2012-02-13T14:30:23-07:00 2010-06-30 990 2009-07-01 231365353 LANCASTER GENERAL HOSPITAL LANC 7175444926 555 North Duke Street Lancaster PA 176043555 F Joseph Byorick 7175444926 2011-05-04 2009 2016-02-24 21:20:13Z X F JOSEPH BYORICK CFO 555 NORTH DUKE STREET LANCASTER PA 17604 1073069199 0 X www.lancastergeneralhealth.org X 1893 PA To advance the health and well-being of the communities we serve. 21 20 6693 845 7967740 -213723 2854692 5236463 779847403 791002304 3675836 2406436 33568674 35763170 819946605 834408373 6655525 3970341 0 0 385462751 412562379 92614 97952 1213848 348891072 351200542 741101962 767831214 78844643 66577159 809056683 833614066 311673732 305091262 497382951 528522804 To advance the health and well-being of the communities we serve. Please refer to Form 990, Schedule H for additional disclosure regarding Lancaster General Hospital's mission. 0 0 119271301 0 184555144 Surgical Services (33,393 Encounters) 104060096 181624420 Nursing Services (170,694 Patient Days) 44158919 0 87396118 Cardiology Services (200,253 Services Provided) 309846348 3970341 340628158 All other program services, including but not limited to; laboratory, pharmacy, radiology, emergency medicine, education, and physical medicine and rehabilitation. LGH operates an emergency room (ER) that is open to all persons regardless of ability to pay. The emergency room had a total of 108,690 visits during fiscal year 2010. Medicare made up 25,802 of those visits while Medicaid patients visited the ER 31,474 times during the year. The uninsured had a total of 15,120 visits to the ER during 2010. Total patient days for the fiscal year were 174,618. Medicare and Medicaid patients contributed 16,495 and 6,450, respectively, towards the 38,346 total inpatient discharges during the fiscal year. 309846348 3970341 340628158 577336664 1 1 0 1 0 0 0 0 1 1 0 1 0 0 0 0 0 1 0 0 1 1 1 1 1 0 0 0 0 0 0 0 1 0 1 0 1 0 0 0 1 1 0 0 1 373 0 1 6693 1 1 1 1 CJ 0 0 0 0 0 0 0 0 0 21 20 0 0 1 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 0 PA X F Joseph Byorick CFO 7175444926 555 North Duke Street Lancaster PA 176043555 Gibson E Armstrong 2 X 0 0 0 Nancy S Arnold 2 X 0 0 0 Rebecca S Bumstead 2 X 0 0 0 Dana Chryst 2 X 0 0 0 T Raymond Foley MD 4 X 40035 0 1400 John A Fry 2 X 0 0 0 Dennis A Getz 2 X 0 0 0 Alexander Henderson III Esq 2 X 0 0 0 James E Hipolit Esq 2 X 0 0 0 Joanne B Ladley 2 X 0 0 0 Robert F Latshaw MD 2 X 0 0 0 Jeffrey F Lehman 2 X 0 0 0 Bruce R Limpert 2 X 0 0 0 C Clair McCormick 2 X 0 0 0 Deborah K Riley MD 16.00 X 98057 0 3922 Kenneth G Stoudt 2 X 0 0 0 Antonio Suarez 2 X 0 0 0 Michael W Van Belle 2 X 0 0 0 Philip R Wenger 2 X 0 0 0 Michael J Winn 2 X 0 0 0 Thomas E Beeman 60 X X 977481 0 346455 Jan L Bergen 55 X 573732 0 159413 Kay Brady 55 X 156552 0 32673 Judi L Brendle 55 X 133598 0 39505 F Joseph Byorick III 55 X 567287 0 82875 Michelle Campbell 55 X 229218 0 27007 Kent E Carr MD 55 X 0 514588 64522 Charles A Castle MD 55 X 311618 0 77673 Kenneth J Collins 55 X 166416 0 38027 Margaret F Costella Esq 55 X 237711 0 36036 Gary R Davidson 55 X 314793 0 57335 Lee M Duke II MD 55 X 574789 0 106305 Geoffrey W Eddowes 55 X 318442 0 84731 Norma J Ferdinand 55 X 373126 0 117559 Lisa R Hess 55 X 174514 0 37820 Denise A Kennedy 55 X 188215 0 36204 Margaret M Klecha 55 X 144905 0 28868 Robert P Macina Esq 55 X 1000713 0 139972 Marion A McGowan 55 X 657656 0 90232 Regina M Mingle 55 X 366514 0 107145 Mary B Miskey 55 X 187024 0 35371 Richard D Paoletti 55 X 212863 0 38965 Joseph A Puskar 55 X 269659 0 57858 Douglas W Rinehart 55 X 183307 0 44610 Susan Wynne 55 X 304868 0 69377 Stacey G Youcis 55 X 227519 0 50750 Kathleen L Harrison 55 X 190649 0 16884 James E Page Jr 55 X 82459 0 20313 Andre W Renna 55 X 389599 0 20534 Timothy C Zellers 55 X 201017 0 46649 Frederick Rogers MD 50 X 629296 0 76516 Alan Brader MD 50 X 603151 0 70806 Randall A Oyer MD 50 X 523883 0 79055 Philip M Bayliss MD 50 X 501819 0 85393 Timothy J Boley MD 50 X 480761 0 85379 Leo P Gilmore 0 X 301845 0 3238 Thomas C Paisley Jr 0 X 0 0 147606 Bruce H Pokorney MD 0 X 0 0 142624 12895091 514588 2807607 368 1 1 0 Benchmark Construction Company PO BOX 806 Brownstown PA 17508 Construction 10350859 Siemens Medical Solutions PO BOX 7777 W3580 Philadelphia PA 19175 Maintenance Repairs 3979326 Quest Diagnostics PO BOX 828669 Philadelphia PA 19182 Referred Lab Testing 3288078 CTG Healthcare Solutions PO BOX 711778 Cincinnati OH 45271 Consulting 2639793 Microsoft Services 1950 North Stemmons Highway Suite 5010 Dallas TX 75207 Software Maintenance 1156028 163 401444 0 1151 298582 578584 3956702 12041 5236463 Other Net Patient Revenue 900099 516361888 511586759 4775129 0 Medicare/Medicaid Payments 900099 272546378 272546378 0 0 Rent to Affiliates 900099 2094038 2094038 0 0 0 0 0 0 791002304 2557836 0 0 2557836 0 0 0 0 0 0 0 0 0 0 238504768 0 238656168 0 -151400 0 -151400 0 