Griffin Hospital, Derby, CT, IRS 990s, 2011-2014

l efile GRAPHIC p rint - DO NOT PROCESS
Form
S
As Filed Data -
DLN: 93493136035862
OMB No 1545-0047
Return of Organization Exempt From Income Tax
990
Under section 501 (c), 527, or 4947 (a)(1) of the Internal Revenue Code ( except black lung
benefit trust or private foundation)
2010
Department of the Treasury
1-The organization may have to use a copy of this return to satisfy state reporting requirements
Internal Revenue Service
A For the 2010
R E.
ca lendar year, or tax year beginning 10-01-2010
B Check if applicable
and ending 09-30-2011

D Employer identification nu
C Name of organization
GRIFFIN HOSPITAL
06-0647014
F Address change
Doing Business As
F Name change
E Telephone number
fl Initial return
Number and street (or P 0 box if mail is not delivered to street address )
130 DIVISION STREET
(Terminated
Room/ suite
(203) 732-7528
G Gross receipts $ 130,897,070
City or town, state or country, and ZIP + 4

DERBY, CT 06418
1 Amended return
1 Application pending
F Name and address of principal officer

PATRICK S CHARMEL
130 DIVISION STREET
DERBY,CT 06418
H(a)
Is this a group return foraffliates7l
H(b)
Are all affiliates included?
Yes
I'
No
F Yes
F_ No
If "No," attach a list (see instructions)

I
Tax - exempt status
Website : 0-
F 501(c)(3)
501( c) (
) I (insert no )
1 4947(a)(1) or
H(c)
F_ 527
Group exemption number 0-
GRIFFINHEALTH ORG
K Form of organization F Corporation 1 Trust F_ Association 1 Other 0-
L Year of formation
1908
M State of legal domicile
CT
Summary
1
Briefly describe the organization's mission or most significant activities

GRIFFIN HOSPITAL IS COMMITTED TO PROVIDING PERSONALIZED, HUMA NISTIC, CONSUMER-D RIVEN HEALTH CARE
IN A HEALING ENVIRONMENT
Check this box Of- if the organization discontinued its operations or disposed of more than 25% of its net assets
Number of voting members of the governing body (Part VI, line 1a)
Number of independent voting members of the governing body (Part VI, line 1b)
24
17
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a)
1,578
6 Total number of volunteers (estimate if necessary)
430
7a
3,894,495
7a Total unrelated business revenue from Part VIII, column (C), line 12
b Net unrelated business taxable income from Form 990-T, line 34
7b
Prior Year
13-
Contributions and grants (Part VIII, line 1h)
Program service revenue (Part VIII, line 2g)
10
Investment income (Part VIII, column (A), lines 3, 4, and 7d
11
Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)
12
Total revenue-add lines 8 through 11 (must equal Part VIII, column (A), line
12)
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13
Grants and similar amounts paid (Part IX, column (A), lines 1-3)
14
Benefits paid to or for members (Part IX, column (A), line 4)
15
Salaries, other compensation, employee benefits (Part IX, column (A ), lines

5-10)
16a
sC
LLJ
Professional fundraising fees (Part IX, column (A), line l le)
-1,399,637
Current Year
1,920,282
2,414,954
121,430,800
127,604,535
841,246
456,315
437,169
421,266
124,629,497
130,897,070
70,362,492
70,585,160
55,257,077
60,252,685
125,619,569
130,837,845
-990,072
59,225
Total fundraising expenses (Part IX, column (D), line 25) 0- 0
17
Other expenses (Part IX, column (A), lines h1a-11d, 11f-24f)
18
Total expenses Add lines 13-17 (must equal Part IX, column (A), line 25)
19
Revenue less expenses Subtract line 18 from line 12
Beginning of Current
Year
End of Year
ell
'M
ZLL
20
Total assets (Part X, line 16)
21
Total liabilities (Part X, line 26)
22
Net assets or fund balances Subtract line 21 from line 20
Big=
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Signature Block
Under penalties of perjury, I declare that I have examined this return , including acco
knowl edge and belief, it is true, correct , and complete . Declaration of preparer (othe
knowledge.
Sign
Here
Signature of officer
PATRICK S CHARMEL CEO
Type or print name and title
Print/Type
preparers name
Paid
Preparer
Use Only
Firm's name
Firm ' s address
Preparers signature
RICHARD BUGGY
RICHARD BU
SASLOW LUFKIN & BUGGY LLP

TEN TOWER LANE
AVON, CT 06001
May the IRS discuss this return with the preparer shown above? (see instructs
122,021,131
122,634,410
139,168,392
157,297,042
-17,147,261
-34,662,632
Form 990 ( 2010)
Page 2
Statement of Program Service Accomplishments

Check if Schedule 0 contains a response to any question in this Part III
1
.F
Briefly describe the organization 's mission
GRIFFIN HOSPITAL IS COMMITTED TO PROVIDING PERSONALIZED, HUMANISTIC, CONSUMER-DRIVEN HEALTH CARE IN A

