2020-08-13T09:06:44-05:00 2019-09-30 135565207 KPMG LLP 345 PARK AVENUE NEW YORK NY 10154 990 2018-10-01 460543230 LMW HEALTHCARE INC LMWH 8604420711 365 MONTAUK AVENUE NEW LONDON CT 06320 SETH VAN ESSENDELFT CFO & SVP, FINANCE 8604420711 2020-08-13 0 PHILLIP E GROFF P01247783 2127589700 204.60.184.1 2020-08-13 09:06:36 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 87313E806993B5D2A3797C32AAA38691EE35985A 2018 2020-09-22 18:59:49Z WESTERLY HOSPITAL PATRICK GREEN 365 MONTAUK AVENUE NEW LONDON CT 06320 86390148 0 X WWW.WESTERLYHOSPITAL.ORG X 2012 RI TO PROVIDE MEDICAL CARE IN THE WESTERLY, RHODE ISLAND COMMUNITY AND SURROUNDING TOWNS. 11 7 659 142 594232 0 206434 4002981 65349408 72416729 1637720 229238 367303 272522 67560865 76921470 0 0 0 0 35358971 38646176 0 0 0 34086653 34330782 69445624 72976958 -1884759 3944512 76002886 86621731 42528886 52991306 33474000 33630425 X TO PROVIDE MEDICAL CARE IN THE WESTERLY, RHODE ISLAND COMMUNITY AND SURROUNDING TOWNS. 0 0 63887835 72416729 SEE SCHEDULE O 63887835 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 X 0 0 659 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 11 7 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X DENIS DONEGAN 2036886088 789 HOWARD AVENUE NEW HAVEN CT 06519 PRATHIBHA VARKEY TRUSTEE 1.00 39.00 X 0 1004027 286666 PATRICK L GREEN PRESIDENT/CEO & EX-OFFICIO TRUSTEE 8.00 32.00 X X 87660 556899 249756 DAVID CAMERON EX-OFFICIO TRUSTEE 1.00 0.00 X 3125 0 0 STEPHEN M GREENE CHAIRMAN AND TRUSTEE 1.00 1.00 X X 0 0 0 ANN M LAIN SECR, TREAS & TRUSTEE 1.00 1.00 X X 0 0 0 THOMAS J LIGUORI TRUSTEE 1.00 0.00 X 0 0 0 RICHARD SMITH TRUSTEE 1.00 0.00 X 0 0 0 F GREGORY AHERN VICE CHAIR & TRUSTEE 1.00 1.00 X X 0 0 0 ROBERT NARDONE TRUSTEE 1.00 5.00 X 0 0 0 B MICHAEL RAUH TRUSTEE 1.00 6.00 X 0 0 0 KEVIN TORRES TRUSTEE 1.00 39.00 X 0 339570 35067 MAUREEN ANDERSON ASSISTANT SECRETARY 7.00 33.00 X 4839 403849 37696 KARL NG CLINICAL PHARMACIST 40.00 0.00 X 153722 0 16019 EMILY FLYNN CLINICAL PHARMACIST 40.00 0.00 X 135629 0 26580 SHEILA SANDOVAL CLINICAL PHARMACIST 40.00 0.00 X 151428 0 9021 ANNE M WARNER LABORATORY TECHNOLOGIST 40.00 0.00 X 117600 0 26007 HELEN BELL REGISTERED NURSE 40.00 0.00 X 119477 0 11716 SETH VAN ESSENDELFT FORMER OFFICER 0.00 0.00 X 0 308151 41896 773480 2612496 740424 35 1 1 0 MORRISON MANAGEMENT SPECIALISTS INC 400 NORTHRIDGE RD STE 600 SANDY SPRINGS GA 30350 FOOD SERVICES 393523 PAYETTE ASSOCIATES INC 290 CONGRESS STREET BOSTON MA 02210 ARCHITECTURAL SERVICES 288899 IPC HOSPITALISTS OF NEW ENGLAND PC 15 SALT CREEK LANE SUITE 444 HINSDALE IL 60521 MEDICAL SERVICES 283145 FASTAFF LLC 6399 S FIDDLERS GREEN CIRCLE