2023-08-11T06:14:25-05:00 2022-09-30 135565207 KPMG LLP 345 PARK AVENUE NEW YORK NY 10154 990 2021-10-01 060646659 GREENWICH HOSPITAL GREE 2036880580 5 PERRYRIDGE ROAD GREENWICH CT 06830 EUGENE COLUCCI SR VP 2036880580 2023-07-27 0 EUGENE COLUCCI XXX-XX-XXXX EVAN W SEEKAMP P01907071 2127589700 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z NORMAN ROTH 5 PERRYRIDGE ROAD GREENWICH CT 06830 590374475 0 X WWW.GREENWICHHOSPITAL.ORG X 1903 CT TO PROVIDE HEALTHCARE SERVICES. 22 17 2143 237 5789609 2433384 20537874 21600633 485721156 507799079 15564510 14250956 3253607 3549604 525077147 547200272 310181 172707 0 0 181426386 202036742 0 0 3900240 302547945 326486072 484284512 528695521 40792635 18504751 950106833 856658870 284877445 235875972 665229388 620782898 X TO PROVIDE HEALTHCARE SERVICES. 0 0 468238223 172707 511487933 SEE SCHEDULE O 468238223 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 1 0 1 0 0 0 0 0 0 1 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 0 1 189 0 2143 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 22 17 1 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 X VERNETTE D GRAY 2036889585 789 HOWARD AVENUE NEW HAVEN CT 06519 CHRISTOPHER O'CONNOR TRUSTEE 1.00 39.00 X 0 1749269 704942 NORMAN ROTH FORMER OFFICER 0.00 0.00 X 0 1236441 0 DIANE KELLY TRUSTEE/PRESIDENT 34.00 6.00 X X 751265 132576 332076 FRANCISCO GARRIDO ED PHYSICIAN 6.00 34.00 X 145883 929280 41080 MARC KOSAK COO 38.00 2.00 X 533006 0 191679 EUGENE COLUCCI SENIOR VP 14.00 26.00 X 227550 422592 45325 SERVANDO DE LOS ANGELES ED PHYSICIAN 33.00 7.00 X 486477 100906 41059 KISHA MITCHELL RICHARDS PATHOLOGIST 40.00 0.00 X 547057 0 38019 MICHAEL FRANCO DIR OF ICU & RESP SRV 40.00 0.00 X 511299 0 64671 JENNIFER WILLCOX FORMER OFFICER 0.00 0.00 X 57625 466240 43476 MARVIN SPIKE LIPSCHUTZ VP 40.00 0.00 X 529614 0 36655 CHRISTOPHER DAVISON DIRECTOR OF ED 40.00 0.00 X 483214 0 53549 KAREN SANTUCCI SVP/CMO 1.00 39.00 X 0 497374 28359 ANNA CERRA SVP/CNO 40.00 0.00 X 455402 0 44183 JAMES SABETTA FORMER OFFICER 0.00 0.00 X 478154 0 0 NOEL APPEL SVP/CDO 40.00 0.00 X 350615 0 26494 KIMBERLY NOHILLY ASSISTANT SECRETARY 5.00 35.00 X 34205 257142 40292 DANA MARNANE VP 8.00 32.00 X 44941 169065 14719 THOMAS PELLECHI TRUSTEE/CO CHAIR 1.00 39.00 X 5000 172519 10626 FELICE ZWAS TRUSTEE 40.00 0.00 X 51500 0 0 MARK CHROSTOWSKI TRUSTEE/CHAIR 1.00 0.00 X 25000 0 0 PRESTON BALDWIN TRUSTEE 1.00 0.00 X 0 0 0 SHERYL BATTLES TRUSTEE 1.00 0.00 X 0 0 0 WILLIAM BERKLEY TRUSTEE/CHAIR 1.00 3.00 X X 0 0 0 MARC GABELLI TRUSTEE 1.00 1.00 X 0 0 0 FRANK GILBRIDE TRUSTEE/SECRETARY 1.00 0.00 X X 0 0 0 CHRISTOPHER HOWES TRUSTEE/CHAIR 1.00 0.00 X 0 0 0 ANNE JUGE TRUSTEE/TREASURER 1.00 1.00 X X 0 0 0 ROBIN KANAREK TRUSTEE 1.00 0.00 X 0 0 0 SALLY LOCHNER TRUSTEE 1.00 0.00 X 0 0 0 BARBARA MILLER TRUSTEE/VICE CHAIR 1.00 0.00 X X 0 0 0 JACK MITCHELL TRUSTEE 1.00 0.00 X 0 0 0 CHRISTINE RANDOLPH TRUSTEE 1.00 0.00 X 0 0 0 KAREN RUBIN TRUSTEE 1.00 0.00 X 0 0 0 SUSAN SALICE TRUSTEE 1.00 0.00 X 0 0 0 HANNAH STRASSER TRUSTEE 1.00 1.00 X 0 0 0 RANJAN TANDON TRUSTEE 1.00 0.00 X 0 0 0 BOBBY WALKER JR TRUSTEE 1.00 0.00 X 0 0 0 5717807 6133404 1757204 531 1 1 0 VIZIENT INC 290 E JOHN CARPENTER FREEWAY IRVING TX 75062 CONSULTING SERVICE 6205081 SHEPLEY BULFINCH RICHARDSON & ABBOTT 2 SEAPORT LANE BOSTON MA 02210 ARCHITECTURAL SERVICES 1896402 UNITEX TEXTILE RENTAL INC 161 SOUTH MACQESTEN PARKWAY MOUNT VERNON NY 10550 UNIFORM LAUNDERING 1677570 QUEST DIAGNOSTICS 15 CAMPUS BOULEVARD NEWTOWN SQUARE PA 19073 LABORATORY SERVICES 1305838 GATEWAY BUILDING SERVICES INC 29 N LIBERTY DRIVE STONY POINT NY 10980 COMMERCIAL CLEANING 849840 45 1000 531634 5531000 6638215 8898784 282018 21600633 PATIENT PROGRAM SERVIC 621400 497168059 497168059 OUTREACH LAB 621500 5799033 5799033 PATHOLOGY PATIENT REVE 621500 4300449 4300449 IVF SERVICE INCOME 621990 468538 468538 OTHER PROGRAM SERVICE 621990 63000 63000 507799079 2088671 2088671 3765228 3555672 209556 209556 209556 50470432 921252 39229399 0 11241033 921252 12162285 12162285 49750 531634 389132 -339382 -339382 CAFETERIA/FOOD SALES 722514 1537866 1537866 AUXILIARY 453220 1322181 1322181 OTHER ANCILLARY REVENU 900099 828807 828807 -9424 -9424 3679430 547200272 505688900 5789609 14121130 X 165045 165045 7662 7662 6448349 6448349 157613117 141169962 14692080 1751075 7866961 7046232 820729 19427886 17401158 1421305 605423 10680429 9566181 1050195 64053 189596 169816 19780 543825 487090 56735 13178 11803 1375 112580 100835 11745 515387 461619 53768 156835565 140473529 16256523 105513 4771985 4238737 248965 284283 17923268 16053402 1609431 260435 296246 265340 19015 11891 125319 112245 13074 12882062 12882062 26288082 23545550 2742532 7246425 6490434 755991 PHARMACEUTICAL SUPPLIES 48025781 43015441 5010340 0 MEDICAL SUPPLY EXPENSE 39725912 35581644 4144268 EDUCATION AND OTHER EMP 8013662 7177449 821607 14606 UBI TAX EXPENSE 1578184 1256234 321950 0 1399015 558753 37301 802961 528695521 468238223 56557058 3900240 32227347 16828426 1593394 1794514 10944733 9771646 68730090 68637990 6854787 8939039 7672500 8569360 12028847 15047391 510644743 285640218 241507956 225004525 445994508 394026089 122552671 108039890 950106833 856658870 51278293 58888562 16800 8400 17548935 14271070 216033417 162707940 284877445 235875972 X 451975005 441562028 213254383 179220870 665229388 620782898 950106833 856658870 X 18504751 -47356824 -15594417 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 1 500 0 0 1 34456 0 1 77623 112579 0 PART II-B, LINE 1: THE AMOUNT REPORTED IN "OTHER ACTIVITIES" REPRESENTS A PORTION OF PROFESSIONAL DUES ATTRIBUTABLE TO LOBBYING DURING FY 2022. ALSO, THE HEALTH SYSTEM OFFICIALS HAD MEETINGS AND CONTACTS WITH STATE GOVERNMENT OFFICIALS,INCLUDING STATE LEGISLATORS AND THEIR STAFF TO DISCUSS VARIOUS HEALTH CARE REFORM PROPOSALS. GREENWICH HOSPITAL IS PART OF A AFFILIATED GROUP WITH THE FOLLOWING LOBBYING EXPENSES: YALE NEW HAVEN HOSPITAL EIN 06-0646652 $748,930 BRIDGEPORT HOSPITAL EIN 06-0646554 $144,723 NORTHEAST MEDICAL GROUP INC EIN 06-1330992 $ 38,059 LAWRENCE + MEMORIAL HOSPITAL EIN 06-0646704 $102,610 LMW HEALTHCARE, INC. EIN 46-0543230 $ 32,823 32096629 -2842359 894011 37033 28323226 33244010 7449385 8561002 35764 32096629 32010354 1836948 565345 37947 33244010 31530000 90000 1152085 761731 32010354 93774000 91000 5355000 67690000 