Spending

Yale New Haven Health #9 in Community Spending Exceeds Tax Relief

NEW HAVEN — Yale New Haven Health ranked ninth in a national ranking of hospitals that compared the amount they spend on charitable care and community investments to the value of their nonprofit tax exemption.

The Lown Institute’s Hospital Index ranked more than 275 nonprofit hospital systems, made up of more than 1,800 hospitals, and found that 48 were spending more on things like free care for low-income patients. and donations to other charities, which the institute called a “fair share”. surplus.”

“We are very pleased to be among the top 10 in the country as I believe this recognition continues to reflect the focus we continue to place on our patients and our communities,” said Vincent Petrini, senior vice president of public health affairs. system.

The institute calculated Yale New Haven Health’s surplus to be $56 million. Yale New Haven Health comprises five hospitals: Yale New Haven, Greenwich, and Bridgeport Hospitals, Lawrence and Memorial Hospital in New London, and Westerly Hospital in Rhode Island.


The health system plans to buy three for-profit hospitals – Waterbury, Manchester Memorial and Rockville General in Vernon – and turn them into non-profit hospitals, but the data the Lown Institute used was from 2019, so it didn’t therefore not included.

The institute also included CARES Act grants, which Congress passed to provide COVID assistance, and surplus revenue, based on audited financial statements.

To calculate whether hospitals have a surplus or a deficit, “they look at financial aid policies, support for those who need to access care” who are uninsured or underinsured, he said. declared. “Yale New Haven and Bridgeport hospitals in particular are safety net hospitals.”

Petrini said patients who earn up to 250% of the federal poverty level receive free care and the cost is reduced for those who earn up to 400% of the poverty level.

Petrini said Yale New Haven Health also contributes to ConnCAT, New Haven Promise, which provides college scholarships for New Haven high school students, and United Way.

Petrini said “the study itself has serious omissions,” which American Hospital Association President Rick Pollack pointed out in a blog post. Petrini said these include “Medicaid and Medicare reimbursement” and “investment in basic research and teaching.”

Petrini said “it would amplify the investments we make if you added them.” He said Medicaid reimburses hospitals for 40% of its costs, while Medicare reimburses 90%. “It eases the burden on the government, but it’s a challenge for us,” he said.

Pollack also wrote, “Many hospitals that Lown says are failing to provide community benefits have cared for huge numbers of COVID-19 patients and stepped up to meet other community needs as they were in the hardest-hit “hotspot” communities during the height of the pandemic. Hospitals have also set up vaccination clinics and developed COVID tests, he wrote.

The “fair deficit” of the 227 hospital systems totaled $18.4 billion, according to Lown, with the 10 systems with the highest deficits accounting for 30% of the total.

In Connecticut, there was an overall deficit of $221 million. Hospitals in deficit totaled $294 million, while those in surplus totaled $73 million.

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