YALE NEW HAVEN HOSPITAL: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: YALE NEW HAVEN HOSPITAL (EIN 06-0646652)
Tax period: 2011-10-01 to 2012-09-30
Filed: 2013-08-14
IRS object ID: 201312269349300746
Schema version: 2011v1.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-08-14T08:30:05-05:00	Timestamp
Tax Period End Date	2012-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	346565596	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	111 MONUMENT CIRCLE SUITE 2600	AddressLine1
City	INDIANAPOLIS	City
State	IN	State
ZIP Code	46204	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	060646652	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	YALE-NEW HAVEN HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	YALE	NameControl
Phone	2036882069	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	20 YORK STREET	AddressLine1
City	NEW HAVEN	City
State	CT	State
ZIP Code	06504	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	JAMES STATEN	Name
Title	CFO	Title
Phone	2036882069	Phone
Date Signed	2013-08-13	DateSigned
Authorize Third Party	0	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	CHRISTOPHER BOGGS	Name
PTIN	P00032493	PTIN
Phone	3176817000	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	RICHARD D'AQUILA	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	20 YORK STREET	AddressLine1
City	NEW HAVEN	City
State	CT	State
ZIP Code	06504	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	2006990513	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.YNHH.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1826	YearFormation
State Legal Domicile	CT	StateLegalDomicile
Activity Or Mission Description	TO PROVIDE HEALTH CARE SERVICES	ActivityOrMissionDescription
Nbr Voting Members Governing Body	28	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	23	NbrIndependentVotingMembers
Total Nbr Employees	10068	TotalNbrEmployees
Total Nbr Volunteers	2175	TotalNbrVolunteers
Total Gross UBI	2981085	TotalGrossUBI
Net Unrelated Business Txbl Income	-391751	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	26725463	ContributionsGrantsPriorYear
Contributions Grants Current Year	24129960	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	1442057302	ProgramServiceRevenuePriorYear
Program Service Revenue CY	1713271001	ProgramServiceRevenueCY
Investment Income Prior Year	23930526	InvestmentIncomePriorYear
Investment Income Current Year	9245062	InvestmentIncomeCurrentYear
Other Revenue Prior Year	24878992	OtherRevenuePriorYear
Other Revenue Current Year	23866361	OtherRevenueCurrentYear
Total Revenue Prior Year	1517592283	TotalRevenuePriorYear
Total Revenue Current Year	1770512384	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	3895942	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	3106979	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	690276049	SalariesEtcPriorYear
Salaries Etc Current Year	757233153	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	5687271	TotalFundrsngExpCurrentYear
Other Expense Prior Year	747509160	OtherExpensePriorYear
Other Expenses Current Year	918825299	OtherExpensesCurrentYear
Total Expenses Prior Year	1441681151	TotalExpensesPriorYear
Total Expenses Current Year	1679165431	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	75911132	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	91346953	RevenuesLessExpensesCY
Total Assets BOY	1998140358	TotalAssetsBOY
Total Assets EOY	2479697137	TotalAssetsEOY
Total Liabilities BOY	1323528139	TotalLiabilitiesBOY
Total Liabilities EOY	1730286772	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	674612219	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	749410365	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	TO PROVIDE HEALTH CARE SERVICES	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	1406540204	Expense
Grants	3106979	Grants
Revenue	1737310757	Revenue
Description	SEE SCHEDULE O.	Description
Total Program Service Expense	1406540204	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	1	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	1	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	1	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	815	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	10068	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	1	ForeignFinancialAccount
Name Of Foreign Country	BD	NameOfForeignCountry
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	1	QuidProQuoContributions
Quid Pro Quo Disclosure	1	QuidProQuoDisclosure
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	28	NbrVotingGoverningBodyMembers
Number Independent Voting Members	23	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	VINCENT TAMMARO	NamePerson
Telephone Number	2036882069	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	20 YORK STREET	AddressLine1
City	NEW HAVEN	City
State	CT	State
ZIP Code	06504	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (49 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
BISHOP THEODORE L BROOKS
TRUSTEE	1.00	X	0	0	0
JOHN L LAHEY
TRUSTEE	1.00	X	0	0	0
JOSEPH R CRESPO
CHAIRMAN	1.00	X	0	0	0	X
JULIA M MCNAMARA
VICE CHAIR	1.00	X	0	0	0	X
THOMAS M HANSON
TRUSTEE	1.00	X	0	0	0
WILLIAM W GINSBERG
TRUSTEE	1.00	X	0	0	0
CARLTON L HIGHSMITH
TRUSTEE	1.00	X	0	0	0
SUSAN WHETSTONE
TRUSTEE	1.00	X	0	0	0
LINDA KOCH LORIMER
TRUSTEE	1.00	X	0	0	0
MARVIN K LENDER
TRUSTEE	1.00	X	0	0	0
MICHAEL H FLYNN
TRUSTEE	1.00	X	0	0	0
PEYTON R PATTERSON
TRUSTEE	1.00	X	0	0	0
RICHARD C LEVIN
TRUSTEE	1.00	X	0	0	0
ROBERT A HAVERSAT
TRUSTEE	1.00	X	0	0	0	X
ROBERT J ALPERN
TRUSTEE	1.00	X	0	0	0
HON BARRINGTON D PARKER JR
TRUSTEE	1.00	X	0	0	0
THOMAS B KETCHUM
TRUSTEE	1.00	X	0	0	0
THANASIS M MOLOKOTOS
TRUSTEE	1.00	X	0	0	0
PETER N HERBERT MD
SR. VP & CHIEF OF STAFF	24.00	X	962767	641846	35999	X
MARNA P BORGSTROM
CEO	20.00	X	1036989	1036989	626750	X
BRUCE ALEXANDER
TRUSTEE	1.00	X	0	0	0
MARY FARRELL
TRUSTEE	1.00	X	0	0	0
MILES LASATER
TRUSTEE	1.00	X	0	0	0
ANNEMARIE LINDSKOG
TRUSTEE	1.00	X	0	0	0
VINCENT CALARCO
TRUSTEE	1.00	X	0	0	0
LINDA MASCI
TRUSTEE	1.00	X	0	0	0
SISTER ROSEMARY MOYNIHAN
TRUSTEE	1.00	X	0	0	0
JAMES P TORGERSON
TRUSTEE	1.00	X	0	0	0
PAUL N PATTON
VP	40.00		448269	0	150667	X
WILLIAM J ASELTYNE
VP	10.00		477387	159130	216015	X
KEVIN F WALSH
VP	40.00		411412	0	146885	X
THOMAS D LEARY
VP	38.00		393632	20717	152784	X
JAMES M STATEN
SR VP	20.00		532683	532683	323316	X
PATRICK M LUDDY
VP	40.00		1296608	0	78673	X
VINCENT PETRINI
SR VP	40.00		482814	0	149559	X
KEVIN A MYATT
SR VP	24.00		443329	295553	236882	X
THOMAS J BALCEZAK
VP	40.00		474359	0	155638	X
STEPHEN M MERZ
VP	40.00		323913	0	118980	X
RICHARD D'AQUILA
PRESIDENT & COO	36.00		1142703	126967	364715	X
PATRICIA S FITZSIMONS
SR VP	40.00		707478	0	57513	X
DANIEL BARCHI
SR VP	8.00		92422	369690	260075	X
ABE LOPMAN
VP/EXEC DIRECTOR	40.00		573123	0	33634		X
SUHER BAKER
CHIEF DENTISTRY	40.00		402164	0	31973		X
MARJORIE G GUGLIN
VP	40.00		396160	0	38328		X
RICHARD S STAHL
VP	40.00		626831	0	25765		X
CYTHIA SPARER
SR VP OF OPS-CHILDREN'S HOSP.	40.00		504721	0	43240		X
MICHAEL APKON
FORMER VP	0.00		194964	0	0			X
ALVIN R JOHNSON
FORMER VP	0.00		17690	0	0			X
EDWARD J DOWLING
FORMER VP	0.00		0	0	0			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	11942418	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	3183575	TotalReportableCompFrmRltdOrgs
Total Other Compensation	3247391	TotalOtherCompensation
Number Individuals GT100 K	1095	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
NURSEFINDERSINC
524 EAST LAMAR BLVD SUITE 300	ARLINGTON	TX	76011	EMPLOYMENT SERVICES	10279106
UNITEX TEXTILE RENTAL
161 SOUTH MACQESTEN PARKWAY	MOUNT VERNON	NY	10550	LAUNDERING SERVICE	3890645
NATIONWIDE ANESTHESIA SERVICE
104 MALONE DRIVE	SANDERSVILLE	GA	31082	MEDICAL	3537278
MASON INC
23 AMITY RD	BETHANY	CT	06524	ADVERTISING	3013818
SHEPLEY BULFINCH RICHARDSON & ABBOT SHEP
40 BROAD STREET	BOSTON	MA	02109	ARCHITECTURE	2501341

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	132	NumberOfContractorsGT100K
Fundraising Events	755078	FundraisingEvents
Government Grants	8325962	GovernmentGrants
All Other Contributions	15048920	AllOtherContributions
Noncash Contributions	44111	NoncashContributions
Total Contributions	24129960	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
INPATIENT SERVICES	612990	1005583920	1005583920
OUTPATIENT SERVICES	621400	704705996	704705996
LABORATORY SERVICES	621500	2981085		2981085

Field	Value	IRS element (for citing)
Total Program Service Revenue	1713271001	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	3160789	TotalRevenueColumn
Exclusion	$3,160,789	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	242279421	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	236195148	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	6084273	Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	6084273	TotalRevenueColumn
Exclusion	$6,084,273	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	109586	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	755078	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	282981	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	-173395	TotalRevenueColumn
Exclusion	-$173,395	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
OTHER ANCILLIARY SERVI	900099	12081259	12081259
CAFETERIA/VENDING	900099	7927102	7927102
PARKING	900099	4031395	4031395

Field	Value	IRS element (for citing)
Total Other Revenue	24039756	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1770512384	TotalRevenueColumn
Related Or Exempt Function Income	1734329672	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	2981085	UnrelatedBusinessRevenue
Exclusion	$9,071,667	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	3076979	Total
Program Services	3076979	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	30000	Total
Program Services	30000	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	22884054	Total
Management And General	22884054	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	551077957	Total
Program Services	511011010	ProgramServices
Management And General	38951115	ManagementAndGeneral
Fundraising	1115832	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	37759543	Total
Program Services	34228270	ProgramServices
Management And General	3463127	ManagementAndGeneral
Fundraising	68146	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	101589886	Total
Program Services	96130824	ProgramServices
Management And General	5267612	ManagementAndGeneral
Fundraising	191450	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	43921713	Total
Program Services	39814153	ProgramServices
Management And General	4028292	ManagementAndGeneral
Fundraising	79268	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	2639318	Total
Management And General	2639318	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	357647	Total
Management And General	357647	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	431000	Total
Program Services	431000	ProgramServices

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	396774220	Total
Program Services	254238156	ProgramServices
Management And General	141747671	ManagementAndGeneral
Fundraising	788393	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	254786	Total
Program Services	948	ProgramServices
Management And General	253838	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	49921902	Total
Program Services	40843392	ProgramServices
Management And General	9005581	ManagementAndGeneral
Fundraising	72929	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	31288307	Total
Program Services	27386134	ProgramServices
Management And General	3902173	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	2249538	Total
Program Services	1526895	ProgramServices
Management And General	695855	ManagementAndGeneral
Fundraising	26788	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	17719698	Total
Program Services	17719698	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	73100633	Total
Program Services	45066540	ProgramServices
Management And General	28034093	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	15328235	Total
Program Services	13097092	ProgramServices
Management And General	2231143	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	275703133	275703133
BAD DEBT EXPENSE	32622083	32622083
PROPERTY TAXES	7198566	6028079	1170487
LINEN & LAUNDERING SERV	4325265	4319637	5628

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	8910968	Total
Program Services	3266181	ProgramServices
Management And General	2300322	ManagementAndGeneral
Fundraising	3344465	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	1679165431	Total
Program Services	1406540204	ProgramServices
Management And General	266937956	ManagementAndGeneral
Fundraising	5687271	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	598263	BOY
EOY	713340	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	170526313	BOY
EOY	179102229	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	227495768	BOY
EOY	266904803	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	16419332	BOY
EOY	28005656	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	39757836	BOY
EOY	70504713	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	1591925689	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	601857976	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	867734870	BOY
EOY	990067713	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	293103644	BOY
EOY	364400629	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	278719474	BOY
EOY	361549934	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	103784858	BOY
EOY	218448120	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	1998140358	BOY
EOY	2479697137	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	220390187	BOY
EOY	299924563	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	48320802	BOY
EOY	53625335	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	479206567	BOY
EOY	468167766	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	40000000	BOY
EOY	252000000	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	535610583	BOY
EOY	656569108	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	1323528139	BOY
EOY	1730286772	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	604710244	BOY
EOY	676221331	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	44378931	BOY
EOY	46444699	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	25523044	BOY
EOY	26744335	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	674612219	BOY
EOY	749410365	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1998140358	BOY
EOY	2479697137	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	91346953	ReconcilationRevenueExpenses
Reconcilation Other Changes	-16548807	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Both	X	FinancialStatementBoth
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	1	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	1	MailingsMembers
Mailings Members	$500	MailingsMembersAmount
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	1	DirectContactLegislators
Direct Contact Legislators	$292,599	DirectContactLegislatorsAmount
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$137,901	OtherActivitiesAmount
Total Lobbying Expenditures IIB	431000	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	EXPLANATION OF LOBBYING ACTIVITIES:	Identifier
Return Reference	PART II-B, LINE 1:	ReturnReference
Explanation	THE AMOUNT REPORTED IN "OTHER ACTIVITIES" REPRESENTS A PORTION OF PROFESSIONAL DUES ATTRIBUTABLE TO LOBBYING DURING 2012. THE HEALTH SYSTEM OFFICIALS HAD MEETINGS AND CONTACTS WITH STATE GOVERNMENT OFFICIALS,INCLUDING STATE LEGISLATURES 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: GREENWICH HOSPITAL EIN 06-0646659 $ 78,433 BRIDGEPORT HOSPITAL EIN 06-0646554 $ 95,474	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	62861000	BeginningOfYearBalance
Contributions	2000	Contributions
Investment Earnings Or Losses	7683000	InvestmentEarningsOrLosses
Other Expenditures	7124000	OtherExpenditures
End Of Year Balance	63422000	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	68085000	BeginningOfYearBalance
Contributions	2000	Contributions
Investment Earnings Or Losses	2814000	InvestmentEarningsOrLosses
Other Expenditures	8040000	OtherExpenditures
End Of Year Balance	62861000	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	70535000	BeginningOfYearBalance
Investment Earnings Or Losses	5501000	InvestmentEarningsOrLosses
Other Expenditures	7951000	OtherExpenditures
End Of Year Balance	68085000	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	79290000	BeginningOfYearBalance
Investment Earnings Or Losses	-575000	InvestmentEarningsOrLosses
Other Expenditures	8180000	OtherExpenditures
End Of Year Balance	70535000	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	1.00000	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	33163668	InvestmentCostOrOtherBasis
Book Value	33163668	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	301969019	InvestmentCostOrOtherBasis
Depreciation	68137976	Depreciation
Book Value	233831043	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	18971376	InvestmentCostOrOtherBasis
Depreciation	13309698	Depreciation
Book Value	5661678	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	1174190999	InvestmentCostOrOtherBasis
Depreciation	520383276	Depreciation
Book Value	653807723	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	63630627	InvestmentCostOrOtherBasis
Depreciation	27026	Depreciation
Book Value	63603601	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	990067713	TotalOfBookValueLandBuildings

Other Securities OtherSecurities

Field	Value	IRS element (for citing)
Description	YALE ENDOWMENT FUND	Description
Book Value	361549934	BookValue
Method Of Valuation	F	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Securities	361549934	TotalOfBookValueSecurities

Other Assets OtherAssets (4 entries)

DescriptionDescription	Book ValueBookValue
DEFERRED FINANCING COSTS	5181779
OTHER ASSETS	137297397
GOODWILL	35697754
MALPRACTICE RECEIVABLE	40271190

Field	Value	IRS element (for citing)
Total Book Value Other Assets	218448120	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
ACCRUED POST RETIREMENT BENEFITS	$283,253,294
OTHER LONG TERM LIABILITIES	$265,786,820
CAPITAL LEASES	$107,528,994

Field	Value	IRS element (for citing)
Total Of Amounts	656569108	TotalOfAmounts
Total Revenue	1770512384	TotalRevenue
Total Expenses	1679165431	TotalExpenses
Excess Or Deficit For Year	91346953	ExcessOrDeficitForYear
Net Unrealized GL On Investments	6394454	NetUnrealizedGLOnInvestments
Other	-$22,943,261	OtherAmount
Total Adjustments	-16548807	TotalAdjustments
Excess Or Deficit Per FS	74798146	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	1784860302	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	35322247	NetUnrealizedGainsInvestments
Other Revenues	14066449	OtherRevenues
Revenue Not Rptd F990	49388696	RevenueNotRptdF990
Revenue Subtotal	1735471606	RevenueSubtotal
Other Revenues Not Included	35040778	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	35040778	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	1770512384	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	1654251486	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	282981	OtherExpensesIncluded
Expenses Not Rptd F990	282981	ExpensesNotRptdF990
Expenses Subtotal	1653968505	ExpensesSubtotal
Other Expenses Not Included	25196925	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	25196925	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	1679165430	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (7 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	PART V, LINE 4:	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.
PART XI, LINE 8 - OTHER ADJUSTMENTS:		FUNDING OF CLINICAL PROGRAMS -12,803,853. BEQUESTS, GIFTS & GRANTS 11,846,729. NET ASSETS RELEASE FOR OPERATIONS 342,000. INVESTMENT INCOME RELEASED FROM RESTRICTIONS 749,904. AUXILIARY SERVICES 106,147. PENSION & POST RETIREMENT ADJUSTMENTS -54,174,000. CHANGE IN INTEREST IN PERPETUAL TRUST 1,221,000. TRANSFER TO YNHHSC -6,100,000. TRANSFER TO YNH NETWORK CORP 456,000. NET ASSETS RELEASE FOR OPERATIONS -2,961,523. RELEASE FOR WINCHESTER/MCFADDEN 6,754,894. CPI ADJUSTMENTS 564,623. SWAP MARKET VALUE ADJUSTMENTS -12,609,904. CHANGE IN MV OF INVESTMENTS 46,047,042. RELEASE FOR FREE CARE 888,527. INVESTMENT RESERVE 1,320,486. OTHER CHANGES IN NET ASSETS- CLINICAL PROGRAMS -4,591,333. TOTAL TO SCHEDULE D, PART XI, LINE 8: -22,943,261.
PART XII, LINE 2D - OTHER ADJUSTMENTS:		FUNDING OF CLINICAL PROGRAMS 9,000,000. NET ASSETS RELEASED FOR WINCHESTER/MCFADDEN/OTHER 7,643,422. FUNDRAISING EXPENSES RECLASS FROM INVESTMENT REVENUE 2,859,956. UNREALIZED GAIN/LOSS ON INVESTMENTS -5,613,756. SPECIAL EVENTS 176,827.
PART XII, LINE 4B - OTHER ADJUSTMENTS:		BEQUESTS, GIFTS & GRANTS 11,846,729. INVESTMENT INCOME RELEASE FROM RESTRICTIONS 749,904. AUXILIARY INCOME 340,794. EXPENSE RECLASS FROM INVESTMENT INCOME 22,103,351.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:		SPECIAL EVENTS 282,981.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:		AUXILIARY EXPENSES 233,618. EXPENSE RECLASS FROM INVESTMENT INCOME 22,103,351. FUNDRAISING EXPENSES RECLASS FROM INVESTMENT REVENUE 2,859,956.
		PART XIV - SUPPLEMENTAL FINANCIAL INFORMATION THE REPORTING ENTITY HAS DESIGNATED ITS INVESTMENTS AS TRADING IN ACCORDANCE WITH GAAP. ALL UNREALIZED GAINS AND LOSSES ARE RECOGNIZED THROUGH THE PROFIT AND LOSS STATEMENT. FOR 990 REPORTING, THIS ACTIVITY IS EXCLUDED PER THE INSTRUCTIONS PROVIDED BY THE INTERNAL REVENUE SERVICE FOR FY2012 RETURN.

