MEDICAL ASSOCIATES OF ERIE: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- MEDICAL ASSOCIATES OF ERIE (EIN 11-3716896)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2019-05-14
- IRS object ID
- 201931349349306833
- Schema version
- 2017v2.3
- 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 | 2019-05-14T14:25:46-05:00 | ReturnTs |
| Tax Period End | 2018-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 550486667 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ARNETT CARBIS TOOTHMAN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5700 CORPORATE DRIVE STE 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 | 2017-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 113716896 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEDICAL ASSOCIATES OF ERIE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MEDI | BusinessNameControlTxt |
| Phone | 8148682501 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE LECOM PLACE | AddressLine1Txt |
| City | ERIE | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 16505 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RICHARD P OLINGER | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 8148682501 | PhoneNum |
| Signature | 2019-05-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JEFFREY J PETRELL CPA | PreparerPersonNm |
| PTIN | P00138808 | PTIN |
| Phone | 4126356270 | PhoneNum |
| Preparation | 2019-05-10 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 216.12.119.47 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-05-10 | IPDt |
| IP Tm | 10:02:23 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 8E6CC3A4A33C43859C9F40809ACB2F0EBE53913D | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | B63641FD917328AACC938A84FA1A6194A206D824 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | RICHARD P OLINGER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE LECOM PLACE | AddressLine1Txt |
| City | ERIE | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 16505 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $15,979,408 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MAERIE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2004 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | TO SERVE THE COMMUNITY AS PART OF AN INTEGRATED DELIVERY SYSTEM OF HEALTHCARE SERVICES TO PREDOMINANTLY LOW INCOME PATIENTS IN CONJUNCTION WITH PROVIDING A TEACHING ENVIRONMENT FOR PHYSICIANS, RESIDENTS, INTERNS AND FELLOWS FOR LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 2 | VotingMembersIndependentCnt |
| Total Employee | 218 | TotalEmployeeCnt |
| Total Volunteers | 9 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $12,388 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $10,958,204 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $10,789,064 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,193 | PYInvestmentIncomeAmt |
| CY Investment Income | $6,103 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,668,763 | PYOtherRevenueAmt |
| CY Other Revenue | $5,184,241 | CYOtherRevenueAmt |
| PY Total Revenue | $15,642,548 | PYTotalRevenueAmt |
| CY Total Revenue | $15,979,408 | 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 | $19,799,578 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $19,949,240 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,539,426 | PYOtherExpensesAmt |
| CY Other Expenses | $3,612,753 | CYOtherExpensesAmt |
| PY Total Expenses | $23,339,004 | PYTotalExpensesAmt |
| CY Total Expenses | $23,561,993 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$7,696,456 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$7,582,585 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $7,725,294 | TotalAssetsBOYAmt |
| Total Assets EOY | $7,438,827 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $4,931,085 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $4,727,203 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,794,209 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,711,624 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO SERVE THE COMMUNITY AS PART OF AN INTEGRATED DELIVERY SYSTEM OF HEALTHCARE SERVICES TO PREDOMINANTLY LOW INCOME PATIENTS IN CONJUNCTION WITH PROVIDING A TEACHING ENVIRONMENT FOR PHYSICIANS, RESIDENTS, INTERNS AND FELLOWS FOR LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $16,786,912 | ExpenseAmt |
| Revenue | $15,905,739 | RevenueAmt |
| Desc | SERVED THE LOCAL COMMUNITY AS PART OF AN INTEGRATED DELIVERY SYSTEM FOR HEALTHCARE TO PREDOMINANTLY LOW INCOME PATIENTS. APPROXIMATE NUMBER OF PATIENT VISITS TOTALED 98,384 FOR THE YEAR ENDED JUNE 30, 2018. | Desc |
| Total Program Service Expenses | $16,786,912 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | 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 |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | 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 | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| 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 | 25 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 218 | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 2 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | 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 | 0 | 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
