2025-08-13T15:27:06-05:00 2024-09-30 390859910 BAKER TILLY ADVISORY GROUP LP 66 HUDSON BLVD E SUITE 2200 NEW YORK NY 10001 990 2023-10-01 060647014 GRIFFIN HOSPITAL GRIF 2037327528 130 DIVISION STREET DERBY CT 06418 DAVID MURCKO CONTROLLER 2037327528 2025-08-12 1 1 MARY-EVELYN ANTONETTI P00431862 2126976900 2025-08-04 2023 2025-03-06 01:10:19Z PATRICK CHARMEL 130 DIVISION STREET DERBY CT 06418 277714973 0 X GRIFFINHEALTH.ORG X 1908 CT TO PROVIDE PERSONALIZED, HUMANISTIC, CONSUMER-DRIVEN HEALTH CARE IN A HEALING ENVIRONMENT. 21 17 2354 160 4824426 0 1818321 4658853 253203244 257235330 1932496 1898742 3539203 4555001 260493264 268347926 262245 647087 0 0 129080815 130575647 0 0 0 114404123 161834484 243747183 293057218 16746081 -24709292 207215998 209250162 153639397 138121816 53576601 71128346 X GRIFFIN HOSPITAL IS COMMITTED TO PROVIDING PERSONALIZED, HUMANISTIC, CONSUMER-DRIVEN HEALTH CARE IN A HEALING ENVIRONMENT, TO EMPOWERING INDIVIDUALS TO BE ACTIVELY INVOLVED IN DECISIONS AFFECTING THEIR CARE AND WELL-BEING THROUGH ACCESS TO INFORMATION AND EDUCATION. (SCH. O)GRIFFIN HOSPITAL IS ALSO COMMITTED TO PROVIDING LEADERSHIP TO IMPROVE THE HEALTH OF THE COMMUNITY WE SERVE. 0 0 239384457 647087 242654866 GRIFFIN HOSPITAL IS AN ACUTE CARE HOSPITAL PROVIDING MEDICAL CARE TO PATIENTS IN COMMUNITIES SERVED, INCLUDING SUBSIDIZED CARE, CHARITY CARE, AND EDUCATIONAL SERVICES TO HEALTH PROFESSIONALS TO HELP PREPARE THE NEXT GENERATION OF CAREGIVERS. 4277116 3999171 PROVIDE PSYCHIATRIC SERVICES TO THE COMMUNITY ON AN OUTPATIENT BASIS. 1776267 7256712 PROVIDE CANCER RELATED RADIOLOGY SERVICES TO THE COMMUNITY. 174765 340920 PROVIDE HOSPICE SERVICES TO THE COMMUNITY. 174765 340920 245612605 1 1 0 1 0 0 0 0 0 1 1 0 1 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 221 0 1 2354 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 21 17 0 0 0 0 0 1 0 1 1 0 0 0 1 1 1 1 1 1 1 1 1 CT X DAVID MURCKO 2037321447 130 DIVISION STREET DERBY CT 06418 JOHN W BETKOWSKI III TRUSTEE 0.23 0.53 X 0 0 0 ROBERT G REISS TRUSTEE 0.23 0.38 X 0 0 0 PHILLIP WHITE CHAIRMAN 0.23 0.15 X X 0 0 0 PATRICK A CHARMEL CEO/PRESIDENT, BOD SECRETARY 45.00 5.15 X X 969626 0 40515 NANCY DINARDO TRUSTEE 0.23 0.53 X 0 0 0 MARK PETERSON TRUSTEE 0.23 0.15 X 0 0 0 MARIA DAWE MD TRUSTEE/PHYSICIAN 40.00 0.00 X 462035 0 41485 LAURA MARASCO TRUSTEE 0.23 0.15 X 0 0 0 KENNETH BALDYGA TRUSTEE 0.23 0.38 X 0 0 0 JOSEPH SOKOL MD TRUSTEE 0.23 0.15 X 0 0 0 JOSEPH ANDREANA TRUSTEE 0.23 0.38 X 0 0 0 THEMIS KLARIDES TRUSTEE 0.23 0.38 X 0 0 0 JOHN J ZAPRZALKA TRUSTEE 0.23 0.38 X 0 0 0 JAMES TICKEY TRUSTEE 0.23 0.15 X 0 0 0 DONNA DIGIANVITTORIO TRUSTEE (TILL 1/1/24) 0.23 0.15 X 0 0 0 EDWARD J MCCREERY III ESQ TRUSTEE (TILL 1/1/24) 0.23 0.30 X 0 0 0 JEAN CRUM JONES MPH RD TRUSTEE 0.23 0.15 X 0 0 0 FREDERICK BROWNE MD TRUSTEE 0.23 40.15 X 0 453215 47176 GEORGE MITCHELL JR TRUSTEE 0.23 0.15 X 0 0 0 GEORGE S LOGAN TRUSTEE 0.23 0.38 X 0 0 0 GERALD T WEINER ESQ TRUSTEE 0.23 0.38 X 0 0 0 FREDERICK STANEK ESQ TRUSTEE 0.23 0.30 X 0 0 0 ROMAN SPIVAK MD TRUSTEE 0.23 40.15 X 0 367506 30839 ALEXANDER S BALKO CFO/VP FINANCE 40.00 4.00 X 435982 0 42212 RICHARD DAIGLE CHIEF INFORMATION OFFICER 40.00 0.00 X 290583 0 8612 TODD LIU CHIEF OPERATING OFFICER/EVP 40.00 0.00 X 288101 0 40074 STEPHEN MORDECAI CHIEF HUMAN RESOURCE OFFICER 40.00 0.00 X 227562 0 40299 KIMBERLEE E RICHARD VP 40.00 0.00 X 297051 0 8846 MIHAELA BORAN MD PHYSICIAN 40.00 0.00 X 231191 0 39617 KAREN O'FLYNN MD DIRECTOR 40.00 0.00 X 400685 0 41888 MYRA ODENWAELDER VP 40.00 0.00 X 213090 0 39578 ADAM DWORKIN VP 40.00 0.00 X 193293 0 35836 4009199 820721 456977 270 0 1 0 UNIDINE CORP P O BOX 102289 ATLANTA GA 303682289 FOOD SERVICE 2727879 TRIMEDX 5451 LAKEVIEW PKWY S DRIVE INDIANAPOLIS IN 46268 ASSET MANAGEMENT SERVICES 2586426 SIEMENS HEALTHCARE DIAGNOSTICS 511 BENEDICT AVENUE TARRYTOWN NY 10591 LAB SERVICES 1567186 MINDLANCE HEALTH LLC 1095 MORRIS AVENUE UNION NJ 07083 HEALTHCARE STAFFING SERVICES 1444049 QUEST DIAGNOSTICS P O BOX 844217 BOSTON MA 022844217 LAB SERVICES 1438196 165 244892 4069064 344897 4658853 PATIENT SERVICE REVENUE 621110 242477241 237878957 4598284 STATE SUPPLEMENTAL REVENUE 900099 10235350 10235350 OTHER PROGRAM SERVICES 621500 2722093 2722093 TUITION/EDUCATION REVENUE 900099 1800646 1800646 257235330 1554339 1554339 446733 0 446733 446733 446733 3056092 287328 2891249 107768 164843 179560 344403 344403 7616581 6368030 1248551 175658 1072893 CAFETERIA INCOME 900003 1194610 1194610 REBATES 900003 940684 940684 OVERHEAD 900003 724423 673939 50484 2859717 268347926 254251669 4824426 4612978 575794 575794 71293 71293 2671860 541083 2130777 100887794 83254406 17633388 205779 205779 18673694 16514292 2159402 8136520 7135983 1000537 652219 652219 291144 291144 65344 65344 67714 67714 17567320 10609851 6957469 1083147 1083147 3434290 2688947 745343 1698888 1219027 479861 7256250 5000030 2256220 2455500 1290550 1164950 2657527 1973539 683988 7738339 6022106 1716233 5149585 3884497 1265088 PENSION SETTLEMENT 42444221 42444221 0 MEDICAL & DRUG SUPPLIES 40305318 37046890 3258428 STATE HOSPITAL TAX EXP 13884194 13884194 PHYSICIAN FEES 5087704 2896908 2190796 9995780 8353215 1642565 293057218 245612605 47444613 0 1464 3753 21519870 17440878 21039292 22983690 2502975 2722122 2811364 2978703 188136036 109401993 80962338 78734043 34010239 41723087 3416799 4029981 13086880 14460259 27864777 24173646 207215998 209250162 34719259 37405201 411743 1161992 66977472 66582744 2765000 1545000 48765923 31426879 153639397 138121816 X 45602726 61208158 7973875 9920188 53576601 71128346 207215998 209250162 X -24709292 6679406 35581631 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 65344 65344 0 PART II-B, LINE 1: THE GRIFFIN HOSPITAL PAID FOR MEMBERSHIP DUES TO THE CONNECTICUT HOSPITAL ASSOCIATION. FOR THE FISCAL YEAR ENDED 9/30/2024, $65,344 OF THE MEMBERSHIP DUES PAID WAS USED FOR LOBBYING ON ISSUES RELEVANT TO THE ORGANIZATION'S EXEMPT PURPOSE. 