2014-08-14T12:32:58-05:00 2013-09-30 346565596 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE SUITE 4000 INDIANAPOLIS IN 46204 990 2012-10-01 060646659 GREENWICH HOSPITAL GREE 2038633000 5 PERRYRIDGE ROAD GREENWICH CT 06830 EUGENE COLUCCI 2038633000 2014-08-07 0 P00032493 3176817000 2012 2015-11-30 17:44:51Z FRANK CORVINO 5 PERRYRIDGE ROAD GREENWICH CT 06830 337530638 0 X WWW.GREENHOSP.ORG X 1903 CT TO PROVIDE HEALTHCARE SERVICES. 23 20 2057 692 8152261 0 6463170 6842026 304346157 312982082 780845 1171384 14224269 14917234 325814441 335912726 203950 286100 0 0 159479999 158795609 0 0 2415826 156480443 155653141 316164392 314734850 9650049 21177876 441659828 459079549 172435619 137266896 269224209 321812653 X TO PROVIDE HEALTHCARE SERVICES. 0 0 221043546 286100 327461829 SEE SCHEDULE O 221043546 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 0 1 1 0 0 0 0 0 0 1 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 0 0 1 359 0 2057 1 1 1 0 0 0 0 1 1 0 0 0 0 X 23 20 1 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 X EUGENE COLUCCI 2038633000 5 PERRYRIDGE ROAD GREENWICH CT 06830 AILEEN HOUGHTON 1.00 0.00 X 0 0 0 ALAN BREED 1.00 2.00 X 0 0 0 ANNE JUGE 1.00 1.00 X 0 0 0 ARTHUR C MARTINEZ 1.00 1.00 X 0 0 0 BARBARA B MILLER 1.00 2.00 X X 0 0 0 BRUCE L WARWICK 1.00 1.00 X 0 0 0 DANIEL L MOSLEY 1.00 4.00 X X 0 0 0 DAVID EVANS MD 1.00 1.00 X 0 0 0 DONALD J KIRK 1.00 1.00 X 0 0 0 ELIZABETH GALT 1.00 1.00 X X 0 0 0 FRANK A CORVINO 26.00 14.00 X X 860814 463515 157560 GAYLE L CAPOZZALO 4.00 36.00 X 114652 1031872 161371 JACK MITCHELL 1.00 1.00 X 0 0 0 JAMES M MCTAGGART 1.00 1.00 X 0 0 0 JOHN L TOWNSEND III 1.00 2.00 X X 0 0 0 JOHN SCHMELTZER III 1.00 1.00 X 0 0 0 JOHN TONER 1.00 1.00 X 0 0 0 KEVIN A CONBOY MD 1.00 1.00 X 0 0 0 LARRY THOMPSON 1.00 1.00 X 0 0 0 MARGARET MOORE 1.00 2.00 X 0 0 0 NANCY BROWN 1.00 1.00 X 0 0 0 NANCY RAQUET 1.00 1.00 X 0 0 0 RICHARD BRAUER MD 1.00 1.00 X 0 0 0 RICHARD O'CONNELL 1.00 1.00 X 0 0 0 SHIRLEE HILTON 1.00 1.00 X 0 0 0 VENITA OSTERER 1.00 1.00 X 0 0 0 WILLIAM R BERKLEY JR 1.00 1.00 X 0 0 0 AMY MINELLA 1.00 1.00 X 0 0 0 BRIAN DORAN MD 37.00 3.00 X 517723 0 64052 CHRISTINE BEECHNER 39.00 1.00 X 158592 0 32823 DEBORAH HODYS 39.00 1.00 X 376668 0 33956 EUGENE J COLUCCI 18.00 22.00 X 256412 313392 162337 GEORGE PAWLUSH 39.00 1.00 X 230518 0 33861 MARC KOSAK 39.00 1.00 X 237008 0 40616 MELISSA TURNER 20.00 20.00 X 165514 165514 110916 NANCY LEVITT-ROSENTHAL 38.00 2.00 X 402165 0 116920 STEPHEN CARBERY 40.00 0.00 X 293587 0 74899 SUSAN BROWN 39.00 1.00 X 335038 0 51376 ERIC DIAMOND 40.00 0.00 X 488630 0 51800 MARVIN LIPSCHUTZ MD 39.00 1.00 X 456458 0 42251 RICHARD EISEN 40.00 0.00 X 516228 0 45021 VICKI ALTMEYER 40.00 0.00 X 537326 0 53959 DOROTHY BLACKMUN MD 40.00 0.00 X 453841 0 25419 QUINTON J FRIESEN 40.00 0.00 X 696540 0 32190 7097714 1974293 1291327 260 1 1 0 GREENWICH ULTRASOUND ASSOC 67 HOLLY HILL RD GREENWICH CT 06830 ULTRASOUND SERVICE 2405922 NURSEFINDERS INC 524 EAST LAMAR BLVD STE 300 ARLINGTON TX 76011 TRAVELING NURSES 1841558 GE HEALTHCARE INC 3135 EASTON TURNPIKE FAIRFIELD CT 06828 MEDICAL IMAGING & IT 1759250 MAKIARIS MEDIA SERVICES DRIVE SUITE 101 MIDDLETOWN CT 06457 ADVERTISING 1335491 UNITEX TEXTILE RENTAL 161 SOUTH MACQESTEN PARKWAY MOUNT VERNON NY 10550 UNIFORM LAUNDERING 1283197 71 1286098 163811 5392117 475617 6842026 OUTPATIENT PROGRAM SERVICES 621400 182251880 182251880 INPATIENT PROGRAM SERVICES 612990 122577941 122577941 OUTREACH LAB 621500 8152261 8152261 312982082 99617 99617 1062447 94980 967467 967467 967467 1836904 62790 806491 21436 1030413 41354 1071767 1071767 165025 1286098 695005 -529980 -529980 PATHOLOGY SERVICES 900099 3095639 3095639 IT MEANINGFUL USE INCOME 900099 1741761 1741761 CLINIC SERVICES 900099 1554502 1554502 8087845 8087845 14479747 335912726 319309568 8152261 1608871 X 286100 286100 6384505 6384505 111399734 95082522 15223530 1093682 10988150 9532922 1345576 109652 22431483 19274604 2935174 221705 7591737 6479742 1037462 74533 1071032 183843 887189 1532018 426598 1105420 358254 358254 89757 89757 56293829 19521007 36748150 24672 5734069 2044730 3570832 118507 3973078 3973078 16434930 9255318 6933254 246358 490852 21820 469032 21207123 13666548 7540575 MEDICAL SUPPLY EXPENSE 44914364 44847161 67181 22 MISCELLANEOUS 3553835 330874 2696266 526695 314734850 221043546 91275478 2415826 10425113 25629508 35615361 36303212 36588520 34798934 2267969 1726222 6940318 8573084 422758203 194614754 234890405 228143449 24091928 20807246 67023871 74450940 23816343 28646954 441659828 459079549 29052230 28569982 42645000 40215000 100738389 68481914 172435619 137266896 X 230689355 276412173 29998840 36543332 8536014 8857148 269224209 321812653 441659828 459079549 X 21177876 5486000 25924568 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 1 500 0 0 1 50919 0 1 38338 89757 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: THE AMOUNT REPORTED IN "OTHER ACTIVITIES" REPRESENTS A PORTION OF PROFESSIONAL DUES ATTRIBUTABLE TO LOBBYING DURING FY 2013. THE HEALTH SYSTEM OFFICIALS HAD MEETINGS AND CONTACTS WITH STATE GOVERNMENT OFFICIALS,INCLUDING STATE LEGISLATURES AND THEIR STAFF TO DISCUSS VARIOUS HEALTH CARE REFORM PROPOSALS. GREENWICH HOSPITAL IS PART OF A CONTROLLED GROUP WITH THE FOLLOWING LOBBYING EXPENSES: YALE-NEW HAVEN HOSPITAL EIN 06-0646652 $537,753 BRIDGEPORT HOSPITAL EIN 06-0646554 $113,213 72853000 125000 8395000 2469000 78904000 64905000 100000 10512000 2664000 72853000 69106000 45000 -1833000 2413000 64905000 66856000 4816000 2566000 69106000 68156000 2401000 3701000 66856000 0.54510 0.28180 0.17310 0 1 1 6333484 6333484 229099879 68514576 160585303 21920477 6474914 15445563 163158737 118720400 44438337 2245626 904864 1340762 228143449 OTHER SECURITIES 74450940 F 74450940 OTHER RECEIVABLES 14644534 DUE FROM PERRYRIDGE 501437 EPIC SHARED PROJECT 13500983 28646954 DUE - 3RD PARTY & OTHER PAYORS 31469651 ESTIMATED LIABILITY - SELF INSURANCE 8965688 FORWARD INTEREST RATE SWAP 4165899 ACCRUED PENSION 23880676 68481914 338949456 6030226 2055678 8085904 330863552 5049174 5049174 335912726 311019350 748631 748631 310270719 4464131 4464131 314734850 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE ENDOWED FUNDS' INTENDED USE IS TO GENERATE INCOME TO SUPPORT GREENWICH HOSPITAL PROGRAM SERVICE FUNCTIONS AND OTHER OPERATIONS IN ACCORDANCE WITH THE GREENWICH HOSPITAL POOLED INVESTMENT POLICY. PART XI, LINE 2D - OTHER ADJUSTMENTS: INCOME FROM FOUNDATION RECOGNIZED ON SEPARATE RETURN 2,019,509. NET ASSETS RELEASED FROM OPERATIONS 3,621,384. OTHER EXPENSES - INCLUDED IN NON-OPERATING REVENUE -3,585,215. PART XI, LINE 4B - OTHER ADJUSTMENTS: RECLASS FROM EXPENSE - GAIN ON SALE OF ASSETS 41,354. AUXILIARY REVENUE 1,392,808. CONTRIBUTIONS FROM TEMPORARILY RESTRICTED 3,577,000. SPECIAL EVENTS RECLASS TO INCOME -695,005. RENTAL EXPENSES - RECLASS FROM EXPENSES TO REVENUE -94,980. GAIN FROM SALE OF SECURITIES 828,000. MISCELLANEOUS ADJ -3. PART XII, LINE 2D - OTHER ADJUSTMENTS: RECLASS - GAIN ON SALE OF ASSETS -41,354. SPECIAL EVENTS RECLASS TO INCOME 695,005. RENTAL EXPENSES - RECLASS FROM EXPENSES TO REVENUE 94,980. PART XII, LINE 4B - OTHER ADJUSTMENTS: AUXILIARY EXPENSES 878,916. FUNDRAISING EXPENSES FROM NON-OPERATING REVENUE 2,424,008. MISCELLANEOUS EXPENSE FROM NON-OPERATING REVENUE 1,161,207. GALA 983117 914167 68950 434370 UNDER THE STARS 265346 219896 45450 130768 1 202660 152035 50625 129867 1451123 1286098 165025 695005 695005 -529980 1 1 X 1 X 1 X 1 1 0 1 1 0 3978 17955656 2786656 15169000 0.04820 0 22841 20486000 10919000 9567000 0.03040 0 0 0 0 26819 38441656 13705656 24736000 0.07860 17 21249 810259 0 810259 0.00260 3 85 4514472 1448378 3066094 0.00970 3 10484 7388329 5176553 2211776 0.00700 1 0 468440 0 468440 0.00150 6 2869 284546 0 284546 0.00090 30 34687 13466046 6624931 6841115 0.02170 30 61506 51907702 20330587 31577115 0.10030 1 0 235040 0 235040 0.00070 1 0 8307 0 8307 0.00000 0 0 0 0 0 0 0 0 0 0 0 0 2 452 30742 0 30742 0.00010 0 0 0 0 1 99 4861 0 4861 0.00000 0 0 0 0 5 551 278950 278950 0.00080 1 5408000 93442784 118792373 -25349589 X 1 1 1 NONE NONE 1 1 GREENWICH HOSPITAL

5 PERRYRIDGE ROAD GREENWICH CT 06830

WWW.GREENHOSP.ORG X X X X X GREENWICH HOSPITAL 1 1 X X X X X X X X X 12 1 0 1 X X X X X X X X 0 0 1 1 250.000000000000 1 400.000000000000 1 X X 1 1 X X X X X X 1 0 X X X X 1 X 0 0 15 GREENWICH HOSPITAL DIAGNOSTIC CENT

