SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
LAWRENCE GENERAL HOSPITAL
 
Employer identification number

04-2103586
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . . 		    7,709,884 6,418,405 1,291,479 0.590 %
b Medicaid (from Worksheet 3, column a) . . . . .     29,604,161 22,057,947 7,546,214 3.420 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .     1,563,265 2,098,192 -534,927 0 %
d Total Financial Assistance and Means-Tested Government Programs . . . . .     38,877,310 30,574,544 8,302,766 4.010 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     3,111,079 281,121 2,829,958 1.280 %
f Health professions education (from Worksheet 5) . . .     4,117,424 1,414,329 2,703,095 1.220 %
g Subsidized health services (from Worksheet 6) . . . .            
h Research (from Worksheet 7) .            
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .            
j Total. Other Benefits . .     7,228,503 1,695,450 5,533,053 2.500 %
k Total. Add lines 7d and 7j .     46,105,813 32,269,994 13,835,819 6.510 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and
training for community members		            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total            
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
 
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
13,429,000
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
 
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
66,341,213
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
64,695,891
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
1,645,322
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?1
Name, address, primary website address, and state license number 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 LAWRENCE GENERAL HOSPITAL
1 GENERAL STREET
LAWRENCE,MA01841
WWW.LAWRENCEGENERAL.COM 		X X   X     X      
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
LAWRENCE GENERAL HOSPITAL
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		1
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 12
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted................. 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities
in Part VI.................................. 		4   No
5 Did the hospital facility make its CHNA report widely available to the public?.............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply
as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs........... 7 Yes  
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ................................ 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? .......... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9   No
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 200.000000000000%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.000000000000%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?........ 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?........ 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual?.......................... 22 Yes  
If "Yes," explain in Section C.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1j, 3, 4, 5d, 6i, 7, 10, 11, 12i, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility reporting group, designated by "Facility A," "Facility B," etc.
Form and Line Reference Explanation
LAWRENCE GENERAL HOSPITAL PART V, SECTION B, LINE 3: COMMUNITY HEALTH NEEDS ASSESSMENT METHODS UTILIZED A PARTICIPATORY, COLLABORATIVE APPROACH TO LOOK AT HEALTH IN ITS BROADEST CONTEXT. THE ASSESSMENT PROCESS INCLUDED: SYNTHESIZING EXISTING DATA ON SOCIAL, ECONOMIC, AND HEALTH INDICATORS IN THE REGION; ADMINISTERING A PUBLIC SURVEY COMPLETED BY 156 RESIDENTS AND 231 HEALTH OR SOCIAL SERVICE PROVIDERS; AND CONDUCTING FOCUS GROUPS AND FIVE INTERVIEWS WITH PROVIDERS, COMMUNITY-BASED ORGANIZATIONAL STAFF, AND RESIDENTS TO IDENTIFY THE PERCEIVED HEALTH NEEDS, CHALLENGES TO ACCESSING SERVICES, CURRENT STRENGTHS AND ASSETS, AND OPPORTUNITIES FOR ACTION IN THE COMMUNITY. THE QUALITATIVE DISCUSSIONS IN THE 2013 CHNA ENGAGED OVER 60 INDIVIDUALS.
LAWRENCE GENERAL HOSPITAL PART V, SECTION B, LINE 17E: SEVERAL THIRD PARTY COLLECTION AGENCIES ARE ENGAGED BY LAWRENCE GENERAL HOSPITAL TO TRY TO COLLECT UNPAID BALANCES. THESE COLLECTION AGENCIES SEND PERIODIC STATEMENTS AND LETTERS TO THE PATIENTS TO ATTEMPT TO COLLECT UNPAID BALANCES.
LAWRENCE GENERAL HOSPITAL PART V, SECTION B, LINE 22: THE HOSPITAL CHARGES SELF-PAY PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE AN AMOUNT EQUAL TO THE GROSS CHARGE AMOUNT. HOWEVER, THE HOSPITAL DOES OFFER A SELF-PAY DISCOUNT OF 40%.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?  
Name and address Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
PART I, LINE 3C: NOT APPLICABLE
PART I, LINE 6A: NOT APPLICABLE
PART I, LINE 7: THE COST-TO-CHARGE RATIO WAS USED AS THE COSTING METHODOLOGY TO CALCULATE THE AMOUNT USED TO CALCULATE THE AMOUNTS IN THE TABLE OF LINE 7.
PART I, LINE 7G: NOT APPLICABLE
PART I, LN 7 COL(F): NOT APPLICABLE
PART III, LINE 4: THE FOOTNOTES OF THE FINANCIAL STATEMENTS DESCRIBE THE FOLLOWING: AN ALLOWANCE FOR DOUBTFUL ACCOUNTS IS RECORDED TO REPORT ACCOUNTS RECEIVABLE AT THEIR NET REALIZABLE VALUE. THE ESTIMATED LOSSES ARE BASED UPON HISTORICAL COLLECTION EXPERIENCE TOGETHER WITH A REVIEW OF THE CURRENT STATUS OF THE EXISTING RECEIVABLE.
PART III, LINE 8: LINE 6 WAS CALCULATED BASED UPON A COST-TO-CHARGE RATIO CALCULATED SPECIFICALLY FOR MEDICARE.
PART III, LINE 9B: SECTION V OF THE ORGANIZATION'S CREDIT AND COLLECTION POLICY OUTLINES THE COLLECTION PRACTICES OF THE ORGANIZATION.
