2012-05-07T14:00:24-05:00 2011-06-30 990 2010-07-01 231365353 LANCASTER GENERAL HOSPITAL LANC 7175445398 555 North Duke Street Lancaster PA 17604 F JOSEPH BYORICK III 2012-05-01 2010 2016-02-24 21:20:13Z THOMAS E BEEMAN PHD PRESIDENT & CEO 555 North Duke Street Lancaster PA 17604 1142155324 false X WWW.LGHEALTH.ORG X 1893 PA TO ADVANCE THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE. 21 16 6505 711 6620478 759969 5236463 8541742 791002304 799587556 2406436 3054704 35763170 37578542 834408373 848762544 3970341 4349531 0 0 412562379 408848174 97952 70200 1184331 351200542 372282930 767831214 785550835 66577159 63211709 833614066 743321318 305091262 328665148 528522804 414656170 X TO ADVANCE THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE. PLEASE REFER TO FORM 990, SCHEDULE H FOR ADDITIONAL DISCLOSURE REGARDING LANCASTER GENERAL HOSPITAL'S MISSION. false false 117260175 0 186635198 SURGICAL SERVICES (31,234 ENCOUNTERS) 93626487 0 188576219 NURSING SERVICES (166,829 PATIENT DAYS) 48313092 0 92856151 LABORATORY SERVICES (10,541,373 TRANSACTIONS) 309218157 0 341033073 ALL OTHER PROGRAM SERVICES, INCLUDING BUT NOT LIMITED TO; LABORATORY, RADIOLOGY, EMERGENCY MEDICINE, EDUCATION, AND PHYSICAL MEDICINE AND REHABILITATION. LGH OPERATES AN EMERGENCY ROOM (ER) THAT IS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY. THE EMERGENCY ROOM HAD A TOTAL OF 107,475 VISITS DURING FISCAL YEAR 2011. MEDICARE MADE UP 27,113 OF THOSE VISITS WHILE MEDICAID PATIENTS VISITED THE ER 31,896 TIMES DURING THE YEAR. THE UNINSURED HAD A TOTAL OF 14,137 VISITS TO THE ER DURING 2011. TOTAL PATIENT DAYS FOR THE FISCAL YEAR WERE 170,775. MEDICARE AND MEDICAID PATIENTS CONTRIBUTED 16,428 AND 6,691, RESPECTIVELY, TOWARDS THE 37,620 TOTAL INPATIENT DISCHARGES DURING THE FISCAL YEAR. 309218157 0 341033073 568417911 true true false true false false false false true true false false true true true false true false false false false false true true false true true true true true true false false false false false false false false true true false true false false false true true true false false true X 304 0 true 6505 true true true true CJ false false false true true false false false false X 21 16 false false false false true true true true true true true false true false false false true true true false PA X F Joseph Byorick III SVP and CFO 7175445398 555 North Duke Street Lancaster PA 17604 X GIBSON E ARMSTRONG 2 X 0 0 0 NANCY S ARNOLD 2 X 0 0 0 REBECCA S BUMSTEAD 2 X 0 0 0 DANA CHRYST 2 X 0 0 0 T RAYMOND FOLEY MD 4 X 47985 0 1437 JOHN A FRY 2 X 0 0 0 DENNIS A GETZ 2 X 0 0 0 ALEXANDER HENDERSON III ESQ 2 X 0 0 0 JAMES E 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848762544 0 0 848762544 785550835 0 0 785550835 0 0 785550835 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 UNCERTANTIES 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 OTHER NON-OPERATING INCOME - 57935; CHANGE IN INTEREST IN NET ASSETS OF LANCASTER GENERAL HEALTH - 367984; RELATED PARTY TRANSFERS - -XXX-XX-XXXX; PERPETUAL TRUST DISTRIBUTIONS - 76624; Other revenues in audited financial statements not in form 990 Schedule D, Part XII, Line 2d RELATED PARTY TRANSFERS - -XXX-XX-XXXX; PERPETUAL TRUST DISTRIBUTIONS - 76624; CHANGE IN INTEREST IN NET ASSETS OF LANCASTER GENERAL HEALTH - 367984; OTHER NON-OPERATING INCOME - 57935; X X X X X X X true LINDSLEY CONSULTING GROUP 89 LEAMAN ROAD LANCASTER PA 17603 CANCER CAPITAL CAMPAIGN SUPPORT false 1844754 72055 1772699 1844754 72055 1772699 PA EMPOWERED BY PINK 6752 6752 2366 WOMEN'S EXPRESSION 124155 124155 25790 1 8738 8738 1779 139645 0 139645 0 0 0 0 0 29935 29935 109710 true true X true X true X true true false true true 11315143 0 11315143 0.01500 71918091 0 71918091 0.09560 0 0 0 0.00000 0 0 83233234 0 83233234 0.11060 5851801 3673198 2178603 0.00290 9214807 1746959 7467848 0.00990 1830432 1715636 114796 0.00020 0 0 0 0.00000 1581309 0 1581309 0.00210 0 0 18478349 7135793 11342556 0.01510 0 0 101711583 7135793 94575790 0.12570 0 0 0 0.00000 0 0 0 0.00000 0 0 0 0.00000 0 0 0 0.00000 0 0 0 0.00000 0 0 0 0.00000 220532 0 220532 0.00030 0 0 0 0.00000 1500000 0 1500000 0.00190 0 0 1720532 0 1720532 0.00220 true 13389366 0 242252110 338242784 -95990674 X true false 2 1 LANCASTER GENERAL HOSPITAL

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OUTPATIENT SERVICES Community benefit report prepared by related organization Schedule H, Part I, Line 6a LANCASTER GENERAL HEALTH Bad Debt Expense excluded from financial assistance calculation Schedule H, Part I, Line 7, column(f) 33,497,175 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. 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. 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 - A COST ACCOUNTING SYSTEMS WAS USED TO CALCULATE A COST TO CHARGE RATIO AND APPLIED TO THE BAD DEBT ACCOUNTS THAT WERE WRITTEN OFF. 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 2011. THE $95,990,675 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 $166,207,190 AND INCLUDES BAD DEBT, INDIRECT MEDICAL EDUCATION (IME) PAYMENTS, COINSURANCES, AND DEDUCTIBLES. DIRECT GRADUATE MEDICAL EDUCATION (GME) REVENUE OF $1,332,634 IS REPORTED ON SCHEDULE H, PART I, LINE 7F, HEALTH PROFESSIONS EDUCATION AND THEREFORE IS EXCLUDED FROM THIS AMOUNT. THE TOTAL EXPENSE REPORTED ON THE MEDICARE COST REPORT WAS $137,936,505. 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 AMOUNTS REPORTED ON SCHEDULE H, PART III, SECTION B, LINES 5 AND 6 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.; 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. 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 THE COMMUNITIES OF LANCASTER. Patient education of eligibility for assistance. Schedule H, Part VI, Line 3 NOTICE 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. LOCATED IN SOUTH CENTRAL PENNSYLVANIA, LANCASTER COUNTY IS 950 SQUARE MILES IN SIZE AND IS HOME TO 519,445 PEOPLE. ABOUT 15% OF THE POPULATION IS OVER THE AGE OF 64; 51% OF THE POPULATION IS FEMALE. THE MEDIAN INCOME IS $55,504, AND 9.4% OF THE POPULATION LIVES BELOW THE FEDERAL POVERTY LEVEL. LANCASTER GENERAL HOSPITAL'S MARKET SHARE IN LANCASTER COUNTY IS APPROXIMATELY 58%. Promotion of community health Schedule H, Part VI, Line 5 LANCASTER GENERAL HOSPITAL IS GOVERNED BY A 19-MEMBER BOARD OF TRUSTEES, INCLUDING 16 COMMUNITY MEMBERS AND THREE 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: EXECUTIVE, AUDIT AND COMPLIANCE, FINANCE/CAPITAL ALLOCATIONS, GOVERNANCE, INFORMATION MANAGEMENT, MANAGEMENT DEVELOPMENT AND COMPENSATION, MISSION AND COMMUNITY BENEFIT, PROFESSIONAL AFFAIRS, QUALITY, STRATEGIC DEVELOPMENT, 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 2011, THE HOSPITAL COMMITTED $60.9 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 1,000 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. 