LAWRENCE GENERAL HOSPITAL: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- LAWRENCE GENERAL HOSPITAL (EIN 04-2103586)
- Tax period
- 2019-10-01 to 2020-09-30
- Filed
- 2021-08-11
- IRS object ID
- 202102239349302130
- Schema version
- 2019v5.2
- 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 | 2021-08-11T16:47:30-05:00 | ReturnTs |
| Tax Period End | 2020-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BDO USA LLP | 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 | 2019-10-01 | 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 | % MICHAEL S TURILLI SVP/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 | MICHAEL S TURILLI | PersonNm |
| Person Title | SR. VICE PRES/CFO | PersonTitleTxt |
| Phone | 9786834000 | PhoneNum |
| Signature | 2021-08-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Brian Vigneault | PreparerPersonNm |
| PTIN | P00540650 | PTIN |
| Phone | 6174220700 | PhoneNum |
| Preparation | 2021-07-15 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MICHAEL S TURILLI | 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 | $295,477,680 | 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 | 2447 | TotalEmployeeCnt |
| Total Volunteers | 416 | TotalVolunteersCnt |
| Total Gross UBI | $1,008,704 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$11,419 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $101,579 | PYContributionsGrantsAmt |
| CY Contributions Grants | $44,640,608 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $232,996,159 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $219,838,831 | CYProgramServiceRevenueAmt |
| PY Investment Income | $821,614 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,220,615 | CYInvestmentIncomeAmt |
| PY Other Revenue | $27,979,379 | PYOtherRevenueAmt |
| CY Other Revenue | $22,075,798 | CYOtherRevenueAmt |
| PY Total Revenue | $261,898,731 | PYTotalRevenueAmt |
| CY Total Revenue | $287,775,852 | 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 | $150,210,585 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $159,935,407 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $192,942 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $115,798,789 | PYOtherExpensesAmt |
| CY Other Expenses | $139,761,519 | CYOtherExpensesAmt |
| PY Total Expenses | $266,009,374 | PYTotalExpensesAmt |
| CY Total Expenses | $299,696,926 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$4,110,643 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$11,921,074 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $264,797,940 | TotalAssetsBOYAmt |
| Total Assets EOY | $322,203,722 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $157,357,828 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $228,345,101 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $107,440,112 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $93,858,621 | 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 | $86,790,443 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $111,597,153 | 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 41,717 PATIENT DAYS OF INPATIENT SERVICES WITH 10,908 DISCHARGES DURING FY 2020. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $84,180,850 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $108,241,678 | 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 2020, LAWRENCE GENERAL HOSPITAL HAD 242,379 OUTPATIENT VISITS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $37,430,605 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $0 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $22,074,298 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $208,401,898 | 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 | Yes (true) | 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 | false | 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 | 374 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 2447 | 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 | MICHAEL S TURILLI SVPCFO | 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 |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 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 |
|---|---|---|---|---|---|---|---|---|
| Dianne J Anderson | ||||||||
| President & CEO (Until 10/19) | 50.0 | 1.0 | Yes (X) | Yes (X) | $872,489 | $0 | $44,936 | |
| Jason D Reid | ||||||||
| Physician (Ortho Trauma) | 40.0 | 0.0 | $537,287 | $0 | $18,025 | Yes (X) | ||
| Ziad Alfarah MD | ||||||||
| Senior VP Medical Affairs | 40.0 | 0.0 | $462,643 | $0 | $38,342 | Yes (X) | ||
| Deborah J Wilson | ||||||||
| President & CEO (11/19 - On) | 50.0 | 1.0 | Yes (X) | Yes (X) | $470,654 | $0 | $27,807 | |
| John J Brady | ||||||||
| Physician | 40.0 | 0.0 | $474,830 | $0 | $18,762 | Yes (X) | ||
| George Kondylis MD | ||||||||
| Physician (Ed Chief) | 40.0 | 0.0 | $417,194 | $0 | $22,495 | Yes (X) | ||
| Karen Moore | ||||||||
| Senior VP Operations | 40.0 | 0.0 | $395,769 | $0 | $26,671 | Yes (X) | ||
| Felix Mercado | ||||||||
| CFO (Until 10/20) | 50.0 | 1.0 | Yes (X) | $290,320 | $0 | $36,762 | ||
| Cynthia Phelan | ||||||||
| CORP. ASSISTANT SECRETARY & VP | 50.0 | 1.0 | Yes (X) | Yes (X) | $287,400 | $0 | $37,708 | |
| Robert Gilbert ESQ | ||||||||
| Chairman | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| Dana J Marks | ||||||||
| Treasurer | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| Dennis Conlin | ||||||||
