THE GRIFFIN HOSPITAL: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- THE GRIFFIN HOSPITAL (EIN 06-0647014)
- Tax period
- 2016-10-01 to 2017-09-30
- Filed
- 2018-08-15
- IRS object ID
- 201842279349300924
- Schema version
- 2016v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-08-15T08:26:53-05:00 | ReturnTs |
| Tax Period End | 2017-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 111986323 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Marcum LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 185 Asylum Street | AddressLine1Txt |
| City | Hartford | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06103 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 060647014 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Griffin Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GRIF | BusinessNameControlTxt |
| Phone | 2037327528 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 130 Division Street | AddressLine1Txt |
| City | Derby | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06418 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | james downey | PersonNm |
| Person Title | CONTROLLER | PersonTitleTxt |
| Phone | 2037327528 | PhoneNum |
| Signature | 2018-08-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DOUGLAS FARRINGTON | PreparerPersonNm |
| PTIN | P00370668 | PTIN |
| Phone | 8607600600 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | PATRICK CHARMEL | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 130 Division Street | AddressLine1Txt |
| City | Derby | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06418 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $183,941,753 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | GRIFFINHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1908 | FormationYr |
| Legal Domicile State | CT | LegalDomicileStateCd |
| Activity Or Mission | GRIFFIN HOSPITAL IS COMMITTED TO PROVIDING PERSONALIZED, HUMANISTIC, CONSUMER-DRIVEN HEALTH CARE IN A HEALING ENVIRONMENT. | ActivityOrMissionDesc |
| Voting Members Governing Body | 19 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 16 | VotingMembersIndependentCnt |
| Total Employee | 1638 | TotalEmployeeCnt |
| Total Volunteers | 285 | TotalVolunteersCnt |
| Total Gross UBI | $1,077,422 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$17,835 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,104,693 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,514,192 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $167,363,786 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $177,448,476 | CYProgramServiceRevenueAmt |
| PY Investment Income | $349,434 | PYInvestmentIncomeAmt |
| CY Investment Income | $387,123 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,148,733 | PYOtherRevenueAmt |
| CY Other Revenue | $2,098,472 | CYOtherRevenueAmt |
| PY Total Revenue | $171,966,646 | PYTotalRevenueAmt |
| CY Total Revenue | $182,448,263 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $83,138,243 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $89,388,871 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $73,706,348 | PYOtherExpensesAmt |
| CY Other Expenses | $77,165,234 | CYOtherExpensesAmt |
| PY Total Expenses | $156,844,591 | PYTotalExpensesAmt |
| CY Total Expenses | $166,554,105 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $15,122,055 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $15,894,158 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $117,119,256 | TotalAssetsBOYAmt |
| Total Assets EOY | $125,430,048 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $147,254,744 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $140,503,727 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$30,135,488 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$15,073,679 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | GRIFFIN HOSPITAL IS COMMITTED TO PROVIDING PERSONALIZED, HUMANISTIC, CONSUMER-DRIVEN HEALTH CARE IN A HEALING ENVIRONMENT, TO EMPOWERING INDIVIDUALS TO BE ACTIVELY INVOLVED IN DECISIONS AFFECTING THEIR CARE AND WELL-BEING THROUGH ACCESS TO INFORMATION AND EDUCATION, AND TO PROVIDING LEADERSHIP TO IMPROVE THE HEALTH OF THE COMMUNITY WE SERVE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $127,447,410 | ExpenseAmt |
| Revenue | $162,614,217 | RevenueAmt |
| Desc | GRIFFIN HOSPITAL IS AN ACUTE CARE HOSPITAL PROVIDING MEDICAL CARE TO PATIENTS IN COMMUNITIES SERVED, INCLUDING SUBSIDIZED CARE, CHARITY CARE, AND EDUCATIONAL SERVICES TO HEALTH PROFESSIONALS TO HELP PREPARE THE NEXT GENERATION OF CAREGIVERS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $4,130,979 | ExpenseAmt |
| Revenue | $12,080,707 | RevenueAmt |
| Desc | PROVIDE CANCER RELATED RADIOLOGY SERVICES TO THE COMMUNITY. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,813,709 | ExpenseAmt |
| Revenue | $2,171,493 | RevenueAmt |
| Desc | PROVIDE PSYCHIATRIC SERVICES TO THE COMMUNITY ON AN OUTPATIENT BASIS. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $421,012 | ExpenseAmt |
| Revenue | $1,301,422 | RevenueAmt |
| Desc | PROVIDE HOSPICE SERVICES TO THE COMMUNITY. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $421,012 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $1,301,422 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $133,813,110 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 211 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1638 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 19 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 16 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | CT | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | james downey | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2037327528 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 130 division street | AddressLine1Txt |
| City | derby | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06418 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| JOSEPH ANDREANA | |||||||||
| TRUSTEE | 0.23 | 0.23 | Yes (X) | $0 | $0 | $0 | |||
| JOHN AVERSA DO | |||||||||
| TRUSTEE | 0.23 | 0.23 | Yes (X) | $0 | $0 | $0 | |||
| FREDERICK BROWNE MD | |||||||||
