LMW HEALTHCARE INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- LMW HEALTHCARE INC (EIN 46-0543230)
- Tax period
- 2020-10-01 to 2021-09-30
- Filed
- 2022-08-12
- IRS object ID
- 202202249349301650
- Schema version
- 2020v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-08-12T10:03:25-05:00 | ReturnTs |
| Tax Period End | 2021-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 135565207 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 345 PARK AVENUE | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10154 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 460543230 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LMW HEALTHCARE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LMWH | BusinessNameControlTxt |
| Phone | 2036880580 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 365 MONTAUK AVENUE | AddressLine1Txt |
| City | NEW LONDON | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06320 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOSHUA W MORRIS | PersonNm |
| Person Title | VP, FINANCE | PersonTitleTxt |
| Phone | 2036880580 | PhoneNum |
| Signature | 2022-08-12 | SignatureDt |
| Discuss With Paid Preparer | 0 | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JOSHUA | PersonFirstNm |
| Person Last | MORRIS | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | EVAN W SEEKAMP | PreparerPersonNm |
| PTIN | P01907071 | PTIN |
| Phone | 2127589700 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WESTERLY HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | PATRICK GREEN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 365 MONTAUK AVENUE | AddressLine1Txt |
| City | NEW LONDON | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06320 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $123,902,358 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.WESTERLYHOSPITAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2012 | FormationYr |
| Legal Domicile State | RI | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE MEDICAL CARE IN THE WESTERLY, RHODE ISLAND COMMUNITY AND SURROUNDING TOWNS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 838 | TotalEmployeeCnt |
| Total Volunteers | 61 | TotalVolunteersCnt |
| Total Gross UBI | $937,537 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $992,822 | PYContributionsGrantsAmt |
| CY Contributions Grants | $16,863,952 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $81,392,045 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $102,070,718 | CYProgramServiceRevenueAmt |
| PY Investment Income | $269,443 | PYInvestmentIncomeAmt |
| CY Investment Income | $391,056 | CYInvestmentIncomeAmt |
| PY Other Revenue | $437,490 | PYOtherRevenueAmt |
| CY Other Revenue | $420,704 | CYOtherRevenueAmt |
| PY Total Revenue | $83,091,800 | PYTotalRevenueAmt |
| CY Total Revenue | $119,746,430 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $6,161 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $49,678,085 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $54,606,802 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $54,966,765 | PYOtherExpensesAmt |
| CY Other Expenses | $60,163,152 | CYOtherExpensesAmt |
| PY Total Expenses | $104,644,850 | PYTotalExpensesAmt |
| CY Total Expenses | $114,776,115 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$21,553,050 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $4,970,315 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $94,690,843 | TotalAssetsBOYAmt |
| Total Assets EOY | $124,690,192 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $82,916,425 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $102,541,636 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $11,774,418 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $22,148,556 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE MEDICAL CARE IN THE WESTERLY, RHODE ISLAND COMMUNITY AND SURROUNDING TOWNS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $103,467,458 | ExpenseAmt |
| Grant | $6,161 | GrantAmt |
| Revenue | $102,070,718 | RevenueAmt |
| Desc | SEE SCHEDULE O | Desc |
| Total Program Service Expenses | $103,467,458 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 838 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | VERNETTE D GRAY | PersonNm |
| Phone | 2036889585 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 789 HOWARD AVENUE | AddressLine1Txt |
| City | NEW HAVEN | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06519 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| PRATHIBHA VARKEY | ||||||||
| EX-OFFICIO TRUSTEE | 1.00 | 39.00 | Yes (X) | $0 | $1,126,410 | $477,354 | ||
| PATRICK L GREEN | ||||||||
| PRESIDENT/CEO & TRUSTEE | 1.00 | 39.00 | Yes (X) | $0 | $1,003,878 | $460,264 | Yes (X) | |
| STEPHEN ALLEGRETTO | ||||||||
| SR. VP/CHIEF FINANCIAL OFFICER | 1.00 | 39.00 | $0 | $629,868 | $306,659 | Yes (X) | ||
| DENISE FIORE | ||||||||
| SR. VP/COO (CURRENT YEAR COMP) | 1.00 | 39.00 | $0 | $742,393 | $130,325 | Yes (X) | ||
| DENISE FIORE | ||||||||
| SR. VP/COO (VESTED DEFERRED) | 1.00 | 39.00 | $0 | $93,293 | $0 | Yes (X) | ||
| OLIVER MAYORGA | ||||||||
| VP/CHIEF MEDICAL OFFICER | 1.00 | 39.00 | $12,778 | $626,095 | $97,843 | Yes (X) | ||
| DONNA EPPS | ||||||||
| VP/CHIEF HUMAN RESOURCES OFFICER | 1.00 | 39.00 | $0 | $432,188 | $87,671 | Yes (X) | ||
| MAUREEN ANDERSON | ||||||||
| ASSISTANT SECRETARY | 2.00 | 38.00 | $16,246 | $389,913 | $43,764 | Yes (X) | ||
| KERIN DACRUZ | ||||||||
| VP/CHIEF NURSING OFFICER | 1.00 | 39.00 | $0 | $352,181 | $33,616 | Yes (X) | ||
| KARL NG | ||||||||
| CLINICAL PHARMACIST | 40.00 | 0.00 | $169,622 | $0 | $16,098 | Yes (X) | ||
| STEPHEN JOHNSTON | ||||||||
| REGISTERED NURSE | 40.00 | 0.00 | $182,179 | $0 | $1,455 | Yes (X) | ||
| JULIA SMITH | ||||||||
| REGISTERED NURSE | 40.00 | 0.00 | $155,907 | $0 | $23,360 | Yes (X) | ||
| EMILY FLYNN | ||||||||
| CLINICAL PHARMACIST | 40.00 | 0.00 | $144,850 | $0 | $32,525 | Yes (X) | ||
| SHEILA SANDOVAL | ||||||||
| CLINICAL PHARMACIST | 40.00 | 0.00 | $158,849 | $0 | $6,512 | Yes (X) | ||
| DANIEL GACCIONE | ||||||||
| EX-OFFICIO TRUSTEE | 1.00 | 0.00 | Yes (X) | $1,950 | $0 | $0 | ||
| RICHARD SMITH | ||||||||
| SECR, TREAS & TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| F GREGORY AHERN | ||||||||
| VICE CHAIR & TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| JAMES MAYNARD | ||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JAMES MITCHELL | ||||||||
| TRUSTEE | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||
| ROBERT NARDONE | ||||||||
| TRUSTEE | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||
| STEPHEN M GREENE | ||||||||
| CHAIRMAN AND TRUSTEE | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| THOMAS J LIGUORI | ||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| VICTORIA REYES | ||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $842,381 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $5,396,219 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,717,446 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 81 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| VIZIENT INC | |||||
| 290 E JOHN CARPENTER FREEWAY | IRVING | TX | 75062 | HEALTH CARE SERVICES | $1,771,083 |
| QUEST DIAGNOSTICS | |||||
| 40 ACCORD PARK DRIVE | NORWELL | MA | 02061 | LAB SERVICES | $432,629 |
| MED ONE CAPITAL FUNDING LLC | |||||
| 0712 S 1300 EAST | SANDY | UT | 84094 | EQUIPMENT LEASING SERVICES | $289,898 |
| UNITEX TEXTILE RENTAL INC | |||||
| 565 TAXTER ROAD SUITE 620 | ELMSFORD | NY | 10523 | UNIFORM LAUNDERING | $270,492 |
| PAYETTE ASSOCIATES INC | |||||
| 290 CONGRESS STREET | BOSTON | MA | 02210 | ARCHITECTURAL SERVICES | $118,907 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 6 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $302,647 | RelatedOrganizationsAmt |
| Government Grants | $16,561,305 | GovernmentGrantsAmt |
| Total Contributions | $16,863,952 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $102,070,718 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $101,132,926 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $937,792 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $102,070,718 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $332,931 | TotalRevenueColumnAmt |
| Exclusion | $332,931 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $302,771 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $271,166 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $31,605 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $31,605 | TotalRevenueColumnAmt |
| Exclusion | $31,605 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,914,180 | SecuritiesAmt |
| Other | $28,707 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,884,762 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $29,418 | SecuritiesAmt |
| Other | $28,707 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $58,125 | TotalRevenueColumnAmt |
| Exclusion | $58,125 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| CAFETERIA/FOOD SALES | 900099 | $214,930 | $214,930 | |
| OTHER ANCILLARY REVENUE | 900099 | $174,424 | $174,424 | |
