2018-05-09T11:57:46-05:00 2017-06-30 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2016-07-01 231365353 LANCASTER GENERAL HOSPITAL % F JOSEPH BYORICK III CFO LANC 7175445398 555 NORTH DUKE STREET LANCASTER PA 17604 F JOSEPH BYORICK III CFO 7175444926 2018-04-26 true ANTONIO C RUSSO P00858539 2673303000 2016 2022-09-23 18:48:47Z F JOSEPH BYORICK III 555 NORTH DUKE STREET LANCASTER PA 17604 1130235475 false X WWW.LGHEALTH.ORG X 1893 PA TO ADVANCE THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE. 15 11 6981 578 5897387 906409 2059081 2061840 916766467 981807865 2369638 2875955 58684319 68880268 979879505 1055625928 4154661 3564157 0 0 458582211 450887720 0 0 624494 393839896 454345462 856576768 908797339 123302737 146828589 849138309 898260923 413703700 411272657 435434609 486988266 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 132908635 215347584 SURGICAL SERVICES 119384401 193047919 NURSING SERVICES 93059615 94725300 PHARMACY 324442451 3564157 534279420 669795102 true true false true false false false false false true true false false true 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 false true true false false true true true true false false true X 424 0 true 6981 true true true true CJ false false false false false false false false X 15 11 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 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 Thomas E Beeman PhD Trustee 2.0 30.0 X 34117 1456234 557065 Keith R Kuhlengel MD Trustee 2.0 4.0 X 0 0 0 Frederick C Beyer MD Trustee 2.0 53.0 X 0 457068 37104 Ralph W Muller Trustee 2.0 50.0 X 0 2720743 502693 Lori Pickell 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 2.0 X 0 0 0 D Michael Wege Trustee 2.0 2.0 X 0 0 0 Patrick D Whalen Trustee 2.0 2.0 X 0 0 0 Jan L Bergen EVP & COO LG Health 47.0 8.0 X X 925730 0 207249 Joanne B Ladley Vice Chairperson 2.0 2.0 X X 0 0 0 C Clair McCormick Chairperson 2.0 2.0 X X 0 0 0 Philip R Wenger Chairperson 2.0 4.0 X X 0 0 0 Kay Brady VP, Human Resources 53.0 2.0 X 223050 0 26523 F Joseph Byorick III Interim CFO 45.0 10.0 X 583437 0 23657 Margaret F Costella Esq SVP, Legal Svcs, Gen Counsel 41.0 14.0 X 352093 0 46282 Gary Davidson SVP and CIO 53.0 2.0 X 555915 0 76451 Lee M Duke II MD SVP & Chief Physician Exec 49.0 6.0 X 711092 0 146360 Geoffrey W Eddowes SVP, WOMEN'S & BABIES HOSPITAL 49.0 6.0 X 706214 0 68767 Norma J Ferdinand SVP,Quality & Perf Improvement 53.0 2.0 X 476329 0 108738 T Raymond Foley President, Physician Services 2.0 53.0 X 0 773845 158827 Elizabeth D Katz VP,Risk Mgmt & Corp Compliance 53.0 2.0 X 197508 0 16841 Denise A Kennedy VP, Financial Services 53.0 2.0 X 229894 0 25023 Stephen C Lee VP, Facilities Planning 53.0 2.0 X 225240 0 12936 Robert P Macina Esq EVP, Chief Admin Officer 39.0 16.0 X 568314 0 133919 Edward Maloney VP,Information Tech Operations 53.0 2.0 X 294262 0 25730 William McCune SVP Hospital Operations 53.0 2.0 X 365162 0 28247 Regina M Mingle SVP & Chief Leadership Officer 51.0 4.0 X 512953 0 118483 Tammy L Ober VP, Hospital Operations 53.0 2.0 X 85482 0 9681 Richard D Paoletti VP, Primary Care & Ambulatory 55.0 0.0 X 305050 0 33773 Douglas W Rinehart VP, Controller 51.0 4.0 X 244919 0 32911 Lanyce A Roldan SVP & Chief Nursing Executive 53.0 2.0 X 285704 0 36082 Christine M Stabler MD VP, Academic Affairs 53.0 2.0 X 358720 0 24928 James A Stuccio SVP, Ambulatory & Phys Svcs 2.0 53.0 X 0 550494 76832 Susan Wynne SVP, Business Dev & Planning 53.0 2.0 X 792806 0 58382 Stacey G Youcis SVP Svc Lines/Population Hlth 51.0 4.0 X 370621 0 67339 Frederick B Rogers Medical Director Trauma 50.0 0.0 X 766796 0 28192 Jeffrey T Cope Cardiothoracic Surgeon 50.0 0.0 X 728640 0 28282 Mark W Burlingame Cardiothoracic Surgeon 50.0 0.0 X 730165 0 26216 James Ku Medical Dir Healthy Weight 50.0 0.0 X 697598 0 28597 Mark Epler Cardiothoracic Surgeon 50.0 0.0 X 697794 0 28395 Jennifer L Groff Former Officer 0.0 55.0 X 0 161274 14092 Lisa R Hess Former Officer 55.0 0.0 X 249496 0 21669 Karen Flaherty Oxler Former Officer 0.0 0.0 X 299723 0 6288 Dennis R Roemer Former Officer 0.0 0.0 X 699149 0 139649 14273973 6119658 2982203 543 true true false BENCHMARK CONSTRUCTION PO BOX 806 BROWNSTOWN PA 17508 CONSTRUCTION 32166726 CORESOURCE PO BOX 83301 LANCASTER