2013-08-14T08:30:05-05:00 2012-09-30 346565596 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE SUITE 2600 INDIANAPOLIS IN 46204 990 2011-10-01 222529464 YALE NEW HAVEN HEALTH SERVICES CORP YALE 2036882069 789 HOWARD AVENUE NEW HAVEN CT 06519 JAMES STATEN 2036882069 2013-08-12 0 P00032493 3176817000 2011 2016-02-24 21:20:13Z MARNA BORGSTROM 789 HOWARD AVE NEW HAVEN CT 06519 329715898 0 X WWW.YNHHS.ORG X 1983 CT TO PROMOTE CHARITABLE, SCIENTIFIC AND EDUCATIONAL ACTIVITIES. 18 15 1076 0 671633 55205 0 0 192670800 272109735 2790928 4463967 14748447 27663426 210210175 304237128 0 0 0 0 94587331 129655331 0 0 0 109836138 150082860 204423469 279738191 5786706 24498937 230942682 309188310 136256908 213383917 94685774 95804393 X TO PROMOTE CHARITABLE, SCIENTIFIC AND EDUCATIONAL ACTIVITIES. 0 0 220939188 299773161 SEE SCHEDULE O 220939188 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 0 0 1 228 0 1076 1 1 1 0 0 0 0 0 0 0 0 0 X 18 15 1 0 0 0 0 0 0 1 1 0 0 1 1 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0 0 0 0 761959 0 140000 0 PART I, LINE 4B 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 - $268,096 - RICHARD D'AQUILA - $161,328 - JAMES M. STATEN - $139,024 - WILLIAM A.JENNINGS - $107,120 - WILLIAM S.GEDGE - $100,896 - NORMAN G.ROTH - $ 94,416 - KEVIN A.MYATT - $ 91,936 - DANIEL BARCHI - $ 87,008 - WILLIAM J.ASELTYNE - $ 78,224 - EUGENE J.COLUCCI - $ 71,760 - PATRICK MCCABE - $ 71,664 - STEPHEN ALLEGRETTO - $ 67,488 - DAVID WURCEL - $ 63,952 - ROBERT NORDGREN - $ 60,752 - VINCENT TAMMARO - $ 57,488 - NANCY LEVITT-ROSENTHAL - $ 54,272 - JOSEPH E.JANELL - $ 52,640 - JAMES B.MORRIS - $ 46,928 - CAROLYN SALSGIVER - $ 45,728 - MELISSA TURNER - $ 40,416 - MICHAEL DIMENSTEIN - $ 13,280 - 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 2011 CALENDAR YEAR THAT WERE RECOGNIZED AS TAXABLE EVENTS AND REPORTED IN THE INDIVIDUALS' 2011 CALENDAR YEAR FORM W-2S. THESE AMOUNTS INCLUDE ACCUMULATIONS OF FUTURE BENEFITS THAT FOR CERTAIN INDIVIDUALS INCLUDE MULTIPLE YEARS OF SERVICE LEADING UP TO THE VESTING OF BENEFITS THAT OCCURRED IN THE 2011 CALENDAR YEAR. ACCORDINGLY, THOSE AMOUNTS INCLUDED IN COLUMN B (III) THAT WERE RECOGNIZED AS 2011 CALENDAR YEAR VESTED AMOUNTS THAT WERE PREVIOUSLY REPORTED ON PRIOR YEARS' FORM 990 AS DEFERRED COMPENSATION HAVE BEEN IDENTIFIED IN COLUMN F. SEVERANCE NONQUALIFIED EQUITY-BASED PETER HERBERT - $ 486,005 - GAYLE CAPOZZALO - $ 294,699 - FRANK CORVINO - $ 261,824 - QUINTON FRIESEN - $ 173,947 - ROBERT TREFRY - $ 24,695 - THE SUPPLEMENTAL RETIREMENT INCOME PLAN (SRIP) IS 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 CORPORATE OFFICERS. 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). 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. CENTURY FINANCIAL SERVICES SEE SCHEDULE O 356148 SEE PART V 0 PART IV, COLUMN DBUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONSNAME OF INTERESTED PERSON: CENTURY FINANCIAL SERVICES, INC.OFFICERS PATRICK MCCABE AND DAVID WURCEL ARE OFFICERS OF CENTURY FINANCIAL SERVICES, INC., WHICH PROVIDES BILLING AND COLLECTION SERVICES FOR AND IS PARTIALLY OWNED BY YALE-NEW HAVEN HEALTH SERVICES CORPORATION.AMOUNT OF TRANSACTION: $356,148.38.PART IVBUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONSSOME OF THE ORGANIZATION'S CURRENT OFFICERS SERVE AS OFFICERS OF TAXABLE AFFILIATES WITHIN THE ORGANIZATION'S CORPORATE SYSTEM. THE ORGANIZATION ENGAGES IN BUSINESS TRANSACTIONS WITH SOME OF THESE TAXABLE AFFILIATES. THESE TRANSACTIONS HAVE BEEN REPORTED AND DISCLOSED ON SCHEDULE R. THEY ARE NOT BEING REPORTED AGAIN HERE BECAUSE THE INDIVIDUAL OFFICERS DO NOT HAVE PERSONAL FINANCIAL INTERESTS IN THE TAXABLE AFFILIATES AND SERVE ONLY AS A FUNCTION OF THEIR ROLES AT THE ORGANIZATION. PROGRAM SERVICE STATEMENT FORM 990, PART III, LINE 4A YALE NEW HAVEN HEALTH SYSTEM (YNHHS) FORMED IN 1996 TO ENHANCE THE QUALITY AND SCOPE OF HEALTHCARE SERVICES FOR RESIDENTS OF CONNECTICUT, EASTERN NEW YORK, SOUTHWESTERN RHODE ISLAND AND BEYOND. YNHHS INCLUDES THREE CORPORATE MEMBER DELIVERY NETWORKS: YALE-NEW HAVEN HOSPITAL (YNHH); BRIDGEPORT HOSPITAL (BH); GREENWICH HOSPITAL (GH); AS WELL AS A PHYSICIAN FOUNDATION, NORTHEAST MEDICAL GROUP (NEMG). THE HEALTH SYSTEM ALSO HAS CLINICAL RELATIONSHIPS WITH SEVERAL OTHER HOSPITALS IN CONNECTICUT. YNHHS HAS A SHARED GOVERNANCE MODEL IN WHICH EACH DELIVERY NETWORK HAS ITS OWN BOARD OF DIRECTORS AND A SYSTEM BOARD OF DIRECTORS INCLUDES REPRESENTATIVES FROM EACH DELIVERY NETWORK. YALE NEW HAVEN HEALTH IS CONNECTICUT'S LEADING HEALTHCARE SYSTEM, PROVIDING COMPREHENSIVE, COST-EFFECTIVE, ADVANCED PATIENT CARE CHARACTERIZED BY SAFETY, QUALITY AND