STRATEGY STUDIO / PUBLIC DATA EXPLORER

THE GRIFFIN HOSPITAL: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
THE GRIFFIN HOSPITAL (EIN 06-0647014)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-13
IRS object ID
201402259349300840
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-08-13T08:51:41-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN061533253EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1SASLOW LUFKIN & BUGGY LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1175 POWDER FOREST DRIVEAddressLine1
CitySIMSBURYCity
StateCTState
ZIP Code06089ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN060647014EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1GRIFFIN HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlGRIFNameControl
Phone2037327528Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1130 DIVISION STREETAddressLine1
CityDERBYCity
StateCTState
ZIP Code06418ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMARK O'NEILLName
TitleVP FINANCE/ CFOTitle
Phone2037327528Phone
Date Signed2014-08-11DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBETH THURZName
PTINP00346435PTIN
Phone8606789200Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonPATRICK S CHARMELNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1130 DIVISION STREETAddressLine1
CityDERBYCity
StateCTState
ZIP Code06418ZIPCode
FieldValueIRS element (for citing)
Gross Receipts131995459GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteGRIFFINHEALTH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1908YearFormation
State Legal DomicileCTStateLegalDomicile
Activity Or Mission DescriptionGRIFFIN HOSPITAL IS COMMITTED TO PROVIDING PERSONALIZED, HUMANISTIC, CONSUMER-DRIVEN HEALTH CARE IN A HEALING ENVIRONMENT.ActivityOrMissionDescription
Nbr Voting Members Governing Body22NbrVotingMembersGoverningBody
Nbr Independent Voting Members18NbrIndependentVotingMembers
Total Nbr Employees1453TotalNbrEmployees
Total Nbr Volunteers232TotalNbrVolunteers
Total Gross UBI3312813TotalGrossUBI
Net Unrelated Business Txbl Income-960068NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2234902ContributionsGrantsPriorYear
Contributions Grants Current Year2231692ContributionsGrantsCurrentYear
Program Service Revenue Prior Year126387570ProgramServiceRevenuePriorYear
Program Service Revenue CY128990660ProgramServiceRevenueCY
Investment Income Prior Year464000InvestmentIncomePriorYear
Investment Income Current Year320617InvestmentIncomeCurrentYear
Other Revenue Prior Year422129OtherRevenuePriorYear
Other Revenue Current Year452490OtherRevenueCurrentYear
Total Revenue Prior Year129508601TotalRevenuePriorYear
Total Revenue Current Year131995459TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year72639965SalariesEtcPriorYear
Salaries Etc Current Year72402078SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year61258997OtherExpensePriorYear
Other Expenses Current Year57266011OtherExpensesCurrentYear
Total Expenses Prior Year133898962TotalExpensesPriorYear
Total Expenses Current Year129668089TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-4390361RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2327370RevenuesLessExpensesCY
Total Assets BOY129920217TotalAssetsBOY
Total Assets EOY119856922TotalAssetsEOY
Total Liabilities BOY159955862TotalLiabilitiesBOY
Total Liabilities EOY133564097TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-30035645NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-13707175NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionGRIFFIN 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense113144931Expense
Revenue114088796Revenue
DescriptionGRIFFIN 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.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense3542420Expense
Revenue8237606Revenue
DescriptionPROVIDE CANCER RELATED RADIOLOGY SERVICES TO THE COMMUNITY.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense1982636Expense
Revenue1876818Revenue
DescriptionPROVIDE PSYCHIATRIC SERVICES TO THE COMMUNITY ON AN OUTPATIENT BASIS.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense589683Expense
Revenue1508490Revenue
DescriptionPROVIDE HOSPICE SERVICES TO THE COMMUNITY.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp589683TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev1508490TotalOfOtherProgramServiceRev
Total Program Service Expense119259670TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest1ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096183NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1453NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members22NbrVotingGoverningBodyMembers
Number Independent Voting Members18NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledCTStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JAMES DOWNEYBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2037327528TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1130 DIVISION STREETAddressLine1
CityDERBYCity
StateCTState
ZIP Code06418ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (35 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per Week RelatedAverageHoursPerWeekRelatedOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
HENDRICKS DAVID
MD/BOARD MEMBER1.00X000
CHARMEL PATRICK
PRESIDENT/CEO40.00X4875770653925.00X
BORIS GREGORY
MD/BOARD MEMBER1.00X000
DOBULER KENNETH
MD/BOARD MEMBER14.00X232023047152
SCHWARTZ KENNETH
MD/BOARD MEMBER16.00X200262067934
STUMPO BARBARA J
V.P./BOARD MEMBER40.00X179979048122X
ANDREANA JOSEPH
TRUSTEE1.00X000
BALDYGA KENNETH
TRUSTEE1.00X000
BETKOSKI JOHN W III
CHAIRMAN1.00X000X
DINARDO NANCY
TRUSTEE1.00X000
FOX ROBERT A
TRUSTEE1.00X000
JONES JEAN CRUM
TRUSTEE1.00X000
KLARIDES THEMIS
TRUSTEE1.00X000
LOGAN GEORGE S
TRUSTEE1.00X000
OSAK FRANK M
TRUSTEE1.00X000
MEZZO ROBERT
TRUSTEE1.00X000
REISS ROBERT G
TRUSTEE1.00X000
WEINER GERALD T
TRUSTEE1.00X000
ZAPRZALKA JOHN J
TRUSTEE1.00X000
SACZYNSKI SHELLY
TRUSTEE1.00X000
BINGAMAN LARRY
TRUSTEE1.00X000
PEARSON WM NEIL
MD/TRUSTEE1.00X000
MOYLAN JAMES J
VICE PRESIDENT/CFO40.0024883000X
POWANDA WILLIAM
VICE PRESIDENT40.00192757049769X
BERNS EDWARD
VICE PRESIDENT40.00157815052985X
MARTIN KATHLEEN
VICE PRESIDENT40.00155252051790X
DEEGAN MARGARET
VICE PRESIDENT40.00213625038716X
SHEPARD SETH
VICE PRESIDENT40.00193645021483X
FRAMPTON SUSAN
PRESIDENT/PLANETREE40.00028324146714X
O'NEILL MARK
V.P./CFO40.0083160010462X
D'SOUSA SEEMA
MD30.0020517709576X
HALSTEAD EDWARD
MD40.00218803075282X
NAWAZ HAQ
MD40.00277385027997X
SALABARRIA JAVIER
MD40.00288852023048X
PAXTON HEATHER
MD40.00201828021456X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3536970TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs283241TotalReportableCompFrmRltdOrgs
Total Other Compensation657878TotalOtherCompensation
Number Individuals GT100 K72NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HURON CONSULTING SERVICE
4795 PAYSPHERE CIRCLECHICAGOIL60674CONSULTING SERVICE2027291
UNIDINE CORPORATION
75 REMITTANCE DRIVECHICAGOIL60675FOOD SERVICE1675858
CONNECTICUT EMERGENCY MEDICINE SPECIALIS
PO BOX 271618WEST HARTFORDCT06127E.R. PHYSICIAN SERVICES1357834
F & F MECHANICAL ENTERPRISES
2 DWIGHT STREETNORTH HAVENCT06473CONSTRUCTION534920
CARDIOLOGY ASSOC OF DERBY
130 DIVISION STREETDERBYCT06418PHYSICIAN SERVICES391306
FieldValueIRS element (for citing)
Number Of Contractors GT100 K24NumberOfContractorsGT100K
Government Grants1802806GovernmentGrants
All Other Contributions428886AllOtherContributions
Total Contributions2231692TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SERVICE REVENUE6221101258058201225268703278950
OTHER PROGRAM SERVICES62150031848403184840
FieldValueIRS element (for citing)
Total Program Service Revenue128990660TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column266799TotalRevenueColumn
Exclusion$266,799ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real418627Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real418627Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column418627TotalRevenueColumn
Exclusion$418,627ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities53818Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities53818Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column53818TotalRevenueColumn