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

Field	Value	IRS element (for citing)
Region	CENTRAL AMERICA AND THE CARIBBEAN	Region
Number Of Offices	0	NumberOfOffices
Number Of Employees	0	NumberOfEmployees
Type Of Activities Conducted	INSURANCE	TypeOfActivitiesConducted
Specific Services Provided	N/A	SpecificServicesProvided
Total Expenditures	4132169	TotalExpenditures

Field	Value	IRS element (for citing)
Subtotal Number Of Offices	0	SubtotalNumberOfOffices
Subtotal Number Of Employees	0	SubtotalNumberOfEmployees
Cont Number Of Offices	0	ContNumberOfOffices
Cont Number Of Employees	0	ContNumberOfEmployees
Total Number Of Offices	0	TotalNumberOfOffices
Total Number Of Employees	0	TotalNumberOfEmployees
Subtotal Amount Spent	4132169	SubtotalAmountSpent
Cont Amount Spent	0	ContAmountSpent
Total Amount Spent	4132169	TotalAmountSpent
Transfer To Foreign Corp	0	TransferToForeignCorp
Interest In Foreign Trust	0	InterestInForeignTrust
Own Foreign Corp	1	OwnForeignCorp
Passive Foreign Invest Co	0	PassiveForeignInvestCo
Foreign Partnership	0	ForeignPartnership
Boycott Countries	0	BoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV (2 entries)

IdentifierIdentifier	ExplanationExplanation
METHOD USED TO ACCCOUNT FOR EXPENDITURES:	SCHEDULE F, PART I, LINE 3: COST PART 1, LINE 3, COLUMN F: EXPENSES $ 47,840 INVESTMENTS $4,084,329
	COST PART 1, LINE 3, COLUMN F: EXPENSES $ 47,840 INVESTMENTS $4,084,329

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	CLOSER TO FREE BIKE RIDE	NameOfEvent1
Gross Receipts Event1	723051	GrossReceiptsEvent1
Charitable Contributions Event1	677211	CharitableContributionsEvent1
Gross Revenue Event1	45840	GrossRevenueEvent1
Other Direct Expenses Event1	249003	OtherDirectExpensesEvent1
Name Of Event2	GOLF/TENNIS	NameOfEvent2
Gross Receipts Event2	66852	GrossReceiptsEvent2
Charitable Contributions Event2	34017	CharitableContributionsEvent2
Gross Revenue Event2	32835	GrossRevenueEvent2
Other Direct Expenses Event2	24886	OtherDirectExpensesEvent2
Total Number Of Other Events	3	TotalNumberOfOtherEvents
Gross Receipts Other Events	74761	GrossReceiptsOtherEvents
Charitable Contrib Other Events	43850	CharitableContribOtherEvents
Gross Revenue Other Events	30911	GrossRevenueOtherEvents
Other Direct Expenses Other Events	9092	OtherDirectExpensesOtherEvents
Gross Receipts Total	864664	GrossReceiptsTotal
Charitable Contributions Total	755078	CharitableContributionsTotal
Gross Revenue Total Events	109586	GrossRevenueTotalEvents
Other Direct Expenses Total Events	282981	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	282981	DirectExpenseSummaryEvents
Net Income Summary	-173395	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare

Other Percentage OtherPercentage

Field	Value	IRS element (for citing)
Other	X	Other
Free Other Percentage	250.000000000000	FreeOtherPercentage

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Persons Served	29053	PersonsServed
Total Community Benefit Expense	46625000	TotalCommunityBenefitExpense
Direct Offsetting Revenue	16644000	DirectOffsettingRevenue
Net Community Benefit Expense	29981000	NetCommunityBenefitExpense
Percent Of Total Expense	0.01820	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Persons Served	193856	PersonsServed
Total Community Benefit Expense	377329000	TotalCommunityBenefitExpense
Direct Offsetting Revenue	238641000	DirectOffsettingRevenue
Net Community Benefit Expense	138688000	NetCommunityBenefitExpense
Percent Of Total Expense	0.08420	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	222909	PersonsServed
Total Community Benefit Expense	423954000	TotalCommunityBenefitExpense
Direct Offsetting Revenue	255285000	DirectOffsettingRevenue
Net Community Benefit Expense	168669000	NetCommunityBenefitExpense
Percent Of Total Expense	0.10240	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	24	NumberOfActivitiesOrPrograms
Persons Served	83378	PersonsServed
Total Community Benefit Expense	8670639	TotalCommunityBenefitExpense
Direct Offsetting Revenue	88783	DirectOffsettingRevenue
Net Community Benefit Expense	8581856	NetCommunityBenefitExpense
Percent Of Total Expense	0.00520	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	6	NumberOfActivitiesOrPrograms
Persons Served	2468	PersonsServed
Total Community Benefit Expense	74135248	TotalCommunityBenefitExpense
Direct Offsetting Revenue	14777618	DirectOffsettingRevenue
Net Community Benefit Expense	59357630	NetCommunityBenefitExpense
Percent Of Total Expense	0.03600	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	14932	PersonsServed
Total Community Benefit Expense	5325748	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2143788	DirectOffsettingRevenue
Net Community Benefit Expense	3181960	NetCommunityBenefitExpense
Percent Of Total Expense	0.00190	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	1183670	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	1183670	NetCommunityBenefitExpense
Percent Of Total Expense	0.00070	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	12	NumberOfActivitiesOrPrograms
Persons Served	2604	PersonsServed
Total Community Benefit Expense	1853252	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	1853252	NetCommunityBenefitExpense
Percent Of Total Expense	0.00110	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	45	NumberOfActivitiesOrPrograms
Persons Served	103382	PersonsServed
Total Community Benefit Expense	91168557	TotalCommunityBenefitExpense
Direct Offsetting Revenue	17010189	DirectOffsettingRevenue
Net Community Benefit Expense	74158368	NetCommunityBenefitExpense
Percent Of Total Expense	0.04490	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	45	NumberOfActivitiesOrPrograms
Persons Served	326291	PersonsServed
Total Community Benefit Expense	515122557	TotalCommunityBenefitExpense
Direct Offsetting Revenue	272295189	DirectOffsettingRevenue
Net Community Benefit Expense	242827368	NetCommunityBenefitExpense
Percent Of Total Expense	0.14730	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	263722	TotalCommunityBuildingExpense
Net Community Building Expense	263722	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	528394	TotalCommunityBuildingExpense
Net Community Building Expense	528394	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Persons Served	17480	PersonsServed
Total Community Building Expense	101523	TotalCommunityBuildingExpense
Net Community Building Expense	101523	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Total Community Building Expense	0	TotalCommunityBuildingExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Total Community Building Expense	0	TotalCommunityBuildingExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	14	PersonsServed
Total Community Building Expense	36763	TotalCommunityBuildingExpense
Net Community Building Expense	36763	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	0	TotalCommunityBuildingExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Persons Served	42	PersonsServed
Total Community Building Expense	357518	TotalCommunityBuildingExpense
Net Community Building Expense	357518	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	1816329	TotalCommunityBuildingExpense
Net Community Building Expense	1816329	NetCommunityBuildingExpense
Percent Of Total Expense	0.00110	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	11	NumberOfActivitiesOrPrograms
Persons Served	17536	PersonsServed
Total Community Building Expense	3104249	TotalCommunityBuildingExpense
Net Community Building Expense	3104249	NetCommunityBuildingExpense
Percent Of Total Expense	0.00190	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$23,015,000	BadDebtExpenseAmount
Amount Reimbursed By Medicare	462572152	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	529159526	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-66587374	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost Accounting System	X	CostAccountingSystem

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	1 NONE	BusinessNameLine1

Field	Value	IRS element (for citing)
Description Ent Primary Activity	NONE	DescriptionEntPrimaryActivity

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	YALE-NEW HAVEN HOSPITAL	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	20 YORK STREET	AddressLine1
City	NEW HAVEN	City
State	CT	State
ZIP Code	06504	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Childrens Hospital	X	ChildrensHospital
Teaching Hospital	X	TeachingHospital
Research Facility	X	ResearchFacility
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	YALE-NEW HAVEN HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	250.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	400.000000000000	FPGDiscountPercent
Explains Basis	0	ExplainsBasis
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Actions On Nonpayment	1	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	1	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	52	NumberOfOtherFacilities

Other Facilities OtherFacilities (52 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
TEMPLE MEDICAL CENTER CARDIOLOGY ASSOCIA
40 TEMPLE STREET	NEW HAVEN	CT	06510	VARIOUS
TEMPLE MEDICAL CENTER
60 TEMPLE STREET	NEW HAVEN	CT	06484	VARIOUS
YNHH PSYCHIATRIC HOSPITAL PSYCHIATRY
425 GEORGE STREET	NEW HAVEN	CT	06511	GENERAL MEDICAL & SURGICAL
YNHH ADOLESCENT PSYCHIATRIC HOSPITAL OUT
184 LIBERTY STREET	NEW HAVEN	CT	06519	PSYCHIATRIC HOSPITAL
TEMPLE RADIOLOGY
2560 DIXWELL AVENUE	HAMDEN	CT	06518	CANCER/LAB/DENTAL/EKG/GI/EDUCATION
YNHH BRANFORD HIGH SCHOOL BASED HEALTH
185 EAST MAIN STREET	BRANFORD	CT	06405	SCHOOL BASED HEALTH CENTER
YNHH WALSH MIDDLE SCHOOL BASED HEALTH
185 DAMASCUS ROAD	BRANFORD	CT	06405	SCHOOL BASED HEALTH CENTER
YNHH HILL REGIONAL CAREER HIGH SCHOOL
140 LEGION AVENUE	NEW HAVEN	CT	06519	SCHOOL BASED HEALTH CENTER
YNHH MARY T MURPH ELEMENTARY SCHOOL B
14 BRUSHY PLAIN ROAD	BRANFORD	CT	06405	SCHOOL BASED HEALTH CENTER
YNHH HILLHOUSE SCHOOL BASED HEALTH CEN
480 SHERMAN PARKWAY	NEW HAVEN	CT	06511	SCHOOL BASED HEALTH CENTER
YNHH MAURA-SHERIDAN ACADEMY SCHOOL BAS
191 FOUNTAIN STREET	NEW HAVEN	CT	06515	SCHOOL BASED HEALTH CENTER
YNHH AT FOXON
317 FOXON ROAD	EAST HAVEN	CT	06513	DI/OCC HEALTH/URGENT CARE/LAB/EKG
ASC AT GREENWICH HOSPITAL
5 PERRYRIDGE ROAD	GREENWICH	CT	06830	SURGERY CENTER/PRIMARY CARE
YMG MATERNAL FETAL MEDICINE
150 SARGENT DR	NEW HAVEN	CT	06468	CANCER/PHARM/WOMENS HEALTH/LAB/IVF
PEDIATRIC SPECIALTY CENTER
1 LONG WHARF	NEW HAVEN	CT	06511	VARIOUS
YMG CARDIOLOGY
11 HARRISON AVENUE	BRANFORD	CT	06405	CARDIAC/LAB/NUC. MED.
PEDIATRIC TREATMENT CENTER IN GUILFORD
405 CHURCH STREET	GUILFORD	CT	06437	CANCER/PEDIATRICS
TEMPLE RADIOLOGYEAST HAVEN BLOOD DRAW S
556 MAIN STREET	EAST HAVEN	CT	06512	DI/LAB
YNHH TEMPLE RADIOLOGY
100 BROADWAY NORTH	NORTH HAVEN	CT	06825	VARIOUS
YNHH TEMPLE RADIOLOGY
500 ELM STREET	WEST HAVEN	CT	06516	VARIOUS
SHORELINE MEDICAL CENTER OUTPATIENT SERV
1445 BOSTON POST ROAD	GUILFORD	CT	06437	VARIOUS
PEDIATRICS
2 IVY BROOK	SHELTON	CT	06484	PEDIATRICS
SMILOW CANCER CARE CENTER
1450 CHAPEL STREET	NEW HAVEN	CT	06511	VARIOUS
YNHH BLOOD DRAW STATION
170 BOSTON POST ROAD	MADISON	CT	06443	LAB
SCHOOL BASED CLINIC BARNARD ENVIRONMENT
170 DERBY AVENUE	NEW HAVEN	CT	06511	SCHOOL BASED HEALTH CENTER
YNHH TAKE HEART CARDIAC REHAB
175 SHERMAN AVENUE	NEW HAVEN	CT	06511	VARIOUS
YNHH BRANFORD ADOLESCENT DAY HOSPITAL
21 BUSINESS PARK DRIVE	BRANFORD	CT	06405	VARIOUS
SCHOOL BASED CLINIC TROUP MAGNET ACADEM
295 EDGEWOOD AVENUE	NEW HAVEN	CT	06511	SCHOOL BASED HEALTH CENTER
YNHH CHILD AND ADOLESCENT DAY HOSPITAL
646 GEORGE STREET	NEW HAVEN	CT	06511	VARIOUS
WEST HAVEN EMERGENCY ASSISTANCE TASKFORC
675 WASHINGTON STREET	WEST HAVEN	CT	06516	VARIOUS
YNHH CARDIAC REHABILITATION CENTER - EAS
84 NORTH MAIN STREET	BRANFORD	CT	06405	VARIOUS
ORCHARD MEDICAL CENTER ORCHARD SURGICAL
330 ORCHARD STREET	NEW HAVEN	CT	06511	VARIOUS
BLOOD DRAW AND VARIOUS
6 DEVINE ST	NORTH HAVEN	CT	06473	VARIOUS
PRINCE PROFESSIONAL BUILDING-PHOTOTHERAP
46 PRINCE STREET	NEW HAVEN	CT	06519	VARIOUS
PEDIATRIC SPECIALTY CENTER AT NORWALK
747 BELDEN AVENUE	NORWALK	CT	06850	PEDIATRICS
YNHH ADULT OUTPATIENT PSYCHIATRIC SERVIC
1100 SHERMAN AVENUE	HAMDEN	CT	06518	PSYCHIATRIC SERVICES
THE CENTER FOR WOUND HEALING & HYPERBARI
141 MILL HILL AVE	BRIDGEPORT	CT	06610	VARIOUS
YNHH BLOOD DRAW STATION
252 E MAIN STREET	CLINTON	CT	06413	LAB
YNHH DIALYSIS - NORTH HAVEN
266 STATE STREET	NORTH HAVEN	CT	06473	DI
YNHH DIALYSIS - BRANFORD
34 EAST INDUSTRIAL ROAD	BRANFORD	CT	06405	DI
YNHH DIALYSIS - MERIDEN
377 RESEARCH PARKWAY	MERIDEN	CT	06450	DI
YNHH DIALYSIS - MILFORD
50 COMMERCE PARK DR	MILFORD	CT	06460	DI
YALE PHYSICIANS BUILDING
800 HOWARD AVENUE	NEW HAVEN	CT	06611	VARIOUS
SRC ELDERCARE CLINIC
114 BRISTOL STREET	NEW HAVEN	CT	06511	VARIOUS
SRC-ADULT OUT PSYCH SERVICES
1294 CHAPEL STREET	NEW HAVEN	CT	06511	VARIOUS
SRC ELDERCARE CLINIC
135 SYLVAN AVENUE	NEW HAVEN	CT	06511	VARIOUS
ST RAPHAEL CAMPUS - AMITY PATIENT SERVI
1453 WHALLEY AVENUE	NEW HAVEN	CT	06721	VARIOUS
SRC ELDERCARE CLINIC
18 TOWER LANE	NEW HAVEN	CT	06511	VARIOUS
SRC ELDERCARE CLINIC
200 OAK STREET	NEW HAVEN	CT	06510	VARIOUS
SRC ELDERCARE CLINIC
26 ATWATER STREET	NEW HAVEN	CT	06511	VARIOUS
SRC SMILES 2 GO DENTAL VAN
60 COMMERCE STREET	EAST HAVEN	CT	06512	DENTAL
ELDERCARE CLINIC SRC-OCCUPATIONAL HEALTH
2080 WHITNEY AVENUE	HAMDEN	CT	06518	VARIOUS

