2026-08-14T09:45:57+00:00 2025-09-30 135381590 BDO USA ONE INTERNATIONAL PLACE BOSTON MA 02110 990 2024-10-01 042103586 LAWRENCE GENERAL HOSPITAL LAWR 9786834000 1 GENERAL STREET LAWRENCE MA 018412961 JOHN H WHITLOCK JR CFO 9786834000 2026-08-14 true true JAKE COOK P01240455 6174220700 2026-08-11 2024 2025-03-06 01:10:19Z MERRIMACK HEALTH LAWRENCE HOSPITAL DIANA L RICHARDSON 1 GENERAL STREET LAWRENCE MA 018412961 367955499 false X HTTPS://WWW.MHLAWRENCEHOSPITAL.ORG X 1875 MA ACUTE CARE COMMUNITY HOSPITAL PROVIDING INPATIENT AND OUTPATIENT HEALTH SERVICES TO THE GENERAL PUBLIC. 18 16 2329 410 1818552 0 2013524 688708 307628089 312009699 722055 650256 21585332 54229289 331949000 367577952 0 0 177164625 198578378 0 338974 164066056 167668296 341230681 366246674 -9281681 1331278 299270124 309831933 273005809 295452010 26264315 14379923 TO OPERATE AND MAINTAIN AN ACUTE CARE GENERAL HOSPITAL. PROVIDE APPROPRIATE HOSPITAL AND OTHER RELATED HEALTH SERVICES TO ALL PATIENTS REGARDLESS OF RACE, COLOR, CREED OR NATIONAL ORIGIN. PROVIDE ACCESS TO MEDICALLY NECESSARY SERVICES FOR AREA RESIDENTS REGARDLESS OF ABILITY TO PAY. ASSURE THE ONGOING PROCESS OF CONTINUOUSLY IMPROVING PATIENT CARE QUALITY. false false 112635679 0 156466194 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. 110078218 0 152913534 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. 39624339 0 55040708 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. 39624339 55040708 262338236 true true false true false false false false false true true false false true true true false true false false false false false false false false true true false false true true false false false false false false false false false false false false false false true true true true false false true 169 0 true 2329 true true true false false false false false false false false false false false X 18 16 false false false false false false false true true false true true true true true true true true true true false false MA X X JOHN H WHITLOCK JR 9786834000 1 GENERAL STREET LAWRENCE MA 01841 ABHA AGRAWAL PRESIDENT & CEO (UNTIL 02/2025) 50.0 5.0 X X 893147 0 30100 CAROL POWERS SECRETARY/CLERK 1.0 4.0 X X 0 0 0 DAN RIVERA VICE CHAIRMAN (UNTIL 12/2024); TRUSTEE (AS OF 12/2024) 1.0 4.0 X X 0 0 0 DIANA L RICHARDSON PRESIDENT & CEO (AS OF 04/2025) 50.0 5.0 X X 0 0 0 LAUREL SWEENEY TREASURER 1.0 4.0 X X 0 0 0 ROSEMARIE DAY CHAIRMAN 1.0 4.0 X X 0 0 0 BRENDEN HAYDEN TRUSTEE 1.0 0 X 0 0 0 EDUARDO HADDAD MD TRUSTEE 1.0 3.0 X 220999 0 0 GLENN NEWSOME TRUSTEE 1.0 0 X 0 0 0 GREGORY SEBASKY TRUSTEE (AS OF 12/24) 1.0 0 X 0 0 0 JOSE CRUZ TRUSTEE 1.0 0 X 0 0 0 JOYCE SHANNON TRUSTEE 1.0 0 X 0 0 0 JUAN MONTANEZ TRUSTEE (AS OF 12/2024) 1.0 0 X 0 0 0 LANE GLENN TRUSTEE (AS OF 12/2024) 1.0 2.0 X 0 0 0 MARIANNE PALEY NADEL TRUSTEE 1.0 0 X 0 0 0 MARK JOHNSON TRUSTEE 1.0 0 X 0 0 0 MICHAEL SKLAR TRUSTEE 1.0 0 X 0 0 0 RICHARD SANTAGATI TRUSTEE 1.0 0 X 0 0 0 VILMA MARTINEZ TRUSTEE 1.0 0 X 0 0 0 CYNTHIA FITZGERALD INTERIM CFO (UNTIL 12/2024) 50.0 5.0 X 179850 0 0 JOHN H WHITLOCK JR SVP - CFO (AS OF 04/2025) 1.0 5.0 X 0 0 0 LISA CRUTCHFIELD CORP ASST SEC/CHRO HR (UNTIL 04/2025) 50.0 5.0 X 370877 0 32731 ROBIN HYNDS INTERIM PRESIDENT & CEO (02/2025 - 04/2025); COO 40.0 5.0 X 517092 0 37272 STEVE ROACH INTERIM CFO (12/2024 - 03/2025) 50.0 5.0 X 0 0 0 ANTHONY ALLEY CHIEF NURSE EXECUTIVE AND CQO 40.0 5.0 X 480074 0 48977 GEORGE KONDYLIS MD CHIEF PHYSICIAN