Form 990 for tax year 2023

Revenue

Part VIII, the statement of revenue.

• 1c · Fundraising events

  $3,448,727

• 1e · Government grants (contributions)

  $7,275,067

• 1f · All other contributions, gifts and grants

  $13,226,225

• 1g · Noncash contributions included above

  $625,521

• 2a · Program service revenue: PATIENT PROGRAM SVCS

  total $3,985,678,635 · related or exempt $3,985,678,635

• 2b · Program service revenue: SPECIALTY PHARMACY REV

  total $412,255,357 · related or exempt $412,255,357

• 2c · Program service revenue: LABORATORY SERVICES

  total $518,192 · unrelated business $518,192

• 2d · Program service revenue: MANAGEMENT SERVICES

  total $136,365 · unrelated business $136,365

• 3 · Investment income

  total $30,430,279 · excluded $30,430,279

• 6a · Gross rents

  real property $1,916,550

• 6b · Less rental expenses

  real property $1,474,270

• 6c · Rental income or loss

  real property $442,280

• 6d · Net rental income or loss

  total $442,280 · excluded $442,280

• 7a · Gross sales of assets other than inventory

  securities $521,613,065 · other assets $17,406

• 7b · Less cost or other basis and sales expenses

  securities $459,984,366 · other assets $0

• 7c · Gain or loss

  securities $61,628,699 · other assets $17,406

• 7d · Net gain or loss

  total $61,646,105 · excluded $61,646,105

• 8a · Fundraising events: gross income

  $276,222

• 8a · Fundraising events: contributions included on line 1c

  $3,448,727

• 8b · Fundraising events: direct expenses

  $1,610,373

• 8c · Net income from fundraising events

  total -$1,334,151 · excluded -$1,334,151

• 11a · Other revenue: CORE CONTRACT REVENUE

  total $24,806,172 · related or exempt $24,806,172

• 11b · Other revenue: CAFETERIA/VENDING

  total $11,973,249 · excluded $11,973,249

• 11c · Other revenue: PARKING

  total $10,132,571 · excluded $10,132,571

• 11d · All other revenue

  total $11,172,732 · related or exempt $12,543,802 · unrelated business -$1,371,070

• 11e · Other revenue, total

  $58,084,724

Functional expenses

Part IX, the statement of functional expenses.

• 1 · Grants to domestic organizations and governments

  total $7,175,662 · program services $7,175,662

• 2 · Grants to domestic individuals

  total $1,055,356 · program services $1,055,356

• 5 · Compensation of officers, directors and key employees

  total $6,946,989 · program services $694,699 · management and general $6,252,290

• 7 · Other salaries and wages

  total $1,283,446,201 · program services $1,137,564,621 · management and general $143,961,837 · fundraising $1,919,743

• 8 · Pension plan contributions

  total $74,683,690 · program services $66,579,561 · management and general $7,991,687 · fundraising $112,442

• 9 · Other employee benefits

  total $122,513,180 · program services $108,273,411 · management and general $14,057,115 · fundraising $182,654

• 10 · Payroll taxes

  total $95,409,371 · program services $84,218,913 · management and general $11,048,405 · fundraising $142,053

• 11a · Fees: management

  total $9,748,583 · program services $8,619,697 · management and general $1,128,886

• 11b · Fees: legal

  total $1,211,487 · program services $941,295 · management and general $270,192

• 11d · Fees: lobbying

  total $819,144 · program services $819,144

• 11g · Fees: other

  total $1,442,815,509 · program services $1,283,679,365 · management and general $158,697,922 · fundraising $438,222

• 12 · Advertising and promotion

  total $1,195,516 · program services $997,350 · management and general $138,441 · fundraising $59,725

• 13 · Office expenses

  total $761,224 · program services $673,074 · management and general $88,150

• 16 · Occupancy

  total $113,961,772 · program services $100,428,960 · management and general $13,531,492 · fundraising $1,320

• 17 · Travel

  total $2,297,058 · program services $2,017,306 · management and general $265,999 · fundraising $13,753

• 20 · Interest

  total $15,554,400 · program services $15,554,400

• 21 · Payments to affiliates

  total $20,036,461 · program services $20,036,461

• 22 · Depreciation, depletion and amortization

  total $104,268,739 · program services $92,194,419 · management and general $12,074,320

• 23 · Insurance

  total $38,859,301 · program services $38,838,818 · management and general $20,483

• 24a · Other expenses: MEDICAL & PHARMACY SUPP

  total $954,246,939 · program services $954,246,939

• 24b · Other expenses: DIETARY SERVICES

  total $17,334,458 · program services $15,327,128 · management and general $2,007,330