Form990 Schedule H Part VI Form990ScheduleHPartVI (18 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
PART I, LINE 7: THE HOSPITAL USES A COST ACCOUNTING SYSTEM, TSI, TO CALCULATE THE AMOUNTS PRESENTED IN PART I, LINE 7. THE COST ACCOUNTING SYSTEM ADDRESSES ALL PATIENT SEGMENTS.
PART I, L7 COL(F): BAD DEBT EXPENSES OF $32,622,083 WERE EXCLUDED FROM TOTAL EXPENSES BEFORE CALCULATING % OF TOTAL EXPENSES IN PART I AND II, COLUMN (F).
PART II: YALE-NEW HAVEN HOSPITAL (YNHH) IS ONE OF THE LARGEST EMPLOYERS IN THE REGION AND THE SECOND LARGEST IN THE CITY OF NEW HAVEN WITH 11,512 EMPLOYEES IN 2012. THE HOSPITAL PROVIDES IN-KIND AND FINANCIAL SUPPORT FOR SEVERAL ECONOMIC INITIATIVES THROUGHOUT THE CITY OF NEW HAVEN. MEMBERS OF THE HOSPITAL'S LEADERSHIP AND MANAGEMENT STAFF ALSO SUPPORT ECONOMIC DEVELOPMENT BY SERVING ON THE BOARDS OF THE GREATER NEW HAVEN CHAMBER OF COMMERCE, GUILFORD CHAMBER OF COMMERCE, ECONOMIC DEVELOPMENT CORPORATION OF NEW HAVEN, REGIONAL GROWTH PARTNERSHIP, REGIONAL LEADERSHIP COUNCIL, ARTS COUNCIL OF GREATER NEW HAVEN, INTERNATIONAL FESTIVAL OF ARTS AND IDEAS, MARKET NEW HAVEN, TWEED NEW HAVEN, AND THE TENNIS FOUNDATION OF CONNECTICUT. THROUGH THESE ORGANIZATIONS, YNHH ADVOCATES FOR AND FACILITATES INCREASED ECONOMIC DEVELOPMENT FOR THE AREA. YALE-NEW HAVEN HOSPITAL, ALONG WITH MANY OTHER HOSPITALS ACROSS THE COUNTRY, UTILIZES THE COMMUNITY BENEFITS INVENTORY FOR SOCIAL ACCOUNTABILITY (CBISA) DATABASE DEVELOPED BY LYON SOFTWARE TO CATALOG ITS COMMUNITY BENEFIT AND COMMUNITY BUILDING ACTIVITIES AND THE GUIDELINES DEVELOPED BY THE CATHOLIC HOSPITAL ASSOCIATION (CHA) IN ORDER TO CATALOG THESE BENEFITS. THESE TWO ORGANIZATIONS HAVE WORKED TOGETHER FOR OVER 20 YEARS TO PROVIDE SUPPORT TO NOT-FOR-PROFIT HOSPITALS TO DEVELOP AND SUSTAIN EFFECTIVE COMMUNITY BENEFIT PROGRAMS.THE MOST RECENT VERSION OF THE CHA GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFIT DEFINES COMMUNITY BUILDING ACTIVITIES AS PROGRAMS THAT ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS, SUCH AS POVERTY, HOMELESSNESS AND ENVIRONMENTAL PROBLEMS. THESE ACTIVITIES ARE CATEGORIZED INTO EIGHT DISTINCT AREAS INCLUDING PHYSICAL IMPROVEMENT AND HOUSING, ECONOMIC DEVELOPMENT, COMMUNITY SUPPORT, ENVIRONMENTAL IMPROVEMENTS, LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS, COALITION BUILDING, ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENTS, AND WORKFORCE DEVELOPMENT. WHILE YNHH'S VISION IS TO PROVIDE HIGH-QUALITY HEALTHCARE AND SERVICES, THE HOSPITAL IS INCREASINGLY AWARE OF HOW SOCIAL DETERMINANTS IMPACT THE HEALTH OF INDIVIDUALS AND COMMUNITIES. A PERSON'S HEALTH AND CHANCES OF BECOMING SICK AND DYING EARLY ARE GREATLY INFLUENCED BY POWERFUL SOCIAL FACTORS SUCH AS EDUCATION, INCOME, NUTRITION, HOUSING AND NEIGHBORHOODS. DURING FISCAL YEAR 2012, YALE-NEW HAVEN HOSPITAL PROVIDED $3.1 MILLION IN FINANCIAL AND IN-KIND DONATIONS TO SUPPORT AFFORDABLE HOUSING PROGRAMS, JOB TRAINING, ECONOMIC DEVELOPMENT AND OTHER ESSENTIAL SERVICES. THE HOSPITAL CONSIDERS THESE INVESTMENTS PART OF ITS OVERALL COMMITMENT OF BUILDING STRONGER NEIGHBORHOODS. EXAMPLES BELOW FOCUS ON THE AREAS OF REVITALIZING OUR NEIGHBORHOODS, CREATING EDUCATIONAL OPPORTUNITIES, AND WORKFORCE DEVELOPMENT INITIATIVES.REVITALIZING OUR NEIGHBORHOODS-OVER THE PAST SEVERAL YEARS, YNHH HAS MADE SIGNIFICANT INVESTMENTS TOWARDS THE REVITALIZATION OF THE CITY OF NEW HAVEN, ADDRESSING THE AREAS OF ADEQUATE, AFFORDABLE AND SAFE HOUSING. ACCORDING TO THE LATEST CENSUS DATA, 31.1 PERCENT OF HOMES IN NEW HAVEN WERE OWNER-OCCUPIED COMPARED TO 68.9 PERCENT IN THE STATE OF CONNECTICUT. AS A RESULT, THE NEW HAVEN POPULATION IS INCREASINGLY MOBILE, WITH ONLY 77.3 PERCENT OF RESPONDENTS INDICATING THAT THEY HAD RESIDED IN THE SAME HOUSE A YEAR AGO COMPARED TO 88 PERCENT FOR THE STATE.IN 2006, YALE-NEW HAVEN HOSPITAL AND ITS MEDICAL STAFF BEGAN A MULTI-YEAR PARTNERSHIP WITH HABITAT FOR HUMANITY OF GREATER NEW HAVEN TO BUILD HOMES IN NEW HAVEN'S HILL NEIGHBORHOOD FOR LOW-INCOME FAMILIES. TO DATE, THIS COLLABORATION HAS JOINTLY BUILT FIVE HOMES WITH ONE MORE SCHEDULED FOR COMPLETION IN 2013. OVER 300 EMPLOYEE VOLUNTEERS HAVE COLLECTIVELY INVESTED MORE THAN 4,000 HOURS IN THIS PROJECT, WHILE YNHH SPONSORED THE BUILDING MATERIALS FOR EACH HOME. IN 2010, HABITAT PRESENTED THE HOSPITAL AND ITS MEDICAL STAFF WITH THE MASTER BUILDER AWARD, ITS HIGHEST RECOGNITION. IN ADDITION, DURING FY 2012, YNHH COMPLETED SIDEWALK AND OTHER LANDSCAPING IMPROVEMENT ALONG HOWARD AVENUE, DAVENPORT AVENUE AND VERNON STREET, ALL LOCATED IN THE HILL NEIGHBORHOOD.THE HOME OWNERSHIP MADE EASIER (H.O.M.E.) PROGRAM AT YNHH PROVIDES HOSPITAL EMPLOYEES WITH UP TO $10,000 IN FORGIVABLE LOANS TO HELP PURCHASE THEIR FIRST HOME IN THE CITY OF NEW HAVEN. THIS YEAR, THE PROGRAM HELPED 13 INDIVIDUALS. SINCE THE PROGRAM'S INCEPTION IN 2006, A TOTAL OF 88 HOMES HAVE BEEN PURCHASED BY YNHH EMPLOYEES. NEARLY $700,000 IN FINANCIAL ASSISTANCE HAS BEEN PROVIDED TO EMPLOYEES IN THE FORM OF DOWN PAYMENTS AND MORTGAGE PAYMENTS. AMONG THE HOMES PURCHASED THROUGH THE H.O.M.E. PROGRAM WAS ONE HABITAT FOR HUMANITY PROPERTY. IN DECEMBER 2011, THE H.O.M.E. PROGRAM WAS APPROVED BY THE U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT FOR HAVING MET ITS GUIDELINES AS A NON-PROFIT SECONDARY HOME AND FINANCING PROVIDER. IN ITS 2009 COMMUNITY HEALTH SURVEY, CARE (COMMUNITY ALLIANCE FOR RESEARCH AND ENGAGEMENT) POLLED 213 HILL NORTH RESIDENTS ABOUT THEIR HABITS RELATED TO DIET, EXERCISE AND TOBACCO USE. MORE THAN ONE QUARTER (27%) REPORTED "FOOD INSECURITY" - MEANING THAT THEY OR THEIR FAMILY DID NOT HAVE ENOUGH FOOD, OR MONEY TO BUY FOOD, IN THE PAST 30 DAYS. THAT FIGURE WAS MUCH HIGHER THAN IN ALL SIX NEW HAVEN NEIGHBORHOODS SURVEYED AND IT WAS MORE THAN TWICE THE NATIONAL AVERAGE. WHAT'S MORE, HILL RESIDENTS SAID THEY ATE ABOUT THREE SERVINGS OF FRUITS AND VEGETABLES PER DAY, WHICH WAS LESS THAN THE AVERAGE FOUND IN THE OTHER NEIGHBORHOODS (FOUR PER DAY) AND THE FEDERAL GOVERNMENT'S RECOMMENDATION OF FIVE A DAY. OVER THE PAST THREE YEARS, YNHH HAS BEEN A PROUD SPONSOR OF THE CITY SEED, INC. FARMER'S MARKET IN THE HILL NEIGHBORHOOD. THE FARMER'S MARKET, WHICH IS HELD IN THE CONNECTICUT MENTAL HEALTH CENTER PARKING LOT ADJACENT TO THE YNHH CAMPUS EACH YEAR FROM JUNE THROUGH OCTOBER, HAD APPROXIMATELY 2,000 VISITS IN 2012. INCREASING ACCESS TO SAFE AFFORDABLE PLACES FOR RECREATIONAL ACTIVITIES IS ALSO AN IMPORTANT ASPECT OF REVITALIZING OUR NEIGHBORHOODS. IN 2012, YALE-NEW HAVEN HOSPITAL PROVIDED SPONSORSHIP TO THE ELM CITY PARKS CONSERVANCY FOR THE DEVELOPMENT OF THE PROPOSED SHORELINE GREENWAY TRAIL. THE SHORELINE GREENWAY TRAIL - LIGHTHOUSE POINT CONNECTION IS A PLANNED HALF-MILE, MULTI-USE TRAIL INTENDED FOR NON-MOTORIZED RECREATION AND TRANSIT ALONG MORRIS CREEK IN NEW HAVEN. THE GOAL OF TRAIL CONSTRUCTION IS TO PROVIDE A CONNECTION BETWEEN NEW HAVEN'S LIGHTHOUSE POINT PARK AND THE SHORELINE GREENWAY TRAIL.YNHH EMPLOYEES ANNUALLY PARTICIPATE IN THE GREATER NEW HAVEN UNITED WAY'S DAYS OF CARING, WHICH IS NOW A WEEK-LONG SERIES OF VOLUNTEER OPPORTUNITIES IN THE NEW HAVEN COMMUNITY. IN 2012, THESE OPPORTUNITIES, WHICH BENEFIT AREA NOT-FOR-PROFIT AGENCIES, INCLUDED LANDSCAPING AND PAINTING PROJECTS, AS WELL AS FOOD AND DIAPER DRIVES. THROUGH THE HOSPITAL'S ANNUAL SCHOOL READINESS DRIVE, EMPLOYEES DONATED NEARLY 15,000 SCHOOL ITEMS TO NEW HAVEN'S TRUMAN STREET SCHOOL AND HILL REGIONAL CAREER HIGH SCHOOL. APPROXIMATELY 1,245 STUDENTS ATTEND THE TWO SCHOOLS. THE 2011-2012 HOSPITAL-SPONSORED, EMPLOYEE UNITED WAY CAMPAIGN RAISED OVER $186,000 TO SUPPORT THE NONPROFITS SERVED BY THE GREATER NEW HAVEN UNITED WAY. IN ADDITION TO RUNNING THE INTERNAL CAMPAIGN, MEMBERS OF HOSPITAL LEADERSHIP SERVE ON GREATER NEW HAVEN UNITED WAY BOARDS AND COMMITTEES.REPRESENTATIVES FROM THE HOSPITAL REGULARLY SERVE ON FOUR OF THE CITY OF NEW HAVEN POLICE DEPARTMENT COMMUNITY SUBSTATION MANAGEMENT TEAMS WHILE ATTENDING OTHERS ON AN AD HOC BASIS. THE DECENTRALIZATION OF POLICE SERVICES AND THE ESTABLISHMENT OF SUBSTATION MANAGEMENT TEAMS IN EACH OF NEW HAVEN'S 10 COMMUNITY POLICING DISTRICTS HAS BEEN ONE OF THE MOST IMPORTANT COMMUNITY POLICING INITIATIVES IN NEW HAVEN. COMMUNITY SUBSTATION MANAGEMENT TEAMS HELP IDENTIFY AND DEVELOP STRATEGIES TO RESOLVE NEIGHBORHOOD PROBLEMS, UTILIZING LOCAL RESOURCES. THE MANAGEMENT TEAMS ARE COMPRISED OF THE POLICE SUPERVISOR, BEAT OFFICERS, BLOCK WATCH MEMBERS, ALDERPERSONS, REPRESENTATIVES OF NEIGHBORHOOD BASED AGENCIES, AND ANY CITIZEN WHO TAKES AN ACTIVE INTEREST IN NEIGHBORHOOD IMPROVEMENT.CREATING EDUCATIONAL OPPORTUNITIES-SINCE HIGHER EDUCATIONAL ATTAINMENT IS ASSOCIATED WITH BETTER HEALTH STATUS AND LONGER LIFE, DISPARITIES ACROSS SOCIOECONOMIC STATUS GROUPS IN THE U.S. HAVE RECEIVED INCREASING ATTENTION IN RECENT YEARS FROM RESEARCHERS, THE HEALTH POLICY COMMUNITY, AND THE GENERAL PUBLIC. FOR EXAMPLE, ADULTS AGED 25-50 YEARS WHO HAVE A COLLEGE DEGREE WILL ON AVERAGE LIVE FIVE YEARS LONGER THAN THOSE WITH LESS THAN A HIGH SCHOOL EDUCATION. ACCORDING TO RECENT CENSUS STATISTICS, ONLY 80.5 PERCENT OF INDIVIDUALS IN THE CITY OF NEW HAVEN HAD ATTAINED THE EQUIVALENT OF A HIGH SCHOOL EDUCATION OR GREATER COMPARED TO NEARLY 90 PERCENT STATEWIDE. ADDITIONALLY, NEW HAVEN YOUTH HAVE LOWER HIGH SCHOOL COMPLETION RATES AND SCORE WELL BELOW THEIR STATE-WIDE PEERS ON THE CONNECTICUT MASTERY TEST.
PART II: CONTINUES-IN 2011, REFLECTING ITS STRONG COMMITMENT TO THE NEW HAVEN COMMUNITY AND SUPPORT OF EDUCATION, YALE-NEW HAVEN HOSPITAL COMMITTED TO A MULTI-YEAR CONTRIBUTION TOTALING $2.0 MILLION OVER FOUR YEARS TO SUPPORT NEW HAVEN PROMISE. NEW HAVEN PROMISE IS A COLLEGE SCHOLARSHIP AND SUPPORT PROGRAM FOR THE CITY'S PUBLIC SCHOOL STUDENTS. YALE-NEW HAVEN'S CONTRIBUTION FUNDS THE INITIATIVES PARTNERSHIP COMPONENT. ITS GOAL IS TO MAKE HIGHER EDUCATION AN EXPECTATION AND REALITY FOR MORE NEW HAVEN STUDENTS. THE PROGRAM IS ADMINISTERED BY THE COMMUNITY FOUNDATION OF GREATER NEW HAVEN. THOUGH THE IMPACT OF THE NEW HAVEN PROMISE PROGRAM WILL NOT BE MEASURABLE FOR SEVERAL YEARS, MORE THAN 230 SCHOLARSHIPS WERE PROVIDED FOR TUITION OVER THE FIRST TWO YEARS OF THE PROGRAM.FOR A FOURTH YEAR, YALE-NEW HAVEN PROVIDED SCHOLARSHIP OPPORTUNITIES FOR STUDENTS ATTENDING ACHIEVEMENT FIRST'S NEW HAVEN SCHOOLS. ACHIEVEMENT FIRST OPERATES A NETWORK OF 17 PUBLIC CHARTER SCHOOLS IN NEW HAVEN, BRIDGEPORT AND HARTFORD, CT, AND BROOKLYN, NY. APPROXIMATELY 1,400 STUDENTS ATTEND THE ACHIEVEMENT FIRST NEW HAVEN SCHOOLS. THE 12-YEAR HISTORY OF ACHIEVEMENT FIRST PROVES THAT THE ACHIEVEMENT GAP CAN BE CLOSED. OVER THE PAST SEVERAL YEARS, THE HOSPITAL HAS PROVIDED IN-KIND STAFF SUPPORT FOR THE CITY OF NEW HAVEN'S YOUTH @ WORK PROGRAM. YOUTH @ WORK IS A PUBLIC-PRIVATE PARTNERSHIP OF THE CITY OF NEW HAVEN, THE NEW HAVEN BOARD OF EDUCATION AND WORKFORCE ALLIANCE. THE PROGRAM PROVIDES SUMMER AND YEAR-ROUND OPPORTUNITIES, WORK PLACE EXPOSURE AND WORK READINESS ACTIVITIES TO YOUTH WHO MAY BE CHALLENGED BY SOCIO-ECONOMIC OR ACADEMIC BARRIERS TO WORKPLACE SUCCESS. THE PROGRAM TARGETS IN-SCHOOL YOUTH, AGES 14-21, WHO ARE NEW HAVEN RESIDENTS OR ATTEND NEW HAVEN PUBLIC SCHOOLS. THE YOUTH @ WORK INITIATIVE, AIMED AT PROVIDING YOUNG PEOPLE WORKPLACE EXPOSURE, MENTORING AND SCHOOL AND COMMUNITY-BASED ENRICHMENT ACTIVITIES. EARLY WORK EXPERIENCES SERVE AS THE FOUNDATION FOR FUTURE SUCCESS IN THE WORKPLACE AND HAVE PROVEN EFFECTIVE IN HELPING YOUTH ESTABLISH CONNECTIONS WITH EMPLOYERS, ENCOURAGE RESPONSIBILITY, FOSTER INDEPENDENCE, DEVELOP TECHNICAL SKILLS, DEVELOP COMMUNICATION AND INTERPERSONAL SKILLS, CLARIFY WORK VALUES AND FUTURE WORK PREFERENCES AND ALLOW FOR INTERACTION WITH CARING ADULTS.THE YNHH SCHOOL-TO-CAREER PROGRAM IS A MULTIFACETED INTERNSHIP AND MENTORING PROGRAM FOR NEW HAVEN PUBLIC HIGH SCHOOL STUDENTS. COMPONENTS INCLUDE AN INTERNSHIP PROGRAM (CLINICAL CAREER PATHWAYS, BUSINESS AND NON-CLINICAL TECHNICAL AND GENERAL), DEVELOPING TOMORROW'S PROFESSIONALS PROGRAM, YNHH AND ACES YOUTH EMPLOYABILITY PROGRAM. NEARLY 35 STUDENTS PARTICIPATED IN THE SCHOOL-TO-CAREER PROGRAM IN 2012. IN ADDITION TO THE SCHOOL-TO CAREER PROGRAM, THE HOSPITAL REGULARLY HOSTS SEVERAL SCHOOL TOURS OF THE LABORATORY, DIETARY, PHARMACY, AND OTHER AREAS PROVIDING INSIGHT INTO VARIOUS HEALTH CARE CAREER OPPORTUNITIES FOR STUDENTS. THE HOSPITAL HAS PARTNERSHIPS WITH THREE LOCAL SCHOOLS. THE HILL REGIONAL CAREER HIGH SCHOOL PARTNERSHIP PROVIDES STUDENTS THE OPPORTUNITY TO EXPLORE MEDICAL AND OTHER HOSPITAL CAREERS, AS WELL AS OBTAIN A CERTIFICATION AS A NURSE ASSISTANT. THE JOHN C. DANIELS SCHOOL PARTNERSHIP INCLUDES AN ANNUAL "MOCK TRIAL" THROUGH THE HOSPITAL'S LEGAL & RISK MANAGEMENT DEPARTMENT, WHICH PROVIDES STUDENTS AN OPPORTUNITY TO PARTICIPATE IN AN ACTUAL TRIAL AT THE FEDERAL COURTHOUSE COMPLETE WITH A SUPERIOR COURT JUDGE. THE WASHINGTON ELEMENTARY SCHOOL PARTNERSHIP PROVIDES STUDENTS WITH ACADEMIC EXPERIENCES THAT DEMONSTRATE THE RELEVANCE OF CLASSROOM CURRICULUM TO SKILLS NEEDED IN THE WORKPLACE AND EXPOSE THEM TO CAREERS IN HEALTH CARE. IN ADDITION, HOSPITAL REPRESENTATIVES ALSO SERVE AS YOUTH MENTORS THROUGH THE GUILFORD PUBLIC SCHOOL'S YOUTH MENTORING PROGRAM.IN FISCAL YEAR 2012, YALE-NEW HAVEN HONORED THE LEGACY OF REVEREND MARTIN LUTHER KING, JR. THROUGH AWARDS AND SCHOLARSHIPS TO ENCOURAGE THE NEXT GENERATION OF COMMUNITY LEADERS. THIS INCLUDED A $1,000 COMMUNITY SERVICE AWARD TO THREE HIGH SCHOOL STUDENTS IN NEW HAVEN WHO SET AN EXAMPLE IN THE COMMUNITY AND GRANTS TOTALING $3,000 TO NEW HAVEN K - 8 SCHOOLS IN SUPPORT OF MARTIN LUTHER KING, JR. DAY ACTIVITIES THAT CARRY ON THE FALLEN CIVIL RIGHTS LEADER'S WORK AND PHILOSOPHY. STUDENT NUTRITION IS ANOTHER AREA OF FOCUS FOR YNHH, SINCE MISSING OR SKIPPING MEALS UNDERMINES CHILDREN'S ACADEMIC PERFORMANCE. IN 2012, YALE-NEW HAVEN PROVIDED A GRANT TO SUPPORT THE FOOD AND NUTRITION PROGRAM AT ST. MARTIN DE PORRES ACADEMY. AS PART OF ITS PARTNERSHIP WITH THE WASHINGTON ELEMENTARY SCHOOL, OVER THE PAST YEAR, THE HOSPITAL PROVIDED IN-KIND RESOURCES TO SUPPORT EDUCATION INITIATIVES RELATED TO FOOD AND NUTRITION. ADDITIONALLY, THE HOSPITAL'S OUTPATIENT NUTRITION COORDINATOR CONTINUED TO SERVE IN AN ADVISORY AND EDITORIAL CAPACITY FOR A STATE-WIDE HEALTHY BEATS NEWSLETTER FOR MIDDLE AND HIGH SCHOOL STUDENTS. YALE-NEW HAVEN ALSO PROVIDES SUPPORT TO OTHER ORGANIZATIONS ADDRESSING THE ISSUE OF FOOD INSECURITY. IN ADDITION TO SUPPORTING YOUTH THROUGH ITS PARTNERS IN EDUCATION PROGRAMS AND COMMUNITY INVESTMENT PROGRAMS, THE HOSPITAL DONATES ANNUALLY TO LOCAL NON-PROFIT ORGANIZATIONS THAT SERVE YOUTH WITH EDUCATIONAL PROGRAMS, AFTER-SCHOOL AND ENRICHMENT ACTIVITIES, SKILL BUILDING AND PROVIDING A PLACE TO CALL HOME. IN FY 2012, THESE ORGANIZATIONS INCLUDED ACES, BOYS & GIRLS CLUB OF NEW HAVEN, CONCEPTS FOR ADAPTIVE LEARNING, FAMILY CENTERED SERVICES OF CT, L.E.A.P., SOLAR YOUTH, AND MORE.YALE-NEW HAVEN HOSPITAL ALSO PROVIDED SPONSORSHIP IN 2012 FOR THE BIG FOOD: HEALTH, CULTURE AND THE EVOLUTION OF EATING EXHIBITION AT THE YALE PEABODY MUSEUM OF NATURAL HISTORY. THE EXHIBIT WAS DESIGNED TO ENGAGE, ENTERTAIN AND EDUCATE INDIVIDUALS ABOUT THE WIDE ARRAY OF ISSUES ASSOCIATED WITH THE CAUSES, CONSEQUENCES AND SOLUTIONS OF OBESITY. MORE THAN ONE-THIRD OF CHILDREN AND ONE-HALF OF ADULTS IN THE US ARE OVERWEIGHT OR OBESE. OVER 120,000 VISITORS ATTENDED THE EXHIBITION, BREAKING NUMEROUS ATTENDANCE RECORDS. WORKFORCE DEVELOPMENT INITIATIVES-LIKE MANY CITIES ACROSS THE COUNTRY, THE NEW HAVEN WORKFORCE HAS EXPERIENCED DIFFICULT TIMES DURING THE ECONOMIC DOWNTURN. ACCORDING TO RECENT CENSUS INFORMATION, THE UNEMPLOYMENT RATE IN THE CITY OF NEW HAVEN WAS 11.3 PERCENT COMPARED TO 8.2 STATE-WIDE. AS WITH EDUCATIONAL ACHIEVEMENT, THERE IS STRONG EVIDENCE THAT HIGHER SOCIAL AND ECONOMIC STATUS AND SMALL GAPS IN INCOME EQUALITY ARE ASSOCIATED WITH BETTER HEALTH. AS THE SECOND LARGEST EMPLOYER IN NEW HAVEN, YALE-NEW HAVEN HOSPITAL PROVIDES IN-KIND AND FINANCIAL SUPPORT FOR EMPLOYMENT AND TRAINING PROGRAMS OFFERED BY AREA NOT-FOR-PROFIT ORGANIZATIONS SUCH AS THE ONES DESCRIBED BELOW. IN 2011, YALE-NEW HAVEN COMMITTED TO A MULTI-YEAR DONATION TOTALING $500,000 OVER FOUR YEARS TO SUPPORT THE CONNECTICUT CENTER FOR ARTS AND TECHNOLOGY (CONNCAT) CONNCAT, WHICH OPENED THIS YEAR, PROVIDES TRAINING FOR APPROXIMATELY 100 LOCAL UNEMPLOYED AND UNDEREMPLOYED ADULTS A YEAR FOR PHLEBOTOMY, MEDICAL CODING AND BILLING JOBS. THE HOSPITAL ALSO PROVIDES INTERNSHIPS FOR STUDENTS BEING TRAINED AT CONNCAT. IN ADDITION TO FINANCIAL SUPPORT, STAFF MEMBERS FROM THE HOSPITAL SERVE ON THE CONNCAT BOARD OF DIRECTORS AND IN AN ADVISORY CAPACITY FOR THE DEVELOPMENT OF THE PROGRAM'S CURRICULUM. IN FY 2012, YNHH PARTNERED WITH CAREER RESOURCES, INC., TO CONDUCT PRESENTATIONS FOR EVERY EMPLOYABILITY TRAINING CLASS ON EFFECTIVE INTERVIEWING AND MOCK INTERVIEWS TO ASSIST WITH THEIR JOB READINESS TRAINING. THE RECRUITMENT AND STAFFING DEPARTMENT ALSO PARTNERED WITH IRIS, WHOSE MISSION IS TO ASSIST REFUGEES AND IMMIGRANTS WITH INTEGRATION INTO THE WORKFORCE. THE HOSPITAL ALSO HAS CONNECTIONS WITH JOB READINESS PROGRAMS ESTABLISHED FOR HARD TO EMPLOY INDIVIDUALS THROUGH LOCAL AGENCIES INCLUDING CONNECT-ABILITY AND BEULAH HEIGHTS SOCIAL INTEGRATIONS PROGRAM.HOSPITAL LEADERSHIP SERVES ON THE ADVISORY COMMITTEE FOR THE NEW HAVEN REENTRY ROUNDTABLE EMPLOYMENT COMMITTEE, FELLOWSHIP PLACE, JOB CORPS AND THE NEWLY FORMED STATE-WIDE HEALTH AND LIFE SCIENCES ADVISORY BOARD AS WELL AS THE GOVERNING BOARDS OF CAREER RESOURCES, INC. AND THE WORKFORCE ALLIANCE. YALE-NEW HAVEN IS ACTIVELY INVOLVED IN OTHER JOB FAIRS, SUCH THOSE HELD BY THE CITY OF NEW HAVEN, JOBCORPS, CAREER RESOURCES, INC. AND THE WORKFORCE ALLIANCE.
