LAWRENCE AND MEMORIAL HOSPITAL INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
LAWRENCE AND MEMORIAL HOSPITAL INC (EIN 06-0646704)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-13
IRS object ID
201442259349303174
Schema version
2012v2.3
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-08-13T17:03:41-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PricewaterhouseCoopers LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1125 High StreetAddressLine1
CityBostonCity
StateMAState
ZIP Code02110ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN060646704EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Lawrence & Memorial HospitalBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% BRUCE CUMMINGSInCareOfName
Name ControlLAWRNameControl
Phone8604420711Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1365 Montauk AvenueAddressLine1
Address Line2SuiteAddressLine2
CityNew LondonCity
StateCTState
ZIP Code06320ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBRUCE CUMMINGSName
TitlePRESIDENT/CEOTitle
Phone8604420711Phone
Date Signed2014-08-12DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone6175305000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonBRUCE CUMMINGSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1365 MONTAUK AVENUEAddressLine1
CityNEW LONDONCity
StateCTState
ZIP Code06320ZIPCode
FieldValueIRS element (for citing)
Gross Receipts330277516GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.lmhospital.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1912YearFormation
State Legal DomicileCTStateLegalDomicile
Activity Or Mission DescriptionTo improve the health of the region.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees2724TotalNbrEmployees
Total Nbr Volunteers315TotalNbrVolunteers
Total Gross UBI2330569TotalGrossUBI
Contributions Grants Prior Year810082ContributionsGrantsPriorYear
Contributions Grants Current Year813756ContributionsGrantsCurrentYear
Program Service Revenue Prior Year336259109ProgramServiceRevenuePriorYear
Program Service Revenue CY318911102ProgramServiceRevenueCY
Investment Income Prior Year5333151InvestmentIncomePriorYear
Investment Income Current Year7077778InvestmentIncomeCurrentYear
Other Revenue Prior Year2169383OtherRevenuePriorYear
Other Revenue Current Year2094550OtherRevenueCurrentYear
Total Revenue Prior Year344571725TotalRevenuePriorYear
Total Revenue Current Year328897186TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year187431350SalariesEtcPriorYear
Salaries Etc Current Year187641751SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year77139TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY108733TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year1145167TotalFundrsngExpCurrentYear
Other Expense Prior Year130687909OtherExpensePriorYear
Other Expenses Current Year124277351OtherExpensesCurrentYear
Total Expenses Prior Year318196398TotalExpensesPriorYear
Total Expenses Current Year312027835TotalExpensesCurrentYear
Revenues Less Expenses Prior Year26375327RevenuesLessExpensesPriorYear
Revenues Less Expenses CY16869351RevenuesLessExpensesCY
Total Assets BOY368182035TotalAssetsBOY
Total Assets EOY393527817TotalAssetsEOY
Total Liabilities BOY198186413TotalLiabilitiesBOY
Total Liabilities EOY194363317TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY169995622NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY199164500NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO IMPROVE THE HEALTH OF THE REGION.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense226536766Expense
Revenue318907073Revenue
DescriptionSEE SCHEDULE ODescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense716509Expense
Revenue4029Revenue
DescriptionEDUCATIONAL PROGRAMSDescription
FieldValueIRS element (for citing)
Total Program Service Expense227253275TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingtrueProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096207NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees2724NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccounttrueForeignFinancialAccount
Name Of Foreign CountryNLNameOfForeignCountry
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest
Other Explain In Sch OXOtherExplainInSchO

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonBRUCE CUMMINGSNamePerson
Telephone Number8604420711TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1365 MONTAUK AVENUEAddressLine1
CityNew LondonCity
StateCTState
ZIP Code06320ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (32 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
JAY E ALLEN DMD
SECRETARY - AS OF 12/12/122.02.0XX000
ULYSSES B HAMMOND
CHAIRMAN2.04.0XX000
CAROL O RIDGEWAY
DIRECTOR2.02.0X000
SCOTT D BATES
VICE CHAIRMAN - AS OF 12/122.04.0XX000
MARY ELLEN JUKOSKI EDD
DIRECTOR2.02.0X000
BRUCE D CUMMINGS
PRESIDENT/CEO29.2510.75XX639015094876
HENRY AMDUR MD
PAST PRESIDENT, MEDICAL STAFF2.038.0XX1365337929417419
DONALD J FELITTO MD
PRESIDENT, MEDICAL STAFF2.02.0XX3763100
DAVID F REISFELD MD
VP, MED STAFF2.038.0XX037661034798
B MICHAEL RAUH JR
TREASURER - AS OF 12/12/122.02.0XX000
JAMES MITCHELL PHD
DIRECTOR - AS OF 12/12/122.00.0X000
R ALAN HUNTER
DIRECTOR - UNTIL 12/12/122.06.0X000
ROBERT KELTNER MD
DIRECTOR - UNTIL 12/12/122.02.0X8023700
MARILYNN MALERBA
SECRETARY - UNTIL 12/12/122.06.0XX000
GRANVILLE MORRIS
VICE CHAIRMAN - UNTIL 12/12/122.04.0XX000
LEON J OLIVIER
DIRECTOR - UNTIL 12/12/122.02.0X000
FRED A CONTI CPA
TREASURER - UNTIL 12/12/122.02.0XX000
KATHLEEN STEAMER CPA
DIRECTOR - UNTIL 12/12/122.02.0X000
LUGENE INZANA
VP CHIEF FINANCIAL OFFICER30.010.0X354521061083
ATTORNEY MAUREEN ANDERSON
ASSISTANT SECRETARY32.08.0X263121050294
WILLIAM STANLEY
VP DEV & COMMUNITY RELATIONS38.02.0205203047112X
DANIEL RISSI MD
VP CHEIF MEDICAL OFFICER34.06.0405192060319X
KIMBERLY KALAJAINEN
VP CHEIF INFORMATION OFFICER34.06.0221170048907X
CRISTA DURAND
VP STRATEGIC PLANNING/MKTG40.00.0284443052533X
LAUREN WILLIAMS
VP PATIENT CARE SERVICES40.00.0261903037325X
PAMELA KANE
VP PHYSICIANS PRACTICE0.040.0233573049085X
DONNA EPPS
VP CHIEF HR OFFICER40.00.0179371017866X
GARTH BALLANTYNE
CHAIRMAN DEPT OF SURGERY40.00.019432604223X
GERALDINE RUFFA
MEDICAL DIRECTOR, PHYSICIAN40.00.0229707033045X
KENNETH CIKATZ
PHARMACIST40.00.0189198024606X
PAUL CHAUSSE
DIRECTOR OF REVENUE CYCLE40.00.0174636015988X
GARY CASS
DIRECTOR HR/LABOR RELATIONS40.00.0171136018727X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4138036TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs755904TotalReportableCompFrmRltdOrgs
Total Other Compensation668206TotalOtherCompensation
Number Individuals GT100 K174NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
IPC HOSPITALISTS COMPANY INC
PO BOX 8219PASADENACA91103HOSPITALISTS1993072
YANKEE REMODELER OF NEW LONDON
95 TRUMAN STREETNEW LONDONCT06320REMODELING COMPANY867269
TOTAL LAUNDRY COLLABORATIVE LLC
114 WOODLAND STREETHARTFORDCT06105LAUNDRY SERVICES852054
NIXON PEABODY LLP ATTORNEYS AT LAW
100 SUMMER STBOSTONMA021102131ATTORNEYS2196428
BL CONSTRUCTION INC
756 MIDDLESEX TPKEOLD SAYBROOKCT06475REMODELING COMPANY995730
FieldValueIRS element (for citing)
Number Of Contractors GT100 K23NumberOfContractorsGT100K
Government Grants578303GovernmentGrants
All Other Contributions235453AllOtherContributions
Total Contributions813756TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT SERVICES900099298930165298930165
LAB TESTING - ORR90009922456352245635
EMPLOYEE ASSISTANCE PROGRAM9000998493484934
PARAMEDIC SERVICES90009931844853184485
OTHER PROGRAM SERVICE REVENUE9000991446588314465883
FieldValueIRS element (for citing)
Total Program Service Revenue318911102TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column6806956TotalRevenueColumn
Exclusion$6,806,956ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1054282Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real1054282Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column1054282TotalRevenueColumn
Exclusion$1,054,282ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1642552Securities
Other8600Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1380330Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities262222Securities
Other8600Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column270822TotalRevenueColumn
Exclusion$270,822ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionDINING ROOMDescription
Business Code900099BusinessCode
Total Revenue Column1040268TotalRevenueColumn
Exclusion$1,040,268ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue1040268TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column328897186TotalRevenueColumn
Related Or Exempt Function Income316580533RelatedOrExemptFunctionIncome
Unrelated Business Revenue2330569UnrelatedBusinessRevenue
Exclusion$9,172,328ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3800706Total
Management And General3562383ManagementAndGeneral
Fundraising238323Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total140743658Total
Program Services108185505ProgramServices
Management And General32284025ManagementAndGeneral
Fundraising274128Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3356142Total
Program Services2516083ProgramServices
Management And General833684ManagementAndGeneral
Fundraising6375Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total29359014Total
Program Services22010304ProgramServices
Management And General7292939ManagementAndGeneral
Fundraising55771Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total10382231Total
Program Services7783506ProgramServices
Management And General2579003ManagementAndGeneral
Fundraising19722Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1395693Total
Program Services72913ProgramServices
Management And General1322780ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total500Total
Management And General500ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total108733Total
Fundraising108733Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total6649456Total
Program Services6021784ProgramServices
Management And General627672ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total5858062Total
Program Services4066215ProgramServices
Management And General1733970ManagementAndGeneral
Fundraising57877Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total4275031Total
Program Services698845ProgramServices
Management And General3565356ManagementAndGeneral
Fundraising10830Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total7158564Total
Program Services1962786ProgramServices
Management And General5196048ManagementAndGeneral
Fundraising-270Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total433562Total
Program Services147585ProgramServices
Management And General282384ManagementAndGeneral
Fundraising3593Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total2705025Total
Program Services2705025ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total20641159Total
Program Services11866270ProgramServices
Management And General8774512ManagementAndGeneral
Fundraising377Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total5787779Total
Program Services5787779ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
PURCHASED SVCS1900723589093761008042017439
MEDICAL & SURGICAL39068535387888002730716664
EQUIP RENTAL & MAINTENANCE688115949801291901030
CONSULTING239835627002271452124204

