2012-08-15T12:02:54-05:00 2011-09-30 PricewaterhouseCoopers LLP 125 High Street Boston MA 02110 990 2010-10-01 060646704 Lawrence & Memorial Hospital LAWR 8604420711 365 Montauk Avenue New London CT 06320 Lugene Inzana 2012-08-15 true PRICEWATERHOUSECOOPERS LLP 6175305000 2010 2016-02-24 21:20:13Z BRUCE CUMMINGS 365 MONTAUK AVENUE NEW LONDON CT 06320 347313810 false X www.lmhospital.org X 1912 CT To improve the health of the region. 20 13 2723 408 3200871 -367008 960530 937909 318197093 331763213 634461 7251547 1826256 1980952 321618340 341933621 0 0 0 0 174218799 182672132 210142 199040 1165588 125219995 131486920 299648936 314358092 21969404 27575529 338671812 353189046 177055134 187408373 161616678 165780673 X TO IMPROVE THE HEALTH OF THE REGION. false false 236419137 331726730 SEE SCHEDULE O 915318 36483 EDUCATIONAL PROGRAMS 237334455 true true false true false false false false true true false false true true false false true false false true false false true false false true true false false true true false false false false false false false false false true false false false false false true true true false false true 242 0 true 2723 true true true false false false false true true false false false false X 20 13 true false false false false false false true true false false true true true true true true true true false X LUGENE INZANA 8604420711 365 MONTAUK AVENUE New London CT 06320 X John E Allen DMD 2.0 X 0 0 0 Timothy D Bates 2.0 X 0 0 0 L James Carroll CPA 2.0 X 0 0 0 Ulysses B Hammond 2.0 X 0 0 0 R Alan Hunter 2.0 X 0 0 0 Robert Keltner MD 2.0 X 82219 0 0 Maralynn Malerba 2.0 X 0 0 0 Granville Morris 2.0 X 0 0 0 Leon Olivier 2.0 X 0 0 0 Toni Hoover PhD 2.0 X 0 0 0 Fred Conti 2.0 X 0 0 0 Kathy Steamer 2.0 X 0 0 0 Carol Ridgeway 2.0 X 0 0 0 Scott D Bates 2.0 X 0 0 0 Mary Ellen Jukoski 2.0 X 0 0 0 Daniel P O'Shea 2.0 X 0 0 0 MARY ANN D BENTZ 40.0 X 10750 0 0 Bruce D Cummings 35.25 X X 654172 0 48240 Henry Amdur MD 2.0 X X 165006 47079 2000 Donald Felitto MD 40.0 X X 10800 0 0 Lugene Inzana 32.0 X 345517 0 33418 Peter Fraser 40.0 X 228459 0 33076 William Stanley 40.0 X 206857 0 28454 Maureen Anderson 40.0 X 260691 0 30104 Daniel Rissi 34.0 X 398160 0 24315 Kimberly Kalajainen 38.0 X 215780 0 32204 Crista Durand 40.0 X 278216 0 27862 Lauren Williams 40.0 X 252410 0 16261 PAMELA KANE 0.0 X 145444 0 17188 Michael Alper 40.0 X 262138 0 26164 Richard Papatonio 40.0 X 272314 0 9800 Ashok Maheshwari 40.0 X 252304 0 30918 Robert Gianfrocco 40.0 X 263912 0 30104 GARTH BALLANTYNE 40.0 X 499232 0 10933 4804381 47079 401041 164 false true false IPC HOSPITALISTS OF NEW ENGLAND PC PO BOX 92284 LOS ANGELES CA 90009 HOSPITALISTS 1286001 Eastern CT Cardiology 196 Parkway South Suite 103 WATERFORD CT 06385 MEDICAL DOCTORS 1013120 Phoenix Medcom Inc 10 Meadow Sweet Road CORTLANDT MANOR NY 10567 Transcription Srvc 699671 Anesthesia Associates of New London 365 Montauk Avenue NEW LONDON CT 06365 Anesthesiologists 686294 Pathology Consultants of New London 365 MONTAUK AVENUE NEW LONDON CT 06365 Medical Consultants 442244 22 706176 231733 937909 NET PATIENT SERVICES 900099 318813210 318813210 LAB TESTING - ORR 900099 2865800 2865800 EMPLOYEE ASSISTANCE PROGRAM 900099 335071 335071 PARAMEDIC SERVICES 900099 2456101 2456101 OTHER PROGRAM SERVICE REVENUE 900099 7293031 7293031 331763213 6486532 6486532 0 0 951266 951266 951266 951266 6119429 25775 5380189 739240 25775 765015 765015 0 0 0 DINING ROOM 900099 1029686 1029686 1029686 341933621 328562342 3200871 9232499 0 0 0 0 3010036 2798614 211422 0 138155614 108255222 29673549 226843 4302812 3304632 991255 6925 27171453 20868134 6259591 43728 10032217 7704912 2311160 16145 0 1207625 1200 1206425 0 0 199040 199040 0 4182448 3650511 531937 0 8263210 6567212 1650756 45242 3122765 577904 2540028 4833 0 4402073 109636 4292437 785229 303247 479124 2858 0 0 2212181 2212181 0 17199566 10396501 6802652 413 4575599 4575599 PURCHASED SVCS 18931479 8567136 10319807 44536 MEDICAL & SURGICAL 39150096 38858007 286984 5105 EQUIP RENTAL & MAINTENANCE 9316087 6800993 2515094 BAD DEBTS 13865210 13865210 CONSULTING 2048884 23362 2005476 20046 2224468 692856 1193160 338452 314358092 237334455 75858049 1165588 29181327 40113126 46092 20328 28474179 28744360 763155 574684 3796086 4528017 1624613 1739804 331391770 210414909 109171110 120976861 133522673 131544880 5876049 5607933 26216528 19339053 338671812 353189046 33333570 34792940 65987539 82335373 77734025 70280060 177055134 187408373 X 137717053 142478037 18249300 17792779 5650325 5509857 161616678 165780673 338671812 353189046 X 27575529 -23411534 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 30437 30437 false false Lobbying Activities Schedule C, Part II-B, Line 1 The 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. 