2025-08-13T15:27:07-05:00 2024-09-30 390859910 BAKER TILLY ADVISORY GROUP LP 66 HUDSON BLVD E SUITE 2200 NEW YORK NY 10001 990 2023-10-01 061463147 GRIFFIN FACULTY PHYSICIANS INC GRIF 2037321447 130 DIVISION STREET DERBY CT 06418 DAVID MURCKO CONTROLLER 2037321447 2025-08-12 1 1 MARY-EVELYN ANTONETTI P00431862 2126976900 2025-07-29 2023 2025-03-06 01:10:19Z PATRICK S CHARMEL 130 DIVISION STREET DERBY CT 06418 38588793 0 X GFP.GRIFFINHEALTH.ORG X 1996 CT MULTI-SPECIALITY MEDICAL GROUP AFFILIATED WITH GRIFFIN HOSPITAL 4 0 130 4 0 0 0 0 37903949 38585993 0 0 3640 2800 37907589 38588793 0 0 0 0 38167073 37930970 0 0 0 13078404 13091711 51245477 51022681 -13337888 -12433888 15183798 14156342 12710325 11998040 2473473 2158302 PROVIDE MEDICAL SERVICES FOR THE PATIENTS OF GRIFFIN HOSPITAL AND THE COMMUNITY SERVED BY THE HOSPITAL. GRIFFIN FACULTY PHYSICIANS ALSO PROVIDES TEACHING SERVICES FOR GRIFFIN HOSPITAL'S GRADUATE MEDICAL EDUCATION PROGRAMS AND CONDUCT PREVENTIVE HEALTH SERVICES RESEARCH. 0 0 45754825 38585993 PROVIDE MEDICAL SERVICES FOR THE PATIENTS OF GRIFFIN HOSPITAL AND THE COMMUNITY SERVED BY THE HOSPITAL. GRIFFIN FACULTY PHYSICIANS ALSO PROVIDES TEACHING SERVICES FOR GRIFFIN HOSPITAL'S GRADUATE MEDICAL EDUCATION PROGRAMS AND CONDUCT PREVENTIVE HEALTH SERVICES RESEARCH. 45754825 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 54 0 1 130 1 0 0 0 0 0 0 0 0 0 0 0 0 X 4 0 0 0 0 0 1 1 1 1 0 0 0 0 1 1 1 1 1 1 1 0 X DAVID MURCKO 2037321447 130 DIVISION STREET DERBY CT 06418 FREDERICK BROWNE MD PRESIDENT 40.00 0.38 X X 453215 0 47176 DENISE BARAJAS MD VICE PRESIDENT 40.00 0.00 X X 361032 0 32669 PATRICK CHARMEL SECRETARY 3.00 47.15 X X 0 969626 40515 ALEXANDER S BALKO TREASURER 3.00 41.00 X X 0 435982 42212 ADAM M DWORKIN VICE PRESIDENT (LEFT 11/11/23) 40.00 0.00 X 0 193293 35836 DEBORAH A HENNESSY ASSISTANT VP 40.00 0.00 X 0 187099 18689 RICHARD P SALZANO JR PHYSICIAN 40.00 0.00 X 508796 0 43124 GRACE A BIGGS MD PHYSICIAN 40.00 0.00 X 658545 0 40966 MARK A MARIEB MD PHYSICIAN 40.00 0.00 X 678070 0 36949 JONATHAN T SIMON PHYSICIAN 40.00 0.00 X 691794 0 30839 SCOTT A VANDER VENNET MD PHYSICIAN 40.00 0.00 X 517469 0 33022 3868921 1786000 401997 80 0 1 0 ATHENA HEALTH INC 311 ARSENAL STREET WATERTOWN MA 02472 BILLING SERVICES 1877871 LOCUM TENENS INC 2575 NORTHWINDS PRKY ALPHARETTA GA 30009 PHYSICIAN FEES 962249 COHORT INTELLIGENCE CORP 6800 W 115TH ST OVERLAND PARK KS 66211 CHRONIC CARE MANAGEMENT SERVICES 431346 COMPHEALTH ASSOCIATES INC CHG COMPANIE PO BOX 972651 DALLAS TX 75397 PHYSICIAN FEES 268155 BERKELEY RESEARCH GROUP LLC 2200 POWELL ST EMERYVILLE CA 94608 CONSULTING SERVICES 194000 15 PATIENT SERVICE REVENUE 621110 31832127 31832127 OTHER OPERATING REVENUE 621110 6753866 6753866 38585993 2800 0 2800 2800 2800 38588793 38585993 0 2800 905245 905245 30580696 27571454 3009242 666695 602839 63856 3717627 3367444 350183 2060707 1869138 191569 3937 3937 3513987 2422602 1091385 3602 2672 930 765909 455234 310675 1877871 1877871 2437716 2294158 143558 44433 26648 