LECOM AT PRESQUE ISLE INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- LECOM AT PRESQUE ISLE INC (EIN 47-5049201)
- Tax period
- 2015-08-05 to 2016-06-30
- Filed
- 2017-05-15
- IRS object ID
- 201701359349305130
- Schema version
- 2015v3.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-05-15T12:52:25-05:00 | ReturnTs |
| Tax Period End | 2016-06-30 | 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 | 2015-08-05 | 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 | RICHARD P OLINGER | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 8148687767 | PhoneNum |
| Signature | 2017-05-12 | 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 | 2017-05-12 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Initial Return | Yes (X) | InitialReturnInd |
| Principal Officer | RICHARD P OLINGER | 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 | $4,490,805 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTPS://LECOMHEALTH.COM/ | 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 | 2 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 3 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| CY Program Service Revenue | $4,490,419 | CYProgramServiceRevenueAmt |
| CY Investment Income | $386 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| CY Total Revenue | $4,490,805 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| CY Salaries Comp Emp Bnft Paid | $2,579,285 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| CY Other Expenses | $2,271,084 | CYOtherExpensesAmt |
| CY Total Expenses | $4,850,369 | CYTotalExpensesAmt |
| CY Revenues Less Expenses | -$359,564 | CYRevenuesLessExpensesAmt |
| Total Assets EOY | $21,452,632 | TotalAssetsEOYAmt |
| Total Liabilities EOY | $812,196 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances EOY | $20,640,436 | 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 | $4,202,261 | ExpenseAmt |
| Revenue | $4,490,419 | RevenueAmt |
| Desc | LECOM AT PRESQUE ISLE MAINTAINS 141 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 | $4,202,261 | 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 |
| 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 | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | 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 | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | 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 | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| 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 |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| DAF Excess Business Holdings | 0 | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | 0 | TaxableDistributionsInd |
| Distribution To Donor | 0 | DistributionToDonorInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 2 | 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 | Yes (1) | 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 | RICHARD P OLINGER CFO | 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 (8 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 |
|---|---|---|---|---|---|---|---|
| MARY L ECKERT | |||||||
| PRESIDENT/CEO | 1.00 | 79.00 | Yes (X) | Yes (X) | $0 | $723,268 | $31,692 |
| JOHN M FERRETTI DO | |||||||
| PRESIDENT | 1.00 | 79.00 | Yes (X) | Yes (X) | $0 | $799,067 | $31,857 |
| MELANIE TITZEL PHD | |||||||
| SECRETARY & TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| RICHARD P OLINGER | |||||||
| CHIEF FINANCIAL OFFICER | 1.00 | 64.00 | Yes (X) | Yes (X) | $0 | $629,323 | $40,315 |
| DANIELLE HANSEN DO | |||||||
| BOARD MEMBER | 1.00 | 59.00 | Yes (X) | $0 | $354,900 | $37,834 | |
| JAMES Y LIN DO | |||||||
| BOARD MEMBER | 1.00 | 64.00 | Yes (X) | $0 | $291,994 | $34,411 | |
| MARLENE D MOSCO | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| SHOLIN MONTGOMERY RNNHA | |||||||
| ADMINISTRATOR | 40.00 | Yes (X) | $0 | $0 | $0 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,798,552 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $176,109 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | RESIDENT REVENUE | Desc |
| Business | 623000 | BusinessCd |
| Total Revenue Column | $4,490,419 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,490,419 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $4,490,419 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $386 | TotalRevenueColumnAmt |
| Exclusion | $386 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,490,805 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,490,419 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $386 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,055,839 | TotalAmt |
| Program Services | $1,818,661 | ProgramServicesAmt |
| Management And General | $237,178 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $368,604 | TotalAmt |
| Program Services | $328,058 | ProgramServicesAmt |
| Management And General | $40,546 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $154,842 | TotalAmt |
| Program Services | $137,809 | ProgramServicesAmt |
| Management And General | $17,033 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $237,214 | TotalAmt |
| Management And General | $237,214 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $299,806 | TotalAmt |
| Program Services | $264,228 | ProgramServicesAmt |
| Management And General | $35,578 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,757 | TotalAmt |
| Program Services | $10,554 | ProgramServicesAmt |
| Management And General | $2,203 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $116,167 | TotalAmt |
| Program Services | $75,515 | ProgramServicesAmt |
| Management And General | $40,652 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,993 | TotalAmt |
| Program Services | $2,993 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $363,306 | TotalAmt |
| Program Services | $363,306 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,886 | TotalAmt |
| Program Services | $12,780 | ProgramServicesAmt |
| Management And General | $34,106 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| NURSING FACILITY ASSESS | $541,501 | $541,501 |
| MEDICAL SUPPLIES & EQUI | $454,214 | $454,214 |
| DIETARY EXPENSES | $148,115 | $148,115 |
| REPAIRS & MAINTENANCE | $43,572 | $43,572 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,553 | TotalAmt |
| Program Services | $955 | ProgramServicesAmt |
