Civic Intelligence

Lancaster General Medical Group

990 • Fiscal year 2014 • EIN 23-2777286

Jul 01, 2013 to Jun 30, 2014 • Filed on May 07, 2015

1030 New Holland Avenue17604

(717) 544-4926

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

80th percentile

0.70x

Higher debt load relative to assets than 80% of similar nonprofits.

2014 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2014

Liabilities / Revenue

28th percentile

0.19x

Higher debt load relative to revenue than 28% of similar nonprofits.

2014 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2014

Net Margin

4th percentile

-39%

Higher net margin than 4% of similar nonprofits.

2014 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2014

Top Officer Pay

94th percentile

$1,494,143

Higher top officer pay than 94% of similar nonprofits.

Top officer pay equals 2.1% of source-year revenue.

2014 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2014

Asset Growth

64th percentile

8.8%

Faster asset growth than 64% of similar nonprofits.

2014 filings • 501(c)3 • $50M-$100M nonprofits • Annualized from 2013 to 2014

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2014

Assets

Up

$19,042,638

Up $1,543,309 (+8.8%) from 2013

Net Assets

Up

$5,772,412

Up $2,872,153 (+99%) from 2013

Liabilities

Down

$13,270,226

Down $1,328,844 (-9.1%) from 2013

Revenue

$71,026,318

No earlier filing loaded for comparison.

Expenses

Up

$99,066,115

Up $11,488,078 (+13%) from 2013

Net Income

-$28,039,797

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$40M$30M$20M$10M$0Assets 2010: $14,455,258Liabilities 2010: $9,606,803Net Assets 2010: $4,848,4552010Assets 2011: $12,415,306Liabilities 2011: $10,224,314Net Assets 2011: $2,190,9922011Assets 2012: $11,776,957Liabilities 2012: $8,878,659Net Assets 2012: $2,898,2982012Assets 2013: $17,499,329Liabilities 2013: $14,599,070Net Assets 2013: $2,900,2592013Assets 2014: $19,042,638Liabilities 2014: $13,270,226Net Assets 2014: $5,772,4122014Assets 2015: $15,784,518Liabilities 2015: $12,670,669Net Assets 2015: $3,113,8492015Assets 2016: $27,051,038Liabilities 2016: $16,259,615Net Assets 2016: $10,791,4232016Assets 2017: $26,135,643Liabilities 2017: $19,524,282Net Assets 2017: $6,611,3612017Assets 2018: $33,977,463Liabilities 2018: $21,799,518Net Assets 2018: $12,177,9452018Assets 2019: $39,620,028Liabilities 2019: $23,905,651Net Assets 2019: $15,714,3772019Assets 2020: $36,228,576Liabilities 2020: $30,519,099Net Assets 2020: $5,709,4772020Assets 2021: $37,253,695Liabilities 2021: $34,682,474Net Assets 2021: $2,571,2212021Assets 2022: $36,228,702Liabilities 2022: $29,988,665Net Assets 2022: $6,240,0372022Assets 2023: $31,925,170Liabilities 2023: $22,248,934Net Assets 2023: $9,676,2362023Assets 2024: $28,090,901Liabilities 2024: $23,500,206Net Assets 2024: $4,590,6952024

Highlighted filing

2014

Assets$19,042,638
Liabilities$13,270,226
Net Assets$5,772,412

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$300M$200M$100M$0-$100MExpenses 2010: $74,638,9702010Expenses 2011: $72,396,9012011Expenses 2012: $79,518,7402012Expenses 2013: $87,578,0372013Revenue 2014: $71,026,318Expenses 2014: $99,066,115Net Income 2014: -$28,039,7972014Revenue 2015: $76,719,734Expenses 2015: $105,819,092Net Income 2015: -$29,099,3582015Revenue 2016: $85,463,594Expenses 2016: $123,589,334Net Income 2016: -$38,125,7402016Revenue 2017: $93,923,360Expenses 2017: $139,818,595Net Income 2017: -$45,895,2352017Revenue 2018: $103,167,686Expenses 2018: $155,194,325Net Income 2018: -$52,026,6392018Revenue 2019: $114,147,348Expenses 2019: $176,948,656Net Income 2019: -$62,801,3082019Revenue 2020: $121,615,307Expenses 2020: $209,043,207Net Income 2020: -$87,427,9002020Revenue 2021: $140,906,179Expenses 2021: $218,095,383Net Income 2021: -$77,189,2042021Revenue 2022: $159,187,262Expenses 2022: $237,055,554Net Income 2022: -$77,868,2922022Revenue 2023: $163,623,728Expenses 2023: $261,258,539Net Income 2023: -$97,634,8112023Revenue 2024: $177,833,975Expenses 2024: $272,340,222Net Income 2024: -$94,506,2472024