2015 WEST MAIN ST STAMFORD CT 06902

DI / LAB BOYD CENTER FOR MEDICAL ONCOLOGY

15 VALLEY DRIVE GREENWICH CT 06831

CANCER CENTER GREENWICH HOSPITAL OCCUPAT HEALTH

75 HOLLY HILL LANE GREENWICH CT 06830

OCC. HEALTH / WOMENS HEALTH / LAB GREENWICH HOSPITAL LAB

49 LAKE AVE 2ND FLOOR GREENWICH CT 06830

LAB GREENWICH HOSITAL LAB

90 MORGAN STREET 3RD FLOOR SUITE 302 STAMFORD CT 06905

LAB GREENWICH HOSPITAL LAB

106 NOROTON AVENUE DARIEN CT 06820

LAB GREENWICH HOSPITAL LAB

159 WEST PUTNAM AVE 2ND FLOOR GREENWICH CT 06830

LAB GREENWICH HOSPITAL LAB

4 DEERFIELD DRIVE 2ND FLOOR GREENWICH CT 06830

LAB GREENWICH HOSPITAL LAB

40 CROSS ST 3RD FLOOR SUITE 350 NORWALK CT 06851

LAB GREENWICH HOSPITAL LAB

148 EAST AVE SUITE 1F NORWALK CT 06851

LAB GREENWICH HOSPITALCNTR FOR INTEGR MED

35 RIVER ROAD COS COB CT 06807

INTEGRATIVE MEDICINE GREENWICH HOSPITAL LAB

1275 SUMMER STREET 3RD FLOOR STAMFORD CT 06905

LAB GREENWICH HOSPITAL LAB

15 VALEY DRIVE SUITE 200 GREENWICH CT 06831

LAB GREENWICH HOSPITAL LAB

90 SOUTH RIDGE STREET RYE NY 10573

LAB BENDHEIM CANCER CENTER

77 LAFAYETTE PLACE GREENWICH CT 06830

CANCER/CARDIAC REHAB/DI/LAB PART I, LINE 7: THE HOSPITAL USES A COST ACCOUNTING SYSTEM, TSI, TO CALCULATE THE AMOUNTS PRESENTED IN PART I, LINE 7. THE COST ACCOUNTING SYSTEM ADDRESSES ALL PATIENT SEGMENTS. PART II: GREENWICH HOSPITAL IS ONE OF THE TOP FIVE EMPLOYERS IN GREENWICH WITH 1,754 EMPLOYEES IN 2013. THE HOSPITAL PROVIDES IN-KIND AND FINANCIAL SUPPORT FOR SEVERAL ECONOMIC INITIATIVES THROUGHOUT FAIRFIELD AND WESTCHESTER COUNTIES. MEMBERS OF THE HOSPITAL'S LEADERSHIP AND MANAGEMENT STAFF ALSO SUPPORT ECONOMIC AND COMMUNITY DEVELOPMENT BY SERVING ON THE BOARDS OF THE GREENWICH CHAMBER OF COMMERCE AND THE PORT CHESTER-RYE BROOK-RYE TOWN CHAMBER OF COMMERCE. THROUGH THESE ORGANIZATIONS, GREENWICH HOSPITAL ADVOCATES FOR AND FACILITATES INCREASED ECONOMIC DEVELOPMENT FOR THE AREA.GREENWICH HOSPITAL ALONG WITH MANY OTHER HOSPITALS ACROSS THE COUNTRY UTILIZES THE COMMUNITY BENEFITS INVENTORY FOR SOCIAL ACCOUNTABILITY DATABASE DEVELOPED BY LYON SOFTWARE TO CATALOG ITS COMMUNITY BENEFIT AND COMMUNITY BUILDING ACTIVITIES AND THE GUIDELINES DEVELOPED BY THE CATHOLIC HOSPITAL ASSOCIATION (CHA) IN ORDER TO CATALOG THESE BENEFITS. THESE TWO ORGANIZATIONS HAVE WORKED TOGETHER FOR OVER TWENTY YEARS TO PROVIDE SUPPORT TO NON-FOR-PROFIT HOSPITALS TO DEVELOP AND SUSTAIN EFFECTIVE COMMUNITY BENEFIT PROGRAMS.THE MOST RECENT VERSION OF THE CHA GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFIT DEFINES COMMUNITY BUILDING ACTIVITIES AS PROGRAMS THAT ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS, SUCH AS POVERTY, HOMELESSNESS AND ENVIRONMENTAL PROBLEMS. THESE ACTIVITIES ARE CATEGORIZED INTO EIGHT DISTINCT AREAS INCLUDING PHYSICAL IMPROVEMENT AND HOUSING, ECONOMIC DEVELOPMENT, COMMUNITY SUPPORT, ENVIRONMENTAL IMPROVEMENTS, LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS, COALITION BUILDING, ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENTS, AND WORKFORCE DEVELOPMENT. GREENWICH HOSPITAL'S VISION IS TO BE THE PREMIER REGIONAL HEALTH CARE PROVIDER, AND AS SUCH, THE HOSPITAL IS INCREASINGLY AWARE OF HOW SOCIAL DETERMINANTS IMPACT THE HEALTH OF INDIVIDUALS AND COMMUNITIES. A PERSON'S HEALTH AND CHANCES OF BECOMING SICK AND DYING EARLY ARE GREATLY INFLUENCED BY POWERFUL SOCIAL FACTORS SUCH AS EDUCATION, INCOME, NUTRITION, HOUSING AND NEIGHBORHOODS. DURING FISCAL YEAR 2013, GREENWICH HOSPITAL PROVIDED NEARLY $279,000 IN FINANCIAL AND IN-KIND DONATIONS. THE HOSPITAL CONSIDERS THESE INVESTMENTS PART OF ITS OVERALL COMMITMENT OF BUILDING STRONGER NEIGHBORHOODS. EXAMPLES BELOW FOCUS ON THE AREAS OF REVITALIZING OUR NEIGHBORHOODS AND CREATING EDUCATIONAL OPPORTUNITIES.REVITALIZING OUR NEIGHBORHOODSONE OF SEVERAL COMMUNITY INITIATIVES UNDERTAKEN BY GREENWICH HOSPITAL TO ENHANCE ACCESS TO HEALTHY, AFFORDABLE FOOD IS COMMUNITY GARDENS, FORMERLY GOD'S GREEN MARKET. THIS PROGRAM IS ADMINISTERED IN COLLABORATION WITH THE COUNCIL OF COMMUNITY SERVICES, PORT CHESTER SCHOOLS AND AREA CHURCHES TO PROVIDE FRESH VEGETABLES TO PARTICIPANTS IN PORT CHESTER'S FOUR FOOD PANTRIES, SEVEN SOUP KITCHENS AND NUTRITION CENTERS. THE COUNCIL OF COMMUNITY SERVICES ORGANIZES VOLUNTEERS TO PLANT AND HARVEST THE CROPS. OVER THE PAST SIX YEARS, THE PROGRAM HAS PROVIDED THOUSANDS OF LOW-INCOME PORT CHESTER FAMILIES WITH FRESH VEGETABLES AND SPONSORS HEALTH EDUCATIONAL PROGRAMS THAT PROMOTE HEALTHIER EATING. THE HOSPITAL PROVIDES BOTH FINANCIAL AND IN-KIND SUPPORT FOR THE INITIATIVE INCLUDING DIETITIANS AND NURSES WHO HAVE PROVIDED NUTRITION EDUCATION AND HEALTHY RECIPES IN BOTH ENGLISH AND SPANISH.TO SUPPORT DRIVING SAFETY, GREENWICH HOSPITAL AND THE AARP CO-SPONSORED AN EDUCATIONAL DRIVING PROGRAM FOR OLDER ADULTS WITH APPROXIMATELY 414 WESTCHESTER AND FAIRFIELD COUNTY ADULTS ATTENDING THE PROGRAM. THE EDUCATIONAL DRIVING PROGRAM PROMOTES SAFETY AND IS INTENDED TO REDUCE ACCIDENT RATES AMONG DRIVERS AGE 55 AND OLDER. GREENWICH HOSPITAL WAS ALSO THE RECIPIENT OF A DONATION OF FUNDS TO DEVELOP A COMMUNITY FLOWER GARDEN ON ITS PROPERTY TO BE OPEN TO THE PUBLIC. VARIOUS COMMUNITY CEREMONIES AND CELEBRATIONS ARE CONDUCTED IN THE GARDEN INCLUDING CANCER SURVIVOR PROGRAMS AND THE TREE OF LIGHT PROGRAM. EACH WINTER, GREENWICH HOSPITAL PROVIDES A WARM CENTER FOR THE COMMUNITY IN ITS NOBLE CONFERENCE CENTER. THIS WARM CENTER IS AVAILABLE TO THOSE IN NEED DUE TO POWER OUTAGES, SNOW STORMS AND FREEZING TEMPERATURES. INCLUDED IN THE WARM CENTER ARE COTS, HOT BEVERAGES, HAND WARMERS AND MAGAZINES.CREATING EDUCATIONAL OPPORTUNITIES 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. GREENWICH HOSPITAL, THROUGH A JOINT EFFORT WITH HIGH SCHOOLS IN PORT CHESTER AND GREENWICH, PROVIDED AN EDUCATIONAL PROGRAM INTRODUCING STUDENTS TO HEALTH CARE CAREER OPPORTUNITIES. A TOTAL OF 18 STUDENTS PARTICIPATED IN THE PROGRAM, WHICH IS AIMED AT EDUCATING AND INSPIRING STUDENTS TO PURSUE FULFILLING HEALTH CARE CAREERS. THE AFTER-SCHOOL PROGRAM WAS HELD OVER FOUR WEEKS AND INCLUDED A TOUR OF GREENWICH HOSPITAL AND ITS JOHN AND ANDREA FRANK SYN:APSE SIMULATION CENTER. THE SIMULATION CENTER OFFERS HANDS-ON TRAINING USING A HIGH-FIDELITY MANNEQUIN THAT CAN SPEAK AND RESPOND PHYSIOLOGICALLY TO MEDICATIONS AND TREATMENT. AS PART OF SUMMER EDUCATION PROGRAMS, 14 SUMMER INTERN STUDENTS FROM THE OPEN DOOR FAMILY MEDICAL CENTER IN PORT CHESTER, NY SPENT THE DAY AT THE HOSPITAL LEARNING ABOUT VARIOUS HEALTH CARE CAREERS.GREENWICH HOSPITAL ALSO PROVIDED MIDDLE AND HIGH SCHOOL STUDENTS THE OPPORTUNITY TO GET AN IN-DEPTH LOOK INTO VARIOUS HEALTH CARE CAREERS THROUGH AN AFTER-SCHOOL PROGRAM SPONSORED IN PARTNERSHIP WITH THE BOY SCOUTS OF AMERICA'S GREENWICH CHAPTER. WHILE TOURING THE HOSPITAL, PARTICIPANTS LEARNED ABOUT A VARIETY OF HOSPITAL SETTINGS AND SPOKE WITH PROFESSIONALS IN THE MEDICAL FIELD. EDUCATIONAL PROGRAMS FOCUSED ON HEALTH, NUTRITION, FIRST AID, SAFETY, SMOKING PREVENTION AND PROPER HYGIENE. THE HOSPITAL ALSO OFFERS A MINI-MED SEMINAR FOR BOTH ADULTS AND YOUTH IN THE COMMUNITY. PART III, LINE 4: THE HOSPITAL'S COMMITMENT TO COMMUNITY SERVICE IS EVIDENCED BY SERVICES PROVIDED TO THE POOR AND BENEFITS PROVIDED TO THE BROADER COMMUNITY. SERVICES PROVIDED TO THE POOR INCLUDE SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD HEALTHCARE BECAUSE OF INADEQUATE RESOURCES AND/OR WHO ARE UNINSURED OR UNDERINSURED.THE HOSPITAL MAKES AVAILABLE FREE CARE PROGRAMS FOR QUALIFYING PATIENTS. IN ACCORDANCE WITH THE ESTABLISHED POLICIES OF THE HOSPITAL, DURING THE REGISTRATION, BILLING AND COLLECTION PROCESS A PATIENT'S ELIGIBILITY FOR FREE CARE FUNDS IS DETERMINED. FOR PATIENTS WHO WERE DETERMINED BY THE HOSPITAL TO HAVE THE ABILITY TO PAY BUT DID NOT, THE UNCOLLECTED AMOUNTS ARE BAD DEBT EXPENSE. FOR PATIENTS WHO DO NOT AVAIL THEMSELVES OF ANY FREE CARE PROGRAM AND WHOSE ABILITY TO PAY CANNOT BE DETERMINED BY THE HOSPITAL, CARE GIVEN BUT NOT PAID FOR, IS CLASSIFIED AS CHARITY CARE.TOGETHER, CHARITY CARE AND BAD DEBT EXPENSE REPRESENT UNCOMPENSATED CARE. THE ESTIMATED COST OF TOTAL UNCOMPENSATED CARE IS APPROXIMATELY $11.2 MILLION AND $13.2 MILLION FOR THE YEARS ENDED SEPTEMBER 30, 2013 AND 2012, RESPECTIVELY. THE