2024-08-13T13:11:38-05:00 2023-09-30 135565207 KPMG LLP 345 PARK AVENUE NEW YORK NY 10154 990 2022-10-01 060646704 LAWRENCE MEMORIAL HOSPITAL INC LAWR 2036880580 365 MONTAUK AVENUE NEW LONDON CT 06320 JOSHUA W MORRIS EVP, CFO 8604420711 2024-08-13 0 0 EVAN W SEEKAMP P01907071 2127589700 2022 2024-08-08 14:25:15Z RICHARD LISITANO 365 MONTAUK AVENUE NEW LONDON CT 06320 498144298 0 X WWW.LMHOSPITAL.ORG X 1912 CT TO IMPROVE THE HEALTH OF THE REGION AND TO PROVIDE HEALTHCARE SERVICES. 15 11 2733 0 6511 0 13465525 5188266 434144168 464386864 9679116 1310565 4505984 891426 461794793 471777121 219432 316963 0 0 204140551 212520374 0 0 468746 238378221 251915512 442738204 464752849 19056589 7024272 456988884 425702458 187363056 144667565 269625828 281034893 X TO IMPROVE THE HEALTH OF THE REGION AND TO PROVIDE HEALTHCARE SERVICES. 0 0 421890709 316963 464386864 SEE SCHEDULE O 421890709 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 1 0 1 0 0 0 0 0 0 1 0 1 1 1 1 1 1 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 1 1 1 0 0 1 193 0 2733 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 15 11 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X VERNETTE D GRAY 2036889585 789 HOWARD AVE NEW HAVEN CT 06519 WILLIAM J ASELTYNE TRUSTEE (CURRENT YR COMP) 1.00 39.00 X 0 1367048 200005 WILLIAM J ASELTYNE TRUSTEE (VESTED DEFERRED) 1.00 39.00 X 0 4635093 0 PATRICK L GREEN PRESIDENT/TRUSTEE 20.00 20.00 X X 542625 542625 372128 OLIVER MAYORGA VP/CMO 28.00 12.00 X 551814 236492 111646 RICHARD LISITANO PRESIDENT/TRUSTEE 24.00 16.00 X X 377771 251847 218831 STEPHEN ALLEGRETTO FORMER OFFICER 0.00 0.00 X 0 768730 0 DENISE FIORE FORMER OFFICER 0.00 0.00 X 0 593810 22507 CRAIG MITTLEMAN ED MEDICAL DIRECTOR 40.00 0.00 X 552873 0 35787 BENJAMIN ARMSTRONG ED PHYSICIAN 40.00 0.00 X 513487 0 35953 MICHAEL JOSEPH ED PHYSICIAN 40.00 0.00 X 491753 0 35953 KERIN DACRUZ VP/CNO 38.00 2.00 X 481538 0 35342 JOSHUA MORRIS TREASURER/SECRETARY/VP 20.00 20.00 X 231927 231927 33978 ANTHONY NOTO ED PHYSICIAN 40.00 40.00 X 457861 0 22041 PETER WILLIS ED PHYSICIAN 40.00 0.00 X 426068 0 35787 MAUREEN ANDERSON FORMER OFFICER 0.00 0.00 X 0 350438 34181 PRATHIBHA VARKEY FORMER TRUSTEE 0.00 0.00 X 0 361875 0 NIALL DUHIG TRUSTEE 1.00 1.00 X 0 33070 0 DANIEL GACCIONE TRUSTEE 1.00 2.00 X 0 14175 0 TODD BLUE TRUSTEE 1.00 2.00 X 0 0 0 NICHOLAS FORTSON TRUSTEE 1.00 2.00 X 0 0 0 STEPHEN GREENE TRUSTEE 1.00 2.00 X 0 0 0 JOHN HOLSTEIN TRUSTEE 1.00 3.00 X 0 0 0 KATHLEEN HOLT VICE CHAIR/TRUSTEE 1.00 2.00 X X 0 0 0 JAMES MAYNARD TRUSTEE 1.00 2.00 X 0 0 0 JAMES MITCHELL CHAIRMAN/TRUSTEE 1.00 4.00 X X 0 0 0 MARIE PEAKMAN TRUSTEE 1.00 2.00 X 0 0 0 SHANNA REELS TRUSTEE 1.00 3.00 X 0 0 0 VICTORIA REYES TRUSTEE 1.00 2.00 X 0 0 0 REV CATHERINE ZALL TRUSTEE 1.00 2.00 X 0 0 0 4627717 9387130 1194139 527 1 1 0 IPC HOSPITALISTS PO BOX 844929 LOS ANGELES CA 900844929 HOSPITALISTS 7923920 ANESTHESIA ASSOCIATES OF NEW LONDON PO BOX 744883 ATLANTA GA 30374 MEDICAL SERVICES 2753053 VIZIENT INC 290 E JOHN CARPENTER FREEWAY IRVING TX 75062 HEALTHCARE IMPROVEMENT 1785259 UNITEX TEXTILE RENTAL SERVICE 420 LEDYARD STREET HARTFORD CT 06114 LINENS/LAUNDERING 1403309 COLONEL LANDSCAPING LLC PO BOX 370 EAST LYME CT 06333 LANDSCAPING 937843 34 156560 1496936 3534770 952150 5188266 NET PATIENT SERVICES 621400 451550906 451550906 APOTHECARY INCOME 456110 11647598 11647598 OCCUPATIONAL HEALTH 621400 1141469 1141469 LAB PATHOLOGY 621500 36062 36062 LAB TESTING 621500 10829 10829 464386864 957242 957242 2608031 2006178 601853 601853 601853 24636102 24247153 35626 388949 -35626 353323 353323 68640 156560 78220 -9580 -9580 DISCNTS,REBATES,OTHER 900099 1101192 1101192 DINING REVENUE 722514 427595 427595 FROM PTNSHP/OTHER INVE 523000 -4318 -4318 -1225316 -1225316 299153 471777121 464376035 6511 2206309 X 146840 146840 170123 170123 2633521 2633521 170766459 155890617 14680317 195525 5042482 4603221 433488 5773 22090159 20165837 1899030 25292 11987753 10943473 1030554 13726 187364 171042 16322 41710 38077 3633 101195 92380 8815 54293 49563 4730 111061236 101386447 9446359 228430 2333 2130 203 2264322 2067072 197250 10998340 10040250 958090 197529 180322 17207 2433828 2221812 212016 26780946 24447999 2332947 10386835 9482015 904820 5899763 5385822 513941 PHARMACEUTICALS 35448616 32360609 3088007 0 MEDICAL & SURGICAL SUPP 31547409 28799245 2748164 0 SYSTEM SUPPORT 12507253 11417719 1089534 0 DUES, SUBSCRIPTIONS & E 1248149 1139420 108729 0 754391 688674 65717 464752849 421890709 42393394 468746 22068142 12569565 492290 343898 64085477 68604705 6292950 7813950 694570 0 311888588 114715137 185914649 197173451 6432618 -16984110 49111076 52520603 2600000 1950000 119297112 101710396 456988884 425702458 53767002 52053009 26715088 25578296 45471770 42476515 61409196 24559745 187363056 144667565 X 238071387 245113526 31554441 35921367 269625828 281034893 456988884 425702458 X 7024272 2377390 2007403 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 1 500 0 0 1 29040 0 1 71655 101195 0 PART II-B, LINE 1: THE AMOUNT REPORTED IN "OTHER ACTIVITIES" REPRESENTS A PORTION OF PROFESSIONAL DUES ATTRIBUTABLE TO LOBBYING DURING FY 2023. ALSO, THE HEALTH SYSTEM OFFICIALS HAD MEETINGS AND CONTACTS WITH STATE GOVERNMENT OFFICIALS, INCLUDING STATE LEGISLATORS AND THEIR STAFF TO DISCUSS VARIOUS HEALTH CARE REFORM PROPOSALS. LAWRENCE + MEMORIAL HOSPITAL IS PART OF A CONTROLLED GROUP WITH THE FOLLOWING LOBBYING EXPENSES: YALE NEW HAVEN HOSPITAL EIN 06-0646652 $965,194 BRIDGEPORT HOSPITAL EIN 06-0646554 $192,099 GREENWICH HOSPITAL EIN 06-0646659 $116,586 NORTHEAST MEDICAL GROUP, INC. EIN 06-1330992 $39,604 LMW HEALTHCARE, INC. EIN 46-0543230 $45,989 27253025 2789663 1322585 44305 28675798 32171441 -2645732 2215975 56709 27253025 26457643 6382299 604984 63517 32171441 25568084 2030778 1141219 26457643 26196094 20000 490136 1100782 37364 25568084 0.00000 0.23890 0.76110 0 0 7637269 7637269 168330941 35036552 133294389 26532257 8680243 17852014 95515380 70998342 24517038 13872741 13872741 197173451 ST ENDOWMENT INVESTMENTS 23414738 C LT ENDOWMENT INVESTMENTS 20738670 C INVESTMENTS HELD BY TRUSTEE 8367195 C 52520603 OTHER RECEIVABLES 2729610 DUE FROM AFFILIATES 82302178 RIGHT OF USE ASSETS 5517687 OTHER ASSETS 11160921 101710396 DUE TO THIRD PARTY AGENCIES 16791929 ACCRUED PENSION & POST RETIREMENT 2250130 LEASE LIABILITY 5517686 24559745 X PART V, LINE 4: THE ORGANIZATION'S ENDOWMENT FUNCTIONS TO SUPPORT AND PROVIDE INCOME FOR THE FURTHERANCE OF THE HEALTHCARE MISSION OF LAWRENCE + MEMORIAL HOSPITAL. PART X, LINE 2: LAWRENCE + MEMORIAL HOSPITAL IS INCLUDED IN THE CONSOLIDATED YALE NEW HAVEN HEALTH SYSTEM AND SUBSIDIARIES AUDITED FINANCIAL STATEMENTS. FOLLOWING IS THE FOOTNOTE FROM THE CONSOLIDATED FINANCIAL STATEMENTS: MOST ENTITIES WITHIN THE SYSTEM ARE NOT FOR PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE CODE, AND ARE GENERALLY EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE CODE. PROVISIONS FOR INCOME TAXES AND DEFERRED