TY 2015 Form 990

(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)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) John M Anderson PhD...................................................................... Trustee	2.0 ................. 2.0	X		0	0	0
(2) Thomas E Beeman PhD...................................................................... President & CEO, LG HEALTH	20.0 ................. 35.0	X		4,460,192	0	362,320
(3) Jan L Bergen...................................................................... EVP & COO LG HEALTH	41.0 ................. 14.0	X	X	1,709,145	0	163,338
(4) Frederick C Beyer MD...................................................................... Trustee	2.0 ................. 53.0	X		0	464,787	37,794
(5) F Nicholas Grasberger...................................................................... Trustee	2.0 ................. 2.0	X		0	0	0
(6) Keith R Kuhlengel MD...................................................................... Trustee	2.0 ................. 4.0	X		0	0	0
(7) Joanne B Ladley...................................................................... Trustee	2.0 ................. 2.0	X		0	0	0
(8) Bruce R Limpert...................................................................... Trustee	2.0 ................. 4.0	X		0	0	0
(9) C Clair McCormick...................................................................... Chairperson	2.0 ................. 2.0	X	X	0	0	0
(10) Ralph W Muller...................................................................... Trustee	2.0 ................. 49.0	X		0	2,610,717	11,913
(11) Lori Pickell...................................................................... Trustee	2.0 ................. 2.0	X		0	0	0
(12) Charles Rodenberger MD...................................................................... Trustee	2.0 ................. 2.0	X		0	0	0
(13) Carolyn F Scanlan...................................................................... Trustee	2.0 ................. 2.0	X		0	0	0
(14) Kim Smith Esq...................................................................... Trustee	2.0 ................. 4.0	X		0	0	0
(15) Michael W Van Belle...................................................................... Trustee	2.0 ................. 4.0	X		0	0	0
(16) D Michael Wege...................................................................... Trustee	2.0 ................. 2.0	X		0	0	0
(17) Philip R Wenger...................................................................... Vice Chairperson	2.0 ................. 4.0	X	X	0	0	0

(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)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(18) Patrick D Whalen........................................................................ Trustee	2.0 .......................2.0	X				0	0	0
(19) Kay Brady........................................................................ VP, Human Resources	53.0 .......................2.0		X			209,299	0	25,960
(20) F Joseph Byorick III........................................................................ Internal Consultant	45.0 .......................10.0		X			555,782	0	15,380
(21) Margaret F Costella Esq........................................................................ SVP, LEGAL SVCS, GEN COUNSEL	41.0 .......................14.0		X			326,510	0	38,102
(22) Gary Davidson........................................................................ SVP and CIO	53.0 .......................2.0		X			535,418	0	73,531
(23) Lee M Duke II MD........................................................................ SVP & Chief Physician Exec	49.0 .......................6.0		X			656,991	0	142,946
(24) Geoffrey W Eddowes........................................................................ SVP Post Acute Care	49.0 .......................6.0		X			372,530	0	68,042
(25) Norma J Ferdinand........................................................................ SVP,Quality & Perf Improvement	53.0 .......................2.0		X			450,212	0	106,456
(26) Karen Flaherty Oxler........................................................................ President LG Hospital	51.0 .......................4.0		X			403,732	0	53,329
(27) Lisa R Hess........................................................................ VP, Marketing, Corp Comm	53.0 .......................2.0		X			229,270	0	20,716
(28) Elizabeth D Katz........................................................................ VP,Risk Mgmt & Corp Compliance	53.0 .......................2.0		X			191,390	0	16,593
(29) Denise A Kennedy........................................................................ VP, Financial Services	53.0 .......................2.0		X			215,462	0	23,922
(30) Stephen C Lee........................................................................ VP, Facilities Planning	53.0 .......................2.0		X			0	0	0
(31) Robert P Macina Esq........................................................................ EVP, Chief Admin Officer	39.0 .......................16.0		X			587,313	0	131,657
(32) Edward Maloney........................................................................ VP,Information Tech Operations	53.0 .......................2.0		X			275,491	0	26,165
(33) William McCune........................................................................ SVP Hospital Operations	53.0 .......................2.0		X			104,849	0	6,438
(34) Regina M Mingle........................................................................ SVP & Chief Leadership Officer	51.0 .......................4.0		X			479,672	0	115,330
(35) Mary B Miskey........................................................................ VP, Human Resources Operations	53.0 .......................2.0		X			218,397	0	21,801
(36) Richard D Paoletti........................................................................ VP, Primary Care & Ambulatory	53.0 .......................2.0		X			267,647	0	33,744
(37) Joseph A Puskar........................................................................ SVP, Customer Support Services	53.0 .......................2.0		X			328,565	0	34,244
(38) Douglas W Rinehart........................................................................ VP, Controller	51.0 .......................4.0		X			227,250	0	32,116
(39) Dennis R Roemer........................................................................ EVP & CFO	43.0 .......................12.0		X			629,358	0	145,426
(40) Lanyce A Roldan........................................................................ SVP & Chief Nursing Executive	53.0 .......................2.0		X			174,617	0	27,274
(41) Christine M Stabler MD........................................................................ VP, Academic Affairs	53.0 .......................2.0		X			338,389	0	35,701
(42) James A Stuccio........................................................................ SVP, Chief Admin Officer	2.0 .......................53.0		X			0	514,372	60,602
(43) Susan Wynne........................................................................ SVP, Business Dev & Planning	53.0 .......................2.0		X			404,304	0	57,123
(44) Stacey G Youcis........................................................................ SVP, Svc Lines/Population Hlth	51.0 .......................4.0		X			333,443	0	65,753
(45) James Ku........................................................................ Medical Dir Healthy Weight	50.0 .......................0.0			X		741,389	0	28,673
(46) Mark W Burlingame........................................................................ Cardiothoracic Surgeon	50.0 .......................0.0			X		734,429	0	26,621
(47) Frederick B Rogers........................................................................ Medical Directo Trauma	50.0 .......................0.0			X		719,248	0	28,622
(48) Jeffrey T Cope........................................................................ Cardiothoracic Surgeon	50.0 .......................0.0			X		699,652	0	28,673
(49) Philip M Bayliss........................................................................ Perinatologist	50.0 .......................0.0			X		588,139	0	31,921
(50) Jay R Bucher........................................................................ Former VP Dev & Pres LGHF	0.0 .......................0.0				X	110,077	0	8,926
(51) Marion A McGowan RN........................................................................ Former EVP & Chief Population	0.0 .......................0.0				X	6,013,078	0	26,461

(A) Name and business address	(B) Description of services	(C) Compensation
BENCHMARK CONSTRUCTION, PO BOX 806 BROWNSTOWN,PA17508	CONSTRUCTION	9,560,614
CORESOURCE, PO BOX 83301 LANCASTER,PA176083301	HLTH BENEFITS ADMIN	5,833,259
EPIC SYSTEMS CORP, PO BOX 88314 MILWAUKEE,WI532880314	SOFTWARE MAINTENANCE	3,070,637
MORRISON MGMT SPECIALISTS INC, PO BOX 102289 ATLANTA,GA303682289	FOOD SERVICES	2,704,903
QUEST DIAGNOSTICS, PO BOX 74079 ATLANTA,GA303740709	LAB SERVICES	2,326,250
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 210

- TIN:

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.
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Attach to Form 990 or Form 990-EZ.
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Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

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.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ))

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross 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.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ..............

Provide the following information about the supported organization(s).

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

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)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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 VI.)..
11	Total support. Add lines 7 through 10.

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2014 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2015. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2014. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2015. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

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) 2015

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)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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 VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2014 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2014 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2015. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2014. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2015

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2015

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2015

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2015

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2015 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2015	(iii) Distributable Amount for 2015
1 Distributable amount for 2015 from Section C, line 6
2 Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......
e From 2014.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2015 distributable amount
i Carryover from 2010 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2015 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2015 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2016. Add lines 3j and 4c.
8 Breakdown of line 7:
a
b
c Excess from 2013.......
d From 2014.......
e From 2015.......

Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Name of the organization

LANCASTER GENERAL HOSPITAL

Employer identification number

23-1365353

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

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

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... 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 its Form 990PF, Part I, line 2, 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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2

Name of organization LANCASTER GENERAL HOSPITAL

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	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 4


Name of organization LANCASTER GENERAL HOSPITAL			Employer identification number 23-1365353
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. 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.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No.from Part I

(b) Purpose 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

(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

(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

(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) (2015)

Additional Data

Software ID:
Software Version:

- TIN:

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

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

If the organization answered "Yes" on 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" on 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" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), 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.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures ...................................................................................................................... SchCMd Bullet

Volunteer hours .............................................................................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

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

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

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-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2015

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 Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(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? ..............................................................................................................	Yes No

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 separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2012	(b) 2013	(c) 2014	(d) 2015	(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) 2015

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 on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

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:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Yes

15,212

Publications, or published or broadcast statements? ...........................................................

Yes

7,605

Grants to other organizations for lobbying purposes? ..........................................................

Yes

42,822

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Yes

38,786

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Yes

129,308

Other activities? ...................................................................................................................

Yes

1,089

Total. Add lines 1c through 1i ....................................................................................................

234,822

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

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

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

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."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

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? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

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, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
SCHEDULE C, PART II-B, LINE 1	DETAILED DESCRIPTION OF LOBBYING ACTIVITY 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, RALLIES, DEMONSTRATIONS, SEMINARS, CONVENTIONS, SPEECHES, LECTURES OR OTHER SIMILAR MEANS.

Schedule C (Form 990 or 990EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on 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.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

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" on Form 990, Part IV, line 6.

			(a) Donor advised funds	(b) Funds and other accounts

1	Total number at end of year ....
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ....

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? ...........

Yes No

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? ............................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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.


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

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

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)? .............................

Yes No

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" on Form 990, Part IV, line 8.

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.

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)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

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:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

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) 2015

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

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):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

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?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


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

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

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" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....	8,091,376	8,361,415	7,281,454	6,539,376	6,668,815
b	Contributions ...	191,769	108,879	130,679	68,821	141,048
c	Net investment earnings, gains, and losses	-32,236	241,986	1,101,078	703,460	216,509
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	230,929	620,601	151,951	31,483	486,960
f	Administrative expenses ....	110	303	-155	-1,280	36
g	End of year balance ......	8,019,870	8,091,376	8,361,415	7,281,454	6,539,376

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

60.000 %

Temporarily restricted endowment SchDMd Bullet

40.000 %

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations .................

3a(i)

(ii) related organizations .................

3a(ii)

Yes

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11a. 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 ...	42,423,987		42,423,987
b	Buildings	447,236,979	197,302,921	249,934,058
c	Leasehold improvements	17,886,702	12,614,195	5,272,507
d	Equipment ...	476,331,790	341,290,404	135,041,386
e	Other ...	108,841,530	73,333,438	35,508,092
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				468,180,030

Schedule D (Form 990) 2015

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11b. 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
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) MISCELLANEOUS RECEIVABLE				5,241,224
(2) ASSETS WHOSE USE IS LIMITED				44,240,499
(3) OTHER CURRENT ASSETS				341,344
(4) PERPETUAL TRUST FUNDS				6,711,154
(5) FUNDS HELD BY AN AFFILIATE				1,783,299
(6) OTHER LONG-TERM ASSETS				11,515,683
(7) INV IN NON-CONSOL AFFILIATES				5,602,240
(8) DUE FROM AFFILIATES				3,212,978
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				78,648,421

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes	0
OTHER LONG-TERM LIABILITIES	34,555,481
ESTIMATED THIRD PARTY SETTLEMENTS	10,600,000
INTEREST PAYABLE	2,091,769
CAPITAL LEASE OBLIGATIONS	175,224
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	47,422,474
2. Liability for uncertain tax positions. 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) 2015

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	855,051,148
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	-3,499,485
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	-121,328,872
e	Add lines 2a through 2d .....................			2e	-124,828,357
3	Subtract line 2e from line 1..................			3	979,879,505
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
c	Add lines 4a and 4b....................			4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	979,879,505

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	856,509,920
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
e	Add lines 2a through 2d....................			2e
3	Subtract line 2e from line 1...................			3	856,509,920
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	66,848
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................			4c	66,848
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	856,576,768

Part XIII

Supplemental Information

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.

