2012-05-14T13:48:45-05:00 2011-06-30 SCHAFFNER KNIGHT MINNAUGH & CO PC 1001 STATE STREET SUITE 1300 ERIE PA 16501 990 2010-07-01 251698677 LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE LAKE 8148666641 5515 PEACH STREET ERIE PA 16509 RICHARD P OLINGER 8148666641 2012-05-11 1 MATTHEW J MINNAUGH CPA 8144541997 2010 2016-02-24 21:20:13Z JOHN M FERRETTI DO 5515 PEACH STREET ERIE PA 16509 130619130 0 X WWW.LECOM.EDU X 1993 PA THE MISSION OF LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE (LECOM) IS TO PREPARE STUDENTS TO BECOME OSTEOPATHIC PHYSICIANS OR PHARMACY PRACTITIONERS THROUGH PROGRAMS OF EXCELLENCE IN EDUCATION, RESEARCH, CLINICAL CARE, AND COMMUNITY SERVICES TO ENHANCE THE QUALITY OF LIFE THROUGH IMPROVED HEALTH FOR ALL HUMANITY. 14 11 635 0 2203127 -963824 3245897 2026913 67048861 74315389 2077656 4330230 3137949 3629978 75510363 84302510 1481560 2015495 0 0 23717493 24255293 0 0 0 19887328 21805994 45086381 48076782 30423982 36225728 202731389 242147295 18609356 22336150 184122033 219811145 X THE MISSION OF LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE (LECOM) IS TO PREPARE STUDENTS TO BECOME OSTEOPATHIC PHYSICIANS OR PHARMACY PRACTITIONERS THROUGH PROGRAMS OF EXCELLENCE IN EDUCATION, RESEARCH, CLINICAL CARE, AND COMMUNITY SERVICES TO ENHANCE THE QUALITY OF LIFE THROUGH IMPROVED HEALTH FOR ALL HUMANITY. 0 0 37366820 74784785 THE MISSION OF LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE (LECOM) IS TO PREPARE STUDENTS TO BECOME OSTEOPATHIC PHYSICIANS OR PHARMACY PRACTITIONERS THROUGH PROGRAMS OF EXCELLENCE IN EDUCATION, RESEARCH, CLINICAL CARE, AND COMMUNITY SERVICE TO ENHANCE THE QUALITY OF LIFE THROUGH IMPROVED HEALTH FOR ALL HUMANITY.LECOM IS ONE OF THE 26 COLLEGES OF OSTEOPATHIC MEDICINE. IN 1992, THE LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE RECEIVED PRE-ACCREDITATION STATUS FROM THE AMERICAN OSTEOPATHIC ASSOCIATION. AFTER FURTHER PREPARATION, LECOM ACHIEVED A CHARTER FROM THE COMMONWEALTH OF PENNSYLVANIA AND FULL ACCREDITATION STATUS WITH THE AMERICAN COUNCIL ON PHARMACEUTICAL EDUCATION. IT IS ONE OF OVER 120 PHARMACY SCHOOLS IN THE UNITED STATES. THE GOAL OF LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE IS TO EDUCATE QUALIFIED STUDENTS TO BECOME OSTEOPATHIC PHYSICIANS IMBUED WITH THE PHILOSOPHICAL PRINCIPLES OF OSTEOPATHIC MEDICINE. IT IS THE STATED PURPOSE OF THE COLLEGE TO EDUCATE AND DEVELOP FAMILY PHYSICIANS IN THE OSTEOPATHIC TRADITION. AT THE SAME TIME, IT PROPOSES TO PROVIDE ITS STUDENTS WITH FIRM ACADEMIC BACKGROUND SO THAT THOSE WHO WISH MAY ADVANCE FURTHER INTO THE OSTEOPATHIC SPECIALTIES OR ACADEMIC