THE LOWELL GENERAL HOSPITAL: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: THE LOWELL GENERAL HOSPITAL (EIN 04-2103590)
Tax period: 2011-10-01 to 2012-09-30
Filed: 2013-08-15
IRS object ID: 201312279349302701
Schema version: 2011v1.5
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-08-15T12:50:36-05:00	Timestamp
Tax Period End Date	2012-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	263753134	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CBIZ TOFIAS	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	500 BOYLSTON STREET	AddressLine1
City	BOSTON	City
State	MA	State
ZIP Code	02116	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	042103590	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	LOWELL GENERAL HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	LOWE	NameControl
Phone	9789376000	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	295 VARNUM AVENUE	AddressLine1
City	LOWELL	City
State	MA	State
ZIP Code	018542193	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	NORMAND DESCHENE	Name
Title	PRESIDENT & CEO	Title
Phone	9789376000	Phone
Date Signed	2013-08-13	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	JOSEPH M GISO CPA MST	Name
PTIN	P00030126	PTIN
Phone	6177610600	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	NORMAND DESCHENE	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	295 VARNUM AVENUE	AddressLine1
City	LOWELL	City
State	MA	State
ZIP Code	018542193	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	387853110	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.LOWELLGENERAL.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1939	YearFormation
State Legal Domicile	MA	StateLegalDomicile
Activity Or Mission Description	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.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	13	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	12	NbrIndependentVotingMembers
Total Nbr Employees	2363	TotalNbrEmployees
Total Nbr Volunteers	585	TotalNbrVolunteers
Total Gross UBI	-293949	TotalGrossUBI
Net Unrelated Business Txbl Income	-6933808	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	3250672	ContributionsGrantsPriorYear
Contributions Grants Current Year	2478436	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	250471790	ProgramServiceRevenuePriorYear
Program Service Revenue CY	306369408	ProgramServiceRevenueCY
Investment Income Prior Year	4219014	InvestmentIncomePriorYear
Investment Income Current Year	4267295	InvestmentIncomeCurrentYear
Other Revenue Prior Year	4142424	OtherRevenuePriorYear
Other Revenue Current Year	12585870	OtherRevenueCurrentYear
Total Revenue Prior Year	262083900	TotalRevenuePriorYear
Total Revenue Current Year	325701009	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	525700	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	651895	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	119284505	SalariesEtcPriorYear
Salaries Etc Current Year	146445763	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	764317	TotalFundrsngExpCurrentYear
Other Expense Prior Year	124763278	OtherExpensePriorYear
Other Expenses Current Year	148475552	OtherExpensesCurrentYear
Total Expenses Prior Year	244573483	TotalExpensesPriorYear
Total Expenses Current Year	295573210	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	17510417	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	30127799	RevenuesLessExpensesCY
Total Assets BOY	296102522	TotalAssetsBOY
Total Assets EOY	447097770	TotalAssetsEOY
Total Liabilities BOY	189109691	TotalLiabilitiesBOY
Total Liabilities EOY	309974732	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	106992831	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	137123038	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	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.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	41545128	Expense
Revenue	31558269	Revenue
Description	SURGICAL SERVICES AT LOWELL GENERAL HOSPITAL COMPRISES THREE GEOGRAPHICAL SITES AND ACCOMODATES ALL 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.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	17215876	Expense
Revenue	15064849	Revenue
Description	LOWELL GENERAL HOSPITAL'S EMERGENCY ROOMS AT TWO LOCATIONS TREATED APPROXIMATELY 66,000 PATIENTS IN FISCAL YEAR 2012. THE EMERGENCY DEPARTMENTS PROVIDE QUALIFIED TRAUMA SURGEONS AND PHYSICIANS SPECIALLY TRAINED IN CRITICAL CARE, CLINICAL EMERGENCIES, CARDIAC METHODS AND ADVANCED CARDIAC SUPPORT AND ARE AVAILABLE TO PROVIDE THE MOST COMPREHENSIVE EMERGENCY CARE POSSIBLE. LOWELL GENERAL HOSPITAL 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).	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	19427559	Expense
Revenue	24421246	Revenue
Description	LOWELL GENERAL'S CANCER CENTER IS RECOGNIZED AND ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER (ACOS) AS A COMPREHENSIVE COMMUNITY HOSPITAL CANCER PROGRAM AND IS ALSO RECOGNIZED AND ACCREDITED BY THE AMERICAN COLLEGE OF RADIOLOGY (ACR). THE RANGE OF SERVICES PROVIDED BY THE CANCER CENTER INCLUDE HEMATOLOGY, MEDICAL ONCOLOGY, RADIATION ONCOLOGY, AND GYNECOLOGIC ONCOLOGY. IT ALSO OFFERS CLINICAL TRIALS THROUGH NATIONALLY RECOGNIZED STUDY GROUPS.	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Expense	148002351	Expense
Grants	634623	Grants
Revenue	247576114	Revenue
Description	ALL OTHER SERVICES PROVIDED BY THE HOSPITAL INCLUDING INPATIENT, OUTPATIENT AND ACILLARY SERVICES ARE CONSISTENT WITH THE HOSPITAL'S MISSION.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	148002351	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	634623	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	247576114	TotalOfOtherProgramServiceRev
Total Program Service Expense	226190914	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	1	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	1	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	1	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	462	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	2363	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	13	NbrVotingGoverningBodyMembers
Number Independent Voting Members	12	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	1	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	1	LocalChapters
Policies Reference Chapters	1	PoliciesReferenceChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	MA	StatesWhereCopyOfReturnIsFiled
Other Website	X	OtherWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	SUSAN GREEN CFO	NamePerson
Telephone Number	9787817143	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	295 VARNUM AVENUE	AddressLine1
City	LOWELL	City
State	MA	State
ZIP Code	01854	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
GEORGE L DUNCAN
CHAIR	1.00	X	X	0	0	0
GREGORY WERTHEIMER
VICE CHAIR	1.00	X	X	0	0	0
RAYMOND ANSTISS JR
BOARD MEMBER	1.00	X		0	0	0
GARY CAMPBELL
BOARD MEMBER	1.00	X		0	0	0
ERIC W HANSON
BOARD MEMBER	1.00	X		0	0	0
DANIEL J MANSUR
BOARD MEMBER	1.00	X		0	0	0
THOMAS F MCKAY
BOARD MEMBER	1.00	X		0	0	0
JACQUELINE MOLONEY
BOARD MEMBER	1.00	X		0	0	0
KIMBERLY OBERHAUSER
BOARD MEMBER	1.00	X		0	0	0
JACK O'CONNOR
BOARD MEMBER	1.00	X		0	0	0
MARGARET A PALM
BOARD MEMBER	1.00	X		0	0	0
VICTOR POIRIER
BOARD MEMBER	1.00	X		0	0	0
NORMAND DESCHENE
PRESIDENT & CEO	40.00	X	X	1675656	0	139794
SUSAN GREEN
CFO	40.00		X	579027	0	36931
PETER ZARILLA
SECRETARY, ASST. CLERK	40.00		X	270715	0	33544
WAYNE PASANEN
VP MEDICAL AFFAIRS	20.00			230086	0	40377	X
JOSEPH WHITE
EXECUTIVE VP & COO	40.00			873743	0	55379	X
AMY HOEY
VP PATIENT CARE SERVICES	40.00			320181	0	46169	X
MAUREEN BELLEY
CIO	40.00			178573	0	3825		X
YISHI REN
RADIATION PHYSICIST	40.00			212207	0	20121		X
GERALDINE VAUGHAN
EXECUTIVE DIR., PHO	40.00			256675	0	20877		X
EMILY YOUNG
DIRECTOR OF HEALTHCARE OPS.	40.00			168791	0	13401		X
KAREN MCARDLE
DIR. MEDICAL STAFF SERVICE	40.00			172649	0	23716		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	4938303	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	434134	TotalOtherCompensation
Number Individuals GT100 K	121	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
GILBANE BUILDING SERVICES
7901 SANDY SPRING ROAD	LAUREL	MD	20707	BUILDING CONTRACTOR	33577235
EMCOR SERVICES NORTHEAST
80 HAWES WAY	STOUGHTON	MA	02072	BUILDING CONTRACTOR	6784130
CERNER CORP
2800 ROCKCREEK PARKWAY	NORTH KANSAS CITY	MO	64117	INFORMATION SYSTEMS PROVIDER	4164329
ARUP LABORATORIES
500 CHIPETA WAY	SALT LAKE CITY	UT	841081221	LABORATORY SERVICES	2900874
SODEXO INC & AFFILIATES
9801 WASHINGTONIAN BLVD	GAITHERSBURG	MD	20878	FOOD & FACILITIES SERVICES	2633876

