2024-08-15T07:57:58-05:00 2023-09-30 111986323 MARCUM LLP 555 LONG WHARF DRIVE NEW HAVEN CT 06511 990 2022-10-01 222560257 GRIFFIN HEALTH SERVICES CORPORATION GRIF 2037327528 130 DIVISION STREET DERBY CT 06418 DAVID MURCKO CONTROLLER 2037327528 2024-08-14 1 1 MARY ANTONETTI P00431862 2037819600 2024-08-14 2022 2024-08-08 14:25:15Z PATRICK CHARMEL 130 DIVISION STREET DERBY CT 06418 6400595 0 X N/A X 1984 CT THE ORGANIZATION PROVIDES PHARMACY SERVICES TO HOSPITAL PATIENTS (SEE SCH. O).THE ORGANIZATION IS THE PARENT COMPANY OF THE GRIFFIN HOSPITAL, GRIFFIN FACULTY PHYSICIANS, INC., HEALTHCARE ALLIANCE INSURANCE COMPANY, LTD, GH VENTURES, INC., THE GRIFFIN HOSPITAL DEVELOPMENT FUND, INC., AND PLANETREE INTERNATIONAL, INC. THE ORGANIZATION ALSO PROVIDES PHARMACY SERVICES TO HOSPITAL PATIENTS AND OTHERS IN THE COMMUNITY. 21 19 0 20 88744 0 0 0 0 0 255185 84 695798 626369 950983 626453 0 0 0 0 506060 426137 0 0 0 143716 141446 649776 567583 301207 58870 3258348 3361569 698336 742687 2560012 2618882 X THE ORGANIZATION IS THE PARENT COMPANY OF THE GRIFFIN HOSPITAL, GRIFFIN FACULTY PHYSICIANS, INC., HEALTHCARE ALLIANCE INSURANCE COMPANY, LTD, GH VENTURES, INC., THE GRIFFIN HOSPITAL DEVELOPMENT FUND, INC., AND PLANETREE INTERNATIONAL, INC., AND ALSO PROVIDES PHARMACY SERVICES TO HOSPITAL PATIENTS AND OTHERS IN THE COMMUNITY. 0 0 532737 THE ORGANIZATION PROVIDES PHARMACY SERVICES TO HOSPITAL PATIENTS AND OTHERS IN THE COMMUNITY. 532737 1 0 0 0 0 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 X 21 19 0 0 0 0 1 1 1 1 0 0 0 0 1 1 1 1 1 0 0 0 X DAVID MURCKO 2037321447 130 DIVISION STREET DERBY CT 06418 FREDERICK BROWNE MD DIRECTOR 0.15 40.23 X 0 430842 40038 PATRICK A CHARMEL DIRECTOR 1.00 49.15 X 0 4409084 40516 DONNA DIGIANVITTORIO DIRECTOR 0.15 0.23 X 0 0 0 NANCY DINARDO SECRETARY 0.15 0.61 X X 0 0 0 JEAN CRUM JONES MPH RD DIRECTOR 0.15 0.23 X 0 0 0 GEORGE MITCHELL JR DIRECTOR 0.15 0.23 X 0 0 0 MARK PETERSON DIRECTOR 0.15 0.23 X 0 0 0 ROBERT G REISS DIRECTOR 0.15 0.46 X 0 0 0 GERALD T WEINER ESQ TREASURER 0.15 0.46 X X 0 0 0 PHILIP WHITE DIRECTOR 0.15 0.23 X 0 0 0 FREDERICK STANEK ESQ DIRECTOR 0.15 0.38 X 0 0 0 HAROLD SCHWARTZ MD DIRECTOR (LEFT 1/1/23) 0.15 0.23 X 0 0 0 LAURA MARASCO DIRECTOR 0.15 0.23 X 0 0 0 EDWARD J MCCREERY III ESQ DIRECTOR 0.15 0.38 X 0 0 0 JOSEPH ANDREANA DIRECTOR 0.15 0.23 X 0 0 0 KENNETH BALDYGA IMMEDIATE PAST CHAIRMAN 0.15 0.46 X X 0 0 0 JOHN W BETKOSKI III CHAIRMAN 0.15 0.61 X X 0 0 0 THEMIS KLARIDES SECOND VICE CHAIRMAN 0.15 0.46 X X 0 0 0 GEORGE S LOGAN THIRD VICE CHAIRMAN 0.15 0.46 X X 0 0 0 JOHN J ZAPRZALKA FIRST VICE CHAIRMAN 0.15 0.46 X X 0 0 0 JAMES TICKEY DIRECTOR 0.15 0.23 X 0 0 0 JOSEPH SOKOL MD DIRECTOR (JOINED 1/1/23) 0.15 0.23 X 0 0 0 ALEXANDER S BALKO CFO/ VP FINANCE 1.00 43.00 X 0 428145 42212 0 5268071 122766 0 0 1 0 0 84 84 6400511 5774142 626369 88744 537625 626453 0 88744 537709 322831 322831 11919 11919 66690 66690 24697 24697 8136 8136 106891 72045 34846 25731 25731 DUES/SUBSCRIPTIONS 688 688 567583 532737 34846 0 494183 