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Lancaster General Hospital
555 North Duke Street
Lancaster, PA 17604
EIN: 231365353
The hospital that you have selected is part of a multi-facility organization that reports community benefit expenditures in the aggregate and not by individual hospital. The data shown below are for the multi-facility organization. We encourage you to contact the individual hospital directly if you would like community benefit information on the hospital.Learn more
Individual Facility Details: Lancaster General Hospital555 North Duke Street
Lancaster, PA 17604
Lancaster, PA 17604
1 hospital in organization:
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| Bed count | 632 | Medicare provider number | 390100 | Member of the Council of Teaching Hospitals | YES | Children's hospital | NO |
Lancaster General HospitalDisplay data for year:
Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
8.87%
Spending by Community Benefit Category- 2021
(as % of total functional expenses)
(as % of total functional expenses)
Community Benefit Spending Compared to Functional Expenses, 2010-2021
Additional data
Community Benefit Expenditures: 2021
All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Operating expenses $ 1,290,444,392 Total amount spent on community benefits as % of operating expenses$ 114,498,197 8.87 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 8,237,599 0.64 %Medicaid as % of operating expenses$ 91,427,075 7.08 %Costs of other means-tested government programs as % of operating expenses$ 0 0 %Health professions education as % of operating expenses$ 10,266,196 0.80 %Subsidized health services as % of operating expenses$ 0 0 %Research as % of operating expenses$ 0 0 %Community health improvement services and community benefit operations*
as % of operating expensesNote: these two community benefit categories are reported together on the Schedule H, part I, line 7e.$ 4,027,129 0.31 %Cash and in-kind contributions for community benefit* as % of operating expenses$ 540,198 0.04 %Community building*
as % of operating expenses$ 2,058,370 0.16 %- * = CBI denoted preventative categories
- Community building activities details:
Did tax-exempt hospital report community building activities? YES Number of activities or programs (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Persons served (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Community building expense
as % of operating expenses$ 2,058,370 0.16 %Physical improvements and housing as % of community building expenses$ 0 0 %Economic development as % of community building expenses$ 0 0 %Community support as % of community building expenses$ 0 0 %Environmental improvements as % of community building expenses$ 0 0 %Leadership development and training for community members as % of community building expenses$ 0 0 %Coalition building as % of community building expenses$ 0 0 %Community health improvement advocacy as % of community building expenses$ 558,370 27.13 %Workforce development as % of community building expenses$ 0 0 %Other as % of community building expenses$ 1,500,000 72.87 %Direct offsetting revenue $ 0 Physical improvements and housing $ 0 Economic development $ 0 Community support $ 0 Environmental improvements $ 0 Leadership development and training for community members $ 0 Coalition building $ 0 Community health improvement advocacy $ 0 Workforce development $ 0 Other $ 0
Other Useful Tax-exempt Hospital Information: 2021
In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.
Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
as % of operating expenses$ 32,420,000 2.51 %Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program? NO - Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.
Does the organization have a written financial assistance (charity care) policy? YES Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients? YES Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
as % of operating expenses$ 0 0 %- Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Reported to credit agency Not available Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid? YES The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines? Not available In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.
Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute? YES
Community Health Needs Assessment Activities: 2021
The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.
Did the tax-exempt hospital report that they had conducted a CHNA? YES Did the CHNA define the community served by the tax-exempt hospital? YES Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital? YES Did the tax-exempt hospital make the CHNA widely available (i.e. post online)? YES Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA? YES
Supplemental Information: 2021
This section presents qualitative information submitted by the hospital, verbatim from the 990H record.
- Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4A (Expenses $ 225022672 including grants of $ 0) (Revenue $ 251087984) NURSING SERVICES
4B (Expenses $ 197662329 including grants of $ 0) (Revenue $ 187691138) PHARMACY
4C (Expenses $ 189001892 including grants of $ 0) (Revenue $ 257012363) SURGICAL SERVICES
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Facility Information
Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.