| PARTNERSHIP INCOME | 900099 | -$255 | -$255 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $389,099 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $119,746,430 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $101,132,926 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $937,537 | UnrelatedBusinessRevenueAmt |
| Exclusion | $812,015 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,161 | TotalAmt |
| Program Services | $6,161 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,731 | TotalAmt |
| Management And General | $32,731 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,735,918 | TotalAmt |
| Program Services | $39,436,677 | ProgramServicesAmt |
| Management And General | $4,299,241 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,047,122 | TotalAmt |
| Program Services | $944,190 | ProgramServicesAmt |
| Management And General | $102,932 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,698,844 | TotalAmt |
| Program Services | $6,040,348 | ProgramServicesAmt |
| Management And General | $658,496 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,092,187 | TotalAmt |
| Program Services | $2,788,225 | ProgramServicesAmt |
| Management And General | $303,962 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,369,155 | TotalAmt |
| Program Services | $1,234,567 | ProgramServicesAmt |
| Management And General | $134,588 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,452 | TotalAmt |
| Program Services | $5,818 | ProgramServicesAmt |
| Management And General | $634 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,120 | TotalAmt |
| Program Services | $20,847 | ProgramServicesAmt |
| Management And General | $2,273 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,911 | TotalAmt |
| Program Services | $27,911 | ProgramServicesAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $161,757 | TotalAmt |
| Program Services | $145,856 | ProgramServicesAmt |
| Management And General | $15,901 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,320,834 | TotalAmt |
| Program Services | $14,716,496 | ProgramServicesAmt |
| Management And General | $1,604,338 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,940 | TotalAmt |
| Program Services | $1,749 | ProgramServicesAmt |
| Management And General | $191 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $469,393 | TotalAmt |
| Program Services | $423,252 | ProgramServicesAmt |
| Management And General | $46,141 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,868,532 | TotalAmt |
| Program Services | $1,684,855 | ProgramServicesAmt |
| Management And General | $183,677 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,429 | TotalAmt |
| Program Services | $22,028 | ProgramServicesAmt |
| Management And General | $2,401 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,646 | TotalAmt |
| Program Services | $14,108 | ProgramServicesAmt |
| Management And General | $1,538 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,983,191 | TotalAmt |
| Program Services | $2,689,943 | ProgramServicesAmt |
| Management And General | $293,248 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,920,220 | TotalAmt |
| Program Services | $5,338,262 | ProgramServicesAmt |
| Management And General | $581,958 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,539,448 | TotalAmt |
| Program Services | $1,388,120 | ProgramServicesAmt |
| Management And General | $151,328 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $26,000,454 | $23,444,609 | $2,555,845 |
| REPAIRS & MAINTENANCE | $1,867,680 | $1,684,087 | $183,593 |
| OTHER SUPPLIES | $1,352,549 | $1,219,593 | $132,956 |
| MEMBERSHIP DUES & SUBSC | $196,979 | $177,616 | $19,363 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,462 | TotalAmt |
| Program Services | $12,140 | ProgramServicesAmt |
| Management And General | $1,322 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $114,776,115 | TotalAmt |
| Program Services | $103,467,458 | ProgramServicesAmt |
| Management And General | $11,308,657 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,690,110 | BOYAmt |
| EOY | $17,966,232 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,160 | BOYAmt |
| EOY | $14,360 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,174,782 | BOYAmt |
| EOY | $17,620,260 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,571,988 | BOYAmt |
| EOY | $2,869,133 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $606,047 | BOYAmt |
| EOY | $464,804 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $79,006,076 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $25,533,815 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,982,503 | BOYAmt |
| EOY | $53,472,261 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,616,174 | BOYAmt |
| EOY | $9,902,745 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,754,346 | BOYAmt |
| EOY | $5,583,053 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,275,733 | BOYAmt |
| EOY | $16,797,344 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $94,690,843 | BOYAmt |
| EOY | $124,690,192 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,615,498 | BOYAmt |
| EOY | $21,287,024 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $67,300,927 | BOYAmt |
| EOY | $81,254,612 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,916,425 | BOYAmt |
| EOY | $102,541,636 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,271,948 | BOYAmt |
| EOY | $10,901,471 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,502,470 | BOYAmt |
| EOY | $11,247,085 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,774,418 | BOYAmt |
| EOY | $22,148,556 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $94,690,843 | BOYAmt |
| EOY | $124,690,192 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $4,970,315 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$3,575 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $5,407,398 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | Yes (1) | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | Yes (1) | MailingsMembersInd |
| Mailings Members | $500 | MailingsMembersAmt |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $7,837 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $19,574 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $27,911 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE AMOUNT REPORTED IN "OTHER ACTIVITIES" REPRESENTS A PORTION OF PROFESSIONAL DUES ATTRIBUTABLE TO LOBBYING DURING FY 2021. ALSO, THE HEALTH SYSTEM OFFICIALS HAD MEETINGS AND CONTACTS WITH STATE GOVERNMENT OFFICIALS, INCLUDING STATE LEGISLATORS AND THEIR STAFF TO DISCUSS VARIOUS HEALTH CARE REFORM PROPOSALS. LMW HEALTHCARE INC. IS PART OF A CONTROLLED GROUP WITH THE FOLLOWING LOBBYING EXPENSES: YALE NEW HAVEN HOSPITAL EIN 06-0646652 $ 762,113 BRIDGEPORT HOSPITAL EIN 06-0646554 $ 169,869 GREENWICH HOSPITAL EIN 06-0646659 $ 120,788 LAWRENCE + MEMORIAL HOSPITAL EIN 06-0646704 $ 117,914 NORTHEAST MEDICAL GROUP INC. EIN 06-1330992 $ 42,966 | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,502,471 | BeginningYearBalanceAmt |
| Contributions | $227,456 | ContributionsAmt |
| Investment Earnings Or Losses | $1,016,614 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $499,456 | OtherExpendituresAmt |
| End Year Balance | $11,247,085 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,290,657 | BeginningYearBalanceAmt |
| Contributions | $177,496 | ContributionsAmt |
| Investment Earnings Or Losses | $484,620 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $450,302 | OtherExpendituresAmt |
| End Year Balance | $10,502,471 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,435,862 | BeginningYearBalanceAmt |
| Contributions | $129,481 | ContributionsAmt |
| Investment Earnings Or Losses | $121,795 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $396,481 | OtherExpendituresAmt |
| End Year Balance | $10,290,657 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $8,596,754 | BeginningYearBalanceAmt |
| Contributions | $1,889,116 | ContributionsAmt |
| Investment Earnings Or Losses | $208,521 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $258,529 | OtherExpendituresAmt |
| End Year Balance | $10,435,862 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,716,486 | BeginningYearBalanceAmt |
| Contributions | $85,767 | ContributionsAmt |
| Investment Earnings Or Losses | $857,775 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $32,525 | OtherExpendituresAmt |
| Administrative Expenses | $30,749 | AdministrativeExpensesAmt |
| End Year Balance | $8,596,754 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.94910 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.05090 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,742,000 | OtherCostOrOtherBasisAmt |
| Book Value | $7,742,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $40,207,036 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,421,166 | DepreciationAmt |
| Book Value | $33,785,870 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $782,112 | OtherCostOrOtherBasisAmt |
| Depreciation | $641,875 | DepreciationAmt |
| Book Value | $140,237 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $26,531,110 | OtherCostOrOtherBasisAmt |
