Lancaster General Hospital

“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. ---------------------------”

“Members or stockholders electing members of governing body lancaster general health elects the board of trustees of lancaster general hospital. ---------------------------”

“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. ---------------------------”

“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. ---------------------------”

“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. ---------------------------”

“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. ---------------------------”

“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. ---------------------------”

“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. ---------------------------”

“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. ---------------------------”

“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, 2017 fiscal year: thomas t. Baldridge (started 9/1/16) t. Raymond foley, md (started 9/1/16) regina m. Mingle (termed 7/1/17) tammy l. Ober (started 9/1/16) ---------------------------”

“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 115,177 visits during fiscal year 2017. Total patient days for the fiscal year were 164,607. Medicare and medicaid patients contributed 16,156 and 6,601, respectively, towards the 35,444 total inpatient discharges during the fiscal year. ---------------------------”

“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 $72.4m 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 $11.3m. ---------------------------”

“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). ---------------------------”

“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 6/30/17 was $21,663,645. ---------------------------”

“Other changes in net assets or fund balances other non-operating income $ 456,089 transfer of net assets 361,923 related party transfers (99,049,950) perpetual trust distribution 78,352 uncollectible pledge (24,000) change in interest in net assets of lancaster general (35,023) lgh and novastream intercompany eliminations 183,252 ______________ total $(98,029,357) ---------------------------”

“Audited financial statements the financial information for lancaster general health and its affiliates, including lancaster general hospital was included in the university of pennsylvanias combined financial statements and audited on a consolidated basis. ---------------------------”