Associated Specialists of Southeastern

“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. Based on responses to the questionnaires received by the organization and annual conflicts of interest disclosures, the organization was able to confirm that no voting members are independent. The organization is a related organization of lawrence + memorial corporation. Pursuant to its bylaws, the president and chief executive officer of lawrence + memorial corporation serves as an ex-officio member of the board of directors of the organization. All other directors are appointed by lawrence + memorial corporation. None of the organization's voting members are independent because all are compensated as officers or employees of the organization or a related organization.”

“Part vi, line 2 business relationships between officers, directors, trustees, or key employees the organization's current officers and/or trustees serve as officers and/or directors of taxable 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 taxable affiliate and serve only as a function of their roles with the organization or within the organization's corporate system.”

“Lawrence & memorial hospital is the sole member of associated specialists of southeastern connecticut, inc.”

“Lawrence & memorial corporation has the right to appoint the board of directors of the corporation.”

“Lawrence & memorial corporation has the right to adopt, amend and repeal the bylaws and all other rights, powers and privileges accorded by law to the member of a federally tax-exempt corporation. Lawrence & memorial corporation shall have the right to appoint the board of directors of assect, adopt amend and repeal these bylaws, and have all of the other rights, powers and privileges usually or by law accorded to the members of a nonprofit federally tax-exempt corporation and not conferred by these bylaws on l&m hospital or the board of directors of associated specialists of southeastern connecticut, inc.”

“The form 990 is prepared by the organization and reviewed by external tax consultants. A draft version of the return is provided to management for review. Any necessary changes are made prior to the final review and signing of the return by the organization's independent tax consultants. The final form 990 is provided to the board prior to filing.”

“Assect requires all board members and officers to complete a conflict of interest questionnaire. Questionnaires are completed annually and are reviewed by l & m hospital's general counsel. Any actual or potential conflicts disclosed are presented to the board. Appropriate corrective actions are decided on a case by case basis.”

“The officer's compensation and benefits reported in part vii are determined by lawrence + memorial hospital, inc. Lawrence + memorial hospital, inc.'s executive compensation committee annually reviews the salaries of its executive management and key employees. Utilizing independent compensation consultants the executive compensation committee makes its recommendations. The committee's deliberations are reflected in its minutes.”

“Form available through guidestar.org”

“All documents are available upon request.”

“Purchased outside services: program service expenses 314,211. Management and general expenses 113,703. Fundraising expenses 0. Total expenses 427,914. Physician fees: program service expenses 2,736,653. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,736,653.”

“Transfer to affiliates 1,529,323.”