• 24c · Other expenses: LINEN & LAUNDERING SERV

  total $10,594,637 · program services $9,367,778 · management and general $1,226,859

• 24d · Other expenses: COMMUNITY ACTIVITIES

  total $9,834,971 · program services $3,592,422 · management and general $560,439 · fundraising $5,682,110

• 24e · All other expenses

  total $32,826,927 · program services $28,699,133 · management and general $4,023,502 · fundraising $104,292

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $917,517 · end of year $57,968,092

• 2 · Savings and temporary cash investments

  beginning of year $131,055,530 · end of year $55,955,047

• 3 · Pledges and grants receivable

  end of year $18,784,691

• 4 · Accounts receivable

  beginning of year $585,512,268 · end of year $925,920,949

• 8 · Inventories for sale or use

  beginning of year $41,195,568 · end of year $43,625,830

• 9 · Prepaid expenses and deferred charges

  beginning of year $2,320,190 · end of year $2,215,294

• 10a · Land, buildings and equipment: cost or other basis

  $2,868,249,783

• 10b · Land, buildings and equipment: accumulated depreciation

  $1,473,677,221

• 10c · Land, buildings and equipment, net

  beginning of year $1,250,443,675 · end of year $1,394,572,562

• 11 · Investments: publicly traded securities

  beginning of year $1,651,731,884 · end of year $1,959,169,818

• 12 · Investments: other securities

  beginning of year $596,525,844 · end of year $596,738,176

• 14 · Intangible assets

  beginning of year $45,023,622 · end of year $45,023,622

• 15 · Other assets

  beginning of year $332,262,891 · end of year $347,858,237

• 17 · Accounts payable and accrued expenses

  beginning of year $589,640,713 · end of year $610,796,503

• 19 · Deferred revenue

  beginning of year $32,813,949 · end of year $31,575,686

• 20 · Tax-exempt bond liabilities

  beginning of year $89,771,499 · end of year $856,747,575

• 23 · Secured mortgages and notes payable

  beginning of year $299,729,948 · end of year $109,965,306

• 25 · Other liabilities

  beginning of year $919,543,425 · end of year $688,433,994

• 27 · Net assets without donor restrictions

  beginning of year $2,548,577,519 · end of year $2,977,800,428

• 28 · Net assets with donor restrictions

  beginning of year $156,911,936 · end of year $172,512,826

Itemized on Schedule J with no Part VII listing of the same name on this return:

The filer's explanations (Part III)

PART I, LINES 4A-B

LINE 4B, SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS: THE INDIVIDUALS LISTED BELOW ARE PARTICIPANTS IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THESE ACCRUALS ARE INCLUDED IN THE AMOUNTS REPORTED IN PART II, COLUMN C (DEFERRED COMPENSATION) AND REPRESENTS BOTH THE REPORTING ENTITY'S AND RELATED ENTITY'S COMBINED AMOUNTS THAT HAVE NOT YET BEEN VESTED CONSISTENT WITH THE COMPENSATION REPORTING PER IRS. SEVERANCE NONQUALIFIED EQUITY-BASED VINCENT TAMMARO $ 1,040,000 - - CHRISTOPHER O'CONNOR - $558,058 - PAMELA SUTTON-WALLACE - 283,400 - GAIL KOSYLA - 207,100 - KEITH CHURCHWELL 380,769 171,882 - MICHAEL HOLMES - 145,719 - ALAN FRIEDMAN - 93,600 - LORI PICKENS - 89,235 - FRANCINE LORUSSO - 84,630 - THE SUPPLEMENTAL RETIREMENT INCOME PLAN (SRIP) / EXECUTIVE DEFERRED COMPENSATION ACCOUNT PLAN (EDCAP) ARE DESIGNED TO ENSURE THE PAYMENT OF A COMPETITIVE LEVEL OF RETIREMENT INCOME WHEN ADDED TO OTHER SOURCES OF RETIREMENT INCOME IN ORDER TO ATTRACT AND RETAIN KEY MANAGEMENT EMPLOYEES SERVING AS SENIOR LEADERS. 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). THE INDIVIDUALS LISTED BELOW BECAME VESTED IN BENEFITS VALUED AT THE AMOUNT RESPECTIVELY REPORTED BELOW DURING THE REPORTING YEAR. INCLUDED IN SECTION II, COLUMN B (III) ARE AMOUNTS VESTED DURING THE 2023 CALENDAR YEAR THAT WERE RECOGNIZED AS TAXABLE EVENTS AND REPORTED IN THE INDIVIDUALS' 2023 CALENDAR YEAR FORM W-2. SRIP EDCAP KEITH CHURCHWELL - $121,198 MICHAEL HOLMES $324,500 613,096 WILLIAM ASELTYNE 235,138 - LORI PICKENS - 483,146 CHRISTOPHER O'CONNOR - 265,120 CYNTHIA SPARER 36,735 - THE EMPLOYEE LISTED BELOW RECEIVED A FINAL PAYMENT, AS PART OF HIS SEPARATION AGREEMENT, THAT RECOGNIZES THE EMPLOYEE'S FORFEITURE OF THE EXECUTIVE DEFERRED COMPENSATION ACCOUNT PLAN (EDCAP), A NON-QUALIFIED PLAN. THIS AMOUNT WAS REPORTED IN THE INDIVIDUAL'S 2023 FORM W-2. KEITH CHURCHWELL $954,452 THE FOLLOWING REPORTED INDIVIDUAL(S) RECEIVED A PAYMENT FROM A NONQUALIFIED PLAN. THE PAYMENT WAS MADE DIRECTLY TO THE INDIVIDUAL(S) FROM THE RABBI TRUST AND REPORTED IN THE INDIVIDUALS' 2023 FORM W-2 ISSUED BY THE RABBI TRUST. MARNA BORGSTROM $ 2,154,050 KEITH CHURCHWELL 1,538,027 RICHARD D'AQUILA 196,168 VINCENT TAMMARO 157,525 KEVIN MYATT 69,589 KEVIN WALSH 45,505

