LAWRENCE AND MEMORIAL HOSPITAL INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: LAWRENCE AND MEMORIAL HOSPITAL INC (EIN 06-0646704)
Tax period: 2017-10-01 to 2018-09-30
Filed: 2019-08-13
IRS object ID: 201942259349300529
Schema version: 2017v2.3
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-08-13T08:34:42-05:00	ReturnTs
Tax Period End	2018-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	135565207	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	KPMG LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1601 MARKET STREET	AddressLine1Txt
City	PHILADELPHIA	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	19103	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	060646704	EIN

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Business Name Control	LAWR	BusinessNameControlTxt
Phone	8604420711	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	365 MONTAUK AVENUE	AddressLine1Txt
City	NEW LONDON	CityNm
State Abbreviation	CT	StateAbbreviationCd
ZIP	06320	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	SETH VAN ESSENDELFT	PersonNm
Person Title	CFO & SVP, FINANCE	PersonTitleTxt
Phone	8604420711	PhoneNum
Signature	2019-08-13	SignatureDt
Discuss With Paid Preparer	0	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	PHILLIP E GROFF	PreparerPersonNm
PTIN	P01247783	PTIN
Phone	2672561756	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	204.60.184.1	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2019-08-13	IPDt
IP Tm	08:29:36	IPTm
IP Timezone	ED	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	B07FDA97AAC7713492025A2A90B7F2A504042AC6	AtSubmissionCreationDeviceId
At Submission Filing Device Id	5D794220C68C161820A811785299AFD302F4C684	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	PATRICK L GREEN	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	365 MONTAUK AVENUE	AddressLine1Txt
City	NEW LONDON	CityNm
State Abbreviation	CT	StateAbbreviationCd
ZIP	06320	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$412,494,943	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.LMHOSPITAL.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1912	FormationYr
Legal Domicile State	CT	LegalDomicileStateCd
Activity Or Mission	TO IMPROVE THE HEALTH OF THE REGION.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	2481	TotalEmployeeCnt
Total Volunteers	291	TotalVolunteersCnt
Total Gross UBI	$566,655	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$21,915	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,305,093	PYContributionsGrantsAmt
CY Contributions Grants	$1,215,995	CYContributionsGrantsAmt
PY Program Service Revenue	$315,688,305	PYProgramServiceRevenueAmt
CY Program Service Revenue	$337,827,977	CYProgramServiceRevenueAmt
PY Investment Income	$19,708,164	PYInvestmentIncomeAmt
CY Investment Income	$5,736,372	CYInvestmentIncomeAmt
PY Other Revenue	$2,916,095	PYOtherRevenueAmt
CY Other Revenue	$2,575,078	CYOtherRevenueAmt
PY Total Revenue	$339,617,657	PYTotalRevenueAmt
CY Total Revenue	$347,355,422	CYTotalRevenueAmt
PY Grants And Similar Paid	$301,049	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$550,848	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$170,329,014	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$163,339,115	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$590,999	CYTotalFundraisingExpenseAmt
PY Other Expenses	$146,475,355	PYOtherExpensesAmt
CY Other Expenses	$161,818,992	CYOtherExpensesAmt
PY Total Expenses	$317,105,418	PYTotalExpensesAmt
CY Total Expenses	$325,708,955	CYTotalExpensesAmt
PY Revenues Less Expenses	$22,512,239	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$21,646,467	CYRevenuesLessExpensesAmt
Total Assets BOY	$407,372,281	TotalAssetsBOYAmt
Total Assets EOY	$410,610,409	TotalAssetsEOYAmt
Total Liabilities BOY	$231,536,053	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$200,382,689	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$175,836,228	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$210,227,720	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO IMPROVE THE HEALTH OF THE REGION.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$248,231,734	ExpenseAmt
Grant	$550,848	GrantAmt
Revenue	$337,827,977	RevenueAmt
Desc	SEE SCHEDULE O	Desc
Total Program Service Expenses	$248,231,734	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (1)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	346	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	2481	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	7	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	DENIS DONEGAN	PersonNm
Phone	2036886088	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	789 HOWARD AVE	AddressLine1Txt
City	NEW HAVEN	CityNm
State Abbreviation	CT	StateAbbreviationCd
ZIP	06519	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
PATRICK L GREEN
PRESIDENT/CEO	27.00	23.00	Yes (X)	Yes (X)	$241,640	$122,355	$147,137
MARY ELLEN JUKOSKI
VICE CHAIRMAN AND TRUSTEE	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
JAMES MITCHELL
SECR/TREASURER AND TRUSTEE	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
SHARON ARNOLD
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
JOSEPH A CECERE
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
NAILL J DUHIG
TRUSTEE (END 12/17)	1.00	0.00	Yes (X)		$61,976	$0	$0
CHRISTOPHER O'CONNOR
TRUSTEE	1.00	39.00	Yes (X)		$0	$1,412,556	$379,201
DAVID F REISFELD
TRUSTEE	1.00	39.00	Yes (X)		$0	$371,403	$7,187
REV CATHERINE ZALL
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
ROBERT NARDONE
TRUSTEE (START 9/18)	1.00	4.00	Yes (X)		$0	$0	$0
B MICHAEL RAUH
CHAIRMAN/TRUSTEE	1.00	5.00	Yes (X)	Yes (X)	$0	$0	$0
ROSS J SANFILIPPO
TRUSTEE (START 9/18)	1.00	1.00	Yes (X)		$0	$0	$0
CYNTHIA TUCKER
TRUSTEE	40.00	0.00	Yes (X)		$0	$0	$0
MAUREEN ANDERSON
ASSISTANT SECRETARY	3.00	33.00		Yes (X)	$17,571	$286,427	$38,034
SETH VAN ESSENDELFT
VP/CFO (END 5/18)	30.00	10.00		Yes (X)	$411,544	$139,385	$112,724
CHRISTOPHER LEHRACH
CHIEF TRANSFORMATION OFFIC	21.00	19.00			$359,418	$279,613	$81,952	Yes (X)
KIMBERLY KALAJAINEN
VP CHIEF INFORMATION OFFIC	40.00	0.00			$491,065	$0	$34,345	Yes (X)
LAUREN WILLIAMS
VP PATIENT CARE SERVICES	40.00	0.00			$285,247	$0	$5,175	Yes (X)
WILLIAM STANLEY
VP DEVELOPMENT	40.00	0.00			$238,005	$0	$32,883	Yes (X)
GARY CASS
DIRECTOR OF LABOR RELATIONS	40.00	0.00			$188,712	$0	$32,025	Yes (X)
BRUCE D CUMMINGS
FORMER OFFICER (5/17)	0.00	0.00			$338,239	$0	$8,293		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,633,417	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,611,739	TotReportableCompRltdOrgAmt
Total Other Compensation	$878,956	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	289	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
YALE UNIVERSITY SCHOOL OF MEDICINE
333 CEDAR STREET	NEW HAVEN	CT	06510	PHYSICIAN SERVICES	$2,895,301
IPC HOSPITALISTS
PO BOX 844929	LOS ANGELES	CA	900844929	HOSPITALISTS	$1,964,332
UNITEX TEXTILE RENTAL SERVICE
420 LEDYARD STREET	HARTFORD	CT	06114	LINENS/LAUNDERING	$1,091,090
ANESTHESIA ASSOC OF NEW LONDON
365 MONTAUK AVE	NEW LONDON	CT	06320	HEALTH RELATED	$851,707
BARD RAO CONSULTING ENGINEERS LLC
10 GUEST ST 4TH FLOOR	BOSTON	MA	02135	CONSULTING ENGINEER	$847,899

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	66	CntrctRcvdGreaterThan100KCnt
Fundraising	$187,603	FundraisingAmt
Related Organizations	$54,202	RelatedOrganizationsAmt
Government Grants	$529,169	GovernmentGrantsAmt
All Other Contributions	$445,021	AllOtherContributionsAmt
Noncash Contributions	$43,974	NoncashContributionsAmt
Total Contributions	$1,215,995	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICES	900099	$333,188,840	$333,188,840
OTHER PATIENT RELATED REVENUE	900099	$4,123,273	$4,123,273
LAB TESTING	900099	$515,864		$515,864

Field	Value	IRS element (for citing)
Total Program Service Revenue	$337,827,977	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$313,544	TotalRevenueColumnAmt
Exclusion	$313,544	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,322,077	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$525,424	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,796,653	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,796,653	TotalRevenueColumnAmt
Exclusion	$1,796,653	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$5,898,484	SecuritiesAmt
Other	$64,039,375	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$818,956	SecuritiesAmt
Other	$63,696,075	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$5,079,528	SecuritiesAmt
Other	$343,300	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,422,828	TotalRevenueColumnAmt
Exclusion	$5,422,828	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$44,115	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$187,603	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$99,066	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$54,951	TotalRevenueColumnAmt
Exclusion	-$54,951	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
DINING ROOM SERVICES	900099	$782,585	$782,585
PASSTHROUGH FROM INVESTMENT	523000	$50,791		$50,791

Field	Value	IRS element (for citing)
Other Revenue Total	$833,376	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$347,355,422	TotalRevenueColumnAmt
Related Or Exempt Func Income	$337,312,113	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$566,655	UnrelatedBusinessRevenueAmt
Exclusion	$8,260,659	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$317,242	TotalAmt
Program Services	$317,242	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$233,606	TotalAmt
Program Services	$233,606	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,562,251	TotalAmt
Program Services	$156,225	ProgramServicesAmt
Management And General	$1,406,026	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$132,774,783	TotalAmt
Program Services	$102,441,970	ProgramServicesAmt
Management And General	$30,135,094	ManagementAndGeneralAmt
Fundraising	$197,719	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,789,885	TotalAmt
Program Services	$3,738,034	ProgramServicesAmt
Management And General	$1,044,636	ManagementAndGeneralAmt
Fundraising	$7,215	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$14,066,124	TotalAmt
Program Services	$10,746,090	ProgramServicesAmt
Management And General	$3,299,293	ManagementAndGeneralAmt
Fundraising	$20,741	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$10,146,072	TotalAmt
Program Services	$7,744,089	ProgramServicesAmt
Management And General	$2,387,036	ManagementAndGeneralAmt
Fundraising	$14,947	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$274,280	TotalAmt
Program Services	$208,821	ProgramServicesAmt
Management And General	$65,459	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$604,145	TotalAmt
Program Services	$459,961	ProgramServicesAmt
Management And General	$144,184	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$318,695	TotalAmt
Program Services	$242,636	ProgramServicesAmt
Management And General	$76,059	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$82,331	TotalAmt
Program Services	$82,331	ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$93,926	TotalAmt
Program Services	$71,510	ProgramServicesAmt
Management And General	$22,416	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$44,097,276	TotalAmt
Program Services	$33,530,451	ProgramServicesAmt
Management And General	$10,536,627	ManagementAndGeneralAmt
Fundraising	$30,198	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$233,865	TotalAmt
Program Services	$11,336	ProgramServicesAmt
Management And General	$4,353	ManagementAndGeneralAmt
Fundraising	$218,176	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,238,867	TotalAmt
Program Services	$1,573,078	ProgramServicesAmt
Management And General	$614,193	ManagementAndGeneralAmt
Fundraising	$51,596	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$4,658,445	TotalAmt
Program Services	$3,546,668	ProgramServicesAmt
Management And General	$1,093,308	ManagementAndGeneralAmt
Fundraising	$18,469	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,814,471	TotalAmt
Program Services	$3,665,457	ProgramServicesAmt
Management And General	$1,149,014	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$276,784	TotalAmt
Program Services	$210,727	ProgramServicesAmt
Management And General	$66,057	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$192,011	TotalAmt
Program Services	$146,186	ProgramServicesAmt
Management And General	$45,275	ManagementAndGeneralAmt
Fundraising	$550	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,342,909	TotalAmt
Program Services	$2,545,096	ProgramServicesAmt
Management And General	$797,813	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$20,638,735	TotalAmt
Program Services	$15,713,128	ProgramServicesAmt
Management And General	$4,925,607	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$19,533,622	TotalAmt
Program Services	$14,871,759	ProgramServicesAmt
Management And General	$4,661,863	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,001,249	TotalAmt
Program Services	$3,046,317	ProgramServicesAmt
Management And General	$954,932	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL & SURGICAL SUPP	$56,313,178	$42,873,565	$13,439,613	$0
OTHER ANCILLARY EXPENSE	$104,203	$55,451	$17,364	$31,388

