Form990
Click to see attachment
Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
A For the 2019 calendar year, or tax year beginning 10-01-2018 , and ending 09-30-2019
BCheck if applicable:
CName of organization
YALE NEW HAVEN HEALTH SERVICES
CORPORATION
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
789 HOWARD AVENUE
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
NEW HAVEN, CT06519
D Employer identification number

22-2529464
E Telephone number

G Gross receipts $ 664,812,698
F Name and address of principal officer:
MARNA BORGSTROM
789 HOWARD AVE
NEW HAVEN,CT06519
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.YNHHS.ORG
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:  
L Year of formation: 1983
M State of legal domicile: CT
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: TO PROMOTE CHARITABLE, SCIENTIFIC AND EDUCATIONAL ACTIVITIES.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 19
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 16
5 Total number of individuals employed in calendar year 2018 (Part V, line 2a) ...... 5 3,275
6 Total number of volunteers (estimate if necessary) ............. 6 19
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 4,512,608
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 0 0
9 Program service revenue (Part VIII, line 2g) ......... 619,153,769 651,780,286
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 109,631 494,256
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 6,087,901 5,661,192
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 625,351,301 657,935,734
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 300,400 312,527
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 333,215,061 372,754,191
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 301,393,689 284,623,492
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 634,909,150 657,690,210
19 Revenue less expenses. Subtract line 18 from line 12....... -9,557,849 245,524
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 1,594,370,881 1,716,739,812
21 Total liabilities (Part X, line 26)............. 1,145,150,944 1,267,689,712
22 Net assets or fund balances. Subtract line 21 from line 20..... 449,219,937 449,050,100
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2018)
Form 990 (2018)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: TO FURTHER INNOVATION AND EXCELLENCE IN PATIENT CARE, TEACHING, RESEARCH AND SERVICE TO ITS COMMUNITIES AND SUPPORT ITS MEMBER HEALTHCARE ORGANIZATIONS.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 535,949,952 including grants of $ 312,527 ) (Revenue $ 652,928,870 )
SEE SCHEDULE O
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet535,949,952
Form 990 (2018)
Form 990 (2018)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? ...
2
 
No
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II..............
4
 
No
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, Part III.................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment..................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part IIIClick to see attachment.............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
Yes
 
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII Click to see attachment.................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I(see instructions) ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....
20a
 
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........Click to see attachment
22
 
No
Form 990 (2018)
Form 990 (2018)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............Click to see list of attachments
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
No
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I............
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I...................
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If "Yes," complete Schedule L, Part II................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III.........
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L,
Part IV........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV.....................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV...
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I.
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II...........
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I........Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
415
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
 
 
Form 990 (2018)
Form 990 (2018)
Page 5
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
3,275
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds.
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? .........................
8
 
 
9a
Did the sponsoring organization make any taxable distributions under section 4966?...
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? If "Yes," see instructions and file Form 4720, Schedule N .....
15
 
No
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income?
If "Yes," complete Form 4720, Schedule O ................
16
 
No
Form 990 (2018)
Form 990 (2018)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
19
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
16
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
 
No
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
 
No
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024-A if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletDENIS DONEGAN789 HOWARD AVE   NEW HAVEN,CT06519 (203) 688-6088
Form 990 (2018)
Form 990 (2018)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) MARNA BORGSTROM......................................................................
CEO/TRUSTEE
 16.00
.................
24.00 		X   X       1,249,722 1,874,584 902,548
(2) VINCENT CALARCO......................................................................
CHAIRMAN/TRUSTEE
 1.00
.................
1.00 		X   X       0 0 0
(3) JOSEPH CRESPO......................................................................
SECRETARY/TRUSTEE
 1.00
.................
1.00 		X   X       0 0 0
(4) MARY FARRELL......................................................................
VICE CHAIR/TRUSTEE
 1.00
.................
1.00 		X   X       0 0 0
(5) JACK CALLAHAN......................................................................
TRUSTEE
 1.00
.................
0.00 		X           0 0 0
(6) JOHN FALCONI......................................................................
TRUSTEE
 1.00
.................
2.00 		X           0 0 0
(7) CARLTON HIGHSMITH......................................................................
TRUSTEE
 1.00
.................
0.00 		X           0 0 0
(8) AARON HOLLANDER......................................................................
TRUSTEE
 1.00
.................
1.00 		X           0 0 0
(9) THOMAS KETCHUM......................................................................
TRUSTEE
 1.00
.................
1.00 		X           0 0 0
(10) JOHN LAHEY......................................................................
TRUSTEE
 1.00
.................
0.00 		X           0 0 0
(11) MARVIN LENDER......................................................................
TRUSTEE
 1.00
.................
1.00 		X           0 0 0
(12) NEWMAN MARSILIUS III......................................................................
TRUSTEE
 1.00
.................
1.00 		X           0 0 0
(13) ARTHUR MARTINEZ......................................................................
TRUSTEE
 1.00
.................
3.00 		X           0 0 0
(14) BARBARA MILLER......................................................................
TRUSTEE
 1.00
.................
1.00 		X           0 0 0
(15) BENJAMIN POLAK......................................................................
TRUSTEE
 1.00
.................
0.00 		X           0 0 0
(16) B MICHAEL RAUH......................................................................
TRUSTEE
 1.00
.................
6.00 		X           0 0 0
(17) MEREDITH REUBEN......................................................................
TRUSTEE
 1.00
.................
1.00 		X           0 0 0
Form 990 (2018)
Form 990 (2018)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) PETER SALOVEY........................................................................
TRUSTEE
 1.00
.......................1.00 		X           0 0 0
(19) ELLIOT SUSSMAN........................................................................
TRUSTEE
 1.00
.......................1.00 		X           0 0 0
(20) JAMES TORGERSON........................................................................
TRUSTEE
 1.00
.......................1.00 		X           0 0 0
(21) STEPHEN ALLEGRETTO........................................................................
VP
 1.00
.......................39.00 		    X       18,852 609,519 196,376
(22) WILLIAM ASELTYNE........................................................................
SR. VP
 8.00
.......................32.00 		    X       220,158 938,570 349,829
(23) THOMAS BALCEZAK........................................................................
SR. VP
 3.00
.......................37.00 		    X       114,233 1,141,061 361,756
(24) ELIZABETH BECKMAN........................................................................
SR. VP
 39.00
.......................1.00 		    X       154,441 0 12,548
(25) EUGENE COLUCCI........................................................................
VP
 4.00
.......................36.00 		    X       65,131 586,174 99,334
(26) RICHARD D'AQUILA........................................................................
PRESIDENT (CURRENT YR COMP)
 8.00
.......................32.00 		    X       542,265 2,169,059 310,969
(27) RICHARD D'AQUILA........................................................................
PRESIDENT (VESTED DEFERRED)
 8.00
.......................32.00 		    X       326,495 1,305,981 0
(28) MICHAEL DIMENSTEIN........................................................................
VP (CURRENT YR COMP)
 3.00
.......................37.00 		    X       52,165 560,816 35,453
(29) MICHAEL DIMENSTEIN........................................................................
VP (VESTED DEFERRED)
 3.00
.......................37.00 		    X       17,510 188,247 0
(30) DENISE FIORE........................................................................
SR. VP (CURRENT YR COMP)
 1.00
.......................39.00 		    X       0 779,761 122,352
(31) DENISE FIORE........................................................................
SR. VP (VESTED DEFERRED)
 1.00
.......................39.00 		    X       0 412,576 0
(32) PATRICK GREEN........................................................................
EXECUTIVE VP
 8.00
.......................32.00 		    X       128,912 515,647 249,756
(33) MICHAEL IVY........................................................................
EXECUTIVE VP
 3.00
.......................37.00 		    X       81,116 810,258 117,995
(34) WILLIAM JENNINGS........................................................................
EXECUTIVE VP
 8.00
.......................32.00 		    X       210,388 841,552 302,620
(35) PATRICK MCCABE........................................................................
SR. VP
 38.00
.......................2.00 		    X       892,420 0 279,919
(36) JAMES MORRIS........................................................................
VP (CURRENT YR COMP)
 1.00
.......................39.00 		    X       16,732 435,487 84,018
(37) JAMES MORRIS........................................................................
VP (VESTED DEFERRED)
 1.00
.......................39.00 		    X       34,416 895,742 0
(38) KEVIN MYATT........................................................................
SR. VP (CURRENT YR COMP)
 16.00
.......................24.00 		    X       439,414 659,121 149,111
(39) KEVIN MYATT........................................................................
SR. VP (VESTED DEFERRED)
 16.00
.......................24.00 		    X       133,475 200,212 0
(40) THOMAS NEWMAN........................................................................
SR. VP
 16.00
.......................24.00 		    X       210,480 315,719 202,191
(41) CHRISTOPHER O'CONNOR........................................................................
EXECUTIVE VP/COO
 37.00
.......................3.00 		    X       1,702,918 0 469,083
(42) VINCENT PETRINI........................................................................
SR. VP
 1.00
.......................39.00 		    X       0 792,525 242,732
(43) NORMAN ROTH........................................................................
EX. VP (CURRENT YR COMP)
 8.00
.......................32.00 		    X       271,851 1,087,402 42,645
(44) NORMAN ROTH........................................................................
EX. VP (VESTED DEFERRED)
 8.00
.......................32.00 		    X       98,008 392,034 0
(45) CAROLYN SALSGIVER-KOBSA........................................................................
VP
 8.00
.......................32.00 		    X       0 516,284 180,275
(46) PAMELA SCAGLIARINI........................................................................
SR. VP
 1.00
.......................39.00 		    X       0 793,386 247,620
(47) JOHN SKELLY........................................................................
VP
 4.00
.......................36.00 		    X       66,101 594,909 215,617
(48) LISA STUMP........................................................................
SR. VP
 8.00
.......................32.00 		    X       191,590 766,358 301,510
(49) VINCENT TAMMARO........................................................................
EXECUTIVE VP/CFO/TREASURER
 16.00
.......................24.00 		    X       615,223 922,833 409,886
(50) MELISSA TURNER........................................................................
VP
 1.00
.......................39.00 		    X       0 553,851 157,477
(51) PRATHIBHA VARKEY........................................................................
SR. VP
 8.00
.......................32.00 		    X       200,805 803,222 286,666
(52) DAVID WURCEL........................................................................
VP (CURRENT YR COMP)
 1.00
.......................39.00 		    X       1,949 787,774 42,328
(53) DAVID WURCEL........................................................................
VP (VESTED DEFERRED)
 1.00
.......................39.00 		    X       378 152,678 0
(54) MATTHEW COMERFORD........................................................................
VP
 40.00
.......................0.00 		        X   666,926 0 96,167
(55) JOSEPH BISSON........................................................................
VP
 40.00
.......................0.00 		        X   542,546 0 96,595
(56) VICTOR MORRIS........................................................................
VP
 40.00
.......................0.00 		        X   649,207 0 98,358
(57) OLIVER MAYORGA........................................................................
MD
 40.00
.......................0.00 		        X   552,229 0 93,230
(58) IAN SCHWARTZ........................................................................
SR. VP
 40.00
.......................0.00 		        X   586,263 0 93,644
(59) GAYLE CAPOZZALO........................................................................
FORMER OFFICER (CURRENT YR COMP)
 0.00
.......................0.00 		          X 1,346,320 0 38,120
(60) GAYLE CAPOZZALO........................................................................
FORMER OFFICER (VESTED DEFERRED)
 0.00
.......................0.00 		          X 131,149 0 0
(61) WILLIAM GEDGE........................................................................
FORMER OFFICER
 0.00
.......................0.00 		          X 413,396 0 104,787
(62) NANCY LEVITT-ROSENTHAL........................................................................
FORMER OFFICER
 0.00
.......................0.00 		          X 434,250 0 0
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 13,379,434 23,403,342 6,993,515
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet844
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
VIZIENT INC