PART VI, LINE 2: LAWRENCE GENERAL HOSPITAL IDENTIFIES THE HEALTH CARE NEEDS IN OUR COMMUNITIES USING A NUMBER OF SOURCES, COMMUNITY AGENCIES, AND PARTNERS. WE USE FINDINGS AND REPORTS FROM THE MAYOR'S HEALTH TASK FORCE OF LAWRENCE, WHICH IS COMPRISED OF 100 PLUS LOCAL COMMUNITY & SOCIAL SERVICE AGENCIES; THE DEPARTMENT OF PUBLIC HEALTH; COMMUNITY NEEDS ASSESSMENT REPORTS ON HEALTH CARE ACCESS, DEMOGRAPHIC PROFILE OF ADULTS; HEALTH INDICATORS FOR LAWRENCE, MA; DEMOGRAPHIC INDICATORS; BREAST HEALTH REPORTS ON BREAST CANCER MORTALITY; BEHAVIORAL RISK FACTORS; DEMOGRAPHIC PROFILE OF ADULTS FOR THE REGION; AND CHRONIC ILLNESS REPORT FOR LAWRENCE, MA. WE ALSO UTILIZE "THE HEALTH OF THE MERRIMACK VALLEY" REPORT PREPARED BY THE BOSTON UNIVERSITY SCHOOL OF PUBLIC HEALTH. IN ADDITION, WE CONDUCT INTERNAL PATIENT SURVEYS AND CONTINUALLY ASSESS THIS DATA, AS WELL AS DATA AVAILABLE THROUGH SOURCES SUCH AS MASSCHIP, BEHAVIORAL RISK FACTOR SURVEY DATA, QUALITY BENCHMARKING DATA, DPH REPORTS ON RACIAL AND ETHNIC HEALTH DISPARITIES OR PERIODIC BIRTH STATISTICS AND MARKET DATA. WE ALSO SOLICIT COMMUNITY INPUT THROUGH COMMUNITY SURVEYS, WEB AND SOCIAL NETWORKING SITE COMMUNICATIONS AND A LARGE NETWORK OF NEARLY 30 COMMUNITY CONTACTS VIA OUR VERY ACTIVITY PATIENT-FAMILY ADVISORY COUNCIL. OTHER MEANS OF FEEDBACK AND INPUT INCLUDE COMMUNITY FOCUS GROUPS, INFORMATION SUPPLIED BY PUBLIC HEALTH PERSONNEL, LGH VOLUNTEERS AND TRUSTEES, AND FEEDBACK FROM LGH STAFF. COMMUNITY HEALTH NEEDS ASSESSMENTTO VERIFY THAT LAWRENCE GENERAL IS ACHIEVING ITS MISSION AND MEETING THE NEEDS OF THE COMMUNITY, THE HOSPITAL UNDERTOOK A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN THE SUMMER OF 2013. THE LAWRENCE GENERAL HOSPITAL CHNA FOCUSED ON THE HOSPITAL'S PRIMARY AND SECONDARY MARKETS, WHICH INCLUDE THE TOWNS OF: (PRIMARY) LAWRENCE, METHUEN, NORTH ANDOVER, HAVERHILL, AND ANDOVER IN MASSACHUSETTS (MA) AS WELL AS (SECONDARY) MIDDLETON (MA), GEORGETOWN (MA), SALEM (NH), PLAISTOW (NH), ATKINSON (NH), BOXFORD (MA), AND TEWKSBURY (MA).LGH ENGAGED HEALTH RESOURCES IN ACTION (HRIA), A NON-PROFIT PUBLIC HEALTH CONSULTANCY ORGANIZATION, TO CONDUCT THE CHNA. THE CHNA INCLUDED REVIEWING EXISTING SOCIAL, ECONOMIC, AND HEALTH DATA OF THE MERRIMACK VALLEY REGION AS WELL AS CONDUCTING A PUBLIC SURVEY AND IN DEPTH DISCUSSIONS WITH PROVIDERS, COMMUNITY-BASED ORGANIZATIONAL LEADERS, AND RESIDENTS TO IDENTIFY THE PERCEIVED HEALTH NEEDS OF THE COMMUNITY, CHALLENGES TO ACCESS SERVICES, THE CURRENT STRENGTHS AND ASSETS, AND OPPORTUNITIES FOR ACTION.THE CHNA USED A PARTICIPATORY, COLLABORATIVE APPROACH TO LOOK AT HEALTH IN ITS BROADEST CONTEXT. THE ASSESSMENT PROCESS INCLUDED: SYNTHESIZING EXISTING DATA ON SOCIAL, ECONOMIC, AND HEALTH INDICATORS IN THE REGION; ADMINISTERING A PUBLIC SURVEY COMPLETED BY 156 RESIDENTS AND 231 HEALTH OR SOCIAL SERVICE PROVIDERS; AND CONDUCTING FOCUS GROUPS AND FIVE INTERVIEWS WITH PROVIDERS, COMMUNITY-BASED ORGANIZATIONAL STAFF, AND RESIDENTS TO IDENTIFY THE PERCEIVED HEALTH NEEDS, CHALLENGES TO ACCESSING SERVICES, CURRENT STRENGTHS AND ASSETS, AND OPPORTUNITIES FOR IMPROVEMENT IN THE COMMUNITY. THE QUALITATIVE DISCUSSIONS IN THE 2013 CHNA ENGAGED MORE THAN 60 INDIVIDUALS.THE LAWRENCE GENERAL CHNA INCORPORATES DATA ON IMPORTANT SOCIAL, ECONOMIC, AND HEALTH INDICATORS PULLED FROM VARIOUS SOURCES, INCLUDING THE MA DEPARTMENT OF PUBLIC HEALTH (MASSCHIP), U.S. CENSUS, CENTERS