| TRUSTEE | 0.23 | 40.23 | Yes (X) | $0 | $364,748 | $19,091 | |||
| KENNETH BALDYGA | |||||||||
| CHAIRMAN | 0.23 | 0.62 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| JOHN W BETKOWSKI III | |||||||||
| TRUSTEE | 0.23 | 0.62 | Yes (X) | $0 | $0 | $0 | |||
| GREGORY BORIS DO | |||||||||
| TRUSTEE | 0.23 | 0.15 | Yes (X) | $0 | $0 | $0 | |||
| PATRICK A CHARMEL | |||||||||
| CEO/PRESIDENT | 45.00 | 5.15 | Yes (X) | $525,748 | $0 | $23,057 | Yes (X) | ||
| DONNA DIGIANVITTORIO | |||||||||
| TRUSTEE | 0.23 | 0.23 | Yes (X) | $0 | $0 | $0 | |||
| NANCY DINARDO | |||||||||
| TRUSTEE | 0.23 | 0.38 | Yes (X) | $0 | $0 | $0 | |||
| KENNETH J DOBULER MD | |||||||||
| TRUSTEE/PHYSICIAN | 40.00 | 0.23 | Yes (X) | $268,297 | $0 | $32,956 | |||
| JEAN CRUM JONES MPH RD | |||||||||
| TRUSTEE (resigned January 2017) | 0.23 | 0.46 | Yes (X) | $0 | $0 | $0 | |||
| THEMIS KLARIDES | |||||||||
| TRUSTEE | 0.23 | 0.23 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL LAW | |||||||||
| TRUSTEE | 0.23 | 0.23 | Yes (X) | $0 | $0 | $0 | |||
| GEORGE S LOGAN | |||||||||
| TRUSTEE | 0.23 | 0.46 | Yes (X) | $0 | $0 | $0 | |||
| WM NEIL PEARSON MD | |||||||||
| TRUSTEE | 0.23 | 0.23 | Yes (X) | $0 | $0 | $0 | |||
| MARK PETERSON | |||||||||
| TRUSTEE | 0.23 | 0.23 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT G REISS | |||||||||
| TRUSTEE | 0.23 | 0.46 | Yes (X) | $0 | $0 | $0 | |||
| GERALD T WEINER ESQ | |||||||||
| TRUSTEE | 0.23 | 0.62 | Yes (X) | $0 | $0 | $0 | |||
| PHILLIP WHITE | |||||||||
| TRUSTEE | 0.23 | 0.23 | Yes (X) | $0 | $0 | $0 | |||
| JOHN J ZAPRZALKA | |||||||||
| TRUSTEE | 0.23 | 0.46 | Yes (X) | $0 | $0 | $0 | |||
| MARK O'NEILL | |||||||||
| CFO/VP FINANCE | 40.00 | $283,356 | $0 | $5,285 | Yes (X) | ||||
| MARGARET DEEGAN | |||||||||
| VP | 40.00 | $209,511 | $0 | $21,194 | Yes (X) | ||||
| TODD LIU | |||||||||
| VP | 40.00 | $194,875 | $0 | $20,975 | Yes (X) | ||||
| BARBARA STUMPO | |||||||||
| VP | 40.00 | $221,114 | $0 | $21,105 | Yes (X) | ||||
| KATHLEEN MARTIN | |||||||||
| VP | 40.00 | $174,887 | $0 | $20,805 | Yes (X) | ||||
| BENJAMIN ZIGUN | |||||||||
| PHYSICIAN | 40.00 | $231,530 | $0 | $21,622 | Yes (X) | ||||
| EDWARD HALSTEAD | |||||||||
| PHYSICIAN | 40.00 | $200,454 | $0 | $21,420 | Yes (X) | ||||
| MIHAELA BORAN | |||||||||
| PHYSICIAN | 40.00 | $189,361 | $0 | $21,225 | Yes (X) | ||||
| SUSAN BOUTON | |||||||||
| RN | 40.00 | $158,686 | $0 | $20,008 | Yes (X) | ||||
| GEORGE TOMAS | |||||||||
| DIRECTOR OF IT | 40.00 | $160,737 | $0 | $7,244 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,818,556 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $364,748 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $255,987 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 61 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| UNIDINE CORPORATION | |||||
| PO BOX 360639 | PITTSBURGH | PA | 15251 | DIETARY SERVICES | $2,058,513 |
| CT EMERGENCY MEDICINE SPECIALISTS | |||||
| PO BOX 271618 | WEST HARTFORD | CT | 06217 | PHYSICIAN SERVICES | $1,375,443 |
| TURNER CONSTRUCTION | |||||
| 50 WATERVIEW DR | SHELTON | CT | 06484 | CONSTRUCTION | $1,142,681 |
| ASCENSION HEALTH ALLIANCE | |||||
| PO BOX 505302 | ST LOUIS | MO | 63105 | CONSULTING SERVICES | $787,248 |
| Jackson & Coker Locum Tenens | |||||
| PO Box 277638 | Atlanta | GA | 303847638 | physician staffing | $361,434 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 23 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $2,313,392 | GovernmentGrantsAmt |
| All Other Contributions | $200,800 | AllOtherContributionsAmt |
| Total Contributions | $2,514,192 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT SERVICE REVENUE | 622110 | $170,388,161 | $169,361,223 | $1,026,938 |
| State supplemental revenue | 900099 | $5,318,339 | $5,318,339 | |
| OTHER PROGRAM SERVICES | 621500 | $1,382,172 | $1,382,172 | |
| TUITION/EDUCATION REVENUE | 900099 | $359,804 | $359,804 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $177,448,476 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $350,536 | TotalRevenueColumnAmt |
| Exclusion | $350,536 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $326,268 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $326,268 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $326,268 | TotalRevenueColumnAmt |
| Exclusion | $326,268 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,530,077 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,493,490 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $36,587 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $36,587 | TotalRevenueColumnAmt |
| Exclusion | $36,587 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|---|
| CAFETERIA income | 900099 | $1,002,357 | $1,002,357 | ||
| other INCOME | 900099 | $769,847 | $719,363 | $50,484 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,772,204 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $182,448,263 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $177,140,901 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,077,422 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,715,748 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,175,961 | TotalAmt |
| Program Services | $325,103 | ProgramServicesAmt |
| Management And General | $1,850,858 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,044,130 | TotalAmt |
| Program Services | $56,202,288 | ProgramServicesAmt |
| Management And General | $8,841,842 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $724,417 | TotalAmt |
| Program Services | $628,130 | ProgramServicesAmt |
| Management And General | $96,287 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,291,577 | TotalAmt |
| Program Services | $13,804,846 | ProgramServicesAmt |
| Management And General | $2,486,731 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,152,786 | TotalAmt |
| Program Services | $4,325,045 | ProgramServicesAmt |
| Management And General | $827,741 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $219,886 | TotalAmt |
| Management And General | $219,886 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $243,535 | TotalAmt |
| Management And General | $243,535 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,282 | TotalAmt |