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	105	NumberOfContractorsGT100K
Government Grants	46000	GovernmentGrants
All Other Contributions	2432436	AllOtherContributions
Noncash Contributions	238376	NoncashContributions
Total Contributions	2478436	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	PATIENT SVC. REVENUE	Description
Business Code	621500	BusinessCode
Total Revenue Column	306369408	TotalRevenueColumn
Related Or Exempt Function Income	306369408	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	306369408	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	1927762	TotalRevenueColumn
Unrelated Business Revenue	155716	UnrelatedBusinessRevenue
Exclusion	$1,772,046	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	620511	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	444418	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	176093	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	176093	TotalRevenueColumn
Exclusion	$176,093	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	63532697	Securities
Other	5075	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	61091996	Securities
Other	106243	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	2440701	Securities
Other	-101168	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	2339533	TotalRevenueColumn
Exclusion	$2,339,533	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	1117816	GrossIncomeFundraisingEvents
Fundraising Direct Expenses	509444	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	608372	TotalRevenueColumn
Exclusion	$608,372	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
OTHER REVENUE	621500	12251070	12251070
NON-PATIENTS LAB	621500	-449665		-449665

Field	Value	IRS element (for citing)
Total Other Revenue	11801405	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	325701009	TotalRevenueColumn
Related Or Exempt Function Income	318620478	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	-293949	UnrelatedBusinessRevenue
Exclusion	$4,896,044	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	634623	Total
Program Services	634623	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	17272	Total
Program Services	17272	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	2250810	Total
Management And General	2250810	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	115038552	Total
Program Services	80070377	ProgramServices
Management And General	34480198	ManagementAndGeneral
Fundraising	487977	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	5051928	Total
Program Services	3448819	ProgramServices
Management And General	1582091	ManagementAndGeneral
Fundraising	21018	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	15942524	Total
Program Services	10883544	ProgramServices
Management And General	4992652	ManagementAndGeneral
Fundraising	66328	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	8161949	Total
Program Services	5571949	ProgramServices
Management And General	2556043	ManagementAndGeneral
Fundraising	33957	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	359639	Total
Management And General	359639	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	329529	Total
Management And General	329529	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	47375	Total
Management And General	47375	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	356061	Total
Management And General	356061	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	23852035	Total
Program Services	16170192	ProgramServices
Management And General	7652479	ManagementAndGeneral
Fundraising	29364	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	808454	Total
Management And General	806365	ManagementAndGeneral
Fundraising	2089	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	58310255	Total
Program Services	54479255	ProgramServices
Management And General	3801561	ManagementAndGeneral
Fundraising	29439	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	6569757	Total
Program Services	5576057	ProgramServices
Management And General	973444	ManagementAndGeneral
Fundraising	20256	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	5248996	Total
Program Services	4361128	ProgramServices
Management And General	884119	ManagementAndGeneral
Fundraising	3749	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	307238	Total
Program Services	134711	ProgramServices
Management And General	165572	ManagementAndGeneral
Fundraising	6955	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	988596	Total
Program Services	633164	ProgramServices
Management And General	336292	ManagementAndGeneral
Fundraising	19140	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	2258238	Total
Management And General	2258238	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	12820968	Total
Program Services	10805474	ProgramServices
Management And General	2003805	ManagementAndGeneral
Fundraising	11689	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1673341	Total
Program Services	1652924	ProgramServices
Management And General	20286	ManagementAndGeneral
Fundraising	131	Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
PHYSICIAN FEES	25724349	25724349
UNCOMP CARE POOL	3887102	3887102
PROVISION FOR BAD DEBTS	1717652	1717652
TEMP RESTRICTED MISC EX	378733	339014	7510	32209