ESTIMATED COST OF UNCOMPENSATED CARE IS DETERMINED BY THE HOSPITAL'S COST ACCOUNTING SYSTEM. THIS ANALYSIS CALCULATES THE ACTUAL PERCENTAGE OF ACCOUNTS WRITTEN OFF OR DESIGNATED AS BAD DEBT VS. CHARITY CARE WHILE TAKING INTO ACCOUNT THE TOTAL COSTS INCURRED BY THE HOSPITAL FOR EACH ACCOUNT ANALYZED.THE ESTIMATED COST OF CHARITY CARE PROVIDED WAS $5.8 MILLION AND $8.1 MILLION FOR THE YEARS ENDED SEPTEMBER 30, 2013 AND 2012, RESPECTIVELY. THE ESTIMATED COST OF CHARITY CARE IS DETERMINED BY THE HOSPITAL'S COST ACCOUNTING SYSTEM.FOR THE YEARS ENDED SEPTEMBER 30, 2013 AND 2012, BAD DEBT EXPENSE, AT CHARGES, WAS $14.7 MILLION AND $14.0 MILLION, RESPECTIVELY. FOR THE YEARS ENDED SEPTEMBER 30, 2013 AND 2012, BAD DEBT EXPENSE, AT COST, WAS $5.4 MILLION AND $5.2 MILLION, RESPECTIVELY. THE BAD DEBT EXPENSE IS MULTIPLIED BY THE RATIO OF COST TO CHARGES FOR PURPOSES OF INCLUSION IN THE TOTAL UNCOMPENSATED CARE AMOUNT IDENTIFIED ABOVE.THE CONNECTICUT DISPROPORTIONATE SHARE HOSPITAL PROGRAM (CDSHP) WAS ESTABLISHED TO PROVIDE FUNDS TO HOSPITALS FOR THE PROVISION OF UNCOMPENSATED CARE AND IS FUNDED, IN PART, BY AN ASSESSMENT ON HOSPITAL NET PATIENT SERVICE REVENUE. DURING THE YEARS ENDED SEPTEMBER 30, 2013 AND 2012, THE HOSPITAL RECEIVED $2.8 MILLION AND $4.6 MILLION, RESPECTIVELY, IN CDSHP DISTRIBUTIONS, OF WHICH APPROXIMATELY $1.4 MILLION AND $2.8 MILLION WAS RELATED TO CHARITY CARE. THE HOSPITAL MADE PAYMENTS INTO THE CDSHP OF $12.1 MILLION FOR THE YEARS ENDED SEPTEMBER 30, 2013 AND 2012, RESPECTIVELY, FOR THE ASSESSMENT.ADDITIONALLY, THE HOSPITAL PROVIDES BENEFITS FOR THE BROADER COMMUNITY WHICH INCLUDES SERVICES PROVIDED TO OTHER NEEDY POPULATIONS THAT MAY NOT QUALIFY AS POOR BUT NEED SPECIAL SERVICES AND SUPPORT. BENEFITS INCLUDE THE COST OF HEALTH PROMOTION AND EDUCATION OF THE GENERAL COMMUNITY, INTERNS AND RESIDENTS, HEALTH SCREENINGS, AND MEDICAL RESEARCH. THE BENEFITS ARE PROVIDED THROUGH THE COMMUNITY HEALTH CENTERS, SOME OF WHICH SERVICE NON-ENGLISH SPEAKING RESIDENTS, DISABLED CHILDREN, AND VARIOUS COMMUNITY SUPPORT GROUPS.IN ADDITION TO THE QUANTIFIABLE SERVICES DEFINED ABOVE, THE HOSPITAL PROVIDES ADDITIONAL BENEFITS TO THE COMMUNITY THROUGH ITS ADVOCACY OF COMMUNITY SERVICE BY EMPLOYEES. THE HOSPITAL'S EMPLOYEES SERVE NUMEROUS ORGANIZATIONS THROUGH BOARD REPRESENTATION, MEMBERSHIP IN ASSOCIATIONS AND OTHER RELATED ACTIVITIES. THE HOSPITAL ALSO SOLICITS THE ASSISTANCE OF OTHER HEALTHCARE PROFESSIONALS TO PROVIDE THEIR SERVICES AT NO CHARGE THROUGH PARTICIPATION IN VARIOUS COMMUNITY SEMINARS AND TRAINING PROGRAMS.PART III, SCHEDULE B, LINE 2 - COSTING METHODOLOGY:IN ACCORDANCE WITH THE ESTABLISHED POLICIES OF THE HOSPITAL, DURING THE REGISTRATION, BILLING AND COLLECTION PROCESS A PATIENT'S ELIGIBILITY FOR FREE CARE FUNDS IS DETERMINED. FOR PATIENTS WHO WERE DETERMINED BY THE HOSPITAL TO HAVE THE ABILITY TO PAY BUT DID NOT, THE UNCOLLECTED AMOUNTS ARE BAD DEBT EXPENSE. THE HOSPITAL'S COST ACCOUNTING SYSTEM UTILIZES PATIENT-SPECIFIC DATA TO ACCUMULATE AND DERIVE COSTS RELATED TO THESE BAD DEBT ACCOUNTS. PART III, LINE 8: THE ENTIRE MEDICARE LOSS PRESENTED SHOULD BE TREATED AS A COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO MEDICARE BENEFICIARIES, IRS REVENUE RULING 69-545 INDICATES THAT HOSPITALS OPERATE FOR THE PROMOTION OF HEALTH IN THE COMMUNITY WHEN IT PROVIDES CARE TO PATIENTS WITH GOVERNMENTAL HEALTH BENEFITS, THE ORGANIZATION PROVIDES CARE TO MEDICARE PATIENTS REGARDLESS OF MEDICARE SHORTFALLS (REDUCING THE BURDEN ON THE GOVERNMENT), AND MANY OF THE MEDICARE PARTICIPANTS WOULD HAVE QUALIFIED FOR THE CHARITY CARE OR OTHER MEANS TESTED PROGRAMS ABSENT BEING ENROLLED IN THE MEDICARE PROGRAM. THE MEDICARE SHORTFALL REPORTED IS DETERMINED BY THE HOSPITAL'S COST ACCOUNTING SYSTEM, TSI. PART III, LINE 9B: IF AT ANY POINT IN THE DEBT COLLECTION PROCESS, THE HOSPITAL, INCLUDING ANY EMPLOYEE OR AGENT OF THE HOSPITAL, OR A COLLECTION AGENT ACTING ON BEHALF OF THE HOSPITAL, RECEIVES INFORMATION THAT A PATIENT IS ELIGIBLE FOR HOSPITAL BED FUNDS, FREE OR REDUCED PRICE HOSPITAL SERVICES, OR ANY OTHER PROGRAM WHICH WOULD RESULT IN THE ELIMINATION OF LIABILITY FOR THE DEBT OR REDUCTION IN THE AMOUNT OF SUCH LIABILITY, THE HOSPITAL OR COLLECTION AGENT WILL PROMPTLY DISCONTINUE COLLECTION EFFORTS AND, IF A COLLECTION AGENT, REFERS THE ACCOUNT BACK TO THE HOSPITAL FOR DETERMINATION OF ELIGIBILITY. THE COLLECTION EFFORT WILL NOT RESUME UNTIL SUCH DETERMINATION IS MADE. GREENWICH HOSPITAL PART V, SECTION B, LINE 3: COMMUNITY ENGAGEMENT AND FEEDBACK WERE AN INTEGRAL PART OF THE CHNA PROCESS. GREENWICH HOSPITAL SOUGHT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL THROUGH FOCUS GROUPS WITH COMMUNITY MEMBERS, KEY INFORMANT INTERVIEWS WITH COMMUNITY STAKEHOLDERS, AND INCLUSION OF COMMUNITY PARTNERS IN THE PRIORITIZATION AND IMPLEMENTATION PLANNING PROCESS. 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 GREENWICH HOSPITAL, INCLUDING MEDICALLY UNDERSERVED, LOW INCOME, AND MINORITY POPULATIONS. GREENWICH HOSPITAL PART V, SECTION B, LINE 7: BASED ON THE FEEDBACK FROM COMMUNITY PARTNERS INCLUDING HEALTH CARE PROVIDERS, PUBLIC HEALTH EXPERTS, HEALTH AND HUMAN SERVICE AGENCIES, AND OTHER COMMUNITY REPRESENTATIVES, GREENWICH HOSPITAL PLANS TO FOCUS COMMUNITY HEALTH IMPROVEMENT EFFORTS ON THE FOLLOWING HEALTH PRIORITIES OVER THE NEXT THREE-YEAR CYCLE: ACCESS TO CARE, CANCER, MENTAL HEALTH AND PROMOTING HEALTHY LIFESTYLES. AREAS IDENTIFIED AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT NOT BEING ADDRESSED AS A RESULT OF A PRIORITIZATION PROCESS INCLUDE DENTAL CARE, DIABETES, HEART DISEASE, RESPIRATORY DISEASE AND STROKE.GREENWICH HOSPITAL RECOGNIZES THAT PARTNERSHIPS WITH COMMUNITY AGENCIES HAVE THE BROADEST REACH TO IMPROVE COMMUNITY HEALTH ISSUES. AS SUCH, THE HOSPITAL IS PROVIDING FACILITATION SUPPORT FOR THE IMPLEMENTATION OF THE COMMUNITY-WIDE HEALTH IMPROVEMENT PLAN THAT WILL FOCUS ON ALL FOUR AREAS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. GREENWICH HOSPITAL PART V, SECTION B, LINE 14G: THE FINANCIAL ASSISTANCE PROGRAM, WHICH SUMMARIZES THE FINANCIAL ASSISTANCE POLICY, WAS POSTED ON THE HOSPITAL FACILITY'S WEBSITE. THE FINANCIAL ASSISTANCE POLICY WILL BE POSTED ON THE WEBSITE UPON FILING THE FISCAL YEAR 2013 TAX FILING. GREENWICH HOSPITAL PART V, SECTION B, LINE 20D: PRIOR TO BECOMING FAP-ELIGIBLE, ALL INDIVIDUALS ARE CHARGED STANDARD GROSS CHARGES. AFTER AN INDIVIDUAL IS DEEMED TO BE FAP-ELIGIBLE, ANY DISCOUNTS OR FREE CARE ASSISTANCE DISCOUNTS ARE APPLIED IN ACCORDANCE WITH THE FAP PROGRAM THE INDIVIDUAL QUALIFIES FOR. THE DISCOUNTS ARE ADJUSTED OFF THE PATIENT'S ACCOUNT WHICH IS ALSO REFLECTED IN THE INDIVIDUAL'S BILLING. 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 RECENTLY COMPLETED COMMUNITY NEEDS ASSESSMENT, THIS INFORMATION ASSISTS WITH THE DEVELOPMENT OF NEW INITIATIVES, PARTNERSHIPS, PROGRAMS AND SERVICES TO BENEFIT OUR COMMUNITY. PART VI, LINE 3: PATIENTS WILL OBTAIN INFORMATION ON ELIGIBILITY FOR GOVERNMENT OR HOSPITAL PROGRAMS FROM INFORMATION DISTRIBUTED BY THE HOSPITAL. PATIENTS WILL BE ALERTED TO THE FINANCIAL ASSISTANCE PROGRAMS IN A NUMBER OF WAYS, INCLUDING NOTICES IN ENGLISH AND SPANISH POSTED IN APPROPRIATE LOCATIONS IN THE HOSPITAL, A SUMMARY OF FREE CARE AVAILABILITY AND INFORMATION ON HOW TO APPLY FOR FREE CARE (REFERRED TO AS THE "HOSPITAL'S NOTICE OF AVAILABILITY OF FUNDS"), INFORMATION DISTRIBUTED VIA MAIL AND / OR IN THE HOSPITAL'S ADMISSION PACKAGE, AND INFORMATION ON THE HOSPITAL'S WEB SITE. INFORMATION WILL ALSO BE PROVIDED WHEN DIRECT INQUIRIES ARE MADE TO GH. THERE IS ALSO ACCESS TO A TRANSLATION TELEPHONE.THE HOSPITAL WILL PROVIDE NOTICE AND INFORMATION IN A MANNER THAT (A) COMPLIES WITH THE REQUIREMENTS OF LAW, INCLUDING CONNECTICUT LAW CONCERNING HOSPITAL FUNDS, AND (B) IS DESIGNED TO MAKE INFORMATION EASILY AVAILABLE AND ACCESSIBLE TO ALL PATIENTS.ALL PATIENTS WILL HAVE ACCESS TO INFORMATION REGARDING ESTIMATED CHARGES FOR PARTICULAR SERVICES OR ACTUAL CHARGES FOR HOSPITAL SERVICES THAT HAVE BEEN PROVIDED. PART VI, LINE 4: GREENWICH HOSPITAL IS A 206-BED (INCLUDING BASSINETS) REGIONAL HOSPITAL, SERVING FAIRFIELD COUNTY, CONNECTICUT AND WESTCHESTER COUNTY, NEW