SERVICE. YNHHS HAS A FORMAL AFFILIATION AGREEMENT WITH YALE UNIVERSITY TO SUPPORT PATIENT CARE, MEDICAL EDUCATION AND CLINICAL RESEARCH. YALE NEW HAVEN HEALTH SYSTEM'S VISION IS TO ENSURE THE PROVISION OF CLINICALLY SUPERIOR, APPROPRIATE CARE BY COLLABORATING WITH PROVIDERS AND PAYORS TO DEVELOP INNOVATIVE, COST-EFFECTIVE HEALTHCARE DELIVERY MODELS THAT IMPROVE CARE AND VALUE FOR PATIENTS AND ENHANCE THE HEALTH OF THE COMMUNITIES WE SERVE. YALE NEW HAVEN HEALTH OFFERS PATIENTS THE FULL CONTINUUM OF HEALTHCARE SERVICES, FROM PRIMARY PHYSICIAN CARE TO NURSING HOME CARE TO THE MOST COMPLEX ACUTE CARE AVAILABLE IN THE WORLD. CLINICAL SERVICES INCLUDE: PRIMARY AND PREVENTIVE CARE, SPECIALTY, ACUTE AND SUB-ACUTE CARE, REHABILITATION, SKILLED NURSING AND COORDINATION OF HOME CARE. SAFETY, QUALITY AND OPERATIONAL EFFECTIVENESS PATIENT CARE SAFETY AND CLINICAL QUALITY YNHHS CONTINUED MOVING TOWARD STANDARDIZING CLINICAL QUALITY AND PATIENT SAFETY THIS YEAR, MONITORING PERFORMANCE ON MORE THAN 120 METRICS ACROSS THE SYSTEM. KEY ACHIEVEMENTS INCLUDED MEDICARE-RELATED VALUE BASED PURCHASING (VBP) METRICS, HAND HYGIENE, OPERATING ROOM TIME-OUTS AND CORRECT PATIENT IDENTIFICATION. YNHHS IMPLEMENTED THE INFLUENCER MODEL TO IMPROVE HAND HYGIENE EFFORTS SYSTEM-WIDE AND OBSERVATIONS HAVE SHOWN SIGNIFICANT IMPROVEMENTS IN COMPLIANCE RATES. A STANDARD TIME-OUT PROCESS FOR THE OPERATING ROOMS WAS ROLLED OUT ACROSS YNHHS, WITH A COMMON POLICY AND BEST PRACTICE EXPECTATIONS. YNHHS ADOPTED THE SMART ACCESS TO MEDICAL INFORMATION (SAMI) AUTOMATED SYSTEM AT ALL THREE HOSPITALS. SAMI, CURRENTLY FUNCTIONAL AT BRIDGEPORT HOSPITAL, ESTIMATES THE VBP SCORE AND SUPPORTS A WIDE VARIETY OF CLINICAL WORKFLOW PROCESSES INCLUDING PATIENT TAGGING AND CONCURRENT REVIEW FOR CORE MEASURE COMPLIANCE. ONE OF THE OUTCOMES FROM THE AGENCY FOR HEALTHCARE RESEARCH AND QUALITY'S SAFETY CULTURE SURVEY THAT WAS ADMINISTERED IN 2011 TO OVER 14,000 SYSTEM EMPLOYEES WAS THE IMPLEMENTATION OF SYSTEM-WIDE MORNING SAFETY ROUNDS AT EACH HOSPITAL. SAFETY SURVEYS CONTINUED THROUGH JANUARY 2013. A MAJOR NURSING CARE STANDARDIZATION INITIATIVE KICKED OFF IN JANUARY 2012 TO DEVELOP SYSTEM-WIDE STANDARDS OF CARE. THIS YEAR'S ACCOMPLISHMENTS INCLUDE THE SELECTION OF A SINGLE EVIDENCE-BASED PRACTICE MODEL, THE CREATION OF A SINGLE INFRASTRUCTURE FOR RESEARCH, A STANDARDIZED PATIENT- AND FAMILY-CENTERED CARE MODEL AND PILOTS TO DETERMINE THE MOST EFFECTIVE WAY TO PROVIDE PRIVATE SITTERS TO PATIENTS. OPERATIONS IMPROVEMENT YNHHS CONTINUED TO OPTIMIZE ITS COST MANAGEMENT AND EFFICIENCY, COMPLETING A THOROUGH COST POSITIONING ASSESSMENT OF THE SYSTEM'S ADMINISTRATIVE AND CLINICAL ENTERPRISE, INCLUDING SUPPLIES AND OTHER NON-LABOR COSTS, LABOR AND LABOR PRODUCTIVITY, CLINICAL REDESIGN AND HUMAN RESOURCES. THE ASSESSMENT IDENTIFIED OPPORTUNITIES TO REDUCE ANNUAL EXPENSES BY ABOUT $125 MILLION AND A FIVE-YEAR CUMULATIVE SAVINGS PROJECTION OF ABOUT $500 MILLION. IN 2012, A SYSTEM-WIDE INFRASTRUCTURE WAS ASSEMBLED AND INITIATIVES WERE IMPLEMENTED TO ACHIEVE SAVINGS IN EACH AREA. SUPPLY CHAIN MANAGEMENT YNHHS, IN PARTNERSHIP WITH VHA HOSPITALS ACROSS THE NORTHEAST, HAS CONTINUED TO REALIZE VALUE THROUGH THE NORTHEAST PURCHASING COALITION, LLC (NPC), WHICH YNHHS HELPED FORM IN 2011. YNHHS PROVIDES BOTH CONTRACTING AND CLINICAL SUPPORT TO THE NPC IN AN EFFORT TO REDUCE THE COST OF SUPPLIES WHILE MAINTAINING HIGH QUALITY AND SAFETY. IN 2012, THE NPC EXPANDED ITS EFFORTS TO INCLUDE MORE SAVINGS IN THE AREA OF MEDICAL DEVICES AND DEVELOPED A BUSINESS PLAN TO ADDRESS PHARMACEUTICALS IN 2013. YNHHS REALIZED $1.8 MILLION IN SAVINGS WITH THE PARTNERSHIP OF MORE THAN 80 CLINICIANS, INCLUDING OVER 60 PHYSICIANS. IN 2012, YNHHS RECEIVED BOTH THE VHA LEADERSHIP SUPPLY CHAIN AWARD FOR PROCESS IMPROVEMENT IN PROCUREMENT OPERATIONS, AND AN AWARD FROM ECRI INSTITUTE, A HEALTH RESEARCH SERVICES ORGANIZATION, FOR LEADING PRACTICE INTEGRATION OF SUPPLY CHAIN TOOLS TO REDUCE COST AND IMPROVE PATIENT SAFETY. CLINICAL AND INFORMATION TECHNOLOGY EPIC WENT LIVE AT GREENWICH HOSPITAL IN APRIL WITH THE NEW ELECTRONIC MEDICAL RECORD, PATIENT REGISTRATION, SCHEDULING AND BILLING SYSTEMS. EPIC IS ON SCHEDULE AND ON BUDGET FOR IMPLEMENTATION AT YNHH, THE NEW SAINT RAPHAEL CAMPUS AND BRIDGEPORT HOSPITAL IN 2013. MORE THAN 235 PROVIDERS REPRESENTING YALE MEDICAL GROUP (YMG), NEMG AND COMMUNITY PRACTICES IN NEW HAVEN AND FAIRFIELD COUNTIES ARE USING YNHHS' EPIC ELECTRONIC MEDICAL RECORD AND 3,000 PATIENTS, SYSTEM-WIDE, SUBSCRIBE TO THE YNHHS EPIC MYCHART SERVICE, THE SYSTEM'S ELECTRONIC PATIENT PORTAL. YNHHS LAUNCHED THE ONCORE CLINICAL TRIALS MANAGEMENT SYSTEM AT