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        <State>PA</State>
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        <Identifier>SchJ_P01_S00_L07</Identifier>
        <ReturnReference>Schedule J, Part I, Line 7</ReturnReference>
        <Explanation>Non-fixed payments to persons listed in part VII, Section A, Line 1a were paid by Lancaster General Hospital (EIN #23-1365353). The purpose of the Lancaster General Health 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.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="R000007" softwareId="10000077" softwareVersion="v1.00">
      <GeneralExplanation>
        <Identifier>F990_P06_S0A_L04</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 4</ReturnReference>
        <Explanation>Bylaws were revised on 09/15/2011.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0A_L06</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 6</ReturnReference>
        <Explanation>The business and affairs of the Corporation shall be governed by a board of not less than three (3) nor more than thirty-five (35) trustees who shall be natural persons of full age. The number of trustees shall be such a number as shall have been last specified by resolution of the Sole Member. The number of trustees shall include ex-officio trustees. Trustees need not be residents of Pennsylvania. At all times, the board shall include at least one individual who is then serving as an officer, trustee or director of each of the Specified Organizations.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0A_L07a</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 7a</ReturnReference>
        <Explanation>Each year, as nearly as possible, one-third (1/3) of the trustees shall be elected to hold office for a term of three (3) years.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0A_L07b</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 7b</ReturnReference>
        <Explanation>At all meetings of the Board, a majority of the trustees then in office shall be necessary to constitute a quorum for the transaction of business and the acts of the Board of Trustees, except as may otherwise be specifically provided by statute, by the Articles of Incorporation, or by the Bylaws.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L10b</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 10b</ReturnReference>
        <Explanation>The organization has policies and procedures governing the activities of its affiliates. However, they are not currently approved by the governing board.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L11b</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 11b</ReturnReference>
        <Explanation>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 review the 990 during the board meeting held on April 17, 2012.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L12a</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 12a</ReturnReference>
        <Explanation>The organization has the policies and procedures in place as mentioned in Form 990, Part VI, Section B, Line 12a. However, they are not currently approved by the governing body.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L13</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 13</ReturnReference>
        <Explanation>The organization has the policies and procedures in place as mentioned in Form 990, Part VI, Section B, Line 13. However, they are not currently approved by the governing body.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L14</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 14</ReturnReference>
        <Explanation>The organization has the policies and procedures in place as mentioned in Form 990, Part VI, Section B, Line 14. However, they are not currently approved by the governing body.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L15</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 15</ReturnReference>
        <Explanation>Compensation is paid by Lancaster General Hospital (EIN# 23-1365353), a related organization for which the following process is used. The compensation process described below pertains to the CEO, EVPS, SVPS, VPs and AVPs. Lancaster General Hospital utilizes an independent third party to provide base salary and total compensation market data for comparable positions at similarly sized organizations. Lancaster General Hospital presents the performance of the above mentioned positions against established goals and evaluates and presents them to the Management and Development Compensation Committee (MDCC). The MDCC is a Committee comprised of independent Board of Trustees members. The market data and performances against goals is reviewed by the MDCC who then takes action. Minutes are kept of the discussion and actions taken by the MDCC members at their meeting. This documentation is kept for future reference. This process is undertaken each August after the close of the previous fiscal year in June.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L16b</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 16b</ReturnReference>
        <Explanation>The organization has the policies and procedures in place as mentioned in Form 990, Part VI, Section B, Line 16b. However, they are not currently approved by the governing body.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0C_L19</Identifier>
        <ReturnReference>Form 990, Part VI, Section C, Line 19</ReturnReference>
        <Explanation>Lancaster General Health Foundation does not make the governing documents, conflict of interest policy, or financial statements available to the public.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P07_S0A_L01a</Identifier>
        <ReturnReference>Form 990, Part VII, Section A, Line 1a</ReturnReference>
