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THE FIN 48 (ASC 740) FOOTNOTE BELOW DERIVES FROM THE CONSOLIDATED JUNE 30, 2023 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. true true X true X 300. true X true true false false 15844 0 15844 0.00000 9777895 11026832 0 0.00000 9793739 11026832 15844 0.00000 9793739 11026832 15844 0.00000 true -31690 0 11370272 7340234 4030038 X true true LANCASTER REHAB HOSP REHABILITATION 0.5 0.5 LANCASTER BEHAVIORAL BEHAVIORAL HEALTH 0.5 0.5 2 1 LANCASTER REHABILITATION HOSPITALLLP 675 GOOD DRIVE LANCASTER PA 17601 WWW.LANCASTERREHABHOSPITAL.COM LICENSE# 2121010 X REHABILITATION A 2 LANCASTER BEHAVIORAL HEALTH HOSPLLC 333 HARRISBURG AVENUE LANCASTER PA 17603 WWW.LANCASTERBEHAVIORAL.ORG LICENSE# 6433293 X BEHAVIORAL HEALTH A LANCASTER REHABILITATION HOSPITALLLP 1 false false true X X X X X X X X X 21 true true true true X SEE SCH H, PART V, LINE 7A X X true 21 true SEE SCH H, PART V, SECTION B LINE 10A false true X 300. 400. X true true X X X true X SEE SCH H, PART V, SECT C X SEE SCH H, PART V, SECT C X SEE SCH H, PART V, SECT C X X X X X X true X false X X false X X false false LANCASTER BEHAVIORAL HEALTH HOSPLLC 2 false false true X X X X X X X X X 21 true true true true X SEE SCH H, PART V, SECTION B LINE 7A X X true 21 true SEE SCHEDULE H, PART V,SECTION B LINE 10A false true X 300. 400. X true true X X X true X SEE SCH H, PART V, SECTION C X SEE SCH H, PART V, SECTION C X SEE SCH H, PART V,SECTION C X X X X X X true X false X X false X X false false PART V, SECTION B, LINE 5 (INPUT FROM COMMUNITY) FACILITY NAME: LANCASTER REHABILITATION HOSPITAL, LLP FACILITY NAME: LANCASTER BEHAVIORAL HEALTH HOSPITAL, LLC DESCRIPTION: PENN MEDICINE LG HEALTH GATHERED BROAD COMMUNITY INPUT ABOUT LANCASTER COUNTY'S MOST IMPORTANT HEALTH PROBLEMS. FORTY-ONE COMMUNITY PARTNERS WERE INTERVIEWED ABOUT THE STRENGTHS OF LANCASTER COUNTY, BARRIERS TO GOOD HEALTH, COMMUNITY CAPACITY TO MEET COMMUNITY HEALTH NEEDS, AND CURRENT NEEDS TO ENSURE THAT EVERYONE IN LANCASTER COUNTY CAN ACHIEVE THEIR BEST HEALTH. THESE PARTNERS INCLUDED LEADERS IN VARIOUS SECTORS INCLUDING PUBLIC HEALTH, BUSINESS, HOUSING, ADVOCACY, MENTAL HEALTH, SUBSTANCE USE, HEALTHCARE SERVICES, EDUCATION, PLANNING, PHILANTHROPY, AND SOCIAL SERVICES. THE 41 INDIVIDUALS REPRESENTED THE FOLLOWING ORGANIZATIONS: BRIGHT SIDE OPPORTUNITIES CENTER, CENTRAL PENN BUSINESS GROUP ON HEALTH, CENTRAL PENNSYLVANIA FOOD BANK, CHI ST. JOSEPH'S CHILDREN'S HEALTH, CHURCH WORLD SERVICE, COMMUNITY ACTION PARTNERSHIP, COMPASSMARK, FRANKLIN & MARSHALL COLLEGE, HDC MID-ATLANTIC, HOPE WITHIN, LANCASTER CHAMBER, LANCASTER CITY & COUNTY MEDICAL SOCIETY, LANCASTER COUNTY BEHAVIORAL HEALTH & DISABILITIES SERVICES, LANCASTER COUNTY CHILDREN & YOUTH, LANCASTER COUNTY COMMUNITY FOUNDATION, LANCASTER COUNTY COURTS, LANCASTER COUNTY DRUG & ALCOHOL COMMISSION, LANCASTER COUNTY EMS, LANCASTER COUNTY IU-13, LANCASTER COUNTY PLANNING COMMISSION, LANCASTER HARM REDUCTION PROJECT, LAUNCH COMMUNITY HEALTH, LGBTQ+ COALITION, LOHF, MENTAL HEALTH AMERICA, NAACP LANCASTER, PENNSYLVANIA STATE HEALTH CENTER, RASE PROJECT, SACA, SAN JUAN BAUTISTA, TENFOLD, UNION COMMUNITY CARE, UNITED WAY OF LANCASTER COUNTY, WELLSPAN HEALTH, AND YWCA. IN ADDITION, AN ONLINE SURVEY WAS CONDUCTED WITH THE PUBLIC FROM OCTOBER 14 TO NOVEMBER 