CAREERS, PARTICULARLY FOR AND WITH OSTEOPATHIC COLLEGES. THE GOAL OF THE COLLEGE OF PHARMACY IS TO PREPARE HIGHLY QUALIFIED, ETHICAL, AND CARING GENERALIST PHARMACY PRACTITIONERS TO SERVE THE NEEDS OF PENNSYLVANIA AND SURROUNDING AREAS. TWO ACADEMIC DOCTORAL DEGREES ARE CONFERRED AT LECOM. THE DOCTOR OF OSTEOPATHY (DO) AND THE DOCTOR OF PHARMACY IS AWARDED TO GRADUATES WHO HAVE SATISFACTORILY FULFILLED THE REQUIREMENTS FOR GRADUATION. THE FIRST MEDICAL CLASSES BEGAN ON AUGUST 9, 1993 AND 61 STUDENTS ENROLLED. THE COLLEGE BEGAN A SCHOOL OF PHARMACY IN THE FALL OF 2002. FOR THE FISCAL YEAR ENDED JUNE 30, 2011, THERE WERE 2,800 MEDICAL, PHARMACY, POST-BACCALAUREATE, AND MASTERS OF EDUCATION STUDENTS ENROLLED. THE COLLEGE HAS THREE CAMPUSES, ERIE, PENNSYLVANIA, GREENSBURG, PENNSYLVANIA AND BRADENTON, FLORIDA. 37366820 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 0 1 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 0 1 82 0 1 635 1 1 1 0 0 0 0 1 1 0 0 0 0 X 14 11 1 0 0 0 1 0 1 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X RICHARD P OLINGER 8148687767 5515 PEACH STREET ERIE PA 16509 JOHN M FERRETTI DO 58.00 X X 501737 0 29168 JOHN D ANGELONI DO 1.00 X 0 0 0 MARY L ECKERT 4.00 X X 3859 427418 29123 JOHN L JOHNSTON DO 1.00 X 0 0 0 JOHN M MAGENAU III PHD 1.00 X 0 0 0 PAUL J MARTIN 1.00 X 0 0 0 JOAN L MOORE DO 1.00 X 0 0 0 MARLENE D MOSCO 1.00 X 0 0 0 SENATOR DURELL PEADEN 1.00 X 0 0 0 KEVIN L COLOSIMO ESQ 1.00 X 0 0 0 DENNIS M STYN 4.00 X 0 273167 39389 MICHAEL J VISNOSKY ESQ 1.00 X 0 0 0 THOMAS J WEDZIK 1.00 X 0 0 0 MICHAEL J FEINSTEIN DO 1.00 X 30000 0 0 SILVIA M FERRETTI DO 75.00 X 658129 0 29168 RICHARD P OLINGER 30.00 X 190435 205666 35179 ROBERT GEORGE DO 40.00 X 281622 0 28704 HERSHEY BELL DO 40.00 X 357588 0 31325 ROBERT HIRSCH DDS 40.00 X 171214 0 14775 ANTHONY FERRETTI DO 40.00 X 204634 0 25612 DENNIS AGOSTINI DO 40.00 X 243583 1899 28301 REGAN SHABLOSKI DO 40.00 X 215097 0 22296 CHESTER EVANS DPM 40.00 X 201957 0 9104 ROBERT FORTUNE BBA 40.00 X 166105 0 25211 3225960 908150 347355 36 0 1 0 LM WANDER AND SONS LANDSCAPING 8711 PEACH STREET ERIE PA 16509 LANDSCAPING SERVICES 305376 RABE ENVIRONMENTAL SYSTEMS 2300 WEST 23RD STREET ERIE PA 16506 CONSTRUCTION SERVICES 254443 SUNEYS 14968 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 COMPUTER/PHONE EQUIPMENT 216000 JANBURY 11308 RIVERS BLUFF CIRCLE LAKEWOOD RANCH FL 34202 CLEANING SERVICES 212957 OVID TECHNOLOGIES 4603 PAYSPHERE CIRCLE CHICAGO IL 60674 MEDICAL JOURNAL SUBSCRIPTIONS 196777 22 753687 1204510 68716 2026913 TUITION AND FEES 900099 73663148 73663148 APPLICATION FEES 900099 649350 649350 PHYSICIAN