582266 357408 400839 536075 507698 341425 99340 242085 242085 1807 1891 1350156 1350156 276634 276634 3258348 3361569 401694 504299 296642 238388 698336 742687 X 2560012 2618882 2560012 2618882 3258348 3361569 58870 0 X X 0 1 X 1 0 X X 1 GRIFFIN HOSPITAL 060647014 3 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 242085 242085 32911 32911 0 66429 66429 0 242085 INVESTMENT IN VENTURES 460336 C INVESTMENT IN HAIC 889820 C 1350156 DUE FROM AFFILIATES 276634 276634 DUE TO AFFILIATES 238388 238388 X PART X, LINE 2: BELOW IS AN EXCERPT FROM FOOTNOTE 1 OF THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR GRIFFIN HEALTH SERVICES CORPORATION AND SUBSIDIARIES. GHSC AND ITS SUBSIDIARIES, WITH THE EXCEPTION OF GHV AND HAIC, ARE NOT-FOR-PROFIT ORGANIZATIONS AND ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. GHSC AND ITS SUBSIDIARIES ACCOUNT FOR UNCERTAINTY IN INCOME TAX POSITIONS BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. GHV HAS UNUSED NET OPERATING LOSS CARRYFORWARDS OF APPROXIMATELY $6.7 MILLION AND $6.4 MILLION AVAILABLE TO OFFSET FUTURE TAXABLE INCOME AS OF SEPTEMBER 30, 2023 AND 2022, RESPECTIVELY. DEFERRED TAX ASSETS RELATE PRIMARILY TO THE TAX EFFECTS OF THE NET OPERATING LOSS CARRYFORWARDS. BECAUSE THERE IS NO ASSURANCE THAT GHV WILL HAVE TAXABLE INCOME IN THE FUTURE, THE DEFERRED TAX ASSETS HAVE BEEN FULLY OFFSET BY A VALUATION ALLOWANCE. HAIC, LOCATED IN THE CAYMAN ISLANDS, IS NOT SUBJECT TO INCOME, ESTATE, CORPORATION, CAPITAL GAINS OR OTHER TAXES PAYABLE UNDER CURRENT CAYMAN ISLANDS LAW. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN AND HAS CONCLUDED THAT AS OF SEPTEMBER 30, 2023 AND 2022, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. GHSC AND ITS SUBSIDIARIES ARE SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS. THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS PENDING OR IN PROGRESS. CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, 0 0 INVESTMENTS 890000 0 0 0 0 0 0 890000 0 890000 0 0 1 0 0 0 PART I, LINE 3: THE INVESTMENT INCLUDED IN PART 1, LINE 3 IS VALUED AT COST. PART III ACCOUNTING METHOD: 0 1 0 0 0 0 0 1 0 PATRICK A CHARMEL DIRECTOR 0 597585 0 591435 0 3220064 0 8439 0 32077 0 4449600 0 3218342 FREDERICK BROWNE MD DIRECTOR 0 385909 0 43295 0 1638 0 9150 0 30888 0 470880 0 0 ALEXANDER S BALKO CFO/ VP FINANCE 0 367606 0 58817 0 1722 0 8238 0 33974 0 470357 0 0 PART I, LINE 3 THE COMPENSATION OF THE PRESIDENT IS PAID BY GRIFFIN HOSPITAL. GRIFFIN HOSPITAL USES THE FOLLOWING METHODS TO DETERMINE COMPENSATION: - COMPENSATION COMMITTEE - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINE 4B PATRICK CHARMEL RECEIVED A PAYMENT FROM GRIFFIN HOSPITAL IN THE AMOUNT OF $3,218,342 IN LIEU OF A GRANDFATHER SPLIT-DOLLAR LIFE INSURANCE PLAN. THIS GRANDFATHER SPLIT-DOLLAR LIFE INSURANCE POLICY COMMENCED IN 2007 AND WAS DEVELOPED AS RESULT OF THE HOSPITAL'S DEFINED BENEFIT PENSION PLAN CAP OF EARNINGS AT THIS TIME. THE POLICY WAS CONSTRUCTED TO PROVIDE MR. CHARMEL WITH THE EQUIVALENT PENSION PLAN BENEFIT PAYMENTS AS COMPARED TO ALL OTHER DEFINED BENEFIT PLAN PARTICIPANTS. PART I, LINE 7 AT THE END OF THE YEAR, THE COMPENSATION COMMITTEE REVIEWS PERFORMANCE OF PATRICK A. CHARMEL, IN LINE WITH CERTAIN CRITERIA. BASED ON AN OVERALL REVIEW OF HIS PERFORMANCE AND HIS COMPENSATION, THE COMMITTEE RECOMMENDS A BONUS AMOUNT WHICH IS APPROVED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER IS THE GRIFFIN HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER HAS THE RIGHT TO APPOINT THE BOARD OF DIRECTORS. THE GOVERNING MEMBERS OF THE ORGANIZATION ARE ELECTED AT THE ANNUAL MEETING. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBER SHALL HAVE THE EXCLUSIVE RIGHT (1) TO ELECT THE CORPORATION'S BOARD OF DIRECTORS AND TO APPOINT INDIVIDUALS TO FILL VACANCIES ON THE BOARD OF DIRECTORS; (II) TO AMEND THE BYLAWS OF THE CORPORATION; AND (III) TO REMOVE ANY DIRECTOR WITH OR WITHOUT CASE. THE MEMBER SHALL ALSO HAVE OTHER RIGHTS AND APPROVE FUNDAMENTAL CHANGES SUCH AS AMENDMENT OF THE CERTIFICATE OF INCORPORATION; MERGER OR SUBSTANTIAL TRANSFER OF ASSETS; SELL OR MORTGAGE SUBSTANTIALLY ALL OF THE ASSETS; OR DISSOLVE THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 8B GRIFFIN HEALTH SERVICES CORPORATION DID NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS REVIEWED BY MANAGEMENT PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C A CONFLICT OF INTEREST QUESTIONNAIRE IS SENT ANNUALLY AND DISCLOSED AT THE ANNUAL BOARD MEETING. THE QUESTIONNAIRE IS REVIEWED BY THE VICE PRESIDENT OF ACCOUNTABLE CARE AND GENERAL COUNSEL. IF A CONFLIICT IS FOUND, THE INDIVIDUAL WILL RECUSE THEMSELVES FROM THE DISCUSSION OF THE MATTER. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: THE BOARD IS RESPONSIBLE FOR SELECTING AN INDEPENDENT AUDIT FIRM AND FOR OVERSEEING THE FINANCIAL STATEMENT PREPARATION PROCESS. THERE HAVE BEEN NO CHANGES IN THESE PROCEDURES SINCE THE PRIOR YEAR. GRIFFIN HOSPITAL 130 DIVISION STREET DERBY CT 06418 060647014 HOSPITAL CT 501(C)(3) LINE 3 GRIFFIN HEALTH SERVICES CORPORATION 1 GRIFFIN HOSPITAL DEVELOPMENT FUND 130 DIVISION STREET DERBY CT 06418 222560254 FUNDRAISING CT 501(C)(3) LINE 12B, II GRIFFIN HEALTH SERVICES CORPORATION 1 PLANETREE INTERNATIONAL INC 130 DIVISION STREET DERBY CT 06418 061505284 EDUCATION CT 501(C)(3) LINE 11 GRIFFIN HEALTH SERVICES CORPORATION 1 GRIFFIN FACULTY PHYSICIANS INC 130 DIVISION STREET DERBY CT 06418 061463147 MEDICAL SERVICES CT 501(C)(3) LINE 11 GRIFFIN HOSPITAL 0 GH VENTURES INC 130 DIVISION STREET DERBY CT 06418 222560247 RENTAL REAL ESTATE CT GRIFFIN HEALTH SERVICES CORPORATION C 758655 5603091 1.00000 1 HEALTHCARE ALLIANCE INSURANCE CO LTD 171 ELGIN AVENUE GEORGETOWN GRAND CAYMAN CJ OFFSHORE CAPTIVE INSURANCE CJ GRIFFIN HEALTH SERVICES CORPORATION C 214260 14944575 1.00000 1 CT PRACTICE MANAGEMENT INC 130 DIVISION STREET DERBY CT 06418 061152819 INACTIVE CT N/A C 1.00000 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 GRIFFIN HOSPITAL P 540000 ACTUAL GRIFFIN HOSPITAL Q 481745 ACTUAL