31530000 0.00000 0.09910 0.90090 0 0 22554623 22554623 232187821 127331978 104855843 74429039 25032336 49396703 171405368 133275904 38129464 10067892 10067892 225004525 OTHER SECURITIES 394026089 F 394026089 OTHER RECEIVABLES 7801510 INTERCOMPANY RECEIVABLES 1904384 CHARITABLE REMAINDER TRUST 2003974 MCIC RETRO CREDIT DUE FROM HSC 1193186 MALPRACTICE RECEIVABLE 33473280 RIGHT OF USE ASSETS 61663556 108039890 DUE-3RD PARTY & OTHER PAYORS 39994833 EST LIABILITY-SELF INSURANCE 37031962 FORWARD INTEREST RATE SWAP 117652 ACCRUED PENSION 3623002 OTHER ACCR EXPS AND CURRENT LIAB. 11665504 OPERATING LEASE LIABILITY 67620182 FEMA AND ERC RESERVES 2654805 162707940 X 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 X, LINE 2: GREENWICH HOSPITAL AND ITS AFFILIATED ENTITIES ARE INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF YALE NEW HAVEN HEALTH SERVICES CORPORATION AND SUBSIDIARIES AUDITED FINANCIAL STATEMENTS. FOLLOWING IS THE FOOTNOTE FROM THE CONSOLIDATED FINANCIAL STATEMENTS: MOST ENTITIES WITHIN THE SYSTEM ARE NOT FOR PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE CODE, AND ARE GENERALLY EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE CODE. PROVISIONS FOR INCOME TAXES AND DEFERRED TAXES, WHERE APPLICABLE, HAVE BEEN MADE FOR THE TAXABLE ENTITIES LISTED ABOVE UNDER THE DESCRIPTION OF THE SYSTEM. U.S. GAAP REQUIRES THE SYSTEM TO EVALUATE TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN THE COURSE OF PREPARING THE SYSTEM'S TAX RETURNS TO DETERMINE WHETHER THE TAX POSITIONS ARE "MORE LIKELY THAN NOT" OF BEING SUSTAINED BY THE APPLICABLE TAX AUTHORITY BASED UPON THE TECHNICAL MERITS OF THE POSITION. THE SYSTEM RECOGNIZES THE EFFECT OF TAX POSITIONS ONLY IF THEY ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. THIS EVALUATION HAD NO IMPACT ON THE OPERATIONS OF THE SYSTEM AS OF AND FOR THE YEARS ENDED SEPTEMBER 30, 2022 AND 2021. GALA 581384 531634 49750 25536 84825 10500 268271 581384 531634 49750 25536 84825 10500 268271 389132 -339382 1 1 1 X 250.000000000000 1 X 550.000000000000 1 1 1 0 1 1 22590 34564921 10857000 23707921 0.04480 44289 49715220 24053116 25662104 0.04850 0 0 66879 84280141 34910116 49370025 0.09330 9 9222 793965 75 793890 0.00150 3 224 3534246 0 3534246 0.00670 1 11678 10630317 6862149 3768168 0.00710 0 0 0 0 3 6819 111194 0 111194 0.00020 16 27943 15069722 6862224 8207498 0.01550 16 94822 99349863 41772340 57577523 0.10880 1 0 633369 0 633369 0.00120 0 0 0 0 1 0 10000 0 10000 0.00000 0 0 0 0 0 0 0 0 1 0 18295 1600 16695 0.00000 0 0 0 0 1 15 325874 0 325874 0.00060 0 0 0 0 4 15 987538 1600 985938 0.00180 1 12390419 142612197 216568130 -73955933 X 1 1 1 NONE NONE 1 1 GREENWICH HOSPITAL 5 PERRYRIDGE ROAD GREENWICH CT 06830 WWW.GREENWICHHOSPITAL.ORG 0045 X X X X X GREENWICH HOSPITAL 1 0 0 1 X X X X X X X X X 21 1 0 1 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X 1 21 1 SEE PART V, SECTION C 0 1 X 250.000000000000 550.000000000000 X X X X X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X 1 X 0 0 PART V, SECTION A: THIS STATE LICENSE FOR THE HOSPITAL LOCATION LISTED IN SCHEDULE H, PART V, SECTION A, ALSO COVERS VARIOUS SATELLITE LOCATIONS OPERATED UNDER AND EXPRESSLY LISTED ON THE SAME STATE HOSPITAL LICENSE. GREENWICH HOSPITAL PART V, SECTION B, LINE 5: COMMUNITY ENGAGEMENT AND FEEDBACK WERE AN INTEGRAL PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. GREENWICH HOSPITAL AND ITS COMMUNITY PARTNERS SOUGHT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL. PUBLIC HEALTH AND HEALTH CARE PROFESSIONALS SHARED KNOWLEDGE AND EXPERTISE ABOUT HEALTH ISSUES, WHILE LEADERS AND REPRESENTATIVES OF NON-PROFIT AND COMMUNITY-BASED ORGANIZATIONS PROVIDED INSIGHT ON THE COMMUNITY SERVED BY THE HOSPITAL, INCLUDING MEDICALLY UNDERSERVED, LOW INCOME, AND MINORITY POPULATIONS. GREENWICH HOSPITAL PART V, SECTION B, LINE 6B: YES, THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED WITH COMMUNITY PARTNERS THAT PROVIDED GUIDANCE, EXPERTISE, AND ONGOING COLLABORATION TO FOSTER COLLECTIVE IMPACT IN IMPROVING THE HEALTH AND WELLBEING OF THE GREENWICH AND PORT CHESTER COMMUNITIES. THIS INCLUDED THE GREENWICH COMMUNITY HEALTH IMPROVEMENT PARTNERSHIP AND THE COUNCIL OF COMMUNITY SERVICES, WHOSE MEMBER ORGANIZATIONS ARE REPRESENTATIVE OF THOSE IN THE COMMUNITY WHO SERVE UNDERSERVED, LOW-INCOME, AND HARD TO REACH POPULATIONS. THIS APPROACH TO ASSESSMENT AND PLANNING AIMS TO ENGAGE AGENCIES, ORGANIZATIONS, AND RESIDENTS IN THE AREA THROUGH PARTICIPATORY AND COLLABORATIVE APPROACHES.SCHEDULE H, PART V, SEC B, LINE 7A AND 10A:HTTPS://WWW.GREENWICHHOSPITAL.ORG/ABOUT/COMMUNITY/COMMUNITY-HEALTH/NEEDS-ASSESSMENT.ASPXSCHEDULE H, PART V, SEC B, LINE 7B:HTTP://WWW.GCHIP.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ GREENWICH HOSPITAL PART V, SECTION B, LINE 11: GREENWICH HOSPITAL DEVELOPED A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) TO GUIDE OUR EFFORTS IN RESPONDING TO OUR COMMUNITY'S NEEDS. USING RECOMMENDATIONS FROM THE PEOPLE WHO DELIVER AND USE THESE SERVICES, WE WILL FOSTER COLLABORATION TO BETTER COORDINATE OUR COMMUNITY RESOURCES. WE WILL SEEK TO BETTER CONNECT PEOPLE TO THE SERVICES THEY NEED AND REDUCE DISPARITIES IN HEALTH AND SOCIOECONOMIC MEASURES THAT STEM FROM UNDERLYING INEQUITIES IN OUR SOCIETY. WE USED THE TOP NEEDS IDENTIFIED THROUGH COMMUNITY ENGAGEMENT AS A FOUNDATION FOR OUR CHIP DEVELOPMENT TO ADDRESS THE NEEDS OF GREATEST CONCERN TO COMMUNITY MEMBERS. THESE INDIVIDUALS PROVIDED DIVERSE PERSPECTIVES ON HEALTH TRENDS, SHARED LIVED EXPERIENCES AMONG HISTORICALLY DISENFRANCHISED AND UNDERSERVED POPULATIONS, AND PROVIDED INSIGHTS INTO SERVICE DELIVERY GAPS THAT CONTRIBUTE TO HEALTH DISPARITIES AND INEQUITIES. THE COMMUNITY NEEDS ARE AFFORDABLE HEALTHCARE, BEHAVIORAL HEALTH, DRUG/ALCOHOL MISUSE, EDUCATION, FINANCIAL SECURITY, FOOD SECURITY, AND HOUSING. THE CHIP PROVIDES DIRECTION FOR ADDRESSING THE HEALTH AND WELLBEING NEEDS OF THE COMMUNITY.THE CHIP WAS DEVELOPED BY A HOSPITAL TASK FORCE COMPRISED OF LEADERS FROM MULTIPLE DEPARTMENTS TO CAPTURE ALL HOSPITAL AND HEALTH SYSTEM EFFORTS THAT IMPACT THE HEALTH OF THE LOCAL COMMUNITY. CHIP GOALS REFLECT IDENTIFIED NEEDS AND WERE CONFIRMED THROUGH DISCUSSIONS WITH COMMUNITY LEADERS AND STAKEHOLDERS. OUR PRIORITY AREAS COME FROM THE TOP NEEDS IDENTIFIED BY THE CHNA AND ARE ALIGNED WITH THOSE