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2017235Total
Program Services747670ProgramServices
Management And General1048164ManagementAndGeneral
Fundraising221401Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total312027835Total
Program Services227253275ProgramServices
Management And General83629393ManagementAndGeneral
Fundraising1145167Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY13749443BOY
EOY483541EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY20366BOY
EOY20366EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY27406867BOY
EOY32485521EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY639609BOY
EOY304200EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY4469470BOY
EOY5845470EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2004576BOY
EOY2256097EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis407322048LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec245331839LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY134926548BOY
EOY161990209EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY155656275BOY
EOY149858150EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY6451420BOY
EOY6773578EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY22857461BOY
EOY33510685EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY368182035BOY
EOY393527817EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY38902181BOY
EOY37658612EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY79493826BOY
EOY88266954EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY79790406BOY
EOY68437751EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY198186413BOY
EOY194363317EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY144038576BOY
EOY171018998EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY20092239BOY
EOY22198248EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY5864807BOY
EOY5947254EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY169995622BOY
EOY199164500EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY368182035BOY
EOY393527817EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses16869351ReconcilationRevenueExpenses
Reconciliation Unrealized Invest10776870ReconciliationUnrealizedInvest
Reconcilation Other Changes1522657ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$36,256OtherActivitiesAmount
Total Lobbying Expenditures IIB36256TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLobbying ActivitiesIdentifier
Return ReferenceSchedule C, Part II-B, Line 1ReturnReference
ExplanationThe organization pays membership dues to the Connecticut Hospital Association which lobbies on behalf of its member organizations. These lobbying activities are defined as CHA staff communication with the federal and state governments to influence legislation. The Organization pays membership dues to member organizations which may engage in lobbying activities. therefore, a portion of the dues may be attributable to lobbying activities.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance16251377BeginningOfYearBalance
Investment Earnings Or Losses1952978InvestmentEarningsOrLosses
Other Expenditures239701OtherExpenditures
Administrative Expenses41701AdministrativeExpenses
End Of Year Balance17922953EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance14398889BeginningOfYearBalance
Investment Earnings Or Losses2146447InvestmentEarningsOrLosses
Other Expenditures266733OtherExpenditures
Administrative Expenses27226AdministrativeExpenses
End Of Year Balance16251377EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance14741092BeginningOfYearBalance
Investment Earnings Or Losses17500InvestmentEarningsOrLosses
Other Expenditures324466OtherExpenditures
Administrative Expenses35237AdministrativeExpenses
End Of Year Balance14398889EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance14150668BeginningOfYearBalance
Investment Earnings Or Losses1282741InvestmentEarningsOrLosses
Other Expenditures652042OtherExpenditures
Administrative Expenses40275AdministrativeExpenses
End Of Year Balance14741092EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance14857509BeginningOfYearBalance
Investment Earnings Or Losses-154454InvestmentEarningsOrLosses
Other Expenditures539291OtherExpenditures
Administrative Expenses13096AdministrativeExpenses
End Of Year Balance14150668EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.85000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.15000PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1023729OtherCostOrOtherBasis
Book Value1023729BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis112399378OtherCostOrOtherBasis
Depreciation69718914Depreciation
Book Value42680464BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis7702256OtherCostOrOtherBasis
Depreciation3396089Depreciation
Book Value4306167BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis234099872OtherCostOrOtherBasis
Depreciation167521467Depreciation
Book Value66578405BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis52096813OtherCostOrOtherBasis
Depreciation4695369Depreciation
Book Value47401444BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings161990209TotalOfBookValueLandBuildings

Other Assets OtherAssets (6 entries)

DescriptionDescriptionBook ValueBookValue
OTHER RECEIVABLES17204746
DEBT SERVICE FUND1306255
DEBT SERVICE RESERVE FUND2247255
DEFERRED FINANCING COSTS1776176
DUE FROM AFFILIATES1434568
CONSTRUCTION FUND9541685
FieldValueIRS element (for citing)
Total Book Value Other Assets33510685TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (11 entries)

DescriptionDescriptionAmountAmount
DUE TO THIRD PARTY AGENCIES$3,826,094
DEFERRED COMPENSATION$83,633
SELF ASSURANCE RESERVES$3,593,332
ACCRUED POST RETIREMENT BENEFI$1,000,744
ACCRUED PENSION$2,733,069
ACCRUED 401K MATCH$1,294,964
ACCRUED MIN PENSION LIABILITY$37,196,935
ASSET RETIREMENT OBLIGATION$487,381
DUE TO L&M CORPORATION$1,867,732
DEFERRED FINANCING COST$2,659,757
MALPRACTICE INSURANCE$13,694,110
FieldValueIRS element (for citing)
Total Of Amounts68437751TotalOfAmounts

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SCHEDULE D, PART V, LINE 4THE ORGANIZATION'S ENDOWMENT FUNCTIONS TO SUPPORT AND PROVIDE INCOME FORTHE FURTHERANCE OF THE HEALTHCARE MISSION OF LAWRENCE & MEMORIAL HOSPITAL.
SCHEDULE D, PART X LINE 2THE ORGANIZATIONS FINANCIAL STATEMENTS DO NOT INCLUDE A FIN 48 DISCLOSURE.

