2021-08-16T15:15:39-05:00 2020-09-30 111986323 MARCUM LLP 555 LONG WHARF DRIVE NEW HAVEN CT 06511 990 2019-10-01 060647014 GRIFFIN HOSPITAL GRIF 2037327528 130 DIVISION STREET DERBY CT 06418 DAVID MURCKO CONTROLLER 2037327528 2021-08-16 1 MARY ANTONETTI P00431862 2037819600 2019 2022-09-23 18:48:47Z PATRICK CHARMEL 130 DIVISION STREET DERBY CT 06418 210853541 0 X GRIFFINHEALTH.ORG X 1908 CT TO PROVIDE PERSONALIZED, HUMANISTIC, CONSUMER-DRIVEN HEALTH CARE IN A HEALING ENVIRONMENT. 23 20 1771 268 1023402 -242906 1896762 1455437 197196286 205125207 1744763 -339701 2712567 2397951 203550378 208638894 60254 108173 0 0 96992138 98804941 0 0 0 96930744 96609455 193983136 195522569 9567242 13116325 139438211 197418922 145825386 206243197 -6387175 -8824275 X 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. 0 0 143560685 108173 199385508 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. 3136598 2585719 PROVIDE PSYCHIATRIC SERVICES TO THE COMMUNITY ON AN OUTPATIENT BASIS. 1650769 3970131 PROVIDE CANCER RELATED RADIOLOGY SERVICES TO THE COMMUNITY. 307459 271609 PROVIDE HOSPICE SERVICES TO THE COMMUNITY. 307459 271609 148655511 1 1 0 1 0 0 0 0 0 1 1 0 1 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 1 228 0 1 1771 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 23 20 0 0 0 0 0 1 0 1 1 0 0 0 1 1 1 1 1 1 1 1 1 CT X DAVID MURCKO 2037321447 130 DIVISION STREET DERBY CT 06418 JOSEPH ANDREANA TRUSTEE 0.23 0.46 X 0 0 0 JOHN AVERSA DO TRUSTEE (RESIGNED 01/2020) 0.00 0.00 X 0 0 0 FREDERICK BROWNE MD TRUSTEE 0.23 40.23 X 0 450893 27926 KENNETH BALDYGA TRUSTEE 0.23 0.46 X 0 0 0 JOHN W BETKOWSKI III CHAIRMAN 0.23 0.62 X X 0 0 0 GREGORY BORIS DO TRUSTEE (RESIGNED 01/2020) 0.00 0.00 X 0 0 0 PATRICK A CHARMEL CEO/PRESIDENT, BOD SECRETARY/TREASURER 45.00 5.15 X X 687626 0 27926 DONNA DIGIANVITTORIO TRUSTEE 0.23 0.23 X 0 0 0 NANCY DINARDO TRUSTEE 0.23 0.62 X 0 0 0 KENNETH J DOBULER MD TRUSTEE/PHYSICIAN 40.00 0.23 X 359119 0 7313 JEAN CRUM JONES MPH RD TRUSTEE 0.23 0.23 X 0 0 0 THEMIS KLARIDES TRUSTEE 0.23 0.46 X 0 0 0 GEORGE S LOGAN TRUSTEE 0.23 0.46 X 0 0 0 LAURA MARASCO TRUSTEE (FROM 01/2020) 0.23 0.23 X 0 0 0 EDWARD J MCCREERY III ESQ TRUSTEE (FROM 01/2020) 0.23 0.38 X 0 0 0 GEORGE MITCHELL JR TRUSTEE 0.23 0.23 X 0 0 0 FLOYD MOIR TRUSTEE 0.23 0.23 X 0 0 0 WM NEIL PEARSON MD TRUSTEE (RESIGNED 01/2020) 0.00 0.00 X 0 0 0 MARK PETERSON TRUSTEE 0.23 0.23 X 0 0 0 ROBERT G REISS TRUSTEE 0.23 0.46 X 0 0 0 HAROLD SCHWARTZ MD TRUSTEE (FROM 01/2020) 0.23 0.23 X 0 0 0 JOSEPH SOKOL MD TRUSTEE (FROM 01/2020) 0.23 0.00 X 0 0 0 FREDERICK STANEK ESQ TRUSTEE (FROM 01/2020) 0.23 0.38 X 0 0 0 GERALD T WEINER ESQ TRUSTEE 0.23 0.46 X 0 0 0 PHILLIP WHITE TRUSTEE 0.23 0.23 X 0 0 0 JOHN J ZAPRZALKA TRUSTEE 0.23 0.46 X 0 0 0 ALEXANDER S BALKO CFO/VP FINANCE 40.00 X 366849 0 27640 MARGARET DEEGAN VP 40.00 X 224438 0 12645 TODD LIU VP 40.00 X 226383 0 24243 BARBARA STUMPO VP 40.00 X 239041 0 24484 KATHLEEN MARTIN VP 40.00 X 220487 0 23949 RICHARD DAIGLE CHIEF INFORMATION OFFICER 40.00 X 246903 0 7272 MARIA D DAWE PHYSICIAN 40.00 X 370710 0 24186 MIHAELA BORAN MD PHYSICIAN 40.00 X 221247 0 22804 STEPHEN MORDECAI DIRECTOR 40.00 X 201348 0 24259 KIMBERLY VIADERO DIRECTOR 40.00 X 182199 0 5724 ADAM DWORKIN VP 40.00 X 198696 0 23797 3745046 450893 284168 141 1 1 0 JACKSON LABORATORY 600-610 MAIN STREET BAR HARBOR ME 04609 LAB SERVICES 13202307 UNIDINE CORPORATION P O BOX 102289 ATLANTA GA 30368 FOOD