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	2837234	Total
Program Services	83308	ProgramServices
Management And General	2753910	ManagementAndGeneral
Fundraising	16	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	295573210	Total
Program Services	226190914	ProgramServices
Management And General	68617979	ManagementAndGeneral
Fundraising	764317	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	17649050	BOY
EOY	46706129	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	23627841	BOY
EOY	20389323	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	6293924	BOY
EOY	5394925	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	37280869	BOY
EOY	61407334	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	4947773	BOY
EOY	7398232	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2589255	BOY
EOY	6294613	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	394903553	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	168025195	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	111266663	BOY
EOY	226878358	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	88245997	BOY
EOY	60694061	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	38311	BOY
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	4162839	BOY
EOY	11934795	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	296102522	BOY
EOY	447097770	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	50374389	BOY
EOY	94329888	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	109210513	BOY
EOY	146768664	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	1901571	BOY
EOY	8995481	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	27623218	BOY
EOY	59880699	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	189109691	BOY
EOY	309974732	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	95114255	BOY
EOY	125489117	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	8593172	BOY
EOY	8224657	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	3285404	BOY
EOY	3409264	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	106992831	BOY
EOY	137123038	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	296102522	BOY
EOY	447097770	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	30127799	ReconcilationRevenueExpenses
Reconcilation Other Changes	2408	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Both	X	FinancialStatementBoth
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	1	DirectContactLegislators
Direct Contact Legislators	$47,375	DirectContactLegislatorsAmount
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	0	OtherActivities
Total Lobbying Expenditures IIB	47375	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	PART IV, SUPPLEMENTAL INFORMATION:	Identifier
Explanation	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.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	58144290	BeginningOfYearBalance
Contributions	238209	Contributions
Investment Earnings Or Losses	8117073	InvestmentEarningsOrLosses
Other Expenditures	1612877	OtherExpenditures
End Of Year Balance	64886695	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	59304368	BeginningOfYearBalance
Contributions	49706	Contributions
Investment Earnings Or Losses	-1164777	InvestmentEarningsOrLosses
Other Expenditures	45007	OtherExpenditures
End Of Year Balance	58144290	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	54015635	BeginningOfYearBalance
Contributions	53548	Contributions
Investment Earnings Or Losses	5276856	InvestmentEarningsOrLosses
Other Expenditures	41671	OtherExpenditures
End Of Year Balance	59304368	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	55985857	BeginningOfYearBalance
Contributions	23639	Contributions
Investment Earnings Or Losses	-1187603	InvestmentEarningsOrLosses
Other Expenditures	806258	OtherExpenditures
End Of Year Balance	54015635	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.96390	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.03610	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	5377764	OtherCostOrOtherBasis
Book Value	5377764	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	219041109	OtherCostOrOtherBasis
Depreciation	95180704	Depreciation
Book Value	123860405	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2261295	OtherCostOrOtherBasis
Depreciation	940582	Depreciation
Book Value	1320713	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	87345729	OtherCostOrOtherBasis
Depreciation	60717630	Depreciation
Book Value	26628099	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	80877656	OtherCostOrOtherBasis
Depreciation	11186279	Depreciation
Book Value	69691377	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	226878358	TotalOfBookValueLandBuildings

Other Assets OtherAssets

Field	Value	IRS element (for citing)
Description	OTHER ASSETS	Description
Book Value	11934795	BookValue

Field	Value	IRS element (for citing)
Total Book Value Other Assets	11934795	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
CAPITAL LEASE OBLIGATIONS	$1,114,505
ACCRUED PENSION EXPENSE	$52,638,964
OTHER LONG-TERM LIABILITIES	$6,127,230

Field	Value	IRS element (for citing)
Total Of Amounts	59880699	TotalOfAmounts
Total Revenue	325701009	TotalRevenue
Total Expenses	295573210	TotalExpenses
Excess Or Deficit For Year	30127799	ExcessOrDeficitForYear
Net Unrealized GL On Investments	3643094	NetUnrealizedGLOnInvestments
Other	-$3,640,686	OtherAmount
Total Adjustments	2408	TotalAdjustments
Excess Or Deficit Per FS	30130207	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	332189147	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	3643094	NetUnrealizedGainsInvestments
Other Revenues	4109747	OtherRevenues
Revenue Not Rptd F990	7752841	RevenueNotRptdF990
Revenue Subtotal	324436306	RevenueSubtotal
Investment Expenses Not Included	356061	InvestmentExpensesNotIncluded
Other Revenues Not Included	908642	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	1264703	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	325701009	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	302058940	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	7563429	OtherExpensesIncluded
Expenses Not Rptd F990	7563429	ExpensesNotRptdF990
Expenses Subtotal	294495511	ExpensesSubtotal
Investment Expenses Not Included2	356061	InvestmentExpensesNotIncluded2
Other Expenses Not Included	721638	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	1077699	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	295573210	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (7 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
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:	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 8 - OTHER ADJUSTMENTS:		CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUSTS 56,911. CONTRIBUTIONS TO NONCONTROLLED AFFILIATES -243,915. TRANSFERS TO AFFILIATES -356,860. PENSION-RELATED ADJUSTMENTS -3,096,822. TOTAL TO SCHEDULE D, PART XI, LINE 8: -3,640,686.
PART XII, LINE 2D - OTHER ADJUSTMENTS:		RENTAL EXPENSE 444,418. SPECIAL EVENTS EXPENSE 509,444. NET ASSETS RELEASED FROM RESTRICTIONS FOR CAPITAL 1,878,555. NET ASSETS RELEASED FROM RESTRICTIONS USED FOR OPERATIONS 1,176,162. LOSS ON DISPOSAL OF PROPERTY & EQUIPMENT 101,168.
PART XII, LINE 4B - OTHER ADJUSTMENTS:		CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST -56,911. FUNDRAISING EXPENSE RECLASS 695,394. CAPITAL CAMPAIGN EXPENSE RECLASS 26,244. CONTRIBUTIONS TO NON-CONTROLLED AFFILIATES 243,915.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:		RENTAL EXPENSE 444,418. SPECIAL EVENTS EXPENSE 509,444. TRANSFERS TO AFFILIATES 356,860. NET ASSETS RELEASED FROM RESTRICTIONS FOR CAPITAL 1,878,555. NET ASSETS RELEASED FROM RESTRICTIONS USED FOR OPERATIONS 1,176,162. LOSS ON DISPOSAL OF PROPERTY & EQUIPMENT 101,168. PENSION-RELATED ADJUSTMENTS 3,096,822.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:		FUNDRAISING EXPENSE RECLASS 695,394. CAPITAL CAMPAIGN EXPENSE RECLASS 26,244.

