Form 990 for tax year 2023

Revenue

Part VIII, the statement of revenue.

• 1d · Related organizations

  $3,525,502

• 1e · Government grants (contributions)

  $3,321,068

• 2a · Program service revenue: PATIENT REVENUE

  total $839,975,928 · related or exempt $839,975,928

• 2b · Program service revenue: SESSION LEASE

  total $478,683 · unrelated business $478,683

• 2c · Program service revenue: LABORATORY SERVICES

  total $206,066 · unrelated business $206,066

• 3 · Investment income

  total $652,419 · excluded $652,419

• 6a · Gross rents

  real property $7,355,939

• 6b · Less rental expenses

  real property $6,326,163

• 6c · Rental income or loss

  real property $1,029,776

• 6d · Net rental income or loss

  total $1,029,776 · excluded $1,029,776

• 7a · Gross sales of assets other than inventory

  securities $4,381,403

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

  securities $4,009,584

• 7c · Gain or loss

  securities $371,819

• 7d · Net gain or loss

  total $371,819 · excluded $371,819

• 11a · Other revenue: OTHER OP INC SMILOW ON

  total $31,036,933 · related or exempt $31,036,933

• 11b · Other revenue: PEDIATRIC ANCILLARY

  total $10,683,696 · related or exempt $10,683,696

• 11c · Other revenue: MC IRU REVENUE

  total $6,291,380 · related or exempt $6,291,380

• 11d · All other revenue

  total $12,377,224 · related or exempt $9,464,026 · unrelated business -$18,442 · excluded $2,931,640

• 11e · Other revenue, total

  $60,389,233

Functional expenses

Part IX, the statement of functional expenses.

• 1 · Grants to domestic organizations and governments

  total $53,750 · program services $53,750

• 2 · Grants to domestic individuals

  total $3,881,379 · program services $3,881,379

• 5 · Compensation of officers, directors and key employees

  total $3,692,334 · program services $369,233 · management and general $3,323,101

• 7 · Other salaries and wages

  total $297,226,016 · program services $282,156,657 · management and general $15,069,359

• 8 · Pension plan contributions

  total $15,460,473 · program services $14,676,627 · management and general $783,846

• 9 · Other employee benefits

  total $41,835,005 · program services $39,713,970 · management and general $2,121,035

• 10 · Payroll taxes

  total $19,755,418 · program services $18,753,818 · management and general $1,001,600

• 11a · Fees: management

  total $360,966 · program services $342,665 · management and general $18,301

• 11b · Fees: legal

  total $151,139 · program services $143,476 · management and general $7,663

• 11d · Fees: lobbying

  total $189,292 · program services $189,292

• 11g · Fees: other

  total $329,219,231 · program services $318,218,437 · management and general $11,000,794

• 12 · Advertising and promotion

  total $54,417 · program services $51,658 · management and general $2,759

• 13 · Office expenses

  total $9,118,168 · program services $8,655,877 · management and general $462,291

• 16 · Occupancy

  total $21,754,283 · program services $20,651,341 · management and general $1,102,942

• 17 · Travel

  total $268,975 · program services $255,338 · management and general $13,637

• 19 · Conferences, conventions and meetings

  total $627,608 · program services $595,788 · management and general $31,820

• 20 · Interest

  total $7,793,061 · program services $7,397,953 · management and general $395,108

• 21 · Payments to affiliates

  total $36,215,853 · program services $34,379,709 · management and general $1,836,144

• 22 · Depreciation, depletion and amortization

  total $30,542,414 · program services $28,993,914 · management and general $1,548,500

• 23 · Insurance

  total $13,607,669 · program services $12,917,760 · management and general $689,909

