Civic Intelligence

Lancaster General Medical Group

990 • Fiscal year 2017 • EIN 23-2777286

Jul 01, 2016 to Jun 30, 2017 • Filed on May 02, 2018

1030 New Holland AvenueLancaster, PA 17601

(717) 544-4926

Siviq Scores

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

Liabilities / Assets

83rd percentile

0.75x

Higher debt load relative to assets than 83% of similar nonprofits.

2017 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2017

Liabilities / Revenue

33rd percentile

0.21x

Higher debt load relative to revenue than 33% of similar nonprofits.

2017 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2017

Net Margin

5th percentile

-49%

Higher net margin than 5% of similar nonprofits.

2017 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2017

Top Officer Pay

89th percentile

$1,132,979

Higher top officer pay than 89% of similar nonprofits.

Top officer pay equals 1.2% of source-year revenue.

2017 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2017

Asset Growth

14th percentile

-3.4%

Faster asset growth than 14% of similar nonprofits.

2017 filings • 501(c)3 • $50M-$100M nonprofits • Annualized from 2016 to 2017

Revenue Growth

64th percentile

9.9%

Faster revenue growth than 64% of similar nonprofits.

2017 filings • 501(c)3 • $50M-$100M nonprofits • Annualized from 2016 to 2017

Assets

Down

$26,135,643

Down $915,395 (-3.4%) from 2016

Net Assets

Down

$6,611,361

Down $4,180,062 (-39%) from 2016

Liabilities

Up

$19,524,282

Up $3,264,667 (+20%) from 2016

Revenue

Up

$93,923,360

Up $8,459,766 (+9.9%) from 2016

Expenses

Up

$139,818,595

Up $16,229,261 (+13%) from 2016

Net Income

Down

-$45,895,235

Down $7,769,495 (-20%) from 2016

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

2017

Assets$26,135,643
Liabilities$19,524,282
Net Assets$6,611,361

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

2017

Revenue$93,923,360
Expenses$139,818,595
Net Income-$45,895,235
Jump To
Filing Snapshot
Filing Period
Jul 1, 2016 to Jun 30, 2017
Signed
May 2, 2018
Return Version
2016v3.1
Gross Receipts
$93,923,360
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.

Provides superior, compassionate, integrated and multi-specialty health care to our patients and communities within a trusting and rewarding work envoronment.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$10,301,610$10,886,160▲ $584,550
Accounts Receivable$6,190,014$5,937,291▼ $252,723
Intangible Assets$2,345,000$2,785,000▲ $440,000
Prepaid Expenses and Deferred Charges$2,208,731$2,510,514▲ $301,783
Savings and Temporary Cash Investments$4,233,051$1,400,043▼ $2,833,008
Inventories for Sale or Use$31,332$0▼ $31,332
Cash and Non-Interest-Bearing Accounts$9,494$8,969▼ $525
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
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
Investments in Publicly Traded Securities$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$27,051,038$26,135,643▼ $915,395
Other Assets Total$1,731,806$2,607,666▲ $875,860
Liabilities
Accounts Payable and Accrued Expenses$10,501,939$12,853,882▲ $2,351,943
Other Liabilities$5,757,676$6,657,873▲ $900,197
Deferred Revenue$0$12,527▲ $12,527
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$16,259,615$19,524,282▲ $3,264,667
Net Assets / Fund Balance
Unrestricted Net Assets$10,791,423$6,611,361▼ $4,180,062
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Total Net Assets Fund Balance$10,791,423$6,611,361▼ $4,180,062
Total Liabilities and Net Assets / Fund Balance$27,051,038$26,135,643▼ $915,395

Asset Categories

AssetBook ValueDepreciationBasis
Leasehold Improvements$6,965,639$5,292,255$12,257,894
Equipment$3,920,521$6,121,562$10,042,083
Other Assets Org$19,477--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
T Raymond Foley MDPresidentFT$589,047$343,625$932,672
Paul G Newman MDSurgeonFT$396,154$287,509$683,663
Rodney M JamilHematologistFT$430,234$239,140$669,374
James A StuccioVice PresidentFT$411,664$215,662$627,326
Nandi J Reddy MDPhysicianFT$433,945$188,485$622,430
Randall A OyerProgram Director OncologyFT$493,427$67,752$561,179
Samuel J Kerr MDPhysicianFT$421,090$123,586$544,676
Elizabeth C Horenkamp MDManaging PhysicianFT$413,851$96,734$510,585
David S Warsaw MDTrusteeFT$329,920$103,057$432,977
Gary S Gehman MDTrusteeFT$259,672$126,491$386,163
Paul M Conslato MDDirector, Clinical AffairsFT$271,684$83,966$355,650
John J Yoder MDFormer Key EmployeeFT$182,690$142,670$325,360
Rebecca M Shepherd MDFormer Key EmployeeFT$200,610$94,435$295,045
Sean P ReynoldsVP Operations, Physician SvcsFT$116,811$8,169$124,980

