2026-08-13T08:59:19-05:00 2025-09-30 390859910 BAKER TILLY ADVISORY GROUP LP 1 HIGHWOOD DRIVE TEWKSBURY MA 01876 990 2024-10-01 060647014 GRIFFIN HOSPITAL GRIF 2037327528 130 DIVISION STREET DERBY CT 06418 DAVID MURCKO CONTROLLER 2037327528 2026-08-12 1 1 MARY-EVELYN ANTONETTI P00431862 9785575300 2026-08-10 2024 2025-03-06 01:10:19Z PATRICK CHARMEL 130 DIVISION STREET DERBY CT 06418 287226368 0 X GRIFFINHEALTH.ORG X 1908 CT TO PROVIDE PERSONALIZED, HUMANISTIC, CONSUMER-DRIVEN HEALTH CARE IN A HEALING ENVIRONMENT. 21 17 2210 265 6297363 0 4658853 2802651 257235330 263514951 1898742 2126500 4555001 5214998 268347926 273659100 647087 302346 0 0 130575647 134172975 0 0 0 161834484 120560636 293057218 255035957 -24709292 18623143 209250162 218411990 138121816 134806276 71128346 83605714 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 200016603 302346 247975798 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. 4754927 4890110 PROVIDE PSYCHIATRIC SERVICES TO THE COMMUNITY ON AN OUTPATIENT BASIS. 1949647 6634815 PROVIDE CANCER RELATED RADIOLOGY SERVICES TO THE COMMUNITY. 192022 289600 PROVIDE HOSPICE SERVICES TO THE COMMUNITY. 192022 289600 206913199 1 1 0 1 0 0 0 0 0 1 1 0 1 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 194 0 1 2210 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 21 17 0 0 0 0 0 1 0 1 1 0 0 0 1 1 1 1 1 1 1 1 1 CT X DAVID MURCKO 2037321447 130 DIVISION STREET DERBY CT 06418 JOHN W BETKOWSKI III TRUSTEE 0.23 0.53 X 0 0 0 ROBERT G REISS TRUSTEE 0.23 0.38 X 0 0 0 PHILLIP WHITE CHAIRMAN 0.23 0.15 X X 0 0 0 PATRICK A CHARMEL CEO/PRESIDENT, BOD SECRETARY 45.00 6.15 X X 709405 0 227602 NANCY DINARDO TRUSTEE 0.23 0.53 X 0 0 0 MARK PETERSON TRUSTEE 0.23 0.15 X 0 0 0 MARIA DAWE MD TRUSTEE/PHYSICIAN 40.00 0.00 X 504710 0 50299 LAURA MARASCO TRUSTEE 0.23 0.15 X 0 0 0 KENNETH BALDYGA TRUSTEE 0.23 0.38 X 0 0 0 JOSEPH SOKOL MD TRUSTEE 0.23 0.15 X 0 0 0 JOSEPH ANDREANA TRUSTEE (UNTIL 5/2025) 0.23 0.38 X 0 0 0 THEMIS KLARIDES TRUSTEE 0.23 0.38 X 0 0 0 JOHN J ZAPRZALKA TRUSTEE 0.23 0.38 X 0 0 0 JAMES TICKEY TRUSTEE 0.23 0.15 X 0 0 0 DONNA DIGIANVITTORIO TRUSTEE (JOINED 1/1/25) 0.23 0.15 X 0 0 0 JEAN CRUM JONES MPH RD TRUSTEE 0.23 0.15 X 0 0 0 FREDERICK BROWNE MD TRUSTEE 0.23 41.15 X 0 485129 40082 GEORGE MITCHELL JR TRUSTEE (TILL 1/1/25) 0.23 0.15 X 0 0 0 GEORGE S LOGAN TRUSTEE 0.23 0.38 X 0 0 0 GERALD T WEINER ESQ TRUSTEE 0.23 0.38 X 0 0 0 FREDERICK STANEK ESQ TRUSTEE 0.23 0.30 X 0 0 0 ROMAN SPIVAK MD TRUSTEE 0.23 40.15 X 0 428905 53241 ALEXANDER S BALKO CFO/VP FINANCE 40.00 5.00 X 443789 0 118511 RICHARD DAIGLE CHIEF INFORMATION OFFICER 40.00 0.00 X 293387 0 12315 TODD LIU CHIEF OPERATING OFFICER/EVP 40.00 1.00 X 294747 0 120284 STEPHEN MORDECAI CHIEF HUMAN RESOURCE OFFICER 40.00 0.00 X 237081 0 29781 KIMBERLEE E RICHARD VP 40.00 0.00 X 271639 0 4891 MIHAELA BORAN MD PHYSICIAN 40.00 0.00 X 247617 0 50190 KAREN O'FLYNN MD DIRECTOR 40.00 0.00 X 428521 0 37660 KELLY EGAN VP 40.00 0.00 X 235506 0 32681 HOLLY MAJOR VP 40.00 0.00 X 243859 0 41322 3910261 914034 818859 307 0 1 0 TRIMEDX 5451 LAKEVIEW PKWY S DRIVE INDIANAPOLIS IN 46268 ASSET MANAGEMENT SERVICES 3010023 UNIDINE CORP P O BOX 102289 ATLANTA GA 303682289 FOOD SERVICE 2899863 BRIDGEPORT CAPITAL FUNDING LLC 5541 N UNIVERSITY DRIVE SUITE 101 CORAL SPRINGS FL 33076 HEALTHCARE STAFFING SERVICES 1441082 ROCHE DIAGNOSTICS CORP 9115 HAGUE ROAD INDIANAPOLIS IN 46250 LAB SERVICES 760074 BERKELEY RESEARCH GROUP LLC 2200 POWELL STREET SUITE 1200 EMERYVILLE CA 94608 CONSULTING SERVICES 658624 119 18000 2467340 317311 2802651 PATIENT SERVICE REVENUE 621110 249254222 243083457 6170765 STATE SUPPLEMENTAL REVENUE 900099 10248407 10248407 OTHER PROGRAM SERVICES 621500 2538284 2538284 TUITION/EDUCATION REVENUE 900099 1474038 1474038 263514951 1757484 1757484 356191 0 356191 356191 356191 7517870 7148854 369016 369016 369016 6956043 6418414 537629 76114 461515 REBATES 900099 1600857 1600857 CAFETERIA INCOME 900099 1507707 1507707 OVERHEAD 900099 720368 669884 50484 492246 175396 316850 4321178 273659100 259790323 6297363 4768763 232750 232750 69596 69596 3358697 587245 2771452 106903012 87571210 19331802 2649023 2340858 308165 12630932 11079529 1551403 8631311 7493586 1137725 291620 291620 314651 168869 145782 83320 83320 73924 73924 17356360 10184437 7171923 1094802 1094802 3647281 2984295 662986 2492679 1811888 680791 7576149 5519818 2056331 3216800 1669575 1547225 2640897 1952798 688099 8045824 6261025 1784799 4319394 3221509 1097885 MEDICAL & DRUG SUPPLIES 41880869 38816822 3064047 STATE HOSPITAL TAX EXP 13756702 13756702 PHYSICIAN FEES 5256205 2848532 2407673 BAD DEBT 2665251 2665251 5847908 5676904 171004 255035957 206913199 48122758 0 3753 4014 17440878 12049716 22983690 25303567 2722122 3332477 2978703 3324929 197829983 115052384 78734043 82777599 41723087 46626619 4029981 4235855 14460259 16244819 24173646 24512395 209250162 218411990 37405201 37197542 1161992 349764 66582744 66196734 1545000 275000 31426879 30787236 138121816 134806276 X 61208158 73988541 9920188 9617173 71128346 83605714 209250162 218411990 X 18623143 3287945 -9433720 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 83320 83320 0 PART II-B, LINE 1: THE GRIFFIN HOSPITAL PAID FOR MEMBERSHIP DUES TO THE CONNECTICUT HOSPITAL ASSOCIATION. FOR THE FISCAL YEAR ENDED 9/30/2025, $83,320 OF THE MEMBERSHIP DUES PAID WAS USED FOR LOBBYING ON ISSUES RELEVANT TO THE ORGANIZATION'S EXEMPT PURPOSE. 