2011-08-08T10:25:15-05:00 2010-09-30 PricewaterhouseCoopers LLP 125 High Street Boston MA 02110 990 2009-10-01 060646704 Lawrence & Memorial Hospital LAWR 8604420711 365 Montauk Avenue New London CT 06320 Lugene Inzana 2011-07-28 6175305000 2009 2016-02-24 21:20:13Z BRUCE CUMMINGS 365 MONTAUK AVENUE NEW LONDON CT 06320 330455099 false X www.lmhospital.org X 1912 CT To improve the health of the region. 20 14 2670 412 3037054 -327766 1008576 960530 290657631 318197093 -1214441 634461 1195726 1826256 291647492 321618340 0 0 0 0 163359387 174218799 324219 210142 1115329 113847133 125219995 277530739 299648936 14116753 21969404 325658356 338671812 161881619 177055134 163776737 161616678 To improve the health of the region. false false 224019216 317932169 SEE SCHEDULE O 1149807 264924 EDUCATIONAL PROGRAMS 225169023 true true false true false false false false true true false true false false true false false true false false true false false true true false false false false false false false false false true false false false false false true true false false true 247 0 true 2670 true true true true NT false false false true true false false false 20 14 true false false false false false false true true false true true true true true true true true true true false CT X LUGENE INZANA 8604420711 365 MONTAUK AVENUE New London CT 06320 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 81188 0 0 Bruce D Kenyon 2.0 X 0 0 0 Chester W Kitchings Jr 2.0 X 0 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 Bruce D Cummings 40.0 X X 679607 0 16895 Ross Sanfilippo DMD 40.0 X X 6600 0 0 Mary Ann D Bentz MD 40.0 X X 27200 0 0 Maureen Anderson 40.0 X X 240393 0 28612 Fred Conti 2.0 X 0 0 0 Kathy Steamer 2.0 X 0 0 0 Henry Amdur MD 40.0 X X 100889 0 0 Carol Ridgeway 2.0 X 0 0 0 Donald Felitto MD 40.0 X X 5375 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 Lugene Inzana 40.0 X 359355 0 31485 Peter Fraser 40.0 X 234870 0 30792 William Stanley 40.0 X 212548 0 27673 Daniel Rissi 40.0 X 409312 0 23852 Kimberly Kalajainen 40.0 X 216179 0 24766 Crista Durand 40.0 X 241403 0 8540 Lauren Williams 40.0 X 229149 0 10461 Michael Alper 40.0 X 326732 0 21953 Richard Papatonio 40.0 X 285640 0 9800 Ashok Maheshwari 40.0 X 256727 0 31494 John von Klar 40.0 X 259978 0 28628 Robert Gianfrocco 40.0 X 264895 0 34180 Paqui Motyl 40.0 X 251390 0 16894 4689430 0 346025 175 true true false Phoenix Medcom Inc 10 Meadow Sweet Road CORTLANDT MANOR NY 10567 Transcription Srvc 634410 Hospital Internists of New London 365 Montauk Avenue RM 4514 NEW LONDON CT 06320 Medical Doctors 1019998 Pathology Consultants of New London 11 Research Drive 1 WOODBRIDGE CT 065252348 Medical Consultants 436955 Eastern CT Cardiology 196 Parkway South Suite 103 WATERFORD CT 06385 MEDICAL DOCTORS 900237 Anesthesia Associates of New London 365 Montauk Avenue NEW LONDON CT 06365 Anesthesiologists 671916 16 769292 191238 960530 NET PATIENT SERVICES 900099 306562977 306562977 LAB TESTING - ORR 900099 2607393 2607393 EMPLOYEE ASSISTANCE PROGRAM 900099 429661 429661 PARAMEDIC SERVICES 900099 2481042 2481042 OTHER PROGRAM SERVICE REVENUE 900099 6116020 6116020 318197093 443418 443418 0 0 847087 847087 847087 847087 7551973 1475829 7424162 1412597 127811 63232 191043 191043 0 0 0 DINING ROOM 900099 979169 979169 979169 321618340 315160039 3037054 2460717 0 0 0 0 3400528 3161580 238948 0 131153631 104226331 26713985 213315 4215965 3271517 937752 6696 25894176 20093443 5759609 41124 9554499 7414130 2125195 15174 0 1356948 900 1356048 54 54 0 210142 210142 0 0 0 7000283 4505080 2416039 79164 2894200 405386 2474007 14807 0 4832225 88755 4743470 465054 177960 285101 1993 0 0 2332245 2332245 0 16728407 10673209 6054780 418 5917879 5917879 PURCHASED SVCS 27158385 13173543 13917940 66902 MEDICAL & SURGICAL 35191316 35183586 7725 5 EQUIP RENTAL & MAINTENANCE 4213185 2779708 1433477 BAD DEBTS 14381176 14381176 CONSULTING 1629098 69686 1559412 1119540 474489 418410 226641 299648936 225169023 73364584 1115329 0 0 17216613 29181327 48469 46092 27664974 28474179 585788 763155 3506113 3796086 2312579 1624613 302896008 193724898 106053229 109171110 126069650 133522673 5611568 5876049 36589373 26216528 325658356 338671812 27627670 33333570 68250000 65987539 66003949 77734025 161881619 177055134 X 141020827 137717053 17210797 18249300 5545113 5650325 163776737 161616678 325658356 338671812 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 17893 17893 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. 