TAXES, WHERE APPLICABLE, HAVE BEEN MADE FOR THE TAXABLE ENTITIES LISTED ABOVE UNDER THE DESCRIPTION OF THE SYSTEM. GAAP REQUIRES THE SYSTEM TO EVALUATE TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN THE COURSE OF PREPARING THE SYSTEM'S TAX RETURNS TO DETERMINE WHETHER THE TAX POSITIONS ARE "MORE LIKELY THAN NOT" OF BEING SUSTAINED BY THE APPLICABLE TAX AUTHORITY BASED UPON THE TECHNICAL MERITS OF THE POSITION. THE SYSTEM RECOGNIZES THE EFFECT OF TAX POSITIONS ONLY IF THEY ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. THIS EVALUATION HAD NO IMPACT ON THE OPERATIONS OF THE SYSTEM AS OF AND FOR THE YEARS ENDED SEPTEMBER 30, 2023 AND 2022. FISHERS ISLAND GOLF TOURNAMENT 225200 156560 68640 72998 684 4538 225200 156560 68640 72998 684 4538 78220 -9580 1 1 1 X 250.000000000000 1 X 550.000000000000 1 1 1 0 1 1 0 10805 32103082 11014000 21089082 0.04540 0 70458 91221158 59824235 31396923 0.06760 0 0 0 0 81263 123324240 70838235 52486005 0.11300 8 5713 1061423 370692 690731 0.00150 3 2084 1663431 4000 1659431 0.00360 1 0 7557414 3960845 3596569 0.00770 0 0 0 0 4 229 26948365 13090 26935275 0.05800 16 8026 37230633 4348627 32882006 0.07080 16 89289 160554873 75186862 85368011 0.18380 0 0 0 0 0 0 0 0 1 0 1000 240 760 0.00000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1000 240 760 0.00000 1 13240000 88282399 115443459 -27161060 X 1 1 1 NONE 1 1 LAWRENCE MEMORIAL HOSPITAL 365 MONTAUK AVE NEW LONDON CT 06320 WWW.LMHOSPITAL.ORG 0047 X X X X LAWRENCE MEMORIAL HOSPITAL 0 0 1 X X X X X X X X X 21 1 0 1 1 X SEE PART V, SECTION C X 1 21 1 SEE PART V, SECTION C 0 1 X 250.000000000000 550.000000000000 X X X X X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X X 1 X 0 X X X X 1 X 0 0 LAWRENCE + MEMORIAL HOSPITAL PART V, SECTION B, LINE 5: COMMUNITY ENGAGEMENT AND FEEDBACK WERE AN INTEGRAL PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. LAWRENCE+MEMORIAL HOSPITAL AND ITS COMMUNITY PARTNERS SOUGHT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL. PUBLIC HEALTH AND HEALTH CARE PROFESSIONALS SHARED KNOWLEDGE AND EXPERTISE ABOUT HEALTH ISSUES, WHILE LEADERS AND REPRESENTATIVES OF NON-PROFIT AND COMMUNITY-BASED ORGANIZATIONS PROVIDED INSIGHT ON THE COMMUNITY SERVED BY THE HOSPITAL, INCLUDING MEDICALLY UNDERSERVED, LOW INCOME, AND MINORITY POPULATIONS.SCHEDULE H, PART V, SEC B, LINE 7A AND 10A:HTTPS://WWW.LMHOSPITAL.ORG/ABOUT/COMMUNITY-INVOLVEMENT/COMMUNITY-PARTNERSHIPS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT LAWRENCE + MEMORIAL HOSPITAL PART V, SECTION B, LINE 6B: YES, THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED WITH COMMUNITY PARTNERS THAT PROVIDED GUIDANCE, EXPERTISE, AND ONGOING COLLABORATION TO FOSTER COLLECTIVE IMPACT IN IMPROVING THE HEALTH AND WELLBEING OF THE GREATER NEW LONDON COMMUNITY. THIS INCLUDED THE HEALTH IMPROVEMENT COLLABORATIVE OF SOUTHEASTERN CONNECTICUT, WHOSE MEMBER ORGANIZATIONS ARE REPRESENTATIVE OF THOSE IN THE COMMUNITY WHO SERVE UNDERSERVED, LOW-INCOME, AND HARD TO REACH POPULATIONS. THIS APPROACH TO ASSESSMENT AND PLANNING AIMS TO ENGAGE AGENCIES, ORGANIZATIONS, AND RESIDENTS IN THE AREA THROUGH PARTICIPATORY AND COLLABORATIVE APPROACHES. LAWRENCE + MEMORIAL HOSPITAL PART V, SECTION B, LINE 11: LAWRENCE+MEMORIAL HOSPITAL DEVELOPED A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) TO GUIDE OUR EFFORTS IN RESPONDING TO OUR COMMUNITY'S NEEDS. USING RECOMMENDATIONS FROM THE PEOPLE WHO DELIVER AND USE THESE SERVICES, WE WILL FOSTER COLLABORATION TO BETTER COORDINATE OUR COMMUNITY RESOURCES. WE WILL SEEK TO BETTER CONNECT PEOPLE TO THE SERVICES THEY NEED AND REDUCE DISPARITIES IN HEALTH AND SOCIOECONOMIC MEASURES THAT STEM FROM UNDERLYING INEQUITIES IN OUR SOCIETY. WE USED THE TOP NEEDS IDENTIFIED THROUGH COMMUNITY ENGAGEMENT AS A FOUNDATION FOR OUR CHIP DEVELOPMENT TO ADDRESS THE NEEDS OF GREATEST CONCERN TO COMMUNITY MEMBERS. THESE INDIVIDUALS PROVIDED DIVERSE PERSPECTIVES ON HEALTH TRENDS, SHARED LIVED EXPERIENCES AMONG HISTORICALLY DISENFRANCHISED AND UNDERSERVED POPULATIONS, AND PROVIDED INSIGHTS INTO SERVICE DELIVERY GAPS THAT CONTRIBUTE TO HEALTH DISPARITIES AND INEQUITIES. THE COMMUNITY NEEDS ARE AFFORDABLE HEALTHCARE, BEHAVIORAL HEALTH, DRUG/ALCOHOL MISUSE, EDUCATION, FINANCIAL SECURITY, FOOD SECURITY AND HOUSING. THE CHIP PROVIDES DIRECTION FOR ADDRESSING THE HEALTH AND WELLBEING NEEDS OF THE COMMUNITY.THE CHIP WAS DEVELOPED BY A HOSPITAL TASK FORCE COMPRISED OF LEADERS FROM MULTIPLE DEPARTMENTS TO CAPTURE ALL HOSPITAL AND HEALTH SYSTEM EFFORTS THAT IMPACT THE HEALTH OF THE LOCAL COMMUNITY. CHIP GOALS REFLECT IDENTIFIED NEEDS AND WERE CONFIRMED THROUGH DISCUSSIONS WITH COMMUNITY LEADERS AND STAKEHOLDERS. OUR PRIORITY AREAS COME FROM THE TOP NEEDS IDENTIFIED BY THE CHNA AND ARE ALIGNED WITH THOSE OF OUR COLLECTIVE IMPACT PARTNERSHIP, THE HEALTH IMPROVEMENT COLLABORATIVE (HIC) OF SOUTHEASTERN CONNECTICUT: ACCESS TO CARE, BEHAVIORAL HEALTH, COMMUNITY HEALTH AND WELLBEING, AND HEALTHY LIVING. THESE PRIORITY AREAS REFLECT THE GREATEST NEEDS IN THE COMMUNITY WITH HEALTH SYSTEM AND HOSPITAL GENERATED STRATEGIES FOR ACTION AND ALIGNMENT WITH STATEWIDE EFFORTS IN THE STATE OF CONNECTICUT HEALTH IMPROVEMENT PLAN. LAWRENCE + MEMORIAL HOSPITAL PART V, SECTION B, LINE 13H: THESE PROGRAMS COVER EMERGENCY AND OTHER MEDICALLY NECESSARY CARE ONLY. LAWRENCE + MEMORIAL HOSPITAL PART V, SECTION B, LINE 16J: WEBSITE PROVIDES DIRECT EMAIL LINK TO FINANCIAL COUNSELORS. SCHEDULE H, PART V, SECTION B, LINE 16A, 16B AND 16C: WWW.LMHOSPITAL.ORG/PATIENTS-VISITORS/PATIENTS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE.ASPX 6 1 - LAWRENCE MEMORIAL HOSPITAL 224 GOLD STAR HIGHWAY GROTON CT 06340 SLEEP MEDICINE 2 - LAWRENCE MEMORIAL HOSPITAL 194 HOWARD STREET NEW LONDON CT 06320 MEDICAL FACILITY 3 - LAWRENCE MEMORIAL HOSPITAL 79 WAWECUS STREET NORWICH CT 06360 CARDIOLOGY, BLOOD DRAW 4 - LAWRENCE MEMORIAL HOSPITAL 91 VOLUNTOWN ROAD STONINGTON CT 06379 MEDICAL FACILITY 5 - LAWRENCE MEMORIAL HOSPITAL 412 OCEAN AVENUE NEW LONDON CT 06320 COVID TESTING SITE 6 - LAWRENCE MEMORIAL HOSPITAL 345 MONTAUK AVENUE NEW LONDON CT 06320 MEDICAL FACILITY PART I, LINE 3C: THE FINANCIAL ASSISTANCE POLICY PROVIDES THAT THE PATIENT MUST SUBMIT A FINANCIAL ASSISTANCE APPLICATION. PART I, LINE 7: THE HOSPITAL USES A COST ACCOUNTING SYSTEM, STRATA, TO CALCULATE THE AMOUNTS PRESENTED IN PART I, LINE 7 IN CONJUNCTION WITH ESTIMATING THE COST OF FREE CARE AND CHARITY CARE, THE RATIO OF COST TO CHARGE PERCENTAGE UTILITIZING THE COMPONENTS FROM THE HOSPITAL'S FINANCIAL STATEMENTS. PART II, COMMUNITY BUILDING ACTIVITIES: LAWRENCE+MEMORIAL HOSPITAL, ALONG WITH MANY OTHER HOSPITALS ACROSS THE COUNTRY, UTILIZES THE COMMUNITY BENEFITS INVENTORY FOR SOCIAL ACCOUNTABILITY (CBISA) DATABASE DEVELOPED BY LYON SOFTWARE TO CATALOG ITS COMMUNITY BENEFIT AND COMMUNITY BUILDING ACTIVITIES AND THE GUIDELINES DEVELOPED BY THE CATHOLIC HOSPITAL ASSOCIATION (CHA) TO CATALOG THESE BENEFITS. THESE TWO ORGANIZATIONS HAVE WORKED