Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2010
Open to Public Inspection
A For the calendar year, or tax year beginning 10-01-2010 and ending 09-30-2011
BCheck if applicable:
CName of organization
GRIFFIN HOSPITAL
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
130 DIVISION STREET
 
Room/suite
City or town, state or country, and ZIP + 4
DERBY, CT06418
D Employer identification number

06-0647014
E Telephone number

G Gross receipts $ 130,897,070
F Name and address of principal officer:
PATRICK S CHARMEL
130 DIVISION STREET
DERBY,CT06418
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
GRIFFINHEALTH.ORG
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1908
M State of legal domicile: CT
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: GRIFFIN HOSPITAL IS COMMITTED TO PROVIDING PERSONALIZED, HUMANISTIC, CONSUMER-DRIVEN HEALTH CARE IN A HEALING ENVIRONMENT.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) .... 3 24
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 17
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 1,578
6 Total number of volunteers (estimate if necessary) .... 6 430
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 3,894,495
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b -1,399,637
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 1,920,282 2,414,954
9 Program service revenue (Part VIII, line 2g) ......... 121,430,800 127,604,535
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 841,246 456,315
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 437,169 421,266
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 124,629,497 130,897,070
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 0 0
14 Benefits paid to or for members (Part IX, column (A), line 4) .... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 70,362,492 70,585,160
16a Professional fundraising fees (Part IX, column (A), line 11e).... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 55,257,077 60,252,685
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 125,619,569 130,837,845
19 Revenue less expenses. Subtract line 18 from line 12...... -990,072 59,225
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 122,021,131 122,634,410
21 Total liabilities (Part X, line 26)............ 139,168,392 157,297,042
22 Net assets or fund balances. Subtract line 21 from line 20 ..... -17,147,261 -34,662,632
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid Preparer's Use Only Preparer's
signatureBig Right Arrow 		Date
right pointing bullet image Preparer’s taxpayer identification number
(see instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4Big Right Arrow




 		EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? (see instructions) .........
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2010)
Form 990 (2010)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .
1
Briefly describe the organization’s mission: 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; AND TO PROVIDING LEADERSHIP TO IMPROVE THE HEALTH OF THE COMMUNITY WE SERVE.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 114,010,120 including grants of $   ) (Revenue $ 109,644,564 )
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.
4b (Code:   ) (Expenses $ 3,696,717 including grants of $   ) (Revenue $ 9,611,717 )
PROVIDE CANCER RELATED RADIOLOGY SERVICES TO THE COMMUNITY.
4c (Code:   ) (Expenses $ 1,864,716 including grants of $   ) (Revenue $ 3,122,165 )
PROVIDE PSYCHIATRIC SERVICES TO THE COMMUNITY ON AN OUTPATIENT BASIS.
(Code:   ) (Expenses $ 595,392 including grants of $   ) (Revenue $ 1,331,594 )
PROVIDE HOSPICE SERVICES TO THE COMMUNITY.
4d Other program services. (Describe in Schedule O.)
(Expenses $ 595,392 including grants of $   ) (Revenue $ 1,331,594 )
4e Total program service expensesMediumBullet$ 120,166,945
Form 990 (2010)
Form 990 (2010)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part IIClick to see attachment.........................
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part III........................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part IClick to see attachment.......................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IVClick to see attachment...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
Yes
 
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
Yes
 
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II..
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III..
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II..........
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
Form 990 (2010)
Form 990 (2010)
Page 4
Part IV
Checklist of Required Schedules (continued)
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H..... Click to see attachment
20a
Yes
 
b
Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. ..... Click to see attachment
20b
Yes
 
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II..
21
 
No
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III.....
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................ Click to see attachment
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
No
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I......
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II...........................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III...............
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV .........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV...................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV..
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35
Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....
35
Yes
 
a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment
36
Yes
 
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2010)
Form 990 (2010)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
187
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
1,578
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2010)
Form 990 (2010)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year ..............
1a
24
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
17
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Does the organization have members or stockholders? ................
6
Yes
 
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................
7a
Yes
 
b
Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Does the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....
10b
 
 
11a
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Does the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................
12b
Yes
 
c
Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................
12c
Yes
 
13
Does the organization have a written whistleblower policy? ...............
13
Yes
 
14
Does the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
CT
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
JAMES DOWNEY
130 DIVISION STREET
DERBY,CT06418
(203) 732-7528
Form 990 (2010)
Form 990 (2010)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) HENDRICKS DAVID
MD/BOARD MEMBER
 40.00 X           154,099 0 14,421
(2) CHARMEL PATRICK
PRESIDENT/CEO
 40.00 X   X       437,043 0 58,191
(3) BORIS GREGORY
MD/BOARD MEMBER
 40.00 X           140,044 0 25,036
(4) DOBULER KENNETH
MD/BOARD MEMBER
 40.00 X           221,576 0 47,152
(5) SCHWARTZ KENNETH
MD/BOARD MEMBER
 40.00 X           212,674 0 67,325
(6) STUMPO BARBARA J
V.P./BOARD MEMBER
 40.00 X   X       198,561 0 40,922
(7) ANDREANA JOSEPH
TRUSTEE
 1.00 X           0 0 0
(8) BALDYGA KENNETH
TRUSTEE
 1.00 X           0 0 0
(9) BETKOSKI JOHN W III
CHAIRMAN
 1.00 X   X       0 0 0
(10) DINARDO NANCY
TRUSTEE
 1.00 X           0 0 0
(11) JANESKY LAWRENCE
TRUSTEE
 1.00 X           0 0 0
(12) FOX ROBERT A
TRUSTEE
 1.00 X           0 0 0
(13) GENTILE LINDA M
TRUSTEE
 1.00 X           0 0 0
(14) JONES JEAN CRUM
TRUSTEE
 1.00 X           0 0 0
(15) KLARIDES THEMIS
TRUSTEE
 1.00 X           0 0 0
(16) LOGAN GEORGE S
TRUSTEE
 1.00 X           0 0 0
(17) NUSSBAUM PAUL B
MD/TRUSTEE
 1.00 X           0 0 0
Form 990 (2010)
Form 990 (2010)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) OSAK FRANK M
TRUSTEE
 1.00 X           0 0 0
(19) MEZZO ROBERT
TRUSTEE
 1.00 X           0 0 0
(20) REISS ROBERT G
TRUSTEE
 1.00 X           0 0 0
(21) WEINER GERALD T
TRUSTEE
 1.00 X           0 0 0
(22) ZAPRZALKA JOHN J
TRUSTEE
 1.00 X           0 0 0
(23) EMANUEL JOSEPH
TRUSTEE
 1.00 X           0 0 0
(24) SACZYNSKI SHELLY
TRUSTEE
 1.00 X           0 0 0
(25) MOYLAN JAMES J
VICE PRESIDENT/CFO
 40.00     X       275,947 0 37,047
(26) POWANDA WILLIAM
VICE PRESIDENT
 40.00     X       211,066 0 48,142
(27) BERNS EDWARD
VICE PRESIDENT
 40.00     X       174,146 0 36,541
(28) MARTIN KATHLEEN
VICE PRESIDENT
 40.00     X       172,497 0 37,662
(29) DEEGAN MARGARET
VICE PRESIDENT
 40.00     X       208,097 0 17,260
(30) SHEPARD SETH
VICE PRESIDENT
 40.00     X       191,144 0 19,503
(31) FRAMPTON SUSAN
PRESIDENT/PLANETREE
 40.00     X       312,059 0 27,667
(32) D'SOUSA SEEMA
MD
 30.00         X   184,351 0 21,635
(33) HALSTEAD EDWARD
MD
 40.00         X   201,904 0 68,082
(34) NAWAZ HAQ
MD
 40.00         X   247,246 0 27,500
(35) KUSTER GORDON
MD
 40.00         X   129,471 0 54,040
(36) RANDALL L CARTER
MD
 40.00         X   179,874 0 9,793
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 3,851,799 0 657,919
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet87
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
UNIDINE CORPORATION
75 REMITTANCE DRIVE
CHICAGO,IL60675 		FOOD SERVICE 1,565,262
TURNER CONSTRUCTION
440 WHEELERS FARM RD
MILFORD,CT06461 		CONSTRUCTION 981,683
DIRECT ENERGY SERVICES
PO BOX 462
CAROL STREAM,IL60197 		ELECTRIC SUPPLIER 528,650
CARDIOLOGY ASSOC OF DERBY
130 DIVISION STREET
DERBY,CT06418 		PHYSICIAN SERVICES 406,459
RINALDI LINEN SERVICES
47 COMMONS COURT
WATERBURY,CT06704 		LINEN SERVICE 404,138
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet21
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and
similar amounts not included above1f 		2,414,954
g Noncash contributions included in lines 1a-1f:$  
h Total. Add lines 1a-1f.......MediumBullet 2,414,954
Program Service Revenue Business Code
2a PATIENT REVENUE 621,500 122,026,213 118,131,718 3,894,495  
b OTHER PROGRAM SERVICES 621,500 5,578,322 5,578,322    
c
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 127,604,535
Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 380,331     380,331
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties............MediumBullet        
(i) Real (ii) Personal
6a Gross Rents 421,266  
b Less: rental expenses    
c Rental income or (loss) 421,266  
d Net rental income or (loss).......MediumBullet 421,266     421,266
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 75,984  
b Less: cost or other basis and sales expenses    
c Gain or (loss) 75,984  
d Net gain or (loss)..........MediumBullet 75,984     75,984
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a            
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ......MediumBullet  
12 Total revenue. See Instructions....MediumBullet 130,897,070 123,710,040 3,894,495 877,581
Form 990 (2010)
Form 990 (2010)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21    
2 Grants and other assistance to individuals in the U.S. See Part IV, line 22    
3 Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 4,291,701 2,842,819 1,448,882  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages 49,288,567 44,359,710 4,928,857  
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) .... 3,534,192 3,180,773 353,419  
9 Other employee benefits ....... 9,289,403 8,360,463 928,940  
10 Payroll taxes ........... 4,181,297 3,763,168 418,129  
11 Fees for services (non-employees):        
a Management ...... 592,064   592,064  
b Legal ......... 119,069   119,069  
c Accounting ........... 234,220   234,220  
d Lobbying ...........        
e Professional fundraising. See Part IV, line 17..    
f Investment management fees ......        
g Other .......... 9,821,488 8,839,340 982,148  
12 Advertising and promotion .... 372,847 335,563 37,284  
13 Office expenses ....... 217,776 196,000 21,776  
14 Information technology ...... 991,867 892,681 99,186  
15 Royalties ..        
16 Occupancy ........... 294,650 265,185 29,465  
17 Travel ............ 218,463 196,617 21,846  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings ....        
20 Interest ........... 5,146,009 5,146,009    
21 Payments to affiliates ....... 137,511 137,511    
22 Depreciation, depletion, and amortization ..... 5,747,143 5,747,143    
23 Insurance .............. 2,414,227 2,172,805 241,422  
24 Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a MEDICAL & DRUG SUPPLIES 16,298,191 16,298,191    
b UTILITIES 3,350,115 3,350,115    
c BAD DEBT 3,349,413 3,349,413    
d RESEARCH GRANT EXPENSES 2,141,922 1,927,729 214,193  
e FOOD 1,249,993 1,249,993    
f All other expenses 7,555,717 7,555,717    
25 Total functional expenses. Add lines 1 through 24f 130,837,845 120,166,945 10,670,900 0
26 Joint costs. Check here MediumBullet if following
SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation 		       
Form 990 (2010)
Form 990 (2010)
Page 11
Part X Balance Sheet
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing .......... 3,905,172 1 5,513,612
2 Savings and temporary cash investments .......   2  
3 Pledges and grants receivable, net .........   3 0
4 Accounts receivable, net ......... 15,222,331 4 17,025,431
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..........   5  
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L ..........   6  
7 Notes and loans receivable, net .............   7  
8 Inventories for sale or use .............. 785,363 8 794,648
9 Prepaid expenses and deferred charges ............ 1,775,274 9 1,810,064
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 144,713,364
b Less: accumulated depreciation. ..... 10b 82,631,177 64,043,604 10c 62,082,187
11 Investments—publicly traded securities .......... 0 11 0
12 Investments—other securities. See Part IV, line 11 ...... 10,721,743 12 8,656,773
13 Investments—program-related. See Part IV, line 11 .. 14,810,452 13 14,181,684
14 Intangible assets ......... 0 14 0
15 Other assets. See Part IV, line 11 ........... 10,757,192 15 12,570,011
16 Total assets. Add lines 1 through 15 (must equal line 34)... 122,021,131 16 122,634,410
Liabilities 17 Accounts payable and accrued expenses . 25,047,155 17 26,635,850
18 Grants payable ..........   18  
19 Deferred revenue .......... 16,630 19 33,048
20 Tax-exempt bond liabilities .......... 54,196,490 20 53,037,112
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities. Complete Part X of Schedule D..... 59,908,117 25 77,591,032
26 Total liabilities. Add lines 17 through 25..... 139,168,392 26 157,297,042
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... -24,966,200 27 -42,070,163
28 Temporarily restricted net assets ..... 2,014,450 28 1,880,150
29 Permanently restricted net assets ..... 5,804,489 29 5,527,381
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... -17,147,261 33 -34,662,632
34 Total liabilities and net assets/fund balances ..... 122,021,131 34 122,634,410
Form 990 (2010)
Form 990 (2010)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .
1
Total revenue (must equal Part VIII, column (A), line 12) . . .
1
130,897,070
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
130,837,845
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
59,225
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
-17,147,261
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
-17,574,596
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .
6
-34,662,632
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?..
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O............................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
Yes
 
