NORTHEAST MEDICAL GROUP INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- NORTHEAST MEDICAL GROUP INC (EIN 06-1330992)
- Tax period
- 2011-10-01 to 2012-09-30
- Filed
- 2013-08-14
- IRS object ID
- 201312269349300646
- Schema version
- 2011v1.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-08-14T08:30:05-05:00 | Timestamp |
| Tax Period End Date | 2012-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 346565596 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 MONUMENT CIRCLE SUITE 2600 | AddressLine1 |
| City | INDIANAPOLIS | City |
| State | IN | State |
| ZIP Code | 46204 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 061330992 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHEAST MEDICAL GROUP INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | NORT | NameControl |
| Phone | 2036889642 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 226 MILL HILL AVE | AddressLine1 |
| City | BRIDGEPORT | City |
| State | CT | State |
| ZIP Code | 06610 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JAMES M STATEN | Name |
| Title | TREASURER | Title |
| Phone | 2036889642 | Phone |
| Date Signed | 2013-08-12 | DateSigned |
| Authorize Third Party | 0 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CHRISTOPHER B BOGGS | Name |
| PTIN | P00032493 | PTIN |
| Phone | 3176817000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JAMES M STATEN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 789 HOWARD AVENUE | AddressLine1 |
| City | NEW HAVEN | City |
| State | CT | State |
| ZIP Code | 06519 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 111348466 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1991 | YearFormation |
| State Legal Domicile | CT | StateLegalDomicile |
| Activity Or Mission Description | TO RENDER AND PROMOTE A HIGH QUALITY OF MEDICAL CARE SERVICES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 17 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 4 | NbrIndependentVotingMembers |
| Total Nbr Employees | 685 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 84542395 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 111348466 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 672 | InvestmentIncomePriorYear |
| Investment Income Current Year | 0 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 84543067 | TotalRevenuePriorYear |
| Total Revenue Current Year | 111348466 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 68278848 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 88936855 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 29589903 | OtherExpensePriorYear |
| Other Expenses Current Year | 47500898 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 97868751 | TotalExpensesPriorYear |
| Total Expenses Current Year | 136437753 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -13325684 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -25089287 | RevenuesLessExpensesCY |
| Total Assets BOY | 12260606 | TotalAssetsBOY |
| Total Assets EOY | 17008423 | TotalAssetsEOY |
| Total Liabilities BOY | 9691691 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 14439508 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 2568915 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 2568915 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO RENDER MEDICAL TREATMENT TO PATIENTS WITHOUT REGARD TO ABILITY TO PAY FOR SUCH TREATMENT, AND TO PROMOTE A HIGH QUALITY OF MEDICAL CARE AND OTHER SERVICES FOR THE BENEFIT OF ALL PERSONS IN THE COMMUNITIES IT SERVES. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 122419767 | Expense |
| Revenue | 111348466 | Revenue |
| Description | SCHEDULE OIN PURSUIT OF ITS CHARITABLE, SCIENTIFIC AND EDUCATIONAL ACTIVITIES, NORTHEAST MEDICAL GROUP INCURRED COSTS RELATED TO PROVIDING MEDICAL CARE THROUGH ITS PHYSICIANS TO PATIENTS OF HOSPITALS AFFILIATED WITH YALE-NEW HAVEN HEALTH SERVICES CORPORATION AND TO PATIENTS THROUGHOUT THE COMMUNITY SERVED BY THESE HOSPITALS. THESE SERVICES INCLUDED DIRECT PATIENT CARE AND MEDICAL RESEARCH ALONG WITH ADMINISTRATIVE SERVICES PROVIDED TO HOSPITALS AFFILIATED WITH YALE NEW HAVEN HEALTH SERVICES CORPORATION, ALL OF WHICH PROMOTE AND ENHANCE THE QUALITY OF HEALTH CARE WITHIN THE COMMUNITY. EXAMPLE OF SERVICES PROVIDED BY THE CORPORATION INCLUDES THE FOLLOWING: 1.THE STUDY, DIAGNOSIS AND TREATMENT OF HUMAN AILMENTS AND INJURIES BY LICENSED PERSONS. 2.THE RENDERING OF MEDICAL AND SURGICAL TREATMENT, CONSULTATION OR ADVICE BY EMPLOYEES OR AGENTS OF THE CORPORATION, ALL OF WHOM MUST BE PERSONS LICENSED UNDER CONNECTICUT LAW, TO PATIENTS WITHOUT REGARD TO RACE, COLOR, CREED, SEX, AGE OR ABILITY TO PAY FOR SUCH CARE AND SERVICES. 3.THE PROMOTION, ENHANCEMENT, IMPROVEMENT AND DEVELOPMENT OF MEDICAL SURGICAL AND SCIENTIFIC RESEARCH AT HOSPITALS AFFILIATED WITH YALE NEW HAVEN HEALTH SERVICES CORPORATION AND THROUGHOUT THE COMMUNITIES THEY SERVE. 4.THE PROMOTION, ENHANCEMENT, IMPROVEMENT AND AUGMENTATION OF THE QUALITY OF MEDICAL AND CLINICAL EDUCATION AND PATIENT CARE AT HOSPITALS AFFILIATED WITH YALE NEW HAVEN HEALTH SERVICES CORPORATION. 