LAWRENCE AND MEMORIAL HOSPITAL INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: LAWRENCE AND MEMORIAL HOSPITAL INC (EIN 06-0646704)
Tax period: 2014-10-01 to 2015-09-30
Filed: 2016-08-15
IRS object ID: 201602289349306080
Schema version: 2014v6.0
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 F
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-08-15T14:56:29-05:00	ReturnTs
Tax Period End	2015-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	PricewaterhouseCoopers LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	101 SEAPORT BOULEVARD	AddressLine1Txt
City	Boston	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02210	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2014-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	060646704	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Lawrence & Memorial Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% SETH VAN ESSENDELFT	InCareOfNm
Business Name Control	LAWR	BusinessNameControlTxt
Phone	8604420711	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	SETH VAN ESSENDELFT	PersonNm
Person Title	VICE PRESIDENT/CFO	PersonTitleTxt
Phone	8604420711	PhoneNum
Signature	2016-08-12	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	ERIN COUTURE	PreparerPersonNm
PTIN	P01390592	PTIN
Phone	6175305000	PhoneNum

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-09-27 15:27:22Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	SETH VAN ESSENDELFT	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	$368,501,135	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.lmhospital.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1912	FormationYr
Legal Domicile State	CT	LegalDomicileStateCd
Activity Or Mission	To improve the health of the region.	ActivityOrMissionDesc
Voting Members Governing Body	10	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	2642	TotalEmployeeCnt
Total Volunteers	298	TotalVolunteersCnt
Total Gross UBI	$1,785,961	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$274,162	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$880,130	PYContributionsGrantsAmt
CY Contributions Grants	$857,596	CYContributionsGrantsAmt
PY Program Service Revenue	$345,412,898	PYProgramServiceRevenueAmt
CY Program Service Revenue	$352,401,780	CYProgramServiceRevenueAmt
PY Investment Income	$9,678,721	PYInvestmentIncomeAmt
CY Investment Income	$11,372,756	CYInvestmentIncomeAmt
PY Other Revenue	$2,321,513	PYOtherRevenueAmt
CY Other Revenue	$2,880,175	CYOtherRevenueAmt
PY Total Revenue	$358,293,262	PYTotalRevenueAmt
CY Total Revenue	$367,512,307	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$192,997,162	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$192,132,028	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$645	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$865,348	CYTotalFundraisingExpenseAmt
PY Other Expenses	$155,434,308	PYOtherExpensesAmt
CY Other Expenses	$157,997,754	CYOtherExpensesAmt
PY Total Expenses	$348,432,115	PYTotalExpensesAmt
CY Total Expenses	$350,129,782	CYTotalExpensesAmt
PY Revenues Less Expenses	$9,861,147	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$17,382,525	CYRevenuesLessExpensesAmt
Total Assets BOY	$394,458,671	TotalAssetsBOYAmt
Total Assets EOY	$368,349,831	TotalAssetsEOYAmt
Total Liabilities BOY	$226,249,224	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$239,868,109	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$168,209,447	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$128,481,722	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO IMPROVE THE HEALTH OF THE REGION.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$255,580,273	ExpenseAmt
Revenue	$352,063,624	RevenueAmt
Desc	SEE SCHEDULE O	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$765,759	ExpenseAmt
Revenue	$338,156	RevenueAmt
Desc	EDUCATIONAL PROGRAMS	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$256,346,032	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	279	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2642	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	NL	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	10	GoverningBodyVotingMembersCnt
Independent Voting Member	7	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd
Other	Yes (X)	OtherInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	SETH VAN ESSENDELFT	PersonNm
Phone	8604420711	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

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
JAY E ALLEN DMD
TREASURER	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
CAROL O RIDGEWAY
DIRECTOR UNTIL 12/14	2.0	0.0	Yes (X)		$0	$0	$0
MARY ELLEN JUKOSKI EDD
VICE CHAIRMAN	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
BRUCE D CUMMINGS
PRESIDENT/CEO	27.45	12.55	Yes (X)	Yes (X)	$619,828	$0	$112,426
DONALD J FELITTO MD
DIRECTOR	2.0	2.0	Yes (X)		$8,355	$0	$0
DAVID F REISFELD MD
DIRECTOR	2.0	38.0	Yes (X)		$0	$321,603	$34,625
B MICHAEL RAUH JR
DIRECTOR UNTIL 12/14	2.0	2.0	Yes (X)		$0	$0	$0
JAMES MITCHELL PHD
SECRETARY	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
GRANVILLE MORRIS
CHAIRMAN UNTIL 12/14	2.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
SHARON ARNOLD
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
NIALL J DUHIG MD
DIRECTOR	2.0	0.0	Yes (X)		$59,400	$0	$0
JOSH PARSONS
DIRECTOR AS OF 12/14	2.0	0.0	Yes (X)		$0	$0	$0
R ALAN HUNTER
CHAIRMAN AS OF 12/14	2.0	4.0	Yes (X)	Yes (X)	$0	$0	$0
MAUREEN ANDERSON ATTORNEY
ASSISTANT SECRETARY	30.0	10.0		Yes (X)	$273,321	$0	$54,018
SETH VAN ESSENDELFT
VP/CFO AS OF 8/14	24.0	16.0		Yes (X)	$125,051	$0	$15,617
WILLIAM STANLEY
VP DEV & COMMUNITY RELATIONS	38.0	2.0			$220,150	$0	$42,957	Yes (X)
DANIEL RISSI MD
VP CHIEF MEDICAL OFFICER	38.0	2.0			$415,808	$0	$67,589	Yes (X)
KIMBERLY KALAJAINEN
VP CHIEF INFORMATION OFFICER	38.0	2.0			$245,872	$0	$53,122	Yes (X)
CRISTA DURAND UNTIL 714
VP STRATEGIC PLANNING/MKTG	38.0	2.0			$203,215	$0	$21,114	Yes (X)
LAUREN WILLIAMS
VP PATIENT CARE SERVICES	38.0	2.0			$261,225	$0	$39,944	Yes (X)
DONNA EPPS
VP CHIEF HR OFFICER	38.0	2.0			$209,974	$0	$23,060	Yes (X)
CHRISTOPHER LEHRACH MD
CHIEF TRANSFORMATION OFFICER	34.0	6.0			$354,328	$0	$66,396	Yes (X)
PAMELA KANE
VP PHYSICIAN PRAC UNTIL 7/14	0.0	0.0			$464,194	$0	$29,956		Yes (X)
GERALDINE RUFFA MD
MEDICAL DIRECTOR, PHYSICIAN	40.0	0.0			$220,215	$0	$10,235		Yes (X)
GARY CASS
DIRECTOR HR/LABOR RELATIONS	40.0	0.0			$189,369	$0	$26,765		Yes (X)
TINA DICIOCCIO
CORPORATE CONTROLLER	40.0	0.0			$175,748	$0	$18,592		Yes (X)
KENNETH CIKATZ
PHARMACIST	40.0	0.0			$170,879	$0	$23,944		Yes (X)
HENRY AMDUR MD
PAST PRESIDENT, UNTIL 12/13	0.0	40.0			$0	$302,502	$21,840			Yes (X)
LUGENE INZANA
VP/CFO UNTIL 2/14	0.0	0.0			$114,456	$0	$8,724			Yes (X)
JIM MOYLAN
INTERIM VP/CFO 2/14 - 7/14	0.0	0.0			$124,500	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,455,888	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$624,105	TotReportableCompRltdOrgAmt
Total Other Compensation	$670,924	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	218	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	Yes (true)	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
YANKEE REMODELER OF NEW LONDON
95 TRUMAN STREET	NEW LONDON	CT	06320	REMODELING	$861,353
INPATIENT CONSULTANTS OF NEW ENGLAN
PO BOX 844929	LOS ANGELES	CA	900844929	HOSPITALISTS	$2,817,350
PRESIDIO NETWORKED SOLUTIONS GROUP
PO BOX 677638	DALLAS	TX	752677638	IT SERVICES	$1,449,198
RED THREAD
PO BOX 415213	BOSTON	MA	022415213	FURNITURE AND DESIGN	$1,679,266
BERKELEY RESEARCH GROUP LLC
2200 POWELL STREET SUITE 1200	EMERYVILLE	CA	94608	CONSULTING	$1,620,532

