2017-08-14T15:23:36-05:00 2016-09-30 135565207 KPMG LLP 1601 MARKET STREET PHILADELPHIA PA 19103 990 2015-10-01 060646652 YALE NEW HAVEN HOSPITAL YALE 2036886088 20 YORK STREET NEW HAVEN CT 06504 VINCENT TAMMARO EXECUTIVE VP & CFO 2036886088 2017-08-14 0 PHILLIP E GROFF P01247783 2672561756 2015 2021-01-29 14:40:06Z RICHARD D'AQUILA 20 YORK STREET NEW HAVEN CT 06504 3101185799 0 X WWW.YNHH.ORG X 1826 CT TO PROVIDE HEALTH CARE SERVICES 25 22 13934 2311 581549 -109433 56214868 66450596 2457990234 2589902533 10381660 21907730 33758151 31501919 2558344913 2709762778 3359630 6392744 0 0 1054013760 1077622826 0 0 9503825 1362407293 1499999566 2419780683 2584015136 138564230 125747642 3121321423 3334892698 1895817609 1991535059 1225503814 1343357639 X YNHH'S MISSION IS TO PROVIDE INNOVATIVE AND EXCELLENT PATIENT CARE, TEACHING, RESEARCH, AND SERVICE TO THE COMMUNITIES IT SERVES. 0 0 2187614426 6392744 2601539040 SEE SCHEDULE O. 2187614426 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 1 0 1 0 1 0 0 0 0 1 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 1 1 1 0 0 1 1845 0 13934 1 1 1 0 0 0 0 1 1 0 0 0 0 X 25 22 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X DENIS DONEGAN 2036886088 789 HOWARD AVE NEW HAVEN CT 06519 BRUCE ALEXANDER TRUSTEE 1.00 0.00 X 0 0 0 ROBERT ALPERN TRUSTEE 1.00 0.00 X 0 0 0 THOMAS BALCEZAK SR. VP 38.00 2.00 X X 796573 0 254646 MARNA BORGSTROM CEO/TRUSTEE 24.00 16.00 X X 1779987 1186658 892153 BISHOP THEODORE BROOKS TRUSTEE 1.00 0.00 X 0 0 0 VINCENT CALARCO SECRETARY/TRUSTEE 1.00 1.00 X X 0 0 0 JOSEPH CRESPO TRUSTEE 1.00 1.00 X 0 0 0 RICHARD D'AQUILA PRESIDENT/TRUSTEE 32.00 8.00 X X 1493476 373369 474585 MARY FARRELL CHAIRMAN/TRUSTEE 1.00 1.00 X 0 0 0 MICHAEL FLYNN TRUSTEE 1.00 0.00 X 0 0 0 WILLIAM GINSBERG TRUSTEE 1.00 0.00 X 0 0 0 THOMAS HANSON TRUSTEE 1.00 0.00 X 0 0 0 THOMAS B KETCHUM TRUSTEE 1.00 1.00 X 0 0 0 JOHN LAHEY TRUSTEE 1.00 1.00 X 0 0 0 MARVIN LENDER TRUSTEE 1.00 1.00 X 0 0 0 LINDA KOCH LORIMER TRUSTEE 1.00 0.00 X 0 0 0 LINDA MASCI TRUSTEE 1.00 0.00 X 0 0 0 JULIA MCNAMARA VICE CHAIR 1.00 1.00 X X 0 0 0 THANASIS MOLOKOTOS TRUSTEE 1.00 0.00 X 0 0 0 SISTER ROSEMARY MOYNIHAN TRUSTEE 1.00 0.00 X 0 0 0 PETER SALOVEY TRUSTEE 1.00 1.00 X 0 0 0 MICHAEL SPROULE TRUSTEE 1.00 0.00 X 0 0 0 JAMES TORGERSON TRUSTEE 1.00 1.00 X 0 0 0 SUSAN WHETSTONE TRUSTEE 1.00 0.00 X 0 0 0 AARON HOLLANDER EFF 10115 TRUSTEE 1.00 0.00 X 0 0 0 WILLIAM ASELTYNE SR. VP 22.00 18.00 X 507100 408888 274107 DANIEL BARCHI THRU 113015 SR. VP 20.00 20.00 X 452171 452171 268464 PATRICIA SUE FITZSIMONS SR. VP 40.00 0.00 X 761504 0 43430 MICHEAL HOLMES SR. VP 40.00 0.00 X 632121 0 210154 THOMAS LEARY THRU 10816 VP (CURRENT YEAR COMP) 38.00 2.00 X 424806 22358 131091 THOMAS LEARY THRU 10816 VP (VESTED DEFERRED COMP) 38.00 2.00 X 1765584 92925 0 ABE LOPMAN SR. VP 40.00 0.00 X 797301 0 217676 STEPHEN MERZ THRU 41816 VP 38.00 2.00 X 385743 0 135259 KEVIN A MYATT SR. VP 24.00 16.00 X 487235 324823 266850 PAUL PATTON THRU 90916 VP 40.00 0.00 X 542290 0 182298 VINCENT PETRINI SR. VP 39.00 1.00 X 611342 0 220757 CYNTHIA SPARER SR. VP 38.00 2.00 X 764759 0 125660 JAMES STATEN THRU 10216 SR. VP 24.00 16.00 X 828658 552439 429112 KEVIN WALSH VP 40.00 0.00 X 518926 0 167897 VINCENT TAMMARO EFF 50616 SR. VP & CFO 24.00 16.00 X 402804 268535 235088 RICHARD LISITANO VP 40.00 0.00 X 444894 0 90236 VICTOR MORRIS VP 40.00 0.00 X 561046 0 98181 THOMAS DONOHUE VP 40.00 0.00 X 571678 0 69897 KEITH CHURCHWELL SR. VP 40.00 0.00 X 652368 0 127807 ALAN KLIGER SR. VP 28.00 12.00 X 551799 236486 125640 PETER HERBERT RET 102814 FORMER OFFICER 0.00 0.00 X 836103 0 0 17570268 3918652 5040988 2046 1 1 0 NURSEFINDERSINC 524 EAST LAMAR BLVD SUITE 300 ARLINGTON TX 76011 EMPLOYMENT SERVICES 12141985 UNITEX TEXTILE RENTAL 161 SOUTH MACQESTEN PARKWAY MOUNT VERNON NY 10550 LAUNDERING SERVICE 6531364 RTD LOGISTICS LLC 119 BRAINTREE STREET SUITE 101 ALLSTON MA 02134 COURIER SERVICES 3220052 AMERICAN MEDICAL RESPONSE OF CONNECTICUT PO BOX 100296 ATLANTA GA 30384 AMBULANCE SERVICES 3102631 SHEPLEY BULFINCH RICHARDSON 2 SEAPORT LANE BOSTON MA 02210 CONSULTING 2337828 213 2406609 6075 11032930 53004982 2243146 66450596 INPATIENT SERVICES 612990 1390783914 1390783914 OUTPATIENT SERVICES 621400 1198553036 1198553036 LABORATORY SERVICES 621500 565583 565583 2589902533 5354803 15966 5338837 1117905 1502939 -385034 -385034 -385034 405424040 388871113 16552927 16552927 16552927 361549 2406609 1048969 -687420 -687420 CAFETERIA/VENDING 900099 12444881 12444881 OTHER ANCILIARY SERVICES 900099 11627497 11627497 PARKING 900099 8492985 8492985 9010 9010 32574373 2709762778 2600973457 581549 41757176 X 5560258 5560258 832486 832486 19536912 19536912 824368598 676633235 145977205 1758158 61992195 49953247 11914900 124048 109867615 91853702 17761497 252416 61857506 49844715 11889013 123778 2865817 2314801 551016 44057 44057 787390 787390 698128085 566625675 130745941 756469 18807 15192 3615 42403139 33316748 8990059 96332 51069360 40964964 10104396 2617194 2067658 503025 46511 22535979 22535979 125736245 101569739 24166506 24891955 24476131 415824 MEDICAL & PHARMACY SUPP 500426199 500426199 COMMUNITY ACTIVITIES 9382012 2519932 626771 6235309 LINEN & LAUNDERING SERV 6278441 5071725 1206716 PROPERTY TAXES 5154465 4163777 990688 7660421 6080873 1468744 110804 2584015136 2187614426 386896885 9503825 743845 938595 151638288 106549266 340127258 314270111 39407544 39475461 90503378 74194344 1783243993 891139438 936784431 892104555 551757304 719411228 768495000 866752831 44774265 44767415 197090110 276428892 3121321423 3334892698 346209496 399984859 42720046 41481784 94815000 93607323 182725000 180211378 1229348067 1276249715 1895817609 1991535059 X 1107464594 1239657554 71153450 56466588 46885770 47233497 1225503814 1343357639 3121321423 3334892698 X 125747642 65599121 -73492938 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 1 500 0 0 1 311651 0 1 787390 1099541 0 PART II-B, LINE 1: THE AMOUNT REPORTED IN "OTHER ACTIVITIES" REPRESENTS A PORTION OF PROFESSIONAL DUES ATTRIBUTABLE TO LOBBYING DURING 2016. 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. YALE-NEW HAVEN HOSPITAL IS PART OF A CONTROLLED GROUP WITH THE FOLLOWING LOBBYING EXPENSES: BRIDGEPORT HOSPITAL EIN 06-0646554 $ 596,691 GREENWICH HOSPITAL EIN 06-0646659 $ 120,642 LAWRENCE + MEMORIAL HOSPITAL EIN 06-0646704 $ 97,147 LMW HEALTHCARE, INC. EIN 46-0543230 $ 66,063 NORTHEAST MEDICAL GROUP EIN 06-1330992 $ 42,892 0 85431600 128000 6591400 4512000 87639000 72145000 18630331 1271318 6615049 85431600 63261000 3493000 11289000 5898000 72145000 63422000 6181000 6342000 63261000 62861000 2000 7683000 7124000 63422000 0.53890 0.46110 0 0 50475482 50475482 271464271 99098584 172365687 17632132 17372461 259671 1443672108 774668393 669003715 892104555 YALE ENDOWMENT FUND 866752831 F 866752831 INVESTMENT IN REALTED ORGS / OTHER 73263658 PROFESSIONAL LIABILITIES INS. RECOVERIES 56000280 CONSTRUCTION IN PROGREES 83868772 DEFERRED EMPLOYEE BENEFITS 63296182 276428892 ACCRUED POST RETIREMENT BENEFITS 258936272 INSURANCE LIABILITY / OTHER 454390972 CAPITAL LEASES 46850423 DUE TO PARENT- T/E BOND LIABILITY 516072048 1276249715 X PART V, LINE 4: THE ENDOWED FUNDS' INTENDED USE IS TO GENERATE INCOME TO SUPPORT YALE NEW HAVEN HOSPITAL PROGRAM SERVICE FUNCTIONS AND OTHER OPERATIONS IN ACCORDANCE WITH THE YALE NEW HAVEN HOSPITAL POOLED INVESTMENT POLICY, INCLUDING TO PROVIDE FREE CARE, ALL IN ACCORDANCE WITH DONORS WISHES. PART X, LINE 2: YNHCCC AND THE HOSPITAL ARE NOT FOR PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE), AND ARE GENERALLY EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE CODE. ASC AND YORK ARE SUBJECT TO FEDERAL AND STATE CORPORATE INCOME TAXES. DEFERRED INCOME TAXES ARE PROVIDED ON TEMPORARY DIFFERENCES BETWEEN FINANCIAL STATEMENT AND TAX REPORTING. THE PROVISION FOR INCOME TAXES AND DEFERRED TAXES ARE NOT MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS. U.S. GAAP REQUIRES YNHCCC AND THE HOSPITAL TO EVALUATE TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN THE COURSE OF PREPARING YNHCCC'S AND THE HOSPITAL'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. YNHCCC AND THE HOSPITAL RECOGNIZE THE EFFECT OF TAX POSITIONS ONLY IF THEY ARE MORE-LIKELY THAN-NOT OF BEING SUSTAINED. THIS EVALUATION HAD NO IMPACT ON THE OPERATIONS YNHCCC OR THE HOSPITAL AS OF AND FOR THE YEAR ENDED SEPTEMBER 30, 2016 AND 2015. CTF BIKE RIDE 1959910 1832631 127279 7300 28437 4930 755647 ANNIVERSARY GALA 247474 122678 124796 2000 86102 3826 14927 6 560774 451300 109474 6116 64753 3550 71381 2768158 2406609 361549 15416 179292 12306 841955 1048969 -687420 1 1 X 1 X 250.000000000000 0 1 1 1 0 1 1 35314 222007000 17918000 204089000 0.07900 374125 564370878 318568169 245802709 0.09510 0 0 0 409439 786377878 336486169 449891709 0.17410 16 47956 9484397 3188124 6296273 0.00240 4 2762 116106127 23021940 93084187 0.03600 1 20134 8317883 3133799 5184084 0.00200 0 0 0 0 11 100 1639452 7800 1631652 0.00060 32 70952 135547859 29351663 106196196 0.04100 32 480391 921925737 365837832 556087905 0.21510 1 8 150000 0 150000 0.00010 1 0 449354 0 449354 0.00020 3 105 116253 0 116253 0.00000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 55 42756 0 42756 0.00000 1 0 2612597 0 2612597 0.00100 9 168 3370960 3370960 0.00130 1 62868918 843229193 947074144 -103844951 X 1 1 1 NONE NONE 1 1 YALE NEW HAVEN HOSPITAL 20 YORK STREET NEW HAVEN CT 06504 WWW.YNHH.ORG 0044 X X X X X X YALE NEW HAVEN HOSPITAL 1 0 0 1 X X X X X X X X 15 1 1 1 1 X SEE PART V X SEE PART V X 1 15 1 SEE PART V 0 0 1 X 250.000000000000 X X X X 1 1 X X X 1 X SEE PART V X SEE PART V X SEE PART V X X X X X 1 X 0 X X X X 1 X 0 0 PART V, SECTION A: THIS STATE LICENSE FOR THE HOSPITAL LOCATION LISTED IN SCHEDULE H, PART V, SECTION A, ALSO COVERS VARIOUS SATELLITE LOCATIONS OPERATED UNDER THE SAME STATE HOSPITAL LICENSE. YALE NEW HAVEN HOSPITAL PART V, SECTION B, LINE 5: COMMUNITY ENGAGEMENT AND FEEDBACK WERE AN INTEGRAL PART OF THE CHNA PROCESS. YALE NEW HAVEN HOSPITAL AND ITS COMMUNITY PARTNERS SOUGHT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL THROUGH COMMUNITY MEETINGS AND INCLUSION OF COMMUNITY PARTNERS IN THE PRIORITIZATION AND IMPLEMENTATION PLANNING PROCESS. 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. YALE NEW HAVEN HOSPITAL PART V, SECTION B, LINE 6A: MILFORD HOSPITAL YALE NEW HAVEN HOSPITAL PART V, SECTION B, LINE 6B: UNDERSTANDING THE CURRENT HEALTH STATUS OF THE COMMUNITY IS IMPORTANT IN ORDER TO IDENTIFY PRIORITIES FOR FUTURE PLANNING AND FUNDING, THE EXISTING STRENGTHS AND ASSETS ON WHICH TO BUILD UPON, AND AREAS FOR FURTHER COLLABORATION AND COORDINATION ACROSS ORGANIZATIONS, INSTITUTIONS, AND COMMUNITY GROUPS. TO THIS END, YALE NEW HAVEN HOSPITAL, AS PART OF THE HEALTHIER GREATER NEW HAVEN PARTNERSHIP - A COALITION INCLUDING YET NOT LIMITED TO YALE NEW HAVEN HOSPITAL, MILFORD HOSPITAL, NEW HAVEN HEALTH DEPARTMENT, EAST SHORE DISTRICT HEALTH DEPARTMENT, QUINNIPIAK VALLEY HEALTH DISTRICT, MILFORD HEALTH DEPARTMENT, MADISON HEALTH DEPARTMENT, FAIR HAVEN COMMUNITY HEALTH CENTER, CORNELL SCOTT-HILL HEALTH CENTER, PROJECT ACCESS-NEW HAVEN, DATAHAVEN AND THE YALE SCHOOL OF PUBLIC HEALTH'S COMMUNITY ALLIANCE FOR RESEARCH AND ENGAGEMENT - IS LEADING A COMPREHENSIVE EFFORT TO ADDRESS HEALTH DISPARITIES IN GREATER NEW HAVEN.THE HEALTHIER GREATER NEW HAVEN PARTNERSHIP MEMBERS BEGAN MEETING IN DECEMBER 2010 TO DEVELOP A SHARED VISION AND COORDINATED EFFORT TO LEVERAGE EXISTING WORK ALREADY IN PROGRESS AND TO COMPLETE A COMMUNITY HEALTH NEEDS ASSESSMENT. MEMBERS OF THE PARTNERSHIP INCLUDE RESPECTED PUBLIC HEALTH EXPERTS FROM THE NEW HAVEN HEALTH DEPARTMENT AND YALE SCHOOL OF PUBLIC HEALTH AS WELL AS THOSE WITH SPECIFIC KNOWLEDGE AND EXPERTISE SERVING UNDERSERVED AND MINORITY POPULATIONS. PART V, SECTION B, LINE 7A - HOSPITAL FACILITY'S WEBSITE:HTTPS://WWW.YNHH.ORG/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT.ASPX PART V, SECTION B, LINE 7B - OTHER WEBSITES:HTTP://WWW.CT.GOV/DPH/LIB/DPH/OHCA/COMMUNITY_NEEDS_ASSESSMENT/CHNA/2016/2016_YALE-NEW_HAVEN_HOSPITAL.PDF; HTTP://WWW.CTDATAHAVEN.ORG/DATA-RESOURCES/GREATER-NEW-HAVEN-COMMUNITY-INDEX-HEALTHIER-GREATER-NEW-HAVEN-PARTNERSHIP-CHNA; HTTP://WWW.MILFORDHOSPITAL.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/; HTTP://WWW.CT.GOV/DPH/LIB/DPH/OHCA/COMMUNITY_NEEDS_ASSESSMENT/CHNA/2016/2016_MILFORD_HOSPITAL.PDFPART V, SECTION B, LINE 10A:HTTPS://WWW.YNHH.ORG/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT.ASPX YALE NEW HAVEN HOSPITAL PART V, SECTION B, LINE 11: IN JANUARY AND AGAIN IN MARCH 2016, HEALTHIER GREATER NEW HAVEN PARTNERSHIP MEMBERS AND THEIR COMMUNITY PARTNERS (INCLUDING THOSE WITH PUBLIC HEALTH DEPARTMENTS AND / OR KNOWLEDGE, INFORMATION, OR EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY OR MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS) REVIEWED THE PRIMARY AND SECONDARY CHNA DATA AND DETERMINED, BY GROUP CONSENSUS, THAT THE 2013 PRIORITIES WOULD BE MAINTAINED MOVING FORWARD FOR THE 2016 CHNA. PARTICIPANTS INVOLVED IN THIS COMPREHENSIVE REVIEW ALSO IDENTIFIED MENTAL HEALTH AND SUBSTANCE ABUSE AS A THIRD PRIORITY FOR THE REGION AS PART OF THE 2016 COMMUNITY HEALTH IMPROVEMENT PLAN. THE PARTNERSHIP, HEALTH DEPARTMENTS, AND HOSPITALS CONFIRMED THAT THERE WAS A NEED TO CONTINUE WORKING IN THE 2013 FOCUS AREAS AS THESE WERE STILL THE TOP HEALTH PRIORITY AREAS. ALL PRIMARY AND SECONDARY DATA THAT WAS COLLECTED, ANALYZED AND REVIEWED SUPPORTED THE CONTINUATION OF THE 2013 PRIORITY AREAS (ACCESS TO CARE AND HEALTHY LIFESTYLES) WITH THE EXPANSION TO INCLUDE THE AREA OF MENTAL HEALTH AND SUBSTANCE ABUSE. TO LEARN MORE ABOUT HOW YALE NEW HAVEN HOSPITAL AND ITS COMMUNITY PARTNERS ARE MEETING THESE NEEDS PLEASE REVIEW THE HEALTHIER GREATER NEW HAVEN PARTNERSHIP'S 2016 GREATER NEW HAVEN REGION YALE NEW HAVEN HOSPITAL AND MILFORD HOSPITAL COLLABORATIVE COMMUNITY HEALTH ASSESSMENT AND IMPLEMENTATION STRATEGIES.YALE NEW HAVEN HOSPITAL RECOGNIZES THAT PARTNERSHIPS WITH COMMUNITY AGENCIES HAVE THE BROADEST REACH TO IMPROVE COMMUNITY HEALTH ISSUES. AS SUCH, THE HOSPITAL IS PROVIDING FACILITATION SUPPORT FOR THE DEVELOPMENT OF A COMMUNITY-WIDE HEALTH IMPROVEMENT PLAN THAT WILL FOCUS ON ALL SEVEN AREAS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. YALE NEW HAVEN HOSPITAL PART V, SECTION B, LINE 13H: THESE PROGRAMS COVER MEDICALLY NECESSARY CARE ONLY.PART V, SECTION B, LINE 16A, 16B AND 16C:HTTPS://WWW.YNHH.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE.ASPX YALE NEW HAVEN HOSPITAL PART V, SECTION B, LINE 22D: THE MAXIMUM AMOUNT CHARGED TO FAP-ELIGIBLE PATIENTS IS THE AMOUNT GENERAL BILLED TO INDIVIDUALS WHO HAVE INSURANCE COVERING THE CARE AT ISSUE (AGB). AGB IS CALCULATED ANNUALLY USING THE "LOOK BACK METHOD AND BASED ON MEDICARE FEE-FOR-SERVICE RATES, INCLUDING MEDICARE BENEFICIARY COST-SHARING AMOUNTS AND ALL PRIVATE HEALTH INSURERS THAT PAY CLAIMS TO THE HOSPITAL FOR THE PRIOR FISCAL YEAR. PART V, SECTION D THE FACILITY LOCATIONS LISTED IN SCHEDULE H, PART V, SECTION D, INCLUDE OFF-CAMPUS OUTPATIENT HEALTH CARE FACILITIES THAT YALE NEW HAVEN HOSPITAL OPERATED DURING THE TAX YEAR UNDER ITS STATE HOSPITAL LICENSE. 