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THE GRIFFIN HOSPITAL: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
THE GRIFFIN HOSPITAL (EIN 06-0647014)
Tax period
2017-10-01 to 2018-09-30
Filed
2019-08-14
IRS object ID
201902269349301890
Schema version
2017v2.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2019-08-14T14:02:38-05:00ReturnTs
Tax Period End2018-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN111986323PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MARCUM LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1185 ASYLUM STREETAddressLine1Txt
CityHARTFORDCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06103ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN060647014EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GRIFFIN HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlGRIFBusinessNameControlTxt
Phone2037327528PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1130 DIVISION STREETAddressLine1Txt
CityDERBYCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06418ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJAMES DOWNEYPersonNm
Person TitleCONTROLLERPersonTitleTxt
Phone2037327528PhoneNum
Signature2019-08-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDOUGLAS FARRINGTONPreparerPersonNm
PTINP00370668PTIN
Phone8607600600PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address47.19.127.190IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-08-13IPDt
IP Tm11:44:21IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device IdDD44AF68ECC090A8110D92EA04805F7936D9C986AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerPATRICK CHARMELPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1130 DIVISION STREETAddressLine1Txt
CityDERBYCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06418ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$202,532,161GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressGRIFFINHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1908FormationYr
Legal Domicile StateCTLegalDomicileStateCd
Activity Or MissionGRIFFIN HOSPITAL IS COMMITTED TO PROVIDING PERSONALIZED, HUMANISTIC, CONSUMER-DRIVEN HEALTH CARE IN A HEALING ENVIRONMENT.ActivityOrMissionDesc
Voting Members Governing Body19VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee1700TotalEmployeeCnt
Total Volunteers325TotalVolunteersCnt
Total Gross UBI$1,209,923TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$21,370NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,514,192PYContributionsGrantsAmt
CY Contributions Grants$2,549,039CYContributionsGrantsAmt
PY Program Service Revenue$177,448,476PYProgramServiceRevenueAmt
CY Program Service Revenue$196,367,190CYProgramServiceRevenueAmt
PY Investment Income$387,123PYInvestmentIncomeAmt
CY Investment Income$493,383CYInvestmentIncomeAmt
PY Other Revenue$2,098,472PYOtherRevenueAmt
CY Other Revenue$2,641,158CYOtherRevenueAmt
PY Total Revenue$182,448,263PYTotalRevenueAmt
CY Total Revenue$202,050,770CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$89,388,871PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$93,209,758CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$77,165,234PYOtherExpensesAmt
CY Other Expenses$92,867,435CYOtherExpensesAmt
PY Total Expenses$166,554,105PYTotalExpensesAmt
CY Total Expenses$186,077,193CYTotalExpensesAmt
PY Revenues Less Expenses$15,894,158PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$15,973,577CYRevenuesLessExpensesAmt
Total Assets BOY$125,430,048TotalAssetsBOYAmt
Total Assets EOY$134,612,629TotalAssetsEOYAmt
Total Liabilities BOY$140,503,727TotalLiabilitiesBOYAmt
Total Liabilities EOY$127,205,132TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$15,073,679NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$7,407,497NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionGRIFFIN 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, AND TO PROVIDING LEADERSHIP TO IMPROVE THE HEALTH OF THE COMMUNITY WE SERVE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$132,976,453ExpenseAmt
Revenue$181,358,345RevenueAmt
DescGRIFFIN HOSPITAL IS AN ACUTE CARE HOSPITAL PROVIDING MEDICAL CARE TO PATIENTS IN COMMUNITIES SERVED, INCLUDING SUBSIDIZED CARE, CHARITY CARE, AND EDUCATIONAL SERVICES TO HEALTH PROFESSIONALS TO HELP PREPARE THE NEXT GENERATION OF CAREGIVERS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$4,310,193ExpenseAmt
Revenue$12,604,804RevenueAmt
DescPROVIDE CANCER RELATED RADIOLOGY SERVICES TO THE COMMUNITY.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$1,892,393ExpenseAmt
Revenue$2,265,699RevenueAmt
DescPROVIDE PSYCHIATRIC SERVICES TO THE COMMUNITY ON AN OUTPATIENT BASIS.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$439,277ExpenseAmt
Revenue$1,357,882RevenueAmt
DescPROVIDE HOSPICE SERVICES TO THE COMMUNITY.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$439,277TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$1,357,882TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$139,618,316TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document213IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1700EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members19GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldCTStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JAMES DOWNEYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2037327528PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1130 DIVISION STREETAddressLine1Txt
CityDERBYCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06418ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
JOSEPH ANDREANA
TRUSTEE0.230.46Yes (X)$0$0$0
JOHN AVERSA DO
TRUSTEE0.230.23Yes (X)$0$0$0
FREDERICK BROWNE MD
TRUSTEE0.2340.23Yes (X)$0$395,696$28,752
KENNETH BALDYGA
CHAIRMAN0.230.62Yes (X)$0$0$0Yes (X)
JOHN W BETKOWSKI III
TRUSTEE0.230.62Yes (X)$0$0$0
GREGORY BORIS DO
TRUSTEE0.230.15Yes (X)$0$0$0
PATRICK A CHARMEL
CEO/PRESIDENT, BOD SECRETARY/TREASURER45.005.15Yes (X)$637,667$0$33,320Yes (X)
DONNA DIGIANVITTORIO
TRUSTEE0.230.23Yes (X)$0$0$0
NANCY DINARDO
TRUSTEE0.230.38Yes (X)$0$0$0
KENNETH J DOBULER MD
TRUSTEE/PHYSICIAN40.000.23Yes (X)$333,900$0$32,956
JEAN CRUM JONES MPH RD
TRUSTEE0.230.23Yes (X)$0$0$0
THEMIS KLARIDES
TRUSTEE0.230.46Yes (X)$0$0$0
MICHAEL LAW
TRUSTEE (RESIGNED 5/31/18)0.230.23Yes (X)$0$0$0
GEORGE S LOGAN
TRUSTEE0.230.46Yes (X)$0$0$0
FLOYD MOIR
TRUSTEE0.230.23Yes (X)$0$0$0
WM NEIL PEARSON MD
TRUSTEE0.230.23Yes (X)$10,466$0$0
MARK PETERSON
TRUSTEE0.230.23Yes (X)$0$0$0
ROBERT G REISS
TRUSTEE (RESIGNED JAN. 2018)0.230.46Yes (X)$0$0$0
GERALD T WEINER ESQ
TRUSTEE0.230.46Yes (X)$0$0$0
PHILLIP WHITE
TRUSTEE0.230.23Yes (X)$0$0$0
JOHN J ZAPRZALKA
TRUSTEE0.230.46Yes (X)$0$0$0
MARK O'NEILL
CFO/VP FINANCE40.003.00$315,019$0$9,549Yes (X)
ALEXANDER S BALKO
CFO/VP FINANCE40.00$0$0$0Yes (X)
MARGARET DEEGAN
VP40.00$238,577$0$26,852Yes (X)
TODD LIU
VP40.00$218,300$0$26,105Yes (X)
BARBARA STUMPO
VP40.00$229,596$0$26,624Yes (X)
KATHLEEN MARTIN
VP40.00$210,116$0$25,985Yes (X)
BENJAMIN ZIGUN
PHYSICIAN40.00$266,487$0$28,598Yes (X)
EDWARD HALSTEAD
PHYSICIAN40.00$186,462$0$21,344Yes (X)
MIHAELA BORAN
PHYSICIAN40.00$177,654$0$24,785Yes (X)
NUMAN GHARAIBEH
PHYSICIAN40.00$169,661$0$22,716Yes (X)
ADAM DWORKIN
VP40.00$171,020$0$25,777Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,164,925TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$395,696TotReportableCompRltdOrgAmt
Total Other Compensation$333,363TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K125IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
TURNER CONSTRUCTION
50 WATERVIEW DRSHELTONCT06484CONSTRUCTION$2,936,519
UNIDINE CORPORATION
PO BOX 360639PITTSBURGHPA15251FOOD SERVICE$2,256,153
ASCENSION HEALTH ALLIANCE
PO BOX 505302ST LOUISMO63105PURCHASING CONSULTANTS$1,010,687
MARQUETTE COMMERCIAL FINANCE
PO BOX 1450MINNEAPOLISMN55485CONSULTANTS$583,219
GRIFFIN PATHOLOGY CONSULTANTS
1140 FAIRFIELD AVEBRIDGEPORTCT06605MEDICAL CONSULTANTS$424,229
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K26CntrctRcvdGreaterThan100KCnt
Government Grants$2,402,939GovernmentGrantsAmt
All Other Contributions$146,100AllOtherContributionsAmt
Total Contributions$2,549,039TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE622110$180,134,087$178,974,648$1,159,439
STATE SUPPLEMENTAL REVENUE900099$14,519,400$14,519,400
OTHER PROGRAM SERVICES621500$1,041,307$1,041,307
TUITION/EDUCATION REVENUE900099$672,396$672,396
FieldValueIRS element (for citing)
Total Program Service Revenue$196,367,190TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$375,281TotalRevenueColumnAmt
Exclusion$375,281ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$327,678RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$327,678RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$327,678TotalRevenueColumnAmt
Exclusion$327,678ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$599,368SecuritiesAmt
Other$125OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$481,391SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$117,977SecuritiesAmt
Other$125OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$118,102TotalRevenueColumnAmt
Exclusion$118,102ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
CAFETERIA INCOME900099$1,043,456$1,043,456
OTHER INCOME900099$766,949$716,465$50,484
REBATES900099$503,075$503,075
FieldValueIRS element (for citing)
Other Revenue Total$2,313,480OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$202,050,770TotalRevenueColumnAmt
Related Or Exempt Func Income$196,427,291RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,209,923UnrelatedBusinessRevenueAmt
Exclusion$1,864,517ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,565,122TotalAmt
Program Services$394,119ProgramServicesAmt
Management And General$2,171,003ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$67,591,661TotalAmt
Program Services$58,392,369ProgramServicesAmt
Management And General$9,199,292ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$583,554TotalAmt
Program Services$522,555ProgramServicesAmt
Management And General$60,999ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$17,157,722TotalAmt
Program Services$14,536,022ProgramServicesAmt
Management And General$2,621,700ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$5,311,699TotalAmt
Program Services$4,446,497ProgramServicesAmt
Management And General$865,202ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$226,606TotalAmt
Management And General$226,606ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$242,722TotalAmt
Management And General$242,722ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$20,318TotalAmt
Management And General$20,318ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$11,706,307TotalAmt
Program Services$6,515,213ProgramServicesAmt
Management And General$5,191,094ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,017,623TotalAmt
Program Services$1,017,623ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,133,514TotalAmt
Program Services$3,365,750ProgramServicesAmt
