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LAWRENCE GENERAL HOSPITAL: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
LAWRENCE GENERAL HOSPITAL (EIN 04-2103586)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-08-13
IRS object ID
201322259349302432
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-08-13T14:03:15-05:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN042684828EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1FEELEY & DRISCOLL PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1200 PORTLAND STREETAddressLine1
CityBOSTONCity
StateMAState
ZIP Code02114ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN042103586EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LAWRENCE GENERAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLAWRNameControl
Phone9786834000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 GENERAL STREETAddressLine1
CityLAWRENCECity
StateMAState
ZIP Code018412961ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDEBORAH J WILSONName
TitleCORPORATE ASSISTANT TREASURERTitle
Phone9786834000Phone
Date Signed2013-08-08DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJEFFREY T ROGERSName
PTINP01074284PTIN
Phone6177427788Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDIANNE J ANDERSONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11 GENERAL STREETAddressLine1
CityLAWRENCECity
StateMAState
ZIP Code01841ZIPCode
FieldValueIRS element (for citing)
Gross Receipts205280677GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.LAWRENCEGENERAL.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1875YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionACUTE CARE COMMUNITY HOSPITAL PROVIDING INPATIENT AND OUTPATIENT HEALTH SERVICES TO THE GENERAL PUBLIC.ActivityOrMissionDescription
Nbr Voting Members Governing Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees1752TotalNbrEmployees
Total Nbr Volunteers187TotalNbrVolunteers
Total Gross UBI2173994TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year7280ContributionsGrantsPriorYear
Contributions Grants Current Year49498ContributionsGrantsCurrentYear
Program Service Revenue Prior Year184707000ProgramServiceRevenuePriorYear
Program Service Revenue CY181661666ProgramServiceRevenueCY
Investment Income Prior Year656000InvestmentIncomePriorYear
Investment Income Current Year204992InvestmentIncomeCurrentYear
Other Revenue Prior Year4868505OtherRevenuePriorYear
Other Revenue Current Year19742141OtherRevenueCurrentYear
Total Revenue Prior Year190238785TotalRevenuePriorYear
Total Revenue Current Year201658297TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year108957433SalariesEtcPriorYear
Salaries Etc Current Year117611954SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year456429TotalFundrsngExpCurrentYear
Other Expense Prior Year76520344OtherExpensePriorYear
Other Expenses Current Year73833505OtherExpensesCurrentYear
Total Expenses Prior Year185477777TotalExpensesPriorYear
Total Expenses Current Year191445459TotalExpensesCurrentYear
Revenues Less Expenses Prior Year4761008RevenuesLessExpensesPriorYear
Revenues Less Expenses CY10212838RevenuesLessExpensesCY
Total Assets BOY138435698TotalAssetsBOY
Total Assets EOY153133306TotalAssetsEOY
Total Liabilities BOY41796220TotalLiabilitiesBOY
Total Liabilities EOY43815897TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY96639478NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY109317409NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO OPERATE AND MAINTAIN THE ACUTE CARE GENERAL HOSPITAL. PROVIDE APPROPRIATE HOSPITAL AND OTHER RELATED HEALTH SERVICES TO ALL PATIENTS REGARDLESS OF RACE, COLOR, CREED OR NATIONAL ORIGIN. PROVIDE ACCESS TO MEDICALLY NECESSARY SERIVCES FOR AREA RESIDENTS REGARDLESS OF ABILITY TO PAY. ASSURE THE ONGOING PROCESS OF CONTINUOUSLY IMPROVING PATIENT CARE QUALITY DELIVERED BY SKILLED AND CARING HEALTH CARE PROFESSIONALS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense76924831Expense
Revenue111834102Revenue
DescriptionINPATIENT HEALTHCARE SERVICES - PROVIDING INPATIENT SERVICES CONSISTENT WITH OUR CORE VALUES BY PROVIDING ACCESS TO COMPREHENSIVE, HIGH QUALITY, COMPASSIONATE AND EFFICIENT HEALTHCARE SERVICES. LAWRENCE GENERAL HOSPITAL IS A 189 BED HOSPITAL THAT PROVIDED 44,941 PATIENT DAYS OF INPATIENT SERVICES WITH 12,461 DISCHARGES DURING FY2012.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense60563452Expense
Revenue88047763Revenue
DescriptionOUTPATIENT HEALTHCARE SERVICES - PROVIDING OUTPATIENT SERVICES CONSISTENT WITH OUR CORE VALUES BY PROVIDING ACCESS TO COMPREHENSIVE, HIGH QUALITY, COMPASSIONATE AND EFFICIENT HEALTHCARE SERVICES. DURING FY2012, LAWRENCE GENERAL HOSPITAL HAD 226,911 OUTPATIENT VISITS.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Revenue19742141Revenue
DescriptionOTHER PROGRAM SERVICE REVENUE PRIMARILY RELATES TO INCOME FROM WORK HEALTH DEPARTMENT, GRANT PROCEEDS AND CAFETERIA RECEIPTS.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Rev19742141TotalOfOtherProgramServiceRev
Total Program Service Expense137488283TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP1LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org1TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096139NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1752NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters1LocalChapters
Policies Reference Chapters1PoliciesReferenceChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1FELIX MERCADO CONTROLLERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9786834000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1ONE GENERAL STREETAddressLine1
CityLAWRENCECity
StateMAState
ZIP Code01841ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
RICHARD J SANTAGATI
CHAIRMAN1.00X000
MATTHEW A CAFFREY ESQ
VICE CHAIRMAN & SECRETARY1.00X000
DIANNE J ANDERSON
PRESIDENT & CEO50.00X5539140120128X
RONALD J POLLINA
TREASURER1.00X000
DEBORAH J WILSON
CORPORATE ASSISTANT TREASURER/CFO50.00X211205033334X
DENISE S PALUMBO
CORPORATE ASSISTANT SECRETARY/COO50.00X300113038892X
MAURICE BALBONI
TRUSTEE1.00X000
PIERRE H CHAHRABAN MD
TRUSTEE1.00X000
DENNIS A CONLIN
TRUSTEE1.00X000
THOMAS L FAZIO MD
TRUSTEE1.00X000
NAOMI GARDNER
TRUSTEE1.00X000
EDUARDO HADDAD MD
TRUSTEE1.00X000
RABBI ROBERT GOLDSTEIN
TRUSTEE1.00X000
ALAN L LEBOVIDGE
TRUSTEE1.00X000
PATRICIA MCGOVERN ESQ
TRUSTEE1.00X000
GLENN NEWSOME MD
TRUSTEE1.00X000
BELISARIO ROSAS
TRUSTEE1.00X000
DEBRA RAHMAN SILBERSTEIN ESQ
TRUSTEE1.00X000
LUIS E YEPEZ JR
TRUSTEE1.00X000
NEIL MEEHAN MD
PHYSICIAN & CMO50.00339541037731X
PATRICK CURRAN MD
PHYSICIAN40.00325136026165X
MARIA DIENHART MD
PHYSICIAN24.00322009010327X
NORMAN STEIN MD
FORMER CMO40.00308629030632X
JORGE BOTERO MD
PHYSICIAN28.00290832018946X
GERALD J FOLEY
FORMER COO0.001759850117285X
JOSEPH S MCMANUS
FORMER PRESIDENT0.0014455600X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2971920TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation433440TotalOtherCompensation
Number Individuals GT100 K224NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
CARDINAL HEALTH
21377 NETWORK PLACECHICAGOIL60612PHARMACY SERVICES6024310
GREATER LAWRENCE FAMILY HEALTH CENTER
34 HAVERHILL STREETLAWRENCEMA01841HOSPITAL SERVICES3955066
ANESTHETIX OF TEAM HEALTH
7111 FAIRWAY DRIVE SUITE 202PALM BEACHFL33418ANESTHESIA SERVICES2555004
MAYO COLLABORATIVE
PO BOX 9146MINNEAPOLISMN55402LAB SERVICES998143
ALL STAFF LLC
1565 MAIN ST BUILDING 2 FL 3TEWKSBURYMA01876STAFFING SERVICES712547
FieldValueIRS element (for citing)
Number Of Contractors GT100 K66NumberOfContractorsGT100K
Government Grants49498GovernmentGrants
Total Contributions49498TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT REVENUE621110179487672179487672
NET PATIENT REVENUE (L62150021739942173994
FieldValueIRS element (for citing)
Total Program Service Revenue181661666TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column393992TotalRevenueColumn
Exclusion$393,992ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities3433380Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities3622380Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-189000Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-189000TotalRevenueColumn
Related Or Exempt Function Income-189000RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
WAIVER/DSTI RECEIPTS6211101443333414433334
MISCELLANEOUS62111017442911744291
MEANINGFUL USE/EHR REC62111014982341498234

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column2066282TotalRevenueColumn
Related Or Exempt Function Income2066282RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue19742141TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column201658297TotalRevenueColumn
Related Or Exempt Function Income199040813RelatedOrExemptFunctionIncome
Unrelated Business Revenue2173994UnrelatedBusinessRevenue
Exclusion$393,992ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1517323Total
Management And General1517323ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total95883588Total
Program Services77619751ProgramServices
Management And General17979278ManagementAndGeneral
Fundraising284559Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1413773Total
Program Services1144478ProgramServices
Management And General265099ManagementAndGeneral
Fundraising4196Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total12121872Total
Program Services9812906ProgramServices
Management And General2272991ManagementAndGeneral
Fundraising35975Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total6675398Total
Program Services5403873ProgramServices
Management And General1251714ManagementAndGeneral
Fundraising19811Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total20374126Total
Program Services10360148ProgramServices
Management And General9948276ManagementAndGeneral
