2017-08-14T10:57:00-05:00 2016-09-30 135565207 KPMG LLP ONE FINANCIAL PLAZA 755 MAIN STREET HARTFORD CT 06103 990 2015-10-01 271094375 L&M PHYSICIAN ASSOCIATION INC L&MP 2036886088 365 MONTAUK AVENUE NEW LONDON CT 06320 BRUCE CUMMINGS SR.VP FINANCE 2036886088 2017-08-14 0 MARY-EVELYN ANTONETTI P00431862 8602976085 2015 2021-01-29 14:40:06Z SETH VAN ESSENDELFT 365 MONTAUK AVENUE NEW LONDON CT 06320 36644108 0 X N/A X 2009 CT PROMOTES AND FURTHERS THE WELFARE, PROGRAMS AND ACTIVITIES OF LAWRENCE & MEMORIAL HOSPITAL. 10 1 470 1 0 0 0 0 38034174 36607298 0 -8205 0 0 38034174 36599093 0 0 0 0 44051706 43019774 0 0 0 15885809 16100446 59937515 59120220 -21903341 -22521127 6588832 9204166 9347580 8972213 -2758748 231953 TO BENEFIT THE HEALTH STATUS OF THE COMMUNITY SERVED BY THE HOSPITAL THROUGH INTEGRATING VARIOUS PHYSICIANS AND OTHER HEALTHCARE PROFESSIONALS. 0 0 52375834 36607298 L&M PHYSICIAN ASSOCIATION, INC. SUPPORTS LAWRENCE & MEMORIAL HOSPITAL AND LMW HEALTHCARE'S COMMITMENT TO ADVANCE THE HEALTH AND WELL-BEING OF THE INDIVIDUALS IN THE HOSPITALS' SERVICE AREA (WHICH IS GREATER NEW LONDON, CT AND WESTERLY, RI) BY ENGAGING PHYSICIANS TO PROVIDE PHYSICIAN SERVICES TO THE HOSPITALS AND ORGANIZATIONS AFFILIATED WITH THE HOSPITALS FOR THE PURPOSE OF PRACTICING MEDICINE AND PROVIDING HEALTH CARE SERVICES AS A MEDICAL FOUNDATION. 52375834 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 470 1 0 0 0 0 0 0 0 0 0 0 X 10 1 1 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X DENIS DONEGAN 2036886088 789 HOWARD AVENUE NEW HAVEN CT 06519 BRUCE CUMMINGS EX-OFFICIO/TRUSTEE 1.00 39.00 X X 0 639099 50765 BRENDA APPLEGATE TREASURER/TRUSTEE 40.00 0.00 X X 190547 0 41113 ANTHONY CARTER SECRETARY/TRUSTEE 39.00 1.00 X X 298613 0 45500 JON GAUDIO CHAIRMAN/TRUSTEE 37.00 3.00 X X 615938 0 70551 CHRISTOPHER LEHRACH PRESIDENT/TRUSTEE 1.00 39.00 X X 0 401811 62721 PRESTON LAMBERTON TILL 1215 CHAIRMAN/TRUSTEE 38.00 2.00 X X 188067 0 28326 PAUL BOURGUIGNON TRUSTEE 40.00 0.00 X 320766 0 41631 AMIT KHANNA TRUSTEE 40.00 0.00 X 414931 0 37109 CHRISTY STANAT TRUSTEE 40.00 0.00 X 334438 0 28465 ANTONIO TOLEDO TRUSTEE 1.00 0.00 X 0 0 0 BRIAN WILLIAMS TRUSTEE 40.00 0.00 X 152760 0 31174 MAUREEN ANDERSON ASSISTANT SECRETARY 1.00 39.00 X 0 285844 74161 SETH VAN ESSENDELFT SR. VP/CFO 1.00 39.00 X 0 374982 48016 ROSHANAK BAGHERI PHYSICIAN 40.00 0.00 X 568413 0 61185 PATRICK DOHERTY PHYSICIAN 40.00 0.00 X 1742255 0 61489 SEPEHR SAJJAD PHYSICIAN 40.00 0.00 X 614368 0 20676 ADRIAN HAMBURGER PHYSICIAN 40.00 0.00 X 777864 0 67942 MICHAEL HARWOOD PHYSICIAN 40.00 0.00 X 512291 0 64056 ROBERT CIOTOLA