YALE-NEW HAVEN CARE CONTINUUM CORPORATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
YALE-NEW HAVEN CARE CONTINUUM CORPORATION (EIN 45-5235566)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-14
IRS object ID
201412269349302701
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-08-14T12:32:58-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN346565596EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1111 MONUMENT CIRCLE SUITE 4000AddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46204ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN455235566EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1YALE-NEW HAVEN CARE CONTINUUM CORPORATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlYALENameControl
Phone2036882069Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1789 HOWARD AVENUEAddressLine1
CityNEW HAVENCity
StateCTState
ZIP Code06519ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJAMES STATENName
TitleCFOTitle
Phone2036882069Phone
Date Signed2014-08-08DateSigned
Authorize Third Party0AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
PTINP00032493PTIN
Phone3176817000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJAMES STATENNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1789 HOWARD AVEAddressLine1
CityNEW HAVENCity
StateCTState
ZIP Code06519ZIPCode
FieldValueIRS element (for citing)
Gross Receipts11513910GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2012YearFormation
State Legal DomicileCTStateLegalDomicile
Activity Or Mission DescriptionMAINTAIN AND OPERATE A CHRONIC AND CONVALESCENT NURSING HOME.ActivityOrMissionDescription
Nbr Voting Members Governing Body3NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees155TotalNbrEmployees
Total Nbr Volunteers64TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year645414ProgramServiceRevenuePriorYear
Program Service Revenue CY11460483ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year2451OtherRevenuePriorYear
Other Revenue Current Year53427OtherRevenueCurrentYear
Total Revenue Prior Year647865TotalRevenuePriorYear
Total Revenue Current Year11513910TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year459777SalariesEtcPriorYear
Salaries Etc Current Year9300930SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year199807OtherExpensePriorYear
Other Expenses Current Year3558400OtherExpensesCurrentYear
Total Expenses Prior Year659584TotalExpensesPriorYear
Total Expenses Current Year12859330TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-11719RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1345420RevenuesLessExpensesCY
Total Assets BOY5891452TotalAssetsBOY
Total Assets EOY7872124TotalAssetsEOY
Total Liabilities BOY5903171TotalLiabilitiesBOY
Total Liabilities EOY9229263TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-11719NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-1357139NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO PROVIDE LONG-TERM CARE FOR THOSE UNABLE TO LIVE INDEPENDENTLY AND SHORT-TERM REHABILITATION FOR PATIENTS WHO HAVE EXPERIENCED ELECTIVE SURGERY, AN INJURY OR A TRAUMATIC MAJOR ILLNESS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense10377101Expense
Revenue11460483Revenue
DescriptionSEE SCHEDULE OTHE CORPORATION OPERATES A 120-BED SKILLED NURSING FACILITY THAT PROVIDES LONG-TERM CARE FOR THOSE UNABLE TO LIVE INDEPENDENTLY AND SHORT-TERM REHABILITATION FOR PATIENTS WHO HAVE EXPERIENCED ELECTIVE SURGERY, AN INJURY OR A TRAUMATIC MAJOR ILLNESS. DURING FY13 THE CORPORATION HAD 39,954 PATIENT DAYS AND PROVIDED VARIOUS SERVICES INCLUDING BUT NOT LIMITED TO RESPITE CARE FOR FAMILY MEMBERS AND CAREGIVERS WHO NEED A REST FROM THE DEMANDS OF PROVIDING CONTINUOUS CARE AT HOME; STROKE RECOVERY FOR VICTIMS OF STROKE WHO OFTEN REQUIRE EXTENDED REHABILITATION SERVICES IN ORDER TO ACHIEVE A LEVEL OF FUNCTIONALITY THAT ALLOWS THEM TO RETURN HOME; ORTHOPEDIC RECOVERY FOR PATIENTS WHO HAVE UNDERGONE BONE AND/OR JOINT SURGERY, INCLUDING INDIVIDUALIZED ONE-ON-ONE THERAPY WITH TRAINED STAFF, SEVEN DAYS A WEEK; AND QUICK ACCESS TO LABS, MEDICATIONS AND DIAGNOSTIC SERVICES (SUCH AS RADIOLOGICAL SERVICES).Description
