2013-05-10T14:00:08-05:00 2012-06-30 990 2011-07-01 231365353 LANCASTER GENERAL HOSPITAL LANC 7175445398 555 North Duke Street Lancaster PA 17604 DENNIS ROEMER 2013-05-10 2011 2016-02-24 21:20:13Z DENNIS ROEMER EVP & CFO 555 North Duke Street Lancaster PA 17604 1022202913 false X WWW.LGHEALTH.ORG X 1893 PA TO ADVANCE THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE. 19 16 6455 636 6329026 609101 8541742 4464192 799587556 815010862 3054704 2235309 37578542 35605190 848762544 857315553 4349531 3658668 0 0 408848174 417001898 70200 64350 1139539 372282930 376290909 785550835 797015825 63211709 60299728 743321318 784628278 328665148 338351954 414656170 446276324 X 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 110335234 174311386 SURGICAL SERVICES (29,839 ENCOUNTERS) 92763779 190268999 NURSING SERVICES (164,541 PATIENT DAYS) 36060490 93689087 LABORATORY SERVICES (3,289,503 TRANSACTIONS) 368066148 3658668 364395765 ALL OTHER PROGRAM SERVICES, INCLUDING BUT NOT LIMITED TO; PHARMACY, 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 108,086 VISITS DURING FISCAL YEAR 2012. MEDICARE MADE UP 28,091 OF THOSE VISITS WHILE MEDICAID PATIENTS VISITED THE ER 32,445 TIMES DURING THE YEAR. THE UNINSURED HAD A TOTAL OF 13,257 VISITS TO THE ER DURING 2012. TOTAL PATIENT DAYS FOR THE FISCAL YEAR WERE 167,068. MEDICARE AND MEDICAID PATIENTS CONTRIBUTED 16,390 AND 6,504, RESPECTIVELY, TOWARDS THE 37,166 TOTAL INPATIENT DISCHARGES DURING THE FISCAL YEAR. 368066148 3658668 364395765 607225651 true true false true false false false false true true false false true true true false true false false false false false true false false true true true true true true false false false false false false false false false true false false false false false true true true false false true X 295 0 true 6455 true true true true CJ false false false false false false false false X 19 16 false false false false true true true true true false true false true false false false false false true false PA X Dennis Roemer EVP & CFO 7175444926 555 North Duke Street Lancaster PA 17604 X ALEXANDER HENDERSON ESQ 2.00 X X 0 0 0 C CLAIR MCCORMICK 2.00 X X 0 0 0 THOMAS E BEEMAN PHD 60.00 X X 701983 0 264962 ANTONIO SUAREZ 2.00 X 0 0 0 BRUCE R LIMPERT 2.00 X 0 0 0 DANA CHRYST 2.00 X 0 0 0 DANIEL R PORTERFIELD PHD 2.00 X 0 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the activities reported on Lines 1a through 1i Schedule C, Part II-B, Line 1 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, AND RALLIES, DEMONSTRATIONS, SEMINARS, CONVENTIONS, SPEECHES, LECTURES, OR OTHER SIMILAR MEANS. 6712971 141048 216509 486960 36 6583532 5136601 750733 929316 105106 -1427 6712971 4590848 5720 555097 11892 3172 5136601 5209323 62387 -679295 1567 4590848 0.65000 0.35000 false false 33697156 33697156 382782349 144715087 238067262 14395048 9340950 5054098 402844280 275003510 127840770 105510148 62436730 43073418 447732704 MISCELLANEOUS RECEIVABLE 4708461 ASSETS WHOSE USE IS LIMITED 27411852 OTHER CURRENT ASSETS 176048 PERPETUAL TRUST FUNDS SHOWN AT YEAR END MARKET VALUE 6661502 FUNDS HELD BY AN AFFILIATE SHOWN AT YEAR END MARKET VALUE 927181 OTHER LONG-TERM ASSETS 7450536 INVESTMENT IN NON-CONSOLIDATING AFFILIATES 3713080 DUE FROM AFFILIATES 1153737 52202397 0 OTHER LONG-TERM LIABILITIES 25986834 ESTIMATED THIRD PARTY PAYOR SETTLEMENTS 10853000 INTEREST PAYABLE 1259989 CAPITAL LEASE OBLIGATIONS 2212849 40312672 857315553 797015826 60299727 -4732602 -23946972 -28679574 31620153 828635983 -4732602 -23946968 -28679570 857315553 0 0 857315553 797015825 0 0 797015825 0 0 