LAWRENCE GENERAL HOSPITAL: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: LAWRENCE GENERAL HOSPITAL (EIN 04-2103586)
Tax period: 2024-10-01 to 2025-09-30
Filed: 2026-08-14
IRS object ID: 202622269349301907
Schema version: 2024v5.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2026-08-14T09:45:57+00:00	ReturnTs
Tax Period End	2025-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	135381590	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BDO USA	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	ONE INTERNATIONAL PLACE	AddressLine1Txt
City	BOSTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02110	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	042103586	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LAWRENCE GENERAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	LAWR	BusinessNameControlTxt
Phone	9786834000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1 GENERAL STREET	AddressLine1Txt
City	LAWRENCE	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	018412961	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JOHN H WHITLOCK JR	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	9786834000	PhoneNum
Signature	2026-08-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JAKE COOK	PreparerPersonNm
PTIN	P01240455	PTIN
Phone	6174220700	PhoneNum
Preparation	2026-08-11	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	MERRIMACK HEALTH LAWRENCE HOSPITAL	BusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DIANA L RICHARDSON	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1 GENERAL STREET	AddressLine1Txt
City	LAWRENCE	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	018412961	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$367,955,499	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	HTTPS://WWW.MHLAWRENCEHOSPITAL.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1875	FormationYr
Legal Domicile State	MA	LegalDomicileStateCd
Activity Or Mission	ACUTE CARE COMMUNITY HOSPITAL PROVIDING INPATIENT AND OUTPATIENT HEALTH SERVICES TO THE GENERAL PUBLIC.	ActivityOrMissionDesc
Voting Members Governing Body	18	VotingMembersGoverningBodyCnt
Voting Members Independent	16	VotingMembersIndependentCnt
Total Employee	2329	TotalEmployeeCnt
Total Volunteers	410	TotalVolunteersCnt
Total Gross UBI	$1,818,552	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,013,524	PYContributionsGrantsAmt
CY Contributions Grants	$688,708	CYContributionsGrantsAmt
PY Program Service Revenue	$307,628,089	PYProgramServiceRevenueAmt
CY Program Service Revenue	$312,009,699	CYProgramServiceRevenueAmt
PY Investment Income	$722,055	PYInvestmentIncomeAmt
CY Investment Income	$650,256	CYInvestmentIncomeAmt
PY Other Revenue	$21,585,332	PYOtherRevenueAmt
CY Other Revenue	$54,229,289	CYOtherRevenueAmt
PY Total Revenue	$331,949,000	PYTotalRevenueAmt
CY Total Revenue	$367,577,952	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$177,164,625	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$198,578,378	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$338,974	CYTotalFundraisingExpenseAmt
PY Other Expenses	$164,066,056	PYOtherExpensesAmt
CY Other Expenses	$167,668,296	CYOtherExpensesAmt
PY Total Expenses	$341,230,681	PYTotalExpensesAmt
CY Total Expenses	$366,246,674	CYTotalExpensesAmt
PY Revenues Less Expenses	-$9,281,681	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$1,331,278	CYRevenuesLessExpensesAmt
Total Assets BOY	$299,270,124	TotalAssetsBOYAmt
Total Assets EOY	$309,831,933	TotalAssetsEOYAmt
Total Liabilities BOY	$273,005,809	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$295,452,010	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$26,264,315	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$14,379,923	NetAssetsOrFundBalancesEOYAmt
Mission	TO OPERATE AND MAINTAIN AN ACUTE CARE GENERAL HOSPITAL. PROVIDE APPROPRIATE HOSPITAL AND OTHER RELATED HEALTH SERVICES TO ALL PATIENTS REGARDLESS OF RACE, COLOR, CREED OR NATIONAL ORIGIN. PROVIDE ACCESS TO MEDICALLY NECESSARY SERVICES FOR AREA RESIDENTS REGARDLESS OF ABILITY TO PAY. ASSURE THE ONGOING PROCESS OF CONTINUOUSLY IMPROVING PATIENT CARE QUALITY.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$112,635,679	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$156,466,194	RevenueAmt
Desc	INPATIENT HEALTHCARE SERVICES - PROVIDING INPATIENT SERVICES CONSISTENT WITH OUR CORE VALUES BY PROVIDING ACCESS TO COMPREHENSIVE, HIGH QUALITY, COMPASSIONATE, AND EFFICIENT HEALTHCARE SERVICES. LAWRENCE GENERAL HOSPITAL IS A 186 BED HOSPITAL THAT PROVIDED 51,116 PATIENT DAYS OF INPATIENT SERVICES WITH 11,947 DISCHARGES DURING FY 2025.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$110,078,218	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$152,913,534	RevenueAmt
Desc	OUTPATIENT HEALTHCARE SERVICES - PROVIDING OUTPATIENT SERVICES CONSISTENT WITH OUR CORE VALUES BY PROVIDING ACCESS TO COMPREHENSIVE, HIGH QUALITY, COMPASSIONATE, AND EFFICIENT HEALTHCARE SERVICES. DURING FY 2025, LAWRENCE GENERAL HOSPITAL HAD 291,578 OUTPATIENT VISITS.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$39,624,339	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$55,040,708	RevenueAmt
Desc	OTHER PROGRAM SERVICE REVENUE FROM LAWRENCE GENERAL HOSPITAL PRIMARILY CONSISTS OF CAFETERIA RECEIPTS, INTERCOMPANY REIMBURSEMENTS, DSTI WAIVER FUNDS, AND DSRIP FUNDS. IN ADDITION, THERE IS LAWRENCE INTEGRATED HEALTH PROVIDER NETWORK LLC, A DISREGARDED LIMITED LIABILITY COMPANY (LLC), LOCATED IN LAWRENCE, MASSACHUSETTS SETUP TO BRING AFFILIATED AND EMPLOYED PROVIDERS TOGETHER UNDER THE UMBRELLA OF ONE CLINICALLY INTEGRATED NETWORK TO IMPROVE CONTINUITY OF AND ACCESS TO CARE FOR PATIENTS IN OUR SERVICE AREA.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$39,624,339	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$55,040,708	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$262,338,236	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	169	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2329	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	18	GoverningBodyVotingMembersCnt
Independent Voting Member	16	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	Yes (true)	LocalChaptersInd
Policies Reference Chapters	Yes (true)	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Written Policy Or Procedure	false	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	MA	StatesWhereCopyOfReturnIsFldCd
Other Website	Yes (X)	OtherWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JOHN H WHITLOCK JR	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	9786834000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1 GENERAL STREET	AddressLine1Txt
City	LAWRENCE	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	01841	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ABHA AGRAWAL
PRESIDENT & CEO (UNTIL 02/2025)	50.0	5.0	Yes (X)	Yes (X)	$893,147	$0	$30,100
CAROL POWERS
SECRETARY/CLERK	1.0	4.0	Yes (X)	Yes (X)	$0	$0	$0
DAN RIVERA
VICE CHAIRMAN (UNTIL 12/2024); TRUSTEE (AS OF 12/2024)	1.0	4.0	Yes (X)	Yes (X)	$0	$0	$0
DIANA L RICHARDSON
PRESIDENT & CEO (AS OF 04/2025)	50.0	5.0	Yes (X)	Yes (X)	$0	$0	$0
LAUREL SWEENEY
TREASURER	1.0	4.0	Yes (X)	Yes (X)	$0	$0	$0
ROSEMARIE DAY
CHAIRMAN	1.0	4.0	Yes (X)	Yes (X)	$0	$0	$0
BRENDEN HAYDEN
TRUSTEE	1.0	0	Yes (X)		$0	$0	$0
EDUARDO HADDAD MD
TRUSTEE	1.0	3.0	Yes (X)		$220,999	$0	$0
GLENN NEWSOME
TRUSTEE	1.0	0	Yes (X)		$0	$0	$0
GREGORY SEBASKY
TRUSTEE (AS OF 12/24)	1.0	0	Yes (X)		$0	$0	$0
JOSE CRUZ
TRUSTEE	1.0	0	Yes (X)		$0	$0	$0
JOYCE SHANNON
TRUSTEE	1.0	0	Yes (X)		$0	$0	$0
JUAN MONTANEZ
TRUSTEE (AS OF 12/2024)	1.0	0	Yes (X)		$0	$0	$0
LANE GLENN
TRUSTEE (AS OF 12/2024)	1.0	2.0	Yes (X)		$0	$0	$0
MARIANNE PALEY NADEL
TRUSTEE	1.0	0	Yes (X)		$0	$0	$0
MARK JOHNSON
TRUSTEE	1.0	0	Yes (X)		$0	$0	$0
MICHAEL SKLAR
TRUSTEE	1.0	0	Yes (X)		$0	$0	$0
RICHARD SANTAGATI
TRUSTEE	1.0	0	Yes (X)		$0	$0	$0
VILMA MARTINEZ
TRUSTEE	1.0	0	Yes (X)		$0	$0	$0
CYNTHIA FITZGERALD
INTERIM CFO (UNTIL 12/2024)	50.0	5.0		Yes (X)	$179,850	$0	$0
JOHN H WHITLOCK JR
SVP - CFO (AS OF 04/2025)	1.0	5.0		Yes (X)	$0	$0	$0
LISA CRUTCHFIELD
CORP ASST SEC/CHRO HR (UNTIL 04/2025)	50.0	5.0		Yes (X)	$370,877	$0	$32,731
ROBIN HYNDS
INTERIM PRESIDENT & CEO (02/2025 - 04/2025); COO	40.0	5.0		Yes (X)	$517,092	$0	$37,272
STEVE ROACH
INTERIM CFO (12/2024 - 03/2025)	50.0	5.0		Yes (X)	$0	$0	$0
ANTHONY ALLEY
CHIEF NURSE EXECUTIVE AND CQO	40.0	5.0			$480,074	$0	$48,977	Yes (X)
GEORGE KONDYLIS MD
CHIEF PHYSICIAN EXECUTIVE AND CMO	40.0	5.0			$490,453	$0	$57,357	Yes (X)
DAVID GOSSMAN
MEDICAL DIRECTOR - CARDIOLOGY	40.0	0			$607,864	$0	$14,013		Yes (X)
JASON D REID MD
PHYSICIAN (ORTHO TRAUMA)	40.0	0			$570,213	$0	$32,419		Yes (X)
JOHN J BRADY MD
PHYSICIAN (PULMONOLOGY)	40.0	0			$450,966	$0	$29,419		Yes (X)
MOH'D-RASHEED ABU-QAOUD
INTERNAL MEDICINE SPECIALIST	40.0	0			$433,985	$0	$14,150		Yes (X)
SUNIT MUKHERJEE MD
CHIEF CARDIOVASCULAR & AMBULATORY MEDICINE	40.0	0			$619,889	$0	$22,457		Yes (X)
WILLIAM SULLIVAN
FORMER OFFICER	0.0	0.0			$193,120	$0	$32,425			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,028,529	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$351,320	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	487	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
HWL HOLDINGS LLC TFM ESCROW
PO BOX 860573	MINNEAPOLIS	MN	55486	CONTRACT LABOR	$18,932,485
NORTH AMERICAN PARTNERS IN ANESTHESIA-MA
1305 WALT WHITMAN ROAD SUITE 300	MELVILLE	NY	11747	ANESTHESIA SERVICES	$9,227,423
EXPRESS SCRIPTS
21653 NETWORK PLACE	CHICAGO	IL	60673	PHARMACY BENEFIT ADMINISTRATOR	$8,977,777
STEWARD HEALTH CARE HOLDINGS LLC
1900 N PEARL ST STE 2400	DALLAS	TX	75201	TRANSITION SERVICE AGREEMENT	$6,961,973
OBHG MASSACHUSETTS PC
777 LOWNDES HILL ROAD	GREENVILLE	SC	29607	PHYSICIAN SERVICES	$2,921,679	BLDG 1