2216891 250283 5500 2461674 2459612 11616 394409 648746 2216891 2262198 197414 2459612 2548618 -286420 2262198 2311362 237256 2548618 0.00000 0.16966 0.83034 1 0 5894429 5894429 100221422 50505127 49716295 83959420 63658175 20301245 7754712 889082 6865630 82777599 INTEREST IN NET ASSETS OF AFFILIATE 13165786 C INVESTMENT IN AFFILIATE 3079033 C 16244819 DUE FROM AFFILIATES 5074042 REINSURANCE RECOVERABLE 2681382 DEBT ISSUANCE COSTS 1013746 OPERATING LEASE RIGHT-OF-USE ASSET 8712947 ASSETS LIMITED AS TO USE 1148397 UNDER INDENTURE AGREEMENT 4325147 SECURITY DEPOSITS 480000 OTHER CURRENT ASSETS 1076734 24512395 ACCRUED POSTRETIREMENT BENEFIT LIABILITY 6692105 PROFESSIONAL AND GENERAL LIABILITY LOSS RESERVES 4241670 WORKERS COMPENSATION LOSS RESERVES 3239781 ACCRUED INTEREST PAYABLE 748165 CONDITIONAL ASSET RETIREMENT OBLIGATIONS 95831 ESTIMATED THIRD-PARTY SETTLEMENTS 5907631 DUE TO AFFILIATES 1089444 OPERATING LEASE LIABILITY 8772609 30787236 X PART V, LINE 4: THE HOSPITAL'S ENDOWMENT FUNDS CONSIST OF DONOR RESTRICTED FUNDS TO BE INVESTED IN PERPETUITY TO PROVIDE A PERMANENT SOURCE OF INCOME. PART X, LINE 2: BELOW IS AN EXCERPT FROM FOOTNOTE 1 OF THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR GRIFFIN HEALTH SERVICES CORPORATION AND SUBSIDIARIES. GHSC AND ITS SUBSIDIARIES, WITH THE EXCEPTION OF GHV AND HAIC, ARE NOT-FOR-PROFIT ORGANIZATIONS AND ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. GHSC AND ITS SUBSIDIARIES ACCOUNT FOR UNCERTAINTY IN INCOME TAX POSITIONS BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN AND HAS CONCLUDED THAT AS OF SEPTEMBER 30, 2025 AND 2024, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. GHSC AND ITS SUBSIDIARIES ARE SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS. THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS PENDING OR IN PROGRESS. 1 1 1 X 250.000000000000 1 X 1 1 0 1 1 7266 5274870 2961860 2313010 0.00920 48043 54624833 44131691 10493142 0.04160 0 0 0 55309 59899703 47093551 12806152 0.05080 54536 780999 43001 737998 0.00290 0 12778553 9283921 3494632 0.01380 24984 44921206 43329085 1592121 0.00630 0 452255 288332 163923 0.00060 9079 903691 218098 685593 0.00270 88599 59836704 53162437 6674267 0.02630 143908 119736407 100255988 19480419 0.07710 40000 40000 0.00020 90614 90614 0.00040 130614 130614 0.00060 1 1333368 0 71966011 93691425 -21725414 X 1 1 1 1 GRIFFIN HOSPITAL 130 DIVISION STREET DERBY CT 06418 WWW.GRIFFINHEALTH.ORG 34 X X X X X GRIFFIN HOSPITAL 1 0 0 1 X X X X X X X X X 21 1 0 1 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 1 24 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: GRIFFIN HOSPITAL CONDUCTED ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) THROUGH PARTICIPATION IN THE 2025 VALLEY COMMUNITY INDEX, PRODUCED BY THE VALLEY COUNCIL FOR HEALTH AND HUMAN SERVICES IN PARTNERSHIP WITH DATAHAVEN AND PUBLISHED IN JULY 2025. THIS REPORT EXAMINES THE SOCIAL, ECONOMIC, AND PHYSICAL HEALTH OF THE SEVEN NAUGATUCK VALLEY TOWNS: ANSONIA, BEACON FALLS, DERBY, NAUGATUCK, OXFORD, SEYMOUR, AND SHELTON, AND BUILDS ON DATA FROM THE 2022 COMMUNITY INDEX.THE ASSESSMENT INVOLVED A REVIEW OF FEDERAL, STATE, AND LOCAL HEALTH DATA; A COMMUNITY-WIDE WELLBEING SURVEY CONDUCTED BY DATAHAVEN; A PUBLIC LAUNCH EVENT ATTENDED BY 89 PARTNERS AND COMMUNITY MEMBERS ON JULY 18, 2025; AND TWO VIRTUAL COMMUNITY WORKSHOPS HELD ON AUGUST 13 AND AUGUST 27, 2025. GRIFFIN HOSPITAL WORKED ALONGSIDE THE NAUGATUCK VALLEY HEALTH DISTRICT, THE VALLEY COUNCIL FOR HEALTH AND HUMAN SERVICES, THE ALLIANCE FOR PREVENTION AND WELLNESS, VALLEY UNITED WAY, TEAM INC., AND THE VALLEY COMMUNITY FOUNDATION THROUGHOUT THIS PROCESS. THE FINDINGS OF THE CHNA WERE USED TO INFORM THE 2025-2028 COMMUNITY HEALTH IMPROVEMENT PLAN, DEVELOPED JOINTLY BY GRIFFIN HOSPITAL AND THE NAUGATUCK VALLEY HEALTH DISTRICT.TO ADDRESS ROOT CAUSES OF HEALTH DISPARITIES, GRIFFIN HOSPITAL EMPLOYS AN INTERDISCIPLINARY TEAM OF SOCIAL WORKERS, COUNSELORS, AND COMMUNITY OUTREACH NURSES WHO WORK ALONGSIDE COMMUNITY PARTNERS TO CONNECT INDIVIDUALS WITH ESSENTIAL SERVICES AND REDUCE PREVENTABLE HOSPITALIZATIONS.COMMUNITY OUTREACH STAFF CONDUCT BLOOD PRESSURE SCREENINGS, HEALTH EDUCATION PROGRAMS, AND FOOD ASSISTANCE AT SENIOR CENTERS, HOUSING AUTHORITIES, AND OTHER SITES SERVING VULNERABLE POPULATIONS. INDIVIDUALS IDENTIFIED AS HAVING UNMET SOCIAL NEEDS ARE CONNECTED WITH COMMUNITY RESOURCES, WITH ONGOING FOLLOW-UP TO ENSURE REFERRALS RESULT IN MEANINGFUL ASSISTANCE.GRIFFIN USES UNITE US, A CLOSED-LOOP DIGITAL REFERRAL PLATFORM, TO SCREEN PATIENTS FOR SOCIAL NEEDS AND CONNECT THEM TO ORGANIZATIONS SUCH AS TEAM INC. FOR UTILITY ASSISTANCE, HOUSING AID, CHILDCARE SUPPORT, MEAL ASSISTANCE, AND EMPLOYMENT TRAINING. THE PLATFORM ENABLES DILIGENT TRACKING TO ENSURE REFERRALS ARE COMPLETED AND INDIVIDUALS RECEIVE THE HELP THEY NEED.THE CHNA IS PUBLICLY AVAILABLE AT: HTTPS://WWW.GRIFFINHEALTH.ORG/ABOUT/DOCUMENTS-PUBLICATIONS/CHNA/ GRIFFIN HOSPITAL PART V, SECTION B, LINE 6B: GRIFFIN HOSPITAL'S CHNA WAS CONDUCTED IN COLLABORATION WITH A BROAD COALITION OF COMMUNITY ORGANIZATIONS. THE 2025 VALLEY COMMUNITY INDEX WAS PRODUCED BY THE VALLEY COUNCIL FOR HEALTH AND HUMAN SERVICES IN PARTNERSHIP WITH DATAHAVEN AND PUBLISHED IN JULY 2025.THE FOLLOWING ORGANIZATIONS CONTRIBUTED EXPERTISE, DATA, AND COMMUNITY PERSPECTIVE TO THE NEEDS ASSESSMENT PROCESS:DATAHAVEN GRIFFIN HEALTH SERVICES INC. KATHARINE MATTHIES FOUNDATION BANK OF AMERICA, N.A., TRUSTEE NAUGATUCK VALLEY HEALTH DISTRICT VALLEY COMMUNITY FOUNDATION INC. VALLEY UNITED WAY NAUGATUCK VALLEY COUNCIL OF GOVERNMENTS THE COMMUNITY FOUNDATION FOR GREATER NEW HAVENAGENCY ON AGING, SOUTH CENTRAL CT ALLIANCE FOR PREVENTION & WELLNESS AMERICAN RED CROSS AMERICAN HEART ASSOCIATIONANSONIA YOUTH SERVICES BUREAU AREA CONGREGATIONS TOGETHER (ACT-SPOONER) BHCARE BOYS & GIRLS CLUB OF THE LOWER NAUGATUCK VALLEY CONNECTICUT PARTNERSHIP FOR CHILDREN CORNELL SCOTT HEALTH CENTER DERBY NECK LIBRARY DERBY YOUTH SERVICES BUREAU GREATER VALLEY CHAMBER OF COMMERCE JULIA DAY NURSERY MASSARO FARM NAUGATUCK ECONOMIC DEVELOPMENT CORPORATION NAUGATUCK VALLEY HEALTH DISTRICT (NVHD) NAUGATUCK YMCA PARENT CHILD RESOURCE CENTER SALVATION ARMY, LOWER NAUGATUCK VALLEY CHAPTER SHELTON ECONOMIC DEVELOPMENT CORPORATION ST. VINCENT DE PAUL, VALLEY CHAPTER TEAM, INC. TRAVELER ON A MISSION UMBRELLA CENTER FOR DOMESTIC VIOLENCE UR COMMUNITY CARES VALLEY PARISH NURSES VALLEY YMCA YALE-GRIFFIN PREVENTION RESEARCH CENTERREPRESENTATIVES FROM THE VALLEY COUNCIL FOR HEALTH & HUMAN SERVICES REPRESENTATIVES FROM MUNICIPAL GOVERNMENTS AND SCHOOL DISTRICTS THROUGHOUT THE VALLEY GRIFFIN HOSPITAL PART V, SECTION B, LINE 11: THE 2025-2028 COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) FOR THE NAUGATUCK VALLEY COMMUNITIES IS PART OF A REGIONAL INITIATIVE THAT SUPPORTS REGULATORY AND ACCREDITATION REQUIREMENTS OF BOTH GRIFFIN HOSPITAL AND NAUGATUCK VALLEY HEALTH DISTRICT. THE OVERALL GOAL OF THIS CHIP IS TO SERVE AS A STRATEGIC PLANNING TOOL BY WHICH TO MEASURE IMPACT AND ADDRESS CHRONIC CONDITIONS THAT AFFECT THE HEALTH OF THE COMMUNITY, AND TO HELP REDUCE DISPARITIES IN THE PUBLIC HEALTH AND HEALTHCARE SEGMENTS OF THE VALLEY POPULATION. THE CHIP OUTLINES KEY GOALS, OBJECTIVES, STRATEGIES, AND ACTION STEPS OVER THE THREE-YEAR REPORTING TIMEFRAME AND IS INFORMED BY DATA AND COMMUNITY INPUT. THIS PLAN REFLECTS THE COLLECTIVE WORK OF VALLEY PARTNERSHIPS COMMITTED TO IMPROVING COMMUNITY HEALTH. FOLLOWING A REVIEW OF THE 2025 VALLEY COMMUNITY INDEX AND TWO COMMUNITY WORKSHOP SESSIONS HELD IN AUGUST 2025, STAKEHOLDERS REACHED CONSENSUS ON THREE PRIORITY FOCUS AREAS:1. IMPROVE ACCESS TO CARE AND OTHER SOCIAL NEEDS 2. ENHANCE MENTAL AND BEHAVIORAL HEALTH 3. INCREASE AWARENESS, ACCESS TO, AND UPTAKE OF HEALTHY FOOD AND NUTRITION PROGRAMMING AND SERVICES PRIORITY AREA A: IMPROVE ACCESS TO CARE AND OTHER SOCIAL NEEDSIN THE 2024 WELLBEING SURVEY, 14% OF ADULT RESPONDENTS REPORTED HAVING NO MEDICAL HOME, 29% REPORTED DELAYED MEDICAL CARE DUE TO COST, AND 13% STATED THEY WERE UNABLE TO ACCESS CARE. THE CHIP AIMS TO EXPAND ACCESS TO PRIMARY AND SPECIALTY CARE, REDUCE TRANSPORTATION BARRIERS TO MEDICAL APPOINTMENTS, AND STRENGTHEN REFERRAL PATHWAYS BETWEEN HEALTHCARE AND SOCIAL SERVICE PROVIDERS THROUGH THE VCHHS COMMUNITY CARE HUB AND UNITEUS PLATFORM.KEY OBJECTIVES AND STRATEGIES INCLUDE: EXPAND PRIMARY AND SPECIALTY CARE ACCESS: INCREASE AVAILABLE PROVIDERS PER THE MEDICAL MANPOWER PLAN, ENHANCE REMOTE PATIENT MONITORING, AND DEVELOP A PROVIDER PIPELINE PROGRAM WITH LOCAL UNIVERSITIES. DEVELOP A MOBILE INTEGRATED HEALTHCARE (MIH) MODEL IN PARTNERSHIP WITH VALLEY EMS AGENCIES AND COMMUNITY ORGANIZATIONS TO REDUCE NON-EMERGENT TRANSPORTS AND ED VISITS BY 10% AMONG HIGH-UTILIZER RESIDENTS. REDUCE TRANSPORTATION BARRIERS: IMPLEMENT TRANSPORTATION VOUCHER AND COMMUNITY RIDE SHARE PROGRAMS; CONDUCT A TRANSIT ROUTE ANALYSIS TO ALIGN ROUTES WITH PEAK APPOINTMENT TIMES. STRENGTHEN SOCIAL SERVICE REFERRALS: INCREASE SOCIAL SERVICE PROVIDERS PARTICIPATING IN THE COMMUNITY CARE HUB BY 50% AND INCREASE CLOSED-LOOP REFERRALS BETWEEN HEALTHCARE AND SOCIAL SERVICE PROVIDERS BY 50%.IN FY2025, GRIFFIN HOSPITAL INVESTED IN COMMUNITY BENEFIT PROGRAMS DIRECTLY SUPPORTING HEALTHCARE ACCESS. KEY PROGRAMS INCLUDE THE COMMUNITY HEALTHCARE SUPPORT SERVICES PROGRAM (SDOH SCREENING REFERRALS VIA UNITEUS), WELLNESS CLINIC, HEALTH RESOURCE CENTER, COMMUNITY VAN OUTREACH (AT SENIOR FACILITIES AND FOOD BANKS), AND BLOOD PRESSURE AND HEALTH SCREENINGS AT COMMUNITY SITES. THE CANCER CENTER FINANCIAL ASSISTANCE PROGRAM SERVED PATIENTS WITH LIMITED FINANCIAL MEANS. GRIFFIN ALSO PROVIDED LYFT AND OTHER PATIENT TRANSPORTATION ASSISTANCE DURING FY2025.PRIORITY AREA B: ENHANCE MENTAL AND BEHAVIORAL HEALTHBEHAVIORAL HEALTH REMAINS A CRITICAL NEED ACROSS THE VALLEY. THE 2025 VALLEY COMMUNITY INDEX FOUND ELEVATED HOSPITAL ENCOUNTER RATES FOR BEHAVIORAL HEALTH CONDITIONS, PARTICULARLY IN ANSONIA AND DERBY. APPROXIMATELY 42% OF SURVEYED RESIDENTS AGED 18-34 REPORTED PERSISTENT FEELINGS OF HOPELESSNESS. THE CHIP PRIORITIZES INCREASING AWARENESS OF AND ACCESS TO MENTAL AND BEHAVIORAL HEALTH PROGRAMS, STRENGTHENING SUICIDE POSTVENTION CAPACITY, IMPROVING REFERRAL-TO-APPOINTMENT TIMELINES, AND DEVELOPING A PUBLIC-FACING BEHAVIORAL HEALTH DATA DASHBOARD.KEY OBJECTIVES AND STRATEGIES INCLUDE: INCREASE AWARENESS AND ACCESS TO MENTAL AND BEHAVIORAL HEALTH PROGRAMS: PERFORM COMMUNITY ASSET MAPPING, LEVERAGE IDENTIFIED ACCESS POINTS AND ALIGN WITH THE ACCESS TO CARE WORKPLAN TO INCLUDE BEHAVIORAL HEALTH IN MOBILE AND REMOTE CARE BUILDOUT. DEVELOP AND IMPLEMENT A STANDARDIZED, CULTURALLY RESPONSIVE SUICIDE POSTVENTION PLAN FOR VALLEY FAMILIES, SCHOOLS, WORKPLACES, RESPONDERS, AND THE BROADER COMMUNITY FOLLOWING A SUICIDE DEATH. IMPROVE MENTAL HEALTH REFERRALS AND TRACKING: INCREASE BEHAVIORAL HEALTH PROVIDERS IN THE UNITEUS PLATFORM, ANALYZE REFERRAL EFFICIENCY, AND RESEARCH A SELF-SCREENING ONLINE UTILITY FOR RESIDENTS. DEVELOP A PUBLIC-FACING BEHAVIORAL HEALTH DATA DASHBOARD DRAWING FROM GRIFFIN HOSPITAL, NVHD, EMS, AND COMMUNITY-BASED ORGANIZATION DATA TO SHARE TIMELY COMMUNITY MENTAL HEALTH INSIGHTS.IN FY2025, GRIFFIN HOSPITAL'S BEHAVIORAL HEALTH SERVICES PROGRAM PROVIDED PSYCHIATRIC SERVICES, FULLY OFFSET BY PROGRAM REVENUES, REFLECTING THE HOSPITAL'S COMMITMENT TO MAINTAINING SUBSIDIZED PSYCHIATRIC CARE IN THE COMMUNITY. GRIFFIN OPENED CONNECTICUT'S FIRST EMERGENCY PSYCHIATRIC ASSESSMENT, TREATMENT AND HEALING (EMPATH) UNIT, EXPANDING COMMUNITY-BASED MENTAL HEALTH CRISIS RESPONSE CAPACITY. COMMUNITY OUTREACH PROGRAMS REACH RESIDENTS THROUGH DEDICATED MENTAL HEALTH PROGRAMMING INCLUDING EMOTIONAL WELLNESS EVENTS AND SENIOR-FOCUSED PROGRAMS AT CENTERS IN ANSONIA, DERBY, SEYMOUR, AND SHELTON. AGEWELL PROGRAMS SERVED SENIORS ACROSS FIVE VALLEY SENIOR CENTERS, ADDRESSING SOCIAL ISOLATION AND ITS CONNECTION TO MENTAL HEALTH. GRIFFIN ALSO CONTRIBUTED TO THE WHITMAN-WALKER FOUNDATION IN SUPPORT OF LGBTQ COMMUNITY HEALTH AND WELLBEING.PRIORITY AREA C: IMPROVE AWARENESS, ACCESS TO, AND UPTAKE OF HEALTHY FOOD AND NUTRITION PROGRAMMING AND SERVICESFOOD INSECURITY REMAINS A SIGNIFICANT CHALLENGE ACROSS THE VALLEY. THE 2025 VALLEY COMMUNITY INDEX FOUND THAT NEARLY 1 IN 5 VALLEY RESIDENTS EXPERIENCED FOOD INSECURITY, WITH THE BURDEN DISPROPORTIONATELY AFFECTING LOWER-INCOME HOUSEHOLDS IN ANSONIA, DERBY, AND NAUGATUCK. THE CHIP FOCUSES ON ESTABLISHING A VALLEY FOOD AND NUTRITION ACCESS COALITION, EXPANDING NUTRITION ASSISTANCE ENROLLMENT, INCREASING COMMUNITY NUTRITION EDUCATION, REDUCING FOOD WASTE, AND STUDYING THE FEASIBILITY OF A VALLEY FOOD CO-OP.KEY OBJECTIVES AND STRATEGIES INCLUDE: ESTABLISH A VALLEY FOOD