2020-07-10T11:53:03-05:00 2019-06-30 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2018-07-01 231365353 LANCASTER GENERAL HOSPITAL % F JOSEPH BYORICK III CFO LANC 7175445398 555 NORTH DUKE STREET LANCASTER PA 17604 F JOSEPH BYORICK III CFO 7175444926 2020-06-18 true ANTONIO C RUSSO P00858539 2673303000 155.201.35.58 23522320201925000005 2020-07-10 P DB39A3A3FCAD5D08BAE5119EF58810927D1377FB 3336404C425FC5D94D995B9A40B339DB67595AA7 2018 2020-11-19 02:30:22Z F JOSEPH BYORICK III 555 NORTH DUKE STREET LANCASTER PA 17604 1210336789 false X WWW.LGHEALTH.ORG X 1893 PA TO ADVANCE THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE. 17 14 7811 582 6109154 674932 880433 307322 1003153634 1076166643 2077708 3240489 64405081 66136075 1070516856 1145850529 3765665 3719802 0 0 489504294 500338399 0 0 1242247 455758973 500551698 949028932 1004609899 121487924 141240630 911020367 956639724 399976346 399260300 511044021 557379424 X TO ADVANCE THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE. REFER TO FORM 990, SCHEDULE H FOR ADDITIONAL DISCLOSURE REGARDING LANCASTER GANERAL HOSPITAL'S MISSION. false false 133838016 0 238551982 SURGICAL SERVICES 131850690 0 212027798 NURSING SERVICES 116412527 0 116041113 PHARMACY 454603869 3719802 561583225 836705102 true true false true false false false false true true false false false true true false true false false false false false false false false true true true true true true false false false false false false false false true true false false false false true true true true false false true X 409 0 true 7811 true true true true CJ false false false false false false false false false false X 17 14 false false false false true true true true true false false true true true true true false true true true false PA X F JOSEPH BYORICK III CFO 7175444926 555 NORTH DUKE STREET LANCASTER PA 17604 X William H Adams MD Trustee 2.0 2.0 X 0 0 0 John M Anderson PhD Trustee 2.0 2.0 X 0 0 0 Thomas T Baldrige Trustee 2.0 2.0 X 0 0 0 Frederick C Beyer III MD Trustee 2.0 53.0 X 0 421208 38463 Keith Kasper Trustee 2.0 53.0 X 0 1350555 182342 Keith R Kuhlengel MD Trustee 2.0 4.0 X 0 0 0 Francis J Manning MD Trustee 2.0 2.0 X 0 0 0 C Clair McCormick Trustee 2.0 2.0 X 0 0 0 Edward Monborne Trustee 2.0 2.0 X 0 0 0 Ralph W Muller Trustee 2.0 53.0 X 0 2601584 524692 Lori Pickell Trustee 2.0 2.0 X 0 0 0 Neal Salerno Trustee 2.0 2.0 X 0 0 0 Carolyn F Scanlan Trustee 2.0 2.0 X 0 0 0 Kim Smith Esq Trustee 2.0 4.0 X 0 0 0 Jordan Space Trustee 2.0 2.0 X 0 0 0 Patrick D Whalen Trustee 2.0 2.0 X 0 0 0 Jan L Bergen President & CEO, LG Health 47.0 8.0 X X 1876763 367868 170666 Joanne B Ladley Vice Chairperson 2.0 2.0 X X 0 0 0 D Michael Wege Chairperson 2.0 2.0 X X 0 0 0 Philip R Wenger Chairperson 2.0 2.0 X X 0 0 0 Kay Brady VP, Human Resources 51.0 4.0 X 248637 0 23470 F Joseph Byorick III SVP, CFO 45.0 10.0 X 637160 0 17627 Margaret F Costella Esq SVP, Legal Svcs, Gen Counsel 41.0 14.0 X 362322 0 15219 Brian M Crimmins VP, Facilities Planning 53.0 2.0 X 115099 0 14435 Gary Davidson SVP and CIO 53.0 2.0 X 616982 0 48824 Geoffrey W Eddowes SVP, WBH 53.0 2.0 X 388725 0 30227 Norma J Ferdinand SVP, Quality & Perf Improvemen 53.0 2.0 X 708578 0 22560 T Raymond Foley President, Physician Services 2.0 53.0 X 0 1705108 26698 Jennifer L Groff VP Organizational Advancement 2.0 53.0 X 0 208359 15835 Alexandra Jorgensen Chief HR Officer 51.0 4.0 X 329537 0 26561 Elizabeth D Katz VP, Risk Mgmt & Corp Complianc 53.0 2.0 X 207318 0 19824 Denise A Kennedy VP, Financial Services 53.0 2.0 X 244951 0 19117 Robert P Macina Esq EVP, Chief Admin Officer 43.0 12.0 X 622069 0 28056 Edward Maloney VP, Information Tech Operation 53.0 2.0 X 302561 0 26894 William McCune SVP Hospital Operations 53.0 2.0 X 469265 0 30117 Tammy L Ober VP, Hospital Operations 51.0 4.0 X 304296 0 33974 Richard D Paoletti VP, Primary Care & Ambulatory 49.0 6.0 X 334964 0 30110 Sean P Reynolds VP, Operations Physician Svcs 2.0 53.0 X 0 237099 25691 Douglas W Rinehart VP, Controller 49.0 6.0 X 265583 0 27625 Michael R Ripchinski Chief Clinical Officer 51.0 4.0 X 488966 0 30324 Lanyce A Roldan SVP & Chief Nursing Executive 53.0 2.0 X 330885 0 27259 Christine M Stabler MD VP, Academic Affairs 53.0 2.0 X 431440 0 26225 Cynthia J Stauffer VP, Epic & Clinical Apps 53.0 2.0 X 222557 0 17886 James A Stuccio SVP, Ambulatory & Phys Svcs 2.0 53.0 X 0 615410 30324 Susan Wynne SVP, Business Dev & Planning 51.0 4.0 X 446544 0 20136 Stacey G Youcis SVP Svc Lines/Population Hlth 49.0 6.0 X 383854 0 27931 Kenneth G Berkenstock Radiation Oncologist 50.0 0.0 X 939774 0 33463 Kishor P Singapuri Radiation Oncologist 50.0 0.0 X 814228 0 28855 James Ku Bariatric Surgeon 48.0 2.0 X 748641 0 29835 Philip M Bayliss Perinatologist 50.0 0.0 X 728913 0 27488 Jeffrey T Cope Cardiothoracic Surgeon 50.0 0.0 X 712769 0 30340 Thomas E Beeman PHD Former Officer 0.0 0.0 X 834638 2298112 17818 Lee M Duke II MD Former Officer 0.0 0.0 X 2199020 0 17696 Regina M Mingle Former Officer 0.0 0.0 X 125036 765003 98161 17442075 10570306 1862768 651 true true false BENCHMARK CONSTRUCTION COMPANY PO BOX 806 BROWNSTOWN PA 17508 CONSTRUCTION 18943189 THE WHITING-TURNER CONTRACTING COMP 300 EAST JOPPA RD 8TH FL PO BOX 1 BALTIMORE MD 212863048 CONSTRUCTION 13309455 ACCLARA SOLUTIONS LLC 13201 NORTHWEST FREEWAY SUITE 600 HOUSTON TX 77040 COLLECTIONS 6999840 TRUSTMARK HEALTH BENEFITS INC 62707 COLLECTION CENTER DR CHICAGO IL 606930627 HLTH BENEFITS ADMIN 5176274 EPIC SYSTEMS CORP PO BOX 88314 MILWAUKEE WI 532880314 SOFTWARE MAINTENANCE 4074914 196 18500 288822 9492 307322 OTHER NET PATIENT REVENUE 622110 643343540 641103222 2240318 MEDICARE/MEDICAID NET PATIENT REVENUE 622110 426341304 426341304 RENT REVENUE FROM AFFILIATES 531190 5835068 5835068 MISCELLANEOUS RETAIL SALES 541900 579551 579333 218 PROFESSIONAL SERVICES 900099 67180 67180 1076166643 3045082 3045082 0 0 0 0 0 64681667 64486260 195407 195407 195407 0 0 0 0 0 0 0 0 0 MANAGEMENT FEE REVENUE 541200 15964842 15163551 801291 CONVENIENCE PHARMACY REVENUE 446110 14189122 14189122 SALE OF SERVICE 541900 9644310 6640904 3003406 26337801 16043898 63921 10229982 66136075 1145850529 1125963582 6109154 13470471 3703302 3703302 16500 16500 0 0 9069757 9069757 0 376696218 318985757 57449485 260976 30948583 25640307 5287209 21067 56450329 45781917 10617407 51005 27173512 22372170 4779566 21776 0 1007257 16167 991090 11593 11593 72361 72361 0 51555 51555 21990345 14441606 7486372 62367 3157958 3157958 37730262 20007978 17703603 18681 2665619 225509 2411294 28816 0 23659915 18168845 5491070 1393115 865745 521241 6129 0 0 7023410 7023410 0 47570444 41606610 5963266 568 7429541 7429541 MED/SURG SUPPLIES 219626436 223214145 -3595317 7608 MANAGEMENT FEE 72082703 60054535 12028168 PURCHASED SERVICES 54498695 30968791 22766650 763254 BAD DEBT (NON-PATIENT) 142727 16088 126639 437762 437762 1004609899 836705102 166662550 1242247 26500 27758 98876798 92543099 427361 1073782 114632865 125859287 0 0 0 0 63343994 63756597 16575632 18754642 13835649 11004589 1310064724 759940166 522055352 550124558 41921568 61397847 0 0 0 0 0 0 39324648 32097565 911020367 956639724 87038453 94292644 0 0 3313929 4995075 277841651 246902884 0 0 0 0 0 0 0 0 31782313 53069697 399976346 399260300 X 487388159 527669311 13056890 17257104 10598972 12453009 511044021 557379424 911020367 956639724 X 141240630 32343 -94937570 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false true 15370 true 7163 true 70168 true 61527 true 122588 true 1370 278186 false SCHEDULE C, PART II-B, LINE 1 DETAILED DESCRIPTION OF LOBBYING ACTIVITIES LANCASTER GENERAL HOSPITAL ATTEMPTED TO INFLUENCE FOREIGN, NATIONAL, STATE OR LOCAL LEGISLATION, INCLUDING ANY ATTEMPT TO INFLUENCE PUBLIC OPINION ON A LEGISLATIVE MATTER OR REFERENDUM THROUGH THE USE OF MAILINGS, PUBLICATIONS, GRANTS, DIRECT CONTACT, RALLIES, DEMONSTRATIONS, SEMINARS, CONVENTIONS, SPEECHES, LECTURES OR OTHER SIMILAR MEANS. 