2014-08-13T15:24:40-05:00 2013-09-30 042684828 FEELEY & DRISCOLL PC 200 PORTLAND STREET BOSTON MA 02114 990 2012-10-01 042103586 LAWRENCE GENERAL HOSPITAL LAWR 9786834000 1 GENERAL STREET LAWRENCE MA 018412961 DEBORAH J WILSON 9786834000 2014-08-12 1 JEFFREY T ROGERS P01074284 6177427788 2012 2015-11-30 17:44:51Z DIANNE J ANDERSON 1 GENERAL STREET LAWRENCE MA 01841 219761697 0 X WWW.LAWRENCEGENERAL.ORG X 1875 MA ACUTE CARE COMMUNITY HOSPITAL PROVIDING INPATIENT AND OUTPATIENT HEALTH SERVICES TO THE GENERAL PUBLIC. 20 10 1817 200 1328214 -953983 49498 620359 181661666 191452335 204992 1183281 19742141 23099306 201658297 216355281 0 0 0 0 117611954 123790618 0 0 521078 73833505 86135382 191445459 209926000 10212838 6429281 153133306 165634939 43815897 48555137 109317409 117079802 X TO OPERATE AND MAINTAIN THE ACUTE CARE GENERAL HOSPITAL. PROVIDE APPROPRIATE HOSPITAL AND OTHER RELATED HEALTH SERVICES TO ALL PATIENTS REGARDLESS OF RACE, COLOR, CREED OR NATIONAL ORIGIN. PROVIDE ACCESS TO MEDICALLY NECESSARY SERIVCES FOR AREA RESIDENTS REGARDLESS OF ABILITY TO PAY. ASSURE THE ONGOING PROCESS OF CONTINUOUSLY IMPROVING PATIENT CARE QUALITY DELIVERED BY SKILLED AND CARING HEALTH CARE PROFESSIONALS. 0 0 74263886 110777238 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 47,192 PATIENT DAYS OF INPATIENT SERVICES WITH 12,868 DISCHARGES DURING FY2013. 59692037 89040844 OUTPATIENT HEALTHCARE SERVICES - PROVIDING OUTPATIENT SERVICES CONSISTENT WITH OUR CORE VALUES BY PROVIDING ACCESS TO COMPREHENSIVE, HIGH QUALITY, COMPASSIONATE AND EFFICIENT HEALTHCARE SERVICES. DURING FY2013, LAWRENCE GENERAL HOSPITAL HAD 227,385 OUTPATIENT VISITS. 8986801 13405345 OTHER PROGRAM SERVICE REVENUE PRIMARILY RELATES TO INCOME FROM OCCUPATIONAL HEALTH DEPARTMENT, GRANT PROCEEDS AND CAFETERIA RECEIPTS. 8986801 13405345 142942724 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 1 1 1 1 0 1 155 0 1 1817 1 1 1 0 0 0 0 0 0 0 0 0 X 20 10 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 MA X X FELIX MERCADO VP FINANCE 9786834000 ONE GENERAL STREET LAWRENCE MA 01841 RICHARD J SANTAGATI 1.00 X 0 0 0 MATTHEW A CAFFREY ESQ 1.00 X 0 0 0 DIANNE J ANDERSON 50.00 X X 617169 0 127680 RONALD J POLLINA 1.00 X 0 0 0 DEBORAH SILBERSTEIN ESQ 1.00 X 0 0 0 DENISE S PALUMBO 50.00 X X 392373 0 45003 DEBORAH J WILSON 50.00 X X 378144 0 51892 MAURICE BALBONI 1.00 X 0 0 0 PIERRE H CHAHRABAN MD 1.00 X 0 0 0 DENNIS A CONLIN 1.00 X 0 0 0 THOMAS L FAZIO MD 1.00 X 0 0 0 NAOMI GARDNER 1.00 X 0 0 0 RABBI ROBERT GOLDSTEIN 1.00 X 0 0 0 EDUARDO HADDAD MD 1.00 X 0 0 0 ALAN L LEBOVIDGE 1.00 X 0 0 0 PATRICIA MCGOVERN ESQ 1.00 X 0 0 0 CHERYL K NEAL 1.00 X 0 0 0 GLENN NEWSOME MD 1.00 X 0 0 0 DAVID TORRISI 1.00 X 0 0 0 LUIS E YEPEZ JR 1.00 X 0 0 0 BELISARIO ROSAS 0.00 X 0 0 0 NEIL MEEHAN MD 50.00 X 430528 0 53726 MARIA DIENHART MD 40.00 X 337020 0 10480 IRVING DANESH MD 40.00 X 324296 0 25786 DANIEL CONCAUGH 40.00 X 311966 0 50197 GEORGE KONDYLIS MD 40.00 X 296129 0 20297 3087625 0 385061 231 0 1 0 GREATER LAWRENCE FAMILY HEALTH CENTER 34 HAVERHILL STREET LAWRENCE MA 01841 HOSPITAL SERVICES 7803184 TEAM HEALTH 265 BROOKVIEW CENTRE WAY KNOXVILLE TN 37919 ANESTHESIA SERVICES 2555004 MAYO COLLABORATIVE PO BOX 9146 MINNEAPOLIS MN 55402 LAB SERVICES 1338280 ALL STAFF LLC 1565 MAIN ST BUILDING 2 FL 