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	44	CntrctRcvdGreaterThan100KCnt
Government Grants	$595,050	GovernmentGrantsAmt
All Other Contributions	$262,546	AllOtherContributionsAmt
Total Contributions	$857,596	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICES	900099	$325,022,845	$325,022,845
LAB TESTING - ORR	900099	$1,785,855		$1,785,855
PARAMEDIC SERVICES	900099	$2,680,768	$2,680,768
OTHER PROGRAM SERVICE REVENUE	900099	$22,912,312	$22,912,312

Field	Value	IRS element (for citing)
Total Program Service Revenue	$352,401,780	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,475,103	TotalRevenueColumnAmt
Unrelated Business Revenue	$106	UnrelatedBusinessRevenueAmt
Exclusion	$10,474,997	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,014,246	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$2,014,246	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,014,246	TotalRevenueColumnAmt
Exclusion	$2,014,246	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,884,655	SecuritiesAmt
Other	$1,826	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$988,828	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$895,827	SecuritiesAmt
Other	$1,826	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$897,653	TotalRevenueColumnAmt
Exclusion	$897,653	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	DINING ROOM	Desc
Business	900099	BusinessCd
Total Revenue Column	$865,929	TotalRevenueColumnAmt
Related Or Exempt Func Income	$865,929	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$865,929	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$367,512,307	TotalRevenueColumnAmt
Related Or Exempt Func Income	$351,481,854	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,785,961	UnrelatedBusinessRevenueAmt
Exclusion	$13,386,896	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,309,528	TotalAmt
Management And General	$3,090,410	ManagementAndGeneralAmt
Fundraising	$219,118	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$137,330,577	TotalAmt
Program Services	$104,518,540	ProgramServicesAmt
Management And General	$32,539,970	ManagementAndGeneralAmt
Fundraising	$272,067	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,149,653	TotalAmt
Program Services	$2,344,359	ProgramServicesAmt
Management And General	$799,192	ManagementAndGeneralAmt
Fundraising	$6,102	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$38,312,885	TotalAmt
Program Services	$28,517,153	ProgramServicesAmt
Management And General	$9,721,500	ManagementAndGeneralAmt
Fundraising	$74,232	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$10,029,385	TotalAmt
Program Services	$7,465,100	ProgramServicesAmt
Management And General	$2,544,853	ManagementAndGeneralAmt
Fundraising	$19,432	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$938,006	TotalAmt
Program Services	$156,735	ProgramServicesAmt
Management And General	$781,271	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$115	TotalAmt
Management And General	$115	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$502,313	TotalAmt
Management And General	$502,313	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$15,233,909	TotalAmt
Program Services	$8,887,948	ProgramServicesAmt
Management And General	$6,345,961	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,481,026	TotalAmt
Program Services	$4,385,308	ProgramServicesAmt
Management And General	$2,049,629	ManagementAndGeneralAmt
Fundraising	$46,089	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$5,670,104	TotalAmt
Program Services	$1,248,845	ProgramServicesAmt
Management And General	$4,408,183	ManagementAndGeneralAmt
Fundraising	$13,076	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$7,159,780	TotalAmt
Program Services	$1,959,925	ProgramServicesAmt
Management And General	$5,199,855	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$356,318	TotalAmt
Program Services	$144,185	ProgramServicesAmt
Management And General	$212,133	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,553,690	TotalAmt
Program Services	$3,553,690	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$23,641,537	TotalAmt
Program Services	$11,725,099	ProgramServicesAmt
Management And General	$11,916,044	ManagementAndGeneralAmt
Fundraising	$394	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$5,863,520	TotalAmt
Program Services	$5,863,520	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
PURCHASED SVCS	$21,711,255	$12,678,939	$9,018,497	$13,819
MEDICAL & SURGICAL	$57,093,449	$56,790,220	$298,172	$5,057
EQUIP RENTAL & MAINTENANCE	$7,301,421	$5,264,779	$2,036,642
TELEPHONE	$903,754	$42,262	$861,492

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,587,557	TotalAmt
Program Services	$799,425	ProgramServicesAmt
Management And General	$592,170	ManagementAndGeneralAmt
Fundraising	$195,962	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$350,129,782	TotalAmt
Program Services	$256,346,032	ProgramServicesAmt
Management And General	$92,918,402	ManagementAndGeneralAmt
Fundraising	$865,348	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$7,100,538	BOYAmt
EOY	$13,532,578	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$20,366	BOYAmt
EOY	$20,366	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$35,011,996	BOYAmt
EOY	$35,571,826	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$85,520	BOYAmt
EOY	$29,011	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,580,752	BOYAmt
EOY	$6,194,355	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,689,506	BOYAmt
EOY	$3,125,348	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$434,834,323	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$283,857,350	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$160,857,796	BOYAmt
EOY	$150,976,973	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$148,362,925	BOYAmt
EOY	$126,094,405	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$6,985,614	BOYAmt
EOY	$3,584,118	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$26,763,658	BOYAmt
EOY	$29,220,851	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$394,458,671	BOYAmt
EOY	$368,349,831	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$41,120,923	BOYAmt
EOY	$45,529,044	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$111,385,992	BOYAmt
EOY	$106,006,013	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$73,742,309	BOYAmt
EOY	$88,333,052	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$226,249,224	BOYAmt
EOY	$239,868,109	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$138,729,444	BOYAmt
EOY	$103,558,083	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$23,432,028	BOYAmt
EOY	$18,960,042	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,047,975	BOYAmt
EOY	$5,963,597	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$168,209,447	BOYAmt
EOY	$128,481,722	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$394,458,671	BOYAmt
EOY	$368,349,831	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$17,382,525	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$17,345,258	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$39,764,992	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	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 (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

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)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$49,384	OtherActivitiesAmt
Total Lobbying Expenditures	$49,384	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind
Form4720 Filed4912 Tax	false	Form4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Lobbying Activities	FormAndLineReferenceDesc
Explanation	Schedule C, Part II-B, Line 1 The organization pays membership dues to the Connecticut Hospital Association and American Hospital Association which lobby on behalf of its member organizations. These lobbying activities are defined as associations communication with the federal and state governments to influence legislation. The Organization pays membership dues to member organizations which do engage in lobbying activities. The portion of dues attributable to lobbying activities is reported on Line 1I.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$18,987,367	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$944,846	InvestmentEarningsOrLossesAmt
Other Expenditures	$194,153	OtherExpendituresAmt
Administrative Expenses	$45,678	AdministrativeExpensesAmt
End Year Balance	$17,802,690	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$17,922,953	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,382,314	InvestmentEarningsOrLossesAmt
Other Expenditures	$269,234	OtherExpendituresAmt
Administrative Expenses	$48,666	AdministrativeExpensesAmt
End Year Balance	$18,987,367	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$16,251,377	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,952,978	InvestmentEarningsOrLossesAmt
Other Expenditures	$239,701	OtherExpendituresAmt
Administrative Expenses	$41,701	AdministrativeExpensesAmt
End Year Balance	$17,922,953	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$14,398,889	BeginningYearBalanceAmt
Investment Earnings Or Losses	$2,146,447	InvestmentEarningsOrLossesAmt
Other Expenditures	$266,733	OtherExpendituresAmt
Administrative Expenses	$27,226	AdministrativeExpensesAmt
End Year Balance	$16,251,377	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$14,741,092	BeginningYearBalanceAmt
Investment Earnings Or Losses	$17,500	InvestmentEarningsOrLossesAmt
Other Expenditures	$324,466	OtherExpendituresAmt
Administrative Expenses	$35,237	AdministrativeExpensesAmt
End Year Balance	$14,398,889	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.85000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.15000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,464,978	OtherCostOrOtherBasisAmt
Book Value	$1,464,978	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$145,539,015	OtherCostOrOtherBasisAmt
Depreciation	$78,918,763	DepreciationAmt
Book Value	$66,620,252	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,756,532	OtherCostOrOtherBasisAmt
Depreciation	$4,355,849	DepreciationAmt
Book Value	$2,400,683	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$270,848,642	OtherCostOrOtherBasisAmt
Depreciation	$195,305,956	DepreciationAmt
Book Value	$75,542,686	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,225,156	OtherCostOrOtherBasisAmt
Depreciation	$5,276,782	DepreciationAmt
Book Value	$4,948,374	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$150,976,973	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
OTHER RECEIVABLES	$23,664,089
DEBT SERVICE FUND	$1,304,613
DEFERRED FINANCING COSTS	$2,187,006
DUE FROM AFFILIATES	$2,065,143