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegion
Type Of Activities ConductedInvestmentsTypeOfActivitiesConducted
Total Expenditures37593506TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Amount Spent37593506SubtotalAmountSpent
Total Amount Spent37593506TotalAmountSpent
Transfer To Foreign CorptrueTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorptrueOwnForeignCorp
Passive Foreign Invest CofalsePassiveForeignInvestCo
Foreign PartnershipfalseForeignPartnership
Boycott CountriesfalseBoycottCountries

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsXMailSolicitations
Email SolicitationsXEmailSolicitations
Phone SolicitationsXPhoneSolicitations
In Person SolicitationsXInPersonSolicitations
Solicitation Of Non Govt GrantsXSolicitationOfNonGovtGrants
Solicitation Of Govt GrantsXSolicitationOfGovtGrants
Special Fundraising EventsXSpecialFundraisingEvents
Agreement Ref FundraisingtrueAgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation

FieldValueIRS element (for citing)
Name Of IndividualGHIORSI SORRENTI INCNameOfIndividual
ActivityCAPITAL CAMPAIGNActivity
Fundraiser Control Of FundsfalseFundraiserControlOfFunds
Amount Retained By Contractor108733AmountRetainedByContractor
FieldValueIRS element (for citing)
Total Retained By Contractors108733TotalRetainedByContractors
Licensed StatesCTLicensedStates

