Form990
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2012
Open to Public Inspection
A For the 2012 calendar year, or tax year beginning 07-01-2012 , 2012, and ending 06-30-2013
BCheck if applicable:
CName of organization
LANCASTER GENERAL HOSPITAL
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
555 North Duke Street
 
Room/suite
City or town, state or country, and ZIP + 4
Lancaster, PA17604
D Employer identification number

23-1365353
E Telephone number

G Gross receipts $ 1,186,811,789
F Name and address of principal officer:
DENNIS ROEMER EVP & CFO
555 North Duke Street
Lancaster,PA17604
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.LGHEALTH.ORG
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1893
M State of legal domicile: PA
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: TO ADVANCE THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 16
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 14
5 Total number of individuals employed in calendar year 2011 (Part V, line 2a) ...... 5 6,418
6 Total number of volunteers (estimate if necessary) ............. 6 652
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 6,797,751
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 1,204,107
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 4,464,192 5,027,737
9 Program service revenue (Part VIII, line 2g) ......... 815,010,862 781,022,873
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 2,235,309 1,868,622
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 35,605,190 39,188,733
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 857,315,553 827,107,965
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 3,658,668 3,505,637
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 417,001,898 398,729,504
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 64,350 35,100
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet1,199,081    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 376,290,909 332,278,899
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 797,015,825 734,549,140
19 Revenue less expenses. Subtract line 18 from line 12....... 60,299,728 92,558,825
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 784,628,278 757,904,514
21 Total liabilities (Part X, line 26)............. 338,351,954 327,044,893
22 Net assets or fund balances. Subtract line 21 from line 20..... 446,276,324 430,859,621
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
 
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2012)
Form 990 (2012)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III ...............
1
Briefly describe the organization’s mission: TO ADVANCE THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE. REFER TO FORM 990, SCHEDULE H FOR ADDITIONAL DISCLOSURE REGARDING LANCASTER GENERAL HOSPITAL'S MISSION.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If “Yes,” describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 109,494,806 including grants of $   ) (Revenue $ 177,029,426 )
SURGICAL SERVICES (29,004 ENCOUNTERS)
4b (Code:   ) (Expenses $ 106,912,624 including grants of $   ) (Revenue $ 183,780,419 )
NURSING SERVICES (155,774 PATIENT DAYS)
4c (Code:   ) (Expenses $ 56,828,145 including grants of $   ) (Revenue $ 55,498,384 )
PHARMACY (13,340,680 SERVICES)
(Code:   ) (Expenses $ 275,686,298 including grants of $ 3,505,637 ) (Revenue $ 399,926,323 )
ALL OTHER PROGRAM SERVICES, INCLUDING BUT NOT LIMITED TO; LABORATORY, RADIOLOGY, EMERGENCY MEDICINE, EDUCATION, AND PHYSICAL MEDICINE AND REHABILITATION. LGH OPERATES AN EMERGENCY ROOM (ER) THAT IS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY. THE EMERGENCY ROOM HAD A TOTAL OF 112,960 VISITS DURING FISCAL YEAR 2013. TOTAL PATIENT DAYS FOR THE FISCAL YEAR WERE 158,242. MEDICARE AND MEDICAID PATIENTS CONTRIBUTED 16,641 AND 6,422, RESPECTIVELY, TOWARDS THE 36,770 TOTAL INPATIENT DISCHARGES DURING THE FISCAL YEAR.
4d Other program services (Describe in Schedule O.)
(Expenses $ 275,686,298 including grants of $ 3,505,637 ) (Revenue $ 399,926,323 )
4e Total program service expensesMediumBullet548,921,873
Form 990 (2012)
Form 990 (2012)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment........................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part I..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If “Yes,” complete Schedule C, Part IIClick to see attachment........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C,
Part III............................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete Schedule D, Part I........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If “Yes,” complete Schedule D, Part II...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III ....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,” complete Schedule D, Part IV..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If “Yes,” complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IXClick to see attachment............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part XClick to see attachment.........................
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If “Yes,” complete Schedule D, Parts XI and XII .................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If “Yes,” complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the United States? If “Yes,” complete Schedule F, Parts II and IV
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the United States? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I (see instructions).... Click to see attachment
17
Yes
 
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II............ Click to see attachment
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If “Yes,” complete Schedule H.... Click to see attachment
20a
Yes
 
b
If “Yes” to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see attachment
20b
Yes
 
Form 990 (2012)
Form 990 (2012)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants and other assistance to any government or organization in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II... Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........ Click to see attachment
22
Yes
 
23
Did the organization answer “Yes” to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25................ Click to see list of attachments
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
No
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I........
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I...................
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highest compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II..........................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If “Yes,” complete Schedule L, Part III.........
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ..........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV.....................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If “Yes,” complete Schedule L, Part IV... Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M..Click to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M.............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2.............
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VI
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2012)
Form 990 (2012)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V ...............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
383
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
6,418
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBulletCJ
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes,” to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?............
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?..........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?.......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2012)
Form 990 (2012)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI ...............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
16
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
14
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
Yes
 
b
If “Yes,” did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
No
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
 
No
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
 
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this was done.......................
12c
 
 
13
Did the organization have a written whistleblower policy? ...............
13
 
No
14
Did the organization have a written document retention and destruction policy? .........
14
 
No
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
 
No
b
Other officers or key employees of the organization ................
15b
 
No
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If “Yes,” did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
No
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
PA
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletDennis Roemer EVP & CFO555 North Duke StreetLancasterPA17604 (717) 544-4926
Form 990 (2012)
Form 990 (2012)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII ...............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) ALEXANDER HENDERSON ESQ........................................................................
Chairperson
 2.00
.......................2.00 		X   X       0 0 0
(2) C CLAIR MCCORMICK........................................................................
Vice Chairperson
 2.00
.......................2.00 		X   X       0 0 0
(3) THOMAS E BEEMAN PHD........................................................................
President and CEO, Lancaster General Health
 60.00
.......................16.00 		X   X       1,102,183 0 187,276
(4) ANTONIO SUAREZ........................................................................
Trustee
 2.00
.......................2.00 		X           0 0 0
(5) BRUCE R LIMPERT........................................................................
Trustee
 2.00
.......................2.00 		X           0 0 0
(6) CHARLES RODENBERGER MD........................................................................
Trustee
 2.00
.......................2.00 		X           0 0 0
(7) DEBORAH K RILEY MD........................................................................
Trustee
 16.00
.......................2.00 		X           19,900 0 796
(8) F NICHOLAS GRASBERGER........................................................................
Trustee
 2.00
.......................2.00 		X           0 0 0
(9) GIBSON ARMSTRONG........................................................................
Trustee
 2.00
.......................2.00 		X           0 0 0
(10) JOANNE B LADLEY........................................................................
Trustee
 2.00
.......................4.00 		X           0 0 0
(11) LORI PICKELL........................................................................
Trustee
 2.00
.......................2.00 		X           0 0 0
(12) MICHAEL W VAN BELLE........................................................................
Trustee
 2.00
.......................4.00 		X           0 0 0
(13) PATRICK D WHALEN........................................................................
Trustee
 2.00
.......................4.00 		X           0 0 0
(14) PHILIP R WENGER........................................................................
Trustee
 2.00
.......................4.00 		X           0 0 0
(15) REBECCA S BUMSTEAD........................................................................
Trustee
 2.00
.......................4.00 		X           0 0 0
(16) ROBERT F LATSHAW MD........................................................................
Trustee
 2.00
.......................2.00 		X           0 0 0
(17) DENISE A KENNEDY........................................................................
VP, Financial Services
 55.00
.......................4.00 		    X       185,538 0 14,843
Form 990 (2012)
Form 990 (2012)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) DENNIS R ROEMER........................................................................
EVP & CFO
 55.00
.......................4.00 		    X       401,040 0 22,078
(19) DOUGLAS W RINEHART........................................................................
VP, Controller
 55.00
.......................2.00 		    X       194,597 0 24,989
(20) ELIZABETH D HILLS........................................................................
VP, Risk Management & Corporate Compliance
 55.00
.......................2.00 		    X       171,212 0 13,644
(21) F JOSEPH BYORICK III........................................................................
CFO Emeritus & Treasurer
 55.00
.......................18.00 		    X       608,292 0 27,874
(22) GARY DAVIDSON........................................................................
SVP and CIO
 55.00
.......................2.00 		    X       472,702 0 64,218
(23) GEOFFREY W EDDOWES........................................................................
SVP WBH and Post Acute Care
 55.00
.......................4.00 		    X       313,877 0 59,055
(24) JAN L BERGEN........................................................................
EVP, Lancaster General Health and President, Lancaster General Health Network
 55.00
.......................12.00 		    X       664,653 0 171,809
(25) JOSEPH A PUSKAR........................................................................
SVP, Customer Support Services
 55.00
.......................2.00 		    X       293,962 0 28,054
(26) JUDI L BRENDLE........................................................................
VP, Nursing
 55.00
.......................0 		    X       258,292 0 27,731
(27) KAY BRADY........................................................................
VP, Human Resources
 55.00
.......................2.00 		    X       168,227 0 21,338
(28) KEITH A ORRIS........................................................................
SVP, Community and Government Affairs
 55.00
.......................2.00 		    X       273,833 0 27,408
(29) KENNETH J COLLINS........................................................................
VP, Materials Management
 55.00
.......................0 		    X       71,691 0 8,043
(30) LEE M DUKE II MD........................................................................
SVP and Chief Physician Executive
 55.00
.......................4.00 		    X       592,960 0 130,977
(31) LISA R HESS........................................................................
VP, Marketing and Relationship Management
 55.00
.......................2.00 		    X       176,538 0 24,245
(32) MARGARET F COSTELLA ESQ........................................................................
VP, Legal Services and Assistant Secretary
 55.00
.......................12.00 		    X       241,917 0 11,582
(33) MARION A MCGOWAN RN........................................................................
President of Lancaster General Hospital and President of LG Health Innovation, Inc.
 55.00
.......................8.00 		    X       694,505 0 27,996
(34) MARY B MISKEY........................................................................
VP, Human Resources Operations
 55.00
.......................2.00 		    X       187,795 0 15,158
(35) NORMA J FERDINAND........................................................................
SVP, Chief Quality Officer
 55.00
.......................2.00 		    X       764,292 0 87,095
(36) REGINA M MINGLE........................................................................
SVP and Chief Leadership Officer
 55.00
.......................4.00 		    X       426,402 0 94,823
(37) RICHARD D PAOLETTI........................................................................
VP, Operations
 55.00
.......................0 		    X       239,432 0 26,994
(38) ROBERT P MACINA ESQ........................................................................
SVP, Chief Administrative/Legal Officer and Corporate Secretary
 55.00
.......................20.00 		    X       465,885 0 104,569
(39) STACEY G YOUCIS........................................................................
VP, Operations-Musculoskeletal and Perioperative Services
 55.00
.......................0 		    X       244,130 0 26,956
(40) SUSAN WYNNE........................................................................
SVP, Business Development-Ambulatory Services
 55.00
.......................2.00 		    X       330,506 0 58,154
(41) TIMOTHY C ZELLERS........................................................................
VP, Cardiovascular Services Lines & Pulmonary Service
 55.00
.......................2.00 		    X       203,731 0 25,515
(42) JOHN LEE........................................................................
Assoc Medical Director Trauma
 50.00
.......................0 		        X   506,987 0 27,032
(43) JOHN YELCICK........................................................................
Medical Director Laboratories
 50.00
.......................0 		        X   412,935 0 17,504
(44) KEVIN LORAH........................................................................
Medical Director
 50.00
.......................0 		        X   387,866 0 27,773
(45) PHILIP BAYLISS........................................................................
Medical Director
 50.00
.......................0 		        X   548,113 0 25,557
(46) TIMOTHY BOLEY........................................................................
Perinatologist
 50.00
.......................0 		        X   522,182 0 27,902
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 12,146,175 0 1,458,986
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet388
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual ..............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
BENCHMARK CONSTRUCTIONPO BOX 806BROWNSTOWNPA17508 CONSTRUCTION 25,988,068
DELOITTE CONSULTING LLP4022 SELLS DRIVEHERMITAGETN37076 CONSULTING 12,958,595
EPIC SYSTEMS CORPPO BOX 88314MILWAUKEEWI53288 HEALTHCARE TECHNOLOGY 4,098,959
SIEMENS MEDICAL SOLUTIONSPO BOX 7777PHILADELPHIAPA19175 MAINTENANCE REPAIRS 2,432,276
JUDGE INC300 CONSHOHOKEN STATE ROADWEST CONSHOHOKENPA19428 CONSULTING 2,153,258
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet199
Form 990 (2012)
Form 990 (2012)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response to any question in this Part VIII ..............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, Gifts, Grants and Other Similar Amounts 1a Federated campaigns..1a 1,180,851
b Membership dues....1b  
c Fundraising events....1c 315
d Related organizations...1d 50,000
e Government grants (contributions)1e 736,786
f All other contributions, gifts, grants, and
similar amounts not included above1f 		3,059,785
g Noncash contributions included in lines
1a-1f:$ 		29,180
h Total. Add lines 1a-1f.......MediumBullet 5,027,737
Program Service Revenue Business Code
2a OTHER NET PATIENT REVENUE 900099 514,714,891 510,756,246 3,958,645  
b MEDICARE/MEDICAID NET PATIENT REVENUE 900099 301,519,661 301,519,661    
c CAPITATION REVENUE 900099 419,665 419,665    
d PROVISION FOR BAD DEBT 900099 -38,700,071 -38,700,071    
e RENT REVENUE FROM AFFILIATES 900099 2,137,834 2,137,834    
f All other program service revenue . 930,893 930,893 0 0
g Total. Add lines 2a–2f........MediumBullet 781,022,873
Other Revenue 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 1,743,153     1,743,153
4 Income from investment of tax-exempt bond proceeds..MediumBullet 0      
5 Royalties...........MediumBullet 0      
(i) Real (ii) Personal
6a Gross rents    
b Less: rental expenses    
c Rental income or (loss) 0 0
d Net rental income or (loss).......MediumBullet 0      
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 359,826,411  
b Less: cost or other basis and sales expenses 359,700,942  
c Gain or (loss) 125,469 0
d Net gain or (loss)..........MediumBullet 125,469     125,469
8a Gross income from fundraising events (not including
$ 315
of contributions reported on line 1c). See Part IV, line 18 ..
a 16,068
b Less: direct expenses ...b 2,882
c Net income or (loss) from fundraising events..MediumBullet 13,186   13,186
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet 0      
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet 0      
Miscellaneous Revenue Business Code
11a SALE OF SERVICES 541900 7,253,721 4,447,469 2,806,252  
b MEDICAL SERVICES REVENUE 900099 8,353,185 8,353,185    
c RENTAL REVENUE 531190 5,078,485     5,078,485
d All other revenue .... 18,490,156 13,985,370 32,854 4,471,932
e Total. Add lines 11a–11d ...... MediumBullet 39,175,547
12 Total revenue. See Instructions......MediumBullet 827,107,965 803,850,252 6,797,751 11,432,225
Form 990 (2012)
Form 990 (2012)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response to any question in this Part IX ...............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the United States. See Part IV, line 21 3,489,637 3,489,637
2 Grants and other assistance to individuals in the United States. See Part IV, line 22 16,000 16,000
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16 0  
4 Benefits paid to or for members 0  
5 Compensation of current officers, directors, trustees, and key employees .... 10,091,591   10,091,591  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 0      
7 Other salaries and wages 298,032,668 226,727,978 70,622,144 682,546
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 30,089,396 23,248,491 6,770,917 69,988
9 Other employee benefits ....... 39,539,978 26,918,337 12,553,994 67,647
10 Payroll taxes ........... 20,975,871 15,524,717 5,412,880 38,274
11 Fees for services (non-employees):        
a Management ...... 0      
b Legal ......... 657,299   657,299  
c Accounting ........... 248,216 6,360 241,521 335
d Lobbying ........... 85,989   85,989  
e Professional fundraising services. See Part IV, line 17 35,100 35,100
f Investment management fees ...... 81,537   81,537  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 34,952,300 9,436,156 25,513,790 2,354
12 Advertising and promotion .... 1,678,100 1,678,038 62  
13 Office expenses ....... 28,054,757 9,497,328 18,509,983 47,446
14 Information technology ...... 15,850,527 1,221,081 14,609,954 19,492
15 Royalties .. 0      
16 Occupancy ........... 17,448,466 14,850,213 2,582,869 15,384
17 Travel ............ 1,510,166 594,802 897,105 18,259
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 0      
20 Interest ........... 7,632,950 7,632,950    
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization ..... 46,628,558 20,896,959 25,729,942 1,657
23 Insurance .............. 4,575,609 52,100 4,523,509  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a PURCHASED SERVICES 32,805,121 21,126,414 11,617,054 61,653
b BAD DEBT (NON-PATIENT) 28,338   28,338  
c MGMT FEE 1,114,720   1,114,720  
d MED/SURG SUPPLY 138,861,400 133,691,942 5,164,769 4,689
e All other expenses 64,846 32,312,370 -32,381,781 134,257
25 Total functional expenses. Add lines 1 through 24e 734,549,140 548,921,873 184,428,186 1,199,081
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720). 0      
Form 990 (2012)
Form 990 (2012)
Page 11
Part X Balance Sheet Check if Schedule O contains a response to any question in this Part X ...............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing ............. 23,904 1 25,155
2 Savings and temporary cash investments ......... 119,806,687 2 33,329,579
3 Pledges and grants receivable, net ........... 5,414,468 3 4,030,204
4 Accounts receivable, net ............. 100,596,228 4 91,724,369
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
  5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
  6 0
7 Notes and loans receivable, net ............. 1,581,456 7 1,912,714
8 Inventories for sale or use .............. 4,270,772 8 12,150,409
9 Prepaid expenses and deferred charges .......... 9,905,975 9 9,944,309
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 1,011,762,576
b Less: accumulated depreciation ..... 10b 536,164,956 447,732,704 10c 475,597,620
11 Investments—publicly traded securities .......... 43,093,687 11 87,837,224
12 Investments—other securities. See Part IV, line 11 ..... 0 12 0
13 Investments—program-related. See Part IV, line 11 ..... 0 13 0
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ........... 52,202,397 15 41,352,931
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 784,628,278 16 757,904,514
Liabilities 17 Accounts payable and accrued expenses ......... 69,148,794 17 64,039,458
18 Grants payable .................   18  
19 Deferred revenue ................ 2,001,633 19 1,147,408
20 Tax-exempt bond liabilities ............. 226,888,855 20 222,110,907
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22 0
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.................... 40,312,672 25 39,747,120
26 Total liabilities. Add lines 17 through 25......... 338,351,954 26 327,044,893
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 420,746,753 27 413,443,410
28 Temporarily restricted net assets ........... 18,473,946 28 9,796,319
29 Permanently restricted net assets ........... 7,055,625 29 7,619,892
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds ........   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 446,276,324 33 430,859,621
34 Total liabilities and net assets/fund balances ........ 784,628,278 34 757,904,514
Form 990 (2012)
Form 990 (2012)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI ...............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
827,107,965
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
734,549,140
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
92,558,825
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
446,276,324
5
Net unrealized gains (losses) on investments ...............
5
1,267,621
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-109,243,154
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
430,859,621
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII ..............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If “Yes,” to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits
3b
Yes
 