SMILOW CANCER HOSPITAL AND IN OB/GYN, PEDIATRICS AND THERAPEUTIC RADIOLOGY TO REVIEW AND APPROVE STUDIES, ENROLL SUBJECTS, BUILD STUDIES, TRACK ADVERSE EVENTS, AND AID REPORTING, BUDGETING AND INVOICING. INTERNALLY, THE INFORMATION TECHNOLOGY SERVICES DEPARTMENT CREATED A NEW SYSTEM-WIDE SERVICE DESK, CONSOLIDATING WHAT HAD BEEN THREE SEPARATE ITS HELP DESKS TO SUPPORT EMPLOYEES AT EACH HOSPITAL. YNHHS WAS SELECTED AMONG THE MOST WIRED HEALTHCARE SYSTEMS IN THE NATION BY THE AMERICAN HOSPITAL ASSOCIATION'S HOSPITALS AND HEALTH NETWORKS MAGAZINE, REFLECTING TECHNOLOGY ADVANCEMENTS TO ENHANCE PATIENT SAFETY, CLINICAL QUALITY, SAFETY, CARE CONTINUUM AND CUSTOMER SERVICE. PROVIDER OF CHOICE CLINICAL SERVICES YNHHS CONTINUED ITS STANDARDIZATION OF QUALITY, CLINICAL AND OPERATIONAL PROTOCOLS AND PROCEDURES, IMPROVED CARE COORDINATION AND DEVELOPED MORE COST-EFFECTIVE CARE DELIVERY. BRIDGEPORT HOSPITAL'S 42 PEDIATRIC AND NEONATAL INTENSIVE CARE UNIT BEDS AND PEDIATRIC CLINIC WERE INTEGRATED INTO YALE-NEW HAVEN CHILDREN'S HOSPITAL IN FEBRUARY, ENHANCING REGIONAL ACCESS FOR CHILDREN AND THEIR FAMILIES. YNHH OPENED A PEDIATRIC OUTPATIENT SPECIALTY CENTER IN NORWALK, AND GREENWICH HOSPITAL IS EXPANDING ITS PEDIATRIC SUBSPECIALTY CLINIC. BRIDGEPORT HOSPITAL'S CARDIAC SURGERY PROGRAM BECAME PART OF THE YALE SCHOOL OF MEDICINE CARDIAC SURGERY PROGRAM, PROVIDING HIGH-QUALITY CARDIAC SURGICAL SERVICES AND EXPANDING ACCESS INTO FAIRFIELD COUNTY. GREENWICH HOSPITAL AND YALE-NEW HAVEN HOSPITAL'S HEART & VASCULAR CENTER JOINTLY SUBMITTED A CERTIFICATE OF NEED TO INITIATE AN ELECTIVE ANGIOPLASTY PROGRAM AT GREENWICH HOSPITAL. YNHHS' DELIVERY NETWORKS CREATED A SET OF QUALITY METRICS TO USE IN A QUALITY IMPROVEMENT PROJECT INVOLVING EACH DELIVERY NETWORK'S GERIATRIC PRIMARY CARE PROGRAM, AMBULATORY CONSULTATION CLINICS AND SKILLED NURSING FACILITY SERVICES. YNHH AND THE AREA AGENCY ON AGING OF SOUTH CENTRAL CONNECTICUT ARE PARTICIPATING IN THE CENTER FOR MEDICARE AND MEDICAID-SUPPORTED COMMUNITY BASED CARE TRANSITIONS PROGRAM TO REDUCE READMISSIONS AND HELP ELDERLY PATIENTS SAFELY TRANSITION FROM THE HOSPITAL BACK TO THEIR HOMES. CONNECTICUT'S LARGEST CANCER PRACTICE, MEDICAL ONCOLOGY & HEMATOLOGY, PC, ALONG WITH LITCHFIELD COUNTY'S CONNECTICUT ONCOLOGY & HEMATOLOGY, WERE INTEGRATED INTO SMILOW CANCER HOSPITAL. THIS ADDED SEVEN ADDITIONAL PRACTICE SITES TO THE SMILOW CANCER HOSPITAL NETWORK AND EXPANDED ACCESS TO THE LATEST CLINICAL TRIALS FOR PATIENTS IN DERBY, GUILFORD, HAMDEN, NEW HAVEN, ORANGE, SHARON, TORRINGTON AND WATERBURY. SMILOW CANCER HOSPITAL, YALE CANCER CENTER (YCC) AND GREENWICH HOSPITAL SIGNED AN AGREEMENT TO CREATE A SMILOW CANCER HOSPITAL CAMPUS AT GREENWICH AND EXPAND CANCER SERVICES TO FAIRFIELD AND WESTCHESTER COUNTIES. SIMILARLY, BRIDGEPORT HOSPITAL, SMILOW AND YCC REACHED AN AGREEMENT TO COLLABORATE ON THE CANCER PROGRAM GROWTH AND DEVELOPMENT IN BRIDGEPORT, INCLUDING THE PARK AVENUE RADIATION ONCOLOGY FACILITY, WHICH OPENED IN SEPTEMBER 2012. HOSPITAL OF SAINT RAPHAEL IN 2012, YALE-NEW HAVEN HOSPITAL WORKED THROUGH THE PLANNING AND PROCESSES NECESSARY TO ACQUIRE THE HOSPITAL OF SAINT RAPHAEL, INCLUDING APPROVALS FROM THE FEDERAL TRADE COMMISSION, STATE ATTORNEY GENERAL, THE CONNECTICUT OFFICE OF HEALTH CARE ACCESS AND THE VATICAN. BOLSTERED BY STRONG COMMUNITY SUPPORT, THE TRANSACTION CLOSED SUCCESSFULLY ON SEPTEMBER 12, 2012. THE ACQUISITION PROVIDED YNHH WITH 533 MUCH-NEEDED BEDS AND MAKES YNHH THE FOURTH LARGEST HOSPITAL IN THE COUNTRY, WITH 1,541 BEDS. IT ALSO PRESERVED ALMOST 3,500 JOBS, BROUGHT FINANCIAL STABILITY TO THE FORMER HOSPITAL OF SAINT RAPHAEL AND AN OPPORTUNITY FOR GROWTH. THE INTEGRATION EXPANDS YALE NEW HAVEN HEALTH SYSTEM BY NEARLY 30%. SERVICE EXCELLENCE THE YNHHS SERVICE EXCELLENCE COUNCIL, DESIGNED TO CREATE A CONSISTENT PATIENT EXPERIENCE ACROSS ALL SYSTEM ENTITIES, COMPLETED ITS FIRST YEAR OF OPERATION WITH A FOCUS ON PATIENT SATISFACTION STANDARDIZATION AND COMMON BENCHMARKING METHODOLOGY AND REPORTING. BEST PRACTICES SHARED FOR IMPLEMENTATION ACROSS THE HEALTH SYSTEM IN 2012 INCLUDED THE USE OF A DISCHARGE AND MEDICATION FOLDER AND THE IMPLEMENTATION OF CARE PARTNERS TO SUPPORT PATIENTS DURING HOSPITALIZATION. THE 2011 YNHHS SERVICE EXCELLENCE CONFERENCE IN NOVEMBER DREW ALMOST 600 EMPLOYEES AND FEATURED ABSTRACTS AND POSTER PRESENTATIONS ABOUT SERVICE EXCELLENCE PROJECTS IMPLEMENTED BY VARIOUS STAFF MEMBERS AND DEPARTMENTS. SERVICE GROWTH YALE NEW HAVEN HEALTH SYSTEM REMAINED THE LEADING HEALTH SYSTEM IN THE STATE OF CONNECTICUT IN 2012, ALTHOUGH OVERALL ADMISSIONS TO CONNECTICUT HOSPITALS DECREASED SLIGHTLY. YNHHS DISCHARGED 