LAWRENCE GENERAL HOSPITAL: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: LAWRENCE GENERAL HOSPITAL (EIN 04-2103586)
Tax period: 2021-10-01 to 2022-09-30
Filed: 2023-08-01
IRS object ID: 202302139349300415
Schema version: 2021v4.2
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule C
Schedule D
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-08-01T09:04:32-05:00	ReturnTs
Tax Period End	2022-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BDO USA PA	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	ONE INTERNATIONAL PLACE	AddressLine1Txt
City	BOSTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02110	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	042103586	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Lawrence General Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% WILLIAM SULLIVAN SR VP/CFO	InCareOfNm
Business Name Control	LAWR	BusinessNameControlTxt
Phone	9786834000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1 General Street	AddressLine1Txt
City	Lawrence	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	018412961	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	William Sullivan	PersonNm
Person Title	SR. VP/CFO	PersonTitleTxt
Phone	9786834000	PhoneNum
Signature	2023-07-24	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	William	PersonFirstNm
Person Last	Sullivan	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Brian Vigneault	PreparerPersonNm
PTIN	P00540650	PTIN
Phone	6174220700	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	William Sullivan	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1 General Street	AddressLine1Txt
City	Lawrence	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	018412961	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$315,419,520	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.lawrencegeneral.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1875	FormationYr
Legal Domicile State	MA	LegalDomicileStateCd
Activity Or Mission	ACUTE CARE COMMUNITY HOSPITAL PROVIDING INPATIENT AND OUTPATIENT HEALTH SERVICES TO THE GENERAL PUBLIC.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	2414	TotalEmployeeCnt
Total Volunteers	351	TotalVolunteersCnt
Total Gross UBI	$1,169,863	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$7,321,122	PYContributionsGrantsAmt
CY Contributions Grants	$4,572,107	CYContributionsGrantsAmt
PY Program Service Revenue	$282,884,810	PYProgramServiceRevenueAmt
CY Program Service Revenue	$289,252,437	CYProgramServiceRevenueAmt
PY Investment Income	$1,897,235	PYInvestmentIncomeAmt
CY Investment Income	$134,191	CYInvestmentIncomeAmt
PY Other Revenue	$25,424,879	PYOtherRevenueAmt
CY Other Revenue	$21,311,435	CYOtherRevenueAmt
PY Total Revenue	$317,528,046	PYTotalRevenueAmt
CY Total Revenue	$315,270,170	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$164,891,734	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$162,442,629	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$412,622	CYTotalFundraisingExpenseAmt
PY Other Expenses	$161,456,547	PYOtherExpensesAmt
CY Other Expenses	$162,078,199	CYOtherExpensesAmt
PY Total Expenses	$326,348,281	PYTotalExpensesAmt
CY Total Expenses	$324,520,828	CYTotalExpensesAmt
PY Revenues Less Expenses	-$8,820,235	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$9,250,658	CYRevenuesLessExpensesAmt
Total Assets BOY	$303,928,617	TotalAssetsBOYAmt
Total Assets EOY	$273,391,280	TotalAssetsEOYAmt
Total Liabilities BOY	$231,094,010	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$227,499,017	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$72,834,607	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$45,892,263	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO OPERATE AND MAINTAIN AN 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 SERVICES FOR AREA RESIDENTS REGARDLESS OF ABILITY TO PAY. ASSURE THE ONGOING PROCESS OF CONTINUOUSLY IMPROVING PATIENT CARE QUALITY.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$125,707,157	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$165,683,064	RevenueAmt
Desc	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 186 BED HOSPITAL THAT PROVIDED 46,135 PATIENT DAYS OF INPATIENT SERVICES WITH 10,543 DISCHARGES DURING FY 2022.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$93,754,632	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$122,399,511	RevenueAmt
Desc	OUTPATIENT HEALTHCARE SERVICES - PROVIDING OUTPATIENT SERVICES CONSISTENT WITH OUR CORE VALUES BY PROVIDING ACCESS TO COMPREHENSIVE, HIGH QUALITY, COMPASSIONATE, AND EFFICIENT HEALTHCARE SERVICES. DURING FY 2022, LAWRENCE GENERAL HOSPITAL HAD 351,088 OUTPATIENT VISITS.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$16,169,425	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$0	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$21,311,434	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$235,631,214	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (true)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	Yes (true)	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (true)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	212	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2414	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	Yes (true)	LocalChaptersInd
Policies Reference Chapters	Yes (true)	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	MA	StatesWhereCopyOfReturnIsFldCd
Other Website	Yes (X)	OtherWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	WILLIAM SULLIVAN SR VPCFO	PersonNm
Phone	9786834000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1 GENERAL STREET	AddressLine1Txt
City	LAWRENCE	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	01841	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Deborah J Wilson
PRESIDENT & CEO (End 5/23)	50.0	1.0	Yes (X)	Yes (X)	$866,633	$0	$44,845
SUNIT MUKHERJEE
CHIEF CARDIO & AMBULATORY MED.	40.0	0.0			$806,612	$0	$38,461	Yes (X)
JASON D REID MD
PHYSICIAN (ORTHO TRAUMA)	40.0	0.0			$534,921	$0	$45,807	Yes (X)
JOHN J BRADY MD
PHYSICIAN	40.0	0.0			$475,669	$0	$20,923	Yes (X)
GEORGE KONDYLIS MD
CHIEF MEDICAL OFFICER	40.0	0.0			$440,429	$0	$50,898	Yes (X)
KAREN MOORE
SR VP OPS/CHIEF NURSING OFCR	40.0	0.0			$433,199	$0	$34,839	Yes (X)
Felix Mercado
CFO/CORP ASST TREAS (END 5/21)	50.0	1.0			$346,076	$0	$29,723		Yes (X)
Michael S Turilli
CFO/CORP ASST TREAS (END 5/22)	50.0	1.0		Yes (X)	$311,840	$0	$29,640
Cynthia Phelan
CORP ASST SEC/VP HR (END 4/21)	50.0	1.0			$309,283	$0	$23,285		Yes (X)
Eduardo Haddad MD
TRUSTEE	1.0	1.0	Yes (X)		$312,000	$0	$0
LISA CRUTCHFIELD
CORP ASST SEC/CHRO HR(BEG 5/21	50.0	1.0		Yes (X)	$227,216	$0	$20,141
DIANNE J ANDERSON
FORMER PRES & CEO (END 10/19)	50.0	1.0			$219,919	$0	$6,564		Yes (X)
Michael Mancuso
CHAIRMAN (BEG 12/21)	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
Laurel Sweeney
Treasurer	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
Mark Johnson
Secretary/Clerk	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
ROBERT GILBERT ESQ
CHAIRMAN (END 12/21)	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
Rosemarie Day
TRUSTEE	1.0	1.0	Yes (X)		$0	$0	$0
Lane Glenn
TRUSTEE	1.0	1.0	Yes (X)		$0	$0	$0
Glenn Newsome
TRUSTEE (BEG 7/22)	1.0	1.0	Yes (X)		$0	$0	$0
Marianne Paley Nadel
TRUSTEE	1.0	1.0	Yes (X)		$0	$0	$0
Carol Powers
TRUSTEE	1.0	1.0	Yes (X)		$0	$0	$0
Shalimar Quiles
TRUSTEE	1.0	1.0	Yes (X)		$0	$0	$0
NORMAN ROGERS
TRUSTEE (END 12/21)	1.0	1.0	Yes (X)		$0	$0	$0
Richard Santagati
TRUSTEE	1.0	1.0	Yes (X)		$0	$0	$0
Joyce Shannon
TRUSTEE (BEG 7/22)	1.0	1.0	Yes (X)		$0	$0	$0
William Wall
TRUSTEE	1.0	1.0	Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,283,797	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$345,126	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	347	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
North American Partners in Anesthes
1305 Walt Whitman Road Suite 300	MELVILLE	NY	11747	Anesthesia Services	$5,548,412
Andover 323 MP RKS LLC
800 West Madision Street Suite 400	CHICAGO	IL	60607	Prop. Rental Svcs.	$4,395,953
The Chartis Group LLC
Department 5925	CAROL STREAM	IL	601225925	Consulting Services	$4,236,985
Greater Lawrence Family Health Ctr
1 Griffin Brook Drive	METHUEN	MA	01844	TERN & RESI. SRVCS	$3,950,000
Medicus Hospitalists LLC
22 Roulston Road	WINDHAM	NH	03087	Hospitalist Services	$2,869,032

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	83	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Government Grants	$4,572,107	GovernmentGrantsAmt
Total Contributions	$4,572,107	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE	621110	$288,082,574	$288,082,574
NET PATIENT REVENUE (LAB RECEIPTS)	621500	$1,169,863		$1,169,863

