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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. 16251377 1952978 239701 41701 17922953 14398889 2146447 266733 27226 16251377 14741092 17500 324466 35237 14398889 14150668 1282741 652042 40275 14741092 14857509 -154454 539291 13096 14150668 0.85000 0.15000 false false 1023729 1023729 112399378 69718914 42680464 7702256 3396089 4306167 234099872 167521467 66578405 52096813 4695369 47401444 161990209 OTHER RECEIVABLES 17204746 DEBT SERVICE FUND 1306255 DEBT SERVICE RESERVE FUND 2247255 DEFERRED FINANCING COSTS 1776176 DUE FROM AFFILIATES 1434568 CONSTRUCTION FUND 9541685 33510685 0 DUE TO THIRD PARTY AGENCIES 3826094 DEFERRED COMPENSATION 83633 SELF ASSURANCE RESERVES 3593332 ACCRUED POST RETIREMENT BENEFI 1000744 ACCRUED PENSION 2733069 ACCRUED 401K MATCH 1294964 ACCRUED MIN PENSION LIABILITY 37196935 ASSET RETIREMENT OBLIGATION 487381 DUE TO L&M CORPORATION 1867732 DEFERRED FINANCING COST 2659757 MALPRACTICE INSURANCE 13694110 68437751 SCHEDULE D, PART V, LINE 4 THE ORGANIZATION'S ENDOWMENT FUNCTIONS TO SUPPORT AND PROVIDE INCOME FOR THE FURTHERANCE OF THE HEALTHCARE MISSION OF LAWRENCE & MEMORIAL HOSPITAL. SCHEDULE D, PART X LINE 2 THE ORGANIZATIONS FINANCIAL STATEMENTS DO NOT INCLUDE A FIN 48 DISCLOSURE. Central America and the Caribbean Investments 37593506 37593506 37593506 true false true false false false X X X X X X X true GHIORSI SORRENTI INC CAPITAL CAMPAIGN false 108733 108733 CT SCHEDULE G, PART II FUNDRAISING 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). true true X true X 250. true X true true true false true true 2299 1465992 1465992 0.00470 25351 48592382 36586251 12006131 0.03850 518 991682 746659 245023 0.00080 28168 51050056 37332910 13717146 0.04400 69 31140 1881866 4029 1877837 0.00600 10 1389 868105 868105 0.00280 11 6986 4512175 3184485 1327690 0.00430 1 211116 211116 0.00070 17 1421 126086 126086 0.00040 108 40936 7599348 3188514 4410834 0.01420 108 69104 58649404 40521424 18127980 0.05820 2 997 52028 52028 0.00020 5 220 70706 70706 0.00020 1 9 264 264 0.00000 8 1226 122998 122998 0.00040 true 12037777 194792 102446118 120595559 -18149441 X true true 1 1 LAWRENCE & MEMORIAL HOSPITAL

365 MONTAUK AVE NEW LONDON CT 06320

X X X X LAWRENCE & MEMORIAL HOSPITAL true X X X X X X X X X X 12 true false true X X X X X X X false false true true 250. true 251. true X X X X true true X X X X X true false true X false false 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 2 NEEDS ASSESSMENT: L&M Hospital employs a variety of strategies in gauging the health needs of the communities it serves. The most recent community health needs assessment (CHNA), covering the Lawrence + Memorial primary service area, was 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. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELGIBILITY FOR ASSISTANCE: In 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. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION: Population 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. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: L+M Hospital's community benefit programs and services forward the organizational mission "To Improve the Health of the Region" and align with the principles as set forth in the organization's community benefit policy. Those principles include: 1. Emphasis on programs to meet a significant unmet health need including efforts to identify and include vulnerable populations or those most at-risk as determined by risk factors which predispose those populations toward a higher incidence of disease and/or barriers to obtaining appropriate healthcare. 2. Emphasis on primary prevention and including at least one of three primary prevention strategies: health promotion, disease prevention, and health protection. Health promotion entails encouraging healthy lifestyles; disease prevention focuses on individuals identified as at-risk for health problems; health protection activities influence the environment to support healthy behaviors. 3. Programs should develop evidence-based links between clinical services and health improvement activities delivered both inside and outside the hospital. 4. Programs should focus on targeting charitable resources that mobilize and build capacity within existing community assets while minimizing duplication of effort. 5. Programs should 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. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM: The 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. SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT: L+M Hospital files its community benefit report in Connecticut only. The L+M Healthcare affiliated organization, Westerly Hospital, files reports on Rhode Island. 