THRU 1214 FORMER TRUSTEE 0.00 0.00 X 173829 0 40854 6905080 1701736 875734 16 1 1 0 BERKELEY RESEARCH GROUP LLC 220 POWELL STREET SUITE 1200 EMERYVILLE CA 94608 CONSULTING SERVICE 995564 STAFF CARE INC 8840 CYPRESS WATERS BLVD 300 COPPELL TX 75019 STAFFING SERVICE 267230 THERACOM LLC 9717 KEY WEST AVE ROCKVILLE MD 20850 DATA PROCESSING 166867 DIVERSIFIED BUILDING SERVICES LLC 69 N TURNPIKE RD 2 WALLINGFORD CT 06492 CLEANING SERVICE 149915 IPC HOSPITALISTS OF NEW ENGLAND PC 365 MONTAUK AVE NEW LONDON CT 06320 MEDICAL SERVICE 149910 8 NET PATIENT REVENUE 621110 28508756 28508756 PURCHASED SERVICES 621110 8098542 8098542 36607298 36810 45015 -8205 -8205 -8205 36599093 36607298 0 -8205 3264704 2986502 278202 33139040 30315096 2823944 859198 785981 73217 3777970 3456030 321940 1978862 1810233 168629 111359 111359 27393 27393 3879330 3546736 332594 11449 11449 414535 378951 35584 135795 135795 3097945 2940667 157278 174650 169251 5399 664987 664987 2692754 2692754 PURCHASED SERVICES 3104365 853972 2250393 MEDICAL & SURGICAL 1634976 1634976 0 EQUIPMENT RENTAL & MAIN 65933 64746 1187 PACKAGE AND SHIPPING 64297 54537 9760 20678 20415 263 59120220 52375834 6744386 0 1742691 383055 997949 1516604 84040 51075 5453821 1835034 1040689 3618787 2723463 3634645 6588832 9204166 201568 1001084 9146012 7971129 9347580 8972213 X -2758748 231953 -2758748 231953 6588832 9204166 -22521127 25511828 0 X X 0 1 X 1 0 X X 1 L&M HOSPITAL INC 060646704 3 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PART IV, SECTION B, LINE 1 THE ORGANIZATION'S SUPPORTED ORGANIZATION IS LAWRENCE & MEMORIAL HOSPITAL ("L&M HOSPITAL OR THE HOSPITAL"). THE HOSPITAL'S PARENT, LAWRENCE & MEMORIAL CORPORATION (THE "CORPORATION OR THE "SYSTEM PARENT"), HAS THE RIGHT TO APPOINT THE BOARD OF DIRECTORS OF THE ORGANIZATION. THE SYSTEM PARENT OVERSEES A COMPREHENSIVE AND INTEGRATED HEALTH CARE DELIVERY SYSTEM OPERATED BY THE SYSTEM'S AFFILIATED ENTITIES, INCLUDING THE HOSPITAL AND THE ORGANIZATION. THE SYSTEM PARENT IS ALSO A SUPPORTING ORGANIZATION TO THE HOSPITAL. IN ADDITION, THE MAJORITY OF THE ORGANIZATION'S OFFICERS ARE ALSO OFFICERS OR KEY EMPLOYEES OF THE HOSPITAL. THEREFORE, THE HOSPITAL, THROUGH ITS PARENT AND THROUGH ITS EMPLOYEES, IS ABLE TO EFFECTIVELY OPERATE, SUPERVISE AND CONTROL THE ORGANIZATION'S ACTIVITIES. EFFECTIVE AS OF SEPTEMBER 8, 2016, LAWRENCE + MEMORIAL CORPORATION AFFILIATED WITH THE YALE NEW HAVEN HEALTH SYSTEM, AND YALE NEW HAVEN HEALTH SERVICES CORPORATION BECAME THE SOLE MEMBER OF LAWRENCE + MEMORIAL CORPORATION. 