Fundraising65702Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total295548Total
Management And General295548ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total130000Total
Management And General130000ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total90978Total
Management And General90978ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total20000Total
Management And General20000ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total427354Total
Management And General427354ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total912307Total
Program Services306489ProgramServices
Management And General604721ManagementAndGeneral
Fundraising1097Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1611648Total
Management And General1611648ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2570899Total
Management And General2570899ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total329049Total
Program Services85879ProgramServices
Management And General240557ManagementAndGeneral
Fundraising2613Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total61791Total
Management And General61791ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total217205Total
Management And General217205ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total6397999Total
Management And General6397999ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2015221Total
Management And General2015221ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PHARMACEUTICALS70341017034101
PHYSICIAN FEES49143284914328
REPAIRS AND MAINTENANCE368989823951571294741
SURGICAL SUPPLIES32073593207359

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total19533694Total
Program Services15203814ProgramServices
Management And General4287404ManagementAndGeneral
Fundraising42476Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total191445459Total
Program Services137488283ProgramServices
Management And General53500747ManagementAndGeneral
Fundraising456429Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY16230664BOY
EOY13708009EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY14065721BOY
EOY20530337EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY22760109BOY
EOY29121037EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY595233BOY
EOY764944EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY6250EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2192383BOY
EOY2761584EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2861037BOY
EOY1251451EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis117794099LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec67557768LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY48743538BOY
EOY50236331EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY13024313BOY
EOY15171722EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY17962700BOY
EOY19581641EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY138435698BOY
EOY153133306EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY11080297BOY
EOY15116086EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY17257210BOY
EOY15409764EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY13458713BOY
EOY13290047EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY41796220BOY
EOY43815897EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY79392340BOY
EOY101769168EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY16147138BOY
EOY6448241EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1100000BOY
EOY1100000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY96639478BOY
EOY109317409EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY138435698BOY
EOY153133306EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses10212838ReconcilationRevenueExpenses
Reconcilation Other Changes2465093ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management1PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$90,978DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities0OtherActivities
Total Lobbying Expenditures IIB90978TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationREPRESENTS (A) 19.52% OF MASSACHUSETTS HOSPITAL ASSOCIATION ("MHA") ANNUAL DUES/FEES THAT IS DEEMED TO BE USED FOR LOBBYING EXPENDITURES ($22,497); (B) 23.98% OF AMERICAN HOSPITAL ASSOCIATION ("AHA") ANNUAL DUES/FEES THAT IS DEEMED TO BE USED FOR LOBBYING EXPENDITURES ($6,699); AND (C) CONSULTANT EXPENSES DEEMED TO BE USED FOR LOBBYING EXPENDITURES ($61,782) IN FY2012.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1612631OtherCostOrOtherBasis
Book Value1612631BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis70213675OtherCostOrOtherBasis
Depreciation46164540Depreciation
Book Value24049135BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis41264369OtherCostOrOtherBasis
Depreciation21393228Depreciation
Book Value19871141BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4703424OtherCostOrOtherBasis
Book Value4703424BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings50236331TotalOfBookValueLandBuildings

Other Assets OtherAssets (7 entries)

DescriptionDescriptionBook ValueBookValue
OTHER ASSETS2227775
FUNDS HELD BY TRUSTEE227129
INTEREST IN NET ASSETS OF LGH CHARITABLE TRUST, INC.13428273
DEFERRED FINANCING COST, NET456961
OTHER RECEIVABLES1885076
DUE FROM AFFILIATES217145
ESTIMATED SETTLEMENTS WITH THIRD-PARTY PAYORS1139282
FieldValueIRS element (for citing)
Total Book Value Other Assets19581641TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
ACCRUED SALARIES AND WAGES$8,510,614
OTHER LONG-TERM LIABILITIES$4,500,790
DUE TO AFFILIATES$278,643
FieldValueIRS element (for citing)
Total Of Amounts13290047TotalOfAmounts
Total Revenue201658297TotalRevenue
Total Expenses191445459TotalExpenses
Excess Or Deficit For Year10212838ExcessOrDeficitForYear
Net Unrealized GL On Investments1283000NetUnrealizedGLOnInvestments
Other$1,182,093OtherAmount
Total Adjustments2465093TotalAdjustments
Excess Or Deficit Per FS12677931ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt201658297TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal201658297RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990201658297TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt191445459TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal191445459ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990191445459TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPART XI, LINE 8 - OTHER ADJUSTMENTS:Identifier
ExplanationNET ASSET TRANSFER TO COMMUNITY MEDICAL ASSOCIATES, INC. -475,000. CONTRIBUTIONS -765,000. CHANGE IN VALUE OF NET ASSETS HELD BY LGH CHARITABLE TRUST 1,668,000. INCREASE IN TEMPORARILY RESTRICTED NET ASSETS 754,995. OTHER -902. TOTAL TO SCHEDULE D, PART XI, LINE 8: 1,182,093.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense7870102TotalCommunityBenefitExpense
Direct Offsetting Revenue6698329DirectOffsettingRevenue
Net Community Benefit Expense1171773NetCommunityBenefitExpense
Percent Of Total Expense0.00610PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense28364428TotalCommunityBenefitExpense
Direct Offsetting Revenue20103786DirectOffsettingRevenue
Net Community Benefit Expense8260642NetCommunityBenefitExpense
Percent Of Total Expense0.04310PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense2033409TotalCommunityBenefitExpense
Direct Offsetting Revenue2246418DirectOffsettingRevenue
Net Community Benefit Expense-213009NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense38267939TotalCommunityBenefitExpense
Direct Offsetting Revenue29048533DirectOffsettingRevenue
Net Community Benefit Expense9219406NetCommunityBenefitExpense
Percent Of Total Expense0.04920PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense2615684TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense2615684NetCommunityBenefitExpense
Percent Of Total Expense0.01370PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense3210286TotalCommunityBenefitExpense
Direct Offsetting Revenue1332159DirectOffsettingRevenue
Net Community Benefit Expense1878127NetCommunityBenefitExpense
Percent Of Total Expense0.00980PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense90844TotalCommunityBenefitExpense
Net Community Benefit Expense90844NetCommunityBenefitExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense5916814TotalCommunityBenefitExpense
Direct Offsetting Revenue1332159DirectOffsettingRevenue
Net Community Benefit Expense4584655NetCommunityBenefitExpense
Percent Of Total Expense0.02400PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense44184753TotalCommunityBenefitExpense
Direct Offsetting Revenue30380692DirectOffsettingRevenue
Net Community Benefit Expense13804061NetCommunityBenefitExpense
Percent Of Total Expense0.07320PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$5,936,189BadDebtExpenseAmount
Amount Reimbursed By Medicare66704755AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare63771148CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall2933607MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1LAWRENCE GENERAL HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11 GENERAL STREETAddressLine1
CityLAWRENCECity
StateMAState
ZIP Code01841ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1LAWRENCE GENERAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA Conducted0CHNAConducted
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent200.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities1CollectionActivities
Other ActionsXOtherActions
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Lowest Negotiated RatesXLowestNegotiatedRates
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges1GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
PART I, LINE 3C: NOT APPLICABLE
PART I, LINE 6A: NOT APPLICABLE
PART I, LINE 7: THE COST-TO-CHARGE RATIO WAS USED AS THE COSTING METHODOLOGY TO CALCULATE THE AMOUNT USED TO CALCULATE THE AMOUNTS IN THE TABLE OF LINE 7.