TOGETHER FOR OVER 30 YEARS TO PROVIDE SUPPORT TO NOT-FOR-PROFIT HOSPITALS TO DEVELOP AND SUSTAIN EFFECTIVE COMMUNITY BENEFIT PROGRAMS.THE MOST RECENT VERSION OF THE CHA GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFIT DEFINES COMMUNITY BUILDING ACTIVITIES AS ACTIVITIES THE ORGANIZATION ENGAGES IN TO PROTECT OR IMPROVE THE HEALTH AND SAFETY OF ITS RESIDENTS. THESE ACTIVITIES ARE CATEGORIZED INTO EIGHT DISTINCT AREAS INCLUDING PHYSICAL IMPROVEMENT AND HOUSING, ECONOMIC DEVELOPMENT, COMMUNITY SUPPORT, ENVIRONMENTAL IMPROVEMENTS, LEADERSHIP DEVELOPMENT AND TRAINING, COALITION BUILDING, COMMUNITY HEALTH IMPROVEMENT ADVOCACY, AND WORKFORCE DEVELOPMENT.L+M HOSPITAL ENHANCES THE LIVES OF THOSE WE SERVE BY PROVIDING ACCESS TO INTEGRATED, HIGH-VALUE, PATIENT-CENTERED CARE IN COLLABORATION WITH OTHERS WHO SHARE OUR VALUES. AS SUCH, L+M HOSPITAL IS INCREASINGLY AWARE OF HOW SOCIAL DETERMINANTS IMPACT THE HEALTH OF INDIVIDUALS AND COMMUNITIES. A PERSON'S HEALTH AND CHANCES OF BECOMING SICK AND DYING EARLY ARE GREATLY INFLUENCED BY POWERFUL SOCIAL FACTORS SUCH AS EDUCATION, INCOME, NUTRITION, HOUSING, AND NEIGHBORHOODS. DURING FISCAL YEAR 2023, L+M HOSPITAL PROVIDED $760 IN FINANCIAL AND IN-KIND DONATIONS IN THE AREA OF COMMUNITY BUILDING ACTIVITIES. THE HOSPITAL CONSIDERS THESE INVESTMENTS PART OF ITS OVERALL COMMITMENT OF BUILDING STRONGER NEIGHBORHOODS. LAWRENCE+MEMORIAL PROVIDES SUPPORT TO OTHER ORGANIZATIONS ADDRESSING THE ISSUE OF FOOD INSECURITY, SOCIAL COHESION, AND ECONOMIC VITALITY. PART III, LINE 2: LAWRENCE + MEMORIAL HOSPITAL ("L+M OR "L+M HOSPITAL") USES A COST REPORTING SYSTEM TO DETERMINE THE BAD DEBT EXPENSE. THE AMOUNT OF BAD DEBT EXPENSE (AT COST) REPORTED ON PART III, LINE 2 IS TAKEN DIRECTLY FROM THE AUDITED FINANCIAL STATEMENTS.DUE TO THE ADOPTION OF ASU NO. 2014-09 REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606) BAD DEBT EXPENSE IS NO LONGER REPORTED ON THE AUDITED FINANCIAL STATEMENTS. RATHER IT IS TREATED AS A PRICE CONCESSION. BAD DEBT IS DETERMINED IF THERE WAS AN ADVERSE EVENT THAT PREVENTED A PATIENT FROM BEING ABLE TO PAY THE EXPECTED AMOUNT. FOR THE PATIENTS WHO WERE DETERMINED BY THE HOSPITAL TO HAVE THE ABILITY TO PAY UNCOLLECTED AMOUNTS BUT DID NOT, THESE UNCOLLECTED AMOUNTS ARE TREATED AS IMPLICIT PRICE CONCESSIONS. THE HOSPITAL IS REPORTING BOTH BAD DEBT AND IMPLICIT PRICE CONCESSIONS ON SCHEDULE H, PART III, LINE 2. PART III, LINE 3: THE ORGANIZATION DOES NOT CURRENTLY HAVE A METHODOLOGY TO ACCURATELY QUANTIFY OR ESTIMATE THE AMOUNT OF BAD DEBT EXPENSE THAT WOULD BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. PART III, LINE 4: LAWRENCE + MEMORIAL HOSPITAL IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS FOR YALE NEW HAVEN HEALTH SERVICES CORPORATION (YNHHSC). THE CONSOLIDATED FINANCIAL STATEMENTS FOR YNHHSC INCLUDES THE FOLLOWING FOOTNOTE REGARDING UNCOMPENSATED CARE AND COMMUNITY BENEFIT EXPENSE ON PAGE 20:THE SYSTEM'S COMMITMENT TO COMMUNITY SERVICE IS EVIDENCED BY SERVICES PROVIDED TO THE POOR AND BENEFITS PROVIDED TO THE BROADER COMMUNITY. SERVICES PROVIDED TO THE POOR INCLUDE SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD HEALTHCARE BECAUSE OF INADEQUATE RESOURCES, AND/OR WHO ARE UNINSURED OR UNDERINSURED.THE SYSTEM PROVIDES FREE CARE PROGRAMS FOR QUALIFYING PATIENTS. IN ACCORDANCE WITH THE ESTABLISHED POLICIES OF THE SYSTEM, DURING THE REGISTRATION, BILLING, AND COLLECTION PROCESS, A PATIENT'S ELIGIBILITY FOR FREE CARE FUNDS IS DETERMINED. FOR PATIENTS WHO WERE DETERMINED BY THE SYSTEM TO HAVE THE ABILITY TO PAY BUT DID NOT, THE UNCOLLECTED AMOUNTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS. FOR PATIENTS WHO DO NOT AVAIL THEMSELVES OF ANY FREE CARE PROGRAM, AND WHOSE ABILITY TO PAY CANNOT BE DETERMINED BY THE SYSTEM, CARE GIVEN BUT NOT PAID FOR IS CLASSIFIED AS CHARITY CARE.TOGETHER, CHARITY CARE AND FREE CARE REPRESENT UNCOMPENSATED CARE. THE ESTIMATED COST OF TOTAL UNCOMPENSATED CARE IS APPROXIMATELY $78.8 MILLION AND $78.4 MILLION FOR THE YEARS ENDED SEPTEMBER 30, 2023 AND 2022, RESPECTIVELY. THE ESTIMATED COST OF UNCOMPENSATED CARE IS BASED ON THE RATIO OF COST TO CHARGES, AS DETERMINED BY HOSPITAL SPECIFIC DATA.THE ALLOCATION BETWEEN IMPLICIT PRICE CONCESSION AND CHARITY CARE IS DETERMINED BASED ON MANAGEMENT'S ANALYSIS ON THE PREVIOUS 12 MONTHS OF HOSPITAL DATA. THIS ANALYSIS CALCULATES THE ACTUAL PERCENTAGE OF ACCOUNTS WRITTEN OFF OR DESIGNATED AS IMPLICIT PRICE CONCESSIONS VERSUS CHARITY CARE WHILE TAKING INTO ACCOUNT THE TOTAL COSTS INCURRED BY THE SYSTEM FOR EACH ACCOUNT ANALYZED.THE CONNECTICUT DISPROPORTIONATE SHARE HOSPITAL PROGRAM (CDSHP) WAS ESTABLISHED TO PROVIDE FUNDS TO HOSPITALS FOR THE PROVISION OF UNCOMPENSATED CARE AND IS FUNDED, IN PART, BY AN ASSESSMENT ON HOSPITAL PATIENT SERVICE REVENUE. THE SYSTEM MADE PAYMENTS INTO THE CDSHP OF $317.9 MILLION AND $317.2 MILLION FOR THE YEARS ENDED SEPTEMBER 30, 2023 AND 2022, RESPECTIVELY, FOR THE ASSESSMENT.DURING THE YEARS ENDED SEPTEMBER 30, 2023 AND 2022, THE SYSTEM RECEIVED $198.2 MILLION AND $197.3 MILLION, RESPECTIVELY, IN CDSHP DISTRIBUTIONS. THESE ARE RECORDED IN PATIENT SERVICE REVENUE.ADDITIONALLY, THE SYSTEM PROVIDES BENEFITS FOR THE BROADER COMMUNITY, WHICH INCLUDES SERVICES PROVIDED TO OTHER NEEDY POPULATIONS THAT MAY NOT QUALIFY AS POOR BUT NEED SPECIAL SERVICES AND SUPPORT. BENEFITS INCLUDE THE COST OF HEALTH PROMOTION AND EDUCATION OF THE GENERAL COMMUNITY, INTERNS AND RESIDENTS, HEALTH SCREENINGS, AND MEDICAL RESEARCH. THE BENEFITS ARE PROVIDED THROUGH THE COMMUNITY HEALTH CENTERS, SOME OF WHICH SERVICE NON ENGLISH SPEAKING RESIDENTS, DISABLED CHILDREN, AND VARIOUS COMMUNITY SUPPORT GROUPS. THE SYSTEM VOLUNTARILY ASSISTS WITH THE DIRECT FUNDING OF SEVERAL CITY OF NEW HAVEN PROGRAMS, INCLUDING AN ECONOMIC DEVELOPMENT PROGRAM AND A YOUTH INITIATIVE PROGRAM.IN ADDITION TO THE QUANTIFIABLE SERVICES DEFINED ABOVE, THE SYSTEM PROVIDES BENEFITS TO THE COMMUNITY THROUGH ITS ADVOCACY OF COMMUNITY SERVICE BY EMPLOYEES. THE SYSTEM'S EMPLOYEES SERVE NUMEROUS ORGANIZATIONS THROUGH BOARD REPRESENTATION, MEMBERSHIP IN ASSOCIATIONS AND OTHER RELATED ACTIVITIES. THE SYSTEM ALSO SOLICITS THE ASSISTANCE OF OTHER HEALTHCARE PROFESSIONALS TO PROVIDE THEIR SERVICES AT NO CHARGE THROUGH PARTICIPATION IN VARIOUS COMMUNITY SEMINARS AND TRAINING PROGRAMS. PART III, LINE 8: THE MEDICARE SHORTFALL REPORTED IN PART III, LINE 7 WAS CALCULATED BASED ON COST REPORTING. THE COSTING METHOD WAS FROM THE MEDICARE COST REPORT'S OWN METHODOLOGY OF ALLOCATING COST BY DEPARTMENT AND DERIVING A RATIO OF COST TO CHARGES. THIS AMOUNT SHOULD BE TREATED AS COMMUNITY BENEFIT BECAUSE THE RATES PAID BY MEDICARE DO NOT ACCURATELY REFLECT THE COST OF CARE PROVIDED BY LAWRENCE & MEMORIAL HOSPITAL. ACCORDINGLY, LAWRENCE + MEMORIAL HOSPITAL MUST SUBSIDIZE THE COST OF CARE PROVIDED TO MEDICARE BENEFICIARIES WITH OTHER REVENUES. PART III, LINE 9B: IT IS THE HOSPITAL'S POLICY TO TREAT ALL PATIENTS EQUITABLY WITH RESPECT AND