Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ.
MediumBulletInformation about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public Inspection
Name of the organization
LAWRENCE GENERAL HOSPITAL
 
Employer identification number

04-2103586
Part I
Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No
2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2015
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Schedule L (Form 990 or 990-EZ) 2015
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) LUIS E YEPEZ JR DAXAD LLC TRUSTEE 784,488 VARIOUS RENTAL SPACES   No
(2) RICHARD CHOI MD ORTHO NORTHWEST TRUSTEE 44,800 PHYSICIAN SERVICES   No
(3) NAOMI GARDNER NEW ENGLAND NORTH TRUSTEE 539,133 PHYSICIAN SERVICES   No
(4) DR EDUARDO HADDAD MEDICAL DIRECT TRUSTEE 52,722 PHYSICIAN SERVICES   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
PART IV, LINE 1: PAYMENTS OF $784,886 LISTED FOR LUIS YEPEZ WERE MADE DIRECTLY TO A REAL ESTATE COMPANY IN WHICH HE HOLDS AN OWNERSHIP INTEREST. THESE PAYMENTS WERE FOR VARIOUS RENTAL UNITS AT 25 MARSTON STREET, LAWRENCE, MA 01841.
PART IV, LINE 2: OF THE TOTAL PAYMENTS OF $44,800 LISTED FOR RICHARD CHOI, MD $19,000 WERE MADE DIRECTLY TO HIS MEDICAL GROUP FOR CALL COVERAGE & PAYMENTS RELATED TO PHYSICIAN RECRUITMENT AGREEMENTS. THE REMAINING AMOUNT OF $25,000 WAS PAID DIRECTLY TO HIM AS PART OF A MEDICAL DIRECTORSHIP.
PART IV, LINE 3: PAYMENTS OF $539,113 TO NAOMI GARDNER WERE MADE DIRECTLY TO A MEDICAL GROUP IN WHICH SHE HOLDS AN OWNERSHIP INTEREST. THESE PAYMENTS WERE NEUROLOGICAL CALL COVERAGE AND OTHER REGULAR/ROUTINE PHYSICIAN SERVICES THAT WERE PERFORMED AT THE HOSPITAL.
PART IV, LINE 4: PAYMENTS OF $52,722 LISTED FOR EDUARDO HADDAD, MD WERE PAID DIRECTLY TO HIM AS PART OF A MEDICAL DIRECTORSHIP.
Schedule L (Form 990 or 990-EZ) 2015


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