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ObjectId: 201912259349300916 - Submission: 2019-08-13
TIN: 22-2529464
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to
www.irs.gov/Form990
for the latest information.
OMB No. 1545-0047
20
17
Open to Public Inspection
Name of the organization
YALE NEW HAVEN HEALTH SERVICES
CORPORATION
Employer identification number
22-2529464
Part I
Identification of Disregarded Entities
Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity
(b)
Primary activity
(c)
Legal domicile (state
or foreign country)
(d)
Total income
(e)
End-of-year assets
(f)
Direct controlling
entity
Part II
Identification of Related Tax-Exempt Organizations
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization
(b)
Primary activity
(c)
Legal domicile (state
or foreign country)
(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))
(f)
Direct controlling
entity
(g)
Section 512(b)(13) controlled entity?
Yes
No
(1)
ASSOCIATED SPECIALISTS OF SOUTHEASTERN CTINC - DISSOLVED 918
365 MONTAUK AVENUE
NEW LONDON
,
CT
06320
20-8006123
HEALTHCARE SERVICES
CT
501C3
LINE 12A, I
LAWRENCE MEMORIAL HOSPITAL INC
Yes
(2)
BRIDGEPORT HOSPITAL
267 GRANT STREET
BRIDGEPORT
,
CT
06610
06-0646554
HEALTHCARE SERVICES
CT
501C3
LINE 3
YALE NEW HAVEN HEALTH SERVICES CORPORATION
Yes
(3)
BRIDGEPORT HOSPITAL AUXILIARY INC
267 GRANT STREET
BRIDGEPORT
,
CT
06610
06-6042500
SYSTEM SUPPORT SERVICES
CT
501C3
LINE 12A, I
BRIDGEPORT HOSPITAL
Yes
(4)
BRIDGEPORT HOSPITAL FOUNDATION INC
267 GRANT STREET
BRIDGEPORT
,
CT
06610
22-2908698
SYSTEM SUPPORT SERVICES
CT
501C3
LINE 7
BRIDGEPORT HOSPITAL
Yes
(5)
BRIDGEPORT HOSPITAL FRIENDS OF PEDIATRICS INC
120 COLUMBINE DRIVE
TRUMBULL
,
CT
06611
06-6048427
SYSTEM SUPPORT SERVICES
CT
501C3
LINE 12A, I
YALE NEW HAVEN HOSPITAL
Yes
(6)
GREENWICH HOSPITAL
5 PERRYRIDGE ROAD
GREENWICH
,
CT
06830
06-0646659
HEALTHCARE SERVICES
CT
501C3
LINE 3
YALE NEW HAVEN HEALTH SERVICES CORPORATION
Yes
(7)
LAWRENCE MEMORIAL CORPORATION
365 MONTAUK AVENUE
NEW LONDON
,
CT
06320
22-2553028
PROMOTE HEALTHCARE
CT
501C3
LINE 12A, I
YALE NEW HAVEN HEALTH SERVICES CORPORATION
Yes
(8)
LAWRENCE AND MEMORIAL FOUNDATION INC - DISSOLVED ON 918
365 MONTAUK AVENUE
NEW LONDON
,
CT
06320
22-2553026
FUNDRAISING SERVICES
CT
501C3
PF
LAWRENCE MEMORIAL CORPORATION
Yes
(9)
LAWRENCE MEMORIAL HOSPITAL INC
365 MONTAUK AVENUE
NEW LONDON
,
CT
06320
06-0646704
HEALTHCARE SERVICES
CT
501C3
LINE 3
LAWRENCE MEMORIAL CORPORATION
Yes
(10)
LMW HEALTHCARE INC
365 MONTAUK AVENUE
NEW HAVEN
,
CT
06320
46-0543230
HEALTHCARE SERVICES
RI
501C3
LINE 3
LAWRENCE MEMORIAL CORPORATION
Yes
(11)
NORTHEAST MEDICAL GROUP INC
99 HAWLEY LANE
STRATFORD