14741092 17500 324466 35237 14398889 14150668 1282741 652042 40275 14741092 14857509 -154454 539291 13096 14150668 0.84000 0.16000 0.00000 false false false 301884 301884 105661471 63052576 42608895 5784899 1701613 4083286 203329727 141506116 61823611 16313789 4154604 12159185 120976861 OTHER RECEIVABLES 3173599 DEBT SERVICE FUND 1109892 DEBT SERVICE RESERVE FUND 2247370 DEFERRED FINANCING COSTS 1938833 DUE FROM AFFILIATES 2441664 CONSTRUCTION FUND 8427695 19339053 0 DUE TO THIRD PARTY AGENCIES 7838088 DEFERRED COMPENSATION 94554 SELF ASSURANCE RESERVES 13768365 ACCRUED POST RETIREMENT BENEFIT 1281454 ACCRUED PENSION 8800979 ACCRUED 401K MATCH 870698 ACCRUED MIN PENSION LIABILITY 32375536 ASSET RETIREMENT OBLIGATION 445355 DUE TO L&M CORPORATION 1913991 DEFERRED FINANCING COST 2891040 70280060 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. 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365 Montauk Avenue New London CT 06320

X X X X Lawrence & Memorial Hospital 1 SCHEDULE H, PART I, LINE 3C: It is the philosophy and policy of Lawrence & Memorial Hospital (the "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. The 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 7: The amounts reported on Part I, Line 7 were calculated as direct, separately identifiable costs incurred by the Hospital plus an allocation of overhead. PART I, LINE 7, COLUMN F THE AMOUNT OF BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $13,865,210. SCHEDULE H, PART III, LINE 4: The 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 ($21,409,667) 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 the Hospital. Accordingly, the 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, the 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 VI, LINE 2 NEEDS ASSESSMENT: The Hospital employs a variety of strategies in conducting community health needs assessments. The most recent comprehensive assessment, covering the entire New London County and completed as a collaborative effort with several partner organizations, was conducted under the guidance of an outside expert. Those partner organizations included the County's two hospitals, all three Federally Qualified Health Centers, the New London County Medical Society, all full-time public health organizations (three), the County's Community Action Agency and a number of other important health care organizations who formed the Assessment Oversight Committee and informed the process from design to implementation to reporting. The assessment identified the most important health care and public health issues in New London County 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 and a random sample community household telephone survey. This study is currently being updated. The Hospital reviews disease incidence and prevalence rates for the local community, state, and nation. Rates are collected from medical journals, the Connecticut Department of Health, or national health resources such as the Kaiser Family Foundation or Centers for Disease Control. This analysis informs the Hospital 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. The 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 the Hospital 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, the 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 the hospital considers them "insured" per the Connecticut General Statues Section 19a-673. It is the responsibility of the patient to advise the 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 the Hospital 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 in new London county with dramatic