5.THE PROMOTION AND ENHANCEMENT OF HIGH QUALITY MEDICAL CARE AND OTHER HUMAN SERVICES FOR THE BENEFIT OF ALL PERSONS IN THE COMMUNITIES IT SERVES. 6.THE AUGMENTATION OF THE PLANNING PROCESS FOR THE PROMOTION OF THE GENERAL WELL-BEING AND HUMAN HEALTH NEEDS OF THE COMMUNITIES IT SERVES. FREE AND CHARITY SERVICES RELATE TO SERVICES PROVIDED FOR WHICH NO PAYMENT IS ANTICIPATED. THE AMOUNT OF FREE AND CHARITY CARE PROVIDED WAS $241,017 AND $241,312 FOR THE YEARS ENDED SEPTEMBER 30, 2012 AND 2011, RESPECTIVELY. THESE CHARGES ARE NOT INCLUDED IN NET PATIENT SERVICE REVENUE FOR FINANCIAL REPORTING PURPOSES. RELATIONSHIP OF ACTIVITIES -NORTHEAST MEDICAL GROUP PROVIDES PATIENT CARE SERVICES INVOLVING THE DIAGNOSES AND TREATMENT OF HUMAN AILMENTS THAT IMPROVE THE QUALITY OF HEALTH CARE IN THE SERVICE AREA OF PROVIDERS AFFILIATED WITH YALE NEW HAVEN HEALTH SERVICES CORPORATION. MEDICAL CARE IS PROVIDED TO ANYONE REQUIRING CARE, REGARDLESS OF WHETHER THEY HAVE INSURANCE OR THEIR ABILITY TO PAY. IN ADDITION, NORTHEAST MEDICAL GROUP PHYSICIANS ALSO ARE INVOLVED IN PROVIDING MEDICAL EDUCATION, RESEARCH AND ADMINISTRATIVE SERVICES TO HOSPITALS IN YALE NEW HAVEN HEALTH SERVICES CORPORATION. IN ADDITION TO PROVIDING PHYSICIANS TO CARE FOR PATIENTS WHO ARE IN NEED OF CARE AS HOSPITAL INPATIENTS OR IN HOSPITAL CLINICS, NORTHEAST MEDICAL GROUP ALSO OPERATES PRACTICES IN THE COMMUNITY WITH A SPECIAL EMPHASIS ON MUCH-NEEDED PRIMARY CARE SERVICES. NORTHEAST MEDICAL GROUP IS THE PHYSICIAN PRACTICE ARM OF YALE NEW HAVEN HEALTH SYSTEM, AND IS WELL-POSITIONED TO ASSIST YALE NEW HAVEN HEALTH SYSTEM RESPOND TO THE MANY CHANGES IN THE INDUSTRY ANTICIPATED AS A RESULT OF HEALTH CARE REFORM, INCLUDING THE MOVE TO BUNDLED PAYMENTS, VALUE-BASED PURCHASING AND ACCOUNTABLE CARE ORGANIZATIONS. | Description |
| Total Program Service Expense | 122419767 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 98 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 685 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 17 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 4 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHRIS PONZIO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2036881483 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 789 HOWARD AVE | AddressLine1 |
| City | NEW HAVEN | City |
| State | CT | State |
| ZIP Code | 06519 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (27 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|
| PETER N HERBERT | ||||||||
| CHAIRMAN/DIRECTOR | 1.00 | X | X | 0 | 1604613 | 35999 | ||
| GAYLE CAPOZZALO | ||||||||
| SECRETARY/DIRECTOR | 1.00 | X | X | 0 | 1217519 | 203569 | ||
| BRUCE MCDONALD THRU 9132012 | ||||||||
| VICE CHAIR/DIRECTOR | 40.00 | X | X | 518760 | 0 | 57690 | ||
| JAMES M STATEN | ||||||||
| TREASURER/DIRECTOR | 1.00 | X | X | 0 | 1065364 | 323317 | ||
| ROBERT NORDGREN | ||||||||
| CEO/DIRECTOR | 40.00 | X | X | 331674 | 0 | 177472 | ||
| FRANK A CORVINO | ||||||||
| DIRECTOR | 1.00 | X | 0 | 1447388 | 157265 | |||
| ANDREW KENLER | ||||||||
| DIRECTOR | 40.00 | X | 581825 | 0 | 39128 | |||
| BRIAN DORAN | ||||||||
| DIRECTOR | 1.00 | X | 0 | 475665 | 36208 | |||
| HENRY CABIN | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| RICHARD D'AQUILLA | ||||||||
| DIRECTOR | 1.00 | X | 0 | 1269670 | 364715 | |||
| JOSEPH CUTERI | ||||||||
| DIRECTOR | 40.00 | X | 269550 | 0 | 34129 | |||
| DAVID LEFFELL | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| RONALD VENDER | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| BARBARA WARD | ||||||||
| DIRECTOR | 40.00 | X | 548774 | 0 | 49521 | |||
| JUDY KLEINSTEIN | ||||||||
| DIRECTOR | 2.00 | X | 7500 | 0 | 0 | |||
| FRANKLIN LORIA | ||||||||
| DIRECTOR | 40.00 | X | 281856 | 0 | 46254 | |||
| PETER SCHULAM | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| WILLIAM JENNINGS | ||||||||
| DIRECTOR | 1.00 | X | 0 | 531185 | 303580 | |||
| RAYMOND MCCARTHY | ||||||||
| CFO | 40.00 | X | 57809 | 0 | 0 | |||
| STUART ZARICH | ||||||||
| PHYSICIAN | 40.00 | 488677 | 0 | 38114 | X | |||
| ROBERT STILLER | ||||||||
| PHYSICIAN | 40.00 | 485740 | 0 | 49544 | X | |||
| MARY PRONOVOST | ||||||||
| PHYSICIAN | 40.00 | 503984 | 0 | 36673 | X | |||
| ANNETTE BOND | ||||||||
| PHYSICIAN | 40.00 | 471740 | 0 | 64215 | X | |||
| NABIL ATWEH | ||||||||
| PHYSICIAN | 40.00 | 527827 | 0 | 46662 | X | |||
| HOPE JUCKEL-REGAN 63011 | ||||||||
| FORMER DIRECTOR | 0.00 | 0 | 759395 | 30533 | X | |||
| JOSEPH EVANGELISTA 12011 | ||||||||
| FORMER DIRECTOR | 0.00 | 167418 | 0 | 32949 | X | |||
| ROBERT TREFRY 9302010 | ||||||||
| FORMER DIRECTOR | 0.00 | 0 | 1221236 | 0 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 5243134 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 9592035 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 2127537 | TotalOtherCompensation |
| Number Individuals GT100 K | 219 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| CARDIAC SPECIALIST OF FFLD | |||||
| 1305 POST ROAD | FAIRFIELD | CT | 06430 | MEDICAL | 10781647 |
| MEDICAL HEALTHCARE SOLUTION | |||||
| 100 BRICKSTONE SQUARE | ANDOVER | MA | 01810 | BILLING | 1691106 |
