2025-08-13T15:27:07-05:00 2024-09-30 390859910 BAKER TILLY ADVISORY GROUP LP 66 HUDSON BLVD E SUITE 2200 NEW YORK NY 10001 990 2023-10-01 222560257 GRIFFIN HEALTH SERVICES CORPORATION GRIF 2037327528 130 DIVISION STREET DERBY CT 06418 DAVID MURCKO CONTROLLER 2037327528 2025-08-12 1 1 MARY-EVELYN ANTONETTI P00431862 2126976900 2025-08-05 2023 2025-03-06 01:10:19Z PATRICK CHARMEL 130 DIVISION STREET DERBY CT 06418 1 0 X N/A X 1984 CT THE ORGANIZATION IS THE PARENT COMPANY OF THE GRIFFIN HOSPITAL, (SEE SCHEDULE O)GRIFFIN FACULTY PHYSICIANS, INC., HEALTHCARE ALLIANCE INSURANCE COMPANY, LTD, GH VENTURES, INC., THE GRIFFIN HOSPITAL DEVELOPMENT FUND, INC., AND PLANETREE INTERNATIONAL, INC. X 20 17 0 20 -87435 0 0 0 0 0 84 -626430 626369 0 626453 -626430 0 0 0 0 426137 0 0 0 0 141446 0 567583 0 58870 -626430 3361569 1992452 742687 0 2618882 1992452 X THE ORGANIZATION IS THE PARENT COMPANY OF THE GRIFFIN HOSPITAL, GRIFFIN FACULTY PHYSICIANS, INC., HEALTHCARE ALLIANCE INSURANCE COMPANY, LTD, GH VENTURES, INC., THE GRIFFIN HOSPITAL DEVELOPMENT FUND, INC., AND PLANETREE INTERNATIONAL, INC. 1 1 THE ORGANIZATION PROVIDES PHARMACY SERVICES TO HOSPITAL PATIENTS AND OTHERS IN THE COMMUNITY. ON OCTOBER 1, 2023, THE ORGANIZATION SOLD THE PHARMACY TO GRIFFIN HOSPITAL. TO SUPPORT MEMBER HEALTHCARE ORGANIZATIONS IN ADVANCING INNOVATION AND EXCELLANCE IN PERSONALIZED PATIENT CARE, EDUCATION, COMMUNITY HEALTH, AND RESEARCH. 1 0 0 0 0 0 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 20 17 0 0 0 0 1 1 1 1 0 0 0 0 1 1 1 1 1 0 0 0 X DAVID MURCKO 2037321447 130 DIVISION STREET DERBY CT 06418 FREDERICK BROWNE MD DIRECTOR 0.15 40.23 X 0 453215 47176 PATRICK A CHARMEL DIRECTOR 1.00 49.15 X 0 969626 40515 DONNA DIGIANVITTORIO DIRECTOR (TILL 1/1/24) 0.15 0.23 X 0 0 0 NANCY DINARDO FIRST VICE CHAIRMAN 0.15 0.61 X X 0 0 0 JEAN CRUM JONES MPH RD DIRECTOR 0.15 0.23 X 0 0 0 GEORGE MITCHELL JR DIRECTOR 0.15 0.23 X 0 0 0 MARK PETERSON DIRECTOR 0.15 0.23 X 0 0 0 ROBERT G REISS DIRECTOR 0.15 0.46 X 0 0 0 GERALD T WEINER ESQ SECRETARY 0.15 0.46 X X 0 0 0 PHILIP WHITE CHAIRMAN 0.15 0.23 X X 0 0 0 FREDERICK STANEK ESQ DIRECTOR 0.15 0.38 X 0 0 0 LAURA MARASCO DIRECTOR 0.15 0.23 X 0 0 0 EDWARD J MCCREERY III ESQ DIRECTOR (TILL 1/1/24) 0.15 0.38 X 0 0 0 JOSEPH ANDREANA DIRECTOR 0.15 0.46 X 0 0 0 KENNETH BALDYGA TREASURER 0.15 0.46 X X 0 0 0 JOHN W BETKOSKI III IMMEDIATE PAST CHAIRMAN 0.15 0.61 X X 0 0 0 THEMIS KLARIDES THIRD VICE CHAIRMAN 0.15 0.46 X X 0 0 0 GEORGE S LOGAN SECOND VICE CHAIRMAN 0.15 0.46 X X 0 0 0 JOHN J ZAPRZALKA DIRECTOR 0.15 0.46 X 0 0 0 JAMES TICKEY DIRECTOR 0.15 0.23 X 0 0 0 JOSEPH SOKOL MD DIRECTOR 0.15 0.23 X 0 0 0 ROMAN SPIVAK MD DIRECTOR (JOINED 1/1/24) 0.15 40.23 X 0 367506 30839 ALEXANDER S BALKO CFO/ VP FINANCE 1.00 43.00 X 0 435982 42212 0 2226329 160742 0 0 1 0 0 1 1891 624540 -1891 -624539 -626430 -87435 -538995 -626430 0 -87435 -538995 0 0 0 0 582266 100652 400839 22925 507698 0 308514 66429 242085 242085 1891 0 1350156 1350156 276634 276634 3361569 1992452 504299 0 238388 0 742687 0 X 2618882 1992452 