2022-08-12T10:03:25-05:00 2021-09-30 135565207 KPMG LLP 345 PARK AVENUE NEW YORK NY 10154 990 2020-10-01 060646659 GREENWICH HOSPITAL GREE 2036880580 5 PERRYRIDGE ROAD GREENWICH CT 06830 EUGENE COLUCCI SR VP 2036880580 2022-08-12 0 EUGENE COLUCCI XXX-XX-XXXX EVAN W SEEKAMP P01907071 2127589700 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z NORMAN ROTH 5 PERRYRIDGE ROAD GREENWICH CT 06830 569639224 0 X WWW.GREENWICHHOSPITAL.ORG X 1903 CT TO PROVIDE HEALTHCARE SERVICES. 22 17 2049 178 8486557 4000481 62248221 20537874 417685465 485721156 7729138 15564510 3939980 3253607 491602804 525077147 136697 310181 0 0 170804337 181426386 0 0 2364219 290308450 302547945 461249484 484284512 30353320 40792635 901931817 950106833 333679083 284877445 568252734 665229388 X TO PROVIDE HEALTHCARE SERVICES. 0 0 381111875 310181 488752227 SEE SCHEDULE O 381111875 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 0 1 173 0 2049 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 22 17 1 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 X VERNETTE D GRAY 2036889585 789 HOWARD AVENUE NEW HAVEN CT 06519 CHRISTOPHER O'CONNOR TRUSTEE 1.00 39.00 X 0 1687615 758246 NORMAN ROTH TRUSTEE/CEO 1.00 39.00 X X 0 1471149 40782 DIANE KELLY PRESIDENT 32.00 8.00 X X 632137 158034 231997 MICHAEL CANTER TRUSTEE/CHAIR 40.00 0.00 X 416932 0 24176 FELICE ZWAS TRUSTEE 40.00 0.00 X 41083 0 0 MARK CHROSTOWSKI TRUSTEE/CHAIR 1.00 0.00 X 7017 0 0 THOMAS PELLECHI TRUSTEE/CO CHAIR 1.00 0.00 X 16250 0 0 SHARON GALLAGHER-KLASS TRUSTEE 1.00 0.00 X 0 0 0 CHRISTOPHER HOWES TRUSTEE/CHAIR 1.00 0.00 X 0 0 0 SALLY LOCHNER TRUSTEE 1.00 0.00 X 0 0 0 FRANK GILBRIDE TRUSTEE/SECRETARY 1.00 0.00 X X 0 0 0 ANNE JUGE TRUSTEE/TREASURER 1.00 1.00 X X 0 0 0 ARTHUR MARTINEZ TRUSTEE/CHAIR 1.00 1.00 X 0 0 0 BARBARA MILLER TRUSTEE/VICE CHAIR 1.00 0.00 X X 0 0 0 PRESTON BALDWIN TRUSTEE 1.00 0.00 X 0 0 0 SHERYL BATTLES TRUSTEE 1.00 0.00 X 0 0 0 WILLIAM BERKLEY TRUSTEE/CHAIR 1.00 3.00 X X 0 0 0 MARC GABELLI TRUSTEE 1.00 1.00 X 0 0 0 ROBIN KANAREK TRUSTEE 1.00 0.00 X 0 0 0 JACK MITCHELL TRUSTEE 1.00 0.00 X 0 0 0 CHRISTINE RANDOLPH TRUSTEE 1.00 0.00 X 0 0 0 SUSAN SALICE TRUSTEE 1.00 0.00 X 0 0 0 HANNAH STRASSER TRUSTEE 1.00 1.00 X 0 0 0 BOBBY WALKER JR TRUSTEE 1.00 0.00 X 0 0 0 KAREN RUBIN TRUSTEE 1.00 0.00 X 0 0 0 EUGENE COLUCCI SENIOR VP 18.00 22.00 X 306955 375168 45348 MARVIN SPIKE LIPSCHUTZ VP 40.00 0.00 X 596924 0 36885 JENNIFER WILLCOX ASSISTANT SECRETARY 5.00 35.00 X 60353 488305 40842 MARC KOSAK COO 40.00 0.00 X 376754 0 45592 DANA MARNANE VP 9.00 31.00 X 44473 169339 23098 KISHA MITCHELL RICHARDS PATHOLOGIST 40.00 0.00 X 521333 0 59585 MICHAEL FRANCO DIR OF ICU & RESP SRV 40.00 0.00 X 515305 0 48560 ANNA CERRA SVP PATIENT CARE SERVICES 40.00 0.00 X 437036 0 44314 SERVANDO DE LOS ANGELES ED PHYSICIAN 40.00 0.00 X 532944 0 38658 CHRISTOPHER DAVISON DIRECTOR OF ED 40.00 0.00 X 464760 0 45694 JAMES SABETTA FORMER OFFICER 0.00 0.00 X 478391 0 31269 5448647 4349610 1515046 491 1 1 0 VIZIENT INC 290 E JOHN CARPENTER FREEWAY IRVING TX 75062 CONSULTING SERVICE 4951670 UNITEX TEXTILE RENTAL INC 161 SOUTH MACQESTEN PARKWAY MOUNT VERNON NY 10550 LAUNDERING SERVICE 1451805 WESTCHESTER MEDICAL GROUP 210 WESTCHESTER AVENUE WEST HARRISON NY 10604 MEDICAL SERVICE 1031059 COMPHEALTH 35 NUTMEG DRIVE SUITE 360 TRUMBULL CT 06611 RECRUITING SERVICE 888261 QUEST DIAGNOSTICS PO BOX 912512 PASADENA CA 91110 LAB SERVICE 779431 44 1000 5000000 8116869 7420005 266225 20537874 PATIENT PROGRAM SERVICES 621400 458562649 458562649 OTHER PROGRAM SERVICE INCOME 621990 12000000 12000000 OUTREACH LAB 621500 8490479 8490479 PATHOLOGY PATIENT REVENUE 621500 5390848 5390848 IVF SERVICE INCOME 621990 1277180 1277180 485721156 9697141 9697141 4024646 3799470 225176 225176 225176 46548083 81893 40762607 0 5785476 81893 5867369 5867369 CAFETERIA/FOOD SALES 722514 1084319 1084319 AUXILIARY 453220 1030794 1030794 OTHER ANCILLARY REVENUE 900099 917240 917240 -3922 -3922 3028431 525077147 480263030 8486557 15789686 X 310181 310181 8095453 8095453 139783092 110526491 27898323 1358278 6687008 5287417 1399591 16620262 13141641 3053979 424642 10240571 8097220 2098187 45164 169851 134301 35550 108642 85903 22739 12438 9835 2603 120788 95508 25280 2861399 2262508 598891 136499145 107929873 28418045 151227 5297296 4188572 977996 130728 16507402 13052403 3216952 238047 189407 149764 37490 2153 43713 34564 9149 21616178 21616178 28312923 22387028 5925895 8764504 6930093 1834411 PHARMACEUTICAL SUPPLIES 42402175 33527400 8874775 0 MEDICAL SUPPLY EXPENSE 37969234 30022273 7946961 0 EDUCATION AND OTHER EMP 611656 483636 124073 3947 MEMBERSHIP DUES & FEES 601294 475443 120620 5231 459900 363643 91455 4802 484284512 381111875 100808418 2364219 72083251 32227347 1345857 1593394 22858806 10944733 58131196 68730090 5440348 6854787 6913886 7672500 15613348 12028847 506732497 265224541 258830592 241507956 329774951 445994508 130939582 122552671 901931817 950106833 51370701 51278293 25200 16800 20705439 17548935 261577743 216033417 333679083 284877445 X 383288754 451975005 184963980 213254383 568252734 665229388 901931817 950106833 X 40792635 34933724 21250295 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 1 500 0 0 1 32092 0 1 88196 120788 0 PART II-B, LINE 1: THE AMOUNT REPORTED IN "OTHER ACTIVITIES" REPRESENTS A PORTION OF PROFESSIONAL DUES ATTRIBUTABLE TO LOBBYING DURING FY 2021. ALSO, THE HEALTH SYSTEM OFFICIALS HAD MEETINGS AND CONTACTS WITH STATE GOVERNMENT OFFICIALS,INCLUDING STATE LEGISLATORS AND THEIR STAFF TO DISCUSS VARIOUS HEALTH CARE REFORM PROPOSALS. GREENWICH HOSPITAL IS PART OF A AFFILIATED GROUP WITH THE FOLLOWING LOBBYING EXPENSES: YALE NEW HAVEN HOSPITAL EIN 06-0646652 $762,113 BRIDGEPORT HOSPITAL EIN 06-0646554 $169,869 NORTHEAST MEDICAL GROUP INC EIN 06-1330992 $ 42,966 LAWRENCE + MEMORIAL HOSPITAL EIN 06-0646704 $117,914 LMW HEALTHCARE, INC. EIN 46-0543230 $ 27,911 33244010 7449385 8561002 35764 32096629 32010354 1836948 565345 37947 33244010 31530000 90000 1152085 761731 32010354 93774000 91000 5355000 67690000 31530000 86182000 222000 11123000 3753000 93774000 0.00000 0.10640 0.89360 0 0 22554623 22554623 234287821 115380664 118907157 72545444 20072923 52472521 168625580 129770954 38854626 8719029 8719029 241507956 OTHER SECURITIES 445994508 F 445994508 OTHER RECEIVABLES 4827542 INTERCOMPANY RECEIVABLES 2350936 CHARITABLE REMAINDER TRUST 2350598 MCIC RETRO CREDIT DUE FROM HSC 1193186 MALPRACTICE RECEIVABLE 44594711 RIGHT OF USE ASSETS 67235698 122552671 DUE-3RD PARTY & OTHER PAYORS 79719030 EST LIABILITY-SELF INSURANCE 47271313 FORWARD INTEREST RATE SWAP 1359077 ACCRUED PENSION 11328655 OTHER ACCR EXPS AND CURRENT LIAB. 123 OPERATING LEASE LIABILITY 72736020 FEMA AND ERC RESERVES 3619199 216033417 X PART V, LINE 4: THE ENDOWED FUNDS' INTENDED USE IS TO GENERATE INCOME TO SUPPORT GREENWICH HOSPITAL PROGRAM SERVICE FUNCTIONS AND OTHER OPERATIONS IN ACCORDANCE WITH THE GREENWICH HOSPITAL POOLED INVESTMENT POLICY. PART X, LINE 2: GREENWICH HOSPITAL AND ITS AFFILIATED ENTITIES ARE INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF YALE NEW HAVEN HEALTH SERVICES CORPORATION AND SUBSIDIARIES AUDITED FINANCIAL STATEMENTS. FOLLOWING IS THE FOOTNOTE FROM THE CONSOLIDATED FINANCIAL STATEMENTS: MOST ENTITIES WITHIN THE SYSTEM ARE NOT FOR PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE CODE, AND ARE GENERALLY EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE CODE. PROVISIONS FOR INCOME TAXES AND DEFERRED TAXES, WHERE APPLICABLE, HAVE BEEN MADE FOR THE TAXABLE ENTITIES LISTED ABOVE UNDER THE DESCRIPTION OF THE SYSTEM. U.S. GAAP REQUIRES THE SYSTEM TO EVALUATE TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN THE COURSE OF PREPARING THE SYSTEM'S TAX RETURNS TO DETERMINE WHETHER THE TAX POSITIONS ARE "MORE LIKELY THAN NOT" OF BEING SUSTAINED BY THE APPLICABLE TAX AUTHORITY BASED UPON THE TECHNICAL MERITS OF THE POSITION. THE SYSTEM RECOGNIZES THE EFFECT OF TAX POSITIONS ONLY IF THEY ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. THIS EVALUATION HAD NO IMPACT ON THE OPERATIONS OF THE SYSTEM AS OF AND FOR THE YEARS ENDED SEPTEMBER 30, 2021 AND 2020. 1 1 1 X 250.000000000000 1 X 550.000000000000 1 1 1 0 1 1 15402 36180762 8685000 27495762 0.05680 36376 42376054 22051140 20324914 0.04200 0 0 0 51778 78556816 30736140 47820676 0.09880 13 8579 579778 0 579778 0.00120 4 282 4111680 0 4111680 0.00850 2 7756 6504599 4440977 2063622 0.00430 0 0 0 0 4 650 89204 160 89044 0.00020 23 17267 11285261 4441137 6844124 0.01420 23 69045 89842077 35177277 54664800 0.11300 1 0 680275 0 680275 0.00140 1 0 10430 0 10430 0.00000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 11 234510 0 234510 0.00050 0 0 0 0 3 11 925215 925215 0.00190 1 11889490 127702887 184495502 -56792615 X 1 1 1 NONE NONE 1 1 GREENWICH HOSPITAL 5 PERRYRIDGE ROAD GREENWICH CT 06830 WWW.GREENWICHHOSPITAL.ORG 0045 X X X X X GREENWICH HOSPITAL 1 0 0 1 X X X X X X X X X X 18 1 0 1 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X 1 18 1 SEE PART V, SECTION C 0 1 X 250.000000000000 550.000000000000 X X X X X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X 1 X 0 0 PART V, SECTION A: THIS STATE LICENSE FOR THE HOSPITAL LOCATION LISTED IN SCHEDULE H, PART V, SECTION A, ALSO COVERS VARIOUS SATELLITE LOCATIONS OPERATED UNDER AND EXPRESSLY LISTED ON THE SAME STATE HOSPITAL LICENSE. GREENWICH HOSPITAL PART V, SECTION B, LINE 3J: QUANTITATIVE AND QUALITATIVE DATA WERE COLLECTED AND REVIEWED THROUGHOUT THE CHNA PROCESS. SECONDARY DATA SOURCES INCLUDED, BUT WERE NOT LIMITED TO, THE U.S. CENSUS, U.S. BUREAU OF LABOR STATISTICS, CENTERS FOR DISEASE CONTROL AND PREVENTION, STATE PUBLIC HEALTH DEPARTMENTS, CONNECTICUT HEALTH INFORMATION MANAGEMENT EXCHANGE (CHIME), AS WELL AS LOCAL ORGANIZATIONS AND AGENCIES. TYPES OF DATA INCLUDED VITAL STATISTICS BASED ON BIRTH AND DEATH RECORDS. IN ADDITION, THE COALITIONS PARTNERED WITH DATAHAVEN AND, IN PART, SPONSORED THE 2018 DATAHAVEN COMMUNITY WELLBEING SURVEY (CWS), HIRED HEALTH EQUITY SOLUTIONS TO CONDUCT COMMUNITY CONVERSATIONS IN THE GREATER GREENWICH REGION, WORKED WITH THE YALE SCHOOL OF PUBLIC HEALTH STUDENT CONSULTING GROUP TO CONDUCT AND LATER ANALYZE KEY INFORMANT SURVEYS, AND A STUDENT PRACTICUM TEAM ALSO FROM THE YALE SCHOOL OF PUBLIC HEALTH TO IDENTIFY COMMUNITY RESOURCES.HEALTH OUTCOMES AND RISK FACTORS RELATED TO CHRONIC DISEASE, MENTAL HEALTH AND SUBSTANCE ABUSE, MORTALITY AND MORBIDITY INCLUDE SELF-REPORTED HEALTH STATUS, NEIGHBORHOOD ENVIRONMENTS AND FINANCIAL STRESS. KEY FINDINGS FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR THE GREATER GREENWICH REGION INCLUDE HEALTH OUTCOMES AND FINDINGS AS THEY RELATE TO THE TOP THREE HEALTH PRIORITIES THAT WERE SELECTED FOR ACTION PLANNING AT A REGIONAL LEVEL: HEALTHY LIFESTYLES, ACCESS TO CARE AND BEHAVIORAL HEALTH. SIGNIFICANT HEALTH ISSUES IDENTIFIED INCLUDE OBESITY RATES, SMOKING (INCLUDING E-CIGARETTE) PREVALENCE RATES, FOOD INSECURITY, FINANCIAL STRESS, CHALLENGES RELATED TO ACCESS TO MEDICAL CARE, DENTAL HYGIENE, TYPE OF INSURANCE COVERAGE, AND CURRENT AND FUTURE DRUG AND ALCOHOL USE PARTICULARLY AMONG YOUTH. GREENWICH HOSPITAL PART V, SECTION B, LINE 5: COMMUNITY ENGAGEMENT AND FEEDBACK WERE AN INTEGRAL PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. GREENWICH HOSPITAL SOUGHT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL THROUGH FACILITATED COMMUNITY CONVERSATIONS WITH COMMUNITY MEMBERS, KEY INFORMANT INTERVIEWS WITH COMMUNITY STAKEHOLDERS, AND INCLUSION OF COMMUNITY PARTNERS IN THE PRIORITIZATION AND IMPLEMENTATION PLANNING PROCESS. PUBLIC HEALTH AND HEALTH CARE PROFESSIONALS SHARED KNOWLEDGE AND EXPERTISE ABOUT HEALTH ISSUES, WHILE LEADERS AND REPRESENTATIVES OF NON-PROFIT AND COMMUNITY-BASED ORGANIZATIONS PROVIDED INSIGHT ON THE COMMUNITY SERVED BY GREENWICH HOSPITAL, INCLUDING MEDICALLY UNDERSERVED, LOW INCOME, AND MINORITY POPULATIONS. GREENWICH HOSPITAL PART V, SECTION B, LINE 6B: YES, THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS SPEARHEADED, FUNDED, AND MANAGED BY THE GREENWICH COMMUNITY HEALTH IMPROVEMENT PARTNERSHIP (GCHIP) AND THE COUNCIL OF COMMUNITY SERVICES (CCS). GCHIP MEMBERS INCLUDE GREENWICH HOSPITAL, GREENWICH DEPARTMENT OF HEALTH, AND OPTIMUS HEALTHCARE; CCS PARTNERS INCLUDE GREENWICH HOSPITAL, OPEN DOOR FAMILY MEDICAL CENTER, HUDSON VALLEY HEALTH, AND THE WESTCHESTER DEPARTMENT OF HEALTH. THE ORGANIZATIONS ARE REPRESENTATIVE OF THOSE IN THE COMMUNITY WHO SERVE UNDERSERVED, LOW-INCOME, AND HARD TO REACH POPULATIONS. REPRESENTATIVES FROM THESE ORGANIZATIONS PROVIDE REGULAR INPUT AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLAN IMPLEMENTATION PROCESS BY ROUTINELY ATTENDING MONTHLY COALITION MEETINGS, PROVIDING FEEDBACK AND GUIDANCE AT EACH STAGE OF THE CHNA PROCESS, IDENTIFYING SPECIFIC POPULATIONS FOR COMMUNITY CONVERSATIONS, RESPONDING TO KEY INFORMANT SURVEYS, ATTENDING COMMUNITY FORUMS AND PRIORITIZATION SESSIONS, AND BY BEING VALUED COMMUNITY PARTNERS. GCHIP WAS DEVELOPED IN 2003 FOLLOWING A LOCAL COMMUNITY HEALTH NEEDS ASSESSMENT. THE COALITION ENVISIONS AN ACCESSIBLE AND SEAMLESS HEALTH CARE SYSTEM THAT NURTURES HEALTH IMPROVEMENT AND WELLNESS FOR ALL IN THE GREATER GREENWICH REGION. THE MISSION OF GCHIP IS TO CREATE A COMMON GROUND THAT FOSTERS AND FACILITATES HEALTH IMPROVEMENT ACTIVITIES IN AND FOR THE GREATER GREENWICH REGION. CCS HAS BEEN BRINGING TOGETHER COMMUNITY LEADERS TO ASSESS AND MEET THE VITAL NEEDS OF THE COMMUNITY SINCE 1974. THEIR MISSION IS ACCOMPLISHED BY IDENTIFYING AND WORKING TOWARDS SOLUTIONS THROUGH MOBILIZATION, ADVOCACY, AND NETWORKING. IN ORDER TO DEVELOP A SHARED VISION AND PLAN FOR THE COMMUNITY AND HELP SUSTAIN LASTING CHANGE, BOTH OF THESE COALITION'S ASSESSMENT AND PLANNING PROCESSES AIM TO ENGAGE AGENCIES, ORGANIZATIONS, AND RESIDENTS IN THE AREA THROUGH PARTICIPATORY AND COLLABORATIVE APPROACHES. SCHEDULE H, PART V, SEC B, LINE 7A AND 10A:HTTPS://WWW.GREENWICHHOSPITAL.ORG/ABOUT/COMMUNITY/COMMUNITY-HEALTH/NEEDS-ASSESSMENT.ASPXSCHEDULE H, PART V, SEC B, LINE 7B:HTTP://WWW.GCHIP.