15, 2021. A TOTAL OF 1,008 INDIVIDUALS COMPLETED THE SURVEY. LINKS TO THE SURVEY WERE MADE AVAILABLE ON SOCIAL MEDIA, PRINTED IN THE LOCAL NEWSPAPER, AND EMAILED TO COMMUNITY PARTNERS TO SHARE WITH THE PUBLIC. THE SURVEY WAS AVAILABLE IN ENGLISH AND SPANISH. WELLSPAN HEALTH AND PENN MEDICINE LANCASTER GENERAL HEALTH TOGETHER INVITED LANCASTER COUNTY COMMUNITY MEMBERS TO ATTEND A VIRTUAL DISCUSSION IN EARLY NOVEMBER 2021 TO VIEW A PRESENTATION OF COMMUNITY HEALTH DATA. OPPORTUNITY WAS GIVEN TO THE MEMBERS TO PROVIDE INPUT ABOUT COMMUNITY HEALTH PRIORITIES. THESE PRESENTATIONS WERE OFFERED AT A VARIETY OF TIMES AND DAYS OF THE WEEK TO ACCOMMODATE DIFFERENT SCHEDULES. A TOTAL OF 70 COMMUNITY MEMBERS ATTENDED THESE SESSIONS. EACH HEALTH SYSTEM PROVIDED UPDATES ABOUT COMMUNITY BENEFIT ACTIVITIES CONDUCTED SINCE THE LAST CHNA, FOLLOWED BY A SUMMARY OF KEY HEALTH INDICATORS FOR LANCASTER COUNTY. COMMUNITY MEMBERS RESPONDED TO QUESTIONS ABOUT LANCASTER COUNTY'S HEALTH RESOURCES, CHALLENGES, AND PRIORITIES ELECTRONICALLY USING POLL EVERYWHERE. FOR EACH QUESTION, COMMUNITY MEMBERS COULD VIEW OTHER PARTICIPANTS' ANSWERS AND VOTE IN AGREEMENT. THIS PROCESS HELPS BUILD CONSENSUS AROUND PRIORITY ISSUES. -------------------------------- PART V, SECTION B, LINE 6A (JOINT CHNA) FACILITY NAME: LANCASTER REHABILITATION HOSPITAL, LLP FACILITY NAME: LANCASTER BEHAVIORAL HEALTH HOSPITAL, LLC DESCRIPTION: THIS COMMUNITY HEALTH NEEDS ASSESSMENT FOR LANCASTER COUNTY, PENNSYLVANIA WAS CONDUCTED COLLABORATIVELY BY PENN MEDICINE-LANCASTER GENERAL HEALTH, LANCASTER REHABILITATION HOSPITAL, LANCASTER BEHAVIORAL HOSPITAL, AND WELLSPAN HEALTH (WELLSPAN EPHRATA COMMUNITY HOSPITAL). -------------------------------- PART V, SECTION B, LINE 7A (CHNA AVAILABILITY) THE CHNA REPORT CAN BE FOUND AT: HTTPS://WWW.LANCASTERGENERALHEALTH.ORG/ABOUT-LANCASTER-GENERAL-HEALTH/CARI NG-FOR-OUR-COMMUNITY/NEEDS-ASSESSMENT-AND-IMPROVEMENT-PLAN -------------------------------- PART V, SECTION B, LINE 7D (CHNA AVAILABILITY) THE CHNA REPORT CAN BE FOUND AT: HTTPS://WWW.LANCASTERGENERALHEALTH.ORG/ABOUT-LANCASTER-GENERAL-HEALTH/CARI NG-FOR-OUR-COMMUNITY/NEEDS-ASSESSMENT-AND-IMPROVEMENT-PLAN -------------------------------- PART V, SECTION B, LINE 10A (IMPLEMENTATION PLAN AVAILABILITY) THE MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY CAN BE FOUND AT: HTTPS://WWW.LANCASTERGENERALHEALTH.ORG/ABOUT-LANCASTER-GENERAL-HEALTH/CARI NG-FOR-OUR-COMMUNITY/NEEDS-ASSESSMENT-AND-IMPROVEMENT-PLAN/COMMUNITY-IMPRO VEMENT-DASHBOARDS -------------------------------- PART V, SECTION B, LINE 11 (ADDRESSING NEEDS) FACILITY NAME: LANCASTER REHABILITATION HOSPITAL, LLP FACILITY NAME: LANCASTER BEHAVIORAL HEALTH HOSPITAL, LLC DESCRIPTION: USING DATA ON MORBIDITY AND MORTALITY, PREVALENCE, AND TRENDS, AS WELL AS COMMUNITY SURVEY RESULTS AND INTERVIEWS ABOUT HEALTH PRIORITIES, WE IDENTIFIED THREE SIGNIFICANT COMMUNITY HEALTH PRIORITIES IN THE 2022 LANCASTER COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT: A SAFE AND HEALTHY ENVIRONMENT, HEALTHCARE ACCESS AND QUALITY, AND MENTAL HEALTH. IN OUR IMPLEMENTATION STRATEGY, WE HAVE DEVELOPED 8 SPECIFIC GOALS AND 48 MEASURABLE OBJECTIVES TO MEET OUR COMMUNITY'S NEEDS. A BROAD OVERVIEW OF OUR STRATEGIES IS DESCRIBED BELOW: TO ADDRESS SAFE AND HEALTHY ENVIRONMENT, WE ARE IMPROVING ACCESS