2024-08-13T13:11:38-05:00 2023-09-30 135565207 KPMG LLP 345 PARK AVENUE NEW YORK NY 10154 990 2022-10-01 460543230 LMW HEALTHCARE INC LMWH 2036880580 365 MONTAUK AVENUE NEW LONDON CT 06320 JOSHUA W MORRIS EVP, CFO 2036880580 2024-08-12 0 0 EVAN W SEEKAMP P01907071 2127589700 2022 2024-08-08 14:25:15Z WESTERLY HOSPITAL RICHARD LISITANO 365 MONTAUK AVENUE NEW LONDON CT 06320 133409936 0 X WWW.WESTERLYHOSPITAL.ORG X 2012 RI TO PROVIDE MEDICAL CARE IN THE WESTERLY, RHODE ISLAND COMMUNITY AND SURROUNDING TOWNS. 15 12 1179 94 45257 0 7812151 434819 113323303 124259065 336307 -172931 550821 812738 122022582 125333691 18829 24722 0 0 59799872 63151608 0 0 0 68105130 82436075 127923831 145612405 -5901249 -20278714 105297607 88477701 90974099 93718538 14323508 -5240837 X TO PROVIDE MEDICAL CARE IN THE WESTERLY, RHODE ISLAND COMMUNITY AND SURROUNDING TOWNS. 0 0 133765409 24722 124259065 SEE SCHEDULE O 133765409 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 X 0 0 1179 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 15 12 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 AVENUE NEW HAVEN CT 06519 WILLIAM ASELTYNE TRUSTEE (VESTED DEFERRED) 1.00 39.00 X 0 4635003 0 WILLIAM ASELTYNE TRUSTEE (CURRENT YR COMP) 1.00 39.00 X 0 1367048 200005 PATRICK L GREEN PRESIDENT/CEO & TRUSTEE 8.00 32.00 X X 217050 868201 372127 RICHARD LISITANO PRESIDENT/CEO & TRUSTEE 8.00 32.00 X X 125924 503694 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 JOSHUA MORRIS SECRETARY/TREASURER 8.00 32.00 X 92771 371083 33979 MAUREEN ANDERSON FORMER OFFICER 0.00 0.00 X 0 350438 34181 PRATHIBHA VARKEY FORMER TRUSTEE 0.00 0.00 X 0 361875 0 KAREN DAVIS CLINICAL CARE COORDINATOR 40.00 0.00 X 212411 0 37314 TYRA FRENETTE REGISTERED NURSE 40.00 0.00 X 185241 0 31918 KARL NG CLINICAL PHARMACIST 40.00 0.00 X 181244 0 25141 CARRIE KENYON EXEC DIR NURSING PATIENT CARE SVCS 40.00 0.00 X 184206 0 5931 EMILY FLYNN CLINICAL PHARMACIST 40.00 0.00 X 154504 0 32263 DANIEL GACCIONE EX-OFFICIO TRUSTEE 1.00 2.00 X 14175 0 0 F GREGORY AHERN VICE CHAIR & TRUSTEE 1.00 1.00 X X 0 0 0 TODD BLUE TRUSTEE 1.00 2.00 X 0 0 0 NICHOLAS FORTSON TRUSTEE 1.00 2.00 X 0 0 0 STEPHEN M GREENE CHAIRMAN AND TRUSTEE 1.00 2.00 X X 0 0 0 JOHN HOLSTEIN TRUSTEE 1.00 3.00 X 0 0 0 THOMAS J LIGUORI TRUSTEE 1.00 0.00 X 0 0 0 JAMES MAYNARD TRUSTEE 1.00 2.00 X 0 0 0 JAMES MITCHELL TRUSTEE 1.00 4.00 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 CATHERINE ZALL TRUSTEE 1.00 2.00 X 0 0 0 1367526 9819882 1014197 122 1 1 0 VIZIENT INC 290 E JOHN CARPENTER FREEWAY IRVING TX 75062 CONSULTING SERVICE 877485 UNITEX TEXTILE RENTAL INC 161 SOUTH MACQESTEN PARKWAY MOUNT VERNON NY 10550 LAUNDERING SERVICE 437897 QUEST DIAGNOSTICS PO BOX 912512 PASADENA CA 911102512 LABORATORY SERVICES 398112 PAYETTE ASSOCIATES INC 290 CONGRESS STREET 5TH FLOOR BOSTON MA 022101005 ARCHITECTURAL SERVICES 271437 BARD RAO & ATHANAS CONSULTING ENGINEERS 10 GUEST STREET 4TH FL BOSTON MA 02135 ARCHITECTURAL SERVICES 185690 7 203231 231588 434819 PATIENT SERVICE REVENU 900099 124259065 124213808 45257 124259065 87865 87865 499210 384008 115202 115202 115202 7431441 7692237 -260796 -260796 -260796 OTHER ANCILLARY REVENU 900099 644908 644908 CAFETERIA/FOOD SALES 900099 52628 52628 697536 125333691 124213808 45257 639807 X 24722 24722 560733 560733 49853644 44773558 5080086 1151406 1034078 117328 8102553 7276903 825650 3483272 3128327 354945 34128 30650 3478 75 67 8 45989 45989 1824 1638 186 24284724 21810111 2474613 23211 20846 2365 1949430 1750783 198647 21216 19054 2162 1045 939 106 12452874 11183926 1268948 4599570 4130874 468696 