2022-08-12T14:36:05-05:00 2021-09-30 111986323 MARCUM LLP 555 LONG WHARF DRIVE NEW HAVEN CT 06511 990 2020-10-01 060647014 GRIFFIN HOSPITAL GRIF 2037327528 130 DIVISION STREET DERBY CT 06418 DAVID MURCKO CONTROLLER 2037327528 2022-08-12 1 DAVID MURCKO 999009999 MARY ANTONETTI P00431862 2037819600 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z PATRICK CHARMEL 130 DIVISION STREET DERBY CT 06418 284900571 0 X GRIFFINHEALTH.ORG X 1908 CT TO PROVIDE PERSONALIZED, HUMANISTIC, CONSUMER-DRIVEN HEALTH CARE IN A HEALING ENVIRONMENT. 23 20 2081 114 1244735 0 9328232 8301220 197252412 260527521 -339701 598432 2397951 2648300 208638894 272075473 108173 401852 0 0 98804941 123673343 0 0 0 96609455 119313894 195522569 243389089 13116325 28686384 197418922 218973633 206243197 190148490 -8824275 28825143 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 183870060 401852 253946581 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. 3309544 3100759 PROVIDE PSYCHIATRIC SERVICES TO THE COMMUNITY ON AN OUTPATIENT BASIS. 1663006 4638592 PROVIDE CANCER RELATED RADIOLOGY SERVICES TO THE COMMUNITY. 143204 150801 PROVIDE HOSPICE SERVICES TO THE COMMUNITY. 143204 150801 188985814 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 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 211 0 1 2081 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 23 20 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 JOSEPH ANDREANA TRUSTEE 0.23 0.38 X 0 0 0 FREDERICK BROWNE MD TRUSTEE 0.23 40.15 X 0 420564 34643 KENNETH BALDYGA TRUSTEE 0.23 0.53 X 0 0 0 JOHN W BETKOWSKI III CHAIRMAN 0.23 0.53 X X 0 0 0 PATRICK A CHARMEL CEO/PRESIDENT, BOD SECRETARY/TREASURER 45.00 5.15 X X 689282 0 34643 DONNA DIGIANVITTORIO TRUSTEE 0.23 0.15 X 0 0 0 NANCY DINARDO TRUSTEE 0.23 0.53 X 0 0 0 MARIA DAWE MD TRUSTEE/PHYSICIAN (FROM 01/2021) 40.00 0.00 X 379350 0 34543 KENNETH J DOBULER MD TRUSTEE/PHYSICIAN (RESIGNED 01/2021) 40.00 0.23 X 317246 0 8761 JEAN CRUM JONES MPH RD TRUSTEE 0.23 0.15 X 0 0 0 THEMIS KLARIDES TRUSTEE 0.23 0.38 X 0 0 0 GEORGE S LOGAN TRUSTEE 0.23 0.38 X 0 0 0 LAURA MARASCO TRUSTEE 0.23 0.15 X 0 0 0 EDWARD J MCCREERY III ESQ TRUSTEE 0.23 0.30 X 0 0 0 GEORGE MITCHELL JR TRUSTEE 0.23 0.15 X 0 0 0 FLOYD MOIR TRUSTEE 0.23 0.15 X 0 0 0 MARK PETERSON TRUSTEE 0.23 0.15 X 0 0 0 ROBERT G REISS TRUSTEE 0.23 0.38 X 0 0 0 HAROLD SCHWARTZ MD TRUSTEE 0.23 0.15 X 0 0 0 JOSEPH SOKOL MD TRUSTEE 0.23 0.15 X 0 0 0 FREDERICK STANEK ESQ TRUSTEE 0.23 0.30 X 0 0 0 GERALD T WEINER ESQ TRUSTEE 0.23 0.38 X 0 0 0 PHILLIP WHITE TRUSTEE 0.23 0.15 X 0 0 0 JOHN J ZAPRZALKA TRUSTEE 0.23 0.38 X 0 0 0 ALEXANDER S BALKO CFO/VP FINANCE 40.00 X 393960 0 34643 TODD LIU VP 40.00 X 255225 0 32567 BARBARA STUMPO VP 40.00 X 240720 0 32672 KATHLEEN MARTIN VP 40.00 X 164793 0 23955 RICHARD DAIGLE CHIEF INFORMATION OFFICER 40.00 X 273688 0 9680 ADAM DWORKIN VP 40.00 X 205024 0 31733 MYRA ODENWAELDER ASSISTANT VP 40.00 X 204476 0 31223 KAREN O'FLYNN MD DIRECTOR 40.00 X 195047 0 34643 MIHAELA BORAN MD PHYSICIAN 40.00 X 209820 0 30081 KELLY EGAN DIRECTOR 40.00 X 202980 0 21616 3731611 