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 CONDUCTED THROUGH ITS CONTROL OF A PARTNERSHIP THE PHYSICIANS' SURGERY CENTER LANCASTER GENERAL LLC (EIN# 20-4943239) WHICH PROVIDES SURGICAL SERVICES TO PATIENTS. VNA COMMUNITY CARE SERVICES INC. (EIN# 23-1352572) PROVIDES COMPREHENSIVE HOME HEALTH CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY. VNA PROVIDES SKILLED NURSING, THERAPY, MEDICAL SOCIAL SERVICES, AND HOME HEALTH AIDE SERVICES. 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. CENTRAL PENNSYLVANIA NURSING ALLIANCE INC. D/B/A MAPLE FARM NURSING CENTER (EIN# 23-2907754) PROVIDES LONG TERM NURSING CARE AND REHABILITATES RESIDENTS REQUIRING SKILLED CARE. LANCASTER GENERAL REHABILITATION SERVICES INC.'S (EIN# 20-4943109) EXEMPT PURPOSE IS CONDUCTED THROUGH THE INVESTMENT IN AN ACUTE PATIENT REHABILITATION HOSPITAL WHERE PATIENTS ARE TREATED REGARDLESS OF ABILITY TO PAY. THE HEART GROUP OF LANCASTER GENERAL HEALTH (EIN# 30-0634510) PROVIDES SPECIALTY CARDIOLOGY HEALTHCARE SERVICES. OTHER AFFILIATES OF LANCASTER GENERAL HEALTH INCLUDE LANCASTER GENERAL INSURANCE COMPANY, LTD. AND LANCASTER GENERAL BUSINESS TRUST AND ITS SUBSIDIARIES. COLLECTION PRACTICES FORM 990, SCHEDULE H, PART III, LINE 9B 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. FEDERAL POVERTY GUIDELINES FORM 990, 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 FORM 990, SCHEDULE H, PART I, LINE 5 LANCASTER GENERAL HOSPITAL'S BUDGETED AMOUNT OF $30,308,490 FOR FREE OR DISCOUNTED CARE PROVIDED UNDER ITS CHARITY CARE POLICY EXCEEDED ITS EXPENSES OF $27,252,953 BY $3,055,537. THE PRIOR YEAR EXPENSES WERE $21,516,745. COMMUNITY BENEFIT REPORT FORM 990, SCHEDULE H, PART I, LINE 6A LANCASTER GENERAL HOSPITAL'S COMMUNITY BENEFIT REPORT IS A REPORT DISTINCT FOR THIS ORGANIZATION. SUBSIDIZED HEALTH SERVICES FORM 990, SCHEDULE H, PART I, LINE 7G SUBSIDIZED HEALTH SERVICES REPORTED INCLUDES A COMPREHENSIVE CARE CLINIC AND PSYCHIATRIC SERVICES. STATE FILING OF COMMUNITY BENEFIT REPORT FORM 990, SCHEDULE H, PART VI, SUPPLEMENTAL INFORMATION, LINE 7 LANCASTER GENERAL HOSPITAL DOES NOT FILE ITS COMMUNITY BENEFIT REPORT WITH THE STATE OF PENNSYLVANIA. ADDITIONAL EXPLANATION FORM 990, SCHEDULE H, SUPPLEMENTAL INFORMATION 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. true CLINIC FOR SPECIAL CHILDREN 535 BUNKER HILL ROAD PO BOX 128 STRASBURG PA 17579 232555373 501(C)(3) 86075 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. FRANKLIN & MARSHALL COLLEGE PO BOX 3003 LANCASTER PA 176043003 231352635 501(C)(3) 105000 FMV CONTRIBUTION TO SUPPORT PROGRAM SERVICE. HAITI RELIEF FUNDS NA LANCASTER PA 17604 000000000 501(C)(3) 7051 FMV PHARMACY SUPPLIES. THE AMOUNT REPRESENTS THE COST OF SUPPLIES PROVIDED TO PHYSICIANS TRAVELING TO HAITI TO ASSIST EARTHQUAKE VICTIMS. THERE IS NO NAME, ADDRESS, OR EIN DUE