,
CT
06614
06-1330992
HEALTHCARE SERVICES
CT
501C3
LINE 10
YALE NEW HAVEN HEALTH SERVICES CORPORATION
Yes
(12)
NORTHEAST MEDICAL GROUP PLLC
99 HAWLEY LANE
STRATFORD
,
CT
06614
35-2380180
HEALTHCARE SERVICES
NY
501C3
LINE 12A, I
NORTHEAST MEDICAL GROUP INC
Yes
(13)
PERRYRIDGE CORPORATION
5 PERRYRIDGE ROAD
GREENWICH
,
CT
06830
06-1207316
SYSTEM SUPPORT SERVICES
CT
501C3
LINE 10
GREENWICH HOSPITAL
Yes
(14)
SOUTHERN CONNECTICUT HEALTH SYSTEM PROPERTIES INC
267 GRANT STREET
BRIDGEPORT
,
CT
06610
06-1297708
TITLE HOLDING
CT
501C2
BRIDGEPORT HOSPITAL
Yes
(15)
THE GREENWICH HOSPITAL ENDOWMENT FUND INC
5 PERRYRIDGE ROAD
GREENWICH
,
CT
06830
06-1526642
SYSTEM SUPPORT SERVICES
CT
501C3
LINE 12B, II
GREENWICH HOSPITAL
Yes
(16)
THE WESTERLY HOSPITAL FOUNDATION INC
25 WELLS STREET
WESTERLY
,
RI
02891
05-0508064
FUNDRAISING SERVICES
RI
501C3
LINE 12A, I
LMW HEALTHCARE INC
Yes
(17)
VISITING NURSE ASSOCIATION OF SOUTHEASTERN CONNECTICUT INC
403 NORTH FRONTAGE ROAD
WATERFORD
,
CT
06385
06-0646616
HOME HEALTHCARE SERVICES
CT
501C3
LINE 10
LAWRENCE MEMORIAL CORPORATION
Yes
(18)
WESTERLY HOSPITAL AUXILIARY INC
25 WELLS STREET
WESTERLY
,
RI
02891
22-2507181
FUNDRAISING ACTIVITIES
RI
501C3
LINE 12A, I
LMW HEALTHCARE INC
Yes
(19)
YALE NEW HAVEN HOSPITAL
20 YORK STREET
NEW HAVEN
,
CT
06504
06-0646652
HEALTHCARE SERVICES
CT
501C3
LINE 3
YALE NEW HAVEN HEALTH SERVICES CORPORATION
Yes
(20)
YALE NEW HAVEN CARE CONTINUUM CORP
789 HOWARD AVE
NEW HAVEN
,
CT
06519
45-5235566
NURSING HOME
CT
501C3
LINE 3
YALE NEW HAVEN HOSPITAL
Yes
(21)
L&M HEALTHCARE INC
365 MONTAUK AVENUE
NEW LONDON
,
CT
06320
22-2553031
SYSTEM SUPPORT SERVICES
CT
501C3
LINE 12A, I
LAWRENCE MEMORIAL CORPORATION
Yes
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2017
Page 2
Schedule R (Form 990) 2017
Page
2
Part III
Identification of Related Organizations Taxable as a Partnership
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership
Yes
No
Yes
No
(1)
SHORELINE ENDOSCOPY CENTER LLC
800 BOSTON POST ROAD
GUILFORD
,
CT
06437
90-0110459
HEALTHCARE SERVICES
CT
YALE NEW HAVEN AMBULATORY SERVICE CORP
RELATED
3,748,411
756,955
No
No
51.000 %
(2)
SSC II LLC - TECHNICAL TERMINATION ON 1217
111 GOOSE LANE
GUILFORD
,
CT
06437
26-1709382
HEALTHCARE SERVICES
CT
YALE NEW HAVEN AMBULATORY SERVICE CORP
RELATED
705,357
1,561,444
No
No
51.000 %
(3)
ORTHOPAEDIC & NEUROSURGERY CENTER - DISSOLVED ON 518
55 HOLLY HILL LANE
GREENWICH
,
CT
06830
27-3477197
HEALTHCARE SERVICES
CT
GREENWICH AMBULATORY SURGERY CENTER LLC
RELATED
3,567
No
No
35.000 %
(4)
TOTAL HEALTH CONNECTICUT LLC
789 HOWARD AVENUE
NEW HAVEN
,
CT
06519
47-4070024
HEALTHCARE SERVICES
CT
YALE NEW HAVEN HEALTH SERVICES CORPORATION