420564 395403 167 0 1 0 JACKSON LAB 540 W MADISON 4TH FL CHICAGO IL 60693 LABORARY SERVICES 31671999 UNIDINE CORP P O BOX 102289 ATLANTA GA 303682289 FOOD SERVICE 2064709 QUEST DIAGNOSTICS P O BOX 844217 BOSTON MA 022844217 LABORARY SERVICES 1592227 BISMARK CONSTRUCTION 100 BRIDGEPORT AVE MILFORD CT 06460 CONSTRUCTION SERVICES 1196304 ASCENSION HEALTH ALLIANCE P O BOX 505302 ST LOUIS MO 631055302 PURCHASING CONSULTANTS 777429 27 7910679 390541 8301220 PATIENT SERVICE REVENUE 622110 206283056 205088805 1194251 OTHER PROGRAM SERVICES 621500 43549537 43549537 STATE SUPPLEMENTAL REVENUE 900099 10179631 10179631 TUITION/EDUCATION REVENUE 900099 515297 515297 260527521 251375 251375 420711 0 420711 420711 420711 13172155 12825098 347057 347057 347057 CAFETERIA INCOME 900099 1015745 1015745 OTHER INCOME 900099 658766 608282 50484 REBATES 900099 553078 553078 2227589 272075473 260494630 1244735 2034888 401852 401852 2883882 635348 2248534 92902534 80712294 12190240 439029 402950 36079 20273902 17319119 2954783 7173996 6091702 1082294 307864 307864 275000 275000 30078 30078 70622 70622 13191581 9019988 4171593 1091898 351681 740217 6899585 5429928 1469657 1853158 377649 1475509 4504420 2584492 1919928 394628 283319 111309 2714676 2013965 700711 6428584 5004413 1424171 5972698 4724082 1248616 MEDICAL & DRUG SUPPLIES 40749220 40749220 STATE HOSPITAL TAX EXP 14292243 14292243 PHYSICIAN FEES 4237536 2486863 1750673 BAD DEBTS 3202399 3202399 13097704 7194550 5903154 243389089 188985814 54403275 0 1458 1464 40564544 38230418 14350802 16834313 1733893 1935446 4671085 2324435 184232774 113449438 65407888 70783336 11315158 31934783 3711386 4251435 12224829 12658093 43437879 40019910 197418922 218973633 35029782 39721035 5221242 783020 72233856 71774707 93758317 77869728 206243197 190148490 X -18062754 19986885 9238479 8838258 -8824275 28825143 197418922 218973633 X 28686384 1294746 7668288 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 30078 30078 0 PART II-B, LINE 1: THE GRIFFIN HOSPITAL PAID FOR MEMBERSHIP DUES TO THE CONNECTICUT HOSPITAL ASSOCIATION. FOR THE FISCAL YEAR ENDED 9/30/2021, $30,078 OF THE MEMBERSHIP DUES PAID WAS USED FOR LOBBYING ON ISSUES RELEVANT TO THE ORGANIZATION'S EXEMPT PURPOSE. 4053978 237256 4291234 3995669 58309 4053978 3820586 179083 4000 3995669 3579131 247455 6000 3820586 3279717 301914 2500 3579131 0.00000 0.50340 0.49660 1 0 5512604 5512604 87904081 47782096 40121985 87799856 65609837 22190019 3016233 57505 2958728 70783336 INTEREST IN NET ASSETS OF AFFILIATE 10434640 C INVESTMENT IN AFFILIATE 2223453 C 12658093 OTHER RECEIVABLES 9958253 DUE FROM AFFILIATES 6518682 REINSURANCE RECOVERABLE 1795634 DEBT ISSUANCE COSTS 1181275 OPERATING LEASE RIGHT-OF-USE ASSET 9219403 ASSETS LIMITED AS TO USE 6097914 UNDER INDENTURE AGREEMENT 4265019 SECURITY DEPOSITS 432520 OTHER CURRENT ASSETS 551210 40019910 ACCRUED POSTRETIREMENT BENEFIT LIABILITY 10861479 PROFESSIONAL AND GENERAL LIABILITY LOSS RESERVES 2885366 ACCRUED PENSION LIABILITY 20696755 WORKERS COMPENSATION LOSS RESERVES 2638669 ACCRUED INTEREST PAYABLE 