2013-08-14T08:30:05-05:00 2012-09-30 346565596 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE SUITE 2600 INDIANAPOLIS IN 46204 990 2011-10-01 061513687 YNH NETWORK CORPORATION YNHN 2036882069 789 HOWARD AVENUE NEW HAVEN CT 06519 JAMES STATEN 2036882069 2013-08-12 0 CHRISTOPHER BOGGS P00032493 3176817471 2011 2016-02-24 21:20:13Z JAMES STATEN 789 HOWARD AVE NEW HAVEN CT 06519 508 0 X N/A X 1998 CT TO DEVELOP,MANAGE AND COORDINATE A LOCAL,VERTTICAL INTEGRATED NETWORK OF HEALTH CARE SERVICES. 11 10 0 0 0 0 0 0 0 0 1253 508 0 0 1253 508 0 0 0 0 0 0 0 0 0 80173 100590 80173 100590 -78920 -100082 10302050 9610392 83582 84463 10218468 9525929 TO DEVELOP, MANAGE AND COORDINATE A LOCAL, VERTICALLY INTEGRATED NETWORK OF HEALTH CARE SERVICES THROUGH YALE-NEW HAVEN HOSPITAL, INC., (YNHH) AND ITS AFFILIATES BY PROVIDING ESSENTIAL SUPPORT SERVICES. 0 0 TO PROVIDE ESSENTIAL SUPPORT SERVICES THROUGHOUT THE YEAR TO YALE-NEW HAVEN HOSPITAL , INC., (Y-NHH) AND ITS AFFILIATES. 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 11 10 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X VINCENT TAMMARO 2036882069 789 HOWARD AVE NEW HAVEN CT 06519 X JOHN L LAHEY 1.00 X 0 0 0 JOSEPH R CRESPO 1.00 X X 0 0 0 JULIA M MCNAMARA 1.00 X X 0 0 0 MARNA P BORGSTROM 1.00 X X 0 2073978 626750 MARVIN K LENDER 1.00 X 0 0 0 MICHAEL H FLYNN 1.00 X 0 0 0 VINCENT CALARCO 1.00 X 0 0 0 PEYTON R PATTERSON 1.00 X 0 0 0 RICHARD C LEVIN 1.00 X 0 0 0 ROBERT A HAVERSAT 1.00 X X 0 0 0 MARY FARRELL 1.00 X 0 0 0 JAMES M STATEN 1.00 X 0 1065364 323317 DANIEL BARCHI 1.00 X 0 462112 260075 KEVIN A MYATT 1.00 X 0 738882 236882 KEVIN F WALSH 1.00 X 0 411412 146885 PATRICIA S FITZSIMONS 1.00 X 0 707478 57513 PATRICK M LUDDY 1.00 X 0 1296608 78673 PETER N HERBERT MD 1.00 X 0 1604613 35999 RICHARD D'AQUILA 1.00 X 0 1269670 364715 STEPHEN M MERZ 1.00 X 0 323913 118980 THOMAS D LEARY 1.00 X 0 414349 152784 VINCENT PETRINI 1.00 X 0 482814 149559 WILLIAM J ASELTYNE 1.00 X 0 636515 216017 THOMAS BALCEZAK 1.00 X 0 474359 155638 PAUL PATTON 1.00 X 0 448269 150667 0 12410336 3074454 0 0 1 0 0 508 508 508 0 0 508 60144 60144 3993 3993 16405 16405 SYSTEM SUPPORT 20048 20048 100590 0 100590 0 945915 243537 9356135 9366855 10302050 9610392 83582 84463 83582 84463 X 10218468 9525929 10218468 9525929 10302050 9610392 X -100082 -592457 X 0 1 1 X 0 X X X 0 0 0 YALE-NEW HAVEN HOSPITAL 060646652 3 1 0 1 0 0 INVESTMENT YORK ENTERPRISES 3181678 INVESTMENT YNH ASC 5553844 INVESTMENT IN CHCP 18231 DUE FROM YNHH-CURRENT 613102 9366855 0 1 0 0 0 0 0 0 0 MARNA P BORGSTROM 0 1350637 0 671664 0 51677 0 534233 0 92517 0 2700728 0 0 JAMES M STATEN 0 746357 0 242448 0 76559 0 281624 0 41693 0 1388681 0 0 DANIEL BARCHI 0 424102 0 0 0 38010 0 179759 0 