1332390 621325 711065 4121431 1213709 2907722 3618787 OTHER NOTES & LOANS RECEIVABLE 3634645 3634645 RESERVE ACCOUNTS 4635005 SALARIES, WAGES, P/R TAXES 3330580 DUE TO THIRD PARTY 5544 7971129 SCHEDULE D,PART X, LINE 2 THE ORGANIZATION'S CONSOLIDATED FINANCIAL STATEMENTS DO NOT INCLUDE A FIN 48 FOOTNOTE. 0 1 0 0 0 0 0 1 0 BRUCE CUMMINGS EX-OFFICIO/TRUSTEE 0 505747 0 0 0 133352 0 10600 0 40165 0 689864 0 0 BRENDA APPLEGATE TREASURER/TRUSTEE 149007 0 33560 0 7980 0 7155 0 33958 0 231660 0 0 0 ANTHONY CARTER SECRETARY/TRUSTEE 297923 0 0 0 690 0 10600 0 34900 0 344113 0 0 0 JON GAUDIO CHAIRMAN/TRUSTEE 324334 0 276226 0 15378 0 10600 0 59951 0 686489 0 0 0 CHRISTOPHER LEHRACH PRESIDENT/TRUSTEE 0 382176 0 0 0 19635 0 10600 0 52121 0 464532 0 0 PRESTON LAMBERTON TILL 1215 CHAIRMAN/TRUSTEE 131219 0 46318 0 10530 0 5150 0 23176 0 216393 0 0 0 PAUL BOURGUIGNON TRUSTEE 257446 0 51480 0 11840 0 10600 0 31031 0 362397 0 0 0 AMIT KHANNA TRUSTEE 254393 0 142238 0 18300 0 10600 0 26509 0 452040 0 0 0 CHRISTY STANAT TRUSTEE 316729 0 0 0 17709 0 10600 0 17865 0 362903 0 0 0 BRIAN WILLIAMS TRUSTEE 102758 0 31357 0 18645 0 6890 0 24284 0 183934 0 0 0 MAUREEN ANDERSON ASSISTANT SECRETARY 0 269134 0 0 0 16710 0 10600 0 63561 0 360005 0 0 SETH VAN ESSENDELFT SR. VP/CFO 0 356172 0 0 0 18810 0 10600 0 37416 0 422998 0 0 ROSHANAK BAGHERI PHYSICIAN 308348 0 236119 0 23946 0 10600 0 50585 0 629598 0 0 0 PATRICK DOHERTY PHYSICIAN 730709 0 994761 0 16785 0 5863 0 55626 0 1803744 0 0 0 SEPEHR SAJJAD PHYSICIAN 532243 0 68199 0 13926 0 3028 0 17648 0 635044 0 0 0 ADRIAN HAMBURGER PHYSICIAN 311287 0 450917 0 15660 0 10600 0 57342 0 845806 0 0 0 MICHAEL HARWOOD PHYSICIAN 259388 0 235933 0 16970 0 10600 0 53456 0 576347 0 0 0 ROBERT CIOTOLA THRU 1214 FORMER TRUSTEE 127023 0 21968 0 24838 0 7421 0 33433 0 214683 0 0 0 PART I, LINE 3 LAWRENCE + MEMORIAL HOSPITAL, INC., A RELATED ORGANIZATION'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. PART I, LINE 4B LAWRENCE & MEMORIAL HOSPITAL (A RELATED ORGANIZATION) ESTABLISHED A SECTION 457(F) SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN FOR THE HOSPITAL'S SENIOR MANAGEMENT. AMOUNTS FOR BRUCE CUMMINGS ARE CREDITED TO THE RETIREMENT ACCOUNT IN MONTHLY INSTALLMENTS THROUGHOUT EACH PLAN YEAR. PLAN AMOUNTS FOR ALL OTHER MEMBERS OF SENIOR MANAGEMENT ARE CREDITED TO THE PLAN ANNUALLY. 