EXECUTIVE AND CMO 40.0 5.0 X 490453 0 57357 DAVID GOSSMAN MEDICAL DIRECTOR - CARDIOLOGY 40.0 0 X 607864 0 14013 JASON D REID MD PHYSICIAN (ORTHO TRAUMA) 40.0 0 X 570213 0 32419 JOHN J BRADY MD PHYSICIAN (PULMONOLOGY) 40.0 0 X 450966 0 29419 MOH'D-RASHEED ABU-QAOUD INTERNAL MEDICINE SPECIALIST 40.0 0 X 433985 0 14150 SUNIT MUKHERJEE MD CHIEF CARDIOVASCULAR & AMBULATORY MEDICINE 40.0 0 X 619889 0 22457 WILLIAM SULLIVAN FORMER OFFICER 0.0 0.0 X 193120 0 32425 6028529 0 351320 487 true true false HWL HOLDINGS LLC TFM ESCROW PO BOX 860573 MINNEAPOLIS MN 55486 CONTRACT LABOR 18932485 NORTH AMERICAN PARTNERS IN ANESTHESIA-MA 1305 WALT WHITMAN ROAD SUITE 300 MELVILLE NY 11747 ANESTHESIA SERVICES 9227423 EXPRESS SCRIPTS 21653 NETWORK PLACE CHICAGO IL 60673 PHARMACY BENEFIT ADMINISTRATOR 8977777 STEWARD HEALTH CARE HOLDINGS LLC 1900 N PEARL ST STE 2400 DALLAS TX 75201 TRANSITION SERVICE AGREEMENT 6961973 OBHG MASSACHUSETTS PC 777 LOWNDES HILL ROAD BLDG 1 GREENVILLE SC 29607 PHYSICIAN SERVICES 2921679 80 657660 31048 688708 NET PATIENT REVENUE 621110 309379728 309379728 NET PATIENT REVENUE (LAB RECEIPTS) 621500 1818552 1818552 LIHPN MEMBER MANAGEMENT FEES 621110 536544 536544 LIHPN ANNUAL DUES 621110 274875 274875 0 0 0 0 312009699 635375 635375 0 0 392428 377547 14881 0 14881 14881 WAIVER/DSTI /DSRIP RECEIPTS 621110 23718581 23718581 DSRIP 621110 844985 844985 MEALS 621110 663223 663223 29002500 29002500 0 0 54229289 367577952 364420436 1818552 650256 4048366 345806 3702560 161864754 134845140 26738742 280872 2590211 2157834 427882 4495 17444085 14532195 2881621 30269 12630962 10522511 2086533 21918 42829688 24683983 18145705 1078950 35942 1043008 1387623 1387623 126904 126904 0 0 0 0 151278 151278 650331 383293 266518 520 6721080 122644 6598436 10505013 6069641 4435372 14471 14471 1199 1199 3644917 3644917 12625022 12625022 1114284 1114284 SUPPLIES AND EQUIPMENT 36535471 36526297 9174 FOOD 1227701 997164 230537 PHYSICIAN FEES 9710011 9710011 CHEMICAL REAGENTS 3957355 3957355 35386998 17448420 17937678 900 366246674 262338236 103569464 338974 47119129 31363999 40255434 39033879 0 0 8491806 8803005 1570162 1606018 276266116 204677931 82711616 71588185 3164878 3508078 0 0 115957099 153928769 299270124 309831933 69527446 72495182 10924816 3804932 68730584 67148109 0 123822963 152003787 273005809 295452010 X 25164315 13279923 1100000 1100000 26264315 14379923 299270124 309831933 X 1331278 245051 -13460721 X X false true true true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 126904 false false false 126904 false SCHEDULE C, PART II-B, LINE 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY 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. 3172000 344000 3516000 2618000 554000 3172000 2344000 274000 2618000 7735000 -391000 5000000 2344000 6610000 1125000 7735000 0.6871 0.3129 0.0 false false 4063243 4063243 114876616 85228470 29648146 22522762 11001849 11520913 131975746 106360870 25614876 2827749 2086742 741007 71588185 RIGHT-OF-USE ASSET 36582000 LOAN RECEIVABLE 28107337 INTEREST LGH CHARITABLE TRUST 23412546 DUE FROM AFFILIATES 21350300 EST. SETTLEMENTS W/THIRD PARTY 18667179 FUNDS HELD BY TRUSTEE 12522494 OTHER ASSETS 7650044 OTHER RECEIVABLES 4324990 TEMPORARILY RESTRICTED CASH 1303743 BOARD DESIGNATED CASH 8136 153928769 FEDERAL INCOME TAXES DUE TO AFFILIATES 61600813 OPERATING LEASES 43222966 REFUNDABLE ADVANCES 37740000 EST. SETTLEMENTS W/THIRD PARTY 