Total Program Service Expense10377101TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees155NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members3NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees0MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1VINCENT TAMMAROBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2036886364TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1789 HOWARD AVEAddressLine1
CityNEW HAVENCity
StateCTState
ZIP Code06519ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (3 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
JAMES M STATEN
TREASURER1.0039.00XX01112762345337
THOMAS BALCEZAK
SECRETARY1.0039.00XX0519300151914
GAYLE CAPOZZALO
PRESIDENT1.0039.00XX01146524161371
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2778586TotalReportableCompFrmRltdOrgs
Total Other Compensation658622TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET PATIENT REVENUEDescription
Business Code623000BusinessCode
Total Revenue Column11460483TotalRevenueColumn
Related Or Exempt Function Income11460483RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue11460483TotalProgramServiceRevenue

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER ANCILLARY REVENUEDescription
Business Code900099BusinessCode
Total Revenue Column53427TotalRevenueColumn
Exclusion$53,427ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue53427TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column11513910TotalRevenueColumn
Related Or Exempt Function Income11460483RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$53,427ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7483875Total
Program Services6286456ProgramServices
Management And General1197419ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1276523Total
Program Services1097809ProgramServices
Management And General178714ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total540532Total
Program Services464858ProgramServices
Management And General75674ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total42795Total
Management And General42795ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total66469Total
Management And General66469ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total795921Total
Program Services284888ProgramServices
Management And General511033ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1738255Total
Program Services1525784ProgramServices
Management And General212471ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total588974Total
Program Services515750ProgramServices
Management And General73224ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total8374Total
Management And General8374ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total195695Total
Program Services156556ProgramServices
Management And General39139ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total121917Total
Program Services45000ProgramServices
Management And General76917ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total12859330Total
Program Services10377101ProgramServices
Management And General2482229ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY68233BOY
EOY169180EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY650398BOY
EOY2456487EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4713370LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec206163LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4064532BOY
EOY4507207EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1108289BOY
EOY739250EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5891452BOY
EOY7872124EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY761333BOY
EOY832144EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY5141838BOY
EOY8397119EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY5903171BOY
EOY9229263EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-11719BOY
EOY-1357139EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-11719BOY
EOY-1357139EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5891452BOY
EOY7872124EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-1345420ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement BothXFinancialStatementBoth
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1580000OtherCostOrOtherBasis
Book Value1580000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2184467OtherCostOrOtherBasis
Depreciation106698Depreciation
Book Value2077769BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis368000OtherCostOrOtherBasis