1435989 1289662 146327 MEDICAL SUPPLIES 34222710 34222710 REPAIRS & MAINTENANCE 1386371 1245100 141271 OTHER SUPPLIES 1008325 905577 102748 ANCILLARY EXPENSES 752572 675885 76687 216022 194010 22012 145612405 133765409 11846996 0 9894214 1162318 4760 4760 750000 19271787 16611044 2440747 2629604 241982 0 83612446 36022097 47903576 47590349 9621358 5453026 4300895 4602039 11618288 9674561 105297607 88477701 13498910 13225065 77475189 80493473 90974099 93718538 X 4494622 -15420917 9828886 10180080 14323508 -5240837 105297607 88477701 X -20278714 413226 301143 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 1 500 0 0 1 9197 0 1 36292 45989 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. LMW HEALTHCARE INC. 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 LAWRENCE + MEMORIAL HOSPITAL EIN 06-0646704 $ 101,195 NORTHEAST MEDICAL GROUP INC. EIN 06-1330992 $ 39,604 9828886 203231 463030 315067 10180080 11247085 142536 -1254199 306536 9828886 10502471 227456 1016614 499456 11247085 10290657 177496 484620 450302 10502471 10435862 129481 121795 396481 10290657 0.00000 0.95216 0.04784 0 0 7742000 7742000 42766475 10443106 32323369 782112 676012 106100 29975324 24902979 5072345 2346535 2346535 47590349 FUNDS HELD IN TRUST 4602039 F 4602039 DUE FROM WESTERLY HOSPITAL FOUNDATION 1846280 DUE FROM VISITING NURSES ASSOCIATION 2957 RIGHT OF USE ASSET - LTO 324744 DUE FROM YALE NEW HAVEN HEALTH SERVICES 4434005 THIRD PARTY PAYOR RECEIVABLE 9000 GIFT ANNUITY 12141 DUE FROM NORTHEAST MEDICAL GROUP PATIENT TRANSFERS RECEIVABLE 8086 DUE FROM YALE NEW HAVEN HOSPITAL 3037348 9674561 3RD PARTY PAYOR SETTLEMENTS 1704073 ASSET RETIREMENT OBLIGATION 858116 DUE TO LAWRENCE+MEMORIAL HOSPITAL 62844887 DUE TO L+M HOSPITAL LT LOAN 11146922 DUE TO SR ANNE VIRGINIE GRIMES 1653 LEASE LIABILITY LTO - CURRENT 224692 DUE TO NORTHEAST MEDICAL GROUP 680800 DUE TO YNH HEALTH SERVICES HUMAN RESOURCE COMPANY 1523246 DUE TO GREENWICH HOSPITAL 103750 DUE TO BRIDGEPORT HOSPITAL 132041 ACCRUED LIABILITY - PERMANENT 1273293 80493473 X 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, INC. PART X, LINE 2: LMW HEALTHCARE INC IS INCLUDED WITHIN THE WESTERLY HOSPITAL DISCLOSURES IN THE CONSOLIDATED FINANCIAL STATEMENTS OF 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, WHICH ARE NOT MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS, 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 YEAR ENDED SEPTEMBER 30, 2023 AND 2022. 1 1 1 X 250.000000000000 1 X 550.000000000000 1 1 1 0 1 1 3970 4448840 3870730 578110 0.00400 15939 16072648 11368152 4704496 0.03230 0 0 0 19909 20521488 15238882 5282606 0.03630 7 1091 129200 34040 95160 0.00070 2 63 226363 0 226363 0.00160 1 0 6297757 4464756 1833001 0.01260 0 0 0 0 2 291 5103469 5380 5098089 0.03500 12 1445 11756789 4504176 7252613 0.04990 12 21354 32278277 19743058 12535219 0.08620 1 0 1410 1410 0.00000 1 1410 1410 0.00000 1 3360000 34624821 43627294 -9002473 X 1 1 1 NONE 1 1 LMW HEALTHCARE INC 25 WELLS STREET WESTERLY RI 02891 HTTP://WESTERLYHOSPITAL.ORG HOS00129 X X X LMW HEALTHCARE INC 1 0 0 1 X X X X X X X X X 21 1 1 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 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 1 X 0 X X X X 1 X 0 0 LMW HEALTHCARE, INC. PART V, SECTION B, LINE 5: COMMUNITY ENGAGEMENT AND FEEDBACK WERE AN INTEGRAL PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. LMW HEALTHCARE INC 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. LMW HEALTHCARE, INC. PART V, SECTION B, LINE 6A: LMW HEALTHCARE INC PARTICIPATED IN A STATEWIDE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) LED BY THE HOSPITAL ASSOCIATION OF RHODE ISLAND (HARI) AND ITS MEMBER HOSPITALS. LMW HEALTHCARE, INC. 