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        <PersonNm>DENISE A KENNEDY</PersonNm>
        <TitleTxt>VP, Financial Services</TitleTxt>
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        <PersonNm>DENNIS R ROEMER</PersonNm>
        <TitleTxt>EVP &amp; CFO</TitleTxt>
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        <PersonNm>DOUGLAS W RINEHART</PersonNm>
        <TitleTxt>VP, Controller</TitleTxt>
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        <PersonNm>EDWARD MALONEY</PersonNm>
        <TitleTxt>VP, Information Technology Operations</TitleTxt>
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        <PersonNm>ELIZABETH D HILLS</PersonNm>
        <TitleTxt>VP, Risk Management &amp; Corporate Compliance</TitleTxt>
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        <PersonNm>F JOSEPH BYORICK III</PersonNm>
        <TitleTxt>CFO Emeritus &amp; Treasurer</TitleTxt>
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        <PersonNm>GARY DAVIDSON</PersonNm>
        <TitleTxt>SVP and CIO</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GEOFFREY W EDDOWES</PersonNm>
        <TitleTxt>SVP Post Acute Care</TitleTxt>
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        <PersonNm>JAN L BERGEN</PersonNm>
        <TitleTxt>EVP, Lancaster General Health and President, Lancaster General Health Network</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JAY R BUCHER</PersonNm>
        <TitleTxt>VP Development &amp; President Lancaster General Health Foundation</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOSEPH A PUSKAR</PersonNm>
        <TitleTxt>SVP, Customer Support Services</TitleTxt>
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        <PersonNm>JUDI L BRENDLE</PersonNm>
        <TitleTxt>VP, Nursing</TitleTxt>
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        <PersonNm>KAREN FLAHERTY OXLER</PersonNm>
        <TitleTxt>SVP Hospital Ops/Nurse Exec</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KAY BRADY</PersonNm>
        <TitleTxt>VP, Human Resources</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LEE M DUKE II MD</PersonNm>
        <TitleTxt>SVP and Chief Physician Executive</TitleTxt>
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        <PersonNm>LISA R HESS</PersonNm>
        <TitleTxt>VP, Marketing and Relationship Management</TitleTxt>
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        <PersonNm>MARGARET F COSTELLA ESQ</PersonNm>
        <TitleTxt>VP, Legal Services and Assistant Secretary</TitleTxt>
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        <PersonNm>MARION A MCGOWAN RN</PersonNm>
        <TitleTxt>President of Lancaster General Hospital and President of LG Health Innovation, Inc.</TitleTxt>
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        <PersonNm>MARY B MISKEY</PersonNm>
        <TitleTxt>VP, Human Resources Operations</TitleTxt>
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        <PersonNm>NORMA J FERDINAND</PersonNm>
        <TitleTxt>SVP, Chief Quality Officer</TitleTxt>
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        <PersonNm>REGINA M MINGLE</PersonNm>
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        <PersonNm>RICHARD D PAOLETTI</PersonNm>
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        <PersonNm>ROBERT P MACINA ESQ</PersonNm>
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        <PersonNm>STACEY G YOUCIS</PersonNm>
        <TitleTxt>Sr Service Line Executive</TitleTxt>
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        <PersonNm>SUSAN WYNNE</PersonNm>
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        <PersonNm>TIMOTHY C ZELLERS</PersonNm>
        <TitleTxt>Executive Director Lancaster Heart &amp; Vascular Institute</TitleTxt>
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        <PersonNm>FREDERICK B ROGERS</PersonNm>
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        <PersonNm>JAMES KU</PersonNm>
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        <PersonNm>JEFFREY T COPE MD</PersonNm>
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        <PersonNm>MARK W BURLINGAME MD</PersonNm>
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        <PersonNm>PHILIP BAYLISS</PersonNm>
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        <BookValueAmt>242108474</BookValueAmt>
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        <BookValueAmt>5443903</BookValueAmt>
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        <DepreciationAmt>296878257</DepreciationAmt>
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        <DepreciationAmt>58738934</DepreciationAmt>
        <BookValueAmt>41528977</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>463056110</TotalBookValueLandBuildingsAmt>
      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>CAPITAL LEASE OBLIGATIONS</Desc>
        <Amt>1223231</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>INTEREST PAYABLE</Desc>
        <Amt>3155165</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>ESTIMATED THIRD PARTY PAYOR SETTLEMENTS</Desc>
        <Amt>12583663</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER LONG-TERM LIABILITIES</Desc>
        <Amt>19895836</Amt>
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      <TotalLiabilityAmt>36857895</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>779942953</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>978452</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>-91433211</OtherRevenueAmt>
      <RevenueNotReportedAmt>-90454759</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>870397712</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>0</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>870397712</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>793934449</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>0</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>793934449</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>70411</InvestmentExpensesNotIncld2Amt>
      <OtherExpensesNotIncludedAmt>0</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>70411</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>794004860</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part V, Line 4, Intended uses of endowment funds</FormAndLineReferenceDesc>
        <ExplanationTxt>LANCASTER GENERAL HOSPITAL UTILIZES THE ENDOWMENT FUNDS IN ACCORDANCE WITH THEIR TAX-EXEMPT PURPOSE AND AS SPECIFIED BY DONOR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part X, Line 2, FIN 48 (ASC 740) footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>LANCASTER GENERAL HOSPITAL FOLLOWS THE ACCOUNTING GUIDANCE FOR UNCERTAINTIES 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part XI, Line 2d, Other revenues in audited financial statements not in form 990</FormAndLineReferenceDesc>
