2017-08-14T10:57:00-05:00 2016-09-30 135565207 KPMG LLP 1601 MARKET STREET PHILADELPHIA PA 19103 990 2015-10-01 222553028 LAWRENCE MEMORIAL CORPORATION LAWR 2036886088 365 MONTAUK AVENUE NEW LONDON CT 06320 SETH VAN ESSENDELFT SR VP FINANCE 2036886088 2017-08-14 0 PHILLIP E GROFF P01247783 2672561756 2015 2021-01-29 14:40:06Z SETH VAN ESSENDELFT 365 MONTAUK AVENUE NEW LONDON CT 06320 2803951 0 X WWW.LMHOSPITAL.ORG X 1912 CT UPHOLDS, PROMOTES, AND FURTHERS THE WELFARE, PROGRAMS, AND ACTIVITIES OF ITS RELATED ENTITIES. 15 12 0 14 0 0 4964959 2117585 0 0 2175069 456008 106912 -9476 7246940 2564117 0 0 0 0 0 0 0 0 0 2015386 1279473 2015386 1279473 5231554 1284644 65797684 69501772 2030884 1984948 63766800 67516824 LAWRENCE & MEMORIAL CORPORATION UPHOLDS, PROMOTES, AND FUTHERS THE WELFARE, PROGRAMS, AND ACTIVITIES OF LAWRENCE & MEMORIAL HOSPITAL, LMW HEALTHCARE (WESTERLY HOSPITAL), AND L&M PHYSICIAN ASSOCIATION. 0 0 1021107 LAWRENCE + MEMORIAL CORPORATION UPHOLDS, PROMOTES, AND FURTHERS THE WELFARE, PROGRAMS, AND ACTIVITIES OF LAWRENCE + MEMORIAL HOSPITAL, INC., LMW HEALTHCARE, INC., AND L&M PHYSICIAN ASSOCIATION, LAWRENCE + MEMORIAL CORPORATION ALSO PROVIDES OVERALL DIRECTION AND CONTROL TO LAWRENCE AND MEMORIAL FOUNDATION, INC., L & M SYSTEMS, INC., L&M INDEMNITY COMPANY, LTD., AND TO L & M HEALTH CARE, INC. ITS PRINCIPAL ACTIVITIES INCLUDE SUPERVISING THE DEVELOPMENT AND INVESTMENT ACTIVITIES OF THESE ENTITIES. THROUGH AN AFFILIATION TRANSACTION THAT CLOSED ON SEPTEMBER 8, 2017, LAWRENCE + MEMORIAL CORPORATION AND ITS AFFILIATED ENTITIES BECAME MEMBERS OF THE YALE NEW HAVEN HEALTH SYSTEM. 1021107 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 9 0 0 0 1 CJ 0 0 0 1 1 0 0 0 0 X 15 12 1 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X DENIS DONEGAN 2036886088 789 HOWARD AVENUE NEW HAVEN CT 06519 R ALAN HUNTER CHAIRMAN/TRUSTEE 1.00 6.00 X X 0 0 0 KATHLEEN STEAMER TRUSTEE 1.00 0.00 X 0 0 0 BRUCE D CUMMINGS PRESIDENT/CEO/TRUSTEE 1.00 39.00 X X 0 639099 50765 KATHLEEN CROOK TRUSTEE 1.00 1.00 X 0 0 0 CHRISTOPHER R JALBERT MD TRUSTEE 1.00 0.00 X 0 0 0 JON T KODAMA TRUSTEE 1.00 0.00 X 0 0 0 LISA KONICKI TRUSTEE 1.00 0.00 X 0 0 0 R PRESTON LAMBERTON-END 1215 TRUSTEE 1.00 39.00 X 0 188067 28326 ROBERT NARDONE TRUSTEE 1.00 0.00 X 0 0 0 ROSS J SANFILIPPO DMD TRUSTEE 1.00 0.00 X 0 0 0 STEPHEN M GREENE TRUSTEE 1.00 1.00 X 0 0 0 REV CATHERINE ZALL TRUSTEE 1.00 0.00 X 0 0 0 B MICHAEL RAUH TREASURER/SECRETARY/TRUSTEE 1.00 3.00 X X 0 0 0 KATHLEEN HOLT TRUSTEE 1.00 0.00 X 0 0 0 JON C GAUDIO MD - EFF 2116 TRUSTEE 1.00 39.00 X 0 615938 70551 CHRISTOPHER O'CONNOR TRUSTEE - EFF 9/26/16 1.00 39.00 X 0 1210574 388215 FRED CONTI - END 123115 TRUSTEE 1.00 0.00 X 0 0 0 MAUREEN