Exclusion$53,818ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionPARTNERSHIP INCOMEDescription
Business Code900099BusinessCode
Total Revenue Column33863TotalRevenueColumn
Unrelated Business Revenue33863UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue33863TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column131995459TotalRevenueColumn
Related Or Exempt Function Income125711710RelatedOrExemptFunctionIncome
Unrelated Business Revenue3312813UnrelatedBusinessRevenue
Exclusion$739,244ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3372665Total
Program Services2225959ProgramServices
Management And General1146706ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total49865601Total
Program Services44879041ProgramServices
Management And General4986560ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total4951853Total
Program Services4456668ProgramServices
Management And General495185ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total10117788Total
Program Services9106009ProgramServices
Management And General1011779ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total4094171Total
Program Services3684754ProgramServices
Management And General409417ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total3279143Total
Program Services2951229ProgramServices
Management And General327914ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total259177Total
Management And General259177ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total256296Total
Management And General256296ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total9461837Total
Program Services8515653ProgramServices
Management And General946184ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total397456Total
Program Services397456ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total317785Total
Program Services286007ProgramServices
Management And General31778ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total371608Total
Program Services371608ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total329676Total
Program Services329676ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total190183Total
Program Services190183ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total4254018Total
Program Services4254018ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total6099345Total
Program Services6099345ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total3082676Total
Program Services2774408ProgramServices
Management And General308268ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL & DRUG SUPPLIES1677443316774433
RESEARCH GRANT EXPENSES22915492062394229155
DIETARY11864751186475

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total8714354Total
Program Services8714354ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total129668089Total
Program Services119259670ProgramServices
Management And General10408419ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY8071213BOY
EOY5178405EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY12754987BOY
EOY14419423EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY852072BOY
EOY804168EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2258893BOY
EOY2669266EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis149939077LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec94328204LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY59966718BOY
EOY55610873EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY6519819BOY
EOY10227164EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY15213004BOY
EOY16149279EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY24283511BOY
EOY14798344EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY129920217BOY
EOY119856922EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY28300556BOY
EOY25957546EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY40179BOY
EOY194930EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY51432599BOY
EOY48355712EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY80182528BOY
EOY59055909EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY159955862BOY
EOY133564097EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-38049002BOY
EOY-22179759EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2203003BOY
EOY2641381EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY5810354BOY
EOY5831203EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-30035645BOY
EOY-13707175EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY129920217BOY
EOY119856922EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses2327370ReconcilationRevenueExpenses
Reconciliation Unrealized Invest81689ReconciliationUnrealizedInvest
Reconcilation Other Changes13919411ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Org Belongs To Affiliated GroupXOrgBelongsToAffiliatedGroup
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$14,464OtherActivitiesAmount
Total Lobbying Expenditures IIB14464TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationTHE GRIFFIN HOSPITAL PAID FOR MEMBERSHIP DUES TO THE CONNECTICUT HOSPITAL ASSOCIATION FOR THE FISCAL YEAR ENDED 9/30/2013. $14,464 OF THE MEMBERSHIP DUES PAID WAS USED FOR LOBBYING ON ISSUES RELEVANT TO THE ORGANIZATION'S EXEMPT PURPOSE.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance3249540BeginningOfYearBalance
Investment Earnings Or Losses183001InvestmentEarningsOrLosses
Other Expenditures23479OtherExpenditures
End Of Year Balance3409062EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance2932333BeginningOfYearBalance
Investment Earnings Or Losses322207InvestmentEarningsOrLosses
Other Expenditures5000OtherExpenditures
End Of Year Balance3249540EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2953261BeginningOfYearBalance
Investment Earnings Or Losses-1478InvestmentEarningsOrLosses
Other Expenditures19450OtherExpenditures
End Of Year Balance2932333EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2773278BeginningOfYearBalance
Investment Earnings Or Losses124305InvestmentEarningsOrLosses
Other Expenditures1337OtherExpenditures
End Of Year Balance2896246EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2677652BeginningOfYearBalance
Investment Earnings Or Losses97031InvestmentEarningsOrLosses
Other Expenditures1405OtherExpenditures
End Of Year Balance2773278EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.63400PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.36600TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs1EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis4015091OtherCostOrOtherBasis
Book Value4015091BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis73218689OtherCostOrOtherBasis
Depreciation36499924Depreciation
Book Value36718765BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis72365111OtherCostOrOtherBasis
Depreciation57553954Depreciation
Book Value14811157BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis340186OtherCostOrOtherBasis
Depreciation274326Depreciation
Book Value65860BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings55610873TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
FIXED INCOME SECURITIES5270018F
MARKETABLE EQUITY SECURITIES4957146F
FieldValueIRS element (for citing)
Total Of Book Value Securities10227164TotalOfBookValueSecurities

Investments Program Related InvestmentsProgramRelated (5 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
LIMITED USE ASSETS - CURRENT710605F
BOARD DESIGNATED INVESTMENTS43179F
BENEFICIAL INTEREST IN TRUSTS3670942F
UNDER INDENTURE AGREEMENT4289166F
INVESTMENTS OF NET ASSETS OF AFFILIATES7435387C
FieldValueIRS element (for citing)
Total Of Book Value Program Related16149279TotalOfBookValueProgramRelated

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
OTHER RECEIVABLES1739959
DUE FROM AFFILIATES3659921
OTHER ASSETS & INSURANCE RECOVERABLE8840778
THIRD PARTY480486
DEFERRED REVENUE77200
FieldValueIRS element (for citing)
Total Book Value Other Assets14798344TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (10 entries)

DescriptionDescriptionAmountAmount
ACCRUED POST RETIREMENT - CURRENT$389,000
ACCRUED POST RETIREMENT - NONCURRENT$7,605,700