Depreciation99465Depreciation
Book Value268535BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis580903OtherCostOrOtherBasis
Book Value580903BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings4507207TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
INTANGIBLES701000
PATIENTS SECURITY DEPOSITS38250
FieldValueIRS element (for citing)
Total Book Value Other Assets739250TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescriptionAmountAmount
THIRD PARTY PAYABLE-HSR$370,571
DUE TO YNHHSC$295,156
DUE TO MCP$504,337
OTHER MISC PAYABLES$38,250
DUE TO YNHH- LT$4,000,000
THIRD PARTY PAYABLE-YNHH$413,000
DUE TO Y-NHH- CURRENT$2,775,805
FieldValueIRS element (for citing)
Total Of Amounts8397119TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt11513910TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal11513910RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99011513910TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt12859330TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal12859330ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99012859330TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JAMES M STATEN
TREASURER0767206025980008575602750400702970145809900
THOMAS BALCEZAK
SECRETARY036846008954906129101291100228040671214023864
GAYLE CAPOZZALO
PRESIDENT06322220247820026648201432000181710130789500

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 4BReturnReference
ExplanationPART I, LINE 4B: THE INDIVIDUALS LISTED BELOW ARE PARTICIPANTS IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THESE ACCRUALS ARE INCLUDED IN THE AMOUNTS REPORTED IN PART II, COLUMN C (DEFERRED COMPENSATION)AND REPRESENTS THE RELATED ENTITY'S AMOUNTS THAT HAVE NOT YET BEEN VESTED CONSISTENT WITH THE COMPENSATION REPORTING PER IRS: SEVERANCE NONQUALIFIED EQUITY-BASED JAMES M. STATEN - 132,290 - THOMAS J. BALCEZAK - 60,198 - THE INDIVIDUAL LISTED BELOW BECAME VESTED IN BENEFITS VALUED AT THE AMOUNT RESPECTIVELY REPORTED BELOW DURING THE REPORTING YEAR. INCLUDED IN SECTION II, COLUMN B (III) IS AMOUNT VESTED DURING THE 2012 CALENDAR YEAR THAT WERE RECOGNIZED AS TAXABLE EVENTS AND REPORTED IN THE INDIVIDUAL' 2012 CALENDAR YEAR FORM W-2. THIS AMOUNT INCLUDES ACCUMULATIONS OF FUTURE BENEFITS THAT FOR THIS INDIVIDUAL INCLUDE MULTIPLE YEARS OF SERVICE LEADING UP TO THE VESTING OF BENEFITS THAT OCCURRED IN THE 2012 CALENDAR YEAR. ACCORDINGLY, THIS AMOUNT INCLUDED IN COLUMN B (III) THAT WERE RECOGNIZED AS 2012 CALENDAR YEAR VESTED AMOUNTS THAT WERE PREVIOUSLY REPORTED ON PRIOR YEARS' FORM 990 AS DEFERRED COMPENSATION HAVE BEEN IDENTIFIED IN COLUMN F. SEVERANCE NONQUALIFIED EQUITY-BASED GAYLE CAPOZZALO - $ 185,042 - THE SUPPLEMENTAL RETIREMENT INCOME PLAN (SRIP) IS DESIGNED TO ENSURE THE PAYMENT OF A COMPETITIVE LEVEL OF RETIREMENT INCOME WHEN ADDED TO OTHER SOURCES OF RETIREMENT INCOME IN ORDER TO ATTRACT AND RETAIN KEY MANAGEMENT EMPLOYEES SERVING AS CORPORATE OFFICERS. THE PLAN PROVIDES SUPPLEMENTAL RETIREMENT INCOME THROUGH AN UNFUNDED, NONQUALIFIED DEFERRED COMPENSATION ARRANGEMENT UNDER SECTION 457(F) AND THROUGH A DEFERRED COMPENSATION PLAN UNDER SECTION 409A OF THE INTERNAL REVENUE CODE AND A MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES' PLAN UNDER THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974 (ERISA).Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 1NUMBER OF INDEPENDENT VOTING MEMBERS OF THE GOVERNING BODY PURSUANT TO THE ORGANIZATION'S BYLAWS, THE ORGANIZATION'S SOLE MEMBER, YNH NETWORK CORPORATION, AN EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE CODE (THE "PARENT"), ELECTS THE ORGANIZATION'S BOARD OF DIRECTORS. NONE OF THE ORGANIZATION'S VOTING MEMBERS ARE INDEPENDENT BECAUSE ALL ARE COMPENSATED AS OFFICERS OR EMPLOYEES OF THE ORGANIZATION OR A RELATED ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 2BUSINESS RELATIONSHIPS BETWEEN OFFICERS, DIRECTORS, TRUSTEES, OR KEY EMPLOYEES SOME OF THE ORGANIZATION'S CURRENT OFFICERS AND TRUSTEES SERVE AS OFFICERS AND/OR DIRECTORS OF TAXABLE AFFILIATES WITHIN THE ORGANIZATION'S CORPORATE SYSTEM. THE INDIVIDUAL OFFICERS AND TRUSTEES DO NOT HAVE PERSONAL FINANCIAL INTERESTS IN THOSE BUSINESS ENTITIES AND SERVE ONLY AS A FUNCTION OF THEIR ROLES WITHIN THE ORGANIZATION'S CORPORATE SYSTEM.
