2026-05-14T08:12:18-05:00 2025-06-30 390859910 BAKER TILLY ADVISORY GROUP LP 20 STANWIX STREET PITTSBURGH PA 15222 990 2024-07-01 576204119 MILLCREEK HEALTH SYSTEM MEDICAL PROFESSIONAL LIABILITY SELF-INS TRUST MILL 8148644031 5515 PEACH STREET ERIE PA 16509 STEVEN G INMAN CPA CGMA VP FISCAL AFFAIRS/CFO 8148644031 2026-05-11 1 1 KELLY A BROCIOUS P01254262 4126976400 2026-05-11 2024 2025-03-06 01:10:19Z JOHN M FERRETTI DO 5515 PEACH STREET ERIE PA 16509 1684243 0 X WWW.MILLCREEKCOMMUNITYHOSPITAL.COM X 2003 PA TO PROVIDE MANDATORY PROFESSIONAL LIABILITY COVERAGE TO AFFILIATED ORGANIZATIONS THAT ARE EXEMPT UNDER SECTION 501(C)(3). 6 2 0 2 0 0 2425000 785026 0 0 4644535 899217 0 0 7069535 1684243 0 0 0 0 0 0 0 0 0 2974034 341956 2974034 341956 4095501 1342287 19990949 18364799 0 0 19990949 18364799 TO PROVIDE MANDATORY PROFESSIONAL LIABILITY COVERAGE TO AFFILIATED ORGANIZATIONS THAT ARE EXEMPT UNDER SECTION 501(C)(3). 0 0 275000 PROVIDED MANDATORY PROFESSIONAL LIABILITY COVERAGE TO AFFILIATED ORGANIZATIONS THAT ARE EXEMPT UNDER SEC. 501(C)(3). THERE WAS A TOTAL OF $275,000 PAID IN LIABILITY CLAIMS DURING THE FISCAL YEAR ENDED JUNE 30, 2025. 275000 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 6 2 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X STEVEN G INMAN CPA CGMA 8148688258 5115 PEACH STREET ERIE PA 16509 JOHN M FERRETTI DO PRESIDENT/CEO 1.00 79.00 X X 0 1570358 39125 MARY L ECKERT TRUSTEE 1.00 79.00 X 0 690230 33308 ANTHONY JOHN FERRETTI DO TRUSTEE 1.00 51.00 X 0 9546 0 VINCENT S FIERRO DO TRUSTEE 1.00 2.00 X 0 1800 0 HARRY E BROWN TRUSTEE 1.00 1.00 X 0 0 0 SILVIA M FERRETTI DO TRUSTEE 1.00 79.00 X 0 1727650 39266 STEVEN G INMAN CPA CGMA VP FISCAL AFFAIRS/CFO 1.00 64.00 X 0 406338 38955 0 4405922 150654 0 0 1 0 0 785026 785026 484469 484469 414748 0 414748 414748 414748 1684243 0 0 899217 66956 66956 PROF. LIABILITY CLAIMS 275000 275000 341956 275000 66956 0 167122 592137 19753037 17753437 70790 19225 19990949 18364799 0 0 X 0 0 0 0 19990949 18364799 19990949 18364799 19990949 18364799 X 1342287 941563 -3910000 X 0 1 X 1 0 X X 6 MILLCREEK COMMUNITY HOSPITAL 251002937 3 1 275000 0 LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE 251698677 2 1 0 0 MEDICAL ASSOCIATES OF ERIE 113716896 10 1 0 0 MILLCREEK MANOR 251619204 3 1 0 0 CORRY MEMORIAL HOSPITAL 250987222 3 1 0 0 LECOM AT PRESQUE ISLE 475049201 10 1 0 0 6 275000 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 X 1 1 PART IV, SECTION D, LINE 3 - ROLE OF SUPPORTED ORGANIZATIONS LTHE FILING ORGANIZATION, MILLCREEK HEALTH SYSTEM MEDICAL PROFESSIONAL LIABILITY SELF-INSURANCE TRUST - "THE TRUST" - WAS FORMED TO ALLOW THE SUPPORTED ORGANIZATIONS AND THEIR RESPECTIVE EMPLOYEES TO SELF-INSURE AGAINST THEIR COLLECTIVE PROFESSIONAL MALPRACTICE