LMW HEALTHCARE INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- LMW HEALTHCARE INC (EIN 46-0543230)
- Tax period
- 2014-10-01 to 2015-09-30
- Filed
- 2016-08-15
- IRS object ID
- 201622289349304842
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-08-15T13:32:51-05:00 | 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 | 460543230 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LMW Healthcare Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % SETH VAN ESSENDELFT | InCareOfNm |
| Business Name Control | LMWH | BusinessNameControlTxt |
| Phone | 8604420711 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 365 Montauck 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 | 6175305000 | 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 | Bruce Cummings | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 365 Montauck Avenue | AddressLine1Txt |
| City | NEW LONDON | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06320 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $71,270,107 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.WESTERLYHOSPITAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2012 | FormationYr |
| Legal Domicile State | RI | LegalDomicileStateCd |
| Activity Or Mission | LMW Healthcare, Inc provides Inpatient and Outpatient medical care to outpatient medical care to adults and children in the Westerly, Rhode Island community and surrounding towns. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 763 | TotalEmployeeCnt |
| Total Volunteers | 238 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $71,570,010 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $70,443,136 | CYProgramServiceRevenueAmt |
| PY Investment Income | $410,682 | PYInvestmentIncomeAmt |
| CY Investment Income | $235,779 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,163,606 | PYOtherRevenueAmt |
| CY Other Revenue | $574,220 | CYOtherRevenueAmt |
| PY Total Revenue | $73,144,298 | PYTotalRevenueAmt |
| CY Total Revenue | $71,253,135 | 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 | $34,433,808 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $35,753,806 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $34,647,375 | PYOtherExpensesAmt |
| CY Other Expenses | $34,878,215 | CYOtherExpensesAmt |
| PY Total Expenses | $69,081,183 | PYTotalExpensesAmt |
| CY Total Expenses | $70,632,021 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $4,063,115 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $621,114 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $56,614,653 | TotalAssetsBOYAmt |
| Total Assets EOY | $57,561,387 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $15,325,482 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $10,535,344 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $41,289,171 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $47,026,043 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | LMW HEALTHCARE IS A NOT-FOR-PROFIT ACUTE CARE HOSPITAL PROVIDING MEDICAL CARE TO ADULTS AND CHILDREN IN THE WESTERLY, RHODE ISLAND COMMUNITY AND SURROUNDING TOWNS. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $44,233,724 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $70,443,136 | RevenueAmt |
| Desc | See schedule O | Desc |
| Total Program Service Expenses | $44,233,724 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | 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 | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | 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 | false | 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 | false | TaxExemptBondsInd |
| 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 | false | 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 | 53 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 763 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| 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 | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | 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 | false | CompensationProcessCEOInd |
| Compensation Process Other | false | 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 | 25 WELLS STREET | AddressLine1Txt |
| City | Westerly | CityNm |
| State Abbreviation | RI | StateAbbreviationCd |
| ZIP | 02891 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| Stephen M Greene | ||||||||||
| Chairman | 2.0 | 4.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Deborah Lamm | ||||||||||
| Vice Chairman | 2.0 | 2.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Bruce D Cummings | ||||||||||
| President/CEO | 2.0 | 38.0 | Yes (X) | Yes (X) | $0 | $619,828 | $112,426 | |||
| Steven Ruzzo | ||||||||||
| Treasurer | 2.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Ann M Lain | ||||||||||
