2012-05-10T14:57:43-05:00 2011-06-30 BDO USA LLP 7101 WISCONSIN AVENUE BETHESDA MD 20814 990 2010-07-01 231360851 HANOVER HOSPITAL INC HANO 7176373711 300 HIGHLAND AVENUE HANOVER PA 173312214 MICHAEL GASKINS 7176373711 2012-05-10 1 MICHAEL SORRELLS CPA 3016544900 2010 2016-02-24 21:20:13Z JAMES WISSLER 300 HIGHLAND AVENUE HANOVER PA 173312214 144141615 0 X WWW.HANOVERHOSPITAL.ORG X 1924 PA NON-PROFIT COMMUNITY HOSPITAL DEDICATED TO PROMOTING WELLNESS WITHIN THE GREATER HANOVER AREA. 15 11 1455 225 2664524 1003862 615305 3414259 126329788 138948622 857160 321105 935155 976821 128737408 143660807 21252 49823 0 0 65549886 68386092 0 0 272072 63634412 63800181 129205550 132236096 -468142 11424711 141159139 151071138 71013492 70585825 70145647 80485313 X WE ARE A NOT-FOR-PROFIT COMMUNITY HOSPITAL WHICH IS DEDICATED TO THE PROMOTION OF WELLNESS, PRESERVATION OF HEALTH, AND THE PROVISION OF DIAGNOSTIC AND THERAPEUTIC SERVICES TO THE PEOPLE OF THE GREATER HANOVER AREA. 0 0 90667492 49823 136414509 HANOVER HOSPITAL, INC ("HH") OPERATES A NOT-FOR-PROFIT HOSPITAL WITH SERVICES INCLUDING OBSTETRICS, EMERGENCY, CARDIAC CARE, CRITICAL CARE, REHABILITATION, OCCUPATIONAL HEALTH, SURGICAL SERVICES, AND A WIDE RANGE OF THERAPEUTIC AND DIAGNOSTIC SUPPORT SERVICES.HH PROVIDES ACUTE CARE SERVICES INCLUDING MEDICAL, SURGICAL, OBSTETRIC/GYNECOLOGICAL, PEDIATRIC, AND CRITICAL CARE. THE MEDICAL/SURGICAL UNITS ARE STAFFED ON TWO FLOORS, FOR A COMBINED TOTAL OF 58 BEDS. TOTAL PATIENTS DISCHARGED BY THESE UNITS DURING THE YEAR ENDED JUNE 30, 2011 WERE 4,021. OBSTETRICS/GYNECOLOGY STAFFS A TOTAL OF 18 BEDS AND DISCHARGED 694 PATIENTS. THE PEDIATRIC UNIT IS EQUIPPED WITH 5 BEDS AND HAD 175 DISCHARGES. THERE ARE 10 BEDS IN OUR CRITICAL CARE UNIT AND 302 PATIENTS WERE DISCHARGED. THE CENTER FOR ACUTE REHABILITATIVE MEDICINE HAS 15 BEDS, AND DISCHARGED 304 PATIENTS THIS YEAR. THERE WERE 545 DISCHARGES FROM THE NURSERY DURING THE YEAR AS WELL.HH PROVIDES A WIDE RANGE OF DIAGNOSTIC AND SUPPORT SERVICES FOR BOTH INPATIENTS AND OUTPATIENTS. THESE SERVICES INCLUDE, BUT ARE NOT LIMITED TO, LABORATORY, IMAGING SERVICES, CARDIAC SERVICES, AND REHAB FACILITIES. IMAGING SERVICES INCLUDES RADIOLOGY, NUCLEAR MEDICINE, MRI, ULTRASOUND, AND CT SCAN. CARDIAC SERVICES ARE COMPRISED OF REHAB, DIAGNOSTIC, AND A CARDIAC CATHETERIZATION LAB. HH PROVIDES MULTIPLE OUTPATIENT FACILITIES FOR PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY.HH ALSO PROVIDED CARE TO PATIENTS WHO MET CERTAIN CRITERIA WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. CHARGES FOREGONE FOR SERVICES RENDERED AND SUPPLIES FURNISHED UNDER THE CHARITY CARE POLICY AMOUNTED TO APPROXIMATELY $1,648,000 DURING THE YEAR ENDED JUNE 30, 2011. 90667492 1 1 0 1 0 0 0 1 1 1 0 0 0 1 1 1 1 0 0 0 0 0 1 1 0 1 1 1 0 1 1 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 1 0 0 0 0 1 79 0 1 1455 1 1 1 0 0 0 0 1 1 0 0 0 0 X 15 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X DONNA MULLER 7176332032 310 STOCK STREET SUITE 7 HANOVER PA 17331 X PAUL F DENDE 1.00 X 0 290066 13552 WILLIAM E HEISER 1.00 X 0 0 0 THOMAS K HOWARD MD 1.00 X 0 0 0 LAVERNE L LEESE 1.00 X 0 0 0 G STEVEN MCKONLEY ESQUIRE 1.00 X 11145 0 0 STEVEN R SHEPPARD DO 1.00 X 0 0 0 MARCOS A UGARTE MD 1.00 X 0 0 0 C DANIEL WEBER 1.00 X 0 0 0 JILL R ROHRBAUGH 