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$29,220,851	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (11 entries)

DescDesc	AmtAmt
DUE TO THIRD PARTY AGENCIES	$6,711,203
DEFERRED COMPENSATION	$24,678
SELF ASSURANCE RESERVES	$3,561,158
ACCRUED POST RETIREMENT BENEFI	$754,324
ACCRUED PENSION	-$4,242,665
ACCRUED 401K MATCH	$1,212,881
ACCRUED MIN PENSION LIABILITY	$55,240,176
ASSET RETIREMENT OBLIGATION	$533,749
DUE TO L&M CORPORATION	$2,512,703
DEFERRED FINANCING COST	$2,428,474
MALPRACTICE INSURANCE	$19,596,371

Field	Value	IRS element (for citing)
Total Liability	$88,333,052	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4	THE ORGANIZATION'S ENDOWMENT FUNCTIONS TO SUPPORT AND PROVIDE INCOME FOR THE FURTHERANCE OF THE HEALTHCARE MISSION OF LAWRENCE & MEMORIAL HOSPITAL.
SCHEDULE D, PART X, LINE 2	THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE A FIN 48 DISCLOSURE.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Type Of Activities Conducted	Investments	TypeOfActivitiesConductedTxt
Region Total Expenditures	$37,661,682	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Spent	$37,661,682	SubtotalSpentAmt
Total Spent	$37,661,682	TotalSpentAmt
Transfer To Foreign Corp	false	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	250.	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	false	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Persons Served	1624	PersonsServedCnt
Total Community Benefit Expns	$822,218	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$822,218	NetCommunityBenefitExpnsAmt
Total Expense	0.00230	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	26445	PersonsServedCnt
Total Community Benefit Expns	$55,626,089	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$27,389,825	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$28,236,264	NetCommunityBenefitExpnsAmt
Total Expense	0.08060	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Persons Served	818	PersonsServedCnt
Total Community Benefit Expns	$1,720,395	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$847,108	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$873,287	NetCommunityBenefitExpnsAmt
Total Expense	0.00250	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	28887	PersonsServedCnt
Total Community Benefit Expns	$58,168,702	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$28,236,933	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$29,931,769	NetCommunityBenefitExpnsAmt
Total Expense	0.08540	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	45	ActivitiesOrProgramsCnt
Persons Served	6406	PersonsServedCnt
Total Community Benefit Expns	$1,503,450	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$338,156	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,165,294	NetCommunityBenefitExpnsAmt
Total Expense	0.00330	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	24	ActivitiesOrProgramsCnt
Persons Served	3869	PersonsServedCnt
Total Community Benefit Expns	$1,568,350	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,500	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,564,850	NetCommunityBenefitExpnsAmt
Total Expense	0.00450	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	9	ActivitiesOrProgramsCnt
Persons Served	5739	PersonsServedCnt
Total Community Benefit Expns	$8,971,377	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,850,362	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,121,015	NetCommunityBenefitExpnsAmt
Total Expense	0.01750	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	8	ActivitiesOrProgramsCnt
Persons Served	560	PersonsServedCnt
Total Community Benefit Expns	$51,340	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$51,340	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	86	ActivitiesOrProgramsCnt
Persons Served	16574	PersonsServedCnt
Total Community Benefit Expns	$12,094,517	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,192,018	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,902,499	NetCommunityBenefitExpnsAmt
Total Expense	0.02540	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	86	ActivitiesOrProgramsCnt
Persons Served	45461	PersonsServedCnt
Total Community Benefit Expns	$70,263,219	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$31,428,951	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$38,834,268	NetCommunityBenefitExpnsAmt
Total Expense	0.11080	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	894	PersonsServedCnt
Total Community Benefit Expns	$46,004	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$46,004	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$12,870	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$12,870	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	894	PersonsServedCnt
Total Community Benefit Expns	$58,874	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$58,874	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$10,752,282	BadDebtExpenseAmt
Bad Debt Expense Attributable	$322,568	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$132,091,765	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$158,576,054	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$26,484,289	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	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	LAWRENCE & MEMORIAL HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	365 MONTAUK AVE	AddressLine1Txt
City	NEW LONDON	CityNm
State Abbreviation	CT	StateAbbreviationCd
ZIP	06320	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.lmhospital.org	WebsiteAddressTxt
State License	0047	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Emergency Room Other	Yes (X)	EmergencyRoomOtherInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	LAWRENCE & MEMORIAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
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
Other	Yes (X)	OtherInd
CHNA Conducted	12	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	12	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	250.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.LMHOSPITAL.ORG	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
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
None Made	Yes (X)	NoneMadeInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SEC B, LINE 3J	IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) COMPONENTS LISTED, THE L+M HOSPITAL CHNA REPORT INCLUDED ANALYSIS OF THE DATA IN TERMS OF STRENGTHS AND OPPORTUNITIES FOR ACTION. THIS ANALYSIS INFORMED THE CREATION OF THE COMMUNITY HEALTH INPLEMENATION PLAN.
SCHEDULE H, PART V, SEC B, LINE 5	Upon completion of data collection and analysis, L+M convened a team of hospital and community representatives to a community health strategic planning session in May 2012. This session was facilitated by Holleran Consulting. The purpose of the strategic planning session was to share the results of the community health needs assessment, to discuss and prioritize community health needs, and to develop community health goals and strategies to guide the L+M Community Health Implementation Plan (CHIP). An asset mapping process was also undertaken in order to identify existing resources, services, and initiatives in the hospital service area. The following individuals comprised the planning team: Bruce Cummings CEO, L+M Hospital Bill Stanley VP Development/Community Relations, L+M Hospital Shraddha Patel Director of Planning, L+M Hospital Sung Park Outpatient Rehab Manager, L+M Hospital Mary Ann Nash Nutrition Program Coordinator, L+M Hospital Drew Haffey Manager, Therapeutic Fitness + Sports Medicine, L+M Hospital Trish Pugsley Manager, Joslin Diabetes Center, L+M Hospital Alejandro Melendez-Cooper Site Director, Community Health Center Jen Muggeo Community Education, Ledge Light Health District Russell Melmed Epidemiologist, Ledge Light Health District Stephanye Clarke Health Program Coordinator, Ledge Light Health District Steve Smith, MD Physician, Community Health Center Mary Lenzini President, Visiting Nurse Association Jennifer O'Brien Community Foundation of Southeastern Connecticut Dina Sears-Graves VP of Community Investment, United Way Nancy Cowser VP of Planning, United Community + Family Services Debra Pennuto-Muniz Executive Director, Encuentros de Esperanza Michelle Devine Executive Director, Southeastern Regional Action Council Rick Calvert COO, Child + Family Agency JoAnn Eaccarino Director-School Based Health Services, Child + Family Agency Michael Passero President, New London City Council Jason Martin Supervisor, Thames Valley Council for Community Action Tracee Reiser Associate Dean for Community Learning, Connecticut College Jerry Lokken Manager, Groton Parks + Recreation Fr. Michael Belt Pastor, St. James Episcopal Chris Soto New London Community Activist SCHEDULE H, PART V, SEC B, LINE 7A and 10A WWW.LMHOSPITAL.ORG/COMMUNITY-INVOLVEMENT/COMMUNITY-PARTNERSHIPS.ASPX
SCHEDULE H, PART V, SEC B, LINE 7D	The CHNA report was released at a presentation open to the public on January 23, 2013. In attendance were community partners representing other non-profit organizations, business leaders, individuals representing the education sector, hospital staff, members of the press, and community members.
SCHEDULE H, PART V, SEC B, LINE 11	The prioritized community health needs for L+M Hospital were: overweight and obesity, access to care, cancer, sexual health, behavioral health, and asthma. To address obesity, L+M has continued implementation of the pediatric weight management program in partnership with Child and Family Agency of Southeastern Connecticut. Intervention on access to care issues have included expansion of primary care providers and development of patient centered medical homes, and the creation of the Dispensary of Hope program to improve medication access for indigent people. To address cancer strategies have included screenings, outreach on colorectal cancer, and administration of the CT Early Detection and Prevention Program for breast and cervical cancer services for indigent women. Behavioral health strategies have focused on the homeless population and have supported individuals in obtaining stable housing and securing necessary health care services. Intervention on asthma includes school and community based programs, regular educational classes, and a community health worker to support individuals who frequently utilize the emergency department to better manage their asthma and access appropriate community-based care. Due to resource constraints, some of the identified needs through the CHNA will not be addressed. In other cases, other organizations are taking the lead on an identified need and L+M Hospital is collaborating. A driving philosophy of L+M's community benefit efforts is to build on community resources, programs and services and to not duplicate them. As such, in examining each of the prioritized community health needs, existing community assets were identified before considering any new strategies that L+M might initiate and/or those to be continued. Where there is an existing community-based program addressing any of the prioritized needs, or due to resource limitations, L+M will work to support and build capacity of those programs rather than to create something new. There are three specific examples of areas where the data demonstrate that the L+M community is an outlier as compared to national benchmarks. The use of tobacco in the L+M service area, while having decreased, continues to exceed the Healthy People 2020 goal. L+M offers cessation support to employees presently. Although this indicator is directly linked to the priority area of cancer, due to resource limitations, L+M will not undertake programming intended for the wider community related to tobacco cessation. Similarly, although excessive drinking in adults over age 18 in New London County exceeds the national benchmark, and can be linked to cancer and mental health priority areas, L+M will support efforts led by community partners but will not take the lead in programming around this issue. For example, much work around substance abuse and addiction issues is being carried out by the Southeastern CT Regional Action Council, an entity established by the CT Legislature to assist communities in this area. Additionally, there are community partners receiving federal and state grant funds to address this area. L+M partners in these efforts but will not initiate new strategies. Last, the urban center of New London continues to demonstrate variance from state rates in births to teens and sexually transmitted infections. Although L+M will work to support community partners in addressing these issues, resource limitations will no longer allow L+M to play a leadership role. SCHEDULE H, PART V, SEC B, LINE 13B The Hospital provides full charity care to patients with annual income up to and including 250% of the Federal Poverty Guidelines (FPG). Hospital provides discounted care on a sliding scale for self-pay patients if the patients: (a) annual income is between 251% and up to 400% of the Federal Poverty Levels, taking into consideration family unit size; and (b) assets do not exceed $50,000 which exceeds the asset threshold. SCHEDULE H, PART V, SEC B, LINE 16I WEBSITE PROVIDES DIRECT EMAIL LINK TO FINANCIAL COUNSELORS. SCHEDULE H, PART V, SEC B, LINE 22D The Hospital provides full charity care to patients with annual income up to and including 250% of the Federal Poverty Guidelines (FPG). Hospital provides discounted care on a sliding scale for self-pay patients if the patients: (a) annual income is between 251% and up to 400% of the Federal Poverty Levels, taking into consideration family unit size; and (b) assets do not exceed $50,000 which exceeds the asset threshold. DISCOUNTS ARE BASED ON THE GROSS AMOUNTS CHARGED UNIFORMLY ACCORDING TO THE PUBLISHED CHARGEMASTER, AND WILL BE AUTHORIZED AS FOLLOWS: 251% - 300% = 50% 301% - 350% = 40% 351% - 400% = 30%