14150668 1282741 652042 40275 14741092 14857509 -154454 539291 13096 14150668 0.81000 0.19000 0.00000 false false 301884 301884 103374604 59591586 43783018 4219137 1209399 3009738 180454334 128995310 51459024 14546049 3928603 10617446 109171110 OTHER RECEIVABLES 4844371 DEBT SERVICE FUND 1248032 DEBT SERVICE RESERVE FUND 7156167 DEFERRED FINANCING COSTS 2568281 DUE FROM AFFILIATES 10399677 26216528 0 DUE TO THIRD PARTY AGENCIES 8559110 DEFERRED COMPENSATION 171576 SELF ASSURANCE RESERVES 11676394 ACCRUED POST RETIREMENT BENEFIT 1277520 ACCRUED PENSION 11598167 ACCRUED 401K MATCH 868524 ACCRUED MIN PENSION LIABILITY 38215499 ASSET RETIREMENT OBLIGATION 603088 DUE TO L&M CORPORATION 4764147 77734025 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. Central America and the Caribbean Investments X X X X X X X true Ghiorsi Sorrenti Inc Capital Campaign false 210142 210142 true true true X 250. true X true true true false true true 1360845 1360845 0.00450 34251540 27919279 6332261 0.02110 7305242 3792551 3512691 0.01170 42917627 31711830 11205797 0.03730 74147 2241108 276844 1964264 0.00660 1458 687793 450 687343 0.00230 12160 3588652 2481042 1107610 0.00370 85 21776 21776 0.00010 926 158645 1800 156845 0.00050 88776 6697974 2760136 3937838 0.01320 88776 49615601 34471966 15143635 0.05050 0 1188 0 1188 1510 79027 1150 77877 0.00030 280 2923 0 2923 220 123158 0 123158 0.00040 250 1847 0 1847 157 1910 0 1910 70 621 0 621 2487 210674 1150 209524 0.00070 true 14381176 287624 98441244 110250520 -11809276 X true true Lawrence & Memorial Hospital

365 Montauk Avenue New London CT 06320

X X X X 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 Health 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 $10,000 (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, in accordance with the following: 251% - 300% = 50% 301% - 350% = 40% 351% - 400% = 30% The amounts reported on Part I, Line 7 were calculated as direct, separately identifiable costs incurred by the Hospital plus an allocation of overhead. 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. The Medicare shortfall of ($11,809,276) 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. 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. 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 intended to be updated every 3 - 5 years. 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. 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. 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 1990 to 2000, 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 56.5%, African Americans increased by 13%, Native Americans increased by 86%, Asian/Hawaiian/Pacific Islanders increased by 54% and those who indicate "other" increased by 38.7%. Other increases have occurred in the Asian, 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 (25.5 percent in New London, 18.4 percent in Norwich). 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. 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. 