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
GREENWICH HOSPITAL
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
5 PERRYRIDGE ROAD
 
Room/suite
City or town, state or country, and ZIP + 4
GREENWICH, CT06830
D Employer identification number

06-0646659
E Telephone number

G Gross receipts $ 323,270,472
F Name and address of principal officer:
FRANK CORVINO
5 PERRYRIDGE ROAD
GREENWICH,CT06830
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.GREENHOSP.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: 1903
M State of legal domicile: CT
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: TO PROVIDE HEALTHCARE SERVICES.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) .... 3 27
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 23
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 2,157
6 Total number of volunteers (estimate if necessary) .... 6 783
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 7,563,868
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b  
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 5,545,544 7,821,256
9 Program service revenue (Part VIII, line 2g) ......... 279,085,742 297,010,149
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... -326,869 173,082
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 19,613,988 13,102,688
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 303,918,405 318,107,175
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 423,500 228,900
14 Benefits paid to or for members (Part IX, column (A), line 4) ....   0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 152,981,119 170,464,251
16a Professional fundraising fees (Part IX, column (A), line 11e)....   0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet1,260,344    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 136,236,195 138,601,239
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 289,640,814 309,294,390
19 Revenue less expenses. Subtract line 18 from line 12...... 14,277,591 8,812,785
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 422,866,394 419,099,368
21 Total liabilities (Part X, line 26)............ 140,304,830 152,754,147
22 Net assets or fund balances. Subtract line 21 from line 20 ..... 282,561,564 266,345,221
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: TO PROVIDE HEALTHCARE SERVICES.
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 $ 215,931,939 including grants of $ 228,900 ) (Revenue $ 309,708,795 )
SEE SCHEDULE O GREENWICH HOSPITAL, FOUNDED IN 1903, IS A 206-BED COMMUNITY TEACHING HOSPITAL THAT HAS EVOLVED INTO A PROGRESSIVE REGIONAL HEALTH CARE CENTER, AVERAGING MORE THAN 13,000 INPATIENT DISCHARGES AND 2,100 BIRTHS A YEAR. THE HOSPITAL OFFERS A WIDE RANGE OF MEDICAL, SURGICAL, DIAGNOSTIC, INTEGRATIVE MEDICINE AND WELLNESS PROGRAMS, AS WELL AS MEDICAL INNOVATIONS FROM ROBOTIC SURGERY TO SOPHISTICATED DIAGNOSTIC IMAGING TO NATIONAL CLINICAL TRIALS. THE GREENWICH DELIVERY NETWORK SERVES FAIRFIELD AND WESTCHESTER, NEW YORK COUNTIES. GREENWICH HOSPITAL, A MEMBER OF YNHHS SINCE 1998, IS A LEADER IN SERVICE EXCELLENCE, CONSISTENTLY RANKING IN THE TOP FIVE PERCENT NATIONALLY FOR PATIENT SATISFACTION. THE MAIN CAMPUS INCLUDES THE HELMSLEY MEDICAL BUILDING AND WATSON PAVILION. OTHER SPECIALIZED SERVICES INCLUDE THE BENDHEIM CANCER AND BREAST CENTERS, ENDOSCOPY CENTER, LEONA M. AND HARRY B. HELMSLEY AMBULATORY MEDICAL CENTER, THE RICHARD R. PIVIROTTO CENTER FOR HEALTHY LIVING AND THE GREENWICH HOSPITAL DIAGNOSTIC CENTER IN STAMFORD. DURING FISCAL YEAR (FY) 2011, GREENWICH HOSPITAL PROVIDED APPROXIMATELY 25.8 MILLION IN COMMUNITY BENEFITS. THIS FIGURE INCLUDES 19.8 MILLION DOLLARS IN CHARITY CARE AND UNDER REIMBURSED MEDICAID (AT COST), 2.6 MILLION IN HEALTH PROFESSIONS EDUCATION AND 3.4 MILLION IN COMMUNITY HEALTH IMPROVEMENT AND EDUCATION ACTIVITIES, SUBSIDIZED SERVICES, RESEARCH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS. AN ADDITIONAL 1.0 MILLION WAS PROVIDED IN THE AREA OF COMMUNITY BUILDING ACTIVITIES, WHICH INCLUDED SUPPORT FOR ECONOMIC DEVELOPMENT, ENVIRONMENTAL IMPROVEMENTS, WORKFORCE DEVELOPMENT, COALITION BUILDING AND PHYSICAL IMPROVEMENT AND HOUSING. GREENWICH HOSPITAL HAS INVESTED A SIGNIFICANT AMOUNT OF TIME, MONEY AND RESOURCES IN THE DEVELOPMENT AND IMPLEMENTATION OF PUBLIC HEALTH PROJECTS TO IMPROVE HEALTH AND INCREASE ACCESS.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services. (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet$ 215,931,939
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 IIIClick to see attachment........................
5
 
No
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
 
No
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
 
No
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
Yes
 
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 IClick to see attachment
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.......... Click to see attachment
18
Yes
 
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................... Click to see attachment
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.. Click to see attachment
21
Yes
 
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..... Click to see attachment
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...... Click to see attachment
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................ Click to see attachment
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........................... Click to see attachment
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............... Click to see attachment
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 ......................... Click to see attachment
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV................... Click to see attachment
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.. Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule MClick to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............ Click to see attachment
30
Yes
 
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I........................... Click to see attachment
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
Yes
 
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
 
No
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
310
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
2,157
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
Yes
 
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
Yes
 
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
27
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
23
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
Yes
 
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
Yes
 
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
Yes
 
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
Yes
 
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
 
No
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
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
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
GENE COLUCCI
GREENWICH HOSPITAL
5 PERRYRIDGE ROAD
5 PERRYRIDGE ROAD
GREENWICH,CT06830
(203) 863-3000
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) FRANK A CORVINO
FRANK A CORVINO
PRES/CEO
 40.00 X   X       1,588,637 0 140,125
(2) GAYLE CAPOZZALO
GAYLE CAPOZZALO
TRUSTEE
 1.00 X           0 1,123,679 155,803
(3) JAMES M MCTAGGART
JAMES M MCTAGGART
TRUSTEE
 1.00 X           0 0 0
(4) ALAN BREED
ALAN BREED
TRUSTEE
 1.00 X           0 0 0
(5) ELIZABETH GALT
ELIZABETH GALT
SECRETARY
 1.00 X   X       0 0 0
(6) NANCY BROWN
NANCY BROWN
TRUSTEE
 1.00 X           0 0 0
(7) JOHN L TOWNSEND III
JOHN L TOWNSEND III
TREASURER/VI
 1.00 X   X       0 0 0
(8) DONALD J KIRK
DONALD J KIRK
TRUSTEE
 1.00 X           0 0 0
(9) DANIEL L MOSLEY
DANIEL L MOSLEY
CHAIRMAN
 1.00 X   X       0 0 0
(10) BRUCE L WARWICK
BRUCE L WARWICK
TRUSTEE
 1.00 X           0 0 0
(11) ARTHUR C MARTINEZ
ARTHUR C MARTINEZ
TRUSTEE
 1.00 X           0 0 0
(12) SHIRLEE HILTON
SHIRLEE HILTON
TRUSTEE
 1.00 X           0 0 0
(13) BARBARA MILLER
BARBARA MILLER
VICE CHAIR
 1.00 X   X       0 0 0
(14) JACK MITCHELL
JACK MITCHELL
TRUSTEE
 1.00 X           0 0 0
(15) BRUCE MOLINELLI
BRUCE MOLINELLI
TRUSTEE
 1.00 X           0 0 0
(16) MARGARET MOORE
MARGARET MOORE
TRUSTEE
 1.00 X           0 0 0
(17) RICHARD O'CONNELL
RICHARD O'CONNELL
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) NANCY RAQUET
NANCY RAQUET
TRUSTEE
 1.00 X           0 0 0
(19) VENITA OSTERER
VENITA OSTERER
TRUSTEE
 1.00 X           0 0 0
(20) WILLIAM R BERKLEY JR
WILLIAM R BERKLEY JR
TRUSTEE
 1.00 X           0 0 0
(21) KEVIN A CONBOY
KEVIN A CONBOY
TRUSTEE
 1.00 X           0 0 0
(22) DAVID EVANS
DAVID EVANS
TRUSTEE
 1.00 X           0 0 0
(23) DICKERMAN HOLLISTER MD
DICKERMAN HOLLISTER MD
TRUSTEE UNTI
 1.00 X           0 0 0
(24) LARRY THOMPSON
LARRY THOMPSON
TRUSTEE
 1.00 X           0 0 0
(25) AILEEN HOUGHTON
AILEEN HOUGHTON
TRUSTEE
 1.00 X           0 0 0
(26) TERRY FULMER
TRUSTEE UNTI
 1.00 X           0 0 0
(27) RICHARD BRAUER
DIRECTOR
 1.00 X           0 0 0
(28) ANNE JUGE
DIRECTOR
 1.00 X           0 0 0
(29) JOHN SCHMELTZER III
DIRECTOR
 1.00 X           0 0 0
(30) QUINTON FRIESEN
QUINTON FRIESEN
EXEC VP/COO
 40.00     X       698,791 0 92,253
(31) EUGENE COLUCCI
EUGENE COLUCCI
SVP
 40.00     X       550,305 0 186,299
(32) BRIAN DORAN
SVP, MEDICAL
 40.00     X       422,753 0 34,420
(33) NANCY LEVITT-ROSENTHAL
NANCY LEVITT-ROSENTHAL
SVP
 40.00     X       368,058 0 139,422
(34) DEBORAH HODYS
VICE PRESIDE
 40.00     X       323,235 0 35,885
(35) SUSAN BROWN
SUSAN BROWN
SVP
 40.00     X       290,916 0 49,025
(36) MELISSA TURNER
MELISSA TURNER
SVP
 40.00     X       275,316 0 112,301
(37) GEORGE PAWLUSH
GEORGE PAWLUSH
VP
 40.00     X       232,001 0 41,629
(38) STEPHEN CARBERY
STEPHEN CARBERY
VP
 40.00     X       222,912 0 41,357
(39) MARC KOSAK
MARC KOSAK
VP
 40.00     X       221,631 0 36,484
(40) CHRISTINE BEECHNER
CHRISTINE BEECHNER
VP
 40.00     X       149,026 0 31,673
(41) STEPHEN GRAY
STEPHEN GRAY
DIR PATHOLOG
 40.00         X   545,340 0 46,226
(42) VICKI ALTMEYER
VICKI ALTMEYER
PATHOLOGIST
 40.00         X   518,186 0 46,793
(43) RICHARD EISEN
RICHARD EISEN
PATHOLOGIST
 40.00         X   504,570 0 46,201
(44) ERIC DIAMOND
ERIC DIAMOND
PATHOLOGIST
 40.00         X   483,144 0 46,771
(45) MARVIN LIPSCHUTZ
MARVIN LIPSCHUTZ
CHIEF OF QUA
 40.00         X   459,925 0 44,686
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 7,854,746 1,123,679 1,327,353
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet181
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
GREENWICH ULTRASOUND ASSOC
67 HOLLY HILL RD
GREENWICH,CT06830 		ULTRASOUND SERV 2,052,173
NURSEFINDERS INC
524 E LAMAR BLVD
SUITE 300
ARLINGTON,TX76011 		TRAVEL NURSES 1,331,799
UINTEX TEXTILE RENTAL
161 S MAQUESTEW PARKWAY
MOUNT VERNON,NY10550 		LAUNDRY/UNIFORM 1,257,270
MAKIARIS MEDIA SERVICES
101 CENTERPOINT DRIVE
SUITE 101
MIDDLETOWN,CT06457 		ADVERTISING 1,247,283
QUEST DIAGNOSTICS
3 GIRALDA FARMS
MADISON,NJ07940 		LAB SERVICES 1,193,993
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet85
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c 1,101,231
d Related organizations...1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and
similar amounts not included above1f 		6,720,025
g Noncash contributions included in lines 1a-1f:$ 2,163,717
h Total. Add lines 1a-1f.......MediumBullet 7,821,256
Program Service Revenue Business Code
2a OUTPATIENT PROGRAM SERVICES 621,400 157,506,884 157,506,884    
b INPATIENT PROGRAM SERVICES 612,990 131,939,397 131,939,397    
c OUTREACH LAB 621,500 7,563,868   7,563,868  
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 297,010,149
Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 1,516,363     1,516,363
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties............MediumBullet        
(i) Real (ii) Personal
6a Gross Rents 962,185  
b Less: rental expenses 93,027  
c Rental income or (loss) 869,158  
d Net rental income or (loss).......MediumBullet 869,158     869,158
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 3,069,602 35,346
b Less: cost or other basis and sales expenses 4,381,274 66,955
c Gain or (loss) -1,311,672 -31,609
d Net gain or (loss)..........MediumBullet -1,343,281     -1,343,281
8a Gross income from fundraising events (not including
$ 1,101,231
of contributions reported on line 1c). See Part IV, line 18 ...
a 156,925
b Less: direct expenses ...b 622,041
c Net income or (loss) from fundraising events..MediumBullet -465,116    
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 ANCILLARY SERVICES 900,099 12,698,646 12,698,646    
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ......MediumBullet 12,698,646
12 Total revenue. See Instructions....MediumBullet 318,107,175 302,144,927 7,563,868 1,042,240
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 21 228,900 228,900
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 .... 6,234,011   6,234,011  
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 125,789,125 96,946,210 28,259,671 583,244
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) .... 6,807,475 5,246,550 1,529,361 31,564
9 Other employee benefits ....... 23,233,847 17,906,424 5,219,695 107,728
10 Payroll taxes ........... 8,399,793 6,473,756 1,887,090 38,947
11 Fees for services (non-employees):        
a Management ...... 833,790 282,399 551,391  
b Legal ......... 362,525 86,981 275,544  
c Accounting ........... 267,721   267,721  
d Lobbying ........... 129,304 129,304    
e Professional fundraising. See Part IV, line 17..    
f Investment management fees ......        
g Other .......... 35,564,777 13,954,063 21,481,799 128,915
12 Advertising and promotion ....        
13 Office expenses ....... 50,559,646 44,673,924 5,668,922 216,800
14 Information technology ......        
15 Royalties ..        
16 Occupancy ........... 9,375,314 3,850,135 5,525,179  
17 Travel ............ 241,898 172,984 68,914  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 158,019   158,019  
20 Interest ........... 424,891 24,485 400,406  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 18,841,724 10,581,155 8,260,569  
23 Insurance .............. 590,149 590,149    
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 BAD DEBTS 9,269,877 9,269,877    
b REPAIRS & MAINTENANCE 8,556,368 4,348,795 4,198,297 9,276
c MISCELLANEOUS 3,425,236 1,165,848 2,115,518 143,870
d
e
f All other expenses        
25 Total functional expenses. Add lines 1 through 24f 309,294,390 215,931,939 92,102,107 1,260,344
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 .......... 13,764,786 1 15,123,907
2 Savings and temporary cash investments ....... 42,338,686 2 39,399,924
3 Pledges and grants receivable, net .........   3  
4 Accounts receivable, net ......... 32,517,664 4 32,433,460
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 .............. 1,368,059 8 1,333,264
9 Prepaid expenses and deferred charges ............ 2,707,232 9 4,419,164
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 430,999,898
b Less: accumulated depreciation. ..... 10b 191,461,216 243,310,713 10c 239,538,682
11 Investments—publicly traded securities .......... 29,742,945 11 25,579,025
12 Investments—other securities. See Part IV, line 11 ...... 38,487,763 12 44,908,669
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets .........   14  
15 Other assets. See Part IV, line 11 ........... 18,628,546 15 16,363,273
16 Total assets. Add lines 1 through 15 (must equal line 34)... 422,866,394 16 419,099,368
Liabilities 17 Accounts payable and accrued expenses . 26,451,655 17 28,928,788
18 Grants payable ..........   18  
19 Deferred revenue ..........   19  
20 Tax-exempt bond liabilities .......... 47,265,000 20 45,005,000
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..... 66,588,175 25 78,820,359
26 Total liabilities. Add lines 17 through 25..... 140,304,830 26 152,754,147
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 ..... 246,829,836 27 234,530,748
28 Temporarily restricted net assets ..... 27,295,087 28 24,575,081
29 Permanently restricted net assets ..... 8,436,641 29 7,239,392
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 ..... 282,561,564 33 266,345,221
34 Total liabilities and net assets/fund balances ..... 422,866,394 34 419,099,368
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
318,107,175
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
309,294,390
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
8,812,785
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
282,561,564
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
-25,029,128
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
266,345,221
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
 
No
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
 
 
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
GREENWICH HOSPITAL
 
Employer identification number

06-0646659
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
GREENWICH HOSPITAL
 
Employer identification number

06-0646659
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
GREENWICH HOSPITAL
  		Employer identification number

06-0646659
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
GREENWICH HOSPITAL
  		Employer identification number

06-0646659
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
GREENWICH HOSPITAL
  		Employer identification number

06-0646659
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
GREENWICH HOSPITAL
 
Employer identification number

06-0646659
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)? ....
Yes
 
c
Media advertisements? ....................................
Yes
 
32,666
d
Mailings to members, legislators, or the public? .........................
Yes
 
500
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? ........
Yes
 
59,694
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? If "Yes," describe in Part IV ..........................
Yes
 
36,444
j
Total. lines 1c through 1i ...................................
129,304
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? .......
 