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
Yes
 
Form 990 (2010)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
GRIFFIN HOSPITAL
 
Employer identification number

06-0647014
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
 
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
(i)
Name of supported organization 		(ii)
EIN 		(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions)) 		(iv)
Is the organization in col. (i) listed in your governing document? 		(v)
Did you notify the organization in col. (i) of your support? 		(vi)
Is the organization in col. (i) organized in the U.S.? 		(vii)
Amount of support?
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3..            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public Support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public Support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)            
13 Total support (Add lines 9, 10c, 11 and 12.).            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2010
Name of organization
GRIFFIN HOSPITAL
 
Employer identification number

06-0647014
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule—
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part I
Name of organization
GRIFFIN HOSPITAL
  		Employer identification number

06-0647014
Part I
Contributors (see Instructions)
     
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part II
Name of organization
GRIFFIN HOSPITAL
  		Employer identification number

06-0647014
Part II
Noncash Property (see Instructions)
     
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part III
Name of organization
GRIFFIN HOSPITAL
  		Employer identification number

06-0647014
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.
SchCMd Bullet Attach to Form 990 or Form 990-EZ. SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
GRIFFIN HOSPITAL
 
Employer identification number

06-0647014
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c) except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities ....................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2010

Schedule C (Form 990 or 990-EZ) 2010
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check
B Check
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
Organization's
Totals 		(b) Affiliated Group
Totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in) 		(a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) Total
             
2a Lobbying non-taxable amount          
             
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		         
             
c Total lobbying expenditures          
             
d Grassroots non-taxable amount          
             
e Grassroots ceiling amount
(150% of line 2d, column (e))		          
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2010


Schedule C (Form 990 or 990-EZ) 2010
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
No
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? If "Yes," describe in Part IV ..........................
Yes
 
12,785
j
Total. lines 1c through 1i ...................................
12,785
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ...........................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.
Identifier Return Reference Explanation
EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: THE GRIFFIN HOSPITAL PAID FOR MEMBERSHIP DUES TO THE CONNECTICUT HOSPITAL ASSOCIATION FOR THE FISCAL YEAR ENDED 9/30/2011. $12,785.14 OF THE MEMBERSHIP DUES PAID WAS USED FOR LOBBYING ON ISSUES RELEVANT TO THE ORGANIZATION'S EXEMPT PURPOSE.
Schedule C (Form 990 or 990EZ) 2010

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
GRIFFIN HOSPITAL
 
Employer identification number

06-0647014
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year .......    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06 ........ 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance .... 2,953,261 2,773,278 2,677,652
b Contributions ........      
c Investment earnings or losses ... -1,478 124,305 97,031
d Grants or scholarships .....      
e Other expenditures for facilities
and programs ........ 		19,450 1,337 1,405
f Administrative expenses ....      
g End of year balance ...... 2,932,333 2,896,246 2,773,278
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet  
b
Permanent endowment: SchDMd Bullet73.000 %
c
Term endowment: SchDMd Bullet27.000 %
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
Yes
 
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Investments—Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of investment (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   4,015,091 4,015,091
b Buildings ................   71,392,591 33,244,019 38,148,572
c Leasehold improvements ............        
d Equipment ................   68,980,971 49,163,224 19,817,747
e Other .................   324,711 223,934 100,777
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 62,082,187
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
(3)Other
(A) FIXED INCOME SECURITIES 		5,001,889 F

(B) MARKETABLE EQUITY SECURITIES 		3,654,884 F







Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)Small Bullet 8,656,773
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1) LIMITED USE ASSETS - CURRENT 704,176 F
(2) BOARD DESIGNATED INVESTMENTS 31,384 F
(3) BENEFICIAL INTEREST IN TRUSTS 3,367,120 F
(4) UNDER INDENTURE AGREEMENT 4,288,799 F
(5) INVESTMENTS OF NET ASSETS OF AFFILIATES 5,790,205 F




Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)Small Bullet 14,181,684
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) OTHER RECEIVABLES 3,656,222
(2) DUE FROM AFFILIATES 5,411,702
(3) OTHER ASSETS 3,010,621
(4) THIRD PARTY 457,830
(5) DEFERRED REVENUE 33,636




Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 12,570,011
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Amount
Federal Income Taxes  
ACCRUED POST RETIREMENT - CURRENT 525,000
ACCRUED POST RETIREMENT - NONCURRENT 7,340,696
PROFESSIONAL AND GENERAL LIABILITY 849,246
MINIMUM PENSION LIABILITY 50,147,716
WORKERS COMPENSATION - LONG TERM 1,514,632
ACCRUED INTEREST PAYABLE 365,713
OTHER LIABILITIES 11,649,431
RETIREMENT OBLIGATION 125,216
CAPITAL LEASE - NET OF CURRENT 3,205,611
L.T. - CURRENT PORTION 1,867,771
Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet 77,591,032
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1 130,897,070
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2 130,837,845
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3 59,225
4 Net unrealized gains (losses) on investments .......................... 4 -237,962
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV) ................................. 8 -17,336,634
9 Total adjustments (net). Add lines 4 - 8 ............................. 9 -17,574,596
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10 -17,515,371
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1 130,659,108
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a -237,962
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d ..................... 2e -237,962
3 Subtract line 2e from line 1..................... 3 130,897,070
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIV): ........... 4b  
c Add lines 4a and 4b....................... 4c 0
5 Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ...... 5 130,897,070
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1 130,837,845
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d...................... 2e 0
3 Subtract line 2e from line 1..................... 3 130,837,845
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIV): ............ 4b  
c Add lines 4a and 4b....................... 4c 0
5 Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ...... 5 130,837,845
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: 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.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: FIN 48 (ASC 740) IS NOT APPLICABLE TO GRIFFIN HOSPITAL.
PART XI, LINE 8 - OTHER ADJUSTMENTS:   TRANSFERS BETWEEN AFFILIATES 799,271. MINIMUM PENSION LIABILITY ADJUSTMENT -17,771,550. CHANGE IN NET ASSETS OF AFFILIATE 47,053. CHANGE IN TEMPORARILY RESTRICTED NET ASSETS -134,300. CHANGE IN BENEFICIAL INTEREST IN TRUSTS -277,108.
Schedule D (Form 990) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
GRIFFIN HOSPITAL
 
Employer identification number

06-0647014
Part I
Charity Care and Certain Other Community Benefits at Cost
Yes
No
1a
Does the organization have a charity care policy? If "No," skip to question 6a...........
1a
Yes
 
b
If "Yes," is it a written policy? .......................
1b
Yes
 
2
If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.
3
Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.
a
Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low
income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If
"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....
3b
Yes
 
c
If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.
4
Does the organization's policy provide free or discounted care to the "medically indigent"? ......
4
Yes
 
5a
Does the organization budget amounts for free or discounted care provided under its charity care policy? ...
5a
Yes
 
b
If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............
5c
 
No
6a
Does the organization prepare an annual community benefit report?.............
6a
Yes
 
6b
If "Yes," does the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Charity Care and Certain Other Community Benefits at Cost
Charity Care and
Means-Tested Government Programs		 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Charity care at cost (from
Worksheets 1 and 2) .. 		  382 2,372,201 0 2,372,201 1.810 %
b Unreimbursed Medicaid (from
Worksheet 3, column a) . 		  9,136 9,677,882 6,009,646 3,668,236 2.800 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....   89 96,486 83,214 13,272 0.010 %
dTotal Charity Care and
Means-Tested Government Programs ..... 		  9,607 12,146,569 6,092,860 6,053,709 4.620 %
Other Benefits
e Community health improvement
services and community
benefit operations (from
(Worksheet 4) .... 		  57,726 938,403 12,901 925,502 0.710 %
f Health professions education
(from Worksheet 5) .. 		  275 6,833,841 4,736,505 2,097,336 1.600 %
g Subsidized health services
(from Worksheet 6) .. 		  40,667 19,854,691 18,878,888 975,803 0.750 %
h Research (from Worksheet 7)     1,359,782 0 1,359,782 1.040 %
i Cash and in-kind contributions
to community groups
(from Worksheet 8) .. 		  1,626 26,896 0 26,896 0.020 %
jTotal Other Benefits ...   100,294 29,013,613 23,628,294 5,385,319 4.120 %
kTotal. Add lines 7d and 7j. ..   109,901 41,160,182 29,721,154 11,439,028 8.740 %
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 2
Part II
Community Building Activities Complete this table if the organization conducted any community building activities.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building 1 1,818 12,984   12,984 0.010 %
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total 1 1,818 12,984   12,984 0.010 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense (at cost).....
2
1,061,762
3
Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..
3
 
4
Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
40,391,767
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
47,148,360
7
Subtract line 6 from line 5. This is the surplus or (shortfall)........
7
-6,756,593
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:
Section C. Collection Practices
9a
Does the organization have a written debt collection policy? ...............
9a
Yes
 
