THE GRIFFIN HOSPITAL: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- THE GRIFFIN HOSPITAL (EIN 06-0647014)
- Tax period
- 2019-10-01 to 2020-09-30
- Filed
- 2021-08-16
- IRS object ID
- 202112289349300846
- Schema version
- 2019v5.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-08-16T15:15:39-05:00 | ReturnTs |
| Tax Period End | 2020-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 111986323 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARCUM LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 555 LONG WHARF DRIVE | AddressLine1Txt |
| City | NEW HAVEN | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06511 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 060647014 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRIFFIN HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GRIF | BusinessNameControlTxt |
| Phone | 2037327528 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 130 DIVISION STREET | AddressLine1Txt |
| City | DERBY | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06418 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID MURCKO | PersonNm |
| Person Title | CONTROLLER | PersonTitleTxt |
| Phone | 2037327528 | PhoneNum |
| Signature | 2021-08-16 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MARY ANTONETTI | PreparerPersonNm |
| PTIN | P00431862 | PTIN |
| Phone | 2037819600 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | PATRICK CHARMEL | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 130 DIVISION STREET | AddressLine1Txt |
| City | DERBY | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06418 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $210,853,541 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | GRIFFINHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1908 | FormationYr |
| Legal Domicile State | CT | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE PERSONALIZED, HUMANISTIC, CONSUMER-DRIVEN HEALTH CARE IN A HEALING ENVIRONMENT. | ActivityOrMissionDesc |
| Voting Members Governing Body | 23 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 20 | VotingMembersIndependentCnt |
| Total Employee | 1771 | TotalEmployeeCnt |
| Total Volunteers | 268 | TotalVolunteersCnt |
| Total Gross UBI | $1,023,402 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$242,906 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,896,762 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,455,437 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $197,196,286 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $205,125,207 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,744,763 | PYInvestmentIncomeAmt |
| CY Investment Income | -$339,701 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,712,567 | PYOtherRevenueAmt |
| CY Other Revenue | $2,397,951 | CYOtherRevenueAmt |
| PY Total Revenue | $203,550,378 | PYTotalRevenueAmt |
| CY Total Revenue | $208,638,894 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $60,254 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $108,173 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $96,992,138 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $98,804,941 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $96,930,744 | PYOtherExpensesAmt |
| CY Other Expenses | $96,609,455 | CYOtherExpensesAmt |
| PY Total Expenses | $193,983,136 | PYTotalExpensesAmt |
| CY Total Expenses | $195,522,569 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $9,567,242 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $13,116,325 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $139,438,211 | TotalAssetsBOYAmt |
| Total Assets EOY | $197,418,922 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $145,825,386 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $206,243,197 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$6,387,175 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$8,824,275 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | GRIFFIN HOSPITAL IS COMMITTED TO PROVIDING PERSONALIZED, HUMANISTIC, CONSUMER-DRIVEN HEALTH CARE IN A HEALING ENVIRONMENT, TO EMPOWERING INDIVIDUALS TO BE ACTIVELY INVOLVED IN DECISIONS AFFECTING THEIR CARE AND WELL-BEING THROUGH ACCESS TO INFORMATION AND EDUCATION. (SCH. O)GRIFFIN HOSPITAL IS ALSO COMMITTED TO PROVIDING LEADERSHIP TO IMPROVE THE HEALTH OF THE COMMUNITY WE SERVE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $143,560,685 | ExpenseAmt |
| Grant | $108,173 | GrantAmt |
| Revenue | $199,385,508 | RevenueAmt |
| Desc | GRIFFIN HOSPITAL IS AN ACUTE CARE HOSPITAL PROVIDING MEDICAL CARE TO PATIENTS IN COMMUNITIES SERVED, INCLUDING SUBSIDIZED CARE, CHARITY CARE, AND EDUCATIONAL SERVICES TO HEALTH PROFESSIONALS TO HELP PREPARE THE NEXT GENERATION OF CAREGIVERS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,136,598 | ExpenseAmt |
| Revenue | $2,585,719 | RevenueAmt |
| Desc | PROVIDE PSYCHIATRIC SERVICES TO THE COMMUNITY ON AN OUTPATIENT BASIS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,650,769 | ExpenseAmt |
| Revenue | $3,970,131 | RevenueAmt |
| Desc | PROVIDE CANCER RELATED RADIOLOGY SERVICES TO THE COMMUNITY. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $307,459 | ExpenseAmt |
| Revenue | $271,609 | RevenueAmt |
| Desc | PROVIDE HOSPICE SERVICES TO THE COMMUNITY. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $307,459 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $271,609 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $148,655,511 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (1) | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (1) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 228 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1771 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 23 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 20 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | CT | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAVID MURCKO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2037321447 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 130 DIVISION STREET | AddressLine1Txt |
| City | DERBY | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06418 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (37 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| JOSEPH ANDREANA | |||||||||
| TRUSTEE | 0.23 | 0.46 | Yes (X) | $0 | $0 | $0 | |||
| JOHN AVERSA DO | |||||||||
| TRUSTEE (RESIGNED 01/2020) | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| FREDERICK BROWNE MD | |||||||||
| TRUSTEE | 0.23 | 40.23 | Yes (X) | $0 | $450,893 | $27,926 | |||
| KENNETH BALDYGA | |||||||||
| TRUSTEE | 0.23 | 0.46 | Yes (X) | $0 | $0 | $0 | |||
| JOHN W BETKOWSKI III | |||||||||
| CHAIRMAN | 0.23 | 0.62 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| GREGORY BORIS DO | |||||||||
| TRUSTEE (RESIGNED 01/2020) | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| PATRICK A CHARMEL | |||||||||
| CEO/PRESIDENT, BOD SECRETARY/TREASURER | 45.00 | 5.15 | Yes (X) | $687,626 | $0 | $27,926 | Yes (X) | ||
| DONNA DIGIANVITTORIO | |||||||||
| TRUSTEE | 0.23 | 0.23 | Yes (X) | $0 | $0 | $0 | |||
| NANCY DINARDO | |||||||||
| TRUSTEE | 0.23 | 0.62 | Yes (X) | $0 | $0 | $0 | |||
| KENNETH J DOBULER MD | |||||||||
| TRUSTEE/PHYSICIAN | 40.00 | 0.23 | Yes (X) | $359,119 | $0 | $7,313 | |||
| JEAN CRUM JONES MPH RD | |||||||||
| TRUSTEE | 0.23 | 0.23 | Yes (X) | $0 | $0 | $0 | |||
| THEMIS KLARIDES | |||||||||
| TRUSTEE | 0.23 | 0.46 | Yes (X) | $0 | $0 | $0 | |||
| GEORGE S LOGAN | |||||||||
| TRUSTEE | 0.23 | 0.46 | Yes (X) | $0 | $0 | $0 | |||
| LAURA MARASCO | |||||||||
| TRUSTEE (FROM 01/2020) | 0.23 | 0.23 | Yes (X) | $0 | $0 | $0 | |||
| EDWARD J MCCREERY III ESQ | |||||||||
| TRUSTEE (FROM 01/2020) | 0.23 | 0.38 | Yes (X) | $0 | $0 | $0 | |||
| GEORGE MITCHELL JR | |||||||||
| TRUSTEE | 0.23 | 0.23 | Yes (X) | $0 | $0 | $0 | |||
| FLOYD MOIR | |||||||||
| TRUSTEE | 0.23 | 0.23 | Yes (X) | $0 | $0 | $0 | |||
| WM NEIL PEARSON MD | |||||||||
| TRUSTEE (RESIGNED 01/2020) | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| MARK PETERSON | |||||||||
| TRUSTEE | 0.23 | 0.23 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT G REISS | |||||||||
| TRUSTEE | 0.23 | 0.46 | Yes (X) | $0 | $0 | $0 | |||
| HAROLD SCHWARTZ MD | |||||||||
| TRUSTEE (FROM 01/2020) | 0.23 | 0.23 | Yes (X) | $0 | $0 | $0 | |||
| JOSEPH SOKOL MD | |||||||||
| TRUSTEE (FROM 01/2020) | 0.23 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| FREDERICK STANEK ESQ | |||||||||
| TRUSTEE (FROM 01/2020) | 0.23 | 0.38 | Yes (X) | $0 | $0 | $0 | |||
| GERALD T WEINER ESQ | |||||||||
| TRUSTEE | 0.23 | 0.46 | Yes (X) | $0 | $0 | $0 | |||
| PHILLIP WHITE | |||||||||