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 WESTERLY COMMUNITY. THIS INCLUDED THE HEALTH IMPACT COLLABORATIVE OF GREATER WESTERLY AND AGE FRIENDLY WESTERLY, 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.SCHEDULE H, PART V, SEC B, LINE 7A AND 10A:HTTPS://WWW.WESTERLYHOSPITAL.ORG/ABOUT/COMMUNITY-BENEFITS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT.ASPX LMW HEALTHCARE, INC. PART V, SECTION B, LINE 11: LMW HEALTHCARE, INC. 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 OF GREATER WESTERLY: 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 ALIGN WITH STATEWIDE EFFORTS IN RHODE ISLAND AND CONNECTICUT. LMW HEALTHCARE, INC. PART V, SECTION B, LINE 13H: THESE PROGRAMS COVER EMERGENCY AND OTHER MEDICALLY NECESSARY CARE ONLY. SCHEDULE H, PART V, SECTION B, LINE 16A, 16B AND 16C: HTTPS://WWW.WESTERLYHOSPITAL.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE.ASPX 9 1 - LMW HEALTHCARE LAB 45 WELLS STREET WESTERLY RI 02891 BLOOD DRAW CENTER 2 - LMW HEALTHCARE LAB 25 WELLS STREET WESTERLY RI 02891 BLOOD DRAW CENTER 3 - GENERAL SURGERY 45 WELLS STREET WESTERLY RI 02891 GENERAL SURGERY 4 - PHYSICAL THERAPY AND REHAB SERVICES 81 BEACH STREET WESTERLY RI 02891 PHYSICIAL THERAPY; REHAB 5 - WOOD RIVER HEALTH SERVICES 823 MAIN STREET HOPE VALLEY RI 02832 MAMMOGRAPHY; XRAY SERVICE 6 - UROLOGY - WESTERLY 35 WELLS STREET WESTERLY RI 02891 UROLOGY 7 - MORGAN MEDICAL BUILDING 45 WELLS STREET WESTERLY RI 02891 REHAB, GASTROENTEROLOGY, GENERAL SURGERY, INTERNAL AND FAMILY MEDICINE, OBGY 8 - SMILOW CANCER HOSPITAL CARE CENTER WES 25 WELLS STREET WESTERLY RI 02891 CANCER HOSPITAL CARE CENTER 9 - OUTPATIENT LAB SERVICES - HOPE VALLEY 823 MAIN STREET HOPE VALLEY RI 02832 BLOOD DRAW CENTER PART I, LINE 3C: IT IS THE PHILOSOPHY AND POLICY OF LMW HEALTHCARE INC 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"). 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: LMW HEALTHCARE, 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) IN ORDER 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.LMW HEALTHCARE 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, LMW HEALTHCARE 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 FY 2023, LMW HEALTHCARE, INC. PROVIDED $1,410 IN FINANCIAL RESOURCES TO SUPPORT THE COMMUNITY BY PURCHASING REGULATION SIZE GLASS BASKETBALL BACKBOARDS FOR A LOCAL BASKETBALL COURT.THROUGH THE WORK OF THE NEWLY LAUNCHED AGE FRIENDLY WESTERLY INITIATIVE, LMW HEALTHCARE IS SUPPORTING WORK ACROSS THE AARP DOMAINS OF LIVEABILITY FOR OLDER RESIDENTS WHICH INCORPORATE EFFORTS ON SOCIAL DETERMINANTS. INITIAL EFFORTS HAVE INCLUDED STRATEGIES TO ADDRESS HOUSING NEEDS IN GREATER WESTERLY, INCLUDING THE DEVELOPMENT OF A WESTERLY VILLAGE, A SYSTEM OF MUTUAL AID THAT SUPPORTS OLDER RESIDENTS IN STAYING IN THEIR HOMES SAFELY. PART III, LINE 2: LMW HEALTHCARE INC 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 GENERAL LEDGER. 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: LMW HEALTHCARE INC ("WESTERLY HOSPITAL") IS INCLUDED IN THE CONSOLIDATED YALE NEW HAVEN HEALTH SERVICES CORPORATION AUDITED FINANCIAL STATEMENTS. FOLLOWING IS THE FOOTNOTE FROM THE CONSOLIDATED FINANCIAL STATEMENTS: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 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. PART III, LINE 9B: IN ACCORDANCE WITH ITS WRITTEN CREDIT AND COLLECTION POLICY, LMW HEALTHCARE INC WILL NOT PURSUE COLLECTION EFFORTS, DIRECTLY OR THROUGH COLLECTION AGENCIES, ON THE PORTION OF A PATIENT'S BILL FOR WHICH THAT PATIENT HAS ESTABLISHED ELIGIBILITY FOR CHARITY CARE. PART VI, LINE 2: COMMUNITY NEEDS ARE ROUTINELY REVIEWED AND ADDRESSED AS PART OF THE OPERATIONS AND SERVICE LINE TEAMS AT LMW HEALTHCARE. 