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ GREENWICH HOSPITAL PART V, SECTION B, LINE 11: IN MARCH 2019, COALITION MEMBERS, LOCAL HEALTH DEPARTMENTS, AND COMMUNITY PARTNERS (INCLUDING THOSE WITH KNOWLEDGE, INFORMATION, OR EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY OR MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS) REVIEWED THE PRIMARY AND SECONDARY COMMUNITY HEALTH NEEDS ASSESSMENT DATA AND DETERMINED, BY GROUP CONSENSUS, THAT THE 2016 PRIORITIES WOULD BE MAINTAINED MOVING FORWARD FOR THE 2019 CHNA. THE COALITIONS, GREENWICH HOSPITAL AND THE HEALTH DEPARTMENTS CONFIRMED THAT THERE WAS A NEED TO CONTINUE WORKING IN THE 2016 FOCUS AREAS AS THESE WERE STILL THE TOP HEALTH PRIORITY AREAS IN THE REGION. ALL PRIMARY AND SECONDARY DATA THAT WAS COLLECTED, ANALYZED AND REVIEWED SUPPORTED THE CONTINUATION OF 2016 PRIORITY AREAS: HEALTHY LIFESTYLES, ACCESS TO CARE AND BEHAVIORAL HEALTH. THESE FOCUS AREAS WILL BE ADDRESSED THROUGH A SOCIAL DETERMINANT OF HEALTH LENS. COALITION MEMBERS CONVENED REGULARLY FROM FEBRUARY TO MARCH 2019 AND ACTIVELY USED THE ASSESSMENT FINDINGS TO REVIEW GOALS, OBJECTIVES, AND STRATEGIES TO PURSUE FOR THE NEXT THREE-YEAR CYCLE. FROM THESE MEETINGS, GROUPS DEVELOPED A 2019 COMMUNITY HEALTH IMPROVEMENT PLAN DOCUMENT THAT IS ORGANIZED BY THE PRIORITY AREAS AND INCLUDES SPECIFIC GOALS, MEASURABLE INDICATORS (SHORT AND LONG-TERM), STRATEGIES, ACTION STEPS, AND PARTNERS. THESE MEETINGS WERE IN PART FACILITATED BY HEALTH EQUITY SOLUTIONS AND MEMBERS OF THE COALITIONS. A COMMUNITY HEALTH IMPROVEMENT PLAN OR CHIP IS AN ACTION-ORIENTED STRATEGIC PLAN THAT OUTLINES THE PRIORITY HEALTH ISSUES FOR A DEFINED COMMUNITY, AND HOW THESE ISSUES WILL BE ADDRESSED, INCLUDING STRATEGIES AND INDICATORS FOR MEASUREMENT, TO ULTIMATELY IMPROVE THE HEALTH OF THE COMMUNITY. CHIPS ARE CREATED THROUGH A COMMUNITY-WIDE, COLLABORATIVE PLANNING PROCESS THAT ENGAGES PARTNERS AND ORGANIZATIONS TO DEVELOP, SUPPORT, AND IMPLEMENT THE PLAN. BUILDING UPON THE KEY FINDINGS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT, THE CHIP AIMS TO: IDENTIFY PRIORITY ISSUES FOR ACTION TO IMPROVE COMMUNITY HEALTH; DEVELOP AND IMPLEMENT AN IMPROVEMENT PLAN WITH PERFORMANCE MEASURES FOR EVALUATION; GUIDE FUTURE COMMUNITY DECISION-MAKING RELATED TO COMMUNITY HEALTH IMPROVEMENT. GREENWICH HOSPITAL RECOGNIZES THAT PARTNERSHIPS WITH COMMUNITY AGENCIES HAVE THE BROADEST REACH TO IMPROVE COMMUNITY HEALTH ISSUES. AS SUCH, THE HOSPITAL IS PROVIDING FACILITATION SUPPORT FOR THE IMPLEMENTATION OF THE COMMUNITY-WIDE HEALTH IMPROVEMENT PLAN THAT WILL FOCUS ON ALL THREE PRIORITY AREAS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT (HEALTHY LIFESTYLES, ACCESS TO CARE AND BEHAVIORAL HEALTH). GREENWICH HOSPITAL FOLLOWED THE SAME PROCESS DETAILED ABOVE WITHIN ITS OWN FACILITY AND DEVELOPED A COMMUNITY HEALTH IMPROVEMENT PLAN OUTLINING SPECIFIC GOALS, OBJECTIVES AND STRATEGIES TO PURSUE FOR THE NEXT THREE-YEAR CYCLE. PROGRESS ON BOTH PLANS WILL BE MONITORED REGULARLY USING A MONITORING TOOL DEVELOPED TO TRACK THE SPECIFIC GOALS, OBJECTIVES, AND STRATEGIES IDENTIFIED IN EACH AREA.THE HOSPITAL BEGAN IMPLEMENTING ITS IMPLEMENTATION STRATEGIES IN FY 2020 WITH EFFORTS CONTINUING THROUGHOUT FY 2021 THOUGH HAMPERED DUE TO THE ONGOING COVID-19 PANDEMIC. THIS INCLUDED PROGRAMS, SERVICES AIMED AT IMPROVING COMMUNITY HEALTH AND WELLBEING SUCH AS FREE SCREENINGS, LECTURES, AND SUPPORT GROUPS. GREENWICH HOSPITAL CONTINUED TO COLLABORATE WITH LOCAL, STATE AND FEDERAL PARTNERS IN RESPONSE TO THE OPIOID AND HEROIN CRISIS BY IMPLEMENTING OR MAINTAINING SEVERAL INITIATIVES TO HELP COMBAT THIS DEADLY EPIDEMIC. TO ENLIGHTEN OUR COMMUNITY MEMBERS THAT ADDICTION IS A BRAIN DISEASE, GREENWICH HOSPITAL CONDUCTED SEVERAL COMMUNITY PROGRAMS AIMED TO INCREASE OUR COMMUNITY MEMBERS' KNOWLEDGE AND AWARENESS OF THIS DISEASE.GREENWICH HOSPITAL, AS PART OF YALE NEW HAVEN HEALTH CONTINUED TO OFFER COVID-19 TESTING SITES. THESE EFFORTS EXPANDED IN 2021 TO INCLUDE BOTH LARGE-SCALE AND COMMUNITY-BASED COVID-19 VACCINATION SITES IN COLLABORATION WITH COMMUNITY PARTNERS. GREENWICH HOSPITAL PART V, SECTION B, LINE 13H: THESE PROGRAMS COVER EMERGENCY AND OTHER MEDICALLY NECESSARY CARE ONLY. SCHEDULE H, PART V, SECTION B, LINE 16A, 16B AND 16C: HTTPS://WWW.GREENWICHHOSPITAL.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE.ASPXSCHEDULE H, PART V, SECTION D:THE FACILITY LOCATIONS LISTED IN SCHEDULE H, PART V, SECTION D, INCLUDE OFF-CAMPUS OUTPATIENT HEALTH CARE FACILITIES THAT GREENWICH HOSPITAL OPERATED DURING THE TAX YEAR UNDER ITS STATE HOSPITAL LICENSE. 12 1 - GREENWICH HOSPITAL 500 WEST PUTNAM AVENUE GREENWICH CT 06831 HOME CARE 2 - GREENWICH HOSPITAL 49 LAKE AVENUE GREENWICH CT 06830 BLOOD DRAW 3 - GREENWICH HOSPITAL 90 MORGAN STREET STAMFORD CT 06905 BLOOD DRAW CENTER 4 - GREENWICH HOSPITAL 15 VALLEY DRIVE GREENWICH CT 06831 CANCER CENTER; BLOOD DRAW 5 - GREENWICH HOSPITAL 40 CROSS STREET NORWALK CT 06850 BLOOD DRAW 6 - GREENWICH HOSPITAL 90 SOUTH RIDGE STREET RYE BROOK NY 10573 BLOOD DRAW 7 - GREENWICH HOSPITAL 106 NOROTON AVENUE DARIEN CT 06820 BLOOD DRAW 8 - GREENWICH HOSPITAL 77 LAFAYETTE PLACE GREENWICH CT 06830 DRAW STATION, DIAGNOSTIC RADIOLOGY, ONCOLOGY 9 - GREENWICH HOSPITAL 38 LAKE AVENUE GREENWICH CT 06830 PSYCHIATRY 10 - GREENWICH HOSPITAL 54-56 LAFAYETTE PLACE GREENWICH CT 06830 ONCOLOGY 11 - GREENWICH HOSPITAL 67 OLD RIDGEFIELD ROAD WILTON CT 06897 BLOOD DRAW 12 - GREENWICH HOSPITAL 1281 EAST MAIN STREET STAMFORD CT 06902 MEDICAL FACILITY PART I, LINE 3C: THE FINANCIAL ASSISTANCE POLICY PROVIDES THAT THE PATIENT MUST SUBMIT A FINANCIAL ASSISTANCE APPLICATION. PART I, LINE 7: GREENWICH HOSPITAL ("THE HOSPITAL") USES A COST ACCOUNTING SYSTEM, STRATAJAZZ, TO CALCULATE THE AMOUNTS PRESENTED IN PART I, LINE 7. THE COST ACCOUNTING SYSTEM ADDRESSES ALL PATIENT SEGMENTS. PART II, COMMUNITY BUILDING ACTIVITIES: GREENWICH HOSPITAL ALONG WITH MANY OTHER HOSPITALS ACROSS THE COUNTRY UTILIZES THE COMMUNITY BENEFITS INVENTORY FOR SOCIAL ACCOUNTABILITY DATABASE DEVELOPED BY LYON SOFTWARE TO CATALOG ITS COMMUNITY BENEFIT AND COMMUNITY BUILDING ACTIVITIES AND THE GUIDELINES DEVELOPED BY THE CATHOLIC HOSPITAL ASSOCIATION (CHA) IN ORDER TO CATALOG THESE BENEFITS. THESE TWO ORGANIZATIONS HAVE WORKED TOGETHER FOR OVER 30 YEARS TO PROVIDE SUPPORT TO NON-FOR-PROFIT HOSPITALS TO DEVELOP AND SUSTAIN EFFECTIVE COMMUNITY BENEFIT PROGRAMS.THE MOST RECENT VERSION OF THE CHA GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFIT DEFINES COMMUNITY BUILDING ACTIVITIES AS PROGRAMS THAT ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS, SUCH AS POVERTY, HOMELESSNESS AND ENVIRONMENTAL PROBLEMS. THESE ACTIVITIES ARE CATEGORIZED INTO EIGHT DISTINCT AREAS INCLUDING PHYSICAL IMPROVEMENT AND HOUSING, ECONOMIC DEVELOPMENT, COMMUNITY SUPPORT, ENVIRONMENTAL IMPROVEMENTS, LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS, COALITION BUILDING, AND ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENTS, AND WORKFORCE DEVELOPMENT. DURING FISCAL YEAR 2021, GREENWICH HOSPITAL PROVIDED $925,215 IN FINANCIAL AND IN-KIND DONATIONS IN