| YALE MEDICAL GROUP | |||||
| 333 CEDAR STREET | NEW HAVEN | CT | 06519 | MEDICAL | 1333507 |
| GASTRO HEPATOBILIARY CONSULTANTS | |||||
| NYMC-MUNGER PAV STE 206 | VALHALLA | NY | 10595 | MEDICAL | 600000 |
| VANTAGEPOINT LLC | |||||
| 9 WASHINGTON AVENUE | HAMDEN | CT | 06518 | MEDICAL | 193852 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 7 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| CONTRACT REVENUE | 621300 | 58917694 | 58917694 |
| NET PATIENT REVENUE | 621400 | 52430772 | 52430772 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 111348466 | TotalProgramServiceRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 111348466 | TotalRevenueColumn |
| Related Or Exempt Function Income | 111348466 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2764874 | Total |
| Management And General | 2764874 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 72815926 | Total |
| Program Services | 69369158 | ProgramServices |
| Management And General | 3446768 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2372880 | Total |
| Program Services | 2177864 | ProgramServices |
| Management And General | 195016 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6952784 | Total |
| Program Services | 6346355 | ProgramServices |
| Management And General | 606429 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4030391 | Total |
| Program Services | 3699152 | ProgramServices |
| Management And General | 331239 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 151791 | Total |
| Program Services | 77768 | ProgramServices |
| Management And General | 74023 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26130 | Total |
| Program Services | 13387 | ProgramServices |
| Management And General | 12743 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 31738422 | Total |
| Program Services | 25677818 | ProgramServices |
| Management And General | 6060604 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 770296 | Total |
| Program Services | 534290 | ProgramServices |
| Management And General | 236006 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2760557 | Total |
| Program Services | 2749316 | ProgramServices |
| Management And General | 11241 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 780682 | Total |
| Program Services | 659284 | ProgramServices |
| Management And General | 121398 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6264044 | Total |
| Program Services | 6219824 | ProgramServices |
| Management And General | 44220 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT EXPENSE | 2204005 | 2204005 | |
| MEDICAL EDUCATION | 1034243 | 1034243 | |
| MEDICAL & SURGICAL SUPP | 954284 | 953712 | 572 |
| OFFICE SUPPLIES | 476356 | 457606 | 18750 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 340088 | Total |
| Program Services | 245985 | ProgramServices |
| Management And General | 94103 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 136437753 | Total |
| Program Services | 122419767 | ProgramServices |
| Management And General | 14017986 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1876218 | BOY |
| EOY | 2833940 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5998304 | BOY |
| EOY | 4926069 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 129104 | BOY |
| EOY | 1538018 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 2744447 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1750783 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1217032 | BOY |
| EOY | 993664 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23710 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3016238 | BOY |
| EOY | 6716732 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12260606 | BOY |
| EOY | 17008423 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9691691 | BOY |
| EOY | 14439508 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9691691 | BOY |
| EOY | 14439508 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2568915 | BOY |
| EOY | 2568915 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2568915 | BOY |
| EOY | 2568915 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12260606 | BOY |
| EOY | 17008423 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -25089287 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 25089287 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Both | X | FinancialStatementBoth |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 30426398 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 34925969 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 52592359 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 84542395 | CurrentTaxYearMinus1Year |
| Current Tax Year | 111348466 | CurrentTaxYear |
| Total | 313835587 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 30426398 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 34925969 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 52592359 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 84542395 | CurrentTaxYearMinus1Year |
| Current Tax Year | 111348466 | CurrentTaxYear |