80316 0 722187 0 0 KEVIN A MYATT 0 454415 0 182789 0 101678 0 196737 0 40145 0 975764 0 0 KEVIN F WALSH 0 285210 0 73593 0 52609 0 111824 0 35061 0 558297 0 0 PATRICIA S FITZSIMONS 0 344435 0 129907 0 233136 0 19164 0 38349 0 764991 0 0 PATRICK M LUDDY 0 294145 0 63579 0 938884 0 61385 0 17288 0 1375281 0 219343 PETER N HERBERT MD 0 806954 0 223205 0 574454 0 19317 0 16682 0 1640612 0 15904 RICHARD D'AQUILA 0 832927 0 284463 0 152280 0 313478 0 51237 0 1634385 0 0 STEPHEN M MERZ 0 209489 0 55777 0 58647 0 90946 0 28034 0 442893 0 0 THOMAS D LEARY 0 302077 0 76447 0 35825 0 131058 0 21726 0 567133 0 3517 VINCENT PETRINI 0 324636 0 104580 0 53598 0 126197 0 23362 0 632373 0 3056 WILLIAM J ASELTYNE 0 435979 0 130778 0 69758 0 145374 0 70643 0 852532 0 0 THOMAS BALCEZAK 0 335122 0 81958 0 57279 0 132010 0 23628 0 629997 0 7427 PAUL PATTON 0 304014 0 93115 0 51140 0 118318 0 32349 0 598936 0 0 PART I, LINE 4B PART I, LINE 4B: THE INDIVIDUALS LISTED BELOW ARE PARTICIPANTS IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THESE ACCRUALS ARE INCLUDED IN THE AMOUNTS REPORTED IN PART II, COLUMN C (DEFERRED COMPENSATION)AND REPRESENTS THE RELATED ENTITY'S AMOUNTS THAT HAVE NOT YET BEEN VESTED CONSISTENT WITH THE COMPENSATION REPORTING PER IRS. SEVERANCE NONQUALIFIED EQUITY- BASED MARNA P. BORGSTROM $- $268,096 $- RICHARD D'AQUILA - 161,328 - JAMES M. STATEN - 139,024 - KEVIN A. MYATT - 91,936 - DANIEL BARCHI - 87,008 - WILLIAM J. ASELTYNE - 78,224 - THOMAS J. BALCEZAK - 62,960 - VINCENT PETRINI - 61,088 - PAUL N. PATTON - 59,168 - THOMAS D. LEARY - 57,008 - KEVIN F. WALSH - 55,088 - STEPHEN M. MERZ - 46,896 - INDIVIDUALS LISTED BELOW BECAME VESTED DURING THE REPORTING YEAR. INCLUDED IN SECTION II, COLUMN B (III) ARE AMOUNTS VESTED DURING THE 2011 CALENDAR YEAR THAT WERE RECOGNIZED AS TAXABLE EVENTS AND REPORTED IN THE INDIVIDUALS' 2011 CALENDAR YEAR FORM W-2S. THESE AMOUNTS INCLUDE ACCUMULATIONS OF FUTURE BENEFITS THAT FOR CERTAIN INDIVIDUALS INCLUDE MULTIPLE YEARS OF SERVICE LEADING UP TO THE VESTING OF BENEFITS THAT OCCURRED IN THE 2011 CALENDAR YEAR. PATRICK LUDDY $ 901,753 PETER HERBERT $ 486,005 PATRICIA FITZSIMONS $ 175,451 THE SUPPLEMENTAL RETIREMENT INCOME PLAN (SRIP) IS DESIGNED TO ENSURE THE PAYMENT OF A COMPETITIVE LEVEL OF RETIREMENT INCOME WHEN ADDED TO OTHER SOURCES OF RETIREMENT INCOME IN ORDER TO ATTRACT AND RETAIN KEY MANAGEMENT EMPLOYEES SERVING AS CORPORATE OFFICERS. THE PLAN PROVIDES SUPPLEMENTAL RETIREMENT INCOME THROUGH AN UNFUNDED, NONQUALIFIED DEFERRED COMPENSATION ARRANGEMENT UNDER SECTION 457(F) AND THROUGH A DEFERRED COMPENSATION PLAN UNDER SECTION 409A OF THE INTERNAL REVENUE CODE AND A MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES' PLAN