THE AREA OF COMMUNITY BUILDING ACTIVITIES. THE HOSPITAL CONSIDERS THESE INVESTMENTS PART OF ITS OVERALL COMMITMENT OF BUILDING STRONGER NEIGHBORHOODS. EXAMPLES BELOW FOCUS ON THE AREAS OF REVITALIZING OUR NEIGHBORHOODS AND CREATING EDUCATIONAL OPPORTUNITIES.REVITALIZING OUR NEIGHBORHOODSONE OF SEVERAL COMMUNITY INITIATIVES UNDERTAKEN BY GREENWICH HOSPITAL TO ENHANCE ACCESS TO HEALTHY, AFFORDABLE FOOD IS COMMUNITY GARDENS. THIS PROGRAM IS ADMINISTERED IN COLLABORATION WITH THE COUNCIL OF COMMUNITY SERVICES, PORT CHESTER SCHOOLS AND AREA CHURCHES CULTIVATES COMMUNITY GARDENS THAT PROVIDE FRESH VEGETABLES. THE COMMUNITY GARDENS PROMOTED HEALTH EDUCATION BY EMPHASIZING HEALTHY EATING HABITS, ENCOURAGING KIDS TO TRY NEW VEGETABLES, CONNECTING CHILDREN TO NATURE AND THE ENVIRONMENT, PREVENTING CHILDHOOD OBESITY, AND FOCUSING ON PHYSICAL ACTIVITY.TO SUPPORT DRIVING SAFETY, GREENWICH HOSPITAL AND THE AARP CO-SPONSORED AN EDUCATIONAL DRIVING PROGRAM FOR OLDER ADULTS WITH OVER 50 WESTCHESTER AND FAIRFIELD COUNTY ADULTS ATTENDING THE PROGRAM. THE EDUCATIONAL DRIVING PROGRAM PROMOTES SAFETY AND IS INTENDED TO REDUCE ACCIDENT RATES AMONG DRIVERS AGE 55 AND OLDER. GREENWICH HOSPITAL WAS ALSO THE RECIPIENT OF A DONATION OF FUNDS TO DEVELOP A COMMUNITY FLOWER GARDEN ON ITS PROPERTY TO BE OPEN TO THE PUBLIC. RECENT STUDIES HAVE PROVEN THE HEALTH AND WELLNESS BENEFITS ASSOCIATED WITH BEING IN NATURE. VARIOUS COMMUNITY CEREMONIES AND CELEBRATIONS ARE CONDUCTED IN THE GARDEN INCLUDING CANCER SURVIVOR PROGRAMS AND THE TREE OF LIGHT PROGRAM. CREATING EDUCATIONAL OPPORTUNITIES HIGHER EDUCATIONAL ATTAINMENT IS ASSOCIATED WITH BETTER HEALTH STATUS AND LONGER LIFE. FOR EXAMPLE, ADULTS AGED 25-50 YEARS WHO HAVE A COLLEGE DEGREE WILL ON AVERAGE LIVE FIVE YEARS LONGER THAN THOSE WITH LESS THAN A HIGH SCHOOL EDUCATION. TO ENCOURAGE THE PURSUIT OF HIGHER EDUCATION, GREENWICH HOSPITAL SPONSORED SEVERAL PROGRAMS TO INTRODUCE MIDDLE AND HIGH SCHOOL STUDENTS TO POTENTIAL HEALTH CARE CAREERS. GREENWICH HOSPITAL TYPICALLY SERVES AS A SITE FOR MIDDLE AND HIGH SCHOOL STUDENTS TO RECEIVE AN IN-DEPTH VIEW OF VARIOUS HEALTHCARE CAREERS IN THIS AFTER-SCHOOL PROGRAM SPONSORED IN PARTNERSHIP WITH THE GREENWICH BOY SCOUTS OF AMERICA. WORKFORCE DEVELOPMENTAS WITH EDUCATIONAL ACHIEVEMENT, THERE IS STRONG EVIDENCE THAT HIGHER SOCIAL AND ECONOMIC STATUS ARE ASSOCIATED WITH BETTER HEALTH. AS ONE OF THE TOP FIVE EMPLOYERS IN GREENWICH, GREENWICH HOSPITAL PROVIDES IN-KIND AND FINANCIAL SUPPORT FOR EMPLOYMENT AND TRAINING PROGRAMS OFFERED BY AREA NOT-FOR-PROFIT ORGANIZATIONS SUCH AS THE ONES DESCRIBED BELOW. IN 2021, GREENWICH HOSPITAL WAS A HOST ORGANIZATION FOR PROJECT SEARCH TRAINING PROGRAM. PROJECT SEARCH IS A COLLABORATION AMONG ABILIS GH, DARIEN YMCA PROGRAMS, VARIOUS LOCAL SCHOOL DISTRICTS AND THE CT DEPARTMENT OF DEVELOPMENTAL SERVICES. THE NINE-MONTH INTERNSHIP PROGRAM FOR YOUNG ADULTS WITH DEVELOPMENTAL DISABILITIES IS TARGETS FOR INDIVIDUALS WHOSE GOAL IS COMPETITIVE EMPLOYMENT. SIX INDIVIDUALS PARTICIPATED IN THE 2021 PROGRAM. PART III, LINE 2: IN ACCORDANCE WITH THE ESTABLISHED POLICIES OF THE HOSPITAL, DURING THE REGISTRATION, BILLING AND COLLECTION PROCESS A PATIENT'S ELIGIBILITY FOR FREE CARE FUNDS IS DETERMINED. FOR PATIENTS WHO WERE DETERMINED BY THE HOSPITAL TO HAVE THE ABILITY TO PAY BUT DID NOT, THE UNCOLLECTED AMOUNTS ARE BAD DEBT EXPENSE. THE HOSPITAL'S COST ACCOUNTING SYSTEM UTILIZES PATIENT-SPECIFIC DATA TO ACCUMULATE AND DERIVE COSTS RELATED TO THESE BAD DEBT ACCOUNTS.DUE TO THE ADOPTION OF ASU NO. 2014-09 REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606) BAD DEBT EXPENSE IS NO LONGER REPORTED ON THE AUDITED FINANCIAL STATEMENTS. RATHER IT IS TREATED AS A PRICE CONCESSION. BAD DEBT IS DETERMINED IF THERE WAS AN ADVERSE EVENT THAT PREVENTED A PATIENT FROM BEING ABLE TO PAY THE EXPECTED AMOUNT. FOR THE PATIENTS WHO WERE DETERMINED BY THE HOSPITAL TO HAVE THE ABILITY TO PAY UNCOLLECTED AMOUNTS BUT DID NOT, THESE UNCOLLECTED AMOUNTS ARE TREATED AS IMPLICIT PRICE CONCESSIONS. THE HOSPITAL IS REPORTING BOTH BAD DEBT AND IMPLICIT PRICE CONCESSIONS ON SCHEDULE H, PART III, LINE 2. PART III, LINE 3: THE ORGANIZATION DOES NOT CURRENTLY HAVE A METHODOLOGY TO ACCURATELY QUANTIFY OR ESTIMATE THE AMOUNT OF BAD DEBT EXPENSE THAT WOULD BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. PART III, LINE 4: GREENWICH HOSPITAL IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS FOR YALE NEW HAVEN HEALTH SERVICES CORPORATION (YNHHSC). THE CONSOLIDATED FINANCIAL STATEMENTS FOR YNHHSC INCLUDES THE FOLLOWING FOOTNOTE REGARDING UNCOMPENSATED CARE AND COMMUNITY BENEFIT EXPENSE ON PAGE 21:THE SYSTEM'S COMMITMENT TO COMMUNITY SERVICE IS EVIDENCED BY SERVICES PROVIDED TO THE POOR AND BENEFITS PROVIDED TO THE BROADER COMMUNITY. SERVICES PROVIDED TO THE POOR INCLUDE SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD HEALTHCARE BECAUSE OF INADEQUATE RESOURCES, AND/OR WHO ARE UNINSURED OR UNDERINSURED.THE SYSTEM PROVIDES FREE CARE PROGRAMS FOR QUALIFYING PATIENTS. IN ACCORDANCE WITH THE ESTABLISHED POLICIES OF THE SYSTEM, DURING THE REGISTRATION, BILLING, AND COLLECTION PROCESS, A PATIENT'S ELIGIBILITY FOR FREE CARE FUNDS IS DETERMINED. FOR PATIENTS WHO WERE DETERMINED BY THE SYSTEM TO HAVE THE ABILITY TO PAY BUT DID NOT, THE UNCOLLECTED AMOUNTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS. FOR PATIENTS WHO DO NOT AVAIL THEMSELVES OF ANY FREE CARE PROGRAM, AND WHOSE ABILITY TO PAY CANNOT BE DETERMINED BY THE SYSTEM, CARE GIVEN BUT NOT PAID FOR IS CLASSIFIED AS CHARITY CARE.TOGETHER, CHARITY CARE AND FREE CARE REPRESENT UNCOMPENSATED CARE. THE ESTIMATED COST OF TOTAL UNCOMPENSATED CARE IS APPROXIMATELY $87.7 MILLION AND $102.0 MILLION FOR THE YEARS ENDED SEPTEMBER 30, 2021 AND 2020, RESPECTIVELY. THE ESTIMATED COST OF UNCOMPENSATED CARE IS BASED ON THE RATIO OF COST TO CHARGES, AS DETERMINED BY CLAIMS ACTIVITY.THE ALLOCATION BETWEEN IMPLICIT PRICE CONCESSION AND CHARITY CARE IS DETERMINED BASED ON MANAGEMENT'S ANALYSIS ON THE PREVIOUS 12 MONTHS OF HOSPITAL DATA. THIS ANALYSIS CALCULATES THE ACTUAL PERCENTAGE OF ACCOUNTS WRITTEN OFF OR DESIGNATED AS IMPLICIT PRICE CONCESSIONS VERSUS CHARITY CARE WHILE TAKING INTO ACCOUNT THE TOTAL COSTS INCURRED BY THE SYSTEM FOR EACH ACCOUNT ANALYZED.THE CONNECTICUT DISPROPORTIONATE SHARE HOSPITAL PROGRAM (CDSHP) WAS ESTABLISHED TO PROVIDE FUNDS TO HOSPITALS FOR THE PROVISION OF UNCOMPENSATED CARE AND IS FUNDED, IN PART, BY AN ASSESSMENT ON HOSPITAL PATIENT SERVICE REVENUE. THE SYSTEM MADE PAYMENTS INTO THE CDSHP OF $326.6 MILLION AND $330.7 MILLION FOR THE YEARS ENDED SEPTEMBER 30, 2021 AND 2020, RESPECTIVELY, FOR THE ASSESSMENT.DURING THE YEARS ENDED SEPTEMBER 30, 2021 AND 2020, THE SYSTEM RECEIVED $187.8 MILLION AND $184.4 MILLION, RESPECTIVELY, IN CDSHP DISTRIBUTIONS, OF WHICH APPROXIMATELY $108.2 MILLION AND $108.0 MILLION WAS RELATED TO CHARITY CARE. THESE ARE RECORDED IN PATIENT SERVICE REVENUE.ADDITIONALLY, THE SYSTEM PROVIDES BENEFITS FOR THE BROADER COMMUNITY, WHICH INCLUDES SERVICES PROVIDED TO