CENTRAL PENNSYLVANIA NURSING ALLIANCE INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: CENTRAL PENNSYLVANIA NURSING ALLIANCE INC (EIN 23-2907754)
Tax period: 2009-07-01 to 2010-06-30
Filed: 2011-05-03
IRS object ID: 201141269349300804
Schema version: 2009v1.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule D
Schedule J
Schedule L
Schedule N
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-05-03T15:28:44-07:00	Timestamp
Tax Period End Date	2010-06-30	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2009-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	232907754	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Central Pennsylvania Nursing Alliance Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	CENT	NameControl
Phone	7175444926	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	555 North Duke Street	AddressLine1
City	Lancaster	City
State	PA	State
ZIP Code	17604	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	F Joseph Byorick	Name
Title	CFO Lancaster General Hospital	Title
Phone	7175444926	Phone
Date Signed	2011-05-03	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

Field	Value	IRS element (for citing)
Business Name Line1	Maple Farm Nursing Center	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	F Joseph Byorick	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	555 North Duke Street	AddressLine1
City	Lancaster	City
State	PA	State
ZIP Code	176043555	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	1346104	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c	X	Organization501c
Web Site	www.lancastergeneralhealth.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1997	YearFormation
State Legal Domicile	PA	StateLegalDomicile
Activity Or Mission Description	Skilled Nursing Care	ActivityOrMissionDescription
Termination Or Contraction	X	TerminationOrContraction
Nbr Voting Members Governing Body	0	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	0	NbrIndependentVotingMembers
Total Nbr Employees	130	TotalNbrEmployees
Total Nbr Volunteers	0	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1115	ContributionsGrantsPriorYear
Contributions Grants Current Year	0	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	9882859	ProgramServiceRevenuePriorYear
Program Service Revenue CY	1340540	ProgramServiceRevenueCY
Investment Income Prior Year	3866	InvestmentIncomePriorYear
Investment Income Current Year	123	InvestmentIncomeCurrentYear
Other Revenue Prior Year	26480	OtherRevenuePriorYear
Other Revenue Current Year	5441	OtherRevenueCurrentYear
Total Revenue Prior Year	9914320	TotalRevenuePriorYear
Total Revenue Current Year	1346104	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	4898665	SalariesEtcPriorYear
Salaries Etc Current Year	1227495	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	6565534	OtherExpensePriorYear
Other Expenses Current Year	976045	OtherExpensesCurrentYear
Total Expenses Prior Year	11464199	TotalExpensesPriorYear
Total Expenses Current Year	2203540	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-1549879	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-857436	RevenuesLessExpensesCY
Total Assets BOY	3728074	TotalAssetsBOY
Total Assets EOY	51109	TotalAssetsEOY
Total Liabilities BOY	1014003	TotalLiabilitiesBOY
Total Liabilities EOY	0	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	2714071	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	51109	NetAssetsOrFundBalancesEOY
Mission Description	To provide long term nursing care and rehabilitate residents requiring skilled care.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	1933039	Expense
Grants	0	Grants
Revenue	1340540	Revenue
Description	Nursing Home Care: Central Pennsylvania Nursing Alliance Inc. (d.b.a. Maple Farm Nursing Center) is a skilled nursing facility licensed for 119 beds and located in Lancaster County, Pennsylvania. The facility purpose is the provide residents with necessary long term nursing care and to rehabilitate residents requiring skilled care. The nursing facility provides access for necessary long-term care for Lancaster County and surrounding areas by collaborating with local hospitals and long-term care agencies. As necessary, assistance is provided with insurance and Medicaid applications and coverage. All residents are provided care without regard to payer type or payment status. (6001 Resident Census Days). The Central Pennsylvania Nursing Alliance's (d.b.a. Maple Farm Nursing Center) assets were sold on 8/31/2009 as reported on Schedule N.	Description
Total Of Other Program Service Exp	0	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	0	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	0	TotalOfOtherProgramServiceRev
Total Program Service Expense	1933039	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	0	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Balance Sheet Amounts Reported	1	BalanceSheetAmountsReported
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	0	Hospital
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	1	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	1	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	18	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	130	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Nbr Voting Governing Body Members	0	NbrVotingGoverningBodyMembers
Number Independent Voting Members	0	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	0	MinutesOfGoverningBody
Minutes Of Committees	0	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	1	LocalChapters
Policies Reference Chapters	1	PoliciesReferenceChapters
Form990 Provided To Governing Body	0	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	F Joseph Byorick CFO	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	7175444926	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	555 N Duke Street	AddressLine1
City	Lancaster	City
State	PA	State
ZIP Code	17604	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee
Geoffrey W Eddowes
Sr VP	55	X	X	0	318442	84731
Kathleen Bailey
Director	2	X	X	0	0	0
Andre W Renna
Sr VP	55	X		0	389599	20534
Jay R Bucher
VP	55	X		0	277056	51072
Jan L Bergen
Executive VP	55	X		0	573732	159413
Marion A McGowan
Executive VP/COO	55	X		0	657656	90232
J Kenneth Brubaker MD
Director	55	X		0	248742	49286
Linda A Welker
Director, Accounting	55		X	0	108299	30560
Robert P Macina Esq
Sr VP	55		X	0	1000713	139972
Margaret F Costella Esq
VP, Legal Services	55		X	0	237711	36036
Matthew A Hazen
Administrator	55			103419	0	18726	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	103419	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	3811950	TotalReportableCompFrmRltdOrgs
Total Other Compensation	680562	TotalOtherCompensation
Number Individuals GT100 K	1	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RehabCare Group Inc	BusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	PO Box 503534	AddressLine1
City	St Louis	City
State	MO	State
ZIP Code	631503534	ZIPCode