| Management And General | $16,282 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,240,834 | TotalAmt |
| Program Services | $6,496,923 | ProgramServicesAmt |
| Management And General | $2,743,911 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $618,709 | TotalAmt |
| Program Services | $618,709 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,715,327 | TotalAmt |
| Program Services | $2,891,033 | ProgramServicesAmt |
| Management And General | $824,294 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $886,208 | TotalAmt |
| Program Services | $182,014 | ProgramServicesAmt |
| Management And General | $704,194 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,456,568 | TotalAmt |
| Program Services | $2,622,158 | ProgramServicesAmt |
| Management And General | $834,410 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $286,638 | TotalAmt |
| Program Services | $77,323 | ProgramServicesAmt |
| Management And General | $209,315 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,978,275 | TotalAmt |
| Program Services | $1,665,490 | ProgramServicesAmt |
| Management And General | $312,785 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,577,736 | TotalAmt |
| Program Services | $3,556,946 | ProgramServicesAmt |
| Management And General | $1,020,790 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,728,905 | TotalAmt |
| Program Services | $2,181,618 | ProgramServicesAmt |
| Management And General | $547,287 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL & DRUG SUPPLIES | $30,269,391 | $30,269,391 | |
| STATE HOSPITAL TAX EXP | $7,583,772 | $7,583,772 | |
| PHYSICIAN FEES | $3,951,366 | $3,195,925 | $755,441 |
| BAD DEBTS | $1,620,257 | $1,620,257 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,771,545 | TotalAmt |
| Program Services | $3,149,911 | ProgramServicesAmt |
| Management And General | $2,621,634 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $166,554,105 | TotalAmt |
| Program Services | $133,813,110 | ProgramServicesAmt |
| Management And General | $32,740,995 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $962 | BOYAmt |
| EOY | $1,464 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,451,571 | BOYAmt |
| EOY | $11,267,637 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,410,622 | BOYAmt |
| EOY | $13,624,224 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $993,432 | BOYAmt |
| EOY | $1,017,075 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,400,243 | BOYAmt |
| EOY | $1,414,943 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $164,587,865 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $106,854,212 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,966,374 | BOYAmt |
| EOY | $57,733,653 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,189,308 | BOYAmt |
| EOY | $10,012,134 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,581,854 | BOYAmt |
| EOY | $3,750,069 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,124,890 | BOYAmt |
| EOY | $26,608,849 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $117,119,256 | BOYAmt |
| EOY | $125,430,048 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,968,934 | BOYAmt |
| EOY | $25,912,142 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $430,074 | BOYAmt |
| EOY | $1,253,087 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,741,449 | BOYAmt |
| EOY | $47,740,000 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,563,518 | BOYAmt |
| EOY | $959,361 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,550,769 | BOYAmt |
| EOY | $64,639,137 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $147,254,744 | BOYAmt |
| EOY | $140,503,727 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$38,610,232 | BOYAmt |
| EOY | -$24,145,803 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,732,629 | BOYAmt |
| EOY | $3,161,794 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,742,115 | BOYAmt |
| EOY | $5,910,330 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$30,135,488 | BOYAmt |
| EOY | -$15,073,679 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $117,119,256 | BOYAmt |
| EOY | $125,430,048 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $15,894,158 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $537,532 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$1,369,881 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $16,282 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $16,282 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | THE GRIFFIN HOSPITAL PAID FOR MEMBERSHIP DUES TO THE CONNECTICUT HOSPITAL ASSOCIATION. FOR THE FISCAL YEAR ENDED 9/30/2017, $16,282 OF THE MEMBERSHIP DUES PAID WAS USED FOR LOBBYING ON ISSUES RELEVANT TO THE ORGANIZATION'S EXEMPT PURPOSE. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,279,717 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $301,914 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $2,500 | OtherExpendituresAmt |
| End Year Balance | $3,579,131 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,400,689 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $252,030 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $373,002 | OtherExpendituresAmt |
| End Year Balance | $3,279,717 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,517,730 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$117,041 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $3,400,689 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,409,062 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $134,026 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $25,358 | OtherExpendituresAmt |
| End Year Balance | $3,517,730 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,249,540 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $183,001 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $23,479 | OtherExpendituresAmt |
| End Year Balance | $3,409,062 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.60360 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.39640 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (1) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,002,891 | OtherCostOrOtherBasisAmt |