| Secretary/Clerk | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| Eduardo Haddad MD | ||||||||
| Trustee | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| Jonathan Isaacson | ||||||||
| Trustee | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| Norman Rogers | ||||||||
| Trustee | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| Richard Santagati | ||||||||
| TRUSTEE | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| William Wall | ||||||||
| Trustee | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| Mark Johnson | ||||||||
| Trustee | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| Michael Mancuso | ||||||||
| TRUSTEE | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| Laurel Sweeney | ||||||||
| Trustee | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| Rosemarie Day | ||||||||
| Trustee (6/20 - On) | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| Marianne Paley Nadel | ||||||||
| Trustee (6/20 - On) | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,208,586 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $271,508 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 316 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | 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 |
|---|---|---|---|---|---|
| Greater Lawrence Family Health Cent | |||||
| 1 Griffin Brook Drive | METHUEN | MA | 01844 | Resident Services | $4,208,333 |
| Gre Andover Medical Center LLC | |||||
| 280 Merrimack Street | LAWRENCE | MA | 01843 | Prop. Rental Svcs. | $4,060,368 |
| Lawrence Anesthesia Services Inc | |||||
| 7111 Fairway Drive Suite 450 | PAL BEACH GARDENS | FL | 33418 | Anesthesia Svcs. | $3,623,849 |
| Freedom Healthcare Staffing | |||||
| 2851 S Parker Road Suite 1100 | AURORA | CO | 80014 | Nursing Services | $2,372,248 |
| Medicus Hospitalists LLC | |||||
| 22 Roulston Road | WINDHAM | NH | 03087 | Hospitalist Services | $2,241,870 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 95 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $44,640,608 | AllOtherContributionsAmt |
| Total Contributions | $44,640,608 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT REVENUE | 621110 | $218,831,627 | $218,831,627 | |
| NET PATIENT REVENUE (LAB RECEIPTS) | 621500 | $1,007,204 | $1,007,204 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $219,838,831 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $300,173 | TotalRevenueColumnAmt |
| Exclusion | $300,173 | 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 |
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 | $8,622,270 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $7,701,828 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $920,442 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $920,442 | TotalRevenueColumnAmt |
| Exclusion | $920,442 | 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 | $13,615,745 | $13,615,745 |
| DSRIP | 621110 | $1,653,697 | $1,653,697 |
| MEALS | 621110 | $467,260 | $467,260 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,339,096 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,337,596 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,500 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $22,075,798 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $287,775,852 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $240,905,925 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,008,704 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,220,615 | 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 | $2,043,621 | TotalAmt |
| Management And General | $2,043,621 | 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 | $132,304,563 | TotalAmt |
| Program Services | $104,451,595 | ProgramServicesAmt |
| Management And General | $27,692,418 | ManagementAndGeneralAmt |
| Fundraising | $160,550 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,621,323 | TotalAmt |
| Program Services | $1,283,966 | ProgramServicesAmt |
| Management And General | $335,383 | ManagementAndGeneralAmt |
| Fundraising | $1,974 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,784,146 | TotalAmt |
| Program Services | $11,707,933 | ProgramServicesAmt |
| Management And General | $3,058,217 | ManagementAndGeneralAmt |
| Fundraising | $17,996 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,181,754 | TotalAmt |
| Program Services | $7,271,259 | ProgramServicesAmt |
| Management And General | $1,899,318 | ManagementAndGeneralAmt |
| Fundraising | $11,177 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,376,316 | TotalAmt |
| Program Services | $19,364,646 | ProgramServicesAmt |
| Management And General | $16,011,670 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $745,862 | TotalAmt |
| Management And General | $745,862 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $744,688 | TotalAmt |
| Management And General | $744,688 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,569 | TotalAmt |
| Management And General | $66,569 | 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 | $15,000 | TotalAmt |
| Management And General | $15,000 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $382,731 | TotalAmt |
| Management And General | $382,731 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $874,938 | TotalAmt |
| Program Services | $598,588 | ProgramServicesAmt |
| Management And General | $276,080 | ManagementAndGeneralAmt |
| Fundraising | $270 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,200,797 | TotalAmt |