2459612 11616 394409 648746 2216891 2262198 197414 2459612 2548618 -286420 2262198 2311362 237256 2548618 2253053 58309 2311362 0.00000 0.54690 0.45310 1 0 5894429 5894429 96084028 47504136 48579892 84787400 61820521 22966879 1370179 77336 1292843 78734043 INTEREST IN NET ASSETS OF AFFILIATE 12301957 C INVESTMENT IN AFFILIATE 2158302 C 14460259 DUE FROM AFFILIATES 3699552 REINSURANCE RECOVERABLE 2823270 DEBT ISSUANCE COSTS 1373784 OPERATING LEASE RIGHT-OF-USE ASSET 9078262 ASSETS LIMITED AS TO USE 1152903 UNDER INDENTURE AGREEMENT 4340203 SECURITY DEPOSITS 480000 OTHER CURRENT ASSETS 1225672 24173646 ACCRUED POSTRETIREMENT BENEFIT LIABILITY 7466377 PROFESSIONAL AND GENERAL LIABILITY LOSS RESERVES 4256742 WORKERS COMPENSATION LOSS RESERVES 3276567 ACCRUED INTEREST PAYABLE 761128 CONDITIONAL ASSET RETIREMENT OBLIGATIONS 95831 ESTIMATED THIRD-PARTY SETTLEMENTS 6289379 DUE TO AFFILIATES 115585 OPERATING LEASE LIABILITY 9165270 31426879 X PART V, LINE 4: THE HOSPITAL'S ENDOWMENT FUNDS CONSIST OF DONOR RESTRICTED FUNDS TO BE INVESTED IN PERPETUITY TO PROVIDE A PERMANENT SOURCE OF INCOME. PART X, LINE 2: 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. 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. 1 1 1 X 250.000000000000 1 X 1 1 0 1 1 9875 6475075 4155328 2319747 0.00800 235 57297632 44329863 12967769 0.04460 0 0 0 10110 63772707 48485191 15287516 0.05260 53780 659234 51027 608207 0.00210 784 13110594 9615349 3495245 0.01200 37621 29700526 27607724 2092802 0.00720 0 850060 721954 128106 0.00040 13503 1085945 168888 917057 0.00320 105688 45406359 38164942 7241417 0.02490 115798 109179066 86650133 22528933 0.07750 7323 7323 0.00000 36009 36009 0.00010 34808 34808 0.00010 100 986 986 0.00000 100 79126 79126 0.00020 1 365858 0 70904581 90405113 -19500532 X 1 1 1 1 GRIFFIN HOSPITAL 130 DIVISION STREET DERBY CT 06418 WWW.GRIFFINHEALTH.ORG 34 X X X X X GRIFFIN HOSPITAL 1 0 0 1 X X X X X X X X X 21 1 0 1 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 1 21 1 SEE PART V, PAGE 8 0 1 X 250.000000000000 400.000000000000 X X X X X 1 1 X X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X 1 X 0 X X X X 1 X 0 0 GRIFFIN HOSPITAL PART V, SECTION B, LINE 5: TO GATHER INPUT FROM PUBLIC HEALTH AND THE GENERAL PUBLIC, GRIFFIN HOSPITAL PARTICIPATED IN THE CREATION OF THE 2022 VALLEY COMMUNITY INDEX. THE 2022 VALLEY COMMUNITY INDEX WAS CREATED IN PARTNERSHIP WITH A DATAHAVEN. THIS REPORT REFLECTS THE MOST RECENT DATA COLLECTION EFFORTS TO EXAMINE THE SOCIAL, ECONOMIC, AND PHYSICAL HEALTH OF THE VALLEY AND CONTINUES WHERE THE 2019 COMMUNITY INDEX REPORT LEFT OFF. REGIONAL LEADERS FROM A RANGE OF MULTIDISCIPLINARY ORGANIZATIONS HAVE COME TOGETHER TO EXAMINE WHAT HAS OCCURRED IN THE VALLEY IN THE LAST THREE YEARS. GRIFFIN HEALTH HAS STRONG AND LONGSTANDING PARTNERSHIPS WITH OTHER ORGANIZATIONS AND SOCIAL SERVICE AGENCIES IN THE REGION, INCLUDING THE NAUGATUCK VALLEY HEALTH DISTRICT, THE COMMUNITY BASED VALLEY COUNCIL FOR HEALTH AND HUMAN SERVICES, THE ALLIANCE FOR PREVENTION & WELLNESS, THE VALLEY UNITED WAY, TEAM, INC. ("TEAM"), AND THE VALLEY COMMUNITY FOUNDATION. THE CHNA HELPED INFORM THE COMMUNITY HEALTH IMPROVEMENT PLAN, WHICH WAS DEVELOPED JOINTLY BY GRIFFIN AND THE NAUGATUCK VALLEY HEALTH DEPARTMENT TO OUTLINE THE KEY HEALTH IMPROVEMENT INITIATIVES ADOPTED BY BOTH ORGANIZATIONS FOR THE UPCOMING THREE-YEAR PERIOD.THROUGH AN INNOVATIVE POPULATION HEALTH INITIATIVE, GRIFFIN HEALTH HAS BEEN ACTIVELY IMPACTING THE HEALTH AND WELL-BEING OF INDIVIDUALS IN THE LOWER NAUGATUCK VALLEY AREA. GRIFFIN HAS STRATEGICALLY EMPLOYED SOCIAL WORKERS, COUNSELORS, COMMUNITY OUTREACH NURSES, AND ESTABLISHED COMMUNITY PARTNERSHIPS TO ADDRESS THE ROOT CAUSES OF SOCIAL INFLUENCES ON HEALTH, OFTEN LEADING TO CHRONIC DISEASES AND RECURRING HOSPITALIZATIONS.THE STRATEGIC IMPLEMENTATION OF POPULATION HEALTH INITIATIVES, ALLOWS GRIFFIN TO BROADEN ITS IMPACT IN THE COMMUNITY. THIS INTERDISCIPLINARY APPROACH ENSURES THAT INDIVIDUALS NOT ONLY RECEIVE REFERRALS TO ESSENTIAL SERVICES BUT ALSO BENEFIT FROM THE SUPPORT AND EXPERTISE OF PROFESSIONALS WHO UNDERSTAND THE COMPLEX INTERPLAY OF SOCIAL FACTORS AFFECTING HEALTH.THROUGH VOLUNTEER EFFORTS, GRIFFIN ACTIVELY COORDINATES FOOD DROPS, BLOOD PRESSURE SCREENINGS AND HEALTH EDUCATIONAL SERIES AT SENIOR CENTERS, HOUSING AUTHORITIES, AND OTHER SOCIALLY VULNERABLE COMMUNITIES. THIS DIRECT AND HANDS-ON APPROACH UNCOVERS MULTIPLE INDIVIDUALS IN NEED OF ADDITIONAL ASSISTANCE. RECOGNIZING THE IMPORTANCE OF LONG-TERM FOLLOW-UP TO ADDRESS ILLNESS AND DISEASE, GRIFFIN'S CERTIFIED COUNSELORS AND COMMUNITY HEALTH WORKERS ATTEND THESE EVENTS TO ASSIST ATTENDEES IN ENROLLING IN BENEFICIAL SOCIAL SUPPORT PROGRAMS. GRIFFIN HEALTH'S PROACTIVE INVOLVEMENT ENSURES THAT COMMUNITY MEMBERS HAVE ACCESS TO VITAL RESOURCES. OFTEN DURING FOLLOW-UP OUTREACH, IT IS REVEALED THAT INDIVIDUALS FACE CHALLENGES WITH RESOURCES AND COMMUNICATION, HINDERING THEIR ABILITY TO ACCESS COMMUNITY RESOURCES.TO AID THE PROCESS, GRIFFIN UTILIZES UNITE US, A DIGITAL PLATFORM, AS A SUPPORTIVE MECHANISM TO QUICKLY SCREEN AND REFER PATIENTS TO COMMUNITY ORGANIZATIONS LIKE TEAM INC. LEVERAGING TECHNOLOGY AS A TOOL, GRIFFIN ENSURES DILIGENT TRACKING AND TIMELY RESOURCE FOLLOW-UPS TO MAKE SURE THAT INDIVIDUALS WHO WERE REFERRED TO COMMUNITY BENEFIT SERVICES CAN RECEIVE THE VALUABLE RESPONSES. THROUGH THIS METICULOUS TRACKING