SERVICE 2276674 QUEST DIAGNOSTICS PO BOX 844217 BOSTON MA 02284 LAB SERVICES 907743 UMB CAPITAL FINANCE PO BOX 1450 MINNEAPOLIS MN 55485 CONSULTANTS 848221 ASCENSION HEALTH ALLIANCE PO BOX 505302 ST LOUIS MO 63105 PURCHASING CONSULTANTS 797742 25 1217851 237586 1455437 PATIENT SERVICE REVENUE 622110 171551401 170578483 972918 STATE SUPPLEMENTAL REVENUE 900099 13524800 13524800 OTHER PROGRAM SERVICES 621500 11668278 11668278 CARES ACT PROVIDER RELIEF FUNDS 624230 7872795 7872795 TUITION/EDUCATION REVENUE 900099 507933 507933 205125207 -103713 -103713 274858 0 274858 274858 274858 1978659 2214647 -235988 -235988 -235988 CAFETERIA INCOME 900099 984849 984849 OTHER INCOME 900099 663266 612782 50484 REBATES 900099 474978 474978 2123093 208638894 205240049 1023402 920006 108173 108173 2604351 348925 2255426 72890551 62920345 9970206 363221 337659 25562 17195645 14565714 2629931 5751173 4822787 928386 173983 173983 264146 264146 32148 32148 47487 47487 10604719 7305612 3299107 810590 407116 403474 4817573 3652665 1164908 1145169 277620 867549 4243689 2585196 1658493 312171 101071 211100 2628318 1955495 672823 5523422 4305747 1217675 2787156 2155498 631658 MEDICAL & DRUG SUPPLIES 32127110 32127110 STATE HOSPITAL TAX EXP 14593589 14593589 PHYSICIAN FEES 4872293 3098712 1773581 BAD DEBTS 2580101 2580101 9045791 4999965 4045826 195522569 148655511 46867058 0 1471 1458 18920265 40564544 16597665 14350802 1832472 1733893 1939730 4671085 186618005 121210117 60944487 65407888 8743372 11315158 3738574 3711386 12075663 12224829 14644512 43437879 139438211 197418922 31377692 35029782 690516 5221242 40652000 72233856 3989000 0 6000000 0 63116178 93758317 145825386 206243197 X -15523747 -18062754 9136572 9238479 -6387175 -8824275 139438211 197418922 X 13116325 272462 -15825887 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 32148 32148 0 PART II-B, LINE 1: 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. 3995669 58309 4053978 3820586 179083 4000 3995669 3579131 247455 6000 3820586 3279717 301914 2500 3579131 3400689 252030 373002 3279717 0.00000 0.53290 0.46710 1 0 5062891 5062891 85190744 48550533 36640211 93161729 71563395 21598334 3202641 1096189 2106452 65407888 INTEREST IN NET ASSETS OF AFFILIATE 9815234 C INVESTMENT IN AFFILIATE 2409595 C 12224829 OTHER RECEIVABLES 6094456 DUE FROM AFFILIATES 8968038 OTHER ASSETS & INSURANCE RECOVERABLE 2605662 DEBT ISSUANCE COSTS 1223158 OPERATING LEASE RIGHT-OF-USE ASSET 11825507 ASSETS LIMITED AS TO USE 6520452 UNDER INDENTURE AGREEMENT 6200606 43437879 ACCRUED POSTRETIREMENT BENEFIT LIABILITY 10287076 PROFESSIONAL AND GENERAL LIABILITY LOSS RESERVES 2614248 ACCRUED PENSION LIABILITY 42021498 WORKERS COMPENSATION LOSS RESERVES 2492029 ACCRUED INTEREST PAYABLE 799067 CONDITIONAL ASSET RETIREMENT OBLIGATIONS 95831 ESTIMATED THIRD-PARTY SETTLEMENTS 6732123 DUE TO AFFILIATES 276634 MEDICARE ADVANCES 16614304 OPERATING LEASE LIABILITY 11825507 93758317 X 206283768 272462 -2580101 -2307639 208591407 47487 47487 208638894 192894981 0 192894981 47487 2580101 2627588 195522569 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. 