11288340 1144120 733426 157756 39005 12969125 9549827 732131 1129038 119474 3182 11288340 8019870 826789 979494 276326 9549827 8091376 191769 -32236 230929 110 8019870 8361415 108879 241986 620601 303 8091376 0.60000 0.40000 false true true 44090916 44090916 559217983 245853464 313364519 22844876 15159223 7685653 568250774 404758480 163492294 115660175 94168999 21491176 550124558 0 OTHER LONG-TERM LIABILITIES 22375693 SHORT TERM NOTE PAYABLE 22175000 EST THIRD PARTY SETTLEMENTS 3973426 INTEREST PAYABLE 2806896 OTHER CURRENT LIABILITIES 1738682 53069697 X 1054334617 32343 -90016225 -89983882 1144318499 1532030 1532030 1145850529 1007999214 3878632 3878632 1004120582 51555 437762 489317 1004609899 SCHEDULE D, PART V, LINE 4 INTENDED USE OF ENDOWMENT FUNDS LANCASTER GENERAL HOSPITAL UTILIZES THE ENDOWMENT FUNDS IN ACCORDANCE WITH THEIR TAX-EXEMPT PURPOSE AND AS SPECIFIED BY THE DONOR. --------------------------- SCHEDULE D, PART X, LINE 2 TEXT OF FIN 48 (ASC 740) FOOTNOTE THIS ORGANIZATION IS AN AFFILIATE OF THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA ("UNIVERSITY"). THE FIN 48 (ASC 70) FOOTNOTE BELOW DERIVES FROM THE CONSOLIDATED JUNE 30, 2019 FINANCIAL STATEMENTS OF THE UNIVERSITY: THE UNIVERSITY REGULARLY EVALUATES ITS TAX POSITION AND DOES NOT BELIEVE IT HAS ANY UNCERTAIN TAX POSITIONS THAT REQUIRE DISCLOSURE OR ADJUSTMENT TO THE CONSOLIDATED FINANCIAL STATEMENTS. ------------------------- SCHEDULE D, PART XI, LINE 2D DETAIL OF OTHER ITEMS LGH AND NOVASTREAM INTERCOMPANY TRANSACTIONS $ 5,704,733 INVESTMENT MANAGER FEES (51,555) RELATED PARTY TRANSFERS (101,660,397) EQUITY IN LOSS (437,762) PERPETUAL TRUST DISTRIBUTIONS 86,541 TRANSFER OF NET ASSETS 6,079,791 OTHER NON-OPERATING INCOME 262,424 ------------- $ (90,016,225) ------------------------- SCHEDULE D, PART XI, LINE 4B DETAIL OF OTHER ITEMS $1,532,030 OF SALARY AND BENEFITS RELATED TO SHARING OF EMPLOYEES WITH OTHER LANCASTER GENERAL HEALTH ORGANIZATIONS IS SHOWN AS REVENUE FOR FORM 990 REPORTING AND AS A REDUCTION OF EXPENSE FOR FINANCIAL STATEMENT REPORTING. ------------------------ SCHEDULE D, PART XII, LINE 2D DETAIL OF OTHER ITEMS ELIMINATION OF INTERCOMPANY EXPENSES B/W LGH & NOVASTREAM $5,410,662 SALARY & BENEFITS RELATED TO SHARING OF EMPLOYEES WITH OTHER LANCASTER GENERAL HEALTH ORGANIZATIONS IS SHOWN AS REVENUE FOR FORM 990 REPORTING AND AS A REDUCTION OF EXPENSE FOR FINANCIAL STATEMENT REPORTING. (1,532,030) ---------- $3,878,632 ------------------------ SCHEDULE D, PART XII, LINE 4B DETAIL OF OTHER ITEMS EQUITY IN LOSS $437,762 true true X true X 300. true X true true true false true true 10252890 10252890 0.01020 138319420 68607968 69711452 0.06940 148572310 68607968 79964342 0.07960 6240779 4015579 2225200 0.00220 12517960 2099342 10418618 0.01040 1858068 466427 1391641 0.00140 741293 741293 0.00070 21358100 6581348 14776752 0.01470 169930410 75189316 94741094 0.09430 444272 444272 0.00040 1500000 1500000 0.00150 1944272 1944272 0.00190 true 45540000 368971894 472459200 -103487306 X true false 2 1 LANCASTER GENERAL HOSPITAL 555 NORTH DUKE STREET PO BOX 3555 LANCASTER PA 176043555 WWW.LGHEALTH.ORG LICENSE# 120801 X X X X X A 2 WOMEN AND BABIES HOSPITAL 690 GOOD DRIVE PO BOX 3750 LANCASTER PA 176043750 WWW.LGHEALTH.ORG LICENSE# 120801 X X X A A 12 false false true X X X X X X X X X 18 true true true true X SEE SCH H, PART V, SECTION C X SEE SCH H, PART V, SECTION C X X true 19 true SEE SCH H, PART V, SECTION C false true X 300. 400. X X X true true X X X true X SEE SCH H, PART V, SECTION C X SEE SCH H, PART V, SECTION C X SEE SCH H, PART V, SECTION C X X X X X X true X false X X true X false false PART V, SECTION B, LINE 5 - INPUT FROM COMMUNITY PENN MEDICINE LG HEALTH CONDUCTED A SURVEY IN SUMMER 2018 OF KEY STAKEHOLDERS AND COMMUNITY MEMBERS AT SELECTED COMMUNITY EVENTS TO GATHER INPUT ABOUT PERCEIVED COMMUNITY HEALTH NEEDS AND BARRIERS TO GOOD HEALTH. A TOTAL OF 258 SURVEY RESPONSES WERE COLLECTED FROM COMMUNITY MEMBERS WHO TOOK THE SURVEY ONLINE OR AT LOCAL EVENTS. THE GOAL OF THE SURVEY WAS TO SAMPLE FROM SELECTED LOCATIONS, ORGANIZATIONS, AND COALITIONS TO GATHER FEEDBACK FROM TRADITIONALLY MARGINALIZED COMMUNITIES, INCLUDING PEOPLE OF COLOR, PEOPLE OF HISPANIC/LATINO ETHNICITY, AND INDIVIDUALS WHO IDENTIFY AS GAY, LESBIAN, BISEXUAL, AND/OR TRANSGENDER. IN ADDITION, LANCASTER GENERAL HOSPITAL, LANCASTER BEHAVIORAL HEALTH HOSPITAL, LANCASTER REHABILITATION HOSPITAL, WELLSPAN EPHRATA COMMUNITY HOSPITAL AND UPMC PINNACLE JOINTLY HOSTED A COMMUNITY STAKEHOLDER FORUM ON DECEMBER 17, 2018. THE THREE PRIMARY GOALS OF THE FORUM WERE TO: (1) EXPLAIN THE CHNA PROCESS AND THE ROLE OF COMMUNITY STAKEHOLDERS; (2) PRESENT THE ANALYTIC FRAMEWORK AND PRELIMINARY COMMUNITY HEALTH DATA INCLUDED IN THIS SUMMARY; AND (3) GATHER INPUT FROM COMMUNITY STAKEHOLDERS, PARTICULARLY THOSE WITH PUBLIC HEALTH EXPERTISE AND INDIVIDUALS AND ORGANIZATIONS SERVING MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS IN LANCASTER COUNTY ABOUT COMMUNITY HEALTH NEEDS AND COMMUNITY RESOURCES. AFTER A BRIEF PRESENTATION OF COMMUNITY HEALTH DATA, ATTENDEES ANSWERED TWO SPECIFIC QUESTIONS: WHAT ARE THE MOST IMPORTANT HEALTH NEEDS IN OUR COMMUNITY AND WHICH HEALTH NEEDS HAVE FEASIBLE COMMUNITY SOLUTIONS? A TOTAL OF 99 INDIVIDUALS ATTENDED THE COMMUNITY FORUM AND PROVIDED INPUT. THE PARTICIPANTS REPRESENTED DIVERSE SECTORS, INCLUDING HEALTHCARE, SOCIAL SERVICES, EDUCATION, PUBLIC HEALTH, ECONOMIC AND COMMUNITY DEVELOPMENT, GOVERNMENT, HOUSING, FOOD ACCESS, PHILANTHROPY, EARLY CHILD DEVELOPMENT, HIGHER EDUCATION, AGING AND DISABILITY SERVICES, AND OTHERS. THE FOLLOWING ORGANIZATIONS WERE REPRESENTED AT THE STAKEHOLDER FORUM: WELLSPAN HEALTH, EPHRATA AREA SOCIAL SERVICE, OFFICE OF U.S. SENATOR PAT TOOMEY, PARTNERSHIP FOR PUBLIC HEALTH, FAMILY FIRST HEALTH, LANCASTER EQUITY COMMUNITY DEVELOPMENT CORPORATION, LANCASTER RECREATION COMMISSION, PENN MEDICINE LANCASTER GENERAL HEALTH, FRANKLIN & MARSHALL COLLEGE, NORTHERN LANCASTER HUB, BENECON, SOLANCO HIGH SCHOOL, CITY OF LANCASTER, ASSETS, SCHOOL DISTRICT OF LANCASTER, LANCASTER HOUSING OPPORTUNITY PARTNERSHIP, MALVERN INSTITUTE, FULTON FINANCIAL, HIGHMARK BLUE SHIELD, RASE PROJECT, COMMUNITY BASICS, INC, LANCASTER COUNTY DISTRICT ATTORNEY'S OFFICE, HOUSING DEVELOPMENT CORPORATION MIDATLANTIC, COLAB, INC., YWCA LANCASTER, DOMESTIC VIOLENCE SERVICES OF LANCASTER COUNTY, COMPASS MARK, CHI ST. JOSEPH CHILDREN'S HEALTH, HDC MIDATLANTIC, UNITED WAY OF LANCASTER COUNTY, CENTRAL PENN BUSINESS GROUP ON HEALTH, ECHOS, COBYS FAMILY SERVICES, WATER STREET HEALTH SERVICES, LANCASTER COUNTY DEVELOPMENT BOARD, MENTAL HEALTH AMERICA OF LANCASTER COUNTY, PENNSYLVANIA LINK TO AGING AND DISABILITY RESOURCES, COMMUNITY ACTION PARTNERSHIP, MHA, LANCASTER FAMILY YMCA, PA COLLEGE OF HEALTH SCIENCES, UPMC PINNACLE, CENTRAL PENNSYLVANIA FOOD BANK, LANCASTER CO PHARMACISTS ASSN, BOYS & GIRLS CLUB OF LANCASTER, PENN STATE EXTENSION, MEALS ON WHEELS, LANCASTER CITY HOUSING AUTHORITY, LANCASTER COUNTY DRUG & ALCOHOL COMMISION, TEAM RIVER RUNNER, LANCASTER