797015825 Intended uses of endowment funds Schedule D, Part V, Line 4 LANCASTER GENERAL HOSPITAL UTILIZES THE ENDOWMENT FUNDS IN ACCORDANCE WITH THEIR TAX-EXEMPT PURPOSE AND AS SPECIFIED BY DONOR. FIN 48 (ASC 740) footnote Schedule D, Part X, Line 2 LANCASTER GENERAL HOSPITAL FOLLOWS THE ACCOUNTING GUIDANCE FOR UNCERTAINTIES IN INCOME TAX POSITIONS 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 TAX RETURN. LANCASTER GENERAL HOSPITAL DOES NOT BELIEVE ITS CONSOLIDATED FINANCIAL STATEMENTS INCLUDE ANY MATERIAL UNCERTAIN TAX POSITIONS. Other changes in net assets Schedule D, Part XI, Line 8 CHANGE IN INTEREST IN NET ASSETS OF LANCASTER GENERAL HEALTH - 363785; OTHER NON-OPERATING INCOME - 11253990; TRANSFER OF NET ASSETS - 10187; RELATED PARTY TRANSFERS - -35659358; PERPETUAL TRUST DISTRIBUTIONS - 84424; Other revenues in audited financial statements not in form 990 Schedule D, Part XII, Line 2d RELATED PARTY TRANSFERS - -35659358; PERPETUAL TRUST DISTRIBUTIONS - 84424; CHANGE IN INTEREST IN NET ASSETS OF LANCASTER GENERAL HEALTH-TRNA - 373972; OTHER NON-OPERATING INCOME - 11253994; X X X X X X X true LINDSLEY CONSULTING GROUP 89 LEAMAN ROAD LANCASTER PA 17603 CANCER CAPITAL CAMPAIGN SUPPORT false 2154810 64350 2090460 2154810 64350 2090460 PA true true X true X true X true true false true true 9291559 0 9291559 0.01220 72706640 0 72706640 0.09540 0 0 0 0.00000 0 0 81998199 0 81998199 0.10760 6198597 4048825 2149772 0.00280 9529597 1843579 7686018 0.01010 201664 83593 118071 0.00020 0 0 0 0.00000 918645 0 918645 0.00120 0 0 16848503 5975997 10872506 0.01430 0 0 98846702 5975997 92870705 0.12190 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 218032 0 218032 0.00030 0 0.00000 1500000 0 1500000 0.00200 0 0 1718032 0 1718032 0.00230 34827136 0 255705687 350155083 -94449396 X true false 2 1 LANCASTER GENERAL HOSPITAL

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OUTPATIENT SERVICES FEDERAL POVERTY GUIDELINES SCHEDULE H, PART I, LINE 3C LANCASTER GENERAL HOSPITAL FOLLOWS THE FEDERAL POVERTY GUIDELINES FOR FREE CARE AND DISCOUNTED CARE. FREE OR DISCOUNTED CARE BUDGET SCHEDULE H, PART I, LINE 5B LANCASTER GENERAL HOSPITAL'S BUDGETED AMOUNT OF $27,875,913 FOR FREE OR DISCOUNTED CARE PROVIDED UNDER ITS CHARITY CARE POLICY EXCEEDED ITS EXPENSES OF $23,060,052 BY $4,815,861. THE PRIOR YEAR EXPENSES WERE $27,252,953. Community benefit report prepared by related organization Schedule H, Part I, Line 6a LANCASTER GENERAL HEALTH COMMUNITY BENEFIT REPORT SCHEDULE H, PART I, LINE 6A LANCASTER GENERAL HOSPITAL'S COMMUNITY BENEFIT REPORT IS A REPORT DISTINCT FOR THIS ORGANIZATION. Costing Methodology used to calculate financial assistance Schedule H, Part I, Line 7 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. Bad Debt Expense excluded from financial assistance calculation Schedule H, Part I, Line 7, column(f) 34,827,136 SUBSIDIZED HEALTH SERVICES SCHEDULE H, PART I, LINE 7G SUBSIDIZED HEALTH SERVICES REPORTED INCLUDES PSYCHIATRIC SERVICES. Community Building Activities Schedule H, Part II 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. COLLECTION PRACTICES SCHEDULE H, PART III, LINE 3 LANCASTER GENERAL HOSPITAL'S CURRENT COLLECTION POLICY DOES NOT CONTAIN PROVISIONS ON THE COLLECTION PRACTICES TO FOLLOW FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE. Bad debt expense - financial statement footnote Schedule H, Part III, Line 4 BAD DEBT IS NOT INCLUDED AS A FOOTNOTE TO THE FINANCIAL STATEMENTS. THE FINANCIAL STATEMENTS INCLUDE BAD DEBT AS AN OPERATING EXPENSE NOT AS A REDUCTION OF PATIENT SERVICE REVENUE. PART