| TRUSTEE | 0.23 | 0.23 | Yes (X) | $0 | $0 | $0 | |||
| JOHN J ZAPRZALKA | |||||||||
| TRUSTEE | 0.23 | 0.46 | Yes (X) | $0 | $0 | $0 | |||
| ALEXANDER S BALKO | |||||||||
| CFO/VP FINANCE | 40.00 | $366,849 | $0 | $27,640 | Yes (X) | ||||
| MARGARET DEEGAN | |||||||||
| VP | 40.00 | $224,438 | $0 | $12,645 | Yes (X) | ||||
| TODD LIU | |||||||||
| VP | 40.00 | $226,383 | $0 | $24,243 | Yes (X) | ||||
| BARBARA STUMPO | |||||||||
| VP | 40.00 | $239,041 | $0 | $24,484 | Yes (X) | ||||
| KATHLEEN MARTIN | |||||||||
| VP | 40.00 | $220,487 | $0 | $23,949 | Yes (X) | ||||
| RICHARD DAIGLE | |||||||||
| CHIEF INFORMATION OFFICER | 40.00 | $246,903 | $0 | $7,272 | Yes (X) | ||||
| MARIA D DAWE | |||||||||
| PHYSICIAN | 40.00 | $370,710 | $0 | $24,186 | Yes (X) | ||||
| MIHAELA BORAN MD | |||||||||
| PHYSICIAN | 40.00 | $221,247 | $0 | $22,804 | Yes (X) | ||||
| STEPHEN MORDECAI | |||||||||
| DIRECTOR | 40.00 | $201,348 | $0 | $24,259 | Yes (X) | ||||
| KIMBERLY VIADERO | |||||||||
| DIRECTOR | 40.00 | $182,199 | $0 | $5,724 | Yes (X) | ||||
| ADAM DWORKIN | |||||||||
| VP | 40.00 | $198,696 | $0 | $23,797 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,745,046 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $450,893 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $284,168 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 141 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| JACKSON LABORATORY | |||||
| 600-610 MAIN STREET | BAR HARBOR | ME | 04609 | LAB SERVICES | $13,202,307 |
| UNIDINE CORPORATION | |||||
| P O BOX 102289 | ATLANTA | GA | 30368 | FOOD SERVICE | $2,276,674 |
| QUEST DIAGNOSTICS | |||||
| PO BOX 844217 | BOSTON | MA | 02284 | LAB SERVICES | $907,743 |
| UMB CAPITAL FINANCE | |||||
| PO BOX 1450 | MINNEAPOLIS | MN | 55485 | CONSULTANTS | $848,221 |
| ASCENSION HEALTH ALLIANCE | |||||
| PO BOX 505302 | ST LOUIS | MO | 63105 | PURCHASING CONSULTANTS | $797,742 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 25 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,217,851 | GovernmentGrantsAmt |
| All Other Contributions | $237,586 | AllOtherContributionsAmt |
| Total Contributions | $1,455,437 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT SERVICE REVENUE | 622110 | $171,551,401 | $170,578,483 | $972,918 |
| STATE SUPPLEMENTAL REVENUE | 900099 | $13,524,800 | $13,524,800 | |
| OTHER PROGRAM SERVICES | 621500 | $11,668,278 | $11,668,278 | |
| CARES ACT PROVIDER RELIEF FUNDS | 624230 | $7,872,795 | $7,872,795 | |
| TUITION/EDUCATION REVENUE | 900099 | $507,933 | $507,933 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $205,125,207 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$103,713 | TotalRevenueColumnAmt |
| Exclusion | -$103,713 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $274,858 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $274,858 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $274,858 | TotalRevenueColumnAmt |
| Exclusion | $274,858 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,978,659 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,214,647 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$235,988 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$235,988 | TotalRevenueColumnAmt |
| Exclusion | -$235,988 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|---|
| CAFETERIA INCOME | 900099 | $984,849 | $984,849 | ||
| OTHER INCOME | 900099 | $663,266 | $612,782 | $50,484 | |
| REBATES | 900099 | $474,978 | $474,978 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,123,093 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $208,638,894 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $205,240,049 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,023,402 | UnrelatedBusinessRevenueAmt |
| Exclusion | $920,006 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $108,173 | TotalAmt |
| Program Services | $108,173 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,604,351 | TotalAmt |
| Program Services | $348,925 | ProgramServicesAmt |
| Management And General | $2,255,426 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $72,890,551 | TotalAmt |
| Program Services | $62,920,345 | ProgramServicesAmt |
| Management And General | $9,970,206 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $363,221 | TotalAmt |
| Program Services | $337,659 | ProgramServicesAmt |
| Management And General | $25,562 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,195,645 | TotalAmt |
| Program Services | $14,565,714 | ProgramServicesAmt |
| Management And General | $2,629,931 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,751,173 | TotalAmt |
| Program Services | $4,822,787 | ProgramServicesAmt |
| Management And General | $928,386 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $173,983 | TotalAmt |
| Management And General | $173,983 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $264,146 | TotalAmt |
| Management And General | $264,146 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,148 | TotalAmt |
| Management And General | $32,148 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,487 | TotalAmt |
| Management And General | $47,487 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,604,719 | TotalAmt |
| Program Services | $7,305,612 | ProgramServicesAmt |
| Management And General | $3,299,107 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $810,590 | TotalAmt |
| Program Services | $407,116 | ProgramServicesAmt |
| Management And General | $403,474 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,817,573 | TotalAmt |
| Program Services | $3,652,665 | ProgramServicesAmt |
| Management And General | $1,164,908 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,145,169 | TotalAmt |
| Program Services | $277,620 | ProgramServicesAmt |
| Management And General | $867,549 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,243,689 | TotalAmt |
| Program Services | $2,585,196 | ProgramServicesAmt |
| Management And General | $1,658,493 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $312,171 | TotalAmt |
| Program Services | $101,071 | ProgramServicesAmt |
| Management And General | $211,100 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,628,318 | TotalAmt |
| Program Services | $1,955,495 | ProgramServicesAmt |
| Management And General | $672,823 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,523,422 | TotalAmt |
| Program Services | $4,305,747 | ProgramServicesAmt |
| Management And General | $1,217,675 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,787,156 | TotalAmt |
| Program Services | $2,155,498 | ProgramServicesAmt |
| Management And General | $631,658 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL & DRUG SUPPLIES | $32,127,110 | $32,127,110 | |
| STATE HOSPITAL TAX EXP | $14,593,589 | $14,593,589 | |
| PHYSICIAN FEES | $4,872,293 | $3,098,712 | $1,773,581 |
| BAD DEBTS | $2,580,101 | $2,580,101 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,045,791 | TotalAmt |
| Program Services | $4,999,965 | ProgramServicesAmt |
| Management And General | $4,045,826 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $195,522,569 | TotalAmt |
| Program Services | $148,655,511 | ProgramServicesAmt |
| Management And General | $46,867,058 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,471 | BOYAmt |
| EOY | $1,458 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,920,265 | BOYAmt |
| EOY | $40,564,544 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,597,665 | BOYAmt |
| EOY | $14,350,802 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,832,472 | BOYAmt |
| EOY | $1,733,893 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,939,730 | BOYAmt |
| EOY | $4,671,085 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $186,618,005 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $121,210,117 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,944,487 | BOYAmt |
| EOY | $65,407,888 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,743,372 | BOYAmt |
| EOY | $11,315,158 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,738,574 | BOYAmt |
| EOY | $3,711,386 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,075,663 | BOYAmt |
| EOY | $12,224,829 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,644,512 | BOYAmt |
| EOY | $43,437,879 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $139,438,211 | BOYAmt |
| EOY | $197,418,922 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,377,692 | BOYAmt |
| EOY | $35,029,782 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $690,516 | BOYAmt |
| EOY | $5,221,242 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,652,000 | BOYAmt |