785880 CONDITIONAL ASSET RETIREMENT OBLIGATIONS 95831 ESTIMATED THIRD-PARTY SETTLEMENTS 19026745 DUE TO AFFILIATES 276634 MEDICARE ADVANCES 11382966 OPERATING LEASE LIABILITY 9219403 77869728 X 270097198 1294746 -3202399 -1907653 272004851 70622 70622 272075473 240116068 0 240116068 70622 3202399 3273021 243389089 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, 2021 AND 2020, 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 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. PART XI, LINE 2D - OTHER ADJUSTMENTS: BAD DEBTS -3,202,399. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBTS 3,202,399. 1 1 1 X 250.000000000000 1 X 1 1 0 0 2072580 2072580 0.00860 17772 29625158 17938299 11686859 0.04870 29 12213 1250 10963 0.00000 17801 31709951 17939549 13770402 0.05730 8 32101 259858 62900 196958 0.00080 1 8125895 6578807 1547088 0.00640 3 36482 38850916 31040329 7810587 0.03250 1 1694115 1425156 268959 0.00110 1 401852 401852 0.00170 14 68583 49332636 39107192 10225444 0.04250 14 86384 81042587 57046741 23995846 0.09980 1 862799 0 64631031 88814615 -24183584 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 18 1 0 1 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 1 18 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: IN ORDER TO GATHER INPUT FROM PUBLIC HEALTH AND THE GENERAL PUBLIC, GRIFFIN HOSPITAL PARTICIPATED IN THE CREATION OF THE 2019 VALLEY COMMUNITY INDEX. THE 2019 VALLEY COMMUNITY INDEX WAS CREATED IN PARTNERSHIP WITH DATA HAVEN. THIS REPORT REFLECTS THE MOST RECENT DATA COLLECTION EFFORTS TO EXAMINE THE SOCIAL, ECONOMIC, AND PHYSICAL HEALTH OF THE VALLEY AND CONTINUES WHERE THE 2016 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.GRIFFIN HEALTH IS COMMITTED TO DEVELOPING COMPREHENSIVE POPULATION HEALTH MANAGEMENT CAPABILITIES INCLUDING A COMMITMENT TO IDENTIFY SOCIAL NEEDS THAT IMPACT THE WELLBEING OF INDIVIDUALS WHO ACCESS THE HEALTHCARE SYSTEM. SCREENING ACTIVITIES IN THE HOSPITAL'S EMERGENCY DEPARTMENT AND OUTPATIENT PHYSICIAN OFFICES HAVE PROMPTED GRIFFIN TO WORK WITH TEAM AND OTHER COMMUNITY BASED ORGANIZATIONS TO DEVELOP STRATEGIES TO ADDRESS FOOD INSECURITY, HOUSING ISSUES, AND TRANSPORTATION NEEDS THAT SIGNIFICANTLY AFFECT THE HEALTH OF INDIVIDUALS. GRIFFIN AND TEAM ARE LEADING EFFORTS TO ELIMINATE HUNGER IN THE REGION AND EDUCATE PEOPLE, PARTICULARLY THOSE WITH CHRONIC DISEASE BURDEN, ABOUT THE ADVERSE IMPACT THAT POOR NUTRITION CAN HAVE ON HEALTH. AS PART OF THAT EFFORT, GRIFFIN HAS PLEDGED $50,000 PER YEAR TO SUBSIDIZE THE COST OF PURCHASING FOOD THAT WILL SUPPLEMENT THE DONATIONS RECEIVED BY LOCAL FOOD PANTRIES THAT SERVE THE REGION. GRIFFIN HOSPITAL PART V, SECTION B, LINE 6B: GRIFFINS CHNA WAS CONDUCTED WITH MANY DIFFERENT ORGANIZATIONS. TO UNDERSTAND THE VALLEY REGION, THE 2019 VALLEY COMMUNITY INDEX WAS PRODUCED BY THE VALLEY COMMUNITY FOUNDATION AND DATA HAVEN, OCTOBER 2019.THIS REPORT REFLECTS THE MOST RECENT DATA COLLECTION EFFORTS TO EXAMINE THE SOCIAL, ECONOMIC, AND PHYSICAL HEALTH OF THE VALLEY AND CONTINUES WHERE THE 2016 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 