Management And General$767,764ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,212,918TotalAmt
Program Services$261,564ProgramServicesAmt
Management And General$951,354ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,400,190TotalAmt
Program Services$2,376,104ProgramServicesAmt
Management And General$1,024,086ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$276,976TotalAmt
Program Services$85,228ProgramServicesAmt
Management And General$191,748ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,149,779TotalAmt
Program Services$1,871,678ProgramServicesAmt
Management And General$278,101ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$4,653,650TotalAmt
Program Services$3,615,933ProgramServicesAmt
Management And General$1,037,717ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,612,792TotalAmt
Program Services$2,016,784ProgramServicesAmt
Management And General$596,008ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL & DRUG SUPPLIES$30,104,750$30,104,750
STATE HOSPITAL TAX EXP$16,746,011$16,746,011
PHYSICIAN FEES$4,664,539$3,773,747$890,792
BAD DEBTS$2,822,659$2,822,659

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$6,876,081TotalAmt
Program Services$3,499,721ProgramServicesAmt
Management And General$3,376,360ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$186,077,193TotalAmt
Program Services$139,618,316ProgramServicesAmt
Management And General$46,458,877ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,464BOYAmt
EOY$1,464EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$11,267,637BOYAmt
EOY$14,468,519EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$13,624,224BOYAmt
EOY$14,451,556EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,017,075BOYAmt
EOY$2,226,192EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,414,943BOYAmt
EOY$1,557,480EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$172,059,751LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$111,443,431LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$57,733,653BOYAmt
EOY$60,616,320EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$10,012,134BOYAmt
EOY$10,368,783EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$3,750,069BOYAmt
EOY$3,796,018EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$26,608,849BOYAmt
EOY$27,126,297EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$125,430,048BOYAmt
EOY$134,612,629EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$25,912,142BOYAmt
EOY$23,928,878EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,253,087BOYAmt
EOY$1,021,050EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$40,652,000BOYAmt
EOY$40,652,000EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$7,088,000BOYAmt
EOY$5,573,000EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$959,361BOYAmt
EOY$327,052EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$64,639,137BOYAmt
EOY$55,703,152EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$140,503,727BOYAmt
EOY$127,205,132EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$24,145,803BOYAmt
EOY-$1,662,465EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,161,794BOYAmt
EOY$3,113,683EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,910,330BOYAmt
EOY$5,956,279EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$15,073,679BOYAmt
EOY$7,407,497EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$125,430,048BOYAmt
EOY$134,612,629EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$15,973,577ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$203,398NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$6,304,201OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$20,318OtherActivitiesAmt
Total Lobbying Expenditures$20,318TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationTHE GRIFFIN HOSPITAL PAID FOR MEMBERSHIP DUES TO THE CONNECTICUT HOSPITAL ASSOCIATION. FOR THE FISCAL YEAR ENDED 9/30/2018, $20,318 OF THE MEMBERSHIP DUES PAID WAS USED FOR LOBBYING ON ISSUES RELEVANT TO THE ORGANIZATION'S EXEMPT PURPOSE.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,579,131BeginningYearBalanceAmt
Investment Earnings Or Losses$247,455InvestmentEarningsOrLossesAmt
Other Expenditures$6,000OtherExpendituresAmt
End Year Balance$3,820,586EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,279,717BeginningYearBalanceAmt
Investment Earnings Or Losses$301,914InvestmentEarningsOrLossesAmt
Other Expenditures$2,500OtherExpendituresAmt
End Year Balance$3,579,131EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,400,689BeginningYearBalanceAmt
Investment Earnings Or Losses$252,030InvestmentEarningsOrLossesAmt
Other Expenditures$373,002OtherExpendituresAmt
End Year Balance$3,279,717EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,517,730BeginningYearBalanceAmt
Investment Earnings Or Losses-$117,041InvestmentEarningsOrLossesAmt
End Year Balance$3,400,689EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,409,062BeginningYearBalanceAmt
Investment Earnings Or Losses$134,026InvestmentEarningsOrLossesAmt
Other Expenditures$25,358OtherExpendituresAmt
End Year Balance$3,517,730EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.56540PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.43460TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,002,891OtherCostOrOtherBasisAmt
Book Value$4,002,891BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$80,683,687OtherCostOrOtherBasisAmt
Depreciation$44,277,508DepreciationAmt