290 E JOHN CARPENTER FREEWAY
IRVING,TX76011 		STAFFING 4,455,867
ROBERT HALF INTERNATIONAL INC

100 PEARL STREET SUITE 15A
HARTFORD,CT06103 		STAFFING 3,036,537
ERNST & YOUNG LLP

PO BOX 640382
PITTSBURG,PA152640382 		CONSULTING 2,455,099
CENTURY FINANCIAL SERVICES

23 MAIDEN LANE
NORTH HAVEN,CT06473 		COLLECTION SERVICES 2,221,277
P2P STAFFING CORPORATION

5810 CORAL RIDGE DRIVE SUITE 250
CORAL SPRINGS,FL33076 		STAFFING 2,117,965
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet148
Form 990 (2018)
Form 990 (2018)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and similar amounts not included above1f  
g Noncash contributions included in lines 1a - 1f:$  
h Total. Add lines 1a-1f.......MediumBullet  
Program Service RevenueAmt Business Code
2a MANAGEMENT SERVICES 900099 517,256,017 517,256,017    
b SYSTEM SUPPORT SERVICES 900099 59,993,944 59,993,944    
c INSURANCE PREMIUMS 900099 55,591,593 55,591,593    
d EMERGENCY PREPAREDNESS PROGRAM 900099 18,896,288 18,896,288    
e MANAGEMENT SERVICES-EPIC 621990 42,444 42,444    
f All other program service revenue.        
g Total. Add lines 2a–2f ....MediumBullet 651,780,286
OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 488,216     488,216
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet        
(ii) Personal (i) Real
6a Gross rents    
b Less: rental expenses    
c Rental income or (loss)    
d Net rental income or (loss)......MediumBullet        
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory   6,883,004
b Less: cost or other basis and sales expenses   6,876,964
c Gain or (loss)   6,040
d Net gain or (loss).....MediumBullet 6,040     6,040
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities..MediumBullet        
10a Gross sales of inventory, less
returns and allowances ..
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Business Code Miscellaneous Revenue
11a MANAGEMENT SERVICES REVENUE 900099 3,411,292   3,411,292  
b OTHER ANCILLARY INCOME 900099 1,148,584 1,148,584    
c SYSTEM SUPPORT FEES 900099 1,101,316   1,101,316  
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet 5,661,192
12 Total revenue. See Instructions......MediumBullet 657,935,734 652,928,870 4,512,608 494,256
Form 990 (2018)
Form 990 (2018)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 312,527 312,527
2 Grants and other assistance to domestic individuals. See Part IV, line 22    
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 10,482,228 1,048,223 9,434,005  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages 275,500,685 230,769,526 44,731,159  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 16,841,434 13,651,666 3,189,768  
9 Other employee benefits ....... 51,218,680 41,517,862 9,700,818  
10 Payroll taxes ........... 18,711,164 15,167,270 3,543,894  
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 4,607,890   4,607,890  
c Accounting ........... 3,518,327   3,518,327  
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ......        
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 83,653,873 67,032,673 16,621,200  
12 Advertising and promotion ....        
13 Office expenses ....... 2,827,459 2,291,938 535,521  
14 Information technology ......        
15 Royalties ..        
16 Occupancy ........... 91,151,385 73,887,313 17,264,072  
17 Travel ............        
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 2,717,387 2,202,714 514,673  
20 Interest ...........        
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 24,815,501 20,115,445 4,700,056  
23 Insurance ... 53,491,779 53,491,779    
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a CLINICAL PROGRAM & MISC 8,783,492 7,119,899 1,663,593  
b TELEPHONE & DATA COMMUN 8,294,539 6,723,553 1,570,986  
c DUES, FEES & MEMBERSHIP 632,488 512,695 119,793  
d PARKING TAX 80,827 65,518 15,309  
e All other expenses 48,545 39,351 9,194  
25 Total functional expenses. Add lines 1 through 24e 657,690,210 535,949,952 121,740,258 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2018)
Form 990 (2018)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ........   1  
2 Savings and temporary cash investments ......... 58,270,882 2 89,750,023
3 Pledges and grants receivable, net ......   3  
4 Accounts receivable, net ............. 970,625,656 4 1,031,516,728
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L .............
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L ..............
  6  
7 Notes and loans receivable, net ....   7  
8 Inventories for sale or use ........   8  
9 Prepaid expenses and deferred charges ...... 17,115,464 9 17,490,704
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 460,209,364
b Less: accumulated depreciation 10b 312,943,394 115,280,336 10c 147,265,970
11 Investments—publicly traded securities .   11  
12 Investments—other securities. See Part IV, line 11 ..... 7,446,473 12 6,880,113
13 Investments—program-related. See Part IV, line 11 .. 373,581,965 13 371,786,169
14 Intangible assets ............... 52,050,105 14 52,050,105
15 Other assets. See Part IV, line 11 ...........   15  
16 Total assets. Add lines 1 through 15 (must equal line 34)... 1,594,370,881 16 1,716,739,812
Liabilities 17 Accounts payable and accrued expenses ..... 94,998,360 17 152,457,886
18 Grants payable ...   18  
19 Deferred revenue ......... 70,060,775 19 77,870,471
20 Tax-exempt bond liabilities ......... 885,607,341 20 892,635,003
21 Escrow or custodial account liability. Complete Part IV of Schedule D   21  
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..   22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ..   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D 94,484,468 25 144,726,352
26 Total liabilities. Add lines 17 through 25.. 1,145,150,944 26 1,267,689,712
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets 413,018,848 27 412,849,011
28 Temporarily restricted net assets ........... 20,497,152 28 20,497,152
29 Permanently restricted net assets 15,703,937 29 15,703,937
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund ...   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 449,219,937 33 449,050,100
34 Total liabilities and net assets/fund balances ........ 1,594,370,881 34 1,716,739,812
Form 990 (2018)
Form 990 (2018)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
657,935,734
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
657,690,210
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
245,524
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
449,219,937
5
Net unrealized gains (losses) on investments ...............
5
-415,361
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
0
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
449,050,100
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2018)
Form 990 (2018)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
YALE NEW HAVEN HEALTH SERVICES
CORPORATION
Employer identification number

22-2529464
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)
1
2
3
4
5
6
7
8
9

10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................5
g
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 10 above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
(A) YALE NEW HAVEN HOSPITALINC
  		060646652 3 Yes   0 0
(B) BRIDGEPORT HOSPITAL
  		060646554 3 Yes   0 0
(C) GREENWICH HOSPITAL
  		060646659 3 Yes   0 0
(D) NORTHEAST MEDICAL GROUP INC
  		061330992 10 Yes   82,892,639 0
(E) LAWRENCE MEMORIAL HOSPITAL INC
  		060646704 3 Yes   0 0
Total
5
 82,892,639 0
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2014 (b) 2015 (c) 2016 (d) 2017 (e) 2018 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..  
6 Public support. Subtract line 5 from line 4.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2014 (b) 2015 (c) 2016 (d) 2017 (e) 2018 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..            
11 Total support. Add lines 7 through 10  
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2014 (b) 2015 (c) 2016 (d) 2017 (e) 2018 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose            
3 Gross receipts from activities that are not an unrelated trade or business under section 513 .....            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge            
6 Total. Add lines 1 through 5            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support. (Subtract line 7c from line 6.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2014 (b) 2015 (c) 2016 (d) 2017 (e) 2018 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
No
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
No
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
No
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.
4a
 
No
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
No
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
No
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .
7
 
No
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).
8
 
No
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
No
b
Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
No
c
Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
No
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.
10a
 
No
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?
11a
 
No
b
A family member of a person described in (a) above?
11b
 
No
c
A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.
11c
 
No
Section B. Type I Supporting Organizations
Yes
No
1
Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
No
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
No
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    
Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a    
b Average monthly cash balances 1b    
c Fair market value of other non-exempt-use assets 1c    
d Total (add lines 1a, 1b, and 1c) 1d    
e Discount claimed for blockage or other factors
(explain in detail in Part VI):  
2 Acquisition indebtedness applicable to non-exempt use assets 2    
3 Subtract line 2 from line 1d 3    
4 Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). 4    
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5    
6 Multiply line 5 by .035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    
Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 7
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity		  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations  
4 Amounts paid to acquire exempt-use assets  
5 Qualified set-aside amounts (prior IRS approval required)  
6 Other distributions (describe in Part VI). See instructions  
7Total annual distributions. Add lines 1 through 6.  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions		  
9 Distributable amount for 2018 from Section C, line 6  
10 Line 8 amount divided by Line 9 amount  
Section E - Distribution Allocations (see instructions) (i)
Excess Distributions 		(ii)
Underdistributions
Pre-2018 		(iii)
Distributable
Amount for 2018
1 Distributable amount for 2018 from Section C, line
6 		 
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI).
See instructions.		  
3 Excess distributions carryover, if any, to 2018:
a From 2013.......  
b From 2014.......  
c From 2015.......  
d From 2016.......  
e From 2017.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2018 distributable amount  
i Carryover from 2013 not applied (see
instructions) 		 
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.  
4Distributions for 2018 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2018 distributable amount  
c Remainder. Subtract lines 4a and 4b from 4.  
5 Remaining underdistributions for years prior to
2018, if any. Subtract lines 3g and 4a from line 2.
If the amount is greater than zero, explain in Part VI.
See instructions.		  
6 Remaining underdistributions for 2018. Subtract
lines 3h and 4b from line 1. If the amount is greater
than zero, explain in Part VI. See instructions.		  
7 Excess distributions carryover to 2019. Add lines
3j and 4c.		  
8 Breakdown of line 7:
a Excess from 2014......  
b Excess from 2015.....  
c Excess from 2016.....  
d Excess from 2017.....  
e Excess from 2018.....  
Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
PART IV, SECTION A, LINE 1: IN ADDITION TO THE ORGANIZATIONS EXPRESSLY NAMED IN ITS CERTIFICATE OF INCORPORATION, THE ORGANIZATION'S CERTIFICATE OF INCORPORATION PROVIDES THAT IT SHALL SUPPORT SUCH OTHER ORGANIZATIONS AS MAY FROM TIME TO TIME BECOME AFFILIATED WITH THE ORGANIZATION.
PART IV, SECTION B, LINE 1 AS THE PARENT ORGANIZATION OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM, THE ORGANIZATION IS RESPONSIVE TO THE NEEDS AND DEMANDS OF ITS MEMBER HOSPITALS AND OTHER HEALTH CARE PROVIDERS (REFERRED TO AS DELIVERY NETWORKS). THE ORGANIZATION CREATES VALUE FOR THE DELIVERY NETWORKS AND SUPPORTS THEIR OPERATIONS BY CENTRALIZING CERTAIN ADMINISTRATIVE SERVICES WITHIN THE ORGANIZATION AND SPREADING THE COSTS OF THESE SERVICES ACROSS ALL OF THE DELIVERY NETWORKS. IN THIS WAY, THE DELIVERY NETWORKS OBTAIN THE SERVICES, EXPERTISE, INFRASTRUCTURE AND ECONOMIES OF SCALE OF A MUCH LARGER HEALTH SYSTEM. SYSTEM-WIDE SERVICES INCLUDE, IN PART, POPULATION HEALTH TECHNOLOGY, BILLING, INFORMATION TECHNOLOGY INFRASTRUCTURE, COMPLIANCE AND LEGAL AND RISK MANAGEMENT. SUPPORTING THESE "BACK OFFICE" SERVICES AND OTHER VALUE-CREATING ATTRIBUTES ALLOW THE DELIVERY NETWORKS TO FREE UP MEASURABLE RESOURCES, GENERATE NEW REVENUE FOR INVESTMENT IN THEIR RESPECTIVE LOCAL AND REGIONAL MISSIONS AND FOCUS ON PATIENT OUTCOMES AND THE HEALTH OF THE COMMUNITIES THEY SERVE. THE CHAIRS OF YALE NEW HAVEN HOSPITAL, BRIDGEPORT HOSPITAL, GREENWICH HOSPITAL AND LAWRENCE + MEMORIAL HOSPITAL SERVE AS VOTING MEMBERS OF THE ORGANIZATION'S BOARD OF TRUSTEES. FURTHER, A NUMBER OF THE ORGANIZATION'S SENIOR EXECUTIVES HAVE DELIVERY NETWORK SPECIFIC ROLES AND RESPONSIBILITIES AND REPRESENT THE INTERESTS OF THOSE DELIVERY NETWORKS. THE DELIVERY NETWORKS HAVE APPROVAL RIGHTS WITH RESPECT TO, IN PART, ARTICULATING THE LOCAL DIMENSIONS OF THE SYSTEM MISSION, VISION AND VALUES AND STRATEGY, OVERSEEING AND ASSURING PERFORMANCE IN CLINICAL QUALITY AND PATIENT SAFETY, DEVELOPING THE OPERATING AND CAPITAL BUDGETS AND OVERSEEING THEM IN THE CONTEXT OF THE OVERALL SYSTEM BUDGET, OVERSEEING PUBLIC RELATIONS, COMMUNITY ENGAGEMENT, AND LOCAL GOVERNMENT RELATIONS AND APPROVING THE LOCAL COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN.
Schedule A (Form 990 or 990-EZ) 2018