| Secretary | 2.0 | 2.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Thomas J Liguori | ||||||||||
| Director | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Richard Smith | ||||||||||
| Director | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Corinne Rossi | ||||||||||
| Director Until 12/14 | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| William Conlin MD | ||||||||||
| Director | 2.0 | 0.0 | Yes (X) | $15,000 | $0 | $0 | ||||
| Adrian K Hamburger MD | ||||||||||
| Director | 2.0 | 38.0 | Yes (X) | $2,500 | $757,524 | $37,179 | ||||
| George Bourganos MD | ||||||||||
| Director Until 12/14 | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Rachel McCormick MD | ||||||||||
| Director as of 12/14 | 2.0 | 0.0 | Yes (X) | $2,500 | $0 | $0 | ||||
| Maureen Anderson | ||||||||||
| Assistant Secretary | 2.0 | 38.0 | Yes (X) | $0 | $273,321 | $54,018 | ||||
| Seth Van Essendelft | ||||||||||
| VP/CFO | 2.0 | 38.0 | Yes (X) | $0 | $125,051 | $15,617 | ||||
| Crista Durand | ||||||||||
| VP Planning/Market until 7/14 | 2.0 | 38.0 | $0 | $203,215 | $21,114 | Yes (X) | ||||
| Donna Epps | ||||||||||
| VP Chief HR Officer | 2.0 | 38.0 | $0 | $209,974 | $23,060 | Yes (X) | ||||
| Kimberly Kalajainen | ||||||||||
| VP Chief information Officer | 2.0 | 38.0 | $0 | $245,872 | $53,122 | Yes (X) | ||||
| Christopher Lehrach MD | ||||||||||
| PRESIDENT L&M MED GROUP | 2.0 | 38.0 | $0 | $354,328 | $66,396 | Yes (X) | ||||
| Daniel Rissi MD | ||||||||||
| VP Chief Medical Officer | 2.0 | 38.0 | $0 | $415,808 | $67,589 | Yes (X) | ||||
| Lauren Williams | ||||||||||
| VP Patient Care Services | 2.0 | 38.0 | $0 | $261,225 | $39,944 | Yes (X) | ||||
| Karl K NG | ||||||||||
| Clinical Pharmicist | 40.0 | 0.0 | $119,867 | $0 | $12,535 | Yes (X) | ||||
| Mark E Rogers | ||||||||||
| Supv. Clinical Pharmacist | 40.0 | 0.0 | $115,410 | $0 | $12,400 | Yes (X) | ||||
| Roberta W Sposato | ||||||||||
| Clinical Pharmacist | 40.0 | 0.0 | $112,931 | $0 | $5,618 | Yes (X) | ||||
| Judith A Divers | ||||||||||
| Registered Nurse ICU | 40.0 | 0.0 | $108,117 | $0 | $817 | Yes (X) | ||||
| Julia J Smith | ||||||||||
| Registered Nurse MCU | 40.0 | 0.0 | $107,246 | $0 | $23,425 | Yes (X) | ||||
| Lugene Inzana | ||||||||||
| VP CFO until 2/14 | 0.0 | 0.0 | $0 | $114,456 | $8,724 | Yes (X) | ||||
| Jim Moylan | ||||||||||
| Interim VP 2/14 - 7/14 | 0.0 | 0.0 | $0 | $124,500 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $583,571 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,705,102 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $553,984 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 16 | 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 |
|---|---|---|---|---|---|
| IPC Hospitalists of NE | |||||
| 15 Salt Creek Lane Suite 444 | HINSDALE | IL | 60521 | Medical Services | $537,998 |
| Quest Diagnostics | |||||
| 40 Accord Park Drive | NORWELL | MA | 02061 | Lab Services | $568,282 |
| NIXON PEABODY LLP | |||||
| PO BOX 28012 | NEW YORK | NY | 100878012 | LEGAL | $126,707 |
| PATHOLOGY CONSULTANTS | |||||
| 365 MONTAUK AVENUE | NEW LONDON | CT | 06320 | PATHOLOGY SERVICES | $141,661 |
| EMP OF WASHINGTON COUNTY | |||||
| 4535 DRESSLER ROAD NW | CANTON | OH | 44718 | MEDICAL SERVICES | $113,786 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 7 | CntrctRcvdGreaterThan100KCnt |
| Total Contributions | $0 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $70,443,136 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $70,443,136 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $70,443,136 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $235,779 | TotalRevenueColumnAmt |
| Exclusion | $235,779 | 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 | $355,509 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $16,972 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $338,537 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $338,537 | TotalRevenueColumnAmt |
| Exclusion | $338,537 | ExclusionAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
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 (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| CAFETERIA SALES | 900099 | $173,577 | $173,577 | |
| OTHER | 900099 | $62,106 | $62,106 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $235,683 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $71,253,135 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $70,616,713 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $636,422 | 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 | $20,000 | TotalAmt |
| Management And General | $20,000 | ManagementAndGeneralAmt |
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 | $28,841,395 | TotalAmt |
| Program Services | $23,736,277 | ProgramServicesAmt |
| Management And General | $5,105,118 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $489,773 | TotalAmt |
