2024-08-15T08:17:21-05:00 2023-09-30 111986323 MARCUM LLP 555 LONG WHARF DRIVE NEW HAVEN CT 06511 990 2022-10-01 061505284 PLANETREE INTERNATIONAL INC PLAN 2037321365 130 DIVISION STREET DERBY CT 06418 DAVID MURCKO CONTROLLER 2037321365 2024-08-14 1 0 MARY ANTONETTI P00431862 2037819600 2024-08-14 2022 2024-08-08 14:25:15Z SUSAN FRAMPTON 130 DIVISION STREET DERBY CT 06418 3688023 0 X N/A X 1998 CT NONPROFIT MEMBERSHIP ORGANIZATIONS IMPLEMENTING PATIENT-CENTERED CARE (SEE SCHEDULE O)PLANETREE INTERNATION INC., WORKS WITH HOSPITALS AND OTHER HEALTHCARE ORGANIZATIONS TO DEVELOP AND IMPLEMENT PATIENT-CENTERED CARE IN HEALING ENVIRONMENTS. THE PATIENT-CENTERED REVOLUTION THAT DEMANDS ON BEHALF OF ALL PATEINTS THAT HEALTHCARE ORGANIZATION MEET INDIVDIUAL'S HUMAN NEED FOR RESPECT, CONTROL AND WARM AND SUPPORTIVE CARE IS:EVIDENCE BASED - SUBSTANTIATED BY A GROWING BODY OF SCIENTIFIC RESEARCH CONNECTING PATIENT AND FAMILY ENGAGEMENT TO IMPROVED HEALTH OUTCOMES.QUALITY IMPERATIVE - SUPPORTED BY POWERFUL INDUSTRY FORCES REQUIRING HEALTHCARE ORGANIZATIONS TO CHANGE BUSINESS AS USUAL.RESPONSIVE - DRIVEN BY CONSUMERS WHO KNOW MORE, EXPECT MORE AND DESERVE MORE FROM THEIR THEIR HEALTHCARE EXPERIENCES. 20 18 17 20 0 0 0 0 3910632 3328163 81090 47059 9738 89009 4001460 3464231 0 0 0 0 2495453 2320090 0 0 0 1393307 1439583 3888760 3759673 112700 -295442 5591287 5450655 5676172 5744803 -84885 -294148 PLANETREE CONNECTS THOSE WHO RECEIVE AND PROVIDE CARE TO CREATE A HUMANIZED HEALTHCARE EXPERIENCE THAT WORKS FOR ALL. 0 0 2931850 3328163 PLANETREE INTERNATIONAL, INC IS A PASSIONATE NOT-FOR-PROFIT GLOBAL HEALTHCARE LEADER SETTING THE GLOBAL STANDARD FOR PERSON-CENTERED EXCELLENCE ACROSS THE CONTINUUM OF CARE. USING ITS THEMATIC PLATFORMS OF BOTH PLANETREE AND LANGUAGE OF CARING NEW DYNAMIC MODELS ARE AVAILABLE TO FIT THE NEEDS OF HEALTHCARE ORGANIZATIONS TO PROVIDE PATIENT-CENTERED, VALUE BASED AND HOLISTIC CARE, AS WELL AS ENSURE COMPASSION AND POWERFULLY EFFECTIVE COMMUNICATION THAT PERMEATE THE ORGANIZATION'S CULTURE AND ALL INTERACTIONS WITH PATIENTS, FAMILIES, AND COWORKERS. 2931850 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 19 0 1 17 1 0 0 0 0 0 0 0 0 0 0 0 0 X 20 18 0 0 0 0 1 1 1 1 0 0 0 0 1 1 1 1 1 1 1 0 X DAVID MURCKO 2037321447 130 DIVISION STREET DERBY CT 06418 DEREK RAGHAVAN MD DIRECTOR 0.23 0.00 X 0 0 0 DOUGLAS FINEFROCK DO DIRECTOR 0.23 0.00 X 0 0 0 GEORGE S LOGAN DIRECTOR 0.23 0.38 X 0 0 0 GERALD T WEINER ESQ DIRECTOR 0.23 0.38 X 0 0 0 HENRY GALLARDO MD DIRECTOR 0.23 0.00 X 0 0 0 JACQUES COUILLARD DIRECTOR (LEFT 1/1/23) 0.23 0.00 X 0 0 0 JEANNETTE PHILLIPS DIRECTOR 0.23 0.00 X 0 0 0 JOEP VERBUGT DIRECTOR (LEFT 1/1/23) 0.23 0.00 X 0 0 0 JOHN J ZAPRZALKA DIRECTOR 0.23 0.38 X 0 0 0 JOHN W BETKOSKI III DIRECTOR 0.23 0.53 X 0 0 0 JONATHAN HOCH DIRECTOR 0.23 0.00 