Additional Data


Software ID:  
Software Version:  
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet Attach to Form 990.
SchDMd Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
YALE NEW HAVEN HEALTH SERVICES
CORPORATION
Employer identification number

22-2529464
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ...................... 2a  
b Total acreage restricted by conservation easements .................... 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included on Form 990, Part VIII, line 1 .........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2018

Schedule D (Form 990) 2018
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b If "Yes," explain the arrangement in Part XIII and complete the following table: Amount
c Beginning balance ............................. 1c  
d Additions during the year ............................ 1d  
e Distributions during the year .......................... 1e  
f Ending balance ................................ 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....
Part V
Endowment Funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 10.
(a)Current year (b)Prior year (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance ....          
b Contributions ...          
c Net investment earnings, gains, and losses          
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ... 		         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Temporarily restricted endowment SchDMd Bullet  
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations .................
3a(i)
 
 
(ii) related organizations .................
3a(ii)
 
 
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis
(investment) 		(b) Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .....   7,980,000 7,980,000
b Buildings ....        
c Leasehold improvements   15,581,383 1,193,258 14,388,125
d Equipment ....   402,551,213 311,750,136 90,801,077
e Other .....   34,096,768   34,096,768
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 147,265,970
Schedule D (Form 990) 2018

Schedule D (Form 990) 2018
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1) Financial derivatives.........    
(2) Closely-held equity interests........    
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1)INVEST. IN L+M CORP 277,307,150 C
(2)INVEST. IN NEPC/VHA 262,192 C
(3)INVEST. IN TOTAL HEALTH 765,186 C
(4)INVEST. IN PATIENT WISDOM 296,024 C
(5)INVEST. IN MCIC VERMONT 1,000,000 C
(6)INVEST. IN N. SHORE LIJ 804,902 C
(7)MCIC EQUITY 78,122,080 C
(8)MCIC INVESTMENT 10,811,582 C
(9)INVEST. IN PHYSICIAN ONE URGENT CARE 1,949,172 C
(10)INVEST. IN SILVER HILL HOSPITAL 467,881 C
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet 371,786,169
Part IX
Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes  
PROFESSIONAL LIABILITY INSURANCE 11,775,175
ACCRUED SUPPLEMENTAL RETIREMENT 27,447,439
RETRO INSURANCE CREDIT 17,269,316
INTEREST RATE SWAP 65,559,542
CURRENT PORTION OF LONG TERM DEBT 22,674,880
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 144,726,352
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII
Schedule D (Form 990) 2018

Schedule D (Form 990) 2018
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1.................. 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b.................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities ......... 2a  
b Prior year adjustments ............ 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d.................... 2e  
3 Subtract line 2e from line 1................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b..................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
PART X, LINE 2: YALE NEW HAVEN HEALTH SERVICES CORPORATION IS INCLUDED IN THE CONSOLIDATED YALE NEW HAVEN HEALTH SYSTEM AND SUBSIDIARIES AUDITED FINANCIAL STATEMENTS. FOLLOWING IS THE FOOTNOTE FROM THE CONSOLIDATED FINANCIAL STATEMENTS: MOST ENTITIES WITHIN THE SYSTEM ARE NOT FOR PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE CODE, AND ARE GENERALLY EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE CODE. PROVISIONS FOR INCOME TAXES AND DEFERRED TAXES, WHICH ARE NOT MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS, HAVE BEEN MADE FOR THE TAXABLE ENTITIES LISTED ABOVE UNDER THE DESCRIPTION OF THE SYSTEM. U.S. GAAP REQUIRES THE SYSTEM TO EVALUATE TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN THE COURSE OF PREPARING THE SYSTEM'S TAX RETURNS TO DETERMINE WHETHER THE TAX POSITIONS ARE "MORE LIKELY THAN NOT" OF BEING SUSTAINED BY THE APPLICABLE TAX AUTHORITY BASED UPON THE TECHNICAL MERITS OF THE POSITION. THE SYSTEM RECOGNIZES THE EFFECT OF TAX POSITIONS ONLY IF THEY ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. THIS EVALUATION HAD NO IMPACT ON THE OPERATIONS OF THE SYSTEM AS OF AND FOR THE YEAR ENDED SEPTEMBER 30, 2019 AND 2018.
Schedule D (Form 990) 2018


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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
YALE NEW HAVEN HEALTH SERVICES
CORPORATION
Employer identification number
22-2529464
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC section
(if applicable)		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
noncash assistance		 (h) Purpose of grant
or assistance
(1) ACHIEVEMENT FIRST
495 BLAKE STREET
NEW HAVEN,CT06515 		65-1203744 501(C)(3) 10,800       SUPPORT MISSION
(2) ALZHEIMERS ASSOCIATION CT CHAPTER
200 EXECUTIVE BLVD STE 4B
SOUTHINGTON,CT06489 		13-3039601 501(C)(3) 6,000       SUPPORT MISSION
(3) CENTER FOR CHILDREN ADVOCACY
65 ELIZABETH STREET
HARTFORD,CT06105 		06-1489575 501(C)(3) 203,477       SUPPORT MISSION
(4) CHAPEL WEST SPECIAL SERVICES
1205 CHAPEL STREET
NEW HAVEN,CT06511 		06-1205893 GOVERNMENT 9,000       SUPPORT MISSION
(5) CHRISTIAN COMMUNITY COMMISSION
681 DIXWELL AVENUE
NEW HAVEN,CT06511 		31-1609929 501(C)(3) 7,500       SUPPORT MISSION
(6) JUNIOR ACHIEVEMENT OF SOUTHWEST NEW ENGLAND
70 FARMINGTON AVENUE
HARTFORD,CT06105 		06-0665972 501(C)(3) 7,000       SUPPORT MISSION
(7) NEW HAVEN INTERNATIONAL FESTIVAL OF ARTS
195 CHURCH STREET 12TH FLOOR
NEW HAVEN,CT06510 		06-1444222 501(C)(3) 6,500       SPONSORSHIP
(8) NAACP OF GREATER NEW HAVEN
545 WHALLEY AVE
NEW HAVEN,CT06511 		13-1084135 501(C)(3) 20,250       SUPPORT MISSION
(9) NEIGHBORHOOD HOUSING SERVICES OF NEW HAVEN INC
333 SHERMAN AVENUE
NEW HAVEN,CT06511 		06-1021268 501(C)(3) 6,000       SUPPORT MISSION
(10) NEW REACH INC
153 EAST STREET NO 200
NEW HAVEN,CT06511 		22-3037451 501(C)(3) 7,500       SUPPORT MISSION
(11) THE CT PLAYERS FOUNDATION INC DBA LONG WHARF THEATER
222 SARGENT DRIVE
NEW HAVEN,CT06511 		06-6073063 501(C)(3) 12,500       SUPPORT MISSION
(12) VNA OF SOUTH CENTRAL CT
ONE LONG WHARF DRIVE
NEW HAVEN,CT06511 		06-0646941 501(C)(3) 10,000       SUPPORT MISSION
(13) BEULAH HEIGHTS CHURCH
782 ORCHARD STREET
NEW HAVEN,CT06511 		06-1290930 501(C)(3) 6,000       SUPPORT MISSION
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
13
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2018

Schedule I (Form 990) 2018
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients		 (c) Amount of
cash grant		 (d) Amount of
noncash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of noncash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
PART I, LINE 2: 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. YALE NEW HAVEN HEALTHCARE SERVICES CORPORATION ("HSC") CARRIES OUT DUE DILIGENCE IN PROVIDING MONETARY ASSISTANCE ONLY TO QUALIFYING 501(C)(3) ORGANIZATIONS THAT COMPLEMENT ITS MISSION OR SUPPORT THE GREATER GOOD IN THE COMMUNITIES SERVED. HSC VERIFIES EACH ORGANIZATION'S EIN AS LISTED ON IRS FORM W-9 THAT HAS BEEN SUBMITTED TO HSC. ASSISTANCE DONATED BY HSC TO THESE QUALIFYING ORGANIZATIONS IS NOT OUTCOMES-BASED AND IS GIVEN IN SUPPORT OF AN INDIVIDUAL ORGANIZATION'S FUNDRAISING EVENTS OR IN SUPPORT OF DIRECT SERVICES. HSC MAINTAINS FULL AND COMPLETE RECORDS OF ALL MONETARY ASSISTANCE PROVIDED, HOWEVER DOES NOT MONITOR SPECIFIC FUNDS.
Schedule I (Form 990) 2018



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Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
YALE NEW HAVEN HEALTH SERVICES
CORPORATION
Employer identification number

22-2529464
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? .............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2018

Schedule J (Form 990) 2018
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation in column (B) reported as deferred on prior Form 990
(i) Base
compensation 		(ii) Bonus & incentive
compensation 		(iii) Other reportable compensation
1MARNA BORGSTROM
CEO/TRUSTEE 		(i)

(ii)		 823,828
-------------
1,235,742 		403,650
-------------
605,475 		22,244
-------------
33,367 		355,899
-------------
533,848 		5,120
-------------
7,681 		1,610,741
-------------
2,416,113 		0
-------------
0
2STEPHEN ALLEGRETTO
VP 		(i)

(ii)		 13,150
-------------
425,167 		3,226
-------------
104,301 		2,476
-------------
80,051 		5,507
-------------
178,068 		384
-------------
12,417 		24,743
-------------
800,004 		0
-------------
0
3WILLIAM ASELTYNE
SR. VP 		(i)

(ii)		 142,221
-------------
606,311 		44,445
-------------
189,478 		33,492
-------------
142,781 		62,839
-------------
267,893 		3,628
-------------
15,469 		286,625
-------------
1,221,932 		0
-------------
0
4THOMAS BALCEZAK
SR. VP 		(i)

(ii)		 72,156
-------------
720,763 		22,698
-------------
226,726 		19,379
-------------
193,572 		31,183
-------------
311,486 		1,737
-------------
17,350 		147,153
-------------
1,469,897 		0
-------------
0
5ELIZABETH BECKMAN
SR. VP 		(i)

(ii)		 82,905
-------------
0 		69,456
-------------
0 		2,080
-------------
0 		12,548
-------------
0 		0
-------------
0 		166,989
-------------
0 		0
-------------
0
6EUGENE COLUCCI
VP 		(i)

(ii)		 47,050
-------------
423,448 		10,774
-------------
96,966 		7,307
-------------
65,760 		8,653
-------------
77,880 		1,280
-------------
11,521 		75,064
-------------
675,575 		0
-------------
0
7RICHARD D'AQUILA
PRESIDENT (CURRENT YR COMP) 		(i)

(ii)		 331,406
-------------
1,325,625 		139,037
-------------
556,148 		71,822
-------------
287,286 		59,287
-------------
237,146 		2,907
-------------
11,629 		604,459
-------------
2,417,834 		0
-------------
0
8RICHARD D'AQUILA
PRESIDENT (VESTED DEFERRED) 		(i)

(ii)		 0
-------------
0 		0
-------------
0 		326,495
-------------
1,305,981 		0
-------------
0 		0
-------------
0 		326,495
-------------
1,305,981 		0
-------------
0
9MICHAEL DIMENSTEIN
VP (CURRENT YR COMP) 		(i)