HEALTH CENTER, UNITED DISABILITIES SERVICES (UDS) FOUNDATION, PENN STATE HEALTH, SACA, LANCASTER BEHAVIORAL HEALTH HOSPITAL, COMMUNITY FIRST FUND, HACC-LANCASTER, COLUMBIA LIFE NETWORK, WILSON500, INC., THE FACTORY MINISTRIES. ------------------------- PART V, SECTION B, LINE 6a - JOINT CHNA THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED JOINTLY BY LANCASTER GENERAL HOSPITAL, LANCASTER BEHAVIORAL HEALTH HOSPITAL, LANCASTER REHABILITATION HOSPITAL LLC, WELLSPAN EPHRATA COMMUNITY HOSPITAL AND UPMC PINNACLE (NOW UPMC LITITZ). ------------------------- PART V, SECTION B, LINE 6b - CHNA CONDUCTED WITH NON-HOSPITAL FACILITIES THE CHNA DATA ANALYSIS AND REPORT WAS CONDUCTED WITH ASSISTANCE FROM THE CENTER FOR OPINION RESEARCH AT FRANKLIN & MARSHALL COLLEGE. ------------------------- PART V, SECTION B, LINE 11 - ADDRESSING NEEDS THE CHNA IDENTIFIED FOUR TOP SIGNIFICANT COMMUNITY HEALTH NEEDS: 1) ESTABLISHING AND MAINTAINING THE BASIC CONDITIONS THAT SUPPORT HEALTH, INCLUDING ACCESS TO CARE, FAMILY-SUSTAINING INCOMES, ACCESSIBLE TRANSPORTATION, AFFORDABLE AND QUALITY HOUSING, VIOLENCE REDUCTION, AND REDUCTION IN EXPOSURE TO ADVERSE CHILDHOOD EXPERIENCES; 2) ADVOCATING FOR IMPROVEMENTS TO THE COUNTY'S PHYSICAL ENVIRONMENT, EMPHASIZING IMPROVED AIR AND WATER QUALITY; 3) SUPPORTING IMPROVED MENTAL HEALTH INCLUDING REDUCING AND TREATING SUBSTANCE USE; AND 4) SUPPORTING ACTIVE LIVING, HEALTHY EATING, AND LESS OBESITY. THE CHNA ALSO SHOWED THAT SOME GROUPS IN LANCASTER COUNTY ARE AT GREATER RISK FOR HEALTH PROBLEMS BECAUSE OF THEIR RACE, INCOME, PHYSICAL ENVIRONMENT, AND EXPERIENCES OF NEGLECT, ABUSE, AND DISCRIMINATION. THE COMMUNITY HEALTH IMPROVEMENT PLAN FOCUSES ON THESE PHYSICAL AND SOCIAL CONDITIONS TO IMPROVE COMMUNITY HEALTH OUTCOMES, REDUCE HEALTH DISPARITIES, AND DECREASE UNNECESSARY DEMAND ON HEALTHCARE SYSTEMS. TO ADDRESS THESE NEEDS, LG HEALTH HAS ADOPTED AN ANCHOR MISSION AND PLANS TO LAUNCH AN IMPACT PURCHASING PROGRAM TO INCREASE SPENDING WITH SOCIALLY RESPONSIBLE LOCAL BUSINESSES AND DEVELOP A PLAN TO INCREASE THE DIVERSITY OF ITS WORKFORCE. WE ALSO PLAN TO INCREASE ACCESS TO FREE AND LOW-COST HEALTHCARE SERVICES THROUGH SCHOOL-BASED HEALTH CLINICS, CANCER SCREENING PROGRAMS, DENTAL CARE, AND THE CHILDPROTECT VACCINATION PROGRAM. TO IMPROVE THE PHYSICAL ENVIRONMENT, WE PLAN TO DEVELOP A FEASIBILITY ASSESSMENT AND PLAN TO REDUCE EXPOSURE TO LEAD IN RESIDENTIAL PROPERTIES THROUGHOUT THE COUNTY AND PREVENT CHILDHOOD LEAD POISONING. WE ALSO HAVE AMBITIOUS GOALS TO REDUCE CARBON EMISSIONS FROM OUR FACILITIES BY 20% AND USE LANDSCAPING PRACTICES THAT SUPPORT A HEALTHY WILDLIFE ENVIRONMENT. TO ADDRESS MENTAL HEALTH NEEDS, WE PLAN TO IMPLEMENT POLICIES AND PROCEDURES TO BECOME A TRAUMA-INFORMED HEALTH SYSTEM AND TRAIN INDIVIDUALS AND ORGANIZATIONS ABOUT RECOGNIZING AND RESPONDING TO TRAUMA AND ADVERSE CHILDHOOD EXPERIENCES. IN ADDITION, WE WILL INCREASE ACCESS TO TREATMENT SERVICES FOR MENTAL HEALTH AND SUBSTANCE USE AND EXPAND THE USE OF EVIDENCE-BASED PRACTICES, SUCH AS MEDICATION ASSISTED TREATMENT AND NALOXONE FOR OPIOID OVERDOSE EMERGENCIES. FINALLY, TO CREATE AN ENVIRONMENT THAT SUPPORTS HEALTHY EATING, WE WILL WORK WITH COMMUNITY PARTNERS TO EDUCATE MUNICIPALITIES ABOUT CREATING A SAFE ENVIRONMENT FOR WALKING AND BICYCLING IN LANCASTER COUNTY AND WILL INCREASE THE NUMBER OF LG HEALTH EMPLOYEES USING ENVIRONMENTALLY-FRIENDLY TRANSPORTATION. WE ALSO PLAN TO INCREASE ACCESS TO HEALTHY FOOD FOR PEOPLE WHO ARE FOOD INSECURE BY CONTINUING A MOBILE FRESH FOOD PANTRY IN LOW-INCOME NEIGHBORHOODS AND EXPANDING A "FOOD PHARMACY" PROGRAM TO PROVIDE FREE HEALTHY GROCERIES TO THOSE IN NEED. ------------------------- PART V, SECTION B, LINE 7A - CHNA AVAILABILITY THE CHNA REPORT CAN BE FOUND AT: HTTPS://WWW.LANCASTERGENERALHEALTH.ORG/ABOUT-LANCASTER-GENERAL-HEALTH/CARI NG-FOR-OUR-COMMUNITY/NEEDS-ASSESSMENT-AND-IMPROVEMENT-PLAN/COMMUNITY-IMPRO VEMENT-DASHBOARDS ------------------------- PART V, SECTION B, LINE 9 (TAX YEAR THE MOST RECENT IMP. STRATEGY WAS ADOPTED) THE ORGANIZATION'S MOST RECENT IMPLEMENTATION STRATEGY WAS ADOPTED BY 11/15/2019, AS PERMITTED UNDER THE REGULATIONS. ------------------------- PART V, SECTION B, LINE 10A - IMPLEMENTATION PLAN AVAILABILITY THE MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY CAN BE FOUND AT: HTTPS://WWW.LANCASTERGENERALHEALTH.ORG/ABOUT-LANCASTER-GENERAL-HEALTH/CARI NG-FOR-OUR-COMMUNITY/NEEDS-ASSESSMENT-AND-IMPROVEMENT-PLAN/COMMUNITY-IMPRO VEMENT-DASHBOARDS ------------------- PART V, SECTION B, LINE 16A,B,C - FINANCIAL ASSISTANCE POLICY AVAILABILITY A COPY OF THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, APPLICATION AND PLAIN LANGUAGE SUMMARY CAN BE ACCESSED AT: HTTPS://WWW.LANCASTERGENERALHEALTH.ORG/PATIENT-AND-VISITOR-INFORMATION/PAT IENT-INFORMATION/BILLING-INSURANCE-AND-PRICING/FINANCIAL-ASSISTANCE ------------------------- PART V, SECTION B, LINE 7B - CHNA AVAILABILITY IN ADDITION TO THE LANCASTER GENERAL HOSPITAL WEBSITE, THE CHNA REPORT CAN FOUND AT: HTTPS://WWW.LIVEWELLLANCASTER.ORG/ ----------------------- PART V, SECTION B, LINE 7D - CHNA AVAILABILITY WHEN THE CHNA REPORT WAS COMPLETED AND POSTED ONLINE, LG HEALTH MAILED A POSTCARD PROMOTING THE REPORT TO ALL OF THE COMMUNITY PARTNER ORGANIZATIONS THAT ATTENDED THE STAKEHOLDER FORUM. WE ALSO DISTRIBUTE THESE POSTCARDS REGULARLY AT COMMUNITY EVENTS. -------------------- PART V, SECTION B, LINE 20 A,D - ECA & PRESUMPTIVE ELIGIBLE DETERMINATIONS LANCASTER GENERAL HOSPITAL DOES NOT PERFORM EXTRAORDINARY COLLECTION ACTIONS OR MAKE PRESUMPTIVE ELIGIBILITY DETERMINATIONS. -------------------- 17 SUBURBAN OUTPATIENT PAVILION 2100 HARRISBURG PIKE PO BOX 3200 LANCASTER PA 17604 OUTPATIENT SERVICES DOWNTOWN OUTPATIENT PAVILION 540 NORTH DUKE STREET LANCASTER PA 17604 OUTPATIENT SERVICES KISSEL HILL OUTPATIENT CENTER 51 PETERS ROAD LITITZ PA 17543 OUTPATIENT SERVICES WILLOW LAKES OUTPATIENT CENTER 212 WILLOW VALLEY LAKES DRIVE WILLOW STREET PA 17584 OUTPATIENT SERVICES NORLANCO OUTPATIENT CENTER 424 CLOVERLEAF ROAD ELIZABETHTOWN PA 17022 OUTPATIENT SERVICES COLUMBIA OUTPATIENT CENTER 306 NORTH SEVENTH STREET PO BOX 92 COLUMBIA PA 17512 OUTPATIENT SERVICES WOMEN'S OUTPATIENT CENTER 690 GOOD DRIVE LANCASTER PA 17604 OUTPATIENT SERVICES LANCASTER GENERAL HEALTH CTR-PARKESBURG 950 S OCTORARA TRAIL PARKESBURG PA 19365 OUTPATIENT SERVICES LANCASTER GENERAL HEALTH CENTER LEBANON 1701 CORNWALL ROAD LEBANON PA 17042 OUTPATIENT SERVICES WALTER L AUMENT FAMILY HEALTH CENTER 317 SOUTH CHESTNUT STREET QUARRYVILLE PA 17566 OUTPATIENT SERVICES EPHRATA URGENT CARE & OUTPATIENT SERVICE 895 EAST MAIN STREET EPHRATA PA 17522 OUTPATIENT SERVICES FAMILY MEDICINE MANHEIM 700 LANCASTER ROAD MANHEIM PA 17545 OUTPATIENT SERVICES ANN B BARSHINGER CANCER INSTITUTE 2102 HARRISBURG PIKE LANCASTER PA 17604 OUTPATIENT SERVICES CROOKED OAK OUTPATIENT CENTER 1671 CROOKED OAK DRIVE LANCASTER PA 17601 OUTPATIENT SERVICES EDEN PHYSICAL THERAPY 730 EDEN ROAD LANCASTER PA 17601 OUTPATIENT SERVICES FAMILY MEDICINE COUNTY LINE 5360 LINCOLN HIGHWAY GAP PA 17527 OUTPATIENT SERVICES LG SPECIALTY CENTER AT EPHRATA 1261 DIVISION HIGHWAY SUITE 2 EPHRATA PA 17522 OUTPATIENT SERVICES PART I, LINE 3C - FEDERAL POVERTY GUIDELINES LANCASTER GENERAL HOSPITAL FOLLOWS THE FEDERAL POVERTY GUIDELINES FOR FREE CARE AND DISCOUNTED CARE. ------------------------- PART I, LINE 5B - FREE OR DISCOUNTED CARE BUDGET LANCASTER GENERAL HOSPITAL PROVIDED FINANCIAL ASSISTANCE IN THE AMOUNT OF $32,209,342 UNDER THE