PRACTICE PLA 900099 2891 2891 74315389 2414076 2414076 435316 34080 435316 34080 469396 469396 48185535 46269381 1916154 1916154 1916154 25950 753687 47239 -21289 -21289 WELLNESS CENTER 713940 2203127 2203127 BOOK STORE RECEIPTS 451211 510837 510837 OPTI DUES 900099 201548 201548 266359 266359 3181871 84302510 74784785 2203127 5287685 2015495 2015495 2336316 1827022 509294 18053326 14117880 3935446 903612 706634 196978 1594579 1246977 347602 1367460 1069367 298093 120000 120000 69039 53989 15050 56441 56441 345068 269847 75221 402536 402536 4147730 3243566 904164 1021859 799104 222755 1261620 986599 275021 348678 272670 76008 3199694 2502192 697502 665159 520161 144998 348196 348196 5035807 3938051 1097756 419290 327889 91401 STUDENT ROTATION FEES 857000 857000 MISCELLANEOUS EXPENSE 735754 575367 160387 DUES AND SUBSCRIPTIONS 679552 531416 148136 REPAIRS AND MAINTENANCE 547972 428520 119452 BOOKSTORE COST OF SALES 452349 452349 1092250 624725 467525 48076782 37366820 10709962 0 11953625 3381735 22053072 48676488 790122 528102 120152 107232 1162294 1138493 114621922 29561743 86595982 85060179 78866406 101799208 1189736 1455858 202731389 242147295 3952668 5317462 13948030 16221462 708658 797226 18609356 22336150 X 182993614 218944846 1128419 866299 184122033 219811145 202731389 242147295 X 36225728 -536616 X X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 345068 345068 0 EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: THE ORGANIZATION HAS RETAINED GOVERNMENTAL COUNSEL TO REPRESENT ITS INTERESTS IN LEGISLATIVE AND OTHER GOVERNMENTAL MATTERS AT BOTH THE STATE AND FEDERAL LEVELS. 13548821 13548821 81544494 20704433 60840061 4154922 613943 3540979 12850097 8243367 4606730 2523588 2523588 85060179 DUE TO AFFILIATES 105855 OPTI FUND 311229 457(B) PLAN 380142 797226 84302510 48076782 36225728 4725504 -5262120 -536616 35689112 86987303 4725504 377320 5102824 81884479 2418031 2418031 84302510 46036071 377320 377320 45658751 2418031 2418031 48076782 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE COLLEGE FOLLOWS THE GUIDANCE FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN A COLLEGE'S FINANCIAL STATEMENTS THAT PRESCRIBES A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS NOT BEEN MET. THE GUIDANCE ALSO ADDRESSES DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, AND DISCLOSURE. MANAGEMENT HAS DETERMINED THAT THIS GUIDANCE HAD NO MATERIAL EFFECT ON THE FINANCIAL STATEMENTS. THE COLLEGE'S POLICY IS TO RECOGNIZE INTEREST RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE AND PENALTIES IN UNRESTRICTED EXPENSES. THERE WERE NO INTEREST OR PENALTIES