Book Value$36,406,179BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$77,480,485OtherCostOrOtherBasisAmt
Depreciation$66,085,331DepreciationAmt
Book Value$11,395,154BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,892,688OtherCostOrOtherBasisAmt
Depreciation$1,080,592DepreciationAmt
Book Value$8,812,096BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$60,616,320TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (8 entries)

DescDescBook ValueBookValueAmt
OTHER RECEIVABLES$751,681
DUE FROM AFFILIATES$8,670,858
OTHER ASSETS & INSURANCE RECOVERABLE$5,295,102
INTEREST IN NET ASSETS OF AFFILIATE$8,959,477
INVESTMENT IN AFFILIATE$1,957,172
DEBT ISSUANCE COSTS$552,312
INTEREST RATE SWAP$884,459
ACCRUED INTEREST RECEIVABLE$55,236
FieldValueIRS element (for citing)
Total Book Value Other Assets$27,126,297TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDescAmtAmt
ACCRUED POSTRETIREMENT BENEFIT LIABILITY$8,542,152
PROFESSIONAL AND GENERAL LIABILITY LOSS RESERVES$5,085,857
ACCRUED PENSION LIABILITY$29,286,147
WORKERS COMPENSATION LOSS RESERVES$1,779,786
ACCRUED INTEREST PAYABLE$189,017
CONDITIONAL ASSET RETIREMENT OBLIGATIONS$95,831
ESTIMATED THIRD-PARTY SETTLEMENTS$6,807,828
DUE TO AFFILIATES$276,634
CAPITAL LEASE OBLIGATIONS$3,639,900
FieldValueIRS element (for citing)
Total Liability$55,703,152TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$202,254,168TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$203,398NetUnrealizedGainsInvstAmt
Revenue Not Reported$203,398RevenueNotReportedAmt
Revenue Subtotal$202,050,770RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$202,050,770TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$186,077,193TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$186,077,193ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$186,077,193TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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:THE HOSPITAL AND GFP ARE NOT-FOR-PROFIT ORGANIZATIONS, EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE HOSPITAL AND GFP 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, 2018, 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. THE HOSPITAL AND GFP ARE SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS. THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS PENDING OR IN PROGRESS OTHER THAN THE IRS EXAMINATION OF THE HOSPITAL'S FORM 990 AND 990T FOR THE YEAR ENDED SEPTEMBER 30, 2016.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other250.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Persons Served175PersonsServedCnt
Total Community Benefit Expns$971,263TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$971,263NetCommunityBenefitExpnsAmt
Total Expense0.00530TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Persons Served16128PersonsServedCnt
Total Community Benefit Expns$18,934,897TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$13,982,745DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,952,152NetCommunityBenefitExpnsAmt
Total Expense0.02700TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served16303PersonsServedCnt
Total Community Benefit Expns$19,906,160TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$13,982,745DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,923,415NetCommunityBenefitExpnsAmt
Total Expense0.03230TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs11ActivitiesOrProgramsCnt
Persons Served87166PersonsServedCnt
Total Community Benefit Expns$1,102,995TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$189,675DirectOffsettingRevenueAmt
Net Community Benefit Expns$913,320NetCommunityBenefitExpnsAmt
Total Expense0.00500TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$7,337,619TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,151,165DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,186,454NetCommunityBenefitExpnsAmt
Total Expense0.00650TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served36518PersonsServedCnt
Total Community Benefit Expns$8,853,917TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,713,392DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,140,525NetCommunityBenefitExpnsAmt
Total Expense0.01170TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$977,442TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$696,930DirectOffsettingRevenueAmt
Net Community Benefit Expns$280,512NetCommunityBenefitExpnsAmt
Total Expense0.00150TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served239PersonsServedCnt
Total Community Benefit Expns$44,240TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$24,407DirectOffsettingRevenueAmt
Net Community Benefit Expns$19,833NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs18ActivitiesOrProgramsCnt
Persons Served123923PersonsServedCnt
Total Community Benefit Expns$18,316,213TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$13,775,569DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,540,644NetCommunityBenefitExpnsAmt
Total Expense0.02480TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs18ActivitiesOrProgramsCnt
Persons Served140226PersonsServedCnt
Total Community Benefit Expns$38,222,373TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$27,758,314DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,464,059NetCommunityBenefitExpnsAmt
Total Expense0.05710TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$774,954BadDebtExpenseAmt