III, LINE 2 - FOR THE PRIOR YEAR OF FISCAL YEAR 2011, BAD DEBT WAS REPORTED AT COST PER IRS REPORTING REQUIREMENTS. A COST ACCOUNTING SYSTEM WAS USED TO CALCULATE A COST TO CHARGE RATIO AND APPLIED TO THE BAD DEBT ACCOUNTS THAT WERE WRITTEN OFF. PER IRS INSTRUCTION, THE CURRENT YEAR OF FISCAL YEAR 2012 IS REPORTED AS ACTUAL BAD DEBT EXPENSE. FOR COMPARATIVE PURPOSES, THE FISCAL YEAR 2011 AMOUNT OF BAD DEBT EXPENSE WAS $33,497,175. PART III, LINE 3 - AMOUNT IS ZERO BECAUSE THESE ACCOUNTS WOULD NOT BE INCLUDED AS BAD DEBT BUT WOULD BE INCLUDED AS CHARITY CARE. Community benefit & methodology for determining medicare costs Schedule H, Part III, Line 8 A HIGHLY DEVELOPED 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 2012. THE $94,449,396 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 $163,947,377 AND INCLUDES BAD DEBT, INDIRECT MEDICAL EDUCATION (IME) PAYMENTS, COINSURANCES, AND DEDUCTIBLES. DIRECT GRADUATE MEDICAL EDUCATION (GME) REVENUE OF $1,295,863 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 $133,584,675. 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. Other ways hospital publicized Financial Assistance Policy Schedule H, Part V Section B, Line 13g (1) LANCASTER GENERAL HOSPITAL - THE HOSPITAL FACILITY DOES NOT ATTACH THE FINANCIAL ASSISTANCE POLICY TO BILLING INVOICES. HOWEVER, THE INVOICES NOTE THAT FINANCIAL ASSISTANCE IS AVAILABLE AND TO CONTACT THE FACILITY FOR ASSISTANCE.;(2) WOMEN AND BABIES HOSPITAL - THE HOSPITAL FACILITY DOES NOT ATTACH THE FINANCIAL ASSISTANCE POLICY TO BILLING INVOICES. HOWEVER, THE INVOICES NOTE THAT FINANCIAL ASSISTANCE IS AVAILABLE AND TO CONTACT THE FACILITY FOR ASSISTANCE.; Means used to determine amounts billed Schedule H, Part V Section B, Line 19d (1) LANCASTER GENERAL HOSPITAL - THE HOSPITAL FACILITY USED A BILLING RATE BETWEEN THE AVERAGE NEGOTIATED COMMERCIAL INSURANCE RATE AND THE MEDICARE RATE.;(2) WOMEN AND BABIES HOSPITAL - THE HOSPITAL FACILITY USED A BILLING RATE BETWEEN THE AVERAGE NEGOTIATED COMMERCIAL INSURANCE RATE AND THE MEDICARE RATE.; ADDITIONAL EXPLANATION SCHEDULE H, PART VI 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. Needs assessment. Schedule H, Part VI, Line 2 LANCASTER GENERAL HOSPITAL ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES IN A STRATEGIC AND COLLABORATIVE FASHION. OUR PRIMARY SERVICE AREA IS LANCASTER COUNTY. WE ASSESS OUR COMMUNITIES AS IT RELATES TO MINORITY AND DISPARATE POPULATIONS. LANCASTER GENERAL HOSPITAL WORKS COLLABORATIVELY WITH THE LANCASTER HEALTH IMPROVEMENT PARTNERSHIP (LHIP) TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT. LANCASTER GENERAL HOSPITAL HAS BEEN ACTIVELY INVOLVED IN THE LHIP SINCE 1996. THIS COMMUNITY COLLABORATIVE CONSISTS OF HEALTH AND HUMAN SERVICE PROVIDERS AS WELL AS COUNTY GOVERNMENT DEPARTMENTS. LANCASTER GENERAL HOSPITAL ALONG WITH LHIP UTILIZES A VARIETY OF DATA ELEMENTS TO ANALYZE GAPS AND DEVELOP INITIATIVES FOR PROGRAMS TO MEET THE NEEDS OF THE POPULATION IT SERVES. MORBIDITY & MORTALITY DATA IS REVIEWED ANNUALLY. BEHAVIORAL RISKS ARE REVIEWED EVERY THREE YEARS. FOCUS GROUP REPORTS ARE CONDUCTED PERIODICALLY TO ASSESS SPECIAL POPULATION NEEDS SUCH AS LATINO, AFRICAN AMERICAN, AND AMISH. LANCASTER GENERAL HOSPITAL, THROUGH THE MISSION AND COMMUNITY BENEFIT COMMITTEE OF THE BOARD OF DIRECTORS AND TRUSTEES, ANALYZES THE DATA AND IDENTIFIES PRIMARY FOCUS AREAS. OUR CURRENT FOCUS AREAS ARE ACCESS TO CARE, HEALTHY WEIGHT MANAGEMENT, AND TOBACCO USE. A BUSINESS PLAN IS ESTABLISHED FOR EACH OF THE PRIORITY AREAS WORKING CLOSELY WITH COMMUNITY COLLABORATIVES SUCH AS THE TOBACCO