2016-05-06T10:00:29-05:00 2015-06-30 990 2014-07-01 231365353 Lancaster General Hospital LANC 7175445398 555 North Duke Street Lancaster PA 17604 DENNIS ROEMER EVP & CFO 2016-05-04 2014 2016-08-17 19:52:53Z Dennis Roemer EVP & CFO 555 North Duke Street Lancaster PA 17604 1152674470 false X www.lghealth.org X 1893 PA To advance the health and well-being of the communities we serve. 15 14 5634 600 6079582 1004026 1572080 2250672 823436702 880062117 1651839 2295926 43737091 49620568 870397712 934229283 3447715 3638780 0 0 433667689 443342685 250 0 1382315 356889206 378190766 794004860 825172231 76392852 109057052 740286511 848578531 323418386 411685150 416868125 436893381 To advance the health and well-being of the communities we serve. Refer to Form 990, Schedule H for additional disclosure regarding Lancaster General Hospital's mission. false false 119081377 186652567 SURGICAL SERVICES (28,349 ENCOUNTERS) 113402017 183620238 NURSING SERVICES (150,922 PATIENT DAYS) 72818062 73562036 PHARMACY (17,031,454 SERVICES) 311343153 3638780 444640605 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 116,308 VISITS DURING FISCAL YEAR 2015. TOTAL PATIENT DAYS FOR THE FISCAL YEAR WERE 153,321. MEDICARE AND MEDICAID PATIENTS CONTRIBUTED 15,920 AND 6,202, RESPECTIVELY, TOWARDS THE 35,282 TOTAL INPATIENT DISCHARGES DURING THE FISCAL YEAR. 311343153 3638780 444640605 616644609 true true false true false false false false false true true false false true true true false true false false false false false false true false true true true true true true false false false false false false false false false true false true false false false true true true false false true 428 0 true 5634 true true true true CJ false false false true true false false false false X 15 14 false false false false true true true true true false true false true true true true true false true true true false PA X X Dennis Roemer EVP & CFO 7175444926 555 North Duke Street Lancaster PA 17604 Thomas E Beeman PhD President and CEO, Lancaster General Health 44.00 16.00 X X 1211154 0 352361 C Clair McCormick Chairperson 2.00 2.00 X X 0 0 0 Philip R Wenger Vice Chairperson 2.00 4.00 X X 0 0 0 John M Anderson PhD Trustee 2.00 2.00 X 0 0 0 Rebecca S Bumstead Trustee 2.00 2.00 X 0 0 0 F Nicholas Grasberger Trustee 2.00 2.00 X 0 0 0 Alexander Henderson Esq Trustee 2.00 2.00 X 0 0 0 Keith R Kuhlengel MD Trustee 2.00 4.00 X 0 0 0 Joanne B Ladley Trustee 2.00 4.00 X 0 0 0 Robert F Latshaw MD Trustee 2.00 0 X 0 0 0 Bruce R Limpert Trustee 2.00 2.00 X 0 0 0 Lori Pickell Trustee 2.00 2.00 X 0 0 0 Charles Rodenberger MD Trustee 2.00 2.00 X 0 0 0 Carolyn F Scanlan Trustee 2.00 2.00 X 0 0 0 Kim Smith Esq Trustee 2.00 0 X 0 0 0 Michael W Van Belle Trustee 2.00 4.00 X 0 0 0 D Michael Wege Trustee 2.00 2.00 X 0 0 0 Patrick D Whalen Trustee 2.00 2.00 X 0 0 0 Jan L Bergen EVP and COO Lancaster General Health 45.00 10.00 X 728953 0 154097 Kay Brady VP, Human Resources 53.00 2.00 X 202974 0 26568 Jay R Bucher VP Development & President Lancaster General Health Foundation 46.00 4.00 X 315577 0 34067 F Joseph Byorick III Internal Consultant 47.00 8.00 X 3761590 0 32100 Margaret F Costella Esq SVP, Legal Services, General Counsel and Assistant Secretary 45.00 10.00 X 283383 0 20273 Gary R Davidson SVP and CIO 53.00 2.00 X 505526 0 67659 Lee M Duke II MD SVP and Chief Physician Executive 49.00 6.00 X 664794 0 137936 Geoffrey W Eddowes SVP Post Acute Care 49.00 6.00 X 373482 0 66274 Norma J Ferdinand SVP, Chief Quality Officer 53.00 2.00 X 453040 0 102760 Karen Flaherty Oxler President Lancaster General Hospital & Chief Nurse Exec 51.00 4.00 X 421060 0 15189 Jennifer L Groff VP Organization Advancement 53.00 2.00 X 106418 0 11757 Lisa R Hess VP, Marketing, Corporate Communications and Customer Engagement 53.00 2.00 X 227077 0 20828 Elizabeth D (Hills) Katz VP, Risk Management & Corporate Compliance 53.00 2.00 X 179670 0 16751 Denise A Kennedy VP, Financial Services 53.00 2.00 X 212438 0 24671 Robert P Macina Esq EVP, Chief Administrative Officer/General Counsel & Corporate Secretary 39.00 16.00 X 1287923 0 121928 Edward Maloney VP, Information Technology Operations 53.00 2.00 X 274591 0 26423 Marion A McGowan RN EVP and Chief Population Health Officer 53.00 2.00 X 747693 0 35742 Regina M Mingle SVP and Chief Leadership Officer 51.00 4.00 X 475771 0 111616 Mary B Miskey VP, Human Resources Operations 53.00 2.00 X 219755 0 23894 Richard D Paoletti VP, Operations 55.00 0 X 262236 0 33650 Joseph A Puskar SVP, Customer Support Services 53.00 2.00 X 344138 0 34125 Douglas W Rinehart VP, Controller 51.00 4.00 X 221242 0 31521 Dennis R Roemer EVP & CFO 47.00 8.00 X 689100 0 138318 Christine M Stabler MD VP, Academic Affairs 53.00 2.00 X 328640 0 35470 Susan Wynne SVP, Business Development & Planning 53.00 2.00 X 412991 0 55318 Stacey G Youcis SVP/Sr Service Line Executive 53.00 2.00 X 333488 0 35847 Philip Bayliss Medical Director 50.00 0 X 585894 0 31378 Mark W Burlingame MD Cardiothoracic Surgeon 50.00 0 X 725080 0 26178 Jeffrey T Cope MD Cardiothoracic Surgeon 50.00 0 X 719516 0 28543 James Ku Medical Director Healthy Weight Mgmt 50.00 0 X 616555 0 31877 Frederick B Rogers Medical Director Trauma 50.00 0 X 737213 0 28048 18628964 0 1913165 0 false true true Lancaster General Medical Group 1030 New Holland Ave Building 12A Lancaster PA 17601 Professional Medical Fees 7508092 LINKEHR 3113 W Beltline Hwy Suite 200 Madison WI 53713 Healthcare Technology 5612719 Coresource PO Box 83301 Lancaster PA 176083301 Health Benefits Administration 5570473 MRI Group LLP PO Box 3088 Lancaster PA 17604 Medical Imaging Services 4765971 Benchmark Construction PO Box 806 Brownstown PA 17508 Construction 4300879 207 X 102305 201907 469536 1476924 21688 2250672 Other Net Patient Revenue 900099 582911135 579851077 3060058 Medicare/Medicaid Net Patient Revenue 900099 337363014 337363014 Equity in Earnings 900099 1004071 1004071 Provision for Bad Debt 900099 -44510000 -44510000 Rent Revenue from Affiliates 900099 3035706 3035706 258191 256217 1974 0 880062117 1780963 1780963 0 0 218819420 218304457 514963 0 514963 514963 92229 201907 140730 -48501 -48501 Sale of Services 541900 12915000 10006540 2908460 Management Fee Revenue 541200 10351172 10300326 50846 Medical Services Revenue 900099 8712804 8712804 17690093 7894071 58244 9737778 49669069 934229283 913913826 6079582 11985203 3597280 3597280 41500 41500 0 0 0 0 25347346 25347346 312093389 242662513 68631837 799039 32260176 24338673 7841361 80142 51082695 34627781 16324177 130737 22559079 16343398 6158358 57323 681769 681769 253954 253954 88301 88301 65198 65198 24345163 13625092 10716669 