| Depreciation | $18,470,774 | DepreciationAmt |
| Book Value | $8,060,336 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,743,818 | OtherCostOrOtherBasisAmt |
| Book Value | $3,743,818 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $53,472,261 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (10 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| MALPRACTICE INSURANCE RECEIVABLE | $8,775,218 |
| CONTRIBUTION RECEIVABLE | $750,000 |
| DUE FROM BRIDGEPORT HOSPITAL | $17,313 |
| DUE FROM WESTERLY HOSPITAL FOUNDATION | $827,459 |
| DUE FROM VISITING NURSES ASSOCIATION | $7,478 |
| RIGHT OF USE ASSET - LTO | $845,138 |
| LT PREPAID EXPENSE - SHARED PROJECTS | $75,991 |
| LM NOVATED CAPITAL | $1,806,102 |
| DUE FROM NORTHEAST MEDICAL GROUP PATIENT TRANSFERS RECEIVABLE | $3,905 |
| DUE FROM YALE NEW HAVEN HEALTH SERVICES | $3,688,740 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $16,797,344 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (13 entries)
| DescDesc | AmtAmt |
|---|---|
| 3RD PARTY PAYOR SETTLEMENTS | $1,627,073 |
| ASSET RETIREMENT OBLIGATION | $2,084,554 |
| MALPRACTICE INSURANCE LIABILITY | $10,537,651 |
| DUE TO YALE NEW HAVEN HOSPITAL | $154,047 |
| DUE TO LAWRENCE+MEMORIAL HOSPITAL | $54,180,461 |
| DUE TO L+M HOSPITAL LT LOAN | $11,146,922 |
| DUE TO SR ANNE VIRGINIE GRIMES | $1,653 |
| DEFERRED REVENUE - GRANTS | $62,539 |
| LEASE LIABILITY LTO - CURRENT | $319,500 |
| DUE TO NORTHEAST MEDICAL GROUP | $104,690 |
| EMPLOYEE RETENTION CREDIT RESERVE | $153,869 |
| FEMA FUND RESERVE | $233,706 |
| DUE TO YNH HEALTH SERVICES HUMAN RESOURCE COMPANY | $647,947 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $81,254,612 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE ORGANIZATION'S ENDOWMENT FUND FUNCTIONS TO SUPPORT AND PROVIDE INCOME FOR THE FURTHERANCE OF THE HEALTH CARE MISSION OF LMW HEALTHCARE, INC. |
| PART X, LINE 2: | LMW HEALTHCARE INC IS INCLUDED WITHIN THE WESTERLY HOSPITAL DISCLOSURES IN THE CONSOLIDATED FINANCIAL STATEMENTS OF YALE NEW HAVEN HEALTH SYSTEM AND SUBSIDIARIES AUDITED FINANCIAL STATEMENTS. FOLLOWING IS THE FOOTNOTE FROM THE CONSOLIDATED FINANCIAL STATEMENTS: MOST ENTITIES WITHIN THE SYSTEM ARE NOT FOR PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE CODE, AND ARE GENERALLY EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE CODE. PROVISIONS FOR INCOME TAXES AND DEFERRED TAXES, WHICH ARE NOT MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS, HAVE BEEN MADE FOR THE TAXABLE ENTITIES LISTED ABOVE UNDER THE DESCRIPTION OF THE SYSTEM. U.S. GAAP REQUIRES THE SYSTEM TO EVALUATE TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN THE COURSE OF PREPARING THE SYSTEM'S TAX RETURNS TO DETERMINE WHETHER THE TAX POSITIONS ARE "MORE LIKELY THAN NOT" OF BEING SUSTAINED BY THE APPLICABLE TAX AUTHORITY BASED UPON THE TECHNICAL MERITS OF THE POSITION. THE SYSTEM RECOGNIZES THE EFFECT OF TAX POSITIONS ONLY IF THEY ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. THIS EVALUATION HAD NO IMPACT ON THE OPERATIONS OF THE SYSTEM AS OF AND FOR THE YEAR ENDED SEPTEMBER 30, 2021 AND 2020. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 250.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 550.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 2669 | PersonsServedCnt |
| Total Community Benefit Expns | $3,125,374 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,840,773 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,284,601 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01120 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 15190 | PersonsServedCnt |
| Total Community Benefit Expns | $14,043,914 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,310,278 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,733,636 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05000 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 17859 | PersonsServedCnt |
| Total Community Benefit Expns | $17,169,288 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,151,051 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,018,237 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06120 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 9 | ActivitiesOrProgramsCnt |
| Persons Served | 914 | PersonsServedCnt |
| Total Community Benefit Expns | $227,999 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $66,265 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $161,734 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00140 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 129 | PersonsServedCnt |
| Total Community Benefit Expns | $154,259 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $154,259 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 11 | ActivitiesOrProgramsCnt |
| Persons Served | 1043 | PersonsServedCnt |
| Total Community Benefit Expns | $382,258 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $66,265 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $315,993 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00270 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 11 | ActivitiesOrProgramsCnt |
| Persons Served | 18902 | PersonsServedCnt |
| Total Community Benefit Expns | $17,551,546 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,217,316 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,334,230 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06390 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $3,086,228 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $49,182,048 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $64,762,576 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$15,580,528 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | Yes (X) | CostAccountingSystemInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LMW HEALTHCARE INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 25 WELLS STREET | AddressLine1Txt |
| City | WESTERLY | CityNm |
| State Abbreviation | RI | StateAbbreviationCd |
| ZIP | 02891 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | HTTP://WESTERLYHOSPITAL.ORG | WebsiteAddressTxt |
| State License | HOS00129 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LMW HEALTHCARE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 18 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, SECTION C | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | SEE PART V, SECTION C | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 18 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, SECTION C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 250.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 550.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, SECTION C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| LMW HEALTHCARE, INC. | PART V, SECTION B, LINE 5: IN THE GREATER WESTERLY AREA, COMMUNITY ENGAGEMENT AND FEEDBACK WERE AN INTEGRAL PART OF THE CHNA PROCESS. THROUGHOUT, LMW HEALTHCARE INC. SOUGHT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL THROUGH COMMUNITY MEETINGS AND INCLUSION OF RESIDENTS AND COMMUNITY PARTNERS IN THE PRIORITIZATION AND IMPLEMENTATION PLANNING PROCESS. PUBLIC HEALTH AND HEALTH CARE PROFESSIONALS SHARED KNOWLEDGE AND EXPERTISE ABOUT HEALTH ISSUES, WHILE LEADERS AND REPRESENTATIVES OF NON-PROFIT AND COMMUNITY-BASED ORGANIZATIONS PROVIDED INSIGHT ON THE COMMUNITY SERVED BY THE HOSPITAL, INCLUDING MEDICALLY UNDERSERVED, LOW INCOME, AND MINORITY POPULATIONS. |
| LMW HEALTHCARE, INC. | PART V, SECTION B, LINE 6A: LMW HEALTHCARE INC PARTICIPATED IN A STATEWIDE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) LED BY THE HOSPITAL ASSOCIATION OF RHODE ISLAND (HARI) AND ITS MEMBER HOSPITALS. ITS MEMBER HOSPITALS INCLUDE:BUTLER HOSPITALELEANOR SLATER HOSPITALFATIMA HOSPITALKENT HOSPITALLANDMARK MEDICAL CENTERPROVIDENCE VA MEDICAL CENTERROGER WILLIAMS MEDICAL CENTERSOUTH COUNTY HOSPITALWOMEN & INFANTS HOSPITAL |
| LMW HEALTHCARE, INC. | PART V, SECTION B, LINE 6B: THROUGH A COORDINATED STATEWIDE EFFORT, HARI AND ITS HOSPITAL MEMBERS WORKED WITH THE RHODE ISLAND DEPARTMENT OF HEALTH AND LOCAL COMMUNITY PARTNERS TO COLLECT HEALTH DATA, GATHER FEEDBACK ON REGIONAL AND LOCAL HEALTH NEEDS, AND DEVELOP COORDINATED PLANS TO ADDRESS PRIORITY HEALTH NEEDS ACROSS THE STATE. PARTICIPATING ORGANIZATIONS IN THE CHNA PROCESS:BAKER-TILLY CONSULTINGTHE HOSPITAL ASSOCIATION OF RHODE ISLANDCARE NEW ENGLAND HEALTH SYSTEMCHARTERCARE HEALTH SYSTEMCOASTAL WELLNESS COLLECTIVEDAY ONEDOMESTIC VIOLENCE RESOURCE CENTER OF SOUTH COUNTYGATEWAY HEALTHCAREJONNYCAKE CENTERTHE JOURNEY TO HOPE, HEALTH AND HEALINGLANDMARK MEDICAL CENTEROCEAN COMMUNITY YMCAPACE RHODE ISLANDRHODE ISLAND DEPARTMENT OF HEALTHRHODE ISLAND FOUNDATIONRHODE ISLAND STUDENT ASSISTANCESOUTH COUNTY COMMUNITY ACTIONSOUTH COUNTY HEALTHTOWER STREET COMMUNITY CENTERWARM CENTERWASHINGTON COUNTY HEALTH EQUITY ZONE STEERING COMMITTEEWESTERLY AMBULANCE CORPS.WESTERLY PAWCATUCK CLERGY ASSOCIATIONWESTERLY POLICE DEPARTMENTWESTERLY PUBLIC SCHOOLSWESTERLY PREVENTION AND WELLNESS PARTNERSHIPWESTERLY TOWN COUNCILWOOD RIVER HEALTH SERVICESSCHEDULE H, PART V, SEC B, LINE 7A AND 10A:HTTPS://WWW.WESTERLYHOSPITAL.ORG/ABOUT/COMMUNITY-BENEFITS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT.ASPX SCHEDULE H, PART V, SEC B, LINE 7B:HTTPS://WWW.WESTERLYHOSPITAL.ORG/ABOUT/COMMUNITY-BENEFITS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT.ASPX |