1.00 X X 0 0 0 ALAN J STOCK 1.00 X X 0 0 0 GEORGE M KYRIACOU 40.00 X X 387258 0 14185 PAUL F SPEARS MD 1.00 X X 0 0 0 JOHN R SCHNITZER CPA 1.00 X X 0 0 0 ROBERT WEBB 1.00 X 0 0 0 MARILYN A OLEJNIK 40.00 X 76784 0 587 DAVID C CAPONE 40.00 X 249671 0 0 TODD E PHILLIPS 40.00 X 230038 0 13718 WARREN C DANIELS MD 40.00 X 172463 0 9399 MARY P SAUNDERS 40.00 X 149712 0 8771 MICHAEL A HOCKENBERRY 40.00 X 137678 0 9601 REBECCA E GOODERMUTH 40.00 X 133464 0 8986 DANIEL L LIEB 40.00 X 124969 0 8475 1673182 290066 87274 18 0 1 0 HUNTZINGER MANAGEMENT GROUP 670 N RIVER STREET STE 401 PLAINS PA 18705 CONSULTING 1507768 GE MEDICAL SYSTEMS PO BOX 640944 PITTSBURGH PA 15264 EQUIPMENT MAINTENANCE 1290882 HANOVER ANESTHESIA & PAIN MEDICINE INC 250 FAME AVE STE 102 HANOVER PA 17331 ANESTHESIA SERVICES 1065361 ARUP LABORATORIES PO BOX 27964 SALT LAKE CITY UT 84127 LAB SERVICES 738576 RICHARD POOLE LLC 950-B SMILE WAY YORK PA 17404 RENOVATIONS 733833 30 105395 760695 2548169 68322 3414259 NET PATIENT SVC REV 621990 135246805 135246805 LAB SERVICE REV 621500 3229204 596019 2633185 EMERGENCY ROOM 621990 472613 472613 138948622 613350 613350 213728 146969 66759 66759 16942 49817 1100 201345 92000 -200245 -92000 -292245 -292245 62880 105395 40494 22386 22386 FOOD SERVICES/CATERING 722210 501629 505 501124 PURCH REBATES/DISCNTS 900099 188159 188159 MED RECORDS ABSTRACT 561439 64031 64031 133857 99072 13892 20893 887676 143660807 136414509 2664524 1167515 49823 49823 1807629 1066287 741342 48306369 36498470 11666404 141495 1857594 1398236 453893 5465 12753931 9031311 3680833 41787 3660569 2742823 907563 10183 566239 566239 182015 182015 99577 99577 42704 42704 15860960 8606543 7203318 51099 955144 29219 922307 3618 1417465 608501 802112 6852 388052 53988 334064 4457289 1664333 2792956 176745 88351 87098 1296 3249463 3249463 8213195 3241978 4960940 10277 1538219 1538219 UNRELATED BUS INC TAXES 545342 545342 SUPPLY EXPENSE 17287267 16776905 510362 BAD DEBT EXPENSE 5738622 5738622 LEASING EXPENSE 2727721 2519644 208077 MISCELLANEOUS 243026 7116 235910 111136 111136 132236096 90667492 41296532 272072 102895 58685 4024964 6879240 43164 1555387 12651141 10513132 3177584 2841914 1877277 3878380 170723764 82758869 88138788 87964895 26497179 33008794 1748934 1569108 2897213 2801603 141159139 151071138 13487395 11232294 53558354 52061203 4241634 3967743 3050694 71013492 70585825 X 69675521 77882309 319580 2455527 150546 147477 70145647 80485313 141159139 151071138 X 11424711 -1085045 X X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 50820 50820 0 EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: THE FOLLOWING PORTIONS OF THE DUES PAID TO VARIOUS ENTITIES WERE USED FOR LOBBYING PURPOSES: THE HOSPITAL ASSOCIATION OF PENNSYLVANIA - $6,072, HANOVER AREA CHAMBER OF COMMERCE - $133, YORK CHAMBER OF COMMERCE - $255. LOBBYING EXPENSES WERE ALSO PAID TO MCDERMOTT WILL & EMORY, LLP - $8,750 AND RUSS REID CO. - $35,610. 