FOR DISEASE CONTROL AND PREVENTION, AND U.S. BUREAU OF LABOR. TYPES OF DATA INCLUDED SELF-REPORT OF HEALTH BEHAVIORS FROM LARGE, POPULATION-BASED SURVEYS SUCH AS THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), AS WELL AS VITAL STATISTICS BASED ON BIRTH AND DEATH RECORDS. ALL TABLES AND GRAPHS NOTE THE SPECIFIC DATA SOURCE. THE LAWRENCE GENERAL HOSPITAL (LGH) PRIMARY AND SECONDARY SERVICE AREAS ARE COMPRISED OF A TOTAL OF 12 COMMUNITIES THAT CROSS STATE LINES (MASSACHUSETTS AND NEW HAMPSHIRE), COUNTY LINES (ESSEX COUNTY MA, MIDDLESEX COUNTY MA, AND ROCKINGHAM COUNTY NH), AND COMMUNITY HEALTH NETWORK AREAS.THE COMMUNITY HEALTH NEEDS ASSESSMENT PROVIDED AN OVERVIEW OF THE SOCIAL AND ECONOMIC ENVIRONMENT OF THE MERRIMACK VALLEY REGION, THE HEALTH CONDITIONS AND BEHAVIORS THAT AFFECT ITS RESIDENTS, AND PERCEPTIONS OF STRENGTHS AND CHALLENGES IN THE CURRENT ENVIRONMENT.KEY HEALTH ISSUES EMERGED AS AREAS OF POTENTIAL CONCERN IN THE ASSESSMENT, BOTH FROM AN EPIDEMIOLOGICAL PERSPECTIVE AND RESIDENT/PROVIDER AREAS OF INTEREST. THESE MAY ALSO BE THE AREAS WHERE THERE IS THE MOST GROUNDSWELL OF SUPPORT FOR ACTION:- OBESITY- CHRONIC DISEASE: SPECIFICALLY CANCER, DIABETES, AND ASTHMA- SUBSTANCE ABUSE- MENTAL HEALTH- HEALTH CARE ACCESSOVERARCHING CONCLUSIONS THAT CUT ACROSS MULTIPLE TOPIC AREAS INCLUDE THE FOLLOWING:THERE IS WIDE VARIATION IN THE REGION IN POPULATION COMPOSITION AND SOCIOECONOMIC LEVELS, WITH LAWRENCE RESIDENTS IN PARTICULAR FACING UNIQUE SOCIOECONOMIC AND HEALTH CONCERNS. WHILE SEVERAL COMMUNITIES IN THE REGION SUCH AS ANDOVER AND NORTH ANDOVER ARE HIGHLY AFFLUENT, COMMUNITIES SUCH AS LAWRENCE AND TO A LESSER EXTENT METHUEN EXPERIENCE LOWER MEDIAN INCOMES, HIGHER RATES OF POVERTY AND UNEMPLOYMENT, AND LOWER LEVELS OF EDUCATION. THESE FACTORS ALL HAVE A SIGNIFICANT IMPACT ON PEOPLE'S HEALTH PRIORITIES, THEIR ABILITY TO SEEK SERVICES, ACCESS TO RESOURCES, RELIANCE ON SUPPORT NETWORKS, STRESS LEVEL, AND OPPORTUNITIES TO ENGAGE IN HEALTHFUL LIVES. THE CULTURAL, LANGUAGE, AND ECONOMIC DIVERSITY ACROSS THE REGION PRESENTS SIGNIFICANT CHALLENGES WHEN DELIVERING SERVICES AND CARE THAT AIM TO MEET THE MULTITUDE OF NEEDS ACROSS THE REGION. ADDITIONALLY, INCIDENTS OF VIOLENCE AND CRIME IN LAWRENCE FAR EXCEED THE REST OF THE REGION AND FURTHER INHIBIT HEALTH OF RESIDENTS BY AFFECTING THEIR ABILITY TO BE SAFE BEING PHYSICALLY ACTIVE OUTSIDE, EXACERBATING STRESS AND ANXIETY LEVELS, AND CONTRIBUTING IN SOME CASES TO INTENTIONAL INJURIES.SUBSTANCE USE AND MENTAL HEALTH WERE CONSIDERED GROWING, PRESSING CONCERNS BY FOCUS GROUP AND INTERVIEW RESPONDENTS, AND ONE IN WHICH THE CURRENT SERVICES WERE NOT SEEN AS NECESSARILY ADDRESSING COMMUNITY NEEDS. SUBSTANCE USE, PARTICULARLY RELATED TO ALCOHOL AND PRESCRIPTION DRUGS, WAS AN ISSUE RAISED BY SEVERAL PARTICIPANTS. THE LIMITED NUMBER OF SUBSTANCE ABUSE PROVIDERS AND COMPLEXITY OF ADDICTION WERE IDENTIFIED AS CONTRIBUTING TO THIS PROBLEM. ADDITIONALLY, IN CONVERSATIONS WITH INTERVIEW AND FOCUS GROUP PARTICIPANTS, MANY NOTED THAT THE ISSUES OF SUBSTANCE ABUSE AND MENTAL HEALTH ARE INTRICATELY INTERTWINED. THIS SITUATION MAKES ADDRESSING THESE ISSUES EVEN MORE CHALLENGING. CURRENT TREATMENT PROGRAMS DO EXIST, BUT THE DEMAND WAS SEEN AS EXCEEDING THE NUMBER OF PROVIDERS AVAILABLE.CHRONIC DISEASES AND THEIR RELATED RISK FACTORS DISPROPORTIONATELY AFFECT RESIDENTS OF SOME OF LAWRENCE