Field	Value	IRS element (for citing)
Total Program Service Revenue	$289,252,437	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$148,144	TotalRevenueColumnAmt
Exclusion	$148,144	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$135,397	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$149,350	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$13,953	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$13,953	TotalRevenueColumnAmt
Exclusion	-$13,953	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
WAIVER/DSTI RECEIPTS	621110	$9,462,750	$9,462,750
DSRIP	621110	$1,223,608	$1,223,608
MEALS	621110	$458,385	$458,385

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,166,692	TotalRevenueColumnAmt
Related Or Exempt Func Income	$10,166,692	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$21,311,435	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$315,270,170	TotalRevenueColumnAmt
Related Or Exempt Func Income	$309,394,009	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,169,863	UnrelatedBusinessRevenueAmt
Exclusion	$134,191	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,776,210	TotalAmt
Management And General	$1,776,210	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$136,954,060	TotalAmt
Program Services	$112,835,922	ProgramServicesAmt
Management And General	$23,767,880	ManagementAndGeneralAmt
Fundraising	$350,258	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,669,235	TotalAmt
Program Services	$1,378,853	ProgramServicesAmt
Management And General	$286,102	ManagementAndGeneralAmt
Fundraising	$4,280	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$11,769,195	TotalAmt
Program Services	$9,721,811	ProgramServicesAmt
Management And General	$2,017,206	ManagementAndGeneralAmt
Fundraising	$30,178	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$10,273,929	TotalAmt
Program Services	$8,486,664	ProgramServicesAmt
Management And General	$1,760,921	ManagementAndGeneralAmt
Fundraising	$26,344	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$43,247,803	TotalAmt
Program Services	$21,862,095	ProgramServicesAmt
Management And General	$21,385,708	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$739,193	TotalAmt
Management And General	$739,193	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$385,000	TotalAmt
Management And General	$385,000	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$102,579	TotalAmt
Management And General	$102,579	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$270,741	TotalAmt
Management And General	$270,741	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$840,705	TotalAmt
Program Services	$555,603	ProgramServicesAmt
Management And General	$284,440	ManagementAndGeneralAmt
Fundraising	$662	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$4,146,244	TotalAmt
Program Services	$151,724	ProgramServicesAmt
Management And General	$3,994,520	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$9,823,882	TotalAmt
Program Services	$5,873,479	ProgramServicesAmt
Management And General	$3,950,403	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$23,494	TotalAmt
Program Services	$2,015	ProgramServicesAmt
Management And General	$21,479	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$875	TotalAmt
Program Services	$750	ProgramServicesAmt
Management And General	$125	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,797,690	TotalAmt
Management And General	$3,797,690	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$12,717,771	TotalAmt
Management And General	$12,717,771	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,392,635	TotalAmt
Management And General	$2,392,635	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
SUPPLIES AND EQUIPMENT	$32,582,351	$32,562,923	$19,428
MISCELLANEOUS EXPENSES	$51,007,236	$42,199,375	$8,806,961	$900

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$324,520,828	TotalAmt
Program Services	$235,631,214	ProgramServicesAmt
Management And General	$88,476,992	ManagementAndGeneralAmt
Fundraising	$412,622	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$21,291,323	BOYAmt
EOY	$25,461,700	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$36,918,723	BOYAmt
EOY	$34,932,208	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$6,835,000	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$9,926,222	BOYAmt
EOY	$9,918,089	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,754,221	BOYAmt
EOY	$1,771,418	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$264,127,999	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$169,087,221	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$102,318,705	BOYAmt
EOY	$95,040,778	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$2,726,540	BOYAmt
EOY	$2,335,657	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$122,157,883	BOYAmt
EOY	$103,931,430	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$303,928,617	BOYAmt
EOY	$273,391,280	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$35,149,664	BOYAmt
EOY	$57,222,500	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$15,364,102	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$73,049,883	BOYAmt
EOY	$71,678,472	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$122,894,463	BOYAmt
EOY	$83,233,943	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$231,094,010	BOYAmt
EOY	$227,499,017	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$71,734,607	BOYAmt
EOY	$44,792,263	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,100,000	BOYAmt
EOY	$1,100,000	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$72,834,607	BOYAmt
EOY	$45,892,263	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$303,928,617	BOYAmt
EOY	$273,391,280	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$9,250,658	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$471,806	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$17,219,880	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$102,579	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$102,579	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind
Form4720 Filed4912 Tax	false	Form4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1F, LOBBYING ACTIVITIES:	FormAndLineReferenceDesc
Explanation	REPRESENTS (A) 14.15% OF MASSACHUSETTS HOSPITAL ASSOCIATION ("MHA") & AMERICAN HOSPITAL ASSOCIATION ("AHA") ANNUAL DUES/FEES THAT IS DEEMED TO BE USED FOR LOBBYING EXPENDITURES ($26,529); AND (C) CONSULTANT EXPENSES DEEMED TO BE USED FOR LOBBYING EXPENDITURES ($76,050) IN FY2022.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
Incl Escrow Custodial Acct Liab	false	InclEscrowCustodialAcctLiabInd

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,100,000	BeginningYearBalanceAmt
End Year Balance	$1,100,000	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,100,000	BeginningYearBalanceAmt
End Year Balance	$1,100,000	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,100,000	BeginningYearBalanceAmt
End Year Balance	$1,100,000	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,100,000	BeginningYearBalanceAmt
End Year Balance	$1,100,000	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,100,000	BeginningYearBalanceAmt
End Year Balance	$1,100,000	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,272,025	OtherCostOrOtherBasisAmt
Book Value	$2,272,025	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$111,892,935	OtherCostOrOtherBasisAmt
Depreciation	$74,031,780	DepreciationAmt
Book Value	$37,861,155	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$22,522,762	OtherCostOrOtherBasisAmt
Depreciation	$7,529,786	DepreciationAmt
Book Value	$14,992,976	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$124,119,845	OtherCostOrOtherBasisAmt
Depreciation	$85,438,911	DepreciationAmt
Book Value	$38,680,934	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,320,432	OtherCostOrOtherBasisAmt
Depreciation	$2,086,744	DepreciationAmt
Book Value	$1,233,688	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$95,040,778	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (9 entries)

DescDesc	Book ValueBookValueAmt
RIGHTS OF USED ASSETS - OP LEA	$50,970,704
INTEREST LGH CHARITABLE TRUST	$15,908,033
FUNDS HELD BY TRUSTEE	$11,066,430
DUE FROM AFFILIATES	$7,720,671
OTHER RECEIVABLES	$6,845,444
OTHER ASSETS	$6,803,248
EST. SETTLEMENTS W/THIRD PARTY	$3,428,450
TEMPORARILY RESTRICTED CASH	$1,180,000
BOARD DESIGNATED CASH	$8,450

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$103,931,430	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
OPERATING LEASES	$53,295,743
REFUNDABLE ADVANCES	$18,879,963
OTHER LONG-TERM LIABILITIES	$5,437,811
EST. SETTLEMENTS W/THIRD PARTY	$5,348,554
DUE TO AFFILIATES	$271,872

Field	Value	IRS element (for citing)
Total Liability	$83,233,943	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE D, PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	LAWRENCE GENERAL HOSPITAL IS A NONPROFIT ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE ORGANIZATION ANNUALLY EVALUATES ITS TAX STATUS AND TAX POSITIONS TAKEN WITH RESPECT TO ITS OPERATIONS AND FINANCIALS POSITION. UNDER ASC 740, AN ORGANIZATION MUST RECOGNIZE THE FINANCIAL STATEMENT EFFECTS OF A TAX POSITION TAKEN FOR TAX RETURN PURPOSES WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL NOT BE SUSTAINED UPON EXAMINATION BY A TAXING AUTHORITY. THE ORGANIZATION DOES NOT BELIEVE IT HAS TAKEN ANY MATERIAL UNCERTAIN TAX POSITIONS, AND, ACCORDINGLY, IT HAS NOT RECORDED ANY LIABILITY FOR UNRECOGNIZED TAX BENEFITS.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	300.	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	0	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,533,470	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,136,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,397,470	NetCommunityBenefitExpnsAmt
Total Expense	0.02390	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$36,352,873	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$35,089,339	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,263,534	NetCommunityBenefitExpnsAmt
Total Expense	0.00410	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$57,916,676	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$47,931,784	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,984,892	NetCommunityBenefitExpnsAmt
Total Expense	0.03220	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$104,803,019	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$86,157,123	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,645,896	NetCommunityBenefitExpnsAmt
Total Expense	0.06020	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,911,467	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$69,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,842,467	NetCommunityBenefitExpnsAmt
Total Expense	0.00570	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,950,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,506,771	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,443,229	NetCommunityBenefitExpnsAmt
Total Expense	0.00750	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	-$956,815	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	-$956,815	NetCommunityBenefitExpnsAmt
Total Expense	0.00310	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,904,652	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,575,771	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,328,881	NetCommunityBenefitExpnsAmt
Total Expense	0.01010	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$109,707,671	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$87,732,894	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,974,777	NetCommunityBenefitExpnsAmt
Total Expense	0.07030	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$16,943,734	BadDebtExpenseAmt
Reimbursed By Medicare	$62,110,971	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$67,918,813	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$5,807,842	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LAWRENCE GENERAL HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1 GENERAL STREET	AddressLine1Txt
City	LAWRENCE	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	01841	ZIPCd

