2025-08-13T08:36:54-05:00 2024-09-30 135565207 KPMG LLP 345 PARK AVENUE NEW YORK NY 10154 990 2023-10-01 060646659 GREENWICH HOSPITAL GREE 2036882603 5 PERRYRIDGE ROAD GREENWICH CT 06830 GAIL KOSYLA EVP & CFO, YNHHS 2036882603 2025-08-12 0 0 EVAN W SEEKAMP P01907071 2127589700 2023 2025-03-06 01:10:19Z DIANE KELLY 5 PERRYRIDGE ROAD GREENWICH CT 06830 615661109 0 X WWW.GREENWICHHOSPITAL.ORG X 1903 CT TO PROVIDE HEALTHCARE SERVICES. 24 20 2826 341 2568060 426080 21166370 20171577 492863324 531534313 17818266 18686946 4810402 5401163 536658362 575793999 240540 167289 0 0 210068212 209072484 0 0 2989734 324194622 340647940 534503374 549887713 2154988 25906286 808328169 872458796 165326595 161739224 643001574 710719572 X TO PROVIDE HEALTHCARE SERVICES. 0 0 510226935 167289 536661974 SEE SCHEDULE O 510226935 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 1 0 0 0 0 0 0 0 0 1 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 0 1 170 0 2826 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 24 20 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X VERNETTE D GRAY 2036889585 789 HOWARD AVENUE NEW HAVEN CT 06519 PAMELA SUTTON-WALLACE EVP & COO YNHHS; TRUSTEE 1.00 39.00 X 0 1672126 582147 DIANE KELLY TRUSTEE/PRESIDENT (CURRENT YR COMP) 39.00 1.00 X X 1196725 0 370755 DIANE KELLY TRUSTEE/PRESIDENT (VESTED DEFERRED) 39.00 1.00 X X 52826 0 0 FRANCISCO GARRIDO ED PHYSICIAN 3.00 37.00 X 67142 884961 53346 MARC KOSAK COO 39.00 1.00 X 524411 0 210708 KAREN SANTUCCI SVP/CMO 40.00 0.00 X 645396 0 46764 KISHA MITCHELL RICHARDS PATHOLOGIST 40.00 0.00 X 603529 0 51875 SERVANDO DE LOS ANGELES ED PHYSICIAN 40.00 0.00 X 511700 55813 52239 EUGENE COLUCCI FORMER OFFICER 0.00 0.00 X 0 563109 49578 CHRISTOPHER DAVISON ED PHYSICIAN 40.00 0.00 X 519312 0 60695 MICHAEL FRANCO DIR OF ICU & RESP SRV 40.00 0.00 X 488233 0 89766 ANNA CERRA SVP/CNO 40.00 0.00 X 433393 0 56017 NOEL APPEL SVP/CDO 40.00 0.00 X 382053 0 30690 KIMBERLY NOHILLY ASSISTANT SECRETARY 1.00 39.00 X 0 297287 58022 THOMAS PELLECHI TRUSTEE 1.00 39.00 X 0 271349 39321 JENNIFER WILLCOX FORMER OFFICER 0.00 0.00 X 0 192254 0 MARK CHROSTOWSKI TRUSTEE 1.00 0.00 X 76125 0 0 EREZ SALIK TRUSTEE 1.00 0.00 X 45900 0 0 PRESTON BALDWIN TRUSTEE 1.00 0.00 X 0 0 0 SHERYL BATTLES TRUSTEE 1.00 0.00 X 0 0 0 WILLIAM BERKLEY TRUSTEE/CHAIR 1.00 2.00 X X 0 0 0 NANCY BROWN TRUSTEE 1.00 1.00 X 0 0 0 DAVID BUTLER TRUSTEE 1.00 0.00 X 0 0 0 ROBERT CARANGELO TRUSTEE/SECRETARY 1.00 0.00 X X 0 0 0 LESLIE DAHL TRUSTEE 1.00 0.00 X 0 0 0 CARLOS HERNANDEZ TRUSTEE 1.00 0.00 X 0 0 0 CHRISTOPHER HOWES TRUSTEE 1.00 0.00 X 0 0 0 ANNE JUGE TRUSTEE/TREASURER 1.00 1.00 X X 0 0 0 BARBARA MILLER TRUSTEE/VICE CHAIR 1.00 0.00 X X 0 0 0 CALVIN MURRAY TRUSTEE 1.00 0.00 X 0 0 0 CHRISTINE RANDOLPH TRUSTEE 1.00 0.00 X 0 0 0 KAREN RUBIN TRUSTEE 1.00 0.00 X 0 0 0 SUSAN SALICE TRUSTEE 1.00 0.00 X 0 0 0 ANDREI SAUNDERS TRUSTEE 1.00 0.00 X 0 0 0 DANIEL SOLOMON TRUSTEE 1.00 0.00 X 0 0 0 HANNAH STRASSER TRUSTEE 1.00 1.00 X 0 0 0 RANJAN TANDON TRUSTEE 1.00 0.00 X 0 0 0 BOBBY WALKER JR TRUSTEE 1.00 0.00 X 0 0 0 5546745 3936899 1751923 642 1 1 0 VAYA WORFORCE SOLUTIONS LLC 5930 CORNERSTONE COURT WEST SAN DIEGO CA 92121 STAFFING SERVICE 6240507 UNITEX TEXTILE RENTAL INC 161 SOUTH MACQESTEN PARKWAY MOUNT VERNON NY 10550 LAUNDERING SERVICE 1617569 MANAGEMENT HEALTH SYSTEMS LLC 1580 SAWGRASS CORPORATE PKWY SUNRISE FL 33323 STAFFING SERVICE 1399863 QUEST DIAGNOSTICS 2025 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 LABORATORY SERVICES 1316742 UNITED SECURITY INC 1525 KINGS HIGHWAY SUITE 104 FAIRFIELD CT 06824 SECURITY SERVICE 1211008 50 899059 11072972 8199546 233687 20171577 PATIENT PROGRAM SERVIC 621400 522713130 522713130 PATHOLOGY PATIENT REVE 621500 3544542 3544542 OUTREACH LAB 621500 2759636 2759636 IVF SERVICE INCOME 621990 2517005 2517005 531534313 9975770 9975770 3704896 2849920 854976 854976 854976 45214635 26933 36530392 0 8684243 26933 8711176 8711176 96900 899059 486798 -389898 -389898 OTHER ANCILLARY REVENU 901101 2023824 2023824 CAFETERIA/FOOD SALES 722514 1575642 1575642 AUXILIARY 459420 1528195 1528195 -191576 -191576 4936085 575793999 533902338 2568060 19152024 X 143858 143858 23431 23431 4071765 4071765 165061228 154447791 9012601 1600836 2772951 2594651 159167 19133 25637010 23988550 1170397 478063 11529530 10788181 661795 79554 114949 107558 7391 27254 25502 1752 13178 12331 847 119317 111645 7672 662940 620313 42627 172398153 161312952 11007388 77813 6363035 4504160 1382139 476736 19104570 17876146 987227 241197 353913 331156 19930 2827 375610 351458 24152 14711150 14711150 18297584 17121049 1176535 8466290 7921908 544382 PHARMACEUTICAL SUPPLIES 54846382 51319760 3526622 MEDICAL SUPPLY EXPENSE 43949391 41123445 2825946 EDUCATION AND OTHER EMP 692976 648417 32025 12534 MEMBERSHIP DUES & FEES 136413 127642 7832 939 14835 13881 852 102 549887713 510226935 36671044 2989734 15720497 1010910 562795 10306142 8469480 70550547 82388415 10816575 12847580 9235310 9072621 524218353 316373443 214867898 207844910 420641407 470671891 70899380 64880607 808328169 872458796 52305661 52606772 10861792 7366050 102159142 101766402 165326595 161739224 X 449407292 495158545 193594282 215561027 643001574 710719572 808328169 872458796 X 25906286 29819336 11992376 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 1 500 0 0 1 24708 0 1 94109 119317 0 PART II-B, LINE 1: THE AMOUNT REPORTED IN "OTHER ACTIVITIES" REPRESENTS A PORTION OF PROFESSIONAL DUES ATTRIBUTABLE TO LOBBYING DURING FY 2024. ALSO, THE HEALTH SYSTEM OFFICIALS HAD MEETINGS AND CONTACTS WITH STATE GOVERNMENT OFFICIALS,INCLUDING STATE LEGISLATORS AND THEIR STAFF TO DISCUSS VARIOUS HEALTH CARE REFORM PROPOSALS. GREENWICH HOSPITAL IS PART OF A AFFILIATED GROUP WITH THE FOLLOWING LOBBYING EXPENSES: YALE NEW HAVEN HOSPITAL EIN 06-0646652 $819,144 BRIDGEPORT HOSPITAL EIN 06-0646554 $189,292 NORTHEAST MEDICAL GROUP INC EIN 06-1330992 $ 30,277 LAWRENCE + MEMORIAL HOSPITAL EIN 06-0646704 $111,291 LMW HEALTHCARE, INC. EIN 46-0543230 $ 53,800 29725537 628280 3996282 921240 33428859 28323226 2367729 926202 39216 29725537 32096629 -2842359 894011 37033 28323226 33244010 7449385 8561002 35764 32096629 32010354 1836948 565345 37947 33244010 0.00000 0.11980 0.88020 0 0 22554623 22554623 243135303 145336781 97798522 70254842 45019127 25235715 178741735 126017535 52724200 9531850 9531850 207844910 OTHER SECURITIES 470671891 F 470671891 OTHER RECEIVABLES 5872959 INTERCOMPANY RECEIVABLES 3388820 CHARITABLE REMAINDER TRUST 2391482 RIGHT OF USE ASSETS 53227346 64880607 DUE-3RD PARTY & OTHER PAYORS 26710107 EST LIABILITY-SELF INSURANCE 1956721 FORWARD INTEREST RATE SWAP 54165 OTHER ACCR EXPS AND CURRENT LIAB. 13641186 OPERATING LEASE LIABILITY 59060169 FEMA AND ERC RESERVES 344054 101766402 X PART V, LINE 4: THE ENDOWED FUNDS' INTENDED USE IS TO GENERATE INCOME TO SUPPORT GREENWICH HOSPITAL PROGRAM SERVICE FUNCTIONS AND OTHER OPERATIONS IN ACCORDANCE WITH THE