PART I, LINE 7

THE SHORT TERM INCENTIVE PLAN (STIP) IS A VARIABLE COMPENSATION PLAN WHICH PROVIDES ONE-TIME PAYMENTS TO ELIGIBLE MEMBERS OF MANAGEMENT IN RECOGNITION OF THE ACCOMPLISHMENT OF KEY ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE OBJECTIVES. PERFORMANCE LEVELS ARE ESTABLISHED AND REVIEWED ANNUALLY AT THRESHOLD, TARGET AND MAXIMUM LEVELS, ACCORDING TO PLANNED "STRETCH" GOALS AND OBJECTIVES. INCENTIVE AWARD OPPORTUNITIES ARE ESTABLISHED ACCORDING TO MARKET PRACTICES BASED ON EACH ELIGIBLE POSITION'S RESPONSIBILITIES, PERFORMANCE AND LEVEL OF AUTHORITY. PERFORMANCE RELATIVE TO STIP AWARD OPPORTUNITIES INCORPORATES A BROAD SPECTRUM OF PRE-DEFINED FINANCIAL AND NON-FINANCIAL METRICS THAT ARE ALIGNED WITH ORGANIZATIONAL MISSION AND VALUES.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

• YALE NEW HAVEN HOSPITAL RABBI TRUST

  GRANTORS TRUST-RETIREMENT PLAN · PA · income $4,943,763 · assets $101,746,340

  Directly controlled by YALE NEW HAVEN HOSPITAL

• SSC II LLC

  HEALTH CARE · CT · income $0 · assets $2,046,374

  Directly controlled by YALE NEW HAVEN HOSPITAL

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

• YALE NEW HAVEN HEALTH SYSTEM INVESTMENT TRUST

  INVESTMENT · DE

• YNHHSCUSP SURGERY CENTERS LLC

  HEALTHCARE SERVICES · CT

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

• CORPORATE PROFESSIONAL BUSINESS SERVICESINC

  C · MANAGEMENT SERVICES · CT · controlled entity

• GREENWICH FERTILITY & IVF PC

  C · HEALTHCARE SERVICES · CT · controlled entity

• GREENWICH OCCUPATIONAL HEALTH SERVICES OF NEW JERSEY

  C · HEALTHCARE SERVICES · NJ · controlled entity

• GREENWICH OCCUPATIONAL HEALTH SERVICES OF NY PC

  C · HEALTHCARE SERVICES · NY · controlled entity

• L & M SYSTEMS INC

  C · HEALTHCARE RELATED SERVICES · CT · controlled entity

• L&M HOME CARE SERVICES INC

  C · HOME THERAPY · CT · controlled entity

• MEDICAL CENTER PHARMACY AND HOME CARE CENTER INC

  C · PHARMACY · CT · controlled entity

• YALE NEW HAVEN AMBULATORY SERVICES

  C · HEALTHCARE SERVICES · CT · controlled entity

• YNHH-PHYSICIANS CORP

  C · ADMINISTRATIVE SERVICES · CT · controlled entity

• CHARITABLE REMAINDER UNITRUSTS (7)

  TRUST · CT

• URGENT CARE MEDICAL ASSOCIATES OF MA LLC

  C · URGENT CARE SERVICES · MA · controlled entity

• URGENT CARE MEDICAL OF NEW YORK LLC

  C · URGENT CARE SERVICES · CT · controlled entity