Field	Value	IRS element (for citing)
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Lawrence General Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	www.lawrencegeneral.org	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	false	StrategyPostedWebsiteInd
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	0.	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE SCHEDULE H, PART V, SEC C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE SCHEDULE H, PART V, SEC C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE SCHEDULE H, PART V, SEC	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare	Yes (X)	LookBackMedicareInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	Yes (true)	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B, LINE 5	IN 2022 THE HOSPITAL PARTNERED WITH THE GREATER LAWRENCE FAMILY HEALTH CENTER TO UPDATE ITS CHNA (FOR TAX YEAR 2021) AND AGAIN USED A PARTICIPATORY, COLLABORATIVE APPROACH TO LOOK AT HEALTH IN ITS BROADEST CONTEXT. THE ASSESSMENT PROCESS INCLUDED: SYNTHESIZING EXISTING DATA ON SOCIAL, ECONOMIC, & HEALTH INDICATORS IN THE REGION; ADMINISTERING A PUBLIC SURVEY COMPLETED BY 750 RESPONSES FROM RESIDENTS IN THE COMMUNITIES OF LAWRENCE, METHUEN, ANDOVER, NORTH ANDOVER, AND HAVERHILL. CONDUCTING 25 KEY STAKEHOLDER INTERVIEWS, 4 FOCUS GROUPS AND 3 COMMUNITY LISTENING SESSIONS (TWO IN ENGLISH, ONE IN SPANISH). TO IDENTIFY THE PERCEIVED HEALTH NEEDS, CHALLENGES TO ACCESSING SERVICES, CURRENT STRENGTHS AND ASSETS, AND OPPORTUNITIES FOR ACTION IN THE COMMUNITY. THE CNHA PROCESS WAS GUIDED BY THE COMMUNITY BENEFIT ADVISORY COMMITTEE OF 44 COMMUNITY PROVIDER STAKEHOLDERS. THIS CHNA ENGAGED OVER 1000 PEOPLE FROM ACROSS THE GREATER LAWRENCE REGION. IN CONDUCTING ITS MOST RECENT CHNA, THE HOSPITAL INCLUDED MEMBERS FROM THE COMMUNITY WHO HAVE EXTENSIVE EXPERIENCE IN MATTERS OF PUBLIC HEALTH. THIS INCLUDED LOCAL PUBLIC HEALTH OFFICIALS, CLINICAL AND SOCIAL SERVICE PROVIDERS, OTHER COMMUNITY-BASED ORGANIZATIONS, GOVERNMENT OFFICIALS, AND COMMUNITY RESIDENTS.
PART V, SECTION B, LINE 11	THE HOSPITAL IS STILL IN THE PROCESS OF ADDRESSING ALL THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA.
PART V, SECTION B, LINE 16A	HTTPS://WWW.LAWRENCEGENERAL.ORG/GETMEDIA/0B32C276-6207-4D33-8D11-BB7D060E7 978/FINANCIAL-ASSISTANCE-POLICY_ENGLISH.PDF HTTPS://WWW.LAWRENCEGENERAL.ORG/GETMEDIA/CD17E685-3AEB-46E9-863C-B4B20F282 F7E/FINANCIAL-ASSISTANCE-POLICY_SPANISH.PDF
PART V, SECTION B, LINE 16B	HTTPS://WWW.LAWRENCEGENERAL.ORG/GETMEDIA/F27C5764-EC09-471C-9881-00DDB51FA 227/SELF-PAY-DISCOUNT_ENGLISH.PDF HTTPS://WWW.LAWRENCEGENERAL.ORG/GETMEDIA/D5A72D8F-3A41-4E6A-AA84-C0B3A48E4 76B/SELF-PAY-DISCOUNT_SPANISH.PDF
PART V, SECTION B, LINE 16C	HTTPS://WWW.LAWRENCEGENERAL.ORG/GETMEDIA/D4299C26-36DE-47DD-B63F-1EC99F623 97F/PLAIN-LANGUAGE-FINANCIAL-ASSISTANCE_ENGLISH.PDF HTTPS://WWW.LAWRENCEGENERAL.ORG/GETMEDIA/83E19E4A-E24E-4A7C-BEAB-09741893C E47/PLAIN-LANGUAGE-FINANCIAL-ASSISTANCE_SPANISH.PDF
PART V, SECTION B, LINE 24	THE HOSPITAL CHARGES SELF-PAY PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE AN AMOUNT EQUAL TO THE GROSS CHARGE AMOUNT.