GREENWICH HOSPITAL POOLED INVESTMENT POLICY. PART X, LINE 2: GREENWICH HOSPITAL AND ITS AFFILIATED ENTITIES ARE INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF YALE NEW HAVEN HEALTH SERVICES CORPORATION AND SUBSIDIARIES AUDITED FINANCIAL STATEMENTS. FOLLOWING IS THE FOOTNOTE FROM THE CONSOLIDATED FINANCIAL STATEMENTS: MOST ENTITIES WITHIN THE SYSTEM ARE NOT FOR PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE CODE, AND ARE GENERALLY EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE CODE. PROVISIONS FOR INCOME TAXES AND DEFERRED TAXES, WHERE APPLICABLE, HAVE BEEN MADE FOR THE TAXABLE ENTITIES LISTED ABOVE UNDER THE DESCRIPTION OF THE SYSTEM. THE SYSTEM EVALUATES TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN THE COURSE OF PREPARING THE SYSTEM'S TAX RETURNS TO DETERMINE WHETHER THE TAX POSITIONS ARE "MORE-LIKELY-THAN-NOT" OF BEING SUSTAINED BY THE APPLICABLE TAX AUTHORITY BASED UPON THE TECHNICAL MERITS OF THE POSITION. THE SYSTEM RECOGNIZES THE EFFECT OF TAX POSITIONS ONLY IF THEY ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. THIS EVALUATION HAD NO IMPACT ON THE OPERATIONS OF THE SYSTEM AS OF AND FOR THE YEARS ENDED SEPTEMBER 30, 2024 AND 2023. GALA 995959 899059 96900 5000 100121 381677 995959 899059 96900 5000 100121 381677 486798 -389898 1 1 X 1 X 250.000000000000 1 X 550.000000000000 1 1 1 0 1 1 6404 34864327 10765000 24099327 0.04380 38294 53232951 30836667 22396284 0.04070 0 0 44698 88097278 41601667 46495611 0.08450 10 13617 874071 5625 868446 0.00160 3 97 2676545 0 2676545 0.00490 1 14662 10937137 5206377 5730760 0.01040 0 0 0 0 3 3996 162862 7050 155812 0.00030 17 32372 14650615 5219052 9431563 0.01720 17 77070 102747893 46820719 55927174 0.10170 1 0 279139 0 279139 0.00050 0 0 0 0 1 0 14325 0 14325 0.00000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 58 243275 0 243275 0.00040 0 0 0 0 3 58 536739 536739 0.00090 1 14710000 109216403 174897033 -65680630 X 1 1 1 NONE NONE 1 1 GREENWICH HOSPITAL 5 PERRYRIDGE ROAD GREENWICH CT 06830 WWW.GREENWICHHOSPITAL.ORG 0045 X X X X X GREENWICH HOSPITAL 1 0 0 1 X X X X X X X X X 21 1 0 1 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X 1 21 1 SEE PART V, SECTION C 0 1 X 250.000000000000 550.000000000000 X X X X X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X 1 X 0 0 PART V, SECTION A: THIS STATE LICENSE FOR THE HOSPITAL LOCATION LISTED IN SCHEDULE H, PART V, SECTION A, ALSO COVERS VARIOUS SATELLITE LOCATIONS OPERATED UNDER AND EXPRESSLY LISTED ON THE SAME STATE HOSPITAL LICENSE. GREENWICH HOSPITAL PART V, SECTION B, LINE 5: COMMUNITY ENGAGEMENT AND FEEDBACK WERE AN INTEGRAL PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. GREENWICH HOSPITAL AND ITS COMMUNITY PARTNERS SOUGHT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL. PUBLIC HEALTH AND HEALTH CARE PROFESSIONALS SHARED KNOWLEDGE AND EXPERTISE ABOUT HEALTH ISSUES, WHILE LEADERS AND REPRESENTATIVES OF NON-PROFIT AND COMMUNITY-BASED ORGANIZATIONS PROVIDED INSIGHT ON THE COMMUNITY SERVED BY THE HOSPITAL, INCLUDING MEDICALLY UNDERSERVED, LOW INCOME, AND MINORITY POPULATIONS. GREENWICH HOSPITAL PART V, SECTION B, LINE 6B: YES, THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED WITH COMMUNITY PARTNERS THAT PROVIDED GUIDANCE, EXPERTISE, AND ONGOING COLLABORATION TO FOSTER COLLECTIVE IMPACT IN IMPROVING THE HEALTH AND WELLBEING OF THE GREENWICH AND PORT CHESTER COMMUNITIES. THIS INCLUDED THE GREENWICH COMMUNITY HEALTH IMPROVEMENT PARTNERSHIP AND THE COUNCIL OF COMMUNITY SERVICES, WHOSE MEMBER ORGANIZATIONS ARE REPRESENTATIVE OF THOSE IN THE COMMUNITY WHO SERVE UNDERSERVED, LOW-INCOME, AND HARD TO REACH POPULATIONS. THIS APPROACH TO ASSESSMENT AND PLANNING AIMS TO ENGAGE AGENCIES, ORGANIZATIONS, AND RESIDENTS IN THE AREA THROUGH PARTICIPATORY AND COLLABORATIVE APPROACHES.SCHEDULE H, PART V, SEC B, LINE 7A AND 10A:HTTPS://WWW.GREENWICHHOSPITAL.ORG/ABOUT/COMMUNITY/COMMUNITY-HEALTH/NEEDS-ASSESSMENT.ASPXSCHEDULE H, PART V, SEC B, LINE 7B:HTTP://WWW.GCHIP.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ GREENWICH HOSPITAL PART V, SECTION B, LINE 11: GREENWICH HOSPITAL DEVELOPED A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) TO GUIDE OUR EFFORTS IN RESPONDING TO OUR COMMUNITY'S NEEDS. USING RECOMMENDATIONS FROM THE PEOPLE WHO DELIVER AND USE THESE SERVICES, WE WILL FOSTER COLLABORATION TO BETTER COORDINATE OUR COMMUNITY RESOURCES. WE WILL SEEK TO BETTER CONNECT PEOPLE TO THE SERVICES THEY NEED AND REDUCE DISPARITIES IN HEALTH AND SOCIOECONOMIC MEASURES THAT STEM FROM UNDERLYING INEQUITIES IN OUR SOCIETY. WE USED THE TOP NEEDS IDENTIFIED THROUGH COMMUNITY ENGAGEMENT AS A FOUNDATION FOR OUR CHIP DEVELOPMENT TO ADDRESS THE NEEDS OF GREATEST CONCERN TO COMMUNITY MEMBERS. THESE INDIVIDUALS PROVIDED DIVERSE PERSPECTIVES ON HEALTH TRENDS, SHARED LIVED EXPERIENCES AMONG HISTORICALLY DISENFRANCHISED AND UNDERSERVED POPULATIONS, AND PROVIDED INSIGHTS INTO SERVICE DELIVERY GAPS THAT CONTRIBUTE TO HEALTH DISPARITIES AND INEQUITIES. THE COMMUNITY NEEDS ARE AFFORDABLE HEALTHCARE, BEHAVIORAL HEALTH, DRUG/ALCOHOL MISUSE, EDUCATION, FINANCIAL SECURITY, FOOD SECURITY, AND HOUSING. THE CHIP PROVIDES DIRECTION FOR ADDRESSING THE HEALTH AND WELLBEING NEEDS OF THE COMMUNITY.THE CHIP WAS DEVELOPED BY A HOSPITAL TASK FORCE COMPRISED OF LEADERS FROM MULTIPLE DEPARTMENTS TO CAPTURE ALL HOSPITAL AND HEALTH SYSTEM EFFORTS THAT IMPACT THE HEALTH OF THE LOCAL COMMUNITY. CHIP GOALS REFLECT IDENTIFIED NEEDS AND WERE CONFIRMED THROUGH DISCUSSIONS WITH COMMUNITY LEADERS AND STAKEHOLDERS. OUR PRIORITY AREAS COME FROM THE TOP NEEDS IDENTIFIED BY THE CHNA AND ARE ALIGNED WITH THOSE OF OUR COLLECTIVE IMPACT PARTNERSHIP, GREENWICH COMMUNITY HEALTH IMPROVEMENT PARTNERSHIP, AND THE COUNCIL OF COMMUNITY SERVICES: COMMUNITY HEALTH AND WELLBEING, ACCESS TO CARE, BEHAVIORAL HEALTH, AND HEALTHY LIVING. THESE PRIORITY AREAS REFLECT THE GREATEST NEEDS IN THE COMMUNITY WITH HEALTH SYSTEM AND HOSPITAL GENERATED STRATEGIES FOR ACTION AND ALIGNMENT WITH STATEWIDE EFFORTS IN THE STATE OF CONNECTICUT HEALTH IMPROVEMENT PLAN. GREENWICH HOSPITAL PART V, SECTION B, LINE 13H: THESE PROGRAMS COVER EMERGENCY AND OTHER MEDICALLY NECESSARY CARE ONLY. SCHEDULE H, PART V, SECTION B, LINE 16A, 16B AND 16C: HTTPS://WWW.GREENWICHHOSPITAL.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE.ASPXSCHEDULE H, PART V, SECTION D:THE FACILITY LOCATIONS LISTED IN SCHEDULE H, PART V, SECTION D, INCLUDE OFF-CAMPUS OUTPATIENT HEALTH CARE FACILITIES THAT GREENWICH HOSPITAL OPERATED DURING THE TAX YEAR UNDER ITS STATE HOSPITAL LICENSE. 