PART III, LINE 4: - BAD DEBT EXPENSE EXPLANATIONTHE HOSPITAL'S COMMITMENT TO COMMUNITY SERVICE IS EVIDENCED BY SERVICES PROVIDED TO THE POOR AND BENEFITS PROVIDED TO THE BROADER COMMUNITY. SERVICES PROVIDED TO THE POOR INCLUDE SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD HEALTHCARE BECAUSE OF INADEQUATE RESOURCES AND/OR WHO ARE UNINSURED OR UNDERINSURED. THE HOSPITAL MAKES AVAILABLE FREE CARE PROGRAMS FOR QUALIFYING PATIENTS. 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 CLASSIFIED AS BAD DEBT EXPENSE. FOR PATIENTS WHO DO NOT AVAIL THEMSELVES OF ANY FREE CARE PROGRAM AND WHOSE ABILITY TO PAY CANNOT BE DETERMINED BY THE HOSPITAL, CARE GIVEN BUT NOT PAID FOR, IS CLASSIFIED AS CHARITY CARE.TOGETHER, CHARITY CARE AND BAD DEBT EXPENSE REPRESENT UNCOMPENSATED CARE. THE ESTIMATED COST OF TOTAL UNCOMPENSATED CARE IS APPROXIMATELY $69.8 MILLION AND $55.9 MILLION FOR THE YEARS ENDED SEPTEMBER 30, 2012 AND 2011, 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 PROVIDED WAS $47.8 MILLION AND $32.3 MILLION FOR THE YEARS ENDED SEPTEMBER 30, 2012 AND 2011, RESPECTIVELY. THE ESTIMATED COST OF CHARITY CARE IS BASED ON THE RATIO OF COST TO CHARGES. THE ALLOCATION BETWEEN BAD DEBT 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, 2012 AND 2011, BAD DEBT EXPENSE, AT CHARGES, WAS $32.6 MILLION AND $26.4 MILLION, RESPECTIVELY. THE BAD DEBT EXPENSE 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 A 1% ASSESSMENT ON HOSPITAL NET INPATIENT SERVICE REVENUE. DURING THE YEARS ENDED SEPTEMBER 30,2012 AND 2011, THE HOSPITAL RECEIVED $73.2 MILLION AND $33.0 MILLION, RESPECTIVELY, IN CDSHP DISTRIBUTIONS, OF WHICH APPROXIMATELY $51.9 MILLION AND $23.0 MILLION WAS RELATED TO CHARITY CARE. THE HOSPITAL MADE PAYMENTS INTO THE CDSHP OF $56.5 MILLION AND $14.1 MILLION FOR THE YEARS ENDED SEPTEMBER 30, 2012 AND 2011, RESPECTIVELY, FOR THE 1% ASSESSMENT.ADDITIONALLY, THE HOSPITAL PROVIDES BENEFITS FOR THE BROADER COMMUNITY WHICH INCLUDES SERVICES PROVIDED TO OTHER NEEDY POPULATIONS THAT MAY NOT QUALIFY AS POOR BUT NEED SPECIAL SERVICES AND SUPPORT. BENEFITS INCLUDE THE COST OF HEALTH PROMOTION AND EDUCATION OF THE GENERAL COMMUNITY,INTERNS AND RESIDENTS, HEALTH SCREENINGS, AND MEDICAL RESEARCH. THE BENEFITS ARE PROVIDED THROUGH THE COMMUNITY HEALTH CENTERS, SOME OF WHICH SERVICE NON-ENGLISH SPEAKING RESIDENTS, DISABLED CHILDREN, AND VARIOUS COMMUNITY SUPPORT GROUPS. THE HOSPITAL VOLUNTARILY ASSISTS WITH THE DIRECT FUNDING OF SEVERAL CITY OF NEW HAVEN PROGRAMS, INCLUDING AN ECONOMIC DEVELOPMENT PROGRAM AND A YOUTH INITIATIVE PROGRAM.IN ADDITION TO THE QUANTIFIABLE SERVICES DEFINED ABOVE, THE HOSPITAL PROVIDES ADDITIONAL BENEFITS TO THE COMMUNITY THROUGH ITS ADVOCACY OF COMMUNITY SERVICE BY EMPLOYEES. THE HOSPITAL'S EMPLOYEES SERVE NUMEROUS ORGANIZATIONS THROUGH BOARD REPRESENTATION, MEMBERSHIP IN ASSOCIATIONS AND OTHER RELATED ACTIVITIES. THE HOSPITAL ALSO SOLICITS THE ASSISTANCE OF OTHER HEALTHCARE PROFESSIONALS TO PROVIDE THEIR SERVICES AT NO CHARGE THROUGH PARTICIPATION IN VARIOUS COMMUNITY SEMINARS AND TRAINING PROGRAMS.COSTING METHODOLOGY: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 AMOUNTSARE 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 8: - MEDICARE EXPLANATIONTHE 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, TSI.
PART III, LINE 9B: - COLLECTION PRACTICES EXPLANATIONIF, AT ANY TIME, THE HOSPITAL OR A COLLECTION AGENCY OR LAW FIRM, RECEIVES INFORMATION THAT A PATIENT IS OR MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER ONE OF THESE PROGRAMS OR UNDER ANY GOVERNMENTAL OR OTHER PROGRAM, THE HOSPITAL, COLLECTION AGENCY, OR LAW FIRM SHALL, CONSISTENTWITH CONNECTICUT LAW, CEASE COLLECTION EFFORTS UNTIL THE HOSPITAL DETERMINES THE PATIENT'S ELIGIBILITY FOR ASSITANCE.
PART V, SECTION B, LINE 19D: ALL PATIENTS ARE CHARGED STANDARD GROSS CHARGES. FAP ELIGIBLE INDIVIDUALS ARE CHARGED AT STANDARD GROSS CHARGES. AFTER A PATIENT IS GRANTED FREECARE, THEY WOULD NOT BE BILLED. THE CHARGES ARE ADJUSTED OFF THE ACCOUNT.	YALE-NEW HAVEN HOSPITAL
PART V, SECTION B, LINE 21: ALL PATIENTS ARE CHARGED STANDARD GROSS CHARGES. FAP ELIGIBLE INDIVIDUALS ARE CHARGED AT STANDARD GROSS CHARGES. AFTER A PATIENT IS GRANTED FREECARE, THEY WOULD NOT BE BILLED. THE CHARGES ARE ADJUSTED OFF THE ACCOUNT.	YALE-NEW HAVEN HOSPITAL
PART VI, LINE 2: IN LATE 2010, YALE-NEW HAVEN HOSPITAL FORMED THE PARTNERSHIP FOR A HEALTHIER NEW HAVEN, WHICH IS DEDICATED TO THE DEVELOPMENT AND IMPLEMENTATION OF A COMMUNITY HEALTH NEEDS ASSESSMENT AND A COORDINATED CITY-WIDE HEALTH IMPROVEMENT PLAN. PARTNERSHIP MEMBERS INCLUDE REPRESENTATIVES FROM THE NEW HAVEN HEALTH DEPARTMENT, FAIR HAVEN HEALTH CENTER, CORNELL-HILL SCOTT HEALTH CENTER, PROJECT ACCESS-NEW HAVEN, DATAHAVEN AND THE YALE SCHOOL OF PUBLIC HEALTH'S COMMUNITY ALLIANCE FOR RESEARCH AND ENGAGEMENT (CARE). OVER THE PAST TWO YEARS, THE PARTNERSHIP HAS DEVELOPED A UNIFIED COMMUNITY HEALTH NEEDS ASSESSMENT APPROACH, WHICH MEETS THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS VOLUNTARY ACCREDITATION REQUIREMENTS AND IRS REQUIREMENTS FOR NON-PROFIT HOSPITALS. THE PROPOSED ASSESSMENT BUILDS OFF OF EXISTING WORK WITHIN THE COMMUNITY, INCLUDING COMMITMENTS BY BOTH DATAHAVEN AND CARE TO CONDUCT COMMUNITY HEALTH AND WELL-BEING SURVEYS DURING CALENDAR YEAR 2012. THIS UNIFIED APPROACH PROVIDES THE OPPORTUNITY TO COMPARE THE CITY OF NEW HAVEN WITH THE TWELVE MUNICIPALITIES THAT COMPRISE THE INNER AND OUTER SUBURBAN RINGS OF THE CITY. NEW HAVEN RESIDENTS EXPERIENCE HIGHER RATES OF MORBIDITY AND MORTALITY ACROSS THE LIFESPAN FROM PREMATURE BIRTH TO PREMATURE DEATH. CONDUCTING A HEALTH NEEDS ASSESSMENT THAT PROVIDES THE OPPORTUNITY TO LEARN MORE ABOUT THE EXISTING HEALTH INEQUITIES THROUGH A COMMUNITY ENGAGED PROCESS WILL LEAD TO THE DEVELOPMENT OF A ROBUST CITY-WIDE HEALTH IMPROVEMENT PLAN THAT INCLUDES EFFORTS FOCUSED ON THE SOCIAL DETERMINANTS OF HEALTH. IN 2012, THE FOCUS OF THE PARTNERSHIP WAS TO DEVELOP A COORDINATED SURVEY TOOL AND OUTREACH PLAN. PRIMARY DATA COLLECTION COMMENCED IN SEPTEMBER 2012. A BRIEF DESCRIPTION OF THE TWO SURVEYS AND THEIR METHODOLOGY ARE INCLUDED BELOW. GREATER NEW HAVEN WELL-BEING SURVEY-THE 2012 COMMUNITY WELLBEING SURVEY, A PROJECT OF DATAHAVEN, IS THOUGHT TO BE THE LARGEST SURVEY OF ITS TYPE EVER CONDUCTED IN OUR AREA. ALTHOUGH MANY QUESTIONS WERE DERIVED FROM OTHER NATIONAL SURVEYS TO ENABLE COMPARABILITY, THE PROJECT FOCUSED ON COLLECTING INFORMATION ON COMMUNITY WELLBEING THAT IS NOT AVAILABLE FROM ANY OTHER PUBLIC SOURCES. THE TELEPHONE-BASED (CELL AND LANDLINE) GREATER NEW HAVEN WELL-BEING SURVEY IS BEING CONDUCTED DURING THE MONTHS OF SEPTEMBER AND OCTOBER BY THE SEINA RESEARCH INSTITUTE AND MANAGED LOCALLY BY DATAHAVEN. RESEARCHERS WILL INTERVIEW RESIDENTS AGE 18 AND OVER FROM WITHIN A GROUP OF 13 MUNICIPALITIES INCLUDING THE CITY OF NEW HAVEN, ITS SURROUNDING INNER-RING (EAST HAVEN, HAMDEN, AND WEST HAVEN), AND OUTER-RING (ORANGE, MILFORD, NORTH HAVEN, GUILFORD, BRANFORD, NORTH BRANFORD, MADISON, WOODBRIDGE, BETHANY) MUNICIPALITIES. THE FOCUS OF THE SURVEY WILL BE ON GOVERNMENT SERVICES, EDUCATION, AND URBAN PLANNING AS WELL AS INDIVIDUAL QUESTIONS ABOUT CIVIC ENGAGEMENT, HEALTH AND FAMILY ECONOMICS. THE HEALTH QUESTIONS WERE COORDINATED TO MATCH THOSE OF THE SURVEY BEING CONDUCTED BY CARE IN SIX NEW HAVEN NEIGHBORHOODS. THE 2012 COMMUNITY WELLBEING SURVEY IS BEING SPONSORED BY A CONSORTIUM OF FUNDERS INCLUDING THE COMMUNITY FOUNDATION FOR GREATER NEW HAVEN, CAROLYN FOUNDATION, UNITED WAY OF GREATER NEW HAVEN, ANNIE E. CASEY FOUNDATION, YALE-NEW HAVEN HOSPITAL, NEW ALLIANCE FOUNDATION, AND GENEROUS INDIVIDUAL DONORS.CARE: NEW HAVEN HEALTH SURVEY-IN 2009, THE YALE SCHOOL OF PUBLIC HEALTH'S COMMUNITY ALLIANCE FOR RESEARCH AND ENGAGEMENT (CARE) CONDUCTED AN ADULT HEALTH STATUS SURVEY OF SIX LOW RESOURCE NEW HAVEN NEIGHBORHOODS (FAIR HAVEN, WEST RIVER / DWIGHT, DIXWELL, NEWHALLVILLE, HILL NORTH AND WEST ROCK) FOCUSED ON CHRONIC DISEASE AND ASSOCIATED RISK FACTORS SUCH AS NUTRITION, PHYSICAL ACTIVITY AND TOBACCO USE. THESE THREE RISK FACTORS LEAD TO THE FOUR CHRONIC DISEASES THAT ACCOUNT FOR 70 PERCENT OF PREVENTABLE DEATHS IN THE UNITED STATES AND IN THE STATE OF CONNECTICUT. THE RESPONSE RATE FOR THE 2009 SURVEY WAS APPROXIMATELY 80 PERCENT. THE 2012 NEW HAVEN HEALTH SURVEY WILL UTILIZE THE SAME DOOR-TO-DOOR METHODOLOGY AS 2009, PROVIDING TRAINING AND TEMPORARY EMPLOYMENT FOR HAVEN RESIDENTS. IN ADDITION, TO PHYSICAL ACTIVITY, NUTRITION AND TOBACCO USE, THE SURVEY WILL ALSO INCLUDE QUESTIONS RELATED TO SOCIAL SUPPORT AND NEIGHBORHOOD SAFETY WHICH CORRELATE TO THE GREATER NEW HAVEN WELL-BEING SURVEY. IN 2009 THE RESPONSE RATE WAS APPROXIMATELY 80 PERCENT. CARE'S SURVEY PARTNERS FOR 2012 INCLUDE YALE-NEW HAVEN HOSPITAL, DATAHAVEN, DONAGHUE FOUNDATION, KRESGE FOUNDATION, NEW HAVEN HEALTH DEPARTMENT, FAIR HAVEN COMMUNITY HEALTH CENTER AND CORNELL-SCOTT HILL HEALTH CENTER.IN ADDITION TO THE PRIMARY RESEARCH BEING CONDUCTED AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, THE PARTNERSHIP WILL ALSO BE COLLECTING RELEVANT SECONDARY DATA AND IDENTIFYING BENCHMARKS BASED SUCH AS HEALTHY PEOPLE 2020 TO HELP GUIDE ITS WORK AND THE DEVELOPMENT OF A CITY-WIDE HEALTH IMPROVEMENT PLAN. THIS EFFORT WILL INCLUDE A REVIEW OF EXISTING REPORTS AVAILABLE WITHIN THE COMMUNITY, HOSPITAL EMERGENCY DEPARTMENT UTILIZATION AND OTHER DATA RELATED TO PREVENTABLE HOSPITALIZATIONS.
PART VI, LINE 3: THE YALE-NEW HAVEN HOSPITAL FREE CARE PROGRAM IS OFFERED THROUGH THE FOLLOWING CHANNELS:THE Y-NHH WEB SITE;NEWSPAPER ADVERTISEMENTS;THROUGH A FIRST STATEMENT MAILER SENT TO THE PATIENT;THROUGH THE HOSPITAL'S FRONT ACCESS/REGISTRATION AREAS ON VISIBLE POSTINGS AND COMMUNICATIONS;VISIBLE POSTINGS AND VERBAL COMMUNICATIONS MADE IN THE VIA BILLING AND COLLECTION LINES; ANDTHROUGH THE FREE CARE DEPARTMENT.IF A PATIENT INQUIRIES ABOUT FREE CARE OR NEEDS FINANCIAL ASSISTANCE, AN APPLICATION IS EITHER SENT OR HANDED TO THE PATIENT TO COMPLETE. INSTRUCTIONS AND INCOME GUIDELINES ACCOMPANY THE APPLICATION IN THE PACKAGE. APPOINTMENTS ARE ALSO AVAILABLE TO ASSIST WITH THE APPLICATIONPROCESS AND THE AGENCY AND FREE CARE COORDINATORS ARE READILY AVAILABLE EVERY THIRD MONDAY OF EACH MONTH.IN ADDITION TO THE UNRESTRICTED FREE CARE PROGRAM, THERE ARE ALSO RESTRICTED AND NOMINATED BED FUNDS THAT PATIENTS CAN APPLY FOR IF THEY MEET THE FREE CARE GUIDELINES. FREE CARE ALSO INCORPORATES THE SLIDING SCALE AND CATASTROPHIC SLIDING PROGRAM. SLIDING SCALE IS OFFERED TO PATIENTS WHO HAVE NO INSURANCE AND DO NOT WISH TO APPLY FOR A VALID STATE DENIAL.ELIGIBILITY IS BASED ON FAMILY SIZE AND INCOME. CATASTROPHIC SLIDING SCALE IS FOR THOSE PATIENTS WHO ARE OVER THE INCOME THRESHOLD BUT HAVE A BILL PAYABLE TO THE HOSPITAL THAT IS 10% OR GREATER OF THEIR ANNUAL INCOME.IF A PATIENT WISHING TO PARTICIPATE MEETS ALL ELIGIBILITY REQUIREMENTS AND GUIDELINES THEN AN APPROVAL LETTER IS SENT TO THE PATIENT. IF A PATIENT IS MISSING INFORMATION OR DENIED, A LETTER TO THAT EFFECT IS SENT TO THE PATIENT WITH AN EXPLANATION OF WHAT IS NEEDED IN ORDER TO PROCESS ANAPPEAL. FREE CARE ELIGIBILITY IS VALID FOR SIX MONTHS FROM THE APPROVAL DATE ON THE LETTER AND SLIDING SCALE ELIGIBILITY IS VALID FOR ONE YEAR FROM APPROVAL DATE INDICATED ON LETTER. ANY VISITS BY THE PATIENT TO THE HOSPITAL DURING THIS ELIGIBILITY PERIOD WILL BE TRACKED AND WRITTEN-OFF TOTHE APPROPRIATE ALLOWANCE CODE.
PART VI, LINE 4: THE PRIMARY GEOGRAPHIC AREA SERVED BY YALE-NEW HAVEN HOSPITAL (YNHH) INCLUDES 25 CONNECTICUT MUNICIPALITIES ACROSS MIDDLESEX AND NEW HAVEN COUNTIES. THE ALPHABETICAL LISTING BELOW PROVIDES EACH MUNICIPALITY LOCATED WITHIN THE GEOGRAPHIC AREA, THE ASSOCIATED ZIP CODE(S) AND COUNTY.ZIP CODE MUNICIPALITY COUNTY STATE06401 ANSONIA NEW HAVEN CT06524 BETHANY NEW HAVEN CT06405 BRANFORD NEW HAVEN CT06408 CHESHIRE NEW HAVEN CT06410 CHESHIRE NEW HAVEN CT06411 CHESHIRE NEW HAVEN CT06413 CLINTON MIDDLESEX CT06417 DEEP RIVER MIDDLESEX CT06418 DERBY NEW HAVEN CT06512 EAST HAVEN NEW HAVEN CT06409 ESSEX MIDDLESEX CT06426 ESSEX MIDDLESEX CT06442 ESSEX MIDDLESEX CT06437 GUILFORD NEW HAVEN CT06514 HAMDEN NEW HAVEN CT06517 HAMDEN NEW HAVEN CT06518 HAMDEN NEW HAVEN CT06419 KILLINGWORTH MIDDLESEX CT06443 MADISON NEW HAVEN CT06450 MERIDEN NEW HAVEN CT06451 MERIDEN NEW HAVEN CT06454 MERIDEN NEW HAVEN CT06460 MILFORD NEW HAVEN CT06461 MILFORD NEW HAVEN CT06501 NEW HAVEN NEW HAVEN CT06502 NEW HAVEN NEW HAVEN CT06503 NEW HAVEN NEW HAVEN CT 06504 NEW HAVEN NEW HAVEN CT06505 NEW HAVEN NEW HAVEN CT06506 NEW HAVEN NEW HAVEN CT06507 NEW HAVEN NEW HAVEN CT06508 NEW HAVEN NEW HAVEN CT06509 NEW HAVEN NEW HAVEN CT06510 NEW HAVEN NEW HAVEN CT06511 NEW HAVEN NEW HAVEN CT06513 NEW HAVEN NEW HAVEN CT06515 NEW HAVEN NEW HAVEN CT06519 NEW HAVEN NEW HAVEN CT06520 NEW HAVEN NEW HAVEN CT06521 NEW HAVEN NEW HAVEN CT06530 NEW HAVEN NEW HAVEN CT06531 NEW HAVEN NEW HAVEN CT06532 NEW HAVEN NEW HAVEN CT06533 NEW HAVEN NEW HAVEN CT06534 NEW HAVEN NEW HAVEN CT06535 NEW HAVEN NEW HAVEN CT06536 NEW HAVEN NEW HAVEN CT06537 NEW HAVEN NEW HAVEN CT06538 NEW HAVEN NEW HAVEN CT06540 NEW HAVEN NEW HAVEN CT06471 NORTH BRANFORD NEW HAVEN CT06472 NORTH BRANFORD NEW HAVEN CT06473 NORTH HAVEN NEW HAVEN CT06475 OLD SAYBROOK MIDDLESEX CT06477 ORANGE NEW HAVEN CT06478 OXFORD NEW HAVEN CT06483 SEYMOUR NEW HAVEN CT06492 WALLINGFORD NEW HAVEN CT06493 WALLINGFORD NEW HAVEN CT06494 WALLINGFORD NEW HAVEN CT06495 WALLINGFORD NEW HAVEN CT06516 WEST HAVEN NEW HAVEN CT06498 WESTBROOK MIDDLESEX CT06525 WOODBRIDGE NEW HAVEN CTIN 2011, THE TOTAL POPULATION OF THE HOSPITAL'S PRIMARY GEOGRAPHIC SERVICE AREA WAS ESTIMATED AT 715,241. THE PERCENTAGE OF RESIDENTS BY RACE AND ETHNICITY IN 2010 WAS 71.2% WHITE, 11.1% BLACK, 11.9% HISPANIC, 3.7% ASIAN PACIFIC AND 2.0% NATIVE AMERICAN, MULTI RACE OR OTHER. IN 2011, THE ESTIMATED MEDIAN HOUSEHOLD INCOME WAS $77,095 IN MIDDLESEX COUNTY AND $62,497 IN NEW HAVEN COUNTY.IN ADDITION TO YNHH, THERE ARE THREE ACUTE CARE HOSPITALS LOCATED IN THE REGION INCLUDING GRIFFIN HOSPITAL, MIDSTATE MEDICAL CENTER AND MILFORD HOSPITAL. GAYLORD HOSPITAL, A LONG-TERM ACUTE CARE HOSPITAL IS ALSO LOCATED WITHIN THE GEOGRAPHIC AREA SERVED BY YALE-NEW HAVEN. YNHH IS A DISPROPORTIONATE SHARE HOSPITAL, AND ALSO QUALIFIES FOR 340B PHARMACY PRICING. IN FISCAL YEAR 2012, THERE WERE 61,958 DISCHARGES FROM YNHH. AN ESTIMATED THREE IN TEN INPATIENTS WERE MEDICAID BENEFICIARIES OR LACKED HEALTH INSURANCE. THE HOSPITAL'S EMERGENCY DEPARTMENT PROVIDES A HEALTHCARE SAFETY NET FOR THOUSANDS OF PEOPLE EACH YEAR BY SERVING AS THE PRIMARY CARE PROVIDER FOR UNINSURED AND UNDERINSURED PATIENTS. IN FISCAL YEAR 2012, THERE WERE 141,422 VISITS TO YALE-NEW HAVEN'S ADULT AND PEDIATRIC EMERGENCY DEPARTMENTS IN NEW HAVEN AND AT THE SHORELINE MEDICAL CENTER IN GUILFORD. OVER 60 PERCENT OF THESE VISITS WERE ATTRIBUTED TO THE ADULT EMERGENCY DEPARTMENT, WHICH ACCOUNTED FOR 87,924 OF THE TOTAL VISITS INCLUDING BOTH TREATED AND ADMITTED AND TREATED AND DISCHARGED PATIENTS. THE TREATED AND DISCHARGED PATIENTS MADE UP 80 PERCENT OF THE TOTAL WITH OVER HALF, ROUGHLY 46,600 INDIVIDUALS IDENTIFIED AS MEDICAID BENEFICIARIES OR AS HAVING NO HEALTH CARE INSURANCE. PATIENT ORIGIN DATA FOR FISCAL YEAR 2012 INDICATED THAT 48 PERCENT OF THE PATIENTS TREATED AND DISCHARGED FROM THE HOSPITAL'S ADULT EMERGENCY DEPARTMENT AND 44 PERCENT OF THE TREATED AND ADMITTED PATIENTS WERE RESIDENTS OF THE CITY OF NEW HAVEN. THE MEDIAN HOUSEHOLD INCOME FOR THE CITY OF NEW HAVEN IS $39,094, WHICH IS $30,149 BELOW THE STATE OF CONNECTICUT MEDIAN HOUSEHOLD INCOME OF $69,243. IN 2011, AN ESTIMATED 26.3 PERCENT OF FAMILIES IN NEW HAVEN WERE IDENTIFIED AS LIVING IN POVERTY COMPARED TO 9.5 PERCENT STATE-WIDE.