PA 176083301 HLTH BENEFITS ADMIN 6645050 EPIC SYSTEMS CORP PO BOX 88314 MILWAUKEE WI 532880314 SOFTWARE MAINTENANCE 3587739 MORRISON MGMT SPECIALISTS INC PO BOX 102289 ATLANTA GA 303682289 FOOD SERVICES 3067802 DAYNINE CONSULTING INC 6200 STONEBRIDGE MALL RD SUITE 250 PLEASANTON CA 94588 CONSULTING 2992909 194 69047 278750 1714043 34430 2061840 OTHER NET PATIENT REVENUE 622110 596832551 594141989 2690562 MEDICARE/MEDICAID NET PATIENT REVENUE 622110 379541590 379541590 RENT REVENUE FROM AFFILIATES 531190 4323965 4323965 EQUITY IN EARNINGS 900099 571053 571053 MISC SALES 900099 538706 538370 336 981807865 1622161 1622161 0 0 0 0 0 74763159 1100182 74609547 153612 1100182 1253794 1253794 0 0 0 0 0 0 0 0 0 SALE OF SERVICE 541900 16117330 13204725 2912605 MANAGEMENT FEE REVENUE 541200 14314217 14020333 293884 CONVENIENCE PHARMACY REVENUE 446110 8435118 8435118 30013603 19932182 10081421 68880268 1055625928 1034709325 5897387 12957376 3541157 3541157 23000 23000 0 0 11609530 11609530 0 329061526 261684896 67219138 157492 36620165 29611414 6990876 17875 48826363 34856170 13918218 51975 24770136 17930825 6820123 19188 0 756226 756226 29936 29936 20322 20322 0 63244 63244 20793612 12926081 7865841 1690 2174439 2174439 37295141 11150392 26131731 13018 3690596 70963 3604061 15572 0 21143307 17879073 3252390 11844 801208 475919 321451 3838 0 0 4690109 4690109 0 40103216 23971368 16131516 332 6468457 57857 6410600 MED/SURG SUPPLIES 204010305 191642588 12360344 7373 MANAGEMENT FEE 72473597 0 72473597 0 PURCHASED SERVICES 39791180 20202783 19298603 289794 BAD DEBT (NON-PATIENT) 40567 15269 25298 0 908797339 669795102 238377743 624494 X 24765 25515 60768825 118685167 1092316 515441 102769380 114607422 0 0 0 0 56672813 63387568 13494604 13301572 13135082 11937596 1157033452 671661677 468180030 485371775 54352073 43508471 0 0 0 0 0 0 78648421 46920396 849138309 898260923 67926221 74560707 0 0 1593525 1859893 296761480 286904653 0 0 0 0 0 0 0 0 47422474 47947404 413703700 411272657 X 416516754 466942636 11387865 11086447 7529990 8959183 435434609 486988266 849138309 898260923 X 146828589 2754425 -98029357 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false true 14778 true 7388 true 20322 true 53821 true 125612 true 1182 223103 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. 8019870 826789 979494 276326 9549827 8091376 191769 -32236 230929 110 8019870 8361415 108879 241986 620601 303 8091376 7281454 130679 1101078 151951 -155 8361415 6539376 68821 703460 31483 -1280 7281454 0.60000 0.40000 false true true 42463916 42463916 484205289 212810806 271394483 20675931 13437746 7238185 499410342 363780260 135630082 110277974 81632865 28645109 485371775 MISCELLANEOUS RECEIVABLE 12495189 ASSETS WHOSE USE IS LIMITED 5024602 OTHER CURRENT ASSETS 508144 PERPETUAL TRUST FUNDS 7081741 FUNDS HELD BY AN AFFILIATE 1748275 OTHER LONG-TERM ASSETS 10382582 INV IN NON-CONSOL AFFILIATES 6285322 DUE FROM AFFILIATES 3394541 46920396 0 OTHER LONG-TERM LIABILITIES 29239725 ESTIMATED THIRD PARTY SETTLEMENTS 10784077 INTEREST PAYABLE 2981170 CAPITAL LEASE OBLIGATIONS 36806 OTHER CURRENT LIABILITIES 4905626 47947404 X 962367188 2754425 -96013165 -93258740 1055625928 1055625928 910813532 2079437 2079437 908734095 63244 63244 908797339 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 740) FOOTNOTE BELOW DERIVES FROM THE CONSOLIDATED JUNE 30, 2017 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 SALES TO NOVASTREAM 551,430 LGH MGMT FEE REVENUE FROM NOVASTREAM 141,401 NOVASTREAM RENTAL REVENUE FROM LGH 63,060 NOVASTREAM SALES TO LGH 1,506,798 UNCOLLECTIBLE PLEDGES (24,000) INVESTMENT MANAGER FEES (63,244) RELATED PARTY TRANSFERS (99,049,949) PERPETUAL TRUST DISTRIBUTIONS 78,352 CHANGE IN INTEREST IN LG (35,023) TRANSFER OF NET ASSETS 361,923 OTHER NON-OPERATING INCOME 457,253 NON-OPERATING EXPENSE (1,166) ------------ TOTAL $(96,013,165) SCHEDULE D, PART XII, LINE 2E DETAIL OF OTHER ITEMS ELIMINATION OF INTERCOMPANY EXPENSES B/W LGH & NOVASTREAM $2,079,437 true true X true X true X true true true false true true 8899687 0 8899687 0.00980 130335311 66932525 63402783 0.06980 139234998 66932525 72302470 0.07960 5434992 2655590 2779402 0.00310 12857689 1852753 11004936 0.01210 3636524 3055518 581006 0.00060 490317 0 490317 0.00050 22419522 7563861 14855661 0.01630 161654520 74496386 87158131 0.09590 446400 0 446400 0.00050 1500000 0 1500000 0.00170 1946400 0 1946400 0.00220 true 32210000 0 320069520 403031893 -82962373 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 15 true true true true X SEE SCH H, PART V, SECTION C X true 15 true SEE SCH H, PART V, SECTION C false true X 200. 