OTHER NEEDY POPULATIONS THAT MAY NOT QUALIFY AS POOR BUT NEED SPECIAL SERVICES AND SUPPORT. BENEFITS INCLUDE THE COST OF HEALTH PROMOTION AND EDUCATION OF THE GENERAL COMMUNITY, INTERNS AND RESIDENTS, HEALTH SCREENINGS, AND MEDICAL RESEARCH. THE BENEFITS ARE PROVIDED THROUGH THE COMMUNITY HEALTH CENTERS, SOME OF WHICH SERVICE NON ENGLISH SPEAKING RESIDENTS, DISABLED CHILDREN, AND VARIOUS COMMUNITY SUPPORT GROUPS. THE SYSTEM VOLUNTARILY ASSISTS WITH THE DIRECT FUNDING OF SEVERAL CITY OF NEW HAVEN PROGRAMS, INCLUDING AN ECONOMIC DEVELOPMENT PROGRAM AND A YOUTH INITIATIVE PROGRAM.IN ADDITION TO THE QUANTIFIABLE SERVICES DEFINED ABOVE, THE SYSTEM PROVIDES BENEFITS TO THE COMMUNITY THROUGH ITS ADVOCACY OF COMMUNITY SERVICE BY EMPLOYEES. THE SYSTEM'S EMPLOYEES SERVE NUMEROUS ORGANIZATIONS THROUGH BOARD REPRESENTATION, MEMBERSHIP IN ASSOCIATIONS AND OTHER RELATED ACTIVITIES. THE SYSTEM ALSO SOLICITS THE ASSISTANCE OF OTHER HEALTHCARE PROFESSIONALS TO PROVIDE THEIR SERVICES AT NO CHARGE THROUGH PARTICIPATION IN VARIOUS COMMUNITY SEMINARS AND TRAINING PROGRAMS. PART III, LINE 8: THE ENTIRE MEDICARE LOSS PRESENTED SHOULD BE TREATED AS A COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO MEDICARE BENEFICIARIES, IRS REVENUE RULING 69-545 INDICATES THAT HOSPITALS OPERATE FOR THE PROMOTION OF HEALTH IN THE COMMUNITY WHEN IT PROVIDES CARE TO PATIENTS WITH GOVERNMENTAL HEALTH BENEFITS, THE HOSPITAL PROVIDES CARE TO MEDICARE PATIENTS REGARDLESS OF MEDICARE SHORTFALLS (REDUCING THE BURDEN ON THE GOVERNMENT), AND MANY OF THE MEDICARE PARTICIPANTS WOULD HAVE QUALIFIED FOR THE CHARITY CARE OR OTHER MEANS TESTED PROGRAMS ABSENT BEING ENROLLED IN THE MEDICARE PROGRAM. THE MEDICARE SHORTFALL REPORTED IS DETERMINED BY THE HOSPITAL'S COST ACCOUNTING SYSTEM, STRATAJAZZ. PART III, LINE 9B: IT IS THE HOSPITAL'S POLICY TO TREAT ALL PATIENTS EQUITABLY WITH RESPECT AND COMPASSION, FROM THE BEDSIDE TO THE BILLING OFFICE. THE HOSPITAL WILL PURSUE PATIENT ACCOUNTS, DIRECTLY AND THROUGH ITS COLLECTION AGENTS, FAIRLY AND CONSISTENTLY TAKING INTO CONSIDERATION DEMONSTRATED FINANCIAL NEED. AS PART OF ITS COLLECTION PROCESS, THE HOSPITAL WILL MAKE REASONABLE EFFORTS TO DETERMINE IF AN INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER ITS FINANCIAL ASSISTANCE POLICY. IN THE EVENT A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE, THE HOSPITAL WILL NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTION AS DEFINED BY LAW AND HOSPITAL POLICY. PART VI, LINE 2: COMMUNITY NEEDS ARE ROUTINELY REVIEWED AND ADDRESSED AS PART OF THE OPERATIONS AND SERVICE LINE TEAMS AT GREENWICH HOSPITAL. THESE MULTI-DISCIPLINARY GROUPS PROVIDE ANALYSIS AND INSIGHT INTO PATIENT UTILIZATION TRENDS ACROSS THE DELIVERY OF CARE AND ARE REVIEWED IN TANDEM WITH CARE MANAGEMENT AND PATIENT SATISFACTION RESULTS AND OTHER COMMUNITY FEEDBACK. COUPLED WITH THE COMMUNITY NEEDS ASSESSMENT, THIS INFORMATION ASSISTS WITH THE DEVELOPMENT OF NEW INITIATIVES, PARTNERSHIPS, PROGRAMS AND SERVICES TO BENEFIT OUR COMMUNITY. PART VI, LINE 3: GREENWICH HOSPITAL INFORMS INDIVIDUALS ABOUT ITS FINANCIAL ASSISTANCE PROGRAMS ON ITS WEBSITE, THROUGH VISIBLE POSTINGS AND COMMUNICATIONS AT POINTS OF REGISTRATION AND FRONT LINE ACCESS. THE FINANCIAL ASSISTANCE POLICY, APPLICATION AND SUMMARY ARE AVAILABLE ON REQUEST WITHOUT CHARGE BY MAIL, INCLUDING AT ADMITTING DEPARTMENT. FURTHER, PATIENTS RECEIVE A SUMMARY OF FINANCIAL ASSISTANCE PROGRAMS, INCLUDING ELIGIBILITY REQUIREMENTS THROUGH A FIRST STATEMENT MAILER AS PART OF THE BILLING PROCESS. THESE COMMUNICATIONS INCLUDE TELEPHONE NUMBERS AND POINT OF CONTACT FOR INDIVIDUALS TO VISIT OR CALL. THE HOSPITAL HAS RESOURCES TO ASSIST PATIENTS WITH STATE OF CONNECTICUT MEDICAID APPLICATIONS. PART VI, LINE 4: TO DEFINE COMMUNITY FOR CHNA PURPOSES THIS GREATER GREENWICH COMMUNITY HEALTH NEEDS ASSESSMENT USES A GEOGRAPHICAL APPROACH FOCUSING ON FIVE CONTINGENT TOWNS WITHIN CONNECTICUT AND NEW YORK: GREENWICH, CT AND MAMARONECK, PORT CHESTER, RYE BROOK AND RYE TOWN, NY. THESE COMMUNITIES ARE SERVED BY GREENWICH HOSPITAL REPRESENTING AT LEAST 75% OF TOTAL DISCHARGES AND DO NOT OVERLAP WITH CHNA AREAS IDENTIFIED BY OTHER ACUTE CARE HOSPITALS AND/OR COLLABORATIONS. UPON DEFINING THE GEOGRAPHIC AREA AND POPULATION SERVED IN GREATER GREENWICH, THE COALITIONS WERE DILIGENT TO ENSURE THAT NO GROUPS, ESPECIALLY MINORITY, LOW-INCOME OR MEDICALLY UNDER-SERVED, WERE EXCLUDED.NUMEROUS FACTORS ARE ASSOCIATED WITH THE HEALTH OF A COMMUNITY INCLUDING WHAT RESOURCES AND SERVICES ARE AVAILABLE AS WELL AS WHO LIVES IN THE COMMUNITY. WHILE INDIVIDUAL CHARACTERISTICS SUCH AS AGE, GENDER, RACE, AND ETHNICITY HAVE AN IMPACT ON PEOPLE'S HEALTH, THE DISTRIBUTION OF THESE CHARACTERISTICS ACROSS A COMMUNITY IS ALSO CRITICALLY IMPORTANT AND CAN AFFECT THE NUMBER AND TYPE OF SERVICES AND RESOURCES AVAILABLE. THE GREATER GREENWICH REGION HAS A POPULATION OF ABOUT 175,000. THE MEDIAN AGE FOR BOTH THE POPULATION OF GREENWICH AND ALL NEW YORK STATE AREAS ARE HIGHER THAN THE STATE OF CT AS A WHOLE; HOWEVER, PORT CHESTER VILLAGE HAS A MEDIAN AGE THAT IS ABOUT FOUR YEARS LOWER THAN THE CT STATE AVERAGE OF 40.8. THE TOWNS IN THE REGION VARY DRAMATICALLY IN TERMS OF THEIR RACIAL AND ETHNIC COMPOSITION. GREENWICH AND THE NEW YORK STATE AREAS (EXCLUDING PORT CHESTER VILLAGE) ARE CLOSE TO 80% WHITE AND 10% HISPANIC. BY CONTRAST, PORT CHESTER VILLAGE IS ABOUT ONE THIRD WHITE AND TWO-THIRDS HISPANIC. INCOME AND POVERTY ARE CLOSELY CONNECTED TO HEALTH OUTCOMES. A HIGHER INCOME MAKES IT EASIER TO LIVE IN A SAFE NEIGHBORHOOD WITH GOOD SCHOOLS AND MANY RECREATIONAL OPPORTUNITIES. HIGHER WAGE EARNERS ARE BETTER ABLE TO BUY MEDICAL INSURANCE AND MEDICAL CARE, PURCHASE NUTRITIOUS FOODS AND OBTAIN QUALITY CHILD CARE THAN THOSE EARNING LOWER WAGES. LOWER INCOME COMMUNITIES HAVE HIGHER RATES OF ASTHMA, DIABETES AND HEART DISEASE. THOSE WITH LOWER INCOMES ALSO GENERALLY EXPERIENCE LOWER LIFE EXPECTANCIES. THERE WERE WIDE GAPS IN MEDIAN HOUSEHOLD INCOME RATES FOR THE GREATER GREENWICH REGION ($125,567), FAIRFIELD COUNTY ($83,163), AND CONNECTICUT ($69,899). THE WIDEST GAP IS FOUND BETWEEN GREENWICH ($135,528) AND PORT CHESTER VILLAGE ($60,141). THE PROPORTION OF RESIDENTS IN THE GREATER GREENWICH REGION WITH A COLLEGE DEGREE OR HIGHER (60%) WAS GREATER THAN THAT OF THE STATE OVERALL (37%) AND FAIRFIELD COUNTY (45%). ONLY 21% OF PORT CHESTER VILLAGE ADULTS HAD A COLLEGE DEGREE OR HIGHER, COMPARED TO 66% OF GREENWICH ADULTS. PART VI, LINE 5: AS A COMMUNITY HEALTH CARE SERVICES PROVIDER, GREENWICH HOSPITAL REMAINS ATTENTIVE TO HEALTH AND WELL-BEING THROUGH EDUCATION, OUTREACH AND OTHER INNOVATIVE SERVICES. DURING FISCAL YEAR 2021, GREENWICH HOSPITAL PROVIDED $54.7 MILLION IN COMMUNITY BENEFITS THROUGH FINANCIAL AND IN-KIND CONTRIBUTIONS IN FIVE WIDE-RANGING PROGRAMS GUARANTEEING ACCESS TO CARE; PROMOTING HEALTH AND WELLNESS; ADVANCING CAREERS IN HEALTH CARE; RESEARCH; AND CREATING HEALTHIER COMMUNITIES.GREENWICH HOSPITAL ALSO CONTRIBUTES TO THE COMMUNITY IN WAYS THAT ARE NOT QUANTIFIED AS PART OF COMMUNITY