| Program Services | $90,140 | ProgramServicesAmt |
| Management And General | $5,110,657 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,916,613 | TotalAmt |
| Program Services | $2,435,245 | ProgramServicesAmt |
| Management And General | $4,481,368 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $163,828 | TotalAmt |
| Program Services | $89,933 | ProgramServicesAmt |
| Management And General | $73,895 | 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 | $12,541 | TotalAmt |
| Management And General | $12,541 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,674,954 | TotalAmt |
| Management And General | $4,674,954 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,986,327 | TotalAmt |
| Management And General | $11,986,327 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $859,930 | TotalAmt |
| Management And General | $859,930 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| SUPPLIES AND EQUIPMENT | $36,021,171 | $36,014,009 | $7,162 | |
| MISCELLANEOUS | $35,719,254 | $25,094,584 | $10,623,695 | $975 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $299,696,926 | TotalAmt |
| Program Services | $208,401,898 | ProgramServicesAmt |
| Management And General | $91,102,086 | ManagementAndGeneralAmt |
| Fundraising | $192,942 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,995,888 | BOYAmt |
| EOY | $44,373,449 | 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 | $46,497,181 | BOYAmt |
| EOY | $34,129,035 | 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 | $7,585,000 | BOYAmt |
| EOY | $7,585,000 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,936,727 | BOYAmt |
| EOY | $10,353,124 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $839,400 | BOYAmt |
| EOY | $1,227,146 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $253,223,010 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $143,760,105 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $115,300,248 | BOYAmt |
| EOY | $109,462,905 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,017,658 | BOYAmt |
| EOY | $6,610,105 | 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 | $61,625,838 | BOYAmt |
| EOY | $108,462,958 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $264,797,940 | BOYAmt |
| EOY | $322,203,722 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,403,725 | BOYAmt |
| EOY | $38,186,313 | 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 | $483,448 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,600,336 | BOYAmt |
| EOY | $74,355,504 | 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 | $90,008 | BOYAmt |
| EOY | $18,256 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,263,759 | BOYAmt |
| EOY | $115,301,580 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $157,357,828 | BOYAmt |
| EOY | $228,345,101 | 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 | $106,340,112 | BOYAmt |
| EOY | $92,758,621 | 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 | $107,440,112 | BOYAmt |
| EOY | $93,858,621 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $264,797,940 | BOYAmt |
| EOY | $322,203,722 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$11,921,074 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$483,000 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$1,177,417 | 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 | false | FederalGrantAuditRequiredInd |
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 | $66,569 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | false | OtherActivitiesInd |
| Total Lobbying Expenditures | $66,569 | 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) 11.08% of Massachusetts Hospital Association ("MHA") annual dues/fees that is deemed to be used for lobbying expenditures ($16,354); (B) 11.08% of American Hospital Associatoin ("AHA") annual dues/fees that is deemed to be used for lobbying expenditures ($5,215); and (C) consultant expenses deemed to be used for lobbying expenditures ($45,000) in FY 2020. | 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) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| 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 | $1,915,045 | OtherCostOrOtherBasisAmt |
| Book Value | $1,915,045 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $109,420,512 | OtherCostOrOtherBasisAmt |
| Depreciation | $66,342,497 | DepreciationAmt |
| Book Value | $43,078,015 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $21,757,351 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,108,292 | DepreciationAmt |
| Book Value | $16,649,059 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $112,531,366 | OtherCostOrOtherBasisAmt |
| Depreciation | $70,265,684 | DepreciationAmt |
| Book Value | $42,265,682 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,598,736 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,043,632 | DepreciationAmt |
| Book Value | $5,555,104 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $109,462,905 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (8 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OTHER ASSETS | $10,230,586 |
| FUNDS HELD BY TRUSTEE | $11,157,325 |
| INTEREST LGH CHARITABLE TRUST | $17,597,630 |
| OTHER RECEIVABLES | $7,714,132 |
| DUE FROM AFFILIATES | $13,444,113 |
| EST. SETTLEMENTS W/THIRD PARTY | $1,219,596 |
| RIGHTS OF USED ASSETS - OP LEA | $45,958,794 |