AND NUTRITION ACCESS COALITION (VFNAC) WITH NVHD, GRIFFIN HOSPITAL, SCHOOL NUTRITION SERVICES, COMMUNITY AND FAITH-BASED ORGANIZATIONS, LOCAL GOVERNMENT, FOOD RETAILERS, FARMERS, AND RESIDENTS TO SUPPORT A COORDINATED COMMUNITY APPROACH. INCREASE ENROLLMENT IN NUTRITION ASSISTANCE PROGRAMS (SNAP, WIC, SUMMER EBT) THROUGH MULTILINGUAL OUTREACH, MOBILE MARKET EXPANSION, AND COMMUNITY GARDEN OPTIMIZATION BY TARGETING A 30% REDUCTION IN FOOD INSECURITY. EXPAND NUTRITION EDUCATION PROGRAMS THROUGH GRIFFIN'S CENTER FOR HEALTHY LIVING AND TEACHING KITCHEN AND COMMUNITY SITES BY INCREASING COOKING WORKSHOPS FOCUSED ON CHRONIC DISEASE MANAGEMENT, CULTURALLY RELEVANT RECIPES, AND BUDGET MEAL PLANNING. IMPLEMENT A FOOD WASTE REDUCTION INITIATIVE IN COLLABORATION WITH GRIFFIN HOSPITAL TO REDIRECT ELIGIBLE EXCESS FOOD TO COMMUNITY MEMBERS, PILOT MEDICALLY TAILORED FOOD REDISTRIBUTION, AND CONDUCT SCHOOL FOOD WASTE AUDITS BY TARGETING A 25% REDUCTION IN WASTE. CONDUCT A FEASIBILITY STUDY ON ESTABLISHING A FOOD CO-OP OR HUB TO INCREASE ACCESS TO HEALTHY, AFFORDABLE, LOCAL FARM FOODS FOR VALLEY RESIDENTS, INCLUDING COMMUNITY LISTENING SESSIONS AND OUTREACH TO FARMS, SCHOOLS, SENIOR CENTERS, AND FAITH-BASED GROUPS.IN FY2025, GRIFFIN HOSPITAL INVESTED IN PROGRAMS SUPPORTING ECONOMIC STABILITY AND FOOD ACCESS. TEAM INC. RECEIVED DIRECT FUNDING FROM GRIFFIN HOSPITAL IN EMERGENCY HOUSING ASSISTANCE SUPPORT. GRIFFIN'S TEAM SENIOR MEAL PROGRAM PROVIDED MEALS TO LOW-INCOME SENIORS IN DERBY AND SURROUNDING VALLEY TOWNS. COMMUNITY ASSISTANCE DONATIONS WERE DIRECTED TO THE VALLEY UNITED WAY TO FUND FOOD AND SOCIAL SUPPORT PROGRAMS. GRIFFIN DONATED TO MASTER'S TABLE COMMUNITY MEALS AND TO MASSARO COMMUNITY FARM TO FIGHT FOOD INSECURITY. THE YALE-GRIFFIN PREVENTION RESEARCH CENTER'S PRODUCE PRESCRIPTION PROGRAM (USDA-FUNDED) PROVIDES FOOD VOUCHERS TO LOW-INCOME VALLEY RESIDENTS WITH PREDIABETES OR TYPE 2 DIABETES, LINKING FOOD ACCESS TO CHRONIC DISEASE MANAGEMENT. GRIFFIN'S TEACHING KITCHEN CONDUCTED NUTRITION EDUCATION PROGRAMS FOCUSED ON HEALTHY COOKING AND CHRONIC DISEASE MANAGEMENT THROUGHOUT FY2025. GRIFFIN HOSPITAL PART V, SECTION B, LINE 13B: GRIFFIN HOSPITAL PROVIDES FREE CARE TO PATIENTS WHOSE FAMILY INCOME IS AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG). DISCOUNTED CARE IS AVAILABLE ON A SLIDING SCALE TO PATIENTS WITH FAMILY INCOME BETWEEN 201% AND 400% OF FPG. SPECIFICALLY: PATIENTS AT OR BELOW 100% FPG RECEIVE CARE AT NO CHARGE; PATIENTS BETWEEN 101% AND 200% FPG RECEIVE DISCOUNTED CARE BASED ON A SLIDING SCALE; PATIENTS BETWEEN 201% AND 300% FPG RECEIVE A DISCOUNT ON AMOUNTS OWED AFTER INSURANCE; AND PATIENTS BETWEEN 301% AND 400% FPG RECEIVE A LESSER DISCOUNT ON REMAINING BALANCES. PATIENTS WITH INCOME ABOVE 400% FPG MAY QUALIFY BASED ON INDIVIDUAL CIRCUMSTANCES. 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 THRESHOLDS. ELIGIBILITY IS DETERMINED BASED ON A REVIEW OF THE PATIENT'S FINANCIAL APPLICATION AND SUPPORTING DOCUMENTATION. PART V, SECTION B, LINE 7A THE CHNA WAS MADE WIDELY AVAILABLE TO THE PUBLIC ON THE GRIFFIN HEALTH SERVICES WEBSITE AT: HTTPS://WWW.GRIFFINHEALTH.ORG/ABOUT/DOCUMENTS-PUBLICATIONS/CHNA/ PART V, SECTION B, LINE 7B 'HTTPS://WWW.GRIFFINHEALTH.ORG/ABOUT/DOCUMENTS-PUBLICATIONS/CHNA/ PART V, SECTION B, LINE 10A THE 2025-2028 COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) IS MADE WIDELY AVAILABLE TO THE PUBLIC ON THE GRIFFIN HEALTH SERVICES WEBSITE AT: HTTPS://WWW.GRIFFINHEALTH.ORG/ABOUT/DOCUMENTS-PUBLICATIONS/CHNA/ AND ON THE NAUGATUCK VALLEY HEALTH DISTRICT WEBSITE. PRINTED COPIES ARE AVAILABLE TO THE PUBLIC FREE OF CHARGE UPON REQUEST FROM GRIFFIN HOSPITAL OR NAUGATUCK VALLEY HEALTH DISTRICT. PART V, LINE 16A, FAP WEBSITE: WEBSITE: THE FINANCIAL ASSISTANCE POLICY (FAP) WAS MADE WIDELY AVAILABLE ON THE GRIFFIN HOSPITAL WEBSITE AT: HTTPS://WWW.GRIFFINHEALTH.ORG/GRIFFIN-HOSPITAL/BILLING-INSURANCE/FINANCIAL-ASSISTANCE-PROGRAM PART V, LINE 16B, FAP APPLICATION WEBSITE: UPON REQUEST AND IN BILLING COMMUNICATIONS: THE FAP AND PLAIN-LANGUAGE SUMMARY WERE AVAILABLE WITHOUT CHARGE UPON REQUEST. FINANCIAL ASSISTANCE BROCHURES AND APPLICATIONS IN ENGLISH AND SPANISH ARE AVAILABLE AT PATIENT REGISTRATION, THE EMERGENCY DEPARTMENT, THE CHILDBIRTH CENTER, THE CUSTOMER SERVICE AREA, AND OTHER PATIENT-FACING LOCATIONS. BILLING STATEMENTS INCLUDE NOTICE OF FINANCIAL ASSISTANCE AVAILABILITY AND INSTRUCTIONS FOR HOW TO APPLY. PATIENTS PRESENTING AS SELF-PAY ARE PROVIDED A FINANCIAL ASSISTANCE PAMPHLET AT REGISTRATION IDENTIFYING ALL GRIFFIN HOSPITAL FINANCIAL ASSISTANCE PROGRAMS AND CONTACTS. PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: CONSPICUOUS PUBLIC LOCATIONS: FINANCIAL ASSISTANCE INFORMATION, BROCHURES, AND POSTERS ARE POSTED IN CONSPICUOUS PUBLIC LOCATIONS THROUGHOUT THE HOSPITAL INCLUDING THE EMERGENCY DEPARTMENT, CHILDBIRTH CENTER, AND CUSTOMER SERVICE AREA, IN BOTH ENGLISH AND SPANISH. BROCHURES ARE ALSO DISTRIBUTED AT COMMUNITY EVENTS. 7 1 - CANCER CENTER AMBULATRY CARE 350 SEYMOUR AVENUE DERBY CT 06418 MEDICAL CANCER CENTER 2 - IMAGING & RADIOLOGY AT IVY BROOK SHELTO 2 IVY BROOK ROAD SUITE 130 SHELTON CT 06484 IMAGING CENTER 3 - OCCUPATIONAL MEDICINE CENTER 10 PROGRESS DRIVE SHELTON CT 06484 OCCUPATIONAL MEDICINE 4 - GRIFFIN HOSPITAL IMAGING AND DIAGNOSTICS 300 OXFORD ROAD OXFORD CT 06478 IMAGING AND DIAGNOSTICS 5 - GHSC BLOOD DRAWING STATION 22 WESTFIELD AVENUE ANSONIA CT 06401 BLOOD DRAWING STATION 6 - GRIFFIN HEALTH OUTPATIENT PSYCHIATRY 10 PROGRESS DRIVE 2ND FLOOR SHELTON CT 06484 OUTPATIENT PSYCHIATRY 7 - GRIFFIN HEALTH OUTPATIENT PSYCHIATRY 2313 WHITNEY AVE HAMDEN CT 06518 OUTPATIENT PSYCHIATRY PART I, LINE 3C: CHARITY CARE COSTS ARE ESTIMATED USING GRIFFIN HOSPITAL'S COST ACCOUNTING SYSTEM. THE SYSTEM ASSIGNS COSTS TO INDIVIDUAL SERVICES BASED ON DEPARTMENT-LEVEL COST POOLS AND PATIENT-LEVEL UTILIZATION DATA. THE RESULTING COST-TO-CHARGE RATIO IS APPLIED TO GROSS CHARITY CARE CHARGES TO PRODUCE THE ESTIMATED COST OF CARE PROVIDED. THIS METHODOLOGY IS APPLIED CONSISTENTLY ACROSS ALL