Form 990 (2012)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID: 12000266
Software Version: v2012.1.0
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
LANCASTER GENERAL HOSPITAL
 
Employer identification number

23-1365353
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization? ................
11g(i)
 
 
(ii) A family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) (iv) Is the organization in col. (i) listed in your governing document? (v) Did you notify the organization in col. (i) of your support? (vi) Is the organization in col. (i) organized in the U.S.? (vii) Amount of monetary support
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 4
Part IV
Supplemental Information. Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2012

Additional Data


Software ID: 12000266
Software Version: v2012.1.0
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2012
Name of the organization
LANCASTER GENERAL HOSPITAL
 
Employer identification number

23-1365353
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......................... Arrow Bullet   $    
Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990; or check the box on line H of its
Form 990-EZ or on Part I, line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 2
Name of organization
LANCASTER GENERAL HOSPITAL
  		Employer identification number

23-1365353
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
     
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED


(Complete Part II if there is a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 3
Name of organization
LANCASTER GENERAL HOSPITAL
  		Employer identification number

23-1365353
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
     
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 4
Name of organization
LANCASTER GENERAL HOSPITAL
  		Employer identification number

23-1365353
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Additional Data


Software ID: 12000266
Software Version: v2012.1.0
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public
Inspection
If the organization answered “Yes” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35c (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
LANCASTER GENERAL HOSPITAL
 
Employer identification number

23-1365353
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ...................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2012

Schedule C (Form 990 or 990-EZ) 2012
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(b) Affiliated group
totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in) 		(a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) Total
             
2a Lobbying nontaxable amount          
             
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		         
             
c Total lobbying expenditures          
             
d Grassroots nontaxable amount          
             
e Grassroots ceiling amount
(150% of line 2d, column (e))		          
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2012


Schedule C (Form 990 or 990-EZ) 2012
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each “Yes” response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
No
Yes
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
Yes
 
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
Yes
 
15,816
e
Publications, or published or broadcast statements? .......................
Yes
 
5,889
f
Grants to other organizations for lobbying purposes? .......................
Yes
 
45,989
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
Yes
 
35,728
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
Yes
 
103,630
i
Other activities? ..........................
Yes
 
20,000
j
Total. Add lines 1c through 1i ...............................
227,052
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered “No” OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ............................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.
Identifier Return Reference Explanation
Description of the activities reported on Lines 1a through 1i Schedule C, Part II-B, Line 1 LANCASTER GENERAL HOSPITAL ATTEMPTED TO INFLUENCE FOREIGN, NATIONAL, STATE OR LOCAL LEGISLATION, INCLUDING ANY ATTEMPT TO INFLUENCE PUBLIC OPINION ON A LEGISLATIVE MATTER OR REFERENDUM, THROUGH THE USE OF MAILINGS, PUBLICATIONS, GRANTS, DIRECT CONTACT, AND RALLIES, DEMONSTRATIONS, SEMINARS, CONVENTIONS, SPEECHES, LECTURES, OR OTHER SIMILAR MEANS.
Schedule C (Form 990 or 990EZ) 2012

Additional Data


Software ID: 12000266
Software Version: v2012.1.0

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
LANCASTER GENERAL HOSPITAL
 
Employer identification number

23-1365353
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) .....    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance .... 6,583,532 6,712,971 5,136,601 4,590,848 5,209,323
b Contributions ........ 68,821 141,048 750,733 5,720 62,387
c Net investment earnings, gains, and losses 703,460 216,509 929,316 555,097 -679,295
d Grants or scholarships .....          
e Other expenditures for facilities
and programs ........ 		31,483 486,960 105,106 11,892  
f Administrative expenses .... -1,280 36 -1,427 3,172 1,567
g End of year balance ...... 7,325,610 6,583,532 6,712,971 5,136,601 4,590,848
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet65.000 %
c
Temporarily restricted endowment SchDMd Bullet35.000 %
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   33,697,156 33,697,156
b Buildings ................   421,301,180 159,319,202 261,981,978
c Leasehold improvements ............   15,460,441 10,239,096 5,221,345
d Equipment ................   424,994,441 296,667,705 128,326,736
e Other .................   116,309,358 69,938,953 46,370,405
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 475,597,620
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) MISCELLANEOUS RECEIVABLE 12,610,211
(2) OTHER LONG-TERM ASSETS 7,299,690
(3) PERPETUAL TRUST FUNDS SHOWN AT YEAR END MARKET VALUE 6,941,147
(4) ASSETS WHOSE USE IS LIMITED 6,059,680
(5) INVESTMENTS IN NON-CONSOLIDATING AFFILIATES 4,171,473
(6) DUE FROM AFFILIATES 2,924,409
(7) FUNDS HELD BY AN AFFILIATE SHOWN AT YEAR END MARKET VALUE 1,110,273
(8) OTHER CURRENT ASSETS 236,048

Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 41,352,931
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes 0
OTHER LONG-TERM LIABILITIES 21,963,363
ESTIMATED THIRD PARTY PAYOR SETTLEMENTS 12,526,000
INTEREST PAYABLE 3,175,489
CAPITAL LEASE OBLIGATIONS 2,082,268





Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 39,747,120
2. Fin 48 (ASC 740) Footnote. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII .....................................................
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1 719,132,436
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a 1,267,621
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d -109,243,150
e Add lines 2a through 2d ..................... 2e -107,975,529
3 Subtract line 2e from line 1..................... 3 827,107,965
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b 0
c Add lines 4a and 4b....................... 4c 0
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5 827,107,965
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ........... 1 734,549,140
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d 0
e Add lines 2a through 2d...................... 2e 0
3 Subtract line 2e from line 1..................... 3 734,549,140
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b 0
c Add lines 4a and 4b....................... 4c 0
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5 734,549,140
Part XIII
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
Intended uses of endowment funds Schedule D, Part V, Line 4 LANCASTER GENERAL HOSPITAL UTILIZES THE ENDOWMENT FUNDS IN ACCORDANCE WITH THEIR TAX-EXEMPT PURPOSE AND AS SPECIFIED BY DONOR.
FIN 48 (ASC 740) footnote Schedule D, Part X, Line 2 LANCASTER GENERAL HOSPITAL FOLLOWS THE ACCOUNTING GUIDANCE FOR 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.
Other revenues in audited financial statements not in form 990 Schedule D, Part XI, Line 2d RELATED PARTY TRANSFERS - -XXX-XX-XXXX; PERPETUAL TRUST DISTRIBUTION - 79491; CHANGE IN INTEREST IN LG-TRNA - 358296; OTHER NON-OPERATING INCOME - 5300841;
Schedule D (Form 990) 2012

Additional Data


Software ID: 12000266
Software Version: v2012.1.0




SCHEDULE G (Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. Form 990-EZ filers are not required to complete this part. right arrowAttach to Form 990 or Form 990-EZ. right arrowSee separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
LANCASTER GENERAL HOSPITAL
 
Employer identification number

23-1365353
Part I
Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If “Yes,” list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.
(i) Name and address of individual
or entity (fundraiser) 		(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity 		(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i) 		(vi) Amount paid to
(or retained by)
organization
Yes No
 
LINDSLEY CONSULTING GROUP
89 LEAMAN ROAD
 
LANCASTER, PA17603 		CANCER CAPITAL CAMPAIGN SUPPORT   No 500,000 35,100 464,900
             
             
             
             
             
             
             
             
             
Total .................right arrow 500,000 35,100 464,900
3
List all states in which the organization is registered or licensed to solicit funds or has been notified it is exempt from registration or licensing.
PA
For Paperwork Reduction Act Notice, see the Instructions for Form 990or 990-EZ.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2012
Schedule G (Form 990 or 990-EZ) 2012
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.
(a) Event #1

EMPOWERED BY PINK
(event type) 		(b) Event #2

 
(event type) 		(c) Other events

 
(total number) 		(d) Total events
(add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 16,068     16,068
2 Less: Contributions . .       0
3 Gross income (line 1
minus line 2) . . . 		16,068 0 0 16,068
VerticalDirectExpenses 4 Cash prizes . . .       0
5 Noncash prizes . .       0
6 Rent/facility costs . .       0
7 Food and beverages . 2,882     2,882
8 Entertainment . . .       0
9 Other direct expenses .       0
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 2,882
11 Net income summary. Combine line 3, column (d), and line 10. .......... right arrow 13,186
Part III
Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue (a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo 		(c) Other gaming (d) Total gaming (add col.(a) through col.(c))
1 Gross revenue . . . .        
VerticalDirectExpenses 2 Cash prizes . . . .        
3 Non-cash prizes . . .        
4 Rent/facility costs . . .        
5 Other direct expenses . .        
6 Volunteer labor . . .
 
 
 
7 Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow  
8 Net gaming income summary. Combine lines 1 and 7 in column (d) .......... right arrow  
9
Enter the state(s) in which the organization operates gaming activities:
a
Is the organization licensed to operate gaming activities in each of these states? ............
b
If "No," explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....
b
If "Yes," explain:
 
Schedule G (Form 990 or 990-EZ) 2012
Schedule G (Form 990 or 990-EZ) 2012
Page 3
11
Does the organization operate gaming activities with nonmembers? .................
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? ..........................
13
Indicate the percentage of gaming activity operated in:
a
The organization's facility ......................
13a
 
b
An outside facility ........................
13b
 
14
Enter the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? ......................................
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address of the third party:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? ............................
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Supplemental Information. Complete this part to provide the explanations required by Part I, line 2b, columns (iii) and (v), and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide any additional information (see instructions).
Identifier Return Reference Explanation
Schedule G (Form 990 or 990-EZ) 2012
Additional Data


Software ID: 12000266
Software Version: v2012.1.0
SCHEDULE H (Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
LANCASTER GENERAL HOSPITAL
 
Employer identification number

23-1365353
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: .........
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? ..........
6a
Yes
 
b
If "Yes," did the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) .. 		    11,789,457 0 11,789,457 1.610 %
b Medicaid (from Worksheet 3,
column a) .... 		    66,906,128 0 66,906,128 9.110 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) . 		    0 0 0 0 %
d Total Financial Assistance
and Means-Tested
Government Programs . 		0 0 78,695,585 0 78,695,585 10.720 %
Other Benefits
     9,157,208 3,943,607 5,213,601 0.710 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) .. 		    12,270,225 1,838,674 10,431,551 1.420 %
g Subsidized health services
(from Worksheet 6) .. 		    262,002 84,917 177,085 0.020 %
h Research (from Worksheet 7)         0 0 %
i Cash and in-kind
contributions for community
benefit (from Worksheet 8) 		    609,637 0 609,637 0.080 %
j Total. Other Benefits .. 0 0 22,299,072 5,867,198 16,431,874 2.230 %
k Total. Add lines 7d and 7j . 0 0 100,994,657 5,867,198 95,127,459 12.950 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing         0 0 %
2 Economic development         0 0 %
3 Community support         0 0 %
4 Environmental improvements         0 0 %
5 Leadership development and training for community members         0 0 %
6 Coalition building         0 0 %
7 Community health improvement advocacy     245,888 0 245,888 0.030 %
8 Workforce development         0 0 %
9 Other     1,500,000 0 1,500,000 0.200 %
10 Total 0 0 1,745,888 0 1,745,888 0.240 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
38,700,071
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
0
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
266,269,220
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
344,027,496
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-77,758,276
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

9b

 