ANDERSON ASSISTANT SECRETARY 1.00 39.00 X 0 285844 74161 SETH VAN ESSENDELFT-EFF 10115 VP/CFO 1.00 39.00 X 0 374982 48016 HENRY AMDUR MD - END 121212 EX-EFFICIO 0.00 0.00 X 0 302897 51545 DAVID REISFELDMD -END 121212 EX-EFFICIO 0.00 0.00 X 0 317862 63398 0 3935263 774977 0 1 1 0 THE CHARTIS GROUP DEPARTMENT 5925 CAROL STREAM IL 601225925 CONSULTING 718735 SHIPMAN & GOODWIN LLP ONE AMERICAN ROW HARTFORD CT 061032819 LEGAL SERVICES 414769 NIXON PEABODY LLP 100 SUMMER ST BOSTON MA 021102131 LEGAL SERVICES 402630 GLOBAL STRATEGY GROUP LLC 215 PARK AVE SOUTH 15TH FL NEW YORK NY 10003 CONSULTING 122754 DELOITTE 1633 BROADWAY NEW YORK NY 100196754 CONSULTING 106475 5 128142 1989443 24334 2117585 424780 424780 202306 171078 31228 31228 31228 59280 128142 68756 -9476 -9476 2564117 0 0 446532 X 524317 390053 134264 16321 16321 106123 106123 217068 161482 55586 17866 16152 1714 61692 45894 15798 PURCHASED SERVICES 216591 216591 0 SUPPLIES 112516 83703 28813 BANK/CREDIT CARD FEES 5519 0 5519 MISCELLANEOUS 1460 1109 351 1279473 1021107 258366 0 225593 265920 2141117 1818782 0 23690 29803 24500 12347645 228068 12181269 12119577 31938455 35967856 19281447 19281447 65797684 69501772 0 49339 2030884 1935609 2030884 1984948 X 63657520 67297321 109280 219503 63766800 67516824 65797684 69501772 X 1284644 2275789 189589 X 0 1 X 1 0 X X 4 LAWRENCE MEMORIAL HOSPITAL 060646704 3 1 0 0 LMW HEALTHCARE INC 460543230 3 1 0 0 L&M PHYSICIAN ASSOCIATION INC 271094375 9 1 0 0 VISITING NURSE ASSOCIATION OF SOUTHEASTERN CONNECTICUT INC 060646616 9 1 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 PART IV, SECTION A, LINE 1 PRIOR TO SEPTEMBER 8, 2016, THE MEMBERS OF LAWRENCE + MEMORIAL CORPORATION WERE SPECIFICALLY NAMED. ON SEPTEMBER 8, 2016, THE AFFILIATION DATE, THE PARENT CHANGED TO YALE NEW HAVEN HEALTH SERVICES CORPORATION. LAWRENCE + MEMORIAL CORPORATION HAS CONTINUED THE HISTORIC RELATIONSHIP WITH ITS MEMBERS AS IT WAS PRE-AFFILIATION. PART IV, SECTION B, LINE 1 LAWRENCE + MEMORIAL HOSPITAL, WESTERLY HOSPITAL, VISITING NURSES ASSOCIATION OF SOUTHEASTERN CONNECTICUT, AND LAWRENCE AND MEMORIAL PHYSICIANS ASSOCIATION ARE THE SUPPORTED ORGANIZATIONS OF LAWRENCE + MEMORIAL CORPORATION. BY VIRTUE OF THE TITLE OF EX-EFFICIOS LAWRENCE + MEMORIAL HOSPITAL, WESTERLY HOSPITAL, AND VISITING NURSES ASSOCIATION OF SOUTHEASTERN CONNECTICUT SHALL AUTOMATICALLY SERVE ON THE BOARD OF LAWRENCE + MEMORIAL CORPORATION. THESE POSITIONS IN PART, ARTICULATE THE LOCAL DIMENSIONS OF LAWRENCE + MEMORIAL CORPORATION'S MISSION, VISION, VALUES AND STRATEGY. AMONG OTHER FUNCTIONS, HAVE OVERSIGHT OF THE OVERALL STRATEGIC DECISION MAKING PROCESS OF OPERATIONS AND FINANCIAL OUTCOMES OF LAWRENCE + MEMORIAL CORPORATION. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3387752 298487 13859 9559 3690538 3565741 25159 -194063 9085 3387752 3300081 264025 -8775 7140 3565741 2947028 387154 26996 7105 3300081 2598925 385153 33652 3398 2947028 1.00000 0 0 11096790 11096790 17010 12146 4864 1233845 215922 1017923 12119577 INVESTMENTS IN SUBSIDIARIES 19281447 19281447 DUE TO L&M HOSPITAL 1935609 1935609 SCHEDULE D, PART V, LINE 4 ENDOWMENT FUNDS PROVIDE UNRESTRICTED FUNDS FOR LAWRENCE + MEMORIAL HOSPITAL. CENTRAL AMERICA/CARIBBEAN INVESTMENTS 8290160 0 0 0 0 0 0 8290160 0 8290160 0 0 1 0 0 0 L+M GOLF CLASSIC AT FISHERS ISLAND 166350 112350 54000 13010 636 36720 6954 0 5478 BENTLEY GOLF 21072 15792 5280 4030 1928 187422 128142 59280 13010 636 40750 8882 5478 68756 -9476 0 1 0 0 0 0 0 0 0 BRUCE D CUMMINGS PRESIDENT/CEO/TRUSTEE 0 505747 0 0 0 133352 0 10600 0 40165 0 689864 0 0 R PRESTON LAMBERTON-END 1215 TRUSTEE 0 131219 0 46318 0 10530 0 5150 0 23176 0 216393 0 0 JON C GAUDIO MD - EFF 2116 TRUSTEE 0 324334 0 276226 0 15378 0 10600 0 59951 0 686489 0 0 CHRISTOPHER O'CONNOR TRUSTEE - EFF 9/26/16 0 822935 0 283340 0 104299 0 358561 0 29654 0 1598789 0 0 MAUREEN ANDERSON ASSISTANT SECRETARY 0 269134 0 0 0 16710 0 10600 0 63561 0 360005 0 0 SETH VAN ESSENDELFT-EFF 10115 VP/CFO 0 356172 0 0 0 18810 0 10600 0 37416 0 422998 0 0 HENRY AMDUR MD - END 121212 EX-EFFICIO 0 189867 0 69050 0 43980 0 10600 0 40945 0 354442 0 0 DAVID REISFELDMD -END 121212 EX-EFFICIO 0 287338 0 8194 0 22330 0 10600 0 52798 0 381260 0 0 PART I, LINE 3 THE PRESIDENT/CEO OF LAWRENCE + MEMORIAL CORPORATION RECEIVES NO COMPENSATION FROM THE ORGANIZATION. HE IS AN EMPLOYEE AT LAWRENCE + MEMORIAL HOSPITAL, A RELATED ORGANIZATION, AND HIS COMPENSATION IS SET BY THE HOSPITAL. THE HOSPITAL, IN DETERMINING COMPENSATION RELIES UPON A COMPENSATION COMMITTEE; AN INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEYS OR STUDIES, AND APPROVAL BY ITS BOARD OR COMPENSATION COMMITTEE. PART I, LINE 4B LAWRENCE + MEMORIAL HOSPITAL, A RELATED ORGANIZATION, ESTABLISHED A SECTION 457(F) SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN FOR THE HOSPITAL'S SENIOR MANAGEMENT. AMOUNTS FOR BRUCE CUMMINGS ARE CREDITED TO THE RETIREMENT ACCOUNT IN MONTHLY INSTALLMENTS THROUGHOUT EACH PLAN YEAR, AND AMOUNTS FOR ALL OTHER MEMBERS OF SENIOR MANAGEMENT ARE CREDITED ANNUALLY. PLAN AMOUNTS ARE SUBJECT TO FORFEITURE AND/OR PAYMENT ONLY IF CERTAIN CONDITIONS ARE MET, INCLUDING REMAINING EMPLOYED BY THE HOSPITAL THROUGH AGE 65, AS OUTLINED IN THE PLAN AGREEMENT. SECTION 457(F) CONTRIBUTIONS ARE REPORTED ON SCHEDULE J PART II COLUMN C. SECTION 457(F) CONTRIBUTIONS FOR THE CALENDAR YEAR 2015 WERE CREDITED AS FOLLOWS TOWARDS THE PLAN: BRUCE D. CUMMINGS $86,945 THE INDIVIDUALS LISTED BELOW ARE PARTICIPANTS IN A RELATED ORGANIZATION SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. 