RECOGNIZED ON THE STATEMENTS OF ACTIVITIES AS A RESULT OF THIS GUIDANCE. GENERALLY, TAX RETURNS FOR YEARS ENDED JUNE 30, 2008, AND THEREAFTER REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. PART XI, LINE 8 - OTHER ADJUSTMENTS: TEMPORARILY RESTRICTED CONTRIBUTIONS AND GRANTS 115,200. NET ASSETS RELEASED FROM RESTRICTION -377,320. TRANSFER TO PARENT CORPORATION -5,000,000. PART XII, LINE 2D - OTHER ADJUSTMENTS: NET ASSETS RELEASED FROM RESTRICTIONS 377,320. PART XII, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT MANAGEMENT FEES NETTED AGAINST INTEREST INCOME 402,536. COLLEGE FUNDED SCHOLARSHIPS 2,015,495. PART XIII, LINE 2D - OTHER ADJUSTMENTS: NET ASSETS RELEASED FROM RESTRICTIONS 377,320. PART XIII, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT MANAGEMENT FEES NETTED AGAINST INTEREST INCOME 402,536. COLLEGE FUNDED SCHOLARSHIPS 2,015,495. 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 0 1 EXPLANATION OF NONDISCRIMINATORY POLICY PUBLICATION SCHEDULE E, PART I, LINE 3 LECOM HAS PUBLICIZED ITS NONDISCRIMINATORY POLICY THROUGH NEWSPAPER MEDIA. EXPLANATION OF GOVERNMENT FINANCIAL ASSISTANCE SCHEDULE E, PART I, LINE 6 LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE RECEIVES FINANCIAL ASSISTANCE FROM THE FLORIDA DEPARTMENT OF EDUCATION WHICH IS UTILIZED TO REDUCE THE TUITION REQUIRED FROM STUDENTS AT THE BRADENTON CAMPUS WHO ARE ALSO FLORIDA RESIDENTS. DURING THE FISCAL YEAR ENDED 6/30/2011, THE COLLEGE RECEIVED $1,071,422 IN SUCH FUNDING. DINNER/AUCTION 779637 753687 25950 1250 22769 23220 779637 753687 25950 1250 22769 23220 47239 -21289 1 STUDENT SCHOLARSHIPS 791 2015495 X X 1 1 X X X X X X 0 0 0 0 0 0 0 0 0 JOHN M FERRETTI DO 481621 0 0 0 20116 0 19600 0 9568 0 530905 0 0 0 MARY L ECKERT 0 405978 0 0 3859 21440 0 19600 4296 5227 8155 452245 0 0 DENNIS M STYN 0 250080 0 0 0 23087 0 19600 0 19789 0 312556 0 0 SILVIA M FERRETTI DO 639273 0 0 0 18856 0 19600 0 9568 0 687297 0 0 0 RICHARD P OLINGER 161300 205666 0 0 29135 0 0 16453 4296 14430 194731 236549 0 0 ROBERT GEORGE DO 280849 0 0 0 773 0 19600 0 9104 0 310326 0 0 0 HERSHEY BELL DO 357448 0 0 0 140 0 19600 0 11725 0 388913 0 0 0 ROBERT HIRSCH DDS 170812 0 0 0 402 0 6151 0 8624 0 185989 0 0 0 ANTHONY FERRETTI DO 203861 0 0 0 773 0 16508 0 9104 0 230246 0 0 0 DENNIS AGOSTINI DO 242810 1899 0 0 773 0 19386 0 8915 0 271884 1899 0 0 REGAN SHABLOSKI DO 215006 0 0 0 91 0 17004 0 5292 0 237393 0 0 0 CHESTER EVANS DPM 201927 0 0 0 30 0 0 0 9104 0 211061 0 0 0 ROBERT FORTUNE BBA 165965 0 0 0 140 0 13484 0 11727 0 191316 0 0 0 PART I, LINE 1A THE ORGANIZATION SUBSCRIBES TO A CHARTER TRAVEL SHARED-SERVICE