2012-08-10T13:17:57-05:00 2011-09-30 FEELEY & DRISCOLL PC 200 PORTLAND STREET BOSTON MA 02114 990 2010-10-01 042103586 LAWRENCE GENERAL HOSPITAL LAWR 9786834000 1 GENERAL STREET LAWRENCE MA 018412961 DEBORAH J WILSON 9786834000 2012-08-08 1 JEFFREY T ROGERS 6177427788 2012-08-01 2010 2016-02-24 21:20:13Z DIANNE J ANDERSON 1 GENERAL STREET LAWRENCE MA 01841 195582430 0 X WWW.LAWRENCEGENERAL.ORG X 1875 MA ACUTE CARE HOSPITAL COMMUNITY HOSPITAL PROVIDING INPATIENT AND OUTPATIENT HEALTH SERVICES TO THE GENERAL PUBLIC 22 15 1664 300 1685082 0 9890 7280 173383583 184707000 392627 656000 4215387 4868505 178001487 190238785 0 0 0 0 103027821 108957433 0 0 327541 72585035 76520344 175612856 185477777 2388631 4761008 125251603 138435698 45128306 41796220 80123297 96639478 X TO 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 0 0 77807965 101736326 INPATIENT 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 46,966 PATIENT DAYS OF INPATIENT SERVICES WITH 12,722 DISCHARGES DURING FY2011. 63455991 82970674 OUTPATIENT HEALTHCARE SERVICES - PROVIDING OUTPATIENT SERVICES CONSISTENT WITH OUR CORE VALUES BY PROVIDING ACCESS TO COMPREHENSIVE, HIGH QUALITY, COMPASSIONATE AND EFFICIENT HEALTHCARE SERVICES. DURING FY2011, LAWRENCE GENERAL HOSPITAL HAD 221,568 OUTPATIENT VISITS. 4868505 OTHER PROGRAM SERVICE REVENUE PRIMARILY RELATES TO INCOME FROM WORK HEALTH DEPARTMENT, GRANT PROCEEDS AND CAFETERIA RECEIPTS. 4868505 141263956 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 1 0 1 1 1 0 0 0 0 0 1 1 1 1 0 1 148 0 1 1664 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 22 15 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 MA X FELIX MERCADO 9786834000 ONE GENERAL STREET LAWRENCE MA 01841 RICHARD J SANTAGATI 1.00 X 0 0 0 MICHAEL W MORRIS SR ESQ 1.00 X 0 0 0 DIANNE J ANDERSON 40.00 X X 425939 0 61458 RONALD J POLLINA 1.00 X 0 0 0 DEBORAH J WILSON 40.00 X X 0 0 0 DENISE S PALUMBO 40.00 X X 0 0 0 MATTHEW A CAFFREY ESQ 1.00 X 0 0 0 PIERRE H CHAHRABAN 1.00 X 0 0 0 DENNIS A CONLIN 1.00 X 0 0 0 THOMAS L FAZIO MD 1.00 X 0 0 0 NAOMI GARDNER 1.00 X 0 0 0 EDUARDO HADDAD MD 1.00 X 0 0 0 THOMAS JONES 1.00 X 0 0 0 LAWRENCE KIDD MD 1.00 X 0 0 0 ALAN L LEBOVIDGE 1.00 X 0 0 0 PATRICIA MCGOVERN 1.00 X 0 0 0 ROBIN NEILL 1.00 X 0 0 0 PETER QUINLAN 1.00 X 0 0 0 BELISARIO ROSAS 1.00 X 0 0 0 DEBRA RAHMAN SILBERSTEIN ESQ 1.00 X 0 0 0 JAMES SHANNON 1.00 X 0 0 0 LUIS E YEPEZ JR 1.00 X 0 0 0 EDWARD L DUDLEY 40.00 X 329316 0 24123 IRVING DANESH MD 28.00 X 287898 0 26129 NEIL MEEHAN MD 40.00 X 345799 0 25243 MARIA DIENHART MD 28.00 X 359219 0 16639 PATRICK CURRAN MD 40.00 X 316127 0 5957 JOHN W LUCAS MD 32.00 X 285444 0 13486 GERALD J FOLEY 0.00 X 353879 0 131097 JOSEPH S MCMANUS 0.00 X 144556 0 0 2848177 0 304132 201 1 1 0 CARDINAL HEALTH 21377 NETWORK PLACE CHICAGO IL 60612 PHARMACY SERVICES 7348878 GREATER LAWRENCE FAMILY HEALTH CENTER 34 HAVERHILL STREET LAWRENCE MA 01841 HOSPITAL SERVICES 3411290 ANESTHETIX OF TEAM HEALTH 7111 FAIRWAY DRIVE SUITE 202 PALM BEACH FL 33418 ANESTHESIA SERVICES 2555004 MAYO COLLABORATIVE PO BOX 9146 MINNEAPOLIS MN 55402 LAB SERVICES 1299661 ARAMARK PO BOX 651009 CHARLOTTE NC 28265 FOOD