80 1 - MEDICAL CENTER 6 DEVINE STREET NORTH HAVEN CT 06473 MEDICAL OFFICE 2 - SHORELINE MEDICAL CENTER 111 GOOSE LANE GUILFORD CT 06437 MEDICAL OFFICE 3 - RADIOLOGYWOMEN'S SURGICAL 40-60 TEMPLE STREET NEW HAVEN CT 06511 MEDICAL FACILITY 4 - SMILOW CANCER HOSPITAL CARE CENTER 1075 CHASE PARKWAY WATERBURY CT 06708 MEDICAL FACILITY 5 - SMILOW CANCER HOSPITAL CARE CENTER 200-220 KENNEDY DRIVE TORRINGTON CT 06790 MEDICAL OFFICE 6 - SMILOW CANCER HOSPITAL CARE CENTER 111 BEACH ROAD FAIRFIELD CT 06824 CANCER CENTER 7 - MEDICAL CENTER 1 LONG WHARF NEW HAVEN CT 06511 MATERNAL/PEDIATRIC/RADIOLOGY 8 - PRIMARY CARE CENTER 789 HOWARD AVENUE NEW HAVEN CT 06519 LABORATORY; MEDICAL OFFICE; DIAGNOSTIC RADIOLOGY 9 - SMILOW CANCER HOSPITAL CARE CENTER 350 SEYMOUR AVENUE DERBY CT 06418 MEDICAL OFFICE 10 - SMILOW CANCER HOSPITAL CARE CENTER 240 INDIAN RIVER ROAD ORANGE CT 06477 MEDICAL OFFICE 11 - PEDIATRIC SPECIALTY CENTER 1 PARK STREET NEW HAVEN CT 06511 PEDIATRIC SERVICES 12 - YNHH BLOOD DRAW 330 ORCHARD STREET NEW HAVEN CT 06511 MEDICAL FACILITY 13 - YNHASC TEMPLE SURGICAL CENTER 60 TEMPLE STREET NEW HAVEN CT 06511 SATELLITE 14 - YNHH LAB 55 PARK STREET NEW HAVEN CT 06511 LABORATORY 15 - HAMDEN RADIOLOGYDENTAL CLINIC 2560 DIXWELL AVENUE HAMDEN CT 06518 RADIOLOGY; DENTAL CLINIC 16 - YNHH BLOOD DRAW 2 DEVINE STREET NORTH HAVEN CT 06473 BLOOD DRAW CENTER 17 - SOUND MEDICAL CENTER 1591 BOSTON POST ROAD GUILFORD CT 06437 MEDICAL FACILITY 18 - SMILOW CANCER HOSPITAL CARE CENTER 2080 WHITNEY AVE HAMDEN CT 06518 MEDICAL OFFICE 19 - YNHH BLOOD DRAWRADIOLOGY 150 SARGENT DRIVE NEW HAVEN CT 06511 BLOOD DRAW CENTER; DIAGNOSTIC RADIOLOGY 20 - YNHH BLOOD DRAW 46 PRINCE STREET NEW HAVEN CT 06511 MEDICAL FACILITY 21 - AMBULATORY SERVICES EAST HAVEN 500 ELM STREET WEST HAVEN CT 06516 DIAGNOSTIC RADIOLOGY 22 - YNHH BLOOD DRAW 11 HARRISON AVE BRANFORD CT 06405 BLOOD DRAW CENTER 23 - AMBULATORY SERVICES BLOOD LAB 556 MAIN STREET EAST HAVEN CT 06512 MEDICAL FACILITY 24 - ADULT SLEEP CENTER 8 DEVINE STREET NORTH HAVEN CT 06473 MEDICAL FACILITY 25 - YNHH MEDICAL CENTER 2200 WHITNEY AVENUE HAMDEN CT 06518 MEDICAL FACILITY 26 - LAKEBROOK MEDICAL CENTER 5 PEQUOT PARK ROAD WESTBROOK CT 06498 MEDICAL FACILITY 27 - YNHH MEDICAL CENTER 633 MIDDLESEX TURNPIKE OLD SAYBROOK CT 06475 MEDICAL FACILITY 28 - CONTINUING CARE CLINIC 1294 CHAPEL STREET NEW HAVEN CT 06511 MEDICAL OFFICE 29 - HEART & VASCULAR OUTPATIENT 325 POST ROAD ORANGE CT 06477 MEDICAL OFFICE 30 - SLEEP LABUROLOGY 1291 BOSTON POST ROAD MADISON CT 06443 SLEEP LAB/UROLOGY 31 - BRANFORD ADOLESCENT CARE 21 BUSINESS PARK DRIVE BRANFORD CT 06405 ADOLESCENT CARE 32 - AMBULATORY SERVICES GUILFORD 1445 BOSTON POST ROAD GUILFORD CT 06437 DIAGNOSTIC RADIOLOGY; PHYSICAL THERAPY 33 - YNHH CARDIOLOGY 84 NORTH MAIN STREET BRANFORD CT 06405 MEDICAL OFFICE 34 - DIAGNOSTIC RADIOLOGYBLOOD DRAW 317 FOXON ROAD EAST HAVEN CT 06512 RADIOLOGY; BLOOD DRAW; URGENT CARE 35 - ADULT PHP 1100 SHERMAN AVENUE HAMDEN CT 06514 ADULT CARE 36 - ADOLESCENT CARE 646 GEORGE STREET NEW HAVEN CT 06511 ADOLESCENT CARE 37 - YNHH BLOOD DRAWPEDIATRICRADIOLOGY 747 BELDEN AVENUE NORWALK CT 06850 PEDIATRIC SPECIALTY 38 - MILFORD OFFICE PARK 48 WELLINGTON ROAD MILFORD CT 06460 RADIOLOGY 39 - REHABILITATIONOCCUPATIONAL 175 SHERMAN AVENUE NEW HAVEN CT 06511 CARDIAC SERVICES 40 - YNHH MEDICAL CENTER 50 HOSPITAL HILL ROAD SHARON CT 06069 MEDICAL OFFICE 41 - YNHH BLOOD DRAW 1475 WHALLEY AVE NEW HAVEN CT 06511 MEDICAL FACILITY 42 - YNHH BLOOD DRAW 665 NORTH COLONY ROAD WALLINGFORD CT 06492 BLOOD DRAW CENTER 43 - YNHH BLOOD DRAW 236 BOSTON POST ROAD ORANGE CT 06477 BLOOD DRAW CENTER 44 - YNHH BLOOD DRAW 252 EAST MAIN STREET CLINTON CT 06413 BLOOD DRAW CENTER 45 - ADLER GERIATRIC CENTER 874 HOWARD AVE NEW HAVEN CT 06511 MEDICAL OFFICE 46 - YNHH BLOOD DRAW 247 BROAD STREET MILFORD CT 06460 BLOOD DRAW CENTER 47 - YNHH BLOOD DRAW 170 BOSTON POST ROAD NEW HAVEN CT 06344 BLOOD DRAW CENTER 48 - CENTER FOR WOMEN'S HEALTH 1441 CHAPEL STREET NEW HAVEN CT 06511 OB/GYN SERVICES 49 - YNHH BLOOD DRAW 1 NEW HAVEN AVENUE MILFORD CT 06460 BLOOD DRAW CENTER 50 - RADIOLOGY 100 BROADWAY NORTH HAVEN CT 06473 TEMPLE RADIOLOGY 51 - YNHH MEDICAL CENTER 1000 ASYLUM AVENUE HARTFORD CT 06105 MEDICAL OFFICE 52 - YALE-GRIFFIN PREVENTION RESEARCH 130 DIVISION STREET DERBY CT 06418 RESEARCH 53 - YNHH DIALYSIS 137 WATER STREET NEW HAVEN CT 06511 DIALYSIS 54 - YNHH MEDICAL CENTER 1401 CHAPEL STREET NEW HAVEN CT 06511 MEDICAL OFFICE 55 - YNHH BLOOD DRAW 141 MILL HILL AVE BRIDGEPORT CT 06610 BLOOD DRAW CENTER 56 - YNHH MEDICAL CENTER 1453 WHALLEY AVENUE NEW HAVEN CT 06511 PATIENT SERVICES 57 - YALE ORTHOPEDIC ASSOCIATES 157 GOOSE LANE GUILFORD CT 06437 DIAGNOSTIC RADIOLOGY 58 - YNHH MEDICAL CENTER 158 STATE STREET NORTH HAVEN CT 06473 MEDICAL FACILITY 59 - SMILOW ONCOLOGY 19 LUNAR DRIVE WOODBRIDGE CT 06525 CANCER CARE 60 - YNHH MEDICAL CENTER 2 IVY BROOK ROAD SHELTON CT 06484 MEDICAL OFFICE 61 - YNHH MEDICAL CENTER 200 ORCHARD STREET NEW HAVEN CT 06511 MEDICAL FACILITY 62 - YNHH DIALYSIS 266 STATE STREET NORTH HAVEN CT 06473 DIALYSIS 63 - REHABILITATION & WELLNESS 300 SEASIDE AVENUE MILFORD CT 06460 MEDICAL FACILITY 64 - CARDIAC OUTPATIENT SERVICESYALE CARD 311 HARRISON AVE BRANFORD CT 06405 CARDIAC SERVICES 65 - YNHH BLOOD DRAW 3115 MAIN STREET STRATFORD CT 06614 BLOOD DRAW CENTER 66 - SHORELINE DIALYSIS 34 EAST INDUSTRIAL RD BRANFORD CT 06405 DIALYSIS 67 - CARDIAC OUTPATIENT SERVICES 365 MONTAUK AVENUE NEW LONDON CT 06320 CARDIAC SERVICES 68 - MERIDEN DIALYSIS 377 RESEARCH PARKWAY MERIDEN CT 06450 DIALYSIS 69 - PEDIATRIC INFUSION CENTER 405 CHURCH STREET NEW HAVEN CT 06437 DIAGNOSTIC RADIOLOGY 70 - YNHH MEDICAL CENTER 430 CONGRESS AVENUE NEW HAVEN CT 06511 MEDICAL FACILITY 71 - HEMATOLOGY & ONCOLOGY 455 LEWIS AVE MERIDEN CT 06450 CANCER SERVICES 72 - YNHH DIALYSIS 50 COMMERCE PARK DRIVE MILFORD CT 06460 DIALYSIS 73 - YNHH MEDICAL CENTER 51 YORK STREET NEW HAVEN CT 06511 MEDICAL FACILITY 74 - YNHH MEDICAL CENTER 55 CHURCH STREET NEW HAVEN CT 06511 MEDICAL FACILITY 75 - YNHH BLOOD DRAWUROLOGY 6 WOODLAND MADISON CT 06443 BLOOD DRAW; UROLOGY 76 - YNHH MEDICAL CENTER 674 WASHINGTON AVENUE WEST HAVEN CT 06516 MEDICAL FACILITY 77 - CARDIAC DIAGNOSTIC CENTERUROLOGYMEDICA 687 CAMPBELL AVE WEST HAVEN CT 06516 CARIACE SERVICES/UROLOGY 78 - YNHH MEDICAL CENTER 79 WAWECUS STREET NORWICH CT 06360 MEDICAL FACILITY 79 - YNHH MEDICAL CENTER 85 WILLOW STREET NEW HAVEN CT 06511 MEDICAL FACILITY 80 - OLD PEDI DENTAL CLINIC 860 HOWARD AVENUE NEW HAVEN CT 06511 MEDICAL OFFICE 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, STRATAJAZZ, TO CALCULATE THE AMOUNTS PRESENTED IN PART I, LINE 7. THE COST ACCOUNTING SYSTEM ADDRESSES ALL PATIENT SEGMENTS. PART II, COMMUNITY BUILDING ACTIVITIES: FOR YALE NEW HAVEN HOSPITAL, QUALITY AND SAFETY REMAINED TOP PRIORITIES THIS YEAR, WITH A THREE-FOLD FOCUS: HIGH RELIABILITY (HRO) PRACTICES, HOSPITAL-ACQUIRED INFECTIONS AND CARE TRANSITIONS. 1) AS A RESULT OF HRO PRACTICES, SERIOUS SAFETY EVENTS AT YNHH DECLINED BY 43 PERCENT. 2) YNHH WAS ABLE TO REDUCE HOSPITAL-ACQUIRED INFECTIONS RELATED TO CENTRAL LINE-ASSOCIATED BLOODSTREAM INFECTIONS, CATHETER-ASSOCIATED URINARY TRACT INFECTIONS, C. DIFFICILE INFECTIONS, AND DEEP VEIN THROMBOSIS/PULMONARY EMBOLISM RATES. 