| Book Value | $4,002,891 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $79,718,729 | OtherCostOrOtherBasisAmt |
| Depreciation | $42,080,250 | DepreciationAmt |
| Book Value | $37,638,479 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $75,510,957 | OtherCostOrOtherBasisAmt |
| Depreciation | $63,701,168 | DepreciationAmt |
| Book Value | $11,809,789 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,355,288 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,072,794 | DepreciationAmt |
| Book Value | $4,282,494 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $57,733,653 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OTHER RECEIVABLES | $1,323,980 |
| DUE FROM AFFILIATES | $8,054,845 |
| OTHER ASSETS & INSURANCE RECOVERABLE | $6,054,116 |
| INTEREST IN NET ASSETS OF AFFILIATES | $8,622,736 |
| INVESTMENT IN AFFILIATE | $1,807,409 |
| debt issuance costs | $745,763 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $26,608,849 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED POSTRETIREMENT BENEFIT LIABILITY | $10,751,540 |
| PROFESSIONAL AND GENERAL LIABILITY LOSS RESERVES | $5,626,372 |
| ACCRUED PENSION LIABILITY | $40,128,884 |
| WORKERS COMPENSATION LOSS RESERVES | $1,816,643 |
| ACCRUED INTEREST PAYABLE | $146,223 |
| CONDITIONAL ASSET RETIREMENT OBLIGATIONS | $95,831 |
| INTEREST RATE SWAP AGREEMENTS | $280,696 |
| ESTIMATED THIRD-PARTY SETTLEMENTS | $5,516,314 |
| DUE TO AFFILIATES | $276,634 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $64,639,137 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $182,949,481 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $537,532 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $537,532 | RevenueNotReportedAmt |
| Revenue Subtotal | $182,411,949 | RevenueSubtotalAmt |
| Other Revenues Not Included | $36,314 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $36,314 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $182,448,263 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $166,554,105 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $166,554,105 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $166,554,105 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: | THE HOSPITAL'S ENDOWMENT FUNDS CONSIST OF DONOR RESTRICTED FUNDS TO BE INVESTED IN PERPETUITY TO PROVIDE A PERMANENT SOURCE OF INCOME. |
| Part X, Line 2: | 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, 2017, there are no uncertain tax positions taken or expected to be taken that would require recognition of a liability (or asset) or disclosure in the financial statements. The Hospital and GFP are subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods pending or in progress. |
| Part XI, Line 4b - Other Adjustments: | TEMPORARILY RESTRICTED INVESTMENT INCOME 36,314. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 250.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 135 | PersonsServedCnt |
| Total Community Benefit Expns | $999,085 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $999,085 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00610 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 16055 | PersonsServedCnt |
| Total Community Benefit Expns | $20,640,279 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,484,655 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,155,624 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04340 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 16190 | PersonsServedCnt |
| Total Community Benefit Expns | $21,639,364 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,484,655 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,154,709 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04950 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 84537 | PersonsServedCnt |
| Total Community Benefit Expns | $897,069 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $155,792 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $741,277 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00450 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $8,595,228 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,257,028 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,338,200 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00810 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 38285 | PersonsServedCnt |
| Total Community Benefit Expns | $9,259,153 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,879,939 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,379,214 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01440 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $1,045,978 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $789,900 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $256,078 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 888 | PersonsServedCnt |
| Total Community Benefit Expns | $66,162 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $33,160 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $33,002 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 123710 | PersonsServedCnt |
| Total Community Benefit Expns | $19,863,590 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,115,819 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,747,771 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02880 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 139900 | PersonsServedCnt |
| Total Community Benefit Expns | $41,502,954 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $28,600,474 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,902,480 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07830 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $434,067 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $56,658,033 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $62,563,404 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$5,905,371 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | Yes (X) | CostAccountingSystemInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Griffin Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 130 Division Street | AddressLine1Txt |