YORK. IT IS A MAJOR ACADEMIC AFFILIATE OF THE YALE SCHOOL OF MEDICINE AND A MEMBER OF THE YALE NEW HAVEN HEALTH SYSTEM. SINCE OPENING IN 1903, GREENWICH HOSPITAL HAS EVOLVED INTO A PROGRESSIVE MEDICAL CENTER AND TEACHING INSTITUTION WITH AN INTERNAL MEDICINE RESIDENCY PROGRAM. THE LOCAL GEOGRAPHIC AREA SERVED BY GREENWICH HOSPITAL INCLUDES THE CONNECTICUT TOWNS OF GREENWICH, DARIEN, NEW CANAAN AND STAMFORD AS WELL AS THE NEW YORK TOWNS OF PORT CHESTER, RYE, HARRISON, LARCHMONT AND MAMARONECK. APPROXIMATELY 29% OF HOUSEHOLDS HAVE INCOMES LESS THAN $50,000, 42% OF HOUSEHOLDS HAVE INCOMES BETWEEN $50,000 AND $150,000 AND THE REMAINING 29% OF HOUSEHOLDS HAVE INCOMES GREATER THAN $150,000. THE SECONDARY GEOGRAPHIC COVERAGE AREA OF THE HOSPITAL ENCOMPASSES A WIDE RANGE OF TOWNS INCLUDING NORWALK, WESTON, WESTPORT AND WILTON IN CONNECTICUT AND ARMONK, BEDFORD, HARTSDALE, KATONAH, MOUNT KISCO, MOUNT VERNON, NEW ROCHELLE, POUND RIDGE, PURCHASE, SCARSDALE, SOUTH SALEM, WEST HARRISON, AND WHITE PLAINS IN NEW YORK. SEVERAL NON-PROFIT HOSPITALS ARE LOCATED IN THE AREA INCLUDING STAMFORD HOSPITAL AND NORWALK HOSPITAL IN CONNECTICUT IN ADDITION TO WHITE PLAINS HOSPITAL, WESTCHESTER MEDICAL CENTER, MONTEFIORE MOUNT VERNON AND MONTEFIORE NEW ROCHELLE IN NEW YORK. GREENWICH HOSPITAL REPRESENTS ALL MEDICAL SPECIALTIES AND OFFERS A WIDE RANGE OF MEDICAL, SURGICAL, DIAGNOSTIC AND WELLNESS PROGRAMS. IN FISCAL YEAR 2013, THERE WERE 41,691 VISITS TO THE HOSPITAL'S EMERGENCY DEPARTMENT OF WHICH 6,421 BECAME INPATIENTS AND 35,283 WERE OUTPATIENTS. IN THAT SAME FISCAL YEAR, THE HOSPITAL'S INPATIENT VOLUME CONSISTED OF A DIVERSE PAYER MIX WITH 6 PERCENT MEDICAID PATIENTS, 50 PERCENT MEDICARE PATIENTS, 41 PERCENT MANAGED CARE AND COMMERCIAL PATIENTS AND 3 PERCENT SELF PAY OR OTHER PATIENTS. PART VI, LINE 5: GREENWICH HOSPITAL, FOUNDED IN 1903, IS A 206-BED COMMUNITY TEACHING HOSPITAL THAT HAS EVOLVED INTO A PROGRESSIVE REGIONAL HEALTHCARE CENTER, AVERAGING MORE THAN 12,000 INPATIENT DISCHARGES AND NEARLY 300,000 OUTPATIENT ENCOUNTERS LAST YEAR. THE HOSPITAL OFFERS A WIDE RANGE OF MEDICAL, SURGICAL, DIAGNOSTIC, INTEGRATIVE MEDICINE AND WELLNESS PROGRAMS. SPECIALIZED SERVICES INCLUDE THE BENDHEIM CANCER AND BREAST CENTERS, ENDOSCOPY CENTER, LEONA M. AND HARRY B. HELMSLEY AMBULATORY MEDICAL CENTER, THE RICHARD R. PIVIROTTO CENTER FOR HEALTHY LIVING, AND THE GREENWICH HOSPITAL DIAGNOSTIC CENTER IN STAMFORD.AS A COMMUNITY HEALTH CARE SERVICES PROVIDER, GREENWICH HOSPITAL REMAINS ATTENTIVE TO HEALTH AND WELL-BEING THROUGH EDUCATION, OUTREACH AND OTHER INNOVATIVE SERVICES. DURING FISCAL YEAR 2013, GREENWICH HOSPITAL MANAGED $31.6 MILLION IN FINANCIAL AND IN-KIND CONTRIBUTIONS THROUGH FIVE WIDE-RANGING PROGRAMS GUARANTEEING ACCESS TO CARE; PROMOTING HEALTH AND WELLNESS; ADVANCING CAREERS IN HEALTH CARE; RESEARCH; AND CREATING HEALTHIER COMMUNITIES. A SIXTH CATEGORY, BUILDING STRONGER NEIGHBORHOODS, WAS DISCUSSED PREVIOUSLY IN PART II.GUARANTEEING ACCESS TO CAREGREENWICH HOSPITAL RECOGNIZES THAT SOME PATIENTS MAY BE UNINSURED, NOT HAVE ADEQUATE HEALTH INSURANCE OR OTHERWISE LACK THE RESOURCES TO PAY FOR HEALTH CARE. IN FISCAL YEAR 2013, THE TOTAL COMMUNITY BENEFIT ASSOCIATED WITH GUARANTEEING ACCESS TO CARE WAS $26.7 MILLION. HONORING ITS MISSION AND COMMITMENT TO THE COMMUNITY, THE HOSPITAL PARTICIPATES IN GOVERNMENT-SPONSORED PROGRAMS SUCH AS MEDICARE, MEDICAID, HUSKY, CHAMPUS AND TRICARE. DURING FISCAL YEAR 2013, GREENWICH HOSPITAL PROVIDED SERVICES FOR 22,841 MEDICAID BENEFICIARIES AT A TOTAL EXPENSE OF $9.6 MILLION (AT COST). ADDITIONALLY, THE HOSPITAL ASSISTED OVER 1,030 CONNECTICUT AND NEW YORK PATIENTS WITH MEDICAID APPLICATIONS AND MEDICAID ELIGIBILITY QUESTIONS DURING FISCAL YEAR 2013. GREENWICH HOSPITAL ALSO OFFERS A SLIDING SCALE OF DISCOUNTED FEES AND FREE CARE FOR ELIGIBLE PATIENTS. DURING FISCAL YEAR 2013, THE HOSPITAL DELIVERED SUCH FINANCIAL ASSISTANCE SERVICES FOR AT A TOTAL EXPENSE OF $15.2 MILLION (AT COST). ALSO DURING FISCAL YEAR 2013, HOSPITAL STAFF DISTRIBUTED NEARLY 1,400 APPLICATIONS FOR HOSPITAL FREE BED FUNDS. THE FUNDS WERE DONATED TO GREENWICH HOSPITAL BY INDIVIDUALS OR TRUSTS TO BE USED FOR FINANCIAL ASSISTANCE TO PATIENTS WHOM PAYMENT FOR THEIR HOSPITAL SERVICES WOULD BE A FINANCIAL HARDSHIP.GREENWICH HOSPITAL ALSO GUARANTEES ACCESS TO CARE BY PROVIDING CLINICAL PROGRAMS DESPITE A FINANCIAL LOSS SO SIGNIFICANT THAT NEGATIVE MARGINS REMAIN AFTER REMOVING THE EFFECTS OF FREE CARE, BAD DEBT AND UNDER-REIMBURSED MEDICAID. SUBSIDIZED HEALTH SERVICES INCLUDE THE OUTPATIENT CENTERS MEDICAL (INCLUDING DIABETES) AND BEHAVIORAL HEALTH CLINICS AND PEDIATRIC OUTPATIENT CENTER. EACH YEAR, MORE THAN 5,000 ADULTS AND CHILDREN VISIT THE OUTPATIENT CENTER AND PEDIATRIC OUTPATIENT CENTER FOR DIAGNOSIS, TREATMENT AND PREVENTIVE CARE. GREENWICH HOSPITAL WAS ONCE AGAIN THE BENEFICIARY OF A GRANT FROM THE BREAST CANCER ALLIANCE TO PROVIDE FUNDING FOR FREE SCREENING AND DIAGNOSTIC MAMMOGRAM SERVICES FOR WOMEN WHO ARE UNINSURED OR UNDERINSURED. IN CALENDAR YEAR 2013, 253 UNINSURED WOMEN RECEIVED FREE SCREENING MAMMOGRAMS. AMONG THE WOMEN NEEDING FURTHER TESTING, 24 HAD FREE UNILATERAL DIAGNOSTIC MAMMOGRAMS, FOUR HAD FREE BILATERAL DIAGNOSTIC MAMMOGRAMS AND 29 RECEIVED FREE ULTRASOUND EXAMINATIONS. IN ADDITION, 178 NEWLY DIAGNOSED BREAST CANCER PATIENTS RECEIVED EDUCATION RESOURCE NOTEBOOKS WITH INFORMATION ABOUT LOCAL SUPPORT AND CANCER RESOURCES THAT CAN PROVIDE ASSISTANCE.PROMOTING HEALTH AND WELLNESSDURING FISCAL YEAR 2013, GREENWICH HOSPITAL PROVIDED $810,260 IN COMMUNITY HEALTH IMPROVEMENT SERVICES, INCLUDING HEALTH EDUCATION PROGRAM, SUPPORT GROUPS AND HEALTH FAIRS. EXAMPLES OF THESE IMPORTANT SERVICES AND PROGRAMS ARE PROVIDED BELOW.THE HOSPITAL LED THE COMMUNITY HEALTH IMPROVEMENT PARTNERSHIP, WHICH MEETS MONTHLY TO IDENTIFY COMMUNITY NEEDS AND IMPLEMENT HEALTH PROGRAMS AND RESOURCES. THE PARTNERSHIP ORGANIZED A HEALTH AND WELLNESS FAIR TITLED THE TEDDY BEAR REPAIR CLINIC, WHICH WAS HELD AT THE NEW LEBANON SCHOOL IN COLLABORATION WITH COMMUNITY PARTNERS, INCLUDING THE UNITED WAY, GREENWICH EMERGENCY MEDICAL SERVICE, GREENWICH POLICE DEPARTMENT, GREENWICH DEPARTMENT OF HEALTH, THE GREENWICH ALLIANCE, FAMILY CENTER, CHILD GUIDANCE AND THE HOUSING AUTHORITY OF THE TOWN OF GREENWICH. THE TEDDY BEAR REPAIR CLINIC PROVIDED FREE HEALTH SCREENINGS AND INFORMATION ABOUT AVAILABLE COMMUNITY RESOURCES TO MORE THAN 300 PARENTS AND THEIR CHILDREN. TO PROMOTE AWARENESS ABOUT MENTAL HEALTH AND REDUCE THE STIGMA OF MENTAL ILLNESS, THE COMMUNITY HEALTH IMPROVEMENT PARTNERSHIP SPONSORED NATIONALLY RECOGNIZED SPEAKER JORDAN BURNHAM TO SPEAK AT TWO AREA SCHOOLS. MR. BURNHAM SHARED HIS EXPERIENCES AND CONDUCTED SUICIDE PREVENTION AND AWARENESS SEMINARS TO 350 STUDENTS. IN ADDITION, THE HOSPITAL OFFERED SEVERAL BEHAVIORAL HEALTH PROGRAMS THROUGHOUT THE YEAR ON A VARIETY OF TOPICS. AS THE HOSPITAL'S OUTREACH DEPARTMENT, COMMUNITY HEALTH AT GREENWICH HOSPITAL AND COMMUNITY HEALTH OF FAIRCHESTER ARE DEDICATED TO IMPROVING THE HEALTH STATUS OF COMMUNITIES IN CONNECTICUT AND NEW YORK. BOTH ENTITIES MAINTAIN A STRONG COMMUNITY PRESENCE THROUGH THEIR NUMEROUS PARTNERSHIPS WITH THE YALE NEW HAVEN HEALTH SYSTEM, LOCAL AND REGIONAL COMMUNITY ORGANIZATIONS, SCHOOLS, GOVERNMENT AGENCIES, CORPORATIONS AND OTHER GREENWICH HOSPITAL DEPARTMENTS. COMMUNITY HEALTH @ GREENWICH HOSPITAL AND COMMUNITY HEALTH OF FAIRCHESTER SUPPORT THE HOSPITAL'S MISSION TO PROVIDE A FULL CONTINUUM OF CARE BY OFFERING INNOVATIVE HEALTH SCREENINGS, SPEAKERS, SUPPORT GROUPS, SCHOOL PROGRAMS, HEALTH EDUCATION AND WELLNESS PROGRAMS DESIGNED TO PROMOTE HEALTH AND INCREASE ACCESS TO HEALTHCARE SERVICES.OVER THE PAST YEAR, GREENWICH HOSPITAL PARTICIPATED IN MORE THAN 38 HEALTH FAIRS REACHING AN ESTIMATED 10,000 PEOPLE AT VARIOUS COMMUNITY SITES WITH THE GOAL OF INCREASING PEOPLE'S KNOWLEDGE AND HEALTH LITERACY. THE FAIRS WERE HELD AT PARKS, SCHOOLS, MULTI-HOUSING DEVELOPMENTS, HOUSES OF WORSHIP, YOUTH AND SENIOR CENTERS IN WESTCHESTER AND FAIRFIELD COUNTIES. PARTICIPANTS RECEIVED HEALTH SCREENINGS, INFORMATION AND EDUCATION ABOUT EXERCISE, HEALTHY HABITS AND BEHAVIORS, HAND WASHING AND HYGIENE, IMMUNIZATION, SUN