12 1 - GREENWICH HOSPITAL 106 NOROTON AVENUE DARIEN CT 06820 BLOOD DRAW 2 - GREENWICH HOSPITAL 1281 EAST MAIN STREET STAMFORD CT 06902 MEDICAL FACILITY 3 - GREENWICH HOSPITAL 15 VALLEY DRIVE GREENWICH CT 06831 BLOOD DRAW 4 - GREENWICH HOSPITAL 40 CROSS STREET NORWALK CT 06850 BLOOD DRAW 5 - GREENWICH HOSPITAL 67 OLD RIDGEFIELD ROAD WILTON CT 06897 BLOOD DRAW 6 - GREENWICH HOSPITAL 7 RIVERSVILLE ROAD GREENWICH CT 06830 BLOOD DRAW 7 - GREENWICH HOSPITAL 90 MORGAN STREET STAMFORD CT 06905 BLOOD DRAW 8 - GREENWICH HOSPITAL 90 SOUTH RIDGE STREET RYE BROOK NY 10573 BLOOD DRAW 9 - GREENWICH HOSPITAL 1 PERRYRIDGE ROAD GREENWICH CT 06830 MEDICAL FACILITY 10 - GREENWICH HOSPITAL 38 LAKE AVENUE GREENWICH CT 06830 MEDICAL FACILITY 11 - GREENWICH HOSPITAL 75 HOLLY HILL LANE GREENWICH CT 06830 MEDICAL FACILITY 12 - GREENWICH HOSPITAL 54-56 LAFAYETTE PLACE GREENWICH CT 06830 MEDICAL FACILITY PART I, LINE 3C: THE FINANCIAL ASSISTANCE POLICY PROVIDES THAT THE PATIENT MUST SUBMIT A FINANCIAL ASSISTANCE APPLICATION. PART I, LINE 7: GREENWICH HOSPITAL ("THE HOSPITAL") USES A COST ACCOUNTING SYSTEM, STRATAJAZZ, TO CALCULATE THE AMOUNTS PRESENTED IN PART I, LINE 7. THE COST ACCOUNTING SYSTEM ADDRESSES ALL PATIENT SEGMENTS. PART II, COMMUNITY BUILDING ACTIVITIES: GREENWICH HOSPITAL, ALONG WITH MANY OTHER HOSPITALS ACROSS THE COUNTRY, UTILIZES THE COMMUNITY BENEFITS INVENTORY FOR SOCIAL ACCOUNTABILITY (CBISA) DATABASE DEVELOPED BY LYON SOFTWARE TO CATALOG ITS COMMUNITY BENEFIT AND COMMUNITY BUILDING ACTIVITIES AND THE GUIDELINES DEVELOPED BY THE CATHOLIC HOSPITAL ASSOCIATION (CHA) TO CATALOG THESE BENEFITS. THESE TWO ORGANIZATIONS HAVE WORKED TOGETHER FOR OVER 30 YEARS TO PROVIDE SUPPORT TO NOT-FOR-PROFIT HOSPITALS TO DEVELOP AND SUSTAIN EFFECTIVE COMMUNITY BENEFIT PROGRAMS.THE MOST RECENT VERSION OF THE CHA GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFIT DEFINES COMMUNITY BUILDING ACTIVITIES AS ACTIVITIES THE ORGANIZATION ENGAGES IN TO PROTECT OR IMPROVE THE HEALTH AND SAFETY OF ITS RESIDENTS. THESE ACTIVITIES ARE CATEGORIZED INTO EIGHT DISTINCT AREAS INCLUDING PHYSICAL IMPROVEMENT AND HOUSING, ECONOMIC DEVELOPMENT, COMMUNITY SUPPORT, ENVIRONMENTAL IMPROVEMENTS, LEADERSHIP DEVELOPMENT AND TRAINING, COALITION BUILDING, COMMUNITY HEALTH IMPROVEMENT ADVOCACY, AND WORKFORCE DEVELOPMENT. DURING FISCAL YEAR 2024, GREENWICH HOSPITAL PROVIDED $536,739 IN FINANCIAL AND IN-KIND DONATIONS IN THE AREA OF COMMUNITY BUILDING ACTIVITIES. THE HOSPITAL CONSIDERS THESE INVESTMENTS PART OF ITS OVERALL COMMITMENT OF BUILDING STRONGER NEIGHBORHOODS. EXAMPLES BELOW FOCUS ON THE AREAS OF REVITALIZING OUR NEIGHBORHOODS AND CREATING EDUCATIONAL OPPORTUNITIES. GREENWICH HOSPITAL ALSO PROVIDED SUPPORT TO OTHER ORGANIZATIONS ADDRESSING THE ISSUES OF SOCIAL COHESION AND ECONOMIC VITALITY.REVITALIZING OUR NEIGHBORHOODSONE OF SEVERAL COMMUNITY INITIATIVES UNDERTAKEN BY GREENWICH HOSPITAL TO ENHANCE ACCESS TO HEALTHY, AFFORDABLE FOOD IS COMMUNITY GARDENS. THIS PROGRAM IS ADMINISTERED IN COLLABORATION WITH THE COUNCIL OF COMMUNITY SERVICES, PORT CHESTER SCHOOLS AND AREA CHURCHES CULTIVATES COMMUNITY GARDENS THAT PROVIDE FRESH VEGETABLES. THE COMMUNITY GARDENS PROMOTED HEALTH EDUCATION BY EMPHASIZING HEALTHY EATING HABITS, ENCOURAGING KIDS TO TRY NEW VEGETABLES, CONNECTING CHILDREN TO NATURE AND THE ENVIRONMENT, PREVENTING CHILDHOOD OBESITY, AND FOCUSING ON PHYSICAL ACTIVITY.GREENWICH HOSPITAL PARTICIPATES ON COMMUNITY COALITIONS WHICH INCLUDE, GREENWICH TOGETHER, PORT CHESTER YOUTH BUREAU, BLIND BROOK AND RYEACT. YOUTH GROUPS TOOK PART IN DRUG AND ALCOHOL PREVENTION PROGRAMS AT CONNECTICUT AND NEW YORK SCHOOLS. THE PROGRAMS ARE DESIGNED TO DECREASE DRINKING AND DRIVING FATALITIES AND REDUCE MOTOR VEHICLE CRASHES DUE TO SPEEDING, DRUGS, ALCOHOL, TEXTING, AND OTHER DRIVING DISTRACTIONS. AS PART OF A SUSTAINABILITY PROGRAM AIMED AT ADDRESSING FOOD INSECURITY, GREENWICH HOSPITAL AND FOOD RESCUE USA TEAMED UP TO RECOVER FOOD THAT HAS BEEN PREPARED BUT NOT SERVED FROM THE HOSPITAL AND DONATED TO LOCAL HUNGER RELIEF ORGANIZATIONS.GREENWICH HOSPITAL WAS ALSO THE RECIPIENT OF A DONATION OF FUNDS TO DEVELOP A COMMUNITY FLOWER GARDEN ON ITS PROPERTY TO BE OPEN TO THE PUBLIC. RECENT STUDIES HAVE PROVEN THE HEALTH AND WELLNESS BENEFITS ASSOCIATED WITH BEING IN NATURE. VARIOUS COMMUNITY CEREMONIES AND CELEBRATIONS ARE CONDUCTED IN THE GARDEN INCLUDING CANCER SURVIVOR PROGRAMS AND THE TREE OF LIGHT PROGRAM. CREATING EDUCATIONAL OPPORTUNITIES HIGHER EDUCATIONAL ATTAINMENT IS ASSOCIATED WITH BETTER HEALTH STATUS AND LONGER LIFE. FOR EXAMPLE, ADULTS AGED 25-50 YEARS WHO HAVE A COLLEGE DEGREE WILL ON AVERAGE LIVE FIVE YEARS LONGER THAN THOSE WITH LESS THAN A HIGH SCHOOL EDUCATION. TO ENCOURAGE THE PURSUIT OF HIGHER EDUCATION, GREENWICH HOSPITAL SPONSORED SEVERAL PROGRAMS TO INTRODUCE MIDDLE AND HIGH SCHOOL STUDENTS TO POTENTIAL HEALTH CARE CAREERS. ONE EXAMPLE IS THE JUNIOR AND SENIOR INTERNSHIP PLACEMENTS, WHICH PROVIDE STUDENTS WITH OPPORTUNITIES IN A VARIETY OF AREAS THROUGHOUT THE HOSPITAL. THIS YEAR, 55 STUDENTS PARTICIPATED IN THE INTERNSHIP PROGRAM.WORKFORCE DEVELOPMENTAS WITH EDUCATIONAL ACHIEVEMENT, THERE IS STRONG EVIDENCE THAT HIGHER SOCIAL AND ECONOMIC STATUS ARE ASSOCIATED WITH BETTER HEALTH. AS ONE OF THE TOP FIVE EMPLOYERS IN GREENWICH, GREENWICH HOSPITAL PROVIDES IN-KIND AND FINANCIAL SUPPORT FOR EMPLOYMENT AND TRAINING PROGRAMS OFFERED BY AREA NOT-FOR-PROFIT ORGANIZATIONS SUCH AS THE ONES DESCRIBED BELOW. IN 2024, GREENWICH HOSPITAL CONTINUED TO SERVE AS A HOST ORGANIZATION FOR PROJECT SEARCH TRAINING PROGRAM. PROJECT SEARCH IS A COLLABORATION AMONG ABILIS GH, DARIEN YMCA PROGRAMS, VARIOUS LOCAL SCHOOL DISTRICTS AND THE CT DEPARTMENT OF DEVELOPMENTAL SERVICES. THE NINE-MONTH INTERNSHIP PROGRAM FOR YOUNG ADULTS WITH DEVELOPMENTAL DISABILITIES IS FOR INDIVIDUALS WHOSE GOAL IS COMPETITIVE EMPLOYMENT. THREE INDIVIDUALS PARTICIPATED IN THE PROGRAM DURING FY 2024. PART III, LINE 2: IN ACCORDANCE WITH THE ESTABLISHED POLICIES OF THE HOSPITAL, DURING THE REGISTRATION, BILLING AND COLLECTION PROCESS A PATIENT'S ELIGIBILITY FOR FREE CARE FUNDS IS DETERMINED. FOR PATIENTS WHO WERE DETERMINED BY THE HOSPITAL TO HAVE THE ABILITY TO PAY BUT DID NOT, THE UNCOLLECTED AMOUNTS ARE BAD DEBT EXPENSE. THE HOSPITAL'S COST ACCOUNTING SYSTEM UTILIZES PATIENT-SPECIFIC DATA TO ACCUMULATE AND DERIVE COSTS RELATED TO THESE BAD DEBT ACCOUNTS.DUE TO THE ADOPTION OF ASU NO. 2014-09 REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606) CHANGED HOW BAD DEBT EXPENSE IS REPORTED ON THE AUDITED FINANCIAL STATEMENTS. FOR THE PATIENTS WHO WERE DETERMINED BY THE HOSPITAL TO HAVE THE ABILITY TO PAY UNCOLLECTED AMOUNTS BUT DID NOT, THESE UNCOLLECTED AMOUNTS ARE TREATED AS IMPLICIT PRICE CONCESSIONS. BAD DEBT IS DETERMINED IF THERE WAS AN ADVERSE EVENT THAT PREVENTED A PATIENT FROM BEING ABLE TO PAY THE EXPECTED AMOUNT. THE HOSPITAL IS REPORTING, IF APPLICABLE, BOTH BAD DEBT AND IMPLICIT PRICE CONCESSIONS ON SCHEDULE H, PART III, LINE 2. PART III, LINE 3: THE ORGANIZATION DOES NOT CURRENTLY HAVE A METHODOLOGY TO ACCURATELY QUANTIFY OR ESTIMATE THE AMOUNT OF BAD DEBT EXPENSE THAT WOULD BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. PART III, LINE 4: GREENWICH HOSPITAL IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS FOR YALE NEW HAVEN HEALTH SERVICES CORPORATION (YNHHSC). THE CONSOLIDATED FINANCIAL STATEMENTS FOR YNHHSC INCLUDES THE FOLLOWING FOOTNOTE REGARDING UNCOMPENSATED CARE AND COMMUNITY BENEFIT EXPENSE ON PAGE 19:THE SYSTEM'S COMMITMENT TO COMMUNITY SERVICE IS EVIDENCED BY SERVICES PROVIDED TO THE POOR AND BENEFITS PROVIDED TO THE BROADER COMMUNITY. SERVICES PROVIDED TO THE POOR INCLUDE SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD HEALTHCARE BECAUSE OF INADEQUATE RESOURCES, AND/OR WHO ARE UNINSURED OR UNDERINSURED.THE SYSTEM PROVIDES FREE CARE PROGRAMS FOR QUALIFYING PATIENTS. IN ACCORDANCE WITH THE ESTABLISHED POLICIES OF THE SYSTEM, DURING THE REGISTRATION, BILLING, AND COLLECTION PROCESS, A PATIENT'S ELIGIBILITY FOR FREE CARE FUNDS IS DETERMINED. FOR PATIENTS WHO WERE DETERMINED BY THE SYSTEM TO HAVE THE ABILITY TO PAY BUT DID NOT, THE UNCOLLECTED AMOUNTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS. FOR PATIENTS WHO DO NOT AVAIL THEMSELVES OF ANY FREE CARE PROGRAM, AND WHOSE ABILITY TO PAY CANNOT BE DETERMINED BY THE SYSTEM, CARE GIVEN BUT NOT PAID FOR IS CLASSIFIED AS CHARITY CARE.TOGETHER, CHARITY CARE AND FREE CARE REPRESENT UNCOMPENSATED CARE. THE ESTIMATED COST OF TOTAL UNCOMPENSATED CARE IS APPROXIMATELY $94.6 MILLION AND $78.8 MILLION FOR THE YEARS ENDED SEPTEMBER 30, 2024 AND 2023, RESPECTIVELY. THE ESTIMATED COST OF UNCOMPENSATED CARE IS BASED ON THE RATIO OF COST TO CHARGES, AS DETERMINED BY HOSPITAL SPECIFIC DATA.THE ALLOCATION BETWEEN IMPLICIT PRICE CONCESSION AND CHARITY CARE IS DETERMINED BASED ON MANAGEMENT'S ANALYSIS ON THE PREVIOUS TWELVE MONTHS OF HOSPITAL DATA. THIS ANALYSIS CALCULATES THE ACTUAL PERCENTAGE OF ACCOUNTS WRITTEN OFF OR DESIGNATED AS IMPLICIT PRICE CONCESSIONS VERSUS CHARITY CARE WHILE TAKING INTO ACCOUNT THE TOTAL COSTS INCURRED BY THE SYSTEM FOR EACH ACCOUNT ANALYZED.THE CONNECTICUT DISPROPORTIONATE SHARE HOSPITAL PROGRAM (CDSHP) WAS ESTABLISHED TO PROVIDE FUNDS TO HOSPITALS FOR THE PROVISION OF UNCOMPENSATED CARE AND IS FUNDED, IN PART, BY AN ASSESSMENT ON HOSPITAL PATIENT SERVICE REVENUE. THE SYSTEM MADE PAYMENTS INTO THE CDSHP OF $317.8 MILLION AND $317.9 MILLION FOR THE YEARS ENDED SEPTEMBER 30, 2024 AND 2023, RESPECTIVELY, FOR THE ASSESSMENT.DURING THE YEARS ENDED SEPTEMBER 30, 2024 AND 2023, THE SYSTEM RECEIVED $198.2 MILLION IN CDSHP DISTRIBUTIONS. THESE ARE RECORDED IN PATIENT SERVICE REVENUE.ADDITIONALLY, THE SYSTEM PROVIDES BENEFITS FOR THE BROADER COMMUNITY, WHICH INCLUDES SERVICES PROVIDED TO OTHER NEEDY POPULATIONS THAT MAY NOT QUALIFY AS POOR BUT NEED SPECIAL SERVICES AND SUPPORT. BENEFITS INCLUDE THE COST OF HEALTH PROMOTION AND EDUCATION OF THE GENERAL COMMUNITY, INTERNS AND RESIDENTS, HEALTH SCREENINGS, AND MEDICAL RESEARCH. THE BENEFITS ARE PROVIDED THROUGH THE COMMUNITY HEALTH CENTERS, SOME OF WHICH SERVICE NON-ENGLISH SPEAKING RESIDENTS, DISABLED CHILDREN, AND VARIOUS COMMUNITY SUPPORT GROUPS. THE SYSTEM VOLUNTARILY ASSISTS WITH THE DIRECT FUNDING OF SEVERAL CITY OF NEW HAVEN PROGRAMS, INCLUDING AN ECONOMIC DEVELOPMENT PROGRAM AND A YOUTH INITIATIVE PROGRAM.IN ADDITION TO THE QUANTIFIABLE SERVICES DEFINED ABOVE, THE SYSTEM PROVIDES BENEFITS TO THE COMMUNITY THROUGH ITS ADVOCACY OF COMMUNITY SERVICE BY EMPLOYEES. THE SYSTEM'S EMPLOYEES SERVE NUMEROUS ORGANIZATIONS THROUGH BOARD REPRESENTATION, MEMBERSHIP IN ASSOCIATIONS AND OTHER RELATED ACTIVITIES. THE SYSTEM ALSO SOLICITS THE ASSISTANCE OF OTHER HEALTHCARE PROFESSIONALS TO PROVIDE THEIR SERVICES AT NO CHARGE THROUGH PARTICIPATION IN VARIOUS COMMUNITY SEMINARS AND TRAINING PROGRAMS. PART III, LINE 8: THE ENTIRE MEDICARE LOSS PRESENTED SHOULD BE TREATED AS A COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO MEDICARE BENEFICIARIES, IRS REVENUE RULING 69-545 INDICATES THAT HOSPITALS OPERATE FOR THE PROMOTION OF HEALTH IN THE COMMUNITY WHEN IT PROVIDES CARE TO PATIENTS WITH GOVERNMENTAL HEALTH BENEFITS, THE HOSPITAL PROVIDES CARE TO MEDICARE PATIENTS REGARDLESS OF MEDICARE SHORTFALLS (REDUCING THE BURDEN ON THE GOVERNMENT), AND MANY OF THE MEDICARE PARTICIPANTS WOULD HAVE QUALIFIED FOR THE CHARITY CARE OR OTHER MEANS TESTED PROGRAMS ABSENT BEING ENROLLED IN THE MEDICARE PROGRAM. THE MEDICARE SHORTFALL REPORTED IS DETERMINED BY THE HOSPITAL'S COST ACCOUNTING SYSTEM, STRATA. PART III, LINE 9B: IT IS THE HOSPITAL'S POLICY TO TREAT ALL PATIENTS EQUITABLY WITH RESPECT AND COMPASSION, FROM THE BEDSIDE TO THE BILLING OFFICE. THE HOSPITAL WILL PURSUE PATIENT ACCOUNTS, DIRECTLY AND THROUGH ITS COLLECTION AGENTS, FAIRLY AND CONSISTENTLY TAKING INTO CONSIDERATION DEMONSTRATED FINANCIAL NEED. AS PART OF ITS COLLECTION PROCESS, THE HOSPITAL WILL MAKE REASONABLE EFFORTS TO DETERMINE IF AN INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER ITS FINANCIAL ASSISTANCE POLICY. IN THE EVENT A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE, THE HOSPITAL WILL NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTION AS DEFINED BY LAW AND HOSPITAL POLICY. PART VI, LINE 2: COMMUNITY NEEDS ARE ROUTINELY REVIEWED AND ADDRESSED AS PART OF THE OPERATIONS AND SERVICE LINE TEAMS AT GREENWICH HOSPITAL. THESE MULTI-DISCIPLINARY GROUPS PROVIDE ANALYSIS AND INSIGHT INTO PATIENT UTILIZATION TRENDS ACROSS THE DELIVERY OF CARE AND ARE REVIEWED IN TANDEM WITH CARE MANAGEMENT AND PATIENT SATISFACTION RESULTS AND OTHER COMMUNITY FEEDBACK. COUPLED WITH THE COMMUNITY NEEDS ASSESSMENT, THIS INFORMATION ASSISTS WITH THE DEVELOPMENT OF NEW INITIATIVES, PARTNERSHIPS, PROGRAMS, AND SERVICES TO BENEFIT OUR COMMUNITY. PART VI, LINE 3: GREENWICH HOSPITAL INFORMS INDIVIDUALS ABOUT ITS FINANCIAL ASSISTANCE PROGRAMS ON ITS WEBSITE, THROUGH VISIBLE POSTINGS AND COMMUNICATIONS AT POINTS OF REGISTRATION AND FRONT LINE ACCESS. THE FINANCIAL ASSISTANCE POLICY, APPLICATION AND SUMMARY ARE AVAILABLE ON REQUEST WITHOUT CHARGE BY MAIL, INCLUDING AT ADMITTING DEPARTMENT. FURTHER, PATIENTS RECEIVE A SUMMARY OF FINANCIAL ASSISTANCE PROGRAMS, INCLUDING ELIGIBILITY REQUIREMENTS THROUGH A FIRST STATEMENT MAILER AS PART OF THE BILLING PROCESS. THESE COMMUNICATIONS INCLUDE TELEPHONE NUMBERS AND POINT OF CONTACT FOR INDIVIDUALS TO VISIT OR CALL. THE HOSPITAL HAS RESOURCES TO ASSIST PATIENTS WITH STATE OF CONNECTICUT MEDICAID APPLICATIONS. PART VI, LINE 4: TO DEFINE COMMUNITY FOR CHNA PURPOSES THIS GREATER GREENWICH COMMUNITY HEALTH NEEDS ASSESSMENT USES A GEOGRAPHICAL APPROACH FOCUSING ON FIVE CONTINGENT TOWNS WITHIN CONNECTICUT AND NEW YORK: GREENWICH, CT AND MAMARONECK, PORT CHESTER, RYE BROOK AND RYE TOWN, NY. THESE COMMUNITIES ARE SERVED BY GREENWICH HOSPITAL REPRESENTING APPROXIMATELY 50% OF TOTAL DISCHARGES AND DO NOT OVERLAP WITH CHNA AREAS IDENTIFIED BY OTHER ACUTE CARE HOSPITALS AND/OR COLLABORATIONS. UPON DEFINING THE GEOGRAPHIC AREA AND POPULATION SERVED IN GREATER GREENWICH, THE COALITIONS AND GREENWICH HOSPITAL WERE DILIGENT TO ENSURE THAT NO GROUPS, ESPECIALLY MINORITY, LOW-INCOME OR MEDICALLY UNDER-SERVED, WERE