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	80	CntrctRcvdGreaterThan100KCnt
Government Grants	$657,660	GovernmentGrantsAmt
All Other Contributions	$31,048	AllOtherContributionsAmt
Total Contributions	$688,708	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE	621110	$309,379,728	$309,379,728
NET PATIENT REVENUE (LAB RECEIPTS)	621500	$1,818,552		$1,818,552
LIHPN MEMBER MANAGEMENT FEES	621110	$536,544	$536,544
LIHPN ANNUAL DUES	621110	$274,875	$274,875

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$312,009,699	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$635,375	TotalRevenueColumnAmt
Exclusion	$635,375	ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$392,428	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$377,547	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$14,881	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$14,881	TotalRevenueColumnAmt
Exclusion	$14,881	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
WAIVER/DSTI /DSRIP RECEIPTS	621110	$23,718,581	$23,718,581
DSRIP	621110	$844,985	$844,985
MEALS	621110	$663,223	$663,223

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$29,002,500	TotalRevenueColumnAmt
Related Or Exempt Func Income	$29,002,500	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$54,229,289	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$367,577,952	TotalRevenueColumnAmt
Related Or Exempt Func Income	$364,420,436	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,818,552	UnrelatedBusinessRevenueAmt
Exclusion	$650,256	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,048,366	TotalAmt
Program Services	$345,806	ProgramServicesAmt
Management And General	$3,702,560	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$161,864,754	TotalAmt
Program Services	$134,845,140	ProgramServicesAmt
Management And General	$26,738,742	ManagementAndGeneralAmt
Fundraising	$280,872	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,590,211	TotalAmt
Program Services	$2,157,834	ProgramServicesAmt
Management And General	$427,882	ManagementAndGeneralAmt
Fundraising	$4,495	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$17,444,085	TotalAmt
Program Services	$14,532,195	ProgramServicesAmt
Management And General	$2,881,621	ManagementAndGeneralAmt
Fundraising	$30,269	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$12,630,962	TotalAmt
Program Services	$10,522,511	ProgramServicesAmt
Management And General	$2,086,533	ManagementAndGeneralAmt
Fundraising	$21,918	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$42,829,688	TotalAmt
Program Services	$24,683,983	ProgramServicesAmt
Management And General	$18,145,705	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,078,950	TotalAmt
Program Services	$35,942	ProgramServicesAmt
Management And General	$1,043,008	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,387,623	TotalAmt
Management And General	$1,387,623	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$126,904	TotalAmt
Management And General	$126,904	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$151,278	TotalAmt
Management And General	$151,278	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$650,331	TotalAmt
Program Services	$383,293	ProgramServicesAmt
Management And General	$266,518	ManagementAndGeneralAmt
Fundraising	$520	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$6,721,080	TotalAmt
Program Services	$122,644	ProgramServicesAmt
Management And General	$6,598,436	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$10,505,013	TotalAmt
Program Services	$6,069,641	ProgramServicesAmt
Management And General	$4,435,372	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$14,471	TotalAmt
Management And General	$14,471	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,199	TotalAmt
Management And General	$1,199	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,644,917	TotalAmt
Management And General	$3,644,917	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$12,625,022	TotalAmt
Management And General	$12,625,022	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,114,284	TotalAmt
Management And General	$1,114,284	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
SUPPLIES AND EQUIPMENT	$36,535,471	$36,526,297	$9,174
FOOD	$1,227,701	$997,164	$230,537
PHYSICIAN FEES	$9,710,011	$9,710,011
CHEMICAL REAGENTS	$3,957,355	$3,957,355

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$35,386,998	TotalAmt
Program Services	$17,448,420	ProgramServicesAmt
Management And General	$17,937,678	ManagementAndGeneralAmt
Fundraising	$900	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$366,246,674	TotalAmt
Program Services	$262,338,236	ProgramServicesAmt
Management And General	$103,569,464	ManagementAndGeneralAmt
Fundraising	$338,974	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$47,119,129	BOYAmt
EOY	$31,363,999	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$40,255,434	BOYAmt
EOY	$39,033,879	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$8,491,806	BOYAmt
EOY	$8,803,005	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,570,162	BOYAmt
EOY	$1,606,018	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$276,266,116	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$204,677,931	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$82,711,616	BOYAmt
EOY	$71,588,185	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$3,164,878	BOYAmt
EOY	$3,508,078	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$115,957,099	BOYAmt
EOY	$153,928,769	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$299,270,124	BOYAmt
EOY	$309,831,933	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$69,527,446	BOYAmt
EOY	$72,495,182	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$10,924,816	BOYAmt
EOY	$3,804,932	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$68,730,584	BOYAmt
EOY	$67,148,109	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$123,822,963	BOYAmt
EOY	$152,003,787	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$273,005,809	BOYAmt
EOY	$295,452,010	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$25,164,315	BOYAmt
EOY	$13,279,923	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,100,000	BOYAmt
EOY	$1,100,000	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$26,264,315	BOYAmt
EOY	$14,379,923	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$299,270,124	BOYAmt
EOY	$309,831,933	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$1,331,278	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$245,051	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$13,460,721	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	false	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$126,904	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$126,904	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	REPRESENTS (A) 15.85% OF MASSACHUSETTS HOSPITAL ASSOCIATION ("MHA") & AMERICAN HOSPITAL ASSOCIATION ("AHA") ANNUAL DUES/FEES THAT IS DEEMED TO BE USED FOR LOBBYING EXPENDITURES ($24,904); AND (C) CONSULTANT EXPENSES DEEMED TO BE USED FOR LOBBYING EXPENDITURES ($102,000) IN FY 2025.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,172,000	BeginningYearBalanceAmt
Investment Earnings Or Losses	$344,000	InvestmentEarningsOrLossesAmt
End Year Balance	$3,516,000	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,618,000	BeginningYearBalanceAmt
Investment Earnings Or Losses	$554,000	InvestmentEarningsOrLossesAmt
End Year Balance	$3,172,000	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,344,000	BeginningYearBalanceAmt
Investment Earnings Or Losses	$274,000	InvestmentEarningsOrLossesAmt
End Year Balance	$2,618,000	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,735,000	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$391,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$5,000,000	OtherExpendituresAmt
End Year Balance	$2,344,000	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$6,610,000	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,125,000	InvestmentEarningsOrLossesAmt
End Year Balance	$7,735,000	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.6871	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.3129	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.0	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,063,243	OtherCostOrOtherBasisAmt
Book Value	$4,063,243	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$114,876,616	OtherCostOrOtherBasisAmt
Depreciation	$85,228,470	DepreciationAmt
Book Value	$29,648,146	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$22,522,762	OtherCostOrOtherBasisAmt
Depreciation	$11,001,849	DepreciationAmt
Book Value	$11,520,913	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$131,975,746	OtherCostOrOtherBasisAmt
Depreciation	$106,360,870	DepreciationAmt
Book Value	$25,614,876	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,827,749	OtherCostOrOtherBasisAmt
Depreciation	$2,086,742	DepreciationAmt
Book Value	$741,007	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$71,588,185	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (10 entries)