SAFETY, CHOLESTEROL, STROKE, WEIGHT MANAGEMENT, NUTRITION, BREAST SELF-EXAMS, SMOKING CESSATION AND MORE. GREENWICH HOSPITAL STAFF OFFERED FREE BLOOD PRESSURE AND METABOLIC SCREENINGS ALONG WITH HEALTH EDUCATION AND COUNSELING ON HEALTHY LIVING. IN ADDITION, GREENWICH HOSPITAL PROVIDED MORE THAN 150 INDIVIDUALS WITH INFORMATION FROM VENDORS SPECIALIZING IN DIABETIC CARE AND CONDUCTED FREE DIABETES-RELATED HEALTH SCREENINGS AS PART OF A DIABETES HEALTH FAIR. THE GREENWICH DEPARTMENT OF HEALTH, THE GREENWICH COMMISSION ON AGING AND GREENWICH HOSPITAL SPONSORED AN ANNUAL SENIOR HEALTH FAIR, WHICH OFFERED FREE HEALTH EDUCATION, SCREENINGS AND RESOURCE REFERRALS TO MORE THAN 500 OLDER ADULTS. IN ADDITION, 31 FREE CHOLESTEROL SCREENINGS WERE CONDUCTED AT THE EVENT. COMMUNITY HEALTH OF FAIRCHESTER PARTICIPATED IN THE WESTCHESTER COUNTY SALUTE TO SENIORS PROGRAM IN WHITE PLAINS, WHICH DREW MORE THAN 500 AREA RESIDENTS.GREENWICH HOSPITAL, THROUGH THE NURSE IS IN PROGRAM, PROVIDED FREE BLOOD PRESSURE SCREENINGS AND HEALTH COUNSELING TO 4,542 PEOPLE AT LOCAL LIBRARIES, YMCAS AND SENIOR CENTERS IN CONNECTICUT AND NEW YORK. AN ADDITIONAL 2,054 FREE BLOOD PRESSURE SCREENINGS WERE CONDUCTED AT OTHER COMMUNITY SITES. THE HOSPITAL'S PARISH NURSE PROGRAM, A PARTNERSHIP WITH THE FIRST CONGREGATIONAL CHURCH OF GREENWICH, PROVIDES MORE THAN 2,000 CHURCH MEMBERS WITH HEALTH EDUCATION PROGRAMS, SUPPORT GROUPS, FLU SHOTS AND SCREENINGS ALL CONDUCTED OR COORDINATED BY A REGISTERED NURSE. DURING FISCAL YEAR 2013, A TOTAL OF 91 MEN PARTICIPATED IN FREE PROSTATE CANCER SCREENINGS THAT INCLUDED A PSA (PROSTATE-SPECIFIC ANTIGEN) TEST, CONSULTATION AND EXAMINATION WITH AN UROLOGIST. THE UNIQUE EDUCATION AND SCREENING EVENT WAS SPONSORED BY GREENWICH HOSPITAL ALONG WITH WFAN RADIO SPORTS PERSONALITY ED RANDALL'S "FANS FOR THE CURE" PROGRAM. THE HOSPITAL'S 15TH ANNUAL TEDDY BEAR CLINIC DREW 1,700 COMMUNITY MEMBERS FOR A DAY OF INTERACTIVE EDUCATION ON HEALTH AND WELLNESS. THE CLINIC EXPOSES CHILDREN AND THEIR FAMILIES TO HEALTHCARE PROFESSIONALS, MEDICAL PROCEDURES AND HOSPITAL DEPARTMENTS IN A FAMILY-FRIENDLY, RELAXED SETTING. PART VI, LINE 5: COMMUNITY HEALTH @ GREENWICH HOSPITAL WAS A MAJOR SPONSOR OF GREENWICH'S RELAY FOR LIFE, AN AMERICAN CANCER SOCIETY EVENT THAT BRINGS CANCER SURVIVORS TOGETHER TO CELEBRATE LIFE. THE EVENT RAISED APPROXIMATELY $200,000 FOR THE AMERICAN CANCER SOCIETY. COMMUNITY HEALTH @ GREENWICH HOSPITAL PARTNERED WITH GREENWICH SCHOOLS, THE GREENWICH DEPARTMENT OF HEALTH, THE AMERICAN CANCER SOCIETY, GILDA'S CLUB AND THE BREAST CANCER ALLIANCE TO SPONSOR VARIOUS CANCER-AWARENESS EVENTS THAT PROVIDED EDUCATION ABOUT CANCER, AND THE IMPORTANCE OF EXAMS FOR EARLY DETECTION AND TREATMENT THERAPIES. THESE EVENTS INCLUDED GREENWICH THINKS PINK AND HANDS ACROSS THE AVENUE, WHICH DREW 550 WALKERS. GREENWICH HOSPITAL ALSO PARTICIPATED IN MAKING STRIDES AGAINST BREAST CANCER AND THE WESTPORT CANCER WALK AT SHERWOOD ISLAND.SHED YOUR MEDS, AN ANNUAL PUBLIC SAFETY EVENT WHICH ENCOURAGES RESIDENTS TO GET RID OF UNWANTED OR EXPIRED MEDICATIONS, IS SPONSORED BY GREENWICH HOSPITAL, THE TOWN OF GREENWICH, THE GREENWICH POLICE DEPARTMENT, CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION, THE SILVER SHIELD OF GREENWICH, GREENWICH YOUTH SERVICES COUNCIL, COMMUNITY AND POLICE PARTNERSHIP AND THE COMMUNITY HEALTH IMPROVEMENT PARTNERSHIP. AS PART OF ITS OUTREACH MISSION, COMMUNITY HEALTH AT GREENWICH HOSPITAL OPERATES A SPEAKER'S BUREAU TO PROMOTE HEALTH EDUCATION AND AWARENESS IN THE COMMUNITY. IN 2013, GREENWICH HOSPITAL PHYSICIANS, NURSES, DIETICIANS, PHYSICAL THERAPISTS, SOCIAL WORKERS AND PHARMACISTS CONDUCTED FREE LECTURES AT LIBRARIES, SENIOR CENTERS, SCHOOLS, CORPORATIONS AND COMMUNITY SERVICES SUCH AS ROTARY CLUBS, 40/40 CLUB, YWCA AND YMCA IN THE CONNECTICUT AND WESTCHESTER COMMUNITIES. TOPICS INCLUDED DIABETES, STROKE, HEART ATTACK PREVENTION, BREAST, SKIN AND COLON CANCER AWARENESS, CHOLESTEROL REDUCTION, HEALTHY LIFESTYLES AND HABITS, HYGIENE, HEART HEALTH, IMMUNIZATION, NUTRITION, OSTEOPOROSIS, KNOWING YOUR NUMBERS, PARKINSON'S DISEASE, PROSTATE HEALTH, ROBOTIC SURGERY, SMOKING PREVENTION/CESSATION AND WEIGHT MANAGEMENT. SUPPLEMENTAL INFORMATIONIN ADDITION TO THE ACTIVITIES DESCRIBED, GREENWICH HOSPITAL ALSO CONTRIBUTES TO THE COMMUNITY IN WAYS THAT ARE NOT QUANTIFIED AS PART OF THIS REPORT AND SERVES AS AN IMPORTANT COMMUNITY RESOURCE. THIS INCLUDES HAVING A COMMUNITY BOARD WITH MANY OF THE BOARD MEMBERS RESIDING OR WORKING IN THE TOWN OF GREENWICH AND OTHER MUNICIPALITIES SERVED BY THE HOSPITAL. THE HOSPITAL ALSO EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY. IN FY 2013, 25 NEW PHYSICIANS JOINED THE MEDICAL STAFF, WHICH NOW TOTALS 545 MEMBERS.UNDER THE LEADERSHIP OF ITS BOARD OF TRUSTEES AND THE SENIOR ADMINISTRATION, GREENWICH HOSPITAL ACHIEVED STRONG PERFORMANCE IN 2013. THE HOSPITAL ADDED VALUE TO ITS PATIENTS, PARTNERS AND COMMUNITY THROUGH IMPROVED PATIENT CARE, MANAGED COSTS AND ENHANCED REVENUE. HIGHLIGHTS OF THE YEAR AT GREENWICH HOSPITAL INCLUDED: YALE-NEW HAVEN'S SMILOW CANCER HOSPITAL OPENED A NEW CAMPUS AT GREENWICH HOSPITAL THAT ALLOWS YALE CANCER CENTER SPECIALISTS TO WORK COLLABORATIVELY WITH LEADING ONCOLOGISTS AND SPECIALISTS FROM GREENWICH IN THE HOSPITAL'S ADVANCED AND NEWLY RENOVATED FACILITIES. YALE CANCER CENTER ALSO HAS NUMEROUS CLINICAL TRIALS AVAILABLE, MANY OF WHICH ARE NOW BEING OFFERED TO GREENWICH PATIENTS. GREENWICH HOSPITAL OPENED A PEDIATRIC SPECIALTY CENTER SERVING THE NEEDS OF PEDIATRIC PATIENTS IN THE GREENWICH HOSPITAL SERVICE AREA. GENERAL PEDIATRIC CARE IS PROVIDED FIVE DAYS A WEEK. IN ADDITION, SPECIALISTS FROM YALE-NEW HAVEN CHILDREN'S HOSPITAL PROVIDE PEDIATRIC SPECIALTY CARE INCLUDING ENDOCRINOLOGY, PULMONOLOGY, GASTROENTEROLOGY AND ORTHOPAEDIC SPECIALTY SURGERY CONSULTATION SERVICES. GREENWICH HOSPITAL CREATED AND IMPLEMENTED AN INNOVATIVE VIDEO SURVEILLANCE PROGRAM TO MONITOR PATIENTS AT HIGH RISK OF FALLING. IN THE ONE-YEAR PERIOD FROM JUNE 2012 TO JUNE 2013, GREENWICH HOSPITAL HAD OVER 1,600 PATIENTS IN THE PROGRAM, WITH ONLY ONE FALL, AND PREVENTED MORE THAN 25,000 FALL OPPORTUNITIES. THE PROGRAM HAS RECEIVED NATIONAL ATTENTION.COMMUNITY MEMBERS UTILIZE GREENWICH HOSPITAL AS A VEHICLE TO CONNECT AND CONTRIBUTE TO INDIVIDUALS AND THE OVERALL COMMUNITY THROUGH PHILANTHROPY AND VOLUNTEERING. IN FY 2013, 692 ADULT AND JUNIOR VOLUNTEERS DEDICATED A TOTAL OF 59,055 SERVICE HOURS TO THE HOSPITAL. VOLUNTEERS WERE PLACED IN MANY PATIENTS AND NON-PATIENT AREAS INCLUDING THE ED, PATIENT TRANSPORT/ESCORT, ONCOLOGY, SURGERY, PAIN MANAGEMENT, MATERNITY, NICU, HUMAN RESOURCES AND INFORMATION SERVICES. PART VI, LINE 6: THE YALE NEW HAVEN HEALTH SYSTEM'S FUNDAMENTAL MISSION IS TO ENSURE THAT THE DELIVERY NETWORKS ASSOCIATED WITH THE SYSTEM PROMOTE THE HEALTH OF THE COMMUNITIES THEY SERVE AND ENSURE THAT ALL 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 FOR WHICH THEY ARE HELD ACCOUNTABLE. IN ADDITION, REGULAR REPORTING ON COMMUNITY BENEFITS IS REQUIRED ON A QUARTERLY BASIS. REPORTS FILED WITH STATES PART VI, LINE 7 CT 1 YWCA OF GREENWICH 259 E PUTNAM AVENUE GREENWICH CT 06830 060646992 501(C)(3) 25000 SUPPORT ORGANIZATION BREAST CANCER ALLIANCE 48 MAPLE AVENUE GREENWICH CT 06830 061453500 501(C)(3) 55000 SUPPORT ORGANIZATION AMERICAN CANCER SOCIETY 372 DANBURY ROAD WILTON CT 06897 131788491 501(C)(3) 10000 SUPPORT ORGANIZATION VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK NY 10573 133830232 501(C)(3) 5000 SUPPORT ORGANIZATION STAMFORD HOSPITAL 166 W BROAD STREET STAMFORD CT 06904 060646917 501(C)(3) 5900 SUPPORT ORGANIZATION ONS FOUNDATION 6 GREENWICH OFFICE PARK GREENWICH CT 06831 261394760 501(C)(3) 15000 SUPPORT ORGANIZATION CONNECTICUT NURSES FOUNDATION 377 RESEARCH PARKWAY MERIDEN CT 06450 060302545 501(C)(3) 10000 SUPPORT ORGANIZATION LYME RESEARCH ALLIANCE 2001 WEST MAIN STREET STAMFORD CT 06902 061559393 501(C)(3) 20000 SUPPORT ORGANIZATION COLUMBUS CITIZENS FOUNDATION 8 E 69TH STREET NEW YORK NY 10021 136118967 501(C)(3) 7500 SUPPORT ORGANIZATION FAMILY CENTERS INC (CENTER FOR HOPE) PO BOX 7550 GREENWICH CT 06836 060646656 501(C)(3) 10000 SUPPORT ORGANIZATION GEMS 111 E PUTNAM AVE RIVERSIDE CT 