2015-08-14T10:36:17-05:00 2014-09-30 042684828 FEELEY & DRISCOLL PC 200 PORTLAND STREET BOSTON MA 02114 990 2013-10-01 222586814 LGH CHARITABLE TRUST INC LGHC 9786834000 1 GENERAL STREET LAWRENCE MA 01841 DEBORAH J WILSON CORPORATE ASST TREASURER & CFO 9786834000 2015-08-10 1 JEFFREY T ROGERS P01074284 6177427788 2013 2016-03-07 17:11:31Z DIANNE J ANDERSON 1 GENERAL STREET LAWRENCE MA 01841 5649372 0 X WWW.LAWRENCEGENERAL.ORG X 1984 MA TO PROMOTE AND ENCOURAGE PHILANTHROPIC SUPPORT FOR THE DELIVERY OF COMPREHENSIVE HEALTH CARE TO PATIENTS ACROSS THE MERRIMACK VALLEY REGION BY ENSURING ACCESS TO HIGH-QUALITY CARE, THE LATEST TECHNOLOGIES AND CARING, PERSONALIZED TREATMENT. 9 6 0 0 0 0 685993 1374755 0 0 779434 532890 0 0 1465427 1907645 0 0 0 0 0 0 0 0 840294 427772 840494 427772 840494 1037655 1067151 24866517 26412508 1563 258403 24864954 26154105 TO PROMOTE AND ENCOURAGE PHILANTHROPIC SUPPORT FOR THE DELIVERY OF COMPREHENSIVE HEALTH CARE TO PATIENTS ACROSS THE MERRIMACK VALLEY REGION BY ENSURING ACCESS TO HIGH-QUALITY CARE, THE LATEST TECHNOLOGIES AND CARING, PERSONALIZED TREATMENT. 0 0 TO PROMOTE AND ENCOURAGE PHILANTHROPIC SUPPORT FOR THE DELIVERY OF COMPREHENSIVE HEALTH CARE TO PATIENTS ACROSS THE MERRIMACK VALLEY REGION BY ENSURING ACCESS TO HIGH-QUALITY CARE, THE LATEST TECHNOLOGIES AND CARING, PERSONALIZED TREATMENT. 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 9 6 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X X FELIX MERCADO VICE PRESIDENT FINANCE 9786834000 1 GENERAL STREET LAWRENCE MA 01841 MAURICE BALBONI CHAIRMAN 1.00 X 0 0 0 DIANNE J ANDERSON PRESIDENT & CEO 1.00 X X 0 842394 41698 RONALD J POLLINA TREASURER 1.00 X 0 0 0 DEBRA RAHMIN SILBERSTEIN ESQ SECRETARY 1.00 X 0 0 0 DENISE S PALUMBO CORPORATE ASSISTANT SECRET 1.00 X X 0 406507 46207 DEBORAH J WILSON CORPORATE ASSISTANT TREASU 1.00 X X 0 385185 51642 MATTHEW A CAFFREY ESQ TRUSTEE 1.00 X 0 0 0 DENNIS CONLIN TRUSTEE 1.00 X 0 0 0 CHERYL K NEAL TRUSTEE 1.00 X 0 0 0 RICHARD SANTAGATI TRUSTEE (OCT13-DEC13) 1.00 X 0 0 0 0 1634086 139547 0 0 1 0 LAWRENCE GENERAL HOSPITAL 1 GENERAL STREET LAWRENCE MA 01841 MANAGEMENT SERVICES 443818 GHIORSI & SORRENTI INC 255 MADISON AVE WYCKOFF NJ 07481 CONSULTING 251742 2 1374755 255377 1374755 174395 174395 4100222 3741727 358495 358495 358495 1907645 0 0 532890 651041 651041 25345 25345 39906 39906 13239 13239 200 200 GALA EVENT EXPENSES 54774 54774 LATINA BREAST PROGRAM E 36067 36067 19922 19922 840494 0 200 840294 1421972 1365676 299866 486686 146826 5250 4350 1100 900 11749739 12880795 11393840 11531625 24866517 26412508 3491 1563 254912 1563 258403 X 24555244 25584841 309710 569264 24864954 26154105 24866517 26412508 X 1067151 345000 -123000 X 0 1 X 1 0 X 405370 743264 551820 633283 1115990 3449727 405370 743264 551820 633283 1115990 3449727 3449727 188318 233739 217679 198573 174395 1012704 4462431 0.77310 0.76730 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 5250 4350 900 900 INVESTMENT IN AFFILIATE (LGH HEALTH ENTERPRISES, INC.) 11315797 DUE FROM AFFILIATES 84626 TEMPORARILY RESTRICTED CASH 131202 11531625 DUE TO AFFILIATE (LAWRENCE GENERAL HOSPITAL) 254912 254912 X 2252645 345000 345000 1907645 0 1907645 840494 0 840494 0 840494 PART X, LINE 2: THE ORGANIZATION ANNUALLY EVALUATES ITS TAX STATUS AND TAX POSITIONS TAKEN WITH RESPECT TO ITS OPERATIONS AND FINANCIAL POSITION. TAX YEARS