GUIDELINES OF ITS CHARITY CARE POLICY. THIS AMOUNT EXCEEDED ITS BUDGETED AMOUNT OF $31,261,775 BY $947,566. THE PRIOR YEAR FINANCIAL ASSISTANCE TOTAL WAS $27,337,073. ------------------------- PART I, LINE 6B - COMMUNITY BENEFIT REPORT LANCASTER GENERAL HOSPITAL MAKES AVAILABLE TO THE PUBLIC AN ANNUAL REPORT WHICH INCLUDES INFORMATION ABOUT COMMUNITY BENEFIT AND HEALTH EFFORTS. BENEFIT AND HEALTH EFFORTS. ------------------------- PART I, LINE 7A - EXPLANATION OF COSTING METHODOLOGY A BAD DEBT EXPENSE AMOUNT INCLUDED ON FORM 990, PART IX, COLUMN 25(A) OF $142,728 WAS RELATED TO NON-PATIENT BAD DEBTS FOR THE YEAR ENDED JUNE 30, 2019. DUE TO THE ADOPTION OF NEW ACCOUNTING PRONOUNCEMENT ASC 606, CURRENT YEAR IMPLICIT PRICE CONCESSIONS ARE TREATED AS A CONTRA-REVENUE ITEM ON THE STATEMENT OF REVENUE (CONSISTENT WITH THE PRIOR YEAR TREATMENT OF PATIENT SERVICE BAD DEBTS). A COST ACCOUNTING SYSTEM WAS USED TO CALCULATE THE COST TO CHARGE RATIO BY CALCULATING TOTAL PATIENT CHARGES AND THE COSTS RELATED TO THESE CHARGES. THIS SYSTEM ADDRESSES ALL PATIENT SEGMENTS. -------------------- PART I, LINE 7A(C) FINANCIAL ASSISTANCE AT COST WAS CALCULATED USING THE COST ACCOUNTING SYSTEM COST TO CHARGE RATIO. ------------------------- PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES SUBSIDIZED HEALTH SERVICES REPORTED INCLUDES PSYCHOLOGY SERVICES AND A COMPREHENSIVE CARE CLINIC. ------------------------- PART I, LINE 7 - PERCENT OF TOTAL EXPENSE THE PERCENT OF TOTAL EXPENSE IS CALCULATED USING THE FUNCTIONAL EXPENSE FROM FORM 990, PART IX, LINE 25. ------------------------- PART II, LINE 7 - DESCRIPTION OF COMMUNITY BUILDING ACTIVITIES COMMUNITY HEALTH IMPROVEMENT ADVOCACY INCLUDES SALARIES FOR FINANCIAL COUNSELORS WHO DISCUSS ELIGIBILITY AND REGISTER PATIENTS FOR ALL GOVERNMENTAL AND FINANCIAL ASSISTANCE PROGRAMS. -------------------- PART II, LINE 9 OTHER INCLUDES PAYMENTS TO THE SCHOOL DISTRICT OF LANCASTER (EIN# 23-1726414) WHICH PROVIDES FUNDING FOR SCHOOL BASED HEALTH CLINICS AS WELL AS NURSING STAFF TO PROMOTE THE HEALTH AND WELL-BEING OF SCHOOL AGED CHILDREN. ------------------------- PART III, LINE 2 - IMPLICIT PRICE CONCESSIONS/BAD DEBT EXPENSE THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED IS BASED ON ACTUAL CHARGES WRITTEN OFF (AMOUNTS THAT ARE DEEMED TO BE UNCOLLECTIBLE AND RECORDED AS IMPLICIT PRICE CONCESSIONS UNDER NEW ACCOUNTING PRONOUNCEMENT ASC 606). ------------------------- PART III, LINE 3 - FAP ELIGIBLE BAD DEBT CALCULATION AMOUNT IS ZERO BECAUSE THESE ACCOUNTS WOULD NOT BE INCLUDED AS BAD DEBT BUT WOULD BE INCLUDED AS CHARITY CARE. ------------------------- PART III, LINE 4 - IMPLICIT PRICE CONCESSION FOOTNOTE THE IMPLICIT PRICE CONCESSION (BAD DEBT EXPENSE) FOOTNOTE DISCLOSURE CAN BE FOUND ON PAGE 19 OF THE ELECTRONICALLY ATTACHED COMBINED FINANCIAL STATEMENTS FOR THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM. ------------------------- PART III, LINE 8 - COMMUNITY BENEFIT METHOD-MEDICARE A COST ACCOUNTING SYSTEM WAS USED IN ORDER TO ATTAIN MORE PRECISE AMOUNTS REPORTED ON FORM 990, SCHEDULE H, PART III, SECTION B, LINES 5 AND 6 RATHER THAN AMOUNTS FROM LANCASTER GENERAL HOSPITAL'S MEDICARE COST REPORT FOR FISCAL YEAR 2019. THE $103,487,306 REPORTED AS A SHORTFALL ON LINE 7 SHOULD BE TREATED AS COMMUNITY BENEFIT AS IT REPRESENTS COSTS NOT RECOVERED AS A RESULT OF SERVING THE MEDICARE POPULATION. IF LANCASTER GENERAL HOSPITAL WOULD NOT SERVE THIS POPULATION, THE SHORTFALL WOULD BE ALLOCATED WITHIN THE COMMUNITY IN AREAS DEEMED A PRIORITY BY THE MISSION & COMMUNITY BENEFIT COMMITTEE. THE TOTAL REVENUE REPORTED ON THE MEDICARE COST REPORT WAS $201,793,728 AND INCLUDES BAD DEBT, INDIRECT MEDICAL EDUCATION (IME) PAYMENTS, COINSURANCES, AND DEDUCTIBLES. DIRECT GRADUATE MEDICAL EDUCATION (GME) REVENUE IS REPORTED ON SCHEDULE H, PART I, LINE 7F, HEALTH PROFESSIONS EDUCATION AND THEREFORE IS EXCLUDED FROM THIS AMOUNT. THE TOTAL EXPENSE REPORTED ON THE MEDICARE COST REPORT WAS $162,779,665. PHYSICIAN, CRNA, AND LABORATORY SERVICES REVENUE AND EXPENSE RELATED TO THESE SERVICES ARE REMOVED FROM THE MEDICARE COST REPORT. PHYSICIAN, CRNA, AND LABORATORY SERVICES REVENUE AND EXPENSE ARE INCLUDED IN THE AMOUNT REPORTED ON SCHEDULE H, PART III, SECTION B, LINE 7 DERIVED FROM THE COST ACCOUNTING SYSTEM. ------------------------- PART III, LINE 9B - COLLECTION PRACTICES LANCASTER GENERAL HOSPITAL'S CURRENT COLLECTION POLICY DOES NOT CONTAIN PROVISIONS ON THE COLLECTION PRACTICES TO FOLLOW FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE. ------------------------- PART VI, LINE 2 - NEEDS ASSESSMENT IN ADDITION TO CONDUCTING THE FORMAL CHNA EVERY THREE YEARS, LG HEALTH ASSESSES THE HEALTH NEEDS OF OUR COMMUNITY IN SEVERAL WAYS. FIRST, WE SYSTEMATICALLY COLLECT INFORMATION FROM OUR PATIENTS ABOUT BARRIERS TO GOOD HEALTH AND HEALTHCARE. PRIMARY CARE PROVIDERS REGULARLY SCREEN PATIENTS FOR RISK FACTORS AND SOCIAL NEEDS, INCLUDING FOOD, MEDICATIONS, TRANSPORTATION, HOUSING, UTILITIES, AND SOCIAL ISOLATION. THESE PATIENTS ARE REFERRED TO STAFF IN COMMUNITY HEALTH AND OUR AMBULATORY CHRONIC CARE TEAM, WHO REGULARLY COMPILE INFORMATION ABOUT PATIENT NEEDS AND ADDRESS GAPS IN COMMUNITY SERVICES. SECOND, LG HEALTH SERVES AS THE LEAD ORGANIZATION OR A PARTNER ORGANIZATION IN MANY COMMUNITY COALITIONS, INCLUDING GROUPS FOCUSED ON FOOD INSECURITY, HOMELESSNESS, MENTAL HEALTH, OPIOID USE, TOBACCO USE, AFFORDABLE HOUSING, EARLY CHILD CARE, LEAD POISONING, AND MANY OTHER HEALTH AND SOCIAL ISSUES. THESE COLLECTIVE IMPACT PARTNERSHIPS PROVIDE OPPORTUNITIES TO SHARE DATA, LEARN ABOUT COMMUNITY NEEDS FROM CROSS-SECTOR PARTNERS, AND IDENTIFY COMMUNITY CONCERNS ABOUT HEALTH ISSUES EARLY. LG HEALTH REGULARLY PROVIDES COMMUNITY HEALTH DATA FOR THESE GROUPS TO ANALYZE NEEDS, TRACK PROGRESS, AND IDENTIFY OPPORTUNITIES TO IMPROVE HEALTH COLLABORATIVELY. FINALLY, WE TRACK PROGRESS ON OUR COMMUNITY HEALTH IMPROVEMENT PLAN EACH MONTH, AND COMPLETE A FORMAL REPORT ANNUALLY TO ASSESS OUR PROGRESS ON OUR GOALS AND OBJECTIVES. AS WE TRACK PROGRESS, WE CONTINUOUSLY REVIEW COMMUNITY HEALTH DATA TO DETERMINE IF NEW HEALTH ISSUES HAVE ARISEN AND IF NEW STRATEGIES ARE NEEDED. OUR ANNUAL UPDATE PROVIDES AN OPPORTUNITY TO FORMALLY ADOPT NEW GOALS AND OBJECTIVES AND ADD THEM INTO OUR COMMUNITY HEALTH IMPROVEMENT PLAN AS NEW NEEDS EMERGE. ------------------------- PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE NOTICES OF AVAILABILITY OF CHARITY CARE AND FINANCIAL ASSISTANCE ARE POSTED AT PATIENT REGISTRATION POINTS THROUGHOUT THE ORGANIZATION AND PRESENTED TO CUSTOMERS UPON REQUEST AS WELL AS LISTED ON THEIR BILL. SUMMARY INFORMATION IS ALSO AVAILABLE ON THE LANCASTER GENERAL HEALTH WEBSITE. A FINANCIAL COUNSELOR WILL ATTEMPT TO VISIT ALL INPATIENTS WHO PRESENT AS UNINSURED TO DISCUSS ELIGIBILITY FOR ALL GOVERNMENTAL PROGRAMS AND FINANCIAL ASSISTANCE PROGRAMS. ------------------------- PART VI, LINE 4 - COMMUNITY INFORMATION LANCASTER GENERAL HOSPITAL'S PRIMARY AND SECONDARY SERVICE AREAS COMPRISE ALL OF LANCASTER COUNTY, PENNSYLVANIA. LGH ALSO SERVES PATIENTS IN BERKS, CHESTER, DAUPHIN, LEBANON, AND YORK COUNTIES. LOCATED IN SOUTH CENTRAL PENNSYLVANIA, LANCASTER COUNTY IS 950 SQUARE MILES IN SIZE AND IS HOME TO 540,689 PEOPLE. ABOUT 17.1% OF THE POPULATION IS OVER THE AGE OF 64; 51.1% OF THE POPULATION IS FEMALE. THE MEDIAN INCOME IS $62,450, AND 10.4% OF THE POPULATION LIVES BELOW THE FEDERAL POVERTY LEVEL. LANCASTER GENERAL HOSPITAL'S MARKET SHARE IN LANCASTER