7504949 OTHER LONG-TERM LIABILITIES 1935059 152003787 X 0 0 0 0 0 0 0 0 0 0 0 0 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. true true X true X 300 true X true true false true true 6047397 5833819 213578 0.00058 86043748 97260152 0 0.0 20429769 25049207 0 0.0 0 0 112520914 128143178 213578 0.00058 3329066 936128 2392938 0.00653 3950749 2169229 1781520 0.00486 0 0.0 0 0.0 4214294 0 4214294 0.01151 0 0 11494109 3105357 8388752 0.02290 0 0 124015023 131248535 8602330 0.02349 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 false 21013308 0 122098432 126475921 -4377489 X true true 1 1 LAWRENCE GENERAL HOSPITAL (DBA MERRIMACK HEALTH LAWRENCE HOSPITAL) 1 GENERAL STREET LAWRENCE MA 01841 HTTPS://WWW.MHLAWRENCEHOSPITAL.ORG/ 2099 X X X X LAWRENCE GENERAL HOSPITAL (DBA MERRIMACK HEALTH LAWRENCE HOSPITAL) 1 false false true X X X X X X X X X 24 true true true true X HTTPS://WWW.MHLAWRENCEHOSPITAL.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT X true 25 true HTTPS://WWW.MHLAWRENCEHOSPITAL.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT false true X 300.0 300.0 X X true true X X X X true X SEE STATEMENT IN PART VI X SEE STATEMENT IN PART VI X SEE STATEMENT IN PART VI X X X X X X true X false X X X X true X false false 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. 0 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 X X X X X X false true false false false false false false false ABHA AGRAWAL PRESIDENT & CEO (UNTIL 02/2025) 730147 0 163000 0 0 0 29500 0 600 0 923247 0 0 0 EDUARDO HADDAD MD TRUSTEE 220999 0 0 0 0 0 0 0 0 0 220999 0 0 0 WILLIAM SULLIVAN FORMER OFFICER 193120 0 0 0 0 0 21196 0 11229 0 225545 0 0 0 LISA CRUTCHFIELD CORP ASST SEC/CHRO HR (UNTIL 04/2025) 300919 0 43500 0 26458 0 32131 0 600 0 403608 0 0 0 CYNTHIA FITZGERALD INTERIM CFO (UNTIL 12/2024) 179850 0 0 0 0 0 0 0 0 0 179850 0 0 0 ROBIN HYNDS INTERIM PRESIDENT & CEO (02/2025 - 04/2025); COO 436541 0 62550 0 18001 0 35404 0 1868 0 554364 0 0 0 GEORGE KONDYLIS MD CHIEF PHYSICIAN EXECUTIVE AND CMO 410952 0 61500 0 18001 0 32900 0 24457 0 547810 0 0 0 ANTHONY ALLEY CHIEF NURSE EXECUTIVE AND CQO 382297 0 53250 0 44527 0 29900 0 19077 0 529051 0 0 0 DAVID GOSSMAN MEDICAL DIRECTOR - CARDIOLOGY 594530 0 13334 0 0 0 5175 0 8838 0 621877 0 0 0 SUNIT MUKHERJEE MD CHIEF CARDIOVASCULAR & AMBULATORY MEDICINE 609889 0 10000 0 0 0 0 0 22457 0 642346 0 0 0 JASON D REID MD PHYSICIAN (ORTHO TRAUMA) 517713 0 52500 0 0 0 9900 0 22519 0 602632 0 0 0 JOHN J BRADY MD PHYSICIAN (PULMONOLOGY) 412093 0 38873 0 0 0 6900 0 22519 0 480385 0 0 0 MOH'D-RASHEED ABU-QAOUD INTERNAL MEDICINE SPECIALIST 407712 0 26273 0 0 0 5311 0 8839 0 448135 0 0 0 SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN 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 A REFINANCING & CAPITAL EXPENDITURES 2017-11-14 65665000 REFINANCING & CAPTIAL EXPENDITURES false false false B MASS DEVELOPMENT SERIES 2013B 2014-02-02 43490000 MASS DEVELOPMENT, SERIES 2013B false false false A 65665000 7475832 1546549 20167564 2020 true false false true B 43490000 5046662 1458644 42031356 2017 false false false true A false false true false false false 0 0 0.0 false false 0 false false B false false true false false false 0 0 0.0 false false 0 false false 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 A false B false 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. 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