BENEFITS AND SERVES AS AN IMPORTANT COMMUNITY RESOURCE. THIS INCLUDES HAVING A COMMUNITY-BASED BOARD OF TRUSTEES WITH MANY OF THE BOARD MEMBERS RESIDING OR WORKING IN THE TOWN OF GREENWICH AND OTHER MUNICIPALITIES SERVED BY THE HOSPITAL. THE HOSPITAL ALSO EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY. IN FISCAL YEAR 2021 THERE WERE A TOTAL OF 1,018 MEMBERS ON THE GREENWICH HOSPITAL MEDICAL STAFF. GREENWICH HOSPITAL, FOUNDED IN 1903, IS A 206-BED COMMUNITY TEACHING HOSPITAL THAT HAS EVOLVED INTO A PROGRESSIVE REGIONAL HEALTHCARE CENTER, WITH MORE THAN 20,070 INPATIENT DISCHARGES AND 372,643 OUTPATIENT ENCOUNTERS LAST YEAR. THE HOSPITAL OFFERS A WIDE RANGE OF MEDICAL, SURGICAL, DIAGNOSTIC AND WELLNESS PROGRAMS. GREENWICH HOSPITAL IS ONE OF THE TOP FIVE EMPLOYERS IN GREENWICH WITH 1,863 EMPLOYEES IN 2021. PART VI, LINE 6: THE YALE NEW HAVEN HEALTH SYSTEM'S FUNDAMENTAL MISSION IS TO ENSURE THAT THE DELIVERY NETWORKS SUCH AS GREENWICH HOSPITAL ASSOCIATED WITH THE SYSTEM PROMOTE THE HEALTH OF THE COMMUNITIES THEY SERVE AND ENSURE THAT ALL PATIENTS HAVE ACCESS TO APPROPRIATE HEALTHCARE SERVICES. THE YALE NEW HAVEN HEALTH SYSTEM REQUIRES ITS HOSPITALS TO INCORPORATE PLANS TO PROMOTE HEALTHY COMMUNITIES WITHIN THE HOSPITAL'S EXISTING BUSINESS PLANS AND IMPLEMENTATION STRATEGIES FOR WHICH THEY ARE HELD ACCOUNTABLE. IN ADDITION, REGULAR REPORTING ON COMMUNITY BENEFITS IS REQUIRED ON A QUARTERLY BASIS. PART VI, LINE 7, REPORTS FILED WITH STATES CT 1 YOUNG WOMENS CHRISTIAN ASSOCIATION 259 EAST PUTNAM AVENUE GREENWICH CT 06830 060646992 501(C)(3) 25000 SUPPORT ORGANIZATION ONS FOUNDATION FOR CLINICAL RESEARCH AND EDUCATION 6 GREENWICH OFFICE PARK GREENWICH CT 06831 261394760 501(C)(3) 38533 SUPPORT ORGANIZATION BREAST CANCER ALLIANCE 48 MAPLE AVENUE GREENWICH CT 06830 061453500 501(C)(3) 30000 SUPPORT ORGANIZATION UNITED WAY OF GREENWICH INC 500 WEST PUTNAM AVENUE GREENWICH CT 06830 060646578 501(C)(3) 17493 SUPPORT ORGANIZATION YMCA OF CENTRAL AND NORTHERN WESTCHESTER INC 250 MAMARONECK AVENUE WHITE PLAINS NY 10605 131740518 501(C)(3) 10000 SUPPORT ORGANIZATION AMERICAN NATIONAL RED CROSS & ITS CONSTITUENT CHAPTERS AND BRANCHES 431 18TH STREET NW WASHINGTON DC 20006 530196605 501(C)(3) 10000 SUPPORT ORGANIZATION HABITAT FOR HUMANITY OF COASTAL FAIRFIELD COUNTY INC 1542 BARNUM AVENUE BRIDGEPORT CT 06610 222597077 501(C)(3) 6000 SUPPORT ORGANIZATION 7 0 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 ITS CHARITABLE MISSION. GREENWICH HOSPITAL ("GH") CARRIES OUT DUE DILIGENCE IN PROVIDING MONETARY ASSISTANCE ONLY TO QUALIFYING 501(C)(3) OR ORGANIZATIONS THAT COMPLEMENT ITS MISSION OR SUPPORT THE GREATER GOOD IN THE COMMUNITIES SERVED. GH VERIFIES EACH ORGANIZATION'S EIN AS LISTED ON IRS FORM W-9 THAT HAS BEEN SUBMITTED TO GH. ASSISTANCE DONATED BY GH 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. GH MAINTAINS FULL AND COMPLETE RECORDS OF ALL MONETARY ASSISTANCE PROVIDED, HOWEVER GH DOES NOT MONITOR SPECIFIC FUNDS. 1 1 0 0 0 0 0 1 0 CHRISTOPHER O'CONNOR TRUSTEE 0 1172437 0 384720 0 130458 0 737057 0 21189 0 2445861 0 0 NORMAN ROTH TRUSTEE/CEO 0 699482 0 663248 0 108419 0 29284 0 11498 0 1511931 0 0 DIANE KELLY PRESIDENT 433492 108373 172222 43055 26423 6606 172125 43031 13473 3368 817735 204433 0 0 EUGENE COLUCCI SENIOR VP 229218 280155 61839 75582 15898 19431 13750 16805 6657 8136 327362 400109 0 0 MARVIN SPIKE LIPSCHUTZ VP 448923 0 136186 0 11815 0 21156 0 15729 0 633809 0 0 0 JENNIFER WILLCOX ASSISTANT SECRETARY 43524 352149 13046 105552 3783 30604 2064 16700 2429 19649 64846 524654 0 0 KISHA MITCHELL RICHARDS PATHOLOGIST 514967 0 5500 0 866 0 37334 0 22251 0 580918 0 0 0 SERVANDO DE LOS ANGELES ED PHYSICIAN 522987 0 5500 0 4457 0 22800 0 15858 0 571602 0 0 0 MICHAEL FRANCO DIR OF ICU & RESP SRV 463990 0 0 0 51315 0 27508 0 21052 0 563865 0 0 0 CHRISTOPHER DAVISON DIRECTOR OF ED 458095 0 5500 0 1165 0 24992 0 20702 0 510454 0 0 0 JAMES SABETTA FORMER OFFICER 189516 0 2190 0 286685 0 23137 0 8132 0 509660 0 0 0 ANNA CERRA SVP PATIENT CARE SERVICES 332623 0 98908 0 5505 0 28500 0 15814 0 481350 0 0 0 MICHAEL CANTER TRUSTEE/CHAIR 410820 0 5500 0 612 0 22252 0 1924 0 441108 0 0 0 MARC KOSAK COO 272054 0 100873 0 3827 0 23565 0 22027 0 422346 0 0 0 DANA MARNANE VP 39747 151346 3519 13397 1207 4596 2974 11325 1830 6969 49277 187633 0 0 PART I, LINE 3 THE FILING ORGANIZATION DOES NOT HAVE AND/OR COMPENSATE ITS OWN CEO/EXECUTIVE DIRECTOR. THESE POSITIONS ARE FILLED BY EMPLOYEES OF A RELATED ORGANIZATION(S) AND COMPENSATED THROUGH THE RESPECTIVE RELATED ORGANIZATION(S). THE METHOD(S) USED BY THE RELATED ORGANIZATION(S) FOR DETERMINING COMPENSATION FOR THESE INDIVIDUALS ARE: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINES 4A-B THE INDIVIDUALS LISTED BELOW HAVE RECEIVED SEVERANCE OR ARE PARTICIPANTS IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN ACCRUALS ARE INCLUDED IN THE AMOUNTS REPORTED IN PART II, COLUMN C (DEFERRED COMPENSATION) AND REPRESENTS BOTH THE REPORTING ENTITY'S AND RELATED ENTITY'S COMBINED AMOUNTS CONSISTENT WITH THE COMPENSATION REPORTING PER IRS INSTRUCTIONS. SEVERANCE NONQUALIFIED EQUITY-BASED CHRISTOPHER O'CONNOR $0 $534,307 $0 JAMES SABETTA $221,846 $0 $0 DIANE KELLY $0 $142,671 $0 INDIVIDUALS LISTED BELOW BECAME VESTED IN BENEFITS VALUED AT THE AMOUNTS RESPECTIVELY REPORTED BELOW DURING THE REPORTING YEAR. INCLUDED IN SECTION II, COLUMN B (III) ARE AMOUNTS VESTED DURING THE 2020 CALENDAR YEAR THAT WERE RECOGNIZED AS TAXABLE EVENTS AND REPORTED IN THE INDIVIDUALS' 2020 CALENDAR YEAR FORM W-2. NORMAN ROTH $23,775 THE FOLLOWING FORMER OFFICER(S) RECEIVED A PAYMENT FROM A NONQUALIFIED PLAN. THE PAYMENT WAS MADE DIRECTLY TO THE INDIVIDUAL(S) FROM THE RABBI TRUST AND REPORTED IN THE INDIVIDUALS' 2020 FORM W-2 ISSUED BY THE RABBI TRUST: NANCY LEVITT-ROSENTHAL $41,876 NORMAN ROTH $15,835 THE SUPPLEMENTAL RETIREMENT INCOME PLAN (SRIP) / EXECUTIVE DEFERRED COMPENSATION ACCOUNT PLAN (EDCAP) ARE DESIGNED TO ENSURE THE PAYMENT OF A COMPETITIVE LEVEL OF RETIREMENT INCOME WHEN ADDED TO OTHER SOURCES OF RETIREMENT INCOME IN ORDER TO ATTRACT AND RETAIN KEY MANAGEMENT EMPLOYEES SERVING AS CORPORATE OFFICERS. THE PLAN PROVIDES SUPPLEMENTAL RETIREMENT INCOME THROUGH AN UNFUNDED, NONQUALIFIED DEFERRED COMPENSATION ARRANGEMENT UNDER SECTION 457(F) AND THROUGH A DEFERRED COMPENSATION PLAN UNDER SECTION 409A OF THE INTERNAL REVENUE CODE AND A MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES' PLAN UNDER THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974 (ERISA). PART I, LINE 7 THE SHORT TERM INCENTIVE PLAN (STIP) IS A VARIABLE COMPENSATION PLAN WHICH PROVIDES ONE-TIME PAYMENTS TO ELIGIBLE MEMBERS OF MANAGEMENT IN RECOGNITION OF THE ACCOMPLISHMENT OF KEY ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE OBJECTIVES. PERFORMANCE LEVELS ARE ESTABLISHED AND REVIEWED ANNUALLY AT THRESHOLD, TARGET AND MAXIMUM LEVELS, ACCORDING TO PLANNED "STRETCH" GOALS AND OBJECTIVES. INCENTIVE AWARD OPPORTUNITIES ARE ESTABLISHED ACCORDING TO MARKET PRACTICES BASED ON EACH ELIGIBLE POSITION'S