3) IMPROVED CARE TRANSITIONS HELPED THE HOSPITAL LOWER PATIENT READMISSION RATES AND THE TIME IT TOOK TO ADMIT PATIENTS FROM THE EMERGENCY DEPARTMENT. THE HOSPITAL CONTINUED TO TAKE ITS RESPONSIBILITY TO CONTAIN HEALTHCARE COSTS SERIOUSLY. THE YNHHS COST AND VALUE POSITIONING INITIATIVE INCREASED EFFICIENCY, REDUCED WASTE AND CREATED MORE COST-EFFECTIVE AND BENEFICIAL PATIENT CARE PROCESSES AT YNHH, AS WELL AS EACH OF THE OTHER SYSTEM HOSPITALS. IN TERMS OF QUALITY OF CARE, SMILOW CANCER HOSPITAL AND EIGHT OF 10 SMILOW CANCER CARE CENTERS RECEIVED THE QUALITY ONCOLOGY PRACTICE INITIATIVE CERTIFICATION FROM THE AMERICAN SOCIETY OF CLINICAL ONCOLOGY. YALE NEW HAVEN CHILDREN'S HOSPITAL WON THE PEDIATRIC QUALITY AWARD FROM THE CHILDREN'S HOSPITAL ASSOCIATION. U.S. NEWS & WORLD REPORT RECOGNIZED YALE NEW HAVEN HOSPITAL AMONG THE BEST IN THE NATION IN 11 ADULT AND SIX PEDIATRIC SPECIALTIES. THE HOSPITAL RECEIVED THE PRESTIGIOUS MAGNET DESIGNATION IN 2016 FROM THE AMERICAN NURSES CREDENTIALING CENTER. YNHH FIRST RECEIVED MAGNET DESIGNATION IN 2011, BUT THE RE-DESIGNATION NOW INCLUDES THE SAINT RAPHAEL CAMPUS. MAGNET RECOGNIZES QUALITY PATIENT CARE, NURSING EXCELLENCE AND INNOVATIONS IN PROFESSIONAL NURSING PRACTICE.IN ADDITION, YNHH EARNED INTERNATIONAL RECOGNITION AS A BABY-FRIENDLY BIRTH FACILITY, SIGNIFYING AN OPTIMAL LEVEL OF CARE FOR BREASTFEEDING MOTHERS. YNHH WAS THE FIRST CONNECTICUT HOSPITAL TO EARN THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL FOR CHEST PAIN CERTIFICATION. ADDITIONALLY, THE HEART AND VASCULAR CENTER TAKEHEART CARDIAC REHABILITATION PROGRAM RECEIVED THREE-YEAR CERTIFICATION BY THE AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION. YALE NEW HAVEN HOSPITAL CONTINUED TO INVEST IN FACILITIES AND CLINICAL PROGRAMS THIS YEAR, OPENING A NEW CANCER GENETICS UNIT AT THE SAINT RAPHAEL CAMPUS AND A NEW PHASE 1 CLINICAL TRIAL INFUSION CENTER AT 55 PARK STREET. NEW BARIATRIC AND GASTROINTESTINAL INPATIENT UNITS OPENED AT THE SAINT RAPHAEL CAMPUS, AS WELL AS NEW MUSCULOSKELETAL OFFICES AND A NEW RADIOLOGY AND GASTROINTESTINAL AND BARIATRIC SURGERY SUITE. AT THE YORK STREET CAMPUS, A MAJOR RENOVATION OF MATERNITY AND NEWBORN INTENSIVE CARE UNITS BEGAN, AND THE CHILDREN'S HOSPITAL SURGERY CENTER WAS RENOVATED. YNHH BECAME THE FIRST HOSPITAL IN CONNECTICUT TO PERFORM A NEW, LESS INVASIVE PROCEDURE TO HELP CLEAR CAROTID ARTERIES USING THE TRANSCAROTID ARTERY REVASCULARIZATION PROCEDURE TO HELP CLEAR CAROTID ARTERIES AND PROTECT THE BRAIN FROM STROKE RISK DURING CAROTID ARTERY STENTING. THE HOSPITAL WAS ALSO ONE OF ONLY TWO STROKE CENTERS IN THE STATE TO OFFER STENT RECEIVERS, A NEW TECHNOLOGY FOR TREATMENT OF SEVERE STROKES. YNHH ALSO PERFORMED THE NATION'S FIRST THYROIDECTOMY THROUGH THE MOUTH TO AVOID VISIBLE SCARRING. THE HOSPITAL OPENED A BARIATRIC AND GASTROINTESTINAL SURGERY UNIT AT THE SAINT RAPHAEL CAMPUS IN JANUARY. A NEW CENTER FOR LIVING DONORS OPENED AT THE YNHH TRANSPLANTATION CENTER TO PROVIDE LONG-TERM, FOLLOW-UP CARE TO THE LIVING DONORS OF A KIDNEY OR LIVER. YNHH WAS ONE OF JUST TWO COMPREHENSIVE STROKE CENTERS IN THE STATE TO OFFER A NEW MINIMALLY INVASIVE TECHNOLOGY CALLED STENT RECEIVERS. YNHH ALSO PERFORMED THE NATION'S FIRST THYROIDECTOMY THROUGH THE MOUTH, WHICH AVOIDS VISIBLE SCARRING IN PATIENTS.YNHH CONTINUED TO SERVE AS AN IMPORTANT TERTIARY CARE RESOURCE FOR OTHER HOSPITALS IN THE STATE AND BEYOND. THIS YEAR YNHH RECEIVED NEARLY 7,000 TRANSFERS OF ACUTE PATIENTS FROM OTHER HEALTHCARE ORGANIZATIONS THROUGH Y ACCESS, INCLUDING 151 TRANSPORTED BY THE SKYHEALTH HELICOPTER. PART III, LINE 2: IN ACCORDANCE WITH THE ESTABLISHED POLICIES OF THE HOSPITAL, DURING THE REGISTRATION, BILLING AND COLLECTION PROCESS A PATIENT'S ELIGIBILITY FOR FREE CARE FUNDS IS DETERMINED. FOR PATIENTS WHO WERE DETERMINED BY THE HOSPITAL TO HAVE THE ABILITY TO PAY BUT DID NOT, THE UNCOLLECTED AMOUNTS ARE BAD DEBT EXPENSE. THE HOSPITAL'S COST ACCOUNTING SYSTEM UTILIZES PATIENT-SPECIFIC DATA TO ACCUMULATE AND DERIVE COSTS RELATED TO THESE BAD DEBT ACCOUNTS. 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: YNHH'S COMMITMENT TO COMMUNITY SERVICE IS EVIDENCED BY SERVICES PROVIDED TO THE INDIGENT AND BENEFITS PROVIDED TO THE BROADER COMMUNITY. SERVICES PROVIDED TO THE INDIGENT INCLUDE SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD HEALTH CARE BECAUSE OF INADEQUATE RESOURCES AND/OR WHO ARE UNINSURED OR UNDERINSURED.YNHH MAKES AVAILABLE FREE CARE PROGRAMS FOR QUALIFYING PATIENTS. IN ACCORDANCE WITH THE ESTABLISHED POLICIES OF YNHH, DURING THE REGISTRATION, BILLING AND COLLECTION PROCESS A PATIENT'S ELIGIBILITY FOR FREE CARE FUNDS IS DETERMINED. FOR PATIENTS WHO WERE DETERMINED BY YNHH TO HAVE THE ABILITY TO PAY BUT DID NOT, THE UNCOLLECTED AMOUNTS ARE THE PROVISION FOR BAD DEBTS. FOR PATIENTS WHO DO NOT AVAIL THEMSELVES OF ANY FREE CARE PROGRAM AND WHOSE ABILITY TO PAY CANNOT BE DETERMINED BY YNHH, CARE GIVEN BUT NOT PAID FOR, IS CLASSIFIED AS CHARITY CARE.TOGETHER, CHARITY CARE AND THE PROVISION FOR BAD DEBTS REPRESENT UNCOMPENSATED CARE. THE ESTIMATED COST OF TOTAL UNCOMPENSATED CARE IS APPROXIMATELY $129.9 MILLION AND $114.4 MILLION FOR THE YEARS ENDED SEPTEMBER 30, 2016 AND 2015, RESPECTIVELY. THE ESTIMATED COST OF UNCOMPENSATED CARE IS BASED ON THE RATIO OF COST TO CHARGES, AS DETERMINED BY CLAIMS ACTIVITY.THE ESTIMATED COST OF CHARITY CARE AND FREE CARE PROVIDED WAS APPROXIMATELY $88.0 MILLION AND $82.4 MILLION FOR THE YEARS ENDED SEPTEMBER 30, 2016 AND 2015, RESPECTIVELY. THE ESTIMATED COST OF CHARITY CARE IS BASED ON THE RATIO OF COST TO CHARGES. THE ALLOCATION BETWEEN THE PROVISION FOR BAD DEBTS 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 BAD DEBT VERSUS CHARITY CARE WHILE TAKING INTO ACCOUNT THE TOTAL COSTS INCURRED BY THE HOSPITAL FOR EACH ACCOUNT ANALYZED.FOR THE YEARS ENDED SEPTEMBER 30, 2016 AND 2015, THE PROVISION FOR BAD DEBTS, AT CHARGES, WAS APPROXIMATELY $63.4 MILLION AND $50.4 MILLION, RESPECTIVELY. FOR THE YEARS ENDED SEPTEMBER 30, 2016 AND 2015, THE PROVISION FOR BAD DEBTS, AT COST, WAS APPROXIMATELY $41.9 MILLION AND $32.0 MILLION, RESPECTIVELY. THE PROVISION FOR BAD DEBTS IS MULTIPLIED BY THE RATIO OF COST TO CHARGES FOR PURPOSES OF INCLUSION IN THE TOTAL UNCOMPENSATED CARE AMOUNT IDENTIFIED ABOVE.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 NET PATIENT SERVICE REVENUE. DURING THE YEARS ENDED SEPTEMBER 30, 2016 AND 2015, THE HOSPITAL RECEIVED APPROXIMATELY $17.9 MILLION AND $9.3 MILLION, RESPECTIVELY, IN CDSHP DISTRIBUTIONS, OF WHICH APPROXIMATELY $12.1 MILLION AND $6.7 MILLION, RESPECTIVELY WAS RELATED TO CHARITY CARE. YNHH MADE PAYMENTS INTO THE CDSHP OF $136.8 MILLION AND $89.3 MILLION FOR THE YEARS ENDED SEPTEMBER 30, 2016 AND 2015, RESPECTIVELY, FOR THE ASSESSMENT. THESE ARE RECORDED IN NET PATIENT SERVICE REVENUE.ADDITIONALLY, YNHH PROVIDES BENEFITS FOR THE BROADER COMMUNITY WHICH INCLUDES SERVICES PROVIDED TO OTHER NEEDY POPULATIONS THAT MAY NOT QUALIFY AS INDIGENT 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 NONENGLISH SPEAKING RESIDENTS, DISABLED CHILDREN, AND VARIOUS COMMUNITY SUPPORT GROUPS. YNHH 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, YNHH PROVIDES ADDITIONAL BENEFITS TO THE COMMUNITY THROUGH ITS ADVOCACY OF COMMUNITY SERVICE BY EMPLOYEES. YNHH'S EMPLOYEES SERVE NUMEROUS ORGANIZATIONS THROUGH BOARD REPRESENTATION, MEMBERSHIP IN ASSOCIATIONS AND OTHER RELATED ACTIVITIES. YNHH 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 ENTIRE MEDICARE LOSS PRESENTED SHOULD BE TREATED AS A COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO MEDICARE BENEFICIARIES, IRS REVENUE RULING 69-545 INDICATES THAT HOSPITALS OPERATE FOR THE PROMOTION OF HEALTH IN THE COMMUNITY WHEN IT PROVIDES CARE TO PATIENTS WITH GOVERNMENTAL HEALTH BENEFITS, THE ORGANIZATION PROVIDES CARE TO MEDICARE PATIENTS REGARDLESS OF MEDICARE SHORTFALLS (REDUCING THE BURDEN ON THE GOVERNMENT), AND MANY OF THE MEDICARE PARTICIPANTS WOULD HAVE QUALIFIED FOR THE CHARITY CARE OR OTHER MEANS TESTED PROGRAMS ABSENT BEING ENROLLED IN THE MEDICARE PROGRAM. THE MEDICARE SHORTFALL REPORTED IS DETERMINED BY THE HOSPITAL'S COST ACCOUNTING SYSTEM, STRATAJAZZ. 