TO THE METHOD IN WHICH THE SUPPLIES WERE DONATED. JAMES STREET IMPROVEMENT DISTRICT 206 WEST JAMES STREET LANCASTER PA 17603 710927742 501(C)(3) 150000 FMV CONTRIBUTION TO SUPPORT PROGRAM SERVICE. LANCASTER COUNTY MEDICAL FOUNDATION 480 NEW HOLLAND AVENUE SUITE 8202 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) 19152 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. LANCASTER RECREATION COMMISSION 525 FAIRVIEW AVENUE LANCASTER PA 17603 231352353 501(C)(3) 7500 FMV CONTRIBUTION TO SUPPORT PROGRAM SERVICE. MILAGRO HOUSE 669 WEST CHESTNUT STREET LANCASTER PA 17603 232954000 501(C)(3) 14254 FMV CONTRIBUTION TO SUPPORT PROGRAM SERVICE. ROHRERSTOWN FIRE COMPANY 500 ELIZABETH STREET LANCASTER PA 17603 237197558 501(C)(3) 17500 FMV CONTRIBUTION TO SUPPORT PROGRAM SERVICE. SOUTH EAST LANCASTER HEALTH SERVICES 625 SOUTH DUKE STREET LANCASTER PA 176080598 232160896 501(C)(3) 807000 FMV CONTRIBUTION TO SUPPORT PROGRAM SERVICE. SUBSTANCE ABUSE SERVICES INC THE RASE PROJECT 1820 LINGLESTOWN RD SUITE 101 HARRISBURG PA 17110 251861015 501(C)(3) 40000 FMV CONTRIBUTION TO SUPPORT PROGRAM SERVICE. UNITED AUXILIARIES TO THE LANCASTER GENERAL HOSPITAL PO BOX 3555 LANCASTER PA 176043555 231976868 501(C)(3) 9760 FMV CONTRIBUTION TO SUPPORT PROGRAM SERVICE. UNITED WAY OF LANCASTER COUNTY 630 JANET AVENUE LANCASTER PA 17601 231352093 501(C)(3) 92000 FMV CONTRIBUTION TO SUPPORT PROGRAM SERVICE. US TOO PROSTATE CANCER NETWORK 2424 RALEIGH DRIVE LANCASTER PA 17601 232738639 501(C)(3) 5400 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) 1341033 FMV CONTRIBUTION TO SUPPORT PROGRAM SERVICE. 18 0 CASH 14 47189 0 FMV 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. GRANTS TO INDIVIDUALS SCHEDULE I, PART III SCHOLARSHIPS ARE FOR STUDENTS ATTENDING LANCASTER GENERAL COLLEGE OF NURSING AND HEALTH SCIENCES (EIN# 06-1645496). SINCE THERE IS ONLY ONE TYPE OF ASSISTANCE BEING GRANTED, THE AMOUNT IS SHOWN IN AGGREGATE. THERE WERE 14 INDIVIDUALS WHO RECEIVED VARIOUS AMOUNTS TOTALING $47,189. X X false true X X X X X true true false false false false false true false THOMAS E BEEMAN PHD 606728 0 345000 0 23669 0 279511 0 97093 0 1352001 0 0 0 JAN L BERGEN 425967 0 177752 0 320208 0 111383 0 75547 0 1110857 0 90562 0 KAY BRADY 129927 0 24857 0 2114 0 6276 0 29711 0 192885 0 0 0 JUDI L BRENDLE 154707 0 25584 0 636 0 7237 0 36263 0 224427 0 0 0 F JOSEPH BYORICK III 397160 0 140500 0 26911 0 9800 0 78296 0 652667 0 0 0 KENT E CARR MD 0 398750 0 110726 0 2180 0 57063 0 60041 0 628760 0 0 CHARLES A CASTLE MD 230444 0 73168 0 5655 0 39028 0 44159 0 392454 0 0 0 KENNETH J COLLINS 138659 0 25830 0 1348 0 6634 0 35526 0 207997 0 0 0 MARGARET F COSTELLA ESQ 194776 0 34446 0 2493 0 9269 0 28010 0 268994 0 0 0 GARY R DAVIDSON 312951 0 104626 0 2894 0 28754 0 59541 0 508766 0 0 0 LEE M DUKE II MD 405083 0 140377 0 17743 0 112266 0 71361 0 746830 0 0 0 GEOFFREY W EDDOWES 242598 0 70529 0 2412 0 40666 0 50316 0 406521 0 0 0 NORMA J FERDINAND 262583 0 94104 0 18044 0 76409 0 48594 0 499734 0 0 0 LISA R HESS 142077 0 26542 0 1272 0 4867 0 35955 0 210713 0 0 0 DENISE A KENNEDY 153830 0 29038 0 817 0 7347 0 30794 0 221826 0 0 0 ROBERT P MACINA ESQ 304759 0 111562 0 19014 0 87107 0 59861 0 582303 0 0 0 MARION