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        <State>PA</State>
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      <Name>F Joseph Byorick III</Name>
      <Title>Sr VP &amp; CFO</Title>
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      <DateSigned>2011-05-05</DateSigned>
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        <Identifier>SchD_P10_S00_L00</Identifier>
        <ReturnReference>Schedule D, Part X</ReturnReference>
        <Explanation>On July 1, 2007, Lancaster General Health Foundation adopted the provisions of Financial Accounting Standards Board (FASB) Interpretation No. 48, Accounting for Uncertainty in Income Taxes (FIN 48). FIN 48 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. The implementation of FIN 48 had no impact on the Lancaster General Health Foundation's statement of financial position or statement of activities. Lancaster General Health Foundation does not believe its financial statements include any material uncertain tax positions.</Explanation>
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        <PurposeOfGrant>The Lancaster Cleft Palate Clinic received funding for facility enhancements and renovations to provide patient friendly provision of care.</PurposeOfGrant>
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        <Explanation>Total distributions and/or contributions to a non-qualified Supplemental Retirement Plan amounted to $314,814. Those receiving contributions to this non-qualified plan are as follows: Thomas E. Beeman and Robert P. Macina, Esq.</Explanation>
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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="09000073" softwareVersion="v1.00">
      <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 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_L11</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 11</ReturnReference>
        <Explanation>Due to timing conflicts, a copy of the Form 990 was not provided to the governing body prior to filing. A presentation highlighting: what is the Form 990, when is it due, and what is reported will accompany making the Form 990 available to the governing body at the first meeting immediately following the filing of the Form 990.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L12c</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 12c</ReturnReference>
        <Explanation>In order to ascertain and evaluate actual or potential conflicts, certain interested persons 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 also are 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 raise to an actual potential conflict of interest as described in the policy.</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_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. Members of the Board are not compensated for their position on the Board. Compensation disclosed relates to other services performed.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="R000008" softwareId="09000073" 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 commununity</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>509(a)(3)</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </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>
      </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>
      </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>
      </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>
      </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>
      </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>
      </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>
      </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>
      </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>
      </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>
      </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>
      </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)(iii)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Lancaster General Hospital</BusinessNameLine1>
        </DirectControllingEntityName>
      </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>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
      </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>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
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      <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>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
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      <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>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
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      <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>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
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      <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>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
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      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>PeriOptimum</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>24 South Eighteenth Street</AddressLine1>
          <City>Pittsburgh</City>
          <State>PA</State>
          <ZIPCode>15203</ZIPCode>
        </AddressUS>
        <EIN>251815023</EIN>
        <PrimaryActivity>Provides information technology tools and decision support services</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>Lancaster General Services Business Trust</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>Related</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <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>
        <PrimaryActivity>Insurance</PrimaryActivity>
        <LegalDomicileForeignCountry>CJ</LegalDomicileForeignCountry>
        <DirectControllingEntityName>
          <BusinessNameLine1>Lancaster General Health</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Lancaster General Services Business Trust</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>607 North Duke Street</AddressLine1>
          <City>Lancaster</City>
          <State>PA</State>
          <ZIPCode>17602</ZIPCode>
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        <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>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
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      <Form990ScheduleRPartIV>
        <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 &amp; two thirds ownership interest of home infusion therapy services company</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>Lancaster General Services Business Trust</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
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        <ShareOfEOYAssets>0</ShareOfEOYAssets>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Preferred Health Care</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <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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          <State>PA</State>
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        <LegalDomicileState>PA</LegalDomicileState>
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      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>1</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>1</GiftGrantOrCapContrFrOtherOrg>
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      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>1</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
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      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>0</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
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          <BusinessNameLine1>Lancaster General Hospital</BusinessNameLine1>
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        <NameOfOtherOrganization>
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      <TransactionsRelatedOrgsTable>
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      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>Lancaster General Hospital</BusinessNameLine1>
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      <TransactionsRelatedOrgsTable>
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        <TransactionType>n</TransactionType>
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    </IRS990ScheduleR>
  </ReturnData>
</Return>