Yale New Haven Health Services Corp

“Part vi, line 2 - business relationships between officers, trustees, or key employees two of the trustees of the yale new haven health services corporation board also serve as trustees of a for-profit board, in which one of the trustees has a financial interest.”

“The organization's process to review form 990: the form 990 tax return and attached schedules were prepared by employees of the ynhhs tax department. The return is initially reviewed by the executive director of corporate finance. Subsequently, it is sent to kpmg llp for their initial review. After all comments from the above groups are received and reviewed, the return is then reviewed by the chief financial officer of the system and a final version of the return is sent back to kpmg llp for final review. Prior to filing, the organization made available a complete copy of the return to its board of trustees by web portal”

“The yale new haven health system compliance committee has been delegated the authority to approve and adopt compliance policies on behalf of the entities in the system. The conflict of interest policy 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 promptly report 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 president and ceo would consult with the board chairperson and the legal and risk services department to develop a plan to mitigate any actual conflict of interest. For example, a voting board or committee member would be required to recuse himself or herself from voting on matters related with which she or he had an actual or potential conflict and the actual or potential conflict would be disclosed to other voting members.”

“Compensation process for ceo/top official: the top hsc official is an employee of ynhhs. The ynhhs compensation and leadership development committee (the "ynhhs compensation committee"), which includes a representative of the organization, is responsible for (1) determining the overall total compensation strategy for ynhhs officer level executives, (2) approving all compensation and benefits decisions for ynhhs officer level executives, and (3) reporting such actions to the full ynhhs board of trustees on an annual basis. In addition, the ynhhs compensation committee expressly determines the reasonableness of total compensation and benefits for all ynhhs officer level executives, and assures that all officer level executive compensation decisions are made after thorough consideration of and comparison to the market practices of other similarly situated organizations. The ynhhs compensation committee consists of trustees who do not have material financial interests that could be affected by the officer level executive compensation decisions made by the committee. The comparability data used to assist the committees in its compensation deliberations is compiled by an independent, national compensation consulting firm that is retained by and reports directly to the ynhhs compensation committee. The data collected by the consultant consists of market information for executives in functionally similar positions in similarly situated organizations. The deliberations and decisions of the ynhhs compensation committee are contemporaneously documented, reviewed and approved by the committee, and provided to the board of trustees of ynhhs and hsc. Form 990, part vi, section b, line 15b: compensation process for officers certain officers are employees of ynhhs, other officers are employed directly by the organization. Compensation determinations of ynhhs employed officers are made by the ynhhs compensation committee. Compensation determinations of certain employed officers are also reviewed and approved by the ynhhs compensation committee and shared with the compensation committee or board. The compensation committees of ynhhs and hsc strive to take the steps necessary to qualify for the "rebuttable presumption of reasonableness" under federal tax law. The ynhhs executive compensation committees are responsible for (1) determining the overall total compensation strategy for all their respective corporate officers, (2) approving all compensation and benefits decisions for corporate officers, and (3) reporting such actions to the full new haven hospital and ynhhs board on an annual basis, as applicable. In addition, the executive compensation committees, as applicable, expressly determine 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 notforprofit healthcare executives in comparable organizations. The executive compensation committees consist of board members who do not have material financial interests that could be affected by the officer compensation decisions made by the committees. The comparability data used to assist the executive compensation committees in their compensation deliberations are compiled by an independent, national compensation consulting firm that is retained by and reports directly to the executive compensation committees. The data collected by the consultant consists of market information for executives in functionally similar positions in similarly situated notforprofit healthcare organizations. The deliberations and decisions of the executive compensation committees are contemporaneously documented, reviewed and approved by the executive compensation committees, and provided to the boards of ynhhs and/or hsc, as applicable.”

“Copies of all available documents are accessible to the public upon request.”