AND TIMELY RESOURCE FOLLOW-UP PROCESS, GRIFFIN ENSURES A MEANINGFUL IMPACT ON THE LIVES OF THOUSANDS THROUGH DIRECT COMMUNITY ENGAGEMENT.GRIFFIN HEALTH HAS CULTIVATED STRONG PARTNERSHIPS WITH COMMUNITY BENEFIT ORGANIZATIONS, SUCH AS TEAM INC., A DERBY-BASED ANTI-POVERTY AGENCY. THIS COLLABORATIVE APPROACH INVOLVES HOLDING CASE CONFERENCES WITH PATIENTS, DISCUSSING CHALLENGES WITH TEAM, AND ORGANIZING IN-PERSON MEETINGS TO WORK ALONGSIDE TEAM CASE MANAGERS ON UTILITY ASSISTANCE, CHILDCARE SUPPORT, DIAPER ASSISTANCE, MEAL ASSISTANCE, HOUSING AID, AND EMPLOYMENT TRAINING. THESE COLLABORATIVE EFFORTS HELP TO ADDRESSES IMMEDIATE HEALTH-RELATED SOCIAL NEEDS AND ACTIVELY BUILD A RESILIENT AND CONNECTED COMMUNITY TO MAKE A LASTING IMPACT ON THE WELL-BEING OF INDIVIDUALS AND FAMILIES IN THE LOWER NAUGATUCK VALLEY. GRIFFIN HOSPITAL PART V, SECTION B, LINE 6B: GRIFFIN'S CHNA WAS CONDUCTED WITH MANY DIFFERENT ORGANIZATIONS. TO UNDERSTAND THE VALLEY REGION, THE 2022 VALLEY COMMUNITY INDEX WAS PRODUCED BY THE VALLEY COMMUNITY FOUNDATION AND DATA HAVEN, OCTOBER 2022.THIS REPORT REFLECTS THE MOST RECENT DATA COLLECTION EFFORTS TO EXAMINE THE SOCIAL, ECONOMIC, AND PHYSICAL HEALTH OF THE VALLEY AND CONTINUES WHERE THE 2019 COMMUNITY INDEX REPORT LEFT OFF.LISTED BELOW ARE THE REGIONAL LEADERS FROM A RANGE OF MULTIDISCIPLINARY ORGANIZATIONS WHICH HAVE COME TOGETHER TO EXAMINE WHAT HAS OCCURRED PRIOR TO THE CHNA:DATAHAVEN VALLEY COMMUNITY FOUNDATION, INC. BASSETT FAMILY FUND KATHARINE MATTHIES FOUNDATION, BANK OF AMERICA, N.A., TRUSTEE VALLEY UNITED WAY THE MUNICIPALITIES OF THE LOWER NAUGATUCK VALLEY REGIONNAUGATUCK VALLEY COUNCIL OF GOVERNMENTS NAUGATUCK VALLEY HEALTH DISTRICT THE COMMUNITY FOUNDATION FOR GREATER NEW HAVENAGENCY ON AGING, SOUTH CENTRAL CT ALLIANCE FOR PREVENTION & WELLNESS AMERICAN RED CROSS AMERICAN HEART ASSOCIATIONANSONIA YOUTH SERVICES BUREAU AREA CONGREGATIONS TOGETHER (ACT-SPOONER) BHCARE BOYS & GIRLS CLUB OF THE LOWER NAUGATUCK VALLEY CONNECTICUT PARTNERSHIP FOR CHILDREN CORNELL SCOTT HEALTH CENTER DERBY NECK LIBRARY DERBY YOUTH SERVICES BUREAU GREATER VALLEY CHAMBER OF COMMERCE GRIFFIN HEALTH SERVICES JULIA DAY NURSERY MASSARO FARM NAUGATUCK ECONOMIC DEVELOPMENT CORPORATION NAUGATUCK VALLEY COUNCIL OF GOVERNMENTS NAUGATUCK VALLEY HEALTH DISTRICT (NVHD) NAUGATUCK YMCA PARENT CHILD RESOURCE CENTER SALVATION ARMY, LOWER NAUGATUCK VALLEY CHAPTER SHELTON ECONOMIC DEVELOPMENT CORPORATION ST. VINCENT DE PAUL, VALLEY CHAPTER TEAM, INC. TRAVELER ON A MISSION UMBRELLA CENTER FOR DOMESTIC VIOLENCE UR COMMUNITY CARES VALLEY PARISH NURSES VALLEY UNITED WAY VALLEY YMCA YALE-GRIFFIN PREVENTION RESEARCH CENTERREPRESENTATIVES FROM THE VALLEY COUNCIL FOR HEALTH & HUMAN SERVICES REPRESENTATIVES FROM MUNICIPAL GOVERNMENTS AND SCHOOL DISTRICTS THROUGHOUT THE VALLEY PART V, SECTION B, LINE 7A:'HTTPS://WWW.GRIFFINHEALTH.ORG/ABOUT/DOCUMENTS-PUBLICATIONS/CHNA/PART V, SECTION B, LINE 7B:'HTTPS://WWW.GRIFFINHEALTH.ORG/ABOUT/DOCUMENTS-PUBLICATIONS/CHNA/PART V, SECTION B, LINE 10A:'HTTPS://WWW.GRIFFINHEALTH.ORG/ABOUT/DOCUMENTS-PUBLICATIONS/CHNA/ GRIFFIN HOSPITAL PART V, SECTION B, LINE 11: THE 2022-2024 COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) FOR THE NAUGATUCK VALLEY COMMUNITIES IS PART OF A REGIONAL INITIATIVE THAT SUPPORTS REGULATORY AND ACCREDITATION REQUIREMENTS OF BOTH GRIFFIN HOSPITAL AND NAUGATUCK VALLEY HEALTH DISTRICT. THE OVERALL GOAL OF THIS COMMUNITY HEALTH IMPROVEMENT PLAN IS TO ADDRESS CHRONIC CONDITIONS THAT AFFECT THE HEALTH OF OUR COMMUNITY, AND TO HELP REDUCE DISPARITIES IN THE HEALTH OF VARIOUS SEGMENTS OF THE VALLEY POPULATION. THE CHIP OUTLINES KEY OBJECTIVES AND STRATEGIES THAT ADDRESS DETERMINANTS OF HEALTH AND IMPROVE HEALTH EQUITY. THIS ROADMAP FOR IMPROVED HEALTH RESULTS FROM THE CONSISTENT DEDICATION OF NUMEROUS VALLEY PARTNERSHIPS, WORKING TOGETHER IN A COLLABORATIVE PLANNING PROCESS. FROM NOVEMBER-DECEMBER 2022, APPROXIMATELY 100 STAKEHOLDERS FROM A WIDE RANGE OF COMMUNITY AGENCIES AND THE PUBLIC REVIEWED THE TOP CONCERNING PUBLIC HEALTH ISSUES IDENTIFIED IN THE 2022 VALLEY COMMUNITY INDEX, RESULTING IN IDENTIFICATION OF THE FOLLOWING KEY HEALTH PRIORITIES FOR THE VALLEY. THE AREAS OF FOCUS ARE:1. MENTAL HEALTH 2. SUBSTANCE USE 3. EQUITABLE ACCESS TO HEALTH SERVICES MENTAL HEALTHTO REVIEW, VET AND DOCUMENT MENTAL HEALTH SERVICES AVAILABLE IN THE SEVEN TOWNS IN THE NAUGATUCK VALLEY AND IMPLEMENT PROGRAMS WHERE GAPS IN SUPPORT AND CARE ARE FOUND. THIS INCLUDES GAINING FULL PARTNERSHIP AND SUPPORT OF THE LEADERS AND APPROPRIATE OFFICIALS IN EACH TOWN, EVIDENCED BY FOSTERING FULL IMPLEMENTATION OF AT LEAST THREE MITIGATION SOLUTIONS TO CHALLENGES FOUND DURING DISCOVERY AND RESEARCH PHASE. 1. INCREASE ACCESS TO MENTAL HEALTH SERVICES IN THE SEVEN TOWNS WITHIN NAUGATUCK VALLEY. 2. DEVELOP NAUGATUCK VALLEY MENTAL HEALTH RESOURCE DIRECTORY 3. INCREASE TRAININGS AVAILABLE FOR STAFF IN BOTH SCHOOLS AND YOUTH-BASED ORGANIZATIONS TO PROVIDE YOUTH WITH THE TOOLS TO HELP IDENTIFY MENTAL HEALTH ISSUES AND INTERVENTIONS. 4. DEVELOP MEASUREMENT TOOLS TO TRACK SUCCESSFUL IMPLEMENTATION 5. SECURE BUY IN FROM TOWN LEADERSHIP AND APPROPRIATE OFFICIALS SUBSTANCE USE TO DECREASE SUBSTANCE MISUSE AND DEATHS THROUGH EVIDENCE-BASED INTERVENTIONS AND EDUCATION FOCUSING ON OPIOIDS, ALCOHOL USE, AND VAPING CANNABIS AND TOBACCO PRODUCTS. 1. INVENTORY CURRENT WORKING GROUPS/COALITIONS, PROGRAMS AND/OR INITIATIVES THAT ARE CURRENTLY ADDRESSING THESE AREAS 2. CREATE A RESOURCE DIRECTORY 3. COMPLETE STRATEGIC PREVENTION FRAMEWORK (SPF) AMONG WORKGROUP AND APPLY FRAMEWORK TO OBJECTIVES. 4. REDUCE ED VISITS FOR ALCOHOL INTOXICATION 5. IMPLEMENT INTERVENTIONS AND TRACK PROGRESS 6. PUBLISH A QUARTERLY DATA REPORT DURING EACH FISCAL YEAR OF THE CHIP EQUITABLE ACCESS TO HEALTH SERVICES TO GAIN A COMPREHENSIVE UNDERSTANDING OF ACCESS TO HEALTH SERVICESTHAT MAY OR MAY NOT BE EQUITABLE, AND THAT IMPACT THE HEALTH AND WELLBEING OF THE COMMUNITY. ADDITIONALLY, WE WANT TO IDENTIFY AND ADDRESS BARRIERS FOR EACH, AND WORKWITH POLICY MAKERS AND COMMUNITY PARTNERS (AGENCIES AND RESIDENTS) TO CREATE SOLUTIONS TO IMPROVE EQUITABLE ACCESS TO HEALTH SERVICES. 1. CREATE A DETAILED INVENTORY OF SERVICES AND MEDICAL, DENTAL, AND BEHAVIORAL HEALTH PRACTICES WITH SPECIFIC INFORMATION.2. CREATE AND DISSEMINATE ROADMAP TO IMPROVE EQUITABLE ACCESS TO PROVIDER GROUPS IN THE NAUGATUCK VALLEY.3. IDENTIFY BARRIERS TO EQUITABLE ACCESS TO HEALTH SERVICES. GRIFFIN HOSPITAL PART V, SECTION B, LINE 13B: OTHER CRITERIA BEYOND FPG ARE ALSO CONSIDERED (I.E., AVAILABILITY OF CASH OR OTHER ASSETS THAT MAY BE CONVERTED TO CASH, AND EXCESS MONTHLY NET INCOME RELATIVE TO MONTHLY HOUSEHOLD EXPENDITURES), WHICH MAY RESULT IN EXCEPTIONS TO THE PRECEDING. PART V, LINE 16A, FAP WEBSITE: THE FAP WAS WIDELY AVAILABLE ON A WEBSITE: HTTPS://WWW.GRIFFINHEALTH.ORG/GRIFFIN-HOSPITAL/BILLING-INSURANCE/FINANCIAL-ASSISTANCE-PROGRAM PART V, LINE 16B, FAP APPLICATION WEBSITE: THE FAP WAS WIDELY AVAILABLE ON A WEBSITE: HTTPS://WWW.GRIFFINHEALTH.ORG/GRIFFIN-HOSPITAL/BILLING-INSURANCE/FINANCIAL-ASSISTANCE-PROGRAM PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: THE FAP WAS WIDELY AVAILABLE ON A WEBSITE: HTTPS://WWW.GRIFFINHEALTH.ORG/GRIFFIN-HOSPITAL/BILLING-INSURANCE/FINANCIAL-ASSISTANCE-PROGRAM 7 1 - CANCER CENTER AMBULATRY CARE 350 SEYMOUR AVENUE DERBY CT 06418 MEDICAL CANCER CENTER 2 - IMAGING & RADIOLOGY AT IVY BROOK SHELTO 2 IVY BROOK ROAD SUITE 130 SHELTON CT 06484 IMAGING CENTER 3 - OCCUPATIONAL MEDICINE CENTER 10 PROGRESS DRIVE SHELTON CT 06484 OCCUPATIONAL MEDICINE 4 - GRIFFIN HOSPITAL IMAGING AND DIAGNOSTICS 300 OXFORD ROAD OXFORD CT 06478 IMAGING AND DIAGNOSTICS 5 - GHSC BLOOD DRAWING STATION 22 WESTFIELD AVENUE ANSONIA CT 06401 BLOOD DRAWING STATION 6 - GRIFFIN HEALTH OUTPATIENT PSYCHIATRY 10 PROGRESS DRIVE 2ND FLOOR SHELTON CT 06484 OUTPATIENT PSYCHIATRY 7 - GRIFFIN HEALTH OUTPATIENT PSYCHIATRY 2313 WHITNEY AVE HAMDEN CT 06518 OUTPATIENT PSYCHIATRY PART I, LINE 3C: OTHER CRITERIA BEYOND FPG ARE ALSO CONSIDERED (I.E., AVAILABILITY OF CASH OR OTHER ASSETS THAT MAY BE CONVERTED TO CASH, AND EXCESS MONTHLY NET INCOME RELATIVE TO MONTHLY HOUSEHOLD EXPENDITURES) PART I, LINE 7: CHARITY CARE AND OTHER COMMUNITY BENEFITS TABLE WERE CALCULATED USING A COST ACCOUNTING SYSTEM OR COST TO CHARGE RATIO. THE COST ACCOUNTING SYSTEM ADDRESSES ALL PATIENT SEGMENTS AND ASSIGNS COST TO INDIVIDUAL SERVICES PART I, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 2,046,478. PART I, LINE 7E-COMMUNITY HEALTH IMPROVEMENT SERVICES & COMMUNITY BENEFIT: AS A PATIENT-CENTERED HEALTH CARE SYSTEM, GRIFFIN HOSPITAL IS COMMITTED TO PARTNERING WITH OUR COMMUNITY TO PROMOTE WELLNESS THROUGH A WIDE VARIETY OF PROGRAMS AND SERVICES. GRIFFIN-SPONSORED EVENTS - AS A PROUD MEMBER OF THE NAUGATUCK VALLEY COMMUNITY, GRIFFIN HOSPITAL WORKS IN TANDEM WITH OTHER COMMUNITY ORGANIZATIONS TO STRENGTHEN OUR CITIZENS, ENCOURAGE POSITIVE RELATIONSHIPS, FACILITATE ONGOING WELLNESS AND PROVIDE ONGOING SUPPORT TO THOSE IN NEEDS. VALLEY PARISH NURSE PROGRAM - VALLEY PARISH NURSES SERVE AS COORDINATORS BETWEEN THE CLERGY, PARISH, AND RESOURCES IN THE COMMUNITY, SUCH AS HOSPITALS AND OTHER SOCIAL SERVICE AGENCIES. ADVANCE CARE PLANNING - PLAN NOW TO ENSURE THAT YOUR WISHES FOR END-OF-LIFE DECISIONS ARE UNDERSTOOD, RESPECTED, AND HONORED BY LOVED ONES AND HEALTHCARE PROVIDERS. HEALTH INITIATIVE FOR MEN (HIM) - THE GOAL OF THE HIM IS TO INFLUENCE MEN TO SEEK THEIR PHYSICIAN ANNUALLY, AND TO BE SCREENED FOR VARIOUS DISEASES THAT RESPOND BETTER TO TREATMENT IF DETECTED EARLY. THE VALLEY WOMEN'S HEALTH INITIATIVE (WHI) IS COMPRISED OF MEMBERS OF THE COMMUNITY WORKING TOWARD A COMMON GOAL OF ADDRESSING AND IMPROVING WOMEN'S HEALTH ISSUES INCLUDING BREAST CANCER AWARENESS AND HEART DISEASE. WOMEN'S HEART WELLNESS COMMITTEE A COMMUNITY INITIATIVE FOCUSED ON EDUCATION, OUTREACH, AND PREVENTION. HEALTH RESOURCE CENTER - THE COMMUNITY HEALTH RESOURCE CENTER (HRC) AT GRIFFIN HOSPITAL IS A TRADITIONAL FREE LENDING LIBRARY THAT PROVIDES AN ARRAY OF MEDICAL AND HEALTH INFORMATION. PERSONAL EMERGENCY PREPAREDNESS - GRIFFIN HOSPITAL DEPARTMENT OF EMERGENCY MANAGEMENT (EM) HELPS TO PREPARE THE COMMUNITY IN CASE OF A DISASTER OR EMERGENCY SITUATION. THIS PAGE PROVIDES SAFETY AND PREPAREDNESS TIPS AS WELL AS IMPORTANT LOCAL AND GOVERNMENTAL CONTACTS.PLANETREE WELLNESS EDUCATION SERIES - GRIFFIN HOSPITAL'S PLANETREE EDUCATION IS PROUD TO OFFER THIS FREE HEALTH EMPOWERMENT SERIES OF FUN AND EDUCATIONAL TALKS FOR MEMBERS OF OUR COMMUNITY. SAFE KIDS - GRIFFIN HOSPITAL'S SAFE KIDS GREATER NAUGATUCK VALLEY COALITION IS AVAILABLE TO EDUCATE CHILDREN AND ADULTS ON VARIETY OF HEALTH AND SAFETY PROGRAMS TO REDUCE UNINTENTIONAL INJURIES AMONG CHILDREN. IN ADDITION TO PROVIDING HEALTH INFORMATION AND SERVICES TO THE PUBLIC AT THE HOSPITAL AND OTHER SATELLITE LOCATIONS, GRIFFIN TAKES THESE ACTIVITIES INTO THE COMMUNITIES WHERE PATIENTS LIVE, WORK, AND WORSHIP. BY OFFERING A VARIETY OF SUPPORT GROUPS, TRAINING SESSIONS, EDUCATIONAL PROGRAMS, AND OTHER COMMUNITY-BASED RESOURCES AND ACTIVITIES, AND COLLABORATING WITH OTHER NON-PROFIT ORGANIZATIONS AND GOVERNMENT ENTITIES, GRIFFIN HAS EXTENDED ITS MISSION "TO PROVIDE LEADERSHIP TO IMPROVE THE HEALTH OF THE COMMUNITY SERVED" FAR BEYOND THE HOSPITAL'S WALLS. SPECIAL PROGRAMS WERE HELD ON THE FOLLOWING