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 CHRISTOPHER O'CONNOR - 198,811 - THE SUPPLEMENTAL RETIREMENT INCOME PLAN (SRIP) IS 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 VI 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. BASED ON RESPONSES TO THE QUESTIONNAIRES RECEIVED BY THE ORGANIZATION AND ANNUAL CONFLICTS OF INTEREST DISCLOSURES, THE ORGANIZATION WAS ABLE TO CONFIRM THAT TWELVE (12) VOTING MEMBERS ARE INDEPENDENT. FORM 990, PART VI, SECTION A, LINE 1 THE BYLAWS GRANT THE EXECUTIVE COMMITTEE OF THE BOARD (MADE UP OF BOARD OFFICERS) THE RIGHT TO EXERCISE THE POWER OF THE BOARD IF A TIME-SENSITIVE MATTER EXISTS THAT IS CONTRARY TO THE ORGANIZATION'S INTEREST IF NOT ADDRESSED BEFORE THE NEXT REGULAR MEETING. ALL ACTS OF THE EXECUTIVE COMMITTEE MUST BE RATIFIED BY THE BOARD AT THE NEXT REGULAR BOARD MEETING. FORM 990, PART VI, SECTION A, LINE 2 THE ORGANIZATION'S CURRENT OFFICERS AND/OR TRUSTEES SERVE AS OFFICERS AND/OR DIRECTORS OF 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 DO NOT HAVE PERSONAL FINANCIAL INTERESTS IN THE TAXABLE AFFILIATE AND SERVE ONLY AS A FUNCTION OF THEIR ROLES WITH THE ORGANIZATION OR WITHIN THE ORGANIZATION'S CORPORATE SYSTEM. BOARD MEMBER R. ALAN HUNTER AND OFFICERS SETH VAN ESSENDELFT AND MAUREEN ANDERSON ARE ALSO MEMBERS OF LAWRENCE & MEMORIAL INDEMNITY COMPANY, LTD. FORM 990, PART VI, SECTION A, LINE 4 EFFECTIVE SEPTEMBER 8, 2016, LAWRENCE + MEMORIAL CORPORATION ("LMC") AND ITS RELATED ORGANIZATIONS BECAME AFFILIATED WITH THE YALE NEW HAVEN HEALTH SYSTEM PURSUANT TO THE TERMS OF AN AFFILIATION AGREEMENT BETWEEN LMC AND YALE NEW HAVEN HEALTH SERVICES CORPORATION ("YNHHSC") DATED AS OF JULY 17, 2015 (THE "AFFILIATION AGREEMENT"). AS A RESULT OF THE CLOSING OF THE AFFILIATION TRANSACTION, YNHHSC BECAME THE SOLE MEMBER OF LMC. ADDITIONALLY, THE CERTIFICATES OF INCORPORATION AND BYLAWS OF LMC AND ITS SUBSIDIARIES LAWRENCE + MEMORIAL HOSPITAL, LMW HEALTHCARE, INC., L+M PHYSICIAN ASSOCIATION, INC. AND VISITING NURSE ASSOCIATION OF SOUTHEASTERN CONNECTICUT, INC. WERE REVISED AS AGREED UPON IN THE AFFILIATION AGREEMENT TO REFLECT YNHHSC AS THE ULTIMATE CORPORATE PARENT AND DESCRIBE THE RETAINED POWERS AND OF YNHHSC CONSISTENT WITH ITS OTHER AFFILIATED ENTITIES. FORM 990, PART VI, SECTION A, LINE 6 PRIOR TO THE SEPTEMBER 8, 2016 CLOSING OF THE AFFILIATION TRANSACTION WITH YNHHSC, MEMBERS OF THE BOARD WERE ELECTED BY THE CORPORATORS OF LAWRENCE + MEMORIAL CORPORATION. EFFECTIVE AS OF SEPTEMBER 8, 2016, THE SOLE MEMBER OF LAWRENCE + MEMORIAL