2017-08-11T13:12:51-05:00 2016-09-30 BDO USA LLP TWO INTERNATIONAL PLACE BOSTON MA 02110 990 2015-10-01 042103586 LAWRENCE GENERAL HOSPITAL % FELIX V MERCADO CFO LAWR 9786834000 1 GENERAL STREET LAWRENCE MA 018412961 DEBORAH J WILSON CORP ASST TREAS 9786834000 2017-08-15 true JEFFREY ROGERS P01074284 6174220700 2015 2021-01-29 14:40:06Z FELIX V MERCADO CFO 1 GENERAL STREET LAWRENCE MA 018412961 245085086 false X www.lawrencegeneral.org X 1875 MA ACUTE CARE COMMUNITY HOSPITAL PROVIDING INPATIENT AND OUTPATIENT HEALTH SERVICES TO THE GENERAL PUBLIC. 19 12 2207 221 562596 -743217 437659 462181 203791000 215291544 970860 664024 22056341 25660860 227255860 242078609 0 0 0 0 135257803 136318974 0 0 244547 95110701 103804197 230368504 240123171 -3112644 1955438 219782520 222135539 99370831 107383622 120411689 114751917 X 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. false false 77990999 111263372 INPATIENT HEALTHCARE SERVICES - PROVIDING INPATIENT SERVICES CONSISTENT WITH OUR CORE VALUES BY PROVIDING ACCESS TO COMPREHENSIVE, HIGH QUALITY, COMPASSIONATE AND EFFICIENT HEALTHCARE SERVICES. LAWRENCE GENERAL HOSPITAL IS A 189 BED HOSPITAL THAT PROVIDED 44,776 PATIENT DAYS OF INPATIENT SERVICES WITH 12,146 DISCHARGES DURING FY2016. 72919424 104028171 OUTPATIENT HEALTHCARE SERVICES - PROVIDING OUTPATIENT SERVICES CONSISTENT WITH OUR CORE VALUES BY PROVIDING ACCESS TO COMPREHENSIVE, HIGH QUALITY, COMPASSIONATE AND EFFICIENT HEALTHCARE SERVICES. DURING FY2016, LAWRENCE GENERAL HOSPITAL HAD 261,413 OUTPATIENT VISITS. 17989242 25098265 168899665 true true false true false false false false false true true false false true true true false true false false false false false false false false true true false false true true false false false false false false false true true true false false false false false true true true true false true 224 0 true 2207 true true true false false false false false false false false false X 19 12 false false false false false false false true true false true true true true true true true true true true false MA X X FELIX V MERCADO CFO 9786834000 1 GENERAL STREET LAWRENCE MA 01841 MATTHEW A CAFFREY ESQ CHAIRMAN 1.0 0.0 X 0 0 0 DIANNE J ANDERSON PRESIDENT & CEO 50.0 0.0 X X 759874 0 44194 DANA J MARKS TREASURER 1.0 0.0 X 0 0 0 ROBERT GILBERT ESQ TRUSTEE (OCT 15-DEC 15) 1.0 0.0 X 0 0 0 DEBORAH J WILSON CORP. ASSISTANT TREA 50.0 0.0 X X 451758 0 32382 RICHARD CHOI MD TRUSTEE 1.0 0.0 X 0 0 0 CHRISTOPHER H COLECCHI TRUSTEE 1.0 0.0 X 0 0 0 DENNIS A CONLIN TRUSTEE 1.0 0.0 X 0 0 0 EDUARDO HADDAD MD TRUSTEE 1.0 0.0 X 0 0 0 JONATHAN ISAACSON TRUSTEE 1.0 0.0 X 0 0 0 ALAN LEBOVIDGE TRUSTEE 1.0 0.0 X 0 0 0 PATRICIA MCGOVERN ESQ TRUSTEE 1.0 0.0 X 0 0 0 CHERYL K NEAL TRUSTEE 1.0 0.0 X 0 0 0 RONALD J POLLINA TRUSTEE 1.0 0.0 X 0 0 0 MATTHEW REMIS TRUSTEE 1.0 0.0 X 0 0 0 LUIS E YEPEZ JR TRUSTEE 1.0 0.0 X 0 0 0 DEBORAH RAHMIN SILBERSTEIN ESQ TRUSTEE (DEC15-FORWARD) 1.0 0.0 X 0 0 0 NAOMI GARDNER TRUSTEE (OCT15-DEC15) 1.0 0.0 X 0 0 0 CYNTHIA PHELAN CORP. ASSISTANT SECREATRY (DEC 50.0 0.0 X X 250691 0 26592 NORMAN ROGERS TRUSTEE (DEC15-FORWARD) 1.0 0.0 X 0 0 0 ROBERT GILBERT ESQ SECRETARY (DEC 15-FORWARD) 1.0 0.0 X 0 0 0 DEBORAH RAHIM SILBERSTEIN ESQ SECRETARY (OCT 15-DEC 15) 1.0 0.0 X 0 0 0 NEIL MEEHAN MD CHIEF MEDICAL OFFICER 50.0 0.0 X 497439 0 37583 DANIEL CONCAUGH SVP, NETWORK & BUSINESS DEVELO 50.0 0.0 X 405337 0 16609 GEORGE KONDYLIS MD CHIEF ED PHYSICIAN 40.0 0.0 X 387397 0 19542 MARIA DIENHART MD PHYSICIAN 32.0 0.0 X 389912 0 9154 RAFAEL BLOISE MD PHYSICIAN 40.0 0.0 X 367981 0 13506 DENISE S PALUMBO CORPORATE ASSISTANT SECRETARY 50.0 0.0 X 445710 0 25775 3956099 0 225337 267 true true false BOND BROTHERS 145 SPRING STREET EVERETT MA 02149 General Contractor 7270223 GREATER LAWRENCE FAMILY HEALTH CENT 34 HAVERHILL STREET LAWRENCE MA 01841 Physician Services 5411256 TEAM HEALTH 265 brookview centre way knoxville TN 37919 ANESTHESIA SERVICES 2055987 Morrisswtizer 21 Drydock Ave 21-630W boston MA 02110 ARCHITECT 1536935 THE EXEC SEARCH GROUP 675 THIRD AVENUE - 5TH FLOOR NEW YORK NY 10017 PHYSICIAN LOCUMS 1649555 73 X 462181 462181 NET PATIENT REVENUE 621110 214732548 214732548 NET PATIENT REVENUE (LAB RECE 621500 558996 558996 215291544 417000 417000 0 0 0 0 0 3253501 3006477 247024 247024 247024 0 0 0 WAIVER/DSTI RECEIPTS 621110 14433333 14433333 MEANINGFUL USE/EHR RECEIPTS 621110 573180 573180 MEALS 621110 1163999 1163999 9490348 9486748 3600 25660860 242078609 240389808 562596 664024 X 0 0 0 0 1479266 1479266 0 113097990 91033621 21860019 204350 1317382 1063154 251841 2387 12495301 10083962 2388703 22636 7929035 6398893 1515778 14364 32283894 15492331 16791563 517081 517081 132970 132970 97272 97272 0 15000 15000 0 540407 540407 846707 494553 351874 280 2179658 51748 2127910 0 4968492 2041598 2926894 240957 72004 168953 0 159638 139063 20575 2108887 2108887 0 9820306 9820306 1680695 1680695 MEDICAL SUPPLIES 17280932 17280932 PHARMACEUTICALS 8081937 8081937 PHYSICIAN FEES 5617975 5617975 MAINTENANCCE & REPAIRS 3211958 2197696 1014262 14019431 8850198 5168703 530 240123171 168899665 70978959 244547 11961779 20653344 0 0 0 0 28537960 33719947 0 0 0 0 6835000 6835000 5037981 5020131 1042323 1311665 183707211 101999784 69836585 81707427 16181144 17628277 0 0 0 0 0 0 80349748 55259748 219782520 222135539 22099499 26787618 0 0 0 0 57608027 55663332 0 0 0 0 0 0 0 293522 19663305 24639150 99370831 107383622 X 114523308 113651917 4788381 0 1100000 1100000 120411689 114751917 219782520 222135539 X 1955438 917776 -8532986 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 97272 false false 97272 PART II-B, LINE 1G, LOBBYING ACTIVITIES: represents (A) 32.43% of Massachusetts Hospital Association ('MHA') annual DUES/feeS THAT IS deemed to be used for lobbying expenditures ($46,693); (B) 21.78% of american hospital association ('aha') annual dues/fees that is deemed to be used for lobbying expenditures ($9,479); and (C) consultant expenses deemed to be used for lobbying expenditures ($41,100) IN FY2016. false 1100000 1100000 1100000 1100000 1100000 1100000 1100000 1100000 1100000 1100000 false false 0 1786879 1786879 0 79104086 56102091 23001995 0 1846067 507325 1338742 0 64707088 43476173 21230915 0 36263091 1914195 34348896 81707427 OTHER ASSETS 5945946 FUNDS HELD BY TRUSTEE 12671066 INTEREST LGH CHARITABLE TRUST 16949391 OTHER RECEIVABLES 4733082 DUE FROM AFFILIATES 6841648 EST. SETTLEMENTS W/THIRD PARTY 5938559 SPLIT