| Total | 313835587 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 11963510 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 12951259 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 28565979 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 44980982 | CurrentTaxYearMinus1Year |
| Current Tax Year | 35337879 | CurrentTaxYear |
| Total | 133799609 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 11963510 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 12951259 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 28565979 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 44980982 | CurrentTaxYearMinus1Year |
| Current Tax Year | 35337879 | CurrentTaxYear |
| Total | 133799609 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 180035978 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 55874 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 29037 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1276 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 672 | CurrentTaxYearMinus1Year |
| Total | 86859 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 55874 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 29037 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1276 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 672 | CurrentTaxYearMinus1Year |
| Total | 86859 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 30482272 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 34955006 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 52593635 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 84543067 | CurrentTaxYearMinus1Year |
| Current Tax Year | 111348466 | CurrentTaxYear |
| Total | 313922446 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.57350 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.52040 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00030 | InvestmentIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1207522 | OtherCostOrOtherBasis |
| Depreciation | 826825 | Depreciation |
| Book Value | 380697 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1536925 | OtherCostOrOtherBasis |
| Depreciation | 923958 | Depreciation |
| Book Value | 612967 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 993664 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (6 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| DUE FROM AFFILIATES | 1365184 |
| OTHER ASSETS | 59115 |
| GOODWILL | 266975 |
| OTHER INTANGIBLE ASSETS | 881500 |
| OTHER ASSETS - EPIC | 3416520 |
| MISCELLANEOUS ACCOUNTS RECEIVABLES | 727438 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 6716732 | TotalBookValueOtherAssets |
| Total Revenue | 111348466 | TotalRevenue |
| Total Expenses | 136437753 | TotalExpenses |
| Excess Or Deficit For Year | -25089287 | ExcessOrDeficitForYear |
| Other | $25,089,287 | OtherAmount |
| Total Adjustments | 25089287 | TotalAdjustments |
| Excess Or Deficit Per FS | 0 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 114706406 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 3357940 | OtherRevenues |
| Revenue Not Rptd F990 | 3357940 | RevenueNotRptdF990 |
| Revenue Subtotal | 111348466 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 111348466 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 141216462 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 4778709 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 4778709 | ExpensesNotRptdF990 |
| Expenses Subtotal | 136437753 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 136437753 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | TRANSFER FROM YALE-NEW HAVEN HEALTH SERVICES 26,510,055. TRANSFER TO NEMG PLLC -1,420,768. TOTAL TO SCHEDULE D, PART XI, LINE 8: 25,089,287. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | INCOME REPORTED ON NEMG, PLLC RETURN 3,357,940. |
| PART XIII, LINE 2D - OTHER ADJUSTMENTS: | EXPENSES REPORTED ON NEMG, PLLC RETURN 4,778,709. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (21 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PETER N HERBERT | |||||||||||||
| 0 | 806954 | 0 | 223205 | 0 | 574454 | 0 | 19317 | 0 | 16682 | 0 | 1640612 | 0 | 15904 |
| GAYLE CAPOZZALO | |||||||||||||
| 0 | 611828 | 0 | 225236 | 0 | 380455 | 0 | 140600 | 0 | 62969 | 0 | 1421088 | 0 | 0 |
| BRUCE MCDONALD THRU 9132012 | |||||||||||||
| 405372 | 0 | 84946 | 0 | 28442 | 0 | 26667 | 0 | 31023 | 0 | 576450 | 0 | 0 | 0 |
| JAMES M STATEN | |||||||||||||
| 0 | 746357 | 0 | 242448 | 0 | 76559 | 0 | 281624 | 0 | 41693 | 0 | 1388681 | 0 | 0 |
| ROBERT NORDGREN | |||||||||||||
| 294233 | 0 | 0 | 0 | 37441 | 0 | 114735 | 0 | 62737 | 0 | 509146 | 0 | 0 | 0 |
| FRANK A CORVINO | |||||||||||||
| 0 | 791049 | 0 | 288056 | 0 | 368283 | 0 | 135248 | 0 | 22017 | 0 | 1604653 | 0 | 447 |
| ANDREW KENLER | |||||||||||||
| 565205 | 0 | 0 | 0 | 16620 | 0 | 15878 | 0 | 23250 | 0 | 620953 | 0 | 0 | 0 |
| BRIAN DORAN | |||||||||||||
| 0 | 390948 | 0 | 68217 | 0 | 16500 | 0 | 12344 | 0 | 23864 | 0 | 511873 | 0 | 11107 |
| RICHARD D'AQUILLA | |||||||||||||
| 0 | 832927 | 0 | 284463 | 0 | 152280 | 0 | 313478 | 0 | 51237 | 0 | 1634385 | 0 | 0 |
| JOSEPH CUTERI | |||||||||||||