TO HEALTHY FOOD FOR INDIVIDUALS WITH FOOD INSECURITY BY OPERATING A MOBILE FRESH FOOD PANTRY IN COLUMBIA, PA AND BY OFFERING A FREE FOOD FARMACY PROGRAM FOR FOOD INSECURE PATIENTS WITH DIET-RELATED CHRONIC DISEASES. WE ARE ALSO REDUCING LEAD POISONING AMONG CHILDREN AND PREGNANT PEOPLE BY REMEDIATING HOMES THROUGH OUR LEAD-FREE FAMILIES PROGRAM. TO ADDRESS HEALTHCARE ASSESS AND QUALITY, WE ARE SCREENING PATIENTS FOR SOCIAL DETERMINANTS OF HEALTH AND CONNECTING PATIENTS WITH COMMUNITY RESOURCES TO SUPPORT THEIR SOCIAL NEEDS. WE ARE ALSO REDUCING HEALTH DISPARITIES BY DEVELOPING A DIVERSITY, EQUITY, AND INCLUSION PLAN FOR THE ORGANIZATION, COLLECTING DEMOGRAPHIC DATA AND TRACKING HEALTH EQUITY METRICS, STRENGTHENING OUR SERVICES FOR LGBTQ+ PATIENTS, CREATING A STREET MEDICINE PROGRAM FOR INDIVIDUALS EXPERIENCING HOMELESSNESS, AND REDUCING DISPARITIES IN MATERNAL MORTALITY AND COLORECTAL CANCER. TO ADDRESS MENTAL HEALTH, WE ARE INCREASING SCREENING FOR DEPRESSION IN PRIMARY CARE, TRAINING ORGANIZATIONS AND INDIVIDUALS IN THE COMMUNITY ABOUT TRAUMA-INFORMED PRACTICES, IMPLEMENTING COMPREHENSIVE APPROACHES TO REDUCE OVERDOSE DEATHS, AND EXPANDING ACCESS TO BEHAVIORAL HEALTH SERVICES. ------------------------------ PART V, SECTION B, LINE 16A, B & C (FAP AVAILABILITY) A COPY OF THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, APPLICATION AND PLAIN LANGUAGE SUMMARY CAN BE ACCESSED AT: HTTPS://WWW.LANCASTERGENERALHEALTH.ORG/PATIENT-AND-VISITOR-INFORMATION/PAT IENT-INFORMATION/BILLING-INSURANCE-AND-PRICING/FINANCIAL-ASSISTANCE -------------------------------- PART V, SECTION B, LINE 20A & D (ECA) LANCASTER REHABILITATION HOSPITAL, LLP AND LANCASTER BEHAVIORAL HEALTH HOSPITAL, LLC DO NOT PERFORM EXTRAORDINARY COLLECTION ACTIONS OR MAKE PRESUMPTIVE ELIGIBILITY DETERMINATIONS. -------------------------------- PART I, LINE 5A & 5B (FINANCIAL ASSISTANCE) LANCASTER REHABILITATION HOSPITAL, LLP BUDGETED FOR FREE AND DISCOUNTED CARE. THEIR FINANCIAL ASSISTANCE EXPENSES DID NOT EXCEED BUDGET. LANCASTER BEHAVIORAL HEALTH HOSPITAL, LLC DID NOT BUDGET FOR FREE AND DISCOUNTED CARE. -------------------------------- PART I, LINE 6A & 6B (COMMUNITY BENEFIT REPORT) LANCASTER GENERAL REHABILITATION HOSPITAL, LLP DID NOT PREPARE A COMMUNITY BENEFIT REPORT. LANCASTER BEHAVIORAL HEALTH HOSPITAL, LLC DID NOT PREPARE A COMMUNITY BENEFIT REPORT. -------------------------------- PART III, LINE 2 & 4 (BAD DEBT METHODOLOGY) LANCASTER REHABILITATION HOSPITAL, LLP (LRH) THE HOSPITAL ADOPTED GUIDANCE OF ASC 606 ON JANUARY 1, 2019. ALLOWANCE FOR DOUBTFUL ACCOUNTS ARE NOW CONSIDERED IMPLICIT PRICE CONCESSIONS UNDER ASC 606 AND INCLUDED IN A COMPONENT OF NET ACCOUNTS RECEIVABLE. LANCASTER BEHAVIORAL HEALTH HOSPITAL, LLC (LBHH) THE HOSPITAL ADOPTED GUIDANCE OF ASC 606 ON JANUARY 1, 2020 USING THE MODIFIED RETROSPECTIVE TRANSITION METHOD FOR ALL CONTRACTS NOT SUBSTANTIALLY COMPLETED AS OF THE DATE OF ADOPTION. -------------------------------- PART III, LINE 3 (FAP BAD DEBT CALCULATION) LANCASTER REHABILITATION HOSPITAL, LLP (LRH) THE HOSPITAL ADOPTED GUIDANCE OF ASC 606 ON JANUARY 1, 2019. ALLOWANCE FOR DOUBTFUL ACCOUNTS ARE NOW CONSIDERED IMPLICIT PRICE CONCESSIONS UNDER ASC 606 AND INCLUDED IN A COMPONENT OF NET ACCOUNTS RECEIVABLE. LANCASTER BEHAVIORAL HEALTH HOSPITAL, LLC (LBHH) THE HOSPITAL