        <ExplanationTxt>RELATED PARTY TRANSFERS - -93208008; PERPETUAL TRUST DISTRIBUTIONS - 61675; CHANGE IN INTEREST IN LG-TRNA - 332021; OTHER NON OPERATING INCOME - 1451512; INVESTMENT MANAGER FEES - -70411;</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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        <GrossRevenueOtherEventsAmt>0</GrossRevenueOtherEventsAmt>
        <GrossReceiptsTotalAmt>215726</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>14730</CharitableContributionsTotAmt>
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    </IRS990ScheduleG>
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        <FormAndLineReferenceDesc>Schedule H, Part V Sec B, Line 3, Community Served by Needs Assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>(1) A - LANCASTER GENERAL HOSPITAL: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN PARTNERSHIP WITH THE LANCASTER HEALTH IMPROVEMENT PARTNERSHIP (LHIP) AND ITS PARTNER ORGANIZATIONS. EXPERTS IN VARIOUS ASPECTS OF PUBLIC HEALTH PROVIDED COMMENTS AND RECOMMENDATIONS BASED ON COUNTY DATA AND THE CLIENTS THEY REPRESENT. INPUT FROM THE EXPERTS WAS GATHERED THROUGH MEETINGS THAT INCLUDED INTERVIEWS AND FOCUS GROUPS. THE INDIVIDUALS CONSULTED WITH ARE REPRESENTATIVES OF VARIOUS AREAS OF PUBLIC HEALTH AND COMMUNITY GROUPS AND THE TYPES OF ORGANIZATIONS IN WHICH THEY ARE MEMBERS OF ARE AS FOLLOWS: MENTAL HEALTH, COUNTY GOVERNMENT, LOCAL HOSPITALS, THE STATE HEALTH DEPARTMENT, NURSING HOMES, PUBLIC HEALTH, FACILITY FOR THE HOMELESS, PREGNANCY SERVICES, FAITH BASED-LOW INCOME, HIV PREVENTION, DRUG &amp; ALCOHOL PREVENTION, PHILANTHROPIC SERVICES, DATA ANALYSTS, LOCAL SCHOOL AND COLLEGE, CANCER PREVENTION, LOW INCOME POPULATION, FAITH BASED AND CHILDREN, IMMUNIZATION COALITION, LATINO COMMUNITY, LOCAL CHAMBER OF COMMERCE, CITY GOVERNMENT, AFRICAN-AMERICAN COMMUNITY, AND SOCIAL SERVICES.; (1) A - FACILITY REPORTING GROUP A: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN PARTNERSHIP WITH THE LANCASTER HEALTH IMPROVEMENT PARTNERSHIP (LHIP) AND ITS PARTNER ORGANIZATIONS. EXPERTS IN VARIOUS ASPECTS OF PUBLIC HEALTH PROVIDED COMMENTS AND RECOMMENDATIONS BASED ON COUNTY DATA AND THE CLIENTS THEY REPRESENT. INPUT FROM THE EXPERTS WAS GATHERED THROUGH MEETINGS THAT INCLUDED INTERVIEWS AND FOCUS GROUPS. THE INDIVIDUALS CONSULTED WITH ARE REPRESENTATIVES OF VARIOUS AREAS OF PUBLIC HEALTH AND COMMUNITY GROUPS AND THE TYPES OF ORGANIZATIONS IN WHICH THEY ARE MEMBERS OF ARE AS FOLLOWS: MENTAL HEALTH, COUNTY GOVERNMENT, LOCAL HOSPITALS, THE STATE HEALTH DEPARTMENT, NURSING HOMES, PUBLIC HEALTH, FACILITY FOR THE HOMELESS, PREGNANCY SERVICES, FAITH BASED-LOW INCOME, HIV PREVENTION, DRUG &amp; ALCOHOL PREVENTION, PHILANTHROPIC SERVICES, DATA ANALYSTS, LOCAL SCHOOL AND COLLEGE, CANCER PREVENTION, LOW INCOME POPULATION, FAITH BASED AND CHILDREN, IMMUNIZATION COALITION, LATINO COMMUNITY, LOCAL CHAMBER OF COMMERCE, CITY GOVERNMENT, AFRICAN-AMERICAN COMMUNITY, AND SOCIAL SERVICES.;</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V Sec B, Line 4, Other Hospital Facilities included in Needs Assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>(1) A - LANCASTER GENERAL HOSPITAL: LANCASTER REHABILITATION HOSPITAL LLC ; (1) A - FACILITY REPORTING GROUP A: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED WITH THE LANCASTER REHABILITATION HOSPITAL, LLC .;</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V Sec B, Line 14g, Other ways hospital publicized Financial Assistance Policy</FormAndLineReferenceDesc>
        <ExplanationTxt>(1) A - FACILITY REPORTING GROUP A: 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.;</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V Sec B, Line 20d, How amounts charged to FAP-eligible patients were determined</FormAndLineReferenceDesc>
        <ExplanationTxt>(1) A - FACILITY REPORTING GROUP A: THE HOSPITAL FACILITY USED A BILLING RATE BETWEEN THE AVERAGE NEGOTIATED COMMERCIAL INSURANCE RATE AND THE MEDICARE RATE.;</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>12</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>SUBURBAN OUTPATIENT PAVILION</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>2100 Harrisburg Pike PO Box 3200</AddressLine1>
            <City>LANCASTER</City>
            <State>PA</State>
            <ZIPCode>17604</ZIPCode>
          </USAddress>
          <FacilityTxt>OUTPATIENT SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>DOWNTOWN OUTPATIENT PAVILION</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>540 North Duke Street</AddressLine1>
            <City>LANCASTER</City>
            <State>PA</State>
            <ZIPCode>17604</ZIPCode>
          </USAddress>
          <FacilityTxt>OUTPATIENT SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>KISSEL HILL OUTPATIENT CENTER</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>51 Peters Road</AddressLine1>
            <City>LITITZ</City>
            <State>PA</State>
            <ZIPCode>17543</ZIPCode>
          </USAddress>
          <FacilityTxt>OUTPATIENT SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>WILLOW LAKES OUTPATIENT CENTER</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>212 Willow Valley Lakes Drive</AddressLine1>
            <City>WILLOW STREET</City>
            <State>PA</State>
            <ZIPCode>17584</ZIPCode>
          </USAddress>
          <FacilityTxt>OUTPATIENT SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>COLUMBIA OUTPATIENT CENTER</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>306 North Seventh Street PO Box 926</AddressLine1>
            <City>COLUMBIA</City>
            <State>PA</State>
            <ZIPCode>17512</ZIPCode>
          </USAddress>
          <FacilityTxt>OUTPATIENT SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>NORLANCO OUTPATIENT CENTER</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>424 Cloverleaf Road</AddressLine1>
            <City>ELIZABETHTOWN</City>
            <State>PA</State>
            <ZIPCode>17022</ZIPCode>
          </USAddress>
          <FacilityTxt>OUTPATIENT SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>WALTER L AUMENT FAMILY HEALTH CENTER</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>317 South Chestnut Street</AddressLine1>
            <City>QUARRYVILLE</City>
            <State>PA</State>
            <ZIPCode>17566</ZIPCode>
          </USAddress>