COMPASSION, FROM THE BEDSIDE TO THE BILLING OFFICE. THE HOSPITAL WILL PURSUE PATIENT ACCOUNTS, DIRECTLY AND THROUGH ITS COLLECTION AGENTS, FAIRLY AND CONSISTENTLY TAKING INTO CONSIDERATION DEMONSTRATED FINANCIAL NEED. AS PART OF ITS COLLECTION PROCESS, THE HOSPITAL WILL MAKE REASONABLE EFFORTS TO DETERMINE IF AN INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER ITS FINANCIAL ASSISTANCE POLICY. IN THE EVENT A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE, THE HOSPITAL WILL NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTION AS DEFINED BY LAW AND HOSPITAL POLICY. PART VI, LINE 2: COMMUNITY NEEDS ARE ROUTINELY REVIEWED AND ADDRESSED AS PART OF THE OPERATIONS AND SERVICE LINE TEAMS AT LAWRENCE+MEMORIAL HOSPITAL. THESE MULTI-DISCIPLINARY GROUPS PROVIDE ANALYSIS AND INSIGHT INTO PATIENT UTILIZATION TRENDS ACROSS OUR DELIVERY OF CARE AND ARE REVIEWED IN TANDEM WITH CARE MANAGEMENT AND PATIENT SATISFACTION RESULTS AND OTHER COMMUNITY FEEDBACK. COUPLED WITH THE RECENTLY COMPLETED COMMUNITY NEEDS ASSESSMENT, THIS INFORMATION ASSISTS WITH THE DEVELOPMENT OF NEW INITIATIVES, PARTNERSHIPS, PROGRAMS, AND SERVICES TO BENEFIT OUR COMMUNITY. PART VI, LINE 3: LAWRENCE + MEMORIAL HOSPITAL INFORMS INDIVIDUALS ABOUT ITS FINANCIAL ASSISTANCE PROGRAMS ON ITS WEBSITE, THROUGH VISIBLE POSTINGS AND COMMUNICATIONS AT POINTS OF REGISTRATION AND FRONT LINE ACCESS. THE FINANCIAL ASSISTANCE POLICY, APPLICATION AND SUMMARY ARE AVAILABLE ONREQUEST WITHOUT CHARGE BY MAIL, INCLUDING AT THE ADMITTING DEPARTMENT. FURTHER, PATIENTS RECEIVE A SUMMARY OF FINANCIAL ASSISTANCE PROGRAMS, INCLUDING ELIGIBILITY REQUIREMENTS THROUGH A FIRST STATEMENT MAILER AS PART OF THE BILLING PROCESS. THESE COMMUNICATIONS INCLUDE TELEPHONE NUMBERS AND THE POINT OF CONTACT FOR INDIVIDUALS TO VISIT OR CALL. THEHOSPITAL HAS RESOURCES TO ASSIST PATIENTS WITH STATE OF CONNECTICUT MEDICAID APPLICATIONS. PART VI, LINE 4: TO DEFINE COMMUNITY FOR COMMUNITY HEALTH NEEDS ASSESSMENT PURPOSES, L+M HOSPITAL USES A GEOGRAPHIC APPROACH FOCUSING ON THE 10 TOWNS ALONG THE CONNECTICUT SHORELINE BETWEEN RHODE ISLAND AND THE CONNECTICUT RIVER: EAST LYME, GROTON, LEDYARD, LYME, MONTVILLE, NEW LONDON, NORTH STONINGTON, OLD LYME, STONINGTON, AND WATERFORD. THESE COMMUNITIES ARE SERVED BY L+M HOSPITAL REPRESENTING APPROXIMATELY 50% OF TOTAL DISCHARGES AND DO NOT OVERLAP WITH CHNA AREAS IDENTIFIED BY OTHER ACUTE CARE HOSPITALS AND/OR COLLABORATIONS. UPON DEFINING THE GEOGRAPHIC AREA AND POPULATION SERVED IN GREATER NEW LONDON, L+M HOSPITAL WAS DILIGENT TO ENSURE THAT NO GROUPS, ESPECIALLY MINORITY, LOW-INCOME OR MEDICALLY UNDER-SERVED, WERE EXCLUDED.NUMEROUS FACTORS ARE ASSOCIATED WITH THE HEALTH OF A COMMUNITY INCLUDING WHAT RESOURCES AND SERVICES ARE AVAILABLE AS WELL AS WHO LIVES IN THE COMMUNITY. WHILE INDIVIDUAL CHARACTERISTICS SUCH AS AGE, GENDER, RACE, AND ETHNICITY HAVE AN IMPACT ON PEOPLE'S HEALTH, THE DISTRIBUTION OF THESE CHARACTERISTICS ACROSS A COMMUNITY IS ALSO CRITICALLY IMPORTANT AND CAN AFFECT THE NUMBER AND TYPE OF SERVICES AND RESOURCES AVAILABLE. THE GREATER NEW LONDON REGION HAS A POPULATION OF 151,774. THE LIFE EXPECTANCY IN YEARS ACROSS THE REGION VARIES BETWEEN 83.9 YEARS IN ONE SHORELINE TOWN TO 77.2 YEARS IN NEW LONDON. IN GREATER NEW LONDON 74% OF THE TOTAL POPULATION IDENTIFIED AS WHITE, 12% AS HISPANIC, AND 5% AS BLACK. IN THE CITY OF NEW LONDON, 45% IDENTIFIED AS WHITE, 33% HISPANIC AND 13% BLACK. THE TOWNS IN THE REGION VARY DRAMATICALLY IN TERMS OF THEIR RACIAL AND ETHNIC COMPOSITION BUT ARE ALL GROWING MORE DIVERSE THAN THE STATE OF CONNECTICUT WITH 67% OF THE POPULATION IDENTIFYING AS WHITE, 16% HISPANIC, AND 10% BLACK. EACH AREA INCLUDED 7 TO 9% OF THE POPULATION THAT IDENTIFIED AS OTHER.INCOME AND POVERTY ARE CLOSELY CONNECTED TO HEALTH OUTCOMES. A HIGHER INCOME MAKES IT EASIER TO LIVE IN A SAFE NEIGHBORHOOD WITH GOOD SCHOOLS AND MANY RECREATIONAL OPPORTUNITIES. HIGHER WAGE EARNERS ARE BETTER ABLE TO BUY MEDICAL INSURANCE AND MEDICAL CARE, PURCHASE NUTRITIOUS FOODS, AND OBTAIN QUALITY CHILDCARE THAN THOSE EARNING LOWER WAGES. COMMUNITIES WHERE RESIDENTS HAVE LOWER INCOME LEVELS HAVE BEEN SHOWN TO HAVE HIGHER RATES OF ASTHMA, DIABETES, AND HEART DISEASE, AND LOWER LIFE EXPECTANCIES. THERE WERE WIDE GAPS IN MEDIAN HOUSEHOLD INCOME, RANGING FROM $46,298 IN NEW LONDON TO $100,435 IN LYME. THE PROPORTION OF RESIDENTS IN THE GREATER NEW LONDON REGION WITH A COLLEGE DEGREE OR HIGHER (37%) WAS ROUGHLY THE SAME AS THE STATE OVERALL (39%). ONLY 25% OF CITY OF NEW LONDON ADULTS HAD A COLLEGE DEGREE OR HIGHER. THIS DATA DEMONSTRATES THAT THERE ARE SIGNIFICANT INEQUITIES RELATED TO HIGHER EDUCATION WITH BETWEEN 63 AND 75% OF THE POPULATION WITH NO HIGH SCHOOL DIPLOMA OR A HIGH SCHOOL DIPLOMA OR EQUIVALENT AND SOME COLLEGE. PART VI, LINE 5: AS A COMMUNITY HEALTH CARE SERVICES PROVIDER, L+M HOSPITAL REMAINS ATTENTIVE TO HEALTH AND WELL-BEING THROUGH EDUCATION, OUTREACH, AND OTHER INNOVATIVE SERVICES. DURING 2023, L+M INVESTED $85.4 MILLION IN FINANCIAL AND IN-KIND CONTRIBUTIONS THROUGH FIVE WIDE-RANGING PROGRAMS: GUARANTEEING ACCESS TO CARE; ADVANCING CAREERS IN HEALTH CARE; PROMOTING HEALTH & WELLNESS; BUILDING STRONGER NEIGHBORHOODS; AND CREATING HEALTHIER COMMUNITIES.L+M HOSPITAL ALSO CONTRIBUTES TO THE COMMUNITY IN WAYS THAT ARE NOT QUANTIFIED AS PART OF COMMUNITY BENEFITS AND SERVES AS AN IMPORTANT COMMUNITY RESOURCE. THIS INCLUDES HAVING A COMMUNITY-BASED BOARD OF TRUSTEES WITH A MAJORITY MEMBERS RESIDING OR WORKING IN THE AREA SERVED BY THE HOSPITAL THE HOSPITAL ALSO EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY. IN FISCAL YEAR 2023 THERE WERE A TOTAL OF 824 MEMBERS ON THE L+M HOSPITAL MEDICAL STAFF. L+M HOSPITAL, FOUNDED IN 1912, IS A 308-BED HOSPITAL SERVING 16,090 INPATIENTS AND 352,286 OUTPATIENT ENCOUNTERS IN 2023. LAWRENCE + MEMORIAL INCLUDES SOUTHEASTERN CONNECTICUT'S ONLY NEWBORN INTENSIVE CARE UNIT, A WOUND AND HYPERBARIC CENTER, AND AN ACUTE REHABILITATION UNIT. THE SMILOW CANCER HOSPITAL CARE CENTER IN WATERFORD, CONNECTICUT, PROVIDES MEDICAL ONCOLOGY SERVICES, GYNECOLOGIC ONCOLOGY, AND RADIATION ONCOLOGY L+M HOSPITAL IS ONE OF THE LARGEST PRIVATE EMPLOYERS IN SOUTHEASTERN CT WITH 2,509 EMPLOYEES IN 2023. PART VI, LINE 6: THE ENTITIES OF LAWRENCE+MEMORIAL HEALTHCARE INCLUDING L+M HOSPITAL, THE VISITING NURSE ASSOCIATION OF SOUTHEASTERN CT (VNASC), AND WESTERLY HOSPITAL ARE PART OF YALE NEW HAVEN HEALTH. THE YALE NEW HAVEN HEALTH SYSTEM'S FUNDAMENTAL MISSION IS TO ENSURE THAT THE DELIVERY NETWORKS SUCH AS L+M HOSPITAL ASSOCIATED WITH THE SYSTEM PROMOTE THE HEALTH OF THE COMMUNITIES THEY SERVE AND ENSURE THAT ALL PATIENTS HAVE ACCESS TO APPROPRIATE HEALTHCARE SERVICES. THE YALE NEW HAVEN HEALTH SYSTEM REQUIRES ITS HOSPITALS TO INCORPORATE PLANS TO PROMOTE HEALTHY COMMUNITIES WITHIN THE HOSPITAL'S EXISTING BUSINESS PLANS AND IMPLEMENTATION STRATEGIES FOR WHICH THEY ARE HELD ACCOUNTABLE. IN ADDITION, REGULAR REPORTING ON COMMUNITY BENEFITS IS REQUIRED