DescDesc	Book ValueBookValueAmt
RIGHT-OF-USE ASSET	$36,582,000
LOAN RECEIVABLE	$28,107,337
INTEREST LGH CHARITABLE TRUST	$23,412,546
DUE FROM AFFILIATES	$21,350,300
EST. SETTLEMENTS W/THIRD PARTY	$18,667,179
FUNDS HELD BY TRUSTEE	$12,522,494
OTHER ASSETS	$7,650,044
OTHER RECEIVABLES	$4,324,990
TEMPORARILY RESTRICTED CASH	$1,303,743
BOARD DESIGNATED CASH	$8,136

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$153,928,769	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
FEDERAL INCOME TAXES
DUE TO AFFILIATES	$61,600,813
OPERATING LEASES	$43,222,966
REFUNDABLE ADVANCES	$37,740,000
EST. SETTLEMENTS W/THIRD PARTY	$7,504,949
OTHER LONG-TERM LIABILITIES	$1,935,059

Field	Value	IRS element (for citing)
Total Liability	$152,003,787	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Other Revenue	$0	OtherRevenueAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$0	RevenueSubtotalAmt
Other Revenues Not Included	$0	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$0	TotalRevenuePerForm990Amt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$0	ExpensesSubtotalAmt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$0	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE D, PART V, LINE 4 INTENDED USES OF ENDOWMENT FUNDS

THE ENDOWMENT FUNDS ARE USED FROM THE ORGANIZATION'S LONG-TERM AND SHORT-TERM NEEDS AS THE BOARD SEES FIT.

SCHEDULE D, PART X, LINE 2 FIN 48 (ASC 740) FOOTNOTE

LAWRENCE GENERAL HOSPITAL IS A NONPROFIT ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE ORGANIZATION ANNUALLY EVALUATES ITS TAX STATUS AND TAX POSITIONS TAKEN WITH RESPECT TO ITS OPERATIONS AND FINANCIAL POSITION. UNDER FASB ASC 740, INCOME TAXES, AN ORGANIZATION MUST RECOGNIZE THE CONSOLIDATED FINANCIAL STATEMENT EFFECTS OF A TAX POSITION TAKEN FOR TAX RETURN PURPOSES WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL NOT BE SUSTAINED UPON EXAMINATION BY A TAXING AUTHORITY. THE ORGANIZATION DOES NOT BELIEVE IT HAS TAKEN ANY MATERIAL UNCERTAIN TAX POSITIONS, AND ACCORDINGLY, IT HAS NOT RECORDED ANY LIABILITY FOR UNRECOGNIZED TAX BENEFITS.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	300	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,047,397	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,833,819	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$213,578	NetCommunityBenefitExpnsAmt
Total Expense	0.00058	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$86,043,748	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$97,260,152	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$20,429,769	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$25,049,207	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$112,520,914	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$128,143,178	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$213,578	NetCommunityBenefitExpnsAmt
Total Expense	0.00058	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,329,066	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$936,128	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,392,938	NetCommunityBenefitExpnsAmt
Total Expense	0.00653	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,950,749	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,169,229	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,781,520	NetCommunityBenefitExpnsAmt
Total Expense	0.00486	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,214,294	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,214,294	NetCommunityBenefitExpnsAmt
Total Expense	0.01151	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$11,494,109	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,105,357	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,388,752	NetCommunityBenefitExpnsAmt
Total Expense	0.02290	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$124,015,023	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$131,248,535	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,602,330	NetCommunityBenefitExpnsAmt
Total Expense	0.02349	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$21,013,308	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$122,098,432	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$126,475,921	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$4,377,489	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LAWRENCE GENERAL HOSPITAL (DBA MERRIMACK HEALTH LAWRENCE HOSPITAL)	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1 GENERAL STREET	AddressLine1Txt
City	LAWRENCE	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	01841	ZIPCd

Field	Value	IRS element (for citing)
Website Address	HTTPS://WWW.MHLAWRENCEHOSPITAL.ORG/	WebsiteAddressTxt
State License	2099	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	LAWRENCE GENERAL HOSPITAL (DBA MERRIMACK HEALTH LAWRENCE HOSPITAL)	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	24	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTPS://WWW.MHLAWRENCEHOSPITAL.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	25	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://WWW.MHLAWRENCEHOSPITAL.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.0	FPGFamilyIncmLmtDscntCarePct
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE STATEMENT IN PART VI	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE STATEMENT IN PART VI	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE STATEMENT IN PART VI	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare	Yes (X)	LookBackMedicareInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5 FACILITY , 1	FACILITY , 1 - LAWRENCE GENERAL HOSPITAL (D/B/A MERRIMACK HEALTH LAWRENCE HOSPITAL). IN 2025, LAWRENCE GENERAL HOSPITAL (D/B/A MERRIMACK HEALTH LAWRENCE HOSPITAL), IN COLLABORATION WITH LG NEWCORP INC. (D/B/A MERRIMACK HEALTH METHUEN HOSPITAL AND MERRIMACK HEALTH HAVERHILL HOSPITAL) FKA HOLY FAMILY HOSPITAL AND GREATER LAWRENCE FAMILY HEALTH CENTER (GLFHC), COMPLETED A COMPREHENSIVE, JOINT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THIS MARKED THE FIRST TIME THE ASSESSMENT WAS CONDUCTED ACROSS THE NEWLY INTEGRATED MERRIMACK HEALTH SYSTEM. THE CHNA FOLLOWED A PARTICIPATORY, COLLABORATIVE APPROACH TO UNDERSTAND HEALTH IN ITS BROADEST CONTEXT. THE PROCESS INCLUDED ANALYSIS OF REGIONAL DEMOGRAPHIC, SOCIAL, ECONOMIC, AND HEALTH DATA; A COMMUNITY SURVEY COMPLETED BY OVER 600 RESIDENTS; KEY INFORMANT SURVEYS AND INTERVIEWS WITH MORE THAN 40 COMMUNITY STAKEHOLDERS; AND MULTIPLE FOCUS GROUPS WITH REPRESENTATIVES FROM HEALTHCARE, PUBLIC HEALTH, AND COMMUNITY-BASED ORGANIZATIONS. COMMUNITY ENGAGEMENT WAS CENTRAL TO THE PROCESS, INCORPORATING INPUT FROM RESIDENTS, COMMUNITY LEADERS, PUBLIC HEALTH OFFICIALS, SOCIAL SERVICE PROVIDERS, AND OTHER KEY STAKEHOLDERS ACROSS THE MERRIMACK VALLEY. THE ASSESSMENT COVERED A 19-COMMUNITY SERVICE AREA ACROSS MASSACHUSETTS AND SOUTHERN NEW HAMPSHIRE. FINDINGS FROM THE CHNA WERE USED TO IDENTIFY PRIORITY HEALTH NEEDS AND INFORM THE DEVELOPMENT OF A SYSTEM-WIDE COMMUNITY HEALTH IMPLEMENTATION STRATEGY FOR FY 2026-2028.
SCHEDULE H, PART V, SECTION B, LINE 6A FACILITY , 1	FACILITY , 1 - LAWRENCE GENERAL HOSPITAL (D/B/A MERRIMACK HEALTH LAWRENCE HOSPITAL). LG NEWCORP INC. (D/B/A MERRIMACK HEALTH METHUEN HOSPITAL AND MERRIMACK HEALTH HAVERHILL HOSPITAL) FKA HOLY FAMILY HOSPITAL
SCHEDULE H, PART V, SECTION B, LINE 6B FACILITY , 1	FACILITY , 1 - LAWRENCE GENERAL HOSPITAL (D/B/A MERRIMACK HEALTH LAWRENCE HOSPITAL). GREATER LAWRENCE FAMILY HEALTH CENTER
SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY , 1	FACILITY , 1 - LAWRENCE GENERAL HOSPITAL (D/B/A MERRIMACK HEALTH LAWRENCE HOSPITAL). LAWRENCE GENERAL HOSPITAL (D/B/A MERRIMACK HEALTH LAWRENCE HOSPITAL) CONDUCTED AND ADOPTED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DURING TAX YEAR 2024 AND INTENDS TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS: - ACCESS TO HEALTH CARE AND MISSING RESOURCES - AFFORDABILITY, INCOME (POVERTY) AND HOUSING - CHRONIC ILLNESS, MORTALITY AND PREVENTION - MENTAL HEALTH/BEHAVIORAL HEALTH THIS CHNA WAS CONDUCTED AND ADOPTED AT THE END OF 2024; THEREFORE, THE HEALTH NEEDS WILL BE ADDRESSED OVER THE THREE TAX YEARS, 2025 - 2028. LAWRENCE GENERAL HOSPITAL (D/B/A MERRIMACK HEALTH LAWRENCE HOSPITAL) TOOK THE FOLLOWING ACTIONS DURING TAX YEAR 2024 WITH RESPECT TO ITS MOST RECENT PREVIOUSLY CONDUCTED CHNA IN 2021: - BEHAVIORAL HEALTH: CONTINUED EXPANDING ACCESS TO BEHAVIORAL HEALTH AND SUBSTANCE USE SERVICES THROUGH COLLABORATION WITH GREATER LAWRENCE FAMILY HEALTH CENTER (GLFHC), COMMUNITY BEHAVIORAL HEALTH CENTERS, AND OTHER COMMUNITY PARTNERS. DURING FY2025, THE HOSPITAL MAINTAINED ADDICTION MEDICINE CONSULTATION SERVICES SEVEN DAYS PER WEEK, CONTINUED PARTICIPATION IN WEEKLY MULTIDISCIPLINARY HUB MEETINGS TO COORDINATE CARE FOR INDIVIDUALS EXPERIENCING SUBSTANCE USE DISORDER AND BEHAVIORAL HEALTH NEEDS, EXPANDED ACCESS TO INPATIENT BEHAVIORAL HEALTH SERVICES FOLLOWING THE HOLY FAMILY HOSPITAL ACQUISITION, AND CONVENED REGIONAL STAKEHOLDERS TO STRENGTHEN THE BEHAVIORAL HEALTH CONTINUUM OF CARE. - MATERNAL & CHILD HEALTH: CONTINUED PROVIDING PRENATAL EDUCATION, BREASTFEEDING EDUCATION, AND ONGOING LACTATION SUPPORT SERVICES IN ENGLISH AND SPANISH TO IMPROVE MATERNAL AND INFANT HEALTH OUTCOMES, IN COLLABORATION WITH COMMUNITY PARTNERS SUCH AS WIC AND THE MASSACHUSETTS BREASTFEEDING COALITION. - SOCIAL DETERMINANTS OF HEALTH & COMMUNITY PARTNERSHIPS: CONTINUED PARTICIPATING IN REGIONAL COLLABORATIONS ADDRESSING HOUSING, HOMELESSNESS, FOOD ACCESS, AND OTHER SOCIAL DETERMINANTS OF HEALTH THROUGH PARTNERSHIPS SUCH AS THE MAYOR'S HEALTH TASK FORCE, THE MERRIMACK VALLEY HOMELESSNESS COALITION, THE REGIONAL FOOD RESILIENCY COALITION, AND THE LAWRENCE PARTNERSHIP. - HEALTH EQUITY & ACCESS TO CARE: CONTINUED IMPROVING EQUITABLE ACCESS TO CARE THROUGH CULTURALLY AND LINGUISTICALLY APPROPRIATE SERVICES, COMMUNITY OUTREACH, PREVENTIVE EDUCATION, AND COLLABORATION WITH COMMUNITY ORGANIZATIONS TO BETTER SERVE POPULATIONS EXPERIENCING BARRIERS TO CARE.