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 true X false X X X true X false false PART V, SECTION B, LINE 5 - INPUT FROM COMMUNITY ON DECEMBER 16, 2015, LIVEWELL, LANCASTER GENERAL HEALTH/PENN MEDICINE, AND WELLSPAN EPHRATA COMMUNITY HOSPITAL HOSTED A COMMUNITY HEALTH STAKEHOLDER FORUM TO ENGAGE COMMUNITY LEADERS REPRESENTING VULNERABLE POPULATIONS IN LANCASTER COUNTY. A TOTAL OF 53 PEOPLE ATTENDED THE EVENT; A LISTING OF ATTENDEES CAN BE FOUND IN APPENDIX C OF THE CHNA. THE FORUM CONSISTED OF A REVIEW OF THE SECONDARY DATA ANALYSIS CONTAINED IN THE CHNA AND A RAPID GAPS AND ASSETS ANALYSIS. A FOLLOW-UP SURVEY WAS SENT TO ALL FORUM ATTENDEES, AS WELL AS REGISTERED NON-ATTENDEES. THE SURVEY WAS AVAILABLE FOR COMPLETION FROM DECEMBER 16-31, 2015. A TOTAL OF 26 RESPONSES WERE OBTAINED. STAKEHOLDERS REPRESENTED THE FOLLOWING ORGANIZATIONS: BAKER TILLY, BOYS & GIRLS CLUB OF LANCASTER, COCALICO SCHOOL DISTRICT, COLUMBIA BOROUGH SCHOOL DISTRICT, COMMUNITY ACTION PROGRAM/WIC, COMMUNITY LIFE NETWORK, COMMUNITY SERVICES GROUP, DOMESTIC VIOLENCE SERVICES OF LANCASTER, ELIZABETHTOWN AREA SCHOOL DISTRICT, EPHRATA AREA SCHOOL DISTRICT, I'M ABLE FOUNDATION, LANCASTER COUNTY BEHAVIORAL HEALTH & DEVELOPMENTAL SERVICES, LANCASTER COUNTY BUSINESS GROUP ON HEALTH, LANCASTER COUNTY CHILDREN AND YOUTH AGENCY, LANCASTER COUNTY DRUG AND ALCOHOL COMMISSION, LANCASTER COUNTY IMMUNIZATION COALITION, LANCASTER GENERAL HEALTH/PENN MEDICINE, LANCASTER GENERAL RESEARCH INSTITUTE, LANCASTER OSTEOPATHIC HEALTH FOUNDATION, LANCASTER REGIONAL MEDICAL CENTER, LIGHTEN UP LANCASTER COUNTY, MENTAL HEALTH AMERICA OF LANCASTER COUNTY, MORAVIAN CENTER ADULT DAY, NONPROFIT RESOURCE NETWORK @ MILLERSVILLE UNIVERSITY, PALCO, PENNSYLVANIA IMMUNIZATION COALITION, SCHOOL DISTRICT OF LANCASTER, SOUTHEAST LANCASTER HEALTH SERVICES, TOBACCO FREE COALITION OF LANCASTER COUNTY, UNITED HEALTH CARE, WATER STREET HEALTH SERVICES, WELLSPAN EPHRATA COMMUNITY HOSPITAL, WELLSPAN HEALTH, WELSH MOUNTAIN HEALTH CENTERS, WHITE DEER RUN, YWCA LANCASTER. ------------------------- PART V, SECTION B, LINE 6a - JOINT CHNA THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED WITH WELLSPAN EPHRATA COMMUNITY HOSPITAL AND LANCASTER REHABILITATION HOSPITAL LLC. ------------------------- PART V, SECTION B, LINE 6b - CHNA CONDUCTED WITH NON-HOSPITAL FACILITIES THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN PARTNERSHIP WITH THE LIVEWELL LANCASTER COUNTY (FORMERLY THE LANCASTER HEALTH IMPROVEMENT PARTNERSHIP). THIS ORGANIZATION INCLUDES VOLUNTEER DRIVEN ACTION TEAMS WHICH STUDY THE DATA AND IDENTIFY AVAILABLE RESOURCES AROUND ISSUES THAT OUR STAKEHOLDERS HAVE IDENTIFIED AS COMMUNITY PRIORITIES. THEY THEN BRING TOGETHER COLLABORATIVES AROUND SPECIFIC PROJECTS THAT ADVANCE UPSTREAM SOLUTIONS. ------------------------- PART V, SECTION B, LINE 11 - ADDRESSING NEEDS ENGAGED STAKEHOLDERS AND COMMUNITY HEALTH LEADERSHIP FROM BOTH HEALTH SYSTEMS USED THE FOLLOWING CRITERIA FOR DETERMINING HEALTH PRIORITIES: SCOPE OF PROBLEM, SERIOUSNESS OF PROBLEM AND ABILITY TO IMPACT LOCALLY. BASED ON THE IDENTIFIED NEEDS FOR LANCASTER COUNTY FROM THE 2016 CHNA AND THE VALUABLE INPUT RECEIVED FROM COMMUNITY HEALTH STAKEHOLDERS, THE BOARD OF TRUSTEES FOR LG HEALTH/PENN MEDICINE APPROVED THE DEVELOPMENT OF A 2017-2019 IMPLEMENTATION STRATEGY FOCUSED ON IMPROVING OBESITY, MENTAL WELL-BEING, AND SUBSTANCE ABUSE, WHILE ADDRESSING DISPARITIES, POVERTY, AND ACCESS WITHIN EACH HEALTH TOPIC. BOARD APPROVAL WAS OBTAINED ON MARCH 10, 2016. THESE PRIORITIES HAVE BEEN ADOPTED INTO LG HEALTHS ANNUAL OPERATING PLAN AND BUDGET. ALTHOUGH ACCESS TO CARE HAS BEEN AN ORGANIZATIONAL PRIORITY AT LG HEALTH FOR MANY YEARS, THIS TARGETED AND SYSTEMIC APPROACH TO IMPACT THE SOCIAL DETERMINANTS OF HEALTH ILLUSTRATES A SHIFT IN HEALTH IMPROVEMENT. THIS APPROACH TO BOTH CARE DELIVERY AND COMMUNITY HEALTH IMPROVEMENT