INTEREST AGREEMENTS 2180056 55259748 0 ACCRUED SALARIES AND WAGES 10050993 CAPITAL LEASE OBLIGATIONS 341878 DUE TO AFFILIATES 3313499 OTHER LONG-TERM LIABILITIES 4355762 CONSTRUCTION PAYABLE 2577018 LINE OF CREDIT - SANTANDER BANK, NA 4000000 24639150 X 242996240 917631 917631 242078609 242078609 240123171 240123171 240123171 PART X, LINE 2: THE ORGANIZATION ANNUALLY EVALUATES ITS TAX STATUS AND TAX POSITIONS TAKEN WITH RESPECT TO ITS OPERATIONS AND FINANCIALS POSITION. TAX YEARS 2012 THROUGH THE CURRENT YEAR REMAIN OPEN FOR EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES. true true true X true X true true false true true 8756898 5522518 3234380 0.01350 35418991 32354408 3064583 0.01280 2434451 4143989 -1709538 0.00710 46610340 42020915 4589425 0.01920 3122570 132216 2990354 0.01250 4566765 1448219 3118546 0.01300 7689335 1580435 6108900 0.02550 54299675 43601350 10698325 0.04470 false 14419448 70524863 73268837 -2743974 X true true 1 1 LAWRENCE GENERAL HOSPITAL 1 GENERAL STREET LAWRENCE MA 01841 X X X X Lawrence General Hospital 1 false false true X X X X X X X X X 15 true false false true X www.lawrencegeneral.org X true 15 false false false true X 200. 400. true true X true X X X X true X false X X X X true X false true Part V, Section B, Line 5 THE HOSPITALS MOST RECENT CHNA (TAX YEAR 2015) 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 450 RESIDENTS AND 521 HEALTH OR SOCIAL SERVICE PROVIDERS; AND CONDUCTING TWO FOCUS GROUPS AND 5 INTERVIEWS WITH KEY STAKEHOLDERS TO IDENTIFY THE PERCEIVED HEALTH NEEDS, CHALLENGES TO ACCESSING SERVICES, CURRENT STRENGTHS AND ASSETS, AND OPPORTUNITIES FOR ACTION IN THE COMMUNITY. THE QUALITATIVE DISCUSSIONS IN THE CHNA ENGAGED MORE THAN 30 INDIVIDUALS, COMBINED TO TOTAL MORE THAN 1,000 PARTICIPANTS, GUIDED BY AN ADVISORY COMMITTEE OF MORE THAN 40 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, THE CITY OF LAWRENCES MAYORS HEALTH TASK FORCE AND THE DEPARTMENT OF PUBLIC HEALTH OF THE CITY OF METHUEN. 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. PART I, LINE 6A: THE HOSPITAL PREPARES A COMMUNITY BENEFIT REPORT EACH AND EVERY TAX YEAR AND MAKES IT AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.LAWRENCEGENERAL.ORG. 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, 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, LINE 4: THE FOOTNOTES OF THE FINANCIAL STATEMENTS DESCRIBE THE FOLLOWING: AN ALLOWANCE FOR DOUBTFUL ACCOUNTS IS RECORDED TO REPORT ACCOUNTS RECEIVABLE AT THEIR NET REALIZABLE VALUE. THE ESTIMATED LOSSES ARE BASED UPON HISTORICAL COLLECTION EXPERIENCE TOGHER WITH A REVIEW OF THE CURRENT STATUS OF THE EXISTING RECEIVABLES. PART III, LINE 8: OF THE ESTIMATED $2,743,974 LOSS ON MEDICARE PATIENTS, THE HOSPITAL BELIEVES THAT $850,783 REPRESENTS A COMMUNITY BENEFIT. THIS AMOUNT REFLECTS THE STATUTORY MEDICARE BAD DEBT REDUCTION OF 35% APPLIED TO MEDICARE/MEDCAID "CROSSOVER" BAD DEBTS FROM UNPAID COINSURANCE AND/OR DEDUCTIBLE AMOUNTS ASSOCIATED WITH SERVICES PROVIDED TO TITLE XVIII AND TITLE XIX DUAL ELIGIBLE PATIENTS. PART III, LINE 6 THE HOSPITAL USES THE SAME COST FINDING METHOD EMPLOYED IN THE MEDICARE COST REPORT, WHICH IS A BLEND OF COSTS TO CHARGE ('RCC') AND PER DIEM METHODOLOGIES. PART III, 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. WE ALSO UTILIZE THE "THE HEALTH OF THE MERRIMACK VALLEY" REPORT PREPARED BY THE BOSTON UNIVERSITY SCHOOL OF PUBLIC HEALTH. 