A MCGOWAN RN 456789 0 192226 0 25461 0 9800 0 88702 0 772978 0 0 0 REGINA M MINGLE 256340 0 95000 0 15952 0 74222 0 42538 0 484052 0 0 0 MARY B MISKEY 147677 0 28815 0 6388 0 7315 0 30063 0 220258 0 0 0 RICHARD D PAOLETTI 188965 0 34712 0 683 0 8974 0 35936 0 269270 0 0 0 JOSEPH A PUSKAR 231482 0 42957 0 6629 0 9800 0 53067 0 343935 0 0 0 DOUGLAS W RINEHART 157813 0 28843 0 835 0 7500 0 41149 0 236140 0 0 0 SUSAN WYNNE 230127 0 73538 0 3547 0 37869 0 38413 0 383494 0 0 0 STACEY G YOUCIS 185956 0 29950 0 3301 0 8768 0 45627 0 273602 0 0 0 TIMOTHY C ZELLERS 166364 0 28494 0 6205 0 8043 0 42433 0 251539 0 0 0 FREDERICK B ROGERS MD 479814 0 141817 0 41700 0 9188 0 72292 0 744811 0 0 0 PHILIP M BAYLISS MD 474261 0 20000 0 20489 0 9800 0 80593 0 605143 0 0 0 JOHN C LEE MD 413088 0 36901 0 32640 0 9188 0 72383 0 564200 0 0 0 RANDALL A OYER MD 446930 0 30000 0 4388 0 9800 0 72565 0 563683 0 0 0 TIMOTHY J BOLEY MD 474937 0 0 0 4650 0 9800 0 80394 0 569781 0 0 0 THOMAS C PAISLEY JR 0 0 0 0 0 0 147606 0 0 0 147606 0 0 0 BRUCE H POKORNEY MD 0 0 0 0 0 0 142624 0 0 0 142624 0 0 0 MICHELLE CAMPBELL 0 0 0 0 135990 0 1020 0 1587 0 138597 0 0 0 Tax indemnification and gross-up payments Schedule J, Part I, Line 1a LANCASTER GENERAL HOSPITAL PROVIDED GROSS-UP PAYMENTS TO EMPLOYEES AND SOCIAL CLUB DUES TO CERTAIN INDIVIDUALS LISTED ON SCHEDULE J. 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 2010 TAX YEAR. Health or social club dues or initiation fees Schedule J, Part I, Line 1a THE SOCIAL CLUB MEMBERSHIPS ARE INTENDED FOR BUSINESS USE WITH ANY PERSONAL USE BEING TAXED TO RESPECTIVE INDIVIDUAL. AMOUNT INCLUDED IN INCOME FOR SOCIAL CLUB DUES IS REFLECTIVE OF PERSONAL USE AND AMOUNTED TO $1,042 IN CY 2010. 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 OR SOCIAL CLUB DUES. Severance or change-of-control payment Schedule J, Part I, Line 4a ONE INDIVIDUAL RECEIVED SEVERANCE OF $135,990 DURING CY 2010. Supplemental nonqualified retirement plan Schedule J, Part I, Line 4b TOTAL DISTRIBUTIONS AND/OR CONTRIBUTIONS TO A NON-QUALIFIED SUPPLEMENTAL RETIREMENT PLAN AMOUNTED TO $1,130,306. THOSE RECEIVING DISTRIBUTIONS AND/OR CONTRIBUTIONS TO THIS NON-QUALIFIED PLAN ARE AS FOLLOWS: THOMAS E. BEEMAN, JAN L. BERGEN, KENT E. CARR, MD, CHARLES A. CASTLE, MD, GARY R. DAVIDSON, LEE M. DUKE II, MD, GEOFFREY W. EDDOWES, NORMA J. FERDINAND, ROBERT P. MACINA, ESQ., REGINA M. MINGLE, SUSAN WYNNE, THOMAS C. PAISLEY, JR., AND BRUCE H. POKORNEY, MD. 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. COMPENSATION SCHEDULE J, PART I, LINE 3 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 TRUSTEE 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. 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 CONSTRUCTIONS 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 514045ZH9 2008-08-15 96730000 REFINANCING OF SERIES 1997 (ISSUE DATE OF 11/1/1997) AND SERIES 2006 BONDS (ISSUE DATE OF 8/15/2008) false false false 0 0 2313237 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 96730000 0 86510000 0 0 0 521307 0 0 0 96730000 0 2008 false true true true false false true false false 0.0160 0.0000 0.0160 true false false false false false 0.0000 0.0000 0.0000 true false false false false false 0.0000 