Reimbursed By Medicare$60,694,847ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$65,808,526CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$5,113,679MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost Accounting SystemYes (X)CostAccountingSystemInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GRIFFIN HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1130 DIVISION STREETAddressLine1Txt
CityDERBYCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06418ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.GRIFFINHEALTH.ORGWebsiteAddressTxt
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Research FacilityYes (X)ResearchFacilityInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1GRIFFIN HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.GRIFFINHEALTH.ORGOwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLSEE PART V, PAGE 8OtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt16ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, PAGE 8StrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care250.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, PAGE 8FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, PAGE 8FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, PAGE 8FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Collection Activities0CollectionActivitiesInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
GRIFFIN HOSPITALPART V, SECTION B, LINE 5: THE HOSPITAL UTILIZES THE 2016 VALLEY COMMUNITY INDEX (VCI). THE VCI WAS CREATED IN PARTNERSHIP WITH DATAHAVEN, THIS VCI IS THE FIRST SINGLE-SOURCE REPORT OF ITS KIND THAT PROVIDES TIMELY, COMPREHENSIVE SOCIOECONOMIC, EDUCATION, HEALTH, AND WELL-BEING DATA SHAPING OUR REGION. COMMUNITY LEADERS WHO HAVE A FIRM PULSE ON THE NEEDS AND OPPORTUNITIES OF THE VALLEY CAME TOGETHER AS AN ADVISORY COMMITTEE SHARING A COMMON AGENDA TO PROVIDE THE DIRECTION FOR DATA RESEARCH.THIS REPORT IS ALSO COMPLETED TO MEET GRIFFIN HOSPITAL'S IRS REQUIREMENTS IN FORM 990 SCHEDULE H AND NOTICE 2011-52 THAT DISCUSSES THE CREATION OF A COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH ALL TAX-EXEMPT HOSPITALS COMPLETE AS A RESULT OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT. THE VCI WAS PRODUCED BY THE VALLEY COMMUNITY FOUNDATION AND DATAHAVEN, SEPTEMBER 2016 AND AUTHORED BYMARY BUCHANAN, PROJECT MANAGER, DATAHAVEN, MARK ABRAHAM, EXECUTIVE DIRECTOR, DATAHAVEN, VALLEY COMMUNITY FOUNDATION STAFF SHARON CLOSIUS, PRESIDENT AND CEO, BETH COLETTE, VALERIE KNIGHT-DIGANGI, JOHN READY, LAURA DOWNS, MORRISON DOWNS ASSOCIATES, PROJECT CONSULTANTSPONSORS AND CONTRIBUTORS INCLUDE: CONNECTICUT COMMUNITY FOUNDATION, LIBERTY BANK FOUNDATION, THE COMMUNITY FOUNDATION FOR GREATER NEW HAVEN, NAUGATUCK VALLEY COUNCIL OF GOVERNMENTS, VALLEY COMMUNITY INDEX ADVISORY COMMITTEE, ALLIANCE FOR PREVENTION & WELLNESS (FORMERLY VSAAC), ANSONIA SCHOOL READINESS, BH CARE, BOYS & GIRLS CLUB OF THE LOWER NAUGATUCK VALLEY, CELEBRATE SHELTON, CENTER STAGE THEATRE, THE COMMUNITY FOUNDATION FOR GREATER NEW HAVEN, CONNECTICUT COMMUNITY FOUNDATION, DERBY EARLY CHILDHOOD COUNCIL, DERBY NECK LIBRARY, DERBY YOUTH SERVICES BUREAU, DOWN TO EARTH CONSULTING SOLUTIONS, GREATER VALLEY CHAMBER OF COMMERCE, GRIFFIN HOSPITAL, HOUSATONIC COUNCIL, BSA, LITERACY VOLUNTEERS OF GREATER NEW HAVEN, MIECHV/TEAM EARLY HEAD START, 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, VALLEY REGIONAL ADULT EDUCATION, VALLEY SHAKESPEARE FESTIVAL, VALLEY UNITED WAY, THE VALLEY VOICE, VALLEY YMCA, VNA OF SOUTH CENTRAL CT, THE WORKPLACE, INC., HOWARD WHITTEMORE MEMORIAL LIBRARY, YALE-GRIFFIN PREVENTION RESEARCH CENTER, REPRESENTATIVES FROM EACH OF THE MUNICIPAL GOVERNMENTS AND SCHOOL DISTRICTS IN THE VALLEY, AND MANY OTHER VOLUNTEERS.THE INDEX ALSO PERFORMED IN-DEPTH INTERVIEWS OVER A THOUSAND VALLEY RESIDENTS REGARDING PERSONAL WELL-BEING.
GRIFFIN HOSPITALPART V, SECTION B, LINE 6B: - NAUGATUCK VALLEY HEALTH DISTRICT- VALLEY COMMUNITY FOUNDATION- DATA HAVEN- VALLEY COMMUNITY INDEX ADVISORY COMMITTEE- GRIFFIN HEALTH SERVICES, INC.- KATHARINE MATTHIES FOUNDATION- CONNECTICUT COMMUNITY FOUNDATION- THE COMMUNITY FOUNDATION FOR GREATER NEW HAVEN- NAUGATUCK VALLEY COUNCIL OF GOVERNMENTS- VALLEY COMMUNITY INDEX ADVISORY COMMITTEE ALLIANCE FOR PREVENTION & WELLNESS (FORMERLY VSAAC)- ANSONIA SCHOOL READINESS- BH CARE- BOYS & GIRLS CLUB OF THE LOWER NAUGATUCK VALLEY- CELEBRATE SHELTON- CONNECTICUT COMMUNITY FOUNDATION DERBY EARLY CHILDHOOD COUNCIL- DERBY NECK LIBRARY- DERBY YOUTH SERVICES BUREAU DOWN TO EARTH CONSULTING SOLUTIONS- GREATER VALLEY CHAMBER OF COMMERCE- GRIFFIN HOSPITAL HOUSATONIC COUNCIL, BSA- LITERACY VOLUNTEERS OF GREATER NEW HAVEN- MIECHV/TEAM EARLY HEAD START NAUGATUCK VALLEY COUNCIL OF GOVERNMENTS- NAUGATUCK VALLEY HEALTH DISTRICT- NAUGATUCK YMCA PARENT CHILD RESOURCE CENTER- SHELTON ECONOMIC DEVELOPMENT CORPORATION- TEAM, INC.- GRIFFIN HOSPITAL VALLEY PARISH NURSE PROGRAM- VALLEY REGIONAL ADULT EDUCATION- VALLEY SHAKESPEARE FESTIVAL VALLEY UNITED WAY- THE VALLEY VOICE- VALLEY YMCA- VNA OF SOUTH CENTRAL CT- THE WORKPLACE, INC.- HOWARD WHITMORE MEMORIAL LIBRARY- YALE-GRIFFIN PREVENTION RESEARCH CENTER COMMUNITY- VALLEY COUNCIL FOR HEALTH & HUMAN SERVICESGRIFFIN HOSPITAL:PART V, SECTION B, LINE 7B: HTTPS://WWW.GRIFFINHEALTH.ORG/PORTALS/0/DOCUMENTS/CHNA/2016-VALLEY-COMMUNITY-INDEX.PDF?VER=2016-12-29-103131-717&TIMESTAMP=1483105329014GRIFFIN HOSPITAL:PART V, SECTION B, LINE 10A: HTTP://WWW.NVHD.ORG/PERCH/RESOURCES/2016-2018-CHIP-FINAL-2.PDF