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 YALE NEW HAVEN 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: YALE NEW HAVEN 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 ON REQUEST WITHOUT CHARGE BY MAIL, INCLUDING AT ADMITTING DEPARTMENT. FURTHER, PATIENTS RECEIVE A SUMMARY OF FINANCIAL ASSISTANCE PROGRAMS, INCLUDING ELIGIBILITY REQUIREMENTS THROUGH A FIRST STATEMENT MAILER AS PART OF THE BILLING PROVES. THESE COMMUNICATIONS INCLUDE TELEPHONE NUMBERS AND POINT OF CONTACT FOR INDIVIDUALS TO VISIT OR CALL. THE HOSPITAL HAS RESOURCES TO ASSIST PATIENTS WITH STATE OF CONNECTICUT MEDICAID APPLICATIONS. PART VI, LINE 4: YALE NEW HAVEN HOSPITAL'S COMMUNITY HEALTH IMPROVEMENT EFFORTS ARE SPECIFICALLY FOCUSED IN THE TOWNS WHERE THE HOSPITAL IS ENGAGED WITH COMMUNITY PARTNERS. THIS GEOGRAPHIC AREA INCLUDES THE CITY OF NEW HAVEN AND THE TOWNS COMPRISING THE INNER AND OUTER RING SUBURBS INCLUDING: EAST HAVEN, HAMDEN, WEST HAVEN, BETHANY, BRANFORD, GUILFORD, MILFORD, MADISON, ORANGE, NORTH BRANFORD, NORTH HAVEN, AND WOODBRIDGE. THE GREATER NEW HAVEN REGION HAS A POPULATION OF 465,227. THE MEDIAN AGE FOR BOTH THE POPULATION OF NEW HAVEN AND THE INNER RING TOWNS OF HAMDEN AND WEST HAVEN WERE LESS THAN THE STATE OF CONNECTICUT MEDIAN AGE (40.3) AND GREATER NEW HAVEN REGION (39.2) WHEREAS THE REMAINDER OF THE GREATER NEW HAVEN REGION INCLUDING EAST HAVEN AND THE TOWNS COMPRISING THE OUTER RING SUBURBS OF NEW HAVEN HAD HIGHER MEDIAN AGES RANGING FROM 43.6 TO 48. THE TOWNS IN THE REGION VARY DRAMATICALLY IN TERMS OF THEIR RACIAL AND ETHNIC COMPOSITION. THE TOWNS COMPRISING THE INNER AND OUTER RINGS OF NEW HAVEN ARE RESPECTIVELY 63% WHITE AND 16% HISPANIC AND 89% WHITE AND 1% HISPANIC. BY CONTRAST, NEW HAVEN IS 32% WHITE AND 34% HISPANIC.MEDIAN HOUSEHOLD INCOME IN THE STATE OF CONNECTICUT ($69,899) AND THE GREATER NEW HAVEN REGION ($65,764) ARE SIMILAR, HOWEVER WIDE GAPS EXIST WITHIN THE REGION ITSELF PARTICULARLY WHEN COMPARING THE INNER RING ($59,872) AND OUTER RING ($89,102). THE CITY OF NEW HAVEN HAS A MEDIAN INCOME OF $37,508 WHICH IS LESS THAN HALF OF THE STATEWIDE MEDIAN INCOME. THE PROPORTION OF RESIDENTS IN THE GREATER NEW HAVEN REGION WITH A COLLEGE DEGREE OR HIGHER (39%) IS APPROXIMATELY THE SAME AS THE STATE OVERALL (37%). HOWEVER, THE NEW HAVEN PROMISE ZONE COMMUNITIES (17%) AND INNER RING SUBURBAN TOWNS OF EAST HAVEN AND WEST HAVEN (BOTH 21%) ARE SIGNIFICANTLY LESS THAN THAT OF THE STATE OF CONNECTICUT. PART VI, LINE 5: EVERY YEAR, YALE NEW HAVEN HOSPITAL SPONSORS, DEVELOPS, PARTICIPATES IN AND FINANCIALLY SUPPORTS A WIDE VARIETY OF COMMUNITY-BASED PROGRAMS AND SERVICES. DURING FISCAL YEAR 2016, YALE NEW HAVEN HOSPITAL MANAGED $631.7 MILLION IN COMMUNITY BENEFITS THROUGH FINANCIAL AND IN-KIND CONTRIBUTIONS IN FIVE WIDE-RANGING PROGRAMS - GUARANTEEING ACCESS TO CARE; PROMOTING HEALTH AND WELLNESS; ADVANCING CAREERS IN HEALTH CARE; RESEARCH; AND CREATING HEALTHIER COMMUNITIES. YALE NEW HAVEN HOSPITAL ALSO CONTRIBUTES TO THE COMMUNITY IN WAYS THAT ARE NOT QUANTIFIED AS PART OF THIS REPORT AND SERVES AS AN IMPORTANT COMMUNITY RESOURCE. THIS INCLUDES HAVING A VOLUNTARY BOARD OF TRUSTEES WITH THE MAJORITY OF THE MEMBERS RESIDING IN NEW HAVEN, GUILFORD, HAMDEN AND WOODBRIDGE. THE HOSPITAL ALSO EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY. THE HOSPITAL'S MEDICAL STAFF TOTALS 4,248 MEMBERS INCLUDING RESIDENTS, FELLOWS AND HOSPITALISTS.YALE NEW HAVEN HOSPITAL, FOUNDED IN 1826 AS THE FIRST HOSPITAL IN CONNECTICUT, IS A 1,541-BED ACUTE AND TERTIARY CARE HOSPITAL. WITH TWO INPATIENT CAMPUSES IN NEW HAVEN, YALE NEW HAVEN IS THE PRIMARY TEACHING HOSPITAL FOR YALE SCHOOL OF MEDICINE AND IS A MAJOR TERTIARY CARE CENTER FOR ACUTELY ILL OR INJURED PATIENTS, RECEIVING REGIONAL, NATIONAL AND INTERNATIONAL REFERRALS. YALE NEW HAVEN HOSPITAL DISCHARGED 79,940 INPATIENTS AND PROVIDED 1.3 MILLION OUTPATIENT ENCOUNTERS. YALE NEW HAVEN HOSPITAL IS ONE OF THE LARGEST EMPLOYERS IN THE REGION AND THE SECOND LARGEST IN THE CITY OF NEW HAVEN WITH 12,700 EMPLOYEES IN 2016. PART VI, LINE 6: THE YALE NEW HAVEN HEALTH SYSTEM'S FUNDAMENTAL MISSION IS TO ENSURE THAT THE DELIVERY NETWORKS 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 FOR WHICH THEY ARE HELD ACCOUNTABLE. IN ADDITION, REGULAR REPORTING ON COMMUNITY BENEFITS IS REQUIRED ON A QUARTERLY BASIS. PART VI, LINE 7, REPORTS FILED WITH STATES CT 1 AMERICAN LIVER FOUNDATION 39 BROADWAY SUITE 2700 NEW YORK NY 10006 362883000 501(C)(3) 20000 SUPPORT MISSION CENTER FOR CHILDREN ADVOCACY 65 ELIZABETH STREET HARTFORD CT 06105 061489575 501(C)(3) 183000 SUPPORT MISSION CITY OF NEW HAVEN 165 CHURCH STREET NEW HAVEN CT 06511 GOVERNMENT 2612597 COMMUNTY BENEFIT DEV CONNECTICUT SPORTS FOUNDATION 455 BOSTON POST ROAD NO 203B OLD SAYBROOK CT 06475 061240574 501(C)(3) 100000 SUPPORT MISSION FAIR HAVEN COMMUNITY HEALTH CENTER 374 GRAND AVE NEW HAVEN CT 06513 060883545 501(C)(3) 20000 SUPPORT MISSION GARRETT B SMITH FOUNDATION C/O PAW PARTNERS 4 GREENWICH GREENWICH CT 06831 066411358 501(C)(3) 123250 SUPPORT MISSION GATEWAY COMMUNITY COLLEGE FOUNDATION INC 20 CHURCH STREET NEW HAVEN CT 06510 223135128 501(C)(3) 150000 SUPPORT MISSION GREATER NEW HAVEN CHAMBER OF COMMERCE INC 900 CHAPEL STREET NEW HAVEN CT 06510 060468900 501(C)(6) 8050 COMMUNTY BENEFIT DEV HABITAT FOR HUMANITY 37 UNION STREET NEW HAVEN CT 06511 061178712 501(C)(3) 579018 SUPPORT MISSION HAVEN 835 WEST QUEEN STREET 2ND FL SOUTHINGTON CT 06489 510642913 501(C)(3) 8000 SUPPORT MISSION MASSACHUSETTS GENERAL HOSPITAL 55 FRUIT STREET BOSTON MA 02114 041564655 501(C)(3) 25000 SUPPORT MISSION PROJECT ACCESS OF NEW HAVEN INC PO BOX 9293 NEW HAVEN CT 06533 264379967 501(C)(3) 16000 SUPPORT MISSION THE COMMUNITY FOUNDATION FOR GREATER NEW HAVEN 70 AUDUBON STREET NEW HAVEN CT 06510 066032106 501(C)(3) 502500 SUPPORT MISSION THE TENNIS FOUNDATION 900 CHAPEL STREET SUITE 622 NEW HAVEN CT 06510 061287098 501(C)(3) 189280 SPONSORSHIP URU THE RIGHT TO BE INC 70 AUDUBON STREET NEW HAVEN CT 06510 562520642 501(C)(3) 10000 SUPPORT MISSION YALE UNIVERSITY PO BOX 6028 NEW HAVEN CT 06510 060646973 501(C)(3) 1013563 SUPPORT MISSION 15 1 NURSING SCHOLARSHIPS 28 68500 FMV ENGINERRING SCHOLARSHIPS 2 49500 FMV PATIENT EXPENSE FUNDING 405 714486 FMV PART I, LINE 2: YALE NEW HAVEN HOSPITAL ("YNHH") CARRIES OUT DUE DILIGENCE IN PROVIDING MONETARY ASSISTANCE ONLY TO QUALIFYING 501(C)(3) ORGANIZATIONS THAT COMPLEMENT ITS MISSION OR SUPPORT THE GREATER GOOD IN THE COMMUNITIES SERVED. 