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$325,708,955	TotalAmt
Program Services	$248,231,734	ProgramServicesAmt
Management And General	$76,886,222	ManagementAndGeneralAmt
Fundraising	$590,999	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$17,732,760	BOYAmt
EOY	$15,084,798	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$20,366	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$34,915,714	BOYAmt
EOY	$38,891,347	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$354,636	BOYAmt
EOY	$536,610	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,890,045	BOYAmt
EOY	$7,027,919	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,425,966	BOYAmt
EOY	$1,700,284	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$216,969,511	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$39,715,279	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$176,429,264	BOYAmt
EOY	$177,254,232	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$59,031,811	BOYAmt
EOY	$52,978,598	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$38,034,795	BOYAmt
EOY	$39,522,431	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$72,536,924	BOYAmt
EOY	$77,614,190	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$407,372,281	BOYAmt
EOY	$410,610,409	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$38,019,355	BOYAmt
EOY	$35,671,477	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$101,466,762	BOYAmt
EOY	$31,607,063	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$92,049,936	BOYAmt
EOY	$133,104,149	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$231,536,053	BOYAmt
EOY	$200,382,689	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$148,718,633	BOYAmt
EOY	$182,164,741	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$20,793,346	BOYAmt
EOY	$21,621,835	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,324,249	BOYAmt
EOY	$6,441,144	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$175,836,228	BOYAmt
EOY	$210,227,720	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$407,372,281	BOYAmt
EOY	$410,610,409	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$21,646,467	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$192,452	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$12,552,573	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	Yes (1)	MailingsMembersInd
Mailings Members	$500	MailingsMembersAmt
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$33,602	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$48,229	OtherActivitiesAmt
Total Lobbying Expenditures	$82,331	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	THE AMOUNT REPORTED IN "OTHER ACTIVITIES" REPRESENTS A PORTION OF PROFESSIONAL DUES ATTRIBUTABLE TO LOBBYING DURING FY 2018. ALSO, THE HEALTH SYSTEM OFFICIALS HAD MEETINGS AND CONTACTS WITH STATE GOVERNMENT OFFICIALS, INCLUDING STATE LEGISLATORS AND THEIR STAFF TO DISCUSS VARIOUS HEALTH CARE REFORM PROPOSALS. LAWRENCE + MEMORIAL HOSPITAL IS PART OF A CONTROLLED GROUP WITH THE FOLLOWING LOBBYING EXPENSES: YALE NEW HAVEN HOSPITAL EIN 06-0646652 $ 494,151 BRIDGEPORT HOSPITAL EIN 06-0646554 $ 110,224 GREENWICH HOSPITAL EIN 06-0646659 $ 83,870 NORTHEAST MEDICAL GROUP EIN 06-1330992 $ 42,848 LMW HEALTHCARE, INC. EIN 46-0543230 $ 12,797	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$21,547,048	BeginningYearBalanceAmt
Investment Earnings Or Losses	$5,672,003	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,022,957	OtherExpendituresAmt
End Year Balance	$26,196,094	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$19,258,522	BeginningYearBalanceAmt
Investment Earnings Or Losses	$2,559,901	InvestmentEarningsOrLossesAmt
Other Expenditures	$234,505	OtherExpendituresAmt
Administrative Expenses	$36,870	AdministrativeExpensesAmt
End Year Balance	$21,547,048	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$17,802,690	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,586,788	InvestmentEarningsOrLossesAmt
Other Expenditures	$77,634	OtherExpendituresAmt
Administrative Expenses	$53,322	AdministrativeExpensesAmt
End Year Balance	$19,258,522	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$18,987,367	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$944,846	InvestmentEarningsOrLossesAmt
Other Expenditures	$194,153	OtherExpendituresAmt
Administrative Expenses	$45,678	AdministrativeExpensesAmt
End Year Balance	$17,802,690	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$17,922,953	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,382,314	InvestmentEarningsOrLossesAmt
Other Expenditures	$269,234	OtherExpendituresAmt
Administrative Expenses	$48,666	AdministrativeExpensesAmt
End Year Balance	$18,987,367	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.31180	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.30420	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.38400	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,110,001	OtherCostOrOtherBasisAmt
Book Value	$8,110,001	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$117,250,873	OtherCostOrOtherBasisAmt
Depreciation	$8,426,017	DepreciationAmt
Book Value	$108,824,856	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,252,700	OtherCostOrOtherBasisAmt
Depreciation	$1,785,200	DepreciationAmt
Book Value	$5,467,500	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$80,085,394	OtherCostOrOtherBasisAmt
Depreciation	$29,504,062	DepreciationAmt
Book Value	$50,581,332	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,270,543	OtherCostOrOtherBasisAmt
Book Value	$4,270,543	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$177,254,232	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
SHORT TERM ENDOWMENT INVESTMENTS	$4,356,587	C
LONG TERM ENDOWMENT INVESTMENTS	$31,167,020	C
INVESTMENTS HELD BY TRUSTEE	$3,998,824	C

Field	Value	IRS element (for citing)
Total Book Value Securities	$39,522,431	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt
OTHER RECEIVABLES	$15,535,416
DEBT SERVICE FUND	$4,108
DUE FROM AFFILIATES	$31,945,703
DUE FROM MCIC	$19,904,897
TRADEMARKS	$5,200,001
PREPAID EXPENSES	$2,958,228
THIRD PARTY RECEIVABLES	$2,065,837

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$77,614,190	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
DUE TO AFFILIATES	$8,160,758
MALPRACTICE INSURANCE	$20,517,810
DUE TO THIRD PARTY AGENCIES	$12,514,264
SELF ASSURANCE RESERVES	$9,921,680
ASSET RETIREMENT OBLIGATION	$1,068,210
ACCRUED PENSION & POST RETIREMENT	$17,547,669
LOANS PAYABLE	$63,373,758

Field	Value	IRS element (for citing)
Total Liability	$133,104,149	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART V, LINE 4:

THE ORGANIZATION'S ENDOWMENT FUNCTIONS TO SUPPORT AND PROVIDE INCOME FOR THE FURTHERANCE OF THE HEALTHCARE MISSION OF LAWRENCE + MEMORIAL HOSPITAL.

PART X, LINE 2:

LAWRENCE + MEMORIAL HOSPITAL IS INCLUDED WITHIN THE LAWRENCE MEMORIAL CORPORATION AND SUBSIDIARIES DISCLOSURES IN THE CONSOLIDATED FINANCIAL STATEMENTS OF YALE NEW HAVEN HEALTH SERVICES CORPORATION WHICH INCLUDES THE FOLLOWING FIN48 DISCLOSURE: MOST ENTITIES WITHIN THE SYSTEM ARE NOT FOR PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE CODE, AND ARE GENERALLY EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE CODE. PROVISIONS FOR INCOME TAXES AND DEFERRED TAXES, WHICH ARE NOT MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS, HAVE BEEN MADE FOR THE TAXABLE ENTITIES LISTED ABOVE UNDER THE DESCRIPTION OF THE SYSTEM. U.S. GAAP REQUIRES THE SYSTEM TO EVALUATE TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN THE COURSE OF PREPARING THE SYSTEM'S TAX RETURNS TO DETERMINE WHETHER THE TAX POSITIONS ARE "MORE LIKELY THAN NOT" OF BEING SUSTAINED BY THE APPLICABLE TAX AUTHORITY BASED UPON THE TECHNICAL MERITS OF THE POSITION. THE SYSTEM RECOGNIZES THE EFFECT OF TAX POSITIONS ONLY IF THEY ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. THIS EVALUATION HAD NO IMPACT ON THE OPERATIONS OF THE SYSTEM AS OF AND FOR THE YEAR ENDED SEPTEMBER 30, 2018 AND 2017.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	GALA	Event1Nm
Gross Receipts Event1	$231,718	GrossReceiptsEvent1Amt
Charitable Contri Event1	$187,603	CharitableContriEvent1Amt
Gross Revenue Event1	$44,115	GrossRevenueEvent1Amt
Food And Beverage Event1	$52,450	FoodAndBeverageEvent1Amt
Entertainment Event1	$2,000	EntertainmentEvent1Amt
Other Direct Expenses Event1	$44,616	OtherDirectExpensesEvent1Amt
Gross Receipts Total	$231,718	GrossReceiptsTotalAmt
Charitable Contributions Tot	$187,603	CharitableContributionsTotAmt
Gross Revenue Total Events	$44,115	GrossRevenueTotalEventsAmt
Food And Beverage Total Events	$52,450	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$2,000	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$44,616	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$99,066	DirectExpenseSummaryEventsAmt
Net Income Summary	-$54,951	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	250.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	550.000000000000	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Persons Served	6203	PersonsServedCnt
Total Community Benefit Expns	$35,629,151	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,226,971	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,402,180	NetCommunityBenefitExpnsAmt
Total Expense	0.04730	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	60689	PersonsServedCnt
Total Community Benefit Expns	$62,444,865	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$44,143,812	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,301,053	NetCommunityBenefitExpnsAmt
Total Expense	0.05620	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	66892	PersonsServedCnt
Total Community Benefit Expns	$98,074,016	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$64,370,783	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$33,703,233	NetCommunityBenefitExpnsAmt
Total Expense	0.10350	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	35	ActivitiesOrProgramsCnt
Persons Served	8272	PersonsServedCnt
Total Community Benefit Expns	$1,543,440	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$425,868	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,117,572	NetCommunityBenefitExpnsAmt
Total Expense	0.00340	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	8	ActivitiesOrProgramsCnt
Persons Served	5714	PersonsServedCnt
Total Community Benefit Expns	$1,845,884	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,842,884	NetCommunityBenefitExpnsAmt
Total Expense	0.00570	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Persons Served	1048	PersonsServedCnt
Total Community Benefit Expns	$1,540,865	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$158,648	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,382,217	NetCommunityBenefitExpnsAmt
Total Expense	0.00420	TotalExpensePct

Research ResearchGrp

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

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	13	ActivitiesOrProgramsCnt
Persons Served	313	PersonsServedCnt
Total Community Benefit Expns	$1,840,521	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,840,521	NetCommunityBenefitExpnsAmt
Total Expense	0.00570	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	62	ActivitiesOrProgramsCnt
Persons Served	15347	PersonsServedCnt
Total Community Benefit Expns	$6,770,710	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$587,516	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,183,194	NetCommunityBenefitExpnsAmt
Total Expense	0.01900	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	62	ActivitiesOrProgramsCnt
Persons Served	82239	PersonsServedCnt
Total Community Benefit Expns	$104,844,726	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$64,958,299	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$39,886,427	NetCommunityBenefitExpnsAmt
Total Expense	0.12250	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$54,208	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$54,208	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$22,833	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,833	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	790	PersonsServedCnt
Total Community Benefit Expns	$53,502	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$53,502	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

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

Leadership Development LeadershipDevelopmentGrp

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

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$51,809	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$51,809	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

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

Workforce Development WorkforceDevelopmentGrp

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

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

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

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Persons Served	790	PersonsServedCnt
Total Community Benefit Expns	$182,352	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$182,352	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$6,003,225	BadDebtExpenseAmt
Reimbursed By Medicare	$126,456,210	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$152,022,080	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$25,565,870	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost Accounting System	Yes (X)	CostAccountingSystemInd

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	365 MONTAUK AVE	AddressLine1Txt
City	NEW LONDON	CityNm
State Abbreviation	CT	StateAbbreviationCd
ZIP	06320	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.LMHOSPITAL.ORG	WebsiteAddressTxt
State License	0047	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Emergency Room Other	Yes (X)	EmergencyRoomOtherInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
Other	Yes (X)	OtherInd
CHNA Conducted	16	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	HTTPS://LLHD.ORG/ABOUT-US/ASSESSMENT/	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	250.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	550.000000000000	FPGFamilyIncmLmtDscntCarePct
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit Other Actions	Yes (X)	PermitOtherActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
LAWRENCE + MEMORIAL HOSPITAL	PART V, SECTION B, LINE 3J: IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) COMPONENTS LISTED, THE LMH CHNA REPORT INCLUDED ANALYSIS OF THE DATA IN TERMS OF STRENGTHS AND OPPORTUNITIES FOR ACTION. THIS ANALYSIS WAS USED IN CREATING THE COMMUNITY HEALTH IMPLEMENTATION PLAN.
LAWRENCE + MEMORIAL HOSPITAL	PART V, SECTION B, LINE 5: COMMUNITY ENGAGEMENT AND FEEDBACK WERE AN INTEGRAL PART OF THE CHNA PROCESS WHICH WAS CO-LED BY LAWRENCE + MEMORIAL HOSPITAL AND LEDGE LIGHT HEALTH DISTRICT, THE REGIONAL LOCAL PUBLIC HEALTH ENTITY. THROUGHOUT, PARTNERS SOUGHT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL THROUGH COMMUNITY MEETINGS AND INCLUSION OF RESIDENTS AND COMMUNITY PARTNERS IN THE PRIORITIZATION AND IMPLEMENTATION PLANNING PROCESS. PUBLIC HEALTH AND HEALTH CARE PROFESSIONALS SHARED KNOWLEDGE AND EXPERTISE ABOUT HEALTH ISSUES, WHILE LEADERS AND REPRESENTATIVES OF NON-PROFIT AND COMMUNITY-BASED ORGANIZATIONS PROVIDED INSIGHT ON THE COMMUNITY SERVED BY THE HOSPITAL, INCLUDING MEDICALLY UNDERSERVED, LOW INCOME, AND MINORITY POPULATIONS. SCHEDULE H, PART V, SEC B, LINE 7A AND 10A:WWW.LMHOSPITAL.ORG/ABOUT/COMMUNITY-INVOLVEMENT/COMMUNITY-PARTNERSHIPS.ASPX
LAWRENCE + MEMORIAL HOSPITAL	PART V, SECTION B, LINE 6B: THE CHNA WAS GUIDED BY THE HEALTH IMPROVEMENT COLLABORATIVE OF SOUTHEASTERN CT, A COALITION OF HEALTH CARE PROVIDERS, LOCAL PUBLIC HEALTH, FEDERALLY QUALIFIED HEALTH CENTERS, TRIBAL REPRESENTATIVES, HIGHER EDUCATION, RESIDENTS, AND NUMEROUS NON-PROFIT ORGANIZATIONS SERVING THE REGION. PARTNERS INCLUDED:GROTON PARKS AND REC SE CT ENTERPRISE REGION HOLLERAN CENTER CONNECTICUT COLLEGENEW LONDON HOUSING AUTHORITYSOUTHEASTERN MENTAL HEALTH AUTHORITYTHAMES VALLEY COUNCIL FOR COMMUNITY ACTIONSE REGIONAL ACTION COUNCILTOWN OF GROTON, PARKS AND RECREATIONEASTERN AREA HEALTH EDUCATION CENTERNEW LONDON RECREATION DEPARTMENTUNITED COMMUNITY AND FAMILY SERVICESNEW LONDON POLICE DEPARTMENTTHAMES VALLEY COUNCIL FOR COMMUNITY ACTIONCHILD AND FAMILY AGENCYAFRICAN AMERICAN HEALTH COUNCILMINISTERIAL ALLIANCE OF SECTL+M HEALTHCARECITY OF NEW LONDONCONNECTICUT COLLEGESPARK MAKERSPACECT LEGAL SERVICESVISITING NURSE ASSOCIATION OF SE CTCOMMUNITY HEALTH CENTER, INC.SE CT ENTERPRISE REGIONALLIANCE FOR LIVINGSOUND COMMUNITY SERVICESSE CT COUNCIL OF GOVERNMENTSFRESH NLLEDGE LIGHT HEALTH DISTRICTUNCAS HEALTH DISTRICTHISPANIC ALLIANCENEW LONDON SOCIAL SERVICESCOMMUNITY FOUNDATION OF E CTGROTON TOWN MANAGERMAYOR, CITY OF NEW LONDONTOWN OF WATERFORD DEPARTMENT OF PLANNINGTOWN OF GROTON DEPARTMENT OF PLANNINGCONNECTICUT COLLEGEMASHANTUCKET PEQUOT TRIBAL NATIONUNITED WAY OF SOUTHEASTERN CTMOHEGAN TRIBAL HEALTH DEPARTMENTHIGHER EDGE
LAWRENCE + MEMORIAL HOSPITAL	PART V, SECTION B, LINE 7D: THE CHNA REPORT WAS RELEASED AT A PRESENTATION OPEN TO THE PUBLIC ON MARCH 23, 2016. IN ATTENDANCE WERE COMMUNITY PARTNERS REPRESENTING OTHER NON-PROFIT ORGANIZATIONS, BUSINESS LEADERS, INDIVIDUALS REPRESENTING THE EDUCATION SECTOR, HOSPITAL STAFF, MEMBERS OF THE MEDIA, AND COMMUNITY MEMBERS. SUBSEQUENT TO ITS RELEASE, THERE WERE NEWS ARTICLES IN THE LOCAL MEDIA ABOUT THE ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLAN. PRINTED COPIES OF THE REPORT HAVE BEEN AVAILABLE FOR THOSE INTERESTED AND THE REPORT IS POSTED ON THE HOSPITAL AND PARTNER AGENCIES WEBSITES.
LAWRENCE + MEMORIAL HOSPITAL	PART V, SECTION B, LINE 11: FOLLOWING THE COMPLETION OF THE CHNA, THE HEALTH IMPROVEMENT COLLABORATIVE OF SE CT ENGAGED IN A PROCESS TO PRIORITIZE ISSUES AND DEVELOP STRATEGIES TO IMPROVE HEALTH AND WELL-BEING IN THE REGION. THE PRIORITIZATION PROCESS INCLUDED SEVERAL ROUNDS OF REVIEW, DISCUSSION AND GROUP PRIORITIZATION EXERCISES. PRIORITY AREAS SELECTED WERE: 1. IMPROVE THE CONDITIONS THAT SUPPORT MENTAL WELLBEING AND REDUCE SUBSTANCE USE. INDICATORS: OPIOID USE AND ANXIETY/DEPRESSION AMONG MINORITIES2. SUPPORT AND NURTURE HEALTHY LIFESTYLES. INDICATOR: CONTRIBUTING FACTORS TO DIABETES3. ENSURE ACCESS TO CARE. INDICATORS: PRENATAL CARE AND RELATED BIRTH OUTCOMES AND ACCESS TO CARE FOR THE LOW-INCOME POPULATION. ALL TOLD, OVER 65 INDIVIDUALS, PRESENTING A BROAD RANGE OF PERSPECTIVES, PARTICIPATED IN THE PRIORITIZATION WORK.L+M HOSPITAL AND ITS COMMUNITY PARTNERS ARE ACTIVELY ENGAGED TO MEET THESE NEEDS. IN ADDITION, L+M HOSPITAL IS CONTINUING EXISTING PROGRAMS, SERVICES AND INITIATIVES IN THE AREAS OF ASTHMA, HIV OUTREACH, MATERNAL AND CHILD HEALTH, AND BREAST AND CERVICAL CANCER AND CARDIOVASCULAR DISEASE PREVENTION AND EARLY DETECTION.IN PARTNERSHIP WITH OTHER ORGANIZATIONS, ALL OF THE AREAS PRIORITIZED AREA BEING ADDRESSED. A DRIVING PHILOSOPHY OF L+M'S COMMUNITY BENEFIT EFFORTS IS TO BUILD ON COMMUNITY RESOURCES, PROGRAMS AND SERVICES AND TO NOT DUPLICATE THEM. AS SUCH, IN EXAMINING EACH OF THE PRIORITIZED COMMUNITY HEALTH NEEDS, EXISTING COMMUNITY ASSETS WERE IDENTIFIED BEFORE CONSIDERING ANY NEW STRATEGIES THAT L+M MIGHT INITIATE AND/OR THOSE TO BE CONTINUED. WHERE THERE IS AN EXISTING COMMUNITY-BASED PROGRAM ADDRESSING ANY OF THE PRIORITIZED NEEDS, OR DUE TO RESOURCE LIMITATIONS, L+M WILL WORK TO SUPPORT AND BUILD CAPACITY OF THOSE PROGRAMS RATHER THAN TO CREATE SOMETHING NEW.
LAWRENCE + MEMORIAL HOSPITAL	PART V, SECTION B, LINE 13H: THESE PROGRAMS COVER EMERGENCY AND OTHER MEDICALLY NECESSARY CARE ONLY.
LAWRENCE + MEMORIAL HOSPITAL	PART V, SECTION B, LINE 16J: WEBSITE PROVIDES DIRECT EMAIL LINK TO FINANCIAL COUNSELORS.
LAWRENCE + MEMORIAL HOSPITAL	PART V, SECTION B, LINE 18E: THE SYSTEM FINANCIAL ASSISISTANCE POLICY PERMITS THE SYSTEM TO PLACE A PROPERTY LIEN.
SCHEDULE H, PART V, SECTION B, LINE 16A, 16B AND 16C:	WWW.LMHOSPITAL.ORG/PATIENTS-VISITORS/PATIENTS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE.ASPX

Field	Value	IRS element (for citing)
Facility	8	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - LAWRENCE MEMORIAL HOSPITAL
339 FLANDERS ROAD	EAST LYME	CT	06333	BLOOD DRAW, OUTPATIENT REHAB
2 - LAWRENCE MEMORIAL HOSPITAL
224 GOLD STAR HIGHWAY	GROTON	CT	06340	SLEEP MEDICINE
3 - LAWRENCE MEMORIAL HOSPITAL
52 HAZELNUT HILL ROAD	GROTON	CT	06340	ER, ASC, RADIOLOGY, REHAB, BLOOD DRAW
4 - LAWRENCE MEMORIAL HOSPITAL
194 HOWARD STREET	NEW LONDON	CT	06320	BLOOD DRAW
5 - LAWRENCE MEMORIAL HOSPITAL
59 FAIRE HARBOUR	NEW LONDON	CT	06320	OUTPATIENT REHAB
6 - LAWRENCE MEMORIAL HOSPITAL
230 WATERFORD PARKWAY SOUTH	WATERFORD	CT	06375	ONCOLOGY
7 - LAWRENCE MEMORIAL HOSPITAL
40 BOSTON POST ROAD	WATERFORD	CT	06375	WOUND CARE, OUTPATIENT REHAB
8 - LAWRENCE MEMORIAL HOSPITAL
196 PARKWAY SOUTH	WATERFORD	CT	06375	DIAGNOSTIC RADIOLOGY

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	THE FINANCIAL ASSISTANCE POLICY PROVIDES THAT THE PATIENT MUST SUBMIT A FINANCIAL ASSISTANCE APPLICATION.
PART I, LINE 7:	THE AMOUNTS REPORTED ON PART I, LINE 7 WERE CALCULATED AS DIRECT, SEPARATELY IDENTIFIABLE COSTS INCURRED BY THE HOSPITAL PLUS AN ALLOCATION OF OVERHEAD.
PART II, COMMUNITY BUILDING ACTIVITIES:	L+M HOSPITAL, ALONG WITH MANY OTHER HOSPITALS ACROSS THE COUNTRY, UTILIZES THE COMMUNITY BENEFITS INVENTORY FOR SOCIAL ACCOUNTABILITY (CBISA) DATABASE DEVELOPED BY LYON SOFTWARE TO CATALOG ITS COMMUNITY BENEFIT AND COMMUNITY BUILDING ACTIVITIES AND THE GUIDELINES DEVELOPED BY THE CATHOLIC HOSPITAL ASSOCIATION (CHA) IN ORDER TO CATALOG THESE BENEFITS. THESE TWO ORGANIZATIONS HAVE WORKED TOGETHER FOR OVER 20 YEARS TO PROVIDE SUPPORT TO NOT-FOR-PROFIT HOSPITALS TO DEVELOP AND SUSTAIN EFFECTIVE COMMUNITY BENEFIT PROGRAMS.THE MOST RECENT VERSION OF THE CHA GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFIT DEFINES COMMUNITY BUILDING ACTIVITIES AS PROGRAMS THAT ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS, SUCH AS POVERTY, HOMELESSNESS AND ENVIRONMENTAL PROBLEMS. THESE ACTIVITIES ARE CATEGORIZED INTO EIGHT DISTINCT AREAS INCLUDING PHYSICAL IMPROVEMENT AND HOUSING, ECONOMIC DEVELOPMENT, COMMUNITY SUPPORT, ENVIRONMENTAL IMPROVEMENTS, LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS, COALITION BUILDING, ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENTS, AND WORKFORCE DEVELOPMENT. L+M HOSPITAL ENHANCES THE LIVES OF THOSE WE SERVE BY PROVIDING ACCESS TO INTEGRATED, HIGH-VALUE, PATIENT-CENTERED CARE IN COLLABORATION WITH OTHERS WHO SHARE OUR VALUES. AS SUCH, L+M HOSPITAL IS INCREASINGLY AWARE OF HOW SOCIAL DETERMINANTS IMPACT THE HEALTH OF INDIVIDUALS AND COMMUNITIES. A PERSON'S HEALTH AND CHANCES OF BECOMING SICK AND DYING EARLY ARE GREATLY INFLUENCED BY POWERFUL SOCIAL FACTORS SUCH AS EDUCATION, INCOME, NUTRITION, HOUSING AND NEIGHBORHOODS. DURING FISCAL YEAR 2018, L+M HOSPITAL INVESTED IN COMMUNITY BUILDING EFFORTS THAT PROMOTE THRIVING AND HEALTHY COMMUNITIES IN OUR REGION INCLUDING NEIGHBORHOOD IMPROVEMENT THROUGH A DONATION TO HABITAT FOR HUMANITY OF SOUTH COUNTY, RI AND IMPROVED FOOD ACCESS ACTIVITIES IN UNDER-RESOURCED NEIGHBORHOODS OF NEW LONDON THROUGH A DONATION TO FRESH NEW LONDON.
PART III, LINE 2:	LAWRENCE + MEMORIAL HOSPITAL USES A COST REPORTING SYSTEM TO DETERMINE THE BAD DEBT EXPENSE. THE AMOUNT OF BAD DEBT EXPENSE (AT COST) REPORTED ON PART III, LINE 2 IS TAKEN DIRECTLY FROM THE AUDITED FINANCIAL STATEMENTS.
PART III, LINE 3:	THE ORGANIZATION DOES NOT CURRENTLY HAVE A METHODOLOGY TO ACCURATELY QUANTIFY OR ESTIMATE THE AMOUNT OF BAD DEBT EXPENSE THAT WOULD BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.
PART III, LINE 4:	LAWRENCE + MEMORIAL HOSPITAL IS INCLUDED IN THE CONSOLIDATED YALE NEW HAVEN HEALTH SERVICES CORPORATION AUDITED FINANCIAL STATEMENTS. FOLLOWING IS THE FOOTNOTE FROM THE CONSOLIDATED FINANCIAL STATEMENTS:THE SYSTEM'S COMMITMENT TO COMMUNITY SERVICE IS EVIDENCED BY SERVICES PROVIDED TO THE POOR AND BENEFITS PROVIDED TO THE BROADER COMMUNITY. SERVICES PROVIDED TO THE POOR INCLUDE SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD HEALTHCARE BECAUSE OF INADEQUATE RESOURCES, AND/OR WHO ARE UNINSURED OR UNDERINSURED.THE SYSTEM PROVIDES FREE CARE PROGRAMS FOR QUALIFYING PATIENTS. IN ACCORDANCE WITH THE ESTABLISHED POLICIES OF THE SYSTEM, DURING THE REGISTRATION, BILLING, AND COLLECTION PROCESS, A PATIENT'S ELIGIBILITY FOR FREE CARE FUNDS IS DETERMINED. FOR PATIENTS WHO WERE DETERMINED BY THE SYSTEM TO HAVE THE ABILITY TO PAY BUT DID NOT, THE UNCOLLECTED AMOUNTS ARE THE PROVISION FOR BAD DEBTS. FOR PATIENTS WHO DO NOT AVAIL THEMSELVES OF ANY FREE CARE PROGRAM, AND WHOSE ABILITY TO PAY CANNOT BE DETERMINED BY THE SYSTEM, CARE GIVEN BUT NOT PAID FOR IS CLASSIFIED AS CHARITY CARE.TOGETHER, CHARITY CARE AND PROVISION FOR BAD DEBTS REPRESENT UNCOMPENSATED CARE. THE ESTIMATED COST OF TOTAL UNCOMPENSATED CARE IS APPROXIMATELY $151.2 MILLION AND $154.8 MILLION FOR THE YEARS ENDED SEPTEMBER 30, 2018 AND 2017, RESPECTIVELY. THE ESTIMATED COST OF UNCOMPENSATED CARE IS BASED ON THE RATIO OF COST TO CHARGES, AS DETERMINED BY CLAIMS ACTIVITY.THE ESTIMATED COST OF CHARITY CARE PROVIDED WAS $86.8 MILLION AND $94.1 MILLION FOR THE YEARS ENDED SEPTEMBER 30, 2018 AND 2017, RESPECTIVELY. THE ESTIMATED COST OF CHARITY CARE IS BASED ON THE RATIO OF COST TO CHARGES. THE ALLOCATION BETWEEN BAD DEBT AND CHARITY CARE IS DETERMINED BASED ON MANAGEMENT'S ANALYSIS ON THE PREVIOUS 12 MONTHS OF HOSPITAL DATA. THIS ANALYSIS CALCULATES THE ACTUAL PERCENTAGE OF ACCOUNTS WRITTEN OFF OR DESIGNATED AS BAD DEBT VERSUS CHARITY CARE WHILE TAKING INTO ACCOUNT THE TOTAL COSTS INCURRED BY THE SYSTEM FOR EACH ACCOUNT ANALYZED.FOR THE YEARS ENDED SEPTEMBER 30, 2018 AND 2017, PROVISION FOR BAD DEBTS, AT CHARGES, WAS $127.2 MILLION AND $112.4 MILLION, RESPECTIVELY. FOR THE YEARS ENDED SEPTEMBER 30, 2018 AND 2017, PROVISION FOR BAD DEBT AT COST WAS APPROXIMATELY $64.5 MILLION AND $60.7 MILLION, RESPECTIVELY. THE PROVISION FOR BAD DEBTS IS MULTIPLIED BY THE RATIO OF COST TO CHARGES FOR PURPOSES OF INCLUSION IN THE TOTAL UNCOMPENSATED CARE AMOUNT IDENTIFIED ABOVE.THE CONNECTICUT DISPROPORTIONATE SHARE HOSPITAL PROGRAM (CDSHP) WAS ESTABLISHED TO PROVIDE FUNDS TO HOSPITALS FOR THE PROVISION OF UNCOMPENSATED CARE AND IS FUNDED, IN PART, BY AN ASSESSMENT ON HOSPITAL NET PATIENT SERVICE REVENUE. DURING THE YEARS ENDED SEPTEMBER 30, 2018 AND 2017, THE SYSTEM RECEIVED $202.8 MILLION AND $25.1 MILLION, RESPECTIVELY, IN CDSHP DISTRIBUTIONS, OF WHICH APPROXIMATELY $126.2 MILLION AND $14.3 MILLION WAS RELATED TO CHARITY CARE. THE SYSTEM MADE PAYMENTS INTO THE CDSHP OF $367.0 MILLION AND $200.3 MILLION FOR THE YEARS ENDED SEPTEMBER 30, 2018 AND 2017, RESPECTIVELY, FOR THE ASSESSMENT. THESE ARE RECORDED IN NET PATIENT SERVICE REVENUE.ADDITIONALLY, THE SYSTEM PROVIDES BENEFITS FOR THE BROADER COMMUNITY, WHICH INCLUDES SERVICES PROVIDED TO OTHER NEEDY POPULATIONS THAT MAY NOT QUALIFY AS POOR BUT NEED SPECIAL SERVICES AND SUPPORT. BENEFITS INCLUDE THE COST OF HEALTH PROMOTION AND EDUCATION OF THE GENERAL COMMUNITY, INTERNS AND RESIDENTS, HEALTH SCREENINGS, AND MEDICAL RESEARCH. THE BENEFITS ARE PROVIDED THROUGH THE COMMUNITY HEALTH CENTERS, SOME OF WHICH SERVICE NON ENGLISH SPEAKING RESIDENTS, DISABLED CHILDREN, AND VARIOUS COMMUNITY SUPPORT GROUPS. THE SYSTEM VOLUNTARILY ASSISTS WITH THE DIRECT FUNDING OF SEVERAL CITY OF NEW HAVEN PROGRAMS, INCLUDING AN ECONOMIC DEVELOPMENT PROGRAM AND A YOUTH INITIATIVE PROGRAM.IN ADDITION TO THE QUANTIFIABLE SERVICES DEFINED ABOVE, THE SYSTEM PROVIDES ADDITIONAL BENEFITS TO THE COMMUNITY THROUGH ITS ADVOCACY OF COMMUNITY SERVICE BY EMPLOYEES. THE SYSTEM'S EMPLOYEES SERVE NUMEROUS ORGANIZATIONS THROUGH BOARD REPRESENTATION, MEMBERSHIP IN ASSOCIATIONS AND OTHER RELATED ACTIVITIES. THE SYSTEM ALSO SOLICITS THE ASSISTANCE OF OTHER HEALTHCARE PROFESSIONALS TO PROVIDE THEIR SERVICES AT NO CHARGE THROUGH PARTICIPATION IN VARIOUS COMMUNITY SEMINARS AND TRAINING PROGRAMS.
PART III, LINE 8:	THE MEDICARE SHORTFALL REPORTED IN PART III, LINE 7 WAS CALCULATED BASED ON COST REPORTING. THE COSTING METHOD WAS FROM THE MEDICARE COST REPORT'S OWN METHODOLOGY OF ALLOCATING COST BY DEPARTMENT AND DERIVING A RATIO OF COST TO CHARGES. THIS AMOUNT SHOULD BE TREATED AS COMMUNITY BENEFIT BECAUSE THE RATES PAID BY MEDICARE DO NOT ACCURATELY REFLECT THE COST OF CARE PROVIDED BY LAWRENCE & MEMORIAL HOSPITAL. ACCORDINGLY, LAWRENCE & MEMORIAL HOSPITAL MUST SUBSIDIZE THE COST OF CARE PROVIDED TO MEDICARE BENEFICIARIES WITH OTHER REVENUES.
PART III, LINE 9B:	IT IS THE HOSPITAL'S POLICY TO TREAT ALL PATIENTS EQUITABLY WITH RESPECT AND COMPASSION, FROM THE BEDSIDE TO THE BILLING OFFICE. THE HOSPITAL WILL PURSUE PATIENT ACCOUNTS, DIRECTLY AND THROUGH ITS COLLECTION AGENTS, FAIRLY AND CONSISTENTLY TAKING INTO CONSIDERATION DEMONSTRATED FINANCIAL NEED. AS PART OF ITS COLLECTION PROCESS, THE HOSPITAL WILL MAKE REASONABLE EFFORTS TO DETERMINE IF AN INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER ITS FINANCIAL ASSISTANCE POLICY. IN THE EVENT A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE, THE HOSPITAL WILL NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTION AS DEFINED BY LAW AND HOSPITAL POLICY.
PART VI, LINE 2:	L+M HOSPITAL EMPLOYS A VARIETY OF STRATEGIES IN GAUGING THE HEALTH NEEDS OF THE COMMUNITIES IT SERVES. THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), COVERING THE LAWRENCE + MEMORIAL PRIMARY SERVICE AREA, WAS CARRIED OUT IN PART (HOUSEHOLD SURVEY) THROUGH A PARTNERSHIP WITH DATAHAVEN. ADDITIONAL METHODS INCLUDED USING SCIENTIFICALLY VALID DATA, COMPARATIVE INFORMATION, AND INPUT FROM LOCAL RESIDENTS, PROVIDERS AND LEADERS. INDICATORS WERE COMPUTED FROM AN EXTENSIVE SET OF SECONDARY HEALTH-RELATED DATA. L+M HOSPITAL REVIEWS DISEASE INCIDENCE AND PREVALENCE RATES FOR THE LOCAL COMMUNITY, STATE, AND NATION. RATES ARE COLLECTED FROM MEDICAL JOURNALS, THE CT DEPARTMENT OF HEALTH, OR NATIONAL HEALTH RESOURCES SUCH AS THE KAISER FAMILY FOUNDATION OR CDC. THIS ANALYSIS INFORMS L+M ON THE HEALTH STATUS OF THE COMMUNITY AND IS USED TO FOCUS PROGRAM AND SERVICE DEVELOPMENT ON AREAS OF GREATEST CONCERN. INFORMATION ON COMMUNITY NEEDS IS ALSO GATHERED THROUGH PARTNERSHIPS WITH OTHER COMMUNITY ORGANIZATIONS SUCH AS THE UNITED WAY, THE LEDGE LIGHT HEALTH DISTRICT, AND OTHER LOCAL NON-PROFITS. PERIODIC REVIEW OF DATA AND UPDATING AS APPROPRIATE IS CONDUCTED. ALL COMMUNITY BENEFIT ACTIVITIES ARE REGULARLY EVALUATED FOR IMPACT AND EFFECTIVENESS AND AUDITED FOR COMPLIANCE WITH THE ORGANIZATION'S COMMUNITY BENEFIT POLICY.
PART VI, LINE 3:	LAWRENCE + MEMORIAL HOSPITAL INFORMS INDIVIDUALS ABOUT ITS FINANCIAL ASSISTANCE PROGRAMS ON ITS WEBSITE, THROUGH VISIBLE POSTINGS AND COMMUNICATIONS AT POINTS OF REGISTRATION AND FRONT LINE ACCESS. THE FINANCIAL ASSISTANCE POLICY, APPLICATION AND SUMMARY ARE AVAILABLE ON REQUEST WITHOUT CHARGE BY MAIL, INCLUDING AT THE ADMITTING DEPARTMENT. FURTHER, PATIENTS RECEIVE A SUMMARY OF FINANCIAL ASSISTANCE PROGRAMS, INCLUDING ELIGIBILITY REQUIREMENTS THROUGH A FIRST STATEMENT MAILER AS PART OF THE BILLING PROCESS. THESE COMMUNICATIONS INCLUDE TELEPHONE NUMBERS AND THE POINT OF CONTACT FOR INDIVIDUALS TO VISIT OR CALL. THE HOSPITAL HAS RESOURCES TO ASSIST PATIENTS WITH STATE OF CONNECTICUT MEDICAID APPLICATIONS.
PART VI, LINE 4:	GENERAL DEMOGRAPHICSTHE COMMUNITIES THAT COMPRISE THE SERVICE AREA OF LAWRENCE + MEMORIAL, REFERRED TO AS THE GREATER NEW LONDON AREA, INCLUDES TEN TOWNS ALONG THE CONNECTICUT SHORELINE BETWEEN RHODE ISLAND AND THE CONNECTICUT RIVER AND INLAND: STONINGTON, NORTH STONINGTON, GROTON, LEDYARD, NEW LONDON, WATERFORD, MONTVILLE, EAST LYME, OLD LYME, AND LYME. OUR COMMUNITIES REPRESENT A BROAD MIX OF COMMUNITY TYPES. IN 2018, 38.6% OF THE POPULATION IN GREATER NEW LONDON LIVE IN URBAN, 5.7% IN SUBURBAN, AND 55.7% IN RURAL AREAS.ACCORDING TO THE 2018 AMERICAN COMMUNITY SURVEY, THE POPULATION OF GREATER NEW LONDON IS 170,011, A DECLINE OF 2.9% SINCE 2010. MOST OF THIS CHANGE WAS IN COMMUNITIES LIKE MONTVILLE (-4.5%), GROTON (-3.6%), AND WATERFORD (-3.3%). ALL COMMUNITIES IN THE REGION EXPERIENCED REDUCTION IN THEIR POPULATION SIZE IN 2018 COMPARED TO 2010, THIS WAS LESS SEEN IN STONINGTON (-0.6%) AND NORTH STONINGTON (-1.0%). THE POPULATION IS NEARLY EVENLY DIVIDED BY SEX, WITH 50.4% BEING MALE, THOUGH THE POPULATION 65 YEARS AND OLDER IS MADE UP OF MORE FEMALES (54.6%). IN TOTAL, 18.5% OF THE POPULATION IN 2018 IS 65 OR OLDER, WITH INCREASE IN THIS AGE GROUP COMPARED TO THE 2015 PERCENTAGE WHICH WAS 17% OF THE POPULATION. AS THE ELDERLY COMMUNITY CONTINUES TO GROW, THIS WILL PLACE INCREASING HEALTH, SOCIAL AND ECONOMIC PRESSURES ON FAMILIES, SOCIAL SERVICE AND GOVERNMENTAL AGENCIES. BOTH IN ABSOLUTE TERMS AND AS A PERCENTAGE OF THE POPULATION (25%), THE POPULATION OF NON-WHITE MINORITIES HAS GROWN IN GREATER NEW LONDON OVER THE PAST NINE YEARS; 20% IN 2009, 24% IN 2015, 25% IN 2017, AND 26% IN 2018. AS SEEN IN PREVIOUS YEARS, THIS GROWTH HAS BEEN DRIVEN PRIMARILY BY THOSE IDENTIFYING AS HISPANIC OR LATINO, WHOSE POPULATION HAS GROWN FROM 7.7% OF THE POPULATION IN 2009, TO 10.4% IN 2015, 11.7% IN 2017 AND FINALLY TO 12.2% IN 2018.MAJOR EMPLOYERSTHE REGION HAS TRANSITIONED FROM A LARGELY DEFENSE INDUSTRY-BASED ECONOMY TO ONE THAT RELIES HEAVILY UPON EMPLOYMENT IN THE SERVICE AND TRADE SECTORS AND IN GENERAL HAS A HIGHER PERCENTAGE OF PERSONS EMPLOYED IN THOSE SECTORS -WITH CORRESPONDING LOWER RATES OF PAY- WHICH IS CORRELATED WITH THE LOWER PER CAPITA INCOME AND GREATER ECONOMIC VULNERABILITY. MAJOR EMPLOYERS INCLUDE THE MASHANTUCKET PEQUOT AND MOHEGAN TRIBES (FOXWOODS RESORT AND CASINO AND MOHEGAN SUN CASINO RESPECTIVELY), PFIZER GLOBAL RESEARCH AND DEVELOPMENT, EDUCATIONAL INSTITUTIONS (CONNECTICUT COLLEGE, MITCHELL COLLEGE AND THE U.S. COAST GUARD ACADEMY), GENERAL DYNAMICS/ELECTRIC BOAT, DOMINION, AND LAWRENCE + MEMORIAL HOSPITAL. PRIMARY SOCIAL AND HEALTH CARE FACTORSIN THE URBAN CENTERS OF THE REGION, THERE ARE RACIAL AND ETHNIC HEALTH DISPARITIES, HIGHER POVERTY AND UNEMPLOYMENT RATES, LOWER LEVELS OF EDUCATIONAL ATTAINMENT, LIMITED ACCESS TO AFFORDABLE HOUSING AND TRANSPORTATION, HIGHER RATES OF DEATH FROM CHRONIC ILLNESS, AND A GREATER LIKELIHOOD OF RESIDENTS NOT HAVING HEALTH INSURANCE, ALL OF WHICH PRESENT PARTICULAR CHALLENGES. THE BURDEN OF PREMATURE LIFE LOSS IS HIGH DUE TO PARTICULAR CONDITIONS LIKE CANCER, ACCIDENTS AND HEART DISEASES. THE LIKELIHOOD OF PREMATURE DEATH DUE TO ALCOHOL OR COPD IN NEW LONDON IS THREE TIMES THE STATE RATE, FOLLOWED BY DIABETES AND STROKE WITH DOUBLE THE RISK OF PREMATURE DEATH COMPARED TO CONNECTICUT. MEDIAN HOUSEHOLD INCOME IN THE L+M SERVICE AREA IS FAR BELOW THAT OF THE STATE, WITH AFRICAN AMERICAN AND HISPANIC FAMILIES' INCOMES SIGNIFICANTLY LOWER THAN WHITE FAMILIES' INCOMES. THE REGION INCLUDES ONE PRIORITY SCHOOL DISTRICT. POVERTY RATE HAS INCREASED IN THE GREATER NEW LONDON REGION OVER THE PREVIOUS THREE YEARS, BUT THIS INCREASE IS GREATER AMONG BLACK OR AFRICAN AMERICANS (FROM 19.1% IN 2015 TO 20.9% IN 2017, THE MOST RECENT YEAR FOR WHICH DATA ARE AVAILABLE). OVER THE YEARS, HISPANICS OR LATINOS HAD HIGHER POVERTY RATES THAN OTHER SUBGROUPS AMONG GNL RESIDENTS, BUT IN THE RECENT YEARS POVERTY RATES HAVE STARTED TO DECLINE FOR THIS SUB-GROUP (FROM 30.6% IN 2015 TO 29.1% IN 2017). IN 2017 (THE MOST RECENT YEAR FOR WHICH DATA ARE AVAILABLE), THE PERCENTAGE OF FAMILIES WITH CHILDREN WHO LIVE BELOW POVERTY LEVEL IN GREATER NL WAS 13.1%, WHICH IS SLIGHTLY GREATER THAN THE STATE AVERAGE OF 12.6%. HOWEVER, THIS INDICATOR DEMONSTRATE DISPARITIES AMONG COMMUNITIES WITHIN THE REGION. NEW LONDON HAS 37.7% OF ITS FAMILIES WITH CHILDREN LIVING BELOW POVERTY LEVEL, THE NEXT HIGHEST COMMUNITY IS GROTON WITH 13.2%. OVERALL THE PERCENTAGE OF FAMILIES LIVING IN POVERTY IN NL (23.8%) IS NEARLY FOUR TIMES HIGHER THAN THE AVERAGE IN GREATER NL (6.9%).
PART VI, LINE 5:	L+M HOSPITAL'S COMMUNITY BENEFIT PROGRAMS AND SERVICES FORWARD THE ORGANIZATIONAL MISSION "TO IMPROVE THE HEALTH OF THE REGION AND ALIGN WITH THE PRINCIPLES AS SET FORTH IN THE ORGANIZATION'S COMMUNITY BENEFIT POLICY. THOSE PRINCIPLES INCLUDE:1.EMPHASIS ON PROGRAMS TO MEET A SIGNIFICANT UNMET HEALTH NEED INCLUDING EFFORTS TO IDENTIFY AND INCLUDE VULNERABLE POPULATIONS OR THOSE MOST AT-RISK AS DETERMINED BY RISK FACTORS WHICH PREDISPOSE THOSE POPULATIONS TOWARD A HIGHER INCIDENCE OF DISEASE AND/OR BARRIERS TO OBTAINING APPROPRIATE HEALTHCARE.2.EMPHASIS ON PRIMARY PREVENTION AND INCLUDING AT LEAST ONE OF THREE PRIMARY PREVENTION STRATEGIES: HEALTH PROMOTION, DISEASE PREVENTION, AND HEALTH PROTECTION. HEALTH PROMOTION ENTAILS ENCOURAGING HEALTHY LIFESTYLES; DISEASE PREVENTION FOCUSES ON INDIVIDUALS IDENTIFIED AS AT-RISK FOR HEALTH PROBLEMS; HEALTH PROTECTION ACTIVITIES INFLUENCE THE ENVIRONMENT TO SUPPORT HEALTHY BEHAVIORS.3.PROGRAMS SHOULD DEVELOP EVIDENCE-BASED LINKS BETWEEN CLINICAL SERVICES AND HEALTH IMPROVEMENT ACTIVITIES DELIVERED BOTH INSIDE AND OUTSIDE THE HOSPITAL. 4.PROGRAMS SHOULD FOCUS ON TARGETING CHARITABLE RESOURCES THAT MOBILIZE AND BUILD CAPACITY WITHIN EXISTING COMMUNITY ASSETS WHILE MINIMIZING DUPLICATION OF EFFORT.5.PROGRAMS SHOULD EMPHASIZE COLLABORATION WITH COMMUNITY STAKEHOLDERS.AS EVIDENCED BY THE WIDE RANGE OF COMMUNITY BENEFIT PROGRAMS AND SERVICES OFFERED, L+M IS ENGAGED IN MEETING THE IDENTIFIED HEALTH NEEDS OF THE COMMUNITIES WE SERVE. THERE IS AN ORGANIZATIONAL HISTORY OF COLLECTING DATA TO DETERMINE HOW BEST TO DIRECT OUR RESOURCES AND HOW TO MAKE THE GREATEST IMPACT IN PROMOTING COMMUNITY HEALTH. OUR ANNUAL COMMUNITY BENEFIT REPORT PUBLICATION DESCRIBES A SAMPLING OF PROGRAMS AND THE AMOUNT OF INVESTMENT THAT L+M MAKES IN CARRYING OUT THESE PROGRAMS.COMMUNITY INVOLVEMENT IN GOVERNANCE AND ADVISORY GROUPSCOMMUNITY ENGAGEMENT IN THE PLANNING, IMPLEMENTATION AND EVALUATION OF L+M HOSPITAL INITIATIVES IS OF UTMOST IMPORTANCE. CONSUMERS AND STAKEHOLDER ORGANIZATIONS PARTICIPATE IN A RANGE OF ACTIVITIES SO AS TO ENSURE THAT MANY PERSPECTIVES ARE CONSIDERED, INCLUDING THE PATIENT AND FAMILY ADVISORY COUNCIL. THE COUNCIL WORKS TO IMPROVE THE QUALITY OF CARE AND PATIENT EXPERIENCE WITH A PATIENT AND FAMILY CENTERED APPROACH. IT ALSO IDENTIFIES AND PROMOTES OPPORTUNITIES FOR COMMUNICATION AND COLLABORATION AMONG PATIENTS AND FAMILIES, HEALTH CARE PROFESSIONALS AND THE COMMUNITY. THROUGH THE PRESS GANEY SURVEYS, WE RECEIVE WRITTEN COMMENTS FROM PATIENTS AND FAMILIES THAT WE VIEW AS VALUABLE FEEDBACK ON HOW WE CAN IMPROVE OUR SERVICES AND THE PATIENT EXPERIENCE. THE PATIENT EXPERIENCE TEAM AT L+M RECEIVES ONGOING FEEDBACK FROM CONSUMERS AND COMMUNITY MEMBERS ABOUT THEIR EXPERIENCES. THEY OFTEN IDENTIFY OPPORTUNITIES FOR IMPROVEMENT, WHICH IS SHARED WITH LEADERS THROUGHOUT THE ORGANIZATIONLAWRENCE + MEMORIAL'S BOARD OF DIRECTORS IS MADE UP OF COMMUNITY LEADERS WHO RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA. THESE VOLUNTEERS GIVE COUNTLESS HOURS OF SERVICE TO THE HOSPITAL IN THEIR OVERSIGHT ROLE. THEY ARE INVOLVED IN THE STRATEGIC PLANNING, IN FUNDRAISING, AND IN GENERAL STEWARDSHIP AMONG OTHER RESPONSIBILITIES. MEDICAL STAFF PRIVILEGES ARE OFFERED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY.
PART VI, LINE 6:	L+M HEALTHCARE IS AFFILIATED WITH THE YALE NEW HAVEN HEALTH SYSTEM. THE ENTITIES OF L+M HEALTHCARE INCLUDE L+M HOSPITAL, THE VISITING NURSE ASSOCIATION OF SOUTHEASTERN CT (VNASC), AND WESTERLY HOSPITAL (RHODE ISLAND) EACH OF WHICH HAVE A ROLE IN PROMOTING THE HEALTH OF OUR COMMUNITIES. THE L+M HOSPITAL ROLE IS DESCRIBED IN QUESTION 5 ABOVE AND WESTERLY HOSPITAL OPERATES IN SIMILAR FASHION: IMPLEMENTING COMMUNITY HEALTH IMPROVEMENT ACTIVITIES, PROVIDING OPPORTUNITIES FOR HEALTH PROFESSIONS STUDENTS, ENSURING ACCESS TO CARE, PROMOTING PRIMARY PREVENTIVE CARE, PROVIDING SUBSIDIZED HEALTH SERVICES AND SERVING AS A SAFETY NET PROVIDER. VNASC CARES FOR EVERYONE FROM THE ELDERLY WHO WISH TO REMAIN IN THEIR HOMES FOR AS LONG AS THEY CAN AND PATIENTS RECOVERING FROM SURGERY OR ILLNESS, TO NEW MOTHERS, SCHOOLCHILDREN, AND THE HOMELESS USING THE MOST CURRENT MEDICAL ADVANCES AND TECHNOLOGIES IN HOME HEALTHCARE, AND STRENGTHEN COMMUNITY RESOURCES FOR EVERYONE.
PART VI, LINE 7, REPORTS FILED WITH STATES	CT

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
THIRD SECTOR NEW ENGLAND INC
89 SOUTH ST - STE 700	BOSTON	MA	02111	042261109	501(C)(3)	$50,000	$0	SUPPORT ORGANIZATION
HABITAT FOR HUMANITY
377 BROAD STREET	NEW LONDON	CT	06320	061214680	501(C)(3)	$50,000	$0	SUPPORT ORGANIZATION
CHAMBER OF COMMERCE OF EASTERN CONNECTICUT
914 HARTFORD TURNPIKE	WATERFORD	CT	06385	060475490	501(C)(3)	$19,650	$0	SUPPORT ORGANIZATION
SEA RESEARCH FOUNDATION INC
55 COOGAN BLVD	MYSTIC	CT	06355	061480300	501(C)(3)	$15,500	$0	SUPPORT ORGANIZATION
EASTERN CT SYMPHONY ORCHESTRA
289 STATE STREET	NEW LONDON	CT	06320	066068892	501(C)(3)	$10,000	$0	SUPPORT ORGANIZATION
CT CANCER FOUNDATION
15 NORTH MAIN STREET	OLD SAYBROOK	CT	06475	061240574	501(C)(3)	$7,000	$0	SUPPORT ORGANIZATION
AMERICAN HEART ASSOCIATION
7272 GREENVILLE AVENUE	DALLAS	TX	75231	135613797	501(C)(3)	$6,500	$0	SUPPORT ORGANIZATION
OCEAN COMMUNITY YMCA
95 HIGH STREET	WESTERLY	RI	02891	050268126	501(C)(3)	$5,175	$0	SUPPORT ORGANIZATION

Field	Value	IRS element (for citing)
Total501c3 Org	8	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	TRANSPORTATION, PATIENT ASSISTANCE FUNDING, ENSURE DISTRIBUTION PROGRAM	GrantTypeTxt
Recipient	1450	RecipientCnt
Cash Grant	$29,492	CashGrantAmt
Non Cash Assistance	$204,114	NonCashAssistanceAmt
Valuation Method Used	CASH	ValuationMethodUsedDesc
Non Cash Assistance	TRANSPORTATION VOUCHERS	NonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, SCHEDULE I, PART IV	FormAndLineReferenceDesc
Explanation	NONE OF THE AMOUNTS REPORTED ON SCHEDULE I, PART II ARE GRANTS. THESE AMOUNTS ARE DONATIONS AND SPONSORSHIPS GIVEN TO ORGANIZATIONS TO ASSIST IN THE FURTHERANCE OF ITS CHARITABLE MISSION. LAWRENCE + MEMORIAL HOSPITAL ("LMH") CARRIES OUT DUE DILIGENCE IN PROVIDING MONETARY ASSISTANCE ONLY TO QUALIFYING 501(C)(3) ORGANIZATIONS THAT COMPLEMENT ITS MISSION OR SUPPORT SERVED. LMH VERIFIES EACH ORGANIZATION'S EIN AS LISTED ON IRS FORM W-9 THAT HAS BEEN SUBMITTED TO LMH. ASSISTANCE DONATED BY LMH TO THESE QUALIFYING ORGANIZATIONS IS NOT OUTCOMES-BASED AND IS GIVEN IN SUPPORT OF AN INDIVIDUAL ORGANIZATION'S FUNDRAISING EVENTS OR IN SUPPORT OF DIRECT SERVICES. LMH MAINTAINS FULL AND COMPLETE RECORDS OF ALL MONETARY ASSISTANCE PROVIDED BUT LMH DOES NOT MONITOR SPECIFIC FUNDS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
PATRICK L GREEN
PRESIDENT/CEO	$206,845	$104,668	$29,880	$15,200	$4,915	$2,487	$93,912	$47,521	$3,787	$1,917	$339,339	$171,793	$0	$0
CHRISTOPHER O'CONNOR
TRUSTEE	$0	$935,188	$0	$341,950	$0	$135,418	$0	$360,316	$0	$18,885	$0	$1,791,757	$0	$0
DAVID F REISFELD
TRUSTEE	$0	$332,992	$0	$38,411	$0	$0	$0	$7,187	$0	$0	$0	$378,590	$0	$0
MAUREEN ANDERSON
ASSISTANT SECRETARY	$17,203	$280,421	$0	$0	$368	$6,006	$1,199	$19,545	$999	$16,291	$19,769	$322,263	$0	$0
SETH VAN ESSENDELFT
VP/CFO (END 5/18)	$303,600	$102,826	$100,745	$34,121	$7,199	$2,438	$71,253	$24,133	$12,951	$4,387	$495,748	$167,905	$0	$0
CHRISTOPHER LEHRACH
CHIEF TRANSFORMATION OFFIC	$203,440	$213,385	$153,841	$63,400	$2,137	$2,828	$15,602	$40,904	$11,788	$13,658	$386,808	$334,175	$0	$0
KIMBERLY KALAJAINEN
VP CHIEF INFORMATION OFFIC	$307,664	$0	$159,991	$0	$23,410	$0	$10,800	$0	$23,545	$0	$525,410	$0	$0	$0
LAUREN WILLIAMS
VP PATIENT CARE SERVICES	$100,243	$0	$139,880	$0	$45,124	$0	$0	$0	$5,175	$0	$290,422	$0	$14,288	$0
WILLIAM STANLEY
VP DEVELOPMENT	$206,472	$0	$17,331	$0	$14,202	$0	$9,586	$0	$23,297	$0	$270,888	$0	$4,825	$0
GARY CASS
DIRECTOR OF LABOR RELATIONS	$178,588	$0	$4,035	$0	$6,089	$0	$7,672	$0	$24,353	$0	$220,737	$0	$0	$0
BRUCE D CUMMINGS
FORMER OFFICER (5/17)	$275,175	$0	$0	$0	$63,064	$0	$0	$0	$8,293	$0	$346,532	$0	$35,312	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINES 4A-B

ONE INDIVIDUAL LISTED BELOW RECEIVED SERVERANCE AND THE TWO INDIVIDUAL(S) LISTED BELOW PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN OF A RELATED ORGANIZATION. THESE ACCRUALS ARE INCLUDED IN THE AMOUNTS REPORTED IN PART II, COLUMN C (DEFERRED COMPENSATION) AND REPRESENTS BOTH THE REPORTING ENTITY'S AND RELATED ENTITY'S COMBINED AMOUNTS THAT HAVE NOT YET BEEN VESTED CONSISTENT WITH THE COMPENSATION REPORTING PER IRS. SEVERANCE NONQUALIFIED EQUITY-BASED LAUREN WILLIAMS $26,900 $0 $0 PATRICK GREEN $0 $ 38,543 $0 CHRISTOPHER O'CONNOR $0 $157,852 $0 THE SUPPLEMENTAL RETIREMENT INCOME PLAN (SRIP) IS DESIGNED TO ENSURE THE PAYMENT OF A COMPETITIVE LEVEL OF RETIREMENT INCOME WHEN ADDED TO OTHER SOURCES OF RETIREMENT INCOME IN ORDER TO ATTRACT AND RETAIN KEY MANAGEMENT EMPLOYEES SERVING AS CORPORATE OFFICERS. THE PLAN PROVIDES SUPPLEMENTAL RETIREMENT INCOME THROUGH AN UNFUNDED, NONQUALIFIED DEFERRED COMPENSATION ARRANGEMENT UNDER SECTION 457(F) AND THROUGH A DEFERRED COMPENSATION PLAN UNDER SECTION 409A OF THE INTERNAL REVENUE CODE AND A MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES' PLAN UNDER THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974 (ERISA). LAWRENCE + MEMORIAL HOSPITAL ESTABLISHED A SECTION 457(F) SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN FOR THE HOSPITAL'S SENIOR MANAGEMENT. AMOUNT FOR BRUCE CUMMINGS IS CREDITED TO THE RETIREMENT ACCOUNT IN MONTHLY INSTALLMENTS THROUGHOUT EACH PLAN YEAR. PLAN AMOUNTS WILL BE PAID ONLY IF CERTAIN CONDITIONS ARE MET, INCLUDING REMAINING EMPLOYED BY THE HOSPITAL THROUGH AGE 65, AS OUTLINED IN THE PLAN AGREEMENT. SECTION 457(F) CONTRIBUTIONS WERE PAID OUT AND REPORTED ON HIS W-2. DURING 2017 IN THE AMOUNT OF $36,700.

PART I, LINE 7

THE SHORT TERM INCENTIVE PLAN (STIP) IS A VARIABLE COMPENSATION PLAN WHICH PROVIDES ONE-TIME PAYMENTS TO ELIGIBLE MEMBERS OF MANAGEMENT IN RECOGNITION OF THE ACCOMPLISHMENT OF KEY ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE OBJECTIVES. PERFORMANCE LEVELS ARE ESTABLISHED AND REVIEWED ANNUALLY AT THRESHOLD, TARGET AND MAXIMUM LEVELS, ACCORDING TO PLANNED "STRETCH" GOALS AND OBJECTIVES. INCENTIVE AWARD OPPORTUNITIES ARE ESTABLISHED ACCORDING TO MARKET PRACTICES BASED ON EACH ELIGIBLE POSITION'S RESPONSIBILITIES, PERFORMANCE AND LEVEL OF AUTHORITY. PERFORMANCE RELATIVE TO STIP AWARD OPPORTUNITIES INCORPORATES A BROAD SPECTRUM OF PRE-DEFINED FINANCIAL AND NON-FINANCIAL METRICS THAT ARE ALIGNED WITH ORGANIZATIONAL MISSION AND VALUES.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	CHEFA - SERIES G	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	060806186	BondIssuerEIN
CUSIP	000000000	CUSIPNum
Bond Issued	2013-10-10	BondIssuedDt
Issue Price	$30,000,000	IssuePriceAmt
Purpose	CONSTRUCTION	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$4,265,000	RetiredAmt
Total Proceeds	$30,000,152	TotalProceedsAmt
Issuance Costs From Proceeds	$299,001	IssuanceCostsFromProceedsAmt
Capital Expenditures	$29,701,151	CapitalExpendituresAmt
Substantial Completion	2014	SubstantialCompletionYr
Current Refunding	0	CurrentRefundingInd
Advance Refunding	0	AdvanceRefundingInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	Yes (1)	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (1)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (1)	EngageBondCounselContractsInd
Any Research Agreements	0	AnyResearchAgreementsInd
Private Bus Use By Others	0.00200	PrivateBusUseByOthersPct
Total Private Business Use	0.00200	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	0	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	Yes (1)	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	0	NoRebateDueInd
Variable Rate Issue	0	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART II, LINE 3: SERIES G	THE DIFFERENCE BETWEEN THE ISSUE PRICE REPORTED ON PART I, COLUMN (E) AND TOTAL PROCEEDS REPORTED ON PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS.
PART III, LINE 3B	THE ORGANIZATION HAS IN-HOUSE LEGAL STAFF WHO PROVIDE ROUTINE REVIEW OF MANAGEMENT OR SERVICE CONTRACTS OR RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY TO ENSURE THAT SUCH AGREEMENTS ARE COMPLIANT WITH APPLICABLE SAFE HARBORS. IN-HOUSE COUNSEL CONSULT WITH THE HOSPITAL'S OUTSIDE BOND COUNSEL AS NEEDED, INCLUDING ON NON-ROUTINE ISSUES.
PART III, LINE 9 & PART V	THE ORGANIZATION HAS POLICIES AND PROCEDURES IN PLACE TO ENSURE COMPLIANCE WITH FEDERAL TAX LAW, AND TO TIMELY IDENTIFY NONCOMPLIANCE. IN THE EVENT OF NON-COMPLIANCE THE ORGANIZATION WOULD INVOLVE ITS LEGAL COUNSEL TO ADVISE REGARDING APPROPRIATE REMEDIATION.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SUBST CONTR #2	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	SUBSTANTIAL CONTR	RelationshipDescriptionTxt
Transaction	$117,000	TransactionAmt
Transaction	FUNDRAISING EXPENSES	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule M IRS990ScheduleM

Books And Publications BooksAndPublicationsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$12,300	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FAIR MARKET VALUE	MethodOfDeterminingRevenuesTxt

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$4,205	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FAIR MARKET VALUE	MethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	2	ContributionCnt
Noncash Contributions Rpt F990	$400	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FAIR MARKET VALUE	MethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$5,921	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FAIR MARKET VALUE	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	ENTERTAINMENT	57	$15,410	FAIR MARKET VALUE
Yes (X)	MISCELLANEOUS	11	$5,738	FAIR MARKET VALUE

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (1)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, COLUMN (B):	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION IS REPORTING IN PART I, COLUMN (B), THE NUMBER OF CONTRIBUTIONS RECEIVED.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4A:	FOUNDED IN 1912, LAWRENCE + MEMORIAL HOSPITAL IS A 308-BED, NOT-FOR-PROFIT, GENERAL ACUTE CARE HOSPITAL THAT PROVIDES MEDICAL, SURGICAL, PEDIATRIC, PSYCHIATRIC AND OBSTETRICAL SERVICES TO THE COMMUNITIES OF SOUTHEASTERN CONNECTICUT, FISHERS ISLAND, NEW YORK, AND WASHINGTON COUNTRY, RHODE ISLAND. LMH OFFERS CARDIAC ACUTE, STEP-DOWN AND REHABILITATION PROGRAMS AND IS THE ONLY EASTERN CONNECTICUT HOSPITAL THAT PERFORMS EMERGENCY AND ELECTIVE ANGIOPLASTY. THE SMILOW CANCER HOSPITAL CARE CENTER IN WATERFORD PROVIDES MEDICAL ONCOLOGY SERVICES, GYNECOLOGICAL ONCOLOGY AND RADIATION ONCOLOGY TO AREA RESIDENTS. INTO ITS SECOND YEAR OF AFFILIATION WITH YALE NEW HAVEN HEALTH, LAWRENCE + MEMORIAL HOSPITAL DEMONSTRATED MEASURABLE IMPROVEMENT IN OPERATING PERFORMANCE, EXPANDED ITS SCOPE OF CLINICAL SERVICES AND STRENGTHENED THE MEDICAL STAFF. THE HOSPITAL FOCUSED ON PATIENT CARE, QUALITY, SAFETY AND SERVICE IMPROVEMENT AS WELL AS COMMUNITY HEALTH. TO IMPROVE ACCESS TO HEALTH CARE IN THE NEW LONDON AREA, THE HOSPITAL EXPANDED ITS PRIMARY CARE NETWORK BY ADDING FIVE PROVIDERS. OTHER KEY SPECIALTY RECRUITMENTS INCLUDED GENERAL SURGERY, CARDIOLOGY, OBSTETRICS/MIDWIFERY, UROLOGY, VASCULAR SURGERY AND PULMONOLOGY. BUILDING CANCER PROGRAMMING TO MEET THE REGION'S NEED, THE HOSPITAL RECRUITED NEW ONCOLOGISTS AND ADDED CLINICAL RESEARCH TRIALS FOR PATIENTS AT SMILOW CANCER HOSPITAL CARE CENTER IN WATERFORD. OTHER CLINICAL ENHANCEMENTS INCLUDED: ENHANCEMENTS TO WOMEN'S HEALTH SERVICES WITH THE ADDITION OF AN OBSTETRICS-MIDWIFERY CARE MODEL; THE OPENING OF THE CRITICAL LIMB ISCHEMIA PROGRAM AT THE PEQUOT MEDICAL CENTER PLUS THE PULMONARY OUTPATIENT CLINIC AND UROLOGY PRACTICE, BOTH IN PARTNERSHIP WITH YALE MEDICINE. TO ENSURE A HIGH QUALITY PATIENT CARE ENVIRONMENT, FACILITY AND INFRASTRUCTURE IMPROVEMENTS INCLUDED REPLACEMENT OF THE CARDIAC CATH LAB AND POWER PLANT AND EQUIPMENT UPGRADES. IN ADDITION, THE NEW UROLOGY CLINIC MOVED TO RENOVATED, MORE ACCESSIBLE SPACE ON THE HOSPITAL'S MAIN CAMPUS. THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION RECOGNIZED LMH FOR ITS HIGH STANDARDS RELATED TO STROKE CARE WITH THE ORGANIZATION'S "GOLD PLUS" AWARD. AS PART OF YALE NEW HAVEN HEALTH, THE HOSPITAL JOINED IN SYSTEMWIDE QUALITY AND SAFETY ISSUES. STAFF IMPLEMENTED A COMMON STRUCTURE FOR SAFETY HUDDLES TO ALIGN WITH THE REST OF THE HEALTH SYSTEM TO ENSURE CONTINUITY. WITH A FOCUS ON SERIOUS SAFETY EVENTS DURING THE YEAR, TEAMS EXPANDED HIGH RELIABILITY ORGANIZATION TRAINING TO PHYSICIANS AND ADVANCED PRACTICE PROVIDERS. THE HOSPITAL ALSO REDUCED ACUTE MYOCARDIAL INFRACTION READMISSIONS AS PART OF ANOTHER KEY SYSTEMWIDE QUALITY INITIATIVE. STRATEGIES TO IMPROVE THE PATIENT EXPERIENCE IN THE EMERGENCY DEPARTMENT FOCUSED ON A PILOT PROGRAM THAT ACHIEVED SUCCESS IN SHORTENED WAIT TIMES AND IMPROVED PATIENT EXPERIENCE IN THE ED. THE HOSPITAL CONTINUED TO INVEST IN COMMUNITY-BUILDING EFFORTS THAT PROMOTED HEALTHY COMMUNITIES. LMH CONTRIBUTED $50,000 TO FRESH IN NEW LONDON - A PROGRAM THAT INTRODUCED FRESH FRUITS AND VEGETABLES INTO UNDERSERVED AREAS. STAFF ALSO DONATED TIME AT THE UNITED WAY MOBILE FOOD PANTRY, WHERE SOCIAL DETERMINANT SCREENING AND ON-SITE CASE MANAGEMENT WERE PROVIDED. IN ADDITION, LMH CONTINUED COMMUNITY INITIATIVES IN THE AREAS OF ASTHMA, HIV OUTREACH, MATERNAL AND CHILD HEALTH, BREAST AND CERVICAL CANCER, CARDIOVASCULAR DISEASE PREVENTION, OPIOID ADDICTION AND HEALTH LITERACY. THROUGH ITS AFFILIATION WITH YALE NEW HAVEN HEALTH, LMH CONTINUED TO IMPROVE ITS PERFORMANCE IN FISCAL YEAR 2018 THROUGH STRONG CLINICAL PROGRAMS, A CULTURE OF PATIENT SAFETY AND CLINICAL QUALITY, EMPLOYEE AND PHYSICIAN ENGAGEMENT AND STRONG FINANCIAL PERFORMANCE. PART I, LINE 4 & PART VI, LINE 1B NUMBER OF INDEPENDENT VOTING MEMBERS OF THE GOVERNING BODY THE ORGANIZATION SOUGHT TO CONFIRM THE INDEPENDENCE OF EACH VOTING MEMBER OF ITS GOVERNING BODY BY REQUESTING THAT EACH SUCH VOTING MEMBER RESPOND TO A QUESTIONNAIRE CONTAINING THE PERTINENT INSTRUCTIONS AND DEFINITIONS AND DESIGNED TO ELICIT THE INFORMATION NECESSARY TO DETERMINE INDEPENDENCE. IN THE EVENT THAT THE ORGANIZATION DOES NOT RECEIVE A RESPONSE FROM ANY SUCH VOTING MEMBER, THE ORGANIZATION REVIEWS OTHER INFORMATION KNOWN TO IT REGARDING THE VOTING MEMBER AND MAKES A REASONABLE ASSESSMENT OF INDEPENDENCE BASED ON THAT INFORMATION.
FORM 990, PART VI, SECTION A, LINE 1	PART I, LINE 4 & PART VI, LINE 1B NUMBER OF INDEPENDENT VOTING MEMBERS OF THE GOVERNING BODY THE ORGANIZATION SOUGHT TO CONFIRM THE INDEPENDENCE OF EACH VOTING MEMBER OF ITS GOVERNING BODY BY REQUESTING THAT EACH SUCH VOTING MEMBER RESPOND TO A QUESTIONNAIRE CONTAINING THE PERTINENT INSTRUCTIONS AND DEFINITIONS AND DESIGNED TO ELICIT THE INFORMATION NECESSARY TO DETERMINE INDEPENDENCE. IN THE EVENT THAT THE ORGANIZATION DOES NOT RECEIVE A RESPONSE FROM ANY SUCH VOTING MEMBER, THE ORGANIZATION REVIEWS OTHER INFORMATION KNOWN TO IT REGARDING THE VOTING MEMBER AND MAKES A REASONABLE ASSESSMENT OF INDEPENDENCE BASED ON THAT INFORMATION.
FORM 990, PART VI, SECTION A, LINE 2	CERTAIN OF THE ORGANIZATION'S CURRENT OFFICERS AND/OR TRUSTEES MAY SERVE AS OFFICERS AND/OR DIRECTORS OF TAX-EXEMPT AND TAXABLE AFFILIATES WITHIN THE ORGANIZATION'S CORPORATE SYSTEM OR JOINT VENTURES IN WHICH THE ORGANIZATION'S CORPORATE SYSTEM HAS AN OWNERSHIP INTEREST. THE INDIVIDUAL OFFICERS AND/OR TRUSTEES DO NOT HAVE PERSONAL FINANCIAL INTERESTS IN SUCH AFFILIATES AND SERVE ONLY AS A FUNCTION OF THEIR ROLES WITH THE ORGANIZATION OR WITHIN THE ORGANIZATION'S CORPORATE SYSTEM.
FORM 990, PART VI, SECTION A, LINE 6	LAWRENCE + MEMORIAL CORPORATION IS THE SOLE MEMBER OF LAWRENCE + MEMORIAL HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7A	LAWRENCE + MEMORIAL CORPORATION, AS SOLE MEMBER OF LAWRENCE + MEMORIAL HOSPITAL, ELECTS THE BOARD OF TRUSTEES OF LAWRENCE + MEMORIAL HOSPITAL, SUBJECT TO THE ADDITIONAL APPROVAL OF LAWRENCE + MEMORIAL CORPORATION'S SOLE MEMBER, YALE NEW HAVEN HEALTH SERVICES CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7B	THE HOSPITAL'S SOLE MEMBER, LAWRENCE + MEMORIAL CORPORATION, HAS THE RIGHT TO ELECT THE BOARD OF TRUSTEES OF THE ORGANIZATION AND APPOINT THE PRESIDENT, AND HAS THE FOLLOWING ADDITIONAL RIGHTS, ALL SUBJECT THE ADDITIONAL APPROVAL OF ITS SOLE MEMBER, YALE NEW HAVEN HEALTH SERVICES CORPORATION: TO APPROVE OPERATING, CASH FLOW AND CAPITAL BUDGETS; TO APPROVE GRADUATE AND UNDERGRADUATE MEDICAL EDUCATION ARRANGEMENTS; TO APPROVE MAJOR NEW CLINICAL PROGRAMS AND SERVICES AND CONTINUATION OF SAME; APPROVAL OF STRATEGIC PLANS; AND ADOPTION OF SAFETY AND QUALITY ASSESSMENT POLICIES; TO APPROVE THE MERGER, CONSOLIDATION, DISSOLUTION OR THE SALE OF ALL OR SUBSTANTIALLY ALL THE ORGANIZATION'S ASSETS; TO AMEND THE CERTIFICATE OF INCORPORATION AND BYLAWS OF THE ORGANIZATION, TO APPROVE THE EXECUTION OF LONG-TERM OR MATERIAL AGREEMENTS, AND TO AUTHORIZE THE EXECUTION OF CONTRACTS WITH AN UNRELATED THIRD PARTY FOR MANAGEMENT OF THE ASSETS OR OPERATIONS OF THE ORGANIZATION. YALE-NEW HAVEN HEALTH SERVICES CORPORATION RETAINS THE FOLLOWING AUTHORITY: ADOPTION OF BUDGETARY TARGETS, INDEBTEDNESS, MANAGEMENT AND CONTROL OF LIQUID ASSETS, AND APPOINTMENT OF THE INDEPENDENT AUDITOR.
FORM 990, PART VI, SECTION B, LINE 11B	THE ORGANIZATION'S PROCESS TO REVIEW FORM 990: THE FORM 990 TAX RETURN AND ATTACHED SCHEDULES WERE PREPARED BY EMPLOYEES OF THE YNHHS TAX DEPARTMENT. THE RETURN IS INITIALLY REVIEWED BY THE EXECUTIVE DIRECTOR OF CORPORATE FINANCE . SUBSEQUENTLY, IT IS SENT TO KPMG LLP FOR THEIR INITIAL REVIEW. AFTER ALL COMMENTS FROM THE ABOVE GROUPS ARE RECEIVED AND REVIEWED, THE RETURN IS THEN REVIEWED BY THE CHIEF FINANCIAL OFFICER OF THE ORGANIZATION AND A FINAL VERSION OF THE RETURN IS SENT BACK TO KPMG LLP FOR FINAL REVIEW. PRIOR TO FILING, THE ORGANIZATION MADE AVAILABLE A COMPLETE COPY OF THE RETURN TO ITS BOARD OF TRUSTEES BY WEB PORTAL.
FORM 990, PART VI, SECTION B, LINE 12C	LAWRENCE + MEMORIAL HOSPITAL IS COVERED UNDER THE YNHHS CONFLICT OF INTEREST POLICY APPROVED AND ADOPTED BY THE SYSTEM COMPLIANCE COMMITTEE, WHICH HAS BEEN DELEGATED THE AUTHORITY TO APPROVE AND ADOPT COMPLIANCE POLICIES ON BEHALF OF THE ENTITIES IN THE SYSTEM. THE YALE NEW HAVEN HEALTH SYSTEM CONFLICT OF INTEREST POLICY AND INDIVIDUAL ANNUAL DISCLOSURE FORM APPLIES TO A POOL OF EMPLOYEES, BOARD MEMBERS AND NON-BOARD MEMBERS SERVING ON BOARD COMMITTEES. THESE "COVERED INDIVIDUALS" ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT, UPON BEGINNING EMPLOYMENT OR OTHERWISE BECOMING A COVERED INDIVIDUAL AND ANNUALLY THEREAFTER. COVERED INDIVIDUALS ARE ALSO REQUIRED TO IMMEDIATELY REPORT MATERIAL CHANGES TO THEIR MOST RECENTLY COMPLETED DISCLOSURE STATEMENT. THESE DISCLOSURE STATEMENTS AND REPORTS ARE REVIEWED BY THE OFFICE OF PRIVACY AND CORPORATE COMPLIANCE AND/OR THE LEGAL AND RISK SERVICES DEPARTMENT TO ENSURE COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. IF A POTENTIAL CONFLICT ARISES, THE PRESIDENT AND CEO WOULD CONSULT WITH THE BOARD CHAIRPERSON AND THE LEGAL AND RISK SERVICES DEPARTMENT AND TAKE ANY ACTIONS THAT HE DEEMS REQUIRED OR APPROPRIATE TO MANAGE OR RESOLVE A POTENTIAL CONFLICT OF INTEREST. FOR EXAMPLE, A VOTING BOARD OR COMMITTEE MEMBER WOULD BE REQUIRED TO RECUSE HIMSELF OR HERSELF FROM VOTING ON MATTERS RELATED TO THE POTENTIAL CONFLICT AND THE POTENTIAL CONFLICT WOULD BE DISCLOSED TO OTHER VOTING MEMBERS.
FORM 990, PART VI, SECTION B, LINE 15	L+M HOSPITAL EXECUTIVE COMPENSATION COMMITTEE ANNUALLY REVIEWS THE SALARIES OF ITS EXECUTIVE MANAGEMENT. UTILIZING AN INDEPENDENT COMPENSATION CONSULTANT, THE EXECUTIVE COMPENSATION COMMITTEE APPROVES COMPENSATION. THE COMMITTEE'S DELIBERATIONS ARE REFLECTED IN ITS MINUTES. CEO'S COMPENSATION IS APPROVED BY THE FULL BOARD.
FORM 990, PART VI, SECTION C, LINE 19	COPIES OF ALL AVAILABLE DOCUMENTS ARE ACCESSIBLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VII, SECTION A	NIALL DUHIG, MD IS COMPENSATED AS MEDICAL STAFF AND NOT AS A TRUSTEE.
FORM 990, PART IX, LINE 11G	MEDICAL SPECIALTY PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 7,989,821. MANAGEMENT AND GENERAL EXPENSES 2,504,576. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,494,397. OTHER OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 25,540,630. MANAGEMENT AND GENERAL EXPENSES 8,032,051. FUNDRAISING EXPENSES 30,198. TOTAL EXPENSES 33,602,879.
FORM 990, PART XI, LINE 9:	TRANSFER TO AFFILIATES -449,003. CHANGE IN MINIMUM PENSION LIABILITY 12,756,662. OTHER CHANGE IN UNRESTRICTED NET ASSET 128,019. CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST 116,895.
STATEMENT PURSUANT TO REGULATION SECTION 1.331-1(D)(2)	LAWRENCE + MEMORIAL HOSPITAL 06-0646704, A SIGNIFICANT HOLDER OF THE STOCK OF SOUND MEDICAL ASSOCIATES, EIN 06-1383924. ATTACHMENT TO FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX. SOUND MEDICAL ASSOCIATES, A NONPUBLICLY TRADED CORPORATION, WAS LIQUIDATED DURING THE TAX YEAR ENDING SEPTEMBER 27, 2018. THE TAXPAYER, LAWRENCE + MEMORIAL HOSPITAL, WAS THE HOLDER OF 100% OF THE STOCK OF SOUND MEDICAL ASSOCIATES AND, THEREFORE IS A SIGNIFICANT HOLDER WITHIN THE MEANING OF REG. 1.331-1(D)(3)(I). THE FOLLOWING STATEMENT IS PROVIDED PURSUANT TO REG. 1.331-1(D). (1) THE FAIR MARKET VALUE AND BASIS OF THE STOCK OF SOUND MEDICAL ASSOCIATES TRANSFERRED BY THE TAXPAYER TO LAWRENCE + MEMORIAL HOSPITAL DETERMINED IMMEDIATELY BEFORE THE LIQUIDATION, WAS $100 AND $100, RESPECTIVELY. (2) THE PROPERTY RECEIVED BY THE TAXPAYER FROM SOUND MEDICAL ASSOCIATES CONSISTED OF: CASH: $14,701 ACCOUNTS RECEIVABLE: $98,310 TOTAL $113,011

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (21 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
ASSOCIATED SPECIALISTS OF SOUTHEASTERN CONNECTICUT INC-DISSOLVED 918
365 MONTAUK AVENUE	NEW LONDON	CT	06320	208006123	HEALTHCARE SERVICES	CT	501C3	LINE 12A, I	LAWRENCE MEMORIAL HOSPITAL INC	Yes (1)
BRIDGEPORT HOSPITAL
267 GRANT STREET	BRIDGEPORT	CT	06610	060646554	HEALTHCARE SERVICES	CT	501C3	LINE 3	YALE NEW HAVEN HEALTH SERVICES CORP	Yes (1)
BRIDGEPORT HOSPITAL AUXILIARY INC
267 GRANT STREET	BRIDGEPORT	CT	06610	066042500	SYSTEM SUPPORT SERVICES	CT	501C3	LINE 12A, I	BRIDGEPORT HOSPITAL	Yes (1)
BRIDGEPORT HOSPITAL FOUNDATION INC
267 GRANT STREET	BRIDGEPORT	CT	06610	222908698	SYSTEM SUPPORT SERVICES	CT	501C3	LINE 7	BRIDGEPORT HOSPITAL	Yes (1)
BRIDGEPORT HOSPITAL FRIENDS OF PEDIATRICS INC
120 COLUMBINE DRIVE	TRUMBULL	CT	06611	066048427	SYSTEM SUPPORT SERVICES	CT	501C3	LINE 12A, I	YALE NEW HAVEN HOSPITAL	Yes (1)
GREENWICH HOSPITAL
5 PERRYRIDGE ROAD	GREENWICH	CT	06830	060646659	HEALTHCARE SERVICES	CT	501C3	LINE 3	YALE NEW HAVEN HEALTH SERVICES CORP	Yes (1)
LAWRENCE MEMORIAL CORPORATION
365 MONTAUK AVENUE	NEW LONDON	CT	06320	222553028	PROMOTE HEALTHCARE	CT	501C3	LINE 12A, I	YALE NEW HAVEN HEALTH SERVICES CORP	0
LAWRENCE AND MEMORIAL FOUNDATION INC-DISSOLVED 918
365 MONTAUK AVENUE	NEW LONDON	CT	06320	222553026	FUNDRAISING SERVICES	CT	501C3	PF	LAWRENCE MEMORIAL CORPORATION	Yes (1)
LMW HEALTHCARE INC
365 MONTAUK AVENUE	NEW LONDON	CT	06320	460543230	HEALTHCARE SERVICES	RI	501C3	LINE 3	LAWRENCE MEMORIAL CORPORATION	Yes (1)
NORTHEAST MEDICAL GROUP INC
99 HAWLEY LANE	STRATFORD	CT	06614	061330992	HEALTHCARE SERVICES	CT	501C3	LINE 10	YALE NEW HAVEN HEALTH SERVICES CORP	Yes (1)
NORTHEAST MEDICAL GROUP PLLC
99 HAWLEY LANE	STRATFORD	CT	06614	352380180	HEALTHCARE SERVICES	NY	501C3	LINE 12A, I	NORTHEAST MEDICAL GROUP INC	Yes (1)
PERRYRIDGE CORPORATION
5 PERRYRIDGE ROAD	GREENWICH	CT	06830	061207316	SYSTEM SUPPORT SERVICES	CT	501C3	LINE 10	GREENWICH HOSPITAL	Yes (1)
SOUTHERN CONNECTICUT HEALTH SYSTEM PROPERTIES INC
267 GRANT STREET	BRIDGEPORT	CT	06610	061297708	TITLE HOLDING	CT	501C2		BRIDGEPORT HOSPITAL	Yes (1)
THE GREENWICH HOSPITAL ENDOWMENT FUND INC
5 PERRYRIDGE ROAD	GREENWICH	CT	06830	061526642	SYSTEM SUPPORT SERVICES	CT	501C3	LINE 12B, II	GREENWICH HOSPITAL	Yes (1)
THE WESTERLY HOSPITAL FOUNDATION INC
25 WELLS STREET	WESTERLY	RI	02891	050508064	FUNDRAISING SERVICES	RI	501C3	LINE 12A, I	LMW HEALTHCARE INC	Yes (1)
VISITING NURSE ASSOCIATION OF SOUTHEASTERN CONNECTICUT INC
403 NORTH FRONTAGE ROAD	WATERFORD	CT	06385	060646616	HOME HEALTHCARE SERVICES	CT	501C3	LINE 10	LAWRENCE MEMORIAL CORPORATION	Yes (1)
WESTERLY HOSPITAL AUXILIARY INC
25 WELLS STREET	WESTERLY	RI	02891	222507181	FUNDRAISING ACTIVITIES	RI	501C3	LINE 12A, I	LMW HEALTHCARE INC	Yes (1)
YALE NEW HAVEN HEALTH SERVICES CORP
789 HOWARD AVE	NEW HAVEN	CT	06519	222529464	SYSTEM SUPPORT SERVICES	CT	501C3	LINE 12A, I		0	N/A
YALE NEW HAVEN HOSPITAL
20 YORK STREET	NEW HAVEN	CT	06504	060646652	HEALTHCARE SERVICES	CT	501C3	LINE 3	YALE NEW HAVEN HEALTH SERVICES CORP	Yes (1)
YALE NEW HAVEN CARE CONTINUUM CORP
789 HOWARD AVE	NEW HAVEN	CT	06519	455235566	NURSING HOME	CT	501C3	LINE 3	YALE NEW HAVEN HOSPITAL	Yes (1)
L&M HEALTHCARE INC
365 MONTAUK AVENUE	NEW LONDON	CT	06320	222553031	SYSTEM SUPPORT SERVICES	CT	501C3	LINE 12A, I	LAWRENCE MEMORIAL CORPORATION	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd
SHORELINE ENDOSCOPY CENTER LLC (FKA SHORELINE SURGERY CENTER LLC)
111 GOOSE LANE	GUILFORD	CT	06437	900110459	HEALTHCARE SERVICES	CT	N/A
SSC II LLC-TECHNICAL TERMINATION 1217
111 GOOSE LANE	GUILFORD	CT	06437	261709382	HEALTHCARE SERVICES	CT	N/A
ORTHOPAEDIC & NEUROSURGERY CENTER-DISSOLVED 518
55 HOLLY HILL LANE	GREENWICH	CT	06830	273477197	HEALTHCARE SERVICES	CT	N/A
TOTAL HEALTH CONNECTICUT LLC
789 HOWARD AVENUE	NEW HAVEN	CT	06519	474070024	HEALTHCARE SERVICES	CT	N/A
YALE NEW HAVEN HEALTH SYSTEM INVESTMENT
20 YORK STREET	NEW HAVEN	CT	06510	271374301	INVESTMENT	DE	N/A
YNHHSCUSP SURGERY CENTERS LLC
15305 DALLAS PKWY STE 1600	ADDISON	TX	75001	384021595	HEALTHCARE SERVICES	CT	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
CORPORATE PROFESSIONAL BUSINESS SERVICESINC
789 HOWARD AVE	NEW HAVEN	CT	06519	061467717	MANAGEMENT SERVICES	CT	N/A	C	0
YALE NEW HAVEN AMBULATORY SERVICES
40 TEMPLE STREET	NEW HAVEN	CT	06510	061398526	HEALTHCARE SERVICES	CT	N/A	C	0
GREENWICH FERTILITY & IVF PC
5 PERRYRIDGE ROAD	GREENWICH	CT	06830	300145464	HEALTHCARE SERVICES	CT	N/A	C	0
YNHH-PHYSICIANS CORP
789 HOWARD AVE	NEW HAVEN	CT	06519	061202305	ADMINISTRATIVE SERVICES	CT	N/A	C	0
MEDICAL CENTER PHARMACY INC AND HOME CARE CENTER INC
50 YORK STREET	NEW HAVEN	CT	06511	061087673	PHARMACY	CT	N/A	C	0
GREENWICH OCCUPATIONAL HEALTH SERVICES OF NY PC
5 PERRYRIDGE ROAD	GREENWICH	CT	06830	061540101	HEALTHCARE SERVICES	NY	N/A	C	0
GREENWICH OCCUPATIONAL HEALTH SERVICES OF NEW JERSEY
5 PERRYRIDGE ROAD	GREENWICH	CT	06830	453833883	HEALTHCARE SERVICES	NJ	N/A	C	0
CENTURY FINANCIAL SERVICES INC
23 MAIDEN LANE	NORTH HAVEN	CT	06473	061110797	DEBT COLLECTION SERVICES	CT	N/A	C	0
L & M SYSTEMS INC
365 MONTAUK AVENUE	NEW LONDON	CT	06320	222553037	HEALTHCARE RELATED SERVICES	CT	N/A	C	0
L&M HOME CARE SERVICES INC
365 MONTAUK AVENUE	NEW LONDON	CT	06320	061389272	HOME THERAPY	CT	N/A	C	0
LAWRENCE & MEMORIAL INDEMNITY COMPANY LTD-DISSOLVED 1117
				981021436	INSURANCE		N/A	C	0	PO BOX 1159 KY1-1102	GRAND CAYMAN	CJ	CJ

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	Yes (1)	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (31 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
MEDICAL CENTER PHARMACY & HOME CARE CENTER INC
L	$1,808,957	COMPARABLE MARKET VALUE
YALE NEW HAVEN HEALTH SERVICES CORPORATION
L	$3,349,277	COMPARABLE MARKET VALUE
YALE NEW HAVEN HEALTH SERVICES CORPORATION
M	$28,229,690	COMPARABLE MARKET VALUE
YALE NEW HAVEN HEALTH SERVICES CORPORATION
O	$11,237	COMPARABLE MARKET VALUE
VISITING NURSE ASSOCIATION OF SOUTHEASTERN CONNECTICUT INC
S	$942,209	CASH
VISITING NURSE ASSOCIATION OF SOUTHEASTERN CONNECTICUT INC
L	$1,093,274	COMPARABLE MARKET VALUE
L&M CORPORATION
S	$491,773	COMPARABLE MARKET VALUE
L&M CORPORATION
Q	$182,902	CASH
LMW HEALTHCARE INC
I	$71,665	CASH
LMW HEALTHCARE INC
L	$5,646,099	CASH
LMW HEALTHCARE INC
Q	$28,141,931	CASH
LMW HEALTHCARE INC
S	$31,568,614	CASH
YALE NEW HAVEN HEALTH SERVICES CORPORATION
Q	$5,215,388	COMPARABLE MARKET VALUE
YALE NEW HAVEN HEALTH SERVICES CORPORATION
P	$28,951,294	COMPARABLE MARKET VALUE
YALE NEW HAVEN HEALTH SERVICES CORPORATION
R	$3,158,743	CASH
YALE NEW HAVEN HOSPITAL
M	$2,440,176	COMPARABLE MARKET VALUE
YALE NEW HAVEN HOSPITAL
Q	$849,559	COMPARABLE MARKET VALUE
YALE NEW HAVEN HOSPITAL
P	$2,259,711	COMPARABLE MARKET VALUE
YALE NEW HAVEN HOSPITAL
S	$802,846	COMPARABLE MARKET VALUE
YALE NEW HAVEN HOSPITAL
R	$271,921	COMPARABLE MARKET VALUE
NORTHEAST MEDICAL GROUP INC
M	$7,192,005	COMPARABLE MARKET VALUE
NORTHEAST MEDICAL GROUP INC
J	$2,243,925	COMPARABLE MARKET VALUE
NORTHEAST MEDICAL GROUP INC
Q	$716,606	COMPARABLE MARKET VALUE
NORTHEAST MEDICAL GROUP INC
O	$1,841,977	COMPARABLE MARKET VALUE
NORTHEAST MEDICAL GROUP INC
R	$9,766,567	COMPARABLE MARKET VALUE
L&M HOME CARE SERVICES INC
S	$782,622	CASH
L&M HOME CARE SERVICES INC
P	$518,250	CASH
L&M HOME CARE SERVICES INC
Q	$83,079	CASH
BRIDGEPORT HOSPITAL
S	$500,336	CASH
YALE NEW HAVEN HOSPITAL
L	$401,000	CASH
ASSOCIATED SPECIALISTS OF SOUTHEASTERN CT INC
R	$266,782	CASH

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II, IDENTIFICATION OF RELATED TAX-EXEMPT ORGANIZATIONS:	FormAndLineReferenceDesc
Explanation	NAME, ADDRESS, AND EIN OF RELATED ORGANIZATION: ASSOCIATED SPECIALISTS OF SOUTHEASTERN CONNECTICUT, INC. - DISSOLVED 9/18 EIN: 20-8006123 365 MONTAUK AVENUE NEW LONDON, CT 06320	ExplanationTxt