b
If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......
9b
Yes
 
Part IV
Management Companies and Joint Ventures
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership% 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 3
Part VFacility Information
Section A. Hospital Facilities
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many hospital facilities did the organization operate during the tax year?1
Name and address 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe)
1 GRIFFIN HOSPITAL
130 DIVISION STREET
DERBY,CT06418 		X X   X X X X    
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:GRIFFIN HOSPITAL
Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1   No
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8 Yes  
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9 Yes  
If “Yes,” indicate the FPG family income limit for eligibility for free care: 250.000000000000%
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10 Yes  
If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 400.000000000000%
11 Explained the basis for calculating amounts charged to patients?................. 11 Yes  
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12 Yes  
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14 Yes  
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16 Yes  
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18 Yes  
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20   No
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21 Yes  
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 7
Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many non-hospital facilities did the organization operate during the tax year?  
Name and address Type of Facility (Describe)
1
2
3
4
5
6
7
8
9
10
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 8
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2 Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Identifier ReturnReference Explanation
    PART I, LINE 3C: GRIFFIN HOSPITAL'S FINANCIAL ADVISOR WILL OBTAIN THE FOLLOWING INFORMATION FROM THE PATIENT IN ORDER TO COMPLETE THE FREE OR DISCOUNTED CARE APPLICATION: PATIENT W-2 FORM (TAX STATEMENT FROM PREVIOUS AND CURRENT YEAR), THREE CONSECUTIVE PAY STUBS FROM PATIENT'S CURRENT EMPLOYMENT, DEPENDENT INFORMATION (FAMILY SIZE), ANY OR ALL BANK AND CHECKING ACCOUNT STATEMENTS, AND THE FINANCIAL ADVISOR WILL REFER TO THE GRIFFIN HOSPITAL SLIDING SCALE. THIS IS BASED ON THE FEDERAL POVERTY INCOME GUIDELINES (SLIDING SCALE AVAILABLE UPON REQUEST). THE FINANCIAL ADVISOR WILL MAKE A DETERMINATION OF FREE CARE ELIGIBILITY STATUS.
    PART I, LINE 6A: GRIFFIN HOSPITAL COMMUNITY BENEFIT REPORT IS PROVIDED TO THE PUBLIC IN VARIOUS WAYS. SECTIONS AND HIGHLIGHTS OF THE REPORT ARE LISTED IN OUR ANNUAL HOSPITAL REPORT. GRIFFIN'S BOARD OF DIRECTORS AND SENIOR MANAGEMENT ARE IN THE PROCESS OF DEVELOPING GRIFFIN HOSPITAL'S STRATEGIC PLAN FOR THE 2010 TO 2012 PERIODS. THE CURRENT PLAN INCLUDES AN INITIATIVE RELATED TO INCREASE TRANSPARENCY. THE FOLLOWING SET OF CORPORATE SOCIAL RESPONSIBILITY GOALS HAS BEEN PROPOSED FOR INCLUSION IN THE FINAL STRATEGIC PLAN: CSR REPORTING - DEVELOP CORPORATE SOCIAL RESPONSIBILITY/COMMUNITY BENEFIT SECTION ON GRIFFIN HOSPITAL'S WEB SITE.
    PART I, LINE 7: THE COSTING METHODOLOGY CONSISTED OF INFORMATION FROM THE HOSPITAL'S COST ACCOUNTING SYSTEM, AS WELL AS THE MEDICARE COST REPORT. THE MEDICARE SHORTFALL WAS NOT INCLUDED IN THE COMMUNITY BENEFIT REPORT.
    PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES REPORTED IN SECTION 7G INCLUDE DETAILS FROM THREE DIFFERENT COMMUNITY BENEFIT PROGRAMS OF THE HOSPITAL, NAMELY: EMERGENCY SERVICES; PSYCHIATRIC & MENTAL HEALTH SERVICES; AND HOSPICE SERVICES. GRIFFIN HOSPITAL EMERGENCY DEPARTMENT (ED) IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, CARING FOR NEARLY 40,000 PATIENTS EACH YEAR. GRIFFIN HOSPITAL OPENED ITS NEWLY EXPANDED AND RENOVATED ED AT THE END OF 2009. GRIFFIN'S NEW ED IS NOW 50% LARGER THAN ITS PREDECESSOR, WITH THE NUMBER OF ED TREATMENT ROOMS INCREASED FROM 14 TO 23, INCLUDING THREE NEW DEDICATED BEHAVIORAL HEALTH CRISIS INTERVENTION ROOMS. IN ADDITION TO CREATING MORE MODERN, TECHNOLOGICALLY ADVANCED SPACE FOR EMERGENCY TREATMENT, THE EXPANSION ALSO INCLUDED A NEW MAIN ENTRANCE, LARGER WAITING AREAS, AND PRIVATE TRIAGE ROOMS, ALL DESIGNED TO INCREASE OPERATING EFFICIENCY AND PATIENT COMFORT WHILE MINIMIZING WAIT TIMES. THE ENTIRE DEPARTMENT HAS BEEN EXPANDED AND REDESIGNED FOR OPTIMAL EFFICIENCY AND PATIENT COMFORT - UTILIZING GRIFFIN'S PATIENT-CENTERED, PLANETREE MODEL OF CARE - TO CREATE A MORE HEALING ENVIRONMENT FOR PATIENTS, FAMILIES, AND HOSPITAL STAFF. TREATMENT ROOMS ARE IDENTICALLY CONFIGURED AND EQUIPPED TO ACCOMMODATE ALL LEVELS OF CARE, FROM MINOR COMPLAINTS TO MORE SERIOUS INJURY AND ILLNESS. BEDSIDE REGISTRATION HELPS TO ELIMINATE DELAYS IN GETTING PATIENTS TO THE TREATMENT AREA, AND NEW TECHNOLOGY, INCLUDING A DEDICATED ED ULTRASOUND UNIT, AND ENHANCED MONITORING EQUIPMENT, WHICH ENABLES GRIFFIN'S ED PHYSICIANS TO VIEW CARDIOGRAMS TRANSMITTED FROM AMBULANCES WHILE EN ROUTE TO THE HOSPITAL, HELPS SPEED DIAGNOSIS AND TREATMENT AT A TIME WHEN EVERY MINUTE COUNTS. OUR TEAM OF BOARD CERTIFIED, RESIDENCY TRAINED EMERGENCY PHYSICIANS, ADVANCED CERTIFIED NURSES, AND OTHER SPECIALLY TRAINED ED STAFF SHARE A PASSION FOR DELIVERING STATE-OF-THE-ART, PATIENT-CENTERED MEDICAL CARE IN OUR NEW, PLANETREE-INSPIRED FACILITY. PSYCHIATRIC & MENTAL HEALTH SERVICES - THE GRIFFIN HOSPITAL DEPARTMENT OF PSYCHIATRY OFFERS A FULL RANGE OF INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH AND CHEMICAL DEPENDENCY PROGRAMS IN A COMFORTABLE, HEALING ENVIRONMENT. CRISIS INTERVENTION SERVICE - GRIFFIN HOSPITAL'S INPATIENT PSYCHIATRIC UNIT IS A 14-BED ADULT AND GERIATRIC SHORT-TERM TREATMENT UNIT PROVIDING COMPREHENSIVE EVALUATION AND FOCUSED, CRISIS-ORIENTED TREATMENT FOR PATIENTS WHO CANNOT BE TREATED SAFELY ON AN OUTPATIENT BASIS. THE TREATMENT PROGRAM FOCUSES ON REDUCING SYMPTOMS, STRESS MANAGEMENT, ENHANCING COPING SKILLS AND MEDICATION MANAGEMENT. TRADITIONAL THERAPEUTIC APPROACHES, SUCH AS INDIVIDUAL AND GROUP THERAPY AND PATIENT AND FAMILY EDUCATION, ARE ENHANCED WITH COMPLIMENTARY SERVICES SUCH AS ARTS AND ENTERTAINMENT, JOURNALING, YOGA, AROMATHERAPY, RELAXATION AND SPIRITUALITY GROUPS. GRIFFIN HOSPITAL'S OUTPATIENT PSYCHIATRIC SERVICES OFFERS COMPLETE CLINICAL ASSESSMENTS AND A FULL RANGE OF ONGOING TREATMENT FOR ADULTS, COUPLES AND FAMILIES. SERVICES INCLUDE: 24-HOUR CRISIS INTERVENTION AND CONSULTATION SERVICES; OUTPATIENT PSYCHIATRIC CLINIC FOR ADULTS; CHEMICAL DEPENDENCY; PARTIAL HOSPITAL PROGRAM & INTENSIVE OUTPATIENT PROGRAM (IOP); ADULT MENTAL HEALTH PARTIAL HOSPITAL PROGRAM & INTENSIVE OUTPATIENT PROGRAM (IOP); AND HOSPITAL CONSULTATION AND LIAISON SERVICE FOR INPATIENTS. THE LAST SUBSIDIZED HEALTH SERVICE REPORTED IS HOSPICE SERVICES FOR END OF LIFE CARE.
    PART I, L7 COL(F): OUR TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN (A) WAS $130,837,845. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT WAS $3,349,413, RESULTING IN A TOTAL NET EXPENSE OF $127,488,432 FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F).
    PART II: GRIFFIN HOSPITALS COMMUNITY BUILDING ACTIVITIES PROMOTED COALITION BUILDING, WHICH IN TURN FOSTERED THE HEALTH OF THE COMMUNITIES IT SERVES. GRIFFIN HAS EXTENDED ITS MISSION "TO PROVIDE LEADERSHIP TO IMPROVE THE HEALTH OF THE COMMUNITY SERVED," FAR BEYOND THE HOSPITAL'S WALLS TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF PEOPLE OF ALL AGES. WORKING WITH SCHOOLS, SENIOR CENTERS, CHURCHES AND OTHER COMMUNITY PARTNERS, HOSPITALS ARE REDEFINING HEALTHCARE TO INCLUDE THE HEALTH AND WELLNESS OF THE LARGER COMMUNITY. GRIFFIN HOSPITAL'S DEPARTMENT OF COMMUNITY OUTREACH AND PARISH NURSING IS A KEY COMPONENT OF COALITION BUILDING IN THE NAUGATUCK VALLEY AND BEYOND. EXAMPLES OF THE COALITION BUILDING THAT GRIFFIN EMPLOYEES SERVE ON AND SUPPORT ARE: VALLEY COUNCIL HEALTH & HUMAN SERVICES; COMMUNITY FOUNDATION VALLEY UNITED WAY; CPR; ECC BOARD; AHA; CT COUNCIL PARISH NURSE; BOYS & GIRLS CLUB BOARD OF DIRECTORS; ACA ADVISORY; VALLEY SUBSTANCE ABUSE ACTION COUNCIL; WOMEN MAKING A DIFFERENCE; COMMUNITY FOUNDATION OF GREATER NEW HAVEN GRANT REVIEW BOARD; SAFE KIDS AND CHIP COLLABORATIVE; ANSONIA COMMUNITY ACTION COUNCIL ADVISORY; AREA AGENCY ON AGING; BIRTH-8; THE SPOONER HOUSE BOARD; SALVATION ARMY ADVISORY BOARD; AND GIRL SCOUTS BOARD.
    PART III, LINE 4: GRIFFIN HOSPITAL DOES NOT PROVIDE TEXT IN THE FOOTNOTE TO ITS FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE. THE COSTING METHODOLOGY USED FOR BAD DEBT IS ACTUAL BAD DEBT EXPENSE PER GRIFFIN HOSPITAL'S AUDITED FINANCIAL STATEMENTS, NET OF ANY BAD DEBT RECOVERY, MULTIPLIED BY THE COST-TO-CHARGE RATIO. GRIFFIN HOSPITAL REQUIRES OUR COLLECTION AGENCIES TO FOLLOW THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. THEREFORE, THE HOSPITAL DID NOT ATTRIBUTE ANY BAD DEBT EXPENSE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE AT THIS TIME.
    PART III, LINE 8: THE MEDICARE SHORTFALL WAS NOT INCLUDED IN THE COMMUNITY BENEFIT COST. THE COSTS RELATED TO THE SHORTFALL WAS DERIVED FROM THE GRIFFIN HOSPITAL PATIENT LEVEL COST ACCOUNTING SYSTEM. PROCEDURAL CHARITY CARE POLICY CONTAINS PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE. COSTS ARE APPLIED TO ALL PATIENTS' BILLS.
    PART III, LINE 9B: YES, OUR HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS FROM PATIENTS DETERMINED TO QUALIFY FOR CHARITY CARE. GRIFFIN HOSPITAL CHARITY CARE POLICY CONTAINS PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE. IT STATES IT IS THE RESPONSIBILITY OF GRIFFIN HOSPITAL TO RESPOND TO ALL PATIENT REQUESTS FOR CHARITY ELIGIBILITY DURING ANY ONE OR MORE PATIENT BUSINESS INTERACTIONS, NAMELY: PREREGISTRATION, REGISTRATION, AND DISCHARGE, OR AT ANY OTHER TIME THE FACILITY STAFF ENCOUNTERS INFORMATION DETAILING THE PATIENT'S FINANCIAL NEED. CHARITY CARE WILL BE RESCREENED THROUGHOUT THE REVENUE CYCLE WHEN ACCOUNT EVENTS TRIGGER REVIEW.
GRIFFIN HOSPITAL   PART V, SECTION B, LINE 21: THE GROSS CHARGES FOR ANY SERVICE ARE LISTED ON THE PATIENT'S BILL, BUT THE PATIENT IS ONLY RESPONSIBLE FOR THE NEGOTIATED PRICE WITH THE INSURANCE CARRIER OF THE PATIENT.