Schedule F IRS990ScheduleF

Field	Value	IRS element (for citing)
Grant Records Maintained	1	GrantRecordsMaintained

Accts Actvs Out US Table AcctsActvsOutUSTable

Field	Value	IRS element (for citing)
Region	CENTRAL AMERICA AND THE CARIBBEAN	Region
Number Of Offices	0	NumberOfOffices
Number Of Employees	0	NumberOfEmployees
Type Of Activities Conducted	GRANTS TO RECIPIENTS LOCATED IN REGION	TypeOfActivitiesConducted
Total Expenditures	17272	TotalExpenditures

Field	Value	IRS element (for citing)
Subtotal Number Of Offices	0	SubtotalNumberOfOffices
Subtotal Number Of Employees	0	SubtotalNumberOfEmployees
Cont Number Of Offices	0	ContNumberOfOffices
Cont Number Of Employees	0	ContNumberOfEmployees
Total Number Of Offices	0	TotalNumberOfOffices
Total Number Of Employees	0	TotalNumberOfEmployees
Subtotal Amount Spent	17272	SubtotalAmountSpent
Cont Amount Spent	0	ContAmountSpent
Total Amount Spent	17272	TotalAmountSpent

Grants To Ind Outside US GrantsToIndOutsideUS

Field	Value	IRS element (for citing)
Type Of Assistance	SUPPORT MISSION TRIPS TO HONDURAS	TypeOfAssistance
Region	CENTRAL AMERICA AND THE CARIBBEAN	Region
Number Of Recipients	3	NumberOfRecipients
Amount Of Cash Grant	16272	AmountOfCashGrant
Manner Of Cash Disbursement	CHECK	MannerOfCashDisbursement
Amount Of Non Cash Assistance	0	AmountOfNonCashAssistance

Field	Value	IRS element (for citing)
Transfer To Foreign Corp	0	TransferToForeignCorp
Interest In Foreign Trust	0	InterestInForeignTrust
Own Foreign Corp	0	OwnForeignCorp
Passive Foreign Invest Co	0	PassiveForeignInvestCo
Foreign Partnership	0	ForeignPartnership
Boycott Countries	0	BoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS OUTSIDE THE U.S.:	Identifier
Explanation	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.	Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	TEAM WALK FOR CANCER CARE	NameOfEvent1
Gross Receipts Event1	700120	GrossReceiptsEvent1
Gross Revenue Event1	700120	GrossRevenueEvent1
Non Cash Prizes Event1	16658	NonCashPrizesEvent1
Rent Facility Costs Event1	6304	RentFacilityCostsEvent1
Food And Beverage Event1	845	FoodAndBeverageEvent1
Entertainment Event1	500	EntertainmentEvent1
Other Direct Expenses Event1	161334	OtherDirectExpensesEvent1
Name Of Event2	GOLF TOURNAMENT	NameOfEvent2
Gross Receipts Event2	250828	GrossReceiptsEvent2
Gross Revenue Event2	250828	GrossRevenueEvent2
Non Cash Prizes Event2	4027	NonCashPrizesEvent2
Rent Facility Costs Event2	119343	RentFacilityCostsEvent2
Food And Beverage Event2	85595	FoodAndBeverageEvent2
Other Direct Expenses Event2	10852	OtherDirectExpensesEvent2
Total Number Of Other Events	1	TotalNumberOfOtherEvents
Gross Receipts Other Events	166868	GrossReceiptsOtherEvents
Gross Revenue Other Events	166868	GrossRevenueOtherEvents
Non Cash Prizes Other Events	2234	NonCashPrizesOtherEvents
Rent Facility Costs Other Events	21478	RentFacilityCostsOtherEvents
Food And Beverage Other Events	54702	FoodAndBeverageOtherEvents
Entertainment Other Events	5111	EntertainmentOtherEvents
Other Direct Expenses Other Events	20461	OtherDirectExpensesOtherEvents
Gross Receipts Total	1117816	GrossReceiptsTotal
Gross Revenue Total Events	1117816	GrossRevenueTotalEvents
Non Cash Prizes Total Events	22919	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	147125	RentFacilityCostsTotalEvents
Food And Beverage Total Events	141142	FoodAndBeverageTotalEvents
Entertainment Total Events	5611	EntertainmentTotalEvents
Other Direct Expenses Total Events	192647	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	509444	DirectExpenseSummaryEvents
Net Income Summary	608372	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other
Discounted Other Percentage	400.000000000000	DiscountedOtherPercentage

Field	Value	IRS element (for citing)
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	0	ExpensesExceededBudget
Annual Community Benefit Report	0	AnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	8051161	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5196002	DirectOffsettingRevenue
Net Community Benefit Expense	2855159	NetCommunityBenefitExpense
Percent Of Total Expense	0.00970	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	7414520	TotalCommunityBenefitExpense
Net Community Benefit Expense	7414520	NetCommunityBenefitExpense
Percent Of Total Expense	0.02510	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4844397	TotalCommunityBenefitExpense
Net Community Benefit Expense	4844397	NetCommunityBenefitExpense
Percent Of Total Expense	0.01640	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	20310078	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5196002	DirectOffsettingRevenue
Net Community Benefit Expense	15114076	NetCommunityBenefitExpense
Percent Of Total Expense	0.05120	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1434300	TotalCommunityBenefitExpense
Direct Offsetting Revenue	98208	DirectOffsettingRevenue
Net Community Benefit Expense	1336092	NetCommunityBenefitExpense
Percent Of Total Expense	0.00450	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	452522	TotalCommunityBenefitExpense
Net Community Benefit Expense	452522	NetCommunityBenefitExpense
Percent Of Total Expense	0.00150	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	310391	TotalCommunityBenefitExpense
Direct Offsetting Revenue	21393	DirectOffsettingRevenue
Net Community Benefit Expense	288998	NetCommunityBenefitExpense
Percent Of Total Expense	0.00100	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	625766	TotalCommunityBenefitExpense
Net Community Benefit Expense	625766	NetCommunityBenefitExpense
Percent Of Total Expense	0.00210	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2822979	TotalCommunityBenefitExpense
Direct Offsetting Revenue	119601	DirectOffsettingRevenue
Net Community Benefit Expense	2703378	NetCommunityBenefitExpense
Percent Of Total Expense	0.00910	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	23133057	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5315603	DirectOffsettingRevenue
Net Community Benefit Expense	17817454	NetCommunityBenefitExpense
Percent Of Total Expense	0.06030	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	184940	TotalCommunityBuildingExpense
Net Community Building Expense	184940	NetCommunityBuildingExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Total Community Building Expense	147805	TotalCommunityBuildingExpense
Net Community Building Expense	147805	NetCommunityBuildingExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	332745	TotalCommunityBuildingExpense
Net Community Building Expense	332745	NetCommunityBuildingExpense
Percent Of Total Expense	0.00110	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$8,660,718	BadDebtExpenseAmount
Amount Attributable To	3301785	AmountAttributableTo
Amount Reimbursed By Medicare	75521194	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	62205085	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	13316109	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	1 NA	BusinessNameLine1

