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THE LOWELL GENERAL HOSPITAL: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
THE LOWELL GENERAL HOSPITAL (EIN 04-2103590)
Tax period
2014-10-01 to 2015-09-30
Filed
2016-08-09
IRS object ID
201612229349300046
Schema version
2014v6.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-08-09T09:38:29-05:00ReturnTs
Tax Period End2015-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN263753134PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CBIZ TOFIASBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 BOYLSTON STREETAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02116ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN042103590EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE LOWELL GENERAL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLOWEBusinessNameControlTxt
Phone9789376000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1295 VARNUM AVENUEAddressLine1Txt
CityLOWELLCityNm
State AbbreviationMAStateAbbreviationCd
ZIP018542193ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonNORMAND DESCHENEPersonNm
Person TitlePRESIDENT/BOARD & CEO - LGHPersonTitleTxt
Phone9789376000PhoneNum
Signature2016-08-02SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOSEPH M GISO CPA MSTPreparerPersonNm
PTINP00030126PTIN
Phone6177610600PhoneNum
Preparation2016-08-02PreparationDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-12-15 16:53:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerNORMAND DESCHENEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1295 VARNUM AVENUEAddressLine1Txt
CityLOWELLCityNm
State AbbreviationMAStateAbbreviationCd
ZIP018542193ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$469,056,940GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.LOWELLGENERAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1939FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionTO MEET THE HEALTHCARE NEEDS OF COMMUNITIES SERVED THROUGH THE PROVISION OF INPATIENT AND OUTPATIENT MEDICAL SERVICES. TO PROVIDE SERVICES, PROGRAMS AND INITIATIVES TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE CITIZENS IN THE AREA, WITH A PARTICULAR FOCUS ON PEOPLE WHO ARE MEDICALLY UNDERSERVED, AT RISK, OR FINANCIALLY DISADVANTAGED.ActivityOrMissionDesc
Voting Members Governing Body20VotingMembersGoverningBodyCnt
Voting Members Independent16VotingMembersIndependentCnt
Total Employee3930TotalEmployeeCnt
Total Volunteers530TotalVolunteersCnt
Total Gross UBI$22,464TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$2,105,997NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,045,721PYContributionsGrantsAmt
CY Contributions Grants$2,228,048CYContributionsGrantsAmt
PY Program Service Revenue$418,217,451PYProgramServiceRevenueAmt
CY Program Service Revenue$432,322,931CYProgramServiceRevenueAmt
PY Investment Income$12,397,701PYInvestmentIncomeAmt
CY Investment Income-$2,370,483CYInvestmentIncomeAmt
PY Other Revenue$7,708,274PYOtherRevenueAmt
CY Other Revenue$7,239,788CYOtherRevenueAmt
PY Total Revenue$440,369,147PYTotalRevenueAmt
CY Total Revenue$439,420,284CYTotalRevenueAmt
PY Grants And Similar Paid$1,009,413PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,070,043CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$199,081,574PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$205,268,895CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$1,009,595CYTotalFundraisingExpenseAmt
PY Other Expenses$209,451,329PYOtherExpensesAmt
CY Other Expenses$209,271,862CYOtherExpensesAmt
PY Total Expenses$409,542,316PYTotalExpensesAmt
CY Total Expenses$415,610,800CYTotalExpensesAmt
PY Revenues Less Expenses$30,826,831PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$23,809,484CYRevenuesLessExpensesAmt
Total Assets BOY$473,258,528TotalAssetsBOYAmt
Total Assets EOY$469,431,684TotalAssetsEOYAmt
Total Liabilities BOY$306,151,176TotalLiabilitiesBOYAmt
Total Liabilities EOY$310,980,347TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$167,107,352NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$158,451,337NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO MEET THE HEALTHCARE NEEDS OF COMMUNITIES SERVED THROUGH THE PROVISION OF INPATIENT AND OUTPATIENT MEDICAL SERVICES. TO PROVIDE SERVICES, PROGRAMS AND INITIATIVES TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE CITIZENS IN THE AREA, WITH A PARTICULAR FOCUS ON PEOPLE WHO ARE MEDICALLY UNDERSERVED, AT RISK, OR FINANCIALLY DISADVANTAGED.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$168,995,733ExpenseAmt
Grant$1,070,043GrantAmt
Revenue$253,298,005RevenueAmt
DescLGH'S OUTPATIENT AND ANCILLARY SERVICES INCLUDE EMERGENCY DEPARTMENT (LEVEL III TRAUMA SERVICES), IMAGING/RADIOLOGY (INCLUDING MRI, CT, ULTRASOUND, MAMMOGRAPHY), LABORATORY, CARDIAC TESTING AND CATHETERIZATION, ENDOSCOPY, SURGERY, REHABILITATION THERAPIES, RADIATION ONCOLOGY AND CHEMOTHERAPY, AND A NUMBER OF OTHER SERVICES NEEDED TO SUPPORT INPATIENT AND OUTPATIENT CARE.OUTPATIENT STATISTICSEMERGENCY ROOM VISITS: 100,729 OUTPATIENT VISITS: 427,610 OUTPATIENT SURGERIES: 10,558 RADIATION TREATMENTS: 11,350Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$148,512,570ExpenseAmt
Revenue$186,564,000RevenueAmt
DescTHE LOWELL GENERAL HOSPITAL'S PRIMARY SERVICE AREA ("PSA") IS COMPRISED OF THE FOLLOWING NINE COMMUNITIES: BILLERICA, CHELMSFORD, DRACUT, DUNSTABLE, LOWELL, TEWKSBURY, TYNGSBORO AND WESTFORD, MASSACHUSETTS, AND PELHAM, NEW HAMPSHIRE, WITH A TOTAL OF APPROXIMATELY 291,000 RESIDENTS. THE HOSPITAL'S SECONDARY SERVICE AREA ("SSA") HAS A POPULATION OF ALMOST 340,000 AND INCLUDES THE SURROUNDING MUNICIPALITIES OF ANDOVER, CARLISLE, GROTON, LAWRENCE, LITTLETON, METHUEN, NORTH ANDOVER, PEPPERELL AND WILMINGTON, MASSACHUSETTS, AND HOLLIS, HUDSON AND NASHUA, NEW HAMPSHIRE. THE HOSPITAL OFFERS THE LATEST TECHNOLOGY AND A FULL RANGE OF MEDICAL, SURGICAL AND CRITICAL CARE SERVICES FOR PATIENTS, FROM NEWBORNS TO SENIORS. IT IS CURRENTLY LICENSED BY THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH TO OPERATE A TOTAL OF 434 ACUTE CARE BEDS (301 ADULT MEDICAL/SURGICAL, 29 INTENSIVE CARE, 40 PEDIATRIC, 26 OBSTETRICAL, 10 LEVEL IIB SPECIAL CARE NURSERY BASSINETS AND 28 WELL-NEWBORN BASSINETS).INPATIENT STATISTICS INPATIENT ADMISSIONS: 21,776 DELIVERIES: 2,296 OBSERVATION STAYS: 4,146 PATIENT DAYS: 82,975 SURGERIES: 14,597Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$317,508,303TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To OrgYes (1)MoreThan5000KToOrgInd
More Than5000 K To IndividualsYes (1)MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document351IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee3930EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members20GoverningBodyVotingMembersCnt
Independent Voting Member16IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local ChaptersYes (1)LocalChaptersInd
Policies Reference ChaptersYes (1)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSUSAN GREEN SR VP AND CFOPersonNm
Phone9787817143PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1295 VARNUM AVENUEAddressLine1Txt
CityLOWELLCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01854ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
RICK W HANSON
CHAIR1.002.50Yes (X)Yes (X)$0$0$0
DANIEL J MANSUR
VICE CHAIR1.004.50Yes (X)Yes (X)$0$0$0
RAYMOND ANSTISS JR
CLERK1.003.50Yes (X)Yes (X)$0$0$0
TUSHAR PATEL MD
BOARD MEMBER1.000.00Yes (X)$0$0$0
WILLIAM GALVIN MD
PRESIDENT OF MEDICAL STAFF1.001.00Yes (X)Yes (X)$0$0$0
CARRIE MEIKLE
PRESIDENT OF AUXILLARY1.001.00Yes (X)Yes (X)$0$0$0
JACQUELINE MOLONEY
BOARD MEMBER1.002.50Yes (X)$0$0$0
DAVID WALLACE
BOARD MEMBER1.001.50Yes (X)$0$0$0
GARY CAMPBELL
BOARD MEMBER1.003.50Yes (X)$0$0$0
KIMBERLY OBERHAUSER
BOARD MEMBER1.003.50Yes (X)$0$0$0
MARGARET A PALM
BOARD MEMBER1.001.50Yes (X)$0$0$0
ANDREW TREINIS
BOARD MEMBER1.001.50Yes (X)$0$0$0
JOHN CARSON
BOARD MEMBER1.001.50Yes (X)$0$0$0
JACK CLANCY
BOARD MEMBER1.001.50Yes (X)$0$0$0
JACK O'CONNOR
BOARD MEMBER1.003.50Yes (X)$0$0$0
BRUCE ROBINSON
BOARD MEMBER1.001.50Yes (X)$0$0$0
GOPALA DWARAKANATH MD
BOARD MEMBER1.001.00Yes (X)$0$0$0
NORMAND DESCHENE
PRES. OF BOARD & CEO - THE LGH38.0012.00Yes (X)Yes (X)$1,727,541$165,758$97,990
SUSAN GREEN
SENIOR VP & CFO & TREASURER - THE LGH46.004.00Yes (X)Yes (X)$664,313$29,250$34,317
WILLIAM WYMAN
VP REVENUE SERVICES & ASST. CLERK38.0012.00Yes (X)Yes (X)$234,333$0$49,946
JOSEPH WHITE
PRESIDENT - THE LGH47.003.00Yes (X)$1,136,721$0$42,403
SABRINA GRANVILLE
CHO50.000.00$333,021$0$31,231Yes (X)
WAYNE PASANEN
VP MEDICAL AFFAIRS50.000.00$236,975$0$38,448Yes (X)
AMY HOEY
CHIEF OPERATING OFFICER50.000.00$613,539$0$40,578Yes (X)
CECELIA LYNCH
CNO50.000.00$336,906$0$22,543Yes (X)
DAVID PICKUL
CHIEF MEDICAL OFFICER50.000.00$297,117$0$22,543Yes (X)
MICHELLE DAVIS
VP EXTERNAL AFFAIRS50.000.00$165,202$53,100$23,525Yes (X)
RICHARD MA
PHYSICIAN50.000.00$205,636$0$14,472Yes (X)
YISHI REN
PHYSICIAN50.000.00$219,818$0$11,615Yes (X)
RAJAA NAHRA
PHYSICIAN50.000.00$221,149$0$15,200Yes (X)
MICHAEL LAPPI
PHYSICIAN50.000.00$257,169$0$17,370Yes (X)
GERALDINE VAUGHAN
PHO EXECUTIVE DIRECTOR50.000.00$347,113$0$16,607Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$6,996,553TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$248,108TotReportableCompRltdOrgAmt
Total Other Compensation$478,788TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K221IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CERNER CORPORATION
2800 ROCKCREEK PARKWAYNORTH KANSAS CITYMO64117INFORMATION SYSTEMS PROVIDER$15,324,522
SODEXO INC & AFFILIATES
9801 WASHINGTONIAN BLVDGAITHERSBURGMD20878FOOD & FACILITIES SERVICES$4,949,168
ARUP LABORATORIES
500 CHIPETA WAYSALT LAKE CITYUT841081221LABORATORY SERVICES$3,333,187
SODEXO CTM INC
PO BOX 415000NASHVILLETN37241FOOD & FACILITIES SERVICES$2,830,430
NEW ENGLAND INPATIENT SPECIALIST
120 WATER STREETNORTH ANDOVERMA01845PHYSICIAN SERVICES$2,613,435
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K83CntrctRcvdGreaterThan100KCnt
Fundraising$1,129,802FundraisingAmt
Government Grants$34,280GovernmentGrantsAmt
All Other Contributions$1,063,966AllOtherContributionsAmt
Noncash Contributions$228,977NoncashContributionsAmt
Total Contributions$2,228,048TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SVC. REVENUEDesc
Business621500BusinessCd
Total Revenue Column$432,322,931TotalRevenueColumnAmt
Related Or Exempt Func Income$432,322,931RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$432,322,931TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,176,073TotalRevenueColumnAmt
Unrelated Business Revenue$22,464UnrelatedBusinessRevenueAmt
Exclusion$2,153,609ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,715,744RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$1,458,172RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$257,572RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$257,572TotalRevenueColumnAmt
Exclusion$257,572ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$22,724,356SecuritiesAmt
Other$24,100OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$27,265,483SecuritiesAmt
Other$29,529OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$4,541,127SecuritiesAmt
Other-$5,429OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$4,546,556TotalRevenueColumnAmt
Exclusion-$4,546,556ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$326,614FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$1,129,802ContriRptFundraisingEventAmt
Fundraising Direct Expenses$883,472FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$556,858TotalRevenueColumnAmt
Exclusion-$556,858ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescINCOME FROM JOINT VENTURESDesc
Business621500BusinessCd
Total Revenue Column$7,539,074TotalRevenueColumnAmt
Related Or Exempt Func Income$7,539,074RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$7,539,074OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$439,420,284TotalRevenueColumnAmt
Related Or Exempt Func Income$439,862,005RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$22,464UnrelatedBusinessRevenueAmt
Exclusion-$2,692,233ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,060,028TotalAmt
Program Services$1,060,028ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$10,015TotalAmt
Program Services$10,015ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,723,582TotalAmt
Management And General$3,723,582ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$161,927,918TotalAmt
Program Services$115,807,795ProgramServicesAmt
Management And General$45,605,714ManagementAndGeneralAmt
Fundraising$514,409FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,150,599TotalAmt
Program Services$2,202,599ProgramServicesAmt
Management And General$938,216ManagementAndGeneralAmt
Fundraising$9,784FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$24,663,420TotalAmt
Program Services$17,242,321ProgramServicesAmt
Management And General$7,344,510ManagementAndGeneralAmt
Fundraising$76,589FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$11,803,376TotalAmt