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 2016 (TAX YEAR 2015). 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 QUALITATIVE DISCUSSIONS IN THE 2015 TAX YEAR CHNA ENGAGED MORE THAN 60 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. THE COMMUNITY HEALTH NEEDS ASSESSMENT PROVIDED AN OVERVIEW OF THE SOCIAL AND ECONOMIC ENVIRONMENT OF THE MERRIMACK VALLEY REGION, THE HEALTH CONDITIONS AND BEHAVIORS THAT AFFECT ITS RESIDENTS, AND PERCEPTIONS OF STRENGTHS AND CHALLENGES IN THE CURRENT ENVIRONMENT. 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: -OBESITY -HEALTHY EATING & PHYSICAL ACTIVITY -DIABETES -ASTHMA -CARDIOVASCULAR & CEREBRAL HEALTH -CANCER OVERARCHING CONCLUSIONS THAT CUT ACROSS MULTIPLE TOPIC AREAS INCLUDE THE FOLLOWING: THERE IS WIDE VARIATION IN THE REGION IN POPULATION COMPOSITION AND SOCIOECONOMIC LEVELS, WITH LAWRENCE RESIDENTS IN PARTICULAR FACING UNIQUE SOCIOECONOMIC AND HEALTH CONCERNS. 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. THE CULTURAL, LANGUAGE, AND ECONOMIC DIVERSITY ACROSS THE REGION PRESENTS SIGNIFICANT CHALLENGES WHEN DELIVERING SERVICES AND CARE THAT AIM TO MEET THE MULTITUDE OF NEEDS ACROSS THE REGION. ADDITIONALLY, INCIDENTS OF VIOLENCE AND CRIME IN LAWRENCE FAR EXCEED THE REST OF THE REGION AND FURTHER INHIBIT HEALTH OF RESIDENTS BY AFFECTING THEIR ABILITY TO BE SAFE BEING PHYSICALLY ACTIVE OUTSIDE, EXACERBATING STRESS AND ANXIETY LEVELS, AND CONTRIBUTING IN SOME CASES TO INTENTIONAL INJURIES. SUBSTANCE USE AND MENTAL HEALTH WERE CONSIDERED GROWING, PRESSING CONCERNS BY FOCUS GROUP AND INTERVIEW RESPONDENTS, AND ONE IN WHICH THE CURRENT SERVICES WERE NOT SEEN AS NECESSARILY ADDRESSING COMMUNITY NEEDS. SUBSTANCE USE, PARTICULARLY RELATED TO ALCOHOL AND PRESCRIPTION DRUGS, WAS AN ISSUE RAISED BY SEVERAL PARTICIPANTS. THE LIMITED NUMBER OF SUBSTANCE ABUSE PROVIDERS AND COMPLEXITY OF ADDICTION WERE IDENTIFIED AS CONTRIBUTING TO THIS PROBLEM. ADDITIONALLY, IN CONVERSATIONS WITH INTERVIEW AND FOCUS GROUP PARTICIPANTS, MANY NOTED THAT THE ISSUES OF SUBSTANCE ABUSE AND MENTAL HEALTH ARE INTRICATELY INTERTWINED. THIS SITUATION MAKES ADDRESSING THESE ISSUES EVEN MORE CHALLENGING. CURRENT TREATMENT PROGRAMS DO EXIST, BUT THE DEMAND WAS SEEN AS EXCEEDING THE NUMBER OF PROVIDERS AVAILABLE. CHRONIC DISEASES AND THEIR RELATED RISK FACTORS DISPROPORTIONATELY AFFECT RESIDENTS OF SOME OF LAWRENCE GENERALS SERVICE AREA. OBESITY, LACK OF PROPER NUTRITION, AND SEDENTARY LIFESTYLE CONTINUE TO BE CONCERNS AMONG RESIDENTS, ORGANIZATIONAL LEADERS, AND HEALTH CARE PROVIDERS. OF PARTICULAR CONCERN WAS AFFORDABILITY OF HEALTHY FOODS AND THE FRAGMENTATION/LACK OF COORDINATION OF AREA PROGRAMS ON THE TOPIC. DIABETES AND HEART DISEASE WERE DESCRIBED AS CONDITIONS DIRECTLY AFFECTED BY OBESITY AND LIFESTYLE ISSUES OF PARTICULAR CONCERN TO RESIDENTS. DESPITE IMPROVEMENTS IN HEALTH CARE COVERAGE, RESIDENTS STILL EXPERIENCE BARRIERS TO ACCESSING CARE. WHILE HEALTH CARE COVERAGE IN MASSACHUSETTS HAS EXPANDED, ASSESSMENT PARTICIPANTS