| City | Derby | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06418 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.griffinhealth.org | WebsiteAddressTxt |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Research Facility | Yes (X) | ResearchFacilityInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Griffin Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.griffinhealth.org | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | see Part V, Page 8 | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | see Part V, Page 8 | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 250.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | griffinhealth.org/griffin-hospital/billing-insurance/free-care-assistance | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | griffinhealth.org/griffin-hospital/billing-insurance/free-care-assistance | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | griffinhealth.org/griffin-hospital/billing-insurance/free-care-assistance | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Griffin Hospital | Part V, Section B, Line 5: The 2016 Valley Community Index was created in partnership with DataHaven, this 2016 Valley Community Index 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, which will ultimately lead to measurable outcomes. This report is also completed to meet Griffin Hospital's IRS requirements in Form 990 Schedule H and Notice 2011-52 that discuss 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. This Index will be used to convene community conversations, foster engagement, align current efforts and investments, and collaborate on strategic endeavors to build, sustain, and enhance the quality of life in the Valley. -Valley community FoundationThe Index also went into the community MEASURING DIFFERENCES IN PERSONAL WELL-BEING IN THE VALLEY. The United Nations has identified measuring local well-being as a global priority. 4 The 2015 DataHaven Community Wellbeing Survey (CWS) represented a first step toward achieving that goal in Connecticut. More than 16,000 randomly-selected adults living throughout the state, including 1,051 in the Valley region, participated in live, in-depth interviews. Designed by a panel of local and national experts and drawn from well-known surveys in the United States and United Kingdom, the CWS included a series of questions that are regularly used to evaluate personal well-being:UNDERSTANDING THE VALLEY REGION: 2016 VALLEY COMMUNITY INDEXProduced by the Valley Community Foundation and DataHaven, September 2016LEAD AUTHORS Mary 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 ConsultantLEAD SPONSORS Valley Community Foundation, Inc., Bassett Family Fund, Griffin Health Services, Inc., Katharine Matthies Foundation, Bank of America, N.A., Trustee, Valley United Way CONTRIBUTING SPONSORS Connecticut Community Foundation, Liberty Bank FoundationSPECIAL THANKS The Community Foundation for Greater New Haven, our partner in philanthropy, 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 CenterCommunity volunteers Marilyn Cormack, Ed Kisluk, and Richard KnollRepresentatives from the Valley Council for Health & Human Services, with special thanks to the members of the Senior Services subcommitteeRepresentatives from each of the municipal governments and school districts in the ValleyUNDERSTANDING THE VALLEY REGION: 2016 VALLEY COMMUNITY INDEXProduced by the Valley Community Foundation and DataHaven, September 2016VALLEY COMMUNITY INDEX ADVISORY COMMITTEE:Buchanan, Mary, and Mark Abraham. (2016). Understanding the Valley Region: 2016 Valley Community Index.Derby, CT: Valley Community Foundation and DataHaven. |
| Griffin Hospital | Part 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://portal.ct.gov/DPH/Office-of-Health-Care-Access/Community-Needs-Assessments/Community-Needs-AssessmentsGriffin Hospital:Part V, Section B, Line 10a: http://www.griffinhealth.org/Portals/0/Documents/CHNA/2016-2018-CHIP.pdf |
| Griffin Hospital | Part V, Section B, Line 11: This document is derived from the 2016 Valley Community Index, and attributable to: Buchanan, Mary, and Mark Abraham. (2016). Understanding the Valley Region: 2016 Valley Community Index. Derby, CT: Valley Community Foundation and DataHaven. Development of the Valley Community Health Improvement Plan for 2016-2018 As a result of the community conversations utilizing data from the Valley Community Index (which served as Griffin Hospital's Community Health Needs Assessment), seven (7) critical population health Focus Areas emerged. In November 2016, a Lead was identified for each Focus Area. These Leads first met as a CHIP Steering Committee co-chaired by Naugatuck Valley Health District and Griffin Hospital in December 2016. The Leads were each charged with forming a team drawn from partner agencies deemed key stakeholders for the particular health concern. Each team developed a Team Charter and Aim Statement; these have subsequently been rolled into an Action Plan for each Focus Area, each containing key Goals, Indicators and associated Objectives/Strategies and Actions/Activities, as the foundation for successful implementation. A key element in each Action Plan is a statement of Alignment with Connecticut's State Health Improvement Plan (SHIP), if applicable, and a description of how Community Involvement is being facilitated. Vision: The Vision embodied in this CHIP a slight modification from the 2013-2015 Plan reads: We strive to be a caring community that nurtures the overall health and quality of life of all its residents by promoting healthy living and equitable access to health services.Community Health Improvement Plan (CHIP) Primary Focus AreasTo be finalized with goals, objectives and strategies developed for each in conjunction with Naugatuck Valley Health District and other community partners: 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 Hospital | Part V, Section B, Line 13b: Investment, IRA, Checking Acct, Real Estate |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c: | Griffin Hospital criteria for determining eligibility for Free Care or Discounted Care include Eligibility Requirements. All guarantors with family income equal to or below two hundred percent of the federal poverty standard adjusted for family size shall be determined to be indigent persons qualifying for charity sponsorship for the full amount of hospital charges related to appropriate hospital-based medical services that are not covered by private or public third-party sponsorship. All guarantors with family income between two hundred 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 $ 1,620,258. |