SERVICES 889519 53 7280 7280 NET PATIENT REVENUE 621110 183021918 183021918 NET PATIENT REVENUE 621500 1685082 1685082 184707000 311000 311000 67386 67386 67386 67386 5688645 5343645 345000 345000 345000 MVHS (MRI SERVISES) 621110 797549 797549 WORK HEALTH (TRAVEL & 621110 590784 590784 LAB TEST 621110 266097 266097 3146689 3146689 4801119 190238785 188235423 1685082 311000 1041626 1041626 88999807 73166804 15620601 212402 1185685 963476 219412 2797 11612122 9435899 2148831 27392 6118193 4971585 1132176 14432 157232 56292 100940 120000 120000 76211 76211 304351 304351 1618602 311795 1268943 37864 1167110 1167110 2965274 2965274 222845 141112 81390 343 157635 157635 5541741 14424 5527317 1758476 1758476 CONTRACTED SERVICES 17482839 13443155 4036669 3015 BAD DEBT WRITE-OFFS 10638011 10638011 PHARMACEUTICALS 6600924 6489792 111132 PHYSICIAN CONTRACT FEES 3570186 2677949 892237 REPAIRS AND MAINTENANCE 2774317 2422584 351733 21364590 16373443 4961851 29296 185477777 141263956 43886280 327541 19594321 16230664 3743009 14065721 19837727 22760109 424598 595233 2107955 2192383 3003728 2861037 109980160 61236622 42270117 48743538 13184804 13024313 21085344 17962700 125251603 138435698 9326955 11080297 18929567 17257210 16871784 13458713 45128306 41796220 X 75589048 79392340 3434249 16147138 1100000 1100000 80123297 96639478 125251603 138435698 X 4761008 11755173 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 76211 0 0 76211 0 EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: REPRESENTS (A)24.6 % OF MASSACHUSETTS HOSPITAL ASSOCIATION (MHA) ANNUAL FEE DEEMED TO BE USED FOR LOBBYING EXPENDITURES ($27,636) AND (B) % OF CONSULTANT EXPENSES DEEMED TO BE USED FOR LOBBYING EXPENDITURES ($48,575) IN FY2011. 1592877 1592877 68538469 43557381 24981088 30932705 17679241 13253464 8916109 8916109 48743538 OTHER ASSETS 1481569 FUNDS HELD BY TRUSTEE 2371618 INTEREST IN NET ASSETS OF CHARITABLE TRUST 11760473 DEFERRED FINANCING COST, NET 473885 OTHER RECEIVABLES 1751668 DUE FROM AFFILIATES 123487 17962700 ACCRUED SALARIES AND WAGES 7075431 ESTIMATED SETTLEMENTS WITH THIRD PARTY PAYORS 2289113 OTHER LONG-TERM LIABILITIES 3992361 DUE TO AFFILIATES 101808 13458713 190238785 185477777 4761008 -603999 12359172 11755173 16516181 190238785 0 190238785 0 190238785 185477777 0 185477777 0 185477777 PART XI, LINE 8 - OTHER ADJUSTMENTS: NET ASSET TRANSFER TO COMMUNITY MEDICAL ASSOCIATES, INC. -830,000. CONTRIBUTIONS RELATED TO EHR PROJECT -412,000. CHANGE IN VALUE OF NET ASSETS HELD BY LGH CHARITABLE TRUST 668,000. INCREASE IN TEMPORARILY RESTRICTED NET ASSETS 12,711,000. CAPITAL GRANT 228,000. OTHER -5,828. 1 1 1 X 1 X 1 1 0 1 1 6045362 4986944 1058418 0.00570 25332476 20132366 5200110 0.02800 1068830 976619 92211 0.00050 32446668 26095929 6350739 0.03420 1108383 0 1108383 0.00600 3049834 1332159 1717675 0.00930 95655 95655 0.00050 4253872 1332159 2921713 0.01580 36700540 27428088 9272452 0.05000 1 4332190 62226516 59356821 2869695 X 1 1 1 1 LAWRENCE GENERAL HOSPITAL

1 GENERAL STREET LAWRENCE MA 01841