93,923 PATIENTS - 22.1 PERCENT OF THE STATE'S INPATIENT DISCHARGES. ACCOUNTABLE CARE SOLUTIONS & EMPLOYEE CARE COORDINATION PROGRAM THE YNHHS ACCOUNTABLE CARE SOLUTIONS TASK FORCE FOCUSED ON DEVELOPING THE SYSTEM'S SKILLS AND INFRASTRUCTURE TO PARTNER WITH PHYSICIANS, PROVIDERS AND PAYERS IN PROVIDING INTEGRATED, COORDINATED AND ACCOUNTABLE CARE. IN JANUARY, YNHHS LAUNCHED THE ACCOUNTABLE CARE EMPLOYEE HEALTH PILOT - LIVINGWELL CARES CARE COORDINATION PROGRAM - FOR EMPLOYEES WITH DIABETES. MORE THAN 80 PATIENTS ENROLLED IN THE PROGRAM. YNHHS IS ALSO EVALUATING ADDITIONAL PROGRAMS AND HAS SUBMITTED NUMEROUS APPLICATIONS FOR INNOVATIVE PILOTS TO LEARN THE SKILLS NEEDED FOR SUCCESS IN AN ACCOUNTABLE CARE, VALUE BASED, BUNDLED PAYMENT ENVIRONMENT. NORTHEAST MEDICAL GROUP NORTHEAST MEDICAL GROUP (NEMG), YNHHS' MULTISPECIALTY MEDICAL FOUNDATION, COMPLETED ITS SECOND FULL YEAR OF OPERATION AND EXPANDED ITS MEMBERSHIP TO MORE THAN 1,000 EMPLOYEES AND 550 PHYSICIANS - INCLUDING BOTH HOSPITAL-BASED PHYSICIANS AND A GROWING NUMBER OF COMMUNITY BASED PHYSICIANS. IN 2012, NEMG IMPLEMENTED AN ADVERTISING CAMPAIGN TO HEIGHTEN AWARENESS OF THE GROUP AND SOME OF ITS NEWLY JOINED COMMUNITY PRACTITIONERS. NEMG HAS IMPLEMENTED EPIC INTO MANY OF ITS COMMUNITY PRACTICES AND CURRENTLY HAS OVER 80 PHYSICIANS USING THE ELECTRONIC HEALTH RECORD. NEMG HAS ALSO IMPLEMENTED MEDICAL HOME PILOTS IN TWO OF ITS PRIMARY CARE PRACTICES AND THIS, ALONG WITH GREATER CARE COORDINATION, WILL ENSURE THAT PATIENTS RECEIVE THE RIGHT CARE IN THE RIGHT PLACE ACROSS THE HEALTH SYSTEM. BY ENGAGING PHYSICIANS ACROSS ITS NETWORK, NEMG HAS ALSO ESTABLISHED QUALITY METRICS IN EIGHT SPECIALTIES THAT WILL HELP MEASURE AND IMPROVE THE CARE DELIVERED. COMMUNITY BENEFITS EACH YEAR YNHHS DELIVERY NETWORKS PROVIDED OVER $330 MILLION (AT COST) IN COMMUNITY BENEFIT AND COMMUNITY-BUILDING ACTIVITIES. AS PART OF THE SYSTEM-WIDE COMMITMENT TO SERVE AS STRONG COMMUNITY PARTNERS, EACH YNHHS DELIVERY NETWORK PROVIDED NUMEROUS HEALTH SCREENINGS, COMMUNITY EDUCATION SESSIONS, COMMUNITY-BUILDING EVENTS, COMMUNITY LEADERSHIP ACTIVITIES AND GRANTS AND ASSISTANCE TO IMPROVE AND ENHANCE THE HEALTH OF ITS LOCAL COMMUNITY. IN ADDITION, THE AREA OF COMMUNITY BENEFITS ALSO INCLUDES COSTS ASSOCIATED WITH HEALTH PROFESSIONS EDUCATION, UNCOMPENSATED AND UNDER-COMPENSATED CARE. CENTER FOR EMERGENCY PREPAREDNESS AND HEALTHCARE SOLUTIONS CENTER FOR EMERGENCY PREPAREDNESS AND HEALTHCARE SOLUTIONS (CEPHS) CONTINUED TO PROVIDE EMERGENCY PREPAREDNESS AND BUSINESS CONTINUITY SERVICES TO THE DELIVERY NETWORKS, OTHER HEALTHCARE ORGANIZATIONS THROUGHOUT THE COUNTRY, AS WELL AS SERVING AS A CONNECTICUT DEPARTMENT OF PUBLIC HEALTH-DESIGNATED EMERGENCY PREPAREDNESS CENTER OF EXCELLENCE. THROUGH ITS GRANTS MANAGEMENT SERVICES, CEPHS ASSISTED THE DELIVERY NETWORKS IN GRANT FUNDING TO SUPPORT TRANSLATIONAL RESEARCH PROJECTS AND PROGRAMS IN HEALTHCARE REFORM-RELATED AREAS INCLUDING PATIENT CARE TRANSITIONS, HEALTHCARE-ASSOCIATED INFECTIONS AND ELECTRONIC HEALTH RECORDS. ADDITIONAL GRANT AND CONTRACT AWARDS INCLUDE BACKGROUND CHECK SYSTEMS FOR STATES, EMERGENCY PREPAREDNESS AND RESPONSE PROGRAMS, DENTAL SERVICES, TRANSLATIONAL RESEARCH AND EDUCATION AND TRAINING PROGRAMS. GRANTS AND CONTRACT AWARDS TOTALED OVER $27 MILLION FOR SERVICES AND PROGRAMS PROVIDED TO PUBLIC AND PRIVATE ORGANIZATIONS, COVERING GEOGRAPHIC AREAS ACROSS CONNECTICUT, THE COUNTRY AND INTERNATIONALLY. EMPLOYER OF CHOICE HUMAN RESOURCES YNHHS REMAINED COMMITTED TO RECRUITING AND RETAINING A HIGH QUALITY WORKFORCE THROUGH A RANGE OF HUMAN RESOURCES INITIATIVES. RESULTS OF THE 2011 EMPLOYEE ENGAGEMENT SURVEY, SHARED IN JANUARY 2012, SHOWED HEALTH SERVICES CORPORATION RANKING IN THE 99TH PERCENTILE OF EMPLOYEE ENGAGEMENT. IN THE FALL, THE 2012 EES SURVEY LAUNCHED WITH A SECOND SURVEY - A CULTURAL VALUES ASSESSMENT DEVELOPED BY THE BARRETT VALUES CENTRE - TO HELP SUPPORT THE CULTURAL INTEGRATION OF YALE-NEW HAVEN HOSPITAL, THE HOSPITAL OF SAINT RAPHAEL AND OTHER MEMBERS OF YNHHS, AS WELL AS UNDERSTAND THE CULTURAL INGREDIENTS OF A SUCCESSFUL HEALTHCARE SYSTEM. YNHHS DEBUTED REDCARPET, AN ELECTRONIC ONBOARDING SYSTEM FOR NEW EMPLOYEES, ALLOWING THEM TO COMPLETE ALL NECESSARY PRE-EMPLOYMENT PAPERWORK ELECTRONICALLY AND BEGIN A SMOOTH TRANSITION INTO THE ORGANIZATION. REDCARPET PROVED TO BE INVALUABLE, AS ALMOST 3,500 EMPLOYEES FROM THE HOSPITAL OF SAINT RAPHAEL BECAME YNHH EMPLOYEES LITERALLY OVERNIGHT ON SEPTEMBER 12, 2012. SEVERAL NEW LIVINGWELL CARES EMPLOYEE HEALTH AND WELLNESS INITIATIVES WERE IMPLEMENTED IN 2012 TO HELP EMPLOYEES FOCUS ON WELLNESS, PREVENTIVE CARE AND DISEASE