EXCLUDED.NUMEROUS FACTORS ARE ASSOCIATED WITH THE HEALTH OF A COMMUNITY INCLUDING WHAT RESOURCES AND SERVICES ARE AVAILABLE AS WELL AS WHO LIVES IN THE COMMUNITY. WHILE INDIVIDUAL CHARACTERISTICS SUCH AS AGE, GENDER, RACE, AND ETHNICITY HAVE AN IMPACT ON PEOPLE'S HEALTH, THE DISTRIBUTION OF THESE CHARACTERISTICS ACROSS A COMMUNITY IS ALSO CRITICALLY IMPORTANT AND CAN AFFECT THE NUMBER AND TYPE OF SERVICES AND RESOURCES AVAILABLE. THE TOWNS IN THE REGION VARY DRAMATICALLY IN TERMS OF THEIR RACIAL AND ETHNIC COMPOSITION. GREENWICH HAS A POPULATION OF 62,587 WITH MOST RESIDENTS (73%) IDENTIFYING AS WHITE, 14% AS HISPANIC, AND 3% BLACK. THIS IS HIGHER THAN THE STATE OF CT WITH 67% OF THE POPULATION IDENTIFYING AS WHITE, 16%, AS HISPANIC, AND 10% BLACK. EACH AREA INCLUDED 7 TO 10% OF THE POPULATION THAT IDENTIFIED AS OTHER. THE LIFE EXPECTANCY RATE IN THE TOWN OF GREENWICH IS 84 YEARS. PORT CHESTER HAS A TOTAL POPULATION OF 29,342 WITH 64% OF THE POPULATION IDENTIFYING AS HISPANIC, 31% AS WHITE, AND 3% AS BLACK. THIS IS HIGHER THAN THE STATE OF NY WITH 19% OF THE POPULATION IDENTIFYING AS HISPANIC, 56%, AS WHITE, AND 14% BLACK. EACH AREA INCLUDED 2 TO 11% OF THE POPULATION THAT IDENTIFIED AS OTHER. INCOME AND POVERTY ARE CLOSELY CONNECTED TO HEALTH OUTCOMES. A HIGHER INCOME MAKES IT EASIER TO LIVE IN A SAFE NEIGHBORHOOD WITH GOOD SCHOOLS AND MANY RECREATIONAL OPPORTUNITIES. HIGHER WAGE EARNERS ARE BETTER ABLE TO BUY MEDICAL INSURANCE AND MEDICAL CARE, PURCHASE NUTRITIOUS FOODS AND OBTAIN QUALITY CHILDCARE THAN THOSE EARNING LOWER WAGES. LOWER INCOME COMMUNITIES HAVE HIGHER RATES OF ASTHMA, DIABETES, AND HEART DISEASE. THOSE WITH LOWER INCOMES ALSO GENERALLY EXPERIENCE LOWER LIFE EXPECTANCIES. THERE WERE WIDE GAPS IN MEDIAN HOUSEHOLD INCOME RATES FOR GREENWICH ($152,577), FAIRFIELD COUNTY ($95,645), AND CONNECTICUT ($78,444). THE WIDEST GAP IS FOUND BETWEEN GREENWICH ($152,577) AND PORT CHESTER VILLAGE, RYE ($74,920). THE PROPORTION OF RESIDENTS IN GREENWICH WITH A COLLEGE DEGREE OR HIGHER (67%) WAS SIGNIFICANTLY HIGHER THAN THE STATE OVERALL (39%). ONLY 28% OF PORT CHESTER ADULTS HAD A COLLEGE DEGREE OR HIGHER. THIS DATA DEMONSTRATES THAT THERE ARE SIGNIFICANT INEQUITIES RELATED TO HIGHER EDUCATION. PART VI, LINE 5: AS A COMMUNITY HEALTH CARE SERVICES PROVIDER, GREENWICH HOSPITAL REMAINS ATTENTIVE TO HEALTH AND WELL-BEING THROUGH EDUCATION, OUTREACH, AND OTHER INNOVATIVE SERVICES. DURING 2024, GREENWICH HOSPITAL INVESTED $55.9 MILLION IN FINANCIAL AND IN-KIND CONTRIBUTIONS THROUGH FIVE WIDE-RANGING PROGRAMS: GUARANTEEING ACCESS TO CARE; ADVANCING CAREERS IN HEALTH CARE; PROMOTING HEALTH & WELLNESS; BUILDING STRONGER NEIGHBORHOODS; AND CREATING HEALTHIER COMMUNITIES. GREENWICH HOSPITAL ALSO CONTRIBUTES TO THE COMMUNITY IN WAYS THAT ARE NOT QUANTIFIED AS PART OF COMMUNITY BENEFITS AND SERVES AS AN IMPORTANT COMMUNITY RESOURCE. THIS INCLUDES HAVING A COMMUNITY-BASED BOARD OF TRUSTEES WITH A MAJORITY MEMBERS RESIDING OR WORKING IN THE AREA SERVED BY THE HOSPITAL. THE HOSPITAL ALSO EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY. IN FISCAL YEAR 2024 THERE WERE A TOTAL OF 1,181 MEMBERS ON THE GREENWICH HOSPITAL MEDICAL STAFF. GREENWICH HOSPITAL, FOUNDED IN 1903, IS A 206-BED COMMUNITY TEACHING HOSPITAL THAT HAS EVOLVED INTO A PROGRESSIVE REGIONAL HEALTHCARE CENTER, WITH 13,272 INPATIENT DISCHARGES AND 296,839 AMBULATORY ENCOUNTERS LAST YEAR. IT IS A NATIONAL LEADER IN PATIENT SATISFACTION AND SERVICE EXCELLENCE, WITH PROGRAMS DEDICATED TO WOMEN'S HEALTH, CHILDREN'S SERVICES, CANCER, AND ORTHOPEDICS. GREENWICH HOSPITAL IS A MAJOR EMPLOYER IN GREENWICH WITH 1,915 EMPLOYEES IN 2024. PART VI, LINE 6: THE YALE NEW HAVEN HEALTH SYSTEM'S FUNDAMENTAL MISSION IS TO ENSURE THAT THE DELIVERY NETWORKS SUCH AS GREENWICH HOSPITAL ASSOCIATED WITH THE SYSTEM PROMOTE THE HEALTH OF THE COMMUNITIES THEY SERVE AND ENSURE THAT ALL PATIENTS HAVE ACCESS TO APPROPRIATE HEALTHCARE SERVICES. THE YALE NEW HAVEN HEALTH SYSTEM REQUIRES ITS HOSPITALS TO INCORPORATE PLANS TO PROMOTE HEALTHY COMMUNITIES WITHIN THE HOSPITAL'S EXISTING BUSINESS PLANS AND IMPLEMENTATION STRATEGIES FOR WHICH THEY ARE HELD ACCOUNTABLE. IN ADDITION, REGULAR REPORTING ON COMMUNITY BENEFITS IS REQUIRED ON A ROUTINE BASIS. PART VI, LINE 7, REPORTS FILED WITH STATES CT 1 AMERICAN RED CROSS 431 18TH STREET NW WASHINGTON DC 20006 530196605 501(C)(3) 7370 0 SUPPORT ORGANIZATION BREAST CANCER ALLIANCE 48 MAPLE AVENUE GREENWICH CT 06830 061453500 501(C)(3) 20000 0 SUPPORT ORGANIZATION THE TOWN OF RYE PORT CHESTER RYE BROOK COUNCIL OF COMMUNITY SERVICES INC PO BOX 123 PORT CHESTER NY 10573 132787890 501(C)(3) 10500 0 SUPPORT ORGANIZATION ONSF FOUNDATION FOR CLINICAL RESEARCH & EDUCATION 6 GREENWICH OFFICE PARK GREENWICH CT 06831 261394760 501(C)(3) 33333 0 SUPPORT ORGANIZATION RYE YMCA 21 LOCUST AVENUE RYE NY 10580 131740515 501(C)(3) 8300 0 SUPPORT ORGANIZATION UNITED WAY 500 WEST PUTNAM AVENUE GREENWICH CT 06830 060646578 501(C)(3) 10000 0 SUPPORT ORGANIZATION YWCA GREENWICH 259 EAST PUTNAM AVENUE GREENWICH CT 06830 060646992 501(C)(3) 16800 0 SUPPORT ORGANIZATION 7 0 TRANSPORTATION 323 23431 COST TAXI, AMBULANCE, ETC. PART I, LINE 2: NONE OF THE AMOUNTS REPORTED ON SCHEDULE I, PART II ARE GRANTS. THESE AMOUNTS ARE DONATIONS AND SPONSORSHIPS GIVEN TO ORGANIZATIONS TO ASSIST IN THE FURTHERANCE OF ITS CHARITABLE MISSION. GREENWICH HOSPITAL ("GH") CARRIES OUT DUE DILIGENCE IN PROVIDING MONETARY ASSISTANCE ONLY TO QUALIFYING 501(C)(3) OR ORGANIZATIONS THAT COMPLEMENT ITS MISSION OR SUPPORT THE GREATER GOOD IN THE COMMUNITIES SERVED. GH VERIFIES EACH ORGANIZATION'S EIN AS LISTED ON IRS FORM W-9 THAT HAS BEEN SUBMITTED TO GH. ASSISTANCE DONATED BY GH TO THESE QUALIFYING ORGANIZATIONS IS NOT OUTCOMES-BASED AND IS GIVEN IN SUPPORT OF AN INDIVIDUAL ORGANIZATION'S FUNDRAISING EVENTS OR IN SUPPORT OF DIRECT SERVICES. GH MAINTAINS FULL AND COMPLETE RECORDS OF ALL MONETARY ASSISTANCE PROVIDED, HOWEVER GH DOES NOT MONITOR SPECIFIC FUNDS. 