ADOPTED GUIDANCE OF ASC 606 ON JANUARY 1, 2020 USING THE MODIFIED RETROSPECTIVE TRANSITION METHOD FOR ALL CONTRACTS NOT SUBSTANTIALLY COMPLETED AS OF THE DATE OF ADOPTION. -------------------------------- PART III, LINE 7 (NET COMMUNITY BENEFIT EXPENSE PERCENTAGE) LANCASTER REHABILITATION HOSPITAL, LLP USES A COST TO CHARGE RATIO METHODOLOGY. LANCASTER BEHAVIORAL HEALTH HOSPITAL, LLC USES A COSTING METHOD BASED ON COST PER PATIENT PER DAY LESS CERTAIN ADMINISTRATIVE COSTS. THE FILING ENTITY'S SHARE OF TOTAL EXPENSES, AS REPORTED IN THE HOSPITALS' AUDITED FINANCIAL STATEMENTS, IS USED AS THE DENOMINATOR IN DETERMINING NET COMMUNITY BENEFIT EXPENSE AS A PERCENT OF TOTAL EXPENSE. -------------------------------- PART III, LINE 8 (COSTING METHODOLOGY, MEDICARE SHORTFALL) LANCASTER REHABILITATION HOSPITAL, LLP: THE COST TO CHARGE RATIO WAS USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6. LANCASTER BEHAVIORAL HEALTH HOSPITAL, LLC: COSTING METHOD IS BASED ON A COST PER PATIENT PER DAY AS THE ONLY SERVICE PROVIDED BY THE HOSPITAL DURING THIS PERIOD WAS INPATIENT CARE. CERTAIN ADMINISTRATIVE COSTS WERE REMOVED SINCE THESE COSTS WERE NOT DEEMED DIRECT PATIENT CARE. -------------------------------- PART III, LINE 9B (COLLECTION PRACTICES) LANCASTER REHABILITATION HOSPITAL, LLP: THE HOSPITAL DOES NOT REPORT CHARITY CARE PATIENT CHARGES AS REVENUE OR IMPLICIT PRICE CONCESSIONS AS IT IS THE HOSPITAL'S POLICY NOT TO PURSUE COLLECTIONS OF AMOUNTS RELATED TO THESE PATIENTS. LANCASTER BEHAVIORAL HEALTH HOSPITAL, LLC: WRITTEN DEBT COLLECTION POLICY DID NOT CONTAIN PROVISIONS FOR PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE. -------------------------------- PART VI, LINE 2 (NEEDS ASSESSMENT) IN ADDITION TO CONDUCTING THE FORMAL CHNA EVERY THREE YEARS, LG HEALTH (OF WHICH LANCASTER REHABILITATION HOSPITAL AND LANCASTER BEHAVIORAL HEALTH HOSPITAL IS A PART OF) ASSESSES THE HEALTH NEEDS OF OUR COMMUNITY IN SEVERAL WAYS. FIRST, WE SYSTEMATICALLY COLLECT INFORMATION FROM OUR PATIENTS ABOUT BARRIERS TO GOOD HEALTH AND HEALTHCARE. PRIMARY CARE PROVIDERS REGULARLY SCREEN PATIENTS FOR RISK FACTORS AND SOCIAL NEEDS, INCLUDING FOOD, MEDICATIONS, TRANSPORTATION, HOUSING, UTILITIES, AND SOCIAL ISOLATION. THESE PATIENTS ARE REFERRED TO STAFF IN COMMUNITY HEALTH AND OUR AMBULATORY CHRONIC CARE TEAM, WHO REGULARLY COMPILE INFORMATION ABOUT PATIENT NEEDS AND ADDRESS GAPS IN COMMUNITY SERVICES. SECOND, LG HEALTH SERVES AS THE LEAD ORGANIZATION OR A PARTNER ORGANIZATION IN MANY COMMUNITY COALITIONS, INCLUDING GROUPS FOCUSED ON FOOD INSECURITY, HOMELESSNESS, MENTAL HEALTH, OPIOID USE, TOBACCO USE, AFFORDABLE HOUSING, EARLY CHILD CARE, LEAD POISONING, AND MANY OTHER HEALTH AND SOCIAL ISSUES. THESE COLLECTIVE IMPACT PARTNERSHIPS PROVIDE OPPORTUNITIES TO SHARE DATA, LEARN ABOUT COMMUNITY NEEDS FROM CROSS-SECTOR PARTNERS, AND IDENTIFY COMMUNITY CONCERNS ABOUT HEALTH ISSUES EARLY. LG HEALTH REGULARLY PROVIDES COMMUNITY HEALTH DATA FOR THESE GROUPS TO ANALYZE NEEDS, TRACK PROGRESS, AND IDENTIFY OPPORTUNITIES TO IMPROVE HEALTH COLLABORATIVELY. FINALLY, WE TRACK PROGRESS ON OUR COMMUNITY HEALTH IMPROVEMENT PLAN EACH MONTH, AND COMPLETE A FORMAL REPORT ANNUALLY TO ASSESS OUR PROGRESS ON OUR GOALS AND OBJECTIVES. AS WE TRACK PROGRESS, WE CONTINUOUSLY REVIEW COMMUNITY HEALTH DATA TO DETERMINE IF NEW