1 17569 517 17052 1 10948733 386168 2405437 3000 55983 13681355 10655584 133632 1224661 1065145 10948732 12146275 76577 -1498956 68312 10655584 0.98920 0.01080 0.00000 0 0 2428697 2428697 120626826 51390180 69236646 1842640 688713 1153927 45417345 30679976 14737369 408256 408256 87964895 OBLIGATIONS UNDER CAPITAL LEASE 925706 ADVANCES RECEIVED FROM THIRD-PARTY PAYORS 1471201 DEFERRED COMPENSATION 653787 3050694 143660807 132236096 11424711 3991299 -5076344 -1085045 10339666 147891075 3991299 3991299 143899776 -238969 -238969 143660807 137663409 5470017 5470017 132193392 42704 42704 132236096 PART IV, LINE 1B: PART IV, LINE 1B: JOSEPH & PATRICIA HUMBERT CONTRIBUTED $10,000 TO HANOVER HOSPITAL, INC. THE DONORS RECEIVE SEMI-ANNUAL DISTRIBUTIONS OF $290 AND HANOVER HOSPITAL, INC. RECEIVES INTEREST INCOME AND PAYS BANK FEES ON THE FUNDS. THE BALANCE OF THE FUND WHEN BOTH DONORS HAVE EXPIRED IS A CONTRIBUTION TO HANOVER HOSPITAL, INC. PART IV, LINE 2B: THERE WAS AN ADJUSTMENT OF $9,418 TO THE ENDING BALANCE IN THE ESCROW ACCOUNT FOR PLANT REPLACEMENT REPORTED ON THE PRIOR YEAR FORM 990, DUE TO AN ADJUSTMENT OF PRIOR YEAR EXPENSES AND DISTRIBUTIONS. DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: BOARD DESIGNATED FUNDS ARE ASSETS SET ASIDE BY THE BOARD OF TRUSTEES FOR FUTURE CAPITAL IMPROVEMENTS, OVER WHICH THE BOARD RETAINS CONTROL AND MAY, AT ITS DISCRETION, SUBSEQUENTLY USE FOR OTHER PURPOSES. THE FOLLOWING ENDOWMENTS' INCOMES ARE USED FOR THE PURPOSE OF PROVIDING HANOVER HOSPITAL STAFF SCHOLARSHIPS FOR CONTINUING EDUCATION IN THE NOTED SPECIALTIES: BATHON-CRITICAL CARE, CARDIAC AND EMERGENCY SERVICES PATHOLOGISTS- LABORATORY KIRKPATRICK-MATERNITY/OBSTETRICS SHIPMAN-RADIOLOGY BONNIE HART-OPERATING ROOM STEVE LAWRENCE-EMERGENCY MEDICINE THE JACKIE LAWRENCE ENDOWMENT IS RESTRICTED FOR THE PURPOSE OF AWARDING A $500 SCHOLARSHIP TO A DELONE CATHOLIC HIGH SCHOOL SENIOR THAT IS PURSUING A BACHELOR OF SCIENCE- NURSING DEGREE. THE LEHMAN ENDOWMENT FUND IS TO SUPPORT A "WENDELL LEHMAN EDUCATION DAY" FOR THE HANOVER HOSPITAL CARDIAC SERVICES STAFF. PRIOR YEAR BALANCES IN ENDOWMENT FUNDS WERE RESTATED ON THIS FORM 990 DUE TO A CORRECTION FOR INCLUSION OF A BOARD DESIGNATED FUND. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE HOSPITAL ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. MANAGEMENT DETERMINED THAT THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2011 OR 2010. PART XI, LINE 8 - OTHER ADJUSTMENTS: NET ASSET TRANSFER TO AFFILIATE -5,110,000. OTHER 33,656. PART XII, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -146,969. LOSS ON SALE OF PROPERTY AND EQUIPMENT -92,000. PART XIII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 146,969. TRANSFER OF AFFILIATE PER FINANCIAL STATEMENTS 5,110,000. IMPAIRMENT LOSS 121,048. LOSS ON SALE OF ASSETS 92,000. X X X X X 0 PRIDE PHILANTHROPY INC 2620 MILFORD LANE ALPHARETTA GA 30009 FUNDRAISING COUNSELING SERVICES 0 0 28000 0 28000 GOLF BENEFIT 168275 105395 62880 11370 6752 18405 3967 168275 105395 62880 11370 6752 18405 3967 40494 22386 1 1 1 X 1 X 201.000000000000 1 1 0 1 1 4 1304 827515 827515 0.00630 1 14362 7803142 3308227 4494915 0.03400 5 15666 8630657 3308227 5322430 0.04030 40 15922 657888 293113 364775 0.00280 7 836 21964 21964 0.00020 3 457949 430720 27229 0.00020 3 254 122417 122417 0.00090 53 17012 1260218 723833 536385 0.00410 58 32678 9890875 4032060 5858815 0.04440 4 1195 14602 14602 0.00010 3 595 21538 21538 0.00020 7 1790 36140 36140 0.00030 1 2880978 19196 35127313 45026614 -9899301 X 1 1 1 CHERRY TREE CANCER CENTER LLP DIAGNOSTIC ONCOLOGY CENTER 0.50000 0.00000 0.00000 1 1 HANOVER HOSPITAL INC