PART V, SECTION B, LINE 5 - INPUT FROM COMMUNITY TO GATHER BROAD COMMUNITY INPUT ABOUT THE COUNTY'S MOST IMPORTANT HEALTH PROBLEMS, WE INTERVIEWED 41 COMMUNITY PARTNERS ABOUT THE STRENGTHS OF LANCASTER COUNTY, BARRIERS TO GOOD HEALTH, COMMUNITY CAPACITY TO MEET COMMUNITY HEALTH NEEDS, AND WHAT IS NEEDED 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. WE ALSO COMPLETED AN ONLINE SURVEY WITH THE PUBLIC FROM OCTOBER 14 TO NOVEMBER 15, 2021. LINKS TO THE SURVEY WERE POSTED ON SOCIAL MEDIA, PRINTED IN THE LOCAL NEWSPAPER, AND EMAILED TO LISTS OF COMMUNITY PARTNERS TO SHARE WITH THE PUBLIC. THE SURVEY WAS AVAILABLE IN ENGLISH AND SPANISH, AND A TOTAL OF 1,008 INDIVIDUALS COMPLETED THE SURVEY. WELLSPAN HEALTH AND PENN MEDICINE LANCASTER GENERAL HEALTH ALSO INVITED LANCASTER COUNTY COMMUNITY MEMBERS TO ATTEND A VIRTUAL DISCUSSION IN EARLY NOVEMBER 2021 TO VIEW A PRESENTATION OF COMMUNITY HEALTH DATA AND CONTRIBUTE 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. NEXT, 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 THIS COMMUNITY HEALTH NEEDS ASSESSMENT FOR LANCASTER COUNTY, PENNSYLVANIA WAS CONDUCTED COLLABORATIVELY BY PENN MEDICINE LANCASTER GENERAL HEALTH (LANCASTER GENERAL HOSPITAL, WOMEN & BABIES HOSPITAL, LANCASTER REHABILITATION HOSPITAL, AND LANCASTER BEHAVIORAL HEALTH HOSPITAL), WELLSPAN HEALTH (WELLSPAN EPHRATA COMMUNITY HOSPITAL). -------------------------
PART V, SECTION B, LINE 7A - CHNA AVAILABILITY THE CHNA REPORT CAN 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 - JOINT CHNA THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY WERE PRESENTED TO THE PUBLIC AT TWO COMMUNITY EVENTS IN 2022: THE HOURGLASS FOUNDATION'S FIRST FRIDAY FORUM AND THE LANCASTER COUNTY HEALTH SUMMIT COORDINATED BY THE CENTRAL PENNSYLVANIA BUSINESS GROUP ON HEALTH. --------------------
PART V, SECTION B, LINE 9 - TAX YEAR THE MOST RECENT IMP. WAS ADOPTED THE ORGANIZATION'S MOST RECENT IMPLEMENTATION STRATEGY WAS ADOPTED BY 5/19/2022, AS PERMITTED UNDER THE REGULATIONS. -------------------------
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 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 - FINANCIAL ASSISTANCE POLICY 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 & PRESUMPTIVE ELIGIBLE DETERMINATIONS LANCASTER GENERAL HOSPITAL DOES NOT PERFORM EXTRAORDINARY COLLECTION ACTIONS OR MAKE PRESUMPTIVE ELIGIBILITY DETERMINATIONS. -------------------------
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Supplemental Information
Schedule H (Form 990) Part VI
PART I, LINE 3C - FEDERAL POVERTY GUIDELINES LANCASTER GENERAL HOSPITAL FOLLOWS THE FEDERAL POVERTY GUIDELINES AS WELL AS LIQUID ASSETS FOR FREE CARE AND DISCOUNTED CARE. -------------------------
PART I, LINE 5B - FREE OR DISCOUNTED CARE BUDGET LANCASTER GENERAL HOSPITAL PROVIDED FINANCIAL ASSISTANCE IN THE AMOUNT OF $25,858,978, UNDER THE GUIDELINES OF ITS CHARITY CARE POLICY. THIS AMOUNT WAS LOWER THAN ITS BUDGETED AMOUNT OF $26,925,684 BY $1,066,706. THE PRIOR YEAR FINANCIAL ASSISTANCE TOTAL WAS $24,179,362. -------------------------
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.