3402 2931498 2929498 2000 33186839 10619194 22487235 80410 19931886 18274 19913585 27 18482474 15768128 2701784 12562 856228 275121 562284 18823 9251885 9251885 49371706 22375540 26991302 4864 4533198 56361 4476837 Purchased Services 41344615 19457241 21843592 43782 Bad Debt (Non-Patient) -8511 17302 -25813 Mgmt Fee 1456930 1456930 Med/Surg Supply 171347208 165040638 6299699 6871 70425 35599190 -35671098 142333 825172231 616644609 207145307 1382315 24780 24805 45329355 94975960 2270937 1017191 99833646 98466343 0 0 0 2262075 1681642 14092163 12588076 11960910 13296982 1028855317 579825943 463056110 449029374 70933939 62417428 0 0 30522596 115080730 740286511 848578531 67496460 76572675 1658672 1625904 217405359 292680206 0 36857895 40806365 323418386 411685150 397604458 417637342 10937330 11161905 8326337 8094134 416868125 436893381 740286511 848578531 X 109057052 -1382102 -87649694 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false true 15802 true 7233 true 88301 true 54250 true 122982 true 1886 290454 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY 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. 8361415 108879 242121 620601 303 8091511 7281454 130679 1101078 151951 -155 8361415 6539376 68821 703460 31483 -1280 7281454 6668815 141048 216509 486960 36 6539376 5092445 750733 929316 105106 -1427 6668815 0.0 0.63 0.37 false false 41964936 41964936 411650418 181929797 229720621 16636478 11918735 4717743 455670298 319143497 136526801 102933187 66833914 36099273 449029374 Funds Held By an Affiliate Shown at Year End Market Value 1783299 Due From Affiliates 2499919 Other Current Assets 236048 Miscellaneous Receivable 3678952 Other Long-Term Assets 8617022 Investments in Non-Consolidating Affiliates 5309377 Perpetual Trust Funds Shown at Year End Market Value 7228759 Assets Whose Use Is Limited 85727354 115080730 Capital Lease Obligations 519176 Interest Payable 3273621 Estimated Third Party Payor Settlements 12483663 Other Long-Term Liabilities 24529905 40806365 X 845132289 -1382102 -87714892 -89096994 934229283 0 0 934229283 825107033 0 0 825107033 65198 0 65198 825172231 Schedule D, Part V, Line 4 Intended uses of endowment funds Lancaster General Hospital utilizes the endowment funds in accordance with their tax-exempt purpose and as specified by donor. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote Lancaster General Hospital follows the accounting guidance for uncertainties in income tax positions under ASC 740 which requires that a tax position be recognized or derecognized based on a "more likely than not" threshold. This applies to positions taken or expected to be taken in a corporate income tax return. The Lancaster General Hospital does not believe its financial statements include any uncertain income tax positions. Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 Investment mangager fees netted against income - -65198 Related Party Transfers - -91428308 Perpetual trust distributions - 78537 Change in Interest in LG - 341005 Other Non-Operating income - 3359072 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements - Gingham Gala 155640 127230 28410 41409 34515 5050 6422 Wine Gala 138496 74677 63819 7170 5199 15761 25204 0 0 294136 201907 92229 7170 46608 50276 5050 31626 140730 -48501 true true X true X true X true true false true true 7325347 0 7325347 0.0089 58770705 0 58770705 0.0712 0 0 0 0.0 0 0 66096052 0 66096052 0.0801 3519061 1362378 2156683 0.0026 12498406 1847452 10650954 0.0129 3666777 3339632 327145 0.0004 0 0.0 658430 0 658430 0.0008 0 0 20342674 6549462 13793212 0.0167 0 0 86438726 6549462 79889264 0.0968 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 260613 0 260613 0.0003 0 0.0 1500000 0 1500000 0.0018 0 0 1760613 0 1760613 0.0021 true 44510000 0 294455618 369149208 -74693590 X true false 2 1 Lancaster General Hospital 555 North Duke Street PO Box 3555 Lancaster PA 176043555 www.lghealth.org 120801 X X X X X A 2 Women and Babies Hospital 690 Good Drive PO Box 3750 Lancaster PA 176043750 www.lghealth.org 120801 X X X A A false false true X X X X X X X X X 12 true true true true X www.lghealth.org X true 13 true www.lghealth.org false false true X 2.0 4.0 X X X true false true X www.lghealth.org true X true X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - Facility A. The Community Health Needs Assessment was conducted in partnership with the Lancaster Health Improvement Partnership (LHIP) and its partner organizations. Experts in various aspects of public health provided comments and recommendations based on county data and the clients they represent. Input from the experts was gathered through meetings that included interviews and focus groups. The individuals consulted with are representatives of various areas of public health and community groups and the types of organizations in which they are members of are as follows: Mental Health, County Government, local Hospitals, the state Health Department, Nursing Homes, Public Health, facility for the Homeless, Pregnancy Services, Faith Based-Low Income, HIV Prevention, Drug & Alcohol Prevention, Philanthropic services, Data Analysts, local School and College, Cancer Prevention, Low Income population, Faith Based and Children, Immunization Coalition, Latino Community, local Chamber of Commerce, City Government, African-American Community, and Social Services. Schedule H, Part V, Section B, Line 6a Facility A, 1 Facility A, 1 - Facility A. Lancaster Rehabilitation Hospital LLC Schedule H, Part V, Section B, Line 6a Facility A, 2 Facility A, 2 - Facility A. Ephrata Community Hospital Schedule H, Part V, Section B, Line 6b Facility A, 1 Facility A, 1 - Facility A. Lancaster Health Improvement Partnership (LHIP). 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. Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - Facility A. In order to have meaningful input on community health needs, LG Health has selected health priorities. The priorities of focus for LG Health were determined by examining the number of lives impacted, quality of life years lost, community cost savings by avoiding the health issue, and ability to influence the health need. Upon review and discussion of the data, LG Health's Community Health Needs Assessment Task Force identified three key priorities: * Increase the number of people at a healthy weight * Reduce the use of tobacco * Improve mental health with a focus on depression and anxiety Obesity LG Health's strategic approach to healthy weight management is planned using national, state, and local data and engages community stakeholders to utilize evidenced-based best practices around policy, systems, and environmental changes. Implementation strategy framework and operational plan: to increase the number of adults and children maintaining a healthy weight in Lancaster County. The intermediate goals are to increase the number of individuals who are physically active and making healthy food choices. Interventions are targeted toward sectors where we live, work and play (schools, communities, and workplaces). Strategic initiatives within each sector are designed to increase awareness, educate individuals, promote behavior change, and implement policy and system changes to make the healthy choice the easy choice. Initiatives: * Seek earned media coverage, utilize social media networks and complete presentations to spread awareness regarding the obesity epidemic in Lancaster County. * Shift the Shapedown program from a Community Health and Wellness program (Community Benefit) to a Healthy Weight Management Center offering. * Healthy Beginnings Plus will continue to offer all current healthy weight programs. * Heightened focus on policy, system, environmental change strategies to prevent obesity across multiple sectors, thus programs targeted to the individual will be less of a priority and decrease in number of programs offered. * Identify LGHP practice educational resource needs, as it relates to screening patients for overweight and obesity. * Convene the school districts at least twice a year to share best practices and resources with the councils. * Continue efforts to engage the remaining four school districts in the county to become involved in school wellness council events. * Provide free technical assistance to schools that are interested in completing a School Health Index assessment. * Convene a School/Community Garden Workgroup, open to anyone looking for ways to start or enhance existing gardens. * Present education sessions to employers about the benefits of completing the CDC Worksite Health ScoreCard. * Maintain Baby Friendly Hospital Designation. Recertification due 2019. * Partner with the American Heart Association to promote school gardens. * Maintain or increase the percentage of women initiating breastfeeding at WBH. * Promote and coordinate community events, including Open Streets, Trails Day, and Food Day. * Participate in Lancaster Bikes! A Coalition for a Bicycle Friendly Lancaster, working to increase the number of bicyclists in the City of Lancaster. * Provide free walk audits in partnership with a local engineer to municipalities interested in making small changes to make their communities more walkable/bikeable. * Work with the Lancaster County Planning Commission to increase the number of municipalities with Complete Streets policy elements. * Complete a policy scan in 2016. * Partner with the Lancaster County Planning Commission to present Places 2040, a community driven, comprehensive a comprehensive plan and vision for how should Lancaster County to look and feel in 2040. Tobacco Lancaster General Health was a founding member of the Tobacco Free Coalition in 2002. Members represent all sectors of the community and assist Lancaster General Health in developing and implementing evidenced based programs, mirroring The PA Department of Health's Division of Tobacco Prevention and Control's strategic plan for all of Pennsylvania. This plan was designed to be a guideline at the local level to implement comprehensive evidenced based programs, improve health equity, and strengthen tobacco control policies. Lancaster General Health aims to significantly decrease tobacco-related morbidity, mortality, and economic costs incurred from tobacco use by preventing youth from using, providing cessation and eliminating second hand smoke exposure. Initiatives: * Increase outpatient TDT participant engagement through 4 or more individual counseling or group sessions. * Continue to educate healthcare providers to increase referrals of patients to outpatient tobacco dependence treatment program. * Promote TDT services to non-LGH practices and other community members (businesses, individuals, multi-unit housing, etc). * Target areas of Lancaster County that are currently underserved as it relates to TDT programs. * Align tobacco scorecard data with LGHP tobacco scorecard data. * Provide continuing education and ensure competency for counselors who facilitate tobacco dependence treatment programs. * Promote weekly quit tip email to TDT participants during program sessions. * Maintain 3 tobacco awareness campaigns annually. * Develop promotional materials related to other tobacco products including, e-cigarettes, smokeless tobacco, hookah, and vaping. * Continued collaboration between Tobacco Dependence Treatment Counselors and HBP smoking cessation committee to keep staff updated on current TDT trends. * Continue promotion and facilitation of LifeSkills in schools. * Provide technical assistance to local businesses that express interest in adopting tobacco free policies * Continue collaboration with local schools and regional tobacco free coalition to increase number of youth educated and engaged in tobacco control efforts in Lancaster County. * Engage and educate residents to encourage their municipal leaders to adopt Young Lungs at Play (YLAP). * Continue to follow up with municipalities that have not yet adopted a Young Lungs at Play (YLAP) policy. * Continue to pursue discussions with the Lancaster City Housing Authority to pass a smoke-free multi-unit housing policy. This adoption will affect 396 families in our community. * Identify additional multi-unit housing properties (public and private) to adopt smoke-free policies. Schedule H, Part V, Section B, Line 11 Facility A, 2 Facility A, 2 - Facility A. Mental Health This is the first year LG Health has selected mental health as a key health priority. Public health initiatives and mental health initiatives in general are disjointed. Without coordination, only the physical health of an individual is treated, ignoring a major component necessary for recovery and a cause of the many diseases being addressed. LG Health currently collects utilization and provider data within the health system; however, Lancaster County level medical data is limited. Through focusing on mental health, LG Health plans to improve mental health indicators. With the treatment of health moving to prevention in the primary care setting, there is an increased opportunity for a unified approach to treating mental health and physical health. LG Health has begun convening community organizations to create a call to action in addressing anxiety and depression throughout the community. As