| 265153 | 0 | 0 | 0 | 4397 | 0 | 10648 | 0 | 23481 | 0 | 303679 | 0 | 0 | 0 |
| BARBARA WARD | |||||||||||||
| 526654 | 0 | 0 | 0 | 22120 | 0 | 13286 | 0 | 36235 | 0 | 598295 | 0 | 0 | 0 |
| FRANKLIN LORIA | |||||||||||||
| 244478 | 0 | 20120 | 0 | 17258 | 0 | 11117 | 0 | 35137 | 0 | 328110 | 0 | 0 | 0 |
| WILLIAM JENNINGS | |||||||||||||
| 0 | 493532 | 0 | 0 | 0 | 37653 | 0 | 216103 | 0 | 87477 | 0 | 834765 | 0 | 0 |
| STUART ZARICH | |||||||||||||
| 466457 | 0 | 0 | 0 | 22220 | 0 | 20354 | 0 | 17760 | 0 | 526791 | 0 | 0 | 0 |
| ROBERT STILLER | |||||||||||||
| 443613 | 0 | 15427 | 0 | 26700 | 0 | 26667 | 0 | 22877 | 0 | 535284 | 0 | 0 | 0 |
| MARY PRONOVOST | |||||||||||||
| 456864 | 0 | 25000 | 0 | 22120 | 0 | 13192 | 0 | 23481 | 0 | 540657 | 0 | 0 | 0 |
| ANNETTE BOND | |||||||||||||
| 437642 | 0 | 17383 | 0 | 16715 | 0 | 19600 | 0 | 44615 | 0 | 535955 | 0 | 0 | 0 |
| NABIL ATWEH | |||||||||||||
| 488881 | 0 | 16699 | 0 | 22247 | 0 | 23181 | 0 | 23481 | 0 | 574489 | 0 | 0 | 0 |
| HOPE JUCKEL-REGAN 63011 | |||||||||||||
| 0 | 197003 | 0 | 71115 | 0 | 491277 | 0 | 26008 | 0 | 4525 | 0 | 789928 | 0 | 0 |
| JOSEPH EVANGELISTA 12011 | |||||||||||||
| 145338 | 0 | 0 | 0 | 22080 | 0 | 10200 | 0 | 22749 | 0 | 200367 | 0 | 0 | 0 |
| ROBERT TREFRY 9302010 | |||||||||||||
| 0 | 0 | 0 | 244656 | 0 | 976580 | 0 | 0 | 0 | 0 | 0 | 1221236 | 0 | 172500 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| PART I, LINE 4B | SEVERENCE NONQUALIFIED EQUITY-BASED WILLIAM M. JENNINGS $0 $107,120 $0 JAMES STATEN $0 $139,024 $0 RICHARD D' AQUILLA $0 $161,328 $0 ROBERT NORDGREN $0 $60,752 $0 THE INDIVIDUALS LISTED ABOVE ARE PARTICIPANTS IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THESE ACCRUALS ARE INCLUDED IN THE AMOUNTS REPORTED IN PART II, COLUMN C (DEFERRED COMPENSATION) AND REPRESENTS BOTH THE REPORTING ENTITY'S AND RELATED ENTITY'S COMBINED AMOUNTS CONSISTENT WITH THE COMPENSATION REPORTING PER IRS INSTRUCTIONS. INDIVIDUALS LISTED BELOW BECAME VESTED IN BENEFITS VALUED AT THE AMOUNTS RESPECTIVELY REPORTED DURING THE REPORTING YEAR. INCLUDED IN SECTION II, COLUMN B (III) ARE AMOUNTS VESTED DURING THE 2011 CALENDAR YEAR THAT WERE RECOGNIZED AS TAXABLE EVENTS AND REPORTED IN THE INDIVIDUALS' 2011 CALENDAR YEAR FORM W-2S. GAYLE CAPAZZALO $ 294,699 ROBERT TREFRY $ 24,695 PETER HERBERT $ 486,005 FRANK CORVINO $ 261,824 HOPE JUCKEL-REGAN $ 478,872 THE SUPPLEMENTAL RETIREMENT PLAN IS DESIGNED TO ENSURE THE PAYMENT OF A COMPETITIVE LEVEL OF RETIREMENT INCOME WHEN ADDED TO OTHER SOURCES OF RETIREMENT INCOME IN ORDER TO ATTRACT AND RETAIN KEY MANAGEMENT EMPLOYEES SERVING AS CORPORATE OFFICERS. THE PLAN PROVIDES SUPPLEMENTAL RETIREMENT INCOME THROUGH AN UNFUNDED, NONQUALIFIED DEFERRED COMPENSATION ARRANGEMENT UNDER SECTION 457(F) AND THROUGH A DEFERRED COMPENSATION PLAN UNDER SECTION 409A OF THE INTERNAL REVENUE CODE AND A MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES' PLAN UNDER THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974 (ERISA). |
| PART I, LINE 5 | |
| PART I, LINE 7 | PART I, LINE 7: THE SHORT TERM INCENTIVE PLAN 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 O IRS990ScheduleO
General Explanation GeneralExplanation (12 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI | PART I, LINE 4 & PART VI, LINE 1B NUMBER OF INDEPENDENT VOTING MEMBERS OF THE GOVERNING BODY PURSUANT TO THE ORGANIZATION'S BYLAWS, THE ORGANIZATION'S SOLE MEMBER, YALE-NEW HAVEN HEALTH SERVICES CORPORATION, AN EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE CODE (THE"PARENT"), APPOINTS OR APPROVES THE ORGANIZATION'S BOARD OF DIRECTORS. THE BYLAWS REQUIRE THAT THE ORGANIZATION'S BOARD OF DIRECTORS BE COMPRISED OF INDIVIDUALS WHO ARE, OR ARE APPOINTED BY, (1) OFFICERS OR EMPLOYEES OF THE PARENT, (2) OFFICERS OR EMPLOYEES OF A RELATED ORGANIZATION OF THE PARENT OR (3) OFFICERS, EMPLOYEES OR INDEPENDENT CONTRACTORS OF THE ORGANIZATION. AS A RESULT, THE MAJORITY OF THE ORGANIZATION'S CURRENT VOTING MEMBERS ARE NOT INDEPENDENT BECAUSE THEY ARE COMPENSATED AS OFFICERS OR EMPLOYEES OF THE ORGANIZATION OR A RELATED ORGANIZATION. CERTAIN OF THESE INDIVIDUALS ARE MEMBERS OF THE ORGANIZATION'S BOARD OF DIRECTORS ONLY AS A FUNCTION OF THEIR ROLES WITH THE PARENT OR THE ORGANIZATION AND CERTAIN OTHERS ARE REQUIRED TO BE EMPLOYEES BY THE ORGANIZATION'S BYLAWS. | |
| FORM 990, PART VI, SECTION A, LINE 2 | BUSINESS RELATIONSHIPS BETWEEN OFFICERS, DIRECTORS, TRUSTEES, OR KEY EMPLOYEES: SOME OF THE ORGANIZATION'S CURRENT OFFICERS SERVE AS OFFICERS AND/OR DIRECTORS OF A TAXABLE AFFILIATE WITHIN THE ORGANIZATION'S CORPORATE SYSTEM. THE INDIVIDUAL OFFICERS DO NOT HAVE PERSONAL FINANCIAL INTERESTS IN THE TAXABLE AFFILIATE AND SERVE ONLY AS A FUNCTION OF THEIR ROLES WITH THE ORGANIZATION. THE TAXABLE AFFILIATE FOR WHICH SOME OF THE ORGANIZATION'S OFFICERS SERVE ALSO AS OFFICERS AND/OR DIRECTORS IS YALE-NEW HAVEN AMBULATORY SERVICES CORPORATION. | |