PAYER SEGMENTS AND SERVICE LINES AND IS USED FOR ALL COMMUNITY BENEFIT REPORTING ON SCHEDULE H. PART I, LINE 7: CHARITY CARE AND OTHER COMMUNITY BENEFIT COSTS WERE CALCULATED USING GRIFFIN HOSPITAL'S COST ACCOUNTING SYSTEM. THE COST ACCOUNTING SYSTEM ADDRESSES ALL PATIENT SEGMENTS AND ASSIGNS COSTS TO INDIVIDUAL SERVICES BASED ON DEPARTMENT-LEVEL COST POOLS AND PATIENT-LEVEL UTILIZATION DATA, PRODUCING A COST-TO-CHARGE RATIO APPLIED CONSISTENTLY ACROSS ALL SERVICE LINES. PART I, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A) AND SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $2,665,251. PART I, LINE 7E-COMMUNITY HEALTH IMPROVEMENT SERVICES & COMMUNITY BENEFIT: GRIFFIN HOSPITAL PROMOTES COMMUNITY HEALTH THROUGH A BROAD RANGE OF PROGRAMS AND INITIATIVES THAT EXTEND ITS MISSION BEYOND THE HOSPITAL'S WALLS. THE FOLLOWING PROGRAMS REPRESENT GRIFFIN'S COMMUNITY BUILDING ACTIVITIES DURING FY2025:VALLEY PARISH NURSE PROGRAM: PARISH NURSES SERVE AS HEALTH LIAISONS BETWEEN FAITH COMMUNITIES AND THE BROADER HEALTHCARE SYSTEM, PROVIDING BLOOD PRESSURE SCREENINGS, HEALTH EDUCATION, WELLNESS PROGRAMS, HOME VISITS, AND REFERRALS TO COMMUNITY RESOURCES ACROSS 17 PARTICIPATING CHURCHES THROUGHOUT THE VALLEY.ADVANCE CARE PLANNING (ACP): GRIFFIN HOSPITAL HELPS INDIVIDUALS AND FAMILIES DOCUMENT THEIR END-OF-LIFE CARE PREFERENCES THROUGH ACP CONSULTATIONS, ENSURING THOSE WISHES ARE UNDERSTOOD AND HONORED BY LOVED ONES AND HEALTHCARE PROVIDERS.HEALTH INITIATIVE FOR MEN (HIM): THIS PROGRAM ENCOURAGES MEN TO SEEK ANNUAL PREVENTIVE CARE AND EARLY DISEASE SCREENING, PROMOTING EARLY DETECTION OF CONDITIONS THAT RESPOND BETTER TO TREATMENT WHEN IDENTIFIED PROMPTLY.VALLEY WOMEN'S HEALTH INITIATIVE (WHI): A COMMUNITY-BASED INITIATIVE FOCUSED ON BREAST CANCER AWARENESS, HEART DISEASE PREVENTION, AND WOMEN'S HEALTH EDUCATION THROUGH OUTREACH EVENTS AND WELLNESS PROGRAMMING.HEALTH RESOURCE CENTER (HRC): A FREE PUBLIC LENDING LIBRARY LOCATED AT GRIFFIN HOSPITAL OFFERING MEDICAL AND HEALTH INFORMATION RESOURCES TO COMMUNITY MEMBERS.EMERGENCY PREPAREDNESS: GRIFFIN HOSPITAL'S EMERGENCY MANAGEMENT DEPARTMENT EDUCATES THE COMMUNITY ON DISASTER PREPAREDNESS, PROVIDING SAFETY TIPS AND CONNECTING RESIDENTS WITH LOCAL AND STATE EMERGENCY RESOURCES.PLANETREE WELLNESS EDUCATION SERIES: A FREE PUBLIC LECTURE SERIES OFFERING HEALTH EMPOWERMENT PROGRAMS ON A RANGE OF CLINICAL AND LIFESTYLE TOPICS FOR COMMUNITY MEMBERS.SAFE KIDS GREATER NAUGATUCK VALLEY COALITION: GRIFFIN HOSPITAL COORDINATES THIS NATIONALLY AFFILIATED PROGRAM, PROVIDING CHILD SAFETY EDUCATION TO CHILDREN, PARENTS, AND CAREGIVERS ACROSS THE VALLEY THROUGH CAR SEAT CHECKS, TEEN DRIVING SAFETY, CPR, AND OTHER INJURY PREVENTION PROGRAMMING.COMMUNITY EDUCATION AND OUTREACHADDITIONAL COMMUNITY HEALTH EDUCATION PROGRAMS WERE CONDUCTED THROUGHOUT FY2025 AT CHURCHES, LIBRARIES, SENIOR CENTERS, SCHOOLS, DAYCARES, AFTER-SCHOOL PROGRAMS, AND COMMUNITY EVENTS ACROSS THE VALLEY. PROGRAMS COVERED TOPICS INCLUDING BREAST WELLNESS, DIABETES SELF-MANAGEMENT, CHRONIC DISEASE EDUCATION, FALL PREVENTION, HEALTHY SLEEP, MENTAL AND EMOTIONAL WELLNESS, AARP SAFE DRIVING, CHILD PASSENGER SAFETY, CPR TRAINING, AND HEALTH SCREENINGS. CHILDREN'S SAFETY AND HEALTH EDUCATION PROGRAMS WERE OFFERED THROUGHOUT THE YEAR, COVERING CPR, POISON PREVENTION, FIRE SAFETY, PEDESTRIAN AND BICYCLE SAFETY, WATER SAFETY, NUTRITION, AND SEASONAL TOPICS. PARISH NURSE POINTS OF CONTACT INCLUDED OFFICE VISITS, HOME AND HOSPITAL VISITS, PHONE CALLS, AND HEALTH BULLETIN DELIVERIES. COMMUNITY OUTREACH STAFF CONDUCTED SCREENINGS AND HEALTH EDUCATION AT CHURCHES, FOOD BANKS, SHELTERS, SENIOR FACILITIES, AND COMMUNITY EVENTS THROUGHOUT THE YEAR. SUPPORT GROUPS WERE OFFERED THROUGH THE CANCER CENTER, PARISH NURSE PROGRAM, AND PASTORAL CARE, INCLUDING GROUPS FOR ALZHEIMER'S CAREGIVERS, DIABETES, MULTIPLE SCLEROSIS, BEREAVEMENT, AND CANCER PATIENTS (VOICES OF HOPE, LOOK GOOD FEEL BETTER, AND CIRCLE OF FRIENDS).COMMUNITY PARTNERSHIPS AND FUNDRAISING SUPPORTGRIFFIN STAFF PARTICIPATED IN COMMUNITY COALITIONS AND COMMITTEES THROUGHOUT THE YEAR, INCLUDING THE CHIP STEERING COMMITTEE, AMERICAN HEART ASSOCIATION QUARTERLY MEETINGS, THE CT DIABETES PARTNERSHIP, THE DERBY DIABETES PREVENTION TASK FORCE, THE VALLEY HEALTHCARE COUNCIL, VALLEY EARLY CHILDHOOD COUNCILS, AND MULTIPLE COMMUNITY HEALTH PLANNING GROUPS. GRIFFIN HOSPITAL'S ANNUAL CANCER CENTER WALK/RUN 5K RAISED FUNDS TO SUPPORT CANCER PATIENT PROGRAMS, INCLUDING LOOK GOOD FEEL BETTER, VOICES OF HOPE, WIG AND SUPPLY ASSISTANCE, TRANSPORTATION SUPPORT, AND COMPLEMENTARY WELLNESS SERVICES. GRIFFIN HOSPITAL'S WONDERLAND OF TREES AND SEASONAL RAFFLE PROGRAMS RAISE EMPLOYEE-DONATED FUNDS FOR THE SPOONER HOUSE FOOD SHELTER IN SHELTON, CONNECTICUT, SUPPORTING LOCAL FOOD SECURITY. PART II, COMMUNITY BUILDING ACTIVITIES: GRIFFIN HOSPITAL SEEKS TO ADDRESS ITS COMMUNITY'S HEALTH NEEDS AND PROVIDE SERVICES THAT IMPROVE THE HEALTH AND WELL-BEING OF THE POPULATIONS IT SERVES, ESPECIALLY THE UNDERSERVED AND UNINSURED. MOST OF THIS WORK IS CAPTURED UNDER COMMUNITY BENEFIT CATEGORIES IN PART I. GRIFFIN HOSPITAL ALSO PARTNERS WITH VARIOUS ORGANIZATIONS TO ADDRESS ISSUES RELATED TO SOCIAL DETERMINANTS OF HEALTH AND OTHER ACTIONS THAT FALL UNDER COMMUNITY BUILDING ACTIVITIES.TOTAL COMMUNITY BUILDING RELATED EXPENDITURES FOR FISCAL 2024 ARE $79,126. THESE EXPENDITURES RELATE TO PROVIDING DONATED ADMINISTRATIVE SERVICES TO VALLEY COUNCIL FOR HEALTH AND HUMAN SERVICES. THE VALLEY COUNCIL OPERATES MULTIPLE PROGRAMS INCLUDING COMMUNITY HEALTH ASSESSMENTS, SUBSTANCE ABUSE PREVENTION AND TREATMENT COORDINATION, MENTAL HEALTH SERVICES, SENIOR SERVICES, TRANSPORTATION ASSISTANCE, HOUSING SUPPORT PROGRAMS, AND EMERGENCY ASSISTANCE FOR FAMILIES IN CRISIS. THE ORGANIZATION WORKS TO IDENTIFY GAPS IN SERVICES, REDUCE DUPLICATION OF EFFORTS, AND FACILITATE COLLABORATION AMONG LOCAL HEALTHCARE PROVIDERS, SOCIAL SERVICE AGENCIES, MUNICIPALITIES, AND COMMUNITY ORGANIZATIONS TO IMPROVE OVERALL POPULATION HEALTH OUTCOMES IN THE REGION.IN