06878 222721171 501(C)(3) 91000 SUPPORT ORGANIZATION 11 0 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS - NONE OF THE AMOUNT REPORTED ON SCHEDULE I, PART II ARE GRANTS. THESE AMOUNTS ARE DONATIONS AND SPONSORSHIPS GIVEN TO ORGANIZATIONS TO ASSIST IN THE FURTHERANCE OF THEIR MISSION. X X X X X 0 1 0 0 0 0 0 1 0 FRANK A CORVINO 518581 279236 191204 102956 151029 81323 89115 47985 13299 7161 963228 518661 46166 24858 GAYLE L CAPOZZALO 63222 569000 24782 223038 26648 239834 14320 128880 1817 16354 130789 1177106 0 0 BRIAN DORAN MD 396062 0 103784 0 17877 0 32780 0 31272 0 581775 0 0 0 CHRISTINE BEECHNER 127364 0 24244 0 6984 0 11106 0 21717 0 191415 0 2149 0 DEBORAH HODYS 302823 0 56819 0 17026 0 13629 0 20327 0 410624 0 7544 0 EUGENE J COLUCCI 175225 214164 50845 62143 30342 37085 63776 77949 9275 11337 329463 402678 0 0 GEORGE PAWLUSH 160358 0 45989 0 24171 0 15605 0 18256 0 264379 0 5008 0 MARC KOSAK 188067 0 31683 0 17258 0 14556 0 26060 0 277624 0 0 0 MELISSA TURNER 113173 113173 30769 30769 21572 21572 42409 42409 13049 13049 220972 220972 0 0 NANCY LEVITT-ROSENTHAL 289761 0 72626 0 39778 0 115611 0 1309 0 519085 0 5175 0 STEPHEN CARBERY 208959 0 54458 0 30170 0 58059 0 16840 0 368486 0 0 0 SUSAN BROWN 282907 0 50231 0 1900 0 34992 0 16384 0 386414 0 11132 0 ERIC DIAMOND 461525 0 0 0 27105 0 34992 0 16808 0 540430 0 10580 0 MARVIN LIPSCHUTZ MD 368372 0 64084 0 24002 0 12885 0 29366 0 498709 0 0 0 RICHARD EISEN 482736 0 9891 0 23601 0 22500 0 22521 0 561249 0 10580 0 VICKI ALTMEYER 489276 0 21776 0 26274 0 34992 0 18967 0 591285 0 0 0 DOROTHY BLACKMUN MD 436118 0 0 0 17723 0 14576 0 10843 0 479260 0 0 0 QUINTON J FRIESEN 397490 0 110745 0 188305 0 20469 0 11721 0 728730 0 85154 0 PART I, LINE 4B PART I, LINE 4B: SEVERENCE NONQUALIFIED EQUITY-BASED EUGENE COLUCCI $0 $64,625 $0 NANCY LEVITT-ROSENTHAL $0 $48,511 $0 MELISSA TURNER $0 $37,518 $0 THE INDIVIDUALS LISTED ABOVE ARE PARTICIPANTS IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THESE ACCRUALS ARE INCLUDED IN THE AMOUNTS REPORTED IN PART II, COLUMN C (DEFERRED COMPENSATION) AND REPRESENTS BOTH THE REPORTING ENTITY'S AND RELATED ENTITY'S COMBINED AMOUNTS CONSISTENT WITH THE COMPENSATION REPORTING PER IRS INSTRUCTIONS. INDIVIDUALS LISTED BELOW BECAME VESTED IN BENEFITS VALUED AT THE AMOUNTS RESPECTIVELY REPORTED BELOW DURING THE REPORTING YEAR. INCLUDED IN SECTION II, COLUMN B (III) ARE AMOUNTS VESTED DURING THE 2012 CALENDAR YEAR THAT WERE RECOGNIZED AS TAXABLE EVENTS AND REPORTED IN THE INDIVIDUALS' 2012 CALENDAR YEAR FORM W-2. FRANK CORVINO $ 128,277 QUINTON FRIESEN $ 145,221 GAYLE CAPOZZALO $ 185,042 ONE FORMER OFFICER RECEIVED A PAYMENT FROM A NONQUALIFIED PLAN. THIS AMOUNT IS NOT INCLUDED IN COLUMN B OR C. THE FOLLOWING PAYMENT WAS MADE DIRECTLY TO HIM FROM THE RABBI TRUST: QUINTON J. FRIESEN $ 31,921 THE SUPPLEMENTAL RETIREMENT INCOME PLAN (SRIP) IS DESIGNED TO ENSURE THE PAYMENT OF A COMPETITIVE LEVEL OF RETIREMENT INCOME WHEN ADDED TO OTHER SOURCES OF RETIREMENT INCOME IN ORDER TO ATTRACT AND RETAIN KEY MANAGEMENT EMPLOYEES SERVING AS CORPORATE OFFICERS. THE PLAN PROVIDES SUPPLEMENTAL RETIREMENT INCOME THROUGH AN UNFUNDED, NONQUALIFIED DEFERRED COMPENSATION ARRANGEMENT UNDER SECTION 457(F) AND THROUGH A DEFERRED COMPENSATION PLAN UNDER SECTION 409A OF THE INTERNAL REVENUE CODE AND A MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES' PLAN UNDER THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974 (ERISA). PART I, LINE 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 060806186 20774UYC3 2008-05-07 53630000 REFINANCE SERIES B 0 0 0 A 53630000 477359 72256 53080385 2008 1 0 1 1 A 0 1 1 0 1 0 0.00770 0.01370 0.02140 0 0 0 A 0 0 1 1 1 0 0 0 1 A 1 SCHEDULE K PART IV, ARBITRAGE, LINE 2C DATE REBATE COMPUTATION PERFORMED ISSUER NAME: CHEFA DATE THE REBATE COMPUTATION WAS PERFORMED: 06/30/2009 SCHEDULE K SUPPLENTAL INFORMATION REFINANCE ISSUANCE DATE 4/6/2006 PART III, LINE 3C THE ORGANIZATION HAS IN-HOUSE LEGAL STAFF WHO PROVIDE ROUTINE REVIEW OF MANAGEMENT OR SERVICE CONTRACTS OR RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY TO ENSURE THAT SUCH AGREEMENTS ARE COMPLIANT WITH APPLICABLE SAFE HARBORS. IN-HOUSE COUNSEL CONSULT WITH THE HOSPITAL'S OUTSIDE BOND COUNSEL AS NEEDED, INCLUDING ON NON-ROUTINE ISSUES. PART III, LINE 9 THE ORGANIZATION HAS POLICIES AND PROCEDURES IN PLACE TO ENSURE COMPLIANCE WITH FEDERAL TAX LAW, AND TO TIMELY IDENTIFY NONCOMPLIANCE. IN THE EVENT OF NON-COMPLIANCE THE ORGANIZATION WOULD INVOLVE ITS LEGAL COUNSEL TO ADVISE REGARDING APPROPRIATE REMEDIATION. CENTURY FINANCIAL SERVICES SEE SCHEDULE O 304518 SEE PART V 0 PART IV, COLUMN D NAME OF INTERESTED PERSON: CENTURY FINANCIAL SERVICES, INC.OFFICER EUGENE COLUCCI IS AN OFFICER AND DIRECTOR OF CENTURY FINANCIAL SERVICES, INC.CENTURY FINANCIAL SERVICES, INC. PROVIDES BILLING AND COLLECTION SERVICES FOR THE HOSPITAL. A PORTION OF CENTURY FINANCIAL SERVICES, INC. IS OWNED, DIRECTLY OR INDIRECTLY, BY RELATED ORGANIZATIONS OF THE HOSPITAL.AMOUNT OF TRANSACTION: $304,518.SOME OF THE ORGANIZATION'S CURRENT OFFICERS SERVE AS OFFICERS AND/OR DIRECTORS OF TAXABLE AFFILIATES WITHIN THE ORGANIZATION'S CORPORATE SYSTEM. THE ORGANIZATION ENGAGES IN BUSINESS TRANSACTIONS WITH SOME OF THESE TAXABLE AFFILIATES. THESE TRANSACTIONS HAVE BEEN REPORTED AND DISCLOSED ON SCHEDULE R. THEY ARE NOT BEING REPORTED AGAIN HERE BECAUSE THE INDIVIDUAL OFFICERS DO NOT HAVE PERSONAL FINANCIAL INTERESTS IN THE TAXABLE AFFILIATES AND SERVE ONLY AS A FUNCTION OF THEIR ROLES AT THE ORGANIZATION. X 13376 FAIR MARKET VALUE X 62143 FAIR MARKET VALUE X 3 33513 FAIR MARKET VALUE X 1 1500 FAIR MARKET VALUE X VACACTION/ENTERTAINENT 24 191655 FAIR MARKET VALUE X PHOTOGRAPHY 3 8200 FAIR MARKET VALUE X MISCELLANEOUS 378 165230 FAIR MARKET VALUE 0 0 1 0 PROGRAM SERVICE STATEMENT FORM 990, PART III, LINE 4A GREENWICH HOSPITAL, FOUNDED IN 1903, IS A 206-BED COMMUNITY TEACHING HOSPITAL THAT HAS EVOLVED INTO A PROGRESSIVE REGIONAL HEALTHCARE CENTER, AVERAGING MORE THAN 12,000 INPATIENT DISCHARGES AND NEARLY 300,000 OUTPATIENT ENCOUNTERS LAST YEAR. THE HOSPITAL OFFERS A WIDE RANGE OF MEDICAL, SURGICAL, DIAGNOSTIC, INTEGRATIVE MEDICINE AND WELLNESS PROGRAMS. SPECIALIZED SERVICES INCLUDE THE BENDHEIM CANCER AND BREAST CENTERS, ENDOSCOPY CENTER, LEONA M. AND HARRY B. HELMSLEY AMBULATORY MEDICAL CENTER, THE RICHARD R. PIVIROTTO CENTER FOR HEALTHY LIVING, AND THE GREENWICH HOSPITAL DIAGNOSTIC CENTER IN STAMFORD. DURING FISCAL YEAR 2013, GREENWICH HOSPITAL PROVIDED APPROXIMATELY $31.6 MILLION IN COMMUNITY BENEFITS. THIS FIGURE INCLUDES $24.7 MILLION DOLLARS IN CHARITY CARE (AT COST) AND UNDER REIMBURSED MEDICAID (AT COST), $3.1 MILLION IN HEALTH PROFESSIONS EDUCATION AND $3.8 MILLION IN COMMUNITY HEALTH IMPROVEMENT AND EDUCATION ACTIVITIES, SUBSIDIZED SERVICES, RESEARCH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS. AN ADDITIONAL $279,000 WAS PROVIDED IN THE AREA OF COMMUNITY BUILDING ACTIVITIES, WHICH INCLUDED SUPPORT FOR ECONOMIC DEVELOPMENT, ENVIRONMENTAL IMPROVEMENTS, WORKFORCE DEVELOPMENT, COALITION BUILDING AND PHYSICAL IMPROVEMENT AND HOUSING. GREENWICH HOSPITAL HAS INVESTED A SIGNIFICANT AMOUNT OF TIME, MONEY AND RESOURCES IN THE DEVELOPMENT AND IMPLEMENTATION OF PUBLIC HEALTH PROJECTS TO IMPROVE HEALTH AND INCREASE ACCESS. FORM 990, PART VI 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. BASED ON RESPONSES TO THE QUESTIONNAIRES RECEIVED BY THE ORGANIZATION AND ANNUAL CONFLICTS OF INTEREST DISCLOSURES, THE ORGANIZATION WAS ABLE TO CONFIRM THAT 18 VOTING MEMBERS ARE INDEPENDENT. THE ORGANIZATION HAS NO REASON TO BELIEVE THAT THE REMAINING 2 INDEPENDENT VOTING MEMBERS ARE NOT INDEPENDENT. FORM 990, PART VI, SECTION A, LINE 2 TRUSTEE WILLIAM R. BERKLEY, JR. AND OFFICER/TRUSTEE FRANK A. CORVINO ARE BOARD MEMBERS OF THE SAME BUSINESS ENTITY. SOME OF THE ORGANIZATION'S CURRENT OFFICERS AND/OR TRUSTEES SERVE AS OFFICERS AND/OR DIRECTORS OF TAXABLE AFFILIATES WITHIN THE ORGANIZATION'S CORPORATE SYSTEM. THE INDIVIDUAL OFFICERS DO NOT HAVE PERSONAL FINANCIAL INTERESTS IN THOSE TAXABLE AFFILIATES AND SERVE ONLY AS A FUNCTION OF THEIR ROLES WITH THE ORGANIZATION. THE TAXABLE AFFILIATES FOR WHICH SOME OF THE ORGANIZATION'S