CORPORATION IS NOW YALE NEW HAVEN HEALTH SERVICES CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A YALE NEW HAVEN HEALTH SERVICES CORPORATION, AS SOLE MEMBER OF LAWRENCE + MEMORIAL CORPORATION, ELECTS THE BOARD OF TRUSTEES OF LAWRENCE + MEMORIAL CORPORATION. FORM 990, PART VI, SECTION A, LINE 7B AS OF SEPTEMBER 8, 2016, THE ORGANIZATION'S SOLE MEMBER, YALE NEW HAVEN HEALTH SERVICES CORPORATION, HAS THE RIGHT TO ELECT THE BOARD OF TRUSTEES OF THE ORGANIZATION AND APPOINT THE PRESIDENT, AND HAS THE FOLLOWING ADDITIONAL RIGHTS (WITH APPROVAL OF THE LAWRENCE + MEMORIAL CORPORATION BOARD) : 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 11 THE FORM 990 IS PREPARED BY THE ORGANIZATION AND REVIEWED BY EXTERNAL TAX CONSULTANTS. A DRAFT VERSION OF THE RETURN IS PROVIDED TO MANAGEMENT FOR REVIEW. ANY NECESSARY CHANGES ARE MADE PRIOR TO THE FINAL REVIEW AND SIGNING OF THE RETURN BY THE ORGANIZATION'S INDEPENDENT TAX CONSULTANTS. THE FINAL FORM 990 IS PROVIDED TO THE BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C LAWRENCE + MEMORIAL CORPORATION HAS ADOPTED A CONFLICT OF INTEREST POLICY WHICH APPLIES TO IT AND ITS SUBSIDIARIES. LAWRENCE + MEMORIAL CORPORATION REQUIRES ALL BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE. QUESTIONNAIRES ARE COMPLETED ANNUALLY AND ARE REVIEWED BY LAWRENCE + MEMORIAL CORPORATION'S GENERAL COUNSEL. ANY ACTUAL OR POTENTIAL CONFLICTS DISCLOSED ARE PRESENTED TO THE BOARD. APPROPRIATE CORRECTIVE ACTIONS ARE DECIDED ON A CASE BY CASE BASIS. FORM 990, PART VI, SECTION B, LINE 15 THE OFFICER'S COMPENSATION AND BENEFITS REPORTED IN PART VII ARE DETERMINED BY LAWRENCE + MEMORIAL HOSPITAL, INC. LAWRENCE + MEMORIAL HOSPITAL, INC.'S EXECUTIVE COMPENSATION COMMITTEE ANNUALLY REVIEWS THE SALARIES OF ITS EXECUTIVE MANAGEMENT AND KEY EMPLOYEES. UTILIZING INDEPENDENT COMPENSATION CONSULTANTS THE EXECUTIVE COMPENSATION COMMITTEE MAKES ITS RECOMMENDATIONS. THE COMMITTEE'S DELIBERATIONS ARE REFLECTED IN ITS MINUTES. FORM 990, PART VI, SECTION C, LINE 19 COPIES OF FORM 990, FORM 1023 (IF AVAILABLE) AND AUDITED FINANCIAL STATEMENTS ARE MAINTAINED IN THE SYSTEM TAX DEPARTMENT. OTHER CORPORATE GOVERNING DOCUMENTS ARE MAINTAINED BY THE LEGAL AND RISK SERVICES DEPARTMENT. THE CONFLICT OF INTEREST POLICY, WHISTLEBLOWER POLICY, AND DOCUMENT RETENTION POLICY ARE AVAILABLE TO ALL EMPLOYEES ON THE CORPORATE INTERNAL WEBSITE. COPIES OF ALL DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G CONSULTING: PROGRAM SERVICE EXPENSES 107,228. MANAGEMENT AND GENERAL EXPENSES 36,910. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 144,138. YALE AFFILIATION FEES: PROGRAM SERVICE EXPENSES 54,254. MANAGEMENT AND GENERAL EXPENSES 18,676. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 72,930. FORM 990, PART XI, LINE 9: TRANSFER FROM AFFILIATED ENTITIES 189,589. GREENWICH HOSPITAL 5 PERRYRIDGE ROAD GREENWICH CT 06830 060646659 HEALTHCARE SERVICES CT 501C3 LINE 3 SEE SCHEDULE R PART VII 1 GREENWICH HEALTH CARE SERVICES INC - MERGED WITH GH ON 51216 5 PERRYRIDGE ROAD GREENWICH CT 06830 222593399 SYSTEM SUPPORT SERVICES CT 501C3 LINE 11B, II YALE NEW HAVEN HEALTH SERVICES CORP 1 THE GREENWICH HOSPITAL ENDOWMENT FUND INC 5 PERRYRIDGE ROAD GREENWICH CT 06830 061526642 SYSTEM SUPPORT SERVICES CT 501C3 LINE 11B, II SEE SCHEDULE R PART VII 1 BRIDGEPORT HOSPITAL 267 GRANT STREET BRIDGEPORT CT 06610 060646554 HEALTHCARE SERVICES CT 501C3 LINE 3 YALE NEW HAVEN HEALTH SERVICES CORP 1 SOUTHERN CONNECTICUT HEALTH SYSTEM PROPERTIES INC 267 GRANT STREET BRIDGEPORT CT 06610 061297708 TITLE HOLDING CT 501C2 BRIDGEPORT HOSPITAL 1 BRIDGEPORT HOSPITAL AUXILIARY INC 267 GRANT STREET BRIDGEPORT CT 06610 066042500 SYSTEM SUPPORT SERVICES CT 501C3 LINE 11A, I BRIDGEPORT HOSPITAL 1 BRIDGEPORT HOSPITAL FOUNDATION INC 267 GRANT STREET BRIDGEPORT CT 06610 222908698 SYSTEM 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222529464 SYSTEM SUPPORT SERVICES CT 501C3 LINE 11A, I N/A 0 LAWRENCE MEMORIAL HOSPITAL INC 365 MONTAUK AVENUE NEW LONDON CT 06320 060646704 HEALTHCARE SERVICES CT 501C3 LINE 3 LAWRENCE MEMORIAL CORPORATION 1 ASSOCIATED SPECIALISTS OF SOUTHEASTERN CONNECTICUT INC 365 MONTAUK AVENUE NEW LONDON CT 06320 208006123 HEALTHCARE SERVICES CT 501C3 LINE 11A, I LAWRENCE MEMORIAL HOSPITAL INC 1 VISITING NURSE ASSOCIATION OF SOUTHEASTERN CONNECTICUT INC 403 NORTH FRONTAGE ROAD WATERFORD CT 06385 060646616 HOME HEALTHCARE SERVICES CT 501C3 LINE 9 LAWRENCE MEMORIAL CORPORATION 1 L&M PHYSICIAN ASSOCIATION INC 365 MONTAUK AVENUE NEW LONDON CT 06320 271094375 HEALTHCARE SERVICES CT 501C3 LINE 11A, I LAWRENCE MEMORIAL CORPORATION 1 LAWRENCE AND MEMORIAL FOUNDATION INC 365 MONTAUK AVENUE NEW LONDON CT 06320 222553026 FUNDRAISING SERVICES CT 501C3 PF LAWRENCE MEMORIAL CORPORATION 1 LMW HEALTHCARE INC DBA WESTERLY HOSPITAL 365 MONTAUK AVENUE NEW LONDON CT 06320 460543230 HEALTHCARE SERVICES RI 501C3 LINE 3 LAWRENCE MEMORIAL CORPORATION 1 THE WESTERLY HOSPITAL FOUNDATION 25 WELLS STREET WESTERLY RI 02891 050508064 FUNDRAISING SERVICES RI 501C3 LINE 11A, I LMW HEALTHCARE INC 1 WESTERLY HOSPITAL AUXILIARY INC 25 WELLS STREET WESTERLY RI 02891 222507181 FUNDRAISING ACTIVITIES RI 501C3 LINE 11C, III-FI LMW HEALTHCARE INC 1 L&M HEALTHCARE INC 365 MONTAUK AVENUE NEW LONDON CT 06320 222553031 SYSTEM SUPPORT SERVICES CT 501C3 LINE 11A, I LAWRENCE MEMORIAL CORPORATION 1 SHORELINE SURGERY CENTER LLC 111 GOOSE LANE GUILFORD CT 06437 900110459 