FREE COALITION OF LANCASTER COUNTY, LIGHTEN UP LANCASTER (ADDRESSING THE OBESITY EPIDEMIC) AND LHIP (ACCESS TO CARE FOCUS). LANCASTER GENERAL HOSPITAL WORKS WITH THE COMMUNITY COLLABORATIVES TO IDENTIFY BROAD COMMUNITY INDICATORS IN ADDITION TO ESTABLISHING A LANCASTER GENERAL HOSPITAL SPECIFIC SCORECARD. THE COMMUNITY INDICATORS AS WELL AS THE PROGRAMMATIC SCORECARD SERVE AS OUR EVALUATION MECHANISM. MUCH OF OUR COMMUNITY NEEDS ARE MULTIFACETED AND THE SOLUTIONS ARE COMPLEX. LANCASTER GENERAL HOSPITAL CONSISTENTLY WORKS WITH AND IDENTIFIES PARTNERS TO CREATE SYNERGIES IN OUR EFFORTS TO AFFECT THE OVERALL HEALTH AND WELL BEING OF LANCASTER COUNTY. Patient education of eligibility for assistance. Schedule H, Part VI, Line 3 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. Community information. Schedule H, Part VI, Line 4 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 528,329 PEOPLE. ABOUT 16% OF THE POPULATION IS OVER THE AGE OF 64; 51% OF THE POPULATION IS FEMALE. THE MEDIAN INCOME IS $51,022, AND 9.4% OF THE POPULATION LIVES BELOW THE FEDERAL POVERTY LEVEL. LANCASTER GENERAL HOSPITAL'S MARKET SHARE IN LANCASTER COUNTY IS APPROXIMATELY 56%. Promotion of community health Schedule H, Part VI, Line 5 LANCASTER GENERAL HOSPITAL IS GOVERNED BY A 16-MEMBER BOARD OF TRUSTEES, INCLUDING 14 COMMUNITY MEMBERS AND TWO PHYSICIANS WHO ALL RESIDE IN OUR PRIMARY SERVICE AREA. 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 11 COMMITTEES COMPRISED OF AN ADDITIONAL 30+ COMMUNITY MEMBERS. THE COMMITTEES INCLUDE: QUALITY, MISSION & COMMUNITY BENEFIT, PROFESSIONAL AFFAIRS, STRATEGIC DEVELOPMENT, FINANCE/CAPITAL ALLOCATIONS, AUDIT & COMPLIANCE, EXECUTIVE, INFORMATION MANAGEMENT, INVESTMENT, MANAGEMENT DEVELOPMENT AND COMPENSATION AND HEALTH SERVICES. LANCASTER GENERAL HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS AND DENTISTS IN OUR COMMUNITY FOR MOST OF ITS DEPARTMENTS. AN EXCEPTION EXISTS FOR THOSE DEPARTMENTS WHERE THE HOSPITAL HAS CONTRACTED WITH A PHYSICIAN PRACTICE TO SERVE AS AN EXCLUSIVE PROVIDER. SPECIALTIES INCLUDE EMERGENCY MEDICINE, RADIOLOGY, PATHOLOGY AND CARDIOTHORACIC SURGERY. THE HOSPITAL APPLIES ITS ANNUAL SURPLUS TOWARD IMPROVING PATIENT CARE, MEDICAL EDUCATION AND RESEARCH. IN FISCAL YEAR 2012, THE HOSPITAL COMMITTED $55.6 MILLION TO SPENDING FOR PROPERTY, PLANT AND EQUIPMENT. THE PURCHASES HAVE INCLUDED BUILDING RENOVATIONS AND EXPANSIONS, NEW FACILITIES, AND NEW AND REPLACEMENT HEALTHCARE TECHNOLOGY. THE HOSPITAL'S SURPLUS HELPS FUND, AND SERVES AS A CLINICAL EDUCATION SITE FOR, THE LANCASTER GENERAL COLLEGE OF NURSING & HEALTH SCIENCES AND THE LANCASTER GENERAL FAMILY MEDICINE RESIDENCY PROGRAM. THE COLLEGE IS A PRIVATE, CO-EDUCATIONAL, MIDDLE STATES-ACCREDITED, FOUR-YEAR INSTITUTION OFFERING A VARIETY OF ASSOCIATE AND BACCALAUREATE DEGREE PROGRAMS AS WELL AS CERTIFICATE PROGRAMS IN HEALTHCARE. ENROLLMENT IS MORE THAN 1,365 STUDENTS. THE HOSPITAL OPERATES THE LANCASTER GENERAL RESEARCH INSTITUTE, WHICH PROVIDES RESEARCH SUPPORT TO LGH PHYSICIANS AND STAFF, FOCUSING ON TREATMENT, DIAGNOSTIC AND PROCEDURAL EFFICACY IN THE GENERAL HOSPITAL AND AFFILIATED SPECIALTY AREAS. THE INSTITUTE ALSO WORKS IN CONJUNCTION WITH THE FAMILY MEDICINE RESIDENCY PROGRAM TO PROVIDE RESEARCH OPPORTUNITIES FOR THE ADVANCEMENT OF MEDICAL EDUCATION. THE HOSPITAL ALSO OPERATES RESIDENCY PROGRAMS IN FAMILY MEDICINE AND PHARMACY PRACTICE, AS WELL AS FELLOWSHIP PROGRAMS IN GERIATRIC MEDICINE AND PALLIATIVE CARE. LANCASTER GENERAL HOSPITAL BEGAN AN ORGANIZATION WIDE VALUE MANAGEMENT INITIATIVE IN THE THIRD QUARTER OF CALENDAR