ADDITION, INCLUDED IN THESE EXPENDITURES IS EMPLOYEE TIME AND SUPPLY COSTS ASSOCIATED WITH GRIFFIN HOSPITAL'S EFFORTS TO WORK WITH OTHER LARGER NON-PROFIT ORGANIZATIONS, FOR-PROFIT COMPANIES, GOVERNMENT, AND LOCAL MUNICIPALITIES TO PROVIDE HEALTH FAIRS, PRESENTATIONS, CLASSES, AND WORKSHOPS TO ADDRESS VARIOUS RANGE-OF HEALTH ISSUES. THESE SERVICES MAY OR MAY NOT BE OFFERED TO THE GENERAL PUBLIC, BUT THE ORGANIZATION'S EMPLOYEES ARE COMMUNITY MEMBERS.ALSO INCLUDED IS THE COST OF INSTALLING AN ELECTRIC VEHICLE CHARGING STATION. INSTALLING A CHARGING STATION AT THE HOSPITAL BRINGS SUBSTANTIAL BENEFITS TO THE COMMUNITY. NOT ONLY DOES IT PROVIDE ACCESS TO CHARGING TO THE COMMUNITY, BUT IT ALSO ENCOURAGES THE USE OF ECO-FRIENDLY TRANSPORTATION, HELPING TO REDUCE HARMFUL EMISSIONS. THIS LEADS TO A HEALTHIER ENVIRONMENT AND COMMUNITY. PART III, LINE 2: GRIFFIN HOSPITAL DOES NOT SEPARATELY TRACK BAD DEBT EXPENSE ATTRIBUTABLE TO CHARITY CARE PATIENTS VERSUS OTHER UNINSURED OR UNDERINSURED PATIENTS IN ITS PATIENT ACCOUNTING SYSTEM. ALL BAD DEBT EXPENSE IS REPORTED IN AGGREGATE ON FORM 990, PART IX, LINE 25(A). THE AMOUNT REPORTED ON SCHEDULE H, PART III, LINE 2 REPRESENTS THE TOTAL COST-BASED BAD DEBT EXPENSE NET OF ANY OFFSETTING REVENUES, CONSISTENT WITH PRIOR YEAR REPORTING METHODOLOGY. NO ALLOCATION BETWEEN CHARITY CARE BAD DEBT AND OTHER BAD DEBT HAS BEEN MADE AS THE SYSTEMS DO NOT PRODUCE THIS DISTINCTION AT THE PATIENT LEVEL. PART III, LINE 3: THE COST OF CHARITY CARE REPORTED ON SCHEDULE H, PART I IS CALCULATED USING GRIFFIN HOSPITAL'S COST ACCOUNTING SYSTEM. THE COST ACCOUNTING SYSTEM APPLIES DEPARTMENT-LEVEL COST POOLS TO PATIENT-LEVEL UTILIZATION DATA TO PRODUCE A PATIENT-SPECIFIC COST ESTIMATE FOR EACH SERVICE RENDERED. FOR CHARITY CARE PATIENTS, GROSS CHARGES ARE MULTIPLIED BY THE APPLICABLE COST-TO-CHARGE RATIO TO PRODUCE THE ESTIMATED COST OF SERVICES PROVIDED. THIS METHODOLOGY IS APPLIED CONSISTENTLY ACROSS ALL PAYER SEGMENTS AND IS CONSISTENT WITH THE APPROACH USED IN PRIOR YEAR SCHEDULE H FILINGS. PART III, LINE 4: GRIFFIN HOSPITAL IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF GRIFFIN HEALTH SERVICES CORPORATION (THE CORPORATION). FOOTNOTE 4 - ACCOUNTS RECEIVABLE AND NET PATIENT SERVICE REVENUE BEGINNING ON PAGE 17 OF THE AUDITED FINANCIAL STATEMENTS DESCRIBES THE METHODOLOGY FOR ESTIMATING NET PATIENT SERVICE REVENUE AND RECEIVABLES, INCLUDING THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. GRIFFIN HOSPITAL'S RECORDS DO NOT SEPARATELY IDENTIFY CHARITY CARE BAD DEBT FROM OTHER BAD DEBT AT THE PATIENT LEVEL; ACCORDINGLY, NO ALLOCATION BETWEEN THE TWO CATEGORIES HAS BEEN MADE. PART III, LINE 8: THE ENTIRE MEDICARE LOSS PRESENTED SHOULD BE TREATED AS A COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO MEDICARE BENEFICIARIES, IRS REVENUE RULING 69-545 INDICATES THAT HOSPITALS OPERATE FOR THE PROMOTION OF HEALTH IN THE COMMUNITY WHEN IT PROVIDES CARE TO PATIENTS WITH GOVERNMENTAL HEALTH BENEFITS, THE ORGANIZATION PROVIDES CARE TO MEDICARE PATIENTS REGARDLESS OF MEDICARE SHORTFALLS (REDUCING THE BURDEN ON THE GOVERNMENT), AND MANY OF THE MEDICARE PARTICIPANTS WOULD HAVE QUALIFIED FOR THE CHARITY CARE OR OTHER MEANS TESTED PROGRAMS ABSENT BEING ENROLLED IN THE MEDICARE PROGRAM. THE MEDICARE SHORTFALL REPORTED IS DETERMINED BY THE HOSPITAL'S COST ACCOUNTING SYSTEM. PART III, LINE 9B: GRIFFIN HOSPITAL'S COLLECTION PRACTICES FOR PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE ARE GOVERNED BY THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY (FAP) AND CONNECTICUT STATE LAW. THE HOSPITAL DOES NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS (ECAS) AGAINST PATIENTS WHO MAY QUALIFY FOR FINANCIAL ASSISTANCE WITHOUT FIRST MAKING REASONABLE EFFORTS TO DETERMINE FAP ELIGIBILITY. REASONABLE EFFORTS INCLUDE NOTIFYING PATIENTS OF THE FAP AT REGISTRATION, DISCHARGE, AND THROUGH BILLING STATEMENTS; PROVIDING FAP APPLICATIONS UPON REQUEST; AND ALLOWING PATIENTS A REASONABLE PERIOD TO APPLY BEFORE INITIATING COLLECTION ACTIVITY. PATIENTS WHO APPLY FOR AND RECEIVE FINANCIAL ASSISTANCE HAVE THEIR BALANCES ADJUSTED ACCORDINGLY PRIOR TO ANY FURTHER COLLECTION ACTIVITY. ECAS ARE NOT INITIATED UNTIL FAP ELIGIBILITY HAS BEEN ASSESSED AND THE REQUIRED NOTICE PERIOD HAS ELAPSED IN ACCORDANCE WITH IRS REQUIREMENTS UNDER IRC SECTION 501(R). PART III, LINE 7 GRIFFIN HOSPITAL'S TOTAL MEDICARE PROGRAM REPORTED SHORTFALL FOR THE YEAR ON LINE 7 WAS $19,500,531, WHICH INCLUDES A $15,294,537 SHORTFALL IN MEDICARE ADVANTAGE PROGRAMS AND A $4,206,004 SHORTFALL IN MEDICARE PROGRAMS. PART VI, LINE 2: GRIFFIN HOSPITAL ASSESSES COMMUNITY HEALTH NEEDS THROUGH MULTIPLE ONGOING MECHANISMS. IN ADDITION TO THE FORMAL CHNA PROCESS DESCRIBED IN PART V, SECTION B, GRIFFIN WORKS COLLABORATIVELY WITH THE NAUGATUCK VALLEY HEALTH DISTRICT, THE VALLEY COUNCIL FOR HEALTH AND HUMAN SERVICES, THE ALLIANCE FOR PREVENTION AND WELLNESS, AND THE VALLEY PARISH NURSE COMMUNITY OUTREACH PROGRAM TO MONITOR AND RESPOND TO EMERGING HEALTH NEEDS INCLUDING BEHAVIORAL HEALTH, SUBSTANCE USE, AND EQUITABLE ACCESS TO CARE. THE 2025 VALLEY COMMUNITY INDEX PROVIDES A COMPREHENSIVE PICTURE OF HEALTH ACROSS ALL SEVEN VALLEY TOWNS, INTEGRATING DATA ON EDUCATION, HOUSING, EMPLOYMENT, EARLY CHILDHOOD DEVELOPMENT, AGING, AND LIFESTYLE FACTORS ALONGSIDE CLINICAL HEALTH OUTCOMES. THIS BROAD VIEW ALLOWS GRIFFIN TO IDENTIFY DISPARITIES, PRIORITIZE RESOURCES, AND ALIGN ITS COMMUNITY BENEFIT PROGRAMS WITH THE MOST PRESSING NEEDS OF THE POPULATION IT SERVES. PART VI, LINE 3: GRIFFIN HOSPITAL INFORMS PATIENTS ABOUT THE AVAILABILITY OF ITS FINANCIAL ASSISTANCE POLICY (FAP) THROUGH MULTIPLE CHANNELS. COMMUNITY OUTREACH COORDINATORS AND POPULATION HEALTH STAFF ASSIST PATIENTS IN IDENTIFYING ELIGIBILITY FOR FINANCIAL ASSISTANCE, INSURANCE COVERAGE, AND SOCIAL SERVICE PROGRAMS. PATIENTS WITH IDENTIFIED NEEDS ARE REFERRED TO TEAM INC. AND OTHER COMMUNITY ACTION ORGANIZATIONS FOR ADDITIONAL SUPPORT. A COMMUNITY HEALTH WORKER POSITION SUPPORTS OUTREACH EFFORTS BY IDENTIFYING AND COORDINATING RESOURCES FOR INDIVIDUALS WITH COMPLEX SOCIAL AND FINANCIAL NEEDS. FINANCIAL ASSISTANCE BROCHURES AND POSTERS ARE DISPLAYED IN ENGLISH AND SPANISH THROUGHOUT THE HOSPITAL, INCLUDING THE EMERGENCY DEPARTMENT, CHILDBIRTH CENTER, AND CUSTOMER SERVICE AREA. BROCHURES ARE DISTRIBUTED AT COMMUNITY EVENTS AS WELL. SELF-PAY PATIENTS ARE IDENTIFIED AT REGISTRATION AND PROVIDED A FINANCIAL ASSISTANCE PAMPHLET DESCRIBING ALL AVAILABLE GRIFFIN HOSPITAL PROGRAMS AND CONTACT INFORMATION FOR FINANCIAL COUNSELORS. THE PAMPHLET ALSO INCLUDES INFORMATION ON STATE WELFARE AND OTHER STATE ASSISTANCE 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 SEVEN TOWNS THAT COMPRISE THE NAUGATUCK VALLEY INCLUDING ANSONIA, DERBY, SEYMOUR, SHELTON, OXFORD, BEACON FALLS, NAUGATUCK, AND SURROUNDING TOWNS INCLUDING BETHANY, MIDDLEBURY, MILFORD, MONROE, ORANGE, PROSPECT, HAMDEN, SOUTHBURY, STRATFORD, TRUMBULL, WOODBRIDGE AND WOODBURY. IN THE VALLEY, ANSONIA, DERBY, AND NAUGATUCK CONTAIN THE DIVERSE NEIGHBORHOODS AND MANUFACTURING LEGACIES THAT ARE COMMON TO URBAN PERIPHERY TOWNS THROUGHOUT THE STATE. BEACON FALLS AND SEYMOUR SHARE SOME OF THE CHARACTERISTICS OF RURAL TOWNS, WHILE OXFORD AND SHELTON ARE MORE TYPICAL OF HIGHER-INCOME SUBURBAN AREAS. GIVEN THIS VARIETY, THE REGION IS A MICROCOSM OF CONNECTICUT AS A WHOLE. THE VALLEY IS A COMMUNITY OF CONNECTICUT TOWNS LOCATED IN NEW HAVEN AND FAIRFIELD COUNTIES. IT LIES ALONG THE HOUSATONIC AND NAUGATUCK RIVERS AND IS CONNECTED TO CITY CENTERS ALONG I-95 BETWEEN NEW YORK AND NEW HAVEN, AS WELL AS ALONG ROUTE 8 TO WATERBURY. GRIFFIN DEFINES ITS SERVICE AREA AS THE SEVEN TOWNS: ANSONIA, BEACON FALLS, DERBY, NAUGATUCK, OXFORD, SEYMOUR, AND SHELTON ("THE VALLEY"). THE TOWNS SHARE A SPIRITED COMMUNITY CULTURE AND STRONG INSTITUTIONS, WHICH COLLABORATE ON INITIATIVES IN CIVIC VITALITY, HEALTH AND HUMAN SERVICES, ECONOMIC DEVELOPMENT, AND QUALITY OF LIFE. THE VALLEY HAS A COMMON HISTORY AND IDENTITY, BUT EACH OF ITS TOWNS HAS ITS OWN UNIQUE CHARACTERISTICS. THE REGION'S DEMOGRAPHICS AND ECONOMY ARE CONSTANTLY CHANGING IN RESPONSE TO OUTSIDE FORCES; THESE CHANGES AFFECT THE REGION'S NEIGHBORHOODS IN DIFFERENT WAYS. TOWN CENTERS OFFER A LARGE SHARE OF RENTAL OR AFFORDABLE HOUSING UNITS, WHICH ARE ATTRACTIVE TO YOUNGER WORKERS, SINGLE ADULTS, AND OTHER HOUSEHOLDS THAT WOULD PREFER TO RENT FOR ECONOMIC OR LIFESTYLE REASONS. IN OTHER NEIGHBORHOODS, NEWER HOMES AND LARGER LOTS CONTINUE TO ATTRACT HOMEOWNERS WITH HIGH INCOMES. THE VARIETY OF NEIGHBORHOODS AND RESIDENTS WHO CHOOSE TO LIVE IN THE AREA HELP MAKE THE VALLEY A RESILIENT COMMUNITY WITH A RICH TRADITION OF IMMIGRATION AND MIGRATION. THE VALLEY'S LEGACY OF AGRICULTURAL AND INDUSTRIAL PRODUCTION ARISES FROM ITS LOCATION ALONG TWO MAJOR RIVERS. TODAY, THE ECONOMY OF THE VALLEY COMMUNITIES IS SIGNIFICANTLY INFLUENCED BY THE CONTINUED DEVELOPMENT ALONG THE ROUTE 8 CORRIDOR, WHICH HAS RESULTED IN BOTH OPPORTUNITIES AND CHALLENGES. SHELTON, IN PARTICULAR, HAS EXPERIENCED NEW COMMERCIAL AND OFFICE DEVELOPMENT BY VIRTUE OF ITS LOCATION AND INFRASTRUCTURE. ITS STRONG FINANCIAL BASE, HOWEVER, CAN MASK THE ECONOMIC CHALLENGES THAT OTHER TOWNS FACE. LEVELS OF PERSONAL WELL-BEING ARE NOT EVENLY DISTRIBUTED ACROSS THE VALLEY'S POPULATION. AN INCREASINGLY DIVERSE POPULATION AND A GROWING NUMBER OF SENIORS PRESENT NEW NEEDS AND OPPORTUNITIES. INCOMES VARY BY TOWN, AND MORE PEOPLE, ESPECIALLY CHILDREN, LIVE IN ECONOMIC HARDSHIP. CANCER, HEART DISEASE, AND ACCIDENTS ARE LEADING CAUSES OF PREMATURE DEATH IN THE REGION. ALMOST HALF OF VALLEY WORKERS EARN LESS THAN WHAT IS CONSIDERED NECESSARY TO COVER COSTS OF LIVING IN THE REGION. PART VI, LINE 5: GRIFFIN HOSPITAL IS LICENSED BY THE STATE OF CONNECTICUT DEPARTMENT OF PUBLIC HEALTH AS A GENERAL ACUTE CARE HOSPITAL WITH 160 LICENSED BEDS AND 15 BASSINETS. PART VI, LINE 6: THE GRIFFIN HOSPITAL IS PART OF AN INTEGRATED HEALTH SYSTEM WHICH INCLUDES THE FOLLOWING ENTITIES:GRIFFIN HEALTH SERVICES CORPORATION - HOLDING COMPANYGRIFFIN FACULTY PHYSICIANS, INC. - MEDICAL/EDUCATIONGRIFFIN HOSPITAL DEVELOPMENT FUND - FUNDRAISINGPLANETREE INTERNATIONAL, INC. - EDUCATIONGRIFFIN PHO - HEALTHCARE SERVICESGH VENTURES, INC. & SUBSIDIARY - RENTAL REAL ESTATEGRIFFIN HEALTHCARE, INC. - BILLING SERVICES PART VI, LINE 7: GRIFFIN HOSPITAL FILED A COMMUNITY BENEFIT REPORT TO THE STATE OF CONNECTICUT. 1 TEAM INC 30 ELIZABETH STREET DERBY CT 06418 060835182 501(C)(3) 90000 0 COMMUNITY ASSISTANCE VALLEY UNITED WAY INCORPORATED 54 GROVE STREET SHELTON CT 064844106 060847098 501(C)(3) 75000 0 COMMUNITY ASSISTANCE AMERICAN HEART ASSOCIATION PO BOX 4002012 DES MOINES IA 50340 135613797 501(C)(3) 10000 0 COMMUNITY ASSISTANCE CITY OF DERBY 89 COLONY STREET MERIDEN CT 06451 DERBY 31250 0 AFFORDABLE HOUSING STUDY & ROAD REDESIGN FOR TOWN OF DERBY WHITMAN-WALKER FOUNDATION 1201 SYCAMORE DR SE WASHINGTON DC 20032 823889980 501(C)(3) 10000 0 COMMUNITY ASSISTANCE VALLEY COUNCIL OF HEALTH AND HUMAN SERVICES 130 DIVISION STREET DERBY CT 06418 501(C)(3) 13000 0 COMMUNITY ASSISTANCE 5 1 LEGAL ASSISTANCE (SEE PART IV) 42671 TRANSPORTATION ASSISTANCE 26925 PART I, LINE 2: GRIFFIN HOSPITAL CARRIES OUT DUE DILIGENCE IN PROVIDING MONETARY ASSISTANCE ONLY TO QUALIFYING 501(C)(3) ORGANIZATIONS OR COMPLEMENT ITS MISSION OR SUPPORT THE GREATER GOOD OF THE COMMUNITIES IT SERVES. NONE OF THE AMOUNTS REPORTED ON SCHEDULE I, PART II ARE GRANTS AND THESE AMOUNTS ARE DONATIONS AND SPONSORSHIPS GIVEN TO ORGANIZATIONS TO ASSIST IN FURTHERANCE OF THEIR CHARITABLE MISSION. GRIFFIN HOSPITAL VERIFIES EACH ORGANIZATION'S EIN AS LISTED ON IRS FORM W-9 THAT HAVE BEEN SUBMITTED TO GRIFFIN HOSPITAL. ASSISTANCE DONATED BY GRIFFIN HOSPITAL TO THESE QUALIFYING ORGANIZATIONS IS NOT OUTCOME BASED AND IS GIVEN IN SUPPORT OF AN INDIVIDUAL ORGANIZATION FUNDRAISING EVENTS OR IN SUPPORT OF DIRECT SERVICES. GRIFFIN HOSPITAL MAINTAINS FULL AND COMPLETE RECORDS OF ALL MONETARY ASSISTANCE PROVIDED, HOWEVER DOES NOT MONITOR SPECIFIC FUNDS. SCHEDULE I, PART III - LEGAL ASSISTANCE GRIFFIN HOSPITAL WORKS