PART I, LINE 7A - EXPLANATION OF COSTING METHODOLOGY THE BAD DEBT EXPENSE AMOUNT INCLUDED ON FORM 990, PART IX, COLUMN 25(A) WAS $433,098 RELATED TO NON-PATIENT BAD DEBTS FOR THE YEAR ENDED JUNE 30, 2022. CONSISTENT WITH PRIOR YEAR, DUE TO THE ADOPTION OF ACCOUNTING PRONOUNCEMENT ASC 606, IMPLICIT PRICE CONCESSIONS ARE TREATED AS A CONTRA-REVENUE ITEM ON THE STATEMENT OF REVENUE. 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 7 - PERCENT OF TOTAL EXPENSE THE PERCENT OF TOTAL EXPENSE IS CALCULATED USING THE FUNCTIONAL EXPENSE 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 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 - IMPLICIT PRICE CONCESSIONS/BAD DEBT EXPENSE THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED IS BASED ON ACTUAL CHARGES WRITTEN OFF (AMOUNTS THAT ARE DEEMED TO BE UNCOLLECTIBLE AND RECORDED AS IMPLICIT PRICE CONCESSIONS UNDER ACCOUNTING PRONOUNCEMENT ASC 606). -------------------------
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 - IMPLICIT PRICE CONCESSION FOOTNOTE THE IMPLICIT PRICE CONCESSION (BAD DEBT EXPENSE) FOOTNOTE DISCLOSURE CAN BE FOUND ON PAGE 17 OF THE ELECTRONICALLY ATTACHED COMBINED FINANCIAL STATEMENTS FOR THE UNIVERSITY OF PENNSYLVANIA. -------------------------
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 HOSPITAL'S MEDICARE COST REPORT FOR FISCAL YEAR 2022. THE $128,911,561 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 $209,873,410 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 $163,556,522. 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 HOSPITAL'S 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. PATIENTS WHO ARE APPROVED FOR PARTIAL DISCOUNTS WITHIN FA ARE FORWARDED TO COLLECTIONS IF THE BALANCE IS NOT PAID. -------------------------
PART VI, LINE 2 - NEEDS ASSESSMENT IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT, OUR ORGANIZATION MAINTAINS AND MONITORS A COMPREHENSIVE DASHBOARD OF COMMUNITY HEALTH INDICATORS AT LGHEALTH.ORG/COUNTYHEALTHDATA. THIS DASHBOARD INCLUDES DATA INDICATORS ON MANY DIFFERENT HEALTH TOPICS AND ALLOWS US TO MONITOR CHRONIC DISEASES, HEALTH BEHAVIORS, MORTALITY RATES, AND OTHER INDICATORS. EVERY YEAR, WE PRODUCE AN ANNUAL COMMUNITY HEALTH UPDATE WITH CURRENT DATA AND ANY EMERGING COMMUNITY HEALTH NEEDS WE HAVE IDENTIFIED SINCE THE LAST CHNA. TO CONTINUOUSLY UNDERSTAND THE COMMUNITY'S HEALTH NEEDS, LG HEALTH PARTICIPATES IN MANY CROSS-SECTOR COLLABORATIVE GROUPS IN OUR COMMUNITY. WE LEAD TWO MAJOR COALITIONS, LET'S TALK LANCASTER (FOCUSED ON MENTAL HEALTH) AND JOINING FORCES (FOCUSED ON OVERDOSE PREVENTION). THESE TWO COALITIONS HAVE STEERING COMMITTEES THAT MEET REGULARLY AND HOST BIANNUAL COMMUNITY MEETINGS TO FOSTER DISCUSSION AND GATHER FEEDBACK ABOUT COMMUNITY RESOURCES, NEEDS, AND GAPS. WE PARTICIPATE IN ADDITIONAL COALITIONS FOCUSED ON FOOD SECURITY, AFFORDABLE HOUSING, BICYCLE INFRASTRUCTURE, HEALTH AND SAFETY IN THE PLAIN (AMISH) COMMUNITY, AND MATERNAL/CHILD HEALTH. THROUGH THESE ON-GOING CONVERSATIONS WITH OTHER HEALTH AND COMMUNITY ORGANIZATIONS, WE GATHER EARLY INFORMATION ABOUT EMERGING NEEDS. WHEN NEW HEALTH ISSUES EMERGE, WE USE A VARIETY OF TOOLS TO SYSTEMATICALLY GATHER DATA FROM COMMUNITY MEMBERS, INCLUDING ONLINE SURVEYS, INTERCEPT SURVEYS AT COMMUNITY EVENTS, INTERVIEWS, AND GROUP DISCUSSIONS. -------------------------
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 HOSPITAL'S 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 547,896 PEOPLE. ABOUT 18.4% OF THE POPULATION IS OVER THE AGE OF 64; 51.1% OF THE POPULATION IS FEMALE. THE MEDIAN INCOME IS $70,763, AND 7.7% OF THE POPULATION LIVES BELOW THE FEDERAL POVERTY LEVEL. LANCASTER GENERAL HOSPITAL'S MARKET SHARE IN LANCASTER COUNTY IS APPROXIMATELY 56.3%. -------------------------
PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH LANCASTER GENERAL HOSPITAL IS GOVERNED BY A BOARD OF NINETEEN (19) MEMBERS. FOUR MEMBERS ARE EMPLOYEES OF UPHS, THIRTEEN 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 2022, THE HOSPITAL COMMITTED $144 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 (EIN# 47-5202972) WHOSE PRIMARY ACTIVITY IS TELECOMMUNICATIONS. THE NEUROSPINE CENTER, LLC (EIN# 20-8626804) 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 - 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. THE USAGE OF THESE FUNDS IS UNRESTRICTED AND PROVIDES 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, COUNTY OF LANCASTER (EIN 23-6003055) IN THE AMOUNT OF $8,010, AND EAST HEMPFIELD TOWNSHIP (EIN 23-6000356) IN THE AMOUNT OF $2,830. -------------------------