(ii)		 33,102
-------------
355,871 		8,023
-------------
86,255 		11,040
-------------
118,690 		1,851
-------------
19,899 		1,166
-------------
12,537 		55,182
-------------
593,252 		0
-------------
0
10MICHAEL DIMENSTEIN
VP (VESTED DEFERRED) 		(i)

(ii)		 0
-------------
0 		0
-------------
0 		17,510
-------------
188,247 		0
-------------
0 		0
-------------
0 		17,510
-------------
188,247 		0
-------------
0
11DENISE FIORE
SR. VP (CURRENT YR COMP) 		(i)

(ii)		 0
-------------
477,781 		0
-------------
132,570 		0
-------------
169,410 		0
-------------
114,850 		0
-------------
7,502 		0
-------------
902,113 		0
-------------
0
12DENISE FIORE
SR. VP (VESTED DEFERRED) 		(i)

(ii)		 0
-------------
0 		0
-------------
0 		0
-------------
412,576 		0
-------------
0 		0
-------------
0 		0
-------------
412,576 		0
-------------
0
13PATRICK GREEN
EXECUTIVE VP 		(i)

(ii)		 112,642
-------------
450,566 		0
-------------
0 		16,270
-------------
65,081 		46,116
-------------
184,463 		3,835
-------------
15,342 		178,863
-------------
715,452 		0
-------------
0
14MICHAEL IVY
EXECUTIVE VP 		(i)

(ii)		 55,372
-------------
553,111 		12,593
-------------
125,787 		13,151
-------------
131,360 		8,940
-------------
89,305 		1,797
-------------
17,953 		91,853
-------------
917,516 		0
-------------
0
15WILLIAM JENNINGS
EXECUTIVE VP 		(i)

(ii)		 133,107
-------------
532,429 		56,646
-------------
226,582 		20,635
-------------
82,541 		60,171
-------------
240,685 		353
-------------
1,411 		270,912
-------------
1,083,648 		0
-------------
0
16PATRICK MCCABE
SR. VP 		(i)

(ii)		 595,892
-------------
0 		168,480
-------------
0 		128,048
-------------
0 		267,118
-------------
0 		12,801
-------------
0 		1,172,339
-------------
0 		0
-------------
0
17JAMES MORRIS
VP (CURRENT YR COMP) 		(i)

(ii)		 11,461
-------------
298,289 		2,800
-------------
72,870 		2,471
-------------
64,328 		2,433
-------------
63,317 		676
-------------
17,592 		19,841
-------------
516,396 		0
-------------
0
18JAMES MORRIS
VP (VESTED DEFERRED) 		(i)

(ii)		 0
-------------
0 		0
-------------
0 		34,416
-------------
895,742 		0
-------------
0 		0
-------------
0 		34,416
-------------
895,742 		19,485
-------------
507,141
19KEVIN MYATT
SR. VP (CURRENT YR COMP) 		(i)

(ii)		 262,544
-------------
393,816 		90,731
-------------
136,097 		86,139
-------------
129,208 		53,934
-------------
80,901 		5,710
-------------
8,566 		499,058
-------------
748,588 		0
-------------
0
20KEVIN MYATT
SR. VP (VESTED DEFERRED) 		(i)

(ii)		 0
-------------
0 		0
-------------
0 		133,475
-------------
200,212 		0
-------------
0 		0
-------------
0 		133,475
-------------
200,212 		0
-------------
0
21THOMAS NEWMAN
SR. VP 		(i)

(ii)		 191,692
-------------
287,538 		0
-------------
0 		18,788
-------------
28,181 		73,436
-------------
110,155 		7,440
-------------
11,160 		291,356
-------------
437,034 		0
-------------
0
22CHRISTOPHER O'CONNOR
EXECUTIVE VP/COO 		(i)

(ii)		 987,053
-------------
0 		345,450
-------------
0 		370,415
-------------
0 		449,986
-------------
0 		19,097
-------------
0 		2,172,001
-------------
0 		0
-------------
0
23VINCENT PETRINI
SR. VP 		(i)

(ii)		 0
-------------
499,300 		0
-------------
155,498 		0
-------------
137,727 		0
-------------
223,985 		0
-------------
18,747 		0
-------------
1,035,257 		0
-------------
0
24NORMAN ROTH
EX. VP (CURRENT YR COMP) 		(i)

(ii)		 156,276
-------------
625,102 		68,248
-------------
272,990 		47,327
-------------
189,310 		5,970
-------------
23,880 		2,559
-------------
10,236 		280,380
-------------
1,121,518 		0
-------------
0
25NORMAN ROTH
EX. VP (VESTED DEFERRED) 		(i)

(ii)		 0
-------------
0 		0
-------------
0 		98,008
-------------
392,034 		0
-------------
0 		0
-------------
0 		98,008
-------------
392,034 		0
-------------
0
26CAROLYN SALSGIVER-KOBSA
VP 		(i)

(ii)		 0
-------------
350,972 		0
-------------
88,562 		0
-------------
76,750 		0
-------------
160,863 		0
-------------
19,412 		0
-------------
696,559 		0
-------------
0
27PAMELA SCAGLIARINI
SR. VP 		(i)

(ii)		 0
-------------
501,380 		0
-------------
142,051 		0
-------------
149,955 		0
-------------
228,785 		0
-------------
18,835 		0
-------------
1,041,006 		0
-------------
0
28JOHN SKELLY
VP 		(i)

(ii)		 46,194
-------------
415,745 		9,795
-------------
88,153 		10,112
-------------
91,011 		19,690
-------------
177,209 		1,872
-------------
16,846 		87,663
-------------
788,964 		0
-------------
0
29LISA STUMP
SR. VP 		(i)

(ii)		 124,545
-------------
498,178 		35,694
-------------
142,778 		31,351
-------------
125,402 		56,483
-------------
225,930 		3,819
-------------
15,278 		251,892
-------------
1,007,566 		0
-------------
0
30VINCENT TAMMARO
EXECUTIVE VP/CFO/TREASURER 		(i)

(ii)		 357,739
-------------
536,608 		141,600
-------------
212,400 		115,884
-------------
173,825 		156,316
-------------
234,473 		7,639
-------------
11,458 		779,178
-------------
1,168,764 		0
-------------
0
31MELISSA TURNER
VP 		(i)

(ii)		 0
-------------
351,928 		0
-------------
95,855 		0
-------------
106,068 		0
-------------
139,068 		0
-------------
18,409 		0
-------------
711,328 		0
-------------
0
32PRATHIBHA VARKEY
SR. VP 		(i)

(ii)		 148,804
-------------
595,215 		40,843
-------------
163,373 		11,158
-------------
44,634 		55,763
-------------
223,051 		1,570
-------------
6,282 		258,138
-------------
1,032,555 		0
-------------
0
33DAVID WURCEL
VP (CURRENT YR COMP) 		(i)

(ii)		 1,136
-------------
459,319 		420
-------------
169,678 		393
-------------
158,777 		73
-------------
29,460 		32
-------------
12,763 		2,054
-------------
829,997 		0
-------------
0
34DAVID WURCEL
VP (VESTED DEFERRED) 		(i)

(ii)		 0
-------------
0 		0
-------------
0 		378
-------------
152,678 		0
-------------
0 		0
-------------
0 		378
-------------
152,678 		0
-------------
0
35MATTHEW COMERFORD
VP 		(i)

(ii)		 456,476
-------------
0 		113,155
-------------
0 		97,295
-------------
0 		78,350
-------------
0 		17,817
-------------
0 		763,093
-------------
0 		0
-------------
0
36JOSEPH BISSON
VP 		(i)

(ii)		 399,861
-------------
0 		101,907
-------------
0 		40,778
-------------
0 		77,050
-------------
0 		19,545
-------------
0 		639,141
-------------
0 		0
-------------
0
37VICTOR MORRIS
VP 		(i)

(ii)		 453,536
-------------
0 		108,328
-------------
0 		87,343
-------------
0 		79,670
-------------
0 		18,688
-------------
0 		747,565
-------------
0 		0
-------------
0
38OLIVER MAYORGA
MD 		(i)

(ii)		 400,612
-------------
0 		99,351
-------------
0 		52,266
-------------
0 		74,683
-------------
0 		18,547
-------------
0 		645,459
-------------
0 		0
-------------
0
39IAN SCHWARTZ
SR. VP 		(i)

(ii)		 430,615
-------------
0 		110,000
-------------
0 		45,648
-------------
0 		74,350
-------------
0 		19,294
-------------
0 		679,907
-------------
0 		0
-------------
0
40GAYLE CAPOZZALO
FORMER OFFICER (CURRENT YR COMP) 		(i)

(ii)		 398,863
-------------
0 		271,950
-------------
0 		675,507
-------------
0 		25,325
-------------
0 		12,795
-------------
0 		1,384,440
-------------
0 		151,250
-------------
0
41GAYLE CAPOZZALO
FORMER OFFICER (VESTED DEFERRED) 		(i)

(ii)		 0
-------------
0 		0
-------------
0 		131,149
-------------
0 		0
-------------
0 		0
-------------
0 		131,149
-------------
0 		0
-------------
0
42WILLIAM GEDGE
FORMER OFFICER 		(i)

(ii)		 0
-------------
0 		0
-------------
0 		413,396
-------------
0 		104,787
-------------
0 		0
-------------
0 		518,183
-------------
0 		262,830
-------------
0
43NANCY LEVITT-ROSENTHAL
FORMER OFFICER 		(i)

(ii)		 0
-------------
0 		0
-------------
0 		434,250
-------------
0 		0
-------------
0 		0
-------------
0 		434,250
-------------
0 		144,750
-------------
0
Schedule J (Form 990) 2018