| EOY | $72,233,856 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,989,000 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,000,000 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,116,178 | BOYAmt |
| EOY | $93,758,317 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $145,825,386 | BOYAmt |
| EOY | $206,243,197 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$15,523,747 | BOYAmt |
| EOY | -$18,062,754 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,136,572 | BOYAmt |
| EOY | $9,238,479 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$6,387,175 | BOYAmt |
| EOY | -$8,824,275 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $139,438,211 | BOYAmt |
| EOY | $197,418,922 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $13,116,325 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $272,462 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$15,825,887 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $32,148 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $32,148 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE GRIFFIN HOSPITAL PAID FOR MEMBERSHIP DUES TO THE CONNECTICUT HOSPITAL ASSOCIATION. FOR THE FISCAL YEAR ENDED 9/30/2020, $32,148 OF THE MEMBERSHIP DUES PAID WAS USED FOR LOBBYING ON ISSUES RELEVANT TO THE ORGANIZATION'S EXEMPT PURPOSE. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,995,669 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $58,309 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $4,053,978 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,820,586 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $179,083 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $4,000 | OtherExpendituresAmt |
| End Year Balance | $3,995,669 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,579,131 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $247,455 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $6,000 | OtherExpendituresAmt |
| End Year Balance | $3,820,586 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,279,717 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $301,914 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $2,500 | OtherExpendituresAmt |
| End Year Balance | $3,579,131 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,400,689 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $252,030 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $373,002 | OtherExpendituresAmt |
| End Year Balance | $3,279,717 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.53290 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.46710 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (1) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,062,891 | OtherCostOrOtherBasisAmt |
| Book Value | $5,062,891 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $85,190,744 | OtherCostOrOtherBasisAmt |
| Depreciation | $48,550,533 | DepreciationAmt |
| Book Value | $36,640,211 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $93,161,729 | OtherCostOrOtherBasisAmt |
| Depreciation | $71,563,395 | DepreciationAmt |
| Book Value | $21,598,334 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,202,641 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,096,189 | DepreciationAmt |
| Book Value | $2,106,452 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $65,407,888 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| INTEREST IN NET ASSETS OF AFFILIATE | $9,815,234 | C |
| INVESTMENT IN AFFILIATE | $2,409,595 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $12,224,829 | TotalBookValueProgramRltdAmt |
Other Assets Org OtherAssetsOrgGrp (7 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OTHER RECEIVABLES | $6,094,456 |
| DUE FROM AFFILIATES | $8,968,038 |
| OTHER ASSETS & INSURANCE RECOVERABLE | $2,605,662 |
| DEBT ISSUANCE COSTS | $1,223,158 |
| OPERATING LEASE RIGHT-OF-USE ASSET | $11,825,507 |
| ASSETS LIMITED AS TO USE | $6,520,452 |
| UNDER INDENTURE AGREEMENT | $6,200,606 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $43,437,879 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (10 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED POSTRETIREMENT BENEFIT LIABILITY | $10,287,076 |
| PROFESSIONAL AND GENERAL LIABILITY LOSS RESERVES | $2,614,248 |
| ACCRUED PENSION LIABILITY | $42,021,498 |
| WORKERS COMPENSATION LOSS RESERVES | $2,492,029 |
| ACCRUED INTEREST PAYABLE | $799,067 |
| CONDITIONAL ASSET RETIREMENT OBLIGATIONS | $95,831 |
| ESTIMATED THIRD-PARTY SETTLEMENTS | $6,732,123 |
| DUE TO AFFILIATES | $276,634 |
| MEDICARE ADVANCES | $16,614,304 |
| OPERATING LEASE LIABILITY | $11,825,507 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $93,758,317 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $206,283,768 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $272,462 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$2,580,101 | OtherRevenueAmt |
| Revenue Not Reported | -$2,307,639 | RevenueNotReportedAmt |
| Revenue Subtotal | $208,591,407 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $47,487 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $47,487 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $208,638,894 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $192,894,981 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $192,894,981 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $47,487 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $2,580,101 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $2,627,588 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $195,522,569 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE HOSPITAL'S ENDOWMENT FUNDS CONSIST OF DONOR RESTRICTED FUNDS TO BE INVESTED IN PERPETUITY TO PROVIDE A PERMANENT SOURCE OF INCOME. |
| 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, 2020 AND 2019, 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 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. DURING 2019, THE IRS CONDUCTED AN EXAMINATION OF THE HOSPITAL'S FORM 990 AND 990T FOR THE YEAR ENDED SEPTEMBER 2016 AND THE RETURNS HAVE BEEN ACCEPTED AS FILED. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | BAD DEBTS -2,580,101. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBTS 2,580,101. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 250.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 143 | PersonsServedCnt |
| Total Community Benefit Expns | $1,428,115 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,428,115 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00740 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 15285 | PersonsServedCnt |
| Total Community Benefit Expns | $25,128,853 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,589,955 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,538,898 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04940 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 15428 | PersonsServedCnt |
| Total Community Benefit Expns | $26,556,968 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,589,955 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,967,013 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05680 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 9 | ActivitiesOrProgramsCnt |
| Persons Served | 46860 | PersonsServedCnt |
| Total Community Benefit Expns | $330,571 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $18,691 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $311,880 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $7,350,618 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,804,521 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,546,097 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00800 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 8723 | PersonsServedCnt |
| Total Community Benefit Expns | $11,506,742 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,762,748 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,743,994 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01940 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $1,548,407 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,472,260 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $76,147 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $108,173 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $108,173 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 14 | ActivitiesOrProgramsCnt |
| Persons Served | 55583 | PersonsServedCnt |
| Total Community Benefit Expns | $20,844,511 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,058,220 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,786,291 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03000 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 14 | ActivitiesOrProgramsCnt |