IS VALIDATED BY FEDERALLY DEVELOPED PROGRAMS SUCH AS THE ACCOUNTABLE HEALTH COMMUNITIES MODEL (CENTERS FOR MEDICARE AND MEDICAID SERVICES) AND THE HI-5 HEALTH IMPACT IN 5 YEARS INITIATIVE (CENTERS FOR DISEASE CONTROL AND PREVENTION). TO APPROPRIATELY ADDRESS THE NEEDS OF OUR FRIENDS AND NEIGHBORS IN LANCASTER COUNTY, THE 2017-2019 STRATEGIES FOR COMMUNITY HEALTH IMPROVEMENT WILL BE DEPLOYED AT 3 LEVELS: ENGAGEMENT OF PATIENTS THAT WE SEE WITHIN OUR ENTITIES, UNDER RESOURCED COMMUNITIES THAT HAVE BEEN IDENTIFIED AS THOSE WITH THE HIGHEST SOCIOECONOMIC NEED BASED ON HIGH POVERTY, LOW EDUCATIONAL ATTAINMENT, AND LIMITED ACCESS TO CARE. ENGAGEMENT OF PATIENTS THAT WE SEE WITHIN OUR ENTITIES ARE THE IDENTIFIED COMMUNITIES: LANCASTER CITY (SOUTH OF KING STREET), COLUMBIA, PEQUEA VALLEY SCHOOL DISTRICT, AND SOLANCO SCHOOL DISTRICT AS WELL AS THE COMMUNITY AT LARGE (LANCASTER COUNTY). PARTNERSHIPS WITHIN THE UNDER RESOURCED COMMUNITIES AS WELL AS THE COUNTY AT LARGE, ARE VITAL TO ACHIEVING LASTING IMPACT ON HEALTH OUTCOMES. WE WILL WORK COLLABORATIVELY WITH SPECIFIC KEY PARTNERS THAT HAVE: COMMITTED TO ADDRESS SOCIAL AND ENVIRONMENTAL DETERMINANTS OF HEALTH, AGREED TO A COMMON AGENDA TO ADDRESS ROOT CAUSES OF HEALTH PROBLEMS AND HEALTH DISPARITIES IN LANCASTER COUNTY, AGREED TO MEASURE HEALTH RELATED INDICATORS AND REGULARLY REPORT PROGRESS TOWARDS IMPROVING THESE INDICATORS, DEMONSTRATED ORGANIZATIONAL CAPACITY TO ACHIEVE GOALS. EVIDENCE-BASED TACTICS TO ADDRESS OBESITY, MENTAL WELL-BEING, AND SUBSTANCE MISUSE/ABUSE ARE ADDRESSED AND WILL BE OUTLINED IN THE COMMUNITY HEALTH IMPROVEMENT PLAN THAT WILL BE RELEASED PUBLICALLY AT THE END OF 2016. THESE TACTICS WILL ADDRESS EACH LEVEL OF THE SOCIO-ECOLOGICAL MODEL AND ARE FOCUSED SPECIFICALLY ON: AWARENESS, EDUCATION, BEHAVIORAL CHANGE, SYSTEMS CHANGE, POLICY CHANGE (BOTH ORGANIZATIONAL/LOCAL POLICIES, AS WELL AS LEGISLATIVE CHANGE), AND ENVIRONMENTAL CHANGE. THIS TARGETED AND SYSTEMIC APPROACH HAS BEEN VETTED THROUGH OUR BOARD OF TRUSTEES, PHYSICIAN LEADERS, KEY PARTNERS, AND COMMUNITY NURSES AT VARIOUS MEETINGS DURING JUNE, JULY, AND AUGUST OF 2016. THE HEALTH NEED NOT BEING ADDRESSED IS ASTHMA. LANCASTER COUNTYS POOR AIR QUALITY IS NOT ENTIRELY A RESULT OF THE ACTIVITIES OF THOSE WHO WORK AND LIVE IN LANCASTER COUNTY. POOR AIR QUALITY IS ALSO A RESULT OF THE PROXIMITY OF SIGNIFICANT SOURCES AND THE PREVAILING WINDS FROM THOSE SOURCES. IN ADDITION TO THE AIR POLLUTION THAT IS PRODUCED IN THE COUNTY, POLLUTION TRAVELS ON THE WIND FROM NEARBY CITIES SUCH AS THE BALTIMORE-WASHINGTON METRO AREA AND LARGE INDUSTRIAL NEIGHBOR COUNTIES SUCH AS YORK COUNTY, AS WELL AS FROM MORE DISTANT UPWIND AREAS SUCH AS WESTERN PENNSYLVANIA AND THE OHIO RIVER VALLEY. LANCASTER COUNTY IS NOT DIRECTLY RESPONSIBLE FOR ITS POOR AIR QUALITY AND CANNOT CHANGE THE LAND OR WIND PATTERNS; ENCOURAGING RESIDENTS TO ADOPT MORE ENVIRONMENTALLY FRIENDLY LIFESTYLES MAY MAKE A SUBTLE DIFFERENCE. LG HEALTH DOES NOT PLAN TO INCLUDE AIR QUALITY AND ENVIRONMENTAL CHANGE AS A KEY PRIORITY. HOWEVER, LG HEALTH PLANS TO ADDRESS CHRONIC DISEASES THROUGH ADDRESSING OBESITY AND TOBACCO. BY ADDRESSING THESE KEY PRIORITIES, LG HEALTH WILL HELP TO REDUCE THE NUMBER OF INDIVIDUALS IN LANCASTER COUNTY WHO DEVELOP A CHRONIC DISEASE, THUS REDUCING THE NUMBER OF INDIVIDUALS IN LANCASTER COUNTY WHO ARE AT A HIGHER RISK FOR COMPLICATIONS DUE TO POOR AIR QUALITY. LG HEALTH WILL ALSO INCLUDE ADDRESSING ASTHMA AND LUNG DISEASE AS PART OF THE TOBACCO HEALTH IMPROVEMENT PLAN AND WILL CONTINUE TO MONITOR THIS INDICATOR. IF THIS INDICATOR WERE TO CHANGE FOR THE WORSE, LG HEALTH WILL REASSESS ANNUAL PARTICLE POLLUTION AND TAKE APPROPRIATE ACTIONS. ------------------------- PART V, SECTION B, LINE 7A - CHNA AVAILABILITY THE CHNA REPORT CAN BE FOUND AT: http://www.lancastergeneralhealth.org/LGH/About-Lancaster-General-Health/C ommunity-Health-Involvement/Community-Health-Involvement/Community-Needs-A ssessment.aspx ------------------------- PART V, SECTION B, LINE 10A - IMPLEMENTATION PLAN AVAILABILITY THE MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY CAN BE FOUND AT: http://www.lancastergeneralhealth.org/LGH/About-Lancaster-General-Health/C ommunity-Health-Involvement/Community-Health-Involvement/Community-Needs-A