PROFESSIONAL AND GENERAL LIABILITY$908,285
MINIMUM PENSION LIABILITY$30,640,516
WORKERS COMPENSATION - LONG TERM$2,317,799
ACCRUED INTEREST PAYABLE$316,307
OTHER LIABILITIES$15,431,054
RETIREMENT OBLIGATION$114,445
CAPITAL LEASE - NET OF CURRENT$1,221,917
DUE TO AFFILIATES$110,886
FieldValueIRS element (for citing)
Total Of Amounts59055909TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt132077148TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments81689NetUnrealizedGainsInvestments
Revenue Not Rptd F99081689RevenueNotRptdF990
Revenue Subtotal131995459RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990131995459TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt129668089TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal129668089ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990129668089TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:Identifier
Return ReferencePART V, LINE 4:ReturnReference
ExplanationTHE HOSPITAL'S ENDOWMENT FUNDS CONSIST OF DONOR RESTRICTED FUNDS TO BE INVESTED IN PERPETUITY TO PROVIDE A PERMANENT SOURCE OF INCOME.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage250.000000000000FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served307PersonsServed
Total Community Benefit Expense1477742TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense1477742NetCommunityBenefitExpense
Percent Of Total Expense0.01140PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Persons Served11886PersonsServed
Total Community Benefit Expense12780807TotalCommunityBenefitExpense
Direct Offsetting Revenue8827233DirectOffsettingRevenue
Net Community Benefit Expense3953574NetCommunityBenefitExpense
Percent Of Total Expense0.03050PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Persons Served110PersonsServed
Total Community Benefit Expense160935TotalCommunityBenefitExpense
Direct Offsetting Revenue119507DirectOffsettingRevenue
Net Community Benefit Expense41428NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served12303PersonsServed
Total Community Benefit Expense14419484TotalCommunityBenefitExpense
Direct Offsetting Revenue8946740DirectOffsettingRevenue
Net Community Benefit Expense5472744NetCommunityBenefitExpense
Percent Of Total Expense0.04220PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Persons Served46723PersonsServed
Total Community Benefit Expense1026737TotalCommunityBenefitExpense
Direct Offsetting Revenue7210DirectOffsettingRevenue
Net Community Benefit Expense1019527NetCommunityBenefitExpense
Percent Of Total Expense0.00790PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Persons Served4539PersonsServed
Total Community Benefit Expense7256619TotalCommunityBenefitExpense
Direct Offsetting Revenue5062395DirectOffsettingRevenue
Net Community Benefit Expense2194224NetCommunityBenefitExpense
Percent Of Total Expense0.01690PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Persons Served40995PersonsServed
Total Community Benefit Expense21100488TotalCommunityBenefitExpense
Direct Offsetting Revenue21303418DirectOffsettingRevenue
Net Community Benefit Expense-202930NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense1247810TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense1247810NetCommunityBenefitExpense
Percent Of Total Expense0.00960PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Persons Served2186PersonsServed
Total Community Benefit Expense48878TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense48878NetCommunityBenefitExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Persons Served94443PersonsServed
Total Community Benefit Expense30680532TotalCommunityBenefitExpense
Direct Offsetting Revenue26373023DirectOffsettingRevenue
Net Community Benefit Expense4307509NetCommunityBenefitExpense
Percent Of Total Expense0.03480PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Persons Served106746PersonsServed
Total Community Benefit Expense45100016TotalCommunityBenefitExpense
Direct Offsetting Revenue35319763DirectOffsettingRevenue
Net Community Benefit Expense9780253NetCommunityBenefitExpense
Percent Of Total Expense0.07700PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$723,180BadDebtExpenseAmount
Amount Reimbursed By Medicare43184948AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare50292672CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-7107724MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost Accounting SystemXCostAccountingSystem
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1GRIFFIN HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1130 DIVISION STREETAddressLine1
CityDERBYCity
StateCTState
ZIP Code06418ZIPCode
FieldValueIRS element (for citing)
Website AddressGRIFFINHEALTH.ORGWebsiteAddress
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Critical Access HospitalXCriticalAccessHospital
Research FacilityXResearchFacility
Er24 HoursXEr24Hours
Er OtherXErOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1GRIFFIN HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA Conducted1CHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into Account1TakeIntoAccount
Other Facilities0OtherFacilities
CHNA Widely Available1CHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Other MethodXOtherMethod
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Develop Community PlanXDevelopCommunityPlan
Participate Community PlanXParticipateCommunityPlan
All Needs Addressed0AllNeedsAddressed
Organization Incur Excise Tax0OrganizationIncurExciseTax
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent250.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent400.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Average Negotiated RatesXAverageNegotiatedRates
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (17 entries)

ExplanationExplanationReturn ReferenceReturnReferenceIdentifierIdentifier
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 PERCENT (201%) 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 HOSPITAL'S SLIDING FEE SCHEDULE AND POLICIES REGARDING INDIVIDUAL FINANCIAL CIRCUMSTANCES BASED ON THE BELOW CRITERIA: A. ELIGIBILITY SHALL BE BASED ON FIANCIAL 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 PRINICPAL RESIDENCE; II. NECESSARY MOTOR VEHICLES REQUIRED FOR EMPLOYMENT, REQUIRED FOR ACCESS TO TREATMENT, OR MODIFIED FOR OPERATION OR TRANSPORT OF A DISABLED PERSON; III. PERSONAL EFFECTS AND HOUSEHOLD GOODS; IV. RESOURCES NECESSARY FOR SELF-SUPPORT. ALL RESOURCES OF BOTH SPOUSES ARE CONSIDERED TOGETHER. C. CHARITY WILL BE ASSIGNED USING THE MOST RECENTLY PUBLISHED FEDERAL POVERTY STANDARDS AND EVALUATED ON THE ADJUSTED FAMILY INCOME AS EXPLAINED ABOVE FOR THOSE ABOVE 201% OF SUCH STANDARDS. D. DOCUMENTATION WILL BE REQUESTED AND IN MOST CASES WILL BE REQUIRED TO ESTABLISH ELIGIBILITY FOR CHARITY CARE. IN THE EVENT THAT THE GUARANTOR IS NOT ABLE TO PROVIDE THE DOCUMENTATION DESCRIBED ABOVE, THE HOSPITAL SHALL RELY UPON WRITTEN AND SIGNED STATEMENTS FROM THE GUARANTOR TO MAKE A FINAL DETERMINATION OF ELIGIBILITY FOR CLASSIFICATION AS AN INDIGENT PERSON.
GRIFFIN HOSPITAL DID PREPARE A COMMUNITY BENEFIT REPORT FOR YEAR ENDING 2013, WHICH WAS INCLUDED AS PART OF OUR ANNUAL REPORT.PART I, LINE 6A:
GRIFFIN HOSPITAL POSTS ITS COMMUNITY BENEFIT REPORT AND INFORMATION ON THE HOSPITAL WEBSITE GRIFFINHEALTH.ORG.PART I, LINE 6B:
CHARITY CARE AND OTHER COMMUNITY BENEFITS WERE CALCULATED USING A COST ACCOUNTING SYSTEM OR COST TO CHARGE RATIO. THE COST ACCOUNTING SYSTEM ADDRESSES ALL PATIENT SEGMENTS AND ASSIGNS COSTS TO INDIVIDUAL SERVICES.PART I, LINE 7:
PART III, LINE 4: SEE PAGE 11 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.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. CHARTIY 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 THAN 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.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 8: THE $7.107 MILLION MEDICARE 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 5.5% 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'S OWN FINANCIAL ASSISTANCE PROGRAM, GRIFFIN WILL NOT KNOWINGLY SEND THAT PATIENT'S 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 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.