X 0 0 0 JOSEPH ANDREANA DIRECTOR 0.23 0.38 X 0 0 0 KENNETH BALDYGA DIRECTOR 0.23 0.53 X 0 0 0 MALEK ALMOOSA DIRECTOR 0.23 0.00 X 0 0 0 MARIA HALE DIRECTOR 0.23 0.00 X 0 0 0 NANCY DINARDO DIRECTOR 0.23 0.53 X 0 0 0 PAMELA DUNLEY DIRECTOR 0.23 0.00 X 0 0 0 PATRICK A CHARMEL CHAIRMAN 1.00 49.15 X X 0 4409084 40516 ROBERT G REISS DIRECTOR 0.23 0.38 X 0 0 0 SUSAN FRAMPTON PHD PRESIDENT/BOD SECRETARY/TR 40.00 0.00 X X 325616 0 37391 THEMIS KLARIDES DIRECTOR 0.23 0.38 X 0 0 0 BRUNO PETRUCCI DIRECTOR (JOINED 1/1/23) 0.23 0.00 X 0 0 0 KARIN JAY SENIOR VP, GLOBAL SERVICES 40.00 0.00 X 226825 0 9281 MICHAEL L GIULIANO COO 40.00 0.00 X 128777 0 10671 RHONDA WILLIAMS VP ENGAGEMENT STRATEGIES 40.00 0.00 X 186503 0 15446 SARA GUASTELLO SVP,PERSON & CENTERED CARE 40.00 0.00 X 162999 0 35412 JAMES KINSEY VP CONTINUUM OF CARE SERVICES 40.00 0.00 X 132897 0 21271 1163617 4409084 169988 6 0 1 0 MARRIOTT BUSINESS SERVICES PO BOX 402642 ATLANTA GA 30384 ANNUAL CONFERENCE 184213 1 MEMBERSHIP DUES 561499 1149269 1149269 CONSULTING FEES 541610 1000715 1000715 CERTIFICATION REVENUE 561499 705469 705469 INT'L LICENSING & CONSULTING 541610 101795 101795 PRODUCTS REVENUE 561499 72800 72800 298115 298115 3328163 48993 48993 89009 89009 221858 223792 -1934 -1934 -1934 3464231 3328163 0 136068 X 258691 181083 77608 1495687 1201599 294088 43202 34603 8599 400749 319395 81354 121761 96191 25570 524 524 3691 3691 432393 198680 233713 37953 37953 63894 16433 47461 318088 318088 47537 47537 339429 339429 140828 126745 14083 BAD DEBTS 52000 52000 DUES AND SUBSCRIPTIONS 1877 1877 STAFF/AFFILIATE RECOG. 1369 67 1302 3759673 2931850 827823 0 410058 333677 1466516 1144747 923425 1179164 859348 664827 214841 194521 1145308 1271164 1431139 1327382 5591287 5450655 235072 1017857 1465469 1537228 3975631 3189718 5676172 5744803 X -117382 -326645 32497 32497 -84885 -294148 5591287 5450655 -295442 86179 0 X X 0 1 X 1 0 X 4632146 4584163 4265114 3910632 3328163 20720218 4632146 4584163 4265114 3910632 3328163 20720218 0 1710245 752629 887445 3350319 1710245 752629 887445 3350319 17369899 48809 25983 35031 75234 138002 323059 48809 25983 35031 75234 138002 323059 4680955 4610146 4300145 3985866 3466165 21043277 0.82540 0.95950 0.01540 0.01000 X 685707 497785 187922 173641 167042 6599 194521 DUE TO AFFILIATES 3189718 3189718 X PART X, LINE 2: BELOW IS AN EXCERPT FROM FOOTNOTE 1 OF THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR GRIFFIN HEALTH SERVICES CORPORATION AND SUBSIDIARIES. GHSC AND ITS SUBSIDIARIES, WITH THE EXCEPTION OF GHV AND HAIC, ARE NOT-FOR-PROFIT ORGANIZATIONS AND ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. GHSC AND ITS SUBSIDIARIES ACCOUNT FOR UNCERTAINTY IN INCOME TAX POSITIONS BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN AND HAS CONCLUDED THAT AS OF SEPTEMBER 30, 