| TEMPORARILY RESTRICTED CASH | $1,140,782 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $108,462,958 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED SALARIES AND WAGES | $12,259,267 |
| DUE TO AFFILIATES | $3,878,854 |
| OTHER LONG-TERM LIABILITIES | $5,648,133 |
| DEFERRED RENT | $6,591,877 |
| OPERATING LEASES | $46,539,589 |
| EST SETTLEMENTS W/THIRD PARTY | $601,585 |
| REFUNDABLE ADVANCES | $39,782,275 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $115,301,580 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $288,258,852 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $483,000 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $483,000 | RevenueNotReportedAmt |
| Revenue Subtotal | $287,775,852 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $287,775,852 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $299,696,926 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $299,696,926 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $299,696,926 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | 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 |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| 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 | $12,831,463 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,334,373 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,497,090 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $29,600,718 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,976,932 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,623,786 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $50,319,087 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $42,144,920 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,174,167 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $92,751,268 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $69,456,225 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $23,295,043 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $537,287 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $49,494 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $487,793 | NetCommunityBenefitExpnsAmt |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,170,833 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,258,071 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,912,762 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $338,501 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $338,501 | NetCommunityBenefitExpnsAmt |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,046,621 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,307,565 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,739,056 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $97,797,889 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $70,763,790 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $27,034,099 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $15,083,661 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $58,793,699 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $72,552,749 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$13,759,050 | 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 | 19 | 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 | 19 | 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 | 200. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400. | 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 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 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 (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Section B, Line 5 | THE HOSPITALS MOST RECENT CHNA (TAX YEAR 2019) CHNA UTILIZIED 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 630 RESIDENTS AND 473 HEALTH OR SOCIAL SERVICE PROVIDERS; AND CONDUCTING TWO FOCUS GROUPS AND 5 KEY INFORMANT INTERVIEWS TO IDENTIFY THE PERCEIVED HEALTH NEEDS, CHALLENGES TO ACCESSING SERVICES, CURRENT STRENGTHS AND ASSETS, AND OPPORTUNITIES FOR ACTION IN THE COMMUNITY. THE CNHA ENGAGED OVER 1100 PARTICIPANTS, GUIDED BY AN ADVISORY COMMITTEE OF 50 COMMUNITY PROVIDER STAKEHOLDERS. IN CONDUCTING ITS MOST RECENT CHNA, THE HOSPITAL INCLUDED MEMBERS FROM THE COMMUNITY WHO HAVE EXTENSIVE EXPERIENCE IN MATTERS OF PUBIC HEALTH. THIS INCLUDED MEMBERS FROM THE GREATER LAWRENCE FAMILY HEALTH CENTER, WITH ADVISORY GUIDANCE FROM THE CITY OF LAWRENCES MAYORS HEALTH TASK FORCE AND THE DEPARTMENTS OF PUBLIC HEALTH OF THE CITIES OF METHUEN AND NORTH ANDOVER, ALONG WITH REPRESENTATIVES FROM LAW ENFORCEMENT AND FIRST RESPONDERS, LOCAL SCHOOL SYSTEMS, FAITH COMMUNITY, AND OTHER SOCIAL AND GOVERNMENT SERVICES. |
| 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 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 (20 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: | 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 HOSPITALS OPERATIONS IN ITS FISCAL YEAR 2020 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 $13 MILLION IN PROVIDING CARE TO MEDICARE PATIENTS AND AN ESTIMATED LOSS OF APPROXIMATELY $6 MILLION PROVIDING CARE TO MEDICAID PATIENTS. 