HEALTH ISSUES HAVE ARISEN AND IF NEW STRATEGIES ARE NEEDED. OUR ANNUAL UPDATE PROVIDES AN OPPORTUNITY TO FORMALLY ADOPT NEW GOALS AND OBJECTIVES AND ADD THEM INTO OUR COMMUNITY HEALTH IMPROVEMENT PLAN AS NEW NEEDS EMERGE. -------------------------------- PART VI, LINE 3 (PATIENT ELIGIBILITY FOR ASSISTANCE) LANCASTER REHABILITATION HOSPITAL, LLP (LRH) STRIVES TO ENSURE THAT EVERY PATIENT RECEIVES THE CARE THEY NEED WHILE AT THE HOSPITAL AND AFTER THEY LEAVE THE HOSPITAL. LRH CASE MANAGERS BEGIN WORKING WITH PATIENTS AND THEIR FAMILIES TO DETERMINE FINANCIAL NEED PRIOR TO ADMISSION. PATIENTS WITHOUT INSURANCE COVERAGE ARE PROVIDED WITH INFORMATION AND ASSISTANCE ON COMPLETING THE MEDICAID APPLICATION. WHEN MEDICAID IS NOT AN OPTION, CASE MANAGERS STRIVE TO MATCH PATIENTS WITH A FINANCIAL NEED TO THE VARIOUS SOURCES OF CHARITY CARE THAT MAY BE AVAILABLE. ADDITIONALLY, LRH OFFERS PATIENTS A PAYMENT PLAN OR OFFERS FINANCIAL ASSISTANCE UPON COMPLETION AND APPROVAL OF A FINANCIAL ASSISTANCE APPLICATION. LANCASTER BEHAVIORAL HEALTH HOSPITAL, LLC (LBHH) WILL PROVIDE CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. -------------------------------- PART VI, LINE 4 (COMMUNITY INFORMATION) LANCASTER GENERAL HOSPITAL'S PRIMARY AND SECONDARY AREAS COMPRISE ALL OF LANCASTER COUNTY, PENNSYLVANIA. LGH ALSO SERVES PATIENTS IN BERKS, CHESTER, DAUPHIN, LEBANON, AND YORK COUNTIES. LGH'S TOTAL SERVICE AREA HAS A POPULATION OF 930,325 PEOPLE. ABOUT 18.8% OF THE POPULATION IS OVER THE AGE OF 64; 50.6% OF THE POPULATION IS FEMALE. THE MEDIAN INCOME IS $75,498, AND 10.5% OF THE POPULATION LIVES BELOW THE FEDERAL POVERTY LEVEL. LANCASTER GENERAL HOSPITAL'S MARKET SHARE IN ITS SERVICE AREA IS APPROXIMATELY 56.7%. -------------------------------- PART II AND PART VI, LINE 5 (PROMOTION OF COMMUNITY HEALTH) LANCASTER GENERAL HEALTH HOLDINGS, INC. (EIN 20-4943109), WHICH HAS A 50% OWNERSHIP IN LANCASTER REHABILITATION HOSPITAL, LLP (EIN 20-8092253) AND A 50% OWNERSHIP IN LANCASTER BEHAVIORAL HEALTH HOSPITAL, LLC (EIN 30-0948793), IS OPERATED FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, OR TO CARRY OUT THE PURPOSES OF LANCASTER GENERAL HOSPITAL (EIN 23-1365353), LANCASTER GENERAL HEALTH (EIN 23-2250941)AND THE AFFILIATES OF LANCASTER GENERAL HOSPITAL AND LANCASTER GENERAL HEALTH. LANCASTER GENERAL HOSPITAL IS GOVERNED BY A BOARD OF SEVENTEEN (17) MEMBERS. THREE MEMBERS ARE EMPLOYEES OF UPHS, TWELVE ARE COMMUNITY MEMBERS AND TWO ARE PHYSICIANS. THEY VOLUNTEER THEIR PROFESSIONAL TIME AND EXPERTISE TO GUIDE THE HOSPITAL. ALL MEMBERS 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, GOVERNANCE, MISSION & COMMUNITY BENEFIT, FINANCE/CAPITAL ALLOCATIONS, AUDIT & COMPLIANCE, EXECUTIVE, AND CREDENTIALS. 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 2023, THE HOSPITAL COMMITTED $119 MILLION TO SPENDING FOR PROPERTY, PLANT AND EQUIPMENT. -------------------------------- PART VI, LINE 6 (DESCRIPTION OF AFFILIATED GROUP) LANCASTER GENERAL HEALTH HOLDINGS, INC. (EIN 20-4943109) HAS A 50% OWNERSHIP IN LANCASTER REHABILITATION HOSPITAL, LLP (EIN 20-8092253) AND 50% OWNERSHIP IN LANCASTER BEHAVIORAL HEALTH HOSPITAL, LLC (EIN 30-0948793). LANCASTER GENERAL HEALTH HOLDINGS, INC. IS UNDER THE CONTROL OF ITS PARENT ORGANIZATION, LANCASTER GENERAL HEALTH (EIN 23-2250941). LANCASTER GENERAL HEALTH 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 AND 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. THE NEUROSPINE CENTER, LLC (20-8626731) WAS FORMED TO OWN AND OPERATE A NEUROLOGICAL SURGERY CENTER. 