PROGRAM. THIS SERVICE IS USED SOLELY FOR BUSINESS PURPOSES. THE ORGANIZATION DOES NOT PAY FOR FIRST-CLASS TRAVEL. THE ORGANIZATION HOLDS AN ANNUAL OFF-SITE MEETING FOR WHICH IT PERMITS EACH PERSON NAMED ON FORM 990, PART VII, SECTION A TO BRING ONE GUEST. THE ORGANIZATION PAYS THE TRAVEL EXPENSES FOR THE INVITED GUEST. SUPPLEMENTAL INFORMATION PART III SCHEDULE J, PART II, COLUMN F: IN ACCORDANCE WITH THE SCHEDULE J INSTRUCTIONS, COLUMN F REPRESENTS ANY PAYMENT REPORTED IN THE CURRENT YEAR'S COLUMN (B) TO THE EXTENT SUCH PAYMENT WAS ALREADY REPORTED AS COMPENSATION TO THE LISTED PERSON ON A PRIOR FORM 990. VANTAGE INDEPENDENT CONTRACTOR - SHARES ONE COMMON TRUSTEE WITH FILING ORG. 54831 VANTAGE SELLS MEDICAL SUPPLIES AND SERVICES TO LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE 0 VANTAGE RENTAL OF PROPERTY - SHARES ONE COMMON TRUSTEE WITH FILING ORGANIZATION 113332 VANTAGE RENTS PROPERTY FROM LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE 0 RICHARD FERRETTI FAMILY MEMBER OF DR. ANTHONY J. FERRETTI, D.O, HIGHLY COMPENSATED EMPLOYEE 145888 EMPLOYMENT 0 PNC BANK INVESTMENT MANAGER - KEY EMPLOYEE OF PNC IS A TRUSTEE OF THE ORGANIZATION 132729 PNC BANK MANAGES CERTAIN INVESTMENTS HELD BY LAKE ERIE COLLEGE OF OSTEPATHIC MEDICINE. MARLENE D. MOSCO IS THE PRESIDENT OF PNC BANK IN ERIE, PA AND SERVES AS A TRUSTEE ON THE FILING ORGANIZATION'S BOARD 0 FIRST NATIONAL BANK INVESTMENT MANAGER - KEY EMPLOYEE OF FNB IS A TRUSTEE OF THE ORGANIZATION 101003 FIRST NATIONAL BANK MANAGES CERTAIN INVESTMENTS HELD BY LAKE ERIE COLLEGE OF OSTEPATHIC MEDICINE. THOMAS J. WEDZICK IS THE PRESIDENT OF FIRST NATIONAL BANK IN ERIE, PA AND SERVES AS A TRUSTEE ON THE FILING ORGANIZATION'S BOARD 0 FORM 990, PART VI, SECTION A, LINE 2 DR. JOHN M. FERRETTI, D.O., DR. SILVIA FERRETTI, D.O. AND DR. ANTHONY J. FERRETTI, D.O. - FAMILY RELATIONSHIP FORM 990, PART VI, SECTION A, LINE 6 MILLCREEK HEALTH SYSTEM, THE FILING ORGANIZATION'S PARENT CORPORATION, IS THE SOLE MEMBER OF THE FILING ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7B MILLCREEK HEALTH SYSTEM IS THE PARENT CORPORATION OF LECOM. 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 B, LINE 11 PRIOR TO FILING ITS FORMS 990 AND 990-T, THE ORGANIZATION PROVIDED ITS BOARD MEMBERS WITH ACCESS TO ELECTRONIC COPIES OF THE TAX RETURNS AND INVITED COMMENTS AND QUESTIONS FROM THE BOARD MEMBERS. PRIOR TO FILING FORM 990 AND 990-T, MEMBERS OF THE ORGANIZATION'S FINANCIAL MANAGEMENT CONDUCTED DETAILED REVIEWS OF THE TAX FILINGS. 