FUNDGRIFFIN HEALTH SERVICES, INC- CONNECTICUT COMMUNITY FOUNDATION- KATHARINE MATTHIES FOUNDATION- THE COMMUNITY FOUNDATION FOR GREATER NEW HAVEN- VALLEY UNITED WAY- NAUGATUCK VALLEY COUNCIL OF GOVERNMENTS- VALLEY COMMUNITY INDEX ADVISORY COMMITTEE- ALLIANCE FOR PREVENTION & WELLNESS- THE VALLEY COUNCIL FOR HEALTH & HUMAN SERVICES- ANSONIA YOUTH SERVICES BUREAU- MUNICIPAL GOVERNMENTS AND SCHOOL DISTRICTS THROUGHOUT THE VALLEY- AREA CONGREGATIONS- ACT-SPOONER HOUSE- BH CARE- BOYS & GIRLS CLUB OF THE LOWER NAUGATUCK VALLEY- CENTER STAGE THEATRE- DERBY NECK LIBRARY- DERBY PUBLIC LIBRARY- DERBY YOUTH SERVICES BUREAU- GREATER VALLEY CHAMBER OF COMMERCE- VALLEY COMMUNITY- HOUSATONIC COUNCIL- NAUGATUCK ECONOMIC DEVELOPMENT CORPORATION- NAUGATUCK VALLEY COUNCIL OF GOVERNMENTS- NAUGATUCK VALLEY HEALTH DISTRICT- NAUGATUCK YMCA- PARENT CHILD RESOURCE CENTER- SHELTON ECONOMIC DEVELOPMENT CORPORATION- TEAM, INC.- VALLEY PARISH NURSE PROGRAM- VALLEY UNITED WAY- THE WORKPLACE, INC.- YALE-GRIFFIN PREVENTION RESEARCH CENTERPART V, SECTION B, LINE 7A: HTTPS://WWW.GRIFFINHEALTH.ORG/PORTALS/0/DOCUMENTS/2019-VALLEY-COMMUNITY-INDEX.PDFPART V, SECTION B, LINE 7B: HTTPS://WWW.CTDATAHAVEN.ORG/REPORTS/2019-VALLEY-COMMUNITY-INDEX-UNDERSTANDING-VALLEY-REGIONPART V, SECTION B, LINE 10A: HTTPS://WWW.GRIFFINHEALTH.ORG/PORTALS/0/DOCUMENTS/2019-CHIP.PDF GRIFFIN HOSPITAL PART V, SECTION B, LINE 11: GRIFFIN HOSPITAL HAS THREE MAIN FOCUS AREAS: BEHAVIORAL HEALTH; HEART HEALTH; AND MATERAL AND INFANT HEALTH. GRIFFIN HOSPITAL HAS DEVELOPED SPECIFIC GOALS FOR EACH FOCUS AREA. THE HOSPITAL REALIZES THAT THERE ARE OTHER NEEDS IN THE COMMUNITY BUT THEY ARE NOT ABLE TO MEET ALL THE NEEDS DUE TO FINANCIAL AND TIME CONSTRAINTS.FOCUS AREA 1 BEHAVIORAL HEALTH:BEHAVIORAL HEALTH DISORDERS INCLUDE BOTH MENTAL ILLNESS AND SUBSTANCE USE DISORDERS. THIS FOCUS IS ALIGNED WITH TWO SECTIONS OF HEALTHY CT 2020, THE STATE HEALTH IMPROVEMENT PLAN: INJURY AND VIOLENCE PREVENTION AND MENTAL HEALTH, ALCOHOL, AND SUBSTANCE ABUSE. GOAL 1: TO INCREASE BEHAVIORAL HEALTH EDUCATION AND AWARENESS WHILE EMPHASIZING THE IMPORTANCE OF SOCIAL AND EMOTIONAL WELLNESS AND REDUCING STIGMA.GOAL 2: TO REDUCE STRESS, ANXIETY, AND TRAUMA, ESPECIALLY IN YOUNG PEOPLE.GOAL 3: TO REDUCE SUBSTANCE USE DISORDERS IN THE REGION AND PROMOTE A RECOVERY COMMUNITY FOR THOSE WITH SUBSTANCE USE DISORDERS IN THEIR FAMILIES THROUGH EDUCATION ANDAWARENESS. ALIGNMENT WITH THE STATE HEALTH IMPROVEMENT PLAN.FOCUS AREA 2 HEART HEALTH:DATA FROM THE 2019 COMMUNITY INDEX SHOW THAT HEART DISEASE CONTINUES TO BE A LEADING CAUSE OF PREMATURE DEATH IN THE VALLEY. THIS AREA HAS CURRENTLY BEEN PUT ON HOLD DUE TO COVID-19 CONCERNS.GOAL 1: TO REDUCE PREMATURE DEATH RATES DUE TO HEART DISEASE IN THE NAUGATUCK VALLEY ALIGNMENT WITH THE STATE HEALTH IMPROVEMENT PLAN THE CHIP HEART DISEASE PRIORITY AREA IS ALIGNED WITH THE CHIP'S CHRONIC DISEASE PREVENTION AND CONTROL SECTION OF HEALTHY CT 2020, WHICH AIMS TO REDUCE THE PREVALENCE AND BURDEN OF CHRONIC DISEASE THROUGH SUSTAINABLE, EVIDENCE-BASED EFFORTS AT RISK