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GREENWICH HOSPITAL: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
GREENWICH HOSPITAL (EIN 06-0646659)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-08-14
IRS object ID
201332269349300743
Schema version
2011v1.2
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)
Timestamp2013-08-14T08:30:05-05:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN346565596EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1111 MONUMENT CIRCLE SUITE 2600AddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46204ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN060646659EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1GREENWICH HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlGREENameControl
Phone2038633000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line15 PERRYRIDGE ROADAddressLine1
CityGREENWICHCity
StateCTState
ZIP Code06830ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameEUGENE COLUCCIName
TitleSR VPTitle
Phone2038633000Phone
Date Signed2013-08-12DateSigned
Authorize Third Party0AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
PTINP00032493PTIN
Phone3172807471Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonFRANK CORVINONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line15 PERRYRIDGE ROADAddressLine1
CityGREENWICHCity
StateCTState
ZIP Code06830ZIPCode
FieldValueIRS element (for citing)
Gross Receipts330753681GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.GREENHOSP.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1903YearFormation
State Legal DomicileCTStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HEALTHCARE SERVICES.ActivityOrMissionDescription
Nbr Voting Members Governing Body28NbrVotingMembersGoverningBody
Nbr Independent Voting Members23NbrIndependentVotingMembers
Total Nbr Employees2057TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI8469550TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year7821256ContributionsGrantsPriorYear
Contributions Grants Current Year6463170ContributionsGrantsCurrentYear
Program Service Revenue Prior Year297010149ProgramServiceRevenuePriorYear
Program Service Revenue CY304346157ProgramServiceRevenueCY
Investment Income Prior Year173082InvestmentIncomePriorYear
Investment Income Current Year780845InvestmentIncomeCurrentYear
Other Revenue Prior Year13102688OtherRevenuePriorYear
Other Revenue Current Year14224269OtherRevenueCurrentYear
Total Revenue Prior Year318107175TotalRevenuePriorYear
Total Revenue Current Year325814441TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year228900GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY203950GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year170464251SalariesEtcPriorYear
Salaries Etc Current Year159479999SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year1460981TotalFundrsngExpCurrentYear
Other Expense Prior Year138601239OtherExpensePriorYear
Other Expenses Current Year156480443OtherExpensesCurrentYear
Total Expenses Prior Year309294390TotalExpensesPriorYear
Total Expenses Current Year316164392TotalExpensesCurrentYear
Revenues Less Expenses Prior Year8812785RevenuesLessExpensesPriorYear
Revenues Less Expenses CY9650049RevenuesLessExpensesCY
Total Assets BOY419099368TotalAssetsBOY
Total Assets EOY441659828TotalAssetsEOY
Total Liabilities BOY152754147TotalLiabilitiesBOY
Total Liabilities EOY172435619TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY266345221NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY269224209NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO PROVIDE HEALTHCARE SERVICES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense221856077Expense
Grants203950Grants
Revenue307900824Revenue
DescriptionSEE SCHEDULE O GREENWICH HOSPITAL, FOUNDED IN 1903, IS A 206-BED COMMUNITY TEACHING HOSPITAL THAT HAS EVOLVED INTO A PROGRESSIVE REGIONAL HEALTHCARE CENTER, AVERAGING MORE THAN 13,000 INPATIENT DISCHARGES AND 2,300 BIRTHS A YEAR. THE HOSPITAL OFFERS A WIDE RANGE OF MEDICAL, SURGICAL, DIAGNOSTIC, INTEGRATIVE MEDICINE AND WELLNESS PROGRAMS, AS WELL AS MEDICAL INNOVATIONS FROM ROBOTIC SURGERY TO SOPHISTICATED DIAGNOSTIC IMAGING TO NATIONAL CLINICAL TRIALS. GREENWICH HOSPITAL SERVES FAIRFIELD, CONNECTICUT AND WESTCHESTER, NEW YORK COUNTIES. GREENWICH HOSPITAL, A MEMBER OF YALE NEW HAVEN HEALTH SYSTEM SINCE 1998, IS A LEADER IN SERVICE EXCELLENCE, CONSISTENTLY RANKING IN THE TOP FIVE PERCENT NATIONALLY FOR PATIENT SATISFACTION. THE MAIN CAMPUS INCLUDES THE HELMSLEY MEDICAL BUILDING AND WATSON PAVILION. OTHER SPECIALIZED SERVICES INCLUDE THE BENDHEIM CANCER AND BREAST CENTERS, ENDOSCOPY CENTER, LEONA M. AND HARRY B. HELMSLEY AMBULATORY MEDICAL CENTER, THE RICHARD R. PIVIROTTO CENTER FOR HEALTH LIVING AND THE GREENWICH HOSPITAL DIAGNOSTIC CENTER IN STAMFORD. DURING FISCAL YEAR (FY) 2012, GREENWICH HOSPITAL PROVIDED APPROXIMATELY $25.6 MILLION IN COMMUNITY BENEFITS. THIS FIGURE INCLUDES $19.2 MILLION DOLLARS IN CHARITY CARE AND UNDER REIMBURSED MEDICAID (AT COST), $2.8 MILLION IN HEALTH PROFESSIONS EDUCATION AND $3.1 MILLION IN COMMUNITY HEALTH IMPROVEMENT AND EDUCATION ACTIVITIES, SUBSIDIZED SERVICES, RESEARCH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS. AN ADDITIONAL $594,000 WAS PROVIDED IN THE AREA OF COMMUNITY BUILDING ACTIVITIES, WHICH INCLUDED SUPPORT FOR ECONOMIC DEVELOPMENT, ENVIRONMENTAL IMPROVEMENTS, WORKFORCE DEVELOPMENT, COALITION BUILDING AND PHYSICAL IMPROVEMENT AND HOUSING. GREENWICH HOSPITAL HAS INVESTED A SIGNIFICANT AMOUNT OF TIME, MONEY AND RESOURCES IN THE DEVELOPMENT AND IMPLEMENTATION OF PUBLIC HEALTH PROJECTS TO IMPROVE HEALTH AND INCREASE ACCESS.Description
Total Program Service Expense221856077TotalProgramServiceExpense
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 Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
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 Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art1DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096378NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees2057NumberOfEmployees
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 Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members28NbrVotingGoverningBodyMembers
Number Independent Voting Members23NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters1LocalChapters
Policies Reference Chapters1PoliciesReferenceChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
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 Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1EUGENE COLUCCIBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2038633000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15 PERRYRIDGE ROADAddressLine1
CityGREENWICHCity
StateCTState
ZIP Code06830ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (44 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
JAMES M MCTAGGART
DIRECTOR1.00X000
ALAN BREED
DIRECTOR1.00X000
FRANK A CORVINO
PRESIDENT/CEO/DIRECTOR36.00X1302649144739157265X
ELIZABETH GALT
SECRETARY1.00X000X
NANCY BROWN
DIRECTOR1.00X000
JOHN L TOWNSEND III
TREASURER/VICE CHAIR1.00X000X
DONALD J KIRK
DIRECTOR1.00X000
DANIEL L MOSLEY
CHAIRMAN1.00X000X
GAYLE L CAPOZZALO
DIRECTOR1.00X01217519203569
BRUCE L WARWICK
DIRECTOR1.00X000
ARTHUR C MARTINEZ
DIRECTOR1.00X000
SHIRLEE HILTON
DIRECTOR1.00X000
BARBARA B MILLER
VICE CHAIR1.00X000X
JACK MITCHELL
DIRECTOR1.00X000
BRUCE MOLINELLI MD
DIRECTOR1.00X000
MARGARET MOORE
DIRECTOR1.00X000
RICHARD O'CONNELL
DIRECTOR1.00X000
NANCY RAQUET
DIRECTOR1.00X000
VENITA OSTERER
DIRECTOR1.00X000
WILLIAM R BERKLEY JR
DIRECTOR1.00X000
KEVIN A CONBOY MD
DIRECTOR1.00X000
DAVID EVANS MD
DIRECTOR1.00X000
LARRY THOMPSON
DIRECTOR1.00X000
AILEEN HOUGHTON
DIRECTOR1.00X000
RICHARD BRAUER MD
DIRECTOR1.00X000
ANNE JUGE
DIRECTOR1.00X000
JOHN SCHMELTZER III
DIRECTOR1.00X000
JOHN TONER
DIRECTOR1.00X000
EUGENE J COLUCCI
SVP26.00350710198735170444X
QUINTON J FRIESEN
EXEC VP/COO40.00711018096151X
SUSAN BROWN
SVP40.00319986050952X
NANCY LEVITT-ROSENTHAL
SVP40.004048140115449X
MELISSA TURNER
SVP25.00178109106865114524X
CHRISTINE BEECHNER
VP40.00147230033780X
STEPHEN CARBERY
VP40.00232493050026X
MARC KOSAK
VP40.00224998037300X
GEORGE PAWLUSH
VP40.00223756040944X
BRIAN DORAN MD
SVP, MEDICAL SERVICE40.00475665036208X
DEBORAH HODYS
VICE PRESIDENT40.0035160100X
STEPHEN GRAY
DIRECTOR PATHOLOGY40.00560222048573X
VICKI ALTMEYER
PATHOLOGIST40.00513257049140X
RICHARD EISEN
PATHOLOGIST40.00516688063063X
ERIC DIAMOND
PATHOLOGIST40.00495933054709X
MARVIN LIPSCHUTZ MD
CHIEF OF QUALITY40.00462331029948X
FieldValueIRS element (for citing)
Total Reportable Comp From Org7471460TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1667858TotalReportableCompFrmRltdOrgs
Total Other Compensation1352045TotalOtherCompensation
Number Individuals GT100 K267NumberIndividualsGT100K
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
GREENWICH ULTRASOUND ASSOC
67 HOLLY HILL RDGREENWICHCT06830ULTRASOUND SERVICE2405922
NURSEFINDERS INC
524 E LAMAR BLVD SUITE 300ARLINGTONTX76011TRAVEL NURSES1841558
MAKIARIS MEDIA SERVICES
101 CENTERPOINT DRIVE SUITE 101MIDDLETOWNCT06457ADVERTISING1335491
UNITEX TEXTILE RENTAL
161 S MAQUESTEW PARKWAYMOUNT VERNONNY10550LAUNDRY/UNIFORM1283197
QUEST DIAGNOSTICS
3 GIRALDA FARMSMADISONNJ07940LAB SERVICES657481
FieldValueIRS element (for citing)
Number Of Contractors GT100 K55NumberOfContractorsGT100K
Fundraising Events1400444FundraisingEvents
All Other Contributions5062726AllOtherContributions
Noncash Contributions809960NoncashContributions
Total Contributions6463170TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
OUTPATIENT PROGRAM SER621400176050980176050980
INPATIENT PROGRAM SERV612990119825627119825627
OUTREACH LAB62150084695508469550
FieldValueIRS element (for citing)
Total Program Service Revenue304346157TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1487498TotalRevenueColumn
Exclusion$1,487,498ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real927267Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real261438Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real665829Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column665829TotalRevenueColumn
Exclusion$665,829ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities2616905Securities
Other644636Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities3797400Securities
Other170794Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-1180495Securities
Other473842Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-706653TotalRevenueColumn
Exclusion-$706,653ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events200950GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events1400444CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses709608FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-508658TotalRevenueColumn
Exclusion-$508,658ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATHOLOGY SERVICES90009933051093305109
IT MEANINGFUL USE INCO90009920428812042881
CLINIC SERVICES90009917680571768057

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column6951051TotalRevenueColumn
Related Or Exempt Function Income6951051RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue14067098TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column325814441TotalRevenueColumn
Related Or Exempt Function Income309943705RelatedOrExemptFunctionIncome
Unrelated Business Revenue8469550UnrelatedBusinessRevenue
Exclusion$938,016ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total203950Total
Program Services203950ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total6697034Total
Management And General6697034ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total114258964Total
Program Services94943501ProgramServices
Management And General18512085ManagementAndGeneral
Fundraising803378Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total9341042Total
Program Services7873499ProgramServices
Management And General1400920ManagementAndGeneral
Fundraising66623Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total21339073Total
Program Services17883003ProgramServices
Management And General3304750ManagementAndGeneral
Fundraising151320Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total7843886Total
Program Services6517878ProgramServices
Management And General1270856ManagementAndGeneral
Fundraising55152Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total227119Total
Program Services5336ProgramServices
Management And General221783ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total267875Total
Management And General267875ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total54970776Total
Program Services18679261ProgramServices
Management And General36197524ManagementAndGeneral
Fundraising93991Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total27886869Total
Program Services17838139ProgramServices
Management And General9930213ManagementAndGeneral
Fundraising118517Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total7184969Total
Program Services4749948ProgramServices
Management And General2281813ManagementAndGeneral
Fundraising153208Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total355135Total
Program Services355135ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total18733002Total
Program Services10470025ProgramServices
Management And General8262977ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
MEDICAL SUPPLY EXPENSE2371762023717620
BAD DEBTS140423251404232500
REPAIRS & MAINTENANCE73116524433084285977618792
MISCELLANEOUS178310114337316397280

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total316164392Total
Program Services221856077ProgramServices
Management And General92847334ManagementAndGeneral
Fundraising1460981Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY15123907BOY
EOY10425113EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY39399924BOY
EOY35615361EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY32433460BOY
EOY36588520EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1333264BOY
EOY2267969EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY4419164BOY
EOY6940318EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis412193660LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec177303255LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY239538682BOY
EOY234890405EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY25579025BOY
EOY24091928EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY44908669BOY
EOY67023871EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY16363273BOY
EOY23816343EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY419099368BOY
EOY441659828EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY28928788BOY
EOY29052230EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY45005000BOY
EOY42645000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY78820359BOY
EOY100738389EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY152754147BOY
EOY172435619EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY234530748BOY
EOY230689355EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY24575081BOY
EOY29998840EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY7239392BOY
EOY8536014EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY266345221BOY
EOY269224209EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY419099368BOY
EOY441659828EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses9650049ReconcilationRevenueExpenses
Reconcilation Other Changes-6771061ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit Required0FederalGrantAuditRequired

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)
Volunteers0Volunteers
Paid Staff Or Management1PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Media Advertisements$0MediaAdvertisementsAmount
Mailings Members1MailingsMembers
Mailings Members$500MailingsMembersAmount
Publications Or Broadcast0PublicationsOrBroadcast
Publications Or Broadcast$0PublicationsOrBroadcastAmount
Grants Other Organizations0GrantsOtherOrganizations
Grants Other Organizations$0GrantsOtherOrganizationsAmount
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$45,393DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Rallies Demonstrations$0RalliesDemonstrationsAmount
Other Activities1OtherActivities
Other Activities$32,540OtherActivitiesAmount
Total Lobbying Expenditures IIB78433TotalLobbyingExpendituresIIB
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 AMOUNT REPORTED IN "OTHER ACTIVITIES" REPRESENTS A PORTION OF PROFESSIONAL DUES ATTRIBUTABLE TO LOBBYING DURING FY 2012. THE HEALTH SYSTEM OFFICIALS HAD MEETINGS AND CONTACTS WITH STATE GOVERNMENT OFFICIALS, INCLUDING STATE LEGISLATURES AND THEIR STAFF TO DISCUSS VARIOUS HEALTH CARE REFORM PROPOSALS. GREENWICH HOSPITAL IS PART OF A CONTROLLED GROUP WITH THE FOLLOWING LOBBYING EXPENSES: YALE-NEW HAVEN HOSPITAL EIN 06-0646652 $431,000 BRIDGEPORT HOSPITAL EIN 06-0646554 $ 95,474Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance64905000BeginningOfYearBalance
Contributions100000Contributions
Investment Earnings Or Losses10512000InvestmentEarningsOrLosses
Other Expenditures2664000OtherExpenditures
End Of Year Balance72853000EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance69106000BeginningOfYearBalance
Contributions45000Contributions
Investment Earnings Or Losses-1833000InvestmentEarningsOrLosses
Other Expenditures2413000OtherExpenditures
End Of Year Balance64905000EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance66856000BeginningOfYearBalance
Contributions0Contributions
Investment Earnings Or Losses4816000InvestmentEarningsOrLosses
Other Expenditures2566000OtherExpenditures
End Of Year Balance69106000EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance68156000BeginningOfYearBalance
Contributions0Contributions
Investment Earnings Or Losses2401000InvestmentEarningsOrLosses
Other Expenditures3701000OtherExpenditures
End Of Year Balance66856000EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.52180BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.29910PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.17910TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs1EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis6333484OtherCostOrOtherBasis
Book Value6333484BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis224926124OtherCostOrOtherBasis
Book Value224926124BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis19857101OtherCostOrOtherBasis
Depreciation5368080Depreciation
Book Value14489021BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis157629703OtherCostOrOtherBasis
Depreciation171173525Depreciation
Book Value-13543822BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3447248OtherCostOrOtherBasis
Depreciation761650Depreciation
Book Value2685598BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings234890405TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionOTHER SECURITIESDescription
Book Value67023871BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities67023871TotalOfBookValueSecurities