PART I, LINE 7G: NOT APPLICABLE
PART I, L7 COL(F): NOT APPLICABLE
PART III, LINE 4: THE FOOTNOTES OF THE FINANCIAL STATEMENTS DESCRIBE THE FOLLOWING: AN ALLOWANCE FOR DOUBTFUL ACCOUNTS IS RECORDED TO REPORT ACCOUNTS RECEIVABLE AT THEIR NET REALIZABLE VALUE. THE ESTIMATED LOSSES ARE BASED UPON HISTORICAL COLLECTION EXPERIENCE TOGETHER WITH A REVIEW OF THE CURRENT STATUS OF THE EXISTING RECEIVABLE.
PART III, LINE 8: LINE 6 WAS CALCULATED BASED UPON A COST-TO-CHARGE RATIO CALCULATED SPECIFICALLY FOR MEDICARE.
PART III, LINE 9B: SECTION V OF THE ORGANIZATION'S CREDIT AND COLLECTION POLICY OUTLINES THE COLLECTION PRACTICES OF THE ORGANIZATION.
PART V, SECTION B, LINE 16E: SEVERAL THIRD PARTY COLLECTION AGENCIES ARE ENGAGED BY LAWRENCE GENERAL HOSPITAL TO TRY TO COLLECT UNPAID BALANCES. THESE COLLECTION AGENCIES SEND PERIODIC STATEMENTS AND LETTERS TO THE PATIENTS TO ATTEMPT TO COLLECT UNPAID BALANCES.LAWRENCE GENERAL HOSPITAL
PART V, SECTION B, LINE 21: THE HOSPITAL CHARGES SELF-PAY PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE AN AMOUNT EQUAL TO THE GROSS CHARGE AMOUNT. HOWEVER, THE HOSPITAL DOES OFFER A SELF-PAY DISCOUNT OF 40%.LAWRENCE GENERAL HOSPITAL
PART VI, LINE 2: LAWRENCE GENERAL HOSPITAL IDENTIFIES THE HEALTH CARE NEEDS IN OUR COMMUNITIES IN A LARGE NUMBER OF WAYS. WE RECEIVE FINDINGS AND REPORTS FROM THE MAYOR'S HEALTH TASK FORCE OF LAWRENCE; THE DEPARTMENT OF PUBLIC HEALTH; COMMUNITY NEEDS ASSESSMENT REPORTS ON HEALTH CARE ACCESS DEMOGRAPHIC PROFILE OF ADULTS; HEALTH INDICATORS FOR LAWRENCE, MA; DEMOGRAPHIC INDICATORS; BREAST HEALTH REPORTS ON BREAST CANCER MORTALITY; BEHAVIORAL RISK FACTORS; DEMOGRAPHIC PROFILE OF ADULTS FOR THE REGION; CHRONIC ILLNESS REPORT FOR LAWRENCE, MA; AND DEMOGRAPHIC PROFILE OF ADULTS. WE ALSO UTILIZE THE "THE HEALTH OF THE MERRIMACK VALLEY" REPORT PREPARED BY THE BOSTON UNIVERSITY SCHOOL OF PUBLIC HEALTH. WE ALSO CONDUCT OUR OWN INTERNAL PATIENT SURVEYS AND CONTINUALLY ASSESS THIS INTERVIEW DATA, AS WELL AS DATA AVAILABLE THROUGH SOURCES SUCH AS MASSCHIP, BEHAVIORAL RISK FACTOR SURVEY DATA, QUALITY BENCHMARKING DATA, SPECIAL REPORTS SUCH AS THE DPH REPORTS ON RACIAL AND ETHNIC HEALTH DISPARITIES OR PERIODIC BIRTH STATISTICS AND MARKET DATA. IN ADDITION, WE SOLICIT COMMUNITY INPUT THROUGH MECHANISMS SUCH AS SURVEYS, WEB AND SOCIAL NETWORKING SITE COMMUNICATIONS AND A LARGE NETWORK OF NEARLY 30 COMMUNITY CONTACTS VIA OUR VERY ACTIVITY PATIENT-FAMILY ADVISORY COUNCIL, WHICH LAUNCHED IN SEPTEMBER OF 2010. OTHER MEANS OF FEEDBACK AND INPUT INCLUDE COMMUNITY FOCUS GROUPS, INFORMATION SUPPLIED BY PUBLIC HEALTH PERSONNEL, COMMUNITY SURVEYS, THE COMMUNITY AT LARGE VIA NUMEROUS COMMUNITY PARTNERS, LGH VOLUNTEERS AND TRUSTEES (OVER 200), AND FEEDBACK FROM LGH STAFF IN INTERPRETER SERVICES AND SOCIAL SERVICES AS WELL AS LGH STAFF ACROSS THE ENTIRE HOSPITAL. LAWRENCE GENERAL HOSPITAL'S COMMUNITY PARTNERS OVER THIS PAST FISCAL YEAR INCLUDED:ALLIANCE IMAGINGAMERICAN CANCER SOCIETYAMERICAN HEART ASSOCIATIONAMERICAN RED CROSSBETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC)CARDIOVASCULAR INSTITUTE AT BIDMCCHELMSFORD POLICE DEPARTMENTCHILDREN'S HOSPITAL OF BOSTONCITY OF LAWRENCE COMMONWEALTH HEMATOLOGY AND ONCOLOGY COMMUNITY VIA PRESS GANEY SURVEYSCOMMUNITY VIA NEW LGH WEBSITECOMMUNITY VIA SOCIAL NETWORKINGCOMMUNITY MEDICAL ASSOCIATES (CMA)COMMUNITY VIA SURVEYSCOMMUNITY PARTNERSDIABETES TODAY COALITIONEDGEWOOD RETIREMENT COMMUNITYELDER SERVICES OF THE MERRIMACK VALLEY, INC.FLOATING HOSPITAL FOR CHILDREN AT TUFTS MEDICAL CENTERGREATER LAWRENCE FAMILY HEALTH CENTER (GLFHC)GREATER LAWRENCE FAMILY RESIDENCY GROUNDWORK LAWRENCEHOME HEALTH VNAJACKSON LUMBER WORK HEALTH INITIATIVEKIWANIS CLUB