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RICHARD P OLINGER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8144542831 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5515 PEACH ST | AddressLine1Txt |
| City | ERIE | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 16509 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (14 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 |
|---|---|---|---|---|---|---|---|---|
| JOHN M FERRETTI DO | ||||||||
| CHAIRMAN | 5.00 | 75.00 | Yes (X) | Yes (X) | $0 | $929,190 | $31,861 | |
| DENNIS STYN | ||||||||
| PRESIDENT | 60.00 | 5.00 | Yes (X) | $365,736 | $0 | $42,720 | ||
| MARY L ECKERT | ||||||||
| SECRETARY | 1.00 | 79.00 | Yes (X) | Yes (X) | $0 | $873,559 | $32,250 | |
| RICHARD P OLINGER | ||||||||
| TREASURER | 1.00 | 64.00 | Yes (X) | Yes (X) | $0 | $705,567 | $41,415 | |
| ANTHONY JON FERRETTI DO | ||||||||
| TRUSTEE/PHYSICIAN | 49.00 | 3.00 | Yes (X) | $485,893 | $52,436 | $37,713 | ||
| ARMANDO RICCI DO | ||||||||
| TRUSTEE/PHYSICIAN | 50.00 | Yes (X) | $170,226 | $0 | $29,151 | |||
| KATHLEEN ESPER | ||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| HOWARD MILLER | ||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| SILVIA M FERRETTI DO | ||||||||
| TRUSTEE | 1.00 | 79.00 | Yes (X) | $0 | $1,160,950 | $31,986 | ||
| DANIELLE HANSEN DO | ||||||||
| PHYSICIAN | 50.00 | 20.00 | $443,707 | $53,859 | $34,459 | Yes (X) | ||
| STEVEN HABUSTA DO | ||||||||
| PHYSICIAN | 50.00 | $436,119 | $0 | $37,897 | Yes (X) | |||
| GREGORY W COPPOLA DO | ||||||||
| PHYSICIAN | 50.00 | $456,357 | $0 | $37,430 | Yes (X) | |||
| JOSHUA TUCK DO | ||||||||
| PHYSICIAN | 50.00 | $427,286 | $0 | $35,890 | Yes (X) | |||
| JAY KIESSLING MD | ||||||||
| PHYSICIAN | 50.00 | $430,740 | $0 | $35,931 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,216,064 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,775,561 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $428,703 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 59 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | QUALITY SYSTEMS INC | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 795 HORSHAM RD | AddressLine1Txt |
| City | HORSHAM | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 19044 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | BILLING SERVICES | ServicesDesc |
| Compensation | $227,668 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PRACTICE INCOME | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $10,789,064 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $10,789,064 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $10,789,064 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,103 | TotalRevenueColumnAmt |
| Exclusion | $6,103 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $67,566 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $67,566 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $67,566 | TotalRevenueColumnAmt |
| Exclusion | $67,566 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MANAGEMENT FEE INCOME | 621110 | $3,361,976 | $3,361,976 |
| OTHER REVENUE | 621110 | $1,029,724 | $1,029,724 |
| INCENTIVE INCOME | 621110 | $724,975 | $724,975 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $5,116,675 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,979,408 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $15,905,739 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $73,669 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,131,439 | TotalAmt |
| Management And General | $1,131,439 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,277,683 | TotalAmt |
| Program Services | $11,458,262 | ProgramServicesAmt |
| Management And General | $3,819,421 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $949,247 | TotalAmt |
| Program Services | $711,935 | ProgramServicesAmt |
| Management And General | $237,312 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,585,311 | TotalAmt |
| Program Services | $1,188,983 | ProgramServicesAmt |
| Management And General | $396,328 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,005,560 | TotalAmt |
| Program Services | $754,170 | ProgramServicesAmt |
| Management And General | $251,390 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,000 | TotalAmt |
| Management And General | $48,000 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $854,735 | TotalAmt |
| Program Services | $641,051 | ProgramServicesAmt |
| Management And General | $213,684 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,814 | TotalAmt |
| Program Services | $17,860 | ProgramServicesAmt |
| Management And General | $5,954 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,061,406 | TotalAmt |
| Program Services | $796,054 | ProgramServicesAmt |