0.0000 0.0000 true false true true false false 0.0020 0.0000 0.0020 true true false false false false true false false 0.0 0.0 false false true false false 0.0 0.0 false false true true true BANK OF AMERICA 35.0 false false false false false DEFEASED PART I 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 7 BOND ISSUE B 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, 2010, AND 2011 WERE ALL PRIVATE PLACEMENTS AND THUS ARE NOT ASSIGNED A CUSIP #. YEAR OF SUBSTANTIAL COMPLETION PART II, LINE 13 THE CONSTRUCTION OF THE INTERVENTIONAL VASCULAR UNIT IS PROJECTED TO BE COMPLETED IN FY 2012. THE CONSTRUCTION OF THE SPECIALTY OPERATING SUITE IS PROJECTED TO BE COMPLETED IN FY 2013. BOTH OF THESE PROJECTS ARE BEING FUNDED THROUGH THE SERIES 2011 BOND. LANCASTER COUNTY HOSPITAL AUTHORITY 236648018 XXXXXXXXX 2010-08-31 25000000 DEVELOPMENT AND IMPLEMENTATION OF AN ELECTRONIC MEDICAL RECORDS PROJECT false false false LANCASTER COUNTY HOSPITAL AUTHORITY 236648018 XXXXXXXXX 2011-06-01 12200000 CONSTRUCTION OF A SPECIALTY OPERATING SUITE AND INTERVENTIONAL VASCULAR UNIT false false false 0 0 21050142 0 0 0 52527 0 0 22657934 0 2292607 2012 false true false true 0 0 12200000 0 0 0 48945 0 0 486176 0 11664879 2013 false true false true false false false false false 0.0000 0.0000 0.0000 true false false false false false 0.0000 0.0000 0.0000 true false false false false false false false false false false THOMAS E BEEMAN PHD OFFICERS OF THE ORGANIZATION. 25454 INDIVIDUAL'S SPOUSE IS AN EMPLOYEE AT LANCASTER GENERAL HOSPITAL. false GIBSON E ARMSTRONG DIRECTOR OF THE ORGANIZATION. 57540 INDIVIDUAL IS A BOARD MEMBER OF RETTEW ASSOCIATES INC. RETTEW ASSOCIATES INC. PROVIDES SERVICES TO LANCASTER GENERAL HOSPITAL. false LEE M DUKE II MD OFFICER OF THE ORGANIZATION. 174181 INDIVIDUAL PERFORMS CLINICAL WORK FOR PULMONARY ASSOCIATES OF LANCASTER (PAL). PAL PROVIDES SERVICES TO LANCASTER GENERAL HOSPITAL. false LEE M DUKE II MD OFFICER OF THE ORGANIZATION. 72832 INDIVIDUAL IS A BOARD MEMBER OF PREFERRED HEALTH CARE (PHC). PHC PROVIDES SERVICES TO LANCASTER GENERAL HOSPITAL. false ROBERT F LATSHAW MD DIRECTOR OF THE ORGANIZATION. 144582 INDIVIDUAL IS A MEMBER OF LANCASTER RADIOLOGY ASSOC LTD (LRA). LRA PROVIDES SERVICES TO LANCASTER GENERAL HOSPITAL. false REGINA M MINGLE OFFICER OF THE ORGANIZATION. 72832 INDIVIDUAL IS A BOARD MEMBER OF PREFERRED HEALTH CARE (PHC). PHC PROVIDES SERVICES TO LANCASTER GENERAL HOSPITAL. false DOUGLAS W RINEHART OFFICER OF THE ORGANIZATION. 547231 INDIVIDUAL IS A BOARD MEMBER OF LEMSA. LEMSA PROVIDES SERVICES TO LANCASTER GENERAL HOSPITAL. false DENISE A KENNEDY OFFICER OF THE ORGANIZATION. 72832 INDIVIDUAL IS A DIRECTOR OF PREFERRED HEALTH CARE (PHC). PHC PROVIDES SERVICES TO LANCASTER GENERAL HOSPITAL. false X 800 MARKET VALUE X 1 15060 MARKET VALUE X 3 913 MARKET VALUE X TOYS 1 46 MARKET VALUE X ENTERTAINMENT PASSES 3 429 MARKET VALUE X GIFT CARDS 2 165 MARKET VALUE X PROFESSIONAL SERVICES 1 483 MARKET VALUE X GIFT BASKETS 2 95 MARKET VALUE 0 false true false NON CASH CONTRIBUTIONS SCHEDULE M, PART I THE NUMBER OF CONTRIBUTIONS IN COLUMN B IS REPRESENTED BY EITHER THE NUMBER OF CONTRIBUTIONS OR THE NUMBER OF ITEMS RECEIVED DEPENDING ON THE TYPE OF NON-CASH