          <FacilityTxt>OUTPATIENT SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>LANCASTER GENERAL HEALTH CENTER - PARKESBURG</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>950 S Octorara Trail</AddressLine1>
            <City>PARKESBURG</City>
            <State>PA</State>
            <ZIPCode>19365</ZIPCode>
          </USAddress>
          <FacilityTxt>OUTPATIENT SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>ANN B BARSHINGER CANCER INSTITUTE</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>2102 Harrisburg Pike</AddressLine1>
            <City>LANCASTER</City>
            <State>PA</State>
            <ZIPCode>17604</ZIPCode>
          </USAddress>
          <FacilityTxt>OUTPATIENT SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>CROOKED OAK OUTPATIENT CENTER</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>1671 Crooked Oak Drive</AddressLine1>
            <City>LANCASTER</City>
            <State>PA</State>
            <ZIPCode>17601</ZIPCode>
          </USAddress>
          <FacilityTxt>OUTPATIENT SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>LG HEALTH SPECIALTY CENTER AT EPHRATA</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>1261 Division Highway Suite 2</AddressLine1>
            <City>EPHRATA</City>
            <State>PA</State>
            <ZIPCode>17522</ZIPCode>
          </USAddress>
          <FacilityTxt>OUTPATIENT SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>EDEN PHYSICAL THERAPY</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>730 Eden Road</AddressLine1>
            <City>LANCASTER</City>
            <State>PA</State>
            <ZIPCode>17601</ZIPCode>
          </USAddress>
          <FacilityTxt>OUTPATIENT SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 3C, FEDERAL POVERTY GUIDELINES</FormAndLineReferenceDesc>
        <ExplanationTxt>LANCASTER GENERAL HOSPITAL FOLLOWS THE FEDERAL POVERTY GUIDELINES FOR FREE CARE AND DISCOUNTED CARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 5B, FREE OR DISCOUNTED CARE BUDGET</FormAndLineReferenceDesc>
        <ExplanationTxt>LANCASTER GENERAL HOSPITAL'S FINANCIAL ASSISTANCE EXPENSES OF $23,601,017 PROVIDED UNDER ITS CHARITY CARE POLICY WAS UNDER ITS BUDGETED AMOUNT OF $23,726,570 BY $125,553. THE PRIOR YEAR EXPENSES WERE $21,485,264.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 6a, Community benefit report prepared by related organization</FormAndLineReferenceDesc>
        <ExplanationTxt>LANCASTER GENERAL HEALTH</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 6A, COMMUNITY BENEFIT REPORT</FormAndLineReferenceDesc>
        <ExplanationTxt>LANCASTER GENERAL HOSPITAL'S COMMUNITY BENEFIT REPORT IS A REPORT DISTINCT FOR THIS ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 6B, COMMUNITY BENEFIT REPORT</FormAndLineReferenceDesc>
        <ExplanationTxt>LANCASTER GENERAL HOSPITAL MAKES AVAILABLE TO THE PUBLIC AN ANNUAL REPORT WHICH INCLUDES INFORMATION ABOUT COMMUNITY BENEFIT AND HEALTH EFFORTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7, Costing Methodology used to calculate financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 7, PERCENT OF TOTAL EXPENSE</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FUNCTIONAL EXPENSE IS POPULATED FROM FORM 990, PART IX, LINE 25.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7, col(f), Bad Debt Expense excluded from financial assistance calculation</FormAndLineReferenceDesc>
        <ExplanationTxt>0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 7G, SUBSIDIZED HEALTH SERVICES</FormAndLineReferenceDesc>
        <ExplanationTxt>SUBSIDIZED HEALTH SERVICES REPORTED INCLUDES A COMPREHENSIVE CARE CLINIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part II, Community Building Activities</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 2, Bad debt expense - methodology used to estimate amount</FormAndLineReferenceDesc>
        <ExplanationTxt>LANCASTER GENERAL HOSPITAL RECOGNIZES BAD DEBT EXPENSE AND THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL EXPERIENCE FOR BOTH THIRD-PARTY PAYERS AND SELF PAY. MANAGEMENT REGULARLY EVALUATES PATIENT ACCOUNT HISTORY IN DETERMINING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. PATIENT ACCOUNTS RECEIVABLE ARE CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS WHEN MANAGEMENT DETERMINES THAT RECOVERY IS UNLIKELY AND COLLECTION EFFORTS CEASE. LOSSES HAVE BEEN CONSISTENT WITH MANAGEMENT'S EXPECTATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 3, Bad Debt Expense Methodology</FormAndLineReferenceDesc>
        <ExplanationTxt>AMOUNT IS ZERO BECAUSE THESE ACCOUNTS WOULD NOT BE INCLUDED AS BAD DEBT BUT WOULD BE INCLUDED AS CHARITY CARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 4, Bad debt expense - financial statement footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT IS EXPLAINED WITHIN THE NET PATIENT SERVICE REVENUE SECTION OF THE NOTES TO FINANCIAL STATEMENTS ON PAGE 14 OF LANCASTER GENERAL HOSPITAL'S ATTACHED AUDITED FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 8, Community benefit &amp; methodology for determining medicare costs</FormAndLineReferenceDesc>
        <ExplanationTxt>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 2014. THE $75,209,237 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 &amp; COMMUNITY BENEFIT COMMITTEE. THE TOTAL REVENUE REPORTED ON THE MEDICARE COST REPORT WAS $162,420,823 AND INCLUDES BAD DEBT, INDIRECT MEDICAL EDUCATION (IME) PAYMENTS, COINSURANCES, AND DEDUCTIBLES. DIRECT GRADUATE MEDICAL EDUCATION (GME) REVENUE 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 $135,751,987. 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 AMOUNT REPORTED ON SCHEDULE H, PART III, SECTION B, LINE 7 DERIVED FROM THE COST ACCOUNTING SYSTEM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 9B, COLLECTION PRACTICES</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, SECTION B, LINE 5A, COMMUNITY HEALTH NEEDS ASSESSMENT</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE FOUND IN THE "ABOUT US" SECTION ON THE FACILITY'S WEBSITE WWW.LGHEALTH.ORG .</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, ADDITIONAL EXPLANATION</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2, Needs assessment.</FormAndLineReferenceDesc>