changes occurring in ethnic and racial composition of the local population; the percentage of Hispanics increased by 75.49%, African Americans increased by 16.99%, Native Americans increased by 0.72%, Asian/Hawaiian/Pacific Islanders increased by 19.2%, those who indicate "other" increased by 63.9% and those indicating two or more races increased by 44.3%. Other increases have occurred in the Eastern European and Haitian populations, among others, with local school districts reporting significant percentages of children from homes where English is not the primary language. Changes in the ethnic and racial makeup of County residents over time will impact the burden of disease and demand for health services. 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 Hospital 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 in which families speak over 30 different languages and approximately 40% of children change schools each year. Two of our communities have a greater percentage of children living in poverty than the state average of 24%. 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. These two communities 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: In addition to meeting an identified need in the community, the Hospital's community building activities contribute to an overall healthy community and support 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 quality of life in the region. These activities are not included elsewhere on the Schedule H. 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, disaster preparedness activities that go beyond what is required by regulation, 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 Chamber 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. OTHER INFORMATION: A majority of the Hospital's trustees are members of the community served by the Hospital and are not employed by the Hospital nor are they family members of persons employed by the Hospital. The 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. The Hospital's community benefit programs and services 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. Community involvement in governance and advisory groups Community engagement in the planning, implementation and evaluation of the Hospital's 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 most recent community health needs assessment study, which was led by a multi-member stakeholder group representing the communities we serve. The study methodology included a language appropriate household survey and key informant interviews. Additionally, our community-based programs each have advisory groups, including the Faith in Action Network (parish nursing), Safe Kids New London County (injury prevention), 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. The Hospital'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. Health advocacy initiatives The 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. The 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 522740 0 77543 0 53889 0 40852 0 7388 0 702412 0 0 0 Henry Amdur MD 165006 47079 0 0 0 0 0 0 0 2000 165006 49079 0 0 Lugene Inzana 304270 0 40437 0 810 0 9800 0 23618 0 378935 0 0 0 Peter Fraser 205054 0 18675 0 4730 0 9458 0 23618 0 261535 0 0 0 William Stanley 167550 0 23780 0 15527 0 8150 0 20304 0 235311 0 0 0 Maureen Anderson 236226 0 23935 0 530 0 9800 0 20304 0 290795 0 0 0 Daniel Rissi 351007 0 44831 0 2322 0 9800 0 14515 0 422475 0 0 0 Kimberly Kalajainen 191726 0 16072 0 7982 0 8644 0 23560 0 247984 0 0 0 Crista Durand 244601 0 33075 0 540 0 7558 0 20304 0 306078 0 0 0 Lauren Williams 224874 0 25214 0 2322 0 9002 0 7259 0 268671 0 0 0 PAMELA KANE 135070 0 10000 0 374 0 3131 0 14057 0 162632 0 0 0 Michael Alper 260848 0 0 0 1290 0 9344 0 16820 0 288302 0 0 0 Richard Papatonio 270299 0 0 0 2015 0 9800 0 0 0 282114 0 0 0 Ashok Maheshwari 251014 0 0 0 1290 0 9800 0 21118 0 283222 0 0 0 Robert Gianfrocco 263612 0 0 0 300 0 9800 0 20304 0 294016 0 0 0 GARTH BALLANTYNE 448587 0 50000 0 645 0 0 0 10933 0 510165 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) CEO SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN FOR THE HOSPITAL'S PRESIDENT AND CHIEF EXECUTIVE OFFICER, BRUCE D. CUMMINGS. AMOUNTS ARE CREDITED TO THE RETIREMENT ACCOUNT IN MONTHLY INSTALLMENTS THROUGHOUT EACH PLAN YEAR. PLAN AMOUNTS WILL BE PAID ONLY IF CERTAIN CONDITIONS ARE MET, INCLUDING REMAINING EMPLOYED BY THE HOSPITAL THROUGH AGE 65, AS OUTLINED IN THE PLAN AGREEMENT. DURING 2010, SECTION 457(F) CONTRIBUTIONS OF $67,280 WERE CREDITED TOWARDS THE PLAN. 