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 IS AN AFFILIATE OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM. -------------------------------- PART VI, LINE 7 (COMMUNITY BENEFIT REPORT STATE FILING) LANCASTER GENERAL HEALTH (EIN 23-2250941), THE PARENT CORPORATION OF LANCASTER GENERAL HEALTH HOLDINGS, INC., WHICH HAS A 50% OWNERSHIP IN LANCASTER REHABILITATION HOSPITAL, LLP (EIN 20-8092253) AND A 50% OWNERSHIP IN LANCASTER BEHAVIORAL HEALTH HOSPITAL, LLC (30-0948793) ISSUES AN ANNUAL REPORT WHICH INCLUDES INFORMATION ABOUT COMMUNITY BENEFIT AND HEALTH EFFORTS. THIS REPORT IS NOT FILED WITH THE STATE OF PENNSYLVANIA. -------------------------------- false true false false false false false false false ROBERT P MACINA ESQ FORMER OFFICER 0 105130 0 69122 0 174819 0 10793 0 3238 0 363102 0 0 JAMES STUCCIO CHAIRPERSON 0 511020 0 109367 0 16859 0 109561 0 8294 0 755101 0 0 GEOFFREY W EDDOWES FORMER OFFICER 0 315527 0 60081 0 7924 0 76171 0 12913 0 472616 0 0 MARGARET F COSTELLA ESQ TRUSTEE 0 353747 0 89408 0 7554 0 120583 0 5173 0 576465 0 0 CHARMAINE S ROCHESTER FORMER OFFICER 0 157989 0 0 0 7823 0 38762 0 7883 0 212457 0 0 LINDA A WELKER TREASURER 0 168172 0 1000 0 4050 0 8915 0 32221 0 214358 0 0 KATHERINE WEINRICH SECRETARY 0 189371 0 1000 0 2560 0 9770 0 12554 0 215255 0 0 BRIAN BURGESS TRUSTEE 0 365228 0 80900 0 2761 0 107403 0 21018 0 577310 0 0 SCHEDULE J, PART 1, LINE 3 TOP MANAGEMENT COMPENSATION AS PROVIDED IN THE FORM 990, SCHEDULE J INSTRUCTIONS, SINCE THE ORGANIZATION RELIES ON A RELATED ORGANIZATION WHICH USES ONE OR MORE OF THE METHODS DESCRIBED IN LINE 3 TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION, THIS QUESTION HAS BEEN LEFT UNANSWERED. REFER TO SCHEDULE O FOR A DESCRIPTION OF THE COMPENSATION REVIEW AND APPROVAL PROCESS. -------------------------------- SCHEDULE J, PART 1, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN THE LANCASTER GENERAL HEALTH SERP PLAN DURING THE YEAR AND/OR RECEIVED EMPLOYER PAID AMOUNTS DURING THE YEAR: MARGARET F. COSTELLA, ESQ. - NO DISTRIBUTION GEOFFREY W. EDDOWES - NO DISTRIBUTION ROBERT P. MACINA, ESQ. - $124,729 JAMES STUCCIO - NO DISTRIBUTION BRIAN R. BURGESS - NO DISTRIBUTION 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. -------------------------------- FORM 990, PART VI, LINE 6 DETAIL OF MEMBERS STOCKHOLDERS THE SOLE MEMBER OF THE CORPORATION IS LANCASTER GENERAL HEALTH (EIN 23-2250941), A PENNSYLVANIA NON-PROFIT CORPORATION. -------------------------------- FORM 990, PART VI, LINE 7A DETAIL OF MEMBERS STOCKHOLDERS THE BOARD OF DIRECTORS OF THE CORPORATION SHALL BE COMPOSED OF NOT LESS THAN THREE NOR MORE THAN TEN DIRECTORS. ALL DIRECTORS SHALL BE ELECTED BY THE SOLE MEMBER OF THE CORPORATION. -------------------------------- FORM 990, PART VI, LINE 7B DETAIL OF MEMBERS & STOCKHOLDERS A MAJORITY OF THE DIRECTORS SHALL CONSTITUTE A QUORUM FOR THE TRANSACTION OF BUSINESS. THE ACT OF A MAJORITY OF THE DIRECTORS PRESENT AND VOTING AT A MEETING AT WHICH A QUORUM IS PRESENT SHALL BE THE ACT OF THE BOARD. -------------------------------- FORM 990, PART VI, LINE 