COUNTY IS APPROXIMATELY 57.2%. ------------------------- PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH LANCASTER GENERAL HOSPITAL IS GOVERNED BY A BOARD OF SEVENTEEN (17) MEMBERS. THREE MEMBERS ARE EMPLOYEES OF UPHS, TWELVE ARE COMMUNITY MEMBERS AND TWO ARE PHYSICIANS. THEY VOLUNTEER THEIR PROFESSIONAL TIME AND EXPERTISE TO GUIDE THE HOSPITAL. ALL MEMBERS ANNUALLY COMPLETE A CONFLICT OF INTEREST STATEMENT TO ENSURE THEIR OBJECTIVITY. THE BOARD OF TRUSTEES OPERATES SEVEN COMMITTEES COMPRISED OF AN ADDITIONAL 30+ COMMUNITY MEMBERS. THE COMMITTEES INCLUDE: QUALITY, GOVERNANCE, MISSION & COMMUNITY BENEFIT, FINANCE/CAPITAL ALLOCATIONS, AUDIT & COMPLIANCE, EXECUTIVE, AND INVESTMENT SUBCOMMITTEE. SURPLUS FUNDS GENERATED BY LANCASTER GENERAL HOSPITAL ARE ANNUALLY REINVESTED INTO IMPROVING ITS FACILITIES, PROVIDING NEW HEALTHCARE SERVICES AND ENHANCING THE PROFESSIONAL ABILITIES OF ITS WORKFORCE. IN FISCAL YEAR 2019, THE HOSPITAL COMMITTED $91.8 MILLION TO SPENDING FOR PROPERTY, PLANT AND EQUIPMENT. ------------------------- PART VI, LINE 6 - DESCRIPTION OF AFFILIATED SYSTEM LANCASTER GENERAL HOSPITAL IS UNDER THE CONTROL OF ITS PARENT ORGANIZATION LANCASTER GENERAL HEALTH. LANCASTER GENERAL HEALTH (EIN# 23-2250941) IS A NOT-FOR-PROFIT ORGANIZATION, WHICH PROVIDES MANAGERIAL AND FINANCIAL SUPPORT TO ITS CONTROLLED ORGANIZATION AND IS ALSO RESPONSIBLE FOR UNDERTAKING ACTIVITIES TO IMPROVE THE HEALTH OF THE COMMUNITY. THE MULTIPLE AFFILIATES UNDER THE CONTROL OF LANCASTER GENERAL HEALTH IN ADDITION TO LANCASTER GENERAL HOSPITAL ARE: LANCASTER GENERAL HEALTH-COLUMBIA CENTER (EIN# 23-0485650) WHICH IS A HEALTH CARE CLINIC THAT PROVIDES PRIMARY AND SPECIALTY MEDICAL SERVICES WHERE SERVICES ARE PROVIDED BY LICENSED PHYSICIANS AND OFFICE SPACE IS LEASED TO HEALTH CARE PROVIDERS AND OTHERS. IN ADDITION, LANCASTER GENERAL HEALTH-COLUMBIA CENTER OFFERS PREVENTIVE, DIAGNOSTIC, AND THERAPEUTIC MEDICAL SERVICES TO PATIENTS ON AN OUTPATIENT BASIS.LANCASTER GENERAL HEALTH FOUNDATION (EIN# 20-5767147) EXISTS TO ADVANCE THE CULTURE OF PHILANTHROPY WITHIN THE LANCASTER GENERAL HEALTH SYSTEM. PENNSYLVANIA COLLEGE OF HEALTH SCIENCES (EIN# 06-1645496) EDUCATES COMPETENT, CARING AND SOCIALLY RESPONSIBLE INDIVIDUALS WHO CONTRIBUTE TO THE HEALTH OF THE COMMUNITY. MRI GROUP, LLP (EIN# 33-1011386) WHICH PROVIDES MEDICAL SERVICES RELATING TO MAGNETIC RESONANCE IMAGING AND COMPUTER TOMOGRAPHY. LANCASTER PET PARTNERSHIP, LLP (EIN# 23-3102793) WHICH PROVIDES MEDICAL SERVICES RELATING TO POSITRON EMISSION TOMOGRAPHY. LANCASTER GENERAL HEALTH HOLDINGS INC.'S (EIN# 20-4943109) EXEMPT PURPOSE IS AN INVESTMENT IN A REHABILITATION HOSPITAL. LANCASTER GENERAL MEDICAL GROUP (EIN# 23-2777286) WAS ORGANIZED TO DEVELOP, OWN, AND OPERATE OUTPATIENT HEALTHCARE PRACTICES WHERE PRIMARY AND SPECIALTY MEDICAL SERVICES ARE PROVIDED BY LICENSED PHYSICIANS. THE HEART GROUP OF LANCASTER GENERAL HEALTH (EIN# 30-0634510) PROVIDES SPECIALTY CARDIOLOGY HEALTHCARE SERVICES. LG HEALTH COMMUNITY CARE COLLABORATIVE, LLC (EIN# 45-5542179) IS AN ACCOUNTABLE CARE ORGANIZATION. NOVASTREAM, LLC (47-5202972) WHOSE PRIMARY ACTIVITY IS TELECOMMUNICATIONS. THE NEUROSPINE CENTER, LLC (20-8626731) WAS FORMED TO OWN AND OPERATE A NEUROLOGICAL SURGERY CENTER. OTHER AFFILIATES OF LANCASTER GENERAL HEALTH INCLUDE LANCASTER GENERAL INSURANCE COMPANY, LTD. AND LANCASTER GENERAL BUSINESS TRUST AND ITS SUBSIDIARIES. IN ADDITION, LANCASTER GENERAL HOSPITAL IS AN AFFILIATE OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM. ------------------------- PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT LANCASTER GENERAL HOSPITAL ISSUES AN ANNUAL REPORT WHICH INCLUDES INFORMATION ABOUT COMMUNITY BENEFIT AND HEALTH EFFORTS. THIS REPORT IS NOT FILED WITH THE STATE OF PENNSYLVANIA. ------------------------- PART VI - ADDITIONAL EXPLANATION LANCASTER GENERAL HOSPITAL PROVIDED FINANCIAL SUPPORT TO THE CITY OF LANCASTER (EIN 23-6001904) IN THE AMOUNT OF $1,509,000. THE USAGE OF THESE FUNDS IS UNRESTRICTED AND PROVIDED ASSISTANCE TO THE CITY FOR SPECIAL EVENTS AND ITS POLICE, FIRE, AND PUBLIC WORKS SERVICES. LANCASTER GENERAL HOSPITAL ALSO MADE PILOT PAYMENTS TO THE FOLLOWING: HEMPFIELD SCHOOL DISTRICT (EIN 23-6050540) IN THE AMOUNT OF $40,000, CITY OF LANCASTER (EIN 23-6001904) IN THE AMOUNT OF $8,010, AND EAST HEMPFIELD TOWNSHIP (EIN 23-6000356) IN THE AMOUNT OF $2,830. ------------------------- true CITY OF LANCASTER 39 W CHESTNUT STREET PO BOX 1020 LANCASTER PA 17608 236001904 GOV ENTITY 1509000 SUPPPORT PROGRAM SERVICE COMMUNITY ACTION PROGRAM 601 S QUEEN STREET LANCASTER PA 17603 231667311 501 (C)(3) 8000 SUPPORT PROGRAM SVC COUNTY OF LANCASTER 39 W CHESTNUT STREET LANCASTER PA 17608 236001904 GOV ENTITY 8010 SUPPORT PROGRAM SVC EDWARD HAND MEDICAL HERITAGE FOUNDATION PO BOX 10302 LANCASTER PA 17603 222464097 501 (C)(3) 25000 SUPPORT PROGRAM SVC FOUNDATION OF THE LANCASTER CHAMBER PO BOX 1558 LANCASTER PA 176081558 222608944 501 (C)(3) 100000 SUPPORT PROGRAM SVC GIRLS ON THE RUN OF LANCASTER PO BOX 262 LANDIVILLE PA 17538 270200927 501 (C)(3) 7500 SUPPORT PROGRAM SVC HEMPFIELD SCHOOL DISTRICT PO BOX 7596 LANCASTER PA 17604 236050540 501 (C)(3) 40000 SUPPORT PROGRAM SVC LANCASTER CITY AND COUNTY MEDICAL SOCIETY PO BOX 10963 LANCASTER PA 176051096 236449979 501 (C)(3) 15000 SUPPORT PROGRAM SVC LANCASTER CITY ALLIANCE 354 N PRINCE STREET 110 LANCATER PA 17603 463353021 501 (C)(3) 160000 SUPPORT PROGRAM SVC LANCASTER HEALTH CENTER 304 N WATER STREET LANCASTER PA 17603 232160896 501 (C)(3) 210000 SUPPORT PROGRAM SVC LEBANON VALLEY COLLEGE 101 NORTH COLLEGE AVENUE ANNVILLE PA 17003 231352354 501 (C)(3) 50000 SUPPORT PROGRAM SVC ROHRERSTOWN FIRE COMPANY 500 ELIZABETH STREET LANCASTER PA 17603 237197558 501 (C)(3) 10000 SUPPORT PROGRAM SVC SCHOOL DISTRICT OF LANCASTER 1020 LEHIGH AVENUE LANCASTER PA 17602 231726414 501 (C)(3) 1411169 SUPPORT PROGRAM SVC THE FOUNDATION OF THE PA MEDICAL SOCIETY 777 EAST PARK DRIVE HARRISBURG PA 171058820 231511600 501 (C)(3) 9500 SUPPORT PROGRAM SVC THE HEALTH CARE IMPROVEMENT FOUNDATION 1801 MARKET STREET SUITE 710 PHILADELPHIA PA 19103 232152039 501 (C)(3) 20000 SUPPORT PROGRAM SVC UNITED WAY OF LANCASTER COUNTY 630 JANET AVENUE LANCASTER PA 17601 231352093 501 (C)(3) 101143 SUPPORT PROGRAM SVC 16 0 SCHOLARSHIPS AWARDED 17 16500 SCHEDULE I, PART 1, LINE 2 PROCEDURES FOR MONITORING GRANT FUNDS CONTRIBUTIONS MADE BY LANCASTER GENERAL HOSPITAL MUST MEET THE FOLLOWING CRITERIA SET FORTH BY THE MISSION AND COMMUNITY BENEFIT COMMITTEE: 1) GAPS IN HEALTHCARE SERVICES WILL BE REDUCED, 2) RESOURCES WILL BE DIRECTED TO DESIGNATED PRIMARY AND SECONDARY HEALTH PRIORITIES, HEALTH PROMOTION, AND PREVENTION INITIATIVES, 3) INITIATIVES WILL DRIVE COST-EFFECTIVE, COMMUNITY CARE/INTERVENTIONS THAT PROMOTE HEALTH AND WELL-BEING OF OUR COMMUNITY, 4) INITIATIVES WILL BE RESPONSIVE TO THE NEEDS OF SPECIAL/DISPARATE POPULATIONS, 5) ENDOWMENT OR CAPITAL CAMPAIGN REQUESTS WILL NOT BE FINANCIALLY SUPPORTED, 6) ONLY TAX EXEMPT ORGANIZATIONS AND GOVERNMENTAL INITIATIVES AT THE LOCAL LEVEL THAT RELATE TO LANCASTER HOSPITAL'S MISSION WILL BE SUPPORTED, AND 7) ONGOING DEFICIT FUNDING WILL NOT BE PROVIDED UNLESS FUNDAMENTAL TO A LANCASTER GENERAL HOSPITAL HEALTH PRIORITY AND/OR THE CARE OF THE MEDICALLY UNDERSERVED. SCHOLARSHIPS AND LOANS ARE AWARDED TO STUDENTS AT THE PENNSYLVANIA COLLEGE OF HEALTH SCIENCES ON A NON-DISCRIMINATORY BASIS. THE SCHOLARSHIPS AND LOANS ARE BASED ON FINANCIAL NEED, ACADEMIC PROGRESS, AND CLINICAL