ssessment.aspx ------------------------- 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: http://www.lancastergeneralhealth.org/LGH/Resources/Billing---Insurance/Fi nancial-Assistance-Program-Summary.aspx ------------------------- 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 WILLOW LAKES OUTPATIENT CENTER 212 WILLOW VALLEY LAKES DRIVE WILLOW STREET PA 17584 OUTPATIENT SERVICES KISSEL HILL OUTPATIENT CENTER 51 PETERS ROAD LITITZ PA 17543 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 ANN B BARSHINGER CANCER INSTITUTE 2102 HARRISBURG PIKE LANCASTER PA 17604 OUTPATIENT SERVICES FAMILY MEDICINE MANHEIM 700 LANCASTER ROAD MANHEIM PA 17545 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 3A - FEDERAL POVERTY GUIDELINES PERCENTAGE THE FPG FAMILY INCOME LIMIT FOR ELIGIBILITY FOR FREE CARE CHANGED FROM 200% TO 300% ON JUNE 30,2017 WHICH IS THE LAST DAY OF THE ORGANIZATION'S FISCAL YEAR. ------------------------- 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 $25,192,477 UNDER THE GUIDELINES OF ITS CHARITY CARE POLICY. THIS AMOUNT EXCEEDED ITS BUDGETED AMOUNT OF $21,839,347 BY $3,353,130. THE PRIOR YEAR FINANCIAL ASSISTANCE TOTAL WAS $20,158,419. ------------------------- 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 THE BAD DEBT EXPENSE AMOUNT INCLUDED ON FORM 990, PART IX, COLUMN 25(A) WAS $40,567 RELATED TO NON-PATIENT BAD DEBTS FOR THE YEAR ENDED JUNE 30, 2017. CONSISTENT WITH PRIOR YEAR, PATIENT SERVICE BAD DEBTS ARE TREATED AS A CONTRA-REVENUE LINE ITEM ON THE STATEMENT OF REVENUE. 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 FUNCTIONAL EXPENSE IS POPULATED 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 - METHODOLOGY TO ESTIMATE BAD DEBT THE PROVISION FOR BAD DEBT EXPENSE IS BASED ON MANAGEMENTS ASSESSMENT OF EXPECTED NET COLLECTIONS CONSIDERING ECONOMIC CONDITIONS, HISTORICAL EXPERIENCE, TRENDS IN HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY, INCLUDING NOT COVERED BY INSURANCE, AND HISTORY OF CASH COLLECTIONS. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBT EXPENSE TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND IS RECORDED IN THE PERIOD OF SERVICE. NO SIGNIFICANT MODIFICATIONS WERE MADE FOR FISCAL YEARS 2017 AND 2016. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE AND REASONABLE EFFORTS TO COLLECT FROM THE PATIENT HAVE BEEN EXHAUSTED, UPHS FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY UPHS. ACCOUNT RECEIVABLES ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH UPHS POLICY. ------------------------- 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 - BAD DEBT FOOTNOTE IN FINANCIALS BAD DEBT IS EXPLAINED WITHIN THE PROVISION FOR BAD DEBT SECTION OF THE NOTES TO COMBINED FINANCIAL STATEMENTS ON PAGE 20 OF UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM ATTACHED AUDITED FINANCIAL STATEMENTS. ------------------------- 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 HOSPITALS MEDICARE COST REPORT FOR FISCAL YEAR 2017. THE $82,962,373 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 $171,228,484 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 $150,751,966. 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 HOSPITALS 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 AT LANCASTER GENERAL HOSPITAL, WE ARE WORKING TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITIES WE SERVE BY IDENTIFYING AND ADDRESSING COMMUNITY HEALTH PRIORITIES. THE MISSION & COMMUNITY BENEFIT COMMITTEE OF THE BOARD OF TRUSTEES PROVIDES OVERSIGHT FOR ALL OF OUR COMMUNITY BENEFIT ACTIVITIES, ESTABLISHES OUR LOCAL HEALTH PRIORITIES, AND MONITORS THE HEALTH STATUS OF THE COMMUNITIES WE SERVE. SINCE WE CANNOT ADDRESS ALL OF OUR COMMUNITYS NEEDS ALONE, WE AND OTHER MEMBERS OF THE LIVEWELL LANCASTER COUNTY COALITION (FORMERLY THE LANCASTER HEALTH IMPROVEMENT PARTNERSHIP) REGULARLY ANALYZE FEDERAL, STATE, AND LOCAL DATA TO IDENTIFY OUR COMMUNITYS MOST PRESSING HEALTH CONCERNS. LANCASTER GENERAL HOSPITAL CONTRACTS WITH HEALTHY COMMUNITIES INSTITUTE (HCI) TO PROVIDE DEMOGRAPHIC AND SECONDARY DATA ON HEALTH, HEALTH DETERMINANTS, AND QUALITY OF LIFE TOPICS FOR OUR COMMUNITY THAT IS PRIMARILY DERIVED FROM STATE AND NATIONAL PUBLIC HEALTH SOURCES. FROM THIS DATA, WE SELECT