Return Reference	Explanation
SCHEDULE D, PART V, LINE 4	INTENDED USE OF ENDOWMENT FUNDS LANCASTER GENERAL HOSPITAL UTILIZES THE ENDOWMENT FUNDS IN ACCORDANCE WITH THEIR TAX-EXEMPT PURPOSE AND AS SPECIFIED BY THE DONOR. ---------------------------
SCHEDULE D, PART X, LINE 2	TEXT OF FIN 48 (ASC 740) FOOTNOTE THIS ORGANIZATION IS AN AFFILIATE OF THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA ("UNIVERSITY"). THE FIN 48 (ASC 740) FOOTNOTE BELOW DERIVES FROM THE CONSOLIDATED JUNE 30, 2016 FINANCIAL STATEMENTS OF THE UNIVERSITY: THE UNIVERSITY REGULARLY EVALUATES ITS TAX POSITION AND DOES NOT BELIEVE IT HAS ANY UNCERTAIN TAX POSITIONS THAT REQUIRE DISCLOSURE OR ADJUSTMENT TO THE CONSOLIDATED FINANCIAL STATEMENTS. ---------------------------
SCHEDULE D, PART XI, LINE 2D	DETAIL OF OTHER ITEMS INVESTMENT MANAGER FEES -66,848 RELATED PARTY TRANSFERS -110,891,613 PERPETUAL TRUST DISTRIBUTIONS 80,284 OTHER NON-OPERATING INCOME 2,214,069 EXTRAORDINARY LOSS ON EXTINGUISHMENT OF DEBT -12,747,952 REINVESTED EARNINGS 83,188 -------------- TOTAL -121,328,872

Schedule D (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

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

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

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.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

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.

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:

Yes

100% 150% 200% Other %

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: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used 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.

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"? . . . . . . . . . . . . .

Yes

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

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

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? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(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) . . .	7,591,485		7,591,485	0.890 %
b	Medicaid (from Worksheet 3, column a) . . . . .	66,804,414		66,804,414	7.800 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	74,395,899		74,395,899	8.690 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	3,498,609	1,411,511	2,087,098	0.240 %
f	Health professions education (from Worksheet 5) . . .	12,288,209	1,756,570	10,531,639	1.230 %
g	Subsidized health services (from Worksheet 6) . . . .	3,440,387	3,289,671	150,716	0.020 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	1,058,321		1,058,321	0.120 %
j	Total. Other Benefits . .	20,285,526	6,457,752	13,827,774	1.610 %
k	Total. Add lines 7d and 7j .	94,681,425	6,457,752	88,223,673	10.300 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015

Schedule H (Form 990) 2015

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.

		(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy	503,716	503,716	0.060 %
8	Workforce development
9	Other	1,500,000	1,500,000	0.180 %
10	Total	2,003,716	2,003,716	0.240 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

46,410,000

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. ......

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

Enter total revenue received from Medicare (including DSH and IME).....

299,415,394

Enter Medicare allowable costs of care relating to payments on line 5.....

381,954,414

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-82,539,020

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:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

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 .........................

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) 2015

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, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)							Facility reporting group
1	LANCASTER GENERAL HOSPITAL 555 NORTH DUKE STREET PO BOX 3555 LANCASTER,PA176043555 WWW.LGHEALTH.ORG LICENSE# 120801	X	X	X	X	X	A
2	WOMEN AND BABIES HOSPITAL 690 GOOD DRIVE PO BOX 3750 LANCASTER,PA176043750 WWW.LGHEALTH.ORG LICENSE# 120801	X	X	X			A

Schedule H (Form 990) 2015

Page 4

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 letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

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 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 15

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE SCH H, PART V, SECTION C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 15

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE SCH H, PART V, SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

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)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, 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) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	A
Name of hospital facility or letter of facility reporting group

Yes

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 included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.% and FPG family income limit for eligibility for discounted care of 400.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE SCH H, PART V, SECTION C

The FAP application form was widely available on a website (list url):

A plain language summary of the FAP was widely available on a website (list url):

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

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 all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

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 individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	A
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

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.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that
can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

During the tax year, did the hospital facility charge any FAP-eligible individual 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? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 7

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
PART V, SECTION B, LINE 5 - INPUT FROM COMMUNITY	ON DECEMBER 16, 2015, LIVEWELL, LANCASTER GENERAL HEALTH/PENN MEDICINE, AND WELLSPAN EPHRATA COMMUNITY HOSPITAL HOSTED A COMMUNITY HEALTH STAKEHOLDER FORUM TO ENGAGE COMMUNITY LEADERS REPRESENTING VULNERABLE POPULATIONS IN LANCASTER COUNTY. A TOTAL OF 53 PEOPLE ATTENDED THE EVENT; A LISTING OF ATTENDEES CAN BE FOUND IN APPENDIX C OF THE CHNA. THE FORUM CONSISTED OF A REVIEW OF THE SECONDARY DATA ANALYSIS CONTAINED IN THE CHNA AND A RAPID GAPS AND ASSETS ANALYSIS. A FOLLOW-UP SURVEY WAS SENT TO ALL FORUM ATTENDEES, AS WELL AS REGISTERED NON-ATTENDEES. THE SURVEY WAS AVAILABLE FOR COMPLETION FROM DECEMBER 16-31, 2015. A TOTAL OF 26 RESPONSES WERE OBTAINED. STAKEHOLDERS REPRESENTED THE FOLLOWING ORGANIZATIONS: BAKER TILLY, BOYS & GIRLS CLUB OF LANCASTER, COCALICO SCHOOL DISTRICT, COLUMBIA BOROUGH SCHOOL DISTRICT, COMMUNITY ACTION PROGRAM/WIC, COMMUNITY LIFE NETWORK, COMMUNITY SERVICES GROUP, DOMESTIC VIOLENCE SERVICES OF LANCASTER, ELIZABETHTOWN AREA SCHOOL DISTRICT, EPHRATA AREA SCHOOL DISTRICT, I'M ABLE FOUNDATION, LANCASTER COUNTY BEHAVIORAL HEALTH & DEVELOPMENTAL SERVICES, LANCASTER COUNTY BUSINESS GROUP ON HEALTH, LANCASTER COUNTY CHILDREN AND YOUTH AGENCY, LANCASTER COUNTY DRUG AND ALCOHOL COMMISSION, LANCASTER COUNTY IMMUNIZATION COALITION, LANCASTER GENERAL HEALTH/PENN MEDICINE, LANCASTER GENERAL RESEARCH INSTITUTE, LANCASTER OSTEOPATHIC HEALTH FOUNDATION, LANCASTER REGIONAL MEDICAL CENTER, LIGHTEN UP LANCASTER COUNTY, MENTAL HEALTH AMERICA OF LANCASTER COUNTY, MORAVIAN CENTER ADULT DAY, NONPROFIT RESOURCE NETWORK @ MILLERSVILLE UNIVERSITY, PALCO, PENNSYLVANIA IMMUNIZATION COALITION, SCHOOL DISTRICT OF LANCASTER, SOUTHEAST LANCASTER HEALTH SERVICES, TOBACCO FREE COALITION OF LANCASTER COUNTY, UNITED HEALTH CARE, WATER STREET HEALTH SERVICES, WELLSPAN EPHRATA COMMUNITY HOSPITAL, WELLSPAN HEALTH, WELSH MOUNTAIN HEALTH CENTERS, WHITE DEER RUN, YWCA LANCASTER. -------------------------
PART V, SECTION B, LINE 6a - JOINT CHNA	THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED WITH WELLSPAN EPHRATA COMMUNITY HOSPITAL AND LANCASTER REHABILITATION HOSPITAL LLC. -------------------------
PART V, SECTION B, LINE 6b - CHNA CONDUCTED WITH NON-HOSPITAL FACILITIES	THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN PARTNERSHIP WITH THE LIVEWELL LANCASTER COUNTY (FORMERLY THE LANCASTER HEALTH IMPROVEMENT PARTNERSHIP). THIS ORGANIZATION INCLUDES VOLUNTEER DRIVEN ACTION TEAMS WHICH STUDY THE DATA AND IDENTIFY AVAILABLE RESOURCES AROUND ISSUES THAT OUR STAKEHOLDERS HAVE IDENTIFIED AS COMMUNITY PRIORITIES. THEY THEN BRING TOGETHER COLLABORATIVES AROUND SPECIFIC PROJECTS THAT ADVANCE UPSTREAM SOLUTIONS. -------------------------
PART V, SECTION B, LINE 11 - ADDRESSING NEEDS	ENGAGED STAKEHOLDERS AND COMMUNITY HEALTH LEADERSHIP FROM BOTH HEALTH SYSTEMS USED THE FOLLOWING CRITERIA FOR DETERMINING HEALTH PRIORITIES: SCOPE OF PROBLEM, SERIOUSNESS OF PROBLEM AND ABILITY TO IMPACT LOCALLY. BASED ON THE IDENTIFIED NEEDS FOR LANCASTER COUNTY FROM THE 2016 CHNA AND THE VALUABLE INPUT RECEIVED FROM COMMUNITY HEALTH STAKEHOLDERS, THE BOARD OF TRUSTEES FOR LG HEALTH/PENN MEDICINE APPROVED THE DEVELOPMENT OF A 2017-2019 IMPLEMENTATION STRATEGY FOCUSED ON IMPROVING OBESITY, MENTAL WELL-BEING, AND SUBSTANCE ABUSE, WHILE ADDRESSING DISPARITIES, POVERTY, AND ACCESS WITHIN EACH HEALTH TOPIC. BOARD APPROVAL WAS OBTAINED ON MARCH 10, 2016. THESE PRIORITIES HAVE BEEN ADOPTED INTO LG HEALTHS ANNUAL OPERATING PLAN AND BUDGET. ALTHOUGH ACCESS TO CARE HAS BEEN AN ORGANIZATIONAL PRIORITY AT LG HEALTH FOR MANY YEARS, THIS TARGETED AND SYSTEMIC APPROACH TO IMPACT THE SOCIAL DETERMINANTS OF HEALTH ILLUSTRATES A SHIFT IN HEALTH IMPROVEMENT. THIS APPROACH TO BOTH CARE DELIVERY AND COMMUNITY HEALTH IMPROVEMENT IS VALIDATED BY FEDERALLY DEVELOPED PROGRAMS SUCH AS THE ACCOUNTABLE HEALTH COMMUNITIES MODEL (CENTERS FOR MEDICARE AND MEDICAID SERVICES) AND THE HI-5 HEALTH IMPACT IN 5 YEARS INITIATIVE (CENTERS FOR DISEASE CONTROL AND PREVENTION). TO APPROPRIATELY ADDRESS THE NEEDS OF OUR FRIENDS AND NEIGHBORS IN LANCASTER COUNTY, THE 2017-2019 STRATEGIES FOR COMMUNITY HEALTH IMPROVEMENT WILL BE DEPLOYED AT 3 LEVELS: ENGAGEMENT OF PATIENTS THAT WE SEE WITHIN OUR ENTITIES, UNDER RESOURCED COMMUNITIES THAT HAVE BEEN IDENTIFIED AS THOSE WITH THE HIGHEST SOCIOECONOMIC NEED BASED ON HIGH POVERTY, LOW EDUCATIONAL ATTAINMENT, AND LIMITED ACCESS TO CARE. ENGAGEMENT OF PATIENTS THAT WE SEE WITHIN OUR ENTITIES ARE THE IDENTIFIED COMMUNITIES: LANCASTER CITY (SOUTH OF KING STREET), COLUMBIA, PEQUEA VALLEY SCHOOL DISTRICT, AND SOLANCO SCHOOL DISTRICT AS WELL AS THE COMMUNITY AT LARGE (LANCASTER COUNTY). PARTNERSHIPS WITHIN THE UNDER RESOURCED COMMUNITIES AS WELL AS THE COUNTY AT LARGE, ARE VITAL TO ACHIEVING LASTING IMPACT ON HEALTH OUTCOMES. WE WILL WORK COLLABORATIVELY WITH SPECIFIC KEY PARTNERS THAT HAVE: COMMITTED TO ADDRESS SOCIAL AND ENVIRONMENTAL DETERMINANTS OF HEALTH, AGREED TO A COMMON AGENDA TO ADDRESS ROOT CAUSES OF HEALTH PROBLEMS AND HEALTH DISPARITIES IN LANCASTER COUNTY, AGREED TO MEASURE HEALTH RELATED INDICATORS AND REGULARLY REPORT PROGRESS TOWARDS IMPROVING THESE INDICATORS, DEMONSTRATED ORGANIZATIONAL CAPACITY TO ACHIEVE GOALS. EVIDENCE-BASED TACTICS TO ADDRESS OBESITY, MENTAL WELL-BEING, AND SUBSTANCE MISUSE/ABUSE ARE ADDRESSED AND WILL BE OUTLINED IN THE COMMUNITY HEALTH IMPROVEMENT PLAN THAT WILL BE RELEASED PUBLICALLY AT THE END OF 2016. THESE TACTICS WILL ADDRESS EACH LEVEL OF THE SOCIO-ECOLOGICAL MODEL AND ARE FOCUSED SPECIFICALLY ON: AWARENESS, EDUCATION, BEHAVIORAL CHANGE, SYSTEMS CHANGE, POLICY CHANGE (BOTH ORGANIZATIONAL/LOCAL POLICIES, AS WELL AS LEGISLATIVE CHANGE), AND ENVIRONMENTAL CHANGE. THIS TARGETED AND SYSTEMIC APPROACH HAS BEEN VETTED THROUGH OUR BOARD OF TRUSTEES, PHYSICIAN LEADERS, KEY PARTNERS, AND COMMUNITY NURSES AT VARIOUS MEETINGS DURING JUNE, JULY, AND AUGUST OF 2016. THE HEALTH NEED NOT BEING ADDRESSED IS ASTHMA. LANCASTER COUNTYS POOR AIR QUALITY IS NOT ENTIRELY A RESULT OF THE ACTIVITIES OF THOSE WHO WORK AND LIVE IN LANCASTER COUNTY. POOR AIR QUALITY IS ALSO A RESULT OF THE PROXIMITY OF SIGNIFICANT SOURCES AND THE PREVAILING WINDS FROM THOSE SOURCES. IN ADDITION TO THE AIR POLLUTION THAT IS PRODUCED IN THE COUNTY, POLLUTION TRAVELS ON THE WIND FROM NEARBY CITIES SUCH AS THE BALTIMORE-WASHINGTON METRO AREA AND LARGE INDUSTRIAL NEIGHBOR COUNTIES SUCH AS YORK COUNTY, AS WELL AS FROM MORE DISTANT UPWIND AREAS SUCH AS WESTERN PENNSYLVANIA AND THE OHIO RIVER VALLEY. LANCASTER COUNTY IS NOT DIRECTLY RESPONSIBLE FOR ITS POOR AIR QUALITY AND CANNOT CHANGE THE LAND OR WIND PATTERNS; ENCOURAGING RESIDENTS TO ADOPT MORE ENVIRONMENTALLY FRIENDLY LIFESTYLES MAY MAKE A SUBTLE DIFFERENCE. LG HEALTH DOES NOT PLAN TO INCLUDE AIR QUALITY AND ENVIRONMENTAL CHANGE AS A KEY PRIORITY. HOWEVER, LG HEALTH PLANS TO ADDRESS CHRONIC DISEASES THROUGH ADDRESSING OBESITY AND TOBACCO. BY ADDRESSING THESE KEY PRIORITIES, LG HEALTH WILL HELP TO REDUCE THE NUMBER OF INDIVIDUALS IN LANCASTER COUNTY WHO DEVELOP A CHRONIC DISEASE, THUS REDUCING THE NUMBER OF INDIVIDUALS IN LANCASTER COUNTY WHO ARE AT A HIGHER RISK FOR COMPLICATIONS DUE TO POOR AIR QUALITY. LG HEALTH WILL ALSO INCLUDE ADDRESSING ASTHMA AND LUNG DISEASE AS PART OF THE TOBACCO HEALTH IMPROVEMENT PLAN AND WILL CONTINUE TO MONITOR THIS INDICATOR. IF THIS INDICATOR WERE TO CHANGE FOR THE WORSE, LG HEALTH WILL REASSESS ANNUAL PARTICLE POLLUTION AND TAKE APPROPRIATE ACTIONS. -------------------------
PART V, SECTION B, LINE 7A - CHNA AVAILABILITY	THE CHNA REPORT CAN BE FOUND AT: http://www.lancastergeneralhealth.org/LGH/About-Lancaster-General-Health/C ommunity-Health-Involvement/Community-Health-Involvement/Community-Needs-A ssessment.aspx -------------------------
PART V, SECTION B, LINE 10A - IMPLEMENTATION PLAN AVAILABILITY	THE MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY CAN BE FOUND AT: http://www.lancastergeneralhealth.org/LGH/About-Lancaster-General-Health/C ommunity-Health-Involvement/Community-Health-Involvement/Community-Needs-A ssessment.aspx -------------------------
PART V, SECTION B, LINE 16A - FINANCIAL ASSISTANCE POLICY AVAILABILITY	THE FINANCIAL ASSISTANCE POLICY CAN BE FOUND AT: http://www.lancastergeneralhealth.org/LGH/Resources/Billing---Insurance/Fi nancial-Assistance-Program-Summary.aspx -------------------------
PART V, SECTION B, LINE 22D - FAP-ELIGIBLE INDIVIDUAL MAXIMUM CHARGES	THE HOSPITAL FACILITY USED A BILLING RATE BETWEEN THE AVERAGE NEGOTIATED COMMERCIAL INSURANCE RATE AND THE MEDICARE RATE. -------------------------
PART V, SECTION B, LINES 15-22 - IRC SECTION 501(R) REGULATIONS	LANCASTER GENERAL HOSPITAL'S TAX YEAR BEGAN JULY 1, 2015 AND THE FINAL REGULATIONS WERE EFFECTIVE FOR TAX YEARS BEGINNING AFTER DECEMBER 29, 2015. WE DO HAVE THE POLICY IN PLACE FOR FISCAL 2017. THE FINANCIAL ASSISTANCE POLICY WAS APPROVED BY THE MISSION AND COMMUNITY BENEFIT BOARD ON 7/5/16. -------------------------