        <Explanation>The average hours per week reported in Column B pertains to the reportable compensation reported in columns D, E and/or F.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P11_S00_L05</Identifier>
        <ReturnReference>Form 990, Part XI, Line 5</ReturnReference>
        <Explanation>Other changes in net assets or fund balances include related party contributions and unrealized gains/losses on invesments.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="R000008" softwareId="10000077" softwareVersion="v1.00">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Lancaster General Health</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>555 North Duke Street</AddressLine1>
          <City>Lancaster</City>
          <State>PA</State>
          <ZIPCode>17604</ZIPCode>
        </AddressUS>
        <EIN>232250941</EIN>
        <PrimaryActivities>Mgmt &amp; fin. support to controlled org. &amp; undertaking activities to improve the health of community</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>509(a)(3)</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Lancaster General Hospital</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>555 North Duke Street</AddressLine1>
          <City>Lancaster</City>
          <State>PA</State>
          <ZIPCode>17604</ZIPCode>
        </AddressUS>
        <EIN>231365353</EIN>
        <PrimaryActivities>To advance the health and well-being of the communities served</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>170(b)(1)(A)(iii)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Lancaster General Health</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Lancaster General Medical Group</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1030 New Holland Avenue</AddressLine1>
          <City>Lancaster</City>
          <State>PA</State>
          <ZIPCode>17601</ZIPCode>
        </AddressUS>
        <EIN>232777286</EIN>
        <PrimaryActivities>Provide charitable primary and specialty healthcare</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>170(b)(1)(A)(iii)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Lancaster General Health</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Lancaster Cleft Palate Clinic</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>223 North Lime Street</AddressLine1>
          <City>Lancaster</City>
          <State>PA</State>
          <ZIPCode>17602</ZIPCode>
        </AddressUS>
        <EIN>231306888</EIN>
        <PrimaryActivities>Provide treatment for oral-facial deformities</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>170(b)(1)(A)(vi)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Lancaster General Health</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Lancaster General Health - Columbia Center</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>306 N 7th Street</AddressLine1>
          <City>Columbia</City>
          <State>PA</State>
          <ZIPCode>17512</ZIPCode>
        </AddressUS>
        <EIN>230485650</EIN>
        <PrimaryActivities>Acute primary care / facility mgmt op svcs</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>170(b)(1)(A)(iii)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Lancaster General Hospital</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>VNA Community Care Services Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO Box 10788</AddressLine1>
          <City>Lancaster</City>
          <State>PA</State>
          <ZIPCode>17605</ZIPCode>
        </AddressUS>
        <EIN>231352572</EIN>
        <PrimaryActivities>Provides home healthcare services</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>170(b)(1)(A)(vi)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Lancaster General Health</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Lancaster General Rehabilitation Services Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>555 North Duke Street</AddressLine1>
          <City>Lancaster</City>
          <State>PA</State>
          <ZIPCode>17604</ZIPCode>
        </AddressUS>
        <EIN>204943109</EIN>
        <PrimaryActivities>Investment in Rehabilitation Hospital</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>170(b)(1)(A)(iii)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Lancaster General Health</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Lancaster General Ambulatory Surgical Services Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>555 North Duke Street</AddressLine1>
          <City>Lancaster</City>
          <State>PA</State>
          <ZIPCode>17604</ZIPCode>
        </AddressUS>
        <EIN>204943239</EIN>
        <PrimaryActivities>Investment in Ambulatory Surgical Center</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>170(b)(1)(A)(iii)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Lancaster General Hospital</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Lancaster General Imaging Corporation</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>609 North Cherry Street</AddressLine1>
          <City>Lancaster</City>
          <State>PA</State>
          <ZIPCode>17604</ZIPCode>
        </AddressUS>
        <EIN>233102789</EIN>
        <PrimaryActivities>Investment in imaging services</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>170(b)(1)(A)(iii)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Lancaster General Hospital</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Lancaster Emergency Medical Services Association</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1829 Lincoln Highway</AddressLine1>
          <City>Lancaster</City>
          <State>PA</State>
          <ZIPCode>17602</ZIPCode>
        </AddressUS>
        <EIN>232840702</EIN>