| FORM 990, PART VI, SECTION A, LINE 6 | 2009 SAW A CHANGE IN THE CONNECTICUT GENERAL STATUTES ALLOWING HEALTH SYSTEMS SUCH AS YALE NEW HAVEN HEALTH SERVICES CORPORATION TO ORGANIZE AND BECOME MEMBERS OF "MEDICAL FOUNDATIONS," NONSTOCK CORPORATIONS AUTHORIZED TO PROVIDE MEDICAL CARE THROUGH EMPLOYED PHYSICIANS AND AGENTS. YALE NEW HAVEN HEALTH SERVICES CORPORATION TOOK ADVANTAGE OF THIS CHANGE IN THE LAW AND RE-ORGANIZED MILL HILL MEDICAL CONSULTANTS INTO A MEDICAL FOUNDATION, NAMED "NORTHEAST MEDICAL GROUP, INC." NORTHEAST MEDICAL GROUP NOW HAS ONE MEMBER, YALE NEW HAVEN HEALTH SERVICES CORPORATION, A 501(C)(3) ORGANIZATION, INSTEAD OF INDIVIDUAL PHYSICIAN MEMBERS WITHOUT VOTING RIGHTS, AS WAS THE CASE FOR MILL HILL MEDICAL CONSULTANTS. | |
| FORM 990, PART VI, SECTION A, LINE 7A | THE MEMBER, YALE NEW HAVEN HEALTH SERVICES CORPORATION, HAS THE RIGHT TO ELECT THE BOARD OF DIRECTORS OF THE ORGANIZATION. | |
| FORM 990, PART VI, SECTION A, LINE 7B | THE MEMBER, YALE-NEW HAVEN HEALTH SERVICES CORPORATION, HAS THE RIGHT TO ELECT THE BOARD OF DIRECTORS OF THE ORGANIZATION, AND (SUBJECT TO THE APPROVAL OF THE BOARD OF DIRECTORS) THE FOLLOWING ADDITIONAL RIGHTS: TO APPROVE THE MERGER, CONSOLIDATION, DISSOLUTION OR THE SALE OF ALL OR SUBSTANTIALLY ALL THE ORGANIZATION'S ASSETS; TO AMEND THE CERTIFICATE OF INCORPORATION AND BYLAWS OF THE ORGANIZATION, TO APPROVE THE EXECUTION OF LONG-TERM OR MATERIAL AGREEMENTS, TO APPROVE THE APPOINTMENT OF AN INDEPENDENT AUDITOR AND THE HIRING OF INDEPENDENT COUNSEL, TO AUTHORIZE THE EXECUTION OF CONTRACTS WITH AN UNRELATED THIRD PARTY FOR MANAGEMENT OF THE ASSETS OR OPERATIONS OF THE ORGANIZATION, TO APPROVE ANY TRANSACTION BETWEEN THE ORGANIZATION AND AN AFFILIATE OR THE ORGANIZATION AND A DIRECTOR OF THE ORGANIZATION OR AN AFFILIATE, AND TO APPROVE COMPENSATION OF EMPLOYED PHYSICIANS. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE NORTHEAST MEDICAL GROUP ("NEMG") BOARD OF DIRECTORS IS COMPRISED OF INDIVIDUALS WHO ARE OFFICERS OR EMPLOYEES OF THE ORGANIZATION OR A RELATED ORGANIZATION. NEMG IS A MEDICAL FOUNDATION FORMED UNDER CONNECTICUT GENERAL STATUTES SEC. 33-182AA - SEC.33-182FF. PURSUANT TO CONNECTICUT LAW, MEDICAL FOUNDATIONS MUST BE, 'GOVERNED BY A BOARD OF DIRECTORS, WHICH SHALL CONSIST OF AN EQUAL OR GREATER NUMBER OF [HEALTH CARE] PROVIDERS THAN NONPROVIDER EMPLOYEES OF THE MEMBERS, IN ADDITION TO SUCH OTHER DIRECTORS AS MAY BE ELECTED BY THE MEMBERS.' CONN. GEN. STAT. SEC. 33-182BB(A). THE PARENT ENTITY, YALE-NEW HAVEN HEALTH SERVICES CORPORATION (THE SOLE MEMBER OF THE ORGANIZATION AND THE ULTIMATE PARENT OF THE YALE NEW HAVEN HEALTH SYSTEM), IS GOVERNED BY A BOARD OF DIRECTORS COMPRISED OF A MAJORITY OF INDEPENDENT DIRECTORS. IN A MULTI-ENTITY HOSPITAL SYSTEM, THE BOARD OF A SUBSIDIARY NON-PROFIT HEALTH CARE ORGANIZATION IS CONSIDERED TO BE COMPRISED OF INDEPENDENT COMMUNITY MEMBERS IF IT IS CONTROLLED BY AN EXEMPT ORGANIZATION WHOSE BOARD IS COMPRISED OF A MAJORITY OF VOTING MEMBERS WHO ARE INDEPENDENT COMMUNITY MEMBERS (SEE TAX-EXEMPT HEALTH CARE ORGANIZATIONS COMMUNITY BOARD AND CONFLICTS OF INTEREST POLICY, IRS EXEMPT ORGANIZATION CONTINUING PROFESSIONAL EDUCATION INSTRUCTION PROGRAM, HTTP://WWW.IRS.GOV/PUB/IRS-TEGE/EOTOPICC97.PDF, 1997). AS A RESULT OF THIS GOVERNANCE STRUCTURE, AND TO MANAGE ACTUAL OR POTENTIAL CONFLICTS OF INTEREST,THE ORGANIZATION'S BYLAWS PROVIDE THAT ALL DECISIONS REGARDING ORGANIZATION PHYSICIAN COMPENSATION ARE RESERVED TO THE PARENT ENTITY. FOR THE FOREGOING REASONS, THE ORGANIZATION'S FORM 990 HAS BEEN MADE AVAILABLE TO ALL MEMBERS OF THE PARENT ENTITY'S GOVERNING BODY RATHER THAN TO THE ORGANIZATION'S GOVERNING BODY. | |
| FORM 990, PART VI, SECTION B, LINE 12C | NORTHEAST MEDICAL GROUP IS COVERED UNDER THE YALE-NEW HAVEN HEALTH SYSTEM CONFLICT OF INTEREST POLICY. THE YALE NEW HAVEN HEALTH SYSTEM CONFLICT OF INTEREST POLICY (CC:R-7) AND INDIVIDUAL ANNUAL DISCLOSURE FORM APPLIES TO A POOL OF EMPLOYEES, BOARD MEMBERS AND NON-BOARD MEMBERS SERVING ON BOARD COMMITTEES. THESE "COVERED INDIVIDUALS" ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT, UPON BEGINNING EMPLOYMENT OR OTHERWISE BECOMING A COVERED INDIVIDUAL AND ANNUALLY THEREAFTER. COVERED INDIVIDUALS ARE ALSO REQUIRED TO IMMEDIATELY REPORT MATERIAL CHANGES TO THEIR MOST RECENTLY COMPLETED DISCLOSURE STATEMENT. THESE DISCLOSURE STATEMENTS AND REPORTS ARE REVIEWED BY THE OFFICE OF PRIVACY AND CORPORATE COMPLIANCE AND/OR THE LEGAL AND RISK SERVICES DEPARTMENT TO ENSURE COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. IF A POTENTIAL CONFLICT ARISES, THE CEO WOULD CONSULT WITH THE BOARD CHAIRPERSON AND THE LEGAL AND RISK SERVICES DEPARTMENT AND TAKE ANY ACTIONS THAT HE DEEMS REQUIRED OR APPROPRIATE TO MANAGE OR RESOLVE A POTENTIAL CONFLICT OF INTEREST. FOR EXAMPLE, A VOTING BOARD OR COMMITTEE MEMBER WOULD BE REQUIRED TO RECUSE HIMSELF OR HERSELF FROM VOTING ON MATTERS RELATED TO THE POTENTIAL CONFLICT AND THE POTENTIAL CONFLICT WOULD BE DISCLOSED TO OTHER VOTING MEMBERS. | |