0 -151400 13524 1151 4658 8866 0 0 8866 Sale of Service 541900 10303812 7666801 2637011 0 Medical Service Revenue 900099 8660350 8660350 0 0 Rental Income 531190 5369540 0 18028 5351512 11420602 6178501 537572 4704529 35754304 834408373 808732827 7967740 12471343 3909520 3909520 60821 60821 11376080 0 11376080 0 0 288007556 227411073 60017643 578840 37275285 29432606 7767764 74915 54878743 43332331 11436128 110284 21024715 15929375 5059269 36071 1832116 1832116 153420 153420 97952 97952 0 15600822 7808219 7789576 3027 994883 994492 391 0 29283012 10224494 19000770 57748 10834145 801383 9990552 42210 17030034 14945592 2069624 14818 1500622 4817 1495676 129 7498999 7401969 97030 0 50573523 25209577 25352449 11497 6867429 92871 6774558 0 Medical/Surgical Supplies 143364020 137364475 5991861 7684 Purchased Services 38356327 21496531 16764878 94918 Bad Debt Expense 26109602 0 26109602 0 Management Fee Expense 952079 0 952079 0 Indirect Allocation 0 30687998 -30752520 64522 249509 228520 1756 19233 767831214 577336664 189280702 1213848 22345 22805 170230701 171943757 748620 5401338 124394490 114717433 3070478 2500898 4279869 5137412 9227421 10640464 842428764 392979652 464534572 449449112 8771911 50838142 23776276 22962705 809056683 833614066 62813097 68820604 2447250 1023745 217863623 207228100 1832948 1158258 26716814 26860555 311673732 305091262 X 485725518 512615460 5996969 10374272 5660464 5533072 497382951 528522804 809056683 833614066 X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 1 14478 1 6773 1 40984 1 8274 1 115695 0 186204 0 SchC_P2B_S00_L01 Schedule C, Part II-B, Line 1 During FY 2010, Lancaster General Hospital attempted to influence national, state, or local legislation through the use of 1.) mailings to members, legislators, or the public, 2.) grants to other organizations for lobbying purposes, and 3.) direct contact with legislators, their staffs, government officials, or legislative body. 4542077 5720 555097 0 11892 3172 5087830 5209323 62387 -679295 0 0 1567 4590848 0 1 0 0 0 0 33697156 33697156 0 356667278 116435098 240232180 0 14201333 7509870 6691463 0 368286558 222860976 145425582 0 69576439 46173708 23402731 449449112 Assets whose use is limited 9357222 Due from affiliated entities 3690810 Investments in non-consolidated affiliates 2874020 Perpetual trust funds shown at year end market value 2729217 Miscellaneous receivable 2619590 Other long-term assets 1468031 Funds held by an affiliate shown at year end market value 195412 Other current assets 28403 22962705 Other long-term liabilities 19958221 Estimated third party payor settments 5423152 Interest payable 1479182 26860555 834408373 767831214 66577159 582975 0 0 0 -36020283 -35437308 31139851 798742692 582975 0 0 -36248656 -35665681 834408373 0 0 0 834408373 767602839 0 0 0 0 0 767602839 0 228375 228375 767831214 SchD_P05_S00_L04 Schedule D, Part V, Line 4 Lancaster General Hospital utilizes the endowment funds in accordance with their tax-exempt purpose and as specified by donor. SchD_P10_S00_L00 Schedule D, Part X On July 1, 2007, Lancaster General Hospital adopted the provisions of Financial Accounting Standards Board (FASB) Interpretation No. 48, Accounting for Uncertainty in Income Taxes (FIN 48). FIN 48 requires that a tax position be recognized or derecognized based on a "more likely than not" threshold. This applies to positions taken or expected to be taken in a tax return. The implementation of FIN 48 had no impact on the Hospital's statement of financial position or statement of activities. Lancaster General Hospital does not believe its financial statements include any material uncertain tax positions. SchD_P11_S00_L08 Schedule D, Part XI, Line 8 Amount includes related party transfers, perpetual trust distributions, change in interest in Lancaster General Health, and other non-operating income. SchD_P12_S00_L02d Schedule D, Part XII, Line 2d Amount includes related party transfers, equity in earnings, perpetual trust distributions, change in interest in Lancaster General Health, and other non-operating income. SchD_P13_S00_L04b Schedule D, Part XIII, Line 4b Amount represents equity in earnings. X X X X X X X 1 Patricia B Schwartz Associates Grant writing support 0 849520 55968 793552 Lindsley Consulting Group Cancer Capital Campaign preparation support 0 419833 41984 377849 1269353 97952 1171401 PA 1 1 X 1 X 1 X 1 1 0 1 1 8793838 0 8793838 0.0119 63586848 0 63586848 0.0857 0 0 0 0 0 0 72380686 0 72380686 0.0976 5794254 3334491 2459763 0.0033 8845724 1628744 7216980 0.0097 134717 62554 72163 0.0001 1176682 0 1176682 0.0016 0 0 15951377 5025789 10925588 0.0147 0 0 88332063 5025789 83306274 0.1123 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 220304 0 220304 0.0003 0 0 0 0 1500000 0 1500000 0.0021 0 0 1720304 0 1720304 0.0024 1 6695525 0 230272364 316644005 -86371641 X 1 0 Columbia Outpatient Center