RELATED
No
No
60.000 %
(5)
YALE NEW HAVEN HEALTH SYSTEM INVESTMENT TRUST
20 YORK STREET
NEW HAVEN
,
CT
06510
27-1374301
INVESTMENT
DE
YALE NEW HAVEN HEALTH SERVICES CORPORATION
RELATED
38,317
No
No
21.390 %
(6)
YNHHSCUSP SURGERY CENTERS LLC
15305 DALLAS PKWY STE 1600
ADDISON
,
TX
75001
38-4021595
HEALTHCARE SERVICES
CT
YALE NEW HAVEN HEALTH SERVICES CORPORATION
RELATED
No
No
51.000 %
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes
No
(1)
CORPORATE PROFESSIONAL BUSINESS SERVICESINC
789 HOWARD AVE
NEW HAVEN
,
CT
06519
06-1467717
MANAGEMENT SERVICES
CT
YALE NEW HAVEN HEALTH SERVICES CORPORATION
C
8,725,040
521,982
100.000 %
Yes
(2)
YALE NEW HAVEN AMBULATORY SERVICES
40 TEMPLE STREET
NEW HAVEN
,
CT
06510
06-1398526
HEALTHCARE SERVICES
CT
YALE NEW HAVEN HOSPITAL
C
4,463,649
14,762,001
100.000 %
Yes
(3)
GREENWICH FERTILITY & IVF PC
5 PERRYRIDGE ROAD
GREENWICH
,
CT
06830
30-0145464
HEALTHCARE SERVICES
CT
GREENWICH HEALTH SERVICES INC
C
6,938,409
3,005,677
100.000 %
Yes
(4)
YNHH-PHYSICIANS CORP
789 HOWARD AVE
NEW HAVEN
,
CT
06519
06-1202305
ADMINISTRATIVE SERVICES
CT
N/A
C
100.000 %
Yes
(5)
MEDICAL CENTER PHARMACY AND HOME CARE CENTER INC
50 YORK STREET
NEW HAVEN
,
CT
06511
06-1087673
PHARMACY
CT
YALE NEW HAVEN HOSPITAL
C
15,387,065
22,206,531
100.000 %
Yes
(6)
GREENWICH OCCUPATIONAL HEALTH SERVICES OF NY PC
5 PERRYRIDGE ROAD
GREENWICH
,
CT
06830
06-1540101
HEALTHCARE SERVICES
NY
GREENWICH HEALTH SERVICES INC
C
53,528
100.000 %
Yes
(7)
GREENWICH OCCUPATIONAL HEALTH SERVICES OF NEW JERSEY
5 PERRYRIDGE ROAD
GREENWICH
,
CT
06830
45-3833883
HEALTHCARE SERVICES
NJ
GREENWICH HOSPITAL
C
146,854
117,390
100.000 %
Yes
(8)
CENTURY FINANCIAL SERVICES INC
23 MAIDEN LANE
NORTH HAVEN
,
CT
06473
06-1110797
DEBT COLLECTION SERVICES
CT
YALE NEW HAVEN HOSPITAL
C
7,593,682
4,566,547
100.000 %
Yes
(9)
L & M SYSTEMS INC
365 MONTAUK AVENUE
NEW LONDON
,
CT
06320
22-2553037
HEALTHCARE RELATED SERVICES
CT
LAWRENCE MEMORIAL CORPORATION
C
100.000 %
Yes
(10)
L&M HOME CARE SERVICES INC
365 MONTAUK AVENUE
NEW LONDON
,
CT
06320
06-1389272
HOME THERAPY
CT
L & M SYSTEMS INC
C
909,072
3,933,322
100.000 %
Yes
(11)
LAWRENCE & MEMORIAL INDEMNITY COMPANY LTD- DISSOLVED ON 1117
PO BOX 1159 KY1-1102
GRAND CAYMAN
CJ
98-1021436
INSURANCE
CJ
LAWRENCE MEMORIAL CORPORATION
C
100.000 %
Yes
(12)
SOUND MEDICAL ASSOCIATES - DISSOLVED ON 0918
365 MONTAUK AVENUE
NEW LONDON
,
CT
06320
06-1383924
MEDICAL SERVICES
CT
LAWRENCE MEMORIAL CORPORATION
C
27,105
100.000 %
Yes
Schedule R (Form 990) 2017
Page 3
Schedule R (Form 990) 2017
Page
3
Part V
Transactions With Related Organizations
Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note.
Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1
During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a
Receipt of
(i)
interest,
(ii)
annuities,
(iii)
royalties, or
(iv)
rent from a controlled entity
.....................
1a
No
b
Gift, grant, or capital contribution to related organization(s)
............................
1b
No
c
Gift, grant, or capital contribution from related organization(s)
............................
1c
No
d
Loans or loan guarantees to or for related organization(s)
............................
1d
No
e
Loans or loan guarantees by related organization(s)
............................
1e
No
f
Dividends from related organization(s)
............................
1f
No
g
Sale of assets to related organization(s)
............................
1g
No
h
Purchase of assets from related organization(s)
............................
1h
No
i
Exchange of assets with related organization(s)
............................
1i
No
j
Lease of facilities, equipment, or other assets to related organization(s)
.......................
1j
No
k
Lease of facilities, equipment, or other assets from related organization(s)
......................
1k
Yes
l
Performance of services or membership or fundraising solicitations for related organization(s)
.....................
1l
Yes
m
Performance of services or membership or fundraising solicitations by related organization(s)
.................
1m
Yes
n
Sharing of facilities, equipment, mailing lists, or other assets with related organization(s)
...................
1n
Yes
o
Sharing of paid employees with related organization(s)
............................
1o
Yes
p
Reimbursement paid to related organization(s) for expenses
............................
1p
Yes
q
Reimbursement paid by related organization(s) for expenses
............................
1q
Yes
r
Other transfer of cash or property to related organization(s)
............................
1r
Yes
s
Other transfer of cash or property from related organization(s)
............................
1s
Yes
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1)
BRIDGEPORT HOSPITAL
L
84,300,149
COMPARABLE MARKET VALUE
(2)
BRIDGEPORT HOSPITAL
M
4,251,145
COMPARABLE MARKET VALUE
(3)
BRIDGEPORT HOSPITAL
P
9,899,760
TRANSACTION REVIEW
(4)
BRIDGEPORT HOSPITAL
Q
79,875,852
TRANSACTION REVIEW
(5)
BRIDGEPORT HOSPITAL
R
348,614
CASH
(6)
BRIDGEPORT HOSPITAL
S
2,528,395
CASH
(7)
CENTURY FINANCIAL SERVICES INC
L
354,572
COMPARABLE MARKET VALUE
(8)
CORPORATE PROFESSIONAL BUSINESS SERVICES INC
Q
836,531
TRANSACTION REVIEW
(9)
GREENWICH HOSPITAL
L
60,722,794
COMPARABLE MARKET VALUE
(10)
GREENWICH HOSPITAL
M
4,000,000
COMPARABLE MARKET VALUE
(11)
GREENWICH HOSPITAL
N
3,583,140
TRANSACTION REVIEW
(12)
GREENWICH HOSPITAL
O
340,083