1 1 1 X 250.000000000000 1 X 1 1 0 0 143 1428115 1428115 0.00740 15285 25128853 15589955 9538898 0.04940 15428 26556968 15589955 10967013 0.05680 9 46860 330571 18691 311880 0.00160 1 7350618 5804521 1546097 0.00800 2 8723 11506742 7762748 3743994 0.01940 1 1548407 1472260 76147 0.00040 1 108173 108173 0.00060 14 55583 20844511 15058220 5786291 0.03000 14 71011 47401479 30648175 16753304 0.08680 1 706945 54375528 69007129 -14631601 X 1 1 1 1 GRIFFIN HOSPITAL 130 DIVISION STREET DERBY CT 06418 WWW.GRIFFINHEALTH.ORG 34 X X X X X GRIFFIN HOSPITAL 1 0 0 1 X X X X X X X X X 18 1 0 1 1 X WWW.GRIFFINHEALTH.ORG X SEE PART V, PAGE 8 X 1 18 1 SEE PART V, PAGE 8 0 1 X 250.000000000000 400.000000000000 X X X X X 1 1 X X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X 1 X 0 X X X X 1 X 0 0 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 6 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 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. 1 TEAM INC 30 ELIZABETH STREET DERBY CT 06418 060835182 501(C)(3) 13000 COMMUNITY ASSISTANCE MASTER'S TABLE COMMUNITY MEALS 61 N CLIFF ST ANSONIA CT 06401 900742371 501(C)(3) 95173 COMMUNITY ASSISTANCE 2 0 PART I, LINE 2: THE HOSPITAL IS NOT A GRANT MAKING ORGANIZATION BUT DOES MAKE DONATIONS TO LOCAL TAX-EXEMPT ORGANIZATIONS FOR USE IN THEIR EXEMPT PURPOSE. X X X X 0 0 0 0 0 0 0 1 0 FREDERICK BROWNE MD TRUSTEE 0 393555 0 56013 0 1325 0 8250 0 19676 0 478819 0 0 PATRICK A CHARMEL CEO/PRESIDENT, BOD SECRETARY/TREASUR 555646 0 130655 0 1325 0 8250 0 19676 0 715552 0 0 0 KENNETH J DOBULER MD TRUSTEE/PHYSICIAN 352288 0 6831 0 0 0 7313 0 0 0 366432 0 0 0 ALEXANDER S BALKO CFO/VP FINANCE 338348 0 27176 0 1325 0 7964 0 19676 0 394489 0 0 0 MARGARET DEEGAN VP 190823 0 32445 0 1170 0 4967 0 7678 0 237083 0 0 0 TODD LIU VP 195405 0 29837 0 1141 0 4567 0 19676 0 250626 0 0 0 BARBARA STUMPO VP 205037 0 32812 0 1192 0 4808 0 19676 0 263525 0 0 0 KATHLEEN MARTIN VP 188932 0 30468 0 1087 0 4273 0 19676 0 244436 0 0 0 RICHARD DAIGLE CHIEF INFORMATION OFFICER 245580 0 0 0 1323 0 5622 0 1650 0 254175 0 0 0 MARIA D DAWE PHYSICIAN 369585 0 0 0 1125 0 7700 0 16486 0 394896 0 0 0 MIHAELA BORAN MD PHYSICIAN 219938 0 0 0 1309 0 5314 0 17490 0 244051 0 0 0 STEPHEN MORDECAI DIRECTOR 196789 0 3403 0 1156 0 4583 0 19676 0 225607 0 0 0 KIMBERLY VIADERO DIRECTOR 177386 0 3792 0 1021 0 4074 0 1650 0 187923 0 0 0 ADAM DWORKIN VP 174223 0 23443 0 1030 0 4121 0 19676 0 222493 0 0 0 PART I, LINE 7 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. A CHEFA SERIES G-1 060806186 20775DEL2 2020-01-08 67523219 RETIREMENT OF EXISTING DEBT 0 0 0 A 67523219 3925756 15699206 41061855 6836402 1 0 0 1 A 0 0 0 0 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 LINE 11 - OTHER SPENT PROCEEDS 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. GREGORY BORIS DO TRUSTEE 523555 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. 0 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. 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 GRIFFIN HOSPITAL 1 GRIFFIN HOSPITAL DEVELOPMENT FUND 130 DIVISION STREET DERBY CT 06418 222560254 FUNDRAISING CT 501(C)(3) LINE 12B, II GRIFFIN HEALTH SERVICES CORPORATION 0 PLANETREE INTERNATIONAL INC 130 DIVISION STREET DERBY CT 06418 061505284 EDUCATION CT 501(C)(3) LINE 11 GRIFFIN HEALTH SERVICES CORPORATION 0 GH VENTURES INC 130 DIVISION STREET DERBY CT 06418 222560247 RENTAL REAL ESTATE CT N/A C 0 HEALTHCARE ALLIANCE INSURANCE CO LTD 171 ELGIN AVENUE GEORGETOWN GRAND CAYMAN CJ OFFSHORE CAPTIVE INSURANCE CJ N/A C 0 CT PRACTICE MANAGEMENT INC 130 DIVISION STREET DERBY CT 06418 061152819 INACTIVE CT N/A C 0 0 1 1 1 1 0 0 0 0 0 1 1 1 1 1 1 1 1 1 GRIFFIN FACULTY PHYSICIANS INC R 7265414 ACTUAL GRIFFIN FACULTY PHYSICIANS INC M 2160012 ACTUAL