306 North Seventh Street PO Box 926 Columbia PA 17512

X Lancaster General Hospital

555 North Duke Street Lancaster PA 17604

X X X X X Suburban Outpatient Pavilion

2100 Harrisburg Pike PO Box 3200 Lancaster PA 17604

X Kissel Hill Outpatient Center

51 Peters Road Lititz PA 17543

X Norlanco Outpatient Center

424 Cloverleaf Road Elizabethtown PA 17022

X Willow Lakes Outpatient Center

222 Willow Valley Lakes Drive Willow Street PA 17584

X Women and Babies Hospital

690 Good Drive PO Box 3750 Lancaster PA 17604

X X X Crooked Oak Outpatient Center

1671 Crooked Dr 2 Lancaster PA 17601

X Downtown Outpatient Pavilion

540 North Duke Street Lancaster PA 17604

X Walter L Aument Family Health Center

317 South Chestnut Street Quarryville PA 17566

X Eden Physical Therapy

730 Eden Road Lancaster PA 17601

X 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(c) - Charity care at cost was calculated using the cost accounting system cost to charge ratio. Subsidized Health Services reported includes a Comprehensive Care Clinic. The functional expense reported on Form 990, Part IX, line 25 is $767,831,214. Bad debt expense of $26,109,602 was subtracted from this amount to calculate the percentage in this column. Bad debt is not included as a footnote to the financial statements. The financial statements include bad debt as an operating expense not as a reduction of patient service revenue. Part III, Line 2 - A cost accounting system was used to calculate a cost to charge ratio and applied to bad debt expense. Part III, Line 3 - Amount is zero because these accounts would not be included as bad debt but would be included as charity care. 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 2010. The $86,371,641 reported as a shortfall on line 5 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 its Mission & Community Benefit Committee. The total revenue reported on the Medicare Cost Report was $156,752,879 and includes bad debt, indirect medical education (IME) payments, coinsurances, and deductibles. Direct graduate medical education (GME) revenue of $1,268,009 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 $130,170,713. 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 5 derived from the cost accounting system. Lancaster General Hospital's current collection policy does not contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance. Schedule H, Part I, Line 5a- Lancaster General Hospital's budgeted amount of $21,542,637 for free or discounted care provided under its charity care policy exceeded its expenses of $21,516,745 by $25,892. Schedule H, Part VI, Other information- Lancaster General Hospital provided financial support to the City of Lancaster, EIN 23-6001904 in the amount of $1,380,000. These funds provided assistance to the City for special events and its Police, Fire, and Public Works services. Lancaster General Health (EIN# 23-2250941) assesses the health care needs of the communities it serves in a strategic and collaborative fashion. Our primary service area is Lancaster County. We assess our communities as it relates to minority and disparate populations. Lancaster General Health has been actively involved in the Lancaster Health Improvement Partnership (LHIP) since 1996. This community collaborative consists of health and human service providers as well as county government departments. Lancaster General Health along with LHIP utilizes a variety of data elements to analyze gaps and develop initiatives for programs to meet the needs. Morbidity & mortality data is received annually and behavioral risks are reviewed and tracked annually as well. Focus group reports are conducted periodically to assess special population needs such as Latino, African American and Amish. Lancaster General Health through the Mission and Community Benefit Committee of the Board of Directors and Trustees, analyzes this data and identifies primary focus areas. Our current focus areas are access to care, healthy weight management, domestic violence and tobacco use. A business plan is established for each of the priority areas working closely with community collaboratives such as the Tobacco Free Coalition of Lancaster County, Lighten up Lancaster (addressing the obesity epidemic) and LHIP (access to care focus). We work with the community collaboratives to identify broad community indicators in addition to establishing a Lancaster General Health specific scorecard. The community indicators as well as the programmatic scorecard serve as our evaluation mechanism. Our community needs are multifaceted and the solutions are complex. Lancaster General Health consistently works with and identifies partners to create synergies in our efforts to effects the overall health and well being of the communities of Lancaster. Notice of availability of Charity Care and Financial Assistance are posted at patient registration points throughout the organization and presented to customers upon request as well as listed on their bill. Summary information is also available on the Lancaster General Health website. A financial counselor will attempt to visit all inpatients who present as uninsured to discuss eligibility for all governmental programs and financial assistance programs. Lancaster General Hospital primary and secondary service areas comprise Lancaster County, Pennsylvania. Located in south central Pennsylvania, Lancaster County is 950 square miles in size and is home to 507,766 people. About 15% of the population is over the age of 64; 51% of the population is female. The median income is $55,824, and 9.2% of the population lives below the federal poverty level. Lancaster General Hospital's market share in Lancaster County is approximately 58%. 