UNDER THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974 (ERISA). FORM 990, PART VI PART VI, SECTION A, LINE 1B: NUMBER OF INDEPENDENT VOTING MEMBERS OF THE GOVERNING BODY THE ORGANIZATION SOUGHT TO CONFIRM THE INDEPENDENCE OF EACH VOTING MEMBER OF ITS GOVERNING BODY BY REQUESTING THAT EACH SUCH VOTING MEMBER RESPOND TO A QUESTIONNAIRE CONTAINING THE PERTINENT INSTRUCTIONS AND DEFINITIONS AND DESIGNED TO ELICIT THE INFORMATION NECESSARY TO DETERMINE INDEPENDENCE. BASED ON RESPONSES TO THE QUESTIONNAIRES RECEIVED BY THE ORGANIZATION AND ANNUAL CONFLICTS OF INTEREST DISCLOSURES, THE ORGANIZATION WAS ABLE TO CONFIRM THAT 9 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 AND TRUSTEES 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; YORK ENTERPRISES, INC. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF YNH NETWORK IS YALE-NEW HAVEN HEALTH SERVICES CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE YALE-NEW HAVEN HEALTH SERVICES CORPORATION SHALL HAVE THE RIGHT TO ELECT THE ORGANIZATION'S BOARD OF DIRECTORS IN ACCORDANCE WITH THE BYLAWS. FORM 990, PART VI, SECTION A, LINE 7B YALE-NEW HAVEN HEALTH SERVICES CORPORATION SHALL HAVE THE FOLLOWING RIGHTS,POWERS AND PRIVILEGES: A.) TO APPROVE LOCAL PLANS AND ALL FUND RAISING PROGRAMS PROPOSED TO BE CONDUCTED; B.) TO APPROVE ANNUAL OPERATING AND CAPITAL BUDGETS, AND STRATEGIC PLANS; C.) TO APPROVE SIGNIFICANT PROGRAMS AND EXPENDITURES PROPOSED TO BE UNDERTAKEN, AND, EXCEPT WHERE SUCH ACTION IS IN ACCORDANCE WITH AN APPROVED OPERATING OR CAPITAL BUDGET, THE PURCHASE OR SALE OF SIGNIFICANT CAPITAL OR OPERATING ASSETS AND THE INCURRING OF ANY INDEBTEDNESS FOR BORROWED MONEY; D.) TO APPROVE: (I) THE SALE OF ALL OR A SUBSTANTIAL PART OF ANY SUCH ENTITY'S ASSETS, (II) ANY MERGER OR A CONSOLIDATION INVOLVING SUCH AND ENTITY, OR (III) ANY CONTRACT TO MANAGE OR ADMINISTER ANY SUCH ENTITY OR A SUBSTANTIAL PART OF ITS BUSINESS. E.) TO APPROVE ANY AMENDMENTS PROPOSED BY THE BOARD OF DIRECTORS TO ANY SUCH ENTITY'S CERTIFICATE OF INCORPORATION AND BYLAWS. 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 VIA A WEB PORTAL. FORM 990, PART VI, SECTION B, LINE 12C THE YNH NETWORK CORPORATION IS COVERED UNDER THE YALE NEW HAVEN HEALTH SYSTEM CONFLICT OF INTEREST POLICY. 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. ALL COMPENSATION REPORTED ON THIS 990 IS PAID FROM RELATED ORGANIZATIONS. THE REPORTING ENTITY, ITSELF, DOES NOT DETERMINE COMPENSATION. HOWEVER,THE RELATED ORGANIZATIONS' PROCESSES DO INCLUDE THE STEPS DESCRIBED ON LINES 15A & 15B. ALL COMPENSATION REPORTED ON THIS 990 IS PAID FROM RELATED ORGANIZATIONS. THE REPORTING ENTITY, ITSELF, DOES NOT DETERMINE COMPENSATION. HOWEVER,THE RELATED ORGANIZATIONS' PROCESSES DO INCLUDE THE STEPS DESCRIBED ON LINES 15A & 15B. 