MANAGEMENT. ACTIVE HEALTH MANAGEMENT WAS SELECTED TO PROVIDE INDIVIDUALIZED HEALTH COACHING AND DISEASE MANAGEMENT FOR 42 HEALTH CONDITIONS AND MATERNITY CARE. THE EMPLOYEE AND FAMILY RESOURCES PROGRAM (EFR) - AN INTEGRATED EMPLOYEE ASSISTANCE AND WORK/LIFE RESOURCE AND REFERRAL PROGRAM - WAS INTRODUCED THROUGHOUT YNHHS IN JANUARY 2012 TO OFFER FREE, CONFIDENTIAL COUNSELING AND SUPPORT SERVICES TO ALL YNHHS EMPLOYEES AND THEIR FAMILIES. INSTITUTE FOR EXCELLENCE THIS YEAR, THE INSTITUTE FOR EXCELLENCE (IFE), YNHHS'S LEARNING CENTER, PROVIDED 16,530 HOURS OF TRAINING FOR 2,066 EMPLOYEES AND MANAGERS THROUGH 22 COURSES IN 120 TRAINING SESSIONS. IN ADDITION, 62 NEW EMPLOYEE ORIENTATION SESSIONS HELPED 1,805 NEW EMPLOYEES ACROSS THE HEALTH SYSTEM. IN 2012, THE IFE, WHICH OVERSEES THE HEALTHSTREAM LEARNING CENTER, ALSO ASSUMED RESPONSIBILITY FOR INFORMATION TECHNOLOGY TRAINING AND EDUCATION THIS YEAR. THE SYN:APSE (SIMULATION AT YALE NEW HAVEN: ADVANCING PATIENT SAFETY AND EDUCATION) CENTER FOR LEARNING, TRANSFORMATION AND INNOVATION PROVIDED APPROXIMATELY 30,000 HOURS OF SIMULATION-ENHANCED EDUCATION TO OVER 7,000 INTERDISCIPLINARY EMPLOYEES FROM ACROSS YNHHS. THE CENTER HOSTED THE FIRST SIMULATION USERS GROUP MEETING TO FOSTER RELATIONSHIPS AND COLLABORATION ACROSS THE SYSTEM. FINANCIAL PERFORMANCE ECONOMIES OF SCALE YNHHS'S FINANCE DEPARTMENT REORGANIZED, IN 2012, TO BETTER FOCUS ON THE SAINT RAPHAEL TRANSACTION, COST AND VALUE POSITIONING, AND A MORE CONSISTENT BUDGETING PROCESS ACROSS THE HEALTH SYSTEM. THROUGH A MULTI-PHASE FINANCING APPROACH, THE DEPARTMENT WORKED CLOSELY WITH UNDERWRITERS AND INVESTMENT BANKERS TO ACQUIRE THE ASSETS OF THE HOSPITAL OF SAINT RAPHAEL. THE DEPARTMENT ALSO CONSOLIDATED GREENWICH HOSPITAL'S BILLING DEPARTMENT INTO THE SYSTEM BILLING OFFICE. TREASURY THE TREASURY DEVELOPED A MULTI-PHASE FINANCING APPROACH FOR THE HOSPITAL OF SAINT RAPHAEL ACQUISITION AND OTHER PROJECTS, INCLUDING A $187 MILLION BRIDGE LOAN FACILITY, $192 MILLION OF INTEREST RATE HEDGES, AND $232 MILLION OF PERMANENT FINANCING. ADDITIONALLY, BRIDGEPORT HOSPITAL RECEIVED CREDIT RATINGS OF A3 AND A FROM MOODY'S AND FITCH RESPECTIVELY, WHILE ALSO ISSUING $38 MILLION OF ITS SERIES D BONDS. FINALLY, THE SYSTEM DIVERSIFIED AND ENHANCED ITS BANKING RELATIONSHIPS AND CASH MANAGEMENT PROCESSES, RESULTING IN LOWER BANKING COSTS, HIGHER INVESTMENT INCOME AND BETTER BANKING SERVICES. BRIDGEPORT HOSPITAL DELIVERY NETWORK BRIDGEPORT HOSPITAL, FOUNDED IN 1878, IS A 383-BED URBAN TEACHING HOSPITAL SERVING ALMOST 19,000 INPATIENTS AND MORE THAN 230,000 OUTPATIENTS A YEAR. BRIDGEPORT HOSPITAL IS BEST IN FAIRFIELD COUNTY FOR GERIATRICS ACCORDING TO U.S. NEWS & WORLD REPORT'S 2011-2012 BEST HOSPITALS RANKINGS. THE HOSPITAL IS THE SITE OF THE CONNECTICUT BURN CENTER, THE ONLY DEDICATED BURN CENTER IN THE STATE; THE HEART INSTITUTE, INCLUDING THE CONNECTICUT ARRHYTHMIA CENTER; THE NORMA F. PFRIEM CANCER INSTITUTE AND BREAST CARE CENTER; THE WOMEN'S CARE CENTER; CENTER FOR WOUND HEALING & HYPERBARIC MEDICINE; AND AHLBIN CENTERS FOR REHABILITATION MEDICINE. BRIDGEPORT HOSPITAL PARTICIPATES IN THE TRAINING OF MORE THAN 200 RESIDENT PHYSICIANS AND FELLOWS. A MEMBER OF YALE NEW HAVEN HEALTH SYSTEM SINCE 1996, BRIDGEPORT HOSPITAL OPERATES ITS OWN SCHOOL OF NURSING, WHICH GRADUATES MORE NURSES THAN ANY OTHER NURSING SCHOOL IN CONNECTICUT. DURING FISCAL YEAR (FY) 2012, BRIDGEPORT HOSPITAL PROVIDED APPROXIMATELY $58.5 MILLION DOLLARS IN COMMUNITY BENEFITS. THIS FIGURE INCLUDES $36.6 MILLION DOLLARS IN CHARITY CARE AND UNDER REIMBURSED MEDICAID (AT COST), $17.6 MILLION IN HEALTH PROFESSIONS EDUCATION, AND OVER $4.3 MILLION IN COMMUNITY HEALTH IMPROVEMENT AND EDUCATION ACTIVITIES, SUBSIDIZED SERVICES, RESEARCH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS. AN ADDITIONAL $104,000 DOLLARS WAS PROVIDED IN THE AREA OF COMMUNITY BUILDING ACTIVITIES, WHICH INCLUDED SUPPORT FOR ECONOMIC DEVELOPMENT, ENVIRONMENTAL IMPROVEMENTS, WORKFORCE DEVELOPMENT, ADVOCACY AND COALITION BUILDING. BRIDGEPORT HOSPITAL HAS INVESTED A SIGNIFICANT AMOUNT OF TIME AND RESOURCES IN THE DEVELOPMENT AND IMPLEMENTATION OF PROJECTS TO IMPROVE HEALTH AND INCREASE ACCESS. GREENWICH HOSPITAL DELIVERY NETWORK GREENWICH HOSPITAL, FOUNDED IN 1903, IS A 206-BED COMMUNITY TEACHING HOSPITAL THAT HAS EVOLVED INTO A PROGRESSIVE REGIONAL HEALTHCARE CENTER, AVERAGING MORE THAN 13,000 INPATIENT DISCHARGES AND 2,300 BIRTHS A YEAR. THE HOSPITAL OFFERS A WIDE RANGE OF MEDICAL, SURGICAL, DIAGNOSTIC, INTEGRATIVE MEDICINE AND WELLNESS PROGRAMS, AS WELL AS MEDICAL INNOVATIONS FROM ROBOTIC SURGERY TO SOPHISTICATED DIAGNOSTIC IMAGING TO NATIONAL