ON A ROUTINE BASIS. PART VI, LINE 7, REPORTS FILED WITH STATES CT 1 FRESH NEW LONDON CO TSNE 89 SOUTH STREET SUITE 700 BOSTON MA 02111 042261109 501(C)(3) 75000 0 SUPPORT ORGANIZATION NEW LONDON HOMELESS HOSPITALITY CENTER INC 730 STATE PIER ROAD PO BOX 1651 NEW LONDON CT 06320 205606908 501(C)(3) 20520 0 SUPPORT ORGANIZATION JDRF 200 VESEY STREET 28TH FLOOR NEW YORK NY 10281 231907729 501(C)(3) 8300 0 SUPPORT ORGANIZATION 3 SPECIAL PATIENT PURCHASES 94 15902 FMV PATIENT SUPPORT PATIENT TRANSPORTATION 3504 154221 FMV TAXI, ETC. FORM 990, SCHEDULE I, PART IV NONE OF THE AMOUNTS REPORTED ON SCHEDULE I, PART II ARE GRANTS. THESE AMOUNTS ARE DONATIONS AND SPONSORSHIPS GIVEN TO ORGANIZATIONS TO ASSIST IN THE FURTHERANCE OF ITS CHARITABLE MISSION. LAWRENCE + MEMORIAL HOSPITAL ("LMH") CARRIES OUT DUE DILIGENCE IN PROVIDING MONETARY ASSISTANCE ONLY TO QUALIFYING 501(C)(3) OR ORGANIZATIONS THAT COMPLEMENT ITS MISSION OR SUPPORT SERVED. LMH VERIFIES EACH ORGANIZATION'S EIN AS LISTED ON IRS FORM W-9 THAT HAS BEEN SUBMITTED TO LMH. ASSISTANCE DONATED BY LMH TO THESE QUALIFYING ORGANIZATIONS IS NOT OUTCOMES-BASED AND IS GIVEN IN SUPPORT OF AN INDIVIDUAL ORGANIZATION'S FUNDRAISING EVENTS OR IN SUPPORT OF DIRECT SERVICES. ASSISTANCE PROVIDED TO PATIENTS IS ON AN AS NEEDED BASIS IN SUPPORT OF THE INDIVIDUAL'S HEALTH AND WELLNESS. LMH MAINTAINS FULL AND COMPLETE RECORDS OF ALL MONETARY ASSISTANCE PROVIDED BUT LMH DOES NOT MONITOR SPECIFIC FUNDS. 0 1 0 0 0 0 0 1 0 WILLIAM J ASELTYNE TRUSTEE (CURRENT YR COMP) 0 977723 0 268691 0 120634 0 175550 0 24455 0 1567053 0 0 WILLIAM J ASELTYNE TRUSTEE (VESTED DEFERRED) 0 0 0 0 0 4635093 0 0 0 0 0 4635093 0 2023692 PATRICK L GREEN PRESIDENT/TRUSTEE 391438 391438 115258 115258 35929 35929 173986 173986 12078 12078 728689 728689 0 0 OLIVER MAYORGA VP/CMO 441015 189006 86916 37250 23883 10236 60893 26097 17259 7397 629966 269986 0 0 RICHARD LISITANO PRESIDENT/TRUSTEE 276447 184298 67932 45288 33392 22261 120320 80213 10979 7319 509070 339379 0 0 STEPHEN ALLEGRETTO FORMER OFFICER 0 0 0 115188 0 653542 0 0 0 0 0 768730 0 444188 DENISE FIORE FORMER OFFICER 0 244952 0 143170 0 205688 0 17756 0 4751 0 616317 0 106000 CRAIG MITTLEMAN ED MEDICAL DIRECTOR 500920 0 50000 0 1953 0 12200 0 23587 0 588660 0 0 0 BENJAMIN ARMSTRONG ED PHYSICIAN 503137 0 10050 0 300 0 12200 0 23753 0 549440 0 0 0 MICHAEL JOSEPH ED PHYSICIAN 476724 0 14760 0 269 0 12200 0 23753 0 527706 0 0 0 KERIN DACRUZ VP/CNO 398753 0 81543 0 1242 0 12200 0 23142 0 516880 0 0 0 JOSHUA MORRIS TREASURER/SECRETARY/VP 205282 205282 25000 25000 1645 1645 4575 4575 12414 12414 248916 248916 0 0 ANTHONY NOTO ED PHYSICIAN 451147 0 6474 0 240 0 12200 0 9841 0 479902 0 0 0 PETER WILLIS ED PHYSICIAN 411978 0 13400 0 690 0 12200 0 23587 0 461855 0 0 0 MAUREEN ANDERSON FORMER OFFICER 0 278175 0 54740 0 17523 0 14036 0 20145 0 384619 0 0 PRATHIBHA VARKEY FORMER TRUSTEE 0 0 0 0 0 361875 0 0 0 0 0 361875 0 319500 PART I, LINE 3 THE FILING ORGANIZATION DOES NOT HAVE AND/OR COMPENSATE ITS OWN CEO/EXECUTIVE DIRECTOR. THESE POSITIONS ARE FILLED BY EMPLOYEES OF A RELATED ORGANIZATION(S) AND COMPENSATED THROUGH THE RESPECTIVE RELATED ORGANIZATION(S). THE METHOD(S) USED BY THE RELATED ORGANIZATION(S) FOR DETERMINING COMPENSATION FOR THESE INDIVIDUALS ARE: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINE 4B THE INDIVIDUAL(S) LISTED BELOW PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN OF A RELATED ORGANIZATION. THESE ACCRUALS ARE INCLUDED IN THE AMOUNTS REPORTED IN PART II, COLUMN C (DEFERRED COMPENSATION) AND REPRESENTS BOTH THE REPORTING ENTITY'S AND RELATED ENTITY'S COMBINED AMOUNTS THAT HAVE NOT YET BEEN VESTED CONSISTENT WITH THE COMPENSATION REPORTING PER IRS. SEVERANCE NONQUALIFIED EQUITY-BASED PATRICK GREEN $0 $207,474 $0 RICHARD LISITANO $0 $ 87,183 $0 THE SUPPLEMENTAL RETIREMENT INCOME PLAN (SRIP) / EXECUTIVE DEFERRED COMPENSATION ACCOUNT PLAN (EDCAP) ARE DESIGNED TO ENSURE THE PAYMENT OF A COMPETITIVE LEVEL OF RETIREMENT INCOME WHEN ADDED TO OTHER SOURCES OF RETIREMENT INCOME IN ORDER TO ATTRACT AND RETAIN KEY MANAGEMENT EMPLOYEES SERVING AS SENIOR LEADERS. THE PLAN PROVIDES SUPPLEMENTAL RETIREMENT INCOME THROUGH AN UNFUNDED, NONQUALIFIED DEFERRED COMPENSATION ARRANGEMENT UNDER SECTION 457(F) AND THROUGH A DEFERRED COMPENSATION PLAN UNDER SECTION 409A OF THE INTERNAL REVENUE CODE AND A MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES' PLAN UNDER THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974 (ERISA). THE INDIVIDUAL(S) LISTED BELOW BECAME VESTED IN BENEFITS VALUED AT THE AMOUNT RESPECTIVELY REPORTED BELOW DURING THE REPORTING YEAR. INCLUDED IN SECTION II, COLUMN B (III) IS THE AMOUNT VESTED DURING THE 2022 CALENDAR YEAR THAT IS RECOGNIZED AS A TAXABLE EVENT AND REPORTED IN THE INDIVIDUAL'S 2022 CALENDAR YEAR FORM W-2. SRIP EDCAP WILLIAM ASELTYNE $ 4,635,093 $0 THE FORMER OFFICER(S) BELOW RECEIVED PAYMENTS THROUGHOUT THE YEAR FROM THE NONQUALIFIED PLAN. THE FOLLOWING PAYMENTS WERE MADE DIRECTLY TO THEM FROM THE RABBI TRUST: STEPHEN ALLEGRETTO $58,565 PART I, LINE 7 THE SHORT TERM INCENTIVE PLAN (STIP) IS A VARIABLE COMPENSATION PLAN WHICH PROVIDES ONE-TIME PAYMENTS TO ELIGIBLE MEMBERS OF MANAGEMENT IN RECOGNITION OF THE ACCOMPLISHMENT OF KEY ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE OBJECTIVES. PERFORMANCE LEVELS ARE ESTABLISHED AND REVIEWED ANNUALLY AT THRESHOLD, TARGET AND MAXIMUM LEVELS, ACCORDING TO PLANNED "STRETCH" GOALS AND OBJECTIVES. INCENTIVE AWARD OPPORTUNITIES ARE ESTABLISHED ACCORDING TO MARKET PRACTICES BASED ON EACH ELIGIBLE POSITION'S RESPONSIBILITIES, PERFORMANCE AND LEVEL OF AUTHORITY. PERFORMANCE RELATIVE TO STIP AWARD OPPORTUNITIES INCORPORATES A BROAD SPECTRUM OF PRE-DEFINED FINANCIAL AND NON-FINANCIAL METRICS THAT ARE ALIGNED WITH ORGANIZATIONAL MISSION AND VALUES. A CHEFA-SERIES G 060806186 000000000 2013-10-10 30000000 CONSTRUCTION 0 0 0 A 9440000 30000152 299001 29701151 2014 0 0 1 1 A 0 1 1 1 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 0 1 0 0 0 0 1 A 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: CHEFA-SERIES G DATE THE REBATE COMPUTATION WAS PERFORMED: 10/10/2018 PART II, LINE 3: SERIES G THE DIFFERENCE BETWEEN THE ISSUE PRICE REPORTED ON PART I, COLUMN (E) AND TOTAL PROCEEDS REPORTED ON PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS. PART III, LINE 3C THE ORGANIZATION IS A MEMBER OF THE YALE NEW HAVEN HEALTH OBLIGATED GROUP ("YNHHS"). YNHHS HAS IN-HOUSE LEGAL COUNSEL STAFF WHO REVIEW MANAGEMENT, OR SERVICE CONTRACTS AND RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY TO ENSURE THAT SUCH AGREEMENTS ARE COMPLIANT WITH APPLICABLE SAFE HARBORS. IN-HOUSE COUNSEL CONSULTS WITH THE HOSPITAL'S OUTSIDE BOND COUNSEL AS NEEDED, INCLUDING ON NON-ROUTINE ISSUES. PART III, LINE 9 & PART V AS PART OF THE YALE NEW HAVEN HEALTH OBLIGATED GROUP, THE ORGANIZATION HAS POLICIES AND PROCEDURES IN PLACE TO ENSURE COMPLIANCE WITH FEDERAL TAX LAW, AND TO TIMELY IDENTIFY NONCOMPLIANCE. SUBST