CITED SEVERAL CHALLENGES TO ACCESSING CARE INCLUDING FINANCIAL BARRIERS, LACK OF COORDINATED CARE, LACK OF WEEKEND/EVENING HOURS, LONG WAIT TIMES, AND THE NEED FOR CULTURALLY COMPETENT CARE. PARTICIPANTS ALSO INDICATED THAT THERE ARE INSUFFICIENT RESOURCES TO ADDRESS THE GROWING NEED FOR MENTAL HEALTH SERVICES IN THE COMMUNITY. OVERALL, THE INTEGRATION AND COORDINATION OF CARE WAS AN IMPORTANT THEME DISCUSSED BY PARTICIPANTS. OPPORTUNITIES EXIST TO BUILD ON COMMUNITY ASSETS AND COORDINATE EFFORTS TO ADDRESS THE NEEDS OF THE COMMUNITY. PARTICIPANTS CITED MULTIPLE ASSETS OF THE REGION INCLUDING THE STRENGTH OF DIVERSITY, QUALITY OF HEALTH CARE SERVICES, COLLABORATIVE ORGANIZATIONAL PARTNERSHIPS, AND AN ABUNDANCE OF ORGANIZATIONS ALREADY WORKING TOGETHER. PARTICIPANTS WANTED TO SEE MORE OF THESE ASSETS AND HAD A VISION OF A COMMUNITY WITH A GREATER EMPHASIS ON WELLNESS AND HEALTHY ENVIRONMENTS/WORKPLACES, REDUCTION IN POVERTY AND CRIME, AND IMPROVED COLLABORATION ACROSS MULTIPLE ENTITIES AND ORGANIZATIONS. ORGANIZATIONS ALREADY WORKING TOGETHER. PARTICIPANTS WANTED TO SEE MORE OF THESE ASSETS AND HAD A VISION OF A COMMUNITY WITH A GREATER EMPHASIS ON WELLNESS AND HEALTHY ENVIRONMENTS/WORKPLACES, REDUCTION IN POVERTY AND CRIME, AND IMPROVED COLLABORATION ACROSS MULTIPLE ENTITIES AND ORGANIZATIONS. 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, CHILDRENS MEDICAL SECURITY PLAN, 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. KNOWN AS THE "IMMIGRANT CITY", LAWRENCE HAS ALWAYS BEEN A MULTI-ETHNIC AND MULTICULTURAL GATEWAY CITY WITH A HIGH PERCENTAGE OF FOREIGN-BORN RESIDENTS. THE SUCCESSIVE WAVES OF IMMIGRANTS COMING TO LAWRENCE TO WORK IN THE MILLS BEGAN WITH THE IRISH, FOLLOWED BY THE FRENCH CANADIANS, ENGLISHMEN, AND GERMANS IN THE LATE 1800'S. AROUND THE TURN OF THE CENTURY AND EARLY 1900'S, ITALIANS, POLES, LITHUANIANS, AND SYRIANS BEGAN ARRIVING. THE WAVE OF PUERTO RICANS AND DOMINICANS STARTED IN THE MID TO LATE 1900'S, AND THE NEWEST ARRIVALS HAVE ORIGINATED FROM VIETNAM AND CAMBODIA. THE CURRENT POPULATION IS LARGELY HISPANIC AND HAS GIVEN A LATINO SLANT TO THE LOCAL ECONOMY AND CULTURE. TODAY, LAWRENCE REMAINS AN URBAN CENTER WITH A SIGNIFICANT PART OF ITS ECONOMY STILL MANUFACTURING-BASED. DESPITE GLOBAL TRENDS THAT HAVE SEEN MANUFACTURING INDUSTRIES MOVE SOUTH AND OVERSEAS, THE CITY IS STILL A HUB OF TEXTILE, APPAREL AND SHOE COMPANIES SUCH AS MALDEN MILLS, KGR INC., GRIECO BROTHERS, NEW BALANCE AND CARDINAL SHOE. WITH THE AFFORDABLE SPACE AND CLOSE PROXIMITY TO 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. SINCE THE EARLY 1970S, LAWRENCE HAS BECOME HOME TO A SIZABLE HISPANIC POPULATION. CURRENTLY, LAWRENCES TOTAL POPULATION IS APPROXIMATELY 77,650 (2013 CENSUS), OF WHICH ROUGHLY 60% ARE OF LATINO DESCENT, MAINLY FROM THE DOMINICAN REPUBLIC AND PUERTO RICO. WITH ALL THIS SAID, LAWRENCE, MA IS A CITY WITH SIGNIFICANT CHALLENGES. A LARGE NUMBER OF LAWRENCE GENERAL HOSPITALS PATIENTS (OVER 50%) ARE LATINOS RESIDING IN LAWRENCE. ONCE A THRIVING CITY AND THE HUB OF THE U.S. TEXTILE INDUSTRY, THE CITY OF LAWRENCE HAS TRULY NEVER RECOVERED FROM THE DEVASTATING ECONOMIC DECLINE IT SUFFERED WHEN THE MILLS BEGAN TO CLOSE IN THE 1960'S. TODAY, THE CITY IS A DENSELY POPULATED, IMPOVERISHED AREA WITH HIGH LEVELS OF UNEMPLOYMENT, HIGH 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 WITH ITS SOARING RATES OF POVERTY. 