CLINICAL TRIALS. GREENWICH HOSPITAL SERVES FAIRFIELD, CONNECTICUT AND WESTCHESTER, NEW YORK COUNTIES. GREENWICH HOSPITAL, A MEMBER OF YALE NEW HAVEN HEALTH SYSTEM SINCE 1998, IS A LEADER IN SERVICE EXCELLENCE, CONSISTENTLY RANKING IN THE TOP FIVE PERCENT NATIONALLY FOR PATIENT SATISFACTION. THE MAIN CAMPUS INCLUDES THE HELMSLEY MEDICAL BUILDING AND WATSON PAVILION. OTHER SPECIALIZED SERVICES INCLUDE THE BENDHEIM CANCER AND BREAST CENTERS, ENDOSCOPY CENTER, LEONA M. AND HARRY B. HELMSLEY AMBULATORY MEDICAL CENTER, THE RICHARD R. PIVIROTTO CENTER FOR HEALTH LIVING AND THE GREENWICH HOSPITAL DIAGNOSTIC CENTER IN STAMFORD. DURING FISCAL YEAR (FY) 2012, GREENWICH HOSPITAL PROVIDED APPROXIMATELY $25 MILLION IN COMMUNITY BENEFITS. THIS FIGURE INCLUDES $19.2 MILLION DOLLARS IN CHARITY CARE AND UNDER REIMBURSED MEDICAID (AT COST), $2.8 MILLION IN HEALTH PROFESSIONS EDUCATION AND $3.1 MILLION IN COMMUNITY HEALTH IMPROVEMENT AND EDUCATION ACTIVITIES, SUBSIDIZED SERVICES, RESEARCH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS. AN ADDITIONAL $594,000 WAS PROVIDED IN THE AREA OF COMMUNITY BUILDING ACTIVITIES, WHICH INCLUDED SUPPORT FOR ECONOMIC DEVELOPMENT, ENVIRONMENTAL IMPROVEMENTS, WORKFORCE DEVELOPMENT, COALITION BUILDING AND PHYSICAL IMPROVEMENT AND HOUSING. GREENWICH HOSPITAL HAS INVESTED A SIGNIFICANT AMOUNT OF TIME, MONEY AND RESOURCES IN THE DEVELOPMENT AND IMPLEMENTATION OF PUBLIC HEALTH PROJECTS TO IMPROVE HEALTH AND INCREASE ACCESS. YALE-NEW HAVEN DELIVERY NETWORK YALE-NEW HAVEN HOSPITAL IS A 1,541-BED ACUTE AND TERTIARY CARE HOSPITAL, WHICH INCLUDES YALE-NEW HAVEN CHILDREN'S HOSPITAL, YALE-NEW HAVEN PSYCHIATRIC HOSPITAL AND SMILOW CANCER HOSPITAL. FOUNDED IN 1826 AS THE FIRST HOSPITAL IN CONNECTICUT AND THE FOURTH VOLUNTARY HOSPITAL IN THE NATION, IT SERVES AS THE PRIMARY TEACHING HOSPITAL FOR YALE SCHOOLS OF MEDICINE AND NURSING. YNHH HAS TWO INPATIENT CAMPUSES IN NEW HAVEN, THE MAIN YORK STREET CAMPUS AND THE SAINT RAPHAEL CAMPUS ON CHAPEL STREET. YNHH'S YORK STREET CAMPUS AND ASSOCIATED AMBULATORY SITES ARE MAGNET-DESIGNATED BY THE AMERICAN NURSES CREDENTIALING CENTER. YNHH IS A MAJOR TERTIARY CARE CENTER FOR ACUTELY ILL OR INJURED PATIENTS, RECEIVING REGIONAL, NATIONAL AND INTERNATIONAL REFERRALS. YALE-NEW HAVEN PROVIDED SERVICES FOR NEARLY 62,000 INPATIENTS AND MORE THAN 774,000 OUTPATIENT VISITS LAST YEAR, RELYING ON THE SKILLS OF NEARLY 12,000 EMPLOYEES. NEARLY 4,000 UNIVERSITY AND COMMUNITY PHYSICIANS AND 600 RESIDENT PHYSICIANS PRACTICE IN MORE THAN 100 MEDICAL SPECIALTIES. YNHH IS AFFILIATED WITH THE NATIONALLY DESIGNATED YALE CANCER CENTER. IN ADDITION TO ITS TWO NEW HAVEN INPATIENT CAMPUSES, YALE-NEW HAVEN ALSO INCLUDES THE GRIMES CENTER, YALE-NEW HAVEN SHORELINE MEDICAL CENTER, EAST HAVEN URGENT CARE AT FOXON, TEMPLE RECOVERY CARE CENTER AND NUMEROUS OUTPATIENT RADIOLOGY AND BLOOD-DRAWING SERVICES IN NEW HAVEN AND SURROUNDING TOWNS. DURING FISCAL YEAR 2012, YNHH PROVIDED $242.8 MILLION DOLLARS IN COMMUNITY BENEFITS. THIS FIGURE INCLUDES $168.7 MILLION DOLLARS IN CHARITY CARE (AT COST) AND UNDER REIMBURSED MEDICAID (AT COST), $59.4 MILLION IN HEALTH PROFESSIONS EDUCATION, AND $14.8 MILLION IN COMMUNITY HEALTH IMPROVEMENT AND EDUCATION ACTIVITIES, SUBSIDIZED SERVICES AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS. AN ADDITIONAL $3.1 MILLION DOLLARS WAS PROVIDED IN THE AREA OF COMMUNITY BUILDING ACTIVITIES, WHICH INCLUDED SUPPORT FOR ECONOMIC DEVELOPMENT, ENVIRONMENTAL IMPROVEMENTS, WORKFORCE DEVELOPMENT, ADVOCACY, COALITION BUILDING AND PHYSICAL IMPROVEMENTS AND HOUSING. YALE-NEW HAVEN HOSPITAL HAS INVESTED A SIGNIFICANT AMOUNT OF TIME AND RESOURCES IN THE DEVELOPMENT AND IMPLEMENTATION OF PROJECTS TO IMPROVE HEALTH AND INCREASE ACCESS. NORTHEAST MEDICAL GROUP SINCE IT WAS ESTABLISHED TWO YEARS AGO, NORTHEAST MEDICAL GROUP (NEMG), A NOT-FOR-PROFIT MULTISPECIALTY MEDICAL FOUNDATION, HAS ALIGNED PHYSICIANS AND MID-LEVEL PROVIDERS ACROSS THE HEALTH SYSTEM. IN ADDITION TO COMMUNITY PHYSICIANS, NEMG INCLUDES HOSPITAL-BASED PHYSICIANS AT GREENWICH HOSPITAL, BRIDGEPORT HOSPITAL AND YNHH. NEMG EXTENDS FROM RYE BROOK, NEW YORK TO GUILFORD, CONNECTICUT. NEMG INCLUDES MORE THAN 40 PRACTICE SITES IN SOUTHERN CONNECTICUT, REPRESENTING ABOUT 550 PHYSICIANS. THROUGH ITS GROWING PHYSICIAN NETWORK, NEMG HELPS THE HEALTH SYSTEM BETTER CARE FOR PATIENTS ACROSS THE CONTINUUM - FROM HOSPITALS TO NURSING HOMES TO HOME. NEMG OFFERS ITS MEMBERS OPPORTUNITIES FOR COLLABORATION AND RESOURCES TO IMPROVE PRACTICE MANAGEMENT AND CLINICAL QUALITY. NEMG SUPPORTS PHYSICIAN PRACTICES THROUGH ECONOMIES OF SCALE, ASSISTANCE WITH RECRUITMENT EFFORTS AND SUPPORT FOR