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 THEIR CHARITABLE MISSION. YNHH VERIFIES EACH ORGANIZATION'S EIN AS LISTED ON IRS FORM W-9 THAT HAS BEEN SUBMITTED TO YNHH. ASSISTANCE DONATED BY YNHH 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. YNHH MAINTAINS FULL AND COMPLETE RECORDS OF ALL MONETARY ASSISTANCE PROVIDED, HOWEVER DOES NOT MONITOR SPECIFIC FUNDS. X X X X X 0 1 0 0 0 0 0 1 0 THOMAS BALCEZAK SR. VP 551978 0 156240 0 88355 0 209094 0 45552 0 1051219 0 0 0 MARNA BORGSTROM CEO/TRUSTEE 1031109 687406 715398 476932 33480 22320 443764 295843 91528 61018 2315279 1543519 0 0 RICHARD D'AQUILA PRESIDENT/TRUSTEE 1012903 253226 332024 83006 148549 37137 362974 90743 16694 4174 1873144 468286 24349 6087 WILLIAM ASELTYNE SR. VP 353072 284691 100126 80735 53902 43462 140270 113103 11479 9255 658849 531246 648 530 DANIEL BARCHI THRU 113015 SR. VP 317551 317551 90712 90712 43908 43908 124082 124082 10150 10150 586403 586403 23896 23897 PATRICIA SUE FITZSIMONS SR. VP 398568 0 133365 0 229571 0 23550 0 19880 0 804934 0 0 0 MICHEAL HOLMES SR. VP 426210 0 140845 0 65066 0 178185 0 31969 0 842275 0 0 0 THOMAS LEARY THRU 10816 VP (CURRENT YEAR COMP) 300626 15822 82172 4325 42008 2211 76713 4038 47823 2517 549342 28913 0 0 THOMAS LEARY THRU 10816 VP (VESTED DEFERRED COMP) 0 0 0 0 1765584 92925 0 0 0 0 1765584 92925 732991 38578 ABE LOPMAN SR. VP 531070 0 150071 0 116160 0 202156 0 15520 0 1014977 0 6562 0 STEPHEN MERZ THRU 41816 VP 274740 0 64390 0 46613 0 114882 0 20377 0 521002 0 16528 0 KEVIN A MYATT SR. VP 318977 212651 105705 70470 62553 41702 150445 100296 9665 6444 647345 431563 14279 9520 PAUL PATTON THRU 90916 VP 379145 0 90563 0 72582 0 156916 0 25382 0 724588 0 0 0 VINCENT PETRINI SR. VP 402486 0 133640 0 75216 0 189429 0 31328 0 832099 0 0 0 CYNTHIA SPARER SR. VP 492912 0 163800 0 108047 0 98459 0 27201 0 890419 0 0 0 JAMES STATEN THRU 10216 SR. VP 553636 369091 211444 140962 63578 42386 238981 159321 18486 12324 1086125 724084 0 0 KEVIN WALSH VP 345442 0 97680 0 75804 0 147521 0 20376 0 686823 0 4341 0 VINCENT TAMMARO EFF 50616 SR. VP & CFO 276734 184489 83362 55574 42708 28472 118747 79165 22306 14870 543857 362570 0 0 RICHARD LISITANO VP 303712 0 76950 0 64232 0 69750 0 20486 0 535130 0 21003 0 VICTOR MORRIS VP 397339 0 94905 0 68802 0 74750 0 23431 0 659227 0 0 0 THOMAS DONOHUE VP 474256 0 50520 0 46902 0 15750 0 54147 0 641575 0 0 0 KEITH CHURCHWELL SR. VP 496246 0 121000 0 35122 0 82338 0 45469 0 780175 0 0 0 ALAN KLIGER SR. VP 390511 167362 83706 35874 77582 33250 63525 27225 24423 10467 639747 274178 0 0 PETER HERBERT RET 102814 FORMER OFFICER 0 0 250361 0 585742 0 0 0 0 0 836103 0 0 0 PART I, LINE 4B THE INDIVIDUALS LISTED BELOW ARE PARTICIPANTS IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. 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 MARNA P. BORGSTROM $0 $443,905 $0 RICHARD D'AQUILA - 285,367 - JAMES M. STATEN - 240,352 - DANIEL BARCHI - 144,215 - WILLIAM J. ASELTYNE - 141,464 - KEVIN A. MYATT - 132,391 - THOMAS J. BALCEZAK - 122,557 - ABE LOPMAN - 118,303 - MICHAEL HOLMES - 107,688 - VINCENT TAMMARO - 103,962 - VINCENT PETRINI - 98,479 - PAUL N. PATTON - 88,566 - KEVIN F. WALSH - 85,171 - STEPHEN M. MERZ - 64,332 - INDIVIDUALS LISTED BELOW BECAME VESTED IN BENEFITS VALUED AT THE AMOUNTS RESPECTIVELY REPORTED BELOW DURING THE REPORTING YEAR. INCLUDED IN SECTION II, COLUMN B (III) ARE AMOUNTS VESTED DURING THE 2015 CALENDAR YEAR THAT WERE RECOGNIZED AS TAXABLE EVENTS AND REPORTED IN THE INDIVIDUALS' 2015 CALENDAR YEAR FORM W-2S. THOMAS LEARY $ 1,858,509 PATRICIA SUE FITZSIMONS 163,431 THE FORMER OFFICERS LISTED BELOW RECEIVED PAYMENTS THROUGHOUT THE YEAR FROM THE NONQUALIFIED PLAN. THESE AMOUNTS ARE INCLUDED IN SECTION II, COLUMN B (III). THE TOTAL OF THESE PAYMENTS LISTED BELOW WERE MADE DIRECTLY TO THEM FROM THE RABBI TRUST. PETER HERBERT $ 49,611 PATRICK LUDDY 42,792 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 N 060806186 20774YNC7 2013-02-14 44815000 ACQUISITION OF ASSETS-HSR 0 0 0 B CHEFA-SERIES O 060806186 20774YNE3 2013-02-14 50000000 ACQUISITION OF ASSETS-HSR 0 0 0 A 49999105 640219 14606 49344280 2013 0 0 1 1 B 50000000 640218 14607 49345175 2013 0 0 1 1 A 0 1 1 1 0 0.00060 0.00060 0 0 0 B 0 1 1 1 0 0.00060 0.00060 0 0 0 A 0 1 1 0 0 0 0 0 1 B 0 1 1 0 1 0 0 0 1 A 0 B 0 PART II LINE 3 THE DIFFERENCE BETWEEN THE ISSUE PRICE REPORTED ON PART I, COLUMN (E) AND TOTAL PROCEEDS REPORTED ON PART II, LINE 3 IS DUE TO EITHER INVESTMENT EARNINGS OR PREMIUM RECEIVED FROM PURCHASER. ON JUNE 24, 2014, THE SOLE MEMBER OF YALE NEW HAVEN HOSPITAL, YALE NEW HAVEN HEALTH SERVICES CORPORATION ("CORPORATION") ISSUED APPROXIMATELY $543M OF CHEFA REVENUE BONDS SERIES A, B, C, D & E. CONCURRENT WITH THE ISSUANCE OF THE CONNECTICUT HEALTH AND EDUCATIONAL FACILITIES AUTHORITY (CHEFA) REVENUE BONDS, YALE-NEW HAVEN HEALTH OBLIGATED GROUP ISSUE, SERIES A, B, C, D AND E DATED MAY 20, 2014; SIX MEMBERS OF THE SYSTEM WERE COMBINED TO FORM AN OBLIGATED GROUP. THE OBLIGATED GROUP COMPRISES OF THE CORPORATION, YALE-NEW HAVEN HOSPITAL, YALE NEW HAVEN CARE CONTINUUM CORPORATION, BRIDGEPORT HOSPITAL, BRIDGEPORT HOSPITAL FOUNDATION, INC., AND NORTHEAST MEDICAL GROUP, INC. THE MEMBERS OF THE OBLIGATED GROUP HAVE ADOPTED CERTAIN GOVERNANCE PROVISIONS IN THEIR CERTIFICATES OF INCORPORATION AND BY-LAWS PURSUANT TO WHICH YALE NEW HAVEN HEALTH SERVICES, CORPORATION RETAINS THE AUTHORITY TO DIRECTLY TAKE CERTAIN ACTIONS ON BEHALF OF EACH OBLIGATED GROUP MEMBER WITHOUT THE APPROVAL OF THE BOARD OF TRUSTEES OF THE APPLICABLE OBLIGATED GROUP MEMBER, INCLUDING THE INCURRENCE OF INDEBTEDNESS ON BEHALF OF EACH OBLIGATED GROUP MEMBER, THE MANAGEMENT AND CONTROL OF THE LIQUID ASSETS OF EACH, AND THE APPOINTMENT OF THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF EACH OBLIGATED GROUP MEMBER. GHCS AND ITS SUBSIDIARIES ARE PART OF THE SYSTEM, BUT THEY ARE NOT MEMBERS OF THE OBLIGATED GROUP. PART III LINE 3B THE ORGANIZATION HAS IN-HOUSE LEGAL STAFF WHO PROVIDE ROUTINE REVIEW OF MANAGEMENT OR SERVICE CONTRACTS OR RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY TO ENSURE THAT SUCH AGREEMENTS ARE COMPLIANT WITH APPLICABLE SAFE HARBORS. IN-HOUSE COUNSEL CONSULT WITH THE HOSPITAL'S OUTSIDE BOND COUNSEL AS NEEDED, INCLUDING ON NON-ROUTINE ISSUES. PART III, LINE 9 & PART V THE ORGANIZATION HAS POLICIES AND PROCEDURES IN PLACE TO ENSURE COMPLIANCE WITH FEDERAL TAX LAW, AND TO TIMELY IDENTIFY NONCOMPLIANCE. IN THE EVENT OF NON-COMPLIANCE THE ORGANIZATION WOULD INVOLVE ITS LEGAL COUNSEL TO ADVISE REGARDING APPROPRIATE REMEDIATION. SUBST CONTR #9 VENDOR 935754 WASTE MANAGEMENT AND RECYCLING SERVICES 0 SUBST CONTR #12 VENDOR 3205558 MEDICAL TRANSPORTATION SERVICES 0 SUBST CONTR #90 VENDOR 546331 ARCHITECTURAL SERVICES 0 SUBST CONTR #146 VENDOR 538796 ADVERTISING SERVICES 0 SUBST CONTR #161 VENDOR 12394853 FOOD SERVICE 0 SUBST CONTR #163 VENDOR 2036071 MEDICAL PRODUCTS SUPPLIER 0 SUBST CONTR #174 #49 VENDOR 3429021 CONSTRUCTION SERVICES 0 SUBST CONTR #244 VENDOR 47930827 CONSTRUCTION SERVICES 0 SUBST CONTR #247 VENDOR 6332749 MEDICAL LINEN AND UNIFORM RENTAL SERVICES 0 X 2 4700 COMPARABLE MARKET X 50412 COMPARABLE MARKET X 4 1050 COMPARABLE MARKET X 16 42542 COMPARABLE MARKET X VACCINES & WIC VOUCHERS 4 1941789 COMPARABLE MARKET X GIFTS / TOYS / OTHER 11 104736 COMPARABLE MARKET X GIFT CERTIFICATES 41 44275 COMPARABLE MARKET X TRAVEL 7 26239 COMPARABLE MARKET X EVENT TICKETS/GOLF/FISHING 46 20337 COMPARABLE MARKET X JEWELRY/HANDBAGS 17 5966 COMPARABLE MARKET X PHOTOGRAPHY 3 1100 COMPARABLE MARKET 0 1 0 FORM 990, PART III, LINE 4A FOR YALE NEW HAVEN HOSPITAL, QUALITY AND SAFETY REMAINED TOP PRIORITIES THIS YEAR, WITH A THREE-FOLD FOCUS: HIGH RELIABILITY (HRO) PRACTICES, HOSPITAL-ACQUIRED INFECTIONS AND CARE TRANSITIONS. 1) AS A RESULT OF HRO PRACTICES, SERIOUS SAFETY EVENTS AT YNHH DECLINED BY 43 PERCENT. 2) YNHH WAS ABLE TO REDUCE HOSPITAL-ACQUIRED INFECTIONS RELATED TO CENTRAL LINE-ASSOCIATED BLOODSTREAM INFECTIONS, CATHETER-ASSOCIATED URINARY TRACT INFECTIONS, C. DIFFICILE INFECTIONS, AND DEEP VEIN THROMBOSIS/PULMONARY EMBOLISM RATES. 