3 TEWKSBURY MA 01876 STAFFING SERVICES 848725 PRATT PEDIATRIC ASSOCIATES 800 WASHINGTON STREET BOX 1013 BOSTON MA 02111 PEDIATRIC PHYSICIANS 829887 57 X 620359 241000 620359 NET PATIENT REVENUE 621110 190128121 190128121 NET PATIENT REVENUE (L 621500 1324214 1324214 191452335 375000 375000 4214697 3406416 808281 808281 808281 WAIVER/DSTI RECEIPTS 621110 14433332 14433332 MEANINGFUL USE/EHR REC 621110 3068102 3068102 MEALS 621110 1209205 1209205 4388667 4384667 4000 23099306 216355281 213223427 1328214 1183281 X 1815042 1815042 102390164 80960607 21084973 344584 1432728 1136225 291667 4836 11074235 8782421 2254434 37380 7078449 5613564 1440993 23892 28638360 11670449 16898008 69903 556730 556730 130000 130000 91969 91969 20000 20000 732176 732176 410366 410366 978618 490157 487504 957 1931051 20617 1910434 2833121 109900 2723221 338189 98283 236016 3890 98875 98875 212786 212786 7483784 7483784 2433299 2433299 PHARMACEUTICALS 7069274 7069274 MEDICAL SUPPLIES 6236159 6236159 PHYSICIAN FEES 5648365 5648365 REPAIRS AND MAINTENANCE 3476128 2346201 1129927 16816132 12760502 4019994 35636 209926000 142942724 66462198 521078 13708009 6912113 20530337 33554853 29121037 26326727 764944 6250 2761584 3889430 1251451 911345 125876113 74994447 50236331 50881666 15171722 15344921 19581641 27813884 153133306 165634939 15116086 20323940 15409764 13514429 13290047 14716768 43815897 48555137 X 101769168 111430064 6448241 4549738 1100000 1100000 109317409 117079802 153133306 165634939 X 6429281 310026 1023086 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 91969 0 0 91969 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: REPRESENTS (A) 20.09% OF MASSACHUSETTS HOSPITAL ASSOCIATION ("MHA") ANNUAL DUES/FEES THAT IS DEEMED TO BE USED FOR LOBBYING EXPENDITURES ($24,768); (B) 23.65% OF AMERICAN HOSPITAL ASSOCIATION ("AHA") ANNUAL DUES/FEES THAT IS DEEMED TO BE USED FOR LOBBYING EXPENDITURES ($9,626); AND (C) CONSULTANT EXPENSES DEEMED TO BE USED FOR LOBBYING EXPENDITURES ($57,575) IN FY2013. 1669454 1669454 71747719 48489784 23257935 34921 1746 33175 45957110 25344055 20613055 6466909 1158862 5308047 50881666 OTHER ASSETS 3463544 FUNDS HELD BY TRUSTEE 177561 INTEREST IN NET ASSETS OF LGH CHARITABLE TRUST, INC. 14681516 DEFERRED FINANCING COST, NET 440036 OTHER RECEIVABLES 2615279 DUE FROM AFFILIATES 628749 ESTIMATED SETTLEMENTS WITH THIRD-PARTY PAYORS 4655955 SPLIT INTEREST AGREEMENTS 1151244 27813884 ACCRUED SALARIES AND WAGES 8541889 CAPITAL LEASE OBLIGATIONS 328264 DUE TO AFFILIATES 1005241 OTHER LONG-TERM LIABILITIES 4841374 14716768 216665307 310026 310026 216355281 0 216355281 209926000 0 209926000 0 209926000 1 1 X 1 X 1 X 1 1 0 1 1 14322309 7323768 6998541 0.03330 30902427 19980566 10921861 0.05200 1675065 1441806 233259 0.00110 46899801 28746140 18153661 0.08640 7050604 379359 6671245 0.03180 4120000 1374005 2745995 0.01310 11170604 1753364 9417240 0.04490 58070405 30499504 27570901 0.13130 1 7637000 68085201 62419016 5666185 X 1 1 1 1 LAWRENCE GENERAL HOSPITAL

1 GENERAL STREET LAWRENCE MA 01841