GREENWOOD VILLAGE CO 80111 RECRUITMENT SERVICES 257241 QUEST DIAGNOSTICS 40 ACCORD PARK DRIVE NORWELL MA 02061 LAB SERVICES 188632 8 3931481 71500 4002981 PATIENT SERVICE REVENUE 900099 72416729 71822495 594234 72416729 102181 102181 304054 158509 145545 145545 145545 9437226 9310169 127057 127057 127057 OTHER ANCILLARY REVENUE 900099 126979 126979 PARTNERSHIP INCOME 900099 -2 -2 126977 76921470 71822495 594232 501762 X 95624 95624 30783244 26981513 3801731 732486 642024 90462 4832192 4235416 596776 2202630 1930605 272025 930812 815857 114955 27561 24157 3404 22093 19365 2728 59458 59458 37701 33045 4656 10152534 8898696 1253838 11138 9762 1376 414260 363099 51161 1772441 1553545 218896 50653 44397 6256 92371 80963 11408 1847092 1618976 228116 5188493 4547714 640779 736858 645856 91002 MEDICAL SUPPLIES 9733787 8531664 1202123 OTHER SUPPLIES 1945079 1704862 240217 REPAIRS & MAINTENANCE 1249674 1095339 154335 MEMBERSHIP DUES & SUBSC 58296 51096 7200 481 426 55 72976958 63887835 9089123 0 6483364 5373796 144047 148449 6238479 9772781 1537001 1811667 130295 194400 65418312 14223920 44025909 51194392 8808238 9215455 4644976 4512246 3990577 4398545 76002886 86621731 8430143 10377813 34098743 42613493 42528886 52991306 X 23038139 23339768 699812 687338 9736049 9603319 33474000 33630425 76002886 86621731 X 3944512 146642 -3934729 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 1 500 0 0 1 41667 0 1 17291 59458 0 PART II-B, LINE 1: THE AMOUNT REPORTED IN "OTHER ACTIVITIES" REPRESENTS A PORTION OF PROFESSIONAL DUES ATTRIBUTABLE TO LOBBYING DURING FY 2019. 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 $ 591,010 BRIDGEPORT HOSPITAL EIN 06-0646554 $ 121,956 GREENWICH HOSPITAL EIN 06-0646659 $ 83,487 NORTHEAST MEDICAL GROUP EIN 06-1330992 $ 41,010 LAWRENCE + MEMORIAL HOSPITAL EIN 06-0646704 $ 78,566 10435862 129481 121795 396481 10290657 8596754 1889116 208521 258529 10435862 7716486 85767 857775 32525 30749 8596754 7144384 92360 515574 -2035 37867 7716486 7087069 77827 49427 30444 39495 7144384 0.00000 0.93320 0.06680 0 0 7742000 7742000 29168713 2980446 26188267 782112 220662 561450 22557410 11022812 11534598 5168077 5168077 51194392 FUNDS HELD IN TRUST 4512246 F 4512246 MALPRACTICE INSURANCE RECEIVABLE 2979407 CONTRIBUTION RECEIVABLE 750000 DUE FROM GREENWICH HOSPITAL 688 DUE FROM BRIDGEPORT HOSPITAL 644644 DUE FROM WESTERLY HOSPITAL FOUNDATION 23806 4398545 3RD PARTY PAYOR SETTLEMENTS 1627073 ASSET RETIREMENT OBLIGATION 844449 MALPRACTICE INSURANCE LIABILITY 5290884 DUE TO YALE NEW HAVEN HOSPITAL 211803 DUE TO LAWRENCE+MEMORIAL HOSPITAL 21097383 DUE TO NORTHEAST MEDICAL GROUP 780093 DUE TO YNH HEALTH SERVICES CORP. 1614886 DUE TO L+M HOSPITAL LT LOAN 11146922 42613493 X 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, 2019 AND 2018. 