    PART VI, LINE 2: GRIFFIN HOSPITAL ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES IN A VARIETY OF WAYS. THE HOSPITAL USES RESOURCES THAT ARE CONNECTED AND AFFILIATED WITH THE HOSPITAL OR THE COMMUNITY IT SERVES, INCLUDING: GOVERNMENT INFORMATION. EXAMPLES OF THESE ARE THE COMMUNITY HEALTH PROFILE DONE BY THE YALE-GRIFFIN PRC AT LEAST BI-ANNUALLY, THAT TRACKS MORTALITY AND OTHER DATA BY DISEASE. THIS PROMPTED LAUNCHING OF THE HIM PROJECT TO ADDRESS MALE PROSTATE AND COLON CANCER RATES; THE VALLEY COUNCILS QUALITY OF LIFE REPORT PUBLISHED LAST YEAR; THE CLARITAS DEMOGRAPHIC PROFILE OF THE HOSPITAL'S PRIMARY SERVICES; THE COMMUNITY PERCEPTION TELEPHONE SURVEY DONE EVERY TWO OR THREE YEARS TO 400 PRIMARY SERVICE RESIDENTS WITH RESULTS POSTED ON THE GRIFFIN WEBSITE; THE VALLEY COUNCIL OF HEALTH AND HUMAN SERVICE ORGANIZATION, WHICH IS A COOPERATIVE VENTURE LINKING APPROXIMATELY 50 NON-PROFIT HEALTH AND HUMAN SERVICE PROVIDERS THROUGHOUT THE VALLEY. ITS MISSION IS TO IDENTIFY, PLAN, IMPLEMENT, AND COORDINATE A COMPREHENSIVE SYSTEM OF HUMAN SERVICE DELIVERY, AND TO ADVOCATE FOR COMMUNITY-WIDE AND CULTURALLY DIVERSE PLANNING APPROACHES IN THE LARGER VALLEY COMMUNITY; THE GREATER VALLEY CHAMBER OF COMMERCE HEALTHCARE COUNCIL. THE HEALTHCARE COUNCIL WAS CREATED BASED ON THE PREMISE THAT HEALTH AND WELLNESS ARE INCREASINGLY IMPORTANT ISSUES TO THE AREA BUSINESSES; VALLEY UNITED WAY SENIOR NEEDS ASSESSMENT 2007; VALLEY NEEDS AND OPPORTUNITIES PROJECT; THE YALE GRIFFIN PREVENTION RESEARCH CENTER; THE HOSPITAL'S SCHOOL BASED CHILDHOOD AND ADOLESCENT OBESITY PREVENTION PROJECT; GRIFFIN HOSPITAL'S COMMUNITY OUTREACH AND PARISH NURSING, WHICH FOCUSES ON THE UNDERSERVED POPULATION; THE PARISH NURSE PROGRAM; FOCUS GROUPS DONE WITH PATIENTS AND COMMUNITY MEMBERS; THE GRIFFIN HOSPITAL COMMUNITY ADVISORY COMMITTEE; AND BOARD STRATEGIC PLANNING COMMITTEE AND PROCESS.
    PART VI, LINE 3: THE PATIENT IS REGISTERED BY THE ADMITTING REGISTRAR WHO WILL IDENTIFY THE PATIENT AS HAVING NO MEDICAL INSURANCE SELF PAY. THE PATIENT WILL BE GIVEN A FINANCIAL ASSISTANCE PAMPHLET THAT WILL IDENTIFY ALL GRIFFIN HOSPITAL FREE CARE ASSISTANCE PROGRAMS. THE PAMPHLET ALSO INCLUDES HOSPITAL CONTACTS FOR PATIENTS SEEKING STATE WELFARE, HUSKY, CITY WELFARE, OR OTHER STATE PROGRAMS. PATIENTS WHO REGISTER AS HAVING NO MEDICAL INSURANCE WITH ACCOUNT BALANCES OVER $3,000 WILL BE REFERRED TO THE HOSPITAL ELIGIBILITY WORKER. THE PATIENT WILL BE SEEN WITHIN 24 HOURS OF ADMISSION. IF THE ELIGIBILITY WORKER IS UNABLE TO FULFILL THIS REQUIREMENT DUE TO ABSENCE, THE FINANCIAL ADVISOR WILL TAKE THE NECESSARY STEPS TO FULFILL THIS REQUIREMENT. ALL ACCOUNTS UNDER $3,000 WILL BE REFERRED TO THE HOSPITAL FINANCIAL ADVISORS. THE HOSPITAL ELIGIBILITY WORKER WILL COMPLETE A FINANCIAL SCREENING FOR THOSE PATIENTS SEEKING TITLE 19 ELIGIBILITY AND FOR THE UNINSURED STATUS. THE HOSPITAL ELIGIBILITY WORKER WILL IDENTIFY PATIENTS MEETING THE STATE HUSKY PROGRAM CRITERIA. FOR PATIENTS MEETING THE CRITERIA, THE APPLICATION PROCESS WILL BE COMPLETED AND ALL PAPERWORK FORWARDED TO THE APPROPRIATE STATE DEPARTMENT FOR PROCESSING. THE PATIENTS WHO DO NOT MEET THE CRITERIA FOR THE STATE HUSKY PROGRAMS WILL BE REFERRED TO THE HOSPITAL FINANCIAL ADVISOR. THE FINANCIAL ADVISOR WILL BEGIN A REVIEW TO DETERMINE IF THE PATIENT MEETS THE UNINSURED CRITERIA IDENTIFIED IN PUBLIC ACT 03266. A LETTER WILL BE SENT TO THE PATIENT REQUESTING THAT PATIENT TO VERIFY THAT THEY DO NOT HAVE MEDICAL INSURANCE AS IDENTIFIED DURING THEIR HOSPITAL REGISTRATION PROCESS. THE LETTER WILL ALSO REQUEST ADDITIONAL PATIENT INFORMATION REGARDING THE PATIENT INCOME IF NECESSARY. THE CRITERIA THE PATIENT MUST MEET AS IDENTIFIED IN PUBLIC ACT 03266 ARE AS FOLLOWS: PATIENT INCOME BASED ON FAMILY SIZE FALLS UNDER 250% OF THE POVERTY INCOME GUIDELINES, POVERTY INCOME GUIDELINE SCALE AVAILABLE UPON REQUEST, HOSPITAL HAS MADE A FULL DETERMINATION AS TO THE STATUS OF THE STATE HUSKY PROGRAMS, ALL GRIFFIN HOSPITAL FREE BED FUNDS HAVE BEEN REVIEWED AND DETERMINED NON APPLICABLE FOR THE PATIENT IN REVIEW. IF THE PATIENT RESPONDS TO THE LETTER SENT OUT BY THE FINANCIAL ADVISOR THIS WILL BEGIN THE APPLICATION PROCESS FOR THE VERIFICATION OF THE UNINSURED PATIENT STATUS. THE FOLLOWING INFORMATION WILL NEED TO BE FINALIZED WITH THE PATIENT IN ORDER FOR THE UNINSURED DETERMINATION TO BE MADE - PROOF OF PATIENT INCOME AND FAMILY SIZE. HOSPITAL HAS MADE A FINAL DETERMINATION AS TO THE STATUS OF THE STATE HUSKY PROGRAMS. VERIFICATION OF ALL FREE BED FUNDS BEING REVIEWED WITH THE PATIENT UPON DETERMINATION THAT A PATIENT MEETS THE OUTLINED CRITERIA, THE PATIENT WILL BE CLASSIFIED AS FOLLOWS - UNINSURED STATUS. THE PATIENT'S ACCOUNT WILL BE TAKEN FROM TOTAL GROSS CHARGES AND REDUCED TO COST BY APPLYING A FACTOR SUPPLIED ANNUALLY BY THE OFFICE OF HEALTH CARE ACCESS. THE PATIENT WILL BE INFORMED OF THIS DECISION AND WILL BE SENT A LETTER THAT WILL REFLECT THE BALANCE AT REDUCTION ON ALL APPLICABLE ACCOUNTS. THE PATIENT WILL BE ADVISED OF THE BALANCE THAT IS DUE AND PAYABLE. THE FINANCIAL ADVISOR WILL CONTACT THE PATIENT TO ACCOMPLISH THE FOLLOWING: ATTEMPT PAYMENT ARRANGEMENT WITH THE PATIENT ON THE REMAINING BALANCE. IF THE PATIENT IDENTIFIES TO THE FINANCIAL ADVISOR THAT THEY CANNOT AFFORD THE REMAINING BALANCE, AN APPLICATION FOR FREE CARE ASSISTANCE WILL BE COMPLETED. IF A PATIENT APPLIES FOR FREE CARE ASSISTANCE, THE FINANCIAL ADVISOR WILL MAKE A DECISION ON FREE CARE ELIGIBILITY BASED ON THE PATIENT FAMILY SIZE AND INCOME. FREE CARE WILL BE OFFERED BASED ON THE GRIFFIN HOSPITAL FREE CARE ASSISTANCE SLIDING SCALE AVAILABLE UPON REQUEST. THE FINANCIAL ADVISOR WILL ADVISE THE PATIENT OF THE FREE CARE DETERMINATION THAT WILL BE APPLIED TO THE PATIENT REMAINING BALANCE. THE FINANCIAL ADVISOR WILL COMPLETE ALL APPROPRIATE LOGS WITH THE DECISIONS AND AMOUNTS. FREE CARE ASSISTANCE POLICY PROCEDURE - ANY PATIENT REQUESTING FINANCIAL ASSISTANCE IN PAYING THEIR GRIFFIN HOSPITAL BILL CAN APPLY FOR THE FREE CARE ASSISTANCE PROGRAM BY CONTACTING THE HOSPITAL FINANCIAL ADVISORY STAFF. THE FINANCIAL ADVISOR WILL BE CONTACTED BY THE PATIENT TO COMPLETE THE FREE CARE APPLICATION PROCESS. THE FINANCIAL ADVISOR WILL OBTAIN THE FOLLOWING INFORMATION FROM THE PATIENT IN ORDER TO COMPLETE THE FREE CARE APPLICATION - PATIENT W2 FORM TAX STATEMENT FROM THE PREVIOUS AND CURRENT YEAR. THREE CONSECUTIVE PAY STUBS FROM PATIENT'S CURRENT EMPLOYMENT, DEPENDENT INFORMATION AND FAMILY SIZE, ANY OR ALL BANK AND CHECKING ACCOUNT STATEMENTS. THE FINANCIAL ADVISOR WILL REFER TO THE GRIFFIN HOSPITAL SLIDING SCALE. THIS IS BASED ON THE FEDERAL POVERTY INCOME GUIDELINES SLIDING SCALE AVAILABLE UPON REQUEST. THE FINANCIAL ADVISOR WILL MAKE A DETERMINATION OF FREE CARE ELIGIBILITY STATUS. IF THE PATIENT QUALIFIES FOR FREE CARE ASSISTANCE THE APPLICABLE DISCOUNT PERCENTAGE WILL BE APPLIED TO THE PATIENT ACCOUNT BALANCE. IF A PATIENT BALANCE REMAINS, THE FINANCIAL ADVISOR WILL PURSUE ONE OF THE FOLLOWING WITH THE PATIENT: REQUIRE PAYMENT IN FULL, OR SET UP A MONTHLY PAYMENT ARRANGEMENT. IF A PATIENT DOES NOT QUALIFY FOR FREE CARE ASSISTANCE, THE FINANCIAL ADVISOR WILL ATTEMPT TO OBTAIN PAYMENT IN FULL OR SET UP A MONTHLY PAYMENT ARRANGEMENT. IF THE PATIENT DOES NOT MAINTAIN THE AGREED UPON PAYMENT SCHEDULE THE ACCOUNT WILL BE FORWARDED TO AN OUTSIDE COLLECTION AGENCY AT THE FULL REMAINING BALANCE. IN SOME CASES IT IS NECESSARY TO OVERRIDE THE POLICY GUIDELINES ON INCOME DUE TO SPECIAL CIRCUMSTANCE REQUIREMENTS SUCH AS SOCIAL ADMIT MAXED OUT DAY DECEASED PATIENTS. AN OVERRIDE CAN BE OBTAINED BY THE SUPERVISOR AND DIRECTOR OR CFO ALLOWING FOR CONSIDERATION OF ELIGIBILITY. THE COLLECTION SUPERVISOR WILL MAINTAIN ALL MONTHLY SPREADSHEETS THAT WILL IDENTIFY ALL FREE BED FUNDS UNINSURED AND FREE CARE ASSISTANCE ALLOCATED ON A MONTHLY BASIS.
    PART VI, LINE 4: GRIFFIN HOSPITAL IS A GENERAL, ACUTE CARE COMMUNITY TEACHING HOSPITAL LOCATED IN DERBY, CT. IT SERVES THE GEOGRAPHIC AREA ENCOMPASSING THE LOWER NAUGATUCK RIVER VALLEY TOWNS OF ANSONIA, DERBY, SHELTON, OXFORD, SEYMOUR AND BEACON FALLS WHICH HAVE A COMBINED POPULATION OF APPROXIMATELY 103,800 PEOPLE WITH AN ADDITIONAL 60,200 FROM THE EXPANDED AREA TOWNS OF NAUGATUCK, SOUTHBURY AND WOODBURY. THE GEOGRAPHIC LOCATION IS SURROUNDED BY KEY WATERWAYS LOCATED IN THE SOUTH CENTRAL PART OF CONNECTICUT AND HAS A SHARED HISTORY OF IMMIGRANTS WHO SETTLED IN THE REGION TO WORK IN ITS MANUFACTURING CENTERS. SINCE THE 1990'S, THE REGIONAL ECONOMY HAS EXPERIENCED A SHIFT FROM A MANUFACTURING BASED ECONOMY TO ONE THAT IS MORE DIVERSE, BUT LESS DEPENDENT ON THE FACTORY SECTOR. IN ADDITION TO INCREASING IN POPULATION SIZE, THE VALLEY COMMUNITY IS UNDERGOING CHANGES AS NEW IMMIGRATION ALTERS THE MIX OF ETHNIC AND LINGUISTIC DIVERSITY AMONG RESIDENTS. FOR EXAMPLE, THE PERCENTAGE OF HISPANIC RESIDENTS GREW TO A TOTAL OF 6% OF THE VALLEY-WIDE POPULATION BY 2009. THE VALLEY COMMUNITY INCLUDES RESIDENTS WITH A DIVERSITY OF NATIONAL ORIGINS AND NATIVE LANGUAGES. A 2009 DEMOGRAPHIC SNAPSHOT REPORT ESTIMATES THAT 9% OF VALLEY RESIDENTS SPEAK AN INDO-EUROPEAN LANGUAGE, ALMOST 4% SPEAK SPANISH, AND 1% SPEAKS AN ASIAN PACIFIC ISLANDER LANGUAGE (CLARITA'S 2009). THE STUDENTS ENROLLED IN PROGRAMS AT VALLEY REGIONAL ADULT EDUCATION (VRAE) IN THE 2009-2010 FISCAL YEAR CAME FROM OVER 60 COUNTRIES, SHOWING THE INCREASING WAYS THE GLOBAL COMMUNITY IS REPRESENTED IN THE VALLEY COMMUNITY. EVEN THOUGH VALLEY INCOME LEVELS ROSE OVER THE PAST DECADE, INCREASING NUMBERS OF RESIDENTS DO NOT HAVE ACCESS TO THE ECONOMIC OPPORTUNITIES NEEDED TO BUILD A STRONG QUALITY OF LIFE. THE UNEMPLOYMENT RATE IN THE VALLEY HAS RISEN SUBSTANTIALLY SINCE 2005, REACHING AN ANNUAL AVERAGE OF 8% IN 2009 AND ALMOST 9% THROUGH SEPTEMBER OF 2010, WITH EVEN HIGHER LEVELS IN SOME TOWNS. ALTHOUGH THE CURRENT FEDERAL DEFINITION OF POVERTY UNDERESTIMATES THE PERCENTAGE OF RESIDENTS FACING ECONOMIC HARDSHIP, THE VALLEY'S POVERTY RATE IN 2000 WAS 4.7% OF THE OVERALL POPULATION. AT THAT TIME, 10% OR MORE OF CHILDREN WERE LIVING IN POVERTY IN SEVERAL VALLEY TOWNS. IT IS LIKELY THAT THE POVERTY RATE HAS RISEN SHARPLY IN RECENT YEARS, AS IS TRUE IN THE STATE. THE PERCENTAGE OF FAMILIES QUALIFYING FOR FREE OR REDUCED PRICE LUNCH IN VALLEY SCHOOL DISTRICTS INCREASED IN THE PAST DECADE, AN INDICATION OF GROWING ECONOMIC HARDSHIP. ALSO ADDING TO THE CHANGING ECONOMIC COMPOSITION, THE VALLEY'S POPULATION HAS BEEN AGING LIKE THE POPULATION OF THE NATION AND THE STATE.
    PART VI, LINE 6:
    PART VI, LINE 7: N/A
REPORTS FILED WITH STATES PART VI, LINE 7 CT
Schedule H (Form 990) 2010
Additional Data