RESPONSIBILITIES, PERFORMANCE AND LEVEL OF AUTHORITY. PERFORMANCE RELATIVE TO STIP AWARD OPPORTUNITIES INCORPORATES A BROAD SPECTRUM OF PRE-DEFINED FINANCIAL AND NON-FINANCIAL METRICS THAT ARE ALIGNED WITH ORGANIZATIONAL MISSION AND VALUES. A CHEFA 2008 - SERIES C 060806186 20774UYC3 2008-05-07 53630000 REFINANCE SERIES 2006B 0 0 0 A 36060000 53631315 477687 72256 53091372 2008 1 0 1 1 A 0 1 1 1 1 1 0.01000 0.00010 0.01010 0 0 0 A 0 0 1 1 1 0 0 0 1 A 1 SCHEDULE K SUPPLENTAL INFORMATION REFINANCE ISSUANCE DATE 4/6/2006 PART III, LINE 3C THE ORGANIZATION IS A MEMBER OF THE YALE NEW HAVEN HEALTH OBLIGATED GROUP ("YNHHS"). YNHHS HAS IN-HOUSE LEGAL COUNSEL STAFF WHO REVIEW MANAGEMENT, OR SERVICE CONTRACTS AND RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY TO ENSURE THAT SUCH AGREEMENTS ARE COMPLIANT WITH APPLICABLE SAFE HARBORS. IN-HOUSE COUNSEL CONSULTS WITH THE HOSPITAL'S OUTSIDE BOND COUNSEL AS NEEDED, INCLUDING ON NON-ROUTINE ISSUES. PART III, LINE 9 & PART V AS PART OF THE YALE NEW HAVEN HEALTH OBLIGATED GROUP, THE ORGANIZATION HAS POLICIES AND PROCEDURES IN PLACE TO ENSURE COMPLIANCE WITH FEDERAL TAX LAW, AND TO TIMELY IDENTIFY NONCOMPLIANCE. SCHEDULE K, PART IV, ARBITRAGE, LINE 2B THE 6-MONTH SPENDING EXCEPTION WAS MET AND ALL PROCEEDS WERE SPENT ON REFUNDING PROJECTS WITHIN THE 6-MONTH PERIOD. SCHEDULE K, PART IV, ARBITRAGE, LINE 2C ISSUER NAME: CHEFA 2008 - SERIES C DATE THE REBATE COMPUTATION WAS PERFORMED: 06/30/2009, 06/30/2014 & 06/30/2019 SUBST CONTR #47 SEE PART V - COL(D) MEDICAL SERVICES & RENT 130906 SEE PART V 0 SEE PART V SEE PART V - COL(D) MEDICAL SERVICES & RENT 198089 SEE PART V 0 SCHEDULE L, PART IV, COLUMN (D) #1:SUBSTANTIAL CONTRIBUTOR #47AMOUNT OF TRANSACTION: $130,906(MEDICAL SERVICES PAID: $123,851; RENT RECEIVED: $7,055)#2:FORMER TRUSTEE JAMES R. SABETTA, M.D. IS A GREATER THAN 35% OWNER OF INFECTIOUS DISEASES CONSULTANTS OF GREENWICH, P.C. INFECTIOUS DISEASES CONSULTANTS OF GREENWICH, P.C. PROVIDES MEDICAL SERVICES TO THE HOSPITAL AND RENTS SPACE FROM THE HOSPITAL.AMOUNT OF TRANSACTION: $198,089 (MEDICAL SERVICES PAID: $164,250; RENT RECEIVED: $33,839) X 8 266225 FAIR MARKET VALUE 0 0 0 PART I, COLUMN (B): THE ORGANIZATION IS REPORTING IN PART I, COLUMN (B), THE NUMBER OF CONTRIBUTIONS RECEIVED. SCHEDULE M, PART I, LINE 31: WHILE THE ORGANIZATION DOES NOT CURRENTLY HAVE A BOARD-APPROVED GIFT ACCEPTANCE POLICY, NONSTANDARD CONTRIBUTIONS ARE REVIEWED BY THE SENIOR VICE PRESIDENT OF DEVELOPMENT IN CONSULTATION WITH THE PRESIDENT AND OTHER STAKEHOLDERS AS APPROPRIATE DEPENDING ON THE NATURE OF THE PROPOSED GIFT (E.G., TAX AND REAL ESTATE DEPARTMENTS). FORM 990, PART III, LINE 4A AS THE REGION'S HEALTHCARE PROVIDER OF CHOICE, GREENWICH HOSPITAL IN 2021 EXPERTLY MANAGED THE ONGOING COVID-19 PANDEMIC WHILE PROVIDING EMERGENCY, INPATIENT AND OUTPATIENT CARE TO THOUSANDS OF CONNECTICUT AND NEW YORK RESIDENTS. INPATIENT DISCHARGES REACHED 20,070 FOR THE YEAR, WITH OUTPATIENT ENCOUNTERS AT 372,643. THE NUMBER OF BIRTHS TOTALED 3,094. THE EMERGENCY DEPARTMENT SAW 21,860 VISITS. CLINICAL INNOVATION AS PART OF YALE NEW HAVEN HEALTH, GREENWICH HOSPITAL IMPLEMENTED CLINICAL PATHWAYS TO GUIDE CLINICIANS AND PATIENTS SAFELY AND EFFICIENTLY FROM DIAGNOSIS TO TREATMENT TO MONITORING. WHILE SOME VARIATION IS NECESSARY FOR INDIVIDUALIZED CARE, CLINICAL PATHWAYS FOR CONDITIONS SUCH AS DIABETES, ENSURE PATIENTS RECEIVE THE MOST CURRENT AND HIGHEST-QUALITY CARE BY EVERY CAREGIVER. GREENWICH HOSPITAL FURTHER STRENGTHENED ITS TIES WITH YALE MEDICINE PHYSICIANS TO BRING STATE-OF-THE ART EXPERTISE AND CARE TO THE REGION. SEVERAL YALE MEDICINE PHYSICIANS ASSUMED LEADERSHIP ROLES AT THE HOSPITAL IN BEHAVIORAL HEALTH, NEONATAL CARE AND PEDIATRICS. COMMITTED TO THE DELIVERY OF EXCEPTIONAL CARE, GREENWICH HOSPITAL EXPANDED ITS RESOURCES TO TREAT A WIDE RANGE OF EMERGENCIES AND TRAUMATIC INJURIES AS PART OF THE EFFORT TO ACHIEVE AN OFFICIAL TRAUMA CENTER DESIGNATION. THE TRAUMA TEAM INCLUDES EMERGENCY MEDICINE PHYSICIANS, SURGEONS, NURSES, PHYSICIAN ASSISTANTS, RADIOLOGISTS, ANESTHESIOLOGISTS, PHARMACISTS AND SUPPORT STAFF WITH SPECIALIZED EDUCATION AND TRAINING. INTEGRATED, PATIENT-FOCUSED CARE IN PARTNERSHIP WITH YALE NEW HAVEN CHILDREN'S HOSPITAL (YNHCH), GREENWICH HOSPITAL ENHANCED ITS CONTINUUM OF SERVICES TO PROVIDE PREMIER CARE FOR INFANTS AND CHILDREN. THE HOSPITAL BEGAN IMPLEMENTING INITIATIVES TO DEVELOP A WORLD-CLASS MODEL FOR PEDIATRIC INPATIENT, EMERGENCY MEDICINE, SURGICAL AND SPECIALTY AMBULATORY CARE. A PEDIATRIC HOSPITALIST PROGRAM WITH YALE MEDICINE PHYSICIANS WAS ESTABLISHED TO CARE FOR HOSPITALIZED CHILDREN AND SUPPORT THE PEDIATRIC EMERGENCY DEPARTMENT. SMILOW CANCER HOSPITAL CARE CENTER IN GREENWICH EXPANDED ITS SERVICES IN THE FIGHT AGAINST CANCER. IN THE AREA OF RADIATION ONCOLOGY, PATIENTS NEEDING STEREOTACTIC RADIOSURGERY HAD ACCESS TO NEW TECHNOLOGY THAT DIRECTLY TARGETS THE RADIATION TO TUMORS WITHOUT USING AN IMMOBILIZATION HEAD FRAME ATTACHED TO THEIR SKULLS. QUALITY AND SAFETY GREENWICH HOSPITAL'S ABILITY TO PROVIDE THE SAFEST AND HIGHEST QUALITY OF CARE GARNERED NATIONAL ATTENTION. THE HOSPITAL RECEIVED A FIVE-STAR RATING THE HIGHEST RATING OFFERED BY THE FEDERAL CENTERS FOR MEDICARE AND MEDICAID SERVICES FOR ITS PERFORMANCE IN SEVERAL CATEGORIES, INCLUDING TREATMENT OF HEART ATTACKS AND PNEUMONIA, READMISSION RATES AND SAFETY OF CARE. WITH ITS CONSTANT EMPHASIS ON THE PATIENT EXPERIENCE, GREENWICH HOSPITAL RECEIVED FOUR PRESS GANEY PINNACLE OF EXCELLENCE AWARDS FOR MAINTAINING HIGH LEVELS OF EXCELLENCE. THE HOSPITAL ALSO RECEIVED TWO GUARDIAN OF EXCELLENCE AWARDS FOR PATIENT EXPERIENCE IN AMBULATORY SURGERY AND OUTPATIENT SERVICES. FOR ITS CONTINUED COMMITMENT TO NURSING EXCELLENCE, GREENWICH HOSPITAL RECEIVED A SECOND MAGNET DESIGNATION WITH SIX EXEMPLARS FROM THE AMERICAN NURSES CREDENTIALING CENTER. THE DESIGNATION PLACES THE HOSPITAL AMONG ONLY NINE PERCENT OF THE MORE THAN 5,600 HOSPITALS NATIONWIDE. HEALTHGRADES, A LEADING ONLINE SOURCE FOR INFORMATION ABOUT HOSPITALS AND PHYSICIANS, HONORED GREENWICH HOSPITAL FOR THE SEVENTH YEAR WITH ITS 2021 OUTSTANDING PATIENT EXPERIENCE AWARD. THE AWARD PLACES THE ORGANIZATION AMONG THE TOP 15 PERCENT OF HOSPITALS NATIONWIDE FOR PATIENT EXPERIENCE. FOR THE FIFTH CONSECUTIVE YEAR, THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION RECOGNIZED GREENWICH HOSPITAL FOR PROVIDING UP-TO-THE-MINUTE SCIENTIFICALLY BASED TREATMENT TO SUPPORT BETTER PATIENT OUTCOMES. THE JOINT COMMISSION, THE PREMIER ACCREDITOR OF HEALTHCARE ORGANIZATIONS AND PROGRAMS, RECOGNIZED THE TOTAL JOINT REPLACEMENT PROGRAM WITH ITS GOLD SEAL OF APPROVAL. IMPROVING ACCESS TO CARE THE ADDICTION RECOVERY CENTER AT GREENWICH HOSPITAL EXPANDED ITS TELEMEDICINE CAPABILITIES TO BROADEN ITS REACH. THE CENTER MARKED ITS 40TH ANNIVERSARY OF PROVIDING THOUSANDS OF INDIVIDUALS WITH THE OPPORTUNITY TO CONFRONT THEIR DEPENDENCY AND CHOOSE A NEW WAY OF LIFE. YALE NEW HAVEN HEALTH LAUNCHED AN INITIATIVE ALLOWING INDIVIDUALS TO ACCESS CLINICIAN NOTES IN THEIR MEDICAL RECORD TO ENHANCE