2618882 1992452 3361569 1992452 -626430 0 X X 0 1 X 1 0 X X 1 GRIFFIN HOSPITAL 060647014 3 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 242085 242085 66429 66429 0 242085 INVESTMENT IN VENTURES 460336 C INVESTMENT IN HAIC 889820 C 1350156 DUE FROM AFFILIATES 276634 276634 X PART X, LINE 2: BELOW IS AN EXCERPT FROM FOOTNOTE 1 OF THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR GRIFFIN HEALTH SERVICES CORPORATION AND SUBSIDIARIES. GHSC AND ITS SUBSIDIARIES, WITH THE EXCEPTION OF GHV AND HAIC, ARE NOT-FOR-PROFIT ORGANIZATIONS AND ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. GHSC AND ITS SUBSIDIARIES ACCOUNT FOR UNCERTAINTY IN INCOME TAX POSITIONS BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. GHV HAS UNUSED NET OPERATING LOSS CARRYFORWARDS OF APPROXIMATELY $5.8 MILLION AND $6.7 MILLION AVAILABLE TO OFFSET FUTURE TAXABLE INCOME AS OF SEPTEMBER 30, 2024 AND 2023, RESPECTIVELY. DEFERRED TAX ASSETS RELATE PRIMARILY TO THE TAX EFFECTS OF THE NET OPERATING LOSS CARRYFORWARDS. BECAUSE THERE IS NO ASSURANCE THAT GHV WILL HAVE TAXABLE INCOME IN THE FUTURE, THE DEFERRED TAX ASSETS HAVE BEEN FULLY OFFSET BY A VALUATION ALLOWANCE. HAIC, LOCATED IN THE CAYMAN ISLANDS, IS NOT SUBJECT TO INCOME, ESTATE, CORPORATION, CAPITAL GAINS OR OTHER TAXES PAYABLE UNDER CURRENT CAYMAN ISLANDS LAW. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN AND HAS CONCLUDED THAT AS OF SEPTEMBER 30, 2024 AND 2023, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. GHSC AND ITS SUBSIDIARIES ARE SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS. THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS PENDING OR IN PROGRESS. CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, 0 0 INVESTMENTS 890000 0 0 0 0 0 0 890000 0 890000 0 0 1 0 0 0 PART I, LINE 3: THE INVESTMENT INCLUDED IN PART 1, LINE 3 IS VALUED AT COST. 0 0 0 0 0 0 0 0 0 PATRICK A CHARMEL DIRECTOR 0 607624 0 360280 0 1722 0 8438 0 32077 0 1010141 0 0 FREDERICK BROWNE MD DIRECTOR 0 399045 0 52532 0 1638 0 12116 0 35060 0 500391 0 0 ALEXANDER S BALKO CFO/ VP FINANCE 0 380372 0 53888 0 1722 0 8238 0 33974 0 478194 0 0 ROMAN SPIVAK MD DIRECTOR (JOINED 1/1/24) 0 296061 0 69807 0 1638 0 9150 0 21689 0 398345 0 0 PART I, LINE 3 THE COMPENSATION OF THE PRESIDENT IS PAID BY GRIFFIN HOSPITAL. GRIFFIN HOSPITAL USES THE FOLLOWING METHODS TO DETERMINE COMPENSATION: - COMPENSATION COMMITTEE - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE RETAIL PHARMACY - CASH 2023-10-01 481614 NET BOOK VALUE 060647014 GRIFFIN HOSPITAL 130 DIVISION STREET DERBY CT 06418 501(C)(3) RETAIL PHARMACY - ACCOUNTS RECEIVABLE 2023-10-01 377914 NET BOOK VALUE 060647014 GRIFFIN HOSPITAL 130 DIVISION STREET DERBY CT 06418 501(C)(3) RETAIL PHARMACY - INVENTORY 2023-10-01 507698 NET BOOK VALUE 060647014 GRIFFIN HOSPITAL 130 DIVISION STREET DERBY CT 06418 501(C)(3) 0 0 0 0 FORM 990, PART III, LINE 2 TO SUPPORT MEMBER HEALTHCARE ORGANIZATIONS IN ADVANCING INNOVATION AND EXCELLANCE IN PERSONALIZED PATIENT CARE, EDUCATION, COMMUNITY HEALTH, AND RESEARCH. FORM 990, PART III, LINE 3 ON 10/1/2023 THE ORGANIZATION SOLD THE RETAIL PHARMACY TO GRIFFIN HOSPITAL AND CEASED CONDUCTING THE PHARMACY SERVICES. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER IS THE GRIFFIN HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER HAS THE RIGHT TO APPOINT THE BOARD OF DIRECTORS. THE GOVERNING MEMBERS OF THE ORGANIZATION ARE ELECTED AT THE ANNUAL MEETING. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBER SHALL HAVE THE EXCLUSIVE RIGHT (I) TO ELECT THE CORPORATION'S BOARD OF DIRECTORS AND TO APPOINT INDIVIDUALS TO FILL VACANCIES ON THE BOARD OF DIRECTORS; (II) TO AMEND THE BYLAWS OF THE CORPORATION; AND (III) TO REMOVE ANY DIRECTOR WITH OR WITHOUT CASE. THE MEMBER SHALL ALSO HAVE OTHER RIGHTS AND APPROVE FUNDAMENTAL CHANGES SUCH AS AMENDMENT OF THE CERTIFICATE OF INCORPORATION; MERGER OR SUBSTANTIAL TRANSFER OF ASSETS; SELL OR MORTGAGE SUBSTANTIALLY ALL OF THE ASSETS; OR DISSOLVE THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 8B GRIFFIN HEALTH SERVICES CORPORATION DID NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS REVIEWED BY MANAGEMENT PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C A CONFLICT OF INTEREST QUESTIONNAIRE IS SENT ANNUALLY AND DISCLOSED AT THE ANNUAL BOARD MEETING. THE QUESTIONNAIRE IS REVIEWED BY THE VICE PRESIDENT OF ACCOUNTABLE CARE AND GENERAL COUNSEL. IF A CONFLICT IS FOUND, THE INDIVIDUAL WILL RECUSE THEMSELVES FROM THE DISCUSSION OF THE MATTER. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: THE BOARD IS RESPONSIBLE FOR SELECTING AN INDEPENDENT AUDIT FIRM AND FOR OVERSEEING THE FINANCIAL STATEMENT PREPARATION PROCESS. THERE HAVE BEEN NO CHANGES IN THESE PROCEDURES SINCE THE PRIOR YEAR. GRIFFIN HOSPITAL 130 DIVISION STREET DERBY CT 06418 060647014 HOSPITAL CT 501(C)(3) LINE 3 GRIFFIN HEALTH SERVICES CORPORATION 1 GRIFFIN HOSPITAL DEVELOPMENT FUND 130 DIVISION STREET DERBY CT 06418 222560254 FUNDRAISING CT 501(C)(3) LINE 7 GRIFFIN HEALTH SERVICES CORPORATION 1 PLANETREE INTERNATIONAL INC 130 DIVISION STREET DERBY CT 06418 061505284 EDUCATION CT 501(C)(3) LINE 10 GRIFFIN HEALTH SERVICES CORPORATION 1 GRIFFIN FACULTY PHYSICIANS INC 130 DIVISION STREET DERBY CT 06418 061463147 MEDICAL SERVICES CT 501(C)(3) LINE 10 GRIFFIN HOSPITAL 0 GRIFFIN HEALTHCARE INC 130 DIVISION STREET DERBY CT 06418 222560248 BILLING SERVICES CT 501(C)(3) LINE 10 GRIFFIN HEALTH SERVICES CORPORATION 1 GH VENTURES INC 130 DIVISION STREET DERBY CT 06418 222560247 RENTAL REAL ESTATE CT GRIFFIN HEALTH SERVICES CORPORATION C 1371989 5841403 1.00000 1 HEALTHCARE ALLIANCE INSURANCE CO LTD 171 ELGIN AVENUE GEORGETOWN GRAND CAYMAN CJ OFFSHORE CAPTIVE INSURANCE CJ GRIFFIN HEALTH SERVICES CORPORATION C 4887542 16663003 1.00000 1 CT PRACTICE MANAGEMENT INC 130 DIVISION STREET DERBY CT 06418 061152819 INACTIVE CT N/A C 1.00000 1 GRIFFIN PHO INC 130 DIVISION STREET DERBY CT 06418 473552299 HEALTHCARE SERVICES CT GRIFFIN HOSPITAL C 503760 380265 1.00000 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 GRIFFIN HOSPITAL G 624538 NET BOOK VALUE