No
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?2
Name, address, and primary website address 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 LANCASTER GENERAL HOSPITAL
555 NORTH DUKE STREET PO BOX 3555
LANCASTER,PA176043555
WWW.LGHEALTH.ORG 		X X   X   X X     A
2 WOMEN AND BABIES HOSPITAL
690 GOOD DRIVE PO BOX 3750
LANCASTER,PA176043750
WWW.LGHEALTH.ORG 		X X   X           A
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
A
Name of hospital facility or facility reporting group  
For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A) 1
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If “Yes,” indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 12
3 In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................ 4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If “Yes,” indicate how the CHNA report was made widely available (check all that apply):
a
b
c
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7 Yes  
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 200%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 400%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?.......... 17 Yes  
If “Yes,” check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If “No,” indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individuals to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If “Yes,” explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?9
Name and address Type of Facility (describe)
1 SUBURBAN OUTPATIENT PAVILION
2100 HARRISBURG PIKE PO BOX 3200
LANCASTER,PA17604 		OUTPATIENT SERVICES
2 DOWNTOWN OUTPATIENT PAVILION
540 NORTH DUKE STREET
LANCASTER,PA17604 		OUTPATIENT SERVICES
3 KISSEL HILL OUTPATIENT CENTER
51 PETERS ROAD
LITITZ,PA17543 		OUTPATIENT SERVICES
4 WILLOW LAKES OUTPATIENT CENTER
212 WILLOW VALLEY LAKES DRIVE
WILLOW STREET,PA17584 		OUTPATIENT SERVICES
5 COLUMBIA OUTPATIENT CENTER
306 NORTH SEVENTH STREET PO BOX 926
COLUMBIA,PA17512 		OUTPATIENT SERVICES
6 NORLANCO OUTPATIENT CENTER
424 CLOVERLEAF ROAD
ELIZABETHTOWN,PA17022 		OUTPATIENT SERVICES
7 WALTER L AUMENT FAMILY HEALTH CENTER
317 SOUTH CHESTNUT STREET
QUARRYVILLE,PA17566 		OUTPATIENT SERVICES
8 CROOKED OAK OUTPATIENT CENTER
1671 CROOKED OAK DRIVE
LANCASTER,PA17601 		OUTPATIENT SERVICES
9 EDEN PHYSICAL THERAPY
730 EDEN ROAD
LANCASTER,PA17601 		OUTPATIENT SERVICES
10
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; Part V, Section A; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any needs assessments reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
8 Facility reporting group(s). If applicable, for each hospital facility in a facility reporting group provide the descriptions required for Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
Identifier ReturnReference Explanation
FEDERAL POVERTY GUIDELINES SCHEDULE H, PART I, LINE 3C LANCASTER GENERAL HOSPITAL FOLLOWS THE FEDERAL POVERTY GUIDELINES FOR FREE CARE AND DISCOUNTED CARE.
FREE OR DISCOUNTED CARE BUDGET SCHEDULE H, PART I, LINE 5B LANCASTER GENERAL HOSPITAL'S FINANCIAL ASSISTANCE EXPENSES OF $30,724,500 PROVIDED UNDER ITS CHARITY CARE POLICY EXCEEDED ITS BUDGETED AMOUNT OF $24,000,021 BY $6,724,479. THE PRIOR YEAR EXPENSES WERE $23,060,052.
Community benefit report prepared by related organization Schedule H, Part I, Line 6a LANCASTER GENERAL HEALTH
COMMUNITY BENEFIT REPORT SCHEDULE H, PART I, LINE 6A LANCASTER GENERAL HOSPITAL'S COMMUNITY BENEFIT REPORT IS A REPORT DISTINCT FOR THIS ORGANIZATION.
COMMUNITY BENEFIT REPORT SCHEDULE H, PART I, LINE 6B LANCASTER GENERAL HOSPITAL MAKES AVAILABLE TO THE PUBLIC AN ANNUAL REPORT WHICH INCLUDES INFORMATION ABOUT COMMUNITY BENEFIT AND HEALTH EFFORTS.
Costing Methodology used to calculate financial assistance Schedule H, Part I, Line 7 A COST ACCOUNTING SYSTEM WAS USED TO CALCULATE THE COST TO CHARGE RATIO BY CALCULATING TOTAL PATIENT CHARGES AND THE COSTS RELATED TO THESE CHARGES. THIS SYSTEM ADDRESSES ALL PATIENT SEGMENTS. PART I, LINE 7A, COLUMN C - FINANCIAL ASSISTANCE AT COST WAS CALCULATED USING THE COST ACCOUNTING SYSTEM COST TO CHARGE RATIO.
PERCENT OF TOTAL EXPENSE SCHEDULE H, PART I, LINE 7 THE FUNCTIONAL EXPENSE IS POPULATED FROM FORM 990, PART IX, LINE 25. BAD DEBT IS NO LONGER SUBTRACTED FROM THE FUNCTIONAL EXPENSE AMOUNT BECAUSE IN JULY 2012, LANCASTER GENERAL HOSPITAL ADOPTED THE PROVISIONS OF ASU 2011-07 "PRESENTATION AND DISCLOSURE OF PATIENT REVENUE, PROVISION FOR BAD DEBTS, AND THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR CERTAIN HEALTH CARE ENTITIES." THE ASU REQUIRES HEALTH CARE ENTITIES TO PRESENT THE PROVISION FOR BAD DEBTS RELATED TO PATIENT SERVICE REVENUE AS A DEDUCTION FROM PATIENT SERVICE REVENUE ON THE FACE OF THE COMBINED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS.
Bad Debt Expense excluded from financial assistance calculation Schedule H, Part I, Line 7, column(f) 0
SUBSIDIZED HEALTH SERVICES SCHEDULE H, PART I, LINE 7G SUBSIDIZED HEALTH SERVICES REPORTED INCLUDES A COMPREHENSIVE CARE CLINIC.
Community Building Activities Schedule H, Part II PART II, LINE 7, COMMUNITY HEALTH IMPROVEMENT ADVOCACY INCLUDES SALARIES FOR FINANCIAL COUNSELORS WHO DISCUSS ELIGIBILITY AND REGISTER PATIENTS FOR ALL GOVERNMENTAL AND FINANCIAL ASSISTANCE PROGRAMS. PART II, LINE 9, OTHER - INCLUDES PAYMENTS TO THE SCHOOL DISTRICT OF LANCASTER (EIN# 23-1726414) WHICH PROVIDES FUNDING FOR SCHOOL BASED HEALTH CLINICS AS WELL AS NURSING STAFFING TO PROMOTE THE HEALTH AND WELL-BEING OF SCHOOL AGED CHILDREN.
Bad debt expense - methodology used to estimate amount Schedule H, Part III, Line 2 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.
Bad debt expense - methodology used to estimate amount as community benefit Schedule H, Part III, Line 3 AMOUNT IS ZERO BECAUSE THESE ACCOUNTS WOULD NOT BE INCLUDED AS BAD DEBT BUT WOULD BE INCLUDED AS CHARITY CARE.
Bad debt expense - financial statement footnote Schedule H, Part III, Line 4 BAD DEBT IS EXPLAINED WITHIN THE NET PATIENT SERVICE REVENUE SECTION OF THE NOTES TO FINANCIAL STATEMENTS ON PAGES 11 AND 12 OF LANCASTER GENERAL HOSPITAL'S ATTACHED AUDITED FINANCIAL STATEMENTS.
Community benefit & methodology for determining medicare costs Schedule H, Part III, Line 8 A HIGHLY DEVELOPED COST ACCOUNTING SYSTEM WAS USED IN ORDER TO ATTAIN MORE PRECISE AMOUNTS REPORTED ON FORM 990, SCHEDULE H, PART III, SECTION B, LINES 5 AND 6 RATHER THAN AMOUNTS FROM LANCASTER GENERAL HOSPITAL'S MEDICARE COST REPORT FOR FISCAL YEAR 2013. THE $77,758,276 REPORTED AS A SHORTFALL ON LINE 7 SHOULD BE TREATED AS COMMUNITY BENEFIT AS IT REPRESENTS COSTS NOT RECOVERED AS A RESULT OF SERVING THE MEDICARE POPULATION. IF LANCASTER GENERAL HOSPITAL WOULD NOT SERVE THIS POPULATION, THE SHORTFALL WOULD BE ALLOCATED WITHIN THE COMMUNITY IN AREAS DEEMED A PRIORITY BY THE MISSION & COMMUNITY BENEFIT COMMITTEE. THE TOTAL REVENUE REPORTED ON THE MEDICARE COST REPORT WAS $163,226,046 AND INCLUDES BAD DEBT, INDIRECT MEDICAL EDUCATION (IME) PAYMENTS, COINSURANCES, AND DEDUCTIBLES. DIRECT GRADUATE MEDICAL EDUCATION (GME) REVENUE OF $1,262,060 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 $123,383,006. 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.
COLLECTION PRACTICES SCHEDULE H, PART III, LINE 9B LANCASTER GENERAL HOSPITAL'S CURRENT COLLECTION POLICY DOES NOT CONTAIN PROVISIONS ON THE COLLECTION PRACTICES TO FOLLOW FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE.
Community Served by Needs Assessment Schedule H, Part V Section B, Line 3 (1) 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 & 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.;
Other Hospital Facilities included in Needs Assessment Schedule H, Part V Section B, Line 4 (1) LANCASTER GENERAL HOSPITAL - LANCASTER REHABILITATION HOSPITAL LLC ;
COMMUNITY HEALTH NEEDS ASSESSMENT SCHEDULE H, PART V, SECTION B, LINE 5A THE COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE FOUND IN THE "ABOUT US" SECTION ON THE FACILITY'S WEBSITE WWW.LGHEALTH.ORG .
Other ways hospital publicized Financial Assistance Policy Schedule H, Part V Section B, Line 14g (1) LANCASTER GENERAL HOSPITAL - THE FACILITY DOES NOT ATTACH THE FINANCIAL ASSISTANCE POLICY TO BILLING INVOICES. HOWEVER, THE INVOICES NOTE THAT FINANCIAL ASSISTANCE IS AVAILABLE AND TO CONTACT THE FACILITY FOR ASSISTANCE.;
Means used to determine amounts billed Schedule H, Part V Section B, Line 20d (1) LANCASTER GENERAL HOSPITAL - THE FACILITY USED A BILLING RATE BETWEEN THE AVERAGE NEGOTIATED COMMERCIAL INSURANCE RATE AND THE MEDICARE RATE.;
ADDITIONAL EXPLANATION SCHEDULE H, PART VI 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.
Needs assessment. Schedule H, Part VI, Line 2 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 & 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.
Patient education of eligibility for assistance. Schedule H, Part VI, Line 3 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.
Community information. Schedule H, Part VI, Line 4 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 531,198 PEOPLE. ABOUT 16% OF THE POPULATION IS OVER THE AGE OF 64; 51.1% OF THE POPULATION IS FEMALE. THE MEDIAN INCOME IS $54,029, AND 10.3% OF THE POPULATION LIVES BELOW THE FEDERAL POVERTY LEVEL. LANCASTER GENERAL HOSPITAL'S MARKET SHARE IN LANCASTER COUNTY IS APPROXIMATELY 56.2%.
Promotion of community health Schedule H, Part VI, Line 5 LANCASTER GENERAL HOSPITAL IS GOVERNED BY A 15-MEMBER BOARD OF TRUSTEES, INCLUDING 12 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 & COMMUNITY BENEFIT, PROFESSIONAL AFFAIRS, FINANCE/CAPITAL ALLOCATIONS, AUDIT & COMPLIANCE, EXECUTIVE, AND INVESTMENT SUBCOMMITTEE. THE HOSPITAL APPLIES ITS ANNUAL SURPLUS TOWARD IMPROVING PATIENT CARE, MEDICAL EDUCATION AND RESEARCH. IN FISCAL YEAR 2013, THE HOSPITAL COMMITTED $74.4 MILLION TO SPENDING FOR PROPERTY, PLANT AND EQUIPMENT. THE PURCHASES HAVE INCLUDED BUILDING RENOVATIONS AND EXPANSIONS, NEW FACILITIES, AND NEW AND REPLACEMENT HEALTHCARE TECHNOLOGY. THE HOSPITAL'S SURPLUS HELPS FUND, AND SERVES AS A CLINICAL EDUCATION SITE FOR, THE LANCASTER GENERAL COLLEGE OF NURSING AND HEALTH SCIENCES AND THE LANCASTER GENERAL FAMILY MEDICINE RESIDENCY PROGRAM. ENROLLMENT IS MORE THAN 1,400 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.
Affiliated health care system Schedule H, Part VI, Line 6 LANCASTER GENERAL HOSPITAL IS UNDER THE CONTROL OF ITS PARENT ORGANIZATION LANCASTER GENERAL HEALTH. LANCASTER GENERAL HEALTH (EIN# 23-2250941) IS A NOT-FOR-PROFIT ORGANIZATION, WHICH PROVIDES MANAGERIAL AND FINANCIAL SUPPORT TO ITS CONTROLLED ORGANIZATION AND IS ALSO RESPONSIBLE FOR UNDERTAKING ACTIVITIES TO IMPROVE THE HEALTH OF THE COMMUNITY. THE MULTIPLE AFFILIATES UNDER THE CONTROL OF LANCASTER GENERAL HEALTH IN ADDITION TO LANCASTER GENERAL HOSPITAL ARE: LANCASTER GENERAL HEALTH-COLUMBIA CENTER (EIN# 23-0485650) WHICH IS A HEALTH CARE CLINIC THAT PROVIDES PRIMARY AND SPECIALTY MEDICAL SERVICES 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.
STATE FILING OF COMMUNITY BENEFIT REPORT SCHEDULE H, PART VI, LINE 7 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.
Schedule H (Form 990) 2012
Additional Data


Software ID: 12000266
Software Version: v2012.1.0
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
LANCASTER GENERAL HOSPITAL
 
Employer identification number
23-1365353
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) AMERICAN HEART ASSOCIATION
610 COMMUNITY WAY
LANCASTER,PA17603 		13-5613797 501(C)(3) 29,100   FMV   CONTRIBUTION TO SUPPORT PROGRAM SERVICE.
(2) CITY OF LANCASTER
39 WEST CHESTNUT STREET
LANCASTER,PA17608 		23-6001904 GOVERNMENT ENTITY 1,380,000   FMV   CONTRIBUTION TO SUPPORT PROGRAM SERVICE.
(3) COLUMBIA BORO SCHOOL DISTRICT
200 NORTH FIFTH STREET
COLUMBIA,PA17512 		23-6004263 501(C)(3) 0 37,140 FMV PURCHASED OUTDOOR EXERCISE EQUIPMENT INSTALLED ON THE COLUMBIA HIGH SCHOOL FOOTBALL FIELD CONTRIBUTION TO SUPPORT PROGRAM SERVICE.
(4) COLUMBIA QUICK RESPONSE SERVICE INC
PO BOX 30
COLUMBIA,PA17512 		20-3280577 501(C)(3) 6,500   FMV   CONTRIBUTION TO SUPPORT PROGRAM SERVICE.
(5) COMMUNITY LIFE NETWORK
510 WALNUT STREET
COLUMBIA,PA17512 		20-2161018 501(C)(3) 8,400   FMV   CONTRIBUTION TO SUPPORT PROGRAM SERVICE.
(6) DOMESTIC VIOLENCE SERVICES
PO BOX 359
LANCASTER,PA17608 		23-1667311 501(C)(3) 250 7,000 FMV RENT FOR CLASSROOM USE CONTRIBUTION TO SUPPORT PROGRAM SERVICE.
(7) EDWARD HAND MEDICAL HERITAGE FOUNDATION
PO BOX 10302
LANCASTER,PA17603 		20-8119480 501(C)(3) 13,500   FMV   CONTRIBUTION TO SUPPORT PROGRAM SERVICE.
(8) JAMES STREET IMPROVEMENT DISTRICT
206 WEST JAMES STREET
LANCASTER,PA17603 		71-0927742 501(C)(3) 160,000   FMV   CONTRIBUTION TO SUPPORT PROGRAM SERVICE.
(9) LANCASTER CHAMBER OF COMMERCE
100 SOUTH QUEEN STREET
LANCASTER,PA17608 		23-2095463 501(C)(6) 5,000   FMV   CONTRIBUTION TO SUPPORT PROGRAM SERVICE.
(10) LANCASTER COMMUNITY SAFETY COALITION
262 CONESTOGA STREET
LANCASTER,PA17608 		20-0123222 501(C)(3) 5,000   FMV   CONTRIBUTION TO SUPPORT PROGRAM SERVICE.
(11) LANCASTER COUNTY MEDICAL FOUNDATION
137 E WALNUT ST
LANCASTER,PA17602 		26-0499498 501(C)(3) 75,000   FMV   CONTRIBUTION TO SUPPORT PROGRAM SERVICE.
(12) MILLERSVILLE UNIVERSITY
PO BOX 1002
MILLERSVILLE,PA17551 		23-2397926 501(C)(3) 5,000   FMV   CONTRIBUTION TO SUPPORT PROGRAM SERVICE.
(13) ROHRERSTOWN FIRE COMPANY
500 ELIZABETH STREET
LANCASTER,PA17603 		23-7197558 501(C)(3) 15,000   FMV   CONTRIBUTION TO SUPPORT PROGRAM SERVICE.
(14) SAN JUAN BAUTISTA
425 S DUKE STREET
LANCASTER,PA17602 		23-1983654 501(C)(3) 5,000   FMV   CONTRIBUTION TO SUPPORT PROGRAM SERVICE.
(15) SCHOOL DISTRICT OF LANCASTER
1020 LEHIGH AVENUE
LANCASTER,PA17602 		23-1726414 501(C)(3) 1,500,000   FMV   CONTRIBUTION TO SUPPORT PROGRAM SERVICE.
(16) UNITED AUXILIARIES TO THE LANCASTER GENERAL HOSPITAL
PO BOX 3555
LANCASTER,PA17604 		23-1976868 501(C)(3) 15,260   FMV   CONTRIBUTION TO SUPPORT PROGRAM SERVICE.
(17) UNITED STATES GOLF ASSOCIATION
77 LIBERTY CORNER ROAD PO BOX 708
FAR HILLS,NJ07931 		13-1427105 501(C)(3) 8,333   FMV   CONTRIBUTION TO SUPPORT PROGRAM SERVICE.
(18) UNITED WAY OF LANCASTER COUNTY
630 JANET AVENUE
LANCASTER,PA17601 		23-1352093 501(C)(3) 97,000   FMV   CONTRIBUTION TO SUPPORT PROGRAM SERVICE.
(19) WITF INC
4801 LINDLE ROAD
HARRISBURG,PA17111 		23-1629016 501(C)(3) 60,000   FMV   CONTRIBUTION TO SUPPORT PROGRAM SERVICE.
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
18
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
1
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2012

Schedule I (Form 990) 2012
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance
(1) CASH   16,000      