“Yale new haven health system (ynhhs) is a nonprofit health system that includes five acute-care hospitals (bridgeport, greenwich, lawrence + memorial, westerly and yale new haven hospitals), a multispecialty medical group (northeast medical group) and dozens of outpatient locations stretching from westchester county, new york, to westerly, rhode island. Ynhhs, with its aligned partner yale school of medicine, is committed to innovation and excellence in patient care, teaching, research and service to its communities. By leveraging its collective expertise to improve processes, to empower employees, and to enhance accessibility, ynhhs is ensuring the delivery of compassionate, safe, high-quality care to patients. Adopting clinical documentation technology, yale new haven health and yale medicine launched abridge, an artificial intelligence tool, within northeast medical group, yale medicine and yale health. Abridge captures key information from patient visit conversations and generates structured and organized notes in seconds, helping document exam findings, medical and social history, medications, treatment plans and lab work in a clear, concise way. Helping better prepare first responders and emergency department teams, yale new haven health implemented the twiage ems notification application. With twiage, emergency medical services first responders use cell phones to securely send encrypted information about patients' conditions, including photos, videos and audio recordings. Twiage also employs gps tracking to provide ed staff real-time updates on patients' arrival times. To assist in earlier identification of patients with deteriorating conditions, the health system launched ecart -- a more precise tool in predicting all-cause deterioration in patients. Ecart uses 97 variables, compared to a previous tool's 26, along with artificial intelligence and other functions, to generate a score. To address the treatment needs of pregnant people with sickle cell disease, yale new haven health conducted translational research to help create a risk-stratification tool for pregnant patients with sickle cell disease. This tool will help physicians determine which patients are at risk of developing complications during pregnancy, when those complications are more likely to occur and how to manage them. Yale new haven health acquired physicianone urgent care and its locations across connecticut and new york. The acquisition expanded the health system's commitment to increasing patient access to high-quality services, with the service rebranded as yale new haven health urgent care. Yale new haven health and yale medicine launched the first mobile retail pharmacy and clinic in the nation to bring health care to people where they live. The project, known as inmotion, serves communities throughout connecticut, which is the first in the country to legalize mobile retail pharmacy services. The health system received national recognition in the joint commission's november journal on quality and safety for a program that screens patients for non-medical issues that directly affect health, such as financial difficulties, inadequate housing and lack of reliable transportation. The program also connects patients with available services. Cardiology researchers at yale new haven health were selected to participate in a multisite research study called pressure check, designed to screen for hypertension in the community and connect people with uncontrolled blood pressure into new care delivery models. The study partners the health system with 10 community partners such as churches, barbershops, community centers, and other organizations to screen for high blood pressure. When it comes to relieving hunger, yale new haven health employees and medical staff donated more than 21,950 pounds of food to hunger-relief organizations during the health system's fourth #givehealthy online food drive. The donated food translates into nearly 18,300 meals for people”

“Part i, line 4 & part vi, line 1b number of independent voting members of the governing body the organization sought to confirm the independence of each voting member of its governing body by requesting that each such voting member respond to a questionnaire containing the pertinent instructions and definitions and designed to elicit the information necessary to determine independence. In the event that the organization does not receive a response from any such voting member, the organization reviews other information known to it regarding the voting member and makes a reasonable assessment of independence based on that information.”

“Form 990, part iv, line 24 hsc is the parent organization of the yale new haven health system reports on part x, line 23 the amount of all tax-exempt bond liabilities allocated to its subsidiary related organizations. Consistent with the form 990 and schedule k instructions these liabilities are reported solely on the form 990 and schedule k of the following related organizations: bridgeport hospital greenwich hospital yale new haven hospital”

“Consulting fees: program service expenses 6,960,384. Management and general expenses 573,314. Fundraising expenses 0. Total expenses 7,533,698. Personnel support/outside contractual: program service expenses 116,273,126. Management and general expenses 9,577,211. Fundraising expenses 0. Total expenses 125,850,337. Temporary help/training/development: program service expenses 9,132,266. Management and general expenses 752,209. Fundraising expenses 0. Total expenses 9,884,475. Billing fees: program service expenses 14,354,779. Management and general expenses 1,182,378. Fundraising expenses 0. Total expenses 15,537,157. Bank charges: program service expenses 44,429. Management and general expenses 3,660. Fundraising expenses 0. Total expenses 48,089.”

“Pension & post retirement changes 5,535,064. Physician one beginning equity 12,251,676. Gs swap mv adjustment 1,305,769.”