PART VI, LINE 5: YALE-NEW HAVEN HOSPITAL (YNHH) 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 HOSPITAL REGULARLY RANKS AMONG THE BEST HOSPITALS IN THE U.S. AND IS ACCREDITED BY THE JOINT COMMISSION. IN CONJUNCTION WITH YSM AND YALE CANCER CENTER, YNHH IS NATIONALLY RECOGNIZED FOR ITS COMMITMENT TO TEACHING AND CLINICAL RESEARCH. AS THE PRIMARY TEACHING HOSPITAL FOR YALE SCHOOL OF MEDICINE (YSM), YNHH HAS SUPERVISED PHYSICIAN RESIDENTS AND FELLOWS SUPPORTING OUR MEDICAL STAFF BY PROVIDING AROUND-THE-CLOCK COVERAGE AND INSIGHTFUL, RESEARCH-SUPPORTED PATIENT CARE. RELYING ON THE SKILL AND EXPERTISE OF MORE THAN 4,000 UNIVERSITY AND COMMUNITY PHYSICIANS AND ADVANCED PRACTITIONERS, INCLUDING MORE THAN 600 RESIDENT PHYSICIANS, YALE-NEW HAVEN HOSPITAL PROVIDES COMPREHENSIVE, MULTIDISCIPLINARY, FAMILY-FOCUSED CARE IN MORE THAN 100 MEDICAL SPECIALTY AREAS. YALE-NEW HAVEN HOSPITAL PROVIDED SERVICES FOR MORE THAN 774,000 OUTPATIENT AND EMERGENCY VISITS AND 62,000 DISCHARGES IN FISCAL YEAR 2012. EVERY YEAR, AS PART OF OUR VITAL MISSION TO PROMOTE HEALTH AND WELLNESS THROUGHOUT THE GREATER NEW HAVEN REGION, YALE-NEW HAVEN HOSPITAL SPONSORS, DEVELOPS AND PARTICIPATES IN A WIDE VARIETY OF COMMUNITY-BASED PROGRAMS AND SERVICES. DURING FISCAL YEAR 2012, YNHH MANAGED $242.8 MILLION IN FINANCIAL AND IN-KIND CONTRIBUTIONS THROUGH FIVE WIDE-RANGING PROGRAMS - GUARANTEEING ACCESS TO CARE; PROMOTING HEALTH AND WELLNESS; ADVANCING CAREERS IN HEALTH CARE; RESEARCH; AND CREATING HEALTHIER COMMUNITIES. A SIXTH CATEGORY, BUILDING STRONGER NEIGHBORHOODS, WAS PREVIOUSLY DISCUSSED IN RESPONSE TO QUESTION 5.GUARANTEEING ACCESS TO CARE-YALE-NEW HAVEN RECOGNIZES THAT SOME PATIENTS MAY BE UNINSURED, NOT HAVE ADEQUATE INSURANCE OR OTHERWISE LACK THE RESOURCES TO PAY FOR HEALTH CARE. HONORING ITS MISSION AND ITS COMMITMENT TO THE COMMUNITY, THE HOSPITAL PARTICIPATES IN GOVERNMENT-SPONSORED PROGRAMS SUCH AS MEDICARE, MEDICAID, HUSKY, CHAMPUS AND TRICARE. DURING 2012, YNHH PROVIDED SERVICES FOR 193,856 MEDICAID BENEFICIARIES AT A TOTAL EXPENSE OF $138.7 MILLION (AT COST).YNHH ALSO OFFERS A SLIDING SCALE OF DISCOUNTED FEES AND FREE CARE FOR ELIGIBLE PATIENTS, AND EVEN FUNDS THE SALARIES OF THREE ON-SITE STATE DEPARTMENT OF SOCIAL SERVICES EMPLOYEES. DURING 2012, THE HOSPITAL DELIVERED SUCH FINANCIAL ASSISTANCE SERVICES TO OVER 29,000 PERSONS AT A TOTAL EXPENSE OF $30.0 MILLION (AT COST).YALE-NEW HAVEN ALSO GUARANTEES ACCESS TO CARE BY PROVIDING CLINICAL PROGRAMS DESPITE A FINANCIAL LOSS SO SIGNIFICANT THAT NEGATIVE MARGINS REMAIN AFTER REMOVING THE EFFECTS OF FREE CARE, BAD DEBT AND UNDER-REIMBURSED MEDICAID. SUBSIDIZED HEALTH SERVICES INCLUDE THE HOSPITAL'S PRIMARY CARE CENTERS, WHICH INCLUDES ADULT, ADOLESCENT, PEDIATRIC AND WOMEN'S SERVICES. THE HOSPITAL'S PRIMARY CARE CENTER PROVIDES OUTPATIENT MEDICAL SERVICES TO THE COMMUNITY, PRIMARILY SERVING THE UNINSURED OR UNDER-INSURED POPULATION. IT IS THE LARGEST OUTPATIENT FACILITY IN SOUTHERN CONNECTICUT. IN FISCAL YEAR 2012, THE PRIMARY CARE CENTER HAD 32,377 VISITS TO THE ADULT MEDICINE CLINIC, 26,664 VISITS TO THE PEDIATRICS CLINIC AND 19,148 VISITS TO THE WOMEN'S CENTER, FOR A TOTAL OF 78,189 PATIENT VISITS. ADDITIONALLY, THE PRIMARY CARE CENTER OFFERS ONE OF THE FEW ADOLESCENT CLINICS IN THE STATE WITH BOARD-CERTIFIED PROFESSIONALS, WITH VISITS NUMBERING 1,900 ANNUALLY.YNHH ALSO PROVIDED OUTREACH SERVICES TO PATIENTS RECEIVING CARE IN THE PRIMARY CARE CENTER AND THE WOMEN'S CENTER TO FOLLOW UP ON MISSED APPOINTMENTS, IMMUNIZATIONS AND OTHER HEALTHCARE NEEDS VITAL TO QUALITY OF LIFE AND THE HEALTH STATUS OF THE PATIENT. IN 2012, MORE THAN 1,097 PATIENTS RECEIVED OUTREACH SERVICES AND APPROXIMATELY 620 PATIENTS RECEIVED A HOME VISIT. OVER 1,000 REFERRALS WERE MADE FOR RESOURCES WITHIN THE HOSPITAL AND IN THE COMMUNITY.YALE-NEW HAVEN PROVIDES ONGOING FINANCIAL AND IN-KIND SUPPORT FOR PROJECT ACCESS OF NEW HAVEN, WHICH PROVIDES TIMELY HIGH QUALITY SPECIALTY CARE FOR UNINSURED INDIVIDUALS WHO RESIDE IN THE GREATER NEW HAVEN AREA WITH THE USE OF AN INTENSIVE PATIENT NAVIGATION MODEL. MORE THAN 300 COMMUNITY PHYSICIANS DONATE THEIR SERVICES TO PROJECT ACCESS PATIENTS AND A TEAM OF FOUR PATIENT NAVIGATORS ASSIST ENROLLED PATIENTS WITH ACCESSING AND MANAGING CARE. SINCE SEEING THEIR FIRST PATIENT IN AUGUST 2010, PROJECT ACCESS HAS ENROLLED AND NAVIGATED MORE THAN 550 PATIENTS. THE NO-SHOW RATE FOR MEDICAL APPOINTMENTS IS 2% AND THE VALUE OF DONATED CARE IS OVER $5 MILLION. PATIENTS ARE REFERRED TO PROJECT ACCESS FROM THE EMERGENCY DEPARTMENTS AND PRIMARY CARE CENTERS ON BOTH THE YORK STREET AND ST. RAPHAEL CAMPUSES OF YALE-NEW HAVEN HOSPITAL, THE FAIR HAVEN COMMUNITY HEALTH CENTER, THE CORNELL SCOTT-HILL HEALTH CENTER AND COMMUNITY PRIVATE PRACTICES. PROJECT ACCESS CELEBRATED ITS TWO-YEAR ANNIVERSARY IN AUGUST 2012.THE HOSPITAL'S ME & MY BABY PROGRAM PROVIDES INCREASED ACCESS TO CARE FOR AN UNDER-SERVED POPULATION THAT IS EITHER UNINSURED OR UNDERINSURED; OUTREACH EFFORTS FOSTER EARLY ENTRY INTO CARE, SCREENING AND DETECTION, AND ALLOW PRENATAL CARE TO BEGIN AS EARLY AS POSSIBLE IN THE FIRST TRIMESTER. THE PROGRAM FEATURES MONTHLY "SHOWERS" TO PROVIDE PARTICIPANTS WITH INFORMATION ON THE HOSPITAL'S MATERNITY PROGRAMS, BASIC CHILDBIRTH PREPARATION AND TO ANSWER ANY QUESTIONS. ME & MY BABY IS THE ONLY PROGRAM IN THE NEW HAVEN AREA TO OFFER FREE PREGNANCY TESTING AND COUNSELING BY A REGISTERED NURSE. IN 2012, ME & MY BABY GAVE 306 NEWLY ENROLLED MOTHERS ACCESS TO PRENATAL AND PEDIATRIC CARE, HEALTH EDUCATION, CARE COORDINATION AND PRESCRIPTION DRUG COVERAGE. DURING THIS TIME, 271 ENROLLED MOTHERS GAVE BIRTH, A NUMBER THAT DECREASES ANNUALLY DUE TO CONTINUING OUTREACH AND EDUCATION EFFORTS. NEARLY 100 PERCENT OF PROGRAM ENROLLEES ARE UNDOCUMENTED IMMIGRANT WOMEN OR WOMEN WHO ENTERED THE UNITED STATES WITHOUT INSPECTION OR WERE ADMITTED ON NONIMMIGRANT (TEMPORARY) VISAS AND OVERSTAYED. THE PRESCRIPTION ASSISTANCE PROGRAM HELPS YNHH PATIENTS WHO HAVE LITTLE OR NO HEALTH INSURANCE OR PHARMACY BENEFITS OBTAIN DEEPLY DISCOUNTED MEDICATIONS. THE 340B PROGRAM ASSISTS PATIENTS WHO ARE DISCHARGED FROM THE HOSPITAL, INCLUDING THE EMERGENCY DEPARTMENT, OR ANY HOSPITAL-BASED CLINIC RECEIVE DISCOUNTED PRESCRIPTIONS. STUDIES SHOW THAT PATIENTS WHO CANNOT AFFORD OUTPATIENT MEDICATIONS HAVE HIGHER HOSPITAL ADMISSION, RE-ADMISSIONS, AND EMERGENCY ROOM VISIT RATES THAN THEIR COUNTERPARTS. THE HOSPITAL QUALIFIES FOR THESE FEDERAL PHARMACEUTICAL PRICING DISCOUNTS BECAUSE IT TREATS A DISPROPORTIONATELY LARGE SHARE OF UNINSURED AND UNDER INSURED PATIENTS. THE HOSPITAL ALSO SERVES AS A KEY PARTNER IN THE NEW HAVEN ORAL HEALTH COALITION. THE COALITION WAS FORMED TO ADDRESS THE SERIOUS ORAL HEALTH NEEDS OF THE UNDER-SERVED, AND PARTICULARLY CHILDREN COVERED THROUGH HUSKY A. THIS NETWORK ALLOWS PARTNERS TO CONTINUOUSLY COLLABORATE AND DEVELOP STRATEGIC PLANS IN A MORE COHESIVE AND COMPREHENSIVE MANNER. PROMOTING HEALTH AND WELLNESS-DURING FY 2012, YALE-NEW HAVEN HOSPITAL PROVIDED $8.6 MILLION IN COMMUNITY HEALTH IMPROVEMENT SERVICES, INCLUDING HEALTH EDUCATION PROGRAMS, SUPPORT GROUPS AND HEALTH FAIRS. EXAMPLES OF THESE IMPORTANT SERVICES AND PROGRAMS ARE PROVIDED BELOW. CONNECTICUT WAS ONE OF SEVEN STATES CHOSEN BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION TO ADMINISTER THE WISEWOMAN (WELL-INTEGRATED SCREENING AND EVALUATION FOR WOMEN ACROSS THE NATION) PROJECT. YNHH WAS SELECTED AS ONE OF NINE SITES IN CONNECTICUT TO BE AWARDED THIS PROGRAM. WISEWOMAN IS INTEGRATED WITHIN THE EXISTING YNHH CONNECTICUT BREAST AND CERVICAL CANCER AND EARLY DETECTION PROGRAM TO ASSESS CARDIOVASCULAR RISK FACTORS AND PROVIDE CARDIOVASCULAR DISEASE PREVENTIVE HEALTH SERVICES FOR ELIGIBLE MEDICALLY UNDERSERVED CONNECTICUT WOMEN OVER THE AGE OF 40. WISEWOMAN SERVICES INCLUDE ASSESSING CARDIOVASCULAR RISK FACTORS THROUGH HEIGHT, WEIGHT, BLOOD PRESSURE, CHOLESTEROL, BLOOD GLUCOSE AND PERSONAL LIFESTYLE HISTORIES. IN FY 2012, 184 WOMEN WERE SCREENED THROUGH THE PROGRAM.
PART VI, LINE 5: CONTINUES-THE HOSPITAL IS ONE OF 18 SITES IN CONNECTICUT OFFERING A COMPREHENSIVE BREAST, CERVICAL AND COLORECTAL CANCER SCREENING PROGRAM FOR MEDICALLY UNDERSERVED WOMEN. SERVICES SUCH AS CLINICAL BREAST EXAMS AND PAP SMEARS ARE OFFERED FREE OF CHARGE FOR ELIGIBLE WOMEN BETWEEN THE AGES OF 19 AND 64, AND MAMMOGRAMS ARE OFFERED TO WOMEN WHO ARE AGE 40 TO 64. IN FY 2012, OVER 1,000 WOMEN RECEIVED SCREENINGS THROUGH THE PROGRAM.YNHH IS A GRANT RECIPIENT OF THE KOMEN FOUNDATION PATIENT NAVIGATION FOR BREAST CANCER SCREENING. THIS COLLABORATIVE OUTREACH INITIATIVE IS FOCUSED ON OFFERING BREAST HEALTH EDUCATION AND SCREENING SERVICES TO AFRICAN AMERICAN, HISPANIC AND ANY UNDERSERVED WOMEN (AGE 50+) IN THE GREATER NEW HAVEN COMMUNITY AND HELPING THEM NAVIGATE THROUGH THE HEALTH CARE SYSTEM. THE GOAL IS TO INCREASE AWARENESS OF EARLY DETECTION TO THESE HIGH-RISK POPULATIONS, TEACH BREAST SELF-EXAMS, PROVIDE SCREENINGS AND TO PARTNER AND FACILITATE ACCESS TO APPROPRIATE DIAGNOSTIC FOLLOW UP WHEN NECESSARY. IN FISCAL YEAR 2012, PARTICIPATION IN 45 OUTREACH ACTIVITIES RESULTED IN HEALTH EDUCATION AND AWARENESS ACTIVITIES TO 5,629 WOMEN IN THE GREATER NEW HAVEN AREA.IN A PARTNERSHIP WITH THE CORNELL SCOTT-HILL HEALTH CENTER, THE HOSPITAL'S DIGITAL MAMMOGRAPHY VAN PROVIDES SCREENING MAMMOGRAPHY SERVICES IN THE COMMUNITY WHERE WOMEN LIVE AND WORK, IMPROVING ACCESS FOR THE ELDERLY AND UNDERSERVED POPULATIONS WHO MIGHT NOT OTHERWISE OBTAIN THESE SERVICES ON A REGULAR BASIS. IN FISCAL YEAR 2012, THE MAMMOGRAPHY VAN PERFORMED 1,615 SCREENING MAMMOGRAMS AT 40 LOCATIONS THROUGHOUT SOUTHERN CONNECTICUT, ENHANCING ACCESSIBILITY TO MAMMOGRAPHY SERVICES. THE HOSPITAL'S SICKLE CELL PROGRAM PROVIDES COMPREHENSIVE MEDICAL CARE WHICH INCLUDES PAIN MANAGEMENT, PSYCHOSOCIAL COUNSELING, AND EDUCATION FOR THE PATIENT, FAMILY MEMBERS, AND THE COMMUNITY AT LARGE. THE PROGRAM ASSISTS PATIENTS WITH ACCESS TO COMMUNITY RESOURCES SUCH AS MEDICAL TRANSPORTATION, MEDICATION PROGRAMS WHICH HELP TO PURCHASE NEEDED MEDICINES AT REDUCED COSTS, AND REFERRALS TO COMMUNITY RESOURCES. THE SICKLE CELL TEAM WORKS DILIGENTLY WITH THE PEDIATRIC TEAM TO ENSURE SMOOTH TRANSITION OF SICKLE CELL PATIENTS FROM PEDIATRIC CARE TO ADULT CARE BY USING THE FAMILY CENTERED CARE MODEL APPROACH. IN PARTNERSHIP WITH SICKLE CELL DISEASE ASSOCIATION OF AMERICA, SOUTHERN CONNECTICUT, YNHH OFFERS COMMUNITY OUTREACH, HEALTH EDUCATION AND SCREENINGS. LOCATIONS INCLUDE HIGH SCHOOLS, COLLEGES AND UNIVERSITIES, CHURCHES, COMMUNITY AND CIVIC ORGANIZATIONS AND HEALTH FAIRS THROUGHOUT SOUTHERN CONNECTICUT. ANNUALLY THERE ARE MORE THAN 1,100 ADULT AND PEDIATRIC PATIENT ENCOUNTERS. YALE-NEW HAVEN HOSPITAL OPERATES THE LARGEST WOMEN, INFANTS AND CHILDREN (WIC) SITE IN NEW HAVEN, SERVING 4,000 WOMEN AND THEIR CHILDREN. THE WIC PROGRAM STAFF REACHES OUT INTO THE COMMUNITY TO PROVIDE NUTRITIONAL COUNSELING, BREASTFEEDING EDUCATION AND FOOD FOR PREGNANT AND POSTPARTUM WOMEN AND INFANTS AND CHILDREN WHO ARE AT NUTRITIONAL RISK. WIC IS FUNDED BY A GRANT FROM THE UNITED STATES DEPARTMENT OF AGRICULTURE.THE SUPPLEMENTAL INFANT PROGRAM (SIP) AT YALE-NEW HAVEN HOSPITAL WAS ESTABLISHED IN 2008 TO ADDRESS CONCERNS REGARDING THE PRACTICE OF FORMULA STRETCHING AMONG CLIENTS OF THE WOMEN, INFANT AND CHILDREN (WIC) PROGRAM BASED AT THE HOSPITAL, WHICH SERVES 4,000 CLIENTS ANNUALLY INCLUDING 1,000 INFANTS. FORMULA STRETCHING IS WHERE PARENTS OR GUARDIANS OF INFANTS, WHO ARE NOT BREASTFED, EITHER WATER DOWN FORMULA OR FEED INFANTS LESS FREQUENTLY IN ORDER TO CONSERVE RESOURCES. THIS OFTEN OCCURS DURING TIMES OF FINANCIAL HARDSHIP IN URBAN CENTERS WHERE PARENTS MUST MAKE DIFFICULT DECISIONS AFFECTING THOSE THEY LOVE. IN 2011, 26.3 PERCENT OF FAMILIES LIVING IN NEW HAVEN WERE CONSIDERED BELOW THE POVERTY LEVEL, A RATE WHICH IS 16 PERCENT HIGHER THAN THE STATE AVERAGE. SINCE ITS IMPLEMENTATION, SIP HAS PROVIDED FORMULA EACH YEAR TO AN AVERAGE OF 200 INFANTS AT NO COST TO FAMILIES. THE HOSPITAL'S HEALTHY START PROGRAM IS FUNDED BY THE DEPARTMENT OF HEALTH AND HUMAN SERVICES AND THROUGH A PRIVATE GRANT FROM THE COMMUNITY FOUNDATION OF GREATER NEW HAVEN AND IS DESIGNED FOR UNINSURED PREGNANT WOMEN. THE PROGRAM PROVIDES CASE MANAGEMENT SERVICES TO PREGNANT WOMEN RECEIVING CARE AT YNHH AND TO THOSE WHO HAVE A CHILD UP TO THE AGE OF TWO RECEIVING SERVICES FROM THE PEDIATRIC PRIMARY CARE CENTER. TWO CASE MANAGERS ASSESS NEEDS AND COORDINATE MEDICAL CARE, MEDICATIONS, MENTAL HEALTH COUNSELING, OUTREACH AND RELATED SERVICES. THE CASE MANAGERS WORK COLLABORATIVELY WITH NEW HAVEN'S OTHER HEALTHY START SITES AS WELL AS WITH MANY OTHER SERVICE AGENCIES. IN FISCAL YEAR 2012, THE PROGRAM SERVED 337 WOMEN.PEDIATRIC DENTISTRY WAS IDENTIFIED AS A CRITICAL ISSUE IN THE GREATER NEW HAVEN PARTNERSHIP FOR A HEALTHY COMMUNITY'S COMMUNITY NEEDS ASSESSMENT CONDUCTED IN THE LATE 1990S. SINCE 2004, THE HOSPITAL HAS OPERATED A DEDICATED PEDIATRIC DENTISTRY CENTER, WHICH OFFERS A PEDIATRIC DENTISTRY RESIDENCY PROGRAM. IN FY 2012, THE PEDIATRIC DENTISTRY CENTER WAS RELOCATED TO A, 8,700 SQUARE FOOT STATE-OF-THE-ART FACILITY WITH 10 TREATMENT ROOMS, ONE RECOVERY ROOM FOR POST SEDATION PATIENTS AND A STERILIZATION CENTER. THE PEDIATRIC DENTISTRY CENTER MAINTAINS NEARLY 2,000 ACTIVE PATIENTS AND HAS THE SINGULAR CAPACITY IN THE COMMUNITY TO TREAT CHILDREN WITH EARLY CHILDHOOD CARIES IN THE OPERATING ROOM. SINCE 1992, THE HOSPITAL HAS PROVIDED COMPREHENSIVE CARE TO LEAD-POISONED CHILDREN AND THEIR FAMILIES. THE YALE-NEW HAVEN LEAD POISONING REGIONAL TREATMENT CENTER IS ONE OF TWO REGIONAL TREATMENT CENTERS IN CONNECTICUT PROVIDING MEDICAL TREATMENT AND SOCIAL SERVICE PROGRAMS. IN FY 2012, THE LEAD PROGRAM PROVIDED 4,195 PATIENT SCREENINGS, 492 IN-HOME VISITS AND 73 INFORMATIONAL PRESENTATIONS. THE AIDS CARE PROGRAM WAS ESTABLISHED IN 1984 IN RESPONSE TO THE INCREASING NUMBER OF INDIVIDUALS BEING TREATED FOR HIV/AIDS AT YALE-NEW HAVEN HOSPITAL. THE PROGRAM PROVIDES COMPREHENSIVE CARE TO ADULTS, ADOLESCENTS AND CHILDREN LIVING WITH HIV/AIDS AND THEIR FAMILIES AND SIGNIFICANT OTHERS. THE SCOPE OF SERVICES INCLUDES OUTREACH, TESTING, COUNSELING, OUTPATIENT AND INPATIENT CLINICAL CARE, CLINICAL RESEARCH TRIALS AND COMMUNITY SUPPORT. THE AIDS CARE PROGRAM IS STAFFED BY A MULTIDISCIPLINARY TEAM OF HEALTH CARE PROVIDERS, NURSES, HIV COUNSELORS, SOCIAL WORKERS AND CLINICAL RESEARCHERS. IN FISCAL YEAR 2012 THE AIDS CARE PROGRAM ASSISTED 878 