Software ID:  
Software Version:  
Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
GRIFFIN HOSPITAL
 
Employer identification number

06-0647014
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
 
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
 
No
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported in prior
Form 990 or
Form 990-EZ
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) HENDRICKS DAVID (i)
(ii)		 153,641
0 		0
0 		458
0 		8,481
0 		5,940
0 		168,520
0 		0
0
(2) CHARMEL PATRICK (i)
(ii)		 436,428
0 		0
0 		615
0 		43,935
0 		14,256
0 		495,234
0 		0
0
(3) BORIS GREGORY (i)
(ii)		 139,429
0 		0
0 		615
0 		19,501
0 		5,535
0 		165,080
0 		0
0
(4) DOBULER KENNETH (i)
(ii)		 221,576
0 		0
0 		0
0 		47,152
0 		0
0 		268,728
0 		0
0
(5) SCHWARTZ KENNETH (i)
(ii)		 212,329
0 		0
0 		345
0 		53,069
0 		14,256
0 		279,999
0 		0
0
(6) STUMPO BARBARA J (i)
(ii)		 197,946
0 		0
0 		615
0 		26,666
0 		14,256
0 		239,483
0 		0
0
(7) MOYLAN JAMES J (i)
(ii)		 275,332
0 		0
0 		615
0 		37,047
0 		0
0 		312,994
0 		0
0
(8) POWANDA WILLIAM (i)
(ii)		 210,721
0 		0
0 		345
0 		34,858
0 		13,284
0 		259,208
0 		0
0
(9) BERNS EDWARD (i)
(ii)		 173,531
0 		0
0 		615
0 		22,285
0 		14,256
0 		210,687
0 		0
0
(10) MARTIN KATHLEEN (i)
(ii)		 171,882
0 		0
0 		615
0 		23,406
0 		14,256
0 		210,159
0 		0
0
(11) DEEGAN MARGARET (i)
(ii)		 207,482
0 		0
0 		615
0 		17,260
0 		0
0 		225,357
0 		0
0
(12) SHEPARD SETH (i)
(ii)		 190,529
0 		0
0 		615
0 		19,503
0 		0
0 		210,647
0 		0
0
(13) FRAMPTON SUSAN (i)
(ii)		 311,444
0 		0
0 		615
0 		22,224
0 		5,443
0 		339,726
0 		0
0
(14) D'SOUSA SEEMA (i)
(ii)		 184,006
0 		0
0 		345
0 		7,379
0 		14,256
0 		205,986
0 		0
0
(15) HALSTEAD EDWARD (i)
(ii)		 201,289
0 		0
0 		615
0 		53,826
0 		14,256
0 		269,986
0 		0
0
(16) NAWAZ HAQ (i)
(ii)		 246,631
0 		0
0 		615
0 		13,244
0 		14,256
0 		274,746
0 		0
0
(17) KUSTER GORDON (i)
(ii)		 129,126
0 		0
0 		345
0 		54,040
0 		0
0 		183,511
0 		0
0
(18) RANDALL L CARTER (i)
(ii)		 179,259
0 		0
0 		615
0 		9,793
0 		0
0 		189,667
0 		0
0
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
Schedule J (Form 990) 2010

Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
GRIFFIN HOSPITAL
 
Employer identification number
06-0647014
Part I
Bond Issues
(a) Issuer Name (b) Issuer EIN (c) CUSIP # (d) Date Issued (e) Issue Price (f) Description of Purpose (g) Defeased (h) On
Behalf of
Issuer 		(i) Pool
financing
Yes No Yes No Yes No
A CHEFA SERIES B
  		  02-01-2005 24,800,000 CONSTRUCTION OF NEW WING   X   X   X
B CHEFA SERIES C
  		  05-01-2007 23,125,000 CONSTRUCTION OF NEW CANCER CENTER & RENOVATION OF EMERGENCY DEPARTMENT   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired. . . . .        
2 Amount of bonds defeased . . . .        
3 Total proceeds of issue . . . . 25,769,812 22,982,209    
4 Gross proceeds in reserve funds . . 1,406,958 1,406,958    
5 Capitalized interest from proceeds.        
6 Proceeds in refunding escrow. . . . . 24,573,303      
7 Issuance costs from proceeds . . . 435,721 234,306    
8 Credit enhancement from proceeds.        
9 Working capital expenditures from proceeds . . 760,791 1,133,492    
10 Capital expenditures from proceeds . . 20,207,453 20,207,453    
11 Other spent proceeds . .        
12 Other unspent proceeds. . .        
13 Year of substantial completion . . . 1996 2010
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? X   X          
15 Were the bonds issued as part of an advance refunding issue?   X   X        
16 Has the final allocation of proceeds been made? . . X   X          
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . X   X          
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . .   X   X        
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . .   X   X        
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2010
Schedule K (Form 990) 2010
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use?   X   X        
b Are there any research agreements that may result in private business use of bond-financed property? . .   X   X        
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? .   X   X        
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . . SchKMediumBullet 0 % 0 %    
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . SchKMediumBullet 0 % 0 %    
6 Total of lines 4 and 5 . . .. . . . . . 0 % 0 %    
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities? X   X          
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .   X            
2 Is the bond issue a variable rate issue? X              
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue? X              
b Name of provider . WACHOVIA BANK
  		 
  		 
  		 
 
c Term of hedge . . 2037.000000000000      
d Was the hedge superintegrated? .   X            
e Was a hedge terminated? .   X            
4a Were gross proceeds invested in a GIC? .   X            
b Name of provider .  
  		 
  		 
  		 
 
c Term of GIC . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? .                
5 Were any gross proceeds invested beyond an available temporary period? .   X            
6 Did the bond issue qualify for an exception to rebate? . . .   X            
Schedule K (Form 990) 2010

Schedule K (Form 990) 2010
Page 3
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
Schedule K (Form 990) 2010

Additional Data


Software ID:  
Software Version:  

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
GRIFFIN HOSPITAL
 
Employer identification number

06-0647014
Identifier Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 6   GRIFFIN HOSPITAL IS A NON-STOCK CORPORATION THAT DOES NOT HAVE STOCKHOLDERS OR MEMBERS, BUT WHICH DOES HAVE A BOARD OF INCORPORATORS WHO SERVE AS REPRESENTATIVES OF THE COMMUNITY TO CARRY OUT THE EXEMPT AND CHARITABLE PURPOSES OF THE HOSPITAL.
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 11   FORM 990, INCLUDING SCHEDULE H, IS REVIEWED 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 THAT MIGHT AFFECT THE DISCLOSED CONFLICT. SUCH ACTIONS ARE DOCUMENTED IN BOARD MINUTES. ALL CONFLICTS ARE DISCLOSED TO BOARD MEMBERS AND CORPORATORS AT THE ANNUAL MEETING OF THE CORPORATION.
  FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION OF OFFICERS AND KEY EMPLOYEES ARE REVIEWED ANNUALLY BY THE COMPENSATION COMMITTEE WHICH IS A SUBCOMMITTEE OF THE HOSPITAL BOARD. THIS COMMITTEE SETS THE COMPENSATION FOR THE CEO BASED ON INDUSTRY DATA. COMPENSATION OF OTHER OFFICERS AND DIRECTORS IS SET BY THE CEO IN CONJUNCTION WITH THE HUMAN RESOURCE DEPARTMENT. AGAIN INDUSTRY COMPENSATION DATA IS THE BASIS FOR DETERMINING THE APPROPRIATENESS OF COMPENSATION. THE CEO REVIEWS WITH THE COMPENSATION COMMITTEE ALL OFFICERS AND DIRECTORS IN THE FIRST QUARTER OF THE CALENDAR YEAR.
  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.
CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -237,962. TRANSFERS BETWEEN AFFILIATES 799,271. MINIMUM PENSION LIABILITY ADJUSTMENT -17,771,550. CHANGE IN NET ASSETS OF AFFILIATE 47,053. CHANGE IN TEMPORARILY RESTRICTED NET ASSETS -134,300. CHANGE IN BENEFICIAL INTEREST IN TRUSTS -277,108. TOTAL TO FORM 990, PART XI, LINE 5: -17,574,596.
FORM 990, PART XI, LINE 2C:   THE BOARD OF TRUSTEES 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.
FORM 990, SCHEDULE H, PART VI, LINE 5   THROUGHOUT ITS HISTORY, GRIFFIN HAS FULFILLED ITS COMMITMENT AND DEMONSTRATED CONCERN ABOUT THE WELFARE OF OUR EMPLOYEES AND THE PATIENTS WE SERVE, COMMUNITY DEVELOPMENT AND HEALTH, HUMAN RIGHTS, EMPOWERING HEALTH CARE CONSUMERS THROUGH EDUCATION AND INFORMATION, PUBLIC REPORTING AND TRANSPARENCY, AND PROVIDING A COMMUNITY BENEFIT. THE BOARD OF DIRECTORS IS MADE UP OF MEDICAL AND BUSINESS PROFESSIONALS. THESE VOLUNTEERS GIVE COUNTLESS HOURS OF SERVICE TO THE HOSPITAL IN THEIR OVERSIGHT ROLE. THEY ARE INVOLVED IN THE COMMUNITY NEEDS ASSESSMENT PROCESS AND IN GENERAL STEWARDSHIP. GRIFFIN EMPLOYS 1,357, WITH 282 ACTIVE AND COURTESY MEMBERS OF ITS MEDICAL STAFF. IN THE 2011 FISCAL YEAR, GRIFFIN SERVED 7,494 INPATIENTS AND CLOSE TO 40,000 EMERGENCY DEPARTMENT PATIENTS. GRIFFIN IS THE LARGEST EMPLOYER IN THE LOWER NAUGATUCK VALLEY REGION. SALARIES AND BENEFITS PAID EXCEED $66 MILLION ANNUALLY. GRIFFIN HOSPITAL BENEFITS THE COMMUNITIES IT SERVES IN MYRIAD WAYS BY PROVIDING MORE THAN $900,000 IN COMMUNITY HEALTH IMPROVEMENT SERVICES, SUBSIDIZING THE CARE PROVIDED TO PATIENTS COVERED BY MEDICARE, MEDICAID, AND OTHER PUBLIC PROGRAMS BY APPROXIMATELY $12.8 MILLION, PROVIDING $2 MILLION OF FREE CARE AND PROVIDING HEALTH PROFESSION EDUCATION AT A COST OF $2 MILLION ANNUALLY TO HELP PREPARE THE NEXT GENERATION OF CAREGIVERS. IN TOTAL, GRIFFIN HOSPITAL PROVIDES OVER $18 MILLION IN COMMUNITY BENEFIT. THE GRIFFIN HOSPITAL DEVELOPMENT FUND STAFF WORKS TO GENERATE FINANCIAL SUPPORT FOR GRIFFIN HOSPITAL PRIORITIES BY PROMOTING MUTUALLY BENEFICIAL PARTNERSHIPS WITH CORPORATIONS, FOUNDATIONS AND OTHER PHILANTHROPIC ORGANIZATIONS. PARTNER ORGANIZATIONS PROVIDE THE HOSPITAL FINANCIAL AND PROGRAMMATIC ASSISTANCE FOR MANY PATIENT CARE SERVICES AND COMMUNITY OUTREACH PROGRAMS. THE COLLABORATION BETWEEN FOUNDATIONS AND GRIFFIN ENRICHES THE HOSPITAL AND BRINGS TO LIFE THE PHILANTHROPIC PRIORITIES OF THE FOUNDATION. FOUNDATIONS AND CORPORATIONS ARE VALUED PARTNERS IN ASSISTING THE HOSPITAL TO ACCOMPLISH ITS MISSION. GRIFFIN TAKES THESE ACTIVITIES INTO THE COMMUNITIES WHERE PATIENTS LIVE AND WORK. BY OFFERING A VARIETY OF SUPPORT GROUPS, TRAINING SESSIONS, EDUCATIONAL PROGRAMS, AND OTHER COMMUNITY-BASED RESOURCES AND ACTIVITIES, AND COLLABORATING WITH OTHER NON-PROFIT ORGANIZATIONS AND GOVERNMENT ENTITIES, GRIFFIN HAS EXTENDED ITS MISSION "TO PROVIDE LEADERSHIP TO IMPROVE THE HEALTH OF THE COMMUNITY SERVED" FAR BEYOND THE HOSPITALS WALLS TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF PEOPLE OF ALL AGES. THIS IS CONSISTENT WITH ONE OF THE PLANETREE MODEL'S TEN COMPONENTS: "HEALTHY COMMUNITIES - WORKING WITH SCHOOLS, SENIOR CENTERS, CHURCHES AND OTHER COMMUNITY PARTNERS, HOSPITALS ARE REDEFINING HEALTHCARE TO INCLUDE THE HEALTH AND WELLNESS OF THE LARGER COMMUNITY." GRIFFIN'S BOARD OF DIRECTORS AND SENIOR MANAGEMENT ARE IN THE PROCESS OF DEVELOPING GRIFFIN HOSPITAL'S STRATEGIC PLAN FOR THE 2010 - 2012 PERIOD. THE CURRENT STRATEGIC PLAN INCLUDES AN INITIATIVE RELATED TO TRANSPARENCY, WITH WORK BEING DONE BY MANAGEMENT FOR INCREASED PUBLIC REPORTING ON THE GRIFFIN WEB SITE. CORPORATE SOCIAL RESPONSIBILITY COMMITTEE - FORMALIZES THE STRUCTURE AND EXPAND MEMBERSHIP OF THE GRIFFIN HOSPITAL GREEN INITIATIVE TO ENCOMPASS CORPORATE SOCIAL RESPONSIBILITY; CHILDHOOD OBESITY INITIATIVE - DEVELOP A VALLEY-WIDE, SCHOOL BASED, CHILDHOOD OBESITY PROGRAM TO REDUCE THE PREVALENCE OF OBESITY IN STUDENTS 6 TO 16 YEARS OLD. APPROACH FOCUSES ON EDUCATION, INCREASED AVAILABILITY OF HEALTHY CAFETERIA FOODS AND INCREASED PHYSICAL ACTIVITIES. THE PROGRAM WILL PROMOTE THE USE OF STEW LEONARD'S "THE HEALTHY WAY" TO TEACH YOUNG CHILDREN HOW TO INCORPORATE HEALTHY EATING AND ACTIVITY IN A FUN AND ENGAGING WAY; ADOPT THE FOOD BANKS - COMMIT TO AN ANNUAL YEAR LONG PROGRAM TO SUPPORT THE LOCAL FOOD BANKS, INCLUDING THE SPOONER HOUSE, BY CONDUCTING REGULAR FOOD DRIVES AND DEVELOPING OTHER HOSPITAL AND COMMUNITY INITIATIVES THAT RESULT IN SUPPLYING FOOD TO THE FOOD BANKS; DEPARTMENT OF COMMUNITY OUTREACH AND PARISH NURSING - GRIFFIN COORDINATES THE PROGRAM OUT OF ITS DEPARTMENT OF COMMUNITY OUTREACH AND PARISH NURSING. THE DEPARTMENT HAS 5 EMPLOYEES WHO SUPPORT THE 75 VOLUNTEER PARISH NURSES AND 320 VOLUNTEERS WHO SERVE ON THE HEALTHCARE CABINETS OF THE CHURCHES. THE DEPARTMENT'S ANNUAL OPERATING BUDGET IS ENRICHED BY SIX GRANTS TOTALING $70,850 FROM GOVERNMENT AND PRIVATE FUNDERS; THE MOBILE HEALTH RESOURCE CENTER - A 31 FOOT CUSTOM BUILT WINNEBAGO WAS PURCHASED AT A COST OF $190,000 WITH GRANT FUNDS FROM FIVE BENEFACTORS. THE NEW RESOURCE CENTER REPLACED AN EARLIER SIX YEAR OLD VEHICLE. THE CENTER VISITED SENIOR CENTERS, SHOPPING CENTERS, NEIGHBORHOODS, COMPANIES AND COMMUNITY EVENTS AND FAIRS. IT IS A STATE OF THE ART VEHICLE WITH SIGNIFICANTLY INCREASED FEATURES AND CAPABILITIES, INCLUDING EXTERNAL AND INTERNAL TELEVISIONS, A SINK AND REFRIGERATOR FOR HEALTH SCREENING PROCEDURES, A COMPUTER WORK STATION AND LAPTOP WITH WIRELESS INTERNET ACCESS AND EXTERNAL GRAPHICS HIGHLIGHTING THE DERBY PUBLIC RIVERWALK. THE MOBILE HEALTH RESOURCE CENTER FOCUSES ON PREVENTIVE HEALTH SERVICES AND PROVIDING HEALTH EDUCATION AND SCREENING SERVICES TO NEIGHBORHOODS, COMMUNITY EVENTS, HEALTH FAIRS, SHOPPING CENTERS AND BUSINESSES/COMPANIES. IT OFFERS HEALTH EDUCATION USING THE INTERNET, COMPUTER SOFTWARE PROGRAMS AND AN ARRAY OF HEALTH RELATED BOOKS, PUBLICATIONS AND AUDIO AND VIDEOTAPES. IT IS EQUIPPED WITH CHOLESTEROL, OSTEOPOROSIS, DIABETES AND BLOOD PRESSURE SCREENING EQUIPMENT, AS WELL AS A TELEVISION AND VCR; AED PLACEMENT AT PUBLIC SITES - THE GRIFFIN HOSPITAL VALLEY PARISH NURSE PROGRAM COORDINATED OBTAINING FUNDING FOR THE PURCHASE OF AUTOMATED EXTERNAL DEFIBRILLATORS (AED'S), AND HAS PLACED 65 AED'S AT PUBLIC NON-PROFIT PUBLIC ACCESS DEFIBRILLATOR SITES IN THE COMMUNITY. GRIFFIN HOSPITAL ALSO PLACED SIX AED'S IN PUBLIC AND WORK AREAS, INCLUDING THE MAIN LOBBY AND THE CAFETERIA. AED'S ARE USER FRIENDLY, HEART SHOCKING DEVICES THAT CAN BE USED BY ANYONE TO TREAT SOMEONE SUFFERING AN EMERGENCY CARDIAC ARREST; SUPPORT GROUPS - AS PART OF GRIFFIN'S HOLISTIC, COMMUNITY-BASED APPROACH TO HEALTHCARE, THE HOSPITAL DEVOTES SIGNIFICANT TIME AND ATTENTION TO SUPPORT GROUPS. THE CARING AND SHARING OF SUPPORT GROUPS HAVE BEEN SHOWN TO PLAY AN IMPORTANT ROLE IN MAINTAINING WELLNESS BY HELPING PATIENTS AND THEIR FAMILIES DEAL WITH A CHRONIC ILLNESS OR OTHER HEALTH-RELATED CONDITIONS. THE POSITIVE INTERACTION, INCLUDING HEARING THE EXPERIENCES OF OTHER PEOPLE, IS A CENTRAL PART OF CHANGING ATTITUDES AND BEHAVIOR. THE NEWEST INFORMATION IN TREATMENT OR COPING CAN BE SHARED. OFTEN, GROUP MEMBERS EXPRESS RELIEF THAT THEY HAVE FOUND OTHERS WHO UNDERSTAND, THROUGH PERSONAL EXPERIENCE, AND WHO CARE. FEARS AND DOUBTS CAN BE OPENLY EXPRESSED, AND PEER SUPPORT CAN BE AN INVALUABLE AID. AMONG THE SUPPORT GROUPS OFFERED AT GRIFFIN HOSPITAL ARE THOSE FOR BEREAVEMENT, BREAST CANCER AND OTHER FORMS OF CANCER, DIABETES, FIBROMYALGIA, NURSING MOTHERS, SLEEP APNEA, MULTIPLE SCLEROSIS, AND HEART DISEASE. A SPECIAL TWO PART PROGRAM IS OFFERED IN NOVEMBER AND DECEMBER ON "COPING WITH GRIEF DURING THE HOLIDAYS" EACH YEAR. EACH SUPPORT GROUP IS CHAIRED BY A HEALTHCARE PROFESSIONAL SPECIALIZING IN THAT AREA OF CARE; GRIFFIN HOSPITAL HEALTH RESOURCE CENTER - IN ADDITION TO PROVIDING A LARGE ARRAY OF SERVICES IN THE COMMUNITY, GRIFFIN ALSO MAKES EXTENSIVE HEALTHCARE RESOURCES AVAILABLE TO THE PUBLIC IN-HOUSE. THE HOSPITAL'S HEALTH RESOURCE CENTER, WHICH HOUSES ONE OF THE LARGEST COLLECTIONS OF CONSUMER HEALTH INFORMATION IN THE COUNTRY, HAS NEARLY 15,000 USERS EACH YEAR. THE HRC IS AN EASY-TO-USE, COMPREHENSIVE, AND UP-TO-DATE SOURCE OF MEDICAL INFORMATION, MUCH OF WHICH IS NOT EASILY AVAILABLE IN OTHER COMMUNITY LIBRARIES. STAFF ASSISTS VISITORS IN RESEARCHING MEDICAL CONDITIONS AND IN PERFORMING WEB SEARCHES ON A LARGE NUMBER OF MEDICAL TOPICS. THE HRC IS A COMPONENT OF THE PLANETREE CARE MODEL, AND A COMMITMENT OF PLANETREE HOSPITALS, INCLUDING GRIFFIN, TO EMPOWER PEOPLE BY PROVIDING INFORMATION AND EDUCATION. THE HRC IS INTEGRATED INTO GRIFFIN'S EXTENSIVE MEDICAL LIBRARY, WHICH IS USED PRIMARILY BY PHYSICIANS AND OTHER HEALTHCARE PROFESSIONALS, BUT IS ALSO OPEN TO LAYPERSONS SEEKING MORE IN-DEPTH MEDICAL INFORMATION. THE HRC STAFF CAN ALSO ACCESS COMPUTER DATABASES THAT PROVIDE COMPREHENSIVE INDEXING AND ABSTRACTS FOR HEALTH-RELATED PERIODICALS AND JOURNALS. THE HRC ALSO HAS MULTIPLE PRIVATE DATABASES NOT AVAILABLE ON THE INTERNET, AND HAS ADDED MD CONSULT AND NURSING CONSULT, LEADING SOURCES OF ONLINE HEALTHCARE INFORMATION, WITH RESOURCES AVAILABLE IN SPANISH AND OTHER LANGUAGES; MINI MED SCHOOL - AS PART OF ITS COMMITMENT OF HEALTH EDUCATION AND COMMUNITY HEALTH EMPOWERMENT, GRIFFIN HOSPITAL OFFERS SPRING AND FALL SESSIONS OF ITS 10-WEEK MINI MED SCHOOL PROGRAM EVERY YEAR. THE FREE SESSIONS ARE TYPICALLY ATTENDED BY MORE THAN 80 COMMUNITY RESIDENTS, AND FEATURE A ROBUST CURRICULUM AND LECTURES