PART V, SECTION B, LINE 3: REGIONAL COOPERATION ON HEALTH ISSUES - REGIONAL COOPERATION, THE LEADERSHIP OF GRIFFIN HOSPITAL ON COMMUNITY HEALTH IMPROVEMENT AND THE EFFECTIVENESS OF EFFORTS WAS POSITIVELY NOTED IN FOCUS GROUPS, FORUMS AND SURVEYS. OF PARTICULAR NOTE WAS THE VALLEY COUNCIL OF HEALTH AND HUMAN SERVICE ORGANIZATIONS (VCHHSO). GRIFFIN HOSPITAL WAS A LEADER IN ESTABLISHING THE VALLEY COUNCIL OF HEALTH AND HUMAN SERVICE ORGANIZATIONS WHICH HAS BECOME A MODEL FOR OTHER COMMUNITIES. THE VALLEY COUNCIL IS A COOPERATIVE VENTURE FOUNDED OVER TWENTY YEARS AGO LINKING APPROXIMATELY 50 NON-PROFIT HEALTH & HUMAN SERVICE PROVIDERS THROUGHOUT THE VALLEY. ITS MISSION IS TO IDENTIFY, PLAN, IMPLEMENT, AND COORDINATE A COMPREHENSIVE SYSTEM OF HUMAN SERVICE DELIVERY AND TO ADVOCATE FOR COMMUNITY-WIDE AND CULTURALLY DIVERSE PLANNING APPROACHES IN THE LARGER VALLEY COMMUNITY. DECISION MAKERS FROM EACH OF THE ACTIVE MEMBERS MEET MONTHLY. THE COUNCIL'S OBJECTIVES ARE TO: 1. ENGAGE IN PERIODIC ASSESSMENT AND IDENTIFICATION OF LOCAL SERVICE NEEDS, INCLUDING CLIENT INPUT. 2. COLLABORATIVELY EVALUATE CURRENT SERVICES, IDENTIFY GAPS, AND STRATEGIZE ON HOW TO FILL GAPS IN SERVICES. 3. SERVE AS THE PRIMARY PLANNING AND COORDINATING BODY FOR THE REGIONS' SERVICE PROVISION SYSTEM. 4. PROVIDE A PLACE FOR SUPPORT AND NETWORKING AMONG THE VALLEY HUMAN SERVICES COMMUNITY. 5. ADVOCATE FOR THE NEEDS OF LOCAL RESIDENTS AND FOR RESOURCES TO MEET THOSE NEEDS ON A LOCAL, STATE, AND FEDERAL LEVEL. 6. SEEK TO DEVELOP PARTNERSHIPS WITH OTHER COMMUNITY SYSTEMS (I.E. SCHOOLS, BUSINESSES, STATE AND LOCAL GOVERNMENTS, PUBLIC SAFETY) TO ENHANCE SERVICE DELIVERY. GRIFFIN REMAINS AN ACTIVE MEMBER OF THE COUNCIL. NOT ONLY IS GRIFFIN HOSPITAL A CONTINUING MEMBER, THE VALLEY PARISH NURSE PROGRAM AND THE YALE-GRIFFIN PREVENTION RESEARCH CENTER ALSO ARE MEMBERS. THE COMMUNITY ADVISORY COUNCIL ENGAGED THE PATIENTS AND THE COMMUNITY TO GET MEANINGFUL FEEDBACK ABOUT THE HOSPITAL'S SERVICES. THROUGHOUT ITS HISTORY, GRIFFIN'S MOST INNOVATIVE PROGRAMS HAVE BEEN DEVELOPED USING INSIGHTS GLEANED FROM PATIENTS AND FAMILY MEMBER FOCUS GROUPS. THE COMMUNITY ADVISORY COUNCIL WAS A NATURAL NEXT STEP FOR GRIFFIN AS A WAY TO SOLICIT THE PATIENT'S PERSPECTIVE OF CARE, PROGRAMS AND SERVICES AND TO IDENTIFY COMMUNITY NEEDS ON AN ONGOING BASIS.THE VALLEY CARES TASKFORCE BETH PATTON COMERFORD, MS, YALE-GRIFFIN PREVENTION RESEARCH CENTER (TASKFORCE CO-CHAIR) MARY S. NESCOTT, MPH, BIRMINGHAM GROUP HEALTH SERVICES, INC. (TASKFORCE CO-CHAIR) HEIDI ZAVATONE-VETH, PHD, VALLEY COUNCIL FOR HEALTH & HUMAN SERVICES (VALLEY COUNCIL COORDINATOR) KAREN N. SPARGO, MA, MPH, NAUGATUCK VALLEY HEALTH DISTRICT JESSE REYNOLDS, MS, (CURRENTLY YALE UNIVERSITY) ANN HARRISON, THE WORKPLACE, INC. (CURRENTLY WORKFORCE ALLIANCE). THE MATERIAL IN THIS COMMUNITY HEALTH NEEDS ASSESSMENT WILL DOCUMENT GRIFFIN'S COMMITMENT TO THE SIX TOWN VALLEY COMMUNITIES THAT HAS BEEN ITS PRIMARY SERVICE AREA FOR OVER A CENTURY. MUCH OF THE RESEARCH REFERENCED AND USED IN THE CHNA HAS BEEN DONE OVER A TWO DECADE PERIOD OF TIME AND HAS BEEN A COLLABORATIVE EFFORT BETWEEN THE VALLEY COUNCIL OF HEALTH AND HUMAN SERVICE ORGANIZATIONS, GRIFFIN HOSPITAL AND THE YALE-GRIFFIN PREVENTION RESEARCH CENTER.GRIFFIN HOSPITAL
PART V, SECTION B, LINE 5C: THE CHNA REPORT IS WIDELY AVAILABLE ON THE GRIFFIN HOSPITAL WEBSITE HTTP://WWW.GRIFFINHEALTH.ORG/ AND THE STATE OF CONNECTICUT'S WEBSITE HTTP://WWW.CT.GOV/DPH/CWP/. ALSO THE CHNA IS AVAILABLE AT THE FACILITY.GRIFFIN HOSPITAL
PART V, SECTION B, LINE 7: GRIFFIN'S CHNA IDENTIFIED OUR COMMUNITY NEEDS AS AWARENESS OF HEALTH AND HUMAN SERVICES, TRANSPORTATION, OBESITY, PRIMARY CARE ACCESS, COMMUNITY POPULATION BASED MEDICAL ISSUES, CLINICAL SERVICES, SUBSTANCE ABUSE, PRE-NATAL CARE AND REGIONAL COOPERATION ON HEALTH ISSUES. GRIFFIN PLANS TO ADDRESS PRIORITY AREAS WITH IMPLEMENTATION PLANS ON ALL BUT ONE OF THE SUGGESTED NEEDS. THERE WAS A PERCEPTION THAT PRE-NATAL CARE WAS LOW AND THAT AN INTERVENTION WAS NEEDED. RESEARCH, HOWEVER, REVEALED THAT PRENATAL CARE FOR MOTHERS-TO-BE IN THE VALLEY WAS SIGNIFICANTLY BETTER WHEN COMPARED TO THE STATE AND NEW HAVEN COUNTY AS REPORTED BY THE CONNECTICUT DEPARTMENT OF PUBLIC HEALTH. BASED ON THE ACTUAL DATA THERE IS NO ACTION REQUIRED RELATED TO PRE-NATAL CARE. THE INFORMATION WILL BE WIDELY SHARED WITH HEALTH AND HUMAN SERVICE ORGANIZATIONS AND OTHER COMMUNITY LEADERS TO ENSURE THAT THERE IS INCREASED KNOWLEDGE OF THE VALLEY DATA AS COMPARED TO NEW HAVEN COUNTY AND THE STATE OF CONNECTICUT.GRIFFIN HOSPITAL
PART VI, LINE 2: GRIFFIN HAS A HISTORY OF COMMUNITY SERVICE AND SOCIAL RESPONSIBILITY DATING BACK TO ITS FOUNDING 100 YEARS AGO, AND OF PROVIDING EDUCATIONAL, PREVENTION AND SCREENING PROGRAMS AND SERVICES. IN 1970, FUNDED BY A GRANT FROM THE KELLOGG FOUNDATION, GRIFFIN ESTABLISHED ONE OF THE FIRST HOSPITAL DEPARTMENTS OF COMMUNITY HEALTH IN THE COUNTRY TO FOCUS ON THE HEALTH AND SOCIAL NEEDS OF THE COMMUNITY IT SERVES. OVER THE PAST FIFTEEN YEARS, GRIFFIN'S REACH HAS BEEN EXPANDING INTO THE COMMUNITY. 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 AND WORK. BY OFFERING A VARIETY OF SUPPORT GROUPS, TRAINING SESSIONS, EDUCATIONAL PROGRAMS, AND OTHER COMMUNITY-BASED RESOUCES AND ACTIVITIES, AND COLLABORATING WITH OTHER NON-PROFIT ORGANIZATIONS AND GOVERNMENT ENTITIES, GRIFFIN HAS EXTENDED ITS MISSION FAR BEYOND THE HOSPITAL'S WALLS TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF PEOPLE OF ALL AGES. COMMUNITY LEADERSHIP RECOGNIZED THE NEED TO RESPOND TO THE CHANGING COMMUNITY DEMOGRAPHICS AND THE DIFFERENT SOCIOECONOMIC AND HEALTH NEEDS AND EXPECTATIONS OF THE MORE DIVERSE POPULATION. THREE MAJOR NEW STRUCTURES WERE CREATED. IN 1993, THE VALLEY COUNCIL OF HEALTH AND HUMAN SERVICE ORGANIZATION (VCHHSO) WAS FOUNDED. MORE THAN 55 ORGANIZATIONS THAT PROVIDE MOST OF THE HEALTH AND HUMAN SERVICES ARE MEMBERS. VCHHSO'S VISION IS A PROVIDER NETWORK THAT WORKS COLLABORATIVELY TO CREATE AN INTEGRATED HUMAN SERVICES DELIVERY SYSTEM THAT MEETS THE NEEDS OF ALL RESIDENTS. "HEALTHY VALLEY 2000", THE STATE'S FIRST HEALTHY COMMUNITY EFFORT, WAS LAUNCHED IN 1994. WITH FOUNDATION GRANT SUPPORT, THE NATIONAL CIVIC LEAGUE WAS ENGAGED TO GUIDE STAKEHOLDERS THROUGH THE PROCESS. THE VISION OF THE BROAD-BASED, VOLUNTEER INSPIRED AND MANAGED EFFORT WAS TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE COMMUNITY AND ITS RESIDENTS BY MAKING THE COMMUNITY A BETTER PLACE IN WHICH TO LIVE, WORK, SHOP, RAISE A FAMILY AND ENJOY LIFE. BASED ON RESEARCH, INCLUDING USE OF THE NATIONAL CIVIC LEAGUE INDEX, A S.W.O.T ANALYSIS, AND BRAINSTORMING, 175 STAKEHOLDERS IDENTIFIED ARTS & RECREATION, COMMUNITY INVOLVEMENT, ECONOMIC DEVELOPENT, EDUCATION AND HEALTH AS PRIORITIES. A TASK FORCE DEVELOPED A WORK PLAN FOR EACH OF THE PRIORITIES AND AN HONOR ROLE WAS DEVELOPED TO RECOGNIZE INITIATIVES UNDERTAKEN INDEPENDENTLY BY INDIVIDUALS OR ORGANIZATIONS RELATED TO THE IDENTIFIED PRIORITIES.THE BOARD ADOPTED STRATEGIC PLAN FOR THE 2010 - 2013 PERIODS, WHICH INCLUDED A PROVISION TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT AND ADOPT A STRATEGY TO MEET COMMUNITY HEALTH NEEDS IDENTIFIED IN THE ASSESSMENT. THE PROVISION INCLUDED OBTAINING INPUT FROM A BROADLY DIVERSE CROSS SECTION OF THE COMMUNITY THE HOSPITAL SERVES. IT ALSO INCLUDED THE POSTING OF THE ASSESSMENT ON THE CORPORATE SOCIAL RESPONSIBILITY SECTION OF THE HOSPITAL'S WEBSITE.