Program Services$8,251,799ProgramServicesAmt
Management And General$3,514,923ManagementAndGeneralAmt
Fundraising$36,654FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$629,763TotalAmt
Management And General$629,763ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$444,000TotalAmt
Management And General$444,000ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$41,294TotalAmt
Management And General$41,294ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$377,058TotalAmt
Management And General$377,058ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$31,281,728TotalAmt
Program Services$22,030,293ProgramServicesAmt
Management And General$9,154,836ManagementAndGeneralAmt
Fundraising$96,599FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$728,010TotalAmt
Management And General$727,489ManagementAndGeneralAmt
Fundraising$521FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$86,890,053TotalAmt
Program Services$81,910,751ProgramServicesAmt
Management And General$4,931,526ManagementAndGeneralAmt
Fundraising$47,776FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$16,609,086TotalAmt
Program Services$12,450,764ProgramServicesAmt
Management And General$4,108,790ManagementAndGeneralAmt
Fundraising$49,532FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$9,139,763TotalAmt
Program Services$6,022,305ProgramServicesAmt
Management And General$3,112,953ManagementAndGeneralAmt
Fundraising$4,505FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$491,934TotalAmt
Program Services$202,332ProgramServicesAmt
Management And General$235,624ManagementAndGeneralAmt
Fundraising$53,978FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$995,132TotalAmt
Program Services$517,809ProgramServicesAmt
Management And General$445,665ManagementAndGeneralAmt
Fundraising$31,658FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$7,517,389TotalAmt
Management And General$7,517,389ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$22,792,649TotalAmt
Program Services$18,758,739ProgramServicesAmt
Management And General$4,017,807ManagementAndGeneralAmt
Fundraising$16,103FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,483,119TotalAmt
Program Services$2,362,512ProgramServicesAmt
Management And General$120,126ManagementAndGeneralAmt
Fundraising$481FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
PHYSICIAN FEES$20,803,969$20,803,969
UNCOMPENSATED CARE POOL$3,769,238$3,769,238
PROVISION FOR BAD DEBTS$3,389,385$3,389,385
TEMP RESTRICTED MISC EX$685,396$685,396

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$202,896TotalAmt
Program Services$30,253ProgramServicesAmt
Management And General$101,637ManagementAndGeneralAmt
Fundraising$71,006FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$415,610,800TotalAmt
Program Services$317,508,303ProgramServicesAmt
Management And General$97,092,902ManagementAndGeneralAmt
Fundraising$1,009,595FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$48,738,759BOYAmt
EOY$47,264,230EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$20,393,975BOYAmt
EOY$20,119,463EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,830,268BOYAmt
EOY$3,278,558EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$65,443,603BOYAmt
EOY$66,549,653EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$8,080,892BOYAmt
EOY$8,928,205EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$7,327,838BOYAmt
EOY$4,471,426EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$419,556,835LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$189,087,033LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$231,761,402BOYAmt
EOY$230,469,802EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$67,695,337BOYAmt
EOY$66,384,235EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$19,986,454BOYAmt
EOY$21,966,112EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$473,258,528BOYAmt
EOY$469,431,684EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$82,333,779BOYAmt
EOY$78,046,300EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$160,401,603BOYAmt
EOY$156,829,527EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$6,214,504BOYAmt
EOY$3,428,673EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$57,201,290BOYAmt
EOY$72,675,847EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$306,151,176BOYAmt
EOY$310,980,347EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$155,242,338BOYAmt
EOY$147,860,933EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,403,816BOYAmt
EOY$6,135,849EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,461,198BOYAmt
EOY$4,454,555EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$167,107,352BOYAmt
EOY$158,451,337EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$473,258,528BOYAmt
EOY$469,431,684EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$23,809,484ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$356,533NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$32,822,032OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$41,294DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$41,294TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1(G), DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS,FormAndLineReferenceDesc
ExplanationGOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY: A PORTION OF THE HOSPITAL'S MASSACHUSETTS HOSPITAL ASSOCIATION (MHA) DUES SUPPORTS LOBBYING ACTIVITIES. THE MHA WORKS ON BEHALF OF THE INDUSTRY TO INFLUENCE MATTERS OF IMPORTANCE TO MASSACHUSETTS HEALTHCARE.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$65,774,190BeginningYearBalanceAmt
Contributions$10,489ContributionsAmt
Investment Earnings Or Losses$1,015,170InvestmentEarningsOrLossesAmt
Other Expenditures$3,113,977OtherExpendituresAmt
End Year Balance$63,685,872EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$61,856,837BeginningYearBalanceAmt
Contributions$42,029ContributionsAmt
Investment Earnings Or Losses$12,130,352InvestmentEarningsOrLossesAmt
Other Expenditures$8,255,028OtherExpendituresAmt
End Year Balance$65,774,190EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$64,886,695BeginningYearBalanceAmt
Contributions$197,813ContributionsAmt
Investment Earnings Or Losses$4,926,706InvestmentEarningsOrLossesAmt
Other Expenditures$8,154,377OtherExpendituresAmt
End Year Balance$61,856,837EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$58,144,290BeginningYearBalanceAmt
Contributions$238,209ContributionsAmt
Investment Earnings Or Losses$8,117,073InvestmentEarningsOrLossesAmt
Other Expenditures$1,612,877OtherExpendituresAmt
End Year Balance$64,886,695EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$59,304,368BeginningYearBalanceAmt
Contributions$49,706ContributionsAmt
Investment Earnings Or Losses-$1,164,777InvestmentEarningsOrLossesAmt
Other Expenditures$45,007OtherExpendituresAmt
End Year Balance$58,144,290EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.95860BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.04140PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,377,764OtherCostOrOtherBasisAmt
Book Value$5,377,764BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$275,495,979OtherCostOrOtherBasisAmt
Depreciation$95,837,940DepreciationAmt
Book Value$179,658,039BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,383,481OtherCostOrOtherBasisAmt
Depreciation$1,652,415DepreciationAmt
Book Value$1,731,066BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$96,453,949OtherCostOrOtherBasisAmt
Depreciation$70,485,684DepreciationAmt
Book Value$25,968,265BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$38,845,662OtherCostOrOtherBasisAmt
Depreciation$21,110,994DepreciationAmt
Book Value$17,734,668BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$230,469,802TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (4 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
MARKETABLE EQUITY SECURITIES$12,135,859F
MUTUAL FUNDS$52,454,557F
CERTIFICATES OF DEPOSIT$488,572F
BENEFICIAL INTEREST IN PERPETUAL TRUSTS$1,305,247F
FieldValueIRS element (for citing)
Total Book Value Securities$66,384,235TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (10 entries)

DescDescBook ValueBookValueAmt
OTHER ASSETS$13,922,499
DUE FROM CIRCLE HEALTH,INC.$3,495
DUE FROM LGH MEDICAL GROUP LLC$2,955,848
DUE FROM LGH MEDICAL$65,725
DUE FROM LGH CANCERCARE ASSOCIATES LLC$485,577
DUE FROM LGH WOMANHEALTH LLC$168,080
DUE FROM LGH MERRIMACK VALLEY CARDIOLOGY ASSOCIATES, LLC$2,669,055
DUE FROM CIRCLE HEALTH ALLIANCE$778,257
DUE FROM CIRCLE HEALTH URGENT CARE, LLC$197,471
DUE FROM WELLFORCE$720,105
FieldValueIRS element (for citing)
Total Book Value Other Assets$21,966,112TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDescAmtAmt
CAPITAL LEASE OBLIGATIONS$6,221,807
ACCRUED PENSION EXPENSE$49,580,756
OTHER LONG-TERM LIABILITIES$7,933,136
DUE TO LGH MEDICAL GROUP$2,506,532
DUE TO LGH CANCERCARE ASSOCIATES LLC$362,718
DUE TO LGH WOMANHEALTH LLC$858,984
DUE TO LGH MERRIMACK VALLEY CARDIOLOGY ASSOCIATES, LLC$1,796,158
OTHER CURRENT LIABILITIES$3,415,756
FieldValueIRS element (for citing)
Total Liability$72,675,847TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$431,759,734TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$356,533NetUnrealizedGainsInvstAmt
Other Revenue$5,524,532OtherRevenueAmt
Revenue Not Reported$5,881,065RevenueNotReportedAmt
Revenue Subtotal$425,878,669RevenueSubtotalAmt
Investment Expenses Not Incld$377,058InvestmentExpensesNotIncldAmt
Other Revenues Not Included$13,164,557OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$13,541,615RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$439,420,284TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$440,415,749TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$25,976,507OtherExpensesIncludedAmt
Expenses Not Reported$25,976,507ExpensesNotReportedAmt
Expenses Subtotal$414,439,242ExpensesSubtotalAmt
Investment Expenses Not Incld2$377,058InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$794,500OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$1,171,558ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$415,610,800TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:THE HOSPITAL CLASSIFIES AS PERMANENTLY RESTRICTED NET ASSETS (A) THE ORIGINAL VALUE OF THE GIFTS DONATED TO THE PERMANENT ENDOWMENT WHEN EXPLICIT DONOR STIPULATIONS REQUIRING PERMANENT MAINTENANCE OF THE HISTORICAL FAIR VALUE ARE PRESENT, AND (B) THE ORIGINAL VALUE OF THE SUBSEQUENT GIFTS TO THE PERMANENT ENDOWMENT WHEN EXPLICIT DONOR STIPULATIONS REQUIRING PERMANENT MAINTENANCE OF THE HISTORICAL FAIR VALUE ARE PRESENT. THE REMAINING PORTION OF THE DONOR-RESTRICTED ENDOWMENT FUND COMPRISED OF ACCUMULATED GAINS NOT REQUIRED TO BE MAINTAINED IN PERPETUITY IS CLASSIFIED AS TEMPORARILY RESTRICTED NET ASSETS UNTIL THOSE AMOUNTS ARE APPROPRIATED FOR EXPENDITURE IN A MANNER CONSISTENT WITH THE DONOR'S STIPULATIONS. THE HOSPITAL CONSIDERS THE FOLLOWING FACTORS IN MAKING A DETERMINATION TO APPROPRIATE OR ACCUMULATE DONOR-RESTRICTED ENDOWMENT FUNDS: DURATION AND PRESERVATION OF THE FUND, PURPOSES OF THE DONOR-RESTRICTED ENDOWMENT FUNDS, GENERAL ECONOMIC CONDITIONS, THE POSSIBLE EFFECT OF INFLATION AND DEFLATION, THE EXPECTED TOTAL RETURN FROM INCOME AND THE APPRECIATION OF INVESTMENTS, OTHER RESOURCES OF THE HOSPITAL, AND THE INVESTMENT POLICIES OF THE HOSPITAL.
PART X, LINE 2:THE HOSPITAL HAS PREVIOUSLY BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE (IRS) TO BE AN ORGANIZATION DESCRIBED IN INTERNAL REVENUE CODE (IRC) SECTION 501(C)(3) AND, THEREFORE, EXEMPT FROM TAXATION ON RELATED INCOME UNDER SECTION 501(A) OF THE IRC. THE IRS HAS ALSO PREVIOUSLY DETERMINED THAT THE HOSPITAL IS NOT A PRIVATE FOUNDATION PURSUANT TO IRC SECTION 509(A). ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN RECORDED IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE HOSPITAL IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT OF THE HOSPITAL BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2005.
PART XI, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSE 1,458,172. SPECIAL EVENT EXPENSE 883,472. NET ASSETS RELEASED FROM RESTRICTIONS USED FOR OPERATIONS 1,812,109. NET ASSETS RELEASED FROM RESTRICTIONS FOR CAPITAL 1,370,779.
PART XI, LINE 4B - OTHER ADJUSTMENTS:CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST 82,553. CONTRIBUTIONS FROM 9000-664 LCHC 123,819. PENSION-RELATED ADJUSTMENTS 12,963,614. LOSS ON DISPOSAL OF ASSET NETTED ON LINE 7C (II) -5,429.
PART XII, LINE 2D - OTHER ADJUSTMENTS:SPECIAL EVENTS EXPENSE 883,472. TRANSFERS TO AFFILIATES 7,456,772. NET ASSETS RELEASED FROM RESTRICTIONS USED FOR OPERATIONS 1,812,109. NET ASSETS RELEASED FROM RESTRICTIONS FOR CAPITAL 1,370,779. PROVISION FOR UNCOLLECTIBLE ACCOUNTS- PATIENTS 12,995,203. MISC ADJUSTMENT RENTAL EXPENSE 1,458,172.
PART XII, LINE 4B - OTHER ADJUSTMENTS:FUNDRAISING EXPENSE RECLASS 799,929. LOSS ON DISPOSAL OF PROPERTY & EQUIPMENT -5,429. CONTRIBUTIONS FROM LCHC 123,819. CONTRIBUTIONS TO NON-CONTROLLED AFFILIATES -123,819.