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3C:	It is the philosophy and policy of Lawrence & Memorial Hospital ("L+M HOSPITAL") that medically necessary health care services should be available to all individuals regardless of their ability to pay. Charity care applies to all uninsured patients (defined as earning less than 250% of the poverty guidelines) as described in 19a-673 of the Connecticut General Statutes. L+M HOSPITAL will meet or exceed the guidelines set-forth by the Connecticut Hospital Association ("CHA") on the Statewide Discount Policy for Uninsured Patients. Care will be provided free for those uninsured patients who request assistance and verify their annual income is less than 250% of the Federal Income Poverty Level ("FPL"). Liquid assets must not exceed $50,000 (Stocks, bonds, cash, 401, IRA, CD etc.) excluding primary residence and primary motor vehicle). Business assets, rental property, secondary residence, recreational vehicles and other such luxury items will be applied to the liquid assets. Care will be discounted on a sliding scale for self-pay patients who have no third party insurance to cover services with an annual income that is between 250% and 400% of the FPL and have assets less than $50,000, in accordance with the following: 251% - 300% = Cost of Charge 301% - 350% = 40% 351% - 400% = 30%
SCHEDULE H, PART I, LINE 7:	The amounts reported on Part I, Line 7 were calculated as direct, separately identifiable costs incurred by the Hospital plus an allocation of overhead. SCHEDULE H, Part II: L+M Hospital, with a mission to "Improve the Health of the Region," defers to the World Health Organization definition of health: "a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity." In addition to meeting an identified need in the community, L+M Hospital contributes to an overall healthy community and supports the hospital's role as good corporate citizen. This social impact is measured in terms of community vibrancy, and breadth and depth of community activities that enhance the quality of life in the region. The majority of the hospital's community building activities fall into the category of in-kind and financial support for partner non-profits also engaged in community development such as the disbursement of scholarships. We participate in economic development activities through the region's Chambers of Commerce. All of these activities have as their primary purpose to benefit the community and are carried out without remuneration.
SCHEDULE H, PART III, LINES 2 AND 3:	L+M HOSPITAL uses a cost reporting system to determine the bad debt expense. The amount of bad debt expense (at cost) reported on Part III, Line 2 is taken directly from the audited financial statements. The amount of bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy is calculated as 3% of the amount of bad debt (at cost) from the audited financial statements. The amount of 3% represents the bad debt amount that could have been qualified for charity care as this IS the percentage of gross revenue that is self paid. SCHEDULE H, PART III, LINE 4 THE HOSPITAL'S AUDITED FINANCIAL STATEMENTS DO NOT INCLUDE A BAD DEBT FOOTNOTE.
SCHEDULE H, PART III, LINE 8:	The Medicare shortfall of ($26,484,289) 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 charges. This amount should be treated as community benefit because the rates paid by Medicare do not accurately reflect the cost of care provided by L+M HOSPITAL. Accordingly, L+M HOSPITAL must subsidize the cost of care provided to Medicare beneficiaries with other revenues.
SCHEDULE H, PART III, LINE 9B:	IN ACCORDANCE WITH ITS WRITTEN CREDIT AND COLLECTION POLICY, L+M HOSPITAL WILL NOT PURSUE COLLECTION EFFORTS, DIRECTLY OR THROUGH COLLECTION AGENCIES, ON THE PORTION OF A PATIENT'S BILL FOR WHICH THAT PATIENT HAS ESTABLISHED ELIGIBILITY FOR CHARITY CARE.
SCHEDULE H, PART VI, LINE 2	NEEDS ASSESSMENT: L&M Hospital employs a variety of strategies in gauging the health needs of the communities it serves. The most recent community health needs assessment (CHNA), covering the Lawrence + Memorial primary service area was conducted under the guidance of an outside expert. The assessment updates the last comprehensive CHNA and further analyzes health status as it relates to identified health care and public health issues in New London County. Methods included using scientifically valid data, comparative information, and input from local residents, providers and leaders. Indicators were computed from an extensive set of secondary health-related data. L+M Hospital reviews disease incidence and prevalence rates for the local community, state, and nation. Rates are collected from medical journals, the CT Department of Health, or national health resources such as the Kaiser Family Foundation or CDC. This analysis informs L+M on the health status of the community and is used to focus program and service development on areas of greatest concern. Information on community needs is also gathered through partnerships with other community organizations such as the United Way, the Ledge Light Health District, and other local non-profits. Periodic review of data and updating as appropriate is conducted. L+M Hospital completes a physician manpower study regularly. This study, conducted by an outside consultant, documents the demand for physicians by specialty based on physician-to-population ratios, the supply of physicians in the community, and the resultant gaps between demand and supply. The analysis informs L+M of deficiencies in physician supply and helps focus recruitment efforts to meet the demands of the community. All community benefit activities are regularly evaluated for impact and effectiveness and audited for compliance with the organization's community benefit policy.
SCHEDULE H, PART VI, LINE 3	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: In accordance with its charity care policy, L+M HOSPITAL notifies patients of the availability of financial assistance using several methods. 1) Signage indicating the availability of charity care is posted in English and Spanish in Patient Accounts, Health Access Management and certain Clinical Areas. Summaries of the programs will also be available in those areas. 2) Patient Financial Advisors will attempt to visit all inpatients registered as self-pay patients. A summary explaining charity care will be given to the patient or guarantor when this visit occurs. 3) Patients with no insurance will receive an initial letter within one week of discharge informing them that L+M HOSPITAL considers them "insured" per the Connecticut General Statutes Section 19a-673. It is the responsibility of the patient to advise L+M HOSPITAL if they believe they qualify as "uninsured" (at or under 250% of the FPG). 4) A series of monthly statements will be sent following discharge. Each statement will remind the patient of the availability of charity care.