Field	Value	IRS element (for citing)
Description Of Services	Therapy Services	DescriptionOfServices
Compensation	120611	Compensation

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	1	NumberOfContractorsGT100K
Total Contributions	0	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount
Medicare/Medicaid Net Patient Revenue	623000	904096	904096	$0
Other Net Patient Revenue	623000	20421	20421	$0
Nursing Assessment	623000	416023	416023	$0

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Field	Value	IRS element (for citing)
Total Program Service Revenue	1340540	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	123	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$123	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	0	Real
Personal	0	Personal

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	0	Securities
Other	0	Other

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
Miscellaneous Income	900099	3600	$3,600
Rental Revenue	531110	1650	$1,650
Cafeteria/Vending Sales	900099	191	$191

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	5441	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1346104	TotalRevenueColumn
Related Or Exempt Function Income	1340540	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$5,564	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	74642	Total
Program Services	0	ProgramServices
Management And General	74642	ManagementAndGeneral
Fundraising	0	Fundraising

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	775174	Total
Program Services	766858	ProgramServices
Management And General	8316	ManagementAndGeneral
Fundraising	0	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	78355	Total
Program Services	70519	ProgramServices
Management And General	7836	ManagementAndGeneral
Fundraising	0	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	229486	Total
Program Services	197663	ProgramServices
Management And General	31823	ManagementAndGeneral
Fundraising	0	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	69838	Total
Program Services	59716	ProgramServices
Management And General	10122	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	270	Total
Program Services	0	ProgramServices
Management And General	270	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total
Fundraising	0	Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	1278	Total
Program Services	1278	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	3044	Total
Program Services	3044	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	89621	Total
Program Services	76312	ProgramServices
Management And General	13309	ManagementAndGeneral
Fundraising	0	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	45678	Total
Program Services	41787	ProgramServices
Management And General	3891	ManagementAndGeneral
Fundraising	0	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	787	Total
Program Services	689	ProgramServices
Management And General	98	ManagementAndGeneral
Fundraising	0	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	1831	Total
Program Services	200	ProgramServices
Management And General	1631	ManagementAndGeneral
Fundraising	0	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	20104	Total
Program Services	0	ProgramServices
Management And General	20104	ManagementAndGeneral
Fundraising	0	Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Purchased Services	531140	450306	80834
Nursing Assessment	350075	350075	0
Medical Supplies	73592	73592	0
Loss on Disposal of Assets	17625	0	17625
Bad Debt Expense	-159000	-159000	0