YEAR 2011, AN EFFORT TO ACHIEVE UP TO $100 MILLION IN INCREASED REVENUE AND REDUCED EXPENSES BY JULY 2013. THE INITIATIVE, UNDER THE AUSPICES OF OUR BOARD OF TRUSTEES AND LED BY EXECUTIVE LEADERSHIP, SEEKS TO INCREASE THE VALUE AND EFFICIENCY OF LANCASTER GENERAL HOSPITAL'S SERVICES AND STRENGTHEN THE HOSPITAL'S FINANCIAL PERFORMANCE IN PREPARATION FOR HEALTHCARE REFORM AND EVOLVING MARKET PRESSURES. ASSISTING THE EFFORT IS A TEAM FROM DELOITTE CONSULTING LLP. Affiliated health care system Schedule H, Part VI, Line 6 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. LANCASTER GENERAL COLLEGE OF NURSING & HEALTH SCIENCES (EIN# 06-1645496) EDUCATES COMPETENT, CARING AND SOCIALLY RESPONSIBLE INDIVIDUALS WHO CONTRIBUTE TO THE HEALTH OF THE COMMUNITY. LANCASTER GENERAL IMAGING CORPORATION'S (EIN# 23-3102789) EXEMPT PURPOSES ARE CONDUCTED THROUGH ITS CONTROL OF TWO PARTNERSHIPS, MRI GROUP, LLP (EIN# 33-1011386) WHICH PROVIDES MEDICAL SERVICES RELATING TO MAGNETIC RESONANCE IMAGING AND COMPUTER TOMOGRAPHY AND LANCASTER PET PARTNERSHIP, LLP (EIN# 23-3102793) WHICH PROVIDES MEDICAL SERVICES RELATING TO POSITRON EMISSION TOMOGRAPHY. LANCASTER GENERAL AMBULATORY SURGICAL SERVICES INC.'S (EIN# 20-4943239) EXEMPT PURPOSES ARE TO PROVIDE SURGICAL SERVICES TO PATIENTS. 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. LANCASTER CLEFT PALATE CLINIC (EIN# 23-1306888) PROVIDES TREATMENT FOR ORAL-FACIAL DEFORMITIES IN INFANTS, CHILDREN AND ADULTS AND TO ENHANCE THE QUALITY OF CARE THROUGH RESEARCH, PUBLICATION, AND EDUCATION. COMPREHENSIVE SERVICES INCLUDED PROSTHETICS, ORTHODONTICS, SPEECH THERAPY, AUDIOLOGY, AND GENERAL DENTISTRY. 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. OTHER AFFILIATES OF LANCASTER GENERAL HEALTH INCLUDE LANCASTER GENERAL INSURANCE COMPANY, LTD. AND LANCASTER GENERAL BUSINESS TRUST AND ITS SUBSIDIARIES. STATE FILING OF COMMUNITY BENEFIT REPORT SCHEDULE H, PART VI, LINE 7 LANCASTER GENERAL HOSPITAL DOES NOT FILE ITS COMMUNITY BENEFIT REPORT WITH THE STATE OF PENNSYLVANIA. true CLINIC FOR SPECIAL CHILDREN 535 BUNKER HILL ROAD PO BOX 128 STRASBURG PA 17579 232555373 501(C)(3) 60000 FMV CONTRIBUTION TO SUPPORT PROGRAM SERVICE. COMMUNITY LIFE NETWORK 510 WALNUT STREET COLUMBIA PA 17512 202161018 501(C)(3) 16800 FMV 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. EDWARD HAND MEDICAL HERITAGE FOUNDATION PO BOX 10302 LANCASTER PA 17603 208119480 501(C)(3) 12500 FMV CONTRIBUTION TO SUPPORT PROGRAM SERVICE. EPHRATA COMMUNITY HOSPITAL 169 MARTIN DRIVE PO BOX 1002 EPHRATA PA 17522 231370484 501(C)(3) 7832 FMV CONTRIBUTION TO SUPPORT PROGRAM SERVICE. FRANKLIN & MARSHALL COLLEGE PO BOX 3003 LANCASTER PA 17604 231352635 501(C)(3) 15000 FMV CONTRIBUTION TO SUPPORT PROGRAM SERVICE. JAMES STREET IMPROVEMENT DISTRICT 206 WEST JAMES STREET LANCASTER PA 17603 710927742 501(C)(3) 160500 FMV CONTRIBUTION TO SUPPORT PROGRAM SERVICE. LANCASTER COUNTY MEDICAL FOUNDATION 137 E WALNUT ST LANCASTER PA 17602 260499498 501(C)(3) 75000 FMV CONTRIBUTION TO SUPPORT PROGRAM SERVICE. LANCASTER HEART & STROKE FOUNDATION 354 NORTH PRINCE STREET SUITE 200 LANCASTER PA 17603 232714718 501(C)(3) 14364 FMV RENT, UTILITIES, & TAXES CONTRIBUTION TO SUPPORT PROGRAM SERVICE. LANCASTER MEDICAL SOCIETY FOUNDATION 137 E WALNUT STREET LANCASTER PA 17602 232633979 501(C)(3) 10000 FMV CONTRIBUTION TO SUPPORT PROGRAM SERVICE. MILAGRO HOUSE 669 WEST CHESTNUT STREET LANCASTER PA 17603 232954000 501(C)(3) 18115 FMV CONTRIBUTION TO SUPPORT PROGRAM SERVICE. MILLERSVILLE UNIVERSITY PO BOX 1002 MILLERSVILLE PA 17551 232397926 501(C)(3) 6000 FMV CONTRIBUTION