OF LAWRENCELAWRENCE COMMUNITY WORKSLAWRENCE FIRE DEPARTMENTLAWRENCE GENERAL HOSPITAL AUXILIARY LAWRENCE HIGH SCHOOLLAWRENCE ROTARY CLUBLAWRENCE SENIOR CENTERLGH SENIOR MANAGEMENT TEAMLGH PRESIDENT'S CABINETLGH PATIENT FAMILY ADVISORY COUNCIL (PFAC)MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTHMASS GENERAL HOSPITAL (PEDIATRIC CARDIOLOGY)MASSCONECT COLLABORATORSMAYOR'S HEALTH TASK FORCEMEMBERS OF THE HOSPITAL BOARD OF TRUSTEESMERRIMACK COLLEGEMERRIMACK VALLEY CHAMBER OF COMMERCEMERRIMACK VALLEY COMMUNITY DEVELOPMENT COMMITTEEMERRIMACK VALLEY HEALTH SERVICES MERRIMACK VALLEY YMCAMITS ASSOCIATESNOTRE DAME HIGH SCHOOLNORTH ANDOVER PUBLIC SCHOOLSNORTHEAST CENTER FOR HEALTHY COMMUNITIESNORTHEAST REHABILITATIONNEUROCAREPATIENT FAMILY ADVISORY COUNCILPENTUCKET MEDICAL ASSOCIATESTAVAH RETIREMENT COMMUNITYTOBACCO FREE COMMUNITY PARTNERSHIPTUFTS MEDICAL CENTERUNITED WAY OF THE MERRIMACK VALLEYYWCA OF LAWRENCE
PART VI, LINE 3: FOR THOSE PATIENTS WHO ARE UNINSURED OR UNDERINSURED, THE HOSPITAL WILL WORK 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 PATIENTS WITH A GENERAL NOTICE OF THE AVAILABILITY OF PROGRAMS IN BOTH THE INITIAL BILL THAT IS SENT TO PATIENTS AS WELL AS GENERAL NOTICES POSTED THROUGOUT THE HOSPITAL. THE GOAL OF THESE NOTICES IS TO ASSIST PATIENTS IN APPLYING FOR COVERAGE WITHIN A FINANCIAL ASSISTANCE PROGRAM, SUCH AS MASSHEALTH, COMMONWEALTH CARE, CHILDREN'S MEDICAL SECURITY PLAN, HEALTHY START, AND HEALTH SAFETY NET. WHEN APPLICABLE, THE HOSPITAL MAY ALSO ASSIST PATIENTS IN APPLYING FOR COVERAGE OF SERVICES AS A MEDICAL HARDSHIP BASED ON THAT PATIENT'S DOCUMENTED INCOME AND ALLOWABLE MEDICAL EXPENSES. THE HOSPITAL WILL PROVIDE, UPON REQUEST, SPECIFIC INFORMATION ABOUT THE ELIGIBILITY PROCESS TO BE A LOW INCOME PATIENT UNDER EITHER THE MASSACHUSETTS HEALTH SAFETY NET PROGRAM OR ADDITIONAL ASSISTANCE FOR PATIENTS WHO ARE LOW INCOME THROUGH THE HOSPITAL'S OWN FINANCIAL ASSISTANCE PROGRAM. THE HOSPITAL WILL ALSO NOTIFY THE PATIENT ABOUT AVAILABLE PAYMENT PLANS THAT MAY BE AVAILABLE TO THEM BASED ON THEIR FAMILY SIZE AND INCOME. THE HOSPITAL MAKES A REASONABLE EFFORT TO IDENTIFY AVAILABLE COVERAGE OPTIONS FOR PATIENTS WHO MAY BE UNINSURED AND UNDERINSURED WITH THEIR CURRENT INSRUANCE 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 WILL DIRECT ALL PATIENTS SEEKING AVAILABLE COVERAGE OPTIONS, OR THOSE THAT THE HOSPITAL DETERMINES MAY BE ELIGIBLE, TO THE HOSPITAL'S PATIENT FINANCIAL COUNSELING TO SCREEN FOR ELIGILBITY IN AN APPROPRIATE COVERAGE OPTION. THE HOSPITAL WILL THEN ASSIST THE PATIENT IN APPLYING FOR THE APPROPRIATE COVERAGE OPTIONS THAT ARE AVAILABLE OR NOTIFY THEM OF THE AVAILABILTY OF FINANCIAL ASSISTANCE THROUGH THE HOSPITAL'S OWN INTERNAL FINANCIAL ASSISTANCE PROGRAM. THE HOSPITAL WILL ALSO PROVIDE INFORMATION ON HOW TO CONTACT APPROPROPRIATE STAFF WITHIN THE HOSPITAL'S FINANCE OFFICE TO VERIFY THE ACCURACY OF THE HOSPITAL BILL OR TO DISPUTE CERTAIN CHARGES. THE HOSPITAL, PERSUANT TO AN INTERNAL VIEW OF EACH PATIENT'S CASE, MAY OFFER A PATIENT AN ADDITIONAL DISCOUNT ON AN UNPAID BILL AS AUTHORIZED BY THE HOSPITAL'S CHIEF FINANCIAL OFFICER OR HIS/HER DESIGNEE. ANY SUCH REVIEW SHALL BE PART OF AN INTERNAL HOSPITAL FINANCIAL ASSISTANCE PROGRAM THAT IS APPLIED ON AN UNIFORM BASIS TO PATIENTS, AND WHICH TAKES INTO CONSIDERATION THE PATIENT'S FINANCIAL SITUATION AND THE PATIENT'S INABILITY TO MAKE A PAYMENT AFTER REASONABLE COLLECTION EFFORTS. ANY DISCOUNT THAT IS PROVIDED BY THE HOSPITAL IS CONSISTENT WITH FEDERAL AND STATE REQUIREMENTS, AND IS NOT BASED ON AN EFFORT TO INDUCE A PATIENT TO RECEIVE SERVICES FROM THE HOSPITAL OR TO GENERATE BUSINESS THAT IS PAYABLE BY A FEDERAL OR STATE PROGRAM.