| Management And General | $265,352 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100,404 | TotalAmt |
| Program Services | $75,303 | ProgramServicesAmt |
| Management And General | $25,101 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $723,384 | TotalAmt |
| Program Services | $542,538 | ProgramServicesAmt |
| Management And General | $180,846 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,006 | TotalAmt |
| Program Services | $8,254 | ProgramServicesAmt |
| Management And General | $2,752 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $267,622 | TotalAmt |
| Program Services | $200,716 | ProgramServicesAmt |
| Management And General | $66,906 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $127,485 | TotalAmt |
| Program Services | $95,614 | ProgramServicesAmt |
| Management And General | $31,871 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| CONTINUING MEDICAL EDUC | $332,423 | $249,317 | $83,106 |
| REPAIRS AND MAINTENANCE | $24,402 | $18,301 | $6,101 |
| MISCELLANEOUS | $19,613 | $14,710 | $4,903 |
| PHYSICIAN RECRUITMENT | $18,459 | $13,844 | $4,615 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,561,993 | TotalAmt |
| Program Services | $16,786,912 | ProgramServicesAmt |
| Management And General | $6,775,081 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,396,230 | BOYAmt |
| EOY | $2,070,931 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,440,713 | BOYAmt |
| EOY | $2,585,293 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,498 | BOYAmt |
| EOY | $25,852 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $254,498 | BOYAmt |
| EOY | $243,814 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $3,651,515 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,980,513 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,111,261 | BOYAmt |
| EOY | $1,671,002 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $125,241 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $375,853 | BOYAmt |
| EOY | $841,935 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,725,294 | BOYAmt |
| EOY | $7,438,827 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,850,422 | BOYAmt |
| EOY | $4,661,856 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,663 | BOYAmt |
| EOY | $65,347 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,931,085 | BOYAmt |
| EOY | $4,727,203 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,794,209 | BOYAmt |
| EOY | $2,711,624 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,794,209 | BOYAmt |
| EOY | $2,711,624 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,725,294 | BOYAmt |
| EOY | $7,438,827 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$7,582,585 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $7,500,000 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| 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 Minus2 Years | $6,566 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,388 | CurrentTaxYearMinus1YearAmt |
| Total | $18,954 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,216,319 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,019,276 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,318,122 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,958,204 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,789,064 | CurrentTaxYearAmt |
| Total | $49,300,985 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,216,319 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,019,276 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,324,688 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,970,592 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,789,064 | CurrentTaxYearAmt |
| Total | $49,319,939 | 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 | $49,319,939 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $79,416 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $78,873 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $81,966 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $102,409 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $73,669 | CurrentTaxYearAmt |
| Total | $416,333 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $79,416 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $78,873 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $81,966 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $102,409 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $73,669 | CurrentTaxYearAmt |
| Total | $416,333 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,281,982 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,704,288 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,207,453 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,569,547 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,116,675 | CurrentTaxYearAmt |
| Total | $14,879,945 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,577,717 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,802,437 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,614,107 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,642,548 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,979,408 | CurrentTaxYearAmt |