| FORM 990, PART VI, SECTION B, LINE 15 | LINE 15A - COMPENSATION PROCESS FOR TOP OFFICERS- THE OFFICERS OF NORTHEAST MEDICAL GROUP ARE ALSO OFFICERS WITHIN YALE NEW HAVEN HEALTH SYSTEM AND SO ARE COVERED BY THE PROCESS USED BY YALE NEW HAVEN HEALTH SYSTEM 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. LINE 15B - COMPENSATION PROCESS FOR OTHER OFFICERS AND KEY EMPLOYEES- THE OFFICERS OF NORTHEAST MEDICAL GROUP ARE ALSO OFFICERS WITHIN YALE NEW HAVEN HEALTH SYSTEM AND SO ARE COVERED BY THE PROCESS USED BY YALE NEW HAVEN HEALTH SYSTEM TO QUALIFY FOR THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER FEDERAL TAX LAW. THE EXECUTIVE COMPENSATION COMMITTEE IS AUTHORIZED UNDER THE YNHHS BYLAWS AND IS RESPONSIBLE FOR (1) DETERMINING THE OVERALL TOTAL COMPENSATION STRATEGY FOR ALL CORPORATE OFFICERS, (2) APPROVING ALL COMPENSATION AND BENEFITS DECISIONS FOR CORPORATE OFFICERS, AND (3)REPORTING SUCH ACTIONS TO THE FULL YNHHS BOARD ON AN ANNUAL BASIS. IN ADDITION, THE EXECUTIVE COMPENSATION COMMITTEE EXPRESSLY DETERMINES THE REASONABLENESS OF TOTAL COMPENSATION AND BENEFITS FOR ALL CORPORATE OFFICERS, AND ASSURES THAT ALL OFFICER COMPENSATION DECISIONS ARE MADE AFTER THOROUGH CONSIDERATION OF AND COMPARISON TO THE MARKET PRACTICES OF OTHER SIMILARLY SITUATED NOT-FOR-PROFIT HEALTHCARE EXECUTIVES IN COMPARABLE ORGANIZATIONS. THE EXECUTIVE COMPENSATION COMMITTEE CONSISTS OF BOARD MEMBERS WHO DO NOT HAVE MATERIAL FINANCIAL INTERESTS THAT COULD BE AFFECTED BY THE OFFICER COMPENSATION DECISIONS MADE BY THE COMMITTEE. THE COMPARABILITY DATA USED TO ASSIST THE EXECUTIVE COMPENSATION COMMITTEE IN ITS COMPENSATION DELIBERATIONS ARE COMPILED BY AN INDEPENDENT, NATIONAL COMPENSATION CONSULTING FIRM THAT IS RETAINED BY AND REPORTS DIRECTLY TO THE EXECUTIVE COMPENSATION COMMITTEE. THE DATA COLLECTED BY THE CONSULTANT CONSISTS OF MARKET INFORMATION FOR EXECUTIVES IN FUNCTIONALLY SIMILAR POSITIONS IN SIMILARLY SITUATED NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS. THE DELIBERATIONS AND DECISIONS OF THE EXECUTIVE COMPENSATION COMMITTEE ARE CONTEMPORANEOUSLY DOCUMENTED, REVIEWED AND APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE, AND PROVIDED TO THE BOARD. | |
| FORM 990, PART VI, SECTION C, LINE 19 | FORM 990, PART VI, SECTION C, LINE 19: COPIES OF FROM 990, FORM 1023 AND AUDITED FINANCIAL STATEMENTS ARE MAINTAINED IN THE SYSTEM TAX DEPARTMENT. OTHER CORPORATE GOVERNING DOCUMENTS ARE MAINTAINED BY THE LEGAL AND RISK SERVICES DEPARTMENT. THE CONFLICT OF INTEREST POLICY, WHISTLEBLOWER POLICY, AND DOCUMENT RETENTION POLICY ARE AVAILABLE TO ALL EMPLOYEES ON THE CORPORATE INTERNAL WEBSITE. COPIES OF ALL DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. | |
| FORM 990, PART VII | SCHEDULE J - FOR INDIVIDUALS WHO RECEIVE COMPENSATION FROM RELATED ORGANIZATIONS. OFFICERS WORK AN AVERAGE OF 40 HOURS SPREAD OVER THE FILING ENTITY AND THE ENTITIES LISTED IN SCHEDULE R. | RELATED ORGANIZATIONS |
| FORM 990, PART XI, LINE 5: | TRANSFER FROM YALE-NEW HAVEN HEALTH SERVICES 26,510,055. TRANSFER TO NEMG PLLC -1,420,768. TOTAL TO FORM 990, PART XI, LINE 5: 25,089,287. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| DISCLOSURE STATEMENT RELATED TO FORMS 5471, INFORMATION RETURN OF U.S. PERSONS WITH RESPECT TO CERTAIN FOREIGN COPORATIONS, FILED ON BEHALF OF THE TAXPAYER: UNDER THE CONSTRUCTIVE OWNERSHIP RULES OF IRC SECTIONS 958(A) AND (B), THE TAXPAYER IS REQUIRED TO FILE FORMS 5471, INFORMATION RETURN OF U.S. PERSONS WITH RESPECT TO CERTAIN FOREIGN CORPORATIONS, AS A CATEGORY 5 FILER WITH RESPECT TO CERTAIN CONTROLLED FOREIGN CORPORATIONS (CFCS). THESE FILING REQUIREMENTS ARE OR WILL BE SATISFIED THROUGH THE FILING OF FORMS 5471 FOR THESE CFCS BY OTHER U.S. TAXPAYERS IDENTIFIED BELOW WHO HAVE THE SAME FILING REQUIREMENT. TAXPAYER NAME: YALE-NEW HAVEN HOSPITAL ADDRESS: 20 YORK STREET NEW HAVEN, CT 06504 IDENTIFYING NUMBER OF U.S. TAX RETURN WITH WHICH THE FORMS 5471 WERE OR WILL BE FILED: 06-0646652 IRS SERVICE CENTER WHERE U.S. TAX RETURN WAS OR WILL BE FILED: OGDEN, UT 84201-0027 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (16 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| GREENWICH HOSPITAL | |||||||||||
| 5 PERRYRIDGE ROAD | GREENWICH | CT | 06830 | 060646659 | HEALTHCARE | CT | 501C3 | LINE 3 | GREENWICH HEALTH CARE SERVICES INC | 1 | |
| GREENWICH HEALTH CARE SERVICES INC | |||||||||||
| 5 PERRYRIDGE ROAD | GREENWICH | CT | 06830 | 222593399 | SYSTEM SUPPORT | CT | 501C3 | LINE 11B, II | YALE NEW HAVEN HEALTH SERVICES CORP | 1 | |
| THE GREENWICH HOSPITAL ENDOWMENT FUND INC | |||||||||||
| 5 PERRYRIDGE ROAD | GREENWICH | CT | 06830 | 061526642 | SYSTEM SUPPORT | CT | 501C3 | LINE 11B, II | GREENWICH HEALTH CARE SERVICES INC | 1 | |
| BRIDGEPORT HOSPITAL & HEALTHCARE SERVICES | |||||||||||
| 267 GRANT STREET | BRIDGEPORT | CT | 06610 | 061066729 | SYSTEM SUPPORT | CT | 501C3 | LINE 11A, I | YALE NEW HAVEN HEALTH SERVICES CORP | 1 | |
| SCHS PROPERTIES INC | |||||||||||
| 267 GRANT STREET | BRIDGEPORT | CT | 06610 | 061297708 | TITLE HOLDING | CT | 501C2 | BRIDGEPORT HOSP & HEALTHCARE SERVICES | 1 | ||
| BRIDGEPORT HOSPITAL AUXILIARY INC | |||||||||||
| 267 GRANT STREET | BRIDGEPORT | CT | 06610 | 066042500 | SYSTEM SUPPORT | CT | 501C3 | LINE 11A, I | BRIDGEPORT HOSP & HEALTHCARE SERVICES | 1 | |
| BRIDGEPORT HOSPITAL FOUNDATION INC | |||||||||||
| 267 GRANT STREET | BRIDGEPORT | CT | 06610 | 222908698 | SYSTEM SUPPORT | CT | 501C3 | LINE 7 | BRIDGEPORT HOSP & HEALTHCARE SERVICES | 1 | |