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 THEIR W-2'S. DURING 2015, SECTION 457(F) CONTRIBUTIONS WERE CREDITED TOWARDS THE PLAN AS FOLLOWS: BRUCE CUMMINGS $86,945 PART I, LINE 7 BONUSES ARE PROVIDED AT THE DISCRETION OF SENIOR MANAGEMENT. THE CALCULATION IS BASED ON A RELATIVE VALUE UNIT PRODUCTIVITY MODEL AND OTHER PERFORMANCE MEASURES. SCHEDULE J, PART II BOARD MEMBERS ROBERT CIOTOLA, MD, JON GAUDIO, MD, BRENDA APPLEGATE, MD, CRISTY STANAT, MD, BRIAN WILLIAMS, MD, R. PRESTON LAMBERTON MD, H. ANTHONY CARTER MD, AMIT KHANNA, MD AND PAUL BOURGUIGNON MD, RECEIVE COMPENSATION FROM THE ORGANIZATION FOR THEIR SERVICES AS PHYSICIANS, NOT AS BOARD MEMBERS. FORM 990, PART VI 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 ONE (1) VOTING MEMBER IS INDEPENDENT. THE ORGANIZATION IS A RELATED ORGANIZATION OF LAWRENCE + MEMORIAL CORPORATION. PURSUANT TO ITS BYLAWS, THE ORGANIZATION'S EXECUTIVE DIRECTOR AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF LAWRENCE + MEMORIAL CORPORATION SERVE AS EX-OFFICIO MEMBERS OF THE BOARD OF TRUSTEES OF THE ORGANIZATION. ALL OTHER DIRECTORS ARE APPOINTED BY LAWRENCE + MEMORIAL CORPORATION. THE ORGANIZATION'S BYLAWS FURTHER REQUIRE THAT AT LEAST HALF OF THE DIRECTORS BE PHYSICIANS, WHO ARE TYPICALLY EMPLOYED BY THE ORGANIZATION. 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 CORPORATE MEMBER OF L&M PHYSICIAN ASSOCIATION, INC. (LMPA). FORM 990, PART VI, SECTION A, LINE 7A THE LMPA BOARD MEMBERS ARE ELECTED BY THE BOARD OF L&M CORPORATION. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE MEMBER OF THE ORGANIZATION HAS THE POWER TO ACCEPT OR REJECT THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE ORGANIZATION; AND TO APPROVE, UPON RECOMMENDATION OF THE BOARD, SIGNIFICANT FUNDRAISING PROGRAMS AND SALE OR DISPOSITION OF ANY ASSETS AND THE INCURRING OF INDEBTEDNESS IN SPECIFIC SITUATIONS. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS PREPARED BY THE ORGANIZATION AND REVIEWED BY THE EXTERNAL TAX CONSULTANTS. A DRAFT OF THE RETURN IS PROVIDED TO MANAGEMENT FOR REVIEW. ANY NECESSARY CHANGES ARE MADE PRIOR TO THE FINAL REVIEW AND SIGNING OF THE RETURN BY THE ORGANIZATION'S INDEPENDENT TAX CONSULTANTS. THE FINAL FORM 990 IS PROVIDED TO THE BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C LMPA REQUIRES ALL BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE. QUESTIONNAIRES ARE COMPLETED ANNUALLY AND ARE REVIEWED BY L&M HOSPITAL'S GENERAL COUNSEL. ANY ACTUAL OR POTENTIAL CONFLICTS DISCLOSED ARE PRESENTED TO THE BOARD. APPROPRIATE CORRECTIVE ACTIONS ARE DECIDED ON A CASE BY CASE BASIS. 