THOSE ISSUES THAT AFFECT THE MOST PEOPLE, AND COST (OR WILL COST) SOCIETY THE MOST IN EITHER DOLLARS OR QUALITY OF LIFE. AS WE BUILD ACTION PLANS FOR EACH OF OUR PRIORITY AREAS, WE CONSIDER PROGRAMS AND ACTIVITIES THAT INFLUENCE THE INDIVIDUAL, FAMILY, COMMUNITY AND WORKPLACE, AS WELL AS SUPPORT POLICIES THAT INFLUENCE POSITIVE HEALTH OUTCOMES. WE STRIVE TO INFLUENCE HEALTH WHERE PEOPLE LIVE, WORK, PLAY, AND LEARN. LANCASTER GENERAL HOSPITAL WORKS TO CREATE COMMUNITY BENEFIT ACTIVITIES THAT EXCEED INDUSTRY STANDARDS, WHETHER WE ARE BEING A ROLE MODEL FOR ENVIRONMENTALLY-FRIENDLY POLICIES OR ADVOCATING FOR HEALTH LEGISLATION THAT BENEFITS ALL RESIDENTS. WE DO THIS NOT ONLY BECAUSE ITS OUR MISSION, BUT ALSO BECAUSE ITS THE RIGHT THING TO DO. IN ADDITION, THE LANCASTER GENERAL HOSPITAL MARKETING DEPARTMENT CREATED A "LISTENS 2U" ONLINE CONSUMER COMMUNITY WHERE PARTICIPANTS PROVIDE FEEDBACK TO THE HEALTH SYSTEM ON HOW TO IMPROVE THE PATIENT/CONSUMER EXPERIENCE THROUGH SHORT SURVEYS WITHIN THE "LISTENS 2U" PORTAL. ------------------------- 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 HOSPITALS 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 538,500 PEOPLE. ABOUT 16.0% OF THE POPULATION IS OVER THE AGE OF 64; 51.1% OF THE POPULATION IS FEMALE. THE MEDIAN INCOME IS $57,721, AND 10.7% OF THE POPULATION LIVES BELOW THE FEDERAL POVERTY LEVEL. LANCASTER GENERAL HOSPITALS MARKET SHARE IN LANCASTER COUNTY IS APPROXIMATELY 56.1%. ------------------------- PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH LANCASTER GENERAL HOSPITAL IS GOVERNED BY A BOARD OF FOURTEEN (14) TO EIGHTEEN (18) TRUSTEES, MOST OF WHOM ALL RESIDE IN OUR PRIMARY OR SECONDARY SERVICE AREAS. THEY VOLUNTEER THEIR PROFESSIONAL TIME AND EXPERTISE TO GUIDE THE HOSPITAL. ALL TRUSTEES 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, MISSION & COMMUNITY BENEFIT, PROFESSIONAL AFFAIRS, 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 2017, THE HOSPITAL COMMITTED $93.6 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.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 $1,500,000. THESE FUNDS 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 AMERICAN HEART ASSOCIATION 610 COMMUNITY WAY LANCASTER PA 17603 135613797 501(C)(3) 16667 CONTRIBUTION TO SUPPORT PROGRAM SERVICE COMMUNITY ACTION PROGRAM 601 S QUEEN ST LANCASTER PA 17603 231667311 501(C)(3) 15000 CONTRIBUTION TO SUPPORT PROGRAM SERVICE ECONOMIC DEVELOPMENT CO OF LANC COUNTY 100 S QUEEN ST LANCASTER PA 176081558 232491931 501(C)(4) 5250 CONTRIBUTION TO SUPPORT PROGRAM SERVICE LANCASTER CITY ALLIANCE 354 N PRINCE ST 110 LANCASTER PA 17603 463353021 501(C)(3) 160000 CONTRIBUTION TO SUPPORT PROGRAM SERVICE SCHOOL DISTRICT OF LANCASTER 1020 LEHIGH AVE LANCASTER PA 17602 231726414 501(C)(3) 1515000 CONTRIBUTION TO SUPPORT PROGRAM SERVICE UNITED AUXILIARIES OF LANCASTER GENERAL HOSPITAL PO BOX 3555 LANCASTER PA 176043555 231976868 501(C)(3) 9000 CONTRIBUTION TO SUPPORT PROGRAM SERVICE CITY OF LANCASTER 39 W CHESTNUT ST PO BOX 1020 LANCASTER PA 17608 236001904 GOV ENTITY 1500000 CONTRIBUTION TO SUPPORT PROGRAM SERVICE HEMPFIELD SCHOOL DISTRICT PO BOX 7596 LANCASTER PA 17604 236050540 501(C)(3) 40000 CONTRIBUTION TO SUPPORT PROGRAM SERVICE COUNTY OF LANCASTER 39 W CHESTNUT ST PO BOX 1020 LANCASTER PA 17608 236001904 GOV ENTITY 8010 CONTRIBUTION TO SUPPORT PROGRAM SERVICE LANCASTER COUNTY BUSINESS GROUP ON HEALTH 100 SOUTH QUEEN STREET LANCASTER PA 176081558 222547599 501 (C)(3) 12000 CONTRIBUTION TO SUPPORT PROGRAM SERVICE LEADERSHIP LANCASTER PO BOX 1558 LANCASTER PA 176051558 222608944 501 (C)(3) 100000 CONTRIBUTION TO SUPPORT PROGRAM SERVICE LEBANON VALLEY COLLEGE 101 NORTH COLLEGE AVENUE ANNVILLE PA 17003 231352354 501 (c)(3) 50000 CONTRIBUTION TO SUPPORT PROGRAM SERVICE ROHRERSTOWN FIRE COMPANY 500 ELIZABETH STREET LANCASTER PA 17603 237197558 501 (C)(3) 15000 CONTRIBUTION TO SUPPORT PROGRAM SERVICE SOUTHEAST LANCASTER HEALTH SERVICES 1020 LEHIGH AVENUE LANCASTER PA 17602 232160896 501 (C)(3) 30000 CONTRIBUTION TO SUPPORT PROGRAM SERVICE THE FACTORY MINISTRIES 3098 LINCOLN HIGHWAY EAST PARADISE PA 17562 421611516 501 (C)(3) 10000 CONTRIBUTION TO SUPPORT PROGRAM SERVICE THE HEALTH CARE IMPROVEMENT FOUNDATION 1801 MARKET STREET SUITE 710 PHILADELPHIA