PART VI, LINE 4: LAWRENCE GENERAL HOSPITAL IS LOCATED IN LAWRENCE, MASSACHUSETTS, BUT SERVES THE ENTIRE MERRIMACK VALLEY REGION. THE VALLEY IS A BI-STATE REGION ALONG THE MERRIMACK RIVER IN THE STATES OF NEW HAMPSHIRE AND MASSACHUSETTS, WITH LAWRENCE GENERAL SERVING THE SOUTHERN TIP OF THE NH VALLEY, AND ALL OF THE MA VALLEY AREA. THE MERRIMACK RIVER IS ONE OF THE LARGER WATERWAYS IN THE NEW ENGLAND REGION AND HAS HELPED DEFINE THE LIVELIHOOD AND CULTURE OF THOSE LIVING ALONG IT SINCE NATIVE TIMES. MAJOR CITIES IN THE MERRIMACK VALLEY INCLUDE LOWELL, LAWRENCE, HAVERHILL, METHUEN AND NEWBURYPORT IN MASSACHUSETTS. THE MERRIMACK VALLEY WAS A MAJOR CENTER OF THE TEXTILE INDUSTRY IN AMERICA DURING THE 19TH CENTURY.THE MERRIMACK VALLEY CONTAINS A MIXTURE OF 19TH-CENTURY INDUSTRIAL CITIES BUILT TO TAKE ADVANTAGE OF THE RIVER'S WATERPOWER, MODERN SUBURBS (MANY BUILT OVER TOWNS DATING FROM THE 17TH CENTURY), AND SOME RELATIVELY RURAL AREAS. THE WESTERN REGION, INCLUDING GREATER LOWELL AND HAVERHILL/LAWRENCE/METHUEN, IS GENERALLY MORE URBANIZED THAN THE EASTERN REGION. AUTOMOBILE TRAVEL THROUGH THE MASSACHUSETTS SECTION OF THE MERRIMACK VALLEY IS SERVED PRIMARILY BY INTERSTATE 495. FROM LOWELL AND LAWRENCE, U.S. ROUTE 3 AND INTERSTATE 93, RESPECTIVELY, HEAD NORTH ALONG THE VALLEY, JOINING IN MANCHESTER, NEW HAMPSHIRE. LAWRENCE IS LOCATED TWENTY-FIVE MILES NORTH OF BOSTON. LAWRENCE IS A CITY OF IMMIGRANTS AND INDUSTRY. LAWRENCE WAS BUILT IN THE 1840'S AS THE NATION'S FIRST PLANNED INDUSTRIAL CITY. THE MASSIVE MILL BUILDINGS LINING THE MERRIMACK RIVER, THE STRIKING CLOCK AND BELL TOWERS AND THE BREATH-TAKING GREAT STONE DAM ARE ALL A TRIBUTE TO LAWRENCE'S INDUSTRIAL HERITAGE. THE HARNESSED STRENGTH OF THE MERRIMACK RIVER AND ITS SYSTEM OF CANALS FUELED THE LAWRENCE MILLS THAT PRODUCED TEXTILES FOR THE AMERICAN AND EUROPEAN MARKETS. BY THE EARLY TWENTIETH CENTURY, WITH A POPULATION OF NEARLY 95,000, THE CITY WAS ONCE A WORLD LEADER IN THE PRODUCTION OF COTTON AND WOOLEN TEXTILES IN MASSIVE MILLS. KNOWN AS THE "IMMIGRANT CITY", LAWRENCE HAS ALWAYS BEEN A MULTI-ETHNIC AND MULTICULTURAL GATEWAY CITY WITH A HIGH PERCENTAGE OF FOREIGN-BORN RESIDENTS. THE SUCCESSIVE WAVES OF IMMIGRANTS COMING TO LAWRENCE TO WORK IN THE MILLS BEGAN WITH THE IRISH, FOLLOWED BY THE FRENCH CANADIANS, ENGLISHMEN, AND GERMANS IN THE LATE 1800'S. AROUND THE TURN OF THE CENTURY AND EARLY 1900'S, ITALIANS, POLES, LITHUANIANS, AND SYRIANS BEGAN ARRIVING. THE WAVE OF PUERTO RICANS AND DOMINICANS STARTED IN THE MID TO LATE 1900'S, AND THE NEWEST ARRIVALS HAVE ORIGINATED FROM VIETNAM AND CAMBODIA. THE CURRENT POPULATION IS LARGELY HISPANIC AND HAS GIVEN A LATINO SLANT TO THE LOCAL ECONOMY AND CULTURE.TODAY, LAWRENCE REMAINS AN URBAN CENTER WITH A SIGNIFICANT PART OF ITS ECONOMY STILL MANUFACTURING-BASED. DESPITE GLOBAL TRENDS THAT HAVE SEEN MANUFACTURING INDUSTRIES MOVE SOUTH AND OVERSEAS, THE CITY IS STILL A HUB OF TEXTILE, APPAREL AND SHOE COMPANIES SUCH AS MALDEN MILLS, KGR INC., GRIECO BROTHERS, NEW BALANCE AND CARDINAL SHOE. WITH THE AFFORDABLE SPACE AND CLOSE PROXIMITY TO ROUTES 93 AND 495, NEWER COMPANIES IN TECHNOLOGY, HEALTH CARE AND MANUFACTURING SUCH AS NEW ENGLAND AFFILIATED TECHNOLOGY, THE ROBERT ABLE COMPANY AND THE GEM GROUP, HAVE CHOSEN TO LOCATE IN LAWRENCE. WITH ALL THIS SAID, LAWRENCE, MA IS A CITY WITH SIGNIFICANT CHALLENGES. A LARGE NUMBER OF LAWRENCE GENERAL HOSPITAL'S PATIENTS (OVER 50%) ARE LATINOS RESIDING IN LAWRENCE. ONCE A THRIVING CITY AND THE HUB OF THE U.S. TEXTILE INDUSTRY, THE CITY OF LAWRENCE HAS TRULY NEVER RECOVERED FROM THE DEVASTATING ECONOMIC DECLINE IT SUFFERED WHEN THE MILLS BEGAN TO CLOSE IN THE 1960'S. TODAY, THE CITY IS A DENSELY POPULATED, IMPOVERISHED AREA WITH HIGH LEVELS OF UNEMPLOYMENT, HIGH LEVELS OF CRIME, HIGH RATES OF ILLITERACY, DILAPIDATED HOUSING, AND DRUG USE AND ITS RELATED VIOLENCE. SINCE THE EARLY 1970S, LAWRENCE HAS BECOME HOME TO A SIZABLE HISPANIC POPULATION. CURRENTLY, LAWRENCE'S TOTAL POPULATION IS APPROXIMATELY 77,000, OF WHICH APPROXIMATELY ROUGHLY 60% ARE OF LATINO DESCENT, MAINLY FROM THE DOMINICAN REPUBLIC AND PUERTO RICO. JUST OVER ONE QUARTER OF THE HOUSEHOLDS IN LAWRENCE CAN BE CLASSIFIED AS POOR, BASED ON THE FEDERAL POVERTY LEVEL. THE MA DEPARTMENT OF PUBLIC HEALTH HAS IDENTIFIED LAWRENCE PUBLIC SCHOOLS AS HAVING THE HIGHEST STUDENT RATES OF OBESITY IN THE STATE, AT 47%. AS THE PREVALENCE OF OBESITY HAS BEEN LINKED TO THE ECONOMIC HARDSHIP OF A COMMUNITY, THE CITY OF LAWRENCE CONTINUES TO BE AT RISK WITH ITS SOARING RATES OF POVERTY. THESE FINDINGS INDICATE THAT LAWRENCE'S CONSIDERABLE POPULATION OF LOW-INCOME, LATINO CHILDREN ARE MORE LIKELY TO SUFFER FROM OBESITY BECAUSE OF THE MANY BARRIERS TO HEALTHY EATING AND ACTIVE LIVING IN THEIR COMMUNITIES. FOR INSTANCE, URBAN RESIDENTS OFTEN LACK CONSISTENT ACCESS TO HEALTHY FOOD CHOICES AND SAFE PLACES FOR PHYSICAL ACTIVITY IN THEIR NEIGHBORHOODS. ADDITIONALLY, MANY LAWRENCE PUBLIC SCHOOLS HAVE LIMITED SPACE AND NO DESIGNATED GYMNASIUM, AND THEREFORE, NO FORMAL PHYSICAL EDUCATION PROGRAMS FOR THEIR STUDENTS. APPROXIMATELY 40% OF THE PATIENTS THAT LAWRENCE GENERAL TREATS ON AN ANNUAL BASIS ARE ON SOME TYPE OF GOVERNMENT ASSISTANCE PROGRAM OR NEED FINANCIAL ASSISTANCE WITH THEIR MEDICAL COSTS. AS A RESULT, LAWRENCE GENERAL PROVIDED $14,845,000 IN CHARITABLE CARE AND COMMUNITY BENEFITS TO PERSONS WHO WOULD NOT OTHERWISE BE ABLE TO AFFORD QUALITY HEALTHCARE IN FY2012.