Form990 Schedule G Part IV Form990ScheduleGPartIV

FieldValueIRS element (for citing)
IdentifierSCHEDULE G, PART IIIdentifier
ExplanationFUNDRAISING EXPENSES ARE REPORTED ON FORM 990, PART IX FOR LAWRENCE & MEMORIAL HOSPITAL (EIN 06-0646704). CONTRIBUTIONS ARE REPORTED ON THE FORMS 990 FOR BOTH LAWRENCE & MEMORIAL HOSPITAL (EIN 06-0646704) AND LAWRENCE & MEMORIAL CORPORATION (EIN 22-2553028). ADDITIONAL CONTRIBUTIONS IN THE AMOUNT OF $2,685,385 ARE REPORTED ON THE FORM 990 FOR LAWRENCE & MEMORIAL CORPORATION (EIN 22-2553028).Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage250.FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served2299PersonsServed
Total Community Benefit Expense1465992TotalCommunityBenefitExpense
Net Community Benefit Expense1465992NetCommunityBenefitExpense
Percent Of Total Expense0.00470PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Persons Served25351PersonsServed
Total Community Benefit Expense48592382TotalCommunityBenefitExpense
Direct Offsetting Revenue36586251DirectOffsettingRevenue
Net Community Benefit Expense12006131NetCommunityBenefitExpense
Percent Of Total Expense0.03850PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Persons Served518PersonsServed
Total Community Benefit Expense991682TotalCommunityBenefitExpense
Direct Offsetting Revenue746659DirectOffsettingRevenue
Net Community Benefit Expense245023NetCommunityBenefitExpense
Percent Of Total Expense0.00080PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served28168PersonsServed
Total Community Benefit Expense51050056TotalCommunityBenefitExpense
Direct Offsetting Revenue37332910DirectOffsettingRevenue
Net Community Benefit Expense13717146NetCommunityBenefitExpense
Percent Of Total Expense0.04400PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs69NumberOfActivitiesOrPrograms
Persons Served31140PersonsServed
Total Community Benefit Expense1881866TotalCommunityBenefitExpense
Direct Offsetting Revenue4029DirectOffsettingRevenue
Net Community Benefit Expense1877837NetCommunityBenefitExpense
Percent Of Total Expense0.00600PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs10NumberOfActivitiesOrPrograms
Persons Served1389PersonsServed
Total Community Benefit Expense868105TotalCommunityBenefitExpense
Net Community Benefit Expense868105NetCommunityBenefitExpense
Percent Of Total Expense0.00280PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs11NumberOfActivitiesOrPrograms
Persons Served6986PersonsServed
Total Community Benefit Expense4512175TotalCommunityBenefitExpense
Direct Offsetting Revenue3184485DirectOffsettingRevenue
Net Community Benefit Expense1327690NetCommunityBenefitExpense
Percent Of Total Expense0.00430PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Benefit Expense211116TotalCommunityBenefitExpense
Net Community Benefit Expense211116NetCommunityBenefitExpense
Percent Of Total Expense0.00070PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs17NumberOfActivitiesOrPrograms
Persons Served1421PersonsServed
Total Community Benefit Expense126086TotalCommunityBenefitExpense
Net Community Benefit Expense126086NetCommunityBenefitExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs108NumberOfActivitiesOrPrograms
Persons Served40936PersonsServed
Total Community Benefit Expense7599348TotalCommunityBenefitExpense
Direct Offsetting Revenue3188514DirectOffsettingRevenue
Net Community Benefit Expense4410834NetCommunityBenefitExpense
Percent Of Total Expense0.01420PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs108NumberOfActivitiesOrPrograms
Persons Served69104PersonsServed
Total Community Benefit Expense58649404TotalCommunityBenefitExpense
Direct Offsetting Revenue40521424DirectOffsettingRevenue
Net Community Benefit Expense18127980NetCommunityBenefitExpense
Percent Of Total Expense0.05820PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served997PersonsServed
Total Community Building Expense52028TotalCommunityBuildingExpense
Net Community Building Expense52028NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Number Of Activities Or Programs5NumberOfActivitiesOrPrograms
Persons Served220PersonsServed
Total Community Building Expense70706TotalCommunityBuildingExpense
Net Community Building Expense70706NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served9PersonsServed
Total Community Building Expense264TotalCommunityBuildingExpense
Net Community Building Expense264NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs8NumberOfActivitiesOrPrograms
Persons Served1226PersonsServed
Total Community Building Expense122998TotalCommunityBuildingExpense
Net Community Building Expense122998NetCommunityBuildingExpense
Percent Of Total Expense0.00040PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$12,037,777BadDebtExpenseAmount
Amount Attributable To194792AmountAttributableTo
Amount Reimbursed By Medicare102446118AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare120595559CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-18149441MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1LAWRENCE & MEMORIAL HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1365 MONTAUK AVEAddressLine1
CityNEW LONDONCity
StateCTState
ZIP Code06320ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours
Er OtherXErOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1LAWRENCE & MEMORIAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
CHNA ConductedtrueCHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Information GapsXInformationGaps
OtherXOther
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into AccounttrueTakeIntoAccount
Other FacilitiesfalseOtherFacilities
CHNA Widely AvailabletrueCHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Other MethodXOtherMethod
Adopt Implement StrategyXAdoptImplementStrategy
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
Other Needs AddressedXOtherNeedsAddressed
All Needs AddressedfalseAllNeedsAddressed
Organization Incur Excise TaxfalseOrganizationIncurExciseTax
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent250.FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent251.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Uninsured DiscountXUninsuredDiscount
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
SCHEDULE H, PART I, LINE 3C:It is the philosophy and policy of Lawrence & Memorial Hospital ("L+M HOSPITAL") 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) as described in 19a-673 of the Connecticut General Statutes. L+M HOSPITAL will meet or exceed the guidelines set-forth by the Connecticut Hospital Association ("CHA") on the Statewide Discount Policy for Uninsured Patients. 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"). Liquid assets must not exceed $50,000 (Stocks, bonds, cash, 401, IRA, CD etc.) excluding primary residence and primary motor vehicle). Business assets, rental property, secondary residence, recreational vehicles and other such luxury items will be applied to the liquid assets. Care will be discounted on a sliding scale for self-pay patients who have no third party insurance to cover services with an annual income that is between 250% and 400% of the FPL and have assets less than $50,000, in accordance with the following: 251% - 300% = Cost of Charge 301% - 350% = 40% 351% - 400% = 30% SCHEDULE H, PART I, LINE 6A: For tax year 2012, L+M Hospital prepared and widely distributed an annual report of community benefit activities. The report was officially released at the mid-year corporator meeting on June 7, 2012, mailed to all trustees, key community leaders, and physicians, posted by link to the L+M Hospital website, made available at the hospital, and distributed at community events.
SCHEDULE H, PART I, LINE 7:The amounts reported on Part I, Line 7 were calculated as direct, separately identifiable costs incurred by the Hospital plus an allocation of overhead. SCHEDULE H, Part II: L+M Hospital, with a mission to "Improve the Health of the Region," hews to the World Health Organization definition of health: "a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity." In addition to meeting an identified need in the community, L+M Hospital contributes to an overall healthy community and supports the hospital's role as good corporate citizen. This social impact is measured in terms of community vibrancy, and breadth and depth of community activities that enhance the quality of life in the region. The majority of the hospital's community building activities fall into the category of coalition building, in which we are engaged with a broad range of community partners in improving community health in the areas of parish nursing, teen pregnancy prevention, access to care and reduction of chronic disease. Additionally, we are engaged in community support activities such as support for local faith community leaders, health-related career development activities, and support for partner non-profits also engaged in community development such as the disbursement of scholarships. In the area of leadership development and training for community members, we provide training for professionals in injury prevention strategies, and health career leadership development and workforce development. We participate in economic development activities through the region's Chambers of Commerce. Community health improvement advocacy includes promotion of injury prevention policy changes and support for improved access to healthcare. All of these activities have as their primary purpose to benefit the community and are carried out without remuneration.
SCHEDULE H, PART III, LINE 4:L+M HOSPITAL uses a cost reporting system to determine the bad debt expense. The amount of bad debt expense (at cost) reported on Part III, Line 2 is taken directly from the audited financial statements. The amount of bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy is calculated as 2% of the amount of bad debt (at cost) from the audited financial statements. The amount of 2% represents the bad debt amount that could have been qualified for charity care as this the percentage of gross revenue that is self paid.
SCHEDULE H, PART III, LINE 8:The Medicare shortfall of ($18,149,441) reported in Part III, Line 7 was calculated based on cost reporting. This amount should be treated as community benefit because the rates paid by Medicare do not accurately reflect the cost of care provided by L+M HOSPITAL. Accordingly, L+M HOSPITAL must subsidize the cost of care provided to Medicare beneficiaries with other revenues.
SCHEDULE H, PART III, LINE 9B:IN ACCORDANCE WITH ITS WRITTEN CREDIT AND COLLECTION POLICY, L+M HOSPITAL 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.
SCHEDULE H, Part V, Section B, LINE 1J:In addition to the Community Health Needs Assessment (CHNA) components listed, the L+M HOSPITAL CHNA report for 2012 included analysis of the data in terms of strengths and opportunities for action. This analysis informed the creation of the Community Health Implementation Plan. SCHEDULE H, Part V, Section B, LINE 3: Upon completion of data collection and analysis, L+M Hospital convened a team of hospital and community representatives to a community health strategic planning session in May 2012. This session was facilitated by Holleran Consulting. The purpose of the strategic planning session was to share the results of the community health needs assessment, to discuss and prioritize community health needs, and to develop community health goals and strategies to guide the L+M Community Health Implementation Plan (CHIP). An asset mapping process was also undertaken in order to identify existing resources, services, and initiatives in the hospital service area. SCHEDULE H, Part V, Section B, LINE 5A: The CHNA report can be found online at the Hospital's website: HTTP://WWW.LMHOSPITAL.ORG/COMMUNITY-INVOLVEMENT/COMMUNITY-PARTNERSHIPS.ASP X SCHEDULE H, Part V, Section B, LINE 5C: The CHNA report was released at a presentation open to the public on January 23, 2013. In attendance were community partners representing other non-profit organizations, business leaders, individuals representing the education sector, hospital staff, members of the press, and community members. SCHEDULE H, Part V, Section B, LINE 6I: The Community Health Implementation Plan (CHIP) was approved by the L+M Board of Directors on August 26, 2013. The plan can be found online on the Hospital's website, HTTP://WWW.LMHOSPITAL.ORG/COMMUNITY-INVOLVEMENT/COMMUNITY-PARTNERSHIPS.ASP X SCHEDULE H, Part V, Section B, LINE 7: Due to resource constraints, some of the identified needs through the CHNA will not be addressed. In other cases, other organizations are taking the lead on an identified need and L+M Hospital is collaborating. A driving philosophy of L+M's community benefit efforts is to build on community resources, programs and services and to not duplicate them. As such, in examining each of the prioritized community health needs, existing community assets were identified before considering any new strategies that L+M might initiate and/or those to be continued. Where there is an existing community-based program addressing any of the prioritized needs, or due to resource limitations, L+M will work to support and build capacity of those programs rather than to create something new. There are three specific examples of areas where the data demonstrate that the L+M community is an outlier as compared to national benchmarks. The use of tobacco in the L+M service area, while having decreased, continues to exceed the Healthy People 2020 goal. L+M offers cessation support to employees presently. Although this indicator is directly linked to the priority area of cancer, due to resource limitations, L+M will not undertake programming intended for the wider community related to tobacco cessation. Similarly, although excessive drinking in adults over age 18 in New London County exceeds the national benchmark, and can be linked to cancer and mental health priority areas, L+M will support efforts led by community partners but will not take the lead in programming around this issue. For example, much work around substance abuse and addiction issues is being carried out by the Southeastern CT Regional Action Council, an entity established by the CT Legislature to assist communities in this area. Additionally, there are community partners receiving federal and state grant funds to address this area. L+M partners in these efforts but will not initiate new strategies. Last, the urban center of New London continues to demonstrate variance from state rates in births to teens and sexually transmitted infections. Although L+M will work to support community partners in addressing these issues, resource limitations will no longer allow L+M to play a leadership role. SCHEDULE H, Part V, Section B, LINE 20D: SEE EXPLANATION PROVIDED IN SCHEDULE H, PART I, LINE 3C