Schedule H (Form 990) 2015

Page 8

Part VFacility Information (continued)

Section D. 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?17
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	NORLANCO OUTPATIENT CENTER 424 CLOVERLEAF ROAD ELIZABETHTOWN,PA17022	OUTPATIENT SERVICES
6	COLUMBIA OUTPATIENT CENTER 306 NORTH SEVENTH STREET PO BOX 92 COLUMBIA,PA17512	OUTPATIENT SERVICES
7	WOMEN'S OUTPATIENT CENTER 690 GOOD DRIVE LANCASTER,PA17604	OUTPATIENT SERVICES
8	LANCASTER GENERAL HEALTH CTR-PARKESBURG 950 S OCTORARA TRAIL PARKESBURG,PA19365	OUTPATIENT SERVICES
9	WALTER L AUMENT FAMILY HEALTH CENTER 317 SOUTH CHESTNUT STREET QUARRYVILLE,PA17566	OUTPATIENT SERVICES
10	ANN B BARSHINGER CANCER INSTITUTE 2102 HARRISBURG PIKE LANCASTER,PA17604	OUTPATIENT SERVICES
11	CROOKED OAK OUTPATIENT CENTER 1671 CROOKED OAK DRIVE LANCASTER,PA17601	OUTPATIENT SERVICES
12	EPHRATA URGENT CARE & OUTPATIENT SERVICE 895 EAST MAIN STREET EPHRATA,PA17522	OUTPATIENT SERVICES
13	LANCASTER GENERAL HEALTH CENTER LEBANON 1701 CORNWALL ROAD LEBANON,PA17042	OUTPATIENT SERVICES
14	EDEN PHYSICAL THERAPY 730 EDEN ROAD LANCASTER,PA17601	OUTPATIENT SERVICES
15	FAMILY MEDICINE MANHEIM 700 LANCASTER ROAD MAINHEIM,PA17545	OUTPATIENT SERVICES
16	LG SPECIALTY CENTER AT EPHRATA 1261 DIVISION HIGHWAY SUITE 2 EPHRATA,PA17522	OUTPATIENT SERVICES
17	FAMILY MEDICINE COUNTY LINE 5360 LINCOLN HIGHWAY GAP,PA17527	OUTPATIENT SERVICES

Schedule H (Form 990) 2015

Page 9

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs 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.