TOPICS AT LOCAL CHURCHES, LIBRARIES, HOSPITAL, SENIOR CENTERS, AFTER SCHOOL PROGRAMS, DAYCARES, SCHOOLS, AND PRIVATE COMPANIES: MONTHLY ACP -ACCOUNTABLE CARE PLANNING, ACCESS HEALTH ASSISTANCE, BREAST WELLNESS, DIABETES EDUCATION, MANAGING CHRONIC CONDITIONS, HEALTHY SLEEP, HOLIDAY BLUES, FALL PREVENTION, TRANSPORTING CHILDREN WITH SPECIAL NEEDS, AARP SAFE DRIVING, TEEN SAFE DRIVING, CHILD PASSENGER SAFETY , CPR ANYTIME, VOLUNTEER PARISH NURSES FROM NUMEROUS DIFFERENT PARISHES AFFILIATED WITH THE VPNP AT GRIFFIN HOSPITAL PARTICIPATED FOR THE PROGRAM YEAR. CONTACTS INCLUDED OFFICE HOUR VISITS, HOME, HOSPITAL AND NURSING HOME VISITS, PHONE CALLS, AND BULLETIN DELIVERIES, HEALTH AND WELLNESS PROGRAMS WERE HOSTED AT THE VARIOUS CHURCHES. GRIFFIN HOSPITAL COMMUNITY OUTREACH STAFF VISITED MANY COMMUNITY SITES CONSISTING OF LOCAL CHURCHES, FOOD BANKS, SHELTERS AND SHOPPING AREAS AND THE VALLEY PARISH NURSE PROGRAM COMPLETED A SIGNIFICANT NUMBER OF SCREENINGS THROUGHOUT THE YEAR. COMMUNITY OUTREACH MEETINGS WERE HELD WITH LOCAL BOARD OF DIRECTORS, HEALTH DEPTS., HEALTH CARE COUNCILS, PARISH NURSING, SAFE KIDS, CANCER COMMITTEES, ACO STEERING ACP, CHIP SUBCOMMITTEES, QUARTERLY AHA, ANSONIA EARLY CHILDHOOD COUNCIL, CHA- COMMUNITY HEALTH GROUP, CT COALITION OF DIABETES EDUCATOR, DERBY DIABETES PREVENTION TASK FORCE, CT DIABETES PARTNERSHIP, PASTORAL CARE, SAFE KIDS, STATE DEPT. HEALTH IMPROVEMENT PLAN, VALLEY HEALTH/HUMAN SERVICES, VALLEY HEALTHCARE COUNCIL, VALLEY PARISH NURSES, VALLEY COUNCIL YOUTH COMMITTEE, VALLEY EARLY CHILDHOOD COUNCIL. GRIFFIN HELD CHILDREN'S PROGRAMS THROUGHOUT THE YEAR. CHILDREN'S EDUCATION PROGRAMS INCLUDED CPR EDUCATION, POISON EDUCATION, HALLOWEEN, HOME, FIRE, 911, GERMS, WINTER, PETS, NUTRITION, EXERCISE, SPORTS, SUMMER, WATER, CHILD PASSENGER SAFETY, TEEN DRIVING SAFETY, BIKE SAFETY AND PEDESTRIAN CROSSING. SUPPORT GROUPS OFFERED THROUGH GRIFFIN HOSPITAL VALLEY PARISH NURSE, CANCER CENTER AND PASTORAL CARE WERE HELD. SUPPORT GROUPS INCLUDED ALZHEIMER CAREGIVERS, DIABETES, MULTIPLE SCLEROSIS, PASTORAL CARE BEREAVEMENT GROUP, VOICES OF HOPE, LOOK GOOD FEEL BETTER, AND CIRCLE OF FRIENDS. GRIFFIN HOSPITAL SUPPLIED COMMUNITY ASSISTANCE THROUGH THE WALK RUN 5K FUNDRAISING EVENT THAT SUPPLIED THE FUNDS TO ASSIST OUR COMMUNITY CANCER PROGRAMS SUCH AS LOOK GOOD FEEL BETTER, VOICES OF HOPE AND ASSISTANCE FOR WIGS AND SUPPLIES, TREATMENT, TRANSPORTATION, SEYMOUR PINK EXERCISE TRAINER, AFTER THE STORM MASSAGE THERAPY SERVICES AND CIRCLE OF FRIENDS. GRIFFIN HOSPITAL HOSTS WONDERLAND OF TREES PROGRAM WHICH SUPPORTS EMPLOYEES TIME TO RAISE MONEY IN THE HOSPITAL WITH A CHRISTMAS TREE RAFFLES AND EASTER RAFFLES WERE THE MONEY IS DONATED TO SPOONER HOUSE FOOD SHELTER IN SHELTON, CT. PART II, COMMUNITY BUILDING ACTIVITIES: GRIFFIN HOSPITAL SEEKS TO ADDRESS ITS COMMUNITY'S HEALTH NEEDS AND PROVIDE SERVICES THAT IMPROVE THE HEALTH AND WELL-BEING OF THE POPULATIONS IT SERVES, ESPECIALLY THE UNDERSERVED AND UNINSURED. MOST OF THIS WORK IS CAPTURED UNDER COMMUNITY BENEFIT CATEGORIES IN PART I. GRIFFIN HOSPITAL ALSO PARTNERS WITH VARIOUS ORGANIZATIONS TO ADDRESS ISSUES RELATED TO SOCIAL DETERMINANTS OF HEALTH AND OTHER ACTIONS THAT FALL UNDER COMMUNITY BUILDING ACTIVITIES.TOTAL COMMUNITY BUILDING RELATED EXPENDITURES FOR FISCAL 2024 ARE $79,126. THESE EXPENDITURES RELATE TO PROVIDING DONATED ADMINISTRATIVE SERVICES TO VALLEY COUNCIL FOR HEALTH AND HUMAN SERVICES. THE VALLEY COUNCIL OPERATES MULTIPLE PROGRAMS INCLUDING COMMUNITY HEALTH ASSESSMENTS, SUBSTANCE ABUSE PREVENTION AND TREATMENT COORDINATION, MENTAL HEALTH SERVICES, SENIOR SERVICES, TRANSPORTATION ASSISTANCE, HOUSING SUPPORT PROGRAMS, AND EMERGENCY ASSISTANCE FOR FAMILIES IN CRISIS. THE ORGANIZATION WORKS TO IDENTIFY GAPS IN SERVICES, REDUCE DUPLICATION OF EFFORTS, AND FACILITATE COLLABORATION AMONG LOCAL HEALTHCARE PROVIDERS, SOCIAL SERVICE AGENCIES, MUNICIPALITIES, AND COMMUNITY ORGANIZATIONS TO IMPROVE OVERALL POPULATION HEALTH OUTCOMES IN THE REGION.IN ADDITION, INCLUDED IN THESE EXPENDITURES IS EMPLOYEE TIME AND SUPPLY COSTS ASSOCIATED WITH GRIFFIN HOSPITAL'S EFFORTS TO WORK WITH OTHER LARGER NON-PROFIT ORGANIZATIONS, FOR-PROFIT COMPANIES, GOVERNMENT, AND LOCAL MUNICIPALITIES TO PROVIDE HEALTH FAIRS, PRESENTATIONS, CLASSES, AND WORKSHOPS TO ADDRESS VARIOUS RANGE-OF HEALTH ISSUES. THESE SERVICES MAY OR MAY NOT BE OFFERED TO THE GENERAL PUBLIC, BUT THE ORGANIZATION'S EMPLOYEES ARE COMMUNITY MEMBERS.ALSO INCLUDED IS THE COST OF INSTALLING AN ELECTRIC VEHICLE CHARGING STATION. INSTALLING A CHARGING STATION AT THE HOSPITAL BRINGS SUBSTANTIAL BENEFITS TO THE COMMUNITY. NOT ONLY DOES IT PROVIDE ACCESS TO CHARGING TO THE COMMUNITY, BUT IT ALSO ENCOURAGES THE USE OF ECO-FRIENDLY TRANSPORTATION, HELPING TO REDUCE HARMFUL EMISSIONS. THIS LEADS TO A HEALTHIER ENVIRONMENT AND COMMUNITY. PART III, LINE 2: GRIFFIN HOSPITAL BAD DEBT EXPENSE IS DETERMINED USING UNCOLLECTED ACCOUNTS NET OF ANY BAD DEBT RECOVERY MULTIPLIED BY THE COST TO CHARGE RATIO. GRIFFIN HOSPITAL HAS A WRITTEN POLICY ABOUT WHEN AND UNDER WHOSE AUTHORITY PATIENT DEBT IS ADVANCED FOR COLLECTION AND SHALL USE ITS BEST EFFORTS TO ENSURE THAT THE PATIENT ACCOUNTS ARE PROCESSED FAIRLY AND CONSISTENTLY. CHARITY APPROVAL WILL AFFECT ALL ACCOUNTS FOR WHICH THE APPROVED GUARANTOR IS RESPONSIBLE. THE APPROVED CHARITY PERCENTAGE WILL BE APPLIED TO ALL EXISTING ACCOUNTS WITH DEBIT BALANCES. ACCOUNTS MAY ALSO BE RETURNED FROM BAD DEBT STATUS IF FINANCIAL CIRCUMSTANCES WARRANT AND CHARITY MAY BE APPLIED. THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS FREE CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED AND CONTRACTUAL RATES. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS FREE CARE, THEY ARE NOT REPORTED AS NET PATIENT SERVICE REVENUE. PART III, LINE 3: GRIFFIN HOSPITAL DOES NOT ATTRIBUTE ANY BAD DEBT TO COMMUNITY BENEFIT EXPENSE. UNCOLLECTED BALANCES ARE REVIEWED AT MANY STAGES TO DETERMINE IF THEY FALL UNDER UNINSURED OR FREE CARE ASSISTANCE. PART III, LINE 4: GRIFFIN HOSPITAL IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS FOR GRIFFIN HEALTH SERVICE CORPORATION (THE CORPORATION). FOOTNOTE 4 - ACCOUNTS RECEIVABLE AND NET PATIENT SERVICE REVENUE BEGINS ON PAGE 21 OF THE AUDITED FINANCIAL STATEMENTS. 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. PART III, LINE 9B: RESPONSIBLE INDIVIDUAL WILL BE INFORMED ABOUT THE FINANCIAL ASSISTANCE THAT MAY BE AVAILABLE UNDER THE FAP. AT LEAST THREE SEPARATE SINGLE PATIENT ACCOUNT STATEMENTS FOR COLLECTION OF SELF-PAY ACCOUNTS SHALL BE MAILED TO THE LAST KNOWN ADDRESS OF EACH RESPONSIBLE INDIVIDUAL PRIOR TO THE END OF THE NOTIFICATION PERIOD; PROVIDED, HOWEVER, THAT NO ADDITIONAL SINGLE PATIENT ACCOUNT STATEMENTS NEED BE SENT AFTER A RESPONSIBLE INDIVIDUAL SUBMITS A COMPLETE APPLICATION FOR FINANCIAL ASSISTANCE UNDER THE FAP.AT LEAST 120 DAYS SHALL HAVE ELAPSED BETWEEN THE FIRST AND LAST OF THE REQUIRED THREE MAILINGS. ALL SINGLE PATIENT ACCOUNT STATEMENTS OF SELF-PAY ACCOUNTS WILL INCLUDE:1. AN ACCURATE SUMMARY OF THE HOSPITAL SERVICES COVERED BY THE STATEMENT;2. THE CHARGES FOR SUCH SERVICES; AND3. THE AMOUNT REQUIRED TO BE PAID BY THE RESPONSIBLE INDIVIDUAL (OR, IF SUCH AMOUNT IS NOT KNOWN, A GOOD FAITH ESTIMATE OF SUCH AMOUNT AS OF THE DATE OF THE INITIAL STATEMENT).DETAILED ITEMIZATIONS FOR HOSPITAL CHARGES WILL BE PROVIDED UPON REQUEST.AT LEAST ONE OF THE SINGLE PATIENT ACCOUNT STATEMENTS SENT DURING THE NOTIFICATION PERIOD WILL INCLUDE WRITTEN NOTICE THAT INFORMS THE RESPONSIBLE INDIVIDUAL ABOUT THE ECAS THAT MAY BE TAKEN IF THE RESPONSIBLE INDIVIDUAL DOES NOT APPLY FOR FINANCIAL ASSISTANCE UNDER THE FAP OR PAY THE AMOUNT DUE BY THE BILLING DEADLINE (I.E., THE LAST DAY OF THE NOTIFICATION PERIOD). SUCH STATEMENT MUST BE PROVIDED TO THE RESPONSIBLE INDIVIDUAL AT LEAST 30 DAYS BEFORE THE DEADLINE SPECIFIED IN THE STATEMENT, IF COMMENCING ECAS.A STATEMENT INDICATING INTENT TO TRANSFER THE SINGLE PATIENT ACCOUNT TO A COLLECTION AGENCY SHALL BE MAILED TO THE LAST KNOWN ADDRESS OF EACH RESPONSIBLE INDIVIDUAL AT LEAST 30 DAYS PRIOR TO THE TRANSFER OF A SELF-PAY ACCOUNT TO A COLLECTION AGENCY OR THE INITIATION OF ANY ECA. A REASONABLE EFFORT TO ORALLY NOTIFY THE RESPONSIBLE INDIVIDUALS BY TELEPHONE AT THE LAST KNOWN TELEPHONE NUMBER MUST ALSO BE MADE. DURING ALL CONVERSATIONS, THE RESPONSIBLE INDIVIDUAL WILL BE INFORMED ABOUT THE FINANCIAL ASSISTANCE THAT MAY BE AVAILABLE UNDER THE FAP. A COPY OF THE BILLING AND COLLECTION POLICY IS AVAILABLE AT WWW.GRIFFINHEALTH.ORG/GRIFFIN-HOSPITAL/BILLING-INSURANCE/FINANCIAL-ASSISTANCE-PROGRAM/ PART III, LINE 7 GRIFFIN HOSPITAL'S TOTAL MEDICARE PROGRAM REPORTED SHORTFALL FOR THE YEAR ON LINE 7 WAS $19,500,531, WHICH INCLUDES A $15,294,537 SHORTFALL IN MEDICARE ADVANTAGE PROGRAMS AND A $4,206,004 SHORTFALL IN MEDICARE PROGRAMS. PART VI, LINE 2: ADDRESSING THE COMMUNITY'S NEEDS:GRIFFIN HOSPITAL REALIZED THAT THERE ARE MANY NEEDS FROM A POPULATION HEALTH STANDPOINT THAT TO BE ADDRESSED. WORKING COLLABORATIVELY WITH THE NAUGATUCK VALLEY HEALTH DISTRICT, THE VALLEY COUNCIL FOR HEALTH AND HUMAN SERVICES, THE ALLIANCE FOR PREVENTION & WELLNESS (FORMERLY VSAAC) AND OUR VALLEY PARISH NURSES COMMUNITY OUTREACH PROGRAM, GRIFFIN HOSPITAL PROACTIVELY ADDRESS ISSUE AREAS SUCH AS MENTAL HEALTH, SUBSTANCE ABUSE AND EQUITABLE ACCESS TO HEALTHCARE. BY REVIEWING THE SEVEN VALLEY TOWNS THROUGHOUT THE 2022 VALLEY COMMUNITY INDEX, TAKING INTO CONSIDERATION EDUCATION, HOUSING, EMPLOYMENT, RECREATION, EARLY CHILDHOOD DEVELOPMENT, AND AGING ISSUES IN ADDITION TO HEALTH AND HEALTHIER LIFESTYLES, GRIFFIN HOSPITAL IS ABLE TO SEE A MUCH BROADER AND MORE COMPREHENSIVE PICTURE THAN EVER BEFORE. THIS INDEX SERVES AS THE AERIAL VIEW FROM WHICH GRIFFIN HOSPITAL CAN ZOOM IN ON THE CHALLENGES IN THE COMMUNITY, THE ISSUES GRIFFIN HOSPITAL HOPES TO ADDRESS, AND THE MANY OPPORTUNITIES GRIFFIN HOSPITAL HAS TO LEVERAGE ITS RESOURCES OVER THE NEXT THREE YEARS TO EFFECT CHANGE AND IMPROVE THE HEALTH OF OUR COMMUNITY. PART VI, LINE 3: GRIFFIN HOSPITAL'S COMMUNITY OUTREACH OFFICE COORDINATOR WOULD ASSIST MEMBERS WITH INSURANCE ELIGIBILITY. THE POPULATION HEALTH STAFF ALONG WITH THE ACCOUNTABLE HEALTH COMMUNITIES' SCREENERS ALSO ASSIST IN IDENTIFYING IF SOMEONE NEEDS ASSISTANCE WITH INSURANCE ELIGIBILITY AND SOCIAL NEEDS. THEY WERE OFTEN REFERRED TO TEAM OR OTHER COMMUNITY ACTION AGENCY ORGANIZATIONS AS NEEDED TO ADDRESS SOCIAL NEEDS AND ELIGIBILITY REQUIREMENTS. DURING THE YEAR, A COMMUNITY HEALTH WORKER POSITION WAS CREATED TO ACCUMULATE INFORMATION AND FIND RESOURCES FOR INDIVIDUALS IN NEED. FINANCIAL ASSISTANCE BROCHURE AND POSTERS ARE LOCATED THROUGHOUT THE HOSPITAL (CHILDBIRTH AREA, ER AREA, CUSTOMER SERVICE AREA) IN ENGLISH AND SPANISH EXPLAINING THE FINANCIAL ASSISTANCE POLICY AND HOW TO CONTACT THE FINANCIAL COUNSELORS. BROCHURES ARE ALSO DISTRIBUTED AT COMMUNITY EVENTS. AT REGISTRATION THE ADMITTING REGISTRAR WHO WILL IDENTIFY THE PATIENT AS HAVING NO MEDICAL INSURANCE (SELF-PAY). THE PATIENT WILL BE GIVEN A FINANCIAL ASSISTANCE PAMPHLET THAT WILL IDENTIFY ALL GRIFFIN HOSPITAL FINANCIAL ASSISTANCE PROGRAMS. THE PAMPHLET ALSO INCLUDES HOSPITAL CONTACTS FOR PATIENTS SEEKING STATE WELFARE OR OTHER STATE PROGRAMS. PART VI, LINE 4: GRIFFIN HOSPITAL, LICENSED BY THE STATE OF CONNECTICUT FOR 160 BEDS AND 15 BASSINETS, IS A GENERAL ACUTE CARE