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 LIVING IN THEIR COMMUNITIES. FOR INSTANCE, URBAN RESIDENTS OFTEN LACK CONSISTENT ACCESS TO HEALTHY FOOD CHOICES AND SAFE PLACES FOR PHYSICAL ACTIVITY IN THEIR NEIGHBORHOODS. ADDITIONALLY, MANY LAWRENCE PUBLIC SCHOOLS HAVE LIMITED SPACE AND NO DESIGNATED GYMNASIUM, AND THEREFORE, NO FORMAL PHYSICAL EDUCATION PROGRAMS FOR THEIR STUDENTS. APPROXIMATELY 40% OF THE PATIENTS THAT LAWRENCE GENERAL TREATS ON AN ANNUAL BASIS ARE ON SOME TYPE OF GOVERNMENT ASSISTANCE PROGRAM OR NEED FINANCIAL ASSISTANCE WITH THEIR MEDICAL COSTS. AS A RESULT, LAWRENCE GENERAL PROVIDED OVER $17M IN CHARITABLE CARE AND COMMUNITY BENEFITS TO PERSONS WHO WOULD NOT OTHERWISE BE ABLE TO AFFORD QUALITY HEALTHCARE IN FY2016. 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 OF A GROWING UNINSURED POPULATION AND 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. THIS PAST YEAR, LGH TREATED NEARLY 300,000 INPATIENTS AND OUTPATIENTS. LGH IS NOW THE ONLY LOCALLY-CONTROLLED, NOT-FOR-PROFIT HOSPITAL IN THE CENTRAL MERRIMACK VALLEY WITH A BOARD OF TRUSTEES FROM OUR REGION. AS THE LARGEST PRIVATE EMPLOYER IN LAWRENCE, LGH PROVIDES 189 BEDS AND IS STAFFED BY 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; PEDIATRIC CENTER; WOMENS HEALTH SERVICES; IMAGING CENTER; CARDIAC SERVICES; SLEEP CENTER; MITS (MINIMALLY INVASIVE THORACIC SURGERY) CLINIC; BIRTHING CENTER; DAY SURGERY CENTER; BARIATRIC CENTER; COMMUNITY CANCER PROGRAM; OUTPATIENT PHYSICAL THERAPY CENTER; AND AN ADVANCED LIFE SUPPORT MOBILE PROGRAM. ALL OF THESE SERVICES CREATE A HEALTH SAFETY NET FOR THE CITY OF LAWRENCE. LGHS SUCCESS IS LINKED TO ITS ABILITY TO COMBINE ITS LONG HISTORY IN IDENTIFYING AND ADDRESSING COMMUNITY NEEDS WITH ITS EXPERTISE IN COMPLETING LARGE, COMPLEX INITIATIVES AND RENOVATION PROJECTS WHICH OFTEN INVOLVE DEVELOPING SOLID COLLABORATIVE PARTNERSHIPS WITH HIGH-QUALITY MEDICAL PROVIDERS. 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 THROUGH AN INTEGRATED ELECTRONIC MEDICAL RECORD SYSTEM. IN THE PAST THREE YEARS, THE HOSPITAL HAS ADDED MANY NEW SPECIALISTS AND/OR SPECIALTY CLINICS TO BETTER SERVE THE MERRIMACK VALLEY REGION. THE HOSPITAL IS ALSO WORKING CLOSER WITH PENTUCKET MEDICAL AND GREATER LAWRENCE FAMILY HEALTH CENTER TO INCREASE THE BREADTH OF SERVICES AVAILABLE LOCALLY, WHILE DECREASING OVERALL HEALTH CARE COSTS. THE HOSPITALS EFFORTS TO CONTINUALLY ASSESS OUR PATIENT SERVICES AND HEALTH CARE NEEDS OF THE COMMUNITY RECENTLY LED OUR MEDICAL STAFF TO RECOGNIZE THE NEED FOR PEDIATRIC EXPERTISE BEYOND THE IMMEDIATE COMMUNITY, AND THE IMPORTANCE OF TREATING CHILDREN CLOSE TO HOME. WE HAVE ENHANCED OUR ABILITY TO SERVE OUR YOUNGEST POPULATION THROUGH OUR 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, WE NOW OFFER OUR PATIENTS TOP PEDIATRICIANS ON-SITE AT LGH, 24-HOURS, 7-DAYS A WEEK, 365-DAYS A YEAR IN OUR LGH PEDIATRIC CENTER. THIS PARTNERSHIP ENABLES CHILDREN AT LGH TO BENEFIT DIRECTLY FROM THE EXPERTISE OF HIGHLY-TRAINED PEDIATRIC SPECIALISTS FROM BOSTON. THROUGH