| Persons Served | 71011 | PersonsServedCnt |
| Total Community Benefit Expns | $47,401,479 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $30,648,175 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $16,753,304 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08680 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $706,945 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $54,375,528 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $69,007,129 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$14,631,601 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | Yes (X) | CostAccountingSystemInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRIFFIN HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 130 DIVISION STREET | AddressLine1Txt |
| City | DERBY | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06418 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.GRIFFINHEALTH.ORG | WebsiteAddressTxt |
| State License | 34 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Research Facility | Yes (X) | ResearchFacilityInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRIFFIN HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 18 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.GRIFFINHEALTH.ORG | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | SEE PART V, PAGE 8 | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 18 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, PAGE 8 | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 250.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, PAGE 8 | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, PAGE 8 | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, PAGE 8 | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| GRIFFIN HOSPITAL | PART V, SECTION B, LINE 5: IN ORDER TO GATHER INPUT FROM PUBLIC HEALTH AND THE GENERAL PUBLIC, GRIFFIN HOSPITAL PARTICIPATED IN THE CREATION OF THE 2019 VALLEY COMMUNITY INDEX. THE 2019 VALLEY COMMUNITY INDEX WAS CREATED IN PARTNERSHIP WITH DATA HAVEN. THIS REPORT REFLECTS THE MOST RECENT DATA COLLECTION EFFORTS TO EXAMINE THE SOCIAL, ECONOMIC, AND PHYSICAL HEALTH OF THE VALLEY AND CONTINUES WHERE THE 2016 COMMUNITY INDEX REPORT LEFT OFF. REGIONAL LEADERS FROM A RANGE OF MULTIDISCIPLINARY ORGANIZATIONS HAVE COME TOGETHER TO EXAMINE WHAT HAS OCCURRED IN THE VALLEY IN THE LAST THREE YEARS. GRIFFIN HEALTH HAS STRONG AND LONGSTANDING PARTNERSHIPS WITH OTHER ORGANIZATIONS AND SOCIAL SERVICE AGENCIES IN THE REGION, INCLUDING THE NAUGATUCK VALLEY HEALTH DISTRICT, THE COMMUNITY BASED VALLEY COUNCIL FOR HEALTH AND HUMAN SERVICES, THE ALLIANCE FOR PREVENTION & WELLNESS, THE VALLEY UNITED WAY, TEAM, INC. ("TEAM"), AND THE VALLEY COMMUNITY FOUNDATION. THE CHNA HELPED INFORM THE COMMUNITY HEALTH IMPROVEMENT PLAN, WHICH WAS DEVELOPED JOINTLY BY GRIFFIN AND THE NAUGATUCK VALLEY HEALTH DEPARTMENT TO OUTLINE THE KEY HEALTH IMPROVEMENT INITIATIVES ADOPTED BY BOTH ORGANIZATIONS FOR THE UPCOMING THREE-YEAR PERIOD.GRIFFIN HEALTH IS COMMITTED TO DEVELOPING COMPREHENSIVE POPULATION HEALTH MANAGEMENT CAPABILITIES INCLUDING A COMMITMENT TO IDENTIFY SOCIAL NEEDS THAT IMPACT THE WELLBEING OF INDIVIDUALS WHO ACCESS THE HEALTHCARE SYSTEM. SCREENING ACTIVITIES IN THE HOSPITAL'S EMERGENCY DEPARTMENT AND OUTPATIENT PHYSICIAN OFFICES HAVE PROMPTED GRIFFIN TO WORK WITH TEAM AND OTHER COMMUNITY BASED ORGANIZATIONS TO DEVELOP STRATEGIES TO ADDRESS FOOD INSECURITY, HOUSING ISSUES, AND TRANSPORTATION NEEDS THAT SIGNIFICANTLY AFFECT THE HEALTH OF INDIVIDUALS. GRIFFIN AND TEAM ARE LEADING EFFORTS TO ELIMINATE HUNGER IN THE REGION AND EDUCATE PEOPLE, PARTICULARLY THOSE WITH CHRONIC DISEASE BURDEN, ABOUT THE ADVERSE IMPACT THAT POOR NUTRITION CAN HAVE ON HEALTH. AS PART OF THAT EFFORT, GRIFFIN HAS PLEDGED $50,000 PER YEAR TO SUBSIDIZE THE COST OF PURCHASING FOOD THAT WILL SUPPLEMENT THE DONATIONS RECEIVED BY LOCAL FOOD PANTRIES THAT SERVE THE REGION. |
| GRIFFIN HOSPITAL | PART V, SECTION B, LINE 6B: GRIFFINS CHNA WAS CONDUCTED WITH MANY DIFFERENT ORGANIZATIONS. TO UNDERSTAND THE VALLEY REGION, THE 2019 VALLEY COMMUNITY INDEX WAS PRODUCED BY THE VALLEY COMMUNITY FOUNDATION AND DATA HAVEN, OCTOBER 2019.THIS REPORT REFLECTS THE MOST RECENT DATA COLLECTION EFFORTS TO EXAMINE THE SOCIAL, ECONOMIC, AND PHYSICAL HEALTH OF THE VALLEY AND CONTINUES WHERE THE 2016 COMMUNITY INDEX REPORT LEFT OFF. LISTED BELOW ARE THE REGIONAL LEADERS FROM A RANGE OF MULTIDISCIPLINARY ORGANIZATIONS WHICH HAVE COME TOGETHER TO EXAMINE WHAT HAS OCCURRED IN THE VALLEY IN THE LAST THREE YEARS:- DATAHAVEN- VALLEY COMMUNITY FOUNDATION, INC.- BASSETT FAMILY FUNDGRIFFIN HEALTH SERVICES, INC- CONNECTICUT COMMUNITY FOUNDATION- KATHARINE MATTHIES FOUNDATION- THE COMMUNITY FOUNDATION FOR GREATER NEW HAVEN- VALLEY UNITED WAY- NAUGATUCK VALLEY COUNCIL OF GOVERNMENTS- VALLEY COMMUNITY INDEX ADVISORY COMMITTEE- ALLIANCE FOR PREVENTION & WELLNESS- THE VALLEY COUNCIL FOR HEALTH & HUMAN SERVICES- ANSONIA YOUTH SERVICES BUREAU- MUNICIPAL GOVERNMENTS AND SCHOOL DISTRICTS THROUGHOUT THE VALLEY- AREA CONGREGATIONS- ACT-SPOONER HOUSE- BH CARE- BOYS & GIRLS CLUB OF THE LOWER NAUGATUCK VALLEY- CENTER STAGE THEATR- DERBY NECK LIBRARY- DERBY PUBLIC LIBRARY- DERBY YOUTH SERVICES BUREAU- GREATER VALLEY CHAMBER OF COMMERCE- VALLEY COMMUNITY- HOUSATONIC COUNCIL- NAUGATUCK ECONOMIC DEVELOPMENT CORPORATION- NAUGATUCK VALLEY COUNCIL OF GOVERNMENTS- NAUGATUCK VALLEY HEALTH DISTRICT- NAUGATUCK YMCA- PARENT CHILD RESOURCE CENTER- SHELTON ECONOMIC DEVELOPMENT CORPORATION- TEAM, INC.- VALLEY PARISH NURSE PROGRAM- GRIFFIN HOSPITAL- VALLEY UNITED WAY- THE WORKPLACE, INC.- YALE-GRIFFIN PREVENTION RESEARCH CENTERGRIFFIN HOSPITAL:PART V, SECTION B, LINE 7A: HTTPS://WWW.CTDATAHAVEN.ORG/SITES/CTDATAHAVEN/FILES/DATA14_2019VALLEYINDEX_WEBVERSION.PDFGRIFFIN HOSPITAL:PART V, SECTION B, LINE 7B: HTTP://WWW.NVHD.ORG/WP-CONTENT/UPLOADS/2020/04/CHIP-FINAL-2019.PDFGRIFFIN HOSPITAL:PART V, SECTION B, LINE 10A: HTTP://WWW.NVHD.ORG/WP-CONTENT/UPLOADS/2020/04/CHIP-FINAL-2019.PDF |
| GRIFFIN HOSPITAL | PART V, SECTION B, LINE 11: GRIFFIN HOSPITAL HAS THREE MAIN FOCUS AREAS: BEHAVIORAL HEALTH; HEART HEALTH; AND MATERAL AND INFANT HEALTH. GRIFFIN HOSPITAL HAS DEVELOPED SPECIFIC GOALS FOR EACH FOCUS AREA. THE HOSPITAL REALIZES THAT THERE ARE OTHER NEEDS IN THE COMMUNITY BUT THEY ARE NOT ABLE TO MEET ALL THE NEEDS DUE TO FINANCIAL AND TIME CONSTRAINTS.FOCUS AREA 1 BEHAVIORAL HEALTH:BEHAVIORAL HEALTH DISORDERS INCLUDE BOTH MENTAL ILLNESS AND SUBSTANCE USE DISORDERS. THIS FOCUS IS ALIGNED WITH TWO SECTIONS OF HEALTHY CT 2020, THE STATE HEALTH IMPROVEMENT PLAN: INJURY AND VIOLENCE PREVENTION AND MENTAL HEALTH, ALCOHOL, AND SUBSTANCE ABUSE. GOAL 1: TO INCREASE BEHAVIORAL HEALTH EDUCATION AND AWARENESS WHILE EMPHASIZING THE IMPORTANCE OF SOCIAL AND EMOTIONAL WELLNESS AND REDUCING STIGMA.GOAL 2: TO REDUCE STRESS, ANXIETY, AND TRAUMA, ESPECIALLY IN YOUNG PEOPLE.GOAL 3: TO REDUCE SUBSTANCE USE DISORDERS IN THE REGION AND PROMOTE A RECOVERY COMMUNITY FOR THOSE WITH SUBSTANCE USE DISORDERS IN THEIR FAMILIES THROUGH EDUCATION ANDAWARENESS. ALIGNMENT WITH THE STATE HEALTH IMPROVEMENT PLAN.FOCUS AREA 2 HEART HEALTH:DATA FROM THE 2019 COMMUNITY INDEX SHOW THAT HEART DISEASE CONTINUES TO BE A LEADING CAUSE OF PREMATURE DEATH IN THE VALLEY.GOAL 1: TO REDUCE PREMATURE DEATH RATES DUE TO HEART DISEASE IN THE NAUGATUCK VALLEY ALIGNMENT WITH THE STATE HEALTH IMPROVEMENT PLAN THE CHIP HEART DISEASE PRIORITY AREA IS ALIGNED WITH THE CHIP'S CHRONIC DISEASE PREVENTION AND CONTROL SECTION OF HEALTHY CT 2020, WHICH AIMS TO REDUCE THE PREVALENCE AND BURDEN OF CHRONIC DISEASE THROUGH SUSTAINABLE, EVIDENCE-BASED EFFORTS AT RISK REDUCTION AND EARLY INTERVENTION.FOCUS AREA 3 MATERNAL AND INFANT:THE COMBINED FETAL AND INFANT MORTALITY RATE IN LOWER NAUGATUCK VALLEY (LNV) IS TRENDING UP, THOUGH THE TREND IS DECREASING IN CT OVERALL MATERNAL AND INFANT HEALTH RISKS CONTRIBUTE TO THE INCIDENCE OF MANY CHRONIC DISEASES IN CHILDHOOD AND ADULTHOOD. ALIGNMENT WITH THE STATE HEALTH IMPROVEMENT PLAN THIS FOCUS IS ALIGNED WITH THE MATERNAL CHILD AND INFANT SECTION OF HEALTHY CT 2020, THE STATE HEALTH IMPROVEMENT PLAN. IT RELATES TO THE FOLLOWING SPECIFIC STATE OBJECTIVES: MICH-2 (PRECONCEPTION HEALTH), MICH-3 (1ST TRIMESTER CARE), MICH-4 (ADEQUATE PRENATAL CARE), MICH-5 (LOW BIRTH WEIGHT), MICH-7 (INFANT MORTALITY), MICH-8 (INFANT MORTALITY DISPARITIES).GOAL 1: TO DECREASE LOW BIRTH WEIGHT AND FETAL/INFANT MORTALITY BY IMPROVING HEALTH BEHAVIORS AMONG PREGNANT AND NON-PREGNANT WOMEN OF CHILDBEARING AGE.GOAL 2: TO INCREASE ADEQUACY OF PRENATAL CARE RECEIVED BY PREGNANT WOMEN BY EMPOWERING WOMEN OF CHILDBEARING AGE TO HAVE PLANNED, HEALTHY PREGNANCIES.GOAL 3: TO REDUCE DISPARITIES IN ADEQUACY OF PRENATAL CARE, LOW BIRTH WEIGHT, AND FETAL/INFANT MORTALITY EXPERIENCED BY RACIAL, ETHNIC, AND SOCIOECONOMIC GROUPS. |