GENERAL'S SERVICE AREA. OBESITY, LACK OF PROPER NUTRITION, AND SEDENTARY LIFESTYLE CONTINUE TO BE CONCERNS AMONG RESIDENTS, ORGANIZATIONAL LEADERS, AND HEALTH CARE PROVIDERS. OF PARTICULAR CONCERN WAS AFFORDABILITY OF HEALTHY FOODS AND THE FRAGMENTATION/LACK OF COORDINATION OF AREA PROGRAMS ON THE TOPIC. DIABETES AND HEART DISEASE WERE DESCRIBED AS CONDITIONS DIRECTLY AFFECTED BY OBESITY AND LIFESTYLE ISSUES OF PARTICULAR CONCERN TO RESIDENTS.DESPITE IMPROVEMENTS IN HEALTH CARE COVERAGE, RESIDENTS STILL EXPERIENCE BARRIERS TO ACCESSING CARE. WHILE HEALTH CARE COVERAGE IN MASSACHUSETTS HAS EXPANDED, ASSESSMENT PARTICIPANTS CITED SEVERAL CHALLENGES TO ACCESSING CARE INCLUDING FINANCIAL BARRIERS, LACK OF COORDINATED CARE, LACK OF WEEKEND/EVENING HOURS, LONG WAIT TIMES, AND THE NEED FOR CULTURALLY COMPETENT CARE. PARTICIPANTS ALSO INDICATED THAT THERE ARE INSUFFICIENT RESOURCES TO ADDRESS THE GROWING NEED FOR MENTAL HEALTH SERVICES IN THE COMMUNITY. OVERALL, THE INTEGRATION AND COORDINATION OF CARE WAS AN IMPORTANT THEME DISCUSSED BY PARTICIPANTS.OPPORTUNITIES EXIST TO BUILD ON COMMUNITY ASSETS AND COORDINATE EFFORTS TO ADDRESS THE NEEDS OF THE COMMUNITY. PARTICIPANTS CITED MULTIPLE ASSETS OF THE REGION INCLUDING THE STRENGTH OF DIVERSITY, QUALITY OF HEALTH CARE SERVICES, COLLABORATIVE ORGANIZATIONAL PARTNERSHIPS, AND AN ABUNDANCE OF ORGANIZATIONS ALREADY WORKING TOGETHER. PARTICIPANTS WANTED TO SEE MORE OF THESE ASSETS AND HAD A VISION OF A COMMUNITY WITH A GREATER EMPHASIS ON WELLNESS AND HEALTHY ENVIRONMENTS/WORKPLACES, REDUCTION IN POVERTY AND CRIME, AND IMPROVED COLLABORATION ACROSS MULTIPLE ENTITIES AND ORGANIZATIONS.
PART VI, LINE 3: FOR THOSE PATIENTS WHO ARE UNINSURED OR UNDERINSURED, THE HOSPITAL WILL WORK WITH THEM TO ASSIST WITH APPLYING FOR AVAILABLE FINANCIAL ASSISTANCE PROGRAMS THAT MAY COVER SOME OR ALL OF THEIR UNPAID HOSPITAL BILLS. IN ORDER TO HELP UNINSURED AND UNDERINSURED PATIENTS FIND AVAILABLE AND APPROPRIATE FINANCIAL ASSISTANCE PROGRAMS, THE HOSPITAL PROVIDES PATIENTS WITH A GENERAL NOTICE OF THE AVAILABILITY OF PROGRAMS IN BOTH THE INITIAL BILL THAT IS SENT TO PATIENTS AS WELL AS GENERAL NOTICES POSTED THROUGOUT THE HOSPITAL. THE GOAL OF THESE NOTICES IS TO ASSIST PATIENTS IN APPLYING FOR COVERAGE WITHIN A FINANCIAL ASSISTANCE PROGRAM, SUCH AS MASSHEALTH, CAREPLUS, CHILDREN'S MEDICAL SECURITY PLAN, MASSHEALTH STANDARD, AND HEALTH SAFETY NET. WHEN APPLICABLE, THE HOSPITAL MAY ALSO ASSIST PATIENTS IN APPLYING FOR COVERAGE OF SERVICES AS A MEDICAL HARDSHIP BASED ON THAT PATIENT'S DOCUMENTED INCOME AND ALLOWABLE MEDICAL EXPENSES. THE HOSPITAL WILL PROVIDE, UPON REQUEST, SPECIFIC INFORMATION ABOUT THE ELIGIBILITY PROCESS TO BE A LOW INCOME PATIENT UNDER EITHER THE MASSACHUSETTS HEALTH SAFETY NET PROGRAM OR ADDITIONAL ASSISTANCE FOR PATIENTS WHO ARE LOW INCOME THROUGH THE HOSPITAL'S OWN FINANCIAL ASSISTANCE PROGRAM. THE HOSPITAL WILL ALSO NOTIFY THE PATIENT ABOUT AVAILABLE PAYMENT PLANS THAT MAY BE AVAILABLE TO THEM BASED ON THEIR FAMILY SIZE AND INCOME. THE HOSPITAL MAKES A REASONABLE EFFORT TO IDENTIFY AVAILABLE COVERAGE OPTIONS FOR PATIENTS WHO MAY BE UNINSURED AND UNDERINSURED WITH THEIR CURRENT INSURANCE PROGRAM WHEN THE PATIENT IS SCHEDULING THEIR SERVICES, WHILE THE PATIENT IS IN THE HOSPITAL, UPON DISCHARGE, AND FOR A REASONABLE TIME FOLLOWING DISCHARGE FROM THE HOSPITAL. THE HOSPITAL WILL DIRECT ALL