Schedule J (Form 990) 2018
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
PART I, LINES 4A-B LINE 4A, SEVERANCE: THE INDIVIDUAL LISTED BELOW RECEIVED SEVERANCE PAYMENTS VALUED AT THE AMOUNT SUBSEQUENTLY SHOWN DURING THE REPORTING YEAR. THE SEVERANCE PAYMENTS ARE INCLUDED IN THE FIGURE REPORTED IN PART II, COLUMN B(III). SEVERANCE NONQUALIFIED EQUITY-BASED WILLIAM GEDGE $79,423 - - LINE 4B, SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS: 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 REPRESENT BOTH THE REPORTING ENTITY'S AND RELATED ENTITY'S COMBINED AMOUNTS THAT HAVE NOT YET BEEN VESTED CONSISTENT WITH THE COMPENSATION REPORTING PER IRS. SEVERANCE NONQUALIFIED EQUITY-BASED MARNA P. BORGSTROM - $559,897 - CHRISTOPHER O'CONNOR - 268,936 - VINCENT TAMMARO - 240,339 - THOMAS BALCEZAK - 187,183 - WILLIAM J. ASELTYNE - 177,017 - WILLIAM A. JENNINGS - 173,892 - PRATHIBHA VARKEY - 168,464 - LISA STUMP - 147,481 - PATRICK MCCABE - 140,668 - VINCENT PETRINI - 119,235 - PAMELA SCAGLIARINI - 119,056 - PATRICK GREEN - 114,958 - JOHN SKELLY - 103,806 - STEPHEN ALLEGRETTO - 98,965 - THOMAS NEWMAN - 88,991 - MELISSA TURNER - 82,430 - CAROLYN SALSGIVER - 82,013 - THE 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 2018 CALENDAR YEAR THAT WERE RECOGNIZED AS TAXABLE EVENTS AND REPORTED IN THE INDIVIDUALS' 2018 CALENDAR YEAR FORM W-2. SEVERANCE NONQUALIFIED EQUITY-BASED RICHARD D'AQUILA - $1,632,476 - JAMES B. MORRIS - 930,158 - NORMAN ROTH - 490,042 - DENISE FIORE - 412,576 - KEVIN MYATT - 333,687 - MICHAEL DIMENSTEIN - 205,757 - DAVID WURCEL - 153,056 - GAYLE CAPOZZALO - 131,149 - THE FORMER OFFICERS BELOW RECEIVED PAYMENTS THROUGHOUT THE YEAR FROM THE NONQUALIFIED PLAN. THE FOLLOWING PAYMENTS WERE MADE DIRECTLY TO THEM FROM THE RABBI TRUST: FRANK CORVINO $139,574 PETER HERBERT 78,071 THE SUPPLEMENTAL RETIREMENT INCOME PLAN (SRIP) / EXECUTIVE DEFERRED COMPENSATION ACCOUNT PLAN (EDCAP) ARE DESIGNED TO ENSURE THE PAYMENT OF A COMPETITIVE LEVEL OF RETIREMENT INCOME WHEN ADDED TO OTHER SOURCES OF RETIREMENT INCOME IN ORDER TO ATTRACT AND RETAIN KEY MANAGEMENT EMPLOYEES SERVING AS CORPORATE OFFICERS. THE PLAN PROVIDES SUPPLEMENTAL RETIREMENT INCOME THROUGH AN UNFUNDED, NONQUALIFIED DEFERRED COMPENSATION ARRANGEMENT UNDER SECTION 457(F) AND THROUGH A DEFERRED COMPENSATION PLAN UNDER SECTION 409A OF THE INTERNAL REVENUE CODE AND A MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES' PLAN UNDER THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974 (ERISA).
PART I, LINE 7 THE SHORT TERM INCENTIVE PLAN (STIP) IS A VARIABLE COMPENSATION PLAN WHICH PROVIDES ONE-TIME PAYMENTS TO ELIGIBLE MEMBERS OF MANAGEMENT IN RECOGNITION OF THE ACCOMPLISHMENT OF KEY ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE OBJECTIVES. PERFORMANCE LEVELS ARE ESTABLISHED AND REVIEWED ANNUALLY AT THRESHOLD, TARGET AND MAXIMUM LEVELS, ACCORDING TO PLANNED "STRETCH" GOALS AND OBJECTIVES. INCENTIVE AWARD OPPORTUNITIES ARE ESTABLISHED ACCORDING TO MARKET PRACTICES BASED ON EACH ELIGIBLE POSITION'S RESPONSIBILITIES, PERFORMANCE AND LEVEL OF AUTHORITY. PERFORMANCE RELATIVE TO STIP AWARD OPPORTUNITIES INCORPORATES A BROAD SPECTRUM OF PRE-DEFINED FINANCIAL AND NON-FINANCIAL METRICS THAT ARE ALIGNED WITH ORGANIZATIONAL MISSION AND VALUES.
Schedule J (Form 990) 2018
Additional Data


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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet Attach to Form 990.
SchKMediumBulletGo to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
YALE NEW HAVEN HEALTH SERVICES
CORPORATION
Employer identification number
22-2529464
Part Ⅰ
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer		 (i) Pool
financing
Yes No Yes No Yes No
A CHEFA - SERIES A
  		06-0806186 20774YQY6 06-23-2014 102,300,000 REFUND - J-1   X   X X  
B CHEFA - SERIES B
  		06-0806186 20774YQP5 06-23-2014 168,275,000 REFUND - M   X   X X  
C CHEFA - SERIES C
  		06-0806186 20774YQM2 06-23-2014 83,625,000 REFUND - K-1,K-2   X   X X  
D CHEFA - SERIES D
  		06-0806186 20774YQN0 06-23-2014 108,275,000 REFUND - L-1,L-2   X   X X  
CHEFA - SERIES E
  		06-0806186 20774YRV1 06-23-2014 80,935,000 CONSTRUCTION/EQUIP   X   X X  
Part Ⅱ
Proceeds
A B C D
1 Amount of bonds retired .................. 5,617,000   27,820,000  
2 Amount of bonds legally defeased ..............        
3 Total proceeds of issue .................. 122,999,458 176,852,421 90,442,157 109,094,865
4 Gross proceeds in reserve funds .............        
5 Capitalized interest from proceeds .............        
6 Proceeds in refunding escrows ...............        
7 Issuance costs from proceeds ............... 1,465,826 1,474,421 680,898 771,839
8 Credit enhancement from proceeds .............     36,261 43,739
9 Working capital expenditures from proceeds .............        
10 Capital expenditures from proceeds ............. 91,158,797      
11 Other spent proceeds ............. 121,533,632 175,378,000 89,725,000 108,279,287
12 Other unspent proceeds .............        
13 Year of substantial completion ............. 2014 2014 2014 2014
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? ....   X   X X   X  
15 Were the bonds issued as part of an advance refunding issue? ..... X   X     X   X
16 Has the final allocation of proceeds been made? .......... X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
Part Ⅲ
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ............... X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2018

Schedule K (Form 990) 2018
Page 2
Part Ⅲ
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? .............   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....SchKMediumBullet 0.030 % 0 % 0.300 % 0.030 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... SchKMediumBullet        
6 Total of lines 4 and 5 ............. 0.030 % 0 % 0.300 % 0.030 %
7 Does the bond issue meet the private security or payment test? ...   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............                
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........ 		X   X   X   X  
Part Ⅳ
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X   X   X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......   X   X   X   X
b Exception to rebate? ........   X   X X   X  
c No rebate due? ......... X   X   X   X  
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? .....   X X   X   X  
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider ..........  
  		 
  		 
  		 
 
c Term of hedge .........        
d Was the hedge superintegrated? ......                
e Was the hedge terminated? ........                
Schedule K (Form 990) 2018

Schedule K (Form 990) 2018
Page 3
Part Ⅳ
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider ..........  
  		 
  		 
  		 
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part Ⅴ
Procedures To Undertake Corrective Action
--------------------------------------------------------------------------------------------------------------- A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part Ⅵ
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
DATE REBATE COMPUTATION PERFORMED ISSUER NAME: CHEFA - SERIES A DATE THE REBATE COMPUTATION WAS PERFORMED: 07/01/2015 ISSUER NAME: CHEFA - SERIES B DATE THE REBATE COMPUTATION WAS PERFORMED: 07/01/2015 ISSUER NAME: CHEFA - SERIES C DATE THE REBATE COMPUTATION WAS PERFORMED: 06/23/2019 ISSUER NAME: CHEFA - SERIES D DATE THE REBATE COMPUTATION WAS PERFORMED: 06/23/2019 ISSUER NAME: CHEFA - SERIES E DATE THE REBATE COMPUTATION WAS PERFORMED: 07/01/2015
PART II LINE 3 THE DIFFERENCE BETWEEN THE ISSUE PRICE REPORTED ON PART I, COLUMN (E) AND TOTAL PROCEEDS REPORTED ON PART II, LINE 3 IS DUE TO EITHER INVESTMENT EARNINGS OR PREMIUM RECEIVED FROM PURCHASER.
PART III LINE 3B THE ORGANIZATION IS A MEMBER OF THE YALE NEW HAVEN HEALTH OBLIGATED GROUP. YNHHS HAS IN-HOUSE LEGAL COUNSEL STAFF WHO PROVIDE ROUTINE REVIEW OF MANAGEMENT, OR SERVICE CONTRACTS OR AND RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY TO ENSURE THAT SUCH AGREEMENTS ARE COMPLIANT WITH APPLICABLE SAFE HARBORS. IN-HOUSE COUNSEL CONSULT WITH THE HOSPITAL'S OUTSIDE BOND COUNSEL AS NEEDED, INCLUDING ON NON-ROUTINE ISSUES.
PART III, LINE 9 & PART V AS PART OF THE YALE NEW HAVEN HEALTH OBLIGATED GROUP, THE ORGANIZATION HAS POLICIES AND PROCEDURES IN PLACE TO ENSURE COMPLIANCE WITH FEDERAL TAX LAW, AND TO TIMELY IDENTIFY NONCOMPLIANCE.
Schedule K (Form 990) 2018

Additional Data


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Software Version:  


Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet Attach to Form 990.
SchKMediumBulletGo to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
YALE NEW HAVEN HEALTH SERVICES
CORPORATION
Employer identification number
22-2529464
Part Ⅰ
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer		 (i) Pool
financing
Yes No Yes No Yes No
A CHEFA - SERIES A
  		06-0806186 20774YQY6 06-23-2014 102,300,000 REFUND - J-1   X   X X  
B CHEFA - SERIES B
  		06-0806186 20774YQP5 06-23-2014 168,275,000 REFUND - M   X   X X  
C CHEFA - SERIES C
  		06-0806186 20774YQM2 06-23-2014 83,625,000 REFUND - K-1,K-2   X   X X  
D CHEFA - SERIES D
  		06-0806186 20774YQN0 06-23-2014 108,275,000 REFUND - L-1,L-2   X   X X  
CHEFA - SERIES E
  		06-0806186 20774YRV1 06-23-2014 80,935,000 CONSTRUCTION/EQUIP   X   X X  
Part Ⅱ
Proceeds
A B C D
1 Amount of bonds retired .................. 5,617,000   27,820,000  
2 Amount of bonds legally defeased ..............        
3 Total proceeds of issue .................. 122,999,458 176,852,421 90,442,157 109,094,865
4 Gross proceeds in reserve funds .............        
5 Capitalized interest from proceeds .............        
6 Proceeds in refunding escrows ...............        
7 Issuance costs from proceeds ............... 1,465,826 1,474,421 680,898 771,839
8 Credit enhancement from proceeds .............     36,261 43,739
9 Working capital expenditures from proceeds .............        
10 Capital expenditures from proceeds ............. 91,158,797      
11 Other spent proceeds ............. 121,533,632 175,378,000 89,725,000 108,279,287
12 Other unspent proceeds .............        
13 Year of substantial completion ............. 2014 2014 2014 2014
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? ....   X   X X   X  
15 Were the bonds issued as part of an advance refunding issue? ..... X   X     X   X
16 Has the final allocation of proceeds been made? .......... X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
Part Ⅲ
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ............... X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2018

Schedule K (Form 990) 2018
Page 2
Part Ⅲ
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? .............   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....SchKMediumBullet 0.030 % 0 % 0.300 % 0.030 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... SchKMediumBullet        
6 Total of lines 4 and 5 ............. 0.030 % 0 % 0.300 % 0.030 %
7 Does the bond issue meet the private security or payment test? ...   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............                
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........ 		X   X   X   X  
Part Ⅳ
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X   X   X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......   X   X   X   X
b Exception to rebate? ........   X   X X   X  
c No rebate due? ......... X   X   X   X  
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? .....   X X   X   X  
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider ..........  
  		 
  		 
  		 
 
c Term of hedge .........        
d Was the hedge superintegrated? ......                
e Was the hedge terminated? ........                
Schedule K (Form 990) 2018

Schedule K (Form 990) 2018
Page 3
Part Ⅳ
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider ..........  
  		 