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. Lancaster General Hospital is governed by a 19-member Board of Trustees (BoT), including 16 community members and three physicians who all reside in our primary service area. They volunteer their professional time and expertise to guide the hospital. Our CEO is the only Trustee employed by LGH. One Trustee is a physician who is a contractor of the hospital, by virtue of this position as President of the hospital's Medical & Dental Staff. All Trustees annually complete a Conflict of Interest statement to ensure their objectivity. The BoT operates 11 committees comprised of an additional 30+ community members. The committees include: Executive, Audit and Compliance, Finance/Capital Allocations, Governance, Information Management, Management Development and Compensation, Mission and Community Benefit, Professional Affairs, Quality, Strategic Development, and Health Services. Lancaster General Hospital extends medical staff privileges to all qualified physicians and dentists in our community for most of its departments. An exception exists for those departments where the hospital has contracted with a physician practice to serve as an exclusive provider. Specialties include emergency medicine, radiology, pathology and cardiothoracic surgery. The hospital applies its annual surplus toward improving patient care, medical education and research. In 2009 and 2010, the hospital made total net purchases of property, plant and equipment of more than $120 million. The purchases have included building renovations and expansions, new facilities, and new and replacement healthcare technology. The hospital's surplus helps fund, and serves as a clinical education site for, the Lancaster General College of Nursing & Health Sciences and the Lancaster General Family Medicine Residency Program. The College is a private, co-educational, Middle States-accredited, four-year institution offering a variety of associate and baccalaureate degree programs as well as certificate programs in healthcare. Enrollment is more than 900 students. The hospital operates the Lancaster General Research Institute, which provides research support to LGH physicians and staff, focusing on treatment, diagnostic and procedural efficacy in the general hospital and affiliated specialty areas. The Institute also works in conjunction with the Family Medicine Residency Program to provide research opportunities for the advancement of medical education. The hospital also operates residency programs in Family Medicine and Pharmacy Practice, as well as fellowship programs in Geriatric Medicine and Palliative Care. Lancaster General Hospital is under the control of its parent organization Lancaster General Health. Lancaster General Health (EIN# 23-2250941) is a not-for-profit organization, which provides managerial and financial support to its controlled organization and is also responsible for undertaking activities to improve the health of the community. The multiple affiliates under the control of Lancaster General Health in addition to Lancaster General Hospital are: Lancaster General Health-Columbia Center (EIN# 23-0485650) which is a health care clinic that provides primary and specialty medical services. Lancaster General Health Foundation (EIN# 20-5767147) exists to advance the culture of philanthropy within the Lancaster General Health System. Lancaster General College of Nursing & Health Sciences (EIN# 06-1645496) educates competent, caring and socially responsible individuals who contribute to the health of the community. Lancaster General Imaging Corporation's (EIN# 23-3102789) exempt purposes are conducted through its control of two partnerships, MRI Group, LLP (EIN# 33-1011386) which provides medical services relating to magnetic resonance imaging and computer tomography and Lancaster PET Partnership, LLP (EIN# 23-3102793) which provides medical services relating to positron emission tomography. Lancaster General Ambulatory Surgical Services Inc.'s (EIN# 20-4943239) exempt purposes are conducted through its control of a partnership The Physicians' Surgery Center Lancaster General LLC (EIN# 20-4943239) which provides surgical services to patients. VNA Community Care Services Inc. (EIN# 23-1352572) provides comprehensive home health care regardless of the patient's ability to pay. VNA provides skilled nursing, therapy, medical social services, and home health aide services. Lancaster General Medical Group (EIN# 23-2777286) was organized to develop, own, and operate outpatient healthcare practices where primary and specialty medical services are provided by licensed physicians. Lancaster Cleft Palate Clinic (EIN# 23-1306888) provides treatment for oral-facial deformities in infants, children and adults and to enhance the quality of care through research, publication, and education. Comprehensive services included prosthetics, orthodontics, speech therapy, audiology, and general dentistry. Central Pennsylvania Nursing Alliance Inc. d/b/a Maple Farm Nursing Center (EIN# 23-2907754) provides long term nursing care and rehabilitates residents requiring skilled care. Lancaster General Rehabilitation Services Inc.'s (EIN# 20-4943109) exempt purpose is conducted through the investment in an acute patient rehabilitation hospital where patients are treated regardless of ability to pay. Other affiliates of Lancaster General Health include Lancaster General Insurance Company, Ltd. and Lancaster General Business Trust and its subsidiaries. 