FORM 990, PART VI, SECTION A, LINE 6THE SOLE MEMBER OF YALE-NEW HAVEN CARE CONTINUUM CORPORATION IS YNH NETWORK CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7ATHE MEMBER SHALL ELECT THE BOARD OF DIRECTORS, WHICH SHALL CONSIST OF NOT LESS THAN 3 DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7BTHE MEMBER AND THE MEMBER'S SOLE MEMBER, YALE-NEW HAVEN HEALTH SERVICES CORPORATION, ARE REQUIRED TO APPROVE ANY MERGER, CONSOLIDATION OR DISSOLUTION OF THE ORGANIZATION OR ANY SUBSIDIARY OR AFFILIATE; AMENDMENT OR RESTATEMENT OF THE MISSION, CERTIFICATE OF INCORPORATION OR BYLAWS; ADOPTION OF OPERATING BUDGETS; ADOPTION OF CAPITAL BUDGETS; AGGREGATE OPERATING AND CAPITAL BUDGETS THAT EXCEED CERTAIN DOLLAR AMOUNTS; LONG TERM OR MATERIAL AGREEMENTS; RELATIONSHIPS OR AGREEMENTS FOR UNDERGRADUATE OR GRADUATE MEDICAL EDUCATION; APPOINTMENT OF AN INDEPENDENT AUDITOR AND INDEPENDENT COUNSEL EXCEPT IN CERTAIN CONFLICT SITUATIONS BETWEEN THE MEMBER AND THE ORGANIZATION; CREATION OR ACQUISITION OF ANY SUBSIDIARY OR AFFILIATE; CERTAIN MANAGEMENT CONTRACTS; MAJOR NEW PROGRAMS AND CLINICAL SERVICES; STRATEGIC PLANS; ADOPTION OF SAFETY AND QUALITY ASSURANCE POLICIES; ANY TRANSACTIONS WITH INTERESTED PERSONS.
FORM 990, PART VI, SECTION A, LINE 8BTHE CORPORATE DOCUMENTS DO NOT PROVIDE FOR SUB-COMMITTEE OF THE GOVERNING BODY, THEREFORE, THE GOVERNING BODY HAS NOT AUTHORIZED ANY COMMITTEES TO ACT ON ITS BEHALF.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 TAX RETURN AND ATTACHED SCHEDULES WERE PREPARED BY EMPLOYEES OF THE SYSTEM TAX DEPARTMENT. THE RETURN IS INITIALLY REVIEWED BY THE DIRECTOR AND VP OF CORPORATE FINANCE. SUBSEQUENTLY IT IS SENT TO ERNST & YOUNG US, LLP FOR THEIR INITIAL REVIEW. AFTER ALL COMMENTS FROM THE ABOVE GROUP ARE CLEARED, THE RETURN IS THEN REVIEWED BY THE CHIEF FINANCIAL OFFICER OF THE ENTITY AND A FINAL VERSION OF THE RETURN IS SENT BACK TO ERNST & YOUNG US, LLP FOR FINAL REVIEW. PRIOR TO FILING, THE ORGANIZATION MADE AVAILABLE A COMPLETE COPY OF THE RETURN TO THE BOARD OF DIRECTORS OF THE ORGANIZATION'S SOLE MEMBER, THE YNH NETWORK CORPORATION. A SECURE WEB PORTAL IS AVAILABLE TO ACCESS THE RETURN.
FORM 990, PART VI, SECTION B, LINE 12CAS AN AFFILIATE OF YALE NEW HAVEN HEALTH SYSTEM, THE "SYSTEM", THE ORGANIZATION IS COVERED BY THE SYSTEM'S CONFLICTS OF INTEREST POLICY CC:R-7. THIS 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 IMMEDIATELY REPORT MATERIAL CHANGES TO THEIR MOST RECENTLY COMPLETED DISCLOSURE STATEMENT. THESE DISCLOSURE STATEMENTS AND REPORTS ARE REVIEWED BY THE OFFICE OF PRIVACY AND CORPORATE COMPLIANCE AND/OR THE LEGAL & RISK SERVICES DEPARTMENT TO ENSURE COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. IF A POTENTIAL CONFLICT ARISES, THE CEO WOULD CONSULT WITH THE BOARD CHAIRMAN AND THE LEGAL & RISK SERVICES DEPARTMENT AND TAKE ANY ACTIONS THAT SHE DEEMS REQUIRED OR APPROPRIATE TO MANAGE OR RESOLVE A POTENTIAL CONFLICT OF INTEREST. FOR EXAMPLE, A VOTING BOARD OR COMMITTEE MEMBER WOULD BE REQUIRED TO RECUSE HIMSELF OR HERSELF FROM VOTING ON MATTERS RELATED TO THE POTENTIAL CONFLICT AND THE POTENTIAL CONFLICT WOULD BE DISCLOSED TO OTHER VOTING MEMBERS.
ALL COMPENSATION REPORTED ON THIS 990 IS PAID FROM RELATED ORGANIZATIONS. THE REPORTING ENTITY, ITSELF, DOES NOT DETERMINE COMPENSATION; HOWEVER, THE RELATED ORGANIZATIONS' PROCESSES DO INCLUDE THE STEPS DESCRIBED ON LINES 15A AND 15B.