• 24a · Other expenses: MEDICAL SUPPLIES

  total $104,214,656 · program services $104,214,656

• 24b · Other expenses: BOOKS/LICENSES

  total $1,585,652 · program services $1,505,259 · management and general $80,393

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  end of year $1,565,635

• 4 · Accounts receivable

  beginning of year $98,287,055 · end of year $98,237,521

• 8 · Inventories for sale or use

  beginning of year $8,278,014 · end of year $8,471,861

• 9 · Prepaid expenses and deferred charges

  beginning of year $988,700 · end of year $1,182,805

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

  $779,872,842

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

  $468,694,386

• 10c · Land, buildings and equipment, net

  beginning of year $309,680,278 · end of year $311,178,456

• 11 · Investments: publicly traded securities

  beginning of year $23,363,602 · end of year $27,725,616

• 12 · Investments: other securities

  beginning of year $7,514,872 · end of year $7,929,607

• 14 · Intangible assets

  beginning of year $75,743,386 · end of year $75,743,386

• 15 · Other assets

  beginning of year $149,418,396 · end of year $159,375,954

• 17 · Accounts payable and accrued expenses

  beginning of year $157,758,412 · end of year $193,344,541

• 20 · Tax-exempt bond liabilities

  beginning of year $1,709,413 · end of year $5,432,068

• 23 · Secured mortgages and notes payable

  beginning of year $84,327,004 · end of year $81,454,598

• 25 · Other liabilities

  beginning of year $85,383,756 · end of year $77,170,999

• 27 · Net assets without donor restrictions

  beginning of year $324,395,916 · end of year $273,691,101

• 28 · Net assets with donor restrictions

  beginning of year $19,699,802 · end of year $60,317,534

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

The filer's explanations (Part III)

PART I, LINE 3

THE FILING ORGANIZATION DOES NOT HAVE AND/OR COMPENSATE ITS OWN CEO/EXECUTIVE DIRECTOR. THESE POSITIONS ARE FILLED BY EMPLOYEES OF A RELATED ORGANIZATION(S) AND COMPENSATED THROUGH THE RESPECTIVE RELATED ORGANIZATION(S). THE METHOD(S) USED BY THE RELATED ORGANIZATION(S) FOR DETERMINING COMPENSATION FOR THESE INDIVIDUALS ARE: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE

PART I, LINES 4A-B

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 THOMAS BALCEZAK $ 0 $ 295,280 $ 0 GAIL KOSYLA $ 0 $ 207,100 $ 0 ANNE DIAMOND $ 0 $ 160,680 $ 0 PAMELA SCAGLIARINI $ 0 $ 129,266 $ 0 CAROLYN SALSGIVER $ 394,231 $ 17,606 $ 0 THE SUPPLEMENTAL RETIREMENT INCOME PLAN (SRIP) / EXECUTIVE DEFERRED COMPETITIVE LEVEL OF RETIREMENT INCOME WHEN ADDED TO OTHER SOURCES OF SERVING AS SENIOR LEADERS. THE PLAN PROVIDES SUPPLEMENTAL RETIREMENT COMPENSATION ACCOUNT PLAN (EDCAP) ARE DESIGNED TO ENSURE THE PAYMENT OF A RETIREMENT INCOME IN ORDER TO ATTRACT AND RETAIN KEY MANAGEMENT EMPLOYEES 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 THE SHORT TERM INCENTIVE PLAN (STIP) IS A VARIABLE COMPENSATION PLAN WHICH OF THE ACCOMPLISHMENT OF KEY ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE (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 JOHN SKELLY $ 1,167,986 $ 0 WILLIAM ASELTYNE $ 235,138 $ 0 THOMAS BALCEZAK $ 0 $ 167,594 PAMELA SCAGLIARINI $ 0 $ 99,609 CAROLYN SALSGIVER KOBSA $ 0 $ 47,343 THE FOLLOWING REPORTED INDIVIDUAL(S) FORMER OFFICER(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 INDIVIDUAL(S)' 2023 FORM W-2 ISSUED BY THE RABBI TRUST. JOHN SKELLY $ 17,235

PART I, LINE 7

NON-FIXED PAYMENTS PROVIDED 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.

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

• 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