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxtOfficesOfficesCntEmployeeEmployeeCntType Of Activities ConductedTypeOfActivitiesConductedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
CENTRAL AMERICA AND THE CARIBBEAN00GRANTS TO RECIPIENTS LOCATED IN REGION$8,535
SOUTH ASIA00GRANTS TO RECIPIENTS LOCATED IN REGION$1,480
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continutation Total Office0ContinutationTotalOfficeCnt
Continutation Total Employee0ContinutationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$10,015SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$10,015TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp

FieldValueIRS element (for citing)
RegionCENTRAL AMERICA AND THE CARIBBEANRegionTxt
Purpose Of GrantSUPPORT MISSION TO HONDURASPurposeOfGrantTxt
Cash Grant$7,500CashGrantAmt
Manner Of Cash DisbursementWIRE TRANSFERMannerOfCashDisbursementTxt
Valuation Method UsedFMVValuationMethodUsedDesc
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Foreign Individuals Grants ForeignIndividualsGrantsGrp

FieldValueIRS element (for citing)
Type Of AssistanceSUPPORT MISSION TRIPS TO CENTAL AMERICATypeOfAssistanceTxt
RegionCENTRAL AMERICA AND THE CARIBBEANRegionTxt
Recipient2RecipientCnt
Non Cash Assistance$1,035NonCashAssistanceAmt
Description Of Non Cash AsstMEDICAL SUPPLIESDescriptionOfNonCashAsstTxt
Valuation Method UsedBOOKValuationMethodUsedDesc
FieldValueIRS element (for citing)
Transfer To Foreign Corp0TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp Ownership0ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationA FUND THAT WAS ESTABLISHED TO ACCEPT GIFTS GIVEN IN SUPPORT OF THE HOSPITAL'S INITIATIVE TO PROVIDE HEALTHCARE SUPPORT IN COUNTRIES WHOSE CITIZENS SUFFER FROM FRAGMENTED AND/OR NON-EXISTENT MEDICAL DELIVERY SYSTEMS. INITIALLY THE FUND WILL BE USED TO PROVIDE MEDICAL SUPPORT FOR THE HOSPITAL'S PARTICIPATION IN MEDICAL MISSIONARY WORK IN HONDURAS IN PARTNERSHIP WITH YALE UNIVERSITY AND MEDICAL SCHOOL. MONEYS FROM THE FUND MAY BE USED TO PURCHASE MEDICAL SUPPLIES AND EQUIPMENT, UNDERWRITE TRAVEL AND ACCOMMODATIONS FOR STAFF FROM THE HOSPITAL AND YALE WHO PARTICIPATE IN THE MEDICAL MISSIONS, AND OTHER EXPENSES ASSOCIATED WITH OPERATING A MEDICAL MISSION TRIP. OVER TIME, IT IS POSSIBLE THAT THE HOSPITAL WILL ADJUST ITS PARTICIPATION IN MEDICAL MISSION WORK. SUCH CHANGES COULD INCLUDE OPERATING MEDICAL TRIPS TO COUNTRIES OTHER THAN HONDURAS, CHANGE OF AFFILIATION TO A PARTNER OTHER THAN YALE UNIVERSITY, ETC.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1TEAM WALK FOR CANCER CAREEvent1Nm
Gross Receipts Event1$797,091GrossReceiptsEvent1Amt
Charitable Contri Event1$656,245CharitableContriEvent1Amt
Gross Revenue Event1$140,846GrossRevenueEvent1Amt
Non Cash Prizes Event1$61,011NonCashPrizesEvent1Amt
Rent Facility Costs Event1$11,261RentFacilityCostsEvent1Amt
Food And Beverage Event1$9,536FoodAndBeverageEvent1Amt
Entertainment Event1$2,375EntertainmentEvent1Amt
Other Direct Expenses Event1$327,330OtherDirectExpensesEvent1Amt
Event2GOLF TOURNAMENTEvent2Nm
Gross Receipts Event2$386,015GrossReceiptsEvent2Amt
Charitable Contri Event2$269,991CharitableContriEvent2Amt
Gross Revenue Event2$116,024GrossRevenueEvent2Amt
Non Cash Prizes Event2$41,354NonCashPrizesEvent2Amt
Rent Facility Costs Event2$88,709RentFacilityCostsEvent2Amt
Other Direct Expenses Event2$85,989OtherDirectExpensesEvent2Amt
Other Events Total1OtherEventsTotalCnt
Gross Receipts Other Events$273,310GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$203,566CharitableContriOtherEventsAmt
Gross Revenue Other Events$69,744GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events$10,518NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events$64,240RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$126,666FoodAndBeverageOtherEventsAmt
Entertainment Other Events$9,000EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events$45,483OthDirectExpnssOtherEventsAmt
Gross Receipts Total$1,456,416GrossReceiptsTotalAmt
Charitable Contributions Tot$1,129,802CharitableContributionsTotAmt
Gross Revenue Total Events$326,614GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$112,883NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$164,210RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$136,202FoodAndBeverageTotalEventsAmt
Entertainment Total Events$11,375EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$458,802OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$883,472DirectExpenseSummaryEventsAmt
Net Income Summary-$556,858NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other400.000000000000DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,806,125TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,674,895DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,131,230NetCommunityBenefitExpnsAmt
Total Expense0.00990TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,612,835TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$9,612,835NetCommunityBenefitExpnsAmt
Total Expense0.02310TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,787,822TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$8,787,822NetCommunityBenefitExpnsAmt
Total Expense0.02110TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$26,206,782TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,674,895DirectOffsettingRevenueAmt
Net Community Benefit Expns$22,531,887NetCommunityBenefitExpnsAmt
Total Expense0.05410TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$552,832TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$552,832NetCommunityBenefitExpnsAmt
Total Expense0.00130TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$715,878TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$18,800DirectOffsettingRevenueAmt
Net Community Benefit Expns$697,078NetCommunityBenefitExpnsAmt
Total Expense0.00170TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$350,577TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,699DirectOffsettingRevenueAmt
Net Community Benefit Expns$347,878NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$930,588TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$94,968DirectOffsettingRevenueAmt
Net Community Benefit Expns$835,620NetCommunityBenefitExpnsAmt
Total Expense0.00200TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,549,875TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$116,467DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,433,408NetCommunityBenefitExpnsAmt
Total Expense0.00580TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$28,756,657TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,791,362DirectOffsettingRevenueAmt
Net Community Benefit Expns$24,965,295NetCommunityBenefitExpnsAmt
Total Expense0.05990TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$206,753TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$206,753NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$123,819TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$123,819NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$330,572TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$330,572NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$4,739,150BadDebtExpenseAmt
Bad Debt Expense Attributable$3,404,293BadDebtExpenseAttributableAmt
Reimbursed By Medicare$121,643,868ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$115,124,065CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$6,519,803MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line11 NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Hospital Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdLicensed HospitalLicensedHospitalIndEmergency Room24 HrsEmergencyRoom24HrsIndOtherOtherDesc
THE LOWELL GENERAL HOSPITAL
1295 VARNUM AVENUELOWELLMA01854Yes (X)Yes (X)ALSO DESIGNATED AS A TRAUMA CENTER
THE LOWELL GENERAL HOSPITAL
21 HOSPITAL DRIVELOWELLMA01852Yes (X)Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1THE LOWELL GENERAL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYYes (1)FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.LOWELLGENERAL.ORGOwnWebsiteURLTxt
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt13ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.LOWELLGENERAL.ORGStrategyWebsiteURLTxt
Strategy Attached0StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.LOWELLGENERAL.ORGFAPAvailableOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit Legal Judicial ProcessYes (X)PermitLegalJudicialProcessInd
Collection Activities0CollectionActivitiesInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Medicare RatesYes (X)MedicareRatesInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
THE LOWELL GENERAL HOSPITALPART V, SECTION B, LINE 3J: LOWELL GENERAL HOSPITAL COMPLETES A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS. INFORMATION FOR THE NEEDS ASSESSMENT WAS COLLECTED FROM MULTIPLE SOURCES, IN THREE DIFFERENT WAYS: (1) FOCUS GROUPS, (2) KEY INFORMANT INTERVIEWS, AND (3) A REVIEW OF PUBLICLY COLLECTED HEALTH AND DEMOGRAPHIC STATISTICS FROM THE MASSCHIP DATABASE. THERE WERE 14 FOCUS GROUPS WITH A TOTAL OF 113 PARTICIPANTS-MAJORITY WERE CONDUCTED IN ENGLISH, BUT CAMBODIAN COMMUNITY GROUP WAS CONDUCTED IN KHMER AND THE LATINO GROUP IN SPANISH. THE UNIVERSITY OF MASSACHUSETTS LOWELL CONDUCTED SIX KEY INFORMANT INTERVIEWS.
THE LOWELL GENERAL HOSPITALPART V, SECTION B, LINE 5: ON BEHALF OF LOWELL GENERAL HOSPITAL, UNIVERSITY OF MASSACHUSETTS LOWELL (UML) AND THE GREATER LOWELL HEALTH ALLIANCE (GLHA), A TEAM OF UMASS LOWELL RESEARCHERS AND STUDENTS CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT STUDY TO DISTINGUISH THE UNMET MEDICAL AND PUBLIC HEALTH NEEDS WITHIN THE GREATER LOWELL COMMUNITY. THE GEOGRAPHIC AREA ASSESSED INCLUDED THE COMMUNITIES OF LOWELL, BILLERICA, CHELMSFORD, DRACUT, DUNSTABLE, TEWKSBURY, TYNGSBOROUGH AND WESTFORD. THE STUDY HAD SEVERAL OBJECTIVES, WHICH WERE TO: ASSESS THE OVERALL HEALTH OF AREA RESIDENTS, IDENTIFY THE STRENGTHS AND WEAKNESSES OF THE LOCAL HEALTHCARE SYSTEM, DETERMINE THE TOP HEALTH PROBLEMS FACING AREA RESIDENTS AND THE POPULATIONS AT GREATEST RISK, INVOLVE A BROAD SPECTRUM OF PROFESSIONALS AND RESIDENTS, INCLUDING NEWER IMMIGRANT COMMUNITIES, PROVIDE RECOMMENDATIONS TO IMPROVE THE HEALTHCARE SYSTEM AND ADDRESS UNMET HEALTH NEEDS, AND INFORM THE PROCESS TO IDENTIFY PRIORITY HEALTH NEEDS AND DEVELOP ACTION PLANS TO ADDRESS THESE PRIORITY NEEDS.INFORMATION FOR THE NEEDS ASSESSMENT WAS COLLECTED FROM MULTIPLE SOURCES, IN THREE DIFFERENT WAYS: (1) FOCUS GROUPS, (2) KEY INFORMANT INTERVIEWS, AND (3) A REVIEW OF PUBLICLY COLLECTED HEALTH AND DEMOGRAPHIC STATISTICS FROM THE MASSCHIP DATABASE. THERE WERE 14 FOCUS GROUPS WITH A TOTAL OF 113 PARTICIPANTS-MAJORITY WERE CONDUCTED IN ENGLISH, BUT CAMBODIAN COMMUNITY GROUP WAS CONDUCTED IN KHMER AND THE LATINO GROUP IN SPANISH. THE UNIVERSITY OF MASSACHUSETTS LOWELL CONDUCTED SIX KEY INFORMANT INTERVIEWS.MORE THAN 50 GREATER LOWELL PROFESSIONALS PARTICIPATED IN THE FOCUS GROUPS AND PERSONAL INTERVIEWS - INCLUDING SCHOOL NURSES, HOSPITAL EXECUTIVES, TOWN MANAGERS AND LOCAL HEALTH DEPARTMENT DIRECTORS, AS WELL AS INDIVIDUALS REPRESENTING THE COUNCILS OF AGING, SKILLED NURSING FACILITIES AND VARIOUS COMMUNITY-BASED ORGANIZATIONS. THESE INDIVIDUALS WERE ASKED TO SPEAK TO THE STRENGTHS AND WEAKNESSES OF THE AREA'S HEALTH SYSTEM AND SUGGEST CHANGES TO IMPROVE IT.THE HEALTH AND DEMOGRAPHIC DATA AVAILABLE WITHIN THE GREATER LOWELL AREA WAS THOROUGHLY INVESTIGATED, FOCUSING SUBSTANTIALLY ON THE ISSUES OR PROBLEMS INDICATED FROM THE PERSONAL AND FOCUS GROUP INTERVIEWS, AS WELL AS THE PUBLIC HEALTH DATA AND STATISTICS. THESE DATA INDICATED THAT THE GREATER LOWELL AREA SAW A DOUBLING OF THE RATE OF MENTAL HEALTH HOSPITALIZATIONS BETWEEN 1989 AND 2006. IN ADDITION, LOWELL HAS SEEN INCREASES IN PROBLEMATIC ALCOHOL CONSUMPTION AND OPIATE-RELATED MORTALITY. THE EXPERIENCE IN THE LOWELL AREA WAS ALSO COMPARED, AS APPROPRIATE, WITH THE STATEWIDE EXPERIENCE. IN SO DOING, WE FOUND THAT THE USE OF EMERGENCY DEPARTMENT SERVICES IN LOWELL IS 39% HIGHER THAN THE STATE AVERAGE IN MOST RECENT DATA AVAILABLE, 2002 THROUGH 2005. WHEN RELIABLE INFORMATION WAS AVAILABLE, WE ADDITIONALLY EXAMINED THE COMPARATIVE EXPERIENCE OF DIFFERENT DEMOGRAPHIC SUBGROUPS. THE MORTALITY RATE AMONG ASIAN-AMERICANS IN THE GREATER LOWELL AREA, FOR EXAMPLE, WAS NEARLY TWICE AS HIGH AS THE MASSACHUSETTS AVERAGE FOR THIS GROUP. IN ADDITION TO PROVIDING SUPPLEMENTAL INFORMATION ON HEALTHCARE CONCERNS VOICED BY VARIOUS STUDY RESPONDENTS, THE DATA ANALYSIS ALSO INDICATED OTHER IMPORTANT FINDINGS, MOST IMPORTANTLY, THAT THE PROPORTION OF INDIVIDUALS IN LOWELL WITHOUT HEALTH INSURANCE INCREASED SUBSTANTIALLY BETWEEN 2000 AND 2008.
THE LOWELL GENERAL HOSPITALPART V, SECTION B, LINE 6B: LOWELL GENERAL HOSPITAL CONDUCTED THE LAST COMMUNITY HEALTH NEEDS ASSESSMENT WITH RESEARCHERS AND STUDENTS OF UNIVERSITY OF MASSACHUSETTS LOWELL (UML) AND THE GREATER LOWELL HEALTH ALLIANCE (GLHA).
THE LOWELL GENERAL HOSPITALPART V, SECTION B, LINE 11: THE TOP HEALTH PROBLEMS THAT WERE IDENTIFIED IN THE FOCUS GROUPS AND INTERVIEWS AND SUPPORTED BY PUBLIC HEALTH DATA INCLUDE MENTAL HEALTH, SUBSTANCE ABUSE, DIABETES, OBESITY, RESPIRATORY DISEASES (E.G. ASTHMA AND CHRONIC OBSTRUCTIVE PULMONARY DISEASE), CARDIOVASCULAR DISEASE, AND HEPATITIS B IN THE CAMBODIAN COMMUNITY. THE HOSPITAL IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN THE LATEST COMMUNITY HEALTH NEEDS ASSESSMENT BY INCORPORATING THESE INTO THE ORGANIZATION'S ANNUAL COMMUNITY BENEFIT PLAN. THE COMMUNITY BENEFIT PLAN IS AN ACTION PLAN DEVELOPED ANNUALLY BY HOSPITAL LEADERS TO ADDRESS PRIORITY HEALTH NEEDS WITHIN THE GREATER LOWELL REGION. LOWELL GENERAL HOSPITAL AND THE GREATER LOWELL HEALTH ALLIANCE ARE COMMITTED TO A COLLABORATIVE APPROACH INVOLVING OTHER COMMUNITY STAKEHOLDERS WITH THE GOAL TO IDENTIFY TOP PRIORITIES AND FORMULATE ACTION STEPS THAT WILL IMPROVE THE AREA HEALTHCARE SYSTEM AND OVERALL COMMUNITY HEALTH.THE MAJOR WEAKNESSES IDENTIFIED IN THE NEEDS ASSESSMENT INCLUDE MENTAL HEALTH NEEDS THAT ARE NOT BEING MET, INSUFFICIENT CULTURAL AWARENESS, THE OVERALL HEALTHCARE APPROACH, COORDINATION PROBLEMS, OVERRELIANCE ON MEDICATION, AND INADEQUATE OUTREACH EFFORTS. IN ADDITION, FOCUS GROUPS AND INTERVIEWS FROM THE 2013 NEEDS ASSESSMENT INDICATED THAT THERE IS NOT ENOUGH AVAILABILITY OF THE FOLLOWING TYPES OF HEALTHCARE PROVIDERS: THERAPISTS, SPECIALISTS, HOME CARE, DENTISTS, PEDIATRIC DENTISTS, GERIATRIC PHYSICIANS, AND PRIMARY CARE PROVIDERS FOR ALTERNATIVE FAMILIES. THEY ALSO INDICATED THAT THERE ARE INADEQUATE SERVICES IN THE FOLLOWING AREAS: INTERPRETER SERVICES, EMERGENCY SERVICES, GERIATRICS, SUBSTANCE ABUSE, URGENT CARE, WALK-IN CLINICS, AND LGBTQ SERVICES.