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 2020 COST REPORT, APPROXIMATELY $1.92 MILLION ARE ASSOCIATED WITH UNPAID COINSURANCE AND DEDUCTIBLES FOR SERVICES PROVIDED TO PATIENTS WHO ARE DUALLY ELIGIBLE FOR MEDICARE AND MEDICAID. OF THIS AMOUNT, $672,556 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 GOVERNMENTS BUDGET ACTIONS AND CMSS 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 HOSPITALS FY 2020 IT IS ESTIMATED THAT THESE CHANGES RESULTED IN A REIMBURSEMENT LOSS OF $4.97 MILLION FROM PRE-2104 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 ORGANIZATIONS 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 MAYORS 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 UNDERTOOK A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN THE SPRING AND SUMMER OF 2019 (TAX YEAR 2018). THE LAWRENCE GENERAL HOSPITAL CHNA FOCUSED ON THE HOSPITALS PRIMARY AND SECONDARY MARKETS, WHICH INCLUDE THE TOWNS OF: (PRIMARY) LAWRENCE, METHUEN, NORTH ANDOVER, HAVERHILL, AND ANDOVER IN MASSACHUSETTS (MA) AS WELL AS (SECONDARY) MIDDLETON (MA), GEORGETOWN (MA), SALEM (NH), PLAISTOW (NH), ATKINSON (NH), BOXFORD (MA), AND TEWKSBURY (MA). LGH ENGAGED HEALTH RESOURCES IN ACTION (HRIA), A NON-PROFIT PUBLIC HEALTH CONSULTANCY ORGANIZATION, TO CONDUCT THE 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 450 RESIDENTS AND 521 HEALTH OR SOCIAL SERVICE PROVIDERS; AND CONDUCTING FOCUS GROUPS AND 5 INTERVIEWS WITH PROVIDERS, COMMUNITY-BASED ORGANIZATIONAL STAFF, AND RESIDENTS TO IDENTIFY THE PERCEIVED HEALTH NEEDS, CHALLENGES TO ACCESSING SERVICES, CURRENT STRENGTHS AND ASSETS, AND OPPORTUNITIES FOR IMPROVEMENT IN THE COMMUNITY. THE 2019 CHNA ENGAGED MORE THAN 1100 INDIVIDUALS THE LAWRENCE GENERAL CHNA INCORPORATES DATA ON IMPORTANT SOCIAL, ECONOMIC, AND HEALTH INDICATORS PULLED FROM VARIOUS SOURCES, INCLUDING THE MA DEPARTMENT OF PUBLIC HEALTH (MASSCHIP), U.S. CENSUS, CENTERS FOR DISEASE CONTROL AND PREVENTION, AND U.S. BUREAU OF LABOR. TYPES OF DATA INCLUDED SELF-REPORT OF HEALTH BEHAVIORS FROM LARGE, POPULATION-BASED SURVEYS SUCH AS THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), AS WELL AS VITAL STATISTICS BASED ON BIRTH AND DEATH RECORDS. ALL TABLES AND GRAPHS NOTE THE SPECIFIC DATA SOURCE. THE LAWRENCE GENERAL HOSPITAL (LGH) PRIMARY AND SECONDARY SERVICE AREAS ARE COMPRISED OF A TOTAL OF 12 COMMUNITIES THAT CROSS STATE LINES (MASSACHUSETTS AND NEW HAMPSHIRE), COUNTY LINES (ESSEX COUNTY MA, MIDDLESEX COUNTY MA, AND ROCKINGHAM COUNTY NH), AND COMMUNITY HEALTH NETWORK AREAS. KEY HEALTH ISSUES EMERGED AS AREAS OF POTENTIAL CONCERN IN THE ASSESSMENT, BOTH FROM AN EPIDEMIOLOGICAL PERSPECTIVE AND RESIDENT/PROVIDER AREAS OF INTEREST. THESE MAY ALSO BE THE AREAS WHERE THERE IS THE MOST GROUNDSWELL OF SUPPORT FOR ACTION: - SOCIAL DETERMINANTS OF HEALTH (HOUSING AND TRANSPORTATION) - CHRONIC DISEASE (DIABETES AND OBESITY) AGING POPULATION - BEHAVIORAL HEALTH (SUBSTANCE USE DISORDER) - HEALTH CARE ACCESS OVERARCHING CONCLUSIONS THAT CUT ACROSS MULTIPLE TOPIC AREAS INCLUDE THE FOLLOWING: THE SERVICE AREA IS DEMOGRAPHICALLY AND ECONOMICALLY DIVERSE AND IN THE PAST THREE YEARS THE SERVICE AREA HAS GROWN MODESTLY. WHILE SEVERAL COMMUNITIES IN THE REGION SUCH AS ANDOVER AND NORTH ANDOVER ARE HIGHLY AFFLUENT, COMMUNITIES SUCH AS LAWRENCE AND TO A LESSER EXTENT METHUEN EXPERIENCE LOWER MEDIAN INCOMES, HIGHER RATES OF POVERTY AND UNEMPLOYMENT, AND LOWER LEVELS OF EDUCATION. THESE FACTORS ALL HAVE A SIGNIFICANT IMPACT ON PEOPLES HEALTH PRIORITIES, THEIR ABILITY TO SEEK SERVICES, ACCESS TO RESOURCES, RELIANCE ON SUPPORT NETWORKS, STRESS LEVEL, AND OPPORTUNITIES TO ENGAGE IN HEALTHFUL LIVES. INCREASED CULTURAL AND LINGUISTIC DIVERSITY DRIVEN BY AN INFLUX IN IMMIGRANTS ALONG WITH ECONOMIC INEQUITIES ACROSS THE REGION PRESENT SIGNIFICANT CHALLENGES WHEN DELIVERING SERVICES AND CARE THAT AIM TO MEET THE MULTITUDE OF NEEDS ACROSS THE REGION. ALL COMMUNITIES IN THE HOSPITALS SERVICE AREA SAW MODEST POPULATION GROWTH SINCE 2016 AND DECREASES IN BOTH THE PERCENTAGE OF FAMILIES LIVING BELOW POVERTY LEVEL AND RATES OF UNEMPLOYMENT. HOUSING AND TRANSPORTATION WERE HIGHLIGHTED AS BARRIERS TO INDIVIDUALS HEALTH STATUS. CHRONIC DISEASE, INCLUDING DIABETES AND OBESITY, WERE IDENTIFIED AS INDIVIDUAL OR FAMILY CONCERNS BY PROVIDERS AND RESIDENTS. OBESITY, LACK OF PROPER NUTRITION, AND SEDENTARY LIFESTYLE CONTINUE TO BE CONCERNS AMONG RESIDENTS, ORGANIZATIONAL LEADERS, AND HEALTH CARE PROVIDERS. FOOD INSECURITY REMAINS A TOP CONCERN, EVIDENCED BY HIGH UTILIZATION OF COMMUNITY AND SCHOOL-BASED NUTRITION PROGRAMS OF PARTICULAR CONCERN IS LACK OF ACCESS TO AND AFFORDABILITY OF HEALTHY FOODS. DIABETES AND HEART DISEASE ARE CONDITIONS OF PARTICULAR CONCERN TO RESIDENTS THAT ARE DIRECTLY RELATED TO DIET, LIFESTYLE, AND OBESITY OVER THE LAST DECADE THE PROPORTION OF THE POPULATION 65 YEARS OLD AND OVER HAS INCREASED ACROSS THE SERVICE ARE AND THE UNIQUE HEALTH NEEDS OF THE AGING POPULATION WERE NOTED BY RESIDENTS AND PROVIDERS. LIKE COMMUNITIES ACROSS THE STATE OF MA, ALL COMMUNITIES IN THE SERVICE AREA HAVE SEEN AN INCREASE IN THE PROPORTION OF THEIR POPULATION 65 YEARS AND OVER. ISSUES OF CONCERN INCLUDE COST OF HEALTH CARE AND PRESCRIPTION MEDICATIONS, AFFORDABLE HOUSING, SOCIAL ISOLATION, AND CHRONIC CONDITIONS; SPECIFICALLY, ALZHEIMERS AND DEMENTIA WERE IDENTIFIED AS GROWING CONCERNS FOR ELDERS IN THE COMMUNITY. AGING IN PLACE IS DESIRED BUT IT CAN BE DIFFICULT FOR FAMILIES TO EQUIP HOMES WITH NECESSARY ACCOMMODATIONS. BEHAVIORAL HEALTH, SPECIFICALLY ACCESS TO MENTAL HEALTH PROVIDERS AND SUBSTANCE USE DISORDERS CONTINUE TO BE CONCERNS IN THE COMMUNITY. BEHAVIORAL HEALTH REMAINED A KEY CONCERN AMONG PARTICIPANTS. RISING RATES OF STRESS HAVE BEEN COMPOUNDED BY THE OPIOID EPIDEMIC, 2018 GAS EXPLOSIONS, AND AMONG LOW-INCOME RESIDENTS, THE ADDITIONAL STRESSORS OF HOMELESSNESS AND FOOD INSECURITY. LIMITED ACCESS TO BEHAVIORAL HEALTH