Board Members and Trustees

NameTitle
Christopher T Addis MDTrustee
Jan L BergenTrustee
Lee M Duke II MDTrustee
Margaret F Costella EsqAssistant Secretary
Brian J Young MDFormer Key Employee
Dennis R RoemerFormer Officer
Robert P Macina EsqSecretary
F Joseph Byorick IIITreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Eg Stoltzfus ConstructionConstruction Srvcs2127 NEW HOLLAND PIKE, Lancaster, PA 17601$830,093
Philips HealthcareHealthcare ServicesPO BOX 100355, Atlanta, GA 30384$333,312
Press Ganey Assoc INCPatient SurveysPO BOX 88335, Milwaukee, WI 53288-0335$308,365
Vanguard Cleaning SystemsCleaning Services20 S 36TH STREET STE 200, Camp Hill, PA 17104$226,030
Intelliprint Solutions INCPrinting Services3930 CHAMBERS HILL ROAD, Harrisburg, PA 17111$180,290
Revenue and Support

Revenue Composition

Contributions and Grants
$100,000
Program Service Revenue
$78,815,054
Investment Income
$0
Other Revenue
$15,008,306
Change in Net Assets
$-45,895,235

Audited Revenue Reconciliation

Revenue per Audited Statements
$93,923,360
Revenue Not Reported on Form 990
$41,715,173
Total Revenue per Audited Statements
$135,638,533
Total Revenue per Form 990
$93,923,360
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$99,025,440
Other Expenses$40,791,055
Grants and Similar Amounts Paid$2,100
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$69,386,683$7,194,983$0$76,581,666
Other Employee Benefits$8,140,161$1,717,838$0$9,857,999
Occupancy$7,146,966$157,627$0$7,304,593
Pension Plan Contributions$4,833,264$553,382$0$5,386,646
Payroll Taxes$4,301,442$590,739-$4,892,181
Insurance$3,100,005$7,157$0$3,107,162
Current Officers, Directors, Trustees, and Key Employees$664,285$1,642,663$0$2,306,948
Office Expenses$1,867,065$327,724$0$2,194,789
Depreciation Depletion$1,661,134$42,837$0$1,703,971
Fees for Services Management$639,821$832,926$0$1,472,747
Information Technology$182,748$93,323-$276,071
Advertising$271,014$0$0$271,014
Fees for Services Other$21,018$76,154-$97,172
Fees for Services Legal$225$93,691-$93,916
Other Expenses$30,000$0$0$30,000
Travel$6,027$2,745$0$8,772
Fees for Services Accounting$0$6,280$0$6,280
Grants to Domestic Orgs$2,100--$2,100
Total Functional Expenses$117,479,181$22,339,414$0$139,818,595

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$139,818,595
Total Expenses per Audited Statements$139,818,595
Total Expenses per Form 990$139,818,595
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
John J Yoder MdFormer Key Employee/managing PhyRentNo$558,135
Gary Gehman MdTrustee/reg Med Dir/phyRentNo$103,175
Devon RoemerFamily Member of Former OfficerCompensationNo$53,475
Megan ByorickFamily Member of OfficerCompensationNo$26,042

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
Medical Malpractice Liability$5,094,257
Ibnr Medical & Dental$958,959
Due to Affiliates$602,985
Other$1,672
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
Yes
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, Section A, Line 6

Detail 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, Section A, Line 7A

Detail of members or stockholders lancaster general health elects the board of trustees of lancaster general medical group. -------------------------

Form 990, Part VI, Section A, Line 7B

Detail 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, Section B, Line 11B

Form 990 review process 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, Section 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, Section B, Line 14

Document retention and destruction policy 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, Section B, 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, Section C, Line 19

Documents availability 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

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. 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 VII, Section A

Detail of officers, directors, trustees the lancaster general medical group board terms run september thru september and the 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: f.joseph byorick (started 01/01/17) ------------------------------

Filing and Contact Details

Filer

Filer Name
Lancaster General Medical Group
EIN
23-2777286
In Care Of
% F JOSEPH BYORICK III
Phone
7175444926
Address
1030 NEW HOLLAND AVENUE, LANCASTER, PA 17601

Signing Officer

Name
F Joseph Byorick Iii
Title
CFO
Phone
7175445249
Signed
2018-05-02
Discuss with paid preparer
Yes

Organization Details

Principal Officer
F Joseph Byorick Iii
Formed
1994
Legal Domicile
Pa
Voting Board Members
9
Independent Board Members
0
Employees
1,050
Volunteers
12

Preparer

Firm
PricewaterhouseCoopers LLP
Address
2001 MARKET ST SUITE 1800, PHILADELPHIA, PA 19103
Preparer
Antonio C Russo
Phone
2673303000
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9

Detail of other changes in net assets related party transfers $41,699,033 other non-operating income 16,140 ----------- total $41,715,173 ------------------------------

Form 990, Part XII, Line 2B

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

Form 990, Schedule A, Part I, Line 3

Inapplicability of schedule h although lancaster general medical group receives its public charity status as a hospital, it is not required to file form 990, schedule h, as the organization is not a licensed hospital. ------------------------------

Financial Statement Notes

Schedule D, Part XI, Line 2(D)

Other revenues in audited financial statements related party transfers $41,699,033 other non-operating income 16,140 ----------- total $41,715,173 ------------------------------

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, 2017 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.

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Document Assets

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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