OF OUR COLLECTIVE IMPACT PARTNERSHIP, GREENWICH COMMUNITY HEALTH IMPROVEMENT PARTNERSHIP, AND THE COUNCIL OF COMMUNITY SERVICES: COMMUNITY HEALTH AND WELLBEING, ACCESS TO CARE, BEHAVIORAL HEALTH, AND HEALTHY LIVING. THESE PRIORITY AREAS REFLECT THE GREATEST NEEDS IN THE COMMUNITY WITH HEALTH SYSTEM AND HOSPITAL GENERATED STRATEGIES FOR ACTION AND ALIGNMENT WITH STATEWIDE EFFORTS IN THE STATE OF CONNECTICUT HEALTH IMPROVEMENT PLAN. GREENWICH HOSPITAL PART V, SECTION B, LINE 13H: THESE PROGRAMS COVER EMERGENCY AND OTHER MEDICALLY NECESSARY CARE ONLY. PART V, SECTION B, LINE 3E: THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TRACKS THE HEALTH AND WELLBEING OF OUR COMMUNITY AND MONITORS THE SOCIAL AND ENVIRONMENTAL FACTORS THAT INFLUENCE HEALTH OUTCOMES. THESE DATA ILLUMINATE HEALTH DISPARITIES ACROSS POPULATION GROUPS AND GEOGRAPHIES AND HELP US DIRECT RESOURCES TO ADVANCE HEALTH EQUITY. THROUGH THE CHNA, GREENWICH HOSPITAL AND ITS PARTNERS CONFIRMED OUR UNDERSTANDING OF COMMUNITY HEALTH PRIORITIES AND GATHERED NEW INSIGHTS TOWARD COLLABORATIVE SOLUTIONS. CONDUCTING THE CHNA DURING THE COVID-19 PANDEMIC AFFORDED A UNIQUE VIEW OF OUR COMMUNITY'S RESOURCES AND NEEDS. WE SAW THE STRENGTH OF OUR COMMUNITY COME TOGETHER TO HELP ONE ANOTHER. WE WITNESSED INNOVATIVE AND SWIFT RESPONSES TO A HEALTH AND ECONOMIC CRISIS. WE ALSO DOCUMENTED GAPS IN OUR SERVICE DELIVERY SYSTEMS THAT REFLECT LONGSTANDING INEQUITIES IN OUR SOCIETY. TO DETERMINE COMMUNITY HEALTH PRIORITIES, WE MUST CONSIDER WHAT THE DATA SHOW, AND MORE IMPORTANTLY, WHAT OUR COMMUNITY SEES AS THE MOST PRESSING HEALTH CONCERNS. THE CHNA DATA AND STAKEHOLDER INPUT REINFORCED THAT THE AREAS WE'VE BEEN FOCUSED ON ARE STILL THE MOST PRESSING NEEDS IN OUR COMMUNITY. THESE SIGNIFICANT HEALTH NEEDS INCLUDE HEALTH OUTCOMES AND RISK FACTORS RELATED TO CHRONIC DISEASE, MENTAL HEALTH AND SUBSTANCE ABUSE, MORTALITY AND MORBIDITY INCLUDE SELF-REPORTED HEALTH STATUS, NEIGHBORHOOD ENVIRONMENTS AND FINANCIAL STRESS. THROUGH COMMUNITY CONVERSATIONS, WE ASKED HOW RESIDENTS EXPERIENCE THESE ISSUES IN THEIR DAY TO DAY LIVES, AND HOW WE COULD DO A BETTER JOB HELPING THEM TO LIVE A HEALTHIER LIFE.SCHEDULE H, PART V, SECTION B, LINE 16A, 16B AND 16C:HTTPS://WWW.GREENWICHHOSPITAL.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE.ASPXSCHEDULE H, PART V, SECTION D:THE FACILITY LOCATIONS LISTED IN SCHEDULE H, PART V, SECTION D, INCLUDE OFF-CAMPUS OUTPATIENT HEALTH CARE FACILITIES THAT GREENWICH HOSPITAL OPERATED DURING THE TAX YEAR UNDER ITS STATE HOSPITAL LICENSE. 13 1 - GREENWICH HOSPITAL 500 WEST PUTNAM AVENUE GREENWICH CT 06831 HOME CARE 2 - GREENWICH HOSPITAL 49 LAKE AVENUE GREENWICH CT 06830 BLOOD DRAW 3 - GREENWICH HOSPITAL 90 MORGAN STREET STAMFORD CT 06905 BLOOD DRAW CENTER 4 - GREENWICH HOSPITAL 15 VALLEY DRIVE GREENWICH CT 06831 CANCER CENTER; BLOOD DRAW 5 - GREENWICH HOSPITAL 40 CROSS STREET NORWALK CT 06850 BLOOD DRAW 6 - GREENWICH HOSPITAL 90 SOUTH RIDGE STREET RYE BROOK NY 10573 BLOOD DRAW 7 - GREENWICH HOSPITAL 106 NOROTON AVENUE DARIEN CT 06820 BLOOD DRAW 8 - GREENWICH HOSPITAL 77 LAFAYETTE PLACE GREENWICH CT 06830 DRAW STATION, DIAGNOSTIC RADIOLOGY, ONCOLOGY 9 - GREENWICH HOSPITAL 38 LAKE AVENUE GREENWICH CT 06830 PSYCHIATRY 10 - GREENWICH HOSPITAL 54-56 LAFAYETTE PLACE GREENWICH CT 06830 ONCOLOGY 11 - GREENWICH HOSPITAL 67 OLD RIDGEFIELD ROAD WILTON CT 06897 BLOOD DRAW 12 - GREENWICH HOSPITAL 1281 EAST MAIN STREET STAMFORD CT 06902 MEDICAL FACILITY 13 - GREENWICH HOSPITAL 7 RIVERSVILLE ROAD GREENWICH CT 06830 BLOOD DRAW PART I, LINE 3C: THE FINANCIAL ASSISTANCE POLICY PROVIDES THAT THE PATIENT MUST SUBMIT A FINANCIAL ASSISTANCE APPLICATION. PART I, LINE 7: GREENWICH HOSPITAL ("THE HOSPITAL") USES A COST ACCOUNTING SYSTEM, STRATAJAZZ, TO CALCULATE THE AMOUNTS PRESENTED IN PART I, LINE 7. THE COST ACCOUNTING SYSTEM ADDRESSES ALL PATIENT SEGMENTS. PART II, COMMUNITY BUILDING ACTIVITIES: 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) TO CATALOG THESE BENEFITS. THESE TWO ORGANIZATIONS HAVE WORKED TOGETHER FOR OVER 30 YEARS TO PROVIDE SUPPORT TO NOT-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 ACTIVITIES THE ORGANIZATION ENGAGES IN TO PROTECT OR IMPROVE THE HEALTH AND SAFETY OF ITS RESIDENTS. THESE ACTIVITIES ARE CATEGORIZED INTO EIGHT DISTINCT AREAS INCLUDING PHYSICAL IMPROVEMENT AND HOUSING, ECONOMIC DEVELOPMENT, COMMUNITY SUPPORT, ENVIRONMENTAL IMPROVEMENTS, LEADERSHIP DEVELOPMENT AND TRAINING, COALITION BUILDING, COMMUNITY HEALTH IMPROVEMENT ADVOCACY, AND WORKFORCE DEVELOPMENT. DURING FISCAL YEAR 2022, GREENWICH HOSPITAL PROVIDED $985,900 IN FINANCIAL AND IN-KIND DONATIONS IN THE AREA OF COMMUNITY BUILDING ACTIVITIES. 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 TO ENHANCE ACCESS TO HEALTHY, AFFORDABLE FOOD IS COMMUNITY GARDENS. THIS PROGRAM IS ADMINISTERED IN COLLABORATION WITH THE COUNCIL OF COMMUNITY SERVICES, PORT CHESTER SCHOOLS AND AREA CHURCHES CULTIVATES COMMUNITY GARDENS THAT PROVIDE FRESH VEGETABLES. THE COMMUNITY GARDENS PROMOTED HEALTH EDUCATION BY EMPHASIZING HEALTHY EATING HABITS, ENCOURAGING KIDS TO TRY NEW VEGETABLES, CONNECTING CHILDREN TO NATURE AND THE ENVIRONMENT, PREVENTING CHILDHOOD OBESITY, AND FOCUSING ON PHYSICAL ACTIVITY.GREENWICH HOSPITAL PARTICIPATES ON COMMUNITY COALITIONS WHICH INCLUDE, GREENWICH TOGETHER, BLIND BROOK AND RYEACT. YOUTH GROUPS TOOK PART IN DRUG AND ALCOHOL PREVENTION PROGRAMS AT CONNECTICUT AND NEW YORK SCHOOLS. THE PROGRAMS ARE DESIGNED TO DECREASE DRINKING AND DRIVING FATALITIES AND REDUCE MOTOR VEHICLE CRASHES DUE TO SPEEDING, DRUGS, ALCOHOL, TEXTING, AND OTHER DRIVING DISTRACTIONS. AS PART OF A SUSTAINABILITY PROGRAM AIMED AT ADDRESSING FOOD INSECURITY, GREENWICH HOSPITAL AND FOOD RESCUE USA TEAMED UP TO RECOVER FOOD THAT HAS BEEN PREPARED BUT NOT SERVED FROM THE HOSPITAL AND DONATED TO LOCAL HUNGER RELIEF ORGANIZATIONS.GREENWICH HOSPITAL WAS ALSO THE RECIPIENT OF A DONATION OF FUNDS TO DEVELOP A COMMUNITY FLOWER GARDEN ON ITS PROPERTY TO BE OPEN TO THE PUBLIC. RECENT STUDIES HAVE PROVEN THE HEALTH AND WELLNESS BENEFITS ASSOCIATED WITH BEING IN NATURE. VARIOUS COMMUNITY CEREMONIES AND CELEBRATIONS ARE CONDUCTED IN THE GARDEN INCLUDING CANCER SURVIVOR PROGRAMS AND THE TREE OF LIGHT PROGRAM. CREATING EDUCATIONAL OPPORTUNITIES HIGHER EDUCATIONAL ATTAINMENT IS ASSOCIATED WITH BETTER HEALTH