0 1 0 0 0 0 0 1 0 PAMELA SUTTON-WALLACE EVP & COO YNHHS; TRUSTEE 0 1292846 0 372850 0 6430 0 569917 0 12230 0 2254273 0 0 DIANE KELLY TRUSTEE/PRESIDENT (CURRENT YR COMP) 839091 0 295000 0 62634 0 347110 0 23645 0 1567480 0 18496 0 FRANCISCO GARRIDO ED PHYSICIAN 67142 831234 0 52761 0 966 0 22956 0 30390 67142 938307 0 0 MARC KOSAK COO 445311 0 68228 0 10872 0 179414 0 31294 0 735119 0 0 0 KAREN SANTUCCI SVP/CMO 506811 0 122811 0 15774 0 15970 0 30794 0 692160 0 0 0 KISHA MITCHELL RICHARDS PATHOLOGIST 580546 0 22036 0 947 0 21006 0 30869 0 655404 0 4440 0 SERVANDO DE LOS ANGELES ED PHYSICIAN 478477 55813 28712 0 4511 0 29700 0 22539 0 563939 55813 0 0 EUGENE COLUCCI FORMER OFFICER 0 442213 0 89232 0 31664 0 30363 0 19215 0 612687 0 0 CHRISTOPHER DAVISON ED PHYSICIAN 499199 0 18850 0 1263 0 29573 0 31122 0 580007 0 11731 0 MICHAEL FRANCO DIR OF ICU & RESP SRV 484804 0 0 0 3429 0 58935 0 30831 0 577999 0 0 0 ANNA CERRA SVP/CNO 359940 0 71812 0 1641 0 33000 0 23017 0 489410 0 0 0 NOEL APPEL SVP/CDO 329944 0 48859 0 3250 0 18792 0 11898 0 412743 0 0 0 KIMBERLY NOHILLY ASSISTANT SECRETARY 0 264727 0 31935 0 625 0 27767 0 30255 0 355309 0 0 THOMAS PELLECHI TRUSTEE 0 268709 0 0 0 2640 0 16814 0 22507 0 310670 0 0 JENNIFER WILLCOX FORMER OFFICER 0 0 0 0 0 192254 0 0 0 0 0 192254 0 192254 PART I, LINE 3 THE FILING ORGANIZATION DOES NOT HAVE AND/OR COMPENSATE ITS OWN CEO/EXECUTIVE DIRECTOR. THESE POSITIONS ARE FILLED BY EMPLOYEES OF A RELATED ORGANIZATION(S) AND COMPENSATED THROUGH THE RESPECTIVE RELATED ORGANIZATION(S). THE METHOD(S) USED BY THE RELATED ORGANIZATION(S) FOR DETERMINING COMPENSATION FOR THESE INDIVIDUALS ARE: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINE 4B THE INDIVIDUALS LISTED BELOW HAVE RECEIVED SEVERANCE OR ARE PARTICIPANTS IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN ACCRUALS ARE INCLUDED IN THE AMOUNTS REPORTED IN PART II, COLUMN C (DEFERRED COMPENSATION) AND REPRESENTS BOTH THE REPORTING ENTITY'S AND RELATED ENTITY'S COMBINED AMOUNTS CONSISTENT WITH THE COMPENSATION REPORTING PER IRS INSTRUCTIONS. SEVERANCE NONQUALIFIED EQUITY-BASED DIANE KELLY $0 $182,000 $0 PAMELA SUTTON-WALLACE $0 $283,400 $0 MARC KOSAK $0 $ 71,214 $0 THE SUPPLEMENTAL RETIREMENT INCOME PLAN (SRIP) / EXECUTIVE DEFERRED COMPENSATION ACCOUNT PLAN (EDCAP) ARE DESIGNED TO ENSURE THE PAYMENT OF A COMPETITIVE LEVEL OF RETIREMENT INCOME WHEN ADDED TO OTHER SOURCES OF RETIREMENT INCOME IN ORDER TO ATTRACT AND RETAIN KEY MANAGEMENT EMPLOYEES SERVING AS SENIOR LEADERS. THE PLAN PROVIDES SUPPLEMENTAL RETIREMENT INCOME THROUGH AN UNFUNDED, NONQUALIFIED DEFERRED COMPENSATION ARRANGEMENT UNDER SECTION 457(F) AND THROUGH A DEFERRED COMPENSATION PLAN UNDER SECTION 409A OF THE INTERNAL REVENUE CODE AND A MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES' PLAN UNDER THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974 (ERISA). THE INDIVIDUALS LISTED BELOW BECAME VESTED IN BENEFITS VALUED AT THE AMOUNT RESPECTIVELY REPORTED BELOW DURING THE REPORTING YEAR. INCLUDED IN SECTION II, COLUMN B (III) ARE AMOUNTS VESTED DURING THE 2023 CALENDAR YEAR THAT WERE RECOGNIZED AS TAXABLE EVENTS AND REPORTED IN THE INDIVIDUALS' 2023 CALENDAR YEAR FORM W-2. SRIP EDCAP DIANE KELLY $0 $52,826 PART I, LINE 7 THE SHORT TERM INCENTIVE PLAN (STIP) IS A VARIABLE COMPENSATION PLAN WHICH PROVIDES ONE-TIME PAYMENTS TO ELIGIBLE MEMBERS OF MANAGEMENT IN RECOGNITION OF THE ACCOMPLISHMENT OF KEY ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE OBJECTIVES. PERFORMANCE LEVELS ARE ESTABLISHED AND REVIEWED ANNUALLY AT THRESHOLD, TARGET AND MAXIMUM LEVELS, ACCORDING TO PLANNED "STRETCH" GOALS AND OBJECTIVES. INCENTIVE AWARD OPPORTUNITIES ARE ESTABLISHED ACCORDING TO MARKET PRACTICES BASED ON EACH ELIGIBLE POSITION'S RESPONSIBILITIES, PERFORMANCE AND LEVEL OF AUTHORITY. PERFORMANCE RELATIVE TO STIP AWARD OPPORTUNITIES INCORPORATES A BROAD SPECTRUM OF PRE-DEFINED FINANCIAL AND NON-FINANCIAL METRICS THAT ARE ALIGNED WITH ORGANIZATIONAL MISSION AND VALUES. A CHEFA 2008 - SERIES C 060806186 20774UYC3 2008-05-07 53630000 REFINANCE SERIES 2006B 0 0 0 A 46260000 53631315 477687 72256 53091372 2008 1 0 1 1 A 0 1 1 1 1 1 0.01000 0.00010 0.01010 0 0 0 A 0 0 1 1 1 0 0 0 1 A 1 SCHEDULE K SUPPLENTAL INFORMATION REFINANCE ISSUANCE DATE 4/6/2006 PART III, LINE 3C THE ORGANIZATION IS A MEMBER OF THE YALE NEW HAVEN HEALTH OBLIGATED GROUP ("YNHHS"). YNHHS HAS IN-HOUSE LEGAL COUNSEL STAFF WHO REVIEW MANAGEMENT, OR SERVICE CONTRACTS AND RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY TO ENSURE THAT SUCH AGREEMENTS ARE COMPLIANT WITH APPLICABLE SAFE HARBORS. IN-HOUSE COUNSEL CONSULTS WITH THE HOSPITAL'S OUTSIDE BOND COUNSEL AS NEEDED, INCLUDING ON NON-ROUTINE ISSUES. PART III, LINE 9 & PART V AS PART OF THE YALE NEW HAVEN HEALTH OBLIGATED GROUP, THE ORGANIZATION HAS POLICIES AND PROCEDURES IN PLACE TO ENSURE COMPLIANCE WITH FEDERAL TAX LAW, AND TO TIMELY IDENTIFY NONCOMPLIANCE. SCHEDULE K, PART IV, ARBITRAGE, LINE 2B THE 6-MONTH SPENDING EXCEPTION WAS MET AND ALL PROCEEDS WERE SPENT ON REFUNDING PROJECTS WITHIN THE 6-MONTH PERIOD. SCHEDULE K, PART IV, ARBITRAGE, LINE 2C ISSUER NAME: CHEFA 2008 - SERIES C DATE THE REBATE COMPUTATION WAS PERFORMED: 06/30/2009, 06/30/2014, 06/30/2019 & 06/30/2024 SUBST CONTR #122 VENDOR 1803914 LINEN SERVICES 0 SUBST CONTR #164 VENDOR 181689 CONSTRUCTION 0 X 13 233687 FAIR MARKET VALUE 2 0 0 0 PART I, COLUMN (B): THE ORGANIZATION IS REPORTING IN PART I, COLUMN (B), THE NUMBER OF CONTRIBUTIONS RECEIVED. SCHEDULE M, PART I, LINE 31: WHILE THE ORGANIZATION DOES NOT CURRENTLY HAVE A BOARD-APPROVED GIFT ACCEPTANCE POLICY, NONSTANDARD CONTRIBUTIONS ARE REVIEWED BY THE SENIOR VICE PRESIDENT OF DEVELOPMENT IN CONSULTATION WITH THE PRESIDENT AND OTHER STAKEHOLDERS AS APPROPRIATE DEPENDING ON THE NATURE OF THE PROPOSED GIFT (E.G., TAX AND REAL ESTATE DEPARTMENTS). FORM 990, PART III, LINE 4A GREENWICH HOSPITAL, A MEMBER OF YALE NEW HAVEN HEALTH SYSTEM ("YNHHS"), IS A 206-BED COMMUNITY HOSPITAL SERVING LOWER FAIRFIELD COUNTY, CONNECTICUT, AND WESTCHESTER COUNTY, NEW YORK. YNHHS HAS A FORMAL CLINICAL AFFILIATION AGREEMENT WITH YALE UNIVERSITY SCHOOL OF MEDICINE ("YSM"), A DIVISION OF YALE UNIVERSITY, TO SUPPORT PATIENT CARE, FACULTY, MEDICAL EDUCATION AND CLINICAL RESEARCH. YNHHS IS ALSO CLINICALLY AFFILIATED WITH YSM'S CLINICAL PRACTICE YALE MEDICINE ("YM"), WHICH IS A DIVISION OF YALE UNIVERSITY. AN ACADEMIC AFFILIATE OF YSM, GREENWICH HOSPITAL IS A PROGRESSIVE MEDICAL CENTER AND TEACHING INSTITUTION REPRESENTING ALL MEDICAL SPECIALTIES AND OFFERING A WIDE RANGE OF MEDICAL, SURGICAL, DIAGNOSTIC AND WELLNESS PROGRAMS. GREENWICH HOSPITAL IS RECOGNIZED THROUGHOUT THE HEALTHCARE INDUSTRY AS A LEADER IN SERVICE AND PATIENT SATISFACTION EXCELLENCE. GREENWICH HOSPITAL HAS EARNED MAGNET DESIGNATION FROM THE AMERICAN NURSES CREDENTIALING CENTER. USHERING A NEW ERA IN PERSONALIZED ORTHOPEDIC CARE, GREENWICH HOSPITAL CONDUCTED ITS FIRST TOTAL KNEE REPLACEMENT SURGERIES USING ROBOTIC ASSISTANCE. ROBOTIC-ASSISTED SURGERY ENHANCES PERSONALIZED CARE BECAUSE THE ROBOT HELPS SURGEONS NAVIGATE THE UNIQUE ANATOMICAL FEATURES OF THE PATIENT'S KNEE JOINT. THE ROBOT'S PRECISION REDUCES ERRORS, OPTIMIZES ALIGNMENT AND POSITIONING OF THE PROSTHETIC COMPONENTS, AND HELPS TO PRESERVE HEALTHY TISSUE FOR QUICKER RECOVERY AND REDUCED POSTOPERATIVE PAIN. LONGTIME SMOKERS AT INCREASED RISK OF DEVELOPING LUNG CANCER NOW HAVE ACCESS TO AN INNOVATIVE SCREENING AT GREENWICH HOSPITAL THROUGH THE LUNG CANCER SCREENING PROGRAM AT SMILOW CANCER HOSPITAL-GREENWICH USING LOW-DOSE COMPUTERIZED TOMOGRAPHY SCANS THAT COULD SIGNIFICANTLY INCREASE FIVE-YEAR SURVIVAL RATES. A CT SCAN COMBINES A SERIES OF X-RAY IMAGES TAKEN FROM DIFFERENT ANGLES AROUND THE BODY TO CREATE CROSS-SECTIONAL IMAGES THAT PROVIDE MORE-DETAILED INFORMATION THAN A TRADITIONAL X-RAY. IN ONE CLINICAL TRIAL, HIGH-RISK