PROVIDERS (INCLUDING PSYCHIATRISTS), DRIVEN BY LOW INSURANCE REIMBURSEMENTS FOR BEHAVIORAL HEALTH SERVICES AND NOT ENOUGH PROVIDERS TO MEET SERVICE AREA DEMAND, LEAD TO LONG WAITS FOR BEHAVIORAL HEALTH SERVICES AND MEDICATION ADJUSTMENTS. SUBSTANCE USE DISORDER CONTINUES TO BE A SUBSTANTIAL CONCERN AMONG PARTICIPANTS, WHILE DETOX FACILITIES ARE LIMITED. VAPING, MARIJUANA, OPIOID AND ALCOHOL USE AMONG YOUTH WAS DESCRIBED AS A GROWING ISSUE. TRAUMA RELATED TO DRUGS, GUNS, DOMESTIC AND GANG VIOLENCE WAS A NEW THEME THAT EMERGED IN THE 2019 CHNA REPORT, RESIDENTS CONTINUE TO EXPRESS CONCERNS AROUND EQUITABLE ACCESS TO HEALTH CARE DUE TO AFFORDABILITY, AVAILABILITY OF PROVIDERS, AND INSURANCE COVERAGE. RESPONDENTS NOTED A NUMBER OF CHALLENGES TO ACCESSING HEALTHCARE INCLUDING: DIFFICULTIES OBTAINING HEALTH INSURANCE FOR IMMIGRANT POPULATIONS, LIMITED PHYSICIAN NETWORKS FOR THOSE WITH PUBLIC INSURANCE, COST OF CARE AND AFFORDABILITY OF PRESCRIPTION MEDICATIONS (PARTICULARLY FOR SENIORS), FEWER HEALTH CARE ACCESS POINTS DUE TO PRACTICE CLOSURES AND MERGERS, LOSS OF INSURANCE COVERAGE DURING PERIODS OF INCARCERATION, AND HOMELESSNESS. THE SERVICE AREA HAS A STRONG SENSE OF COMMUNITY, WITH PARTICIPANTS NAMING RESILIENCY, STRONG FAMILY AND COMMUNITY VALUES, AND SUPPORT FOR SOCIAL SERVICE ORGANIZATIONS AS STRENGTHS OF THE SERVICE AREA. PARTICIPANTS CITED MULTIPLE ASSETS OF THE REGION INCLUDING THE STRENGTH OF RESILIENCY, DIVERSITY, FAMILY AND COMMUNITY VALUES, LOCAL ACCESS TO HIGH-QUALITY HEALTHCARE SERVICES, AND THE MANY CLOSE COLLABORATIVE PARTNERSHIPS BETWEEN HEALTHCARE PROVIDERS, COMMUNITY ORGANIZATIONS, AND GOVERNMENT. |
| 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 PATIENTS 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 HOSPITALS 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 HOSPITALS OWN INTERNAL FINANCIAL ASSISTANCE PROGRAM. THE HOSPITAL WILL ALSO PROVIDE INFORMATION ON HOW TO CONTACT APPROPROPRIATE STAFF WITHIN THE HOSPITALS 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, LAWRENCES TOTAL POPULATION IS APPROXIMATELY 80,028 (CENSUS BUREAU 2019 ESTIMATE), OF WHICH ROUGHLY 60% 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. JUST OVER ONE QUARTER OF THE HOUSEHOLDS IN LAWRENCE CAN BE CLASSIFIED AS POOR, BASED ON THE FEDERAL POVERTY LEVEL. THE MA DEPARTMENT OF PUBLIC HEALTH HAS IDENTIFIED LAWRENCE PUBLIC SCHOOLS AS HAVING THE HIGHEST STUDENT RATES OF OBESITY IN THE STATE, AT 47%. AS THE PREVALENCE OF OBESITY HAS BEEN LINKED TO THE ECONOMIC HARDSHIP OF A COMMUNITY, THE CITY OF LAWRENCE CONTINUES TO BE AT RISK. THESE FINDINGS INDICATE THAT LAWRENCES 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 $31.2M IN CHARITABLE CARE AND COMMUNITY BENEFITS TO PERSONS WHO WOULD NOT OTHERWISE BE ABLE TO AFFORD QUALITY HEALTHCARE IN FY2020. |
| 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 277,171 INPATIENT ADMISSIONS, OBSERVATION STAYS AND OUTPATIENT VISITS. 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 HOSPITALS CLINICAL STRENGTHS INCLUDE A 24-HOUR EMERGENCY DEPARTMENT AND LEVEL III TRAUMA CENTER; A DEDICATED INTENSIVE CARE UNIT; ADVANCED SURGICAL CENTER; INPATIENT PEDIATRIC CENTER; WOMENS 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 HAS CONTINUALLY EXPANDED ITS AFFILIATION WITH BETH ISRAEL DEACONESS MEDICAL CENTER. THIS CLINICAL AFFILIATION WAS DEVELOPED TO ENHANCE PROGRAMS AND SERVICES AVAILABLE IN THE GREATER MERRIMACK VALLEY, INCREASE LOCAL ACCESS TO SPECIALTIES OF A HARVARD-AFFILIATED TEACHING HOSPITAL, 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 CHILDRENS MEDICAL SERVICES, WE HAVE AN ONGOING 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 BOSTONS TUFTS FLOATING 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 HOSPITALS 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: 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 Beth Israel Deaconess Medical Center (BIDMC) Boys & Girls Club of Greater Lawrence Childrens Hospital of Boston City of Lawrence 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 Elder Services of the Merrimack Valley, Inc. Essex County Community Foundation Family Services 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 Home Health Foundation/VNA Housing Families Ironstone Farm 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 Farmers Market 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 Daniel Rivera, 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 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 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 SEVEN AFFILIATES WITHIN THIS SYSTEM AS OF 9-30-2020, 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. |
| 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 |
| SECTION B, LINE 5 | THE HOSPITALS MOST RECENT CHNA (TAX YEAR 2019) CHNA UTILIZIED 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 630 RESIDENTS AND 473 HEALTH OR SOCIAL SERVICE PROVIDERS; AND CONDUCTING TWO FOCUS GROUPS AND 5 KEY INFORMANT INTERVIEWS TO IDENTIFY THE PERCEIVED HEALTH NEEDS, CHALLENGES TO ACCESSING SERVICES, CURRENT STRENGTHS AND ASSETS, AND OPPORTUNITIES FOR ACTION IN THE COMMUNITY. THE CNHA ENGAGED OVER 1100 PARTICIPANTS, GUIDED BY AN ADVISORY COMMITTEE OF 50 COMMUNITY PROVIDER STAKEHOLDERS. IN CONDUCTING ITS MOST RECENT CHNA, THE HOSPITAL INCLUDED MEMBERS FROM THE COMMUNITY WHO HAVE EXTENSIVE EXPERIENCE IN MATTERS OF PUBIC HEALTH. THIS INCLUDED MEMBERS FROM THE GREATER LAWRENCE FAMILY HEALTH CENTER, WITH ADVISORY GUIDANCE FROM THE CITY OF LAWRENCES MAYORS HEALTH TASK FORCE AND THE DEPARTMENTS OF PUBLIC HEALTH OF THE CITIES OF METHUEN AND NORTH ANDOVER, ALONG WITH REPRESENTATIVES FROM LAW ENFORCEMENT AND FIRST RESPONDERS, LOCAL SCHOOL SYSTEMS, FAITH COMMUNITY, AND OTHER SOCIAL AND GOVERNMENT SERVICES. |