a result, the Let's Talk Lancaster County Coalition was formed. Initiative: * Hold a Mental Well-Being Visioning Session to further finalize the SWOT analysis * Create a vision for mental well-being in Lancaster County and identify next steps to move the vision forward (Mission- To serve as a catalyst for advancing mental well-being in Lancaster County. Vision- Lancaster County is a vibrant community that promotes and supports an environment where people live mentally healthy lives.) * Engage community members in Action Teams (Workplace, Schools, Mental Health Providers, and Community) * Create the formal structure of the Mental Health Well Being Coalition-now known as Let's Talk Lancaster * In conjunction with the Lancaster County Business Group on Health, conduct a session for area employers around Mental Health Policies in the Workplace as part of their Health Summit Action Series. * Develop a Community Health Improvement model specific to Mental Health, including goal contributors. * Create an action team consisting of medical providers representing the largest primary care practices in Lancaster County to establish standardized depression screenings for adolescents and adults, aged 12-64. * Update United Way 2-1-1 database with detailed resources to enhance the referral process. * Provide education to primary care providers about various models of behavioral health relationships; referral, co-location, and integration. * Provide a mental well-being update at the 2015 Lancaster County Health Summit, including two stigma related videos: * Stigma in Lancaster County: https://youtu.be/BPyCbAlwsck * Start the Conversation: https://youtu.be/X5zylHdV9tw * Implement an EAP pilot program with 10 area businesses. * Focus efforts on creating worksite environments that support mental well-being through Mental Health First Aid trainings. * Develop a Request for Proposals for a marketing company to implement a campaign in FY 2016 focused on awareness, skill building, and accessibility of mental health services, based on collected data * Conduct a literature review and finalize SWOT analysis to gain a better understanding of mental well-being throughout the lifespan. * Integrate SWOT analysis findings into strategic plans for various action teams Additionally, on behalf of Let's Talk Lancaster, Lancaster General Health received a United Way Collective Impact Grant, with 18 community partners. This Impact Partnership will improve access and treatment for behavioral health care needs, especially for low income and minority residents. It will also provide finding for an anti-stigma campaign, community Mental Health First Aid trainings, and capacity building for depression screening in special populations (victims of domestic violence, for example). 2013 Identified Need that will not be addressed: Children without health insurance LG Health will not focus on increasing the number of children in Lancaster County with health insurance as a key priority. Through the three key priorities of LG Health, children in Lancaster County will receive preventative education and treatment through LG Health initiatives. Although this does not solve the problem of lack of health insurance, LG Health initiatives will prevent a worsening of children's health in Lancaster County. The Affordable Care Act (ACA) will help to increase health insurance coverage for children. LG Health envisions Lancaster County with 100% health insurance coverage for children. If a community organization chooses to focus on CHIP initiatives, LG Health will work with that organization to promote CHIP enrollment. 2013 Identified Need that will not be addressed: Annual particle pollution & ozone air quality Lancaster County's 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. Schedule H, Part V, Section B, Line 22 Facility A, 1 Facility A, 1 - Facility A. The hospital facility used a billing rate between the average negotiated commercial insurance rate and the Medicare rate 14 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 Columbia Outpatient Center 306 North Seventh Street PO Box 926 Columbia PA 17512 Outpatient Services Norlanco Outpatient Center 424 Cloverleaf Road Elizabethtown PA 17022 Outpatient Services Lancaster General Health Center - Parkesburg 950 S Octorara Trail Parkesburg PA 19365 Outpatient Services Walter L Aument Family Health Center 317 South Chestnut Street Quarryville PA 17566 Outpatient Services Ann B Barshinger Cancer Institute 2102 Harrisburg Pike Lancaster PA 17604 Outpatient Services LG Health Specialty Center at Ephrata 1261 Division Highway Suite 2 Ephrata PA 17522 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 Women's Outpatient Center 690 Good Drive Lancaster PA 17604 Outpatient Services Ephrata Urgent Care and Outpatient Services 895 East Main Street Lancaster PA 17522 Outpatient Services Schedule H, Part III, Line 9b Collection Practices Lancaster General Hospital's current collection policy does not contain provisions on the collection practices to follow patients who are known to qualify for charity care or financial assistance. Schedule H, Part I, Line 6a Community Benefit report prepared by a related organization Lancaster General Health Schedule H, 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. Schedule H, Part VI, Line 7 State filing of community benefit report 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. Schedule H, Part I, Line 3c Federal Poverty Guidelines Lancaster General Hospital follows the federal poverty guidelines for free care and discounted care. Schedule H, Part I, Line 5b Free or Discounted Care Budget Lancaster General Hospital's financial assistance expenses of $19,723,219 provided under its charity care policy was under its budgeted amount of $25,277,609 by $5,554,390. The prior year expenses were $23,601,017. Schedule H, Part I, Line 7 Percent of total expense The functional expense is populated from Form 990, Part IX, line 25. Schedule H, Part I, Line 7g Subsidized Health Services Subsidized Health Services reported includes Psychology Services and a Comprehensive Care Clinic. Schedule H, Part VI Additional explanation Lancaster General Hospital provided financial support to the City of Lancaster (EIN 23-6001904) in the amount of $1,380,000. 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 $16,020, and East Hempfield Township (EIN 23-6000356) in the amount of $2,830. Schedule H, Part III, Line 8 Community Benefit & Methodology for determining medicare costs 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 2015. The $74,693,590 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 $155,023,405 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 $137,042,683. 