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. CONFLICT OF INTEREST POLICIES IS AVAILABLE TO ALL EMPLOYEES ON THE CORPORATE INTERNAL WEBSITE. COPIES OF ALL DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990 PART VII OFFICERS WORK AN AVERAGE OF 40 HOURS SPREAD OVER THE FILING ENTITY AND THE ENTITIES LISTED IN SCHEDULE R. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -592,457. 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 YALE NEW HAVEN HEALTH SERVICES CORP 789 HOWARD AVE NEW HAVEN CT 06519 222529464 SYSTEM SUPPORT SERVICES CT 501C3 LINE 11A, I N/A 0 BRIDGEPORT HOSPITAL & HEALTHCARE SERVICES 267 GRANT STREET BRIDGEPORT CT 06610 061066729 SYSTEM SUPPORT SERVICES CT 501C3 LINE 11A, I YALE NEW HAVEN HEALTH SERVICES CORP 1 GREENWICH HEALTHCARE SERVICES INC 5 PERRYRIDEGE RD GREENWICH CT 06830 222593399 SYSTEM SUPPORT SERVICES CT 501C3 LINE 11B, II YALE NEW HAVEN HEALTH SERVICES CORP 1 NORTHEAST MEDICAL GROUP INC 226 MILL HILL AVENUE BRIDGEPORT CT 06615 061330992 HEALTHCARE CT 501C3 LINE 9 YALE NEW HAVEN HEALTH SERVICES CORP 1 YALE-NEW HAVEN HOSPITAL 20 YORK ST NEW HAVEN CT 06504 060646652 HEALTHCARE CT 501C3 LINE 3 YNH NETWORK CORP 1 BRIDGEPORT HOSPITAL 267 GRANT STREET BRIDGEPORT CT 06610 060646554 HEALTHCARE CT 501C3 LINE 3 BRIDGEPORT HOSP & HEALTHCARE SERVICES 1 SOUTHERN CT HEALTH SYSTEM PROPERTIES INC 267 GRANT STREET BRIDGEPORT CT 06610 061297708 TITLE HOLDING CT 501C2 BRIDGEPORT HOSP & HEALTHCARE SERVICES 1 BRIDGEPORT HOSPITAL AUXILIARY INC 267 GRANT STREET BRIDGEPORT CT 06610 066042500 SYSTEM SUPPORT SERVICES CT 501C3 LINE 11A, I BRIDGEPORT HOSP & HEALTHCARE SERVICES 1 BRIDGEPORT HOSP FOUNDATION INC 267 GRANT STREET BRIDGEPORT CT 06610 222593399 SYSTEM SUPPORT SERVICES CT 501C3 LINE 7 BRIDGEPORT HOSP & HEALTHCARE SERVICES 1 NORMA F PFREIM BREAST CANCER INC 111 BEACH ROAD FAIRFIELD CT 06430 060567752 HEALTHCARE CT 501C3 LINE 11A, I BRIDGEPORT HOSPITAL 1 THE GREENWICH HOSPITAL ENDOWMENT FUND 5 PERRYRIDGE ROAD GREENWICH CT 06830 061526642 SYSTEM SUPPORT SERVICES CT 501C3 LINE 11B, II GREENWICH HOSP & HEALTHCARE SERVICES CORP 1 GREENWICH HOSPITAL 5 PERRYRIDGE ROAD GREENWICH CT 06830 060646659 HEALTHCARE CT 501C3 LINE 3 GREENWICH HOSP & HEALTHCARE SERVICES CORP 1 PERRYRIDGE CORPORATION 5 PERRYRIDGE ROAD GREENWICH CT 06830 061207316 SYSTEM SUPPORT SERVICES CT 501C3 LINE 11B, II GREENWICH HOSP & HEALTHCARE SERVICES CORP 1 NORTHEAST MEDICAL GROUP PLLC 226 MILL HILL AVENUE BRIDGEPORT CT 06610 352380180 HEALTHCARE CT 501C3 LINE 11A, I NORTHEAST MEDICAL GROUP INC 1 YALE-NEW HAVEN CARE CONTINUUM CORP 789 HOWARD AVE NEW HAVEN CT 06519 455235566 NURSING HOME CT 501C3 LINE 3 YNH NETWORK CORP 1 CARITAS