HEALTHCARE SERVICES CT N/A SSC II LLC 111 GOOSE LANE GUILFORD CT 06437 261709382 HEALTHCARE SERVICES CT N/A ORTHOPAEDIC & NEUROSURGERY CENTER LLC 55 HOLLY HILL LANE GREENWICH CT 06830 273477197 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 20 YORK STREET NEW HAVEN CT 06510 271374301 INVESTMENT DE N/A YNHHS-MSO INC 789 HOWARD AVE NEW HAVEN CT 06519 061467717 MANAGEMENT SERVICES 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 MEDICAL CENTER REALTY INC 50 YORK STREET NEW HAVEN CT 06511 061110858 REAL ESTATE RENTAL CT N/A C 1 GREENWICH FERTILITY & IVF CENTER PC 5 PERRYRIDGE ROAD GREENWICH CT 06830 300145464 HEALTHCARE SERVICES CT N/A C 1 YORK ENTERPRISES INC 50 YORK STREET NEW HAVEN CT 06511 061110937 TITLE HOLDING CT N/A C 1 YNHH-PHYSICIANS CORP 789 HOWARD AVE NEW HAVEN CT 06519 061202305 ADMININISTRATIVE SERVICES CT N/A C 1 MEDICAL CENTER PHARMACY INC 50 YORK STREET NEW HAVEN CT 06511 061087673 PHARMACY CT N/A C 1 CENTURY FINANCIAL SERVICES INC 23 MAIDEN LANE NORTH HAVEN CT 06473 061110797 DEBT COLLECTION SERVICES CT 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 GREENWICH OCCUPATIONAL HEALTH SERVICES OF NEW JERSEY 5 PERRYRIDGE ROAD GREENWICH CT 06830 453833883 HEALTHCARE SERVICES NJ N/A C 1 PRIMARYNET OF CONNECTICUT INC - DISSOLVED 93016 789 HOWARD AVE NEW HAVEN CT 06519 061463534 HEALTHCARE SERVICES CT N/A C 1 CENTURY MANAGEMENT SERVICES INC 23 MAIDEN LANE NORTH HAVEN CT 06473 061303173 RECEIVABLE MANAGEMENT SERVICES CT N/A C 1 L & M SYSTEMS INC 365 MONTAUK AVENUE NEW LONDON CT 06320 222553037 HEALTHCARE RELATED SERVICES CT LAWRENCE MEMORIAL CORPORATION C 1153 1.00000 1 L&M HOME CARE SERVICES INC 365 MONTAUK AVENUE NEW LONDON CT 06320 061389272 HOME THERAPY CT LAWRENCE MEMORIAL CORPORATION C 604994 3064065 1.00000 1 LAWRENCE & MEMORIAL INDEMNITY COMPANY LTD PO BOX 1159 GRAND CAYMAN CJ KY1-1102 981021436 INSURANCE CJ LAWRENCE MEMORIAL CORPORATION C 7784074 36274691 1.00000 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 L&M HOSPITAL R 11733361 CASH L&M HOSPITAL Q 5303952 CASH PART II, COLUMN F - DIRECT CONTROLLING ENTITY OF TAX EXEMPTS ORGANIZATIONS: PART II (F), DIRECT CONTROLLING ENTITY OF TAX-EXEMPT ORGANIZATIONS: NAME OF RELATED ORGANIZATION: GREENWICH HOSPITAL DIRECT CONTROLLING ENTITY: GREENWICH HEALTH CARE SERVICES, INC. THROUGH 5/12/16, AFTER YALE NEW HAVEN HEALTH SERVICES CORPORATION. NAME OF RELATED ORGANIZATION: PERRYRIDGE CORPORATION DIRECT CONTROLLING ENTITY: GREENWICH HEALTH CARE SERVICES, INC. THROUGH 5/12/16, AFTER GREENWICH HOSPTIAL. NAME OF RELATED ORGANIZATION: THE GREENWICH HOSPITAL ENDOWMENT FUND INC DIRECT CONTROLLING ENTITY: GREENWICH HEALTH CARE SERVICES, INC. THROUGH 5/12/16, AFTER GREENWICH HOSPTIAL.