| LMW HEALTHCARE, INC. | PART V, SECTION B, LINE 7D: IN THE WESTERLY AREA, THE CHNA REPORT HAS BEEN SHARED IN A VARIETY OF WAYS. THE HEALTH IMPACT COLLABORATIVE HOSTED A DATA PRESENTATION ON APRIL 24, 2019 AND HAS SUBSEQUENTLY SHARED CHNA DATA IN PRESENTATION FORMAT AND WRITTEN SUMMARY WITH KEY CONSTITUENCIES, INCLUDING ELECTED OFFICIALS, IN THE REGION. PRINTED COPIES OF A CHNA SUMMARY REPORT HAVE BEEN AVAILABLE FOR THOSE INTERESTED AND THE REPORT IS POSTED ON THE HOSPITAL WEBSITE.A PUBLIC COMMENT PERIOD WAS ALSO MADE AVAILABLE FOR THE 2016 CHNA AS PART OF THE 2019 CHNA PROCESS. PUBLIC NOTICES WERE PLACED IN EACH OF THE MAJOR NEWSPAPERS IN THE LOCAL DELIVERY NETWORKS GEOGRAPHY REQUESTING COMMENT. THE PUBLIC COMMENT PERIOD WILL BE REPEATED ANNUALLY (E.G. 2019, 2020, AND 2021) AS PART OF THE 2022 CHNA PROCESS. |
| LMW HEALTHCARE, INC. | PART V, SECTION B, LINE 11: IN MARCH 2020, EFFORTS SHIFTED TO ADDRESS THE COVID-19 PANDEMIC IN OUR COMMUNITY. LMW HEALTHCARE, INC., AS PART OF YALE NEW HAVEN HEALTH SWIFTLY CONVERTED HOSPITAL SPACE TO COVID-19 UNITS, ASSEMBLED DRIVE-THROUGH SPECIMEN COLLECTION SITES AND MOBILE TESTING UNITS, CREATED ONSITE SPECIMEN TESTING CAPABILITIES, INSTITUTED NEW TREATMENT AND MEDICATION THERAPIES, LAUNCHED EMPLOYEE WELLNESS INITIATIVES AND PROCURED NEARLY IMPOSSIBLE-TO-FIND RESOURCES FROM PPE TO VENTILATORS TO MEDICATIONS. VERY SIGNIFICANT WORK WAS UNDERTAKEN TO ADDRESS THE FOOD INSECURITY IN OUR COMMUNITIES LAID BARE BY THE PANDEMIC.OTHER COMMUNITY-BASED WORK, INCLUDING MULTI-SECTOR PARTNERSHIPS MOVED TO AN ONLINE FORMAT. THE WESTERLY AREA HEALTH IMPACT COLLABORATIVE CONTINUED TO ADDRESS BEHAVIORAL HEALTH AS A PRIORITY AREA, IN COLLABORATION WITH HEALTHY BODIES, HEALTHY MINDS OF WASHINGTON COUNTY AND AS DIRECTED BY THE COUNTY'S COMPREHENSIVE BEHAVIORAL HEALTH STRATEGIC PLAN. LMW HEALTHCARE, INC. SPECIFICALLY SUPPORTS THE PROJECT DIRECTOR FOR THE ZERO SUICIDE INITIATIVE INCLUDING SUICIDE PREVENTION TRAININGS, AS WELL AS PROMOTING MENTAL HEALTH FIRST AID TRAININGS THROUGHOUT THE COMMUNITY. THE 2016 AND 2019 CHNAS REVEALED THAT THE WESTERLY COMMUNITY IS GREATLY CHALLENGED BY BEHAVIORAL HEALTH MENTAL HEALTH AND SUBSTANCE USE DISORDER RELATED ISSUES. FROM A LACK OF RESOURCES TO TREAT MENTAL HEALTH CONDITIONS TO SUBSTANCE ABUSE ADDICTION, BEHAVIORAL HEALTH IS A KEY HEALTH CONCERN IN OUR COMMUNITY. BECAUSE OF THE FAR-REACHING EFFECTS OF BEHAVIORAL HEALTH ON THE OVERALL HEALTH AND QUALITY OF LIFE FOR RESIDENTS IN OUR COMMUNITY, LMW HEALTHCARE AND THE HEALTH IMPACT COLLABORATIVE OF GREATER WESTERLY MADE A COMMITMENT TO CONTINUE THE FOCUS OF COMMUNITY HEALTH IMPROVEMENT EFFORTS ON BEHAVIORAL HEALTH OVER THE NEXT SEVERAL YEARS. WHILE WE REMAIN COMMITTED TO PROVIDING QUALITY HEALTHCARE FOR ALL, AND OUR ONGOING WORK TOWARD CHRONIC DISEASE PREVENTION AND CANCER CARE WILL NOT STOP, WE WILL PLACE A HEIGHTENED EMPHASIS ON TACKLING BEHAVIORAL HEALTH NEEDS ACROSS OUR COMMUNITY. LMW HEALTHCARE HAS PLAYED A LEADERSHIP ROLE IN HEALTHY BODIES, HEALTHY MINDS (HBHM), A PARTNERSHIP WITH THE RHODE ISLAND DEPARTMENT OF HEALTH HEALTH EQUITY ZONE (HEZ) PROJECT TO HELP ALL SOUTH COUNTY RESIDENTS LEAD HEALTHY LIVES. IN COLLABORATION WITH THE HBHM COMMITTEE AND PEOPLE WITH LIVED EXPERIENCE, A COMPREHENSIVE BEHAVIORAL HEALTH STRATEGIC PLAN WAS DEVELOPED IN THIS PERIOD. SUBSEQUENT ACTIVITY SUPPORTS FORWARDING THE STRATEGIES OUTLINED IN THIS PLAN WHICH ALIGN WITH THE COMMUNITY HEALTH IMPROVEMENT PLAN STRATEGIES.IN ADDITION, AND BASED ON THE FINDINGS OF THE CHNA, THE HEALTH IMPACT COLLABORATIVE OF GREATER WESTERLY IS ADDRESSING THE NEEDS OF OLDER RESIDENTS THROUGH THE DEVELOPMENT OF AN AGE FRIENDLY WESTERLY INITIATIVE. THE WESTERLY AREA HAS A GREATER PERCENTAGE OF OLDER ADULT RESIDENTS THAN OTHER AREAS OF THE STATE AND IN ORDER TO PURSUE A MORE LIVEABLE COMMUNITY, AGE FRIENDLY WESTERLY WAS LAUNCHED WITH PARTICIPATION FROM THE TOWN OF WESTERLY LEADERSHIP AND PLANNING DEPARTMENT AS WELL AS FROM THE MANY ORGANIZATIONS THAT IMPACT OLDER RESIDENTS IN THE COMMUNITY. |
| LMW HEALTHCARE, INC. | PART V, SECTION B, LINE 13H: THESE PROGRAMS COVER EMERGENCY AND OTHER MEDICALLY NECESSARY CARE ONLY. |
| LMW HEALTHCARE, INC. | PART V, SECTION B, LINE 16J: WEBSITE PROVIDES DIRECT EMAIL LINK TO FINANCIAL COUNSELORS. |
| LMW HEALTHCARE, INC. | PART V, SECTION B, LINE 20E: PRIOR TO INITIATION OF ANY COLLECTION ACTION, THE HOSPITAL DOCUMENTED ITS DETERMINATION OF WHETHER INDIVIDUALS WHO SUPPLIED A COMPLETED FINANCIAL ASSISTANCE APPLICATION WERE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL FACILITY'S FINANCIAL ASSISTANCE POLICY. |
| SCHEDULE H, PART V, SECTION B, LINE 16A, 16B AND 16C: | HTTPS://WWW.WESTERLYHOSPITAL.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE.ASPX |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 6 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - LMW HEALTHCARE LAB | ||||
| 45 WELLS STREET | WESTERLY | RI | 02891 | BLOOD DRAW CENTER |
| 2 - LMW HEALTHCARE LAB | ||||
| 25 WELLS STREET | WESTERLY | RI | 02891 | BLOOD DRAW CENTER |
| 3 - CENTER FOR MUSCULOSKELETAL CARE | ||||
| 45 WELLS STREET | WESTERLY | RI | 02891 | MUSCULOSKELETAL CARE |
| 4 - OUTPATIENT LAB SERVICES - HOPE VALLEY | ||||
| 823 MAIN STREET | HOPE VALLEY | RI | 02832 | BLOOD DRAW CENTER |
| 5 - PHYSICAL THERAPY AND REHAB SERVICES | ||||
| 81 BEACH STREET | WESTERLY | RI | 02891 | PHYSICIAL THERAPY; REHAB |
| 6 - WOOD RIVER HEALTH SERVICES | ||||
| 823 HOPE STREET | HOPE VALLEY | RI | 02832 | MAMMOGRAPHY; XRAY SERVICE |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | IT IS THE PHILOSOPHY AND POLICY OF LMW HEALTHCARE INC 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). 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"). |
| PART I, LINE 7: | THE AMOUNTS REPORTED ON PART I, LINE 7 WERE CALCULATED AS DIRECT AND SEPARATELY IDENTIFIABLE COSTS INCURRED BY THE HOSPITAL PLUS AN ALLOCATION OF OVERHEAD. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | LMW HEALTHCARE, ALONG WITH MANY OTHER HOSPITALS ACROSS THE COUNTRY, UTILIZES THE COMMUNITY BENEFITS INVENTORY FOR SOCIAL ACCOUNTABILITY (CBISA) DATABASE DEVELOPED BY LYON SOFTWARE TO CATALOG ITS COMMUNITY BENEFIT AND COMMUNITY BUILDING ACTIVITIES AND THE GUIDELINES DEVELOPED BY THE CATHOLIC HOSPITAL ASSOCIATION (CHA) IN ORDER TO CATALOG THESE BENEFITS. THESE TWO ORGANIZATIONS HAVE WORKED TOGETHER FOR OVER 20 YEARS TO PROVIDE SUPPORT TO NOT-FOR-PROFIT HOSPITALS TO DEVELOP AND SUSTAIN EFFECTIVE COMMUNITY BENEFIT PROGRAMS.THE MOST RECENT VERSION OF THE CHA GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFIT DEFINES COMMUNITY BUILDING ACTIVITIES AS PROGRAMS THAT ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS, SUCH AS POVERTY, HOMELESSNESS AND ENVIRONMENTAL PROBLEMS. THESE ACTIVITIES ARE CATEGORIZED INTO EIGHT DISTINCT AREAS INCLUDING PHYSICAL IMPROVEMENT AND HOUSING, ECONOMIC DEVELOPMENT, COMMUNITY SUPPORT, ENVIRONMENTAL IMPROVEMENTS, LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS, COALITION BUILDING, ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENTS, AND WORKFORCE DEVELOPMENT. LMW HEALTHCARE ENHANCES THE LIVES OF THOSE WE SERVE BY PROVIDING ACCESS TO INTEGRATED, HIGH-VALUE, PATIENT-CENTERED CARE IN COLLABORATION WITH OTHERS WHO SHARE OUR VALUES. AS SUCH, LMW HEALTHCARE IS INCREASINGLY AWARE OF HOW SOCIAL DETERMINANTS IMPACT THE HEALTH OF INDIVIDUALS AND COMMUNITIES. A PERSON'S HEALTH AND CHANCES OF BECOMING SICK AND DYING EARLY ARE GREATLY INFLUENCED BY POWERFUL SOCIAL FACTORS SUCH AS EDUCATION, INCOME, NUTRITION, HOUSING AND NEIGHBORHOODS.THROUGH THE WORK OF THE NEWLY LAUNCHED AGE FRIENDLY WESTERLY INITIATIVE, LMW HEALTHCARE IS SUPPORTING WORK ACROSS THE AARP DOMAINS OF LIVEABILITY FOR OLDER RESIDENTS WHICH INCORPORATE EFFORTS ON SOCIAL DETERMINANTS. INITIAL EFFORTS HAVE INCLUDED STRATEGIES TO ADDRESS HOUSING NEEDS IN GREATER WESTERLY, INCLUDING THE DEVELOPMENT OF A WESTERLY VILLAGE, A SYSTEM OF MUTUAL AID THAT SUPPORTS OLDER RESIDENTS IN STAYING IN THEIR HOMES SAFELY. |
| PART III, LINE 2: | LMW HEALTHCARE INC 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 GENERAL LEDGER. |
| PART III, LINE 3: | THE ORGANIZATION DOES NOT CURRENTLY HAVE A METHODOLOGY TO ACCURATELY QUANTIFY OR ESTIMATE THE AMOUNT OF BAD DEBT EXPENSE THAT WOULD BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. |