STATUS AND LONGER LIFE. FOR EXAMPLE, ADULTS AGED 25-50 YEARS WHO HAVE A COLLEGE DEGREE WILL ON AVERAGE LIVE FIVE YEARS LONGER THAN THOSE WITH LESS THAN A HIGH SCHOOL EDUCATION. TO ENCOURAGE THE PURSUIT OF HIGHER EDUCATION, GREENWICH HOSPITAL SPONSORED SEVERAL PROGRAMS TO INTRODUCE MIDDLE AND HIGH SCHOOL STUDENTS TO POTENTIAL HEALTH CARE CAREERS. WORKFORCE DEVELOPMENTAS WITH EDUCATIONAL ACHIEVEMENT, THERE IS STRONG EVIDENCE THAT HIGHER SOCIAL AND ECONOMIC STATUS ARE ASSOCIATED WITH BETTER HEALTH. AS ONE OF THE TOP FIVE EMPLOYERS IN GREENWICH, GREENWICH HOSPITAL PROVIDES IN-KIND AND FINANCIAL SUPPORT FOR EMPLOYMENT AND TRAINING PROGRAMS OFFERED BY AREA NOT-FOR-PROFIT ORGANIZATIONS SUCH AS THE ONES DESCRIBED BELOW. IN 2022, GREENWICH HOSPITAL WAS A HOST ORGANIZATION FOR PROJECT SEARCH TRAINING PROGRAM. PROJECT SEARCH IS A COLLABORATION AMONG ABILIS GH, DARIEN YMCA PROGRAMS, VARIOUS LOCAL SCHOOL DISTRICTS AND THE CT DEPARTMENT OF DEVELOPMENTAL SERVICES. THE NINE-MONTH INTERNSHIP PROGRAM FOR YOUNG ADULTS WITH DEVELOPMENTAL DISABILITIES IS TARGETS FOR INDIVIDUALS WHOSE GOAL IS COMPETITIVE EMPLOYMENT. PART III, LINE 2: 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.DUE TO THE ADOPTION OF ASU NO. 2014-09 REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606) BAD DEBT EXPENSE IS NO LONGER REPORTED ON THE AUDITED FINANCIAL STATEMENTS. RATHER IT IS TREATED AS A PRICE CONCESSION. BAD DEBT IS DETERMINED IF THERE WAS AN ADVERSE EVENT THAT PREVENTED A PATIENT FROM BEING ABLE TO PAY THE EXPECTED AMOUNT. FOR THE PATIENTS WHO WERE DETERMINED BY THE HOSPITAL TO HAVE THE ABILITY TO PAY UNCOLLECTED AMOUNTS BUT DID NOT, THESE UNCOLLECTED AMOUNTS ARE TREATED AS IMPLICIT PRICE CONCESSIONS. THE HOSPITAL IS REPORTING BOTH BAD DEBT AND IMPLICIT PRICE CONCESSIONS ON SCHEDULE H, PART III, LINE 2. PART III, LINE 3: THE ORGANIZATION DOES NOT CURRENTLY HAVE A METHODOLOGY TO ACCURATELY QUANTIFY OR ESTIMATE THE AMOUNT OF BAD DEBT EXPENSE THAT WOULD BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. PART III, LINE 4: GREENWICH HOSPITAL IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS FOR YALE NEW HAVEN HEALTH SERVICES CORPORATION (YNHHSC). THE CONSOLIDATED FINANCIAL STATEMENTS FOR YNHHSC INCLUDES THE FOLLOWING FOOTNOTE REGARDING UNCOMPENSATED CARE AND COMMUNITY BENEFIT EXPENSE ON PAGE 20:THE SYSTEM'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 SYSTEM PROVIDES FREE CARE PROGRAMS FOR QUALIFYING PATIENTS. IN ACCORDANCE WITH THE ESTABLISHED POLICIES OF THE SYSTEM, DURING THE REGISTRATION, BILLING, AND COLLECTION PROCESS, A PATIENT'S ELIGIBILITY FOR FREE CARE FUNDS IS DETERMINED. FOR PATIENTS WHO WERE DETERMINED BY THE SYSTEM TO HAVE THE ABILITY TO PAY BUT DID NOT, THE UNCOLLECTED AMOUNTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS. FOR PATIENTS WHO DO NOT AVAIL THEMSELVES OF ANY FREE CARE PROGRAM, AND WHOSE ABILITY TO PAY CANNOT BE DETERMINED BY THE SYSTEM, CARE GIVEN BUT NOT PAID FOR IS CLASSIFIED AS CHARITY CARE.TOGETHER, CHARITY CARE AND FREE CARE REPRESENT UNCOMPENSATED CARE. THE ESTIMATED COST OF TOTAL UNCOMPENSATED CARE IS APPROXIMATELY $78.4 MILLION AND $87.7 MILLION FOR THE YEARS ENDED SEPTEMBER 30, 2022 AND 2021, RESPECTIVELY. THE ESTIMATED COST OF UNCOMPENSATED CARE IS BASED ON THE RATIO OF COST TO CHARGES, AS DETERMINED BY HOSPITAL SPECIFIC DATA.THE ALLOCATION BETWEEN IMPLICIT PRICE CONCESSION AND CHARITY CARE IS DETERMINED BASED ON MANAGEMENT'S ANALYSIS ON THE PREVIOUS 12 MONTHS OF HOSPITAL DATA. THIS ANALYSIS CALCULATES THE ACTUAL PERCENTAGE OF ACCOUNTS WRITTEN OFF OR DESIGNATED AS IMPLICIT PRICE CONCESSIONS VERSUS CHARITY CARE WHILE TAKING INTO ACCOUNT THE TOTAL COSTS INCURRED BY THE SYSTEM FOR EACH ACCOUNT ANALYZED.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 AN ASSESSMENT ON HOSPITAL PATIENT SERVICE REVENUE. THE SYSTEM MADE PAYMENTS INTO THE CDSHP OF $317.2 MILLION AND $326.6 MILLION FOR THE YEARS ENDED SEPTEMBER 30, 2022 AND 2021, RESPECTIVELY, FOR THE ASSESSMENT.DURING THE YEARS ENDED SEPTEMBER 30, 2022 AND 2021, THE SYSTEM RECEIVED $197.3 MILLION AND $187.8 MILLION, RESPECTIVELY, IN CDSHP DISTRIBUTIONS. THESE ARE RECORDED IN PATIENT SERVICE REVENUE.ADDITIONALLY, THE SYSTEM 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. THE SYSTEM VOLUNTARILY ASSISTS WITH THE DIRECT FUNDING OF SEVERAL CITY OF NEW HAVEN PROGRAMS, INCLUDING AN ECONOMIC DEVELOPMENT PROGRAM AND A YOUTH INITIATIVE PROGRAM.IN ADDITION TO THE QUANTIFIABLE SERVICES DEFINED ABOVE, THE SYSTEM PROVIDES BENEFITS TO THE COMMUNITY THROUGH ITS ADVOCACY OF COMMUNITY SERVICE BY EMPLOYEES. THE SYSTEM'S EMPLOYEES SERVE NUMEROUS ORGANIZATIONS THROUGH BOARD REPRESENTATION, MEMBERSHIP IN ASSOCIATIONS AND OTHER RELATED ACTIVITIES. THE SYSTEM ALSO SOLICITS THE ASSISTANCE OF OTHER HEALTHCARE PROFESSIONALS TO PROVIDE THEIR SERVICES AT NO CHARGE THROUGH PARTICIPATION IN VARIOUS COMMUNITY SEMINARS AND TRAINING PROGRAMS. 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 HOSPITAL 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, STRATA. PART III, LINE 9B: IT IS THE HOSPITAL'S POLICY TO TREAT ALL PATIENTS EQUITABLY WITH RESPECT AND COMPASSION, FROM THE BEDSIDE TO THE BILLING OFFICE. THE HOSPITAL WILL PURSUE PATIENT ACCOUNTS, DIRECTLY AND THROUGH ITS COLLECTION AGENTS, FAIRLY AND CONSISTENTLY TAKING INTO CONSIDERATION DEMONSTRATED FINANCIAL NEED. AS PART OF ITS COLLECTION PROCESS, THE HOSPITAL WILL MAKE REASONABLE EFFORTS TO DETERMINE IF AN INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER ITS FINANCIAL ASSISTANCE POLICY. IN THE EVENT A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE, THE HOSPITAL WILL NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTION AS DEFINED BY LAW AND HOSPITAL POLICY. PART VI, LINE 2: COMMUNITY NEEDS ARE ROUTINELY REVIEWED AND ADDRESSED AS PART OF THE OPERATIONS AND SERVICE LINE TEAMS AT GREENWICH HOSPITAL. THESE MULTI-DISCIPLINARY GROUPS PROVIDE ANALYSIS AND INSIGHT INTO PATIENT UTILIZATION TRENDS ACROSS THE DELIVERY OF CARE AND ARE REVIEWED IN TANDEM WITH CARE MANAGEMENT AND PATIENT SATISFACTION RESULTS AND OTHER COMMUNITY FEEDBACK. COUPLED WITH THE COMMUNITY NEEDS ASSESSMENT, THIS INFORMATION ASSISTS WITH THE DEVELOPMENT OF NEW INITIATIVES, PARTNERSHIPS, PROGRAMS, AND SERVICES TO BENEFIT OUR COMMUNITY. PART VI, LINE 3: GREENWICH HOSPITAL INFORMS INDIVIDUALS ABOUT ITS FINANCIAL ASSISTANCE