1 American Heart Association 610 Community Way Lancaster PA 17603 135613797 501(c)(3) 5500 0 FMV Contribution to support program service. Arthritis Foundation 204 Butler Avenue Lancaster PA 17601 236420363 501(c)(3) 5500 0 FMV Contribution to support program service. Clinic for Special Children 535 Bunker Hill Road PO Box 128 Strasburg PA 17579 232555373 501(c)(3) 127357 0 FMV Contribution to support program service. Columbia Quick Response Service Inc PO Box 30 Columbia PA 17512 203280577 501(c)(3) 7500 0 FMV Contribution to support program service. Community Life Network 510 Walnut Street Columbia PA 17512 202161018 501(c)(3) 16800 0 FMV Contribution to support program service. CRUDEM Foundation Inc 362 Sewall Street Ludlow MA 01056 431660199 501(c)(3) 25000 0 FMV Contribution to support program service. Franklin & Marshall College PO Box 3003 Lancaster PA 17604 231352635 501(c)(3) 135000 0 FMV Contribution to support program service. Girls on the Run of Lancaster PO Box 262 Landisville PA 17538 270200927 501(c)(3) 7500 0 FMV Contribution to support program service. Haiti Relief Funds na Lancaster PA 17604 111111111 501(c)(3) 0 14980 FMV Medical supplies. The amount represents the cost of medical supplies provided to physicians traveling to Haiti to assist earthquake victims. There is no name, address, or EIN number due to the method in which the supplies were donated. James Street Improvement District 206 West James Street Lancaster PA 17603 710927742 501(c)(3) 150000 0 FMV Contribution to support program service. Lancaster Bureau of Fire 100 S Queen Street 103 Lancaster PA 17603 236001904 501(c)(4) 0 10980 FMV AED Unit Program. Contribution to support program service. Lancaster Central Market 8 North Queen Street Suite 700E Lancaster PA 17603 760822944 501(c)(3) 25000 0 FMV Contribution to support program service. Lancaster County Conservancy 117 South West End Avenue Lancaster PA 17603 237046908 501(c)(3) 30000 0 FMV Contribution to support program service. Lancaster County Medical Foundation 480 New Holland Avenue Suite 8202 Lancaster PA 17602 260499498 501(c)(3) 100000 0 FMV Contribution to support program service. Lancaster EMS PO Box 4652 Lancaster PA 17604 232840702 501(c)(3) 3000 12183 FMV Medical equipment. Contribution to support program service. Lancaster Heart & Stroke Foundation 354 North Prince Street Suite 200 Lancaster PA 17603 232714718 501(c)(3) 0 19152 FMV Rent, utilities, and taxes. Contribution to support program service. Lancaster Medical Society Foundation 137 E Walnut Street Lancaster PA 17602 232633979 501(c)(3) 10225 0 FMV Contribution to support program service. Lancaster Recreation Commission 525 Fairview Avenue Lancaster PA 17602 231352353 501(c)(3) 8000 2427 FMV AED Unit Program. Contribution to support program service. Manheim Township Ambulance Association 1820 Municipal Drive Lancaster PA 17601 237205109 501(c)(3) 0 12598 FMV AED Unit Program. Contribution to support program service. Milagro House 320 South Christian Street Lancaster PA 17603 232954000 501(c)(3) 5448 0 FMV Contribution to support program service. The Salvation Army World Service Office 615 Slater Lane Alexandria VA 22314 132923701 501(c)(3) 25000 0 FMV Contribution to support program service. South East Lancaster Health Services 625 South Duke Street Lancaster PA 17608 232160896 501(c)(3) 118750 0 FMV Contribution to support program service. United Auxiliaries to the Lancaster General Hospital PO Box 3555 Lancaster PA 17604 231976868 501(c)(3) 12090 0 FMV Contribution to support program service. United Way of Lancaster County 630 Janet Avenue Lancaster PA 17601 231352093 501(c)(3) 67000 0 FMV Contribution to support program service. Us TOO Prostate Cancer Network 2424 Raleigh Drive Lancaster PA 17601 232738639 501(c)(3) 5200 0 FMV Contribution to support program service. City of Lancaster 39 W Chestnut Street PO BOX 1020 Lancaster PA 17608 236001904 Government Entity 1380000 0 Contribution to support program service. School District of Lancaster 1020 Lehigh Avenue Lancaster PA 17602 231726414 501(c)(3) 1352838 Contribution to support program service. 103 18 Scholarships for students attending Lancaster General College of Nursing and Health Sciences (EIN# 06-1645496). 7 43395 0 n/a SchI_P01_S00_L02 Schedule I, Part I, Line 2 Contributions made by Lancaster General Hospital must meet the following criteria set forth by the Mission & Community Benefit Committee: 1) gaps in health care services will be reduced, 2) resources will be directed to designated primary and secondary health priorities, health promotion, and prevention initiatives, 3) initiatives will drive cost-effective, community care/interventions that promote health and well-being of our community, 4) initiatives will be responsive to the needs of special/disparate populations, 5) endowment or capital campaign requests will not be financially supported, 6) only tax exempt organizations and governmental initiatives at the local level that relate to Lancaster General Hospital's mission will be supported, and 7) ongoing deficit funding will not be provided unless fundamental to a Lancaster General Hospital health priority and/or the care of the medically underserved. Scholarships and loans are awarded to students at the Lancaster General College of Nursing and Health Sciences on a non-discriminatory basis. The scholarships and loans are based on financial need, academic progress, and clinical performance. X X 0 1 X X X X 1 1 0 0 0 0 0 1 0 T Raymond Foley MD 0 0 40000 0 35 0 1400 0 0 0 41435 0 0 0 Deborah K Riley MD 0 0 98022 0 35 0 3922 0 0 0 101979 0 0 Thomas E Beeman 649037 0 300000 0 28444 0 253873 0 92582 0 1323936 0 0 0 Jan L Bergen 396919 0 156807 0 20006 0 100362 0 59051 0 733145 0 0 0 Kay Brady 130226 0 24265 0 2061 0 6262 0 26410 0 189224 0 0 0 Judi L Brendle 122105 0 9673 0 1821 0 5344 0 34161 0 173104 0 0 0 F Joseph Byorick III 405994 0 138274 0 23019 0 9800 0 73075 0 650162 0 0 0 Michelle Campbell 142200 0 27455 0 59563 0 7029 0 19978 0 256225 0 0 0 Kent E Carr MD 410184 0 100068 0 4336 0 8798 0 55724 0 579110 0 0 0 Charles A Castle MD 235570 0 70319 0 5729 