        <ExplanationTxt>AT LANCASTER GENERAL HOSPITAL, WE ARE WORKING TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITIES WE SERVE BY IDENTIFYING AND ADDRESSING COMMUNITY HEALTH PRIORITIES. THE MISSION &amp; COMMUNITY BENEFIT COMMITTEE OF THE BOARD OF TRUSTEES PROVIDES OVERSIGHT FOR ALL OF OUR COMMUNITY BENEFIT ACTIVITIES, ESTABLISHES OUR LOCAL HEALTH PRIORITIES, AND MONITORS THE HEALTH STATUS OF THE COMMUNITIES WE SERVE. SINCE WE CANNOT ADDRESS ALL OF OUR COMMUNITY'S NEEDS ALONE, WE AND OTHER MEMBERS OF THE LANCASTER HEALTH IMPROVEMENT PARTNERSHIP (LHIP) REGULARLY ANALYZE FEDERAL, STATE, AND LOCAL DATA TO IDENTIFY OUR COMMUNITY'S MOST PRESSING HEALTH CONCERNS. LANCASTER GENERAL HOSPITAL CONTRACTS WITH HEALTHY COMMUNITIES INSTITUTE (HCI) TO PROVIDE DEMOGRAPHIC AND SECONDARY DATA ON HEALTH, HEALTH DETERMINANTS, AND QUALITY OF LIFE TOPICS FOR OUR COMMUNITY THAT IS PRIMARILY DERIVED FROM STATE AND NATIONAL PUBLIC HEALTH SOURCES. FROM THIS DATA, WE SELECT THOSE ISSUES THAT AFFECT THE MOST PEOPLE, AND DOES, OR WILL, COST SOCIETY THE MOST IN EITHER DOLLARS OR QUALITY OF LIFE. AS WE BUILD ACTION PLANS FOR EACH OF OUR PRIORITY AREAS, WE CONSIDER PROGRAMS AND ACTIVITIES THAT INFLUENCE THE INDIVIDUAL, FAMILY, COMMUNITY AND WORKPLACE, AS WELL AS SUPPORT POLICIES THAT INFLUENCE POSITIVE HEALTH OUTCOMES. WE STRIVE TO INFLUENCE HEALTH WHERE PEOPLE LIVE, WORK, PLAY, AND LEARN. LANCASTER GENERAL HOSPITAL WORKS TO CREATE COMMUNITY BENEFIT ACTIVITIES THAT EXCEED INDUSTRY STANDARDS, WHETHER WE ARE BEING A ROLE MODEL FOR ENVIRONMENTALLY-FRIENDLY POLICIES OR ADVOCATING FOR HEALTH LEGISLATION THAT BENEFITS ALL RESIDENTS. WE DO THIS NOT ONLY BECAUSE IT'S OUR MISSION, BUT ALSO BECAUSE IT'S THE RIGHT THING TO DO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3, Patient education of eligibility for assistance.</FormAndLineReferenceDesc>
        <ExplanationTxt>NOTICES 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4, Community information.</FormAndLineReferenceDesc>
        <ExplanationTxt>LANCASTER GENERAL HOSPITAL'S PRIMARY AND SECONDARY SERVICE AREAS COMPRISE ALL OF LANCASTER COUNTY, PENNSYLVANIA. LGH ALSO SERVES PATIENTS IN BERKS, CHESTER, DAUPHIN, LEBANON, AND YORK COUNTIES. LOCATED IN SOUTH CENTRAL PENNSYLVANIA, LANCASTER COUNTY IS 950 SQUARE MILES IN SIZE AND IS HOME TO 534,130 PEOPLE. ABOUT 16.4% OF THE POPULATION IS OVER THE AGE OF 64; 51.1% OF THE POPULATION IS FEMALE. THE MEDIAN INCOME IS $56,243, AND 10.3% OF THE POPULATION LIVES BELOW THE FEDERAL POVERTY LEVEL. LANCASTER GENERAL HOSPITAL'S MARKET SHARE IN LANCASTER COUNTY IS APPROXIMATELY 57.4%.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5, Promotion of community health</FormAndLineReferenceDesc>
        <ExplanationTxt>LANCASTER GENERAL HOSPITAL IS GOVERNED BY A 15-MEMBER BOARD OF TRUSTEES, INCLUDING 13 COMMUNITY MEMBERS AND THREE PHYSICIANS WHO ALL RESIDE IN OUR PRIMARY OR SECONDARY SERVICE AREAS. 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 SEVEN COMMITTEES COMPRISED OF AN ADDITIONAL 30+ COMMUNITY MEMBERS. THE COMMITTEES INCLUDE: QUALITY, MISSION &amp; COMMUNITY BENEFIT, PROFESSIONAL AFFAIRS, FINANCE/CAPITAL ALLOCATIONS, AUDIT &amp; COMPLIANCE, EXECUTIVE, AND INVESTMENT SUBCOMMITTEE. SURPLUS FUNDS GENERATED BY LANCASTER GENERAL HOSPITAL ARE ANNUALLY REINVESTED INTO IMPROVING ITS FACILITIES, PROVIDING NEW HEALTHCARE SERVICES AND ENHANCING THE PROFESSIONAL ABILITIES OF ITS WORKFORCE. IN FISCAL YEAR 2014, THE HOSPITAL COMMITTED $48.4 MILLION TO SPENDING FOR PROPERTY, PLANT AND EQUIPMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 6, Affiliated health care system</FormAndLineReferenceDesc>
        <ExplanationTxt>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 WHERE SERVICES ARE PROVIDED BY LICENSED PHYSICIANS AND OFFICE SPACE IS LEASED TO HEALTH CARE PROVIDERS AND OTHERS. IN ADDITION, LANCASTER GENERAL HEALTH-COLUMBIA CENTER OFFERS PREVENTIVE, DIAGNOSTIC, AND THERAPEUTIC MEDICAL SERVICES TO PATIENTS ON AN OUTPATIENT BASIS. LANCASTER GENERAL HEALTH FOUNDATION (EIN# 20-5767147) EXISTS TO ADVANCE THE CULTURE OF PHILANTHROPY WITHIN THE LANCASTER GENERAL HEALTH SYSTEM. PENNSYLVANIA COLLEGE OF 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 TO PROVIDE SURGICAL SERVICES TO PATIENTS. 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 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. LANCASTER GENERAL HEALTH INNOVATIVE SOLUTIONS, INC. (EIN# 46-05898543) CONCEIVES AND LAUNCHES NOVEL HEALTHCARE SERVICES AND PRODUCTS. LG HEALTH COMMUNITY CARE COLLABORATIVE, LLC (EIN# 45-5542179) IS AN ACCOUNTABLE CARE ORGANIZATION. OTHER AFFILIATES OF LANCASTER GENERAL HEALTH INCLUDE LANCASTER GENERAL INSURANCE COMPANY, LTD. AND LANCASTER GENERAL BUSINESS TRUST AND ITS SUBSIDIARIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 7, STATE FILING OF COMMUNITY BENEFIT REPORT</FormAndLineReferenceDesc>
        <ExplanationTxt>LANCASTER GENERAL HOSPITAL ISSUES AN ANNUAL REPORT WHICH INCLUDES INFORMATION ABOUT COMMUNITY BENEFIT AND HEALTH EFFORTS. THIS REPORT IS NOT FILED WITH THE STATE OF PENNSYLVANIA.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
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      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>CITY OF LANCASTER</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>39 WEST CHESTNUT STREET</AddressLine1>
          <City>LANCASTER</City>
          <State>PA</State>
          <ZIPCode>17608</ZIPCode>
        </USAddress>
        <RecipientEIN>236001904</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT ENTITY</IRCSectionDesc>
        <CashGrantAmt>1380000</CashGrantAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>CONTRIBUTION TO SUPPORT PROGRAM SERVICE.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>DOMESTIC VIOLENCE SERVICES TOTAL</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>PO BOX 359</AddressLine1>
          <City>LANCASTER</City>
          <State>PA</State>
          <ZIPCode>17603</ZIPCode>
        </USAddress>
        <RecipientEIN>231667311</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>1000</CashGrantAmt>
        <NonCashAssistanceAmt>7000</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>RENT FOR CLASSROOM USE</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>CONTRIBUTION TO SUPPORT PROGRAM SERVICE.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>EDWARD HAND MEDICAL HERITAGE FOUNDATION</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>PO BOX 10302</AddressLine1>
          <City>LANCASTER</City>
          <State>PA</State>
          <ZIPCode>17603</ZIPCode>
        </USAddress>
        <RecipientEIN>208119480</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>95000</CashGrantAmt>
        <PurposeOfGrantTxt>CONTRIBUTION TO SUPPORT PROGRAM SERVICE.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>LANCASTER CITY ALLIANCE</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>354 N PRINCE STREET 110</AddressLine1>
          <City>LANCASTER</City>
          <State>PA</State>
          <ZIPCode>17603</ZIPCode>
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        <RecipientEIN>463353021</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>175000</CashGrantAmt>