Highlighted filing

2014

Revenue$71,026,318
Expenses$99,066,115
Net Income-$28,039,797
Jump To
Filing Snapshot
Filing Period
Jul 1, 2013 to Jun 30, 2014
Signed
May 7, 2015
Return Version
2013v4.0
Gross Receipts
$71,026,318
Mission and Program Overview

Mission

Lancaster general medical group was organized principally to develop, own and operate outpatient health care practices at which primary and specialty medical services are provided by licensed providers. Lancaster general medical group operates primary care practices, specialty care practices, surgical practices, express care clinics and urgent care centers.

In support of the mission of lancaster general health, lancaster general medical group provides superior, compassionate, integrated and multi-specialty health care to our patients and communities within a trusting and rewarding work environment.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$4,906,430$5,836,775▲ $930,345
Savings and Temporary Cash Investments$3,258,735$5,422,808▲ $2,164,073
Accounts Receivable$4,344,078$4,637,239▲ $293,161
Intangible Assets$1,780,000$1,780,000→ $0
Prepaid Expenses and Deferred Charges$1,061,450$1,100,768▲ $39,318
Inventories for Sale or Use$10,828$51,479▲ $40,651
Cash and Non-Interest-Bearing Accounts$12,808$13,569▲ $761
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$17,499,329$19,042,638▲ $1,543,309
Other Assets Total$2,125,000$200,000▼ $1,925,000
Liabilities
Accounts Payable and Accrued Expenses$9,098,923$9,148,270▲ $49,347
Other Liabilities$5,500,147$4,121,956▼ $1,378,191
Total Liabilities$14,599,070$13,270,226▼ $1,328,844
Net Assets / Fund Balance
Unrestricted Net Assets$2,900,259$5,772,412▲ $2,872,153
Total Net Assets Fund Balance$2,900,259$5,772,412▲ $2,872,153
Total Liabilities and Net Assets / Fund Balance$17,499,329$19,042,638▲ $1,543,309

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$2,657,740$4,469,021$7,126,761
Leasehold Improvements$3,179,035$3,501,530$6,680,565
Buildings$0--
Other Land Buildings$0--
Land$0--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
T Raymond Foley MdPresident, Physician ServicesFT$531,655$190,239$721,894
Nandi J Reddy MdPhysicianFT$561,645$94,563$656,208
Samuel J Kerr MdPhysicianFT$528,189$112,943$641,132
Gayle B Sisbarro MdManaging PhysicianFT$555,963$57,361$613,324
Randall Oyer MdProgram Director OncologyFT$499,991$67,898$567,889
Elizabeth C Horenkamp MdManaging PhysicianFT$452,896$95,414$548,310
Shanthi Sivendran MdPhysicianFT$481,927$49,848$531,775
James StuccioChief Administrative OfficerFT$363,454$76,863$440,317
Lisa S Allen MdTrusteeFT$282,680$68,227$350,907
Marc S Russo MdTrusteeFT$279,796$50,443$330,239
Rebecca M Shepherd MdPhysicianFT$262,145$60,543$322,688
Paul M Conslato MdDirector, Clinical AffairsFT$246,382$47,776$294,159
Eric L Esch MdTrusteeFT$228,738$60,255$288,993
Christopher E MaleyVP Operations, Physician ServicesFT$219,855$63,482$283,337
Christopher L Hager MdTrusteeFT$232,892$48,882$281,774
John J Yoder MdManaging PhysicianFT$196,383$80,903$277,286
Milan Mehta CPAFormer VP Finance, Physician Services-$100,397$103,424$103,424