REDUCTION AND EARLY INTERVENTION.FOCUS AREA 3 MATERNAL AND INFANT:THE COMBINED FETAL AND INFANT MORTALITY RATE IN LOWER NAUGATUCK VALLEY (LNV) IS TRENDING UP, THOUGH THE TREND IS DECREASING IN CT OVERALL MATERNAL AND INFANT HEALTH RISKS CONTRIBUTE TO THE INCIDENCE OF MANY CHRONIC DISEASES IN CHILDHOOD AND ADULTHOOD. ALIGNMENT WITH THE STATE HEALTH IMPROVEMENT PLAN THIS FOCUS IS ALIGNED WITH THE MATERNAL CHILD AND INFANT SECTION OF HEALTHY CT 2020, THE STATE HEALTH IMPROVEMENT PLAN. IT RELATES TO THE FOLLOWING SPECIFIC STATE OBJECTIVES: MICH-2 (PRECONCEPTION HEALTH), MICH-3 (1ST TRIMESTER CARE), MICH-4 (ADEQUATE PRENATAL CARE), MICH-5 (LOW BIRTH WEIGHT), MICH-7 (INFANT MORTALITY), MICH-8 (INFANT MORTALITY DISPARITIES).GOAL 1: TO DECREASE LOW BIRTH WEIGHT AND FETAL/INFANT MORTALITY BY IMPROVING HEALTH BEHAVIORS AMONG PREGNANT AND NON-PREGNANT WOMEN OF CHILDBEARING AGE.GOAL 2: TO INCREASE ADEQUACY OF PRENATAL CARE RECEIVED BY PREGNANT WOMEN BY EMPOWERING WOMEN OF CHILDBEARING AGE TO HAVE PLANNED, HEALTHY PREGNANCIES.GOAL 3: TO REDUCE DISPARITIES IN ADEQUACY OF PRENATAL CARE, LOW BIRTH WEIGHT, AND FETAL/INFANT MORTALITY EXPERIENCED BY RACIAL, ETHNIC, AND SOCIOECONOMIC GROUPS. 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: HTTPS://WWW.GRIFFINHEALTH.ORG/GRIFFIN-HOSPITAL/BILLING-INSURANCE/FINANCIAL-ASSISTANCE-PROGRAM PART V, LINE 16B, FAP APPLICATION WEBSITE: HTTPS://WWW.GRIFFINHEALTH.ORG/GRIFFIN-HOSPITAL/BILLING-INSURANCE/FINANCIAL-ASSISTANCE-PROGRAM PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: HTTPS://WWW.GRIFFINHEALTH.ORG/GRIFFIN-HOSPITAL/BILLING-INSURANCE/FINANCIAL-ASSISTANCE-PROGRAM 5 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 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, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 3,202,399. PART II, COMMUNITY BUILDING ACTIVITIES: PROMOTION OF COMMUNITY HEALTH:SINCE THE START OF THE COVID-19 PANDEMIC THE TRADITIONAL COMMUNITY OUTREACH CEASED. DURNG THE YEAR STAFF MOVED TO A HYBRID MODEL FOR SCHOOL AGED PROGRAMS WHICH WERE HELD IN PERSON AND ZOOM CALLS. EDUCATION INCLUDED PROGRAMS ON GERMS, SOCIAL/EMOTIONAL HEALTH, EXERICE AND NUTRITION. SPECIFIC PROGRAMS WERE DESIGNED TO TEACH CHILDREN AND ADULTS ABOUT MASK USE, HAND WASHING, RECOGNIZING WHEN THEY GETTING OVERHEATED OR DEHYDRATED BECAUSE OF MASK WEARING, SOCIAL/EMOTIONAL WELL-BEING AND THE IMPORTANCE OF RECOGNIZING THE ANXIETY ABOUT THIS VIRUS AND WHO/HOW TO SPEAK WITH SOMEONE. IN ADDITION, SIX VIDEOS WERE MADE TO SHOW KIDS WHAT HE PROCESS IS IF YOU HAVE TO HAVE A COVID 19 SWAB TEST DONE. VIDEOS WERE MADE TO SHOWING KIDS ABOUT MASK USE, HAND WASHING AND RECOGNIZING DEHYDRATION AND DEEP BREATHING FOR THEIR EMOTIONAL HEALTH.FOCUS GROUPS WERE HELD WITH MIDDLE AND HIGH SCHOOL STUDENTS ON THE DANGERS OF SOCIAL MEDIA CHALLENGES AND VIDEOS WERE WRITTEN, DIRECTED, AND PRODUCED TO EDUCATED PARENTS AND CHILDREN/TEENS ON THESE DANGERS AND WAYS TO COPE. COVID-19 AND VACCINE VIDEOS WERE ALSO DEVELOPED BY LOCAL STUDENTS TO EDUCATE ON THEIR IMPORTANCE. FOR NEW PARENTS, ONE ON ONE EDUCATION SESSIONS FOR PARENT