PROGRAMS ON ITS WEBSITE, THROUGH VISIBLE POSTINGS AND COMMUNICATIONS AT POINTS OF REGISTRATION AND FRONT LINE ACCESS. THE FINANCIAL ASSISTANCE POLICY, APPLICATION AND SUMMARY ARE AVAILABLE ON REQUEST WITHOUT CHARGE BY MAIL, INCLUDING AT ADMITTING DEPARTMENT. FURTHER, PATIENTS RECEIVE A SUMMARY OF FINANCIAL ASSISTANCE PROGRAMS, INCLUDING ELIGIBILITY REQUIREMENTS THROUGH A FIRST STATEMENT MAILER AS PART OF THE BILLING PROCESS. THESE COMMUNICATIONS INCLUDE TELEPHONE NUMBERS AND POINT OF CONTACT FOR INDIVIDUALS TO VISIT OR CALL. THE HOSPITAL HAS RESOURCES TO ASSIST PATIENTS WITH STATE OF CONNECTICUT MEDICAID APPLICATIONS. PART VI, LINE 4: TO DEFINE COMMUNITY FOR CHNA PURPOSES THIS GREATER GREENWICH COMMUNITY HEALTH NEEDS ASSESSMENT USES A GEOGRAPHICAL APPROACH FOCUSING ON FIVE CONTINGENT TOWNS WITHIN CONNECTICUT AND NEW YORK: GREENWICH, CT AND MAMARONECK, PORT CHESTER, RYE BROOK AND RYE TOWN, NY. THESE COMMUNITIES ARE SERVED BY GREENWICH HOSPITAL REPRESENTING APPROXIMATELY 50% OF TOTAL DISCHARGES AND DO NOT OVERLAP WITH CHNA AREAS IDENTIFIED BY OTHER ACUTE CARE HOSPITALS AND/OR COLLABORATIONS. UPON DEFINING THE GEOGRAPHIC AREA AND POPULATION SERVED IN GREATER GREENWICH, THE COALITIONS AND GREENWICH HOSPITAL WERE DILIGENT TO ENSURE THAT NO GROUPS, ESPECIALLY MINORITY, LOW-INCOME OR MEDICALLY UNDER-SERVED, WERE EXCLUDED.NUMEROUS FACTORS ARE ASSOCIATED WITH THE HEALTH OF A COMMUNITY INCLUDING WHAT RESOURCES AND SERVICES ARE AVAILABLE AS WELL AS WHO LIVES IN THE COMMUNITY. WHILE INDIVIDUAL CHARACTERISTICS SUCH AS AGE, GENDER, RACE, AND ETHNICITY HAVE AN IMPACT ON PEOPLE'S HEALTH, THE DISTRIBUTION OF THESE CHARACTERISTICS ACROSS A COMMUNITY IS ALSO CRITICALLY IMPORTANT AND CAN AFFECT THE NUMBER AND TYPE OF SERVICES AND RESOURCES AVAILABLE. THE TOWNS IN THE REGION VARY DRAMATICALLY IN TERMS OF THEIR RACIAL AND ETHNIC COMPOSITION. GREENWICH HAS A POPULATION OF 62,587 WITH MOST RESIDENTS (73%) IDENTIFYING AS WHITE, 14% AS HISPANIC, AND 3% BLACK. THIS IS HIGHER THAN THE STATE OF CT WITH 67% OF THE POPULATION IDENTIFYING AS WHITE, 16%, AS HISPANIC, AND 10% BLACK. EACH AREA INCLUDED 7 TO 10% OF THE POPULATION THAT IDENTIFIED AS OTHER. THE LIFE EXPECTANCY RATE IN THE TOWN OF GREENWICH IS 84 YEARS. PORT CHESTER HAS A TOTAL POPULATION OF 29,3342 WITH 64% OF THE POPULATION IDENTIFYING AS HISPANIC, 31% AS WHITE, AND 3% AS BLACK. THIS IS HIGHER THAN THE STATE OF NY WITH 19% OF THE POPULATION IDENTIFYING AS HISPANIC, 56%, AS WHITE, AND 14% BLACK. EACH AREA INCLUDED 2 TO 11% OF THE POPULATION THAT IDENTIFIED AS OTHER. INCOME AND POVERTY ARE CLOSELY CONNECTED TO HEALTH OUTCOMES. A HIGHER INCOME MAKES IT EASIER TO LIVE IN A SAFE NEIGHBORHOOD WITH GOOD SCHOOLS AND MANY RECREATIONAL OPPORTUNITIES. HIGHER WAGE EARNERS ARE BETTER ABLE TO BUY MEDICAL INSURANCE AND MEDICAL CARE, PURCHASE NUTRITIOUS FOODS AND OBTAIN QUALITY CHILDCARE THAN THOSE EARNING LOWER WAGES. LOWER INCOME COMMUNITIES HAVE HIGHER RATES OF ASTHMA, DIABETES, AND HEART DISEASE. THOSE WITH LOWER INCOMES ALSO GENERALLY EXPERIENCE LOWER LIFE EXPECTANCIES. THERE WERE WIDE GAPS IN MEDIAN HOUSEHOLD INCOME RATES FOR GREENWICH ($152,577), FAIRFIELD COUNTY ($95,645), AND CONNECTICUT ($78,444). THE WIDEST GAP IS FOUND BETWEEN GREENWICH ($152,577) AND PORT CHESTER VILLAGE, RYE ($74,920). THE PROPORTION OF RESIDENTS IN GREENWICH WITH A COLLEGE DEGREE OR HIGHER (67%) WAS SIGNIFICANTLY HIGHER THAN THE STATE OVERALL (39%). ONLY 28% OF PORT CHESTER ADULTS HAD A COLLEGE DEGREE OR HIGHER. THIS DATA DEMONSTRATES THAT THERE ARE SIGNIFICANT INEQUITIES RELATED TO HIGHER EDUCATION. PART VI, LINE 5: AS A COMMUNITY HEALTH CARE SERVICES PROVIDER, GREENWICH HOSPITAL REMAINS ATTENTIVE TO HEALTH AND WELL-BEING THROUGH EDUCATION, OUTREACH, AND OTHER INNOVATIVE SERVICES. DURING 2022, GREENWICH HOSPITAL INVESTED $59.9 MILLION IN FINANCIAL AND IN-KIND CONTRIBUTIONS THROUGH FIVE WIDE-RANGING PROGRAMS: GUARANTEEING ACCESS TO CARE; ADVANCING CAREERS IN HEALTH CARE; PROMOTING HEALTH & WELLNESS; BUILDING STRONGER NEIGHBORHOODS; AND CREATING HEALTHIER COMMUNITIES. GREENWICH HOSPITAL ALSO CONTRIBUTES TO THE COMMUNITY IN WAYS THAT ARE NOT QUANTIFIED AS PART OF COMMUNITY BENEFITS AND SERVES AS AN IMPORTANT COMMUNITY RESOURCE. THIS INCLUDES HAVING A COMMUNITY-BASED BOARD OF TRUSTEES WITH A MAJORITY MEMBERS RESIDING OR WORKING IN THE AREA SERVED BY THE HOSPITAL. THE HOSPITAL ALSO EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY. IN FISCAL YEAR 2022 THERE WERE A TOTAL OF 1,096 MEMBERS ON THE GREENWICH HOSPITAL MEDICAL STAFF. GREENWICH HOSPITAL, FOUNDED IN 1903, IS A 206-BED COMMUNITY TEACHING HOSPITAL THAT HAS EVOLVED INTO A PROGRESSIVE REGIONAL HEALTHCARE CENTER, WITH MORE THAN 18,023 INPATIENT DISCHARGES AND 400,968 OUTPATIENT ENCOUNTERS LAST YEAR. IT IS A NATIONAL LEADER IN PATIENT SATISFACTION AND SERVICE EXCELLENCE, WITH PROGRAMS DEDICATED TO WOMEN'S HEALTH, CHILDREN'S SERVICES, CANCER, AND ORTHOPEDICS. GREENWICH HOSPITAL IS ONE OF THE TOP FIVE EMPLOYERS IN GREENWICH WITH 1,898 EMPLOYEES IN 2022. PART VI, LINE 6: THE YALE NEW HAVEN HEALTH SYSTEM'S FUNDAMENTAL MISSION IS TO ENSURE THAT THE DELIVERY NETWORKS SUCH AS GREENWICH HOSPITAL ASSOCIATED WITH THE SYSTEM PROMOTE THE HEALTH OF THE COMMUNITIES THEY SERVE AND ENSURE THAT ALL PATIENTS HAVE ACCESS TO APPROPRIATE HEALTHCARE SERVICES. THE YALE NEW HAVEN HEALTH SYSTEM REQUIRES ITS HOSPITALS TO INCORPORATE PLANS TO PROMOTE HEALTHY COMMUNITIES WITHIN THE HOSPITAL'S EXISTING BUSINESS PLANS AND IMPLEMENTATION STRATEGIES FOR WHICH THEY ARE HELD ACCOUNTABLE. IN ADDITION, REGULAR REPORTING ON COMMUNITY BENEFITS IS REQUIRED ON A ROUTINE BASIS. PART VI, LINE 7, REPORTS FILED WITH STATES CT 1 BREAST CANCER ALLIANCE 48 MAPLE AVENUE GREENWICH CT 06830 061453500 501(C)(3) 25000 0 SUPPORT ORGANIZATION THE LOCAL MOMS NETWORK LLC 820 NORTH STREET GREENWICH CT 06831 811701149 15000 0 SUPPORT ORGANIZATION YWCA OF GREENWICH 259 EAST PUTNAM AVENUE GREENWICH CT 06830 060646992 501(C)(3) 15000 0 SUPPORT ORGANIZATION THE GREATER FAIRFIELD COUNTY FOUNDATION 65 HIGH RIDGE ROAD STAMFORD CT 06905 273151846 501(C)(3) 12500 0 SUPPORT ORGANIZATION GREENWICH TOWN PARTY INC PO BOX 59 OLD GREENWICH CT 06870 453555667 501(C)(3) 10500 0 SUPPORT ORGANIZATION AMERICAN NATIONAL RED CROSS & ITS CONSTITUENT CHAPTERS AND BRANCHES 431 18TH STREET NW WASHINGTON DC 20006 530196605 501(C)(3) 10000 