CONTRIBUTION. Description of other program services Form 990, Part III, Line 4d ALL OTHER PROGRAM SERVICES, INCLUDING BUT NOT LIMITED TO; LABORATORY, RADIOLOGY, EMERGENCY MEDICINE, EDUCATION, AND PHYSICAL MEDICINE AND REHABILITATION. LGH OPERATES AN EMERGENCY ROOM (ER) THAT IS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY. THE EMERGENCY ROOM HAD A TOTAL OF 107,475 VISITS DURING FISCAL YEAR 2011. MEDICARE MADE UP 27,113 OF THOSE VISITS WHILE MEDICAID PATIENTS VISITED THE ER 31,896 TIMES DURING THE YEAR. THE UNINSURED HAD A TOTAL OF 14,137 VISITS TO THE ER DURING 2011. TOTAL PATIENT DAYS FOR THE FISCAL YEAR WERE 170,775. MEDICARE AND MEDICAID PATIENTS CONTRIBUTED 16,428 AND 6,691, RESPECTIVELY, TOWARDS THE 37,620 TOTAL INPATIENT DISCHARGES DURING THE FISCAL YEAR. 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 $76M 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 $7.0M. 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. Interested persons who cannot be reached at organization's address Form 990, Part VI, Section A, Line 9 MICHAEL J. WINN IS DECEASED. 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 11a 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. THE CFO HIGHLIGHTED CERTAIN SECTIONS OF THE FORM 990 DURING THE BOARD MEETING HELD ON APRIL 19, 2012 AND ANY QUESTIONS WERE ADDRESSED AT THAT TIME. Process used to establish compensation of top management official Form 990, Part VI, Section B, Line 15a 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 TRUSTEE 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. Process used to establish compensation of other officers/key employees Form 990, Part VI, Section B, Line 15b 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 TRUSTEE 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. Public Disclosure 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. LOCAL CHAPTERS, BRANCHES, OR AFFILIATES FORM 990, PART VI, SECTION A, LINE 10A LANCASTER GENERAL HEALTH (EIN# 23-2250941) IS THE PARENT ORGANIZATION OF MULTIPLE AFFILIATES INCLUDING LANCASTER GENERAL HOSPITAL. POLICIES AND PROCEDURES FORM 990, PART VI, SECTION B 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, SECTION B, 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. AVERAGE HOURS PER WEEK SECTION A, LINE 1A THE AVERAGE HOURS PER WEEK REPORTED IN COLUMN B PERTAINS TO THE REPORTABLE COMPENSATION REPORTED IN COLUMNS D, E AND/OR F. COMPENSATION SECTION A, LINE 1B MEMBERS OF THE BOARD ARE NOT COMPENSATED FOR THEIR POSITION ON THE BOARD. COMPENSATION DISCLOSED RELATES TO OTHER SERVICES PERFORMED. TAX EXEMPT BOND LIABILITIES LINE 20 THE AMOUNT OF ISSUE OUSTANDING FOR BOTH THE SERIES 1998 AND 2007 BONDS ALSO INCLUDES THE BOND PREMIUM. THE BALANCE OF THE 1998 BOND PREMIUM AT 6/30/11 WAS $12,811.21. THE BALANCE OF THE 2007 BOND PREMIUM AT 6/30/11 WAS $2,179,096.70. Other changes in net assets or fund balances Form 990, Part XI, Line 5 NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - 2556854; CHANGE IN INTEREST IN NET ASSETS OF LANCASTER GENERAL HEALTH - 367984; OTHER NON-OPERATING INCOME - 57935; RELATED PARTY TRANSFERS - -XXX-XX-XXXX; PERPETUAL TRUST DISTRIBUTIONS - 76624; 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.