FORM 990, PART VI, SECTION C, LINE 19FORM 990, PART VI, SECTION C, LINE 19: COPIES OF FORM 990, FORM 1023 AND AUDITED FINANCIAL STATEMENTS ARE MAINTAINED IN THE SYSTEM TAX DEPARTMENT. OTHER CORPORATE GOVERNING DOCUMENTS ARE MAINTAINED BY OFFICE OF LEGAL AND CORPORATE COMPLIANCE. CONFLICT OF INTEREST POLICIES ARE AVAILABLE TO ALL EMPLOYEES ON THE CORPORATE INTERNAL WEBSITE. COPIES OF ALL DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (17 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
YALE NEW HAVEN HEALTH SERVICES CORP
789 HOWARD AVENEW HAVENCT06519222529464SYSTEM SUPPORT SERVICESCT501C3LINE 11A, IN/A0
BRIDGEPORT HOSPITAL & HEALTHCARE SERVICES
267 GRANT STREETBRIDGEPORTCT06610061066729SYSTEM SUPPORT SERVICESCT501C3LINE 11A, I1YALE NEW HAVEN HEALTH SERVICES CORP
GREENWICH HEALTHCARE SERVICES INC
5 PERRYRIDEGE RDGREENWICHCT06830222593399SYSTEM SUPPORT SERVICESCT501C3LINE 11B, II1YALE NEW HAVEN HEALTH SERVICES CORP
NORTHEAST MEDICAL GROUP INC
226 MILL HILL AVENUEBRIDGEPORTCT06615061330992HEALTHCARECT501C3LINE 91YALE NEW HAVEN HEALTH SERVICES CORP
YALE-NEW HAVEN HOSPITAL
20 YORK STNEW HAVENCT06504060646652HEALTHCARECT501C3LINE 31YALE NEW HAVEN HEALTH SERVICES CORP
BRIDGEPORT HOSPITAL
267 GRANT STREETBRIDGEPORTCT06610060646554HEALTHCARECT501C3LINE 31BRIDGEPORT HOSP & HEALTHCARE SERVICES
SOUTHERN CT HEALTH SYSTEM PROPERTIES INC
267 GRANT STREETBRIDGEPORTCT06610061297708TITLE HOLDINGCT501C21BRIDGEPORT HOSP & HEALTHCARE SERVICES
BRIDGEPORT HOSPITAL AUXILIARY INC
267 GRANT STREETBRIDGEPORTCT06610066042500SYSTEM SUPPORT SERVICESCT501C3LINE 11A, I1BRIDGEPORT HOSP & HEALTHCARE SERVICES
BRIDGEPORT HOSP FOUNDATION INC
267 GRANT STREETBRIDGEPORTCT06610222593399SYSTEM SUPPORT SERVICESCT501C3LINE 71BRIDGEPORT HOSP & HEALTHCARE SERVICES
NORMA F PFREIM BREAST CANCER INC
111 BEACH ROADFAIRFIELDCT06430060567752HEALTHCARECT501C3LINE 11A, I1BRIDGEPORT HOSPITAL
THE GREENWICH HOSPITAL ENDOWMENT FUND
5 PERRYRIDGE ROADGREENWICHCT06830061526642SYSTEM SUPPORT SERVICESCT501C3LINE 11B, II1GREENWICH HOSP & HEALTHCARE SERVICES CORP
GREENWICH HOSPITAL
5 PERRYRIDGE ROADGREENWICHCT06830060646659HEALTHCARECT501C3LINE 31GREENWICH HOSP & HEALTHCARE SERVICES CORP
PERRYRIDGE CORPORATION
5 PERRYRIDGE ROADGREENWICHCT06830061207316SYSTEM SUPPORT SERVICESCT501C3LINE 11B, II1GREENWICH HOSP & HEALTHCARE SERVICES CORP
NORTHEAST MEDICAL GROUP PLLC
226 MILL HILL AVENUEBRIDGEPORTCT06610352380180HEALTHCARECT501C3LINE 11A, I1NORTHEAST MEDICAL GROUP INC
YNH NETWORK CORP
789 HOWARD AVENEW HAVENCT06519061513687SYSTEM SUPPORT SERVICESCT501C3LINE 11A, I1YALE NEW HAVEN HEALTH SERVICES CORP
CARITAS INSURANCE
30 MAIN STREET SUITE 330BURLINGTONVT05401330322238INSURANCEVT501C3LINE 11A, I1YALE-NEW HAVEN HOSPITAL