Board Members and Trustees

Highest Paid Contractors

ContractorServicesLocationCompensation
Norlanco Real Estate PartnershipRent-$533,901
Eg Stoltzfus ConstructionConstruction-$482,990
Village Commons PartnersRent-$301,697
Mount Joy Holding CompanyRent/construction-$277,422
High Associates LtdRent-$221,015
Revenue and Support

Revenue Composition

Contributions and Grants
$349,500
Program Service Revenue
$61,961,041
Investment Income
$0
Other Revenue
$8,715,777
All Other Contributions
$1,500
Change in Net Assets
$-28,039,797

Audited Revenue Reconciliation

Revenue per Audited Statements
$71,026,318
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$30,911,950
Other Revenue Adjustments
$0
Total Revenue per Audited Statements
$101,938,268
Total Revenue per Form 990
$71,026,318
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$75,238,271
Other Expenses$23,827,844
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$48,797,738$5,118,912-$53,916,650
Pension Plan Contributions$6,686,753$661,213-$7,347,966
Other Employee Benefits$5,281,110$1,061,094-$6,342,204
Occupancy$5,712,985$287,824-$6,000,809
Current Officers, Directors, Trustees, and Key Employees$2,208,328$1,970,089-$4,178,417
Payroll Taxes$2,976,608$476,426-$3,453,034
Other Expenses$2,859,943$2,727,613-$2,727,613
Office Expenses$2,025,464$222,230-$2,247,694
Depreciation Depletion$903,121$32,472-$935,593
Insurance$798,260$11,055-$809,315
Fees for Services Other$250,407$465,746$0$716,153
Advertising$83,921$473,020-$556,941
Information Technology$66,333$47,699-$114,032
Travel$48,385$60,603-$108,988
Interest$79--$79
Total Functional Expenses$83,626,705$15,439,410$0$99,066,115

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$99,066,115
Total Expenses per Audited Statements$99,066,115
Total Expenses per Form 990$99,066,115
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
Other Expense Adjustments$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
-Managing Physician/key EmployeeRentNo$533,901
-Physician/trusteeRentNo$533,901
-Physician/trusteeRentNo$217,732

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliated Organizations$1,782,930
Ibnr Medical Malpractice$1,458,672
Ibnr Medical and Dental Malpractice$433,000
Medical Negligence Estimate Claims$200,000
Severance Owed$141,316
IBNR WORKER'S COMPENSATION$105,170
Unclaimed Vendor Payments$868
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Sec A, Line 2, Family/business relationships amongst interested persons

Marc s. Russo, md - business relationship, eric l. Esch, md - business relationship, john j. Yoder, md - business relationship

Form 990, Part VI, Sec A, Line 6, Classes of members or stockholders

The sole member of lancaster general medical group is lancaster general health. The sole member may initiate or implement any proposal with respect to any of the following; amendment of charter, certificate of articles of incorporation or bylaws; sale, purchase, lease or encumbrance with debt; the transfer of any assets of the corporation, excluding equipment; election or removal of the board of trustees of the corporation; the approval of the annual operating and capital budgets of the corporation; the approval of investment advisors, outside legal counsel, and auditors of the corporation; and the approval of non-budgeted expenditures.

Form 990, Part VI, Sec A, Line 7A, Members or stockholders electing members of governing body

Lancaster general health elects the board of trustees of lancaster general medical group.

Form 990, Part VI, Sec A, Line 7B, Decisions requiring approval by members or stockholders

The sole member of lancaster general medical group is lancaster general health. The sole member may initiate or implement any proposal with respect to any of the following; amendment of charter, certificate of articles of incorporation or bylaws; sale, purchase, lease or encumbrance with debt; the transfer of any assets of the corporation, excluding equipment; election or removal of the board of trustees of the corporation; the approval of the annual operating and capital budgets of the corporation; the approval of investment advisors, outside legal counsel, and auditors of the corporation; and the approval of non-budgeted expenditures.

Form 990, Part VI, Line 10A, Local Chapters, Branches, or Affiliates

Lancaster general health (ein# 23-2250941) is the parent organization of multiple affiliates including lancaster general medical group.

Form 990, Part VI, Sec B, Line 11B, Review of form 990 by governing body

The cfo, the vice president-controller and the director of accounting reviewed the form 990. In addition, the members of the governing body were given the opportunity to view the 990 online via the board portal system prior to the electronic filing.