HOSPITAL SERVING A PRIMARY SERVICE AREA (PSA) OF SIX TOWNS, THAT COMPRISE THE LOWER NAUGATUCK VALLEY INCLUDING ANSONIA, DERBY, SEYMOUR, SHELTON, OXFORD, BEACON FALLS AND SURROUNDING TOWNS INCLUDING BETHANY, MIDDLEBURY, MILFORD, MONROE, NAUGATUCK, ORANGE, PROSPECT, HAMDEN, SOUTHBURY, STRATFORD, TRUMBULL, WOODBRIDGE AND WOODBURY. IN THE VALLEY, ANSONIA, DERBY, AND NAUGATUCK CONTAIN THE DIVERSE NEIGHBORHOODS AND MANUFACTURING LEGACIES THAT ARE COMMON TO URBAN PERIPHERY TOWNS THROUGHOUT THE STATE. BEACON FALLS AND SEYMOUR SHARE SOME OF THE CHARACTERISTICS OF RURAL TOWNS, WHILE OXFORD AND SHELTON ARE MORE TYPICAL OF HIGHER-INCOME SUBURBAN AREAS. GIVEN THIS VARIETY, THE REGION IS A MICROCOSM OF CONNECTICUT AS A WHOLE. THE VALLEY IS A COMMUNITY OF CONNECTICUT TOWNS LOCATED IN NEW HAVEN AND FAIRFIELD COUNTIES. IT LIES ALONG THE HOUSATONIC AND NAUGATUCK RIVERS AND IS CONNECTED TO CITY CENTERS ALONG I-95 BETWEEN NEW YORK AND NEW HAVEN, AS WELL AS ALONG ROUTE 8 TO WATERBURY. WE DEFINE THE VALLEY AS THE SEVEN TOWNS: ANSONIA, BEACON FALLS, DERBY, NAUGATUCK, OXFORD, SEYMOUR, AND SHELTON. THE TOWNS SHARE A SPIRITED COMMUNITY CULTURE AND STRONG INSTITUTIONS, WHICH COLLABORATE ON INITIATIVES IN CIVIC VITALITY, HEALTH AND HUMAN SERVICES, ECONOMIC DEVELOPMENT, AND QUALITY OF LIFE. THE VALLEY HAS A COMMON HISTORY AND IDENTITY, BUT EACH OF ITS TOWNS HAS ITS OWN UNIQUE CHARACTERISTICS. THE REGION'S DEMOGRAPHICS AND ECONOMY ARE CONSTANTLY CHANGING IN RESPONSE TO OUTSIDE FORCES; THESE CHANGES AFFECT THE REGION'S NEIGHBORHOODS IN DIFFERENT WAYS. TOWN CENTERS OFFER A LARGE SHARE OF RENTAL OR AFFORDABLE HOUSING UNITS, WHICH ARE ATTRACTIVE TO YOUNGER WORKERS, SINGLE ADULTS, AND OTHER HOUSEHOLDS THAT WOULD PREFER TO RENT FOR ECONOMIC OR LIFESTYLE REASONS. IN OTHER NEIGHBORHOODS, NEWER HOMES AND LARGER LOTS CONTINUE TO ATTRACT HOMEOWNERS WITH HIGH INCOMES. THE VARIETY OF NEIGHBORHOODS AND RESIDENTS WHO CHOOSE TO LIVE IN THE AREA HELP MAKE THE VALLEY A RESILIENT COMMUNITY WITH A RICH TRADITION OF IMMIGRATION AND MIGRATION. THE VALLEY'S LEGACY OF AGRICULTURAL AND INDUSTRIAL PRODUCTION ARISES FROM ITS LOCATION ALONG TWO MAJOR RIVERS. TODAY, THE ECONOMY OF THE VALLEY COMMUNITIES IS SIGNIFICANTLY INFLUENCED BY THE CONTINUED DEVELOPMENT ALONG THE ROUTE 8 CORRIDOR, WHICH HAS RESULTED IN BOTH OPPORTUNITIES AND CHALLENGES. SHELTON, IN PARTICULAR, HAS EXPERIENCED NEW COMMERCIAL AND OFFICE DEVELOPMENT BY VIRTUE OF ITS LOCATION AND INFRASTRUCTURE. ITS STRONG FINANCIAL BASE, HOWEVER, CAN MASK THE ECONOMIC CHALLENGES THAT OTHER TOWNS FACE. LEVELS OF PERSONAL WELL-BEING ARE NOT EVENLY DISTRIBUTED ACROSS THE VALLEY'S POPULATION. AN INCREASINGLY DIVERSE POPULATION AND A GROWING NUMBER OF SENIORS PRESENT NEW NEEDS AND OPPORTUNITIES. INCOMES VARY BY TOWN, AND MORE PEOPLE, ESPECIALLY CHILDREN, LIVE IN ECONOMIC HARDSHIP. CANCER, HEART DISEASE, AND ACCIDENTS ARE LEADING CAUSES OF PREMATURE DEATHS. ALMOST HALF OF VALLEY WORKERS EARN LESS THAN WHAT IS CONSIDERED NECESSARY TO COVER COSTS OF LIVING IN THE REGION. PART VI, LINE 5: THE BOARD OF DIRECTORS IS A VOLUNTEER BOARD OF PROMINENT MEMBERS OF THE COMMUNITY.THE HOSPITAL HAS AN OPEN MEDICAL STAFF.SEE THE DESCRIPTIONS FOR PART 1, LINE 7E COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS AND PART II, COMMUNITY BUILDING ACTIVITIES FOR ADDITIONAL COMMUNITY SERVICES PROVIDED FREE OR WITH MINIMAL CHARGE TO THE COMMUNITY. PART VI, LINE 6: THE GRIFFIN HOSPITAL IS PART OF AN INTEGRATED HEALTH SYSTEM WHICH INCLUDES THE FOLLOWING ENTITIES:GRIFFIN HEALTH SERVICES CORPORATION - HOLDING COMPANYGRIFFIN FACULTY PHYSICIANS, INC. - MEDICAL/EDUCATIONGRIFFIN HOSPITAL DEVELOPMENT FUND - FUNDRAISINGPLANETREE INTERNATIONAL, INC. - EDUCATIONGRIFFIN PHO - HEALTHCARE SERVICESGH VENTURES, INC. & SUBSIDIARY - RENTAL REAL ESTATE PART VI, LINE 7: GRIFFIN HOSPITAL FILED A COMMUNITY BENEFIT REPORT TO THE STATE OF CONNECTICUT. 1 TEAM INC 30 ELIZABETH STREET DERBY CT 06418 060835182 501(C)(3) 312212 0 COMMUNITY ASSISTANCE VALLEY UNITED WAY INCORPORATED 54 GROVE STREET SHELTON CT 064844106 060847098 501(C)(3) 77500 0 COMMUNITY ASSISTANCE CITY OF DERBY 89 COLONY STREET MERIDEN CT 06451 DERBY 37150 0 AFFORDABLE HOUSING STUDY & ROAD REDESIGN FOR TOWN OF DERBY BOYS & GIRLS CLUB OF THE LOWER NAUGATUCK VALLEY 1 POSITIVE PLACE SHELTON CT 06484 060653185 501(C)(3) 127212 0 COMMUNITY ASSISTANCE MASONIC CHARITY FOUNDATION OF CT 22 MASONIC AVE WALLINGFORD CT 06492 061435920 501(C)(3) 10000 0 COMMUNITY ASSISTANCE 5 0 LEGAL ASSISTANCE (SEE PART IV) 58625 TRANSPORTATION ASSISTANCE 12668 PART I, LINE 2: GRIFFIN HOSPITAL CARRIES OUT DUE DILIGENCE IN PROVIDING MONETARY ASSISTANCE ONLY TO QUALIFYING 501(C)(3) ORGANIZATIONS OR COMPLEMENT ITS MISSION OR SUPPORT THE GREATER GOOD OF THE COMMUNITIES IT SERVES. NONE OF THE AMOUNTS REPORTED ON SCHEDULE I, PART II ARE GRANTS AND THESE AMOUNTS ARE DONATIONS AND SPONSORSHIPS GIVEN TO ORGANIZATIONS TO ASSIST IN FURTHERANCE OF THEIR CHARITABLE MISSION. GRIFFIN HOSPITAL VERIFIES EACH ORGANIZATION'S EIN AS LISTED ON IRS FORM W-9 THAT HAVE BEEN SUBMITTED TO GRIFFIN HOSPITAL. ASSISTANCE DONATED BY GRIFFIN HOSPITAL TO THESE QUALIFYING ORGANIZATIONS IS NOT OUTCOME BASED AND IS GIVEN IN SUPPORT OF AN INDIVIDUAL ORGANIZATION FUNDRAISING EVENTS OR IN SUPPORT OF DIRECT SERVICES. GRIFFIN HOSPITAL MAINTAINS FULL AND COMPLETE RECORDS OF ALL MONETARY ASSISTANCE PROVIDED, HOWEVER DOES NOT MONITOR SPECIFIC FUNDS. SCHEDULE I, PART III - LEGAL ASSISTANCE GRIFFIN HOSPITAL WORKS WITH LAW FIRM NUZZO AND ROBERTS, WHICH IS EXCLUSIVELY PROVIDING ADVOCACY FOR PATIENTS IN THE FORM OF ENSURING THAT THEY ARE GUIDED THROUGH THE PROBATE PROCESS WHEN A CONSERVATOR IS NEEDED. IN CASES WHERE GRIFFIN