1 1 1 X 250.000000000000 1 X 550.000000000000 1 1 1 0 1 1 2127 3016665 3307871 0 0.00000 13276 8732900 5442188 3290712 0.04510 15403 11749565 8750059 3290712 0.04510 12 373 224488 35018 189470 0.00260 2 159 761916 0 761916 0.01040 1 0 52630 0 52630 0.00070 2 0 2803 0 2803 0.00000 17 532 1041837 35018 1006819 0.01370 17 15935 12791402 8785077 4297531 0.05880 1 2163139 34300087 40763009 -6462922 X 1 1 1 1 LMW HEALTHCARE INC 25 WELLS STREET WESTERLY RI 02891 HTTP://WESTERLYHOSPITAL.ORG HOS00129 X X X LMW HEALTHCARE INC 1 0 0 1 X X X X X X X X X 18 1 1 1 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X X 1 18 1 SEE PART V, SECTION C 0 1 X 250.000000000000 550.000000000000 X X X X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X X 1 X 0 X X X X X 1 X 0 0 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: THE WESTERLY AREA HEALTH IMPACT COLLABORATIVE WILL CONTINUE TO ADDRESS BEHAVIORAL HEALTH AS A PRIORITY AREA, SPECIFICALLY THROUGH INTERVENTION OF THE ZERO SUICIDE INITIATIVE IN HEALTHCARE SETTINGS AS WELL AS THE IMPLEMENTATION OF 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 OTHER COMMUNITY PARTNERS, WE WILL WORK TOWARD OUR GOAL OF IMPROVING BEHAVIORAL HEALTH ACCESS AND OUTCOMES FOR ALL RESIDENTS AND SPECIFICALLY IN IMPLEMENTING THE ZERO SUICIDE INITIATIVE THROUGHOUT WASHINGTON COUNTY.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 18E: PROPERTY LIENS 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 6 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 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.IN MARCH 2018, LMW HEALTHCARE INITIATED A PARTNERSHIP WITH HABITAT FOR HUMANITY OF SOUTH COUNTY, MAKING A COMMITMENT TO RESOURCES INCLUDING HOSPITAL VOLUNTEERS. UNDERSTANDING THAT HEALTH AND SAFE, QUALITY HOUSING ARE INEXTRICABLY LINKED, LMW HEALTHCARE WILL CONTINUE THIS PARTNERSHIP THROUGH ONGOING SUPPORT. 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 $88.9 MILLION AND $86.8 MILLION FOR THE YEARS ENDED SEPTEMBER 30, 2019 AND 2018, 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 $333.1 MILLION AND $367.0 MILLION FOR THE YEARS ENDED SEPTEMBER 30, 2019 AND 2018, RESPECTIVELY, FOR THE ASSESSMENT.DURING THE YEARS ENDED SEPTEMBER 30, 2019 AND 2018, THE SYSTEM RECEIVED $155.1 MILLION AND $202.8 MILLION, RESPECTIVELY, IN CDSHP DISTRIBUTIONS, OF WHICH APPROXIMATELY $92.0 MILLION AND 126.2 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 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. THIS ANALYSIS 