Form and Line Reference	Explanation
PART I, LINE 3C - FEDERAL POVERTY GUIDELINES	LANCASTER GENERAL HOSPITAL FOLLOWS THE FEDERAL POVERTY GUIDELINES FOR FREE CARE AND DISCOUNTED CARE. -------------------------
PART I, LINE 5B - FREE OR DISCOUNTED CARE BUDGET	LANCASTER GENERAL HOSPITALS AMOUNT OF FINANCIAL ASSISTANCE IN THE AMOUNT OF $20,158,419 PROVIDED UNDER ITS CHARITY CARE POLICY WAS UNDER ITS BUDGETED AMOUNT OF $22,766,393 BY $2,607,974. THE PRIOR YEAR FINANCIAL ASSISTANCE TOTAL WAS $19,723,219. -------------------------
PART I, LINE 6B - COMMUNITY BENEFIT REPORT	LANCASTER GENERAL HOSPITAL MAKES AVAILABLE TO THE PUBLIC AN ANNUAL REPORT WHICH INCLUDES INFORMATION ABOUT COMMUNITY BENEFIT AND HEALTH EFFORTS. BENEFIT AND HEALTH EFFORTS. -------------------------
PART I, LINE 7A - EXPLANATION OF COSTING METHODOLOGY	A COST ACCOUNTING SYSTEM WAS USED TO CALCULATE THE COST TO CHARGE RATIO BY CALCULATING TOTAL PATIENT CHARGES AND THE COSTS RELATED TO THESE CHARGES. THIS SYSTEM ADDRESSES ALL PATIENT SEGMENTS. -------------------- PART I, LINE 7A(C) FINANCIAL ASSISTANCE AT COST WAS CALCULATED USING THE COST ACCOUNTING SYSTEM COST TO CHARGE RATIO. -------------------------
PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES	SUBSIDIZED HEALTH SERVICES REPORTED INCLUDES PSYCHOLOGY SERVICES AND A COMPREHENSIVE CARE CLINIC. -------------------------
PART I, LINE 7 - PERCENT OF TOTAL EXPENSE	THE FUNCTIONAL EXPENSE IS POPULATED FROM FORM 990, PART IX, LINE 25. -------------------------
PART II, LINE 7 - DESCRIPTION OF COMMUNITY BUILDING ACTIVITIES	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 STAFF TO PROMOTE THE HEALTH AND WELL-BEING OF SCHOOL AGED CHILDREN. -------------------------
PART III, LINE 2 - METHODOLOGY TO ESTIMATE BAD DEBT	THE PROVISION FOR BAD DEBT EXPENSE IS BASED ON MANAGEMENTS ASSESSMENT OF EXPECTED NET COLLECTIONS CONSIDERING ECONOMIC CONDITIONS, HISTORICAL EXPERIENCE, TRENDS IN HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY, INCLUDING NOT COVERED BY INSURANCE, AND HISTORY OF CASH COLLECTIONS. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBT EXPENSE TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND IS RECORDED IN THE PERIOD OF SERVICE. NO SIGNIFICANT MODIFICATIONS WERE MADE FOR FISCAL YEARS 2016 AND 2015. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE AND REASONABLE EFFORTS TO COLLECT FROM THE PATIENT HAVE BEEN EXHAUSTED, UPHS FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY UPHS. ACCOUNT RECEIVABLES ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH UPHS POLICY. -------------------------
PART III, LINE 3 - FAP ELIGIBLE BAD DEBT CALCULATION	AMOUNT IS ZERO BECAUSE THESE ACCOUNTS WOULD NOT BE INCLUDED AS BAD DEBT BUT WOULD BE INCLUDED AS CHARITY CARE. -------------------------
PART III, LINE 4 - BAD DEBT FOOTNOTE IN FINANCIALS	BAD DEBT IS EXPLAINED WITHIN THE PROVISION FOR BAD DEBT SECTION OF THE NOTES TO COMBINED FINANCIAL STATEMENTS ON PAGE 19 OF UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM ATTACHED AUDITED FINANCIAL STATEMENTS. -------------------------
PART III, LINE 8 - COMMUNITY BENEFIT METHOD-MEDICARE	A 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 HOSPITALS MEDICARE COST REPORT FOR FISCAL YEAR 2016. THE $82,539,020 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 $157,841,993 AND INCLUDES BAD DEBT, INDIRECT MEDICAL EDUCATION (IME) PAYMENTS, COINSURANCES, AND DEDUCTIBLES. DIRECT GRADUATE MEDICAL EDUCATION (GME) REVENUE IS REPORTED ON SCHEDULE H, PART I, LINE 7F, HEALTH PROFESSIONS EDUCATION AND THEREFORE IS EXCLUDED FROM THIS AMOUNT. THE TOTAL EXPENSE REPORTED ON THE MEDICARE COST REPORT WAS $144,283,107. 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. -------------------------
PART III, LINE 9B - COLLECTION PRACTICES	LANCASTER GENERAL HOSPITALS 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. -------------------------
PART VI, LINE 2 - NEEDS ASSESSMENT	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 COMMUNITYS NEEDS ALONE, WE AND OTHER MEMBERS OF THE LIVEWELL LANCASTER COUNTY COALITION (FORMERLY THE LANCASTER HEALTH IMPROVEMENT PARTNERSHIP) REGULARLY ANALYZE FEDERAL, STATE, AND LOCAL DATA TO IDENTIFY OUR COMMUNITYS 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 COST (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 ITS OUR MISSION, BUT ALSO BECAUSE ITS THE RIGHT THING TO DO. IN ADDITION, THE LANCASTER GENERAL HOSPITAL MARKETING DEPARTMENT CREATED A "LISTENS 2U" ONLINE CONSUMER COMMUNITY WHERE PARTICIPANTS PROVIDE FEEDBACK TO THE HEALTH SYSTEM ON HOW TO IMPROVE THE PATIENT/CONSUMER EXPERIENCE THROUGH SHORT SURVEYS WITHIN THE "LISTENS 2U" PORTAL. -------------------------
PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	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. -------------------------
PART VI, LINE 4 - COMMUNITY INFORMATION	LANCASTER GENERAL HOSPITALS 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 538,305 PEOPLE. ABOUT 16.4% OF THE POPULATION IS OVER THE AGE OF 64; 51.1% OF THE POPULATION IS FEMALE. THE MEDIAN INCOME IS $60,065, AND 10.5% OF THE POPULATION LIVES BELOW THE FEDERAL POVERTY LEVEL. LANCASTER GENERAL HOSPITALS MARKET SHARE IN LANCASTER COUNTY IS APPROXIMATELY 56.1%. -------------------------
PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH	LANCASTER GENERAL HOSPITAL IS GOVERNED BY A BOARD OF THIRTEEN (13) TO SEVENTEEN (17)TRUSTEES, MOST OF WHOM 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. SURPLUS FUNDS GENERATED BY LANCASTER GENERAL HOSPITAL ARE ANNUALLY REINVESTED INTO IMPROVING ITS FACILITIES, PROVIDING NEW HEALTHCARE SERVICES AND ENHANCING THE PROFESSIONAL ABILITIES OF ITS WORKFORCE. IN FISCAL YEAR 2016, THE HOSPITAL COMMITTED $151 MILLION TO SPENDING FOR PROPERTY, PLANT AND EQUIPMENT. -------------------------
PART VI, LINE 6 - DESCRIPTION OF AFFILIATED SYSTEM	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. MRI GROUP, LLP (EIN# 33-1011386) WHICH PROVIDES MEDICAL SERVICES RELATING TO MAGNETIC RESONANCE IMAGING AND COMPUTER TOMOGRAPHY. LANCASTER PET PARTNERSHIP, LLP (EIN# 23-3102793) WHICH PROVIDES MEDICAL SERVICES RELATING TO POSITRON EMISSION TOMOGRAPHY. LANCASTER GENERAL HEALTH HOLDINGS INC.S (EIN# 20-4943109) EXEMPT PURPOSE IS AN INVESTMENT IN A REHABILITATION HOSPITAL. 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. THE HEART GROUP OF LANCASTER GENERAL HEALTH (EIN# 30-0634510) PROVIDES SPECIALTY CARDIOLOGY HEALTHCARE SERVICES. LG HEALTH COMMUNITY CARE COLLABORATIVE, LLC (EIN# 45-5542179) IS AN ACCOUNTABLE CARE ORGANIZATION. NOVASTREAM, LLC (47-5202972) WHOSE PRIMARY ACTIVITY IS TELECOMMUNICATIONS. OTHER AFFILIATES OF LANCASTER GENERAL HEALTH INCLUDE LANCASTER GENERAL INSURANCE COMPANY, LTD. AND LANCASTER GENERAL BUSINESS TRUST AND ITS SUBSIDIARIES. IN ADDITION, LANCASTER GENERAL HOSPITAL BECAME A PART OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM EFFECTIVE AUGUST 1, 2015. - PENNSYLVANIA HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM ("PENNSYLVANIA HOSPITAL"), A 550 LICENSED BED ACUTE CARE HOSPITAL LOCATED IN THE CENTER CITY AREA OF PHILADELPHIA, PENNSYLVANIA; - THE CLINICAL PRACTICES OF THE UNIVERSITY OF PENNSYLVANIA ("CPUP"), THE APPROVED FACULTY PRACTICE PLAN FOR THE CLINICAL PRACTICES OF 1,355 [FY 16 AMOUNT OUTSTANDING] MEMBERS OF THE MEDICAL FACULTY OF THE UNIVERSITY'S PERELMAN SCHOOL OF MEDICINE; - CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM ("CCA"), A PRIMARY CARE PHYSICIAN NETWORK CURRENTLY EMPLOYING APPROXIMATELY 170 [FY 16 AMOUNT OUTSTANDING] PHYSICIANS AT 51 OFFICE LOCATIONS IN SOUTHEASTERN PENNSYLVANIA AND THROUGH ITS NEW JERSEY AFFILIATE IN SOUTHERN NEW JERSEY; AND - WISSAHICKON HOSPICE, A HOSPICE CARE FACILITY SERVING THE TERMINALLY ILL, LOCATED IN BALA CYNWYD, PENNSYLVANIA. HUP AND CPUP ARE OPERATING DIVISIONS OF THE UNIVERSITY. PRESBYTERIAN, PENNSYLVANIA HOSPITAL, WISSAHICKON HOSPICE AND CCA ARE SEPARATE NONPROFIT CORPORATIONS AFFILIATED WITH AND CONTROLLED BY THE UNIVERSITY. -------------------------
PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT	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. -------------------------
PART VI - ADDITIONAL EXPLANATION	LANCASTER GENERAL HOSPITAL PROVIDED FINANCIAL SUPPORT TO THE CITY OF LANCASTER (EIN 23-6001904) IN THE AMOUNT OF $1,500,000. THESE FUNDS PROVIDED ASSISTANCE TO THE CITY FOR SPECIAL EVENTS AND ITS POLICE, FIRE, AND PUBLIC WORKS SERVICES. LANCASTER GENERAL HOSPITAL ALSO MADE PILOT PAYMENTS TO THE FOLLOWING: HEMPFIELD SCHOOL DISTRICT (EIN 23-6050540) IN THE AMOUNT OF $40,000, CITY OF LANCASTER (EIN 23-6001904) IN THE AMOUNT OF $8,010, AND EAST HEMPFIELD TOWNSHIP (EIN 23-6000356) IN THE AMOUNT OF $2,830. -------------------------

Schedule H (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

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," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization
LANCASTER GENERAL HOSPITAL

Employer identification number
23-1365353

Part I

General Information on Grants and Assistance

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? ........................

Yes No

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 Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on 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 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)	38,050	CONTRIBUTION TO SUPPORT PROGRAM SERVICE
(2) CLINIC FOR SPECIAL CHILDREN 535 BUNKER HILL RD PO BOX 128 STRASBURG,PA17579	23-2555373	501(C)(3)	78,000	CONTRIBUTION TO SUPPORT PROGRAM SERVICE
(3) COMMUNITY ACTION PROGRAM 601 S QUEEN ST LANCASTER,PA17603	23-1667311	501(C)(3)	11,000	CONTRIBUTION TO SUPPORT PROGRAM SERVICE
(4) ECONOMIC DEVELOPMENT CO OF LANC COUNTY 100 S QUEEN ST LANCASTER,PA176081558	23-2491931	501(C)(4)	5,250	CONTRIBUTION TO SUPPORT PROGRAM SERVICE
(5) EDWARD HAND MEDICAL HERITAGE FDN PO BOX 10302 LANCASTER,PA17603	22-2464097	501(C)(3)	10,000	CONTRIBUTION TO SUPPORT PROGRAM SERVICE
(6) FRANKLIN AND MARSHALL COLLEGE PO BOX 3003 LANCASTER,PA176043003	23-1352635	501(C)(3)	500,000	CONTRIBUTION TO SUPPORT PROGRAM SERVICE
(7) GIRLS ON THE RUN LANCASTER PO BOX 262 LANDISVILLE,PA17538	27-0200927	501(C)(3)	6,000	CONTRIBUTION TO SUPPORT PROGRAM SERVICE
(8) LANCASTER CITY ALLIANCE 354 N PRINCE ST 110 LANCASTER,PA17603	46-3353021	501(C)(3)	160,000	CONTRIBUTION TO SUPPORT PROGRAM SERVICE
(9) LANC COUNTY COUNCIL OF CHURCHES 344 N MARSHALL ST LANCASTER,PA17602	23-1429852	501(C)(3)	25,000	CONTRIBUTION TO SUPPORT PROGRAM SERIVCE
(10) LANCASTER MEDICAL SOCIETY FDN 480 NEW HOLLAND AVE SUITE 8202 LANCASTER,PA17602	23-2633979	501(C)(3)	10,000	CONTRIBUTION TO SUPPORT PROGRAM SERVICE
(11) SCHOOL DISTRICT OF LANCASTER 1020 LEHIGH AVE LANCASTER,PA17602	23-1726414	501(C)(3)	1,515,250	CONTRIBUTION TO SUPPORT PROGRAM SERVICE
(12) UNITED AUXILIARIES OF LANCASTER GENERAL HOSPITAL PO BOX 3555 LANCASTER,PA176043555	23-1976868	501(C)(3)	9,000	CONTRIBUTION TO SUPPORT PROGRAM SERVICE
(13) UNITED WAY OF LANCASTER COUNTY 630 JANET AVENUE LANCASTER,PA17601	23-1352093	501(C)(3)	124,000	CONTRIBUTION TO SUPPORT PROGRAM SERVICE
(14) MIDPENN LEGAL SERVICES 38 N CHRISTIAN ST SUITE 200 LANCASTER,PA17602	23-7101191	501(C)(3)	10,000	CONTRIBUTION TO SUPPORT PROGRAM SERVICES
(15) CITY OF LANCASTER 39 W CHESTNUT ST PO BOX 1020 LANCASTER,PA17608	23-6001904	GOV ENTITY	1,500,000	CONTRIBUTION TO SUPPORT PROGRAM SERVICE
(16) HEMPFIELD SCHOOL DISTRICT PO BOX 7596 LANCASTER,PA17604	23-6050540	501(C)(3)	40,000	CONTRIBUTION TO SUPPORT PROGRAM SERVICE
(17) COUNTY OF LANCASTER 39 W CHESTNUT ST PO BOX 1020 LANCASTER,PA17608	23-6001904	GOV ENTITY	8,010	CONTRIBUTION TO SUPPORT PROGRAM SERVICE
(18) THE FOUNDATION OF THE PA MEDICAL SOCIETY 777 EAST PARK DRIVE PO BOX 8820 HARRISBURG,PA171058820	23-1511600	501(C)(3)	5,500	CONTRIBUTION TO SUPPORT PROGRAM SERVICE

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2015

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on 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) SCHOLARSHIP AWARDS	48	45,500
(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference	Explanation

Schedule I (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

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" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

LANCASTER GENERAL HOSPITAL

Employer identification number

23-1365353

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

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 .........

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Yes

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.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization?

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization?

Any related organization? .........................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on 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 ............

Yes

Were any amounts reported on 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 .............................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2015