CONTR #45 VENDOR 1228830 CONSTR 0 SUBST CONTR #48 VENDOR 8627519 CONSTR 0 X 8 212350 FAIR MARKET VALUE X 10800 739800 FAIR MARKET VALUE 0 0 0 0 PART I, COLUMN (B): THE ORGANIZATION IS REPORTING IN PART I, COLUMN (B), THE NUMBER OF CONTRIBUTIONS RECEIVED. SCHEDULE M, PART I, LINE 31: WHILE THE ORGANIZATION DOES NOT CURRENTLY HAVE A BOARD-APPROVED GIFT ACCEPTANCE POLICY, NONSTANDARD CONTRIBUTIONS ARE REVIEWED BY THE SENIOR VICE PRESIDENT OF DEVELOPMENT IN CONSULTATION WITH THE PRESIDENT AND OTHER STAKEHOLDERS AS APPROPRIATE DEPENDING ON THE NATURE OF THE PROPOSED GIFT (E.G., TAX AND REAL ESTATE DEPARTMENTS). FORM 990, PART III, LINE 4A: LAWRENCE + MEMORIAL HOSPITAL, A MEMBER OF YALE NEW HAVEN HEALTH SYSTEM ("YNHHS"), IS A NON-PROFIT, 280-BED GENERAL AND ACUTE CARE HOSPITAL PROVIDING PATIENT CARE TO MEDICAL, SURGICAL, PEDIATRIC, PSYCHIATRIC AND OBSTETRICAL PATIENTS IN SOUTHEASTERN CONNECTICUT AND SOUTHERN RHODE ISLAND. LAWRENCE + MEMORIAL OFFERS CARDIAC ACUTE, STEP-DOWN AND REHABILITATION PROGRAMS AND IS THE ONLY EASTERN CONNECTICUT HOSPITAL THAT PERFORMS EMERGENCY AND ELECTIVE ANGIOPLASTY. YNHHS HAS A FORMAL CLINICAL AFFILIATION AGREEMENT WITH YALE UNIVERSITY SCHOOL OF MEDICINE ("YSM"), A DIVISION OF YALE UNIVERSITY, TO SUPPORT PATIENT CARE, FACULTY, MEDICAL EDUCATION AND CLINICAL RESEARCH. YNHHS IS ALSO CLINICALLY AFFILIATED WITH YSM'S CLINICAL PRACTICE YALE MEDICINE ("YM"), WHICH IS A DIVISION OF YALE UNIVERSITY. AN ACADEMIC AFFILIATE OF YSM, THE HOSPITAL NETWORK OF ACUTE INPATIENT, AMBULATORY AND OUTPATIENT CARE RELIES ON ITS COLLECTIVE EXPERTISE TO IMPROVE PROCESSES, EMPOWER EMPLOYEES AND ENHANCE ACCESSIBILITY ALL WHILE ENSURING THE DELIVERY OF COMPASSIONATE, SAFE, HIGH-QUALITY CARE TO PATIENTS. TINY GAS-FILLED MICROBUBBLES EACH THE SIZE OF A RED BLOOD CELL ARE NOW BEING USED AS A CUTTING-EDGE CONTRAST AGENT FOR ULTRASOUND. THE MICROBUBBLE CONTRAST AGENT IMPROVES ABILITY TO DIAGNOSE, BIOPSY AND STUDY LESIONS IN A VARIETY OF ORGANS WITH SAFETY AND ACCURACY, AIDING PHYSICIANS IN DETERMINING THE BEST TREATMENT METHODS FOR SPECIFIC CANCERS. THE TECHNOLOGY CAN BE THE BEST CHOICE FOR SOME PATIENTS, ESPECIALLY THOSE WHO CAN'T UNDERGO MRI BECAUSE OF AN IMPLANTED DEVICE SUCH AS A PACEMAKER. LAWRENCE + MEMORIAL HOSPITAL ADDED A SOPHISTICATED BRAIN MONITORING DEVICE THAT PROVIDES EARLY IDENTIFICATION OF SILENT SEIZURES IN CRITICALLY ILL PATIENTS BEING TREATED IN THE HOSPITAL'S INTENSIVE CARE OR CRITICAL CARE UNITS. THE CERIBELL EEG RAPID RESPONSE MONITOR CONSISTS OF A SIMPLE HEADBAND AND A POCKET-SIZE DATA RECORDER. STAFF VIEW THE PATIENT'S NEUROLOGIC ACTIVITY REMOTELY VIA AN ONLINE PORTAL TO DETERMINE IF THE PATIENT IS HAVING A SEIZURE REQUIRING IMMEDIATE INTERVENTION. WITH THE MONITORING SYSTEM, THE MEDICAL TEAM IS ABLE TO PERFORM THE TEST IN THE PATIENT'S ROOM. YALE NEW HAVEN CHILDREN'S HOSPITAL OPENED A NEW PEDIATRIC SPECIALTY CENTER AT SHAWS COVE IN NEW LONDON. THE CENTER REPRESENTS THE LATEST ADVANCES BY YALE NEW HAVEN CHILDREN'S HOSPITAL AND LAWRENCE + MEMORIAL HOSPITAL TO ENHANCE CHILDREN'S HEALTH CARE IN THE REGION. THE CENTER FEATURES ACCESS TO LEADING SPECIALISTS IN ALLERGY/IMMUNOLOGY, ENDOCRINOLOGY AND GASTROENTEROLOGY. SMILOW CANCER HOSPITAL'S RADIATION ONCOLOGY CENTER IN WATERFORD WAS RE-ACCREDITED BY THE AMERICAN SOCIETY FOR RADIATION ONCOLOGY (ASTRO) THROUGH ITS APEX-ACCREDITATION PROGRAM FOR EXCELLENCE. APEX ACCREDITATION VALIDATES A RADIATION ONCOLOGY FACILITY'S EXCELLENCE IN DELIVERING SAFE, HIGH-QUALITY PATIENT CARE. THE PREVENTION OF CENTRAL LINE ASSOCIATED BLOODSTREAM INFECTIONS IS ESSENTIAL TO IMPROVE PATIENT SAFETY AND REDUCE HEALTHCARE COSTS. UNIT 5.2 AT LAWRENCE + MEMORIAL HOSPITAL JOINED THE HEALTH SYSTEM'S "1,000 DAY CLUB" FOR UNITS THAT ACHIEVE 1,000 DAYS WITHOUT CLABSI BY ADHERING TO STRINGENT PROTOCOLS TO MINIMIZE THE RISK OF INFECTION. THE PROGRAM INSTILLS DELIBERATE PRACTICE OF ATTENTION TO DETAIL AND EXTRAORDINARY TEAMWORK FOCUSING ON INFECTION PREVENTION HABITS. RECOGNIZING THAT ACCESSIBLE, HIGH-QUALITY HEALTHCARE RESTS ON ENSURING THAT EVERYONE HAS A FAIR AND JUST OPPORTUNITY TO BE AS HEALTHY AS POSSIBLE, REGARDLESS OF RACE OR ETHNICITY, LAWRENCE + MEMORIAL HOSPITAL JOINED THE HEALTH SYSTEM IN THE LAUNCH OF THE WE ASK BECAUSE WE CARE CAMPAIGN, A MULTI-PHASED INITIATIVE TO IMPROVE THE EQUITY, QUALITY AND SAFETY OF PATIENT CARE. PRESS GANEY RECOGNIZED THE PEQUOT HEALTH CENTER EMERGENCY DEPARTMENT WITH ITS HUMAN EXPERIENCE GUARDIAN OF EXCELLENCE AWARD. THE GUARDIAN OF EXCELLENCE AWARD IS GIVEN TO ORGANIZATIONS THAT HAVE ACHIEVED THE 95TH PERCENTILE OR HIGHER FOR PERFORMANCE IN PATIENT EXPERIENCE. PRESS GANEY WORKS WITH MORE THAN 41,000 HEALTHCARE FACILITIES IN ITS MISSION TO ENHANCE CAREGIVER RESILIENCE AND TO IMPROVE THE OVERALL SAFETY, QUALITY AND EXPERIENCE OF CARE. LAWRENCE + MEMORIAL HOSPITAL RECEIVED BABY-FRIENDLY USA REDESIGNATION WHICH CERTIFIES THAT THE HOSPITAL PROTECTS, PROMOTES AND SUPPORTS BREASTFEEDING. TO ACHIEVE THE DESIGNATION, HOSPITALS MUST INCORPORATE 10 STEPS TO SUCCESSFUL BREASTFEEDING WHICH INCLUDE KEEPING MOTHERS AND BABIES TOGETHER, FEEDING ON CUE, BREASTFEEDING SUPPORT GROUPS, PRENATAL EDUCATION ABOUT OPTIMAL INFANT FEEDING, TEACHING MOTHERS HOW TO INITIATE AND MAINTAIN LACTATION AND SAFE FORMULA PREPARATION FOR BOTTLE FEEDING BABIES. AS A COMMUNITY-BASED, NOT-FOR-PROFIT HEALTHCARE ORGANIZATION, LAWRENCE + MEMORIAL HOSPITAL SERVES ITS NEIGHBORHOODS AND THOSE MOST IN NEED BY FILLING THE GAPS IN HEALTHCARE SERVICES. WORKING WITH COMMUNITY RESIDENTS, HEALTH AND SOCIAL SERVICES EXPERTS, THE HOSPITAL RELEASED THE RESULTS OF ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE RESULTS ARE USED TO DEVELOP PROGRAMS AND SERVICES THAT TARGET THE SPECIFIC, UNIQUE NEEDS OF OUR COMMUNITIES. THE CHNA NOTED THAT FOOD INSECURITY IS AN ISSUE WITHIN COMMUNITIES SERVED. HOSPITAL EMPLOYEES JOINED THEIR HEALTH SYSTEM COLLEAGUES IN DONATING MORE THAN 8,650 POUNDS OF FOOD DURING THE 2023 GIVEHEALTHY FOOD DRIVE. IN CONJUNCTION WITH THE HEALTH SYSTEM, LAWRENCE + MEMORIAL HOSPITAL ALSO EXTENDED ACCESS TO DIGESTIVE HEALTH SERVICES THROUGH THE DIGESTIVE HEALTH CENTER IN WESTBROOK. THE CENTER OFFERS SPECIALTY CARE FOR COLORECTAL, HERNIA, FATTY LIVER DISEASE AND FOREGUT ISSUES, ALONG WITH WEIGHT-LOSS SERVICES. THE LOCATION INCLUDES A CENTER FOR WEIGHT MANAGEMENT, WHICH BRINGS TOGETHER EXPERTS IN MEDICAL AND SURGICAL WEIGHT-LOSS, ENDOCRINOLOGY, BEHAVIORAL HEALTH, NUTRITION AND EXERCISE PHYSIOLOGY. THE LEADERSHIP, MEDICAL STAFF AND EMPLOYEES OF LAWRENCE + MEMORIAL COLLABORATED THROUGHOUT THE YEAR ON INITIATIVES DESIGNED TO BALANCE FINANCIAL OPERATIONS AND ADVANCE A VALUE-BASED MODEL THAT ENABLES GROWTH IN INNOVATIVE PROGRAMS AND SERVICES FOR THE PATIENTS AND COMMUNITIES SERVED. FORM 990, PART VI, SECTION A, LINE 1A PART I, LINE 4 & PART VI, LINE 1B NUMBER OF INDEPENDENT VOTING MEMBERS OF THE GOVERNING BODY THE ORGANIZATION SOUGHT TO CONFIRM THE INDEPENDENCE OF EACH VOTING MEMBER OF ITS GOVERNING BODY BY REQUESTING