2016-05-03T08:01:06-05:00 2015-06-30 990 2014-07-01 232777286 Lancaster General Medical Group LANC 7175444926 1030 New Holland Avenue Lancaster PA 17601 Dennis Roemer EVP AND CFO 2016-05-03 2014 2016-08-17 19:52:53Z Dennis Roemer EVP & CFO 1030 New Holland Avenue Lancaster PA 17601 76719734 false X www.lghealth.org X 1994 PA In support of the mission of Lancaster General Health, Lancaster General Medical Group provides superior, compassionate, integrated and multi-specialty health care to our patients and communities within a trusting and rewarding work environment. 9 0 742 21 0 26995 349500 3000 61961041 67057496 0 0 8715777 9659238 71026318 76719734 0 0 0 0 75238271 79588460 0 0 0 23827844 26230632 99066115 105819092 -28039797 -29099358 19042638 15784518 13270226 12670669 5772412 3113849 Lancaster General Medical Group was organized principally to develop, own and operate outpatient health care practices at which primary and specialty medical services are provided by licensed providers. Lancaster General Medical Group operates primary care practices, specialty care practices, surgical practices, express care clinics and urgent care centers. false false 55117981 0 43976249 Primary Care (362,148 Visits) 22403136 0 13835264 Specialty Care (99,451 Visits) 10172185 0 6934762 Surgical Specialists (39,348 Visits) 2012163 0 11923782 Other 2012163 11923782 89705465 true false false true false false false false false false true false false false true true false true false false false false false false false false false false false true false false false false false false false true false false false false false true false false false true 83 0 true 742 true true true false false false false false X 9 0 true false false false true true true true true false false false true true true true false true true false PA X Dennis R Roemer EVP and CFO 7175444926 555 North Duke Street Lancaster PA 17604 X Thomas E Beeman PhD President & Trustee 2.00 58.00 X X 0 1211154 352361 F Joseph Byorick III Treasurer 2.00 53.00 X X 0 3761590 32100 T Raymond Foley MD President 53.00 2.00 X X 732155 0 155422 Joanne B Ladley Chairperson 2.00 4.00 X X 0 0 0 Robert P Macina Esq Secretary 2.00 53.00 X X 0 1287923 121928 Dennis R Roemer Treasurer 2.00 53.00 X X 0 689100 138318 James A Stuccio Vice President 53.00 2.00 X X 456405 0 28062 Lisa S Allen MD Trustee 55.00 0 X 448051 0 35520 Thomas T Baldrige Trustee 2.00 0 X 0 0 0 Jan L Bergen Trustee 2.00 53.00 X 0 728953 154097 Frederick C Beyer MD Trustee 55.00 0.00 X 460781 0 37434 Lee M Duke II MD Trustee 2.00 53.00 X 0 664794 137936 Eric L Esch MD Trustee 55.00 0 X 246304 0 31938 Dennis A Getz Trustee 2.00 0 X 0 0 0 Christopher L Hager MD Trustee 55.00 0 X 273123 0 35970 Marc S Russo MD Trustee 55.00 0 X 344692 0 36010 Margaret F Costella Esq Assistant Secretary 2.00 53.00 X 0 283383 20273 Paul M Conslato MD Director, Clinical Affairs 55.00 0 X 288295 0 27239 Elizabeth C Horenkamp MD Managing Physician 55.00 0 X 578209 0 31768 Christopher E Maley VP Operations, Physician Services 55.00 0 X 292101 0 26081 Rebecca M Shepherd MD Physician 55.00 0 X 355775 0 27576 John J Yoder MD Managing Physician 55.00 0 X 274827 0 28437 Shyam S Balepur Physician 55.00 0 X 640682 0 31828 Samuel J Kerr MD Physician 55.00 0 X 624520 0 27812 Nandi J Reddy MD Physician 55.00 0 X 649712 0 31206 Gayle B Sisbarro MD Managing Physician 55.00 0 X 547836 0 35847 Shanthi Sivendran MD Physician 55.00 0 X 624256 0 19915 7837724 8626898 1605079 151 false true false Lancaster General Hospital 555 North Duke