Part IV
Supplemental Information.
Complete this part to provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Identifier Return Reference Explanation
Procedures for monitoring use of grant funds Schedule I, Part I, Line 2 CONTRIBUTIONS MADE BY LANCASTER GENERAL HOSPITAL MUST MEET THE FOLLOWING CRITERIA SET FORTH BY THE MISSION & COMMUNITY BENEFIT COMMITTEE: 1) GAPS IN HEALTH CARE SERVICES WILL BE REDUCED, 2) RESOURCES WILL BE DIRECTED TO DESIGNATED PRIMARY AND SECONDARY HEALTH PRIORITIES, HEALTH PROMOTION, AND PREVENTION INITIATIVES, 3) INITIATIVES WILL DRIVE COST-EFFECTIVE, COMMUNITY CARE/INTERVENTIONS THAT PROMOTE HEALTH AND WELL-BEING OF OUR COMMUNITY, 4) INITIATIVES WILL BE RESPONSIVE TO THE NEEDS OF SPECIAL/DISPARATE POPULATIONS, 5) ENDOWMENT OR CAPITAL CAMPAIGN REQUESTS WILL NOT BE FINANCIALLY SUPPORTED, 6) ONLY TAX EXEMPT ORGANIZATIONS AND GOVERNMENTAL INITIATIVES AT THE LOCAL LEVEL THAT RELATE TO LANCASTER GENERAL HOSPITAL'S MISSION WILL BE SUPPORTED, AND 7) ONGOING DEFICIT FUNDING WILL NOT BE PROVIDED UNLESS FUNDAMENTAL TO A LANCASTER GENERAL HOSPITAL HEALTH PRIORITY AND/OR THE CARE OF THE MEDICALLY UNDERSERVED. SCHOLARSHIPS AND LOANS ARE AWARDED TO STUDENTS AT THE LANCASTER GENERAL COLLEGE OF NURSING AND HEALTH SCIENCES ON A NON-DISCRIMINATORY BASIS. THE SCHOLARSHIPS AND LOANS ARE BASED ON FINANCIAL NEED, ACADEMIC PROGRESS, AND CLINICAL PERFORMANCE.
Schedule I (Form 990) 2012


Additional Data


Software ID: 12000266
Software Version: v2012.1.0


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
LANCASTER GENERAL HOSPITAL
 
Employer identification number

23-1365353
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....
1b
 
No
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all officers,
directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? .......
2
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2012

Schedule J (Form 990) 2012
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1)DENISE A KENNEDYVP, FINANCIAL SERVICES (i)
(ii)		 163,886
0 		20,749
0 		903
0 		7,422
0 		7,421
0 		200,381
0 		0
0
(2)DENNIS R ROEMEREVP & CFO (i)
(ii)		 294,236
0 		80,000
0 		26,804
0 		1,385
0 		20,694
0 		423,118
0 		0
0
(3)DOUGLAS W RINEHARTVP, CONTROLLER (i)
(ii)		 168,138
0 		23,457
0 		3,003
0 		7,784
0 		17,205
0 		219,587
0 		0
0
(4)ELIZABETH D HILLSVP, RISK MANAGEMENT & CORPORATE COMPLIANCE (i)
(ii)		 146,343
0 		24,370
0 		499
0 		6,405
0 		7,238
0 		184,856
0 		0
0
(5)F JOSEPH BYORICK IIICFO EMERITUS & TREASURER (i)
(ii)		 430,171
0 		143,198
0 		34,923
0 		10,200
0 		17,674
0 		636,166
0 		0
0
(6)GARY DAVIDSONSVP AND CIO (i)
(ii)		 332,003
0 		126,178
0 		14,521
0 		46,267
0 		17,952
0 		536,920
0 		0
0
(7)GEOFFREY W EDDOWESSVP WBH AND POST ACUTE CARE (i)
(ii)		 256,572
0 		54,929
0 		2,376
0 		41,279
0 		17,776
0 		372,932
0 		0
0
(8)JAN L BERGENEVP, LANCASTER GENERAL HEALTH AND PRESIDENT, LANCASTER GENERAL HEALTH NETWORK (i)
(ii)		 478,028
0 		169,705
0 		16,920
0 		163,367
0 		8,442
0 		836,462
0 		0
0
(9)JOHN LEEASSOC MEDICAL DIRECTOR TRAUMA (i)
(ii)		 434,002
0 		38,578
0 		34,407
0 		9,413
0 		17,620
0 		534,020
0 		0
0
(10)JOHN YELCICKMEDICAL DIRECTOR LABORATORIES (i)
(ii)		 382,096
0 		29,543
0 		1,296
0 		9,413
0 		8,092
0 		430,439
0 		0
0
(11)JOSEPH A PUSKARSVP, CUSTOMER SUPPORT SERVICES (i)
(ii)		 253,212
0 		32,992
0 		7,758
0 		10,200
0 		17,854
0 		322,016
0 		0
0
(12)JUDI L BRENDLEVP, NURSING (i)
(ii)		 221,867
0 		26,675
0 		9,750
0 		10,200
0 		17,531
0 		286,023
0 		0
0
(13)KAY BRADYVP, HUMAN RESOURCES (i)
(ii)		 144,323
0 		21,620
0 		2,284
0 		6,729
0 		14,609
0 		189,565
0 		0
0
(14)KEITH A ORRISSVP, COMMUNITY AND GOVERNMENT AFFAIRS (i)
(ii)		 191,991
0 		61,248
0 		20,595
0 		16,853
0 		10,555
0 		301,241
0 		0
0
(15)KEVIN LORAHMEDICAL DIRECTOR (i)
(ii)		 359,871
0 		26,102
0 		1,893
0 		10,200
0 		17,573
0 		415,640
0 		0
0
(16)LEE M DUKE II MDSVP AND CHIEF PHYSICIAN EXECUTIVE (i)
(ii)		 431,542
0 		142,412
0 		19,005
0 		113,460
0 		17,518
0 		723,937
0 		0
0
(17)LISA R HESSVP, MARKETING AND RELATIONSHIP MANAGEMENT (i)
(ii)		 153,894
0 		21,359
0 		1,285
0 		6,582
0 		17,663
0 		200,783
0 		0
0
(18)MARGARET F COSTELLA ESQVP, LEGAL SERVICES AND ASSISTANT SECRETARY (i)
(ii)		 210,092
0 		29,930
0 		1,895
0 		9,677
0 		1,905
0 		253,499
0 		0
0
(19)MARION A MCGOWAN RNPRESIDENT OF LANCASTER GENERAL HOSPITAL AND PRESIDENT OF LG HEALTH INNOVATION, INC. (i)
(ii)		 501,670
0 		177,606
0 		15,228
0 		10,200
0 		17,796
0 		722,500
0 		0
0
(20)MARY B MISKEYVP, HUMAN RESOURCES OPERATIONS (i)
(ii)		 159,954
0 		23,961
0 		3,880
0 		7,512
0 		7,646
0 		202,953
0 		0
0
(21)NORMA J FERDINANDSVP, CHIEF QUALITY OFFICER (i)
(ii)		 282,358
0 		90,540
0 		391,394
0 		77,925
0 		9,170
0 		851,387
0 		0
0
(22)PHILIP BAYLISSMEDICAL DIRECTOR (i)
(ii)		 505,794
0 		18,333
0 		23,986
0 		10,200
0 		15,357
0 		573,670
0 		0
0
(23)REGINA M MINGLESVP AND CHIEF LEADERSHIP OFFICER (i)
(ii)		 306,660
0 		103,020
0 		16,722
0 		79,410
0 		15,413
0 		521,224
0 		0
0
(24)RICHARD D PAOLETTIVP, OPERATIONS (i)
(ii)		 201,306
0 		36,894
0 		1,232
0 		9,577
0 		17,416
0 		266,426
0 		0
0
(25)ROBERT P MACINA ESQSVP, CHIEF ADMINISTRATIVE/LEGAL OFFICER AND CORPORATE SECRETARY (i)
(ii)		 330,092
0 		112,405
0 		23,388
0 		89,000
0 		15,569
0 		570,454
0 		0
0
(26)STACEY G YOUCISVP, OPERATIONS-MUSCULOSKELETAL AND PERIOPERATIVE SERVICES (i)
(ii)		 195,843
0 		40,000
0 		8,286
0 		9,765
0 		17,191
0 		271,086
0 		0
0
(27)SUSAN WYNNESVP, BUSINESS DEVELOPMENT-AMBULATORY SERVICES (i)
(ii)		 261,575
0 		58,308
0 		10,622
0 		39,863
0 		18,291
0 		388,659
0 		0
0
(28)THOMAS E BEEMAN PHDPRESIDENT AND CEO, LANCASTER GENERAL HEALTH (i)
(ii)		 740,998
0 		341,264
0 		19,920
0 		171,551
0 		15,725
0 		1,289,458
0 		0
0
(29)TIMOTHY BOLEYPERINATOLOGIST (i)
(ii)		 465,226
0 		0
0 		56,956
0 		10,200
0 		17,702
0 		550,084
0 		0
0
(30)TIMOTHY C ZELLERSVP, CARDIOVASCULAR SERVICES LINES & PULMONARY SERVICE (i)
(ii)		 173,747
0 		20,082
0 		9,902
0 		8,149
0 		17,366
0 		229,246
0 		0
0
Schedule J (Form 990) 2012

Schedule J (Form 990) 2012
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Identifier Return Reference Explanation
Travel for companions Schedule J, Part I, Line 1a THE AMOUNT PROVIDED FOR TRAVEL FOR COMPANIONS WAS LESS THAN $250. THESE PAYMENTS WERE CONSIDERED TAXABLE.
Tax indemnification and gross-up payments Schedule J, Part I, Line 1a LANCASTER GENERAL HOSPITAL PROVIDED GROSS-UP PAYMENTS TO EMPLOYEES. 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 2012 TAX YEAR.
Housing allowance or residence for personal use Schedule J, Part I, Line 1a HOUSING ALLOWANCE WAS PROVIDED TO ONE INDIVIDUAL. THESE PAYMENTS WERE CONSIDERED TAXABLE.
Written policy regarding payment or reimbursement of expenses Schedule J, Part I, Line 1b THERE ARE CURRENTLY NO WRITTEN POLICIES IN PLACE FOR GROSS UP PAYMENTS, TRAVEL FOR COMPANIONS OR HOUSING ALLOWANCE.
COMPENSATION SCHEDULE J, PART I, LINE 3 THE COMPENSATION PROCESS DESCRIBED BELOW PERTAINS TO THE CEO, EVPS, SVPS, AND VPS. 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. PLEASE REFER TO FORM 990, PART VI, QUESTION 15 STATING THAT ALL BUT ONE OF THE MEMBERS OF THE COMMITTEE IS CONSIDERED INDEPENDENT.
Severance or change-of-control payment Schedule J, Part I, Line 4a ONE INDIVIDUAL RECEIVED A SEVERANCE PAYMENT OF $31,145.
Supplemental nonqualified retirement plan Schedule J, Part I, Line 4b TOTAL DISTRIBUTIONS AND/OR CONTRIBUTIONS TO A NON-QUALIFIED SUPPLEMENTAL RETIREMENT PLAN AMOUNTED TO $738,000.
Non-fixed payments Schedule J, Part I, Line 7 THE PURPOSE OF THE LANCASTER GENERAL HEALTH (LG) ANNUAL INCENTIVE PLAN (THE PLAN) IS TO REINFORCE STRATEGIC PERFORMANCE PRIORITIES FOR SENIOR MANAGEMENT AND MANAGEMENT EMPLOYEES AND TO ENCOURAGE THE HIGHEST LEVEL OF PERFORMANCE IN THE DELIVERY OF HEALTH CARE SERVICES. AS A REWARD FOR EMPLOYEES' CONTRIBUTIONS TO LANCASTER GENERAL HEALTH'S SUCCESS, THE PLAN PROVIDES THE OPPORTUNITY TO EARN MEANINGFUL INCENTIVE COMPENSATION BASED ON THE PERFORMANCE OF LANCASTER GENERAL HEALTH AND THE INDIVIDUAL PARTICIPANTS. SPECIFICALLY, THE PLAN IS DESIGNED TO: *FOCUS PARTICIPANTS ON THE ACHIEVEMENT OF ORGANIZATION GOALS RELATED TO PEOPLE, SERVICE, QUALITY/SAFETY, FINANCIAL AND GROWTH; *PROMOTE AND FOSTER A TEAM ORIENTED CULTURE; *STRENGTHEN LANCASTER GENERAL HEALTH'S ABILITY TO ATTRACT AND RETAIN SUPERIOR TALENT, RECOGNIZE AND REWARD ACCOMPLISHMENTS THAT CLEARLY ADVANCE THE ORGANIZATION'S MISSION, AND DRIVE STRATEGIES; *PROVIDE INCENTIVE AWARDS THAT CAN BE ADJUSTED ANNUALLY FOR DIFFERENT BUSINESS CONDITIONS AND BUSINESS PLAN PRIORITIES WITHOUT CHANGING BASIC DESIGN FEATURES OF THE PLAN; AND *PROVIDE ANNUAL INCENTIVE OPPORTUNITIES WITH DUE CONSIDERATION TO THE REQUIREMENTS OF THE INTERMEDIATE SANCTIONS LAW AND THE REGULATIONS THERE UNDER.
Schedule J (Form 990) 2012