PATIENTS SEEKING AVAILABLE COVERAGE OPTIONS, OR THOSE THAT THE HOSPITAL DETERMINES MAY BE ELIGIBLE, TO THE HOSPITAL'S PATIENT FINANCIAL COUNSELING SERVICES TO SCREEN FOR ELIGILBITY IN AN APPROPRIATE COVERAGE OPTION. THE HOSPITAL WILL THEN ASSIST THE PATIENT IN APPLYING FOR THE APPROPRIATE COVERAGE OPTIONS THAT ARE AVAILABLE OR NOTIFY THEM OF THE AVAILABILTY OF FINANCIAL ASSISTANCE THROUGH THE HOSPITAL'S OWN INTERNAL FINANCIAL ASSISTANCE PROGRAM. THE HOSPITAL WILL ALSO PROVIDE INFORMATION ON HOW TO CONTACT APPROPROPRIATE STAFF WITHIN THE HOSPITAL'S FINANCE OFFICE TO VERIFY THE ACCURACY OF THE HOSPITAL BILL OR TO DISPUTE CERTAIN CHARGES. THE HOSPITAL, PURSUANT TO AN INTERNAL VIEW OF EACH PATIENT'S CASE, MAY OFFER A PATIENT AN ADDITIONAL DISCOUNT ON AN UNPAID BILL AS AUTHORIZED BY THE HOSPITAL'S CHIEF FINANCIAL OFFICER OR HIS/HER DESIGNEE. ANY SUCH REVIEW SHALL BE PART OF AN INTERNAL HOSPITAL FINANCIAL ASSISTANCE PROGRAM THAT IS APPLIED ON AN UNIFORM BASIS TO PATIENTS, AND WHICH TAKES INTO CONSIDERATION THE PATIENT'S FINANCIAL SITUATION AND THE PATIENT'S INABILITY TO MAKE A PAYMENT AFTER REASONABLE COLLECTION EFFORTS. ANY DISCOUNT THAT IS PROVIDED BY THE HOSPITAL IS CONSISTENT WITH FEDERAL AND STATE REQUIREMENTS, AND IS NOT BASED ON AN EFFORT TO INDUCE A PATIENT TO RECEIVE SERVICES FROM THE HOSPITAL OR TO GENERATE BUSINESS THAT IS PAYABLE BY A FEDERAL OR STATE PROGRAM.
PART VI, LINE 4: LAWRENCE GENERAL HOSPITAL IS LOCATED IN LAWRENCE, MASSACHUSETTS, BUT SERVES THE ENTIRE MERRIMACK VALLEY REGION. THE VALLEY IS A BI-STATE REGION ALONG THE MERRIMACK RIVER IN THE STATES OF NEW HAMPSHIRE AND MASSACHUSETTS, WITH LAWRENCE GENERAL SERVING THE SOUTHERN TIP OF THE NH VALLEY, AND ALL OF THE MA VALLEY AREA. THE MERRIMACK RIVER IS ONE OF THE LARGER WATERWAYS IN THE NEW ENGLAND REGION AND HAS HELPED DEFINE THE LIVELIHOOD AND CULTURE OF THOSE LIVING ALONG IT SINCE NATIVE TIMES. MAJOR CITIES IN THE MERRIMACK VALLEY INCLUDE LOWELL, LAWRENCE, HAVERHILL, METHUEN AND NEWBURYPORT IN MASSACHUSETTS. THE MERRIMACK VALLEY WAS A MAJOR CENTER OF THE TEXTILE INDUSTRY IN AMERICA DURING THE 19TH CENTURY. KNOWN AS THE "IMMIGRANT CITY", LAWRENCE HAS ALWAYS BEEN A MULTI-ETHNIC AND MULTICULTURAL GATEWAY CITY WITH A HIGH PERCENTAGE OF FOREIGN-BORN RESIDENTS. THE SUCCESSIVE WAVES OF IMMIGRANTS COMING TO LAWRENCE TO WORK IN THE MILLS BEGAN WITH THE IRISH, FOLLOWED BY THE FRENCH CANADIANS, ENGLISHMEN, AND GERMANS IN THE LATE 1800'S. AROUND THE TURN OF THE CENTURY AND EARLY 1900'S, ITALIANS, POLES, LITHUANIANS, AND SYRIANS BEGAN ARRIVING. THE WAVE OF PUERTO RICANS AND DOMINICANS STARTED IN THE MID TO LATE 1900'S, AND THE NEWEST ARRIVALS HAVE ORIGINATED FROM VIETNAM AND CAMBODIA. THE CURRENT POPULATION IS LARGELY HISPANIC AND HAS GIVEN A LATINO SLANT TO THE LOCAL ECONOMY AND CULTURE.TODAY, LAWRENCE REMAINS AN URBAN CENTER WITH A SIGNIFICANT PART OF ITS ECONOMY STILL MANUFACTURING-BASED. DESPITE GLOBAL TRENDS THAT HAVE SEEN MANUFACTURING INDUSTRIES MOVE SOUTH AND OVERSEAS, THE CITY IS STILL A HUB OF TEXTILE, APPAREL AND SHOE COMPANIES SUCH AS MALDEN MILLS, KGR INC., GRIECO BROTHERS, NEW BALANCE AND CARDINAL SHOE. WITH THE AFFORDABLE SPACE AND CLOSE PROXIMITY TO ROUTES 93 AND 495, NEWER COMPANIES IN TECHNOLOGY, HEALTH CARE AND MANUFACTURING SUCH AS NEW ENGLAND AFFILIATED TECHNOLOGY, THE ROBERT ABLE COMPANY AND THE GEM GROUP, HAVE CHOSEN TO LOCATE IN LAWRENCE. WITH ALL THIS