PA 19103 232152039 501 (C)(3) 10000 CONTRIBUTION TO SUPPORT PROGRAM SERVICE 15 1 SCHOLARSHIP AWARDS 24 23000 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 X false true X X X X true true false false false false false true false Thomas E Beeman PhD Trustee 32867 979703 0 452183 1250 24348 346655 198000 413 11997 381185 1666231 0 381185 Frederick C Beyer MD Trustee 0 392184 0 50892 0 13992 0 24450 0 12654 0 494172 0 0 Ralph W Muller Trustee 0 1596051 0 773426 0 351266 0 490715 0 11978 0 3223436 0 0 Jan L Bergen EVP & COO LG Health 680037 0 212875 0 32818 0 193968 0 13281 0 1132979 0 0 0 Kay Brady VP, Human Resources 180604 0 37767 0 4679 0 13584 0 12939 0 249573 0 0 0 F Joseph Byorick III Interim CFO 312312 0 0 0 271125 0 16850 0 6807 0 607094 0 0 0 Margaret F Costella Esq SVP, Legal Svcs, Gen Counsel 256873 0 90354 0 4866 0 43938 0 2344 0 398375 0 0 0 Gary Davidson SVP and CIO 406543 0 133861 0 15511 0 61104 0 15347 0 632366 0 0 0 Lee M Duke II MD SVP & Chief Physician Exec 498907 0 167461 0 44724 0 133029 0 13331 0 857452 0 0 0 Geoffrey W Eddowes SVP, WOMEN'S & BABIES HOSPITAL 288355 0 75792 0 342067 0 53530 0 15237 0 774981 0 263910 0 Norma J Ferdinand SVP,Quality & Perf Improvement 331326 0 113089 0 31914 0 100170 0 8568 0 585067 0 0 0 T Raymond Foley President, Physician Services 0 589047 0 151762 0 33036 0 143530 0 15297 0 932672 0 0 Elizabeth D Katz VP,Risk Mgmt & Corp Compliance 166741 0 29638 0 1129 0 9819 0 7022 0 214349 0 0 0 Denise A Kennedy VP, Financial Services 191035 0 36936 0 1923 0 18226 0 6797 0 254917 0 0 0 Stephen C Lee VP, Facilities Planning 204003 0 20000 0 1237 0 4575 0 8361 0 238176 0 0 0 Robert P Macina Esq EVP, Chief Admin Officer 436623 0 111949 0 19742 0 120588 0 13331 0 702233 0 0 0 Edward Maloney VP,Information Tech Operations 237330 0 47617 0 9315 0 12531 0 13199 0 319992 0 0 0 William McCune SVP Hospital Operations 273591 0 73246 0 18325 0 13250 0 14997 0 393409 0 0 0 Regina M Mingle SVP & Chief Leadership Officer 364696 0 128615 0 19642 0 105202 0 13281 0 631436 0 0 0 Richard D Paoletti VP, Primary Care & Ambulatory 244931 0 48914 0 11205 0 18550 0 15223 0 338823 0 0 0 Douglas W Rinehart VP, Controller 200267 0 41167 0 3485 0 17807 0 15104 0 277830 0 0 0 Lanyce A Roldan SVP & Chief Nursing Executive 220790 0 61342 0 3572 0 21200 0 14882 0 321786 0 0 0 Christine M Stabler MD VP, Academic Affairs 330666 0 0 0 28054 0 20463 0 4465 0 383648 0 0 0 James A Stuccio SVP, Ambulatory & Phys Svcs 0 411664 0 136190 0 2640 0 61804 0 15028 0 627326 0 0 Susan Wynne SVP, Business Dev & Planning 317304 0 108233 0 367269 0 51260 0 7122 0 851188 0 222092 0 Stacey G Youcis SVP Svc Lines/Population Hlth 269344 0 93689 0 7588 0 52636 0 14703 0 437960 0 0 0 Frederick B Rogers Medical Director Trauma 568350 0 168817 0 29629 0 13250 0 14942 0 794988 0 0 0 Jeffrey T Cope Cardiothoracic Surgeon 650000 0 51000 0 27640 0 13250 0 15032 0 756922 0 0 0 Mark W Burlingame Cardiothoracic Surgeon 700003 0 21000 0 9162 0 13250 0 12966 0 756381 0 0 0 James Ku Medical Dir Healthy Weight 650000 0 45500 0 2098 0 13250 0 15347 0 726195 0 0 0 Mark Epler Cardiothoracic Surgeon 625019 0 42500 0 30275 0 13098 0 15297 0 726189 0 0 0 Jennifer L Groff Former Officer 0 160276 0 0 0 998 0 8014 0 6078 0 175366 0 0 Lisa R Hess Former Officer 197454 0 40957 0 11085 0 12289 0 9380 0 271165 0 0 0 Karen Flaherty Oxler Former Officer 39497 0 0 0 260226 0 4175 0 2113 0 306011 0 0 0 Dennis R Roemer Former Officer 246353 0 131106 0 321690 0 130356 0 9293 0 838798 0 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 2016 TAX YEAR. PERSONAL SERVICES TWO INDIVIDULAS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A RECEIVED A COMBINED TOTAL OF $245 FOR SUCH ITEMS THAT WERE INCLUDED AS TAXABLE INCOME. --------------------------- 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 HEALTHS 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 2016 CALENDAR YEAR: BYORICK, F. JOSEPH III $243,893 FLAHERTY OXLER, KAREN 215,322 ROEMER, DENNIS R. 254,051 --------------------------- SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PARTICIPATION 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. $344,354 BERGAN, JAN L. 172,768 COSTELLA, MARGARET F. 25,660 DAVIDSON, GARY 47,854 DUKE, LEE M. II 