THE DELIVERY OF INTEGRATED, HIGH-QUALITY CARE. SPECIALTY NETWORKS AND NETWORK PARTICIPANTS HEART AND VASCULAR CENTER LED BY YALE-NEW HAVEN HOSPITAL, THE HEART AND VASCULAR CENTER BRINGS TOGETHER CARDIAC AND VASCULAR SURGEONS, CARDIOLOGISTS AND INTERVENTIONAL RADIOLOGISTS FROM YALE-NEW HAVEN HOSPITAL AND YALE SCHOOL OF MEDICINE, BRIDGEPORT HOSPITAL, GREENWICH HOSPITAL AND LAWRENCE & MEMORIAL HOSPITAL. THE HEART AND VASCULAR CENTER HAS DEVELOPED STRONG REFERRAL RELATIONSHIPS WITH BOTH MEDICAL CENTER-BASED AND COMMUNITY BASED HEART AND VASCULAR PHYSICIANS, SHARING BEST PRACTICES AND ENHANCED QUALITY AND SAFETY SYSTEMS. THE HEART AND VASCULAR CENTER HAS ENHANCED ACCESS TO PRIMARY ANGIOPLASTY AND CATHETERIZATION, VENTRICULAR ASSIST DEVICE IMPLANTS AND THE LATEST IN CARDIAC SURGERY, INCLUDING HEART TRANSPLANTS. IT HAS ALSO DEVELOPED AMBULATORY CASE MANAGEMENT TOOLS AND REPORTING SYSTEMS FOR ITS MANAGED CARE CONTRACTS. SMILOW CANCER HOSPITAL NETWORK SMILOW CANCER HOSPITAL NETWORK IS AN ALLIANCE OF PHYSICIANS AND HOSPITALS IN CONNECTICUT THAT PROVIDES PATIENTS WITH OUTSTANDING EXPERTISE IN CANCER TREATMENT AND ACCESS TO THE LATEST DISCOVERIES IN CANCER RESEARCH. THIS YEAR, YNHHS INTRODUCED THE SMILOW CANCER HOSPITAL SATELLITE AT GREENWICH HOSPITAL. LED BY SMILOW CANCER HOSPITAL AND YALE CANCER CENTER - THE ONLY NATIONAL CANCER INSTITUTE-DESIGNATED COMPREHENSIVE CANCER CENTER IN SOUTHERN NEW ENGLAND - SMILOW CANCER HOSPITAL NETWORK OFFERS CLINICIANS ACCESS TO TOOLS AND KNOWLEDGE THAT CAN HELP GUIDE DECISION-MAKING IN THE MANAGEMENT OF CANCER, AS WELL AS MAXIMIZE THE QUALITY AND SAFETY OF CANCER CARE AND A REFERRAL NETWORK FOR PATIENTS SEEKING SECOND OPINIONS OR REQUIRING TERTIARY CARE. TELESTROKE NETWORK YALE NEW HAVEN HEALTH SYSTEM, IN CONJUNCTION WITH YALE-NEW HAVEN STROKE CENTER, CREATED THE STATE'S FIRST TELEMEDICINE STROKE PROGRAM IN 2008. THE YALE-NEW HAVEN TELESTROKE NETWORK UTILIZES HIGH-SPEED NETWORK VIDEOCONFERENCING AND IMAGE-SHARING TECHNOLOGY WITH PARTNER HOSPITALS TO RAPIDLY ASSESS AND CONSULT WITH PARTNERS ON TREATMENT OPTIONS FOR ACUTE STROKE VICTIMS. MEMBERS INCLUDE LAWRENCE & MEMORIAL HOSPITAL IN NEW LONDON, SHARON HOSPITAL IN SHARON, AND GRIFFIN HOSPITAL IN DERBY, WHICH JOINED IN 2012. THE TELESTROKE NETWORK ALLOWS SUBSCRIBING HOSPITALS TO PROVIDE EXPERT ACUTE STROKE CARE FOR PATIENTS WITHOUT TRANSFERRING THEM TO YNHH FOR DIAGNOSIS. THE YALE-NEW HAVEN STROKE CENTER IS A STATE-DESIGNATED PRIMARY STROKE CENTER, AND A NATIONALLY-DESIGNATED PRIMARY STROKE CENTER THROUGH THE JOINT COMMISSION. FORM 990, PART VI, SECTION A, LINE 2 BUSINESS RELATIONSHIPS BETWEEN OFFICERS, DIRECTORS, TRUSTEES, OR KEY EMPLOYEES DIRECTORS DANIEL J. MIGLIO AND JOHN L. LAHEY ARE BOARD MEMBERS OF THE SAME BUSINESS ENTITY. SOME OF THE ORGANIZATION'S CURRENT OFFICERS SERVE AS OFFICERS AND/OR DIRECTORS OF TAXABLE AFFILIATES WITHIN THE ORGANIZATION'S CORPORATE SYSTEM. THE INDIVIDUAL OFFICERS DO NOT HAVE PERSONAL FINANCIAL INTERESTS IN THOSE TAXABLE AFFILIATES AND SERVE ONLY AS A FUNCTION OF THEIR ROLES WITH THE ORGANIZATION. THE TAXABLE AFFILIATES FOR WHICH SOME OF THE ORGANIZATION'S OFFICERS SERVE ALSO AS OFFICERS AND/OR DIRECTORS INCLUDE: CENTURY FINANCIAL SERVICES, INC.; COMMUNITY HEALTH CARE PHYSICIANS, P.C.; GREENWICH HEALTH SERVICES, INC.; GREENWICH INTEGRATIVE MEDICINE, P.C.; GREENWICH PEDIATRIC SERVICES, P.C.; MEDICAL CENTER REALTY, INC.; MEDICAL CENTER PHARMACY AND HOME CARE CENTER, INC.; QUINNIPIAC MEDICAL, P.C.; SSC II, LLC; YNH GERIATRICS SERVICES, P.C.; YNH MEDICAL SERVICES, P.C.; YNHH-MSO, INC.; YNHH PHYSICIANS CORP.; YALE-NEW HAVEN AMBULATORY SERVICES CORPORATION; AND YORK ENTERPRISES, INC. 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 ERNST & YOUNG US, 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 ERNST & YOUNG US, LLP FOR FINAL REVIEW. PRIOR TO FILING, THE ORGANIZATION MADE 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 EXECUTIVE COMPENSATION COMMITTEE OF THE YNHHS STRIVES TO TAKE THE STEPS NECESSARY TO QUALIFY FOR THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER FEDERAL TAX LAW. THE EXECUTIVE COMPENSATION COMMITTEE IS AUTHORIZED UNDER THE YNHHS BYLAWS AND IS RESPONSIBLE FOR (1) DETERMINING THE OVERALL TOTAL COMPENSATION STRATEGY FOR ALL CORPORATE OFFICERS, (2) APPROVING ALL COMPENSATION AND BENEFITS DECISIONS FOR CORPORATE OFFICERS, AND (3) REPORTING SUCH ACTIONS TO THE FULL YNHHS BOARD ON AN ANNUAL BASIS. IN ADDITION, THE EXECUTIVE COMPENSATION COMMITTEE EXPRESSLY DETERMINES 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 COMMITTEE CONSISTS OF BOARD MEMBERS WHO DO NOT HAVE MATERIAL FINANCIAL INTERESTS THAT COULD BE AFFECTED