Street Lancaster PA 17604 Services 8430456 Alliance Property Services 607 North Duke Street Lancaster PA 17602 Rent 3290115 NORLANCO REAL ESTATE PARTNERSHIP 418 CLOVERLEAF ROAD PO BOX 521 ELIZABETHTOWN PA 17022 RENT 570154 EG STOLTZFUS CONSTRUCTION 2127 NEW HOLLAND PIKE LANCASTER PA 17601 CONSTRUCTION 466017 HARMELIN MEDIA 525 RIGHTERS FERRY ROAD BALA CYNWYD PA 19004 MARKETING 388396 20 X 0 0 0 0 0 3000 0 3000 Other Net Patient Revenue 900099 44299316 44299316 0 0 Medicare/Medicaid Revenue 900099 24397972 24397972 0 0 Provision for Bad Debts 900099 -1639792 -1639792 0 0 0 0 0 0 67057496 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Sales to Affiliates Revenue 541900 7713420 7713420 0 0 Management Fee Revenue 541900 1324038 1324038 0 0 621780 575103 0 46677 9659238 76719734 76670057 0 46677 0 0 0 0 0 0 0 0 4989541 2876361 2113180 0 0 0 0 0 58230636 52734583 5496053 0 5285016 4652630 632386 0 7401017 5882178 1518839 3682250 3158927 523323 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 461310 223357 237953 0 466641 466641 0 0 1787953 1626896 161057 0 64185 37236 26949 0 0 0 0 0 5885830 5743213 142617 0 102785 48731 54054 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1026264 989048 37216 0 1220743 1209095 11648 0 Medical/Surgical Supplies 6372321 6372321 0 0 Purchased Services 5926444 3684248 2242196 0 Management Fee Expense 2916156 0 2916156 0 0 0 0 0 105819092 89705465 16113627 0 0 0 0 0 13569 11314 5422808 1013452 4637239 4666280 0 0 0 51479 10118 1100768 1648947 14934416 8996815 5836775 5937601 0 0 1780000 1780000 200000 716806 19042638 15784518 9148270 9040170 0 4121956 3630499 13270226 12670669 X 5772412 3113849 5772412 3113849 19042638 15784518 X -29099358 0 0 0 0 26440795 X false true X true false X false false false false false false true 3826 false false 3826 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Lancaster General Medical Group 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 direct contact with legislators, their staffs, government officials, or a legislative body. 0 0 0 0 0 0 0 0 7708533 4056965 3651568 0 7225883 4939850 2286033 5937601 IBNR MEDICAL MALPRACTICE 1670637 MEDICAL NEGLIGENCE ESTIMATE CLAIMS 650000 IBNR MEDICAL AND DENTAL MALPRACTICE 467000 DUE TO AFFILIATED ORGANIZATIONS 434668 IBNR Workers' Compensation 405853 SEVERANCE OWED 1884 UNCLAIMED Vendor Payments 457 3630499 103160529 26440795 26440795 76719734 0 0 0 76719734 105819092 0 0 105819092 0 0 105819092 Schedule D, Part XIII Fin 48 (ASC 740) Footnote Lancaster General Medical Group 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. Lancaster General Medical Group 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 Related Party Transfers - 26333035 Other Non-Operating Income - 107760 X X false true X X X X false true false false false true false true false Thomas E Beeman PhD President & Trustee 0 883486 0 305000 0 22668 0 338671 0 13690 0 1563516 0 0 F Joseph Byorick III Treasurer 0 281336 0 163948 0 3316306 0 20800 0 11300 0 3793690 0 0 T Raymond Foley MD President 547758 0 151416 0 32982 0 140331 0 15091 0 887578 0 0 0 Robert P Macina Esq Secretary 0 390026 0 139560 0 758337 0 108500 0 13428 0 1409852 0 0 Dennis R Roemer Treasurer 0 473072 0 175807 0 40221 0 122452 0 15866 0 827418 0 0 James A Stuccio Vice President 374120 0 80018 0 2266 0 13000 0 15062 0 484467 0 0 0 Lisa S Allen MD Trustee 328972 0 53015 0 66065 0 20800 0 14720 0 483571 0 0 0 Jan L Bergen Trustee 0 558194 0 151217 0 19542 0 146794 0 7303 0 883050 0 0 Frederick C Beyer MD Trustee 396630 0 56627 