LIABILITY AND GENERAL LIABILITY RISKS. ON FEBRUARY 1, 2003, MILLCREEK HEALTH SYSTEM "MHS" ENTERED INTO A TRUST AGREEMENT WITH A FINANCIAL INSTITUTION "THE TRUSTEE" TO ESTABLISH THE SELF-INSURANCE TRUST FUND. AS SUCH, INSURANCE COVERAGE IS PROVIDED TO THE SUPPORTED ORGANIZATIONS AND PROFESSIONAL LIABILITY CLAIMS ARE PAID ON BEHALF OF THE SUPPORTED ORGANIZATIONS UPON SETTLEMENT. FUNDING OF THE TRUST IS BASED UPON ACTUARIAL VALUATIONS USING THE HISTORICAL LOSS EXPERIENCE AND IN ACCORDANCE WITH THE REGULATIONS OF THE INSURANCE DEPARTMENT OF THE COMMONWEALTH OF PENNSYLVANIA. THE TRUST AGREEMENT EMPOWERS THE TRUSTEE TO HOLD, MANAGE, INVEST, AND ADMINISTER THE ASSETS OF THE TRUST IN ACCORDANCE WITH THE TERMS AND PROVISIONS OF THE TRUST AGREEMENT. FOR THE FISCAL YEAR ENDED 6/30/25 THE BOARD OF MHS/THE TRUST SHARED COMMON MEMBERS WITH THE RESPECTIVE BOARDS OF THE SUPPORTS ORGANIZATIONS, AS FOLLOWS: - MILLCREEK COMMUNITY HOSPITAL - SHARES THREE BOARD MEMBERS WITH MHS - LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE - SHARES TWO BOARD MEMBERS WITH MHS - MILLCREEK MANOR - SHARES FOUR BOARD MEMBERS WITH MHS - MEDICAL ASSOCIATES OF ERIE - SHARES TWO BOARD MEMBERS WITH MHS - CORRY MEMORIAL HOSPITAL - SHARES TWO BOARD MEMBERS WITH MHS - LECOM AT PRESQUE ISLE - SHARES TWO BOARD MEMBERS WITH MHS THROUGH THE REGULARLY SCHEDULED BOARD MEETINGS OF MHS, THE SUPPORTED ORGANIZATIONS PARTICIPATE IN OVERSEEING THE INVESTMENT POLICIES, FUNDING, AND PAYMENT OF CLAIMS BY THE TRUST, WITHIN THE PARAMETERS ESTABLISHED BY THE TRUST AGREEMENT. PART IV, SECTION E, LINE 2A - EXPLANATION OF SUPPORTED ORGANIZATIONS THE FILING ORGANIZATION, "THE TRUST", PROVIDES PROFESSIONAL LIABILITY AND GENERAL LIABILITY PROTECTION TO THE SUPPORTED ORGANIZATIONS IN DIRECT FURTHERANCE OF EACH SUPPORTED ORGANIZATION'S EXEMPT PURPOSE(S). THE TRUST, IN CONJUNCTION WITH THE TRUSTEE AND WITHIN THE PARAMETERS OF THE TRUST AGREEMENT, MANAGES THE EXEMPT-USE ASSETS REQUIRED TO SELF-INSURE EACH SUPPORTED ORGANIZATION AGAINST MALPRACTICE AND GENERAL LIABILITY CLAIMS. MALPRACTICE AND GENERAL LIABILITY INSURANCE ARE REQUIRED AND INTEGRAL COMPONENTS OF EACH SUPPORTED ORGANIZATIONS' OPERATION. IN ADDITION, PROTECTION AGAINST PROFESSIONAL MALPRACTICE AND GENERAL LIABILITY CLAIMS IS AN ACTIVITY THAT, BUT FOR THE TRUST'S INVOLVEMENT, THE SUPPORTED ORGANIZATIONS WOULD BE NECESSITATED TO PROVIDE DIRECTLY. PART IV, SECTION E, LINE 2B - EXPLANATION OF ORGANIZATION'S POSITION SEE RESPONSE TO SECTION E, LINE 2A ABOVE. 