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	2203540	Total
Program Services	1933039	ProgramServices
Management And General	270501	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	600	BOY
EOY	0	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	640016	BOY
EOY	40460	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	1274321	BOY
EOY	10646	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	53804	BOY
EOY	0	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	0	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	0	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	1750000	BOY
EOY	0	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	0	BOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	0	BOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	9333	BOY
EOY	3	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	3728074	BOY
EOY	51109	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	571092	BOY
EOY	0	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	35193	BOY
EOY	0	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	407718	BOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	1014003	BOY
EOY	0	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2714071	BOY
EOY	51109	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	2714071	BOY
EOY	51109	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	3728074	BOY
EOY	51109	EOY

Field	Value	IRS element (for citing)
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1206	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	520	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1054	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1115	CurrentTaxYearMinus1Year
Current Tax Year	0	CurrentTaxYear
Total	3895	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	8306264	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	8221113	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	8928242	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	10488981	CurrentTaxYearMinus1Year
Current Tax Year	2821243	CurrentTaxYear
Total	38765843	Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	0	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	0	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	0	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	0	CurrentTaxYearMinus1Year
Total	0	Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	0	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	0	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	0	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	0	CurrentTaxYearMinus1Year
Total	0	Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	0	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	0	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	0	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	0	CurrentTaxYearMinus1Year
Total	0	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	8307470	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	8221633	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	8929296	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	10490096	CurrentTaxYearMinus1Year
Current Tax Year	2821243	CurrentTaxYear
Total	38769738	Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	0	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	0	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	0	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	0	CurrentTaxYearMinus1Year
Total	0	Total

Amts From Subst Contributors AmtsFromSubstContributors

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	0	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	0	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	0	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	0	CurrentTaxYearMinus1Year
Total	0	Total

Support From DQ Ps Etc SupportFromDQPsEtc

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	0	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	0	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	0	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	0	CurrentTaxYearMinus1Year
Current Tax Year	0	CurrentTaxYear
Total	0	Total

Field	Value	IRS element (for citing)
Public Support Total509	38769738	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	16010	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	38359	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	27996	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	16980	CurrentTaxYearMinus1Year
Current Tax Year	1752	CurrentTaxYear
Total	101097	Total

Post1975 UBTI Post1975UBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	0	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	0	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	0	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	0	CurrentTaxYearMinus1Year
Current Tax Year	0	CurrentTaxYear
Total	0	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	16010	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	38359	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	27996	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	16980	CurrentTaxYearMinus1Year
Current Tax Year	1752	CurrentTaxYear
Total	101097	Total

Net Income From Other UBI NetIncomeFromOtherUBI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	0	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	0	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	0	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	0	CurrentTaxYearMinus1Year
Current Tax Year	0	CurrentTaxYear
Total	0	Total

Other Income509 OtherIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	5837	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	4289	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	27914	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	24287	CurrentTaxYearMinus1Year
Current Tax Year	5397	CurrentTaxYear
Total	67724	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	8329317	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	8264281	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	8985206	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	10531363	CurrentTaxYearMinus1Year
Current Tax Year	2828392	CurrentTaxYear
Total	38938559	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.99566	PublicSupportPercentage509
Prior Year Support Percentage	0.99584	PriorYearSupportPercentage
Investment Income Percentage	0.00260	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.00271	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509
General Explanation	Other Income Line 12 relates to cafeteria/vending sales as well as other miscellaneous income.	GeneralExplanation

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Book Value	0	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Book Value	0	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Book Value	0	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Book Value	0	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Book Value	0	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	0	TotalOfBookValueLandBuildings

Other Assets OtherAssets

Field	Value	IRS element (for citing)
Description	Interest Receivable	Description
Book Value	3	BookValue

