2016-08-15T13:32:51-05:00 2015-09-30 PricewaterhouseCoopers LLP 101 SEAPORT BOULEVARD Boston MA 02210 990 2014-10-01 460543230 LMW Healthcare Inc % SETH VAN ESSENDELFT LMWH 8604420711 365 Montauck Avenue New London CT 06320 SETH VAN ESSENDELFT VICE PRESIDENT/CFO 6175305000 2016-08-12 true ERIN COUTURE P01390592 6175305000 2014 2016-09-27 15:27:22Z Bruce Cummings 365 Montauck Avenue NEW LONDON CT 06320 71270107 false X WWW.WESTERLYHOSPITAL.ORG X 2012 RI 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. 10 7 763 238 0 0 0 71570010 70443136 410682 235779 1163606 574220 73144298 71253135 0 0 0 0 34433808 35753806 0 0 0 34647375 34878215 69081183 70632021 4063115 621114 56614653 57561387 15325482 10535344 41289171 47026043 X 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. false false 44233724 0 70443136 See schedule O 44233724 true false false true false false false false false true true true false false true false false true false false false false false false false false true true false false true false false false false false false false false false false false false false true true true false false true 53 0 true 763 true false false false false false false false false false false X 10 7 true false false false true true false true true false false true true true true true true false false false X X SETH VAN ESSENDELFT 8604420711 25 WELLS STREET Westerly RI 02891 X Stephen M Greene Chairman 2.0 4.0 X X 0 0 0 Deborah Lamm Vice Chairman 2.0 2.0 X X 0 0 0 Bruce D Cummings President/CEO 2.0 38.0 X X 0 619828 112426 Steven Ruzzo Treasurer 2.0 0.0 X X 0 0 0 Ann M Lain Secretary 2.0 2.0 X X 0 0 0 Thomas J Liguori Director 2.0 0.0 X 0 0 0 Richard Smith Director 2.0 0.0 X 0 0 0 Corinne Rossi Director Until 12/14 2.0 0.0 X 0 0 0 William Conlin MD Director 2.0 0.0 X 15000 0 0 Adrian K Hamburger MD Director 2.0 38.0 X 2500 757524 37179 George Bourganos MD Director Until 12/14 2.0 0.0 X 0 0 0 Rachel McCormick MD Director as of 12/14 2.0 0.0 X 2500 0 0 Maureen Anderson Assistant Secretary 2.0 38.0 X 0 273321 54018 Seth Van Essendelft VP/CFO 2.0 38.0 X 0 125051 15617 Crista Durand VP Planning/Market until 7/14 2.0 38.0 X 0 203215 21114 Donna Epps VP Chief HR Officer 2.0 38.0 X 0 209974 23060 Kimberly Kalajainen VP Chief information Officer 2.0 38.0 X 0 245872 53122 Christopher Lehrach MD PRESIDENT L&M MED GROUP 2.0 38.0 X 0 354328 66396 Daniel Rissi MD VP Chief Medical Officer 2.0 38.0 X 0 415808 67589 Lauren Williams VP Patient Care Services 2.0 38.0 X 0 261225 39944 Karl K NG Clinical Pharmicist 40.0 0.0 X 119867 0 12535 Mark E Rogers Supv. Clinical Pharmacist 40.0 0.0 X 115410 0 12400 Roberta W Sposato Clinical Pharmacist 40.0 0.0 X 112931 0 5618 Judith A Divers Registered Nurse ICU 40.0 0.0 X 108117 0 817 Julia J Smith Registered Nurse MCU 40.0 0.0 X 107246 0 23425 Lugene Inzana VP CFO until 2/14 0.0 0.0 X 0 114456 8724 Jim Moylan Interim VP 2/14 - 7/14 0.0 0.0 X 0 124500 0 583571 3705102 553984 16 true true true IPC Hospitalists of NE 15 Salt Creek Lane Suite 444 HINSDALE IL 60521 Medical Services 537998 Quest Diagnostics 40 Accord Park Drive NORWELL MA 02061 Lab Services 568282 NIXON PEABODY LLP PO BOX 28012 NEW YORK NY 100878012 LEGAL 126707 PATHOLOGY CONSULTANTS 365 MONTAUK AVENUE NEW LONDON CT 06320 PATHOLOGY SERVICES 141661 EMP OF WASHINGTON COUNTY 4535 DRESSLER ROAD NW CANTON OH 44718 MEDICAL SERVICES 113786 7 0 PATIENT SERVICE REVENUE 900099 70443136 70443136 70443136 235779 235779 0 0 355509 16972 338537 0 338537 338537 0 0 0 0 CAFETERIA SALES 900099 173577 173577 OTHER 900099 62106 62106 235683 71253135 70616713 636422 0 0 0 0 20000 20000 0 28841395 23736277 5105118 489773 402836 86937 4161824 3423077 738747 2240814 1843057 397757 0 549769 549769 0 0 0 0 1114353 122100 992253 0 0 0 0 1387316 38349 1348967 0 0 0 416000 416000 0 4932855 4932855 714296 714296 MEDICAL SUPPLIES 8721223 8693323 27900 PURCHASED SERVICES 13750548 3810838 9939710 OTHER SUPPLIES 2221291 1785711 435580 EQUIPMENT RENTAL & MAINTENANCE 158212 158212 912352 219944 692408 70632021 44233724 26398297 0 2360681 815211 140576 133813 0 0 5990550 8601329 0 0 0 0 0 0 1812254 1960488 58427 245795 40400606 9913775 31073475 30486831 7087069 7144380 4362996 4049023 0 0 2978625 2604375 750000 1520142 56614653 57561387 11996694 7105170 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3328788 3430174 15325482 10535344 X 30472107 36465409 1188220 1217275 9628844 9343359 41289171 47026043 56614653 57561387 X 621114 -6162 5121920 X false true X true false X false false false false false false false false true 5489 5489 false Schedule C, Part II-B, line 1I 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. 