No
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
 
No
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
No
3
Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........
3
 
No
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
  SCHEDULE C, PART II-B, LINE 1I THE AMOUNT REPORTED IN "OTHER ACTIVITIES" REPRESENTS A PORTION OF PROFESSIONAL DUES ATTRIBUTABLE TO LOBBYING DURING FY 2011. THE HEALTH SYSTEM OFFICIALS HAD MEETINGS AND CONTACTS WITH STATE GOVERNMENT OFFICIALS, INCLUDING STATE LEGISLATURES AND THEIR STAFF TO DISCUSS VARIOUS HEALTH CARE REFORM PROPOSALS. GREENWICH HOSPITAL IS PART OF A CONTROLLED GROUP WITH THE FOLLOWING LOBBYING EXPENSES: YALE-NEW HAVEN HOSPITAL EIN 06-0646652 422,377 BRIDGEPORT HOSPITAL EIN 06-0646554 116,487
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
GREENWICH HOSPITAL
 
Employer identification number

06-0646659
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 .... 69,106,000 66,856,000 68,156,000
b Contributions ........ 45,000    
c Investment earnings or losses ... -1,833,000 4,816,000 2,401,000
d Grants or scholarships .....      
e Other expenditures for facilities
and programs ........ 		2,413,000 2,566,000 3,701,000
f Administrative expenses ....      
g End of year balance ...... 64,905,000 69,106,000 66,856,000
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet50.340 %
b
Permanent endowment: SchDMd Bullet31.420 %
c
Term endowment: SchDMd Bullet18.240 %
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
 
No
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 .................   5,610,832 5,610,832
b Buildings ................   220,572,718 57,321,947 163,250,771
c Leasehold improvements ............   19,664,830 4,483,099 15,181,731
d Equipment ................   182,971,922 128,955,054 54,016,868
e Other .................   2,179,596 701,116 1,478,480
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 239,538,682
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) OTHER SECURITES 		44,908,669 F








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)Small Bullet 44,908,669
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








Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Amount
Federal Income Taxes  
ACCRUED PENSION 46,068,370
DUE - 3RD PARTY & OTHER PAYORS 14,718,207
ESTIMATED LIABILITY - SELF INSURANCE 12,039,966
FORWARD INTEREST RATE SWAP 5,993,816





Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet 78,820,359
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) .................... 1 318,107,175
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2 309,294,390
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3 8,812,785
4 Net unrealized gains (losses) on investments .......................... 4 -2,162,039
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV) ................................. 8 -628,728
9 Total adjustments (net). Add lines 4 - 8 ............................. 9 -2,790,767
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10 6,022,018
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1 311,947,205
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a -2,162,039
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV): ............ 2d 1,360,255
e Add lines 2a through 2d ..................... 2e -801,784
3 Subtract line 2e from line 1..................... 3 312,748,989
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 5,358,186
c Add lines 4a and 4b....................... 4c 5,358,186
5 Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ...... 5 318,107,175
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1 305,925,187
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 746,679
e Add lines 2a through 2d...................... 2e 746,679
3 Subtract line 2e from line 1..................... 3 305,178,508
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 4,115,882
c Add lines 4a and 4b....................... 4c 4,115,882
5 Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ...... 5 309,294,390
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
INTENDED USES FOR ENDOWMENT FUNDS SCHEDULE D, PAGE 2, PART V, LINE 4 THE ENDOWED FUNDS' INTENDED USE IS TO GENERATE INCOME TO SUPPORT GREENWICH HOSPITAL PROGRAM SERVICE FUNCTIONS AND OTHER OPERATIONS IN ACCORDANCE WITH THE GREENWICH HOSPITAL POOLED INVESTMENT POLICY.
RECONCILIATION OF CHANGES - OTHER SCHEDULE D, PAGE 4, PART XI, LINE 8 INCOME FROM FOUNDATION RECOGNIZED ON SEPARATE RETURN 414,975 UNREALIZED GAIN ON INTEREST RATE SWAP -497,000 AUXILIARY CONTRIBUTIONS 200,000 NET ASSETS RELEASED FROM OPERATIONS 4,365,675 FUNDRAISING EXPENSES - INCLUDED IN NON-OPERATING REV. -1,879,120 OTHER EXPENSES - INCLUDED IN NON-OPERATING REV. -1,244,275 INTEREST & INVESTMENT INCOME FROM TEMP RESTRICTED -825,000 RECLASS FROM EXPENSE - LOSS SALE OF ASSETS 31,609 AUXILIARY REVENUE -1,377,960 CONTRIBUTIONS FROM TEMPORARILY RESTRICTED -3,718,000 SPECIAL EVENTS RECLASS TO INCOME 622,041 RENTAL EXPENSES - RECLASS FROM EXPENSES TO REVENUE 93,027 NON-CASH CONTRIBUTIONS -183,903 RECLASS - LOSS ON SALE OF ASSETS -31,609 SPECIAL EVENTS RECLASS TO INCOME -622,043 RENTAL EXPENSES - RECLASS FROM EXPENSES TO REVENUE -93,027 AUXILIARY EXPENSES 992,487 FUNDRAISING EXPENSES FROM NON-OP REVENUE 1,879,120 MISC. EXPENSE FROM NON-OP REVENUE 1,244,275
REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER SCHEDULE D, PAGE 4, PART XII, LINE 2D INCOME FROM FOUNDATION RECOGNIZED ON SEPARATE RETURN 414,975 UNREALIZED GAIN ON INTEREST RATE SWAP -497,000 AUXILIARY CONTRIBUTIONS 200,000 NET ASSETS RELEASED FROM OPERATIONS 4,365,675 FUNDRAISING EXPENSES - INCLUDED IN NON-OPERATING REV. -1,879,120 OTHER EXPENSES - INCLUDED IN NON-OPERATING REV. -1,244,275
REVENUE AMOUNTS INCLUDED ON RETURN - OTHER SCHEDULE D, PAGE 4, PART XII, LINE 4B INTEREST & INVESTMENT INCOME FROM TEMP RESTRICTED 825,000 RECLASS FROM EXPENSE - LOSS SALE OF ASSETS -31,609 AUXILIARY REVENUE 1,377,960 CONTRIBUTIONS FROM TEMPORARILY RESTRICTED 3,718,000 SPECIAL EVENTS RECLASS TO INCOME -622,041 RENTAL EXPENSES - RECLASS FROM EXPENSES TO REVENUE -93,027 NON-CASH CONTRIBUTIONS 183,903
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHER SCHEDULE D, PAGE 4, PART XIII, LINE 2D RECLASS - LOSS ON SALE OF ASSETS 31,609 SPECIAL EVENTS RECLASS TO INCOME 622,043 RENTAL EXPENSES - RECLASS FROM EXPENSES TO REVENUE 93,027
EXPENSE AMOUNTS INCLUDED ON RETURN - OTHER SCHEDULE D, PAGE 4, PART XIII, LINE 4B AUXILIARY EXPENSES 992,487 FUNDRAISING EXPENSES FROM NON-OP REVENUE 1,879,120 MISC. EXPENSE FROM NON-OP REVENUE 1,244,275
Schedule D (Form 990) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE G
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19,
or if the organization entered more than $15,000 on Form 990-EZ, line 6a.
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
GREENWICH HOSPITAL
 
Employer identification number

06-0646659
Part I
Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If “Yes,” list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization. Form 990-EZ filers are not required to complete this table.
(i) Name and address of individual
or entity (fundraiser) 		(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity 		(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i) 		(vi) Amount paid to
(or retained by)
organization
Yes No
Total .................right arrow      
3
List all states in which the organization is registered or licensed to solicit funds or has been notified it is exempt from registration or licensing.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2010
Schedule G (Form 990 or 990-EZ) 2010
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 on Form 990-EZ, line 6a. List events with gross receipts greater than $5,000.
(a) Event #1

GALA
(event type) 		(b) Event #2

UNDER THE STARS
(event type) 		(c) Other Events

1
(total number) 		(d) Total Events
(Add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 885,977 194,069 178,110 1,258,156
2 Less: Charitable
contributions . . . 		819,652 158,069 123,510 1,101,231
3 Gross income (line 1
minus line 2) . . . 		66,325 36,000 54,600 156,925
VerticalDirectExpenses 4 Cash prizes . . .        
5 Non-cash prizes . .        
6 Rent/facility costs . .        
7 Food and beverages . .        
8 Entertainment . . .        
9 Other direct expenses . 417,478 102,773 101,790 622,041
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 622,041
11 Net income summary. Combine lines 3 and 10 in column (d)............ right arrow -465,116
Part III
Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue (a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo 		(c) Other gaming (d) Total gaming (Add col. (a) through col. (c))
1 Gross revenue . . . .        
VerticalDirectExpenses 2 Cash prizes . . . .        
3 Non-cash prizes . . .        
4 Rent/facility costs . . .        
5 Other direct expenses . .        
6 Volunteer labor . . .
 
 
 
7 Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow  
8 Net gaming income summary. Combine lines 1 and 7 in column (d) .......... right arrow  
9
Enter the state(s) in which the organization operates gaming activities: CT
a
Is the organization licensed to operate gaming activities in each of these states? ............
b
If "No," Explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....
b
If "Yes," Explain:
 
11
Does the organization operate gaming activities with nonmembers? .................
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? ...........................
Schedule G (Form 990 or 990-EZ) 2010
Schedule G (Form 990 or 990-EZ) 2010
Page 3
13
Indicate the percentage of gaming activity operated in:
a
The organization's facility ......................
13a
 
b
An outside facility ........................
13b
 
14
Provide the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? ......................................
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? ............................
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Complete this part to provide additional information for responses to quuestion on Schedule G (see instructions.)
Identifier ReturnReference Explanation
Schedule G (Form 990 or 990-EZ) 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
GREENWICH HOSPITAL
 