| Program Services | $402,836 | ProgramServicesAmt |
| Management And General | $86,937 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,161,824 | TotalAmt |
| Program Services | $3,423,077 | ProgramServicesAmt |
| Management And General | $738,747 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,240,814 | TotalAmt |
| Program Services | $1,843,057 | ProgramServicesAmt |
| Management And General | $397,757 | ManagementAndGeneralAmt |
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 | $549,769 | TotalAmt |
| Management And General | $549,769 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
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 | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,114,353 | TotalAmt |
| Program Services | $122,100 | ProgramServicesAmt |
| Management And General | $992,253 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,387,316 | TotalAmt |
| Program Services | $38,349 | ProgramServicesAmt |
| Management And General | $1,348,967 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
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 | $416,000 | TotalAmt |
| Management And General | $416,000 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,932,855 | TotalAmt |
| Management And General | $4,932,855 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $714,296 | TotalAmt |
| Management And General | $714,296 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $8,721,223 | $8,693,323 | $27,900 |
| PURCHASED SERVICES | $13,750,548 | $3,810,838 | $9,939,710 |
| OTHER SUPPLIES | $2,221,291 | $1,785,711 | $435,580 |
| EQUIPMENT RENTAL & MAINTENANCE | $158,212 | $158,212 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $912,352 | TotalAmt |
| Program Services | $219,944 | ProgramServicesAmt |
| Management And General | $692,408 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,632,021 | TotalAmt |
| Program Services | $44,233,724 | ProgramServicesAmt |
| Management And General | $26,398,297 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,360,681 | BOYAmt |
| EOY | $815,211 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $140,576 | BOYAmt |
| EOY | $133,813 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,990,550 | BOYAmt |
| EOY | $8,601,329 | 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 | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,812,254 | BOYAmt |
| EOY | $1,960,488 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,427 | BOYAmt |
| EOY | $245,795 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $40,400,606 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $9,913,775 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,073,475 | BOYAmt |
| EOY | $30,486,831 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,087,069 | BOYAmt |
| EOY | $7,144,380 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,362,996 | BOYAmt |
| EOY | $4,049,023 | 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 | $2,978,625 | BOYAmt |
| EOY | $2,604,375 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $750,000 | BOYAmt |
| EOY | $1,520,142 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,614,653 | BOYAmt |
| EOY | $57,561,387 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,996,694 | BOYAmt |
| EOY | $7,105,170 | 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 | $0 | BOYAmt |
| EOY | $0 | 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 | $3,328,788 | BOYAmt |
| EOY | $3,430,174 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,325,482 | BOYAmt |
| EOY | $10,535,344 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,472,107 | BOYAmt |
| EOY | $36,465,409 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,188,220 | BOYAmt |
| EOY | $1,217,275 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,628,844 | BOYAmt |
| EOY | $9,343,359 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,289,171 | BOYAmt |
| EOY | $47,026,043 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,614,653 | BOYAmt |
| EOY | $57,561,387 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $621,114 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$6,162 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $5,121,920 | 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 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 | $5,489 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $5,489 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-B, line 1I | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION PAYS MEMBERSHIP DUES TO MEMBER ORGANIZATIONS WHICH MAY ENGAGE IN LOBBYING ACTIVITIES. THE PORTION OF DUES ATTRIBUTABLE TO LOBBYING ACTIVITIES IS REPORTED ON LINE I. | 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 | $7,087,069 | BeginningYearBalanceAmt |
| Contributions | $77,827 | ContributionsAmt |