| Total | $64,616,217 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.76330 | PublicSupportCY509Pct |
| Public Support PY509 | 0.79730 | PublicSupportPY509Pct |
| Investment Income CY | 0.00640 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00740 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,651,515 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,980,513 | DepreciationAmt |
| Book Value | $1,671,002 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,671,002 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| 457(B) PLAN | $405,775 |
| GOODWILL | $435,620 |
| ORGANIZATIONAL COSTS | $540 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $841,935 | TotalBookValueOtherAssetsAmt |
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 (12 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 | ||||||||||||||
| CHAIRMAN | $0 | $901,097 | $0 | $0 | $0 | $28,093 | $0 | $21,600 | $0 | $10,261 | $0 | $961,051 | $0 | $0 |
| DENNIS STYN | ||||||||||||||
| PRESIDENT | $339,289 | $0 | $0 | $0 | $26,447 | $0 | $21,600 | $0 | $21,120 | $0 | $408,456 | $0 | $0 | $0 |
| MARY L ECKERT | ||||||||||||||
| SECRETARY | $0 | $836,958 | $0 | $0 | $0 | $36,601 | $0 | $21,600 | $0 | $10,650 | $0 | $905,809 | $0 | $0 |
| RICHARD P OLINGER | ||||||||||||||
| TREASURER | $0 | $675,568 | $0 | $0 | $0 | $29,999 | $0 | $21,600 | $0 | $19,815 | $0 | $746,982 | $0 | $0 |
| ANTHONY JON FERRETTI DO | ||||||||||||||
| TRUSTEE/PHYSICIAN | $485,803 | $52,436 | $0 | $0 | $90 | $0 | $21,600 | $0 | $16,113 | $0 | $523,606 | $52,436 | $0 | $0 |
| ARMANDO RICCI DO | ||||||||||||||
| TRUSTEE/PHYSICIAN | $170,088 | $0 | $0 | $0 | $138 | $0 | $13,783 | $0 | $15,368 | $0 | $199,377 | $0 | $0 | $0 |
| SILVIA M FERRETTI DO | ||||||||||||||
| TRUSTEE | $0 | $1,135,927 | $0 | $0 | $0 | $25,023 | $0 | $21,600 | $0 | $10,386 | $0 | $1,192,936 | $0 | $0 |
| DANIELLE HANSEN DO | ||||||||||||||
| PHYSICIAN | $237,535 | $53,859 | $206,112 | $0 | $60 | $0 | $19,222 | $0 | $15,237 | $0 | $478,166 | $53,859 | $0 | $0 |
| STEVEN HABUSTA DO | ||||||||||||||
| PHYSICIAN | $435,890 | $0 | $0 | $0 | $229 | $0 | $21,600 | $0 | $16,297 | $0 | $474,016 | $0 | $0 | $0 |
| GREGORY W COPPOLA DO | ||||||||||||||
| PHYSICIAN | $361,356 | $0 | $94,911 | $0 | $90 | $0 | $21,600 | $0 | $15,830 | $0 | $493,787 | $0 | $0 | $0 |
| JOSHUA TUCK DO | ||||||||||||||
| PHYSICIAN | $427,226 | $0 | $0 | $0 | $60 | $0 | $21,600 | $0 | $14,290 | $0 | $463,176 | $0 | $0 | $0 |
| JAY KIESSLING MD | ||||||||||||||
| PHYSICIAN | $430,511 | $0 | $0 | $0 | $229 | $0 | $21,600 | $0 | $14,331 | $0 | $466,671 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 3 | FormAndLineReferenceDesc |
| Explanation | MEDICAL ASSOCIATES OF ERIE'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 | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| MARY STYN | |||
| FAMILY MEMBER OF DENNIS STYN, TRUSTEE | $31,903 | EMPLOYEE | 0 |
| OSTEOPATHIC INTERNAL MEDICINE ASSOCIATES (OIMA) | |||
| DR. JOHN FERRETTI, TRUSTEE/OFFICER IS 100% OWNER OF OIMA | $385,900 | MANAGEMENT FEE - OSTEOPATHIC INTERNAL MEDICINE ASSOCIATES (OIMA) ENGAGED MEDICAL ASSOCIATES OF ERIE TO PERFORM SPECIFIED MEDICAL SERVICES. | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | DR. JOHN M. FERRETTI DR. SILVIA M. FERRETTI CHAIRMAN TRUSTEE FAMILY RELATIONSHIP DR. JOHN M. FERRETTI DR. ANTHONY J. FERRETTI CHAIRMAN TRUSTEE FAMILY RELATIONSHIP DR. SILVIA FERRETTI DR. ANTHONY J. FERRETTI TRUSTEE 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 MEDICAL ASSOCIATES OF ERIE. |
| FORM 990, PART VI, SECTION A, LINE 7B | MILLCREEK HEALTH SYSTEM IS THE PARENT ORGANIZATION OF MEDICAL ASSOCIATES OF ERIE. IN ACCORDANCE WITH THE PARENT COMPANY'S BYLAWS, 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 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 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 19 | THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, BY-LAWS, AND FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC. |
| FORM 990, PART XI, LINE 9: | TRANSFER FROM MILLCREEK HEALTH SYSTEM 7,500,000. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 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 | |
| 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 | |
| LECOM AT PRESQUE ISLE | |||||||||||
| 4114 SCHAPER AVE | ERIE | PA | 16508 | 475049201 | LONG TERM CARE | PA | 501(C)(3) | LINE 10 | 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 | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| MCH CORPORATION | |||||||||
| 5515 PEACH ST | ERIE | PA | 16509 | 251549695 | REAL ESTATE | PA | MILLCREEK HEALTH SYSTEM | C | 0 |
| CORRY HEALTH SERVICES INC | |||||||||
| 965 SHAMROCK LAME | CORRY | PA | 16407 | 251488214 | HEALTH CARE | PA | CORRY MEMORIAL HOSPITAL ASSOCIATION | 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 | Yes (1) | 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 | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | 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 |