Employer identification number

06-0646659
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
 
No
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
 
 
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) .. 		1 37,419 12,239,320 1,884,877 10,354,443 3.450 %
b Unreimbursed Medicaid (from
Worksheet 3, column a) . 		1 21,546 19,228,792 9,813,564 9,415,228 3.140 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....            
dTotal Charity Care and
Means-Tested Government Programs ..... 		2 58,965 31,468,112 11,698,441 19,769,671 6.590 %
Other Benefits
e Community health improvement
services and community
benefit operations (from
(Worksheet 4) .... 		21 29,309 656,709   656,709 0.220 %
f Health professions education
(from Worksheet 5) .. 		4 170 3,740,404 1,175,246 2,565,158 0.850 %
g Subsidized health services
(from Worksheet 6) .. 		3 6,856 5,794,153 3,689,330 2,104,823 0.700 %
h Research (from Worksheet 7) 1   391,236   391,236 0.130 %
i Cash and in-kind contributions
to community groups
(from Worksheet 8) .. 		5 2,489 279,652   279,652 0.090 %
jTotal Other Benefits ... 34 38,824 10,862,154 4,864,576 5,997,578 1.990 %
kTotal. Add lines 7d and 7j. .. 36 97,789 42,330,266 16,563,017 25,767,249 8.580 %
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 1   1,050,010   1,050,010 0.350 %
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development 1 26 12,888   12,888  
9 Other            
10 Total 2 26 1,062,898   1,062,898 0.350 %
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
3,827,532
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
78,069,609
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
109,064,106
7
Subtract line 6 from line 5. This is the surplus or (shortfall)........
7
-30,994,497
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 %
1NONE
  		NONE      
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 GREENWICH HOSPITAL
5 PERRYRIDGE ROAD
GREENWICH,CT06830 		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:GREENWICH 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    
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    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
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    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
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    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
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    
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    
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    
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    
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    
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?19
Name and address Type of Facility (Describe)
1 GREENWICH HOSPITAL OUTPATIENT SURG
55 HOLLY HILL LANE
500 WEST PUTNAM AVE
GREENWICH,CT06830 		HOSPITAL OUT-PATIENT SURGERY
2 GREENWICH HOSPITAL OUTPATIENT SURG
55 HOLLY HILL LANE
500 WEST PUTNAM AVE
GREENWICH,CT06830 		HOSPITAL OUT-PATIENT SURGERY
3 GREENWICH HOSPITAL OUTPATIENT SURG
55 HOLLY HILL LANE
500 WEST PUTNAM AVE
GREENWICH,CT06830 		HOSPITAL OUT-PATIENT SURGERY
4 GREENWICH HOSPITAL OUTPATIENT SURG
55 HOLLY HILL LANE
500 WEST PUTNAM AVE
GREENWICH,CT06830 		HOSPITAL OUT-PATIENT SURGERY
5 GREENWICH HOSPITAL OUTPATIENT SURG
55 HOLLY HILL LANE
500 WEST PUTNAM AVE
GREENWICH,CT06830 		HOSPITAL OUT-PATIENT SURGERY
6 GREENWICH HOSPITAL OUTPATIENT SURG
55 HOLLY HILL LANE
500 WEST PUTNAM AVE
GREENWICH,CT06830 		HOSPITAL OUT-PATIENT SURGERY
7 GREENWICH HOSPITAL OUTPATIENT SURG
55 HOLLY HILL LANE
500 WEST PUTNAM AVE
GREENWICH,CT06830 		HOSPITAL OUT-PATIENT SURGERY
8 GREENWICH HOSPITAL OUTPATIENT SURG
55 HOLLY HILL LANE
500 WEST PUTNAM AVE
GREENWICH,CT06830 		HOSPITAL OUT-PATIENT SURGERY
9 GREENWICH HOSPITAL OUTPATIENT SURG
55 HOLLY HILL LANE
500 WEST PUTNAM AVE
GREENWICH,CT06830 		HOSPITAL OUT-PATIENT SURGERY
10 GREENWICH HOSPITAL OUTPATIENT SURG
55 HOLLY HILL LANE
500 WEST PUTNAM AVE
GREENWICH,CT06830 		HOSPITAL OUT-PATIENT SURGERY
11 GREENWICH HOSPITAL OUTPATIENT SURG
55 HOLLY HILL LANE
500 WEST PUTNAM AVE
GREENWICH,CT06830 		HOSPITAL OUT-PATIENT SURGERY
12 GREENWICH HOSPITAL OUTPATIENT SURG
55 HOLLY HILL LANE
500 WEST PUTNAM AVE
GREENWICH,CT06830 		HOSPITAL OUT-PATIENT SURGERY
13 GREENWICH HOSPITAL OUTPATIENT SURG
55 HOLLY HILL LANE
500 WEST PUTNAM AVE
GREENWICH,CT06830 		HOSPITAL OUT-PATIENT SURGERY
14 GREENWICH HOSPITAL OUTPATIENT SURG
55 HOLLY HILL LANE
500 WEST PUTNAM AVE
GREENWICH,CT06830 		HOSPITAL OUT-PATIENT SURGERY
15 GREENWICH HOSPITAL OUTPATIENT SURG
55 HOLLY HILL LANE
500 WEST PUTNAM AVE
GREENWICH,CT06830 		HOSPITAL OUT-PATIENT SURGERY
16 GREENWICH HOSPITAL OUTPATIENT SURG
55 HOLLY HILL LANE
500 WEST PUTNAM AVE
GREENWICH,CT06830 		HOSPITAL OUT-PATIENT SURGERY
17 GREENWICH HOSPITAL OUTPATIENT SURG
55 HOLLY HILL LANE
500 WEST PUTNAM AVE
GREENWICH,CT06830 		HOSPITAL OUT-PATIENT SURGERY
18 GREENWICH HOSPITAL OUTPATIENT SURG
55 HOLLY HILL LANE
500 WEST PUTNAM AVE
GREENWICH,CT06830 		HOSPITAL OUT-PATIENT SURGERY
19 GREENWICH HOSPITAL OUTPATIENT SURG
55 HOLLY HILL LANE
500 WEST PUTNAM AVE
GREENWICH,CT06830 		HOSPITAL OUT-PATIENT SURGERY
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
EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE PART I LINE 7 COLUMN F BAD DEBT EXPENSES OF 9269877 WERE EXCLUDED FROM TOTAL EXPENSES BEFORE CALCULATING OF TOTAL EXPENSES IN PART I AND II COLUMN F
COSTING METHODOLOGY EXPLANATION PART I LINE 7 THE HOSPITAL USES A COST ACCOUNTING SYSTEM TSI TO CALCULATE THE AMOUNTS PRESENTED IN PART I LINE 7 THE COST ACCOUNTING SYSTEM ADDRESSES ALL PATIENT SEGMENTS
COMMUNITY BUILDING ACTIVITIES PART II GREENWICH HOSPITAL ALONG WITH MANY OTHER HOSPITALS ACROSS THE COUNTRY UTILIZES THE COMMUNITY BENEFITS INVENTORY FOR SOCIAL ACCOUNTABILITY CBISA DATABASE DEVELOPED BY LYON SOFTWARE TO CATALOG ITS COMMUNITY BENEFIT AND COMMUNITY BUILDING ACTIVITIES AND THE GUIDELINES DEVELOPED BY THE CATHOLIC HOSPITAL ASSOCIATION CHA IN ORDER TO CATALOG THESE BENEFITS THESE TWO ORGANIZATIONS HAVE WORKED TOGETHER FOR OVER TWENTY YEARS TO PROVIDE SUPPORT TO NONFORPROFIT HOSPITALS TO DEVELOP AND SUSTAIN EFFECTIVE COMMUNITY BENEFIT PROGRAMS THE MOST RECENT VERSION OF THE CHA GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFIT DEFINES COMMUNITY BUILDING ACTIVITIES AS PROGRAMS THAT ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS SUCH AS POVERTY HOMELESSNESS AND ENVIRONMENTAL PROBLEMS THESE ACTIVITIES ARE CATEGORIZED INTO EIGHT DISTINCT AREAS INCLUDING PHYSICAL IMPROVEMENT AND HOUSING ECONOMIC DEVELOPMENT COMMUNITY SUPPORT ENVIRONMENTAL IMPROVEMENTS LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS COALITION BUILDING ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENTS AND WORKFORCE DEVELOPMENT RESEARCH FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION AND HEALTH AND HUMAN SERVICES CLEARLY LINKS THE IMPACT OF ONES SOCIOECONOMIC STATUS TO ONES HEALTH INCORPORATING ALL THE DATA AND RESEARCH THAT IS AVAILABLE ON LOCAL REGIONAL AND FEDERAL LEVELS THE COMMUNITY BUILDING ACTIVITIES AT GREENWICH HOSPITAL ARE MULTIPRONGED AND DIVERSE THESE PROGRAMS ARE DEVELOPED AND IMPLEMENTED COLLABORATIVELY WITH OTHERS IN THE COMMUNITY TO ADDRESS COMMUNITY HEALTH NEEDS AND IMPROVE THE HEALTH OF ALL COMMUNITY MEMBERS IN FISCAL YEAR 2011 THE COMMUNITY BUILDING ACTIVITIES THAT GREENWICH HOSPITAL PROVIDED TOTALED 11 MILLION DOLLARS HIGHLIGHTS OF THESE ACTIVITIES ARE INCLUDED BELOW BY CATEGORY WHERE APPLICABLE PHYSICAL IMPROVEMENTS AND HOUSING GREENWICH HOSPITAL WAS THE RECIPIENT OF A DONATION OF FUNDS TO DEVELOP A COMMUNITY FLOWER GARDEN ON ITS PROPERTY TO BE OPEN TO THE PUBLIC VARIOUS COMMUNITY CEREMONIES AND CELEBRATIONS ARE CONDUCTED IN THE GARDEN INCLUDING CANCER SURVIVOR PROGRAMS AND THE TREE OF LIGHT PROGRAM THE HOSPITAL PAYS OVER 533000 FOR THE ANNUAL MAINTENANCE OF THE PUBLIC GARDEN ECONOMIC DEVELOPMENT GREENWICH HOSPITAL IS ONE OF THE LARGEST EMPLOYERS IN FAIRFIELD AND WESTCHESTER COUNTIES AND HAS UNDER TAKEN A LEADERSHIP ROLE IN BUILDING HEALTHY COMMUNITIES AND IMPROVING WELLNESS GREENWICH HOSPITAL EMPLOYED APPROXIMATELY 1954 EMPLOYEES IN FISCAL YEAR 2011 HOSPITAL EMPLOYEES VOLUNTEER IN COMMUNITY EVENTS AND PROVIDE COUNTLESS HOURS OF COMMUNITY SERVICE AND ARE MAJOR CONTRIBUTORS OF THE ANNUAL UNITED WAY APPEAL FUND GREENWICH HOSPITAL IS A MEMBER OF THE GREENWICH AND MAMARONECK CHAMBERS OF COMMERCE AND HAS REPRESENTATION ON MANY OF THE ROTARY CLUBS WITHIN THE HOSPITALS SERVICE AREA THROUGH THESE ORGANIZATIONS WE ADVOCATE FOR AND FACILITATE INCREASED ECONOMIC DEVELOPMENT FOR THE AREA COMMUNITY SUPPORT EACH WINTER GREENWICH HOSPITAL PROVIDES A WARM CENTER FOR THE COMMUNITY IN ITS NOBLE CONFERENCE CENTER THIS WARM CENTER IS AVAILABLE TO THOSE IN NEED DUE TO POWER OUTAGES SNOW STORMS AND FREEZING TEMPERATURES INCLUDED IN THE WARM CENTER ARE COTS HOT BEVERAGES HAND WARMERS AND MAGAZINES ONE OF SEVERAL COMMUNITY INITIATIVES UNDERTAKEN BY GREENWICH HOSPITAL IS GODS GREEN MARKET THIS PROGRAM IS ADMINISTERED IN COLLABORATION WITH THE COUNCIL OF COMMUNITY SERVICES AND AREA CHURCHES TO PROVIDE FRESH VEGETABLES TO PARTICIPANTS IN PORT CHESTERS FOUR FOOD PANTRIES SEVEN SOUP KITCHEN AND NUTRITION CENTERS THE COUNCIL OF COMMUNITY SERVICES ORGANIZES VOLUNTEERS TO PLANT AND HARVEST THE CROPS OVER THE PAST FOUR YEARS THE PROGRAM HAS PROVIDED THOUSANDS OF LOWINCOME PORT CHESTER FAMILIES WITH FRESH VEGETABLES AND SPONSORS HEALTH EDUCATIONAL PROGRAMS THAT PROMOTE HEALTHIER EATING THE HOSPITAL FUNDS THE INITIATIVE AND THE HOSPITALS DIETITIANS AND NURSES PROVIDED NUTRITION EDUCATION AND HEALTHY RECIPES IN BOTH ENGLISH AND SPANISH LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS COMMUNITY HEALTH GREENWICH HOSPITAL COLLABORATED WITH THE YWCA OF GREENWICH GREENWICH PUBLIC SCHOOLS AND THE GREENWICH UNITED WAY TO HOST FREE COMMUNITY DEVELOPMENTAL ASSETS WORKSHOPS AT GREENWICH HIGH SCHOOL THE DEVELOPMENTAL ASSETS FRAMEWORK CREATED IN 1990 BY THE SEARCH INSTITUTE HAS BECOME THE MOST WIDELY USED APPROACH TO PROMOTE POSITIVE YOUTH DEVELOPMENT IN THE COUNTRY THIS INFORMATIVE WORKSHOP INCLUDES TOOLS AND BUILDING BLOCKS OF HEALTHY DEVELOPMENT THAT HELP YOUNG CHILDREN GROW UP TO BE HEALTHY CARING RESPONSIBLE AND WELL ADJUSTED ADULTS FIFTY COMMUNITY MEMBERS AND SERVICE PROVIDERS ATTENDED THE FREE WORKSHOPS WHICH WERE CONDUCTED IN JANUARY AND APRIL 2011 COALITION BUILDING AS A FOUNDING MEMBER OF THE COMMUNITY HEALTH IMPROVEMENT PARTNERSHIP CHIP GREENWICH HOSPITAL PROVIDES NEARLY 63000 IN INKIND STAFF SUPPORT AND FUNDING TO SUPPORT THE CONTINUATION OF THE PARTNERSHIP CHIP MEETS ON A MONTHLY BASIS AND ADDRESSES CONCERNS RELATED TO HEALTH EDUCATION HEALTH PROMOTION AND ACCESS TO HEALTHCARE OVER THE PAST SEVEN YEARS CHIP HAS IMPLEMENTED OVER 70 HEALTH INITIATIVES ADDITIONAL PARTNERSHIPS AND COALITION MEMBERSHIPS INCLUDE OPEN DOOR PRIMARY CARE CENTER FRIENDLY CONNECTIONS AT FAMILY CENTERS PRIMARY CARES COMMUNITY COALITION AND COUNCIL COMMUNITY SERVICES WORKFORCE DEVELOPMENT IN FY 2011 COMMUNITY HEALTH GREENWICH HOSPITAL PROVIDED A SCHOOLBASED PROGRAM ON HEALTH CARE CAREERS AND WORKFORCE ENHANCEMENT FOR PORT CHESTER STUDENTS EIGHT HIGH SCHOOL JUNIORS AND SENIORS ATTENDED THREE EIGHT HOUR INTENSIVE AFTER SCHOOL PROGRAMS WHICH INCLUDED YOUTH DEVELOPMENT TRAINING AND LEADERSHIP SESSIONS OVER THE COURSE OF THE PROGRAM PARTICIPANTS LEARNED SKILLS REQUIRED FOR ENTRY INTO HEALTH CARE CAREERS WHICH INCLUDED BASIC ANATOMYPHYSIOLOGY MEDICAL TERMINOLOGY AND INFECTION CONTROL ALL EIGHT STUDENTS SUCCESSFULLY COMPLETED THE PROGRAM AND RECEIVED CERTIFICATES OF COMPLETION
BAD DEBT EXPENSE EXPLANATION PART III LINE 4 FOOTNOTE FROM AUDITED FINANCIAL STATEMENTS THE HOSPITALS COMMITMENT TO COMMUNITY SERVICE IS EVIDENCED BY SERVICES PROVIDED TO THE POOR AND BENEFITS PROVIDED TO THE BROADER COMMUNITY SERVICES PROVIDED TO THE POOR INCLUDE SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD HEALTHCARE BECAUSE OF INADEQUATE RESOURCES ANDOR WHO ARE UNINSURED OR UNDERINSURED FOR FINANCIAL REPORTING PURPOSES THE HOSPITAL REPORTS CARE PROVIDED FOR WHICH NO PAYMENT WAS RECEIVED FROM THE PATIENT OR INSURER AS UNCOMPENSATED CARE UNCOMPENSATED CARE IS THE SUM OF THE HOSPITALS FREE CARE PROVIDED CHARITY CARE PROVIDED AND BAD DEBT EXPENSE IN DETERMINING UNCOMPENSATED CARE THE HOSPITAL EXCLUDES CONTRACTUAL ALLOWANCES THE COST OF UNCOMPENSATED CARE AMOUNTED TO APPROXIMATELY 130 MILLION AND 133 MILLION IN FISCAL 2011 AND 2010 RESPECTIVELY ADDITIONALLY THE HOSPITAL INCURRED LOSSES RELATED TO THE MEDICARE AND STATE MEDICAID PROGRAMS OF APPROXIMATELY 404 MILLION AND 331 MILLION IN FISCAL 2011 AND 2010 RESPECTIVELY THE ESTIMATED COST OF UNCOMPENSATED CARE AND MEDICAID LOSSES WERE DETERMINED USING PATIENTSPECIFIC DATA THE HOSPITAL MAKES AVAILABLE FREE CARE PROGRAMS FOR QUALIFYING PATIENTS IN ACCORDANCE WITH THE ESTABLISHED POLICIES OF THE HOSPITAL DURING THE REGISTRATION BILLING AND COLLECTION PROCESS A PATIENTS ELIGIBILITY FOR FREE CARE FUNDS IS DETERMINED FOR PATIENTS WHO WERE DETERMINED BY THE HOSPITAL TO HAVE THE ABILITY TO PAY BUT DID NOT THE UNCOLLECTED AMOUNTS ARE BAD DEBT EXPENSE FOR PATIENTS WHO DO NOT AVAIL THEMSELVES OF ANY FREE CARE PROGRAM AND WHOSE ABILITY TO PAY CANNOT BE DETERMINED BY THE HOSPITAL CARE GIVEN BUT NOT PAID FOR IS CLASSIFIED AS CHARITY CARE ANNUALLY THE HOSPITAL ACCRUES FOR THE POTENTIAL LOSSES RELATED TO ITS UNCOLLECTIBLE ACCOUNTS AND THE AMOUNTS THAT MEET THE DEFINITION OF CHARITY AND FREE CARE ALLOWANCES AT SEPTEMBER 30 2011 AND 2010 THE AMOUNT ESTIMATED BY MANAGEMENT TO REPRESENT THE HOSPITALS UNCOLLECTIBLE AND CHARITY AND FREE CARE ALLOWANCE WHICH IS INCLUDED IN THE ACCOMPANYING BALANCE SHEETS AS A REDUCTION OF ACCOUNTS RECEIVABLE FOR SERVICES TO PATIENTS WAS APPROXIMATELY 127 MILLION AND 120 MILLION RESPECTIVELY ADDITIONALLY THE HOSPITAL PROVIDES BENEFITS FOR THE BROADER COMMUNITY WHICH INCLUDE SERVICES PROVIDED TO OTHER NEEDY POPULATIONS THAT MAY NOT QUALIFY AS POOR BUT NEED SPECIAL SERVICES AND SUPPORT BENEFITS INCLUDE THE COST OF HEALTH PROMOTION AND EDUCATION OF THE GENERAL COMMUNITY INTERNS AND RESIDENTS HEALTH SCREENINGS AND MEDICAL RESEARCH THE BENEFITS ARE PROVIDED THROUGH COMMUNITY HEALTH SERVICES SOME OF WHICH SERVICE NONENGLISH SPEAKING RESIDENTS DISABLED CHILDREN AND VARIOUS COMMUNITY SUPPORT GROUPS IN ADDITION TO THE QUANTIFIABLE SERVICES DEFINED ABOVE THE HOSPITAL PROVIDES ADDITIONAL BENEFITS TO THE COMMUNITY THROUGH ITS ADVOCACY OF COMMUNITY SERVICE BY EMPLOYEES THE HOSPITALS EMPLOYEES SERVE NUMEROUS ORGANIZATIONS THROUGH BOARD REPRESENTATION MEMBERSHIP IN ASSOCIATIONS AND OTHER RELATED ACTIVITIES THE HOSPITAL ALSO SOLICITS THE ASSISTANCE OF OTHER HEALTH CARE PROFESSIONALS TO PROVIDE THEIR SERVICES AT NO CHARGE THROUGH PARTICIPATION IN VARIOUS COMMUNITY SEMINARS AND TRAINING PROGRAMS COSTING METHODOLOGY IN ACCORDANCE WITH THE ESTABLISHED POLICIES OF THE HOSPITAL DURING THE REGISTRATION BILLING AND COLLECTION PROCESS A PATIENTS ELIGIBILITY FOR FREE CARE FUNDS IS DETERMINED FOR PATIENTS WHO WERE DETERMINED BY THE HOSPITAL TO HAVE THE ABILITY TO PAY BUT DID NOT THE UNCOLLECTED AMOUNTS ARE BAD DEBT EXPENSE THE HOSPITALS COST ACCOUNTING SYSTEM UTILIZES PATIENTSPECIFIC DATA TO ACCUMULATE AND DERIVE COSTS RELATED TO THESE BAD DEBT ACCOUNTS
MEDICARE EXPLANATION PART III LINE 8 THE ENTIRE MEDICARE LOSS PRESENTED SHOULD BE TREATED AS A COMMUNITY BENEFIT FOR THE FOLLOWING REASONS THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO MEDICARE BENEFICIARIES IRS REVENUE RULING 69545 INDICATES THAT HOSPITALS OPERATE FOR THE PROMOTION OF HEALTH IN THE COMMUNITY WHEN IT PROVIDES CARE TO PATIENTS WITH GOVERNMENTAL HEALTH BENEFITS THE ORGANIZATION PROVIDES CARE TO MEDICARE PATIENTS REGARDLESS OF MEDICARE SHORTFALLS REDUCING THE BURDEN ON THE GOVERNMENT AND MANY OF THE MEDICARE PARTICIPANTS WOULD HAVE QUALIFIED FOR THE CHARITY CARE OR OTHER MEANS TESTED PROGRAMS ABSENT BEING ENROLLED IN THE MEDICARE PROGRAM THE MEDICARE SHORTFALL REPORTED IS DETERMINED BY THE HOSPITALS COST ACCOUNTING SYSTEM TSI
COLLECTION PRACTICES EXPLANATION PART III LINE 9B IF AT ANY POINT IN THE DEBT COLLECTION PROCESS THE HOSPITAL INCLUDING ANY EMPLOYEE OR AGENT OF THE HOSPITAL OR A COLLECTION AGENT ACTING ON BEHALF OF THE HOSPITAL RECEIVES INFORMATION THAT A PATIENT IT ELIGIBLE FOR HOSPITAL BED FUNDS FREE OR REDUCED PRICE HOSPITAL SERVICES OR ANY OTHER PROGRAM WHICH WOULD RESULT IN THE ELIMINATION OF LIABILITY FOR THE DEBT OR REDUCTION IN THE AMOUNT OF SUCH LIABILITY THE HOSPITAL OR COLLECTION AGENT WILL PROMPTLY DISCONTINUE COLLECTION EFFORTS AND IF A COLLECTION AGENT REFER THE ACCOUNT BACK TO THE HOSPITAL FOR DETERMINATION OF ELIGIBILITY THE COLLECTION EFFORT WILL NOT RESUME UNTIL SUCH DETERMINATION IS MADE
NEEDS ASSESSMENT PART VI PART VI LINE 2 GREENWICH HOSPITAL GH IS A 206BED INCLUDING BASSINETS REGIONAL HOSPITAL SERVING FAIRFIELD COUNTY CONNECTICUT AND WESTCHESTER COUNTY NEW YORK IT IS A MAJOR ACADEMIC AFFILIATE OF YALE UNIVERSITY SCHOOL OF MEDICINE AND A MEMBER OF THE YALE NEW HAVEN HEALTH SYSTEM SINCE OPENING IN 1903 GREENWICH HOSPITAL HAS EVOLVED INTO A PROGRESSIVE MEDICAL CENTER AND TEACHING INSTITUTION WITH AN INTERNAL MEDICINE RESIDENCY GREENWICH HOSPITAL REPRESENTS ALL MEDICAL SPECIALTIES AND OFFERS A WIDE RANGE OF MEDICAL SURGICAL DIAGNOSTIC AND WELLNESS PROGRAMS THE MISSION OF GREENWICH HOSPITAL IS TO PROVIDE QUALITY VALUE DRIVEN HEALTHCARE TO ALL WE SERVE INDIVIDUALS WITHIN THE COMMUNITIES WE SERVE RECEIVE QUALITY HEALTHCARE REGARDLESS OF THEIR ABILITY TO PAY GH HAS MADE A CONCERTED EFFORT TO REACH OUT TO ALL OF THOSE WHO REQUIRE HEALTH CARE SERVICES THE COMMUNITIES THAT THE HOSPITAL SERVES IN FAIRFIELD COUNTY CT AND WESTCHESTER COUNTY NY REPRESENT A WIDE SPECTRUM OF SOCIOECONOMIC GROUPINGS THE CLOSING OF TWO WESTCHESTER COUNTY HOSPITALS UNITED HOSPITAL MEDICAL CENTER AND SAINT AGNES HOSPITAL HAS HAD A PROFOUND EFFECT ON BOTH INCREASED VOLUME AND UNCOMPENSATED CARE AT THE HOSPITAL THE HOSPITAL WORKS COLLABORATIVELY WITH MANY OF ITS COMMUNITY PARTNERS IN ASSESSING THE HEALTH CARE NEEDS OF THE COMMUNITIES WE SERVE THE GREENWICH HOSPITAL BOARD OF TRUSTEES IS DIRECTLY INVOLVED IN COMMUNITY BENEFITS THROUGH A SUBCOMMITTEE CALLED THE COMMUNITY ADVISORY BOARD CAB A BOARD OF TRUSTEES MEMBER CHAIRS THE CAB WHICH MEETS QUARTERLY TO DISCUSS THE COMMUNITY BENEFIT STRATEGY AS WELL AS SPECIFIC COMMUNITY OUTREACH ACTIVITIES BASED ON IDENTIFIED NEEDS THE CAB COMMITTEE INCLUDES 30 MEMBERS WHO REPRESENT A VARIETY OF COMMUNITY ORGANIZATIONS SUCH AS THE UNITED WAY YMCA YWCA HOUSES OF WORSHIP LOCAL MUNICIPAL HEALTH DEPARTMENTS HISPANIC HEALTH COUNCIL FAMILY CENTERS NATIONAL ASSOCIATION FOR THE ADVANCEMENT OF COLORED PEOPLE COUNCIL OF COMMUNITY SERVICES HOUSING AUTHORITIES OF GREENWICH AND PORT CHESTER AND OTHER PRIVATE AND CORPORATE GROUPS THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF GREENWICH HOSPITAL AND SEVERAL OTHER SENIOR LEVEL ADMINISTRATORS REGULARLY ATTEND CAB MEETINGS THE CAB CHAIRMAN PROVIDES UPDATES ON COMMUNITY BENEFIT PROGRAMS AT BOARD OF TRUSTEES MEETINGS THE CAB ESTABLISHED THE COMMUNITY HEALTH IMPROVEMENT PARTNERSHIP CHIP IN 2003 TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY AS PART OF ITS CENTENNIAL CELEBRATION THE HOSPITAL UNDER THE DIRECTION OF CAB CONDUCTED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT QUANTITATIVE DATA WERE COLLECTED THROUGH A 65 QUESTION CUSTOMIZED GENERAL POPULATION SURVEY THREE THOUSAND SURVEYS WERE MAILED AND ONE THOUSAND FOUR HUNDRED TWENTYONE SURVEYS WERE COMPLETED THE SURVEY WAS ALSO TRANSLATED INTO SPANISH TO OBTAIN INFORMATION FROM THE GROWING LATINO COMMUNITY QUALITATIVE DATA WERE COLLECTED THROUGH COMMUNITY DISCUSSION GROUPS TARGETING SPECIFIC AUDIENCES MENTAL HEALTH PROVIDERS SENIOR SERVICE PROVIDERS SERVICE AGENCIES ETC OVER 250 PEOPLE ATTENDED ONE OF THE TWENTY OPEN DISCUSSION GROUPS THE CHIP AND THE CAB SET THE FOLLOWING GOALS FOLLOWING THE 2003 COMMUNITY HEALTH NEEDS ASSESSMENTS THE TARGETS INCLUDED AEXPANDING DENTAL HEALTH SERVICES FOR THE UNINSURED BEXPANDING MENTAL HEALTH EDUCATIONAL PROGRAMS AND SERVICES CINCREASING ACCESS TO SERVICES FOR VULNERABLE POPULATIONS DPROVIDING TARGETED SERVICES TO PEOPLE WITH LOWER LEVELS OF HEALTH LITERACY EG INDIVIDUALS FROM OTHER COUNTRIES ETC ECREATING A DIRECTORY OF COMMUNITY SERVICES AND PROGRAMS FPROMOTING COLLABORATIVE OPPORTUNITIES AND ACTIVITIES BETWEEN HEALTHCARE PROVIDERS AND SERVICES DATA COLLECTED THROUGH THE ASSESSMENT WERE REPORTED TO THE COMMUNITY THROUGH A HEALTH SUMMIT HELD AT THE LOCAL LIBRARY OVER ONE HUNDRED PEOPLE ATTENDED THE EVENT THE COMMUNITY HEALTH IMPROVEMENT PARTNERSHIP CHIP CONTINUES TO MEET MONTHLY AND ADDRESSES HEALTH EDUCATION HEALTH AND WELLNESS PROMOTION AND ACCESS TO HEALTHCARE THE MEMBERS OF THE CHIP ARE REPRESENTATIVES AND MEMBERS OF THE DEPARTMENT OF HEALTH DEPARTMENT OF SOCIAL SERVICES THE UNITED WAY NUMEROUS SOCIAL SERVICES ORGANIZATIONS BOARD OF EDUCATION PTA LEAGUE OF WOMENS VOTERS GREENWICH HOUSING AUTHORITY PATHWAYS AND INTERESTED COMMUNITY MEMBERS THIS IS A VERY DIVERSE COLLABORATIVE GROUP COMPOSED OF PROFESSIONALS AND LAYPEOPLE THAT HAVE A VESTED INTEREST IN THE HEALTH OF THEIR COMMUNITIES ATTAINING THE GOALS DEFINED BY THE NEEDS ASSESSMENT IS POSSIBLE THROUGH COLLABORATIVE EFFORTS AND RELATIONSHIPS THAT HAVE BEEN ESTABLISHED AND BUILT BETWEEN THE HOSPITAL AND COMMUNITY GROUPS SOME OF OUR OTHER COMMUNITY PARTNERS THAT PROVIDE NEEDS ASSESSMENT DATA AND INFORMATION THAT IS UTILIZED IN PLANNING HEALTH PROGRAMS TO MEET THE NEEDS OF THE COMMUNITY ALSO INCLUDE HISPANIC HEALTH COUNCIL THE COUNCIL OF COMMUNITY SERVICES THE LOCAL FEDERALLY QUALIFIED HEALTH CENTERS MUNICIPAL DEPARTMENTS OF HEALTH SCHOOLS LIBRARIES HOUSES OF WORSHIP PARENT GROUPS PTA AND VARIOUS COMMUNITY SERVICE ORGANIZATIONS THE HOSPITAL PROVIDES STAFF AND FINANCIAL SUPPORT FOR THE COMMUNITY HEALTH IMPROVEMENT PARTNERSHIP WHICH CONDUCTS INFORMAL HEALTH ASSESSMENTS VIA THE COMMUNICATION AND REPORTING BY THE MEMBERS OF THE PARTNERSHIP OVER THE LAST SEVERAL YEARS THE CHIP HAS IMPLEMENTED OVER 70 HEALTH INITIATIVES THAT BENEFIT THE COMMUNITY FY 2011 INITIATIVES INCLUDED A MEDICATION TAKEBACK PROGRAM AND A HEALTH AND WELLNESS FAIR HELD AT THE JULIAN CURTIS SCHOOL CHIP MEETINGS ARE HELD ONCE A MONTH ADDITIONALLY GH UTILIZES CURRENT NEEDS ASSESSMENT DATA THAT IS ANNUALLY COLLECTED AND PROVIDED BY EXTERNAL AGENCIES ORGANIZATIONS AND PARTNERS SUCH AS THE UNITED WAY AND LOCAL DEPARTMENTS OF HEALTH IN PLANNING AND DEVELOPING HEALTH CARE PROGRAMS FOR THE COMMUNITIES IT SERVES FOR EXAMPLE THE SENIOR HEALTH FAIR AND YOUTH SERVICE PROGRAMS ARE PROVIDED IN RESPONSE TO DATA THAT IS COLLECTED ANALYZED AND REPORTED BY OUR COLLABORATIVE PARTNERS
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI PART VI LINE 3 PATIENTS WILL OBTAIN INFORMATION ON ELIGIBILITY FOR GOVERNMENT OR HOSPITAL PROGRAMS FROM INFORMATION DISTRIBUTED BY THE HOSPITAL PATIENTS WILL BE ALERTED TO THE FINANCIAL ASSISTANCE PROGRAMS IN A NUMBER OF WAYS INCLUDING NOTICES IN ENGLISH AND SPANISH POSTED IN APPROPRIATE LOCATIONS IN THE HOSPITAL A SUMMARY OF FREE CARE AVAILABILITY AND INFORMATION ON HOW TO APPLY FOR FREE CARE REFERRED TO AS THE HOSPITALS NOTICE OF AVAILABILITY OF FUNDS INFORMATION DISTRIBUTED VIA MAIL AND OR IN THE HOSPITALS ADMISSION PACKAGE AND INFORMATION ON THE HOSPITALS WEB SITE INFORMATION WILL ALSO BE PROVIDED WHEN DIRECT INQUIRIES ARE MADE TO GH THERE IS ALSO ACCESS TO A TRANSLATION TELEPHONE THE HOSPITAL WILL PROVIDE NOTICE AND INFORMATION IN A MANNER THAT A COMPLIES WITH THE REQUIREMENTS OF LAW INCLUDING CONNECTICUT LAW CONCERNING HOSPITAL FUNDS AND B IS DESIGNED TO MAKE INFORMATION EASILY AVAILABLE AND ACCESSIBLE TO ALL PATIENTS ALL PATIENTS WILL HAVE ACCESS TO INFORMATION REGARDING ESTIMATED CHARGES FOR PARTICULAR SERVICES OR ACTUAL CHARGES FOR HOSPITAL SERVICES THAT HAVE BEEN PROVIDED
COMMUNITY INFORMATION PART VI PART VI LINE 4 GREENWICH HOSPITAL GH IS A 206BED INCLUDING BASSINETS REGIONAL HOSPITAL SERVING FAIRFIELD COUNTY CONNECTICUT AND WESTCHESTER COUNTY NEW YORK IT IS A MAJOR ACADEMIC AFFILIATE OF YALE UNIVERSITY SCHOOL OF MEDICINE AND A MEMBER OF THE YALE NEW HAVEN HEALTH SYSTEM SINCE OPENING IN 1903 GREENWICH HOSPITAL HAS EVOLVED INTO A PROGRESSIVE MEDICAL CENTER AND TEACHING INSTITUTION WITH AN INTERNAL MEDICINE RESIDENCY PROGRAM GREENWICH HOSPITAL SERVES PATIENTS THEIR FAMILIES AND THE COMMUNITY AT LARGE IN LOWER FAIRFIELD COUNTY AND WESTCHESTER COUNTY THE PRIMARY SERVICE AREA OF GREENWICH HOSPITAL INCLUDES THE CONNECTICUT TOWNS OF GREENWICH DARIEN NEW CANAAN AND STAMFORD AS WELL AS THE NEW YORK TOWNS OF PORT CHESTER RYE HARRISON LARCHMONT AND MAMARONECK IN THE PRIMARY SERVICE AREA APPROXIMATELY 29 OF HOUSEHOLDS HAVE INCOMES LESS THAN 50000 WHILE 42 OF HOUSEHOLDS HAVE INCOMES BETWEEN 50000 AND 150000 AND THE REMAINING 29 OF HOUSEHOLDS HAVE INCOMES GREATER THAN 150000 THE SECONDARY SERVICE AREA OF THE HOSPITAL ENCOMPASSES A WIDE RANGE OF TOWNS INCLUDING NORWALK WESTON WESTPORT AND WILTON IN CONNECTICUT AND ARMONK BEDFORD HARTSDALE KATONAH MOUNT KISCO MOUNT VERNON NEW ROCHELLE POUND RIDGE PURCHASE SCARSDALE SOUTH SALEM WEST HARRISON AND WHITE PLAINS IN NEW YORK SEVERAL NONPROFIT HOSPITALS ARE LOCATED IN THE AREA INCLUDING STAMFORD HOSPITAL AND NORWALK HOSPITAL IN CONNECTICUT IN ADDITION TO WHITE PLAINS HOSPITAL WESTCHESTER MEDICAL CENTER AND SOUND SHORE HOSPITAL IN NEW YORK GREENWICH HOSPITAL REPRESENTS ALL MEDICAL SPECIALTIES AND OFFERS A WIDE RANGE OF MEDICAL SURGICAL DIAGNOSTIC AND WELLNESS PROGRAMS IN FISCAL YEAR 2011 THERE WERE 42885 VISITS TO THE HOSPITALS EMERGENCY DEPARTMENT OF WHICH 7715 BECAME INPATIENTS AND 35170 WERE OUTPATIENTS ONLY IN THAT SAME FISCAL YEAR THE HOSPITALS INPATIENT VOLUME CONSISTED OF A DIVERSE PAYER MIX WITH 58 PERCENT MEDICAID PATIENTS 39 PERCENT MEDICARE PATIENTS 527 PERCENT MANAGED CARECOMMERCIAL PATIENTS AND 25 PERCENT SELF PAY OR OTHER PATIENTS THE HIGH QUALITY OF CARE COUPLED WITH GREENWICH HOSPITALS CONVENIENT LOCATION ARE SOME OF THE MANY REASONS PATIENTS CHOOSE TO BE TREATED HERE THE STATEOFTHEART MAIN CAMPUS AT 5 PERRYRIDGE ROAD ENCOMPASSES THE HELMSLEY MEDICAL BUILDING AND THE THOMAS AND OLIVE C WATSON PAVILION LOCATED ACROSS THE STREET FROM THE HOSPITAL AT 77 LAFAYETTE PLACE THE SHERMAN AND GLORIA H COHEN PAVILION HOUSES THE BENDHEIM CANCER CENTER AND THE BREAST CENTER GREENWICH HOSPITAL ALSO HAS AN ENDOSCOPY CENTER AT 500 PUTNAM AVENUE THE GREENWICH FERTILITY CENTER AND THE HELMSLEY AMBULATORY SURGERY CENTER AT 55 HOLLY HILL LANE A FACILITY FOR DIAGNOSTIC IMAGING AND PHYSICAL THERAPY AT 2015 W MAIN STREET IN STAMFORD CONN AS WELL AS MULTIPLE SATELLITE BLOOD DRAW STATIONS
HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE PART VI PART VI LINE 5 DURING FISCAL YEAR FY 2011 GREENWICH HOSPITAL PROVIDED APPROXIMATELY 258 MILLION IN COMMUNITY BENEFITS THIS FIGURE INCLUDES 198 MILLION DOLLARS IN CHARITY CARE AND UNREIMBURSED MEDICAID AT COST 26 MILLION IN HEALTH PROFESSIONS EDUCATION AND 34 IN COMMUNITY HEALTH IMPROVEMENT AND EDUCATION ACTIVITIES AND INKIND CONTRIBUTIONS TO COMMUNITY GROUPS THE HOSPITAL PROVIDES A SIGNIFICANT AMOUNT OF HEALTH PROFESSIONS EDUCATION ON AN ANNUAL BASIS FOR 170 MEDICAL PROFESSIONALS THIS INCLUDES GRADUATE AND INDIRECT MEDICAL EDUCATION IN THE AREA OF RESIDENCY AND FELLOWSHIP EDUCATION FOR PHYSICIANS MEDICAL STUDENTS IN ADDITION THE HOSPITAL PROVIDES A CLINICAL SETTING FOR UNDERGRADUATE TRAINING TO STUDENTS ENROLLED IN PROGRAMS OUTSIDE THE ORGANIZATION IN THE AREAS OF NURSING AND RESPIRATORY CARE GREENWICH HOSPITAL HAS INVESTED A SIGNIFICANT AMOUNT OF TIME MONEY AND RESOURCES IN THE DEVELOPMENT AND IMPLEMENTATION OF PUBLIC HEALTH PROJECTS TO IMPROVE HEALTH AND INCREASE ACCESS SOME EXAMPLES OF COMMUNITY PROGRAMS AND SERVICES THAT INCLUDE COMMUNITY PARTNERS THAT WERE ESTABLISHED TO PROMOTE HEALTH AND WELLNESS ARE LISTED BELOW GREENWICH HOSPITAL RECEIVED A GRANT FROM THE BREAST CANCER ALLIANCE TO PROVIDE FUNDING FOR FREE SCREENING AND DIAGNOSTIC MAMMOGRAM SERVICES FOR WOMEN WHO ARE UNINSURED OR UNDERINSURED IN CALENDAR YEAR 2011 347 WOMEN RECEIVED FREE MAMMOGRAMS AND TWO WOMEN WERE FOUND TO HAVE EARLY BREAST CANCER AND RECEIVED TREATMENT THE HOSPITAL ALSO PROVIDES FREE PROSTATE SCREENINGS ONCE A YEAR FOR MEN OVER THE AGE OF 40 THESE SCREENINGS ARE HELD IN MULTIPLE SIDES INCLUDING THE HOSPITAL AND LOCAL CHURCHES OVER EIGHTY MEN RECEIVED FREE PROSTATE SPECIFIC ANTIGEN PSA BLOOD TESTS AND SCREENING EXAMS BY A BOARD CERTIFIED UROLOGIST COMMUNITY HEALTH GREENWICH HOSPITAL PARTICIPATED IN 37 HEALTH FAIRS HELD AT SCHOOLS COMMUNITY CENTERS HOUSING DEVELOPMENTS PARKS PLACES OF WORSHIP AND SENIOR CENTERS THE HEALTH FAIRS WERE CONDUCTED IN FAIRFIELD COUNTY AND WESTCHESTER COUNTY THESE HEALTH FAIRS PROVIDED INFORMATION AND EDUCATION ABOUT EXERCISE HEALTHY BEHAVIORS HAND WASHING IMMUNIZATION SCREENINGS SUN SAFETY CHOLESTEROL STROKE WEIGHT MANAGEMENT NUTRITION BREAST SELFEXAMS AND MORE STAFF OFFERED FREE BLOOD PRESSURE AND METABOLIC SCREENINGS IN CONJUNCTION WITH THE EDUCATIONAL AND COUNSELING ON HEALTHY LIVING THE NURSE IS IN PROGRAM AVAILABLE FIVE DAYS A WEEK AT LOCAL LIBRARIES YMCAS AND SENIOR CENTERS PROVIDED FREE BLOOD PRESSURE SCREENINGS AND HEALTH COUNSELING TO 5351 INDIVIDUALS IN ADDITION 2068 FREE BLOOD PRESSURE SCREENINGS WERE PROVIDED AT OTHER COMMUNITY BASED SITES IN WESTCHESTER AND FAIRFIELD COUNTIES HEALTH PROGRAMS FOR CHILDREN WERE PROVIDED ONSITE AT VARIOUS ELEMENTARY MIDDLE AND HIGH SCHOOLS IN FAIRFIELD AND WESTCHESTER COUNTY ONE PROGRAM TAUGHT THE IMPORTANCE OF HAND HYGIENE HEALTH AND SAFETY TO PREVENT THE TRANSMISSION OF DISEASES AND INJURY TO 400 GRADE SCHOOL STUDENTS SMOKING PREVENTION PRESENTATIONS WERE PROVIDED TO 1100 GREENWICH HIGH SCHOOL AND MIDDLE SCHOOL STUDENTS AND 1000 WESTCHESTER COUNTY MIDDLE AND HIGH SCHOOL STUDENTS THE HOSPITAL ALSO PARTNERED WITH THE BOYS AND GIRLS CLUB OF GREENWICH TO BRING FRIDAY NIGHT OUT FAMILIES SPENDING MEANINGFUL TIME TOGETHER A PROGRAM DESIGNED TO EDUCATE FAMILIES ABOUT HEALTHY EATING AND LIFESTYLES THREE SESSIONS WERE CONDUCTED MONTHLY AT THE BOYS AND GIRLS CLUB OF GREENWICH WITH ELEVEN FAMILIES PARTICIPATING IN THE PROGRAM SESSIONS CONSISTED OF AN EXERCISE COMPONENT A HEALTHY COOKING DEMONSTRATION A FOODRELATED CRAFT ACTIVITY AND A HEALTHY MEAL THAT ALL THE FAMILIES ENJOYED TOGETHER IN SEPTEMBER GREENWICH HOSPITALS COMMUNITY HEALTH IMPROVEMENT PARTNERSHIP IN COLLABORATION WITH THE GREENWICH POLICE DEPARTMENT SILVER SHIELD OF GREENWICH GREENWICH YOUTH SERVICES COUNCIL CAPP TOWN OF GREENWICH GREENWICH HOSPITAL AND THE CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION SPONSORED THE ANNUAL MEDICATION TAKEBACK INITIATIVE SHED THE MEDS THE EVENT PROVIDED AN OPPORTUNITY FOR POTENTIALLY DANGEROUS CONTROLLED SUBSTANCES TO BE REMOVED FORM HOMES AND THE ENVIRONMENT GREENWICH HOSPITAL PARTICIPATES IN GOVERNMENT SPONSORED HEALTH CARE PROGRAMS INCLUDING MEDICARE MEDICAID CHAMPUS AND TRICARE THE HOSPITAL HAS SEVERAL FREE CARE PROGRAMS FOR PATIENTS WHO ARE UNABLE TO AFFORD TO PAY FOR THEIR HOSPITAL SERVICES THESE INCLUDE FREE BED FUNDS SLIDING SCALE PROGRAMS THROUGH THE HOSPITAL CLINIC AND A CHARITY CARE PROGRAM DURING FY 2011 THE HOSPITAL DISTRIBUTED 2277 APPLICATIONS FOR HOSPITAL FREE BED FUNDS THAT RESULTED IN FREE CARE OF 18 MILLION FUNDS DONATED TO GREENWICH HOSPITAL BY INDIVIDUALS OR TRUSTS TO BE USED FOR FINANCIAL ASSISTANCE TO PATIENTS WHOM PAYMENT FOR THEIR HOSPITAL SERVICES WOULD BE A FINANCIAL HARDSHIP COVERED 633000 OF THIS FREE CARE ADDITIONALLY THE HOSPITAL ASSISTED 1199 CONNECTICUT PATIENTS AND 178 NEW YORK PATIENTS WITH MEDICAID APPLICATIONS AND MEDICAID ELIGIBILITY QUESTIONS DURING FY 2011 IN ADDITION TO THE ACTIVITIES DESCRIBED GREENWICH HOSPITAL ALSO CONTRIBUTES TO THE COMMUNITY IN WAYS THAT ARE NOT QUANTIFIED AS PART OF THIS REPORT AND SERVES AS AN IMPORTANT COMMUNITY RESOURCE THIS INCLUDES HAVING A COMMUNITY BOARD WITH MANY OF THE BOARD MEMBERS RESIDING IN THE TOWN OF GREENWICH AND OTHER TOWNS AND CITIES WITH THE HOSPITALS PRIMARY SERVICE AREA THE HOSPITAL ALSO EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY IN FY 2011 30 NEW PHYSICIANS JOINED THE MEDICAL STAFF WHICH NOW TOTALS 637 MEMBERS PHYSICIANS WHO BECAME ACTIVE MEDICAL STAFF MEMBERS SPECIALIZE IN THE FOLLOWING SERVICES INTERNAL MEDICINE EMERGENCY MEDICINE OTOLARYNGOLOGY PSYCHIATRY PLASTIC SURGERY TELERADIOLOGY HOSPITALIST OBSTETRICS GYNECOLOGY ORAL SURGERY PEDIATRICS GASTROENTEROLOGY VASCULAR SURGERY PSYCHOLOGY PEDIATRICS GI AND NEUROLOGY ORTHOPEDICS AND RADIOLOGY THE HOSPITAL AS A NOTFORPROFIT APPLIES SURPLUS FUNDS TO IMPROVEMENTS IN PATIENT CARE MEDICAL EDUCATION AND RESEARCH FY 2011 EXAMPLES INCLUDE THE FOLLOWING PROJECTS THE HOSPITAL CONTINUED EFFORTS RELATED TO THE SAFEST HOSPITAL INITIATIVE WHICH BEGAN IN 2008 THIS INCLUDED A COMPREHENSIVE SITE SECURITY AUDIT WHICH WAS CONDUCTED IN THE FALL AND ASSESSED THE HOSPITALS PHYSICAL PLANT SAFETY PRACTICES NEARLY 75 PERCENT OF THE SUGGESTED SAFETY MEASURES WERE IMPLEMENTED DURING FY 2011 THE HOSPITAL ALSO CONDUCTED A CULTURE OF SAFETY SURVEY IN FEBRUARY 2011 OVER 97 PERCENT OF GREENWICH HOSPITAL STAFF PARTICIPATED IN THE SURVEY AND IN ALL AREAS THE HOSPITAL EITHER MET OR EXCEEDED TARGETED BENCHMARKS RESULTS OF THE SURVEY WERE USED TO DEVELOP IMPROVEMENT ACTION PLANS THE DEDICATION OF THE HOSPITALS SIMULATION CENTER TOOK PLACE IN MARCH 2011 THE CENTER FEATURES A SIMULATED INPATIENT HOSPITAL ROOM AND A REALISTIC HIGHFIDELITY PATIENT THAT CAN BE PROGRAMMED TO BREATHE SPEAK BLINK SWEAT BLEED AND RESPOND PHYSIOLOGICALLY TO MEDICATIONS AND TREATMENT THIS TYPE OF MEDICAL SIMULATION IS BENEFICIAL TO STAFF AND EDUCATORS AND IS AN INTEGRAL TOOL IN MEDICAL EDUCATION THE HOSPITAL BEGAN SITUATION BACKGROUND ASSESSMENT AND RECOMMENDATION SBAR BEDSIDE SHIFT REPORTING IN DECEMBER 2010 THE SBAR INITIATIVE IS DESIGNED TO INCREASE PATIENT SAFETY DECREASE MEDICAL ERRORS AND IMPROVE COMMUNICATION BETWEEN PATIENTS AND CAREGIVERS USING SBAR THE NURSE GOING OFF SHIFT SIGNS OUT TO THE ONCOMING NURSE DIRECTLY AT THE PATIENTS BEDSIDE ENSURING THAT THE PATIENT IS AN ACTIVE PARTICIPANT IN HIS OR HER OWN CARE GREENWICH HOSPITAL CONTINUED TO BE DEFINED BY ITS SERVICE EXCELLENCE ENVIRONMENT FOR THE PAST FIVE CONSECUTIVE YEARS THE HOSPITAL RECEIVED THE PRESTIGIOUS PRESS GANEY SUMMIT AWARD WHICH IS AWARDED TO HOSPITALS THAT MAINTAIN AN INPATIENT SATISFACTION RANKING AT THE 95TH PERCENTILE NATIONALLY OR ABOVE FOR A PERIOD OF AT LEAST THREE YEARS IN AUGUST CMS RELEASED THE NEXT SET OF HOSPITAL CONSUMER ASSESSMENT OF HEALTHCARE PROVIDERS AND SYSTEMS HCAHPS RESULTS HCAHPS IS THE SURVEY THAT MEASURES 10 AREAS OF INPATIENT PERCEPTIONS OF CARE THE HOSPITAL SCORED WELL MATCHING OR SURPASSING NATIONAL CONNECTICUT AND NEW YORK SCORES ON FIVE OF THE TEN SURVEY AREAS AMONG ALL OF CONNECTICUT AND WESTCHESTER COUNTY NEW YORK HOSPITALS PATIENTS RATED GREENWICH HOSPITAL THE HIGHEST RATING IN OVERALL RATING AND WILLINGNESS TO RECOMMEND TO OTHERS IN JANUARY 2011 TWO OF GREENWICH HOSPITALS SURGICAL PROGRAMS THE SPINE INSTITUTE AND THE CENTER FOR JOINT REPLACEMENT WERE CERTIFIED BY THE JOINT COMMISSION FOR ADHERING TO NATIONAL STANDARDS FOR EXCELLENCE QUALITY AND SAFETY THE PROGRAMS WERE CERTIFIED FOR SPINAL FUSION AND TOTAL HIP AND KNEE REPLACEMENT SURGERY MAKING GREENWICH ONE OF JUST SIX FACILITIES NATIONWIDE AND THE ONLY HOSPITAL IN CONNECTICUT TO BE GIVEN THE COMMISSIONS GOLD SEAL OF APPROVAL FOR THE THREE PROCEDURES DURING THE YEAR GREENWICH HOSPITAL RECEIVED SEVERAL OTHER CERTIFICATIONS ACCREDITATIONS AND RECOGNITIONS INCLUDING THE STROKE CENTER SLEEP CENTER AND BARIATRIC PROGRAM GREENWICH HOSPITAL WAS RECOGNIZED FOR THE ELEVENTH TIME AS MOST WIRED BY HOSPITALS AND HEALTH NETWORKS THE AWARD RECOGNIZE
AFFILIATED HEALTH CARE INFORMATION PART VI PART VI LINE 6 THE YALE NEW HAVEN HEALTH SYSTEMS FUNDAMENTAL MISSION IS TO ENSURE THAT THE DELIVERY NETWORKS ASSOCIATED WITH THE SYSTEM PROMOTE THE HEALTH OF THE COMMUNITIES THEY SERVE AND ENSURE THAT ALL IN NEED HAVE ACCESS TO APPROPRIATE HEALTHCARE SERVICES THE YALE NEW HAVEN HEALTH SYSTEM REQUIRES ITS HOSPITALS TO INCORPORATE PLANS TO PROMOTE HEALTHY COMMUNITIES WITHIN HOSPITAL EXISTING BUSINESS PLANS FOR WHICH THEY ARE HELD ACCOUNTABLE IN ADDITION REGULAR REPORTING ON COMMUNITY BENEFITS IS REQUIRED ON A QUARTERLY BASIS AND OBJECTIVES IN THE EXECUTIVES PERFORMANCE EVALUATION ARE ASSOCIATED WITH PROVIDING BENEFITS TO THE COMMUNITY EACH DELIVERY NETWORKS MISSION VISION AND BUSINESS PLAN INCORPORATES THE CONCEPTS OF WORKING WITH ITS COMMUNITY TO IDENTIFY OPPORTUNITIES TO PROMOTE HEALTH PROVIDE SERVICES THAT PROMOTE HEALTH AND PROVIDE CHARITY CARE AND FREE CARE TO THOSE THAT CANNOT AFFORD NECESSARY SERVICES
LIST OF STATES WHERE COMMUNITY BENEFIT REPORT IS FILED PART VI CONNECTICUT
Schedule H (Form 990) 2010
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
GREENWICH HOSPITAL
 
Employer identification number
06-0646659
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) UNITED WAY1 LAFAYETTE COURT
GREENWICH,CT06830 		06-0646578 C-3 10,000       SUPPORT ORGANIZATION
(2) BREAST CANCER ALLIANCE15 EAST PUTNAM AVE
GREENWICH,CT06830 		06-1453500 C-3 57,000       SUPPORT ORGANIZATION
(3) GEMS111 EAST PUTNAM AVE
RIVERSIDE,CT06878 		22-2721171 C-3 91,000       SUPPORT ORGANIZATION
(4) YMCA OF GREENWICH50 EAST PUTNAM AVE
GREENWICH,CT06830 		06-0646976 C-3 15,000       SUPPORT ORGANIZATION
(5) NORWALK COMMUNITY COLLEGE188 RICHARD AVE
NORWALK,CT06854 		06-6080293 C-3 10,000       SUPPORT ORGANIZATION
(6) TYME FOR LYME30 MYANO LANE
STAMFORD,CT06902 		06-1559393 C-3 10,000       SUPPORT ORGANIZATION
(7) UGC FOUNDATION391 PELHAM ROAD
NEW ROCHELLE,NY10801 		13-1663975 C-3 10,000       SUPPORT ORGANIZATION
(8) THE OSBORN101 THEALL ROAD
RYE,NY10580 		13-5562312 C-3 20,000       SUPPORT ORGANIZATION
(9) STAMFORD HOSPITAL30 SHELBURNE ROAD PO BOX 9317
STAMFORD,CT06902 		06-0646917 C-3 5,900       SUPPORT ORGANIZATION






2
Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image
9
3
Enter total number of other organizations ................................ . Bullet Image
 
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2010

Schedule I (Form 990) 2010
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance













Part IV
Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.
Identifier Return Reference Explanation
PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INSIDE THE UNITED STATES SCHEDULE I, PAGE 1, PART I, LINE 2 NONE OF THE AMOUNT REPORTED ON SCHEDULE I, PART II ARE GRANTS. THESE AMOUNTS ARE DONATIONS AND SPONSORSHIPS GIVEN TO ORGANIZATIONS TO ASSIST IN THE FURTHERANCE OF THEIR MISSION.
Schedule I (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
GREENWICH HOSPITAL
 
Employer identification number

06-0646659
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
Yes
 
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
Yes
 
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) FRANK A CORVINO
FRANK A CORVINO 		(i)
(ii)		 821,286
  		309,793
  		457,558
  		123,254
  		16,871
  		1,728,762
  		89,859
 
(2) GAYLE CAPOZZALO
GAYLE CAPOZZALO 		(i)
(ii)		  
655,732 		 
188,910 		 
279,037 		 
140,600 		 
15,203 		 
1,279,482 		 
65,864
(3) QUINTON FRIESEN
QUINTON FRIESEN 		(i)
(ii)		 391,361
  		108,129
  		199,301
  		77,050
  		15,203
  		791,044
  		37,242
 
(4) EUGENE COLUCCI
EUGENE COLUCCI 		(i)
(ii)		 371,685
  		112,752
  		65,868
  		166,307
  		19,992
  		736,604
  		23,586
 
(5) BRIAN DORAN (i)
(ii)		 370,484
  		35,353
  		16,916
  		12,344
  		22,076
  		457,173
  		6,147
 
(6) NANCY LEVITT-ROSENTHAL
NANCY LEVITT-ROSENTHAL 		(i)
(ii)		 254,165
  		77,505
  		36,388
  		127,547
  		11,875
  		507,480
  		 
 
(7) DEBORAH HODYS (i)
(ii)		 253,948
  		52,787
  		16,500
  		14,135
  		21,750
  		359,120
  		 
 
(8) SUSAN BROWN
SUSAN BROWN 		(i)
(ii)		 247,130
  		43,786
  		 
  		29,473
  		19,552
  		339,941
  		 
 
(9) MELISSA TURNER
MELISSA TURNER 		(i)
(ii)		 178,752
  		55,586
  		40,978
  		90,732
  		21,569
  		387,617
  		 
 
(10) GEORGE PAWLUSH
GEORGE PAWLUSH 		(i)
(ii)		 157,926
  		52,075
  		22,000
  		21,719
  		19,910
  		273,630
  		 
 
(11) STEPHEN CARBERY
STEPHEN CARBERY 		(i)
(ii)		 176,474
  		31,232
  		15,206
  		19,819
  		21,538
  		264,269
  		8,485
 
(12) MARC KOSAK
MARC KOSAK 		(i)
(ii)		 177,888
  		34,093
  		9,650
  		13,486
  		22,998
  		258,115
  		 
 
(13) CHRISTINE BEECHNER
CHRISTINE BEECHNER 		(i)
(ii)		 119,424
  		23,135
  		6,467
  		10,328
  		21,345
  		180,699
  		1,018
 
(14) STEPHEN GRAY
STEPHEN GRAY 		(i)
(ii)		 480,733
  		45,585
  		19,022
  		29,473
  		16,753
  		591,566
  		8,620
 
(15) VICKI ALTMEYER
VICKI ALTMEYER 		(i)
(ii)		 462,354
  		33,832
  		22,000
  		29,473
  		17,320
  		564,979
  		15,650
 
(16) RICHARD EISEN
RICHARD EISEN 		(i)
(ii)		 458,454
  		25,266
  		20,850
  		22,003
  		24,198
  		550,771
  		 
 
(17) ERIC DIAMOND
ERIC DIAMOND 		(i)
(ii)		 461,566
  		 
  		21,578
  		29,473
  		17,298
  		529,915
  		47,594
 
(18) MARVIN LIPSCHUTZ
MARVIN LIPSCHUTZ 		(i)
(ii)		 378,049
  		78,014
  		3,862
  		8,858
  		35,828
  		504,611
  		 
 
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
SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS SCHEDULE J, PAGE 1, PART I, LINE 4 EUGENE COLUCCI 0 89,357 0 NANCY LEVITT-ROSENTHAL 0 67,597 0 MELISSA TURNER 0 49,832 0
NON-FIXED PAYMENTS PROVIDED SCHEDULE J, PAGE 1, PART I, LINE 7 THE SHORT TERM INCENTIVE PLAN (STIP) IS A VARIABLE COMPENSATION PLAN WHICH PROVIDES ONE-TIME PAYMENTS TO ELIGIBLE MEMBERS OF MANAGEMENT IN RECOGNITION OF THE ACCOMPLISHMENT OF KEY ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE OBJECTIVES. PERFORMANCE LEVELS ARE ESTABLISHED AND REVIEWED ANNUALLY AT THRESHOLD, TARGET AND MAXIMUM LEVELS, ACCORDING TO PLANNED "STRETCH" GOALS AND OBJECTIVES. INCENTIVE AWARD OPPORTUNITIES ARE ESTABLISHED ACCORDING TO MARKET PRACTICES BASED ON EACH ELIGIBLE POSITION'S RESPONSIBILITIES, PERFORMANCE AND LEVEL OF AUTHORITY. PERFORMANCE RELATIVE TO STIP AWARD OPPORTUNITIES INCORPORATES A BROAD SPECTRUM OF PRE-DEFINED FINANCIAL AND NON-FINANCIAL METRICS THAT ARE ALIGNED WITH ORGANIZATIONAL MISSION AND VALUES.
OTHER ADDITIONAL INFORMATION SCHEDULE J, PART III PART I, LINE 4B THE INDIVIDUALS LISTED ABOVE ARE PARTICIPANTS IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THESE ACCRUALS ARE INCLUDED IN THE AMOUNTS REPORTED IN PART II, COLUMN C (DEFERRED COMPENSATION) AND REPRESENTS BOTH THE REPORTING ENTITY'S AND RELATED ENTITY'S COMBINED AMOUNTS CONSISTENT WITH THE COMPENSATION REPORTING PER IRS INSTRUCTIONS. INDIVIDUALS LISTED BELOW BECAME VESTED IN BENEFITS VALUED AT THE AMOUNTS RESPECTIVELY REPORTED BELOW DURING THE REPORTING YEAR. INCLUDED IN SECTION II, COLUMN B (III) ARE AMOUNTS VESTED DURING THE 2010 CALENDAR YEAR THAT WERE RECOGNIZED AS TAXABLE EVENTS AND REPORTED IN THE INDIVIDUALS' 2010 CALENDAR YEAR FORM W-2S. FRANK CORVINO 363,022 QUINTON FRIESEN 139,236 GAYLE CAPOZZALO 189,156 VICKI ALTMEYER 16,096 RICHARD EISEN 7,962 STEPHEN GRAY 26,118 THE SUPPLEMENTAL RETIREMENT INCOME PLAN (SRIP) IS DESIGNED TO ENSURE THE PAYMENT OF A COMPETITIVE LEVEL OF RETIREMENT INCOME WHEN ADDED TO OTHER SOURCES OF RETIREMENT INCOME IN ORDER TO ATTRACT AND RETAIN KEY MANAGEMENT EMPLOYEES SERVING AS CORPORATE OFFICERS. THE PLAN PROVIDES SUPPLEMENTAL RETIREMENT INCOME THROUGH AN UNFUNDED, NONQUALIFIED DEFERRED COMPENSATION ARRANGEMENT UNDER SECTION 457(F) AND THROUGH A DEFERRED COMPENSATION PLAN UNDER SECTION 409A OF THE INTERNAL REVENUE CODE AND A MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES' PLAN UNDER THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974 (ERISA).
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
GREENWICH HOSPITAL
 
Employer identification number
06-0646659
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
  		06-0806186 20774UYC3 05-07-2008 53,630,000 REFUND PRIOR ISSUE   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 . . . .        
4 Gross proceeds in reserve funds . .        
5 Capitalized interest from proceeds.        
6 Proceeds in refunding escrow. . . . .        
7 Issuance costs from proceeds . . . 426,060      
8 Credit enhancement from proceeds.        
9 Working capital expenditures from proceeds . .        
10 Capital expenditures from proceeds . .        
11 Other spent proceeds . .        
12 Other unspent proceeds. . .        
13 Year of substantial completion . . . 2008
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? X              
15 Were the bonds issued as part of an advance refunding issue?   X            
16 Has the final allocation of proceeds been made? . . X              
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . 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            
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . 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              
b Are there any research agreements that may result in private business use of bond-financed property? . . 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            
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 1.460 %      
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 0.770 %      
6 Total of lines 4 and 5 . . .. . . . . . 2.230 %      
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities? 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 .  
  		 
  		 
  		 
 
c Term of hedge . .        
d Was the hedge superintegrated? .                
e Was a hedge terminated? .                
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
ADDITIONAL INFORMATION SCHEDULE K CHEFA PART III LINE 3C THE ORGANIZATION HAS INHOUSE LEGAL STAFF WHO PROVIDE ROUTINE REVIEW OF MANAGEMENT OR SERVICE CONTRACTS OR RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY TO ENSURE THAT SUCH AGREEMENTS ARE COMPLIANT WITH APPLICABLE SAFE HARBORS INHOUSE COUNSEL CONSULT WITH THE HOSPITALS OUTSIDE BOND COUNSEL AS NEEDED INCLUDING ON NONROUTINE ISSUES
Schedule K (Form 990) 2010

Additional Data


Software ID:  
Software Version:  

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBulletSee separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
GREENWICH HOSPITAL
 
Employer identification number

06-0646659
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Description of transaction (c) Corrected?
Yes No





2
Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.
(a) Name of interested person and purpose (b) Loan to or from the organization? (c)Original principal amount (d)Balance due (e) In default? (f) Approved by board or committee? (g)Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b)Relationship between interested person and the organization (c)Amount of grant or type of assistance
For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2010
Schedule L (Form 990 or 990-EZ) 2010
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) SEE PART V   324,543     No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
ADDITIONAL INFORMATION SCHEDULE L PART V NAME OF INTERESTED PERSON CENTURY FINANCIAL SERVICES INC OFFICER EUGENE COLUCCI IS AN OFFICER AND DIRECTOR OF CENTURY FINANCIAL SERVICES INC CENTURY FINANCIAL SERVICES INC PROVIDES BILLING AND COLLECTION SERVICES FOR THE HOSPITAL A PORTION OF CENTURY FINANCIAL SERVICES INC IS OWNED DIRECTLY OR INDIRECTLY BY RELATED ORGANIZATIONS OF THE HOSPITAL AMOUNT OF TRANSACTION 324543 SOME OF THE ORGANIZATIONS CURRENT OFFICERS SERVE AS OFFICERS ANDOR DIRECTORS OF TAXABLE AFFILIATES WITHIN THE ORGANIZATIONS CORPORATE SYSTEM THE ORGANIZATION ENGAGES IN BUSINESS TRANSACTIONS WITH SOME OF THESE TAXABLE AFFILIATES THESE TRANSACTIONS HAVE BEEN REPORTED AND DISCLOSED ON SCHEDULE R THEY ARE NOT BEING REPORTED AGAIN HERE BECAUSE THE INDIVIDUAL OFFICERS AND TRUSTEES DO NOT HAVE PERSONAL FINANCIAL INTERESTS IN THE TAXABLE AFFILIATES AND SERVE ONLY AS A FUNCTION OF THEIR ROLES AT THE ORGANIZATION
Schedule L (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE M
(Form 990)

Department of the Treasury
Internal Revenue Service
NonCash Contributions
Right pointing arrow large imageComplete if the organization answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
GREENWICH HOSPITAL
 
Employer identification number

06-0646659
Part I
Types of Property
(a)
Check if applicable 		(b)
Number of Contributions or items contributed 		(c)
Contribution amounts reported on
Form 990, Part VIII, line 1g 		(d)
Method of determining
contribution amounts
1 Art—Works of art .... X 11 156,288 FAIR MARKET VALUE
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications .. X 4,010 FAIR MARKET VALUE
5 Clothing and household
goods ....... 		X 72,234 FAIR MARKET VALUE
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded . X 5 49,991 FAIR MARKET VALUE
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests .... 		       
12 Securities—Miscellaneous .. X 3 1,498,631 FAIR MARKET VALUE
13 Qualified conservation
contribution—Historic
structures ..... 		       
14 Qualified conservation
contribution—Other ... 		       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ... X 46 13,590 FAIR MARKET VALUE
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( VAC/AIR/CRUISE ) X 35 71,969 FAIR MARKET VALUE
26 Other Right pointing arrow large image ( ACQUARIUM ) X 1 52,116 FAIR MARKET VALUE
27 Other Right pointing arrow large image ( PHOTOGRAPHY ) X 21 42,780 FAIR MARKET VALUE
28 Other Right pointing arrow large image ( MISCELLANEOUS ) X 278 202,108 FAIR MARKET VALUE
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement ...
29
2
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1-28 that it
must hold for at least three years from the date of the initial contribution, and which is not required to be used
for exempt purposes for the entire holding period? ..................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?
31
Yes
 
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell non-cash
contributions? ............................
32a
 
No
b
If "Yes," describe in Part II.
33
If the organization did not report revenues in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) 2010
Schedule M (Form 990) 2010
Page 2
Part II
Supplemental Information. Complete this part to provide the information required by Part I, lines 30b,
32b, and 33. Also complete this part for any additional information.
Identifier Return Reference Explanation
EXPLANATION FOR NOT REPORTING REVENUE SCHEDULE M, PAGE 1, PART I, LINE 33 OCCASIONALLY, ITEMS ARE DONATED THAT EITHER HAVE ZERO/MINIMAL VALUE OR DO NOT HAVE READILY ATTAINABLE VALUE (BUT ARE BELIEVED TO HAVE ZERO/MINIMAL VALUE). THESE ITEMS ARE RECORDED BUT NO INCOME IS RECOGNIZED.
Schedule M (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
GREENWICH HOSPITAL
 
Employer identification number

06-0646659
Identifier Return Reference Explanation
ADDITIONAL INFORMATION FORM 990 PART 1, LINE 4 AND PART VI, LINE 1B NUMBER OF INDEPENDENT VOTING MEMBERS OF THE GOVERNING BODY THE ORGANIZATION SOUGHT TO CONFIRM THE INDEPENDENCE OF EACH VOTING MEMBER OF ITS GOVERNING BODY BY REQUESTING THAT EACH SUCH VOTING MEMBER RESPOND TO A QUESTIONNAIRE CONTAINING THE PERTINENT INSTRUCTIONS AND DEFINITIONS AND DESIGNED TO ELICIT THE INFORMATION NECESSARY TO DETERMINE INDEPENDENCE. BASED ON RESPONSES TO THE QUESTIONNAIRES RECEIVED BY THE ORGANIZATION AND ANNUAL CONFLICTS OF INTEREST DISCLOSURES, THE ORGANIZATION WAS ABLE TO CONFIRM THAT 23 VOTING MEMBERS ARE INDEPENDENT.
FIRST ACHIEVEMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4A GREENWICH HOSPITAL, FOUNDED IN 1903, IS A 206-BED COMMUNITY TEACHING HOSPITAL THAT HAS EVOLVED INTO A PROGRESSIVE REGIONAL HEALTH CARE CENTER, AVERAGING MORE THAN 13,000 INPATIENT DISCHARGES AND 2,100 BIRTHS A YEAR. THE HOSPITAL OFFERS A WIDE RANGE OF MEDICAL, SURGICAL, DIAGNOSTIC, INTEGRATIVE MEDICINE AND WELLNESS PROGRAMS, AS WELL AS MEDICAL INNOVATIONS FROM ROBOTIC SURGERY TO SOPHISTICATED DIAGNOSTIC IMAGING TO NATIONAL CLINICAL TRIALS. THE GREENWICH DELIVERY NETWORK SERVES FAIRFIELD AND WESTCHESTER, NEW YORK COUNTIES. GREENWICH HOSPITAL, A MEMBER OF YNHHS SINCE 1998, IS A LEADER IN SERVICE EXCELLENCE, CONSISTENTLY RANKING IN THE TOP FIVE PERCENT NATIONALLY FOR PATIENT SATISFACTION. THE MAIN CAMPUS INCLUDES THE HELMSLEY MEDICAL BUILDING AND WATSON PAVILION. OTHER SPECIALIZED SERVICES INCLUDE THE BENDHEIM CANCER AND BREAST CENTERS, ENDOSCOPY CENTER, LEONA M. AND HARRY B. HELMSLEY AMBULATORY MEDICAL CENTER, THE RICHARD R. PIVIROTTO CENTER FOR HEALTHY LIVING AND THE GREENWICH HOSPITAL DIAGNOSTIC CENTER IN STAMFORD. DURING FISCAL YEAR (FY) 2011, GREENWICH HOSPITAL PROVIDED APPROXIMATELY 25.8 MILLION IN COMMUNITY BENEFITS. THIS FIGURE INCLUDES 19.8 MILLION DOLLARS IN CHARITY CARE AND UNDER REIMBURSED MEDICAID (AT COST), 2.6 MILLION IN HEALTH PROFESSIONS EDUCATION AND 3.4 MILLION IN COMMUNITY HEALTH IMPROVEMENT AND EDUCATION ACTIVITIES, SUBSIDIZED SERVICES, RESEARCH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS. AN ADDITIONAL 1.0 MILLION WAS PROVIDED IN THE AREA OF COMMUNITY BUILDING ACTIVITIES, WHICH INCLUDED SUPPORT FOR ECONOMIC DEVELOPMENT, ENVIRONMENTAL IMPROVEMENTS, WORKFORCE DEVELOPMENT, COALITION BUILDING AND PHYSICAL IMPROVEMENT AND HOUSING. GREENWICH HOSPITAL HAS INVESTED A SIGNIFICANT AMOUNT OF TIME, MONEY AND RESOURCES IN THE DEVELOPMENT AND IMPLEMENTATION OF PUBLIC HEALTH PROJECTS TO IMPROVE HEALTH AND INCREASE ACCESS.
ADDITIONAL INFORMATION FORM 990, PART VI BUSINESS RELATIONSHIPS BETWEEN OFFICERS, DIRECTORS, TRUSTEES, OR KEY EMPLOYEES TRUSTEE WILLIAM BERKLEY, JR. AND OFFICER/TRUSTEE FRANK CORVINO ARE BOARD MEMBERS OF THE SAME BUSINESS ENTITY. SOME OF THE ORGANIZATION'S CURRENT OFFICERS AND TRUSTEES SERVE AS OFFICERS AND/OR DIRECTORS OF TAXABLE AFFILIATES WITHIN THE ORGANIZATION'S CORPORATE SYSTEM. THE INDIVIDUAL OFFICERS AND TRUSTEES DO NOT HAVE PERSONAL FINANCIAL INTERESTS IN THOSE TAXABLE AFFILIATES AND SERVE ONLY AS A FUNCTION OF THEIR ROLES WITH THE ORGANIZATION. THE TAXABLE AFFILIATES FOR WHICH SOME OF THE ORGANIZATION'S OFFICERS AND TRUSTEES SERVE ALSO AS OFFICERS AND/OR DIRECTORS INCLUDE: CARDIOVASCULAR SERVICES OF GREENWICH, P.C.; GREENWICH CLINICAL PATHOLOGY ASSOCIATES, LLC.; GREENWICH HEALTH SERVICES, INC.; GREENWICH IM HOSPITALIST SERVICES, INC.; GREENWICH INTEGRATIVE MEDICINE, P.C.; GREENWICH PAIN CONSULTING SERVICES, INC.; GREENWICH PEDIATRIC SERVICES, P.C.; AND GREENWICH PERINATOLOGY SERVICES, P.C.
RELATED PARTY INFORMATION AMONG OFFICERS FORM 990, PAGE 6, PART VI, LINE 2 SEE ABOVE
CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PAGE 6, PART VI, LINE 6 THE HOSPITAL IS A CONNECTICUT NON-STOCK CORPORATION. ITS SOLE MEMBER IS GREENWICH HEALTH CARE SERVICES, INC. ("GHCSI"), ITSELF A CONNECTICUT NON-STOCK CORPORATION DESCRIBED IN SECTION 501(C)(3) OF THE CODE.
ELECTION OF MEMBERS AND THEIR RIGHTS FORM 990, PAGE 6, PART VI, LINE 7A YALE NEW HAVEN HEALTH SERVICES CORPORATION (YNHHS), THE SOLE MEMBER OF GHCSI (THE HOSPITAL'S SOLE MEMBER), HAS THE AUTHORITY TO DESIGNATE ONE REPRESENTATIVE OF YNHHS TO SERVE AS A TRUSTEE OF THE HOSPITAL AND APPROVE NOMINEES TO THE HOSPITAL'S BOARD OF TRUSTEES IN ACCORDANCE WITH THE HOSPITAL'S BYLAWS AND THAT CERTAIN SYSTEM AFFILIATION AGREEMENT (THE "AFFILIATION AGREEMENT") BY AND AMONG YNHHS, GHCSI AND THE HOSPITAL.
DECISIONS SUBJECT TO APPROVAL OF MEMBERS FORM 990, PAGE 6, PART VI, LINE 7B THE HOSPITAL HAS RESERVED POWERS TO BOTH GHCSI AND YNHHS. GHCSI GHCSI, IN ITS CAPACITY AS THE SOLE MEMBER OF THE HOSPITAL, HAS ONLY THOSE RIGHTS, POWERS AND PRIVILEGES REQUIRED BY LAW TO BE ACCORDED TO MEMBERS OF A NONSTOCK, NONPROFIT CORPORATION. YNHHS IN ACCORDANCE WITH THE HOSPITALS BYLAWS AND THE AFFILIATION AGREEMENT, YNHHS HAS THE FOLLOWING RIGHTS, POWERS AND PRIVILEGES VIS-A-VIS THE HOSPITAL: (A)TO DESIGNATE ONE REPRESENTATIVE OF YNHHS TO SERVE AS A TRUSTEE OF THE HOSPITAL AT THE PLEASURE OF YNHHS, WHICH DESIGNEE SHALL BE A VOTING MEMBER OF THE EXECUTIVE OR ANY SIMILAR COMMITTEE OF THE HOSPITAL; (B)TO APPROVE THE NOMINEES TO THE BOARD OF TRUSTEES OF THE HOSPITAL IN ACCORDANCE WITH THE PROVISIONS OF SECTION 3.3 OF THE HOSPITAL BYLAWS AND SECTION 4.2 OF THE AFFILIATION AGREEMENT; (C)TO DIRECT THE HOSPITAL BOARD OF TRUSTEES TO REMOVE ANY HOSPITAL TRUSTEE IN ACCORDANCE WITH PROVISIONS OF THE HOSPITAL BYLAWS AND THE AFFILIATION AGREEMENT; (D)TO APPROVE THE HOSPITALS ANNUAL OPERATING AND CAPITAL BUDGETS AND STRATEGIC PLANS; AND (E)TO CONSENT TO (I) THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE HOSPITALS ASSETS, (II) ANY MERGER OR CONSOLIDATION INVOLVING THE HOSPITAL, (III) ANY CONTRACT TO MANAGE OR ADMINISTER THE HOSPITAL OR ANY SUBSTANTIAL PART OF THE BUSINESS OF THE HOSPITAL, (IV) ANY LIQUIDATION OR DISSOLUTION OF THE HOSPITAL OR FILING FOR BANKRUPTCY OR SIMILAR PROTECTION, OR (V) ANY CHANGE IN THE NAME OF THE HOSPITAL. FURTHER, IN ACCORDANCE WITH THE HOSPITAL BYLAWS, GHCSI AND YNHHS MUST EACH APPROVE ANY AMENDMENT TO THE HOSPITALS CERTIFICATE OF INCORPORATION OR BYLAWS.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11B THE FORM 990 TAX RETURN AND ATTACHED SCHEDULES WERE PREPARED BY EMPLOYEES OF THE SYSTEM TAX DEPARTMENT. THE RETURN IS INITIALLY REVIEWED BY THE HOSPITAL DIRECTOR OF CORPORATE FINANCE. SUBSEQUENTLY, IT IS SENT TO ERNST & YOUNG US LLP FOR THEIR INITIAL REVIEW. AFTER ALL COMMENTS FROM THE ABOVE GROUPS ARE RECEIVED AND REVIEWED, THE RETURN IS THEN REVIEWED BY THE CHIEF FINANCIAL OFFICER OF THE HOSPITAL AND A FINAL VERSION OF THE RETURN IS SENT BACK TO ERNST & YOUNG US LLP FOR FINAL REVIEW. PRIOR TO FILING, THE ORGANIZATION MADE AVAILABLE A COMPLETE COPY OF THE RETURN TO THE BOARD OF TRUSTEES BY WEB PORTAL.
ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C GREENWICH HOSPITAL IS COVERED UNDER THE YALE NEW HAVEN HEALTH SYSTEM CONFLICT OF INTEREST POLICY. THE YALE NEW HAVEN HEALTH SYSTEM CONFLICT OF INTEREST POLICY (CC:R-7) AND INDIVIDUAL ANNUAL DISCLOSURE FORM APPLIES TO A POOL OF EMPLOYEES, BOARD MEMBERS AND NON-BOARD MEMBERS SERVING ON BOARD COMMITTEES. THESE "COVERED INDIVIDUALS" ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT, UPON BEGINNING EMPLOYMENT OR OTHERWISE BECOMING A COVERED INDIVIDUAL AND ANNUALLY THEREAFTER. COVERED INDIVIDUALS ARE ALSO REQUIRED TO IMMEDIATELY REPORT MATERIAL CHANGES TO THEIR MOST RECENTLY COMPLETED DISCLOSURE STATEMENT. THESE DISCLOSURE STATEMENTS AND REPORTS ARE REVIEWED BY THE OFFICE OF PRIVACY AND CORPORATE COMPLIANCE AND/OR THE LEGAL AND RISK SERVICES DEPARTMENT TO ENSURE COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. IF A POTENTIAL CONFLICT ARISES, THE PRESIDENT AND CEO WOULD CONSULT WITH THE BOARD CHAIRPERSON AND THE LEGAL AND RISK SERVICES DEPARTMENT AND TAKE ANY ACTIONS THAT HE DEEMS REQUIRED OR APPROPRIATE TO MANAGE OR RESOLVE A POTENTIAL CONFLICT OF INTEREST. FOR EXAMPLE, A VOTING BOARD OR COMMITTEE MEMBER WOULD BE REQUIRED TO RECUSE HIMSELF OR HERSELF FROM VOTING ON MATTERS RELATED TO THE POTENTIAL CONFLICT AND THE POTENTIAL CONFLICT WOULD BE DISCLOSED TO OTHER VOTING MEMBERS.
COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A THE TOP OFFICIAL IS AN EMPLOYEE OF YNHHS. THE EXECUTIVE COMPENSATION COMMITTEES OF GREENWICH HOSPITAL AND YNHHS STRIVE TO TAKE THE STEPS NECESSARY TO QUALIFY FOR THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER FEDERAL TAX LAW. THE EXECUTIVE COMPENSATION COMMITTEES ARE RESPONSIBLE FOR (1) DETERMINING THE OVERALL TOTAL COMPENSATION STRATEGY FOR THEIR RESPECTIVE CORPORATE OFFICERS, (2) APPROVING ALL COMPENSATION AND BENEFITS DECISIONS FOR RESPECTIVE CORPORATE OFFICERS, AND (3) REPORTING SUCH ACTIONS TO THE FULL GREENWICH HOSPITAL AND YNHHS BOARDS ON AN ANNUAL BASIS. IN ADDITION, THE EXECUTIVE COMPENSATION COMMITTEES EXPRESSLY DETERMINE THE REASONABLENESS OF TOTAL COMPENSATION AND BENEFITS FOR ALL CORPORATE OFFICERS, AND ASSURES THAT ALL OFFICER COMPENSATION DECISIONS ARE MADE AFTER THOROUGH CONSIDERATION OF AND COMPARISON TO THE MARKET PRACTICES OF OTHER SIMILARLY SITUATED NOT-FOR-PROFIT HEALTHCARE EXECUTIVES IN COMPARABLE ORGANIZATIONS. THE EXECUTIVE COMPENSATION COMMITTEES CONSIST OF BOARD MEMBERS WHO DO NOT HAVE MATERIAL FINANCIAL INTERESTS THAT COULD BE AFFECTED BY THE OFFICER COMPENSATION DECISIONS MADE BY THE COMMITTEES. THE COMPARABILITY DATA USED TO ASSIST THE EXECUTIVE COMPENSATION COMMITTEES IN THEIR COMPENSATION DELIBERATIONS ARE COMPILED BY AN INDEPENDENT,NATIONAL COMPENSATION CONSULTING FIRM THAT IS RETAINED BY AND REPORTS DIRECTLY TO THE EXECUTIVE COMPENSATION COMMITTEES. THE DATA COLLECTED BY THE CONSULTANT CONSISTS OF MARKET INFORMATION FOR EXECUTIVES IN FUNCTIONALLY SIMILAR POSITIONS IN SIMILARLY SITUATED NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS. THE DELIBERATIONS AND DECISIONS OF THE EXECUTIVE COMPENSATION COMMITTEES ARE CONTEMPORANEOUSLY DOCUMENTED, REVIEWED AND APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEES, AND PROVIDED TO THE BOARDS OF YNHHS AND THE HOSPITAL.
COMPENSATION PROCESS FOR OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B CERTAIN OFFICERS ARE EMPLOYEES OF YNHHS, OTHER OFFICERS ARE EMPLOYED DIRECTLY BY THE HOSPITAL. COMPENSATION DETERMINATIONS OF YNHHS EMPLOYEES ARE MADE BOTH BY THE COMPENSATION COMMITTEES AND BOARDS OF YNHHS AND THE HOSPITAL. COMPENSATION DETERMINATION OF THE HOSPITAL EMPLOYEES ARE MADE BY THE HOSPITAL'S COMPENSATION COMMITTEE AND BOARD. THE EXECUTIVE COMPENSATION COMMITTEES OF GREENWICH HOSPITAL AMD YNHHS STRIVE TO TAKE THE STEPS NECESSARY TO QUALIFY FOR THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER FEDERAL TAX LAW. THE EXECUTIVE COMPENSATION COMMITTEES ARE RESPONSIBLE FOR (1) DETERMINING THE OVERALL TOTAL COMPENSATION STRATEGY FOR ALL THEIR RESPECTIVE CORPORATE OFFICERS, (2) APPROVING ALL COMPENSATION AND BENEFITS DECISIONS FOR CORPORATE OFFICERS, AND (3) REPORTING SUCH ACTIONS TO THE FULL GREENWICH HOSPITAL AND YNHHS BOARD ON AN ANNUAL BASIS, AS APPLICABLE. IN ADDITION, THE EXECUTIVE COMPENSATION COMMITTEES, AS APPLICABLE, EXPRESSLY DETERMINE THE REASONABLENESS OF TOTAL COMPENSATION AND BENEFITS FOR ALL CORPORATE OFFICERS, AND ASSURES THAT ALL OFFICER COMPENSATION DECISIONS ARE MADE AFTER THOROUGH CONSIDERATION OF AND COMPARISON TO THE MARKET PRACTICES OF OTHER SIMILARLY SITUATED NOT-FOR-PROFIT HEALTHCARE EXECUTIVES IN COMPARABLE ORGANIZATIONS. THE EXECUTIVE COMPENSATION COMMITTEES CONSIST OF BOARD MEMBERS WHO DO NOT HAVE MATERIAL FINANCIAL INTERESTS THAT COULD BE AFFECTED BY THE OFFICER COMPENSATION DECISIONS MADE BY THE COMMITTEES. THE COMPARABILITY DATA USED TO ASSIST THE EXECUTIVE COMPENSATION COMMITTEES IN THEIR COMPENSATION DELIBERATIONS ARE COMPILED BY AN INDEPENDENT, NATIONAL COMPENSATION CONSULTING FIRM THAT IS RETAINED BY AND REPORTS DIRECTLY TO THE EXECUTIVE COMPENSATION COMMITTEES. THE DATA COLLECTED BY THE CONSULTANT CONSISTS OF MARKET INFORMATION FOR EXECUTIVES IN FUNCTIONALLY SIMILAR POSITIONS IN SIMILARLY SITUATED NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS. THE DELIBERATIONS AND DECISIONS OF THE EXECUTIVE COMPENSATION COMMITTEES ARE CONTEMPORANEOUSLY DOCUMENTED, REVIEWED AND APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEES, AND PROVIDED TO THE BOARDS OF YNHHS AND/OR THE HOSPITAL, AS APPLICABLE.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 COPIES OF FORM 990, FORM 1023 AND AUDITED FINANCIAL STATEMENTS ARE MAINTAINED IN THE SYSTEM TAX DEPARTMENT. OTHER CORPORATE GOVERNING DOCUMENTS ARE MAINTAINED BY THE LEGAL AND RISK SERVICES DEPARTMENT. THE CONFLICT OF INTEREST POLICY, WHISTLEBLOWER POLICY, AND DOCUMENT RETENTION POLICY ARE AVAILABLE TO ALL EMPLOYEES ON THE CORPORATE INTERNAL WEBSITE. COPIES OF ALL DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
RELATED ORGANIZATIONS FORM 990, PAGE 7, PART VII OFFICER WORK AN AVERAGE OF 40 HOURS A WEEK SPREAD FOR THE FILING ENTITY AND RELATED ENTITIES LISTED IN SCHEDULE R.
OTHER CHANGES IN NET ASSETS EXPLANATION FORM 990, PART XI, LINE 5 CHANGE IN UNREALIZED GAIN (1,535,000) AMORTIZATION ON INTEREST RATE SWAP (74,000) PENSION ADJUSTMENT (19,055,000) ASSETS RELEASED FOR OPERATIONS (4,366,000) ASSETS RELEASED FOR NON-OPERATING (6,000) TRANSFERS TO AFFILIATES (6,445,000) MISCELLANEOUS (2,168) BOOK TO TAX ITEMS - SEE SCH D, PART XI, LINE 9 (2,790,767) TRANSFER FROM AFFILIATES 700,000 RESTRICTED CONTRIBUTIONS 3,718,000 GAIN ON RESTRICTED NET ASSETS 825,000 AUXILIARY CHANGE IN NET ASSETS 186,807 GREENWICH HOSP ENDOW. CHANGE IN NET ASSETS 3,815,000
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


Software ID:  
Software Version:  
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
GREENWICH HOSPITAL
 
Employer identification number

06-0646659
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







(1) 900 KING STREET ASSOCIATES
5 PERRYRIDGE ROAD
GREENWICH,CT06830
26-0805259 		BUILD OPER CT     GREEN HOSP
 
(2) GREENWICH CLINICAL PATHOLOGY ASSOC
5 PERRYRIDGE ROAD
GREENWICH,CT06830
26-2455578 		HEALTHCARE CT   194,625 GREEN HOSP
 
(3) GREENWICH PATHOLOGY ASSOCIATES
5 PERRYRIDGE ROAD
GREENWICH,CT06830
06-6140101 		HEALTHCARE CT   627,117 GREEN HOSP
 






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) GREENWICH HEALTHCARE SERVICES INC