PERFORMANCE. X false true X X X X true true false false false false false true false Frederick C Beyer III MD Trustee 0 371374 0 41800 0 8034 0 24750 0 13713 0 459671 0 0 Keith Kasper Trustee 0 675737 0 104683 0 570135 0 154601 0 27741 0 1532897 0 159471 Ralph W Muller Trustee 0 1724822 0 842470 0 34292 0 510330 0 14362 0 3126276 0 0 Jan L Bergen President & CEO, LG Health 403850 355385 250000 0 1222913 12483 13289 150000 4192 3185 1894244 521053 832827 0 Kay Brady VP, Human Resources 202005 0 41602 0 5030 0 9896 0 13574 0 272107 0 0 0 F Joseph Byorick III SVP, CFO 480146 0 135844 0 21170 0 10407 0 7220 0 654787 0 0 0 Margaret F Costella Esq SVP, Legal Svcs, Gen Counsel 278082 0 79220 0 5020 0 12868 0 2351 0 377541 0 0 0 Gary Davidson SVP and CIO 456885 0 144319 0 15778 0 32250 0 16574 0 665806 0 0 0 Geoffrey W Eddowes SVP, WBH 305480 0 78325 0 4920 0 13750 0 16477 0 418952 0 0 0 Norma J Ferdinand SVP, Quality & Perf Improvemen 331697 0 93486 0 283395 0 13750 0 8810 0 731138 0 160841 0 T Raymond Foley President, Physician Services 0 639699 0 167453 0 897956 0 10585 0 16113 0 1731806 0 0 Jennifer L Groff VP Organizational Advancement 0 207187 0 0 1172 0 8651 0 7184 0 224194 0 0 Alexandra Jorgensen Chief HR Officer 239030 0 89688 0 819 0 10367 0 16194 0 356098 0 0 0 Elizabeth D Katz VP, Risk Mgmt & Corp Complianc 177960 0 28304 0 1054 0 10313 0 9511 0 227142 0 0 0 Denise A Kennedy VP, Financial Services 209187 0 33719 0 2045 0 12146 0 6971 0 264068 0 0 0 Robert P Macina Esq EVP, Chief Admin Officer 477815 0 124712 0 19542 0 13750 0 14306 0 650125 0 0 0 Edward Maloney VP, Information Tech Operation 251930 0 44127 0 6504 0 12909 0 13985 0 329455 0 0 0 William McCune SVP Hospital Operations 296288 0 75171 0 97806 0 13750 0 16367 0 499382 0 0 0 Tammy L Ober VP, Hospital Operations 257134 0 43370 0 3792 0 13750 0 20224 0 338270 0 0 0 Richard D Paoletti VP, Primary Care & Ambulatory 281706 0 51341 0 1917 0 13750 0 16360 0 365074 0 0 0 Sean P Reynolds VP, Operations Physician Svcs 0 205646 0 30678 0 775 0 9832 0 15859 0 262790 0 0 Douglas W Rinehart VP, Controller 217674 0 39946 0 7963 0 11635 0 15990 0 293208 0 0 0 Michael R Ripchinski Chief Clinical Officer 381226 0 99712 0 8028 0 13750 0 16574 0 519290 0 0 0 Lanyce A Roldan SVP & Chief Nursing Executive 263635 0 60060 0 7190 0 12949 0 14310 0 358144 0 0 0 Christine M Stabler MD VP, Academic Affairs 357438 0 66460 0 7542 0 11979 0 14246 0 457665 0 0 0 Cynthia J Stauffer VP, Epic & Clinical Apps 186118 0 32363 0 4076 0 10924 0 6962 0 240443 0 0 0 James A Stuccio SVP, Ambulatory & Phys Svcs 0 464940 0 130552 0 19918 0 13750 0 16574 0 645734 0 0 Susan Wynne SVP, Business Dev & Planning 340011 0 97371 0 9162 0 12509 0 7627 0 466680 0 0 0 Stacey G Youcis SVP Svc Lines/Population Hlth 297422 0 81512 0 4920 0 13750 0 14181 0 411785 0 0 0 Kenneth G Berkenstock Radiation Oncologist 481848 0 450086 0 7840 0 13750 0 19713 0 973237 0 0 0 Kishor P Singapuri Radiation Oncologist 480002 0 321807 0 12419 0 13750 0 15105 0 843083 0 0 0 James Ku Bariatric Surgeon 655078 0 91000 0 2563 0 13750 0 16085 0 778476 0 0 0 Philip M Bayliss Perinatologist 677200 0 43846 0 7867 0 13242 0 14246 0 756401 0 0 0 Jeffrey T Cope Cardiothoracic Surgeon 650000 0 59500 0 3269 0 13750 0 16590 0 743109 0 0 0 Thomas E Beeman PHD Former Officer 0 1116284 0 465162 834638 716666 0 0 0 17818 834638 2315930 0 699568 Lee M Duke II MD Former Officer 284950 0 133950 0 1780120 0 13750 0 3946 0 2216716 0 1047907 0 Regina M Mingle Former Officer 0 473295 0 147805 125036 143903 0 84460 0 13701 125036 863164 0 0 SCHEDULE J, PART 1, LINE 1A DETAIL OF ADDITIONAL BENEFITS PROVIDED TAX IDEMNIFICATION AND GROSS UP PAYMENTS LANCASTER GENERAL HOSPITAL PROVIDES GROSS-UP PAYMENTS TO EMPLOYEES WHEN THEY RECEIVE HOLIDAY GIFT CARDS AS TO PROVIDE TAX ASSISTANCE IN THAT NO TAX BURDENS ARE CREATED WITH THE INTENDED GIFT. HOLIDAY GIFT CARDS IN THE AMOUNT OF $15 PER EMPLOYEE WERE GIVEN DURING THE 2018 TAX YEAR. --------------------------- SCHEDULE J, PART 1, LINE 1B WRITTEN POLICY REGARDING PAYMENT OR REIMBURSEMENT OF EXPENSES THERE ARE CURRENTLY NO WRITTEN POLICIES IN PLACE FOR GROSS UP PAYMENTS, TRAVEL FOR COMPANIONS OR HOUSING ALLOWANCE. --------------------------- SCHEDULE J, PART 1, LINE 3 COMPENSATION LANCASTER GENERAL HEALTH'S EXECUTIVE COMPENSATION PROCESS INCLUDES THE FOLLOWING REVIEW AND ACTION BY THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES WHICH IS COMPRISED OF INDEPENDENT TRUSTEES. AN EVALUATION OF PERFORMANCE AGAINST GOALS IS CONDUCTED AT THE CLOSE OF A FISCAL YEAR TO DETERMINE THE LEVEL OF ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE OF THE CEO AND SENIOR EXECUTIVES AS TO DETERMINE MERIT AND INCENTIVE PAY ACTIONS. MARKET DATA FOR BASE SALARY, TOTAL CASH COMPENSATION AND TOTAL COMPENSATION IS PROVIDED BY AN INDEPENDENT THIRD PARTY TO THE COMMITTEE AND REFLECTS A MARKET BASKET OF SIMILARLY SIZED ORGANIZATIONS WITH COMPARABLE EXECUTIVE POSITIONS. UPON REVIEW AND DISCUSSION OF THE RELATED DATA AND INFORMATION THE COMMITTEE TAKES ACTION WHICH IS RECORDED IN THE MEETING MINUTES WHICH ARE THEN FILED FOR FUTURE REFERENCE. --------------------------- SCHEDULE J, PART 1, LINE 4A SEVERANCE AND CHANGE OF CONTROL PAYMENTS THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A RECEIVED SEVERANCE PAYMENTS DURING THE 2018 CALENDAR YEAR: DUKE II, LEE M. $244,241 --------------------------- SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN THE LANCASTER GENERAL HEALTH SERP PLAN DURING THE YEAR AND/OR RECEIVED EMPLOYER PAID AMOUNTS DURING THE YEAR: BEEMAN, THOMAS E. $834,638 BERGAN, JAN L. $1,208,904 COSTELLA, MARGARET F. NO DISTRIBUTION DAVIDSON, GARY NO DISTRIBUTION DUKE, LEE M. II $1,457,661 EDDOWES, GEOFFREY W. NO DISTRIBUTION FERDINAND, NORMA J. $236,437 FOLEY, T. RAYMOND $874,332 MACINA, ROBERT P. NO DISTRIBUTION MCCUNE, WILLIAM $75,003 MINGLE, REGINA M. $125,036 RIPCHINSKI, MICHAEL R. NO DISTRIBUTION ROLDAN, LANYCE A. NO DISTRIBUTION STUCCIO, JAMES A. NO DISTRIBUTION WYNNE, SUSAN NO DISTRIBUTION YOUCIS, STACEY G. NO DISTRIBUTION THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM (THE "HEALTH SYSTEM") MAINTAINS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") DESIGNED FOR SENIOR ADMINISTRATORS OF THE HEALTH SYSTEM, AS DESIGNATED BY THE BOARD OF TRUSTEES, WHO ARE ACTIVELY EMPLOYED BY THE HEALTH SYSTEM WHEN THE CONTRIBUTIONS ARE MADE. VESTING IN THE SERP OCCURS AFTER EACH THREE YEARS OF PARTICIPATION AND UPON THE OCCURRENCE OF CERTAIN EVENTS (ATTAINMENT OF AGE 65, DEATH, DISABILITY, OR INVOLUNTARY TERMINATION WITHOUT "CAUSE"). CONTRIBUTIONS FOR THOSE WHO HAVE REACHED AGE 65 WILL BE FULLY VESTED WHEN MADE. UPON REACHING A VESTING DATE, PARTICIPANTS WILL AUTOMATICALLY RECEIVE A FULL DISTRIBUTION WHICH IS TAXABLE AS EARNED INCOME. PARTICIPANTS WHO VOLUNTARILY TERMINATE BEFORE VESTING WILL FORFEIT THE BALANCE IN THEIR ACCOUNTS. THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN THE HEALTH SYSTEM SERP PLAN DURING THE YEAR AND/OR RECEIVED EMPLOYER PAID AMOUNTS DURING THE YEAR: BEEMAN, THOMAS E. NO DISTRIBUTION MULLER, RALPH W. NO DISTRIBUTION KASPER, KEITH $159,471 MINGLE,REGINA $84,460 BERGEN, JAN $150,000 ----------------------- SCHEDULE J, PART 1, LINE 7 NON FIXED PAYMENTS THE PURPOSE OF THE LANCASTER GENERAL HEALTH (LG) ANNUAL INCENTIVE PLAN (THE PLAN) IS TO REINFORCE STRATEGIC PERFORMANCE PRIORITIES FOR SENIOR MANAGEMENT AND MANAGEMENT EMPLOYEES AND TO ENCOURAGE THE HIGHEST LEVEL OF PERFORMANCE IN THE DELIVERY OF HEALTHCARE SERVICES. AS A