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 6A:	THE HOSPITAL FILES A REPORT EACH AND EVERY TAX YEAR WITH THE ATTORNEY GENERAL. THIS REPORT IS PUBLICALLY AVAILABLE.
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 III, SECTION A, LINE 2:	AMOUNT REPRESENTS BAD DEBT EXPENSE PER THE AUDITED FINANCIAL STATEMENTS. BAD DEBT EXPENSE IS THE SUM OF (A) ACTUAL BAD DEBT WRITE-OFFS DURING THE YEAR (B) LESS RECOVERIES MADE DURING THE YEAR AND (C) ADJUSTMENTS FOR ALLOWANCES MADE AT FISCAL YEAR-END.
PART III, SECTION A, 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 RECEIVABLES.
PART III, SECTION B, LINE 8:	THE HOSPITAL'S OPERATIONS IN ITS FISCAL YEAR 2022 WERE SIGNIFICANTLY AND NEGATIVELY IMPACTED BY THE COVID 19 PANDEMIC. WHILE THE HOSPITAL PROVIDED A SIGNIFICANT LEVEL OF INPATIENT AND EMERGENCY CARE TO PATIENTS STRICKEN BY THE DISEASE, IT REALIZED A SUBSTANTIAL LOSS FROM OPERATIONS DUE TO THE SUSPENSION OF ELECTIVE/NON - EMERGENT CARE AND A COLLATERAL LOSS OF OUTPATIENT REVENUE DUE TO DECLINES IN VOLUME IN AREAS SUCH AS PHYSICAL AND OCCUPATIONAL THERAPY, ENDOSCOPY AND IMAGING. IN TOTAL, THE HOSPITAL INCURRED A LOSS OF MORE THAN $5 MILLION IN PROVIDING CARE TO MEDICARE PATIENTS AND AN ESTIMATED LOSS OF APPROXIMATELY $1.3 MILLION PROVIDING CARE TO MEDICAID PATIENTS COVERED BY THE COMMONWEALTH OF MASSACHUSETTS FEE FOR SERVICE MASSHEALTH PLAN. HOSPITAL LOSSES FOR MEDICAID MEMBERS COVERED UNDER MASSHEALTH'S MANAGED CARE PLANS TOTALLED APPROXIMATELY $10 MILLION. THE LOSSES DESCRIBED ABOVE DO NOT REFLECT AMOUNTS RECEIVED FROM THE COMMONWEALTH OF MASSACHUSETTS TO SUPPORT OVERALL HOSPITAL OPERATIONS DUE TO LOST REVENUES AND ADDITIONAL EXPENSES EXPERIENCED AS A RESULT OF THE COVID PANDEMIC. THESE ADDITIONAL AMOUNTS INCLUDE FUNDING PROVIDED THROUGH THE COMMONWEALTH'S PARTICIPATION IN THE AMERICAN RESCUE PLAN ACT ("ARPA"). SUCH ARPA FUNDING COVERED DISRUPTION IN THE HOSPITAL'S OVERALL OPERATIONS AND NOT SOLELY LOSSES ASSOCIATED WITH THE PROVISION OF SERVICES TO PATIENTS WHOSE HEALTH INSURANCE COVERAGE IS PROVIDED UNDER TITLE XIX OF THE SOCIAL SECURITY ACT. THE HOSPITAL NOTES THE FOLLOWING SPECIFIC ITEMS OF COMMUNITY BENEFIT INCLUDED IN THIS LOSS: OF THE CLAIMED REIMBURSEMENT FOR MEDICARE BAD DEBTS ON THE AS - FILED FY 2022 COST REPORT, APPROXIMATELY $1.59 MILLION ARE ASSOCIATED WITH UNPAID COINSURANCE AND DEDUCTIBLES FOR SERVICES PROVIDED TO PATIENTS WHO ARE DUALLY ELIGIBLE FOR MEDICARE AND MEDICAID. OF THIS AMOUNT, APPROXIMATELY $555,000 WILL NOT BE REIMBURSED OWING TO THE STATUTORY THIRTY - FIVE PERCENT (35%) MANDATED BY THE BALANCED BUDGET ACT OF 1997. EFFECTIVELY THIS REPRESENTS A HOSPITAL SUBSIDY OF SERVICES PROVIDED TO PATIENTS WHOSE INSURANCE COVERAGE IS PARTLY THE RESPONSIBILITY OF TITLE XIX. GIVEN THE HIGH NUMBER OF DUAL ELIGIBLE PATIENTS WHO RECEIVE CARE AT LAWRENCE GENERAL HOSPITAL, VARIOUS ELEMENTS OF THE FEDERAL GOVERNMENT'S BUDGET ACTIONS AND CMS'S PAYMENT POLICIES FOR MEDICARE HAVE A DISPROPORTIONATE IMPACT ON THIS ORGANIZATION. HISTORICALLY THE MEDICARE PROGRAM RECOGNIZED THE ADDITIONAL COSTS ASSOCIATED WITH TREATING SUCH PATIENTS THROUGH THE DISPROPRORTIONATE SHARE HOSPITAL (DSH) ADJUSTMENT TO INPATIENT MS-DRG PAYMENTS. HOWEVER, CHANGES MANDATED BY VARIOUS PROVISIONS OF THE AFFORDABLE CARE ACT AND THE HEALTH CARE AND EDUCATION RECONCILIATION ACT OF 2010 RESULTED IN REDUCTIONS IN REIMBURSEMENT FOR HOSPITALS IN STATES WHICH EXPANDED MEDICAID ELIGIBILITY AND BENEFITED HOSPITALS IN STATES WHICH DID NOT. IN THE HOSPITAL'S FY 2022 IT IS ESTIMATED THAT THESE CHANGES RESULTED IN A REIMBURSEMENT LOSS OF APPROXIMATELY $5 MILLION FROM PRE-2014 LEVELS.
PART III, SECTION B, LINE 6:	THE HOSPITAL USES THE SAME COST FINDING METHOD EMPLOYED IN THE MEDICARE COST REPORT, WHICH IS A BLEND OF RATIO OF COSTS TO CHARGES ('RCC') AND PER DIEM METHODOLOGIES.
PART III, SECTION C, LINE 9B:	SECTION V OF THE ORGANIZATION'S CREDIT AND COLLECTION POLICY OUTLINES THE COLLECTION PRACTICES OF THE ORGANIZATION.
PART VI, LINE 2 - Needs Assessment:	LAWRENCE GENERAL HOSPITAL IDENTIFIES THE HEALTH CARE NEEDS IN OUR COMMUNITIES USING A NUMBER OF SOURCES, COMMUNITY AGENCIES, AND PARTNERS. WE USE FINDINGS AND REPORTS FROM THE MAYOR'S HEALTH TASK FORCE OF LAWRENCE, WHICH IS COMPRISED OF 100 PLUS LOCAL COMMUNITY & SOCIAL SERVICE AGENCIES; 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; AND CHRONIC ILLNESS REPORT FOR LAWRENCE, MA. IN ADDITION, WE CONDUCT INTERNAL PATIENT SURVEYS AND CONTINUALLY ASSESS THIS DATA, AS WELL AS DATA AVAILABLE THROUGH SOURCES SUCH AS MASSCHIP, BEHAVIORAL RISK FACTOR SURVEY DATA, QUALITY BENCHMARKING DATA, DPH REPORTS ON RACIAL AND ETHNIC HEALTH DISPARITIES OR PERIODIC BIRTH STATISTICS AND MARKET DATA. WE ALSO SOLICIT COMMUNITY INPUT THROUGH COMMUNITY SURVEYS, WEB AND SOCIAL NETWORKING SITE COMMUNICATIONS AND A LARGE NETWORK OF NEARLY 30 COMMUNITY CONTACTS VIA OUR VERY ACTIVE PATIENT-FAMILY ADVISORY COUNCIL. OTHER MEANS OF FEEDBACK AND INPUT INCLUDE COMMUNITY FOCUS GROUPS, INFORMATION SUPPLIED BY PUBLIC HEALTH PERSONNEL, LGH VOLUNTEERS AND TRUSTEES, AND FEEDBACK FROM LGH STAFF. COMMUNITY HEALTH NEEDS ASSESSMENT TO VERIFY THAT LAWRENCE GENERAL IS ACHIEVING ITS MISSION AND MEETING THE NEEDS OF THE COMMUNITY, THE HOSPITAL PARTNERED WITH THE GREATER LAWRENCE FAMILY HEALTH CENTER TO COMPLETE A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN THE SPRING AND SUMMER OF 2022 (TAX YEAR 2021). THE LAWRENCE GENERAL HOSPITAL CHNA FOCUSED ON THE LARGEST COMMUNITIES WITHIN THE GREATER LAWRENCE AREA INCLUDING LAWRENCE, METHUEN, HAVERHILL, ANDOVER AND NORTH ANDOVER. THE CHNA EFFORT ENGAGED NEARLY 1000 PEOPLE FROM ACROSS THE GREATER LAWRENCE REGION. LGH AND GLFHC ENGAGED JOHN SNOW, INC. (JSI), A NON-PROFIT PUBLIC HEALTH CONSULTANCY ORGANIZATION, TO CONDUCT THE 2022 CHNA. THE CHNA INCLUDED REVIEWING EXISTING SOCIAL, ECONOMIC, AND HEALTH DATA OF THE MERRIMACK VALLEY REGION AS WELL AS CONDUCTING A PUBLIC SURVEY AND IN DEPTH DISCUSSIONS WITH PROVIDERS, COMMUNITY-BASED ORGANIZATIONAL LEADERS, AND RESIDENTS TO IDENTIFY THE PERCEIVED HEALTH NEEDS OF THE COMMUNITY, CHALLENGES TO ACCESS SERVICES, THE CURRENT STRENGTHS AND ASSETS, AND OPPORTUNITIES FOR ACTION. THE CHNA USED A PARTICIPATORY, COLLABORATIVE APPROACH TO LOOK AT HEALTH IN ITS BROADEST CONTEXT. THE ASSESSMENT PROCESS INCLUDED: SYNTHESIZING EXISTING DATA ON SOCIAL, ECONOMIC, AND HEALTH INDICATORS IN THE REGION; ADMINISTERING A PUBLIC SURVEY COMPLETED BY 750 RESPONENTS; AND CONDUCTING 4 FOCUS GROUPS, 3 COMMUNITY LISTENING SESSIONSAND 25 KEY STAKEHOLDER INTERVIEWS TO IDENTIFY THE PERCEIVED HEALTH NEEDS, CHALLENGES TO ACCESSING SERVICES, CURRENT STRENGTHS AND ASSETS, AND OPPORTUNITIES FOR IMPROVEMENT IN THE COMMUNITY. THE LAWRENCE GENERAL CHNA INCORPORATES DATA ON IMPORTANT SOCIAL, ECONOMIC, AND HEALTH INDICATORS PULLED FROM VARIOUS SOURCES, INCLUDING THE UNITED STATES CENSUS BUREAU AMERICAN COMMUNITY SURVEY 5-YEAR (2016-2020), THE UNITED STATES DEPARTMENT OF AGRICULTURE ECONOMIC RESEARCH SERVICE DATASET (2019), TAX ASSESSOR (ATTOM) PROPERTY TAX RATE DATASET (2021), EPA SMART LOCATION DATABASE (2019), HOUSING AND URBAN DEVELOPMENT COMPREHENSIVE