WWW.LAWRENCEGENERAL.COM X X X X LAWRENCE GENERAL HOSPITAL 1 1 X X X X X X X X X 12 1 0 1 X X X X X X X X X X 1 0 0 1 200.000000000000 1 400.000000000000 1 X X X X X X 1 1 X X X X X 1 0 X X X X 1 X 0 1 PART I, LINE 3C: NOT APPLICABLE PART I, LINE 6A: NOT APPLICABLE PART I, LINE 7: THE COST-TO-CHARGE RATIO WAS USED AS THE COSTING METHODOLOGY TO CALCULATE THE AMOUNT USED TO CALCULATE THE AMOUNTS IN THE TABLE OF LINE 7. PART I, LINE 7G: NOT APPLICABLE PART I, L7 COL(F): NOT APPLICABLE PART III, LINE 4: THE FOOTNOTES OF THE FINANCIAL STATEMENTS DESCRIBE THE FOLLOWING: AN ALLOWANCE FOR DOUBTFUL ACCOUNTS IS RECORDED TO REPORT ACCOUNTS RECEIVABLE AT THEIR NET REALIZABLE VALUE. THE ESTIMATED LOSSES ARE BASED UPON HISTORICAL COLLECTION EXPERIENCE TOGETHER WITH A REVIEW OF THE CURRENT STATUS OF THE EXISTING RECEIVABLE. PART III, LINE 8: LINE 6 WAS CALCULATED BASED UPON A COST-TO-CHARGE RATIO CALCULATED SPECIFICALLY FOR MEDICARE. PART III, LINE 9B: SECTION V OF THE ORGANIZATION'S CREDIT AND COLLECTION POLICY OUTLINES THE COLLECTION PRACTICES OF THE ORGANIZATION. LAWRENCE GENERAL HOSPITAL PART V, SECTION B, LINE 3: COMMUNITY HEALTH NEEDS ASSESSMENT METHODS UTILIZED 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 156 RESIDENTS AND 231 HEALTH OR SOCIAL SERVICE PROVIDERS; AND CONDUCTING FOCUS GROUPS AND FIVE 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 ACTION IN THE COMMUNITY. THE QUALITATIVE DISCUSSIONS IN THE 2013 CHNA ENGAGED OVER 60 INDIVIDUALS. LAWRENCE GENERAL HOSPITAL PART V, SECTION B, LINE 17E: SEVERAL THIRD PARTY COLLECTION AGENCIES ARE ENGAGED BY LAWRENCE GENERAL HOSPITAL TO TRY TO COLLECT UNPAID BALANCES. THESE COLLECTION AGENCIES SEND PERIODIC STATEMENTS AND LETTERS TO THE PATIENTS TO ATTEMPT TO COLLECT UNPAID BALANCES. LAWRENCE GENERAL HOSPITAL PART V, SECTION B, LINE 22: THE HOSPITAL CHARGES SELF-PAY PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE AN AMOUNT EQUAL TO THE GROSS CHARGE AMOUNT. HOWEVER, THE HOSPITAL DOES OFFER A SELF-PAY DISCOUNT OF 40%. PART VI, LINE 2: LAWRENCE GENERAL HOSPITAL IDENTIFIES THE HEALTH CARE NEEDS IN OUR COMMUNITIES USING A NUMBER OF SOURCES, COMMUNITY AGENCIES, AND PARTNERS. WE USE FINDINGS AND REPORTS FROM THE MAYOR'S HEALTH TASK FORCE OF LAWRENCE, WHICH IS COMPRISED OF 100 PLUS LOCAL COMMUNITY & SOCIAL SERVICE AGENCIES; THE DEPARTMENT OF PUBLIC HEALTH; COMMUNITY NEEDS ASSESSMENT REPORTS ON HEALTH CARE ACCESS, DEMOGRAPHIC PROFILE OF ADULTS; HEALTH INDICATORS FOR LAWRENCE, MA; DEMOGRAPHIC INDICATORS; BREAST HEALTH REPORTS ON BREAST CANCER MORTALITY; BEHAVIORAL RISK FACTORS; DEMOGRAPHIC PROFILE OF ADULTS FOR THE REGION; AND CHRONIC ILLNESS REPORT FOR LAWRENCE, MA. WE ALSO UTILIZE "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 ACTIVITY 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 ASSESSMENTTO 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 SUMMER OF 2013. THE LAWRENCE GENERAL HOSPITAL CHNA FOCUSED ON THE HOSPITAL'S 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 156 RESIDENTS AND 231 HEALTH OR SOCIAL SERVICE PROVIDERS; AND CONDUCTING FOCUS GROUPS AND FIVE 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 2013 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- CHRONIC DISEASE: SPECIFICALLY CANCER, DIABETES, AND ASTHMA- SUBSTANCE ABUSE- MENTAL HEALTH- HEALTH CARE ACCESSOVERARCHING 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 PEOPLE'S 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 GENERAL'S 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. PART VI, LINE 3: FOR THOSE