        <PurposeOfGrantTxt>CONTRIBUTION TO SUPPORT PROGRAM SERVICE.</PurposeOfGrantTxt>
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      <RecipientTable>
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        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
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      <RecipientTable>
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        <PurposeOfGrantTxt>CONTRIBUTION TO SUPPORT PROGRAM SERVICE.</PurposeOfGrantTxt>
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          <City>LANCASTER</City>
          <State>PA</State>
          <ZIPCode>17603</ZIPCode>
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        <PurposeOfGrantTxt>CONTRIBUTION TO SUPPORT PROGRAM SERVICE.</PurposeOfGrantTxt>
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          <City>LANCASTER</City>
          <State>PA</State>
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        <RecipientEIN>237197558</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
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        <PurposeOfGrantTxt>CONTRIBUTION TO SUPPORT PROGRAM SERVICE.</PurposeOfGrantTxt>
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          <BusinessNameLine1>SCHOOL DISTRICT OF LANCASTER</BusinessNameLine1>
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          <City>LANCASTER</City>
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        <RecipientEIN>231976868</RecipientEIN>
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        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>CASH REGISTER SOFTWARE &amp; HARDWARE UPGRADE</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>CONTRIBUTION TO SUPPORT PROGRAM SERVICE.</PurposeOfGrantTxt>
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          <BusinessNameLine1>UNITED WAY OF LANCASTER COUNTY</BusinessNameLine1>
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          <City>LANCASTER</City>
          <State>PA</State>
          <ZIPCode>17603</ZIPCode>
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        <RecipientEIN>231352093</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
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        <PurposeOfGrantTxt>CONTRIBUTION TO SUPPORT PROGRAM SERVICE.</PurposeOfGrantTxt>
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      <Total501c3OrgCnt>11</Total501c3OrgCnt>
      <TotalOtherOrgCnt>1</TotalOtherOrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>SCHOLARSHIP AWARDS</GrantTypeTxt>
        <RecipientCnt>42</RecipientCnt>
        <CashGrantAmt>43000</CashGrantAmt>
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        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule I, Part I, Line 2, Procedures for monitoring use of grant funds</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRIBUTIONS MADE BY LANCASTER GENERAL HOSPITAL MUST MEET THE FOLLOWING CRITERIA SET FORTH BY THE MISSION &amp; 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 PENNSYLVANIA COLLEGE OF HEALTH SCIENCES ON A NON-DISCRIMINATORY BASIS. THE SCHOLARSHIPS AND LOANS ARE BASED ON FINANCIAL NEED, ACADEMIC PROGRESS, AND CLINICAL PERFORMANCE.</ExplanationTxt>
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    </IRS990ScheduleI>
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        <PersonNm>MARION A MCGOWAN RN</PersonNm>
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        <PersonNm>KAY BRADY</PersonNm>
        <TitleTxt>VP, HUMAN RESOURCES</TitleTxt>
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        <PersonNm>JUDI L BRENDLE</PersonNm>
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        <PersonNm>GARY DAVIDSON</PersonNm>
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        <PersonNm>LEE M DUKE II MD</PersonNm>
        <TitleTxt>SVP AND CHIEF PHYSICIAN EXECUTIVE</TitleTxt>
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        <PersonNm>NORMA J FERDINAND</PersonNm>
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        <PersonNm>LISA R HESS</PersonNm>
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        <PersonNm>ELIZABETH D HILLS</PersonNm>
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        <PersonNm>EDWARD MALONEY</PersonNm>
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        <PersonNm>MARY B MISKEY</PersonNm>
        <TitleTxt>VP, HUMAN RESOURCES OPERATIONS</TitleTxt>
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        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>546182</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>30000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>24734</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>23050</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>13031</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>636997</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARK W BURLINGAME MD</PersonNm>
        <TitleTxt>CARDIOTHORACIC SURGEON</TitleTxt>
        <BaseCompensationFilingOrgAmt>703303</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>27344</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>7542</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>12750</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>13031</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>763970</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JEFFREY T COPE MD</PersonNm>
        <TitleTxt>CARDIOTHORACIC SURGEON</TitleTxt>
        <BaseCompensationFilingOrgAmt>700003</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>27344</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1728</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>12750</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14827</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>756652</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES KU</PersonNm>
        <TitleTxt>MEDICAL DIRECTORY HEALTH WEIGHT MGMT</TitleTxt>
        <BaseCompensationFilingOrgAmt>572604</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>76705</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>12750</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14827</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>676886</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>FREDERICK B ROGERS</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR TRAUMA</TitleTxt>