THAT EACH SUCH VOTING MEMBER RESPOND TO A QUESTIONNAIRE CONTAINING THE PERTINENT INSTRUCTIONS AND DEFINITIONS AND DESIGNED TO ELICIT THE INFORMATION NECESSARY TO DETERMINE INDEPENDENCE. IN THE EVENT THAT THE ORGANIZATION DOES NOT RECEIVE A RESPONSE FROM ANY SUCH VOTING MEMBER, THE ORGANIZATION REVIEWS OTHER INFORMATION KNOWN TO IT REGARDING THE VOTING MEMBER AND MAKES A REASONABLE ASSESSMENT OF INDEPENDENCE BASED ON THAT INFORMATION. FORM 990, PART VI, SECTION A, LINE 2 CERTAIN OF THE ORGANIZATION'S CURRENT OFFICERS AND/OR TRUSTEES MAY SERVE AS OFFICERS AND/OR DIRECTORS OF AFFILIATES WITHIN THE ORGANIZATION'S CORPORATE SYSTEM OR JOINT VENTURES IN WHICH THE ORGANIZATION'S CORPORATE SYSTEM HAS AN OWNERSHIP INTEREST. THE INDIVIDUAL OFFICERS AND/OR TRUSTEES DO NOT HAVE PERSONAL FINANCIAL INTERESTS IN SUCH AFFILIATES AND SERVE ONLY AS A FUNCTION OF THEIR ROLES WITH THE ORGANIZATION OR WITHIN THE ORGANIZATION'S CORPORATE SYSTEM. FORM 990, PART VI, SECTION A, LINE 6 LAWRENCE + MEMORIAL CORPORATION IS THE SOLE MEMBER OF LAWRENCE + MEMORIAL HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7A LAWRENCE + MEMORIAL CORPORATION, AS SOLE MEMBER OF LAWRENCE + MEMORIAL HOSPITAL, ELECTS THE BOARD OF TRUSTEES OF LAWRENCE + MEMORIAL HOSPITAL, SUBJECT TO THE ADDITIONAL APPROVAL OF LAWRENCE + MEMORIAL CORPORATION'S SOLE MEMBER, YALE NEW HAVEN HEALTH SERVICES CORPORATION. FORM 990, PART VI, SECTION A, LINE 7B THE HOSPITAL'S SOLE MEMBER, LAWRENCE + MEMORIAL CORPORATION, HAS THE RIGHT TO ELECT THE BOARD OF TRUSTEES OF THE ORGANIZATION AND APPOINT THE PRESIDENT, AND HAS THE FOLLOWING ADDITIONAL RIGHTS, ALL SUBJECT THE ADDITIONAL APPROVAL OF ITS SOLE MEMBER, YALE NEW HAVEN HEALTH SERVICES CORPORATION: TO APPROVE OPERATING, CASH FLOW AND CAPITAL BUDGETS; TO APPROVE GRADUATE AND UNDERGRADUATE MEDICAL EDUCATION ARRANGEMENTS; TO APPROVE MAJOR NEW CLINICAL PROGRAMS AND SERVICES AND CONTINUATION OF SAME; APPROVAL OF STRATEGIC PLANS; AND ADOPTION OF SAFETY AND QUALITY ASSESSMENT POLICIES; TO APPROVE THE MERGER, CONSOLIDATION, DISSOLUTION OR THE SALE OF ALL OR SUBSTANTIALLY ALL THE ORGANIZATION'S ASSETS; TO AMEND THE CERTIFICATE OF INCORPORATION AND BYLAWS OF THE ORGANIZATION, TO APPROVE THE EXECUTION OF LONG-TERM OR MATERIAL AGREEMENTS, AND TO AUTHORIZE THE EXECUTION OF CONTRACTS WITH AN UNRELATED THIRD PARTY FOR MANAGEMENT OF THE ASSETS OR OPERATIONS OF THE ORGANIZATION. YALE-NEW HAVEN HEALTH SERVICES CORPORATION RETAINS THE FOLLOWING AUTHORITY: ADOPTION OF BUDGETARY TARGETS, INDEBTEDNESS, MANAGEMENT AND CONTROL OF LIQUID ASSETS, AND APPOINTMENT OF THE INDEPENDENT AUDITOR. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S PROCESS TO REVIEW FORM 990: THE FORM 990 TAX RETURN AND ATTACHED SCHEDULES WERE PREPARED BY EMPLOYEES OF THE YNHHS TAX DEPARTMENT. THE RETURN IS INITIALLY REVIEWED BY THE EXECUTIVE DIRECTOR OF CORPORATE FINANCE. SUBSEQUENTLY, IT IS SENT TO KPMG LLP FOR THEIR INITIAL REVIEW. AFTER ALL COMMENTS FROM THE ABOVE GROUPS ARE RECEIVED AND REVIEWED, THE RETURN IS THEN REVIEWED BY THE CHIEF FINANCIAL OFFICER OF THE ORGANIZATION AND A FINAL VERSION OF THE RETURN IS SENT BACK TO KPMG LLP FOR FINAL REVIEW. PRIOR TO FILING, THE ORGANIZATION MADE AVAILABLE A COMPLETE COPY OF THE RETURN TO ITS BOARD OF TRUSTEES BY WEB PORTAL. FORM 990, PART VI, SECTION B, LINE 12C LAWRENCE + MEMORIAL HOSPITAL IS COVERED UNDER THE YNHHS CONFLICT OF INTEREST POLICY APPROVED AND ADOPTED BY THE SYSTEM COMPLIANCE COMMITTEE, WHICH HAS BEEN DELEGATED THE AUTHORITY TO APPROVE AND ADOPT COMPLIANCE POLICIES ON BEHALF OF THE ENTITIES IN THE SYSTEM. THE YALE NEW HAVEN HEALTH SYSTEM CONFLICT OF INTEREST POLICY AND INDIVIDUAL ANNUAL DISCLOSURE FORM APPLIES TO A POOL OF EMPLOYEES, BOARD MEMBERS AND NON-BOARD MEMBERS SERVING ON BOARD COMMITTEES. THESE "COVERED INDIVIDUALS" ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT, UPON BEGINNING EMPLOYMENT OR OTHERWISE BECOMING A COVERED INDIVIDUAL AND ANNUALLY THEREAFTER. COVERED INDIVIDUALS ARE ALSO REQUIRED TO IMMEDIATELY REPORT MATERIAL CHANGES TO THEIR MOST RECENTLY COMPLETED DISCLOSURE STATEMENT. THESE DISCLOSURE STATEMENTS AND REPORTS ARE REVIEWED BY THE OFFICE OF PRIVACY AND CORPORATE COMPLIANCE AND/OR THE LEGAL AND RISK SERVICES DEPARTMENT TO ENSURE COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. IF A POTENTIAL CONFLICT ARISES, THE PRESIDENT AND CEO WOULD CONSULT WITH THE BOARD CHAIRPERSON AND THE LEGAL AND RISK SERVICES DEPARTMENT AND TAKE ANY ACTIONS THAT HE DEEMS REQUIRED OR APPROPRIATE TO MANAGE OR RESOLVE A POTENTIAL CONFLICT OF INTEREST. FOR EXAMPLE, A VOTING BOARD OR COMMITTEE MEMBER WOULD BE REQUIRED TO RECUSE HIMSELF OR HERSELF FROM VOTING ON MATTERS RELATED TO THE POTENTIAL CONFLICT AND THE POTENTIAL CONFLICT WOULD BE DISCLOSED TO OTHER VOTING MEMBERS. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION PROCESS FOR CEO/TOP OFFICIAL: THE TOP LMH OFFICIAL IS AN EMPLOYEE OF YNHHS. THE YNHHS COMPENSATION AND LEADERSHIP DEVELOPMENT COMMITTEE (THE "YNHHS COMPENSATION COMMITTEE"), WHICH INCLUDES A REPRESENTATIVE OF THE HOSPITAL, IS RESPONSIBLE FOR (1) DETERMINING THE OVERALL TOTAL COMPENSATION STRATEGY FOR YNHHS OFFICER-LEVEL EXECUTIVES, (2) APPROVING ALL COMPENSATION AND BENEFITS DECISIONS FOR YNHHS OFFICER-LEVEL EXECUTIVES, AND (3) REPORTING SUCH ACTIONS TO THE FULL YNHHS BOARD OF TRUSTEES ON AN ANNUAL BASIS. IN ADDITION, THE YNHHS COMPENSATION COMMITTEE EXPRESSLY DETERMINES THE REASONABLENESS OF TOTAL COMPENSATION AND BENEFITS FOR ALL YNHHS OFFICER-LEVEL EXECUTIVES, AND ASSURES THAT ALL OFFICER-LEVEL EXECUTIVE COMPENSATION DECISIONS ARE MADE AFTER THOROUGH CONSIDERATION OF AND COMPARISON TO THE MARKET PRACTICES OF OTHER SIMILARLY SITUATED ORGANIZATIONS. THE YNHHS COMPENSATION COMMITTEE CONSISTS OF TRUSTEES WHO DO NOT HAVE MATERIAL FINANCIAL INTERESTS THAT COULD BE AFFECTED BY THE OFFICER-LEVEL EXECUTIVE COMPENSATION DECISIONS MADE BY THE COMMITTEE. THE COMPARABILITY DATA USED TO ASSIST THE COMMITTEES IN ITS COMPENSATION DELIBERATIONS IS COMPILED BY AN INDEPENDENT, NATIONAL COMPENSATION CONSULTING FIRM THAT IS RETAINED BY AND REPORTS DIRECTLY TO THE YNHHS COMPENSATION COMMITTEE. THE DATA COLLECTED BY THE CONSULTANT CONSISTS OF MARKET INFORMATION FOR EXECUTIVES IN FUNCTIONALLY SIMILAR POSITIONS IN SIMILARLY SITUATED ORGANIZATIONS. THE DELIBERATIONS AND DECISIONS OF THE YNHHS COMPENSATION COMMITTEE IS CONTEMPORANEOUSLY DOCUMENTED, REVIEWED AND APPROVED BY THE COMMITTEE, AND PROVIDED TO THE BOARD OF TRUSTEES OF YNHHS AND LMH. FORM 990, PART VI, SECTION B, LINE 15B: COMPENSATION PROCESS FOR OTHER OFFICERS CERTAIN OFFICER-LEVEL EXECUTIVES ARE EMPLOYEES OF YNHHS, OTHER OFFICER-LEVEL EXECUTIVES ARE EMPLOYED DIRECTLY BY LMH. COMPENSATION DETERMINATIONS OF YNHHS EMPLOYEES ARE MADE BY THE YNHHS COMPENSATION COMMITTEE. COMPENSATION OF OFFICER-LEVEL EXECUTIVES EMPLOYED DIRECTLY BY LMH IS APPROVED BY THE L+M HEALTHCARE COMPENSATION COMMITTEE, THE COMPENSATION COMMITTEE OF THE ORGANIZATION'S SOLE MEMBER. FOR OFFICER-LEVEL