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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2017
Open to Public
Inspection
Name of the organization
YALE NEW HAVEN HEALTH SERVICES
CORPORATION
Employer identification number
22-2529464
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC section
(if applicable)		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
noncash assistance		 (h) Purpose of grant
or assistance
(1) ACHIEVEMENT FIRST
495 BLAKE STREET
NEW HAVEN,CT06515 		65-1203744 501(C)(3) 10,800   FMV   SUPPORT MISSION
(2) ALBERTUS MAGNUS COLLEGE
700 PROSPECT STREET
NEW HAVEN,CT06511 		06-0646520 501(C)(3) 25,000   FMV   SPONSORSHIP
(3) AMERICAN HEART ASSOCIATION
7272 GREENVILLE AVE
DALLAS,TX75231 		13-5613797 501(C)(3) 17,500   FMV   SPONSORSHIP
(4) ANTI-DEFAMATION LEAGUE
605 THIRD AVENUE
NEW YORK,NY10158 		13-1818723 501(C)(3) 10,000   FMV   SUPPORT MISSION
(5) BEULAH HEIGHTS CHURCH (SOCIAL INTEGRATION)
782 ORCHARD STREET
NEW HAVEN,CT06511 		06-1290930 501(C)(3) 6,000   FMV   SUPPORT MISSION
(6) CHRISTIAN COMMUNITY COMMISSION
681 DIXWELL AVENUE
NEW HAVEN,CT06511 		31-1609929 501(C)(3) 10,000   FMV   SUPPORT MISSION
(7) LONG WHARF THEATER - CONNECTICUT PLAYERS FOUNDATION INC
222 SARGENT DRIVE
NEW HAVEN,CT06511 		06-6073063 501(C)(3) 12,500   FMV   SUPPORT MISSION
(8) CORNELL HILL SCOTT CORPORATION
400-428 COLUMBUS AVE
NEW HAVEN,CT06519 		06-0870990 501(C)(3) 20,000   FMV   SUPPORT MISSION
(9) EAST END DEVELOPERS INC
PO BOX 9045
BRIDGEPORT,CT06601 		46-0768629 501(C)(3) 10,000   FMV   SUPPORT MISSION
(10) EASTER SEALS GOODWILL
95 HAMILTON STREET
NEW HAVEN,CT06511 		23-7431264 501(C)(3) 9,000   FMV   SUPPORT MISSION
(11) GREENWICH HOSPITAL
5 PERRYRIDGE ROAD
GREENWICH,CT06830 		06-0646659 501(C)(3) 13,900   FMV   SUPPORT MISSION
(12) JUVENILE DIABETES RESEARCH GREATER CT & WESTERN MA CHAPTER
20 BATTERSON PARK ROAD
FARMINGTON,CT06032 		23-1907729 501(C)(3) 15,000   FMV   SPONSORSHIP
(13) JUNIOR ACHIEVEMENT OF SOUTHWEST NEW ENGLAND
70 FARMINGTON AVENUE
HARTFORD,CT06105 		06-0665972 501(C)(3) 20,300   FMV   SPONSORSHIP
(14) LAWRENCE MEMORIAL HOSPITAL INC
365 MONTAUK AVENUE
NEW LONDON,CT06320 		06-0646704 501(C)(3) 9,150   FMV   SUPPORT MISSION
(15) NEW HAVEN INTERNATIONAL FESTIVAL OF ARTS
195 CHURCH STREET 12TH FLOOR
NEW HAVEN,CT06510 		06-1444222 501(C)(3) 26,500   FMV   SPONSORSHIP
(16) NEW HAVEN PUBLIC LIBRARY
133 ELM STREET
NEW HAVEN,CT06510 		06-1283798 501(C)(3) 7,500   FMV   SUPPORT MISSION
(17) NEW HAVEN WORKS INC
205 WHITNEY AVENUE 106
NEW HAVEN,CT06511 		46-2662124 501(C)(3) 20,000   FMV   SUPPORT MISSION
(18) PLANNED PARENTHOOD OF SOUTHERN CT
345 WHITNEY AVENUE
NEW HAVEN,CT06512 		06-0263565 501(C)(3) 17,500   FMV   SUPPORT MISSION
(19) SILVER HILL HOSPITAL
208 VALLEY ROAD
NEW CANAAN,CT06840 		06-0655139 501(C)(3) 10,000   FMV   SPONSORSHIP
(20) VISITING NURSE ASSOCIATION SOUTH
ONE LONG WHARF DRIVE
NEW HAVEN,CT06511 		06-0646941 501(C)(3) 13,000   FMV   SUPPORT MISSION
(21) WOMEN'S BUSINESS DEVELOPMENT
184 BEDFORD STREET
STAMFORD,CT06901 		06-1493737 501(C)(3) 5,450   FMV   SPONSORSHIP
(22) YALE NEW HAVEN HOSPITAL
20 YORK STREET
NEW HAVEN,CT06510 		06-0646652 501(C)(3) 11,300   FMV   SUPPORT MISSION
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
22
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2017
Page 2

Schedule I (Form 990) 2017
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients		 (c) Amount of
cash grant		 (d) Amount of
noncash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of noncash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
PART I, LINE 2: NONE OF THE AMOUNTS REPORTED ON SCHEDULE I, PART II ARE GRANTS. THESE AMOUNTS ARE DONATIONS AND SPONSORSHIPS GIVEN TO ORGANIZATIONS TO ASSIST IN THE FURTHERANCE OF THEIR CHARITABLE MISSION. YALE NEW HAVEN HEALTHCARE SERVICES CORPORATION ("HSC") CARRIES OUT DUE DILIGENCE IN PROVIDING MONETARY ASSISTANCE ONLY TO QUALIFYING 501(C)(3) ORGANIZATIONS THAT COMPLEMENT ITS MISSION OR SUPPORT THE GREATER GOOD IN THE COMMUNITIES SERVED. HSC VERIFIES EACH ORGANIZATION'S EIN AS LISTED ON IRS FORM W-9 THAT HAS BEEN SUBMITTED TO HSC. ASSISTANCE DONATED BY HSC TO THESE QUALIFYING ORGANIZATIONS IS NOT OUTCOMES-BASED AND IS GIVEN IN SUPPORT OF AN INDIVIDUAL ORGANIZATION'S FUNDRAISING EVENTS OR IN SUPPORT OF DIRECT SERVICES. HSC MAINTAINS FULL AND COMPLETE RECORDS OF ALL MONETARY ASSISTANCE PROVIDED, HOWEVER DOES NOT MONITOR SPECIFIC FUNDS.
Schedule I (Form 990) 2017



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