Additional Data


Software ID: 12000266
Software Version: v2012.1.0
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
LANCASTER GENERAL HOSPITAL
 
Employer identification number
23-1365353
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer 		(i) Pool
financing
Yes No Yes No Yes No
A LANCASTER COUNTY HOSPITAL AUTHORITY
  		23-6648018 XXXXXXXXX 07-01-2005 15,945,000 PURCHASE OF EQUIPMENT   X   X   X
B LANCASTER COUNTY HOSPITAL AUTHORITY
  		23-6648018 514045YB3 01-24-2007 33,450,000 CONSTRUCTION OF EMPLOYEE PARKING GARAGE   X   X   X
C LANCASTER COUNTY HOSPITAL AUTHORITY
  		23-6648018 514045YK3 01-24-2007 63,375,000 REFUNDING OF SERIES 2003 BOND (ISSUE DATE OF 9/15/2003)   X   X   X
D LANCASTER COUNTY HOSPITAL AUTHORITY
  		23-6648018 XXXXXXXXX 06-01-2012 25,250,000 REFUNDING A PORTION OF SERIES 2008 BOND (ISSUE DATE OF 8/15/2008)   X   X   X
LANCASTER COUNTY HOSPITAL AUTHORITY
  		23-6648018 514045B51 06-28-2012 93,755,000 REFUNDING A PORTION OF SERIES 2008, 2010, AND 2011 BONDS, AND A PORTION TO BE USED FOR CONSTRUCTION.   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 0 0 0 0
2 Amount of bonds legally defeased . . . . . . . . . . . 0 0 0 0
3 Total proceeds of issue . . . . . . . . . . . . . . 181,624 33,450,000 63,375,000 25,250,000
4 Gross proceeds in reserve funds . . . . . . . . . . . . 0 0 0 0
5 Capitalized interest from proceeds . . . . . . . . . . . 0 0 0 0
6 Proceeds in refunding escrows . . . . . . . . . . . . 0 0 63,375,000 25,250,000
7 Issuance costs from proceeds . . . . . . . . . . . . 0 201,473 381,715 194,497
8 Credit enhancement from proceeds . . . . . . . . . . . 0 0 0 0
9 Working capital expenditures from proceeds . . . . . . . . . 0 0 0 0
10 Capital expenditures from proceeds . . . . . . . . . . . 13,994,144 37,017,542 0 0
11 Other spent proceeds . . . . . . . . . . . . . . 0 0 0 0
12 Other unspent proceeds . . . . . . . . . . . . . . 0 0 0 0
13 Year of substantial completion . . . . . . . . . . . . 2007 2008 2007 2012
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . .   X   X   X X  
15 Were the bonds issued as part of an advance refunding issue? . . . . .   X   X X     X
16 Has the final allocation of proceeds been made? . . . . . . . . X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .   X   X   X   X
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .   X   X   X   X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . . . . . . . . . . . . .   X   X   X   X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? .   X   X   X   X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0% 0.0000% 0.0000% 0%
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0.0000% 0.0000% 0.0000% 0.0000%
6 Total of lines 4 and 5 . . . . . . . . . . . . . . . 0% 0.0000% 0.0000% 0%
7 Does the bond issue meet the private security or payment test? . . . . . X   X   X   X  
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If “Yes” to line 8a, enter the percentage of bond-financed property sold or disposed of. 0% 0% 0% 0%
c If “Yes” to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .   X   X   X   X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2?
  X   X   X   X
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . . X   X   X   X  
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .   X   X   X   X
b Exception to rebate? . . . . . . . .   X   X   X   X
c No rebate due? . . . . . . . . . .
  X   X   X   X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .   X   X   X X  
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X X  
b Name of provider . . . . . . . . . BOAML
  		 
  		 
  		 
 
c Term of hedge . . . . . . . . . . 0.0 0.0 0.0 35.0
d Was the hedge superintegrated? . . . . . .   X   X   X   X
e Was a hedge terminated? . . . . . . .   X   X   X   X
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . .  
  		 
  		 
  		 
 
c Term of GIC . . . . . . . . . . 0.0 0.0 0.0 0.0
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .   X   X   X   X
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
1 Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
DEFEASED 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.
CUSIP # SCHEDULE K, PART I, COLUMN (C) SERIES 2005 AND 2012-A WERE PRIVATE PLACEMENTS AND THUS ARE NOT ASSIGNED A CUSIP #.
CAPITAL EXPENDITURES SCHEDULE K, PART II, LINE 10 BOND ISSUE A HAD $1,950,855.85 THAT WAS NOT USED. THIS AMOUNT WAS APPLIED TO THE PRINCIPAL PAYMENT MADE IN AUGUST 2007.
Schedule K (Form 990) 2012

Additional Data


Software ID: 12000266
Software Version: v2012.1.0

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
LANCASTER GENERAL HOSPITAL
 
Employer identification number
23-1365353
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer 		(i) Pool
financing
Yes No Yes No Yes No
A LANCASTER COUNTY HOSPITAL AUTHORITY
  		23-6648018 XXXXXXXXX 07-01-2005 15,945,000 PURCHASE OF EQUIPMENT   X   X   X
B LANCASTER COUNTY HOSPITAL AUTHORITY
  		23-6648018 514045YB3 01-24-2007 33,450,000 CONSTRUCTION OF EMPLOYEE PARKING GARAGE   X   X   X
C LANCASTER COUNTY HOSPITAL AUTHORITY
  		23-6648018 514045YK3 01-24-2007 63,375,000 REFUNDING OF SERIES 2003 BOND (ISSUE DATE OF 9/15/2003)   X   X   X
D LANCASTER COUNTY HOSPITAL AUTHORITY
  		23-6648018 XXXXXXXXX 06-01-2012 25,250,000 REFUNDING A PORTION OF SERIES 2008 BOND (ISSUE DATE OF 8/15/2008)   X   X   X
LANCASTER COUNTY HOSPITAL AUTHORITY
  		23-6648018 514045B51 06-28-2012 93,755,000 REFUNDING A PORTION OF SERIES 2008, 2010, AND 2011 BONDS, AND A PORTION TO BE USED FOR CONSTRUCTION.   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 0 0 0 0
2 Amount of bonds legally defeased . . . . . . . . . . . 0 0 0 0
3 Total proceeds of issue . . . . . . . . . . . . . . 181,624 33,450,000 63,375,000 25,250,000
4 Gross proceeds in reserve funds . . . . . . . . . . . . 0 0 0 0
5 Capitalized interest from proceeds . . . . . . . . . . . 0 0 0 0
6 Proceeds in refunding escrows . . . . . . . . . . . . 0 0 63,375,000 25,250,000
7 Issuance costs from proceeds . . . . . . . . . . . . 0 201,473 381,715 194,497
8 Credit enhancement from proceeds . . . . . . . . . . . 0 0 0 0
9 Working capital expenditures from proceeds . . . . . . . . . 0 0 0 0
10 Capital expenditures from proceeds . . . . . . . . . . . 13,994,144 37,017,542 0 0
11 Other spent proceeds . . . . . . . . . . . . . . 0 0 0 0
12 Other unspent proceeds . . . . . . . . . . . . . . 0 0 0 0
13 Year of substantial completion . . . . . . . . . . . . 2007 2008 2007 2012
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . .   X   X   X X  
15 Were the bonds issued as part of an advance refunding issue? . . . . .   X   X X     X
16 Has the final allocation of proceeds been made? . . . . . . . . X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .   X   X   X   X
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .   X   X   X   X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . . . . . . . . . . . . .   X   X   X   X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? .   X   X   X   X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0% 0.0000% 0.0000% 0%
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0.0000% 0.0000% 0.0000% 0.0000%
6 Total of lines 4 and 5 . . . . . . . . . . . . . . . 0% 0.0000% 0.0000% 0%
7 Does the bond issue meet the private security or payment test? . . . . . X   X   X   X  
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If “Yes” to line 8a, enter the percentage of bond-financed property sold or disposed of. 0% 0% 0% 0%
c If “Yes” to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .   X   X   X   X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2?
  X   X   X   X
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . . X   X   X   X  
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .   X   X   X   X
b Exception to rebate? . . . . . . . .   X   X   X   X
c No rebate due? . . . . . . . . . .
  X   X   X   X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .   X   X   X X  
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X X  
b Name of provider . . . . . . . . . BOAML
  		 
  		 
  		 
 
c Term of hedge . . . . . . . . . . 0.0 0.0 0.0 35.0
d Was the hedge superintegrated? . . . . . .   X   X   X   X
e Was a hedge terminated? . . . . . . .   X   X   X   X
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . .  
  		 
  		 
  		 
 
c Term of GIC . . . . . . . . . . 0.0 0.0 0.0 0.0
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .   X   X   X   X
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
1 Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
DEFEASED 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.
CUSIP # SCHEDULE K, PART I, COLUMN (C) SERIES 2005 AND 2012-A WERE PRIVATE PLACEMENTS AND THUS ARE NOT ASSIGNED A CUSIP #.
CAPITAL EXPENDITURES SCHEDULE K, PART II, LINE 10 BOND ISSUE A HAD $1,950,855.85 THAT WAS NOT USED. THIS AMOUNT WAS APPLIED TO THE PRINCIPAL PAYMENT MADE IN AUGUST 2007.
Schedule K (Form 990) 2012

Additional Data


Software ID: 12000266
Software Version: v2012.1.0

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
LANCASTER GENERAL HOSPITAL
 
Employer identification number

23-1365353
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No





2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)Written agreement?
To From Yes No Yes No Yes No
Total ......Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2012
Schedule L (Form 990 or 990-EZ) 2012
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) DOUGLAS W RINEHART
  		OFFICER OF THE ORGANIZATION. 550,071 INDIVIDUAL IS A BOARD MEMBER OF LEMSA. LEMSA PROVIDES SERVICES TO LANCASTER GENERAL HOSPITAL.   No
(2) BRUCE R LIMPERT
  		TRUSTEE 1,074,284 INDIVIDUAL IS A BOARD MEMBER OF MURRAY SECURUS INSURANCE. MURRAY PROVIDES SERVICES TO LANCASTER GENERAL HOSPITAL.   No
(3) LEE M DUKE II MD
  		OFFICER 281,326 INDIVIDUAL IS EMPLOYED PART TIME BY PULMONARY ASSOCIATES OF LANCASTER (PAL). PAL PROVIDES SERVICES TO LANCASTER GENERAL HOSPITAL.   No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2012

Additional Data


Software ID: 12000266
Software Version: v2012.1.0




SCHEDULE M
(Form 990)

Department of the Treasury
Internal Revenue Service
Noncash Contributions
Right pointing arrow large imageComplete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
LANCASTER GENERAL HOSPITAL
 
Employer identification number

23-1365353
Part I
Types of Property
(a)
Check if applicable 		(b)
Number of contributions or items contributed 		(c)
Noncash contribution amounts reported on
Form 990, Part VIII, line 1g 		(d)
Method of determining
noncash contribution amounts
1 Art—Works of art .... X 1 6,250 MARKET VALUE
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications ..      
5 Clothing and household
goods ....... 		X 568 MARKET VALUE
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded .        
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests .... 		       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures ..... 		       
14 Qualified conservation
contribution—Other ... 		       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ...        
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( BEAM SIGNING DINNER FOR ABCCC ) X 1 21,188 MARKET VALUE
26 Other Right pointing arrow large image ( GIFT CERTIFICATES ) X 8 610 MARKET VALUE
27 Other Right pointing arrow large image ( MOVIE TICKETS ) X 1 20 MARKET VALUE
28 Other Right pointing arrow large image ( FOOD ) X 4 199 MARKET VALUE
Other Right pointing arrow large image ( CRAFT SUPPLIES ) X 1 345 MARKET VALUE
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement ...
29
0
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1-28 that it
must hold for at least three years from the date of the initial contribution, and which is not required to be used
for exempt purposes for the entire holding period? ..................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?
31
Yes
 