INFANT SAFE SLEEP, CHILD PASSENGER SAFETY, HOME SAFETY, MEDICINE SAFET AND LEARNING INFANT/CHILD CPR AND RELIEF OF CHOKING. THESE PROGRAMS WERE ALSO HELD DAILY ON A ONE ON ONE BASIS FOR NEW PARENTS IN OUR CHILDBIRTH CENTER. OVER THREE HUDNERD ADMISSIONS PARTICIPATED. ONE ON ONE CHILD PASSENGER SAFETY SEAT INSTALLATIONS WERE ALSO HELD ONE ON ONE BY APPOINTMENT. THE SAFE KIDS COALITION FITTING STATION NEVER CLOSED DURING THE PANDEMIC AND THEREFORE HAD PEOPLE FROM ALL OVER THE STATE CONTACT STAFF. SAFE KIDS STAFF PARTICIPATED ON A NATIONAL PANEL FOR SAFE KIDS WORLDWIDE ANNUAL CONFERENCE ON WORKING WITH YOUR LOCAL COMMUNITY PARTNERS TO REDUCE CHILDHOOD INJURY AND DEATH & INCREASE OVERALL HEALTH, WELLNESS & SAFETY.THE CPR TRAINING CENTER HAS MAINTAINED CPR TRAINING FOR IN HOSPITAL STAFF AND THE COMMUNITY AT LARGE. OUR COMMUNITY INSTRUCTORS BEGAN TEACHING SMALL GROUP EDUCATION CLASSES IN LOCAL CHURCHES, COMMUNITY CENTERS, SENIOR CENTERS, SCHOOLS, SCOUT GROUPS, ETC. TO INCREASE AWARENESS AND REDUCE RISKS OF HEART DISEASE. OUR VOLUNTEER VALLEY PARISH NURSES ALSO MADE WEEKLY PHONE CALLS TO SHUT IN PARISHIONERS, REFERRED THEM TO VIRTUAL SERVICES AND CONNECTEDTHEM UP WITH FOOD BANKS AND OTHER SERVICES. COMMUNITY COLLABORATIVE MEETINGS WERE HELD VIA ZOOM TO WORK TOGETHER TO PROVIDE SERVICES TO THE VALLEY RESIDENTS. PROGRAMS ARE FOLLOWING AN HYBRID MODEL WITH IN PERSON OR VIRTUALLY MEETINGS DEPENDING ON THE FACILITY. SUPPORT GROUPS FOR DIABETES SELF MANAGEMENT AND PREVENTION GROUPS, MS GROUPS ARE HELD VIRTUALLY BY ZOOM OR PHONE CALLS. ALZHEIMER GROUPS ARE HELD IN PERSON.AT SENIOR CENTERS AND ASSISTED LIVING OUR NURSES RETURNED TO BIMONTHLY BLOOD PRESSURE AND OXYGEN LEVEL CHECKS, MONTHLY EDUCATION PROGRAMS ON TOPICS SUCH AS COVID-19 VS. FLU, FALL PREVENTION, DEPRESSION, ALZHEIMER'S RESPECT, AGING. STAFF WERE TRAINED ON CHOICES AND ENROLLING PEOPLE IN NEW INSURANCE. BREAST WELLNESS OUTREACH PROGRAMS WERE HELD. INPERSON EDUCATION AT LOCAL FARMER MARKETS AND SENIOR FACILITEIS. EXERCISE PROGRAMS STARTED UP WEEKLY AT LOCAL SENIOR CENTERS. HOME VISISTS MADE ON REGULAR BASIS TO PEIOPE WHO WERE DISCHARED AND NEEDED FOLLW UP SERVICES AND CARE. DURING COVID TESTING ENGAGED IN CONVERSATIONS ABOUT THEIR HEALTH AND WELL-BEING. AS THE PERSON WOULD CHAT, OPPORTUNITIES TO ASK ABOUT "DID YOU GET YOUR MAMMOGRAM OR OTHER SCREENING SERVICES, REFERRALS TO SERVICES WERE MADE. MANY REFERRALS WERE MADE TO LOCAL FOOD BANKS, TEAM, INC., BACK TO THEIR PRIMARY CARE PROVIDERS, OR OTHER HOSPITAL SERVICES.COMMUNITY OUTREACH TEAM MEMBERS TRAVELED ACROSS THE STATE FROM JANUARY TO SEPTEMBER 2021 PROVIDING COVID-19 VACCINE AT COMMUNITY CLINICS. THE COMMUNITY OUTREACH TEAM WERE LEADS AT CLINICS IN THE VALLEY REGION AND SUPPORTED ANY EFFORTS TO VACCINATE SENIORS, LOW-INCOME HOUSING COMPLEXES, FAITH COMMUNITIES AND CHILDREN IN OUR REGION AND OUTSIDE OF OUR REGION. THESE CLINICS CONTRIBUTED TO CONNECTICUT TO BE A NATIONAL LEADER FOR VACCINE STATUS. NURSES DISTRIBUTED FOOD BASKET AT LOCAL VACCINE CLINICS, SENIOR HOUSING AND DIRECTLY TO HOMELESS PERSONS IN DERBY AND