SCHEDULE H, PART VI, LINE 4	COMMUNITY INFORMATION: Population size The communities that comprise the service area of Lawrence & Memorial include ten towns along the Connecticut shoreline between Rhode Island and the Connecticut River and inland to Salem, CT, with a total population of approximately 180,000 people year-round, increasing to 250,000 in the summer. Our communities represent a broad mix of urban, suburban, and rural areas. General Demographics The towns and cities in this area are very diverse, not only socio-economically but also in terms of race, ethnicity, faith tradition, resident transience, employment, health insurance status, and educational attainment. From 2000 to 2010, there was a slight overall growth in population with dramatic changes occurring in ethnic and racial composition of the local population; the percentage of Hispanics increased by 75.4%, African Americans increased by 16.9%, Native Americans increased by 0.7%, Asians increased by 124% and those who indicate "other" increased by 64%. Other increases have occurred in the Eastern European, and Haitian populations, among others, with local school districts reporting significant percentages of children who are English language learners (21.6 percent in New London, 11.5 percent in Norwich). Changes in the ethnic and racial makeup of County residents are impacting the burden of disease and demand for health services. According to the CDC Office of Minority Health & Health Equity (2012), race and ethnicity correlate with significant health disparities. Specifically, Hispanic/Latinos are at higher risk for asthma, diabetes, HIV/AIDS, cervical cancer, lack of prenatal care, and infant mortality. Blacks/African Americans are at higher risk for heart disease, hypertension, diabetes, and infant mortality. Both populations are also at higher risk for overweight/ obesity issues. Major Employers The region has transitioned from a largely defense industry-based economy to one that relies heavily upon employment in the service and trade sectors and in general has a higher percentage of persons employed in those sectors -with corresponding lower rates of pay- which is correlated with the lower per capita income and greater economic vulnerability. Major employers include the Mashantucket Pequot and Mohegan Tribes (Foxwoods Resort and Casino and Mohegan Sun Casino respectively), Pfizer Global Research and Development, educational institutions (Connecticut College, Mitchell College and the U.S. Coast Guard Academy), General Dynamics/Electric Boat, Dominion, and Lawrence + Memorial. There are Primary Social and Health Care Factors in the urban centers of the region, racial and ethnic health disparities, higher poverty and unemployment rates, lower levels of educational attainment, limited access to affordable housing and transportation, higher rates of death from chronic illness, and a greater likelihood of residents not having health insurance, all of which present particular challenges. Median household income in the L+M service area is far below that of the state, with African American and Hispanic families' incomes significantly lower than White families' incomes. The region includes one priority school district. Three of our communities have a greater percentage of children living in poverty than the state average of 26.1% - Groton 27.7%, New London 59.7% and Norwich 43.4% (children under 200% of the Federal Poverty Level 2006 - 2010, CT Voices for Children). The chronic disease burden is high throughout New London County with Norwich and New London having higher percentages with 3+ chronic conditions than other regions. New London and Norwich also have a higher percentage of people who self-identify as "Not Well" and, along with some outlying towns, have the least favorable indicators for chronic disease.
SCHEDULE H, PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH: L+M Hospital's community benefit programs and services forward the organizational mission "To Improve the Health of the Region" 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 emphasize collaboration with community stakeholders. As evidenced by the wide range of community benefit programs and services offered, L+M 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 L+M makes in carrying out these programs. Community involvement in governance and advisory groups Community engagement in the planning, implementation and evaluation of L+M Hospital initiatives is of utmost importance. Consumers and stakeholder organizations participate in a range of activities so as to ensure that many perspectives are considered. One example of broad community involvement is in our facilitation of a multi-sector stakeholder collaborative to bring a community fitness center to our home community. The Reconnecting the Homeless Program engages in community collaboratives that provide important input for the program and emphasis is placed on hospital representative participation in other community organizations so as to provide opportunities to hear from our consumers. Lawrence + Memorial's Board of Directors is made up of community leaders who reside in the hospital's primary service area. These volunteers give countless hours of service to the hospital in their oversight role. They are involved in the strategic planning, in fundraising, and in general stewardship among other responsibilities. Our corporators are our community-liaisons and represent all sectors of our communities providing input and feedback regularly. Medical staff privileges are offered to all qualified physicians in the community.
SCHEDULE H, PART VI, LINE 6	AFFILIATED HEALTH CARE SYSTEM: The entities of L+M Healthcare include L+M Hospital, the L+M Medical Group (LMPA, physician practices), 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 Westerly 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 strengthens community resources for everyone. LMPA, through its patient-centered medical home primary care and specialty practices provides diagnostic, therapeutic and preventive health care through physicians of Family Practice, Internal Medicine, Pediatrics, Dermatology, Endocrinology, General Surgery, Orthopedic Surgery, Neurosurgery, Breast and Reconstructive Surgery, Neurology, Rehabilitation Medicine, Obstetrics, Gynecology, Cardiology and Interventional Pain Management in multiple locations throughout southeastern CT and southwestern RI.
SCHEDULE H, PART VI, LINE 7	STATE FILING OF COMMUNITY BENEFIT REPORT: L+M Hospital files its community benefit report in Connecticut only. The L+M Healthcare affiliated organization, Westerly Hospital, files reports in Rhode Island.