OFFICERS SERVE ALSO AS OFFICERS AND/OR DIRECTORS INCLUDE: GREENWICH HEALTH SERVICES, INC., GREENWICH PEDIATRIC SERVICES, P.C., GREENWICH INTEGRATIVE MEDICINE, P.C. AND GREENWICH OCCUPATIONAL HEALTH SERVICES OF NEW JERSEY, P.C. FORM 990, PART VI, SECTION A, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS: THE HOSPITAL IS A CONNECTICUT NON-STOCK CORPORATION. ITS SOLE MEMBER IS GREENWICH HEALTH CARE SERVICES, INC. ("GHCSI"), ITSELF A CONNECTICUT NON-STOCK CORPORATION DESCRIBED IN SECTION 501(C)(3) OF THE CODE. FORM 990, PART VI, SECTION A, LINE 7A ELECTION OF MEMBERS AND THEIR RIGHTS: YALE NEW HAVEN HEALTH SERVICES CORPORATION (YNHHS), THE SOLE MEMBER OF GHCSI (THE HOSPITAL'S SOLE MEMBER), HAS THE AUTHORITY TO DESIGNATE ONE REPRESENTATIVE OF YNHHS TO SERVE AS A TRUSTEE OF THE HOSPITAL AND APPROVE NOMINEES TO THE HOSPITAL'S BOARD OF TRUSTEES IN ACCORDANCE WITH THE HOSPITAL'S BYLAWS AND THAT CERTAIN SYSTEM AFFILIATION AGREEMENT (THE "AFFILIATION AGREEMENT") BY AND AMONG YNHHS, GHCSI AND THE HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS SUBJECT TO APPROVAL OF MEMBERS: THE HOSPITAL HAS RESERVED POWERS TO BOTH GHCSI AND YNHHS. GHCSI: GHCSI, IN ITS CAPACITY AS THE SOLE MEMBER OF THE HOSPITAL, HAS ONLY THOSE RIGHTS, POWERS AND PRIVILEGES REQUIRED BY LAW TO BE ACCORDED TO MEMBERS OF A NONSTOCK, NONPROFIT CORPORATION. YNHHS: IN ACCORDANCE WITH THE HOSPITAL'S BYLAWS AND THE AFFILIATION AGREEMENT, YNHHS HAS THE FOLLOWING RIGHTS, POWERS AND PRIVILEGES VIS-A-VIS THE HOSPITAL: (A)TO DESIGNATE ONE REPRESENTATIVE OF YNHHS TO SERVE AS A TRUSTEE OF THE HOSPITAL AT THE PLEASURE OF YNHHS, WHICH DESIGNEE SHALL BE A VOTING MEMBER OF THE EXECUTIVE OR ANY SIMILAR COMMITTEE OF THE HOSPITAL; (B)TO APPROVE THE NOMINEES TO THE BOARD OF TRUSTEES OF THE HOSPITAL IN ACCORDANCE WITH THE PROVISIONS OF SECTION 3.3 OF THE HOSPITAL BYLAWS AND SECTION 4.2 OF THE AFFILIATION AGREEMENT; (C)TO DIRECT THE HOSPITAL BOARD OF TRUSTEES TO REMOVE ANY HOSPITAL TRUSTEE IN ACCORDANCE WITH PROVISIONS OF THE HOSPITAL BYLAWS AND THE AFFILIATION AGREEMENT; (D)TO APPROVE THE HOSPITAL'S ANNUAL OPERATING AND CAPITAL BUDGETS AND STRATEGIC PLANS; AND (E)TO CONSENT TO (I) THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE HOSPITAL'S ASSETS, (II) ANY MERGER OR CONSOLIDATION INVOLVING THE HOSPITAL, (III)ANY CONTRACT TO MANAGE OR ADMINISTER THE HOSPITAL OR ANY SUBSTANTIAL PART OF THE BUSINESS OF THE HOSPITAL, (IV) ANY LIQUIDATION OR DISSOLUTION OF THE HOSPITAL OR FILING FOR BANKRUPTCY OR SIMILAR PROTECTION, OR (V) ANY CHANGE IN THE NAME OF THE HOSPITAL. FURTHER, IN ACCORDANCE WITH THE HOSPITAL BYLAWS, GHCSI AND YNHHS MUST EACH APPROVE ANY AMENDMENT TO THE HOSPITAL'S CERTIFICATE OF INCORPORATION OR BYLAWS. FORM 990, PART VI, SECTION B, LINE 11 THE ORGANIZATION'S PROCESS TO REVIEW FORM 990: THE FORM 990 TAX RETURN AND ATTACHED SCHEDULES WERE PREPARED BY EMPLOYEES OF THE SYSTEM TAX DEPARTMENT. THE RETURN IS INITIALLY REVIEWED BY THE HOSPITAL DIRECTOR OF CORPORATE FINANCE. SUBSEQUENTLY, IT IS SENT TO ERNST & YOUNG US LLP FOR THEIR INITIAL REVIEW. AFTER ALL COMMENTS FROM THE ABOVE GROUPS ARE RECEIVED AND REVIEWED, THE RETURN IS THEN REVIEWED BY THE CHIEF FINANCIAL OFFICER OF THE HOSPITAL AND A FINAL VERSION OF THE RETURN IS SENT BACK TO ERNST & YOUNG US LLP FOR FINAL REVIEW. PRIOR TO FILING, THE ORGANIZATION MADE AVAILABLE A COMPLETE COPY OF THE RETURN TO THE BOARD OF TRUSTEES BY WEB PORTAL. FORM 990, PART VI, SECTION B, LINE 12C GREENWICH HOSPITAL IS COVERED UNDER THE YALE NEW HAVEN HEALTH SYSTEM CONFLICT OF INTEREST POLICY. THE YALE NEW HAVEN HEALTH SYSTEM CONFLICT OF INTEREST POLICY (CC:R-7) AND INDIVIDUAL ANNUAL DISCLOSURE FORM APPLIES TO A POOL OF EMPLOYEES, BOARD MEMBERS AND NON-BOARD MEMBERS SERVING ON BOARD COMMITTEES. THESE "COVERED INDIVIDUALS" ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT, UPON BEGINNING EMPLOYMENT OR OTHERWISE BECOMING A COVERED INDIVIDUAL AND ANNUALLY THEREAFTER. COVERED INDIVIDUALS ARE ALSO REQUIRED TO IMMEDIATELY REPORT MATERIAL CHANGES TO THEIR MOST RECENTLY COMPLETED DISCLOSURE STATEMENT. THESE DISCLOSURE STATEMENTS AND REPORTS ARE REVIEWED BY THE OFFICE OF PRIVACY AND CORPORATE COMPLIANCE AND/OR THE LEGAL AND RISK SERVICES DEPARTMENT TO ENSURE COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. IF A POTENTIAL CONFLICT ARISES, THE PRESIDENT AND CEO WOULD CONSULT WITH THE BOARD CHAIRPERSON AND THE LEGAL AND RISK SERVICES DEPARTMENT AND TAKE ANY ACTIONS THAT HE DEEMS REQUIRED OR APPROPRIATE TO MANAGE OR RESOLVE A POTENTIAL CONFLICT OF INTEREST. FOR EXAMPLE, A VOTING BOARD OR COMMITTEE MEMBER WOULD BE REQUIRED TO RECUSE HIMSELF OR HERSELF FROM VOTING ON MATTERS RELATED TO THE POTENTIAL CONFLICT AND THE POTENTIAL CONFLICT WOULD BE DISCLOSED TO OTHER VOTING MEMBERS. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION PROCESS FOR TOP OFFICIALS: THE TOP OFFICIAL IS AN EMPLOYEE OF YNHHS. THE EXECUTIVE COMPENSATION COMMITTEES OF GREENWICH HOSPITAL AND YNHHS STRIVE TO TAKE THE STEPS NECESSARY TO QUALIFY FOR THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER FEDERAL TAX LAW. THE EXECUTIVE COMPENSATION COMMITTEES ARE RESPONSIBLE FOR (1) DETERMINING THE OVERALL TOTAL COMPENSATION STRATEGY FOR THEIR RESPECTIVE CORPORATE OFFICERS, (2) APPROVING ALL COMPENSATION AND BENEFITS DECISIONS FOR RESPECTIVE CORPORATE OFFICERS, AND (3) REPORTING SUCH ACTIONS TO THE FULL GREENWICH HOSPITAL AND YNHHS BOARDS ON AN ANNUAL BASIS. IN ADDITION, THE EXECUTIVE COMPENSATION COMMITTEES EXPRESSLY DETERMINE THE REASONABLENESS OF TOTAL COMPENSATION AND BENEFITS FOR ALL CORPORATE OFFICERS, AND ASSURES THAT ALL OFFICER COMPENSATION DECISIONS ARE MADE AFTER THOROUGH CONSIDERATION OF AND COMPARISON TO THE MARKET PRACTICES OF OTHER SIMILARLY SITUATED NOT-FOR-PROFIT HEALTHCARE EXECUTIVES IN COMPARABLE ORGANIZATIONS. THE EXECUTIVE COMPENSATION COMMITTEES CONSIST OF BOARD MEMBERS WHO DO NOT HAVE MATERIAL FINANCIAL INTERESTS THAT COULD BE AFFECTED BY THE OFFICER COMPENSATION DECISIONS MADE BY THE COMMITTEES. THE COMPARABILITY DATA USED TO ASSIST THE EXECUTIVE COMPENSATION COMMITTEES IN THEIR COMPENSATION DELIBERATIONS ARE COMPILED BY AN INDEPENDENT,NATIONAL COMPENSATION CONSULTING FIRM THAT IS RETAINED BY AND REPORTS DIRECTLY TO THE EXECUTIVE COMPENSATION COMMITTEES. THE DATA COLLECTED BY THE CONSULTANT CONSISTS OF MARKET INFORMATION FOR EXECUTIVES IN FUNCTIONALLY SIMILAR POSITIONS IN SIMILARLY SITUATED NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS. THE DELIBERATIONS AND DECISIONS OF THE EXECUTIVE COMPENSATION COMMITTEES ARE CONTEMPORANEOUSLY DOCUMENTED, REVIEWED AND APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEES, AND PROVIDED TO THE BOARDS OF YNHHS AND THE HOSPITAL. COMPENSATION PROCESS FOR OFFICERS CERTAIN OFFICERS ARE EMPLOYEES OF YNHHS, OTHER OFFICERS ARE EMPLOYED DIRECTLY BY THE HOSPITAL. COMPENSATION DETERMINATIONS OF YNHHS EMPLOYEES ARE MADE BOTH BY THE COMPENSATION COMMITTEES AND BOARDS OF YNHHS AND THE HOSPITAL. COMPENSATION DETERMINATION OF THE HOSPITAL EMPLOYEES ARE MADE BY THE HOSPITAL'S COMPENSATION COMMITTEE AND BOARD. THE EXECUTIVE COMPENSATION COMMITTEES OF GREENWICH HOSPITAL AMD YNHHS STRIVE TO TAKE THE STEPS NECESSARY TO QUALIFY FOR THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER FEDERAL TAX LAW. THE EXECUTIVE COMPENSATION COMMITTEES ARE RESPONSIBLE FOR (1) DETERMINING THE OVERALL TOTAL COMPENSATION STRATEGY FOR ALL THEIR RESPECTIVE CORPORATE OFFICERS, (2) APPROVING ALL COMPENSATION AND BENEFITS DECISIONS FOR CORPORATE OFFICERS, AND (3) REPORTING SUCH ACTIONS TO THE FULL GREENWICH HOSPITAL AND YNHHS BOARD ON AN ANNUAL BASIS, AS APPLICABLE. IN ADDITION, THE EXECUTIVE COMPENSATION COMMITTEES, AS APPLICABLE, EXPRESSLY DETERMINE THE REASONABLENESS OF TOTAL COMPENSATION AND BENEFITS FOR ALL CORPORATE OFFICERS, AND ASSURES THAT ALL OFFICER COMPENSATION DECISIONS ARE MADE AFTER THOROUGH CONSIDERATION OF AND COMPARISON TO THE MARKET PRACTICES OF OTHER SIMILARLY SITUATED NOT-FOR-PROFIT HEALTHCARE EXECUTIVES IN COMPARABLE ORGANIZATIONS. THE EXECUTIVE COMPENSATION COMMITTEES CONSIST OF BOARD MEMBERS WHO DO NOT HAVE MATERIAL FINANCIAL INTERESTS THAT COULD BE AFFECTED BY THE OFFICER COMPENSATION DECISIONS MADE BY THE COMMITTEES. THE COMPARABILITY DATA USED TO ASSIST THE EXECUTIVE COMPENSATION COMMITTEES IN THEIR COMPENSATION DELIBERATIONS ARE COMPILED BY AN INDEPENDENT, NATIONAL COMPENSATION CONSULTING FIRM THAT IS RETAINED BY AND REPORTS DIRECTLY TO THE EXECUTIVE COMPENSATION COMMITTEES. THE DATA COLLECTED BY THE CONSULTANT CONSISTS OF MARKET INFORMATION FOR EXECUTIVES IN FUNCTIONALLY SIMILAR POSITIONS IN SIMILARLY SITUATED NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS. THE DELIBERATIONS AND DECISIONS OF THE EXECUTIVE COMPENSATION COMMITTEES ARE CONTEMPORANEOUSLY DOCUMENTED, REVIEWED AND APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEES, AND PROVIDED TO THE BOARDS OF YNHHS AND/OR THE HOSPITAL, AS APPLICABLE. FORM 990, PART VI, SECTION C, LINE 19 COPIES OF FORM 990, FORM 1023 AND AUDITED FINANCIAL STATEMENTS ARE MAINTAINED IN THE SYSTEM TAX DEPARTMENT. OTHER CORPORATE GOVERNING DOCUMENTS ARE MAINTAINED BY THE LEGAL AND RISK SERVICES DEPARTMENT. THE CONFLICT OF INTEREST POLICY, WHISTLEBLOWER POLICY, AND DOCUMENT RETENTION POLICY ARE AVAILABLE TO ALL EMPLOYEES ON THE CORPORATE INTERNAL WEBSITE. COPIES OF ALL DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, LINE 19 - GOVERNING DOCUMENTS DISCLOSURE EXPLANATION: COPIES OF FORM 990, FORM 1023 AND AUDITED FINANCIAL STATEMENTS ARE MAINTAINED IN THE SYSTEM TAX DEPARTMENT. OTHER CORPORATE GOVERNING DOCUMENTS ARE MAINTAINED BY THE LEGAL AND RISK SERVICES DEPARTMENT. THE CONFLICT OF INTEREST POLICY, WHISTLEBLOWER POLICY, AND DOCUMENT RETENTION POLICY ARE AVAILABLE TO ALL EMPLOYEES ON THE CORPORATE INTERNAL WEBSITE. COPIES OF ALL DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. OTHER FEES FORM 990, PART IX, LINE 11G SYSTEM SUPPORT: PROGRAM SERVICE EXPENSES 197,777. MANAGEMENT AND GENERAL EXPENSES 31,708,690. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 31,906,467. LAUNDERING SERVICE: PROGRAM SERVICE EXPENSES 1,142,558. MANAGEMENT AND GENERAL EXPENSES 37,186. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,179,744. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 9,406,918. MANAGEMENT AND GENERAL EXPENSES 4,914,503. FUNDRAISING EXPENSES 3,335. TOTAL EXPENSES 14,324,756. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 8,773,754. MANAGEMENT AND GENERAL EXPENSES 87,771. FUNDRAISING EXPENSES 21,337. TOTAL EXPENSES 8,882,862. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: PENSION ADJUSTMENT 32,327,000. AMORTIZATION -72,000. TRANSFERS TO AFFILIATES -9,988,000. TRANSFERS FROM AFFILIATES 700,000. ASSETS RELEASED FOR OPERATIONS -3,621,000. ASSETS RELEASED FOR NON-OPERATIONS -5,000. RESTRICTED CONTRIBUTIONS 4,312,000. REALIZED GAIN ON INVESTMENTS 828,000. CHANGE IN FOUNDATION NET ASSETS -5,121,685. CHANGE IN AUXILIARY NET ASSETS -186,107. MISCELLANEOUS -870. BOOK TO TAX ITEMS - SEE SCH D, PART XI 6,752,230. 900 KING STREET ASSOCIATES LLC 5 PERRYRIDGE ROAD GREENWICH CT 06830 260805259 BUILDING OPERATIONS CT 0 0 GREENWICH HOSPITAL GREENWICH CLINICAL PATHOLOGY ASSOCIATES LLC 5 PERRYRIDGE ROAD GREENWICH CT 06830 262455578 HEALTHCARE CT 3602408 1461173 GREENWICH HOSPITAL GREENWICH PATHLOGY ASSOCIATES LLC 5 PERRYRIDGE ROAD GREENWICH CT 06830 066140101 HEALTHCARE CT 1729461 330158 GREENWICH HOSPITAL BRIDGEPORT HOSPITAL 267 GRANT STREET BRIDGEPORT CT 06610 060646554 HEALTHCARE CT 501C3 LINE 3 BRIDGEPORT HOSP & HEALTHCARE SERVICES 1 BRIDGEPORT HOSPITAL & HEALTHCARE SERVICES 267 GRANT STREET BRIDGEPORT CT 06610 061066729 SYSTEM SUPPORT CT 501C3 LINE 11A, I YALE NEW HAVEN HEALTH SERVICES CORP 0 BRIDGEPORT HOSPITAL AUXILIARY INC 267 GRANT STREET BRIDGEPORT CT 06610 066042500 SYSTEM SUPPORT CT 501C3 LINE 11A, I BRIDGEPORT HOSP & HEALTHCARE SERVICES 1 BRIDGEPORT HOSPITAL FOUNDATION INC 267 GRANT STREET BRIDGEPORT CT 06610 222908698 SYSTEM SUPPORT CT 501C3 LINE 7 BRIDGEPORT HOSP & HEALTHCARE SERVICES 1 CARITAS INSURANCE 30 MAIN STREET BURLINGTON VT 05401 030322238 INSURANCE VT 501C3 LINE 11A, I YALE NEW HAVEN HOSPITAL 1 NORMA F PFREIM BREAST CANCER INC 111 BEACH ROAD FAIRFIELD CT 06430 060567752 HEALTHCARE CT 501C3 LINE 11A, I BRIDGEPORT HOSPITAL 1 NORTHEAST MEDICAL GROUP INC 226 MILL HILL AVENUE BRIDGEPORT CT 06610 061330992 HEALTHCARE CT 501C3 LINE 9 YALE NEW HAVEN HEALTH SERVICES CORP 1 NORTHEAST MEDICAL GROUP PLLC 226 MILL HILL AVENUE BRIDGEPORT CT 06610 352380180 HEALTHCARE CT 501C3 LINE 11A, I NORTHEAST MEDICAL GROUP INC 1 PERRYRIDGE CORPORATION 5 PERRYRIDGE ROAD GREENWICH CT 06830 061207316 SYSTEM SUPPORT CT 501C3 LINE 11B, II GREENWICH HEALTH CARE SERVICES INC 1 SCHS PROPERTIES INC 267 GRANT STREET BRIDGEPORT CT 06610 061297708 TITLE HOLDING CT 501C2 BRIDGEPORT HOSP & HEALTHCARE SERVICES 1 THE GREENWICH HOSPITAL ENDOWMENT FUND INC 5 PERRYRIDGE ROAD GREENWICH CT 06830 061526642 SYSTEM SUPPORT CT 501C3 LINE 11B, II GREENWICH HEALTH CARE SERVICES INC 1 YALE NEW HAVEN HEALTH SERVICES CORP 789 HOWARD AVE NEW HAVEN CT 06519 222529464 SYSTEM SUPPORT CT 501C3 LINE 11A, I N/A 0 YALE-NEW HAVEN CARE CONTINUUM CORP 789 HOWARD AVE NEW HAVEN CT 06519 455235566 NURSING HOME CT 501C3 LINE 3 YNH NETWORK CORP 1 YALE-NEW HAVEN HOSPITAL 20 YORK STREET NEW HAVEN CT 06504 060646652 HEALTHCARE CT 501C3 LINE 3 YNH NETWORK CORP 1 YNH NETWORK CORP 789 HOWARD AVE NEW HAVEN CT 06519 061513687 SYSTEM SUPPORT CT 501C3 LINE 11A, I YALE NEW HAVEN HEALTH SERVICES CORP 0 GREENWICH HEALTH CARE SERVICES INC 5 PERRYRIDGE ROAD GREENWICH CT 06830 222593399 SYSTEM SUPPORT CT 501C3 LINE 11B, II YALE NEW HAVEN HEALTH SERVICES CORP 0 BRIDGEPORT HOSPITAL FRIENDS OF PEDIATRICS INC 120 COLUMBINE DRIVE TRUMBULL CT 06611 066048427 SYSTEM SUPPORT CT 501C3 LINE 11A, I YALE-NEW HAVEN HOSPITAL 1 SHORELINE SURGERY CENTER LLC 60 TEMPLE STREET NEW HAVEN CT 06510 900110459 HEALTHCARE CT N/A SSC II LLC 111 GOOSE LANE GUILFORD CT 06437 261709382 HEALTHCARE CT N/A ORTHOPAEDIC & NEUROSURGERY CENTER 55 HOLLY HILL LANE GREENWICH CT 06830 273477197 HEALTHCARE CT N/A CHC PHYSICIANS PC 789 HOWARD AVE NEW HAVEN CT 06519 061436530 HEALTHCARE CT N/A C 1 GREENWICH FERTILITY & IVF PC 5 PERRYRIDGE ROAD GREENWICH CT 06830 300145464 HEALTHCARE CT N/A C 1 GREENWICH HEALTH SERVICES INC 5 PERRYRIDGE ROAD GREENWICH CT 06830 061233643 HEALTHCARE CT N/A C 1 GREENWICH INTEGRATIVE MEDICINE 5 PERRYRIDGE ROAD GREENWICH CT 06830 260236411 HEALTHCARE CT N/A C 1 GREENWICH OCCUPATIONAL HEALTH SERV-NY 5 PERRYRIDGE ROAD GREENWICH CT 06830 061540101 HEALTHCARE NY N/A C 1 GREENWICH PEDIATRIC SERVICES PC 5 PERRYRIDGE ROAD GREENWICH CT 06830 743054409 HEALTHCARE CT N/A C 1 MEDICAL CENTER PHARMACY 50 YORK STREET NEW HAVEN CT 06511 061087673 PHARMACY CT N/A C 1 MEDICAL CENTER REALTY 50 YORK STREET NEW HAVEN CT 06511 061110858 RENTAL CT N/A C 1 QUINNIPIAC MEDICAL PC 789 HOWARD AVE NEW HAVEN CT 06519 061405531 HEALTHCARE CT N/A C 1 YALE NEW HAVEN AMBULATORY SERVICES 40 TEMPLE STREET NEW HAVEN CT 06510 061398526 HEALTHCARE CT N/A C 1 YNH GERIATRIC SERVICES PC 789 HOWARD AVE NEW HAVEN CT 06519 061561581 HEALTHCARE CT N/A C 1 YNH MEDICAL SERVICES PC 789 HOWARD AVE NEW HAVEN CT 06519 061561583 HEALTHCARE CT N/A C 1 YNHH-PHYSICIANS CORP 789 HOWARD AVE NEW HAVEN CT 06519 061202305 ADMININISTRATIVE SERVICES CT N/A C 1 YNHHS-MSO INC 789 HOWARD AVE NEW HAVEN CT 06519 061467717 MANAGEMENT SERVICES CT N/A C 1 YORK ENTERPRISES INC 50 YORK STREET NEW HAVEN CT 06511 061110937 TITLE HOLDING CT N/A C 1 GREENWICH OCCUPATIONAL HEALTH SERVICES NJ 5 PERRYRIDGE ROAD GREENWICH CT 06830 453833883 HEALTHCARE NJ N/A C 84102 84102 1.00000 1 LUKAN INDEMNITY COMPANY 58 PAR-LA-VALLIS RD HAMILTON BERMUDA BD 981072793 INSURANCE BD N/A C 1 PRIMARYNET OF CONNECTICUT INC 789 HOWARD AVE NEW HAVEN CT 06519 061463534 HEALTHCARE CT N/A C 1 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 1 1 1 1 YALE NEW HAVEN HEALTH SERVICES CORP M 43518213 COMPARABLE MARKET VALUE PERRYRIDGE CORPORATION K 1118568 COMPARABLE MARKET VALUE NORTHEAST MEDICAL GROUP J 147509 COMPARABLE MARKET VALUE GREENWICH HEALTH CARE SERVICES INC R 9969283 CASH/NET ASSET TRANSFER GREENWICH HOSPITAL ENDOWMENT FUND S 2400000 COMPARABLE MARKET VALUE GREENWICH HOSPITAL ENDOWMENT FUND Q 62500 COMPARABLE MARKET VALUE YALE NEW HAVEN HEALTH SERVICES CORP M 38868943 COMPARABLE MARKET VALUE YALE NEW HAVEN HEALTH SERVICES CORP P 4649270 COMPARABLE MARKET VALUE