HOUSING AFFORDABILITY STRATEGY DATA (2014-2018), EVICTION LAB DATA (2016), CENTERS FOR DISEASE CONTROL BRFSS PLACES (2019) AND LIFE EXPECTANCY DATA (2010-2015), HRSA PRIMARY CARE SERVICE AREA DATA (2010). PRIORITY HEALTH ISSUES THAT EMERGED FROM THE CHNA PROCESS AND WERE PRIORITIZED BY THE CBAC ARE LISTED BELOW: . SOCIAL DETERMINANTS OF HEALTH . BEHAVIORAL HEALTH . ACCESS TO CARE . CHRONIC AND COMPLEX CONDITIONS AND THEIR RISK FACTORS . SYSTEMIC AND ORGANIZATION RACISM (IMPACTING ALL ABOVE DOMAINS) DEMOGRAPHIC AND ECONOMIC DISPARITIES PERSIST IN THE REGION AND SOCIAL DETERMINANTS OF HEALTH DISPROPORTIONALY BURDEN LOWER-INCOME COMMUNITIES OF COLOR. ANDOVER AND NORTH ANDOVER HAVE REMAINED AFFLUENT WHILE COMMUNITIES SUCH AS LAWRENCE, METHUEN AND HAVERHILL CONTINUE TO EXPERIENCE LOWER MEDIAN INCOMES AND HIGHER RATES OF POVERTY AND UNEMPLOYMENT. SOCIAL DETERMINANTS SUCH AS THE LACK OF AFFORDABLE HOUSING, TRANSPORTATION, HEALTHY FOOD, CHILDCARE OPTIONS, HIGH RATES OF COMMUNITY AND DOMESTIC VIOLENCE, AND LOW RATES OF EDUCATIONAL ATTAINMENT ARE ALL LINKED TO RESIDENTS' ABILITY TO ACCESS AND MAINTAIN HIGHER-PAYING JOBS WITH BENEFITS AND ENJOY ECONOMIC SECURITY. AND LOW HEALTH LITERACY RELATED TO LOWER EDUCATIONAL ATTAINMENT ALL HAVE A NEGATIVE IMPACT ON OVERALL RESIDENT HEALTH. CHNA PARTICIPANTS NOTED AN INCREASED AWARENESS THAT RACSIM AND DISCRIMINATION ARE ALSO POWERFUL SOCIAL DETERMINANTS OF HEALTH, EXACERBATING THOSE ALREADY LISTED ABOVE, AND HOW THIS DISPROPORTIONATELY IMPACTS THE HEALTH AND WELLNESS OF RESIDENTS OF COLOR. BEHAVIORAL HEALTH CONTINUES TO BE A TOP CONCERN. BEHAVIORAL HEALTH CHALLENGES SUCH AS ANXIETY, DEPRESSION, AND SUICIDAL IDEATION HAVE INCREASED OVERALL, BUT ESPECIALLY AMONG YOUTH, EXACERBATED BY TRAUMA AS THE RESULT OF EXPOSURE TO VIOLENCE, ADVERSE CHILDHOOD EXPERIENCES, AND POVERTY. SUBSTANCE USE DISORDER, PARTICULARLY OPIOID AND ALCOHOL ABUSE, ALSO CONTINUE TO BE TOP CONCERNS. SURVEY RESPONDENTS ALSO NOTED THE NEED FOR MORE CRISIS OUTREACH AND BETTER CARE COORDINATION AND TRANSITIONS BETWEEN BEHAVIORAL HEALTH CARE SETTINGS SUCH AS THE EMERGENCY DEPARTMENT, INPATIENT FACILITIES, AND COMMUNITY PROVIDERS. ACCESS TO CARE CONTINUES TO BE A CONCERN ALONGSIDE NEW CONCERNS FOR HEALTHCARE SYSTEM CAPACITY IN THE WAKE OF THE COVID-19 PANDEMIC. WHILE THE COST OF CARE AND LACK OF INSURANCE CONTINUE TO PRESENT BARRIERS TO THOSE SEEKING HEALTHCARE, RESPONDENTS SHARED NEW BARRIERS TO ACCESS INCLUDING MISTRUST OF HEALTHCARE SYSTEMS AND PROVIDERS (ESPECIALLY AMONG PATIENTS OF COLOR), ONGOING LINGUISTIC AND CULTURAL BARRIERS, AND DIFFICULTY NAVIGATING THE HEALTHCARE SYSTEM ITSELF. ADDITIONALLY, RESPONDENTS IDENTIFIED NEW CONCERNS AROUND THE CAPACITY OF THE HEALTHCARE SYSTEM ITSELF IN THE WAKE OF HEALTHCARE WORKERS LEAVING THE PROFESSION AND HEALTHCARE FACILITIES STRUGGLING TO FILL VACANCIES, LEADING TO LONGER WAIT TIMES AND LACK OF CAPACITY TO TAKE ON NEW PATIENTS. CHRONIC AND COMPLEX CONDITIONS AND THEIR RISK FACTORS CONTINUE TO BE A CONCERN FOR RESIDENTS, WITH NEW CONCERNS ABOUT INFECTIOUS DISEASES HIGH RATES OF OBESITY, LIMITED OPPORTUNITIES FOR PHYSICAL EXERCISE, LOW ACCESS TO HEALTHY FOODS, AND BARRIERS NOTED ABOVE THAT KEEP LOWER-INCOME RESIDENTS FROM OBTAINING TIMELY PREVENTATIVE CARE ALL CONTRIBUTE TO HIGH RATES OF DIABETES, CARDIOVASCULAR DISEASE, AND CANCER. NOTED BY CHNA PARTICIPANTS WAS THE NEED FOR MORE CULTURALLY APPROPRIATE EDUCATION ABOUT AND SUPPORT FOR PREVENTING AND MANAGING CHRONIC DISEASES. PUBLIC HEALTH NURSES IN PARTICULAR NOTED A RISE IN INFECTIOUS DISEASES (BEYOND COVID-19) AS COMMUNITY HEALTH THREATS, INCLUDING TUBERCOLUSIS, HIV, STDS, AND LOW INFLUENZA VACCINATION RATES.
PART VI, LINE 3 - Patient education of eligibility for assistance:	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, CAREPLUS, MASSHEALTH STANDARD, 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. 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 INSURANCE PROGRAM WHEN THE PATIENT IS SCHEDULING THEIR SERVICES WHILE THE PATIENT IS IN THE HOSPITAL, UPON DISCHARGE, AND FOR A REASONABLE TIME FOLLOWING DISCHARGE FROM THE HOSPITAL. THE HOSPITAL WILL DIRECT ALL PATIENTS SEEKING AVAILABLE COVERAGE OPTIONS, OR THOSE THAT THE HOSPITAL DETERMINES MAY BE ELIGIBLE, TO THE HOSPITAL'S PATIENT FINANCIAL COUNSELING SERVICES 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.
PART VI, LINE 4 - Community information:	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. 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. CURRENTLY, LAWRENCE'S TOTAL POPULATION IS APPROXIMATELY 89,000 (CENSUS BUREAU APRIL 1, 2020 ESTIMATE), OF WHICH ROUGHLY 81% ARE OF LATINO DESCENT, MAINLY FROM THE DOMINICAN REPUBLIC AND PUERTO RICO. 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 I-93 AND I-95, 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. LAWRENCE, MA IS A COLORFUL CITY WITH SIGNIFICANT CHALLENGES. ONCE A THRIVING CITY AND THE HUB OF THE U.S. TEXTILE INDUSTRY, THE CITY OF LAWRENCE IS STILL STRUGGLING TO RECOVER 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 RATES OF CRIME, ILLITERACY, AND AGING HOUSING, AS WELL AS DRUG USE AND ITS RELATED VIOLENCE. NEARLY ONE HALF OF THE HOUSEHOLDS IN LAWRENCE CAN BE CLASSIFIED AS POOR, BASED ON THE FEDERAL POVERTY LEVEL. IN 2017 THE MA DEPARTMENT OF PUBLIC HEALTH IDENTIFIED LAWRENCE PUBLIC SCHOOLS AS HAVING ONE OF THE HIGHEST STUDENT RATES OF OBESITY IN THE STATE, AT 45%. AT THE TIME OF THIS REPORT, THE MA DEPARTMENT OF PUBLIC HEALTH HAS NOT UPDATED THIS DATASET. AS THE PREVALENCE OF OBESITY HAS BEEN LINKED TO THE ECONOMIC HARDSHIP OF A COMMUNITY, THE CITY OF LAWRENCE CONTINUES TO BE AT RISK. 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 LIFESTYLES. 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 ARE ON SOME TYPE OF GOVERNMENT ASSISTANCE PROGRAM OR NEED FINANCIAL ASSISTANCE WITH THEIR MEDICAL COSTS. AS A RESULT, LAWRENCE GENERAL PROVIDED OVER $9.6M IN CHARITABLE CARE AND COMMUNITY BENEFITS TO PERSONS WHO WOULD NOT OTHERWISE BE ABLE TO AFFORD QUALITY HEALTHCARE IN FY2022. OTHERWISE BE ABLE TO AFFORD QUALITY HEALTHCARE IN FY2022.