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: 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. PART VI, LINE 4: TO DEFINE COMMUNITY FOR COMMUNITY HEALTH NEEDS ASSESSMENT PURPOSES, WESTERLY HOSPITAL USES A GEOGRAPHIC APPROACH FOCUSING 11 ZIP CODES SPANNING THE SOUTHWEST AND CENTRAL PORTIONS OF WASHINGTON COUNTY, RHODE ISLAND. THESE COMMUNITIES ARE SERVED BY WESTERLY 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 WESTERLY, LMW HEALTHCARE 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 WESTERLY REGION HAS A POPULATION OF 48,579. THE LIFE EXPECTANCY IN WASHINGTON COUNTY IS 81.0 YEARS COMPARED TO 79.8 IN RHODE ISLAND. THE LIFE EXPECTANCY RATE FOR WASHINGTON COUNTY RESIDENTS OF ASIAN ETHNICITY IS 89 AND 89.9 FOR LATINX ORIGIN. IN GREATER WESTERLY APPROXIMATELY 95% OF THE TOTAL POPULATION IDENTIFIED AS WHITE COMPARED TO 92.9% IN WASHINGTON COUNTY, 80.5% IN RHODE ISLAND AND 72.5% IN THE UNITED STATES. WESTERLY IS A DESIGNATED AGE-FRIENDLY COMMUNITY AND IS DEDICATED TO SUPPORTING PROGRAMS AND INITIATIVES THAT ENHANCE HEALTH, PARTICIPATION, AND SECURITY OF OLDER ADULTS. THE OLDER ADULT (65 AND OVER) IN WESTERLY (22%) AND WASHINGTON COUNTY (19.9%) ARE HIGHER THAN THE STATE OF RHODE ISLAND (16.8%).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. WASHINGTON COUNTY ($85,531) HAS THE HIGHEST MEDIAN HOUSEHOLD INCOME IN RHODE ISLAND, COMPARED TO ONLY $67,167 IN THE STATE. DISPARITIES EXIST WITHIN THE COUNTY WHERE 8.6% OF PEOPLE ARE IN POVERTY, 9.2% OF CHILDREN IN POVERTY, AND 5.7% OF OLDER ADULTS (65 AND OVER). THE PROPORTION OF RESIDENTS IN WASHINGTON COUNTY WITH A BACHELOR'S DEGREE OR HIGHER (46.1%) WAS HIGHER THAN THE STATE OVERALL (34.2%). HOWEVER, ONLY 34% OF LATINX ORIGIN AND 31.3% OF INDIVIDUALS IDENTIFYING AS BLACK / AFRICAN AMERICAN HOLD A BACHELOR'S DEGREE. IN WASHINGTON COUNTY 5.1% OF THE POPULATION HAS LESS THAN A HIGH SCHOOL DIPLOMA AND 22.8% ARE HIGH SCHOOL GRADUATES OR HAVE A GED. PART VI, LINE 5: AS A COMMUNITY HEALTH CARE SERVICES PROVIDER, LMW HEALTHCARE INC. REMAINS ATTENTIVE TO HEALTH AND WELL-BEING THROUGH EDUCATION, OUTREACH, AND OTHER INNOVATIVE SERVICES. DURING FISCAL YEAR 2023, LMW HEALTHCARE INC. INVESTED OVER $12.9 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.LMW HEALTHCARE INC. 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 336 MEMBERS OF THE WESTERLY HOSPITAL MEDICAL STAFF. LMW HEALTHCARE INC. IS A 125-BED HOSPITAL SERVING 4,588 INPATIENTS AND 135,465 OUTPATIENT ENCOUNTERS IN 2023. LMW HEALTHCARE INC. PROVIDES WASHINGTON (RHODE ISLAND) AND NEW LONDON (CONNECTICUT) COUNTY RESIDENTS WITH A WIDE ARRAY OF MEDICAL, SURGICAL, LABORATORY AND REHABILITATIVE SERVICES. IT OFFERS INTERVENTIONAL PAIN MANAGEMENT, WOUND CARE AND ANTICOAGULATION CLINIC AND CARDIAC PULMONARY REHABILITATION SERVICES. IT IS ALSO THE SITE OF THE FIRST SMILOW CANCER HOSPITAL CARE CENTER IN RHODE ISLAND. LMW HEALTHCARE INC. IS ONE OF THE LARGEST PRIVATE EMPLOYERS IN WESTERLY WITH 755 EMPLOYEES IN 2023. PART VI, LINE 6: THE ENTITIES OF LAWRENCE+MEMORIAL HEALTHCARE INCLUDING LMW HEALTHCARE, THE (VNASC), AND LAWRENCE+MEMORIAL 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 LMW HEALTHCARE 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 RI 1 PATIENT EXPENSE FUNDING - TRANSPORTATION 175 6392 FMV TRAVEL VOUCHERS PART I, LINE 2: LMW HEALTHCARE, INC. MAINTAINS FULL AND COMPLETE RECORDS OF ALL MONETARY ASSISTANCE PROVIDED BUT LMW HEALTHCARE INC. DOES NOT MONITOR SPECIFIC FUNDS. 