SCHEDULE H, PART VI, LINE 2L&M Hospital employs a variety of strategies in gauging the health needs of the communities it serves. The most recent community health needs assessment (CHNA), covering the Lawrence + Memorial primary service area, was initiated in 2012 and has been conducted under the guidance of an outside expert. The assessment updates the last comprehensive CHNA and further analyzes health status as it relates to identified health care and public health issues in New London County. Methods included using scientifically valid data, comparative information, and input from local residents, providers and leaders. Indicators were computed from an extensive set of secondary health-related data. L+M Hospital reviews disease incidence and prevalence rates for the local community, state, and nation. Rates are collected from medical journals, the CT Department of Health, or national health resources such as the Kaiser Family Foundation or CDC. This analysis informs L+M on the health status of the community and is used to focus program and service development on areas of greatest concern. Information on community needs is also gathered through partnerships with other community organizations such as the United Way, the Ledge Light Health District, and other local non-profits. Periodic review of data and updating as appropriate is conducted. L+M Hospital completes a physician manpower study regularly. This study, conducted by an outside consultant, documents the demand for physicians by specialty based on physician-to-population ratios, the supply of physicians in the community, and the resultant gaps between demand and supply. The analysis informs L+M of deficiencies in physician supply and helps focus recruitment efforts to meet the demands of the community. All community benefit activities are regularly evaluated for impact and effectiveness and audited for compliance with the organization's community benefit policy.NEEDS ASSESSMENT:
SCHEDULE H, PART VI, LINE 3In accordance with its charity care policy, L+M HOSPITAL 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 that L+M HOSPITAL considers them "insured" per the Connecticut General Statues Section 19a-673. It is the responsibility of the patient to advise L+M HOSPITAL 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.PATIENT EDUCATION OF ELGIBILITY FOR ASSISTANCE:
SCHEDULE H, PART VI, LINE 4Population size The communities that comprise the service area of Lawrence & Memorial include ten towns along the Connecticut shoreline between Rhode Island and the Connecticut River and inland to Salem, CT, with a total population of approximately 180,000 people year-round, increasing to 250,000 in the summer. Our communities represent a broad mix of urban, suburban, and rural areas. General Demographics The towns and cities in this area are very diverse, not only socio-economically but also in terms of race, ethnicity, faith tradition, resident transience, employment, health insurance status, and educational attainment. From 2000 to 2010, there was a slight overall growth in population with dramatic changes occurring in ethnic and racial composition of the local population; the percentage of Hispanics increased by 75.4%, African Americans increased by 16.9%, Native Americans increased by 0.7%, Asians increased by 124% and those who indicate "other" increased by 64%. Other increases have occurred in the Eastern European, and Haitian populations, among others, with local school districts reporting significant percentages of children who are English language learners (21.6 percent in New London, 11.5 percent in Norwich). Changes in the ethnic and racial makeup of County residents are impacting the burden of disease and demand for health services. According to the CDC Office of Minority Health & Health Equity (2012), race and ethnicity correlate with significant health disparities. Specifically, Hispanic/Latinos are at higher risk for asthma, diabetes, HIV/AIDS, cervical cancer, lack of prenatal care, and infant mortality. Blacks/African Americans are at higher risk for heart disease, hypertension, diabetes, and infant mortality. Both populations are also at higher risk for overweight/ obesity issues. Major Employers The region has transitioned from a largely defense industry-based economy to one that relies heavily upon employment in the service and trade sectors and in general has a higher percentage of persons employed in those sectors -with corresponding lower rates of pay- which is correlated with the lower per capita income and greater economic vulnerability. Major employers include the Mashantucket Pequot and Mohegan Tribes (Foxwoods Resort and Casino and Mohegan Sun Casino respectively), Pfizer Global Research and Development, educational institutions (Connecticut College, Mitchell College and the U.S. Coast Guard Academy), General Dynamics/Electric Boat, Dominion, and Lawrence + Memorial. Primary Social and Health Care Factors In the urban centers of the region, racial and ethnic health disparities, higher poverty and unemployment rates, lower levels of educational attainment, limited access to affordable housing and transportation, higher rates of death from chronic illness, and a greater likelihood of residents not having health insurance, all of which present particular challenges. Median household income in the L+M service area is far below that of the state, with African American and Hispanic families' incomes significantly lower than White families' incomes. The region includes one priority school district. Three of our communities have a greater percentage of children living in poverty than the state average of 26.1% - Groton 27.7%, New London 59.7% and Norwich 43.4% (children under 200% of the Federal Poverty Level 2006 - 2010, CT Voices for Children). The chronic disease burden is high throughout New London County with Norwich and New London having higher percentages with 3+ chronic conditions than other regions. New London and Norwich also have a higher percentage of people who self-identify as "Not Well" and, along with some outlying towns, have the least favorable indicators for chronic disease.COMMUNITY INFORMATION:
SCHEDULE H, PART VI, LINE 5L+M Hospital's community benefit programs and services forward the organizational mission "To Improve the Health of the Region" and align with the principles as set forth in the organization's community benefit policy. Those principles include: 1. Emphasis on programs to meet a significant unmet health need including efforts to identify and include vulnerable populations or those most at-risk as determined by risk factors which predispose those populations toward a higher incidence of disease and/or barriers to obtaining appropriate healthcare. 2. Emphasis on primary prevention and including at least one of three primary prevention strategies: health promotion, disease prevention, and health protection. Health promotion entails encouraging healthy lifestyles; disease prevention focuses on individuals identified as at-risk for health problems; health protection activities influence the environment to support healthy behaviors. 3. Programs should develop evidence-based links between clinical services and health improvement activities delivered both inside and outside the hospital. 4. Programs should focus on targeting charitable resources that mobilize and build capacity within existing community assets while minimizing duplication of effort. 5. Programs should emphasis collaboration with community stakeholders. As evidenced by the wide range of community benefit programs and services offered, L+M is engaged in meeting the identified health needs of the communities we serve. There is an organizational history of collecting data to determine how best to direct our resources and how to make the greatest impact in promoting community health. Our annual community benefit report publication describes a sampling of programs and the amount of investment that L+M makes in carrying out these programs. Community involvement in governance and advisory groups Community engagement in the planning, implementation and evaluation of L+M Hospital initiatives is of utmost importance. Consumers and stakeholder organizations participate in a range of activities so as to ensure that many perspectives are considered. One example of broad community involvement is in our facilitation of a multi-sector stakeholder collaborative to bring a community fitness center to our home community. Additionally, our community-based programs each have advisory groups, including the Faith in Action Network (parish nursing), Safe Kids New London County (injury prevention), and Teen Pregnancy Prevention Task Force. The Reconnecting the Homeless Program engages in community collaboratives that provide important input for the program and emphasis is placed on hospital representative participation in other community organizations so as to provide opportunities to hear from our consumers. Lawrence + Memorial's Board of Directors is made up of community leaders who reside in the hospital's primary service area. These volunteers give countless hours of service to the hospital in their oversight role. They are involved in the strategic planning, in fundraising, and in general stewardship among other responsibilities. Our corporators are our community-liaisons and represent all sectors of our communities providing input and feedback regularly. Medical staff privileges are offered to all qualified physicians in the community.PROMOTION OF COMMUNITY HEALTH:
SCHEDULE H, PART VI, LINE 6The entities of L+M Healthcare include L+M Hospital, the L+M Medical Group (L+MMG, physician practices), The Visiting Nurse Association of Southeastern CT (VNASC), and Westerly Hospital (Rhode Island) each of which have a role in promoting the health of our communities. The L+M Hospital role is described in Question 5 above and Westerly Hospital operates in similar fashion: implementing community health improvement activities, providing opportunities for health professions students, ensuring access to care, promoting primary preventive care, providing subsidized health services and serving as a safety net provider. VNASC cares for everyone from the elderly who wish to remain in their homes for as long as they can and patients recovering from surgery or illness, to new mothers, schoolchildren, and the homeless using the most current medical advances and technologies in home healthcare, and strengthen community resources for everyone. L+MMG, through its patient-centered medical home primary care and specialty practices provides diagnostic, therapeutic and preventive health care through physicians of Family Practice, Internal Medicine, Pediatrics, Dermatology, Endocrinology, General Surgery, Orthopedic Surgery, Neurosurgery, Breast and Reconstructive Surgery, Neurology, Rehabilitation Medicine, Obstetrics, Gynecology, Cardiology and Interventional Pain Management in multiple locations throughout southeastern CT and southwestern RI.AFFILIATED HEALTH CARE SYSTEM:
SCHEDULE H, PART VI, LINE 7L+M Hospital files its community benefit report in Connecticut only. The L+M Healthcare affiliated organization, Westerly Hospital, files reports on Rhode Island.STATE FILING OF COMMUNITY BENEFIT REPORT:
OTHER INFORMATION:A MAJORITY OF L+M HOSPITAL'S TRUSTEES ARE MEMBERS OF THE COMMUNITY SERVED BY L+M HOSPITAL AND ARE NOT EMPLOYED BY L+M HOSPITAL NOR ARE THEY FAMILY MEMBERS OF PERSONS EMPLOYED BY L+M HOSPITAL. L+M HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY WHO WISH TO JOIN THE STAFF, CONSISTENT WITH THE SIZE AND NATURE OF ITS FACILITIES. EXCESS RECEIPTS FROM OPERATIONS ARE DEVOTED TO IMPROVEMENT OF FACILITIES, DEBT SERVICE, MEDICAL TRAINING AND RESEARCH. HEALTH ADVOCACY INITIATIVES L+M HOSPITAL IS INVOLVED IN HEALTH ADVOCACY INITIATIVES TO REDUCE UNINTENTIONAL INJURY TO CHILDREN, AND TO IMPROVE THE HEALTHCARE, PUBLIC HEALTH AND SOCIAL SERVICE SYSTEMS IN NEW LONDON COUNTY. OUR SAFE KIDS NEW LONDON COUNTY PROGRAM PLAYS A LEADERSHIP ROLE ON THE LOCAL, STATE AND NATIONAL LEVELS IN ADVOCATING FOR PUBLIC POLICIES THAT REDUCE INJURY RISK FOR CHILDREN. L+M HOSPITAL'S LEADERSHIP IN THE NEW LONDON COUNTY HEALTH COLLABORATIVE, AND PARTNERSHIP WITH OVER 12 OTHER ORGANIZATIONS INCLUDING BACKUS HOSPITAL, THREE HEALTH DEPARTMENTS, THREE FEDERALLY QUALIFIED HEALTH CENTERS, THE COUNTY ANTI-POVERTY AGENCY, TWO HOMECARE ORGANIZATIONS, AND THE COUNTY'S LARGEST CHILD ADVOCACY ORGANIZATION, HAS RESULTED IN THE COLLABORATIVE BEING LOOKED TO AS A VALUABLE RESOURCE FOR POLICY MAKERS. ADDITIONALLY, THE EFFORTS OF THE NEW LONDON COUNTY HEALTH COLLABORATIVE ARE HAVING AN IMPACT ON COMMUNITY HEALTH, INITIALLY IN THE AREA OF IMPROVED ACCESS TO CARE.
STATE FILING OF COMMUNITY BENEFIT REPORTCT,990 SCHEDULE H, PART VI