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 on 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 in column(B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1Thomas E Beeman PhDPresident & CEO, LG HEALTH	(i) (ii)	922,848 ------------- 0	342,500 ------------- 0	3,194,844 ------------- 0	348,949 ------------- 0	13,371 ------------- 0	4,822,512 ------------- 0	0 ------------- 0
2Jan L BergenEVP & COO LG HEALTH	(i) (ii)	608,391 ------------- 0	245,990 ------------- 0	854,764 ------------- 0	154,440 ------------- 0	8,898 ------------- 0	1,872,483 ------------- 0	0 ------------- 0
3Frederick C Beyer MDTrustee	(i) (ii)	0 ------------- 392,184	0 ------------- 64,075	0 ------------- 8,528	0 ------------- 24,450	0 ------------- 13,344	0 ------------- 502,581	0 ------------- 0
4Kay BradyVP, Human Resources	(i) (ii)	171,737 ------------- 0	33,001 ------------- 0	4,561 ------------- 0	13,068 ------------- 0	12,892 ------------- 0	235,259 ------------- 0	0 ------------- 0
5Jay R BucherFormer VP Dev & Pres LGHF	(i) (ii)	102,630 ------------- 0	0 ------------- 0	7,447 ------------- 0	5,474 ------------- 0	3,452 ------------- 0	119,003 ------------- 0	0 ------------- 0
6F Joseph Byorick IIIInternal Consultant	(i) (ii)	95,775 ------------- 0	0 ------------- 0	460,007 ------------- 0	8,524 ------------- 0	6,856 ------------- 0	571,162 ------------- 0	0 ------------- 0
7Margaret F Costella EsqSVP, LEGAL SVCS, GEN COUNSEL	(i) (ii)	245,839 ------------- 0	76,302 ------------- 0	4,369 ------------- 0	35,710 ------------- 0	2,392 ------------- 0	364,612 ------------- 0	0 ------------- 0
8Gary DavidsonSVP and CIO	(i) (ii)	384,365 ------------- 0	118,312 ------------- 0	32,741 ------------- 0	58,108 ------------- 0	15,423 ------------- 0	608,949 ------------- 0	0 ------------- 0
9Lee M Duke II MDSVP & Chief Physician Exec	(i) (ii)	480,717 ------------- 0	143,292 ------------- 0	32,982 ------------- 0	129,524 ------------- 0	13,422 ------------- 0	799,937 ------------- 0	0 ------------- 0
10Geoffrey W EddowesSVP Post Acute Care	(i) (ii)	280,541 ------------- 0	87,003 ------------- 0	4,986 ------------- 0	52,619 ------------- 0	15,423 ------------- 0	440,572 ------------- 0	0 ------------- 0
11Norma J FerdinandSVP,Quality & Perf Improvement	(i) (ii)	316,622 ------------- 0	101,698 ------------- 0	31,892 ------------- 0	97,922 ------------- 0	8,534 ------------- 0	556,668 ------------- 0	0 ------------- 0
12Karen Flaherty OxlerPresident LG Hospital	(i) (ii)	323,914 ------------- 0	72,166 ------------- 0	7,652 ------------- 0	51,141 ------------- 0	2,188 ------------- 0	457,061 ------------- 0	0 ------------- 0
13Lisa R HessVP, Marketing, Corp Comm	(i) (ii)	190,380 ------------- 0	35,175 ------------- 0	3,715 ------------- 0	11,278 ------------- 0	9,438 ------------- 0	249,986 ------------- 0	0 ------------- 0
14Elizabeth D KatzVP,Risk Mgmt & Corp Compliance	(i) (ii)	161,883 ------------- 0	28,174 ------------- 0	1,333 ------------- 0	9,503 ------------- 0	7,090 ------------- 0	207,983 ------------- 0	0 ------------- 0
15Denise A KennedyVP, Financial Services	(i) (ii)	182,576 ------------- 0	30,971 ------------- 0	1,915 ------------- 0	17,084 ------------- 0	6,838 ------------- 0	239,384 ------------- 0	0 ------------- 0
16Robert P Macina EsqEVP, Chief Admin Officer	(i) (ii)	415,550 ------------- 0	151,736 ------------- 0	20,027 ------------- 0	118,235 ------------- 0	13,422 ------------- 0	718,970 ------------- 0	0 ------------- 0
17Edward MaloneyVP,Information Tech Operations	(i) (ii)	229,003 ------------- 0	42,526 ------------- 0	3,962 ------------- 0	12,906 ------------- 0	13,259 ------------- 0	301,656 ------------- 0	0 ------------- 0
18Marion A McGowan RNFormer EVP & Chief Population	(i) (ii)	212,962 ------------- 0	0 ------------- 0	5,800,116 ------------- 0	21,200 ------------- 0	5,261 ------------- 0	6,039,539 ------------- 0	0 ------------- 0
19Regina M MingleSVP & Chief Leadership Officer	(i) (ii)	348,051 ------------- 0	111,838 ------------- 0	19,783 ------------- 0	101,959 ------------- 0	13,371 ------------- 0	595,002 ------------- 0	0 ------------- 0
20Mary B MiskeyVP, Human Resources Operations	(i) (ii)	155,699 ------------- 0	34,570 ------------- 0	28,128 ------------- 0	15,864 ------------- 0	5,937 ------------- 0	240,198 ------------- 0	0 ------------- 0
21Ralph W MullerTrustee	(i) (ii)	0 ------------- 1,534,477	0 ------------- 725,154	0 ------------- 351,086	0 ------------- 0	0 ------------- 11,913	0 ------------- 2,622,630	0 ------------- 0
22Richard D PaolettiVP, Primary Care & Ambulatory	(i) (ii)	225,340 ------------- 0	41,133 ------------- 0	1,174 ------------- 0	18,550 ------------- 0	15,194 ------------- 0	301,391 ------------- 0	0 ------------- 0
23Joseph A PuskarSVP, Customer Support Services	(i) (ii)	268,462 ------------- 0	51,608 ------------- 0	8,495 ------------- 0	21,200 ------------- 0	13,044 ------------- 0	362,809 ------------- 0	0 ------------- 0
24Douglas W RinehartVP, Controller	(i) (ii)	190,508 ------------- 0	34,847 ------------- 0	1,895 ------------- 0	16,983 ------------- 0	15,133 ------------- 0	259,366 ------------- 0	0 ------------- 0
25Dennis R RoemerEVP & CFO	(i) (ii)	489,301 ------------- 0	120,290 ------------- 0	19,767 ------------- 0	126,550 ------------- 0	18,876 ------------- 0	774,784 ------------- 0	0 ------------- 0
26Lanyce A RoldanSVP & Chief Nursing Executive	(i) (ii)	145,624 ------------- 0	25,561 ------------- 0	3,432 ------------- 0	13,775 ------------- 0	13,499 ------------- 0	201,891 ------------- 0	0 ------------- 0
27Christine M Stabler MDVP, Academic Affairs	(i) (ii)	319,035 ------------- 0	0 ------------- 0	19,354 ------------- 0	20,596 ------------- 0	15,105 ------------- 0	374,090 ------------- 0	0 ------------- 0
28James A StuccioSVP, Chief Admin Officer	(i) (ii)	0 ------------- 389,888	0 ------------- 121,955	0 ------------- 2,529	0 ------------- 45,179	0 ------------- 15,423	0 ------------- 574,974	0 ------------- 0
29Susan WynneSVP, Business Dev & Planning	(i) (ii)	305,099 ------------- 0	91,412 ------------- 0	7,793 ------------- 0	49,913 ------------- 0	7,210 ------------- 0	461,427 ------------- 0	0 ------------- 0
30Stacey G YoucisSVP, Svc Lines/Population Hlth	(i) (ii)	253,812 ------------- 0	76,960 ------------- 0	2,671 ------------- 0	50,334 ------------- 0	15,419 ------------- 0	399,196 ------------- 0	0 ------------- 0
31James KuMedical Dir Healthy Weight	(i) (ii)	664,947 ------------- 0	57,849 ------------- 0	18,593 ------------- 0	13,250 ------------- 0	15,423 ------------- 0	770,062 ------------- 0	0 ------------- 0
32Mark W BurlingameCardiothoracic Surgeon	(i) (ii)	700,003 ------------- 0	21,000 ------------- 0	13,426 ------------- 0	13,250 ------------- 0	13,371 ------------- 0	761,050 ------------- 0	0 ------------- 0
33Frederick B RogersMedical Directo Trauma	(i) (ii)	551,529 ------------- 0	132,797 ------------- 0	34,922 ------------- 0	13,250 ------------- 0	15,371 ------------- 0	747,869 ------------- 0	0 ------------- 0
34Jeffrey T CopeCardiothoracic Surgeon	(i) (ii)	676,924 -------------	21,000 -------------	1,728 -------------	13,250 -------------	15,423 -------------	728,325 -------------	0 -------------
35Philip M BaylissPerinatologist	(i) (ii)	560,789 ------------- 0	0 ------------- 0	27,350 ------------- 0	18,550 ------------- 0	13,371 ------------- 0	620,060 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2015

Page 3

Part III

Supplemental Information

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.

Return Reference	Explanation
SCHEDULE J, PART 1, LINE 1A	TAX IDEMNIFICATION AND GROSS UP PAYMENTS LANCASTER GENERAL HOSPITAL PROVIDES GROSS-UP PAYMENTS TO EMPLOYEES WHEN THEY RECEIVE HOLIDAY GIFT CARDS 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 2015 TAX YEAR. ---------------------------
SCHEDULE J, PART 1, LINE 1B	WRITTEN POLICY REGARDING PAYMENT OR REIMBURSEMENT OF EXPENSES THERE ARE CURRENTLY NO WRITTEN POLICIES IN PLACE FOR GROSS UP PAYMENTS, TRAVEL FOR COMPANIONS OR HOUSING ALLOWANCE. ---------------------------
SCHEDULE J, PART 1, LINE 3	COMPENSATION LANCASTER GENERAL HEALTHS EXECUTIVE COMPENSATION PROCESS INCLUDES THE FOLLOWING REVIEW AND ACTION BY THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES WHICH IS COMPRISED OF INDEPENDENT TRUSTEES. AN EVALUATION OF PERFORMANCE AGAINST GOALS IS CONDUCTED AT THE CLOSE OF A FISCAL YEAR TO DETERMINE THE LEVEL OF ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE OF THE CEO AND SENIOR EXECUTIVES AS TO DETERMINE MERIT AND INCENTIVE PAY ACTIONS. MARKET DATA FOR BASE SALARY, TOTAL CASH COMPENSATION AND TOTAL COMPENSATION IS PROVIDED BY AN INDEPENDENT THIRD PARTY TO THE COMMITTEE AND REFLECTS A MARKET BASKET OF SIMILARLY SIZED ORGANIZATIONS WITH COMPARABLE EXECUTIVE POSITIONS. UPON REVIEW AND DISCUSSION OF THE RELATED DATA AND INFORMATION THE COMMITTEE TAKES ACTION WHICH IS RECORDED IN THE MEETING MINUTES WHICH ARE THEN FILED FOR FUTURE REFERENCE. ---------------------------
SCHEDULE J, PART 1, LINE 4A	SEVERANCE AND CHANGE OF CONTROL PAYMENTS ONE INDIVIDUAL RECEIVED A SEVERANCE PAYMENT OF $443,920. ---------------------------
SCHEDULE J, PART I, LINE 4B	SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PARTICIPATION TOTAL DISTRIBUTIONS AND/OR CONTRIBUTIONS TO A NON-QUALIFIED SUPPLEMENTAL RETIREMENT PLAN FOR LANCASTER GENERAL HOSPITAL AMOUNTED TO $7,042,488. THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM (THE "HEALTH SYSTEM") MAINTAINS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") DESIGNED FOR SENIOR ADMINISTRATORS OF THE HEALTH SYSTEM, AS DESIGNATED BY THE BOARD OF TRUSTEES, WHO ARE ACTIVELY EMPLOYED BY THE HEALTH SYSTEM WHEN THE CONTRIBUTIONS ARE MADE. VESTING IN THE SERP OCCURS AFTER EACH THREE YEARS OF PARTICIPATION AND UPON THE OCCURRENCE OF CERTAIN EVENTS (ATTAINMENT OF AGE 65, DEATH, DISABILITY, OR INVOLUNTARY TERMINATION WITHOUT "CAUSE"). CONTRIBUTIONS FOR THOSE WHO HAVE REACHED AGE 65 WILL BE FULLY VESTED WHEN MADE. UPON REACHING A VESTING DATE, PARTICIPANTS WILL AUTOMATICALLY RECEIVE A FULL DISTRIBUTION WHICH IS TAXABLE AS EARNED INCOME. PARTICIPANTS WHO VOLUNTARILY TERMINATE BEFORE VESTING WILL FORFEIT THE BALANCE IN THEIR ACCOUNTS. THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN THE HEALTH SYSTEM SERP PLAN DURING THE YEAR AND/OR RECEIVED EMPLOYER PAID AMOUNTS DURING THE YEAR: MULLER, RALPH W. $302,462 ---------------------------
SCHEDULE J, PART 1, LINE 7	NON FIXED PAYMENTS 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 HEALTHCARE SERVICES. AS A REWARD FOR EMPLOYEES CONTRIBUTIONS TO LANCASTER GENERAL HEALTHS 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 PARTICPANTS 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 HEALTHS ABILITY TO ATTRACT AND RETAIN SUPERIOR TALENT, RECOGNIZE AND REWARD ACCOMPLISHMENTS THAT CLEARLY ADVANCE THE ORGANIZATIONS 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) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

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

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

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
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	LANCASTER COUNTY HOSPITAL AUTHORITY- SERIES 2012A	23-6648018	XXXXXXXXX	06-01-2012	25,250,000	REFUNDING A PORTION OF SERIES 2008		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	1,325,000
2 Amount of bonds legally defeased ..............	0
3 Total proceeds of issue ..................	25,250,000
4 Gross proceeds in reserve funds .............	0
5 Capitalized interest from proceeds .............	0
6 Proceeds in refunding escrows ...............	0
7 Issuance costs from proceeds ...............	194,497
8 Credit enhancement from proceeds .............	0
9 Working capital expenditures from proceeds .............	0
10 Capital expenditures from proceeds .............	0
11 Other spent proceeds .............	25,055,503
12 Other unspent proceeds .............	0
13 Year of substantial completion .............	2012
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....	X
15 Were the bonds issued as part of an advance refunding issue? .....		X
16 Has the final allocation of proceeds been made? ..........	X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	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
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............	X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2015

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
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?
c Are there any research agreements that may result in private business use of bond-financed property? .............		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?
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 ....	0.081 %
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 .........	0.002 %
6 Total of lines 4 and 5 .............	0.083 %
7 Does the bond issue meet the private security or payment test? ...		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
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..	0 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............		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

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......
b Exception to rebate? ........
c No rebate due? .........	X
If "Yes" to line 2c, provide in Part VI the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....	X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?	X
b Name of provider ..........	BOAML
c Term of hedge .........	35 %
d Was the hedge superintegrated? ......		X
e Was the hedge terminated? ........		X