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 2019, LMW HEALTHCARE PROVIDED OVER $5 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 2,780 INPATIENTS AND 105,815 OUTPATIENT ENCOUNTERS IN 2019. LMW HEALTHCARE IS ONE OF THE LARGEST PRIVATE EMPLOYERS IN WESTERLY WITH 693 EMPLOYEES IN 2019. IN FISCAL YEAR 2019 THERE WERE A TOTAL OF 263 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 L+M HOSPITAL ROLE IS DESCRIBED IN QUESTION 5 ABOVE AND LMW HEALTHCARE 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 0 1 0 0 0 0 0 0 0 PRATHIBHA VARKEY TRUSTEE 0 744019 0 204216 0 55792 0 278814 0 7852 0 1290693 0 0 PATRICK L GREEN PRESIDENT/CEO & EX-OFFICIO TRUSTEE 76596 486612 0 0 11064 70287 31359 199220 2608 16569 121627 772688 0 0 KEVIN TORRES TRUSTEE 0 312014 0 2494 0 25062 0 15634 0 19433 0 374637 0 0 MAUREEN ANDERSON ASSISTANT SECRETARY 3666 305946 567 47318 606 50585 226 18824 221 18425 5286 441098 0 0 KARL NG CLINICAL PHARMACIST 153569 0 0 0 153 0 6981 0 9038 0 169741 0 0 0 EMILY FLYNN CLINICAL PHARMACIST 135524 0 0 0 105 0 4339 0 22241 0 162209 0 2910 0 SHEILA SANDOVAL CLINICAL PHARMACIST 150964 0 0 0 464 0 8557 0 464 0 160449 0 0 0 SETH VAN ESSENDELFT FORMER OFFICER 0 148213 0 90346 0 69592 0 22287 0 19609 0 350047 0 0 PART I, LINE 3 THE FILING ORGANIZATION DOES NOT HAVE AND/OR COMPENSATE ITS OWN CEO/EXECUTIVE DIRECTOR. INDIVIDUALS LISTED ON PART VII AS OFFICERS OF THE CORPORATION ARE 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 -WRITTEN EMPLOYMENT CONTRACT -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 $ 168,464 $0 PATRICK GREEN $0 $ 114,958 $0 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). FORM 990, PART III, LINE 4 WESTERLY HOSPITAL IS A 125-BED HOSPITAL THAT PROVIDES WASHINGTON (RI) AND NEW LONDON (CT) COUNTIES WITH FAMILY-CENTERED MEDICAL CARE AND A WIDE ARRAY OF MEDICAL, SURGICAL, LABORATORY AND REHABILITATIVE SERVICES. IN ADDITION, THE HOSPITAL OFFERS INTERVENTIONAL PAIN MANAGEMENT, WOUND CARE, AN ANTI-COAGULATION CLINIC AND CARDIAC PULMONARY REHABILITATION SERVICES. WITH 263 PRIMARY AND SPECIALTY PHYSICIANS, WESTERLY HOSPITAL, AS PART OF YALE NEW HAVEN HEALTH SYSTEM, SERVES THE ENTIRE COMMUNITY WITH FAMILY-CENTERED MEDICAL CARE. WESTERLY HOSPITAL FOCUSED ON ENGAGING THE WORKFORCE, COLLABORATING WITH COMMUNITY PARTNERS TO IMPROVE THE HEALTH AND WELL-BEING OF AREA RESIDENTS AND STRENGTHENING BOTH CLINICAL AND FINANCIAL PERFORMANCE. YNHHS CONTINUED TO INVEST IN FACILITY AND INFRASTRUCTURE IMPROVEMENTS AT WESTERLY HOSPITAL THROUGHOUT THE YEAR. NUMEROUS ENHANCEMENTS TO CLINICAL PROGRAMS AND SERVICES WERE IMPLEMENTED IN RESPONSE TO IDENTIFIED COMMUNITY NEEDS. WITH