| 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, 2017ALLOWANCE 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, 2017MEASURING 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, 2017 and 2016, the Hospital estimates that its costs of care provided under its charity care programs approximated $1,039,535 and $1,016,129, 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 $5.905 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 1.7% 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 Uninsured or Free Care Assistance by the Supervisor after review. The Medicare Costs were obtained from the Hospital's internal Cost Accounting System. |
| Part VI, Line 2: | The traditional approach of reacting to illnesses is shifting towards a proactive approach to overall wellness and general well-being. Increasingly, hospitals, physicians, and other healthcare providers are being rewarded for keeping people--and in some cases, entire populations--healthy. What is new is that the incentives are being aligned to help achieve the promotion of true population health. For many years, Griffin Hospital and other forward-thinking healthcare providers have focused efforts on prevention and wellness because, quite frankly, it was the right thing to do for those we serve. Now, we are seeing the state and federal governments (Medicaid and Medicare), as well as private insurers and employers that pay for health coverage, recognize the cost-effective value of those efforts. An individual's good health and well-being has a positive ripple effect on his/her family, community, and workplace. Facing health challenges, however, can have quite the opposite effect. For example, the cost of missing work or missing school for both the patient and the caregiver can be a tremendous physical and economic burden. Prevention is no longer just the right thing to do morally and ethically for our citizens, it is also the right thing to do to preserve the community's economic viability. Griffin Hospital, as the hub of the Valley's health care system, long ago realized that there are many spokes that reach out to where, from a population health standpoint, the rubber hits the road. We have a long and proud history of helping organize and coordinate community resources that identify and address individual and regional health needs and provide support for our most vulnerable residents. Working collaboratively with the Naugatuck Valley Health District, the Valley Council for Health and Human Services, the Alliance for Prevention & Wellness (formerly VSAAC), and our Valley Parish Nurses community outreach program, we proactively address issue areas such as childhood obesity, early detection screening for cancer, childhood asthma, and substance abuse prevention. To paraphrase Dr. David Katz, Director of the Yale-Griffin Prevention Research Center, what we do with our feet (activity/exercise), our forks (what and how much we eat), and our fingers (smoking and drinking, for example) greatly influences our likelihood to develop preventable chronic disease. These are the diseases that rob not only years of life, but life from our years. As a Valley community, we have always been uniquely connected, with a spirit of cooperation and collective will to make things better. Now, by looking at our seven Valley towns through the lens of this report, taking into consideration education, housing, employment, recreation, early childhood development, and aging issues in addition to health and healthier lifestyles, we are seeing a much broader and more comprehensive picture than ever before. This Index serves as the aerial view from which we can zoom in on the challenges we face, the issues we hope to address, and the many opportunities we have to leverage our considerable resources over the next three years to effect change and improve the health of our community. |
| Part VI, Line 3: | A Financial Assistance Brochure is posted throughout the hospital (Childbirth Area, ER Area, and Customer Service Area) in English and Spanish explaining the financial assistance policy and how to contact the financial counselors. The following policy represents Griffin Hospital's procedures for the Uninsured Patient, Free Care Assistance, and Free Bed Funds available for patients who do not have medical insurance.1 Uninsured Patient ProcedureThe patient is registered by 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 Free Care Assistance programs. The pamphlet also includes hospital contacts for patients seeking State welfare, SAGA (City welfare), or other State programs.Patients who register as having no medical insurance with account balances over $3,000 will be referred to the hospital Eligibility Worker. The patient will be seen within 24 hours of admission. If the Eligibility Worker is unable to fulfill this requirement due to absence, the Financial Advisor will take the necessary steps to fulfill this requirement. All accounts under $3,000 will be referred to the hospital Financial Advisors.The hospital eligibility worker will complete a financial screening for those patients seeking Title 19 eligibility and for the uninsured status.The hospital Eligibility Worker will identify patients meeting the State/SAGA and HUSKY program criteria. For patients meeting the criteria, the application process will be completed and all paperwork forwarded to the appropriate State department for processing.The patients who do not meet the criteria for the State/SAGA/HUSKY programs will be referred to the hospital Financial Advisor.The Financial Advisor will begin a review to determine if the patient meets the uninsured criteria identified in Public Act 03-266. A letter will be sent to the patient requesting that patient to verify