Schedule K (Form 990) 2015

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
b Name of provider ..........	0
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
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

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
SCHEDULE K, PART I, COLUMN (C)- ROW A CUSIP #	SERIES 2012A WAS A PRIVATE PLACEMENT AND THUS WAS NOT ASSIGNED A CUSIP #. --------------------
SCHEDULE K, PART II, LINE 11 COLUMN A	THE OTHER SPENT PROCEEDS ARE THE PROCEEDS OF THE ISSUE USED TO REFUND A PRIOR ISSUE IN THE AMOUNT OF $25,000,000 AND AN INTEREST PAYMENT IN THE AMOUNT OF $55,503.
SCHEDULE K, PART IV, LINE 2C, COLUMN A - REBATE CALCULATION	ISSUER NAME: LANCASTER COUNTY HOSPITAL AUTHORITY THE CALCULATION FOR COMPUTING NO REBATE DUE WAS PERFORMED ON 12/28/2013. --------------------
SUPPLEMENTAL INFORMATION ON TAX-EXEMPT BONDS	FORM 990, SCHEDULE K LANCASTER GENERAL HOSPITAL HAS BEEN ALLOCATED A PORTION OF THE PA HIGHER ED FACILITIES AUTHORITY- UPHS SERIES A&B OF 2016 BOND ISSUE FROM THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA (EIN: 23-1352685) ("UNIVERSITY"), A RELATED IRC SECTION 501(C)(3) ORGANIZATION. SINCE THE UNIVERSITY REMAINS AS THE PRIMARY OBLIGOR OF THE BOND, ALL INFORMATION REGARDING THE UPHS SERIES A&B OF 2016 BOND ISSUE HAS BEEN REPORTED ON THE FORM 990, SCHEDULE K OF THE UNIVERSITY. THE TOTAL ALLOCATED OUSTANDING BALANCE FOR LANCASTER GENERAL HOSPITAL WAS $197,231,000 AS OF JUNE 30, 2016.

Schedule K (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

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

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

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), section 501(c)(4), and 501(c)(29) 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	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

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?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No










Total ............... $

Part III

Grants or Assistance Benefiting 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) 2015

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?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) DENISE A KENNEDY	OFFICER	1,312,426	SEE SUPPLEMENTAL INFO		No
(2) LEE M DUKE MD	OFFICER	2,457,695	SEE SUPPLEMENTAL INFO		No
(3) KEITH R KUHLENGEL MD	TRUSTEE	848,180	SEE SUPPLEMENTAL INFO		No
(4) CHARLES RODENBERGER MD	TRUSTEE	46,125	SEE SUPPLEMENTAL INFO		No
(5) GARY R DAVIDSON	OFFICER	5,259,008	SEE SUPPLEMENTAL INFO		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation
PART IV, LINE 1	INDIVIDUAL IS A BOARD MEMBER OF LEMSA. DURING THE TAX YEAR LANCASTER GENERAL HOSPITAL PAID LEMSA $1,312,427 FOR SERVICES PROVIDED.
PART IV, LINE 2	INDIVIDUAL IS A CONTRACTED PHYSICIAN WITH PULMONARY ASSOCIATES OF LANCASTER. DURING THE TAX YEAR LANCASTER GENERAL HOSPITAL PAID PULMONARY PHYSICIAN ASSOCIATES OF LANCASTER $2,457,695 FOR SERVICES PROVIDED.
PART IV, LINE 3	INDIVIDUAL IS A PARTNER OF LANCASTER NEUROSCIENCE & SPINE ASSOCIATES. DURING THE TAX YEAR LANCASTER GENERAL HOSPITAL PAID LANCASTER NEUROSCIENCE AND SPINE ASSOCIATES $848,180 FOR SERVICES PROVIDED.
PART IV, LINE 4	INDIVIDUAL IS A JOINT VENTURE PARTNER WITH DAVITA. DAVITA HAS A DIALYSIS CONTRACT WITH LANCASTER GENERAL HOSPITAL. DURING THE TAX YAER LANCASTER GENERAL HOSPITAL PAID DAVITA $46,125 FOR SERVICES PROVIDED.
PART IV, LINE 5	INDIVIDUAL IS A BOARD MEMBER FOR LINKEHR. DURING THE TAX YEAR LANCASTER GENERAL HOSPITAL PAID LINKEHR $5,259,008 FOR SERVICES PROVIDED.

Schedule L (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

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 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

LANCASTER GENERAL HOSPITAL

Employer identification number

23-1365353

Return Reference	Explanation
FORM 990, PART III, LINE 4D	DESCRIPTION OF OTHER PROGRAM SERVICES 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 117,223 VISITS DURING FISCAL YEAR 2016. TOTAL PATIENT DAYS FOR THE FISCAL YEAR WERE 147,904. MEDICARE AND MEDICAID PATIENTS CONTRIBUTED 15,425 AND 6,390, RESPECTIVELY, TOWARDS THE 34,308 TOTAL INPATIENT DISCHARGES DURING THE FISCAL YEAR. ---------------------------
FORM 990, PART III, LINE 4D	EXEMPT PURPOSE ACHIEVEMENTS 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 OUT 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 $74.8M 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 PROFESSIONAL AT AN UNPAID COST OF $10.5M. ---------------------------
FORM 990, PART V, LINE 4A	FILING REQUIREMENTS FOR FORM TD-90-22.1 LANCASTER GENERAL HOSPITAL HAS AUTHORITY OVER A FINANCIAL ACCOUNT IN A FOREIGN COUNTRY. HOWEVER, THEY HAVE NO FINANCIAL INTEREST WITHIN THE FOREIGN ACCOUNT. FORM TD-90-22.1 WAS FILED WITH THE PARENT COMPANY, LANCASTER GENERAL HEALTH (EIN # 23-2250941). ---------------------------
FORM 990, PART VI, LINE 4A	CHANGES TO GOVERNING DOCUMENTS LANCASTER GENERAL HOSPITAL JOINED THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM EFFECTIVE AUGUST 1, 2015. ---------------------------
FORM 990, PART VI, LINE 6	CLASSES OF MEMBERS OR STOCKHOLDERS THE SOLE MEMBER OF LANCASTER GENERAL HOSPITAL IS LANCASTER GENERAL HEALTH. THE SOLE MEMBER MAY INITIATE AND 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. ---------------------------
FORM 990, PART VI, LINE 7A	MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODY LANCASTER GENERAL HEALTH ELECTS THE BOARD OF TRUSTEES OF LANCASTER GENERAL HOSPITAL. ---------------------------
FORM 990, PART VI, LINE 7B	DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS THE SOLE MEMBER OF LANCASTER GENERAL HOSPITAL IS LANCASTER GENERAL HEALTH. THE SOLE MEMBER MAY INITIATE AND 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. ---------------------------
FORM 990, PART VI, LINE 11B	REVIEW OF FORM 990 BY GOVERNING BODY INFORMATION RELATED TO THIS ORGANIZATIONS FORM 990 FILING IS GATHERED AND THE RETURN IS PREPARED BY FINANCE STAFF. THE VICE PRESIDENT-CONTROLLER AND THE DIRECTOR OF ACCOUNTING REVIEWED THE FORM 990 AND IT WAS THEN PROVIDED TO PRICEWATERHOUSECOOPERS LLP FOR THEIR REVIEW. 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 FILING. ---------------------------
FORM 990, PART VI, LINE 12C	CONFLICT OF INTEREST POLICY IN ORDER TO ASCERTAIN AND EVALUATE ACTUAL OR POTENTIAL CONFLICTS, CERTAIN INTERESTED PERSONS ARE REQUIRED TO FILL OUT A CONFLICT OF INTEREST DISCLOSURE STATEMENT UPON ENTERING EMPLOYMENT OR BECOMING A TRUSTEE OF LANCASTER GENERAL HOSPITAL OR AN AFFILIATE, AND OTHERS ARE ALSO REQUIRED TO FILL OUT SUCH A STATEMENT ON AN ANNUAL BASIS. IN ADDITION TO THIS REQUIREMENT, ALL OFFICERS AND TRUSTEES, REGARDLESS OF WHETHER OR NOT THEY HAVE FILLED OUT OR HAVE BEEN ASKED TO FILL OUT A CONFLICT OF INTEREST 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. ---------------------------
FORM 990, PART VI, LINE 14	DOCUMENTATION RETENTION AND DESTRUCTION POLICY THE ORGANIZATION HAS THE POLICIES AND PROCEDURES IN PLACE AS MENTIONED IN FORM 990, PART VI, SECTION B, LINES 14 & 16B. HOWEVER, THEY ARE NOT CURRENTLY APPROVED BY THE GOVERNING BODY. ---------------------------
FORM 990, PART VI, LINE 15	PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL LANCASTER GENERAL HEALTHS EXECUTIVE COMPENSATION PROCESS INCLUDES THE FOLLOWING REVIEW AND ACTION BY THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES WHICH IS COMPRISED OF INDEPENDENT TRUSTEES. AN EVALUATION OF PERFORMANCE AGAINST GOALS IS CONDUCTED AT THE CLOSE OF A FISCAL YEAR TO DETERMINE THE LEVEL OF ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE OF THE CEO AND SENIOR EXECUTIVES AS TO DETERMINE MERIT AND INCENTIVE PAY ACTIONS. MARKET DATA FOR BASE SALARY, TOTAL CASH COMPENSATION AND TOTAL COMPENSATION IS PROVIDED BY AN INDEPENDENT THIRD PARTY TO THE COMMITTEE AND REFLECTS A MARKET BASKET OF SIMILARLY SIZED ORGANIZATIONS WITH COMPARABLE EXECUTIVE POSITIONS. UPON REVIEW AND DISCUSSION OF THE RELATED DATA AND INFORMATION THE COMMITTEE TAKES ACTION WHICH IS RECORDED IN THE MEETING MINUTES WHICH ARE THEN FILED FOR FUTURE REFERENCE. ---------------------------
FORM 990, PART VI, LINE 16B	JOINT VENTURE POLICY THE ORGANIZATION HAS THE POLICIES AND PROCEDURES IN PLACE AS MENTIONED IN FORM 990, PART VI, SECTION B, LINES 14 & 16B. HOWEVER, THEY ARE NOT CURRENTLY APPROVED BY THE GOVERNING BODY. ---------------------------
FORM 990, PART VI, LINE 19	REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC 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. ---------------------------
FORM 990, PART VII, SECTION A	COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES THE HOURS NOTED IN COLUMN (B) RELATE TO THE HOURS DEDICATED TO THE FILING ORGANIZATION AND/OR TO OTHER ORGANIZATIONS WITHIN THE LANCASTER GENERAL HEALTH SYSTEM DURING THE TIME PERIOD IN WHICH THEY SERVED. THE HOURS DISCLOSED RELATE TO TIME SERVED ON A BOARD AND/OR FOR SERVICES PROVIDED RESULTING IN COMPENSATION PAID. MEMBERS OF THE BOARD ARE NOT COMPENSATED FOR THEIR POSITION ON THE BOARD. COMPENSATION DISCLOSED RELATES TO OTHER SERVICES PERFORMED. THE LANCASTER GENERAL HOSPITAL BOARD TERM RUNS SEPTEMBER THRU SEPTEMBER WHILE THE ORGANIZATIONS FISCAL YEAR RUNS JULY THRU JUNE. THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A EITHER STARTED OR TERMED DURING THE JUNE 30, 2016 FISCAL YEAR: THOMAS E. BEEMAN (TERM 10/11/15) F. NICHOLAS GRASBERGER (TERM 9/1/15) BRUCE R. LIMPERT (TERM 9/1/15) CHARLES RODENBERGER, MD (TERM 9/1/15) MICHAEL W. VANBELLE (TERM 9/1/15) MARY B. MISKEY (TERM 9/1/15) JOSEPH A. PUSKAR (TERM 9/1/15) KAREN FLAHERTY-OXLER (TERM 2/2/16) FREDERICK C. BEYER, III, MD (STARTED 9/1/15) RALPH W. MULLER (STARTED 9/1/15) F. JOSEPH BYORICK, III. (STARTED 6/20/16) DENNIS R. ROEMER (TERM 6/15/16) WILLIAM MCCUNE (STARTED 9/1/15) JAMES A. STUCCIO (STARTED 9/1/15) STEPHEN C. LEE (STARTED 2/8/16) LANYCE A. ROLDAN (STARTED 6/6/16) ---------------------------
FORM 990, PART X, LINE 20	TAX EXEMPT BOND LIABILITIES THE AMOUNT OF ISSUE OUTSTANDING FOR THE SERIES 2016 BOND ALSO INCLUDES THE BOND PREMIUM. THE BALANCE OF THE 2016 BOND PREMIUM AT 6/30/16 WAS $23,920,746. ---------------------------
FORM 990, PART XI, LINE 9	OTHER CHANGES IN NET ASSETS OR FUND BALANCES OTHER NON-OPERATING INCOME $ 2,214,069 TRANSFER OF NET ASSETS (4,370) RELATED PARTY TRANSFERS (110,891,613) PERPETUAL TRUST DISTRIBUTION 80,284 LOSS ON DEBT EXTINGUISHMENT (12,747,952) REINVESTED EARNINGS 83,188 CHANGE IN INTEREST IN NET ASSETS OF LANCASTER GENERAL 4,370 ------------- TOTAL $(121,262,024) ---------------------------
FORM 990, PART XII, LINE 2B	AUDITED FINANCIAL STATEMENTS LANCASTER GENERAL HEALTH AND ITS AFFILIATES, INCLUDING LANCASTER GENERAL HOSPITAL, JOINED THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM EFFECTIVE AUGUST 1, 2015. THEREFORE, ITS FINANCIAL INFORMATION WAS INCLUDED IN THE UNIVERSITY OF PENNSYLVANIAS COMBINED FINANCIAL STATEMENTS AND AUDITED ON A CONSOLIDATED BASIS.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