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	LOWELL GENERAL HOSPITAL	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	295 VARNUM AVENUE	AddressLine1
City	LOWELL	City
State	MA	State
ZIP Code	01854	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
Er24 Hours	X	Er24Hours
Other	ALSO DESIGNATED AS A TRAUMA CENTER	Other

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	LOWELL GENERAL HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	1	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Information Gaps	X	InformationGaps
Needs Assessment Conducted	10	NeedsAssessmentConducted
Take Into Account	1	TakeIntoAccount
Other Facilities	1	OtherFacilities
CHNA Widely Available	1	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
Adopt Implement Strategy	X	AdoptImplementStrategy
Execute Implement Strategy	X	ExecuteImplementStrategy
Develop Community Plan	X	DevelopCommunityPlan
Participate Community Plan	X	ParticipateCommunityPlan
Include Operational Plans	X	IncludeOperationalPlans
Adopt Budget	X	AdoptBudget
Prioritize Health Needs	X	PrioritizeHealthNeeds
Prioritize Services	X	PrioritizeServices
All Needs Addressed	1	AllNeedsAddressed
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	200.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	400.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
State Regulation	X	StateRegulation
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Attached To Invoices	X	AttachedToInvoices
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Provided On Admission	X	ProvidedOnAdmission
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	1	ActionsOnNonpayment
Permit Lawsuit	X	PermitLawsuit
Permit Lien On Residence	X	PermitLienOnResidence
Collection Activities	0	CollectionActivities
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Medicare Rate	X	MedicareRate
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	21	NumberOfOtherFacilities

Other Facilities OtherFacilities (21 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
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 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 OFFICE SPACE
LGH - OFFICE SPACE OFF-SITE
275 VARNUM AVENUE	LOWELL	MA	01854	MD OFFICE SPACE
LGH - OFFICE SPACE OFF-SITE
23 VILLAGE SQUARE UNIT B6	CHELMSFORD	MA	01854	MD OFFICE SPACE
LGH - OFFICE SPACE OFF-SITE
506 GROTON RD	WESTFORD	MA	01886	MD OFFICE SPACE
LGH - OFFICE SPACE OFF-SITE
170 MAIN ST	TEWKSBURY	MA	01876	MD OFFICE SPACE
LGH - OFFICE SPACE OFF-SITE
45 PALMER ST	LOWELL	MA	01854	MD OFFICE SPACE
LGH - OFFICE SPACE OFF-SITE
275 VARNUM AVENUE SUITE 102A	LOWELL	MA	01854	MD OFFICE SPACE
LGH - OFFICE SPACE OFF-SITE
26 PALMER ST	LOWELL	MA	01854	PROVIDE SERVICES TO THE PUBLIC
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.