BRIDGEPORT HOSPITAL FRIENDS OF PEDIATRICS
120 COLUMBINE DRIVETRUMBULLCT06611066048427SYSTEM SUPPORT SERVICESCT501C3LINE 11A, I1YALE-NEW HAVEN HOSPITAL

Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNA
SHORELINE SURGERY CENTER LLC
60 TEMPLE STREETNEW HAVENCT06510900110459HEALTHCARECTN/A
SSC II LLC
111 GOOSE LANEGUILFORDCT06437261709382HEALTHCARECTN/A
ORTHOPAEDIC & NEUROSURGERY CENTER
55 HOLLY HILL LANEGREENWICHCT06830273411797HEALTHCARECTN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (18 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityControlled OrgControlledOrgAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountry
YORK ENTERPRISES INC
50 YORK STREETNEW HAVENCT06511061110937TITLE HOLDINGCTN/AC1
YALE-NEW HAVEN AMBULATORY SERVICE
40 TEMPLE STREETNEW HAVENCT06510061398526HEALTHCARECTN/AC1
CHC PHYSICIANS PC
789 HOWARD AVENUENEW HAVENCT06519061436530HEALTHCARECTN/AC1
QUINNIPIAC MEDICAL PC
789 HOWARD AVENUENEW HAVENCT06519061405531HEALTHCARECTN/AC1
YNH GERIATRIC SERVICES PC
789 HOWARD AVENUENEW HAVENCT06519061561581HEALTHCARECTN/AC1
YNH MEDICAL SERVICES PC
789 HOWARD AVENUENEW HAVENCT06519061561583HEALTHCARECTN/AC1
YNHH- MSO INC
789 HOWARD AVENUENEW HAVENCT06519061467717MANAGEMENT SERVICESCTN/AC1
MEDICAL CENTER REALTY INC
50 YORK STREETNEW HAVENCT06511061110858RENTALCTN/AC1
MEDICAL CENTER PHARMACY INC
50 YORK STREETNEW HAVENCT06511061087673PHARMACYCTN/AC1
GREENWICH HEALTH SERVICES INC
5 PERRYRIDGE LANEGREENWICHCT06830061233643HEALTHCARECTN/AC1
GREENWICH FERTILITY & IVF CENTER
5 PERRYRIDGE LANEGREENWICHCT06830300145464HEALTHCARECTN/AC1
GREENWICH INTEGRATIVE MEDICINE PC
35 RIVER ROADCOS COBCT06807260236411HEALTHCARECTN/AC1
GREENWICH OCCUPATIONAL HEALTH SERV-NY
5 PERRYRIDGE ROADGREENWICHCT06830061540101HEALTHCARENYN/AC1
GREENWICH PEDIATRIC SERVICES PC
5 PERRYRIDGE ROADGREENWICHCT06830743054409HEALTHCARECTN/AC1
YNHH-PHYSICIANS CORP
789 HOWARD AVENEW HAVENCT06519061202305ADMINISTRATIVE SERVICESCTN/AC1
GREENWICH OCCUPATIONAL HEALTH SERV-NJ
5 PERRYRIDGE LANEGREENWICHCT06830453833883HEALTHCARENJN/AC1
LUKAN INDEMNITY
981072793INSURANCEN/AC1VALLIS BLDG 58 PAR LA VILLE RDHAMILTONBDBD
PRIMARYNET OF CONNECTICUT
789 HOWARD AVENEW HAVENCT05119061463534HEALTHCARECTN/AC1
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org1PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
YALE NEW HAVEN HEALTH SERVICES CORP
M157456COMPARABLE MARKET VALUE
MEDICAL CENTER PHARMACY
H485511COMPARABLE MARKET VALUE
YALE-NEW HAVEN HOSPITAL
M175020COMPARABLE MARKET VALUE
YALE-NEW HAVEN HOSPITAL
P3183094CASH

Form990 Schedule R Part VII Form990ScheduleRPartVII

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

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