2023 AND 2022, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. GHSC AND ITS SUBSIDIARIES ARE SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS. THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS PENDING OR IN PROGRESS. EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 PROGRAM SERVICES CONSULTING & TRAINING 32000 SOUTH AMERICA 0 0 PROGRAM SERVICES CONSULTING & TRAINING 8000 MIDDLE EAST AND NORTH AFRICA - ALGERIA, BAHRAIN, DJIBOUTI, EGYPT, 0 0 PROGRAM SERVICES CONSULTING & TRAINING 152000 EAST ASIA AND THE PACIFIC 0 0 PROGRAM SERVICES CONSULTING & TRAINING 20000 0 0 0 0 0 0 212000 0 212000 0 0 0 0 0 1 PART III ACCOUNTING METHOD: PART I, LINE 3, COLUMN (F): ACCOUNTING METHOD - ACCRUAL NO INVESTMENTS IN ANY REGION 0 1 0 0 0 0 0 1 0 PATRICK A CHARMEL CHAIRMAN 0 597585 0 591435 0 3220064 0 8439 0 32077 0 4449600 0 0 SUSAN FRAMPTON PHD PRESIDENT/BOD SECRETARY/TR 280583 0 43333 0 1700 0 7289 0 30102 0 363007 0 0 0 KARIN JAY SENIOR VP, GLOBAL SERVICES 225300 0 0 0 1525 0 6143 0 3138 0 236106 0 0 0 RHONDA WILLIAMS VP ENGAGEMENT STRATEGIES 185226 0 0 0 1277 0 3398 0 12048 0 201949 0 0 0 SARA GUASTELLO SVP,PERSON & CENTERED CARE 146405 0 15532 0 1062 0 4524 0 30888 0 198411 0 0 0 JAMES KINSEY VP CONTINUUM OF CARE SERVICES 131836 0 0 0 1061 0 3741 0 17530 0 154168 0 0 0 PART I, LINE 3 THE COMPENSATION OF THE PRESIDENT IS PAID BY GRIFFIN HOSPITAL. GRIFFIN HOSPITAL USES THE FOLLOWING METHODS TO DETERMINE COMPENSATION: - COMPENSATION COMMITTEE - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINE 4B PATRICK CHARMEL RECEIVED A PAYMENT FROM GRIFFIN HOSPITAL IN THE AMOUNT OF $3,218,342 IN LIEU OF A GRANDFATHER SPLIT-DOLLAR LIFE INSURANCE PLAN. THIS GRANDFATHER SPLIT-DOLLAR LIFE INSURANCE POLICY COMMENCED IN 2007 AND WAS DEVELOPED AS RESULT OF THE HOSPITAL'S DEFINED BENEFIT PENSION PLAN CAP OF EARNINGS AT THIS TIME. THE POLICY WAS CONSTRUCTED TO PROVIDE MR. CHARMEL WITH THE EQUIVALENT PENSION PLAN BENEFIT PAYMENTS AS COMPARED TO ALL OTHER DEFINED BENEFIT PLAN PARTICIPANTS. PART I, LINE 7 AT THE END OF THE YEAR, THE COMPENSATION COMMITTEE REVIEWS PERFORMANCE OF EACH INDIVIDUAL IN LINE WITH CERTAIN CRITERIA. BASED ON AN OVERALL REVIEW OF THEIR PERFORMANCE AND THEIR COMPENSATION, THE COMMITTEE RECOMMENDS A BONUS AMOUNT WHICH IS APPROVED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER IS GRIFFIN HEALTH SERVICES CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER HAS THE RIGHT TO APPOINT THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBER SHALL HAVE THE EXCLUSIVE RIGHT (1) TO ELECT THE CORPORATION'S BOARD OF DIRECTORS AND TO APPOINT INDIVIDUALS TO FILL VACANCIES ON THE BOARD OF DIRECTORS; (II) TO AMEND THE BYLAWS OF THE CORPORATION; AND (III) TO REMOVE ANY DIRECTOR WITH OR WITHOUT CASE. THE MEMBER SHALL ALSO HAVE OTHER RIGHTS AND APPROVE