PART VI, LINE 5: LAWRENCE GENERAL HOSPITAL ("LGH") HAS A STRONG HISTORY OF ASSISTING CHILDREN AND FAMILIES IN NEED. PROUDLY RECOGNIZED AS THE ONLY NOT-FOR-PROFIT COMMUNITY HOSPITAL SERVING THIS REGION, THE INSTITUTION REMAINS TRUE TO ITS ORIGINAL MISSION. FOR OVER 138 YEARS, LGH HAS CARED FOR AND IMPROVED THE HEALTH STATUS OF THE ENTIRE MERRIMACK VALLEY REGION, PARTICULARLY LAWRENCE, ONE OF THE POOREST CITIES IN MASSACHUSETTS. IN A CITY WITH SO MUCH NEED, LGH HAS BUILT AN IMPRESSIVE TRADITION OF QUALITY AND EXCELLENCE IN HEALTH CARE WHILE CONTINUING ITS COMMITMENT TO PROVIDE CARE TO EVERYONE WHO ENTERS ITS DOORS IN SPITE OF A GROWING UNINSURED POPULATION AND DECLINING REIMBURSEMENTS. IN THE PAST 5 YEARS, LGH HAS INCREASED THE QUALITY OF ITS CARE CAMPUS-WIDE, AND HAS ALSO EXPANDED ITS BREADTH OF ITS SERVICES AVAILABLE LOCALLY, WHILE SIMULTANEOUSLY DELIVERING HIGHLY AFFORDABLE HEALTH CARE TO THE REGION. THIS PAST YEAR, LGH TREATED NEARLY 300,000 INPATIENTS AND OUTPATIENTS. FOR THE MOST PART, LGH SERVES THE "DOWNTOWN" AREA OF LAWRENCE WHICH HAS A HIGH POPULATION OF MINORITIES AND THOSE WITH LOWER INCOMES. AS A RESULT AND AS PREVIOUSLY MENTIONED, LGH PROVIDES MILLIONS OF DOLLARS PER YEAR IN CHARITABLE CARE AND COMMUNITY BENEFITS TO PERSONS WHO WOULD NOT OTHERWISE BE ABLE TO AFFORD QUALITY HEALTHCARE. APPROXIMATEILY 40% OF THE PATIENTS THAT LGH TREATS ON AN ANNUAL BASIS ARE ON SOME TYPE OF GOVERNMENT ASSISTANCE PROGRAM OR NEED FINANCIAL ASSISTANCE WITH THEIR MEDICAL COSTS. LGH IS NOW THE ONLY LOCALLY-CONTROLLED, NOT-FOR-PROFIT HOSPITAL IN THE CENTRAL MERRIMACK VALLEY WITH A BOARD OF TRUSTEES FROM OUR REGION. AS THE LARGEST PRIVATE EMPLOYER IN LAWRENCE, LGH PROVIDES 189 BEDS AND IS STAFFED BY 1,800 EMPLOYEES AND OVER 450 PHYSICIANS REPRESENTING OVER 40 SPECIALTIES. THE HOSPITAL'S CLINICAL STRENGTHS INCLUDE A 24-HOUR EMERGENCY DEPARTMENT AND LEVEL III TRAUMA CENTER; PEDIATRIC CENTER; WOMEN'S HEALTH SERVICES; IMAGING CENTER; CARDIAC SERVICES AND CATH LAB; PRIMARY STROKE SERVICES; SLEEP CENTER; MITS (MINIMALLY INVASIVE THORACIC SURGERY) CLINIC; BIRTHING CENTER; DAY SURGERY CENTER; BARIATRIC CENTER; COMMUNITY CANCER PROGRAM; OUTPATIENT PHYSICAL THERAPY CENTER; AND AN ADVANCED LIFE SUPPORT MOBILE PROGRAM. ALL OF THESE SERVICES CREATE A HEALTH AND SAFETY NET FOR THE CITY OF LAWRENCE. LGH'S SUCCESS IS LINKED TO ITS ABILITY TO COMBINE ITS LONG HISTORY IN IDENTIFYING AND ADDRESSING COMMUNITY NEEDS WITH ITS EXPERTISE IN COMPLETING LARGE, COMPLEX INITIATIVES AND RENOVATION PROJECTS WHICH OFTEN INVOLVE DEVELOPING SOLID COLLABORATIVE PARTNERSHIPS WITH HIGH-QUALITY MEDICAL PROVIDERS. LAWRENCE GENERAL IS RANKED AS HAVING ONE OF THE MOST ADVANCED AND SUCCESSFUL CARDIAC CATH LABS IN THE STATE OF MASSACHUSETTS. LGH HAS A STATE-OF-THE-ART IMAGING CENTER THAT OFFERS A WIDE-RANGE OF SERVICES INCLUDING DIGITAL MAMMOGRAPHY, ULTRASOUND, MRI, AND BONE DENSITOMETRY. WORKING TO ADDRESS THE HEALTH DISPARITY OF LATINA WOMEN IN LAWRENCE IN REGARDS TO BREAST HEALTH CARE, THIS $4.2 MILLION CENTER WAS COMPLETED IN 2010. THIS CENTER HAS SPACE DESIGNATED SPECIFICALLY FOR WOMEN'S SERVICES WITH A FOCUS ON COMPREHENSIVE BREAST HEALTH SERVICES. LGH HAS CONTINUALLY EXPANDED ITS AFFILIATION WITH BETH ISRAEL DEACONESS MEDICAL CENTER. THIS FULL CLINICAL AFFILIATION WAS DEVELOPED TO ENHANCE PROGRAMS AND SERVICES IN THE GREATER MERRIMACK VALLEY, INCREASE LOCAL ACCESS TO ALL SPECIALTIES OF A HARVARD-AFFILIATED TEACHING HOSPITAL, AND IMPROVE THE COORDINATION OF CARE THROUGH AN INTEGRATED ELECTRONIC MEDICAL RECORD SYSTEM. IN THE PAST THREE YEARS, THE HOSPITAL ADDED 11 NEW SPECIALISTS AND/OR SPECIALTY CLINICS TO BETTER SERVE THE MERRIMACK VALLEY REGION. THE HOSPITAL IS ALSO WORKING CLOSER WITH PENTUCKET MEDICAL AND GREATER LAWRENCE FAMILY HEALTH CENTER TO INCREASE THE BREADTH OF SERVICES AVAILABLE LOCALLY, WHILE DECREASING OVERALL HEALTH CARE COSTS. THE HOSPITAL'S EFFORTS TO CONTINUALLY ASSESS OUR PATIENT SERVICES AND HEALTH CARE NEEDS OF THE COMMUNITY RECENTLY LED OUR MEDICAL STAFF TO RECOGNIZE THE NEED FOR PEDIATRIC EXPERTISE BEYOND THE IMMEDIATE COMMUNITY, AND THE IMPORTANCE OF TREATING CHILDREN CLOSE TO HOME. LGH MEDICAL STAFF FOUND THAT OUT-OF-TOWN MEDICAL TREATMENT (OFTEN IN BOSTON'S MAJOR HOSPITALS) WAS PRESENTING A REAL HARDSHIP FOR THE FAMILIES OF YOUNG CHILDREN FROM LAWRENCE AND THE SURROUNDING COMMUNITIES. AS A RESULT, OUR MOST AMBITIOUS ACCOMPLISHMENT TO DATE, IN SERVING THE YOUNG PATIENTS IN OUR AREA, IS OUR RECENT PARTNERSHIP WITH FLOATING HOSPITAL FOR CHILDREN AT TUFTS MEDICAL CENTER. IN AN EFFORT TO EASE THE STRESS AND HARDSHIP OF FAMILIES WITH SICK CHILDREN AND TO PROVIDE THE BEST IN PEDIATRIC CARE, WE NOW HAVE THREE OF THE TOP PEDIATRICIANS FROM BOSTON HERE IN LAWRENCE, 24-HOURS, 7-DAYS A WEEK, 365-DAYS A YEAR IN OUR LGH PEDIATRIC CENTER. THIS PARTNERSHIP ENABLES CHILDREN AT LGH TO BENEFIT DIRECTLY FROM THE EXPERTISE OF HIGHLY-TRAINED PEDIATRIC SPECIALISTS. THEY JOIN OUR ALREADY EXTRAORDINARY AND CARING TEAM OF 20 PEDIATRIC NURSES TO DELIVER A NEW AND EXCITING LEVEL OF PEDIATRIC CARE TO OUR REGION. LAWRENCE GENERAL HAS MANY ENGAGED AND ENTHUSIASTIC PARTNERS IN THE COMMUNITY, AND BY WORKING WITH THE ONES LISTED BELOW (AS WELL AS OTHERS), LAWRENCE GENERAL HOSPITAL IS ABLE TO PROMOTE, FOSTER AND DELIVER IMPROVED HEALTH AND WELLNESS TO THE ENTIRE MERRIMACK VALLEY REGION: ALLIANCE IMAGINGAMERICAN CANCER SOCIETYAMERICAN HEART ASSOCIATIONAMERICAN RED CROSSBETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC)CARDIOVASCULAR INSTITUTE AT BIDMCCHELMSFORD POLICE DEPARTMENTCHILDREN'S HOSPITAL OF BOSTONCITY OF LAWRENCE COMMONWEALTH HEMATOLOGY AND ONCOLOGY COMMUNITY VIA PRESS GANEY SURVEYSCOMMUNITY VIA NEW LGH WEBSITECOMMUNITY VIA SOCIAL NETWORKINGCOMMUNITY