0 7523 0 24300 0 13134 0 498214 0 0 0 Lee M Duke II MD Trustee 0 466070 0 165742 0 32982 0 124708 0 13228 0 802730 0 0 Eric L Esch MD Trustee 221575 0 24198 0 531 0 17204 0 14734 0 278242 0 0 0 Christopher L Hager MD Trustee 249199 0 18702 0 5223 0 18200 0 17770 0 309094 0 0 0 Marc S Russo MD Trustee 290473 0 33498 0 20720 0 20800 0 15210 0 380701 0 0 0 Margaret F Costella Esq Assistant Secretary 0 232378 0 47000 0 4005 0 18200 0 2073 0 303656 0 0 Paul M Conslato MD Director, Clinical Affairs 255182 0 27789 0 5325 0 18200 0 9039 0 315534 0 0 0 Elizabeth C Horenkamp MD Managing Physician 514555 0 58325 0 5328 0 13000 0 18768 0 609977 0 0 0 Christopher E Maley VP Operations, Physician Services 240108 0 50955 0 1039 0 13000 0 13081 0 318183 0 0 0 Rebecca M Shepherd MD Physician 274616 0 38634 0 42525 0 13000 0 14576 0 383351 0 0 0 John J Yoder MD Managing Physician 232102 0 40653 0 2072 0 20800 0 7637 0 303264 0 0 0 Shyam S Balepur Physician 527305 0 111809 0 1568 0 13000 0 18828 0 672510 0 0 0 Samuel J Kerr MD Physician 508675 0 114856 0 989 0 13000 0 14812 0 652332 0 0 0 Nandi J Reddy MD Physician 533898 0 114740 0 1074 0 13000 0 18206 0 680918 0 0 0 Gayle B Sisbarro MD Managing Physician 507397 0 38079 0 2360 0 20800 0 15047 0 583684 0 0 0 Shanthi Sivendran MD Physician 508166 0 115227 0 862 0 13000 0 6915 0 644171 0 0 0 Schedule J, Part I, Line 3 Compensation Process 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 Officers and Directors are compensated by Lancaster General Medical Group or Lancaster General Hospital (EIN# 23-1365353) a related organization. Lancaster General Medical Group and Lancaster General Hospital provide 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 or Travel for Companions. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Total distributions and/or contributions to a non-qualified Supplemental Retirement Plan amounted to $4,115,737. Schedule J, Part I, Line 6a Compensation contigent on net earnings of the organization THE MAJORITY OF THE PRIMARY CARE PHYSICIANS BECAME ELIGIBLE FOR ADDITIONAL COMPENSATION BASED ON THE REVENUE AND EXPENSES OF THEIR INDIVIDUAL PRACTICE. EACH FISCAL YEAR, THE CALCULATION COMPARES THE TOTAL DOLLARS AVAILABLE FOR COMPENSATION BASED ON THE REVENUES AND EXPENSES OF THE INDIVIDUAL PRACTICES PLUS ADMINISTRATIVE OVERHEAD, OVER WHAT EACH PHYSICIAN HAS BEEN PAID IN COMPENSATION BASED ON INDIVIDUAL PRODUCTIVITY. TO THE EXTENT THE PROFITABILITY, CALCULATION IS GREATER, THIS DIFFERENCE THEN IS PAID AS ADDITIONAL COMPENSATION. THIS ADDITIONAL COMPENSATION IS PAID ANNUALLY AFTER THE CLOSE OF THE FISCAL YEAR. Schedule J, Part I, Line 7 Non-fixed payments The purpose of the Lancaster General Health, the parent company of Lancaster General Medical Group, 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. JOHN J YODER MD MANAGING PHYSICIAN/KEY EMPLOYEE 570154 RENT false ERIC L ESCH MD PHYSICIAN/TRUSTEE 570154 RENT false MARC S RUSSO MD PHYSICIAN/TRUSTEE 221003 RENT false Form 990, Part III, Line 4d Description of Other Program Services (Expenses $2,012,163)(Revenue $11,923,782) All other program services, including but not limited to: Administration, Urgent Care Centers and Health Express cost centers (57,715 visits). Form 990, Part III, Line 4d Description of other program services (Expenses $ 2,012,163 including grants of $ 0)(Revenue $ 11,923,782) Other 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 MEDICAL GROUP. Form 990, Part VI, Line 14 POLICIES AND PROCEDURES THE ORGANIZATION HAS THE POLICIES AND PROCEDURES IN PLACE AS MENTIONED IN FORM 990, PART VI, LINE 14. HOWEVER, THEY ARE NOT CURRENTLY APPROVED BY THE GOVERNING BOARD. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons MARC S. RUSSO, MD - Business relationship, ERIC L. ESCH, MD - Business relationship, JOHN J. YODER, MD - Business relationship Form 990, Part VI, Line 6 Classes of members or stockholders The Sole Member of Lancaster General Medical Group 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 Medical Group. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders The Sole Member of Lancaster General Medical Group 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 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 PERSON ARE REQUIRED TO FILL OUT A CONFLICT OF INTEREST DISCLOSURESTATEMENT UPON ENTERING EMPLOYMENT OR BECOMING A TRUSTEE OF LANCASTER GENERAL HEALTH 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 HEALTH, 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 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 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 Medical Group does not make the governing documents, conflict of interest policy, or financial statements available to the public. Form 990, Part VII, Section A, Line 1a, Column (B) AVERAGE HOURS PER WEEK 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. The hours disclosed relate to time served on a Board and/or for services provided resulting in compensation paid. Form 990, Part VII, Section A, Line 1a, Column (B) 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 11d Other Miscellaneous Revenue All Other Revenue - Total Revenue: 621780, Related or Exempt Function Revenue: 575103, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 46677; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Related Party Contribution - 26333035; Other Non-Operating income - 107760; Form 990, Part XII, Line 2b Financial Statements and Reporting LANCASTER GENERAL MEDICAL GROUP'S FINANCIAL INFORMATION WAS INCLUDED IN A CONSOLIDATED AUDIT OF LANCASTER GENERAL HEALTH. 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 MEMBERS OF LG HEALTH PA 501(c)(3 Type III-FI 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 false 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 false Lancaster General Health Holdings Inc 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 HEALTH false 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 Ave 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 GENERAL HOSPITAL 555 NORTH DUKE STREET LANCASTER PA 17604 231365353 PROVIDES PRIMARY AND SECONDARY HEALTH CARE SERVICES PA 501(c)(3 4 LANCASTER GENERAL HEALTH false LANCASTER PET PARTNERSHIP LLP PO BOX 4216 LANCASTER PA 17604 233102793 MEDICAL SERVICES PA Lancaster General Health Holdings Related LG HEALTH COMMUNITY CARE COLLABORATIVE LLC 555 NORTH DUKE STREET LANCASTER PA 17604 455542179 ACCOUNTABLE CARE ORGANIZATION PA LANCASTER GENERAL HOSPITAL Related false false MRI GROUP LLP PO BOX 4216 LANCASTER PA 17604 331011386 MEDICAL SERVICES PA Lancaster General Health Holdings Related 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 AND OWNER OF HOME INFUSION THERAPY SERVICES COMPANY PA LANCASTER GENERAL SERVICES BUSINESS TRUST Trust false LANCASTER GENERAL INSURANCE COMPANY PO BOX 1109 GT GRAND CAYMAN CJ KYI1102 980176655 INSURANCE CJ LANCASTER GENERAL HEALTH C Corporation false false false true false false false false false false true true true true false true true true false true Schedule R, Part V, Line 2 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.