| Investment Earnings Or Losses | $49,427 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $30,444 | OtherExpendituresAmt |
| Administrative Expenses | $39,495 | AdministrativeExpensesAmt |
| End Year Balance | $7,144,384 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,624,154 | BeginningYearBalanceAmt |
| Contributions | $18,975 | ContributionsAmt |
| Investment Earnings Or Losses | $474,133 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $30,193 | AdministrativeExpensesAmt |
| End Year Balance | $7,087,069 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributions | $6,524,115 | ContributionsAmt |
| Investment Earnings Or Losses | $122,157 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $22,118 | AdministrativeExpensesAmt |
| End Year Balance | $6,624,154 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp | |
| Board Designated Balance EOY | 0.19000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.64000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.17000 | TermEndowmentBalanceEOYPct |
| 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 | $1,090,000 | OtherCostOrOtherBasisAmt |
| Book Value | $1,090,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $18,038,855 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,397,289 | DepreciationAmt |
| Book Value | $16,641,566 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovementsGrp |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $20,482,957 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,229,076 | DepreciationAmt |
| Book Value | $12,253,881 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $788,794 | OtherCostOrOtherBasisAmt |
| Depreciation | $287,410 | DepreciationAmt |
| Book Value | $501,384 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $30,486,831 | TotalBookValueLandBuildingsAmt |
| Financial Derivatives | FinancialDerivativesGrp | |
| Closely Held Equity Interests | CloselyHeldEquityInterestsGrp |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | FUNDS HELD IN TRUST | Desc |
| Book Value | $4,049,023 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $4,049,023 | TotalBookValueSecuritiesAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| 3RD PARTY PAYOR SETTLEMENTS | $1,324,643 |
| ASSET RETIREMENT OBLIGATION | $1,335,389 |
| OTHER LIABILITIES | $770,142 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,430,174 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part V, line 4 | The organization's endowment fund functions to support and provide income for the furtherance of the health care mission of LMW Healthcare. |
| SCHEDULE D, PART X, LINE 2 | THE ORGANIZATION'S CONSOLIDATED FINANCIAL STATEMENTS DO NOT INCLUDE A FIN 48 FOOTNOTE. |
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 | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | false | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 209 | PersonsServedCnt |
| Total Community Benefit Expns | $251,377 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $251,377 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00360 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 16772 | PersonsServedCnt |
| Total Community Benefit Expns | $11,194,733 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,094,156 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,100,577 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05800 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 16981 | PersonsServedCnt |
| Total Community Benefit Expns | $11,446,110 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,094,156 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,351,954 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06160 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 18 | ActivitiesOrProgramsCnt |
| Persons Served | 1282 | PersonsServedCnt |
| Total Community Benefit Expns | $208,819 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $77,018 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $131,801 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00190 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 112 | PersonsServedCnt |
| Total Community Benefit Expns | $1,865,005 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,865,005 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02640 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,198 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,198 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 21 | ActivitiesOrProgramsCnt |
| Persons Served | 1394 | PersonsServedCnt |
| Total Community Benefit Expns | $2,079,022 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $77,018 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,002,004 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02840 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 21 | ActivitiesOrProgramsCnt |
| Persons Served | 18375 | PersonsServedCnt |