MEDICAL ASSOCIATES (CMA)COMMUNITY VIA SURVEYSCOMMUNITY PARTNERSDIABETES TODAY COALITIONEDGEWOOD RETIREMENT COMMUNITYELDER SERVICES OF THE MERRIMACK VALLEY, INC.FLOATING HOSPITAL FOR CHILDREN AT TUFTS MEDICAL CENTERGREATER LAWRENCE FAMILY HEALTH CENTER (GLFHC)GREATER LAWRENCE FAMILY RESIDENCY GROUNDWORK LAWRENCEHOME HEALTH VNAJACKSON LUMBER WORK HEALTH INITIATIVEKIWANIS CLUB OF LAWRENCELAWRENCE COMMUNITY WORKSLAWRENCE FIRE DEPARTMENTLAWRENCE GENERAL HOSPITAL AUXILIARY LAWRENCE HIGH SCHOOLLAWRENCE ROTARY CLUBLAWRENCE SENIOR CENTERLGH SENIOR MANAGEMENT TEAMLGH PRESIDENT'S CABINETLGH PATIENT FAMILY ADVISORY COUNCIL (PFAC)MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTHMASS GENERAL HOSPITAL (PEDIATRIC CARDIOLOGY)MASSCONECT COLLABORATORSMAYOR'S HEALTH TASK FORCEMEMBERS OF THE HOSPITAL BOARD OF TRUSTEESMERRIMACK COLLEGEMERRIMACK VALLEY CHAMBER OF COMMERCEMERRIMACK VALLEY COMMUNITY DEVELOPMENT COMMITTEEMERRIMACK VALLEY HEALTH SERVICES MERRIMACK VALLEY YMCAMITS ASSOCIATESNOTRE DAME HIGH SCHOOLNORTH ANDOVER PUBLIC SCHOOLSNORTHEAST CENTER FOR HEALTHY COMMUNITIESNORTHEAST REHABILITATIONNEUROCAREPATIENT FAMILY ADVISORY COUNCILPENTUCKET MEDICAL ASSOCIATESTAVAH RETIREMENT COMMUNITYTOBACCO FREE COMMUNITY PARTNERSHIPTUFTS MEDICAL CENTERUNITED WAY OF THE MERRIMACK VALLEYYWCA OF LAWRENCE
PART VI, LINE 6: LAWRENCE GENERAL HOSPITAL IS PART OF LAWRENCE GENERAL HOSPITAL AND AFFILIATES. THERE ARE FOUR AFFILIATES WITHIN THIS SYSTEM, INCLUDING:LGH HEALTH ENTERPRISES, INC. THIS ENTITY IS A FOR-PROFIT MANAGEMENT COMPANY LOCATED IN LAWRENCE, MASSACHUSETTS. THIS ENTITY PROVIDES BILLING AND OTHER MANAGEMENT SERVICES FOR LGH PHYSICIAN ASSOCIATES, INC., WHICH IS ANOTHER AFFILIATE OF LAWRENCE GENERAL HOSPITAL. COMMUNITY MEDICAL ASSOCIATES, INC. THIS ENTITY IS A NOT-FOR-PROFIT PRIMARY CARE PHYSICIAN PRACTICE LOCATED IN LAWRENCE, MASSACHUSETTS. LGH PHYSICIAN ASSOCIATES, PC.THIS ENTITY IS A FOR-PROFIT PHYSICIAN GROUP LOCATED IN LAWRENCE, MASSACHUSETTS. THIS ENTITY PROVIDES WOMEN'S HEALTH IMAGING (MAMMOGRAPHY, BONE DENSITOMITRY AND ULTRASOUNDS) TO THE LOCAL COMMUNITY.LGH CHARITABLE TRUST, INC. THIS ENTITY IS A NOT-FOR-PROFIT CHARITABLE FOUNDATION LOCATED IN LAWRENCE, MASSACHUSETTS. THIS ENTITY ACTS ON BEHALF OF THE HOSPITAL FOR ALL FUNDRAISING INITIATIVES.
MAREPORTS FILED WITH STATESPART VI, LINE 7

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DIANNE J ANDERSON
477414076500000502740698540674042000
DEBORAH J WILSON
161705049500000220000113340244539000
DENISE S PALUMBO
25511304500000030000088920339005000
NEIL MEEHAN MD
304541035000000199040178270377272000
PATRICK CURRAN MD
3251360000030000231650351301000
MARIA DIENHART MD
322009000003000073270332336000
NORMAN STEIN MD
30862900000175000131320339261000
JORGE BOTERO MD
2908320000013280176180309778000
GERALD J FOLEY
00001759850173101155540293270000
JOSEPH S MCMANUS
000014455600000144556000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL INFORMATIONIdentifier
Return ReferencePART IIIReturnReference
ExplanationPART I, 4C: DURING THE 2011 CALENDAR YEAR, THE ORGANIZATION MADE A SEVERANCE PAYMENT OF $175,985 TO GERALD FOLEY. DURING THE 2011 CALENDAR YEAR, THE ORGANIZATION MADE A CONSULTING SERVICES PAYMENT OF $144,556 TO JOSEPH MCMANUS. PART II: PAYROLL RECORDS ARE FOR THE 01/01/2011 TO 12/31/2011 CALENDAR YEAR.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
MHEFA SERIES M4-A POOL 4 BONDS
0424560112009-10-0818800000CONSTRUCTION OF EMERGENCY AND IMAGING CENTER000
MHEFA LEASE
0424560112010-08-316300000HIS SYSTEM UPGRADE000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceedsIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
188000003299591847004120100001
630000039230626077020120001

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
00001
00001

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
000000
000000

Schedule L IRS990ScheduleL

Loan Table LoanTable (2 entries)

Purpose Of LoanPurposeOfLoanLoan From OrganizationLoanFromOrganizationOriginal PrincipalOriginalPrincipalAmountBalance DueBalanceDueDefaultDefaultApproved By BoardApprovedByBoardWritten AgreementWrittenAgreement
GERALD FOLEY
SPLIT DOLLAR LIFE INSURANCE POLICYX$1,034,500700829011
DIANNE ANDERSON
SPLIT DOLLAR LIFE INSURANCE POLICYX$140,85064115011
FieldValueIRS element (for citing)
Total Balance Due764944TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
PIERRE H CHAHRAHBAN MD
MEMBER OF THE BOARD OF TRUSTEES62642PHYSICIAN SERVICES0
MATTHEW A CAFFERY ESQ
MEMBER OF THE BOARD OF TRUSTEES7147LEGAL SERVICES0
GLENN NEWSOME MD
MEMBER OF THE BOARD OF TRUSTEES181250PHYSICIAN SERVICES0
EDUARDO HADDAD MD
MEMBER OF THE BOARD OF TRUSTEES24672PHYSICIAN SERVICES0
LUIS E YEPEZ JR
MEMBER OF THE BOARD OF TRUSTEES29458RENT (25 MARSTON STREET)0

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierFORM 990, PART IV, LINE 3:Identifier
ExplanationPAYMENTS OF $181,250 MADE TO GLANN NEWSOME, MD WERE MADE DIRECTLY TO HIS MEDICAL GROUP FOR ICU COVERAGE AND SLEEP CENTER COVERAGE.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11FORM 990 IS PREPARED BY THE ASSISTANT CONTROLLER OF THE HOSPITAL AND REVIEWED BY THE CONTROLLER AND CFO. THE HOSPITAL'S EXTERNAL ACCOUNTANT ALSO REVIEWS THE FORM 990. ONCE FORM 990 IS COMPLETED, THE FORM AND ALL ITS ACCOMPANYING SCHEDULES ARE MADE AVAILABLE TO THE HOSPITAL'S BOARD OF TRUSTEES VIA A SECURE INTERNET PORTAL FOR REVIEW. THE CONTROLLER AND CFO ARE MADE AVAILABLE TO FACILITATE THE REVIEW AND ANSWER ANY QUESTIONS REGARDING THE FORM THE TRUSTEES MAY HAVE,
FORM 990, PART VI, SECTION B, LINE 12CON AN ANNUAL BASIS, THE HOSPITAL DISTRIBUTES A CONFLICT OF INTEREST POLICY TO THE BOARD OF TRUSTEES. THE TRUSTEES ARE REQUIRED TO DISCLOSE IN WRITING, ANY POTENTIAL CONFLICT THAT THEY ARE AWARE OF.