17785 582226 557471 24755 164604 136400 28204 BAD DEBTS 2272299 2272299 MEDICAL & DRUG SUPPLIES 1199244 1196447 2797 DUES AND SUBSCRIPTIONS 143681 139121 4560 REPAIRS AND MAINTENANCE 31362 22045 9317 50840 35737 15103 51022681 45754825 5267856 0 907845 628388 1509950 1635290 159772 390541 6894268 4329705 2939079 2564563 9667152 8937560 15183798 14156342 2936020 2928635 9774305 9069405 12710325 11998040 X 2473473 2158302 2473473 2158302 15183798 14156342 X -12433888 12118717 X X 0 1 X 1 0 X 2176091 474495 2650586 22491197 27198394 34084153 37903949 38585993 160263686 22491197 29374485 34558648 37903949 38585993 162914272 3173 3173 0 3173 3173 162911099 12645 1179 3360 3640 2800 23624 12645 1179 3360 3640 2800 23624 22503842 29375664 34562008 37907589 38588793 162937896 0.99980 0.99980 0.00010 0.00020 X 3322825 2305190 1017635 3425801 2024515 1401286 145642 145642 2564563 OPERATING LEASE RIGHT-OF-USE ASSET 8937560 8937560 OPERATING LEASE LIABILITY 9069405 9069405 X PART X, LINE 2: BELOW IS AN EXCERPT FROM FOOTNOTE 1 OF THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR THE GRIFFIN HOSPITAL AND SUBSIDIARY. 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, 2024 AND 2023, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. GHSC AND ITS SUBSIDIARIES ARE SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS. THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS PENDING OR IN PROGRESS. 0 0 0 0 0 0 0 1 0 PATRICK CHARMEL SECRETARY 0 607624 0 360280 0 1722 0 8438 0 32077 0 1010141 0 0 JONATHAN T SIMON PHYSICIAN 381890 0 308182 0 1722 0 9150 0 21689 0 722633 0 0 0 MARK A MARIEB MD PHYSICIAN 600400 0 75948 0 1722 0 6750 0 30199 0 715019 0 0 0 GRACE A BIGGS MD PHYSICIAN 470281 0 186542 0 1722 0 9150 0 31816 0 699511 0 0 0 RICHARD P SALZANO JR PHYSICIAN 507074 0 0 0 1722 0 9150 0 33974 0 551920 0 0 0 SCOTT A VANDER VENNET MD PHYSICIAN 391684 0 124063 0 1722 0 8206 0 24816 0 550491 0 0 0 FREDERICK BROWNE MD PRESIDENT 399045 0 52532 0 1638 0 12116 0 35060 0 500391 0 0 0 ALEXANDER S BALKO TREASURER 0 380372 0 53888 0 1722 0 8238 0 33974 0 478194 0 0 DENISE BARAJAS MD VICE PRESIDENT 359310 0 0 0 1722 0 10980 0 21689 0 393701 0 0 0 ADAM M DWORKIN VICE PRESIDENT (LEFT 11/11/23) 0 173125 0 18843 0 1325 0 5401 0 30435 0 229129 0 0 DEBORAH A HENNESSY ASSISTANT VP 0 179539 0 6282 0 1278 0 5432 0 13257 0 205788 0 0 PART I, LINE 3 THE COMPENSATION OF THE PRESIDENT IS PAID BY GRIFFIN HOSPITAL. GRIFFIN HOSPITAL USES THE FOLLOWING METHODS TO DETERMINE COMPENSATION: - COMPENSATION COMMITTEE - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINE 7 AT THE END OF THE YEAR, THE COMPENSATION COMMITTEE REVIEWS PERFORMANCE OF EACH INDIVIDUAL IN LINE WITH CERTAIN CRITERIA. BASED ON AN OVERALL REVIEW OF THEIR PERFORMANCE AND THEIR COMPENSATION, THE COMMITTEE RECOMMENDS A BONUS AMOUNT WHICH IS APPROVED BY THE BOARD OF DIRECTORS. DURING THE YEAR ENDED SEPTEMBER 30, 2024, THE BONUS AMOUNTS FOR THE FOLLOWING INDIVIDUALS WERE DETERMINED USING THIS PROCESS: ADAM M. DWORKIN ALL OTHER BONUS PAYMENTS WERE FIXED PAYMENTS. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER IS THE GRIFFIN HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER HAS THE RIGHT TO APPOINT THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBER SHALL HAVE THE EXCLUSIVE RIGHT (I) TO ELECT THE CORPORATION'S BOARD OF DIRECTORS AND TO APPOINT INDIVIDUALS TO FILL VACANCIES ON THE BOARD OF DIRECTORS; (II) TO AMEND THE BYLAWS OF THE CORPORATION; AND (III) TO REMOVE ANY DIRECTOR WITH OR WITHOUT CASE. THE MEMBER SHALL ALSO HAVE OTHER RIGHTS AND APPROVE FUNDAMENTAL CHANGES SUCH AS AMENDMENT OF THE CERTIFICATE OF INCORPORATION; MERGER OR SUBSTANTIAL TRANSFER OF ASSETS; SELL OR MORTGAGE SUBSTANTIALLY ALL OF THE ASSETS; OR DISSOLVE THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 8B GRIFFIN FACULTY PHYSICIANS DID NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS REVIEWED BY MANAGEMENT PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C A CONFLICT OF INTEREST QUESTIONNAIRE IS SENT ANNUALLY AND DISCLOSED AT THE ANNUAL BOARD MEETING. THE QUESTIONNAIRE IS REVIEWED BY THE VICE PRESIDENT OF ACCOUNTABLE CARE AND GENERAL COUNSEL. IF A CONFLICT IS FOUND, THE INDIVIDUAL WILL RECUSE THEMSELVES FROM THE DISCUSSION OF THE MATTER. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE WHICH IS A SUBCOMMITTEE OF THE BOARD OF DIRECTORS REVIEWS INDIVIDUAL COMPENSATION OF THE CEO, OFFICERS, AND OTHER MEMBERS OF SENIOR STAFF, WHOSE COMPENSATION IS REPORTABLE ON FORM 990 ON AN ANNUAL BASIS. COMPENSATION OF OTHER MEMBERS OF THE ORGANIZATION ARE APPROVED AS A PART OF THE ANNUAL BUDGET PROCESS. THE PROCESS INCLUDES THE PROCUREMENT OF COMPARABILITY DATA FROM EXTERNAL INDEPENDENT SOURCES AND OTHER INDUSTRY SPECIFIC COMPENSATION DATA. THE COMPENSATION COMMITTEE THEN MAKES A RECOMMENDATION TO THE BOARD OF DIRECTORS FOR THEIR REVIEW AND ACTION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: TRANSFERS FROM GRIFFIN HOSPITAL 12,118,717. 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 12A, I N/A 0 GRIFFIN HOSPITAL DEVELOPMENT FUND 130 DIVISION STREET DERBY CT 06418 222560254 FUNDRAISING CT 501(C)(3) LINE 7 GRIFFIN HEALTH SERVICES CORPORATION 0 PLANETREE INTERNATIONAL INC 130 DIVISION STREET DERBY CT 06418 061505284 EDUCATION CT 501(C)(3) LINE 10 GRIFFIN HEALTH SERVICES CORPORATION 0 GRIFFIN HOSPITAL 130 DIVISION STREET DERBY CT 06418 060647014 HOSPITAL CT 501(C)(3) LINE 3 GRIFFIN HEALTH SERVICES CORPORATION 0 GRIFFIN HEALTHCARE INC 130 DIVISION STREET DERBY CT 06418 222560248 BILLING SERVICES CT 501(C)(3) LINE 10 GRIFFIN HEALTH SERVICES CORPORATION 0 GH VENTURES INC 130 DIVISION STREET DERBY CT 06418 222560247 RENTAL OF REAL ESTATE CT N/A C 0 HEALTHCARE ALLIANCE INSURANCE CO LTD PO BOX 1109GT GRAND CAYMAN CJ OFFSHORE CAPTIVE CJ N/A C 0 CT PRACTICE MANAGEMENT INC 130 DIVISION STREET DERBY CT 06418 061152819 INACTIVE CT N/A C 0 GRIFFIN PHO INC 130 DIVISION STREET DERBY CT 06418 473552299 HEALTHCARE SERVICES CT N/A C 0 0 0 1 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 1