PART VI, LINE 3: GRIFFIN HOSPITAL'S BUSINESS SERVICES OFFICE IS AVAILABLE TO HELP YOU UNDERSTAND YOUR BILL AND PAYMENT OPTIONS. IF YOU HAVE A QUESTION ABOUT A BILL YOU RECEIVED, OR YOU WOULD LIKE TO MEET WITH A FINANCIAL ADVISOR, PLEASE CALL THE BUSINESS OFFICE AT (203) 732-7360. GRIFFIN HOSPITAL MAINTAINS A PROFESSIONAL STAFF OF SPECIALISTS TO HELP YOU RESOLVE FINANCIAL PROBLEMS REGARDING YOUR BILL. A REPRESENTATIVE WILL BE ASSIGNED TO YOU WHO WILL HELP OBTAIN BILLING INSTRUCTIONS, ASSIST YOU IN COMPLETING FORMS AND ADVISE YOU OF YOUR FINANCIAL RESPONSIBILITY.POLICY & PROCEDURE: ANY PATIENT REQUESTING FINANCIAL ASSISTANCE IN PAYING THEIR GRIFFIN HOSPITAL BILL CAN APPLY FOR THE FREE CARE ASSISTANCE PROGRAM BY CONTACTING THE HOSPITAL'S FINANCIAL ADVISORY STAFF. THE FINANCIAL ADVISOR WILL BE CONTACTED 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'S W-2 FORM (TAX STATEMENT FROM PREVIOUS AND CURRENT YEAR); THREE CONSECUTIVE PAY STUBS FROM PATIENT'S CURRENT EMPLOYMENT; DEPENDENT INFORMATION (FAMILY SIZE); AND ANY OR ALL BANK AND CHECKING ACCOUNT STATEMENTS. THE 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 PATIENT'S ACCOUNT BALANCE. IF A PATIENT BALANCE REMAINS, THE FINANCIAL ADVISOR WILL PURSUE ONE OF THE FOLLOWING WITH THE PATIENT: REQUIRE PAYMENT IN FULL OR SET UP A MONTHLY PAYMENT ARRANGEMENT. IF 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 FULL OR SET UP A MONTHLY PAYMENT ARRANGEMENT. IF 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.
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: ANSONIA, BEACON FALLS, DERBY, OXFORD, SYMOUR AND SHELTON, CONNECTICUT. THE SIX TOWN REGION HAS COME TO BE KNOWN AS THE LOWER NAUGATUCK VALLEY. THE SIX TOWNS, WITH AN AREA OF A LITTLE MORE THAN 100 SQUARE MILES, HAVE A COMBINED POPULATION OF OVER 107,000 BASED ON CURRENT ESTIMATES.THE VALLEY'S DEMOGRAPHICS IN TERMS OF POPULATION BY AGE GROUP MIRROR THOSE OF THE STATE OF CONNECTICUT. THE VALLEY'S AFRICAN AMERICAN POPULATION IS 4% COMPARED TO 10.1% FOR THE STATE, AND THE HISPANIC POPULATION IS 6% COMPARED TO 13.4% FOR THE STATE. THE AFRICAN AMERICAN POPULATION IS CENTERED PRIMARILY IN ANSONIA (11.6%), AND THE HISPANIC POPULUATION IS CENTERED PRIMARILY IN ANSONIA (16.7%) AND DERBY (14.2%). POPULATION BY ETHNIC BACKGROUND REMAINS PRIMARILY ITALIAN - 23%, POLISH/RUSSIAN/UKRAINIAN - 17%, AND IRISH - 11%. THE AGE 65 AND OVER POPULATION IS 14% COMPARED TO THE STATE OF CONNECTICUT ALSO AT 14% IN 2010.MEDIAN HOUSEHOLD INCOME (2007-2011) IN ALL VALLEY TOWNS HAS BEEN INCREASING, BUT ANSONIA ($55,259) AND DERBY ($55,478) REMAIN ALMOST $15,000 BELOW THE STATE MEDIAN. THE REMAINING TOWNS, SEYMOUR ($65,036), BEACON FALLS ($70,228), SHELTON ($79,176), AND OXFORD ($95,710), WERE CLOSE TO OR CONSIDERABLY ABOVE THE CONNECTICUT MEDIAN ($68,055), AN INDICATION OF THE ECONOMIC DISPARITIES WITHIN THE VALLEY. THE NUMBER OF FOOD STAMP RECIPIENTS IN ANSONIA (2,998 - 16%) AND DERBY (1,612 - 12%) WERE HIGHER THAN THE CONNECTICUT RATE (10%). ALL OTHER TOWNS WERE CONSIDERABLY BELOW THE STATE RATE. THE OVERALL POVERTY RATE WAS THE HIGHEST IN THE VALLEY (YEAR 2009) IN DERBY (11.5%) AND ANSONIA (10.7%). ALL OTHER TOWNS WERE CONSIDERABLY BELOW THE STATE RATE (11.9%) WITH OXFORD THE LOWEST (2.1%). ANSONIA AND DERBY EXPERIENCED INSIGNIFICANT POPULATION DECLINES BETWEEN THE 2000 AND 2010 CENSUS. IN ALL OTHER TOWNS THE POPULATION GREW BETWEEN 4% AND 31% IN OXFORD WHICH WAS THE FASTEST GROWING TOWN IN THE STATE PERCENTAGE WISE. THE TOTAL VALLEY POPULATION IS PROJECTED TO BE 109,510 IN 2017 UP FROM THE CURRENT 107,000.UNDER 18 YEARS OLD: 23,701 (22%)ABOVE 65 YEARS OLD: 16,353 (15%)HISPANIC OR LATINO: 9,227 (9%)NON-HISPANIC WHITE: 88,855 (83%)NON-HISPANIC BLACK: 4,412 (4%)NON-HISPANIC ASIAN: 2,834 (3%)NON-HISPANIC OTHER: 1,638 (2%)BACHELOR'S DEGREE OR HIGHER: 20,565 (28%)NUMBER OF PEOPLE IN POVERTY: 5,831 (6%)
PART VI, LINE 5: GRIFFIN HOSPITAL FURTHERS ITS EXEMPT PURPORSE BY PROMOTING THE HEALTH OF THE COMMUNITY THROUGH MANY PROGRAMS AND ASSOCIATIONS INCLUDING:-DEPARTMENT OF COMMUNITY OUTREACH AND PARISH NURSING- 5 EMPLOYEES WHO SUPPORT THE 75 VOLUNTEER PARISH NURSES AND 320 VOLUNTEERS WHO SERVE ON THE HEALTHCARE CABINETS OF THE CHURCHES.-THE MOBILE HEALTH RESOURCE CENTER- FOCUSES ON PREVENTATIVE HEALTH SERVICES AND PROVIDING HEALTH EDUCATION AND SCREENING SERVICES TO NEIGHBORHOODS, COMMUNITY EVENTS, HEALTH FAIRS, SHOPPING CENTERS AND BUSINESSES.-COMMUNITY OUTREACH SERVICES- IN FISCAL YEAR 2013, THE DEPARTMENT OF COMMUNITY OUTREACH AND THE VALLEY PARISH NURSE PROGRAM SERVED 39,054 PEOPLE. SERVICES INCLUDED 4,411 HEALTH SCREENINGS WHICH CONTRIBUTED TO 14,915 REFERRALS TO NEEDED SERVICES. IN ADDITION, 30,709 PEOPLE ATTEND 1,388 EDUCATIONAL PROGRAMS AND 3,540 PEOPLE WERE TRAINED IN CPR. THE PROGRAM ALSO PROVIDED AND PLACED AUTOMATED EXTERNAL DEFIBRILLATORS (AED'S) AT COMMUNITY SITES BRINGING THE TOTAL TO 67.-STARTING 6 YEARS AGO GRIFFIN HOSPITAL'S DEPARTMENT OF COMMUNITY OUTREACH AND PARISH NURSING JOINED WITH ANSONIA COMMUNITY ACTION, THE NON-PROFIT AGENCY PROVIDING SERVICES TO THE AFRICAN AMERICAN COMMUNITY, FOR AN OUTREACH PROGRAM TO PROVIDE FREE CHOLESTEROL, DIABETES, AND HYPERTENSION SCREENING AND HEALTH EDUCATION FOR PEOPLE WHO ARE 60 AND OLDER.-GREATER NAUGATUCK VALLEY SAFE KIDS CHAPTER- ESTABLISHED IN MARCH 2005 BY THE VALLEY PARISH NURSE PROGRAM. GRIFFIN HOSPITAL, THE VALLEY PARISH NURSE PROGRAM, THE VALLEY N.A.A.C.P., THE CITY OF ANSONIA AND THE COMMUNITY FOUNDATION OF GREATER NEW HAVEN SPONSORED THE ANNUAL COMMUNITY HEALTH AND SAFETY.-CERTIFIED CPR TRAINING CENTER- GRIFFIN HOSPITAL HAS BEEN A CERTIFIED COMMUNITY AMERICAN HEART ASSOCIATION CPR TRAINING CENTER SINCE 2006.-GRIFFIN BREAST HEALTH INITIATIVE- PROVIDES OUTREACH AND EDUCATION TO WOMEN, INCLUDING THE UNINSURED OR UNDERINSURED, ABOUT THE IMPORTANCE OF BREAST WELLNESS AND EARLY BREAST CANCER DETECTION, AND PROVIDES SCREENING MAMMOGRAMS TO WOMEN WHO MAY NOT BE ABLE TO AFFORD ONE.-VALLEY WOMEN'S HEALTH INITIATIVE-AED PLACEMENT AT PUBLIC SITES- THE GRIFFIN HOSPITAL VALLEY PARISH NURSE PROGRAM COORDINATED OBTAINING FUNDING FOR THE PURCHASE OF AED'S AND HAS PLACED 65 AED'S AT PUBLIC NON-PROFIT PUBLIC ACCESS DEFIBRILLATOR SITES IN THE COMMUNITY.-HOMELESS SHELTER FOOD BANK DONATIONS-PATIENT AND COMMUNITY SUPPORT GROUPS AND EDUCATIONAL MEETINGS-BY YOUR SIDE. CAREGIVER SUPPORT GROUP-BEREAVEMENT SUPPORT GROUP-BEREAVEMENT SUPPORT GROUP FOR PARENTS-THE WIDOW AND WIDOWER SUPPORT GROUPS-COPING WITH LOSS THROUGH THE HOLIDAYS-CIRCLE OF FRIENDS BREAST CANCER SUPPORT GROUP-GRIFFIN HOSPITAL DIABETES EDUCATION AND SUPPORT GROUP-FIBROMYALGIA SUPPORT GROUP-H.U.G.S (HELP UNLIMITED GRIFFIN SUPPORT)-MOM 2 MOM-NURSING MOMS-SLEEP APNEA SUPPORT GROUP-MULTIPLE SCLEROSIS SUPPORT GROUP -ALZHEIMER'S CAREGIVER SUPPORT GROUP-VALLEY HEART CLUB-SHARING HEARTS OF GRIFFIN HOSPITAL-LOOK GOOD...FEEL BETTER-ALL ABOUT BABY-BABY & ME FOR SIBLINGS-TO-BE-BABYSITTER TRAINING-BREASTFEEDING FOR BEGINNERS -EARLY PREGNANCY-GRAND PARENTING 101-LAMAZE REFRESHER-PREPARED CHILDBIRTH-TOT SAVER INFANT SAFETY & CPR-WEIGHT-LOSS SURGERY SEMINARS-MEDICATION MANAGEMENT PROGRAM-PARKINSON'S SUPPORT GROUP-SKILL TRAINING WORKSHOPS. REIKI, SOFT TOUCH, AND THERAPEUTIC TOUCH-GRIFFIN HOSPITAL COMMUNITY HEALTH RESOURCE CENTER PROVIDES AN ARRAY OF OUTREACH SERVICES IN THE COMMUNITY AND MAKES EXTENSIVE HEALTHCARE RESOURCES AVAILABLE TO THE PUBLIC ON THE MAIN CAMPUS. THE GRIFFIN HOSPITAL CHNA IS AVAILABLE FOR REVIEW AT THIS LOCATION IN THE HOSPITAL.-HEALTHY U PROGRAM/MINI-MED SCHOOL. EDUCATIONAL OFFERINGS AT THE HOSPITAL AND COMMUNITY SITES INCLUDING: ANATOMY, PHYSIOLOGY, PRIMARY CARE, CARDIOLOGY, ENDOCRINOLOGY, ORTHOPEDICS, PULMONARY DISEASE, GASTROENTEROLOGY, NEPHROLOGY, NEUROLOGY, ONCOLOGY, HEMATOLOGY, OTOLARYNGOLOGY, OPHTHALMOLOGY, GYNECOLOGY, UROLOGY, RHEUMATOLOGY, DERMATOLOGY, AND GENERAL SURGERY. HEALTHY U PROGAMS ARE FREE AND OPEN TO THE PUBLIC, AND FEATURE GRIFFIN HOSPITAL MEDICAL EXPERTS AND COMMUNITY PARTNERS WHO PROVIDE TRUSTED HEALTH INFORMATION AND ANSWERS TO QUESTIONS. -YALE-GRIFFIN PREVENTION RESEARCH CENTER (PRC). ESTABLISHED IN 1998, THE YALE-GRIFFIN PRC IS COLLABORATION BETWEEN YALE UNIVERSITY AND GRIFFIN HOSPITAL. ONE OF ONLY 35 SUCH CENTERS ACROSS THE COUNTRY, GRIFFIN'S IS THE ONLY ONE BASED AT A HOSPITAL. FUNDED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION, THE NATIONAL INSTITUTES OF HEALTH, FOUNDATIONS, AND PRIVATE INDUSTRY, THE PRC'S RESEARCH PORTFOLIO IS DIVERSE, WITH THE EMPHASIS ON COMMUNITY-BASED ISSUES. ITS MANY AREAS OF FOCUS ARE NUTRITION, PREVENTIVE CARDIOLOGY, AND PHYSICAL ACTIVITY. IT ALSO CONDUCTS RESEARCH ON COMPLEMENTARY AND ALTERNATIVE MEDICINE (CAM), CHRONIC DISEASE MANAGEMENT AND OBESITY PREVENTION. THE WORK OF THE PRC EXTENDS BEYOND THE GRIFFIN HOSPITAL SERVICE AREA TO INCLUDE PROGRAMS AND SERVICES IN BRIDGEPORT, NEW HAVEN AND HARTFORD, THE STATE'S 3 LARGEST CITIES.