TRANSACTION REVIEW
(13)
GREENWICH HOSPITAL
P
6,452,441
TRANSACTION REVIEW
(14)
GREENWICH HOSPITAL
Q
60,032,714
TRANSACTION REVIEW
(15)
GREENWICH HOSPITAL
R
287,642
CASH
(16)
GREENWICH HOSPITAL
S
1,044,724
CASH
(17)
LAWRENCE MEMORIAL HOSPITAL INC
L
28,229,690
COMPARABLE MARKET VALUE
(18)
LAWRENCE MEMORIAL HOSPITAL INC
M
3,349,277
COMPARABLE MARKET VALUE
(19)
LAWRENCE MEMORIAL HOSPITAL INC
N
11,237
TRANSACTION REVIEW
(20)
LAWRENCE MEMORIAL HOSPITAL INC
P
5,215,388
TRANSACTION REVIEW
(21)
LAWRENCE MEMORIAL HOSPITAL INC
Q
28,951,294
TRANSACTION REVIEW
(22)
LAWRENCE MEMORIAL HOSPITAL INC
S
3,158,743
CASH
(23)
LMW HEALTHCARE INC
L
4,506,646
COMPARABLE MARKET VALUE
(24)
LMW HEALTHCARE INC
Q
1,260,882
TRANSACTION REVIEW
(25)
MEDICAL CENTER PHARMACY & HOME CARE CENTER INC
L
2,001,319
COMPARABLE MARKET VALUE
(26)
MEDICAL CENTER PHARMACY & HOME CARE CENTER INC
Q
4,277,697
TRANSACTION REVIEW
(27)
NORTHEAST MEDICAL GROUP INC
L
23,316,799
COMPARABLE MARKET VALUE
(28)
NORTHEAST MEDICAL GROUP INC
Q
25,737,430
TRANSACTION REVIEW
(29)
SHORELINE SURGERY CENTER LLC (SSC II)
Q
50,514
TRANSACTION REVIEW
(30)
VISITING NURSE ASSOCIATION OF SOUTHEASTERN CONNECTICUT INC
Q
76,247
TRANSACTION REVIEW
(31)
YALE NEW HAVEN AMBULATORY SERVICES CORP
L
57,061
COMPARABLE MARKET VALUE
(32)
YALE NEW HAVEN CARE CONTINUUM CORP
L
189,834
COMPARABLE MARKET VALUE
(33)
YALE NEW HAVEN CARE CONTINUUM CORP
Q
1,900,396
TRANSACTION REVIEW
(34)
YALE NEW HAVEN HOSPITAL
K
3,495,045
COMPARABLE MARKET VALUE
(35)
YALE NEW HAVEN HOSPITAL
L
285,438,876
COMPARABLE MARKET VALUE
(36)
YALE NEW HAVEN HOSPITAL
M
550,990
COMPARABLE MARKET VALUE
(37)
YALE NEW HAVEN HOSPITAL
O
317,931
TRANSACTION REVIEW
(38)
YALE NEW HAVEN HOSPITAL
P
29,056,683
TRANSACTION REVIEW
(39)
YALE NEW HAVEN HOSPITAL
Q
233,437,043
TRANSACTION REVIEW
(40)
YALE NEW HAVEN HOSPITAL
R
21,789,255
COMPARABLE MARKET VALUE
(41)
YALE NEW HAVEN HOSPITAL
S
99,493,896
COMPARABLE MARKET VALUE
Schedule R (Form 990) 2017
Page 4
Schedule R (Form 990) 2017
Page
4
Part VI
Unrelated Organizations Taxable as a Partnership
Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)
(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income
(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership
Yes
No
Yes
No
Yes
No
Schedule R (Form 990) 2017
Page 5
Schedule R (Form 990) 2017
Page
5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference
Explanation
PART IV, COLUMN C
IN DECEMBER OF 2017 SSC II, EIN 26-1709382 HAD A TECHNICAL TERMINATION AND BECAME A SINGLE MEMBER LLC OF YALE NEW HAVEN AMBULATORY SEVICES CORP, EIN 06-1398526. YALE NEW HAVEN HOSPITAL IS THE SOLE SHAREHOLDER OF YALE NEW HAVEN AMBULATORY SEVICES CORP.
Schedule R (Form 990) 2017
Additional Data
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