THE LOWELL GENERAL HOSPITALPART V, SECTION B, LINE 13B: PATIENTS WHOSE HOUSEHOLD INCOME EXCEEDS 400% OF THE FEDERAL POVERTY GUIDELINES AND WHO MEET HEALTH SAFETY NET INCOME CRITERIA FOR MEDICAL HARDSHIP AND HAVE BALANCES (AFTER FREE CARE) OF $10,000 OR MORE. SPECIFICALLY, THESE PATIENTS MAY (1) BE ELIGIBLE FOR MEDICAL HARDSHIP ASSISTANCE UNDER THE HEALTH SAFETY NET BUT HAVE PATIENT CONTRIBUTION REQUIREMENTS GREATER THAN $10,000 OR (2) MEET THE MEDICAL HARDSHIP INCOME CRITERIA, BUT ARE INELIGIBLE FOR FREE CARE BECAUSE THE SERVICES RECEIVED ARE NOT HOSPITAL-LICENSED SERVICES. IN SUCH CIRCUMSTANCES:(I)FINANCIAL ASSISTANCE WILL BE DETERMINED AFTER A REVIEW OF ALL FINANCIAL INFORMATION AND CIRCUMSTANCES.(II)FINANCIAL ASSISTANCE WILL GENERALLY REDUCE AN OUTSTANDING BALANCE TO 15% OF ANNUAL INCOME ABSENT SIGNIFICANT ASSETS.(III)FINANCIAL ASSISTANCE UP TO 100% WILL BE CONSIDERED BASED ON THE PATIENT'S PARTICULAR MEDICAL AND FINANCIAL CIRCUMSTANCES AND MUST BE APPROVED BY THE LOWELL GENERAL HOSPITAL VICE PRESIDENT OF REVENUE OR VP FINANCE/CFO OR HIS/HER DESIGNEE.
PART V, SECTION B, LINE 16FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY
THE LOWELL GENERAL HOSPITAL PART V, SECTION B, LINE 16A WEBSITE:WWW.LOWELLGENERAL.ORG
FieldValueIRS element (for citing)
Facility19FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (19 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
LGH - OFFICE SPACE OFF-SITE
10 RESEARCH PLACECHELMSFORDMA01824SURGICAL DAY CARE, MD OFFICES, LAB & X-RAY
LGH - OFFICE SPACE OFF-SITE
4 MEETINGHOUSE RD 13CHELMSFORDMA01824XRAY PROCEDURES
LGH - OFFICE SPACE OFF-SITE
1 MEETINGHOUSE RD 5CHELMSFORDMA01854ANTICOAGULATION MANAGEMENT SERVICES (05/11)
LGH - OFFICE SPACE OFF-SITE
20 RESEARCH PLACE STE 100CHELMSFORDMA01824PATIENT AMBASSADOR & LAB OFFICE SPACE
LGH - OFFICE SPACE OFF-SITE
20 RESEARCH PLACE 310CHELMSFORDMA01824PATIENT AMBASSADOR & LAB OFFICE SPACE
LGH - OFFICE SPACE OFF-SITE
3 MEETING HOUSE RD 24CHELMSFORDMA01824PATIENT AMBASSADOR & LAB OFFICE SPACE
LGH - OFFICE SPACE OFF-SITE
203 TURNPIKE RDNORTH ANDOVERMA01845PROVIDE SERVICES TO THE PUBLIC
LGH - OFFICE SPACE OFF-SITE
37 VILLAGE SQUARECHELMSFORDMA01854PROVIDE BLOOD DRAWING SERVICES.
LGH - OFFICE SPACE OFF-SITE
600 CLARK RDTEWKSBURYMA01876PROVIDE BLOOD DRAWING AND RADIOLOGY SERVICES.
LGH - OFFICE SPACE OFF-SITE
ONE MEETING HOUSE RDCHELMSFORDMA01854PROVIDE BLOOD DRAWING SERVICES.
LGH - OFFICE SPACE OFF-SITE
1230 BRIDGE STLOWELLMA01854PROVIDE SERVICES TO THE PUBLIC IN NEED OF IMMEDIATE MEDICAL CARE.
LGH - OFFICE SPACE OFF-SITE
847 ROGERS STLOWELLMA01854PROVIDE DIALYSIS SERVICES.
LGH - OFFICE SPACE OFF-SITE
3 MEETING HOUSE RD 17 18CHELMSFORDMA01824PATIENT AMBASSADOR & LAB OFFICE SPACE
LGH - OFFICE SPACE OFF-SITE
161 JACKSON STLOWELLMA01852LAB OFFICE SPACE
LGH - OFFICE SPACE OFF-SITE
10 ADAMS STCHELMSFORDMA01824LAB OFFICE SPACE
LGH - OFFICE SPACE OFF-SITE
43 VILLAGE SQUARECHELMSFORDMA01824PROVIDE VARIOUS PATIENT SERVICES
LGH - OFFICE SPACE OFF-SITE
1595 BRIDGE STREETDRACUTMA01826PROVIDE VARIOUS PATIENT SERVICES
LGH - OFFICE SPACE OFF-SITE
1656 MAIN STREETTEWKSBURYMA01876PROVIDE VARIOUS PATIENT SERVICES
LGH - OFFICE SPACE OFF-SITE
198 LITTLETON ROADWESTFORDMA01886PROVIDE VARIOUS PATIENT SERVICES

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H-PART IPART I, LINE 6A & B: THE ORGANIZATION PREPARES A COMMUNITY BENEFIT REPORT EVERY YEAR. THE COMMUNITY BENEFIT ANNUAL REPORT IS AVAILABLE TO THE PUBLIC ON THE ORGANIZATION'S WEBSITE OR UPON REQUEST.
PART II, COMMUNITY BUILDING ACTIVITIES:THE LOWELL GENERAL HOSPITAL PARTICIPATES IN COMMUNITY BUILDING ACTIVITIES IN MANY WAYS. TO HELP IMPROVE THE HEALTH STATUS OF OUR COMMUNITY WE RECOGNIZE THE IMPORTANCE OF ACCESS TO CARE. TO HELP MEET THIS NEED, THE LOWELL GENERAL HOSPITAL EVALUATES THE AVAILABILITY OF PRIMARY CARE AND SPECIALISTS TO OUR COMMUNITY MEMBERS AND ACTIVELY RECRUITS PHYSICIANS TO FILL GAPS. THESE GAPS OFTEN INCLUDE RECRUITMENT OF MULTI-LINGUAL PHYSICIANS AND THOSE WHO HAVE SPECIALTIES IN IDENTIFIED HEALTH NEEDS FOR OUR COMMUNITY. THE LOWELL GENERAL PROVIDES BOTH FINANCIAL AND PRACTICE MANAGEMENT SUPPORT TO THESE PHYSICIANS. THIS ENHANCES THE COMMUNITIES' ABILITY TO ACCESS EXCELLENT PRIMARY AND SPECIALTY CARE IN A LOCAL SETTING.THE LOWELL GENERAL HOSPITAL HAS A CLOSE WORKING RELATIONSHIP THAT INCLUDES FINANCIAL SUPPORT TO LOWELL COMMUNITY HEALTH CENTER (LCHC) WHICH SERVES THE LOW-INCOME, MEDICALLY UNDERSERVED POPULATION, MANY OF WHOM HAVE NO OTHER ACCESS TO HEALTHCARE SERVICES. THE MAJORITY OF PATIENTS SERVED BY LCHC HAVE MASSHEALTH, ANOTHER 10% HAVE PRIVATE HEALTH INSURANCE OR HMO COVERAGE, 7% HAVE MEDICARE, AND 20% ARE UNINSURED; AND 95% LIVE AT OR BELOW THE POVERTY LEVEL. ALMOST HALF OF LCHC'S PATIENT POPULATION IS UNDER 18 YEARS OF AGE, AND THE MAJORITY OF WOMEN ARE IN THEIR CHILDBEARING YEARS. IN 2007, 37% OF PATIENTS WERE WHITE/NON-HISPANIC; 28% WERE LATINO; 27% WERE ASIAN (PRIMARILY CAMBODIANS) AND 8% WERE AFRICAN IMMIGRANTS. ALMOST 60% OF PATIENTS WERE BEST SERVED IN A LANGUAGE OTHER THAN ENGLISH. SOME OF THE MAJOR SERVICES THAT LCHC PROVIDES ARE - CARINO, WHICH PROVIDES SPECIAL CARE FOR PATIENTS WITH HIV/AIDS; PROMOTORAS PROGRAMS, WHICH ARE TRAINED COMMUNITY HEALTH WORKERS AND VOLUNTEERS WHO SPEAK SPANISH AND/OR PORTUGUESE AND GO THROUGH AN INTENSIVE TRAINING WITH LCHC STAFF ON SPECIFIC HEALTH TOPICS TO EDUCATE THE COMMUNITY; LCHC TEEN COALITION AND ADOLESCENT HEALTH PROGRAM, WHICH COVERS EVERYTHING FROM MENTAL HEALTH AND SELF-ESTEEM ISSUES AMONG GIRLS TO EDUCATING AND INVOLVING YOUTH IN SUBSTANCE ABUSE PREVENTION AND A JOURNEY TO HEALING PROGRAM FOR REFUGEE CHILDREN AND CHILDREN OF REFUGEES. WITHOUT THE LOWELL GENERAL'S FINANCIAL SUPPORT TO LCHC'S PENSION AND WORKER'S COMPENSATION PROGRAM, MANY OF THESE PROGRAMS WOULD NOT HAVE ADEQUATE FUNDING.
PART III, LINE 4:THE ORGANIZATION'S FINANCIAL STATEMENTS INCLUDE THE FOLLOWING FOOTNOTE WHICH IS PROVIDED TO DESCRIBE CHARITY CARE: THE HOSPITAL PROVIDES HEALTH CARE SERVICES TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY. THESE PATIENTS MAY RECEIVE FULL ASSISTANCE OR MAY BE SUBJECT TO PARTIAL LIABILITY BASED ON INCOME AND FAMILY SIZE. BECAUSE THE HOSPITAL DOES NOT EXPECT PAYMENT OR PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, SUCH AMOUNTS ARE NOT REPORTED AS NET PATIENT SERVICE REVENUE.THE BAD DEBT EXPENSE AMOUNT DETAILED ON LINE 2 IS BASED ON THE COST TO CHARGE RATIO CALCULATED FROM THE MEDICARE COST REPORT. REGARDING THE RATIONALE FOR INCLUDING THE AMOUNT ON LINE 3 AS CHARITY CARE, THE HOSPITAL PROVIDES AN ESTIMATE OF HOW MUCH IS ATTRIBUTABLE TO PERSONS WHO WOULD NORMALLY QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICIES, BUT HAVE NOT TAKEN ADVANTAGE OF THE FINANCIAL ASSISTANCE THAT IS AVAILABLE TO THEM. CURRENTLY THROUGH MANUAL PROCESSES IT IS IMPOSSIBLE TO SCREEN EVERY PATIENT TO MAKE AN INCOME STATUS DETERMINATION FOR QUALIFICATION TO THE HOSPITAL'S CHARITY PROGRAM UNDER A PRESUMPTIVE CHARITY POLICY. THESE INDIVIDUALS THAT DO NOT SEEK OUT CHARITY PROGRAMS ARE OFTEN UNDERINSURED OR LOW INCOME AND DO NOT NECESSARILY CONSIDER THE BENEFIT OF THE PROCESS OF SUBMITTING AN APPLICATION TO THE HOSPITAL. THE HOSPITAL CONTINUES TO PROVIDE CARE TO THOSE INDIVIDUALS THAT HAVE A HISTORY OF POOR CREDIT WITH THE FACILITY AND NEED MEDICALLY NECESSARY SERVICES AS WE UNDERSTAND THAT THE ABILITY FOR THE COMMUNITY TO SEEK OUT QUALITY MEDICAL SERVICES IS OF THE UTMOST IMPORTANCE AND EXTENDS OUR CHARITABLE BENEFIT TO THE COMMUNITY. WE BELIEVE THAT HAD THE QUALIFICATION PROCESS TAKEN PLACE THIS BAD DEBT WOULD BE CLASSIFIED IN THE CHARITY CARE OF THE HOSPITAL. SINCE THE QUALIFICATION PROCESS HAS NOT BEEN PERFORMED WE PROPERLY REPORT THIS AS BAD DEBT AS THE ACTUAL COST TO OUR HOSPITAL.
PART III, LINE 8:THE MEDICARE COST REPORT DOES NOT INCLUDE ALLOCATION OF BAD DEBT AND INCLUDES OFFSETS OF $7.3 MILLION WHICH HAVE NOTHING TO DO WITH MEDICARE PATIENTS. SUCH RECOVERIES INCLUDE DONATED FUNDS RELEASED FROM RESTRICTIONS, PHO REVENUE, BARIATRIC PROGRAM FEES, AND OTHER REVENUES. THIS EXPLAINS THE SURPLUS REPORTED ON LINE 8.
PART III, LINE 9B:THERE ARE TWO DISTINCTIONS THAT ARE MADE FOR PATIENTS THAT ARE CONSIDERED EITHER LOW INCOME BY DEFINITION OF THE STATE OF MASSACHUSETTS ELIGIBILITY PROGRAM OR UNDER THE HOSPITAL'S INTERNAL FINANCIAL ASSISTANCE PROGRAM FOR CHARITY CARE. IF THE PATIENT IS DEEMED TO BE LOW INCOME BY THE STATE OF MASSACHUSETTS, ALL COLLECTION EFFORTS ARE CEASED ON PRIOR AND CURRENT BALANCE ACCOUNTS. WHERE APPROPRIATE, ACCOUNTS WILL BE WRITTEN OFF TO HOSPITAL CHARITY FOR THOSE ACCOUNTS THAT EXCEED THE RETROACTIVE LOOK BACK PERIOD. FOR PATIENTS WHO QUALIFY FOR THE HOSPITAL'S INTERNAL FINANCIAL ASSISTANCE PROGRAM, THE PROGRAM WILL QUALIFY THE PATIENT FOR MEDICALLY NECESSARY SERVICES FOR THE PERIOD OF ONE YEAR IN WHICH THE ACCOUNT ACTIVITY OF THE PATIENT WILL BE WRITTEN OFF TO THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM AND REPORTED AS CHARITY CARE. ALL COLLECTION ACTIVITIES ON PRIOR BALANCE ACCOUNTS CEASES AT THE POINT OF THIS QUALIFICATION. FINANCIAL COUNSELORS WORK CLOSELY WITH PATIENTS TO MONITOR THEIR CURRENT FINANCIAL STATUS TO DETERMINE ANY CHANGES IN QUALIFICATIONS FOR BOTH THE STATE AND HOSPITAL PROGRAMS.
PART VI, LINE 2:ON BEHALF OF LOWELL GENERAL HOSPITAL, UNIVERSITY OF MASSACHUSETTS LOWELL (UML) AND THE GREATER LOWELL HEALTH ALLIANCE (GLHA), A TEAM OF UMASS LOWELL RESEARCHERS AND STUDENTS CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT STUDY TO DISTINGUISH THE UNMET MEDICAL AND PUBLIC HEALTH NEEDS WITHIN THE GREATER LOWELL COMMUNITY. THE GEOGRAPHIC AREA ASSESSED INCLUDED THE COMMUNITIES OF LOWELL, BILLERICA, CHELMSFORD, DRACUT, DUNSTABLE, TEWKSBURY, TYNGSBOROUGH AND WESTFORD. THE STUDY HAD SEVERAL OBJECTIVES, WHICH WERE TO: ASSESS THE OVERALL HEALTH OF AREA RESIDENTS, IDENTIFY THE STRENGTHS AND WEAKNESSES OF THE LOCAL HEALTHCARE SYSTEM, DETERMINE THE TOP HEALTH PROBLEMS FACING AREA RESIDENTS AND THE POPULATIONS AT GREATEST RISK, INVOLVE A BROAD SPECTRUM OF PROFESSIONALS AND RESIDENTS, INCLUDING NEWER IMMIGRANT COMMUNITIES, PROVIDE RECOMMENDATIONS TO IMPROVE THE HEALTHCARE SYSTEM AND ADDRESS UNMET HEALTH NEEDS, AND INFORM THE PROCESS TO IDENTIFY PRIORITY HEALTH NEEDS AND DEVELOP ACTION PLANS TO ADDRESS THESE PRIORITY NEEDS.INFORMATION FOR THE NEEDS ASSESSMENT WAS COLLECTED FROM MULTIPLE SOURCES, IN THREE DIFFERENT WAYS: (1) FOCUS GROUPS, (2) KEY INFORMANT INTERVIEWS, AND (3) A REVIEW OF PUBLICLY COLLECTED HEALTH AND DEMOGRAPHIC STATISTICS FROM THE MASSCHIP DATABASE. THERE WERE 14 FOCUS GROUPS WITH A TOTAL OF 113 PARTICIPANTS-MAJORITY WERE CONDUCTED IN ENGLISH, BUT CAMBODIAN COMMUNITY GROUP WAS CONDUCTED IN KHMER AND THE LATINO GROUP IN SPANISH. THE UNIVERSITY OF MASSACHUSETTS LOWELL CONDUCTED SIX KEY INFORMANT INTERVIEWS.MORE THAN 50 GREATER LOWELL PROFESSIONALS PARTICIPATED IN THE FOCUS GROUPS AND PERSONAL INTERVIEWS - INCLUDING SCHOOL NURSES, HOSPITAL EXECUTIVES, TOWN MANAGERS AND LOCAL HEALTH DEPARTMENT DIRECTORS, AS WELL AS INDIVIDUALS REPRESENTING THE COUNCILS OF AGING, SKILLED NURSING FACILITIES AND VARIOUS COMMUNITY-BASED ORGANIZATIONS. THESE INDIVIDUALS WERE ASKED TO SPEAK TO THE STRENGTHS AND WEAKNESSES OF THE AREA'S HEALTH SYSTEM AND SUGGEST CHANGES TO IMPROVE IT.THE HEALTH AND DEMOGRAPHIC DATA AVAILABLE WITHIN THE GREATER LOWELL AREA WAS THOROUGHLY INVESTIGATED, FOCUSING SUBSTANTIALLY ON THE ISSUES OR PROBLEMS INDICATED FROM THE PERSONAL AND FOCUS GROUP INTERVIEWS, AS WELL AS THE PUBLIC HEALTH DATA AND STATISTICS. THESE DATA INDICATED THAT THE GREATER LOWELL AREA SAW A DOUBLING OF THE RATE OF MENTAL HEALTH HOSPITALIZATIONS BETWEEN 1989 AND 2006. IN ADDITION, LOWELL HAS SEEN INCREASES IN PROBLEMATIC ALCOHOL CONSUMPTION AND OPIATE-RELATED MORTALITY. THE EXPERIENCE IN THE LOWELL AREA WAS ALSO COMPARED, AS APPROPRIATE, WITH THE STATEWIDE EXPERIENCE. IN SO DOING, WE FOUND THAT THE USE OF EMERGENCY DEPARTMENT SERVICES IN LOWELL IS 39% HIGHER THAN THE STATE AVERAGE IN MOST RECENT DATA AVAILABLE, 2002 THROUGH 2005. WHEN RELIABLE INFORMATION WAS AVAILABLE, WE ADDITIONALLY EXAMINED THE COMPARATIVE EXPERIENCE OF DIFFERENT DEMOGRAPHIC SUBGROUPS. THE MORTALITY RATE AMONG ASIAN-AMERICANS IN THE GREATER LOWELL AREA, FOR EXAMPLE, WAS NEARLY TWICE AS HIGH AS THE MASSACHUSETTS AVERAGE FOR THIS GROUP. IN ADDITION TO PROVIDING SUPPLEMENTAL INFORMATION ON HEALTHCARE CONCERNS VOICED BY VARIOUS STUDY RESPONDENTS, THE DATA ANALYSIS ALSO INDICATED OTHER IMPORTANT FINDINGS, MOST IMPORTANTLY, THAT THE PROPORTION OF INDIVIDUALS IN LOWELL WITHOUT HEALTH INSURANCE INCREASED SUBSTANTIALLY BETWEEN 2000 AND 2008. THE NEXT COMMUNITY HEALTH NEEDS ASSESSMENT WILL BE COMPLETED IN 2016.
PART VI, LINE 3:FOR THOSE PATIENTS WHO ARE UNINSURED OR UNDERINSURED, THE HOSPITAL WORKS WITH THEM TO ASSIST WITH APPLYING FOR AVAILABLE FINANCIAL ASSISTANCE PROGRAMS THAT MAY COVER SOME OR ALL OF THEIR UNPAID HOSPITAL BILLS. IN ORDER TO HELP UNINSURED AND UNDERINSURED PATIENTS FIND AVAILABLE AND APPROPRIATE FINANCIAL ASSISTANCE PROGRAMS, THE HOSPITAL PROVIDES ALL PATIENTS WITH A GENERAL NOTICE OF THE AVAILABILITY OF PROGRAMS IN BOTH THE BILLS THAT ARE SENT TO PATIENTS AS WELL AS IN GENERAL NOTICES THAT ARE POSTED THROUGHOUT THE HOSPITAL. IN ADDITION TO GENERAL NOTICES, THERE ARE INFORMATIONAL BROCHURES AVAILABLE IN ACCESS AREAS AND DURING THE PROCESS OF REGISTRATION ANYONE THAT INDICATES THEY ARE HAVING TROUBLE PAYING THEIR BILLS OR WHO ARE UNINSURED ARE PROVIDED WITH A BUSINESS CARD THAT IDENTIFIES HOW TO CONTACT A PATIENT FINANCIAL COUNSELOR. ALL SIGNS AND NOTICES ARE TRANSLATED INTO LANGUAGES OTHER THAN ENGLISH IF SUCH LANGUAGE IS SPOKEN BY 10% OR MORE OF THE POPULATION RESIDING IN THE HOSPITAL SERVICE AREA. CURRENTLY, THE HOSPITAL TRANSLATES THE NOTICES INTO THE FOLLOWING LANGUAGES - SPANISH, PORTUGUESE, AND KHMER.THE HOSPITAL TRIES TO IDENTIFY AVAILABLE COVERAGE OPTIONS FOR PATIENTS WHO MAY BE UNINSURED OR UNDERINSURED WITH THEIR CURRENT INSURANCE PROGRAM WHEN THE PATIENT IS SCHEDULING THEIR SERVICES, WHILE THE PATIENT IS IN THE HOSPITAL, UPON DISCHARGE, AND FOR A REASONABLE TIME FOLLOWING DISCHARGE FROM THE HOSPITAL. THE HOSPITAL PATIENT ACCESS STAFF DIRECTS ALL PATIENTS SEEKING AVAILABLE COVERAGE OPTIONS OR FINANCIAL ASSISTANCE TO THE HOSPITAL'S PATIENT FINANCIAL COUNSELING OFFICE TO DETERMINE IF THEY ARE ELIGIBLE AND THEN TO SCREEN FOR ELIGIBILITY IN AN APPROPRIATE COVERAGE OPTION. THE HOSPITAL ASSISTS THE PATIENT IN APPLYING FOR THE APPROPRIATE COVERAGE OPTIONS THAT ARE AVAILABLE OR NOTIFY THEM OF THE AVAILABILITY OF FINANCIAL ASSISTANCE THROUGH THE HOSPITAL'S OWN INTERNAL FINANCIAL ASSISTANCE PROGRAM.
PART VI, LINE 4:THE CITY OF LOWELL WAS FOUNDED IN 1820 AS A PLANNED INDUSTRIAL COMMUNITY ALONG THE BANKS OF THE MERRIMACK RIVER WHOSE ECONOMY WAS BASED ON TEXTILE MANUFACTURING. BY THE 1850'S, IT HAD BECOME THE LARGEST INDUSTRIAL CENTER IN THE UNITED STATES AND THE SECOND LARGEST CITY IN NEW ENGLAND. MUCH OF THE POPULATION GROWTH IN LOWELL WAS ATTRIBUTABLE TO IMMIGRATION, WHICH NEW RESIDENTS COMING FROM MANY PARTS OF EUROPE AND FRENCH-SPEAKING CANADA, CREATING AN ETHNICALLY DIVERSE COMMUNITY. DURING THIS PERIOD, LOWELL SERVED AS A REGIONAL ECONOMIC ENGINE, PROVIDING GOODS AND SERVICES TO THE SURROUNDING COMMUNITIES, WHICH RETAINED A LARGELY AGRICULTURAL ECONOMY INTO THE EARLY 1900'S. BY THE 1920'S, HOWEVER, LOWELL HAD GONE INTO ECONOMIC DECLINE AS THE U.S. TEXTILE INDUSTRY MOVED SOUTH, AND BY THE END OF THE 1950'S ALL OF THE TEXTILE MILLS HAD CLOSED. IN THE 1970'S, WANG LABORATORIES LOCATED ITS HEADQUARTERS IN THE CITY AND SPURRED A TEMPORARY ECONOMIC REVIVAL, WHICH COLLAPSED WHEN THE COMPANY FILED FOR BANKRUPTCY IN 1992. WHILE THE URBAN CORE HAS BEEN REDEVELOPED AS A RESIDENTIAL COMMUNITY, WITH FORMER TEXTILE MILLS BEING REHABILITATED AS CONDOMINIUMS AND APARTMENTS, LOWELL LACKS A STRONG INDUSTRIAL BASE. IN A LARGE MEASURE, THE EMERGENCE OF A HIGH TECHNOLOGY AND BIOMEDICAL ECONOMIC BASE IN EASTERN MASSACHUSETTS COINCIDED WITH A DECENTRALIZATION OF DEVELOPMENT AND URBAN PLANNING, WITH MANY NEW BUSINESSES LOCATING OUTSIDE CITY CENTERS, ALONG TRANSPORTATION CORRIDORS (E.G., ROUTES 128 AND 495). WHILE LOWELL STILL PROVIDES REGIONAL SERVICES NOT AVAILABLE IN THE SMALLER COMMUNITIES - HEALTHCARE, EDUCATION AND ENTERTAINMENT - MUCH OF THE AREA'S RECENT JOB GROWTH HAS COME FROM THE HIGH TECHNOLOGY SECTOR IN NEARBY TOWNS SUCH AS BILLERICA, CHELMSFORD, TEWKSBURY AND WESTFORD.IN THE 1980'S, THE CITY OF LOWELL WAS DESIGNATED AS A REFUGEE AND RESETTLEMENT AREA FOR CAMBODIANS IN THE WAKE OF THE ATROCITIES COMMITTED BY THE KHMER ROUGE REGIME. TODAY, LOWELL IS HOME TO THE SECOND LARGEST CAMBODIAN POPULATION WITHIN THE U.S. IN ADDITION, MANY OF THE AMENITIES THAT HAD SERVED PREVIOUS GENERATIONS OF LOWELL IMMIGRANTS, SUCH AS PLENTIFUL RENTAL HOUSING AND A HIGH GEOGRAPHIC DENSITY OF RETAIL BUSINESSES AND SERVICES CONTINUE TO ATTRACT IMMIGRANTS. IN THE 2000 CENSUS, MORE THAN ONE IN FIVE LOWELL RESIDENTS WAS FOREIGN BORN. CONTRASTED WITH THE PREDOMINANTLY NORTHERN AND WESTERN EUROPEAN IMMIGRATION DURING THE CITY'S MANUFACTURING HEYDAY, RECENT FIGURES SHOW THAT THE FOREIGN BORN IN LOWELL TODAY HAVE MORE DIVERSE ORIGINS. IN 2000, APPROXIMATELY HALF OF ALL LOWELL IMMIGRANTS WERE ASIAN, NEARLY A QUARTER FROM LATIN AMERICA, 16 PERCENT FROM EUROPE (WITH MANY ARRIVING FROM PORTUGAL), AND APPROXIMATELY SIX PERCENT FROM AFRICA. WITH THEIR ARRIVAL, THESE IMMIGRANTS HAVE ALSO ALTERED THE SERVICE ENVIRONMENT, WITH SOME HEALTHCARE FACILITIES, NOTABLY THE LOWELL COMMUNITY HEALTH CENTER, ADAPTING THEIR SERVICES TO ACCOMMODATE INDIVIDUALS WITH IDIOSYNCRATIC CULTURAL AND HEALTH NEEDS, AS WELL AS PROVIDING SERVICES IN AN INCREASING NUMBER OF LANGUAGES.IMMIGRANTS ARRIVING IN LOWELL TODAY ARE GREETED WITH A STARKLY DIFFERENT ECONOMIC REALITY THAN THOSE ARRIVING DURING THE INDUSTRIAL REVOLUTION. THERE ARE ESSENTIALLY NO MANUFACTURING JOBS REMAINING IN LOWELL, AND THE MAJORITY OF JOBS IN THE NEW HIGH TECHNOLOGY SECTOR REQUIRE A COLLEGE EDUCATION. AS A RESULT, MOST JOBS AVAILABLE TO NEW IMMIGRANTS WITHOUT AN ADVANCED EDUCATION ARE SERVICE JOBS, MANY OF WHICH DO NOT PAY A LIVING WAGE. GREATER LOWELL'S DEMOGRAPHIC PROFILE FROM THE MASSACHUSETTS EXECUTIVE OFFICE OF LABOR AND WORKFORCE DEVELOPMENT, AS OF DECEMBER 2014 INDICATES A 4.7% UNEMPLOYMENT RATE COMPARED TO 4.9% FOR THE STATE OF MASSACHUSETTS. HOWEVER, IT IS WORTH NOTING THAT LOWELL, MASSACHUSETTS, WHICH REPRESENTS APPROXIMATELY 39% OF THE POPULATION IN LOWELL GENERAL HOSPITAL'S SERVICE AREA, HAS 19% OF THE POPULATION LIVING BELOW POVERTY AND AN EMPLOYMENT RATE THAT HAS BEEN AT OR ABOVE 8% FOR THE PAST 12 MONTHS. THE COMMUNITIES SURROUNDING LOWELL HAVE ATTRACTED FAR FEWER IMMIGRANTS, WITH IMMIGRANTS ACCOUNTING FOR JUST THREE TO SEVEN PERCENT OF THEIR POPULATIONS. OF THE SUBURBAN COMMUNITIES IN THE GREATER LOWELL AREA, ONLY WESTFORD HAS A HIGHER PROPORTION FOREIGN BORN (12.6%), BUT THESE IMMIGRANTS ARE PREDOMINANTLY WELL EDUCATED AND DRAWN TO THE TOWN'S HIGH TECHNOLOGY JOBS.WHILE LOWELL IS NO LONGER THE ECONOMIC CENTER THAT IT ONCE WAS, LOWELL IS STILL A CULTURAL AND INSTITUTIONAL CENTER FOR THE REGION. IT IS HOME TO THE UNIVERSITY OF MASSACHUSETTS LOWELL, MIDDLESEX COMMUNITY COLLEGE AND THE LOWELL NATIONAL HISTORICAL PARK, AS WELL AS LOWELL GENERAL HOSPITAL, SUPERIOR AND DISTRICT COURTS, THE MERRIMACK REPERTORY THEATER, THE LOWELL MEMORIAL AUDITORIUM, THE TSONGAS CENTER AND LALACHEUR STADIUM.IN 2010, THE GREATER LOWELL AREA, AS DEFINED HEREIN, HAD A POPULATION OF 275,000 RESIDENTS, INCLUDING AN ESTIMATED 106,000 PEOPLE IN THE CITY OF LOWELL ALONE. THUS, THE CITY OF LOWELL ITSELF ACCOUNTS FOR LESS THAN 50 PERCENT OF THE AREA'S POPULATION. FOUR OTHER COMMUNITIES - BILLERICA, CHELMSFORD, DRACUT AND TEWKSBURY - EACH HAVE A POPULATION OF NEARLY 30,000 OR MORE. WE ALSO SEE THAT THE CITY OF LOWELL DIFFERS FROM ITS SUBURBAN NEIGHBORS IN IMPORTANT RESPECTS - A GREATER PERCENTAGE NON-HISPANIC WHITE, A GREATER PERCENTAGE FOREIGN BORN AND A HIGHER POVERTY RATE.LOWELL GENERAL HOSPITAL'S PRIMARY SERVICE AREA (PSA) IS COMPRISED OF APPROXIMATELY 300,000 RESIDENTS FROM THE FOLLOWING NINE COMMUNITIES: BILLERICA, CHELMSFORD, DRACUT, DUNSTABLE, LOWELL, TEWKSBURY, TYNGSBOROUGH, WESTFORD, AND PELHAM, NEW HAMPSHIRE. THE HOSPITAL'S SECONDARY SERVICE AREA (SSA) HAS A POPULATION OF APPROXIMATELY 371,000 AND INCLUDES THE SURROUNDING TOWNS OF ANDOVER, CARLISLE, GROTON, LAWRENCE, LITTLETON, METHUEN, NORTH ANDOVER, PEPPERELL, WILMINGTON, AND HOLLIS, HUDSON AND NASHUA, NEW HAMPSHIRE.
PART VI, LINE 5:LOWELL GENERAL HOSPITAL PARTICIPATES IN COMMUNITY BUILDING ACTIVITIES IN MANY WAYS. TO HELP IMPROVE THE HEALTH STATUS OF OUR COMMUNITY WE RECOGNIZE THE IMPORTANCE OF ACCESS TO CARE. TO HELP MEET THIS NEED, LOWELL GENERAL HOSPITAL EVALUATES THE AVAILABILITY OF PRIMARY CARE AND SPECIALISTS TO OUR COMMUNITY MEMBERS AND ACTIVELY RECRUITS PHYSICIANS TO FILL GAPS. THESE GAPS OFTEN INCLUDE RECRUITMENT OF MULTI-LINGUAL PHYSICIANS AND THOSE WHO HAVE SPECIALTIES IN IDENTIFIED HEALTH NEEDS FOR OUR COMMUNITY. LOWELL GENERAL PROVIDES BOTH FINANCIAL AND PRACTICE MANAGEMENT SUPPORT TO THESE PHYSICIANS. THIS ENHANCES THE COMMUNITIES' ABILITY TO ACCESS EXCELLENT PRIMARY AND SPECIALTY CARE IN A LOCAL SETTING.LOWELL GENERAL HOSPITAL HAS A CLOSE WORKING RELATIONSHIP THAT INCLUDES FINANCIAL SUPPORT TO LOWELL COMMUNITY HEALTH CENTER (LCHC) WHICH SERVES THE LOW-INCOME, MEDICALLY UNDERSERVED POPULATION, MANY OF WHOM HAVE NO OTHER ACCESS TO HEALTHCARE SERVICES. THE MAJORITY OF PATIENTS SERVED BY LCHC HAVE MASSHEALTH, ANOTHER 10% HAVE PRIVATE HEALTH INSURANCE OR HMO COVERAGE, 7% HAVE MEDICARE, AND 20% ARE UNINSURED; AND 95% LIVE AT OR BELOW THE POVERTY LEVEL. ALMOST HALF OF LCHC'S PATIENT POPULATION IS UNDER 18 YEARS OF AGE, AND THE MAJORITY OF WOMEN ARE IN THEIR CHILDBEARING YEARS. IN 2007, 37% OF PATIENTS WERE WHITE/NON-HISPANIC; 28% WERE LATINO; 27% WERE ASIAN (PRIMARILY CAMBODIANS) AND 8% WERE AFRICAN IMMIGRANTS. ALMOST 60% OF PATIENTS WERE BEST SERVED IN A LANGUAGE OTHER THAN ENGLISH. SOME OF THE MAJOR SERVICES THAT LCHC PROVIDES ARE - CARINO, WHICH PROVIDES SPECIAL CARE FOR PATIENTS WITH HIV/AIDS; PROMOTORAS PROGRAMS, WHICH ARE TRAINED COMMUNITY HEALTH WORKERS AND VOLUNTEERS WHO SPEAK SPANISH AND/OR PORTUGUESE AND GO THROUGH AN INTENSIVE TRAINING WITH LCHC STAFF ON SPECIFIC HEALTH TOPICS TO EDUCATE THE COMMUNITY; LCHC TEEN COALITION AND ADOLESCENT HEALTH PROGRAM, WHICH COVERS EVERYTHING FROM MENTAL HEALTH AND SELF-ESTEEM ISSUES AMONG GIRLS TO EDUCATING AND INVOLVING YOUTH IN SUBSTANCE ABUSE PREVENTION AND A JOURNEY TO HEALING PROGRAM FOR REFUGEE CHILDREN AND CHILDREN OF REFUGEES. WITHOUT LOWELL GENERAL'S FINANCIAL SUPPORT TO LCHC'S PENSION AND WORKER'S COMPENSATION PROGRAM, MANY OF THESE PROGRAMS WOULD NOT HAVE ADEQUATE FUNDING.THE HOSPITAL DEDICATES EXTENSIVE RESOURCES THROUGHOUT THE ORGANIZATION IN ITS COMMITMENT TO THE COMMUNITY BENEFIT PROGRAM. THE BOARD OF DIRECTORS, IN PARTNERSHIP WITH THE SENIOR MANAGEMENT TEAM AND THE PLANNING AND RESEARCH DEPARTMENT, CREATED A FORMAL STRUCTURE TO SUPPORT THE HOSPITAL'S OUTREACH INTO THE COMMUNITY, DEDICATING RESOURCES AND INVESTING IN A THREE-PRONGED APPROACH THROUGH THE CREATION OF THREE MAJOR INITIATIVES: THE CENTER FOR COMMUNITY HEALTH & WELLNESS, THE GREATER LOWELL HEALTH ALLIANCE, AND THE LGH BALL FOR COMMUNITY HEALTH INITIATIVES, WHICH IS NOW KNOWN AS THE CIRCLE HEALTH BALL FOR COMMUNITY HEALTH INITIATIVES. CENTER FOR COMMUNITY HEALTH & WELLNESSTHE CENTER FOR COMMUNITY HEALTH & WELLNESS (CHW) WAS CREATED IN 2006 TO MEET THE EVER-CHANGING HEALTHCARE NEEDS THROUGHOUT GREATER LOWELL. THROUGH AN INVESTMENT OF SIGNIFICANT RESOURCES, A STAFF OF TWO HAS GROWN TO MORE THAN 25 FULL-TIME AND PER DIEM STAFF MEMBERS. SINCE 2006, WE HAVE SHOWN A REMARKABLE 911 PERCENT INCREASE IN PROGRAMS OFFERED (45 TO 455) AND 923 PERCENT INCREASE IN INDIVIDUALS SERVED BY THESE PROGRAMS (547 TO 5,598). PROGRAMS AND EVENTS ARE CREATED TO ADDRESS UNMET PUBLIC HEALTH NEEDS INCLUDING PHYSICAL ACTIVITY, NUTRITION, SMOKING CESSATION, PREVENTION, AND OVERALL HEALTH AND WELLNESS. MANY OF THESE PROGRAMS TARGET OUR COMMUNITY'S UNDERSERVED AND VULNERABLE POPULATIONS, INCLUDING IMMIGRANTS, ELDERS AND CHILDREN.TODAY, OUR CENTER FOR COMMUNITY HEALTH & WELLNESS PLANS AND SUPPORTS MORE THAN 50 EVENTS ANNUALLY, INCLUDING HEALTH FAIRS AND COMMUNITY SCREENINGS, AND PROVIDES MORE THAN 25 SUPPORT GROUPS. IN ADDITION, WE PARTICIPATE IN 15 TO 20 COMMITTEES AND COALITIONS IN THE GREATER LOWELL AREA, SUCH AS HEALTHY CHELMSFORD, CITY MANAGER'S DOMESTIC VIOLENCE TASKFORCE, LOWELL FOOD SECURITY COALITION, LOWELL YOUTH DEVELOPMENT COLLABORATIVE, LOWELL ASTHMA COALITION, AND THE SUBSTANCE USE & PREVENTION TASK FORCE. OUR LEADERSHIP ROLE IN THESE INITIATIVES ENABLES US TO INCREASE COMMUNITY BUILDING AND CAPACITY, BROADENING THE IMPACT OF OUR OUTREACH. RESPONDING TO THE NEEDS AND FEEDBACK OF OUR COMMUNITY, WE ALSO IMPLEMENTED A CORPORATE WELLNESS PROGRAM, PROVIDING OUTSIDE CORPORATIONS WITH SCREENINGS, INNOVATIVE PROGRAMS AND HEALTH INFORMATION TO IMPROVE THEIR EMPLOYEES' HEALTH.IN 2008 THE HOSPITAL'S CHILDBIRTH EDUCATION PROGRAM MOVED UNDER THE LEADERSHIP OF THE CENTER FOR COMMUNITY HEALTH & WELLNESS, CENTRALIZING ALL PREVENTION AND WELLNESS PROGRAMMING. UNDER THE DIRECTION OF CHW, THE CHILDBIRTH EDUCATION DEPARTMENT EXPERIENCED AN IMPRESSIVE 107 PERCENT INCREASE IN ATTENDEES AND 116 PERCENT INCREASE IN PROGRAM OFFERINGS, ADDING PRECONCEPTION AND PARENTING PROGRAMS TO EXISTING OFFERINGS OF PREPARED CHILDBIRTH, TEEN PREGNANCY PROGRAMS, AND INFANT CARE. WE HAVE EVEN SUCCESSFULLY IMPLEMENTED ONLINE CHILDBIRTH EDUCATION CLASSES. GREATER LOWELL HEALTH ALLIANCEAS THE CENTER FOR COMMUNITY HEALTH & WELLNESS THRIVED, OUR RESEARCH INDICATED THAT THE SCOPE OF THE REGION'S HEALTHCARE NEEDS REQUIRED RESOURCES AND COLLABORATION BEYOND THOSE THAT COULD BE PROVIDED BY A SINGLE INSTITUTION. THIS FINDING LED LOWELL GENERAL HOSPITAL TO CREATE THE GREATER LOWELL HEALTH ALLIANCE (GLHA), AN INDEPENDENT NON-PROFIT ALLIANCE WITH A MISSION TO SUSTAIN A STRATEGIC ALLIANCE OF COMMUNITY ORGANIZATIONS THAT IMPROVES THE OVERALL HEALTH AND WELLNESS OF THOSE LIVING IN THE GREATER LOWELL REGION. BY RAISING AWARENESS AND PROVIDING RESOURCES FOR OUR HEALTH CARE PROVIDERS, COMMUNITIES, SCHOOLS AND CIVIC AND BUSINESS LEADERS, WE EMPOWER THEM TO MAKE DECISIONS AND TAKE ACTIONS THAT WILL LEAD TO AN IMPROVEMENT IN THE OVERALL HEALTH OF OUR COMMUNITIES.A MAJOR GOAL OF THE GLHA IS TO REDUCE DUPLICATION OF EFFORTS. THEREFORE, IN 2008 GLHA MERGED WITH THE COMMUNITY HEALTH NETWORK AREA (CHNA) 10, A COALITION OF PUBLIC, NON-PROFIT AND PRIVATE SECTORS CREATED BY THE DEPARTMENT OF PUBLIC HEALTH IN 1992. THE UNIFICATION OF THE TWO ORGANIZATIONS STRENGTHENED OUR ABILITY TO WORK WITH OTHERS TO ENRICH THE GREATER LOWELL COMMUNITY; NETWORK AND SHARE IDEAS WITH PEOPLE OF SIMILAR INTEREST IN BUILDING A HEALTHIER GREATER LOWELL COMMUNITY; GAIN MORE KNOWLEDGE ABOUT HEALTH-RELATED ISSUES AND TOPICS; AND INCREASE CULTURAL COMPETENCY OF THE SERVICES PROVIDED TO THE COMMUNITY. SINCE 2006, GLHA HAS GROWN FROM 13 PARTICIPATING ORGANIZATIONS TO MORE THAN 100, AND FROM ONE TASK FORCE (HEALTHY WEIGHT) TO FIVE (SUBSTANCE USE & PREVENTION, MENTAL HEALTH, CULTURAL COMPETENCE, HEALTHY EATING & LIVING, AND MATERNAL CHILD HEALTH). LOWELL GENERAL HOSPITAL CONTINUES TO PROVIDE LEADERSHIP AND FINANCIAL SUPPORT TO THE GLHA. LOWELL GENERAL HOSPITAL'S VICE PRESIDENT OF EXTERNAL AFFAIRS, MICHELLE DAVIS IS THE CHAIR OF THE GLHA BOARD COMMITTEE.CIRCLE HEALTH BALL FOR COMMUNITY HEALTH INITIATIVESWITH THE GROWING NEED FOR COMMUNITY HEALTH PROGRAMS AND SUPPORT CAME THE NEED FOR ADDITIONAL FUNDING TO SUPPORT THEM. LOWELL GENERAL HOSPITAL DEVELOPED THE ANNUAL "LGH BALL FOR COMMUNITY HEALTH INITIATIVES", NOW KNOWN AS THE CIRCLE HEALTH BALL, TO RAISE AWARENESS AND FUNDS FOR COMMUNITY OUTREACH AND EDUCATION. IN THE PAST SEVEN YEARS, LOWELL GENERAL HOSPITAL HAS RAISED MORE THAN $600,000 FOR COMMUNITY INITIATIVES, INCLUDING THE HEALTHY BABIES INITIATIVE, A BREASTFEEDING EDUCATION AND SUPPORT PROGRAMS FOR NEW MOMS; THE "BEDS FOR KIDS" PROGRAM OF THE LOWELL WISH PROJECT, WHICH PROVIDES NEW BEDS AND BEDDING FOR AT-RISK CHILDREN IN THE CITY; A PUBLIC SERVICE CAMPAIGN TO PROMOTE MENTAL HEALTH AWARENESS AND RESOURCES; THE "HEART AND SOLES" MALL WALKING PROGRAM; AN OUTDOOR RIVER PATH WALKING PROGRAM; A CHILDREN'S LITERACY PROGRAM; A SMOKING PREVENTION PROGRAM IN THE LOWELL PUBLIC SCHOOLS; AND A COMPREHENSIVE HEALTH RISK ASSESSMENT PROGRAM.IN 2014, THE CIRCLE HEALTH BALL RAISED MORE THAN $285,000 TO HELP FUND VITAL HEALTH AND WELLNESS PROGRAMS WHICH BENEFIT RESIDENTS OF THE GREATER LOWELL COMMUNITY. THREE LOCAL NON-PROFITS WERE AWARDED COMMUNITY HEALTH INITIATIVE GRANTS FOR 2014. THEY WERE THE INTERNATIONAL INSTITUTE OF LOWELL'S REFUGEE BEHAVIORAL HEALTH INITIATIVE, UTEC'S PREVENTING SUBSTANCE ABUSE TO HELP YOUTH SUCCEED PROGRAM, AND LOWELL TRANSITIONAL LIVING CENTER'S HEALTH CARE NAVIGATOR PROGRAM.LOWELL GENERAL HOSPITAL IS DEDICATED TO THE PROMOTION OF THE HEALTH IN THE COMMUNITY BY PROVIDING EDUCATIONAL OPPORTUNITIES FOR LOCAL SENIOR CENTERS, HOSTING QUARTERLY BLOOD DRIVES IN PARTNERSHIP WITH THE AMERICAN RED CROSS, RUNNING ANNUAL FOOD DRIVES TO BENEFIT THE LOCAL FOOD BANKS, AND PARTICIPATING IN COUNTLESS HEALTH FAIRS WHERE WE PROVIDE VALUABLE HEALTH PROMOTION INFORMATION AND OFTEN PROVIDE FREE HEALTH SCREENINGS.
PART VI, LINE 6:MEMBERS AND OFFICERS OF LOWELL GENERAL HOSPITAL ARE ACTIVELY SERVING ON THE BOARDS OF MANY LOCAL COMMUNITY AREA AGENCIES AND AS HEADS OF THE GREATER LOWELL HEALTH ALLIANCE. IN 2012, LOWELL GENERAL HOSPITAL OFFICIALLY BECAME A MEMBER OF CIRCLE HEALTH. CIRCLE HEALTH IS A PROGRESSIVE COLLABORATION OF PHYSICIANS, HOSPITALS, OTHER HEALTH PROVIDERS, AND OTHER COMMUNITY-BASED ORGANIZATIONS WITH A SHARED VISION FOR EMPOWERING PEOPLE AND COMMUNITIES TO BE THE HEALTHIEST THEY CAN BE. WITH OUR INNOVATIVE PROGRAMS AND APPROACH TO CARE MANAGEMENT, OUR PROMISE TO YOU IS AN EXPERIENCE OF COMPLETE CONNECTED CARESM. CIRCLE HEALTH IS ABOUT SUPPORTING COMMUNITIES WITH A COMPREHENSIVE RANGE OF SERVICES SO THAT INDIVIDUALS HAVE EASY ACCESS TO THE EXPERTISE AND RESOURCES THEY NEED IN ORDER TO ACHIEVE THE BEST POSSIBLE HEALTH THROUGHOUT THEIR LIVES.
PART VI, LINE 7, REPORTS FILED WITH STATESMA
PART VI, LINE 5 CONTINUEDMANY EMPLOYEES AND SENIOR MANAGEMENT AT LOWELL GENERAL HOSPITAL REPRESENT THE HOSPITAL ON THE BOARDS OF DIRECTORS OF MANY LOCAL NON-PROFIT CHARITIES, PROVIDING HUNDREDS OF HOURS OF SERVICE TO THESE ORGANIZATIONS. EACH MEMBER OF OUR SENIOR MANAGEMENT TEAM GIVES AN AVERAGE OF 10 HOURS EACH MONTH AT THE FOLLOWING ORGANIZATIONS: BOYS AND GIRLS CLUB OF GREATER LOWELL, BIG BROTHER BIG SISTER OF GREATER LOWELL AND NASHOBA VALLEY, GIRLS INCORPORATED OF GREATER LOWELL, LOWELL TRANSITIONAL LIVING CENTER, HOUSE OF HOPE, LOWELL TELECOMMUNICATIONS CORPORATION, D'YOUVILLE SENIOR CARE, AND THE GREATER LOWELL FAMILY YMCA.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (34 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
AMERICAN HEART ASSOCIATION
1 UNION STROBBINSVILLENJ08691135613797501(C)(3)$45,833SPONSOR VARIOUS EVENTS
AMERICAN TEXTILE HISTORY
491 DUTTON STLOWELLMA01854042276089501(C)(3)$5,000SPONSORSHIP
BOYS & GIRLS CLUB OF GREATER LOWELL
657 MIDDLESEX STLOWELLMA01851042014396501(C)(3)$16,250SPONSOR VARIOUS EVENTS
CHALLENGE UNLIMITED
450 LOWELL STANDOVERMA01810222478997501(C)(3)$6,200SPONSOR VARIOUS EVENTS
CHELMSFORD POP WARNER FOOTBALL INC
31 KENNEDY DRIVENORTH CHELMSFORDMA01863521656310501(C)(3)$6,000SPONSORSHIP
CIRCLE HOME
336 CENTRAL STLOWELLMA01852042103812501(C)(3)$5,000SPONSORSHIP
CITY OF LOWELL #11050
375 MERRIMACK STLOWELLMA01852046001396501(C)(3)$45,833DONATIONS
COMMUNITY TEAMWORK INC
155 MERRIMACK STLOWELLMA01852042382027501(C)(3)$7,250SPONSOR VARIOUS EVENTS
GREATER LOWELL CHAMBER OF COMMERCE
131 MERRIMACK STLOWELLMA01852043258590501(C)(3)$8,480SPONSOR VARIOUS EVENTS
GREATER LOWELL YMCA
35 YMCA DRIVELOWELLMA01852042104398501(C)(3)$5,915SPONSOR VARIOUS EVENTS
GREATER MERRIMACK VALLEY CONVENTION & VISITORS BUREAU
40 FRENCH ST 2ND FLOORLOWELLMA01852043158302501(C)(6)$10,000SPONSOR VARIOUS EVENTS
HAND HELP INC
PO BOX 208041NEW HAVENCT06520273940034501(C)(3)$7,500DONATION
IMMACULATE CONCEPTION CHURCH
3 FAYETTE STREETLOWELLMA01852042106189501(C)(3)$10,200SPONSOR VARIOUS EVENTS
LOWELL CATHOLIC HIGH
530 STEVENS STREETLOWELLMA01851042563657501(C)(3)$5,850SPONSORSHIP
LOWELL SUMMER MUSIC SERIES
67 KIRK STREETLOWELLMA01852042578293501(C)(3)$10,000SPONSORSHIP
LOWELL SUN CHARITIES (& SUN SANTA)
491 DUTTON ST STE 1LOWELLMA01854046004936501(C)(3)$62,911DONATION & SPONSORSHIPS
MARCH OF DIMES
112 TURNPIKE RD SUITE 102WESTBOROUGHMA01581131846366501(C)(3)$5,500SPONSOR VARIOUS EVENTS
MCC FOUNDATION INC
PO BOX 716BEDFORDMA01730042973384501(C)(3)$6,400SPONSORSHIP
MERRIMACK COLLEGE
315 TURNPIKE STREETNORTH ANDOVERMA01845042103731501(C)(3)$12,500SPONSORSHIP
MERRIMACK REPERTORY
132 WARREN STLOWELLMA01852042664784501(C)(3)$15,000SPONSORSHIP
PROJECT FIT AMERICA
PO BOX 308BOYES HOT SPRINGCA95416363730823501(C)(3)$20,800DONATION
GREATER LOWELL COMMUNITY FOUNDATION (INCL SAW)
100 MERRIMACK STLOWELLMA01852043401997501(C)(3)$8,600SPONSORSHIP
SMITHFEST FOUNDATION INCORPORATED
38 WILLOWDALE ROADTYNGSBOROMA01879800603319501(C)(3)$5,000SPONSORSHIP
THE LOWELL PLAN
660 SUFFOLK ST STE 120LOWELLMA01854042693109501(C)(3)$8,000DONATIONS
THE SCHWARTZ CENTER FOR COMPASSIONATE HEALTHCARE
205 PORTLAND ST 6TH FLOORBOSTONMA02114041564655501(C)(3)$10,000SPONSORSHIP
TOWN OF TEWKSBURY COUNCIL ON AGING
175 CHANDLER STREETTEWKSBURYMA01876046001322501(C)(3)$5,000DONATION
TUFTS FLOATING HOSPITAL
800 WASHINGTON ST 231BOSTONMA02111043400617501(C)(3)$5,000SPONSORSHIP
TUFTS MEDICAL CENTER
800 WASHINGTON ST BOX 468BOSTONMA02111043400617501(C)(3)$5,000SPONSORSHIP
UMASS LOWELL #17535
600 SUFFOLK ST SUITE 160LOWELLMA01854043167352501(C)(3)$10,000DONATION
UNIVERSITY OF MASS OFFICE OF RESEARCH
600 SUFFOLK ST SUITE 160LOWELLMA01854043167352501(C)(3)$5,000COMMUNITY HEALTH MINI GRANT
UNIVERSITY OF MASSACHUSETTS LOWELL
600 SUFFOLK ST SUITE 160LOWELLMA01854046013152501(C)(3)$10,000SPONSORSHIP
WESTFORD HEALTH DEPARTMENT
55 MAIN STWESTFORDMA01886046001357501(C)(3)$50,000DONATIONS
WESTFORD ROTARY CHARITABLE ENDOWMENTINC
PO BOX 231WESTFORDMA01886043540698501(C)(3)$5,000SPONSORSHIP
WOMEN CITYS GOLF TOURNAMENT
1 ROCK RDTYNGSBOROMA01879043499399501(C)(3)$5,000SPONSORSHIP
FieldValueIRS element (for citing)
Total501c3 Org33Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE LOWELL GENERAL HOSPITAL RESPONDS TO SPECIFIC REQUESTS FOR FUNDING TO LOCAL AGENCIES AND ORGANIZATIONS RELATED TO COMMUNITY BENEFIT EVENTS AND NEEDS. THE HOSPITAL REQUIRES THAT THE ORGANIZATION STATE THE NATURE OF THEIR NEED PRIOR TO THEM MAKING THE CONTRIBUTION AND, IN THE CASE OF MAJOR DONATIONS AN ANNUAL REPORT IS REQUESTED WHICH DETAILS HOW SUCH DONATED FUNDS WERE SPENT.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
NORMAND DESCHENE
PRES. OF BOARD & CEO - THE LGH$573,945$165,758$165,094$0$988,502$0$31,739$21,016$27,215$18,020$1,786,495$204,794$0$0
SUSAN GREEN
SENIOR VP & CFO & TREASURER - THE LG$363,420$29,250$73,710$0$227,183$0$2,160$543$25,268$6,346$691,741$36,139$0$0
WILLIAM WYMAN
VP REVENUE SERVICES & ASST. CLERK$204,674$0$29,182$0$477$0$34,573$0$15,373$0$284,279$0$0$0
JOSEPH WHITE
PRESIDENT - THE LGH$887,757$0$120,834$0$128,130$0$10,400$0$32,003$0$1,179,124$0$0$0
SABRINA GRANVILLE
CHO$270,381$0$40,979$0$21,661$0$0$0$31,231$0$364,252$0$0$0
WAYNE PASANEN
VP MEDICAL AFFAIRS$192,305$0$21,678$0$22,992$0$9,539$0$28,909$0$275,423$0$0$0
AMY HOEY
CHIEF OPERATING OFFICER$333,209$0$60,451$0$219,879$0$10,400$0$30,178$0$654,117$0$0$0
CECELIA LYNCH
CNO$302,828$0$32,931$0$1,147$0$0$0$22,543$0$359,449$0$0$0
DAVID PICKUL
CHIEF MEDICAL OFFICER$237,893$0$37,296$0$21,928$0$0$0$22,543$0$319,660$0$0$0
MICHELLE DAVIS
VP EXTERNAL AFFAIRS$143,407$46,095$21,458$6,897$337$108$549$711$9,701$12,564$175,452$66,375$0$0
RICHARD MA
PHYSICIAN$205,533$0$0$0$103$0$0$0$14,472$0$220,108$0$0$0
YISHI REN
PHYSICIAN$217,797$0$0$0$2,021$0$0$0$11,615$0$231,433$0$0$0
RAJAA NAHRA
PHYSICIAN$220,699$0$0$0$450$0$0$0$15,200$0$236,349$0$0$0
MICHAEL LAPPI
PHYSICIAN$256,363$0$0$0$806$0$0$0$17,370$0$274,539$0$0$0
GERALDINE VAUGHAN
PHO EXECUTIVE DIRECTOR$288,460$0$57,902$0$751$0$0$0$16,607$0$363,720$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ATHE HOSPITAL HAS ENTERED INTO RESTRICTIVE ENDORSEMENT BONUS ARRANGEMENTS ("REBA'S") WITH THE FOLLOWING EMPLOYEES AS PART OF A RETIREMENT RETENTION PROGRAM: NORMAND DESCHENE - PRES. OF BOARD & CEO - THE LOWELL GENERAL HOSPITAL JOSEPH WHITE - PRESIDENT - THE LOWELL GENERAL HOSPITAL AMY HOEY - CHIEF OPERATING OFFICER - THE LOWELL GENERAL HOSPITAL SUSAN GREEN - SENIOR VP & CFO & TREASURER AMOUNTS PAID BY THE HOSPITAL UNDER THE ARRANGEMENT ARE REQUIRED TO BE REPAID TO THE HOSPITAL IF LENGTH OF SERVICE REQUIREMENTS ARE NOT MET. AMOUNTS PAID UNDER THE REBA ARRANGEMENTS ARE TREATED AS TAXABLE COMPENSATION IN THE YEAR PAID BY THE HOSPITAL. THIS ARRANGEMENT WAS APPROVED BY THE HOSPITAL'S COMPENSATION COMMITTEE AS DOCUMENTED IN THE COMMITTEE MINUTES. THE W-2 COMPENSATION REPORTED FOR MR. DESCHENE - PRES. OF BOARD & CEO - THE LOWELL GENERAL HOSPITAL ON FORM 990, SCHEDULE J, PART II, COLUMN B(III) INCLUDES $853,081 PAID IN 2014 IN CONNECTION WITH THE REBA ARRANGEMENT. THE W-2 COMPENSATION REPORTED FOR MS. GREEN - SENIOR VP & CFO & TREASURER ON FORM 990, SCHEDULE J, PART II, COLUMN B(III) INCLUDES $189,573 PAID IN 2014 IN CONNECTION WITH THE REBA ARRANGEMENT. THE W-2 COMPENSATION REPORTED FOR MR. WHITE - PRESIDENT - THE LOWELL GENERAL HOSPITAL ON FORM 990, SCHEDULE J, PART II, COLUMN B(III) INCLUDES $74,419 PAID IN 2014 IN CONNECTION WITH THE REBA ARRANGEMENT. THE W-2 COMPENSATION REPORTED FOR MS. HOEY - CHIEF OPERATING OFFICER ON FORM 990, SCHEDULE J, PART II, COLUMN B(III) INCLUDES $189,573 PAID IN 2014 IN CONNECTION WITH THE REBA ARRANGEMENT. SOCIAL CLUB DUES ARE PROVIDED TO NORMAND DESCHENE, SUSAN GREEN, JOSEPH WHITE, AND AMY HOEY. SOCIAL CLUB DUES IS TREATED AS TAXABLE COMPENSATION TO THE EXTENT CONSIDERED PERSONAL USEAGE.
PART I, LINE 4BTHE HOSPITAL HAS ENTERED INTO A SPLIT-DOLLAR LIFE INSURANCE AGREEMENT WITH NORMAND DESCHENE - PRESIDENT OF BOARD & CEO - THE LOWELL GENERAL HOSPITAL. PREMIUMS PAID IN CALENDAR 2014 WERE $71,728. ALL PREMIUMS WILL BE REPAID TO THE HOSPITAL.
PART I, LINE 7BONUSES ARE PAID AS INDICATED ON SCHEDULE J, PART II. BONUS PAID TO OFFICERS ARE APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD. OTHER BONUSES ARE APPROVED BY THE OFFICERS OF THE HOSPITAL.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
MASS HEALTH AND ED FACILITIES AUTHORITY SERIES C
A04245601157586EXB22010-09-29$109,152,040CONSTRUCTION OF NEW BUILDING, EQUIP. ACQUISITIONS, PAY OFF COMMERCIAL DEBT000
MASS DEVELOPMENT FINANCE AGENCY SERIES E & F
B0434318142012-09-27$37,500,000REFINANCE THE 1993 SERIES A MEHFA BONDS ISSUED BY SAINTS MEDICAL CENTER000
MASS DEVELOPMENT FINANCE AGENCY SERIES G
C04343181457583UVQ82013-05-01$65,688,217NEW CAPITAL PROJECTS AND EQUIPMENT COSTS AND REFUND/TERMINATE SERIES D BONDS000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtCapitalized InterestCapitalizedInterestAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndWorking Capital ExpendituresWorkingCapitalExpendituresAmt
A$4,510,000$109,975,336$7,292,496$1,755,029$92,469$74,150,946$26,684,3962013000Yes (1)
B$3,845,000$37,500,000$400,000$163,572$35,585,5002013Yes (1)00Yes (1)$1,350,928
C$65,689,334$1,009,853$15,585,808$49,093,6732013Yes (1)00Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0Yes (1)Yes (1)Yes (1)00.025300.0253000Yes (1)
B0Yes (1)Yes (1)Yes (1)00.026200.0262000Yes (1)
C0Yes (1)Yes (1)Yes (1)00.021900.0219000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A0Yes (1)0000000
B0Yes (1)00Yes (1)0000
C0Yes (1)00Yes (1)0000

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II:FormAndLineReferenceDesc
ExplanationMASS. HEALTH AND ED. FACILITIES AUTHORITY SERIES C LINE 3A: TOTAL PROCEEDS OF ISSUE CONSISTS OF $109,152,040 ORIGINAL PROCEEDS PLUS INVESTMENT INCOME OF $823,296 FOR TOTAL OF $109,975,336. LINE 5A: CAPITALIZED INTEREST FROM PROCEEDS TOTALED $7,292,496. LINE 11A: OTHER SPENT PROCEEDS CONSISTING OF REPAYMENT OF PRIOR BONDS SERIES B BONDS OF $11,042,852 PLUS $10,357,512 OF CAPITALIZED INTEREST AND VARIOUS LOANS PAID OFF OF $5,284,032 FOR TOTAL AMOUNT OF $26,684,396. MASS. DEVELOPMENT FINANCE AGENCY SERIES E & F LINE 10B: ACQUISITION OF EQUIPMENT WITH RECOVERY PERIOD LESS THAN FIVE YEARS TOTALED $163,572. LINE 11B: OTHER SPENT PROCEEDS CONSISTED OF REPAYMENT OF PRIOR BONDS 1999 SERIES A BONDS TOTALING $35,585,500. MASS. DEVELOPMENT FINANCE AGENCY SERIES G LINE 3C: TOTAL PROCEEDS OF ISSUE CONSISTS OF $65,688,217 ORGINAL PROCEEDS PLUS INVESTMENT INCOME OF $1,117 FOR TOTAL OF $65,689,334. LINE 11C: OTHER SPENT PROCEEDS CONSISTED OF REPAYMENT OF PRIOR BONDS SERIES D BONDS OF $47,025,000 AND SWAP TERMINATION PAYMENT OF $2,068,673.ExplanationTxt

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution2ContributionCnt
Noncash Contributions Rpt F990$10,489NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescFUNDRAISING EVENT ITEMSDesc
Contribution250ContributionCnt
Noncash Contributions Rpt F990$218,488NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, COLUMN (B):FormAndLineReferenceDesc
ExplanationTHE NUMBER IN PART I, COLUMN (B) IS THE NUMBER OF CONTRIBUTIONS OF STOCK AND ITEMS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE SOLE MEMBER OF THE LOWELL GENERAL HOSPITAL IS CIRCLE HEALTH, INC.
FORM 990, PART VI, SECTION A, LINE 7ACIRCLE HEALTH, INC., AS SOLE MEMBER OF THE LOWELL GENERAL HOSPITAL, ELECTS THE MEMBERS OF THE HOSPITAL'S BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7BCIRCLE HEALTH, INC. APPROVES BUDGETS FOR THE LOWELL GENERAL HOSPITAL. CIRCLE HEALTH, INC. ALSO DETERMINES THE NUMBER OF LOWELL GENERAL HOSPITAL TRUSTEES AT AN ANNUAL MEETING. CIRCLE HEALTH, INC. MAY ALSO ELECT NEW TRUSTEES OR REMOVE TRUSTEES TO ACHIEVE THE NUMBER OF TRUSTEES SO FIXED.
FORM 990, PART VI, SECTION B, LINE 11CBIZ TOFIAS, A PROFESSIONAL ACCOUNTING/TAX FIRM, WILL PREPARE THE ANNUAL FORM 990 IN ASSOCIATION WITH THE FINANCE DEPARTMENT OF LOWELL GENERAL HOSPITAL WHO WILL SUPPLY RELEVANT INFORMATION. THE FINANCE COMMITTEE WILL BE PROVIDED WITH A COMPLETED DRAFT OF THE FORM 990 PRIOR TO ITS FILING. THE FINANCE COMMITTEE SHALL THEN REVIEW AND MAKE RECOMMENDATIONS UPON THE DRAFT REPORT, PRIOR TO ITS PRESENTATION TO THE BOARD OF DIRECTORS. BASED UPON THIS REVIEW, THE COMMITTEE WILL FORM A RECOMMENDATION TO THE BOARD OF DIRECTORS AS TO THE ACCEPTABILITY AND CONTENT OF THE FILING. ALL MEMBERS OF THE BOARD OF DIRECTORS WILL BE INVITED TO REVIEW THE COMPLETED 990 IN ADVANCE OF THE FILING DEADLINE. COPIES OF THE DRAFT FORM 990 WILL BE MADE AVAILABLE TO ALL MEMBERS OF THE BOARD OF DIRECTORS, AS NEEDED, AND IN AN APPROPRIATE FORMAT (ELECTRONIC OR PAPER.) THE BOARD OF DIRECTORS WILL RECEIVE THE FINANCE COMMITTEE REPORT AND ITS RECOMMENDATIONS UPON THE FOR 990 AND WILL VOTE TO APPROVE IT FOR FILING. THE FINALIZED FORM, AFTER COORRECTIONS AND MODIFICATIONS, IF ANY, WILL THEN BE SIGNED BY EITHER THE CEO OR CFO AND FILED AS REQUIRED.
FORM 990, PART VI, SECTION B, LINE 12CALL OFFICERS, BOARD MEMBERS, AND KEY EMPLOYEES ARE SUBJECT TO THE CONFLICT OF INTEREST POLICY. ANY ACTUAL OR POTENTIAL CONFLICTS ARE FORWARDED TO THE COMPLIANCE COMMITTEE FOR CONSIDERATION. IN THE EVENT OF AN ACTUAL OR POTENTIAL CONFLICT, THE CONFLICTED INDIVIDUAL IS PROHIBITED FROM PARTICIPATING IN DELIBERATIONS OR DECISIONS RELATING TO THE MATTER. A COMPLIANCE COMMITTEE MEETING IS HELD EVERY OTHER MONTH TO ADDRESS CONCERNS.
FORM 990, PART VI, SECTION B, LINE 15A THIRD PARTY CONSULTANT IS HIRED FOR AN INDEPENDENT ASSESSMENT OF APPROPRIATE SALARY RANGES FOR THE OFFICERS OF THE ORGANIZATION SUCH AS THE CEO, PRESIDENT, COO, AND CFO. THIS ASSESSMENT IS REVIEWED BY THE COMPENSATION COMMITTEE AND A RECOMMENDATION IS GIVEN TO THE EXECUTIVE COMMITTEE ON SALARY INCREASES AND BONUSES.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS ARE PROVIDED TO AND MADE AVAILABLE ON THE SECRETARY OF STATE WEBSITE AND MADE AVAILABLE UPON REQUEST ALONG WITH CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS.
FORM 990, PART XI, LINE 9:CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUSTS -82,553. CONTRIBUTIONS TO NONCONTROLLED AFFILIATES -123,819. TRANSFERS TO AFFILIATES -7,456,772. PENSION ADJUSTMENT -12,963,614. PROVISION FOR UNCOLLECTIBLE ACCOUNTS -12,995,203. FUNDRASING EXPENSE RECLASS 799,929.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
LGH MEDICAL GROUP LLC
295 VARNUM AVELOWELLMA01854205671277MEDICAL SERVICESMACIRCLE HEALTH PHYSICIANS INC
LGH CANCERCARE ASSOCIATES LLC
295 VARNUM AVELOWELLMA01854043483462MEDICAL SERVICESMACIRCLE HEALTH PHYSICIANS INC
LGH WOMANHEALTH LLC
295 VARNUM AVELOWELLMA01854262057970MEDICAL SERVICESMACIRCLE HEALTH PHYSICIANS INC
LGH MERRIMACK VALLEY CARDIOLOGY ASSOCIATES LLC
295 VARNUM AVELOWELLMA01854452014433MEDICAL SERVICESMACIRCLE HEALTH PHYSICIANS INC
CIRCLE HEALTH URGENT CARE LLC
295 VARNUM AVELOWELLMA01854471122896MEDICAL SERVICESMACIRCLE HEALTH PHYSICIANS INC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CIRCLE HEALTH INC
295 VARNUM AVENUELOWELLMA01854222579798PARENT/SUPPORTING ORGANIZATIONMA501(C)(3)LINE 11B, IIN/A0
CIRCLE HEALTH PHYSICIANS INC
295 VARNUM AVENUELOWELLMA01854273902914MEDICAL SERVICESMA501(C)(3)LINE 90CIRCLE HEALTH INC
LGH PHYSICIAN ASSOCIATES INC
ONE HOSPITAL DRIVELOWELLMA01852043190747MEDICAL SERVICESMA501(C)(3)LINE 90CIRCLE HEALTH PHYSICIANS INC
LOWELL GENERAL HOSPITAL SPECIAL SERVICES INC
295 VARNUM AVENUELOWELLMA01854042749428MEDICAL SERVICESMA501(C)(3)LINE 9Yes (1)LOWELL GENERAL HOSPITAL
LOWELL GENERAL FOUNDATION INC
ONE HOSPITAL DRIVELOWELLMA01852262320016FUNDRAISINGMA501(C)(3)LINE 70CIRCLE HEALTH INC
WELLFORCE INC
16 NEW ENGLAND EXECUTIVE PARKBURLINGTONMA01803452250732PARENT/SUPPORTING ORGANIZATIONMA501(C)(3)LINE 11A, IN/A0
SAINTS MEMORIAL MEDICAL CENTER INC
ONE HOSPITAL DRIVELOWELLMA01852042104885DORMANT SHELL CORPORATIONMA501(C)(3)LINE 9N/A0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1CIRCLE HEALTH ALLIANCE LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1295 VARNUM AVEAddressLine1Txt
CityLOWELLCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01854ZIPCd
FieldValueIRS element (for citing)
EIN800782682EIN
Primary ActivitiesACCOUNTABLE CARE ORGANIZATIONPrimaryActivitiesTxt
Legal Domicile StateMALegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CIRCLE HEALTH INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeTypeTxt
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing PartnerYes (1)GeneralOrManagingPartnerInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
LGH MEDICAL SERVICES INC
295 VARNUM AVENUELOWELLMA01854261889904MEDICAL SERVICESMALGH SERVICES INCC0
LGH SERVICES INC
295 VARNUM AVENUELOWELLMA01854042854673MEDICAL SERVICESMACIRCLE HEALTH INCC0
LGH MANAGEMENT SERVICES INC
295 VARNUM AVENUELOWELLMA01854042919244MEDICAL SERVICESMALGH SERVICES INCC0
LGH MEDICAL BUILDING SERVICES INC
295 VARNUM AVENUELOWELLMA01854043058954MEDICAL OFFICE BUILDINGMALGH SERVICES INCC0
CHARITABLE REMAINDER TRUSTS (5)
INVESTMENTSMAT0N/A
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd