STRATEGY STUDIO / PUBLIC DATA EXPLORER

THE GRIFFIN HOSPITAL: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
THE GRIFFIN HOSPITAL (EIN 06-0647014)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-08-11
IRS object ID
201312239349300201
Schema version
2011v1.5
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)
Timestamp2013-08-11T09:26:45-05:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

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 Line1TEN TOWER LANEAddressLine1
CityAVONCity
StateCTState
ZIP Code06001ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

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)
NamePATRICK S CHARMELName
TitleCEOTitle
Phone2037327528Phone
Date Signed2013-08-08DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBETH THURZName
PTINP00346435PTIN
Phone8606789200Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts129508601GrossReceipts
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 Employees1531TotalNbrEmployees
Total Nbr Volunteers486TotalNbrVolunteers
Total Gross UBI3663683TotalGrossUBI
Net Unrelated Business Txbl Income-1442351NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2414954ContributionsGrantsPriorYear
Contributions Grants Current Year2234902ContributionsGrantsCurrentYear
Program Service Revenue Prior Year127604535ProgramServiceRevenuePriorYear
Program Service Revenue CY126387570ProgramServiceRevenueCY
Investment Income Prior Year456315InvestmentIncomePriorYear
Investment Income Current Year464000InvestmentIncomeCurrentYear
Other Revenue Prior Year421266OtherRevenuePriorYear
Other Revenue Current Year422129OtherRevenueCurrentYear
Total Revenue Prior Year130897070TotalRevenuePriorYear
Total Revenue Current Year129508601TotalRevenueCurrentYear
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 Year70585160SalariesEtcPriorYear
Salaries Etc Current Year72639965SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year60252685OtherExpensePriorYear
Other Expenses Current Year61258997OtherExpensesCurrentYear
Total Expenses Prior Year130837845TotalExpensesPriorYear
Total Expenses Current Year133898962TotalExpensesCurrentYear
Revenues Less Expenses Prior Year59225RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-4390361RevenuesLessExpensesCY
Total Assets BOY122634410TotalAssetsBOY
Total Assets EOY129920217TotalAssetsEOY
Total Liabilities BOY157297042TotalLiabilitiesBOY
Total Liabilities EOY159955862TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-34662632NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-30035645NetAssetsOrFundBalancesEOY
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
Expense116126636Expense
Revenue109680301Revenue
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)
Expense3754826Expense
Revenue8911560Revenue
DescriptionPROVIDE CANCER RELATED RADIOLOGY SERVICES TO THE COMMUNITY.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense2018059Expense
Revenue2791088Revenue
DescriptionPROVIDE PSYCHIATRIC SERVICES TO THE COMMUNITY ON AN OUTPATIENT BASIS.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense483799Expense
Revenue1340938Revenue
DescriptionPROVIDE HOSPICE SERVICES TO THE COMMUNITY.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp483799TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev1340938TotalOfOtherProgramServiceRev
Total Program Service Expense122383320TotalProgramServiceExpense
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 Org1TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096183NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1531NumberOfEmployees
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 (34 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
HENDRICKS DAVID
MD/BOARD MEMBER1.00X000
CHARMEL PATRICK
PRESIDENT/CEO40.00X413379058191X
BORIS GREGORY
MD/BOARD MEMBER1.00X000
DOBULER KENNETH
MD/BOARD MEMBER14.00X226511047152
SCHWARTZ KENNETH
MD/BOARD MEMBER16.00X190532067325
STUMPO BARBARA J
V.P./BOARD MEMBER40.00X169709040922X
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/CFO40.00249920039027X
POWANDA WILLIAM
VICE PRESIDENT40.00181708048142X
BERNS EDWARD
VICE PRESIDENT40.00152735036514X
MARTIN KATHLEEN
VICE PRESIDENT40.00149614037662X
DEEGAN MARGARET
VICE PRESIDENT40.00204758031516X
SHEPARD SETH
VICE PRESIDENT40.00183468021483X
FRAMPTON SUSAN
PRESIDENT/PLANETREE40.00027432428232X
D'SOUSA SEEMA
MD30.00179424021635X
HALSTEAD EDWARD
MD40.00199780068082X
NAWAZ HAQ
MD40.00240796027500X
SALABARRIA JAVIER
MD40.00266555021604X
HURIBAL MARSEL
MD40.0017501100X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3183900TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs274324TotalReportableCompFrmRltdOrgs
Total Other Compensation594987TotalOtherCompensation
Number Individuals GT100 K76NumberIndividualsGT100K
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
UNIDINE CORPORATION
75 REMITTANCE DRIVECHICAGOIL60675FOOD SERVICE1478271
F & F MECHANICAL ENTERPRISES
2 DWIGHT STREETNORTH HAVENCT06473CONSTRUCTION418396
CONNECTICUT EMERGENCY MEDICINE SPECIALIS
PO BOX 271618WEST HARTFORDCT06127E.R. PHYSICIAN SERVICES411762
CARDIOLOGY ASSOC OF DERBY
130 DIVISION STREETDERBYCT06418PHYSICIAN SERVICES399621
NEW MILFORD LAUNDRY
47 COMMONS COURTWATERBURYCT06704LAUNDRY SERVICE384115
FieldValueIRS element (for citing)
Number Of Contractors GT100 K20NumberOfContractorsGT100K
Government Grants1908138GovernmentGrants
All Other Contributions326764AllOtherContributions
Total Contributions2234902TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
PATIENT REVENUE6215001210663151174026323663683
OTHER PROGRAM SERVICES62150053212555321255
FieldValueIRS element (for citing)
Total Program Service Revenue126387570TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column351715TotalRevenueColumn
Exclusion$351,715ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real422129Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real422129Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column422129TotalRevenueColumn
Exclusion$422,129ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities112285Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities112285Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column112285TotalRevenueColumn
Exclusion$112,285ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column129508601TotalRevenueColumn
Related Or Exempt Function Income122723887RelatedOrExemptFunctionIncome
Unrelated Business Revenue3663683UnrelatedBusinessRevenue
Exclusion$886,129ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3183757Total
Program Services2101280ProgramServices
Management And General1082477ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total49478334Total
Program Services44530501ProgramServices
Management And General4947833ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total5288072Total
Program Services4759265ProgramServices
Management And General528807ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total10586624Total
Program Services9527962ProgramServices
Management And General1058662ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total4103178Total
Program Services3692860ProgramServices
Management And General410318ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total6491127Total
Program Services5842014ProgramServices
Management And General649113ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total237404Total
Management And General237404ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total255252Total
Management And General255252ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total10081414Total
Program Services9073273ProgramServices
Management And General1008141ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total478606Total
Program Services478606ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total358359Total
Program Services322523ProgramServices
Management And General35836ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total427133Total
Program Services427133ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total313890Total
Program Services313890ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total348787Total
Program Services348787ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total5233260Total
Program Services5233260ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total5913219Total
Program Services5913219ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total945756Total
Program Services851180ProgramServices
Management And General94576ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL & DRUG SUPPLIES1593076315930763
RESEARCH GRANT EXPENSES22596982033728225970
FOOD11861761186176
BAD DEBT985616985616

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total9812537Total
Program Services8831284ProgramServices
Management And General981253ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total133898962Total
Program Services122383320ProgramServices
Management And General11515642ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY5513612BOY
EOY8071213EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY17025431BOY
EOY12754987EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY794648BOY
EOY852072EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1810064BOY
EOY2258893EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis148245027LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec88278309LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY62082187BOY
EOY59966718EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY8656773BOY
EOY6519819EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY14181684BOY
EOY15213004EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY12570011BOY
EOY24283511EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY122634410BOY
EOY129920217EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY26635850BOY
EOY28300556EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY33048BOY
EOY40179EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY53037112BOY
EOY51432599EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY77591032BOY
EOY80182528EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY157297042BOY
EOY159955862EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-42070163BOY
EOY-38049002EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1880150BOY
EOY2203003EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY5527381BOY
EOY5810354EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-34662632BOY
EOY-30035645EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY122634410BOY
EOY129920217EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-4390361ReconcilationRevenueExpenses
Reconcilation Other Changes9017348ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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$11,700OtherActivitiesAmount
Total Lobbying Expenditures IIB11700TotalLobbyingExpendituresIIB
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 9/30/2012. $11,699.62 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 Balance2932333BeginningOfYearBalance
Investment Earnings Or Losses322207InvestmentEarningsOrLosses
Other Expenditures5000OtherExpenditures
End Of Year Balance3249540EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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

Current Year Minus3 Years CurrentYearMinus3Years

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 Balance0.66500PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.33500TermEndowmentEOYBalance
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 Basis72926054OtherCostOrOtherBasis
Depreciation34898661Depreciation
Book Value38027393BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis70963696OtherCostOrOtherBasis
Depreciation53127705Depreciation
Book Value17835991BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis340186OtherCostOrOtherBasis
Depreciation251943Depreciation
Book Value88243BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings59966718TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
FIXED INCOME SECURITIES3611174F
MARKETABLE EQUITY SECURITIES2908645F
FieldValueIRS element (for citing)
Total Of Book Value Securities6519819TotalOfBookValueSecurities

Investments Program Related InvestmentsProgramRelated (5 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
LIMITED USE ASSETS - CURRENT700398F
BOARD DESIGNATED INVESTMENTS10001F
BENEFICIAL INTEREST IN TRUSTS3650093F
UNDER INDENTURE AGREEMENT4288627F
INVESTMENTS OF NET ASSETS OF AFFILIATES6563885C
FieldValueIRS element (for citing)
Total Of Book Value Program Related15213004TotalOfBookValueProgramRelated

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
OTHER RECEIVABLES2405920
DUE FROM AFFILIATES7998375
OTHER ASSETS & INSURANCE RECOVERABLE12635039
THIRD PARTY1203411
DEFERRED REVENUE40766
FieldValueIRS element (for citing)
Total Book Value Other Assets24283511TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (10 entries)

DescriptionDescriptionAmountAmount
ACCRUED POST RETIREMENT - CURRENT$435,000
ACCRUED POST RETIREMENT - NONCURRENT$8,484,801
PROFESSIONAL AND GENERAL LIABILITY$876,637
MINIMUM PENSION LIABILITY$42,429,930
WORKERS COMPENSATION - LONG TERM$2,108,091
ACCRUED INTEREST PAYABLE$347,111
OTHER LIABILITIES$22,138,767
RETIREMENT OBLIGATION$119,709
CAPITAL LEASE - NET OF CURRENT$1,299,057
L.T. - CURRENT PORTION$1,943,425
FieldValueIRS element (for citing)
Total Of Amounts80182528TotalOfAmounts
Total Revenue129508601TotalRevenue
Total Expenses133898962TotalExpenses
Excess Or Deficit For Year-4390361ExcessOrDeficitForYear
Net Unrealized GL On Investments534665NetUnrealizedGLOnInvestments
Other$8,482,683OtherAmount
Total Adjustments9017348TotalAdjustments
Excess Or Deficit Per FS4626987ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt130043266TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments534665NetUnrealizedGainsInvestments
Revenue Not Rptd F990534665RevenueNotRptdF990
Revenue Subtotal129508601RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990129508601TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt133898962TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal133898962ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990133898962TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: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.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:THERE IS NO FIN 48 (ASC 740) FOOTNOTE IN THE GRIFFIN HOSPITAL AUDITED FINANCIAL STATEMENTS.
PART XI, LINE 8 - OTHER ADJUSTMENTS:TRANSFERS BETWEEN AFFILIATES -2,731,233. MINIMUM PENSION LIABILITY ADJUSTMENT 10,040,391. CHANGE IN NET ASSETS OF AFFILIATE 567,699. CHANGE IN TEMPORARILY RESTRICTED NET ASSETS 322,853. CHANGE IN BENEFICIAL INTEREST IN TRUSTS 282,973. TOTAL TO SCHEDULE D, PART XI, LINE 8: 8,482,683.

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 Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served275PersonsServed
Total Community Benefit Expense2150116TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense2150116NetCommunityBenefitExpense
Percent Of Total Expense0.01610PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Persons Served10197PersonsServed
Total Community Benefit Expense10577781TotalCommunityBenefitExpense
Direct Offsetting Revenue7060403DirectOffsettingRevenue
Net Community Benefit Expense3517378NetCommunityBenefitExpense
Percent Of Total Expense0.02630PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Persons Served145PersonsServed
Total Community Benefit Expense310135TotalCommunityBenefitExpense
Direct Offsetting Revenue241706DirectOffsettingRevenue
Net Community Benefit Expense68429NetCommunityBenefitExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served10617PersonsServed
Total Community Benefit Expense13038032TotalCommunityBenefitExpense
Direct Offsetting Revenue7302109DirectOffsettingRevenue
Net Community Benefit Expense5735923NetCommunityBenefitExpense
Percent Of Total Expense0.04290PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Persons Served46175PersonsServed
Total Community Benefit Expense896911TotalCommunityBenefitExpense
Direct Offsetting Revenue6830DirectOffsettingRevenue
Net Community Benefit Expense890081NetCommunityBenefitExpense
Percent Of Total Expense0.00660PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Persons Served140PersonsServed
Total Community Benefit Expense5850061TotalCommunityBenefitExpense
Direct Offsetting Revenue4797952DirectOffsettingRevenue
Net Community Benefit Expense1052109NetCommunityBenefitExpense
Percent Of Total Expense0.00790PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Persons Served42141PersonsServed
Total Community Benefit Expense21661980TotalCommunityBenefitExpense
Direct Offsetting Revenue20149686DirectOffsettingRevenue
Net Community Benefit Expense1512294NetCommunityBenefitExpense
Percent Of Total Expense0.01130PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense1183995TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense1183995NetCommunityBenefitExpense
Percent Of Total Expense0.00880PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Persons Served2133PersonsServed
Total Community Benefit Expense38051TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense38051NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Persons Served90589PersonsServed
Total Community Benefit Expense29630998TotalCommunityBenefitExpense
Direct Offsetting Revenue24954468DirectOffsettingRevenue
Net Community Benefit Expense4676530NetCommunityBenefitExpense
Percent Of Total Expense0.03490PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Persons Served101206PersonsServed
Total Community Benefit Expense42669030TotalCommunityBenefitExpense
Direct Offsetting Revenue32256577DirectOffsettingRevenue
Net Community Benefit Expense10412453NetCommunityBenefitExpense
Percent Of Total Expense0.07780PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Persons Served2878PersonsServed
Total Community Building Expense34180TotalCommunityBuildingExpense
Net Community Building Expense34180NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Persons Served2878PersonsServed
Total Community Building Expense34180TotalCommunityBuildingExpense
Net Community Building Expense34180NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$312,439BadDebtExpenseAmount
Amount Reimbursed By Medicare41800233AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare49286120CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-7485887MedicareSurplusOrShortfall

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)
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 Conducted0CHNAConducted
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 Activities1CollectionActivities
Report To Credit AgencyXReportToCreditAgency
LawsuitXLawsuit
Lien On ResidenceXLienOnResidence
Body AttachmentXBodyAttachment
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Lowest Negotiated RatesXLowestNegotiatedRates
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
PART I, LINE 3C: N/A
PART II: THE DEPARTMENT OF COMMUNITY OUTREACH AND PARISH NURSING HAS PROMOTED THE HEALTH OF THE COMMUNITIES IT SERVES THROUGH ITS COMMUNITY BUILDING ACTIVITIES. GRIFFIN HOSPITAL SPONSORS AND PROVIDES OPERATIONAL LEADERSHIP FOR THE VALLEY PARISH NURSE PROGRAM THROUGH COMMUNITY HEALTH IMPROVEMENT ADVOCACY. THE DEPT. OF COMMUNITY OUTREACH HAS MADE A SUBSTANTIAL IMPACT ON THE GREATER NAUGATUCK VALLEY. COMMUNITY HEALTH IMPROVEMENT ADVOCACY ACTIVITIES COLLABORATE WITH THE COMMUNITY ON VARIOUS OUTREACH NEEDS. SOME EXAMPLES OF THE GROUPS AND BOARDS THAT ARE INVOLVED ARE: BOYS & GIRLS CLUB BOARD, CT COUNCIL OF PARISH NURSE COORDINATORS, VALLEY COUNCIL FOR HEALTH & HUMAN SERVICES, WOMEN MAKING A DIFFERENCE, VITALS, VALLEY UNITED WAY, KOMEN FOUNDATION GRANT EXPLORATION, ANSONIA COMMUNITY ACTION ADVISORY BOARD, BIRTH TO 9, CT HOSPITAL ASSOCIATION, VNA ANNUAL MEETING , NEW HAVEN BUSINESS ASSOCIATION, SPOONER HOUSE FOOD DRIVE, VALLEY SUBSTANCE ABUSE ACTION COUNCIL, AMERICAN HEART ASSOCIATION, ECC/CPR BOARD, COMMUNITY FOUNDATION FOR GREATER NEW HAVEN, CT HOSPITAL ASSOCIATION AND SUB COMMITTEE.
PART III, LINE 4: GRIFFIN HOSPITAL'S AUDITED FINANCIAL STATEMENTS DO NOT HAVE A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. BAD DEBT EXPENSE IS REPORTED ON LINE 2 PER GRIFFIN HOSPITAL'S AUDITED FINANCIAL STATEMENTS, NET OF ANY BAD DEBT RECOVERY, MULTIPLIED BY THE COST TO CHARGE RATIO. GRIFFIN HOSPITAL REQUIRES OUR COLLECTION AGENCIES TO FOLLOW THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, THEREFORE THE HOSPITAL DID NOT ATTRIBUTE ANY BAD DEBT EXPENSE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE.
PART III, LINE 8: GRIFFIN HOSPITAL BELIEVES THAT ALL OF THE $7.486 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 5.9% 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 ACCOUNTS ARE PROCESSED FAIRLY AND CONSISTENTLY. GRIFFIN HOSPITAL WILL ENSURE THAT PRACTICES TO BE USED BY THEIR OUTSIDE (NON HOSPITAL) 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 HOSPITAL 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 HOSPITAL WILL NOT KNOWINGLY SEND THAT PATIENT'S BILL TO A COLLECTION AGENCY.
PART VI, LINE 2: THE GRIFFIN HOSPITAL IS CURRENTLY DEVELOPING AN ACTION PLAN TO ADDRESS IDENTIFIED NEEDS, WHICH WILL BE COMPLETED, FILED AND PUBLISHED ON THE GRIFFIN HOSPITAL WEB SITE.GRIFFIN HOSPITAL ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES IN A VARIETY OF WAYS. THE HOSPITAL USES RESOURCES THAT ARE CONNECTED AND AFFILIATED WITH THE HOSPITAL OR THE COMMUNITY IT SERVES. EXAMPLES OF THESE ARE: COMMUNITY HEALTH PROFILE DONE BY THE YALE-GRIFFIN PRC AT LEAST BI-ANNUALLY THAT TRACKS MORTALITY AND OTHER DATA BY DISEASE, WHICH PROMPTED LAUNCHING OF THE HIM PROJECT TO ADDRESS MALE PROSTATE AND COLON CANCER RATES. VALLEY COUNCIL'S QUALITY OF LIFE REPORT PUBLISHED LAST YEAR FOR THE FIRST TIME (WWW.VALLEYCOUNCIL.ORG). THE INITIATIVE OF THE VALLEY COUNCIL IS DESIGNED TO TRACK KEY INDICATORS OF QUALITY OF LIFE IN THE VALLEY OVER TIME. OUR GOAL IS TO SEE WHAT ASPECTS OF COMMUNITY LIFE HAVE GOTTEN BETTER OVER TIME AND WHAT AREAS MAY NEED IMPROVEMENT. PRODUCTION OF THE VALLEY CARES REPORT WAS MADE POSSIBLE BY GENEROUS GRANTS FROM: THE COMMUNITY FOUNDATION FOR GREATER NEW HAVEN, THE VALLEY COMMUNITY FOUNDATION, THE VALLEY UNITED WAY, AND THE KATHARINE MATTHIES FOUNDATION. ADDITIONAL SUPPORT PROVIDED BY: YALE-GRIFFIN PREVENTION RESEARCH CENTER, NAUGATUCK VALLEY HEALTH DISTRICT, GRIFFIN HOSPITAL, BIRMINGHAM GROUP HEALTH SERVICES, INC., THE WORKPLACE, INC. AND THE MEMBER AGENCIES OF THE VALLEY COUNCIL. CLARITAS - DEMOGRAPHIC PROFILE OF THE HOSPITAL'S PRIMARY SERVICE AREA. COMMUNITY PERCEPTION TELEPHONE SURVEY DONE EVERY TWO OR THREE YEARS OF 400 PRIMARY SERVICE AREA RESIDENTS. VALLEY COUNCIL OF HEALTH AND HUMAN SERVICE ORGANIZATIONS WHICH IS A COOPERATIVE VENTURE 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. STRATEGIC PLAN - GREATER VALLEY CHAMBER OF COMMERCE'S HEALTHCARE COUNCIL. THE HEALTHCARE COUNCIL WAS CREATED BASED ON THE PREMISE THAT HEALTH AND WELLNESS ARE INCREASINGLY IMPORTANT ISSUES TO AREA BUSINESSES. FROM PROVIDING INSIGHTS INTO CHRONIC DISEASES TO THE EFFECTS POOR HEALTH HAS ON PRODUCTIVITY AND EMPLOYEE ATTENDANCE, THE COUNCIL IS AN EDUCATIONAL RESOURCE ON HEALTH AND WELLNESS FOR BUSINESSES THROUGHOUT THE GREATER VALLEY REGION. VALLEY UNITED WAY SENIOR NEEDS ASSESSMENT - 2007, VALLEY NEEDS AND OPPORTUNITIES PROJECT - REPORT ON PROGRESS, MOUNT AUBURN ASSOCIATES - 2005, YALE-GRIFFIN PREVENTION RESEARCH CENTER CORPORATE SOCIAL RESPONSIBILITY SECTION OF THE FORTUNE APPLICATION Q.16 GRIFFIN HOSPITAL'S SCHOOL-BASED CHILDHOOD AND ADOLESCENT OBESITY PREVENTION PROJECT, OUR DEPARTMENT OF COMMUNITY OUTREACH AND PARISH NURSING WHICH FOCUSES ON THE UNDERSERVED POPULATIONS. THE PARISH NURSE PROGRAM ITSELF.
PART VI, LINE 3: GRIFFIN HOSPITAL SHALL COMMUNICATE TO THE PUBLIC THROUGH APPROPRIATE MEANS REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE TO LOW-INCOME UNINSURED PATIENTS. NOTICES ARE POSTED IN VISIBLE LOCATIONS THROUGHOUT THE HOSPITAL SUCH AS ADMITTING, REGISTRATION, BILLING OFFICE, EMERGENCY DEPARTMENT AND OTHER OUTPATIENT SETTINGS. EVERY POSTED NOTICE REGARDING FINANCIAL ASSISTANCE POLICIES SHALL CONTAIN BRIEF INSTRUCTIONS ON HOW TO APPLY FOR FINANCIAL ASSISTANCE OR A DISCOUNTED PAYMENT. THE NOTICES WILL INCLUDE A CONTACT TELEPHONE NUMBER THAT A PATIENT OR FAMILY MEMBER CAN CALL TO OBTAIN MORE INFORMATION. GRIFFIN HOSPITAL SHALL ENSURE THAT APPROPRIATE STAFF MEMBERS ARE KNOWLEDGEABLE ABOUT THE EXISTENCE OF THE HOSPITAL'S FINANCIAL ASSISTANCE POLICIES. TRAINING WILL BE PROVIDED TO STAFF MEMBERS WHO DIRECTLY INTERACT WITH PATIENTS REGARDING THEIR HOSPITAL BILLS. WHEN COMMUNICATING TO PATIENTS REGARDING THEIR FINANCIAL ASSISTANCE POLICIES GRIFFIN HOSPITAL SHALL ATTEMPT TO DO SO IN THE PRIMARY LANGUAGE OF THE PATIENT OR HIS /HER FAMILY, IF REASONABLY POSSIBLE, AND IN A MANNER CONSISTENT WITH ALL APPLICABLE FEDERAL AND STATE LAWS AND REGULATIONS. GRIFFIN HOSPITAL SHALL SHARE ITS FINANCIAL ASSISTANCE POLICIES WITH APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST SUCH PATIENTS.
PART VI, LINE 4: THE COMBINED POPULATION OF GRIFFIN'S SIX TOWN PRIMARY SERVICE AREA (THE VALLEY) IS 107,269. THE SIX SUBURBAN TOWNS THAT MAKE UP THE HOSPITAL'S PRIMARY SERVICE AREA ARE:ANSONIA - POPULATION 19,219, SIZE 6.2 SQ. MILES, BEACON FALLS - POPULATION 6,038, SIZE 9.9 SQ. MILES, DERBY - POPULATION 12,882, SIZE 5.4 SQ. MILES, OXFORD - POPULATION 12,662, SIZE 33 SQ. MILES, SEYMOUR - POPULATION 16,514, 15 SQ. MILES, SHELTON - POPULATION 39,954, SIZE 32 SQ. MILES. THE COMBINED SIZE OF THE SIX TOWN VALLEY REGIONS IS 101.5 SQUARE MILES.THE VALLEY, GEOGRAPHICALLY LOCATED IN SOUTH CENTRAL CONNECTICUT, IS SURROUNDED BY THREE OF THE STATE'S LARGEST CITIES, NEW HAVEN, TO THE SOUTH, BRIDGEPORT, TO THE SOUTHWEST, AND WATERBURY TO THE NORTH EACH ABOUT 15 MILES FROM GRIFFIN HOSPITAL. THERE ARE TWO TERTIARY CARE HOSPITALS IN EACH OF THE CITIES AND EACH HAS VARYING DEGREES OF MARKET SHARE IN GRIFFIN'S PRIMARY SERVICE AREA TOWNS DEPENDING ON THE PROXIMITY TO THE THREE CITIES AND THE HOSPITALS LOCATED THERE.THE VALLEY'S POPULATION IS PRIMARILY WHITE AT 91.1%. THE BLACK OR AFRICAN AMERICAN POPULATION IS 2.9% AND THE ASIAN POPULATION IS 2.3%. THE HISPANIC OR LATINO POPULATION IS 5.9%. THE AGE 65 AND OVER POPULATION IS 14% COMPARED TO THE STATE OF CONNECTICUT ALSO AT 14% IN 2010. ENGLISH IS THE PRIMARY LANGUAGE SPOKEN IN 86% OF HOMES. THE ESTIMATED AVERAGE FAMILY HOUSEHOLD INCOME FOR VALLEY RESIDENTS IS $95,592 AND THE MEDIAN FAMILY HOUSEHOLD INCOME IS $83,335. IT IS ESTIMATED THAT 1,149 FAMILIES (3.9%) OF VALLEY FAMILIES HAVE INCOMES BELOW THE POVERTY LEVEL. GRIFFIN HOSPITAL IS A NON-PROFIT, 160 BED, 20 BASSINETTE ACUTE CARE HOSPITAL WITH 6,904 DISCHARGES AND 196,386 OUTPATIENT VISITS IN FISCAL YEAR 2012. WITH 1,325 FULL TIME, PART TIME AND PER DIEM EMPLOYEES IT IS THE VALLEY'S LARGEST EMPLOYER WITH EMPLOYEE COMPENSATION AND BENEFITS LAST YEAR TOTALING $72.6 MILLION, SIXTY-ONE PERCENT OF GRIFFIN'S EXPENSE BUDGET OF $120 MILLION. OVER $46 MILLION IS SPENT ON SUPPLIES AND SERVICES MUCH OF WHICH IS TO AREA VENDORS. WITH 70% OF THE HOSPITAL'S EMPLOYEES RESIDING IN THE HOSPITAL PRIMARY SERVICE AREA, GRIFFIN HOSPITAL IS AN ECONOMIC ENGINE FOR THE COMMUNITY IT SERVES.
PART VI, LINE 5: GRIFFIN HOSPITAL IS AN ACUTE CARE HOSPITAL PROVIDING INPATIENT AND OUTPATIENT MEDICAL CARE AND RELATED SERVICES FOR OBSTETRICS, SURGERY AND ACUTE MEDICAL CONDITIONS OR INJURIES USUALLY FOR A SHORT DURATION. GRIFFIN PROVIDES PSYCHIATRIC AND MENTAL HEALTH SERVICES INCLUDING AN INPATIENT UNIT. GRIFFIN OFFERS A NUMBER OF INNOVATIVE PROGRAMS DESIGNED TO PROVIDE ENHANCED COMMUNITY ACCESS TO A BROAD RANGE OF SERVICES AND MEET COMMUNITY NEEDS. THESE INCLUDE: A WOUND TREATMENT CENTER, INTEGRATIVE MEDICINE CENTER, MULTIPLE SCLEROSIS CENTER, PAIN AND HEADACHE TREATMENT CENTER, SLEEP WELLNESS CENTER, JOINT REPLACEMENT CENTER, OCCUPATIONAL MEDICINE CENTER, INPATIENT HOSPICE SERVICE, CENTER FOR CANCER CARE WITH RADIATION THERAPY SERVICE, CENTER FOR BREAST WELLNESS, BARIATRICS SERVICE, MEDI-WEIGHT LOSS SERVICE, GRIFFIN RETAIL PHARMACY, CHEMICAL DEPENDENCY AND ADDICTION SERVICE, ENHANCED EXTERNAL COUNTER PULSATION SERVICE, ANTI-COAGULATION SERVICE AND AN INFUSION CENTER. CONSISTENT WITH GRIFFIN HOSPITAL'S MISSION TO IMPROVE THE HEALTH OF THE COMMUNITY IT SERVES, THE DEPARTMENT OF COMMUNITY OUTREACH AND VALLEY PARISH NURSE (VPN) PROGRAM CONTINUED TO EXTEND THE HOSPITAL'S REACH WELL BEYOND ITS WALLS IN 2012. ACCOUNTING FOR MORE THAN 50,000 COMMUNITY CONTACTS IN 2012, THIS OUTREACH INCLUDED EVERYTHING FROM FITTING BIKE HELMETS TO TRAINING ADULTS AND CHILDREN IN CPR TO PROVIDING HEALTH EDUCATION AND SCREENINGS AT SENIOR CENTERS, SHOPPING CENTERS, NEIGHBORHOODS, COMPANIES, AND COMMUNITY EVENTS AND HEALTH FAIRS. THESE COMMUNITY CONTACTS INCLUDED MORE THAN 8,300 HEALTH SCREENINGS - WHICH CAN HELP IDENTIFY PROBLEMS WHEN THEY ARE MOST TREATABLE - AND NEARLY 22,000 REFERRALS FOR FOLLOW UP CARE. (SOME OF GRIFFIN HOSPITAL'S COMMUNITY BENEFIT ACTIVITIES ARE SUMMARIZED ON THE OUTREACH AND SCREENING STATISTICS PAGE OF THIS REPORT.) AS PART OF THE HOSPITAL'S COMMITMENT TO PROMOTING COMMUNITY HEALTH AND WELLNESS WHILE CLOSING RACIAL, ETHNIC, GENDER, AND SOCIOECONOMIC GAPS IN HEALTH STATUS, GRIFFIN CONTINUED ITS COLLABORATION WITH COMMUNITY PARTNERS ON INITIATIVES SUCH AS THE VALLEY INITIATIVE TO ADVANCE HEALTH & LEARNING IN SCHOOLS AND THE HEALTH INITIATIVE FOR MEN.THE VALLEY INITIATIVE TO ADVANCE HEALTH & LEARNING IN SCHOOLS (VITAHLS), WHICH GRIFFIN LAUNCHED IN PARTNERSHIP WITH VALLEY SCHOOL DISTRICTS AND THE YALE-GRIFFIN PREVENTION RESEARCH CENTER (PRC) IN 2011 CONTINUED ITS EFFORTS TO REDUCE OBESITY AND PROMOTE HEALTH AND ACADEMIC READINESS IN STUDENTS. THE SCHOOL-BASED PROGRAM, WHICH HAS INTRODUCED A VARIETY OF NUTRITION AND PHYSICAL ACTIVITY PROGRAMS TO REDUCE OBESITY AND PROMOTE HEALTH AND ACADEMIC READINESS IN STUDENTS IN PRE-K TO GRADE 12, KICKED OFF ITS SECOND YEAR BY HOSTING A FAMILY FUN DAY ON SUNDAY, OCTOBER 21 AT EMMETT O'BRIEN TECHNICAL HIGH SCHOOL IN ANSONIA. THE FREE EVENT FEATURED A FESTIVAL FEEL WITH MANY BOOTHS FEATURING GAMES, NUTRITIONAL AND FITNESS ACTIVITIES, FREE HEALTHY SNACKS AND A FARMER'S MARKET.OTHER NOTABLE VITAHLS ACTIVITIES INCLUDED THE INTRODUCTION OF THE NUVAL NUTRITIONAL SCORING SYSTEM BY DERBY MIDDLE SCHOOL AND DERBY HIGH SCHOOL. BOTH SCHOOLS' CAFETERIAS AND VENDING MACHINES NOW FEATURE FOOD LABELED WITH A "NUVAL SCORE." A NUMBER BETWEEN 1-100 THAT DETERMINES THE NUTRITIONAL VALUE OF THE FOOD (THE HIGHER THE SCORE, THE BETTER THE OVERALL NUTRITION). NUVAL SCORES CAN NOW BE FOUND ON A LA CARTE ITEMS IN THE CAFETERIAS AND ON FOOD IN ALL VENDING MACHINES, ENCOURAGING STUDENTS TO MAKE MORE INFORMED, AND HEALTHIER, FOOD CHOICES.AS PART OF THE HEALTH INITIATIVE FOR MEN (HIM), THE HOSPITAL ONCE AGAIN TEAMED WITH LOCAL SCHOOLS TO DISTRIBUTE FATHER'S DAY CARDS TO STUDENT'S DADS ENCOURAGING THEM TO "GET TO THE DOCTOR" FOR THEIR ANNUAL CHECK-UPS. MORE THAN 20,000 OF THESE FREE CARDS, WHICH INCLUDED MEN'S HEALTH SCREENING GUIDELINES AND CHECKLISTS, WERE DISTRIBUTED AT AREA SCHOOLS AND AT GRIFFIN HOSPITAL. THE EFFORT WAS MADE POSSIBLE BY THE "HEALTH INITIATIVE FOR MEN FUND," ESTABLISHED BY ANSONIA BUSINESSMAN FRANK MICHAUD AND HIS WIFE, JUDY, TO HELP INSPIRE MEN TO HAVE AN ANNUAL PHYSICAL AND RAISE AWARENESS ABOUT MEN'S HEALTH ISSUES, SUCH AS PROSTATE CANCER AND COLORECTAL CANCER. GRIFFIN ALSO BEGAN OFFERING FREE PROSTATE-SPECIFIC ANTIGEN (PSA) TESTS AND OTHER HEALTH SCREENINGS TO MEN AT VARIOUS COMMUNITY EVENTS. THE GRIFFIN HOSPITAL MINI MED SCHOOL CELEBRATED ITS SEVENTH YEAR IN 2012, GRADUATING MORE THAN 50 STUDENTS FROM ITS FALL SESSION. THE 10-WEEK COURSE WAS TAUGHT BY MEMBERS OF THE GRIFFIN HOSPITAL MEDICAL STAFF WHO VOLUNTEERED THEIR TIME AS FACULTY FOR THE COURSE, EXEMPLIFYING THE HOSPITAL'S COMMITMENT TO HEALTH EDUCATION AND ACCESS TO INFORMATION FOR PATIENTS, THEIR FAMILIES, AND MEMBERS OF THE COMMUNITY.ANOTHER KEY COMPONENT OF THIS COMMITMENT, GRIFFIN'S ONGOING SERIES OF FREE COMMUNITY HEALTH LECTURES, CONTINUED WITH THE INTRODUCTION OF THE "HEALTHY U" TUESDAY TALK SERIES. GRIFFIN EXPERTS PROVIDED HEALTH AND WELLNESS INFORMATION AND ENCOURAGED COMMUNITY RESIDENTS TO TAKE A MORE ACTIVE ROLE IN THEIR HEALTH AND THEIR HEALTHCARE IN A SERIES OF TALKS HELD AT GRIFFIN AND IN VARIOUS COMMUNITY SETTINGS, INCLUDING RESIDENTIAL COMMUNITIES, PUBLIC LIBRARIES, AND SENIOR AND COMMUNITY CENTERS. THE HOSPITAL'S HEALTH RESOURCE CENTER, WHICH IS OPEN SIX DAYS A WEEK AND STAFFED BY PROFESSIONAL LIBRARIANS, PROVIDED SUPPORT FOR ALL OF GRIFFIN'S HEALTH EMPOWERMENT ACTIVITIES, OFFERING RESOURCES AND ASSISTANCE TO PATIENTS, STAFF, AND COMMUNITY MEMBERS. THE CENTER FEATURES A VAST COLLECTION OF CONSUMER HEALTH BOOKS, PERIODICALS, AND VIDEO RESOURCES, AS WELL AS ACCESS TO A NUMBER OF PEER-REVIEWED ELECTRONIC DATABASES. SINCE THE CENTER OPENED IN 1994, MORE THAN 10,000 COMMUNITY MEMBERS HAVE SIGNED UP FOR LIBRARY CARDS THAT ALLOW THEM TO CHECK OUT MATERIALS AS THEY WOULD AT A PUBLIC LIBRARY.THESE ACTIVITIES AND MORE COMPRISED THE MORE THAN $18 MILLION IN COMMUNITY BENEFIT THAT GRIFFIN HOSPITAL CONTRIBUTED TO ITS COMMUNITY. THAT AMOUNT INCLUDED THE PROVISION OF NEARLY $2.8 MILLION IN CHARITY CARE, APPROXIMATELY $12.6 MILLION IN SUBSIDIZED CARE TO PATIENTS COVERED BY MEDICARE, MEDICAID, AND OTHER PUBLIC PROGRAMS, MORE THAN $1 MILLION WORTH OF HEALTH PROFESSIONS EDUCATION TO HELP PREPARE THE NEXT GENERATION OF CAREGIVERS, AND NEARLY $1.9 MILLION WORTH OF OTHER COMMUNITY BENEFIT ACTIVITIES AND HEALTH SERVICES SUBSIDIES.
PART VI, LINE 6: N/A
CTREPORTS FILED WITH STATESPART VI, LINE 7

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)

Base 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
37307303954107650439350142560471570000
DOBULER KENNETH
2265110000047152000273663000
SCHWARTZ KENNETH
16697102279607650530690142560257857000
STUMPO BARBARA J
15202001694807410266660142560210631000
MOYLAN JAMES J
2191600299950765037047019800288947000
POWANDA WILLIAM
16371101766403330348580132840229850000
BERNS EDWARD
13328901876806780222580142560189249000
MARTIN KATHLEEN
13052001842706670234060142560187276000
DEEGAN MARGARET
17869602529707650172600142560236274000
SHEPARD SETH
1604850222320751019503019800204951000
FRAMPTON SUSAN
0235966037803055502223405998030255600
D'SOUSA SEEMA
179079000345073790142560201059000
HALSTEAD EDWARD
1990150007650538260142560267862000
NAWAZ HAQ
2400310007650132440142560268296000
SALABARRIA JAVIER
265790000765083200132840288159000
HURIBAL MARSEL
175011000000000175011000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
CHEFA SERIES B
0608061862005-02-0124800000CONSTRUCTION OF NEW WING000
CHEFA SERIES C
0608061862007-05-0123125000CONSTRUCTION OF NEW CANCER CENTER & RENOVATION OF EMERGENCY DEPARTMENT000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceedsRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsWorking Capital ExpendituresWorkingCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindAmount In Reserve FundAmountInReserveFundCapital ExpendituresCapitalExpenditures
257698122457330343572176079119961011
22982209234306113349220101011140695820207453

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
00000.000000.000000.000001
00000.000000.000000.000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebateTerm Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminated
(no name)
000000
WACHOVIA BANK
0110002037.00000000000000

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 5:NET UNREALIZED GAINS ON INVESTMENTS: 534,665. TRANSFERS BETWEEN AFFILIATES -2,731,233. MINIMUM PENSION LIABILITY ADJUSTMENT 10,040,391. CHANGE IN NET ASSETS OF AFFILIATE 567,699. CHANGE IN TEMPORARILY RESTRICTED NET ASSETS 322,853. CHANGE IN BENEFICIAL INTEREST IN TRUSTS 282,973. TOTAL TO FORM 990, PART XI, LINE 5: 9,017,348.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)0GRIFFIN HOSPITAL
THE GRIFFIN HOSPITAL DEVELOPMENT FUND
130 DIVISION STREETDERBYCT06418222560254FUND RAISINGCT501(C)(3)509(A)(1)0GRIFFIN HEALTH SERVICES CORPORATION
PLANETREE INC
130 DIVISION STREETDERBYCT06418061505284EDUCATIONCT501(C)(3)509(A)(2)0GRIFFIN HEALTH SERVICES CORPORATION

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountryDirect Controlling Entity NADirectControllingEntityNA
GH VENTURES INC
130 DIVISION STREETDERBYCT06418222560247MANAGE MEDICAL BILLINGCTGRIFFIN HEALTH SERVICES CORPORATIONC
HEALTHCARE ALLIANCE INSURANCE COMPANY LTD
OFFSHORE CAPTIVEGRIFFIN HEALTH SERVICES CORPORATIONC171 ELGIN AVENUEGEORGETOWNCJCJ
CT PRACTICE MANAGEMENT INC
130 DIVISION STREETDERBYCT06418061152819INACTIVECTCN/A
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
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 (7 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
GRIFFIN HEALTH SERVICES CORP
O387977ACTUAL CASH
GH VENTURES INC
O383280ACTUAL CASH
GRIFFIN DEVELOPMENT FUND
O546936ACTUAL CASH
PLANETREE INC
O2685450ACTUAL CASH
GRIFFIN HOSPITAL DEVELOPMENT FUND
R885000ACTUAL CASH
GRIFFIN HEALTH SERVICES CORP
R120000ACTUAL CASH
GRIFFIN FACULTY PRACTICE PLAN
Q3066634ACTUAL CASH