        <BaseCompensationFilingOrgAmt>529381</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>161160</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>40059</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>13725</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14487</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>758812</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 1a, Travel for companions</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AMOUNT PROVIDED FOR TRAVEL FOR COMPANIONS WAS $5,774. THESE PAYMENTS WERE CONSIDERED TAXABLE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 1a, Tax indemnification and gross-up payments</FormAndLineReferenceDesc>
        <ExplanationTxt>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 $15 PER EMPLOYEE WERE GIVEN DURING THE 2013 TAX YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 1a, Housing allowance or residence for personal use</FormAndLineReferenceDesc>
        <ExplanationTxt>HOUSING ALLOWANCE WAS PROVIDED TO ONE INDIVIDUAL. THESE PAYMENTS WERE CONSIDERED TAXABLE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 1b, Written policy regarding payment or reimbursement of expenses</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE ARE CURRENTLY NO WRITTEN POLICIES IN PLACE FOR GROSS UP PAYMENTS, TRAVEL FOR COMPANIONS OR HOUSING ALLOWANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 3, COMPENSATION</FormAndLineReferenceDesc>
        <ExplanationTxt>LANCASTER GENERAL HEALTH'S EXECUTIVE COMPENSATION PROCESS INCLUDES THE FOLLOWING REVIEW AND ACTION BY THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES WHICH IS COMPRISED OF INDEPENDENT TRUSTEES. AN EVALUATION OF PERFORMANCE AGAINST GOALS IS CONDUCTED AT THE CLOSE OF A FISCAL YEAR TO DETERMINE THE LEVEL OF ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE OF THE CEO AND SENIOR EXECUTIVES SO AS TO DETERMINE MERIT AND INCENTIVE PAY ACTIONS. MARKET DATA FOR BASE SALARY, TOTAL CASH COMPENSATION AND TOTAL COMPENSATION IS PROVIDED BY AN INDEPENDENT THIRD PARTY TO THE COMMITTEE AND REFLECTS A MARKET BASKET OF SIMILARLY SIZED ORGANIZATIONS WITH COMPARABLE EXECUTIVE POSITIONS. UPON REVIEW AND DISCUSSION OF THE RELATED DATA AND INFORMATION THE COMMITTEE TAKES ACTION WHICH IS RECORDED IN THE MEETING MINUTES WHICH ARE THEN FILED FOR FUTURE REFERENCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b, Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>TOTAL DISTRIBUTIONS AND/OR CONTRIBUTIONS TO A NON-QUALIFIED SUPPLEMENTAL RETIREMENT PLAN AMOUNTED TO $897,914.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 7, Non-fixed payments</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
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      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>LANCASTER COUNTY HOSPITAL AUTHORITY</BusinessNameLine1>
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        <BondIssuerEIN>236648018</BondIssuerEIN>
        <CUSIPNum>514045YB3</CUSIPNum>
        <BondIssuedDt>2007-01-24</BondIssuedDt>
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        <BondReferenceCd>C</BondReferenceCd>
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      <TaxExemptBondsIssuesGrp>
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      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
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        <TotalProceedsAmt>33450000</TotalProceedsAmt>
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        <CapitalExpendituresAmt>37017542</CapitalExpendituresAmt>
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        <BondReferenceCd>B</BondReferenceCd>
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        <BondDefeasedAmt>0</BondDefeasedAmt>
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        <RefundingEscrowAmt>63375000</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>619371</IssuanceCostsFromProceedsAmt>
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        <BondReferenceCd>C</BondReferenceCd>
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        <BondReferenceCd>A</BondReferenceCd>
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      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>C</BondReferenceCd>
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      <TaxExemptBondsPrivateBusUseGrp>
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        <BondReferenceCd>A</BondReferenceCd>
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        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
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        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
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      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <Form8038TFiledInd>true</Form8038TFiledInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>true</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
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        </HedgeProviderName>
        <TermOfHedgePct>35.0</TermOfHedgePct>
        <SuperintegratedHedgeInd>false</SuperintegratedHedgeInd>
        <HedgeTerminatedInd>false</HedgeTerminatedInd>
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        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <Form8038TFiledInd>true</Form8038TFiledInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART I, DEFEASED</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART I, COLUMN (C), CUSIP #</FormAndLineReferenceDesc>
        <ExplanationTxt>SERIES 2012-A WAS A PRIVATE PLACEMENT AND THUS WAS NOT ASSIGNED A CUSIP #.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART I, COLUMN (F), CUSIP# 23-6648018 DESCRIPTION OF PURPOSE</FormAndLineReferenceDesc>
        <ExplanationTxt>SERIES 2012B - REFUNDING A PORTION OF SERIES 2008, 2010, AND 2011 BONDS, AND A PORTION TO BE USED FOR CONSTRUCTION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleK documentId="IRS990ScheduleK2" softwareId="13000248" softwareVersion="2013v3.1" />
    <IRS990ScheduleL documentId="IRS990ScheduleL" softwareId="13000248" softwareVersion="2013v3.1">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1>DOUGLAS W RINEHART</BusinessNameLine1>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>OFFICER</RelationshipDescriptionTxt>
        <TransactionAmt>647139</TransactionAmt>
        <TransactionDesc>INDIVIDUAL IS A BOARD MEMBER OF LEMSA. LEMSA PROVIDES SERVICES TO LANCASTER GENERAL HOSPITAL.</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1>LEE M DUKE II MD</BusinessNameLine1>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>OFFICER</RelationshipDescriptionTxt>
        <TransactionAmt>657436</TransactionAmt>
        <TransactionDesc>INDIVIDUAL IS EMPLOYED PART TIME BY PULMONARY ASSOCIATES OF LANCASTER (PAL). PAL PROVIDES SERVICES TO LANCASTER GENERAL HOSPITAL.</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1>KEITH R KUHLENGEL MD</BusinessNameLine1>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>TRUSTEE</RelationshipDescriptionTxt>