Field	Value	IRS element (for citing)
Total Book Value Other Assets	3	TotalBookValueOtherAssets
Total Revenue	1346104	TotalRevenue
Total Expenses	2203540	TotalExpenses
Excess Or Deficit For Year	-857436	ExcessOrDeficitForYear
Net Unrealized GL On Investments	0	NetUnrealizedGLOnInvestments
Donated Services And Facilities	0	DonatedServicesAndFacilities
Investment Expenses	0	InvestmentExpenses
Prior Period Adjustments	0	PriorPeriodAdjustments
Other	-$1,805,526	OtherAmount
Total Adjustments	-1805526	TotalAdjustments
Excess Or Deficit Per FS	-2662962	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	1346104	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	0	NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities	0	DonatedSrvcAndUseOfFacilities
Recoveries Of Prior Year Grants	0	RecoveriesOfPriorYearGrants
Other Revenues	0	OtherRevenues
Revenue Not Rptd F990	0	RevenueNotRptdF990
Revenue Subtotal	1346104	RevenueSubtotal
Investment Expenses Not Included	0	InvestmentExpensesNotIncluded
Other Revenues Not Included	0	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	1346104	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	2203540	TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities	0	DonatedServicesUseOfFacilities
Prior Year Adjustments	0	PriorYearAdjustments
Losses Reported	0	LossesReported
Other Expenses Included	0	OtherExpensesIncluded
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	2203540	ExpensesSubtotal
Investment Expenses Not Included2	0	InvestmentExpensesNotIncluded2
Other Expenses Not Included	0	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	2203540	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	SchD_P11_S00_L08	Identifier
Return Reference	Schedule D, Part XI, Line 8	ReturnReference
Explanation	Related Party Contribution to Lancaster General Health (EIN 23-2250941).	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	0	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	1	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	1	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Matthew A Hazen
53874	0	24995	0	24551	0	3156	0	15571	0	122147	0	0
Kathleen Bailey
0	0	0	0	0	0	0	0	0	0	0	0	0	0
Jan L Bergen
0	396919	0	156807	0	20006	0	100362	0	59051	0	733145	0	0
Jay R Bucher
0	213538	0	42865	0	20654	0	9800	0	41272	0	328129	0	0
Geoffrey W Eddowes
0	248767	0	67521	0	2154	0	38918	0	45813	0	403173	0	0
Marion A McGowan
0	456926	0	184417	0	16313	0	9800	0	80432	0	747888	0	0
Andre W Renna
0	65308	0	0	0	324291	0	1633	0	18901	0	410133	0	0
Linda A Welker
0	98712	0	9143	0	444	0	4332	0	26228	0	138859	0	0
Margaret F Costella Esq
0	199735	0	35413	0	2563	0	9508	0	26528	0	273747	0	0
Robert P Macina Esq
0	311537	0	108916	0	580260	0	80541	0	59431	0	1140685	0	0
J Kenneth Brubaker MD
0	226581	0	0	0	22161	0	9800	0	39486	0	298028	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SchJ_P01_S00_L01a	Schedule J, Part I, Line 1a	Central Penn Nursing Alliance Inc. (d.b.a. Maple Farm Nursing Center) provided gross-up payments to employees when they received gifts so as to provide tax assistance in that no tax burdens are created with the intended gift. Officers and Directors are compensated by Lancaster General Hospital, EIN 23-1365353, a related organization. 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 gifts so as to provide tax assistance in that no tax burdens are created with the intended gift. 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 $900 in CY 2009.
SchJ_P01_S00_L01b	Schedule J, Part I, Line 1b	There is no written policy currently in place.
SchJ_P01_S00_L03	Schedule J, Part I, Line 3	Officers and Directors are compensated by Lancaster General Hospital, EIN 23-1365353, a related organization. The compensation process described below pertains to the CEO, EVPs, SVPs, VPs, and AVPs of Lancaster General Hospital. 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 are reviewed 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.
SchJ_P01_S00_L04	Schedule J, Part I, Line 4	Total severance of $23,744 was distributed. Total distributions and/or contributions to a non-qualified Supplemental Retirement Plan amounted to $190,421. Those receiving distributions and/or contributions to this non-qualified plan are as follows: Jan L. Bergen, Geoffrey W. Eddowes, Robert P. Macina, Esq..
SchJ_P01_S00_L07	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.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	MediQuest Staffing Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Relationship	Ms. Bailey is the President and sole owner of MediQuest Staffing, Inc.	Relationship
Amount Of Transaction	82924	AmountOfTransaction
Description Of Transaction	Supplemental staffing was provided to the filing organization	DescriptionOfTransaction
Sharing Of Revenues	0	SharingOfRevenues

Schedule N IRS990ScheduleN

Disposition Table DispositionTable (5 entries)