Form 990, Part VI, Sec B, Line 12C, Conflict of interest policy

In order to ascertain and evaluate actual or potential conflicts, certain interested person are required to fill out a conflict of interest disclosure statement upon entering employment or becoming a trustee of lancaster general health 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 health, situations which may give rise to an actual or potential conflict of interest as described in the policy.

Form 990, Part VI, Line 14, Policies and Procedures

The organization has the policies and procedures in place as mentioned in form 990, part vi, line 14. However, they are not currently approved by the governing board.

Form 990, Part VI, Sec B, Line 15A, Process to establish compensation of top management official

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, Sec B, Line 15B, Process to establish compensation of other employees

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, Sec C, Line 19, Required documents available to the public

Lancaster general medical group does not make the governing documents, conflict of interest policy, or financial statements available to the public.

Form 990, Part VII, Section A, Line 1A, Column (B), Average Hours Per Week

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.

Form 990, Part VII, Section A, Line 1A, Column (B), Compensation

Members of the board are not compensated for their position on the board. Compensation disclosed relates to other services performed.

Filing and Contact Details

Filer

EIN
23-2777286
Phone
7175444926

Signing Officer

Name
Dennis R Roemer
Title
Evp and CFO
Signed
2015-05-07

Organization Details

Formed
1994
Legal Domicile
Pa
Voting Board Members
13
Independent Board Members
3
Employees
726
Volunteers
24
Supplemental Narrative

Additional Explanations

Form 990, Part I, Line 17, Other Expenses

In july 2012, lancaster general medical group adopted the provisions of asu 2011-07 "presentation and disclosure of patient service revenue, provision for bad debts, and the allowance for doubtful accounts for certain health care entities." the asu requires health care entities to present the provision for bad debts related to patient service revenue as a deduction from patient service revenue on the face of the combined statements of operations and changes in net assets. With that said, bad debt of $1,299,004 is included on form 990, part i, line 9 for the current reporting year.

Form 990 , Part XI, Line 9, Other changes in net assets or fund balances

Related party contribution - 29666250; other non-operating income - 1245700;

Form 990, Part XII, Line 2B, Financial Statements and Reporting

Lancaster general medical group's financial information was included in a consolidated audit of lancaster general health.

Financial Statement Notes

Schedule D, Part X, Line 2, FIN 48 (ASC 740) footnote

Lancaster general medical group follows the accounting guidance for uncertainties in income tax positions which requires that a tax position be recognized or derecognized based on a "more likely than not" threshold. This applies to positions taken or expected to be taken in a tax return. Lancaster general medical group does not believe its consolidated financial statements include any material uncertain tax positions.

Schedule D, Part XI, Line 2D, Other revenues in audited financial statements not in form 990

Related party contribution - 29666250; other non-operating income - 1245700;

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Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$28.1$23.5$4.59$178$272$94.5
2023Detailed filing. Detailed filing data is available for this year.$31.9$22.2$9.68$164$261$97.6
2022Detailed filing. Detailed filing data is available for this year.$36.2$30.0$6.24$159$237$77.9
2021Detailed filing. Detailed filing data is available for this year.$37.3$34.7$2.57$141$218$77.2
2020Detailed filing. Detailed filing data is available for this year.$36.2$30.5$5.71$122$209$87.4
2019Detailed filing. Detailed filing data is available for this year.$39.6$23.9$15.7$114$177$62.8
2018Detailed filing. Detailed filing data is available for this year.$34.0$21.8$12.2$103$155$52.0
2017Detailed filing. Detailed filing data is available for this year.$26.1$19.5$6.61$93.9$140$45.9
2016Detailed filing. Detailed filing data is available for this year.$27.1$16.3$10.8$85.5$124$38.1
2015Detailed filing. Detailed filing data is available for this year.$15.8$12.7$3.11$76.7$106$29.1
2014Detailed filing. Detailed filing data is available for this year.$19.0$13.3$5.77$71.0$99.1$28.0
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$17.5$14.6$2.90$87.6
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$11.8$8.88$2.90$79.5
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$12.4$10.2$2.19$72.4
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$14.5$9.61$4.85$74.6
Peer Organizations

Similar nonprofits based on the same Siviq industry and scale cohort. 2014 filings • 501(c)3 • $50M-$100M nonprofits