LERC is a sub-chapter T purchasing cooperative, which consists of 25 acute-care members, over 400 physician practices, and a number of non-acute care organizations. LERC was started in 1996, through the efforts of LEHA (Lake Erie Health Alliance). Members in Ohio and Michigan joined forces to improve the delivery of healthcare, and reduce overall costs by combining purchasing power. Promedica Health System, in Toledo, Ohio, is the flagship member of LEHA/LERC. The Lake Erie Regional Cooperative offers over 75 competitive contracts, including the addition of Spectrum to its list. This contract agreement will give members access to a 25 percent to 30 percent savings on surgical instrument repair.