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 REPORT 990 SCHEDULE H, PART VI CT, X false true X X X X false true false false false false false true false BRUCE D CUMMINGS 534064 0 86169 0 18782 0 79826 0 15050 0 733891 0 0 0 HENRY AMDUR MD 0 287227 0 90876 13653 1191 0 10000 0 7419 13653 396713 0 0 LUGENE INZANA 317189 0 36090 0 1242 0 40827 0 20256 0 415604 0 0 0 WILLIAM STANLEY 172260 0 15909 0 17034 0 23278 0 23834 0 252315 0 0 ATTORNEY MAUREEN ANDERSON 241289 0 21022 0 810 0 30038 0 20256 0 313415 0 0 0 DANIEL RISSI MD 356831 0 44797 0 3564 0 45269 0 15050 0 465511 0 0 0 KIMBERLY KALAJAINEN 199301 0 11020 0 10849 0 25787 0 23120 0 270077 0 0 0 CRISTA DURAND 252218 0 31685 0 540 0 32277 0 20256 0 336976 0 0 0 LAUREN WILLIAMS 232720 0 26861 0 2322 0 28880 0 8445 0 299228 0 0 0 PAMELA KANE 208053 0 24980 0 540 0 25453 0 23632 0 282658 0 0 0 GARTH BALLANTYNE 172144 0 0 0 22182 0 0 0 4223 0 198549 0 0 0 DAVID F REISFELD MD 0 301372 0 71998 0 3240 0 10000 0 24798 0 411408 0 0 GERALDINE RUFFA 227550 0 1467 0 690 0 9413 0 23632 0 262752 0 0 0 DONNA EPPS 177658 0 178 0 1535 0 17866 0 0 0 197237 0 0 0 KENNETH CIKATZ 174740 0 3451 0 11007 0 7716 0 16890 0 213804 0 0 0 PAUL CHAUSSE 145447 0 28889 0 300 0 7102 0 8886 0 190624 0 0 0 GARY CASS 166180 0 1146 0 3810 0 1142 0 17585 0 189863 0 0 0 SCHEDULE J, PART I, LINES 1A and 1B WILLIAM STANLEY, VP OF DEVELOPMENT, HAS A NONTAXABLE MEMBERSHIP TO THE THAMES 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 4B LAWRENCE & 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 7 L&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. A CT HEFA VAR RATE DEMAND REV BONDS SERIES E 060806186 20774LS89 2008-01-16 22990000 SEE PART VI false false false B CT HEFA FIXED RATE REV BONDS SERIES F 060806186 2011-09-15 61831040 SEE PART VI false false false A 0 0 22990000 0 0 0 0 0 0 0 22990000 0 true false true true B 2885000 0 61831040 0 0 0 1021749 0 0 0 60809291 0 true false true true A 0 B false false false false 0 false false false false A false false true false true false 0 false 0 false false B false true false false false false 0 false 0 false false A false B false FORM 990, SCHEDULE K, PART I, COLUMN (F) 0 NAME 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 V 0 IN 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. Northeast Utilities Board Member/Director 1391894 Utilities Services false BLUECROSS BLUESHIELD SECRETARY'S IN LAW IS CEO 1541451 INSURANCE PREMIUMS false Form 990, PART III, LINE 4 LAWRENCE & 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 2 DONALD 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 11A WORKING 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 12 L&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 15 L&M HOSPITAL EXECUTIVE COMPENSATION COMMITTEE ANNUALLY REVIEWS THE SALARIES OF ITS EXECUTIVE MANAGEMENT. UTILIZING AN INDEPENDENT COMPENSATION CONSULTANT, THE EXECUTIVE COMPENSATION COMMITTEE APPROVES COMPENSATION. THE COMMITTEE'S DELIBERATIONS ARE REFLECTED IN ITS MINUTES. CEO'S COMPENSATION IS APPROVED BY THE FULL BOARD. FORM 990, PART VI, LINE 18 FORM 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 A HENRY 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 25 FUNDRAISING 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 9 REALIZED 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 Lawrence & Memorial Corporation 365 Montauk Avenue New London CT 06320 222553028 Support CT 501(C)(3) 11 Type I NA false Lawrence & Memorial Foundation Inc 365 Montauk Avenue New London CT 06320 222553026 Fundraising CT 501(C)(3) PF L&M CORP true L&M Healthcare Inc 365 Montauk Avenue New London CT 06320 222553031 Healthcare CT 501(C)(3) 9 L&M CORP true Associated Specialists of SE CT 404 Thames Street Groton CT 06340 208006123 Phys Practice CT 501(C)(3) 11 Type I L&M HOSPITAL true Visiting Nurse Associate of SE CT 403 N Frontage Road Waterford CT 06385 060646616 Healthcare CT 501(C)(3) 9 L&M CORP true L&M Physician Association inc 365 Montauk Avenue new london CT 06320 271094375 healthcare CT 501(C)(3) 11 type i l&M Hospital true LMW HEALTHCARE INC 25 WELLS ST WESTERLY RI 02879 460543230 HEALTHCARE RI 501(C)(3) 11 TYPE I L&M CORP true THE WESTERLY HOSPITAL FOUNDATION INC 25 WELLS STREET WESTERLY RI 02891 050508064 FUNDRAISING RI 501(C)(3) LMW HEALTH true L&M Systems Inc 365 Montauk Avenue New London CT 06320 222553037 Healthcare CT NA C true L&M Homecare Services Inc 365 Montauk Avenue New London CT 06320 061389272 Therapy CT NA C true L&M INDEMNITY PO BOX 1159 GRAND CAYMAN CAYMAN ISLANDS CJ KY1-1102 981021436 INSURANCE CJ NA C true CHARITABLE REMAINDER TRUSTS (3) SUPPORT CT L&M HOSPITAL TRUST true false true true false false false false false false false false false false false true true true false false ASSOCIATED SPECIALISTS OF SE CT O 18357 CASH ASSOCIATED SPECIALISTS OF SE CT P 392115 CASH ASSOCIATED SPECIALISTS OF SE CT B 424608 CASH L&M PHYSICIAN ASSOCIATION INC B 15724357 CASH