X X X X LAWRENCE GENERAL HOSPITAL 1 1 1 200.000000000000 1 1 X X X X X X 1 1 X X X X X 1 1 X X X 1 X 0 1 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. LAWRENCE GENERAL HOSPITAL 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. PART VI, QUESTION 7: THE HOSPITAL FILES A COMMUNITY BENEFIT REPORT WITH THE STATE OF MASSACHUSETTS ONLY. 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 EUGENE DECLERCQ, PHD, 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 THE DEVELOPMENT OF THE HOSPITAL'S FIRST 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 175), AND FEEDBACK FROM LGH STAFF IN INTERPRETER SERVICES AND SOCIAL SERVICES. LAWRENCE GENERAL HOSPITAL'S COMMUNITY PARTNERS THIS PAST YEAR INCLUDED:ALLIANCE IMAGINGAMERICAN CANCER SOCIETY REGIONAL OFFICEAMERICAN RED CROSSBETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC)CARDIOVASCULAR INSTITUTE AT BIDMCCHELMSFORD POLICE DEPARTMENTCITY OF LAWRENCECOMMONWEALTH HEMATOLOGY AND ONCOLOGYCOMMUNITY VIA PRESS GANEY SURVEYSCOMMUNITY VIA NEW LGH WEBSITECOMMUNITY VIA SOCIAL NETWORKINGCOMMUNITY MEDICAL ASSOCIATES (CMA)COMMUNITY VIA SURVEYSDIABETES TODAY COALITIONEDGEWOOD RETIREMENT COMMUNITYELDER SERVICES OF THE MERRIMACK VALLEY, INC.FLOATING HOSPITAL FOR CHILDREN AT TUFTS MEDICAL CENTERMAYOR'S HEALTH TASK FORCEGREATER LAWRENCE FAMILY HEALTH CENTER (GLFHC)GREATER LAWRENCE FAMILY RESIDENCYGROUNDWORK LAWRENCEHOME HEALTH VNAJACKSON LUMBER WORK HEALTH INITIATIVELAWRENCE COMMUNITY WORKSLAWRENCE FIRE DEPARTMENTLAWRENCE GENERAL HOSPITAL AUXILIARYLAWRENCE HIGH SCHOOLLAWRENCE SENIOR CENTERLGH OPERATIONS COUNCIL MEMBERSLGH PATIENT FAMILY ADVISORY COUNCIL (PFAC)MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTHMASS GENERAL HOSPITAL (PEDIATRIC CARDIOLOGY)MASSCONNECT COLLABORATORSMAYOR'S HEALTH TASK FORCEMEMBERS OF THE HOSPITAL BOARD OF TRUSTEESMERRIMACK COLLEGEMERRIMACK VALLEY COMMUNITY DEVELOPMENT COMMITTEEMERRIMACK VALLEY HEALTH SERVICES/ALLIANCE IMAGINGMERRIMACK VALLEY YMCAMITS ASSOCIATESNOTRE DAME HIGH SCHOOLNORTH ANDOVER PUBLIC SCHOOLSNORTHEAST CENTER FOR HEALTHY COMMUNITIESPATIENT FAMILY ADVISORY COUNCILTAVAH 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, UNITED STATES, 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 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 OF ROUGHLY 77,000 IS LARGELY HISPANIC AND HAS GIVEN A LATINO SLANT TO THE LOCAL ECONOMY AND CULTURE.TODAY, LAWRENCE REMAINS AN URBAN CENTER WITH APPROXIMATEILY 35% 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'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 (15.9% IN SEPTEMBER 2011 PER THE U.S. BUREAU OF LABOR STATISTICS), 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 77,000, OF WHICH APPROXIMATELY 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. 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 LGH TREATS ON AN ANNUAL BASIS ARE ON SOME TYPE OF GOVERNMENT ASSISTANCE PROGRAM OR NEED FINANCIAL ASSISTANCE WITH THEIR MEDICAL COSTS. AS A RESULT, LGH PROVIDES OVER $13,700,000 PER YEAR IN CHARITABLE CARE AND COMMUNITY BENEFITS TO PERSONS WHO WOULD NOT OTHERWISE BE ABLE TO AFFORD QUALITY HEALTHCARE. PART VI, LINE 6: 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 137 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 3 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. 