SAID, LAWRENCE, MA IS A CITY WITH SIGNIFICANT CHALLENGES. A LARGE NUMBER OF LAWRENCE GENERAL HOSPITAL'S PATIENTS (OVER 50%) ARE LATINOS RESIDING IN LAWRENCE. ONCE A THRIVING CITY AND THE HUB OF THE U.S. TEXTILE INDUSTRY, THE CITY OF LAWRENCE HAS TRULY NEVER RECOVERED FROM THE DEVASTATING ECONOMIC DECLINE IT SUFFERED WHEN THE MILLS BEGAN TO CLOSE IN THE 1960'S. TODAY, THE CITY IS A DENSELY POPULATED, IMPOVERISHED AREA WITH HIGH LEVELS OF UNEMPLOYMENT, HIGH RATES OF CRIME, ILLITERACY, AND AGING HOUSING, AS WELL AS DRUG USE AND ITS RELATED VIOLENCE. SINCE THE EARLY 1970S, LAWRENCE HAS BECOME HOME TO A SIZABLE HISPANIC POPULATION. CURRENTLY, LAWRENCE'S TOTAL POPULATION IS APPROXIMATELY 77,000, OF WHICH APPROXIMATELY ROUGHLY 60% ARE OF LATINO DESCENT, MAINLY FROM THE DOMINICAN REPUBLIC AND PUERTO RICO. JUST OVER ONE QUARTER OF THE HOUSEHOLDS IN LAWRENCE CAN BE CLASSIFIED AS POOR, BASED ON THE FEDERAL POVERTY LEVEL. THE MA DEPARTMENT OF PUBLIC HEALTH HAS IDENTIFIED LAWRENCE PUBLIC SCHOOLS AS HAVING THE HIGHEST STUDENT RATES OF OBESITY IN THE STATE, AT 47%. AS THE PREVALENCE OF OBESITY HAS BEEN LINKED TO THE ECONOMIC HARDSHIP OF A COMMUNITY, THE CITY OF LAWRENCE CONTINUES TO BE AT RISK WITH ITS SOARING RATES OF POVERTY. THESE FINDINGS INDICATE THAT LAWRENCE'S CONSIDERABLE POPULATION OF LOW-INCOME, LATINO CHILDREN ARE MORE LIKELY TO SUFFER FROM OBESITY BECAUSE OF THE MANY BARRIERS TO HEALTHY EATING AND ACTIVE LIVING IN THEIR COMMUNITIES. FOR INSTANCE, URBAN RESIDENTS OFTEN LACK CONSISTENT ACCESS TO HEALTHY FOOD CHOICES AND SAFE PLACES FOR PHYSICAL ACTIVITY IN THEIR NEIGHBORHOODS. ADDITIONALLY, MANY LAWRENCE PUBLIC SCHOOLS HAVE LIMITED SPACE AND NO DESIGNATED GYMNASIUM, AND THEREFORE, NO FORMAL PHYSICAL EDUCATION PROGRAMS FOR THEIR STUDENTS. APPROXIMATELY 40% OF THE PATIENTS THAT LAWRENCE GENERAL TREATS ON AN ANNUAL BASIS ARE ON SOME TYPE OF GOVERNMENT ASSISTANCE PROGRAM OR NEED FINANCIAL ASSISTANCE WITH THEIR MEDICAL COSTS. AS A RESULT, LAWRENCE GENERAL PROVIDED OVER $14M IN CHARITABLE CARE AND COMMUNITY BENEFITS TO PERSONS WHO WOULD NOT OTHERWISE BE ABLE TO AFFORD QUALITY HEALTHCARE IN FY2014.
PART VI, LINE 5: LAWRENCE GENERAL HOSPITAL HAS A STRONG HISTORY OF ASSISTING CHILDREN AND FAMILIES IN NEED. PROUDLY RECOGNIZED AS THE ONLY NOT-FOR-PROFIT COMMUNITY HOSPITAL SERVING THIS REGION, THE INSTITUTION REMAINS TRUE TO ITS ORIGINAL MISSION. FOR MORE THAN 139 YEARS, LGH HAS CARED FOR AND IMPROVED THE HEALTH STATUS OF THE RESIDENTS OF THE MERRIMACK VALLEY REGION, PARTICULARLY LAWRENCE, ONE OF THE POOREST CITIES IN MASSACHUSETTS. IN A CITY WITH SO MUCH NEED, LGH HAS BUILT AN IMPRESSIVE TRADITION OF QUALITY AND EXCELLENCE IN HEALTH CARE WHILE CONTINUING ITS COMMITMENT TO PROVIDE CARE TO EVERYONE WHO ENTERS ITS DOORS IN SPITE OF A GROWING UNINSURED POPULATION AND DECLINING REIMBURSEMENTS. IN THE PAST 5 YEARS, LGH HAS INCREASED THE QUALITY OF ITS CARE AND EXPANDED ITS BREADTH OF SERVICES AVAILABLE LOCALLY, WHILE ENSURING THE AFFORDABILITY OF THAT CARE. THIS PAST YEAR, LGH TREATED NEARLY 300,000 INPATIENTS AND OUTPATIENTS. LGH IS NOW THE ONLY LOCALLY-CONTROLLED, NOT-FOR-PROFIT HOSPITAL IN THE CENTRAL MERRIMACK VALLEY WITH A BOARD OF TRUSTEES FROM OUR REGION. AS THE LARGEST PRIVATE EMPLOYER IN LAWRENCE, LGH PROVIDES 189 BEDS AND IS STAFFED BY 1,800 EMPLOYEES AND MORE THAN 450 PHYSICIANS REPRESENTING OVER 40 SPECIALTIES. THE HOSPITAL'S CLINICAL STRENGTHS