PATIENTS WHO ARE UNINSURED OR UNDERINSURED, THE HOSPITAL WILL WORK WITH THEM TO ASSIST WITH APPLYING FOR AVAILABLE FINANCIAL ASSISTANCE PROGRAMS THAT MAY COVER SOME OR ALL OF THEIR UNPAID HOSPITAL BILLS. IN ORDER TO HELP UNINSURED AND UNDERINSURED PATIENTS FIND AVAILABLE AND APPROPRIATE FINANCIAL ASSISTANCE PROGRAMS, THE HOSPITAL PROVIDES PATIENTS WITH A GENERAL NOTICE OF THE AVAILABILITY OF PROGRAMS IN BOTH THE INITIAL BILL THAT IS SENT TO PATIENTS AS WELL AS GENERAL NOTICES POSTED THROUGOUT THE HOSPITAL. THE GOAL OF THESE NOTICES IS TO ASSIST PATIENTS IN APPLYING FOR COVERAGE WITHIN A FINANCIAL ASSISTANCE PROGRAM, SUCH AS MASSHEALTH, CAREPLUS, CHILDREN'S 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 PATIENT'S DOCUMENTED INCOME AND ALLOWABLE MEDICAL EXPENSES. THE HOSPITAL WILL PROVIDE, UPON REQUEST, SPECIFIC INFORMATION ABOUT THE ELIGIBILITY PROCESS TO BE A LOW INCOME PATIENT UNDER EITHER THE MASSACHUSETTS HEALTH SAFETY NET PROGRAM OR ADDITIONAL ASSISTANCE FOR PATIENTS WHO ARE LOW INCOME THROUGH THE HOSPITAL'S OWN FINANCIAL ASSISTANCE PROGRAM. THE HOSPITAL WILL ALSO NOTIFY THE PATIENT ABOUT AVAILABLE PAYMENT PLANS THAT MAY BE AVAILABLE TO THEM BASED ON THEIR FAMILY SIZE AND INCOME. THE HOSPITAL MAKES A REASONABLE EFFORT TO IDENTIFY AVAILABLE COVERAGE OPTIONS FOR PATIENTS WHO MAY BE UNINSURED AND UNDERINSURED WITH THEIR CURRENT INSURANCE PROGRAM WHEN THE PATIENT IS SCHEDULING THEIR SERVICES, WHILE THE PATIENT IS IN THE HOSPITAL, UPON DISCHARGE, AND FOR A REASONABLE TIME FOLLOWING DISCHARGE FROM THE HOSPITAL. THE HOSPITAL WILL DIRECT ALL PATIENTS SEEKING AVAILABLE COVERAGE OPTIONS, OR THOSE THAT THE HOSPITAL DETERMINES MAY BE ELIGIBLE, TO THE HOSPITAL'S PATIENT FINANCIAL COUNSELING SERVICES TO SCREEN FOR ELIGILBITY IN AN APPROPRIATE COVERAGE OPTION. THE HOSPITAL WILL THEN ASSIST THE PATIENT IN APPLYING FOR THE APPROPRIATE COVERAGE OPTIONS THAT ARE AVAILABLE OR NOTIFY THEM OF THE AVAILABILTY OF FINANCIAL ASSISTANCE THROUGH THE HOSPITAL'S OWN INTERNAL FINANCIAL ASSISTANCE PROGRAM. THE HOSPITAL WILL ALSO PROVIDE INFORMATION ON HOW TO CONTACT APPROPROPRIATE STAFF WITHIN THE HOSPITAL'S FINANCE OFFICE TO VERIFY THE ACCURACY OF THE HOSPITAL BILL OR TO DISPUTE CERTAIN CHARGES. THE HOSPITAL, PURSUANT TO AN INTERNAL VIEW OF EACH PATIENT'S CASE, MAY OFFER A PATIENT AN ADDITIONAL DISCOUNT ON AN UNPAID BILL AS AUTHORIZED BY THE HOSPITAL'S CHIEF FINANCIAL OFFICER OR HIS/HER DESIGNEE. ANY SUCH REVIEW SHALL BE PART OF AN INTERNAL HOSPITAL FINANCIAL ASSISTANCE PROGRAM THAT IS APPLIED ON AN UNIFORM BASIS TO PATIENTS, AND WHICH TAKES INTO CONSIDERATION THE PATIENT'S FINANCIAL SITUATION AND THE PATIENT'S INABILITY TO MAKE A PAYMENT AFTER REASONABLE COLLECTION EFFORTS. ANY DISCOUNT THAT IS PROVIDED BY THE HOSPITAL IS CONSISTENT WITH FEDERAL AND STATE REQUIREMENTS, AND IS NOT BASED ON AN EFFORT TO INDUCE A PATIENT TO RECEIVE SERVICES FROM THE HOSPITAL OR TO GENERATE BUSINESS THAT IS PAYABLE BY A FEDERAL OR STATE PROGRAM. PART VI, LINE 4: LAWRENCE GENERAL HOSPITAL IS LOCATED IN LAWRENCE, MASSACHUSETTS, BUT SERVES THE ENTIRE MERRIMACK VALLEY REGION. THE VALLEY IS A BI-STATE REGION ALONG THE MERRIMACK RIVER IN THE STATES OF NEW HAMPSHIRE AND MASSACHUSETTS, 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 ROUTES 93 AND 495, NEWER COMPANIES IN TECHNOLOGY, HEALTH CARE AND MANUFACTURING SUCH AS NEW ENGLAND AFFILIATED TECHNOLOGY, THE ROBERT ABLE COMPANY AND THE GEM GROUP, HAVE CHOSEN TO LOCATE IN LAWRENCE. WITH ALL THIS SAID, LAWRENCE, MA IS A CITY WITH SIGNIFICANT CHALLENGES. A LARGE NUMBER OF LAWRENCE GENERAL HOSPITAL'S PATIENTS (OVER 50%) ARE LATINOS RESIDING IN LAWRENCE. ONCE A THRIVING CITY AND THE HUB OF THE U.S. TEXTILE INDUSTRY, THE CITY OF LAWRENCE HAS TRULY NEVER RECOVERED FROM THE DEVASTATING ECONOMIC DECLINE IT SUFFERED WHEN THE MILLS BEGAN TO CLOSE IN THE 1960'S. TODAY, THE CITY IS A DENSELY POPULATED, IMPOVERISHED AREA WITH HIGH LEVELS OF UNEMPLOYMENT, HIGH RATES OF CRIME, ILLITERACY, AND AGING HOUSING, AS WELL AS DRUG USE AND ITS RELATED VIOLENCE. SINCE THE EARLY 1970S, LAWRENCE HAS BECOME HOME TO A SIZABLE HISPANIC POPULATION. CURRENTLY, LAWRENCE'S TOTAL POPULATION IS APPROXIMATELY 77,000, OF WHICH APPROXIMATELY ROUGHLY 60% ARE OF LATINO DESCENT, MAINLY FROM THE DOMINICAN REPUBLIC AND PUERTO RICO. JUST OVER ONE QUARTER OF THE HOUSEHOLDS IN LAWRENCE CAN BE CLASSIFIED AS POOR, BASED ON THE FEDERAL POVERTY LEVEL. THE MA DEPARTMENT OF PUBLIC HEALTH HAS IDENTIFIED LAWRENCE PUBLIC SCHOOLS AS HAVING THE HIGHEST STUDENT RATES OF OBESITY IN THE STATE, 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 LAWRENCE'S CONSIDERABLE POPULATION OF LOW-INCOME, LATINO CHILDREN ARE MORE LIKELY TO SUFFER FROM OBESITY BECAUSE OF THE MANY BARRIERS TO HEALTHY EATING AND ACTIVE LIVING IN THEIR COMMUNITIES. FOR INSTANCE, URBAN RESIDENTS OFTEN LACK CONSISTENT ACCESS TO HEALTHY FOOD CHOICES AND SAFE PLACES FOR PHYSICAL ACTIVITY IN THEIR NEIGHBORHOODS. ADDITIONALLY, MANY LAWRENCE PUBLIC SCHOOLS HAVE LIMITED SPACE AND NO DESIGNATED GYMNASIUM, AND THEREFORE, NO FORMAL PHYSICAL EDUCATION PROGRAMS FOR THEIR STUDENTS. APPROXIMATELY 40% OF THE PATIENTS THAT 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 $14M IN CHARITABLE CARE AND COMMUNITY BENEFITS TO PERSONS WHO WOULD NOT OTHERWISE BE ABLE TO AFFORD QUALITY HEALTHCARE IN FY2013. PART VI, LINE 5: 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 139 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 1,800 EMPLOYEES AND MORE THAN 450 PHYSICIANS REPRESENTING OVER 40 SPECIALTIES. THE HOSPITAL'S CLINICAL STRENGTHS INCLUDE A 24-HOUR EMERGENCY DEPARTMENT AND LEVEL III TRAUMA CENTER; PEDIATRIC CENTER; WOMEN'S 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. LGH'S SUCCESS IS LINKED TO ITS ABILITY TO COMBINE ITS LONG HISTORY IN IDENTIFYING AND ADDRESSING COMMUNITY NEEDS WITH ITS EXPERTISE IN COMPLETING LARGE, COMPLEX INITIATIVES AND RENOVATION PROJECTS WHICH OFTEN INVOLVE DEVELOPING SOLID COLLABORATIVE PARTNERSHIPS WITH HIGH-QUALITY MEDICAL PROVIDERS. 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 ADDED 11 NEW SPECIALISTS AND/OR SPECIALTY CLINICS TO BETTER SERVE THE MERRIMACK VALLEY REGION. THE HOSPITAL IS ALSO WORKING CLOSER WITH PENTUCKET MEDICAL AND GREATER LAWRENCE FAMILY HEALTH CENTER TO INCREASE THE BREADTH OF SERVICES AVAILABLE LOCALLY, WHILE DECREASING OVERALL HEALTH CARE COSTS. THE HOSPITAL'S EFFORTS TO CONTINUALLY ASSESS OUR PATIENT SERVICES AND HEALTH CARE NEEDS OF THE COMMUNITY 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 NEW, 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 HOSPITAL'S CONTINUOUS