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 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 ORGANIZATION'S BUDGET/FINANCE COMMITTEE, WHICH ALSO FUNCTIONS AS THE COMPENSATION COMMITTEE, REVIEWED A STUDY PERFORMED BY AN INDEPENDENT COMPENSATION CONSULTANT IN MARCH 2007. IN ADDITION, THE COMMITTEE REVIEWED VARIOUS FORM 990 FILINGS BY COMPARATIVE ORGANIZATIONS IN ORDER TO MAKE EXECUTIVE PAY COMPARISONS. FOR FISCAL YEARS ENDED JUNE 30, 2008, 2009, 2010, AND 2011, THE COMMITTEE REVIEWED THE SAME FORM 990 COMPARISONS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 4,725,504. TEMPORARILY RESTRICTED CONTRIBUTIONS AND GRANTS 115,200. NET ASSETS RELEASED FROM RESTRICTION -377,320. TRANSFER TO PARENT CORPORATION -5,000,000. TOTAL TO FORM 990, PART XI, LINE 5: -536,616. OVERSIGHT OF INDEPENDENT FINANCIAL STATEMENT AUDIT FORM 990, PART XI, LINES 2B AND 2C: THE FINANCE COMMITTEE ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE ORGANIZATION'S INDEPENDENT FINANCIAL STATEMENT AUDIT. THE PROCESS ASSOCIATED WITH THE OVERSIGHT OF THE INDEPENDENT FINANCIAL STATEMENT AUDIT REMAINS CONSISTENT WITH THE PRIOR FISCAL YEAR. ESTIMATE OF AVERAGE HOURS DEVOTED TO RELATED ORGANIZATIONS FORM 990, PART VII, SECTION A: DR. JOHN M. FERRETTI, D.O.: MEDICAL ASSOCIATES OF ERIE - 5 HOURS PER WEEK MILLCREEK COMMUNITY HOSPITAL - 10 HOURS PER WEEK MILLCREEK MANOR - 5 HOURS PER WEEK MILLCREEK HEALTH SYSTEM - 1 HOUR PER WEEK MILLCREEK HEALTH SYSTEM MEDICAL PROFESSIONAL LIABILITY SELF-INSURANCE TRUST - 1 HOUR PER WEEK DR. SILVIA M. FERRETTI, D.O.: MEDICAL ASSOCIATES OF ERIE - 1 HOUR PER WEEK MILLCREEK COMMUNITY HOSPITAL - 2 HOURS PER WEEK MILLCREEK MANOR - 1 HOUR PER WEEK MILLCREEK HEALTH SYSTEM - 1 HOUR PER WEEK MARY L. ECKERT: MEDICAL ASSOCIATES OF ERIE - 1 HOUR PER WEEK MILLCREEK COMMUNITY HOSPITAL - 72 HOURS PER WEEK MILLCREEK MANOR - 1 HOUR PER WEEK MILLCREEK HEALTH SYSTEM - 1 HOUR PER WEEK MILLCREEK HEALTH SYSTEM MEDICAL PROFESSIONAL LIABILITY SELF-INSURANCE TRUST - 1 HOUR PER WEEK RICHARD P. OLINGER: MEDICAL ASSOCIATES OF ERIE - 1 HOUR PER WEEK MILLCREEK COMMUNITY HOSPITAL - 31 HOURS PER WEEK MILLCREEK MANOR - 1 HOUR PER WEEK MILLCREEK HEALTH SYSTEM - 1 HOUR PER WEEK MILLCREEK HEALTH SYSTEM MEDICAL PROFESSIONAL LIABILITY SELF-INSURANCE TRUST - 1 HOUR PER WEEK DENNIS STYN: MEDICAL ASSOCIATES OF ERIE - 60 HOURS PER WEEK MILLCREEK HEALTH SYSTEM - 1 HOUR PER WEEK DR. DENNIS AGOSTINI, D.O.: MILLCREEK COMMUNITY HOSPITAL - 5 HOURS PER WEEK DR. ANTHONY J. FERRETTI, D.O.: MILLCREEK HEALTH SYSTEM: 1 HOUR PER WEEK MILLCREEK HEALTH SYSTEM MEDICAL PROFESSIONAL LIABILITY SELF-INSURANCE TRUST - 1 HOUR PER WEEK SUPPLEMENTAL DISCLOSURE REGARDING BUSINESS TRANSACTIONS FORM 990, PART IV, LINE 28C: ONE PERSON LISTED ON FORM 