| Total Community Benefit Expns | $13,525,132 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,171,174 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,353,958 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,902,353 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $58,005,696 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $66,853,428 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$8,847,732 | 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 | LMW Healthcare Inc | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 25 Wells Street | AddressLine1Txt |
| City | Westerly | CityNm |
| State Abbreviation | RI | StateAbbreviationCd |
| ZIP | 02891 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | http://westerlyhospital.org | WebsiteAddressTxt |
| State License | HOS00129 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LMW Healthcare Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 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 |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | 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 | http://westerlyhospital.org | 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 | http://westerlyhospital.org | 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.westerlyhospital.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 (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Section B, Line 3J | In addition to the Community Health Needs Assessment (CHNA) components listed, the LMW CHNA report included analysis of the data in terms of strengths and opportunities for action. This analysis informed the creation of the Community Health Implementation Plan. |
| Part V, Section B, LINE 5 | Upon completion of data collection and analysis, the CHNA collaborative convened to a community health strategic planning session in April 2013. 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 LMW Healthcare Community Health Implementation Plan (CHIP). The following organizations participated in the processes: Key Informants: - Community, Family Health & EQUITY/HEALTH - Rhode Island Health DEPT OF hEALTH - Cross Roads - Family Resources COMMUNITY ACTION - Community Health Workers Association - Dorcas Place - DHS - RI Dept. of Health - Thundermist - Wood River Health Services - The Westerly Hospital - Providence Center - Care New England - Urban League of RI - Westerly Public Schools - EOHHS/DHS - RI Kids Count - Coastal MedicAL - RI Health Center Association - South Shore Mental Health - RIAFSA - YMCA of GreATER Providence Focus Group Participants: - Outpatient Addiction Medicine & Behavioral Health Social Work, Roger Williams Medical Center - Project Implementation and Acute Care Services, The Providence Center - The Miriam Hospital - Fellowship Health Resources Landmark Medical Cent - Butler Hospital - Women & Infants Hospital - VNS Home Health Services - The Providence Center - Newport County Community Health Center - Department of Health Prioritization Session Participants: HARI, Care New England, Butler Hospital, Memorial Hospital of Rhode Island, South County Hospital, Rhode Island Department of Health, CharterARE Health Partners, Roger Williams Medical Center, St Joseph Health Services of RI/CharterCARE, St Joseph Health Services of RI. |
| Part V, Section B, Line 6A | Other hospitals participating in the CHNA collaborative were: Butler Hospital, Care New England, Kent Hospital, Landmark Medical Center, Memorial Hospital of Rhode Island, Roger Williams Medical Center, St. Joseph Health Services of RI/Charter Care, South County Hospital, The Miriam Hospital, Women & Infants Hospital. |
| Part V, Section B, Line 7d | The CHNA report was released at a presentation open to the public on February 3, 2014. 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. |
| Part V, Section B, Line 11 | THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE CHNA AND PRIORITIZED FOR ACTION WERE: MENTAL HEALTH AND SUBSTANCE ABUSE, DIABETES, AND HEART DISEASE. THE STRATEGY UNDERTAKEN TO ADDRESS MENTAL HEALTH/SUBSTANCE ABUSE WAS TO PUT IN PLACE RESOURCES TO ASSURE THE SAFE MANAGEMENT OF BEHAVIORAL HEALTH PATIENTS IN WESTERLY HOSPITAL AS THEY AWAIT TRANSITION TO SPECIALIZED COMMUNITY SERVICES. THIS INCLUDED BUT WAS NOT LIMITED TO THE ADDITION OF AN ADVANCE-PRACTICE REGISTERED NURSE WITH A PSYCHIATRIC SPECIALTY. TO ADDRESS DIABETES, ACCESS TO ONGOING DIABETES EDUCATION CLASSES WAS IMPROVED BY IMPLEMENTING A MUCH REDUCED FEE FOR THE PROGRAM. THE LIVING WITH DIABETES SUPPORT GROUP CONTINUED AND EFFORTS HAVE BEEN MADE TO INCREASE COMMUNITY AWARENESS OF THIS RESOURCE. A NEW COLLABORATION WITH THE OCEAN COMMUNITY YMCA INCLUDED HEALTHY COOKING DEMONSTRATIONS AND DIABETES SCREENING DAYS AT THE Y FACILITY. TO ADDRESS HEART DISEASE, A HEART HEALTHY WESTERLY EDUCATION EVENT WAS HELD WITH STAKEHOLDER