TO SUPPORT PROGRAM SERVICE. ROHRERSTOWN FIRE COMPANY 500 ELIZABETH STREET LANCASTER PA 17603 237197558 501(C)(3) 12500 FMV CONTRIBUTION TO SUPPORT PROGRAM SERVICE. SAN JUAN BAUTISTA 425 SOUTH DUKE STREET LANCASTER PA 17602 231983654 501(C)(3) 11000 FMV CONTRIBUTION TO SUPPORT PROGRAM SERVICE. SOUTH EAST LANCASTER HEALTH SERVICES 625 SOUTH DUKE STREET LANCASTER PA 17608 232160896 501(C)(3) 299000 FMV CONTRIBUTION TO SUPPORT PROGRAM SERVICE. UNITED AUXILIARIES TO THE LANCASTER GENERAL HOSPITAL PO BOX 3555 LANCASTER PA 17604 231976868 501(C)(3) 13020 15399 FMV CASH REGISTER SOFTWARE & HARDWARE (CATAPULT) CONTRIBUTION TO SUPPORT PROGRAM SERVICE. UNITED WAY OF LANCASTER COUNTY 630 JANET AVENUE LANCASTER PA 17601 231352093 501(C)(3) 68000 FMV CONTRIBUTION TO SUPPORT PROGRAM SERVICE. CITY OF LANCASTER 39 WEST CHESTNUT STREET LANCASTER PA 17608 236001904 GOVERNMENT ENTITY 1380000 FMV CONTRIBUTION TO SUPPORT PROGRAM SERVICE. SCHOOL DISTRICT OF LANCASTER 1020 LEHIGH AVENUE LANCASTER PA 17602 231726414 501(C)(3) 1340677 FMV CONTRIBUTION TO SUPPORT PROGRAM SERVICE. 19 0 CASH 19346 Procedures for monitoring use of grant funds Schedule I, Part I, Line 2 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 LANCASTER GENERAL COLLEGE OF NURSING AND 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 X false true false false false false false true false ALAN BRADER 512530 0 0 0 94613 0 7510 0 19094 0 633747 0 0 0 BETH HILLS 134786 0 10614 0 296 0 5294 0 8346 0 159336 0 0 0 DENISE A KENNEDY 158446 0 37914 0 792 0 7886 0 8563 0 213601 0 0 0 DOUGLAS W RINEHART 162556 0 30370 0 1324 0 7770 0 19977 0 221997 0 0 0 F JOSEPH BYORICK III 412054 0 133826 0 28558 0 10000 0 20801 0 605239 0 0 0 FREDERICK ROGERS 494208 0 146072 0 26488 0 9225 0 20965 0 696958 0 0 0 GARY DAVIDSON 320993 0 131559 0 1951 0 45170 0 21049 0 520722 0 0 0 GEOFFREY W EDDOWES 249100 0 73569 0 2287 0 40249 0 20865 0 386070 0 0 0 JAN L BERGEN 473895 0 240741 0 16925 0 130659 0 9945 0 872165 0 0 0 JOHN LEE 422406 0 41617 0 33401 0 9225 0 20734 0 527383 0 0 0 JOSEPH A PUSKAR 243800 0 48107 0 7161 0 10000 0 20419 0 329487 0 0 0 JUDI L BRENDLE 196926 0 27476 0 793 0 9008 0 20177 0 254380 0 0 0 KAY BRADY 138250 0 28429 0 2128 0 6752 0 14494 0 190053 0 0 0 KENNETH J COLLINS 146232 0 27678 0 1285 0 7008 0 19812 0 202015 0 0 0 LEE M DUKE II MD 417234 0 139151 0 16925 0 110242 0 20597 0 704149 0 0 0 LISA R HESS 147407 0 28678 0 4643 0 6743 0 20091 0 207562 0 0 0 MARGARET F COSTELLA ESQ 201241 0 39078 0 1757 0 9683 0 2176 0 253935 0 0 0 MARION A MCGOWAN RN 489895 0 255352 0 31882 0 10000 0 20875 0 808004 0 0 0 MARY B MISKEY 153215 0 31505 0 9371 0 7764 0 8783 0 210638 0 0 0 NORMA J FERDINAND 271579 0 83031 0 56653 0 75441 0 9784 0 496488 0 0 0 PHILIP BAYLISS 510155 0 0 0 24016 0 10000 0 20942 0 565113 0 0 0 RANDALL OYER 448042 0 43750 0 4571 0 10000 0 15763 0 522126 0 0 0 REGINA M MINGLE 279803 0 88670 0 16366 0 73768 0 9704 0 468311 0 0 0 RICHARD D PAOLETTI 194630 0 38886 0 2161 0 9427 0 20189 0 265293 0 0 0 ROBERT P MACINA ESQ 316189 0 106095 0 24012 0 85952 0 15779 0 548027 0 0 0 STACEY G YOUCIS 190139 0 33163 0 5683 0 9159 0 19910 0 258054 0 0 0 SUSAN WYNNE 246769 0 87998 0 5902 0 37803 0 21153 0 399625 0 0 0 THOMAS E BEEMAN PHD 589757 0 98650 0 13576 0 249027 0 15935 0 966945 0 0 0 TIMOTHY C ZELLERS 170102 0 31723 0 8192 0 8401 0 20076 0 238494 0 0 0 Travel for companions Schedule J, Part I, Line 1a THE AMOUNT PROVIDED FOR TRAVEL FOR COMPANIONS WAS LESS THAN $1,000. Tax indemnification and gross-up payments Schedule J, Part I, Line 1a LANCASTER GENERAL HOSPITAL PROVIDED GROSS-UP PAYMENTS TO EMPLOYEES. 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 $20 PER EMPLOYEE WERE GIVEN DURING THE 2011 TAX YEAR. Written policy regarding payment or reimbursement of expenses Schedule J, Part I, Line 1b THERE IS CURRENTLY NO WRITTEN POLICIES IN PLACE FOR GROSS UP PAYMENTS. Supplemental nonqualified retirement plan Schedule J, Part I, Line 4b TOTAL DISTRIBUTIONS AND/OR CONTRIBUTIONS TO A NON-QUALIFIED SUPPLEMENTAL RETIREMENT PLAN AMOUNTED TO $760,636. THOSE RECEIVING DISTRIBUTIONS AND/OR CONTRIBUTIONS TO THIS NON-QUALIFIED PLAN ARE AS FOLLOWS: THOMAS E. BEEMAN, JAN L. BERGEN, GARY R. DAVIDSON, LEE M. DUKE II, MD, GEOFFREY W. EDDOWES, NORMA J. FERDINAND, ROBERT P. MACINA, ESQ., REGINA M. MINGLE, SUSAN WYNNE. Non-fixed payments Schedule J, Part I, Line 7 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. LANCASTER COUNTY HOSPITAL AUTHORITY 236648018 XXXXXXXXX 2005-07-01 15945000 PURCHASE OF EQUIPMENT false false false LANCASTER COUNTY HOSPITAL AUTHORITY 236648018 514045YB3 2007-01-24 33450000 CONSTRUCTION OF EMPLOYEE PARKING GARAGE false false false LANCASTER COUNTY HOSPITAL AUTHORITY 236648018 514045YK3 2007-01-24 63375000 REFUNDING OF SERIES 2003 BOND (ISSUE DATE OF 9/15/2003) false false false 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 0 0 181624 0 0 0 0 0 0 13994144 0 0 2007 false false true true 0 0 33450000 0 0 0 201473 0 0 37017542 0 0 2008 false false true true 0 0 63375000 0 0 63375000 381715 0 0 0 0 0 2007 false true true true 0 0 25250000 0 0 25250000 194497 0 0 0 0 0 2012 true false true true false false false false 0.0160 0.0000 0.0160 true false false false 0.0000 0.0000 0.0000 true false false false false 0.0000 0.0000 0.0000 true false false false false 0.0000 0.0000 0.0000 true true false false false false false true false false 0.0 false 0.0 false false true false false false false false false true true BOAML 35.0 false false false false false DEFEASED PART I, COLUMN (F) BOND SERIES 2003 WAS ISSUED ON SEPTEMBER 15, 2003 BY THE LANCASTER COUNTY HOSPITAL AUTHORITY (CUSIP# 514045). IN JANUARY 2007, THE SERIES 2003 WAS LEGALLY DEFEASED WITH THE SERIES 2007B BOND ISSUANCE. CONCURRENT WITH THE DEFEASANCE, AN IRREVOCABLE ESCROW WAS ESTABLISHED FOR THE AGGREGATE AMOUNT OF THE DEFEASED SERIES 2003 REVENUE BONDS. WITH THAT SAID, THERE IS NO LIABILITY ON OUR BALANCE SHEET AND IS THUS NOT SHOWN ON SCHEDULE K, PART I. CAPITAL EXPENDITURES PART II, LINE 10 BOND ISSUE A HAD $1,950,855.85 THAT WAS NOT USED. THIS AMOUNT WAS APPLIED TO THE PRINCIPAL PAYMENT MADE IN AUGUST 2007. CUSIP # PART I, COLUMN (C) SERIES 2005 AND 2012-A WERE PRIVATE PLACEMENTS AND THUS ARE NOT ASSIGNED A CUSIP #. LANCASTER COUNTY HOSPITAL AUTHORITY 236648018 514045B51 2012-06-28 93755000 REFUNDING A PORTION OF SERIES 2008, 2010, AND 2011 BONDS, AND A PORTION TO BE USED FOR CONSTRUCTION. false false false 0 0 93755000 0 0 56150845 1052345 0 0 0 0 0 2014 false true false true false false false false 0.0000 0.0000 0.0000 true false false false false false false DOUGLAS W RINEHART OFFICER OF THE ORGANIZATION. 624076 INDIVIDUAL IS A BOARD MEMBER OF LEMSA. LEMSA PROVIDES SERVICES TO LANCASTER GENERAL HOSPITAL. false BRUCE R LIMPERT TRUSTEE 1214279 INDIVIDUAL IS A BOARD MEMBER OF MURRAY SECURUS INSURANCE. MURRAY PROVIDES SERVICES TO LANCASTER GENERAL HOSPITAL. false EXEMPT PURPOSE ACHIEVEMENTS FORM 990, PART III, LINE 4D 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 $80M 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 $7.6M. FILING REQUIREMENTS FOR FORM TD-90-22.1 FORM 990, PART V, LINE 4A 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). Classes