0 SUPPORT ORGANIZATION UNITED WAY OF GREENWICH INC 500 WEST PUTNAM AVENUE GREENWICH CT 06830 060646578 501(C)(3) 10000 0 SUPPORT ORGANIZATION HABITAT FOR HUMANITY OF COASTAL FAIRFIELD COUNTY INC 1542 BARNUM AVENUE BRIDGEPORT CT 06610 222597077 501(C)(3) 6000 0 SUPPORT ORGANIZATION ONS FOUNDATION FOR CLINICAL RESEARCH AND EDUCATION 6 GREENWICH OFFICE PARK GREENWICH CT 06831 261394760 501(C)(3) 5200 0 SUPPORT ORGANIZATION 8 1 TRANSPORTATION 176 7662 TAXI, AMBULANCE, ETC. PART I, LINE 2: NONE OF THE AMOUNTS REPORTED ON SCHEDULE I, PART II ARE GRANTS. THESE AMOUNTS ARE DONATIONS AND SPONSORSHIPS GIVEN TO ORGANIZATIONS TO ASSIST IN THE FURTHERANCE OF ITS CHARITABLE MISSION. GREENWICH HOSPITAL ("GH") CARRIES OUT DUE DILIGENCE IN PROVIDING MONETARY ASSISTANCE ONLY TO QUALIFYING 501(C)(3) OR ORGANIZATIONS THAT COMPLEMENT ITS MISSION OR SUPPORT THE GREATER GOOD IN THE COMMUNITIES SERVED. GH VERIFIES EACH ORGANIZATION'S EIN AS LISTED ON IRS FORM W-9 THAT HAS BEEN SUBMITTED TO GH. ASSISTANCE DONATED BY GH TO THESE QUALIFYING ORGANIZATIONS IS NOT OUTCOMES-BASED AND IS GIVEN IN SUPPORT OF AN INDIVIDUAL ORGANIZATION'S FUNDRAISING EVENTS OR IN SUPPORT OF DIRECT SERVICES. GH MAINTAINS FULL AND COMPLETE RECORDS OF ALL MONETARY ASSISTANCE PROVIDED, HOWEVER GH DOES NOT MONITOR SPECIFIC FUNDS. 1 1 0 0 0 0 0 1 0 CHRISTOPHER O'CONNOR TRUSTEE 0 1272823 0 339000 0 137446 0 683804 0 21138 0 2454211 0 0 NORMAN ROTH FORMER OFFICER 0 0 0 265000 0 971441 0 0 0 0 0 1236441 0 390000 DIANE KELLY TRUSTEE/PRESIDENT 551380 97302 157250 27750 42635 7524 269452 47550 12813 2261 1033530 182387 0 0 FRANCISCO GARRIDO ED PHYSICIAN 145883 900435 0 27799 0 1046 0 20100 0 20980 145883 970360 0 0 MARC KOSAK COO 429707 0 98400 0 4899 0 169765 0 21914 0 724685 0 0 0 EUGENE COLUCCI SENIOR VP 179341 333061 36085 67015 12124 22516 10876 20198 4988 9263 243414 452053 0 0 SERVANDO DE LOS ANGELES ED PHYSICIAN 464688 100906 17430 0 4359 0 26008 0 15051 0 527536 100906 0 0 KISHA MITCHELL RICHARDS PATHOLOGIST 519551 0 26637 0 869 0 17079 0 20940 0 585076 0 0 0 MICHAEL FRANCO DIR OF ICU & RESP SRV 507890 0 0 0 3409 0 43755 0 20916 0 575970 0 0 0 JENNIFER WILLCOX FORMER OFFICER 43645 353130 10340 83660 3640 29450 2501 20236 2281 18458 62407 504934 0 0 MARVIN SPIKE LIPSCHUTZ VP 449253 0 72500 0 7861 0 21527 0 15128 0 566269 0 0 0 CHRISTOPHER DAVISON DIRECTOR OF ED 458365 0 23682 0 1167 0 32679 0 20870 0 536763 0 0 0 KAREN SANTUCCI SVP/CMO 0 489962 0 0 0 7412 0 6445 0 21914 0 525733 0 0 ANNA CERRA SVP/CNO 336390 0 117500 0 1512 0 29000 0 15183 0 499585 0 0 0 JAMES SABETTA FORMER OFFICER 0 0 0 0 478154 0 0 0 0 0 478154 0 0 0 NOEL APPEL SVP/CDO 288692 0 60000 0 1923 0 16954 0 9540 0 377109 0 0 0 KIMBERLY NOHILLY ASSISTANT SECRETARY 30009 225601 4125 31011 71 530 2287 17191 2444 18370 38936 292703 0 0 DANA MARNANE VP 40887 153813 2835 10665 1219 4587 2859 10755 232 873 48032 180693 0 0 THOMAS PELLECHI TRUSTEE/CO CHAIR 5000 171500 0 0 0 1019 0 3047 0 7579 5000 183145 0 0 PART I, LINE 3 THE FILING ORGANIZATION DOES NOT HAVE AND/OR COMPENSATE ITS OWN CEO/EXECUTIVE DIRECTOR. THESE POSITIONS ARE FILLED BY EMPLOYEES OF A RELATED ORGANIZATION(S) AND COMPENSATED THROUGH THE RESPECTIVE RELATED ORGANIZATION(S). THE METHOD(S) USED BY THE RELATED ORGANIZATION(S) FOR DETERMINING COMPENSATION FOR THESE INDIVIDUALS ARE: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINES 4A-B THE INDIVIDUALS LISTED BELOW HAVE RECEIVED SEVERANCE OR ARE PARTICIPANTS IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN 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. SEVERANCE NONQUALIFIED EQUITY-BASED CHRISTOPHER O'CONNOR $0 $480,704 $0 JAMES SABETTA $478,154 $0 $0 DIANE KELLY $0 $168,154 $0 MARC KOSAK $0 $ 81,065 $0 THE FOLLOWING FORMER OFFICER(S) RECEIVED A PAYMENT FROM A NONQUALIFIED PLAN. THE PAYMENT WAS MADE DIRECTLY TO THE INDIVIDUAL(S) FROM THE RABBI TRUST AND REPORTED IN THE INDIVIDUALS' 2021 FORM W-2 ISSUED BY THE RABBI TRUST: NANCY LEVITT-ROSENTHAL $41,876 NORMAN ROTH $95,009 THE SUPPLEMENTAL RETIREMENT INCOME PLAN (SRIP) / EXECUTIVE DEFERRED COMPENSATION ACCOUNT PLAN (EDCAP) ARE 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 7 THE 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. A CHEFA 2008 - SERIES C 060806186 20774UYC3 2008-05-07 53630000 REFINANCE SERIES 2006B 0 0 0 A 39345000 53631315 477687 72256 53091372 2008 1 0 1 1 A 0 1 1 1 1 1 0.01000 0.00010 0.01010 0 0 0 A 0 0 1 1 1 0 0 0 1 A 1 SCHEDULE K SUPPLENTAL INFORMATION REFINANCE ISSUANCE DATE 4/6/2006 PART III, LINE 3C THE ORGANIZATION IS A MEMBER OF THE YALE NEW HAVEN HEALTH OBLIGATED GROUP ("YNHHS"). YNHHS HAS IN-HOUSE LEGAL COUNSEL STAFF WHO REVIEW MANAGEMENT, OR SERVICE CONTRACTS AND RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY TO ENSURE THAT SUCH AGREEMENTS ARE COMPLIANT WITH APPLICABLE SAFE HARBORS. IN-HOUSE COUNSEL CONSULTS WITH THE HOSPITAL'S OUTSIDE BOND COUNSEL AS NEEDED, INCLUDING ON NON-ROUTINE ISSUES. PART III, LINE 9 & PART V AS PART OF THE YALE NEW HAVEN HEALTH OBLIGATED GROUP, THE ORGANIZATION HAS POLICIES AND PROCEDURES IN PLACE TO ENSURE COMPLIANCE WITH FEDERAL TAX LAW, AND TO TIMELY IDENTIFY NONCOMPLIANCE. SCHEDULE K, PART IV, ARBITRAGE, LINE 2B THE 6-MONTH SPENDING EXCEPTION WAS MET AND ALL PROCEEDS WERE SPENT ON REFUNDING PROJECTS WITHIN THE 6-MONTH PERIOD. SCHEDULE K, PART IV, ARBITRAGE, LINE 2C ISSUER NAME: CHEFA 2008 - SERIES C DATE THE REBATE COMPUTATION WAS PERFORMED: 06/30/2009, 06/30/2014 & 06/30/2019 SUBST CONTR #189 VENDOR 1702368 LINENS/LAUNDERING 0 X 8 282018 FAIR MARKET VALUE 0 0 0 PART I, COLUMN (B): THE ORGANIZATION IS REPORTING IN PART I, COLUMN (B), THE NUMBER OF CONTRIBUTIONS RECEIVED. SCHEDULE M, PART I, LINE 31: WHILE THE ORGANIZATION DOES NOT CURRENTLY HAVE A BOARD-APPROVED GIFT ACCEPTANCE POLICY, NONSTANDARD CONTRIBUTIONS ARE REVIEWED BY THE SENIOR VICE PRESIDENT OF DEVELOPMENT IN CONSULTATION WITH THE PRESIDENT AND OTHER STAKEHOLDERS AS APPROPRIATE DEPENDING ON THE NATURE OF THE PROPOSED GIFT (E.G., TAX AND REAL ESTATE DEPARTMENTS). FORM 990, PART III, LINE 4A AS THE REGION'S HEALTHCARE PROVIDER OF CHOICE, GREENWICH HOSPITAL IN 2021 EXPERTLY MANAGED THE ONGOING COVID-19 PANDEMIC WHILE PROVIDING EMERGENCY, INPATIENT AND OUTPATIENT CARE TO THOUSANDS OF CONNECTICUT AND NEW YORK RESIDENTS. INPATIENT DISCHARGES REACHED 18,023 FOR THE YEAR, WITH OUTPATIENT ENCOUNTERS