PARTICIPATION IN PLANNING FOR ONGOING COMMUNITY ACTIVITIES. Due to resource constraints, some of the identified needs through the CHNA will not be addressed as an initial priority, specifically breast cancer and alcohol use. In the example of alcohol use, other organizations are taking the lead and LMW Healthcare is collaborating. A driving philosophy of LMW Healthcare'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 LMW Healthcare 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, LMW Healthcare will work to support and build capacity of those programs rather than to create something new. PART V, SECTION B, LINE 13B Hospital shall provide discounted care on a sliding scale for self-pay patients if the patient's: (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 (as defined in the Rhode Island Statewide Standards for the Provision of Charity Care; See R23-17.14-HCA). PART V, SECTION B, LINE 16I A DIRECT EMAIL LINK TO FINANCIAL COUNSELORS IS PROVIDED ON THE HOSPITAL'S WEBSITE. |
| Part V, Section 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 (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, line 3c | It is the philosophy and policy of LMW Healthcare that medically necessary health care services should be available to all individuals regardless of their ability to pay. Charity care applies to all uninsured patients(defined as earning less than 250% of the poverty guidelines). Care will be provided free for those uninsured patients who request assistance and verify their annual income is less than 250% of the federal income poverty level ("FPL"). Liquid assets must not exceed $50,000 (stocks, bonds, cash, IRA, CD, ETC.) Excluding primary residence and primary motor vehicle, business assets, rental property, secondary residences, 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 1, line 7 were calculated as direct, separately identifiable costs incurred by the hospital plus an allocation of overhead. |
| Schedule H, Part III, line 2 | LMW Healthcare 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. 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 ($8,847,732) reported in part III, line 7 was calculated based on cost repOrting. The costing method was from the medicare cost report's own methodology of allocating cost by department and deriving a ratio of cost to charge. This amount should be treated as community benefit because the rates paid by medicare do not accurately reflect the cost of care provided by LMW healthcare. LMW healthcare must subsidize the cost of care to medicare beneficiaries with other revenues. |
| Schedule H, Part III, line 9B | In accordance with its written credit and collection policy, LMW Healthcare will not pursue collection efforts, directly or through collection agencies, on the portion of a patients's bill for which that patient has established eligibility for charity care. |
| Schedule H Part VI, line 2 | Needs Assessment In addition to the methodology employed in conducting the Community Health Needs Assessment, LMW Healthcare carries out a variety of other strategies in gauging the health needs of the communities it serves. These strategies include review of disease incidence and prevalence rates for the local community, state, and nation with rates collected from publicly available sources, AND SEEKING PERIODIC RESIDENT INPUT ON PRIORITY AREAS. This analysis informs LMW Healthcare on the health status of the community and is used to focus program and service development on areas of greatest concern. Information on community needs is also gathered through partnerships with other community organizations such as the public schools and the Westerly Parent Academy, Wood River Health Services, the WARM Center, and other local non-profits. Periodic review of data and updating as appropriate is conducted. |
| Schedule H, Part VI, Line 3 | Patient Education of Eligibility for Assistance: In accordance with its Charity Care policy, LMW Healthcare notifies patients of the availability of financial assistance using several methods. 1) signage indicating the availability of charity care is posted in english and spanish in patient accounts, health access management and certain clinical areas. Summaries of the programs will also be available in those areas. 2) patient financial advisors will attempt to visit All inpatients registered as self pay patients. A summary explaINing charity care will be given to the patient or guarantor when this visit occurs. 3) patients with no insurance will receive an inItial letter within one week of discharge informing them they are considered "uninsured". It is the responsibility of the patient to advise LMW if they believe they qualify as "uninsured" (at or under 250% of the FPG). 4) a series of monthly statements will be sent following discharge. Each statement will remind the patient of the availability of charity care. |