990, PART VII, SECTION A IS EMPLOYED OR HAS AN OWNERSHIP INTEREST IN AN ORGANIZATION WITH WHOM LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE (LECOM) TRANSACTS BUSINESS. BASED ON THE REPORTING RULES/THRESHOLDS STATED IN THE FILING INSTRUCTIONS, THESE BUSINESS TRANSACTIONS ARE NOT REQUIRED TO BE REPORTED ON SCHEDULE L, PART IV. THE ORGANIZATION'S BOARD OF TRUSTEES VOLUNTARILY DISCLOSES THE FOLLOWING BUSINESS RELATIONSHIP: MICHAEL J. VISNOSKY, ESQUIRE: LECOM ENGAGED ATTORNEY VISNOSKY'S EMPLOYER, KNOX MCLAUGHLIN GORNALL & SENNETT, P.C., TO PERFORM VARIOUS LEGAL SERVICES. DURING THE FISCAL YEAR ENDED JUNE 30, 2011, LECOM PAID LEGAL FEES TOTALING $26,631 TO KNOX MCLAUGHLIN GORNALL & SENNETT, P.C. FOR THOSE SERVICES. IN ADDITION, MILLCREEK COMMUNITY HOSPITAL, A RELATED ENTITY, PAID LEGAL FEES TO KNOX MCLAUGHLIN GORNALL & SENNETT, P.C. TOTALING $218,014 DURING THE FISCAL YEAR ENDED JUNE 30, 2011. ATTORNEY VISNOSKY'S SON-IN-LAW, MARK A. DENLINGER, IS ALSO A SHAREHOLDER OF KNOX MCLAUGHLIN GORNALL & SENNETT, P.C. NEITHER ATTORNEY VISNOSKY OR ATTORNEY DENLINGER, INDIVIDUALLY, HOLD AN OWNERSHIP INTEREST OF GREATER THAN 5% IN THE LAW FIRM. COLLECTIVELY, THEIR OWNERSHIP INTERESTS DO EXCEED 5%. MILLCREEK HEALTH SYSTEM 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 MILLCREEK HEALTH SYSTEM 0 MILLCREEK MANOR 5515 PEACH STREET ERIE PA 16509 251619204 LONG TERM CARE NURSING FACILITY PA 501(C)(3) LINE 3 MILLCREEK HEALTH SYSTEM 0 MILLCREEK HEALTH SYSTEM MEDICAL PROF LIABILITY SELF-INS TRUST 5515 PEACH STREET ERIE PA 16509 576204119 PROVIDES MANDATORY PROFESSIONAL LIABILITY COVERAGE TO AFFILIATE ORGS PA 501(C)(3) LINE 11D, III-O N/A 0 MEDICAL ASSOCIATES OF ERIE ONE LECOM PLACE ERIE PA 16505 113716896 PHYSICIAN PRACTICE CORPORATION PA 501(C)(3) LINE 9 MILLCREEK HEALTH SYSTEM 0 MCH CORPORATION 5515 PEACH STREET ERIE PA 16509 251549695 LESSOR OF REAL ESTATE PA N/A C 0 1 1 0 0 0 0 0 1 1 0 0 0 0 1 1 1 0 MILLCREEK COMMUNITY HOSPITAL C 6500 ACTUAL AMOUNT CONTRIBUTED MILLCREEK COMMUNITY HOSPITAL I 95760 ACTUAL AMOUNT PAID BASED ON USAGE MEDICAL ASSOCIATES OF ERIE I 190104 ACTUAL AMOUNT PAID BASED ON USAGE MILLCREEK COMMUNITY HOSPITAL J 518892 ACTUAL AMOUNT PAID BASED ON USAGE MILLCREEK COMMUNITY HOSPITAL O 1012659 ACTUAL EXPENSES REIMBURSED MILLCREEK COMMUNITY HOSPITAL P 63031 ACTUAL EXPENSES REIMBURSED MEDICAL ASSOCIATES OF ERIE P 41334 ACTUAL EXPENSES REIMBURSED MILLCREEK HEALTH SYSTEM Q 5000000 ACTUAL AMOUNT TRANSFERRED MILLCREEK COMMUNITY HOSPITAL B 155600 ACTUAL AMOUNT CONTRIBUTED MEDICAL ASSOCIATES OF ERIE C 5750 ACTUAL AMOUNT CONTRIBUTED MILLCREEK MANOR P 37492 ACTUAL EXPENSES REIMBURSED