0 1 0 0 0 0 0 1 0 WILLIAM ASELTYNE TRUSTEE (VESTED DEFERRED) 0 0 0 0 0 4635003 0 0 0 0 0 4635003 0 2023692 WILLIAM ASELTYNE TRUSTEE (CURRENT YR COMP) 0 977723 0 268691 0 120634 0 175550 0 24455 0 1567053 0 0 PATRICK L GREEN PRESIDENT/CEO & TRUSTEE 156575 626301 46103 184413 14372 57487 69594 278378 4831 19324 291475 1165903 0 0 RICHARD LISITANO PRESIDENT/CEO & TRUSTEE 92149 368596 22644 90576 11131 44522 40107 160426 3660 14638 169691 678758 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 JOSHUA MORRIS SECRETARY/TREASURER 82113 328452 10000 40000 658 2631 1830 7320 4966 19863 99567 398266 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 KAREN DAVIS CLINICAL CARE COORDINATOR 208124 0 4203 0 84 0 11737 0 25577 0 249725 0 0 0 TYRA FRENETTE REGISTERED NURSE 180118 0 5035 0 88 0 6345 0 25573 0 217159 0 0 0 KARL NG CLINICAL PHARMACIST 177117 0 3943 0 184 0 15170 0 9971 0 206385 0 0 0 CARRIE KENYON EXEC DIR NURSING PATIENT CARE SVCS 167911 0 16083 0 212 0 5862 0 69 0 190137 0 0 0 EMILY FLYNN CLINICAL PHARMACIST 149635 0 4748 0 121 0 6665 0 25598 0 186767 0 3647 0 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 PARTICIPATE 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 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 FOLLOWING REPORTED INDIVIDUAL(S) RECEIVED A PAYMENT FROM A NONQUALIFIED PLAN. THE PAYMENT WAS MADE DIRECTLY TO THE INDIVIDUAL(S) FROM THE RABBI TRUST AND REPORTED IN THE INDIVIDUALS' 2022 FORM W-2 ISSUED BY 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. FORM 990, PART III, LINE 4 WESTERLY HOSPITAL, A MEMBER OF YALE NEW HAVEN HEALTH SYSTEM ("YNHHS"), IS A 125-BED HOSPITAL THAT HAS BEEN PROVIDING RESIDENTS OF SOUTHERN RHODE ISLAND AND SOUTHEASTERN CONNECTICUT WITH A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES IN A COMMUNITY HOSPITAL SETTING FOR MORE THAN 90 YEARS. WESTERLY HOSPITAL PATIENTS RECEIVE THE FINEST QUALITY TREATMENT IN THE FOLLOWING AREAS OF CARE: EMERGENCY, MEDICAL, SURGICAL, RADIOLOGY, LABORATORY AND REHABILITATIVE SERVICES. 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 ALSO OFFERS HEART AND VASCULAR CARE, INTERVENTIONAL PAIN MANAGEMENT, WOUND CARE, PULMONARY REHABILITATION SERVICES, INPATIENT GERIATRIC PSYCHIATRIC CARE AND COMPREHENSIVE CANCER CARE PROVIDED THROUGH THE SMILOW CANCER HOSPITAL CARE CENTER. TO INCREASE PUBLIC AWARENESS OF LUNG CANCER, WESTERLY HOSPITAL OFFERED AN EIGHT-WEEK TOBACCO TREATMENT PROGRAM THAT PROVIDED QUITTING STRATEGIES FOR SMOKING AND TOBACCO PRODUCTS. THE PROGRAM, CONSISTING OF COUNSELING AND SUPPORT GROUP SESSIONS, WAS LED BY EXERCISE PHYSIOLOGISTS AND RESPIRATORY THERAPISTS SPECIALLY TRAINED IN TOBACCO TREATMENT. THE HOSPITAL ALSO BROUGHT PUBLIC ATTENTION TO THE IMPORTANCE AND AVAILABILITY OF LUNG CANCER SCREENINGS. THE ACCREDITATION COMMITTEE OF THE COLLEGE OF AMERICAN PATHOLOGISTS (CAP) AWARDED RE-ACCREDITATION TO WESTERLY HOSPITAL BASED ON RESULTS OF A RECENT ON-SITE INSPECTION OF THE HOSPITAL'S MEDICAL LABORATORY AS PART OF THE CAP'S ACCREDITATION PROGRAMS. WESTERLY HOSPITAL'S MEDICAL LABORATORY IS ONE OF MORE THAN 8,000 CAP-ACCREDITED FACILITIES WORLDWIDE. RE-ACCREDITATION OCCURS EVERY TWO YEARS AND PROVIDES ASSURANCE TO PATIENTS THAT THE HOSPITAL'S LABS MEET OR EXCEED THE CAP STANDARDS. WESTERLY WAS RE-CERTIFIED BY THE JOINT COMMISSION FOR ITS ACUTE STROKE READY HOSPITAL PROGRAM, A VALIDATION THAT PATIENTS PRESENTING WITH STROKE SYMPTOMS WILL BE TREATED QUICKLY AND SAFELY TO PREVENT BRAIN LOSS. THE ACUTE STROKE READY