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash
contributions? ..........................
32a
 
No
b
If "Yes," describe in Part II.
33
If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) (2012)
Schedule M (Form 990) (2012)
Page 2
Part II
Supplemental Information. Complete this part to provide the information required by Part I, lines 30b,
32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.
Identifier Return Reference Explanation
Explanations of reporting method for number of contributions Schedule M, Part I ART - WORKS OF ART: NUMBER OF ART PIECES CONTRIBUTED OTHER: NUMBER OF DINNERS CONTRIBUTED OTHER: NUMBER OF VENDORS IN WHICH GIFT CERTIFICATES WERE DISTRIBUTED FOR OTHER: NUMBER OF INSTANCES IN WHICH MOVIE TICKETS WERE DONATED. OTHER: NUMBER OF INSTANCES IN WHICH FOOD WAS DONATED. OTHER: NUMBER OF INSTANCES IN WHICH SUPPLIES WERE DONATED CLOTHING AND HOUSEHOLD GOODS: NUMBER OF INSTANCES IN WHICH CONTRIBUTIONS OF CLOTHING WAS CONTRIBUTED.
Number of contributions or items contributed. Schedule M, part I, column (b), Line 1 NUMBER OF ART PIECES CONTRIBUTED
Number of contributions or items contributed. Schedule M, part I, column (b), Line other=BEAM SIGNING DINNER FOR ABCCC NUMBER OF DINNERS CONTRIBUTED
Number of contributions or items contributed. Schedule M, part I, column (b), Line other=GIFT CERTIFICATES NUMBER OF VENDORS IN WHICH GIFT CERTIFICATES WERE DISTRIBUTED FOR
Number of contributions or items contributed. Schedule M, part I, column (b), Line other=MOVIE TICKETS NUMBER OF INSTANCES IN WHICH MOVIE TICKETS WERE DONATED.
Schedule M (Form 990) (2012)
Additional Data


Software ID: 12000266
Software Version: v2012.1.0
SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
LANCASTER GENERAL HOSPITAL
 
Employer identification number

23-1365353
Identifier Return Reference Explanation
OTHER EXPENSES FORM 990, PART I, LINE 17 LANCASTER GENERAL HOSPITAL HAD PATIENT RELATED BAD DEBT IN THE AMOUNT OF $34,850,000 THAT WAS INCLUDED ON FORM 990, PART I, LINE 17 IN THE PRIOR REPORTING YEAR. IN JULY 2012, LANCASTER GENERAL HOSPITAL ADOPTED THE PROVISIONS OF ASU 2011-07 "PRESENTATION AND DISCLOSURE OF PATIENT SERVICE REVENUE, PROVISION FOR BAD DEBTS, AND THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR CERTAIN HEALTH CARE ENTITIES." THE ASU REQUIRES HEALTH CARE ENTITIES TO PRESENT THE PROVISION FOR BAD DEBTS RELATED TO PATIENT SERVICE REVENUE AS A DEDUCTION FROM PATIENT SERVICE REVENUE ON THE FACE OF THE COMBINED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS. WITH THAT SAID, BAD DEBT OF $36,480,000 IS INCLUDED ON FORM 990, PART I, LINE 9 FOR THE CURRENT REPORTING YEAR.
EXEMPT PURPOSE ACHIEVEMENTS FORM 990, PART III, LINE 4D LANCASTER GENERAL HOSPITAL WILL IDENTIFY COMMUNITY HEALTH NEEDS; HELP REACH COMMUNITY CONSENSUS ON HEALTH CARE PRIORITIES; DEVELOP PROGRAMS (WHERE POSSIBLE TOGETHER WITH OTHER COMMUNITY ORGANIZATIONS) TO ADDRESS THESE NEEDS; DEVELOP AND MAINTAIN METRICS TO MEASURE OUR PROGRESS; AND REPORT OUR ACTIVITY TO THE BOARD OF TRUSTEES AND THE COMMUNITY AT LARGE. FINANCIAL MEANS SHOULD NOT PREVENT ANYONE FROM ACCESSING HEALTHCARE SERVICES. TO THAT END, LANCASTER GENERAL HOSPITAL HAS ESTABLISHED FINANCIAL ASSISTANCE PROGRAMS FOR THOSE WITH LITTLE OR NO INSURANCE, OR LIMITED FINANCIAL MEANS. LANCASTER GENERAL HOSPITAL INCURRED UNPAID COSTS OF $78.7M 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 $10.4M.
FILING REQUIREMENTS FOR FORM TD-90-22.1 FORM 990, PART V, LINE 4A LANCASTER GENERAL HOSPITAL HAS AUTHORITY OVER A FINANCIAL ACCOUNT IN A FOREIGN COUNTRY. HOWEVER, THEY HAVE NO FINANCIAL INTEREST WITHIN THE FOREIGN ACCOUNT. FORM TD-90-22.1 WAS FILED WITH THE PARENT COMPANY, LANCASTER GENERAL HEALTH (EIN# 23-2250941).
Classes of members or stockholders Form 990, Part VI, Section A, Line 6 THE SOLE MEMBER OF LANCASTER GENERAL HOSPITAL IS LANCASTER GENERAL HEALTH. THE SOLE MEMBER MAY INITIATE OR IMPLEMENT ANY PROPOSAL WITH RESPECT TO ANY OF THE FOLLOWING; AMENDMENT OF CHARTER, CERTIFICATE OF ARTICLES OF INCORPORATION OR BYLAWS; SALE, PURCHASE, LEASE OR ENCUMBRANCE WITH DEBT; THE TRANSFER OF ANY ASSETS OF THE CORPORATION, EXCLUDING EQUIPMENT; ELECTION OR REMOVAL OF THE BOARD OF TRUSTEES OF THE CORPORATION; THE APPROVAL OF THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION; THE APPROVAL OF INVESTMENT ADVISORS, OUTSIDE LEGAL COUNSEL, AND AUDITORS OF THE CORPORATION; AND THE APPROVAL OF NON-BUDGETED EXPENDITURES.
Members or stockholders electing members of governing body Form 990, Part VI, Section A, Line 7a LANCASTER GENERAL HEALTH ELECTS THE BOARD OF TRUSTEES OF LANCASTER GENERAL HOSPITAL.
Decisions requiring approval by members or stockholders Form 990, Part VI, Section A, Line 7b THE SOLE MEMBER OF LANCASTER GENERAL HOSPITAL IS LANCASTER GENERAL HEALTH. THE SOLE MEMBER MAY INITIATE OR IMPLEMENT ANY PROPOSAL WITH RESPECT TO ANY OF THE FOLLOWING; AMENDMENT OF CHARTER, CERTIFICATE OF ARTICLES OF INCORPORATION OR BYLAWS; SALE, PURCHASE, LEASE OR ENCUMBRANCE WITH DEBT; THE TRANSFER OF ANY ASSETS OF THE CORPORATION, EXCLUDING EQUIPMENT; ELECTION OR REMOVAL OF THE BOARD OF TRUSTEES OF THE CORPORATION; THE APPROVAL OF THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION; THE APPROVAL OF INVESTMENT ADVISORS, OUTSIDE LEGAL COUNSEL, AND AUDITORS OF THE CORPORATION; AND THE APPROVAL OF NON-BUDGETED EXPENDITURES.
LOCAL CHAPTERS, BRANCHES, OR AFFILIATES FORM 990, PART VI, LINE 10A LANCASTER GENERAL HEALTH (EIN# 23-2250941) IS THE PARENT ORGANIZATION OF MULTIPLE AFFILIATES INCLUDING LANCASTER GENERAL HOSPITAL.
Monitoring compliance of local unit's activities Form 990, Part VI, Section B, Line 10b THE ORGANIZATION HAS POLICIES AND PROCEDURES GOVERNING THE ACTIVITIES OF ITS AFFILIATES. HOWEVER, THEY ARE NOT CURRENTLY APPROVED BY THE GOVERNING BOARD.
Review of form 990 by governing body Form 990, Part VI, Section B, Line 11b 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. THE CFO HIGHLIGHTED CERTAIN SECTIONS OF THE FORM 990 DURING THE BOARD MEETING HELD ON 5/15/2014 AND ANY QUESTIONS WERE ADDRESSED AT THAT TIME.
POLICIES AND PROCEDURES FORM 990, PART VI, LINE 12A THE ORGANIZATION HAS THE POLICIES AND PROCEDURES IN PLACE AS MENTIONED IN FORM 990, PART VI, SECTION B, LINE 12A, 13, 14, AND 16B. HOWEVER, THEY ARE NOT CURRENTLY APPROVED BY THE GOVERNING BOARD. THE MEETING AGENDA FOR THE MAY 15, 2014 BOARD MEETING INCLUDES REVIEW AND APPROVAL OF SUCH POLICIES.
CONFLICT OF INTEREST POLICY FORM 990, PART VI, 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.
INDEPENDENCE FORM 990, PART VI, LINE 15 ALL BUT ONE OF THE MEMBERS OF THE COMMITTEE IS CONSIDERED INDEPENDENT.
Governing documents, conflict of interest policy and financial statements available to the public Form 990, Part VI, Section C, Line 19 LANCASTER GENERAL HOSPITAL DOES NOT MAKE THE GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. THE FINANCIAL STATEMENTS ARE NOW AVAILABLE TO THE PUBLIC AS THEY ARE REQUIRED TO BE INCLUDED WITH FORM 990, SCHEDULE H.
COMPENSATION FORM 990, PART VII, SECTION A, LINE 1A, COLUMN (B) MEMBERS OF THE BOARD ARE NOT COMPENSATED FOR THEIR POSITION ON THE BOARD. COMPENSATION DISCLOSED RELATES TO OTHER SERVICES PERFORMED.
TAX EXEMPT BOND LIABILITIES FORM 990, PART X, LINE 20 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 6/30/13 WAS $2,214,461. THE BALANCE OF THE 2012 BOND PREMIUM AT 6/30/13 WAS $4,066,446.
Other changes in net assets or fund balances Form 990 , Part XI, Line 9 CHANGE IN INTEREST IN NET ASSETS OF LANCASTER GENERAL - 183092; OTHER NON-OPERATING INCOME - 5300837; TRANSFER OF NET ASSETS - 175204; RELATED PARTY TRANSFERS - -XXX-XX-XXXX; PERPETUAL TRUST DISTRIBUTION - 79491;
Number of contributions or items contributed. Schedule M, part I, column (b), Line other=FOOD NUMBER OF INSTANCES IN WHICH FOOD WAS DONATED.
Number of contributions or items contributed. Schedule M, part I, column (b), Line other=CRAFT SUPPLIES NUMBER OF INSTANCES IN WHICH SUPPLIES WERE DONATED
Number of contributions or items contributed. Schedule M, part I, column (b), Line 5 NUMBER OF INSTANCES IN WHICH CONTRIBUTIONS OF CLOTHING WAS CONTRIBUTED.
Number of contributions or items contributed. Schedule M, part I, column (b), Line 1 NUMBER OF ART PIECES CONTRIBUTED
Number of contributions or items contributed. Schedule M, part I, column (b), Line other=BEAM SIGNING DINNER FOR ABCCC NUMBER OF DINNERS CONTRIBUTED
Number of contributions or items contributed. Schedule M, part I, column (b), Line other=GIFT CERTIFICATES NUMBER OF VENDORS IN WHICH GIFT CERTIFICATES WERE DISTRIBUTED FOR
Number of contributions or items contributed. Schedule M, part I, column (b), Line other=MOVIE TICKETS NUMBER OF INSTANCES IN WHICH MOVIE TICKETS WERE DONATED.
Number of contributions or items contributed. Schedule M, part I, column (b), Line other=FOOD NUMBER OF INSTANCES IN WHICH FOOD WAS DONATED.
Number of contributions or items contributed. Schedule M, part I, column (b), Line other=CRAFT SUPPLIES NUMBER OF INSTANCES IN WHICH SUPPLIES WERE DONATED
Number of contributions or items contributed. Schedule M, part I, column (b), Line 5 NUMBER OF INSTANCES IN WHICH CONTRIBUTIONS OF CLOTHING WAS CONTRIBUTED.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2012