PROJECTIONS INDICATING A 9 PERCENT GROWTH OF THE 55-AND-OVER POPULATION IN RHODE ISLAND'S WASHINGTON COUNTY OVER THE NEXT FIVE YEARS, WESTERLY HOSPITAL MARKED THE OPENING OF A $4.8 MILLION INPATIENT GERIATRIC PSYCHIATRIC UNIT, THE FIRST FACILITY OF ITS KIND IN THE REGION. THE 18-BED UNIT PROVIDES CARE FOR PATIENTS 55 AND OLDER WITH A PRIMARY DIAGNOSIS OF DEPRESSION, DEMENTIA AND PSYCHIATRIC ILLNESSES. THE NEW 10,000-SQUARE-FOOT UNIT ALSO INCLUDES A DINING AREA, EXAMINATION ROOMS, A GROUP THERAPY ROOM, A CONSULTATION ROOM AND A NURSES' STATION. BUILDING CANCER PROGRAMMING TO MEET THE REGION'S NEED, ONCOLOGY SERVICES FOR THE WESTERLY HOSPITAL COMMUNITY WERE INTRODUCED WITH THE OPENING OF ITS NEW SMILOW CANCER HOSPITAL CARE CENTER. AS PART OF YALE CANCER CENTER, SMILOW IS ALSO A NATIONAL CANCER INSTITUTE-DESIGNATED CANCER CENTER AND PROVIDES ACCESS FOR PATIENTS IN EASTERN CONNECTICUT AND RHODE ISLAND TO CUTTING-EDGE CLINICAL TRIALS, IMMUNOTHERAPIES, GENETIC COUNSELING, SECOND-OPINION CONSULTATIONS, NUTRITION COUNSELING AND SURVIVORSHIP GUIDANCE. THIS NEW UNIT FEATURES EIGHT INFUSION ROOMS AND SEVEN EXAM ROOMS. A DIETICIAN, SOCIAL WORKER AND A FINANCIAL COUNSELOR ARE ON SITE. SECOND OPINION CONSULTATIONS WITH ONCOLOGISTS AT SMILOW CANCER HOSPITAL IN NEW HAVEN ARE ARRANGED WHEN NEEDED, AND RADIATION ONCOLOGY, WHEN NECESSARY, IS AVAILABLE AT THE SMILOW CANCER HOSPITAL CARE CENTER LOCATION IN WATERFORD, CT. ADDITIONAL CLINICAL ENHANCEMENTS INCLUDED A $5 MILLION UPGRADE TO WESTERLY HOSPITAL'S CARDIAC CATHETERIZATION LABORATORY THAT FULLY CONNECTS THE HOSPITAL TO THE YALE NEW HAVEN HEALTH NETWORK OF SPECIALISTS, THE EXPANSION OF UROLOGY AND ORTHOPEDICS SERVICES, AND THE OPTIMIZATION OF AMBULATORY SERVICES. WESTERLY HOSPITAL RECEIVED JOINT COMMISSION ACUTE STROKE READY HOSPITAL (ASRH) CERTIFICATION, AND THE HOSPITAL'S EMERGENCY DEPARTMENT MAINTAINED ITS LEVEL III OPIOID DESIGNATION FROM THE STATE OF RHODE ISLAND, WHICH ESTABLISHES A COMMON FOUNDATION FOR TREATING OPIOID USE DISORDER AND OVERDOSE IN RHODE ISLAND HOSPITALS AND EMERGENCY DEPARTMENTS. IN ADDITION, THE HOSPITAL RECEIVED AN OVERALL FOUR-STAR RATING FROM CMS HOSPITAL COMPARE WEBSITE. PART OF YALE NEW HAVEN HEALTH, THE HOSPITAL JOINED IN SYSTEMWIDE QUALITY AND SAFETY ISSUES. WITH A FOCUS ON REDUCING READMISSIONS, SERIOUS SAFETY EVENTS AND HOSPITAL-ACQUIRED INFECTIONS (HAIS), TEAMS AT WESTERLY HOSPITAL EXPANDED HIGH RELIABILITY ORGANIZATION TRAINING TO PHYSICIANS AND ADVANCED PRACTICE PROVIDERS. IN ADDITION, THE JUST CULTURE TRAINING MODEL WAS INITIATED SYSTEMWIDE WITH THE GOAL OF PRODUCING BETTER OUTCOMES THROUGH UNDERSTANDING AND MITIGATING HUMAN