| PART III, LINE 4: | LMW HEALTHCARE INC ("WESTERLY HOSPITAL") IS INCLUDED IN THE CONSOLIDATED YALE NEW HAVEN HEALTH SERVICES CORPORATION AUDITED FINANCIAL STATEMENTS. FOLLOWING IS THE FOOTNOTE FROM THE CONSOLIDATED FINANCIAL STATEMENTS:THE SYSTEM'S COMMITMENT TO COMMUNITY SERVICE IS EVIDENCED BY SERVICES PROVIDED TO THE POOR AND BENEFITS PROVIDED TO THE BROADER COMMUNITY. SERVICES PROVIDED TO THE POOR INCLUDE SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD HEALTHCARE BECAUSE OF INADEQUATE RESOURCES, AND/OR WHO ARE UNINSURED OR UNDERINSURED.THE SYSTEM PROVIDES FREE CARE PROGRAMS FOR QUALIFYING PATIENTS. IN ACCORDANCE WITH THE ESTABLISHED POLICIES OF THE SYSTEM, DURING THE REGISTRATION, BILLING, AND COLLECTION PROCESS, A PATIENT'S ELIGIBILITY FOR FREE CARE FUNDS IS DETERMINED. FOR PATIENTS WHO WERE DETERMINED BY THE SYSTEM TO HAVE THE ABILITY TO PAY BUT DID NOT, THE UNCOLLECTED AMOUNTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS. FOR PATIENTS WHO DO NOT AVAIL THEMSELVES OF ANY FREE CARE PROGRAM, AND WHOSE ABILITY TO PAY CANNOT BE DETERMINED BY THE SYSTEM, CARE GIVEN BUT NOT PAID FOR IS CLASSIFIED AS CHARITY CARE.TOGETHER, CHARITY CARE AND FREE CARE REPRESENT UNCOMPENSATED CARE. THE ESTIMATED COST OF TOTAL UNCOMPENSATED CARE IS APPROXIMATELY $87.7 MILLION AND $102.0 MILLION FOR THE YEARS ENDED SEPTEMBER 30, 2021 AND 2020, RESPECTIVELY. THE ESTIMATED COST OF UNCOMPENSATED CARE IS BASED ON THE RATIO OF COST TO CHARGES, AS DETERMINED BY CLAIMS ACTIVITY.THE ALLOCATION BETWEEN IMPLICIT PRICE CONCESSION AND CHARITY CARE IS DETERMINED BASED ON MANAGEMENT'S ANALYSIS ON THE PREVIOUS 12 MONTHS OF HOSPITAL DATA. THIS ANALYSIS CALCULATES THE ACTUAL PERCENTAGE OF ACCOUNTS WRITTEN OFF OR DESIGNATED AS IMPLICIT PRICE CONCESSIONS VERSUS CHARITY CARE WHILE TAKING INTO ACCOUNT THE TOTAL COSTS INCURRED BY THE SYSTEM FOR EACH ACCOUNT ANALYZED.THE CONNECTICUT DISPROPORTIONATE SHARE HOSPITAL PROGRAM (CDSHP) WAS ESTABLISHED TO PROVIDE FUNDS TO HOSPITALS FOR THE PROVISION OF UNCOMPENSATED CARE AND IS FUNDED, IN PART, BY AN ASSESSMENT ON HOSPITAL NET PATIENT SERVICE REVENUE. THE SYSTEM MADE PAYMENTS INTO THE CDSHP OF $326.6 MILLION AND $330.7 MILLION FOR THE YEARS ENDED SEPTEMBER 30, 2021 AND 2020, RESPECTIVELY, FOR THE ASSESSMENT.DURING THE YEARS ENDED SEPTEMBER 30, 2021 AND 2020, THE SYSTEM RECEIVED $187.8 MILLION AND $184.4 MILLION, RESPECTIVELY, IN CDSHP DISTRIBUTIONS, OF WHICH APPROXIMATELY $108.2 MILLION AND 108.0 MILLION WAS RELATED TO CHARITY CARE. THESE ARE RECORDED IN NET PATIENT SERVICE REVENUE.ADDITIONALLY, THE SYSTEM PROVIDES BENEFITS FOR THE BROADER COMMUNITY, WHICH INCLUDES SERVICES PROVIDED TO OTHER NEEDY POPULATIONS THAT MAY NOT QUALIFY AS POOR BUT NEED SPECIAL SERVICES AND SUPPORT. BENEFITS INCLUDE THE COST OF HEALTH PROMOTION AND EDUCATION OF THE GENERAL COMMUNITY, INTERNS AND RESIDENTS, HEALTH SCREENINGS, AND MEDICAL RESEARCH. THE BENEFITS ARE PROVIDED THROUGH THE COMMUNITY HEALTH CENTERS, SOME OF WHICH SERVICE NON ENGLISH SPEAKING RESIDENTS, DISABLED CHILDREN, AND VARIOUS COMMUNITY SUPPORT GROUPS.THE SYSTEM VOLUNTARILY ASSISTS WITH THE DIRECT FUNDING OF SEVERAL CITY OF NEW HAVEN PROGRAMS, INCLUDING AN ECONOMIC DEVELOPMENT PROGRAM AND A YOUTH INITIATIVE PROGRAM. IN ADDITION TO THE QUANTIFIABLE SERVICES DEFINED ABOVE, THE SYSTEM PROVIDES ADDITIONAL BENEFITS TO THE COMMUNITY THROUGH ITS ADVOCACY OF COMMUNITY SERVICE BY EMPLOYEES. THE SYSTEM'S EMPLOYEES SERVE NUMEROUS ORGANIZATIONS THROUGH BOARD REPRESENTATION, MEMBERSHIP IN ASSOCIATIONS AND OTHER RELATED ACTIVITIES. THE SYSTEM ALSO SOLICITS THE ASSISTANCE OF OTHER HEALTHCARE PROFESSIONALS TO PROVIDE THEIR SERVICES AT NO CHARGE THROUGH PARTICIPATION IN VARIOUS COMMUNITY SEMINARS AND TRAINING PROGRAMS. |
| PART III, LINE 8: | THE MEDICARE SHORTFALL REPORTED IN PART III, LINE 7 WAS CALCULATED BASED ON COST REPORTING. THE COSTING METHOD WAS FROM THE MEDICARE COST REPORT'S OWN METHODOLOGY OF ALLOCATING COST BY DEPARTMENT AND DERIVING A RATIO OF COST TO CHARGE. THIS AMOUNT SHOULD BE TREATED AS COMMUNITY BENEFIT BECAUSE THE RATES PAID BY MEDICARE DO NOT ACCURATELY REFLECT THE COST OF CARE PROVIDED BY LMW HEALTHCARE. LMW HEALTHCARE MUST SUBSIDIZE THE COST OF CARE TO MEDICARE BENEFICIARIES WITH OTHER REVENUES. |
| PART III, LINE 9B: | IN ACCORDANCE WITH ITS WRITTEN CREDIT AND COLLECTION POLICY, LMW HEALTHCARE INC 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. |
| PART VI, LINE 2: | IN ADDITION TO THE METHODOLOGY EMPLOYED IN CONDUCTING THE COMMUNITY HEALTH NEEDS ASSESSMENT, LMW HEALTHCARE CARRIES OUT A VARIETY OF OTHER STRATEGIES IN GAUGING THE HEALTH NEEDS OF THE COMMUNITIES IT SERVES. THESE STRATEGIES INCLUDE PARTNERING ON ADDITIONAL ASSESSMENT AND PLANNING PROCESSES SUCH AS THE COUNTY-WIDE BEHAVIORAL HEALTH STRATEGIC PLAN, REVIEW OF DISEASE INCIDENCE AND PREVALENCE RATES FOR THE LOCAL COMMUNITY, STATE, AND NATION WITH RATES COLLECTED FROM PUBLICLY AVAILABLE SOURCES, AND SEEKING PERIODIC RESIDENT AND COMMUNITY LEADER INPUT ON PRIORITY AREAS. THESE ANALYSES INFORMS LMW HEALTHCARE 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 PUBLIC SCHOOLS, WOOD RIVER HEALTH SERVICES, AND OTHER LOCAL NON-PROFITS. PERIODIC REVIEW OF DATA AND UPDATING AS APPROPRIATE IS CONDUCTED. |
| PART VI, LINE 3: | IN ACCORDANCE WITH ITS CHARITY CARE POLICY, LMW HEALTHCARE 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 THEY ARE CONSIDERED "UNINSURED". IT IS THE RESPONSIBILITY OF THE PATIENT TO ADVISE LMW 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. |
| PART VI, LINE 4: | THE COMMUNITIES THAT COMPRISE THE SERVICE AREA OF LMW HEALTHCARE INCLUDE ELEVEN TOWNS IN SOUTHWESTERN RHODE ISLAND/WASHINGTON COUNTY: ASHAWAY, BLOCK ISLAND, BRADFORD, CAROLINA, CHARLESTOWN, HOPE VALLEY, HOPKINTON, WESTERLY, WEST KINGSTON, WOOD RIVER JUNCTION, AND WYOMING WITH A TOTAL POPULATION OF APPROXIMATELY 40,785. THESE COMMUNITIES ARE LARGELY RURAL WITH THE IMMEDIATE WESTERLY AREA BEING SUBURBAN. ALTHOUGH IT IS ANTICIPATED THAT THERE WILL BE A SLIGHT DECLINE IN OVERALL POPULATION IN THE NEXT FIVE YEARS, THE FASTEST GROWING AGE GROUP IN THE PRIMARY SERVICE AREA WILL BE 65+. THE POPULATION OVER AGE 65 IS EXPECTED TO INCREASE IN WASHINGTON COUNTY BY 2023. THE POPULATION ACROSS LMW HEALTHCARE'S SERVICE AREA IS PRIMARILY WHITE ALTHOUGH MORE RACIALLY AND ETHNICALLY DIVERSE THAN THE SURROUNDING WASHINGTON COUNTY, BUT LESS SO THAN THE STATE. IN WASHINGTON COUNTY IN 2018, HISPANICS REPRESENTED 3.4% OF THE POPULATION, BLACK/AFRICAN AMERICANS 1.4%, AND ASIANS 2.0%. THE MEDIAN AGE OF RESIDENTS (44.4 YEARS) IS HIGHER THAN THE STATE (40.7 YEARS), AS IS THE MEDIAN HOUSEHOLD INCOME, WHICH IS THE HIGHEST IN THE STATE (WASHINGTON COUNTY $78,882 VS, RI $58,972). OF NOTE, WASHINGTON COUNTY ALSO HAS THE SECOND HIGHEST POVERTY RATE IN THE STATE AT 10%. THE LANGUAGES SPOKEN IN THE SERVICE AREA MIMIC THE RACIAL CHARACTERISTICS. APPROXIMATELY 93.6% OF RESIDENTS SPEAK ENGLISH ONLY. LESS THAN 3% SPEAK SPANISH AS THEIR PRIMARY LANGUAGE. ANOTHER 3.5% SPEAK AN INDO-EUROPEAN LANGUAGE. HOUSING COST-BURDENED HOUSEHOLDS ARE MORE LIKELY TO HAVE DIFFICULTY AFFORDING OTHER NECESSITIES LIKE FOOD, TRANSPORTATION, AND MEDICAL CARE. HOUSING COST BURDEN IS DEFINED BY THE U.S. CENSUS BUREAU AS SPENDING MORE THAN 30% OF HOUSEHOLD INCOME ON RENT OR MORTGAGE EXPENSES. ONE OUT OF TWO RENTERS AND MORE THAN ONE IN THREE HOMEOWNERS IN RHODE ISLAND ARE CONSIDERED HOUSING COST BURDENED. WASHINGTON COUNTY IS CONSISTENT WITH THE STATE FOR RENTERS (50.3% IN WASHINGTON COUNTY VS. 50.7% IN RI), AND LOWER THAN THE STATE FOR HOME OWNERS (WASHINGTON COUNTY 32.2% VS. 34.6% IN RI). THE MEDIAN HOME VALUE FOR OWNER-OCCUPIED UNITS IN RI IS $238,200, WHICH IS LOWER WHEN COMPARED TO WASHINGTON COUNTY ($315,000).THE UNEMPLOYMENT RATE IN WASHINGTON COUNTY IS 2.8%, CONSIDERABLY LOWER THAN THE STATE (5%). THE MAJORITY OF RESIDENTS IN THE WORKFORCE HOLD WHITE COLLAR POSITIONS (66%) WITH 34% IN BLUE COLLAR POSITIONS.EDUCATION IS THE LARGEST PREDICTOR OF POVERTY AND ONE OF THE MOST EFFECTIVE MEANS OF REDUCING INEQUALITIES. IN WASHINGTON COUNTY, 5.2% OF RESIDENTS 25 YEARS OR OVER HAVE LESS THAN A HIGH SCHOOL DIPLOMA, 22.2% HAVE A HIGH SCHOOL DIPLOMA, AND 47.5% HAVE AT LEAST A BACHELOR'S DEGREE. THIS COMPARES FAVORABLY ON ALL MEASURES WITH THE STATE OF RI. IN WASHINGTON COUNTY, SERVICES AND PUBLIC TRANSPORTATION FALL SHORT OF MEETING DEMAND, CREATING A BARRIER TO ACCESS. |
| PART VI, LINE 5: | LMW HEALTHCARE'S COMMUNITY BENEFIT PROGRAMS AND SERVICES FORWARD THE ORGANIZATIONAL MISSION 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, LMW HEALTHCARE 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 LMW HEALTHCARE MAKES IN CARRYING OUT THESE PROGRAMS.COMMUNITY INVOLVEMENT IN GOVERNANCE AND ADVISORY GROUPSCOMMUNITY ENGAGEMENT IN THE PLANNING, IMPLEMENTATION AND EVALUATION OF LMW HEALTHCARE INITIATIVES IS OF UTMOST IMPORTANCE. CONSUMERS AND STAKEHOLDER ORGANIZATIONS PARTICIPATE IN A RANGE OF ACTIVITIES SO AS TO ENSURE THAT MANY PERSPECTIVES ARE CONSIDERED, INCLUDING THE PATIENT AND FAMILY ADVISORY COUNCIL. THE COUNCIL WORKS TO IMPROVE THE QUALITY OF CARE AND PATIENT EXPERIENCE WITH A PATIENT AND FAMILY CENTERED APPROACH. IT ALSO IDENTIFIES AND PROMOTES OPPORTUNITIES FOR COMMUNICATION AND COLLABORATION AMONG PATIENTS AND FAMILIES, HEALTH CARE PROFESSIONALS AND THE COMMUNITY. THROUGH THE PRESS GANEY SURVEYS, WE RECEIVE WRITTEN COMMENTS FROM PATIENTS AND FAMILIES THAT WE VIEW AS VALUABLE FEEDBACK ON HOW WE CAN IMPROVE OUR SERVICES AND THE PATIENT EXPERIENCE. THE PATIENT EXPERIENCE TEAM AT LMW HEALTHCARE RECEIVES ONGOING FEEDBACK FROM CONSUMERS AND COMMUNITY MEMBERS ABOUT THEIR EXPERIENCES. THEY OFTEN IDENTIFY OPPORTUNITIES FOR IMPROVEMENT, WHICH IS SHARED WITH LEADERS THROUGHOUT THE ORGANIZATION.AS A COMMUNITY HEALTH CARE SERVICES PROVIDER, LMW HEALTHCARE REMAINS ATTENTIVE TO HEALTH AND WELL-BEING THROUGH EDUCATION, OUTREACH AND OTHER INNOVATIVE SERVICES. DURING FISCAL YEAR 2021, LMW HEALTHCARE PROVIDED OVER $6.9 MILLION IN COMMUNITY BENEFITS THROUGH FINANCIAL AND IN-KIND CONTRIBUTIONS IN FIVE WIDE-RANGING PROGRAMS GUARANTEEING ACCESS TO CARE; PROMOTING HEALTH AND WELLNESS; ADVANCING CAREERS IN HEALTH CARE; RESEARCH; AND CREATING HEALTHIER COMMUNITIES. LMW HEALTHCARE ALSO CONTRIBUTES TO THE COMMUNITY IN WAYS THAT ARE NOT QUANTIFIED AS PART OF COMMUNITY BENEFITS AND SERVES AS AN IMPORTANT COMMUNITY RESOURCE. THIS INCLUDES HAVING A COMMUNITY-BASED BOARD OF TRUSTEES WITH MANY MEMBERS RESIDING OR WORKING IN THE AREA SERVED BY THE HOSPITAL. THE HOSPITAL ALSO EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY. LMW HEALTHCARE, IS A 125-BED HOSPITAL SERVING 4,580 INPATIENTS AND 128,408 OUTPATIENT ENCOUNTERS IN 2021. LMW HEALTHCARE IS ONE OF THE LARGEST PRIVATE EMPLOYERS IN WESTERLY WITH 724 EMPLOYEES IN 2021. IN FISCAL YEAR 2021 THERE WERE A TOTAL OF 317 MEMBERS OF THE LMW HEALTHCARE MEDICAL STAFF. |