PART VI, LINE 5 - promotion for community health:	LAWRENCE GENERAL HOSPITAL 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 MORE THAN 140 YEARS, LGH HAS CARED FOR AND IMPROVED THE HEALTH STATUS OF THE RESIDENTS OF THE 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 DECLINING REIMBURSEMENTS. IN THE PAST 5 YEARS, LGH HAS INCREASED THE QUALITY OF ITS CARE AND EXPANDED ITS BREADTH OF SERVICES AVAILABLE LOCALLY, WHILE ENSURING THE AFFORDABILITY OF THAT CARE. EVEN DURING A YEAR IN WHICH COVID NEGATIVELY IMPACTED VOLUME WITH THE SUSPENSION OF ELECTIVE PROCEDURES AND SOME OUTPATIENT SERVICES, THE HOSPITAL PROVIDED 361,631, INPATIENT ADMISSIONS, OBSERVATION STAYS AND OUTPATIENT VISITS, EXCLUSIVE OF COVID TESTING AND VACCINATION SERVICES. 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 IS LICENSED FOR 186 BEDS AND IS STAFFED BY NEARLY 2000 EMPLOYEES AND MORE THAN 500 PHYSICIANS REPRESENTING OVER 40 SPECIALTIES. THE HOSPITAL'S CLINICAL STRENGTHS INCLUDE A 24-HOUR EMERGENCY DEPARTMENT AND LEVEL III TRAUMA CENTER; A DEDICATED INTENSIVE CARE UNIT; ADVANCED SURGICAL CENTER; INPATIENT PEDIATRIC CENTER; WOMEN'S HEALTH SERVICES; IMAGING CENTER; CARDIAC SERVICES; SLEEP CENTER; BIRTHING CENTER; DAY SURGERY CENTER; BARIATRIC CENTER; COMMUNITY CANCER PROGRAM; OUTPATIENT PHYSICAL THERAPY CENTER; AND AN ADVANCED LIFE SUPPORT EMS PROGRAM. ALL OF THESE SERVICES CREATE A HEALTH SAFETY NET FOR THE CITY OF LAWRENCE AND THE SURROUNDING COMMUNITIES. LGH AFFILIATED WITH STEWARD HEALTH CARE. THIS CLINICAL AFFILIATION WAS DEVELOPED TO ENHANCE PROGRAMS AND SERVICES AVAILABLE IN THE GREATER MERRIMACK VALLEY, INCREASE LOCAL ACCESS TO SPECIALTIES OF STEWARD MEDICAL GROUP, AND IMPROVE THE COORDINATION OF CARE. IN RECENT YEARS, THE HOSPITAL HAS ADDED MANY NEW SPECIALISTS AND/OR SPECIALTY CLINICS TO BETTER SERVE THE MERRIMACK VALLEY REGION. THE HOSPITAL WORKS CLOSELY WITH PRIVATE PRACTICE PHYSICIANS AND GREATER LAWRENCE FAMILY HEALTH CENTER TO INCREASE THE BREADTH OF SERVICES AVAILABLE LOCALLY, WHILE DECREASING OVERALL HEALTH CARE COSTS. IN ORDER TO FACILITATE BETTER ACCESS TO CHILDREN'S MEDICAL SERVICES, WE HAVE A CLINICAL AFFILIATION 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, OUR PEDIATRIC CARE CENTER IS STAFFED BY FLOATING HOSPITAL "HOSPITALISTS" WHO OVERSEE INPATIENT PEDIATRIC CARE. HIGHLY-TRAINED PEDIATRIC SPECIALISTS FROM Floating Hospital for Children at Tufts Medical Center ARE ALSO AVAILABLE AT A PEDIATRIC SPECIALTY CLINIC IN LAWRENCE THROUGH OUR AFFILIATION AGREEMENT. LAWRENCE GENERAL MAINTAINS AN ACTIVE AND ENTHUSIASTIC PATIENT FAMILY ADVISORY COMMITTEE TO FURTHER INCORPORATE THE COMMUNITY VOICE INTO OUR HOSPITAL OPERATIONS. THE HOSPITAL BOARD OF TRUSTEES, WHO LIVE AND WORK IN THE LOCAL COMMUNITY ALSO PARTICIPATE, AND THE SENIOR MANAGEMENT OF THE HOSPITAL ENSURES IMPLEMENTATION OF PLANS AND MONITORS PROGRESS. THE HOSPITAL'S CONTINUOUS AND ENHANCED QUALITY IMPROVEMENT PROCESS ALSO PROVIDES ANOTHER SOURCE FOR THE IDENTIFICATION OF NEEDS. OPPORTUNITIES FOR IMPROVEMENT ARE IDENTIFIED THROUGHOUT THE ORGANIZATION, AND THE BOARD OF TRUSTEES HELPS DETERMINE ANNUAL PRIORITIES. 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: ACT Lawrence Agespan (formerly Elder Services of the Merrimack Valley) American Cancer Society American College of Radiology (ACR) American Heart Association American Red Cross American Training Andover Coalition for Public Education Andover Public Schools Asthma & Allergy Foundation Baldpate Hospital: Detox/Residential/Outpatient Substance Abuse Services Boys & Girls Club of Greater Lawrence Children's Hospital of Boston City of Lawrence Column Health Community Cancer Program Dana Farber Cancer Institute/Commonwealth Hematology & Oncology Danvers Treatment Center/Lahey Behavioral Health Clinical Stabilization Services Daybreak Shelter Diabetes Today Coalition Edgewood Retirement Community Essex County Community Foundation Family Services of the Merrimack Valley Floating Hospital for Children at Tufts Medical Center Foster Kids of Merrimack Valley Genesis Healthcare Corporation Greater Lawrence Family Health Center (GLFHC) Greater Lawrence Family Residency Groundwork Lawrence Habit OPCO Hampstead Hospital: Detox/Residential/Outpatient Substance Abuse Services Health Care For All Tufts Medicine at Home Housing Families Jackson Lumber Work Health Initiative Kiwanis Club of Lawrence L&M Radiology Lawrence Community Works Lawrence Council on Aging Lawrence Family Development Charter School Lawrence Fire Department Lawrence High School Lawrence History Center Lawrence Public Schools Lawrence Rotary Club Lawrence Senior Center Lazarus House Lynn Transitional Support Services/Lahey Behavioral Health March of Dimes Mary Immaculate Health Care Services Massachusetts Department of Public Health Mass General Hospital (Pediatric Cardiology) MassCONNECT Collaborators Mayor's Health Task Force The Office of Mayor Brian A. De Pea, City of Lawrence Merrimack College Merrimack Valley Assisted Living Facilities Merrimack Valley Chamber of Commerce Merrimack Valley Community Development Committee Merrimack Valley Food Bank Merrimack Valley Habitat for Humanity Merrimack Valley Health Services Merrimack Valley Senior Centers Merrimack Valley Skilled Nursing Facilities Merrimack Valley YMCA Methuen Health and Rehab Center Nevins Family Services Northern Essex Community College Notre Dame High School Notre Dame Adult Learning Center North Andover Athletic Association North Andover Public Schools Northeast Center for Healthy Communities Northeast Independent Living Northeast Rehabilitation NeuroCare Option Care/ Walgreens Patient Family Advisory Council Penacook Place Pentucket Medical Associates Professional Center for Child Development Psychological Center Schwartz Center for Compassionate Healthcare Tobacco Free Community Partnership Top Notch Scholars Transitions Program/Lahey Behavioral Health Post Detox/Pre-Recovery/Tewksbury Tufts Medical Center United Way of the Merrimack Valley Whittier Rehab Hospital Wingate Healthcare Services YWCA of Lawrence
PART VI, LINE 6 - affiliated health care system:	LAWRENCE GENERAL HOSPITAL IS PART OF LAWRENCE GENERAL HOSPITAL & AFFILIATES. THERE ARE EIGHT AFFILIATES WITHIN THIS SYSTEM AS OF 9-30-2022, INCLUDING: LGH HEALTH ENTERRISES, INC. THIS ENTITY IS A FOR-PROFIT HEALTHCARE MANAGEMENT COMPANY LOCATED IN LAWRENCE, MASSACHUSETTS. THIS ENTITY PROVIDES HEALTHCARE MANAGEMENT SERVICES. COMMUNITY MEDICAL ASSOCIATES, INC. THIS ENTITY IS A NOT-FOR-PROFIT MULTI-SPECIALITY CARE PHYSICIAN PRACTICE GROUP LOCATED IN LAWRENCE, MASSACHUSETTS. LGH PHYSICIAN ASSOCIATES, P.C. THIS ENTITY IS A FOR-PROFIT MANAGEMENT COMPANY LOCATED IN LAWRENCE, MASSACHUSETTS. THIS ENTITY PROVIDES MANAGEMENT SERVICES TO LOCAL AREA PHYSICIAN GROUPS. 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 OF ITS' FUNDRAISING INITIATIVES. LGH ADMINISTRATIVE SERVICES, INC. THIS ENTITY IS A NOT-FOR PROFIT QUALIFED ACTIVE LOW INCOME COMMUNITY BUSINESS ("QALICB") LOCATED IN LAWRENCE, MASSACHUSETTS. THIS ENTITY WAS CREATED FOR PURPOSES OF NEW MARKET TAX CREDIT TRANSACTION THAT FUNDED THE CONSTRUCTION OF A SURGICAL BUILDING. MERRIMACK VALLEY HEALTH SERVICES, INC. THIS ENTITY IS A NOT-FOR PROFIT PROVIDES MEDICAL IMAGING SERVICES AT AN OFFSITE LOCATION IN ANDOVER AND ALSO AT LAWRENCE GENERAL HOSPITAL IN LAWRENCE, MASSACHUSETTS. MERRIMACK VALLEY IN MOTION, LLC THIS ENTITY IS A FOR-PROFIT LIMITED LIABILITY COMPANY (LLC) LOCATED IN LAWRENCE, MASSACHUSETTS. THIS ENITY PROVIDES MANAGEMENT AND PROFESSIONAL SERVICES TO LGH IN CONNECTION WITH CERTAIN OUTPATIENT REHABILITATION CLINICS. LAWRENCE INTEGRATED HEALTH PROVIDER NETWORK, LLC ("LIHPN") THIS ENTITY IS A DISREGARDED LIMITED LIABILITY COMPANY (LLC) LOCATED IN LAWRENCE, MASSACHUSETTS. LIHPN IS A CLINICALLY INTEGRATED NETWORK FOR PROVIDER MEMBERS AND PROVIDES CARE COORDINATION FOR PATIENTS.
PART VI, LINE 7 - state filing of community benefit report:	THE HOSPITAL FILES A COMMUNITY BENEFIT REPORT WITH THE STATE OF MASSACHUSETTS ONLY.
PART I, LINE 3C:	NOT APPLICABLE
PART I, LINE 7G:	NOT APPLICABLE
PART I, LN 7 COL(F):	NOT APPLICABLE
PART III, LINE 3:	NOT APPLICABLE