AND ENHANCED QUALITY IMPROVEMENT PROCESS ALSO PROVIDES ANOTHER SOURCE FOR THE IDENTIFICATION OF NEEDS. OPPORTUNITIES FOR IMPROVEMENT ARE IDENTIFIED THROUGHOUT THE ORGANIZATION, AND THE BOARD OF TRUSTEES HELPS DETERMINE ANNUAL PRIORITIES.LAWRENCE GENERAL HAS MANY ENGAGED AND ENTHUSIASTIC PARTNERS IN THE COMMUNITY, AND BY WORKING WITH THE ONES LISTED BELOW (AS WELL AS OTHERS), LAWRENCE GENERAL HOSPITAL IS ABLE TO PROMOTE, FOSTER AND DELIVER IMPROVED HEALTH AND WELLNESS TO THE ENTIRE MERRIMACK VALLEY REGION:ALLIANCE IMAGINGAMERICAN CANCER SOCIETYAMERICAN COLLEGE OF RADIOLOGY (ACR)AMERICAN HEART ASSOCIATIONAMERICAN RED CROSSARBOUR COUNSELING: LATINO HEALTH PARTIAL HOSPITALIZATIONASTHMA & ALLERGY FOUNDATIONBALDPATE HOSPITAL: DETOX/RESIDENTIAL/OUTPATIENT SUBSTANCE ABUSE SERVICESBETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC)BEYOND SOCCERCARDIOVASCULAR INSTITUTE AT BIDMCCHELMSFORD POLICE DEPARTMENTCHILDREN'S HOSPITAL OF BOSTONCITY OF LAWRENCE COMMONWEALTH HEMATOLOGY AND ONCOLOGY COMMUNITY CANCER PROGRAMCOMMUNITY MEDICAL ASSOCIATES (CMA)DANVERS TREATMENT CENTER/LAHEY BEHAVIORAL HEALTH CLINICAL STABILIZATION SERVICESDAYBREAK SHELTERDIABETES TODAY COALITIONEDGEWOOD RETIREMENT COMMUNITYELDER SERVICES OF THE MERRIMACK VALLEY, INC.FLOATING HOSPITAL FOR CHILDREN AT TUFTS MEDICAL CENTERGREATER LAWRENCE FAMILY HEALTH CENTER (GLFHC)GREATER LAWRENCE FAMILY RESIDENCY GROUNDWORK LAWRENCEHAMPSTEAD HOSPITAL: DETOX/RESIDENTIAL/OUTPATIENT SUBSTANCE ABUSE SERVICESHOME HEALTH VNAJACKSON LUMBER WORK HEALTH INITIATIVEKIWANIS CLUB OF LAWRENCEL&M RADIOLOGYLAWRENCE COMMUNITY WORKSLAWRENCE COUNCIL ON AGINGLAWRENCE FARMER'S MARKETLAWRENCE FIRE DEPARTMENTLAWRENCE GENERAL HOSPITAL AUXILIARY LAWRENCE HIGH SCHOOLLAWRENCE ROTARY CLUBLAWRENCE SENIOR CENTERLGH SENIOR MANAGEMENT TEAMLGH PRESIDENT'S COUNCILLGH PATIENT FAMILY ADVISORY COUNCIL (PFAC)LYNN TRANSITIONAL SUPPORT SERVICES/LAHEY BEHAVIORAL HEALTHMASSACHUSETTS DEPARTMENT OF PUBLIC HEALTHMASS GENERAL HOSPITAL (PEDIATRIC CARDIOLOGY)MASSCONECT COLLABORATORSMAYOR'S HEALTH TASK FORCETHE OFFICE OF MAYOR DANIEL RIVERA, CITY OF LAWRENCEMEMBERS OF THE HOSPITAL BOARD OF TRUSTEESMERRIMACK COLLEGEMERRIMACK VALLEY ASSISTED LIVING FACILITIESMERRIMACK VALLEY CHAMBER OF COMMERCEMERRIMACK VALLEY COMMUNITY DEVELOPMENT COMMITTEEMERRIMACK VALLEY HEALTH SERVICES MERRIMACK VALLEY SENIOR CENTERSMERRIMACK VALLEY SKILLED NURSING FACILITIESMERRIMACK VALLEY YMCAMITS ASSOCIATESNORTHERN ESSEX COMMUNITY COLLEGENOTRE DAME HIGH SCHOOLNORTH ANDOVER PUBLIC SCHOOLSNORTHEAST CENTER FOR HEALTHY COMMUNITIESNORTHEAST REHABILITATIONNEUROCAREPATIENT FAMILY ADVISORY COUNCILPENTUCKET MEDICAL ASSOCIATESPSYCHOLOGICAL CENTERTOBACCO FREE COMMUNITY PARTNERSHIPTRANSITIONS PROGRAM/LAHEY BEHAVIORAL HEALTH POST DETOX/PRE-RECOVERY/TEWKSBURYTUFTS MEDICAL CENTERUNITED WAY OF THE MERRIMACK VALLEYYWCA OF LAWRENCE PART VI, LINE 6: LAWRENCE GENERAL HOSPITAL IS PART OF LAWRENCE GENERAL HOSPITAL & AFFILIATES. THERE ARE FOUR AFFILIATES WITHIN THIS SYSTEM AS OF 9-30-2013, INCLUDING:LGH HEALTH ENTERPRISES, INC. THIS ENTITY IS A FOR-PROFIT HEALTH SERVICES AND MANAGEMENT COMPANY LOCATED IN LAWRENCE, MASSACHUSETTS. THIS ENTITY PROVIDES WOMEN'S HEALTH IMAGING (MAMMOGRAPHY, BONE DENSITOMETRY AND ULTRASOUNDS) TO THE LOCAL COMMUNITY. THIS ENTITY ALSO PROVIDES OTHER MANAGEMENT