Field	Value	IRS element (for citing)
Facility	0	FacilityNum

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 16A FAP AVAILABLE WEBSITE	HTTPS://WWW.MHLAWRENCEHOSPITAL.ORG/YOUR-VISIT/BILLING-AND-FINANCIAL-ASSISTANCE/FINANCIAL-ASSISTANCE-POLICY
SCHEDULE H, PART V, SECTION B, LINE 16B FAP APPLICATION FORM WEBSITE	HTTPS://WWW.MHLAWRENCEHOSPITAL.ORG/FINANCIALASSISTANCE
SCHEDULE H, PART V, SECTION B, LINE 16C PLAIN LANGUAGE FAP SUMMARY WEBSITE	HTTPS://WWW.MHLAWRENCEHOSPITAL.ORG/YOUR-VISIT/BILLING-AND-FINANCIAL-ASSISTANCE/PLAIN-LANGUAGE-FINANCIAL-ASSISTANCE
SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY USED TO CALCULATE FINANCIAL ASSISTANCE	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. THIS METHODOLOGY USES EXPENSE AMOUNTS FROM THE HOSPITAL'S AUDITED FINANCIAL STATEMENTS, LESS OFFSETS FOR ITEMS WHICH INCLUDE OTHER OPERATING REVENUE (E.G., CAFETERIA RECEIPTS) AND INTEREST AND OTHER REVENUE FROM INVESTMENTS AND BANK ACCOUNTS.
SCHEDULE H, PART III, LINE 2 BAD DEBT EXPENSE - METHODOLOGY USED TO ESTIMATE AMOUNT	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.
SCHEDULE H, PART III, LINE 3 BAD DEBT EXPENSE METHODOLOGY	ALL PATIENTS ARE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY. THERE WAS NO BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS UNDER THE FINANCIAL ASSISTANCE POLICY. THE HOSPITAL DOES NOT CONSIDER BAD DEBT A COMMUNITY BENEFIT.
SCHEDULE H, PART III, LINE 4 BAD DEBT EXPENSE - FINANCIAL STATEMENT FOOTNOTE	THE FOOTNOTES OF THE FINANCIAL STATEMENTS DESCRIBE THE FOLLOWING: "ON THE BASIS OF HISTORICAL EXPERIENCE, A PORTION OF THE ORGANIZATION'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, THE ORGANIZATION RECORDS AN IMPLICIT PRICE CONCESSION RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED." REGARDING AN ALLOWANCE FOR DOUBTFUL ACCOUNTS, SUCH AN ALLOWANCE IS ESTIMATED AND IS RECORDED TO REPORT ACCOUNTS RECEIVABLE AT THEIR NET REALIZABLE VALUE. THE ESTIMATED LOSSES ARE BASED UPON HISTORICAL COLLECTION EXPERIENCE TOGETHER WITH A REVIEW OF THE CURRENT STATUS OF THE EXISTING RECEIVABLES.
SCHEDULE H, PART III, LINE 8 COMMUNITY BENEFIT & METHODOLOGY FOR DETERMINING MEDICARE COSTS	PRIOR TO RECEIPT OF MASSHEALTH S. 1115 WAIVER FUNDS, THE HOSPITAL INCURRED LOSSES OF $18.4 MILLION AND $2.4 MILLION FOR SERVICES PROVIDED TO ITS MEDICAID FEE FOR SERVICE AND MEDICAID MANAGED CARE PATIENTS, RESPECTIVELY. HOWEVER, AS A RESULT OF AN ADDITIONAL $41.1 (NET OF PROVIDER TAXES) FUNDING FROM THIS S. 1115 WAIVER, THOSE LOSSES WERE OFFSET. IN SUMMARY, THE S.1115 WAIVER INCLUDED THE FOLLOWING: * APPROXIMIATELY $13.0 MILLION IN INCENTIVE PAYMENTS FOR MATTERS INCLUDING HEALTH EQUITY AND QUALITY * APPROXIMATELY $13.2 MILLION IN MASSHEALTH RATE RELIEF * APPROXIMATELY $13.7 MILLION IN SAFETY NET PROVIDER PAYMENTS, OF WHICH $2.7 MILLION IS AT RISK PENDING THE HOSPITAL MEETING CERTAIN STATE - DEFINED METRICS * A TOTAL OF $10 MILLION IN SUPPLEMENTAL PAYMENTS INCLUDED IN "OTHER OPERATING REVENUE" * THE ABOVE AMOUNTS ARE OFFSET BY A $12.0 MILLION PROVIDER TAX ASSESSMENT. THE HOSPITAL NOTES THE FOLLOWING SPECIFIC ITEMS OF COMMUNITY BENEFIT INCLUDED IN THIS LOSS: * WHILE THE HOSPITAL REALIZED A POSITIVE MARGIN FOR ITS MEDICARE FEE FOR SERVICE REIMBURSEMENT, THAT RESULT WAS MORE THAN OFFSET BY ESTIMATED LOSSES ON ITS MEDICARE ADVANTAGE BOOK OF BUSINESS, WITH THE LATER NEGATIVE RESULT DUE TO THE HIGH PREVALENCE OF SENIOR CARE OPTION (SCO) BENEFICIARIES ENROLLED IN THOSE PLANS. IN TOTAL, THE HOSPITAL ESTIMATES A LOSS OF APPROXIMATELY $4.4 MILLION INCURRED IN THE CARE OF PATIENTS COVERED BY TITLE XVIII INSURANCE OF ALL TYPES. ABSENT THE HOSPITAL'S PARTICIPATION IN MEDICARE ADVANTAGE PLANS WITH A SIGNIFICANT SCO POPULATION, THOSE PATIENTS WOULD BE FORCED TO SEEK CARE AT OTHER HOSPITALS OUTSIDE OF THIS GEOGRAPHY. * OF THE CLAIMED REIMBURSEMENT FOR MEDICARE BAD DEBTS ON THE AS - FILED FY 2025 COST REPORT, APPROXIMATELY $1.73 MILLION ARE ASSOCIATED WITH UNPAID COINSURANCE AND DEDUCTIBLES FOR SERVICES PROVIDED TO PATIENTS WHO ARE DUALLY ELIGIBLE FOR MEDICARE AND MEDICAID. OF THIS AMOUNT, APPROXIMATELY $605,000 WILL NOT BE REIMBURSED OWING TO THE STATUTORY THIRTY - FIVE PERCENT (35%) MANDATED BY THE BALANCED BUDGET ACT OF 1997. EFFECTIVELY THIS REPRESENTS A HOSPITAL SUBSIDY OF SERVICES PROVIDED TO PATIENTS WHOSE INSURANCE COVERAGE IS PARTLY THE RESPONSIBILITY OF TITLE XIX. * GIVEN THE HIGH NUMBER OF DUAL ELIGIBLE PATIENTS WHO RECEIVE CARE AT LAWRENCE GENERAL HOSPITAL, VARIOUS ELEMENTS OF THE FEDERAL GOVERNMENT'S BUDGET ACTIONS AND CMS'S PAYMENT POLICIES FOR MEDICARE HAVE A SIGNIFICANT NEGATIVE IMPACT ON THIS ORGANIZATION. HISTORICALLY THE MEDICARE PROGRAM RECOGNIZED THE ADDITIONAL COSTS ASSOCIATED WITH TREATING SUCH PATIENTS THROUGH THE DISPROPORTIONATE SHARE HOSPITAL (DSH) ADJUSTMENT TO INPATIENT MS-DRG PAYMENTS. HOWEVER, CHANGES MANDATED BY VARIOUS PROVISIONS OF THE AFFORDABLE CARE ACT AND THE HEALTH CARE AND EDUCATION RECONCILIATION ACT OF 2010 RESULTED IN REDUCTIONS IN REIMBURSEMENT FOR HOSPITALS IN STATES WHICH EXPANDED MEDICAID ELIGIBILITY AND BENEFITED HOSPITALS IN STATES WHICH DID NOT. IN THE HOSPITAL'S FY 2025 IT IS ESTIMATED THAT THESE CHANGES RESULTED IN A REIMBURSEMENT LOSS OF APPROXIMATELY $5.35 MILLION FROM PRE-2104 LEVELS. * THE HOSPITAL MAINTAINS AN AFFILIATE, COMMUNITY MEDICAL ASSOCIATES (CMA), WHICH IS A PROVIDER OF PHYSICIAN SERVICES - INCLUDING PRIMARY CARE AND SPECIALIST SERVICES - IN WHICH WOULD OTHERWISE BE A MEDICALLY UNDERSERVED AREA. DURING THE HOSPITAL'S FISCAL YEAR 2025 CMA'S OPERATING LOSS TOTALED APPROXIMATELY $18.6 MILLION, WHICH THE HOSPITAL FUNDED THROUGH A NET ASSET TRANSFER. AN ESTIMATED $2.1 MILLION OF THIS FUNDING WAS ATTRIBUTABLE TO MEDICAID AND MEDICAID MANAGED CARE PATIENTS WHOSE ACCESS TO CERTAIN PHYSICIAN SERVICES WOULD HAVE BEEN COMPROMISED HAD THE HOSPITAL CEASED CMA OPERATIONS IN LIEU OF FUNDING ITS LOSSES. THE COSTING METHOLDOLOGY USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6 IS BASED ON A CALCULATED RATIO OF COST TO CHARGES, WITH COSTS SOURCED FROM THE HOSPITAL'S AUDITED FINANCIAL STATEMENTS, ADJUSTED BY OFFSETTING REVENUES NOT ASSOCIATED WITH PATIENT CARE SERVICES AND DIVIDED BY TOTAL HOSPITAL CHARGES.