FORM 990, PART VI, SECTION B, LINE 15THE CEO'S ANNUAL COMPENSATION IS REVIEWED AND APPROVED BY A COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. THE COMPENSATION FOR THE CFO, COO, AND SENIOR MANAGEMENT ARE DETERMINED BY THE CEO AND REVIEWED BY THE BOARD OF TRUSTEES. INDEPENDENT SURVEYS ARE ALSO PEFORMED TO DETERMINE SALARY REASONABLENESS.
FORM 990, PART VI, SECTION C, LINE 18THE HOSPITAL MAKES ALL DOCUMENTS INCLUDING FORM 990 AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19THE HOSPITAL MAKES ALL DOCUMENTS INCLUDING COPIES OF ITS BY-LAWS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST.
FORM 990, PART VIII, LINE 11A:ON DECEMBER 20, 2011, CMS APPROVED A THREE-YEAR MASSACHUSETTS MEDICAID WAIVER EXTENSION FOR THE PERIOD OF JULY 1, 2011 THROUGH JUNE 30, 2014 THAT INCLUDED DELIVERY SYSTEM TRANSFORMATION INITIATIVE ("DSTI") POTENTIAL FUNDING OF $14,433,000 ANNUALLY FOR LGH FOR EACH YEAR OF THE WAIVER. THE DSTI FUNDING IS DESIGNED AS INCENTIVE PAYMENTS TO SUPPORT INITIATIVES THAT FURTHER INVESTS IN HEALTHCARE DELIVERY SYSTEMS. THE AMOUNT IS REFLECTED AS OTHER OPERATING REVENUE IN OUR FINANCIAL STATEMENTS AND FORM 990.
FORM 990 PART IX LINE 24(F)CHEMICAL REAGANTS (PROGRAM EXPENSES) = $2,163,544 CARDIAC CATH LAB SUPPLIES (PROGRAM EXPENSES) = $2,053,922 FOOD (PROGRAM EXPENSES) = $1,374,062 OTHER (PROGRAM EXPENSES) = $9,612,286 TOTAL PROGRAM EXPENSES = $15,203,814 OTHER (MANAGEMENT EXPENSES) = $4,287,404 TOTAL MANAGEMENT EXPENSES = $4,287,404 OTHER (FUNDRAISING EXPENSES) = $42,476 TOTAL OTHER MANAGEMENT EXPENSES = $42,476
FORM 990, PART XI, LINE 5:NET UNREALIZED GAINS ON INVESTMENTS: 1,283,000. NET ASSET TRANSFER TO COMMUNITY MEDICAL ASSOCIATES, INC. -475,000. CONTRIBUTIONS -765,000. CHANGE IN VALUE OF NET ASSETS HELD BY LGH CHARITABLE TRUST 1,668,000. INCREASE IN TEMPORARILY RESTRICTED NET ASSETS 754,995. OTHER -902. TOTAL TO FORM 990, PART XI, LINE 5: 2,465,093.CHANGES IN NET ASSETS OR FUND BALANCES:
SCHEDULE L, PART IIAMOUNTS DUE FROM CURRENT AND FORMER OFFICERS PERTAIN TO SPLIT DOLLAR LIFE INSURANCE POLICIES OF THE RESPECTED INDIVIDUALS. THESE POLICIES WERE ORIGINATED AT VARIOUS TIMES DURING THE INSURED'S EMPLOYMENT WITH LAWRENCE GENERAL HOSPITAL. THE CORRESPONDING POLICY PREMIUMS WERE FUNDED BY THE EMPLOYER AS AN EMPLOYEE BENEFIT. IN ACCORDANCE WITH IRS NOTICE 2002-8, TREASURY REGULATION 1.61-22 AND TREASURY REGULATION 1.7872-15, THESE PAYMENTS REQUIRE CLASSIFICATION AS LOANS DUE FROM THE INSURED. THESE LOAN BALANCES ARE REFLECTED ON THE BALANCE SHEET AND SCHEDULE L AT THE NET PRESENT VALUE OF PREMIUMS PAID. THE ACTUAL BALANCE DUE IS THE LOWER OF THE DISCOUNTED CASH SURRENDER VALUE OR DISCOUNTED CUMULATIVE PREMIUMS PAID, WHICH TOTALED $700,829 AND $64,115 FOR GERALD FOLEY AND DIANNE ANDERSON, RESPECTIVELY AT SEPTEMBER 30, 2012. THE ABOVE AMOUNTS RECEIVABLE FROM CURRENT AND FORMER OFFICERS REPRESENTS SPLIT DOLLAR POLICY AGREEMENT LOANS BETWEEN THE ORGANIZATION AND THE INDIVIDUALS. THESE AGREEMENTS WERE PUT IN PLACE AT VARIOUS TIMES DURING THE EMPLOYEE'S EMPLOYMENT IN THE ORGANIZATION. THE MATURITY AND REPAYMENT OF THE LOANS WILL BE AT THE INDIVIDUALS MORTALITY WITH THE PROCEEDS FROM A LIFE INSURANCE POLICY. THE ORGANIZATION UTILIZED THE AFR INTEREST RATES AND THE LOANS ARE SECURED BY THE ASSIGNMENT OF THE LIFE INSURANCE BENEFIT ON THE INDIVIDUAL POLICY. THE LOANS ARE VALUED AT THE LOWER OF THE DISCOUNTED CASH SURRENDER VALUE OR DISCOUNTED CUMULATIVE PREMIUMS PAID OF THE INDIVIDUAL'S POLICY. THESE AMOUNTS WERE REPORTED AS OTHER ASSETS IN PRIOR 990'S.LOANS TO INTERESTED PERSONS

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
LGH CHARITABLE TRUST INC
1 GENERAL STREETLAWRENCEMA01841222586814FUND RAISINGMA501 (C)(3)YESLAWRENCE GENERAL HOSPITAL0
COMMUNITY MEDICAL ASSOCIATES INC
I GENERAL STREETLAWRENCEMA01841272142635PRIMARY CAREMA501 (C)(3)YESLAWRENCE GENERAL HOSPITAL0

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityPercentage OwnershipPercentageOwnership
LGH HEALTH ENTERPRISES INC
38 PROSPECT STREETLAWRENCEMA01842042869696HEALTH CARE MANAGEMENTMALAWRENCE GENERAL HOSPITALC1.00000
LGH PHYSICIAN ASSOCIATES PC
38 PROSPECT STREETLAWRENCEMA01842043174041HEALTH CARE MANAGEMENTMALAWRENCE GENERAL HOSPITALC1.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
LGH HEALTH ENTERPRISES INC
N311378REVIEW OF RECORDS
LGH HEALTH ENTERPRISES INC
O1105990REVIEW OF RECORDS
COMMUNITY MEDICAL ASSOCIATES INC
B475000REVIEW OF RECORDS
LGH CHARITABLE TRUST INC
N366956REVIEW OF RECORDS