FORM 990, SCHEDULE H, PART VI, LINE 5 (CONTINUED)   BY MORE THAN A DOZEN MEMBERS OF THE HOSPITAL'S MEDICAL STAFF THAT SERVE AS FACULTY. GRIFFIN ADDED AN 8-WEEK ADVANCED MINI MED SCHOOL SESSION THIS SPRING, WHICH WAS ATTENDED BY 60 MINI MED SCHOOL "GRADUATES", AND FEATURED CASE PRESENTATIONS BY SPECIALISTS, SIMILAR IN FORMAT TO THOSE GIVEN TO ACTUAL MEDICAL STUDENTS. FEEDBACK FROM THIS INITIAL ADVANCED SESSION WAS OVERWHELMINGLY POSITIVE. YALE-GRIFFIN PREVENTION RESEARCH CENTER ESTABLISHED IN 1998 - THE YALE-GRIFFIN PREVENTION RESEARCH CENTER (PRC) IS A COLLABORATION BETWEEN YALE UNIVERSITY AND GRIFFIN HOSPITAL. ONE OF ONLY 33 SUCH CENTERS ACROSS THE COUNTRY, GRIFFIN'S IS THE ONLY ONE BASED AT A HOSPITAL. FUNDED BY THE FEDERAL CENTERS FOR DISEASE CONTROL AND PREVENTION, THE NATIONAL INSTITUTES OF HEALTH, FOUNDATIONS, AND PRIVATE INDUSTRY, THE PRC'S RESEARCH PORTFOLIO IS DIVERSE, WITH THE EMPHASIS ON COMMUNITY-BASED ISSUES. ITS MANY AREAS OF FOCUS ARE NUTRITION, PREVENTIVE CARDIOLOGY AND PHYSICAL ACTIVITY. IT ALSO CONDUCTED RESEARCH ON COMPLEMENTARY AND ALTERNATIVE MEDICINE (CAM), CHRONIC DISEASE MANAGEMENT AND OBESITY PREVENTION; YALE-GRIFFIN PRC COMMUNITY HEALTH PROFILE - THE YALE-GRIFFIN PRC PRODUCES A BI-ANNUAL COMMUNITY HEALTH PROFILE FOR THE SIX TOWN REGION SERVED BY GRIFFIN HOSPITAL. THE PROFILE REPORTS DISEASE SPECIFIC MORTALITY RATES AND OTHER HEALTH AND SOCIAL INDICATOR DATA AND COMPARES THEM TO STATE RATES. THE REPORT IS WIDELY USED BY VALLEY COUNCIL OF HEALTH AND HUMAN SERVICE ORGANIZATIONS TO IDENTIFY NEEDS AND DEVELOP INTERVENTIONS. IT IS ALSO USED BY NON-PROFITS AND GOVERNMENT ENTITIES AS JUSTIFICATION IN GRANT APPLICATIONS. THE YALE-GRIFFIN PRC BEGAN PRODUCING A SIMILAR REPORT FOR THE CITIES OF NEW HAVEN AND HARTFORD, AND WAS ASKED BY THE POMPERAUG HEALTH DISTRICT TO PRODUCE A SIMILAR REPORT FOR THE TOWNS IN THEIR SERVICE AREA, WHICH INCLUDES SOUTHBURY, OXFORD AND WOODBURY, CONNECTICUT. THE PRC DOES NOT CHARGE FOR THE REPORTS. PERFORMING STUDIES AND COLLECTING DATA IS PART OF THE PRC'S MISSION. THE OTHER PART IS WORKING CLOSELY WITH COMMUNITIES, USING THE RESULTS OF PREVENTION RESEARCH, TO INFORM AND EMPOWER LOCAL RESIDENTS. AT GRIFFIN, WE BELIEVE THAT FOR HEALTH RESEARCH TO SUCCEED, YOU NEED BOTH TO BE ABLE TO MAKE A DIFFERENCE IN THE COMMUNITY AND TO MEASURE THE DIFFERENCE YOU MAKE. THE PREVENTION RESEARCH CENTER EXCELS IN BOTH AREAS, CREATING A POWERFUL FORMULA FOR POSITIVE CHANGE FOR THE DEVELOPMENT OF THE PROFILES; NEW-VALLEY CARES - COMMUNITY ASSESSMENT, RESEARCH & EDUCATION FOR SOLUTIONS - GRIFFIN HOSPITAL AND THE YALE-GRIFFIN PREVENTION RESEARCH CENTER ARE SUPPORTING A COLLABORATIVE INITIATIVE "NEW-VALLEY CARES", A COMMUNITY ASSESSMENT AND PLANNING EFFORT SPONSORED BY THE VALLEY COUNCIL OF HEALTH AND HUMAN SERVICE ORGANIZATIONS. THE COUNCIL RECOGNIZED THE NEED TO DEVELOP AN ON-GOING SYSTEM FOR ACCESSING INFORMATION ABOUT QUALITY OF LIFE IN THE VALLEY COMMUNITY. VALLEY CARES INCLUDES TWO MAIN GOALS: TO IMPROVE THE LOCAL CAPACITY TO TRACK INFORMATION ABOUT KEY QUALITY OF LIFE INDICATORS SO THAT VALLEY RESIDENTS, ORGANIZATIONS, AND STAKEHOLDERS HAVE ON-GOING ACCESS TO INFORMATION ABOUT COMMUNITY STRENGTHS AND CHALLENGES; AND TO DISSEMINATE INFORMATION ABOUT VALLEY QUALITY OF LIFE BROADLY WITHIN THE COMMUNITY AND ENGAGE COMMUNITY MEMBERS IN ANALYZING ASSESSMENT FINDINGS AND PLANNING SOLUTIONS TO IDENTIFIED COMMUNITY CHALLENGES. THE YALE-GRIFFIN PREVENTION RESEARCH CENTER, WHICH IS A COUNCIL MEMBER AGENCY ALONG WITH GRIFFIN HOSPITAL, WITH EXTENSIVE EXPERIENCE IN COMPILING THE VALLEY COMMUNITY HEALTH PROFILE, HAS EXPANDED ITS RESEARCH TO INCLUDE INFORMATION ON INDICATORS BEYOND HEALTH. THE COUNCIL ALSO CONTRACTED A SURVEY RESEARCH FIRM TO CONDUCT A COMMUNITY SURVEY TO OBTAIN INFORMATION ABOUT RESIDENT VIEWS. THE TOPICS TO BE COVERED IN THE VALLEY CARES COMMUNITY ASSESSMENT REPORT INCLUDE: CREATING A COMMUNITY CONTEXT THAT ALLOWS RESIDENTS TO THRIVE (EMPLOYMENT & ECONOMIC INDICATORS, HOUSING, TRANSPORTATION), PROVIDING EDUCATION AND TRAINING FOR LIFE LONG SUCCESS, PRESERVING THE NATURAL ENVIRONMENT, ENSURING RESIDENT SAFETY, PROMOTING SOCIAL AND EMOTIONAL WELL BEING, ADVANCING COMMUNITY HEALTH, OFFERING ARTS, CULTURE, AND RECREATION, AND FOSTERING COMMUNITY HARMONY AND ENGAGEMENT; YALE-GRIFFIN PRC NUTRITION DETECTIVES PROGRAM - IN AN ATTEMPT TO HELP CURB THE INCIDENCE OF CHILDHOOD OBESITY, DR. DAVID KATZ, DIRECTOR OF THE YALE-GRIFFIN PREVENTION RESEARCH CENTER, PROVIDED COMPLIMENTARY COPIES OF THE NUTRITION DETECTIVES DVD TO ALL SCHOOL DISTRICT SUPERINTENDENTS IN CONNECTICUT. NUTRITION DETECTIVES IS A 90-MINUTE, NUTRITION PROGRAM DESIGNED FOR ELEMENTARY SCHOOL AGED CHILDREN. DR. KATZ DEVELOPED THE PROGRAM TO HELP ADDRESS THE GROWING EPIDEMIC OF OBESITY IN CHILDREN. THROUGH A NEW DVD FORMAT CHILDREN ARE TAKEN INTO A "MAGICAL CLASSROOM." THROUGH SPECIAL EFFECTS AND SIMULATION, SIX STUDENTS IN THE "MAGICAL CLASSROOM" ARE CONVERTED INTO "CERTIFIED" NUTRITION DETECTIVES. THE DVD TAKES THE VIEWING AUDIENCE ON A HEALTH PROMOTING JOURNEY. THE DVD TEACHES VALUABLE LESSONS ABOUT THE IMPORTANCE OF EATING WELL, WITH AN EMPHASIS ON PRACTICAL SKILLS NEEDED TO IDENTIFY AND CHOOSE NUTRITIOUS FOODS. THE PROGRAM TEACHES CHILDREN TO BE "CLUED IN" TO HEALTH, AND GIVES THEM 5 ESSENTIAL CLUES A "NUTRITION DETECTIVE" NEEDS TO GET RIGHT TO THE TRUTH ABOUT NUTRITION ON ANY FOOD PACKAGES; SEE PAST DECEPTIVE MARKETING CLAIMS; DISTINGUISH WHOLE GRAIN FOODS FROM REFINED GRAINS; AND RECOGNIZE THE IMPORTANCE OF EATING NATURAL WHOLE FOODS SUCH AS FRUITS AND VEGETABLES; SCHOOL-BASED HEALTH CENTER - FROM ITS INCEPTION MORE THAN A DECADE AGO, GRIFFIN HOSPITAL PERSONNEL, THE ANSONIA BOARD OF EDUCATION, AND ANSONIA HIGH SCHOOL STAFF WORKED COLLABORATIVELY TO CREATE THE CHARGER HEALTH CLINIC TO PROVIDE COMPREHENSIVE PHYSICAL AND MENTAL HEALTH SERVICES TO THE SCHOOL'S STUDENTS. THE TEAM OF HEALTH PROFESSIONALS PROVIDES SERVICES TO PREVENT AND REDUCE HIGH RISK BEHAVIORS, ASSESS AND TREAT ACUTE AND CHRONIC ILLNESSES, AND PROVIDE HEALTH EDUCATION. THE CLINIC HAS MORE THAN 900 STUDENT VISITS EACH YEAR. CHARGER HEALTH CLINIC OUTCOMES INCLUDE MONEY SAVED BY PREVENTING HOSPITALIZATIONS AND EMERGENCY DEPARTMENT VISITS FOR CHILDREN WITH ASTHMA, INCREASED ACCESS TO MENTAL HEALTHCARE FOR CHILDREN, AND GREATER OVERALL ACCESS TO PREVENTIVE CARE; GO GREEN INITIATIVE - GRIFFIN'S PATIENT CENTERED CARE COUNCIL UNDERTOOK A NUMBER OF INITIATIVES TO PROMOTE SOCIAL RESPONSIBILITY TO THE COMMUNITY. AMONG THEM WAS THE "GRIFFIN GOES GREEN" PROGRAM TO INCREASE THE HOSPITAL'S USE OF DISPOSABLE MATERIAL WHILE ALSO INCREASING AWARENESS ABOUT THE NEED TO RECYCLE; GRIFFIN HOSPITAL SENIOR MEALS CHOICE PROGRAM - PARTNERSHIP WITH TEAM INC., THE COMMUNITY'S ANTI-POVERTY AGENCY, THE GRIFFIN HOSPITAL "SENIORS MEALS CHOICE" NUTRITION PROGRAM IS AVAILABLE TO INDIVIDUALS 60 YEARS OF AGE OR OLDER, OR THE SPOUSE OF AN ELIGIBLE INDIVIDUAL, REGARDLESS OF AGE. THE PROGRAM OFFERS TASTY, FULL COURSE MEALS AT THE GRIFFIN HOSPITAL DINING CENTER. PARTICIPATION IN THE PROGRAM CONTINUES TO GROW. SENIORS ARE THRILLED WITH THE NUTRITIONALLY BALANCED SELECTIONS AVAILABLE, AND ALTHOUGH MOST CONTRIBUTE THE THREE DOLLARS AS SUGGESTED, THERE IS A SMALL PERCENTAGE WHO CONTRIBUTE LESS. CONTRIBUTIONS ARE REINVESTED IN THE PROGRAM TO SUPPLEMENT AND EXPAND NUTRITION SERVICES. MEALS ARE AVAILABLE TUESDAY AND WEDNESDAY NIGHTS AND THURSDAY LUNCH; COMMUNITY ADVISORY COMMITTEE - GRIFFIN HOSPITAL FORMED A COMMUNITY ADVISORY COUNCIL TO ENGAGE THE COMMUNITY AND GET MEANINGFUL FEEDBACK ABOUT THE HOSPITAL'S SERVICES. THROUGHOUT ITS HISTORY, GRIFFIN'S MOST INNOVATIVE PROGRAMS HAVE BEEN DEVELOPED USING INSIGHTS GLEANED FROM PATIENTS AND FAMILY MEMBER FOCUS GROUPS. THE COMMUNITY ADVISORY COUNCIL WAS A NATURAL NEXT STEP FOR GRIFFIN AS A WAY TO SOLICIT THE PATIENT'S PERSPECTIVE OF CARE, PROGRAMS AND SERVICES, AND TO IDENTIFY COMMUNITY NEEDS ON AN ONGOING BASIS; FOUNDING THE VALLEY COUNCIL OF HEALTH AND HUMAN SERVICE ORGANIZATIONS - GRIFFIN WAS ALSO THE LEADER IN ESTABLISHING THE VALLEY COUNCIL OF HEALTH AND HUMAN SERVICE ORGANIZATIONS, WHICH HAS BECOME A MODEL FOR MANY OTHER COMMUNITIES. THE VALLEY COUNCIL IS A COOPERATIVE VENTURE LINKING APPROXIMATELY 50 NON-PROFIT HEALTH & HUMAN SERVICE PROVIDERS THROUGHOUT THE VALLEY. ITS MISSION IS TO IDENTIFY, PLAN, IMPLEMENT, AND COORDINATE A COMPREHENSIVE SYSTEM OF HUMAN SERVICE DELIVERY AND TO ADVOCATE FOR COMMUNITY-WIDE AND CULTURALLY DIVERSE PLANNING APPROACHES IN THE LARGER VALLEY COMMUNITY. DECISION MAKERS FROM EACH OF THE ACTIVE MEMBERS MEET MONTHLY. THE COUNCIL'S OBJECTIVES ARE TO: 1. ENGAGE IN PERIODIC ASSESSMENT AND IDENTIFICATION OF LOCAL SERVICE NEEDS, INCLUDING CLIENT INPUT; 2. COLLABORATIVELY EVALUATE CURRENT SERVICES, IDENTIFY GAPS, AND STRATEGIZE ON HOW TO FILL GAPS IN SERVICES; 3. SERVE AS THE PRIMARY PLANNING AND COORDINATING BODY FOR THE REGIONS' SERVICE PROVISION SYSTEM; 4. PROVIDE A PLACE FOR SUPPORT AND NETWORKING AMONG THE VALLEY HUMAN SERVICES COMMUNITY;
FORM 990, SCHEDULE H, PART VI, LINE 5 (CONTINUED)   5. ADVOCATE FOR THE NEEDS OF LOCAL RESIDENTS AND FOR RESOURCES TO MEET THOSE NEEDS ON A LOCAL, STATE, AND FEDERAL LEVEL; AND 6. SEEK TO DEVELOP PARTNERSHIPS WITH OTHER COMMUNITY SYSTEMS (I.E., SCHOOLS, BUSINESSES, STATE AND LOCAL GOVERNMENTS, PUBLIC SAFETY) TO ENHANCE SERVICE DELIVERY. GRIFFIN REMAINS AN ACTIVE MEMBER OF THE COUNCIL. NOT ONLY IS GRIFFIN HOSPITAL A CONTINUING MEMBER, THE VALLEY PARISH NURSE PROGRAM AND THE YALE-GRIFFIN PREVENTION RESEARCH CENTER ALSO ARE MEMBERS; HEALTHY VALLEY HEALTHY COMMUNITY PROJECT - GRIFFIN HOSPITAL WAS ONE OF THE FOUNDERS OF HEALTHY VALLEY AND WAS THE ONLY CORPORATE FUNDING SPONSOR. HEALTHY VALLEY, LAUNCHED IN 1994, WAS CONNECTICUT'S FIRST HEALTHY COMMUNITY PROJECT, AND RECEIVED RECOGNITION AND AWARDS AS A MODEL FOR OTHER COMMUNITIES ACROSS THE COUNTRY. DURING ITS DEVELOPMENT, IT WAS A GRASSROOTS INITIATIVE INVOLVING OVER 200 STAKEHOLDERS. THE COMMUNITY'S GOAL WAS TO USE RESEARCH, QUANTITATIVE DATA AND A BROAD-BASED VISIONING AND PARTICIPATORY PROCESS TO IDENTIFY AND GAIN CONSENSUS ON PRIORITY COMMUNITY NEEDS AND PROBLEMS, AND IDENTIFY RESOURCES TO ADDRESS THEM. THE GOAL OF THE HEALTHY VALLEY PROJECT IS TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF RESIDENTS BY MAKING THE VALLEY A BETTER PLACE IN WHICH TO LIVE, WORK, SHOP AND ENJOY LIFE. GRIFFIN'S LEADERSHIP AND EMPLOYEES WERE ACTIVE MEMBERS OF THE ORGANIZATION'S STAKEHOLDER GROUP. GRIFFIN VICE PRESIDENT BILL POWANDA, CHAIR OF THE HEALTHY VALLEY STEERING COMMITTEE, WAS INVITED TO PRESENT AT THE PRESIDENTS' SUMMIT FOR AMERICA'S FUTURE AND THE HOFSTRA UNIVERSITY CONFERENCE ON THE PRESIDENCY OF GEORGE H. W. BUSH. HEALTHY VALLEY WAS DESIGNATED "A POINT OF LIGHT" BY PRESIDENT BUSH. THE HEALTHY VALLEY RESEARCH IDENTIFIED THAT COLON CANCER, BREAST CANCER AND PROSTATE CANCER DEATHS WERE SIGNIFICANTLY HIGHER THAN THE STATE AVERAGE AS A RESULT OF LOW RATES OF SCREENING AND PRIMARY CARE ACCESS. GRIFFIN INITIATED AND CONTINUES A SERIES OF INITIATIVES INVOLVING MULTIPLE COMMUNITY ORGANIZATIONS AND AGENCIES TO INCREASE SCREENING RATES. THE HEALTHY VALLEY PROJECT CONTINUES TODAY; OTHER SPECIAL INITIATIVES GRIFFIN HOSPITAL ENGAGES IN INCLUDE: LEADERSHIP AND PARTICIPATION IN THE VALLEY YMCA'S CORPORATE CUP COMPETITION; HOSTING THE ANNUAL CANCER SURVIVORS DAY CELEBRATION; AND, HEALTH PROFESSIONS EDUCATION; COMMUNITY OUTREACH BY THE HOSPITAL'S OCCUPATIONAL MEDICINE CENTER, WHICH MAKES APPROPRIATE REFERRALS TO COMMUNITY RESOURCES AT ITS EMPLOYER CLIENTS' WORKSITES.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2010