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Deborah J Wilson
PRESIDENT & CEO (End 5/23)	$671,830	$0	$83,802	$0	$111,001	$0	$33,024	$0	$11,821	$0	$911,478	$0	$0	$0
Felix Mercado
CFO/CORP ASST TREAS (END 5/21)	$196,602	$0	$0	$0	$149,474	$0	$15,300	$0	$14,423	$0	$375,799	$0	$0	$0
Michael S Turilli
CFO/CORP ASST TREAS (END 5/22)	$266,348	$0	$45,492	$0	$0	$0	$19,500	$0	$10,140	$0	$341,480	$0	$0	$0
Cynthia Phelan
CORP ASST SEC/VP HR (END 4/21)	$156,278	$0	$0	$0	$153,005	$0	$16,253	$0	$7,032	$0	$332,568	$0	$0	$0
LISA CRUTCHFIELD
CORP ASST SEC/CHRO HR(BEG 5/21	$219,554	$0	$7,662	$0	$0	$0	$19,500	$0	$641	$0	$247,357	$0	$0	$0
DIANNE J ANDERSON
FORMER PRES & CEO (END 10/19)	$0	$0	$0	$0	$219,919	$0	$0	$0	$6,564	$0	$226,483	$0	$0	$0
SUNIT MUKHERJEE
CHIEF CARDIO & AMBULATORY MED.	$736,510	$0	$70,102	$0	$0	$0	$19,500	$0	$18,961	$0	$845,073	$0	$0	$0
JASON D REID MD
PHYSICIAN (ORTHO TRAUMA)	$484,819	$0	$50,102	$0	$0	$0	$26,307	$0	$19,500	$0	$580,728	$0	$0	$0
JOHN J BRADY MD
PHYSICIAN	$438,567	$0	$37,102	$0	$0	$0	$1,423	$0	$19,500	$0	$496,592	$0	$0	$0
GEORGE KONDYLIS MD
CHIEF MEDICAL OFFICER	$387,730	$0	$32,502	$0	$20,197	$0	$29,937	$0	$20,961	$0	$491,327	$0	$0	$0
KAREN MOORE
SR VP OPS/CHIEF NURSING OFCR	$383,403	$0	$31,044	$0	$18,752	$0	$27,127	$0	$7,712	$0	$468,038	$0	$0	$0
Eduardo Haddad MD
TRUSTEE	$312,000	$0	$0	$0	$0	$0	$0	$0	$0	$0	$312,000	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3:	THE CEO'S COMPENSATION IS ESTABLISHED BY THE FOLLOWING METHODS: (A) COMPENSATION COMMITTEE, (B) INDEPENDENT COMPENSATION CONSULTANT, (C) FORM 990 OF OTHER ORGANIZATIONS (D) WRITTEN EMPLOYMENT CONTRACT, (E) COMPENSATION SURVEY AND (F) APPROVAL BY AN EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES.
PART I, LINE 4A:	DIANNE J. ANDERSON, FORMER PRESIDENT & CEO OF THE ORGANIZATION UNTIL OCTOBER 2019 RECEIVED A SEVERANCE PAYMENT OF $219,919. CYNTHIA PHELEAN, FORMER CORP. ASSISTANT SECRETARY/VP HR OF THE ORGANIZATION UNTIL APRIL 2021 RECEIVED A SEVERANCE PAYMENT OF $153,005. FELIX V. MERCADO, FORMER CORP. ASSISTANT TREASURER/CFO OF THE ORGANIZATION UNTIL OCTOBER 2020 RECEIVED A SEVERANCE PAYMENT OF $149,474.
Part I, Line 4B:	AS PART OF ITS TOTAL COMPENSATION PACKAGE FOR EXECUTIVE-LEVEL STAFF, LAWRENCE GENERAL HOSPITAL OFFERS 403(B), 457(B) AND 457(F) NON-QUALIFIED SUPPLEMENTAL RETIREMENT PLANS. FOR THE 2019 CALENDAR YEAR, LAWRENCE GENERAL HOSPITAL CONTRIBUTED THESE AMOUNTS TO THE FOLLOWING EMPLOYEES LISTED ON FORM 990, SCHEDULE J, PART II: MICHAEL S. TURILLI, 403B PLAN ($0), 457B PLAN ($19,500), 457F PLAN($0); DEBORAH J. WILSON, 403B PLAN ($13,523), 457B PLAN ($19,500), 457F PLAN($111,001); CYNTHIA PHELAN, 403B PLAN ($3,503), 457B PLAN ($12,750), 457F PLAN($0); FELIX MERCADO, 403B ($0), 457B ($15,300), 457F PLAN ($0); LISA CRUTCHFIELD, 403B ($0), 457B ($19,500), 457F PLAN ($0); SUNIT MUKHERJEE, 403B PLAN ($0), 457B PLAN ($19,500), 457F PLAN ($0); JASON REID, 403B PLAN ($6,807), 457B PLAN ($19,500), 457F PLAN ($0); JOHN BRADY, 403B PLAN ($1,423), 457B PLAN ($0), 457F PLAN ($0); GEORGE KONDYLIS, MD, 403B PLAN ($10,437), 457B PLAN ($19,500), 457F PLAN ($20,197); KAREN MOORE, 403B PLAN ($7,627), 457B PLAN ($19,500), 457F PLAN ($18,752);
Part II, Column C:	THE RETIREMENT AND DEFERRED COMPENSATION NUMBERS CONSIST OF THE FOLLOWING PLANS: 403(B) EMPLOYER PAID MATCH 457(B) SERP PLAN #5 EMPLOYER PAID 457(F) EMPLOYER PAID MATCH
Part II, Column D:	THE NONTAXABLE BENEFITS NUMBERS CONSIST OF THE FOLLOWING: HEALTH INSURANCE DENTAL INSURANCE STANDARD INSURANCE - LTD INSURANCE PRINCIPAL/PRINCIPAL FINANCIAL GROUP - LTD INSURANCE THE HARTFORD - LTD INSURANCE NATIONWIDE - LIFE INSURANCE