ANSONIA. FUNDING PROVIDED BY GRIFFIN TO ST VINCENT DEPAUL TO PURCHASE FOOD IN BULK ALLOWED THE TEAM TO CREATE HEALTH FOOD BAGS AND WORK WITH ST VINCENT DEPAUL TO DELIVER FOOD TO NEEDY POPULATIONS IN OUR AREA. GRIFFIN HAS HIRED A NEW ROLE COMMUNITY HEALTH WORKER WHO WOULD ADDRESS SOCIAL NEED OF OUR COMMUNITY MEMBERS, DURING THE COVID-19 COMMUNITY TESTING SITE AT ION BANK. THIS INITIATIVE ASKED COMMUNITY MEMBERS COMING IN FOR TESTING IF THEY NEEDED FOOD AND OUR COMMUNITY OUTREACH TEAM MEMBERS HANDED OUT FOOD BOXES AND TRACKED THE NUMBER OF BOXES DISTRIBUTED. THIS PROGRAM HANDED OUT OVER 500 BOXES OF NONPERISHABLE FOOD ITEMS TO COMMUNITY MEMBERS IN NEED. THE POPULATION HEALTH TEAM CREATED A WORKFLOW THAT WAS ABLE TO IDENTIFY NOT ONLY MEDICAL/BEHAVIORAL ISSUES THAT SHOULD BE ADDRESSED THROUGH IN PERSON OR VIRTUAL CALLS BY PROVIDERS BUT ALSO IF THEY HAVE ANY SOCIAL NEEDS SUCH AS FOOD INSECURITY, HOUSING ISSUES, PERSONAL SAFETY OR ISSUES PAYING UTILITIES. THIS CREATED AN OPPORTUNITY TO CHECK ON OUR MOST VULNERABLE PATIENTS. WE WERE ABLE TO FACILITATE A FEW VIRTUAL VISITS WITH PATIENTS THAT WOULD HAVE GONE WITHOUT CARE WITHOUT THIS SIMPLE 'COLD CALLING' INTERVENTION. 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 THAT IT'S 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 24 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 69545 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/PORTALS/0/DOCUMENTS/FINANCIAL%20ASSISTANCE/THE-GRIFFIN-HOSPITAL-BILLING-AND-COLLECTIONS-POLICY.PDF PART VI, LINE 2: GRIFFIN HOSPITAL, REALIZED THAT THERE ARE MANY DIRECTIONS THAT REACH OUT TO WHERE, FROM A POPULATION HEALTH STANDPOINT, NEED 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, WE PROACTIVELY ADDRESS ISSUE AREAS SUCH AS CHILDHOOD OBESITY, EARLY DETECTION SCREENING FOR CANCER, CHILDHOOD ASTHMA, AND SUBSTANCE ABUSE PREVENTION. AS A VALLEY COMMUNITY, WE HAVE ALWAYS BEEN UNIQUELY CONNECTED, WITH A SPIRIT OF COOPERATION AND COLLECTIVE WILL TO MAKE THINGS BETTER. NOW, BY LOOKING AT OUR SEVEN VALLEY TOWNS THROUGHOUT THIS REPORT, TAKING INTO CONSIDERATION EDUCATION, HOUSING, EMPLOYMENT, RECREATION, EARLY CHILDHOOD DEVELOPMENT, AND AGING ISSUES IN ADDITION TO HEALTH AND HEALTHIER LIFESTYLES, WE ARE SEEING A MUCH BROADER AND MORE COMPREHENSIVE PICTURE THAN EVER BEFORE. THIS INDEX SERVES AS THE AERIAL VIEW FROM WHICH WE CAN ZOOM IN ON THE CHALLENGES WE FACE, THE ISSUES WE HOPE TO ADDRESS, AND THE MANY OPPORTUNITIES WE HAVE TO LEVERAGE OUR CONSIDERABLE RESOURCES OVER THE NEXT THREE YEARS TO EFFECT CHANGE AND IMPROVE THE HEALTH OF OUR COMMUNITY. PART VI, LINE 3: GRIFFIN'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 IDENTIFING 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, 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 THAT COLLABORATED TO WIN THE ALL-AMERICA CITY AWARD IN THE YEAR 2000: 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 COLLABORATIVE WORK IT TOOK BY MANY TO BE RECOGNIZED AS PART OF THE 20-TOWN NAUGATUCK VALLEY CORRIDOR, A FEDERALLY-DESIGNATED ECONOMIC DEVELOPMENT DISTRICT (EDD), IS A PRIME EXAMPLE OF HOW VALLEY LEADERS COME TOGETHER FOR THE GREATER GOOD. 