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. CT HEFA VAR RATE DEMAND REV BONDS SERIES E 060806186 20774LS89 2008-01-16 22990000 SEE SCHEDULE O false false false CT HEFA FIXED RATE REV BONDS SERIES F 060806186 VARIOUS00 2011-09-15 61831040 SEE SCHEDULE O false false false 22990000 0 0 0 0 0 22990000 true false true true 61831040 0 0 1021749 0 0 35523497 25285794 true false false true false false false false true 0.00000 0.00000 0.00000 true false true false false false true false false false false false false Northeast Utilities Board Member/Director 1219512 Utilities Services false BLUECROSS BLUESHIELD SECRETARY'S IN LAW IS CEO 1295693 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, 2011, LAWRENCE & MEMORIAL HOSPITAL SERVED 15,342 HOSPITALIZED PATIENTS AND 184,608 PATIENT VISITS THROUGH OUR AMBULATORY PROGRAMS. IN ADDITION, 84,175 EMERGENCY CASES CAME THROUGH OUR EMERGENCY FACILITIES IN NEW LONDON (47,625) AND GROTON (36,550). SAME DAY SURGERIES ACCOUNTED FOR 7,224 PROCEDURES. RECOGNIZING ITS MISSION TO THE COMMUNITY, LAWRENCE & MEMORIAL HOSPITAL PROVIDES CARE TO PERSONS COVERED BY FEDERAL AND STATE PROGRAMS AT OR BELOW COST. PATIENTS WHO WERE COVERED BY MEDICARE AND MEDICAID RECEIVED COMPREHENSIVE CARE TO THE EXTENT THAT THE HOSPITAL WAS REIMBURSED APPROXIMATELY $24.1 MILLION IN PAYMENTS BELOW THE ACTUAL COST OF THE SERVICES PROVIDED. LAWRENCE & MEMORIAL HOSPITAL ALSO RECOGNIZES CHARITY CARE IN FULFILLING ITS MISSION TO THE ENTIRE COMMUNITY. IN FY 11, OUR CHARITY CARE PROVIDED TO UNINSURED PATIENTS TOTALED $1.5 MILLION. IN ADDITION, LAWRENCE & MEMORIAL HOSPITAL EXPERIENCED A BAD DEBT EXPENSE OF $13.8 MILLION FROM CARE PROVIDED TO PATIENTS, THE COST OF WHICH WAS ULTIMATELY NON-COLLECTIBLE. 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 STORIES 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 Board members Jim Carroll and Alan Hunter are brothers in law. GRANVILLE MORRIS AND LEON OLIVER ARE BOTH BOARD MEMBERS ON THE ESSEX FINANCIAL SERVICES. DANIEL RISSI, DONALD FELITTO, R. ALAN HUNTER, MAUREEN ANDERSON 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 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. MARY ANN D. BENTZ, MD AND DONALD FELITTO ARE COMPENSATED AS MEDICAL STAFF AND NOT AS DIRECTORS. ROBERT KELTNER IS COMPENSATED NOT AS MEDICAL STAFF OR AS DIRECTOR BUT HE IS COMPENSATED FOR SPECIALIZED ICU SERVICES AND SEVERAL OTHER SPECIALIZED SERVICES. FORM 990, PART VII THE FOLLOWING INDIVIDUALS DEVOTED TIME TO RELATED ORGANIZATIONS. LAWRENCE & MEMORIAL CORPORATION: BRUCE D. CUMMINGS - 2 HOURS/WEEK LUGENE INZANA - 2 HOURS/WEEK EACH DIRECTOR DEVOTES 2 HOURS/WEEK VISITING NURSE ASSOCIATION OF SOUTHEASTERN CONNECTICUT: BRUCE D. CUMMINGS - 0.5 HOUR/WEEK L&M SYSTEMS, INC.: BRUCE D. CUMMINGS - 0.25 HOUR/WEEK ASSOCIATED SPECIALISTS OF SOUTHEASTERN CONNECTICUT: BRUCE D. CUMMINGS - 2 HOURS/WEEK LUGENE INZANA - 2 HOURS/WEEK DANIEL RISSI - 2 HOURS/WEEK KIMBERLY KALAJAINEN - 2 HOURS/WEEK HENRY AMDUR - 8 HOURS/WEEK PAMELA KANE - 20 HOURS/WEEK L&M PHYSICIAN ASSOCIATION, INC.: DANIEL RISSI - 2 HOURS/WEEK LUGENE INZANA - 2 HOURS/WEEK PAMELA KANE - 20 HOURS/WEEK L&M INDEMNITY: DANIEL RISSI - 2 HOURS/WEEK DONALD FELITTO - 2 HOURS/WEEK R. ALAN HUNTER - 2 HOURS/WEEK MAUREEN ANDERSON - 2 HOURS/WEEK HENRY AMDUR - 2 HOURS/WEEK Form 990, Part IX, Line 25 FUNDRAISING EXPENSES ARE REPORTED ON THE FORM 990 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). FORM 990, PART XI, LINE 5 UNREALIZED LOSSES -$6,568,670 PAYMENTS TO AFFILIATES -$22,389,887 CHANGE IN VALUE OF IRREVOCABLE TRUSTS -$152,473 DECREASE IN FUNDS HELD IN TRUST BY OTHERS -$140,467 CHANGE IN MINIMUM PENSION LIABILITY $5,839,963 ____________ -$23,411,534 Form 990, Schedule K, Part I, column (f) 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. 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