0 X 2625806 941563 941563 1684243 0 1684243 341956 0 341956 0 341956 PART X, LINE 2: THE TRUST FUND IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND HAS BEEN RECOGNIZED AS TAX EXEMPT UNDER SECTION 501(A) OF THE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED. 0 0 0 0 0 0 0 0 0 SILVIA M FERRETTI DO TRUSTEE 0 1693526 0 0 0 34124 0 27600 0 11666 0 1766916 0 0 JOHN M FERRETTI DO PRESIDENT/CEO 0 1541076 0 0 0 29282 0 27600 0 11525 0 1609483 0 0 MARY L ECKERT TRUSTEE 0 673270 0 0 0 16960 0 20700 0 12608 0 723538 0 0 STEVEN G INMAN CPA CGMA VP FISCAL AFFAIRS/CFO 0 390775 0 0 0 15563 0 27600 0 11355 0 445293 0 0 PART I, LINE 3 THE ORGANIZATION'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 FORM 990, PART VI, SECTION A, LINE 2 DR. JOHN M. FERRETTI DR. SILVIA M. FERRETTI PRES/CEO TRUSTEE FAMILY RELATIONSHIP DR. JOHN M. FERRETTI DR. ANTHONY J. FERRETTI PRES/CEO TRUSTEE FAMILY RELATIONSHIP DR. SILVIA M. FERRETTI DR. ANTHONY J. FERRETTI TRUSTEE TRUSTEE FAMILY RELATIONSHIP 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 STANDARDIZE 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 TO MILLCREEK COMMUNITY HOSPITAL -3,910,000. 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 MILLCREEK HEALTH SYSTEM 0 MILLCREEK COMMUNITY HOSPITAL 5515 PEACH ST ERIE PA 16509 251002937 HOSPITAL PA 501(C)(3) LINE 3 MILLCREEK HEALTH SYSTEM 0 MEDICAL ASSOCIATES OF ERIE ONE LECOM PLACE ERIE PA 16509 113716896 PHYSICIAN MANAGEMENT PA 501(C)(3) LINE 10 MILLCREEK HEALTH SYSTEM 0 MILLCREEK MANOR 5515 PEACH ST ERIE PA 16509 251619204 LONG TERM CARE PA 501(C)(3) LINE 3 MILLCREEK HEALTH SYSTEM 0 VISITING NURSE ASSOCIATION OF ERIE COUNTY 2253 WEST GRANDVIEW BOULEVARD ERIE PA 16506 250969488 HOME HEALTH PA 501(C)(3) LINE 7 MILLCREEK HEALTH SYSTEM 0 CORRY MEMORIAL HOSPITAL ASSN (CMH) 965 SHAMROCK LANE CORRY PA 16407 250987222 HOSPITAL PA 501(C)(3) LINE 3 MILLCREEK HEALTH SYSTEM 0 CORRY MEDICAL SERVICES 965 SHAMROCK LANE CORRY PA 16407 251425220 HEALTH CARE PA 501(C)(3) LINE 12B, II CORRY MEMORIAL HOSPITAL ASSOCIATION 0 CORRY MEMORIAL HOSPITAL FOUNDATION 965 SHAMROCK LANE CORRY PA 16407 208285800 FUNDRAISING PA 501(C)(3) LINE 12B, II CORRY MEMORIAL HOSPITAL ASSOCIATION 0 LECOM AT PRESQUE ISLE 4114 SCHAPER AVE ERIE PA 16508 475049201 LONG TERM CARE PA 501(C)(3) LINE 10 MILLCREEK HEALTH SYSTEM 0 ACHIEVEMENT CENTER INC 4950 WEST 23RD STREET SUITE 1 ERIE PA 16506 250965336 THERAPEUTIC SERVICES PA 501(C)(3) LINE 10 MILLCREEK HEALTH SYSTEM 0 COUNSELING SERVICES CENTER INC DBA CORRY COUNSELING SERVICES 45 EAST WASHINGTON STREET CORRY PA 16407 251323591 MENTAL HEALTH SERVICES PA 501(C)(3) LINE 7 MILLCREEK HEALTH SYSTEM 0 LECOM HEALTH RISK RETENTION GROUP 1858 W GRANDVIEW BLVD ERIE PA 16509 854350386 LIABILITY INSURANCE PA 501(C)(3) LINE 12A, I MILLCREEK HEALTH SYSTEM 0 MCH CORPORATION 5515 PEACH ST ERIE PA 16509 251549695 REAL ESTATE PA N/A C 0 CORRY HEALTH SERVICES INC 965 SHAMROCK LAME CORRY PA 16407 251488214 HEALTH CARE PA N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1