        <PrimaryActivities>Emergency medical transportation</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>509(a)(2)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Lancaster General Hospital</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>United Auxiliaries to Lancaster General Hospital</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>555 North Duke Street</AddressLine1>
          <City>Lancaster</City>
          <State>PA</State>
          <ZIPCode>17604</ZIPCode>
        </AddressUS>
        <EIN>231976868</EIN>
        <PrimaryActivities>To promote and advance Lancaster General Hospital's plans and programs</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>509(a)(2)</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Central Pennsylvania Nursing Alliance Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>555 North Duke Street</AddressLine1>
          <City>Lancaster</City>
          <State>PA</State>
          <ZIPCode>17604</ZIPCode>
        </AddressUS>
        <EIN>232907754</EIN>
        <PrimaryActivities>Skilled Nursing Care</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>509(a)(2)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Lancaster General Health</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Lancaster General College of Nursing and Health Sciences</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>410 North Lime Street</AddressLine1>
          <City>Lancaster</City>
          <State>PA</State>
          <ZIPCode>17602</ZIPCode>
        </AddressUS>
        <EIN>061645496</EIN>
        <PrimaryActivities>Provide support and promote healthcare education</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>170(b)(1)(A)(ii)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Lancaster General Hospital</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>The Heart Group of Lancaster General Health</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>555 North Duke Street</AddressLine1>
          <City>Lancaster</City>
          <State>PA</State>
          <ZIPCode>17604</ZIPCode>
        </AddressUS>
        <EIN>300634510</EIN>
        <PrimaryActivities>Provides specialty cardiology healthcare services</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>170(b)(1)(A)(iii)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Lancaster General Health</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Lancaster Rehabilitation Hospital</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>675 Good Drive</AddressLine1>
          <City>Lancaster</City>
          <State>PA</State>
          <ZIPCode>17601</ZIPCode>
        </AddressUS>
        <EIN>208092253</EIN>
        <PrimaryActivity>Rehab Hospital</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CRH of Lancaster LLC</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>Related</PredominantIncomeType>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
        <PercentageOwnership>0</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Physician's Surgery Center-Lancaster General LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2150 Harrisburg Pike</AddressLine1>
          <City>Lancaster</City>
          <State>PA</State>
          <ZIPCode>17601</ZIPCode>
        </AddressUS>
        <EIN>204463521</EIN>
        <PrimaryActivity>Surgery Center</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>Lancaster General Ambulatory Surgical Services Inc</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>Related</PredominantIncomeType>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
        <PercentageOwnership>0</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Lancaster PET Partnership LLP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>PO Box 4216</AddressLine1>
          <City>Lancaster</City>
          <State>PA</State>
          <ZIPCode>17604</ZIPCode>
        </AddressUS>
        <EIN>233102793</EIN>
        <PrimaryActivity>Medical Services</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>Lancaster General Imaging Corporation</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>Related</PredominantIncomeType>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
        <PercentageOwnership>0</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MRI Group LLP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>Po Box 4216</AddressLine1>
          <City>Lancaster</City>
          <State>PA</State>
          <ZIPCode>17604</ZIPCode>
        </AddressUS>
        <EIN>331011386</EIN>
        <PrimaryActivity>Medical Services</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>Lancaster General Imaging Corporation</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>Related</PredominantIncomeType>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
        <PercentageOwnership>0</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Central Pennsylvania Alliance Laboratory</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>PO Box 2767</AddressLine1>
          <City>York</City>
          <State>PA</State>
          <ZIPCode>17405</ZIPCode>
        </AddressUS>
        <EIN>232910950</EIN>
        <PrimaryActivity>Medical Testing</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>Lancaster General Hospital</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>Related</PredominantIncomeType>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
        <PercentageOwnership>0</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Horizon Healthcare Services Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1070 New Holland Avenue</AddressLine1>
          <City>Lancaster</City>
          <State>PA</State>
          <ZIPCode>17601</ZIPCode>
        </AddressUS>
        <EIN>232910102</EIN>
        <PrimaryActivity>In-home infusion drug therapy</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>Lancaster General Services Business Trust</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>Related</PredominantIncomeType>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