0 37310 0 40363 0 389291 0 0 0 Kenneth J Collins 139277 0 25825 0 1314 0 6657 0 31371 0 204444 0 0 0 Margaret F Costella Esq 199735 0 35413 0 2563 0 9508 0 26528 0 273747 0 0 0 Gary R Davidson 244575 0 52000 0 18218 0 4699 0 52636 0 372128 0 0 0 Lee M Duke II MD 415390 0 141474 0 17926 0 39521 0 66784 0 681095 0 0 0 Geoffrey W Eddowes 248767 0 67521 0 2154 0 38918 0 45813 0 403173 0 0 0 Joseph A Puskar 224677 0 39301 0 5681 0 9800 0 48058 0 327517 0 0 0 Norma J Ferdinand 268423 0 87381 0 17321 0 72088 0 45471 0 490684 0 0 0 Lisa R Hess 145238 0 26931 0 2345 0 5666 0 32154 0 212334 0 0 0 Denise A Kennedy 157745 0 29534 0 936 0 7529 0 28676 0 224420 0 0 0 Margaret M Klecha 119433 0 24424 0 1048 0 5796 0 23072 0 173773 0 0 0 Robert P Macina Esq 311537 0 108916 0 580260 0 80541 0 59431 0 1140685 0 0 0 Marion A McGowan 456926 0 184417 0 16313 0 9800 0 80432 0 747888 0 0 0 Regina M Mingle 259610 0 90762 0 16141 0 67972 0 39173 0 473658 0 0 0 Mary B Miskey 150962 0 28810 0 7251 0 7481 0 27890 0 222394 0 0 0 Richard D Paoletti 186255 0 20494 0 6114 0 8515 0 30450 0 251828 0 0 0 Douglas W Rinehart 155670 0 26713 0 924 0 7332 0 37278 0 227917 0 0 0 Susan Wynne 231163 0 70047 0 3658 0 33777 0 35600 0 374245 0 0 0 Stacey G Youcis 191290 0 34606 0 1623 0 9101 0 41649 0 278269 0 0 0 Timothy C Zellers 171137 0 25151 0 4730 0 8041 0 38608 0 247667 0 0 0 Kathleen L Harrison 37341 0 0 0 153307 0 1271 0 15613 0 207532 0 0 0 James E Page Jr 62768 0 0 0 19691 0 1099 0 19213 0 102771 0 0 0 Andre W Renna 65308 0 0 0 324291 0 1633 0 18901 0 410133 0 0 0 Frederick Rogers MD 509249 0 97184 0 22863 0 9188 0 67328 0 705812 0 0 0 Alan Brader MD 568854 0 0 0 34297 0 9188 0 61618 0 673957 0 0 0 Randall A Oyer MD 457108 0 62500 0 4275 0 9800 0 69255 0 602938 0 0 0 Philip M Bayliss MD 479088 0 20000 0 2731 0 9800 0 75593 0 587212 0 0 0 Timothy J Boley MD 478133 0 0 0 2627 0 9800 0 75579 0 566139 0 0 0 Leo P Gilmore 0 0 0 0 301845 0 0 0 3238 0 305083 0 0 0 Thomas C Paisley Jr 0 0 0 0 0 0 147606 0 0 0 147606 0 0 0 Bruce H Pokorney MD 0 0 0 0 0 0 142624 0 0 0 142624 0 0 0 SchJ_P01_S00_L01a Schedule J, Part I, Line 1a Lancaster General Hospital provided gross-up payments 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 $3,326 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 The compensation process described below pertains to the CEO, EVPs, SVPS, VPs and AVPs. Lancaster General Hospital utilizes an independent third party to provide base salary and total compensation market data for comparable positions at similarly sized organizations. Lancaster General Hospital presents the performance of the above mentioned positions against established goals and evaluates and presents them to the Management and Development Compensation Committee (MDCC). The MDCC is a Committee comprised of independent Board of Trustee members. The market data and performances against goals is reviewed by the MDCC who then takes action. Minutes are kept of the discussion and actions taken by the MDCC members at their meeting. This documentation is kept for future reference. This process is undertaken each August after the close of the previous fiscal year in June. SchJ_P01_S00_L04 Schedule J, Part I, Line 4 Total severance of $770,821 was distributed. Total distributions and/or contributions to a non-qualified Supplemental Retirement Plan amounted to $928,944. Those receiving distributions and/or contributions to this non-qualified plan are as follows: Thomas E. Beeman, Jan L. Bergen, Kent E. Carr, MD, Charles A. Castle, MD, Lee M. Duke II, MD, Geoffrey W. Eddowes, Norma J. Ferdinand, Robert P. Macina, Esq., Regina M. Mingle, Susan Wynne, Thomas C. Paisley, Jr., and Bruce H. Pokorney, MD. 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. Lancaster County Hospital Authority 236648018 XXXXXXXXX 2005-07-01 15945000 Purchase of equipment 0 0 Lancaster County Hospital Authority 236648018 514045YB3 2007-01-24 33450000 Construction of employee parking garage 0 0 Lancaster County Hospital Authority 236648018 514045YK3 2007-01-24 63375000 Refunding of Series 2003 bond. 0 0 Lancaster County Hospital Authority 236648018 514045ZH9 2008-08-15 96730000 Refinancing of Series 1997 and Series 2006 bond. 0 0 4358957 0 0 0 0 0 13994144 2007 0 0 1 1 33450000 0 0 0 201473 0 33450000 2008 0 0 1 1 63375000 0 63375000 0 381715 0 63375000 2007 0 1 1 1 91815000 0 0 0 521307 0 96730000 2008 0 1 1 1 0 0 0 0 0 0.016 0 0.016 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0.002 0 0.002 1 1 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 1 1 1 WF BOA 0 0 0 0 Robert F Latshaw MD Director 0 a. Individual is an employed physician of Lancaster Radiology Associates, Ltd. (LRA) who contracts with LGH. LRA invests in MRI Group LLP and Lancaster PET Partnership LLP. Both of which are related to LGH. 0 Kenneth G Stoudt Director 0 a. Individual worked as a consultant for LGH to analyze benefits with LGH's Senior Vice President/Chief Leadership Officer. 