HOSPITAL HAS A PATIENT WHO IS ADMITTED AND THE PROVIDER FEELS IS UNABLE (DUE TO PHYSICAL AND/OR MENTAL INCAPACITIES) TO OVERSEE THEIR FINANCIAL OR PERSONAL AFFAIRS, GRIFFIN HOSPITAL UTILIZES NUZZO AND ROBERTS TO SEEK TO HAVE A CONSERVATOR APPOINTED ON THE PATIENT'S BEHALF. X X X 0 0 0 0 0 0 0 1 0 PATRICK A CHARMEL CEO/PRESIDENT, BOD SECRETARY 607624 0 360280 0 1722 0 8438 0 32077 0 1010141 0 0 0 MARIA DAWE MD TRUSTEE/PHYSICIAN 460313 0 0 0 1722 0 7511 0 33974 0 503520 0 0 0 FREDERICK BROWNE MD TRUSTEE 0 399045 0 52532 0 1638 0 12116 0 35060 0 500391 0 0 ALEXANDER S BALKO CFO/VP FINANCE 380372 0 53888 0 1722 0 8238 0 33974 0 478194 0 0 0 KAREN O'FLYNN MD DIRECTOR 398963 0 0 0 1722 0 7914 0 33974 0 442573 0 0 0 ROMAN SPIVAK MD TRUSTEE 0 296061 0 69807 0 1638 0 9150 0 21689 0 398345 0 0 TODD LIU CHIEF OPERATING OFFICER/EVP 250578 0 35801 0 1722 0 6100 0 33974 0 328175 0 0 0 KIMBERLEE E RICHARD VP 265804 0 29525 0 1722 0 6866 0 1980 0 305897 0 0 0 RICHARD DAIGLE CHIEF INFORMATION OFFICER 276598 0 12264 0 1721 0 6632 0 1980 0 299195 0 0 0 MIHAELA BORAN MD PHYSICIAN 229647 0 0 0 1544 0 6417 0 33200 0 270808 0 0 0 STEPHEN MORDECAI CHIEF HUMAN RESOURCE OFFICER 219663 0 6215 0 1684 0 6325 0 33974 0 267861 0 0 0 MYRA ODENWAELDER VP 204791 0 6900 0 1399 0 5604 0 33974 0 252668 0 0 0 ADAM DWORKIN VP 173124 0 18843 0 1326 0 5401 0 30435 0 229129 0 0 0 PART I, LINE 7 FOR ALL INDIVIDUALS PAID DIRECTLY BY THE HOSPITAL, AT THE END OF THE YEAR, THE COMPENSATION COMMITTEE REVIEWS PERFORMANCE OF EACH INDIVIDUAL IN LINE WITH CERTAIN CRITERIA. BASED ON AN OVERALL REVIEW OF THEIR PERFORMANCE AND THEIR COMPENSATION, THE COMMITTEE RECOMMENDS A BONUS AMOUNT WHICH IS APPROVED BY THE BOARD OF DIRECTORS. A CHEFA SERIES G-1 060806186 20775DEL2 2020-01-08 67523219 REFINANCE & CONSTRUCTION 0 0 0 A 67523219 3925756 22535608 41061855 2023 1 0 1 1 A 0 0 1 1 0 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 LINE 11 - OTHER SPENT PROCEEDS OF THE OTHER SPENT PROCEEDS ON LINE 11: -$40,679,975 WAS USED TO REFUND PRIOR TAX-EXEMPT BONDS DATED JANUARY 20, 2017. -$315,000 WAS USED TO REFUND PRIOR TAXABLE BONDS DATED DECEMBER 19, 2019. -$66,880 WAS USED TO PAY INTEREST ON THE BONDS. PART III, LINES 3B & 3C MANAGEMENT AND SERVICE CONTRACTS IN THE BOND FINANCED SPACE FALL UNDER THE SAFE HARBOR PROVIDED BY REVENUE PROCEDURE 2016-44 AND WILL NOT RESULT IN PRIVATE BUSINESS USE. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF TRUSTEES MAKES RECOMMENDATIONS TO THE INCORPORATORS OF THE HOSPITAL REGARDING NOMINATIONS OF MEMBERS OF THE COMMUNITY TO SERVE AS TRUSTEES. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS REVIEWED BY MANAGEMENT AND THE FINANCE COMMITTEE PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C EACH YEAR ALL MEMBERS OF THE HOSPITAL BOARD, OFFICERS, DIRECTORS, AND KEY EMPLOYEES RECEIVE, SIGN, AND SUBMIT A CONFLICT OF INTEREST DISCLOSURE. THE DISCLOSURES ARE REVIEWED BY THE HOSPITAL BOARD AND DOCUMENTED IN THE MINUTES. ANY DISCLOSURE OF A CONFLICT PREVENTS THE INDIVIDUAL FROM INVOLVEMENT WITH OR PARTICIPATION IN SUBJECT MATTER THAN MIGHT AFFECT THE DISCLOSED CONFLICT. ALL CONFLICTS ARE DISCLOSED AT THE ANNUAL MEETING. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE WHICH IS A SUBCOMMITTEE OF THE BOARD OF DIRECTORS REVIEWS INDIVIDUAL COMPENSATION OF THE CEO, OFFICERS, AND OTHER MEMBERS OF SENIOR STAFF, WHOSE COMPENSATION IS REPORTABLE ON FORM 990 ON AN ANNUAL BASIS. COMPENSATION OF OTHER MEMBERS OF THE ORGANIZATION ARE APPROVED AS A PART OF THE ANNUAL BUDGET PROCESS. THE PROCESS INCLUDES THE PROCUREMENT OF COMPARABILITY DATA FROM EXTERNAL INDEPENDENT SOURCES AND OTHER INDUSTRY SPECIFIC COMPENSATION DATA. THE COMPENSATION COMMITTEE THEN MAKES A RECOMMENDATION TO THE BOARD OF DIRECTORS FOR THEIR REVIEW AND ACTION. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS ARE FILED WITH THE OFFICE OF HEALTH CARE ACCESS AND ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: TRANSFERS BETWEEN AFFILIATES -11,070,209. MINIMUM PENSION LIABILITY ADJUSTMENT 45,493,816. CHANGE IN INTEREST IN NET ASSETS OF AFFILIATE 1,373,379. CHANGE IN BENEFICIAL INTEREST IN TRUSTS 613,182. NONOPERATING PENSION AND OTHER POSTRETIREMENT NET PERIODIC BENEFIT COST -1,101,825. TRANSFER FROM DEVELOPMENT FUND OF NET ASSETS RELEASED FOR CAPITAL 273,288. FORM 990, PART XII, LINE 2C: THE BOARD OF TRUSTEES OF GRIFFIN HOSPITAL 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 HEALTH SERVICES CORPORATION 130 DIVISION STREET DERBY CT 06418 222560257 HOLDING COMPANY CT 501(C)(3) LINE 12A, I N/A 0 GRIFFIN FACULTY PHYSICIANS INC 130 DIVISION STREET DERBY CT 06418 061463147 MEDICAL/EDUCATION CT 501(C)(3) LINE 10 GRIFFIN HOSPITAL 1 GRIFFIN HOSPITAL DEVELOPMENT FUND 130 DIVISION STREET DERBY CT 06418 222560254 FUNDRAISING CT 501(C)(3) LINE 7 GRIFFIN HEALTH SERVICES CORPORATION 0 PLANETREE INTERNATIONAL INC 130 DIVISION STREET DERBY CT 06418 061505284 EDUCATION CT 501(C)(3) LINE 10 GRIFFIN HEALTH SERVICES CORPORATION 0 GRIFFIN HEALTHCARE INC 130 DIVISION STREET DERBY CT 06418 222560248 BILLING SERVICES CT 501(C)(3) LINE 10 GRIFFIN HEALTH SERVICES CORPORATION 0 GH VENTURES INC 130 DIVISION STREET DERBY CT 06418 222560247 RENTAL REAL ESTATE CT N/A C 0 HEALTHCARE ALLIANCE INSURANCE CO LTD 171 ELGIN AVENUE GEORGETOWN GRAND CAYMAN CJ OFFSHORE CAPTIVE INSURANCE CJ N/A C 0 CT PRACTICE MANAGEMENT INC 130 DIVISION STREET DERBY CT 06418 061152819 INACTIVE CT N/A C 0 GRIFFIN PHO INC 130 DIVISION STREET DERBY CT 06418 473552299 HEALTHCARE SERVICES CT GRIFFIN HOSPITAL C 503760 380265 1.00000 1 0 1 1 1 1 0 0 1 0 0 1 1 1 1 1 1 1 1 1 GRIFFIN FACULTY PHYSICIANS INC R 12118717 ACTUAL GRIFFIN FACULTY PHYSICIANS INC M 3506664 ACTUAL