        <PercentageOwnership>0</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>PeriOptimum</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>24 South Eighteenth Street</AddressLine1>
          <City>Pittsburgh</City>
          <State>PA</State>
          <ZIPCode>15203</ZIPCode>
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        <PrimaryActivity>Provides information technology tools and decision support services</PrimaryActivity>
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          <BusinessNameLine1>Lancaster General Services Business Trust</BusinessNameLine1>
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        <DisproportionateAllocations>0</DisproportionateAllocations>
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        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Lancaster General Insurance Company</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressForeign>
          <AddressLine1>PO Box 1109 GT</AddressLine1>
          <City>Grand Cayman</City>
          <ProvinceOrState>Cayman Islands</ProvinceOrState>
          <Country>CJ</Country>
          <PostalCode>KYI-1102</PostalCode>
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        <EIN>980176655</EIN>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Lancaster General Services Business Trust</BusinessNameLine1>
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          <AddressLine1>607 North Duke Street</AddressLine1>
          <City>Lancaster</City>
          <State>PA</State>
          <ZIPCode>17602</ZIPCode>
        </AddressUS>
        <EIN>232250128</EIN>
        <PrimaryActivity>Owns and operates real estate property, pharmacy and home infusion company</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>Lancaster General Health</BusinessNameLine1>
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      </Form990ScheduleRPartIV>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>Barge Ganse Venacare Business Trust</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>607 North Duke Street</AddressLine1>
          <City>Lancaster</City>
          <State>PA</State>
          <ZIPCode>17602</ZIPCode>
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        <EIN>232113017</EIN>
        <PrimaryActivity>Pharmacy and owner of home infusion therapy services company</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
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          <BusinessNameLine1>Lancaster General Services Business Trust</BusinessNameLine1>
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        <TypeOfEntity>T</TypeOfEntity>
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      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Preferred Health Care</BusinessNameLine1>
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          <AddressLine1>20-D East Roseville Road</AddressLine1>
          <City>Lancaster</City>
          <State>PA</State>
          <ZIPCode>17601</ZIPCode>
        </AddressUS>
        <EIN>251533898</EIN>
        <PrimaryActivity>Provides management and marketing services</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>Lancaster General Health</BusinessNameLine1>
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      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Quest Behavioral Health</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>PO Box 2767</AddressLine1>
          <City>York</City>
          <State>PA</State>
          <ZIPCode>17405</ZIPCode>
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        <EIN>232910565</EIN>
        <PrimaryActivity>Behavioral health managed care plan for employers and health plans</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>Lancaster General Hospital</BusinessNameLine1>
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        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <PercentageOwnership>0</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>1</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>1</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>1</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>1</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>0</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Lancaster General Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
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        <AmountInvolved>60751</AmountInvolved>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Lancaster General Hospital</BusinessNameLine1>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Lancaster General Hospital</BusinessNameLine1>
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        <TransactionType>l</TransactionType>
        <AmountInvolved>136609</AmountInvolved>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Lancaster General Hospital</BusinessNameLine1>
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        <TransactionType>n</TransactionType>
        <AmountInvolved>306143</AmountInvolved>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Lancaster Cleft Palate Clinic</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>b</TransactionType>
        <AmountInvolved>50000</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Lancaster General College of Nursing and Health Sciences</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>b</TransactionType>
        <AmountInvolved>138320</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <Form990ScheduleRPartVII>
        <Identifier>SchR_P05_S00_L02</Identifier>
        <ReturnReference>Schedule R, Part V, Line 2</ReturnReference>
        <Explanation>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. _</Explanation>
      </Form990ScheduleRPartVII>
    </IRS990ScheduleR>
  </ReturnData>
</Return>