REWARD FOR EMPLOYEES' CONTRIBUTIONS TO LANCASTER GENERAL HEALTH'S SUCCESS, THE PLAN PROVIDES THE OPPORTUNITY TO EARN MEANINGFUL INCENTIVE COMPENSATION BASED ON THE PERFORMANCE OF LANCASTER GENERAL HEALTH AND THE INDIVIDUAL PARTICIPANTS. SPECIFICALLY, THE PLAN IS DESIGNED TO: *FOCUS PARTICPANTS ON THE ACHIEVEMENT OF ORGANIZATION GOALS RELATED TO PEOPLE, SERVICE, QUALITY/SAFETY, FINANCIAL AND GROWTH; *PROMOTE AND FOSTER A TEAM ORIENTED CULTURE; *STRENGTHEN LANCASTER GENERAL HEALTH'S ABILITY TO ATTRACT AND RETAIN SUPERIOR TALENT, RECOGNIZE AND REWARD ACCOMPLISHMENTS THAT CLEARLY ADVANCE THE ORGANIZATION'S MISSION, AND DRIVE STRATEGIES; *PROVIDE INCENTIVE AWARDS THAT CAN BE ADJUSTED ANNUALLY FOR DIFFERENT BUSINESS CONDITIONS AND BUSINESS PLAN PRIORITIES WITHOUT CHANGING BASIC DESIGN FEATURES OF THE PLAN; AND *PROVIDE ANNUAL INCENTIVE OPPORTUNITIES WITH DUE CONSIDERATION TO THE REQUIREMENTS OF THE INTERMEDIATE SANCTIONS LAW AND THE REGULATIONS THERE UNDER. --------------------------- SUPPLEMENTAL INFORMATION ON TAX-EXEMPT BONDS FORM 990, SCHEDULE K LANCASTER GENERAL HOSPITAL HAS BEEN ALLOCATED A PORTION OF THE PA HIGHER ED FACILITIES AUTHORITY- UPHS SERIES A&B 2016 BOND ISSUE FROM THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA (EIN: 23-1352685) ("UNIVERSITY"), A RELATED IRC SECTION 501(C)(3) ORGANIZATION. SINCE THE UNIVERSITY REMAINS AS THE PRIMARY OBLIGOR OF THE BOND, ALL INFORMATION REGARDING THE UPHS SERIES A&B 2016 BOND ISSUE HAS BEEN REPORTED ON THE FORM 990, SCHEDULE K OF THE UNIVERSITY. THE TOTAL ALLOCATED OUTSTANDING BALANCE FOR LANCASTER GENERAL HOSPITAL WAS $178,168,088 AS OF JUNE 30, 2019. Andrea C Byorick Family Member of F. Joseph Byorick, Officer 87522 Employment false Megan E Byorick Family Member of F. Joseph Byorick, Officer 49664 Employment false Cathy J Byorick Family Member of F. Joseph Byorick, Officer 38794 Employment false Keith R Kuhlengel MD Trustee 435600 Limited Partnership Agreement false PART IV, LINE 4 ADDITIONAL DETAILS REGARDING TRANSACTIONS INVOLVING INTERESTED PERSONS KEITH R. KUHLENGEL, MD IS A TRUSTEE OF LANCASTER GENERAL HOSPITAL AND THE PRESIDENT OF LANCASTER NEUROSCIENCE AND SPINE ASSOCIATES. LANCASTER NEUROSCIENCE AND SPINE ASSOCIATES, LLC AND LANCASTER GENERAL HOSPITAL ARE LIMITED PARTNERS OF THE NEUROSPINE CENTER, LP. LANCASTER GENERAL HOSPITAL HAS A 49.5% PARTNERSHIP INTEREST AND MADE AN INITIAL CAPITAL CONTRIBUTION OF $435,600. FORM 990, PART III, LINE 4D DESCRIPTION OF OTHER PROGRAM SERVICES ALL OTHER PROGRAM SERVICES, INCLUDING BUT NOT LIMITED TO; LABORATORY, RADIOLOGY, EMERGENCY MEDICINE, EDUCATION AND PHYSICAL MEDICINE AND REHABILITATION. LGH OPERATES AN EMERGENCY ROOM (ER) THAT IS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY. THE EMERGENCY ROOM HAD A TOTAL OF 118,055 VISITS DURING FISCAL YEAR 2019. TOTAL PATIENT DAYS FOR THE FISCAL YEAR WERE 172,567. MEDICARE AND MEDICAID PATIENTS CONTRIBUTED 16,787 AND 65,910, RESPECTIVELY, TOWARDS THE 34,584 TOTAL INPATIENT DISCHARGES DURING THE FISCAL YEAR. --------------------------- FORM 990, PART III, LINE 4D EXEMPT PURPOSE ACHIEVEMENTS LANCASTER GENERAL HOSPITAL WILL IDENTIFY COMMUNITY HEALTH NEEDS; HELP REACH COMMUNITY CONSENSUS ON HEALTH CARE PRIORITIES; DEVELOP PROGRAMS (WHERE POSSIBLE TOGETHER WITH OTHER COMMUNITY ORGANIZATIONS) TO ADDRESS THESE NEEDS; DEVELOP AND MAINTAIN METRICS TO MEASURE OUR PROGRESS; AND REPORT OUT ACTIVITY TO THE BOARD OF TRUSTEES AND THE COMMUNITY AT LARGE. FINANCIAL MEANS SHOULD NOT PREVENT ANYONE FROM ACCESSING HEALTHCARE SERVICES. TO THAT END, LANCASTER GENERAL HOSPITAL HAS ESTABLISHED FINANCIAL ASSISTANCE PROGRAMS FOR THOSE WITH LITTLE OR NO INSURANCE, OR LIMITED FINANCIAL MEANS. LANCASTER GENERAL HOSPITAL INCURRED UNPAID COSTS OF $80.0M TO CARE FOR FINANCIALLY DISADVANTAGED PERSONS. LANCASTER GENERAL HOSPITAL ENGAGES IN MEDICAL RESEARCH PROGRAMS. LANCASTER GENERAL HOSPITAL ENGAGES IN TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONAL AT AN UNPAID COST OF $10.4M. --------------------------- FORM 990, PART V, LINE 4A FILING REQUIREMENTS FOR FORM TD-90-22.1 LANCASTER GENERAL HOSPITAL HAS AUTHORITY OVER A FINANCIAL ACCOUNT IN A FOREIGN COUNTRY. HOWEVER, THEY HAVE NO FINANCIAL INTEREST WITHIN THE FOREIGN ACCOUNT. FORM TD-90-22.1 WAS FILED WITH THE PARENT COMPANY, LANCASTER GENERAL HEALTH (EIN # 23-2250941). --------------------------- FORM 990, PART VI, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS THE SOLE MEMBER OF LANCASTER GENERAL HOSPITAL IS LANCASTER GENERAL HEALTH. THE SOLE MEMBER MAY INITIATE AND IMPLEMENT ANY PROPOSAL WITH RESPECT TO ANY OF THE FOLLOWING; AMENDMENT OF CHARTER, CERTIFICATE OF ARTICLES OF INCORPORATION OR BYLAWS; SALE, PURCHASE, LEASE OR ENCUMBRANCE WITH DEBT; THE TRANSFER OF ANY ASSETS OF THE CORPORATION,EXCLUDING EQUIPMENT; ELECTION OR REMOVAL OF THE BOARD OF TRUSTEES OF THE CORPORATION; THE APPROVAL OF THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION; THE APPROVAL OF INVESTMENT ADVISORS, OUTSIDE LEGAL COUNSEL, AND AUDITORS OF THE CORPORATION; AND THE APPROVAL OF NON-BUDGETED EXPENDITURES. --------------------------- FORM 990, PART VI, LINE 7A MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODY LANCASTER GENERAL HEALTH ELECTS THE BOARD OF TRUSTEES OF LANCASTER GENERAL HOSPITAL. --------------------------- FORM 990, PART VI, LINE 7B DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS THE SOLE MEMBER OF LANCASTER GENERAL HOSPITAL IS LANCASTER GENERAL HEALTH. THE SOLE MEMBER MAY INITIATE AND IMPLEMENT ANY PROPOSAL WITH RESPECT TO ANY OF THE FOLLOWING; AMENDMENT OF CHARTER, CERTIFICATE OF ARTICLES OF INCORPORATION OR BYLAWS; SALE, PURCHASE, LEASE OR ENCUMBRANCE WITH DEBT; THE TRANSFER OF ANY ASSETS OF THE CORPORATION, EXCLUDING EQUIPMENT; ELECTION OR REMOVAL OF THE BOARD OF TRUSTEES OF THE CORPORATION; THE APPROVAL OF THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION; THE APPROVAL OF INVESTMENT ADVISORS, OUTSIDE LEGAL COUNSEL, AND AUDITORS OF THE CORPORATION; AND THE APPROVAL OF NON-BUDGETED EXPENDITURES. --------------------------- FORM 990, PART VI, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY INFORMATION RELATED TO THIS ORGANIZATION'S FORM 990 FILING IS GATHERED AND THE RETURN IS PREPARED BY FINANCE STAFF. THE VICE PRESIDENT-CONTROLLER AND THE DIRECTOR OF ACCOUNTING REVIEWED THE FORM 990 AND IT WAS THEN PROVIDED TO PRICEWATERHOUSECOOPERS LLP FOR THEIR REVIEW. IN ADDITION, THE MEMBERS OF THE GOVERNING BODY WERE GIVEN THE OPPORTUNITY TO VIEW THE 990 ONLINE VIA THE BOARD PORTAL SYSTEM PRIOR TO THE FILING. ------------------------- FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY IN ORDER TO ASCERTAIN AND EVALUATE ACTUAL OR POTENTIAL CONFLICTS, CERTAIN INTERESTED PERSONS ARE REQUIRED TO FILL OUT A CONFLICT OF INTEREST DISCLOSURE STATEMENT UPON ENTERING EMPLOYMENT OR BECOMING A TRUSTEE OF LANCASTER GENERAL HOSPITAL OR AN AFFILIATE, AND OTHERS ARE ALSO REQUIRED TO FILL OUT SUCH A STATEMENT ON AN ANNUAL BASIS. IN ADDITION TO THIS REQUIREMENT, ALL OFFICERS AND TRUSTEES, REGARDLESS OF WHETHER OR NOT THEY HAVE FILLED OUT OR HAVE BEEN ASKED TO FILL OUT A CONFLICT OF INTEREST DISCLOSURE STATEMENT, HAVE AN ONGOING AFFIRMATIVE DUTY TO BRING TO THE ATTENTION OF LANCASTER GENERAL HOSPITAL SITUATIONS WHICH MAY GIVE RISE TO AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST AS DESCRIBED IN THE POLICY. --------------------------- FORM 990, PART VI, LINE 14 DOCUMENTATION RETENTION AND DESTRUCTION POLICY THE ORGANIZATION HAS THE POLICIES AND PROCEDURES IN