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
PART I, LINE 3C: PART I, LINE 3B: BETWEEN 401-500%, LGH ASSISTANCE IS AVAILABLE FOR "NON-COVERED" MEDICALLY NECESSARY SERVICES AT 55% OF PATIENT'S BALANCE
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.	FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST	SCHEDULE H-PART I
PART II: 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.
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 V, SECTION B, LINE 3: PART V, LINE 3: INFORMATION FOR THE NEEDS ASSESSMENT WAS COLLECTED FROM MULTIPLE SOURCES, IN THREE DIFFERENT WAYS: (1) A WEB-BASED SURVEY, (2) FOCUS GROUP AND PERSONAL INTERVIEWS, AND (3) A REVIEW OF PUBLICLY COLLECTED HEALTH AND DEMOGRAPHIC STATISTICS. THE WEB-BASED SURVEY WAS AVAILABLE TO ALL ADULTS RESIDING WITHIN THE STUDY AREA. IT WAS DESIGNED TO ELICIT PUBLIC FEEDBACK ABOUT THE HEALTH SERVICES IN THE GREATER LOWELL AREA, AND INCLUDED BOTH FORCED ANSWER MULTIPLE CHOICE QUESTIONS AND OPEN-ENDED QUESTIONS ASKING PEOPLE TO STATE WHAT THEY PERCEIVED TO BE THE STRENGTHS AND WEAKNESSES OF THE AREA'S HEALTHCARE SYSTEM. OF THE 153 COMMUNITY RESIDENTS WHO RESPONDED, THE MAJORITY WERE WHITE (88%), WOMEN (76%), AND AGED 31 TO 65 (78%). THESE INDIVIDUALS REPORTED HAVING GOOD ACCESS TO HEALTH CARE, AS 88% HAD SEEN THEIR PERSONAL PHYSICIAN IN THE PREVIOUS 12 MONTHS.	LOWELL GENERAL HOSPITAL
PART V, LINE 4: LOWELL GENERAL HOSPITAL COLLABORATED WITH SAINTS MEDICAL CENTER TO CONDUCT THE NEEDS ASSESSMENT.	COMMUNITY HEALTH NEEDS ASSESSMENT	SCHEDULE H-PART V:SECTION B. FACILITY POLICIES AND PRACTICES
PART VI, LINE 2: ON BEHALF OF LOWELL GENERAL HOSPITAL (LGH), SAINTS MEDICAL CENTER (SMC) 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 TWO OBJECTIVES. ONE OBJECTIVE WAS TO MEET STATE AND FEDERAL REQUIREMENTS THAT THE TWO HOSPITALS CONDUCT A COMPREHENSIVE HEALTH NEEDS ASSESSMENT EVERY THREE YEARS. THE SECOND, ULTIMATELY MORE IMPORTANT OBJECTIVE WAS TO CONDUCT A STUDY THAT WOULD PROVIDE A FOUNDATION FOR THE GLHA AND ITS PARTNERS, INCLUDING LGH AND SMC, IN WORKING TO BUILD CONSENSUS ON THE AREA'S HEALTH NEEDS AND PLAN COORDINATED ACTIVITIES TO IMPROVE THE HEALTH OF THE AREA'S RESIDENTS.INFORMATION FOR THIS REPORT WAS COLLECTED FROM MULTIPLE SOURCES, IN THREE DIFFERENT WAYS: (1) A WEB-BASED SURVEY, (2) FOCUS GROUP AND PERSONAL INTERVIEWS, AND (3) A REVIEW OF PUBLICLY-COLLECTED HEALTH AND DEMOGRAPHIC STATISTICS. THE WEB-BASED SURVEY WAS AVAILABLE TO ALL ADULTS RESIDING WITHIN THE STUDY AREA. IT WAS DESIGNED TO ELICIT PUBLIC FEEDBACK ABOUT THE HEALTH SERVICES IN THE GREATER LOWELL AREA, AND INCLUDED BOTH FORCED ANSWER MULTIPLE CHOICE QUESTIONS AND OPEN-ENDED QUESTIONS ASKING PEOPLE TO STATE WHAT THEY PERCEIVED TO BE THE STRENGTHS AND WEAKNESSES OF THE AREA'S HEALTHCARE SYSTEM. OF THE 153 COMMUNITY RESIDENTS WHO RESPONDED, THE MAJORITY WERE WHITE (88%), WOMEN (76%), AND AGED 31 TO 65 (78%). THESE INDIVIDUALS REPORTED HAVING GOOD ACCESS TO HEALTH CARE, AS 88% HAD SEEN THEIR PERSONAL PHYSICIANS IN THE PREVIOUS 12 MONTHS.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 WEB-BASED SURVEY. 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. LOWELL HAS THE HIGHEST UNEMPLOYMENT RATE IN THE AREA (11.5%), AND A POVERTY RATE (16.1%) THREE TIMES THAT OF TYNGSBOROUGH (4.7%) AND TEN TIMES THAT OF WESTFORD (1.6%). 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 COLLEGE AND THE LOWELL NATIONAL HISTORICAL PARK, AS WELL AS TWO HOSPITALS, 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 OF CITY 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.
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. 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 800 PERCENT INCREASE IN PROGRAMS OFFERED (45 TO 407) AND 675 PERCENT INCREASE IN INDIVIDUALS SERVED BY THESE PROGRAMS (547 TO 4,530). 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, GANG ADVISORY BOARD, THE 10-YEAR PLAN TO END HOMELESSNESS, AND THE LOWELL ROUNDTABLE FOR SUBSTANCE ABUSE. 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 RECENTLY 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 LGH TO CREATE THE GREATER LOWELL HEALTH ALLIANCE (GLHA), AN INDEPENDENT NON-PROFIT ALLIANCE WITH A MISSION TO IMPROVE THE OVERALL HEALTH OF THE COMMUNITY BY BRINGING TOGETHER MEMBERS FROM HEALTH, EDUCATION, AND CIVIC INSTITUTIONS IN THE AREA. 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 70, AND FROM ONE TASK FORCE (HEALTHY WEIGHT) TO FIVE (ALCOHOL, TOBACCO AND OTHER DRUGS, MENTAL HEALTH, CULTURAL COMPETENCE, AND MATERNAL CHILD HEALTH). LGH CONTINUES ITS LEADERSHIP ROLE OF GLHA. LGH DIRECTOR OF MARKETING OPERATIONS & COMMUNITY DEVELOPMENT, MICHELLE DAVIS IS THE EXECUTIVE DIRECTOR OF THE GLHA, AND LGH PRESIDENT AND CEO NORMAND DESCHENE IS AN ACTIVE BOARD MEMBER.LGH 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" TO RAISE AWARENESS AND FUNDS FOR COMMUNITY OUTREACH AND EDUCATION. IN THE PAST FIVE YEARS, LGH HAS RAISED $735,000 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 2012 THE BALL FOR COMMUNITY HEALTH INITIATIVES RELEASED ITS FIRST RFP FOR LOCAL NON-PROFIT ORGANIZATIONS AND WILL GRANT OVER $60,000 TO LOCAL ORGANIZATIONS TO HELP PROMOTE MENTAL HEALTH AND HEALTHY WEIGHT PROGRAMMING.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 QUARTERLY 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. HOWEVER, LOWELL GENERAL HOSPITAL IS NOT PART OF AN AFFILIATED HEALTHCARE SYSTEM.
MA	REPORTS FILED WITH STATES	PART VI, LINE 7