-YALE-GRIFFIN PRVENTION RESEARCH CENTER COMMUNITY HEALTH PROFILE. THE YALE-GRIFFIN PRC PRODUCES A BI-ANNUAL COMMUNITY HEALTH PROFILE FOR THE SIX TOWN REGION SERVED BY GRIFFIN HOSPITAL.-VALLEY COMMUNITY ASSESSMENT, RESEARCH & EDUCATION FOR SOLUTIONS (CARES). GRIFFIN HOSPITAL AND THE YALE-GRIFFIN PREVENTION RESEARCH CENTER SUPPORT A COLLABORATIVE INITIATIVE "VALLEY CARES", A COMMUNITY ASSESSMENT AND PLANNING EFFORT SPONSORED BY THE VALLEY COUNCIL OF HEALTH AND HUMAN SERVICE ORGANIZATIONS.-YALE-GRIFFIN PRC NUTRITION PROGRAM DETECTIVES PROGRAM. PROGRAM TO ADDRESS THE INCIDENCE OF CHILDHOOD OBESITY.-NUVAL NUTRITIONAL FOOD SCORING SYSTEM. INTRODUCED IN THE DERBY SHCOOL DISTRICT'S MIDDLE SCHOOL AND HIGH SCHOOL, SCHOOLS ON THE SAME CAMPUS WITH SIMILAR SNACKS AND MENUS. THE SCORING SYSTEM WILL BE APPLIED TO FOODS SERVED IN THE CAFETERIA AND VENDING MACHINES. THE GOAL IS TO INFORM STUDENTS ABOUT THE VARIATION IN NUTRITIONAL QUALITY AND THE RANGE OF SCORES WITHIN EACH FOOD CATEGORY TO GET THEM THINKING ABOUT THE POWER OF CHOICE, AND TO MAKE HEALTHIER FOOD CHOICES. THE PROJECT WILL BE EVALUATED BY ASSESSING CHANGES IN STUDENT'S ATTITUDES, KNOWLEDGE AND ABILITY TO MAKE POSITIVE CHOICES, ALONG WITH CHANGES IN FOOD PRODUCTS PURCHASED AT SCHOOL.-SCHOOL-BASED HEALTH CENTER. GRIFFIN HOSPITAL PERSONNEL, THE ANSONIA BOARD OF EDUCATION, AND ANSONIA HIGH SCHOOL STAFF WORKED COLLABORATIVELY TO CREATE THE CHARGER HEALTH CLINIC TO PROVIDE COMPREHENSIVE PHYSICAL AND MENTAL HEALTH SERVICES TO THE SCHOOL'S STUDENTS.-HEALTHY BEGINNINGS RETURN VISIT PROGRAM. GRIFFIN'S CHILDBIRTH CENTER NURSES ESTABLISHED A POST DISCHARGE FREE RETURN VISIT PROGRAM. PROBLEMS FROM LACTATION ISSUES, BLEEDING, JAUNDICE AND OTHERS ARE IDENTIFIED IN 20-30% OF MOTHERS AND BABIES, AND EDUCATION, CARE AND REFERRAL TO OTHER PRACTITIONERS OF SERVICES IS PROVIDED. -GO GREEN INITIATIVE. GRIFFIN'S PATIENT CENTERED CARE COUNCIL IN 2009 UNDERTOOK A NUMBER OF INITIATIVES TO PROMOTE SOCIAL RESPONSIBILITY TO THE COMMUNITY.-VOLUNTEER SERVICES DEPARTMENTS. WHILE GRIFFIN HOSPITAL'S VOLUNTEER FORCE OF 430 COMMUNITY RESIDENTS IS AN ESSENTIAL COMPONENT OF GRIFFIN'S CAREGIVER TEAM, THIS PROGRAM ALSO PROVIDES A SOCIAL EXPERIENCE THAT THE VOLUNTEERS ENJOY AND FONDLY LOOK FORWARD TO.-GRIFFIN HOSPITAL SENIOR MEALS CHOICE PROGRAM. IN PARTNERSHIP WITH TEAM, INC., THE COMMUNITY'S ANTI-POVERTY AGENCY, THE GRIFFIN HOSPITAL "SENIOR MEALS CHOICE" NUTRITION PROGRAM IS AVAILABLE TO INDIVIDUALS 60 YEARS OF AGE OR OLDER, OR THE SPOUSE OF AN ELIGIBLE INDIVIDUAL, REGARDLESS OF AGE. -VITAHLS (THE VALLEY INITIATIVE TO ADVANCE HEALTH AND LEARNING IN SHCOOLS). MISSION IS TO DEVELOP, IMPLEMENT, EVALUATE AND SUSTAIN A COMPREHENSIVE VALLEY-WIDE SCHOOL-BASED CHILDHOOD AND ADOLESCENT OBESITY PREVENTION PROGRAM THAT FOCUSES ON NUTRITION AND PHYSICAL ACTIVITY TO REDUCE THE PREVALENCE OF OBESITY AND TO PORMOTE HEALTH AND ACADEMIC READINESS IN STUDENTS PRE-K TO GRADE 12. -HIM (THE HEALTH INITIATIVE FOR MEN). LAUNCHED BY GRIFFIN HOSPITAL IN 2011 TO HELP INSPIRE MEN TO HAVE AN ANNUAL PHYSICAL AND RAISE AWARENESS ABOUT MEN'S HEALTH ISSUES, SUCH AS PROSTATE CANCER AND COLORECTAL CANCER.-WOMEN AND HEART DISEASE PROGRAM-WOMEN'S DAY OF HEALTH-AARP DRIVER SAFETY PROGRAM-FALL PREVENTIVE PROGRAM-CLOTHES CLOSET FOR BARIATRIC PATIENTS-CANCER BASICS 101: EVERYTHING YOU NEED TO KNOW-PASTORAL CARE & EDUCATION DEPARTMENT. OFFERS EXTENDED UNITS OF CLINICAL PASTORAL EDUCATION (CPE) FOR AREA CLERGY, SEMINARIANS AND LAY PERSONS. THE CPE FOR HEALTHCARE PROGRAM WILL PROVIDE NURSES AND OTHER CLINICAL STAFF WITH CLINICAL AND CLASSROOM TRAINING ON HOW TO INCLUDE SPIRITUALITY INTO THE CARE THEY PROVIDE.-JUNIOR ACHIEVEMENT (JA). 2 HOSPITAL MANAGEMENT MEMBERS PARTNERED WITH DERBY HIGH SCHOOL TO BRING THE JA PROGRAM TO AN ENTERPRISE MARKETING CLASS IN THE 2012-2013 SCHOOL YEAR.
