Civic Intelligence

Lowell General Hospital Special Services Inc

EIN 04-2749428 • 501(c)3 • Lowell, MA

Profile

The lowell general hospital (the "hospital"), is the sole member of the organization. No assets are held by the organization since the organization is in a dormant state.a public charity seeking to dissolve, must receive the prior approval of the supreme judicial court ("sjc") for the dissolution. The organization is currently gathering the required information in order to affect a timely and lawful dissolution as set forth in the guidelines for the commonwealth of massachusetts. The procedures and requirements include providing notice to the attorney general's non-profit organizations/public charities division ("ago"), obtaining the ago's assent and obtaining the approval of the supreme judicial court ("sjc").

One Hospital DriveLowell, MA 01852

n/A

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2015

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on the latest valid filing.

Source year 2015

Net Margin

Score unavailable

No value available

Net margin requires both revenue and expenses on the latest valid filing.

Source year 2015

Top Officer Pay

81st percentile

$0

Higher top officer pay than 81% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2015

Asset Growth

Score unavailable

No value available

A valid growth rate could not be computed from the available filing history.

Annualized from 2014 to 2015

Revenue Growth

Score unavailable

No value available

A valid growth rate could not be computed from the available filing history.

Annualized from 2014 to 2015

Assets

Flat

$0

Flat from 2014

Liabilities

Flat

$0

Flat from 2014

Net Assets

Flat

$0

Flat from 2014

Revenue

Flat

$0

Flat from 2014

Expenses

Flat

$0

Flat from 2014

Net Income

Flat

$0

Flat from 2014

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$20K$10K$0-$10K-$20KAssets 2011: $0Liabilities 2011: $11,391Net Assets 2011: -$11,3912011Assets 2012: $0Liabilities 2012: $0Net Assets 2012: $02012Assets 2013: $0Liabilities 2013: $0Net Assets 2013: $02013Assets 2014: $0Liabilities 2014: $0Net Assets 2014: $02014Assets 2015: $0Liabilities 2015: $0Net Assets 2015: $02015

Highlighted filing

2015

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$3.0M$2.0M$1.0M$0Revenue 2011: $2,683,174Expenses 2011: $861,221Net Income 2011: $1,821,9532011Revenue 2012: $486,604Expenses 2012: $474,891Net Income 2012: $11,7132012Revenue 2013: $0Expenses 2013: $0Net Income 2013: $02013Revenue 2014: $0Expenses 2014: $0Net Income 2014: $02014Revenue 2015: $0Expenses 2015: $0Net Income 2015: $02015

Highlighted filing

2015

Revenue$0
Expenses$0
Net Income$0

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2014 to Sep 30, 2015
Signed
Feb 29, 2016
Return Version
2014v6.0
Gross Receipts
$0
Mission and Program Overview

Mission

The lowell general hospital (the "hospital"), was the sole member of the organization. No assets were held by the organization since the organization was in a dormant state.a public charity seeking to dissolve, must receive the approval of the supreme judicial court ("sjc") for the dissolution. The organization has gathered the required information in order to affect a timely and lawful dissolution as set forth in the guidelines for the commonwealth of massachusetts. The procedures and requirements include providing notice to the attorney general's non-profit organizations/public charities division ("ago"), obtaining the ago's assent and obtaining the approval of the supreme judicial court ("sjc"). The sjc dissolved lowell general hospital special services on january 5, 2016.

Provided facilities and other support services to lowell general hospital and its nonprofit affiliates, including without limitation, operation of a clinic to provide radiation oncology and other services; and otherwise carried out lowell general hospital's charitable purpose.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts-$0-
Savings and Temporary Cash Investments-$0-
Accounts Receivable-$0-
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Land, Buildings, and Equipment, Net-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Prepaid Expenses and Deferred Charges-$0-
Other Assets Total-$0-
Total Assets$0$0→ $0
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Total Net Assets Fund Balance$0$0→ $0
Total Liabilities and Net Assets / Fund Balance$0$0→ $0
Compensation and Service Providers

Board Members and Trustees

NameTitle
Joseph WhitePresident-lowell General Hosp
Andrew TreinisDirector
Bruce T RobinsonDirector
David E WallaceDirector
Eric W HansonDirector
Gary CampbellDirector
George L DuncanDirector
Gregory WertheimerDirector
JACK D O'CONNORDirector
Jack ClancyDirector
Jacqueline F MoloneyDirector
John CarsonDirector
Kimberly OberhauserDirector
Margaret a PalmDirector
Raymond Antiss JrDirector
Tushar PatelDirector
Normand E DeschenePres. of Board&CEO-lowell Gen. Hosp
Daniel J MansurClerk
Susan GreenSenior VP & CFO & Treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$0
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$0
Other Expenses$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

The sole member of lowell general hospital special services, inc was lowell general hospital, inc.

Form 990, Part VI, Section A, Line 7A

As sole member of lowell general hospital special services, lowell general hospital, inc. Elected the members of the board of directors.

Form 990, Part VI, Section A, Line 7B

Section 2.2 of the restated and amended bylaws described the powers reserved to the member to include, but not limited to, sales of assets, dissolution of corporation, merger with another entity, amend bylaws, authorize capital budget and indebtedness.

Form 990, Part VI, Section B, Line 11

Form 990 was prepared by the controller and reviewed by cbiz tofias. The finance committee of the board of trustees was responsible for the review of the drafted form 990 prior to filing. The board of directors provided a copy and was ultimatley responsible for acceptance of the draft form 990 and its approval for filing.

Form 990, Part VI, Section B, Line 12C

All officers, board members, and key employees were subject to the conflict of interest policy. Any actual or potential conflicts were forwarded to the compliance committee for consideration. In the event of an actual or potential conflict, the conflicted individual was prohibited from participating in deliberations or decisions relating to the matter. A compliance committee meeting was held every other month to address concerns.

Form 990, Part VI, Section B, Line 15

Part vi, section b, 13&14. The organization adopted and followed the whistleblower and document retention and destruction policy of the member, lowell general hospital part vi line 15b: lowell general hospital special services, inc. Did not directly compensate its ceo or any other officers. Compensation for the ceo and other officers followed the process of lowell general hospital as outlined below: a third party consultant is hired for an independent assessment of appropriate salary ranges for the officers of the organization to include the ceo, coo, and cfo. This assessment is reviewed by the compensation committee and a recommendation is given to the executive committee on salary increases and bonuses.

Form 990, Part VI, Section C, Line 18

990 is made available to the public upon request.

Form 990, Part VI, Section C, Line 19

Governing documents are provided to and made available on the secretary of state website and made available upon request along with the conflict of interest policy and financial statements.

Filing and Contact Details

Filer

Filer Name
Lowell General Hospital Special Services Inc
EIN
04-2749428
Phone
9789396000
Address
ONE HOSPITAL DRIVE, LOWELL, MA 01852

Signing Officer

Name
Susan Green
Title
Sr VP and CFO
Phone
9789396000
Signed
2016-02-29
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Susan Green
Formed
1982
Legal Domicile
Ma
Voting Board Members
17
Independent Board Members
16
Employees
0
Volunteers
0

Preparer

Firm
Cbiz Tofias
Address
500 BOYLSTON STREET, BOSTON, MA 02116
Preparer
Joseph M Giso
Phone
6177610600
Supplemental Narrative

Financial Statement Notes

PART X, LINE 2:

The system, with the exception of lgh services, inc. And its subsidiaries, has been determined by the internal revenue service ("irs") to be a tax-exempt organization as described in internal revenue code ("irc") section 501(c)(3) and, accordingly, is exempt from taxation on related income under section 501(a) of the irc. Lgh services, inc. And its subsidiaries are for-profit organizations with net operating loss carryforwards. The hospital has approximately $15,126,000 of net operating losses from unrelated business activities resulting in a deferred tax asset of approximately $6,050,000 which is offset by a valuation allowance of the same amount. Lgh services, inc. And subsidiaries have approximately $4,998,000 of net operating losses resulting in a deferred tax asset of approximately $1,999,000 which is offset by a valuation allowance of a corresponding amount. Due to the presence of the net operating loss carryforwards and an expected loss in the current year, no provision for income taxes has been recorded in the accompanying financial statements. The system is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress. Management of the hospital believes it is no longer subject to income tax examinations for years prior to the year ended september 30, 2012.

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IRS990/ActivityOrMissionDesc0PROVIDED FACILITIES AND OTHER SUPPORT SERVICES TO LOWELL GENERAL HOSPITAL AND ITS NONPROFIT AFFILIATES, INCLUDING WITHOUT LIMITATION, OPERATION OF A CLINIC TO PROVIDE RADIATION ONCOLOGY AND OTHER SERVICES; AND OTHERWISE CARRIED OUT LOWELL GENERAL HOSPITAL'S CHARITABLE PURPOSE.
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IRS990/Desc0THE LOWELL GENERAL HOSPITAL (THE "HOSPITAL"), WAS THE SOLE MEMBER OF THE ORGANIZATION. NO ASSETS ARE HELD BY THE ORGANIZATION SINCE THE ORGANIZATION WAS IN A DORMANT STATE.A PUBLIC CHARITY SEEKING TO DISSOLVE, MUST RECEIVE THE APPROVAL OF THE SUPREME JUDICIAL COURT ("SJC") FOR THE DISSOLUTION. THE ORGANIZATION HAS GATHERED THE REQUIRED INFORMATION IN ORDER TO AFFECT A TIMELY AND LAWFUL DISSOLUTION AS SET FORTH IN THE GUIDELINES FOR THE COMMONWEALTH OF MASSACHUSETTS. THE PROCEDURES AND REQUIREMENTS INCLUDE PROVIDING NOTICE TO THE ATTORNEY GENERAL'S NON-PROFIT ORGANIZATIONS/PUBLIC CHARITIES DIVISION ("AGO"), OBTAINING THE AGO'S ASSENT AND OBTAINING THE APPROVAL OF THE SUPREME JUDICIAL COURT ("SJC"). THE SJC DISSOLVED LOWELL GENERAL HOSPITAL SPECIAL SERVICES ON JANUARY 5, 2016.
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IRS990/Form990PartVIISectionAGrp/TitleTxt0PRES. OF BOARD&CEO-LOWELL GEN. HOSP
IRS990/Form990PartVIISectionAGrp/TitleTxt1DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt2CLERK
IRS990/Form990PartVIISectionAGrp/TitleTxt3DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt6DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt7DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt8DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt9DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt10DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt11DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt12DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt13DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt14DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt15DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt16DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt17SENIOR VP & CFO & TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt18PRESIDENT-LOWELL GENERAL HOSP
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IRS990/MinutesOfCommitteesInd01
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IRS990/MissionDesc0THE LOWELL GENERAL HOSPITAL (THE "HOSPITAL"), WAS THE SOLE MEMBER OF THE ORGANIZATION. NO ASSETS WERE HELD BY THE ORGANIZATION SINCE THE ORGANIZATION WAS IN A DORMANT STATE.A PUBLIC CHARITY SEEKING TO DISSOLVE, MUST RECEIVE THE APPROVAL OF THE SUPREME JUDICIAL COURT ("SJC") FOR THE DISSOLUTION. THE ORGANIZATION HAS GATHERED THE REQUIRED INFORMATION IN ORDER TO AFFECT A TIMELY AND LAWFUL DISSOLUTION AS SET FORTH IN THE GUIDELINES FOR THE COMMONWEALTH OF MASSACHUSETTS. THE PROCEDURES AND REQUIREMENTS INCLUDE PROVIDING NOTICE TO THE ATTORNEY GENERAL'S NON-PROFIT ORGANIZATIONS/PUBLIC CHARITIES DIVISION ("AGO"), OBTAINING THE AGO'S ASSENT AND OBTAINING THE APPROVAL OF THE SUPREME JUDICIAL COURT ("SJC"). THE SJC DISSOLVED LOWELL GENERAL HOSPITAL SPECIAL SERVICES ON JANUARY 5, 2016.
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IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0THE LOWELL GENERAL HOSPITAL (THE "HOSPITAL"), WAS THE SOLE MEMBER OF THE ORGANIZATION. NO ASSETS WERE HELD BY THE ORGANIZATION SINCE THE ORGANIZATION WAS IN A DORMANT STATE. A PUBLIC CHARITY SEEKING TO DISSOLVE, MUST RECEIVE THE APPROVAL OF THE SUPREME JUDICIAL COURT ("SJC") FOR THE DISSOLUTION. THE ORGANIZATION HAS GATHERED THE REQUIRED INFORMATION IN ORDER TO AFFECT A TIMELY AND LAWFUL DISSOLUTION AS SET FORTH IN THE GUIDELINES FOR THE COMMONWEALTH OF MASSACHUSETTS. THE PROCEDURES AND REQUIREMENTS INCLUDE PROVIDING NOTICE TO THE ATTORNEY GENERAL'S NON-PROFIT ORGANIZATIONS/PUBLIC CHARITIES DIVISION ("AGO"), OBTAINING THE AGO'S ASSENT AND OBTAINING THE APPROVAL OF THE SUPREME JUDICIAL COURT ("SJC"). THE SJC DISSOLVED LOWELL GENERAL HOSPITAL SPECIAL SERVICES ON JANUARY 5, 2016.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0SCHEDULE A, PART III, LINE 15 - PUBLIC SUPPORT %:
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IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt03169778
IRS990ScheduleA/InvestmentIncomeCYPct00.00000
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IRS990ScheduleA/PublicSupportPY509Pct01.00000
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IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt00
IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt00
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind0X
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt0486604
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt02683174
IRS990ScheduleA/Total509Grp/TotalAmt03169778
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt0486604
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt02683174
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt03169778
IRS990/ScheduleBRequiredInd00
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0THE SYSTEM, WITH THE EXCEPTION OF LGH SERVICES, INC. AND ITS SUBSIDIARIES, HAS BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE ("IRS") TO BE A TAX-EXEMPT ORGANIZATION AS DESCRIBED IN INTERNAL REVENUE CODE ("IRC") SECTION 501(C)(3) AND, ACCORDINGLY, IS EXEMPT FROM TAXATION ON RELATED INCOME UNDER SECTION 501(A) OF THE IRC. LGH SERVICES, INC. AND ITS SUBSIDIARIES ARE FOR-PROFIT ORGANIZATIONS WITH NET OPERATING LOSS CARRYFORWARDS. THE HOSPITAL HAS APPROXIMATELY $15,126,000 OF NET OPERATING LOSSES FROM UNRELATED BUSINESS ACTIVITIES RESULTING IN A DEFERRED TAX ASSET OF APPROXIMATELY $6,050,000 WHICH IS OFFSET BY A VALUATION ALLOWANCE OF THE SAME AMOUNT. LGH SERVICES, INC. AND SUBSIDIARIES HAVE APPROXIMATELY $4,998,000 OF NET OPERATING LOSSES RESULTING IN A DEFERRED TAX ASSET OF APPROXIMATELY $1,999,000 WHICH IS OFFSET BY A VALUATION ALLOWANCE OF A CORRESPONDING AMOUNT. DUE TO THE PRESENCE OF THE NET OPERATING LOSS CARRYFORWARDS AND AN EXPECTED LOSS IN THE CURRENT YEAR, NO PROVISION FOR INCOME TAXES HAS BEEN RECORDED IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE SYSTEM IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT OF THE HOSPITAL BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO THE YEAR ENDED SEPTEMBER 30, 2012.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990ScheduleJ/AnyNonFixedPaymentsInd00
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd00
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd00
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990ScheduleJ/InitialContractExceptionInd00
IRS990/ScheduleJRequiredInd00
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IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0NONE OF THE ACTIONS LISTED WERE PERFORMED BY THE ORGANIZATION, BUT WERE PERFORMED BY ITS MEMBER, LOWELL GENERAL HOSPITAL AND PREVIOUSLY SAINTS MEDICAL CENTER, IN ACCORDANCE OF SECTION 4.3 OF THE AMENDED AND RESTATED BYLAWS.
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 3
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd00
IRS990ScheduleN/AssetsDistributedInd01
IRS990ScheduleN/AttorneyGeneralNotifiedInd01
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IRS990ScheduleN/OwnerOfSuccessorInd00
IRS990ScheduleN/ReceiveCompensationInd00
IRS990ScheduleN/RequiredToNotifyAGInd01
IRS990ScheduleN/SupplementalInformationDetail/ExplanationTxt0THE LOWELL GENERAL HOSPITAL (THE "HOSPITAL"), WAS THE SOLE MEMBER OF THE ORGANIZATION. NO ASSETS WERE HELD BY THE ORGANIZATION SINCE THE ORGANIZATION WAS IN A DORMANT STATE.A PUBLIC CHARITY SEEKING TO DISSOLVE, MUST RECEIVE THE APPROVAL OF THE SUPREME JUDICIAL COURT ("SJC") FOR THE DISSOLUTION. THE ORGANIZATION HAS GATHERED THE REQUIRED INFORMATION IN ORDER TO AFFECT A TIMELY AND LAWFUL DISSOLUTION AS SET FORTH IN THE GUIDELINES FOR THE COMMONWEALTH OF MASSACHUSETTS. THE PROCEDURES AND REQUIREMENTS INCLUDE PROVIDING NOTICE TO THE ATTORNEY GENERAL'S NON-PROFIT ORGANIZATIONS/PUBLIC CHARITIES DIVISION ("AGO"), OBTAINING THE AGO'S ASSENT AND OBTAINING THE APPROVAL OF THE SUPREME JUDICIAL COURT ("SJC"). THE SJC DISSOLVED LOWELL GENERAL HOSPITAL SPECIAL SERVICES ON JANUARY 5, 2016.
IRS990ScheduleN/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 6C:
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE SOLE MEMBER OF LOWELL GENERAL HOSPITAL SPECIAL SERVICES, INC WAS LOWELL GENERAL HOSPITAL, INC.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1AS SOLE MEMBER OF LOWELL GENERAL HOSPITAL SPECIAL SERVICES, LOWELL GENERAL HOSPITAL, INC. ELECTED THE MEMBERS OF THE BOARD OF DIRECTORS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2SECTION 2.2 OF THE RESTATED AND AMENDED BYLAWS DESCRIBED THE POWERS RESERVED TO THE MEMBER TO INCLUDE, BUT NOT LIMITED TO, SALES OF ASSETS, DISSOLUTION OF CORPORATION, MERGER WITH ANOTHER ENTITY, AMEND BYLAWS, AUTHORIZE CAPITAL BUDGET AND INDEBTEDNESS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3FORM 990 WAS PREPARED BY THE CONTROLLER AND REVIEWED BY CBIZ TOFIAS. THE FINANCE COMMITTEE OF THE BOARD OF TRUSTEES WAS RESPONSIBLE FOR THE REVIEW OF THE DRAFTED FORM 990 PRIOR TO FILING. THE BOARD OF DIRECTORS PROVIDED A COPY AND WAS ULTIMATLEY RESPONSIBLE FOR ACCEPTANCE OF THE DRAFT FORM 990 AND ITS APPROVAL FOR FILING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4ALL OFFICERS, BOARD MEMBERS, AND KEY EMPLOYEES WERE SUBJECT TO THE CONFLICT OF INTEREST POLICY. ANY ACTUAL OR POTENTIAL CONFLICTS WERE FORWARDED TO THE COMPLIANCE COMMITTEE FOR CONSIDERATION. IN THE EVENT OF AN ACTUAL OR POTENTIAL CONFLICT, THE CONFLICTED INDIVIDUAL WAS PROHIBITED FROM PARTICIPATING IN DELIBERATIONS OR DECISIONS RELATING TO THE MATTER. A COMPLIANCE COMMITTEE MEETING WAS HELD EVERY OTHER MONTH TO ADDRESS CONCERNS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5PART VI, SECTION B, 13&14. THE ORGANIZATION ADOPTED AND FOLLOWED THE WHISTLEBLOWER AND DOCUMENT RETENTION AND DESTRUCTION POLICY OF THE MEMBER, LOWELL GENERAL HOSPITAL PART VI LINE 15B: LOWELL GENERAL HOSPITAL SPECIAL SERVICES, INC. DID NOT DIRECTLY COMPENSATE ITS CEO OR ANY OTHER OFFICERS. COMPENSATION FOR THE CEO AND OTHER OFFICERS FOLLOWED THE PROCESS OF LOWELL GENERAL HOSPITAL AS OUTLINED BELOW: A THIRD PARTY CONSULTANT IS HIRED FOR AN INDEPENDENT ASSESSMENT OF APPROPRIATE SALARY RANGES FOR THE OFFICERS OF THE ORGANIZATION TO INCLUDE THE CEO, COO, AND CFO. THIS ASSESSMENT IS REVIEWED BY THE COMPENSATION COMMITTEE AND A RECOMMENDATION IS GIVEN TO THE EXECUTIVE COMMITTEE ON SALARY INCREASES AND BONUSES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6990 IS MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7GOVERNING DOCUMENTS ARE PROVIDED TO AND MADE AVAILABLE ON THE SECRETARY OF STATE WEBSITE AND MADE AVAILABLE UPON REQUEST ALONG WITH THE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION A, LINE 7B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION B, LINE 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, SECTION B, LINE 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART VI, SECTION C, LINE 18
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleR/AssetExchangeInd00
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IRS990ScheduleR/IdDisregardedEntitiesGrp/DirectControllingEntityName/BusinessNameLine1Txt0CIRCLE HEALTH PHYSICIANS INC
IRS990ScheduleR/IdDisregardedEntitiesGrp/DirectControllingEntityName/BusinessNameLine1Txt1CIRCLE HEALTH PHYSICIANS INC
IRS990ScheduleR/IdDisregardedEntitiesGrp/DirectControllingEntityName/BusinessNameLine1Txt2CIRCLE HEALTH PHYSICIANS INC
IRS990ScheduleR/IdDisregardedEntitiesGrp/DirectControllingEntityName/BusinessNameLine1Txt3CIRCLE HEALTH PHYSICIANS INC
IRS990ScheduleR/IdDisregardedEntitiesGrp/DirectControllingEntityName/BusinessNameLine1Txt4CIRCLE HEALTH INC
IRS990ScheduleR/IdDisregardedEntitiesGrp/DisregardedEntityName/BusinessNameLine1Txt0LGH MEDICAL GROUP LLC
IRS990ScheduleR/IdDisregardedEntitiesGrp/DisregardedEntityName/BusinessNameLine1Txt1LGH CANCERCARE ASSOCIATES LLC
IRS990ScheduleR/IdDisregardedEntitiesGrp/DisregardedEntityName/BusinessNameLine1Txt2LGH WOMENHEALTH LLC
IRS990ScheduleR/IdDisregardedEntitiesGrp/DisregardedEntityName/BusinessNameLine1Txt3LGH MERRIMACK VALLEY CARDIOLOGY ASSOCIATES LLC
IRS990ScheduleR/IdDisregardedEntitiesGrp/DisregardedEntityName/BusinessNameLine1Txt4CIRCLE HEALTH URGENT CARE LLC
IRS990ScheduleR/IdDisregardedEntitiesGrp/EIN0205671277
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IRS990ScheduleR/IdDisregardedEntitiesGrp/LegalDomicileStateCd1MA
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IRS990ScheduleR/IdDisregardedEntitiesGrp/LegalDomicileStateCd3MA
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IRS990ScheduleR/IdDisregardedEntitiesGrp/PrimaryActivitiesTxt0MEDICAL SERVICES
IRS990ScheduleR/IdDisregardedEntitiesGrp/PrimaryActivitiesTxt1MEDICAL SERVICES
IRS990ScheduleR/IdDisregardedEntitiesGrp/PrimaryActivitiesTxt2MEDICAL SERVICES
IRS990ScheduleR/IdDisregardedEntitiesGrp/PrimaryActivitiesTxt3MEDICAL SERVICES
IRS990ScheduleR/IdDisregardedEntitiesGrp/PrimaryActivitiesTxt4MEDICAL SERVICES
IRS990ScheduleR/IdDisregardedEntitiesGrp/USAddress/AddressLine1Txt0295 VARNUM AVENUE
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IRS990ScheduleR/IdDisregardedEntitiesGrp/USAddress/AddressLine1Txt2295 VARNUM AVENUE
IRS990ScheduleR/IdDisregardedEntitiesGrp/USAddress/AddressLine1Txt3295 VARNUM AVENUE
IRS990ScheduleR/IdDisregardedEntitiesGrp/USAddress/AddressLine1Txt4295 VARNUM AVENUE

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