that they do not have medical insurance as identified during their hospital registration process. The letter will also request additional patient information regarding the patient's income if necessary. The criteria the patient must meet as identified in Public Act 03-266 are as follows:Patient's income, based on family size, falls under 250% of the poverty income guidelines (poverty income guideline scale available upon request)Hospital has made a full determination as to the status of the State/SAGA/HUSKY programs (if applicable)All Griffin Hospital Free Bed Funds have been reviewed and determined non-applicable for the patient in reviewIf the patient responds to the letter sent out by the Financial Advisor, this will begin the application process for the verification of the uninsured patient status. The following information will need to be finalized with the patient in order for the uninsured determination to be made:Proof of patient income and family sizeHospital has made a final determination as to the status of the State/SAGA/HUSKY programs (if applicable)Verification of all Free Bed Funds being reviewed with the patientUpon determination that a patient meets the outlined criteria, the patient will be classified as follows:Uninsured Status; the patients account will be taken from total gross charges and reduced to cost by applying factor supplied annually by the Office of Health Care AccessThe patient will be informed of this decision and will be sent a letter that will reflect the balance at reduction on all applicable accountsThe patient will be advised of the balance that is due and payableThe Financial Advisor will contact the patient to accomplish the following:Attempt payment arrangement with the patient on the remaining balanceIf the patient identifies to the Financial Advisor that they cannot afford the remaining balance, an application for Free Care Assistance will be completed If a patient applies for Free Care Assistance, the Financial Advisor will make a decision on Free Care eligibility based on the patient's family size and income. Free care will be offered based on the Griffin Hospital Free Care Assistance sliding scale (sliding scale available upon request).The Financial Advisor will advise the patient of the free care determination that will be applied to the patients remaining balance.The Financial Advisor will complete all appropriate logs with the decisions and amounts.2 Free Care AssistanceAny patient requesting financial assistance in paying their Griffin Hospital bill can apply for the Free Care Assistance Program by contacting the hospitals Financial Advisory staff.The Financial Advisor will be contact by the patient to complete the Free Care application process.The Financial Advisor will obtain the following information from the patient in order to complete the Free Care Application:Patient W-2 form (tax statement from previous and current year)Three consecutive pay stubs from patient's current employmentDependent information (family size)Any or all bank and checking account statementsThe Financial Advisor will refer to the Griffin Hospital sliding scale. This is based on the Federal Poverty Income Guidelines (sliding scale available upon request). The Financial Advisor will make a determination of free care eligibility status.If the patient qualifies for Free Care Assistance, the applicable discount percentage will be applied to the patients account balance.If a patient balance remains, the Financial Advisor will pursue one of the following with the patient:Require payment in fullSet up a monthly payment arrangementIf the patient does not maintain the agreed upon payment schedule, the account will be forwarded to an outside collection agency at the full remaining balance.If a patient does not qualify for Free Care Assistance, the Financial Advisor will attempt to:Obtain payment in fullSet up a monthly payment arrangementIf the patient does not maintain the agreed upon payment schedule, the account will be forwarded to an outside collection agency at the full remaining balance.In some cases, it is necessary to override the policy guidelines on income due to special" circumstance requirements, i.e., social admits, maxed out days, deceased patients. An override can be obtained by the Supervisor and Director or CFO allowing for consideration of eligibility.The Collection Supervisor will maintain all monthly spreadsheets that will identify all Free Bed funds, Uninsured, and Free Care Assistance allocated on a monthly basis.3 FREE BED FUNDS:The hospital has the following Free Bed funds available for patients who meet the following outlined criteria for each fund: The ENO Fund: The applicant must be a worthy Protestant woman, 60 years of age or older, and be a resident of Ansonia, Derby or Seymour. Pine Trust: The fund is available to indigent patients of Griffin Hospital who reside in the City of Ansonia. DN Clark: The fund is available to Shelton residents. All Free Bed Funds granted are processed through the hospital's Financial Advisor staff. |
| 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 THERE 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. THE OFFICIAL 2015 UNEMPLOYMENT RATE IN THE VALLEY WAS 6.1 PERCENT, THE LOWEST SINCE 2008. CENSUS DATA SHOWS THAT 45 PERCENT OF VALLEY WORKERS EARN LESS THAN $40,000 PER YEAR, A "LIVING WAGE" THAT 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.367 Special Programs 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 20 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, 334 Health and Wellness programs were hosted at the various churches with 8526 participants, Healthy Hints in Weekly bulletins at 3 churches. Approximately 30,000 people read over the year, Chronic Disease Self-Management Program.Griffin Hospital Community Van visited 223 community sites consisting of local churches, food banks, shelters and shopping areas. The Valley Parish Nurse Program completed a total of 7052 screenings on individuals thru programs.162 Community Outreach meetings 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.320 CPR classes at various locations.Griffin had 420 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.214 Support Groups offered through Griffin Hospital Valley Parish Nurse, Cancer Center and Pastoral Care. 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 thru 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 States | CT |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FREDERICK BROWNE MD | ||||||||||||||