300 HIGHLAND AVENUE HANOVER PA 17331

X X X HANOVER HOSPITAL 1 12 HILLSIDE DIAGNOSTIC CENTER

250 FAME AVE STE 104 HANOVER PA 17331

LAB, MRI, X-RAY, CT SCAN, US SOUTH HANOVER

1404 BALTIMORE ST HANOVER PA 17331

LAB & X-RAY CHERRY TREE

785 CHERRY TREE CT HANOVER PA 17331

REHAB & PEDIATRICS REHAB SPRING GROVE

2030 THISTLE HILL DR SPRING GROVE PA 17362

LAB, REHAB, X-RAY LITTLESTOWN

300 W KING ST LITTLESTOWN PA 17340

LAB & REHAB NEW OXFORD

5615 YORK RD NEW OXFORD PA 17350

LAB & X-RAY EICHELBERGER LAB

195 STOCK ST HANOVER PA 17331

OUTPATIENT LAB YORK STREET

400 YORK ST HANOVER PA 17331

REHAB HILLSIDE CARDIAC DIAGNOSTIC

250 FAME AVE STE 207 HANOVER PA 17331

CARDIAC REHAB HILLSIDE LUNG & SLEEP CENTER

250 FAME AVE STE 200 HANOVER PA 17331

PULMONOLOGY & SLEEP CENTER HILLSIDE REHAB

250 FAME AVE STE 100 HANOVER PA 17331

REHAB HANOVER MEDICAL FITNESS CENTER

250 FAME AVE STE 100 HANOVER PA 17331

FITNESS CENTER PART I, LINE 7: CHARITY CARE, UNREIMBURSED MEDICAID AND SUBSIDIZED HEALTH SERVICES WERE CALCULATED USING WORKSHEET 2 (RATIO OF PATIENT CARE COST TO CHARGES) FROM THE INSTRUCTIONS FOR SCHEDULE H. PART I, LINE 7G: THE SUBSIDIZED HEALTH SERVICES WERE DETERMINED USING OUR COST ACCOUNTING SYSTEM, BEFORE MANUALLY REMOVING THE CHARITY CARE AND MEDICAID REVENUE. PART I, L7 COL(F): THE AMOUNT OF BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25 COLUMN (A) BUT SUBTRACTED OUT FOR PURPOSES OF CALCULATING THE PERCENTAGE ON SCH H, PART I, LINE 7, COLUMN (F) IS $5,738.622. PART II: HANOVER HOSPITAL OFFERS A WIDE VARIETY OF LECTURES, PRESENTATIONS AND OTHER PROGRAMS TO EDUCATE THE PUBLIC ABOUT HEALTH ISSUES, SUCH AS CHRONIC DISEASE PREVENTION, CANCER PREVENTION, MENTAL HEALTH AWARENESS, CARDIOVASCULAR DISEASE PREVENTION, AND HEALTHY BEHAVIORS. WE ALSO HAVE STRONG COMMUNITY COLLABORATIONS WITH HANOVER AREA YMCA, HANOVER CHAMBER OF COMMERCE, HANOVER YWCA, HEALTHY YORK COUNTY COALITION, HEALTHY ADAMS COUNTY, AND NUMEROUS OTHER ORGANIZATIONS. PART III, LINE 4: BAD DEBT EXPENSE IS THE UNCOLLECTIBLE PORTION OF CHARGES GENERATED BY PATIENT CARE. THIS SHOULD BE INCLUDED IN COMMUNITY BENEFIT TO SHOW HOW MUCH MONEY WAS DEEMED UNCOLLECTIBLE FROM PATIENTS.THE ALLOWABLE ADJUSTMENT IS TAKEN PRIOR TO THE REMAINING BALANCE IS WRITTEN OFF TO BAD DEBT EXPENSE. IF ANY PAYMENTS COME IN SUBSEQUENTLY, THE WRITE-OFF IS REVERSED AND THE BAD DEBT EXPENSE IS REDUCED.BAD DEBT EXPENSE WAS DETERMINED USING THE COST TO CHARGE RATIO. PART III, LINE 8: THE ORGANIZATION IS PROVIDING CARE TO COMMUNITY MEMBERS WHO ARE ENROLLED IN MEDICARE BUT THE ORGANIZATION CANNOT COLLECT ON THE SHORTFALL BECAUSE OF THE GOVERNMENT'S LIMITATIONS ON ALLOWABLE CHARGES. THE SAME LEVEL OF CARE IS PROVIDED TO ALL PATIENTS NO MATTER