OTHER INFORMATION:	A MAJORITY OF L+M HOSPITAL'S TRUSTEES ARE MEMBERS OF THE COMMUNITY SERVED BY L+M HOSPITAL AND ARE NOT EMPLOYED BY L+M HOSPITAL NOR ARE THEY FAMILY MEMBERS OF PERSONS EMPLOYED BY L+M HOSPITAL. L+M HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY WHO WISH TO JOIN THE STAFF, CONSISTENT WITH THE SIZE AND NATURE OF ITS FACILITIES. EXCESS RECEIPTS FROM OPERATIONS ARE DEVOTED TO IMPROVEMENT OF FACILITIES, DEBT SERVICE, MEDICAL TRAINING AND RESEARCH. HEALTH ADVOCACY INITIATIVES L+M HOSPITAL IS INVOLVED IN HEALTH ADVOCACY INITIATIVES TO REDUCE UNINTENTIONAL INJURY TO CHILDREN, AND TO IMPROVE THE HEALTHCARE, PUBLIC HEALTH AND SOCIAL SERVICE SYSTEMS IN NEW LONDON COUNTY. OUR SAFE KIDS NEW LONDON COUNTY PROGRAM PLAYS A LEADERSHIP ROLE ON THE LOCAL, STATE AND NATIONAL LEVELS IN ADVOCATING FOR PUBLIC POLICIES THAT REDUCE INJURY RISK FOR CHILDREN. L+M HOSPITAL'S LEADERSHIP IN THE NEW LONDON COUNTY HEALTH COLLABORATIVE, AND PARTNERSHIP WITH OVER 12 OTHER ORGANIZATIONS INCLUDING BACKUS HOSPITAL, THREE HEALTH DEPARTMENTS, THREE FEDERALLY QUALIFIED HEALTH CENTERS, THE COUNTY ANTI-POVERTY AGENCY, TWO HOMECARE ORGANIZATIONS, AND THE COUNTY'S LARGEST CHILD ADVOCACY ORGANIZATION, HAS RESULTED IN THE COLLABORATIVE BEING LOOKED TO AS A VALUABLE RESOURCE FOR POLICY MAKERS. ADDITIONALLY, THE EFFORTS OF THE NEW LONDON COUNTY HEALTH COLLABORATIVE ARE HAVING AN IMPACT ON COMMUNITY HEALTH, INITIALLY IN THE AREA OF IMPROVED ACCESS TO CARE.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Personal Services	Yes (X)	PersonalServicesInd
Written Policy Ref T And E Expnss	false	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 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
BRUCE D CUMMINGS
PRESIDENT/CEO	$600,546	$0	$0	$0	$19,282	$0	$91,492	$0	$20,934	$0	$732,254	$0	$0	$0
HENRY AMDUR MD
PAST PRESIDENT, UNTIL 12/13	$0	$227,051	$0	$73,471	$0	$1,980	$0	$10,400	$0	$11,440	$0	$324,342	$0	$0
LUGENE INZANA
VP/CFO UNTIL 2/14	$61,251	$0	$0	$0	$53,205	$0	$4,002	$0	$4,722	$0	$123,180	$0	$0	$0
WILLIAM STANLEY
VP DEV & COMMUNITY RELATIONS	$197,708	$0	$0	$0	$22,442	$0	$24,202	$0	$18,755	$0	$263,107	$0	$0	$0
MAUREEN ANDERSON ATTORNEY
ASSISTANT SECRETARY	$272,511	$0	$0	$0	$810	$0	$30,694	$0	$23,324	$0	$327,339	$0	$0	$0
DANIEL RISSI MD
VP CHIEF MEDICAL OFFICER	$412,244	$0	$0	$0	$3,564	$0	$46,238	$0	$21,351	$0	$483,397	$0	$0	$0
KIMBERLY KALAJAINEN
VP CHIEF INFORMATION OFFICER	$245,062	$0	$0	$0	$810	$0	$27,986	$0	$25,136	$0	$298,994	$0	$0	$0
CRISTA DURAND UNTIL 714
VP STRATEGIC PLANNING/MKTG	$169,395	$0	$0	$0	$33,820	$0	$7,608	$0	$13,506	$0	$224,329	$0	$0	$0
LAUREN WILLIAMS
VP PATIENT CARE SERVICES	$258,903	$0	$0	$0	$2,322	$0	$28,949	$0	$10,995	$0	$301,169	$0	$0	$0
PAMELA KANE
VP PHYSICIAN PRAC UNTIL 7/14	$141,816	$0	$0	$0	$322,378	$0	$10,400	$0	$19,556	$0	$494,150	$0	$11,940	$0
DAVID F REISFELD MD
DIRECTOR	$0	$296,462	$0	$23,851	$0	$1,290	$0	$10,400	$0	$24,225	$0	$356,228	$0	$0
GERALDINE RUFFA MD
MEDICAL DIRECTOR, PHYSICIAN	$218,275	$0	$0	$0	$1,940	$0	$8,829	$0	$1,406	$0	$230,450	$0	$0	$0
DONNA EPPS
VP CHIEF HR OFFICER	$208,439	$0	$0	$0	$1,535	$0	$23,060	$0	$0	$0	$233,034	$0	$0	$0
GARY CASS
DIRECTOR HR/LABOR RELATIONS	$173,386	$0	$0	$0	$15,983	$0	$7,800	$0	$18,965	$0	$216,134	$0	$0	$0
CHRISTOPHER LEHRACH MD
CHIEF TRANSFORMATION OFFICER	$334,345	$0	$0	$0	$19,983	$0	$40,126	$0	$26,270	$0	$420,724	$0	$0	$0
JIM MOYLAN
INTERIM VP/CFO 2/14 - 7/14	$124,500	$0	$0	$0	$0	$0	$0	$0	$0	$0	$124,500	$0	$0	$0
TINA DICIOCCIO
CORPORATE CONTROLLER	$164,673	$0	$0	$0	$11,075	$0	$7,189	$0	$11,403	$0	$194,340	$0	$0	$0
KENNETH CIKATZ
PHARMACIST	$160,306	$0	$2,500	$0	$8,073	$0	$7,000	$0	$16,944	$0	$194,823	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1	WILLIAM STANLEY, VP OF DEVELOPMENT, HAS A NONTAXABLE MEMBERSHIP TO THE THAMES CLUB IN NEW LONDON. THE THAMES CLUB IS A SOCIAL CLUB THAT ALLOWS NETWORKING WITH POTENTIAL DONORS OR BOARD MEMBERS. NO PERSONAL USE IS ALLOWED AND ALL USE IS FOR BUSINESS PURPOSES. Bruce Cummings, President & CEO, authorizes William Stanley's membership in The Thames Club in his role as Vice President of Development & Community Relations of Lawrence & Memorial Hospital. In an effort to conduct business in the community and represent Lawrence & Memorial Hospital, The Thames Club provides an appropriate setting for meetings with Board Members and both current and potential donors. UNDER THE TERMS OF HER SEVERANCE AGREEMENT PAMELA KANE RECEIVED OUTPLACEMENT SERVICES IN THE AMOUNT OF $7,200. THIS BENEFIT WAS NOT TREATED AS TAXABLE INCOME. SCHEDULE J, PART I, LINE 4A ON JULY 25, 2014, PAMELA KANE'S POSITION OF VICE PRESIDENT OF PHYSICIAN PRACTICE WAS ELIMINATED. UNDER THE TERMS OF HER SEVERANCE AGREEMENT, L&M HOSPITAL PAID MS. KANE IN ONE LUMP SUM, ONE YEAR OF SEVERANCE AT HER ANNUAL SALARY OF $253,822. AS AN ADDITIONAL SEVERANCE PAYMENT, L&M HOSPITAL ALSO PAID MS. KANE $11,940 IN ONE LUMP SUM FOR THE VALUE OF THE UNVESTED PORTION OF HER 401(K).
SCHEDULE J, PART I, LINE 4B	LAWRENCE & MEMORIAL HOSPITAL 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. AMOUNTS FOR ALL OTHER MEMBERS OF SENIOR MANAGEMENT ARE CREDITED TO THE PLAN ANNUALLY. PLAN AMOUNTS WILL BE PAID ONLY IF CERTAIN CONDITIONS ARE MET, INCLUDING REMAINING EMPLOYED BY THE HOSPITAL THROUGH AGE 65, AS OUTLINED IN THE PLAN AGREEMENT. SECTION 457(F) CONTRIBUTIONS ARE REPORTED ON SCHEDULE J, PART II, COLUMN C. SECTION 457(F) CONTRIBUTIONS FOR THE CALENDAR YEAR 2014 WERE CREDITED TOWARDS THE PLAN AS FOLLOWS: BRUCE CUMMINGS - $81,092 DANIEL RISSI - $35,838 LAUREN WILLIAMS - $18,549 KIMBERLY KALAJAINEN - $17,806 WILLIAM STANLEY - $15,318 DONNA EPPS - $14,661 MAUREEN ANDERSON - $20,294 CHRISTOPHER LEHRACH - $29,726 SETH VAN ESSENDELFT - $8,884
SCHEDULE J, PART II	DURING THE CALENDAR YEAR 2014, LAWRENCE & MEMORIAL HOSPITAL PAID COMPENSATION TO JIM MOYLAN CONSULTING IN THE AMOUNT OF $124,500 FOR SERVICES RENDERED BY JIM MOYLAN IN HIS ROLE AS INTERIM VP/CFO FROM 2/14 - 8/14.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CT HEFA FIXED RATE REV BONDS SERIES F
A	060806186	000000000	2011-09-15	$61,831,040	SEE PART VI	false	false	false
CT HEFA SERIES G
B	060806186	000000000	2013-10-10	$30,000,000	SEE PART VI	false	false	false
CT HEFA SERIES H
C	060806186	000000000	2013-05-05	$21,405,000	SEE PART VI	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$11,070,000	$0	$61,831,040	$0	$0	$0	$1,021,749	$0	$0	$0	$60,809,291	$0	2011	Yes (true)	false	Yes (true)	Yes (true)
B	$1,625,000	$0	$30,000,000	$0	$0	$0	$299,000	$0	$0	$29,701,000	$0	$0	2014	false	false	Yes (true)	Yes (true)
C	$0	$0	$21,405,000	$2,247,255	$0	$0	$442,716	$0	$0	$0	$18,715,029	$0	2014	Yes (true)	Yes (true)	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	false	false	false	false
B	false	false	false	false	false	false	false	false
C	false	false	false	false	false	false	false	false