FUNDAMENTAL CHANGES SUCH AS AMENDMENT OF THE CERTIFICATE OF INCORPORATION; MERGER OR SUBSTANTIAL TRANSFER OF ASSETS; SELL OR MORTGAGE SUBSTANTIALLY ALL OF THE ASSETS; OR DISSOLVE THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 8B PLANETREE INTERNATIONAL, INC. DID NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS REVIEWED BY MANAGEMENT PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C A CONFLICT OF INTEREST QUESTIONNAIRE IS SENT ANNUALLY AND DISCLOSED AT THE ANNUAL BOARD MEETING. THE QUESTIONNAIRE IS REVIEWED BY THE VICE PRESIDENT OF ACCOUNTABLE CARE AND GENERAL COUNSEL. IF A CONFLICT IS FOUND, THE INDIVIDUAL WILL RECUSE THEMSELVES FROM THE DISCUSSION OF THE MATTER. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE WHICH IS A SUBCOMMITTEE OF THE BOARD OF DIRECTORS REVIEWS INDIVIDUAL COMPENSATION OF THE CEO, OFFICERS, AND OTHER MEMBERS OF SENIOR STAFF, WHOSE COMPENSATION IS REPORTABLE ON FORM 990 ON AN ANNUAL BASIS. COMPENSATION OF OTHER MEMBERS OF THE ORGANIZATION ARE APPROVED AS A PART OF THE ANNUAL BUDGET PROCESS. THE PROCESS INCLUDES THE PROCUREMENT OF COMPARABILITY DATA FROM EXTERNAL INDEPENDENT SOURCES AND OTHER INDUSTRY SPECIFIC COMPENSATION DATA. THE COMPENSATION COMMITTEE THEN MAKES A RECOMMENDATION TO THE BOARD OF DIRECTORS FOR THEIR REVIEW AND ACTION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G COACH FEES: PROGRAM SERVICE EXPENSES 3,960. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,960. CONSULTING FEES: PROGRAM SERVICE EXPENSES 194,720. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 194,720. OVERHEAD: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 233,713. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 233,713. FORM 990, PART XII, LINE 2C: THE BOARD OF TRUSTEES OF GRIFFIN HEALTH SERVICE CORPORATION IS RESPONSIBLE FOR SELECTING AN INDEPENDENT AUDIT FIRM AND FOR OVERSEEING THE FINANCIAL STATEMENT PREPARATION PROCESS. GRIFFIN HOSPITAL 130 DIVISION STREET DERBY CT 06418 060647014 HOSPITAL CT 501(C)(3) LINE 3 GRIFFIN HEALTH SERVICES CORPORATION 0 GRIFFIN HEALTH SERVICES CORPORATION 130 DIVISION STREET DERBY CT 06418 222560257 HOLDING COMPANY CT 501(C)(3) LINE 12B, II N/A 0 GRIFFIN FACULTY PHYSICIANS INC 130 DIVISION STREET DERBY CT 06418 061463147 MEDICAL SERVICES CT 501(C)(3) LINE 10 GRIFFIN HOSPITAL 0 GRIFFIN HOSPITAL DEVELOPMENT FUND 130 DIVISION STREET DERBY CT 06418 222560254 FUNDRAISING CT 501(C)(3) LINE 12B, II GRIFFIN HEALTH SERVICES CORPORATION 0 GH VENTURES INC 130 DIVISION STREET DERBY CT 06418 222560247 RENTAL REAL ESTATE CT N/A C 0 HEALTHCARE ALLIANCE INSURANCE CO LTD 171 ELGIN AVENUE GEORGETOWN GRAND CAYMAN CJ OFFSHORE CAPTIVE INSURANCE CJ N/A C 0 CT PRACTICE MANAGEMENT INC 130 DIVISION STREET DERBY CT 06418 061152819 INACTIVE CT N/A C 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 0