GRIFFIN HOSPITALPART V, SECTION B, LINE 11: THE SIGNIFICANT NEEDS IDENTIFIED IN THE HOSPITAL'S MOST RECENT CHNA ARE BEING ADDRESSED THROUGH THE DEVELOPMENT OF THE VALLEY COMMUNITY HEALTH IMPROVEMENT PLAN FOR 2016-2018.AS A RESULT OF THE COMMUNITY CONVERSATIONS UTILIZING DATA FROM THE 2016 VALLEY COMMUNITY INDEX (WHICH SERVED AS GRIFFIN HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT), SEVEN (7) CRITICAL POPULATION HEALTH FOCUS AREAS EMERGED AND A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) WAS ESTABLISHED. CHIP WAS DEVELOPED IN CONJUNCTION WITH NAUGATUCK VALLEY HEALTH DISTRICT AND OTHER COMMUNITY PARTNERS. THE CHIP AREAS OF FOCUS ARE: 1. CREATION OF BEHAVIORAL HEALTH/SUBSTANCE ABUSE COMMUNITY ACTION TEAM (MIDDLESEX HOSPITAL MODEL) 2. CHRONIC DISEASE MANAGEMENT (DIABETES, CHF, COPD, ETC.) 3. OPIATE/ADDICTION PREVENTION & TREATMENT 4. CHILDHOOD OBESITY PREVENTION (VITAHLS) 5. EARLY DETECTION OF LUNG CANCER & SMOKING CESSATION 6. ASTHMA PREVENTION & SELF-MANAGEMENT (PART OF STATEWIDE CHA ASTHMA INITIATIVE) 7. HEALTHY HOMES
GRIFFIN HOSPITALPART V, SECTION B, LINE 13B: INVESTMENT, IRA, CHECKING ACCT, REAL ESTATE
GRIFFIN HOSPITALPART V, LINE 16A, FAP WEBSITE:HTTPS://WWW.GRIFFINHEALTH.ORG/GRIFFIN-HOSPITAL/BILLING-INSURANCE/FINANCIAL-ASSISTANCE-PROGRAM
GRIFFIN HOSPITALPART V, LINE 16B, FAP APPLICATION WEBSITE:HTTPS://WWW.GRIFFINHEALTH.ORG/GRIFFIN-HOSPITAL/BILLING-INSURANCE/FINANCIAL-ASSISTANCE-PROGRAM
GRIFFIN HOSPITALPART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE:HTTPS://WWW.GRIFFINHEALTH.ORG/GRIFFIN-HOSPITAL/BILLING-INSURANCE/FINANCIAL-ASSISTANCE-PROGRAM
FieldValueIRS element (for citing)
Facility4FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - GRIFFIN IMAGING & DIAGNOSTICS CENTER
2 IVY BROOK ROAD SUITE 130SHELTONCT06484IMAGING CENTER
2 - GRIFFIN HOSP OCCUPATIONAL MEDICINE CTR
10 PROGRESS DRIVESHELTONCT06484OCCUPATIONAL MEDICINE
3 - GRIFFIN HOSPITAL BLOOD DRAWING STATION
22 WAKEFIELD AVENUEANSONIACT06418BLOOD DRAWING STATION
4 - CHARGER HEALTH CENTER
20 PULASKI HIGHWAYANSONIACT06401SCHOOL BASED HEALTH CENTER

Supplemental Information Detail SupplementalInformationDetail (15 entries)

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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 ONE (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 IN ATTACHMENT A 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. 3. 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. 4. 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 GRIFFINHEALTH.ORG.
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 $ 2,822,659.
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 AND SUBSIDIARY NOTES TO CONSOLIDATED FINANCIAL STATEMENTS SEPTEMBER 30, 2018ALLOWANCE FOR DOUBTFUL ACCOUNTS - PAGE 17THE HOSPITAL'S ESTIMATION OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS BASED PRIMARILY UPON THE TYPE AND AGE OF THE PATIENT ACCOUNTS RECEIVABLE AND THE EFFECTIVENESS OF THE HOSPITAL'S COLLECTION EFFORTS. THE HOSPITAL'S POLICY IS TO RESERVE A PORTION OF ALL SELF-PAY RECEIVABLES, INCLUDING AMOUNTS DUE FROM THE UNINSURED AND AMOUNTS RELATED TO CO-PAYMENTS AND DEDUCTIBLES, AS THE CHARGES ARE RECORDED. ON A MONTHLY BASIS, THE HOSPITAL REVIEWS ITS ACCOUNTS RECEIVABLE BALANCES, THE EFFECTIVENESS OF THE HOSPITAL'S RESERVE POLICIES AND VARIOUS ANALYTICS TO SUPPORT THE BASIS FOR ITS ESTIMATES. THESE EFFORTS PRIMARILY CONSIST OF REVIEWING THE FOLLOWING: - REVENUE AND VOLUME TRENDS BY PAYOR, PARTICULARLY THE SELF-PAY COMPONENTS; - CHANGES IN THE AGING AND PAYOR MIX OF ACCOUNTS RECEIVABLE, INCLUDING INCREASED FOCUS ON ACCOUNTS DUE FROM THE UNINSURED AND ACCOUNTS THAT REPRESENT CO-PAYMENTS AND DEDUCTIBLES DUE FROM PATIENTS; - VARIOUS ALLOWANCE COVERAGE STATISTICS.THE HOSPITAL REGULARLY PERFORMS HINDSIGHT PROCEDURES TO EVALUATE HISTORICAL WRITE-OFF AND COLLECTION EXPERIENCE THROUGHOUT THE YEAR TO ASSIST IN DETERMINING THE REASONABLENESS OF ITS PROCESS FOR ESTIMATING THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.GRIFFIN HOSPITAL AND SUBSIDIARY NOTES TO CONSOLIDATED FINANCIAL STATEMENTS SEPTEMBER 30, 2018MEASURING CHARITY CARE - PAGE 17-18THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS FREE CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS 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.A PATIENT IS CLASSIFIED AS A CHARITY PATIENT BY REFERENCE TO THE ESTABLISHED POLICIES OF THE HOSPITAL. ESSENTIALLY, THESE POLICIES DEFINE CHARITY SERVICES AS THOSE SERVICES FOR WHICH NO PAYMENT IS POSSIBLE. IN ASSESSING A PATIENT'S INABILITY TO PAY, THE HOSPITAL UTILIZES THE GENERALLY RECOGNIZED FEDERAL POVERTY INCOME LEVELS, BUT ALSO INCLUDES CERTAIN CASES WHERE INCURRED CHARGES ARE SIGNIFICANT WHEN COMPARED TO INCOMES AND ASSETS.SELF-PAY REVENUES ARE DERIVED PRIMARILY FROM PATIENTS WHO DO NOT HAVE ANY FORM OF HEALTH CARE COVERAGE. THE HOSPITAL EVALUATES THESE PATIENTS, AFTER THE PATIENT'S MEDICAL CONDITION IS DETERMINED TO BE STABLE, FOR THEIR ABILITY TO PAY BASED UPON FEDERAL AND STATE POVERTY GUIDELINES, QUALIFICATIONS FOR MEDICAID OR OTHER GOVERNMENTAL ASSISTANCE PROGRAMS, AS WELL AS THE HOSPITAL'S POLICY FOR CHARITY CARE. FOR THE YEARS ENDED SEPTEMBER 30, 2018 AND 2017, THE HOSPITAL ESTIMATES THAT ITS COSTS OF CARE PROVIDED UNDER ITS CHARITY CARE PROGRAMS APPROXIMATED $1,002,000 AND $1,040,000, 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. ADDITIONALLY, THE HOSPITAL DOES NOT REPORT A CHARITY CARE PATIENT'S CHARGES IN REVENUES OR IN THE PROVISION FOR DOUBTFUL ACCOUNTS AS IT IS THE HOSPITAL'S POLICY NOT TO PURSUE COLLECTION OF AMOUNTS RELATED TO THESE PATIENTS.