| Management And General | $3,598 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,850,369 | TotalAmt |
| Program Services | $4,202,261 | ProgramServicesAmt |
| Management And General | $648,108 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $1,886,985 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $1,822,674 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $80,382 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $17,938,135 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $363,306 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $17,574,829 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $87,762 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $21,452,632 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $767,135 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $45,061 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $812,196 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $20,640,436 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $20,640,436 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $21,452,632 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$359,564 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $21,000,000 | 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 |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $4,490,419 | CurrentTaxYearAmt |
| Total | $4,490,419 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $4,490,419 | CurrentTaxYearAmt |
| Total | $4,490,419 | 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 | $4,490,419 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $386 | CurrentTaxYearAmt |
| Total | $386 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $386 | CurrentTaxYearAmt |
| Total | $386 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $4,490,805 | CurrentTaxYearAmt |
| Total | $4,490,805 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First5 Years509 | Yes (X) | First5Years509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III | FormAndLineReferenceDesc |
| Explanation | THE JUNE 30, 2016 FISCAL YEAR END IS THE INITIAL YEAR FOR LECOM AT PRESQUE ISLE INC. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,300,000 | OtherCostOrOtherBasisAmt |
| Book Value | $2,300,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,011,892 | OtherCostOrOtherBasisAmt |
| Depreciation | $160,233 | DepreciationAmt |
| Book Value | $11,851,659 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,500,000 | OtherCostOrOtherBasisAmt |
| Depreciation | $30,695 | DepreciationAmt |
| Book Value | $1,469,305 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,126,243 | OtherCostOrOtherBasisAmt |
| Depreciation | $172,378 | DepreciationAmt |
| Book Value | $1,953,865 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $17,574,829 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | RESIDENT TRUST FUND | Desc |
| Amt | $45,061 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $45,061 | TotalLiabilityAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| 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 (5 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MARY L ECKERT | ||||||||||||||
| PRESIDENT/CEO | $0 | $691,784 | $0 | $0 | $0 | $31,484 | $0 | $21,200 | $0 | $10,492 | $0 | $754,960 | $0 | $0 |
| JOHN M FERRETTI DO | ||||||||||||||
| PRESIDENT | $0 | $774,044 | $0 | $0 | $0 | $25,023 | $0 | $21,200 | $0 | $10,657 | $0 | $830,924 | $0 | $0 |
| RICHARD P OLINGER | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $0 | $596,885 | $0 | $0 | $0 | $32,438 | $0 | $21,200 | $0 | $19,115 | $0 | $669,638 | $0 | $0 |
| DANIELLE HANSEN DO | ||||||||||||||
| BOARD MEMBER | $0 | $354,846 | $0 | $0 | $0 | $54 | $0 | $21,200 | $0 | $16,634 | $0 | $392,734 | $0 | $0 |
| JAMES Y LIN DO | ||||||||||||||
| BOARD MEMBER | $0 | $291,940 | $0 | $0 | $0 | $54 | $0 | $17,743 | $0 | $16,668 | $0 | $326,405 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 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 11 | 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 15A | THE SALARY OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS DETERMINED BY THE ORGANIZATION'S CORPORATE OPERATIONS LEADERS INCLUDING THE DIRECTOR OF OPERATIONS AND THE VICE PRESIDENT OF SENIOR SERVICES. THE COMPENSATION LEVEL IS BASED ON A SURVEY OF RELEVANT INDUSTRY COMPENSATION INFORMATION. |
| 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. |
| FORM 990, PART XI, LINE 9: | TRANSFER OF STARTING NET ASSETS 21,000,000. |
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 STREET | ERIE | PA | 16509 | 251766164 | PARENT CORPORATION | PA | 501(C)(3) | LINE 11C, III-FI | N/A | 0 | |
| MILLCREEK COMMUNITY HOSPITAL | |||||||||||
| 5515 PEACH STREET | ERIE | PA | 16509 | 251002937 | HOSPITAL | PA | 501(C)(3) | LINE 3 | 0 | MILLCREEK HEALTH SYSTEM (MHS) | |
| MILLCREEK MANOR | |||||||||||
| 5515 PEACH STREET | ERIE | PA | 16509 | 251619204 | LONG TERM CARE | PA | 501(C)(3) | LINE 3 | 0 | MILLCREEK HEALTH SYSTEM (MHS) | |
| MILLCREEK HEALTH SYSTEM MEDICAL PRO | |||||||||||
| 5515 PEACH STREET | ERIE | PA | 16509 | 576204119 | LIABILITY INSURANCE | PA | 501(C)(3) | LINE 11C, III-FI | N/A | 0 | |
| MEDICAL ASSOCIATES OF ERIE | |||||||||||
| ONE LECOM PLACE | ERIE | PA | 16505 | 113716896 | PHYSICIAN MANAGEMENT | PA | 501(C)(3) | LINE 9 | 0 | MILLCREEK HEALTH SYSTEM (MHS) | |
| ERIE CENTER ON HEALTH AND AGING | |||||||||||
| 406 PEACH STREET | ERIE | PA | 16507 | 251361363 | SENIOR HEALTH | PA | 501(C)(3) | LINE 7 | 0 | MILLCREEK HEALTH SYSTEM (MHS) | |
| 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 (MHS) | |
| CORRY MEMORIAL HOSPITAL ASSOCIATION | |||||||||||
| 965 SHAMROCK LANE | CORRY | PA | 16407 | 250987222 | HOSPITAL | PA | 501(C)(3) | LINE 3 | 0 | MILLCREEK HEALTH SYSTEM (MHS) | |
| CORRY MEDICAL SERVICES | |||||||||||
| 965 SHAMROCK LANE | CORRY | PA | 16407 | 251425220 | HEALTH CARE | PA | 501(C)(3) | LINE 11A, I | 0 | CORRY MEMORIAL HOSPITAL ASSOCIATION | |
| CORRY MEMORIAL HOSPITAL FOUNDATION | |||||||||||
| 965 SHAMROCK LANE | CORRY | PA | 16407 | 208285800 | FUNDRAISING | PA | 501(C)(3) | LINE 11A, I | 0 | CORRY MEMORIAL HOSPITAL ASSOCIATION | |
| 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 (MHS) | |
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 | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
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