| SECTION B, LINE 11 | THE HOSPITAL IS STILL IN THE PROCESS OF ADDRESSING ALL THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA. |
| 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. |
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 (9 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 (11/19 - On) | $395,159 | $0 | $45,745 | $0 | $29,750 | $0 | $21,000 | $0 | $6,807 | $0 | $498,461 | $0 | $0 | $0 |
| Dianne J Anderson | ||||||||||||||
| President & CEO (Until 10/19) | $570,041 | $0 | $146,448 | $0 | $156,000 | $0 | $21,500 | $0 | $23,436 | $0 | $917,425 | $0 | $0 | $0 |
| Cynthia Phelan | ||||||||||||||
| CORP. ASSISTANT SECRETARY & VP | $256,501 | $0 | $23,451 | $0 | $7,448 | $0 | $22,000 | $0 | $15,708 | $0 | $325,108 | $0 | $0 | $0 |
| Felix Mercado | ||||||||||||||
| CFO (Until 10/20) | $246,355 | $0 | $37,413 | $0 | $6,552 | $0 | $19,000 | $0 | $17,762 | $0 | $327,082 | $0 | $0 | $0 |
| Jason D Reid | ||||||||||||||
| Physician (Ortho Trauma) | $487,287 | $0 | $50,000 | $0 | $0 | $0 | $1,000 | $0 | $17,025 | $0 | $555,312 | $0 | $0 | $0 |
| John J Brady | ||||||||||||||
| Physician | $454,830 | $0 | $20,000 | $0 | $0 | $0 | $1,000 | $0 | $17,762 | $0 | $493,592 | $0 | $0 | $0 |
| Ziad Alfarah MD | ||||||||||||||
| Senior VP Medical Affairs | $392,373 | $0 | $49,100 | $0 | $21,170 | $0 | $21,000 | $0 | $17,342 | $0 | $500,985 | $0 | $0 | $0 |
| George Kondylis MD | ||||||||||||||
| Physician (Ed Chief) | $355,201 | $0 | $61,993 | $0 | $0 | $0 | $3,000 | $0 | $19,495 | $0 | $439,689 | $0 | $0 | $0 |
| Karen Moore | ||||||||||||||
| Senior VP Operations | $336,367 | $0 | $44,402 | $0 | $15,000 | $0 | $20,000 | $0 | $6,671 | $0 | $422,440 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART II: | PAYROLL RECORDS ARE FOR THE 1/1/2019 - 12/31/2019 CALENDAR YEAR. |
| 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, the President & CEO of the organization until October 2019 received a severance payment of $67,500. |
| 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: DIANNE J. ANDERSON, 403B PLAN ($2,500), 457B PLAN ($19,000), 457F PLAN($88,500); DEBORAH J. WILSON, 403B PLAN ($2,000), 457B PLAN ($19,000), 457F PLAN($29,750); CYNTHIA PHELAN, 403B PLAN ($3,000), 457B PLAN ($19,000), 457F PLAN($7,448); FELIX MERCADO, 403B ($0), 457B ($19,000), 457F PLAN ($6,552); JASON REID, 403B PLAN ($1,000), 457B PLAN ($0), 457F PLAN ($0); JOHN BRADY, 403B PLAN ($1,000), 457B PLAN ($0), 457F PLAN ($0); GEORGE KONDYLIS, MD, 403B PLAN ($3,000), 457B PLAN ($0), 457F PLAN ($0); KAREN MOORE, 403B PLAN ($1,000), 457B PLAN ($19,000), 457F PLAN ($15,000); ZIAD ALFARAH, MD, 403B PLAN ($2,000), 457B PLAN ($19,000), 457F PLAN ($21,170). |
| 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 | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| REFINANCING & CAPITAL EXPENDITURES | ||||||||
| A | 999999999 | noneavail | 2017-11-07 | $65,665,000 | REFINANCING & CAPTIAL EXPENDITURES | false | false | false |
| MASS DEVELOPMENT SERIES 2013B | ||||||||
| B | 999999999 | 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 | $6,664,973 | $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 | $4,492,351 | $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 | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropPct | Remedial Action TakenRemedialActionTakenInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | false | false | Yes (true) | Yes (true) | false | 0.00000 | 0.00000 | 0.00000 | false | false | 0.00000 | false | false |
| B | false | false | Yes (true) | Yes (true) | false | 0.00000 | 0.00000 | 0.00000 | 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 | DR EDUARDO HADDAD MEDICAL DIRECT | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | TRUSTEE | RelationshipDescriptionTxt |
| Transaction | $182,000 | TransactionAmt |
| Transaction | PHYSICIAN SERVICES | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART IV, LINE 1: | FormAndLineReferenceDesc |
| Explanation | PAYMENTS OF $182,000 LISTED FOR EDUARDO HADDAD, MD WERE PAID DIRECTLY TO HIM AS PART OF A MEDICAL DIRECTORSHIP. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 VII, BOARD OF DIRECTORS: | SUBSEQUENT TO THE END OF FISCAL YEAR 2019 AND AFTER THE FILING OF THE 2018 TAX RETURNS, FELIX. MERCADO, CFO WENT INTO A NEW POSITION, SENIOR VICE PRESIDENT OF BUSINESS/OPERATIONAL PERFORMANCE & CHIEF COMPLIANCE OFFICER WITH THE HOSPITAL ON 10/1/2020. MICHAEL S. TURILLI WAS HIRED AS THE NEW SENIOR VICE PRESIDENT/CFO IN APRIL 2021 AND WILL BE SIGNING THIS TAX FILING, ALTHOUGH HE WAS NOT ON THE BOARD OF DIRECTORS FOR THE FISCAL YEAR IN WHICH THIS FORM 990 COVERS. |