INCLUDE A 24-HOUR EMERGENCY DEPARTMENT AND LEVEL III TRAUMA CENTER; PEDIATRIC CENTER; WOMEN'S HEALTH SERVICES; IMAGING CENTER; CARDIAC SERVICES; SLEEP CENTER; MITS (MINIMALLY INVASIVE THORACIC SURGERY) CLINIC; BIRTHING CENTER; DAY SURGERY CENTER; BARIATRIC CENTER; COMMUNITY CANCER PROGRAM; OUTPATIENT PHYSICAL THERAPY CENTER; AND AN ADVANCED LIFE SUPPORT MOBILE PROGRAM. ALL OF THESE SERVICES CREATE A HEALTH SAFETY NET FOR THE CITY OF LAWRENCE. LGH'S SUCCESS IS LINKED TO ITS ABILITY TO COMBINE ITS LONG HISTORY IN IDENTIFYING AND ADDRESSING COMMUNITY NEEDS WITH ITS EXPERTISE IN COMPLETING LARGE, COMPLEX INITIATIVES AND RENOVATION PROJECTS WHICH OFTEN INVOLVE DEVELOPING SOLID COLLABORATIVE PARTNERSHIPS WITH HIGH-QUALITY MEDICAL PROVIDERS. LGH HAS CONTINUALLY EXPANDED ITS AFFILIATION WITH BETH ISRAEL DEACONESS MEDICAL CENTER. THIS CLINICAL AFFILIATION WAS DEVELOPED TO ENHANCE PROGRAMS AND SERVICES AVAILABLE IN THE GREATER MERRIMACK VALLEY, INCREASE LOCAL ACCESS TO SPECIALTIES OF A HARVARD-AFFILIATED TEACHING HOSPITAL, AND IMPROVE THE COORDINATION OF CARE THROUGH AN INTEGRATED ELECTRONIC MEDICAL RECORD SYSTEM. IN THE PAST THREE YEARS, THE HOSPITAL ADDED 11 NEW SPECIALISTS AND/OR SPECIALTY CLINICS TO BETTER SERVE THE MERRIMACK VALLEY REGION. THE HOSPITAL IS ALSO WORKING CLOSER WITH PENTUCKET MEDICAL AND GREATER LAWRENCE FAMILY HEALTH CENTER TO INCREASE THE BREADTH OF SERVICES AVAILABLE LOCALLY, WHILE DECREASING OVERALL HEALTH CARE COSTS. THE HOSPITAL'S EFFORTS TO CONTINUALLY ASSESS OUR PATIENT SERVICES AND HEALTH CARE NEEDS OF THE COMMUNITY RECENTLY LED OUR MEDICAL STAFF TO RECOGNIZE THE NEED FOR PEDIATRIC EXPERTISE BEYOND THE IMMEDIATE COMMUNITY, AND THE IMPORTANCE OF TREATING CHILDREN CLOSE TO HOME. WE HAVE ENHANCED OUR ABILITY TO SERVE OUR YOUNGEST POPULATION THROUGH OUR ONGOING CLINICAL AFFILIATION WITH FLOATING HOSPITAL FOR CHILDREN AT TUFTS MEDICAL CENTER. IN AN EFFORT TO EASE THE STRESS AND HARDSHIP OF FAMILIES WITH SICK CHILDREN AND TO PROVIDE THE BEST IN PEDIATRIC CARE, WE NOW OFFER OUR PATIENTS TOP PEDIATRICIANS ON-SITE AT LGH, 24-HOURS, 7-DAYS A WEEK, 365-DAYS A YEAR IN OUR LGH PEDIATRIC CENTER. THIS PARTNERSHIP ENABLES CHILDREN AT LGH TO BENEFIT DIRECTLY FROM THE EXPERTISE OF HIGHLY-TRAINED PEDIATRIC SPECIALISTS FROM BOSTON. THROUGH COLLABORATIVE MEETINGS OPEN TO THE PUBLIC AND PUBLIC FORUMS AND VIA OUR NEW, ACTIVE AND ENTHUSIASTIC PATIENT FAMILY ADVISORY COMMITTEE, THE HOSPITAL OBTAINS INPUT TO THE COMMUNITY BENEFITS PLAN. THE HOSPITAL BOARD OF TRUSTEES, WHO LIVE AND WORK IN THE LOCAL COMMUNITY ALSO PARTICIPATE, AND THE SENIOR MANAGEMENT OF THE HOSPITAL ENSURES IMPLEMENTATION AND MONITORS PROGRESS.THE HOSPITAL'S CONTINUOUS AND ENHANCED QUALITY IMPROVEMENT PROCESS ALSO PROVIDES ANOTHER SOURCE FOR THE IDENTIFICATION OF NEEDS. OPPORTUNITIES FOR IMPROVEMENT ARE IDENTIFIED THROUGHOUT THE ORGANIZATION, AND THE BOARD OF TRUSTEES HELPS DETERMINE ANNUAL PRIORITIES.LAWRENCE GENERAL HAS MANY ENGAGED AND ENTHUSIASTIC PARTNERS IN THE COMMUNITY, AND BY WORKING WITH THE ONES LISTED BELOW (AS WELL AS OTHERS), LAWRENCE GENERAL HOSPITAL IS ABLE TO PROMOTE, FOSTER AND DELIVER IMPROVED HEALTH AND WELLNESS TO THE ENTIRE MERRIMACK VALLEY REGION:ALLIANCE IMAGINGAMERICAN CANCER SOCIETYAMERICAN COLLEGE OF RADIOLOGY (ACR)AMERICAN HEART ASSOCIATIONAMERICAN RED CROSSARBOUR COUNSELING: LATINO HEALTH PARTIAL HOSPITALIZATIONASTHMA & ALLERGY FOUNDATIONBALDPATE HOSPITAL: DETOX/RESIDENTIAL/OUTPATIENT SUBSTANCE ABUSE SERVICESBETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC)BEYOND SOCCERCARDIOVASCULAR INSTITUTE AT BIDMCCHELMSFORD POLICE DEPARTMENTCHILDREN'S HOSPITAL OF BOSTONCITY OF LAWRENCE COMMONWEALTH HEMATOLOGY AND ONCOLOGY COMMUNITY CANCER PROGRAMCOMMUNITY MEDICAL ASSOCIATES (CMA)DANVERS TREATMENT CENTER/LAHEY BEHAVIORAL HEALTH CLINICAL STABILIZATION SERVICESDAYBREAK SHELTERDIABETES TODAY COALITIONEDGEWOOD RETIREMENT COMMUNITYELDER SERVICES OF THE MERRIMACK VALLEY, INC.FLOATING HOSPITAL FOR CHILDREN AT TUFTS MEDICAL CENTERGREATER LAWRENCE FAMILY HEALTH CENTER (GLFHC)GREATER LAWRENCE FAMILY RESIDENCY GROUNDWORK LAWRENCEHAMPSTEAD HOSPITAL: DETOX/RESIDENTIAL/OUTPATIENT SUBSTANCE ABUSE SERVICESHOME HEALTH VNAJACKSON LUMBER WORK HEALTH INITIATIVEKIWANIS CLUB OF LAWRENCEL&M RADIOLOGYLAWRENCE COMMUNITY WORKSLAWRENCE COUNCIL ON AGINGLAWRENCE FARMER'S MARKETLAWRENCE FIRE DEPARTMENTLAWRENCE GENERAL HOSPITAL AUXILIARY LAWRENCE HIGH SCHOOLLAWRENCE ROTARY CLUBLAWRENCE SENIOR CENTERLGH SENIOR MANAGEMENT TEAMLGH PRESIDENT'S COUNCILLGH PATIENT FAMILY ADVISORY COUNCIL (PFAC)LYNN TRANSITIONAL SUPPORT SERVICES/LAHEY BEHAVIORAL HEALTHMASSACHUSETTS DEPARTMENT OF PUBLIC HEALTHMASS GENERAL HOSPITAL (PEDIATRIC CARDIOLOGY)MASSCONECT COLLABORATORSMAYOR'S HEALTH TASK FORCETHE OFFICE OF MAYOR DANIEL RIVERA, CITY OF LAWRENCEMEMBERS OF THE HOSPITAL BOARD OF TRUSTEESMERRIMACK COLLEGEMERRIMACK VALLEY ASSISTED LIVING FACILITIESMERRIMACK VALLEY CHAMBER OF COMMERCEMERRIMACK VALLEY COMMUNITY DEVELOPMENT COMMITTEEMERRIMACK VALLEY HEALTH SERVICES MERRIMACK VALLEY SENIOR CENTERSMERRIMACK VALLEY SKILLED NURSING FACILITIESMERRIMACK VALLEY YMCAMITS ASSOCIATESNORTHERN ESSEX COMMUNITY COLLEGENOTRE DAME HIGH SCHOOLNORTH ANDOVER PUBLIC SCHOOLSNORTHEAST CENTER FOR HEALTHY COMMUNITIESNORTHEAST REHABILITATIONNEUROCAREPATIENT FAMILY ADVISORY COUNCILPENTUCKET MEDICAL ASSOCIATESPSYCHOLOGICAL CENTERTOBACCO FREE COMMUNITY PARTNERSHIPTRANSITIONS PROGRAM/LAHEY BEHAVIORAL HEALTH POST DETOX/PRE-RECOVERY/TEWKSBURYTUFTS MEDICAL CENTERUNITED WAY OF THE MERRIMACK VALLEYYWCA OF LAWRENCE
PART VI, LINE 6: LAWRENCE GENERAL HOSPITAL IS PART OF LAWRENCE GENERAL HOSPITAL & AFFILIATES. THERE ARE FOUR AFFILIATES WITHIN THIS SYSTEM AS OF 9-30-2014, INCLUDING:LGH HEALTH ENTERPRISES, INC. THIS ENTITY IS A FOR-PROFIT HEALTH SERVICES AND MANAGEMENT COMPANY LOCATED IN LAWRENCE, MASSACHUSETTS. THIS ENTITY PROVIDES WOMEN'S HEALTH IMAGING (MAMMOGRAPHY, BONE DENSITOMETRY AND ULTRASOUNDS) TO THE LOCAL COMMUNITY. THIS ENTITY ALSO PROVIDES OTHER MANAGEMENT SERVICES TO LOCAL AREA PHYSICIAN GROUPS. COMMUNITY MEDICAL ASSOCIATES, INC. THIS ENTITY IS A NOT-FOR-PROFIT PRIMARY CARE PHYSICIAN PRACTICE LOCATED IN LAWRENCE, MASSACHUSETTS. LGH PHYSICIAN ASSOCIATES, PC.THIS ENTITY IS A FOR-PROFIT HEALTH SERVICES AND MANAGEMENT COMPANY LOCATED IN LAWRENCE, MASSACHUSETTS. THIS ENTITY PROVIDES ENDOCRINE, PALLIATIVE CARE, AND INFECTIOUS DISEASE SERVICES TO THE LOCAL COMMUNITY. THIS ENTITY ALSO PROVIDES OTHER MANAGEMENT SERVICES TO LOCAL AREA PHYSICIAN GROUPS.LGH CHARITABLE TRUST, INC. THIS ENTITY IS A NOT-FOR-PROFIT CHARITABLE FOUNDATION LOCATED IN LAWRENCE, MASSACHUSETTS. THIS ENTITY ACTS ON BEHALF OF THE HOSPITAL FOR ALL FUNDRAISING INITIATIVES.
PART VI, LINE 7, REPORTS FILED WITH STATES MA
Schedule H (Form 990) 2013
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