| NORMA F PFREIM BREAST CANCER INC | |||||||||||
| 111 BEACH ROAD | FAIRFIELD | CT | 06430 | 060567752 | HEALTHCARE | CT | 501C3 | LINE 11A, I | BRIDGEPORT HOSPITAL | 1 | |
| NORTHEAST MEDICAL GROUP PLLC | |||||||||||
| 226 MILL HILL AVENUE | BRIDGEPORT | CT | 06610 | 352380180 | HEALTHCARE | CT | 501C3 | LINE 11A, I | NORTHEAST MEDICAL GROUP INC | 1 | |
| YNH NETWORK CORP | |||||||||||
| 789 HOWARD AVE | NEW HAVEN | CT | 06519 | 061513687 | SYSTEM SUPPORT | CT | 501C3 | LINE 11A, I | YALE NEW HAVEN HEALTH SERVICES CORP | 1 | |
| YALE-NEW HAVEN HOSPITAL | |||||||||||
| 20 YORK STREET | NEW HAVEN | CT | 06504 | 060646652 | HEALTHCARE | CT | 501C3 | LINE 3 | YNH NETWORK CORP | 1 | |
| YALE-NEW HAVEN CARE CONTINUUM CORP | |||||||||||
| 789 HOWARD AVE | NEW HAVEN | CT | 06519 | 455235566 | NURSING HOME | CT | 501C3 | LINE 3 | YNH NETWORK CORP | 1 | |
| CARITAS INSURANCE | |||||||||||
| 30 MAIN STREET | BURLINGTON | VT | 05401 | 030322238 | INSURANCE | VT | 501C3 | LINE 11A, I | YALE NEW HAVEN HOSPITAL | 1 | |
| YALE NEW HAVEN HEALTH SERVICES CORP | |||||||||||
| 789 HOWARD AVE | NEW HAVEN | CT | 06519 | 222529464 | SYSTEM SUPPORT | CT | 501C3 | LINE 11A, I | 0 | N/A | |
| PERRYRIDGE CORPORATION | |||||||||||
| 5 PERRYRIDGE ROAD | GREENWICH | CT | 06830 | 061207316 | SYSTEM SUPPORT | CT | 501C3 | LINE 11B, II | GREENWICH HEALTH CARE SERVICES INC | 1 | |
| BRIDGEPORT HOSPITAL | |||||||||||
| 267 GRANT STREET | BRIDGEPORT | CT | 06610 | 060646554 | HEALTHCARE | CT | 501C3 | LINE 3 | BRIDGEPORT HOSP & HEALTHCARE SERVICES | 1 | |
Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|
| SHORELINE SURGERY CENTER LLC | |||||||
| 60 TEMPLE STREET | NEW HAVEN | CT | 06510 | 900110459 | HEALTHCARE | CT | N/A |
| SSC II LLC | |||||||
| 111 GOOSE LANE | GUILFORD | CT | 06437 | 261709382 | HEALTHCARE | CT | N/A |
| ORTHOPAEDIC & NEUROSURGERY CENTER | |||||||
| 55 HOLLY HILL LANE | GREENWICH | CT | 06830 | 273477197 | HEALTHCARE | CT | N/A |
Form990 Schedule R Part IV Form990ScheduleRPartIV (17 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | Province Or StateAddressForeign/ProvinceOrState | CountryAddressForeign/Country | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| YNHHS-MSO INC | |||||||||||||
| 789 HOWARD AVE | NEW HAVEN | CT | 06519 | 061467717 | MANAGEMENT SERVICES | CT | N/A | C | |||||
| YALE NEW HAVEN AMBULATORY SERVICES | |||||||||||||
| 40 TEMPLE STREET | NEW HAVEN | CT | 06510 | 061398526 | HEALTHCARE | CT | N/A | C | |||||
| QUINNIPIAC MEDICAL PC | |||||||||||||
| 789 HOWARD AVE | NEW HAVEN | CT | 06519 | 061405531 | HEALTHCARE | CT | N/A | C | |||||
| MEDICAL CENTER REALTY | |||||||||||||
| 50 YORK STREET | NEW HAVEN | CT | 06511 | 061110858 | RENTAL | CT | N/A | C | |||||
| YNH GERIATRIC SERVICES PC | |||||||||||||
| 789 HOWARD AVE | NEW HAVEN | CT | 06519 | 061561581 | HEALTHCARE | CT | N/A | C | |||||
| YNH MEDICAL SERVICES PC | |||||||||||||
| 789 HOWARD AVE | NEW HAVEN | CT | 06519 | 061561583 | HEALTHCARE | CT | N/A | C | |||||
| CHC PHYSICIANS PC | |||||||||||||
| 789 HOWARD AVE | NEW HAVEN | CT | 06519 | 061436530 | HEALTHCARE | CT | N/A | C | |||||
| GREENWICH HEALTH SERVICES INC | |||||||||||||
| 5 PERRYRIDGE ROAD | GREENWICH | CT | 06830 | 061233643 | HEALTHCARE | CT | N/A | C | |||||
| GREENWICH PEDIATRIC SERVICES PC | |||||||||||||
| 5 PERRYRIDGE ROAD | GREENWICH | CT | 06830 | 743054409 | HEALTHCARE | CT | N/A | C | |||||
| GREENWICH INTEGRATIVE MEDICINE | |||||||||||||
| 5 PERRYRIDGE ROAD | GREENWICH | CT | 06830 | 260236411 | HEALTHCARE | CT | N/A | C | |||||
| GREENWICH FERTILITY & IVF PC | |||||||||||||
| 5 PERRYRIDGE ROAD | GREENWICH | CT | 06830 | 300145464 | HEALTHCARE | CT | N/A | C | |||||
| YORK ENTERPRISES INC | |||||||||||||
| 50 YORK STREET | NEW HAVEN | CT | 06511 | 061110937 | TITLE HOLDING | CT | N/A | C | |||||
| YNHH-PHYSICIANS CORP | |||||||||||||
| 789 HOWARD AVE | NEW HAVEN | CT | 06519 | 061202305 | ADMININISTRATIVE SERVICES | CT | N/A | C | |||||
| MEDICAL CENTER PHARMACY | |||||||||||||
| 50 YORK STREET | NEW HAVEN | CT | 06511 | 061087673 | PHARMACY | CT | N/A | C | |||||
| GREENWICH OCCUPATIONAL HEALTH SERVICES INC | |||||||||||||
| 5 PERRYRIDGE ROAD | GREENWICH | CT | 06830 | 061540101 | HEALTHCARE | NY | N/A | C | |||||
| LUKAN INDEMNITY COMPANY | |||||||||||||
| INSURANCE | N/A | C | 58 PAR-LA-VALLIS RD | HAMILTON | BERMUDA | BD | BD | ||||||
| GREENWICH OCCUPATIONAL HEALTH SERVICES OF NEW JERSEY | |||||||||||||
| 5 PERRYRIDGE ROAD | GREENWICH | CT | 06830 | 453833883 | HEALTHCARE | NJ | N/A | C | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| YALE NEW HAVEN HEALTH SERVICES CORP | ||
| R | 26510056 | CASH |
| YALE NEW HAVEN HEALTH SERVICES CORP | ||
| L | 2778123 | COMPARABLE MARKET VALUE |
| PERRYRIDGE CORPORATION | ||
| J | 261959 | COMPARABLE MARKET VALUE |
| GREENWICH HOSPITAL | ||
| J | 139689 | COMPARABLE MARKET VALUE |
| NORTHEAST MEDICAL GROUP PLLC | ||
| Q | 1420767 | CASH |
| YALE-NEW HAVEN HOSPITAL | ||
| L | 3252320 | TRANSACTION REVIEW |
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