EXECUTIVES EMPLOYED L+M HEALTHCARE'S EXECUTIVE COMPENSATION COMMITTEES IS RESPONSIBLE FOR (1) DETERMINING THE OVERALL TOTAL COMPENSATION STRATEGY FOR ITS, AND ITS AFFILIATES, OFFICER-LEVEL EXECUTIVES, (2) APPROVING ALL COMPENSATION AND BENEFITS DECISIONS FOR OFFICER-LEVEL EXECUTIVES, AND (3) REPORTING SUCH ACTIONS TO THE FULL BOARD ON AN ANNUAL BASIS, AS APPLICABLE. IN ADDITION, THE EXECUTIVE COMPENSATION COMMITTEE EXPRESSLY DETERMINES THE REASONABLENESS OF TOTAL COMPENSATION AND BENEFITS FOR ALL OFFICER-LEVEL EXECUTIVES EMPLOYED BY LMH, AND ASSURES THAT ALL OFFICER-LEVEL EXECUTIVE COMPENSATION DECISIONS ARE MADE AFTER THOROUGH CONSIDERATION OF AND COMPARISON TO THE MARKET PRACTICES OF OTHER SIMILARLY SITUATED ORGANIZATIONS. THE EXECUTIVE COMPENSATION COMMITTEE CONSISTS OF BOARD MEMBERS WHO DO NOT HAVE MATERIAL FINANCIAL INTERESTS THAT COULD BE AFFECTED BY THE COMPENSATION DECISIONS MADE BY THE COMMITTEE. THE COMPARABILITY DATA USED TO ASSIST THE EXECUTIVE COMPENSATION COMMITTEE IN ITS COMPENSATION DELIBERATIONS ARE COMPILED BY AN INDEPENDENT, NATIONAL COMPENSATION CONSULTING FIRM THAT IS RETAINED BY AND REPORTS DIRECTLY TO THE EXECUTIVE COMPENSATION COMMITTEE. THE DATA COLLECTED BY THE CONSULTANT CONSISTS OF MARKET INFORMATION FOR EXECUTIVES IN FUNCTIONALLY SIMILAR POSITIONS IN SIMILARLY SITUATED ORGANIZATIONS. THE DELIBERATIONS AND DECISIONS OF THE EXECUTIVE COMPENSATION COMMITTEES ARE CONTEMPORANEOUSLY DOCUMENTED, REVIEWED AND APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE, AND PROVIDED TO THE L+M HEALTHCARE BOARD. FORM 990, PART VI, SECTION C, LINE 19 COPIES OF ALL AVAILABLE DOCUMENTS ARE ACCESSIBLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G MEDICAL SPECIALTY PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 703,683. MANAGEMENT AND GENERAL EXPENSES 67,149. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 770,832. OTHER OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 100,682,764. MANAGEMENT AND GENERAL EXPENSES 9,379,210. FUNDRAISING EXPENSES 228,430. TOTAL EXPENSES 110,290,404. FORM 990, PART XI, LINE 9: CHANGE IN MINIMUM PENSION LIABILITY 1,737,559. CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST 269,844. BRIDGEPORT HOSPITAL 267 GRANT STREET BRIDGEPORT CT 06610 060646554 HEALTHCARE SERVICES CT 501C3 LINE 3 YALE NEW HAVEN HEALTH SERVICES CORP 1 BRIDGEPORT HOSPITAL FOUNDATION INC 267 GRANT STREET BRIDGEPORT CT 06610 222908698 SYSTEM SUPPORT SERVICES CT 501C3 LINE 7 BRIDGEPORT HOSPITAL 1 GREENWICH HOSPITAL 5 PERRYRIDGE ROAD GREENWICH CT 06830 060646659 HEALTHCARE SERVICES CT 501C3 LINE 3 YALE NEW HAVEN HEALTH SERVICES CORP 1 LAWRENCE MEMORIAL CORPORATION 365 MONTAUK AVENUE NEW LONDON CT 06320 222553028 PROMOTE HEALTHCARE CT 501C3 LINE 12A, I YALE NEW HAVEN HEALTH SERVICES CORP 0 LMW HEALTHCARE INC 365 MONTAUK AVENUE NEW LONDON CT 06320 460543230 HEALTHCARE SERVICES RI 501C3 LINE 3 LAWRENCE MEMORIAL CORPORATION 1 NORTHEAST MEDICAL GROUP INC 99 HAWLEY LANE STRATFORD CT 06614 061330992 HEALTHCARE SERVICES CT 501C3 LINE 10 YALE NEW HAVEN HEALTH SERVICES CORP 1 NORTHEAST MEDICAL GROUP PLLC 99 HAWLEY LANE STRATFORD CT 06614 352380180 HEALTHCARE SERVICES NY 501C3 LINE 12A, I NORTHEAST MEDICAL 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HAVEN HEALTH SERVICES CORP 1 YALE NEW HAVEN CARE CONTINUUM CORP 789 HOWARD AVE NEW HAVEN CT 06519 455235566 NURSING HOME CT 501C3 LINE 3 YALE NEW HAVEN HOSPITAL 1 HOME CARE PLUS INC 789 HOWARD AVE NEW HAVEN CT 06519 061044331 HOME HEALTHCARE SERVICES CT 501C3 LINE 10 YALE NEW HAVEN CARE CONTINUUM CORP 1 SHORELINE ENDOSCOPY CENTER LLC (SEE PART VII) 111 GOOSE LANE GUILFORD CT 06437 900110459 HEALTHCARE SERVICES CT N/A 0 0 YALE NEW HAVEN HEALTH SYSTEM INVESTMENT 20 YORK STREET NEW HAVEN CT 06510 271374301 INVESTMENT DE N/A 0 0 YNHHSCUSP SURGERY CENTERS LLC 15305 DALLAS PKWY STE 1600 ADDISON TX 75001 384021595 HEALTHCARE SERVICES CT N/A 0 0 CORPORATE PROFESSIONAL BUSINESS SERVICESINC 789 HOWARD AVE NEW HAVEN CT 06519 061467717 MANAGEMENT SERVICES CT N/A C 1 YALE NEW HAVEN AMBULATORY SERVICES 40 TEMPLE STREET NEW HAVEN CT 06510 061398526 HEALTHCARE SERVICES CT N/A C 1 GREENWICH FERTILITY & IVF PC 5 PERRYRIDGE ROAD GREENWICH CT 06830 300145464 HEALTHCARE SERVICES CT N/A C 1 YNHH-PHYSICIANS CORP 789 HOWARD AVE NEW HAVEN CT 06519 061202305 ADMINISTRATIVE SERVICES CT N/A C 1 MEDICAL CENTER PHARMACY INC AND HOME CARE CENTER INC 50 YORK STREET NEW HAVEN CT 06511 061087673 PHARMACY CT N/A C 1 GREENWICH OCCUPATIONAL HEALTH SERVICES OF NY PC 5 PERRYRIDGE ROAD GREENWICH CT 06830 061540101 HEALTHCARE SERVICES NY N/A C 1 GREENWICH OCCUPATIONAL HEALTH SERVICES OF NEW JERSEY 5 PERRYRIDGE ROAD GREENWICH CT 06830 453833883 HEALTHCARE SERVICES NJ N/A C 1 L & M SYSTEMS INC 365 MONTAUK AVENUE NEW LONDON CT 06320 222553037 HEALTHCARE RELATED SERVICES CT N/A C 1 L&M HOME CARE SERVICES INC 365 MONTAUK AVENUE NEW LONDON CT 06320 061389272 HOME THERAPY CT N/A C 1 0 0 1 0 0 0 0 0 1 1 0 1 1 0 1 1 1 1 1 BRIDGEPORT HOSPITAL P 52756 COST BRIDGEPORT HOSPITAL S 67502 COST YALE NEW HAVEN HEALTH SERVICES CORP L 14856781 COST YALE NEW HAVEN HEALTH SERVICES CORP M 54138824 COST YALE NEW HAVEN HEALTH SERVICES CORP O 27138970 COST YALE NEW HAVEN HEALTH SERVICES CORP P 626683 COST YALE NEW HAVEN HEALTH SERVICES CORP Q 160861273 COST YALE NEW HAVEN HEALTH SERVICES CORP R 239078745 COST YALE NEW HAVEN HOSPITAL I 703009 COST YALE NEW HAVEN HOSPITAL M 5116950 COST YALE NEW HAVEN HOSPITAL P 151423 COST YALE NEW HAVEN HOSPITAL Q 850828 COST YALE NEW HAVEN HOSPITAL R 11677735 COST GREENWICH HOSPITAL Q 61589 COST NORTHEAST MEDICAL GROUP M 787087 COST NORTHEAST MEDICAL GROUP J 2431306 COST NORTHEAST MEDICAL GROUP Q 21646755 COST NORTHEAST MEDICAL GROUP P 1443791 COST NORTHEAST MEDICAL GROUP S 98715 COST NORTHEAST MEDICAL GROUP I 86559 COST NORTHEAST MEDICAL GROUP O 823957 COST NORTHEAST MEDICAL GROUP R 19205928 COST MEDICAL CENTER PHARMACY & HOME CARE CENTER INC L 12900978 FAIR MARKET VALUE MEDICAL CENTER PHARMACY & HOME CARE CENTER INC M 2171795 FAIR MARKET VALUE MEDICAL CENTER PHARMACY & HOME CARE CENTER INC S 11084282 FAIR MARKET VALUE LMW HEALTHCARE INC L 472235 COST LMW HEALTHCARE INC I 1187820 COST LMW HEALTHCARE INC O 4495739 COST LMW HEALTHCARE INC P 10443279 COST LMW HEALTHCARE INC S 7831896 COST VISITING NURSE ASSOCIATION OF SOUTHEASTERN CONNECTICUT INC S 1131850 COST VISITING NURSE ASSOCIATION OF SOUTHEASTERN CONNECTICUT INC P 629098 COST PART II, RELATED TAX-EXEMPT ORGANIZATIONS THE GREENWICH HOSPITAL ENDOWMENT FUND INC - AS OF 9/30/2022, GREENWICH HOSPITAL ENDOWMENT FUND NO LONGER HAS 50% OF BOARD OVERLAP WITH GREENWICH HOSPITAL AND THEREFORE, IS NOT A RELATED ORGANIZATION. AS SUCH IT HAS BEEN REMOVED FROM SCHEDULE R, PART II. PART III, RELATED ORGANIZATIONS TAXABLE AS A PARTNERSHIP SHORELINE ENDOSCOPY CENTER LLC - AS OF 10/31/2022, SHORELINE ENDOSCOPY CENTER, LLC (SEC) BECAME A SINGLE-MEMBER LLC, DISREGARDED FOR FEDERAL TAX PURPOSES OWNED BY YALE NEW HAVEN AMBULATORY SERVICES CORPORATION.