Description Of AssetDescriptionOfAsset	Date Of DistributionDateOfDistribution	FMV Of AssetFMVOfAsset	Method Of FMV DeterminationMethodOfFMVDetermination	EINEIN	Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	IRC SectionIRCSection
Garden Spot Village
Asset distributed-Land	2009-09-01	1342500	Cost	232640814	433 South Kinzer Avenue	New Holland	PA	17557	501(c)(3)
Garden Spot Village
Asset distributed-Equipment	2009-09-01	405186	Book value	232640814	433 South Kinzer Avenue	New Holland	PA	17557	501(c)(3)
Garden Spot Village
Asset distributed-Software	2009-09-01	2314	Book value	232640814	433 South Kinzer Avenue	New Holland	PA	17557	501(c)(3)
Stevens & Lee
Transaction expense-Legal fees	2008-06-30	2930	Cost	231886296	PO Box 679	Reading	PA	196030679	Law firm
Stevens & Lee
Transaction expense-Legal fees	2009-06-30	35481	Cost	231886296	OP Box 679	Reading	PA	196030679	Law firm

Field	Value	IRS element (for citing)
Director Of Successor2	0	DirectorOfSuccessor2
Employee Of Successor2	0	EmployeeOfSuccessor2
Owner Of Successor2	0	OwnerOfSuccessor2
Receive Compensation2	1	ReceiveCompensation2