| Schedule H, Part VI line 4 | Community Information The communities that comprise the service area of LMW Healthcare include eight towns in southwestern Rhode Island/Washington County: Ashaway, Block Island, Bradford, Charlestown, Hope Valley, Hopkinton, Westerly and Wood River Junction, with a total population of approximately 40,785. These communities are largely rural with the immediate Westerly area being suburban. In Washington County, services and public transportation fall short of meeting demand, creating a barrier to access. Additionally, there are wide income disparities with a median household income of $73,748 (considerably higher than the state median income) and yet 7% of children living in poverty. Poverty exists in pockets throughout the region but is largely invisible. Although it is anticipated that there will be a slight decline in overall population in the next five years, the fastest growing age group in the primary service area will be 65+. According to the 2010 census, the Washington County population is predominantly White (90.5%) with Hispanics representing 3.2%, African Americans 1%, Asian/Pacifics 3% and those who indicate "two or more races" 2.2%. Statewide, population growth in recent years has been largely attributable to increasing numbers of people of color and although overall the percentages of people of color in the Westerly area remain small, it follows the state pattern. Increasing numbers in communities of color also bring disparities in housing, income, educational attainment, health, and opportunity. Washington County continues to have an unemployment rate (7.1%) that is one of the highest in the nation with the growth, albeit slow, occurring in lower wage industries. The local economy is heavily dependent upon healthcare, retail, education, leisure/hospitality/tourism, and manufacturing. |
| Schedule H, Part VI, line 5 | Promotion of community health: LMW Healthcare's community benefit programs and services forward the organizational mission "To Improve the Health of the Region" and align with the following principles: 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. Community involvement in governance and advisory groups Community engagement in the planning, implementation and evaluation of LMW Healthcare's initiatives is of utmost importance. The 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 (L+MMG, physician practices), The Visiting Nurse Association of Southeastern CT (VNASC), and LMW Healthcare (Rhode Island) each of which has a role in promoting the health of our communities. The LMW and L+M Hospitals' roles are: 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. L+MMG, 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: LMW Healthcare files its community benefit report in Rhode Island only. The L+M Healthcare affiliated organization, L+M Hospital, files reports in Connecticut. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | 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 (11 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 | $0 | $600,546 | $0 | $0 | $0 | $19,282 | $0 | $91,492 | $0 | $20,934 | $0 | $732,254 | $0 | $0 |
| Adrian K Hamburger MD | ||||||||||||||
| Director | $2,500 | $311,845 | $0 | $445,409 | $0 | $270 | $0 | $10,400 | $0 | $26,779 | $2,500 | $794,703 | $0 | $0 |
| Maureen Anderson | ||||||||||||||
| Assistant Secretary | $0 | $272,511 | $0 | $0 | $0 | $810 | $0 | $30,694 | $0 | $23,324 | $0 | $327,339 | $0 | $0 |
| Crista Durand | ||||||||||||||
| VP Planning/Market until 7/14 | $0 | $169,395 | $0 | $0 | $0 | $33,820 | $0 | $7,608 | $0 | $13,506 | $0 | $224,329 | $0 | $0 |
| Donna Epps | ||||||||||||||
| VP Chief HR Officer | $0 | $208,439 | $0 | $0 | $0 | $1,535 | $0 | $23,060 | $0 | $0 | $0 | $233,034 | $0 | $0 |
| Lugene Inzana | ||||||||||||||
| VP CFO until 2/14 | $0 | $61,251 | $0 | $0 | $0 | $53,205 | $0 | $4,002 | $0 | $4,722 | $0 | $123,180 | $0 | $0 |
| Kimberly Kalajainen | ||||||||||||||
| VP Chief information Officer | $0 | $245,062 | $0 | $0 | $0 | $810 | $0 | $27,986 | $0 | $25,136 | $0 | $298,994 | $0 | $0 |
| Christopher Lehrach MD | ||||||||||||||
| PRESIDENT L&M MED GROUP | $0 | $334,345 | $0 | $0 | $0 | $19,983 | $0 | $40,126 | $0 | $26,270 | $0 | $420,724 | $0 | $0 |
| Jim Moylan | ||||||||||||||
| Interim VP 2/14 - 7/14 | $0 | $124,500 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $124,500 | $0 | $0 |
| Daniel Rissi MD | ||||||||||||||
| VP Chief Medical Officer | $0 | $412,244 | $0 | $0 | $0 | $3,564 | $0 | $46,238 | $0 | $21,351 | $0 | $483,397 | $0 | $0 |
| Lauren Williams | ||||||||||||||