BY THE OFFICER COMPENSATION DECISIONS MADE BY THE COMMITTEE. THE COMPARABILITY DATA USED TO ASSIST THE EXECUTIVE COMPENSATION COMMITTEE IN ITS COMPENSATION DELIBERATIONS ARE COMPILED BY AN INDEPENDENT, NATIONAL COMPENSATION CONSULTING FIRM THAT IS RETAINED BY AND REPORTS DIRECTLY TO THE EXECUTIVE COMPENSATION COMMITTEE. THE DATA COLLECTED BY THE CONSULTANT CONSISTS OF MARKET INFORMATION FOR EXECUTIVES IN FUNCTIONALLY SIMILAR POSITIONS IN SIMILARLY SITUATED NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS. THE DELIBERATIONS AND DECISIONS OF THE EXECUTIVE COMPENSATION COMMITTEE ARE CONTEMPORANEOUSLY DOCUMENTED, REVIEWED AND APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE, AND PROVIDED TO THE BOARD. PART VI, LINE 15B THE EXECUTIVE COMPENSATION COMMITTEE OF THE YNHHS STRIVES TO TAKE THE STEPS NECESSARY TO QUALIFY FOR THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER FEDERAL TAX LAW. THE EXECUTIVE COMPENSATION COMMITTEE IS AUTHORIZED UNDER THE YNHHS BYLAWS AND IS RESPONSIBLE FOR (1) DETERMINING THE OVERALL TOTAL COMPENSATION STRATEGY FOR ALL CORPORATE OFFICERS, (2) APPROVING ALL COMPENSATION AND BENEFITS DECISIONS FOR CORPORATE OFFICERS, AND (3) REPORTING SUCH ACTIONS TO THE FULL YNHHS BOARD ON AN ANNUAL BASIS. IN ADDITION, THE EXECUTIVE COMPENSATION COMMITTEE EXPRESSLY DETERMINES 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 COMMITTEE CONSISTS OF BOARD MEMBERS WHO DO NOT HAVE MATERIAL FINANCIAL INTERESTS THAT COULD BE AFFECTED BY THE OFFICER COMPENSATION DECISIONS MADE BY THE COMMITTEE. THE COMPARABILITY DATA USED TO ASSIST THE EXECUTIVE COMPENSATION COMMITTEE IN ITS COMPENSATION DELIBERATIONS ARE COMPILED BY AN INDEPENDENT, NATIONAL COMPENSATION CONSULTING FIRM THAT IS RETAINED BY AND REPORTS DIRECTLY TO THE EXECUTIVE COMPENSATION COMMITTEE. THE DATA COLLECTED BY THE CONSULTANT CONSISTS OF MARKET INFORMATION FOR EXECUTIVES IN FUNCTIONALLY SIMILAR POSITIONS IN SIMILARLY SITUATED NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS. THE DELIBERATIONS AND DECISIONS OF THE EXECUTIVE COMPENSATION COMMITTEE ARE CONTEMPORANEOUSLY DOCUMENTED, REVIEWED AND APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE, AND PROVIDED TO THE BOARD. FORM 990, PART VI, SECTION C, LINE 18 FORM 990, PART VI, SECTION C, LINE 18: COPIES OF FORM 990, FORM 1023 AND AUDITED FINANCIAL STATEMENTS ARE MAINTAINED IN THE SYSTEM TAX DEPARTMENT. OTHER CORPORATE GOVERNING DOCUMENTS ARE MAINTAINED BY OFFICE OF LEGAL AND CORPORATE COMPLIANCE. 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 VI, SECTION C, LINE 19 FORM 990, PART VI, SECTION C, LINE 19: 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 VII OFFICERS WORK AN AVERAGE OF 40 HOURS SPREAD OVER THE FILING ENTITY AND THE ENTITIES LISTED IN SCHEDULE R. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -1,369,838. TRANSFER TO/FROM AFFILIATES- NEMG/NCDP/NETWORK CORP -22,010,056. OTHER CHANGES IN NET ASSETS -424. TOTAL TO FORM 990, PART XI, LINE 5: -23,380,318. DISCLOSURE STATEMENT RELATED TO FORMS 5471, INFORMATION RETURN OF U.S. PERSONS WITH RESPECT TO CERTAIN FOREIGN COPORATIONS, FILED ON BEHALF OF THE TAXPAYER: UNDER THE CONSTRUCTIVE OWNERSHIP RULES OF IRC SECTIONS 958(A) AND (B), THE TAXPAYER IS REQUIRED TO FILE FORMS 5471, INFORMATION RETURN OF U.S. PERSONS WITH RESPECT TO CERTAIN FOREIGN CORPORATIONS, AS A CATEGORY 5 FILER WITH RESPECT TO CERTAIN CONTROLLED FOREIGN CORPORATIONS (CFCS). THESE FILING REQUIREMENTS ARE OR WILL BE SATISFIED THROUGH THE FILING OF FORMS 5471 FOR THESE CFCS BY OTHER U.S. TAXPAYERS IDENTIFIED BELOW WHO HAVE THE SAME FILING REQUIREMENT. TAXPAYER NAME: YALE-NEW HAVEN HOSPITAL ADDRESS: 20 YORK STREET NEW HAVEN, CT 06504 IDENTIFYING NUMBER OF U.S. TAX RETURN WITH WHICH THE FORMS 5471 WERE OR WILL BE FILED: 06-0646652 IRS SERVICE CENTER WHERE U.S. TAX RETURN WAS OR WILL BE FILED: OGDEN, UT 84201-0027 BRIDGEPORT RENEWAL LLC 267 GRANT AVE BRIDGEPORT CT 06610 061452169 RENTAL CT 91887 539866 SOUTHERERN CONNECTICUT HEALTH SYSTEM PROPERTIES 900 KING STREET ASSOCIATES LLC 5 PERRYRIDGE ROAD GREENWICH CT 06830 260805259 BUILDING OPERATIONS CT 0 0 GREENWICH HOSPITAL GREENWICH PATHOLOGY ASSOCIATES LLC 5 PERRYRIDGE ROAD GREENWICH CT 06830 066140101 HEALTHCARE CT 0 620364 GREENWICH HOSPITAL GREENWICH CLINICAL PATHOLOGY 5 PERRYRIDGE ROAD GREENWICH CT 06830 262455578 HEALTHCARE CT 0 106885 GREENWICH HOSPITAL GREENWICH ENDOSCOPY CENTER LLC 5 PERRYRIDGE ROAD GREENWICH CT 06830 260805473 HEALTHCARE CT 0 0 GREENWICH HEALTH CARE SERVICES INC 2015 WEST MAIN STREET ASSOC LLC 5 PERRYRIDGE ROAD GREENWICH CT 06830 731718563 RENTAL CT 679522 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