FROM 2010 THROUGH THE CURRENT YEAR REMAIN OPEN FOR EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES. 0 1 0 0 0 0 0 0 0 DIANNE J ANDERSON PRESIDENT & CEO 0 545108 0 297286 0 0 0 18500 0 23198 0 884092 0 0 DENISE S PALUMBO CORPORATE ASSISTANT SECRET 0 336722 0 69785 0 0 0 36535 0 9672 0 452714 0 0 DEBORAH J WILSON CORPORATE ASSISTANT TREASU 0 334935 0 50250 0 0 0 35505 0 16137 0 436827 0 0 PART I, LINE 3 THE CEO OF LGH CHARITABLE TRUST, INC. IS 100% PAID THROUGH ITS PARENT COMPANY, LAWRENCE GENERAL HOSPITAL. 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, THE PARENT COMPANY OF LGH CHARITABLE TRUST, INC., LAWRENCE GENERAL HOSPITAL, OFFERED 403(B) AND 457(B) AND 457(F) NON-QUALIFIED SUPPLEMENTAL RETIREMENT PLANS. FOR THE 2013 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 ($1,000); 457B PLAN ($17,500), DENISE S. PALUMBO, 403B PLAN ($1,000); 457B PLAN ($17,500), 457F PLAN ($18,035); DEBORAH J. WILSON, 403B PLAN ($1,000); 457B PLAN ($17,500), 457F PLAN ($17,005). X 5 255377 FAIR MARKET VALUE 0 1 0 FORM 990, PART VI, SECTION B, LINE 11 FORM 990 IS PREPARED BY THE ORGANIZATION'S ASSISTANT CONTROLLER AND REVIEWED BY THE VICE PRESIDENT OF FINANCE AND CFO. FORM 990 IS ALSO REVIEWED BY THE ORGANIZATION'S EXTERNAL ACCOUNTANT. ONCE COMPLETE, THE FORM AND ALL SCHEDULES ARE ARE MADE AVAILABLE TO THE BOARD OF TRUSTEES VIA A SECURE INTERNET PORTAL FOR REVIEW. THE ORGANIZATION'S VICE PRESIDENT OF FINANCE AND CFO 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 PARENT COMPANY (LAWRENCE GENERAL HOSPITAL) OF LGH CHARITABLE TRUST, INC. DISTRIBUTES A CONFLICT OF INTEREST POLICY TO THE BOARD OF TRUSTEES. THE MEMBERS ARE REQUIRED TO DISCLOSE, IN WRITING, ANY POTENTIAL CONFLICT THAT THEY ARE AWARE OF. FORM 990, PART VI, SECTION B, LINE 15 THE PARENT COMPANY CEO'S COMPENSATION IS REVIEWED AND APPROVED BY AN EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. THE COMPENSATION FOR THE CFO, COO, AND SENIOR MANAGEMENT IS DETERMINED BY THE CEO AND REVIEWED BY AN EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. INDEPENDENT SURVEYS ARE ALSO PERFORMED TO DETERMINE SALARY REASONABLENESS. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION'S FORM 990 IS MADE AVAILABLE TO THE PUBLIC UPON REQUEST. THE FORM 990 IS ALSO AVAILABLE ON THE WEBSITE OF THE MASSACHUSETTS' ATTORNEY GENERAL AND GUIDESTAR.ORG. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ALL DOCUMENTS AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: NET ASSETS RELEASED FOR CAPITAL EXPENDITURES 59,000. NET ASSET TRANSFER -182,000. LAWRENCE GENERAL HOSPITAL 1 GENERAL STREET LAWRENCE MA 01841 042103586 HOSPITAL MA 501(C)(3) 3 N/A 0 COMMUNITY MEDICAL ASSOCIATES INC 1 GENERAL STREET LAWRENCE MA 01841 272142635 PRIMARY CARE MA 501(C)(3) 3 LAWRENCE GENERAL HOSPITAL 0 LGH ADMINISTRATIVE SERVICES 1 GENERAL STREET LAWRENCE MA 01841 320423203 QALICB MA 501(C)(3) 11A LAWRENCE GENERAL HOSPITAL 0 LGH HEALTH ENTERPRISES INC 38 PROSPECT STREET LAWRENCE MA 01842 042869696 HEALTH CARE MANAGEMENT MA LAWRENCE GENERAL HOSPITAL C 0 LGH PHYSICIAN ASSOCIATES PC 38 PROSPECT STREET LAWRENCE MA 01842 043174041 PHYSICIAN GROUP MA LAWRENCE GENERAL HOSPITAL C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 LAWRENCE GENERAL HOSPITAL R 182000 REVIEW OF RECORDS LAWRENCE GENERAL HOSPITAL O 443818 REVIEW OF RECORDS LAWRENCE GENERAL HOSPITAL P 10653 REVIEW OF RECORDS