| TRUSTEE | $0 | $321,404 | $0 | $43,344 | $0 | $0 | $0 | $7,950 | $0 | $11,141 | $0 | $383,839 | $0 | $0 |
| PATRICK A CHARMEL | ||||||||||||||
| CEO/PRESIDENT | $460,659 | $0 | $65,089 | $0 | $0 | $0 | $5,328 | $0 | $17,729 | $0 | $548,805 | $0 | $0 | $0 |
| KENNETH J DOBULER MD | ||||||||||||||
| TRUSTEE/PHYSICIAN | $268,297 | $0 | $0 | $0 | $0 | $0 | $9,083 | $0 | $23,873 | $0 | $301,253 | $0 | $0 | $0 |
| MARK O'NEILL | ||||||||||||||
| CFO/VP FINANCE | $241,354 | $0 | $42,002 | $0 | $0 | $0 | $3,140 | $0 | $2,145 | $0 | $288,641 | $0 | $0 | $0 |
| MARGARET DEEGAN | ||||||||||||||
| VP | $177,125 | $0 | $32,386 | $0 | $0 | $0 | $2,421 | $0 | $18,773 | $0 | $230,705 | $0 | $0 | $0 |
| TODD LIU | ||||||||||||||
| VP | $165,781 | $0 | $29,094 | $0 | $0 | $0 | $2,202 | $0 | $18,773 | $0 | $215,850 | $0 | $0 | $0 |
| BARBARA STUMPO | ||||||||||||||
| VP | $189,918 | $0 | $31,196 | $0 | $0 | $0 | $2,332 | $0 | $18,773 | $0 | $242,219 | $0 | $0 | $0 |
| KATHLEEN MARTIN | ||||||||||||||
| VP | $149,625 | $0 | $25,262 | $0 | $0 | $0 | $2,032 | $0 | $18,773 | $0 | $195,692 | $0 | $0 | $0 |
| BENJAMIN ZIGUN | ||||||||||||||
| PHYSICIAN | $231,530 | $0 | $0 | $0 | $0 | $0 | $2,849 | $0 | $18,773 | $0 | $253,152 | $0 | $0 | $0 |
| EDWARD HALSTEAD | ||||||||||||||
| PHYSICIAN | $200,454 | $0 | $0 | $0 | $0 | $0 | $2,698 | $0 | $18,722 | $0 | $221,874 | $0 | $0 | $0 |
| MIHAELA BORAN | ||||||||||||||
| PHYSICIAN | $189,361 | $0 | $0 | $0 | $0 | $0 | $2,453 | $0 | $18,772 | $0 | $210,586 | $0 | $0 | $0 |
| SUSAN BOUTON | ||||||||||||||
| RN | $158,686 | $0 | $0 | $0 | $0 | $0 | $1,431 | $0 | $18,577 | $0 | $178,694 | $0 | $0 | $0 |
| GEORGE TOMAS | ||||||||||||||
| DIRECTOR OF IT | $160,737 | $0 | $0 | $0 | $0 | $0 | $736 | $0 | $6,508 | $0 | $167,981 | $0 | $0 | $0 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|
| CHEFA SERIES E | |||||||
| A | 060806186 | 2017-01-20 | $40,652,000 | Retirement of existing debt | 0 | 0 | 0 |
| CHEFA SERIES F | |||||||
| B | 060806186 | 2017-01-20 | $7,930,000 | Retirement of existing debt | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | $40,652,000 | $3,957,357 | $36,768,665 | $739,602 | $2,500,000 | $4,601,000 | Yes (1) | 0 | Yes (1) | Yes (1) |
| B | $7,930,000 | $849,611 | $5,268,889 | $144,274 | $3,366,000 | Yes (1) | 0 | Yes (1) | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | 0 |
| B | 0 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Gregory Boris DO | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | TRUSTEE | RelationshipDescriptionTxt |
| Transaction | $224,434 | TransactionAmt |
| Transaction | GRIFFIN HOSPITAL RETAINED THE SERVICES OF CONNECTICUT EMERGENCY MEDICINE SPECIALISTS TO OVERSEE THE EMERGENCY DEPARTMENT. GREGORY BORIS IS THE DIRECTOR OF THE EMERGENCY DEPARTMENT. | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 7a | THE BOARD OF TRUSTEES MAKES RECOMMENDATIONS TO THE INCORPORATORS OF THE HOSPITAL REGARDING NOMINATIONS OF MEMBERS OF THE COMMUNITY TO SERVE AS TRUSTEES. |
| Form 990, Part VI, Section B, line 11b | FORM 990 IS REVIEWED BY MANAGEMENT PRIOR TO FILING. |
| Form 990, Part VI, Section B, line 12c | EACH YEAR ALL MEMBERS OF THE HOSPITAL BOARD, OFFICERS, DIRECTORS, AND KEY EMPLOYEES RECEIVE, SIGN, AND SUBMIT A CONFLICT OF INTEREST DISCLOSURE. THE DISCLOSURES ARE REVIEWED BY THE HOSPITAL BOARD AND DOCUMENTED IN THE MINUTES. ANY DISCLOSURE OF A CONFLICT PREVENTS THE INDIVIDUAL FROM INVOLVEMENT WITH OR PARTICIPATION IN SUBJECT MATTER THAN MIGHT AFFECT THE DISCLOSED CONFLICT. ALL CONFLICTS ARE DISCLOSED AT THE ANNUAL MEETING. |
| Form 990, Part VI, Section B, line 15 | COMPENSATION 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 19 | THE GOVERNING DOCUMENTS ARE FILED WITH THE OFFICE OF HEALTH CARE ACCESS AND ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| Form 990, Part XI, line 9: | TRANSFERS BETWEEN AFFILIATES -7,577,632. MINIMUM PENSION LIABILITY ADJUSTMENT 6,258,886. CHANGE IN NET ASSETS OF AFFILIATE 863,838. CHANGE IN BENEFICIAL INTEREST IN TRUSTS 168,215. CHANGE IN FAIR VALUE OF INTEREST RATE SWAPS 1,750,663. Net loss on termination of interest rate swap -1,387,829. Loss on refinancing of debt -1,446,022. |
| FORM 990, PART XII, LINE 2C: | THE BOARD OF TRUSTEES IS RESPONSIBLE FOR SELECTING AN INDEPENDENT AUDIT FIRM AND FOR OVERSEEING THE FINANCIAL STATEMENT PREPARATION PROCESS. THERE HAVE BEEN NO CHANGES IN THESE PROCEDURES SINCE THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| GRIFFIN HEALTH SERVICES CORPORATION | |||||||||||
| 130 DIVISION STREET | DERBY | CT | 06418 | 222560257 | HOLDING COMPANY | CT | 501(c)(3) | Line 12a, I | N/A | 0 | |
| GRIFFIN FACULTY PRACTICE PLAN INC | |||||||||||
| 130 DIVISION STREET | DERBY | CT | 06418 | 061463147 | MEDICAL/EDUCATION | CT | 501(c)(3) | Line 10 | Yes (1) | GRIFFIN HOSPITAL | |
| GRIFFIN HOSPITAL DEVELOPMENT FUND | |||||||||||
| 130 DIVISION STREET | DERBY | CT | 06418 | 222560254 | FUNDRAISING | CT | 501(c)(3) | Line 12a, I | 0 | GRIFFIN HEALTH SERVICES CORPORATION | |
| PLANETREE INC | |||||||||||
| 130 DIVISION STREET | DERBY | CT | 06418 | 061505284 | EDUCATION | CT | 501(c)(3) | Line 10 | 0 | GRIFFIN HEALTH SERVICES CORPORATION | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GH VENTURES INC | ||||||||||||||
| 130 DIVISION STREET | DERBY | CT | 06418 | 222560247 | RENTAL REAL ESTATE | CT | N/A | C | 0 | |||||
| HEALTHCARE ALLIANCE INSURANCE CO LTD | ||||||||||||||
| OFFSHORE CAPTIVE INSURANCE | N/A | C | 0 | 171 ELGIN AVENUE | GEORGETOWN | GRAND CAYMAN | CJ | CJ | ||||||
| CT PRACTICE MANAGEMENT INC | ||||||||||||||
| 130 DIVISION STREET | DERBY | CT | 06418 | 061152819 | INACTIVE | CT | N/A | C | 0 | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRIFFIN FACULTY PRACTICE PLAN INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | R | TransactionTypeTxt |
| Involved | $6,710,512 | InvolvedAmt |