SERVICES TO LOCAL AREA PHYSICIAN GROUPS. COMMUNITY MEDICAL ASSOCIATES, INC. THIS ENTITY IS A NOT-FOR-PROFIT PRIMARY CARE PHYSICIAN PRACTICE LOCATED IN LAWRENCE, MASSACHUSETTS. LGH PHYSICIAN ASSOCIATES, PC.THIS ENTITY IS A FOR-PROFIT HEALTH SERVICES AND MANAGEMENT COMPANY LOCATED IN LAWRENCE, MASSACHUSETTS. THIS ENTITY PROVIDES ENDOCRINE, PALLIATIVE CARE, AND INFECTIOUS DISEASE SERVICES TO THE LOCAL COMMUNITY. THIS ENTITY ALSO PROVIDES OTHER 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 FUNDRAISING INITIATIVES. REPORTS FILED WITH STATES PART VI, LINE 7 MA X X X X X X 0 1 0 0 0 0 0 0 0 DIANNE J ANDERSON 524169 0 93000 0 0 0 52600 0 75080 0 744849 0 0 0 DENISE S PALUMBO 347373 0 45000 0 0 0 34500 0 10503 0 437376 0 0 0 DEBORAH J WILSON 328644 0 49500 0 0 0 33500 0 18392 0 430036 0 0 0 NEIL MEEHAN MD 395528 0 35000 0 0 0 37500 0 16226 0 484254 0 0 0 MARIA DIENHART MD 316143 0 20877 0 0 0 3000 0 7480 0 347500 0 0 0 IRVING DANESH MD 306206 0 18090 0 0 0 3000 0 22786 0 350082 0 0 0 DANIEL CONCAUGH 285966 0 26000 0 0 0 28885 0 21312 0 362163 0 0 0 GEORGE KONDYLIS MD 282224 0 13905 0 0 0 2500 0 17797 0 316426 0 0 0 PART I, LINE 4B AS PART OF ITS TOTAL COMPENSATION PACKAGE, LAWRENCE GENERAL HOSPITAL OFFERS 457(B) AND 457(F) NON-QUALIFIED SUPPLEMENTAL RETIREMENT PLANS. FOR THE 2012 CALENDAR YEAR, LAWRENCE GENERAL HOSPITAL CONTRIBUTED THESE AMOUNTS TO THE FOLLOWING EMPLOYEES LISTED ON FORM 990, SCHEDULE J, PART II: DIANNE J. ANDERSON, 457B PLAN ($17,000), 457F PLAN ($34,600); DENISE S. PALUMBO, 457B PLAN ($17,000), 457F PLAN ($17,500); DEBORAH J. WILSON 457B PLAN ($17,000), 457F PLAN ($16,500); NEIL MEEHAN, MD, 457B PLAN ($17,000), 457F PLAN ($18,000); DANIEL CONCAUGH, 457B PLAN ($17,000), 457F PLAN ($11,500). SUPPLEMENTAL INFORMATION PART III PAYROLL RECORDS ARE FOR THE 1/1/2012-12/31/2012 CALENDAR YEAR. A MHEFA SERIES M4-A POOL 4 BONDS 042456011 2009-10-08 18800000 CONSTRUCTION OF EMERGENCY AND IMAGING CENTER 0 0 0 B MHEFA LEASE 042456011 2010-08-31 6300000 HIS SYSTEM UPGRADE 0 0 0 A 18800000 329959 18470041 2010 0 0 0 1 B 6300000 39230 6260770 2012 0 0 0 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 0 0 PIERRE H CHAHRAHBAN MD INDEPENDENT CONTRACTOR 93567 PHYSICIAN SERVICES 0 GLENN NEWSOME MD INDEPENDENT CONTRACTOR 242917 PHYSICIAN SERVICES - PAYMENTS OF $222,917 WERE MADE DIRECTLY TO HIS MEDICAL GROUP FOR ICU COVERAGE. THE REMAINING AMOUNT OF $20,000 WAS PAID DIRECTLY TO HIM AS PART OF A MEDICAL DIRECTORSHIP. 0 LUIS E YEPEZ JR LANDLORD 346436 VARIOUS RENTAL SPACES 0 DAVID TORRISI ESQ SUPPLIER 1943 SUPPLIER-LUMBER 0 THOMAS FAZIO MD INDEPENDENT CONTRACTOR 85811 PHYSICIAN SERVICES - PAYMENTS WERE MADE DIRECTLY TO A MEDICAL GROUP IN WHICH HE HOLDS AN OWNERSHIP INTEREST. THESE PAYMENTS WERE FOR VARIOUS FORMS OF REGULAR/ROUTINE PHYSICIAN SERVICES THAT WERE PERFORMED AT THE HOSPITAL. 0 NAOMI GARDNER INDEPENDENT CONTRACTOR 530020 PHYSICIAN SERVICES - PAYMENTS WERE MADE DIRECTLY TO A MEDICAL GROUP IN WHICH SHE HOLDS AN OWNERSHIP INTEREST. THESE PAYMENTS WERE FOR NEUROLOGIC CALL COVERAGE AND REGULAR/ROUTINE PHYSICIAN SERVICES THAT WERE PERFORMED AT THE HOSPITAL. 