PART VI, LINE 6: N/A
CTPART VI, LINE 7REPORTS FILED WITH STATES
AS PART OF THE ANNUAL REPORTING FILINGS GRIFFIN HOSPITAL SUBMITS THEIR IRS FORM 990 - COMMUNITY BENEFIT REPORT TO CT STATE OFFICE OF THE HEALTH CARE ADVOCATE.HTTP://WWW.CT.GOV/DPH/CWP/VIEW.ASP?A=3902&Q=538810PART VI, LINE 7:STATE FILINGS OF COMMUNITY BENEFIT REPORT

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (16 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
CHARMEL PATRICK
PRESIDENT/CEO41385107296107650439350214570552969000
DOBULER KENNETH
MD/BOARD MEMBER2320230000047152000279175000
SCHWARTZ KENNETH
MD/BOARD MEMBER17171202778507650530690148650268196000
STUMPO BARBARA J
V.P./BOARD MEMBER15491702432107410266660214560228101000
MOYLAN JAMES J
VICE PRESIDENT/CFO48808035600016442200000248830000
POWANDA WILLIAM
VICE PRESIDENT16718102535002260348580149110242526000
BERNS EDWARD
VICE PRESIDENT13516002227403810352650177200210800000
MARTIN KATHLEEN
VICE PRESIDENT13198302288103880340700177200207042000
DEEGAN MARGARET
VICE PRESIDENT18283703002307650172600214560252341000
SHEPARD SETH
VICE PRESIDENT1647060281880751019503019800215128000
FRAMPTON SUSAN
PRESIDENT/PLANETREE024270404053700028994017720032995500
D'SOUSA SEEMA
MD187713017119034507379021970214753000
HALSTEAD EDWARD
MD2180380007650538260214560294085000
NAWAZ HAQ
MD20987906674107650132440147530305382000
SALABARRIA JAVIER
MD288087000765083200147280311900000
PAXTON HEATHER
MD201165000663000214560223284000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
CHEFA SERIES B
A0608061862005-02-0124800000CONSTRUCTION OF NEW WING000
CHEFA SERIES C
B0608061862007-05-0123125000CONSTRUCTION OF NEW CANCER CENTER & RENOVATION OF EMERGENCY DEPARTMENT000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsWorking Capital ExpendituresWorkingCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindAmount In Reserve FundAmountInReserveFundCapital ExpendituresCapitalExpenditures
A257698122457330343572176079119961011
B22982209234306113349220101011140695820207453

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUseBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A00000.000000.000000.00000000
B00000.000000.000000.00000000

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqsTerm Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminated
(no name)
A000000000
WACHOVIA BANK
B0000110002037.00000000000000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 6GRIFFIN HOSPITAL IS A NON-STOCK CORPORATION THAT DOES NOT HAVE STOCKHOLDERS OR MEMBERS, BUT WHICH DOES HAVE A BOARD OF INCORPORATORS WHO SERVE AS REPRESENTATIVES OF THE COMMUNITY TO CARRY OUT THE EXEMPT AND CHARITABLE PURPOSES OF THE HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7ATHE BOARD OF TRUSTEES MAKES RECOMMENDATIONS TO THE INCORPORATORS OF THE HOSPITAL REGARDING NOMINATIONS OF MEMBERS OF THE COMMUNITY TO SERVE AS TRUSTEES.
FORM 990, PART VI, SECTION B, LINE 11FORM 990 IS REVIEWED BY MANAGEMENT PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CEACH YEAR ALL MEMBERS OF THE HOSPITAL BOARD, OFFICERS, DIRECTORS, AND KEY EMPLOYEES RECEIVE, SIGN, AND SUBMIT A CONFLICT OF INTEREST DISCLOSURE. THE DISCLOSURES ARE REVIEWED BY THE HOSPITAL BOARD AND DOCUMENTED IN THE MINUTES. ANY DISCLOSURE OF A CONFLICT PREVENTS THE INDIVIDUAL FROM INVOLVEMENT WITH OR PARTICIPATION IN SUBJECT MATTER THAT MIGHT AFFECT THE DISCLOSED CONFLICT. SUCH ACTIONS ARE DOCUMENTED IN BOARD MINUTES. ALL CONFLICTS ARE DISCLOSED TO BOARD MEMBERS AND CORPORATORS AT THE ANNUAL MEETING OF THE CORPORATION.
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION OF OFFICERS AND KEY EMPLOYEES ARE REVIEWED ANNUALLY BY THE COMPENSATION COMMITTEE WHICH IS A SUBCOMMITTEE OF THE HOSPITAL BOARD. THIS COMMITTEE SETS THE COMPENSATION FOR THE CEO BASED ON INDUSTRY DATA. COMPENSATION OF OTHER OFFICERS AND DIRECTORS IS SET BY THE CEO IN CONJUNCTION WITH THE HUMAN RESOURCE DEPARTMENT. AGAIN INDUSTRY COMPENSATION DATA IS THE BASIS FOR DETERMINING THE APPROPRIATENESS OF COMPENSATION. THE CEO REVIEWS WITH THE COMPENSATION COMMITTEE ALL OFFICERS AND DIRECTORS IN THE FIRST QUARTER OF THE CALENDAR YEAR.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS ARE FILED WITH THE OFFICE OF HEALTH CARE ACCESS AND ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9:TRANSFERS BETWEEN AFFILIATES -3,563,164. MINIMUM PENSION LIABILITY ADJUSTMENT 14,637,527. CHANGE IN NET ASSETS OF AFFILIATE 471,884. CHANGE IN TEMPORARILY RESTRICTED NET ASSETS 438,379. CHANGE IN BENEFICIAL INTEREST IN TRUSTS 20,849. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 1,803,353. NET ASSETS RELEASED FROM RESTRICTION 110,583.CHANGES IN NET ASSETS OR FUND BALANCES:
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.FORM 990, PART XI, LINE 2C:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
GRIFFIN HEALTH SERVICES CORPORATION
130 DIVISION STREETDERBYCT06418222560257HOLDING COMPANYCT501(C)(3)509(A)(3)(B)(I)N/A0
GRIFFIN FACULTY PRACTICE PLAN INC
130 DIVISION STREETDERBYCT06418061463147MEDICAL/EDUCATIONCT501(C)(3)509(A)(2)1GRIFFIN HOSPITAL
THE GRIFFIN HOSPITAL DEVELOPMENT FUND
130 DIVISION STREETDERBYCT06418222560254FUND RAISINGCT501(C)(3)509(A)(1)1GRIFFIN HEALTH SERVICES CORPORATION
PLANETREE INC
130 DIVISION STREETDERBYCT06418061505284EDUCATIONCT501(C)(3)509(A)(2)1GRIFFIN HEALTH SERVICES CORPORATION

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityControlled OrgControlledOrgAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountry
GH VENTURES INC
130 DIVISION STREETDERBYCT06418222560247RENTAL REAL ESTATECTN/AC1
HEALTHCARE ALLIANCE INSURANCE COMPANY LTD
OFFSHORE CAPTIVE INSURANCEN/AC0171 ELGIN AVENUEGEORGETOWNCJCJ
CT PRACTICE MANAGEMENT INC
130 DIVISION STREETDERBYCT06418061152819INACTIVECTN/AC1
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
GRIFFIN HEALTH SERVICES CORP
P463062ACTUAL CASH
GH VENTURES INC
P436798ACTUAL CASH
GRIFFIN HOSPITAL DEVELOPMENT FUND
S500000ACTUAL CASH
PLANETREE INC
P1195401ACTUAL CASH
GRIFFIN HOSPITAL DEVELOPMENT FUND
P589211ACTUAL CASH
GRIFFIN FACULTY PRACTICE PLAN
R3471289ACTUAL CASH