| GRIFFIN HOSPITAL | PART V, SECTION B, LINE 13H: INVESTMENT, IRA, CHECKING ACCOUNT AND REAL ESTATE |
| GRIFFIN HOSPITAL | PART V, LINE 16A, FAP WEBSITE:HTTPS://WWW.GRIFFINHEALTH.ORG/GRIFFIN-HOSPITAL/BILLING-INSURANCE/FINANCIAL-ASSISTANCE-PROGRAM |
| GRIFFIN HOSPITAL | PART V, LINE 16B, FAP APPLICATION WEBSITE:HTTPS://WWW.GRIFFINHEALTH.ORG/GRIFFIN-HOSPITAL/BILLING-INSURANCE/FINANCIAL-ASSISTANCE-PROGRAM |
| GRIFFIN HOSPITAL | PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE:HTTPS://WWW.GRIFFINHEALTH.ORG/GRIFFIN-HOSPITAL/BILLING-INSURANCE/FINANCIAL-ASSISTANCE-PROGRAM |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 6 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - CANCER CENTER AMBULATRY CARE | ||||
| 350 SEYMOUR AVENUE | DERBY | CT | 06418 | MEDICAL CANCER CENTER |
| 2 - GRIFFIN IMAGING & DIAGNOSTICS CENTER | ||||
| 2 IVY BROOK ROAD SUITE 130 | SHELTON | CT | 06484 | IMAGING CENTER |
| 3 - GRIFFIN HOSP OCCUPATIONAL MEDICINE CTR | ||||
| 10 PROGRESS DRIVE | SHELTON | CT | 06484 | OCCUPATIONAL MEDICINE |
| 4 - GRIFFIN HOSPITAL IMAGING AND DIAGNOSTICS | ||||
| 300 OXFORD ROAD | OXFORD | CT | 06478 | IMAGING AND DIAGNOSTICS |
| 5 - GRIFFIN HOSPITAL BLOOD DRAWING STATION | ||||
| 22 WESTFIELD AVENUE | ANSONIA | CT | 06401 | BLOOD DRAWING STATION |
| 6 - CHARGER HEALTH CENTER | ||||
| 20 PULASKI HIGHWAY | ANSONIA | CT | 06401 | SCHOOL BASED HEALTH CENTER |
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | GRIFFIN HOSPITAL CRITERIA FOR DETERMINING ELIGIBILITY FOR FREE CARE OR DISCOUNTED CARE INCLUDE ELIGIBILITY REQUIREMENTS ALL GUARANTORS WITH FAMILY INCOME EQUAL TO OR BELOW TWO HUNDRED PERCENT OF THE FEDERAL POVERTY STANDARD ADJUSTED FOR FAMILY SIZE SHALL BE DETERMINED TO BE INDIGENT PERSONS QUALIFYING FOR CHARITY SPONSORSHIP FOR THE FULL AMOUNT OF HOSPITAL CHARGES RELATED TO APPROPRIATE HOSPITAL-BASED MEDICAL SERVICES THAT ARE NOT COVERED BY PRIVATE OR PUBLIC THIRD-PARTY SPONSORSHIP. ALL GUARANTORS WITH FAMILY INCOME BETWEEN TWO HUNDRED FIFTY (250%) AND FOUR HUNDRED PERCENT (400%) OF THE FEDERAL POVERTY STANDARD ADJUSTED FOR FAMILY SIZE SHALL BE DETERMINED TO BE INDIGENT PERSONS QUALIFYING FOR DISCOUNTS FROM CHARGES RELATED TO APPROPRIATE HOSPITAL BASED MEDICAL SERVICES IN ACCORDANCE WITH THE SLIDING FEE SCHEDULE AND POLICIES REGARDING INDIVIDUAL FINANCIAL CIRCUMSTANCES BASED ON THE BELOW CRITERIA:(A) ELIGIBILITY SHALL BE BASED ON FINANCIAL NEED AT THE TIME OF APPLICATION BY COMPARING TOTAL FAMILY INCOME WITH THE CURRENT FEDERAL POVERTY GUIDELINES. IF A FAMILY'S TOTAL INCOME IS GREATER THAN 100% OF THE FEDERAL POVERTY GUIDELINE FAMILY ASSETS OTHER THAN EXEMPT ASSETS LISTED BELOW MAY BE CONSIDERED AS A SOURCE OF PAYMENT.(B) EXEMPT ASSETS (BASED ON MEDICARE EXEMPTED ASSETS) LISTED BELOW SHOULD NOT BE ADDED TO FAMILY WORTH FOR CHARITY REVIEW: (I) FAMILY PRINCIPAL RESIDENCE. (II) NECESSARY MOTOR VEHICLES REQUIRED FOR EMPLOYMENT, REQUIRED FOR ACCESS TO TREATMENT, OR MODIFIED FOR OPERATION OR TRANSPORT OF A DISABLED PERSON. (III) PERSONAL EFFECTS AND HOUSEHOLD GOODS. (IV) RESOURCES NECESSARY FOR SELF-SUPPORT. ALL RESOURCES OF BOTH SPOUSES ARE CONSIDERED TOGETHER.(C) CHARITY WILL BE ASSIGNED USING THE MOST RECENTLY PUBLISHED FEDERAL POVERTY STANDARDS AND EVALUATED ON THE ADJUSTED FAMILY INCOME AS EXPLAINED ABOVE FOR THOSE ABOVE 250% OF SUCH STANDARDS.(D) DOCUMENTATION WILL BE REQUESTED AND IN MOST CASES WILL BE REQUIRED TO ESTABLISH ELIGIBILITY FOR CHARITY CARE. IN THE EVENT THAT THE GUARANTOR IS NOT ABLE TO PROVIDE THE DOCUMENTATION DESCRIED ABOVE, THE HOSPITAL SHALL RELY UPON WRITTEN AND SIGNED STATEMENTS FORM THE GUARANTOR TO MAKE A FINAL DETERMINATION OF ELIGIBILITY FOR CLASSIFICATION AS AN INDIGENT PERSON. |
| PART I, LINE 6A: | GRIFFIN HOSPITAL CONSTANTLY UPDATES THEIR WEBSITE WITH THE MOST CURRENT COMMUNITY BENEFIT REPORTING.PART I, LINE 6B:GRIFFIN HOSPITAL POSTS ITS COMMUNITY BENEFIT REPORT AND INFORMATION ON THE HOSPITAL WEBSITE:HTTPS://WWW.GRIFFINHEALTH.ORG/ABOUT-GRIFFIN/COMMUNITY-BENEFIT-REPORT/CHNA |
| PART I, LINE 7: | CHARITY CARE AND OTHER COMMUNITY BENEFITS TABLE WERE CALCULATED USING A COST ACCOUNTING SYSTEM OR COST TO CHARGE RATIO. THE COST ACCOUNTING SYSTEM ADDRESSES ALL PATIENT SEGMENTS AND ASSIGNS COST TO INDIVIDUAL SERVICES. |
| PART I, LINE 7, COLUMN (F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 2,580,101. |
| PART III, LINE 2: | GRIFFIN HOSPITAL BAD DEBT EXPENSE IS DETERMINED USING UNCOLLECTED ACCOUNTS NET OF ANY BAD DEBT RECOVERY MULTIPLIED BY THE COST TO CHARGE RATIO. GRIFFIN HOSPITAL HAS A WRITTEN POLICY ABOUT WHEN AND UNDER WHOSE AUTHORITY PATIENT DEBT IS ADVANCED FOR COLLECTION AND SHALL USE ITS BEST EFFORTS TO ENSURE THAT THE PATIENT ACCOUNTS ARE PROCESSED FAIRLY AND CONSISTENTLY. CHARITY APPROVAL WILL AFFECT ALL ACCOUNTS FOR WHICH THE APPROVED GUARANTOR IS RESPONSIBLE. THE APPROVED CHARITY PERCENTAGE WILL BE APPLIED TO ALL EXISTING ACCOUNTS WITH DEBIT BALANCES. ACCOUNTS MAY ALSO BE RETURNED FROM BAD DEBT STATUS IF FINANCIAL CIRCUMSTANCES WARRANT AND CHARITY MAY BE APPLIED. THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS FREE CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAT IT'S ESTABLISHED AND CONTRACTUAL RATES. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS FREE CARE, THEY ARE NOT REPORTED AS NET PATIENT SERVICE REVENUE. |
| PART III, LINE 3: | GRIFFIN HOSPITAL DOES NOT ATTRIBUTE ANY BAD DEBT TO COMMUNITY BENEFIT EXPENSE. UNCOLLECTED BALANCES ARE REVIEWED AT MANY STAGES TO DETERMINE IF THEY FALL UNDER UNINSURED OR FREE CARE ASSISTANCE. |
| PART III, LINE 4: | GRIFFIN HOSPITAL IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS FOR GRIFFIN HEALTH SERVICE CORPORATION (THE CORPORATION). THE CONSOLIDATED FINANCIAL STATEMENTS FOR THE CORPORATION INCLUDES THE FOLLOWING FOOTNOTE ON PAGE 26. THE CORPORATION'S INITIAL ESTIMATE OF THE TRANSACTION PRICE FOR SERVICES PROVIDED TO PATIENTS SUBJECT TO REVENUE RECOGNITION IS DETERMINED BY REDUCING THE TOTAL STANDARD CHARGES RELATED TO THE PATIENT SERVICES PROVIDED BY VARIOUS ELEMENTS OF VARIABLE CONSIDERATION, INCLUDING CONTRACTUAL ADJUSTMENTS, DISCOUNTS, IMPLICIT PRICE CONCESSIONS AND OTHER REDUCTIONS TO THE CORPORATION'S STANDARD CHARGES. THE CORPORATION DETERMINES THE TRANSACTION PRICE ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY PAYOR COVERAGE ON THE BASIS OF CONTRACTUAL RATES, GOVERNMENTAL RATES OR ESTABLISHED CHARGES FOR THE SERVICES RENDERED. THE ESTIMATES FOR CONTRACTUAL ALLOWANCES AND DISCOUNTS ARE BASED ON CONTRACTUAL AGREEMENTS, THE CORPORATION'S DISCOUNT POLICIES AND HISTORICAL COLLECTION EXPERIENCE. FOR UNINSURED PATIENTS WHO ARE INELIGIBLE FOR ANY GOVERNMENT ASSISTANCE PROGRAM, THE CORPORATION PROVIDES SERVICES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES FOR PATIENTS WHO MEET THE CRITERIA OF ITS CHARITY CARE POLICY. BECAUSE THE CORPORATION DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, SUCH SERVICES ARE NOT REPORTED AS PATIENT REVENUE. FOR UNINSURED AND UNDER-INSURED PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE, THE CORPORATION DETERMINES THE TRANSACTION PRICE ASSOCIATED WITH SERVICES ON THE BASIS OF CHARGES REDUCED BY IMPLICIT PRICE CONCESSIONS. IMPLICIT PRICE CONCESSIONS INCLUDED IN THE ESTIMATE OF THE TRANSACTION PRICE ARE BASED ON THE CORPORATION HISTORICAL COLLECTION EXPERIENCE FOR APPLICABLE PATIENT PORTFOLIOS. FOR THE YEARS ENDED SEPTEMBER 30, 2020 AND 2019 THE CORPORATION ESTIMATES THAT ITS COST OF CARE PROVIDED UNDER ITS CHARITY CARE PROGRAMS APPROXIMATED $1,459,000 AND $1,098,000, RESPECTIVELY. THE HOSPITAL'S MANAGEMENT ESTIMATES ITS COSTS OF CARE PROVIDED UNDER ITS CHARITY CARE PROGRAMS UTILIZING A CALCULATED RATIO OF COSTS TO GROSS CHARGES MULTIPLIED BY THE HOSPITAL'S GROSS CHARITY CARE CHARGES PROVIDED. THE HOSPITAL'S GROSS CHARITY CARE CHARGES INCLUDE ONLY SERVICES PROVIDED TO PATIENTS WHO ARE UNABLE TO PAY AND QUALIFY UNDER THE HOSPITAL'S CHARITY CARE POLICY. TO THE EXTENT THE HOSPITAL RECEIVES REIMBURSEMENT THROUGH THE VARIOUS GOVERNMENTAL ASSISTANCE PROGRAMS IN WHICH IT PARTICIPATES TO SUBSIDIZE ITS CARE OF INDIGENT PATIENTS, THE HOSPITAL DOES NOT INCLUDE THESE PATIENTS' CHARGES IN ITS COST OF CARE PROVIDED UNDER ITS CHARITY CARE PROGRAM.SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE (DETERMINED ON A PORTFOLIO BASIS WHEN APPLICABLE) ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT REVENUE IN THE PERIOD OF THE CHANGE. FOR THE YEARS ENDED SEPTEMBER 30, 2020 AND 2019, CHANGES IN THE CORPORATION'S ESTIMATES OF IMPLICIT PRICE CONCESSIONS, DISCOUNTS, CONTRACTUAL ADJUSTMENTS OR OTHER REDUCTIONS TO EXPECTED PAYMENTS FOR PERFORMANCE OBLIGATIONS SATISFIED IN PRIOR YEARS WERE NOT SIGNIFICANT. PORTFOLIO COLLECTION ESTIMATES ARE UPDATED ANNUALLY BASED ON COLLECTION TRENDS.SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY (DETERMINED ON A PORTFOLIO BASIS WHEN APPLICABLE) ARE RECORDED AS BAD DEBT EXPENSE IN SUPPLIES AND OTHER EXPENSES IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS FOR THE YEARS ENDED SEPTEMBER 30, 2020 AND 2019. BAD DEBT EXPENSE AND THE RELATED ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AS OF AND FOR THE YEARS ENDED SEPTEMBER 30, 2020 AND 2019 WERE NOT SIGNIFICANT. |