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (17 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant	IRC SectionIRCSection
CITY OF LOWELL DBA LOWELL HIGH SCHOOL
50 FATHER MARRISETTE BLVD	LOWELL	MA	01852	046001396	22660	UNIFORMS FOR FOOTBALL TEAM
LOWELL BOYS CLUB ASSOCIATION DBA BOYS & GIRLS CLUB OF GREATER LOWELL
657 MERRIMACK STREET	LOWELL	MA	01851	042104396	28250	FUNDRAISER SPONSORSHIP	501(C)(3)
LOWELL PLAN INC
660 SUFFOLK ST	LOWELL	MA	01852	042693109	7750	FUNDRAISER SPONSORSHIP	501(C)(3)
LOWELL SUN CHARITIES- SANTA FUND
491 DUTTON STREET	LOWELL	MA	01854	046004936	49684	HOLIDAY FUND DONATION	501(C)(3)
UNIVERSITY OF MASSACHUSETTS LOWELL
1 UNIVERSITY AVENUE	LOWELL	MA	01854	043167352	28000	FUNDRAISER SPONSORSHIP
LOWELL COMMUNITY HEALTH CENTER
17 WARREN ST	LOWELL	MA	01852	042881348	196050	CONTRIBUTION FOR CAPITAL CAMPAIGN	501(C)(3)
D'YOUVILLE FOUNDATION - STEWARDSHIP AGREEMENT
981 VARNUM AVE	LOWELL	MA	01854	042510563	64500	PROGRAM ASSISTANCE	501(C)(3)
CHINMAYA MISSION BOSTON
1 UNION ST	ANDOVER	MA	01810	043491406	12500	DONATION	501(C)(3)
GREATER LOWELL COMMUNITY FOUNDATION
100 MERRIMACK ST	LOWELL	MA	01852	043401997	9650	FUNDRAISER SPONSORSHIP	501(C)(3)
GREATER MERRIMACK VALLEY CONV & VISITORS BUREAU
40 FRENCH ST	LOWELL	MA	01852	043158302	16500	FUNDRAISER SPONSORSHIP	501(C)(6)
LOWELL FESTIVAL FOUNDATION
67 KIRK ST	LOWELL	MA	01852	042578293	5000	FUNDRAISER SPONSORSHIP	501(C)(3)
UNITED WAY OF MASS BAY & MERR VALLEY
59 LOWES WAY STE 203	LOWELL	MA	01851	042382233	6300	FUNDRAISER SPONSORSHIP	501(C)(3)
CAMBODIAN MUTUAL ASSISTANCE LEAGUE
120 CROSS STREET	LOWELL	MA	01854	222553560	20000	GRANTGRANT	501(C)(3)
CATIE'S CLOSET
112 EDICOTT STREET	LOWELL	MA	01854	272531953	10000	GRANT	501(C)(3)
GREATER LOWELL HEALTH ALLIANCE
295 VARNUM AVE	LOWELL	MA	01854	270408037	57615	GRANT AND DONATION	501(C)(3)
YMCA - LOWELL ALLIANCE FOR FAMILIES & NEIGHBORHOODS
97 CENTRAL STREET UNIT 302	LOWELL	MA	01852	042105876	5000	GRANT	501(C)(3)
MILL CITY GROWS
97 CENTRAL STREET UNIT 302	LOWELL	MA	01852	042105876	10000	GRANT	501(C)(3)

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	17	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	Identifier
Return Reference	PART I, LINE 2:	ReturnReference
Explanation	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.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	1	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
NORMAND DESCHENE
673883	0	160135	0	841638	0	70488	0	69306	0	1815450	0	0	0
SUSAN GREEN
356380	0	72705	0	149942	0	4651	0	32280	0	615958	0	0	0
PETER ZARILLA
230151	0	35200	0	5364	0	9800	0	23744	0	304259	0	0	0
WAYNE PASANEN
200030	0	24798	0	5258	0	9003	0	31374	0	270463	0	0	0
JOSEPH WHITE
478623	0	94733	0	300387	0	9800	0	45579	0	929122	0	0	0
AMY HOEY
270364	0	48830	0	987	0	8575	0	37594	0	366350	0	0	0
MAUREEN BELLEY
163460	0	14075	0	1038	0	2452	0	1373	0	182398	0	0	0
YISHI REN
195856	0	15134	0	1217	0	8520	0	11601	0	232328	0	0	0
GERALDINE VAUGHAN
197554	0	58425	0	696	0	3055	0	17822	0	277552	0	0	0
EMILY YOUNG
156715	0	11603	0	473	0	1536	0	11865	0	182192	0	0	0
KAREN MCARDLE
151889	0	20013	0	747	0	6315	0	17401	0	196365	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReference	ExplanationExplanation
PART I, LINE 1A	THE HOSPITAL HAS ENTERED INTO RESTRICTIVE ENDORSEMENT BONUS ARRANGEMENTS ("REBA'S") WITH NORMAND DESCHENE, SUSAN GREEN AND JOSEPH WHITE 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 2011 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 $137,339 PAID IN 2011 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 $288,419 PAID IN 2011 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 2011 WERE $56,406. 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.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
MASS HEALTH AND ED FACILITIES AUTHORITY SERIES C & D
042456011	57586EXB2	2010-09-29	109152040	CONSTRUCTION OF NEW BUILDING, EQUIP. ACQUISITIONS, PAY OFF COMMERCIAL DEBT	0	0	0
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

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceeds	Capitalized InterestCapitalizedInterest	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Working Capital ExpendituresWorkingCapitalExpenditures	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Other Spent ProceedsOtherSpentProceeds
109152040	10357512	1755029	92469	11042852	85904178	2013	0	0	0	1
37500000		400000		1350928	35585500	2013	1	0	0	1	163572

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Any Research AgreementsAnyResearchAgreements	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
0	1	1	1	0	0.03240	0.00000	0.03240	1
0	1	1	1	0	0.02300	0.00000	0.02300	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate	Business Name Line2NameOfHedgeProvider/BusinessNameLine2	Term Of HedgeTermOfHedge	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated
(no name)
0	0	0	0	0	0
DEUTSCHE BANK AG
0	1	1	0	0	0	NEW YORK	30.000000000000	0	0

Field	Value	IRS element (for citing)
Fed Tax Requirements Compliance	X	FedTaxRequirementsCompliance

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	PART II:	Identifier
Explanation	LINE 3: TOTAL PROCEEDS OF ISSUE CONSISTS OF $109,152,040 ORIGINAL PROCEEDS PLUS CAPITALIZED INVESTMENT EARNINGS OF $387,317. LINE 9A: WORKING CAPITAL EXPENDITURES FROM PROCEEDS CONSISTS OF $11,042,852 FOR THE RETIREMENT OF SERIES B BONDS. 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 THANFIVE YEARS TOTALED $163,572.	Explanation

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTraded

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	4	NumberOfContributions
Noncash Contribs Rptd F990	238376	NoncashContribsRptdF990
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Number Of8283 Received	0	NumberOf8283Received
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	1	ReviewProcessUnusualNCGifts
Third Parties Used	0	ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