WITH LAW FIRM NUZZO AND ROBERTS, WHICH IS EXCLUSIVELY PROVIDING ADVOCACY FOR PATIENTS IN THE FORM OF ENSURING THAT THEY ARE GUIDED THROUGH THE PROBATE PROCESS WHEN A CONSERVATOR IS NEEDED. IN CASES WHERE GRIFFIN HOSPITAL HAS A PATIENT WHO IS ADMITTED AND THE PROVIDER FEELS IS UNABLE (DUE TO PHYSICAL AND/OR MENTAL INCAPACITIES) TO OVERSEE THEIR FINANCIAL OR PERSONAL AFFAIRS, GRIFFIN HOSPITAL UTILIZES NUZZO AND ROBERTS TO SEEK TO HAVE A CONSERVATOR APPOINTED ON THE PATIENT'S BEHALF. X X X 0 1 0 0 0 0 0 1 0 PATRICK A CHARMEL CEO/PRESIDENT, BOD SECRETARY 704833 0 0 0 4572 0 197605 0 29997 0 937007 0 0 0 ALEXANDER S BALKO CFO/VP FINANCE 443249 0 0 0 540 0 75127 0 43384 0 562300 0 0 0 MARIA DAWE MD TRUSTEE/PHYSICIAN 494850 0 9320 0 540 0 7473 0 42826 0 555009 0 0 0 FREDERICK BROWNE MD TRUSTEE 0 484301 0 0 0 828 0 10350 0 29732 0 525211 0 0 ROMAN SPIVAK MD TRUSTEE 0 291810 0 136735 0 360 0 9941 0 43300 0 482146 0 0 KAREN O'FLYNN MD DIRECTOR 426973 0 0 0 1548 0 7663 0 29997 0 466181 0 0 0 TODD LIU CHIEF OPERATING OFFICER/EVP 294207 0 0 0 540 0 76900 0 43384 0 415031 0 0 0 RICHARD DAIGLE CHIEF INFORMATION OFFICER 286294 0 5546 0 1547 0 7293 0 5022 0 305702 0 0 0 MIHAELA BORAN MD PHYSICIAN 246069 0 0 0 1548 0 7208 0 42982 0 297807 0 0 0 HOLLY MAJOR VP 243151 0 0 0 708 0 6192 0 35130 0 285181 0 0 0 KIMBERLEE E RICHARD VP 270725 0 0 0 914 0 3298 0 1593 0 276530 0 0 0 KELLY EGAN VP 229640 0 5087 0 779 0 6781 0 25900 0 268187 0 0 0 STEPHEN MORDECAI CHIEF HUMAN RESOURCE OFFICER 230249 0 4457 0 2375 0 6900 0 22881 0 266862 0 0 0 PART I, LINE 4B THE FOLLOWING INDIVIDUALS RECEIVED CONTRIBUTIONS FROM A 457(F) PLAN AND ARE INCLUDED IN PART II, COLUMN C: PATRICK CHARMEL - $190,000 ALEXANDER BALKO - $67,500 TODD LIU - $70,000 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 2596484 67523219 3925756 22535608 41061855 2023 1 0 1 1 A 0 0 1 1 0 0 0 1 A 0 0 0 1 0 0 0 0 1 A 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: CHEFA SERIES G-1 DATE THE REBATE COMPUTATION WAS PERFORMED: 01/08/2025 LINE 11 - OTHER SPENT PROCEEDS OF THE OTHER SPENT PROCEEDS ON LINE 11: -$40,679,975 WAS USED TO REFUND PRIOR TAX-EXEMPT BONDS DATED JANUARY 20, 2017. -$315,000 WAS USED TO REFUND PRIOR TAXABLE BONDS DATED DECEMBER 19, 2019. -$66,880 WAS USED TO PAY INTEREST ON THE BONDS. PART III, LINES 3B & 3C MANAGEMENT AND SERVICE CONTRACTS IN THE BOND FINANCED SPACE FALL UNDER THE SAFE HARBOR PROVIDED BY REVENUE PROCEDURE 2016-44 AND WILL NOT RESULT IN PRIVATE BUSINESS USE. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF TRUSTEES MAKES RECOMMENDATIONS TO THE INCORPORATORS OF THE HOSPITAL REGARDING NOMINATIONS OF MEMBERS OF THE COMMUNITY TO SERVE AS TRUSTEES. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS REVIEWED BY MANAGEMENT AND THE FINANCE COMMITTEE PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C EACH YEAR ALL MEMBERS OF THE HOSPITAL BOARD, OFFICERS, DIRECTORS, AND KEY EMPLOYEES RECEIVE, SIGN, AND SUBMIT A CONFLICT OF INTEREST DISCLOSURE. THE DISCLOSURES ARE REVIEWED BY THE HOSPITAL BOARD AND DOCUMENTED IN THE MINUTES. ANY DISCLOSURE OF A CONFLICT PREVENTS THE INDIVIDUAL FROM INVOLVEMENT WITH OR PARTICIPATION IN SUBJECT MATTER THAN MIGHT AFFECT THE DISCLOSED CONFLICT. ALL CONFLICTS ARE DISCLOSED AT THE ANNUAL MEETING. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE WHICH IS A SUBCOMMITTEE OF THE BOARD OF DIRECTORS REVIEWS INDIVIDUAL COMPENSATION OF THE CEO, OFFICERS, AND OTHER MEMBERS OF SENIOR STAFF, WHOSE COMPENSATION IS REPORTABLE ON FORM 990 ON AN ANNUAL BASIS. COMPENSATION OF OTHER MEMBERS OF THE ORGANIZATION ARE APPROVED AS A PART OF THE ANNUAL BUDGET PROCESS. THE PROCESS INCLUDES THE PROCUREMENT OF COMPARABILITY DATA FROM EXTERNAL INDEPENDENT SOURCES AND OTHER INDUSTRY SPECIFIC COMPENSATION DATA. THE COMPENSATION COMMITTEE THEN MAKES A RECOMMENDATION TO THE BOARD OF DIRECTORS FOR THEIR REVIEW AND ACTION. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS ARE FILED WITH THE OFFICE OF HEALTH CARE ACCESS AND ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: TRANSFERS BETWEEN AFFILIATES -14,467,084. MINIMUM PENSION LIABILITY ADJUSTMENT 875,557. CHANGE IN INTEREST IN NET ASSETS OF AFFILIATE 1,784,560. CHANGE IN BENEFICIAL INTEREST IN TRUSTS 205,874. NONOPERATING PENSION AND OTHER POSTRETIREMENT NET PERIODIC BENEFIT COST 415,029. TRANSFER FROM DEVELOPMENT FUND OF NET ASSETS RELEASED FOR CAPITAL 1,752,344. FORM 990, PART XII, LINE 2C: THE BOARD OF TRUSTEES OF GRIFFIN HOSPITAL IS RESPONSIBLE FOR SELECTING AN INDEPENDENT AUDIT FIRM AND FOR OVERSEEING THE FINANCIAL STATEMENT PREPARATION PROCESS. THERE HAVE BEEN NO CHANGES IN THESE PROCEDURES SINCE THE PRIOR YEAR. GRIFFIN HEALTH SERVICES CORPORATION 130 DIVISION STREET DERBY CT 06418 222560257 HOLDING COMPANY CT 501(C)(3) LINE 12A, I N/A 0 GRIFFIN FACULTY PHYSICIANS INC 130 DIVISION STREET DERBY CT 06418 061463147 MEDICAL/EDUCATION CT 501(C)(3) LINE 10 GRIFFIN HOSPITAL 1 GRIFFIN HOSPITAL DEVELOPMENT FUND 130 DIVISION STREET DERBY CT 06418 222560254 FUNDRAISING CT 501(C)(3) LINE 7 GRIFFIN HEALTH SERVICES CORPORATION 1 PLANETREE INTERNATIONAL INC 130 DIVISION STREET DERBY CT 06418 061505284 EDUCATION CT 501(C)(3) LINE 10 GRIFFIN HEALTH SERVICES CORPORATION 1 GRIFFIN HEALTHCARE INC 130 DIVISION STREET DERBY CT 06418 222560248 BILLING SERVICES CT 501(C)(3) LINE 10 GRIFFIN HEALTH SERVICES CORPORATION 1 GH VENTURES INC 130 DIVISION STREET DERBY CT 06418 222560247 RENTAL REAL ESTATE CT N/A C 0 HEALTHCARE ALLIANCE INSURANCE CO LTD 171 ELGIN AVENUE GEORGETOWN GRAND CAYMAN CJ OFFSHORE CAPTIVE INSURANCE CJ N/A C 0 CT PRACTICE MANAGEMENT INC 130 DIVISION STREET DERBY CT 06418 061152819 INACTIVE CT N/A C 0 GRIFFIN PHO INC 130 DIVISION STREET DERBY CT 06418 473552299 HEALTHCARE SERVICES CT GRIFFIN HOSPITAL C 821071 312597 1.00000 1 1 1 1 1 1 0 0 0 0 0 1 1 1 1 1 1 1 1 1 GRIFFIN FACULTY PHYSICIANS INC R 12472323 ACTUAL GRIFFIN FACULTY PHYSICIANS INC M 5808013 ACTUAL GRIFFIN FACULTY PHYSICIANS INC A 383040 ACTUAL GRIFFIN HOSPITAL DEVELOPMENT FUND A 63504 ACTUAL PLANETREE INTERNATIONAL A 181946 ACTUAL