119,779 EDDOWES, GEOFFREY W. 34,980 FERDINAND, NORMA J. 78,970 FOLEY, T. RAYMOND 135,557 MACINA, ROBERT P. 99,388 MINGLE, REGINA M. 86,652 ROEMER, DENNIS R. 117,106 STUCCIO, JAMES A. 48,554 WYNNE, SUSAN 38,010 YOUCIS, STACEY G. 31,600 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. $314,561 --------------------------- 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 HEALTHS 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 HEALTHS ABILITY TO ATTRACT AND RETAIN SUPERIOR TALENT, RECOGNIZE AND REWARD ACCOMPLISHMENTS THAT CLEARLY ADVANCE THE ORGANIZATIONS 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. --------------------------- A LANCASTER COUNTY HOSPITAL AUTHORITY- SERIES 2012A 236648018 XXXXXXXXX 2012-06-01 25250000 REFUNDING A PORTION OF SERIES 2008 false false false A 1875000 0 25250000 0 0 0 194497 0 0 0 25055503 0 2012 true false true true A false true false false 0.00081 0.00002 0.00083 false false false true A false true true true BOAML 35. false false false 0 false true A true SCHEDULE K, PART I, COLUMN (C)- ROW A CUSIP # SERIES 2012A WAS A PRIVATE PLACEMENT AND THUS WAS NOT ASSIGNED A CUSIP #. -------------------- SCHEDULE K, PART II, LINE 11 COLUMN A THE OTHER SPENT PROCEEDS ARE THE PROCEEDS OF THE ISSUE USED TO REFUND A PRIOR ISSUE IN THE AMOUNT OF $25,000,000 AND AN INTEREST PAYMENT IN THE AMOUNT OF $55,503. -------------------- SCHEDULE K, PART IV, LINE 2C, COLUMN A - REBATE CALCULATION ISSUER NAME: LANCASTER COUNTY HOSPITAL AUTHORITY THE CALCULATION FOR COMPUTING NO REBATE DUE WAS PERFORMED ON 12/28/2013. -------------------- 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 OF 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 OF 2016 BOND ISSUE HAS BEEN REPORTED ON THE FORM 990, SCHEDULE K OF THE UNIVERSITY. THE TOTAL ALLOCATED OUSTANDING BALANCE FOR LANCASTER GENERAL HOSPITAL WAS $190,249,000 AS OF JUNE 30, 2017. Andrea C Byorick Family Member of F. Joseph Byorick, Officer 82603 Employment false Megan E Byorick Family Member of F. Joseph Byorick, Officer 17760 Employment false Cathy J Byorick Family Member of F. Joseph Byorick, Officer 38948 Employment false X 2 28000 OPINION OF EXPERTS X 400 COST/RESALE X 2 6030 FMV 2 false true false 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 115,177 VISITS DURING FISCAL YEAR 2017. TOTAL PATIENT DAYS FOR THE FISCAL YEAR WERE 164,607. MEDICARE AND MEDICAID PATIENTS CONTRIBUTED 16,156 AND 6,601, RESPECTIVELY, TOWARDS THE 35,444 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 $72.4M 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 $11.3M. --------------------------- 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 ORGANIZATIONS 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 HEALTHS 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 NOW 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 ORGANIZATIONS 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, 2017 FISCAL YEAR: THOMAS T. BALDRIDGE (STARTED 9/1/16) T. RAYMOND FOLEY, MD (STARTED 9/1/16) REGINA M. MINGLE (TERMED 7/1/17) TAMMY L. OBER (STARTED 9/1/16) --------------------------- FORM 990, PART X, LINE 20 TAX EXEMPT BOND LIABILITIES THE AMOUNT OF ISSUE OUTSTANDING FOR THE SERIES 2016 BOND ALSO INCLUDES THE BOND PREMIUM. THE BALANCE OF THE 2016 BOND PREMIUM AT 6/30/17 WAS $21,663,645. --------------------------- FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES OTHER NON-OPERATING INCOME $ 456,089 TRANSFER OF NET ASSETS 361,923 RELATED PARTY TRANSFERS (99,049,950) PERPETUAL TRUST DISTRIBUTION 78,352 UNCOLLECTIBLE PLEDGE (24,000) CHANGE IN INTEREST IN NET ASSETS OF LANCASTER GENERAL (35,023) LGH AND NOVASTREAM INTERCOMPANY ELIMINATIONS 183,252 ______________ TOTAL $(98,029,357) --------------------------- 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 2829991 1360407 LG HOSPITAL ABRAMSON INSTITUTE 1086 PENLLYN BLUE BELL PIKE BLUE BELL PA 19422 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 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) 12, I 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 329 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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AFFILIATES PERFORM INTER-COMPANY TRANSACTIONS AS PART OF THE NORMAL COURSE OF BUSINESS.