PATIENTS IN THE NATHAN SMITH CLINIC WITH A TOTAL OF 7,713 VISITS. THE PROGRAM PROVIDED HIV COUNSELING AND TESTING FOR 326 CLIENTS FOR A TOTAL OF 579 VISITS. ADDITIONALLY, THE PEDIATRIC SERVICE CARED FOR CHILDREN AND ADOLESCENTS WITH A TOTAL OF 149 VISITS. YNHH OFFERS SUPPORT GROUPS FOR PATIENTS AND FAMILIES IN OVER 25 AREAS, INCLUDING MANY CANCER AND TRANSPLANT SPECIALTY AREAS. THE GROUPS ARE STAFFED BY SOCIAL WORKERS AND ARE PROVIDED FREE OF CHARGE TO HELP PATIENTS AND THEIR FAMILIES COPE WITH THEIR ILLNESSES AND RELATED ISSUES. IN FISCAL YEAR 2012, NEARLY 3,800 PEOPLE WERE SERVED.ADVANCING CAREERS IN HEALTH CARE-AS THE PRIMARY TEACHING HOSPITAL FOR YALE SCHOOL OF MEDICINE (YSM), YNHH HAS SUPERVISED PHYSICIAN RESIDENTS AND FELLOWS SUPPORTING ITS MEDICAL STAFF WITH AROUND-THE-CLOCK COVERAGE AND INSIGHTFUL, RESEARCH-SUPPORTED PATIENT CARE. IN ADDITION THE HOSPITAL PROVIDES A CLINICAL SETTING FOR UNDERGRADUATE TRAINING TO STUDENTS ENROLLED IN PROGRAMS OUTSIDE THE ORGANIZATION IN THE AREAS OF NURSING, DIETARY PROFESSIONALS, PHYSICAL AND OCCUPATIONAL THERAPISTS, SOCIAL WORK, RADIOLOGY TECHNICIANS AND RESPIRATORY CARE TECHNICIANS. IN 2012, THE COST TO YNHH TO PROVIDE FUNDING FOR HEALTHCARE TRAINING AND EDUCATION PROGRAMS WAS MORE THAN $59.4 MILLION, AND BENEFITED 2,468 INDIVIDUALS.THE HOSPITAL PROVIDES A SIGNIFICANT AMOUNT OF HEALTH PROFESSIONS EDUCATION ON AN ANNUAL BASIS FOR OVER 580 MEDICAL PROFESSIONALS. THIS INCLUDES GRADUATE AND INDIRECT MEDICAL EDUCATION IN THE AREA OF RESIDENCY AND FELLOWSHIP EDUCATION FOR PHYSICIANS / MEDICAL STUDENTS, ALLIED HEALTH EDUCATION, PASTORAL CARE RESIDENCY PROGRAM AND A PHARMACY PROGRAM. THE HOSPITAL'S DENTAL DEPARTMENT PROVIDES CLINICAL EDUCATIONAL OPPORTUNITIES FOR STUDENT DENTAL HYGIENISTS. DURING THEIR ROTATIONS, THE STUDENTS UNDER THE DIRECTION AND SUPERVISION OF THEIR INSTRUCTORS PERFORM PROCEDURES APPROPRIATE AND APPLICABLE TO THEIR ROLES AS A DENTAL HYGIENIST. STUDENTS FROM THE UNIVERSITY OF NEW HAVEN DENTAL HYGIENE PROGRAM AND THE UNIVERSITY OF BRIDGEPORT, INCLUDING SENIOR BACCALAUREATE CANDIDATES WHO ARE LICENSED DENTAL HYGIENISTS, INTERN IN THE DENTAL DEPARTMENT BY PROVIDING DIRECT PATIENT CARE. FOUR OF THESE HYGIENISTS ARE ASSIGNED IN THE CLINIC EACH SEMESTER AND THROUGH THEIR PATIENT CARE EXPERIENCE INTERACT WITH RESIDENT AND ATTENDING PHYSICIANS, HOSPITAL STAFF AND THE COMMUNITY. IN FY 2012, 49 SUCH HYGIENISTS ROTATED THROUGH THE DEPARTMENT.
PART VI, LINE 5: CONTINUES-DURING 2012, THE HOSPITAL PROVIDED A CLINICAL SETTING FOR UNDERGRADUATE TRAINING TO 1,335 STUDENTS ENROLLED IN PROGRAMS FOR NURSING, DIETARY PROFESSIONALS, PHYSICAL AND OCCUPATIONAL THERAPY, SOCIAL WORK, RADIOLOGY TECHNICIANS AND RESPIRATORY CARE TECHNICIANS. YALE-NEW HAVEN HAS LONG STANDING PARTNERSHIPS TO PROVIDE THIS TRAINING WITH AREA COLLEGES AND UNIVERSITIES INCLUDING GATEWAY COMMUNITY COLLEGE, FAIRFIELD UNIVERSITY, SACRED HEART UNIVERSITY, MANCHESTER COMMUNITY COLLEGE, UNIVERSITY OF CONNECTICUT, GOODWIN COLLEGE AND NAUGATUCK COMMUNITY COLLEGE. YALE-NEW HAVEN'S TRAUMA SERVICES DEPARTMENT THROUGH A CONTRACT WITH THE PENTAGON PROVIDES US NAVY CORPSMAN MEDICAL TRAINING FOR SERVICE MEMBERS AT THE GROTON / NEW LONDON SUBMARINE BASE. THE TRAINING INCLUDES BASIC MEDICAL PROCEDURES AND SKILLS FOR SURVIVAL WHILE THE SUBMARINE IS OUT TO SEA IN SERVICE. IN 2012, FOUR CORPSMAN RECEIVED THIS NECESSARY TRAINING.RESEARCH-TEACHING HOSPITALS, LIKE YALE-NEW HAVEN HOSPITAL, ARE WHERE THE BEST AND BRIGHTEST MINDS IN MEDICINE COLLABORATE TO PROVIDE THE HIGHEST QUALITY, CLINICALLY PROVEN AND MOST TECHNOLOGICALLY ADVANCED CARE POSSIBLE. EXPERIENCED, PIONEERING MEDICAL PRACTITIONERS GUIDE THE NEXT GENERATION OF RESEARCHERS AND HEALTHCARE PROVIDERS IN THE DISCOVERY OF NEW CURES AND TREATMENTS, AND OFFER PATIENTS THE LATEST, MOST EFFECTIVE DIAGNOSTIC AND TREATMENT OPTIONS BEFORE THEY'RE AVAILABLE ELSEWHERE. CLINICAL TRIALS AT YALE-NEW HAVEN HOSPITAL AND YALE SCHOOL OF MEDICINE INCLUDE PHASE ONE TRIALS, WHICH TEST A NEW DRUG'S SAFETY IN THE HUMAN BODY, PHASE TWO TRIALS, WHICH TESTS FOR EFFICACY AND DOSAGE IN SEVERAL HUNDRED PATIENTS, PHASE THREE TRIALS, WHICH MEASURE THE DRUG OR PROCEDURE AGAINST THE BEST STANDARD TREATMENT, AND OTHER TYPES OF TRIALS TESTING THE SAFETY OF VARIOUS TYPES OF MEDICAL EQUIPMENT. CLINICAL TRIALS ARE AVAILABLE IN SEVERAL DIFFERENT AREAS INCLUDING ADDICTIVE BEHAVIOR, BRAIN, SPINAL CORD, AND NERVOUS SYSTEM, CANCER, CHILDREN'S HEALTH, DIABETES AND ENDOCRINE SYSTEM, HEART AND CARDIOVASCULAR, HIV/AIDS AND INFECTIOUS DISEASE, AND WOMEN'S HEALTH.YALE-NEW HAVEN RECEIVES NATIONAL AND INTERNATIONAL REFERRALS AND, IN CONJUNCTION WITH YSM AND YALE CANCER CENTER, YNHH IS NATIONALLY RECOGNIZED FOR ITS COMMITMENT TO TEACHING AND CLINICAL RESEARCH. THE NATIONAL INSTITUTES OF HEALTH HAS RECOGNIZED MANY OF OUR MEDICAL CARE AND RESEARCH UNITS FOR EXCELLENCE, INCLUDING OUR CANCER PREVENTION RESEARCH UNIT, CANCER INFORMATION SERVICE CENTER, COMPREHENSIVE CANCER SERVICE, DIGESTIVE DISEASE RESEARCH CENTER, CHILD HEALTH RESEARCH CENTER, CHILDREN'S AND ADULTS' CLINICAL RESEARCH CENTERS, AND CLAUDE D. PEPPER OLDER AMERICANS INDEPENDENCE CENTER. IN 2012, SMILOW CANCER HOSPITAL AND THE YALE CANCER CENTER ENTERED INTO KEY CLINICAL PARTNERSHIPS WITH BOTH THE SARAH CANNON RESEARCH INSTITUTE TO SCIENTIFICALLY COLLABORATE TO ADVANCE CANCER RESEARCH, AND WITH GILEAD SCIENCES, INC., TO BEGIN A MULTI-YEAR RESEARCH COLLABORATION FOCUSED ON THE DISCOVERY OF NOVEL CANCER THERAPIES. YALE-NEW HAVEN HOSPITAL'S ANNUAL SUPPORT OF THIS WORK IS CAPTURED UNDER CREATING HEALTHIER COMMUNITIES. STATE CANCER REGISTRIES ENABLE PUBLIC HEALTH PROFESSIONALS TO BETTER UNDERSTAND AND ADDRESS CANCER BURDEN. REGISTRY DATA ARE CRITICAL FOR TARGETING PROGRAMS FOCUSED ON RISK-RELATED BEHAVIORS OR ON ENVIRONMENTAL RISK FACTORS. SUCH INFORMATION IS ALSO ESSENTIAL FOR IDENTIFYING WHEN AND WHERE CANCER SCREENING EFFORTS SHOULD BE ENHANCED AND FOR MONITORING THE TREATMENT PROVIDED TO CANCER PATIENTS. IN ADDITION, RELIABLE REGISTRY DATA ARE FUNDAMENTAL TO A VARIETY OF RESEARCH EFFORTS, INCLUDING THOSE AIMED AT EVALUATING THE EFFECTIVENESS OF CANCER PREVENTION, CONTROL OR TREATMENT PROGRAMS. IN THE UNITED STATES, THESE DATA ARE REPORTED TO A CENTRAL STATEWIDE REGISTRY FROM VARIOUS MEDICAL FACILITIES INCLUDING HOSPITALS, PHYSICIANS' OFFICES, THERAPEUTIC RADIATION FACILITIES, FREESTANDING SURGICAL CENTERS AND PATHOLOGY LABORATORIES. DURING FY 2012, THE TOTAL COST ASSOCIATED WITH THE YALE-NEW HAVEN HOSPITAL CANCER REGISTRY WAS $1.2 MILLION.CREATING HEALTHIER COMMUNITIES-THE CITY OF NEW HAVEN AND THE SURROUNDING COMMUNITY IS HOME TO A NUMBER OF NOT-FOR-PROFIT ORGANIZATIONS WORKING TO CREATE HEALTHIER COMMUNITIES. IN 2012, YALE-NEW HAVEN SUPPORTED THE WORK OF DOZENS OF LOCAL NOT-FOR-PROFIT ORGANIZATIONS UNAFFILIATED WITH THE HOSPITAL THROUGH FINANCIAL AND IN-KIND SERVICES TOTALING $1.9 MILLION. ORGANIZATIONS SUPPORTED THROUGH THE HOSPITAL IN 2012 INCLUDED THE BOYS & GIRLS CLUB OF NEW HAVEN, CHRISTIAN COMMUNITY ACTION, CLIFFORD W. BEERS GUIDANCE CLINIC, COLUMBUS HOUSE, CONNECTICUT SPORTS FOUNDATION: HELPING CANCER PATIENTS, CONNECTICUT STATE CONFERENCE OF NAACP BRANCHES, FAMILY CENTERED SERVICES OF CT, EMERGENCY SHELTER MANAGEMENT SERVICES, FARNAM NEIGHBORHOOD HOUSE, FELLOWSHIP PLACE, GATEWAY COMMUNITY COLLEGE, JUNTA FOR PROGRESSIVE ACTION, LEAP, LEEWAY, LIFE HAVEN, LITERACY VOLUNTEERS OF GREATER NEW HAVEN, MONTESSORI SCHOOL OF EDGEWOOD, NAMI, NEW LIFE CORPORATION AND RONALD MCDONALD HOUSE.DURING A SINGLE DAY REGISTRATION DRIVE IN APRIL 2012, YNHH HOSTED AN ORGAN DONOR REGISTRATION EVENT DESIGNED TO RAISE AWARENESS ABOUT THE IMPORTANCE OF ORGAN DONATION. THE EVENT RESULTED IN REGISTERING 544 MORE ORGAN DONORS. THE EVENT WAS SUPERVISED BY A GUINNESS WORLD RECORD JUDGE AS YNHH ATTEMPTED TO BEAT THE PREVIOUS RECORD FOR ONE-DAY DONOR REGISTRATIONS; WHILE IT FELL SHORT OF BREAKING THE RECORD, THE EVENT WAS SUCCESSFUL IN CALLING ATTENTION TO THE VITAL NEED FOR ORGAN DONORS.IN ADDITION, YALE-NEW HAVEN HOSPITAL AND ITS EMPLOYEES SUPPORTED AND PARTICIPATED IN WALKS FOR VARIOUS HEALTH ADVOCACY ORGANIZATIONS. ORGANIZATIONS INCLUDE AIDS WALK NEW HAVEN, AMERICAN DIABETES ASSOCIATION, AMERICAN HEART ASSOCIATION, ALZHEIMER'S ASSOCIATION, CHROHN'S AND COLITIS FOUNDATION OF AMERICA, JUVENILE DIABETES RESEARCH ASSOCIATION, KOMEN CT AFFILIATE RACE FOR THE CURE, LUPUS FOUNDATION OF AMERICA, MARCH OF DIMES, MUSCULAR DYSTROPHY ASSOCIATION, AND THE SICKLE CELL DISEASE ASSOCIATION OF AMERICA, SOUTHERN, CT, INC. SUPPLEMENTAL INFORMATION-YNHH 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 OVER 3,600 MEMBERS INCLUDING RESIDENTS, FELLOWS AND HOSPITALISTS. YALE-NEW HAVEN HOSPITAL CELEBRATED ITS FIRST YEAR OF NURSE MAGNET RECOGNITION BY THE AMERICAN NURSE CREDENTIALING CENTER IN MAY AND REMAINS AMONG ONLY SIX PERCENT OF THE NATION'S HOSPITALS TO EARN THIS PRESTIGIOUS HONOR FOR EXCELLENCE IN NURSING CARE. NURSES AT YNHH CONTINUE TO EXCEED THE EXPECTED PATIENT OUTCOMES BY OUTPERFORMING IN ALL AREAS INCLUDING FALLS. THE NURSE RESEARCH PROGRAM CONTINUED TO GROW WITH OVER 27 STUDIES LED BY STAFF NURSES. THROUGH ENCULTURATION OF THE NURSING PROFESSIONAL PRACTICE MODEL, NURSING IS ABLE TO COLLABORATE WITH INTERDISCIPLINARY PARTNERS THROUGH ITS STAFF NURSE COUNCIL AND PATIENT SERVICE MANAGER COUNCILS TO MAINTAIN A HIGH RELIABILITY ORGANIZATION.DURING FY 2012, YALE-NEW HAVEN HOSPITAL ACQUIRED THE HOSPITAL OF SAINT RAPHAEL. WITH A COMMITMENT TO INCREASE EFFICIENCY, BROADEN ACCESS AND ENHANCE THE ALREADY HIGH QUALITY OF CARE PROVIDED AT BOTH CAMPUSES, THE ACQUISITION RECEIVED THE NECESSARY SUPPORT OF THE FEDERAL TRADE COMMISSION, CONNECTICUT ATTORNEY GENERAL AND APPROVALS FROM 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 PROVIDES CRITICALLY IMPORTANT ACCESS TO NEW CAPACITY FOR YALE-NEW HAVEN HOSPITAL, WHOSE BED LICENSE INCREASED BY 511 GENERAL MEDICINE BEDS AND 22 BASSINETS TO 1,541 BEDS AND BASSINETS, MAKING IT THE 4TH LARGEST HOSPITAL IN THE COUNTRY. THE GREATER NEW HAVEN COALITION FOR SAFE TRANSITIONS AND READMISSION REDUCTIONS, WHICH INCLUDES COLLABORATION BETWEEN THE AGENCY ON AGING OF SOUTH CENTRAL CONNECTICUT AND YALE-NEW HAVEN HOSPITAL, RECEIVED A MONETARY AWARD FROM THE CENTERS FOR MEDICARE & MEDICAID SERVICES TO IMPROVE THE QUALITY OF CARE FOR MEDICARE PATIENTS AND KEEP THEM FROM BEING READMITTED. SPECIAL TRANSITION TEAMS USING REGISTERED NURSES AS CARE COORDINATORS AND SOCIAL WORKERS HAVE BEEN PUT IN PLACE TO REDUCE THE NUMBER OF PATIENTS WHO ARE READMITTED TO THE HOSPITAL WITHIN 30 DAYS.
PART VI, LINE 5: CONTINUES-IN FY 2012, YALE-NEW HAVEN HOSPITAL MADE SIGNIFICANT INVESTMENTS IN AMBULATORY SITE DEVELOPMENT TO ENSURE ACCESS TO KEY HEALTH SERVICES FOR ITS PATIENTS IN THEIR COMMUNITIES. THESE INCLUDED THE NORTH HAVEN AMBULATORY CARE CENTER, A FOUR-STORY, 121,500 SQUARE-FOOT OUTPATIENT MEDICAL CENTER. SERVICES PROPOSED FOR THE SITE, WHICH WILL BE COMPLETED IN JANUARY 2013, INCLUDE A SMILOW CANCER CENTER; A MULTIDISCIPLINARY INTERVENTIONAL IMMUNOLOGY UNIT WITH SPECIALIST IN MULTIPLE SCLEROSIS, ALLERGY AND IMMUNOLOGY, AND RHEUMATOLOGY; MRI UNIT, DIGITAL X-RAY DEVICES; PHARMACY; BLOOD DRAW STATION AND AN URGENT / PRIMARY CARE CENTER. THE HOSPITAL'S URGENT CARE CENTER IN EAST HAVEN ADDED OCCUPATIONAL HEALTH SERVICES TO ITS COMPLEMENT OF SERVICES. THE SITE IS OPEN 7 DAYS PER WEEK AND IS STAFFED BY A BOARD CERTIFIED FAMILY PRACTICE AND EMERGENCY MEDICINE PHYSICIANS WHO TREAT NON-LIFE THREATENING MEDICAL CONDITIONS, INJURIES AND ILLNESSES. RADIOLOGY AND PHYSICAL THERAPY SERVICES WERE OPENED IN VARIOUS LOCATIONS TO SUPPORT THE YALE MEDICAL GROUP ORTHOPEDIC PRACTICE.THE NEWLY CONSTRUCTED 12-BED CRISIS INTERVENTION UNIT AND CHEST PAIN CENTER IN THE YALE-NEW HAVEN HOSPITAL EMERGENCY DEPARTMENT OPENED IN 2012 ON THE HOSPITAL'S YORK STREET CAMPUS. THE EMERGENCY DEPARTMENT ALSO OPENED ITS SPACIOUS NEW PATIENT-CENTRIC DESIGNED WAITING ROOM THAT FACES YORK STREET. THE EMERGENCY DEPARTMENT RENOVATION AND EXPANSION PROJECT, WHICH WILL CONTINUE IN 2013, WILL ADD 32 EXAM ROOMS AND NEARLY 20,000 SQUARE FEET.IN ADDITION TO YNHH'S RECERTIFICATION AS AN ADVANCED PRIMARY STROKE CENTER, YNHH CREATED AN INTENSIVIST MODEL IN ITS NEUROSURGICAL INTENSIVE CARE UNITS, MAKING IT THE FIRST FULLY INTENSIVIST UNIT IN CONNECTICUT AND ITS COMPREHENSIVE EPILEPSY CENTER WAS RECOGNIZED AS A LEVEL 4 EPILEPSY CENTER BY THE NATIONAL ASSOCIATION OF EPILEPSY CENTERS. LEVEL 4 EPILEPSY CENTERS ARE RECOGNIZED AS HAVING THE PROFESSIONAL EXPERTISE AND FACILITIES TO PROVIDE THE HIGHEST LEVEL MEDICAL AND SURGICAL EVALUATION AND TREATMENT FOR PATIENTS WITH COMPLEX EPILEPSY.IN 2012, SMILOW CANCER HOSPITAL AND THE YALE CANCER CENTER WERE RENEWED AS A COMPREHENSIVE CANCER CENTER BY THE NATIONAL CANCER INSTITUTE (NCI), AND THE BREAST CENTER WAS ACCREDITED BY THE NATIONAL ACCREDITATION PROGRAM OF BREAST CENTERS (NAPBC), MAKING IT THE ONLY NAPBC ACCREDITED, NCI-DESIGNATED COMPREHENSIVE CANCER CENTER IN THE NORTHEAST. IN ADDITION TO THE ACQUISITION OF NINE NEW SMILOW CANCER HOSPITAL AMBULATORY CARE CENTERS, A SMILOW SATELLITE WAS OPENED AT GREENWICH HOSPITAL AND A CO-DEVELOPMENT AGREEMENT WITH THE CHARLOTTE HUNGERFORD HOSPITAL WAS FORMED.YALE-NEW HAVEN CHILDREN'S HOSPITAL'S MEDICAL FOUNDATION PARTNERSHIP WITH THE CONNECTICUT CHILDREN'S MEDICAL CENTER, THE NORTHEAST PEDIATRIC SPECIALISTS, INC. RECRUITED THE NEW CHIEF OF PEDIATRIC CARDIAC SURGERY FOR BOTH YNHH AND CONNECTICUT CHILDREN'S MEDICAL CENTER. THIS INNOVATIVE ALIGNMENT ALLOWS CONNECTICUT'S TWO LEADING CHILDREN'S INSTITUTIONS TO ADDRESS KEY PEDIATRIC SUBSPECIALTY PHYSICIAN SHORTAGES AND TO MAINTAIN THEIR TERTIARY LEVELS OF CARE. IN ADDITION, YALE-NEW HAVEN CHILDREN'S HOSPITAL, WAS DESIGNATED AS AN EXTRACORPOREAL LIFE SUPPORT ORGANIZATION CENTER OF EXCELLENCE IN LIFE SUPPORT. THIS DESIGNATION SIGNIFIES TO PATIENTS AND FAMILIES A COMMITMENT TO EXCEPTIONAL PATIENT CARE AND DEMONSTRATES TO THE HEALTH CARE COMMUNITY AN ASSURANCE OF HIGH QUALITY STANDARDS, SPECIALIZED EQUIPMENT AND SUPPLIES, DEFINED PATIENT PROTOCOLS, AND ADVANCED STAFF EDUCATION.IN 2012, BRIDGEPORT HOSPITAL'S 42 PEDIATRIC AND NEONATAL INTENSIVE CARE BEDS AND ITS PEDIATRIC CLINIC WERE INTEGRATED INTO YALE-NEW HAVEN CHILDREN'S HOSPITAL, ENHANCING REGIONAL ACCESS TO SPECIALTY PEDIATRIC SERVICES.FOR THE 13TH YEAR, YNHH WAS SELECTED AS ONE OF THE MOST WIRED HOSPITALS IN THE NATION BY HOSPITALS AND HEALTH NETWORKS, A TRADE MAGAZINE PUBLISHED BY THE AMERICAN HOSPITAL ASSOCIATION. THIS RECOGNITION IS BASED ON TECHNOLOGY ADVANCEMENTS MADE BY HEALTHCARE ORGANIZATIONS TO ENHANCE PATIENT SAFETY, CLINICAL QUALITY AND CUSTOMER SERVICE. EACH YEAR, THOUSANDS OF MEMBERS OF THE COMMUNITY SUPPORT YNHH THROUGH PHILANTHROPY AND VOLUNTEERING. IN FY 2012, 2,175 VOLUNTEERS DEDICATED A TOTAL OF 165,803 SERVICE HOURS TO THE HOSPITAL. VOLUNTEERS WERE PLACED IN OVER 50 AREAS THROUGHOUT THE HOSPITAL INCLUDING ADMITTING, ADULT EMERGENCY DEPARTMENT, CHILD PSYCHIATRY, COMMUNITY HEALTH, DENTAL CLINIC, HEART CENTER, LABORATORY MEDICINE, OCCUPATIONAL HEALTH, REHABILITATION SERVICES, RELIGIOUS MINISTRIES, SHORELINE MEDICAL CENTER, SOCIAL WORK AND WOMEN'S SERVICES.
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 IN NEED HAVE ACCESS TO APPROPRIATE HEALTHCARE SERVICES. THE YALE NEW HAVEN HEALTH SYSTEM REQUIRES ITS HOSPITALS TO INCORPORATE PLANS TO PROMOTE HEALTHY COMMUNITIES WITHIN HOSPITAL EXISTING BUSINESS PLANS FOR WHICH THEY ARE HELD ACCOUNTABLE. IN ADDITION, REGULAR REPORTING ON COMMUNITY BENEFITS IS REQUIRED ON A QUARTERLY BASIS AND OBJECTIVES IN THE EXECUTIVES' PERFORMANCE EVALUATION ARE ASSOCIATED WITH PROVIDING BENEFITS TO THE COMMUNITY. EACH DELIVERY NETWORK'S MISSION, VISION AND BUSINESS PLAN INCORPORATES THE CONCEPTS OF WORKING WITH ITS COMMUNITY TO IDENTIFY OPPORTUNITIES TO PROMOTE HEALTH, PROVIDE SERVICE THAT PROMOTE HEALTH AND PROVIDE CHARITY CARE AND FREE CARE TO THOSE THAT CANNOT AFFORD NECESSARY SERVICES.
CT	REPORTS FILED WITH STATES	PART VI, LINE 7