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. Schedule H, Part I, Line 6a Community Benefit Report Lancaster General Hospital's community benefit report is a report distinct for this organization. Schedule H, Part I, Line 6a Community benefit report prepared by related organization Lancaster General Health Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 0 Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance 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, column c - Financial assistance at cost was calculated using the cost accounting system cost to charge ratio. Schedule H, Part II Community Building Activities Part II, line 7, 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 staffing to promote the health and well-being of school aged children. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount Lancaster General Hospital recognizes bad debt expense and the allowance for doubtful accounts based upon historical experience for both third-party payers and self pay. Management regularly evaluates patient account history in determining the sufficiency of the allowance for doubtful accounts and provision for bad debts. Patient accounts receivable are charged off against the allowance for doubtful accounts when management determines that recovery is unlikely and collection efforts cease. Losses have been consistent with management's expectations. Schedule H, Part III, Line 3 Bad Debt Expense Methodology Amount is zero because these accounts would not be included as bad debt but would be included as charity care. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote Bad debt is explained within the Net Patient Service Revenue section of the Notes to Financial Statements on page 14 of Lancaster General Hospital's attached audited financial statements. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs 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 2015. The $74,693,590 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 $155,023,405 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 $137,042,683. 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. Schedule H, Part V, Section B, Line 16a FAP website A - Lancaster General Hospital: Line 16a URL: www.lghealth.org; A - Women and Babies Hospital: Line 16a URL: www.lghealth.org; Schedule H, 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 community's needs alone, we and other members of the Lancaster Health Improvement Partnership (LHIP) regularly analyze federal, state, and local data to identify our community's 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 does, 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 it's our mission, but also because it's 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. Schedule H, 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. Schedule H, 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 534,130 people. About 16.4% of the population is over the age of 64; 51.1% of the population is female. The median income is $56,243, and 10.3% of the population lives below the federal poverty level. Lancaster General Hospital's market share in Lancaster County is approximately 57.4%. Schedule H, Part VI, Line 5 Promotion of community health Lancaster General Hospital is governed by a 14-member Board of Trustees, including 12 community members and two physicians, 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 2015, the hospital committed $60 million to spending for property, plant and equipment. Schedule H, Part VI, Line 6 Affiliated health care 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. Lancaster General Health Innovative Solutions, Inc. (EIN# 46-05898543) conceives and launches novel healthcare services and products. LG Health Community Care Collaborative, LLC (EIN# 45-5542179) is an Accountable Care Organization. Other affiliates of Lancaster General Health include Lancaster General Insurance Company, Ltd. and Lancaster General Business Trust and its subsidiaries. true American Heart Association 610 Community Way Lancaster PA 17603 135613797 501(c)(3) 29710 Contribution to Support Program Service Church World Service 28606 Phillips Street Elkhart IN 46514 134080201 501(c)(3) 10000 Contribution to Support Program Service Clinic for Special Children 535 Bunker Hill Road PO Box 239 Strasburg PA 17603 232555373 501(c)(3) 75000 Contribution to Support Program Service Edward Hand Medical Heritage Foundation PO Box 10302 Lancaster PA 17603 222464097 501(c)(3) 10000 Contribution to Support Program Service Lancaster City & County Medical Society 480 New Holland Ave Suite 8202 Lancaster PA 17602 236449979 501(c)(4) 10000 Contribution to Support Program Service Lancaster City Alliance 354 N Prince Street 110 Lancaster PA 17603 463353021 501(c)(3) 160000 Contribution to Support Program Service Lancaster County Council of Churches 344 N Marshall Street Lancaster PA 17603 231429852 501(c)(3) 25000 Contribution to Support Program Service Lancaster County Medical Foundation 480 New Holland Ave Suite 8202 Lancaster PA 17603 260499498 501(c)(3) 50000 Contribution to Support Program Service PA Dutch Council 630 Janet Avenue Lancaster PA 17603 231855082 501(c)(3) 10136 Contribution to Support Program Service PA eHealth Partnership Authority 613 North Street Harrisburg PA 17603 236003081 Government Entity 26000 Contribution to Support Program Service Roherstown Fire Compnay 500 Elizabeth Street Lancaster PA 17603 237197558 501(c)(3) 15000 Contribution to Support Program Service San Juan Bautista 425 S Duke Street Lancaster PA 17602 231983654 501(c)(3) 10000 Contribution to Support Program Service United Auxiliaries to Lancaster General Hospital PO Box 3555 Lancaster PA 17601 231976868 501(c)(3) 18000 Contribution to Support Program Service United Way of Lancaster County 630 Janet Avenue Lancaster PA 17601 231352093 501(c)(3) 121500 Contribution to Support Program Service Domestic Violence Services PO Box 359 Lancaster PA 17608 231667311 501(c)(3) 7000 FMV Rent for classroom use Contribution to Support Program Service City of Lancaster 39 West Chestnut St PO Box 1020 Lancaster PA 17608 236001904 Government Entity 1380000 Contribution to Support Program Service School District of Lancaster 1020 Lehigh Ave Lancaster PA 17602 231726414 501(c)(3) 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 West Chestnut St PO Box 1020 Lancaster PA 17608 236001904 Government Entity 16020 Contribution to Support Program Service 18 1 SCHOLARSHIP AWARDS 42 41500 Schedule I, Part I, Line 2 Description Of Procedure For Monitoring Use Of Grant Funds Contributions made by Lancaster General Hospital must meet the following criteria set forth by the Mission & Community Benefit Committee: 1) gaps in health care 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 General 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. GRANTS TO INDIVIDUALS SCHOLARSHIPS ARE FOR STUDENTS ATTENDING PENNSYLVANIA COLLEGE HEALTH SCIENCES (EIN# 06-1645496). SINCE THERE IS ONLY ONE TYPE OF ASSISTANCE BEING GRANTED, THE AMOUNT IS SHOWN IN AGGREGATE. THERE WERE 42 INDIVIDUALS WHO RECEIVED VARIOUS AMOUNTS TOTALING $41,500. Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. Contributions made by Lancaster General Hospital must meet the following criteria set forth by the Mission & Community Benefit Committee: 1) gaps in health care 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 General 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 false true false false false false false true false Thomas E Beeman PhD President and CEO, Lancaster General Health 883486 0 305000 0 22668 0 338671 0 13690 0 1563516 0 0 0 Jan L Bergen EVP and COO Lancaster General Health 558194 0 151217 0 19542 0 146794 0 7303 0 883050 0 0 0 Kay Brady VP, Human Resources 161183 0 34647 0 7144 0 13708 0 12860 0 229543 0 0 0 Jay R Bucher VP Development & President Lancaster General Health Foundation 291506 0 0 0 24072 0 20800 0 13267 0 349644 0 0 0 F Joseph Byorick III Internal Consultant 281336 0 163948 0 3316306 0 20800 0 11300 0 3793690 0 0 0 Margaret F Costella Esq SVP, Legal Services, General Counsel and Assistant Secretary 232378 0 47000 0 4005 0 18200 0 2073 0 303656 0 0 0 Gary R Davidson SVP and CIO 361273 0 125682 0 18571 0 52517 0 15142 0 573185 0 0 0 Lee M Duke II MD SVP and Chief Physician Executive 466070 0 165742 0 32982 0 124708 0 13228 0 802730 0 0 0 Geoffrey W Eddowes SVP Post Acute Care 273125 0 95437 0 4920 0 51332 0 14942 0 439755 0 0 0 Norma J Ferdinand SVP, Chief Quality Officer 307659 0 113927 0 31454 0 94587 0 8173 0 555800 0 0 0 Karen Flaherty Oxler President Lancaster General Hospital & Chief Nurse Exec 305094 0 108411 0 7555 0 13000 0 2189 0 436249 0 0 0 Lisa R Hess VP, Marketing, Corporate Communications and Customer Engagement 183941 0 39934 0 3202 0 11194 0 9634 0 247905 0 0 0 Elizabeth D (Hills) Katz VP, Risk Management & Corporate Compliance 149212 0 29826 0 632 0 8952 0 7799 0 196420 0 0 0 Denise A Kennedy VP, Financial Services 176315 0 34482 0 1641 0 16864 0 7807 0 237109 0 0 0 Robert P Macina Esq EVP, Chief Administrative Officer/General Counsel & Corporate Secretary 390026 0 139560 0 758337 0 108500 0 13428 0 1409852 0 0 0 Edward Maloney VP, Information Technology Operations 223733 0 46926 0 3933 0 13000 0 13423 0 301015 0 0 0 Marion A McGowan RN EVP and Chief Population Health Officer 572101 0 157991 0 17602 0 20800 0 14942 0 783435 0 0 0 Regina M Mingle SVP and Chief Leadership Officer 334559 0 121670 0 19542 0 98338 0 13278 0 587387 0 0 0 Mary B Miskey VP, Human Resources Operations 174657 0 38079 0 7019 0 17019 0 6875 0 243649 0 0 0 Richard D Paoletti VP, Operations 217871 0 43364 0 1000 0 18200 0 15450 0 295886 0 0 0 Joseph A Puskar SVP, Customer Support Services 274047 0 57083 0 13008 0 20800 0 13325 0 378263 0 0 0 Douglas W Rinehart VP, Controller 181603 0 37858 0 1781 0 16784 0 14737 0 252763 0 0 0 Dennis R Roemer EVP & CFO 473072 0 175807 0 40221 0 122452 0 15866 0 827418 0 0 0 Christine M Stabler MD VP, Academic Affairs 310068 0 875 0 17696 0 20800 0 14670 0 364110 0 0 0 Susan Wynne SVP, Business Development & Planning 294165 0 101908 0 16918 0 48202 0 7116 0 468309 0 0 0 Stacey G Youcis SVP/Sr Service Line Executive 243912 0 87129 0 2447 0 20909 0 14938 0 369336 0 0 0 Philip Bayliss Medical Director 543898 0 16667 0 25329 0 18200 0 13178 0 617271 0 0 0 Mark W Burlingame MD Cardiothoracic Surgeon 700003 0 17535 0 7542 0 13000 0 13178 0 751258 0 0 0 Jeffrey T Cope MD Cardiothoracic Surgeon 700003 0 17785 0 1728 0 13000 0 15543 0 748059 0 0 0 James Ku Medical Director Healthy Weight Mgmt 587327 0 27500 0 1728 0 13000 0 18877 0 648432 0 0 0 Frederick B Rogers Medical Director Trauma 568496 0 161161 0 7557 0 13000 0 15048 0 765261 0 0 0 Schedule J, Part I, 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 SO 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 I, Line 1a Travel for companions The amount provided for travel for companions was $2,612. These payments were considered taxable. Schedule J, Part I, Line 1a Tax indemnification and gross-up payments Lancaster General Hospital provides gross-up payments to employees when they receive holiday gift cards so 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 2014 tax year. Schedule J, Part I, 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 I, Line 4b Supplemental nonqualified retirement plan Total distributions and/or contributions to a non-qualified Supplemental Retirement Plan amounted to $4,377,513. Schedule J, Part I, 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 health care 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 Participants 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. A Lancaster County Hospital Authority 236648018 514045B77 2012-06-28 98452558 See supplemental information false false false B Lancaster County Hospital Authority 236648018 XXXXXXXXX 2012-06-01 25250000 Refunding a portion of Series 2008 bond (Issue date of 8/15/2008) false false false C Lancaster County Hospital Authority 236648018 514045YK3 2007-01-24 64334760 Refunding of Series 2003 Bond (Issue date of 9/15/2003) false false false D Lancaster County Hospital Authority 236648018 514045YB3 2007-01-24 35329293 Construction of employee parking garage false false false A 7430000 0 98457941 0 0 0 1008845 0 0 20069814 77379282 0 2013 true false true true B 775000 0 25250000 0 0 0 194497 0 0 0 25250000 0 2012 true false true true C 0 0 64334760 0 0 0 619371 0 0 63715389 0 2007 false true true true D 0 0 37341879 0 0 0 326911 0 0 37014968 0 0 2008 false false true true A false true true true true true 0.011 0.0 0.011 false false true B false true true true true true 0.014 0.0 0.014 false false true C false false false false 0.0 0.0 0.0 false false true D false false false false 0.0 0.0 0.0 false false true A false false false true false false false false true B false false false true true true BOAML 35.0 false false false false true C false false false true false false false false true D false false false true false false false false true A true B true C true D true Schedule K, Part I, Column (c) Row B - CUSIP # Series 2012A was a private placement and thus was not assigned a CUSIP #. Schedule K, Part I, Column (f) Row A - Description of Purpose Series 2012B - Refunding a portion of series 2008, 2010, and 2011 bonds, and a portion to be used for construction. Schedule K, Part II, Line 3 Columns A & D The total proceeds for Series 2012B & 2007A exceed the issue price by the investment earnings on the project fund in the amounts of $5,383 and $2,012,586 respectively. Schedule K, Part II, Line 11 Columns A, B, & C The other spent proceeds are the proceeds of the issue used to refund prior issues which are no longer in the refunding escrow. Schedule K, Part II, Line 11 Column C $63,712,815 of the other spent proceeds went to refund prior issues, the remaining $2,574 was transferred to the 2007A Project fund. Schedule K, Part I, Column (c) Row A CUSIP # Series 2012B - CUSIP # changed from prior year to reflect cusip with latest maturity date. Schedule K, Part IV, Line 2c Rebate Calculation Issuer name: Lancaster County Hospital Authority The calculation for computing no rebate due was performed on 09/06/2013 Schedule K, Part IV, Line 2c Rebate Calculation Issuer name: Lancaster County Hospital Authority The calculation for computing no rebate due was performed on 12/28/2013 Schedule K, Part IV, Line 2c Rebate Calculation Issuer name: Lancaster County Hospital Authority The calculation for computing no rebate due was performed on 10/09/2012 Schedule K, Part IV, Line 2c Rebate Calculation Issuer name: Lancaster County Hospital Authority The calculation for computing no rebate due was performed on 10/09/2012 DOUGLAS W RINEHART OFFICER 1006626 INDIVIDUAL IS A BOARD MEMBER OF LEMSA. LEMSA PROVIDES SERVICES TO LANCASTER GENERAL HOSPITAL. false LEE M DUKE II MD OFFICER 2317904 INDIVIDUAL IS EMPLOYED PART TIME BY PULMONARY ASSOCIATES OF LANCASTER (PAL). PAL PROVIDES SERVICES TO LANCASTER GENERAL HOSPITAL. false KEITH R KUHLENGEL MD TRUSTEE 828465 INDIVIDUAL IS A PARTNER OF LANCASTER NEUROSCIENCE & SPINE ASSOCIATES WHICH PROVIDE SERVICES TO LANCASTER GENERAL HOSPITAL. false CHARLES RODENBERGER MD TRUSTEE 55125 INDIVIDUAL IS A JOINT VENTURE PARTNER WITH DAVITA. DAVITA HAS A DIALYSIS CONTRACT WITH LANCASTER GENERAL HOSPITAL. false GARY DAVIDSON OFFICER 4840315 INDIVIDUAL IS A BOARD MEMBER FOR LINKEHR. LINKEHR PROVIDES SERVICES TO LANCASTER GENERAL HOSPITAL. false Schedule L, Part IV, Column (c) Business Transactions Involving Interested Persons The amounts disclosed for Schedule L, Part IV, Column C are the amounts of the the business transaction Lancaster General Hospital had with the organization of which the interested person was an officer, director, trustee, key employee or partner. X 3 4300 Market value X 726 Market value X 1 5632 Market value X 1 1055 Market value X 3 2510 Market value X Gift Certificates 8 694 Market value X Wine Lots 4 5386 Market value X Floral Arrangement 1 1385 Market value 0 false true false Schedule M, Part I Explanations of reporting method for number of contributions Art - Works of art: Reporting number of art pieces received Clothing and household goods: Reporting number of instances in which contributions of clothing and home decor were contributed. Collectibles: Reporting number of pieces of jewelry received. Food inventory: Reporting number of instances in which food items were donated. Other: Reporting number of vendors in which gift certificates were distributed for. Other: Reporting number of wine lots received. Other: Reporting number of instances in which floral arrangements were received Securities - Publicly traded: Reporting number of stock-gift contributions received 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 OUR 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 $70.7M 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 PROFESSIONALS AT AN UNPAID COST OF $10.7M. Form 990, Part III, Line 4d Description of other program services (Expenses $ 311,343,153 including grants of $ 3,638,780)(Revenue $ 444,640,605) 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 116,308 VISITS DURING FISCAL YEAR 2015. TOTAL PATIENT DAYS FOR THE FISCAL YEAR WERE 153,321. MEDICARE AND MEDICAID PATIENTS CONTRIBUTED 15,920 AND 6,202, RESPECTIVELY, TOWARDS THE 35,282 TOTAL INPATIENT DISCHARGES DURING THE FISCAL YEAR. 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 10a LOCAL CHAPTERS, BRANCHES, OR AFFILIATES LANCASTER GENERAL HEALTH (EIN# 23-2250941) IS THE PARENT ORGANIZATION OF MULTIPLE AFFILIATES INCLUDING LANCASTER GENERAL HOSPITAL. Form 990, Part VI, Line 14 DOCUMENT RETENTION AND DESTRUCTION POLICY THE ORGANIZATION HAS THE POLICIES AND PROCEDURES IN PLACE AS MENTIONED IN FORM 990, PART VI, SECTION B, LINES 14 AND 16B. HOWEVER, THEY ARE NOT CURRENTLY APPROVED BY THE GOVERNING BODY. 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 AND 16B. HOWEVER, THEY ARE NOT CURRENTLY APPROVED BY THE GOVERNING BODY. 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 or 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 or 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 10b Monitoring compliance of local unit's activities The organization has policies and procedures governing the activities of its affiliates. However, they are not currently approved by the governing board. Form 990, Part VI, Line 11b Review of form 990 by governing body The Vice President-Controller and the Director of Accounting reviewed the Form 990. 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 electronic 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 dislosure 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 15a 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 so 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 postions. 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 15b Process to establish compensation of other employees 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 so 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 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 Members of the Board are not compensated for their position on the Board. Compensation disclosed relates to other services performed. Form 990, Part VIII, Line 2f Other Program Service Revenue All Other Program Service Revenue - Total Revenue: 258191, Related or Exempt Function Revenue: 256217, Unrelated Business Revenue: 1974, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Rental Revenue - Total Revenue: 5076763, Related or Exempt Function Revenue: , Unrelated Business Revenue: 58244, Revenue Excluded from Tax Under Sections 512, 513, or 514: 5018519; All Other Revenue - Total Revenue: 12613330, Related or Exempt Function Revenue: 7894071, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 4719259; Form 990, Part