WHAT THE INSURANCE SITUATION, SO THE ORGANIZATION SHOULD BE ALLOWED TO CLAIM THE MEDICARE SHORTFALL AS COMMUNITY BENEFIT.MEDICARE ALLOWABLE COST OF CARE WAS OBTAINED FROM THE MEDICARE COST REPORT. PART III, LINE 9B: PATIENTS WHO QUALIFY FOR 100% CHARITY CARE HAVE THEIR ACCOUNT BALANCES WRITTEN OFF AS SOON AS ELIGIBILITY IS APPROVED. PATIENTS WHO QUALIFY FOR A LESSER AMOUNT ARE EXPECTED TO PAY THE REMAINING BALANCE AT THE TIME OF APPROVAL. IF NECESSARY, A PAYMENT PLAN IS SET UP FOR THE BALANCE. PART VI, LINE 2: A COMMUNITY HEALTH ASSESSMENT PROVIDES THE INFORMTION NEEDED TO CONSIDER WHEN DEVELOPING EFFECTIVE INTERVENTIONS SO THAT COMMUNITIES MAY IDENTIFY ISSUES OF GREATEST CONCERN AND DECIDE TO COMMIT RESOURCES TO THOSE AREAS, THEREBY MAKING THE GREATEST POSSIBLE IMPACT ON COMMUNITY HEALTH STATUS.SEVERAL COMMUNITY ORGANIZATIONS COME TOGETHER TO FORM A COMMITTEE WHOSE RESPONSIBILITY IS TO FORMULATE QUESTIONS TO BE ASKED OF COMMUNITY MEMBERS. A CONSULTANT THEN COLLECTS THE DATA AND ANALYZES IT ON OUR BEHALF. THE GREATEST NEEDS ARE THEN DETERMINED AND PROGRAMS ARE DESIGNED AROUND THOSE NEEDS. PART VI, LINE 3: THERE ARE POSTERS, BROCHURES, AND ADVOCATES ALL AROUND THE HOSPITAL THAT PROVIDE THE INFORMATION AND EDUCATE PATIENTS ABOUT OUR CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES. PATIENTS ARE ENCOURAGED TO AND ASSISTED BY HOSPITAL STAFF IN FILLING OUT NECESSARY APPLICATIONS FOR CHARITY CARE AND FINANCIAL ASSISTANCE. THESE PROGRAMS ARE USED TO ASSIST PATIENTS WHO DEMONSTRATE AN INABILITY TO PAY. PART VI, LINE 4: THE COMMUNITY DEFINED FOR THIS ASSESSMENT INCLUDES EACH OF THE PENNSYLVANIA ZIP CODES: 17316, 17301, 17350, 17364, 17362, 17344, 17331, 17329 & 17340. SECONDARY DATA IS COLLECTED AND REPRESENTATIVE OF THE ENTIRE COUNTIES OF YORK AND ADAMS. PART VI, LINE 6: HANOVER HOSPITAL FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF ITS COMMUNITY THROUGH THE FOLLOWING. HANOVER HOSPITAL UTILIZES APPROXIMATELY 300 VOLUNTEERS OFFERING SUPPORT TO THE ORGANIZATION, FROM THE BOARD OF DIRECTORS TO THOSE WHO DELIVER FLOWERS AND TRANSPORT PATIENTS. THESE VOLUNTEERS ARE ALSO ACTIVE COMMUNITY MEMBERS LIVING IN THE HOSPITAL'S PRIMARY SERVICE AREA. THROUGH THEIR INVOLVEMENT AT THE HOSPITAL, THEY ARE ABLE TO COMMUNICATE ITS PROGRAMS AND SERVICES THAT BENEFIT THE WELFARE OF THE COMMUNITY. HANOVER HOSPITAL ALSO EMPLOYS APPROXIMATELY FORTY PHYSICIANS. THESE PHYSICIANS SPECIALIZE IN FAMILY MEDICINE, INTERNAL MEDICINE, EAR, NOSE & THROAT, FACIAL PLASTICS, GENERAL SURGERY, GERIATRICS, LUNG AND SLEEP MEDICINE, ENDOCRINOLOGY, AND CARDIOLOGY. OUR PHYSICIANS WORK WITH THOUSANDS OF FAMILIES PROVIDING EXCEPTIONAL CARE. FINALLY, HANOVER HOSPITAL APPLIES ITS SURPLUS FUNDS BY REINVESTING IN THE