LGH CHARITABLE TRUST INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
LGH CHARITABLE TRUST INC (EIN 22-2586814)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-08-10
IRS object ID
201202239349301305
Schema version
2010v3.4
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-08-10T13:17:57-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1FEELEY & DRISCOLL PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1200 PORTLAND STREETAddressLine1
CityBOSTONCity
StateMAState
ZIP Code02114ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN222586814EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LGH CHARITABLE TRUST INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLGHCNameControl
Phone9786834000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 GENERAL STREETAddressLine1
CityLAWRENCECity
StateMAState
ZIP Code018412961ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDEBORAH J WILSONName
TitleVP OF FISCAL AFFAIRS/CFOTitle
Phone9786834000Phone
Date Signed2012-08-08DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJEFFREY T ROGERSName
Phone6177427788Phone
Date Prepared2012-08-08DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDIANNE J ANDERSONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11 GENERAL STREETAddressLine1
CityLAWRENCECity
StateMAState
ZIP Code01841ZIPCode
FieldValueIRS element (for citing)
Gross Receipts5168735GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.LAWRENCEGENERAL.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1984YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionTO PROMOTE THE DEVELOPMENT OF COMPREHENSIVE INTEGRATED HEALTH CARE DELIVERY SERVICES. TO SUPPORT LAWRENCE GENERAL HOSPITAL AND THE HEALTH STATUS OF THE COMMUNITY.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year405370ContributionsGrantsPriorYear
Contributions Grants Current Year743264ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year476265InvestmentIncomePriorYear
Investment Income Current Year704448InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year881635TotalRevenuePriorYear
Total Revenue Current Year1447712TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1632OtherExpensePriorYear
Other Expenses Current Year2429OtherExpensesCurrentYear
Total Expenses Prior Year1632TotalExpensesPriorYear
Total Expenses Current Year2429TotalExpensesCurrentYear
Revenues Less Expenses Prior Year880003RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1445283RevenuesLessExpensesCY
Total Assets BOY21503535TotalAssetsBOY
Total Assets EOY22209337TotalAssetsEOY
Total Liabilities BOY6220TotalLiabilitiesBOY
Total Liabilities EOY23876TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY21497315NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY22185461NetAssetsOrFundBalancesEOY
Mission DescriptionPROMOTE THE DEVELOPMENT OF COMPREHENSIVE INTEGRATED HEALTH CARE DELIVERY SERVICES. SUPPORT LAWRENCE GENERAL HOSPITAL AND THE HEALTH STATUS OF THE COMMUNITY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
DescriptionTO PROMOTE THE DEVELOPMENT OF COMPREHENSIVE INTEGRATED HEALTH CARE DELIVERY SERVICES. TO SUPPORT LAWRENCE GENERAL HOSPITAL AND THE HEALTH STATUS OF THE COMMUNITY.Description
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Form8899 Filed0Form8899Filed
Form1098 C Filed0Form1098CFiled
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy0ConflictOfInterestPolicy
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1FELIX MERCADOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9786834000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11 GENERAL STREETAddressLine1
CityLAWRENCECity
StateMAState
ZIP Code01841ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerFormerFormer
MATTHEW A CAFFREY ESQ
TRUSTEE1.00X000
MICHAEL W MORRIS SR ESQ
TRUSTEE1.00X000
ROBIN NEIL
TRUSTEE1.00X000
RICHARD SANTAGATI
TRUSTEE1.00X000
BELISARIO ROSAS
CHAIRMAN1.00X000
THOMAS JONES
TREASURER1.00X000
PETER QUINLAN
SECRETARY1.00X000
DENISE S PALUMBO
ASSISTANT SECRETARY1.00X000X
DEBORAH J WILSON
ASSISTANT TREASURER1.00X000X
DIANNE J ANDERSON
PRESIDENT1.00042593961458X
EDWARD L DUDLEY
FORMER ASSISTANT TREASURER THROUGH JANUARY 13, 2011.00032931624123X
JOSEPH S MCMANUS
FORMER PRESIDENT1.0001445560X
GERALD J FOLEY
FORMER ASSISTANT SECRETARY1.000353879131097X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1253690TotalReportableCompFrmRltdOrgs
Total Other Compensation216678TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions743264AllOtherContributions
Total Contributions743264TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column233739TotalRevenueColumn
Exclusion$233,739ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities4191732Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities3721023Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities470709Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column470709TotalRevenueColumn
Exclusion$470,709ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1447712TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$704,448ExclusionAmount

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2229Total
Management And General2229ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total200Total
Management And General200ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2429Total
Program Services0ProgramServices
Management And General2429ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY438138BOY
EOY1204642EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY411435BOY
EOY361480EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis5250LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3750LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1700BOY
EOY1500EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY9335690BOY
EOY9320107EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY11316572BOY
EOY11321608EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY21503535BOY
EOY22209337EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY6220BOY
EOY23876EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY6220BOY
EOY23876EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY21253364BOY
EOY21921000EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY243951BOY
EOY264461EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY21497315BOY
EOY22185461EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY21503535BOY
EOY22209337EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1445283ReconcilationRevenueExpenses
Reconcilation Other Changes-757137ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years469000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years786166CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1095596CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year405370CurrentTaxYearMinus1Year
Current Tax Year743264CurrentTaxYear
Total3499396Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years469000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years786166CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1095596CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year405370CurrentTaxYearMinus1Year
Current Tax Year743264CurrentTaxYear
Total3499396Total
FieldValueIRS element (for citing)
Public Support Total1703499396PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years236000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years220602CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years201502CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year188318CurrentTaxYearMinus1Year
Current Tax Year233739CurrentTaxYear
Total1080161Total
FieldValueIRS element (for citing)
Total Support4579557TotalSupport
Public Support Pertcentage1700.76410PublicSupportPertcentage170
Public Support Pertcent Prior Year0.73480PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5250OtherCostOrOtherBasis
Depreciation3750Depreciation
Book Value1500BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1500TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
INVESTMENT IN AFFILIATE11315797
A/R OTHER5811
FieldValueIRS element (for citing)
Total Book Value Other Assets11321608TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO AFFILIATEDescription
Amount$23,876Amount
FieldValueIRS element (for citing)
Total Of Amounts23876TotalOfAmounts
Total Revenue1447712TotalRevenue
Total Expenses2429TotalExpenses
Excess Or Deficit For Year1445283ExcessOrDeficitForYear
Net Unrealized GL On Investments-777242NetUnrealizedGLOnInvestments
Other$20,105OtherAmount
Total Adjustments-757137TotalAdjustments
Excess Or Deficit Per FS688146ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt1447712TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal1447712RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9901447712TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt2429TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal2429ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9902429TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPART XI, LINE 8 - OTHER ADJUSTMENTS:Identifier
ExplanationCHANGE IN TEMPORARILY RESTRICTED NET ASSETS 20,105.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DIANNE J ANDERSON
0425939000000061458048739700
EDWARD L DUDLEY
0329316000001000023123035343900
JOSEPH S MCMANUS
000001445560000014455600
GERALD J FOLEY
00000353879030000128097048497600

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL INFORMATIONIdentifier
Return ReferencePART IIIReturnReference
ExplanationPART II PAYROLL RECORDS ARE FOR THE 1/1/2010 TO 12/31/2010 CALENDAR YEAR. PART I, Q 4C: DURING THE 2010 CALENDAR YEAR, THE ORGANIZATION'S PARENT COMPANY, LAWRENCE GENERAL HOSPITAL, MADE THE FOLLOWING SEVERANCE PAYMENTS: GERALD FOLEY: $353,879 JOSEPH S. MCMANUS: $144,556Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11FORM 990 IS PREPARED BY THE ORGANIZATION'S CONTROLLER, REVIEWED BY THE CFO AND ASSISTANT CONTROLLER AND REVIEWED BY THE ORGANIZATION'S ACCOUNTANT. 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 CONTROLLER AND CFO ARE MADE AVAILABLE TO FACILITATE THE REVIEW AS WELL AS ANSWER ANY QUESTIONS REGARDING THE FORM.
THE ORGANIZATION'S FORM 990 IS MADE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 18
THE ORGANIZATION MAKES ALL DOCUMENTS AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED LOSSES ON INVESTMENTS: -777,242. CHANGE IN TEMPORARILY RESTRICTED NET ASSETS 20,105. TOTAL TO FORM 990, PART XI, LINE 5: -757,137.FORM 990, PART XI, LINE 5:
THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS THAT IS DONE BY OUR ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.FORM 990, PART XI, LINE 2C:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
LAWRENCE GENERAL HOSPITAL
1 GENERAL STREETLAWRENCEMA01841042103586HOSPITALMA501(C)(3)HOSPITALN/A0
COMMUNITY MEDICAL ASSOCIATES INC
1 GENERAL STREETLAWRENCEMA01841272142635PRIMARY CAREMA501(C)(3)PRIMARY CAREN/A0

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntity
LGH HEALTH ENTERPRISES INC
38 PROSPECT STREETLAWRENCEMA01842042869696HEALTH CARE MANAGEMENTMALAWRENCE GENERAL HOSPITALC
LGH PHYSICIAN ASSOCIATES PC
38 PROSPECT STREETLAWRENCEMA01842043174041PHYSICIAN GROUPMALAWRENCE GENERAL HOSPITALC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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