| FORM 990, PART VIII, LINE 11A: | During the Hospitals fiscal year 2020 Lawrence General Hospital and the Commonwealth of Massachusetts Executive Office of Health and Human Services Office of Medicaid Services (EOHHS) entered into an Amended and Restated fiscal year 2018-2022 Safety Net Provider Agreement. This Agreement calls for payment of the following amounts to the Hospital: a total of $13,200,000 for state fiscal year (SFY) 2018; $12,900,000 for SFY 201919; $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 MassHealths ACO program; determination by EOHHS that the Hospital meaningfully participates in MassHealths 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, RECONCILIATION OF NET ASSETS: | CHANGE IN THE VALUE OF NET ASSETS HELD BY LGH CHARITABLE TRUST, INC. $2,837,000; NET ASSET TRANSFER TO COMMUNITY MEDICAL ASSOCIATES, INC. ($5,500,000); NET ASSET TRANSFER FROM LGH CHARITABLE TRUST, INC. $1,406,000; LOSS ON RETIREMENT OF LONG-TERM DEBT ($25,000); CAPITAL GRANT TO LGHCT $104,000; OTHER $583; EQUALS: TOTAL OTHER CHANGES IN NET ASSETS ($1,177,417). |
| Form 990, COVID-19 Disclosure: | On January 30, 2020, the World Health Organization ("WHO") announced a global health emergency because of a new strain of coronavirus (the "COVID-19 outbreak") and the risks to the international community as the virus spreads globally beyond its point of origin. In March 2020, the WHO classified the COVID-19 outbreak as a pandemic, based on the rapid increase in exposure globally. As a result of the COVID-19 outbreak, the Organization has incurred, and is expected to incur for the foreseeable future, incremental and other COVID-19 pandemic related expenses. COVID-19 related expenses consist of additional costs that the Organization is incurring to protect its employees, contractors, and customers, and to support social-distancing requirements resulting from the COVID-19 pandemic. These costs include, but are not limited to, new or added benefits provided to employees, the use of temporary staffing, the purchase of additional personal protection equipment and disinfecting supplies, additional facility cleaning services, and increased technology expenses to support remote working, where possible. The full impact of the COVID-19 outbreak continues to evolve as of the date of this report. As such, it is uncertain as to the full impact that the pandemic will have on the Organization's financial condition, liquidity, and future results of operations. Management is actively monitoring the global situation on its financial condition, liquidity, operations, suppliers, industry, and workforce. On March 27, 2020, the Coronavirus Aid, Relief and Economic Security Act (the "CARES" Act) was enacted. The CARES Act, among other things, has apportioned funds for the United States Small Business Administartion Paycheck Protection Program ("PPP") loans that are forgivable in certain situations to promote continued employement, as well as Economic INjury Disaster Loan. The CARES Act also established funding to hospitals and other healthcare providers to be distributed through the Provider Relief Fund. These funds are not required to be repaid provided the recipients attest to, and comply with, certain terms and conditoins, including among other things, that the funds are being used for lost operating revenues and COVID-19 related expenses. During 2020, the Organization received approximately $44,294,000 of federal provider relief funding, which has been recorded as other revenue at September 30, 2020. Management continues to examine the impact that the COVID-19 outbreak and CARES Act may have on its business. Management is currently unable to determine any additional impact on its financial condition, results of operation, or liquidity. Although the Organization cannot estimate the length or gravity of the impact of the COVID-19 outbreak at this time, if the pandemic continues, it may have a material adverse effect on the Organization's results of future operations, financial position, and liquidity in fiscal year 2021. |
Schedule R IRS990ScheduleR
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 | 01840 | 222604915 | MEDICAL IMAGI | 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 | Management Se | PrimaryActivitiesTxt |
| Legal Domicile State | MA | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LGH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Share Of Total Income | $248,230 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $846,986 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | false | DisproportionateAllocationsInd |
| UBI Code V | $0 | UBICodeVAmt |
| General Or Managing Partner | false | GeneralOrManagingPartnerInd |
| Ownership | 0.51000 | 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 | $0 | $2,181,096 | 1.00000 | Yes (true) |
| LGH PHYSICIAN ASSOCIATES PC | ||||||||||||
| 38 PROSPECT STREET | LAWRENCE | MA | 01842 | 043174041 | HEALTHCARE MG | MA | LGH INC | C-CORP | $0 | $2,279,087 | 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 (12 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| COMMUNITY MEDICAL ASSOCIATES INC | ||
| B | $5,500,000 | REVIEW OF RECOR |
| LGH HEALTH ENTERPRISES INC | ||
| O | $13,649 | REVIEW OF RECOR |
| LGH PHYSICIAN ASSOCIATES PC | ||
| O | $34,983 | REVIEW OF RECOR |
| LGH CHARITABLE TRUST INC | ||
| O | $607,058 | REVIEW OF RECOR |
| LGH CHARITABLE TRUST INC | ||
| S | $1,406,000 | REVIEW OF RECOR |
| COMMUNITY MEDICAL ASSOCIATES | ||
| P | $147,368 | REVIEW OF RECOR |
| LGH PHYSICIAN ASSOCIATES PC | ||
| P | $2,126,937 | REVIEW OF RECOR |
| COMMUNITY MEDICAL ASSOCIATES | ||
| O | $1,022,046 | REVIEW OF RECOR |
| LGH CHARITABLE TRUST INC | ||
| N | $4,631 | REVIEW OF RECOR |
| MERRIMACK VALLEY HEALTH SERVICES | ||
| E | $2,655,000 | REVIEW OF RECOR |
| LGH CHARITABLE TRUST INC | ||
| D | $8,836,000 | REVIEW OF RECOR |
| MERRIMACK VALLEY HEALTH SERVICES | ||
| E | REVIEW OF RECOR | |
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