| VP Patient Care Services | $0 | $258,903 | $0 | $0 | $0 | $2,322 | $0 | $28,949 | $0 | $10,995 | $0 | $301,169 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, Schedule J, PART I, LINE 3 | THE PRESIDENT/CEO OF LMW HEALTHCARE, INC. RECEIVES NO COMPENSATION FROM THE ORGANIZATION. HE IS AN EMPLOYEE AT LAWRENCE & MEMORIAL HOSPITAL, A RELATED ORGANIZATION, AND HIS COMPENSATION IS SET BY THE HOSPITAL. THE HOSPITAL, IN DETERMINING COMPENSATION RELIES UPON A COMPENSATION COMMITTEE; AN INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEYS OR STUDIES, AND APPROVAL BY ITS BOARD OR COMPENSATION COMMITTEE. FORM 990, SCHEDULE J, PART I, LINE 4B LAWRENCE & MEMORIAL HOSPITAL, A RELATED ORGANIZATION, ESTABLISHED A SECTION 457(F) SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN FOR L&M 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 ANNUALLY. PLAN AMOUNTS WILL BE PAID ONLY IF CERTAIN CONDITIONS ARE MET, INCLUDING REMAINING EMPLOYED BY L&M 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 D. CUMMINGS $81,092 Daniel Rissi $35,838 CHRISTOPHER LEHRACH $29,726 SETH VAN ESSENDELFT $ 8,884 LAUREN WILLIAMS $18,549 KIMBERLY KALAJAINEN $17,806 DONNA EPPS $14,661 MAUREEN ANDERSON $20,294 |
| 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 O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 4 | LMW Healthcare, Inc provides quality medical care regardless of race, creed, sex, national origin, handicap or ability to pay. Although reimbursement for services rendered is critical to the operation and stability of LMW Healthcare, 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 "providing medical care to adults and children in the Westerly, Rhode Island community and surrounding towns, we provide: -Free care and/ or subsidized care -Care provided to persons covered by government programs below cost. -A range of health care activities, programs and services to support our community. During the year ended September 30, 2015 LMW Healthcare served 2,924 Hospitalized patients and 20,747 patients through our emergency room. In addition we performed 339,450 lab tests and 40,983 imaging procedures on an outpatient basis. |
| FORM 990, PART VI, LINE 2 | BRUCE CUMMINGS, MAUREEN ANDERSON, DONNA EPPS, KIMBERLY KALJAINEN, CHRISTOPHER LEHRACH AND DANIEL RISSI ARE EMPLOYED BY A RELATED ORGANIZATION, LAWRENCE & MEMORIAL HOSPITAL, AT WHICH MAUREEN ANDERSON IS AN OFFICER AND BRUCE CUMMINGS IS AN OFFICER AND DIRECTOR. FORM 990, PART VI, LINE 6 L&M CORPORATION IS THE SOLE MEMBER OF LMW HEALTHCARE, INC. FORM 990, PART VI, LINE 7A L&M CORPORATION, AS SOLE MEMBER OF LMW HEALTHCARE, INC., SHALL ELECT THE BOARD OF DIRECTORS. Form 990, Part VI, line 11b THE FORM 990 WAS PREPARED BY OUR OUTSIDE TAX CONSULTANTS AND 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 | LMW Healthcare requires that all Board members, Officers, and Key Employees complete a conflict of interest questionnaire. Questionnaires are completed annually and are reviewed BY LMW's general counsel. Any actual or potential conflicts are presented to the board. Appropriate corrective actions are decided on a case by case basis. |
| Form 990, Part VI, Line 15 | THE OFFICERS' COMPENSATION AND BENEFITS REPORTED IN PART VII ARE DETERMINED BY L&M HOSPITAL. L&M HOSPITAL'S EXECUTIVE COMPENSATION COMMITTEE ANNUALLY REVIEWS THE SALARIES OF ITS EXECUTIVE MANAGEMENT AND KEY EMPLOYEES. UTILIZING INDEPENDENT COMPENSATION CONSULTANTS, THE EXECUTIVE COMPENSATION COMMITTEE MAKES ITS RECOMMENDATIONS. THE COMMITTEE'S DELIBERATIONS ARE REFLECTED IN ITS MINUTES. Form 990, Part VI, 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 XI, Line 9 | OTHER CHANGES IN NET ASSETS 2014: TRANSFERS FROM AFFILIATES $5,378,350 REALIZED GAIN/(LOSSES) 29,054 ACTIVITY IN PERM RESTRICTED ASSETS (285,484) ----------- TOTAL OTHER CHANGES IN NET ASSETS: $5,121,920 |
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) |
| Lawrence & Memorial Hospital | ||||||||||
| 365 Montauk Avenue | New London | CT | 06320 | 060646704 | Healthcare | CT | 501(c)(3) | 3 | 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 | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| L&M Systems Inc | ||||||||||||||
| 365 Montauk Avenue | New London | CT | 06320 | 222553037 | Healthcare | CT | NA | C CORP | Yes (true) | |||||
| L&M Homecare Services Inc | ||||||||||||||
| 365 Montauk Avenue | New London | CT | 06320 | Therapy | CT | NA | C CORP | Yes (true) | ||||||
| L&M Indemnity | ||||||||||||||
| 981021436 | Insurance | NA | C CORP | Yes (true) | PO Box 1159 KY1-1102 | Grand Cayman | Cayman Islands | CJ | CJ | |||||
| CHARITABLE REMAINDER TRUSTS (3) | ||||||||||||||
| SUPPORT | CT | NA | 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 | false | 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 | false | 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 | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| The Westerly Hospital Foundation | ||
| Q | $1,476,406 | CASH |
| L&M HOSPITAL | ||
| Q | $3,820,945 | CASH |
| L&M INDEMNITY | ||
| S | $81,000 | FMV |