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 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 ALL DOCUMENTS AVAILABLE UPON REQUEST. PART VII SECTION A. ROBERT CIOTOLA LEFT THE BOARD AS OF 12/2014. HOWEVER, HE WAS COMPENSATED FOR BEING AN EMPLOYEE IN L& M PHYSICIAN ASSOCIATION, INC. ASSOCIATED SPECIALISTS OF SOUTHEASTERN CONNECTICUT INC 365 MONTAUK AVENUE NEW LONDON CT 06320 208006123 HEALTHCARE SERVICES CT 501C3 LINE 11A, I LAWRENCE MEMORIAL HOSPITAL INC 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 11A, I BRIDGEPORT HOSPITAL 1 BRIDGEPORT HOSPITAL FOUNDATION INC 267 GRANT STREET BRIDGEPORT CT 06610 222908698 SYSTEM SUPPORT SERVICES CT 501C3 LINE 7 BRIDGEPORT HOSPITAL 1 BRIDGEPORT HOSPITAL FRIENDS OF PEDIATRICS INC 120 COLUMBINE DRIVE TRUMBULL CT 06611 066048427 SYSTEM SUPPORT SERVICES CT 501C3 LINE 11A, I YALE NEW HAVEN HOSPITAL 1 GREENWICH HEALTH CARE SERVICES INC - MERGED WITH GH 5122016 5 PERRYRIDGE ROAD GREENWICH CT 06830 222593399 SYSTEM SUPPORT SERVICES CT 501C3 LINE 11B, II YALE NEW HAVEN HEALTH SERVICES CORP 0 GREENWICH HOSPITAL 5 PERRYRIDGE ROAD GREENWICH CT 06830 060646659 HEALTHCARE SERVICES CT 501C3 LINE 3 SEE SCHEDULE R PART VII 0 LAWRENCE MEMORIAL CORPORATION 365 MONTAUK AVENUE NEW LONDON CT 06320 222553028 PROMOTE HEALTHCARE CT 501C3 LINE 9 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 1 LAWRENCE MEMORIAL HOSPITAL INC 365 MONTAUK AVENUE NEW LONDON CT 06320 060646704 HEALTHCARE SERVICES CT 501C3 LINE 3 LAWRENCE MEMORIAL CORPORATION 1 LMW HEALTHCARE INC 365 MONTAUK AVENUE NEW HAVEN CT 06320 460543230 HEALTHCARE SERVICES RI 501C3 LINE 3 LAWRENCE MEMORIAL CORPORATION 1 NORTHEAST MEDICAL GROUP INC 99 HAWLEY LANE STRATFORD CT 06614 061330992 HEALTHCARE SERVICES CT 501C3 LINE 9 YALE NEW HAVEN HEALTH SERVICES CORP 0 NORTHEAST MEDICAL GROUP PLLC 99 HAWLEY LANE STRATFORD CT 06614 352380180 HEALTHCARE SERVICES CT 501C3 LINE 11A, I NORTHEAST MEDICAL GROUP INC 1 PERRYRIDGE CORPORATION 5 PERRYRIDGE ROAD GREENWICH CT 06830 061207316 SYSTEM SUPPORT SERVICES CT 501C3 LINE 11B, II SEE SCHEDULE R PART VII 1 SOUTHERN CONNECTICUT HEALTH SYSTEM PROPERTIES INC 267 GRANT STREET BRIDGEPORT CT 06610 061297708 TITLE HOLDING CT 501C2 BRIDGEPORT HOSPITAL 1 THE GREENWICH HOSPITAL ENDOWMENT FUND INC 5 PERRYRIDGE ROAD GREENWICH CT 06830 061526642 SYSTEM SUPPORT SERVICES CT 501C3 LINE 11B, II SEE SCHEDULE R PART VII 1 THE WESTERLY HOSPITAL FOUNDATION INC 25 WELLS STREET WESTERLY RI 02891 050508064 FUNDRAISING SERVICES RI 501C3 LINE 11A, I LMW HEALTHCARE INC 1 VISITING NURSE ASSOCIATION OF SOUTHEREASTERN CONNECTICUT INC 403 NORTH FRONTAGE ROAD WATERFORD CT 06385 060646616 HOME HEALTHCARE SERVICES CT 501C3 LINE 9 LAWRENCE MEMORIAL CORPORATION 1 WESTERLY HOSPITAL AUXILIARY INC 25 WELLS STREET WESTERLY RI 02891 222507181 FUNDRAISING ACTIVITIES RI 501C3 LINE 11C, III-FI LMW HEALTHCARE INC 1 YALE NEW HAVEN HEALTH SERVICES CORP 789 HOWARD AVE NEW HAVEN CT 06519 222529464 SYSTEM SUPPORT SERVICES