ORGANIZATION. OVER THE PAST YEAR, THE HOSPITAL HAS PAID FOR THE EXPENSES TO ROLL OUT A COMMUNITY-WIDE ELECTRONIC MEDICAL RECORD (EMR). HANOVER IS ONE OF THE VERY FEW COMMUNITIES TO HAVE APPROXIMATELY EIGHTY PERCENT OF ITS EMPLOYED AND AFFILIATED PHYSICIAN PRACTICES JOIN THIS ROLL OUT. TOGETHER THE HOSPITAL AND ITS PHYSICIANS ARE COMMITTED TO PROVIDING A TIMELY, ACCURATE RECORD FOR PATIENTS TO REDUCE UNNECESSARY TESTING AND REDUCE COSTS. IN ADDITION TO THE EMR, THE HOSPITAL HAS INVESTED FUNDS TO IMPROVE TECHNOLOGY AND TO OPEN NEW CENTERS. MOST RECENTLY, THE HOSPITAL OPENED ITS SECOND EXPRESS CARE IN SPRING GROVE ALONG WITH A NEWLY RENOVATED LABORATORY, IMAGING CENTER AND REHABILITATION CENTER. THE LUNG AND SLEEP CENTER WAS ALSO OPENED PROVIDING PATIENTS WITH A SINGLE LOCATION FOR RESPIRATORY THERAPY AND SLEEP NEEDS. THROUGH OUR MOST VALUABLE ASSETS, OUR VOLUNTEERS AND EMPLOYEES, ALONG WITH OUR ONGOING COMMITMENT TO OUR COMMUNITY HANOVER HOSPITAL HAS FURTHERED ITS EXEMPT PURPOSE. REPORTS FILED WITH STATES PART VI, LINE 7 PA 1 HANOVER AREA CHAMBER OF COMMERCE 146 CARLISLE STREET HANOVER PA 17331 232290798 501(C)(6) 9876 N/A N/A SPONSORSHIP OF VARIOUS PROGRAMS AND EVENTS AMERICAN HEART ASSOCIATION 5455 NORTH HIGH STREET COLUMBUS OH 43214 135613797 501(C)(3) 10000 N/A N/A ANNUAL SPONSORSHIP FOR GO RED LUNCHEON RADIO HANOVER PO BOX 234 HANOVER PA 17331 231314648 10000 N/A N/A CODORUS SUMMER BLAST SWEET CHARITIES-CANCER PATIENT FUND PMB 154 1150 CARLISLE ST HANOVER PA 17331 113662416 501(C)(3) 6500 N/A N/A BALL, GOLF TOURNNAMENT 2 2 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: DONATIONS ARE MADE TO 501(C)(3) PUBLIC CHARITIES FOR USE IN EXEMPT ACTIVITIES RELATED TO HEALTHCARE. ADDITIONAL DONATIONS ARE MADE TO LOCAL NON-CHARITABLE ORGANIZATIONS TO SUPPORT THE COMMUNITY. X 1 1 X X X X X X 0 1 0 0 0 0 0 0 0 PAUL F DENDE 0 133454 0 155420 0 1192 0 7000 0 6552 0 303618 0 0 GEORGE M KYRIACOU 287552 0 0 0 99706 0 12631 0 1554 0 401443 0 0 0 DAVID C CAPONE 249671 0 0 0 0 0 0 0 0 0 249671 0 0 0 TODD E PHILLIPS 228616 0 0 0 1422 0 11540 0 2178 0 243756 0 0 0 WARREN C DANIELS MD 170166 0 0 0 2297 0 8872 0 527 0 181862 0 0 0 MARY P SAUNDERS 146597 0 0 0 3115 0 7761 0 1010 0 158483 0 0 0 PART I, LINE 4B GEORGE M. KYRIACOU PARTICIPATED IN A NONQUALIFIED RETIREMENT PLAN. NON TAXABLE AMOUNT OF $12,631 FROM THIS PLAN WAS REPORTED ON SCHEDULE J. GENERAL AUTHORITY OF SOUTHCENTRAL PENNSYLVANIA 232982233 84129NEB1 2005-10-12 32293464 RENOVATIONS; FUNDING DEBT SERVICE FUND; PYMNT OF ISSUE COSTS 0 0 0 32293464 1784597 1854431 476117 2008 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 ALAN STOCK ALAN STOCK IS THE SECRETARY OF THE HOSPITAL'S GOVERNING BODY 136117 ALAN STOCK OWNS EICHOLTZ COMPANY. THE HOSPITAL PURCHASED OFFICE EQUIPMENT FROM EICHOLTZ COMPANY.THE BOARD MAINTAINS A CONFLICT OF INTEREST POLICY AND ALL TRANSACTIONS WITH EICHOLTZ COMPANY WERE CONDUCTED AT ARM'S LENGTH. 