Form990 Schedule N Part III Form990ScheduleNPartIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SchN_P02_S00_L01	Schedule N, Part II, Line 1	The transaction expenses of $2,930 were paid to Stevens & Lee during the period of 7/1/2008 through 6/30/2009 and transaction expenses of $35,481 were paid during the period of 7/1/2009 through 6/30/2010.
SchN_P02_S00_L02	Schedule N, Part II, Line 2	Central Penn Nursing Alliance Inc. (d.b.a. Maple Farm Nursing Center) provided severance and retention payments to Matthew Hazen. No payments were made nor does a relationship exist between Matthew Hazen and the successor, Garden Spot Village, EIN 23-2640814.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
F990_P06_S0A_L01a	Form 990, Part VI, Section A, Line 1a	The Board of Trustees of the Central Penn Nursing Alliance Inc. (d.b.a. Maple Farm Nursing Center) was dissolved on 6/24/2009.
F990_P06_S0A_L06	Form 990, Part VI, Section A, Line 6	The Sole Member of Central Penn Nursing Alliance Inc. (d.b.a. Maple Farm Nursing Center) is Lancaster General Health (EIN 23-2250941). The Sole member may initiate or implement any proposal with respect to any of the following: amendment of charter, certificate or 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 for the Corporation; and the approval of non-budgeted expenditures.
F990_P06_S0A_L07a	Form 990, Part VI, Section A, Line 7a	Lancaster General Health (EIN 23-2250941) elects the Board of Trustees of Central Penn Nursing Alliance Inc. (d.b.a. Maple Farm Nursing Center). The final meeting of the Board of Trustees of Central Penn Nursing Alliance was held 6/24/2009.
F990_P06_S0A_L07b	Form 990, Part VI, Section A, Line 7b	The Sole Member of Central Penn Nursing Alliance Inc. (d.b.a. Maple Farm Nursing Center) is Lancaster General Health (EIN 23-2250941). The Sole Member may initiate or implement any propsal with respect to any of the following: amendment of charter, certificate or 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 for the Corporation; and the approval of non-budgeted expenditures.
F990_P06_S0A_L08a	Form 990, Part VI, Section A, Line 8a	The Board of Trustees of Central Penn Nursing Alliance, Inc. (d.b.a. Maple Farm Nursing Center) did not meet during the time period of this filing, 7/1/2009 through 6/30/2010. The Board of Trustees was dissolved on 6/24/2009.
F990_P06_S0A_L08b	Form 990, Part VI, Section A, Line 8b	The Board of Trustees of Central Penn Nursing Alliance Inc. (d.b.a. Maple Farm Nursing Center) did not meet during the time period of this filing 7/1/2009 through 6/30/2010. The Board of Trustees was dissolved on 6/24/2009.
F990_P06_S0B_L11	Form 990, Part VI, Section B, Line 11	The Board of Trustees of Central Penn Nursing Alliance, Inc. (d.b.a. Maple Farm Nursing Center) did not meet during the time period of this filing, 7/1/2009 through 6/30/2010. The Board of Trustees was dissolved on 6/24/2009. The Form 990 was reviewed by the Chief Financial Officer of Lancaster General Hospital (EIN# 23-1365353).
F990_P06_S0B_L12c	Form 990, Part VI, Section B, Line 12c	In order to ascertain and evaluate actual or potential conflicts, certain interested persons are required to fill out a Conflict of Interest Disclusure Statement upon entering employment or becoming a trustee of Central Penn Nursing Alliance Inc. (d.b.a. Maple Farm Nursing Center) or an affiliate, and other 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 been asked to fill out a Conflict of Interest Disclosure Statement, have an ongoing affirmative duty to bring to the attention of Central Penn Nursing Alliance Inc. (d.b.a. Maple Farm Nursing Center), situations which may give rise to an actual or potential conflict of interest as described in the policy.
F990_P06_S0B_L15	Form 990, Part VI, Section B, Line 15	Officers and Directors are compensated by Lancaster General Hospital, EIN 23-1365353, a related organization. The compensation process described below pertains to the CEO, EVPs, SVPs, VPs, and AVPs of Lancaster General Hospital. 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 are reviewed 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.
F990_P06_S0C_L19	Form 990, Part VI, Section C, Line 19	Central Penn Nursing Alliance Inc. (d.b.a. Maple Farm Nursing Center) does not make the governing documents, conflict of interest policy, or financial statements available to the public.
F990_P07_S0A_L01a	Form 990, Part VII, 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. The Board of Trustees of the Central Penn Nursing Alliance Inc. (d.b.a. Maple Farm Nursing Center) was dissolved on 6/24/2009. Members of the Board are not compensated for their position on the Board. Compensation disclosed relates to other services performed.
F990_P11_S00_L02b	Form 990, Part XI, Line 2b	The consolidated balance sheet of Lancaster General Health (EIN 23-2250941) and the related consolidated statements of operations and changes in net assets and cash flows are audited by an independent accountant. Central Penn Nursing Alliance Inc. (d.b.a. Maple Farm Nursing Center) is included in the consolidated statements.
SchR_P05_S00_L02	Schedule R, Part V, Line 2	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.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (13 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Business Name Line1DirectControllingEntityName/BusinessNameLine1
Lancaster General Health
555 North Duke Street	Lancaster	PA	17604	232250941	Mgmt & fin. support to controlled org. & undertaking activities to improve the health of community	PA	501(c)(3)	509(a)(3)-Type II	N/A
Lancaster General Health Foundation
555 North Duke Street	Lancaster	PA	17604	205767147	Organized & operated to support the exempt purposes of member of LG Health	PA	501(c)(3)	509(a)(3)-Type III		Lancaster General Health
Lancaster General Hospital
555 North Duke Street	Lancaster	PA	17604	231365353	Acute primary and secondary care	PA	501(c)(3)	170(b)(1)(A)(iii)		Lancaster General Health
Lancaster General Medical Group
1030 New Holland Avenue	Lancaster	PA	17601	232777286	Provide charitable primary and specialty healthcare	PA	501(c)(3)	170(b)(1)(A)(iii)		Lancaster General Health
Lancaster Cleft Palate Clinic
223 North Lime Street	Lancaster	PA	17602	231306888	Provide treatment for oral-facial deformities	PA	501(c)(3)	170(b)(1)(A)(vi)		Lancaster General Health
Lancaster General Health-Columbia Center
306 North 7th Street	Columbia	PA	17512	230485650	Acute Primary Care/Facility Mgmt Op Svcs	PA	501(c)(3)	170(b)(1)(A)(iii)		Lancaster General Hospital
Lancaster General College of Nursing & Health Sciences
410 North Lime Street	Lancaster	PA	17602	061645496	Provide support and promote healthcare education	PA	501(c)(3)	170(b)(1)(A)(ii)		Lancaster General Hospital
VNA Community Care Services Inc
PO Box 10788	Lancaster	PA	17605	231352572	Provides home health care services	PA	501(c)(3)	170(b)(1)(A)(vi)		Lancaster General Health
Lancaster General Rehabilitation Services Inc
555 North Duke Street	Lancaster	PA	17604	204943109	Investment in Rehabilitation Hospital	PA	501(c)(3)	170(b)(1)(A)(iii)		Lancaster General Health
Lancaster General Ambulatory Surgical Services Inc
555 North Duke Street	Lancaster	PA	17604	204943239	Investment in Ambulatory Surgery Center	PA	501(c)(3)	170(b)(1)(A)(iii)		Lancaster General Hospital
Lancaster General Imaging Corporation
609 North Cherry Street	Lancaster	PA	17604	233102789	Investment in imaging services	PA	501(c)(3)	170(b)(1)(A)(iii)		Lancaster General Hospital
Lancaster Emergency Medical Services Assocation
1829 Lincoln Highway	Lancaster	PA	17602	232840702	Emergency medical transportation	PA	501(c)(3)	509(a)(2)		Lancaster General Hospital
United Auxiliaries to Lancaster General Hospital
555 North Duke Street	Lancaster	PA	17604	231976868	To promote and advance Lancaster General Hospital's plans & programs	PA	501(c)(3)	509(a)(2)	N/A