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	Yes (true)	false	false	false	false	false	0	false	false
0
B	false	Yes (true)	false	false	false	false	false	0	false	false
0
C	false	Yes (true)	false	false	Yes (true)	false	false	0	false	false

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	false
B	false
C	false

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

FORM 990, SCHEDULE K, PART I, COLUMN (F)

NAME OF BOND: $58,940,000 FIXED RATE REV BONDS, SERIES F THE PROCEEDS OF THE SERIES F BONDS WERE USED TO REFUND THE OUTSTANDING AUTHORITY REVENUE BONDS, LAWRENCE & MEMORIAL HOSPITAL ISSUE, SERIES D (THE "SERIES D BONDS") AND TO FUND ALL OR A PORTION OF THE FOLLOWING CAPITAL PROJECTS: (1) REPLACEMENT OF A LINEAR ACCELERATOR ON THE MAIN CAMPUS OF THE HOSPITAL. (2) CAPITAL IMPROVEMENTS FOR INFRASTRUCTURE RENOVATION AND IMPROVEMENT ON THE MAIN CAMPUS, INCLUDING HEATING, VENTILATION, AND AIR CONDITIONING PROJECT. (3) REPLACEMENT OF A CATHETERIZATION LAB AND EQUIPMENT ON THE MAIN CAMPUS. (4) ACQUISITION OF APPROXIMATELY 100 ACRES OF LAND IN WATERFORD, CONNECTICUT FOR DEVELOPMENT OF A NEW CANCER CENTER. (5) ACQUISITION AND INSTALLATION OF MAGNETIC RESONANCE IMAGING (MRI) AND CT EQUIPMENT AT THE CROSSROADS FACILITY. NAME OF BOND: $29,200,000 PRIVATE PLACEMENT, SERIES G, ON OCTOBER 10, 2013 SERIES G WAS ISSUED IN A PRIVATE PLACEMENT OFFERING WITH BANK OF AMERICA-MERRILL LYNCH AND CHEFA WITH AN INTEREST RATE OF 3.20% UNTIL OCTOBER 1, 2023, WITH AN OPTION TO EXTEND AT A NEGOTIATED RATE WITH A MATURITY DATE OF JULY 1, 2038. THE PROJECT BEING FINANCED AND REFINANCED WITH THE PROCEEDS OF THE BONDS CONSISTS OF: (1) THE CONSTRUCTION AND EQUIPPING OF AN APPROXIMATELY 50,000 SQUARE FOOT COMMUNITY CANCER CENTER LOCATED AT 230 PARKWAY SOUTH, WATERFORD, CONNECTICUT. (2) THE RENOVATION AND EQUIPPING OF APPROXIMATELY 15,000 SQUARE FEET OF SPACE AT THE INSTITUTION'S MAIN CAMPUS FACILITY LOCATED AT 365 MONTAUK AVENUE, NEW LONDON, CONNECTICUT TO PROVIDE FOR A JOINT CENTER TO ACCOMMODATE POST-SURGICAL JOINT REPLACEMENT PATIENTS. (3) THE RENOVATION OF AN APPROXIMATELY 48,000-SQUARE FOOT, 3-STORY BUILDING LOCATED AT 194 HOWARD STREET, NEW LONDON, CONNECTICUT TO BE USED AS A MEDICAL OFFICE BUILDING. (4) THE PAYING OF ALL OR A PORTION OF THE COSTS INCIDENTAL TO THE ISSUANCE OF THE BONDS, INCLUDING ISSUANCE COSTS OF THE BONDS AND ANY RESERVE FUNDS AS MAY BE NECESSARY TO SECURE THE BONDS. NAME OF BOND: $21,405,000 VARIABLE RATE DEMAND REV BOND, SERIES H, ON NOVEMBER 5, 2013, SERIES H WAS ISSUED WITH A VARIABLE RATE AND A MATURITY DATE OF JULY 1, 2034. THIS BOND HAS A LETTER OF CREDIT GUARANTEED BY TD BANK. INTEREST ON THE SERIES H BONDS ACCRUES AT THE WEEKLY RATE AND IS PAYABLE ON THE FIRST BUSINESS DAY OF EACH MONTH COMMENCING JANUARY 1, 2014. THE SERIES H BONDS WERE ISSUED BY CHEFA TO REFINANCE SERIES E, WHICH REFUNDED 2004 ISSUE, WHICH REFUNDED 1998 ISSUE.