Additional Data


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SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
GRIFFIN HOSPITAL
 
Employer identification number

06-0647014
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income
(e)
End-of-year assets


 		(f)
Direct controlling
entity

















Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled organization
Yes No
(1) GRIFFIN HEALTH SERVICES CORPORATION

130 DIVISION STREET

DERBY,CT06418
22-2560257 		HOLDING COMPANY CT 501(C)(3) 509(A)(3)(B)(I) N/A
 
No
(2) GRIFFIN FACULTY PRACTICE PLAN INC

130 DIVISION STREET

DERBY,CT06418
06-1463147 		MEDICAL/EDUCATION CT 501(C)(3) 509(A)(2) N/A
 
No
(3) THE GRIFFIN HOSPITAL DEVELOPMENT FUND

130 DIVISION STREET

DERBY,CT06418
22-2560254 		FUND RAISING CT 501(C)(3) 509(A)(1) N/A
 
No
(4) PLANETREE INC

130 DIVISION STREET

DERBY,CT06418
06-1505284 		EDUCATION CT 501(C)(3) 509(A)(2) N/A
 
No
(5) GRIFFIN PHARMACY & GIFT

130 DIVISION STREET

DERBY,CT06418
22-2560257 		PHARMACY CT 501(C)(3) 509(A)(2) N/A
 
No




For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization



 		(b)
Primary activity



 		(c)
Legal domicile
(state or
foreign
country)
 		(d)
Direct controlling
entity


 		(e)
Type of entity
(C corp, S corp,
or trust)

 		(f)
Share of total income



 		(g)
Share of
end-of-year
assets

 		(h)
Percentage
ownership
(1) GH VENTURES INC
130 DIVISION STREET
DERBY,CT06418
22-2560247 		MANAGE MEDICAL BILLING CT N/A
 C      
(2) HEALTHCARE ALLIANCE INSURANCE COMPANY LTD
171 ELGIN AVENUE
GEORGETOWN    
CJ
OFFSHORE CAPTIVE CJ N/A
 C      
(3) CT PRACTICE MANAGEMENT INC
130 DIVISION STREET
DERBY,CT06418
06-1152819 		INACTIVE CT N/A
 C      








Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III or IV.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
 
No
d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
Yes
 
e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
Yes
 
f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
 
No
q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
 
No
r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type(a-r) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) HEALTHCARE ALLIANCE INSURANCE COMPANY LTD

 O 4,133,299 ACTUAL CASH
(2) GRIFFIN PHARMACY AND GIFT

 O 433,000 ACTUAL CASH
(3) GH VENTURES INC

 O 318,000 ACTUAL CASH
(4) GRIFFIN DEVELOPMENT FUND

 O 498,000 ACTUAL CASH
(5) PLANETREE INC

 O 1,653,000 ACTUAL CASH
(6) GRIFFIN HOSPITAL DEVELOPMENT FUND

 R 825,000 ACTUAL CASH
(7) GRIFFIN HEALTH SERVICES CORP

 R 5,315,000 ACTUAL CASH
(8) GRIFFIN HEALTH SERVICES CORP

 Q 1,000,000 ACTUAL CASH
(9) PLANETREE INC

 R 1,800,000 ACTUAL CASH
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Are all
partners
section
501(c)(3)
organizations? 		(e)
Share of
end-of-year
assets 		(f)
Disproprtionate allocations? 		(g)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065) 		(h)
General or
managing
partner?
Yes No Yes No Yes No






























Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
Additional Data


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