Form990 Schedule R Part III Form990ScheduleRPartIII (7 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	Code VCodeVAmount	General Or Managing PartnerGeneralOrManagingPartner
Lancaster Rehabilitation Hospital LLP
675 Good Drive	Lancaster	PA	17601	208092253	Rehab Hospital	PA	Related	0	0	0	$0	1
Physician's Surgery Center Lancaster General LLC
2150 Harrisburg Pike	Lancaster	PA	17601	204463521	Surgery Center	PA	Related	0	0	0	$0	1
Lancaster PET Partnership LLP
PO BOX 4216	Lancaster	PA	17604	233102793	Medical Services	PA	Related	0	0	0	$0	1
MRI Group LLP
PO BOX 4216	Lancaster	PA	17604	331011386	Medical Services	PA	Related	0	0	0	$0	1
Central Pennsylvania Alliance Laboratory
PO BOX 2767	York	PA	17405	232910950	Medical Testing	PA	Related	0	0	0	$0	1
Horizon Healthcare Services Inc
1070 New Holland Avenue	Lancaster	PA	17601	232910102	In-home infusion drug therapy	PA	Related	0	0	0	$0	1
PeriOptimum
24 South Eighteenth Street	Pittsburgh	PA	15203	251815023	Provides information technology tools & decision support services	PA	Related	0	0	0	$0	1

Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)

Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	Province Or StateAddressForeign/ProvinceOrState	CountryAddressForeign/Country	Postal CodeAddressForeign/PostalCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile Foreign CountryLegalDomicileForeignCountry	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	Legal Domicile StateLegalDomicileState
Lancaster General Insurance Company
PO BOX 1109 GT	Grand Cayman	Cayman Islands	CJ	KYI-1102	980176655	Insurance	CJ	Lancaster General Health	C	0	0	0
Lancaster General Services Business Trust
					232250128	Owns & operates real estate property, pharmacy & home infusion company		Lancaster General Health	C	0	0	0	607 North Duke Street	Lancaster	PA	17602	PA
Barge Ganse Venacare Business Trust
					232113017	Pharmacy & two thirds ownership interest of home infusion therapy services company		Lancaster General Services Business Trust	C	0	0	0	607 North Duke Street	Lancaster	PA	17602	PA
Preferred Health Care
					251533898	Provides management & marketing services		Lancaster General Health	C	0	0	0	20-D East Roseville Road	Lancaster	PA	17601	PA
Quest Behavioral Health
					232910565	Behavioral health managed care plan for employers & health plans		Lancaster General Hospital	C	0	0	0	PO Box 2767	York	PA	17405	PA

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	1	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (8 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
Lancaster General Hospital
c	80200
Lancaster General Hospital
g	421
Lancaster General Hospital
l	3389
Lancaster General Hospital
n	17757
Lancaster General Hospital
o	194405
Lancaster General Hospital
q	400000
Lancaster General Hospital
r	462000
Lancaster General Health
b	1667838