AT 400,968. PATIENT CARE AND ACCESS WITH A FOCUS ON ITS MOST VULNERABLE PATIENTS, GREENWICH HOSPITAL WAS CERTIFIED BY THE AMERICAN COLLEGE OF EMERGENCY PHYSICIANS AS A LEVEL III GERIATRIC EMERGENCY DEPARTMENT TO PROVIDE SPECIALIZED EMERGENCY CARE TO PATIENTS AGES 65 AND OLDER, INCLUDING SCREENING FOR DELIRIUM. TO BETTER SERVE CHILDREN AND ADOLESCENTS, GREENWICH BEGAN CONSTRUCTION OF THE PEDIATRIC AMBULATORY CENTER. AS PART OF YALE NEW HAVEN HEALTH, GREENWICH HOSPITAL TRAINED FUTURE GENERATIONS OF PHYSICIANS AND NURSES THROUGH ITS INTERNAL MEDICINE RESIDENCY PROGRAM, PERIOPERATIVE NURSE RESIDENCY PROGRAM AND SUSAN D. FLYNN ONCOLOGY NURSING FELLOWSHIP PROGRAM. ADDITIONAL YALE MEDICINE PHYSICIANS JOINED GREENWICH HOSPITAL AND ITS OUTPATIENT FACILITIES AT WEST PUTNAM MEDICAL CENTER IN GREENWICH AND LONG RIDGE MEDICAL CENTER IN STAMFORD, THEREBY INCREASING PATIENT ACCESS TO CARE. THE SMILOW CANCER HOSPITAL CARE CENTER IN GREENWICH PROVIDED INNOVATIVE LUNG CANCER SCREENING WITH LOW-DOSE CT SCANS TO POTENTIALLY INCREASE SURVIVAL RATES. SEVERAL YALE CANCER CENTER PHYSICIANS JOINED THE SMILOW TEAM IN GREENWICH, FURTHER EXPANDING THE SCOPE OF SURGICAL, MEDICAL AND RADIATION ONCOLOGY SERVICES AVAILABLE TO AREA PATIENTS. QUALITY AND SAFETY FOCUSED FOR THE SECOND CONSECUTIVE YEAR, GREENWICH HOSPITAL EARNED A FIVE-STAR HOSPITAL QUALITY RATING FROM THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) THE HIGHEST DISTINCTION OFFERED BY THE FEDERAL AGENCY. THE CMS RATINGS HELP CONSUMERS COMPARE HOSPITALS' QUALITY AND PERFORMANCE. THE RATINGS ARE BASED ON MORE THAN 40 QUALITY MEASUREMENTS IN FIVE CATEGORIES: MORTALITY, SAFETY OF CARE, READMISSIONS AFTER TREATMENT OF COMMON CONDITIONS, PATIENT EXPERIENCE, AND TIMELY AND EFFECTIVE CARE. IN 2022, ONLY 13.8 PERCENT OF THE 3,093 HOSPITALS RATED BY CMS EARNED A FIVE-STAR DESIGNATION. THE SMILOW CANCER HOSPITAL CARE CENTER IN GREENWICH WAS AWARDED A FULL THREE-YEAR REACCREDITATION FROM THE COMMISSION ON CANCER AND THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS (NAPBC), BOTH QUALITY PROGRAMS OF THE AMERICAN COLLEGE OF SURGEONS. ACCREDITATION IS CONSIDERED THE HALLMARK OF EXCELLENCE FOR BREAST CENTERS ACROSS THE COUNTRY. TO EARN ACCREDITATION FROM THE COMMISSION ON CANCER, A PROGRAM MUST MEET 34 QUALITY CARE STANDARDS, BE EVALUATED EVERY THREE YEARS THROUGH A SURVEY PROCESS, AND MAINTAIN LEVELS OF EXCELLENCE IN THE DELIVERY OF COMPREHENSIVE PATIENT-CENTERED CARE. PRESS GANEY, A NATIONAL LEADER IN MEASURING PATIENT SATISFACTION, HONORED GREENWICH HOSPITAL WITH SIX PERFORMANCE ACHIEVEMENT AWARDS FOR CONSISTENTLY PROVIDING AN EXTRAORDINARY PATIENT EXPERIENCE. THE HOSPITAL RECEIVED FOUR PINNACLE OF EXCELLENCE AWARDS FOR MAINTAINING HIGH LEVELS OF EXCELLENCE OVER THREE YEARS IN THE FOLLOWING CATEGORIES: PATIENT EXPERIENCE IN AMBULATORY SURGERY; INPATIENT SERVICES; OUTPATIENT SERVICES; AND THE FEDERAL HOSPITAL CONSUMER ASSESSMENT OF HEALTHCARE PROVIDERS AND SYSTEMS. THE HOSPITAL ALSO RECEIVED TWO GUARDIAN OF EXCELLENCE AWARDS FOR REACHING THE 95TH PERCENTILE FOR AN ENTIRE YEAR IN PATIENT EXPERIENCE IN AMBULATORY SURGERY AND OUTPATIENT SERVICES. GREENWICH HOSPITAL RECEIVED TWO AWARDS FROM THE AMERICAN HEART ASSOCIATION/ AMERICAN STROKE ASSOCIATION FOR HIGH QUALITY CARE IN STROKE AND DIABETES. GET WITH THE GUIDELINES IS THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S HOSPITAL-BASED QUALITY IMPROVEMENT PROGRAM THAT PROVIDES HOSPITALS WITH TOOLS AND RESOURCES TO DIAGNOSE AND TREAT STROKE PATIENTS. THE TARGET: TYPE 2 DIABETES HONOR ROLL AWARD RECOGNIZES HOSPITALS THAT MEET QUALITY MEASURES FOR 12 CONSECUTIVE MONTHS. AN IN-DEPTH LOOK AT PREVENTING AND TREATING STROKE THE NATION'S LEADING CAUSE OF DISABILITY AND FIFTH LEADING CAUSE OF DEATH WAS THE FOCUS OF GREENWICH HOSPITAL'S 1ST ANNUAL STROKE SYMPOSIUM ON ADVANCES IN STROKE MANAGEMENT AND PREVENTION. FOCUSING ON STROKE CARE AND PREVENTION WAS PARTICULARLY RELEVANT DURING THE PANDEMIC BECAUSE COVID-19 IS ONE OF THE MANY CAUSES OF STROKE. THE GREENWICH HOSPITAL STROKE CENTER CONTINUED TO INTEGRATE THE MOST UPDATED MEDICAL KNOWLEDGE AND A SPECIALIZED TEAM APPROACH TO PROVIDE PATIENTS WITH THE BEST OUTCOMES. THE WOMEN'S CHOICE AWARDS NAMED GREENWICH HOSPITAL AS ONE OF AMERICA'S BEST HOSPITALS FOR PATIENT EXPERIENCE AND CANCER CARE IN 2022. BY CARRYING THE WOMEN'S CHOICE AWARD, GREENWICH HOSPITAL IS PART OF AN ELITE NATIONAL NETWORK OF HEALTHCARE FACILITIES COMMITTED TO PROVIDING THE HIGHEST LEVEL OF CARE AND EMPOWERING INDIVIDUALS TO MAKE INFORMED HEALTHCARE CHOICES. HEALTHY WORKFORCE, HEALTHY COMMUNITIES HELPING EMPLOYEES TO ATTAIN LIFE-WORK BALANCE WAS A TOP PRIORITY. GREENWICH HOSPITAL ESTABLISHED EASY CARE, ON ONSITE HEALTH CLINIC FOR EMPLOYEES, AND SELF-CARE DAYS THAT OFFERED MEDITATION. A PILOT PROGRAM FOCUSING ON SPIRITUALITY AND NURSING PROMOTED STAFF WELLBEING AND IMPROVED RETENTION, WHILE ENHANCING PATIENT CARE. CLINICAL NURSE TRANSITION COACHES SUPPORTED GRADUATING NURSES AS THEY ASSUMED THEIR PROFESSIONAL ROLES. GREENWICH HOSPITAL'S MEDICAL STAFF AND EMPLOYEES LOOKED BEYOND THE HOSPITAL'S BORDERS TO BUILD HEALTHY COMMUNITIES. THEY DONATED 4,000 POUNDS OF FOOD IN THE #GIVEHEALTHY FOOD DRIVE TO ASSIST TWO FOOD PANTRIES, NEIGHBOR TO NEIGHBOR IN GREENWICH AND MEALS OF MAIN STREET IN PORT CHESTER, NY. LED BY THE HOSPITAL'S DIVERSITY, EQUITY AND INCLUSION COUNCIL, THEY DONATED 3,240 DIAPERS TO LOCAL SOCIAL SERVICE ORGANIZATIONS TO ASSIST FAMILIES IN NEED AND PROVIDED HOME REPAIRS TO A VIETNAM WAR VETERAN THROUGH HOUSE OF HEROES IN CONNECTICUT. EMPLOYEES ALSO SERVED AS WORKPLACE MENTORS TO PROJECT SEARCH INTERNS FROM ABILIS, WHICH ASSISTS INDIVIDUALS WITH SPECIAL NEEDS. AS PART OF ONGOING EFFORTS TO BE ENVIRONMENTALLY RESPONSIBLE, GREENWICH HOSPITAL PARTNERED WITH FOOD RESCUE TO REDUCE WASTE AND FOOD INSECURITY BY DONATING UNUSED LEFTOVERS TO A LOCAL SOCIAL SERVICE AGENCY. THE HOSPITAL'S COMPOSTING INITIATIVE ALSO SIGNIFICANTLY REDUCED THE AMOUNT OF WASTE GOING INTO LANDFILLS. IN KEEPING WITH ITS MISSION, COMMUNITY HEALTH OFFERED EDUCATIONAL PROGRAMS IN PARTNERSHIP WITH LOCAL AGENCIES SUCH AS THE GREENWICH YMCA, GREENWICH LIBRARY, GREENWICH SCHOOLS, AND GREENWICH POLICE AND FIRE DEPARTMENTS. MEDICAL AND NURSING STAFF PRESENTED NUMEROUS LECTURES AND WEBINARS TO THE COMMUNITY. PART I, LINE 4 & PART VI, LINE 1B NUMBER OF