  		 
  		 
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part Ⅴ
Procedures To Undertake Corrective Action
--------------------------------------------------------------------------------------------------------------- A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part Ⅵ
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
DATE REBATE COMPUTATION PERFORMED ISSUER NAME: CHEFA - SERIES A DATE THE REBATE COMPUTATION WAS PERFORMED: 07/01/2015 ISSUER NAME: CHEFA - SERIES B DATE THE REBATE COMPUTATION WAS PERFORMED: 07/01/2015 ISSUER NAME: CHEFA - SERIES C DATE THE REBATE COMPUTATION WAS PERFORMED: 06/23/2019 ISSUER NAME: CHEFA - SERIES D DATE THE REBATE COMPUTATION WAS PERFORMED: 06/23/2019 ISSUER NAME: CHEFA - SERIES E DATE THE REBATE COMPUTATION WAS PERFORMED: 07/01/2015
PART II LINE 3 THE DIFFERENCE BETWEEN THE ISSUE PRICE REPORTED ON PART I, COLUMN (E) AND TOTAL PROCEEDS REPORTED ON PART II, LINE 3 IS DUE TO EITHER INVESTMENT EARNINGS OR PREMIUM RECEIVED FROM PURCHASER.
PART III LINE 3B THE ORGANIZATION IS A MEMBER OF THE YALE NEW HAVEN HEALTH OBLIGATED GROUP. YNHHS HAS IN-HOUSE LEGAL COUNSEL STAFF WHO PROVIDE ROUTINE REVIEW OF MANAGEMENT, OR SERVICE CONTRACTS OR AND RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY TO ENSURE THAT SUCH AGREEMENTS ARE COMPLIANT WITH APPLICABLE SAFE HARBORS. IN-HOUSE COUNSEL CONSULT WITH THE HOSPITAL'S OUTSIDE BOND COUNSEL AS NEEDED, INCLUDING ON NON-ROUTINE ISSUES.
PART III, LINE 9 & PART V AS PART OF THE YALE NEW HAVEN HEALTH OBLIGATED GROUP, THE ORGANIZATION HAS POLICIES AND PROCEDURES IN PLACE TO ENSURE COMPLIANCE WITH FEDERAL TAX LAW, AND TO TIMELY IDENTIFY NONCOMPLIANCE.
Schedule K (Form 990) 2018

Additional Data


Software ID:  
Software Version:  

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
YALE NEW HAVEN HEALTH SERVICES
CORPORATION
Employer identification number

22-2529464
Return Reference Explanation
FORM 990, PART III, LINE 4A YALE NEW HAVEN HEALTH SERVICES CORPORATION, THE PARENT OF THE INTEGRATED HEALTHCARE DELIVERY SYSTEM KNOWN AS YALE NEW HAVEN HEALTH SYSTEM (YNHHS, YALE NEW HAVEN HEALTH OR THE SYSTEM), CONSISTS OF FIVE DELIVERY NETWORKS; BRIDGEPORT, GREENWICH, NEW LONDON/WESTERLY, NEW HAVEN AND NORTHEAST MEDICAL GROUP. THE SYSTEM MADE MEANINGFUL PROGRESS IN IMPROVING PATIENT SAFETY AND QUALITY, BUILDING PATIENT EXPERIENCE INFRASTRUCTURE, FOCUSING ON A CONSISTENT CARE SIGNATURE AND REDUCING HEALTHCARE COSTS WHILE PRESERVING THE ORGANIZATION'S FISCAL STRENGTH TO INVEST IN OUR PATIENTS AND OUR COMMUNITIES IN THE YEARS TO COME. YNHHS CONTINUED TO TREAT MANY OF CONNECTICUT'S MOST COMPLEX PATIENTS, SEEING AN INCREASE IN OVERALL CASE MIX INDEX, LONGER LENGTH OF STAY AND HIGH CAPACITY AT ITS HOSPITALS. TO ENSURE THE SYSTEM'S ABILITY TO PUT THE RIGHT PATIENT, IN THE RIGHT BED, AT THE RIGHT TIME, THE ORGANIZATION CREATED A FULLY ELECTRONIC DASHBOARD THAT TRACKS OUTCOMES, PERFORMANCE AND EFFICIENCY IN REAL TIME. MAINTAINING ITS FOCUS ON SAFETY AND QUALITY, YNHHS IMPLEMENTED HIGH RELIABILITY ORGANIZATION TRAINING FOR ALL PROVIDERS AND EXTENDED THE SAFETY COACH, SAFETY RECOGNITION AWARD AND SAFETY HUDDLE PROGRAMS TO LAWRENCE + MEMORIAL AND WESTERLY HOSPITALS AND NORTHEAST MEDICAL GROUP. INTEGRATED CARE MODEL INITIATIVES WERE LAUNCHED TO ADDRESS THE NEEDS OF FOUR DIFFERENT PATIENT GROUPS: CHILDREN DIAGNOSED WITH ASTHMA, PATIENTS WITH ABNORMAL PROSTATE SPECIFIC ANTIGEN LEVELS, PATIENTS WITH ABNORMAL MAMMOGRAMS AND PATIENTS SCHEDULED FOR SCREENING COLONOSCOPIES. THE PROJECT STANDARDIZED CARE AND IMPROVED MEDICAL COORDINATION FOR OVER 4,600 PATIENTS. YALE NEW HAVEN HOSPITAL BECAME THE ONLY HOSPITAL IN CONNECTICUT TO BE AWARDED ACCREDITATION BY THE AMERICAN SOCIETY FOR RADIATION ONCOLOGY ACCREDITATION PROGRAM FOR EXCELLENCE FOR FIVE SMILOW CANCER HOSPITAL SITES THAT OFFER RADIATION ONCOLOGY. ACCREDITATION ENSURES PATIENTS RECEIVE THE HIGHEST SAFETY AND QUALITY CARE STANDARDS IN THE COUNTRY. NORTHEAST MEDICAL GROUP, FOCUSING ON CONTINUED PREVENTIVE MEASURES WITH PATIENTS, REPORTED SIGNIFICANT IMPROVEMENTS IN KEY QUALITY METRICS USED TO MONITOR PATIENT HEALTH THROUGH DIABETIC EYE EXAMS, BREAST CANCER SCREENINGS AND CLINICAL DEPRESSION SCREENINGS. KEEPING THE PATIENT AT THE CENTER OF CARE, THE HEALTH SYSTEM MADE IT EASIER FOR PEOPLE TO ACCESS THE LATEST MEDICAL TREATMENTS, ADVANCED RESEARCH AND INNOVATIONS. THROUGH ITS COLLABORATION WITH THE YALE CENTER FOR GENOMIC HEALTH, THE SYSTEM BEGAN WORKING ON ONE OF THE LARGEST DNA SEQUENCING PROJECTS OF ITS KIND, THE "GENERATIONS PROJECT." THE PRECISION HEALTH INITIATIVE USES GENOME SEQUENCING TO DEVELOP PERSONALIZED TREATMENTS FOR ADULTS, CHILDREN AND INFANTS WITH CANCER AND GENETIC DISORDERS. A CLINICAL ALLIANCE WITH TRINITY HEALTH OF NEW ENGLAND HELPED ADVANCE PATIENT CARE INTO HIGH-IMPACT SERVICES SUCH AS THE NEUROSCIENCES AND SOLID ORGAN TRANSPLANT. THE CONNECTICUT BURN CENTER AT BRIDGEPORT HOSPITAL WAS THE FIRST IN THE STATE TO USE REGENERATIVE EPIDERMAL SUSPENSION AND THE RECELL AUTOLOGOUS CELL HARVESTING DEVICE FOR SKIN GRAFTING. YALE NEW HAVEN HOSPITAL REPORTED COMPLETING OVER 400 HEART TRANSPLANTS SINCE 1984, AND YALE NEW HAVEN CHILDREN'S HOSPITAL BECAME THE FIRST IN CONNECTICUT CERTIFIED IN PEDIATRIC HEART TRANSPLANTATION. YALE NEW HAVEN HOSPITAL ALSO OPENED A STATE-OF-THE-ART LABOR AND BIRTH AND MATERNAL SPECIAL CARE UNIT. YNHHS' OPIOID STEWARDSHIP INITIATIVE CONTINUED TO REDUCE PRESCRIPTION OF OPIOIDS BY RE-ENGINEERING HOW PRESCRIBERS, NURSES AND PHARMACISTS ADDRESS PATIENTS' PAIN AMID RISING CONCERNS ABOUT GROWING RATES OF ABUSE AND ADDICTION. OVERALL REDUCTIONS WERE ATTRIBUTED TO ENGAGEMENT OF PRESCRIBERS, BEDSIDE NURSES, PHARMACISTS AND PATIENTS IN ADDITION TO PHYSICIAN EDUCATION. SEVERAL CLINICAL PROGRAMS EXPANDED DURING THE YEAR WITH SYSTEM SUPPORT. YALE NEW HAVEN HOSPITAL ANNOUNCED PLANS FOR A NEUROSCIENCES CENTER, A 505,000-SQUARE-FOOT FACILITY ON THE HOSPITAL'S SAINT RAPHAEL CAMPUS, WHICH WILL PROVIDE INNOVATIVE CARE FROM MOVEMENT DISORDERS TO NEURO-REGENERATION, SUPPORTED BY RESEARCH, EDUCATION AND EXCEPTIONAL PATIENT CARE. THE $838 MILLION CONSTRUCTION PROJECT, THE LARGEST OF ITS KIND IN THE STATE'S HISTORY, WILL CONTRIBUTE HUNDREDS OF NEW CONSTRUCTION AND PERMANENT JOBS TO THE REGION. RECOGNIZING THE PREVALENCE OF LIFELONG DIGESTIVE ISSUES AND THE BENEFITS OF EARLY DETECTION AND TREATMENT, YALE NEW HAVEN HEALTH LAUNCHED A DIGESTIVE HEALTH SERVICE LINE. PATIENTS WILL RECEIVE DIAGNOSTIC, MEDICAL AND SURGICAL CARE, NUTRITION, COUNSELING, PHYSICAL THERAPY, PHARMACY AND OTHER SERVICES THROUGH DIGESTIVE HEALTH CENTERS IN NEW HAVEN, LOWER FAIRFIELD COUNTY AND CENTRAL CONNECTICUT. TO PROVIDE THE NEW LONDON REGION WITH UP-TO-DATE, ACCESSIBLE CARE, LAWRENCE + MEMORIAL HOSPITAL LAUNCHED A MASTER FACILITY PLANNING PROCESS FOR THE HOSPITAL AND DEVELOPED A MAJOR RENOVATION AND EXPANSION PLAN FOR THE EMERGENCY DEPARTMENT. THE HOSPITAL ALSO UPGRADED TO DAVINCI XI ROBOT, ALLOWING COMPLEX SURGERIES TO REMAIN AT THE HOSPITAL FOR UROLOGY, COLORECTAL AND GYNECOLOGICAL-ONCOLOGY CARE. THE HEART AND VASCULAR CENTER EXPANDED SERVICES AT WESTERLY HOSPITAL, WITH THE OPENING OF A NEW CARDIAC CATH LAB AND INCREASED VASCULAR SURGERY SERVICES. FOCUSING ON THE NEEDS OF AN AGING POPULATION, BRIDGEPORT HOSPITAL STARTED WORK ON A STATE-OF-THE-ART CENTER FOR GERONTOLOGIC HEALTH AND THE HOSPITAL EARNED GERIATRIC EMERGENCY DEPARTMENT ACCREDITATION FROM THE AMERICAN COLLEGE OF EMERGENCY PHYSICIANS. WESTERLY HOSPITAL DEVELOPED A NEW 18-BED GERIATRIC PSYCHIATRY UNIT THAT PROVIDES