Additional Data


Software ID: 12000266
Software Version: v2012.1.0
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
LANCASTER GENERAL HOSPITAL
 
Employer identification number

23-1365353
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" to Form 990, Part IV, line 33.)
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity










Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1) LANCASTER GENERAL HEALTH

555 NORTH DUKE STREET

LANCASTER,PA17604
 MGMT & FIN. SUPPORT TO CONTROLLED ORG. & UNDERTAKING ACTIVITIES TO IMPROVE THE HEALTH OF COMMUNITY PA 501(C)(3) Type II NA
 
 
No
(2) LANCASTER GENERAL HEALTH FOUNDATION

555 NORTH DUKE STREET

LANCASTER,PA17604
 ORGANIZED & OPERATED TO SUPPORT THE EXEMPT PURPOSES OF MEMBER OF LG HEALTH PA 501(C)(3) Type III - FI LANCASTER GENERAL HEALTH
 
 
No
(3) LANCASTER GENERAL MEDICAL GROUP

1030 NEW HOLLAND AVENUE

LANCASTER,PA17601
 PROVIDE CHARITABLE PRIMARY AND SPECIALTY HEALTHCARE PA 501(C)(3) 3 LANCASTER GENERAL HEALTH
 
 
No
(4) LANCASTER GENERAL HEALTH-COLUMBIA CENTER

306 NORTH 7TH STREET

COLUMBIA,PA17512
 ACUTE PRIMARY CARE/FACILITY MGMT OP SVCS PA 501(C)(3) 3 LANCASTER GENERAL HOSPITAL
 
Yes
 
(5) PENNSYLVANIA COLLEGE OF HEALTH SCIENCES

410 NORTH LIME STREET

LANCASTER,PA17602
 PROVIDE SUPPORT AND PROMOTE HEALTHCARE EDUCATION PA 501(C)(3) 2 LANCASTER GENERAL HOSPITAL
 
Yes
 
(6) LANCASTER GENERAL REHABILITATION SERVICES INC

555 NORTH DUKE STREET

LANCASTER,PA17604
 OWNERSHIP/OPERATION OF REHABILITATION HOSPITAL PA 501(C)(3) 3 LANCASTER GENERAL HEALTH
 
 
No
(7) LANCASTER GENERAL AMBULATORY SURGICAL SERVICES INC

555 NORTH DUKE STREET

LANCASTER,PA17604
 OWNERSHIP/OPERATION OF AMBULATORY SURGERY CENTER PA 501(C)(3) 3 LANCASTER GENERAL HOSPITAL
 
Yes
 
(8) LANCASTER GENERAL IMAGING CORPORATION

609 NORTH CHERRY STREET

LANCASTER,PA17604
 OWNERSHIP/OPERATING OF IMAGING SERVICES PA 501(C)(3) 3 LANCASTER GENERAL HOSPITAL
 
Yes
 
(9) UNITED AUXILIARIES TO LANCASTER GENERAL HOSPITAL

555 NORTH DUKE STREET

LANCASTER,PA17604
 TO PROMOTE AND ADVANCE LANCASTER GENERAL HOSPITAL'S PLANS & PROGRAMS PA 501(C)(3) 9 NA
 
 
No
(10) THE HEART GROUP OF LANCASTER GENERAL HEALTH

555 NORTH DUKE STREET

LANCASTER,PA17604
 PROVIDES SPECIALTY CARDIOLOGY HEALTHCARE SERVICES PA 501(C)(3) 4 LANCASTER GENERAL HEALTH
 
 
No
(11) LANCASTER GENERAL HEALTH INNOVATIVE SOLUTIONS INC

555 NORTH DUKE STREET

LANCASTER,PA17604
 TO CONCEIVE AND LAUNCH NOVEL HEALTHCARE SERVICES AND PRODUCTS PA 501(C)(3) 11 - Type I LANCASTER GENERAL HEALTH
 
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) LANCASTER PET PARTNERSHIP LLP

PO BOX 4216
LANCASTER,PA17604
23-3102793 		MEDICAL SERVICES PA LANCASTER GENERAL IMAGING CORPORATION
  		RELATED                
(2) MRI GROUP LLP

PO BOX 4216
LANCASTER,PA17604
33-1011386 		MEDICAL SERVICES PA LANCASTER GENERAL IMAGING CORPORATION
  		RELATED                
(3) LG HEALTH COMMUNITY CARE COLLABORATIVE LLC

555 NORTH DUKE STREET
LANCASTER,PA17604
45-5542179 		ACCOUNTABLE CARE ORGANIZATION PA LANCASTER GENERAL HOSPITAL
  		RELATED       No   Yes   0 %








Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) LANCASTER GENERAL SERVICES BUSINESS TRUST

607 NORTH DUKE STREET
LANCASTER,PA17602
23-2250128 		OWNS & OPERATES REAL ESTATE PROPERTY, PHARMACY & HOME INFUSION COMPANY PA LANCASTER GENERAL HEALTH
  		TRUST          
(2) BARGE GANSE VENACARE BUSINESS TRUST

607 NORTH DUKE STREET
LANCASTER,PA17602
23-2113017 		PHARMACY & OWNER OF HOME INFUSION THERAPY SERVICES COMPANY PA LANCASTER GENERAL SERVICES BUSINESS TRUST
  		TRUST          
(3) LANCASTER GENERAL INSURANCE COMPANY

 
 
98-0176655 		INSURANCE CJ LANCASTER GENERAL HEALTH
  		C CORPORATION          








Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34, 35b, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
Yes
 
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
Yes
 
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) LANCASTER GENERAL HEALTH-COLUMBIA CENTER

 B 1,213,787 FMV
(2) LANCASTER GENERAL HEALTH-COLUMBIA CENTER

 K 375,318 FMV
(3) LANCASTER GENERAL HEALTH-COLUMBIA CENTER

 L 119,366 FMV
(4) LANCASTER GENERAL HEALTH-COLUMBIA CENTER

 M 18,293 FMV
(5) LANCASTER GENERAL HEALTH-COLUMBIA CENTER

 O 1,239 FMV
(6) LANCASTER GENERAL HEALTH-COLUMBIA CENTER

 O 234,113 FMV
(7) LANCASTER GENERAL HEALTH-COLUMBIA CENTER

 Q 997,963 FMV
(8) LANCASTER GENERAL HEALTH-COLUMBIA CENTER

 R 1,041,362 FMV
(9) LANCASTER GENERAL COLLEGE OF NURSING & HEALTH SCIENCES

 A 105,504 FMV
(10) LANCASTER GENERAL COLLEGE OF NURSING & HEALTH SCIENCES

 B 1,519,328 FMV
(11) LANCASTER GENERAL COLLEGE OF NURSING & HEALTH SCIENCES

 G 158,525 FMV
(12) LANCASTER GENERAL COLLEGE OF NURSING & HEALTH SCIENCES

 L 406,840 FMV
(13) LANCASTER GENERAL COLLEGE OF NURSING & HEALTH SCIENCES

 M 3,487,019 FMV
(14) LANCASTER GENERAL COLLEGE OF NURSING & HEALTH SCIENCES

 O 204,386 FMV
(15) LANCASTER GENERAL COLLEGE OF NURSING & HEALTH SCIENCES

 O 385,314 FMV
(16) LANCASTER GENERAL COLLEGE OF NURSING & HEALTH SCIENCES

 Q 3,135,295 FMV
(17) LANCASTER GENERAL AMBULATORY SURGICAL SERVICES INC

 B 55,473 FMV
(18) LANCASTER GENERAL AMBULATORY SURGICAL SERVICES INC

 C 5,790,744 FMV
(19) LANCASTER GENERAL AMBULATORY SURGICAL SERVICES INC

 L 42,973 FMV
(20) MRI GROUP LLP

 A 398,477 FMV
(21) MRI GROUP LLP

 L 1,171,827 FMV
(22) MRI GROUP LLP

 M 4,908,967 FMV
(23) LANCASTER PET PARTNERSHIP LLP

 A 69,654 FMV
(24) LANCASTER PET PARTNERSHIP LLP

 L 247,621 FMV
(25) LANCASTER PET PARTNERSHIP LLP

 M 20,780 FMV
(26) LANCASTER GENERAL IMAGING CORPORATION

 B 19,740 FMV
(27) LANCASTER GENERAL IMAGING CORPORATION

 C 2,914,375 FMV
(28) LANCASTER GENERAL IMAGING CORPORATION

 L 19,240 FMV
(29) LANCASTER GENERAL HEALTH

 B 87,035,300 FMV
(30) LANCASTER GENERAL HEALTH

 L 3,749,166 FMV
(31) LANCASTER GENERAL HEALTH

 M 783,701 FMV
(32) LANCASTER GENERAL HEALTH FOUNDATION

 B 638,985 FMV
(33) LANCASTER GENERAL HEALTH FOUNDATION

 C 50,000 FMV
(34) LANCASTER GENERAL HEALTH FOUNDATION

 L 154,625 FMV
(35) LANCASTER GENERAL HEALTH FOUNDATION

 O 289,549 FMV
(36) THE HEART GROUP OF LANCASTER GENERAL HEALTH

 B 11,895,433 FMV
(37) THE HEART GROUP OF LANCASTER GENERAL HEALTH

 J 10,057 FMV
(38) THE HEART GROUP OF LANCASTER GENERAL HEALTH

 K 439,776 FMV
(39) THE HEART GROUP OF LANCASTER GENERAL HEALTH

 L 509,692 FMV
(40) THE HEART GROUP OF LANCASTER GENERAL HEALTH

 M 164,305 FMV
(41) THE HEART GROUP OF LANCASTER GENERAL HEALTH

 O 123,986 FMV
(42) THE HEART GROUP OF LANCASTER GENERAL HEALTH

 O 298,194 FMV
(43) THE HEART GROUP OF LANCASTER GENERAL HEALTH

 P 17,509 FMV
(44) THE HEART GROUP OF LANCASTER GENERAL HEALTH

 Q 420,079 FMV
(45) THE HEART GROUP OF LANCASTER GENERAL HEALTH

 R 7,762,000 FMV
(46) LANCASTER GENERAL MEDICAL GROUP

 B 23,166,789 FMV
(47) LANCASTER GENERAL MEDICAL GROUP

 J 998,399 FMV
(48) LANCASTER GENERAL MEDICAL GROUP

 K 52,602 FMV
(49) LANCASTER GENERAL MEDICAL GROUP

 L 2,710,498 FMV
(50) LANCASTER GENERAL MEDICAL GROUP

 M 2,659,430 FMV
(51) LANCASTER GENERAL MEDICAL GROUP

 O 895,841 FMV
(52) LANCASTER GENERAL MEDICAL GROUP

 O 2,071,006 FMV
(53) LANCASTER GENERAL MEDICAL GROUP

 P 154,524 FMV
(54) LANCASTER GENERAL MEDICAL GROUP

 Q 1,942,567 FMV
(55) LANCASTER GENERAL MEDICAL GROUP

 R 1,315,000 FMV
(56) LANCASTER GENERAL MEDICAL GROUP

 S 122,996 FMV
(57) LANCASTER GENERAL INSURANCE COMPANY

 M 524,567 FMV
(58) LANCASTER GENERAL REHABILITATION SERVICES INC

 B 81,033 FMV
(59) LANCASTER GENERAL REHABILITATION SERVICES INC

 C 2,370,500 FMV
(60) LANCASTER GENERAL REHABILITATION SERVICES INC

 L 67,843 FMV
(61) LANCASTER GENERAL HEALTH INNOVATIVE SOLUTIONS INC

 O 238,471 FMV
(62) LANCASTER GENERAL SERVICES BUSINESS TRUST

 J 11,237 FMV
(63) LANCASTER GENERAL SERVICES BUSINESS TRUST

 K 332,501 FMV
(64) LANCASTER GENERAL SERVICES BUSINESS TRUST

 L 167,036 FMV
(65) LANCASTER GENERAL SERVICES BUSINESS TRUST

 M 327,601 FMV
(66) BARGE GANSE VENACARE BUSINESS TRUST

 L 5,229 FMV
(67) UNITED AUXILIARIES TO LANCASTER GENERAL HOSPITAL

 C 65,000 FMV
(68) UNITED AUXILIARIES TO LANCASTER GENERAL HOSPITAL

 Q 178,205 FMV
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under section 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V—UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
TRANSACTIONS WITH RELATED ORGANIZATIONS PART I 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.

Additional Data


Software ID: 12000266
Software Version: v2012.1.0