FORM 990, SCHEDULE K, PART III, LINE 9; PART IV, LINE 7; & PART V

IN GENERAL, L&M HOSPITAL WORKS TO ENSURE POST ISSUANCE COMPLIANCE FOR ITS TAX-EXEMPT BONDS IN ACCORDANCE WITH BOND ISSUANCE DOCUMENTS. L&M HOSPITAL IS IN THE PROCESS OF DEVELOPING WRITTEN PROCEDURES FOR POST ISSUANCE COMPLIANCE FOR THE FOLLOWING: - TO ENSURE ALL NONQUALIFIED BONDS OF THE ISSUANCE ARE REMEDIATED IN ACCORDANCE WITH REQUIREMENTS OF REGULATIONS SECTIONS 1.141-12 & 1.145-2. - TO MONITOR THE REQUIREMENTS OF SECTION 148. - TO ENSURE THAT VIOLATIONS OF FEDERAL TAX REQUIREMENTS ARE TIMELY IDENTIFIED AND CORRECTED THROUGH THE VOLUNTARY CLOSING AGREEMENT PROGRAM IF SELF-REMEDIATION IS NOT AVAILABLE UNDER APPLICABLE REGULATIONS.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
SUBSTANTIAL DONOR
SUBSTANTIAL DONOR	$2,817,350	PROFESSIONAL SERVICES	false
SUBSTANTIAL DONOR
SUBSTANTIAL DONOR	$808,788	PROFESSIONAL SERVICES	false
SUBSTANTIAL DONOR
SUBSTANTIAL DONOR	$233,984	PROFESSIONAL SERVICES	false
SUBSTANTIAL DONOR
SUBSTANTIAL DONOR	$1,620,532	CONSULTING	false
SUBSTANTIAL DONOR
SUBSTANTIAL DONOR	$155,537	PRODUCTS	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, PART III, LINE 4A	LAWRENCE & MEMORIAL HOSPITAL PROVIDES QUALITY MEDICAL CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF LAWRENCE & MEMORIAL HOSPITAL, WE RECOGNIZE THAT NOT ALL PERSONS HAVE THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES; AND, FURTHER, WE BELIEVE THAT A PART OF OUR MISSION IS TO CARE FOR THE MEDICALLY UNDER-SERVED IN OUR COMMUNITY WITH RESPECT TO PROVIDING HEALTH CARE SERVICES AND HEALTH CARE EDUCATION. IN KEEPING WITH OUR HOSPITAL'S MISSION OF "IMPROVING THE HEALTH OF OUR REGION" AND OUR COMMITMENT TO SERVE ALL MEMBERS OF ITS COMMUNITY, WE PROVIDE: - FREE CARE AND/OR SUBSIDIZED CARE. - CARE PROVIDED TO PERSONS COVERED BY GOVERNMENT PROGRAMS AT BELOW COST. - A BROAD RANGE OF HEALTH CARE ACTIVITIES, PROGRAMS AND SERVICES TO SUPPORT OUR COMMUNITY. - A SPECIAL COMMUNITY OUTREACH PROGRAM. THESE PROGRAMS WILL BE CONSIDERED WHERE THE NEED AND/OR AN INDIVIDUAL'S INABILITY TO PAY COEXIST. THESE ACTIVITIES INCLUDE WELLNESS PROGRAMS, EMERGENCY RESPONSE PROGRAMS, COMMUNITY HEALTH SCREENINGS, COMMUNITY EDUCATION PROGRAMS, SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, AND THE MEDICALLY UNDER-SERVED, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. DURING THE YEAR ENDED SEPTEMBER 30, 2015, LAWRENCE & MEMORIAL HOSPITAL SERVED 14,076 HOSPITALIZED PATIENTS AND 177,590 PATIENT VISITS THROUGH OUR AMBULATORY PROGRAMS. IN ADDITION, 87,190 EMERGENCY CASES CAME THROUGH OUR EMERGENCY FACILITIES IN NEW LONDON (51,932) AND GROTON (35,258). SAME DAY SURGERIES ACCOUNTED FOR 8,106 PROCEDURES. RECOGNIZING ITS MISSION TO THE COMMUNITY, LAWRENCE & MEMORIAL HOSPITAL PROVIDES CARE TO PERSONS COVERED BY FEDERAL AND STATE PROGRAMS AT OR BELOW COST. LAWRENCE & MEMORIAL HOSPITAL ALSO RECOGNIZES THE IMPORTANCE OF CHARITY CARE IN FULFILLING ITS MISSION TO THE ENTIRE COMMUNITY. CHARITY CARE IS ALSO PROVIDED THROUGH MANY REDUCED PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR, BASED UPON ACTIVITIES AND SERVICES WHICH LAWRENCE & MEMORIAL HOSPITAL BELIEVES WILL SERVE A "BONA FIDE" COMMUNITY HEALTH CARE NEED. FORM 990, PART III, LINE 4B LAWRENCE & MEMORIAL HOSPITAL BELIEVES THAT MOTIVATION THROUGH EDUCATION IS A STRONG FORCE IN HELPING INDIVIDUALS PREVENT ILLNESSES AND MAKE INFORMED CHOICES ABOUT THEIR BODIES AND WHAT HAPPENS TO THEM. OUR APPROACH PROVIDES ACCURATE HEALTH INFORMATION THROUGH A VARIETY OF PROGRAMMING EFFORTS SO CONSUMERS FEEL A PART OF THE DECISION-MAKING PROCESS AND HAVE AN ACTIVE ROLE IN THOSE DECISIONS. AS A RESULT, LAWRENCE & MEMORIAL REMAINS AMONG CONNECTICUT'S MOST PRO-ACTIVE HOSPITALS IN OFFERING DIVERSIFIED AND BROAD-BASED COMMUNITY HEALTH EDUCATION PROGRAMS. THESE PROGRAMMING EFFORTS INCLUDE COMMUNITY LECTURES AT THE HOSPITAL, CABLE TV ACCESS PROGRAMMING, RELIABLE HEALTH INFORMATION WITH OVER 2,500 HEALTH-RELATED ARTICLES ON THE HOSPITAL'S WEB SITE (WWW.LMHOSPITAL.ORG), TOURS, SUPPORT GROUPS, COMMUNITY EDUCATIONAL PROGRAMS, PUBLIC SERVICE ANNOUNCEMENTS AND SCREENING AND HEALTH FAIRS, INCLUDING ONSITE VISITS TO LARGE AND SMALL COMPANIES. LAWRENCE & MEMORIAL'S COMMUNITY OUTREACH PROGRAM HAS BEEN ABLE TO REACH A BROAD, CROSS-SECTION OF THE GREATER NEW LONDON COMMUNITY IN SOUTHEASTERN CONNECTICUT. THE COMMUNITY CONTRIBUTIONS ALSO INCLUDE SOME UNMENTIONED COMMUNITY BENEFITS SUCH AS: ADMINISTRATIVE AND FINANCIAL SUPPORT, OFFICE SPACE AND A LIBRARY OF ACCESSIBLE RESOURCES TO LEADERSHIP WITHIN THE VARIOUS FAITH COMMUNITIES IN OUR REGION. IN ADDITION, THERE ARE MANY COMMUNITY ORGANIZATIONS THAT WE SUPPORT AS PART OF BEING A GOOD NEIGHBOR AND TO RECOGNIZE THEIR EFFORTS IN OUR COMMUNITY.
FORM 990, PART VI, LINE 2	DONALD FELITTO, MAUREEN ANDERSON, DANIEL RISSI, R. ALAN HUNTER AND SETH VAN ESSENDELFT SERVE ON THE BOARD OF L&M INDEMNITY, A RELATED ORGANIZATION.
FORM 990, PART VI, LINE 11B	THE FORM 990 WAS PREPARED BY THE ORGANIZATION AND REVIEWED BY EXTERNAL TAX CONSULTANTS. A DRAFT OF THE RETURN IS REVIEWED BY INTERNAL MANAGEMENT. THE COMPLETED FORM 990 IS PROVIDED TO ALL MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO THE FORM BEING FILED WITH THE IRS.
FORM 990, PART VI, LINE 12C	L&M HOSPITAL REQUIRES ALL BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE. QUESTIONNAIRES ARE COMPLETED ANNUALLY AND ARE REVIEWED BY L&M HOSPITAL'S GENERAL COUNSEL. ANY ACTUAL OR POTENTIAL CONFLICTS DISCLOSED ARE PRESENTED TO THE BOARD. APPROPRIATE CORRECTIVE ACTIONS ARE DECIDED ON A CASE BY CASE BASIS.
FORM 990, PART VI, LINE 15	L&M HOSPITAL EXECUTIVE COMPENSATION COMMITTEE ANNUALLY REVIEWS THE SALARIES OF ITS EXECUTIVE MANAGEMENT. UTILIZING AN INDEPENDENT COMPENSATION CONSULTANT, THE EXECUTIVE COMPENSATION COMMITTEE APPROVES COMPENSATION. THE COMMITTEE'S DELIBERATIONS ARE REFLECTED IN ITS MINUTES. CEO'S COMPENSATION IS APPROVED BY THE FULL BOARD.
FORM 990, PART VI, LINE 18	FORM 990 WILL ALSO BE MADE AVAILABLE THROUGH GUIDESTAR.ORG. FORM 990, PART VI, LINE 19 THE ORGANIZATION MAKES GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.
FORM 990, PART VII, SECTION A	NIALL DUHIG, MD AND DONALD FELITTO, MD ARE COMPENSATED AS MEDICAL STAFF AND NOT AS DIRECTORS.
PART 990, PART IX, LINE 25	FUNDRAISING EXPENSES ARE REPORTED ON FORM 990, PART IX FOR LAWRENCE & MEMORIAL HOSPITAL (EIN 06-0646704). CONTRIBUTIONS ARE REPORTED ON THE FORMS 990 FOR BOTH LAWRENCE & MEMORIAL HOSPITAL (EIN 06-0646704) AND LAWRENCE & MEMORIAL CORPORATION (EIN 22-2553028). ADDITIONAL CONTRIBUTIONS IN THE AMOUNT OF $4,964,956 ARE REPORTED ON THE FORM 990 FOR LAWRENCE & MEMORIAL CORPORATION (EIN 22-2553028).
FORM 990, PART XI, LINE 9	REALIZED GAINS -$895,826 PAYMENTS TO AFFILIATES -$25,706,931 CHANGE IN VALUE OF IRREVOCABLE TRUSTS $683,868 INCREASE IN FUNDS HELD IN TRUST BY OTHERS -$84,378 CHANGE IN MINIMUM PENSION LIABILITY -$13,761,725 ----------- -$39,764,992

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 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
Lawrence & Memorial Corporation
365 Montauk Avenue	New London	CT	06320	222553028	Support	CT	501(C)(3)	11 Type I	NA	false
Lawrence & Memorial Foundation Inc
365 Montauk Avenue	New London	CT	06320	222553026	Fundraising	CT	501(C)(3)	PF	L&M CORP	Yes (true)
L&M Healthcare Inc
365 Montauk Avenue	New London	CT	06320	222553031	Healthcare	CT	501(C)(3)	9	L&M CORP	Yes (true)
Associated Specialists of SE CT
404 Thames Street	Groton	CT	06340	208006123	Phys Practice	CT	501(C)(3)	11 Type I	L&M HOSPITAL	Yes (true)
Visiting Nurse Associate of SE CT
403 N Frontage Road	Waterford	CT	06385	060646616	Healthcare	CT	501(C)(3)	9	L&M CORP	Yes (true)
L&M Physician Association inc
365 Montauk Avenue	new london	CT	06320	271094375	healthcare	CT	501(C)(3)	11 type i	L&M CORP	Yes (true)
LMW HEALTHCARE INC
25 WELLS ST	WESTERLY	RI	02879	460543230	HEALTHCARE	RI	501(C)(3)	11 TYPE I	L&M CORP	Yes (true)
THE WESTERLY HOSPITAL FOUNDATION INC
25 WELLS STREET	WESTERLY	RI	02891	050508064	FUNDRAISING	RI	501(C)(3)	11 TYPE I	LMW HEALTH	Yes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
L&M Systems Inc
365 Montauk Avenue	New London	CT	06320	222553037	Healthcare	CT	NA	C	Yes (true)
L&M Homecare Services Inc
365 Montauk Avenue	New London	CT	06320	061389272	Therapy	CT	NA	C	Yes (true)
L&M INDEMNITY
				981021436	INSURANCE		NA	C	Yes (true)	PO BOX 1159	GRAND CAYMAN	CAYMAN ISLANDS	CJ	KY1-1102	CJ
CHARITABLE REMAINDER TRUSTS (3)
					SUPPORT	CT	L&M HOSPITAL	TRUST	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
L&M PHYSICIAN ASSOCIATION INC
P	$20,061,502	CASH
LMW HEALTHCARE INC
P	$3,820,945	CASH
L&M IDEMNITY
P	$1,000,000	CASH