11B FORM 990 REVIEW PROCESS INFORMATION RELATED TO THIS ORGANIZATION'S FORM 990 FILING WAS GATHERED AND THE RETURN WAS PREPARED BY THE FINANCE STAFF. THE CONTROLLER AND SELECT MEMBERS OF THE FINANCE MANAGEMENT TEAM REVIEWED THE COMPLETED FORM 990. IT WAS THEN PROVIDED TO PWC US TAX 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 & 16B DOCUMENT RETENTION AND DESTRUCTION POLICY THE ORGANIZATION HAS THE POLICIES AND PROCEDURES IN PLACE AS MENTIONED IN FORM 990, PART VI, SECTION B, LINE 14 AND 16B. HOWEVER, THEY ARE NOT CURRENTLY APPROVED BY THE GOVERNING BOARD. -------------------------------- FORM 990, PART VI, LINE 15 COMPENSATION PROCESS LANCASTER GENERAL HEALTH'S EXECUTIVE COMPENSATION PROCESS INCLUDES THE FOLLOWING REVIEW AND ACTION BY THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES WHICH IS COMPRISED OF INDEPENDENT TRUSTEES. AN EVALUATION OF PERFORMANCE AGAINST GOALS IS CONDUCTED AT THE CLOSE OF A FISCAL YEAR TO DETERMINE THE LEVEL OF ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE OF THE CEO AND SENIOR EXECUTIVES SO AS TO DETERMINE MERIT AND INCENTIVE PAY ACTIONS. MARKET DATA FOR BASE SALARY, TOTAL CASH COMPENSATION AND TOTAL COMPENSATION IS PROVIDED BY AN INDEPENDENT THIRD PARTY TO THE COMMITTEE AND REFLECTS A MARKET BASKET OF SIMILARLY SIZED ORGANIZATIONS WITH COMPARABLE EXECUTIVE POSITIONS. UPON REVIEW AND DISCUSSION OF THE RELATED DATA AND INFORMATION THE COMMITTEE TAKES ACTION WHICH IS RECORDED IN THE MEETING MINUTES WHICH ARE THEN FILED FOR FUTURE REFERENCE. -------------------------------- FORM 990, PART VI, LINE 19 DOCUMENTS AVAILABILITY TO THE PUBLIC LANCASTER GENERAL HEALTH HOLDINGS, INC. DOES NOT MAKE THE GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. THE FINANCIAL STATEMENTS ARE ATTACHED TO THE FORM 990 WHICH IS AVAILABLE TO THE PUBLIC UPON REQUEST. -------------------------------- FORM 990, PART VII, SECTION A COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES LANCASTER GENERAL HEALTH HOLDINGS INC BOARD TERM RUNS JULY 1 TO JUNE 30. THE FOLLOWING INDIVIDUALS LISTED ON PART VII, SECTION A, EITHER STARTED OR TERMED DURING THE JUNE 30, 2023 FISCAL YEAR: TAYLOR WALSH - TERMED 04/28/2023 KATHRYN F. WEINRICH - TERMED 03/29/2023 BRIAN R. BURGESS - TERMED 04/28/2023 JAMES STUCCIO - TERMED 02/10/2023 -------------------------------- 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. 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. FORM 990, PART V, LINE 1 & PART VII, SECTION B, LINE 1 FORMS 1099/INDEPENDENT CONTRACTORS ALL PAYMENTS TO VENDORS FOR SERVICES PROVIDED TO LANCASTER GENERAL HEALTH HOLDINGS, INC. ARE PAID BY LANCASTER GENERAL HOSPITAL (23-1365353), A RELATED ORGANIZATION. LANCASTER GENERAL HOSPITAL IS THE ORGANIZATION THAT ISSUES THE FORMS 1099 TO THE VENDORS. -------------------------------- FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES RELATED PARTY CONTRIBUTIONS $ 18,410 DISTRIBUTIONS FROM PARTNERSHIP INVESTMENTS (8,599,029) BOOK/TAX DIFFERENCES FROM PARTNERSHIP INVESTMENTS 739,951 CHANGE IN NON-CONTROLLING INTERESTS (462,630) _____________ TOTAL OTHER CHANGE IN NET ASSETS $ (8,303,298) -------------------------------- FORM 990, PART XII, LINE 2B AUDITED FINANCIAL STATEMENTS THE FINANCIAL STATEMENTS FOR LANCASTER GENERAL HEALTH AND ITS AFFILIATES, INCLUDING LANCASTER GENERAL HEALTH