| PART VI, LINE 6: | L+M HEALTHCARE IS AFFILIATED WITH THE YALE NEW HAVEN HEALTH SYSTEM. THE ENTITIES OF L+M HEALTHCARE INCLUDE L+M HOSPITAL, THE VISITING NURSE ASSOCIATION OF SOUTHEASTERN CT (VNASC), AND LMW HEALTHCARE (RHODE ISLAND) EACH OF WHICH HAVE A ROLE IN PROMOTING THE HEALTH OF OUR COMMUNITIES. THE LMW HEALTHCARE ROLE IS DESCRIBED IN QUESTION 5 ABOVE AND L+M 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. THE YALE NEW HAVEN HEALTH SYSTEM'S FUNDAMENTAL MISSION IS TO ENSURE THAT THE DELIVERY NETWORKS SUCH AS LMW HEALTHCARE ASSOCIATED WITH THE SYSTEM PROMOTE THE HEALTH OF THE COMMUNITIES THEY SERVE AND ENSURE THAT ALL PATIENTS HAVE ACCESS TO APPROPRIATE HEALTHCARE SERVICES. THE YALE NEW HAVEN HEALTH SYSTEM REQUIRES ITS HOSPITALS TO INCORPORATE PLANS TO PROMOTE HEALTHY COMMUNITIES WITHIN THE HOSPITAL'S EXISTING BUSINESS PLANS FOR WHICH THEY ARE HELD ACCOUNTABLE. IN ADDITION, REGULAR REPORTING ON COMMUNITY BENEFITS IS REQUIRED ON A QUARTERLY BASIS. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | RI |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|---|
| PATIENT EXPENSE FUNDING - SPECIAL PATIENT PURCHASES | 5 | $9,568 | FMV | DENTURES AND HEARING AIDS |
| PATIENT EXPENSE FUNDING - TRANSPORTATION | 462 | $25,646 | FMV | TRAVEL VOUCHERS |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | LMW HEALTHCARE, INC. MAINTAINS FULL AND COMPLETE RECORDS OF ALL MONETARY ASSISTANCE PROVIDED BUT LMW HEALTHCARE INC. DOES NOT MONITOR SPECIFIC FUNDS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PRATHIBHA VARKEY | ||||||||||||||
| EX-OFFICIO TRUSTEE | $0 | $788,067 | $0 | $257,032 | $0 | $81,311 | $0 | $468,877 | $0 | $8,477 | $0 | $1,603,764 | $0 | $0 |
| PATRICK L GREEN | ||||||||||||||
| PRESIDENT/CEO & TRUSTEE | $0 | $702,053 | $0 | $219,438 | $0 | $82,387 | $0 | $438,939 | $0 | $21,325 | $0 | $1,464,142 | $0 | $0 |
| STEPHEN ALLEGRETTO | ||||||||||||||
| SR. VP/CHIEF FINANCIAL OFFICER | $0 | $477,335 | $0 | $122,181 | $0 | $30,352 | $0 | $292,211 | $0 | $14,448 | $0 | $936,527 | $0 | $0 |
| DENISE FIORE | ||||||||||||||
| SR. VP/COO (CURRENT YEAR COMP) | $0 | $509,215 | $0 | $148,550 | $0 | $84,628 | $0 | $121,950 | $0 | $8,375 | $0 | $872,718 | $0 | $0 |
| DENISE FIORE | ||||||||||||||
| SR. VP/COO (VESTED DEFERRED) | $0 | $0 | $0 | $0 | $0 | $93,293 | $0 | $0 | $0 | $0 | $0 | $93,293 | $0 | $0 |
| OLIVER MAYORGA | ||||||||||||||
| VP/CHIEF MEDICAL OFFICER | $9,623 | $471,522 | $2,403 | $117,747 | $752 | $36,826 | $1,535 | $75,232 | $422 | $20,654 | $14,735 | $721,981 | $0 | $0 |
| DONNA EPPS | ||||||||||||||
| VP/CHIEF HUMAN RESOURCES OFFICER | $0 | $308,868 | $0 | $85,290 | $0 | $38,030 | $0 | $71,950 | $0 | $15,721 | $0 | $519,859 | $0 | $0 |
| MAUREEN ANDERSON | ||||||||||||||
| ASSISTANT SECRETARY | $13,201 | $316,835 | $2,162 | $51,891 | $883 | $21,187 | $902 | $21,648 | $849 | $20,365 | $17,997 | $431,926 | $0 | $0 |
| KERIN DACRUZ | ||||||||||||||
| VP/CHIEF NURSING OFFICER | $0 | $281,447 | $0 | $52,605 | $0 | $18,129 | $0 | $11,400 | $0 | $22,216 | $0 | $385,797 | $0 | $12,233 |
| KARL NG | ||||||||||||||
| CLINICAL PHARMACIST | $164,831 | $0 | $4,625 | $0 | $166 | $0 | $6,849 | $0 | $9,249 | $0 | $185,720 | $0 | $20,876 | $0 |
| STEPHEN JOHNSTON | ||||||||||||||
| REGISTERED NURSE | $170,437 | $0 | $11,271 | $0 | $471 | $0 | $1,455 | $0 | $0 | $0 | $183,634 | $0 | $1,573 | $0 |
| JULIA SMITH | ||||||||||||||
| REGISTERED NURSE | $149,422 | $0 | $6,202 | $0 | $283 | $0 | $5,917 | $0 | $17,443 | $0 | $179,267 | $0 | $9,112 | $0 |
| EMILY FLYNN | ||||||||||||||
| CLINICAL PHARMACIST | $140,761 | $0 | $3,977 | $0 | $112 | $0 | $8,213 | $0 | $24,312 | $0 | $177,375 | $0 | $0 | $0 |
| SHEILA SANDOVAL | ||||||||||||||
| CLINICAL PHARMACIST | $152,963 | $0 | $5,129 | $0 | $757 | $0 | $6,324 | $0 | $188 | $0 | $165,361 | $0 | $20,000 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | THE FILING ORGANIZATION DOES NOT HAVE AND/OR COMPENSATE ITS OWN CEO/EXECUTIVE DIRECTOR. THESE POSITIONS ARE FILLED BY EMPLOYEES OF A RELATED ORGANIZATION(S) AND COMPENSATED THROUGH THE RESPECTIVE RELATED ORGANIZATION(S). THE METHOD(S) USED BY THE RELATED ORGANIZATION(S) FOR DETERMINING COMPENSATION FOR THESE INDIVIDUALS ARE: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE |
| PART I, LINE 4B | THE INDIVIDUAL(S) LISTED BELOW PARTICIPATE IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN OF A RELATED ORGANIZATION. THESE ACCRUALS ARE INCLUDED IN THE AMOUNTS REPORTED IN PART II, COLUMN C (DEFERRED COMPENSATION) AND REPRESENTS BOTH THE REPORTING ENTITY'S AND RELATED ENTITY'S COMBINED AMOUNTS THAT HAVE NOT YET BEEN VESTED CONSISTENT WITH THE COMPENSATION REPORTING PER IRS. SEVERANCE NONQUALIFIED EQUITY-BASED PRATHIBHA VARKEY $0 $ 358,006 $0 PATRICK GREEN $0 $ 317,989 $0 STEPHEN ALLEGRETTO $0 $ 206,624 $0 THE INDIVIDUAL LISTED BELOW BECAME VESTED IN BENEFITS VALUED AT THE AMOUNT RESPECTIVELY REPORTED BELOW DURING THE REPORTING YEAR. INCLUDED IN SECTION II, COLUMN B (III) IS THE AMOUNT VESTED DURING THE 2020 CALENDAR YEAR THAT IS RECOGNIZED AS A TAXABLE EVENT AND REPORTED IN THE INDIVIDUAL'S 2020 CALENDAR YEAR FORM W-2. DENISE FIORE $93,293 THE SUPPLEMENTAL RETIREMENT INCOME PLAN (SRIP) / EXECUTIVE DEFERRED COMPENSATION ACCOUNT PLAN (EDCAP) ARE DESIGNED TO ENSURE THE PAYMENT OF A COMPETITIVE LEVEL OF RETIREMENT INCOME WHEN ADDED TO OTHER SOURCES OF RETIREMENT INCOME IN ORDER TO ATTRACT AND RETAIN KEY MANAGEMENT EMPLOYEES SERVING AS CORPORATE OFFICERS. THE PLAN PROVIDES SUPPLEMENTAL RETIREMENT INCOME THROUGH AN UNFUNDED, NONQUALIFIED DEFERRED COMPENSATION ARRANGEMENT UNDER SECTION 457(F) AND THROUGH A DEFERRED COMPENSATION PLAN UNDER SECTION 409A OF THE INTERNAL REVENUE CODE AND A MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES' PLAN UNDER THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974 (ERISA). |
| PART I, LINE 7 | THE SHORT TERM INCENTIVE PLAN (STIP) IS A VARIABLE COMPENSATION PLAN WHICH PROVIDES ONE-TIME PAYMENTS TO ELIGIBLE MEMBERS OF MANAGEMENT IN RECOGNITION OF THE ACCOMPLISHMENT OF KEY ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE OBJECTIVES. PERFORMANCE LEVELS ARE ESTABLISHED AND REVIEWED ANNUALLY AT THRESHOLD, TARGET AND MAXIMUM LEVELS, ACCORDING TO PLANNED "STRETCH" GOALS AND OBJECTIVES. INCENTIVE AWARD OPPORTUNITIES ARE ESTABLISHED ACCORDING TO MARKET PRACTICES BASED ON EACH ELIGIBLE POSITION'S RESPONSIBILITIES, PERFORMANCE AND LEVEL OF AUTHORITY. PERFORMANCE RELATIVE TO STIP AWARD OPPORTUNITIES INCORPORATES A BROAD SPECTRUM OF PRE-DEFINED FINANCIAL AND NON-FINANCIAL METRICS THAT ARE ALIGNED WITH ORGANIZATIONAL MISSION AND VALUES. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 4 | AS PART OF YALE NEW HAVEN HEALTH, WESTERLY HOSPITAL WAS AT THE FOREFRONT OF BRINGING PATIENT-CENTERED CARE TO SOUTHERN RHODE ISLAND THROUGH INPATIENT AND AMBULATORY PROGRAM SERVICES IN ADDITION TO THE FRONTLINE DELIVERY OF COVID-19 VACCINATIONS, CARE AND TREATMENT. WESTERLY HOSPITAL OFFERS INTERVENTIONAL PAIN MANAGEMENT, WOUND CARE AND ANTICOAGULATION CLINIC AND CARDIAC PULMONARY REHABILITATION SERVICES. IT ALSO IS THE SITE OF THE FIRST SMILOW CANCER HOSPITAL CARE CENTER IN RHODE ISLAND. WHILE VACCINATION AND PROTECTION AGAINST COVID-19 WAS THE FOCUS OF MUCH ACTIVITY, THERE WERE ALSO ADVANCES AND INITIATIVES TO EXPAND CLINICAL SERVICE LINES AND IMPROVE ACCESS TO CARE. CLINICAL INNOVATION THE ACQUISITION OF THE DA VINCI XI SURGICAL SYSTEM AT WESTERLY HOSPITAL EXPANDED THE HOSPITAL'S OPERATING ROOM CAPABILITIES, WITH APPLICATIONS THAT BENEFIT PATIENTS. SURGEONS OFFER PATIENTS A MINIMALLY INVASIVE ALTERNATIVE TO TRADITIONAL OPEN SURGERIES. SURGEONS USE THE DEVICE TO TREAT CONDITIONS SUCH AS UROLOGIC CANCERS, HYSTERECTOMIES AND MANY GENERAL SURGICAL PROCEDURES, SUCH AS THYROID CANCER REMOVAL, COLORECTAL PROCEDURES AND HERNIA REPAIR. THE UROLOGY DEPARTMENT AT WESTERLY HOSPITAL STARTED USING A STATE-OF-THE-ART MICRO-ULTRASOUND DEVICE TO VISUALIZE MORE PRECISELY PROSTATE TUMORS IN PATIENTS UNDERGOING PROSTATE-SPECIFIC ANTIGEN SCREENING AND PROSTATE BIOPSIES. THE TECHNOLOGY ALLOWS FOR REAL-TIME, HIGH-RESOLUTION IMAGING THAT GUIDES THE SURGEON DURING THE BIOPSY AND PRODUCES IMAGES THAT ALLOW THE UROLOGIST TO BETTER DISTINGUISH CANCEROUS