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" on 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
(1) NOVASTREAM LLC 555 NORTH DUKE STREET LANCASTER,PA17604 47-5202972	TELECOMM	PA	568,061	565,990	LG HOSPITAL

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on 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?
(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	Yes	No
(1)ABRAMSON INSTITUTE 1086 PENLLYN BLUE BELL PIKE BLUE BELL,PA19422 23-2929823	MED RESEARCH	PA	501(c)(3)	4	NA		No
(2)CARL V S PATTERSON 19 UN OF PA C/O PNC BANK 620 LIBERTY AVE 10FL PITTSBURGH,PA15222 23-6415355	SUPPORT TRUST	PA	4947(A)(1)	N/A	NA		No
(3)CHESTER COUNTY HOSPITAL & HEALTH SYSTEM 701 E MARSHALL STREET WEST CHESTER,PA19380 26-4233321	MGMT SRVCS	PA	501(C)(3)	11, I	TRUSTEES		No
(4)CLINICAL CARE ASSOCIATES OF UPHS 250 KING OF PRUSSIA RD 4TH FL RADNOR,PA19087 23-2729852	HEALTHCARE	PA	501(c)(3)	9	TRUSTEES		No
(5)FRANKLIN SPECIALTY PHYSICIANS 3451 WALNUT STREET PHILADELPHIA,PA19104 23-2992715	SUPPORT ORG	PA	501(c)(3)	11, II	PA HOSPITAL		No
(6)LANCASTER GENERAL HEALTH 555 NORTH DUKE STREET LANCASTER,PA17604 23-2250941	SUPPORT ORG	PA	501(C)(3)	11, II	TRUSTEES		No
(7)LANCASTER GENERAL HEALTH COLUMBIA CENTER 306 NORTH 7TH STREET COLUMBIA,PA17512 23-0485650	FACILITY MGMT	PA	501(C)(3)	3	LG HOSPITAL	Yes
(8)LANCASTER GENERAL HEALTH FOUNDATION 555 NORTH DUKE STREET LANCASTER,PA17604 20-5767147	FUNDRAISING	PA	501(C)(3)	11, I	NA		No
(9)LANCASTER GENERAL HEALTH HOLDINGS 555 NORTH DUKE STREET LANCASTER,PA17604 20-4943109	HEALTHCARE	PA	501(C)(3)	3	LG HEALTH		No
(10)LANCASTER GENERAL MEDICAL GROUP 1030 NEW HOLLAND AVENUE LANCASTER,PA17601 23-2777286	HEALTHCARE	PA	501(C)(3)	3	LG HEALTH		No
(11)MORRIS EST LYDIA T DECD TW 1525 W WT HARRIS BLVD CHARLOTTE,NC28262 23-6210940	SUPPORT TRUST	PA	501(C)(3)	11, III-FI	NA		No
(12)NEIGHBORHOOD HEALTH AGENCIES INC 795 E MARSHALL STREET WEST CHESTER,PA19380 23-2324782	NURSING	PA	501(C)(3)	11, I	CCH&HS		No
(13)NEIGHBORHOOD LEAGUE HEALTH SERVICES 795 E MARSHALL STREET WEST CHESTER,PA19380 23-2324787	HEALTH SRVCS	PA	501(C)(3)	9	CCH&HS		No
(14)NEIGHBORHOOD VISITING NURSE ASSOCIATION 795 E MARSHALL STREET WEST CHESTER,PA19380 23-1352243	NURSING	PA	501(C)(3)	7	CCH&HS		No
(15)OAP INC 3451 WALNUT STREET ROOM 329 PHILADELPHIA,PA19104 23-1986931	SUPPORT ORG	PA	501(c)(3)	11, I	TRUSTEES		No
(16)PENN CENTER FOR REHAB AND CARE 3609 CHESTNUT STREET PHILADELPHIA,PA19104 23-2422635	HEALTHCARE	PA	501(c)(3)	3	PMC		No
(17)PENN CLUB OF NEW YORK INC 30 WEST 44TH STREET NEW YORK,NY10036 23-2726687	CLUB	NY	501(c)(7)	N/A	NA		No
(18)PENN PRAXIS INC 210 SOUTH 34TH STREET PHILADELPHIA,PA19104 75-2974931	SUPPORT ORG	PA	501(c)(3)	11, I	TRUSTEES		No
(19)PENN PRESS INC 3905 SPRUCE STREET PHILADELPHIA,PA19107 23-1876142	PUBLISHING	PA	501(c)(3)	11, I	TRUSTEES		No
(20)PENNSYLVANIA COLLEGE OF HEALTH SCIENCES 850 GREENFIELD ROAD LANCASTER,PA17601 06-1645496	HEALTH EDU	PA	501(C)(3)	2	LG HOSPITAL	Yes
(21)PENNSYLVANIA HOSPITAL OF UPHS 800 SPRUCE STREET PHILADELPHIA,PA19107 31-1538725	HEALTHCARE	PA	501(C)(3)	3	TRUSTEES		No
(22)PGH DEVELOPMENT CORP 426 CURIE BLVD PHILADELPHIA,PA19104 23-2351015	SUPPORT ORG	PA	501(c)(3)	11, I	NA		No
(23)PHOENIXVILLE HOSPITAL OF UPHS 3001 MARKET STREET 3RD FLOOR PHILADELPHIA,PA19104 23-2901089	SUPPORT ORG	PA	501(c)(3)	3	TRUSTEES		No
(24)PRESBYTERIAN ANESTHESIOLOGY FOUNDATION 51 NORTH 39TH STREET PHILADELPHIA,PA19104 23-2561573	SUPPORT ORG	PA	501(c)(3)	11, I	PMC		No
(25)PRESBYTERIAN MEDICAL CENTER OF UPHS 51 NORTH 39TH STREET PHILADELPHIA,PA19104 23-2810852	HEALTHCARE	PA	501(c)(3)	3	TRUSTEES		No
(26)PRESBYTERIAN MULTI-SPECIALTY GROUP 51 NORTH 39TH STREET PHILADELPHIA,PA19104 23-2723154	HEALTHCARE	PA	501(c)(3)	9	PMC		No
(27)PRESBYTERIAN PERSONAL CARE RESIDENCE 51 NORTH 39TH STREET PHILADELPHIA,PA19104 23-2294713	HEALTHCARE	PA	501(c)(3)	11, I	PMC		No
(28)SS HUEBNER FOUNDATION FOR INSURANCE EDUC 3000 STEINBERG HALL PHILADELPHIA,PA19104 23-6297325	EDU SUPPORT	PA	501(c)(3)	11, I	NA		No
(29)THE ASC TRUST OF THE UNIV OF PA 1500 MARKET ST STE 3500E PHILADELPHIA,PA19102 81-0550464	BUS. TRUST	PA	501(c)(3)	8	NA		No
(30)THE CHESTER COUNTY HOSPITAL 701 E MARSHALL STREET WEST CHESTER,PA19380 23-0469150	HEALTHCARE	PA	501(C)(3)	3	CCH&HS		No
(31)THE HEART GROUP OF LANCASTER GEN HEALTH 217 HARRISBURG AVENUE LANCASTER,PA17603 30-0634510	CARDIOLOGY	PA	501(C)(3)	4	LG HEALTH		No
(32)TRUSTEES OF THE UNIVERSITY OF PENN 3451 WALNUT STREET ROOM 305 PHILADELPHIA,PA19104 23-1352685	EDUCATION	PA	501(c)(3)	2	NA		No
(33)UNITED AUXILIARIES TO LANCASTER GEN HOS 555 NORTH DUKE STREET LANCASTER,PA17604 23-1976868	SUPPORT ORG	PA	501(C)(3)	9	NA		No
(34)UNIVERSITY CITY ASSOCIATES INC 3451 WALNUT STREET ROOM 329 PHILADELPHIA,PA19104 23-3021159	SUPPORT ORG	PA	501(c)(3)	11, I	TRUSTEES		No
(35)UNIVERSITY CLUB AT PENN INC 3611 WALNUT STREET PHILADELPHIA,PA19104 23-6299508	FAC. CLUB	PA	501(c)(3)	11, I	TRUSTEES		No
(36)UPENN INTERNATIONAL 3451 WALNUT STREET SUITE 731 PHILADELPHIA,PA19104 45-4985731	SUPPORT ORG	PA	501(C)(3)	11, I	TRUSTEES		No
(37)UPENN MASTER RETIREMENT TRUST 3451 WALNUT STREET ROOM 305 PHILADELPHIA,PA19104 04-3574136	RETIRE TRUST	PA	501(A)	N/A	TRUSTEES		No
(38)UPENN RETIREE BENEFITS TRUST 3451 WALNUT STREET ROOM 329 PHILADELPHIA,PA19104 23-2769744	BENEFITS	PA	501(c)(3)	11, I	TRUSTEES		No
(39)WISSAHICKON HOSPICE OF UPHS 150 MONUMENT ROAD SUITE 300 BALA CYNWYD,PA19004 23-2152662	HOSPICE CARE	PA	501(c)(3)	9	TRUSTEES		No
(40)WOMEN'S AND CHILDREN'S HEALTH SERVICES 700 SPRUCE STREET PHILADELPHIA,PA19106 23-2248956	HEALTHCARE	PA	501(c)(3)	3	PA HOSPITAL		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2015