TRANSPARENCY, ENGAGE PATIENTS AND IMPROVE COMMUNICATION. THE HEALTH SYSTEM ALSO INSTITUTED A BILINGUAL COMPETENCY PROGRAM TO HELP STAFF EFFECTIVELY COMMUNICATE WITH PATIENTS WITH LIMITED ENGLISH PROFICIENCY. PANDEMIC RESPONSE GREENWICH HOSPITAL'S HEALTHCARE PROVIDERS BECAME MORE ADEPT AT TREATING COVID-19 AS THE PANDEMIC MOVED INTO ITS SECOND YEAR AND WAS POISED TO TAKE ON ANY CHALLENGE. THE HOSPITAL REMAINED ON THE FOREFRONT OF MEDICAL ADVANCES. GREENWICH HOSPITAL WAS INVITED TO BE ONE OF SIX MEDICAL FACILITIES NATIONWIDE AND THE ONLY ONE IN CONNECTICUT TO TAKE PART IN A YEARLONG TRIAL TO TREAT COVID-19 PATIENTS WITH HYPERBARIC OXYGEN THERAPY. THE TREATMENT CAN HELP SOME CRITICALLY ILL PATIENTS AVOID INTUBATION AND MECHANICAL VENTILATORS, WHICH OFTEN IMPACT RECOVERY AND SURVIVAL. DELIVERED WHILE PATIENTS LIE IN AN ENCLOSED HYPERBARIC CHAMBER, THE TREATMENT FULLY SATURATES RED BLOOD CELLS AND PLASMA WITH OXYGEN TO COMBAT THE HARMFUL EFFECTS OF THE CORONAVIRUS TO THE LUNGS. WHILE THE STUDY WAS SMALL, THE RESULTS WERE PROMISING FOR SOME PATIENTS. THE FIGHT AGAINST COVID-19 ENTERED A NEW PHASE IN FEBRUARY 2021 AS YALE NEW HAVEN HEALTH BEGAN ADMINISTERING VACCINES TO THE PUBLIC ACROSS CONNECTICUT. GREENWICH HOSPITAL, IN PARTNERSHIP WITH BRUNSWICK SCHOOL IN GREENWICH, OPENED A COMMUNITY VACCINATION CLINIC AT THE SCHOOL. HUNDREDS OF HEALTHCARE PROVIDERS AND VOLUNTEERS VACCINATED THOUSANDS OF INDIVIDUALS. GREENWICH HOSPITAL OPENED A DEDICATED PULMONARY UNIT FOR PATIENTS WITH COVID-19 AND OTHER INFECTIOUS DISEASES THAT INCLUDED A POWERED AIR-PURIFYING RESPIRATOR SUITS TO CARE FOR COVID-19 PATIENTS. BUILDING HEALTHY COMMUNITIES REACHING BEYOND THE HOSPITAL'S BORDERS, COMMUNITY HEALTH OFFERED NUMEROUS INJURY PREVENTION PROGRAMS IN PARTNERSHIP WITH LOCAL COMMUNITY AGENCIES SUCH AS THE GREENWICH YMCA, GREENWICH SCHOOLS, AND GREENWICH POLICE AND FIRE DEPARTMENTS. MEDICAL PROFESSIONALS PRESENTED NUMEROUS LECTURES ON FALL PREVENTION. MANY OF THESE WERE CONDUCTED ON ZOOM TO ENSURE SAFETY AS COVID-19 NUMBERS ROSE AND FELL. IN ADDITION, GREENWICH HOSPITAL EMPLOYEES AND MEDICAL STAFF COLLECTED 2,823 POUNDS OF FOOD DURING A #GIVEHEALTHY ONLINE FOOD DRIVE TO ASSIST TWO FOOD PANTRIES: NEIGHBOR TO NEIGHBOR IN GREENWICH AND CARITAS IN PORT CHESTER, NY. 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 VI, SECTION A, LINE 2 CERTAIN OF THE ORGANIZATION'S CURRENT OFFICERS AND/OR TRUSTEES SERVE AS OFFICERS AND/OR DIRECTORS OF TAXABLE AFFILIATES WITHIN THE ORGANIZATION'S CORPORATE SYSTEM OR JOINT VENTURES IN WHICH THE ORGANIZATION'S CORPORATE SYSTEM HAS AN OWNERSHIP INTEREST. THE INDIVIDUAL OFFICERS DO NOT HAVE PERSONAL FINANCIAL INTERESTS IN THE TAXABLE AFFILIATE AND SERVE ONLY AS A FUNCTION OF THEIR ROLES WITH THE ORGANIZATION OR WITHIN THE ORGANIZATION'S CORPORATE SYSTEM. FORM 990, PART VI, SECTION A, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS: THE SOLE MEMBER OF GREENWICH HOSPITAL IS YNHHS, ITSELF A CONNECTICUT NON-STOCK CORPORATION EXEMPT FROM FEDERAL INCOME TAX AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. FORM 990, PART VI, SECTION A, LINE 7A ELECTION OF MEMBERS AND THEIR RIGHTS: YNHHS HAS THE AUTHORITY TO DESIGNATE ONE REPRESENTATIVE OF YNHHS TO SERVE AS A TRUSTEE OF THE ORGANIZATION AND FURTHER TO APPROVE NOMINEES TO THE ORGANIZATION'S BOARD OF TRUSTEES IN ACCORDANCE WITH THE ORGANIZATION'S BYLAWS. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS SUBJECT TO APPROVAL OF MEMBERS: THE YALE NEW HAVEN HEALTH SERVICES CORPORATION, AS THE ORGANIZATION'S SOLE MEMBER, HAS THE RIGHTS, POWERS AND PRIVILEGES SET FORTH IN THE ORGANIZATION'S BYLAWS, INCLUDING, IN PART, THE AUTHORITY TO APPROVE THE NOMINEES TO THE ORGANIZATION'S BOARD OF TRUSTEES, AMENDMENTS TO THE GOVERNING DOCUMENTS, OPERATING AND CAPITAL BUDGETS, INITIATION OF MAJOR NEW PROGRAMS AND CLINICAL SERVICES OR THE DISCONTINUATION OR CONSOLIDATION OF SUCH PROGRAMS, CERTAIN FUNDAMENTAL CORPORATION TRANSACTIONS, AND THE ISSUANCE AND INCURRENCE OF INDEBTEDNESS. FORM 990, PART VI, SECTION B, LINE 11B 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 ORGANIZATION 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. FORM 990, PART VI, SECTION B, LINE 12C GREENWICH HOSPITAL IS COVERED UNDER THE YALE NEW HAVEN HEALTH SYSTEM CONFLICT OF INTEREST POLICY APPROVED AND ADOPTED BY THE SYSTEM COMPLIANCE COMMITTEE, WHICH HAS BEEN DELEGATED THE AUTHORITY TO APPROVE AND ADOPT COMPLIANCE POLICIES ON BEHALF OF THE ENTITIES IN THE SYSTEM. THE YALE NEW HAVEN HEALTH SYSTEM 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 WITH WHICH SHE OR HE HAD AN ACTUAL OR POTENTIAL CONFLICT AND THE ACTUAL OR POTENTIAL CONFLICT WOULD BE DISCLOSED TO OTHER VOTING MEMBERS. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION PROCESS FOR CEO/TOP OFFICIALS: THE TOP GH OFFICIAL IS AN EMPLOYEE OF YNHHS. THE YNHHS COMPENSATION AND LEADERSHIP DEVELOPMENT COMMITTEE (THE "YNHHS COMPENSATION COMMITTEE"), WHICH INCLUDES A REPRESENTATIVE OF THE HOSPITAL, 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 IS CONTEMPORANEOUSLY DOCUMENTED, REVIEWED AND APPROVED BY THE COMMITTEE, AND PROVIDED TO THE BOARD OF TRUSTEES OF YNHHS AND GH. COMPENSATION PROCESS FOR OFFICERS CERTAIN OFFICERS ARE EMPLOYEES OF YNHHS, OTHER OFFICERS ARE EMPLOYED DIRECTLY BY THE HOSPITAL. COMPENSATION DETERMINATIONS OF YNHHS EMPLOYEES ARE MADE BOTH BY THE COMPENSATION COMMITTEES AND BOARDS OF YNHHS AND THE HOSPITAL. COMPENSATION DETERMINATION OF THE HOSPITAL EMPLOYEES ARE MADE BY THE HOSPITAL'S COMPENSATION COMMITTEE AND BOARD. THE EXECUTIVE COMPENSATION COMMITTEES OF GREENWICH HOSPITAL AND YNHHS STRIVE TO TAKE THE STEPS NECESSARY TO QUALIFY FOR THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER FEDERAL TAX LAW. THE 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 GREENWICH 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 NOT-FOR-PROFIT 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 NOT-FOR-PROFIT 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 THE HOSPITAL, AS APPLICABLE. FORM 990, PART VI, SECTION C, LINE 19 COPIES OF ALL AVAILABLE DOCUMENTS ARE ACCESSIBLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G LAUNDERING SERVICE: PROGRAM SERVICE EXPENSES 1,088,552. MANAGEMENT AND GENERAL EXPENSES 288,142. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,376,694. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 79,933,168. MANAGEMENT AND GENERAL EXPENSES 21,049,368. FUNDRAISING EXPENSES 109,115. TOTAL EXPENSES 101,091,651. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 5,354,620. MANAGEMENT AND GENERAL EXPENSES 1,375,268. FUNDRAISING EXPENSES 42,112. TOTAL EXPENSES 6,772,000. SYSTEM SUPPORT FEE: PROGRAM SERVICE EXPENSES 21,553,533. MANAGEMENT AND GENERAL EXPENSES 5,705,267. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 27,258,800. FORM 990, PART XI, LINE 9: PENSION ADJUSTMENT 1,447,792. CHANGE IN BENEFICIAL INTEREST IN GREENWICH HOSPITAL ENDOWMENT FUND 20,051,503. INTERNAL CONTRIBUTIONS REMOVED -250,000. ROUNDING 1,000. 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