TISSUE FROM NORMAL TISSUE, WHICH CAN ENHANCE THE QUALITY OF THE BIOPSY. WESTERLY HOSPITAL WAS THE FIRST HOSPITAL IN NEW ENGLAND TO USE THE EXACTVU. THE GROWTH OF THE UROLOGY PROGRAM IN WESTERLY PROMPTED THE OPENING OF A UROLOGY PRACTICE IN WARWICK, RHODE ISLAND. THE OFFICE IS STAFFED BY PROVIDERS FROM NORTHEAST MEDICAL GROUP WHO ARE AFFILIATED WITH WESTERLY HOSPITAL. THE TEAM PROVIDES ADVANCED MINIMALLY INVASIVE PROCEDURES AT WESTERLY HOSPITAL. WESTERLY HOSPITAL WAS RE-CERTIFIED IN THE SUMMER OF 2021 BY THE JOINT COMMISSION FOR ITS ACUTE STROKE READY HOSPITAL PROGRAM. AS PART OF YALE NEW HAVEN HEALTH SYSTEM, WESTERLY HOSPITAL PARTICIPATED IN A NATIONWIDE CLINICAL TRIAL OVERSEEN BY THE MAYO CLINIC TO ADMINISTER CONVALESCENT PLASMA TO TREAT COVID-19. PATIENTS RECEIVED PLASMA INFUSIONS FROM DONATIONS OBTAINED THROUGH THE NEW YORK BLOOD CENTER FROM PEOPLE WHO RECOVERED FROM COVID-19 THROUGH A PROTOCOL APPROVED BY THE FOOD AND DRUG ADMINISTRATION. BUILDING HEALTHY COMMUNITIES ONE WAY WESTERLY HOSPITAL LIVES ITS MISSION TO ENHANCE THE LIVES OF THE COMMUNITY IT SERVES IS BY DISTRIBUTING FOOD TO THOSE MOST IN NEED. THROUGH THE #GIVEHEALTHY MOVEMENT YALE NEW HAVEN HEALTH AND WESTERLY HOSPITAL COLLECTED 1,579 POUNDS OF FOOD EQUALING 1,316 MEALS AND DONATED LOCALLY TO THE "PANTRY OF THE LANE" OPERATED BY THE JOY FELLOWSHIP CHURCH. PART I, LINE 4 & PART VI, LINE 1B NUMBER OF INDEPENDENT VOTING MEMBERS OF THE GOVERNING BODY THE ORGANIZATION SOUGHT TO CONFIRM THE INDEPENDENCE OF EACH VOTING MEMBER OF ITS GOVERNING BODY BY REQUESTING THAT EACH SUCH VOTING MEMBER RESPOND TO A QUESTIONNAIRE CONTAINING THE PERTINENT INSTRUCTIONS AND DEFINITIONS AND DESIGNED TO ELICIT THE INFORMATION NECESSARY TO DETERMINE INDEPENDENCE. IN THE EVENT THAT THE ORGANIZATION DOES NOT RECEIVE A RESPONSE FROM ANY SUCH VOTING MEMBER, THE ORGANIZATION REVIEWS OTHER INFORMATION KNOWN TO IT REGARDING THE VOTING MEMBER AND MAKES A REASONABLE ASSESSMENT OF INDEPENDENCE BASED ON THAT INFORMATION. |
| FORM 990, PART V, LINE 1A: | LMW HEALTHCARE, INC. PAID VENDORS THROUGH AN AFFILIATED ENTITY, LAWRENCE + MEMORIAL HOSPITAL INC. (EIN-06-0646704). AS SUCH, ANY REQUIRED 1099'S TO BE FILED WERE ISSUED BY LAWRENCE + MEMORIAL HOSPITAL INC. FOR PAYMENTS MADE ON BEHALF OF THE FILING ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 2 | BUSINESS RELATIONSHIPS BETWEEN OFFICERS, DIRECTORS, TRUSTEES, OR KEY EMPLOYEES CERTAIN OF THE ORGANIZATION'S CURRENT OFFICERS AND/OR TRUSTEES MAY SERVE AS OFFICERS AND/OR DIRECTORS OF TAX-EXEMPT AND TAXABLE AFFILIATES WITHIN THE ORGANIZATION'S CORPORATE SYSTEM OR JOINT VENTURES IN WHICH THE ORGANIZATION'S CORPORATE SYSTEM HAS AN OWNERSHIP INTEREST. THE INDIVIDUAL OFFICERS AND/OR TRUSTEES DO NOT HAVE PERSONAL FINANCIAL INTERESTS IN SUCH AFFILIATES AND SERVE ONLY AS A FUNCTION OF THEIR ROLES WITH THE ORGANIZATION OR WITHIN THE ORGANIZATION'S CORPORATE SYSTEM. |
| FORM 990, PART VI, SECTION A, LINE 6 | LAWRENCE + MEMORIAL CORPORATION IS THE SOLE MEMBER OF LMW HEALTHCARE, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | LAWRENCE + MEMORIAL CORPORATION, AS SOLE MEMBER OF LMW HEALTHCARE, INC., ELECTS THE BOARD OF TRUSTEES OF LMW HEALTHCARE, INC., SUBJECT TO THE ADDITIONAL APPROVAL OF LAWRENCE + MEMORIAL CORPORATION'S SOLE MEMBER, YALE NEW HAVEN HEALTH SERVICES CORPORATION. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE HOSPITAL'S SOLE MEMBER, LAWRENCE + MEMORIAL CORPORATION, HAS THE RIGHT TO ELECT THE BOARD OF TRUSTEES OF THE ORGANIZATION AND APPOINT THE PRESIDENT, AND HAS THE FOLLOWING ADDITIONAL RIGHTS, ALL SUBJECT THE ADDITIONAL APPROVAL OF ITS SOLE MEMBER, YALE NEW HAVEN HEALTH SERVICES CORPORATION: TO APPROVE OPERATING, CASH FLOW AND CAPITAL BUDGETS; TO APPROVE GRADUATE AND UNDERGRADUATE MEDICAL EDUCATION ARRANGEMENTS; TO APPROVE MAJOR NEW CLINICAL PROGRAMS AND SERVICES AND CONTINUATION OF SAME; APPROVAL OF STRATEGIC PLANS; AND ADOPTION OF SAFETY AND QUALITY ASSESSMENT POLICIES; TO APPROVE THE MERGER, CONSOLIDATION, DISSOLUTION OR THE SALE OF ALL OR SUBSTANTIALLY ALL THE ORGANIZATION'S ASSETS; TO AMEND THE CERTIFICATE OF INCORPORATION AND BYLAWS OF THE ORGANIZATION, TO APPROVE THE EXECUTION OF LONG-TERM OR MATERIAL AGREEMENTS, AND TO AUTHORIZE THE EXECUTION OF CONTRACTS WITH AN UNRELATED THIRD PARTY FOR MANAGEMENT OF THE ASSETS OR OPERATIONS OF THE ORGANIZATION. YALE-NEW HAVEN HEALTH SERVICES CORPORATION RETAINS THE FOLLOWING AUTHORITY: ADOPTION OF BUDGETARY TARGETS, INDEBTEDNESS, MANAGEMENT AND CONTROL OF LIQUID ASSETS, AND APPOINTMENT OF THE INDEPENDENT AUDITOR. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE ORGANIZATION'S PROCESS TO REVIEW FORM 990: THE FORM 990 TAX RETURN AND ATTACHED SCHEDULES WERE PREPARED BY EMPLOYEES OF THE YNHHS TAX DEPARTMENT. THE RETURN IS INITIALLY REVIEWED BY THE EXECUTIVE DIRECTOR OF CORPORATE FINANCE. SUBSEQUENTLY, IT IS SENT TO KPMG LLP FOR THEIR INITIAL REVIEW. AFTER ALL COMMENTS FROM THE ABOVE GROUPS ARE RECEIVED AND REVIEWED, THE RETURN IS THEN REVIEWED BY THE CHIEF FINANCIAL OFFICER OF THE ORGANIZATION AND A FINAL VERSION OF THE RETURN IS SENT BACK TO KPMG LLP FOR FINAL REVIEW. PRIOR TO FILING, THE ORGANIZATION MADE AVAILABLE A COMPLETE COPY OF THE RETURN TO ITS BOARD OF TRUSTEES BY WEB PORTAL. |
| FORM 990, PART VI, SECTION B, LINE 12C | LMW HEALTHCARE IS COVERED UNDER THE YNHHS CONFLICT OF INTEREST POLICY APPROVED AND ADOPTED BY THE SYSTEM COMPLIANCE COMMITTEE, WHICH HAS BEEN DELEGATED THE AUTHORITY TO APPROVE AND ADOPT COMPLIANCE POLICIES ON BEHALF OF THE ENTITIES IN THE SYSTEM. THE YALE NEW HAVEN HEALTH SYSTEM CONFLICT OF INTEREST POLICY AND INDIVIDUAL ANNUAL DISCLOSURE FORM APPLIES TO A POOL OF EMPLOYEES, BOARD MEMBERS AND NON-BOARD MEMBERS SERVING ON BOARD COMMITTEES. THESE "COVERED INDIVIDUALS" ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT, UPON BEGINNING EMPLOYMENT OR OTHERWISE BECOMING A COVERED INDIVIDUAL AND ANNUALLY THEREAFTER. COVERED INDIVIDUALS ARE ALSO REQUIRED TO IMMEDIATELY REPORT MATERIAL CHANGES TO THEIR MOST RECENTLY COMPLETED DISCLOSURE STATEMENT. THESE DISCLOSURE STATEMENTS AND REPORTS ARE REVIEWED BY THE OFFICE OF PRIVACY AND CORPORATE COMPLIANCE AND/OR THE LEGAL AND RISK SERVICES DEPARTMENT TO ENSURE COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. IF A POTENTIAL CONFLICT ARISES, THE PRESIDENT AND CEO WOULD CONSULT WITH THE BOARD CHAIRPERSON AND THE LEGAL AND RISK SERVICES DEPARTMENT AND TAKE ANY ACTIONS THAT HE DEEMS REQUIRED OR APPROPRIATE TO MANAGE OR RESOLVE A POTENTIAL CONFLICT OF INTEREST. FOR EXAMPLE, A VOTING BOARD OR COMMITTEE MEMBER WOULD BE REQUIRED TO RECUSE HIMSELF OR HERSELF FROM VOTING ON MATTERS RELATED TO THE POTENTIAL CONFLICT AND THE POTENTIAL CONFLICT WOULD BE DISCLOSED TO OTHER VOTING MEMBERS. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION PROCESS FOR CEO/TOP OFFICIAL: THE TOP LMW HEALTHCARE OFFICIAL IS AN EMPLOYEE OF YNHHS. THE YNHHS COMPENSATION AND LEADERSHIP DEVELOPMENT COMMITTEE (THE "YNHHS COMPENSATION COMMITTEE"), WHICH INCLUDES A REPRESENTATIVE OF THE HOSPITAL, IS RESPONSIBLE FOR (1) DETERMINING THE OVERALL TOTAL COMPENSATION STRATEGY FOR YNHHS OFFICER-LEVEL EXECUTIVES, (2) APPROVING ALL COMPENSATION AND BENEFITS DECISIONS FOR YNHHS OFFICER-LEVEL EXECUTIVES, AND (3) REPORTING SUCH ACTIONS TO THE FULL YNHHS BOARD OF TRUSTEES ON AN ANNUAL BASIS. IN ADDITION, THE YNHHS COMPENSATION COMMITTEE EXPRESSLY DETERMINES THE REASONABLENESS OF TOTAL COMPENSATION AND BENEFITS FOR ALL YNHHS OFFICER-LEVEL EXECUTIVES, AND ASSURES THAT ALL OFFICER-LEVEL EXECUTIVE COMPENSATION DECISIONS ARE MADE AFTER THOROUGH CONSIDERATION OF AND COMPARISON TO THE MARKET PRACTICES OF OTHER SIMILARLY SITUATED ORGANIZATIONS. THE YNHHS COMPENSATION COMMITTEE CONSISTS OF TRUSTEES WHO DO NOT HAVE MATERIAL FINANCIAL INTERESTS THAT COULD BE AFFECTED BY THE OFFICER-LEVEL EXECUTIVE COMPENSATION DECISIONS MADE BY THE COMMITTEE. THE COMPARABILITY DATA USED TO ASSIST THE COMMITTEE IN ITS COMPENSATION DELIBERATIONS IS COMPILED BY AN INDEPENDENT, NATIONAL COMPENSATION CONSULTING FIRM THAT IS RETAINED BY AND REPORTS DIRECTLY TO THE YNHHS COMPENSATION COMMITTEE. THE DATA COLLECTED BY THE CONSULTANT CONSISTS OF MARKET INFORMATION FOR EXECUTIVES IN FUNCTIONALLY SIMILAR POSITIONS IN SIMILARLY SITUATED ORGANIZATIONS. THE DELIBERATIONS AND DECISIONS OF THE YNHHS COMPENSATION COMMITTEE IS CONTEMPORANEOUSLY DOCUMENTED, REVIEWED AND APPROVED BY THE COMMITTEE, AND PROVIDED TO THE BOARD OF TRUSTEES OF YNHHS AND LMW HEALTHCARE. FORM 990, PART VI, SECTION B, LINE 15B: COMPENSATION PROCESS FOR OTHER OFFICERS CERTAIN OFFICER-LEVEL EXECUTIVES ARE EMPLOYEES OF YNHHS, OTHER OFFICER-LEVEL EXECUTIVES ARE EMPLOYED DIRECTLY BY LMW HEALTHCARE, OR ITS AFFILIATE, LAWRENCE + MEMORIAL HOSPITAL. COMPENSATION DETERMINATIONS OF YNHHS EMPLOYEES ARE MADE BY THE YNHHS COMPENSATION COMMITTEE. COMPENSATION OF OFFICER-LEVEL EXECUTIVES EMPLOYED DIRECTLY BY LMW HEALTHCARE OR LAWRENCE + MEMORIAL HOSPITAL IS APPROVED BY LAWRENCE + MEMORIAL HEALTHCARE'S COMPENSATION COMMITTEE, THE COMPENSATION COMMITTEE OF THE ORGANIZATION'S SOLE MEMBER. THE LAWRENCE + MEMORIAL HEALTHCARE'S EXECUTIVE COMPENSATION COMMITTEE IS RESPONSIBLE FOR (1) DETERMINING THE OVERALL TOTAL COMPENSATION STRATEGY FOR ITS AND ITS AFFILIATES