PATIENTS WHO HAD A LOW-DOSE CT SCAN SAW A 20 PERCENT REDUCTION IN MORTALITY COMPARED TO THOSE WHO HAD A CHEST X-RAY. SMILOW CANCER HOSPITAL'S RADIATION ONCOLOGY CENTER AT GREENWICH HOSPITAL RECEIVED FULL INITIAL ACCREDITATION BY THE AMERICAN SOCIETY FOR RADIATION ONCOLOGY (ASTRO) THROUGH ITS APEX-ACCREDITATION PROGRAM FOR EXCELLENCE. APEX ACCREDITATION VALIDATES A RADIATION ONCOLOGY FACILITY'S EXCELLENCE IN DELIVERING SAFE, HIGH-QUALITY PATIENT CARE. GREENWICH HOSPITAL'S STROKE PROGRAM WAS RECERTIFIED AS AN ADVANCED PRIMARY STROKE CENTER BY THE JOINT COMMISSION, THE NATION'S LEADING CREDENTIALING AGENCY FOR HEALTHCARE ORGANIZATIONS. IN ADDITION, THE AMERICAN HEART ASSOCIATION RECOGNIZED THE HOSPITAL WITH THREE AWARDS FOR PROVIDING UP-TO-THE-MINUTE SCIENTIFICALLY BASED CARE TO STROKE AND DIABETES PATIENTS. THE HOSPITAL ALSO EARNED THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL FOR RECERTIFICATION IN SPINAL FUSION SURGERY AS WELL AS ADVANCED CERTIFICATION IN TOTAL HIP AND KNEE REPLACEMENT SURGERY BY DEMONSTRATING CONTINUOUS COMPLIANCE WITH PERFORMANCE STANDARDS. GREENWICH HOSPITAL RECEIVED AN 'A' GRADE AS ONE OF THE SAFEST HOSPITALS IN THE NATION, ACCORDING TO THE LEAPFROG GROUP, AN INDEPENDENT NATIONAL PATIENT SAFETY WATCHDOG GROUP. RECOGNIZING THAT HIGH-QUALITY, ACCESSIBLE HEALTHCARE RESTS ON ENSURING THAT EVERYONE HAS A FAIR AND JUST OPPORTUNITY TO BE AS HEALTHY AS POSSIBLE, REGARDLESS OF RACE OR ETHNICITY, GREENWICH HOSPITAL, AS PART OF YALE NEW HAVEN HEALTH, LAUNCHED THE WE ASK BECAUSE WE CARE CAMPAIGN, A MULTI-PHASED INITIATIVE TO IMPROVE THE EQUITY, QUALITY AND SAFETY OF PATIENT CARE. PRESS GANEY RECOGNIZED GREENWICH HOSPITAL AS A HUMAN EXPERIENCE GUARDIAN OF EXCELLENCE AWARD WINNER AND A HUMAN EXPERIENCE PINNACLE OF EXCELLENCE AWARD WINNER. THE GUARDIAN OF EXCELLENCE AWARD IS GIVEN TO ORGANIZATIONS THAT HAVE ACHIEVED THE 95TH PERCENTILE OR HIGHER FOR PERFORMANCE IN PATIENT EXPERIENCE. PRESS GANEY WORKS WITH MORE THAN 41,000 HEALTHCARE FACILITIES IN ITS MISSION TO ENHANCE CAREGIVER RESILIENCE AND TO IMPROVE THE OVERALL SAFETY, QUALITY AND EXPERIENCE OF CARE. AS A COMMUNITY-BASED, NOT-FOR-PROFIT HEALTHCARE ORGANIZATION, GREENWICH HOSPITAL IS COMMITTED TO SERVING NEIGHBORHOODS AND THOSE MOST IN NEED AND FILLING THE GAPS IN HEALTHCARE SERVICES. GREENWICH HOSPITAL AND ITS COMMUNITY PARTNERS RELEASED THE RESULTS OF ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), WHICH IS CONDUCTED EVERY THREE YEARS. THE RESULTS ARE USED TO DEVELOP PROGRAMS AND SERVICES THAT TARGET THE SPECIFIC, UNIQUE NEEDS OF OUR COMMUNITIES. THE CHNA NOTED THAT FOOD INSECURITY IS AN ISSUE WITHIN COMMUNITIES SERVED. EMPLOYEES AT GREENWICH HOSPITAL JOINED COLLEAGUES ACROSS THE HEALTH SYSTEM IN DONATING MORE THAN 8,650 POUNDS OF FOOD TO HELP COMBAT FOOD INSECURITY DURING THE 2023 GIVEHEALTHY FOOD DRIVE. FAMILY CENTERS AND GREENWICH HOSPITAL ANNOUNCED THEIR INTENT TO PARTNER ON PRIMARY CARE SERVICES FOR ADULTS AND CHILDREN TO IMPROVE HEALTHCARE ACCESS WHILE ENSURING THE LONG-TERM HEALTH OF THE UNDERSERVED POPULATIONS IN GREENWICH AND ITS SURROUNDING COMMUNITIES. THE PARTNERSHIP INCLUDES NEWLY RENOVATED SPACE AT 75 HOLLY HILL LANE, WHICH IS ACCESSIBLE VIA PUBLIC TRANSPORTATION. THE CLINIC GREATLY EXPANDS CAPACITY ENABLING THE HOSPITAL AND FAMILY CENTERS TO MEET MORE PATIENTS' NEEDS, FEATURING 15 EXAM ROOMS AND AN ONSITE MENTAL HEALTH CLINICIAN TO PROVIDE MENTAL AND BEHAVIORAL HEALTH SERVICES. A NEW PEDIATRIC AMBULATORY SURGERY CENTER AT GREENWICH HOSPITAL OFFERS CHILDREN AND FAMILIES CONVENIENT ACCESS TO THE MOST ADVANCED PEDIATRIC SURGICAL EXPERTISE IN THE AREA. LEADING PEDIATRIC SURGICAL SPECIALISTS FROM YALE NEW HAVEN CHILDREN'S HOSPITAL AND YALE SCHOOL OF MEDICINE WITH SPECIALLY TRAINED PEDIATRIC ANESTHESIOLOGISTS PROVIDE COMPASSIONATE, FAMILY-CENTERED CARE IN A FACILITY TAILORED TO THE UNIQUE NEEDS OF CHILDREN. PEDIATRIC SURGEONS TREAT A RANGE OF CONDITIONS IN GASTROENTEROLOGY, GENERAL SURGERY, OTOLARYNGOLOGY, UROLOGY, AND PEDIATRIC AND ADOLESCENT GYNECOLOGY. GREENWICH HOSPITAL REMAINS WELL POSITIONED TO ADDRESS THE INCREASINGLY COMPLEX MEDICAL NEEDS OF COMMUNITIES SERVED. DEDICATED, INNOVATIVE WORK FROM CLINICAL AND NON-CLINICAL TEAMS CONTINUE TO DEVELOP SOLUTIONS NEEDED TO ADDRESS FINANCIAL STABILITY, GROWTH, ACCESS, AND EXCELLENCE IN QUALITY, SAFETY, EQUITY AND EXPERIENCE. PART I, LINE 4 & PART VI, LINE 1B NUMBER OF INDEPENDENT VOTING MEMBERS OF THE GOVERNING BODY THE ORGANIZATION SOUGHT TO CONFIRM THE INDEPENDENCE OF EACH VOTING MEMBER OF ITS GOVERNING BODY BY REQUESTING THAT EACH SUCH VOTING MEMBER RESPOND TO A QUESTIONNAIRE CONTAINING THE PERTINENT INSTRUCTIONS AND DEFINITIONS AND DESIGNED TO ELICIT THE INFORMATION NECESSARY TO DETERMINE INDEPENDENCE. IN THE EVENT THAT THE ORGANIZATION DOES NOT RECEIVE A RESPONSE FROM ANY SUCH VOTING MEMBER, THE ORGANIZATION REVIEWS OTHER INFORMATION KNOWN TO IT REGARDING THE VOTING MEMBER AND MAKES A REASONABLE ASSESSMENT OF INDEPENDENCE BASED ON THAT INFORMATION. FORM 990, PART VI, SECTION A, LINE 2 THE ORGANIZATION'S CURRENT OFFICERS AND/OR TRUSTEES SERVE AS OFFICERS AND/OR DIRECTORS OF TAXABLE AFFILIATES WITHIN THE ORGANIZATION'S CORPORATE SYSTEM OR JOINT VENTURES IN WHICH THE ORGANIZATION'S CORPORATE SYSTEM HAS AN OWNERSHIP INTEREST. THE INDIVIDUAL OFFICERS DO NOT HAVE PERSONAL FINANCIAL INTERESTS IN THE TAXABLE AFFILIATE AND SERVE ONLY AS A FUNCTION OF THEIR ROLES WITH THE ORGANIZATION OR WITHIN THE ORGANIZATION'S CORPORATE SYSTEM. FORM 990, PART VI, SECTION A, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS: THE SOLE MEMBER OF GREENWICH HOSPITAL IS YNHHS, ITSELF A CONNECTICUT NON-STOCK CORPORATION EXEMPT FROM FEDERAL INCOME TAX AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. FORM 990, PART VI, SECTION A, LINE 7A ELECTION OF MEMBERS AND THEIR RIGHTS: YNHHS HAS THE AUTHORITY TO DESIGNATE ONE REPRESENTATIVE OF YNHHS TO SERVE AS A TRUSTEE OF THE ORGANIZATION AND FURTHER TO APPROVE NOMINEES TO THE ORGANIZATION'S BOARD OF TRUSTEES IN ACCORDANCE WITH THE ORGANIZATION'S BYLAWS. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS SUBJECT TO APPROVAL OF MEMBERS: THE YALE NEW HAVEN HEALTH SERVICES CORPORATION, AS THE ORGANIZATION'S SOLE MEMBER, HAS THE RIGHTS, POWERS AND PRIVILEGES SET FORTH IN THE ORGANIZATION'S BYLAWS, INCLUDING, IN PART, THE AUTHORITY TO APPROVE THE NOMINEES TO THE ORGANIZATION'S BOARD OF TRUSTEES, AMENDMENTS TO THE GOVERNING DOCUMENTS, OPERATING AND CAPITAL BUDGETS, INITIATION OF MAJOR NEW PROGRAMS AND CLINICAL SERVICES OR THE DISCONTINUATION OR CONSOLIDATION OF SUCH PROGRAMS, CERTAIN FUNDAMENTAL CORPORATION TRANSACTIONS, AND THE ISSUANCE AND INCURRENCE OF INDEBTEDNESS. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S PROCESS TO REVIEW FORM 990: THE FORM 990 TAX RETURN AND ATTACHED SCHEDULES WERE PREPARED BY EMPLOYEES OF THE YNHHS TAX DEPARTMENT. THE RETURN IS INITIALLY REVIEWED BY THE EXECUTIVE DIRECTOR OF CORPORATE FINANCE. SUBSEQUENTLY, IT IS SENT TO KPMG LLP FOR THEIR INITIAL REVIEW. AFTER ALL COMMENTS FROM THE ABOVE GROUPS ARE RECEIVED AND REVIEWED, THE RETURN IS THEN REVIEWED BY THE CHIEF FINANCIAL OFFICER OF YNHHS AND A FINAL VERSION OF THE RETURN IS SENT BACK TO KPMG LLP FOR FINAL REVIEW. PRIOR TO FILING, THE ORGANIZATION MADE AVAILABLE A COMPLETE COPY OF THE RETURN TO ITS BOARD OF TRUSTEES BY WEB PORTAL. FORM 990, PART VI, SECTION B, LINE 12C GREENWICH HOSPITAL IS COVERED UNDER THE YALE NEW HAVEN HEALTH SYSTEM CONFLICT OF INTEREST POLICY APPROVED AND ADOPTED BY THE SYSTEM COMPLIANCE COMMITTEE, WHICH HAS BEEN DELEGATED THE AUTHORITY TO APPROVE AND ADOPT COMPLIANCE POLICIES ON BEHALF OF THE ENTITIES IN THE SYSTEM. THE YALE NEW HAVEN HEALTH SYSTEM CONFLICT OF INTEREST POLICY AND INDIVIDUAL ANNUAL DISCLOSURE FORM APPLIES TO A POOL OF EMPLOYEES, BOARD MEMBERS AND NON-BOARD MEMBERS SERVING ON BOARD COMMITTEES. THESE "COVERED INDIVIDUALS" ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT, UPON BEGINNING EMPLOYMENT OR OTHERWISE BECOMING A COVERED INDIVIDUAL AND ANNUALLY THEREAFTER. COVERED INDIVIDUALS ARE ALSO REQUIRED TO PROMPTLY REPORT CHANGES TO THEIR MOST RECENTLY COMPLETED DISCLOSURE STATEMENT. THESE DISCLOSURE STATEMENTS AND REPORTS ARE REVIEWED BY THE OFFICE OF PRIVACY AND CORPORATE COMPLIANCE AND/OR THE LEGAL AND RISK SERVICES DEPARTMENT TO ENSURE COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. IF A POTENTIAL CONFLICT ARISES, THE PRESIDENT AND CEO WOULD CONSULT WITH THE BOARD CHAIRPERSON AND THE LEGAL AND RISK SERVICES DEPARTMENT TO DEVELOP A PLAN TO MITIGATE ANY ACTUAL CONFLICT OF INTEREST. FOR EXAMPLE, A VOTING BOARD OR COMMITTEE MEMBER WOULD BE REQUIRED TO RECUSE HIMSELF OR HERSELF FROM VOTING ON MATTERS WITH WHICH SHE OR HE HAD AN ACTUAL OR POTENTIAL CONFLICT AND THE ACTUAL OR POTENTIAL CONFLICT WOULD BE DISCLOSED TO OTHER VOTING MEMBERS. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION PROCESS FOR CEO/TOP OFFICIALS: THE TOP GH OFFICIAL IS AN EMPLOYEE OF YNHHS. THE YNHHS COMPENSATION AND LEADERSHIP DEVELOPMENT COMMITTEE (THE "YNHHS COMPENSATION COMMITTEE"), WHICH INCLUDES A REPRESENTATIVE OF THE HOSPITAL, IS RESPONSIBLE FOR (1) DETERMINING THE OVERALL TOTAL COMPENSATION STRATEGY FOR YNHHS OFFICER-LEVEL EXECUTIVES, (2) APPROVING ALL COMPENSATION AND BENEFITS DECISIONS FOR YNHHS GREENWICH OFFICER-LEVEL EXECUTIVES, AND (3) REPORTING SUCH ACTIONS TO THE FULL YNHHS BOARD OF TRUSTEES ON AN ANNUAL BASIS. IN ADDITION, THE YNHHS COMPENSATION COMMITTEE EXPRESSLY DETERMINES THE REASONABLENESS OF TOTAL COMPENSATION AND BENEFITS FOR ALL YNHHS OFFICER-LEVEL EXECUTIVES, AND ASSURES THAT ALL OFFICER-LEVEL EXECUTIVE COMPENSATION DECISIONS ARE MADE AFTER THOROUGH CONSIDERATION OF AND COMPARISON TO THE MARKET PRACTICES OF OTHER SIMILARLY SITUATED ORGANIZATIONS. THE YNHHS COMPENSATION COMMITTEE CONSISTS OF TRUSTEES WHO DO NOT HAVE MATERIAL FINANCIAL INTERESTS THAT COULD BE AFFECTED BY THE OFFICER-LEVEL EXECUTIVE COMPENSATION DECISIONS MADE BY THE COMMITTEE. THE COMPARABILITY DATA USED TO ASSIST THE COMMITTEES IN ITS COMPENSATION DELIBERATIONS IS COMPILED BY AN INDEPENDENT, NATIONAL COMPENSATION CONSULTING FIRM THAT IS RETAINED BY AND REPORTS DIRECTLY TO THE YNHHS COMPENSATION COMMITTEE. THE DATA COLLECTED BY THE CONSULTANT CONSISTS OF MARKET INFORMATION FOR EXECUTIVES IN FUNCTIONALLY SIMILAR POSITIONS IN SIMILARLY SITUATED ORGANIZATIONS. THE DELIBERATIONS AND DECISIONS OF THE YNHHS COMPENSATION COMMITTEE IS CONTEMPORANEOUSLY DOCUMENTED, REVIEWED AND APPROVED BY THE COMMITTEE, AND PROVIDED TO THE BOARD OF TRUSTEES OF YNHHS AND GH. COMPENSATION PROCESS FOR OFFICERS: CERTAIN OFFICERS ARE EMPLOYEES OF YNHHS, OTHER OFFICERS ARE EMPLOYED DIRECTLY BY THE HOSPITAL. COMPENSATION DETERMINATIONS OF YNHHS EMPLOYED OFFICERS ARE MADE BY THE YNHHS COMPENSATION COMMITTEE. COMPENSATION DETERMINATIONS OF CERTAIN HOSPITAL EMPLOYED OFFICERS ARE ALSO REVIEWED AND APPROVED BY THE YNHHS COMPENSATION COMMITTEE AND SHARED WITH THE HOSPITAL'S COMPENSATION COMMITTEE OR BOARD. THE COMPENSATION COMMITTEES OF YNHHS AND GREENWICH HOSPITAL STRIVE TO TAKE THE STEPS NECESSARY TO QUALIFY FOR THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER FEDERAL TAX LAW. THE YNHHS EXECUTIVE COMPENSATION COMMITTEES ARE RESPONSIBLE FOR (1) DETERMINING THE OVERALL TOTAL COMPENSATION STRATEGY FOR ALL THEIR RESPECTIVE CORPORATE OFFICERS, (2) APPROVING ALL COMPENSATION AND BENEFITS DECISIONS FOR CORPORATE OFFICERS, AND (3) REPORTING SUCH ACTIONS TO THE FULL GREENWICH HOSPITAL AND YNHHS BOARD ON AN ANNUAL BASIS, AS APPLICABLE. IN ADDITION, THE EXECUTIVE COMPENSATION COMMITTEES, AS APPLICABLE, EXPRESSLY DETERMINE THE REASONABLENESS OF TOTAL COMPENSATION AND BENEFITS FOR ALL CORPORATE OFFICERS, AND ASSURES THAT ALL OFFICER COMPENSATION DECISIONS ARE MADE AFTER THOROUGH CONSIDERATION OF AND COMPARISON TO THE MARKET PRACTICES OF OTHER SIMILARLY SITUATED NOT-FOR-PROFIT HEALTHCARE EXECUTIVES IN COMPARABLE ORGANIZATIONS. THE EXECUTIVE COMPENSATION COMMITTEES CONSIST OF BOARD MEMBERS WHO DO NOT HAVE MATERIAL FINANCIAL INTERESTS THAT COULD BE AFFECTED BY THE OFFICER COMPENSATION DECISIONS MADE BY THE COMMITTEES. THE COMPARABILITY DATA USED TO ASSIST THE EXECUTIVE COMPENSATION COMMITTEES IN THEIR COMPENSATION DELIBERATIONS ARE COMPILED BY AN INDEPENDENT, NATIONAL COMPENSATION CONSULTING FIRM THAT IS RETAINED BY AND REPORTS DIRECTLY TO THE EXECUTIVE COMPENSATION COMMITTEES. THE DATA COLLECTED BY THE CONSULTANT CONSISTS OF MARKET INFORMATION FOR EXECUTIVES IN FUNCTIONALLY SIMILAR POSITIONS IN SIMILARLY SITUATED NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS. THE DELIBERATIONS AND DECISIONS OF THE EXECUTIVE COMPENSATION COMMITTEES ARE CONTEMPORANEOUSLY DOCUMENTED, REVIEWED AND APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEES, AND PROVIDED TO THE BOARDS OF YNHHS AND/OR THE HOSPITAL, AS APPLICABLE. FORM 990, PART VI, SECTION C, LINE 19 COPIES OF ALL AVAILABLE DOCUMENTS ARE ACCESSIBLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G LAUNDERING SERVICE: PROGRAM SERVICE EXPENSES 1,538,037. MANAGEMENT AND GENERAL EXPENSES 105,692. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,643,729. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 116,763,317. MANAGEMENT AND GENERAL EXPENSES 8,023,812. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 124,787,129. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 15,943,477. MANAGEMENT AND GENERAL EXPENSES 1,017,800. FUNDRAISING EXPENSES 77,813. TOTAL EXPENSES 17,039,090. SYSTEM SUPPORT FEE: PROGRAM SERVICE EXPENSES 27,068,121. MANAGEMENT AND GENERAL EXPENSES 1,860,084. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 28,928,205. FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST IN GREENWICH HOSPITAL ENDOWMENT FUND 12,618,743. INTERNAL CONTRIBUTIONS REMOVED -605,500. BENEFICIAL INTEREST TRANSFER -25,000. ROUNDING 4,133. 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