HOLDINGS, WERE INCLUDED IN THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM'S COMBINED FINANCIAL STATEMENT, AND AUDITED ON A CONSOLIDATED BASIS. -------------------------------- THE NEUROSPINE CENTER LLC 555 NORTH DUKE STREET LANCASTER PA 17602 Surgery Ctr PA 1716096 396526 LG HOLDING THE LEONARD AND MADLYN ABRAMSON INST 421 CURIE BLVD 450 BRB II/III PHILADELPHIA PA 19104 232929823 MED RESEARCH PA 501(c)(3) 4 NA false CARL V S PATTERSON 19 UN OF PA C/O PNC BANK 620 LIBERTY AVE 10FL PITTSBURGH PA 15222 236415355 SUPPORT TRUST PA 4947(A)(1) N/A NA false CHESTER COUNTY HOSPITAL & HEALTH SYSTEM 701 E MARSHALL STREET WEST CHESTER PA 19380 264233321 MGMT SRVCS PA 501(C)(3) 12, I TRUSTEES false CLINICAL CARE ASSOCIATES OF UPHS 250 KING OF PRUSSIA RD 4TH FL RADNOR PA 19087 232729852 HEALTHCARE PA 501(c)(3) 10 TRUSTEES false LANCASTER GENERAL HEALTH 555 NORTH DUKE STREET LANCASTER PA 17602 232250941 SUPPORT ORG PA 501(C)(3) 12, II TRUSTEES false LANCASTER GENERAL HEALTH COLUMBIA CENTER 306 NORTH 7TH STREET COLUMBIA PA 17512 230485650 FACILITY MGMT PA 501(C)(3) 3 LG HOSPITAL false LANCASTER GENERAL HEALTH FOUNDATION 555 NORTH DUKE STREET LANCASTER PA 17602 205767147 FUNDRAISING PA 501(C)(3) 7 NA false LANCASTER GENERAL HOSPITAL 555 NORTH DUKE STREET LANCASTER PA 17602 231365353 HEALTHCARE PA 501(C)(3) 3 LG HEALTH false LANCASTER GENERAL MEDICAL GROUP 1097 COMMERCIAL AVENUE EAST PETERSBURG PA 17520 232777286 HEALTHCARE PA 501(C)(3) 3 LG HEALTH false MORRIS EST LYDIA T DECD TW 6325 S RAINBOW BLVD STE 300 LAS VEGAS NV 89118 236210940 SUPPORT TRUST PA 501(C)(3) 12, III-FI NA false NEIGHBORHOOD HEALTH AGENCIES INC 795 E MARSHALL STREET WEST CHESTER PA 19380 232324782 NURSING PA 501(C)(3) 12, I CCH&HS false NEIGHBORHOOD LEAGUE HEALTH SERVICES 795 E MARSHALL STREET WEST CHESTER PA 19380 232324787 HEALTH SRVCS PA 501(C)(3) 10 CCH&HS false NEIGHBORHOOD VISITING NURSE ASSOCIATION 795 E MARSHALL STREET WEST CHESTER PA 19380 231352243 NURSING PA 501(C)(3) 7 CCH&HS false OAP INC 3451 WALNUT STREET ROOM 748 PHILADELPHIA PA 19104 231986931 SUPPORT ORG PA 501(c)(3) 12, I TRUSTEES false PENN CENTER FOR REHAB AND CARE 3609 CHESTNUT STREET PHILADELPHIA PA 19104 232422635 HEALTHCARE PA 501(c)(3) 3 PMC false PENN CLUB OF NEW YORK INC 30 WEST 44TH STREET NEW YORK NY 10036 232726687 CLUB NY 501(c)(7) N/A NA false PENN PRAXIS INC 210 SOUTH 34TH STREET PHILADELPHIA PA 19104 752974931 SUPPORT ORG PA 501(c)(3) 12, I TRUSTEES false PENN PRESS INC 3905 SPRUCE STREET PHILADELPHIA PA 19107 231876142 PUBLISHING PA 501(c)(3) 12, I TRUSTEES false PENNSYLVANIA COLLEGE OF HEALTH SCIENCES 850 GREENFIELD ROAD LANCASTER PA 17601 061645496 HEALTH EDU PA 501(C)(3) 2 LG HOSPITAL false PENNSYLVANIA HOSPITAL OF UPHS 800 SPRUCE STREET PHILADELPHIA PA 19107 311538725 HEALTHCARE PA 501(C)(3) 3 TRUSTEES false PGH DEVELOPMENT CORP 426 CURIE BLVD PHILADELPHIA PA 19104 232351015 SUPPORT ORG PA 501(c)(3) 12, I NA false PHOENIXVILLE HOSPITAL OF UPHS 3001 MARKET STREET 3RD FLOOR PHILADELPHIA PA 19104 232901089 SUPPORT ORG PA 501(c)(3) 3 TRUSTEES false PRESBYTERIAN MEDICAL CENTER OF UPHS 51 NORTH 39TH STREET PHILADELPHIA PA 19104 232810852 HEALTHCARE PA 501(c)(3) 3 TRUSTEES false THE ASC TRUST OF THE UNIV OF PA 1500 MARKET ST STE 3500E PHILADELPHIA PA 19102 810550464 BUS. 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