PART III, LINE 8:GRIFFIN HOSPITAL BELIEVES THAT ALL OF THE $5.114 MILLION SHORTFALL SHOULD BE CONSIDERED AS COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITY. THIS YEAR MEDICARE ACCOUNTED FOR 2.6% OF HOSPITAL EXPENSES THE HOSPITAL PROVIDES CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVES THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES.
PART III, LINE 9B: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 THE PATIENT AMOUNTS ARE PROCESSED FAIRLY AND CONSISTENTLY. GRIFFIN WILL ENSURE THAT PRACTICES TO BE USED BY THEIR OUTSIDE COLLECTION AGENCIES WILL CONFORM TO THE STANDARDS SET FORTH IN THIS POLICY AND SHALL OBTAIN WRITTEN COMMITMENTS FROM SUCH AGENCIES AT TIME OF BILLING. GRIFFIN WILL PROVIDE TO ALL LOW INCOME UNINSURED PATIENTS THE SAME INFORMATION CONCERNING SERVICES AND CHARGES PROVIDED TO ALL OTHER PATIENTS WHO RECEIVE CARE AT THE HOSPITAL FOR PATIENTS WHO HAVE AN APPLICATION PENDING DETERMINATION FOR EITHER GOVERNMENT SPONSORED COVERAGE OR FOR THE HOSPITAL OWN FINANCIAL ASSISTANCE PROGRAM GRIFFIN WILL NOT KNOWINGLY SEND THAT PATIENT BILL TO A COLLECTION AGENCY. IF A PATIENT DOES NOT MAINTAIN THE AGREED UPON PAYMENT SCHEDULE THE AMOUNT WILL BE FORWARDED TO AN OUTSIDE COLLECTION AGENCY AT THE FULL REMAINING BALANCE. IF IT IS LATER DETERMINED BY THE GRIFFIN HOSPITAL OR A COLLECTION AGENCY ACTING ON BEHALF OF GRIFFIN HOSPITAL THAT THE PATIENT FINANCIAL CONDITIONS HAVE CHANGED AND THE PATIENT WAS UNABLE TO PAY THE OUTSTANDING ACCOUNT BALANCES AN OVERRIDE MAY BE APPLIED BY THE BUSINESS SERVICES DIRECTOR. THE UNCOLLECTED DEBT WILL BE TRANSFERRED TO FINANCIAL ASSISTANCE BY THE SUPERVISOR AFTER REVIEW. THE MEDICARE COSTS WERE OBTAINED FROM THE HOSPITAL'S INTERNAL COST ACCOUNTING SYSTEM.
PART VI, LINE 2:GRIFFIN HOSPITAL ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITY BY 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, THE HOSPITAL PROACTIVELY ADDRESS ISSUE AREAS SUCH AS CHILDHOOD OBESITY, EARLY DETECTION SCREENING FOR CANCER, CHILDHOOD ASTHMA, AND SUBSTANCE ABUSE PREVENTION. GRIFFIN HOSPITAL IS FOCUSED ON POPULATION HEALTH WHICH INCLUDES PREVENTION AND WELLNESS PROGRAMS.