Field	Value	IRS element (for citing)
Identifier	METHOD FOR DETERMINING NUMBER OF CONTRIBUTORS:	Identifier
Return Reference	PART I, COLUMN (B):	ReturnReference
Explanation	THE NUMBER IN PART I, COLUMN (B) IS THE NUMBER OF CONTRIBUTIONS OF STOCK.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 4	ON JULY 1, 2012, CIRCLE HEALTH, INC.(THE "CORPORATION") AND AFFILIATES ACQUIRED SAINTS HEALTH SYSTEM. THE CORPORATION AND ITS CONTROLLED AFFILIATES ARE COLLECTIVELY REFERRED TO AS THE "SYSTEM". CIRCLE HEALTH, INC. (THE "CORPORATION") IS A MASSACHUSETTS NONPROFIT CORPORATION THAT OVERSEES AND COORDINATES A SERIES OF AFFILIATED CORPORATIONS THAT PROVIDE A BROAD RANGE OF HEALTH CARE AND RELATED SERVICES IN LOWELL, MASSACHUSETTS. IN 2012, WHEN LGH CORP. INC. ACQUIRED SAINTS HEALTH SYSTEM AND AFFILIATES, IT CHANGED ITS NAME TO CIRCLE HEALTH, INC. SAINTS MEDICAL CENTER WAS MERGED IN WITH THE LOWELL GENERAL HOSPITAL. THE REMAINING AFFILIATES MERGED INTO THE RELATED CIRCLE HEALTH, INC. AFFILIATES. THE SYSTEM ACQUIRED SUBSTANTIALLY ALL OF THE ASSETS AND ASSUMED THE LIABILITIES OF SAINTS HEALTH SYSTEM AND ITS AFFILIATES THROUGH AN ASSET TRANSFER AGREEMENT DATED JULY 1, 2012. THE ACQUISITION HAS BEEN ACCOUNTED FOR USING THE ACQUISITION METHOD OF ACCOUNTING WITH THE EXCESS OF FAIR VALUE OF THE ASSETS ACQUIRED OVER THE LIABILITIES ASSUMED RECOGNIZED AS A CONTRIBUTION RECEIVED. APPLICABLE ORGANIZATIONAL DOCUMENTS WERE REVISED AND THE APPROPRIATE REGULATORY AGENCIES WERE DULY NOTIFIED AND RECEIVED THE NOTIFICATION OF THESE CHANGES.
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. LGH CORP. ALSO DETERMINES THE NUMBER OF LOWELL GENERAL HOSPITAL TRUSTEES AT AN ANNUAL MEETING. LGH CORP. MAY ALSO ELECT NEW TRUSTEES OR REMOVE TRUSTEES TO ACHIEVE THE NUMBER OF TRUSTEES SO FIXED.
FORM 990, PART VI, SECTION B, LINE 11	THE FINANCE DEPARTMENT OF LOWELL GENERAL HOSPITAL SUPPLIED RELEVANT INFORMATION TO AN INDEPENDENT ACCOUNTING FIRM TO PREPARE THE ANNUAL FORM 990. THE FINANCE COMMITTEE THEN REVIEWED AND MADE RECOMMENDATIONS UPON THE DRAFT REPORT, PRIOR TO ITS PRESENTATION TO THE BOARD OF DIRECTORS. BASED UPON THIS REVIEW, THE COMMITTEE FORMED A RECOMMENDATION TO THE BOARD OF DIRECTORS AS TO THE ACCEPTABILITY AND CONTENT OF THE FILING. ALL MEMBERS OF THE BOARD OF DIRECTORS WERE PROVIDED A COPY OF THE COMPLETED 990 BEFORE FILING.
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.
FORM 990, PART XI, LINE 5:	NET UNREALIZED GAINS ON INVESTMENTS: 3,643,094. CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUSTS 56,911. CONTRIBUTIONS TO NONCONTROLLED AFFILIATES -243,915. TRANSFERS TO AFFILIATES -356,860. PENSION-RELATED ADJUSTMENTS -3,096,822. TOTAL TO FORM 990, PART XI, LINE 5: 2,408.	CHANGES IN NET ASSETS OR FUND BALANCES:
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.	LINE 2C-DOES ORGANIZATION HAVE A COMMITTEE THAT ASSUMES OVERSIGHT OF AUDIT?

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Total IncomeTotalIncome	EOY AssetsEOYAssets	Business Name Line1DirectControllingEntityName/BusinessNameLine1
CIRCLE HEALTH ALLIANCE LLC
295 VARNUM AVE	LOWELL	MA	01854	800782682	MEDICAL SERVICES	MA	0	0	CIRCLE HEALTH PHYSICIANS INC
LGH MEDICAL GROUP LLC
295 VARNUM AVE	LOWELL	MA	01854	205671277	MEDICAL SERVICES	MA	0	0	CIRCLE HEALTH PHYSICIANS INC
LGH CANCERCARE ASSOCIATES LLC
295 VARNUM AVE	LOWELL	MA	01854	043483462	MEDICAL SERVICES	MA	0	0	CIRCLE HEALTH PHYSICIANS INC
LGH WOMANHEALTH LLC
295 VARNUM AVE	LOWELL	MA	01854	262057970	MEDICAL SERVICES	MA	0	0	CIRCLE HEALTH PHYSICIANS INC
LGH MERRIMACK VALLEY CARDIOLOGY ASSOCIATES LLC
295 VARNUM AVE	LOWELL	MA	01854	452014433	MEDICAL SERVICES	MA	0	0	CIRCLE HEALTH PHYSICIANS INC

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg	Business Name Line1DirectControllingEntityName/BusinessNameLine1
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		0	CIRCLE HEALTH INC
LGH PHYSICIAN ASSOCIATES INC
295 VARNUM AVENUE	LOWELL	MA	01854	043190747	MEDICAL SERVICES	MA	501(C)(3)	LINE 9		0	CIRCLE HEALTH PHYSICIANS INC
LOWELL GENERAL HOSPITAL SPECIAL SERVICES INC
295 VARNUM AVENUE	LOWELL	MA	01854	042749428	MEDICAL SERVICES	MA	501(C)(3)	LINE 9		1	LOWELL GENERAL HOSPITAL
LOWELL GENERAL FOUNDATION INC
295 VARNUM AVENUE	LOWELL	MA	01854	262320016	FUNDRAISING	MA	501(C)(3)	LINE 7		0	CIRCLE HEALTH INC

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity
LGH MEDICAL SERVICES INC
295 VARNUM AVENUE	LOWELL	MA	01854	261889904	MEDICAL SERVICES	MA	CICLE HEALTH INC	C
LGH SERVICES INC
295 VARNUM AVENUE	LOWELL	MA	01854	042854673	MEDICAL SERVICES	MA	CICLE HEALTH INC	C
LGH MANAGEMENT SERVICES INC
295 VARNUM AVENUE	LOWELL	MA	01854	042919244	MEDICAL SERVICES	MA	LGH SERVICES INC	C
LGH MEDICAL BUILDING SERVICES INC
295 VARNUM AVENUE	LOWELL	MA	01854	043058954	MEDICAL SERVICES	MA	LGH SERVICES INC	C

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	1	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	0	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	1	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg