LMW HEALTHCARE INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: LMW HEALTHCARE INC (EIN 46-0543230)
Tax period: 2016-10-01 to 2017-09-30
Filed: 2018-08-13
IRS object ID: 201842259349301759
Schema version: 2016v3.0
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 H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-08-13T15:04:07-05:00	ReturnTs
Tax Period End	2017-09-30	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	345 PARK AVENUE	AddressLine1Txt
City	NEW YORK	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10154	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	460543230	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LMW HEALTHCARE INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	LMWH	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	INTERIM CFO	PersonTitleTxt
Phone	8604420711	PhoneNum
Signature	2018-08-13	SignatureDt
Discuss With Paid Preparer	0	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	ROBERT ROBINSON	PreparerPersonNm
PTIN	P00741489	PTIN
Phone	2127589700	PhoneNum

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

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

Field	Value	IRS element (for citing)
Principal Officer	PATRICK 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	$64,058,423	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.WESTERLYHOSPITAL.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2012	FormationYr
Legal Domicile State	RI	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE MEDICAL CARE IN THE WESTERLY, RHODE ISLAND COMMUNITY AND SURROUNDING TOWNS.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	717	TotalEmployeeCnt
Total Volunteers	128	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$0	PYContributionsGrantsAmt
CY Contributions Grants	$222,938	CYContributionsGrantsAmt
PY Program Service Revenue	$63,216,981	PYProgramServiceRevenueAmt
CY Program Service Revenue	$61,523,067	CYProgramServiceRevenueAmt
PY Investment Income	$378,553	PYInvestmentIncomeAmt
CY Investment Income	$370,501	CYInvestmentIncomeAmt
PY Other Revenue	$618,510	PYOtherRevenueAmt
CY Other Revenue	$495,880	CYOtherRevenueAmt
PY Total Revenue	$64,214,044	PYTotalRevenueAmt
CY Total Revenue	$62,612,386	CYTotalRevenueAmt
PY Grants And Similar Paid	$10,600	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$7,605	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$35,607,457	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$34,617,397	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$327,153	CYTotalFundraisingExpenseAmt
PY Other Expenses	$33,946,856	PYOtherExpensesAmt
CY Other Expenses	$35,631,547	CYOtherExpensesAmt
PY Total Expenses	$69,564,913	PYTotalExpensesAmt
CY Total Expenses	$70,256,549	CYTotalExpensesAmt
PY Revenues Less Expenses	-$5,350,869	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$7,644,163	CYRevenuesLessExpensesAmt
Total Assets BOY	$62,779,155	TotalAssetsBOYAmt
Total Assets EOY	$72,725,888	TotalAssetsEOYAmt
Total Liabilities BOY	$28,740,264	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$36,791,210	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$34,038,891	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$35,934,678	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO PROVIDE MEDICAL CARE IN THE WESTERLY, RHODE ISLAND COMMUNITY AND SURROUNDING TOWNS.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$52,573,317	ExpenseAmt
Grant	$7,605	GrantAmt
Revenue	$61,523,067	RevenueAmt
Desc	SEE SCHEDULE O	Desc
Total Program Service Expenses	$52,573,317	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	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
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	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	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	40	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	717	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
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	11	GoverningBodyVotingMembersCnt
Independent Voting Member	8	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (1)	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	0	CompensationProcessCEOInd
Compensation Process Other	0	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 AVENUE	AddressLine1Txt
City	NEW HAVEN	CityNm
State Abbreviation	CT	StateAbbreviationCd
ZIP	06519	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 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
STEPHEN M GREENE
CHAIRMAN AND TRUSTEE	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
BRUCE D CUMMINGS END 517
PRESIDENT/CEO AND TRUSTEE	1.00	39.00	Yes (X)	Yes (X)	$0	$1,752,901	$48,773
ANN M LAIN
SECRETARY AND TRUSTEE	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
DEBORAH LAMM
VICE CHAIRMAN AND TRUSTEE	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
STEVEN RUZZO
TREASURER AND TRUSTEE	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
WILLIAM CONLIN END 1216
TRUSTEE	1.00	39.00	Yes (X)		$2,500	$101,314	$26,023
ADRIAN K HAMBURGER
TRUSTEE	1.00	39.00	Yes (X)		$0	$735,683	$49,784
THOMAS J LIGUORI
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
RACHEL MCCORMICK
TRUSTEE	1.00	0.00	Yes (X)		$2,500	$0	$0
CHRISTOPHER O'CONNOR
TRUSTEE	1.00	39.00	Yes (X)		$0	$1,244,457	$435,873
RICHARD SMITH
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
PATRICK L GREENE START 617
PRESIDENT/CEO	0.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
DAVID CAMERON START 117
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
MAUREEN ANDERSON
ASSISTANT SECRETARY	1.00	39.00		Yes (X)	$0	$358,945	$37,575
SETH VAN ESSENDELFT
VP/CFO	1.00	39.00		Yes (X)	$0	$506,116	$35,761
LINDA BROCATO
PHARMACY MANAGER	40.00	0.00			$142,150	$0	$12,222	Yes (X)
EMILY FLYNN
CLINICAL PHARMACIST	40.00	0.00			$122,657	$0	$24,982	Yes (X)
KARL NG
CLINICAL PHARMACIST	40.00	0.00			$146,031	$0	$11,499	Yes (X)
LAURIE K BATASTINI
DIRECTOR PATIENT CARE SERVICES	40.00	0.00			$122,197	$0	$18,529	Yes (X)
SHEILA SANDOVAL
CLINICAL PHARMACIST	40.00	0.00			$135,022	$0	$6,500	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$673,057	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,699,416	TotReportableCompRltdOrgAmt
Total Other Compensation	$707,521	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	18	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	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
FASTAFF LLC
6399 S FIDDLERS GREEN CIRCLE	GREENWOOD VILLAGE	CO	80111	RECRUITMENT SERVICES	$908,881
IPC HOSPITALISTS OF NEW ENGLAND PC
15 SALT CREEK LANE SUITE 444	HINSDALE	IL	60521	MEDICAL SERVICES	$534,990
QUEST DIAGNOSTICS
40 ACCORD PARK DRIVE	NORWELL	MA	02061	LAB SERVICES	$500,271
SUNQUEST INFORMATION SYSTEMS INC
3300 EAST SUNRISE DRIVE	TUCSON	AZ	85718	LAB SERVICES	$447,422
UNITEX TEXTILE RENTAL SERVICES INC
565 TAXTER ROAD SUITE 620	ELMSFORD	NY	105232300	UNIFORM LAUNDERING	$273,682

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	16	CntrctRcvdGreaterThan100KCnt
Related Organizations	$169,938	RelatedOrganizationsAmt
Government Grants	$50,500	GovernmentGrantsAmt
All Other Contributions	$2,500	AllOtherContributionsAmt
Total Contributions	$222,938	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	PATIENT SERVICE REVENUE	Desc
Business	900099	BusinessCd
Total Revenue Column	$61,523,067	TotalRevenueColumnAmt
Related Or Exempt Func Income	$61,523,067	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$61,523,067	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$201,563	TotalRevenueColumnAmt
Exclusion	$201,563	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$327,360	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$111,578	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$215,782	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$215,782	TotalRevenueColumnAmt
Exclusion	$215,782	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,306,239	SecuritiesAmt
Other	$197,158	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$1,281,722	SecuritiesAmt
Other	$52,737	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$24,517	SecuritiesAmt
Other	$144,421	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$168,938	TotalRevenueColumnAmt
Exclusion	$168,938	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFETERIA/FOOD SALES	900099	$239,407	$239,407
OTHER ANCILLARY REVENUE	900099	$40,691	$40,691

Field	Value	IRS element (for citing)
Other Revenue Total	$280,098	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$62,612,386	TotalRevenueColumnAmt
Related Or Exempt Func Income	$61,523,067	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$866,381	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	$2,985	TotalAmt
Program Services	$2,985	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$4,620	TotalAmt
Program Services	$4,620	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$27,295,024	TotalAmt
Program Services	$20,424,999	ProgramServicesAmt
Management And General	$6,742,581	ManagementAndGeneralAmt
Fundraising	$127,444	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$480,144	TotalAmt
Program Services	$359,294	ProgramServicesAmt
Management And General	$118,608	ManagementAndGeneralAmt
Fundraising	$2,242	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$4,749,974	TotalAmt
Program Services	$3,554,429	ProgramServicesAmt
Management And General	$1,173,367	ManagementAndGeneralAmt
Fundraising	$22,178	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,092,255	TotalAmt
Program Services	$1,565,645	ProgramServicesAmt
Management And General	$516,841	ManagementAndGeneralAmt
Fundraising	$9,769	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$1,058,868	TotalAmt
Program Services	$792,356	ProgramServicesAmt
Management And General	$266,512	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$384,553	TotalAmt
Program Services	$287,763	ProgramServicesAmt
Management And General	$96,790	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$63,215	TotalAmt
Program Services	$47,304	ProgramServicesAmt
Management And General	$15,911	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$21,270	TotalAmt
Program Services	$21,270	ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$27,957	TotalAmt
Program Services	$20,920	ProgramServicesAmt
Management And General	$7,037	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$10,330,399	TotalAmt
Program Services	$7,724,934	ProgramServicesAmt
Management And General	$2,605,465	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$289,346	TotalAmt
Program Services	$216,519	ProgramServicesAmt
Management And General	$72,827	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$224,458	TotalAmt
Program Services	$166,049	ProgramServicesAmt
Management And General	$58,409	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$332,274	TotalAmt
Program Services	$248,642	ProgramServicesAmt
Management And General	$83,632	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,642,924	TotalAmt
Program Services	$1,229,408	ProgramServicesAmt
Management And General	$413,516	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$12,857	TotalAmt
Program Services	$9,621	ProgramServicesAmt
Management And General	$3,236	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$75,358	TotalAmt
Program Services	$56,391	ProgramServicesAmt
Management And General	$18,967	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$329,034	TotalAmt
Program Services	$246,218	ProgramServicesAmt
Management And General	$82,816	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$2,639,971	TotalAmt
Program Services	$1,975,503	ProgramServicesAmt
Management And General	$664,468	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$4,358,893	TotalAmt
Program Services	$3,261,781	ProgramServicesAmt
Management And General	$1,097,112	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,675,963	TotalAmt
Program Services	$1,254,131	ProgramServicesAmt
Management And General	$421,832	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$9,681,195	$7,244,485	$2,436,710	$0
OTHER SUPPLIES	$1,726,104	$1,291,652	$268,932	$165,520
REPAIRS & MAINTENANCE	$705,238	$527,733	$177,505	$0
MEMBERSHIP DUES & SUBSC	$51,670	$38,665	$13,005	$0

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$70,256,549	TotalAmt
Program Services	$52,573,317	ProgramServicesAmt
Management And General	$17,356,079	ManagementAndGeneralAmt
Fundraising	$327,153	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,535,344	BOYAmt
EOY	$3,624,427	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$147,654	BOYAmt
EOY	$135,470	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$6,019,277	BOYAmt
EOY	$5,283,267	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$200,500	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,660,088	BOYAmt
EOY	$1,166,404	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$152,144	BOYAmt
EOY	$134,763	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$48,489,293	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$4,432,531	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$33,918,339	BOYAmt
EOY	$44,056,762	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$8,466,484	BOYAmt
EOY	$8,596,754	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$4,202,770	BOYAmt
EOY	$4,509,421	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,230,125	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$4,246,430	BOYAmt
EOY	$5,218,620	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$62,779,155	BOYAmt
EOY	$72,725,888	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$6,653,263	BOYAmt
EOY	$4,497,797	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$22,087,001	BOYAmt
EOY	$32,293,413	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$28,740,264	BOYAmt
EOY	$36,791,210	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$24,311,364	BOYAmt
EOY	$25,540,316	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
EOY	$715,500	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$9,727,527	BOYAmt
EOY	$9,678,862	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$34,038,891	BOYAmt
EOY	$35,934,678	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$62,779,155	BOYAmt
EOY	$72,725,888	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$7,644,163	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$630,108	NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments	$7,954,309	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$955,533	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	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	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	$6,000	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$14,770	OtherActivitiesAmt
Total Lobbying Expenditures	$21,270	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 2017. 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. LMW HEALTHCARE INC. IS PART OF A CONTROLLED GROUP WITH THE FOLLOWING LOBBYING EXPENSES: YALE NEW HAVEN HOSPITAL EIN 06-0646652 $ 672,272 BRIDGEPORT HOSPITAL EIN 06-0646554 $ 133,079 GREENWICH HOSPITAL EIN 06-0646659 $ 104,856 NORTHEAST MEDICAL GROUP EIN 06-1330992 $ 66,674 LAWRENCE + MEMORIAL HOSPITAL EIN 06-0646704 $ 94,495	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,716,486	BeginningYearBalanceAmt
Contributions	$85,767	ContributionsAmt
Investment Earnings Or Losses	$857,775	InvestmentEarningsOrLossesAmt
Other Expenditures	$32,525	OtherExpendituresAmt
Administrative Expenses	$30,749	AdministrativeExpensesAmt
End Year Balance	$8,596,754	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,144,384	BeginningYearBalanceAmt
Contributions	$92,360	ContributionsAmt
Investment Earnings Or Losses	$515,574	InvestmentEarningsOrLossesAmt
Other Expenditures	-$2,035	OtherExpendituresAmt
Administrative Expenses	$37,867	AdministrativeExpensesAmt
End Year Balance	$7,716,486	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,087,069	BeginningYearBalanceAmt
Contributions	$77,827	ContributionsAmt
Investment Earnings Or Losses	$49,427	InvestmentEarningsOrLossesAmt
Other Expenditures	$30,444	OtherExpendituresAmt
Administrative Expenses	$39,495	AdministrativeExpensesAmt
End Year Balance	$7,144,384	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$6,624,154	BeginningYearBalanceAmt
Contributions	$18,975	ContributionsAmt
Investment Earnings Or Losses	$474,133	InvestmentEarningsOrLossesAmt
Administrative Expenses	$30,193	AdministrativeExpensesAmt
End Year Balance	$7,087,069	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Contributions	$6,524,115	ContributionsAmt
Investment Earnings Or Losses	$122,157	InvestmentEarningsOrLossesAmt
Administrative Expenses	$22,118	AdministrativeExpensesAmt
End Year Balance	$6,624,154	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.37760	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.62240	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.00000	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	$4,882,000	OtherCostOrOtherBasisAmt
Book Value	$4,882,000	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$25,073,537	OtherCostOrOtherBasisAmt
Depreciation	$1,604,013	DepreciationAmt
Book Value	$23,469,524	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$758,000	OtherCostOrOtherBasisAmt
Depreciation	$176,271	DepreciationAmt
Book Value	$581,729	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$16,985,194	OtherCostOrOtherBasisAmt
Depreciation	$2,650,745	DepreciationAmt
Book Value	$14,334,449	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$790,562	OtherCostOrOtherBasisAmt
Depreciation	$1,502	DepreciationAmt
Book Value	$789,060	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$44,056,762	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	FUNDS HELD IN TRUST	Desc
Book Value	$4,509,421	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$4,509,421	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
MALPRACTICE INSURANCE RECEIVABLE	$3,882,166
DUE FROM YNHHSC	$383,626
DUE FROM THIRD PARTIES	$202,828
CONTRIBUTION RECEIVABLE	$750,000

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$5,218,620	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
3RD PARTY PAYOR SETTLEMENTS	$1,627,073
ASSET RETIREMENT OBLIGATION	$1,389,172
MALPRACTICE INSURANCE LIABILITY	$5,812,402
DUE TO AFFILIATES	$23,464,766

Field	Value	IRS element (for citing)
Total Liability	$32,293,413	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 FUND FUNCTIONS TO SUPPORT AND PROVIDE INCOME FOR THE FURTHERANCE OF THE HEALTH CARE MISSION OF LMW HEALTHCARE, INC.

PART X, LINE 2:

LMW HEALTHCARE INC IS INCLUDED IN THE CONSOLIDATED LAWRENCE + MEMORIAL CORPORATION AND SUBSIDIARIES AUDITED FINANCIAL STATEMENTS. FOLLOWING IS THE FOOTNOTE FROM THE CONSOLIDATED FINANCIAL STATEMENTS: MOST ENTITIES WITHIN THE CORPORATION 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 CORPORATION. U.S. GAAP REQUIRES THE CORPORATION TO EVALUATE TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN THE COURSE OF PREPARING THE CORPORATION'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 CORPORATION 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 CORPORATION AS OF AND FOR THE YEAR ENDED SEPTEMBER 30, 2017.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
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)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	1061	PersonsServedCnt
Total Community Benefit Expns	$2,685,372	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,215,885	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	14656	PersonsServedCnt
Total Community Benefit Expns	$8,545,268	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,479,060	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,066,208	NetCommunityBenefitExpnsAmt
Total Expense	0.05790	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

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 Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	15717	PersonsServedCnt
Total Community Benefit Expns	$11,230,640	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,694,945	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,066,208	NetCommunityBenefitExpnsAmt
Total Expense	0.05790	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	17	ActivitiesOrProgramsCnt
Persons Served	3227	PersonsServedCnt
Total Community Benefit Expns	$386,309	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,702	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$379,607	NetCommunityBenefitExpnsAmt
Total Expense	0.00540	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	104	PersonsServedCnt
Total Community Benefit Expns	$331,593	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$331,593	NetCommunityBenefitExpnsAmt
Total Expense	0.00470	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

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

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	4	ActivitiesOrProgramsCnt
Persons Served	12	PersonsServedCnt
Total Community Benefit Expns	$4,916	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,916	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	26	ActivitiesOrProgramsCnt
Persons Served	3343	PersonsServedCnt
Total Community Benefit Expns	$722,818	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,702	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$716,116	NetCommunityBenefitExpnsAmt
Total Expense	0.01020	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	26	ActivitiesOrProgramsCnt
Persons Served	19060	PersonsServedCnt
Total Community Benefit Expns	$11,953,458	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,701,647	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,782,324	NetCommunityBenefitExpnsAmt
Total Expense	0.06810	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

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

Economic Development EconomicDevelopmentGrp

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

Community Support CommunitySupportGrp

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

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	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt

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

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$3,235,596	BadDebtExpenseAmt
Reimbursed By Medicare	$29,727,342	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$37,857,053	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$8,129,711	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	LMW HEALTHCARE INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	25 WELLS STREET	AddressLine1Txt
City	WESTERLY	CityNm
State Abbreviation	RI	StateAbbreviationCd
ZIP	02891	ZIPCd

Field	Value	IRS element (for citing)
Website Address	HTTP://WESTERLYHOSPITAL.ORG	WebsiteAddressTxt
State License	HOS00129	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	LMW HEALTHCARE INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
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
CHNA Conducted	16	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	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	SEE PART V	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 No Actions	Yes (X)	PermitNoActionsInd
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
Other Actions Taken	Yes (X)	OtherActionsTakenInd
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
LMW HEALTHCARE, INC.	PART V, SECTION B, LINE 5: COMMUNITY ENGAGEMENT AND FEEDBACK WERE AN INTEGRAL PART OF THE CHNA PROCESS. THROUGHOUT, LMW HEALTHCARE INC. 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.
LMW HEALTHCARE, INC.	PART V, SECTION B, LINE 6A: LMW HEALTHCARE INC PARTICIPATED IN A STATEWIDE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) LED BY THE HOSPITAL ASSOCIATION OF RHODE ISLAND (HARI) AND ITS MEMBER HOSPITALS. ITS MEMBER HOSPITALS INCLUDE:BUTLER HOSPITALELEANOR SLATER HOSPITALFATIMA HOSPITALKENT HOSPITALLANDMARK MEDICAL CENTERPROVIDENCE VA MEDICAL CENTERROGER WILLIAMS MEDICAL CENTERSOUTH COUNTY HOSPITALWOMEN & INFANTS HOSPITAL
LMW HEALTHCARE, INC.	PART V, SECTION B, LINE 6B: LMW HEALTHCARE INC. PARTICIPATED IN A STATEWIDE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) LED BY THE HOSPITAL ASSOCIATION OF RHODE ISLAND (HARI) AND ITS MEMBER HOSPITALS. THROUGH A COORDINATED STATEWIDE EFFORT, HARI AND ITS HOSPITAL MEMBERS WORKED WITH THE RHODE ISLAND DEPARTMENT OF HEALTH AND LOCAL COMMUNITY PARTNERS TO COLLECT HEALTH DATA, GATHER FEEDBACK ON REGIONAL AND LOCAL HEALTH NEEDS, AND DEVELOP COORDINATED PLANS TO ADDRESS PRIORITY HEALTH NEEDS ACROSS THE STATE. BAKER-TILLY CONSULTINGTHE HOSPITAL ASSOCIATION OF RHODE ISLANDCARE NEW ENGLAND HEALTH SYSTEM: BUTLER HOSPITAL; KENT HOSPITAL; MEMORIAL HOSPITAL OF RHODE ISLAND; WOMEN & INFANTS HOSPITAL OF RHODE ISLANDCHARTERCARE: OUR LADY OF FATIMA HOSPITAL; ROGER WILLIAMS MEDICAL CENTERDOMESTIC VIOLENCE RESOURCE CENTER OF SOUTH COUNTYGATEWAY HEALTHCAREJONNYCAKE CENTERLANDMARK MEDICAL CENTEROCEAN COMMUNITY YMCAPAWCATUCK NEIGHBORHOOD CENTERRHODE ISLAND DEPARTMENT OF HEALTHRHODE ISLAND FOUNDATIONRHODE ISLAND LAND TRUSTSOUTH COUNTY COMMUNITY ACTIONSOUTH COUNTY HEALTHWARM CENTERWASHINGTON COUNTY HEALTH EQUITY ZONE STEERING COMMITTEEWESTERLY AMBULANCE CORPS.WESTERLY PUBLIC SCHOOLSWESTERLY TOWN PLANNINGWOOD RIVER HEALTH SERVICESSCHEDULE H, PART V, SEC B, LINE 7A AND 10A:HTTPS://WWW.WESTERLYHOSPITAL.ORG/ABOUT/COMMUNITY-BENEFITS.ASPXSCHEDULE H, PART V, SEC B, LINE 7B:HTTPS://STATIC1.SQUARESPACE.COM/STATIC/546D61B5E4B049F0B10B95C5/T/58F20895B8A79B050D67D77B/1492256919901/WESTERLYHOSPITALCHNAREPORTFINAL20160729.PDF
LMW HEALTHCARE, INC.	PART V, SECTION B, LINE 7D: THE CHNA REPORT WAS RELEASED AT A PRESENTATION OPEN TO THE PUBLIC ON MAY 17, 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 HAD BEEN 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.
LMW HEALTHCARE, INC.	PART V, SECTION B, LINE 11: THE 2016 CHNA REVEALED THAT THE WESTERLY COMMUNITY IS GREATLY CHALLENGED BY BEHAVIORAL HEALTH - MENTAL HEALTH AND SUBSTANCE USE DISORDER RELATED ISSUES. FROM A LACK OF RESOURCES TO TREAT MENTAL HEALTH CONDITIONS TO SUBSTANCE ABUSE ADDICTION, BEHAVIORAL HEALTH IS A KEY HEALTH CONCERN IN OUR COMMUNITY. BECAUSE OF THE FAR-REACHING EFFECTS OF BEHAVIORAL HEALTH ON THE OVERALL HEALTH AND QUALITY OF LIFE FOR RESIDENTS IN OUR COMMUNITY, LMW HEALTHCARE INC. AND THE HEALTH IMPACT COLLABORATIVE OF GREATER WESTERLY MADE A COMMITMENT TO FOCUS COMMUNITY HEALTH IMPROVEMENT EFFORTS ON BEHAVIORAL HEALTH OVER THE NEXT SEVERAL YEARS. WHILE WE REMAIN COMMITTED TO PROVIDING QUALITY HEALTHCARE FOR ALL, AND OUR ONGOING WORK TOWARD CHRONIC DISEASE PREVENTION AND CANCER CARE WILL NOT STOP, WE WILL PLACE A HEIGHTENED EMPHASIS ON TACKLING BEHAVIORAL HEALTH NEEDS ACROSS OUR COMMUNITY. TO BETTER UNDERSTAND THE NEEDS AND RESOURCES ASSOCIATED WITH BEHAVIORAL HEALTH, WE SOLICITED INPUT FROM OUR COMMUNITY PARTNERS AND RESIDENTS THROUGH THE CHNA RESEARCH AND COMMUNITY DIALOG. LMW HEALTHCARE INC. HAS PLAYED A LEADERSHIP ROLE IN SOUTH COUNTY HEALTHY BODIES, HEALTHY MINDS (HBHM), A PARTNERSHIP WITH THE RHODE ISLAND DEPARTMENT OF HEALTH HEALTH EQUITY ZONE (HEZ) PROJECT TO HELP ALL SOUTH COUNTY RESIDENTS LEAD HEALTHY LIVES. IN COLLABORATION WITH THE HBHM COMMITTEE AND OTHER COMMUNITY PARTNERS, WE WILL WORK TOWARD OUR GOAL OF IMPROVING BEHAVIORAL HEALTH ACCESS AND OUTCOMES FOR ALL RESIDENTS: BEHAVIORAL HEALTH GOAL STATEMENT: IMPROVE OUTCOMES FOR RESIDENTS LIVING WITH BEHAVIORAL HEALTH CONDITIONS.OBJECTIVES:-INCREASE ACCESS TO APPROPRIATE, QUALITY BEHAVIORAL HEALTH SERVICES AND IMPROVE SELF-MANAGEMENT AMONG PATIENTS-INCREASE AWARENESS OF SIGNS AND SYMPTOMS OF BEHAVIORAL HEALTH CONDITIONS AND COMMUNITY RESOURCES-INCREASE EARLY IDENTIFICATION AND SCREENINGS FOR BEHAVIORAL HEALTH CONDITIONS IN ALL CARE SETTINGS-TO EDUCATE THE COMMUNITY ABOUT HOW LMW HEALTHCARE INC. AND ITS COMMUNITY PARTNERS ARE ACTIVELY ENGAGED IN MEETING NEEDS IDENTIFIED IN THE CHNA.
LMW HEALTHCARE, INC.	PART V, SECTION B, LINE 13H: THESE PROGRAMS COVER EMERGENCY AND OTHER MEDICALLY NECESSARY CARE ONLY.
LMW HEALTHCARE, INC.	PART V, SECTION B, LINE 16J: WEBSITE PROVIDES DIRECT EMAIL LINK TO FINANCIAL COUNSELORS.
LMW HEALTHCARE, INC.	PART V, SECTION B, LINE 20E: PRIOR TO INITIATION OF ANY COLLECTION ACTION, THE HOSPITAL DOCUMENTED ITS DETERMINATION OF WHETHER INDIVIDUALS WHO SUPPLIED A COMPLETED FINANCIAL ASSISTANCE APPLICATION WERE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL FACILITY'S FINANCIAL ASSISTANCE POLICY.
SCHEDULE H, PART V, SECTION B, LINE 16A, 16B AND 16C:	HTTPS://WWW.WESTERLYHOSPITAL.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE.ASPX

Field	Value	IRS element (for citing)
Facility	6	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - LMW HEALTHCARE LAB
45 WELLS STREET	WESTERLY	RI	02891	BLOOD DRAW CENTER
2 - LMW HEALTHCARE LAB
25 WELLS STREET	WESTERLY	RI	02891	BLOOD DRAW CENTER
3 - CENTER FOR MUSCULOSKELETAL CARE
45 WELLS STREET	WESTERLY	RI	02891	MUSCULOSKELETAL CARE
4 - OUTPATIENT LAB SERVICES - HOPE VALLEY
823 MAIN STREET	HOPE VALLEY	RI	02832	BLOOD DRAW CENTER
5 - PHYSICAL THERAPY AND REHAB SERVICES
81 BEACH STREET	WESTERLY	RI	02891	PHYSICIAL THERAPY; REHAB
6 - WOOD RIVER HEALTH SERVICES
823 HOPE STREET	HOPE VALLEY	RI	02832	MAMMOGRAPHY; XRAY SERVICE

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	IT IS THE PHILOSOPHY AND POLICY OF LMW HEALTHCARE INC THAT MEDICALLY NECESSARY HEALTH CARE SERVICES SHOULD BE AVAILABLE TO ALL INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY.CHARITY CARE APPLIES TO ALL UNINSURED PATIENTS (DEFINED AS EARNING LESS THAN 250% OF THE POVERTY GUIDELINES). CARE WILL BE PROVIDED FREE FOR THOSE UNINSURED PATIENTS WHO REQUEST ASSISTANCE AND VERIFY THEIR ANNUAL INCOME IS LESS THAN 250% OF THE FEDERAL INCOME POVERTY LEVEL ("FPL").
PART I, LINE 7:	THE AMOUNTS REPORTED ON PART 1, LINE 7 WERE CALCULATED AS DIRECT AND SEPARATELY IDENTIFIABLE COSTS INCURRED BY THE HOSPITAL PLUS AN ALLOCATION OF OVERHEAD.
PART II, COMMUNITY BUILDING ACTIVITIES:	LMW HEALTHCARE INC., 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. LMW HEALTHCARE INC. 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, LMW HEALTHCARE INC. 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.
PART III, LINE 2:	LMW HEALTHCARE INC 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 GENERAL LEDGER AND INCLUDED WITHIN THE CONSOLIDATED 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:	LMW HEALTHCARE INC ("WESTERLY HOSPITAL") IS INCLUDED IN THE CONSOLIDATED LAWRENCE + MEMORIAL CORPORATION AND SUBSIDIARIES AUDITED FINANCIAL STATEMENTS. FOLLOWING IS THE FOOTNOTE FROM THE CONSOLIDATED FINANCIAL STATEMENTS:THE CORPORATION'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 CORPORATION PROVIDES FREE CARE PROGRAMS FOR QUALIFYING PATIENTS. IN ACCORDANCE WITH THE ESTABLISHED POLICIES OF THE CORPORATION, DURING THE REGISTRATION, BILLING, AND COLLECTION PROCESS, A PATIENT'S ELIGIBILITY FOR FREE CARE FUNDS IS DETERMINED. FOR PATIENTS WHO WERE DETERMINED BY THE CORPORATION 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 CORPORATION, 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 $6.2 MILLION FOR THE YEAR ENDED SEPTEMBER 30, 2017. 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 $0.6 MILLION FOR THE YEAR ENDED SEPTEMBER 30, 2017. 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 CORPORATION FOR EACH ACCOUNT ANALYZED.FOR THE YEAR ENDED SEPTEMBER 30, 2017, THE PROVISION FOR BAD DEBTS, AT CHARGES, WAS APPROXIMATELY $18.0 MILLION AND THE PROVISION FOR BAD DEBT AT COST WAS APPROXIMATELY $5.6 MILLION. 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 YEAR ENDED SEPTEMBER 30, 2017, THE CORPORATION RECEIVED $3.3 MILLION IN CDSHP DISTRIBUTIONS, OF WHICH APPROXIMATELY $0.6 MILLION WAS RELATED TO CHARITY CARE. THE CORPORATION MADE PAYMENTS INTO THE CDSHP OF $18.2 MILLION FOR THE YEAR ENDED SEPTEMBER 30, 2017 FOR THE ASSESSMENT. THESE ARE RECORDED IN NET PATIENT SERVICE REVENUE.THE STATE OF RHODE ISLAND DISPROPORTIONATE SHARE HOSPITAL (DSH) AND UPPER PAYMENT LIMIT (UPL) PROGRAMS WERE ESTABLISHED TO PROVIDE FUNDS TO HOSPITALS FOR THE PROVISION OF UNCOMPENSATED CARE AND IS FUNDED, IN PART, BY AN ASSESSMENT OR LICENSE FEE PAID BY THE STATE'S HOSPITALS WHICH IS MATCHED BY THE FEDERAL GOVERNMENT. DURING THE YEAR ENDED SEPTEMBER 30, 2017, LMW RECEIVED $3.2 MILLION IN DSH AND UPL DISTRIBUTIONS. LMW MADE LICENSE FEE PAYMENTS INTO THE DSH AND UPL PROGRAMS OF $2.4 MILLION AND FOR THE YEAR ENDED SEPTEMBER 30, 2017 FOR THE ASSESSMENT. THESE ARE RECORDED IN NET PATIENT SERVICE REVENUE.ADDITIONALLY, THE CORPORATION 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 CORPORATION VOLUNTARILY ASSISTS WITH THE DIRECT FUNDING OF SEVERAL CITY OF NEW LONDON PROGRAMS, INCLUDING AN ECONOMIC DEVELOPMENT PROGRAM AND HEALTHCARE SUPPORT SERVICES FOR THE HOMELESS.IN ADDITION TO THE QUANTIFIABLE SERVICES DEFINED ABOVE, THE CORPORATION PROVIDES ADDITIONAL BENEFITS TO THE COMMUNITY THROUGH ITS ADVOCACY OF COMMUNITY SERVICE BY EMPLOYEES. THE CORPORATION'S EMPLOYEES SERVE NUMEROUS ORGANIZATIONS THROUGH BOARD REPRESENTATION, MEMBERSHIP IN ASSOCIATIONS, AND OTHER RELATED ACTIVITIES. THE CORPORATION 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 CHARGE. THIS AMOUNT SHOULD BE TREATED AS COMMUNITY BENEFIT BECAUSE THE RATES PAID BY MEDICARE DO NOT ACCURATELY REFLECT THE COST OF CARE PROVIDED BY LMW HEALTHCARE. LMW HEALTHCARE MUST SUBSIDIZE THE COST OF CARE TO MEDICARE BENEFICIARIES WITH OTHER REVENUES.
PART III, LINE 9B:	IN ACCORDANCE WITH ITS WRITTEN CREDIT AND COLLECTION POLICY, LMW HEALTHCARE INC WILL NOT PURSUE COLLECTION EFFORTS, DIRECTLY OR THROUGH COLLECTION AGENCIES, ON THE PORTION OF A PATIENT'S BILL FOR WHICH THAT PATIENT HAS ESTABLISHED ELIGIBILITY FOR CHARITY CARE.
PART VI, LINE 2:	IN ADDITION TO THE METHODOLOGY EMPLOYED IN CONDUCTING THE COMMUNITY HEALTH NEEDS ASSESSMENT, LMW HEALTHCARE INC CARRIES OUT A VARIETY OF OTHER STRATEGIES IN GAUGING THE HEALTH NEEDS OF THE COMMUNITIES IT SERVES. THESE STRATEGIES INCLUDE REVIEW OF DISEASE INCIDENCE AND PREVALENCE RATES FOR THE LOCAL COMMUNITY, STATE, AND NATION WITH RATES COLLECTED FROM PUBLICLY AVAILABLE SOURCES, AND SEEKING PERIODIC RESIDENT INPUT ON PRIORITY AREAS. THIS ANALYSIS INFORMS LMW HEALTHCARE INC 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 PUBLIC SCHOOLS, WOOD RIVER HEALTH SERVICES, AND OTHER LOCAL NON-PROFITS. PERIODIC REVIEW OF DATA AND UPDATING AS APPROPRIATE IS CONDUCTED.
PART VI, LINE 3:	IN ACCORDANCE WITH ITS CHARITY CARE POLICY, LMW HEALTHCARE NOTIFIES PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE USING SEVERAL METHODS.1) SIGNAGE INDICATING THE AVAILABILITY OF CHARITY CARE IS POSTED IN ENGLISH AND SPANISH IN PATIENT ACCOUNTS, HEALTH ACCESS MANAGEMENT AND CERTAIN CLINICAL AREAS. SUMMARIES OF THE PROGRAMS WILL ALSO BE AVAILABLE IN THOSE AREAS.2) PATIENT FINANCIAL ADVISORS WILL ATTEMPT TO VISIT ALL INPATIENTS REGISTERED AS SELF PAY PATIENTS. A SUMMARY EXPLAINING CHARITY CARE WILL BE GIVEN TO THE PATIENT OR GUARANTOR WHEN THIS VISIT OCCURS.3) PATIENTS WITH NO INSURANCE WILL RECEIVE AN INITIAL LETTER WITHIN ONE WEEK OF DISCHARGE INFORMING THEM THEY ARE CONSIDERED "UNINSURED". IT IS THE RESPONSIBILITY OF THE PATIENT TO ADVISE LMW IF THEY BELIEVE THEY QUALIFY AS "UNINSURED" (AT OR UNDER 250% OF THE FPG).4) A SERIES OF MONTHLY STATEMENTS WILL BE SENT FOLLOWING DISCHARGE. EACH STATEMENT WILL REMIND THE PATIENT OF THE AVAILABILITY OF CHARITY CARE.
PART VI, LINE 4:	THE COMMUNITIES THAT COMPRISE THE SERVICE AREA OF LMW HEALTHCARE INC. INCLUDE EIGHT TOWNS IN SOUTHWESTERN RHODE ISLAND/WASHINGTON COUNTY: ASHAWAY, BLOCK ISLAND, BRADFORD, CHARLESTOWN, HOPE VALLEY, HOPKINTON, WESTERLY AND WOOD RIVER JUNCTION, WITH A TOTAL POPULATION OF APPROXIMATELY 40,785. THESE COMMUNITIES ARE LARGELY RURAL WITH THE IMMEDIATE WESTERLY AREA BEING SUBURBAN. ALTHOUGH IT IS ANTICIPATED THAT THERE WILL BE A SLIGHT DECLINE IN OVERALL POPULATION IN THE NEXT FIVE YEARS, THE FASTEST GROWING AGE GROUP IN THE PRIMARY SERVICE AREA WILL BE 65+.THE POPULATION ACROSS LMW HEALTHCARE INC.'S SERVICE AREA IS PRIMARILY WHITE ALTHOUGH MORE RACIALLY AND ETHNICALLY DIVERSE THAN THE SURROUNDING WASHINGTON COUNTY, BUT LESS SO THAN THE STATE. IN WASHINGTON COUNTY IN 2016, HISPANICS REPRESENTED 3.2% OF THE POPULATION, BLACK/AFRICAN AMERICANS 1.3%, ASIANS 2.0%, AND THOSE INDICATING OTHER 1.7%. THE MEDIAN AGE OF RESIDENTS IS HIGHER THAN THE STATE, AS IS THE MEDIAN HOUSEHOLD INCOME. THE POPULATION OVER AGE 65 IS EXPECTED TO INCREASE IN WASHINGTON COUNTY BY 2021. IN AGGREGATE, BLACK/AFRICAN AMERICAN AND HISPANIC/LATINO RESIDENTS HAVE A LOWER MEDIAN INCOME THAN ASIAN OR WHITE RESIDENTS. THE LANGUAGES SPOKEN IN THE SERVICE AREA MIMIC THE RACIAL CHARACTERISTICS. APPROXIMATELY 91% OF RESIDENTS SPEAK ENGLISH. LESS THAN 3% SPEAK SPANISH AS THEIR PRIMARY LANGUAGE. ANOTHER 3.5% SPEAK AN INDO-EUROPEAN LANGUAGE. LMW HEALTHCARE INC.'S SERVICE AREA ENCOMPASSES 48,949 HOUSING UNITS, 67.8% ARE OWNER-OCCUPIED AND 32.2% ARE RENTER-OCCUPIED. THE MEDIAN HOME VALUE FOR OWNER-OCCUPIED UNITS IS $283,711, WHICH IS LOWER WHEN COMPARED TO WASHINGTON COUNTY ($320,447), BUT HIGHER WHEN COMPARED TO RHODE ISLAND ($252,604).THE MEDIAN HOUSEHOLD INCOME IN WASHINGTON COUNTY IS $72,267; HOWEVER, INCOME VARIES NOTABLY BY RACE AND ETHNICITY. THE MEDIAN INCOME FOR BLACKS/AFRICAN AMERICANS AND HISPANICS/LATINOS IS $46,300 AND $54,676 RESPECTIVELY. THE SAME DISPARITY IN INCOME IS SEEN ACROSS RHODE ISLAND.THE PERCENTAGE OF ALL RESIDENTS LIVING IN POVERTY WITHIN THE LMW HEALTHCARE INC. SERVICE AREA IS 8.4%; 14.1% OF WHICH ARE CHILDREN. POVERTY AMONG CHILDREN IN THE WESTERLY SERVICE AREA IS HIGHER THAN WASHINGTON COUNTY BY 3.7% POINTS, BUT LOWER THAN THE STATE.APPROXIMATELY 70% OF SERVICE AREA RESIDENTS AGE 16 YEARS OR OVER ARE IN THE WORKFORCE AND 4.8% ARE UNEMPLOYED, WHICH IS LOWER THAN THE STATE AND NATIONAL AVERAGES (6.4% AND 5.5% RESPECTIVELY). THE MAJORITY OF RESIDENTS IN THE WORKFORCE ARE FOR-PROFIT PRIVATE WORKERS (65.1%) AND HOLD WHITE COLLAR POSITIONS (61.8%). RESIDENTS ARE MOST LIKELY TO WORK IN OFFICE/ADMINISTRATIVE SUPPORT (12.7%), MANAGEMENT (10.4%), AND SALES (10%).EDUCATION IS THE LARGEST PREDICTOR OF POVERTY AND ONE OF THE MOST EFFECTIVE MEANS OF REDUCING INEQUALITIES. IN LMW HEALTHCARE INC.'S SERVICE AREA, 8.2% OF RESIDENTS 25 YEARS OR OVER HAVE LESS THAN A HIGH SCHOOL DIPLOMA, 29.4% HAVE A HIGH SCHOOL DIPLOMA, AND 34.4% HAVE AT LEAST A BACHELOR'S DEGREE. RESIDENTS IN THE LMW HEALTHCARE INC. SERVICE AREA HAVE LOWER EDUCATION ATTAINMENT COMPARED TO ALL WASHINGTON COUNTY RESIDENTS, BUT HAVE HIGHER EDUCATION ATTAINMENT THAN THE STATE AVERAGE.HISPANIC/LATINO RESIDENTS IN THE LMW HEALTHCARE INC. SERVICE AREA HAVE NOTABLY LOWER EDUCATIONAL ATTAINMENT. APPROXIMATELY 18% DO NOT HAVE A HIGH SCHOOL DIPLOMA AND 23.3% OBTAIN A BACHELOR'S DEGREE OR HIGHER. GREATER DISPARITIES EXIST WHEN COMPARED TO WASHINGTON COUNTY.IN WASHINGTON COUNTY, SERVICES AND PUBLIC TRANSPORTATION FALL SHORT OF MEETING DEMAND, CREATING A BARRIER TO ACCESS.
PART VI, LINE 5:	LMW HEALTHCARE INC.'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 EMPHASIS COLLABORATION WITH COMMUNITY STAKEHOLDERS.AS EVIDENCED BY THE WIDE RANGE OF COMMUNITY BENEFIT PROGRAMS AND SERVICES OFFERED, LMW HEALTHCARE INC. 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 LMW HEALTHCARE INC. MAKES IN CARRYING OUT THESE PROGRAMS.COMMUNITY INVOLVEMENT IN GOVERNANCE AND ADVISORY GROUPSCOMMUNITY ENGAGEMENT IN THE PLANNING, IMPLEMENTATION AND EVALUATION OF LMW HEALTHCARE INC. INITIATIVES IS OF UTMOST IMPORTANCE. CONSUMERS AND STAKEHOLDER ORGANIZATIONS PARTICIPATE IN A RANGE OF ACTIVITIES SO AS TO ENSURE THAT MANY PERSPECTIVES ARE CONSIDERED. A COMMUNITY MEMBER IS INVOLVED IN THE EMERGENCY DEPARTMENT PATIENT EXPERIENCE COMMITTEE. THE COMMITTEE WORKS ON IMPROVING THE PATIENT EXPERIENCE, COMMUNICATION AND CARE PROVIDED IN THE EMERGENCY DEPARTMENT. 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 LMW HEALTHCARE INC. RECEIVES ONGOING FEEDBACK FROM CONSUMERS AND COMMUNITY MEMBERS ABOUT THEIR EXPERIENCES. THEY OFTEN IDENTIFY OPPORTUNITIES FOR IMPROVEMENT, WHICH IS SHARED WITH LEADERS THROUGHOUT THE ORGANIZATION.LMW HEALTHCARE INC.'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 LMW HEALTHCARE INC. (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 LMW HEALTHCARE INC. 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	RI

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	0	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	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 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
BRUCE D CUMMINGS END 517
PRESIDENT/CEO AND TRUSTEE	$0	$631,803	$0	$183,387	$0	$937,711	$0	$30,351	$0	$18,422	$0	$1,801,674	$0	$826,713
ADRIAN K HAMBURGER
TRUSTEE	$0	$357,612	$0	$377,771	$0	$300	$0	$28,311	$0	$21,473	$0	$785,467	$0	$0
CHRISTOPHER O'CONNOR
TRUSTEE	$0	$873,909	$0	$274,428	$0	$96,120	$0	$416,036	$0	$19,837	$0	$1,680,330	$0	$0
MAUREEN ANDERSON
ASSISTANT SECRETARY	$0	$300,312	$0	$51,527	$0	$7,106	$0	$14,282	$0	$23,293	$0	$396,520	$0	$3,518
SETH VAN ESSENDELFT
VP/CFO	$0	$381,609	$0	$123,697	$0	$810	$0	$12,468	$0	$23,293	$0	$541,877	$0	$0
LINDA BROCATO
PHARMACY MANAGER	$142,150	$0	$0	$0	$0	$0	$12,222	$0	$0	$0	$154,372	$0	$0	$0
KARL NG
CLINICAL PHARMACIST	$145,935	$0	$0	$0	$96	$0	$3,446	$0	$8,053	$0	$157,530	$0	$477	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 3

THE PRESIDENT/CEO OF LMW HEALTHCARE, INC. RECEIVES NO COMPENSATION FROM THE ORGANIZATION. HE IS AN EMPLOYEE AT LAWRENCE & MEMORIAL HOSPITAL, A RELATED ORGANIZATION, AND HIS COMPENSATION IS SET BY THE HOSPITAL. THE HOSPITAL, IN DETERMINING COMPENSATION RELIES UPON A COMPENSATION COMMITTEE; AN INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEYS OR STUDIES, AND APPROVAL BY ITS BOARD OR COMPENSATION COMMITTEE.

PART I, LINE 4B

THE INDIVIDUAL LISTED BELOW IS A PARTICIPANT 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 CHRISTOPHER O'CONNOR $0 $219,224 $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 (A RELATED ORGANIZATION) 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 ARE PAID OUT AND REPORTED ON HIS W-2. DURING 2016, THE REQUIRED SECTION 457(F) CONDITIONS WERE MET AND THE FOLLOWING INDIVIDUAL RECEIVED THEIR PAYOUT AS FOLLOWS: BRUCE CUMMINGS $913,658

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4	WESTERLY HOSPITAL IS A 125-BED HOSPITAL THAT PROVIDES WASHINGTON (RI) AND NEW LONDON (CT) COUNTIES WITH FAMILY-CENTERED MEDICAL CARE AND A WIDE ARRAY OF MEDICAL, SURGICAL, LABORATORY AND REHABILITATIVE SERVICES. IN ADDITION, THE HOSPITAL OFFERS INTERVENTIONAL PAIN MANAGEMENT, WOUND CARE, AN ANTI-COAGULATION CLINIC AND CARDIAC PULMONARY REHABILITATION SERVICES. WITH 130 PRIMARY AND SPECIALTY PHYSICIANS, WESTERLY HOSPITAL, AS PART OF YALE NEW HAVEN HEALTH SYSTEM, SERVES THE ENTIRE COMMUNITY WITH FAMILY-CENTERED MEDICAL CARE. WESTERLY HOSPITAL FOCUSED ON ENGAGING THE WORKFORCE, COLLABORATING WITH COMMUNITY PARTNERS TO IMPROVE THE HEALTH AND WELL-BEING OF AREA RESIDENTS AND STRENGTHENING BOTH CLINICAL AND FINANCIAL PERFORMANCE. YNHHS INVESTED IN FACILITY AND INFRASTRUCTURE IMPROVEMENTS THIS YEAR, INCLUDING HVAC SYSTEM RENOVATIONS; A NEW WATER PURIFICATION SYSTEMS; UPGRADED INPATIENT BEDS AND REPLACEMENT OF AN AGING NUCLEAR GAMMA CAMERA. BEING PART OF COMMUNITY THAT IS GREATLY CHALLENGED BY MENTAL HEALTH AND SUBSTANCE ABUSE-RELATED ISSUES, WESTERLY HOSPITAL REMAINED COMMITTED TO INCREASING PATIENT ACCESS TO QUALITY BEHAVIORAL HEALTH SERVICES AND HEALTH EDUCATION. WESTERLY HOSPITAL ADDED 3-D TOMOSYNTHESIS MAMMOGRAPHY TO ITS BREAST CANCER SCREENING TOOLS, WHICH INCLUDE BREAST MRI, AUTOMATED WHOLE BREAST ULTRASOUND AND STEREOTACTIC BREAST BIOPSY. THE 3-D TOMOSYNTHESIS MAMMOGRAPHY PROVIDES A MORE PRECISE IMAGE THAN TRADITIONAL MAMMOGRAPHY, ALLOWING PHYSICIANS TO CATCH BREAST CANCER EARLIER AND REDUCING THE INCIDENCE OF FALSE POSITIVES. THE HOSPITAL OUTFITTED TWO INTENSIVE CARE PATIENT ROOMS WITH AUDIOVISUAL EQUIPMENT TIED TO YALE NEW HAVEN HEALTH SYSTEM'S INSIGHT TELE-ICU SYSTEM. THIS TECHNOLOGY ALLOWS REAL-TIME, REMOTE MONITORING BY A TEAM OF CRITICAL CARE PHYSICIANS AND NURSES BASED AT YALE NEW HAVEN HOSPITAL IN NEW HAVEN. IN ADDITION, A TELEMEDICINE CART IS NOW USED IN SEVEN OTHER ICU ROOMS. STAFF USES THE SYSTEM FOR REMOTE CONSULTATIONS TO ACCESS SPECIALISTS AS WELL AS REVIEW PATIENT VITAL SIGNS, PHYSIOLOGICAL STATUS AND LABORATORY AND DIAGNOSTIC TEST RESULTS. THE TECHNOLOGY CONTRIBUTES TO ENHANCED PATIENT SAFETY, IMPROVED PATIENT OUTCOMES AND INCREASED PROVIDER COLLABORATION. WESTERLY HOSPITAL AND THE HEALTH IMPACT COLLABORATIVE COMMITTED TO FOCUS COMMUNITY HEALTH IMPROVEMENT EFFORTS ON BEHAVIORAL HEALTH OVER THE NEXT SEVERAL YEARS, BASED ON THE WESTERLY COMMUNITY HEALTH NEEDS ASSESSMENT WHICH REVEALED THAT THE AREA IS CHALLENGED BY MENTAL HEALTH AND SUBSTANCE ABUSE ISSUES. PROGRAMMING INCLUDES COMMUNITY EDUCATION ACTIVITIES AND TRAININGS IN YOUTH MENTAL HEALTH FIRST AID AND SUICIDE PREVENTION. 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. BASED ON RESPONSES TO THE QUESTIONNAIRES RECEIVED BY THE ORGANIZATION AND ANNUAL CONFLICTS OF INTEREST DISCLOSURES, THE ORGANIZATION WAS ABLE TO CONFIRM THAT SEVEN (8) VOTING MEMBERS ARE INDEPENDENT.
FORM 990, PART VI, SECTION A, LINE 2	BUSINESS RELATIONSHIPS BETWEEN OFFICERS, DIRECTORS, TRUSTEES, OR KEY EMPLOYEES THE ORGANIZATION'S CURRENT OFFICERS AND/OR TRUSTEES SERVE AS OFFICERS AND/OR DIRECTORS OF 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 DO NOT HAVE PERSONAL FINANCIAL INTERESTS IN THE TAXABLE AFFILIATE 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 4	EFFECTIVE SEPTEMBER 8, 2016, LAWRENCE + MEMORIAL CORPORATION ("LMC") AND ITS RELATED ORGANIZATIONS BECAME AFFILIATED WITH THE YALE NEW HAVEN HEALTH SYSTEM PURSUANT TO THE TERMS OF AN AFFILIATION AGREEMENT BETWEEN LMC AND YALE NEW HAVEN HEALTH SERVICES CORPORATION ("YNHHSC") DATED AS OF JULY 17, 2015 (THE "AFFILIATION AGREEMENT"). AS A RESULT OF THE CLOSING OF THE AFFILIATION TRANSACTION, YNHHSC BECAME THE SOLE MEMBER OF LMC. ADDITIONALLY, THE CERTIFICATES OF INCORPORATION AND BYLAWS OF LMC AND ITS SUBSIDIARIES LAWRENCE + MEMORIAL HOSPITAL, LMW HEALTHCARE, INC., L+M PHYSICIAN ASSOCIATION, INC. AND VISITING NURSE ASSOCIATION OF SOUTHEASTERN CONNECTICUT, INC. WERE REVISED AS AGREED UPON IN THE AFFILIATION AGREEMENT TO REFLECT YNHHSC AS THE ULTIMATE CORPORATE PARENT AND DESCRIBE THE RETAINED POWERS AND OF YNHHSC CONSISTENT WITH ITS OTHER AFFILIATED ENTITIES.
FORM 990, PART VI, SECTION A, LINE 6	L&M CORPORATION IS THE SOLE MEMBER OF LMW HEALTHCARE, INC.
FORM 990, PART VI, SECTION A, LINE 7A	LAWRENCE + MEMORIAL CORPORATION, AS SOLE MEMBER OF LMW HEALTHCARE, INC., ELECTS THE BOARD OF TRUSTEES OF LMW HEALTHCARE, INC., 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 SYSTEM TAX DEPARTMENT. THE RETURN IS INITIALLY REVIEWED BY THE HOSPITAL 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 HOSPITAL AND A FINAL VERSION OF THE RETURN IS SENT BACK TO KPMG US LLP FOR FINAL REVIEW. PRIOR TO FILING, THE ORGANIZATION MADE AVAILABLE A COMPLETE COPY OF THE RETURN TO THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION B, LINE 12C	LMW HEALTHCARE IS COVERED UNDER THE YALE NEW HAVEN HEALTH SYSTEM CONFLICT OF INTEREST POLICY. 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, LINES 13 AND 14: AS AN AFFILIATE OF YALE NEW HAVEN HEALTH SYSTEM, THE "SYSTEM", THE ORGANIZATION IS COVERED BY THE SYSTEM'S DOCUMENT RETENTION AND WHISTLEBLOWER POLICIES.
FORM 990, PART VI, SECTION B, LINE 15	THE OFFICERS' COMPENSATION AND BENEFITS REPORTED IN PART VII ARE DETERMINED BY L&M HOSPITAL. L&M HOSPITAL'S EXECUTIVE COMPENSATION COMMITTEE ANNUALLY REVIEWS THE SALARIES OF ITS EXECUTIVE MANAGEMENT AND KEY EMPLOYEES. UTILIZING INDEPENDENT COMPENSATION CONSULTANTS, THE EXECUTIVE COMPENSATION COMMITTEE MAKES ITS RECOMMENDATIONS. THE COMMITTEE'S DELIBERATIONS ARE REFLECTED IN ITS MINUTES.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11G	PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 7,305,251. MANAGEMENT AND GENERAL EXPENSES 2,464,303. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,769,554. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 419,683. MANAGEMENT AND GENERAL EXPENSES 141,162. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 560,845.
FORM 990, PART XI, LINE 9:	TRANSFERS FROM AFFILIATES 681,370. VALUATION OF RI RENAL 85,767. INCREASE IN FUNDS HELD IN TRUST BY OTHERS 309,488. ADJUSTMENT IN NET ASSET BETWEEN WESTERLY HOSPITAL AND FOUNDATION -121,092.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (22 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
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	0
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	0
L&M PHYSICIAN ASSOCIATION INC- MERGED WITH NEMG INC 33117
365 MONTAUK AVENUE	NEW LONDON	CT	06320	271094375	HEALTHCARE SERVICES	CT	501C3	LINE 12A, I	LAWRENCE MEMORIAL CORPORATION	Yes (1)
LAWRENCE MEMORIAL CORPORATION
365 MONTAUK AVENUE	NEW LONDON	CT	06320	222553028	PROMOTE HEALTHCARE	CT	501C3	LINE 10	YALE NEW HAVEN HEALTH SERVICES CORP	0
LAWRENCE AND MEMORIAL FOUNDATION INC
365 MONTAUK AVENUE	NEW LONDON	CT	06320	222553026	FUNDRAISING SERVICES	CT	501C3	PF	LAWRENCE MEMORIAL CORPORATION	Yes (1)
LAWRENCE MEMORIAL HOSPITAL INC
365 MONTAUK AVENUE	NEW LONDON	CT	06320	060646704	HEALTHCARE SERVICES	CT	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	0
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 12B, II	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 12C, III-FI	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	0
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 SURGERY CENTER LLC
111 GOOSE LANE	GUILFORD	CT	06437	900110459	HEALTHCARE SERVICES	CT	N/A
SSC II LLC
111 GOOSE LANE	GUILFORD	CT	06437	261709382	HEALTHCARE SERVICES	CT	N/A
ORTHOPAEDIC & NEUROSURGERY CENTER
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 (17 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	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
CORPORATE PROFESSIONAL BUSINESS SERVICESINC
789 HOWARD AVE	NEW HAVEN	CT	06519	061467717	MANAGEMENT SERVICES	CT	N/A	C	Yes (1)
YALE NEW HAVEN AMBULATORY SERVICES
40 TEMPLE STREET	NEW HAVEN	CT	06510	061398526	HEALTHCARE SERVICES	CT	N/A	C	Yes (1)
MEDICAL CENTER REALTY INC - DISSOLVED 10116
50 YORK STREET	NEW HAVEN	CT	06511	061110858	RENTAL SERVICES	CT	N/A	C	Yes (1)
GREENWICH FERTILITY & IVF PC
5 PERRYRIDGE ROAD	GREENWICH	CT	06830	300145464	HEALTHCARE SERVICES	CT	N/A	C	Yes (1)
YORK ENTERPRISES INC - DISSOLVED 1012016
50 YORK STREET	NEW HAVEN	CT	06511	061110937	TITLE HOLDING	CT	N/A	C	Yes (1)
YNHH-PHYSICIANS CORP
789 HOWARD AVE	NEW HAVEN	CT	06519	061202305	ADMINISTRATIVE SERVICES	CT	N/A	C	Yes (1)
MEDICAL CENTER PHARMACY INC AND HOME CARE CENTER INC
50 YORK STREET	NEW HAVEN	CT	06511	061087673	PHARMACY	CT	N/A	C	Yes (1)
GREENWICH OCCUPATIONAL HEALTH SERVICES OF NY PC
5 PERRYRIDGE ROAD	GREENWICH	CT	06830	061540101	HEALTHCARE SERVICES	NY	N/A	C	Yes (1)
GREENWICH OCCUPATIONAL HEALTH SERVICES OF NEW JERSEY
5 PERRYRIDGE ROAD	GREENWICH	CT	06830	453833883	HEALTHCARE SERVICES	NJ	N/A	C	Yes (1)
CENTURY FINANCIAL SERVICES INC
23 MAIDEN LANE	NORTH HAVEN	CT	06473	061110797	DEBT COLLECTION SERVICES	CT	N/A	C	Yes (1)
CENTURY MANAGEMENT SERVICES INC- MERGED 1012016
23 MAIDEN LANE	NORTH HAVEN	CT	06473	061303173	RECEIVABLE MANAGEMENT SERVICES	CT	N/A	C	Yes (1)
L & M SYSTEMS INC
365 MONTAUK AVENUE	NEW LONDON	CT	06320	222553037	HEALTHCARE RELATED SERVICES	CT	N/A	C	Yes (1)
L&M HOME CARE SERVICES INC
365 MONTAUK AVENUE	NEW LONDON	CT	06320	061389272	HOME THERAPY	CT	N/A	C	Yes (1)
LAWRENCE & MEMORIAL INDEMNITY COMPANY LTD
				981021436	INSURANCE		N/A	C	Yes (1)	PO BOX 1159 KY1-1102	GRAND CAYMAN	CJ	CJ
LMW HEALTHCARE INC HAMILTON D SCHWARZ AGENCY 8814 WASHINGTON TRUST
365 MONTAUK AVENUE	NEW LONDON	CT	06320		CHARITABLE REMAINDER TRUST	RI		T	Yes (1)					$244,379	1.00000
LMW HEALTHCARE INC COMMUNITY ENDOWMENT FUND AGENCY 8814 WASHINGTON TRUST
365 MONTAUK AVENUE	NEW LONDON	CT	06320		CHARITABLE REMAINDER TRUST	RI		T	Yes (1)					$1,503,369	1.00000
LMW HEALTHCARE INC CHARLES A MORGAN TUW BANK OF AMERICA
PO BOX 830269	DALLAS	TX	75283		CHARITABLE REMAINDER TRUST	RI		T	Yes (1)					$4,265,599	1.00000

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	Yes (1)	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	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	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	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (10 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
YALE NEW HAVEN HOSPITAL INC
M	$59,031	CASH
LAWRENCE AND MEMORIAL HOSPITAL INC
M	$926,236	CASH
WESTERLY HOSPITAL FOUNDATION INC
S	$409,777	CASH
NORTHEAST MEDICAL GROUP INC
J	$153,068	CASH
LAWRENCE AND MEMORIAL HOSPITAL INC
S	$265,000	CASH
LAWRENCE AND MEMORIAL CORPORATION
S	$184,107	CASH
L&M PHYSICIAN ASSOCIATION INC
S	$232,000	CASH
YALE NEW HAVEN HEALTH SERVICES CORPORATION
M	$321,769	CASH
YALE NEW HAVEN HEALTH SERVICES CORPORATION
P	$82,655	CASH
CHARITABLE REMAINDER TRUST
C	$169,938	CASH