INSURANCE 30 MAIN STREET SUITE 330 BURLINGTON VT 05401 330322238 INSURANCE VT 501C3 LINE 11A, I YALE-NEW HAVEN HOSPITAL 1 SHORELINE SURGERY CENTER LLC 60 TEMPLE STREET NEW HAVEN CT 06510 900110459 HEALTHCARE CT YALE NEW HAVEN AMBULATORY SERVICES RELATED 8099785 3316197 0 0 0.51000 SSC II LLC 111 GOOSE LANE GUILFORD CT 06437 261709382 HEALTHCARE CT YALE NEW HAVEN AMBULATORY SERVICES RELATED 6911093 3117170 0 0 0.51000 ORTHOPAEDIC & NEUROSURGERY CENTER 55 HOLLY HILL LANE GREENWICH CT 06830 273411797 HEALTHCARE CT N/A YORK ENTERPRISES INC 50 YORK STREET NEW HAVEN CT 06511 061110937 TITLE HOLDING CT YNH NETWORK CORP C 8135254 1.00000 YALE-NEW HAVEN AMBULATORY SERVICE 40 TEMPLE STREET NEW HAVEN CT 06510 061398526 HEALTHCARE CT YNH NETWORK CORP C 5180872 18534742 1.00000 CHC PHYSICIANS PC 789 HOWARD AVENUE NEW HAVEN CT 06519 061436530 HEALTHCARE CT N/A C QUINNIPIAC MEDICAL PC 789 HOWARD AVENUE NEW HAVEN CT 06519 061405531 HEALTHCARE CT N/A C YNH GERIATRIC SERVICES PC 789 HOWARD AVENUE NEW HAVEN CT 06519 061561581 HEALTHCARE CT N/A C YNH MEDICAL SERVICES PC 789 HOWARD AVENUE NEW HAVEN CT 06519 061561583 HEALTHCARE CT N/A C YNHH- MSO INC 789 HOWARD AVENUE NEW HAVEN CT 06519 061467717 MANAGEMENT SERVICES CT N/A C MEDICAL CENTER REALTY INC 50 YORK STREET NEW HAVEN CT 06511 061110858 RENTAL CT YORK ENTERPRISES INC C 1610361 6014287 1.00000 MEDICAL CENTER PHARMACY INC 50 YORK STREET NEW HAVEN CT 06511 061087673 PHARMACY CT YORK ENTERPRISES INC C 65221 7277847 1.00000 GREENWICH HEALTH SERVICES INC 5 PERRYRIDGE LANE GREENWICH CT 06830 061233643 HEALTHCARE CT N/A C GREENWICH FERTILITY & IVF CENTER 5 PERRYRIDGE LANE GREENWICH CT 06830 300145464 HEALTHCARE CT N/A C GREENWICH INTEGRATIVE MEDICINE PC 35 RIVER ROAD COS COB CT 06807 260236411 HEALTHCARE CT N/A C GREENWICH OCCUPATIONAL HEALTH SERV-NY 5 PERRYRIDGE ROAD GREENWICH CT 06830 061540101 HEALTHCARE NY N/A C GREENWICH PEDIATRIC SERVICES PC 5 PERRYRIDGE ROAD GREENWICH CT 06830 743054409 HEALTHCARE CT N/A C YNHH-PHYSICIANS CORP 789 HOWARD AVE NEW HAVEN CT 06519 061202305 ADMINISTRATIVE SERVICES CT N/A C GREENWICH OCCUPATIONAL HEALTH SERV-NJ 5 PERRYRIDGE LANE GREENWICH CT 06830 453833883 HEALTHCARE NJ N/A C LUKAN INDEMNITY VALLIS BLDG 58 PAR LA VILLE RD HAMILTON BD 981072793 INSURANCE BD N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 YALE-NEW HAVEN HOSPITAL R 613000 CASH YALE NEW HAVEN HEALTH SERVICES CORP R 2900000 CASH YALE NEW HAVEN HEALTH SERVICES CORP P 24041 COMPARABLE MARKET VALUE THE FOLLOWING ENTITITES LISTED AS RELATED ORGANZATIONS IN PART IV: QUINNIPIAC MEDICAL PC, YNH GERIATRICS SERVICES 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 YALE-NEW HAVEN HOSPITAL IS APPOINTED THE NOMINEE SHAREHOLDER OF THESE ENTITIES.