OFFICER-LEVEL EXECUTIVES, (2) APPROVING ALL COMPENSATION AND BENEFITS DECISIONS FOR OFFICER-LEVEL EXECUTIVES, AND (3) REPORTING SUCH ACTIONS TO THE FULL BOARD ON AN ANNUAL BASIS, AS APPLICABLE. IN ADDITION, THE EXECUTIVE COMPENSATION COMMITTEE EXPRESSLY DETERMINES THE REASONABLENESS OF TOTAL COMPENSATION AND BENEFITS FOR ALL OFFICER-LEVEL EXECUTIVES EMPLOYED BY LAWRENCE + MEMORIAL HEALTHCARE AFFILIATE, AND ASSURES THAT ALL OFFICER-LEVEL EXECUTIVE COMPENSATION DECISIONS ARE MADE AFTER THOROUGH CONSIDERATION OF AND COMPARISON TO THE MARKET PRACTICES OF OTHER SIMILARLY SITUATED ORGANIZATIONS. THE EXECUTIVE COMPENSATION COMMITTEE CONSISTS OF BOARD MEMBERS WHO DO NOT HAVE MATERIAL FINANCIAL INTERESTS THAT COULD BE AFFECTED BY THE COMPENSATION DECISIONS MADE BY THE COMMITTEE. THE COMPARABILITY DATA USED TO ASSIST THE EXECUTIVE COMPENSATION COMMITTEE IN ITS COMPENSATION DELIBERATIONS ARE COMPILED BY AN INDEPENDENT, NATIONAL COMPENSATION CONSULTING FIRM THAT IS RETAINED BY AND REPORTS DIRECTLY TO THE EXECUTIVE COMPENSATION COMMITTEE. THE DATA COLLECTED BY THE CONSULTANT CONSISTS OF MARKET INFORMATION FOR EXECUTIVES IN FUNCTIONALLY SIMILAR POSITIONS IN SIMILARLY SITUATED ORGANIZATIONS. THE DELIBERATIONS AND DECISIONS OF THE EXECUTIVE COMPENSATION COMMITTEES ARE CONTEMPORANEOUSLY DOCUMENTED, REVIEWED AND APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE, AND PROVIDED TO THE LAWRENCE + MEMORIAL HEALTHCARE BOARD. |
| FORM 990, PART VI, SECTION C, LINE 19 | COPIES OF ALL AVAILABLE DOCUMENTS ARE ACCESSIBLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 11,297,140. MANAGEMENT AND GENERAL EXPENSES 1,231,572. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,528,712. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 3,419,356. MANAGEMENT AND GENERAL EXPENSES 372,766. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,792,122. |
| FORM 990, PART XI, LINE 9: | CHANGE IN FUNDS HELD IN TRUST BY OTHERS 828,709. DONATIONS FROM WESTERLY HOSPITAL FOUNDATION -75,191. RELATED ENTITY NET ASSET TRANSFERS 4,653,880. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (18 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| BRIDGEPORT HOSPITAL | |||||||||||
| 267 GRANT STREET | BRIDGEPORT | CT | 06610 | 060646554 | HEALTHCARE SERVICES | CT | 501C3 | LINE 3 | YALE NEW HAVEN HEALTH SERVICES CORPORATION | Yes (1) | |
| BRIDGEPORT HOSPITAL FOUNDATION INC | |||||||||||
| 267 GRANT STREET | BRIDGEPORT | CT | 06610 | 222908698 | SYSTEM SUPPORT SERVICES | CT | 501C3 | LINE 7 | BRIDGEPORT HOSPITAL | Yes (1) | |
| BRIDGEPORT HOSPITAL FRIENDS OF PEDIATRICS INC | |||||||||||
| 120 COLUMBINE DRIVE | TRUMBULL | CT | 06611 | 066048427 | SYSTEM SUPPORT SERVICES | CT | 501C3 | LINE 12A, I | YALE NEW HAVEN HOSPITAL | Yes (1) | |
| GREENWICH HOSPITAL | |||||||||||
| 5 PERRYRIDGE ROAD | GREENWICH | CT | 06830 | 060646659 | HEALTHCARE SERVICES | CT | 501C3 | LINE 3 | YALE NEW HAVEN HEALTH SERVICES CORPORATION | Yes (1) | |
| HOME CARE PLUS INC | |||||||||||
| 789 HOWARD AVE | NEW HAVEN | CT | 06519 | 061044331 | HOME HEALTHCARE SERVICES | CT | 501C3 | LINE 10 | YALE NEW HAVEN CARE CONTINUUM CORP | Yes (1) | |
| LAWRENCE MEMORIAL CORPORATION | |||||||||||
| 365 MONTAUK AVENUE | NEW LONDON | CT | 06320 | 222553028 | PROMOTE HEALTHCARE | CT | 501C3 | LINE 12A, I | YALE NEW HAVEN HEALTH SERVICES CORPORATION | 0 | |
| LAWRENCE MEMORIAL HOSPITAL INC | |||||||||||
| 365 MONTAUK AVENUE | NEW LONDON | CT | 06320 | 060646704 | HEALTHCARE SERVICES | CT | 501C3 | LINE 3 | LAWRENCE MEMORIAL CORPORATION | Yes (1) | |
| NORTHEAST MEDICAL GROUP INC | |||||||||||
| 99 HAWLEY LANE | STRATFORD | CT | 06614 | 061330992 | HEALTHCARE SERVICES | CT | 501C3 | LINE 10 | YALE NEW HAVEN HEALTH SERVICES CORPORATION | Yes (1) | |
| NORTHEAST MEDICAL GROUP PLLC | |||||||||||
| 99 HAWLEY LANE | STRATFORD | CT | 06614 | 352380180 | HEALTHCARE SERVICES | CT | 501C3 | LINE 12A, I | NORTHEAST MEDICAL GROUP INC | Yes (1) | |
| PERRYRIDGE CORPORATION | |||||||||||
| 5 PERRYRIDGE ROAD | GREENWICH | CT | 06830 | 061207316 | SYSTEM SUPPORT SERVICES | CT | 501C3 | LINE 10 | GREENWICH HOSPITAL | Yes (1) | |
| SOUTHERN CONNECTICUT HEALTH SYSTEM PROPERTIES INC | |||||||||||
| 267 GRANT STREET | BRIDGEPORT | CT | 06610 | 061297708 | TITLE HOLDING | CT | 501C2 | BRIDGEPORT HOSPITAL | Yes (1) | ||
| THE WESTERLY HOSPITAL FOUNDATION INC | |||||||||||
| 25 WELLS STREET | WESTERLY | RI | 02891 | 050508064 | FUNDRAISING SERVICES | RI | 501C3 | LINE 12A, I | LMW HEALTHCARE INC | Yes (1) | |
| VISITING NURSE ASSOCIATION OF SOUTHEASTERN CONNECTICUT INC | |||||||||||
| 403 NORTH FRONTAGE ROAD | WATERFORD | CT | 06385 | 060646616 | HOME HEALTHCARE SERVICES | CT | 501C3 | LINE 10 | LAWRENCE MEMORIAL CORPORATION | Yes (1) | |
| WESTERLY HOSPITAL AUXILIARY INC | |||||||||||
| 25 WELLS STREET | WESTERLY | RI | 02891 | 222507181 | FUNDRAISING ACTIVITIES | RI | 501C3 | LINE 12A, I | LMW HEALTHCARE INC | Yes (1) | |
| YALE NEW HAVEN CARE CONTINUUM CORP | |||||||||||
| 789 HOWARD AVE | NEW HAVEN | CT | 06519 | 455235566 | NURSING HOME | CT | 501C3 | LINE 3 | YALE NEW HAVEN HOSPITAL | Yes (1) | |
| YALE NEW HAVEN HEALTH SERVICES CORP | |||||||||||
| 789 HOWARD AVE | NEW HAVEN | CT | 06519 | 222529464 | SYSTEM SUPPORT SERVICES | CT | 501C3 | LINE 12A, I | 0 | N/A | |
| YALE NEW HAVEN HOSPITAL | |||||||||||
| 20 YORK STREET | NEW HAVEN | CT | 06504 | 060646652 | HEALTHCARE SERVICES | CT | 501C3 | LINE 3 | YALE NEW HAVEN HEALTH SERVICES CORPORATION | Yes (1) | |
| THE GREENWICH HOSPITAL ENDOWMENT FUND INC | |||||||||||
| 5 PERRYRIDGE ROAD | GREENWICH | CT | 06830 | 061526642 | SYSTEM SUPPORT SERVICES | CT | 501C3 | LINE 12C, III-FI | GREENWICH HOSPITAL | Yes (1) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| SHORELINE ENDOSCOPY CENTER LLC | |||||||||
| 800 BOSTON POST ROAD | GUILFORD | CT | 06437 | 900110459 | HEALTHCARE SERVICES | CT | N/A | 0 | 0 |
| YALE NEW HAVEN HEALTH SYSTEM INVESTMENT TRUST | |||||||||
| 20 YORK STREET | NEW HAVEN | CT | 06510 | 271374301 | INVESTMENT | DE | N/A | 0 | 0 |
| YNHHSCUSP SURGERY CENTERS LLC | |||||||||
| 15305 DALLAS PKWY STE 1600 | ADDISON | TX | 75001 | 384021595 | HEALTHCARE SERVICES | CT | N/A | 0 | 0 |
| TOTAL HEALTH CONNECTICUT LLC - DISSOLVED 122220 | |||||||||
| 789 HOWARD AVE | NEW HAVEN | CT | 06519 | 474070024 | HEALTHCARE SERVICES | CT | N/A | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (11 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|
| CENTURY FINANCIAL SERVICES INC | |||||||||||
| 23 MAIDEN LANE | NORTH HAVEN | CT | 06473 | 061110797 | DEBT COLLECTION SERVICES | CT | N/A | C | Yes (1) | ||
| CORPORATE PROFESSIONAL BUSINESS SERVICESINC | |||||||||||
| 789 HOWARD AVE | NEW HAVEN | CT | 06519 | 061467717 | MANAGEMENT SERVICES | CT | N/A | C | Yes (1) | ||
| GREENWICH FERTILITY & IVF PC | |||||||||||
| 5 PERRYRIDGE ROAD | GREENWICH | CT | 06830 | 300145464 | HEALTHCARE SERVICES | CT | N/A | C | Yes (1) | ||
| GREENWICH OCCUPATIONAL HEALTH SERVICES OF NEW JERSEY | |||||||||||
| 5 PERRYRIDGE ROAD | GREENWICH | CT | 06830 | 453833883 | HEALTHCARE SERVICES | NJ | N/A | C | Yes (1) | ||
| GREENWICH OCCUPATIONAL HEALTH SERVICES OF NY PC | |||||||||||
| 5 PERRYRIDGE ROAD | GREENWICH | CT | 06830 | 061540101 | HEALTHCARE SERVICES | NY | N/A | C | Yes (1) | ||
| L & M SYSTEMS INC | |||||||||||
| 365 MONTAUK AVENUE | NEW LONDON | CT | 06320 | 222553037 | HEALTHCARE RELATED SERVICES | CT | N/A | C | Yes (1) | ||
| L&M HOME CARE SERVICES INC | |||||||||||
| 365 MONTAUK AVENUE | NEW LONDON | CT | 06320 | 061389272 | HOME THERAPY | CT | N/A | C | Yes (1) | ||
| MEDICAL CENTER PHARMACY AND HOME CARE CENTER INC | |||||||||||
| 50 YORK STREET | NEW HAVEN | CT | 06511 | 061087673 | PHARMACY | CT | N/A | C | Yes (1) | ||
| YALE NEW HAVEN AMBULATORY SERVICES | |||||||||||
| 40 TEMPLE STREET | NEW HAVEN | CT | 06510 | 061398526 | HEALTHCARE SERVICES | CT | N/A | C | Yes (1) | ||
| YNHH-PHYSICIANS CORP | |||||||||||
| 789 HOWARD AVE | NEW HAVEN | CT | 06519 | 061202305 | ADMINISTRATIVE SERVICES | CT | N/A | C | Yes (1) | ||
| LMW HEALTHCARE INC CHARLES A MORGAN TUW BANK OF AMERICA | |||||||||||
| PO BOX 830269 | DALLAS | TX | 75283 | CHARITABLE REMAINDER TRUST | RI | T | Yes (1) | $5,321,773 | 1.00000 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | Yes (1) | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (13 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| LAWRENCE AND MEMORIAL HOSPITAL INC | ||
| L | $981,098 | CASH |
| LAWRENCE AND MEMORIAL HOSPITAL INC | ||
| R | $38,500,000 | CASH |
| LAWRENCE AND MEMORIAL HOSPITAL INC | ||
| I | $422,830 | CASH |
| LAWRENCE AND MEMORIAL HOSPITAL INC | ||
| Q | $51,170,574 | CASH |
| LAWRENCE AND MEMORIAL HOSPITAL INC | ||
| S | $5,505,837 | CASH |
| WESTERLY HOSPITAL FOUNDATION | ||
| C | $75,191 | CASH |
| YALE NEW HAVEN HOSPITAL INC | ||
| I | $560,074 | CASH |
| YALE NEW HAVEN HOSPITAL INC | ||
| R | $3,295,502 | CASH |
| YALE NEW HAVEN HOSPITAL INC | ||
| M | $681,006 | CASH |
| CHARITABLE REMAINDER TRUST | ||
| C | $227,456 | CASH |
| NORTHEAST MEDICAL GROUP INC | ||
| J | $159,881 | CASH |
| YALE NEW HAVEN HOSPITAL INC | ||
| O | $60,482 | CASH |
| YALE NEW HAVEN HOSPITAL INC | ||
| Q | $1,007,105 | CASH |