        <TransactionAmt>671851</TransactionAmt>
        <TransactionDesc>INDIVIDUAL IS A PARTNER OF LANCASTER NEUROSCIENCE &amp; SPINE ASSOCIATES WHICH PROVIDE SERVICES TO LANCASTER GENERAL HOSPITAL.</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1>CHARLES RODENBERGER MD</BusinessNameLine1>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>TRUSTEE</RelationshipDescriptionTxt>
        <TransactionAmt>124975</TransactionAmt>
        <TransactionDesc>INDIVIDUAL IS A JOINT VENTURE PARTNER WITH DAVITA. DAVITA HAS A DIALYSIS CONTRACT WITH LANCASTER GENERAL HOSPITAL.</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1>ROBERT P MACINA ESQ</BusinessNameLine1>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>OFFICER</RelationshipDescriptionTxt>
        <TransactionAmt>175000</TransactionAmt>
        <TransactionDesc>INDIVIDUAL SERVES AS THE CHAIR OF THE BOARD OF DIRECTORS OF LANCASTER CITY ALLIANCE TO WHICH LANCASTER GENERAL HOSPITAL IS A MAJOR CONTRIBUTOR.</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1>GARY DAVIDSON</BusinessNameLine1>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>OFFICER</RelationshipDescriptionTxt>
        <TransactionAmt>5750894</TransactionAmt>
        <TransactionDesc>INDIVIDUAL IS A BOARD MEMBER FOR LINKEHR. LINKEHR PROVIDES SERVICES TO LANCASTER GENERAL HOSPITAL.</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="IRS990ScheduleM" softwareId="13000248" softwareVersion="2013v3.1">
      <WorksOfArtGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>2500</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>MARKET VALUE</MethodOfDeterminingRevenuesTxt>
      </WorksOfArtGrp>
      <ClothingAndHouseholdGoodsGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <NoncashContributionsRptF990Amt>2149</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>MARKET VALUE</MethodOfDeterminingRevenuesTxt>
      </ClothingAndHouseholdGoodsGrp>
      <CollectiblesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>2</ContributionCnt>
        <NoncashContributionsRptF990Amt>3245</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>MARKET VALUE</MethodOfDeterminingRevenuesTxt>
      </CollectiblesGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>GIFT CERTIFICATES</Desc>
        <ContributionCnt>11</ContributionCnt>
        <NoncashContributionsRptF990Amt>1110</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>MARKET VALUE</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>FOOD/BEVERAGE</Desc>
        <ContributionCnt>2</ContributionCnt>
        <NoncashContributionsRptF990Amt>180</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>MARKET VALUE</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>GIFT BASKETS</Desc>
        <ContributionCnt>2</ContributionCnt>
        <NoncashContributionsRptF990Amt>115</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>MARKET VALUE</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <Form8283ReceivedCnt>0</Form8283ReceivedCnt>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
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        <FormAndLineReferenceDesc>Schedule M, Part I, Explanations of reporting method for number of contributions</FormAndLineReferenceDesc>
        <ExplanationTxt>ART - WORKS OF ART: ART - WORKS OF ART- NUMBER OF ART PIECES CONTRIBUTED CLOTHING AND HOUSEHOLD GOODS: CLOTHING AND HOUSEHOLD GOODS - NUMBER OF INSTANCES IN WHICH CONTRIBUTIONS OF CLOTHING AND HOME DECOR WAS CONTRIBUTED. COLLECTIBLES: COLLECTIBLES - NUMBER OF PIECES OF JEWELRY CONTRIBUTED OTHER: OTHER: GIFT CERTIFICATES - NUMBER OF VENDORS IN WHICH GIFT CERTIFICATES WERE DISTRIBUTED FOR OTHER: OTHER: FOOD/BEVERAGE - NUMBER OF INSTANCES IN WHICH FOOD/BEVERAGE WAS DONATED. OTHER: OTHER: GIFT BASKETS - NUMBER OF INSTANCES IN WHICH GIFT BASKETS WERE DONATED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule M, part I, column (b), Line 1, Number of contributions or items contributed.</FormAndLineReferenceDesc>
        <ExplanationTxt>ART - WORKS OF ART- NUMBER OF ART PIECES CONTRIBUTED</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule M, part I, column (b), Line 5, Number of contributions or items contributed.</FormAndLineReferenceDesc>
        <ExplanationTxt>CLOTHING AND HOUSEHOLD GOODS - NUMBER OF INSTANCES IN WHICH CONTRIBUTIONS OF CLOTHING AND HOME DECOR WAS CONTRIBUTED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule M, part I, column (b), Line 18, Number of contributions or items contributed.</FormAndLineReferenceDesc>
        <ExplanationTxt>COLLECTIBLES - NUMBER OF PIECES OF JEWELRY CONTRIBUTED</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule M, part I, column (b), Line other, Number of contributions or items contributed.</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER=GIFT CERTIFICATES : OTHER: GIFT CERTIFICATES - NUMBER OF VENDORS IN WHICH GIFT CERTIFICATES WERE DISTRIBUTED FOR</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="13000248" softwareVersion="2013v3.1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4D, EXEMPT PURPOSE ACHIEVEMENTS</FormAndLineReferenceDesc>
        <ExplanationTxt>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 $70.7M 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 $10.7M.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART V, LINE 4A, FILING REQUIREMENTS FOR FORM TD-90-22.1</FormAndLineReferenceDesc>
        <ExplanationTxt>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).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Sec A, Line 6, Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Sec A, Line 7a, Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>LANCASTER GENERAL HEALTH ELECTS THE BOARD OF TRUSTEES OF LANCASTER GENERAL HOSPITAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Sec A, Line 7b, Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 10A, LOCAL CHAPTERS, BRANCHES, OR AFFILIATES</FormAndLineReferenceDesc>