ACUTE CARE TO GERIATRIC PATIENTS DIAGNOSED WITH PSYCHIATRIC SYMPTOMS, OFTEN IN THE CONTEXT OF CO-OCCURRING MEDICAL DISORDERS REQUIRING ASSESSMENT AND TREATMENT. INCREASING ACCESS AND CONVENIENCE FOR PATIENTS IN THE AMBULATORY SETTING REMAINED A PRIORITY. YALE NEW HAVEN HOSPITAL OPENED ENDOSCOPY AND SURGICAL SERVICES IN NORTH HAVEN AND GUILFORD, CONNECTICUT, AND MADE MAJOR RENOVATIONS TO THE SHORELINE MEDICAL CENTER IN GUILFORD, INCLUDING A NEW, SIX-ROOM AMBULATORY SURGERY CENTER THAT INCLUDED AN INNOVATIVE OPHTHALMOLOGY CENTER AND A MAJOR EXPANSION OF THE SMILOW CANCER CENTER. BY EXTENDING AMBULATORY CARE LOCATIONS THROUGHOUT CONNECTICUT, SOUTHERN RHODE ISLAND AND WESTCHESTER COUNTY, NEW YORK, YNHHS CONTINUED TO PROVIDE SERVICES RANGING FROM ADULT AND PEDIATRIC SPECIALTY CARE, SURGICAL PROCEDURES, LABORATORY AND IMAGING SERVICES TO COMPREHENSIVE CANCER TREATMENT. GREENWICH HOSPITAL, WITH YALE NEW HAVEN HEALTH, ANNOUNCED AN INVESTMENT OF $160 MILLION IN LOWER FAIRFIELD AND WESTCHESTER COUNTIES TO EXPAND CLINICAL SERVICES AND AMBULATORY CENTERS FOR THE CREATION OF A REGIONAL CENTER WHERE PATIENTS CAN ACCESS EXPERT CARE IN HEART AND VASCULAR, ONCOLOGY, NEUROSCIENCES, ORTHOPEDICS AND PRIMARY CARE THROUGH NORTHEAST MEDICAL GROUP. FOR ITS COMMITTED WORK TO THE PATIENT EXPERIENCE, GREENWICH HOSPITAL RECEIVED PRESS GANEY'S PINNACLE OF EXCELLENCE AWARD IN PATIENT EXPERIENCE AND THE 2019 GUARDIAN OF EXCELLENCE AWARD IN PATIENT EXPERIENCE IN THE EMERGENCY DEPARTMENT. THE SYSTEM EXPANDED CLINICAL SERVICES THROUGH DESTINATION SERVICE LINES. GREENWICH HOSPITAL COMPLETED A FULL INTEGRATION WITH SMILOW CANCER HOSPITAL, PROVIDING PATIENTS WITH ACCESS TO STATE-OF-THE-ART CANCER CARE WITH YALE MEDICINE PHYSICIANS. SMILOW CANCER HOSPITAL CARE CENTERS ALSO OPENED NEW, COMMUNITY-BASED LOCATIONS AT WESTERLY HOSPITAL IN RHODE ISLAND AND IN WATERFORD, CONNECTICUT. IMPROVING ACCESS TO HEALTHCARE SERVICES, MILFORD HOSPITAL BECAME A FULLY INTEGRATED CAMPUS OF BRIDGEPORT HOSPITAL AND A MEMBER OF THE HEALTH SYSTEM, INCREASING ACCESS TO THE SYSTEM'S HUNDREDS OF DEDICATED PRIMARY CARE PHYSICIANS AND SPECIALISTS IN NORTHEAST MEDICAL GROUP AND YALE MEDICINE. THE ACQUISITION ALSO INCLUDED MILFORD HOSPITAL'S HOME CARE PLUS HOME HEALTH AGENCY, EXTENDING YNHHS' POST-ACUTE CARE NETWORK. IN ADDITION, THE SYSTEM PROVIDED THE COMMUNITIES IT SERVES WITH HUNDREDS OF HEALTH SCREENINGS, SUPPORT GROUPS, COMMUNITY EDUCATION SESSIONS AND GRANTS TO IMPROVE COMMUNITY HEALTH AS PART OF ITS MISSION TO BUILD A HEALTHIER FUTURE TOGETHER WITH LOCAL COMMUNITIES.
FORM 990, PART III, LINE 4A NORTHEAST MEDICAL GROUP PARTICIPATED IN MEDICARE, MEDICAID AND COMMERCIAL VALUE-BASED PROGRAMS AS WELL AS PAYER CONTRACTING ARRANGEMENTS THAT PROMOTE VALUE-BASED CARE. THESE INCLUDED A COMPREHENSIVE SPINE PROGRAM; AN ONCOLOGY CARE MANAGEMENT PROGRAM THOUGH SMILOW CANCER HOSPITAL; A COMPREHENSIVE CARE FOR JOINT REPLACEMENT BUNDLED PAYMENT MODEL AT ALL YNHHS HOSPITALS AND A SHARED VALUE PROGRAM AT WESTERLY HOSPITAL WITH UNIVERSITY ORTHOPEDICS, AN INDEPENDENT ORTHOPEDICS PRACTICE. PARTNERING WITH EMPLOYERS TO HELP THEM IMPROVE THEIR EMPLOYEES' HEALTH AND REDUCE THEIR TOTAL HEALTHCARE COSTS, YNHHS DEVELOPED PROGRAMS WITH ELECTRIC BOAT AND MOHEGAN SUN THROUGH ACCESS AND BENEFIT DESIGN MODIFICATIONS THAT ENCOURAGE USE OF YNHHS AND AFFILIATES WITH BETTER CARE COORDINATION AND REDUCED COSTS. TO BETTER REFLECT THE DIVERSITY OF OUR PATIENTS AND OUR COMMUNITIES, YNHHS EXPANDED PROGRAMMING THAT ADDRESSED UNCONSCIOUS BIAS, SOCIETAL STIGMA AND LGBTQ AWARENESS. THE SYSTEM JOINED THE CEO ACTION FOR DIVERSITY & INCLUSION, A COALITION OF MORE THAN 600 ORGANIZATIONS THAT PLEDGE TO ADVANCE DIVERSITY AND INCLUSION IN THE WORKPLACE. ALL FIVE YALE NEW HAVEN HEALTH HOSPITALS WERE DESIGNATED LGBTQ HEALTHCARE EQUALITY LEADERS BY THE HUMAN RIGHTS CAMPAIGN FOUNDATION IN THE 12TH EDITION OF THE HEALTHCARE EQUITY INDEX. YALE NEW HAVEN HEALTH'S STEADFAST COMMITMENT TO PROVIDING UNPARALLELED VALUE HELPED THE SYSTEM ACHIEVE POSITIVE RESULTS FOR PATIENTS AND COMMUNITIES SERVED BY ITS DELIVERY NETWORKS THROUGH INCREASED PATIENT SAFETY, CLINICAL QUALITY, ENHANCED PATIENT EXPERIENCE AND STRATEGIC GROWTH OF CARE SERVICES.
FORM 990, PART VI PART I, LINE 4 & PART VI, LINE 1B NUMBER OF INDEPENDENT VOTING MEMBERS OF THE GOVERNING BODY THE ORGANIZATION SOUGHT TO CONFIRM THE INDEPENDENCE OF EACH VOTING MEMBER OF ITS GOVERNING BODY BY REQUESTING THAT EACH SUCH VOTING MEMBER RESPOND TO A QUESTIONNAIRE CONTAINING THE PERTINENT INSTRUCTIONS AND DEFINITIONS AND DESIGNED TO ELICIT THE INFORMATION NECESSARY TO DETERMINE INDEPENDENCE. IN THE EVENT THAT THE ORGANIZATION DOES NOT RECEIVE A RESPONSE FROM ANY SUCH VOTING MEMBER, THE ORGANIZATION REVIEWS OTHER INFORMATION KNOWN TO IT REGARDING THE VOTING MEMBER AND MAKES A REASONABLE ASSESSMENT OF INDEPENDENCE BASED ON THAT INFORMATION.
FORM 990, PART VI, SECTION A, LINE 2 PART VI, LINE 2 - BUSINESS RELATIONSHIPS BETWEEN OFFICERS, TRUSTEES, OR KEY EMPLOYEES TRUSTEES JOHN L. LAHEY AND JAMES TORGERSON ARE DIRECTORS AND OFFICERS OF THE SAME BUSINESS ENTITY. THE ORGANIZATION'S CURRENT OFFICERS AND/OR TRUSTEES MAY SERVE AS OFFICERS AND/OR DIRECTORS OF TAX-EXEMPT AND TAXABLE AFFILIATES WITHIN THE ORGANIZATION'S CORPORATE SYSTEM OR JOINT VENTURES IN WHICH THE ORGANIZATION'S CORPORATE SYSTEM HAS AN OWNERSHIP INTEREST. THE INDIVIDUAL OFFICERS AND/OR TRUSTEES DO NOT HAVE PERSONAL FINANCIAL INTERESTS IN SUCH AFFILIATES AND SERVE ONLY AS A FUNCTION OF THEIR ROLES WITH THE ORGANIZATION OR WITHIN THE ORGANIZATION'S CORPORATE SYSTEM.
FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 TAX RETURN AND ATTACHED SCHEDULES WERE PREPARED BY EMPLOYEES OF THE YNHHS TAX DEPARTMENT. THE RETURN IS INITIALLY REVIEWED BY THE DIRECTOR AND VP OF CORPORATE FINANCE. SUBSEQUENTLY IT IS SENT TO KPMG LLP FOR THEIR INITIAL REVIEW. AFTER ALL COMMENTS FROM THE ABOVE GROUP ARE CLEARED, THE RETURN IS THEN REVIEWED BY THE CHIEF FINANCIAL OFFICER OF THE ORGANIZATION AND A FINAL VERSION OF THE RETURN IS SENT BACK TO KPMG LLP FOR FINAL REVIEW. PRIOR TO FILING, THE ORGANIZATION MAKES AVAILABLE A COMPLETE COPY OF THE RETURN TO ITS 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 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 PROMPTLY REPORT 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 TO DEVELOP A PLAN TO MITIGATE ANY ACTUAL CONFLICT OF INTEREST. FOR EXAMPLE, A VOTING BOARD OR COMMITTEE MEMBER WOULD BE REQUIRED TO RECUSE HIMSELF OR HERSELF FROM VOTING ON MATTERS RELATED WITH WHICH SHE OR HE HAD AN ACTUAL OR POTENTIAL CONFLICT AND THE ACTUAL OR 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.
FORM 990, PART VI, SECTION C, LINE 19 COPIES OF ALL AVAILABLE DOCUMENTS ARE ACCESSIBLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11G CONSULTING FEES: PROGRAM SERVICE EXPENSES 2,143,310. MANAGEMENT AND GENERAL EXPENSES 1,459,535. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,602,845. PERSONNEL SUPPORT/OUTSIDE CONTRACTUAL: PROGRAM SERVICE EXPENSES 58,367,693. MANAGEMENT AND GENERAL EXPENSES 13,637,850. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 72,005,543. TEMPORARY HELP/TRAINING/DEVELOPMENT: PROGRAM SERVICE EXPENSES 2,431,013. MANAGEMENT AND GENERAL EXPENSES 568,016. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,999,029. SYSTEM SUPPORT: PROGRAM SERVICE EXPENSES 4,090,657. MANAGEMENT AND GENERAL EXPENSES 955,799. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,046,456.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2018


Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
YALE NEW HAVEN HEALTH SERVICES
CORPORATION
Employer identification number

22-2529464
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity










Part II
Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1)BRIDGEPORT HOSPITAL
267 GRANT STREET

BRIDGEPORT,CT06610
06-0646554 		HEALTHCARE SERVICES CT 501C3 LINE 3 YALE NEW HAVEN HEALTH SERVICES CORP
 
Yes
 
(2)BRIDGEPORT HOSPITAL AUXILIARY INC
267 GRANT STREET

BRIDGEPORT,CT06610
06-6042500 		SYSTEM SUPPORT SERVICES CT 501C3 LINE 12A, I BRIDGEPORT HOSPITAL
 
Yes
 
(3)BRIDGEPORT HOSPITAL FOUNDATION INC
267 GRANT STREET

BRIDGEPORT,CT06610
22-2908698 		SYSTEM SUPPORT SERVICES CT 501C3 LINE 7 BRIDGEPORT HOSPITAL
 
Yes
 
(4)BRIDGEPORT HOSPITAL FRIENDS OF PEDIATRICS INC
120 COLUMBINE DRIVE

TRUMBULL,CT06611
06-6048427 		SYSTEM SUPPORT SERVICES CT 501C3 LINE 12A, I YALE NEW HAVEN HOSPITAL
 
Yes
 
(5)GREENWICH HOSPITAL
5 PERRYRIDGE ROAD

GREENWICH,CT06830
06-0646659 		HEALTHCARE SERVICES CT 501C3 LINE 3 YALE NEW HAVEN HEALTH SERVICES CORP
 
Yes
 
(6)HOME CARE PLUS INC
789 HOWARD AVE

NEW HAVEN,CT06519
06-1044331 		HOME HEALTHCARE SERVICES CT 501C3 LINE 10 YALE NEW HAVEN CARE CONTINUUM CORP
 
Yes
 
(7)L&M HEALTHCARE INC
365 MONTAUK AVENUE

NEW LONDON,CT06320
22-2553031 		SYSTEM SUPPORT SERVICES CT 501C3 LINE 12A, I LAWRENCE MEMORIAL CORPORATION
 
Yes
 
(8)LAWRENCE MEMORIAL CORPORATION
365 MONTAUK AVENUE

NEW LONDON,CT06320
22-2553028 		PROMOTE HEALTHCARE CT 501C3 LINE 12A, I YALE NEW HAVEN HEALTH SERVICES CORP
 
Yes
 
(9)LAWRENCE MEMORIAL HOSPITAL INC
365 MONTAUK AVENUE

NEW LONDON,CT06320
06-0646704 		HEALTHCARE SERVICES CT 501C3 LINE 3 LAWRENCE MEMORIAL CORPORATION
 
Yes
 
(10)LMW HEALTHCARE INC
365 MONTAUK AVENUE

NEW HAVEN,CT06320
46-0543230 		HEALTHCARE SERVICES RI 501C3 LINE 3 LAWRENCE MEMORIAL CORPORATION
 
Yes
 
(11)NORTHEAST MEDICAL GROUP INC
99 HAWLEY LANE

STRATFORD,CT06614
06-1330992 		HEALTHCARE SERVICES CT 501C3 LINE 10 YALE NEW HAVEN HEALTH SERVICES CORP
 
Yes
 
(12)NORTHEAST MEDICAL GROUP PLLC
99 HAWLEY LANE

STRATFORD,CT06614
35-2380180 		HEALTHCARE SERVICES CT 501C3 LINE 12A, I NORTHEAST MEDICAL GROUP INC
 
Yes
 
(13)PERRYRIDGE CORPORATION
5 PERRYRIDGE ROAD

GREENWICH,CT06830
06-1207316 		SYSTEM SUPPORT SERVICES CT 501C3 LINE 10 GREENWICH HOSPITAL
 
Yes
 
(14)SOUTHERN CONNECTICUT HEALTH SYSTEM PROPERTIES INC
267 GRANT STREET

BRIDGEPORT,CT06610
06-1297708 		TITLE HOLDING CT 501C2   BRIDGEPORT HOSPITAL
 
Yes
 
(15)THE WESTERLY HOSPITAL FOUNDATION INC
25 WELLS STREET

WESTERLY,RI02891
05-0508064 		FUNDRAISING SERVICES RI 501C3 LINE 12A, I LMW HEALTHCARE INC
 
Yes
 
(16)VISITING NURSE ASSOCIATION OF SOUTHEASTERN CONNECTICUT INC
403 NORTH FRONTAGE ROAD

WATERFORD,CT06385
06-0646616 		HOME HEALTHCARE SERVICES CT 501C3 LINE 10 LAWRENCE MEMORIAL CORPORATION
 
Yes
 
(17)WESTERLY HOSPITAL AUXILIARY INC
25 WELLS STREET

WESTERLY,RI02891
22-2507181 		FUNDRAISING ACTIVITIES RI 501C3 LINE 12A, I LMW HEALTHCARE INC
 
Yes
 
(18)YALE NEW HAVEN CARE CONTINUUM CORP
789 HOWARD AVE

NEW HAVEN,CT06519
45-5235566 		NURSING HOME CT 501C3 LINE 3 YALE NEW HAVEN HOSPITAL
 
Yes
 
(19)YALE NEW HAVEN HOSPITAL
20 YORK STREET

NEW HAVEN,CT06504
06-0646652 		HEALTHCARE SERVICES CT 501C3 LINE 3 YALE NEW HAVEN HEALTH SERVICES CORP
 
Yes
 
(20)THE GREENWICH HOSPITAL ENDOWMENT FUND INC
5 PERRYRIDGE ROAD

GREENWICH,CT06830
06-1526642 		SYSTEM SUPPORT SERVICES CT 501C3 LINE 12C, III-FI GREENWICH HOSPITAL
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2018
Schedule R (Form 990) 2018
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) SHORELINE ENDOSCOPY CENTER LLC

800 BOSTON POST ROAD
GUILFORD,CT06437
90-0110459 		HEALTHCARE SERVICES CT YALE NEW HAVEN AMBULATORY SERVICE CORP
  		RELATED 4,730,639 1,262,912   No     No 51.000 %
(2) TOTAL HEALTH CONNECTICUT LLC

789 HOWARD AVENUE
NEW HAVEN,CT06519
47-4070024 		HEALTHCARE SERVICES CT YALE NEW HAVEN HEALTH SERVICES CORPORATION
  		RELATED       No     No 60.000 %
(3) YALE NEW HAVEN HEALTH SYSTEM INVESTMENT TRUST

20 YORK STREET
NEW HAVEN,CT06510
27-1374301 		INVESTMENT DE YALE NEW HAVEN HEALTH SERVICES CORPORATION
  		RELATED   394,592   No     No 0.020 %
(4) YNHHSCUSP SURGERY CENTERS LLC

15305 DALLAS PKWY STE 1600
ADDISON,TX75001
38-4021595 		HEALTHCARE SERVICES CT YALE NEW HAVEN HEALTH SERVICES CORPORATION
  		RELATED       No     No 51.000 %






Part IV
Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) CENTURY FINANCIAL SERVICES INC

23 MAIDEN LANE
NORTH HAVEN,CT06473
06-1110797 		DEBT COLLECTION SERVICES CT YALE NEW HAVEN HOSPITAL
  		C 8,040,074 4,333,686 100.000 % Yes  
(2) CORPORATE PROFESSIONAL BUSINESS SERVICESINC

789 HOWARD AVE
NEW HAVEN,CT06519
06-1467717 		MANAGEMENT SERVICES CT N/A
 C 9,296,337 529,521 100.000 % Yes  
(3) GREENWICH FERTILITY & IVF PC

5 PERRYRIDGE ROAD
GREENWICH,CT06830
30-0145464 		HEALTHCARE SERVICES CT GREENWICH HEALTH SERVICES INC
  		C 6,938,409 3,005,677 100.000 % Yes  
(4) GREENWICH OCCUPATIONAL HEALTH SERVICES OF NEW JERSEY

5 PERRYRIDGE ROAD
GREENWICH,CT06830
45-3833883 		HEALTHCARE SERVICES NJ GREENWICH HOSPITAL
  		C 146,854 117,390 100.000 % Yes  
(5) GREENWICH OCCUPATIONAL HEALTH SERVICES OF NY PC

5 PERRYRIDGE ROAD
GREENWICH,CT06830
06-1540101 		HEALTHCARE SERVICES NY GREENWICH HEALTH SERVICES INC
  		C   53,528 100.000 % Yes  
(6) L & M SYSTEMS INC

365 MONTAUK AVENUE
NEW LONDON,CT06320
22-2553037 		HEALTHCARE RELATED SERVICES CT LAWRENCE MEMORIAL CORPORATION
  		C     100.000 % Yes  
(7) L&M HOME CARE SERVICES INC

365 MONTAUK AVENUE
NEW LONDON,CT06320
06-1389272 		HOME THERAPY CT L & M SYSTEMS INC
  		C 838,640 4,197,427 100.000 % Yes  
(8) MEDICAL CENTER PHARMACY AND HOME CARE CENTER INC

50 YORK STREET
NEW HAVEN,CT06511
06-1087673 		PHARMACY CT YORK ENTERPRISES INC
  		C 21,301,319 32,158,667 100.000 % Yes  
(9) YALE NEW HAVEN AMBULATORY SERVICES

40 TEMPLE STREET
NEW HAVEN,CT06510
06-1398526 		HEALTHCARE SERVICES CT YALE NEW HAVEN HOSPITAL
  		C 3,667,238 16,410,170 100.000 % Yes  
(10) YNHH PHYSICIANS CORP

789 HOWARD AVE
NEW HAVEN,CT06519
06-1202305 		ADMINISTRATIVE SERVICES CT N/A
 C   73,093 100.000 % Yes  
Schedule R (Form 990) 2018
Schedule R (Form 990) 2018
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
 
No
d Loans or loan guarantees to or for related organization(s) ............................
1d
Yes
 
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
Yes
 
r Other transfer of cash or property to related organization(s) ............................
1r
Yes
 
s Other transfer of cash or property from related organization(s) ............................
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) BRIDGEPORT HOSPITAL

 D 34,514,268 TRANSACTION REVIEW
(2) BRIDGEPORT HOSPITAL

 L 95,110,645 COMPARABLE MARKET VALUE
(3) BRIDGEPORT HOSPITAL

 P 15,488,626 TRANSACTION REVIEW
(4) BRIDGEPORT HOSPITAL

 R 1,990,232 CASH
(5) BRIDGEPORT HOSPITAL

 S 149,586,513 CASH
(6) CENTURY FINANCIAL SERVICES INC

 L 660,802 COMPARABLE MARKET VALUE
(7) CORPORATE PROFESSIONAL BUSINESS SERVICES INC

 Q 555,946 TRANSACTION REVIEW
(8) GREENWICH HOSPITAL

 L 58,046,620 COMPARABLE MARKET VALUE
(9) GREENWICH HOSPITAL

 M 542,314 COMPARABLE MARKET VALUE
(10) GREENWICH HOSPITAL

 O 182,766 TRANSACTION REVIEW
(11) GREENWICH HOSPITAL

 P 13,092,869 TRANSACTION REVIEW
(12) GREENWICH HOSPITAL

 Q 1,110,743 TRANSACTION REVIEW
(13) GREENWICH HOSPITAL

 R 2,812,903 CASH
(14) GREENWICH HOSPITAL

 S 72,431,022 CASH
(15) HOME CARE PLUS INC

 P 82,436 TRANSACTION REVIEW
(16) LAWRENCE MEMORIAL HOSPITAL INC

 L 31,732,520 COMPARABLE MARKET VALUE
(17) LAWRENCE MEMORIAL HOSPITAL INC

 M 493,871 COMPARABLE MARKET VALUE
(18) LAWRENCE MEMORIAL HOSPITAL INC

 O 53,602 TRANSACTION REVIEW
(19) LAWRENCE MEMORIAL HOSPITAL INC

 P 6,064,148 TRANSACTION REVIEW
(20) LAWRENCE MEMORIAL HOSPITAL INC

 Q 42,948,331 TRANSACTION REVIEW
(21) LAWRENCE MEMORIAL HOSPITAL INC

 R 3,668,344 CASH
(22) LAWRENCE MEMORIAL HOSPITAL INC

 S 9,041,630 CASH
(23) LMW HEALTHCARE INC

 L 5,126,407 COMPARABLE MARKET VALUE
(24) LMW HEALTHCARE INC

 Q 6,715,863 TRANSACTION REVIEW
(25) MEDICAL CENTER PHARMACY & HOME CARE CENTER INC

 L 2,685,823 COMPARABLE MARKET VALUE
(26) MEDICAL CENTER PHARMACY & HOME CARE CENTER INC

 Q 2,681,561 TRANSACTION REVIEW
(27) NORTHEAST MEDICAL GROUP INC

 L 25,775,910 COMPARABLE MARKET VALUE
(28) NORTHEAST MEDICAL GROUP INC

 Q 37,794,887 TRANSACTION REVIEW
(29) YALE NEW HAVEN AMBULATORY SERVICES CORP

 L 73,432 COMPARABLE MARKET VALUE
(30) YALE NEW HAVEN AMBULATORY SERVICES CORP

 Q 645,723 TRANSACTION REVIEW
(31) YALE NEW HAVEN CARE CONTINUUM CORP

 L 200,855 COMPARABLE MARKET VALUE
(32) YALE NEW HAVEN CARE CONTINUUM CORP

 P 191,958 TRANSACTION REVIEW
(33) YALE NEW HAVEN HOSPITAL

 L 331,505,034 COMPARABLE MARKET VALUE
(34) YALE NEW HAVEN HOSPITAL

 M 2,076,373 COMPARABLE MARKET VALUE
(35) YALE NEW HAVEN HOSPITAL

 P 33,589,242 TRANSACTION REVIEW
(36) YALE NEW HAVEN HOSPITAL

 Q 326,709,423 TRANSACTION REVIEW
(37) YALE NEW HAVEN HOSPITAL

 R 20,682,201 CASH
(38) YALE NEW HAVEN HOSPITAL

 S 61,822,753 CASH
Schedule R (Form 990) 2018
Schedule R (Form 990) 2018
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2018
Schedule R (Form 990) 2018
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2018

Additional Data


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