0 EDUARDO HADDAD MD INDEPENDENT CONTRACTOR 28205 PHYSICIAN SERVICES 0 BELISARIO ROSAS SUPPLIER 41042 DATA RECOVERY SERVICES 0 FORM 990, PART IV, LINE 3: PART IV LINE 2 OF THE TOTAL PAYMENTS OF $242,917 LISTED FOR GLENN NEWSOME, MD, $222,917 WERE MADE DIRECTLY TO HIS MEDICAL GROUP FOR ICU COVERAGE. THE REMAINING X DONATED PROPERTY 1 241000 COST OF PURCHASES BY ARAMARK 0 1 0 FORM 990, PART VI, SECTION B, LINE 11 FORM 990 IS PREPARED BY THE ASSISTANT CONTROLLER OF THE HOSPITAL AND REVIEWED BY THE VICE PRESIDENT OF FINANCE AND CFO. THE HOSPITAL'S EXTERNAL ACCOUNTANT ALSO REVIEWS THE FORM 990. ONCE FORM 990 IS COMPLETED, THE FORM AND ALL ITS ACCOMPANYING SCHEDULES ARE MADE AVAILABLE TO THE HOSPITAL'S BOARD OF TRUSTEES VIA A SECURE INTERNET PORTAL FOR REVIEW. THE VICE PRESIDENT OF FINANCE AND CFO ARE MADE AVAILABLE TO FACILITATE THE REVIEW AND ANSWER ANY QUESTIONS REGARDING THE FORM THE TRUSTEES MAY HAVE. FORM 990, PART VI, SECTION B, LINE 12C ON AN ANNUAL BASIS, THE HOSPITAL DISTRIBUTES A CONFLICT OF INTEREST POLICY TO THE BOARD OF TRUSTEES. THE TRUSTEES ARE REQUIRED TO DISCLOSE IN WRITING, ANY POTENTIAL CONFLICT THAT THEY ARE AWARE OF. ALL KNOWN INTEREST HAVE BEEN DISCLOSED IN SCHEDULE L. FORM 990, PART VI, SECTION B, LINE 15 THE CEO'S ANNUAL COMPENSATION IS REVIEWED & 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 HOSPITAL MAKES ALL DOCUMENTS INCLUDING FORM 990 AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE HOSPITAL MAKES ALL DOCUMENTS INCLUDING COPIES OF ITS BY-LAWS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. FORM 990, PART VIII, LINE 11A: ON DECEMBER 20, 2011, CMS APPROVED A THREE-YEAR MASSACHUSETTS MEDICAID WAIVER EXTENSION FOR THE PERIOD OF JULY 1, 2011 THROUGH JUNE 30, 2014 THAT INCLUDED DELIVERY SYSTEM TRANSFORMATION INITIATIVE ("DSTI") POTENTIAL FUNDING OF $14,433,000 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. FORM 990 PART IX LINE 24(F) CHEMICAL REAGANTS (PROGRAM EXPENSES) = $2,163,544 CARDIAC CATH LAB SUPPLIES (PROGRAM EXPENSES) = $2,053,922 FOOD (PROGRAM EXPENSES) = $1,374,062 OTHER (PROGRAM EXPENSES) = $9,612,286 TOTAL PROGRAM EXPENSES = $15,203,814 OTHER (MANAGEMENT EXPENSES) = $4,287,404 TOTAL MANAGEMENT EXPENSES = $4,287,404 OTHER (FUNDRAISING EXPENSES) = $42,476 TOTAL OTHER MANAGEMENT EXPENSES = $42,476 CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: NET ASSET TRANSFER TO COMMUNITY MEDICAL ASSOCIATES, INC. -482,000. CONTRIBUTIONS -36,000. CHANGE IN VALUE OF NET ASSETS HELD BY LGH CHARITABLE TRUST 1,253,000. OTHER 1,086. CAPITAL GRANT FROM LGH CHARITABLE TRUST, INC. 287,000. LGH CHARITABLE TRUST INC 1 GENERAL STREET LAWRENCE MA 01841 222586814 FUND RAISING MA 501 (C)(3) FUNDRAISING LAWRENCE GENERAL HOSPITAL 1 COMMUNITY MEDICAL ASSOCIATES INC I GENERAL STREET LAWRENCE MA 01841 272142635 PRIMARY CARE MA 501 (C)(3) PRIMARY CARE LAWRENCE GENERAL HOSPITAL 1 LGH HEALTH ENTERPRISES INC 38 PROSPECT STREET LAWRENCE MA 01842 042869696 HEALTH CARE MANAGEMENT MA LAWRENCE GENERAL HOSPITAL C 1.00000 1 LGH PHYSICIAN ASSOCIATES PC 38 PROSPECT STREET LAWRENCE MA 01842 043174041 HEALTH CARE MANAGEMENT MA LAWRENCE GENERAL HOSPITAL C 1.00000 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 COMMUNITY MEDICAL ASSOCIATES INC B 482245 REVIEW OF RECORDS LGH PHYSICIAN ASSOCIATES INC O 829639 REVIEW OF RECORDS LGH HEALTH ENTERPRISES INC O 2203103 REVIEW OF RECORDS LGH CHARITABLE TRUST INC O 304515 REVIEW OF RECORDS LGH CHARITABLE TRUST INC Q 98692 REVIEW OF RECORDS