HOSPITAL (ASRH) CERTIFICATION WAS DEVELOPED IN COLLABORATION WITH THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION. THESE HOSPITALS BECOME PART OF A LARGER STROKE SYSTEM OF CARE IN WHICH THE HOSPITAL IS EQUIPPED TO EVALUATE, STABILIZE AND PROVIDE EMERGENCY CARE TO PATIENTS WITH ACUTE STROKE SYMPTOMS. WESTERLY WAS FIRST CERTIFIED IN 2019 AFTER IMPLEMENTING YALE NEW HAVEN HEALTH'S TELESTROKE PROGRAM WHICH PROVIDES 24/7 COMMUNICATION WITH STROKE-TRAINED NEUROLOGISTS. FOR THE SECOND CONSECUTIVE YEAR, WESTERLY HOSPITAL WAS RECOGNIZED BY HEALTHGRADES AS AN OUTSTANDING PATIENT EXPERIENCE AWARD RECIPIENT FOR 2023. THE PATIENT EXPERIENCE AWARDS RECOGNIZE THE TOP 15 PERCENT OF HOSPITALS NATIONWIDE BASED ON NINE MEASURES RELATED TO DOCTOR AND NURSE COMMUNICATION, HOSPITAL CLEANLINESS AND NOISE LEVELS, AND MEDICATION AND POST-DISCHARGE CARE INSTRUCTIONS. 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 WESTERLY HOSPITAL WITH ITS GUARDIAN OF EXCELLENCE - PATIENT EXPERIENCE - MEDICAL PRACTICE SERVICE AWARD, SPECIFICALLY FOR THE CLINICIANS AT SMILOW CANCER HOSPITAL AT WESTERLY HOSPITAL. 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. UNDERSTANDING THAT THE HEALTHCARE EXPERIENCE CAN BE STRESSFUL AND MIND-BOGGLING FOR PATIENTS, WESTERLY HOSPITAL FORMALIZED PATIENT BEDSIDE ROUNDING, AND STAFF EDUCATION FOCUSED ON ACTIVE LISTENING, OBSERVING NON-VERBAL CUES, AND FOLLOWING THROUGH ON PATIENTS' REQUESTS. RESEARCH HAS SHOWN THAT CONSISTENT ROUNDING IMPROVES PATIENT OUTCOMES, QUALITY AND SAFETY AND STAFF PRODUCTIVITY, IN ADDITION TO THE PATIENT EXPERIENCE. THE HEALTH IMPACT COLLABORATIVE OF GREATER WESTERLY A COALITION OF HOSPITALS, DEPARTMENTS OF PUBLIC HEALTH, FEDERALLY QUALIFIED HEALTH CENTERS, AND NUMEROUS COMMUNITY AND NON-PROFIT ORGANIZATIONS SERVING THE GREATER WESTERLY AREA ENGAGED IN A PROCESS TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY, AS PART OF A LARGER GOAL OF MEASURABLY IMPROVING THE HEALTH AND WELL-BEING OF ITS RESIDENTS. WESTERLY HOSPITAL, AS PART OF THE RHODE ISLAND HOSPITAL ASSOCIATION, COMPLETED ITS 2022 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS AND RELEASED ITS COMPREHENSIVE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) DURING THE YEAR WITH PROGRAMMING THAT ADDRESSED THE MAJOR UNMET NEEDS IN THE REGION ALONGSIDE THE HEALTH IMPACT COLLABORATIVE OF GREATER WESTERLY. WESTERLY HOSPITAL EXTENDED ITS CARE TO THE ENVIRONMENT THROUGH AN ARRANGEMENT THAT TAPS INTO ELECTRICITY FROM A SOLAR FARM IN SMITHFIELD. LOCATED AN HOUR NORTH OF THE HOSPITAL, A 28,000 GROUND-MOUNTED SOLAR PANEL FARM IS GENERATING POWER FOR THE HOSPITAL, RESULTING IN ANNUAL SAVINGS OF MORE THAN $400,000 THROUGH VIRTUAL NET METERING. PARTICIPATING IN A COMMUNITY SOLAR PROGRAM ENABLES THE HOSPITAL TO BE GOOD STEWARDS OF ITS FINANCIAL RESOURCES WHILE ALSO CONTRIBUTING TO THE GROWTH OF CLEAN ENERGY IN RHODE ISLAND. THE HEALTHCARE ENVIRONMENT CONTINUES TO CHANGE AND ADAPT TO A MYRIAD OF LOCAL, REGIONAL AND NATIONAL FACTORS AFFECTING THE DELIVERY OF HEALTH CARE. WESTERLY HOSPITAL, WITH THE SUPPORT OF YALE NEW HAVEN HEALTH SYSTEM, CONTINUES TO ADAPT TO THIS CHANGING, CHALLENGING ENVIRONMENT WHILE ENSURING THAT PATIENTS RECEIVE THE RIGHT LEVEL OF CARE IN THE MOST APPROPRIATE SETTINGS. 