0 X 1 1200 FMV X 4 6320 FMV X Entertainment passes 12 1722 FMV X Gift cards 15 498 FMV X Gift baskets 2 35 FMV X Child Safe fingerprint kit 1 200 FMV X Toys 3 1756 FMV 0 0 1 0 SchM_P01_S00_L25 Schedule M, Part I, Lines 25-28 The number of contributions in Column B is represented by either the number of contributions or the number of items received depending on the type of non-cash contribution. F990_P00_S00_L0B Form 990, Header, Line B Lancaster General Hospital's 2009 Form 990 is being amended to correct the incosistency of a disclosed individual between Form 990, Part VII and Schedule J due to a typing error. F990_P03_S00_L04d Form 990, Part III, Line 4d Lancaster General Hospital will identify community health needs; help reach community consensus on health care priorities; develop programs (where possible together with other community organizations) to address these needs; develop and maintain metrics to measure our progress; and report our activity to the Board of Trustees and the community at large. Financial means should not prevent anyone from accessing healthcare services. To that end, Lancaster General Hospital has established financial assistance programs for those with little or no insurance, or limited financial means. Lancaster General Hospital incurred unpaid costs of $72M to care for financially disadvantaged persons. Lancaster General Hospital engages in medical research programs. Lancaster General Hospital engages in training and education of health care professionals at an unpaid cost of $7.0M. F990_P05_S00_L04a Form 990, Part V, Line 4a Filing requirements for Form TD-90-22.1-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# 22-50941). F990_P06_S0A_L04 Form 990, Part VI, Section A, Line 4 The Bylaws were revised on September 16, 2010. F990_P06_S0A_L06 Form 990, Part VI, Section A, Line 6 The Sole Member of Lancaster General Hospital is Lancaster General Health. The Sole Member may initiate or implement any proposal with respect to any of the following; amendment of charter, certificate of articles of incorporation or bylaws; sale, purchase, lease or encumbrance with debt; the transfer of any assets of the corporation, excluding equipment; election or removal of the Board of Trustees of the Corporation; the approval of the annual operating and capital budgets of the Corporation; the approval of investment advisors, outside legal counsel, and auditors of the Corporation; and the approval of non-budgeted expenditures. F990_P06_S0A_L07a Form 990, Part VI, Section A, Line 7a Lancaster General Health elects the Board of Trustees of Lancaster General Hospital. F990_P06_S0A_L07b Form 990, Part VI, Section A, Line 7b The Sole Member of Lancaster General Hospital is Lancaster General Health. The Sole Member may initiate or implement any proposal with respect to any of the following; amendment of charter, certificate of articles of incorporation or bylaws; sale, purchase, lease or encumbrance with debt; the transfer of any assets of the corporation, excluding equipment; election or removal of the Board of Trustees of the Corporation; the approval of the annual operating and capital budgets of the Corporation; the approval of investment advisors, outside legal counsel, and auditors of the Corporation; and the approval of non-budgeted expenditures. F990_P06_S0B_L10a Form 990, Part VI, Section B, Line 10a Lancaster General Health (EIN# 23-2250941) is the parent organization of multiple affiliates including Lancaster General Hospital. F990_P06_S0B_L11 Form 990, Part VI, Section B, Line 11 The CFO, the Vice President-Controller, and the Director of Accounting review the Form 990. In addition, the entire governing body received a copy of the Form 990 at the April 21, 2011 board meeting. The CFO highlighted certain sections of the From 990 during the board meeting and any questions were addressed at that time. F990_P06_S0B_L12c Form 990, Part VI, Section B, Line 12c In order to ascertain and evaluate actual or potential conflicts, certain interested person are required to fill out a Conflict of Interest Disclosure Statement upon entering employment or becoming a trustee of Lancaster General Hospital or an affiliate, and others are also required to fill out such a Statement on an annual basis. In addition to this requirement, all officers and trustees, regardless of whether or not they have filled out or have been asked to fill out a Conflict of Interest Disclosure Statement, have an ongoing affirmative duty to bring to the attention of Lancaster General Hospital, situations which may give rise to an actual or potential conflict of interest as described in the policy. F990_P06_S0B_L15 Form 990, Part VI, Section B, Line 15 The compensation process described below pertains to the CEO, EVPs, SVPS, VPs and AVPs. Lancaster General Hospital utilizes an independent third party to provide base salary and total compensation market data for comparable positions at similarly sized organizations. Lancaster General Hospital presents the performance of the above mentioned positions against established goals and evaluates and presents them to the Management and Development Compensation Committee (MDCC). The MDCC is a Committee comprised of independent Board of Trustee members. The market data and performances against goals is reviewed by the MDCC who then takes action. Minutes are kept of the discussion and actions taken by the MDCC members at their meeting. This documentation is kept for future reference. This process is undertaken each August after the close of the previous fiscal year in June. F990_P06_S0C_L19 Form 990, Part VI, Section C, Line 19 Lancaster General Hospital 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. F990_P07_S0A_L01b Form 990, Part VII, Section A, Line 1b Members of the Board are not compensated for their position on the Board. Compensation disclosed relates to other services performed. F990_P10_S00_L20 Form 990, Part X, Line 20 The amount of issue outstanding for both the Series 1998 and 2007 Bonds also includes the bond premium. The balance of the 1998 bond premium at 6/30/10 was $25,623. The balance of the 2007 bond premium at 6/30/10 was $2,354,143. SchK_P01_S00_L00 Schedule K, Part I Bond Series 2003 was issued on September 15, 2003 by the Lancaster County Hospital Authority (CUSIP# 514045). In January 2007, the Series 2003 was legally defeased with the Series 2007B bond issuance. Concurrent with the defeasance, an irrevocable escrow was established for the aggregate amount of the defeased Series 2003 revenue bonds. With that said, there is no liability on our balance sheet and is thus not shown on Schedule K, Part I. SchK_P02_S00_L07 Schedule K, Part II, Line 7 Bond Issue B had $1,950,855.85 that was not used. This amount was applied to the principal payment made in August 2007. SchK_P04_S00_L03b Schedule K, Part IV, Line 3b The Series 2008 bond has two hedges associated with this issue. Wells Fargo (WF) and Bank of America (BOA) are the two hedge providers. The Wells Fargo hedge has a term of 10 years which expires in 2011. The Bank of America hedge has a term of 35 years and expires in 2041. SchK_P04_S00_L03c Schedule K, Part IV, Line 3c The Series 2008 bond has two hedges associated with this issue. Wells Fargo (WF) and Bank of America (BOA) are the two hedge providers. The Wells Fargo hedge has a term of 10 years which expires in 2011. The Bank of America hedge has a term of 35 years and expires in 2041. 