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
REFINANCING & CAPITAL EXPENDITURES
A	NONEAVAIL	2017-11-07	$65,665,000	REFINANCING & CAPTIAL EXPENDITURES	false	false	false
MASS DEVELOPMENT SERIES 2013B
B	NONEAVAIL	2014-02-02	$43,490,000	MASS DEVELOPMENT, SERIES 2013B	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$0	$0	$65,665,000	$6,616,485	$0	$0	$1,546,549	$0	$0	$20,167,564	$0	$0	2020	Yes (true)	false	false	Yes (true)
B	$0	$0	$43,490,000	$4,449,945	$0	$0	$1,458,644	$0	$0	$42,031,356	$0	$0	2017	false	false	false	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	Yes (true)	false	false	0	false	false	false	false
B	false	false	Yes (true)	false	false	0	false	false	false	false

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	false	false	false	false	false	false	false	false	0	false	false
0
B	false	false	false	false	false	false	false	false	false	0	false	false

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	false
B	false

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	LATHAM WATKIN LLP	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	35% OWNED CONTROLLED ENTITY, ROBERT GILBERT CHAIRMAN	RelationshipDescriptionTxt
Transaction	$15,472	TransactionAmt
Transaction	LEGAL SERVICES	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART IV	FormAndLineReferenceDesc
Explanation	(A) NAME OF INTERESTED PERSON LATHAM & WATKIN LLP (B) RELATIONSHIP 35% OWNED CONTROLLED ENTITY, ROBERT GILBERT, CHAIRMAN (C) AMOUNT $15,472 (D) DESCRIPTION OF TRANSACTION LEGAL SERVICES (E) SHARING ORGANIZATION REVENUE? YES X NO	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 1 - ORGANIZATION'S MISSION	TO OPERATE AND MAINTAIN AN 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 SERVICES FOR AREA RESIDENTS REGARDLESS OF ABILITY TO PAY. ASSURE THE ONGOING PROCESS OF CONTINUOUSLY IMPROVING PATIENT CARE QUALITY.
FORM 990, PART III, Line 4D:	OTHER PROGRAM SERVICE REVENUE PRIMARILY CONSISTS OF CAFETERIA RECEIPTS, INTERCOMPANY REIMBURSEMENTS, DSTI WAIVER FUNDS, DSRIP FUNDS, AND OCCUPATIONAL HEALTH CLINIC REVENUE.
FORM 990, PART VI, SECTION B, LINE 11:	FORM 990 IS PREPARED AND REVIEWED BY THE ORGANIZATION'S EXTERNAL CONSULTANT AND SUBSEQUENTLY REVIEWED BY THE CONTROLLER AND ORGANIZATION'S CFO. ONCE COMPLETE, THE FORM AND ALL SCHEDULES ARE MADE AVAILABLE TO THE BOARD OF TRUSTEES VIA A SECURE INTERNET PORTAL FOR REVIEW. THE ORGANIZATION'S CFO AND SENIOR VICE PRESIDENT ARE AVAILABLE TO FACILITATE THE REVIEW AS WELL AS ANSWER ANY QUESTIONS REGARDING THE FORM.
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 REQURED TO DISCLOSE, IN WRITING, ANY POTENTIAL CONFLICT THAT THEY ARE AWARE OF. ALL KNOWN INTERESTS HAVE BEEN DISCLOSED IN SCHEDULE L.
FORM 990, PART VI, SECTION B, LINE 15:	THE CEO'S ANNUAL COMPENSATION IS REVIEWED AND APPROVED BY AN EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. THE COMPENSATION FOR THE CFO, EVP, AND SENIOR MANAGEMENT ARE DETERMINED BY THE CEO AND REVIEWED BY THE BOARD OF TRUSTEES. INDEPENDENT SURVEYS ARE ALSO PERFORMED TO DETERMINE SALARY RESONABLENESS.
FORM 990, PART VI, SECTION C, LINE 18:	THE HOSPITAL MAKES THE 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 VIII, LINE 11A:	DURING THE HOSPITAL'S FISCAL YEAR 2022 LAWRENCE GENERAL HOSPITAL AND THE COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF HEALTH AND HUMAN AGREEMENT CALLS FOR PAYMENT OF THE FOLLOWING AMOUNTS TO THE HOSPITAL: A $12,515,000 SFY 2019; $11,360,000 FOR SFY 2020; $11,090,000 FOR SFY 2021; AND $10,420,000 FOR SFY 2022. PAYMENT OF THESE AMOUNTS IS SUBJECT TO DETERMINATION BY EOHHS THAT THE HOSPITAL MEANINGFULLY PARTICIPATES IN MASSHEALTH'S ACO PROGRAM; DETERMINATION BY EOHHS THAT THE HOSPITAL MEANINGFULLY PARTICIPATES IN MASSHEALTH'S MANAGED CARE NETWORKS BY ACCEPTING APPROPRIATE CONTRACTING RATES TO THE EXTENT SUCH ARRANGEMENTS HAVE BEEN OFFERED BY ANY MASSHEALTH MANAGED CARE ORGANIZATIONS; (C) SATISFACTION OF ALL OTHER REQUIREMENTS AS SET FORTH BY MASSHEALTH; APPROPRIATION TO, AND AVAILABILITY OF FUNDS IN, THE SAFETY NET PROVIDER TRUST FUND ESTABLISHED UNDER M.G.L.C. 29, 2AAAAA (SAFETY NET PROVIDER TRUST FUND); ALL OTHER NECESSARY STATE APPROVALS; AND FEDERAL APPROVAL AND THE AVAILABILITY OF FULL FEDERAL FINANCIAL PARTICIPATION. IN ALL YEARS COVERED IN THE AGREEMENT, THESE AMOUNTS ARE REFLECTED IN "OTHER OPERATING REVENUE" ON THE HOSPITAL'S FINANCIAL STATEMENTS AND IRS FORM 990.
FORM 990, PART XI LINE 9:	NET ASSET TRANSFER TO LGH CHARITABLE TRUST, INC. $351,000 CAPITAL GRANT TO LGHCT $200,000 OTHER CHANGES $ 60 NET ASSET TRANSFER TO COMMUNITY MEDICAL ASSOCIATES, INC. ($6,993,000) LOSS ON RETIREMENT OF LONG-TERM DEBT ($6,835,000) CHANGE IN THE VALUE OF NET ASSETS HELD BY LGH CHARITABLE TRUST, INC. ($3,862,940) CONTRIBUTION MADE ($ 80,000) TOTAL ($17,219,880)

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	LAWRENCE INTE HEALTH PROVIDER ACO LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1 GENERAL STREET	AddressLine1Txt
City	LAWRENCE	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	01841	ZIPCd

Field	Value	IRS element (for citing)
EIN	871345633	EIN
Primary Activities	MEDICARE SRVS	PrimaryActivitiesTxt
Legal Domicile State	MA	LegalDomicileStateCd
Total Income	-$1,204,000	TotalIncomeAmt
End Of Year Assets	$157,000	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	LGH INC	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
LGH CHARITABLE TRUST INC
1 GENERAL STREET	LAWRENCE	MA	01841	222586814	FUNDRAISING	MA	501(C)(3)	7	LGH INC	Yes (true)
COMMUNITY MEDICAL ASSOCIATES INC
I GENERAL STREET	LAWRENCE	MA	01841	272142635	PRIMARY CARE	MA	501(C)(3)	3	LGH INC	Yes (true)
LGH ADMINISTRATIVE SERVICES INC
1 GENERAL STREET	LAWRENCE	MA	01841	320423203	QALICB	MA	501(C)(3)	12A	LGH INC	Yes (true)
MERRIMACK VALLEY HEALTH SERVICES INC
600 federal street	ANDOVER	MA	01810	222604915	MED. IMAGING	MA	501(C)(3)	10	LGH INC	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	Merrimack Valley in Motion LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1 General Street	AddressLine1Txt
City	Lawrence	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	01841	ZIPCd

Field	Value	IRS element (for citing)
EIN	320578008	EIN
Primary Activities	mgmt services	PrimaryActivitiesTxt
Legal Domicile State	MA	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	LGHINC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Predominant Income Type	RELATED	PredominantIncomeTypeTxt
Share Of Total Income	$750,000	ShareOfTotalIncomeAmt
Share Of EOY Assets	$63,364	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
UBI Code V	$0	UBICodeVAmt
General Or Managing Partner	false	GeneralOrManagingPartnerInd
Ownership	0.51100	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
LGH HEALTH ENTERPRISES INC
38 PROSPECT STREET	LAWRENCE	MA	01842	042869696	HEALTHCARE MG	MA	LGH INC	C-CORP	-$12,000	$2,141,000	1.00000	Yes (true)
LGH PHYSICIAN ASSOCIATES PC
38 PROSPECT STREET	LAWRENCE	MA	01842	043174041	HEALTHCARE MG	MA	LGH INC	C-CORP	-$570,000	$886,000	1.00000	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (true)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
COMMUNITY MEDICAL ASSOCIATES INC
B	$6,993,000	REVIEW OF RECOR
MERRIMACK VALLEY HEALTH SERVICES
E	$4,863,000	REVIEW OF RECOR
COMMUNITY MEDICAL ASSOCIATES INC
O	$1,239,783	REVIEW OF RECOR
LAWRENCE INC HEALTH PROV NETWORK INC
O	$595,020	REVIEW OF RECOR
LGH CHARITABLE TRUST INC
O	$636,041	REVIEW OF RECOR
LGH PHYSICIAN ASSOCIATES PC
P	$2,153,308	REVIEW OF RECOR
COMMUNITY MEDICAL ASSOCIATES INC
P	$149,795	REVIEW OF RECOR
LGH CHARITABLE TRUST INC
S	$351,000	REVIEW OF RECOR