0 0 X 68322 FAIR MARKET VALUE 0 1 1 THIRD PARTY USE: PART I, LINE 32B: HAVERFORD SELLS NON-CASH CONTRIBUTIONS OF SECURITIES. FORM 990, PART VI, SECTION B, LINE 11 REVIEW OF THE DRAFT OF THE FORM 990 IS PERFORMED BY MANAGEMENT WITH THE OUTSIDE ACCOUNTING FIRM. ALL MEMBERS OF THE BOARD OF DIRECTORS ARE GIVEN A FINAL COPY OF THE FORM 990 PRIOR TO FILING WITH THE IRS. THE FINAL SUBMISSION IS REVIEWED BY THE FINANCE COMMITTTEE AFTER IT IS FILED SO THAT THEIR QUESTIONS AND CONCERNS MAY BE ADDRESSED. FORM 990, PART VI, SECTION B, LINE 12C HH'S CODE OF CONDUCT CONTAINS PRINCIPLES OUTLINING THE POLICY OF HH AND STANDARDS THAT ARE INTENDED TO PROVIDE GUIDANCE TO ALL INDIVIDUALS PARTICIPATING IN HH'S OPERATIONS. THE PRINCIPLES AND STANDARDS SHALL BE DISTRIBUTED AT LEAST ANNUALLY TO ALL DIRECTORS, OFFICERS, EMPLOYEES AND AGENTS OF HH. INDIVIDUALS ARE RESPONSIBLE TO ENSURE THAT THEIR BEHAVIOR AND ACTIVITY IS CONSISTENT WITH THE CODE OF CONDUCT. THE TERM "INDIVIDUALS" INCLUDES DIRECTORS, EMPLOYEES AND AGENTS OF HH AND INCLUDES ANY PERSON WHO FILLS SUCH A ROLE OR PROVIDES SERVICES ON BEHALF OF HH INCLUDING NON-EMPLOYED MEMBERS OF HH'S MEDICAL STAFF PROVIDING SERVICES IN HH, NON-PHYSICIAN PRACTITIONERS EXERCISING PRIVILEGES IN HH, INTERNS AND MEDICAL STUDENTS AND SHALL INCLUDE VOLUNTEERS IN HH. UPON HIRE AND ANNUALLY THEREAFTER, ALL EMPLOYEES MUST COMPLETE OUR COMPLIANCE TRAINING, INCLUDING REVIEW OF OUR CODE OF CONDUCT STATEMENT. A COPY OF THE CODE OF CONDUCT IS LOCATED IN HH'S ADMINISTRATIVE POLICY MANUAL. OUR CODE OF CONDUCT HAS STANDARDS AND POLICIES THAT ADDRESS CONFLICTS OF INTEREST. IT IS EACH EMPLOYEE'S RESPONSIBILITY TO REVIEW AND COMPLY WITH THE CODE OF CONDUCT OR DISCUSS ANY QUESTIONS OR REPORT ANY CONCERNS TO THE CORPORATE DIRECTOR OF COMPLIANCE. INDIVIDUALS ARE INSTRUCTED THAT THEY OWE UNDIVIDED AND UNQUALIFIED LOYALTY TO HH. INDIVIDUALS MAY NOT USE THEIR POSITIONS TO PROFIT PERSONALLY OR TO ASSIST OTHERS IN PROFITING IN ANY WAY AT THE EXPENSE OF HH. INDIVIDUALS ARE EXPECTED TO CONDUCT THEMSELVES SO AS TO AVOID ACTUAL IMPROPRIETY AND/OR APPEARANCE OF IMPROPRIETY IN DEALING WITH HH AND TO AVOID DISCLOSURE OR PRIVATE USE OF THE BUSINESS AFFAIRS OR PLANS OF HH. DETERMINATION OF WHETHER A CONFLICT OF INTEREST EXISTS OR NOT AND THE ASSIGNMENT OF ANY NECESSARY ACTION IS MADE BY THE HH'S AUDIT COMMITTEE, A SUBCOMMITTEE OF OUR BOARD OF DIRECTORS. PARTICIPATION ON BOARD OF DIRECTORS/TRUSTEES: - AN INDIVIDUAL MUST OBTAIN APPROVAL OF HH COMPLIANCE OFFICER PRIOR TO SERVING AS A MEMBER OF THE BOARD OF DIRECTORS/TRUSTEES OF ANY