of members or stockholders Form 990, Part VI, Section A, Line 6 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. Members or stockholders electing members of governing body Form 990, Part VI, Section A, Line 7a LANCASTER GENERAL HEALTH ELECTS THE BOARD OF TRUSTEES OF LANCASTER GENERAL HOSPITAL. Decisions requiring approval by members or stockholders Form 990, Part VI, Section A, Line 7b 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. LOCAL CHAPTERS, BRANCHES, OR AFFILIATES FORM 990, PART VI, LINE 10A LANCASTER GENERAL HEALTH (EIN# 23-2250941) IS THE PARENT ORGANIZATION OF MULTIPLE AFFILIATES INCLUDING LANCASTER GENERAL HOSPITAL. Monitoring compliance of local unit's activities Form 990, Part VI, Section B, Line 10b THE ORGANIZATION HAS POLICIES AND PROCEDURES GOVERNING THE ACTIVITIES OF ITS AFFILIATES. HOWEVER, THEY ARE NOT CURRENTLY APPROVED BY THE GOVERNING BOARD. Review of form 990 by governing body Form 990, Part VI, Section B, Line 11b THE CFO, 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. THE CFO HIGHLIGHTED CERTAIN SECTIONS OF THE FORM 990 DURING THE BOARD MEETING HELD ON MAY 16, 2013 AND ANY QUESTIONS WERE ADDRESSED AT THAT TIME. POLICIES AND PROCEDURES FORM 990, PART VI, LINE 12A THE ORGANIZATION HAS THE POLICIES AND PROCEDURES IN PLACE AS MENTIONED IN FORM 990, PART VI, SECTION B, LINE 12A, 13, 14, AND 16B. HOWEVER, THEY ARE NOT CURRENTLY APPROVED BY THE GOVERNING BOARD. CONFLICT OF INTEREST POLICY FORM 990, PART VI, LINE 12C IN ORDER TO ASCERTAIN AND EVALUATE ACTUAL OR POTENTIAL CONFLICTS, CERTAIN INTERESTED PERSON ARE REQUIRED TO FILL OUT A CONFLICT OF INTEREST DISCLOSURE STATEMENT UPON ENTERING EMPLOYMENT OR BECOMING A TRUSTEE OF LANCASTER GENERAL HOSPITAL OR AN AFFILIATE, AND OTHERS ARE ALSO REQUIRED TO FILL OUT SUCH A STATEMENT ON AN ANNUAL BASIS. IN ADDITION TO THIS REQUIREMENT, ALL OFFICERS AND TRUSTEES, REGARDLESS OF WHETHER OR NOT THEY HAVE FILLED OUT OR HAVE BEEN ASKED TO FILL OUT A CONFLICT OF INTEREST DISCLOSURE STATEMENT, HAVE AN ONGOING AFFIRMATIVE DUTY TO BRING TO THE ATTENTION OF LANCASTER GENERAL HOSPITAL, SITUATIONS WHICH MAY GIVE RISE TO AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST AS DESCRIBED IN THE POLICY. Governing documents, conflict of interest policy and financial statements available to the public Form 990, Part VI, Section C, Line 19 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. AVERAGE HOURS PER WEEK FORM 990, PART VII, SECTION A, LINE 1A, COLUMN (B) THE AVERAGE HOURS PER WEEK REPORTED IN COLUMN B PERTAINS TO THE REPORTABLE COMPENSATION REPORTED IN COLUMNS D, E AND/OR F. COMPENSATION FORM 990, PART VII, SECTION A, LINE 1A, COLUMN (D) MEMBERS OF THE BOARD ARE NOT COMPENSATED FOR THEIR POSITION ON THE BOARD. COMPENSATION DISCLOSED RELATES TO OTHER SERVICES PERFORMED. TAX EXEMPT BOND LIABILITIES FORM 990, PART X, LINE 20 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 6/30/12 WAS $2,029,673. THE BALANCE OF THE 2012 BOND PREMIUM AT 6/30/12 WAS $4,697,558. Other changes in net assets or fund balances Form 990, Part XI, Line 5 NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - -4732602; CHANGE IN INTEREST IN NET ASSETS OF LANCASTER GENERAL HEALTH - 363785; OTHER NON-OPERATING REVENUE - 11253990; TRANSFERS OF NET ASSETS - 10187; RELATED PARTY TRANSFERS - -35659358; PERPETUAL TRUST DISTRIBUTIONS - 84424; LANCASTER GENERAL HEALTH 555 NORTH DUKE STREET LANCASTER PA 17604 232250941 MGMT & FIN. 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AFFILIATES PERFORM INTER-COMPANY TRANSACTIONS AS PART OF THE NORMAL COURSE OF BUSINESS.