| 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 69545 INDICATES THAT HOSPITALS OPERATE FOR THE PROMOTION OF HEALTH IN THE COMMUNITY WHEN IT PROVIDES CARE TO PATIENTS WITH GOVERNMENTAL HEALTH BENEFITS, THE ORGANIZATION 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. |
| PART III, LINE 9B: | THE HOSPITAL PROVIDES A PLAIN LANGUAGE SUMMARY IN CLEAR CONCISE AND EASY TO UNDERSTAND WRITTEN STATEMENT THAT THE HOSPITAL USES TO NOTIFY A PATIENT AND /OR APPLICABLE RESPONSIBLE INDIVIDUALS THAT THE HOSPITAL OFFERS FINANCIAL ASSISTANCE UNDER THE FAP FOR COVERED SERVICES PROVIDED BY THE HOSPITAL. FAP PLAIN LANGUAGE SUMMARY WEBSITE: WWW.GRIFFINHEALTH.ORG/GRIFFIN-HOSPITAL/BILLING-INSURANCE/FINANCIAL-ASSISTANCE-PROGRAM |
| PART VI, LINE 2: | GRIFFIN HOSPITAL, REALIZED THAT THERE ARE MANY DIRECTIONS THAT REACH OUT TO WHERE, FROM A POPULATION HEALTH STANDPOINT, NEED TO BE ADDRESSED. WORKING COLLABORATIVELY WITH THE NAUGATUCK VALLEY HEALTH DISTRICT, THE VALLEY COUNCIL FOR HEALTH AND HUMAN SERVICES, THE ALLIANCE FOR PREVENTION & WELLNESS (FORMERLY VSAAC), AND OUR VALLEY PARISH NURSES COMMUNITY OUTREACH PROGRAM, WE PROACTIVELY ADDRESS ISSUE AREAS SUCH AS CHILDHOOD OBESITY, EARLY DETECTION SCREENING FOR CANCER, CHILDHOOD ASTHMA, AND SUBSTANCE ABUSE PREVENTION. AS A VALLEY COMMUNITY, WE HAVE ALWAYS BEEN UNIQUELY CONNECTED, WITH A SPIRIT OF COOPERATION AND COLLECTIVE WILL TO MAKE THINGS BETTER. NOW, BY LOOKING AT OUR SEVEN VALLEY TOWNS THROUGHOUT THIS REPORT, TAKING INTO CONSIDERATION EDUCATION, HOUSING, EMPLOYMENT, RECREATION, EARLY CHILDHOOD DEVELOPMENT, AND AGING ISSUES IN ADDITION TO HEALTH AND HEALTHIER LIFESTYLES, WE ARE SEEING A MUCH BROADER AND MORE COMPREHENSIVE PICTURE THAN EVER BEFORE. THIS INDEX SERVES AS THE AERIAL VIEW FROM WHICH WE CAN ZOOM IN ON THE CHALLENGES WE FACE, THE ISSUES WE HOPE TO ADDRESS, AND THE MANY OPPORTUNITIES WE HAVE TO LEVERAGE OUR CONSIDERABLE RESOURCES OVER THE NEXT THREE YEARS TO EFFECT CHANGE AND IMPROVE THE HEALTH OF OUR COMMUNITY. |
| PART VI, LINE 3: | FINANCIAL ASSISTANCE BROCHURE AND POSTERS ARE LOCATED THROUGHOUT THE HOSPITAL (CHILDBIRTH AREA, ER AREA, CUSTOMER SERVICE AREA) IN ENGLISH AND SPANISH EXPLAINING THE FINANCIAL ASSISTANCE POLICY AND HOW TO CONTACT THE FINANCIAL COUNSELORS. BROCHURES ARE ALSO DISTRIBUTED AT COMMUNITY EVENTS. AT REGISTRATION THE ADMITTING REGISTRAR WHO WILL IDENTIFY THE PATIENT AS HAVING NO MEDICAL INSURANCE (SELF-PAY). THE PATIENT WILL BE GIVEN A FINANCIAL ASSISTANCE PAMPHLET THAT WILL IDENTIFY ALL GRIFFIN HOSPITAL FINANCIAL ASSISTANCE PROGRAMS. THE PAMPHLET ALSO INCLUDES HOSPITAL CONTACTS FOR PATIENTS SEEKING STATE WELFARE OR OTHER STATE PROGRAMS. |
| PART VI, LINE 4: | GRIFFIN HOSPITAL, LICENSED BY THE STATE OF CONNECTICUT FOR 160 BEDS AND 15 BASSINETS, IS A GENERAL ACUTE CARE HOSPITAL SERVING A PRIMARY SERVICE AREA (PSA) OF SIX TOWNS, THAT COMPRISE THE LOWER NAUGATUCK VALLEY INCLUDING ANSONIA, DERBY, SEYMOUR, SHELTON, OXFORD, BEACON FALLS AND SURROUNDING TOWNS INCLUDING BETHANY, MIDDLEBURY, MILFORD, MONROE, NAUGATUCK, ORANGE, PROSPECT, SOUTHBURY, STRATFORD, TRUMBULL, WOODBRIDGE AND WOODBURY. IN THE VALLEY, ANSONIA, DERBY, AND NAUGATUCK CONTAIN THE DIVERSE NEIGHBORHOODS AND MANUFACTURING LEGACIES THAT ARE COMMON TO URBAN PERIPHERY TOWNS THROUGHOUT THE STATE. BEACON FALLS AND SEYMOUR SHARE SOME OF THE CHARACTERISTICS OF RURAL TOWNS, WHILE OXFORD AND SHELTON ARE MORE TYPICAL OF HIGHER-INCOME SUBURBAN AREAS. GIVEN THIS VARIETY, THE REGION IS A MICROCOSM OF CONNECTICUT AS A WHOLE. THE VALLEY IS A COMMUNITY OF CONNECTICUT TOWNS LOCATED IN NEW HAVEN AND FAIRFIELD COUNTIES. IT LIES ALONG THE HOUSATONIC AND NAUGATUCK RIVERS AND IS CONNECTED TO CITY CENTERS ALONG I-95 BETWEEN NEW YORK AND NEW HAVEN, AS WELL AS ALONG ROUTE 8 TO WATERBURY. WE DEFINE THE VALLEY AS THE SEVEN TOWNS THAT COLLABORATED TO WIN THE ALL-AMERICA CITY AWARD IN THE YEAR 2000: ANSONIA, BEACON FALLS, DERBY, NAUGATUCK, OXFORD, SEYMOUR, AND SHELTON. THE TOWNS SHARE A SPIRITED COMMUNITY CULTURE AND STRONG INSTITUTIONS, WHICH COLLABORATE ON INITIATIVES IN CIVIC VITALITY, HEALTH AND HUMAN SERVICES, ECONOMIC DEVELOPMENT, AND QUALITY OF LIFE. THE COLLABORATIVE WORK IT TOOK BY MANY TO BE RECOGNIZED AS PART OF THE 20-TOWN NAUGATUCK VALLEY CORRIDOR, A FEDERALLY-DESIGNATED ECONOMIC DEVELOPMENT DISTRICT (EDD), IS A PRIME EXAMPLE OF HOW VALLEY LEADERS COME TOGETHER FOR THE GREATER GOOD. THE VALLEY HAS A COMMON HISTORY AND IDENTITY, BUT EACH OF ITS TOWNS HAS ITS OWN UNIQUE CHARACTERISTICS. THE REGION'S DEMOGRAPHICS AND ECONOMY ARE CONSTANTLY CHANGING IN RESPONSE TO OUTSIDE FORCES; THESE CHANGES AFFECT THE REGION'S NEIGHBORHOODS IN DIFFERENT WAYS. TOWN CENTERS OFFER A LARGE SHARE OF RENTAL OR AFFORDABLE HOUSING UNITS, WHICH ARE ATTRACTIVE TO YOUNGER WORKERS, SINGLE ADULTS, AND OTHER HOUSEHOLDS THAT WOULD PREFER TO RENT FOR ECONOMIC OR LIFESTYLE REASONS. IN OTHER NEIGHBORHOODS, NEWER HOMES AND LARGER LOTS CONTINUE TO ATTRACT HOMEOWNERS WITH HIGH INCOMES. THE VARIETY OF NEIGHBORHOODS AND RESIDENTS WHO CHOOSE TO LIVE IN THE AREA HELP MAKE THE VALLEY A RESILIENT COMMUNITY WITH A RICH TRADITION OF IMMIGRATION AND MIGRATION. THE VALLEY'S LEGACY OF AGRICULTURAL AND INDUSTRIAL PRODUCTION ARISES FROM ITS LOCATION ALONG TWO MAJOR RIVERS. TODAY, THE ECONOMY OF THE VALLEY COMMUNITIES IS SIGNIFICANTLY INFLUENCED BY THE CONTINUED DEVELOPMENT ALONG THE ROUTE 8 CORRIDOR, WHICH HAS RESULTED IN BOTH OPPORTUNITIES AND CHALLENGES. SHELTON, IN PARTICULAR, HAS EXPERIENCED NEW COMMERCIAL AND OFFICE DEVELOPMENT BY VIRTUE OF ITS LOCATION AND INFRASTRUCTURE. ITS STRONG FINANCIAL BASE, HOWEVER, CAN MASK THE ECONOMIC CHALLENGES THAT OTHER TOWNS FACE. LEVELS OF PERSONAL WELL-BEING ARE NOT EVENLY DISTRIBUTED ACROSS THE VALLEY'S POPULATION. AN INCREASINGLY DIVERSE POPULATION AND A GROWING NUMBER OF SENIORS PRESENT NEW NEEDS AND OPPORTUNITIES. INCOMES VARY BY TOWN, AND MORE PEOPLE, ESPECIALLY CHILDREN, LIVE IN ECONOMIC HARDSHIP. CANCER, HEART DISEASE, AND ACCIDENTS ARE LEADING CAUSES OF PREMATURE DEATHS. ALMOST HALF OF VALLEY WORKERS EARN LESS WHAT IS CONSIDERED NECESSARY TO COVER COSTS OF LIVING IN THE REGION. |
| PART VI, LINE 5: | AS A PATIENT-CENTERED HEALTH CARE SYSTEM, GRIFFIN HOSPITAL IS COMMITTED TO PARTNERING WITH OUR COMMUNITY TO PROMOTE WELLNESS THROUGH A WIDE VARIETY OF PROGRAMS AND SERVICES. GRIFFIN-SPONSORED EVENTS AS A PROUD MEMBER OF THE NAUGATUCK VALLEY COMMUNITY, GRIFFIN HOSPITAL WORKS IN TANDEM WITH OTHER COMMUNITY ORGANIZATIONS TO STRENGTHEN OUR CITIZENS, ENCOURAGE POSITIVE RELATIONSHIPS, FACILITATE ONGOING WELLNESS AND PROVIDE ONGOING SUPPORT TO THOSE IN NEEDS. VALLEY PARISH NURSE PROGRAM VALLEY PARISH NURSES SERVE AS COORDINATORS BETWEEN THE CLERGY, PARISH AND RESOURCES IN THE COMMUNITY, SUCH AS HOSPITALS AND OTHER SOCIAL SERVICE AGENCIES. MOBILE HEALTH RESOURCE CENTER- THE GRIFFIN HOSPITAL MOBILE HEALTH RESOURCE VAN IS A CUSTOM BUILT WINNEBAGO THAT TRAVELS TO VARIOUS LOCATIONS THROUGHOUT THE LOWER NAUGATUCK VALLEY, SUCH AS SENIOR CENTERS, SHOPPING CENTERS, NEIGHBORHOODS, COMPANIES AND COMMUNITY EVENTS AND FAIRS. ADVANCE CARE PLANNING PLAN NOW TO ENSURE THAT YOUR WISHES FOR END-OF-LIFE DECISIONS ARE UNDERSTOOD, RESPECTED, AND HONORED BY LOVED ONES AND HEALTHCARE PROVIDERS. HEALTH INITIATIVE FOR MEN (HIM)- THE GOAL OF THE HIM IS TO INFLUENCE MEN TO SEE THEIR PHYSICIAN ANNUALLY, AND TO BE SCREENED FOR VARIOUS DISEASES THAT RESPOND BETTER TO TREATMENT IF DETECTED EARLY. VALLEY WOMEN'S HEALTH INITIATIVE THE VALLEY WOMEN'S HEALTH INITIATIVE (WHI) IS COMPRISED OF MEMBERS OF THE COMMUNITY WORKING TOWARD A COMMON GOAL OF ADDRESSING AND IMPROVING WOMEN'S HEALTH ISSUES INCLUDING BREAST CANCER AWARENESS AND HEART DISEASE. WOMEN'S HEART WELLNESS COMMITTEE A COMMUNITY INITIATIVE FOCUSED ON EDUCATION, OUTREACH, AND PREVENTION. HEALTH RESOURCE CENTER - THE COMMUNITY HEALTH RESOURCE CENTER (HRC) AT GRIFFIN HOSPITAL IS A TRADITIONAL FREE LENDING LIBRARY THAT PROVIDES AN ARRAY OF MEDICAL AND HEALTH INFORMATION. HEALTHY U EDUCATIONAL SERIES HEALTHY U IS A SERIES OF WELLNESS TALKS FEATURING GRIFFIN HOSPITAL MEDICAL EXPERTS AND COMMUNITY PARTNERS PROVIDING TRUSTED HEALTH INFORMATION AND ANSWERS TO QUESTIONS ON A WIDE RANGE OF TOPICS. ALL TALKS ARE