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.VITAHLS VALLEY INITIATIVE TO ADVANCE HEALTH & LEARNING IN SCHOOLS GRIFFIN HOSPITAL HAS BEEN EXPANDING ITS REACH INTO THE COMMUNITY LIKE NEVER BEFORE.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 FRIENDSGRIFFIN 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:N/A
PART VI, LINE 7, REPORTS FILED WITH STATESCT

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
FREDERICK BROWNE MD
TRUSTEE$0$335,583$0$58,391$0$1,722$0$8,100$0$20,652$0$424,448$0$0
PATRICK A CHARMEL
CEO/PRESIDENT, BOD SECRETARY/TREASUR$505,820$0$130,125$0$1,722$0$12,668$0$20,652$0$670,987$0$0$0
KENNETH J DOBULER MD
TRUSTEE/PHYSICIAN$326,654$0$7,246$0$0$0$9,083$0$23,873$0$366,856$0$0$0
MARK O'NEILL
CFO/VP FINANCE$268,239$0$45,058$0$1,722$0$7,404$0$2,145$0$324,568$0$0$0
MARGARET DEEGAN
VP$202,299$0$34,742$0$1,536$0$6,200$0$20,652$0$265,429$0$0$0
TODD LIU
VP$185,635$0$31,242$0$1,423$0$5,453$0$20,652$0$244,405$0$0$0
BARBARA STUMPO
VP$195,391$0$32,721$0$1,484$0$5,972$0$20,652$0$256,220$0$0$0
KATHLEEN MARTIN
VP$178,416$0$30,347$0$1,353$0$5,333$0$20,652$0$236,101$0$0$0
BENJAMIN ZIGUN
PHYSICIAN$264,765$0$0$0$1,722$0$7,946$0$20,652$0$295,085$0$0$0
EDWARD HALSTEAD
PHYSICIAN$185,590$0$0$0$872$0$5,425$0$15,919$0$207,806$0$0$0
MIHAELA BORAN
PHYSICIAN$176,333$0$0$0$1,321$0$5,519$0$19,266$0$202,439$0$0$0
NUMAN GHARAIBEH
PHYSICIAN$168,562$0$0$0$1,099$0$4,693$0$18,023$0$192,377$0$0$0
ADAM DWORKIN
VP$166,590$0$3,148$0$1,282$0$5,125$0$20,652$0$196,797$0$0$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CHEFA SERIES EBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN060806186BondIssuerEIN
Bond Issued2017-01-20BondIssuedDt
Issue Price$40,652,000IssuePriceAmt
PurposeRETIREMENT OF EXISTING DEBTPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$40,652,000TotalProceedsAmt
In Reserve Fund$3,957,357InReserveFundAmt
Refunding Escrow$36,768,665RefundingEscrowAmt
Issuance Costs From Proceeds$739,692IssuanceCostsFromProceedsAmt
Working Capital Expenditures$2,500,000WorkingCapitalExpendituresAmt
Other Spent Proceeds$4,601,000OtherSpentProceedsAmt
Current RefundingYes (1)CurrentRefundingInd
Advance Refunding0AdvanceRefundingInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd0ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor Reqs0WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective Action0ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonGREGORY BORIS DOPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionTRUSTEERelationshipDescriptionTxt
Transaction$462,833TransactionAmt
TransactionGRIFFIN HOSPITAL RETAINED THE SERVICES OF CONNECTICUT EMERGENCY MEDICINE SPECIALISTS TO OVERSEE THE EMERGENCY DEPARTMENT. GREGORY BORIS IS THE DIRECTOR OF THE EMERGENCY DEPARTMENT.TransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 7ATHE 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 11BFORM 990 IS REVIEWED BY MANAGEMENT PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CEACH 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 15COMPENSATION OF OFFICERS AND KEY EMPLOYEES ARE REVIEWED ANNUALLY BY THE COMPENSATION COMMITTEE WHICH IS A SUBCOMMITTEE OF THE HOSPITAL BOARD. THIS COMMITTEE SETS THE COMPENSATION FOR THE CEO BASED ON INDUSTRY DATA. COMPENSATION OF OTHER OFFICERS AND DIRECTORS IS SET BY THE CEO BASED ON INDUSTRY DATA.
FORM 990, PART VI, SECTION C, LINE 19THE 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 -6,358,361. MINIMUM PENSION LIABILITY ADJUSTMENT 9,954,568. CHANGE IN NET ASSETS OF AFFILIATE 1,588,353. CHANGE IN BENEFICIAL INTEREST IN TRUSTS 45,949. CHANGE IN FAIR VALUE OF INTEREST RATE SWAPS 1,073,692.
FORM 990, PART XII, LINE 2C:THE BOARD OF TRUSTEES OF GRIFFIN HOSPITAL IS RESPONSIBLE FOR SELECTING AN INDEPENDENT AUDIT FIRM AND FOR OVERSEEING THE FINANCIAL STATEMENT PREPARATION PROCESS. THERE HAVE BEEN NO CHANGES IN THESE PROCEDURES SINCE THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
GRIFFIN HEALTH SERVICES CORPORATION
130 DIVISION STREETDERBYCT06418222560257HOLDING COMPANYCT501(C)(3)LINE 12B, IIN/A0
GRIFFIN FACULTY PHYSICIANS INC
130 DIVISION STREETDERBYCT06418061463147MEDICAL/EDUCATIONCT501(C)(3)LINE 11Yes (1)GRIFFIN HOSPITAL
GRIFFIN HOSPITAL DEVELOPMENT FUND
130 DIVISION STREETDERBYCT06418222560254FUNDRAISINGCT501(C)(3)LINE 12B, II0GRIFFIN HEALTH SERVICES CORPORATION
PLANETREE INTERNATIONAL INC
130 DIVISION STREETDERBYCT06418061505284EDUCATIONCT501(C)(3)LINE 110GRIFFIN HEALTH SERVICES CORPORATION

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
GH VENTURES INC
130 DIVISION STREETDERBYCT06418222560247RENTAL REAL ESTATECTN/AC0
HEALTHCARE ALLIANCE INSURANCE CO LTD
OFFSHORE CAPTIVE INSURANCEN/AC0171 ELGIN AVENUEGEORGETOWNGRAND CAYMANCJCJ
CT PRACTICE MANAGEMENT INC
130 DIVISION STREETDERBYCT06418061152819INACTIVECTN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmt
GRIFFIN FACULTY PHYSICIANS INC
R$5,843,292
GRIFFIN FACULTY PHYSICIANS INC
M$2,029,202