COLLABORATIVE MEETINGS OPEN TO THE PUBLIC AND PUBLIC FORUMS AND VIA OUR ACTIVE AND ENTHUSIASTIC PATIENT FAMILY ADVISORY COMMITTEE, THE HOSPITAL OBTAINS INPUT TO THE COMMUNITY BENEFITS PLAN. THE HOSPITAL BOARD OF TRUSTEES, WHO LIVE AND WORK IN THE LOCAL COMMUNITY ALSO PARTICIPATE, AND THE SENIOR MANAGEMENT OF THE HOSPITAL ENSURES IMPLEMENTATION 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 Arbour Counseling: Latino Health Partial Hospitalization 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 General Hospital Auxiliary 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 SIX AFFILIATES WITHIN THIS SYSTEM AS OF 9-30-2016, 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 QUALIFIED 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 NEW SURGICAL BUILDING. MERRIMACK VALLEY HEALTH SERVICES, INC. THIS ENTITY IS A NOT-FOR PROFIT PROVIDES MEDICAL IMAGING SERVICES AT AN OFFSITE LOCATION IN NORTH ANDOVER AND ALSO AT LAWRENCE GENERAL HOSPITAL IN LAWRENCE, MASSACHUSETTS. h8 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 X X X X X X X true true false false false false false false false DIANNE J ANDERSON PRESIDENT & CEO 565202 100000 94672 20000 24194 804068 DEBORAH J WILSON CORP. ASSISTANT TREA 391418 38340 22000 19000 13382 484140 NEIL MEEHAN MD CHIEF MEDICAL OFFICER 452287 45152 21000 16583 535022 DANIEL CONCAUGH SVP, NETWORK & BUSINESS DEVELO 202961 27704 174672 16078 531 421946 GEORGE KONDYLIS MD CHIEF ED PHYSICIAN 351059 36338 3000 16542 406939 CYNTHIA PHELAN CORP. ASSISTANT SECREATRY (DEC 225379 20000 5312 21000 5592 277283 MARIA DIENHART MD PHYSICIAN 365765 24147 3000 6154 399066 RAFAEL BLOISE MD PHYSICIAN 257321 110660 1000 12506 381487 DENISE S PALUMBO CORPORATE ASSISTANT SECRETARY 232163 35986 177561 19000 6775 471485 PART II: PAYROLL RECORDS ARE FOR THE 1/1/2015-12/31/15 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 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 2015 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 ($2,000), 457B PLAN ($18,000), 457F PLAN ($94,672); CYNTHIA PHELAN, 403B PLAN ($3,000), 457B PLAN ($18,000), 457F PLAN ($5,312); DENISE S. PALUMBO, 403B PLAN ($1,000), 457B PLAN ($18,000), 457F PLAN ($35,896); DEBORAH J. WILSON, 403B PLAN ($1,000), 457B PLAN ($18,000), 457F PLAN ($22,000); NEIL MEEHAN, MD, 403B PLAN ($3,000), 457B PLAN ($18,000), 457F PLAN ($19,852); DANIEL CONCAUGH, 403B PLAN ($1,000), 457B PLAN ($15,078), 457F PLAN ($29,702). Part I, Line 4a FOR THE 2015 CALENDAR YEAR, LAWRENCE GENERAL HOSPITAL MADE SEVERANCE PAYMENTS TO THE FOLLOWING EMPLOYEES LISTED ON FORM 990, SCHEDULE J, PART II; DENISE S. PALUMBO ($133,737). A MASS DEVELOPMENT SERIES 2013A 2013-10-29 15000000 REFINANCING & INSTALLATION false false false B MASS DEVELOPMENT SERIES 2013B 2014-02-02 43490000 RENOVATION & ROUTINE CAPITAL false false false A 0 0 15000000 0 0 0 177285 0 0 14822715 0 0 2014 false false false true B 0 0 43490000 12671066 0 0 1458644 0 0 42031356 0 0 2017 false false false true A false false true true false 0.01000 0.01000 false false false true B false false true true false 0.01000 0.01000 false false false true A false false false false false false 0 false 0 false false B false false false false false