FREE AND OPEN TO THE PUBLIC. MINI MED SCHOOL FREE PROGRAM FOR THE LAYPERSON WITH LITTLE OR NO MEDICAL BACKGROUND, PROVIDING A UNIQUE OPPORTUNITY TO GAIN A GREATER UNDERSTANDING OF HOW THE HUMAN BODY WORKS, INSIGHT INTO COMMON DISORDERS OF THE VARIOUS ORGAN SYSTEMS, AS WELL AS INFORMATION ABOUT DISEASE PREVENTION. PERSONAL EMERGENCY PREPAREDNESS GRIFFIN HOSPITAL DEPARTMENT OF EMERGENCY MANAGEMENT (EM) HELPS TO PREPARE THE COMMUNITY IN CASE OF A DISASTER OR EMERGENCY SITUATION. THIS PAGE PROVIDES SAFETY AND PREPAREDNESS TIPS AS WELL AS IMPORTANT LOCAL AND GOVERNMENTAL CONTACTS. PLANETREE WELLNESS EDUCATION SERIES GRIFFIN HOSPITAL'S PLANETREE EDUCATION IS PROUD TO OFFER THIS FREE HEALTH EMPOWERMENT SERIES OF FUN AND EDUCATIONAL TALKS FOR MEMBERS OF OUR COMMUNITY. SAFE KIDS GRIFFIN HOSPITAL'S SAFE KIDS GREATER NAUGATUCK VALLEY COALITION IS AVAILABLE TO EDUCATE CHILDREN AND ADULTS ON VARIETY OF HEALTH AND SAFETY PROGRAMS TO REDUCE UNINTENTIONAL INJURIES AMONG CHILDREN. WE OFFER PROGRAMS AT THE HOSPITAL OR AT YOUR FACILITY. IN ADDITION TO PROVIDING HEALTH INFORMATION AND SERVICES TO THE PUBLIC AT THE HOSPITAL AND OTHER SATELLITE LOCATIONS, GRIFFIN TAKES THESE ACTIVITIES INTO THE COMMUNITIES WHERE PATIENTS LIVE, WORK, AND WORSHIP. BY OFFERING A VARIETY OF SUPPORT GROUPS, TRAINING SESSIONS, EDUCATIONAL PROGRAMS, AND OTHER COMMUNITY-BASED RESOURCES AND ACTIVITIES, AND COLLABORATING WITH OTHER NON-PROFIT ORGANIZATIONS AND GOVERNMENT ENTITIES, GRIFFIN HAS EXTENDED ITS MISSION "TO PROVIDE LEADERSHIP TO IMPROVE THE HEALTH OF THE COMMUNITY SERVED" FAR BEYOND THE HOSPITAL'S WALLS. SPECIAL PROGRAMS WERE HELD ON THE FOLLOWING TOPICS AT LOCAL CHURCHES, LIBRARIES, HOSPITAL, SENIOR CENTERS AND PRIVATE COMPANIES: MONTHLY ACP -ACCOUNTABLE CARE PLANNING, ACCESS HEALTH ASSISTANCE, BREAST WELLNESS, DIABETES EDUCATION FALL PREVENTION, TRANSPORTING CHILDREN WITH SPECIAL NEEDS INSTRUCTOR CLASS, AARP SAFE DRIVING, CHILD PASSENGER SAFETY CONFERENCE, LIVER DISEASE EDUCATION, VOLUNTEER PARISH NURSES FROM NUMEROUS DIFFERENT PARISHES AFFILIATED WITH THE VPNP AT GRIFFIN HOSPITAL PARTICIPATED FOR THE PROGRAM YEAR. CONTACTS INCLUDED OFFICE HOUR VISITS, HOME, HOSPITAL AND NURSING HOME VISITS, PHONE CALLS, AND BULLETIN DELIVERIES, HEALTH AND WELLNESS PROGRAMS WERE HOSTED AT THE VARIOUS CHURCHES. GRIFFIN HOSPITAL COMMUNITY VAN VISITED MANY COMMUNITY SITES CONSISTING OF LOCAL CHURCHES, FOOD BANKS, SHELTERS AND SHOPPING AREAS AND THE VALLEY PARISH NURSE PROGRAM COMPLETED A SIGNIFICANT NUMBER OF SCREENINGS THROUGHOUT THE YEAR. COMMUNITY OUTREACH MEETINGS WERE HELD WITH LOCAL BOARD OF DIRECTORS, HEALTH DEPTS., HEALTH CARE COUNCILS, PARISH NURSING, SAFE KIDS, CANCER COMMITTEES, AND WOMEN MAKING A DIFFERENCE. ACO STEERING ACP, QUARTERLY AHA, ANSONIA EARLY CHILDHOOD COUNCIL, BOYS & GIRLS CLUB BOARD- SHELTON, CANCER COMMITTEE, CHA- COMMUNITY HEALTH GROUP, CT COALITION OF DIABETES EDUCATOR, CT COUNCIL OF PARISH NURSE, KOMEN, DERBY DIABETES PREVENTION TASK FORCE, EARLY CHILDHOOD COUNCIL COORDINATOR, CT DIABETES PARTNERSHIP, PASTORAL CARE, SAFE KIDS, STATE DEPT. HEALTH IMPROVEMENT, PLAN VALLEY CARES, ALLIANCE VALLEY CARE, GIVERS VALLEY COUNCIL, HEALTH/HUMAN SERVICES, VALLEY HEALTHCARE COUNCIL, VALLEY PARISH NURSES, VALLEY COUNCIL YOUTH COMMITTEE, VITAHLS, VSAAC WOMEN HEART WELLNESS, WOMEN MAKING A DIFFERENCE, EARLY CHILDHOOD COUNCIL. GRIFFIN HELD CHILDREN'S PROGRAMS THROUGHOUT THE YEAR. CHILDREN'S EDUCATION PROGRAMS INCLUDED CPR EDUCATION, POISON EDUCATION, HALLOWEEN HOME, FIRE 911, GERMS, WINTER, PETS, NUTRITION, EXERCISE, SPORTS, SUMMER, WATER AND PEDESTRIAN CROSSING. SUPPORT GROUPS OFFERED THROUGH GRIFFIN HOSPITAL VALLEY PARISH NURSE, CANCER CENTER AND PASTORAL CARE WERE HELD. SUPPORT GROUPS INCLUDED ALZHEIMER CAREGIVERS, DIABETES, HEAL, MULTIPLE SCLEROSIS, FIBROMYALGIA, VALLEY HEART CLUB, PASTORAL CARE BEREAVEMENT GROUP, VOICES OF HOPE, LOOK GOODFEEL BETTER, AND CIRCLE OF FRIENDS. GRIFFIN HOSPITAL SUPPLIED COMMUNITY ASSISTANCE THROUGH THE WALK RUN 5K FUNDRAISING EVENT THAT SUPPLIED THE FUNDS TO ASSIST OUR COMMUNITY CANCER PROGRAMS SUCH AS LOOK GOODFEEL BETTER, VOICES OF HOPE AND ASSISTANCE FOR WIGS AND SUPPLIES, TREATMENT, TRANSPORTATION, SEYMOUR PINK EXERCISE TRAINOR, AFTER THE STORM MASSAGE THERAPY SERVICES AND CIRCLE OF FRIENDS. GRIFFIN HOSPITAL HOSTS WONDERLAND OF TREES PROGRAM WHICH SUPPORTS EMPLOYEES TIME TO RAISE MONEY IN THE HOSPITAL WITH A CHRISTMAS TREE RAFFLES AND EASTER RAFFLES WERE THE MONEY IS DONATED TO SPOONER HOUSE FOOD SHELTER IN SHELTON, CT. |
| PART VI, LINE 6: | THE GRIFFIN HOSPITAL IS PART OF AN INTEGRATED HEALTH SYSTEM WHICH INCLUDES THE FOLLOWING ENTITIES:GRIFFIN HEALTH SERVICES CORPORATION - HOLDING COMPANYGRIFFIN FACULTY PHYSICIANS, INC. - MEDICAL/EDUCATIONGRIFFIN HOSPITAL DEVELOPMENT FUND - FUNDRAISINGPLANETREE INTERNATIONAL, INC. - EDUCATION |
| PART VI, LINE 5 (CONTINUED): | SUPPLEMENTAL INFORMATION:2019-2020 FISCAL YEAR - COMMUNITY OUTREACH & PARISH NURSE DEPARTMENT WITH COVID -19 REDEPLOYMENT ACTIVITIES. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:GRIFFIN'S COMMUNITY OUTREACH OFFICE COORDINATOR WOULD ASSIST MEMBERS WITH INSURANCE ELIGIBILITY. IN MARCH OF 2020, A TEAM MEMBER WAS FURLOUGHED. WHEN THIS OCCURRED, THE POPULATION HEALTH STAFF ALONG WITH THE ACCOUNTABLE HEALTH COMMUNITIES SCREENERS ROLE BECAME MORE CRITICAL DURING THE PANDEMIC. THESE TEAM MEMBERS WOULD IDENTIFY IF SOMEONE NEEDED ASSISTANCE WITH INSURANCE ELIGIBILITY AND SOCIAL NEEDS. THEY WERE OFTEN REFERRED TO TEAM OR OTHER COMMUNITY ACTION AGENCY ORGANIZATIONS AS NEEDED TO ADDRESS SOCIAL NEEDS AND ELIGIBILITY REQUIREMENTS.PROMOTION OF COMMUNITY HEALTH:DURING THE MARCH- SEPT. 2020 PERIOD, THE TRADITIONAL COMMUNITY OUTREACH CEASED. STAFF POSITIONS WERE FURLOUGHED FROM MARCH- JULY, THEN JULY- SEPT DEPLOYED TO THE COVID PROJECT. THE SPECIAL PROGRAMS COORD. POSITION WENT FROM 30 TO 15/20HRS/WEEK. SCHOOL AGED PROGRAMS WERE HELD VIA ZOOM. HEADSTART AND AFTER SCHOOL PROGRAMS WERE HELD ON OUTSIDE PLAYGROUND AREAS. EDUCATION PROGRAMS WERE RECORDED AND TEACHERS PLAYED THEM IN CLASSES AND REMOTELY. SPECIFIC PROGRAMS WERE DESIGNED TO TEACH CHILDREN AND ADULTS ABOUT MASK USE, HAND WASHING, RECOGNIZING WHEN THEY GETTING OVERHEATED OR DEHYDRATED BECAUSE OF MASK WEARING, SOCIAL/EMOTIONAL WELL-BEING AND THE IMPORTANCE OF RECOGNIZING THE ANXIETY ABOUT THIS VIRUS AND WHO/HOW TO SPEAK WITH SOMEONE. SIX VIDEOS WERE MADE TO SHOW KIDS WHAT THE PROCESS IS IF YOU HAVE TO HAVE A COVID 19 SWAB TEST DONE. VIDEOS WERE MADE TO SHOWING KIDS ABOUT MASK USE, HAND WASHING AND RECOGNIZING DEHYDRATION AND DEEP BREATHING FOR THEIR EMOTIONAL HEALTH.ONE ON ONE EDUCATION SESSIONS FOR PARENTS ON SAFE SLEEP, CHILD PASSENGER SAFETY, HOME SAFETY AND OTHER TOPICS ON INJURY PREVENTION WERE HELD FOR INDIVIDUAL FAMILIES ON REQUEST. THESE PROGRAMS WERE ALSO HELD DAILY ON A ONE ON ONE BASIS FOR NEW PARENTS IN OUR CHILDBIRTH CENTER.ONE ON ONE CHILD PASSENGER SAFETY SEAT INSTALLATIONS WERE ALSO HELD ONE ON ONE BY APPOINTMENT. OUR SAFE KIDS COALITION WAS THE ONLY FITTING STATION IN THE STATE OF CT THAT WAS DOING SEAT INSTALLATIONS AND THEREFORE WE HAD PEOPLE FROM ALL OVER THE STATE CALLING US.OUR CPR TRAINING CENTER ALSO MAINTAINED CPR TRAINING FOR IN HOSPITAL STAFF AND THE COMMUNITY AT LARGE. WE WERE HOLDING MUCH SMALLER CLASSES AND ACCOMMODATING INDIVIDUAL, ONE ON ONE SESSIONS TO KEEP PEOPLE SAFE. AGAIN, WE WERE THE ONLY CPR TRAINING CENTER IN THE STATE OF CT THAT WAS HOLDING CLASSES FOR THE COMMUNITY.OUR VOLUNTEER VALLEY PARISH NURSES ALSO MADE WEEKLY PHONE CALLS TO SHUT IN PARISHIONERS, REFERRED THEM TO VIRTUAL SERVICES AND HOOKED THEM UP WITH FOOD BANKS AND OTHER SERVICES. THEY MADE HOUSE CALLS AS NEEDED.MANY, IF NOT MORE, COMMUNITY COLLABORATIVE MEETINGS WERE HELD VIA ZOOM TO WORK TOGETHER TO PROVIDE SERVICES TO THE VALLEY RESIDENTS. IN SEPTEMBER 2020, THE HOURS WENT BACK TO 30/WEEK AND PROGRAMS CONTINUED IN PERSON OR VIRTUALLY DEPENDING ON THE FACILITY. OUR DIABETES EDUCATOR NEVER HAD HER HOURS CUT. SHE IMMEDIATELY WAS ABLE TO WORK VIRTUALLY AND HOLD DIABETES PREVENTION AND EDUCATION/SUPPORT VIA ZOOM OR PHONE CALLS. IN JULY, OUR COMMUNITY OUTREACH NURSES, CAME BACK AFTER FURLOUGH AND WORKED THE COVID TESTING TENT AND THEN MOBILE TESTING SITES. ANY COMMUNITY MEETINGS THAT THEY WERE ON, THEY ATTENDED VIRTUALLY. OUR ALZHEIMER SUPPORT GROUP BEGAN TO MEET VIA PHONE, THEN IN SEPTEMBER 2020, MET IN PERSON.WE HAD RECEIVED GRANT MONEY FROM THE AREA AGENCY ON AGING FOR LIVE WELL (CHRONIC DISEASE SELF-MANAGEMENT) PROGRAMS AND THE AGENCY MADE ARRANGEMENTS IN THE PROGRAM DESIGN TO COMPLETE THESE VIRTUALLY OR VIA PHONE. OUR VPN DEPT NURSES BEGAN TO REACH OUT TO OUR COMMUNITY SITES TO TRY AND GET THESE MOVING. GRANT MONEY ALSO RECEIVED FROM THE BREAST CARE ALLIANCE