SCHEDULE H, PART III, LINE 9B COLLECTION PRACTICES FOR PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE	THE HOSPITAL'S COLLECTION POLICY REQUIRES THAT PATIENTS KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE BE EVALUATED FOR ELIGIBILITY BEFORE COLLECTION ACTIVITIES PROCEED. FINANCIAL COUNSELORS ASSIST PATIENTS WITH APPLYING FOR AVAILABLE ASSISTANCE PROGRAMS, AND COLLECTION PRACTICES ARE CONDUCTED IN ACCORDANCE WITH THE HOSPITAL'S BILLING AND COLLECTION POLICY.
SCHEDULE H, PART V, SECTION B, LINE 16A FAP WEBSITE	- LAWRENCE GENERAL HOSPITAL (D/B/A MERRIMACK HEALTH LAWRENCE HOSPITAL): LINE 16A URL: SEE STATEMENT IN PART VI;
SCHEDULE H, PART V, SECTION B, LINE 16B FAP APPLICATION WEBSITE	- LAWRENCE GENERAL HOSPITAL (D/B/A MERRIMACK HEALTH LAWRENCE HOSPITAL): LINE 16B URL: SEE STATEMENT IN PART VI;
SCHEDULE H, PART V, SECTION B, LINE 16C FAP PLAIN LANGUAGE SUMMARY WEBSITE	- LAWRENCE GENERAL HOSPITAL (D/B/A MERRIMACK HEALTH LAWRENCE HOSPITAL): LINE 16C URL: SEE STATEMENT IN PART VI;
SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT	LAWRENCE GENERAL HOSPITAL (D/B/A MERRIMACK HEALTH LAWRENCE HOSPITAL) ASSESSES THE HEALTHCARE NEEDS OF THE COMMUNITIES IT SERVES THROUGH A COMBINATION OF FORMAL ASSESSMENTS, ONGOING DATA ANALYSIS, AND CONTINUOUS ENGAGEMENT WITH COMMUNITY PARTNERS AND RESIDENTS. THE PRIMARY FOUNDATION OF THIS WORK IS THE 2025 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), CONDUCTED JOINTLY BY LAWRENCE GENERAL HOSPITAL (D/B/A MERRIMACK HEALTH LAWRENCE HOSPITAL), LG NEWCORP INC. (D/B/A - METHUEN/HAVERHILL HOSPITALS) FKA HOLY FAMILY HOSPITAL, AND GREATER LAWRENCE FAMILY HEALTH CENTER. THIS ASSESSMENT INCORPORATED: * ANALYSIS OF SECONDARY DATA, INCLUDING DEMOGRAPHIC, SOCIOECONOMIC, AND HEALTH INDICATORS * A COMMUNITY SURVEY WITH OVER 600 RESIDENTS ACROSS THE SERVICE AREA * KEY INFORMANT SURVEYS AND INTERVIEWS WITH COMMUNITY LEADERS AND PROVIDERS * FOCUS GROUPS WITH STAKEHOLDERS REPRESENTING HEALTHCARE, PUBLIC HEALTH, AND SOCIAL SERVICES THE CHNA IDENTIFIED FOUR KEY PRIORITY AREAS: * ACCESS TO HEALTHCARE AND MISSING RESOURCES * AFFORDABILITY, INCOME, AND HOUSING * CHRONIC ILLNESS, MORTALITY, AND PREVENTION * MENTAL HEALTH AND SUBSTANCE USE BEYOND THE CHNA, LAWRENCE GENERAL HOSPITAL (D/B/A MERRIMACK HEALTH LAWRENCE HOSPITAL), CONTINUOUSLY EVALUATES COMMUNITY NEEDS THROUGH: * ONGOING COLLABORATION WITH LOCAL BOARDS OF HEALTH, COMMUNITY-BASED ORGANIZATIONS, AND PUBLIC HEALTH AGENCIES * PARTICIPATION IN COMMUNITY COALITIONS AND REGIONAL INITIATIVES * FEEDBACK GATHERED THROUGH COMMUNITY ENGAGEMENT ACTIVITIES, EVENTS, AND OUTREACH * INTERNAL DATA, INCLUDING UTILIZATION TRENDS AND PATIENT POPULATION INSIGHTS THIS COMBINED APPROACH ALLOWS LAWRENCE GENERAL HOSPITAL (D/B/A MERRIMACK HEALTH LAWRENCE HOSPITAL), TO REMAIN RESPONSIVE TO EVOLVING COMMUNITY NEEDS WHILE ALIGNING PROGRAMS, PARTNERSHIPS, AND INVESTMENTS WITH THE AREAS WHERE THE HOSPITAL CAN HAVE THE GREATEST IMPACT.
SCHEDULE H, 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 THROUGHOUT THE HOSPITAL. IN ADDITION, THE HOSPITAL EMPLOYS FINANCIAL COUNSELORS AT AND ANNUAL ESTIMATED COST OF APPROXIMATELY $214,000 TO ASSIST PATIENTS IN DETERMINING APPROPRIATE HEALTH INSURANCE COVERAGE OPTIONS. THE GOAL OF THESE NOTICES AND THE HOSPITAL FINANCIAL COUNSELOR STAFF IS TO ASSIST PATIENTS IN APPLYING FOR COVERAGE WITHIN A FINANCIAL ASSISTANCE PROGRAM, SUCH AS MASSHEALTH, CAREPLUS, MASSHEALTH STANDARD, AND HEALTH SAFETY NET. WHEN APPLICABLE, THE HOSPITAL MAY ALSO ASSIST PATIENTS IN APPLYING FOR COVERAGE OF SERVICES AS A MEDICAL HARDSHIP BASED ON THAT 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 COMMONWEALTH'S MASSHEALTH PROGRAM (OR ITS AFFILIATED MANAGED CARE PLANS) OR 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 HOSPITAL'S PATIENT FINANCIAL COUNSELING SERVICES TO SCREEN FOR ELIGILBILITY 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 AVAILABILITY OF FINANCIAL ASSISTANCE THROUGH THE HOSPITAL'S OWN INTERNAL FINANCIAL ASSISTANCE PROGRAM. THE HOSPITAL WILL ALSO PROVIDE INFORMATION ON HOW TO CONTACT APPROPRIATE STAFF WITHIN THE HOSPITAL'S FINANCE OFFICE TO VERIFY THE ACCURACY OF THE HOSPITAL BILL OR TO DISPUTE CERTAIN CHARGES.
SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION	LAWRENCE GENERAL HOSPITAL (D/B/A MERRIMACK HEALTH LAWRENCE HOSPITAL), SERVES THE GREATER MERRIMACK VALLEY, INCLUDING LAWRENCE, METHUEN, HAVERHILL, ANDOVER, NORTH ANDOVER, AND SURROUNDING COMMUNITIES. THE SERVICE ARE INCLUDES DIVERSE URBAN AND SUBURBAN COMMUNITIES WITH VARYING SOCIOECONOMIC CHARACTERISTICS. THE HOSPITAL SERVES COMMUNITIES WITH SIGNIFICANT HEALTH DISPARITIES, INCLUDING BARRIERS RELATED TO INCOME, HOUSING, TRANSPORTATION, FOOD SECURITY, LANGUAGE, AND ACCESS TO HEALTHCARE. THE HOSPITAL USES ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO IDENTIFY PRIORITY HEALTH NEEDS AND DEVELOP PROGRAMS THAT ADDRESS THOSE NEEDS. THE REGION INCLUDES BOTH URBAN AND SUBURBAN COMMUNITIES, WITH SIGNIFICANT VARIATION IN SOCIOECONOMIC CONDITIONS, ACCESS TO RESOURCES, AND HEALTH OUTCOMES. LAWRENCE, IN PARTICULAR, IS A MAJORITY LATINO COMMUNITY WITH A HIGH PROPORTION OF IMMIGRANT RESIDENTS AND INDIVIDUALS FOR WHOM ENGLISH IS NOT THE PRIMARY LANGUAGE. ACROSS THE SERVICE AREA: * MANY COMMUNITIES FACE ECONOMIC CHALLENGES, INCLUDING POVERTY, HOUSING INSTABILITY, AND FOOD INSECURITY * SOCIAL DETERMINANTS OF HEALTH, INCLUDING EDUCATION, EMPLOYMENT, TRANSPORTATION, AND LANGUAGE ACCESS, SIGNIFICANTLY INFLUENCE HEALTH OUTCOMES * CERTAIN POPULATIONS EXPERIENCE DISPROPORTIONATE BARRIERS TO CARE, INCLUDING LOW-INCOME RESIDENTS, IMMIGRANT COMMUNITIES, OLDER ADULTS, AND INDIVIDUALS WITH CHRONIC CONDITIONS THE 2025 CHNA HIGHLIGHTED PERSISTENT DISPARITIES ACROSS THE REGION, PARTICULARLY IN: * ACCESS TO HEALTHCARE AND PROVIDER AVAILABILITY * BEHAVIORAL HEALTH NEEDS * CHRONIC DISEASE PREVALENCE * SOCIAL AND ECONOMIC BARRIERS IMPACTING HEALTH AT THE SAME TIME, THE MERRIMACK VALLEY BENEFITS FROM STRONG COMMUNITY PARTNERSHIPS, ACTIVE PUBLIC HEALTH ENGAGEMENT, AND A NETWORK OF ORGANIZATIONS WORKING COLLABORATIVELY TO IMPROVE COMMUNITY HEALTH. LAWRENCE GENERAL HOSPITAL (D/B/A MERRIMACK HEALTH LAWRENCE HOSPITAL)) PLAYS A CENTRAL ROLE IN THIS ECOSYSTEM, SERVING AS A PARTNER IN ADVANCING HEALTH EQUITY, IMPROVING ACCESS TO CARE, AND ADDRESSING COMMUNITY-IDENTIFIED NEEDS. A SIGNIFICANT COMPONENT OF HOSPITAL SERVICES ARE PROVIDED TO PATIENTS WHOSE CARE IS REIMBURSED THROUGH THE COMMONWEALTH'S HEALTH SAFETY NET, EITHER AS FREE CARE OR AS EMERGENCY SERVICES . THE COST OF FREE CARE AND EMERGENCY BAD DEBT DURING FY 2025 IS ESTIMATED AT APPROXIMATELY $5.8 MILLION. ADDED TO THIS IS LGH'S OBLIGATION TO FUND ITS SHARE OF THE HSN WHICH AMOUNTED TO $777,000 IN 2025, FOR A TOTAL ESTIMATED COST OF HSN SERVICES OF APPROXIMATELY $6.05 MILLION. OFFSET AGAINST THIS AMOUNT WAS APPROXIMATELY $5.8 MILLION IN HSN RECEIPTS. THE NET COMMUNITY BENEFIT ARISING FROM CARE PROVIDED TO PATIENTS COVERED BY THE HSN WAS THEREFORE $214,000.
SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH	LAWRENCE GENERAL HOSPITAL (D/B/A MERRIMACK HEALTH LAWRENCE HOSPITAL) ADVANCES ITS MISSION BY ACTIVELY PROMOTING THE HEALTH AND WELL-BEING OF THE COMMUNITIES IT SERVES THROUGH CLINICAL CARE, COMMUNITY PARTNERSHIPS, AND TARGETED COMMUNITY HEALTH INITIATIVES. SERVING LAWRENCE, METHUEN, AND HAVERHILL, LAWRENCE GENERAL HOSPITAL (D/B/A MERRIMACK HEALTH LAWRENCE HOSPITAL) PROVIDES A COMPREHENSIVE RANGE OF INPATIENT, OUTPATIENT, EMERGENCY, AND SPECIALTY SERVICES DESIGNED TO MEET THE NEEDS OF A DIVERSE AND OFTEN UNDERSERVED POPULATION. COMMUNITY BENEFIT ACTIVITIES ARE ALIGNED WITH THE PRIORITIES IDENTIFIED IN THE 2025 COMMUNITY HEALTH NEEDS ASSESSMENT AND OPERATIONALIZED THROUGH THE 2026-2028 COMMUNITY HEALTH IMPLEMENTATION STRATEGY. KEY AREAS OF FOCUS INCLUDE: IMPROVING ACCESS TO CARE LAWRENCE GENERAL HOSPITAL (D/B/A MERRIMACK HEALTH LAWRENCE HOSPITAL) WORKS TO REDUCE BARRIERS TO CARE THROUGH COMMUNITY-BASED OUTREACH, PATIENT NAVIGATION SUPPORT, LANGUAGE ACCESS SERVICES, AND PARTNERSHIPS WITH LOCAL ORGANIZATIONS. EFFORTS INCLUDE EXPANDING AWARENESS OF AVAILABLE SERVICES AND CONNECTING RESIDENTS TO APPROPRIATE CARE AND RESOURCES. ADDRESSING SOCIAL DETERMINANTS OF HEALTH RECOGNIZING THAT HEALTH OUTCOMES ARE INFLUENCED BY FACTORS BEYOND CLINICAL CARE, LAWRENCE GENERAL HOSPITAL (D/B/A MERRIMACK HEALTH LAWRENCE HOSPITAL) COLLABORATES WITH COMMUNITY PARTNERS TO ADDRESS ISSUES SUCH AS FOOD INSECURITY, TRANSPORTATION, AND ECONOMIC BARRIERS. CHRONIC DISEASE PREVENTION AND MANAGEMENT THE HOSPITAL SUPPORTS PREVENTION AND EARLY DETECTION THROUGH COMMUNITY-BASED SCREENINGS, EDUCATION, AND OUTREACH INITIATIVES, INCLUDING PROGRAMS FOCUSED ON CARDIOVASCULAR HEALTH, DIABETES, AND INFECTIOUS DISEASE PREVENTION. MENTAL AND BEHAVIORAL HEALTH LAWRENCE GENERAL HOSPITAL (D/B/A MERRIMACK HEALTH LAWRENCE HOSPITAL) IS WORKING TO STRENGTHEN ACCESS TO BEHAVIORAL HEALTH SERVICES THROUGH EXPANDED CAPACITY IN ONE OF OUR OTHER LOCATIONS (HAVERHILL HOSPITAL), IMPROVED CARE COORDINATION, AND PARTNERSHIPS WITH COMMUNITY PROVIDERS TO BETTER SUPPORT INDIVIDUALS EXPERIENCING MENTAL HEALTH AND SUBSTANCE USE CHALLENGES. MATERNAL AND CHILD HEALTH EFFORTS TO IMPROVE MATERNAL AND INFANT HEALTH OUTCOMES INCLUDE ENHANCING ACCESS TO PRENATAL CARE, PROVIDING CULTURALLY AND LINGUISTICALLY RESPONSIVE EDUCATION, AND STRENGTHENING COORDINATION ACROSS PROVIDERS AND COMMUNITY RESOURCES. COMMUNITY ENGAGEMENT AND PARTNERSHIPS COMMUNITY ENGAGEMENT IS A CORE COMPONENT OF LAWRENCE GENERAL HOSPITAL (D/B/A MERRIMACK HEALTH LAWRENCE HOSPITAL)'S APPROACH. THE HOSPITAL WORKS CLOSELY WITH COMMUNITY-BASED ORGANIZATIONS, PUBLIC HEALTH AGENCIES, SCHOOLS, AND OTHER PARTNERS TO: * INCREASE AWARENESS OF HEALTH SERVICES * DELIVER CULTURALLY RESPONSIVE HEALTH EDUCATION * EXPAND OUTREACH AND PREVENTION EFFORTS THESE PARTNERSHIPS HELP ENSURE THAT COMMUNITY HEALTH INITIATIVES ARE GROUNDED IN LOCAL NEEDS AND THAT RESOURCES ARE REACHING POPULATIONS EXPERIENCING THE GREATEST BARRIERS TO CARE. THROUGH THIS COORDINATED APPROACH, LAWRENCE GENERAL HOSPITAL (D/B/A MERRIMACK HEALTH LAWRENCE HOSPITAL) CONTINUES TO STRENGTHEN ITS ROLE AS A TRUSTED HEALTHCARE PROVIDER AND COMMUNITY PARTNER, COMMITTED TO IMPROVING HEALTH OUTCOMES AND ADVANCING EQUITY ACROSS THE MERRIMACK VALLEY. LAWRENCE GENERAL HOSPITAL (D/B/A MERRIMACK HEALTH LAWRENCE HOSPITAL) OPERATES TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES. A MAJORITY OF THE HOSPITAL'S GOVERNING BODY IS COMPOSED OF INDIVIDUALS WHO RESIDE IN THE PRIMARY SERVICE AREA. MEDICAL STAFF PRIVILEGES ARE AVAILABLE TO ALL QUALIFIED PHYSICIANS IN ACCORDANCE WITH THE HOSPITAL'S CREDENTIALING POLICIES. ANY OPERATING SURPLUS IS REINVESTED TO SUPPORT PATIENT CARE SERVICES, FACILITIES AND EQUIPMENT, COMMUNITY BENEFITS PROGRAMS, MEDICAL EDUCATION, WORKFORCE DEVELOPMENT, AND OTHER ACTIVITIES THAT FURTHER THE HOSPITAL'S MISSION.
SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM	LAWRENCE GENERAL HOSPITAL (D/B/A MERRIMACK HEALTH LAWRENCE HOSPITAL)) IS PART OF LAWRENCE GENERAL HOSPITAL & AFFILIATES. THERE ARE TEN AFFILIATES WITHIN THIS SYSTEM AS OF 9-30-2025, INCLUDING: LGH HEALTH ENTERPRISES, 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-SPECIALTY 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 SURGICAL BUILDING. MERRIMACK VALLEY HEALTH SERVICES, INC. THIS ENTITY IS A NOT-FOR PROFIT PROVIDES MEDICAL IMAGING SERVICES AT AN OFFSITE LOCATION IN ANDOVER AND ALSO AT LAWRENCE GENERAL HOSPITAL (D/B/A MERRIMACK HEALTH LAWRENCE HOSPITAL) IN LAWRENCE, MASSACHUSETTS. MERRIMACK VALLEY IN MOTION, LLC THIS ENTITY IS A FOR-PROFIT LIMITED LIABILITY COMPANY (LLC) LOCATED IN LAWRENCE, MASSACHUSETTS. THIS ENITY PROVIDES MANAGEMENT AND PROFESSIONAL SERVICES TO LGH IN CONNECTION WITH CERTAIN OUTPATIENT REHABILITATION CLINICS. LAWRENCE INTEGRATED HEALTH PROVIDER NETWORK, LLC ("LIHPN") THIS ENTITY IS A DISREGARDED LIMITED LIABILITY COMPANY (LLC) LOCATED IN LAWRENCE, MASSACHUSETTS. LIHPN IS A CLINICALLY INTEGRATED NETWORK FOR PROVIDER MEMBERS AND PROVIDES CARE COORDINATION FOR PATIENTS. LAWRENCE INTEGRATED HEALTH PROVIDER ACO, LLC THIS ENTITY IS A DISREGARDED LIMITED LIABILITY COMPANY (LLC) LOCATED IN LAWRENCE, MASSACHUSETTS SET UP TO OFFER MEDICARE SERVICES. LG NEWCORP INC. (D/B/A MERRIMACK HEALTH METHUEN HOSPITAL AND MERRIMACK HEALTH HAVERHILL HOSPITAL) THIS ENTITY IS A NOT-FOR-PROFIT HOSPITAL WITH CAMPUSES IN HAVERHILL AND METHUEN, MASSACHUSETTS. IT WAS FORMED TO AQUIRE CERTAIN ASSETS FROM STEWARD HOLY FAMILY HOSPITAL, INC. (HOLY FAMILY HOSPITAL) THROUGH THE BANKRUPTCY PROCESS AND TO OPERATE AN ACUTE CARE HOSPITAL.
SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT	MA