7087069 77827 49427 30444 39495 7144384 6624154 18975 474133 30193 7087069 6524115 122157 22118 6624154 0.19000 0.64000 0.17000 false false 1090000 1090000 18038855 1397289 16641566 20482957 8229076 12253881 788794 287410 501384 30486831 FUNDS HELD IN TRUST 4049023 F 4049023 0 3RD PARTY PAYOR SETTLEMENTS 1324643 ASSET RETIREMENT OBLIGATION 1335389 OTHER LIABILITIES 770142 3430174 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. true true X true X 250. true X true true false false 209 251377 251377 0.00360 16772 11194733 7094156 4100577 0.05800 16981 11446110 7094156 4351954 0.06160 18 1282 208819 77018 131801 0.00190 3 112 1865005 1865005 0.02640 5198 5198 0.00010 21 1394 2079022 77018 2002004 0.02840 21 18375 13525132 7171174 6353958 0.09000 true 2902353 58005696 66853428 -8847732 X true true 1 1 LMW Healthcare Inc 25 Wells Street Westerly RI 02891 http://westerlyhospital.org HOS00129 X X X LMW Healthcare Inc 1 false false true X X X X X X X X X 12 true true false true X http://westerlyhospital.org X true 12 true http://westerlyhospital.org false false true X 250. 400. X X X X true true X X X true X www.westerlyhospital.org X X X X X true X false X true X false false 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% 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. false true false false false false false false false Bruce D Cummings President/CEO 0 600546 0 0 0 19282 0 91492 0 20934 0 732254 0 0 Adrian K Hamburger MD Director 2500 311845 0 445409 0 270 0 10400 0 26779 2500 794703 0 0 Maureen Anderson Assistant Secretary 0 272511 0 0 0 810 0 30694 0 23324 0 327339 0 0 Crista Durand VP Planning/Market until 7/14 0 169395 0 0 0 33820 0 7608 0 13506 0 224329 0 0 Donna Epps VP Chief HR Officer 0 208439 0 0 0 1535 0 23060 0 0 0 233034 0 0 Lugene Inzana VP CFO until 2/14 0 61251 0 0 0 53205 0 4002 0 4722 0 123180 0 0 Kimberly Kalajainen VP Chief information Officer 0 245062 0 0 0 810 0 27986 0 25136 0 298994 0 0 Christopher Lehrach MD PRESIDENT L&M MED GROUP 0 334345 0 0 0 19983 0 40126 0 26270 0 420724 0 0 Jim Moylan Interim VP 2/14 - 7/14 0 124500 0 0 0 0 0 0 0 0 0 124500 0 0 Daniel Rissi MD VP Chief Medical Officer 0 412244 0 0 0 3564 0 46238 0 21351 0 483397 0 0 Lauren Williams VP Patient Care Services 0 258903 0 0 0 2322 0 28949 0 10995 0 301169 0 0 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. 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 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 true L&M Healthcare Inc 365 Montauk Avenue New London CT 06320 222553031 Healthcare CT 501(c)(3) 9 L&M Corp 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 true Visiting Nurse Associate of SE CT 403 N Frontage Road Waterford CT 06385 060646616 Healthcare CT 501(c)(3) 9 L&M Corp 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 true Lawrence & Memorial Hospital 365 Montauk Avenue New London CT 06320 060646704 Healthcare CT 501(c)(3) 3 L&M Corp true The Westerly Hospital Foundation Inc 25 Wells Street Westerly RI 02891 050508064 Fundraising RI 501(C)(3) 11 Type I LMW Health true L&M Systems Inc 365 Montauk Avenue New London CT 06320 222553037 Healthcare CT NA C CORP true L&M Homecare Services Inc 365 Montauk Avenue New London CT 06320 Therapy CT NA C CORP true L&M Indemnity PO Box 1159 KY1-1102 Grand Cayman Cayman Islands CJ 981021436 Insurance CJ NA C CORP true CHARITABLE REMAINDER TRUSTS (3) SUPPORT CT NA TRUST true false false false false false false false false false false false false false false false false true true true The Westerly Hospital Foundation Q 1476406 CASH L&M HOSPITAL Q 3820945 CASH L&M INDEMNITY S 81000 FMV