TO DO BREAST WELLNESS OUTREACH. OUR COMMUNITY NURSES, NEVER LOST A BEAT WITH STARING A CONVERSATION WITH SOMEONE COMING IN FOR A COVID TEST THEY HAD THEIR ATTENTION AND QUICKLY WAS ABLE TO ENGAGE IN CONVERSATIONS ABOUT THEIR HEALTH AND WELL-BEING. AS THE PERSON WOULD CHAT, OPPORTUNITIES TO ASK ABOUT "DID YOU GET YOUR MAMMOGRAM OR OTHER SCREENING SERVICES, REFERRALS TO SERVICES WERE MADE. MANY REFERRALS WERE MADE TO LOCAL FOOD BANKS, TEAM, INC., BACK TO THEIR PRIMARY CARE PROVIDERS, OR OTHER HOSPITAL SERVICES.OUR OFFICE COORDINATOR. WAS REASSIGNED TO THE COVID PROJECT TO DO SCHEDULING TESTING APPOINTMENTS AND PROVIDE CUSTOMER SERVICE TO THE SKILLED NURSING FACILITIES WHO REQUIRED TO TEST THEIR STAFF AND RESIDENTS WEEKLY. IN THE SUMMER OF 2020, PHONE CALLS WERE MADE BY OUR STAFF TO PATIENTS WITH CHRONIC CONDITIONS TO CHECK TO SEE HOW THEY WERE MANAGING DURING THE PANDEMIC AND SOCIAL ISOLATION. THE POPULATION HEALTH TEAM CREATED A WORKFLOW THAT WAS ABLE TO IDENTIFY NOT ONLY MEDICAL/BEHAVIORAL ISSUES THAT SHOULD BE ADDRESSED THROUGH IN PERSON OR VIRTUAL CALLS BY PROVIDERS BUT ALSO IF THEY HAVE ANY SOCIAL NEEDS SUCH AS FOOD INSECURITY, HOUSING ISSUES, PERSONAL SAFETY OR ISSUES PAYING UTILITIES. THIS CREATED AN OPPORTUNITY TO CHECK ON OUR MOST VULNERABLE PATIENTS. WE WERE ABLE TO FACILITATE A FEW VIRTUAL VISITS WITH PATIENTS THAT WOULD HAVE GONE WITHOUT CARE WITHOUT THIS SIMPLE 'COLD CALLING' INTERVENTION. |
| PART VI, LINE 7: | GRIFFIN HOSPITAL OPERATES IN THE STATE OF CONNECTICUT WHICH DOES NOT REQUIRE FILING OF A COMMUNITY BENEFIT REPORT. IF FILING WAS REQUIRED, THE HOSPITAL WOULD COMPLY. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| TEAM INC | |||||||
| 30 ELIZABETH STREET | DERBY | CT | 06418 | 060835182 | 501(C)(3) | $13,000 | COMMUNITY ASSISTANCE |
| MASTER'S TABLE COMMUNITY MEALS | |||||||
| 61 N CLIFF ST | ANSONIA | CT | 06401 | 900742371 | 501(C)(3) | $95,173 | COMMUNITY ASSISTANCE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE HOSPITAL IS NOT A GRANT MAKING ORGANIZATION BUT DOES MAKE DONATIONS TO LOCAL TAX-EXEMPT ORGANIZATIONS FOR USE IN THEIR EXEMPT PURPOSE. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FREDERICK BROWNE MD | ||||||||||||||
| TRUSTEE | $0 | $393,555 | $0 | $56,013 | $0 | $1,325 | $0 | $8,250 | $0 | $19,676 | $0 | $478,819 | $0 | $0 |
| PATRICK A CHARMEL | ||||||||||||||
| CEO/PRESIDENT, BOD SECRETARY/TREASUR | $555,646 | $0 | $130,655 | $0 | $1,325 | $0 | $8,250 | $0 | $19,676 | $0 | $715,552 | $0 | $0 | $0 |
| KENNETH J DOBULER MD | ||||||||||||||
| TRUSTEE/PHYSICIAN | $352,288 | $0 | $6,831 | $0 | $0 | $0 | $7,313 | $0 | $0 | $0 | $366,432 | $0 | $0 | $0 |
| ALEXANDER S BALKO | ||||||||||||||
| CFO/VP FINANCE | $338,348 | $0 | $27,176 | $0 | $1,325 | $0 | $7,964 | $0 | $19,676 | $0 | $394,489 | $0 | $0 | $0 |
| MARGARET DEEGAN | ||||||||||||||
| VP | $190,823 | $0 | $32,445 | $0 | $1,170 | $0 | $4,967 | $0 | $7,678 | $0 | $237,083 | $0 | $0 | $0 |
| TODD LIU | ||||||||||||||
| VP | $195,405 | $0 | $29,837 | $0 | $1,141 | $0 | $4,567 | $0 | $19,676 | $0 | $250,626 | $0 | $0 | $0 |
| BARBARA STUMPO | ||||||||||||||
| VP | $205,037 | $0 | $32,812 | $0 | $1,192 | $0 | $4,808 | $0 | $19,676 | $0 | $263,525 | $0 | $0 | $0 |
| KATHLEEN MARTIN | ||||||||||||||
| VP | $188,932 | $0 | $30,468 | $0 | $1,087 | $0 | $4,273 | $0 | $19,676 | $0 | $244,436 | $0 | $0 | $0 |
| RICHARD DAIGLE | ||||||||||||||
| CHIEF INFORMATION OFFICER | $245,580 | $0 | $0 | $0 | $1,323 | $0 | $5,622 | $0 | $1,650 | $0 | $254,175 | $0 | $0 | $0 |
| MARIA D DAWE | ||||||||||||||
| PHYSICIAN | $369,585 | $0 | $0 | $0 | $1,125 | $0 | $7,700 | $0 | $16,486 | $0 | $394,896 | $0 | $0 | $0 |
| MIHAELA BORAN MD | ||||||||||||||
| PHYSICIAN | $219,938 | $0 | $0 | $0 | $1,309 | $0 | $5,314 | $0 | $17,490 | $0 | $244,051 | $0 | $0 | $0 |
| STEPHEN MORDECAI | ||||||||||||||
| DIRECTOR | $196,789 | $0 | $3,403 | $0 | $1,156 | $0 | $4,583 | $0 | $19,676 | $0 | $225,607 | $0 | $0 | $0 |
| KIMBERLY VIADERO | ||||||||||||||
| DIRECTOR | $177,386 | $0 | $3,792 | $0 | $1,021 | $0 | $4,074 | $0 | $1,650 | $0 | $187,923 | $0 | $0 | $0 |
| ADAM DWORKIN | ||||||||||||||
| VP | $174,223 | $0 | $23,443 | $0 | $1,030 | $0 | $4,121 | $0 | $19,676 | $0 | $222,493 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 7 | FormAndLineReferenceDesc |
| Explanation | FOR ALL INDIVIDUALS PAID DIRECTLY BY THE HOSPITAL, 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. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHEFA SERIES G-1 | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 060806186 | BondIssuerEIN |
| CUSIP | 20775DEL2 | CUSIPNum |
| Bond Issued | 2020-01-08 | BondIssuedDt |
| Issue Price | $67,523,219 | IssuePriceAmt |
| Purpose | RETIREMENT OF EXISTING DEBT | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $67,523,219 | TotalProceedsAmt |
| In Reserve Fund | $3,925,756 | InReserveFundAmt |
| Capital Expenditures | $15,699,206 | CapitalExpendituresAmt |
| Other Spent Proceeds | $41,061,855 | OtherSpentProceedsAmt |
| Unspent | $6,836,402 | UnspentAmt |
| Refunding Tax Exempt Bonds | Yes (1) | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | 0 | RefundingTaxableBondsInd |
| Final Allocation Made | 0 | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (1) | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | LINE 11 - OTHER SPENT PROCEEDS | FormAndLineReferenceDesc |
| Explanation | OF THE OTHER SPENT PROCEEDS ON LINE 11: -$40,679,975 WAS USED TO REFUND PRIOR TAX-EXEMPT BONDS DATED JANUARY 20, 2017. -$315,000 WAS USED TO REFUND PRIOR TAXABLE BONDS DATED DECEMBER 19, 2019. -$66,880 WAS USED TO PAY INTEREST ON THE BONDS. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GREGORY BORIS DO | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | TRUSTEE | RelationshipDescriptionTxt |
| Transaction | $523,555 | TransactionAmt |
| Transaction | SEE BELOWGRIFFIN HOSPITAL RETAINED THE SERVICES OF CONNECTICUT EMERGENCY MEDICINE SPECIALISTS TO OVERSEE THE EMERGENCY DEPARTMENT. GREGORY BORIS IS THE DIRECTOR OF THE EMERGENCY DEPARTMENT. | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 7A | THE BOARD OF TRUSTEES MAKES RECOMMENDATIONS TO THE INCORPORATORS OF THE HOSPITAL REGARDING NOMINATIONS OF MEMBERS OF THE COMMUNITY TO SERVE AS TRUSTEES. |
| 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 | EACH YEAR ALL MEMBERS OF THE HOSPITAL BOARD, OFFICERS, DIRECTORS, AND KEY EMPLOYEES RECEIVE, SIGN, AND SUBMIT A CONFLICT OF INTEREST DISCLOSURE. THE DISCLOSURES ARE REVIEWED BY THE HOSPITAL BOARD AND DOCUMENTED IN THE MINUTES. ANY DISCLOSURE OF A CONFLICT PREVENTS THE INDIVIDUAL FROM INVOLVEMENT WITH OR PARTICIPATION IN SUBJECT MATTER THAN MIGHT AFFECT THE DISCLOSED CONFLICT. ALL CONFLICTS ARE DISCLOSED AT THE ANNUAL MEETING. |
| 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 GOVERNING DOCUMENTS ARE FILED WITH THE OFFICE OF HEALTH CARE ACCESS AND ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | TRANSFERS BETWEEN AFFILIATES -7,761,657. MINIMUM PENSION LIABILITY ADJUSTMENT -7,911,524. CHANGE IN NET ASSETS OF AFFILIATE 64,682. CHANGE IN BENEFICIAL INTEREST IN TRUSTS -27,188. CHANGE IN FAIR VALUE OF INTEREST RATE SWAPS 63,251. NONOPERATING PENSION AND OTHER POSTRETIREMENT NET PERIODIC BENEFIT COST -253,451. |
| FORM 990, PART XII, LINE 2C: | THE BOARD OF TRUSTEES OF GRIFFIN HOSPITAL IS RESPONSIBLE FOR SELECTING AN INDEPENDENT AUDIT FIRM AND FOR OVERSEEING THE FINANCIAL STATEMENT PREPARATION PROCESS. THERE HAVE BEEN NO CHANGES IN THESE PROCEDURES SINCE THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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/EDUCATION | CT | 501(C)(3) | LINE 11 | Yes (1) | GRIFFIN HOSPITAL | |
| GRIFFIN HOSPITAL DEVELOPMENT FUND | |||||||||||
| 130 DIVISION STREET | DERBY | CT | 06418 | 222560254 | FUNDRAISING | CT | 501(C)(3) | LINE 12B, II | 0 | GRIFFIN HEALTH SERVICES CORPORATION | |
| PLANETREE INTERNATIONAL INC | |||||||||||
| 130 DIVISION STREET | DERBY | CT | 06418 | 061505284 | EDUCATION | CT | 501(C)(3) | LINE 11 | 0 | GRIFFIN HEALTH SERVICES CORPORATION | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GH VENTURES INC | ||||||||||||||
| 130 DIVISION STREET | DERBY | CT | 06418 | 222560247 | RENTAL REAL ESTATE | CT | N/A | C | 0 | |||||
| HEALTHCARE ALLIANCE INSURANCE CO LTD | ||||||||||||||
| OFFSHORE CAPTIVE INSURANCE | N/A | C | 0 | 171 ELGIN AVENUE | GEORGETOWN | GRAND CAYMAN | CJ | CJ | ||||||
| CT PRACTICE MANAGEMENT INC | ||||||||||||||
| 130 DIVISION STREET | DERBY | CT | 06418 | 061152819 | INACTIVE | CT | N/A | C | 0 | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| GRIFFIN FACULTY PHYSICIANS INC | ||
| R | $7,265,414 | ACTUAL |
| GRIFFIN FACULTY PHYSICIANS INC | ||
| M | $2,160,012 | ACTUAL |