X, Line 20 Tax Exempt Bond Liabilities The amount of issue oustanding for both the Series 2007 and 2012 Bonds also includes the bond premium. The balance of the 2007 bond premium at 6/30/15 was $2,019,783. The balance of the 2012 bond premium at 6/30/15 was $3,035,423. Form 990, Part XI, Line 9 Other changes in net assets or fund balances Change in interest in net assets of Lancaster General - 341005; Other Non-Operating Income - 3359072; Related Party Transfers - -91428308; Perpetual Trust Distribution - 78537; LANCASTER GENERAL HEALTH 555 NORTH DUKE STREET LANCASTER PA 17604 232250941 MGMT & FIN. SUPPORT TO CONTROLLED ORG. & UNDERTAKING ACTIVITIES TO IMPROVE THE HEALTH OF COMMUNITY PA 501(c)(3 Type II NA false LANCASTER GENERAL HEALTH FOUNDATION 555 NORTH DUKE STREET LANCASTER PA 17604 205767147 ORGANIZED & OPERATED TO SUPPORT THE EXEMPT PURPOSES OF MEMBER OF LG HEALTH PA 501(c)(3 Type III-FI LANCASTER GENERAL HEALTH false LANCASTER GENERAL MEDICAL GROUP 1030 NEW HOLLAND AVENUE LANCASTER PA 17601 232777286 PROVIDE CHARITABLE PRIMARY AND SPECIALTY HEALTHCARE PA 501(c)(3 3 LANCASTER GENERAL HEALTH false LANCASTER GENERAL HEALTH-COLUMBIA CENTER 306 NORTH 7TH STREET COLUMBIA PA 17512 230485650 ACUTE PRIMARY CARE/FACILITY MGMT OP SVCS PA 501(c)(3 3 LANCASTER GENERAL HOSPITAL true PENNSYLVANIA COLLEGE OF HEALTH SCIENCES 410 NORTH LIME STREET LANCASTER PA 17602 061645496 PROVIDE SUPPORT AND PROMOTE HEALTHCARE EDUCATION PA 501(c)(3 2 LANCASTER GENERAL HOSPITAL true LANCASTER GENERAL HEALTH HOLDINGS 555 NORTH DUKE STREET LANCASTER PA 17604 204943109 Promoting, supporting, sponsoring and providing health care and related services PA 501(c)(3 3 LANCASTER GENERAL HOSPITAL true UNITED AUXILIARIES TO LANCASTER GENERAL HOSPITAL 555 NORTH DUKE STREET LANCASTER PA 17604 231976868 TO PROMOTE AND ADVANCE LANCASTER GENERAL HOSPITAL'S PLANS & PROGRAMS PA 501(c)(3 9 NA false THE HEART GROUP OF LANCASTER GENERAL HEALTH 217 Harrisburg Avenue LANCASTER PA 17603 300634510 PROVIDES SPECIALTY CARDIOLOGY HEALTHCARE SERVICES PA 501(c)(3 4 LANCASTER GENERAL HEALTH false LANCASTER GENERAL HEALTH INNOVATIVE SOLUTIONS INC 555 NORTH DUKE STREET LANCASTER PA 17604 460589543 TO CONCEIVE AND LAUNCH NOVEL HEALTHCARE SERVICES AND PRODUCTS PA 501(c)(3 Type I LANCASTER GENERAL HEALTH false LANCASTER PET PARTNERSHIP LLP PO BOX 4216 LANCASTER PA 17604 233102793 MEDICAL SERVICES PA LANCASTER GENERAL HEALTH HOLDINGS N/A MRI GROUP LLP PO BOX 4216 LANCASTER PA 17604 331011386 MEDICAL SERVICES PA LANCASTER GENERAL HEALTH HOLDINGS N/A LG HEALTH COMMUNITY CARE COLLABORATIVE LLC 555 NORTH DUKE STREET LANCASTER PA 17604 455542179 ACCOUNTABLE CARE ORGANIZATION PA LANCASTER GENERAL HOSPITAL Related false true 0.97 LANCASTER GENERAL SERVICES BUSINESS TRUST 607 NORTH DUKE STREET LANCASTER PA 17602 232250128 OWNS & OPERATES REAL ESTATE PROPERTY, PHARMACY & HOME INFUSION COMPANY PA LANCASTER GENERAL HEALTH Trust false BARGE GANSE VENACARE BUSINESS TRUST 607 NORTH DUKE STREET LANCASTER PA 17602 232113017 PHARMACY & OWNER OF HOME INFUSION THERAPY SERVICES COMPANY PA LANCASTER GENERAL SERVICES BUSINESS TRUST Trust false LANCASTER GENERAL INSURANCE COMPANY 980176655 INSURANCE CJ LANCASTER GENERAL HEALTH C Corporation false true true true false false false true false false true true true true false true true true true false Lancaster General Health-Columbia Center B 1313775 FMV Lancaster General Health-Columbia Center K 376398 FMV Lancaster General Health-Columbia Center L 156817 FMV Lancaster General Health-Columbia Center O 281897 FMV Lancaster General Health-Columbia Center Q 1235207 FMV Lancaster General Health-Columbia Center R 1218944 FMV Lancaster General College of Nursing & Health Sciences A 105504 FMV Lancaster General College of Nursing & Health Sciences B 3608224 FMV Lancaster General College of Nursing & Health Sciences G 154922 FMV Lancaster General College of Nursing & Health Sciences L 475308 FMV Lancaster General College of Nursing & Health Sciences M 1725162 FMV Lancaster General College of Nursing & Health Sciences O 326530 FMV Lancaster General College of Nursing & Health Sciences Q 4783613 FMV MRI Group LLP J 435862 FMV MRI Group LLP L 1116218 FMV MRI Group LLP M 4565576 FMV Lancaster PET Partnership LLP J 69997 FMV Lancaster PET Partnership LLP L 282860 FMV LG Health Community Care Collaborative LLC B 2999559 FMV LG Health Community Care Collaborative LLC O 1702973 FMV Lancaster General Health B 51289801 FMV Lancaster General Health L 5781711 FMV Lancaster General Health M 491403 FMV Lancaster General Health Foundation B 552783 FMV Lancaster General Health Foundation C 359536 FMV Lancaster General Health Foundation L 152503 FMV Lancaster General Health Foundation O 336561 FMV The Heart Group of Lancaster General Health B 14760066 FMV The Heart Group of Lancaster General Health J 93396 FMV The Heart Group of Lancaster General Health K 343671 FMV The Heart Group of Lancaster General Health L 573317 FMV The Heart Group of Lancaster General Health M 970166 FMV The Heart Group of Lancaster General Health O 203778 FMV The Heart Group of Lancaster General Health O 279268 FMV The Heart Group of Lancaster General Health P 123650 FMV The Heart Group of Lancaster General Health Q 4691886 FMV The Heart Group of Lancaster General Health R 3157000 FMV Lancaster General Medical Group B 26377070 FMV Lancaster General Medical Group J 1712960 FMV Lancaster General Medical Group L 4496369 FMV Lancaster General Medical Group M 5845279 FMV Lancaster General Medical Group O 2605213 FMV Lancaster General Medical Group O 3594242 FMV Lancaster General Medical Group P 193729 FMV Lancaster General Medical Group Q 13586914 FMV Lancaster General Medical Group R 400000 FMV Lancaster General Insurance Company M 1658720 FMV Lancaster General Health Innovative Solutions Inc B 1092719 FMV Lancaster General Health Innovative Solutions Inc L 170661 FMV Lancaster General Health Innovative Solutions Inc O 693098 FMV Lancaster General Health Holdings Inc B 134567 FMV Lancaster General Health Holdings Inc C 10700256 FMV Lancaster General Health Holdings Inc L 134567 FMV Lancaster General Services Business Trust K 362805 FMV Lancaster General Services Business Trust L 168839 FMV Lancaster General Services Business Trust M 302338 FMV United Auxiliaries to Lancaster General Hospital C 110000 FMV United Auxiliaries to Lancaster General Hospital Q 192192 FMV Transactions with Related Organizations All arrangements are negotiated at arm's length and for fair value in compliance with the organization's conflict of interest policy. Affiliates perform inter-company transactions as part of the normal course of business.