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 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 DESCRIPTION OF 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. - EDUCATION PART VI, LINE 7: GRIFFIN HOSPITAL OPERATES IN THE STATE OF CONNECTICUT WHICH DOES NOT REQUIRE FILING OF A COMMUNITY BENEFIT REPORT. IF FILING WAS REQUIRED, THE HOSPITAL WOULD COMPLY. 1 TEAM INC 30 ELIZABETH STREET DERBY CT 06418 060835182 501(C)(3) 60000 COMMUNITY ASSISTANCE MASTER'S TABLE COMMUNITY MEALS PO BOX 175 ANSONIA CT 06401 900742371 501(C)(3) 12000 COMMUNITY ASSISTANCE VALLEY UNITED WAY INCORPORATED 54 GROVE STREET SHELTON CT 064844106 060847098 501(C)(3) 75000 COMMUNITY ASSISTANCE CITY OF ANSONIA 5 STATE STREET ANSONIA CT 06401 ANSONIA 247852 ARMORY REFURBISHMENT DERBY FIRE DEPARTMENT 1 ELIZABETH STREET DERBY CT 06418 DERBY 7000 BOOK VALUE GENERATOR COMMUNITY ASSISTANCE 5 0 PART I, LINE 2: THE HOSPITAL IS NOT A GRANT MAKING ORGANIZATION BUT DOES MAKE DONATIONS TO LOCAL TAX-EXEMPT AND GOVERNMENTAL ORGANIZATIONS FOR USE IN THEIR EXEMPT PURPOSE. X X X X 0 0 0 0 0 0 0 1 0 PATRICK A CHARMEL CEO/PRESIDENT, BOD SECRETARY/TREASUR 553607 0 133921 0 1754 0 8550 0 26093 0 723925 0 0 0 FREDERICK BROWNE MD TRUSTEE 0 371051 0 47843 0 1670 0 8550 0 26093 0 455207 0 0 ALEXANDER S BALKO CFO/VP FINANCE 335168 0 57038 0 1754 0 8550 0 26093 0 428603 0 0 0 MARIA DAWE MD TRUSTEE/PHYSICIAN (FROM 01/2021) 377596 0 0 0 1754 0 8450 0 26093 0 413893 0 0 0 KENNETH J DOBULER MD TRUSTEE/PHYSICIAN (RESIGNED 01/2021) 317246 0 0 0 0 0 8761 0 0 0 326007 0 0 0 TODD LIU VP 215689 0 37893 0 1643 0 6474 0 26093 0 287792 0 0 0 RICHARD DAIGLE CHIEF INFORMATION OFFICER 267266 0 4688 0 1734 0 7494 0 2186 0 283368 0 0 0 BARBARA STUMPO VP 207142 0 32033 0 1545 0 6579 0 26093 0 273392 0 0 0 MIHAELA BORAN MD PHYSICIAN 208150 0 0 0 1670 0 7108 0 22973 0 239901 0 0 0 ADAM DWORKIN VP 176229 0 27459 0 1336 0 5640 0 26093 0 236757 0 0 0 MYRA ODENWAELDER ASSISTANT VP 172901 0 30311 0 1264 0 5130 0 26093 0 235699 0 0 0 KAREN O'FLYNN MD DIRECTOR 193293 0 0 0 1754 0 8550 0 26093 0 229690 0 0 0 KELLY EGAN DIRECTOR 183433 0 18213 0 1334 0 5192 0 16424 0 224596 0 0 0 KATHLEEN MARTIN VP 133277 0 30503 0 1013 0 3842 0 20113 0 188748 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 18023335 41061855 4512273 1 0 0 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 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 -8,767,741. MINIMUM PENSION LIABILITY ADJUSTMENT 13,014,486. CHANGE IN INTEREST IN NET ASSETS OF AFFILIATE 433,265. CHANGE IN BENEFICIAL INTEREST IN TRUSTS 540,049. NONOPERATING PENSION AND OTHER POSTRETIREMENT NET PERIODIC BENEFIT COST 487,205. NET ASSETS RELEASED FROM RESTRICTIONS FOR CAPITAL 1,961,024. 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 12A, I 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 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 0 1 1 1 1 0 0 0 0 0 1 1 1 1 1 1 1 1 1 GRIFFIN FACULTY PHYSICIANS INC R 6759816 ACTUAL GRIFFIN FACULTY PHYSICIANS INC M 2351338 ACTUAL