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 OVER $13,700,000 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 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 1,600 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; WOMENS 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; COMMUNITY CANCER PROGRAM; OUTPATIENT PHYSICAL THERAPY; 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 WOMENS 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 2011, 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 MOST 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 BOSTONS 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 NEW 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 SOCIETY REGIONAL OFFICEAMERICAN RED CROSSBETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC)CARDIOVASCULAR INSTITUTE AT BIDMCCHELMSFORD POLICE DEPARTMENTCITY OF LAWRENCECOMMONWEALTH HEMATOLOGY AND ONCOLOGYCOMMUNITY VIA PRESS GANEY SURVEYSCOMMUNITY VIA NEW LGH WEBSITECOMMUNITY VIA SOCIAL NETWORKINGCOMMUNITY MEDICAL ASSOCIATES (CMA)COMMUNITY VIA SURVEYSDIABETES TODAY COALITIONEDGEWOOD RETIREMENT COMMUNITYELDER SERVICES OF THE MERRIMACK VALLEY, INC.FLOATING HOSPITAL FOR CHILDREN AT TUFTS MEDICAL CENTERMAYOR'S HEALTH TASK FORCEGREATER LAWRENCE FAMILY HEALTH CENTER (GLFHC)GREATER LAWRENCE FAMILY RESIDENCYGROUNDWORK LAWRENCEHOME HEALTH VNAJACKSON LUMBER WORK HEALTH INITIATIVELAWRENCE COMMUNITY WORKSLAWRENCE FIRE DEPARTMENTLAWRENCE GENERAL HOSPITAL AUXILIARYLAWRENCE HIGH SCHOOLLAWRENCE SENIOR CENTERLGH OPERATIONS COUNCIL MEMBERSLGH PATIENT FAMILY ADVISORY COUNCIL (PFAC)MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTHMASS GENERAL HOSPITAL (PEDIATRIC CARDIOLOGY)MASSCONNECT COLLABORATORSMAYOR'S HEALTH TASK FORCEMEMBERS OF THE HOSPITAL BOARD OF TRUSTEESMERRIMACK COLLEGEMERRIMACK VALLEY COMMUNITY DEVELOPMENT COMMITTEEMERRIMACK VALLEY HEALTH SERVICES/ALLIANCE IMAGINGMERRIMACK VALLEY YMCAMITS ASSOCIATESNOTRE DAME HIGH SCHOOLNORTH ANDOVER PUBLIC SCHOOLSNORTHEAST CENTER FOR HEALTHY COMMUNITIESPATIENT FAMILY ADVISORY COUNCILTAVAH RETIREMENT COMMUNITYTOBACCO FREE COMMUNITY PARTNERSHIPTUFTS MEDICAL CENTERUNITED WAY OF THE MERRIMACK VALLEYYWCA OF LAWRENCE PART VI, LINE 7: 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. REPORTS FILED WITH STATES PART VI, LINE 7 MA X X X 1 1 0 0 0 0 0 0 0 DIANNE J ANDERSON 425939 0 0 0 0 0 0 0 61458 0 487397 0 0 0 EDWARD L DUDLEY 329316 0 0 0 0 0 1000 0 23123 0 353439 0 0 0 IRVING DANESH MD 287898 0 0 0 0 0 1850 0 24279 0 314027 0 0 0 NEIL MEEHAN MD 345799 0 0 0 0 0 2029 0 23214 0 371042 0 0 0 MARIA DIENHART MD 359219 0 0 0 0 0 3000 0 13639 0 375858 0 0 0 PATRICK CURRAN MD 316127 0 0 0 0 0 3000 0 2957 0 322084 0 0 0 JOHN W LUCAS MD 285444 0 0 0 0 0 3000 0 10486 0 298930 0 0 0 GERALD J FOLEY 0 0 0 0 353879 0 3000 0 128097 0 484976 0 0 0 JOSEPH S MCMANUS 0 0 0 0 144556 0 0 0 0 0 144556 0 0 0 SUPPLEMENTAL INFORMATION PART III PART II PAYROLL RECORDS ARE FOR THE 1/1/2010 TO 12/31/2010 CALENDAR YEAR. PART I, Q 4C: DURING THE 2010 CALENDAR YEAR, THE ORGANIZATION MADE THE FOLLOWING SEVERANCE PAYMENTS: GERALD FOLEY: $353,879 JOSEPH S. MCMANUS: $144,556 MHEFA SERIES M4-A POOL 4 BONDS 042456011 2009-10-08 18800000 CONSTRUCTION OF EMERGENCY AND IMAGING CENTER 0 0 0 MHEFA LEASE 042456011 2010-08-31 6300000 HIS SYSTEM UPGRADE 0 0 0 18800000 329959 18470041 2010 0 0 0 1 6300000 2165102 39230 4095668 2012 0 0 0 1 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 GERALD FOLEY SPLIT DOLLAR LIFE INSURANCE POLICY X 1034500 551559 0 1 1 DIANNE ANDERSON SPLIT DOLLAR LIFE INSURANCE POLICY X 89250 43674 0 1 1 595233 PETER QUINLAN MEMBER OF THE BOARD OF TRUSTEES 86000 INSURANCE AGENCY FEE 0 MATTHEW A CAFFERY ESQ MEMBER OF THE BOARD OF TRUSTEES 12888 LEGAL SERVICES 0 MICHAEL W MORRIS SR ESQ MEMBER OF THE BOARD OF TRUSTEES 60055 LEGAL SERVICES 0 EDUARDO HADDAD MD MEMBER OF THE BOARD OF TRUSTEES 25542 CONSULTATION 0 FORM 990, PART VI, SECTION B, LINE 11 FORM 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 12C ON 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 15 THE CEO'S ANNUAL COMPENSATION IS REVIEWED AND APPROVED BY 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 18 THE HOSPITAL MAKES ALL DOCUMENTS INCLUDING FORM 990 AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE 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 IX LINE 24(F) CHEMICAL REAGANTS (PROGRAM EXPENSES) = $2,293,087 SURGICAL SUPPLIES (PROGRAM EXPENSES) = $1,441,327 PROTHESES (PROGRAM EXPENSES) = $948,239 OTHER (PROGRAM EXPENSES) = $11,690,790 TOTAL PROGRAM EXPENSES = $16,373,443 FOOD (MANAGEMENT EXPENSES) = $589,510 LOAN FEES (MANAGEMENT EXPENSES) = $332,158 OTHER (MANAGEMENT EXPENSES) = $4,040,183 TOTAL MANAGEMENT EXPENSES = $4,961,851 OTHER (FUNDRAISING EXPENSES) = $29,296 TOTAL OTHER MANAGEMENT EXPENSES = $29,296 CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -603,999. NET ASSET TRANSFER TO COMMUNITY MEDICAL ASSOCIATES, INC. -830,000. CONTRIBUTIONS RELATED TO EHR PROJECT -412,000. CHANGE IN VALUE OF NET ASSETS HELD BY LGH CHARITABLE TRUST 668,000. INCREASE IN TEMPORARILY RESTRICTED NET ASSETS 12,711,000. CAPITAL GRANT 228,000. OTHER -5,828. TOTAL TO FORM 990, PART XI, LINE 5: 11,755,173. LOANS TO INTERESTED PERSONS SCHEDULE L, PART II AMOUNTS 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 $934,500 AND $18,484 FOR GERALD FOLEY AND DIANNE ANDERSON, RESPECTIVELY AT SEPTEMBER 30, 2010. 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. LGH CHARITABLE TRUST INC 1 GENERAL STREET LAWRENCE MA 01841 222586814 FUND RAISING MA 501 (C)(3) YES LAWRENCE GENERAL HOSPITAL 0 COMMUNITY MEDICAL ASSOCIATES INC I GENERAL STREET LAWRENCE MA 01841 272142635 PRIMARY CARE MA 501 (C)(3) YES LAWRENCE GENERAL HOSPITAL 0 LGH HEALTH ENTERPRISES INC 38 PROSPECT STREET LAWRENCE MA 01841 042869696 HEALTH CARE MANAGEMENT MA LAWRENCE GENERAL HOSPITAL C 1.00000 LGH PHYSICIAN ASSOCIATES PC 38 PROSPECT STREET LAWRENCE MA 01841 043174041 HEALTH CARE MANAGEMENT MA LAWRENCE GENERAL HOSPITAL C 1.00000 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 LGH HEALTH ENTERPRISES N 304116 REVIEW OF RECORDS LGH HEALTH ENTERPRISES O 1182153 REVIEW OF RECORDS COMMUNITY MEDICAL ASSOCIATES INC N 325893 REVIEW OF RECORDS COMMUNITY MEDICAL ASSOCIATES INC O 503908 REVIEW OF RECORDS