PLACE AS MENTIONED IN FORM 990, PART VI, SECTION B, LINES 14 & 16B. HOWEVER, THEY ARE NOT CURRENTLY APPROVED BY THE GOVERNING BODY. --------------------------- FORM 990, PART VI, LINE 15 PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL LANCASTER GENERAL HEALTH'S EXECUTIVE COMPENSATION PROCESS INCLUDES THE FOLLOWING REVIEW AND ACTION BY THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES WHICH IS COMPRISED OF INDEPENDENT TRUSTEES. AN EVALUATION OF PERFORMANCE AGAINST GOALS IS CONDUCTED AT THE CLOSE OF A FISCAL YEAR TO DETERMINE THE LEVEL OF ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE OF THE CEO AND SENIOR EXECUTIVES AS TO DETERMINE MERIT AND INCENTIVE PAY ACTIONS. MARKET DATA FOR BASE SALARY, TOTAL CASH COMPENSATION AND TOTAL COMPENSATION IS PROVIDED BY AN INDEPENDENT THIRD PARTY TO THE COMMITTEE AND REFLECTS A MARKET BASKET OF SIMILARLY SIZED ORGANIZATIONS WITH COMPARABLE EXECUTIVE POSITIONS. UPON REVIEW AND DISCUSSION OF THE RELATED DATA AND INFORMATION THE COMMITTEE TAKES ACTION WHICH IS RECORDED IN THE MEETING MINUTES WHICH ARE THEN FILED FOR FUTURE REFERENCE. --------------------------- FORM 990, PART VI, LINE 16B JOINT VENTURE POLICY THE ORGANIZATION HAS THE POLICIES AND PROCEDURES IN PLACE AS MENTIONED IN FORM 990, PART VI, SECTION B, LINES 14 & 16B. HOWEVER, THEY ARE NOT CURRENTLY APPROVED BY THE GOVERNING BODY. --------------------------- FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC LANCASTER GENERAL HOSPITAL DOES NOT MAKE THE GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. THE FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC, AS THEY ARE REQUIRED TO BE INCLUDED WITH FORM 990, SCHEDULE H. --------------------------- FORM 990, PART VII, SECTION A COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES THE HOURS NOTED IN COLUMN (B) RELATE TO THE HOURS DEDICATED TO THE FILING ORGANIZATION AND/OR TO OTHER ORGANIZATIONS WITHIN THE LANCASTER GENERAL HEALTH SYSTEM DURING THE TIME PERIOD IN WHICH THEY SERVED. THE HOURS DISCLOSED RELATE TO TIME SERVED ON A BOARD AND/OR FOR SERVICES PROVIDED RESULTING IN COMPENSATION PAID. MEMBERS OF THE BOARD ARE NOT COMPENSATED FOR THEIR POSITION ON THE BOARD. COMPENSATION DISCLOSED RELATES TO OTHER SERVICES PERFORMED. THE LANCASTER GENERAL HOSPITAL BOARD TERM RUNS SEPTEMBER THRU SEPTEMBER WHILE THE ORGANIZATION'S FISCAL YEAR RUNS JULY THRU JUNE. THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A EITHER STARTED OR TERMED DURING THE JUNE 30, 2019 FISCAL YEAR: JOHN M. ANDERSON, PHD. (TERMED 8/31/2018) THOMAS E. BEEMAN, PHD. (TERMED 5/31/2018) FREDERICK C. BEYER III, MD. (TERMED 8/31/2018) KEITH R. KUHLENGEL, MD. (TERMED 1/01/2019) SUSAN WYNNE (TERMED 1/01/2019) RALPH W. MULLER (TERMED 6/30/2019) WILLIAM H. ADAMS, MD. (STARTED 9/1/2018) KEITH KASPER (STARTED 9/1/2018) FRANCIS J. MANNING, MD. (STARTED 9/1/2018) EDWARD MONBORNE (STARTED 9/1/2018) NEAL SALERNO (STARTED 9/1/2018) JORDAN SPACE (STARTED 9/1/2018) SEAN P. REYNOLDS (STARTED 9/1/2018) ------------------------ FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES OTHER NON-OPERATING INCOME $ 262,424 TRANSFER OF NET ASSETS 4,430,301 RELATED PARTY TRANSFERS (101,660,398) PERPETUAL TRUST DISTRIBUTION 86,541 CHANGE IN INTEREST IN NET ASSETS OF LANCASTER GENERAL 1,649,492 LGH AND NOVASTREAM INTERCOMPANY ELIMINATIONS 294,070 ------------- TOTAL $ (94,937,570) --------------------------- FORM 990, PART XII, LINE 2B AUDITED FINANCIAL STATEMENTS THE FINANCIAL INFORMATION FOR LANCASTER GENERAL HEALTH AND ITS AFFILIATES, INCLUDING LANCASTER GENERAL HOSPITAL WAS INCLUDED IN THE UNIVERSITY OF PENNSYLVANIAS COMBINED FINANCIAL STATEMENTS AND AUDITED ON A CONSOLIDATED BASIS. --------------------------- NOVASTREAM LLC 555 NORTH DUKE STREET LANCASTER PA 17604 475202972 TELECOMM PA 6396165 3008716 LG HOSPITAL THE LEONARD AND MADLYN ABRAMSON INST 421 CURIE BLVD 450 BRB II/III PHILADELPHIA PA 19104 232929823 MED RESEARCH PA 501(c)(3) 4 NA false CARL V S PATTERSON 19 UN OF PA C/O PNC BANK 620 LIBERTY AVE 10FL PITTSBURGH PA 15222 236415355 SUPPORT TRUST PA 4947(A)(1) N/A NA false CHESTER COUNTY HOSPITAL & HEALTH SYSTEM 701 E MARSHALL STREET WEST CHESTER PA 19380 264233321 MGMT SRVCS PA 501(C)(3) 12, I TRUSTEES false CLINICAL CARE ASSOCIATES OF UPHS 250 KING OF PRUSSIA RD 4TH FL RADNOR PA 19087 232729852 HEALTHCARE PA 501(c)(3) 10 TRUSTEES false FRANKLIN SPECIALTY PHYSICIANS 3451 WALNUT STREET ROOM 305 PHILADELPHIA PA 19104 232992715 SUPPORT ORG PA 501(c)(3) 12, II PA HOSPITAL false LANCASTER GENERAL HEALTH 555 NORTH DUKE STREET LANCASTER PA 17604 232250941 SUPPORT ORG PA 501(C)(3) 12, II TRUSTEES false LANCASTER GENERAL HEALTH COLUMBIA CENTER 306 NORTH 7TH STREET COLUMBIA PA 17512 230485650 FACILITY MGMT PA 501(C)(3) 3 LG HOSPITAL true LANCASTER GENERAL HEALTH FOUNDATION 555 NORTH DUKE STREET LANCASTER PA 17604 205767147 FUNDRAISING PA 501(C)(3) 7 NA false LANCASTER GENERAL HEALTH HOLDINGS 555 NORTH DUKE STREET LANCASTER PA 17604 204943109 HEALTHCARE PA 501(C)(3) 3 LG HEALTH false LANCASTER GENERAL MEDICAL GROUP 1030 NEW HOLLAND AVENUE LANCASTER PA 17601 232777286 HEALTHCARE PA 501(C)(3) 3 LG HEALTH false MORRIS EST LYDIA T DECD TW 1525 W WT HARRIS BLVD CHARLOTTE NC 28262 236210940 SUPPORT TRUST PA 501(C)(3) 12, III-FI NA false NEIGHBORHOOD HEALTH AGENCIES INC 795 E MARSHALL STREET WEST CHESTER PA 19380 232324782 NURSING PA 501(C)(3) 12, I CCH&HS false NEIGHBORHOOD LEAGUE HEALTH SERVICES 795 E MARSHALL STREET WEST CHESTER PA 19380 232324787 HEALTH SRVCS PA 501(C)(3) 10 CCH&HS false NEIGHBORHOOD VISITING NURSE ASSOCIATION 795 E MARSHALL STREET WEST CHESTER PA 19380 231352243 NURSING PA 501(C)(3) 7 CCH&HS false OAP INC 3451 WALNUT STREET ROOM 748 PHILADELPHIA PA 19104 231986931 SUPPORT ORG PA 501(c)(3) 12, I TRUSTEES false PENN CENTER FOR REHAB AND CARE 3609 CHESTNUT STREET PHILADELPHIA PA 19104 232422635 HEALTHCARE PA 501(c)(3) 3 PMC false PENN CLUB OF NEW YORK INC 30 WEST 44TH STREET NEW YORK NY 10036 232726687 CLUB NY 501(c)(7) N/A NA false PENN PRAXIS INC 210 SOUTH 34TH STREET PHILADELPHIA PA 19104 752974931 SUPPORT ORG PA 501(c)(3) 12, I TRUSTEES false PENN PRESS INC 3905 SPRUCE STREET PHILADELPHIA PA 19107 231876142 PUBLISHING PA 501(c)(3) 12, I TRUSTEES false PENNSYLVANIA COLLEGE OF HEALTH SCIENCES 850 GREENFIELD ROAD LANCASTER PA 17601 061645496 HEALTH EDU PA 501(C)(3) 2 LG HOSPITAL true PENNSYLVANIA HOSPITAL OF UPHS 800 SPRUCE STREET PHILADELPHIA PA 19107 311538725 HEALTHCARE PA 501(C)(3) 3 TRUSTEES false PGH DEVELOPMENT CORP 426 CURIE BLVD PHILADELPHIA PA 19104 232351015 SUPPORT ORG PA 501(c)(3) 12, I NA false PHOENIXVILLE HOSPITAL OF UPHS 3001 MARKET STREET 3RD FLOOR PHILADELPHIA PA 19104 232901089 SUPPORT ORG PA 501(c)(3) 3 TRUSTEES false PRESBYTERIAN ANESTHESIOLOGY FOUNDATION 51 NORTH 39TH STREET PHILADELPHIA PA 19104 232561573 SUPPORT ORG PA 501(c)(3) 12, I PMC false PRESBYTERIAN MEDICAL CENTER OF UPHS 51 NORTH 39TH STREET PHILADELPHIA PA 19104 232810852 HEALTHCARE PA 501(c)(3) 3 TRUSTEES false PRESBYTERIAN MULTI-SPECIALTY GROUP 51 NORTH 39TH STREET PHILADELPHIA PA 19104 232723154 HEALTHCARE PA 501(c)(3) 10 PMC false PRESBYTERIAN PERSONAL CARE RESIDENCE 51 NORTH 39TH STREET PHILADELPHIA PA 19104 232294713 HEALTHCARE PA 501(c)(3) 12, I PMC false SS HUEBNER FOUNDATION FOR INSURANCE EDUC 3000 STEINBERG HALL PHILADELPHIA PA 19104 236297325 EDU SUPPORT PA 501(c)(3) 12, I NA false THE ASC TRUST OF THE UNIV OF PA 1500 MARKET ST STE 3500E PHILADELPHIA PA 19102 810550464 BUS. 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