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ABHA AGRAWAL
PRESIDENT & CEO (UNTIL 02/2025)	$730,147	$0	$163,000	$0	$0	$0	$29,500	$0	$600	$0	$923,247	$0	$0	$0
EDUARDO HADDAD MD
TRUSTEE	$220,999	$0	$0	$0	$0	$0	$0	$0	$0	$0	$220,999	$0	$0	$0
WILLIAM SULLIVAN
FORMER OFFICER	$193,120	$0	$0	$0	$0	$0	$21,196	$0	$11,229	$0	$225,545	$0	$0	$0
LISA CRUTCHFIELD
CORP ASST SEC/CHRO HR (UNTIL 04/2025)	$300,919	$0	$43,500	$0	$26,458	$0	$32,131	$0	$600	$0	$403,608	$0	$0	$0
CYNTHIA FITZGERALD
INTERIM CFO (UNTIL 12/2024)	$179,850	$0	$0	$0	$0	$0	$0	$0	$0	$0	$179,850	$0	$0	$0
ROBIN HYNDS
INTERIM PRESIDENT & CEO (02/2025 - 04/2025); COO	$436,541	$0	$62,550	$0	$18,001	$0	$35,404	$0	$1,868	$0	$554,364	$0	$0	$0
GEORGE KONDYLIS MD
CHIEF PHYSICIAN EXECUTIVE AND CMO	$410,952	$0	$61,500	$0	$18,001	$0	$32,900	$0	$24,457	$0	$547,810	$0	$0	$0
ANTHONY ALLEY
CHIEF NURSE EXECUTIVE AND CQO	$382,297	$0	$53,250	$0	$44,527	$0	$29,900	$0	$19,077	$0	$529,051	$0	$0	$0
DAVID GOSSMAN
MEDICAL DIRECTOR - CARDIOLOGY	$594,530	$0	$13,334	$0	$0	$0	$5,175	$0	$8,838	$0	$621,877	$0	$0	$0
SUNIT MUKHERJEE MD
CHIEF CARDIOVASCULAR & AMBULATORY MEDICINE	$609,889	$0	$10,000	$0	$0	$0	$0	$0	$22,457	$0	$642,346	$0	$0	$0
JASON D REID MD
PHYSICIAN (ORTHO TRAUMA)	$517,713	$0	$52,500	$0	$0	$0	$9,900	$0	$22,519	$0	$602,632	$0	$0	$0
JOHN J BRADY MD
PHYSICIAN (PULMONOLOGY)	$412,093	$0	$38,873	$0	$0	$0	$6,900	$0	$22,519	$0	$480,385	$0	$0	$0
MOH'D-RASHEED ABU-QAOUD
INTERNAL MEDICINE SPECIALIST	$407,712	$0	$26,273	$0	$0	$0	$5,311	$0	$8,839	$0	$448,135	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN	FormAndLineReferenceDesc
Explanation	INDIVIDUALS PARTICIPATE IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. EMPLOYER DISTRIBUTIONS ARE INCLUDED IN COMPENSATION ON SCHEDULE J, PART II, COLUMN (B)(III). DISTRIBUTIONS WERE MADE TO THE FOLLOWING INDIVIDUALS DURING 2024: ROBIN HYNDS - $18,001 LISA CRUTCHFIELD - $26,458 GEORGE KONDYLIS, MD - $18,001 ANTHONY ALLEY - $44,527	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
REFINANCING & CAPITAL EXPENDITURES
A	2017-11-14	$65,665,000	REFINANCING & CAPTIAL EXPENDITURES	false	false	false
MASS DEVELOPMENT SERIES 2013B
B	2014-02-02	$43,490,000	MASS DEVELOPMENT, SERIES 2013B	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$65,665,000	$7,475,832	$1,546,549	$20,167,564	2020	Yes (true)	false	false	Yes (true)
B	$43,490,000	$5,046,662	$1,458,644	$42,031,356	2017	false	false	false	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropPct	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	Yes (true)	false	false	false	0	0	0.0	false	false	0	false	false
B	false	false	Yes (true)	false	false	false	0	0	0.0	false	false	0	false	false