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. CT X false true X X X X true true false false false false false true false Bruce D Cummings 509902 0 90099 0 79606 0 9800 0 7095 0 696502 0 0 0 Maureen Anderson 240123 0 0 0 270 0 9784 0 18828 0 269005 0 0 0 Lugene Inzana 308652 0 49893 0 810 0 9800 0 21685 0 390840 0 0 0 Daniel Rissi 353223 0 53767 0 2322 0 9800 0 14052 0 433164 0 0 0 Kimberly Kalajainen 193194 0 18031 0 4954 0 8639 0 16127 0 240945 0 0 0 Peter Fraser 209584 0 20925 0 4361 0 9650 0 21142 0 265662 0 0 0 William Stanley 168441 0 17326 0 26781 0 8631 0 19042 0 240221 0 0 0 Michael Alper 325442 0 0 0 1290 0 5901 0 16052 0 348685 0 0 0 Richard Papatonio 283625 0 0 0 2015 0 9800 0 0 0 295440 0 0 0 Ashok Maheshwari 255437 0 0 0 1290 0 9800 0 21694 0 288221 0 0 0 John von Klar 259534 0 0 0 444 0 9800 0 18828 0 288606 0 0 0 Paqui Motyl 250700 0 0 0 690 0 9800 0 7094 0 268284 0 0 0 Robert Gianfrocco 263180 0 1445 0 270 0 9800 0 24380 0 299075 0 0 0 Crista Durand 230486 0 10000 0 917 0 7558 0 982 0 249943 0 0 0 Lauren Williams 227907 0 0 0 1242 0 3729 0 6732 0 239610 0 0 0 SCHEDULE J, PART I, LINE 1A and 1B WILLIAM STANLEY, VP OF DEVELOPMENT, HAS A NONTAXABLE MEMBERSHIP TO THE THAMES CLUB IN NEW LONDON. 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 2009, SECTION 457(F) CONTRIBUTIONS OF $64,281 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 THEIR BASE SALARIES. SCHEDULE J-2, PART I ROBERT KELTNER, MD; ROSS SANFILIPPO, DMD; MARY ANN BENTZ, MD; AND HENRY AMDUR, MD ARE COMPENSATED AS MEDICAL STAFF AND NOT AS DIRECTORS. CT HEFA Var Rate Demand Rev Bonds Series E 060806186 20774LS89 2008-01-16 22990000 SEE SCHEDULE O false false 22990000 0 0 0 0 0 0 true false true true false true false false false true Northeast Utilities Board Member/Director 908679 Utilities Services 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, 2010, LAWRENCE & MEMORIAL HOSPITAL SERVED 15,478 HOSPITALIZED PATIENTS AND 184,250 PATIENT VISITS THROUGH OUR AMBULATORY PROGRAMS. IN ADDITION, 84,072 EMERGENCY CASES CAME THROUGH OUR EMERGENCY FACILITIES IN NEW LONDON (48,263) AND GROTON (35,809). SAME DAY SURGERIES ACCOUNTED FOR 7,166 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 $46.8 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 10, OUR CHARITY CARE PROVIDED TO UNINSURED PATIENTS TOTALED $6.2 MILLION. IN ADDITION, LAWRENCE & MEMORIAL HOSPITAL EXPERIENCED A BAD DEBT EXPENSE OF $11.2 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. 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. FOLLOWING REVIEW, L&M HOSPITAL'S INTERNAL MANAGEMENT PRESENTS THE FORM 990 TO THE AUDIT COMMITTEE FOR REVIEW AND COMMENT. 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 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 HOUR/WEEK LUGENE INZANA - 2 HOURS/WEEK DANIEL RISSI - 2 HOURS/WEEK KIMBERLY KALAJAINEN - 2 HOURS/WEEK L&M PHYSICIAN ASSOCIATION, INC.: DANIEL RISSI - 2 HOURS/WEEK LUGENE INZANA - 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, 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. Lawrence & Memorial Corporation 365 Montauk Avenue New London CT 06320 222553028 Support CT 501(c)(3) 11 Type I N/A Lawrence & Memorial Foundation Inc 365 Montauk Avenue New London CT 06320 222553026 Fundraising CT 501(c)(3) PF L&M CORP L&M Healthcare Inc 365 Montauk Avenue New London CT 06320 222553031 Healthcare CT 501(c)(3) 9 L&M CORP Associated Specialists of SE CT 404 Thames Street Groton CT 06340 208006123 Phys Practice CT 501(c)(3) 11 Type I L&M HOSPITAL Visiting Nurse Associate of SE CT 403 N Frontage Road Waterford CT 06385 060646616 Healthcare CT 501(c)(3) 9 L&M CORP L&M Physician Association inc 365 Montauk Avenue new london CT 06320 271094375 healthcare CT 501(c)(3) 11 type i l&M Hospital L&M Systems Inc 365 Montauk Avenue New London CT 06320 222553037 Healthcare CT L&M Corp C-corp 0 0 1.00000 L&M Homecare Services Inc 365 Montauk Avenue New London CT 06320 061389272 Therapy CT L&M Systems C-corp 0 0 1.00000 false true false true false false true false true false false false false true true false false false ASSOCIATED SPECIALISTS OF SE CT B 20569346 ASSOCIATED SPECIALISTS OF SE CT I 759169 ASSOCIATED SPECIALISTS OF SE CT N 2352226 ASSOCIATED SPECIALISTS OF SE CT O 4378527