INDEPENDENT VOTING MEMBERS OF THE GOVERNING BODY THE 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. IN THE EVENT THAT THE ORGANIZATION DOES NOT RECEIVE A RESPONSE FROM ANY SUCH VOTING MEMBER, THE ORGANIZATION REVIEWS OTHER INFORMATION KNOWN TO IT REGARDING THE VOTING MEMBER AND MAKES A REASONABLE ASSESSMENT OF INDEPENDENCE BASED ON THAT INFORMATION. FORM 990, PART VI, SECTION A, LINE 2 CERTAIN OF THE ORGANIZATION'S CURRENT OFFICERS AND/OR TRUSTEES SERVE AS OFFICERS AND/OR DIRECTORS OF TAXABLE AFFILIATES WITHIN THE ORGANIZATION'S CORPORATE SYSTEM OR JOINT VENTURES IN WHICH THE ORGANIZATION'S CORPORATE SYSTEM HAS AN OWNERSHIP INTEREST. THE INDIVIDUAL OFFICERS DO NOT HAVE PERSONAL FINANCIAL INTERESTS IN THE TAXABLE AFFILIATE AND SERVE ONLY AS A FUNCTION OF THEIR ROLES WITH THE ORGANIZATION OR WITHIN THE ORGANIZATION'S CORPORATE SYSTEM. FORM 990, PART VI, SECTION A, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS: THE SOLE MEMBER OF GREENWICH HOSPITAL IS YNHHS, ITSELF A CONNECTICUT NON-STOCK CORPORATION EXEMPT FROM FEDERAL INCOME TAX AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. FORM 990, PART VI, SECTION A, LINE 7A ELECTION OF MEMBERS AND THEIR RIGHTS: YNHHS HAS THE AUTHORITY TO DESIGNATE ONE REPRESENTATIVE OF YNHHS TO SERVE AS A TRUSTEE OF THE ORGANIZATION AND FURTHER TO APPROVE NOMINEES TO THE ORGANIZATION'S BOARD OF TRUSTEES IN ACCORDANCE WITH THE ORGANIZATION'S BYLAWS. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS SUBJECT TO APPROVAL OF MEMBERS: THE YALE NEW HAVEN HEALTH SERVICES CORPORATION, AS THE ORGANIZATION'S SOLE MEMBER, HAS THE RIGHTS, POWERS AND PRIVILEGES SET FORTH IN THE ORGANIZATION'S BYLAWS, INCLUDING, IN PART, THE AUTHORITY TO APPROVE THE NOMINEES TO THE ORGANIZATION'S BOARD OF TRUSTEES, AMENDMENTS TO THE GOVERNING DOCUMENTS, OPERATING AND CAPITAL BUDGETS, INITIATION OF MAJOR NEW PROGRAMS AND CLINICAL SERVICES OR THE DISCONTINUATION OR CONSOLIDATION OF SUCH PROGRAMS, CERTAIN FUNDAMENTAL CORPORATION TRANSACTIONS, AND THE ISSUANCE AND INCURRENCE OF INDEBTEDNESS. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S PROCESS TO REVIEW FORM 990: THE FORM 990 TAX RETURN AND ATTACHED SCHEDULES WERE PREPARED BY EMPLOYEES OF THE YNHHS TAX DEPARTMENT. THE RETURN IS INITIALLY REVIEWED BY THE EXECUTIVE DIRECTOR OF CORPORATE FINANCE. SUBSEQUENTLY, IT IS SENT TO KPMG 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 ORGANIZATION AND A FINAL VERSION OF THE RETURN IS SENT BACK TO KPMG LLP FOR FINAL REVIEW. PRIOR TO FILING, THE ORGANIZATION MADE AVAILABLE A COMPLETE COPY OF THE RETURN TO ITS BOARD OF TRUSTEES BY WEB PORTAL. FORM 990, PART VI, SECTION B, LINE 12C GREENWICH HOSPITAL IS COVERED UNDER THE YALE NEW HAVEN HEALTH SYSTEM CONFLICT OF INTEREST POLICY APPROVED AND ADOPTED BY THE SYSTEM COMPLIANCE COMMITTEE, WHICH HAS BEEN DELEGATED THE AUTHORITY TO APPROVE AND ADOPT COMPLIANCE POLICIES ON BEHALF OF THE ENTITIES IN THE SYSTEM. THE YALE NEW HAVEN HEALTH SYSTEM CONFLICT OF INTEREST POLICY 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 PROMPTLY REPORT 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 TO DEVELOP A PLAN TO MITIGATE ANY ACTUAL CONFLICT OF INTEREST. FOR EXAMPLE, A VOTING BOARD OR COMMITTEE MEMBER WOULD BE REQUIRED TO RECUSE HIMSELF OR HERSELF FROM VOTING ON MATTERS WITH WHICH SHE OR HE HAD AN ACTUAL OR POTENTIAL CONFLICT AND THE ACTUAL OR POTENTIAL CONFLICT WOULD BE DISCLOSED TO OTHER VOTING MEMBERS. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION PROCESS FOR CEO/TOP OFFICIALS: THE TOP GH OFFICIAL IS AN EMPLOYEE OF YNHHS. THE YNHHS COMPENSATION AND LEADERSHIP DEVELOPMENT COMMITTEE (THE "YNHHS COMPENSATION COMMITTEE"), WHICH INCLUDES A REPRESENTATIVE OF THE HOSPITAL, IS RESPONSIBLE FOR (1) DETERMINING THE OVERALL TOTAL COMPENSATION STRATEGY FOR YNHHS OFFICER-LEVEL EXECUTIVES, (2) APPROVING ALL COMPENSATION AND BENEFITS DECISIONS FOR YNHHS OFFICER-LEVEL EXECUTIVES, AND (3) REPORTING SUCH ACTIONS TO THE FULL YNHHS BOARD OF TRUSTEES ON AN ANNUAL BASIS. IN ADDITION, THE YNHHS COMPENSATION COMMITTEE EXPRESSLY DETERMINES THE REASONABLENESS OF TOTAL COMPENSATION AND BENEFITS FOR ALL YNHHS OFFICER-LEVEL EXECUTIVES, AND ASSURES THAT ALL OFFICER-LEVEL EXECUTIVE COMPENSATION DECISIONS ARE MADE AFTER THOROUGH CONSIDERATION OF AND COMPARISON TO THE MARKET PRACTICES OF OTHER SIMILARLY SITUATED ORGANIZATIONS. THE YNHHS COMPENSATION COMMITTEE CONSISTS OF TRUSTEES WHO DO NOT HAVE MATERIAL FINANCIAL INTERESTS THAT COULD BE AFFECTED BY THE OFFICER-LEVEL EXECUTIVE COMPENSATION DECISIONS MADE BY THE COMMITTEE. THE COMPARABILITY DATA USED TO ASSIST THE COMMITTEES IN ITS COMPENSATION DELIBERATIONS IS COMPILED BY AN INDEPENDENT, NATIONAL COMPENSATION CONSULTING FIRM THAT IS RETAINED BY AND REPORTS DIRECTLY TO THE YNHHS COMPENSATION COMMITTEE. THE DATA COLLECTED BY THE CONSULTANT CONSISTS OF MARKET INFORMATION FOR EXECUTIVES IN FUNCTIONALLY SIMILAR POSITIONS IN SIMILARLY SITUATED ORGANIZATIONS. THE DELIBERATIONS AND DECISIONS OF THE YNHHS COMPENSATION COMMITTEE IS CONTEMPORANEOUSLY DOCUMENTED, REVIEWED AND APPROVED BY THE COMMITTEE, AND PROVIDED TO THE BOARD OF TRUSTEES OF YNHHS AND GH. 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 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 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 19 COPIES OF ALL AVAILABLE DOCUMENTS ARE ACCESSIBLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G LAUNDERING SERVICE: PROGRAM SERVICE EXPENSES 1,542,034. MANAGEMENT AND GENERAL EXPENSES 179,613. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,721,647. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 100,767,259. MANAGEMENT AND GENERAL EXPENSES 11,737,140. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 112,504,399. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 14,146,665. MANAGEMENT AND GENERAL EXPENSES 1,542,258. FUNDRAISING EXPENSES 105,513. TOTAL EXPENSES 15,794,436. SYSTEM SUPPORT FEE: PROGRAM SERVICE EXPENSES 24,017,571. MANAGEMENT AND GENERAL EXPENSES 2,797,512. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,815,083. FORM 990, PART XI, LINE 9: PENSION ADJUSTMENT 7,838,979. CHANGE IN BENEFICIAL INTEREST IN GREENWICH HOSPITAL ENDOWMENT FUND -22,858,399. INTERNAL CONTRIBUTIONS REMOVED -550,000. BENEFICIAL INTEREST TRANSFER -25,000. ROUNDING 3. 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