ERROR, PROPER SYSTEM DESIGN AND HELPING EMPLOYEES MAKE GOOD BEHAVIORAL CHOICES. STRATEGIES TO IMPROVE THE PATIENT EXPERIENCE FOCUSED ON THE DEVELOPMENT OF A SYSTEMWIDE CARE SIGNATURE MODEL FOR SURGICAL SERVICES AND A PATIENT EXPERIENCE DASHBOARD AS WELL AS THE CREATION OF A SIMPLIFIED BILLING PROCESS TO IMPROVE PATIENTS' FINANCIAL EXPERIENCE. TO BETTER REFLECT THE DIVERSITY OF STAFF, PATIENTS AND THE COMMUNITIES IN WHICH THEY LIVE, WESTERLY HOSPITAL LAUNCHED DIVERSITY AND INCLUSION COUNCILS AND FOCUSED EDUCATIONAL AWARENESS PROGRAMMING FOR EMPLOYEES AND MEDICAL STAFF. FOR ITS WORK, WESTERLY HOSPITAL WAS AWARDED THE "LGBTQ HEALTHCARE EQUALITY LEADER" DESIGNATION IN THE HEALTHCARE EQUALITY INDEX 2019, AN ANNUAL SURVEY THAT ENCOURAGES EQUAL CARE FOR LGBTQ AMERICANS BY EVALUATING INCLUSIVE POLICIES AND PRACTICES RELATED TO LGBTQ PATIENTS, VISITORS AND EMPLOYEES. WESTERLY HOSPITAL AND THE WESTERLY AREA HEALTH IMPACT COLLABORATIVE CONTINUED THEIR COMMITMENT TO COMMUNITY HEALTH IMPROVEMENT IN BEHAVIORAL HEALTH. EFFORTS INCLUDED INCREASING AWARENESS OF SIGNS AND SYMPTOMS OF BEHAVIORAL HEALTH CONDITIONS AND COMMUNITY RESOURCES, INCREASING EARLY IDENTIFICATION AND SCREENINGS FOR BEHAVIORAL HEALTH CONDITIONS IN ALL CARE SETTINGS AND INCREASING ACCESS TO APPROPRIATE, QUALITY BEHAVIORAL HEALTH SERVICES BY IMPROVING SELF-MANAGEMENT AMONG PATIENTS. SIGNIFICANT PROGRESS WAS MADE THROUGH COMMUNITY EDUCATION ACTIVITIES AND TRAININGS IN YOUTH MENTAL HEALTH FIRST AID AND SUICIDE PREVENTION. WESTERLY HOSPITAL CONTINUED ITS WELLNESS WEDNESDAY CLINICIAN-LED PUBLIC LECTURE SERIES, WHICH COVERED TOPICS SUCH AS SLEEP DISORDERS, CARPAL TUNNEL SYNDROME, DIABETES AND WOUND MANAGEMENT. THROUGHOUT THE YEAR, WESTERLY HOSPITAL CONTINUED TO IMPROVE ITS PERFORMANCE THROUGH A CONTINUED FOCUS ON DEVELOPING AND MAINTAINING STRONG CLINICAL PROGRAMS, ENSURING A CULTURE OF PATIENT SAFETY AND CLINICAL QUALITY, EMPHASIZING EMPLOYEE AND PHYSICIAN ENGAGEMENT, AND STRIVING FOR STRONG FINANCIAL PERFORMANCE. 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, 1099'S WERE ISSUED BY LAWRENCE + MEMORIAL HOSPITAL INC. 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 COMMITTEES 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. COMPENSATION DETERMINATIONS OF YNHHS EMPLOYEES ARE MADE BY THE YNHHS COMPENSATION COMMITTEE. COMPENSATION OF OFFICER-LEVEL EXECUTIVES EMPLOYED DIRECTLY BY LMW HEALTHCARE IS APPROVED BY LMW HEALTHCARE'S COMPENSATION COMMITTEE AND BOARD OF TRUSTEES. FOR OFFICER-LEVEL EXECUTIVES EMPLOYED BY LMW HEALTHCARE, THE LMW HEALTHCARE'S EXECUTIVE COMPENSATION COMMITTEES IS RESPONSIBLE FOR (1) DETERMINING THE OVERALL TOTAL COMPENSATION STRATEGY FOR ITS 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 LMW HEALTHCARE, 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 LMW 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 6,537,569. MANAGEMENT AND GENERAL EXPENSES 921,152. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,458,721. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 2,361,127. MANAGEMENT AND GENERAL EXPENSES 332,686. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,693,813. FORM 990, PART XI, LINE 9: DECREASE IN FUNDS HELD IN TRUST BY OTHERS -132,730. DONATIONS FROM WESTERLY HOSPITAL FOUNDATION -3,801,999. BRIDGEPORT HOSPITAL 267 GRANT STREET BRIDGEPORT CT 06610 060646554 HEALTHCARE SERVICES CT 501C3 LINE 3 YALE NEW HAVEN HEALTH SERVICES CORPORATION 1 BRIDGEPORT HOSPITAL AUXILIARY INC 267 GRANT STREET BRIDGEPORT CT 06610 066042500 SYSTEM SUPPORT SERVICES CT 501C3 LINE 12A, I BRIDGEPORT HOSPITAL 1 BRIDGEPORT HOSPITAL FOUNDATION INC 267 GRANT STREET BRIDGEPORT CT 06610 222908698 SYSTEM SUPPORT SERVICES CT 501C3 LINE 7 BRIDGEPORT HOSPITAL 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 1 GREENWICH HOSPITAL 5 PERRYRIDGE ROAD GREENWICH CT 06830 060646659 HEALTHCARE SERVICES CT 501C3 LINE 3 YALE NEW HAVEN HEALTH SERVICES CORPORATION 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 1 L&M HEALTHCARE INC 365 MONTAUK AVENUE NEW LONDON CT 06320 222553031 SYSTEM SUPPORT SERVICES CT 501C3 LINE 12A, I LAWRENCE MEMORIAL CORPORATION 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 1 NORTHEAST MEDICAL GROUP INC 99 HAWLEY LANE STRATFORD CT 06614 061330992 HEALTHCARE SERVICES CT 501C3 LINE 10 YALE NEW HAVEN HEALTH SERVICES CORPORATION 1 NORTHEAST MEDICAL GROUP PLLC 99 HAWLEY LANE STRATFORD CT 06614 352380180 HEALTHCARE SERVICES CT 501C3 LINE 12A, I NORTHEAST MEDICAL GROUP INC 1 PERRYRIDGE CORPORATION 5 PERRYRIDGE ROAD GREENWICH CT 06830 061207316 SYSTEM SUPPORT SERVICES CT 501C3 LINE 10 GREENWICH HOSPITAL 1 SOUTHERN CONNECTICUT HEALTH SYSTEM PROPERTIES INC 267 GRANT STREET BRIDGEPORT CT 06610 061297708 TITLE HOLDING CT 501C2 BRIDGEPORT HOSPITAL 1 THE WESTERLY HOSPITAL FOUNDATION INC 25 WELLS STREET WESTERLY RI 02891 050508064 FUNDRAISING SERVICES RI 501C3 LINE 12A, I LMW HEALTHCARE INC 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 1 WESTERLY HOSPITAL AUXILIARY INC 25 WELLS STREET WESTERLY RI 02891 222507181 FUNDRAISING ACTIVITIES RI 501C3 LINE 12A, I LMW HEALTHCARE INC 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 1 YALE NEW HAVEN HEALTH SERVICES CORP 789 HOWARD AVE NEW HAVEN CT 06519 222529464 SYSTEM SUPPORT SERVICES CT 501C3 LINE 12A, I N/A 0 YALE NEW HAVEN HOSPITAL 20 YORK