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 V, LINE 1A: LMW HEALTHCARE, INC. PAID VENDORS THROUGH AN AFFILIATED ENTITY, LAWRENCE + MEMORIAL HOSPITAL INC. (EIN-06-0646704). AS SUCH, ANY REQUIRED 1099'S TO BE FILED WERE ISSUED BY LAWRENCE + MEMORIAL HOSPITAL INC. FOR PAYMENTS MADE ON BEHALF OF THE FILING ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 2 BUSINESS RELATIONSHIPS BETWEEN OFFICERS, DIRECTORS, TRUSTEES, OR KEY EMPLOYEES CERTAIN OF THE ORGANIZATION'S CURRENT OFFICERS AND/OR TRUSTEES 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 DO NOT HAVE PERSONAL FINANCIAL INTERESTS IN THE AFFILIATE 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 LMW HEALTHCARE, INC. FORM 990, PART VI, SECTION A, LINE 7A LAWRENCE + MEMORIAL CORPORATION, AS SOLE MEMBER OF LMW HEALTHCARE, INC., ELECTS THE BOARD OF TRUSTEES OF LMW HEALTHCARE, INC., 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 LMW HEALTHCARE 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 FORM 990, PART VI, SECTION B, LINE 15A: COMPENSATION PROCESS FOR CEO/TOP OFFICIAL: THE TOP LMW HEALTHCARE 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 LMW HEALTHCARE 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 LMW HEALTHCARE. FORM 990, PART VI, SECTION B, LINE 15B: COMPENSATION PROCESS FOR OFFICERS: CERTAIN OFFICERS ARE EMPLOYEES OF YNHHS, OTHER OFFICERS ARE EMPLOYED DIRECTLY BY THE HOSPITAL. COMPENSATION DETERMINATIONS OF YNHHS EMPLOYED OFFICERS ARE MADE BY THE YNHHS COMPENSATION COMMITTEE. COMPENSATION DETERMINATIONS OF CERTAIN HOSPITAL EMPLOYED OFFICERS ARE ALSO REVIEWED AND APPROVED BY THE YNHHS COMPENSATION COMMITTEE AND SHARED WITH THE HOSPITAL'S COMPENSATION COMMITTEE OR BOARD. THE COMPENSATION COMMITTEES OF YNHHS AND LMW HEALTHCARE STRIVE TO TAKE THE STEPS NECESSARY TO QUALIFY FOR THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER FEDERAL TAX LAW. THE YNHHS EXECUTIVE COMPENSATION COMMITTEES ARE RESPONSIBLE FOR (1) DETERMINING THE OVERALL TOTAL COMPENSATION STRATEGY FOR ALL THEIR RESPECTIVE CORPORATE OFFICERS, (2) APPROVING ALL COMPENSATION AND BENEFITS DECISIONS FOR CORPORATE OFFICERS, AND (3) REPORTING SUCH ACTIONS TO THE FULL LMW HEALTHCARE AND YNHHS BOARD ON AN ANNUAL BASIS, AS APPLICABLE. IN ADDITION, THE EXECUTIVE COMPENSATION COMMITTEES, AS APPLICABLE, EXPRESSLY DETERMINE THE REASONABLENESS OF TOTAL COMPENSATION AND BENEFITS FOR ALL CORPORATE OFFICERS, AND ASSURES THAT ALL OFFICER COMPENSATION DECISIONS ARE MADE AFTER THOROUGH CONSIDERATION OF AND COMPARISON TO THE MARKET PRACTICES OF OTHER SIMILARLY SITUATED NOT-FOR-PROFIT HEALTHCARE EXECUTIVES IN COMPARABLE ORGANIZATIONS. THE EXECUTIVE COMPENSATION COMMITTEES CONSIST OF BOARD MEMBERS WHO DO NOT HAVE MATERIAL FINANCIAL INTERESTS THAT COULD BE AFFECTED BY THE OFFICER COMPENSATION DECISIONS MADE BY THE COMMITTEES. THE COMPARABILITY DATA USED TO ASSIST THE EXECUTIVE COMPENSATION COMMITTEES IN THEIR COMPENSATION DELIBERATIONS ARE COMPILED BY AN INDEPENDENT, NATIONAL COMPENSATION CONSULTING FIRM THAT IS RETAINED BY AND REPORTS DIRECTLY TO THE EXECUTIVE COMPENSATION COMMITTEES. THE DATA COLLECTED BY THE CONSULTANT CONSISTS OF MARKET INFORMATION FOR EXECUTIVES IN FUNCTIONALLY SIMILAR POSITIONS IN SIMILARLY SITUATED NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS. THE DELIBERATIONS AND DECISIONS OF THE EXECUTIVE COMPENSATION COMMITTEES ARE CONTEMPORANEOUSLY DOCUMENTED, REVIEWED AND APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEES, AND PROVIDED TO THE BOARDS OF YNHHS AND/OR THE HOSPITAL, AS APPLICABLE. 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 PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 12,209,419. MANAGEMENT AND GENERAL EXPENSES 1,385,302. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,594,721. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 9,600,692. MANAGEMENT AND GENERAL EXPENSES 1,089,311. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,690,003. FORM 990, PART XI, LINE 9: CHANGE IN FUNDS HELD IN TRUST BY OTHERS 301,143. NET ASSETS TRANSFERRED FROM WESTERLY HOSPITAL FOUNDATION BRIDGEPORT HOSPITAL 267 GRANT STREET BRIDGEPORT CT 06610 060646554 HEALTHCARE SERVICES CT 501C3 LINE 3 YALE NEW HAVEN HEALTH SERVICES CORPORATION 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 CORPORATION 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 LAWRENCE MEMORIAL CORPORATION 365 MONTAUK AVENUE NEW LONDON CT 06320 222553028 PROMOTE HEALTHCARE CT 501C3 LINE 12A, I YALE NEW HAVEN HEALTH SERVICES CORPORATION 0 LAWRENCE MEMORIAL HOSPITAL INC 365 MONTAUK AVENUE NEW LONDON CT 06320 060646704 HEALTHCARE SERVICES CT 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 CORPORATION 1 NORTHEAST MEDICAL GROUP PLLC 99 HAWLEY LANE STRATFORD CT 06614 352380180 HEALTHCARE SERVICES CT 501C3 LINE 12A, I NORTHEAST MEDICAL GROUP INC 1 PERRYRIDGE CORPORATION 5 PERRYRIDGE ROAD GREENWICH CT 06830 061207316 SYSTEM SUPPORT SERVICES CT 501C3 LINE 10 GREENWICH HOSPITAL 1 SOUTHERN CONNECTICUT HEALTH SYSTEM PROPERTIES INC 267 GRANT STREET BRIDGEPORT CT 06610 061297708 TITLE HOLDING CT 501C2 BRIDGEPORT HOSPITAL 1 THE WESTERLY HOSPITAL FOUNDATION INC 25 WELLS STREET WESTERLY RI 02891 050508064 FUNDRAISING SERVICES RI 501C3 LINE 12A, I LMW HEALTHCARE INC 1 VISITING NURSE ASSOCIATION OF SOUTHEASTERN CONNECTICUT INC 403 NORTH FRONTAGE ROAD WATERFORD CT 06385 060646616 HOME HEALTHCARE SERVICES CT 501C3 LINE 10 LAWRENCE MEMORIAL CORPORATION 1 WESTERLY HOSPITAL AUXILIARY INC 25 WELLS STREET WESTERLY RI 02891 222507181 FUNDRAISING ACTIVITIES RI 501C3 LINE 12A, I LMW HEALTHCARE INC 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 YALE NEW HAVEN HEALTH SERVICES CORP 789 HOWARD AVE NEW HAVEN CT 06519 222529464 SYSTEM SUPPORT SERVICES CT 501C3 LINE 12A, I N/A 0 YALE NEW HAVEN HOSPITAL 20 YORK STREET NEW HAVEN CT 06504 060646652 HEALTHCARE SERVICES CT 501C3 LINE 3 YALE NEW HAVEN HEALTH SERVICES CORPORATION 1 SHORELINE ENDOSCOPY CENTER LLC (SEE PART VII) - 800 BOSTON POST ROAD GUILFORD CT 06437 900110459 HEALTHCARE SERVICES CT N/A 0 0 YALE NEW HAVEN HEALTH SYSTEM INVESTMENT TRUST 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 GREENWICH FERTILITY & IVF PC 5 PERRYRIDGE ROAD GREENWICH CT 06830 300145464 HEALTHCARE SERVICES CT 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 GREENWICH OCCUPATIONAL HEALTH SERVICES OF NY PC 5 PERRYRIDGE ROAD GREENWICH CT 06830 061540101 HEALTHCARE SERVICES NY 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 MEDICAL CENTER PHARMACY AND HOME CARE CENTER INC 50 YORK STREET NEW HAVEN CT 06511 061087673 PHARMACY 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 YNHH-PHYSICIANS CORP 789 HOWARD AVE NEW HAVEN CT 06519 061202305 ADMINISTRATIVE SERVICES CT N/A C 1 LMW HEALTHCARE INC CHARLES A MORGAN TUW BANK OF AMERICA PO BOX 830269 DALLAS TX 75283 CHARITABLE REMAINDER TRUST RI T 4364681 1.00000 1 0 0 1 0 0 0 0 0 1 1 1 0 1 0 1 1 1 1 0 BRIDGEPORT HOSPITAL I 111668 COST BRIDGEPORT HOSPITAL Q 238556 COST GREENWICH HOSPITAL Q 103750 COST LAWRENCE AND MEMORIAL HOSPITAL INC I 1187820 COST LAWRENCE AND MEMORIAL HOSPITAL INC M 472235 COST YALE NEW HAVEN HOSPITAL INC R 3774978 COST YALE NEW HAVEN HOSPITAL INC M 924049 COST CHARITABLE REMAINDER TRUST C 203231 COST NORTHEAST MEDICAL GROUP INC J 161136 COST YALE NEW HAVEN HOSPITAL INC P 204953 COST LAWRENCE AND MEMORIAL HOSPITAL INC O 4495739 COST LAWRENCE AND MEMORIAL HOSPITAL INC Q 10443279 COST LAWRENCE AND MEMORIAL HOSPITAL INC R 7831896 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 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.