CT 501C3 LINE 11A, I N/A 0 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 1 L&M HEALTHCARE INC 365 MONTAUK AVENUE NEW LONDON CT 06320 222553031 SYSTEM SUPPORT SERVICES CT 501C3 LINE 11A, I LAWRENCE MEMORIAL CORPORATION 1 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 YNHHS-MSO INC 789 HOWARD AVE NEW HAVEN CT 06519 061467717 MANAGEMENT SERVICES CT N/A C 1 YALE NEW HAVEN AMBULATORY SERVICES 40 TEMPLE STREET NEW HAVEN CT 06510 061398526 HEALTHCARE SERVICES CT N/A C 1 MEDICAL CENTER REALTY INC 50 YORK STREET NEW HAVEN CT 06511 061110858 RENTAL SERVICES CT N/A C 1 GREENWICH FERTILITY & IVF PC 5 PERRYRIDGE ROAD GREENWICH CT 06830 300145464 HEALTHCARE SERVICES CT N/A C 1 YORK ENTERPRISES INC 50 YORK STREET NEW HAVEN CT 06511 061110937 TITLE HOLDING CT N/A C 1 YNHH-PHYSICIANS CORP 789 HOWARD AVE NEW HAVEN CT 06519 061202305 ADMINISTRATIVE SERVICES CT N/A C 1 MEDICAL CENTER PHARMACY INC 50 YORK STREET NEW HAVEN CT 06511 061087673 PHARMACY CT N/A C 1 GREENWICH OCCUPATIONAL HEALTH SERVICES OF NY PC 5 PERRYRIDGE ROAD GREENWICH CT 06830 061540101 HEALTHCARE SERVICES NY N/A C 1 GREENWICH OCCUPATIONAL HEALTH SERVICES OF NEW JERSEY 5 PERRYRIDGE ROAD GREENWICH CT 06830 453833883 HEALTHCARE SERVICES NJ N/A C 1 PRIMARYNET OF CONNECTICUT INC- TERMINATED 93016 789 HOWARD AVE NEW HAVEN CT 06519 061463534 HEALTHCARE SERVICES CT N/A C 1 CENTURY FINANCIAL SERVICES INC 23 MAIDEN LANE NORTH HAVEN CT 06473 061110797 DEBT COLLECTION SERVICES CT N/A C 1 CENTURY MANAGEMENT SERVICES INC 23 MAIDEN LANE NORTH HAVEN CT 06473 061303173 RECEIVABLE MANAGEMENT SERVICES CT N/A C 1 L & M SYSTEMS INC 365 MONTAUK AVENUE NEW LONDON CT 06320 222553037 HEALTHCARE RELATED SERVICES CT N/A C 1 L&M HOME CARE SERVICES INC 365 MONTAUK AVENUE NEW LONDON CT 06320 061389272 HOME THERAPY CT N/A C 1 LAWRENCE & MEMORIAL INDEMNITY COMPANY LTD PO BOX 1159 KY1-1102 GRAND CAYMAN CJ 981021436 INSURANCE CJ N/A C 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 LAWRENCE MEMORIAL HOSPITAL INC S 25511828 CASH LMW HEALTHCARE INC S 3741000 CASH PART II, IDENTIFICATION OF RELATED TAX-EXEMPT ORGANIZATION: NAME OF RELATED ORGANIZATION: GREENWICH HOSPITAL DIRECT CONTROLLING ENTITY: GREENWICH HEALTH CARE SERVICES, INC. THROUGH 5/12/16, AFTER YALE NEW HAVEN HEALTH SERVICES CORPORATION. NAME OF RELATED ORGANIZATION: PERRYRIDGE CORPORATION DIRECT CONTROLLING ENTITY: GREENWICH HEALTH CARE SERVICES, INC. THROUGH 5/12/16, AFTER GREENWICH HOSPTIAL. NAME OF RELATED ORGANIZATION: THE GREENWICH HOSPITAL ENDOWMENT FUND INC DIRECT CONTROLLING ENTITY: GREENWICH HEALTH CARE SERVICES, INC. THROUGH 5/12/16, AFTER GREENWICH HOSPTIAL.