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	0	RecordsMaintained

Recipient Table RecipientTable (37 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant	EIN Of RecipientEINOfRecipient	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
CITY OF NEW HAVEN
165 CHURCH STREET	NEW HAVEN	CT	06511	GOV	1817829	COMMUNTY BENEFIT DEV
COMMUNITY FOUNDATION OF GREATER NEW HAVEN
28 LINCOLN WAY	NEW HAVEN	CT	06510	C-3	525000	SUPPORT MISSION	066032106
GATEWAY COMMUNITY COLLEGE
60 SARGENT DRIVE	NEW HAVEN	CT	06511	C-3	205000	SUPP NURSING CAREER	223135128
HABITAT FOR HUMANITY
37 UNION STREET	NEW HAVEN	CT	06511	C-3	160000	SUPPORT MISSION	061178712	450	COMPARABLE RATE	HOURS DONATED
NAACP NEW HAVEN BRANCH
545 WHALLEY AVE	NEW HAVEN	CT	06511	C-4	30250	SPONSORSHIP	066099313
NEW HAVEN INTERNATIONAL FESTIVAL
195 CHURCH STREET	NEW HAVEN	CT	06511	C-3	20000	SPONSORSHIP	061444222
ACHIEVEMENT FIRST
403 JAMES STREET	NEW HAVEN	CT	06511	C-3	12000	SUPPORT MISSION	651203744
VISITING NURSE ASSOCIATION SOUTH
ONE LONG WHARF DRIVE	NEW HAVEN	CT	06511	C-3	11300	SUPPORT MISSION	060646941
ANTI DEFAMATION LEAGUE
WHITNEY AVE	NEW HAVEN	CT	06511	C-3	10000	SPONSORSHIP	131818723
BEULAH HEIGHT SOCIAL INTEGRATION
782 ORCHARD STREET	NEW HAVEN	CT	06511	C-3	10000	SPONSORSHIP	061290930
GREATER NEW HAVEN CHAMBER OF COMMER
900 CHAPEL STREET	NEW HAVEN	CT	06510	C-6	10000	SPONSORSHIP	060646890
NEW HAVEN SYMPHONY ARCHESTRA
70 AUDUBON STREET	NEW HAVEN	CT	06510	C-3	10000	SUPPORT MISSION	066000592
PROMISING SCHOLARSHIP FUND INC
44 UPPER STATE STREET	NORTH HAVEN	CT	06473	C-3	10000	SUPPORT MISSION	800112325
WOMEN & FAMILY LIFE CENTER
96 FAIR STREET	GUILFORD	CT	06437	C-3	10000	SUPPORT MISSION	222093815
RONALD MCDONALD HOUSE
501 GEORGE STREET	NEW HAVEN	CT	06511	C-3	8500	SUPPORT MISSION	061063758
SHUBERT THEATRE
247 COLLEGE STREET	NEW HAVEN	CT	06510	C-3	7750	SUPPORT MISSION	061625278
CT STATE MISSIONARY BAPTIST CONVENT
10 CHERRY DRIVE	DANBURY	CT	06812	C-3	6500	SUPPORT MISSION	061421410
EASTER SEALS GOODWILL
95 HAMILTON STREET	NEW HAVEN	CT	06511	C-3	5350	SUPPORT MISSION	237431264
CITY SEED
817 GRAND AVENUE	NEW HAVEN	CT	06511	C-3	5000	SUPPORT MISSION	830397621
AMERICAN DIABETES ASSOCIATION
P O BOX 13050	ALEXANDRIA	VA	22312	C-3	5000	SPONSORSHIP	131623888
BREAST CANCER EMERGENCY AID
P O BOX 616	WESTPORT	CT	06881	C-3	5000	SUPPORT MISSION	030600624
JUVENILE DIABETES RESEARCH
2969 WHITNEY AVE	HAMDEN	CT	06514	C-3	5000	SUPPORT MISSION	231907729
KOMEN CT RACE FOR THE CURE
350 CHURCH STREET	HARTFORD	CT	06102	C-3	5000	SPONSORSHIP	752844629
LEEWAY INC
40 ALBERTS ST	NEW HAVEN	CT	06511	C-3	5000	SUPPORT MISSION	223065487
NEW LIFE CORPORATION
540 ELLA T GRASSO BLVD	NEW HAVEN	CT	06519	C-3	5000	SUPPORT MISSION	061443579
SHORELINE ARTS ALLIANCE
725 BOSTON POST ROAD	GUILFORD	CT	06437	C-3	5000	SUPPORT MISSION	061027403
STRIVE-NEW HAVEN
746 CHAPEL STREET	NEW HAVEN	CT	06510	C-3	5000	SUPPORT MISSION	383667019	450	COMPARABLE RATE	HOURS DONATED
CONNECTICUT CENTER FOR ARTS
70 AUDUBON STREET	NEW HAVEN	CT	06510	C-3	100000	SUPPORT MISSION	451257955	1769	COMPARABLE RATE	HOURS DONATED
COLUMBUS DAY COMMITTEE INC
105 ROBINWOOD ROAD	HAMDEN	CT	06517	C-3	5000	SUPPORT MISSION	061055636
COORDINATING COUNCIL FOR CHILDREN IN CRISIS
131 DWIGHT STREET	NEW HAVEN	CT	06510	C-3	5000	SUPPORT MISSION	060972684	643	COMPARABLE RATE	HOURS DONATED
FIRST CALVARY BAPTIST CHURCH
609 DIXWELL AVE	NEW HAVEN	CT	06511	C-3	10000	SUPPORT MISSION	061173497
MARCH OF DIMES FOUNDATION
500 WINDING BROOK DR	GLASTONBURY	CT	06033	C-3	5000	SUPPORT MISSION	131846366
NATIONAL KIDNEY FOUNDATION
30 EAST 33 ST	NEW YORK	NY	10016	C-3	6000	SUPPORT MISSION	131673104
PATRONS OF THE NEW HAVEN
133 ELM STREET	NEW HAVEN	CT	06510	C-3	5000	SUPPORT MISSION	061283798
READ TO GROW
53 SCHOOL GROUND RD UNIT 3	BRANFORD	CT	06405	C-3	5000	SUPPORT MISSION	061572185
WALLINGFORD CHAMBER OF COMMERCE
100 SOUTH TURNPYKE RD	WALLINGFORD	CT	06492	C-6	6500	SUPPORT MISSION	060684642
WEST INDIAN FOUNDATION INC
32 WINTONBURY AVENUE	BLOOMFIELD	CT	06002	C-2	5000	SPONSORSHIP	060976022

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	32	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	5	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	NURSING SCHOLARSHIPS	TypeOfGrant
Number Of Recipients	15	NumberOfRecipients
Amount Of Cash Grant	30000	AmountOfCashGrant
Method Of Valuation	FMV	MethodOfValuation

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PART 1, LINE 2 - PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS	Identifier
Explanation	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.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	1	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (21 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
PETER N HERBERT MD
484172	322782	133923	89282	344672	229782	11590	7727	10009	6673	984366	656246	9542	6362
MARNA P BORGSTROM
675318	675318	335832	335832	25839	25839	267117	267117	46258	46258	1350364	1350364	0	0
PAUL N PATTON
304014	0	93115	0	51140	0	118318	0	32349	0	598936	0	0	0
WILLIAM J ASELTYNE
326984	108995	98084	32695	52319	17440	109031	36344	52980	17660	639398	213134	0	0
KEVIN F WALSH
285210	0	73593	0	52609	0	111824	0	35061	0	558297	0	0	0
THOMAS D LEARY
286973	15104	72625	3822	34034	1791	124505	6553	20640	1086	538777	28356	3341	176
JAMES M STATEN
373179	373179	121224	121224	38280	38280	140812	140812	20846	20846	694341	694341	0	0
PATRICK M LUDDY
294145	0	63579	0	938884	0	61385	0	17288	0	1375281	0	219343	0
VINCENT PETRINI
324636	0	104580	0	53598	0	126197	0	23362	0	632373	0	3056	0
KEVIN A MYATT
272649	181766	109673	73116	61007	40671	118042	78695	24087	16058	585458	390306	0	0
THOMAS J BALCEZAK
335122	0	81958	0	57279	0	132010	0	23628	0	629997	0	7427	0
STEPHEN M MERZ
209489	0	55777	0	58647	0	90946	0	28034	0	442893	0	0	0
RICHARD D'AQUILA
749634	83293	256017	28446	137052	15228	282130	31348	46113	5124	1470946	163439	0	0
PATRICIA S FITZSIMONS
344435	0	129907	0	233136	0	19164	0	38349	0	764991	0	0	0
DANIEL BARCHI
84820	339282	0	0	7602	30408	35952	143807	16063	64253	144437	577750	0	0
ABE LOPMAN
344235	0	158670	0	70218	0	15736	0	17898	0	606757	0	8117	0
SUHER BAKER
329829	0	48930	0	23405	0	13758	0	18215	0	434137	0	621	0
MARJORIE G GUGLIN
268187	0	71807	0	56166	0	17150	0	21178	0	434488	0	0	0
RICHARD S STAHL
404264	0	141017	0	81550	0	22050	0	3715	0	652596	0	10614	0
CYTHIA SPARER
337914	0	125000	0	41807	0	7350	0	35890	0	547961	0	0	0
MICHAEL APKON
0	0	0	0	194964	0	0	0	0	0	194964	0	89000	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReference

ExplanationExplanation

PART I, LINE 4B

SEVERANCE NONQUALIFIED EQUITY-BASED MARNA P. BORGSTROM $0 $268,096 $0 RICHARD D'AQUILA 0 161,328 0 JAMES M. STATEN 0 139,024 0 KEVIN A. MYATT 0 91,936 0 DANIEL BARCHI 0 87,008 0 WILLIAM J. ASELTYNE 0 78,224 0 THOMAS J. BALCEZAK 0 62,960 0 VINCENT PETRINI 0 61,088 0 PAUL N. PATTON 0 59,168 0 THOMAS D. LEARY 0 57,008 0 KEVIN F. WALSH 0 55,088 0 STEPHEN M. MERZ 0 46,896 0 THE INDIVIDUALS LISTED ABOVE 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. 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. PATRICK LUDDY $ 901,753 PETER HERBERT $ 486,005 PATRICIA FITZSIMONS $ 175,451 TWO FORMER OFFICERS, EDWARD J. DOWLING AND ALVIN R. JOHNSON AND ONE CURRENT OFFICER, PATRICK LUDDY RECEIVED PAYMENTS FROM THE NONQUALIFIED PLAN. THESE AMOUNTS ARE NOT INCLUDED IN COLUMN B OR C. THE FOLLOWING PAYMENTS WERE MADE DIRECTLY TO THEM FROM THE TRUST: EDWARD DOWLING $172,934 ALVIN JOHNSON $ 65,635 PATRICK LUDDY $ 3,566

PART I, LINE 7

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.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
CHEFA- SERIES J-1
060806186	20774UFP5	2006-09-26	184574131	CANCER HOSPITAL CONSTRUCTION	0	0	0
CHEFA- SERIES K-1
060806186	20774UVY8	2008-05-14	54555000	REFUND OF SERIES I	0	0	0
CHEFA- SERIES K-2
060806186	20774UVZ5	2008-05-14	54550000	REFUND OF SERIES I-2	0	0	0
CHEFA- SERIES L-1
060806186	20774UWA9	2008-05-14	53730000	REFUND OF SERIES J-2	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Total ProceedsTotalProceeds	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
203907795	3297523	200610272	2009	0	1	1
54555000	291973		2008	1	1	1
54550000	291973		2008	1	1	1
53754048	286645		2008	1	1	1

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
1	1	0.00000	0.00000	1
1	1	0.00000	0.00000	1
1	1	0.02560	0.02560	1
1	1	0.00510	0.00510	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Term Of GICTermOfGIC	Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
MORGAN STANLEY
0	0	0	1	2.000000000000	1	1	0
(no name)
0	1	0	0			0	0
(no name)
0	1	0	0			0	0
(no name)
0	1	0	0			0	0

Field	Value	IRS element (for citing)
Fed Tax Requirements Compliance	X	FedTaxRequirementsCompliance

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	PART III, LINE 3B	Identifier
Explanation	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.	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
CHEFA- SERIES L-2
060806186	20774UWB7	2008-05-14	53730000	REFUND OF SERIES J-3	0	0	0
CHEFA- SERIES M
060806186	20774U5T8	2010-12-22	105436335	CONSTRUCTION PROJECT	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceeds	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Amount In Reserve FundAmountInReserveFund	Capitalized InterestCapitalizedInterest	Capital ExpendituresCapitalExpenditures
54754048	286645	2006	1	0	1	1
105436335	1861661	2012	0	0	1	1	13343981	5030954	95171677

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Any Research AgreementsAnyResearchAgreements	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
0	0	1	1	0	0.00000	0.00000	1
0	0	1	1	0	0.00000	0.00000	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
0	1	0	0	0	0
0	1	0	0	0	0

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
LAURA LOMBARDO-BOYLE
SEE SCHEDULE O	101325	SEE PART V	0
CENTURY FINANCIAL SERVICES
SEE SCHEDULE O	675026	SEE PART V	0
UNITED ILLUMINATING CO
SEE SCHEDULE O	3475480	SEE PART V	0

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Explanation	PART IV, COLUMN DBUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONSNAME OF INTERESTED PERSON: LAURA LOMBARDO-BOYLETHE HOSPITAL EMPLOYS LAURA LOMBARDO-BOYLE, THE DAUGHTER OF TRUSTEE ANNEMARIE LINDSKOG, AS A REGISTERED NURSE. MS. LOMBARDO-BOYLE HAD BEEN AN EMPLOYEE OF THE HOSPITAL BEFORE MS. LINDSKOG'S APPOINTMENT TO THE HOSPITAL'S BOARD OF TRUSTEES DURING THE HOSPITAL'S TAX YEAR. AMOUNT OF TRANSACTION: $101,325.NAME OF INTERESTED PERSON: CENTURY FINANCIAL SERVICES, INC.OFFICER JOHN SKELLY IS A DIRECTOR OF CENTURY FINANCIAL SERVICES, INC.CENTURY FINANCIAL SERVICES, INC. PROVIDES BILLING AND COLLECTION SERVICES FOR THE HOSPITAL. A PORTION OF CENTURY FINANCIAL SERVICES, INC. IS INDIRECTLY OWNED BY THE HOSPITAL'S CORPORATE PARENT.AMOUNT OF TRANSACTION: $657,025.74.NAME OF INTERESTED PERSON: UNITED ILLUMINATING CO.TRUSTEES JOHN L. LAHEY AND JAMES P. TORGERSON ARE DIRECTORS OF UIL HOLDINGS CORPORATION, THE PARENT COMPANY OF UNITED ILLUMINATING CO. THE HOSPITAL PURCHASED ELECTRICITY AND GAS SERVICES FROM UNITED ILLUMINATING CO., THE ONLY SUPPLIER OF ELECTRICITY AND GAS AVAILABLE TO THE HOSPITAL. RATES CHARGED BY UNITED ILLUMINATING CO. ARE REVIEWED AND APPROVED BY THE CONNECTICUT DEPARTMENT OF PUBLIC UTILITY CONTROL.AMOUNT OF TRANSACTION: $3,475,480.40.SOME OF THE HOSPITAL'S CURRENT OFFICERS SERVE AS OFFICERS AND/OR DIRECTORS OF RELATED ORGANIZATIONS OR AFFILIATES WITHIN THE HOSPITAL'S CORPORATE SYSTEM. THE HOSPITAL ENGAGES IN BUSINESS TRANSACTIONS WITH SOME OF THESE RELATED ORGANIZATIONS AND 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 RELATED ORGANIZATIONS OR AFFILIATES AND SERVE ONLY AS A FUNCTION OF THEIR ROLES AT THE HOSPITAL.	Explanation

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTraded

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	3	NumberOfContributions
Noncash Contribs Rptd F990	15094	NoncashContribsRptdF990
Method Of Determining Revenues	STOCK EXCHANGE QUOTES	MethodOfDeterminingRevenues

Food Inventory FoodInventory

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	1	NumberOfContributions
Noncash Contribs Rptd F990	5080	NoncashContribsRptdF990
Method Of Determining Revenues	CAMPARABLE MARKET PRICE	MethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable (3 entries)

Non Cash CheckboxNonCashCheckbox	DescriptionDescription	Number Of ContributionsNumberOfContributions	Noncash Contribs Rptd F990NoncashContribsRptdF990	Method Of Determining RevenuesMethodOfDeterminingRevenues
X	ELECTRONICS	1	3791	COMPARABLE MARKET PRICE
X	GIFTCARDS/BAGS	2	16131	COMPARABLE MARKET PRICE
X	EVENT TICKETS	1	4015	COMPARABLE MARKET PRICE

Field	Value	IRS element (for citing)
Number Of8283 Received	0	NumberOf8283Received
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	1	ReviewProcessUnusualNCGifts
Third Parties Used	0	ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
PROGRAM SERVICE STATEMENT	FORM 990, PART III, LINE 4A	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.
	FORM 990, PART VI	PART I, LINE 4 & PART VI, LINE 1B NUMBER OF INDEPENDENT VOTING MEMBERS OF THE GOVERNING BODY THE HOSPITAL 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 HOSPITAL AND ANNUAL CONFLICTS OF INTEREST DISCLOSURES, THE HOSPITAL WAS ABLE TO CONFIRM THAT 22 VOTING MEMBERS ARE INDEPENDENT.THE ORGANIZATION HAS NO REASON TO BELIEVE THAT THE REMAINING VOTING MEMBER IS NOT INDEPENDENT,
	FORM 990, PART VI, SECTION A, LINE 2	BUSINESS RELATIONSHIPS BETWEEN OFFICERS, DIRECTORS, TRUSTEES, OR KEY EMPLOYEES: 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: MEDICAL CENTER REALTY, INC.; MEDICAL CENTER PHARMACY AND HOME CARE CENTER, INC.; YALE-NEW HAVEN AMBULATORY SERVICES CORPORATION; AND YORK ENTERPRISES, INC.
	FORM 990, PART VI, SECTION A, LINE 6	THE SOLE MEMBER OF YALE NEW HAVEN HOSPITAL IS YNH NETWORK CORP, WHICH IS THE PARENT OF THE HOSPITAL
	FORM 990, PART VI, SECTION A, LINE 7A	THE YNH NETWORK CORPORATION SHALL HAVE THE RIGHT TO ELECT THE ORGANIZATION'S BOARD OF TRUSTEES IN ACCORDANCE WITH THE BYLAWS.
	FORM 990, PART VI, SECTION A, LINE 7B	THE YNH NETWORK CORPORATION, AS THE ORGANIZATIONS' SOLE MEMBER, HAS THE FOLLOWING RIGHTS, POWERS AND PRIVILEGES: A.) TO ACCEPT OR REJECT, AFTER APPROVAL OF THE BOARD OF TRUSTEES, THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE ORGANIZATION. B.) TO APPROVE, UPON RECOMMENDATION BY THE BOARD OF TRUSTEES, ANY PROGRAMS OR EXPENDITURES REQUIRING CERTIFICATE OF NEED APPROVAL BY GOVERNMENTAL BODIES AND PLANS WHICH MATERIALLY AFFECT THE GROWTH AND THE DEVELOPMENT OF THE ORGANIZATION. C.) TO APPROVE, UPON RECOMMENDATION BY THE BOARD OF TRUSTEES, SIGNIFICANT AFFILIATION AGREEMENTS BETWEEN THE HOSPITAL AND OTHER INSTITUTIONS, SIGNIFICANT FUND RAISING PROGRAMS PROPOSED TO BE CONDUCTED BY THE ORGANIZATION, THE SALE OR DISPOSITION OF ANY ASSETS OF THE ORGANIZATION NOT IN THE USUAL COURSE OF BUSINESS, AND THE INCURRING OF INDEBTEDNESS FOR BORROWED MONEY EXCEPT IN ACCORDANCE WITH AN APPROVED OPERATING OR CAPITAL BUDGET.
	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 19	FORM 990, PART VI, SECTION C, LINE 19: 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.
	PART VII, COLUMN B	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 GAINS ON INVESTMENTS: 6,394,454. FUNDING OF CLINICAL PROGRAMS -12,803,853. BEQUESTS, GIFTS & GRANTS 11,846,729. NET ASSETS RELEASE FOR OPERATIONS 342,000. INVESTMENT INCOME RELEASED FROM RESTRICTIONS 749,904. AUXILIARY SERVICES 106,147. PENSION & POST RETIREMENT ADJUSTMENTS -54,174,000. CHANGE IN INTEREST IN PERPETUAL TRUST 1,221,000. TRANSFER TO YNHHSC -6,100,000. TRANSFER TO YNH NETWORK CORP 456,000. NET ASSETS RELEASE FOR OPERATIONS -2,961,523. RELEASE FOR WINCHESTER/MCFADDEN 6,754,894. CPI ADJUSTMENTS 564,623. SWAP MARKET VALUE ADJUSTMENTS -12,609,904. CHANGE IN MV OF INVESTMENTS 46,047,042. RELEASE FOR FREE CARE 888,527. INVESTMENT RESERVE 1,320,486. OTHER CHANGES IN NET ASSETS- CLINICAL PROGRAMS -4,591,333. TOTAL TO FORM 990, PART XI, LINE 5: -16,548,807.
		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

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (16 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg	Direct Controlling Entity NADirectControllingEntityNA
GREENWICH HOSPITAL
5 PERRYRIDGE ROAD	GREENWICH	CT	06830	060646659	HEALTHCARE	CT	501C3	LINE 3	GREENWICH HEALTH CARE SERVICES INC	1
GREENWICH HEALTH CARE SRVS INC
5 PERRYRIDGE ROAD	GREENWICH	CT	06830	222593399	SYSTEM SUPPORT	CT	501C3	LINE 11B, II	YALE NEW HAVEN HEALTH SERVICES INC	0
GREENWICH HOSPITAL ENDOW FUND INC
5 PERRYRIDGE ROAD	GREENWICH	CT	06830	061526642	SYSTEM SUPPORT	CT	501C3	LINE 11B, II	GREENWICH HEALTH CARE SERVICES INC	1
BRIDGEPORT HOSP & HEALTHCARE SRVS
267 GRANT STREET	BRIDGEPORT	CT	06610	061066729	SYSTEM SUPPORT	CT	501C3	LINE 11A, I	YALE NEW HAVEN HEALTH SERVICES INC	0
BRIDGEPORT HOSPITAL
267 GRANT STREET	BRIDGEPORT	CT	06610	060646554	HEALTHCARE	CT	501C3	LINE 3	BRIDGEPORT HOSP & HEALTHCARE SRVS	1
SCHS PROPERTIES INC
267 GRANT STREET	BRIDGEPORT	CT	06610	061297708	TITLE HOLDING	CT	501C2		BRIDGEPORT HOSP & HEALTHCARE SRVS	1
BRIDGEPORT HOSPITAL AUXILIARY INC
267 GRANT STREET	BRIDGEPORT	CT	06610	066042500	SYSTEM SUPPORT	CT	501C3	LINE 11A, I	BRIDGEPORT HOSP & HEALTHCARE SRVS	1
BRIDGEPORT HOSPITAL FOUNDATION INC
267 GRANT STREET	BRIDGEPORT	CT	06610	222908698	SYSTEM SUPPORT	CT	501C3	LINE 7	BRIDGEPORT HOSP & HEALTHCARE SRVS	1
NORMA F PFREIM BREAST CANCER INC
111 BEACH ROAD	FAIRFIELD	CT	06430	060567752	HEALTHCARE	CT	501C3	LINE 11A, I	BRIDGEPORT HOSPITAL	1
NORTHEAST MEDICAL GROUP INC
226 MILL HILL AVENUE	BRIDGEPORT	CT	06610	061330992	HEALTHCARE	CT	501C3	LINE 9	YALE NEW HAVEN HEALTH SERVICES INC	1
NORTHEAST MEDICAL GROUP PLLC
226 MILL HILL AVENUE	BRIDGEPORT	CT	06610	352380180	HEALTHCARE	CT	501C3	LINE 11A, I	NORTHEAST MEDICAL GROUP	1
YALE NEW HAVEN HEALTH SERVICES CORP
789 HOWARD AVE	NEW HAVEN	CT	06519	222529464	SYSTEM SUPPORT	CT	501C3	LINE 11A, I		0	N/A
YNH NETWORK CORP
789 HOWARD AVE	NEW HAVEN	CT	06519	061513687	SYSTEM SUPPORT	CT	501C3	LINE 11A, I	YALE NEW HAVEN HEALTH SERVICES INC	0
YALE-NEW HAVEN CARE CONTINUUM CORP
789 HOWARD AVE	NEW HAVEN	CT	06519	455235566	NURSING HOME/HEALTHCARE	CT	501C3	LINE 3	YNHNETWORK	1
CARITAS INSURANCE
30 MAIN STREET	BURLINGTON	VT	05401	030322238	INSURANCE	VT	501C3	LINE 11A, I	YALE-NEW HAVEN HOSPITAL	0
PERRYRIDGE CORPORATION
5 PERRYRIDGE ROAD	GREENWICH	CT	06830	061207316	SYSTEM SUPPORT	CT	501(C)(3)	LINE 11B, II	GREENWICH HEALTH CARE SERVICES INC	1

Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA
SHORELINE SURGERY CENTER LLC
60 TEMPLE STREET	NEW HAVEN	CT	06510	900110459	HEALTHCARE	CT	N/A
SSC II LLC
111 GOOSE LANE	GUILFORD	CT	06437	261709382	HEALTHCARE	CT	N/A
ORTHOPAEDIC & NEUROSURGERY CENTER
55 HOLLY HILL LANE	GREENWICH	CT	06830	273411797	HEALTHCARE	CT	N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (17 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	CountryAddressForeign/Country	Legal Domicile Foreign CountryLegalDomicileForeignCountry
YNHHS-MSO INC
789 HOWARD AVE	NEW HAVEN	CT	06519	061467717	MANAGEMENT SERVICES	CT	N/A	C
YALE NEW HAVEN AMBULATORY SERVICES
40 TEMPLE STREET	NEW HAVEN	CT	06510	061398526	HEALTHCARE	CT		C	YNH NETWORK CORP
QUINNIPIAC MEDICAL PC
789 HOWARD AVE	NEW HAVEN	CT	06519	061405531	HEALTHCARE	CT		C	YALE-NEW HAVEN HOSPITAL	45704	1000	1.00000
MEDICAL CENTER REALTY
50 YORK STREET	NEW HAVEN	CT	06511	061110858	RENTAL	CT		C	YORK ENTERPRISES INC
YNH GERIATRICS SERVICESPC
789 HOWARD AVE	NEW HAVEN	CT	06519	061561581	HEALTHCARE	CT		C	YALE-NEW HAVEN HOSPITAL	4681	5790
YNH MEDICAL SERVICES PC
789 HOWARD AVE	NEW HAVEN	CT	06519	061561583	HEALTHCARE	CT		C	YALE-NEW HAVEN HOSPITAL	4270	3016	1.00000
CHC PHYSICIANS PC
789 HOWARD AVE	NEW HAVEN	CT	06519	061436530	HEALTHCARE	CT		C	YALE-NEW HAVEN HOSPITAL		17030	1.00000
GREENWICH HEALTH SERVICES INC
5 PERRYRIDGE ROAD	GREENWICH	CT	06830	061233643	HEALTHCARE	CT		C	GREENWICH HEALTHCARE SERVICES INC
GREENWICH PEDIATRIC SERVICES PC
5 PERRYRIDGE ROAD	GREENWICH	CT	06830	743054409	HEALTHCARE	CT		C	GREENWICH HEALTH SERVICES INC
GREENWICH INTEGRATIVE MEDICINE
5 PERRYRIDGE ROAD	GREENWICH	CT	06830	260236411	HEALTHCARE	CT		C	GREENWICH HEALTH SERVICES INC
GREENWICH FERTILITY & IVF PC
5 PERRYRIDGE ROAD	GREENWICH	CT	06830	300145464	HEALTHCARE	CT		C	GREENWICH HEALTH SERVICES INC
YORK ENTERPRISES INC
50 YORK STREET	NEW HAVEN	CT	06511	061110937	TITLE HOLDING	CT		C	YNH NETWORK CORP
YNHH-PHYSICIANS CORP
789 HOWARD AVE	NEW HAVEN	CT	06519	061202305	ADMININISTRATIVE SERVICES	CT		C	YALE NEW HAVEN HEALTH SERVICES CORP
MEDICAL CENTER PHARMACY
50 YORK STREET	NEW HAVEN	CT	06511	061087673	PHARMACY	CT		C	YORK ENTERPRISES INC
GREENWICH OCCUP HEALTH SERV INC-NY
5 PERRYRIDGE ROAD	GREENWICH	CT	06830	061540101	HEALTHCARE	NY		C	GREENWICH HEALTH SERVICES INC
LUKAN IMDEMNITY CO LTD
				981072793	INSURANCE			C	YALE-NEW HAVEN HOSPITAL			1.00000	VALLIS BLDG 58 PAR LA VILLE RD	HAMILTON	BD	BD
GREENWICH OCCUP HEALTH SERV INC-NJ
5 PERRYRIDGE ROAD	GREENWICH	CT	06830	453833883	HEALTHCARE	NJ		C	GREENWICH HOSPITAL

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	0	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	1	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	1	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	1	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	0	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (11 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
YALE NEW HAVEN HEALTH SERVICES CORP
I	2883	COMPARABLE MARKET VALUE
YALE NEW HAVEN HEALTH SERVICES CORP
O	20948812	TRANSACTION REVIEW
YALE NEW HAVEN HEALTH SERVICES CORP
L	115716530	COMPARABLE MARKET VALUE
YALE NEW HAVEN HEALTH SERVICES CORP
Q	9000000	CASH
MEDICAL CENTER REALTY INC
L	71370	COMPARABLE MARKET VALUE
MEDICAL CENTER PHARMACY
R	72625	TRANSACTION REVIEW
YALE NEW HAVEN MEDICAL CENTER INC
R	422625	TRANSACTION REVIEW
NORTHEAST MEDICAL GROUP INC
K	3252320	TRANSACTION REVIEW
YALE NEW HAVEN AMBULATORY SERVICES CORP
D	12539721	TRANSACTION REVIEW
YNH NETWORK CORP
Q	613000	CASH
YALE NEW HAVEN CARE CONTINUUM CORP
D	3592710	TRANSACTION REVIEW

Form990 Schedule R Part VII Form990ScheduleRPartVII

Field	Value	IRS element (for citing)
Explanation	THE FOLLOWING ENTITIES LISTED AS RELATED ORGANIZATION IN PART IV: QUINNIPIAC MEDICAL PC, YNH GERIATRICS PC, YNH MEDICAL SERVICES PC AND CHC PHYSICIANS CORP. ARE ALL CONTROLLED BY YALE-NEW HAVEN HOSPITAL CHIEF OF STAFF. IN ACCORDANCE WITH STATE LAWS, PROFESSIONAL CORPORATIONS SUCH AS THESE MUST BE OWNED BY A PHYSICIAN. THEREFORE THE CHIEF OF STAFF OF Y-NHH IS THE APPOINTED NOMINEE SHAREHOLDER OF THESE ENTITIES.	Explanation