ORGANIZATION WHOSE INTERESTS MAY CONFLICT WITH THOSE OF HH. AN INDIVIDUAL WHO IS ASKED OR SEEKS TO SERVE ON THE BOARD OF DIRECTORS/TRUSTEES OF ANY ORGANIZATION WHOSE INTEREST WOULD NOT IMPACT HH (E.G., CIVIC, CHARITABLE, FRATERNAL, ETC.) WILL NOT BE REQUIRED TO OBTAIN APPROVAL. - INDIVIDUALS SHALL SEEK THE APPROVAL OF HH COMPLIANCE OFFICER PRIOR TO RETAINING ANY FEES OR COMPENSATION (OTHER THAN REIMBURSEMENT FOR EXPENSES) THAT ARE RECEIVED BY THE INDIVIDUAL FOR BOARD SERVICES WHICH MAY HAVE BEEN RENDERED DURING NORMAL PAID WORK TIME AS AN EMPLOYEE OF HH. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE, CONSISTING OF INDEPENDENT MEMBERS OF THE HANOVER HOSPITAL BOARD OF DIRECTORS, COMMISSIONED AN INDEPENDENT AGENCY TO ESTABLISH A SALARY RANGE UTILIZING FIVE INDEPENDENT COMPENSATION SURVEYS. THE COMPENSATION OF TOP MANAGEMENT OFFICIALS WAS SET BY THE COMMITTEE UTILIZING THIS DATA AND WAS SUBSEQUENTLY APPROVED BY THE BOARD OF DIRECTORS IN EXECUTIVE SESSION. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION MAKES FORMS 1023 AND 990 AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. BOARD MEMBER COMPENSATED BY RELEATED ORGANIZATION: PART VII, SECTION A PAUL F. DENDE, BOARD MEMBER, IS COMPENSATED ENTIRELY BY A RELATED ORGANIZATION, HANOVER HEALTHCARE PLUS. HE WORKS APPROXIMATELY 36 HOURS PER WEEK FOR THAT ORGANIZATION. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 3,991,299. NET ASSET TRANSFER TO AFFILIATE -5,110,000. OTHER 33,656. TOTAL TO FORM 990, PART XI, LINE 5: -1,085,045. OVERSIGHT OF AUDIT: FORM 990, PART XI, LINE 2C THERE HAVE BEEN NO CHANGES DURING THE YEAR IN THE PROCESS FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS. FORM 990, SCHEDULE K, PART III, LINE 3 THERE ARE NO MANAGEMENT OR SERVICE CONTRACTS OR RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTIES FOR THE 2005 BONDS. HANOVER HEALTHCARE PLUS INC 300 HIGHLAND AVENUE HANOVER PA 173312214 222658574 PARENT COMPANY OF NOT-FOR-PROFIT HEALTHCARE SERVICE ORGANIZATION PA 501(C)(3) 11A N/A 0 CHERRY TREE CANCER CENTER LLP PO BOX 2767 YORK PA 17405 232915628 OPERATES A THERAPEUTIC RADIATION TREATMENT FACILITY PA N/A RELATED 1123966 1642982 0 1 0.50000 HANOVER APOTHECARY INC 310 STOCK STREET SUITE 1 HANOVER PA 17331 030594256 PROVIDES PHARMACY SERVICES PA N/A C 6088498 1667486 1.00000 HANOVER HEALTH CORPORATION INC 300 HIGHLAND AVENUE HANOVER PA 17331 900498067 OPERATES SEVERAL OUTPATIENT MEDICAL CARE FACILITIES PA N/A C 25557601 4864936 1.00000 0 1 0 1 0 0 0 0 1 0 1 1 0 0 0 0 0 0 HANOVER HEALTH CORPORATION INC B 5100000 CASH HANOVER HEALTH CORPORATION INC D 645000 FAIR MARKET VALUE HANOVER HEALTH CORPORATION INC K 349000 FAIR MARKET VALUE HANOVER HEALTH CORPORATION INC L 657000 FAIR MARKET VALUE