false 0 false 0 false false A B LUIS E YEPEZ JR DAXAD LLC TRUSTEE 784488 VARIOUS RENTAL SPACES false RICHARD CHOI MD ORTHO NORTHWEST TRUSTEE 44800 PHYSICIAN SERVICES false NAOMI GARDNER NEW ENGLAND NORTH TRUSTEE 539133 PHYSICIAN SERVICES false DR EDUARDO HADDAD MEDICAL DIRECT TRUSTEE 52722 PHYSICIAN SERVICES false PART IV, LINE 1: PAYMENTS OF $784,886 LISTED FOR LUIS YEPEZ WERE MADE DIRECTLY TO A REAL ESTATE COMPANY IN WHICH HE HOLDS AN OWNERSHIP INTEREST. THESE PAYMENTS WERE FOR VARIOUS RENTAL UNITS AT 25 MARSTON STREET, LAWRENCE, MA 01841. PART IV, LINE 2: OF THE TOTAL PAYMENTS OF $44,800 LISTED FOR RICHARD CHOI, MD $19,000 WERE MADE DIRECTLY TO HIS MEDICAL GROUP FOR CALL COVERAGE & PAYMENTS RELATED TO PHYSICIAN RECRUITMENT AGREEMENTS. THE REMAINING AMOUNT OF $25,000 WAS PAID DIRECTLY TO HIM AS PART OF A MEDICAL DIRECTORSHIP. PART IV, LINE 3: PAYMENTS OF $539,113 TO NAOMI GARDNER WERE MADE DIRECTLY TO A MEDICAL GROUP IN WHICH SHE HOLDS AN OWNERSHIP INTEREST. THESE PAYMENTS WERE NEUROLOGICAL CALL COVERAGE AND OTHER REGULAR/ROUTINE PHYSICIAN SERVICES THAT WERE PERFORMED AT THE HOSPITAL. PART IV, LINE 4: PAYMENTS OF $52,722 LISTED FOR EDUARDO HADDAD, MD WERE PAID DIRECTLY TO HIM AS PART OF A MEDICAL DIRECTORSHIP. FORM 990, PART VI, SECTION B, LINE 11: THE FORM 990 IS PREPARED BY THE ACCOUNTING MANAGER OF THE HOSPITAL AND IS REVIEWED BY THE CONTROLLER AND THE CFO. THE HOSPITAL'S EXTERNAL ACCOUNTANT ALSO REVIEWS THE FORM 990. ONCE THE FORM 990 IS COMPLETED. THE FORM AND ALL ITS ACCOMPANYING SCHEDULES ARE MADE AVAILABLE TO THE HOSPITAL'S BOARD OF TRUSTEES VIA A SECURE INTERNET PORTAL FOR REVIEW. THE VP OF FINANCE AND THE CFO ARE MADE AVAILABLE TO FACILITATE THE REVIEW AND ANSWER ANY QUESTIONS REGARDING THE FORM 990 THAT THE TRUSTEES MAY HAVE. FORM 990, PART VI, SECTION B, LINE 12C: ON AN ANNUAL BASIS, THE HOSPITAL DISTRIBUTES A CONFLICT OF INTEREST POLICY TO THE BOARD OF TRUSTEES. THE TRUSTEES ARE 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, COO, 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 XI LINE 9, RECONCILIATION OF NET ASSETS: CHANGE IN THE VALUE OF NET ASSETS HELD BY LGH CHARITABLE TRUST, INC. ($984,000); NET ASSET TRANSFER TO COMMUNITY MEDICAL ASSOCIATES, INC. (-$5,167,584); NET ASSET TRANSFER FROM LGH CHARITABLE TRUST, INC. ($677,407); RELEASE FROM RESTRICTIONS (-$5,096,895); OTHER ($70,086) EQUALS: TOTAL OTHER CHANGES IN NET ASSETS ($8,532,986). FORM 990, PART III, LINE 4D: OTHER PROGRAM SERVICE REVENUE PRIMARILY CONSISTS OF CAFETERIA RECEIPTS, INTERCOMPANY REIMBURSEMENTS, DSTI WAIVER FUNDS, MEANINGFUL USE/EHR RECEIPTS, AND OCCUPATIONAL HEALTH CLINIC REVENUE. FORM 990, PART VIII, LINE 11A: ON OCTOBER 30, 2014, CMS APPROVED A FIVE-YEAR MASSACHUSETTS MEDICAID WAIVER EXTENSION FOR THE PERIOD OF OCTOBER 30, 2014 THROUGH JUNE 30, 2019 THAT INCLUDED DELIVERY SYSTEM TRANSFORMATION INITIATIVE (DSTI) POTENTIAL FUNDING OF $15,876,000 ANNUALLY FOR LGH, FOR EACH YEAR OF THE WAIVER. THE DSTI FUNDING IS DESIGNED AS INCENTIVE PAYMENTS TO SUPPORT INITIATIVES THAT FURTHER INVESTS IN HEALTHCARE DELIVERY SYSTEMS. THE AMOUNT IS REFLECTED AS OTHER OPERATING REVENUE IN OUR FINANCIAL STATEMENTS AND FORM 990. 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