5 PERRYRIDGE ROAD

GREENWICH,CT06830
22-2593399 		SUPPORT CT 501C3 11B YNHHSC
 
 
No
(2) PERRYRIDGE CORPORATION

5 PERRYRIDGE ROAD

GREENWICH,CT06830
06-1207316 		SUPPORT CT 501C3 11B GHCS INC
 
Yes
 
(3) THE GREENWICH HOSP ENDOW FUND INC

5 PERRYRIDGE ROAD

GREENWICH,CT06830
06-1526642 		SUPPORT CT 501C3 11B GHCS INC
 
Yes
 
(4) BRIDGEPORT HOSP& HEALTHCARE SRV INC

267 GRANT STREET

BRIDGEPORT,CT06610
06-1066729 		SUPPORT CT 501C3 11A YNHHSC
 
 
No
(5) BRIDGEPORT HOSPITAL

267 GRANT STREET

BRIDGEPORT,CT06610
06-0646554 		HEALTHCARE CT 501C3 3 BHHS
 
Yes
 
(6) SOUTHERN CT HEALTH SYSTEMS PROP INC

267 GRANT STREET

BRIDGEPORT,CT06610
06-1297708 		TITLE HOLD CT 501C2   BHHS
 
Yes
 
(7) BRIDGEPORT HOSPITAL AUXILIARY INC

267 GRANT STREET

BRIDGEPORT,CT06610
06-6042500 		SUPPORT CT 501C3 11A BHHS
 
Yes
 
(8) BRIDGEPORT HOSPITAL FOUNDATION INC

267 GRANT STREET

BRIDGEPORT,CT06610
22-2908698 		SUPPORT CT 501C3 7 BHHS
 
Yes
 
(9) NORMA F PFREIM BREAST CANCER INC

111 BEACH ROAD

FAIRFIELD,CT06430
06-0567752 		HEALTHCARE CT 501C3 11A BH
 
Yes
 
(10) NORTHEAST MEDICAL GROUP INC

226 MILL HILL AVENUE

BRIDGEPORT,CT06610
06-1330992 		HEALTHCARE CT 501C3 9 YNHHSC
 
Yes
 
(11) NORTHEAST MEDICAL GROUP PLLC

226 MILL HILL AVENUE

BRIDGEPORT,CT06610
35-2380180 		HEALTHCARE CT 501C3 11A NEMG
 
Yes
 
(12) YNH NETWORK CORP

789 HOWARD AVE

NEW HAVEN,CT06519
06-1513687 		SUPPORT CT 501C3 11A YNHHSC
 
 
No
(13) YALE-NEW HAVEN HOSPITAL

20 YORK STREET

NEW HAVEN,CT06504
06-0646652 		HEALTHCARE CT 501C3 3 YNHNETWORK
 
Yes
 
(14) YALE NEW HAVEN HEALTH SERVICES CORP

789 HOWARD AVE

NEW HAVEN,CT06519
22-2529464 		SUPPORT CT 501C3 11A NA
 
 
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
(1) SHORELINE SURGERY CENTER LLC

50 TEMPLE STREET
NEW HAVEN,CT06510
90-0110459 		HEALTHCARE CT N/A
         No     No  
(2) SCC II LLC

111 GOOSE LANE
GUILFORD,CT06437
26-1709383 		HEALTHCARE CT N/A
         No     No  
(3) ORTHO & NEURO CTR OF GREENWICH LLC

55 HOLLY HILL LANE
GREENWICH,CT06830
27-3411797 		HEALTHCARE CT N/A
         No     No  
(4) SHORELINE SURGERY CENTER LLC

50 TEMPLE STREET
NEW HAVEN,CT06510
90-0110459 		HEALTHCARE CT N/A
         No     No  
(5) SCC II LLC

111 GOOSE LANE
GUILFORD,CT06437
26-1709383 		HEALTHCARE CT N/A
         No     No  
(6) ORTHO & NEURO CTR OF GREENWICH LLC

55 HOLLY HILL LANE
GREENWICH,CT06830
27-3411797 		HEALTHCARE CT N/A
         No     No  
(7) SHORELINE SURGERY CENTER LLC

50 TEMPLE STREET
NEW HAVEN,CT06510
90-0110459 		HEALTHCARE CT N/A
         No     No  
(8) SCC II LLC

111 GOOSE LANE
GUILFORD,CT06437
26-1709383 		HEALTHCARE CT N/A
         No     No  
(9) ORTHO & NEURO CTR OF GREENWICH LLC

55 HOLLY HILL LANE
GREENWICH,CT06830
27-3411797 		HEALTHCARE CT N/A
         No     No  
(10) SHORELINE SURGERY CENTER LLC

50 TEMPLE STREET
NEW HAVEN,CT06510
90-0110459 		HEALTHCARE CT N/A
         No     No  
(11) SCC II LLC

111 GOOSE LANE
GUILFORD,CT06437
26-1709383 		HEALTHCARE CT N/A
         No     No  
(12) ORTHO & NEURO CTR OF GREENWICH LLC

55 HOLLY HILL LANE
GREENWICH,CT06830
27-3411797 		HEALTHCARE CT N/A
         No     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) GREENWICH HEALTH SERVICES INC
5 PERRYRIDGE ROAD
GREENWICH,CT06830
06-1233643 		HEALTHCARE CT N/A
        
(2) YNHH MSO INC
789 HOWARD AVE
NEW HAVEN,CT06519
06-1467717 		MGT SVCS CT N/A
        
(3) YALE NEW HAVEN AMBULATORY SRV CORP
40 TEMPLE STREET
NEW HAVEN,CT06510
06-1398526 		HEALTHCARE CT N/A
        
(4) YORK ENTERPRISES INC
50 YORK STREET
NEW HAVEN,CT06511
06-1110937 		TITLE HOLD CT N/A
        
(5) YNHH-PHYSICIANS CORP
789 HOWARD AVE
NEW HAVEN,CT06519
06-1202305 		ADMIN SVCS CT N/A
        
(6) MEDICAL CENTER REALTY INC
50 YORK STREET
NEW HAVEN,CT06511
06-1110858 		RENTAL CT N/A
        
(7) MEDICAL CENTER PHARMACY
50 YORK STREET
NEW HAVEN,CT06511
06-1087673 		PHARMACY CT N/A
        
(8) QUINNIPIAC MEDICAL PC
789 HOWARD AVE
NEW HAVEN,CT06519
06-1405531 		HEALTHCARE CT N/A
        
(9) YNH GERIATRIC SERVICES PC
789 HOWARD AVE
NEW HAVEN,CT06519
06-1561581 		HEALTHCARE CT N/A
        
(10) CHC PHYSICIANS PC
789 HOWARD AVE
NEW HAVEN,CT06519
06-1436530 		HEALTHCARE CT N/A
        
(11) YNH MEDICAL SERVICES PC
789 HOWARD AVE
NEW HAVEN,CT06519
06-1561583 		HEALTHCARE CT N/A
        
(12) GREENWICH FERTILITY & IVF CTR PC
5 PERRYRIDGE ROAD
GREENWICH,CT06830
30-0145464 		HEALTHCARE CT N/A
        
(13) GREENWICH INTEGRATIVE MEDICINE PC
35 RIVER ROAD
COS COB,CT06807
26-0236411 		HEALTHCARE CT N/A
        
(14) GREENWICH OCCUPATION HEALTH SRV PC
5 PERRYRIDGE ROAD
GREENWICH,CT06830
06-1540101 		HEALTHCARE CT N/A
        
(15) GREENWICH PEDIATRIC SERVICES PC
5 PERRYRIDGE ROAD
GREENWICH,CT06830
74-3054409 		HEALTHCARE CT N/A
        
(16) GREENWICH HEALTH SERVICES INC
5 PERRYRIDGE ROAD
GREENWICH,CT06830
06-1233643 		HEALTHCARE CT N/A
        
(17) YNHH MSO INC
789 HOWARD AVE
NEW HAVEN,CT06519
06-1467717 		MGT SVCS CT N/A
        
(18) YALE NEW HAVEN AMBULATORY SRV CORP
40 TEMPLE STREET
NEW HAVEN,CT06510
06-1398526 		HEALTHCARE CT N/A
        
(19) YORK ENTERPRISES INC
50 YORK STREET
NEW HAVEN,CT06511
06-1110937 		TITLE HOLD CT N/A
        
(20) YNHH-PHYSICIANS CORP
789 HOWARD AVE
NEW HAVEN,CT06519
06-1202305 		ADMIN SVCS CT N/A
        
(21) MEDICAL CENTER REALTY INC
50 YORK STREET
NEW HAVEN,CT06511
06-1110858 		RENTAL CT N/A
        
(22) MEDICAL CENTER PHARMACY
50 YORK STREET
NEW HAVEN,CT06511
06-1087673 		PHARMACY CT N/A
        
(23) QUINNIPIAC MEDICAL PC
789 HOWARD AVE
NEW HAVEN,CT06519
06-1405531 		HEALTHCARE CT N/A
        
(24) YNH GERIATRIC SERVICES PC
789 HOWARD AVE
NEW HAVEN,CT06519
06-1561581 		HEALTHCARE CT N/A
        
(25) CHC PHYSICIANS PC
789 HOWARD AVE
NEW HAVEN,CT06519
06-1436530 		HEALTHCARE CT N/A
        
(26) YNH MEDICAL SERVICES PC
789 HOWARD AVE
NEW HAVEN,CT06519
06-1561583 		HEALTHCARE CT N/A
        
(27) GREENWICH FERTILITY & IVF CTR PC
5 PERRYRIDGE ROAD
GREENWICH,CT06830
30-0145464 		HEALTHCARE CT N/A
        
(28) GREENWICH INTEGRATIVE MEDICINE PC
35 RIVER ROAD
COS COB,CT06807
26-0236411 		HEALTHCARE CT N/A
        
(29) GREENWICH OCCUPATION HEALTH SRV PC
5 PERRYRIDGE ROAD
GREENWICH,CT06830
06-1540101 		HEALTHCARE CT N/A
        
(30) GREENWICH PEDIATRIC SERVICES PC
5 PERRYRIDGE ROAD
GREENWICH,CT06830
74-3054409 		HEALTHCARE CT N/A
        
(31) GREENWICH HEALTH SERVICES INC
5 PERRYRIDGE ROAD
GREENWICH,CT06830
06-1233643 		HEALTHCARE CT N/A
        
(32) YNHH MSO INC
789 HOWARD AVE
NEW HAVEN,CT06519
06-1467717 		MGT SVCS CT N/A
        
(33) YALE NEW HAVEN AMBULATORY SRV CORP
40 TEMPLE STREET
NEW HAVEN,CT06510
06-1398526 		HEALTHCARE CT N/A
        
(34) YORK ENTERPRISES INC
50 YORK STREET
NEW HAVEN,CT06511
06-1110937 		TITLE HOLD CT N/A
        
(35) YNHH-PHYSICIANS CORP
789 HOWARD AVE
NEW HAVEN,CT06519
06-1202305 		ADMIN SVCS CT N/A
        
(36) MEDICAL CENTER REALTY INC
50 YORK STREET
NEW HAVEN,CT06511
06-1110858 		RENTAL CT N/A
        
(37) MEDICAL CENTER PHARMACY
50 YORK STREET
NEW HAVEN,CT06511
06-1087673 		PHARMACY CT N/A
        
(38) QUINNIPIAC MEDICAL PC
789 HOWARD AVE
NEW HAVEN,CT06519
06-1405531 		HEALTHCARE CT N/A
        
(39) YNH GERIATRIC SERVICES PC
789 HOWARD AVE
NEW HAVEN,CT06519
06-1561581 		HEALTHCARE CT N/A
        
(40) CHC PHYSICIANS PC
789 HOWARD AVE
NEW HAVEN,CT06519
06-1436530 		HEALTHCARE CT N/A
        
(41) YNH MEDICAL SERVICES PC
789 HOWARD AVE
NEW HAVEN,CT06519
06-1561583 		HEALTHCARE CT N/A
        
(42) GREENWICH FERTILITY & IVF CTR PC
5 PERRYRIDGE ROAD
GREENWICH,CT06830
30-0145464 		HEALTHCARE CT N/A
        
(43) GREENWICH INTEGRATIVE MEDICINE PC
35 RIVER ROAD
COS COB,CT06807
26-0236411 		HEALTHCARE CT N/A
        
(44) GREENWICH OCCUPATION HEALTH SRV PC
5 PERRYRIDGE ROAD
GREENWICH,CT06830
06-1540101 		HEALTHCARE CT N/A
        
(45) GREENWICH PEDIATRIC SERVICES PC
5 PERRYRIDGE ROAD
GREENWICH,CT06830
74-3054409 		HEALTHCARE CT N/A
        
(46) GREENWICH HEALTH SERVICES INC
5 PERRYRIDGE ROAD
GREENWICH,CT06830
06-1233643 		HEALTHCARE CT N/A
        
(47) YNHH MSO INC
789 HOWARD AVE
NEW HAVEN,CT06519
06-1467717 		MGT SVCS CT N/A
        
(48) YALE NEW HAVEN AMBULATORY SRV CORP
40 TEMPLE STREET
NEW HAVEN,CT06510
06-1398526 		HEALTHCARE CT N/A
        
(49) YORK ENTERPRISES INC
50 YORK STREET
NEW HAVEN,CT06511
06-1110937 		TITLE HOLD CT N/A
        
(50) YNHH-PHYSICIANS CORP
789 HOWARD AVE
NEW HAVEN,CT06519
06-1202305 		ADMIN SVCS CT N/A
        
(51) MEDICAL CENTER REALTY INC
50 YORK STREET
NEW HAVEN,CT06511
06-1110858 		RENTAL CT N/A
        
(52) MEDICAL CENTER PHARMACY
50 YORK STREET
NEW HAVEN,CT06511
06-1087673 		PHARMACY CT N/A
        
(53) QUINNIPIAC MEDICAL PC
789 HOWARD AVE
NEW HAVEN,CT06519
06-1405531 		HEALTHCARE CT N/A
        
(54) YNH GERIATRIC SERVICES PC
789 HOWARD AVE
NEW HAVEN,CT06519
06-1561581 		HEALTHCARE CT N/A
        
(55) CHC PHYSICIANS PC
789 HOWARD AVE
NEW HAVEN,CT06519
06-1436530 		HEALTHCARE CT N/A
        
(56) YNH MEDICAL SERVICES PC
789 HOWARD AVE
NEW HAVEN,CT06519
06-1561583 		HEALTHCARE CT N/A
        
(57) GREENWICH FERTILITY & IVF CTR PC
5 PERRYRIDGE ROAD
GREENWICH,CT06830
30-0145464 		HEALTHCARE CT N/A
        
(58) GREENWICH INTEGRATIVE MEDICINE PC
35 RIVER ROAD
COS COB,CT06807
26-0236411 		HEALTHCARE CT N/A
        
(59) GREENWICH OCCUPATION HEALTH SRV PC
5 PERRYRIDGE ROAD
GREENWICH,CT06830
06-1540101 		HEALTHCARE CT N/A
        
(60) GREENWICH PEDIATRIC SERVICES PC
5 PERRYRIDGE ROAD
GREENWICH,CT06830
74-3054409 		HEALTHCARE CT N/A
        
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
 
No
e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
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
Yes
 
j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
Yes
 
k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
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
 
No
p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
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) YALE-NEW HAVEN HEALTH SERVICES

 L 16,960,886 COMPARABLE MARKET VALUE
(2) PERRYRIDGE CORPORATION

 J 3,026,529 COMPARABLE MARKET VALUE
(3) PERRYRIDGE CORPORATION

 K 33,228 COMPARABLE MARKET VALUE
(4) GREENWICH HEALTH CARE SERVICES

 Q 6,445,000 CASH NET ASSET TRANSFER
(5) GREENWICH HOSPITAL ENDOWMENT FUND

 R 2,352,000 WRITTEN AGREEMENT
(6) GREENWICH HOSPITAL ENDOWMENT FUND

 P 50,000 COMPARABLE MARKET VALUE
(7) GREENWICH FERTILITY & IVF

 I 36,342 COMPARABLE MARKET VALUE
(8) NORTHEAST MEDICAL GROUP

 I 136,084 COMPARABLE MARKET VALUE
(9) NORTHEAST MEDICAL GROUP

 L 1,623,586 COMPARABLE MARKET VALUE
(10) GREENWICH HEALTH SERVICES INC

 L 16,157 COMPARABLE MARKET VALUE
(11) PERRYRIDGE CORPORATION

 P 43,882 ACTUAL COST
(12) YALE-NEW HAVEN HEALTH SERVICES

 L 16,960,886 COMPARABLE MARKET VALUE
(13) PERRYRIDGE CORPORATION

 J 3,026,529 COMPARABLE MARKET VALUE
(14) PERRYRIDGE CORPORATION

 K 33,228 COMPARABLE MARKET VALUE
(15) GREENWICH HEALTH CARE SERVICES

 Q 6,445,000 CASH NET ASSET TRANSFER
(16) GREENWICH HOSPITAL ENDOWMENT FUND

 R 2,352,000 WRITTEN AGREEMENT
(17) GREENWICH HOSPITAL ENDOWMENT FUND

 P 50,000 COMPARABLE MARKET VALUE
(18) GREENWICH FERTILITY & IVF

 I 36,342 COMPARABLE MARKET VALUE
(19) NORTHEAST MEDICAL GROUP

 I 136,084 COMPARABLE MARKET VALUE
(20) NORTHEAST MEDICAL GROUP

 L 1,623,586 COMPARABLE MARKET VALUE
(21) GREENWICH HEALTH SERVICES INC

 L 16,157 COMPARABLE MARKET VALUE
(22) PERRYRIDGE CORPORATION

 P 43,882 ACTUAL COST
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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