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Term Of GICTermOfGICPct	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	false	false	false	false	false	0	false	false	false	0	false	false	false
B	false	false	false	false	false	false	0	false	false	false	0	false	false	false

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	false
B	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4D DESCRIPTION OF OTHER PROGRAM SERVICES	(EXPENSES $ 39,624,339 INCLUDING GRANTS OF $ 0)(REVENUE $ 55,040,708) OTHER PROGRAM SERVICE REVENUE FROM LAWRENCE GENERAL HOSPITAL PRIMARILY CONSISTS OF CAFETERIA RECEIPTS, INTERCOMPANY REIMBURSEMENTS, DSTI WAIVER FUNDS, AND DSRIP FUNDS. IN ADDITION, THERE IS LAWRENCE INTEGRATED HEALTH PROVIDER NETWORK LLC, A DISREGARDED LIMITED LIABILITY COMPANY (LLC), LOCATED IN LAWRENCE, MASSACHUSETTS SETUP TO BRING AFFILIATED AND EMPLOYED PROVIDERS TOGETHER UNDER THE UMBRELLA OF ONE CLINICALLY INTEGRATED NETWORK TO IMPROVE CONTINUITY OF AND ACCESS TO CARE FOR PATIENTS IN OUR SERVICE AREA.
FORM 990, PART VI, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY	FORM 990 IS PREPARED AND REVIEWED BY THE ORGANIZATION'S EXTERNAL CONSULTANT AND SUBSEQUENTLY REVIEWED BY THE SENIOR DIRECTOR AND ORGANIZATION'S CFO. ONCE COMPLETE, THE FORM AND ALL SCHEDULES ARE MADE AVAILABLE TO THE BOARD OF TRUSTEES VIA A SECURE INTERNET PORTAL FOR REVIEW. THE ORGANIZATION'S CFO AND SENIOR DIRECTOR ARE AVAILABLE TO FACILITATE THE REVIEW AS WELL AS ANSWER ANY QUESTIONS REGARDING THE FORM.
FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY	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.
FORM 990, PART VI, LINE 15A PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL	THE CEO'S ANNUAL COMPENSATION IS REVIEWED AND APPROVED BY AN EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. INDEPENDENT SURVEYS ARE ALSO PERFORMED TO DETERMINE SALARY REASONABLENESS.
FORM 990, PART VI, LINE 15B PROCESS TO ESTABLISH COMPENSATION OF OTHER EMPLOYEES	THE COMPENSATION FOR THE CFO, EVP, AND SENIOR MANAGEMENT ARE DETERMINED BY THE CEO AND REVIEWED BY THE BOARD OF TRUSTEES. INDEPENDENT SURVEYS ARE ALSO PERFORMED TO DETERMINE SALARY REASONABLENESS.
FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC	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	DURING THE HOSPITAL'S FISCAL YEAR 2025 LAWRENCE GENERAL HOSPITAL AND THE COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF HEALTH AND HUMAN AGREEMENT CALLS FOR PAYMENT OF THE FOLLOWING AMOUNTS TO THE HOSPITAL: A $11,360,000 SFY 2020; $11,090,000 FOR SFY 2021; $10,420,000 FOR SFY 2022; $14,845,821 FOR SFY 2023, $13,684,860 FOR SFY 2024 AND $23,718,581 FOR SFY2025. PAYMENT OF THESE AMOUNTS IS SUBJECT TO DETERMINATION BY EOHHS THAT THE HOSPITAL MEANINGFULLY PARTICIPATES IN MASSHEALTH'S ACO PROGRAM; DETERMINATION BY EOHHS THAT THE HOSPITAL MEANINGFULLY PARTICIPATES IN MASSHEALTH'S MANAGED CARE NETWORKS BY ACCEPTING APPROPRIATE CONTRACTING RATES TO THE EXTENT SUCH ARRANGEMENTS HAVE BEEN OFFERED BY ANY MASSHEALTH MANAGED CARE ORGANIZATIONS; (C) SATISFACTION OF ALL OTHER REQUIREMENTS AS SET FORTH BY MASSHEALTH; APPROPRIATION TO, AND AVAILABILITY OF FUNDS IN, THE SAFETY NET PROVIDER TRUST FUND ESTABLISHED UNDER M.G.L.C. 29, § 2AAAAA (SAFETY NET PROVIDER TRUST FUND); ALL OTHER NECESSARY STATE APPROVALS; AND FEDERAL APPROVAL AND THE AVAILABILITY OF FULL FEDERAL FINANCIAL PARTICIPATION. IN ALL YEARS COVERED IN THE AGREEMENT, THESE AMOUNTS ARE REFLECTED IN "OTHER OPERATING REVENUE" ON THE HOSPITAL'S FINANCIAL STATEMENTS AND IRS FORM 990.
FORM 990, PART VIII, LINE 11D OTHER MISCELLANEOUS REVENUE	ALL OTHER REVENUES - TOTAL REVENUE: 29002500, RELATED OR EXEMPT FUNCTION REVENUE: 29002500, UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: ;
FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES	CHANGE IN THE VALUE OF NET ASSETS HELD BY LGH CHARITABLE TRUST, INC. - 3099212; CAPITAL GRANT - 2850000; OTHER CHANGES - 1587519; NET ASSET TRANSFER FROM LGH CHARITABLE TRUST, INC. - 354302; NET ASSET TRANSFER TO COMMUNITY MEDICAL ASSOCIATES, INC. - -21351754; TOTAL - -13460721;
FORM 990, PART XII, LINE 3B REASON ORGANIZATION DID NOT UNDERGO REQUIRED AUDIT	THE ORGANIZATION IS CURRENTLY WORKING TO COMPLETE THE REQUIRED SINGLE AUDIT AS SET FORTH IN THE UNIFORM GUIDANCE, 2 C.F.R. PART 200, SUBPART F.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
LAWRENCE INTEGRATED HEALTH PROVIDER ACO LLC
1 GENERAL STREET	LAWRENCE	MA	01841	871345633	MEDICARE SRVS	MA	$0	$0	LAWRENCE GENERAL HOSPITAL
LAWRENCE INTEGRATED HEALTH PROVIDER NETWORK LLC
1 GENERAL STREET	LAWRENCE	MA	01841	853520796	MEMB. NETWORK	MA	-$102,000	$579,000	LAWRENCE GENERAL HOSPITAL

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Business Name Line2DisregardedEntityName/BusinessNameLine2Txt
LGH CHARITABLE TRUST INC
1 GENERAL STREET	LAWRENCE	MA	01841	222586814	FUNDRAISING	MA	501(C)(3)	7	LAWRENCE GENERAL HOSPITAL	Yes (true)
COMMUNITY MEDICAL ASSOCIATES INC
1 GENERAL STREET	LAWRENCE	MA	01841	272142635	PRIMARY CARE	MA	501(C)(3)	3	LAWRENCE GENERAL HOSPITAL	Yes (true)
LGH ADMINISTRATIVE SERVICES INC
1 GENERAL STREET	LAWRENCE	MA	01841	320423203	QALICB	MA	501(C)(3)	TYPE I	LAWRENCE GENERAL HOSPITAL	Yes (true)
MERRIMACK VALLEY HEALTH SERVICES INC
600 FEDERAL STREET	ANDOVER	MA	01840	222604915	MED. IMAGING	MA	501(C)(3)	10	LAWRENCE GENERAL HOSPITAL	Yes (true)
LG NEWCORP INC (DBA MERRIMACK HEALTH METHUEN HOSPITAL AND MERRIMACK HEALTH
1 GENERAL STREET	LAWRENCE	MA	01841	994230642	HOSPITAL	MA	501(C)(3)	3	LAWRENCE GENERAL HOSPITAL	Yes (true)	HAVERHILL HOSPITAL))

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	MERRIMACK VALLEY IN MOTION LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1 GENERAL STREET	AddressLine1Txt
City	LAWRENCE	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	01841	ZIPCd

Field	Value	IRS element (for citing)
EIN	320578008	EIN
Primary Activities	MGMT SERVICES	PrimaryActivitiesTxt
Legal Domicile State	MA	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	LAWRENCE GENERAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Predominant Income Type	RELATED	PredominantIncomeTypeTxt
Share Of Total Income	$445,542	ShareOfTotalIncomeAmt
Share Of EOY Assets	$526,785	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
General Or Managing Partner	false	GeneralOrManagingPartnerInd
Ownership	0.501	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
LGH HEALTH ENTERPRISES INC
38 PROSPECT STREET	LAWRENCE	MA	01842	042869696	HEALTHCARE MG	MA	LAWRENCE GENERAL HOSPITAL	C CORPORATION	$5,000	$2,136,416	1	Yes (true)
LGH PHYSICIAN ASSOCIATES PC
38 PROSPECT STREET	LAWRENCE	MA	01842	043174041	PHYSICIAN PRAC.	MA	LAWRENCE GENERAL HOSPITAL	C CORPORATION	$4,247,458	$3,266,388	1	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (true)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (16 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
COMMUNITY MEDICAL ASSOCIATES INC
B	$21,351,754	REVIEW OF RECORD
MERRIMACK VALLEY HEALTH SERVICES
D	$7,142,843	REVIEW OF RECORD
COMMUNITY MEDICAL ASSOCIATES INC
O	$108,872	REVIEW OF RECORD
LGH CHARITABLE TRUST INC
O	$636,041	REVIEW OF RECORD
LG NEWCORP INC
O	$10,989,331	REVIEW OF RECORD
LGH CHARITABLE TRUST INC
C	$354,302	REVIEW OF RECORD
LGH PHYSICIAN ASSOCIATES PC
E	$2,266,236	REVIEW OF RECORD
LGH CHARITABLE TRUST INC
E	$58,648	REVIEW OF RECORD
MERRIMACK VALLEY HEALTH SERVICES INC
E	$255,150	REVIEW OF RECORD
MERRIMACK VALLEY IN MOTION LLC
E	$726,422	REVIEW OF RECORD
LGH ADMINISTRATIVE SERVICES INC
E	$2,526,491	REVIEW OF RECORD
LG NEWCORP INC
E	$55,050,193	REVIEW OF RECORD
LGH CHARITABLE TRUST INC
D	$10,305,469	REVIEW OF RECORD
LGH PHYSICIAN ASSOCIATES PC
D	$2,899,021	REVIEW OF RECORD
MERRIMACK VALLEY IN MOTION LLC
D	$306,615	REVIEW OF RECORD
LGH PHYSICIAN ASSOCIATES PC
O	$1,869,461	REVIEW OF RECORD