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. 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 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 Central Pennsylvania Nursing Alliance Inc 555 North Duke Street Lancaster PA 17604 232907754 Skilled nursing care PA 501(c)(3) 509(a)(2) Lancaster General Health 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 2677 96533 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 Lancaster General Services Business Trust 607 North Duke Street Lancaster PA 17602 232250128 Owns & operates real estate property, pharmacy & home infusion company PA Lancaster General Health C 0 0 0 Barge Ganse Venacare Business Trust 607 North Duke Street Lancaster PA 17602 232113017 Pharmacy & two thirds ownership interest of home infusion therapy services company PA Lancaster General Services Business Trust C 0 0 0 Preferred Health Care 20-D East Roseville Road Lancaster PA 17601 251533898 Provides management & marketing services PA Lancaster General Health C 0 0 0 Quest Behavioral Health PO Box 2767 York PA 17405 232910565 Behavioral health managed care plan for employers & health plans PA Lancaster General Hospital C 0 0 0 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 0 1 1 0 0 1 1 0 1 1 1 1 0 1 1 1 1 1 Lancaster General Health-Columbia Center b 2598227 Lancaster General Health-Columbia Center f 3795 Lancaster General Health-Columbia Center j 360071 Lancaster General Health-Columbia Center k 356341 Lancaster General Health-Columbia Center n 6500 Lancaster General Health-Columbia Center p 538190 Lancaster General Health-Columbia Center q 630097 Lancaster General College of Nursing & Health Sciences b 2700000 Lancaster General College of Nursing & Health Sciences f 387433 Lancaster General College of Nursing & Health Sciences i 112968 Lancaster General College of Nursing & Health Sciences k 661462 Lancaster General College of Nursing & Health Sciences l 4132099 Lancaster General College of Nursing & Health Sciences n 485580 Lancaster General College of Nursing & Health Sciences p 3949776 Lancaster General Ambulatory Surgical Services Inc b 132929 Lancaster General Ambulatory Surgical Services Inc c 4277200 Lancaster General Ambulatory Surgical Services Inc k 132869 MRI Group LLP a-i 39293 MRI Group LLP i 443858 MRI Group LLP k 1350087 MRI Group LLP l 3500499 Lancaster PET Partnership LLP i 65480 Lancaster PET Partnership LLP k 312254 Lancaster PET Partnership LLP l 31058 Lancaster General Imaging Corporation b 66702 Lancaster General Imaging Corporation c 3297500 Lancaster General Imaging Corporation k 34591 Lancaster General Health b 19355587 Lancaster General Health k 1857076 Lancaster General Health l 829755 Lancaster General Health Foundation b 372685 Lancaster General Health Foundation c 299838 Lancaster General Health Foundation k 98108 Lancaster General Health Foundation n 218093 Lancaster General Medical Group b 21978037 Lancaster General Medical Group f 91817 Lancaster General Medical Group g 84562 Lancaster General Medical Group i 822341 Lancaster General Medical Group k 4970309 Lancaster General Medical Group l 155850 Lancaster General Medical Group n 741677 Lancaster General Medical Group o 16138 Lancaster General Medical Group p 3116415 Lancaster General Medical Group q 2455000 Lancaster Cleft Palate Clinic b 180337 Lancaster Cleft Palate Clinic f 3881 Lancaster Cleft Palate Clinic k 179536 Lancaster Cleft Palate Clinic n 5400 Lancaster Cleft Palate Clinic p 210675 Lancaster Cleft Palate Clinic q 649000 Central Pennsylvania Nursing Alliance Inc b 80200 Central Pennsylvania Nursing Alliance Inc f 421 Central Pennsylvania Nursing Alliance Inc k 3389 Central Pennsylvania Nursing Alliance Inc n 17757 Central Pennsylvania Nursing Alliance Inc p 194405 Central Pennsylvania Nursing Alliance Inc q 462000 Central Pennsylvania Nursing Alliance Inc r 400000 VNA Community Care Services Inc f 977 VNA Community Care Services Inc k 380082 VNA Community Care Services Inc n 139817 VNA Community Care Services Inc p 1730701 Lancaster General Insurance Company l 3258641 Lancaster General Rehabilitation Services Inc b 108957 Lancaster General Rehabilitation Services Inc c 2275000 Lancaster General Rehabilitation Services Inc k 108957 Lancaster General Services Business Trust i 10590 Lancaster General Services Business Trust j 321070 Lancaster General Services Business Trust k 169340 Lancaster General Services Business Trust l 260831 Lancaster General Services Business Trust r 1545000 Horizon Healthcare Services Inc k 516997 Horizon Healthcare Services Inc l 21448 Barge Ganse Venacare Business Trust k 20400 Quest Behavioral Health l 1217978 Lancaster Emergency Medical Services Assocation l 443417 United Auxiliaries to Lancaster General Hospital p 184217 Lancaster Rehabilitation Hospital LLP k 391215 Lancaster General College of Nursing & Health Sciences n 221652 Lancaster General Medical Group n 1199514 United Auxiliaries to Lancaster General Hospital c 200000