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
OTHER RECEIVABLES5701034
DUE FROM PERRYRIDGE2101437
PROPERTY HELD IN TRUST2100000
EPIC SHARED PROJECT11851760
THIRD PARTY PAYOR RECEIVABLE2062112
FieldValueIRS element (for citing)
Total Book Value Other Assets23816343TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
DUE - 3RD PARTY & OTHER PAYORS$30,706,201
ESTIMATED LIABILITY - SELF INSURANCE$9,452,217
FORWARD INTEREST RATE SWAP$6,416,626
ACCRUED PENSION$54,163,345
FieldValueIRS element (for citing)
Total Of Amounts100738389TotalOfAmounts
Total Revenue325814441TotalRevenue
Total Expenses316164392TotalExpenses
Excess Or Deficit For Year9650049ExcessOrDeficitForYear
Net Unrealized GL On Investments7889008NetUnrealizedGLOnInvestments
Other-$1,555,740OtherAmount
Total Adjustments6333268TotalAdjustments
Excess Or Deficit Per FS15983317ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt328542619TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments7889008NetUnrealizedGainsInvestments
Other Revenues1425183OtherRevenues
Revenue Not Rptd F9909314191RevenueNotRptdF990
Revenue Subtotal319228428RevenueSubtotal
Other Revenues Not Included6586013OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt6586013RevenueNotRptdOnFinStmt
Total Revenue Per Form990325814441TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt312559302TotExpensesEtcAuditedFinclStmt
Other Expenses Included497204OtherExpensesIncluded
Expenses Not Rptd F990497204ExpensesNotRptdF990
Expenses Subtotal312062098ExpensesSubtotal
Other Expenses Not Included4102294OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt4102294ExpensesNotRptdOnFinStmt
Total Expenses Per Form990316164392TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:THE ENDOWED FUNDS' INTENDED USE IS TO GENERATE INCOME TO SUPPORT GREENWICH HOSPITAL PROGRAM SERVICE FUNCTIONS AND OTHER OPERATIONS IN ACCORDANCE WITH THE GREENWICH HOSPITAL POOLED INVESTMENT POLICY.
PART XI, LINE 8 - OTHER ADJUSTMENTS:INCOME FROM FOUNDATION RECOGNIZED ON SEPARATE RETURN 665,565. UNREALIZED GAIN ON INTEREST RATE SWAP -423,000. AUXILIARY CONTRIBUTIONS 550,000. NET ASSETS RELEASED FROM OPERATIONS 3,759,497. FUNDRAISING EXPENSES - INCLUDED IN NON-OPERATING REVENUE -1,924,631. OTHER EXPENSES - INCLUDED IN NON-OPERATING REVENUE -1,202,248. INTEREST & INVESTMENT INCOME FROM TEMP RESTRICTED -1,345,000. RECLASS FROM EXPENSE - GAIN ON SALE OF ASSETS -473,842. AUXILIARY REVENUE -1,420,216. AUXILIARY EXPENSES 975,414. RENTAL EXPENSES - RECLASS FROM EXPENSES TO REVENUE 261,675. RENTAL EXPENSES - RECLASS FROM EXPENSES TO REVENUE -261,675. CONTRIBUTIONS FROM TEMPORARILY RESTRICTED -4,318,000. SPECIAL EVENTS RECLASS TO INCOME 709,608. RECLASS - INCOME ON SALE OF ASSETS 473,842. SPECIAL EVENTS RECLASS TO INCOME -709,608. FUNDRAISING EXPENSES FROM NON-OPERATING REVENUE 1,924,631. MISCELLANEOUS EXPENSE FROM NON-OPERATING REVENUE 1,202,248. TOTAL TO SCHEDULE D, PART XI, LINE 8: -1,555,740.
PART XII, LINE 2D - OTHER ADJUSTMENTS:INCOME FROM FOUNDATION RECOGNIZED ON SEPARATE RETURN 665,565. UNREALIZED GAIN ON INTEREST RATE SWAP -423,000. AUXILIARY CONTRIBUTIONS 550,000. NET ASSETS RELEASED FROM OPERATIONS 3,759,497. FUNDRAISING EXPENSES - INCLUDED IN NON-OPERATING REVENUE -1,924,631. OTHER EXPENSES - INCLUDED IN NON-OPERATING REVENUE -1,202,248.
PART XII, LINE 4B - OTHER ADJUSTMENTS:INTEREST & INVESTMENT INCOME FROM TEMP RESTRICTED 1,235,977. RECLASS FROM EXPENSE - GAIN ON SALE OF ASSETS -706,653. AUXILIARY REVENUE 1,420,216. CONTRIBUTIONS FROM TEMPORARILY RESTRICTED 4,318,000. SPECIAL EVENTS RECLASS TO INCOME -709,608. RENTAL EXPENSES - RECLASS FROM EXPENSES TO REVENUE -261,437. RECLASS GAIN ON INTEREST RATE SWAP 1,289,518.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:RECLASS - GAIN ON SALE OF ASSETS -473,842. SPECIAL EVENTS RECLASS TO INCOME 709,608. RENTAL EXPENSES - RECLASS FROM EXPENSES TO REVENUE 261,438.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:AUXILIARY EXPENSES 975,414. FUNDRAISING EXPENSES FROM NON-OPERATING REVENUE 1,924,632. MISCELLANEOUS EXPENSE FROM NON-OPERATING REVENUE 1,202,248.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GALANameOfEvent1
Gross Receipts Event11134644GrossReceiptsEvent1
Charitable Contributions Event11043644CharitableContributionsEvent1
Gross Revenue Event191000GrossRevenueEvent1
Other Direct Expenses Event1463285OtherDirectExpensesEvent1
Name Of Event2UNDER THE STARSNameOfEvent2
Gross Receipts Event2244672GrossReceiptsEvent2
Charitable Contributions Event2190522CharitableContributionsEvent2
Gross Revenue Event254150GrossRevenueEvent2
Other Direct Expenses Event2133823OtherDirectExpensesEvent2
Total Number Of Other Events1TotalNumberOfOtherEvents
Gross Receipts Other Events222078GrossReceiptsOtherEvents
Charitable Contrib Other Events166278CharitableContribOtherEvents
Gross Revenue Other Events55800GrossRevenueOtherEvents
Other Direct Expenses Other Events112501OtherDirectExpensesOtherEvents
Gross Receipts Total1601394GrossReceiptsTotal
Charitable Contributions Total1400444CharitableContributionsTotal
Gross Revenue Total Events200950GrossRevenueTotalEvents
Other Direct Expenses Total Events709609OtherDirectExpensesTotalEvents
Direct Expense Summary Events709609DirectExpenseSummaryEvents
Net Income Summary-508659NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
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 Served2453PersonsServed
Total Community Benefit Expense8066000TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense8066000NetCommunityBenefitExpense
Percent Of Total Expense0.02670PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Persons Served21500PersonsServed
Total Community Benefit Expense19465362TotalCommunityBenefitExpense
Direct Offsetting Revenue8322423DirectOffsettingRevenue
Net Community Benefit Expense11142939NetCommunityBenefitExpense
Percent Of Total Expense0.03690PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Persons Served0PersonsServed
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served23953PersonsServed
Total Community Benefit Expense27531362TotalCommunityBenefitExpense
Direct Offsetting Revenue8322423DirectOffsettingRevenue
Net Community Benefit Expense19208939NetCommunityBenefitExpense
Percent Of Total Expense0.06360PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs19NumberOfActivitiesOrPrograms
Persons Served24381PersonsServed
Total Community Benefit Expense966825TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense966825NetCommunityBenefitExpense
Percent Of Total Expense0.00320PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs4NumberOfActivitiesOrPrograms
Persons Served189PersonsServed
Total Community Benefit Expense4011015TotalCommunityBenefitExpense
Direct Offsetting Revenue1236940DirectOffsettingRevenue
Net Community Benefit Expense2774075NetCommunityBenefitExpense
Percent Of Total Expense0.00920PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Persons Served3616PersonsServed
Total Community Benefit Expense3939009TotalCommunityBenefitExpense
Direct Offsetting Revenue2489288DirectOffsettingRevenue
Net Community Benefit Expense1449721NetCommunityBenefitExpense
Percent Of Total Expense0.00480PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense359690TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense359690NetCommunityBenefitExpense
Percent Of Total Expense0.00120PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs5NumberOfActivitiesOrPrograms
Persons Served7443PersonsServed
Total Community Benefit Expense291875TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense291875NetCommunityBenefitExpense
Percent Of Total Expense0.00100PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs32NumberOfActivitiesOrPrograms
Persons Served35629PersonsServed
Total Community Benefit Expense9568414TotalCommunityBenefitExpense
Direct Offsetting Revenue3726228DirectOffsettingRevenue
Net Community Benefit Expense5842186NetCommunityBenefitExpense
Percent Of Total Expense0.01940PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs32NumberOfActivitiesOrPrograms
Persons Served59582PersonsServed
Total Community Benefit Expense37099776TotalCommunityBenefitExpense
Direct Offsetting Revenue12048651DirectOffsettingRevenue
Net Community Benefit Expense25051125NetCommunityBenefitExpense
Percent Of Total Expense0.08300PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Building Expense552604TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense552604NetCommunityBuildingExpense
Percent Of Total Expense0.00180PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served1757PersonsServed
Total Community Building Expense32655TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense32655NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served587PersonsServed
Total Community Building Expense8396TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense8396NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs4NumberOfActivitiesOrPrograms
Persons Served2344PersonsServed
Total Community Building Expense593655TotalCommunityBuildingExpense
Net Community Building Expense593655NetCommunityBuildingExpense
Percent Of Total Expense0.00190PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$5,177,405BadDebtExpenseAmount
Amount Reimbursed By Medicare79599575AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare108256122CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-28656547MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

FieldValueIRS element (for citing)
Business Name Line11 NONEBusinessNameLine1
FieldValueIRS element (for citing)
Description Ent Primary ActivityNONEDescriptionEntPrimaryActivity
FieldValueIRS element (for citing)
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 Line1GREENWICH HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line15 PERRYRIDGE ROADAddressLine1
CityGREENWICHCity
StateCTState
ZIP Code06830ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Research FacilityXResearchFacility
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1GREENWICH HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent250.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent400.000000000000FPGDiscountPercent
Explains Basis0ExplainsBasis
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges1GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities19NumberOfOtherFacilities

Other Facilities OtherFacilities (19 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityTypeAddress Line2Address/AddressLine2
GREENWICH HOSPITAL DIAGNOSTIC CENT
2015 WEST MAIN STSTAMFORDCT06902DI / LAB
BOYD CENTER FOR MEDICAL ONCOLOGY
15 VALLEY DRIVEGREENWICHCT06831CANCER CENTER
GREENWICH HOSPITAL OUTPATIENT SURG
55 HOLLY HILL LANEGREENWICHCT06830HOSPITAL OUT-PATIENT SURGERY
ENDOSCOPY CENTER OF GREENWICH HOSPITAL
500 WEST PUTNAM AVEGREENWICHCT06830HOSPITAL OUT-PATIENT ENDOSCOPY
GREENWICH HOSPITAL OCCUPAT HEALTH
75 HOLLY HILL LANEGREENWICHCT06830OCC. HEALTH / WOMENS HEALTH / LAB
GREENWICH HOSPITAL LAB
49 LAKE AVE 2ND FLOORGREENWICHCT06830LAB
BENHEIM LINEAR
78 LAFAYETTE PLACEGREENWICHCT06830RADIATION THERAPY
GREENWICH HOSITAL LAB
90 MORGAN STREET 3RD FLOOR SUITESTAMFORDCT06905LAB302
GREENWICH HOSPITAL LAB
106 NOROTON AVENUEDARIENCT06820LAB
GREENWICH HOSPITAL LAB
159 WEST PUTNAM AVE 2ND FLOORGREENWICHCT06830LAB
GREENWICH HOSPITAL LAB
4 DEERFIELD DRIVE 2ND FLOORGREENWICHCT06830LAB
GREENWICH HOSPITAL LAB
40 CROSS ST 3RD FLOOR SUITE 350NORWALKCT06851LAB
GREENWICH HOSPITAL LAB
148 EAST AVE SUITE 1FNORWALKCT06851LAB
GREENWICH HOSPITAL INTEGRATIVE MED
35 RIVER ROADCOS COBCT06807INTEGRATIVE MEDICINE
GREENWICH HOSPITAL LAB
1275 SUMMER STREET 3RD FLOORSTAMFORDCT06905LAB
GREENWICH HOSPITAL LAB
225 MAIN ST SUITE 101WESTPORTCT06880LAB
GREENWICH HOSPITAL LAB
15 VALEY DRIVE SUITE 200GREENWICHCT06831LAB
GREENWICH HOSPITAL LAB
90 SOUTH RIDGE STREETRYENY10573LAB
BENDHEIM CANCER CENTER
77 LAFAYETTE PLACEGREENWICHCT06830CANCER/CARDIAC REHAB/DI/LAB

