 251488214 | HEALTH CARE | PA | N/A | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |