2014-08-11T10:24:05-05:00 2013-09-30 263753134 CBIZ TOFIAS 500 BOYLSTON STREET BOSTON MA 02116 990 2012-10-01 042103590 LOWELL GENERAL HOSPITAL LOWE 9789376000 295 VARNUM AVENUE LOWELL MA 018542193 NORMAND DESCHENE 9789376000 2014-08-05 1 JOSEPH M GISO CPA MST P00030126 6177610600 2014-08-05 2012 2015-11-30 17:44:51Z NORMAND DESCHENE 295 VARNUM AVENUE LOWELL MA 018542193 467482731 0 X WWW.LOWELLGENERAL.ORG X 1939 MA TO 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. 13 12 3789 606 502559 -8725685 2478436 3698012 306369408 405165036 4267295 3968692 12585870 32742298 325701009 445574038 651895 987427 0 0 146445763 203012024 0 0 832082 148475552 208960790 295573210 412960241 30127799 32613797 443119072 485461294 309828508 315833147 133290564 169628147 X TO 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. 0 0 59834168 40351049 SURGICAL SERVICES AT LOWELL GENERAL HOSPITAL COMPRISES THREE GEOGRAPHICAL SITES AND ACCOMODATES THE SURGICAL NEEDS OF PATIENTS WITH THE EXCEPTION OF CARDIAC AND TRANSPLANT SURGERIES. ORTHOPEDIC, GENERAL ROBOTIC, ENT, GYN, BARIATRIC, PODIATRIC, OPHTHALMOLOGICAL, COSMEDIC, DENTAL, AND VASCULAR PROCEDURES ARE PERFORMED WITH THE LATEST ADVANCEMENTS IN TECHNOLOGICAL EQUIPMENT AND IMPLANTABLES USING MINIMALLY INVASIVE TECHNIQUES IN THE MAJORITY OF CASES. 36315946 57222948 IMAGING SERVICES AT LOWELL GENERAL HOSPITAL PROVIDES DIAGNOSTIC SERVICES ACROSS SEVEN SITES TO OUTPATIENT AND INPATIENT POPULATIONS, PERFORMING OVER 250,000 STUDIES ANNUALLY. SERVICES INCLUDING DIAGNOSTIC X-RAY, CT, ULTRASOUND, NUCLEAR MEDICINE, MAMMOGRAPHY, AND INTERVENTIONAL RADIOLOGY, ARE PROVIDED BY REGISTERED TECHNOLOGISTS AND BOARD-CERTIFIED RADIOLOGISTS. THE DEPARTMENT IS ACCREDITED BY THE AMERICAN COLLEGE OF RADIOLOGY IN CT, ULTRASOUND, MAMMOGRAPHY AND IS RECOGNIZED AS A BREAST CENTER OF EXCELLENCE. 31721420 23222672 LOWELL GENERAL HOSPITAL'S EMERGENCY DEPARTMENTS AT TWO LOCATIONS TREATED APPROXIMATELY 100,000 PATIENT IN FY2013. THE EMERGENCY DEPARTMENTS ARE STAFFED WITH BOARD CERTIFIED EMERGENCY PHYSICIANS AND LICENSCED PRACTIONERS TRAINED IN EMERGENCY MEDICINE. BOTH SITES ARE CERTIFIED STROKE CENTERS BY THE DEPARTMENT OF PUBLIC HEALTH (DPH). THE MAIN CAMPUS HAS A DEDICATED PEDIATRIC EMERGENCY SECTION WHICH IS STAFFED BY BOARD CERTIFIED PEDIATRIC EMERGENCY MEDICINE PRACTITIONERS. THE MAIN CAMPUS EMERGENCY DEPARTMENT HAS BEEN VERIFIED AS A LEVEL III TRAUMA CENTER BY THE VERIFICATION REVIEW COMMITTEE OF THE COMMITTEE ON TRAUMA OF THE AMERICAN COLLEGE OF SURGEONS (ACS). 188445039 987427 317272488 ALL OTHER SERVICES PROVIDED BY THE HOSPITAL INCLUDING INPATIENT, OUTPATIENT AND ACILLARY SERVICES ARE CONSISTENT WITH THE HOSPITAL'S MISSION. 188445039 987427 317272488 316316573 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 1 0 0 1 0 1 0 1 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 456 0 1 3789 1 1 1 0 0 0 0 0 0 0 0 0 X 13 12 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 MA FL X X SUSAN GREEN CFO 9787817143 295 VARNUM AVENUE LOWELL MA 01854 GEORGE L DUNCAN 1.00 0.00 X X 0 0 0 GREGORY WERTHEIMER 1.00 0.00 X X 0 0 0 RAYMOND ANSTISS JR 1.00 0.00 X 0 0 0 GARY CAMPBELL 1.00 0.00 X 0 0 0 ERIC W HANSON 1.00 0.00 X 0 0 0 DANIEL J MANSUR 1.00 0.00 X 0 0 0 THOMAS F MCKAY 1.00 0.00 X 0 0 0 JACQUELINE MOLONEY 1.00 0.00 X 0 0 0 KIMBERLY OBERHAUSER 1.00 0.00 X 0 0 0 JACK O'CONNOR 1.00 0.00 X 0 0 0 MARGARET A PALM 1.00 0.00 X 0 0 0 VICTOR POIRIER 1.00 0.00 X 0 0 0 NORMAND DESCHENE 40.00 0.00 X X 1749764 0 103291 SUSAN GREEN 40.00 0.00 X 578637 0 39303 JOSEPH WHITE 40.00 0.00 X 956220 0 44827 PETER ZARILLA 40.00 0.00 X 289100 0 32627 WAYNE PASANEN 20.00 0.00 X 247405 0 40882 AMY HOEY 40.00 0.00 X 408528 0 42900 WILLIAM WYMAN 40.00 0.00 X 209567 0 51224 MICHELLE DAVIS 40.00 0.00 X 191742 0 25254 KAREN MCARDLE 40.00 0.00 X 214433 0 34158 HELEN THIBODEAU 40.00 0.00 X 268127 0 18636 RICHARD MA 40.00 0.00 X 458154 0 17372 MONTU PATELL 40.00 0.00 X 327374 0 16590 GABRELE SOUTHGATE 40.00 0.00 X 322775 0 17483 SANJAY BASU 40.00 0.00 X 275640 0 16677 GERALDINE VAUGHAN 40.00 0.00 X 272639 0 16937 6770105 0 518161 187 0 1 0 GILBANE BUILDING SERVICES 7901 SANDY SPRING ROAD LAUREL MD 20707 BUILDING CONTRACTOR 29883690 CERNER CORP 2800 ROCKCREEK PARKWAY NORTH KANSAS CITY MO 64117 INFORMATION SYSTEMS PROVIDER 5773296 ARUP LABORATORIES 500 CHIPETA WAY SALT LAKE CITY UT 841081221 LABORATORY SERVICES 2897047 SODEXO INC & AFFILIATES 9801 WASHINGTONIAN BLVD GAITHERSBURG MD 20878 FOOD & FACILITIES SERVICES 2716937 NEW ENGLAND INPATIENT SPECIALISTS 120 WATER STREET SUITE 404 NORTH ANDOVER MA 01845 MEDICAL SERVICES 1452629 83 1120268 78700 2499044 159252 3698012 PATIENT SVC. REVENUE 621500 405165036 405165036 405165036 1753334 486402 1266932 786402 481734 304668 304668 304668 22764750 394919 20572892 371419 2191858 23500 2215358 2215358 0 1120268 482648 -482648 -482648 DISCONTINUED OPERATIONS GAIN 900099 20803255 20803255 MEANINGFUL USE REVENUE 621500 4537691 4537691 INCOME FROM JOINT VENTURES 621500 2916525 2916525 4662807 4646650 16157 32920278 445574038 438069157 502559 3304310 969383 969383 18044 18044 2605083 2605083 162142335 114014350 47609980 518005 4622962 3199346 1409080 14536 21942878 15185688 6688196 68994 11698766 8096195 3565787 36784 582933 582933 336969 336969 43784 43784 359203 359203 31617181 22566383 9031239 19559 2151080 2147185 3895 82406528 76558853 5797216 50459 14805883 11478664 3292438 34781 8857061 6851174 2001691 4196 403081 208016 172665 22400 1560108 994514 519430 46164 5988808 5988808 21749849 18711379 3026227 12243 2166109 2149683 16360 66 PHYSICIAN FEES 28813734 28813734 UNCOMP CARE POOL 4571107 4571107 PROVISION FOR BAD DEBTS 1675666 1675666 MISCELLANEOUS 639169 21857 617312 232537 232537 412960241 316316573 95811586 832082 46706129 57510221 20389323 20129707 5394925 4782117 57428636 67230244 7398232 7459028 6294613 11541159 386662706 147946972 226878358 238715734 60694061 63403494 11934795 14689590 443119072 485461294 90271769 89876722 146768664 163847689 8995481 9958912 63792594 52149824 309828508 315833147 X 121656643 157709444 8224657 7971138 3409264 3947565 133290564 169628147 443119072 485461294 X 32613797 1085161 2638625 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 43784 0 0 43784 0 PART IV, SUPPLEMENTAL INFORMATION: PART II-B, LINE 1(G), DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT 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. 64886695 197813 4926706 8154377 61856837 58144290 238209 8117073 1612877 64886695 59304368 49706 -1164777 45007 58144290 54015635 53548 5276856 41671 59304368 55985857 23639 -1187603 806258 54015635 0.96210 0.03790 0.00000 0 0 5377764 5377764 258714264 72128017 186586247 2316029 1143492 1172537 87627126 59301363 28325763 32627523 15374100 17253423 238715734 CAPITAL LEASE OBLIGATIONS 663778 ACCRUED PENSION EXPENSE 36894109 OTHER LONG-TERM LIABILITIES 6489995 DUE TO LGH MEDICAL GROUP 1316587 DUE TO LGH MEDICAL 29280 DUE TO CANCERCARE 310119 DUE TO WOMANHEALTH 1053525 DUE TO MVC 1807316 DUE TO PHYSICIANS ASSOCIATES 387311 OTHER CURRENT LIABILITIES 3197804 52149824 X 465960217 1085161 18268853 19354014 446606203 359203 -1391368 -1032165 445574038 429622634 25528853 25528853 404093781 359203 8507257 8866460 412960241 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: 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. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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 SEPTEMBER 30, 2010. PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSE 481,734. SPECIAL EVENTS EXPENSE 482,647. NET ASSETS RELEASED FROM RESTRICTIONS FOR CAPITAL 2,039,399. NET ASSETS RELEASED FROM RESTRICTIONS USED FOR OPERATIONS 1,144,835. GAIN ON DISPOSAL OF PROPERTY & EQUIPMENT -23,500. PROVISION FOR UNCOLLECTIBLE ACCOUNTS - PATIENTS 14,143,738. PART XI, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST -14,026. FUNDRAISING EXPENSE RECLASS 1,064,125. CAPITAL CAMPAIGN EXPENSE RECLASS 23,912. LOSS ON EXTINGUISHMENT OF DEBT -513,824. NET CASH FLOWS ON INTEREST RATE SWAP -606,425. LOSS ON FAIR VALUE OF INTEREST RATE SWAP -1,345,130. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSE 481,734. SPECIAL EVENTS EXPENSE 482,647. TRANSFERS TO AFFILIATES 7,260,000. NET ASSETS RELEASED FROM RESTRICTIONS FOR CAPITAL 2,039,399. NET ASSETS RELEASED FROM RESTRICTIONS USED FOR OPERATIONS 1,144,835. GAIN ON DISPOSAL OF PROPERTY & EQUIPMENT -23,500. PROVISION FOR UNCOLLECTIBLE ACCOUNTS- PATIENTS 14,143,738. PART XII, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE RECLASS 1,064,125. CAPITAL CAMPAIGN EXPENSE RECLASS 23,912. ADJUSTMENTS FOR DIALYSIS SALE 10,156,411. CONTRIBUTIONS TO NON-CONTROLLED AFFILIATES -271,812. LOSS ON EXTINGUISHMENT OF DEBT -513,824. NET CASH FLOWS ON INTEREST RATE SWAP -606,425. LOSS ON FAIR VALUE OF INTEREST RATE SWAP -1,345,130. 0 CENTRAL AMERICA AND THE CARIBBEAN 0 0 GRANTS TO RECIPIENTS LOCATED IN REGION 18044 0 0 0 0 0 0 18044 0 18044 SUPPORT MISSION TRIPS TO HONDURAS CENTRAL AMERICA AND THE CARIBBEAN 2 18044 CHECK 0 0 0 0 0 0 PROCEDURE FOR MONITORING GRANTS OUTSIDE THE U.S.: SCHEDULE F, PART I, LINE 2: A 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. TEAM WALK FOR CANCER CARE 692978 692978 24883 11041 8172 3075 164208 GOLF TOURNAMENT 223625 223625 4696 114446 10300 1 203665 203665 4687 40930 60075 9000 27135 1120268 1120268 34266 166417 68247 12075 201643 482648 -482648 1 1 X 1 X 1 X 400.000000000000 1 1 1 0 1 1 10306137 4931439 5374698 0.01300 11172817 11172817 0.02710 5901790 5901790 0.01430 27380744 4931439 22449305 0.05440 802897 69025 733872 0.00180 426624 426624 0.00100 659840 33865 625975 0.00150 1032608 40000 992608 0.00240 2921969 142890 2779079 0.00670 30302713 5074329 25228384 0.06110 590612 590612 0.00140 133962 133962 0.00030 724574 724574 0.00170 1 5437264 2449734 108128779 101148777 6980002 X 1 1 1 NA 2 1 LOWELL GENERAL HOSPITAL

295 VARNUM AVENUE LOWELL MA 01854

X X ALSO DESIGNATED AS A TRAUMA CENTER 2 LOWELL GENERAL HOSPITAL

1 HOSPITAL DRIVE LOWELL MA 01852

X X LOWELL GENERAL HOSPITAL 1 1 X X X X X X X X X 13 1 1 1 X X X X X X X X X X 1 0 1 1 200.000000000000 1 400.000000000000 1 X X X X 1 1 X X X X X X 1 X X 0 1 X 0 0 18 LGH - OFFICE SPACE OFF-SITE

10 RESEARCH PLACE CHELMSFORD MA 01824

SURGICAL DAY CARE, MD OFFICES, LAB & X-RAY LGH - OFFICE SPACE OFF-SITE

4 MEETINGHOUSE RD 13 CHELMSFORD MA 01824

XRAY PROCEDURES LGH - OFFICE SPACE OFF-SITE

1 MEETINGHOUSE RD 5 CHELMSFORD MA 01854

ANTICOAGULATION MANAGEMENT SERVICES (05/11) LGH - OFFICE SPACE OFF-SITE

20 RESEARCH PLACE STE 100 CHELMSFORD MA 01824

PATIENT AMBASSADOR & LAB OFFICE SPACE LGH - OFFICE SPACE OFF-SITE

20 RESEARCH PLACE 310 CHELMSFORD MA 01824

PATIENT AMBASSADOR & LAB OFFICE SPACE LGH - OFFICE SPACE OFF-SITE

3 MEETING HOUSE RD 24 CHELMSFORD MA 01824

PATIENT AMBASSADOR & LAB OFFICE SPACE LGH - OFFICE SPACE OFF-SITE

45 PALMER ST LOWELL MA 01854

PATIENT AMBASSADOR & LAB OFFICE SPACE LGH - OFFICE SPACE OFF-SITE

100 MILK ST METHUEN MA 01844

PROVIDE DIALYSIS SERVICES. LGH - OFFICE SPACE OFF-SITE

203 TURNPIKE RD NORTH ANDOVER MA 01845

PROVIDE SERVICES TO THE PUBLIC LGH - OFFICE SPACE OFF-SITE

37 VILLAGE SQUARE CHELMSFORD MA 01854

PROVIDE BLOOD DRAWING SERVICES. LGH - OFFICE SPACE OFF-SITE

600 CLARK RD TEWKSBURY MA 01876

PROVIDE BLOOD DRAWING AND RADIOLOGY SERVICES. LGH - OFFICE SPACE OFF-SITE

ONE MEETING HOUSE RD CHELMSFORD MA 01854

PROVIDE BLOOD DRAWING SERVICES. LGH - OFFICE SPACE OFF-SITE

1230 BRIDGE ST LOWELL MA 01854

PROVIDE SERVICES TO THE PUBLIC IN NEED OF IMMEDIATE MEDICAL CARE. LGH - OFFICE SPACE OFF-SITE

847 ROGERS ST LOWELL MA 01854

PROVIDE DIALYSIS SERVICES. LGH - OFFICE SPACE OFF-SITE

85 PARKHURST RD CHELMSFORD MA 01854

PROVIDE SERVICES TO THE PUBLIC IN NEED OF IMMEDIATE MEDICAL CARE. LGH - OFFICE SPACE OFF-SITE

3 MEETING HOUSE RD 17 18 CHELMSFORD MA 01824

PATIENT AMBASSADOR & LAB OFFICE SPACE LGH - OFFICE SPACE OFF-SITE

161 JACKSON ST LOWELL MA 01852

LAB OFFICE SPACE LGH - OFFICE SPACE OFF-SITE

10 ADAMS ST CHELMSFORD MA 01824

LAB OFFICE SPACE FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST SCHEDULE H-PART I PART I, LINE 6A & B: THE ORGANIZATION PREPARES A COMMUNITY BENEFIT REPORT EVERY THREE YEARS. THE PREVIOUS REPORT WAS COMPLETED IN SEPTEMBER 2010 AND IS AVAILABLE TO THE PUBLIC ON THE ORGANIZATION'S WEBSITE OR UPON REQUEST. PART II: 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. 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. LOWELL GENERAL HOSPITAL PART V, SECTION B, LINE 3: 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. COMMUNITY HEALTH NEEDS ASSESSMENT SCHEDULE H-PART V:SECTION B. FACILITY POLICIES AND PRACTICES PART V, LINE 4: LOWELL GENERAL HOSPITAL COLLABORATED WITH THE GREATER LOWELL HEALTH ALLIANCE AND THE UNIVERSITY OF MASSACHUSETTS LOWELL TO CONDUCT THE NEEDS ASSESSMENT. 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. 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 U.S. CENSUS BUREAU REFLECTS THAT 8.7% OF THE POPULATION LIVES BELOW POVERTY, WHICH IS LOWER THAN THE STATE OF 11.6%. UNEMPLOYMENT IN THE GREATER LOWELL AREA HAS HOVERED BETWEEN 6% AND 7% FOR THE PAST YEAR, SIMILAR TO THE STATE'S UNEMPLOYMENT RATE. HOWEVER, IT IS WORTH NOTING THAT LOWELL, MASSACHUSETTS, WHICH REPRESENTS APPROXIMATELY 37% OF THE POPULATION IN LOWELL GENERAL HOSPITAL'S SERVICE AREA, HAS 17.6% 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 AUDITORIUM, THE TSONGAS CENTER AND LALACHEUR STADIUM.IN 2008, THE GREATER LOWELL AREA, AS DEFINED HEREIN, HAD A POPULATION OF 264,000 RESIDENTS, INCLUDING AN ESTIMATED 97,000 PEOPLE IN THE CITY OF LOWELL ALONE. THUS, THE CITY OF LOWELL ITSELF ACCOUNTS FOR LESS THAN 40 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'S CURRENT POPULATION IS MUCH THE SAME AS WHAT IT WAS IN 1900, WHEREAS THE SUBURBAN COMMUNITIES IN PROXIMITY TO LOWELL HAVE SEEN DRAMATIC POPULATION INCREASES. MANY RESIDENTS OF THE SUBURBAN COMMUNITIES HAVE DEEP ROOTS IN THE CITY OF LOWELL ITSELF.LOWELL GENERAL HOSPITAL'S PRIMARY SERVICE AREA (PSA) IS COMPRISED OF APPROXIMATELY 298,000 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 370,000 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: 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 2013, THE CIRCLE HEALTH BALL FUNDED MORE THAN $40,000 IN COMMUNITY GRANTS TO THE UNIVERSITY OF MASSACHUSETTS' ASTHMA AWARENESS PROGRAM, GREATER LOWELL TECHNICAL HIGH SCHOOL'S OPIATE AWARENESS PROGRAM AND VNA OF GREATER LOWELL'S MENTAL HEALTH 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.MANY 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. 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 REPORTS FILED WITH STATES PART VI, LINE 7 MA 1 D'YOUVILLE FOUNDATION - STEWARDSHIP AGREEMENT 981 VARNUM AVE LOWELL MA 01854 042510563 501(C)(3) 248050 STEWARDSHIP AGREEMENT, DONATION, AND SPONSORSHIPS AMERICAN HEART ASSOCIATION 1 UNION ST ROBBINSVILLE NJ 08691 135613797 501(C)(3) 31250 FUNDRAISER SPONSORSHIP AMERICAN TEXTILE HISTORY 491 DUTTON STREET LOWELL MA 01854 042276089 501(C)(3) 5000 FUNDRAISER SPONSORSHIP BOYS & GIRLS CLUB OF GREATER LOWELL 657 MIDDLESEX ST LOWELL MA 01851 042014396 501(C)(3) 15000 SPONSOR VARIOUS EVENTS CARING PARTNERS INC 500 CLARK ROAD STE 3A TEWKSBURY MA 01876 270694908 501(C)(3) 10000 SPONSOR VARIOUS EVENTS CHINMAYA MISSION BOSTON 1 UNION ST ANDOVER MA 01810 043491406 501(C)(3) 10500 DONATION COMMUNITY TEAMWORK INC 155 MERRIMACK ST LOWELL MA 01852 042382027 501(C)(3) 5550 SPONSOR VARIOUS EVENTS GREATER LOWELL COMMUNITY FOUNDATION 100 MERRIMACK ST LOWELL MA 01852 043401997 501(C)(3) 9500 SPONSOR VARIOUS EVENTS GREATER LOWELL TECHNICAL HIGH SCHOOL CHARITABLE FOUNDATION 250 PAWTUCKET BLVD TYNGSBORO MA 01854 202144356 501(C)(3) 5000 SPONSOR VARIOUS EVENTS GREATER MERRIMACK VALLEY CONV & VISITORS BUREAU 40 FRENCH ST LOWELL MA 01852 043158302 501(C)(6) 10500 FUNDRAISER SPONSORSHIP HOUSE OF HOPE 812 MERRIMACK ST LOWELL MA 01854 042867965 501(C)(3) 5000 FUNDRAISER SPONSORSHIP LOWELL FESTIVAL FOUNDATION 67 KIRK STREET LOWELL MA 01852 042578293 501(C)(3) 12500 SPONSOR VARIOUS EVENTS LOWELL SUN CHARITIES 491 DUTTON STREET STE 1 LOWELL MA 01854 046004936 501(C)(3) 57235 FUNDRAISER CONTRIBUTION MARCH OF DIMES 112 TURNPIKE ROAD WESTBOROUGH MA 01581 131846366 501(C)(3) 6500 SPONSER VARIOUS EVENTS MERRIMACK VALLEY ECONOMIC DEVELOPMENT COUNCIL 1600 OSGOOD STREET NORTH ANDOVER MA 01845 043479606 501(C)(3) 5000 FUNDRAISER SPONSORSHIP MIDDLESEX COMMUNITY COLLEGE FOUNDATION PO BOX 716 BEDFORD MA 01730 042973384 501(C)(3) 5000 FUNDRAISER SPONSORSHIP THE LOWELL PLAN 660 SUFFOLK ST STE 120 LOWELL MA 01854 042693109 501(C)(3) 7950 DONATIONS TUFTS FLOATING HOSPITAL 800 WASHINGTON ST 231 BOSTON MA 02111 043400617 501(C)(3) 5000 FUNDRAISER SPONSORSHIP UNIVERSITY OF MASSACHUSETTS LOWELL 1 UNIVERSITY DRIVE LOWELL MA 01852 043167352 501(C)(3) 26250 SPONSOR VARIOUS EVENTS UNITED WAY OF MASS BAY & MERRIMACK VALLEY 51 SLEEPER STREET BOSTON MA 02210 042382233 501(C)(3) 5000 DONATION WESTFORD ROTARY CHARITABLE ENDOWMENT PO BOX 231 WESTFORD MA 01886 043540698 501(C)(3) 5000 FUNDRAISER SPONSORSHIP WOMEN CITYS GOLF TOURNAMENT 1 ROCK ROAD TYNGSBORO MA 01870 043499399 501(C)(3) 5000 FUNDRAISER SPONSORSHIP WORKING WONDERS 800 WASHINGTON ST 231 BOSTON MA 02111 043400617 501(C)(3) 5000 FUNDRAISER SPONSORSHIP LOWELL COMMUNITY HEALTH CENTER 15-17 WARREN STREET LOWELL MA 01854 042881348 501(C)(3) 17550 DONATION GREATER LOWELL HEALTH ALLIANCE 295 VARNUM AVE LOWELL MA 01854 270408037 501(C)(3) 316992 DONATIONS LOWELL GENERAL HOSPITAL AUZILIARY GIFT SHOP 295 VARNUM AVE LOWELL MA 01854 223459303 501(C)(3) 125000 DONATION 26 0 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: 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. X X 1 1 X X X X X X 0 1 0 0 0 0 0 1 0 NORMAND DESCHENE 669065 0 198569 0 882130 0 57407 0 45884 0 1853055 0 0 0 SUSAN GREEN 350313 0 85146 0 143178 0 4978 0 34325 0 617940 0 0 0 JOSEPH WHITE 468150 0 113136 0 374934 0 10000 0 34827 0 1001047 0 0 0 PETER ZARILLA 224952 0 41561 0 22587 0 10000 0 22627 0 321727 0 0 0 WAYNE PASANEN 192427 0 39067 0 15911 0 9731 0 31151 0 288287 0 0 0 AMY HOEY 267065 0 51331 0 90132 0 10000 0 32900 0 451428 0 0 0 WILLIAM WYMAN 182887 0 26250 0 430 0 25970 0 25254 0 260791 0 0 0 MICHELLE DAVIS 167423 0 24000 0 319 0 0 0 25254 0 216996 0 0 0 KAREN MCARDLE 187135 0 26670 0 628 0 8904 0 25254 0 248591 0 0 0 HELEN THIBODEAU 259865 0 8117 0 145 0 0 0 18636 0 286763 0 0 0 RICHARD MA 458146 0 0 0 8 0 0 0 17372 0 475526 0 0 0 MONTU PATELL 327368 0 0 0 6 0 0 0 16590 0 343964 0 0 0 GABRELE SOUTHGATE 322775 0 0 0 0 0 0 0 17483 0 340258 0 0 0 SANJAY BASU 275633 0 0 0 7 0 0 0 16677 0 292317 0 0 0 GERALDINE VAUGHAN 271928 0 0 0 711 0 0 0 16937 0 289576 0 0 0 PART I, LINE 1A THE HOSPITAL HAS ENTERED INTO RESTRICTIVE ENDORSEMENT BONUS ARRANGEMENTS ("REBA'S") WITH NORMAND DESCHENE, SUSAN GREEN, JOSEPH WHITE AND AMY HOEY AS A RETIREMENT RETENTION PROGRAM. 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 ON FORM 990, SCHEDULE J, PART II, COLUMN B(III) INCLUDES $772,532 PAID IN 2012 IN CONNECTION WITH THE REBA ARRANGEMENT. THE W-2 COMPENSATION REPORTED FOR MS. GREEN ON FORM 990, SCHEDULE J, PART II, COLUMN B(III) INCLUDES $103,004 PAID IN 2012 IN CONNECTION WITH THE REBA ARRANGEMENT. THE W-2 COMPENSATION REPORTED FOR MR. WHITE ON FORM 990, SCHEDULE J, PART II, COLUMN B(III) INCLUDES $331,338 PAID IN 2012 IN CONNECTION WITH THE REBA ARRANGEMENT. THE W-2 COMPENSATION REPORTED FOR MS. HOEY ON FORM 990, SCHEDULE J, PART II, COLUMN B(III) INCLUDES $68,670 PAID IN 2012 IN CONNECTION WITH THE REBA ARRANGEMENT. SOCIAL CLUB DUES ARE PROVIDED TO NORMAND DESCHENE, SUSAN GREEN, AND JOSEPH WHITE. SOCIAL CLUB DUES IS TREATED AS TAXABLE COMPENSATION TO THE EXTENT CONSIDERED PERSONAL USEAGE. PART I, LINE 4B THE HOSPITAL HAS ENTERED INTO A SPLIT-DOLLAR LIFE INSURANCE AGREEMENT WITH NORMAND DESCHENE. PREMIUMS PAID IN CALENDAR 2012 WERE $58,928. ALL PREMIUMS WILL BE REPAID TO THE HOSPITAL. PART I, LINE 7 BONUSES 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. A MASS HEALTH AND ED FACILITIES AUTHORITY SERIES C 042456011 57586EXB2 2010-09-29 62127040 CONSTRUCTION OF NEW BUILDING, EQUIP. ACQUISITIONS, PAY OFF COMMERCIAL DEBT 0 0 0 B MASS DEVELOPMENT FINANCE AGENCY SERIES E & F 043431814 2012-09-27 37500000 REFINANCE THE 1993 SERIES A MEHFA BONDS ISSUED BY SAINTS MEDICAL CENTER 0 0 0 C MASS DEVELOPMENT FINANCE AGENCY SERIES G 043431814 57583UVQ8 2013-05-01 65688217 NEW CAPITAL PROJECTS AND EQUIPMENT COSTS AND REFUND/TERMINATE SERIES D BONDS 0 0 0 A 1570000 361250 62874526 4813043 934160 92469 14405173 42629681 2013 0 0 0 1 B 37500000 400000 1350928 35585500 163572 2013 1 0 0 1 C 65689163 1009853 2068673 10656572 47025000 4929065 2013 1 0 0 1 A 0 1 1 1 0 0.02530 0.00000 0.02530 0 0 1 B 0 1 1 1 0 0.02620 0.00000 0.02620 0 0 1 C 0 1 1 1 0 0.02190 0.00000 0.02190 0 0 1 A 0 1 0 0 0 0 0 0 0 B 0 1 0 0 1 0 0 0 0 C 0 1 0 0 1 0 0 0 0 A 1 B 1 C 1 PART II: LINE 3A: TOTAL PROCEEDS OF ISSUE CONSISTS OF $62,127,040 ORIGINAL PROCEEDS PLUS CAPITALIZED INVESTMENT EARNINGS OF $747,486. LINE 9A: WORKING CAPITAL EXPENDITURES FROM PROCEEDS CONSISTS OF $12,015,054 WHICH WAS USED TO PAY OFF COMMERCIAL LOANSAQUISITION COSTS. THE REMAINING $2,390,119 WAS NON-CAPITALIZED INTEREST AND LETTER OF CREDIT FEES AND GAINS/LOSSES ON THE REDEMPTION OF THE INVESTED FUNDS. LINE 9B: WORKING CAPITAL EXPENDITURES FROM PROCEEDS CONSISTS OF $1,350,928 FOR AQUISITION COSTS AND ISSUER FEE. LINE 11B: OTHER SPENT PROCEEDS CONSISTING OF AQUISITION OF EQUIPMENT WITH RECOVERY PERIOD LESS THAN FIVE YEARS TOTALED $163,572. LINE 3C: TOTAL PROCEEDS OF ISSUE CONSISTS OF $65,688,217 ORIGINAL PROCEEDS PLUS CAPITALIZED INVESTMENT EARNINGS OF $946. LINE 9B: WORKING CAPITAL EXPENDITURES FROM PROCEEDS CONSISTS OF $2,068,673 FOR TERMINATION OF SWAP AGREEMENT LINE 11C: OTHER SPENT PROCEEDS CONSISTS OF $47,025,000 FOR THE RETIREMENT OF SERIES D BONDS. X 5 159252 FMV 0 0 1 0 METHOD FOR DETERMINING NUMBER OF CONTRIBUTIONS: PART I, COLUMN (B): THE NUMBER IN PART I, COLUMN (B) IS THE NUMBER OF CONTRIBUTIONS OF STOCK. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF LOWELL GENERAL HOSPITAL IS CIRCLE HEALTH, INC. FORM 990, PART VI, SECTION A, LINE 7A CIRCLE HEALTH, INC., AS SOLE MEMBER OF LOWELL GENERAL HOSPITAL, ELECTS THE MEMBERS OF THE HOSPITAL'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B CIRCLE HEALTH, INC. APPROVES BUDGETS FOR 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 11 CBIZ 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 12C ALL 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 15 A THIRD PARTY CONSULTANT IS HIRED FOR AN INDEPENDENT ASSESSMENT OF APPROPRIATE SALARY RANGES FOR THE OFFICERS OF THE ORGANIZATION SUCH AS THE CEO, 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 19 GOVERNING 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUSTS 14,026. CONTRIBUTIONS TO NONCONTROLLED AFFILIATES -271,812. TRANSFERS TO AFFILIATES -7,260,000. ADJUSTMENTS FOR DIALYSIS SALE 10,156,411. LINE 2C-DOES ORGANIZATION HAVE A COMMITTEE THAT ASSUMES OVERSIGHT OF AUDIT? FORM 990, PAGE 12, PART XI -FINANCIAL STMTS & REPORTING THERE HAVE BEEN NO CHANGES IN THE COMMITTEE'S RESPONSIBILTY FOR THE OVERSIGHT OF THE AUDIT. CIRCLE HEALTH ALLIANCE LLC 295 VARNUM AVE LOWELL MA 01854 800782682 MEDICAL SERVICES MA CIRCLE HEALTH PHYSICIANS INC LGH MEDICAL GROUP LLC 295 VARNUM AVE LOWELL MA 01854 205671277 MEDICAL SERVICES MA CIRCLE HEALTH PHYSICIANS INC LGH CANCERCARE ASSOCIATES LLC 295 VARNUM AVE LOWELL MA 01854 043483462 MEDICAL SERVICES MA CIRCLE HEALTH PHYSICIANS INC LGH WOMANHEALTH LLC 295 VARNUM AVE LOWELL MA 01854 262057970 MEDICAL SERVICES MA CIRCLE HEALTH PHYSICIANS INC LGH MERRIMACK VALLEY CARDIOLOGY ASSOCIATES LLC 295 VARNUM AVE LOWELL MA 01854 452014433 MEDICAL SERVICES MA CIRCLE HEALTH PHYSICIANS INC CIRCLE HEALTH INC 295 VARNUM AVENUE LOWELL MA 01854 222579798 SUPPORTING ORGANIZATION MA 501(C)(3) LINE 11B, II N/A 0 CIRCLE HEALTH PHYSICIANS INC 295 VARNUM AVENUE LOWELL MA 01854 273902914 MEDICAL SERVICES MA 501(C)(3) LINE 9 CIRCLE HEALTH INC 0 LGH PHYSICIAN ASSOCIATES INC 295 VARNUM AVENUE LOWELL MA 01854 043190747 MEDICAL SERVICES MA 501(C)(3) LINE 9 CIRCLE HEALTH PHYSICIANS INC 0 LOWELL GENERAL HOSPITAL SPECIAL SERVICES INC 295 VARNUM AVENUE LOWELL MA 01854 042749428 MEDICAL SERVICES MA 501(C)(3) LINE 9 LOWELL GENERAL HOSPITAL 1 LOWELL GENERAL FOUNDATION INC 295 VARNUM AVENUE LOWELL MA 01854 262320016 FUNDRAISING MA 501(C)(3) LINE 7 CIRCLE HEALTH INC 0 LGH MEDICAL SERVICES INC 295 VARNUM AVENUE LOWELL MA 01854 261889904 MEDICAL SERVICES MA CICLE HEALTH INC C 0 LGH SERVICES INC 295 VARNUM AVENUE LOWELL MA 01854 042854673 MEDICAL SERVICES MA CICLE HEALTH INC C 0 LGH MANAGEMENT SERVICES INC 295 VARNUM AVENUE LOWELL MA 01854 042919244 MEDICAL SERVICES MA LGH SERVICES INC C 0 LGH MEDICAL BUILDING SERVICES INC 295 VARNUM AVENUE LOWELL MA 01854 043058954 MEDICAL SERVICES MA LGH SERVICES INC C 0 CHARITABLE REMAINDER TRUSTS (5) INVESTMENTS MA N/A T 0 1 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 1 1 0