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensesfalseWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (17 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
BRUCE D CUMMINGS
PRESIDENT/CEO5340640861690187820798260150500733891000
HENRY AMDUR MD
PAST PRESIDENT, MEDICAL STAFF0287227090876136531191010000074191365339671300
LUGENE INZANA
VP CHIEF FINANCIAL OFFICER317189036090012420408270202560415604000
WILLIAM STANLEY
VP DEV & COMMUNITY RELATIONS172260015909017034023278023834025231500
ATTORNEY MAUREEN ANDERSON
ASSISTANT SECRETARY24128902102208100300380202560313415000
DANIEL RISSI MD
VP CHEIF MEDICAL OFFICER356831044797035640452690150500465511000
KIMBERLY KALAJAINEN
VP CHEIF INFORMATION OFFICER1993010110200108490257870231200270077000
CRISTA DURAND
VP STRATEGIC PLANNING/MKTG25221803168505400322770202560336976000
LAUREN WILLIAMS
VP PATIENT CARE SERVICES23272002686102322028880084450299228000
PAMELA KANE
VP PHYSICIANS PRACTICE20805302498005400254530236320282658000
GARTH BALLANTYNE
CHAIRMAN DEPT OF SURGERY1721440002218200042230198549000
DAVID F REISFELD MD
VP, MED STAFF030137207199803240010000024798041140800
GERALDINE RUFFA
MEDICAL DIRECTOR, PHYSICIAN227550014670690094130236320262752000
DONNA EPPS
VP CHIEF HR OFFICER177658017801535017866000197237000
KENNETH CIKATZ
PHARMACIST17474003451011007077160168900213804000
PAUL CHAUSSE
DIRECTOR OF REVENUE CYCLE145447028889030007102088860190624000
GARY CASS
DIRECTOR HR/LABOR RELATIONS1661800114603810011420175850189863000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SCHEDULE J, PART I, LINES 1A and 1BWILLIAM STANLEY, VP OF DEVELOPMENT, HAS A NONTAXABLE MEMBERSHIP TO THETHAMES CLUB IN NEW LONDON. THE THAMES CLUB IS A SOCIAL CLUB THAT ALLOWS NETWORKING WITH POTENTIAL DONORS OR BOARD MEMBERS. Bruce Cummings, President & CEO, authorizes William Stanley's membership in The Thames Club in his role as Vice President of Development & Community Relations of Lawrence & Memorial Hospital. In an effort to conduct business in the community and represent Lawrence & Memorial Hospital, The Thames Club provides an appropriate setting for meetings with Board Members and both current and potential donors.
SCHEDULE J, PART I, LINE 4BLAWRENCE & MEMORIAL HOSPITAL 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, 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 REPORTED ON SCHEDULE J, PART II, COLUMN C. DURING 2012, SECTION 457(F) CONTRIBUTIONS WERE CREDITED TOWARDS THE PLAN AS FOLLOWS: BRUCE CUMMINGS - $69,826 DANIEL RISSI - $35,269 LUGENE INZANA - $30,827 CRISTA DURAND - $22,277 LAUREN WILLIAMS - 18,880 PAMELA KANE - $15,453 KIMBERLY KALAJAINEN - $16,063 WILLIAM STANLEY - $14,379 DONNA EPPS - $10,280 MAUREEN ANDERSON - $20,038
SCHEDULE J, PART I, LINE 7L&M HOSPITAL HAS AN EXECUTIVE INCENTIVE PLAN. BONUSES ARE AWARDED UNDER THE PLAN BASED ON THE EXECUTIVE MEETING TEAM AND PERSONAL GOALS. THE PLAN ALSO INCLUDES A DISCRETIONARY COMPONENT. MEMBERS OF L&M HOSPITAL'S SENIOR MANAGEMENT TEAM (PRESIDENT & VICE PRESIDENTS) ARE ELIGIBLE FOR ANNUAL EXECUTIVE INCENTIVE PLAN AWARDS, BASED ON PRE-SET PERCENTAGES OF BASE SALARY TO EACH EXECUTIVE BASED ON THE HOSPITAL MEETING ITS FINANCIAL AND WORK-PLAN GOALS AS WELL AS THE EXECUTIVE MEETING PREDETERMINED INDIVIDUAL AND TEAM GOALS. IN THE CASE OF AN EXECUTIVE NOT MEETING ALL OF THEIR PREDETERMINED GOALS, A PERCENTAGE OF THE ELIGIBLE TARGET AMOUNT MAY BE AWARDED.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
CT HEFA VAR RATE DEMAND REV BONDS SERIES E
A06080618620774LS892008-01-1622990000SEE PART VIfalsefalsefalse
CT HEFA FIXED RATE REV BONDS SERIES F
B0608061862011-09-1561831040SEE PART VIfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A00229900000000000229900000truefalsetruetrue
B28850000618310400001021749000608092910truefalsetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCdPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropRemedial Action TakenRemedialActionTakenNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A0
B0falsefalsefalsefalsefalsefalsefalsefalse