3) IMPROVED CARE TRANSITIONS HELPED THE HOSPITAL LOWER PATIENT READMISSION RATES AND THE TIME IT TOOK TO ADMIT PATIENTS FROM THE EMERGENCY DEPARTMENT. THE HOSPITAL CONTINUED TO TAKE ITS RESPONSIBILITY TO CONTAIN HEALTHCARE COSTS SERIOUSLY. THE YNHHS COST AND VALUE POSITIONING INITIATIVE INCREASED EFFICIENCY, REDUCED WASTE AND CREATED MORE COST-EFFECTIVE AND BENEFICIAL PATIENT CARE PROCESSES AT YNHH, AS WELL AS EACH OF THE OTHER SYSTEM HOSPITALS. IN TERMS OF QUALITY OF CARE, SMILOW CANCER HOSPITAL AND EIGHT OF 10 SMILOW CANCER CARE CENTERS RECEIVED THE QUALITY ONCOLOGY PRACTICE INITIATIVE CERTIFICATION FROM THE AMERICAN SOCIETY OF CLINICAL ONCOLOGY. YALE NEW HAVEN CHILDREN'S HOSPITAL WON THE PEDIATRIC QUALITY AWARD FROM THE CHILDREN'S HOSPITAL ASSOCIATION. U.S. NEWS & WORLD REPORT RECOGNIZED YALE NEW HAVEN HOSPITAL AMONG THE BEST IN THE NATION IN 11 ADULT AND SIX PEDIATRIC SPECIALTIES. THE HOSPITAL RECEIVED THE PRESTIGIOUS MAGNET DESIGNATION IN 2016 FROM THE AMERICAN NURSES CREDENTIALING CENTER. YNHH FIRST RECEIVED MAGNET DESIGNATION IN 2011, BUT THE RE-DESIGNATION NOW INCLUDES THE SAINT RAPHAEL CAMPUS. MAGNET RECOGNIZES QUALITY PATIENT CARE, NURSING EXCELLENCE AND INNOVATIONS IN PROFESSIONAL NURSING PRACTICE. IN ADDITION, YNHH EARNED INTERNATIONAL RECOGNITION AS A BABY-FRIENDLY BIRTH FACILITY, SIGNIFYING AN OPTIMAL LEVEL OF CARE FOR BREASTFEEDING MOTHERS. YNHH WAS THE FIRST CONNECTICUT HOSPITAL TO EARN THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL FOR CHEST PAIN CERTIFICATION. ADDITIONALLY, THE HEART AND VASCULAR CENTER TAKEHEART CARDIAC REHABILITATION PROGRAM RECEIVED THREE-YEAR CERTIFICATION BY THE AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION. YALE NEW HAVEN HOSPITAL CONTINUED TO INVEST IN FACILITIES AND CLINICAL PROGRAMS THIS YEAR, OPENING A NEW CANCER GENETICS UNIT AT THE SAINT RAPHAEL CAMPUS AND A NEW PHASE 1 CLINICAL TRIAL INFUSION CENTER AT 55 PARK STREET. NEW BARIATRIC AND GASTROINTESTINAL INPATIENT UNITS OPENED AT THE SAINT RAPHAEL CAMPUS, AS WELL AS NEW MUSCULOSKELETAL OFFICES AND A NEW RADIOLOGY AND GASTROINTESTINAL AND BARIATRIC SURGERY SUITE. AT THE YORK STREET CAMPUS, A MAJOR RENOVATION OF MATERNITY AND NEWBORN INTENSIVE CARE UNITS BEGAN, AND THE CHILDREN'S HOSPITAL SURGERY CENTER WAS RENOVATED. YNHH BECAME THE FIRST HOSPITAL IN CONNECTICUT TO PERFORM A NEW, LESS INVASIVE PROCEDURE TO HELP CLEAR CAROTID ARTERIES USING THE TRANSCAROTID ARTERY REVASCULARIZATION PROCEDURE TO HELP CLEAR CAROTID ARTERIES AND PROTECT THE BRAIN FROM STROKE RISK DURING CAROTID ARTERY STENTING. THE HOSPITAL WAS ONE OF JUST TWO COMPREHENSIVE STROKE CENTERS IN THE STATE TO OFFER A NEW MINIMALLY INVASIVE TECHNOLOGY CALLED STENT RECEIVERS, A NEW TREATMENT OF SEVERE STROKES. THE HOSPITAL OPENED A BARIATRIC AND GASTROINTESTINAL SURGERY UNIT AT THE SAINT RAPHAEL CAMPUS IN JANUARY. A NEW CENTER FOR LIVING DONORS OPENED AT THE YNHH TRANSPLANTATION CENTER TO PROVIDE LONG-TERM, FOLLOW-UP CARE TO THE LIVING DONORS OF A KIDNEY OR LIVER. YNHH ALSO PERFORMED THE NATION'S FIRST THYROIDECTOMY THROUGH THE MOUTH, WHICH AVOIDS VISIBLE SCARRING IN PATIENTS. YNHH CONTINUED TO SERVE AS AN IMPORTANT TERTIARY CARE RESOURCE FOR OTHER HOSPITALS IN THE STATE AND BEYOND. THIS YEAR YNHH RECEIVED NEARLY 7,000 TRANSFERS OF ACUTE PATIENTS FROM OTHER HEALTHCARE ORGANIZATIONS THROUGH Y ACCESS, INCLUDING 151 TRANSPORTED BY THE SKYHEALTH HELICOPTER. FORM 990, PART VI 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 TWENTY (20) VOTING MEMBERS ARE INDEPENDENT. BASED ON OTHER INFORMATION KNOWN TO THE ORGANIZATION, THE ORGANIZATION HAS NO REASON TO BELIEVE THAT EITHER OF THE TWO (2) OUTSTANDING VOTING MEMBERS ARE NOT INDEPENDENT. FORM 990, PART VI, SECTION A, LINE 2 BUSINESS RELATIONSHIPS BETWEEN OFFICERS, DIRECTORS, TRUSTEES, OR KEY EMPLOYEES: TRUSTEES JOHN L. LAHEY AND JAMES TORGERSON ARE DIRECTORS AND OFFICERS OF THE SAME BUSINESS ENTITY. 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. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF YALE NEW HAVEN HOSPITAL IS YALE NEW HAVEN HEALTH SERVICES CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE HOSPITAL NOMINATES INDIVIDUALS TO SERVE ON THE HOSPITAL'S BOARD FOR APPROVAL BY ITS SOLE MEMBER, YALE NEW HAVEN HEALTH SERVICES CORPORATION. FORM 990, PART VI, SECTION A, LINE 7B THE YALE NEW HAVEN HEALTH SERVICES CORPORATION, AS THE ORGANIZATIONS' SOLE MEMBER, HAS THE RIGHTS, POWERS AND PRIVILEGES SET FORTH IN THE ORGANIZATION'S BYLAWS, INCLUDING, IN PART, THE AUTHORITY TO APPROVE THE NOMINEES TO THE BOARD OF TRUSTEES, AMENDMENTS TO THE GOVERNING DOCUMENTS, OPERATING AND CAPITAL BUDGETS, INITIATION OF NEW PROGRAMS AND CLINICAL SERVICES OR THE DISCONTINUATION OR CONSOLIDATION OF SUCH PROGRAMS, CERTAIN FUNDAMENTAL CORPORATION TRANSACTIONS, AND THE ISSUANCE AND INCURRENCE OF INDEBTEDNESS. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 TAX RETURN AND ATTACHED SCHEDULES WERE PREPARED BY EMPLOYEES OF THE SYSTEM TAX DEPARTMENT. THE RETURN IS INITIALLY REVIEWED BY THE DIRECTOR AND VP OF CORPORATE FINANCE. SUBSEQUENTLY IT IS SENT TO KPMG LLP FOR THEIR INITIAL REVIEW. AFTER ALL COMMENTS FROM THE ABOVE GROUP ARE CLEARED, THE RETURN IS THEN REVIEWED BY THE CHIEF FINANCIAL OFFICER OF THE ENTITY AND A FINAL VERSION OF THE RETURN IS SENT BACK TO KPMG LLP FOR FINAL REVIEW. PRIOR TO FILING, THE ORGANIZATION MAKES AVAILABLE A COMPLETE COPY OF THE RETURN TO THE BOARD OF TRUSTEES. A SECURE WEB PORTAL IS AVAILABLE TO BOARD MEMBERS TO ACCESS THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C THE YALE NEW HAVEN HEALTH SYSTEM CONFLICT OF INTEREST POLICY (CC:R-7) 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 SHE 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 THE YALE NEW HAVEN HEALTH SERVICES CORPORATION EXECUTIVE COMPENSATION COMMITTEE APPROVES THE TOTAL COMPENSATION STRATEGY FOR ALL EXECUTIVES EMPLOYED BY YALE NEW HAVEN HEALTH SERVICES CORPORATION AND THE YALE NEW HAVEN HOSPITAL COMPENSATION COMMITTEE APPROVES THE TOTAL COMPENSATION STRATEGY FOR ALL EXECUTIVES EMPLOYED BY THE HOSPITAL, BOTH TAKING INTO ACCOUNT THE MARKET PRACTICES OF OTHER SIMILARLY SITUATED HEALTHCARE EXECUTIVES IN COMPARABLE ORGANIZATIONS. THE MEMBERS OF THE COMMITTEES VOTING TO APPROVE COMPENSATION DO NOT HAVE A CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENTS. THE COMPARABILITY DATA USED TO ASSIST THE COMMITTEES IN THEIR COMPENSATION DELIBERATIONS IS COMPILED BY AN INDEPENDENT, NATIONAL COMPENSATION CONSULTING FIRM THAT IS RETAINED BY AND REPORTS DIRECTLY TO THESE COMMITTEES. THE DELIBERATIONS AND DECISIONS OF THESE COMMITTEES ARE CONTEMPORANEOUSLY DOCUMENTED, REVIEWED AND APPROVED BY THE COMMITTEES, AND SHARED WITH THE BOARDS OF TRUSTEES. FORM 990, PART VI, SECTION C, LINE 19 COPIES OF FORM 990, FORM 1023 (IF AVAILABLE) AND AUDITED FINANCIAL STATEMENTS ARE MAINTAINED IN THE SYSTEM TAX DEPARTMENT. OTHER CORPORATE GOVERNING DOCUMENTS ARE MAINTAINED BY THE LEGAL AND RISK SERVICES DEPARTMENT. THE CONFLICT OF INTEREST POLICY, WHISTLEBLOWER POLICY, AND DOCUMENT RETENTION POLICY ARE AVAILABLE TO ALL EMPLOYEES ON THE CORPORATE INTERNAL WEBSITE. COPIES OF ALL DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G PROFESSIONAL & CONSULTING FEES: PROGRAM SERVICE EXPENSES 8,376,260. MANAGEMENT AND GENERAL EXPENSES 714,506. FUNDRAISING EXPENSES 13,979. TOTAL EXPENSES 9,104,745. OHCA ASSESSMENT: PROGRAM SERVICE EXPENSES 697,089. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 697,089. SYSTEM SUPPORT FEES: PROGRAM SERVICE EXPENSES 27,046,378. MANAGEMENT AND GENERAL EXPENSES 4,390,785. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 31,437,163. OUTSIDE CONTRACTUAL SERVICES: PROGRAM SERVICE EXPENSES 130,565,813. MANAGEMENT AND GENERAL EXPENSES 31,225,779. FUNDRAISING EXPENSES 730,639. TOTAL EXPENSES 162,522,231. YNHHSC SHARED PROJECT FEES: PROGRAM SERVICE EXPENSES 192,585,281. MANAGEMENT AND GENERAL EXPENSES 45,821,851. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 238,407,132. EMPLOYEE RECRUITMENT FEES: PROGRAM SERVICE EXPENSES 210,965. MANAGEMENT AND GENERAL EXPENSES 50,195. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 261,160. AMBULANCE SERVICES: PROGRAM SERVICE EXPENSES 3,134,440. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,134,440. YALE U PERSONNEL & SUPPORT FEE: PROGRAM SERVICE EXPENSES 198,225,411. MANAGEMENT AND GENERAL EXPENSES 47,163,808. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 245,389,219. TEMPORARY STAFFING: PROGRAM SERVICE EXPENSES 5,784,038. MANAGEMENT AND GENERAL EXPENSES 1,379,017. FUNDRAISING EXPENSES 11,851. TOTAL EXPENSES 7,174,906. FORM 990, PART XI, LINE 9: OTHER CHANGES IN NET ASSETS 238,771. TRANSFER TO HSC - MISSION SUPPORT -9,244,000. PENSION RELATED CHANGES -63,316,000. INCOME ATTRIBUTABLE TO NONCONTROLLING INTEREST -1,296,000. CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUSTS 291,000. NET ASSETS RELEASED FROM RESTRICTIONS FOR CAPITAL -69,000. AUXILIARY -97,709. YALE NEW HAVEN HOSPITAL RABBI TRUST PO BOX 535007 PITTSBURGH PA 152535007 306206686 GRANTORS TRUST-RETIREMENT PLAN PA 1833987 84034462 YALE NEW HAVEN HOSPITAL 150 SARGENT DRIVE LLC 150 SARGENT DRIVE NEW HAVEN CT 06511 474108921 HOLDING COMPANY CT 1091690 0 YALE NEW HAVEN HOSPITAL GREENWICH HOSPITAL 5 PERRYRIDGE ROAD GREENWICH CT 06830 060646659 HEALTHCARE SERVICES CT 501(C)(3) LINE 3 SEE SCHEDULE R PART VII 1 GREENWICH HEALTH CARE SERVICES INC - MERGED WITH GH ON 51216 5 PERRYRIDGE ROAD GREENWICH CT 06830 222593399 SYSTEM SUPPORT SERVICES CT 501(C)(3) LINE 11B, II YALE NEW HAVEN HEALTH SERVICES CORP 0 THE GREENWICH HOSPITAL ENDOWMENT FUND INC 5 PERRYRIDGE ROAD GREENWICH CT 06830 061526642 SYSTEM SUPPORT SERVICES CT 501(C)(3) LINE 11B, II SEE SCHEDULE R PART VII 1 BRIDGEPORT HOSPITAL 267 GRANT STREET BRIDGEPORT CT 06610 060646554 HEALTHCARE SERVICES CT 501(C)(3) LINE 3 YALE NEW HAVEN HEALTH SERVICES CORP 1 SOUTHERN CONNECTICUT HEALTH SYSTEM PROPERTIES INC 267 GRANT STREET BRIDGEPORT CT 06610 061297708 TITLE HOLDING CT 501(C)(2) BRIDGEPORT HOSPITAL 1 BRIDGEPORT HOSPITAL AUXILIARY INC 267 GRANT STREET BRIDGEPORT CT 06610 066042500 SYSTEM SUPPORT SERVICES CT 501(C)(3) LINE 11A, I BRIDGEPORT HOSPITAL 1 BRIDGEPORT HOSPITAL FOUNDATION INC 267 GRANT STREET BRIDGEPORT CT 06610 222908698 SYSTEM SUPPORT SERVICES CT 501(C)(3) LINE 7 BRIDGEPORT HOSPITAL 1 NORTHEAST MEDICAL GROUP INC 99 HAWLEY LANE STRATFORD CT 06614 061330992 HEALTHCARE SERVICES CT 501(C)(3) LINE 9 YALE NEW HAVEN HEALTH SERVICES CORP 1 NORTHEAST MEDICAL GROUP PLLC 99 HAWLEY LANE STRATFORD CT 06614 352380180 HEALTHCARE SERVICES CT 501(C)(3) LINE 11A, I NORTHEAST MEDICAL GROUP INC 1 YALE NEW HAVEN HEALTH SERVICES CORP 789 HOWARD AVE NEW HAVEN CT 06519 222529464 SYSTEM SUPPORT SERVICES CT 501(C)(3) LINE 11A, I N/A 0 YALE-NEW HAVEN CARE CONTINUUM CORP 789 HOWARD AVE NEW HAVEN CT 06519 455235566 NURSING HOME CT 501(C)(3) LINE 3 YALE NEW HAVEN HOSPITAL 1 PERRYRIDGE CORPORATION 5 PERRYRIDGE ROAD GREENWICH CT 06830 061207316 SYSTEM SUPPORT SERVICES CT 501(C)(3) LINE 11B, II SEE SCHEDULE R PART VII 1 BRIDGEPORT HOSPITAL FRIENDS OF PEDIATRICS 120 COLUMBINE DR TRUMBULL CT 06611 066048427 SYSTEM SUPPORT SERVICES CT 501(C)(3) LINE 11A, I YALE NEW HAVEN HOSPITAL 1 LAWRENCE MEMORIAL CORPORATION 365 MONTAUK AVENUE NEW LONDON CT 06320 222553028 PROMOTE HEALTHCARE CT 501(C)(3) LINE 9 YALE NEW HAVEN HEALTH SERVICES CORP 1 LAWRENCE MEMORIAL HOSPITAL INC 365 MONTAUK AVENUE NEW LONDON CT 06320 060646704 HEALTHCARE SERVICES CT 501(C)(3) LINE 3 LAWRENCE MEMORIAL CORPORATION 1 ASSOCIATED SPECIALISTS OF SOUTHEASTERN CONNECTICUT INC 365 MONTAUK AVENUE NEW LONDON CT 06320 208006123 HEALTHCARE SERVICES CT 501(C)(3) LINE 11A, I LAWRENCE MEMORIAL HOSPITAL INC 1 VISITING NURSE ASSOCIATION OF SOUTHEASTERN CONNECTICUT INC 403 NORTH FRONTAGE ROAD WATERFORD CT 06385 060646616 HOME HEALTHCARE SERVICES CT 501(C)(3) LINE 9 LAWRENCE MEMORIAL CORPORATION 1 L&M PHYSICIAN ASSOCIATION INC 365 MONTAUK AVENUE NEW LONDON CT 06320 271094375 HEALTHCARE SERVICES CT 501(C)(3) LINE 11A, I LAWRENCE MEMORIAL CORPORATION 1 LAWRENCE AND MEMORIAL FOUNDATION INC 365 MONTAUK AVENUE NEW LONDON CT 06320 222553026 FUNDRAISING SERVICES CT 501(C)(3) PF LAWRENCE MEMORIAL CORPORATION 1 LMW HEALTHCARE INC 365 MONTAUK AVENUE NEW LONDON CT 06320 460543230 HEALTHCARE SERVICES RI 501(C)(3) LINE 3 LAWRENCE MEMORIAL CORPORATION 1 THE WESTERLY HOSPITAL FOUNDATION INC 25 WELLS STREET WESTERLY RI 02891 050508064 FUNDRAISING SERVICES RI 501(C)(3) LINE 11A, I LMW HEALTHCARE INC 1 WESTERLY HOSPITAL AUXILIARY INC 25 WELLS STREET WESTERLY RI 02891 222507181 FUNDRAISING ACTIVITIES RI 501(C)(3) LINE 11C, III-FI LMW HEALTHCARE INC 1 SHORELINE SURGERY CENTER LLC 111 GOOSE LANE GUILFORD CT 06437 900110459 HEALTHCARE SERVICES CT N/A SSC II LLC 111 GOOSE LANE GUILFORD CT 06437 261709382 HEALTHCARE SERVICES CT N/A ORTHOPAEDIC & NEUROSURGERY CENTERLLC 55 HOLLY HILL LANE GREENWICH CT 06830 273477197 HEALTHCARE SERVICES CT N/A TOTAL HEALTH CONNECTICUT LLC 789 HOWARD AVENUE NEW HAVEN CT 06519 474070024 HEALTHCARE SERVICES CT N/A YALE NEW HAVEN HEALTH SYSTEM INVESTMENT 20 YORK STREET NEW HAVEN CT 06519 271374301 INVESTMENT DE N/A YNHHS-MSO INC 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 MEDICAL CENTER REALTY INC 50 YORK STREET NEW HAVEN CT 06511 061110858 RENTAL SERVICES CT N/A C 1 GREENWICH FERTILITY & IVF CENTER PC 5 PERRYRIDGE ROAD GREENWICH CT 06830 300145464 HEALTHCARE SERVICES CT N/A C 1 YORK ENTERPRISES INC 50 YORK STREET NEW HAVEN CT 06511 061110937 TITLE HOLDING 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 50 YORK STREET NEW HAVEN CT 06511 061087673 PHARMACY CT N/A C 1 GREENWICH OCCUPATIONAL HEALTH SERVICES OF NEW YORK PC 5 PERRYRIDGE ROAD GREENWICH CT 06830 061540101 HEALTHCARE SERVICES NY N/A C 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COMPARABLE MARKET VALUE MEDICAL CENTER PHARMACY INC Q 73621217 TRANSACTION REVIEW NORTHEAST MEDICAL GROUP INC L 7953074 COMPARABLE MARKET VALUE NORTHEAST MEDICAL GROUP INC M 47651590 COMPARABLE MARKET VALUE NORTHEAST MEDICAL GROUP INC P 33436969 TRANSACTION REVIEW NORTHEAST MEDICAL GROUP INC S 4669000 CASH YALE NEW HAVEN AMBULATORY SERVICES CORP L 6623884 COMPARABLE MARKET VALUE YALE NEW HAVEN AMBULATORY SERVICES CORP Q 7832984 TRANSACTION REVIEW YALE NEW HAVEN CARE CONTINUUM CORP L 4300902 COMPARABLE MARKET VALUE YALE NEW HAVEN CARE CONTINUUM CORP Q 5175961 TRANSACTION REVIEW YALE NEW HAVEN HEALTH SERVICES CORP J 3278000 COMPARABLE MARKET VALUE YALE NEW HAVEN HEALTH SERVICES CORP L 28736686 COMPARABLE MARKET VALUE YALE NEW HAVEN HEALTH SERVICES CORP M 240441569 COMPARABLE MARKET VALUE YALE NEW HAVEN HEALTH SERVICES CORP P 230992216 TRANSACTION REVIEW YALE NEW HAVEN HEALTH SERVICES CORP Q 37915079 TRANSACTION REVIEW YALE NEW HAVEN HEALTH SERVICES CORP R 15696369 CASH YALE NEW HAVEN HEALTH SERVICES CORP S 5836451 CASH YALE NEW HAVEN MEDICAL CENTER INC K 289712 COMPARABLE MARKET VALUE YNHH PHYSICIANS CORP R 73343 CASH PART II, COLUMN F - DIRECT CONTROLLING ENTITY OF TAX EXEMPTS ORGANIZATIONS: NAME OF RELATED ORGANIZATION: GREENWICH HOSPITAL DIRECT CONTROLLING ENTITY: GREENWICH HEALTH CARE SERVICES, INC. THROUGH 5/12/16, AFTER YALE NEW HAVEN HEALTH SERVICES CORPORATION. NAME OF RELATED ORGANIZATION: PERRYRIDGE CORPORATION DIRECT CONTROLLING ENTITY: GREENWICH HEALTH CARE SERVICES, INC. THROUGH 5/12/16, AFTER GREENWICH HOSPTIAL. NAME OF RELATED ORGANIZATION: THE GREENWICH HOSPITAL ENDOWMENT FUND INC DIRECT CONTROLLING ENTITY: GREENWICH HEALTH CARE SERVICES, INC. THROUGH 5/12/16, AFTER GREENWICH HOSPTIAL.