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
PART I, LINE 7: THE HOSPITAL USES A COST ACCOUNTING SYSTEM, TSI, TO CALCULATE THE AMOUNTS PRESENTED IN PART I, LINE 7. THE COST ACCOUNTING SYSTEM ADDRESSES ALL PATIENT SEGMENTS.
PART I, L7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $14,042,325.
PART II: GREENWICH HOSPITAL (GH) IS ONE OF THE TOP FIVE EMPLOYERS IN GREENWICH WITH 1,809 EMPLOYEES IN 2012. THE HOSPITAL PROVIDES IN-KIND AND FINANCIAL SUPPORT FOR SEVERAL ECONOMIC INITIATIVES THROUGHOUT FAIRFIELD AND WESTCHESTER COUNTIES. MEMBERS OF THE HOSPITAL'S LEADERSHIP AND MANAGEMENT STAFF ALSO SUPPORT ECONOMIC DEVELOPMENT BY SERVING ON THE BOARDS OF THE GREENWICH CHAMBER OF COMMERCE AND THE PORT CHESTER-RYE BROOK-RYE TOWN CHAMBER OF COMMERCE.GREENWICH HOSPITAL ALONG WITH MANY OTHER HOSPITALS ACROSS THE COUNTRY UTILIZES THE COMMUNITY BENEFITS INVENTORY FOR SOCIAL ACCOUNTABILITY (CBISA) DATABASE DEVELOPED BY LYON SOFTWARE TO CATALOG ITS COMMUNITY BENEFIT AND COMMUNITY BUILDING ACTIVITIES AND THE GUIDELINES DEVELOPED BY THE CATHOLIC HOSPITAL ASSOCIATION (CHA) IN ORDER TO CATALOG THESE BENEFITS. THESE TWO ORGANIZATIONS HAVE WORKED TOGETHER FOR OVER TWENTY YEARS TO PROVIDE SUPPORT TO NON-FOR-PROFIT HOSPITALS TO DEVELOP AND SUSTAIN EFFECTIVE COMMUNITY BENEFIT PROGRAMS.THE MOST RECENT VERSION OF THE CHA GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFIT DEFINES COMMUNITY BUILDING ACTIVITIES AS PROGRAMS THAT ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS, SUCH AS POVERTY, HOMELESSNESS AND ENVIRONMENTAL PROBLEMS. THESE ACTIVITIES ARE CATEGORIZED INTO EIGHT DISTINCT AREAS INCLUDING PHYSICAL IMPROVEMENT AND HOUSING, ECONOMIC DEVELOPMENT, COMMUNITY SUPPORT, ENVIRONMENTAL IMPROVEMENTS, LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS, COALITION BUILDING, ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENTS, AND WORKFORCE DEVELOPMENT. WHILE GH'S VISION IS TO BE THE PREMIER REGIONAL HEALTH CARE PROVIDER, THE HOSPITAL IS INCREASINGLY AWARE OF HOW SOCIAL DETERMINANTS IMPACT THE HEALTH OF INDIVIDUALS AND COMMUNITIES. RESEARCH FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION AND HEALTH AND HUMAN SERVICES CLEARLY LINKS THE IMPACT OF ONE'S SOCIOECONOMIC STATUS TO ONE'S HEALTH. INCORPORATING ALL THE DATA AND RESEARCH THAT IS AVAILABLE ON LOCAL, REGIONAL AND FEDERAL LEVELS THE COMMUNITY BUILDING ACTIVITIES AT GREENWICH HOSPITAL ARE MULTI-PRONGED AND DIVERSE. THESE PROGRAMS ARE DEVELOPED AND IMPLEMENTED COLLABORATIVELY WITH OTHERS IN THE COMMUNITY TO ADDRESS COMMUNITY HEALTH NEEDS AND IMPROVE THE HEALTH OF ALL COMMUNITY MEMBERS.DURING FISCAL YEAR 2012, GREENWICH HOSPITAL PROVIDED NEARLY $594,000 IN FINANCIAL AND IN-KIND DONATIONS. THE HOSPITAL CONSIDERS THESE INVESTMENTS PART OF ITS OVERALL COMMITMENT OF BUILDING STRONGER NEIGHBORHOODS. EXAMPLES BELOW FOCUS ON THE AREAS OF REVITALIZING OUR NEIGHBORHOODS AND CREATING EDUCATIONAL OPPORTUNITIES.REVITALIZING OUR NEIGHBORHOODSONE OF SEVERAL COMMUNITY INITIATIVES UNDERTAKEN BY GREENWICH HOSPITAL IS GOD'S GREEN MARKET. THIS PROGRAM IS ADMINISTERED IN COLLABORATION WITH THE COUNCIL OF COMMUNITY SERVICES AND AREA CHURCHES TO PROVIDE FRESH VEGETABLES TO PARTICIPANTS IN PORT CHESTER'S FOUR FOOD PANTRIES AND SEVEN SOUP KITCHEN AND NUTRITION CENTERS. THE COUNCIL OF COMMUNITY SERVICES ORGANIZES VOLUNTEERS TO PLANT AND HARVEST THE CROPS. OVER THE PAST FIVE YEARS THE PROGRAM HAS PROVIDED THOUSANDS OF LOW-INCOME PORT CHESTER FAMILIES WITH FRESH VEGETABLES AND SPONSORS HEALTH EDUCATIONAL PROGRAMS THAT PROMOTE HEALTHIER EATING. THE HOSPITAL FUNDS THE INITIATIVE AND THE HOSPITAL'S DIETITIANS AND NURSES PROVIDED NUTRITION EDUCATION AND HEALTHY RECIPES IN BOTH ENGLISH AND SPANISH.GREENWICH HOSPITAL AND THE AARP CO-SPONSORED AN EDUCATIONAL DRIVING PROGRAM FOR OLDER ADULTS WITH APPROXIMATELY 267 WESTCHESTER AND FAIRFIELD COUNTY ADULTS ATTENDING THE PROGRAM. THE EDUCATIONAL DRIVING PROGRAM PROMOTES SAFETY AND IS INTENDED TO REDUCE ACCIDENT RATES AMONG DRIVERS AGE 55 AND OLDER. GREENWICH HOSPITAL WAS THE RECIPIENT OF A DONATION OF FUNDS TO DEVELOP A COMMUNITY FLOWER GARDEN ON ITS PROPERTY TO BE OPEN TO THE PUBLIC. VARIOUS COMMUNITY CEREMONIES AND CELEBRATIONS ARE CONDUCTED IN THE GARDEN INCLUDING CANCER SURVIVOR PROGRAMS AND THE TREE OF LIGHT PROGRAM. EACH WINTER, GREENWICH HOSPITAL PROVIDES A WARM CENTER FOR THE COMMUNITY IN ITS NOBLE CONFERENCE CENTER. THIS WARM CENTER IS AVAILABLE TO THOSE IN NEED DUE TO POWER OUTAGES, SNOW STORMS AND FREEZING TEMPERATURES. INCLUDED IN THE WARM CENTER ARE COTS, HOT BEVERAGES, HAND WARMERS AND MAGAZINES.CREATING EDUCATIONAL OPPORTUNITIES GREENWICH HOSPITAL THROUGH A JOINT EFFORT WITH HIGH SCHOOLS IN PORT CHESTER AND GREENWICH PROVIDED AN EDUCATIONAL PROGRAM INTRODUCING STUDENTS TO HEALTH CARE CAREER OPPORTUNITIES. A TOTAL OF 27 STUDENTS PARTICIPATED IN THE PROGRAM, WHICH IS AIMED AT EDUCATING AND INSPIRING STUDENTS TO PURSUE FULFILLING HEALTH CARE CAREERS. THE AFTER-SCHOOL PROGRAM WAS HELD OVER FOUR WEEKS AND INCLUDED A TOUR OF GREENWICH HOSPITAL AND ITS JOHN AND ANDREA FRANK SYN:APSE SIMULATION CENTER. THE SIMULATION CENTER OFFERS HANDS-ON TRAINING USING A HIGH-FIDELITY MANNEQUIN THAT CAN SPEAK AND RESPOND PHYSIOLOGICALLY TO MEDICATIONS AND TREATMENT. AS PART OF SUMMER EDUCATION PROGRAMS, 14 SUMMER INTERN STUDENTS FROM THE OPEN DOOR FAMILY MEDICAL CENTER IN PORT CHESTER, NY, AND 15 STUDENTS FROM COMMUNITY CENTERS, INC., (CCI) IN GREENWICH, SPENT THE DAY AT THE HOSPITAL LEARNING ABOUT VARIOUS HEALTH CARE CAREERS.GREENWICH HOSPITAL ALSO PROVIDED MIDDLE AND HIGH SCHOOL STUDENTS THE OPPORTUNITY TO GET AN IN-DEPTH LOOK INTO VARIOUS HEALTH CARE CAREERS THROUGH AN AFTER-SCHOOL PROGRAM SPONSORED IN PARTNERSHIP WITH THE BOY SCOUTS OF AMERICA'S GREENWICH CHAPTER. WHILE TOURING THE HOSPITAL, PARTICIPANTS LEARNED ABOUT A VARIETY OF HOSPITAL SETTINGS AND SPOKE WITH PROFESSIONALS IN THE MEDICAL FIELD.
PART III, LINE 4: THE HOSPITAL'S COMMITMENT TO COMMUNITY SERVICE IS EVIDENCED BY SERVICES PROVIDED TO THE POOR AND BENEFITS PROVIDED TO THE BROADER COMMUNITY. SERVICES PROVIDED TO THE POOR INCLUDE SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD HEALTHCARE BECAUSE OF INADEQUATE RESOURCES AND/OR WHO ARE UNINSURED OR UNDERINSURED.THE HOSPITAL MAKES AVAILABLE FREE CARE PROGRAMS FOR QUALIFYING PATIENTS. IN ACCORDANCE WITH THE ESTABLISHED POLICIES OF THE HOSPITAL, DURING THE REGISTRATION, BILLING AND COLLECTION PROCESS A PATIENT'S ELIGIBILITY FOR FREE CARE FUNDS IS DETERMINED.FOR PATIENTS WHO WERE DETERMINED BY THE HOSPITAL TO HAVE THE ABILITY TO PAY BUT DID NOT, THE UNCOLLECTED AMOUNTS ARE BAD DEBT EXPENSE. FOR PATIENTS WHO DO NOT AVAIL THEMSELVES OF ANY FREE CARE PROGRAM AND WHOSE ABILITY TO PAY CANNOT BE DETERMINED BY THE HOSPITAL, CARE GIVEN BUT NOT PAID FOR, IS CLASSIFIED AS CHARITY CARE.TOGETHER, CHARITY CARE AND BAD DEBT EXPENSE REPRESENT UNCOMPENSATED CARE. THE ESTIMATED COST OF TOTAL UNCOMPENSATED CARE IS APPROXIMATELY $13.2 MILLION AND $13.0 MILLION FOR THE YEARS ENDED SEPTEMBER 30, 2012 AND 2011, RESPECTIVELY. THE ESTIMATED COST OF UNCOMPENSATED CARE IS DETERMINED BY THE HOSPITAL'S COST ACCOUNTING SYSTEM. THIS ANALYSIS CALCULATES THE ACTUAL PERCENTAGE OF ACCOUNTS WRITTEN OFF OR DESIGNATED AS BAD DEBT VS. CHARITY CARE WHILE TAKING INTO ACCOUNT THE TOTAL COSTS INCURRED BY THE HOSPITAL FOR EACH ACCOUNT ANALYZED.THE ESTIMATED COST OF CHARITY CARE PROVIDED WAS $8.1 MILLION AND $9.2 MILLION FOR THE YEARS ENDED SEPTEMBER 30, 2012 AND 2011, RESPECTIVELY. THE ESTIMATED COST OF CHARITY CARE IS DETERMINED BY THE HOSPITAL'S COST ACCOUNTING SYSTEM.FOR THE YEARS ENDED SEPTEMBER 30, 2012 AND 2011, BAD DEBT EXPENSE, AT CHARGES, WAS $14.0 MILLION AND $9.3 MILLION, RESPECTIVELY. THE BAD DEBT EXPENSE IS MULTIPLIED BY THE RATIO OF COST TO CHARGES FOR PURPOSES OF INCLUSION IN THE TOTAL UNCOMPENSATED CARE AMOUNT IDENTIFIED ABOVE.THE CONNECTICUT DISPROPORTIONATE SHARE HOSPITAL PROGRAM ("CDSHP") WAS ESTABLISHED TO PROVIDE FUNDS TO HOSPITALS FOR THE PROVISION OF UNCOMPENSATED CARE AND IS FUNDED, IN PART, BY A 1% ASSESSMENT ON HOSPITAL NET INPATIENT SERVICE REVENUE. DURING THE YEARS ENDED SEPTEMBER 30, 2012 AND 2011, THE HOSPITAL RECEIVED $4.6 MILLION AND $1.9 MILLION, RESPECTIVELY, IN CDSHP DISTRIBUTIONS, OF WHICH APPROXIMATELY $2.8 MILLION AND $1.3 MILLION WAS RELATED TO CHARITY CARE. THE HOSPITAL MADE PAYMENTS INTO THE CDSHP OF $12.1 MILLION AND $3.0 MILLION FOR THE YEARS ENDED SEPTEMBER 30, 2012 AND 2011, RESPECTIVELY, FOR THE 1% ASSESSMENT.ADDITIONALLY, THE HOSPITAL PROVIDES BENEFITS FOR THE BROADER COMMUNITY WHICH INCLUDES SERVICES PROVIDED TO OTHER NEEDY POPULATIONS THAT MAY NOT QUALIFY AS POOR BUT NEED SPECIAL SERVICES AND SUPPORT. BENEFITS INCLUDE THE COST OF HEALTH PROMOTION AND EDUCATION OF THE GENERAL COMMUNITY, INTERNS AND RESIDENTS, HEALTH SCREENINGS, AND MEDICAL RESEARCH. THE BENEFITS ARE PROVIDED THROUGH THE COMMUNITY HEALTH CENTERS, SOME OF WHICH SERVICE NON-ENGLISH SPEAKING RESIDENTS, DISABLED CHILDREN, AND VARIOUS COMMUNITY SUPPORT GROUPS. IN ADDITION TO THE QUANTIFIABLE SERVICES DEFINED ABOVE, THE HOSPITAL PROVIDES ADDITIONAL BENEFITS TO THE COMMUNITY THROUGH ITS ADVOCACY OF COMMUNITY SERVICE BY EMPLOYEES. THE HOSPITAL'S EMPLOYEES SERVE NUMEROUS ORGANIZATIONS THROUGH BOARD REPRESENTATION, MEMBERSHIP IN ASSOCIATIONS AND OTHER RELATED ACTIVITIES. THE HOSPITAL ALSO SOLICITS THE ASSISTANCE OF OTHER HEALTHCARE PROFESSIONALS TO PROVIDE THEIR SERVICES AT NO CHARGE THROUGH PARTICIPATION IN VARIOUS COMMUNITY SEMINARS AND TRAINING PROGRAMS.COSTING METHODOLOGY:IN ACCORDANCE WITH THE ESTABLISHED POLICIES OF THE HOSPITAL, DURING THE REGISTRATION, BILLING AND COLLECTION PROCESS A PATIENT'S ELIGIBILITY FOR FREE CARE FUNDS IS DETERMINED. FOR PATIENTS WHO WERE DETERMINED BY THE HOSPITAL TO HAVE THE ABILITY TO PAY BUT DID NOT, THE UNCOLLECTED AMOUNTS ARE BAD DEBT EXPENSE. THE HOSPITAL'S COST ACCOUNTING SYSTEM UTILIZES PATIENT-SPECIFIC DATA TO ACCUMULATE AND DERIVE COSTS RELATED TO THESE BAD DEBT ACCOUNTS.
PART III, LINE 8: THE ENTIRE MEDICARE LOSS PRESENTED SHOULD BE TREATED AS A COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO MEDICARE BENEFICIARIES, IRS REVENUE RULING 69-545 INDICATES THAT HOSPITALS OPERATE FOR THE PROMOTION OF HEALTH IN THE COMMUNITY WHEN IT PROVIDES CARE TO PATIENTS WITH GOVERNMENTAL HEALTH BENEFITS, THE ORGANIZATION PROVIDES CARE TO MEDICARE PATIENTS REGARDLESS OF MEDICARE SHORTFALLS (REDUCING THE BURDEN ON THE GOVERNMENT), AND MANY OF THE MEDICARE PARTICIPANTS WOULD HAVE QUALIFIED FOR THE CHARITY CARE OR OTHER MEANS TESTED PROGRAMS ABSENT BEING ENROLLED IN THE MEDICARE PROGRAM. THE MEDICARE SHORTFALL REPORTED IS DETERMINED BY THE HOSPITAL'S COST ACCOUNTING SYSTEM, TSI.
PART III, LINE 9B: IF AT ANY POINT IN THE DEBT COLLECTION PROCESS, THE HOSPITAL, INCLUDING ANY EMPLOYEE OR AGENT OF THE HOSPITAL, OR A COLLECTION AGENT ACTING ON BEHALF OF THE HOSPITAL, RECEIVES INFORMATION THAT A PATIENT IS ELIGIBLE FOR HOSPITAL BED FUNDS, FREE OR REDUCED PRICE HOSPITAL SERVICES, OR ANY OTHER PROGRAM WHICH WOULD RESULT IN THE ELIMINATION OF LIABILITY FOR THE DEBT OR REDUCTION IN THE AMOUNT OF SUCH LIABILITY, THE HOSPITAL OR COLLECTION AGENT WILL PROMPTLY DISCONTINUE COLLECTION EFFORTS AND, IF A COLLECTION AGENT, REFERS THE ACCOUNT BACK TO THE HOSPITAL FOR DETERMINATION OF ELIGIBILITY. THE COLLECTION EFFORT WILL NOT RESUME UNTIL SUCH DETERMINATION IS MADE.
PART V, SECTION B, LINE 19D: ALL PATIENTS ARE CHARGED STANDARD GROSS CHARGES. FAP ELIGIBLE INDIVIDUALS ARE CHARGED AT STANDARD GROSS CHARGES. AFTER A PATIENT IS GRANTED FREECARE, THEY WOULD NOT BE BILLED - THE CHARGES ARE ADJUSTED OFF THE ACCOUNT.GREENWICH HOSPITAL
PART V, SECTION B, LINE 21: ALL PATIENTS ARE CHARGED STANDARD GROSS CHARGES. FAP ELIGIBLE INDIVIDUALS ARE CHARGED AT STANDARD GROSS CHARGES. AFTER A PATIENT IS GRANTED FREECARE, THEY WOULD NOT BE BILLED - THE CHARGES ARE ADJUSTED OFF THE ACCOUNT.GREENWICH HOSPITAL
PART VI, LINE 2: GREENWICH HOSPITAL (GH) IS A 206-BED (INCLUDING BASSINETS) REGIONAL HOSPITAL, SERVING FAIRFIELD COUNTY, CONNECTICUT AND WESTCHESTER COUNTY, NEW YORK. IT IS A MAJOR ACADEMIC AFFILIATE OF YALE UNIVERSITY SCHOOL OF MEDICINE AND A MEMBER OF THE YALE NEW HAVEN HEALTH SYSTEM. SINCE OPENING IN 1903, GREENWICH HOSPITAL HAS EVOLVED INTO A PROGRESSIVE MEDICAL CENTER AND TEACHING INSTITUTION WITH AN INTERNAL MEDICINE RESIDENCY. GREENWICH HOSPITAL REPRESENTS ALL MEDICAL SPECIALTIES AND OFFERS A WIDE RANGE OF MEDICAL, SURGICAL, DIAGNOSTIC AND WELLNESS PROGRAMS.GREENWICH HOSPITAL IS A COMMUNITY HOSPITAL DEDICATED TO PROVIDING QUALITY, VALUE DRIVEN HEALTH CARE. INDIVIDUALS WITHIN THE COMMUNITIES SERVED BY GREENWICH HOSPITAL ARE ASSURED ACCESS TO QUALITY HEALTH CARE REGARDLESS OF ABILITY TO PAY. GH HAS MADE A CONCERTED EFFORT TO REACH OUT TO ALL OF THOSE WHO REQUIRE HEALTH CARE SERVICES. THE COMMUNITIES THAT THE HOSPITAL SERVES IN FAIRFIELD COUNTY, CT AND WESTCHESTER COUNTY, NY REPRESENT A WIDE SPECTRUM OF SOCIOECONOMIC GROUPINGS. THE CLOSING OF TWO WESTCHESTER COUNTY HOSPITALS (UNITED HOSPITAL MEDICAL CENTER AND SAINT AGNES HOSPITAL) HAS HAD A PROFOUND EFFECT ON BOTH INCREASED VOLUME AND UNCOMPENSATED CARE AT THE HOSPITAL.THE GREENWICH HOSPITAL BOARD OF TRUSTEES IS DIRECTLY INVOLVED IN COMMUNITY BENEFITS THROUGH A SUBCOMMITTEE CALLED THE COMMUNITY ADVISORY COMMITTEE (CAC). A BOARD OF TRUSTEES MEMBER CHAIRS THE CAC, WHICH MEETS QUARTERLY TO DISCUSS THE COMMUNITY BENEFIT STRATEGY AS WELL AS SPECIFIC COMMUNITY OUTREACH ACTIVITIES BASED ON IDENTIFIED NEEDS. THE CAC INCLUDES 30 MEMBERS WHO REPRESENT A VARIETY OF COMMUNITY ORGANIZATIONS SUCH AS THE UNITED WAY, YMCA, YWCA, HOUSES OF WORSHIP, LOCAL MUNICIPAL HEALTH DEPARTMENTS, HISPANIC HEALTH COUNCIL, FAMILY CENTERS, NATIONAL ASSOCIATION FOR THE ADVANCEMENT OF COLORED PEOPLE, COUNCIL OF COMMUNITY SERVICES, HOUSING AUTHORITIES OF GREENWICH AND PORT CHESTER AND OTHER PRIVATE AND CORPORATE GROUPS. THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF GREENWICH HOSPITAL AND SEVERAL OTHER SENIOR LEVEL ADMINISTRATORS REGULARLY ATTEND CAC MEETINGS. THE CAC CHAIRMAN PROVIDES UPDATES ON COMMUNITY BENEFIT PROGRAMS AT BOARD OF TRUSTEES MEETINGS.THE CAC ESTABLISHED THE COMMUNITY HEALTH IMPROVEMENT PARTNERSHIP (CHIP) IN 2003 TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY. AS PART OF ITS CENTENNIAL CELEBRATION, THE HOSPITAL, UNDER THE DIRECTION OF CAC, CONDUCTED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT. QUANTITATIVE DATA WERE COLLECTED THROUGH A 65 QUESTION CUSTOMIZED GENERAL POPULATION SURVEY. THREE THOUSAND SURVEYS WERE MAILED, AND ONE THOUSAND FOUR HUNDRED TWENTY-ONE SURVEYS WERE COMPLETED. THE SURVEY WAS ALSO TRANSLATED INTO SPANISH TO OBTAIN INFORMATION FROM THE GROWING LATINO COMMUNITY. QUALITATIVE DATA WERE COLLECTED THROUGH COMMUNITY DISCUSSION GROUPS TARGETING SPECIFIC AUDIENCES (MENTAL HEALTH PROVIDERS, SENIOR SERVICE PROVIDERS, SERVICE AGENCIES, ETC.). OVER 250 PEOPLE ATTENDED ONE OF THE TWENTY OPEN DISCUSSION GROUPS.THE CHIP AND THE CAC SET THE FOLLOWING GOALS FOLLOWING THE 2003 COMMUNITY HEALTH NEEDS ASSESSMENTS. THE TARGETS INCLUDED: A.EXPANDING DENTAL HEALTH SERVICES FOR THE UNINSUREDB.EXPANDING MENTAL HEALTH EDUCATIONAL PROGRAMS AND SERVICESC.INCREASING ACCESS TO SERVICES FOR VULNERABLE POPULATIONSD.PROVIDING TARGETED SERVICES TO PEOPLE WITH LOWER LEVELS OF HEALTH LITERACY (E.G., INDIVIDUALS FROM OTHER COUNTRIES, ETC.)E.CREATING A DIRECTORY OF COMMUNITY SERVICES AND PROGRAMSF.PROMOTING COLLABORATIVE OPPORTUNITIES AND ACTIVITIES BETWEEN HEALTHCARE PROVIDERS AND SERVICES. DATA COLLECTED THROUGH THE ASSESSMENT WERE REPORTED TO THE COMMUNITY THROUGH A HEALTH SUMMIT HELD AT THE LOCAL LIBRARY. OVER ONE HUNDRED PEOPLE ATTENDED THE EVENT. THE COMMUNITY HEALTH IMPROVEMENT PARTNERSHIP (CHIP) CONTINUES TO MEET MONTHLY AND ADDRESSES HEALTH EDUCATION, HEALTH AND WELLNESS PROMOTION, AND ACCESS TO HEALTHCARE. THE MEMBERS OF THE CHIP ARE REPRESENTATIVES AND MEMBERS OF THE DEPARTMENT OF HEALTH, DEPARTMENT OF SOCIAL SERVICES, THE UNITED WAY, NUMEROUS SOCIAL SERVICES ORGANIZATIONS, BOARD OF EDUCATION, PTA, LEAGUE OF WOMEN'S VOTERS, GREENWICH HOUSING AUTHORITY, CHILD GUIDANCE CENTERS, GREENWICH POLICE DEPARTMENT, FAMILY CENTERS, INC., PATHWAYS AND INTERESTED COMMUNITY MEMBERS. THIS IS A VERY DIVERSE COLLABORATIVE GROUP COMPOSED OF PROFESSIONALS AND LAYPEOPLE THAT HAVE A VESTED INTEREST IN THE HEALTH OF THEIR COMMUNITIES.ATTAINING THE GOALS DEFINED BY THE NEEDS ASSESSMENT IS POSSIBLE THROUGH COLLABORATIVE EFFORTS AND RELATIONSHIPS THAT HAVE BEEN ESTABLISHED AND BUILT BETWEEN THE HOSPITAL AND COMMUNITY GROUPS. SOME OF THE OTHER COMMUNITY PARTNERS THAT PROVIDE NEEDS ASSESSMENT DATA AND INFORMATION THAT IS UTILIZED IN PLANNING HEALTH PROGRAMS TO MEET THE NEEDS OF THE COMMUNITY INCLUDE THE HISPANIC HEALTH COUNCIL, THE COUNCIL OF COMMUNITY SERVICES, THE LOCAL FEDERALLY QUALIFIED HEALTH CENTERS, MUNICIPAL DEPARTMENTS OF HEALTH, SCHOOLS, LIBRARIES, HOUSES OF WORSHIP, PARENT GROUPS, PTA, SENIOR SERVICES AND VARIOUS COMMUNITY SERVICE ORGANIZATIONS. THE HOSPITAL PROVIDES STAFF AND FINANCIAL SUPPORT FOR THE COMMUNITY HEALTH IMPROVEMENT PARTNERSHIP WHICH CONDUCTS INFORMAL HEALTH ASSESSMENTS VIA THE COMMUNICATION AND REPORTING BY THE MEMBERS OF THE PARTNERSHIP. OVER THE LAST SEVERAL YEARS, THE CHIP HAS IMPLEMENTED OVER 75 HEALTH INITIATIVES THAT BENEFIT THE COMMUNITY. CHIP MEETINGS ARE HELD MONTHLY.DURING FY 2012, GREENWICH HOSPITAL INTERVIEWED VARIOUS CONSULTING FIRMS TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT AND ASSIST WITH THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES. A CONSULTING FIRM WAS ENGAGED IN LATE AUGUST AND A WORK PLAN DEVELOPED FOR FY 2013. THIS EFFORT WILL BUILD UPON EXISTING DATA AND ASSESSMENTS PROVIDED BY EXTERNAL AGENCIES AND ORGANIZATIONS THROUGH FOCUS GROUPS AND STAKEHOLDER INTERVIEWS.
PART VI, LINE 3: PATIENTS WILL OBTAIN INFORMATION ON ELIGIBILITY FOR GOVERNMENT OR HOSPITAL PROGRAMS FROM INFORMATION DISTRIBUTED BY THE HOSPITAL. PATIENTS WILL BE ALERTED TO THE FINANCIAL ASSISTANCE PROGRAMS IN A NUMBER OF WAYS, INCLUDING NOTICES IN ENGLISH AND SPANISH POSTED IN APPROPRIATE LOCATIONS IN THE HOSPITAL, A SUMMARY OF FREE CARE AVAILABILITY AND INFORMATION ON HOW TO APPLY FOR FREE CARE (REFERRED TO AS THE "HOSPITAL'S NOTICE OF AVAILABILITY OF FUNDS"), INFORMATION DISTRIBUTED VIA MAIL AND / OR IN THE HOSPITAL'S ADMISSION PACKAGE, AND INFORMATION ON THE HOSPITAL'S WEB SITE. INFORMATION WILL ALSO BE PROVIDED WHEN DIRECT INQUIRIES ARE MADE TO GH. THERE IS ALSO ACCESS TO A TRANSLATION TELEPHONE.THE HOSPITAL WILL PROVIDE NOTICE AND INFORMATION IN A MANNER THAT (A) COMPLIES WITH THE REQUIREMENTS OF LAW, INCLUDING CONNECTICUT LAW CONCERNING HOSPITAL FUNDS, AND (B) IS DESIGNED TO MAKE INFORMATION EASILY AVAILABLE AND ACCESSIBLE TO ALL PATIENTS.ALL PATIENTS WILL HAVE ACCESS TO INFORMATION REGARDING ESTIMATED CHARGES FOR PARTICULAR SERVICES OR ACTUAL CHARGES FOR HOSPITAL SERVICES THAT HAVE BEEN PROVIDED.
PART VI, LINE 4: GREENWICH HOSPITAL (GH) IS A 206-BED (INCLUDING BASSINETS) REGIONAL HOSPITAL, SERVING FAIRFIELD COUNTY, CONNECTICUT AND WESTCHESTER COUNTY, NEW YORK. IT IS A MAJOR ACADEMIC AFFILIATE OF YALE UNIVERSITY SCHOOL OF MEDICINE AND A MEMBER OF THE YALE NEW HAVEN HEALTH SYSTEM. SINCE OPENING IN 1903, GREENWICH HOSPITAL HAS EVOLVED INTO A PROGRESSIVE MEDICAL CENTER AND TEACHING INSTITUTION WITH AN INTERNAL MEDICINE RESIDENCY PROGRAM. GREENWICH HOSPITAL SERVES PATIENTS, THEIR FAMILIES AND THE COMMUNITY AT LARGE IN LOWER FAIRFIELD COUNTY AND WESTCHESTER COUNTY. THE PRIMARY GEOGRAPHIC AREA SERVED BY GREENWICH HOSPITAL INCLUDES THE CONNECTICUT TOWNS OF GREENWICH, DARIEN, NEW CANAAN AND STAMFORD AS WELL AS THE NEW YORK TOWNS OF PORT CHESTER, RYE, HARRISON, LARCHMONT AND MAMARONECK. APPROXIMATELY 29% OF HOUSEHOLDS HAVE INCOMES LESS THAN $50,000 WHILE 42% OF HOUSEHOLDS HAVE INCOMES BETWEEN $50,000 AND $150,000 AND THE REMAINING 29% OF HOUSEHOLDS HAVE INCOMES GREATER THAN $150,000. THE SECONDARY GEOGRAPHIC COVERAGE AREA OF THE HOSPITAL ENCOMPASSES A WIDE RANGE OF TOWNS INCLUDING NORWALK, WESTON, WESTPORT AND WILTON IN CONNECTICUT AND ARMONK, BEDFORD, HARTSDALE, KATONAH, MOUNT KISCO, MOUNT VERNON, NEW ROCHELLE, POUND RIDGE, PURCHASE, SCARSDALE, SOUTH SALEM, WEST HARRISON, AND WHITE PLAINS IN NEW YORK. SEVERAL NON-PROFIT HOSPITALS ARE LOCATED IN THE AREA INCLUDING STAMFORD HOSPITAL AND NORWALK HOSPITAL IN CONNECTICUT IN ADDITION TO WHITE PLAINS HOSPITAL, WESTCHESTER MEDICAL CENTER AND SOUND SHORE HOSPITAL IN NEW YORK. GREENWICH HOSPITAL REPRESENTS ALL MEDICAL SPECIALTIES AND OFFERS A WIDE RANGE OF MEDICAL, SURGICAL, DIAGNOSTIC AND WELLNESS PROGRAMS. IN FISCAL YEAR 2012, THERE WERE 43,587 VISITS TO THE HOSPITAL'S EMERGENCY DEPARTMENT OF WHICH 7,663 BECAME INPATIENTS AND 35,924 WERE OUTPATIENTS ONLY. IN THAT SAME FISCAL YEAR, THE HOSPITAL'S INPATIENT VOLUME CONSISTED OF A DIVERSE PAYER MIX WITH 6 PERCENT MEDICAID PATIENTS, 38 PERCENT MEDICARE PATIENTS, 53 PERCENT MANAGED CARE/COMMERCIAL PATIENTS AND 3 PERCENT SELF PAY OR OTHER PATIENTS. THE HIGH QUALITY OF CARE COUPLED WITH GREENWICH HOSPITAL'S CONVENIENT LOCATION, ARE SOME OF THE MANY REASONS PATIENTS CHOOSE TO BE TREATED HERE.
PART VI, LINE 5: GREENWICH HOSPITAL, FOUNDED IN 1903, IS A 206-BED COMMUNITY TEACHING HOSPITAL THAT HAS EVOLVED INTO A PROGRESSIVE REGIONAL HEALTHCARE CENTER, AVERAGING MORE THAN 13,000 INPATIENT DISCHARGES AND 2,300 BIRTHS A YEAR. THE HOSPITAL OFFERS A WIDE RANGE OF MEDICAL, SURGICAL, DIAGNOSTIC, INTEGRATIVE MEDICINE AND WELLNESS PROGRAMS, AS WELL AS MEDICAL INNOVATIONS FROM ROBOTIC SURGERY TO SOPHISTICATED DIAGNOSTIC IMAGING TO NATIONAL CLINICAL TRIALS. IT IS A MAJOR ACADEMIC AFFILIATE OF YALE UNIVERSITY SCHOOL OF MEDICINE AND A MEMBER OF THE YALE NEW HAVEN HEALTH SYSTEM.THE STATE-OF-THE-ART MAIN CAMPUS INCLUDES THE HELMSLEY MEDICAL BUILDING AND WATSON PAVILION. OTHER SPECIALIZED SERVICES INCLUDE THE BENDHEIM CANCER AND BREAST CENTERS, ENDOSCOPY CENTER, LEONA M. AND HARRY B. HELMSLEY AMBULATORY MEDICAL CENTER, THE RICHARD R. PIVIROTTO CENTER FOR HEALTHY LIVING AND THE GREENWICH HOSPITAL DIAGNOSTIC CENTER IN STAMFORD.AS A COMMUNITY HEALTH CARE SERVICES PROVIDER, GREENWICH HOSPITAL REMAINS ATTENTIVE TO HEALTH AND WELL-BEING THROUGH EDUCATION, OUTREACH AND OTHER INNOVATIVE SERVICES. DURING FISCAL YEAR 2012, GREENWICH HOSPITAL MANAGED $25.1 MILLION IN FINANCIAL AND IN-KIND CONTRIBUTIONS THROUGH FIVE WIDE-RANGING PROGRAMS - GUARANTEEING ACCESS TO CARE; PROMOTING HEALTH AND WELLNESS; ADVANCING CAREERS IN HEALTH CARE; RESEARCH; AND CREATING HEALTHIER COMMUNITIES. A SIXTH CATEGORY, BUILDING STRONGER NEIGHBORHOODS, WAS PREVIOUSLY DISCUSSED IN RESPONSE TO QUESTION 5.GUARANTEEING ACCESS TO CAREGREENWICH HOSPITAL (GH) RECOGNIZES THAT SOME PATIENTS MAY BE UNINSURED, NOT HAVE ADEQUATE HEALTH INSURANCE OR OTHERWISE LACK THE RESOURCES TO PAY FOR HEALTH CARE. IN FY 2012, THE TOTAL COMMUNITY BENEFIT ASSOCIATED WITH GUARANTEEING ACCESS TO CARE WAS $20.6 MILLION. HONORING ITS MISSION AND ITS COMMITMENT TO THE COMMUNITY, THE HOSPITAL PARTICIPATES IN GOVERNMENT-SPONSORED PROGRAMS SUCH AS MEDICARE, MEDICAID, HUSKY, CHAMPUS AND TRICARE. DURING FY 2012, GH PROVIDED SERVICES FOR 21,500 MEDICAID BENEFICIARIES AT A TOTAL EXPENSE OF $11.1 MILLION (AT COST). ADDITIONALLY, THE HOSPITAL ASSISTED OVER 1,200 CONNECTICUT AND NEW YORK PATIENTS WITH MEDICAID APPLICATIONS AND MEDICAID ELIGIBILITY QUESTIONS DURING FY 2012. GH ALSO OFFERS A SLIDING SCALE OF DISCOUNTED FEES AND FREE CARE FOR ELIGIBLE PATIENTS. DURING FY 2012, THE HOSPITAL DELIVERED SUCH FINANCIAL ASSISTANCE SERVICES FOR AT A TOTAL EXPENSE OF $8.1 MILLION (AT COST). ALSO DURING FY 2012, HOSPITAL STAFF DISTRIBUTED NEARLY 2,000 APPLICATIONS FOR HOSPITAL FREE BED FUNDS THAT RESULTED IN FREE CARE OF NEARLY $1.8 MILLION. THE FUNDS WERE DONATED TO GREENWICH HOSPITAL BY INDIVIDUALS OR TRUSTS TO BE USED FOR FINANCIAL ASSISTANCE TO PATIENTS WHOM PAYMENT FOR THEIR HOSPITAL SERVICES WOULD BE A FINANCIAL HARDSHIP.GREENWICH HOSPITAL ALSO GUARANTEES ACCESS TO CARE BY PROVIDING CLINICAL PROGRAMS DESPITE A FINANCIAL LOSS SO SIGNIFICANT THAT NEGATIVE MARGINS REMAIN AFTER REMOVING THE EFFECTS OF FREE CARE, BAD DEBT AND UNDER-REIMBURSED MEDICAID. SUBSIDIZED HEALTH SERVICES INCLUDE THE OUTPATIENT CENTER'S MEDICAL (INCLUDING DIABETES) AND BEHAVIORAL HEALTH CLINICS. EACH YEAR, MORE THAN 5,000 ADULTS AND CHILDREN VISIT THE OUTPATIENT CENTER AND PEDIATRIC OUTPATIENT CENTER FOR DIAGNOSIS, TREATMENT AND PREVENTIVE CARE. GREENWICH HOSPITAL WAS ONCE AGAIN THE BENEFICIARY OF A GRANT FROM THE BREAST CANCER ALLIANCE TO PROVIDE FUNDING FOR FREE SCREENING AND DIAGNOSTIC MAMMOGRAM SERVICES FOR WOMEN WHO ARE UNINSURED OR UNDERINSURED. IN CALENDAR YEAR 2012, 191 UNINSURED WOMEN RECEIVED FREE SCREENING MAMMOGRAMS. AMONG THE WOMEN NEEDING FURTHER TESTING, 22 HAD FREE UNILATERAL DIAGNOSTIC MAMMOGRAMS, 7 HAD FREE BILATERAL DIAGNOSTIC MAMMOGRAMS AND 27 RECEIVED FREE ULTRASOUND EXAMINATIONS. IN ADDITION, 131 NEWLY DIAGNOSED BREAST CANCER PATIENTS RECEIVED EDUCATION RESOURCE NOTEBOOKS WITH INFORMATION ABOUT LOCAL SUPPORT AND CANCER RESOURCES THAT CAN PROVIDE ASSISTANCE.PROMOTING HEALTH AND WELLNESSDURING FY 2012, GREENWICH HOSPITAL PROVIDED $967,000 IN COMMUNITY HEALTH IMPROVEMENT SERVICES, INCLUDING HEALTH EDUCATION PROGRAM, SUPPORT GROUPS AND HEALTH FAIRS. EXAMPLES OF THESE IMPORTANT SERVICES AND PROGRAMS, MANY IN COLLABORATION WITH OTHER ORGANIZATIONS, ARE PROVIDED BELOW.THE HOSPITAL LED COMMUNITY HEALTH IMPROVEMENT PARTNERSHIP, WHICH MEETS MONTHLY TO IDENTIFY COMMUNITY NEEDS AND IMPLEMENT HEALTH PROGRAMS ORGANIZED A HEALTH AND WELLNESS FAIR, WHICH WAS HELD AT THE HAMILTON AVENUE SCHOOL IN COLLABORATION WITH COMMUNITY PARTNERS, INCLUDING THE UNITED WAY, GREENWICH EMERGENCY MEDICAL SERVICE, GREENWICH POLICE DEPARTMENT, GREENWICH DEPARTMENT OF HEALTH, THE GREENWICH ALLIANCE, FAMILY CENTER AND THE HOUSING AUTHORITY OF THE TOWN OF GREENWICH. MORE THAN 300 PEOPLE RECEIVED FREE HEALTH SCREENINGS AND INFORMATION ON COMMUNITY RESOURCES. ANOTHER EVENT COORDINATED THROUGH THE COMMUNITY HEALTH IMPROVEMENT PARTNERSHIP WAS, "NO KIDDING! ME, TOO!", HELD AT THE GREENWICH LIBRARY AND HOSTED BY JOE PANTOLIANO, EMMY-AWARD WINNING ACTOR, WRITER AND DIRECTOR. IN THIS DOCUMENTARY FILM, MR. PANTIOLIANO INTERVIEWS PEOPLE WHO ARE AFFECTED BY MENTAL ILLNESS. THE FILM WAS CREATED TO HELP REDUCE THE STIGMA OF MENTAL ILLNESS. FOLLOWING THE SHOWING, A PANEL OF MENTAL HEALTH PROVIDERS INCLUDING A PSYCHIATRIST FROM GREENWICH HOSPITAL, A PSYCHOLOGIST FROM GREENWICH HIGH SCHOOL, A FAMILY THERAPIST FROM THE CHILD GUIDANCE CENTER AND TWO YOUNG ADULTS AFFLICTED WITH MENTAL ILLNESS SHARED THEIR OWN BATTLES WITH THIS DISEASE. OVER 250 MEMBERS OF THE COMMUNITY ATTENDED THE EVENT. IN 2012, THROUGH THE COMMUNITY HEALTH IMPROVEMENT PARTNERSHIP, GREENWICH HOSPITAL SPONSORED MENTAL HEALTH FIRST AID, A NATIONWIDE PUBLIC EDUCATION PROGRAM THAT HELPS PEOPLE IDENTIFY AND RESPOND TO SIGNS OF MENTAL ILLNESSES AND SUBSTANCE USE DISORDERS. THE 12-HOUR CERTIFICATE COURSE, WHICH WAS OFFERED IN PARTNERSHIP WITH THE TOWN OF GREENWICH, COVERS RISK FACTORS AND WARNING SIGNS OF MENTAL HEALTH PROBLEMS, AS WELL AS THEIR IMPACT AND COMMON TREATMENTS. IT HAS BENEFITED A VARIETY OF AUDIENCES, INCLUDING PRIMARY CARE PROFESSIONALS, EMPLOYERS AND BUSINESS LEADERS, FAITH COMMUNITIES, SCHOOL PERSONNEL AND EDUCATORS, NURSING HOME STAFF, VOLUNTEERS AND FAMILIES. THIRTY-TWO MEMBERS OF THE COMMUNITY ATTENDED THE TWO-DAY PROGRAM.AS THE HOSPITAL'S OUTREACH DEPARTMENT, COMMUNITY HEALTH AT GREENWICH HOSPITAL AND COMMUNITY HEALTH OF FAIRCHESTER ARE DEDICATED TO IMPROVING THE HEALTH STATUS OF COMMUNITIES IN CONNECTICUT AND NEW YORK. BOTH ENTITIES MAINTAIN A STRONG COMMUNITY PRESENCE THROUGH ITS NUMEROUS PARTNERSHIPS WITH THE YALE NEW HAVEN HEALTH SYSTEM, LOCAL AND REGIONAL COMMUNITY ORGANIZATIONS, SCHOOLS, GOVERNMENT AGENCIES, CORPORATIONS AND OTHER GREENWICH HOSPITAL DEPARTMENTS. CH@GH AND CHF SUPPORT THE HOSPITAL'S MISSION TO PROVIDE A FULL CONTINUUM OF CARE BY OFFERING INNOVATIVE HEALTH SCREENINGS, SPEAKERS, SUPPORT GROUPS, SCHOOL PROGRAMS, HEALTH EDUCATION AND WELLNESS PROGRAMS DESIGNED TO PROMOTE HEALTH AND INCREASE ACCESS TO HEALTHCARE SERVICES.GREENWICH HOSPITAL PARTICIPATED IN MORE THAN 36 HEALTH FAIRS REACHING AN ESTIMATED 10,000 PEOPLE AT VARIOUS COMMUNITY SITES WITH THE GOAL OF INCREASING PEOPLE'S KNOWLEDGE AND HEALTH LITERACY. THE FAIRS WERE HELD AT SCHOOLS, MULTI-HOUSING DEVELOPMENTS, HOUSES OF WORSHIP, PARKS, YOUTH AND SENIOR CENTERS IN WESTCHESTER AND FAIRFIELD COUNTIES. PARTICIPANTS RECEIVED INFORMATION AND EDUCATION ABOUT EXERCISE, HEALTHY HABITS/BEHAVIORS, HAND WASHING/HYGIENE, IMMUNIZATION, HEALTH SCREENINGS, SUN SAFETY, CHOLESTEROL, STROKE, WEIGHT MANAGEMENT, NUTRITION, BREAST SELF-EXAMS, SMOKING CESSATION AND MORE. HOSPITAL STAFF ALSO OFFERED FREE BLOOD PRESSURE AND METABOLIC SCREENINGS ALONG WITH EDUCATIONAL COUNSELING ON HEALTHY LIVING. THE HOSPITAL ALSO PROVIDED MORE THAN 200 INDIVIDUALS WITH INFORMATION FROM VENDORS SPECIALIZING IN DIABETIC CARE AND CONDUCTED FREE DIABETES-RELATED HEALTH SCREENINGS. THE GREENWICH DEPARTMENT OF HEALTH, THE GREENWICH COMMISSION ON AGING AND GREENWICH HOSPITAL SPONSORED AN ANNUAL SENIOR HEALTH, WHICH OFFERED FREE HEALTH EDUCATION, SCREENINGS AND RESOURCE REFERRALS TO MORE THAN 400 OLDER ADULTS. IN ADDITION, 62 FREE CHOLESTEROL SCREENINGS WERE CONDUCTED AT THE EVENT. COMMUNITY HEALTH OF FAIRCHESTER ALSO PARTICIPATED IN THE WESTCHESTER COUNTY SALUTE TO SENIORS PROGRAM IN WHITE PLAINS, WHICH DREW MORE THAN 500 AREA RESIDENTS.GREENWICH HOSPITAL THROUGH THE NURSE IS IN PROGRAM, PROVIDED FREE BLOOD PRESSURE SCREENINGS AND HEALTH COUNSELING TO 5,358 PEOPLE AT LOCAL LIBRARIES, YMCAS AND SENIOR CENTERS IN CONNECTICUT AND NEW YORK. AN ADDITIONAL 2,790 FREE BLOOD PRESSURE SCREENINGS WERE CONDUCTED AT OTHER COMMUNITY SITES. THE HOSPITAL'S PARISH NURSE PROGRAM, A PARTNERSHIP WITH THE FIRST CONGREGATIONAL CHURCH OF GREENWICH, PROVIDES MORE THAN 2,000 CHURCH MEMBERS WITH HEALTH EDUCATION PROGRAMS, SUPPORT GROUPS, FLU SHOTS AND SCREENINGS ALL CONDUCTED OR COORDINATED BY A REGISTERED NURSE.
PART VI, LINE 5: DURING FY 2012, GREENWICH HOSPITAL RECEIVED VARIOUS AWARDS AND RECOGNITION INCLUDING: THE 2012 JOHN D. THOMPSON AWARD FOR "EXCELLENCE IN DELIVERY OF HEALTHCARE THROUGH THE USE OF DATA", BY THE CONNECTICUT HOSPITAL ASSOCIATION; A 2012 MERIT AWARD FROM THE U.S. ENVIRONMENTAL PROTECTION AGENCY FOR CREATING "HEALING RAIN GARDENS" THAT REDUCE POLLUTION AND PROMOTE A HEALTHY ENVIRONMENT FOR PATIENTS. IT WAS ONE OF JUST TWO NEW ENGLAND HOSPITALS TO BE HONORED WITH THE AWARD. THE HOSPITAL ALSO RECEIVED TWO AWARDS FROM THE CONNECTICUT QUALITY IMPROVEMENT AWARD PARTNERSHIP - GOLD AWARD FOR ITS MULTIMODAL ANALGESIC REGIME FOR JOINT REPLACEMENT SURGERY AND A SILVER AWARD FOR "IMPACT OF SUBTLE COGNITIVE DEFICITS ON READMISSIONS". GREENWICH HOSPITAL WAS ALSO RECOGNIZED WITH THE "GET WITH THE GUIDELINES" STROKE SILVER PLUS QUALITY ACHIEVEMENT AWARD FROM THE AMERICAN HEART ASSOCIATION / AMERICAN STROKE ASSOCIATION, WHICH RECOGNIZES THE HOSPITAL'S COMMITMENT TO IMPLEMENTING A HIGHER STANDARD OF STROKE CARE BY ENSURING THAT STROKE PATIENTS RECEIVE TREATMENT ACCORDING TO NATIONALLY ACCEPTED STANDARDS AND RECOMMENDATIONS.THE HOSPITAL'S SIMULATION CENTER ADDED ADDITIONAL TRAINING TOOLS IN FY 2012. THE YALE NEW HAVEN HEALTH SYSTEM SUPPORTED CENTER FEATURES A SIMULATED INPATIENT HOSPITAL ROOM AND REALISTIC, HIGH-FIDELITY "PATIENTS" THAT CAN BE PROGRAMMED TO BREATHE, SPEAK, BLINK, SWEAT, BLEED AND RESPOND PHYSIOLOGICALLY TO MEDICATIONS AND TREATMENT. THIS TYPE OF MEDICAL SIMULATION IS BENEFICIAL TO STAFF AND EDUCATORS AND IS AN INTEGRAL TOOL IN MEDICAL EDUCATION. IN FY 2012, AN INFANT MANNEQUIN WAS ADDED AND USED DURING MONTHLY PEDIATRIC SIMULATION DRILLS.GREENWICH HOSPITAL CONTINUED TO BE DEFINED BY ITS SERVICE EXCELLENCE ENVIRONMENT. IN JULY, THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) RELEASED THE NEXT SET OF HOSPITAL CONSUMER ASSESSMENT OF HEALTHCARE PROVIDERS AND SYSTEMS (HCAHPS) RESULTS FOR THE TIME PERIOD OF OCTOBER 2010 TO SEPTEMBER 2011. HCAHPS IS THE SURVEY THAT MEASURES TEN AREAS OF INPATIENT PERCEPTIONS OF CARE. THE HOSPITAL SCORED WELL, WITH EIGHT MEASURES ABOVE THE NEW YORK AND CONNECTICUT AVERAGES AND SIX MEASURES ABOVE THE NATIONAL AVERAGE. AMONG ALL CONNECTICUT HOSPITALS, PATIENTS RATED GREENWICH HOSPITAL THE HIGHEST IN "OVERALL RATING:" AND "WILLINGNESS TO RECOMMEND TO OTHERS".YALE NEW HAVEN HEALTH SYSTEM WAS NAMED "MOST WIRED" BY HOSPITALS AND HEALTH NETWORKS. THE AWARD RECOGNIZES HEALTH SYSTEMS AND HOSPITALS AS BEING AMONG THE TOP HOSPITALS NATIONALLY TO HAVE INVESTED IN AND SUCCESSFULLY LEVERAGED LEADING-EDGE TECHNOLOGY IN THE AREAS OF SAFETY AND QUALITY, CUSTOMER SERVICE, PUBLIC HEALTH AND SAFETY, WORKFORCE MANAGEMENT AND BUSINESS PROCESSES. IN FY 2012, GREENWICH HOSPITAL BECAME THE FIRST YALE NEW HAVEN HEALTH SYSTEM HOSPITAL TO IMPLEMENT EPIC. THE EPIC SYSTEM ALLOWS CAREGIVERS TO PROVIDE ONE STANDARD OF CARE ACROSS THE SYSTEM THAT IS SAFER, MORE EFFECTIVE AND EFFICIENT, AND WILL IMPROVE PATIENT OUTCOMES. IN PREPARATION FOR "GO LIVE", HUNDREDS OF PHYSICIANS, NURSES, PHYSICIAN ASSISTANCES, PHARMACISTS, TECHNICIANS, THERAPISTS, NURSING ASSISTANTS, UNIT SECRETARIES, AND OTHERS PARTICIPATED IN MORE THAN 20,000 HOURS OF TRAINING. COMMUNITY MEMBERS UTILIZE GREENWICH HOSPITAL AS A VEHICLE TO CONNECT AND CONTRIBUTE TO INDIVIDUALS AND THE OVERALL COMMUNITY THROUGH PHILANTHROPY AND VOLUNTEERING. IN FY 2012, 754 ADULT AND JUNIOR VOLUNTEERS DEDICATED A TOTAL OF 63,300 SERVICE HOURS TO THE HOSPITAL. VOLUNTEERS WERE PLACED IN MANY PATIENTS AND NON PATIENT AREAS INCLUDING THE ED, PATIENT TRANSPORT/ESCORT, ONCOLOGY, SURGERY, PAIN MANAGEMENT, MATERNITY, NICU, HUMAN RESOURCES AND INFORMATION SERVICES. IN FY 2012, THE GREENWICH HOSPITAL AUXILIARY CONTINUED TO SUPPORT THE HOSPITAL'S EFFORTS AND THOSE OF THE COMMUNITY. EXAMPLES INCLUDE A THREE-YEAR FINANCIAL COMMITMENT BY THE AUXILIARY TO NORWALK COMMUNITY COLLEGE TO BUILD A STATE-OF-THE-ART NURSES TRAINING CENTER AND FOUR $1,000 SCHOLARSHIPS PROVIDED TO GREENWICH HIGH SCHOOL SENIORS PURSING STUDIES IN HEALTH CARE.
PART VI, LINE 6: THE YALE NEW HAVEN HEALTH SYSTEM'S FUNDAMENTAL MISSION IS TO ENSURE THAT THE DELIVERY NETWORKS ASSOCIATED WITH THE SYSTEM PROMOTE THE HEALTH OF THE COMMUNITIES THEY SERVE AND ENSURE THAT ALL IN NEED HAVE ACCESS TO APPROPRIATE HEALTHCARE SERVICES. THE YALE NEW HAVEN HEALTH SYSTEM REQUIRES ITS HOSPITALS TO INCORPORATE PLANS TO PROMOTE HEALTHY COMMUNITIES WITHIN HOSPITAL EXISTING BUSINESS PLANS FOR WHICH THEY ARE HELD ACCOUNTABLE. IN ADDITION, REGULAR REPORTING ON COMMUNITY BENEFITS IS REQUIRED ON A QUARTERLY BASIS AND OBJECTIVES IN THE EXECUTIVES PERFORMANCE EVALUATION ARE ASSOCIATED WITH PROVIDING BENEFITS TO THE COMMUNITY. EACH DELIVERY NETWORK'S MISSION, VISION AND BUSINESS PLAN INCORPORATES THE CONCEPTS OF WORKING WITH ITS COMMUNITY TO IDENTIFY OPPORTUNITIES TO PROMOTE HEALTH, PROVIDE SERVICES THAT PROMOTE HEALTH AND PROVIDE CHARITY CARE AND FREE CARE TO THOSE THAT CANNOT AFFORD NECESSARY SERVICES.
CTREPORTS FILED WITH STATESPART VI, LINE 7

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (11 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
YWCA OF GREENWICH
259 E PUTNAM AVENUEGREENWICHCT06830060646992C-311950SUPPORT ORGANIZATION
ED RANDALL'S FANS 4 A CURE
120 W 45TH ST FL17NEW YORKNY10036061696245C-35000SUPPORT ORGANIZATION
BREAST CANCER ALLIANCE
48 MAPLE AVENUEGREENWICHCT06830061453500C-35000SUPPORT ORGANIZATION
AMERICAN CANCER SOCIETY
372 DANBURY ROADWILTONCT06897131788491C-310000SUPPORT ORGANIZATION
SACRED HEART UNIVERSITY
5151 PARK AVENUEFAIRFIELDCT06825060776644C-35000SUPPORT ORGANIZATION
VILLAGE OF RYE BROOK
938 KING STREETRYE BROOKNY10573133830232C-35000SUPPORT ORGANIZATION
GREENWICH UNITED WAY
1 LAFAYETTE COURTGREENWICHCT06830060646578C-31000SUPPORT ORGANIZATION
RED RIBBON FOUNDATION
270 GREENWICH AVENUEGREENWICHCT06830061427158C-35000SUPPORT ORGANIZATION
STAMFORD HOSPITAL
166 W BROAD STREETSTAMFORDCT06904060646917C-36000SUPPORT ORGANIZATION
GEMS
111 E PUTNAM AVERIVERSIDECT06878222721171C-391000SUPPORT ORGANIZATION
ONS FOUNDATION
6 GREENWICH OFFICE PARKGREENWICHCT06831261394760C-350000SUPPORT ORGANIZATION
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants11TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS - NONE OF THE AMOUNT REPORTED ON SCHEDULE I, PART II ARE GRANTS. THESE AMOUNTS ARE DONATIONS AND SPONSORSHIPS GIVEN TO ORGANIZATIONS TO ASSIST IN THE FURTHERANCE OF THEIR MISSION.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
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 Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (18 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
FRANK A CORVINO
71194479105259250288063314553682812172313525198152202144418716046640245
GAYLE L CAPOZZALO
06118280225236038045501406000629690142108800
EUGENE J COLUCCI
2412681367186678937847426532417094741536861405379644595042603851395791
QUINTON J FRIESEN
373815010137602358270737670223840807169000
SUSAN BROWN
27637904360700000509520370938000
NANCY LEVITT-ROSENTHAL
29117407682803681201141780127105202630117450
MELISSA TURNER
12041472248318861913225809154855396832381176091056624968614981200
CHRISTINE BEECHNER
12389701662306710000337800181010031240
STEPHEN CARBERY
177320033173022000000500260282519000
MARC KOSAK
182152029110013736000373000262298023530
GEORGE PAWLUSH
162655039101022000000409440264700000
BRIAN DORAN MD
3909480682170165000003620805118730111070
DEBORAH HODYS
284699050402016500000371750388776024240
STEPHEN GRAY
4928980478140195100004857306087950171770
VICKI ALTMEYER
453215038042022000000491400562397020060
RICHARD EISEN
467023028406021259000630630579751000
ERIC DIAMOND
47393300022000000547090550642000
MARVIN LIPSCHUTZ MD
38313907522003972000299480492279000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINE 4BPART I, LINE 4B: SEVERENCE NONQUALIFIED EQUITY-BASED EUGENE COLUCCI $0 $71,760 $0 NANCY LEVITT-ROSENTHAL $0 $54,272 $0 MELISSA TURNER $0 $40,416 $0 THE INDIVIDUALS LISTED ABOVE ARE PARTICIPANTS IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THESE ACCRUALS ARE INCLUDED IN THE AMOUNTS REPORTED IN PART II, COLUMN C (DEFERRED COMPENSATION) AND REPRESENTS BOTH THE REPORTING ENTITY'S AND RELATED ENTITY'S COMBINED AMOUNTS CONSISTENT WITH THE COMPENSATION REPORTING PER IRS INSTRUCTIONS. INDIVIDUALS LISTED BELOW BECAME VESTED IN BENEFITS VALUED AT THE AMOUNTS RESPECTIVELY REPORTED BELOW DURING THE REPORTING YEAR. INCLUDED IN SECTION II, COLUMN B (III) ARE AMOUNTS VESTED DURING THE 2011 CALENDAR YEAR THAT WERE RECOGNIZED AS TAXABLE EVENTS AND REPORTED IN THE INDIVIDUALS' 2011 CALENDAR YEAR FORM W-2S. FRANK CORVINO $ 261,824 QUINTON FRIESEN $ 173,947 GAYLE CAPOZZALO $ 294,699 VICKI ALTMEYER $ 17,772 RICHARD EISEN $ 8,630 STEPHEN GRAY $ 25,566 THE SUPPLEMENTAL RETIREMENT INCOME PLAN (SRIP) IS DESIGNED TO ENSURE THE PAYMENT OF A COMPETITIVE LEVEL OF RETIREMENT INCOME WHEN ADDED TO OTHER SOURCES OF RETIREMENT INCOME IN ORDER TO ATTRACT AND RETAIN KEY MANAGEMENT EMPLOYEES SERVING AS CORPORATE OFFICERS. THE PLAN PROVIDES SUPPLEMENTAL RETIREMENT INCOME THROUGH AN UNFUNDED, NONQUALIFIED DEFERRED COMPENSATION ARRANGEMENT UNDER SECTION 457(F) AND THROUGH A DEFERRED COMPENSATION PLAN UNDER SECTION 409A OF THE INTERNAL REVENUE CODE AND A MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES' PLAN UNDER THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974 (ERISA).
PART I, LINE 7THE SHORT TERM INCENTIVE PLAN (STIP) IS A VARIABLE COMPENSATION PLAN WHICH PROVIDES ONE-TIME PAYMENTS TO ELIGIBLE MEMBERS OF MANAGEMENT IN RECOGNITION OF THE ACCOMPLISHMENT OF KEY ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE OBJECTIVES. PERFORMANCE LEVELS ARE ESTABLISHED AND REVIEWED ANNUALLY AT THRESHOLD, TARGET AND MAXIMUM LEVELS, ACCORDING TO PLANNED "STRETCH" GOALS AND OBJECTIVES. INCENTIVE AWARD OPPORTUNITIES ARE ESTABLISHED ACCORDING TO MARKET PRACTICES BASED ON EACH ELIGIBLE POSITION'S RESPONSIBILITIES, PERFORMANCE AND LEVEL OF AUTHORITY. PERFORMANCE RELATIVE TO STIP AWARD OPPORTUNITIES INCORPORATES A BROAD SPECTRUM OF PRE-DEFINED FINANCIAL AND NON-FINANCIAL METRICS THAT ARE ALIGNED WITH ORGANIZATIONAL MISSION AND VALUES.
PART IIITHE INDIVIDUALS LISTED ABOVE ARE PARTICIPANTS IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THESE ACCRUALS ARE INCLUDED IN THE AMOUNTS REPORTED IN PART II, COLUMN C (DEFERRED COMPENSATION) AND REPRESENTS BOTH THE REPORTING ENTITY'S AND RELATED ENTITY'S COMBINED AMOUNTS CONSISTENT WITH THE COMPENSATION REPORTING PER IRS INSTRUCTIONS. INDIVIDUALS LISTED BELOW BECAME VESTED IN BENEFITS VALUED AT THE AMOUNTS RESPECTIVELY REPORTED BELOW DURING THE REPORTING YEAR. INCLUDED IN SECTION II, COLUMN B (III) ARE AMOUNTS VESTED DURING THE 2011 CALENDAR YEAR THAT WERE RECOGNIZED AS TAXABLE EVENTS AND REPORTED IN THE INDIVIDUALS' 2011 CALENDAR YEAR FORM W-2S. FRANK CORVINO $ 261,824 QUINTON FRIESEN $ 173,947 GAYLE CAPOZZALO $ 294,699 VICKI ALTMEYER $ 17,772 RICHARD EISEN $ 8,630 STEPHEN GRAY $ 25,566 THE SUPPLEMENTAL RETIREMENT INCOME PLAN (SRIP) IS DESIGNED TO ENSURE THE PAYMENT OF A COMPETITIVE LEVEL OF RETIREMENT INCOME WHEN ADDED TO OTHER SOURCES OF RETIREMENT INCOME IN ORDER TO ATTRACT AND RETAIN KEY MANAGEMENT EMPLOYEES SERVING AS CORPORATE OFFICERS. THE PLAN PROVIDES SUPPLEMENTAL RETIREMENT INCOME THROUGH AN UNFUNDED, NONQUALIFIED DEFERRED COMPENSATION ARRANGEMENT UNDER SECTION 457(F) AND THROUGH A DEFERRED COMPENSATION PLAN UNDER SECTION 409A OF THE INTERNAL REVENUE CODE AND A MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES' PLAN UNDER THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974 (ERISA).SUPPLEMENTAL INFORMATION

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CHEFABusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN060806186IssuerEIN
CUSIP Number20774UYC3CUSIPNumber
Date Issued2008-05-07DateIssued
Issue Price53630000IssuePrice
Description Of PurposeREFINANCE 4/3/2006 (SERIES B) BONDSDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds53630000TotalProceeds
Issuance Costs From Proceeds426060IssuanceCostsFromProceeds
Year Of Subst Completion2008YearOfSubstCompletion
Current Refunding1CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements1AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty1MngmentCntrctBondFinancdPrprty
Engage Bond Counsel Contracts0EngageBondCounselContracts
Any Research Agreements1AnyResearchAgreements
Engage Bond Counsel Research0EngageBondCounselResearch
Prcntge Prvt Business Use By Others0.00770PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.01460PercentageOfPrvtBusinessReUBI
Total Private Business Use0.02230TotalPrivateBusinessUse
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed1Form8038TFiled
Variable Rate Issue1VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate0ExceptionToRebate
FieldValueIRS element (for citing)
Fed Tax Requirements ComplianceXFedTaxRequirementsCompliance

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierPART III, LINE 3CIdentifier
ExplanationTHE ORGANIZATION HAS IN-HOUSE LEGAL STAFF WHO PROVIDE ROUTINE REVIEW OF MANAGEMENT OR SERVICE CONTRACTS OR RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY TO ENSURE THAT SUCH AGREEMENTS ARE COMPLIANT WITH APPLICABLE SAFE HARBORS. IN-HOUSE COUNSEL CONSULT WITH THE HOSPITAL'S OUTSIDE BOND COUNSEL AS NEEDED, INCLUDING ON NON-ROUTINE ISSUES.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1SEE PART VBusinessNameLine1
FieldValueIRS element (for citing)
Sharing Of Revenues0SharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierSCHEDULE L, PART V: ADDITIONAL INFORMATION -Identifier
ExplanationNAME OF INTERESTED PERSON: CENTURY FINANCIAL SERVICES, INC.OFFICER EUGENE COLUCCI IS AN OFFICER AND DIRECTOR OF CENTURY FINANCIAL SERVICES, INC.CENTURY FINANCIAL SERVICES, INC. PROVIDES BILLING AND COLLECTION SERVICES FOR THE HOSPITAL. A PORTION OF CENTURY FINANCIAL SERVICES, INC. IS OWNED, DIRECTLY OR INDIRECTLY, BY RELATED ORGANIZATIONS OF THE HOSPITAL.AMOUNT OF TRANSACTION: $445,068.00.NAME OF INTERESTED PERSON: ORTHOPAEDIC & NEUROSURGERY CENTER OF GREENWICH, LLCTRUSTEE PAUL APOSTOLIDES IS A MEMBER OF ORTHOPAEDIC & NEUROSURGERY SPECIALISTS, PC, WHICH IS A MEMBER OF ONS ASC, LLC. ONS ASC, LLC AND GREENWICH AMBULATORY SURGERY CENTER, LLC (AN AFFILIATE OF THE HOSPITAL) ARE EACH MEMBERS OF A JOINT VENTURE, ORTHOPAEDIC & NEUROSURGERY CENTER OF GREENWICH, LLC (THE "JOINT VENTURE"). PURSUANT TO AN AGREEMENT BETWEEN THE JOINT VENTURE AND THE HOSPITAL, THE JOINT VENTURE PAYS AN ANNUAL FEE TO THE HOSPITAL FOR THE USE OF FACILITIES, EQUIPMENT, SUPPLIES AND STAFF FOR THE CONDUCT OF THE JOINT VENTURE'S OPERATIONS.AMOUNT OF TRANSACTION: $1,346,196.91SOME OF THE ORGANIZATION'S CURRENT OFFICERS SERVE AS OFFICERS AND/OR DIRECTORS OF TAXABLE AFFILIATES WITHIN THE ORGANIZATIONS CORPORATE SYSTEM. THE ORGANIZATION ENGAGES IN BUSINESS TRANSACTIONS WITH SOME OF THESE TAXABLE AFFILIATES. THESE TRANSACTIONS HAVE BEEN REPORTED AND DISCLOSED ON SCHEDULE R. THEY ARE NOT BEING REPORTED AGAIN HERE BECAUSE THE INDIVIDUAL OFFICERS DO NOT HAVE PERSONAL FINANCIAL INTERESTS IN THE TAXABLE AFFILIATES AND SERVE ONLY AS A FUNCTION OF THEIR ROLES AT THE ORGANIZATION.Explanation

Schedule M IRS990ScheduleM

Works Of Art WorksOfArt

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions9NumberOfContributions
Noncash Contribs Rptd F9905640NoncashContribsRptdF990
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenues

Books And Publications BooksAndPublications

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F9904828NoncashContribsRptdF990
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenues

Clothing And Household Goods ClothingAndHouseholdGoods

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F99099229NoncashContribsRptdF990
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenues

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions3NumberOfContributions
Noncash Contribs Rptd F990215781NoncashContribsRptdF990
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenues

Food Inventory FoodInventory

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions114NumberOfContributions
Noncash Contribs Rptd F99034549NoncashContribsRptdF990
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable (4 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XVACACTION/AIR/CRUISE34150474FAIR MARKET VALUE
XACQUARIUM26393FAIR MARKET VALUE
XPHOTOGRAPHY2953550FAIR MARKET VALUE
XMISCELLANEOUS330239516FAIR MARKET VALUE
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts1ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 1THE ORGANIZATION SOUGHT TO CONFIRM THE INDEPENDENCE OF EACH VOTING MEMBER OF ITS GOVERNING BODY BY REQUESTING THAT EACH SUCH VOTING MEMBER RESPOND TO A QUESTIONNAIRE CONTAINING THE PERTINENT INSTRUCTIONS AND DEFINITIONS AND DESIGNED TO ELICIT THE INFORMATION NECESSARY TO DETERMINE INDEPENDENCE. BASED ON RESPONSES TO THE QUESTIONNAIRES RECEIVED BY THE ORGANIZATION AND ANNUAL CONFLICTS OF INTEREST DISCLOSURES, THE ORGANIZATION WAS ABLE TO CONFIRM THAT 21 VOTING MEMBERS ARE INDEPENDENT. THE ORGANIZATION HAS NO REASON TO BELIEVE THAT THE REMAINING 2 VOTING MEMBERS ARE NOT INDEPENDENT.
FORM 990, PART VI, SECTION A, LINE 2TRUSTEE WILLIAM R. BERKLEY, JR. AND OFFICER/TRUSTEE FRANK A. CORVINO ARE BOARD MEMBERS OF THE SAME BUSINESS ENTITY. SOME OF THE ORGANIZATIONS CURRENT OFFICERS SERVE AS OFFICERS AND/OR DIRECTORS OF TAXABLE AFFILIATES WITHIN THE ORGANIZATION'S CORPORATE SYSTEM. THE INDIVIDUAL OFFICERS DO NOT HAVE PERSONAL FINANCIAL INTERESTS IN THOSE TAXABLE AFFILIATES AND SERVE ONLY AS A FUNCTION OF THEIR ROLES WITH THE ORGANIZATION. THE TAXABLE AFFILIATES FOR WHICH SOME OF THE ORGANIZATION'S OFFICERS SERVE ALSO AS OFFICERS AND/OR DIRECTORS INCLUDE: GREENWICH HEALTH SERVICES, INC.; GREENWICH PEDIATRIC SERVICES, P.C.; AND GREENWICH INTEGRATIVE MEDICINE, P.C.
FORM 990, PART VI, SECTION A, LINE 6CLASSES OF MEMBERS OR STOCKHOLDERS: THE HOSPITAL IS A CONNECTICUT NON-STOCK CORPORATION. ITS SOLE MEMBER IS GREENWICH HEALTH CARE SERVICES, INC. ("GHCSI"), ITSELF A CONNECTICUT NON-STOCK CORPORATION DESCRIBED IN SECTION 501(C)(3) OF THE CODE.
FORM 990, PART VI, SECTION A, LINE 7AELECTION OF MEMBERS AND THEIR RIGHTS: YALE NEW HAVEN HEALTH SERVICES CORPORATION (YNHHS), THE SOLE MEMBER OF GHCSI (THE HOSPITAL'S SOLE MEMBER), HAS THE AUTHORITY TO DESIGNATE ONE REPRESENTATIVE OF YNHHS TO SERVE AS A TRUSTEE OF THE HOSPITAL AND APPROVE NOMINEES TO THE HOSPITAL'S BOARD OF TRUSTEES IN ACCORDANCE WITH THE HOSPITAL'S BYLAWS AND THAT CERTAIN SYSTEM AFFILIATION AGREEMENT (THE "AFFILIATION AGREEMENT") BY AND AMONG YNHHS, GHCSI AND THE HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7BDECISIONS SUBJECT TO APPROVAL OF MEMBERS: THE HOSPITAL HAS RESERVED POWERS TO BOTH GHCSI AND YNHHS. GHCSI: GHCSI, IN ITS CAPACITY AS THE SOLE MEMBER OF THE HOSPITAL, HAS ONLY THOSE RIGHTS, POWERS AND PRIVILEGES REQUIRED BY LAW TO BE ACCORDED TO MEMBERS OF A NONSTOCK, NONPROFIT CORPORATION. YNHHS: IN ACCORDANCE WITH THE HOSPITAL'S BYLAWS AND THE AFFILIATION AGREEMENT, YNHHS HAS THE FOLLOWING RIGHTS, POWERS AND PRIVILEGES VIS-A-VIS THE HOSPITAL: (A)TO DESIGNATE ONE REPRESENTATIVE OF YNHHS TO SERVE AS A TRUSTEE OF THE HOSPITAL AT THE PLEASURE OF YNHHS, WHICH DESIGNEE SHALL BE A VOTING MEMBER OF THE EXECUTIVE OR ANY SIMILAR COMMITTEE OF THE HOSPITAL; (B)TO APPROVE THE NOMINEES TO THE BOARD OF TRUSTEES OF THE HOSPITAL IN ACCORDANCE WITH THE PROVISIONS OF SECTION 3.3 OF THE HOSPITAL BYLAWS AND SECTION 4.2 OF THE AFFILIATION AGREEMENT; (C)TO DIRECT THE HOSPITAL BOARD OF TRUSTEES TO REMOVE ANY HOSPITAL TRUSTEE IN ACCORDANCE WITH PROVISIONS OF THE HOSPITAL BYLAWS AND THE AFFILIATION AGREEMENT; (D)TO APPROVE THE HOSPITAL'S ANNUAL OPERATING AND CAPITAL BUDGETS AND STRATEGIC PLANS; AND (E)TO CONSENT TO (I) THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE HOSPITAL'S ASSETS, (II) ANY MERGER OR CONSOLIDATION INVOLVING THE HOSPITAL, (III)ANY CONTRACT TO MANAGE OR ADMINISTER THE HOSPITAL OR ANY SUBSTANTIAL PART OF THE BUSINESS OF THE HOSPITAL, (IV) ANY LIQUIDATION OR DISSOLUTION OF THE HOSPITAL OR FILING FOR BANKRUPTCY OR SIMILAR PROTECTION, OR (V) ANY CHANGE IN THE NAME OF THE HOSPITAL. FURTHER, IN ACCORDANCE WITH THE HOSPITAL BYLAWS, GHCSI AND YNHHS MUST EACH APPROVE ANY AMENDMENT TO THE HOSPITAL'S CERTIFICATE OF INCORPORATION OR BYLAWS.
FORM 990, PART VI, SECTION B, LINE 11THE ORGANIZATION'S PROCESS TO REVIEW FORM 990: THE FORM 990 TAX RETURN AND ATTACHED SCHEDULES WERE PREPARED BY EMPLOYEES OF THE SYSTEM TAX DEPARTMENT. THE RETURN IS INITIALLY REVIEWED BY THE HOSPITAL DIRECTOR OF CORPORATE FINANCE. SUBSEQUENTLY, IT IS SENT TO ERNST & YOUNG US LLP FOR THEIR INITIAL REVIEW. AFTER ALL COMMENTS FROM THE ABOVE GROUPS ARE RECEIVED AND REVIEWED, THE RETURN IS THEN REVIEWED BY THE CHIEF FINANCIAL OFFICER OF THE HOSPITAL AND A FINAL VERSION OF THE RETURN IS SENT BACK TO ERNST & YOUNG US LLP FOR FINAL REVIEW. PRIOR TO FILING, THE ORGANIZATION MADE AVAILABLE A COMPLETE COPY OF THE RETURN TO THE BOARD OF TRUSTEES BY WEB PORTAL.
FORM 990, PART VI, SECTION B, LINE 12CGREENWICH HOSPITAL IS COVERED UNDER THE YALE NEW HAVEN HEALTH SYSTEM CONFLICT OF INTEREST POLICY. THE YALE NEW HAVEN HEALTH SYSTEM CONFLICT OF INTEREST POLICY (CC:R-7) AND INDIVIDUAL ANNUAL DISCLOSURE FORM APPLIES TO A POOL OF EMPLOYEES, BOARD MEMBERS AND NON-BOARD MEMBERS SERVING ON BOARD COMMITTEES. THESE "COVERED INDIVIDUALS" ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT, UPON BEGINNING EMPLOYMENT OR OTHERWISE BECOMING A COVERED INDIVIDUAL AND ANNUALLY THEREAFTER. COVERED INDIVIDUALS ARE ALSO REQUIRED TO IMMEDIATELY REPORT MATERIAL CHANGES TO THEIR MOST RECENTLY COMPLETED DISCLOSURE STATEMENT. THESE DISCLOSURE STATEMENTS AND REPORTS ARE REVIEWED BY THE OFFICE OF PRIVACY AND CORPORATE COMPLIANCE AND/OR THE LEGAL AND RISK SERVICES DEPARTMENT TO ENSURE COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. IF A POTENTIAL CONFLICT ARISES, THE PRESIDENT AND CEO WOULD CONSULT WITH THE BOARD CHAIRPERSON AND THE LEGAL AND RISK SERVICES DEPARTMENT AND TAKE ANY ACTIONS THAT HE DEEMS REQUIRED OR APPROPRIATE TO MANAGE OR RESOLVE A POTENTIAL CONFLICT OF INTEREST. FOR EXAMPLE, A VOTING BOARD OR COMMITTEE MEMBER WOULD BE REQUIRED TO RECUSE HIMSELF OR HERSELF FROM VOTING ON MATTERS RELATED TO THE POTENTIAL CONFLICT AND THE POTENTIAL CONFLICT WOULD BE DISCLOSED TO OTHER VOTING MEMBERS.
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION PROCESS FOR TOP OFFICIALS: THE TOP OFFICIAL IS AN EMPLOYEE OF YNHHS. THE EXECUTIVE COMPENSATION COMMITTEES OF GREENWICH HOSPITAL AND YNHHS STRIVE TO TAKE THE STEPS NECESSARY TO QUALIFY FOR THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER FEDERAL TAX LAW. THE EXECUTIVE COMPENSATION COMMITTEES ARE RESPONSIBLE FOR (1) DETERMINING THE OVERALL TOTAL COMPENSATION STRATEGY FOR THEIR RESPECTIVE CORPORATE OFFICERS, (2) APPROVING ALL COMPENSATION AND BENEFITS DECISIONS FOR RESPECTIVE CORPORATE OFFICERS, AND (3) REPORTING SUCH ACTIONS TO THE FULL GREENWICH HOSPITAL AND YNHHS BOARDS ON AN ANNUAL BASIS. IN ADDITION, THE EXECUTIVE COMPENSATION COMMITTEES EXPRESSLY DETERMINE THE REASONABLENESS OF TOTAL COMPENSATION AND BENEFITS FOR ALL CORPORATE OFFICERS, AND ASSURES THAT ALL OFFICER COMPENSATION DECISIONS ARE MADE AFTER THOROUGH CONSIDERATION OF AND COMPARISON TO THE MARKET PRACTICES OF OTHER SIMILARLY SITUATED NOT-FOR-PROFIT HEALTHCARE EXECUTIVES IN COMPARABLE ORGANIZATIONS. THE EXECUTIVE COMPENSATION COMMITTEES CONSIST OF BOARD MEMBERS WHO DO NOT HAVE MATERIAL FINANCIAL INTERESTS THAT COULD BE AFFECTED BY THE OFFICER COMPENSATION DECISIONS MADE BY THE COMMITTEES. THE COMPARABILITY DATA USED TO ASSIST THE EXECUTIVE COMPENSATION COMMITTEES IN THEIR COMPENSATION DELIBERATIONS ARE COMPILED BY AN INDEPENDENT,NATIONAL COMPENSATION CONSULTING FIRM THAT IS RETAINED BY AND REPORTS DIRECTLY TO THE EXECUTIVE COMPENSATION COMMITTEES. THE DATA COLLECTED BY THE CONSULTANT CONSISTS OF MARKET INFORMATION FOR EXECUTIVES IN FUNCTIONALLY SIMILAR POSITIONS IN SIMILARLY SITUATED NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS. THE DELIBERATIONS AND DECISIONS OF THE EXECUTIVE COMPENSATION COMMITTEES ARE CONTEMPORANEOUSLY DOCUMENTED, REVIEWED AND APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEES, AND PROVIDED TO THE BOARDS OF YNHHS AND THE HOSPITAL. COMPENSATION PROCESS FOR OFFICERS CERTAIN OFFICERS ARE EMPLOYEES OF YNHHS, OTHER OFFICERS ARE EMPLOYED DIRECTLY BY THE HOSPITAL. COMPENSATION DETERMINATIONS OF YNHHS EMPLOYEES ARE MADE BOTH BY THE COMPENSATION COMMITTEES AND BOARDS OF YNHHS AND THE HOSPITAL. COMPENSATION DETERMINATION OF THE HOSPITAL EMPLOYEES ARE MADE BY THE HOSPITAL'S COMPENSATION COMMITTEE AND BOARD. THE EXECUTIVE COMPENSATION COMMITTEES OF GREENWICH HOSPITAL AMD YNHHS STRIVE TO TAKE THE STEPS NECESSARY TO QUALIFY FOR THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER FEDERAL TAX LAW. THE EXECUTIVE COMPENSATION COMMITTEES ARE RESPONSIBLE FOR (1) DETERMINING THE OVERALL TOTAL COMPENSATION STRATEGY FOR ALL THEIR RESPECTIVE CORPORATE OFFICERS, (2) APPROVING ALL COMPENSATION AND BENEFITS DECISIONS FOR CORPORATE OFFICERS, AND (3) REPORTING SUCH ACTIONS TO THE FULL GREENWICH HOSPITAL AND YNHHS BOARD ON AN ANNUAL BASIS, AS APPLICABLE. IN ADDITION, THE EXECUTIVE COMPENSATION COMMITTEES, AS APPLICABLE, EXPRESSLY DETERMINE THE REASONABLENESS OF TOTAL COMPENSATION AND BENEFITS FOR ALL CORPORATE OFFICERS, AND ASSURES THAT ALL OFFICER COMPENSATION DECISIONS ARE MADE AFTER THOROUGH CONSIDERATION OF AND COMPARISON TO THE MARKET PRACTICES OF OTHER SIMILARLY SITUATED NOT-FOR-PROFIT HEALTHCARE EXECUTIVES IN COMPARABLE ORGANIZATIONS. THE EXECUTIVE COMPENSATION COMMITTEES CONSIST OF BOARD MEMBERS WHO DO NOT HAVE MATERIAL FINANCIAL INTERESTS THAT COULD BE AFFECTED BY THE OFFICER COMPENSATION DECISIONS MADE BY THE COMMITTEES. THE COMPARABILITY DATA USED TO ASSIST THE EXECUTIVE COMPENSATION COMMITTEES IN THEIR COMPENSATION DELIBERATIONS ARE COMPILED BY AN INDEPENDENT, NATIONAL COMPENSATION CONSULTING FIRM THAT IS RETAINED BY AND REPORTS DIRECTLY TO THE EXECUTIVE COMPENSATION COMMITTEES. THE DATA COLLECTED BY THE CONSULTANT CONSISTS OF MARKET INFORMATION FOR EXECUTIVES IN FUNCTIONALLY SIMILAR POSITIONS IN SIMILARLY SITUATED NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS. THE DELIBERATIONS AND DECISIONS OF THE EXECUTIVE COMPENSATION COMMITTEES ARE CONTEMPORANEOUSLY DOCUMENTED, REVIEWED AND APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEES, AND PROVIDED TO THE BOARDS OF YNHHS AND/OR THE HOSPITAL, AS APPLICABLE.
FORM 990, PART VI, SECTION C, LINE 19COPIES OF FORM 990, FORM 1023 AND AUDITED FINANCIAL STATEMENTS ARE MAINTAINED IN THE SYSTEM TAX DEPARTMENT. OTHER CORPORATE GOVERNING DOCUMENTS ARE MAINTAINED BY THE LEGAL AND RISK SERVICES DEPARTMENT. THE CONFLICT OF INTEREST POLICY, WHISTLEBLOWER POLICY, AND DOCUMENT RETENTION POLICY ARE AVAILABLE TO ALL EMPLOYEES ON THE CORPORATE INTERNAL WEBSITE. COPIES OF ALL DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VI, LINE 19 - GOVERNING DOCUMENTS DISCLOSURE EXPLANATION:COPIES OF FORM 990, FORM 1023 AND AUDITED FINANCIAL STATEMENTS ARE MAINTAINED IN THE SYSTEM TAX DEPARTMENT. OTHER CORPORATE GOVERNING DOCUMENTS ARE MAINTAINED BY THE LEGAL AND RISK SERVICES DEPARTMENT. THE CONFLICT OF INTEREST POLICY, WHISTLEBLOWER POLICY, AND DOCUMENT RETENTION POLICY ARE AVAILABLE TO ALL EMPLOYEES ON THE CORPORATE INTERNAL WEBSITE. COPIES OF ALL DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VII - RELATED ORGANIZATIONS:OFFICERS WORK AN AVERAGE OF 40 HOURS A WEEK SPREAD FOR THE FILING ENTITY AND RELATED ENTITIES LISTED IN SCHEDULE R.
FORM 990, PART XI, LINE 5:NET UNREALIZED GAINS ON INVESTMENTS: 5,068,000. PENSION ADJUSTMENT -8,397,000. AMORTIZATION -79,000. TRANSFERS TO AFFILIATES -6,615,000. TRANSFERS FROM AFFILIATES 700,000. ASSETS RELEASED FOR OPERATIONS -3,759,000. ASSETS RELEASED FOR NON-OPERATIONS -139,000. RESTRICTED CONTRIBUTIONS 4,318,000. REALIZED GAIN ON INVESTMENTS 1,345,000. CHANGE IN FOUNDATION NET ASSETS -5,441,000. CHANGE IN AUXILIARY NET ASSETS -105,524. MISCELLANEOUS 195. BOOK TO TAX ITEMS - SEE SCH D, PART XI, LINE 9 6,333,268. TOTAL TO FORM 990, PART XI, LINE 5: -6,771,061.CHANGES IN NET ASSETS OR FUND BALANCES:
DISCLOSURE STATEMENT RELATED TO FORMS 5471, INFORMATION RETURN OF U.S. PERSONS WITH RESPECT TO CERTAIN FOREIGN COPORATIONS, FILED ON BEHALF OF THE TAXPAYER: UNDER THE CONSTRUCTIVE OWNERSHIP RULES OF IRC SECTIONS 958(A) AND (B), THE TAXPAYER IS REQUIRED TO FILE FORMS 5471, INFORMATION RETURN OF U.S. PERSONS WITH RESPECT TO CERTAIN FOREIGN CORPORATIONS, AS A CATEGORY 5 FILER WITH RESPECT TO CERTAIN CONTROLLED FOREIGN CORPORATIONS (CFCS). THESE FILING REQUIREMENTS ARE OR WILL BE SATISFIED THROUGH THE FILING OF FORMS 5471 FOR THESE CFCS BY OTHER U.S. TAXPAYERS IDENTIFIED BELOW WHO HAVE THE SAME FILING REQUIREMENT. TAXPAYER NAME: YALE-NEW HAVEN HOSPITAL ADDRESS: 20 YORK STREET NEW HAVEN, CT 06504 IDENTIFYING NUMBER OF U.S. TAX RETURN WITH WHICH THE FORMS 5471 WERE OR WILL BE FILED: 06-0646652 IRS SERVICE CENTER WHERE U.S. TAX RETURN WAS OR WILL BE FILED: OGDEN, UT 84201-0027

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
900 KING STREET ASSOCIATES LLC
5 PERRYRIDGE ROADGREENWICHCT06830260805259BUILDING OPERATIONSCT00GREENWICH HOSPITAL
GREENWICH CLINICAL PATHOLOGY ASSOCIATES LLC
5 PERRYRIDGE ROADGREENWICHCT06830262455578HEALTHCARECT0106885GREENWICH HOSPITAL
GREENWICH PATHLOGY ASSOCIATES LLC
5 PERRYRIDGE ROADGREENWICHCT06830066140101HEALTHCARECT0620364GREENWICH HOSPITAL

Form990 Schedule R Part II Form990ScheduleRPartII (16 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
BRIDGEPORT HOSPITAL
267 GRANT STREETBRIDGEPORTCT06610060646554HEALTHCARECT501C3LINE 3BRIDGEPORT HOSP & HEALTHCARE SERVICES1
BRIDGEPORT HOSPITAL & HEALTHCARE SERVICES
267 GRANT STREETBRIDGEPORTCT06610061066729SYSTEM SUPPORTCT501C3LINE 11A, IYALE NEW HAVEN HEALTH SERVICES CORP0
BRIDGEPORT HOSPITAL AUXILIARY INC
267 GRANT STREETBRIDGEPORTCT06610066042500SYSTEM SUPPORTCT501C3LINE 11A, IBRIDGEPORT HOSP & HEALTHCARE SERVICES1
BRIDGEPORT HOSPITAL FOUNDATION INC
267 GRANT STREETBRIDGEPORTCT06610222908698SYSTEM SUPPORTCT501C3LINE 7BRIDGEPORT HOSP & HEALTHCARE SERVICES1
CARITAS INSURANCE
30 MAIN STREETBURLINGTONVT05401030322238INSURANCEVT501C3LINE 11A, IYALE NEW HAVEN HOSPITAL1
NORMA F PFREIM BREAST CANCER INC
111 BEACH ROADFAIRFIELDCT06430060567752HEALTHCARECT501C3LINE 11A, IBRIDGEPORT HOSPITAL1
NORTHEAST MEDICAL GROUP INC
226 MILL HILL AVENUEBRIDGEPORTCT06610061330992HEALTHCARECT501C3LINE 9YALE NEW HAVEN HEALTH SERVICES CORP1
NORTHEAST MEDICAL GROUP PLLC
226 MILL HILL AVENUEBRIDGEPORTCT06610352380180HEALTHCARECT501C3LINE 11A, INORTHEAST MEDICAL GROUP INC1
PERRYRIDGE CORPORATION
5 PERRYRIDGE ROADGREENWICHCT06830061207316SYSTEM SUPPORTCT501C3LINE 11B, IIGREENWICH HEALTH CARE SERVICES INC1
SCHS PROPERTIES INC
267 GRANT STREETBRIDGEPORTCT06610061297708TITLE HOLDINGCT501C2BRIDGEPORT HOSP & HEALTHCARE SERVICES1
THE GREENWICH HOSPITAL ENDOWMENT FUND INC
5 PERRYRIDGE ROADGREENWICHCT06830061526642SYSTEM SUPPORTCT501C3LINE 11B, IIGREENWICH HEALTH CARE SERVICES INC1
YALE NEW HAVEN HEALTH SERVICES CORP
789 HOWARD AVENEW HAVENCT06519222529464SYSTEM SUPPORTCT501C3LINE 11A, I0N/A
YALE-NEW HAVEN CARE CONTINUUM CORP
789 HOWARD AVENEW HAVENCT06519455235566NURSING HOMECT501C3LINE 3YNH NETWORK CORP1
YALE-NEW HAVEN HOSPITAL
20 YORK STREETNEW HAVENCT06504060646652HEALTHCARECT501C3LINE 3YNH NETWORK CORP1
YNH NETWORK CORP
789 HOWARD AVENEW HAVENCT06519061513687SYSTEM SUPPORTCT501C3LINE 11A, IYALE NEW HAVEN HEALTH SERVICES CORP0
GREENWICH HEALTH CARE SERVICES INC
5 PERRYRIDGE ROADGREENWICHCT06830222593399SYSTEM SUPPORTCT501C3LINE 11B, IIYALE NEW HAVEN HEALTH SERVICES CORP0

Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNA
SHORELINE SURGERY CENTER LLC
60 TEMPLE STREETNEW HAVENCT06510900110459HEALTHCARECTN/A
SSC II LLC
111 GOOSE LANEGUILFORDCT06437261709382HEALTHCARECTN/A
ORTHOPAEDIC & NEUROSURGERY CENTER
55 HOLLY HILL LANEGREENWICHCT06830273477197HEALTHCARECTN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (17 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityPercentage OwnershipPercentageOwnershipAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountry
CHC PHYSICIANS PC
789 HOWARD AVENEW HAVENCT06519061436530HEALTHCARECTN/AC
GREENWICH FERTILITY & IVF PC
5 PERRYRIDGE ROADGREENWICHCT06830300145464HEALTHCARECTN/AC
GREENWICH HEALTH SERVICES INC
5 PERRYRIDGE ROADGREENWICHCT06830061233643HEALTHCARECTN/AC
GREENWICH INTEGRATIVE MEDICINE
5 PERRYRIDGE ROADGREENWICHCT06830260236411HEALTHCARECTN/AC
GREENWICH OCCUPATIONAL HEALTH SERV-NY
5 PERRYRIDGE ROADGREENWICHCT06830061540101HEALTHCARENYN/AC
GREENWICH PEDIATRIC SERVICES PC
5 PERRYRIDGE ROADGREENWICHCT06830743054409HEALTHCARECTN/AC
MEDICAL CENTER PHARMACY
50 YORK STREETNEW HAVENCT06511061087673PHARMACYCTN/AC
MEDICAL CENTER REALTY
50 YORK STREETNEW HAVENCT06511061110858RENTALCTN/AC
QUINNIPIAC MEDICAL PC
789 HOWARD AVENEW HAVENCT06519061405531HEALTHCARECTN/AC
YALE NEW HAVEN AMBULATORY SERVICES
40 TEMPLE STREETNEW HAVENCT06510061398526HEALTHCARECTN/AC
YNH GERIATRIC SERVICES PC
789 HOWARD AVENEW HAVENCT06519061561581HEALTHCARECTN/AC
YNH MEDICAL SERVICES PC
789 HOWARD AVENEW HAVENCT06519061561583HEALTHCARECTN/AC
YNHH-PHYSICIANS CORP
789 HOWARD AVENEW HAVENCT06519061202305ADMININISTRATIVE SERVICESCTN/AC
YNHHS-MSO INC
789 HOWARD AVENEW HAVENCT06519061467717MANAGEMENT SERVICESCTN/AC
YORK ENTERPRISES INC
50 YORK STREETNEW HAVENCT06511061110937TITLE HOLDINGCTN/AC
GREENWICH OCCUPATIONAL HEALTH SERVICES NJ
5 PERRYRIDGE ROADGREENWICHCT06830453833883HEALTHCARENJN/AC1.00000
LUKAN INDEMNITY COMPANY
981072793INSURANCEN/AC58 PAR-LA-VALLIS RDHAMILTONBERMUDABDBD
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 Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (11 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
YALE NEW HAVEN HEALTH SERVICES CORP
L33936581COMPARABLE MARKET VALUE
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