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
0
Afalsefalsetruefalsetruefalsefalse0falsefalse
0
Bfalsetruefalsefalsefalsefalsefalse0falsefalse

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
Afalse
Bfalse

Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FORM 990, SCHEDULE K, PART I, COLUMN (F)0NAME OF BOND: $22,990,000 VAR. RATE DEMAND REV, BDS. LAWRENCE & MEMORIAL HOSP. ISSUE, SERIES E REFUNDED 2004 ISSUE, WHICH REFUNDED 1998 ISSUE. NAME OF BOND: $58,940,000 FIXED RATE REV BONDS, SERIES F THE PROCEEDS OF THE SERIES F BONDS WILL BE USED TO REFUND THE OUTSTANDING AUTHORITY REVENUE BONDS, LAWRENCE & MEMORIAL HOSPITAL ISSUE, SERIES D (THE "SERIES D BONDS") AND TO FUND ALL OR A PORTION OF THE FOLLOWING CAPITAL PROJECTS: (1) REPLACEMENT OF A LINEAR ACCELERATOR ON THE MAIN CAMPUS OF THE HOSPITAL. (2) CAPITAL IMPROVEMENTS FOR INFRASTRUCTURE RENOVATION AND IMPROVEMENT ON THE MAIN CAMPUS, INCLUDING HEATING, VENTILATION, AND AIR CONDITIONING PROJECT. (3) REPLACEMENT OF A CATHETERIZATION LAB AND EQUIPMENT ON THE MAIN CAMPUS. (4) ACQUISITION OF APPROXIMATELY 100 ACRES OF LAND IN WATERFORD, CONNECTICUT FOR DEVELOPMENT OF A NEW CANCER CENTER. (5) ACQUISITION AND INSTALLATION OF MAGNETIC RESONANCE IMAGING (MRI) AND CT EQUIPMENT AT THE CROSSROADS FACILITY.
FORM 990, SCHEDULE K, PART III, LINE 9; PART IV, LINE 7; & PART V0IN GENERAL, L&M HOSPITAL WORKS TO ENSURE POST ISSUANCE COMPLIANCE FOR ITS TAX-EXEMPT BOND IN ACCORDANCE WITH BOND ISSUANCE DOCUMENTS. L&M HOSPITAL IS IN THE PROCESS OF DEVELOPING WRITTEN PROCEDURES FOR POST ISSUANCE COMPLIANCE FOR THE FOLLOWING: - TO ENSURE ALL NONQUALIFIED BONDS OF THE ISSUANCE ARE REMEDIATED IN ACCORDANCE WITH REQUIREMENTS OF REGULATIONS SECTIONS 1.141-12 & 1.145-2. - TO MONITOR THE REQUIREMENTS OF SECTION 148. - TO ENSURE THAT VIOLATIONS OF FEDERAL TAX REQUIREMENTS ARE TIMELY IDENTIFIED AND CORRECTED THROUGH THE VOLUNTARY CLOSING AGREEMENT PROGRAM IF SELF-REMEDIATION IS NOT AVAILABLE UNDER APPLICABLE REGULATIONS.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Northeast Utilities
Board Member/Director1391894Utilities Servicesfalse
BLUECROSS BLUESHIELD
SECRETARY'S IN LAW IS CEO1541451INSURANCE PREMIUMSfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierExplanationExplanation
Form 990, PART III, LINE 4LAWRENCE & MEMORIAL HOSPITAL PROVIDES QUALITY MEDICAL CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF LAWRENCE & MEMORIAL HOSPITAL, WE RECOGNIZE THAT NOT ALL PERSONS HAVE THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES; AND, FURTHER, WE BELIEVE THAT A PART OF OUR MISSION IS TO CARE FOR THE MEDICALLY UNDER-SERVED IN OUR COMMUNITY WITH RESPECT TO PROVIDING HEALTH CARE SERVICES AND HEALTH CARE EDUCATION. IN KEEPING WITH OUR HOSPITAL'S MISSION OF "IMPROVING THE HEALTH OF OUR REGION" AND OUR COMMITMENT TO SERVE ALL MEMBERS OF ITS COMMUNITY, WE PROVIDE: - FREE CARE AND/OR SUBSIDIZED CARE. - CARE PROVIDED TO PERSONS COVERED BY GOVERNMENT PROGRAMS AT BELOW COST. - A BROAD RANGE OF HEALTH CARE ACTIVITIES, PROGRAMS AND SERVICES TO SUPPORT OUR COMMUNITY. - A SPECIAL COMMUNITY OUTREACH PROGRAM. THESE PROGRAMS WILL BE CONSIDERED WHERE THE NEED AND/OR AN INDIVIDUAL'S INABILITY TO PAY COEXIST. THESE ACTIVITIES INCLUDE WELLNESS PROGRAMS, EMERGENCY RESPONSE PROGRAMS, COMMUNITY HEALTH SCREENINGS, COMMUNITY EDUCATION PROGRAMS, SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, AND THE MEDICALLY UNDER-SERVED, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. DURING THE YEAR ENDED SEPTEMBER 30, 2013, LAWRENCE & MEMORIAL HOSPITAL SERVED 14,659 HOSPITALIZED PATIENTS AND 177,976 PATIENT VISITS THROUGH OUR AMBULATORY PROGRAMS. IN ADDITION, 88,813 EMERGENCY CASES CAME THROUGH OUR EMERGENCY FACILITIES IN NEW LONDON (50,959) AND GROTON (37,854). SAME DAY SURGERIES ACCOUNTED FOR 9,282 PROCEDURES. RECOGNIZING ITS MISSION TO THE COMMUNITY, LAWRENCE & MEMORIAL HOSPITAL PROVIDES CARE TO PERSONS COVERED BY FEDERAL AND STATE PROGRAMS AT OR BELOW COST. LAWRENCE & MEMORIAL HOSPITAL ALSO RECOGNIZES CHARITY CARE IN FULFILLING ITS MISSION TO THE ENTIRE COMMUNITY. CHARITY CARE IS ALSO PROVIDED THROUGH MANY REDUCED PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR, BASED UPON ACTIVITIES AND SERVICES WHICH LAWRENCE & MEMORIAL HOSPITAL BELIEVES WILL SERVE A "BONA FIDE" COMMUNITY HEALTH CARE NEED. OVERVIEW ======== LAWRENCE & MEMORIAL HOSPITAL BELIEVES THAT MOTIVATION THROUGH EDUCATION IS A STRONG FORCE IN HELPING INDIVIDUALS PREVENT ILLNESSES AND MAKE INFORMED CHOICES ABOUT THEIR BODIES AND WHAT HAPPENS TO THEM. OUR APPROACH PROVIDES ACCURATE HEALTH INFORMATION THROUGH A VARIETY OF PROGRAMMING EFFORTS SO CONSUMERS FEEL A PART OF THE DECISION-MAKING PROCESS AND HAVE AN ACTIVE ROLE IN THOSE DECISIONS. AS A RESULT, LAWRENCE & MEMORIAL REMAINS AMONG CONNECTICUT'S MOST PRO-ACTIVE HOSPITALS IN OFFERING DIVERSIFIED AND BROAD-BASED COMMUNITY HEALTH EDUCATION PROGRAMS. THESE PROGRAMMING EFFORTS INCLUDE COMMUNITY LECTURES AT THE HOSPITAL, CABLE TV ACCESS PROGRAMMING, RELIABLE HEALTH INFORMATION WITH OVER 2,500 HEALTH-RELATED ARTICLES ON THE HOSPITAL'S WEB SITE (WWW.LMHOSPITAL.ORG), TOURS, SUPPORT GROUPS, COMMUNITY EDUCATIONAL PROGRAMS, PUBLIC SERVICE ANNOUNCEMENTS AND SCREENING AND HEALTH FAIRS, INCLUDING ONSITE VISITS TO LARGE AND SMALL COMPANIES. LAWRENCE & MEMORIAL'S COMMUNITY OUTREACH PROGRAM HAS BEEN ABLE TO REACH A BROAD, CROSS-SECTION OF THE GREATER NEW LONDON COMMUNITY IN SOUTHEASTERN CONNECTICUT. THE COMMUNITY CONTRIBUTIONS ALSO INCLUDE SOME UNMENTIONED COMMUNITY BENEFITS SUCH AS: ADMINISTRATIVE AND FINANCIAL SUPPORT, OFFICE SPACE AND A LIBRARY OF ACCESSIBLE RESOURCES TO LEADERSHIP WITHIN THE VARIOUS FAITH COMMUNITIES IN OUR REGION. IN ADDITION, THERE ARE MANY COMMUNITY ORGANIZATIONS THAT WE SUPPORT AS PART OF BEING A GOOD NEIGHBOR AND TO RECOGNIZE THEIR EFFORTS IN OUR COMMUNITY.
FORM 990, PART VI, LINE 2DONALD FELITTO, R. ALAN HUNTER, MAUREEN ANDERSON, LUGENE INZANA AND HENRY AMDUR SERVE ON THE BOARD OF L&M INDEMNITY, A RELATED ORGANIZATION.
FORM 990, PART VI, LINE 11AWORKING WITH A PAID PREPARER, A FORM 990 IS PREPARED. L&M HOSPITAL'S FORM 990 IS THEN REVIEWED BY THE HOSPITAL'S INTERNAL MANAGEMENT. THE COMPLETED FORM 990 IS PROVIDED TO ALL MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO THE FORM BEING FILED WITH THE IRS.
FORM 990, PART VI, LINE 12L&M HOSPITAL 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, LINE 15L&M HOSPITAL EXECUTIVE COMPENSATION COMMITTEE ANNUALLY REVIEWS THE SALARIES OF ITS EXECUTIVE MANAGEMENT. UTILIZING AN INDEPENDENT COMPENSATION CONSULTANT, THE EXECUTIVE COMPENSATION COMMITTEE APPROVES COMPENSATION. THE COMMITTEE'S DELIBERATIONS ARE REFLECTED IN ITS MINUTES. CEO'S COMPENSATION IS APPROVED BY THE FULL BOARD.
FORM 990, PART VI, LINE 18FORM 990 WILL ALSO BE MADE AVAILABLE THROUGH GUIDESTAR.ORG. FORM 990, PART VI, LINE 19 THE ORGANIZATION MAKES GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.
FORM 990, PART VII, SECTION AHENRY AMDUR, MD IS COMPENSATED FOR SERVICES PROVIDED TO THE HOSPITAL AS AN INDEPENDENT CONTRACTOR. ROBERT KELTNER, MD AND DONALD FELITTO, MD ARE COMPENSATED AS MEDICAL STAFF AND NOT AS DIRECTORS.
PART 990, PART IX, LINE 25FUNDRAISING EXPENSES ARE REPORTED ON FORM 990, PART IX FOR LAWRENCE & MEMORIAL HOSPITAL (EIN 06-0646704). CONTRIBUTIONS ARE REPORTED ON THE FORMS 990 FOR BOTH LAWRENCE & MEMORIAL HOSPITAL (EIN 06-0646704) AND LAWRENCE & MEMORIAL CORPORATION (EIN 22-2553028). ADDITIONAL CONTRIBUTIONS IN THE AMOUNT OF $2,685,385 ARE REPORTED ON THE FORM 990 FOR LAWRENCE & MEMORIAL CORPORATION (EIN 22-2553028).
FORM 990, PART XI, LINE 9REALIZED LOSSES -$262,223 PAYMENTS TO AFFILIATES -$4,467,122 CHANGE IN VALUE OF IRREVOCABLE TRUSTS $239,710 INCREASE IN FUNDS HELD IN TRUST BY OTHERS $82,447 CHANGE IN MINIMUM PENSION LIABILITY $5,929,845 _________ $1,522,657

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
Lawrence & Memorial Corporation
365 Montauk AvenueNew LondonCT06320222553028SupportCT501(C)(3)11 Type INAfalse
Lawrence & Memorial Foundation Inc
365 Montauk AvenueNew LondonCT06320222553026FundraisingCT501(C)(3)PFL&M CORPtrue
L&M Healthcare Inc
365 Montauk AvenueNew LondonCT06320222553031HealthcareCT501(C)(3)9L&M CORPtrue
Associated Specialists of SE CT
404 Thames StreetGrotonCT06340208006123Phys PracticeCT501(C)(3)11 Type IL&M HOSPITALtrue
Visiting Nurse Associate of SE CT
403 N Frontage RoadWaterfordCT06385060646616HealthcareCT501(C)(3)9L&M CORPtrue
L&M Physician Association inc
365 Montauk Avenuenew londonCT06320271094375healthcareCT501(C)(3)11 type il&M Hospitaltrue
LMW HEALTHCARE INC
25 WELLS STWESTERLYRI02879460543230HEALTHCARERI501(C)(3)11 TYPE IL&M CORPtrue
THE WESTERLY HOSPITAL FOUNDATION INC
25 WELLS STREETWESTERLYRI02891050508064FUNDRAISINGRI501(C)(3)LMW HEALTHtrue

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityControlled OrgControlledOrgAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountry
L&M Systems Inc
365 Montauk AvenueNew LondonCT06320222553037HealthcareCTNACtrue
L&M Homecare Services Inc
365 Montauk AvenueNew LondonCT06320061389272TherapyCTNACtrue
L&M INDEMNITY
981021436INSURANCENACtruePO BOX 1159GRAND CAYMANCAYMAN ISLANDSCJKY1-1102CJ
CHARITABLE REMAINDER TRUSTS (3)
SUPPORTCTL&M HOSPITALTRUSTtrue
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
ASSOCIATED SPECIALISTS OF SE CT
O18357CASH
ASSOCIATED SPECIALISTS OF SE CT
P392115CASH
ASSOCIATED SPECIALISTS OF SE CT
B424608CASH
L&M PHYSICIAN ASSOCIATION INC
B15724357CASH

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