        <ExplanationTxt>LANCASTER GENERAL HEALTH (EIN# 23-2250941) IS THE PARENT ORGANIZATION OF MULTIPLE AFFILIATES INCLUDING LANCASTER GENERAL HOSPITAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Sec B, Line 10b, Monitoring compliance of local unit's activities</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS POLICIES AND PROCEDURES GOVERNING THE ACTIVITIES OF ITS AFFILIATES. HOWEVER, THEY ARE NOT CURRENTLY APPROVED BY THE GOVERNING BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Sec B, Line 11b, Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>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 PRIOR TO THE ELECTRONIC FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Sec B, Line 12c, Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>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 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 DISLOSURE 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 14, DOCUMENT RETENTION AND DESTRUCTION POLICY</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS THE POLICIES AND PROCEDURES IN PLACE AS MENTIONED IN FORM 990, PART VI, SECTION B, LINES 14 AND 16B. HOWEVER, THEY ARE NOT CURRENTLY APPROVED BY THE GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Sec B, Line 15a, Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>LANCASTER GENERAL HEALTH'S EXECUTIVE COMPENSATION PROCESS INCLUDES THE FOLLOWING REVIEW AND ACTION BY THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES WHICH IS COMPRISED OF INDEPENDENT TRUSTEES. AN EVALUATION OF PERFORMANCE AGAINST GOALS IS CONDUCTED AT THE CLOSE OF A FISCAL YEAR TO DETERMINE THE LEVEL OF ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE OF THE CEO AND SENIOR EXECUTIVES SO AS TO DETERMINE MERIT AND INCENTIVE PAY ACTIONS. MARKET DATA FOR BASE SALARY, TOTAL CASH COMPENSATION AND TOTAL COMPENSATION IS PROVIDED BY AN INDEPENDENT THIRD PARTY TO THE COMMITTEE AND REFLECTS A MARKET BASKET OF SIMILARLY SIZED ORGANIZATIONS WITH COMPARABLE EXECUTIVE POSTIONS. UPON REVIEW AND DISCUSSION OF THE RELATED DATA AND INFORMATION THE COMMITTEE TAKES ACTION WHICH IS RECORDED IN THE MEETING MINUTES WHICH ARE THEN FILED FOR FUTURE REFERENCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Sec B, Line 15b, Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>LANCASTER GENERAL HEALTH'S EXECUTIVE COMPENSATION PROCESS INCLUDES THE FOLLOWING REVIEW AND ACTION BY THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES WHICH IS COMPRISED OF INDEPENDENT TRUSTEES. AN EVALUATION OF PERFORMANCE AGAINST GOALS IS CONDUCTED AT THE CLOSE OF A FISCAL YEAR TO DETERMINE THE LEVEL OF ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE OF THE CEO AND SENIOR EXECUTIVES SO AS TO DETERMINE MERIT AND INCENTIVE PAY ACTIONS. MARKET DATA FOR BASE SALARY, TOTAL CASH COMPENSATION AND TOTAL COMPENSATION IS PROVIDED BY AN INDEPENDENT THIRD PARTY TO THE COMMITTEE AND REFLECTS A MARKET BASKET OF SIMILARLY SIZED ORGANIZATIONS WITH COMPARABLE EXECUTIVE POSITIONS. UPON REVIEW AND DISCUSSION OF THE RELATED DATA AND INFORMATION THE COMMITTEE TAKES ACTION WHICH IS RECORDED IN THE MEETING MINUTES WHICH ARE THEN FILED FOR FUTURE REFERENCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 16B, JOINT VENTURE POLICY</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS THE POLICIES AND PROCEDURES IN PLACE AS MENTIONED IN FORM 990, PART VI, SECTION B, LINES 14 AND 16B. HOWEVER, THEY ARE NOT CURRENTLY APPROVED BY THE GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Sec C, Line 19, Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII, SECTION A, COMPENSATION</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERS OF THE BOARD ARE NOT COMPENSATED FOR THEIR POSITION ON THE BOARD. COMPENSATION DISCLOSED RELATES TO OTHER SERVICES PERFORMED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART X, LINE 20, TAX EXEMPT BOND LIABILITIES</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AMOUNT OF ISSUE OUSTANDING FOR BOTH THE SERIES 2007 AND 2012 BONDS ALSO INCLUDES THE BOND PREMIUM. THE BALANCE OF THE 2007 BOND PREMIUM AT 6/30/14 WAS $2,117,122. THE BALANCE OF THE 2012 BOND PREMIUM AT 6/30/14 WAS $3,498,237.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 , Part XI, Line 9, Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN INTEREST IN NET ASSETS OF LANCASTER GENERAL - 332021; OITHER NON-OPERATING INCOME - 1451512; RELATED PARTY TRANSFERS - -93208008; PERPETUAL TRUST DISTRIBUTIONS - 61675;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule M, part I, column (b), Line other, Number of contributions or items contributed.</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER=FOOD/BEVERAGE : OTHER: FOOD/BEVERAGE - NUMBER OF INSTANCES IN WHICH FOOD/BEVERAGE WAS DONATED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule M, part I, column (b), Line other, Number of contributions or items contributed.</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER=GIFT BASKETS : OTHER: GIFT BASKETS - NUMBER OF INSTANCES IN WHICH GIFT BASKETS WERE DONATED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule M, part I, column (b), Line 1, Number of contributions or items contributed.</FormAndLineReferenceDesc>
        <ExplanationTxt>ART - WORKS OF ART- NUMBER OF ART PIECES CONTRIBUTED</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule M, part I, column (b), Line 5, Number of contributions or items contributed.</FormAndLineReferenceDesc>
        <ExplanationTxt>CLOTHING AND HOUSEHOLD GOODS - NUMBER OF INSTANCES IN WHICH CONTRIBUTIONS OF CLOTHING AND HOME DECOR WAS CONTRIBUTED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule M, part I, column (b), Line 18, Number of contributions or items contributed.</FormAndLineReferenceDesc>
        <ExplanationTxt>COLLECTIBLES - NUMBER OF PIECES OF JEWELRY CONTRIBUTED</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule M, part I, column (b), Line other, Number of contributions or items contributed.</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER=GIFT CERTIFICATES : OTHER: GIFT CERTIFICATES - NUMBER OF VENDORS IN WHICH GIFT CERTIFICATES WERE DISTRIBUTED FOR</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule M, part I, column (b), Line other, Number of contributions or items contributed.</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER=FOOD/BEVERAGE : OTHER: FOOD/BEVERAGE - NUMBER OF INSTANCES IN WHICH FOOD/BEVERAGE WAS DONATED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule M, part I, column (b), Line other, Number of contributions or items contributed.</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER=GIFT BASKETS : OTHER: GIFT BASKETS - NUMBER OF INSTANCES IN WHICH GIFT BASKETS WERE DONATED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>LANCASTER GENERAL HEALTH</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>555 NORTH DUKE STREET</AddressLine1>
          <City>LANCASTER</City>
          <State>PA</State>
          <ZIPCode>17604</ZIPCode>
        </USAddress>
        <EIN>232250941</EIN>
        <PrimaryActivitiesTxt>MGMT &amp; FIN. SUPPORT TO CONTROLLED ORG. &amp; UNDERTAKING ACTIVITIES TO IMPROVE THE HEALTH OF COMMUNITY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>LANCASTER GENERAL HEALTH FOUNDATION</BusinessNameLine1>
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