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on 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
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) ARI 1740 FUND N SETSON AVE STE 5500 CHICAGO,IL60601 32-0472404	INVESTMENT	IL	NA	N/A							No
(2) DVG 1740 FUND LP ONE FAWCETT PLACE GREENWICH,CT06830 80-0961539	INVESTMENT	CT	NA	N/A							No
(3) EAST MARSHALL STREET PARTNERSHIP LP 929 SOUTH HIGH STREET WEST CHESTER,PA19382 23-2902742	INVESTMENT	PA	NA	N/A							No
(4) FERN HILL PARTNERSHIP III LP 929 SOUTH HIGH STREET WEST CHESTER,PA19382 30-0409614	RENTAL	PA	NA	N/A							No
(5) FERN HILL LLC 929 SOUTH HIGH STREET WEST CHESTER,PA19382 23-3005147	RENTAL	PA	NA	N/A							No
(6) GALLOPAVO LP 2000 McKINNEY AVE STE 2125 DALLAS,TX75201 46-4621967	INVESTMENT	TX	NA	N/A							No
(7) LANCASTER PET PARTNERSHIP LLP PO BOX 4216 LANCASTER,PA17604 23-3102793	MEDICAL SERVICES	PA	NA	N/A							No
(8) LG HEALTH COMMUNITY CARE COLLABORATIVE 555 NORTH DUKE STREET LANCASTER,PA17604 45-5542179	ACO	PA	LG HOSPITAL	RELATED	232,838	412,102		No	0	Yes		97.000 %
(9) LIONVILLE MED OFFICE BLDG PARTNERSHIP 929 SOUTH HIGH STREET WEST CHESTER,PA19383 16-1640799	INVESTMENT	PA	NA	N/A							No
(10) MRI GROUP LLP PO BOX 4216 LANCASTER,PA17604 33-1011386	MEDICAL SERVICES	PA	NA	N/A							No
(11) NEIGHBRHD PRES & DEV FUND LP 240 NEW YORK DR STE 1 FORT WASHINGTON,PA19034 23-3037919	RENTAL	PA	NA	N/A							No
(12) OAKLANDS WAY MEDICAL BUILDING ASSOCIATES 929 SOUTH HIGH STREET WEST CHESTER,PA19382 83-0490251	RENTAL	PA	NA	N/A							No
(13) SISU CAP PRIV EQUITY FUND B 1 RED PLACE LONDONW1K 6PL UK	INVESTMENT	UK	NA	N/A							No
(14) SISU CAP PRIV EQUITY FUND E 1 RED PLACE LONDONW1K 6PL UK	INVESTMENT	UK	NA	N/A							No
(15) SRP INVESTORS FUND A LP 2001 ROSS AVE SUITE 2800 DALLAS,TX75201 61-1748291	INVESTMENT	TX	NA	N/A							No
(16) JOG V C LIMITED PARTNERSHIP 2300-440 2ND AVE SW CALGARY,ALBERTAT2P5E9 CA	INVESTMENT	CA	NA	N/A							No
(17) TURK'S HEAD SURGERY CENTER LLC 915 OLD FERN HILL ROAD BLDG B PHILADELPHIA,PA19106	MEDICAL SERVICES	PA	NA	N/A							No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on 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	(i) Section 512(b)(13) controlled entity?
(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	Yes	No
(1) BARGE GANSE VENACARE BUS TRUST 555 NORTH DUKE STREET LANCASTER,PA17604 23-2113017	HEALTHCARE	PA	LGSBT	TRUST				No
(2) CHESTER COUNTY OBGYN ASSOCIATES INC 701 E MARSHALL STREET WEST CHESTER,PA19380 30-0073633	OB/GYN SRVCS	PA	CCH&HS	C-CORP				No
(3) CLINICAL HEALTH CARE ASSOC OF NJ PC 250 KING OF PRUSSIA RD 4TH FL RADNOR,PA190875220 23-2865181	PHYS MGMT	PA	CCA	C-CORP				No
(4) DELANCEY CORPORATION 800 SPRUCE STREET PHILADELPHIA,PA19106 23-2060159	RENTAL	PA	PA HOSPITAL	C-CORP				No
(5) FRANKLIN CASUALTY INSURANCE CO PO BOX 530 BURLINGTON,VT054020530 04-3378984	INSURANCE	VT	TRUSTEES	C-CORP				No
(6) LANCASTER GENERAL INSURANCE COMPANY PO BOX 1109 GT GRAND CAYMAN,GRAND CAYMANKYI-1102 CJ 98-0176655	INSURANCE	CJ	LG HEALTH	C-CORP				No
(7) LANCASTER GENERAL SERVICES BUS TRUST 555 NORTH DUKE STREET LANCASTER,PA17604 23-2250128	PROPERTY SVCS	PA	LG HEALTH	TRUST				No
(8) NAYA 1740 FUND LTD PO BOX 309 UGLAND HOUSE,GRAND CAYMANKY1-1104 CJ	INVESTMENTS	CJ	TRUSTEES	C-CORP				No
(9) PENN TOWER HOTEL INC 3401 WALNUT STREET SUITE 440A PHILADELPHIA,PA19104 23-2812573	HOTEL/RESTAURANT	PA	TRUSTEES	C-CORP				No
(10) PENN WHARTON CONSULTING (BEIJING) CO LTD CHINA WORLD TOWER 1 14F CHAOYANG DIST,BEIJING100004 CH	BUS. CONSULTING	CH	UPENN INT'L	C-CORP				No
(11) PINE RIVER 1740 FUND LTD PO BOX 309 UGLAND HOUSE,GRAND CAYMANKY1-1104 CJ 98-1110661	INVESTMENTS	CJ	TRUSTEES	C-CORP				No
(12) PINE RIVER 1740 TACTICAL FUND LTD PO BOX 309 UGLAND HOUSE,GRAND CAYMANKY1-1104 CJ 98-1110518	INVESTMENTS	CJ	TRUSTEES	C-CORP				No
(13) PRESBYTERIAN MEDICAL SERVICES 39TH AND MARKET STREET PHILADELPHIA,PA19104 23-2307991	HEALTHCARE	PA	PMC	C-CORP				No
(14) PROFESSIONAL PROVIDERS INC 701 E MARSHALL STREET WEST CHESTER,PA19380 23-3076589	PHYSICIAN SRVCS	PA	CCH&HS	C-CORP				No
(15) QUAKER INSURANCE COMPANY LTD 3451 WALNUT ST ROOM 329 PHILADELPHIA,PA19104 30-0708282	SELF-INSURANCE	BD	TRUSTEES	C-CORP				No
(16) THE PAM 1740 FUND LTD PO BOX 309 UGLAND HOUSE,GRAND CAYMANKYI-1102 CJ	INVESTMENTS	CJ	TRUSTEES	C-CORP				No
(17) TURK'S HEAD HEALTH SERVICES 701 E MARSHALL STREET WEST CHESTER,PA19380 23-2329753	MEDICAL SRVCS	PA	CCH&HS	C-CORP				No

Schedule R (Form 990) 2015

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on 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

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 .....................

Yes

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

Yes

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

Yes

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

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 related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) Lancaster General Health-Columbia Center	b	1,432,943	FMV
(2) Lancaster General Health-Columbia Center	k	383,935	FMV
(3) Lancaster General Health-Columbia Center	l	336,533	FMV
(4) Lancaster General Health-Columbia Center	o	249,464	FMV
(5) Lancaster General Health-Columbia Center	q	900,273	FMV
(6) Lancaster General Health-Columbia Center	r	1,395,942	FMV
(7) Pennsylvania College of Health Sciences	a	53,419	FMV
(8) Pennsylvania College of Health Sciences	b	747,432	FMV
(9) Pennsylvania College of Health Sciences	d	53,759,411	FMV
(10) Pennsylvania College of Health Sciences	l	540,662	FMV
(11) Pennsylvania College of Health Sciences	m	1,692,147	FMV
(12) Pennsylvania College of Health Sciences	o	374,794	FMV
(13) Pennsylvania College of Health Sciences	q	2,786,745	FMV
(14) LG Health-Community Care Collaborative	b	3,245,520	FMV
(15) LG Health-Community Care Collaborative	l	667,697	FMV
(16) LG Health-Community Care Collaborative	o	2,020,575	FMV
(17) LG Health-Community Care Collaborative	q	582,393	FMV

Schedule R (Form 990) 2015

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on 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)	(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?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2015

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation
PART V, LINE 2	TRANSACTIONS WITH RELATED ORGANIZATIONS ALL ARRANGEMENTS ARE NEGOTIATED AT ARM'S LENGTH AND FOR FAIR VALUE IN COMPLIANCE WITH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. AFFILIATES PERFORM INTER-COMPANY TRANSACTIONS AS PART OF THE NORMAL COURSE OF BUSINESS.

Schedule R (Form 990) 2015

Additional Data

Software ID:
Software Version:

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
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	13
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	10
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	6,696
6	Total number of volunteers (estimate if necessary) .............	6	569
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	6,498,285
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	922,028

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	2,250,672	2,059,081
9	Program service revenue (Part VIII, line 2g) .........	880,062,117	916,766,467
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	2,295,926	2,369,638
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	49,620,568	58,684,319
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	934,229,283	979,879,505
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	3,638,780	4,154,661
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)	443,342,685	458,582,211
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 852,920
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	378,190,766	393,839,896
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	825,172,231	856,576,768
19	Revenue less expenses. Subtract line 18 from line 12.......	109,057,052	123,302,737
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	848,578,531	849,138,309
21	Total liabilities (Part X, line 26).............	411,685,150	413,703,700
22	Net assets or fund balances. Subtract line 21 from line 20.....	436,893,381	435,434,609

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 120,715,839 including grants of $ ) (Revenue $ 202,599,165 )
	SURGICAL SERVICES

4b	(Code: ) (Expenses $ 117,232,000 including grants of $ ) (Revenue $ 178,581,249 )
	NURSING SERVICES

4c	(Code: ) (Expenses $ 81,883,028 including grants of $ ) (Revenue $ 82,466,985 )
	PHARMACY

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 318,706,242 including grants of $ 4,154,661 ) (Revenue $ 463,447,242 )
4e	Total program service expenses638,537,109

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	24,291,240	3,589,876	2,133,613

1a	Federated campaigns..		1a	56,277
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	365,375
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f	1,637,429

g	Noncash contributions included in lines 1a-1f:$ 18,402
h Total.Add lines 1a-1f.......		2,059,081

		Business Code
2a	OTHER NET PATIENT REVENUE	622110	559,487,485	556,114,809	3,372,676
b	MEDICARE/MEDICAID NET PATIENT REVENUE	622110	352,782,399	352,782,399
c	RENT REVENUE FROM AFFILIATES	531190	3,443,776	3,443,776
d	EQUITY IN EARNINGS	900099	677,462	677,462
e	MISC SALES	900099	375,345	374,711	634
f	All other program service revenue.
g Total.Add lines 2a–2f.....			916,766,467

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			1,718,907			1,718,907
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)	0	0
d	Net rental income or (loss)......			0
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		199,016,342
b	Less: cost or other basis and sales expenses		198,365,611
c	Gain or (loss)		650,731
d	Net gain or (loss).....			650,731			650,731
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..			0
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..			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..			0
Business Code			Miscellaneous Revenue
11a	SALE OF SERVICE		541900	15,220,106	12,210,603	3,009,503
b	MANAGEMENT FEE REVENUE		541200	13,858,471	13,799,410	59,061
c	CONVENIENCE PHARMACY REVENUE		446110	8,494,867	8,494,867
d	All other revenue ....			21,110,875	11,054,695	56,411	9,999,769
e	Total. Add lines 11a–11d ......			58,684,319
12	Total revenue. See Instructions......			979,879,505	958,952,732	6,498,285	12,369,407

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	4,109,161	4,109,161
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	45,500	45,500
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 ....	11,249,854		11,249,854
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	338,065,840	251,527,667	86,431,430	106,743
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	31,982,251	24,185,020	7,786,956	10,275
9	Other employee benefits .......	53,279,659	36,176,318	17,059,143	44,198
10	Payroll taxes ...........	24,004,607	17,326,552	6,661,480	16,575
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	708,365		708,365
c	Accounting ...........	34,579		34,579
d	Lobbying ...........	42,822		42,822
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	66,848		66,848
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	24,815,151	12,605,496	12,205,986	3,669
12	Advertising and promotion ....	3,005,070	3,005,070
13	Office expenses .......	35,119,642	11,251,826	23,852,516	15,300
14	Information technology ......	18,254,585	32,745	18,216,826	5,014
15	Royalties ..	0
16	Occupancy ...........	19,445,839	16,555,204	2,878,455	12,180
17	Travel ............	1,019,423	308,672	707,331	3,420
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	0
20	Interest ...........	8,837,964	8,837,964
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	50,107,749	23,550,870	26,556,527	352
23	Insurance ...	5,797,212	55,242	5,741,970
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	MED/SURG SUPPLIES	179,427,277	172,709,431	6,711,403	6,443
b	PURCHASED SERVICES	45,045,891	19,286,866	25,604,220	154,805
c	MANAGEMENT FEE	1,949,282		1,524,710	424,572
d	BAD DEBT (NON-PATIENT)	162,197	25,161	137,036
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	856,576,768	638,537,109	217,186,739	852,920
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 if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			24,805	1	24,765
2	Savings and temporary cash investments .........			94,975,960	2	60,768,825
3	Pledges and grants receivable, net ......			1,490,366	3	1,092,316
4	Accounts receivable, net .............			98,466,343	4	102,769,380
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L
				0	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
				0	6	0
7	Notes and loans receivable, net ....			1,681,642	7	56,672,813
8	Inventories for sale or use ........			12,588,076	8	13,494,604
9	Prepaid expenses and deferred charges ......			13,296,982	9	13,135,082
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,092,720,988
b	Less: accumulated depreciation	10b	624,540,958	449,029,374	10c	468,180,030
11	Investments—publicly traded securities .			62,417,428	11	54,352,073
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 ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			114,607,555	15	78,648,421
16	Total assets. Add lines 1 through 15 (must equal line 34)...			848,578,531	16	849,138,309

17	Accounts payable and accrued expenses .....	76,572,675	17	67,926,221
18	Grants payable ...	0	18	0
19	Deferred revenue .........	1,625,904	19	1,593,525
20	Tax-exempt bond liabilities .........	292,680,206	20	296,761,480
21	Escrow or custodial account liability. Complete Part IV of Schedule D	0	21	0
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..	0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	0	23	0
24	Unsecured notes and loans payable to unrelated third parties ..	0	24	0
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	40,806,365	25	47,422,474
26	Total liabilities. Add lines 17 through 25..	411,685,150	26	413,703,700

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	417,637,342	27	416,516,754
28	Temporarily restricted net assets ...........	11,161,905	28	11,387,865
29	Permanently restricted net assets	8,094,134	29	7,529,990
	Organizations that do not follow SFAS 117 (ASC 958), check here 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 ...........	436,893,381	33	435,434,609
34	Total liabilities and net assets/fund balances ........	848,578,531	34	849,138,309