STREET NEW HAVEN CT 06504 060646652 HEALTHCARE SERVICES CT 501C3 LINE 3 YALE NEW HAVEN HEALTH SERVICES CORPORATION 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 1 SHORELINE ENDOSCOPY CENTER LLC 800 BOSTON POST ROAD GUILFORD CT 06437 900110459 HEALTHCARE SERVICES CT N/A TOTAL HEALTH CONNECTICUT LLC 789 HOWARD AVENUE NEW HAVEN CT 06519 474070024 HEALTHCARE SERVICES CT N/A YALE NEW HAVEN HEALTH SYSTEM INVESTMENT TRUST 20 YORK STREET NEW HAVEN CT 06510 271374301 INVESTMENT DE N/A YNHHSCUSP SURGERY CENTERS LLC 15305 DALLAS PKWY STE 1600 ADDISON TX 75001 384021595 HEALTHCARE SERVICES CT N/A CENTURY FINANCIAL SERVICES INC 23 MAIDEN LANE NORTH HAVEN CT 06473 061110797 DEBT COLLECTION SERVICES CT N/A C 1 CORPORATE PROFESSIONAL BUSINESS SERVICESINC 789 HOWARD AVE NEW HAVEN CT 06519 061467717 MANAGEMENT SERVICES CT N/A C 1 GREENWICH FERTILITY & IVF PC 5 PERRYRIDGE ROAD GREENWICH CT 06830 300145464 HEALTHCARE SERVICES CT N/A C 1 GREENWICH OCCUPATIONAL HEALTH SERVICES OF NEW JERSEY 5 PERRYRIDGE ROAD GREENWICH CT 06830 453833883 HEALTHCARE SERVICES NJ N/A C 1 GREENWICH OCCUPATIONAL HEALTH SERVICES OF NY PC 5 PERRYRIDGE ROAD GREENWICH CT 06830 061540101 HEALTHCARE SERVICES NY N/A C 1 L & M SYSTEMS INC 365 MONTAUK AVENUE NEW LONDON CT 06320 222553037 HEALTHCARE RELATED SERVICES CT N/A C 1 L&M HOME CARE SERVICES INC 365 MONTAUK AVENUE NEW LONDON CT 06320 061389272 HOME THERAPY CT N/A C 1 MEDICAL CENTER PHARMACY AND HOME CARE CENTER INC 50 YORK STREET NEW HAVEN CT 06511 061087673 PHARMACY CT N/A C 1 YALE NEW HAVEN AMBULATORY SERVICES 40 TEMPLE STREET NEW HAVEN CT 06510 061398526 HEALTHCARE SERVICES CT N/A C 1 YNHH-PHYSICIANS CORP 789 HOWARD AVE NEW HAVEN CT 06519 061202305 ADMINISTRATIVE SERVICES CT N/A C 1 LMW HEALTHCARE INC HAMILTON D SCHWARZ AGENCY 8814 WASHINGTON TRUST 365 MONTAUK AVENUE NEW LONDON CT 06320 CHARITABLE REMAINDER TRUST RI T 257324 1.00000 1 LMW HEALTHCARE INC COMMUNITY ENDOWMENT FUND AGENCY 8814 WASHINGTON TRUST 365 MONTAUK AVENUE NEW LONDON CT 06320 CHARITABLE REMAINDER TRUST RI T 1246045 1.00000 1 LMW HEALTHCARE INC CHARLES A MORGAN TUW BANK OF AMERICA PO BOX 830269 DALLAS TX 75283 CHARITABLE REMAINDER TRUST RI T 4270015 1.00000 1 0 0 1 0 0 0 0 0 0 1 0 0 1 0 1 1 0 1 0 BRIDGEPORT HOSPITAL R 644507 CASH LAWRENCE AND MEMORIAL HOSPITAL INC P 28689522 CASH LAWRENCE AND MEMORIAL HOSPITAL INC R 33010344 CASH LAWRENCE AND MEMORIAL HOSPITAL INC M 7306525 CASH NORTHEAST MEDICAL GROUP INC J 158226 CASH WESTERLY HOSPITAL FOUNDATION C 3931481 CASH YALE NEW HAVEN HEALTH SERVICES CORPORATION P 6715863 CASH YALE NEW HAVEN HEALTH SERVICES CORPORATION M 5126407 CASH YALE NEW HAVEN HOSPITAL INC M 68417 CASH