HEALING ENVIRONMENT, TO EMPOWERING INDIVIDUALS TO BE ACTIVELY INVOLVED IN DECISIONS AFFECTING THEIR CARE
AND WELL-BEING THROUGH ACCESS TO INFORMATION AND EDUCATION, AND TO PROVIDING LEADERSHIP TO IMPROVE THE
HEALTH OF THE COMMUNITY WE SERVE
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .
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fl Yes F No
If"Yes,"describe these new services on Schedule 0

3
Did the organization cease conducting , or make significant changes in how it conducts, any program
services? .
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F Yes F No
If"Yes,"describe these changes on Schedule 0

4
4a
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
(Code
) ( Expenses $
114,010,120
including grants of $
) (Revenue $
109,644,564
GRIFFIN HOSPITAL IS AN ACUTE CARE HOSPITAL PROVIDING MEDICAL CARE TO PATIENTS IN COMMUNITIES SERVED, INCLUDING SUBSIDIZED CARE, CHARITY
CARE, AND EDUCATIONAL SERVICES TO HEALTH PROFESSIONALS TO HELP PREPARE THE NEXT GENERATION OF CAREGIVERS
4b
(Code
) (Expenses $
3,696,717
) ( Revenue $
9 ,611,717
) (Revenue $
3,122,165
PROVIDE CANCER RELATED RADIOLOGY SERVICES TO THE COMMUNITY
4c
(Code
) ( Expenses $
1,864,716
PROVIDE PSYCHIATRIC SERVICES TO THE COMMUNITY ON AN OUTPATIENT BASIS
4d
Other program services ( Describe in Schedule 0 ) See also Additional Data for Description
(Expenses $
4e
595,392
Total program service expensesl-$
) ( Revenue $
1 ,331,594
120,166,945
Form 990 (2010)
Form 990 (2010)
Page 3
Checklist of Required Schedules

Yes
1
Is the organization described in section 501(c)(3) or4947(a)(1) (other than a private foundation)? If "Yes,"
complete Schedule As .
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1
2
No
Yes
Is the organization required to complete Schedule B, Schedule of Contributors (see instruction) ?
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 Is .
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Section 501 ( c)(3) organizations . Did the organization engage in lobbying activities, or have a section 501(h)
election in effect during the tax year? If "Yes, "complete Schedule C, Part II
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues,
assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes, "complete Schedule C, Part
III .
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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 Is .
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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 II
No
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D, Part III . .
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No
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 IV
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No
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8
9
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasiendowments? If "Yes,"complete Schedule D, Part VS
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
b
c
d
e
f
12a
No
Did the organization report an amount for land, buildings, and equipment in Part X, linel0? If "Yes,"complete
Schedule D, Part VI.95
11a
Yes
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.
llb
Yes
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.95
llc
Yes
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.
lid
Yes
lie
Yes
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part X.
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.S
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes,"
complete Schedule D, Parts XI, XII, and XIII
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes, "complete Schedule E
14a
Did the organization maintain an office, employees, or agents outside of the United States?
16
Yes
Yes
13
15
No
10
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
Yes
llf
No
12a
No
12b
Yes
13
No
14a
No
14b
No
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, Parts II and IV .
15
No
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, Parts III and IV .
16
No
17
No
18
No
19
No
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, Parts I and IV
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, PartI (see instructions)
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part
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VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II .
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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 .
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20a
Did the organization operate one or more hospitals? If "Yes, "complete Schedule H .
20a
Yes
If "Yes" to line 20a, did the organization attach its audited financial statement to this return? Note . Some Form
990 filers that operate one or more hospitals must attach audited financial statements (see instructions)
20b
Yes
Form 990 (2010)
Form 990 (2010)
Page 4
Checklist of Required Schedules (continued)

21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in
the United States on Part IX, column (A), line 1? If "Yes," complete Schedule I, Parts I and II .
.
21
No
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the U nited States
on Part IX, column (A), line 2? If "Yes," complete Schedule I, Parts I and III .
22
No
23
Did the organization answer "Yes" to Part VII, Section A, questions 3, 4, or 5, about compensation of the
organization's current and former officers, directors, trustees, key employees, and highest compensated
employees? If "Yes,"completeScheduleJ .
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23
Yes
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 lines 24b-24d and
complete Schedule K. If "No,"go to line 25 .
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24a
Yes
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?
24b
No
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
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?
24d
No
Section 501(c )( 3) and 501(c)(4) organizations . Did the organization engage in an excess benefit transaction with
a disqualified person during the year? If "Yes," complete Schedule L, Part I .
25a
No
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 .
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25b
No
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 .
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26
No
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 .
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27
No
28a
No
28b
No
A n entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was
an officer, director, trustee, or direct or indirect owner? If "Yes,"complete Schedule L, Part IV .
28c
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes, "complete Schedule M
29
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified
conservation contributions? If "Yes, "complete Schedule M .
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30
No
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N,
Part I .
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31
No
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes, " complete
Schedule N, Part II .
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32
No
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations
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sections 301 7701-2 and 301 7701-3? If "Yes,"complete Schedule R, PartI .
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33
No
24a
d
25a
b
26
27
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 current or former officer, director, trustee, or key employee? If "Yes,"complete Schedule L, Part
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IV .
b A family member of a current or former officer, director, trustee, or key employee? If "Yes,"
complete Schedule L, Part IV .
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c
31
32
33
34
35
a
36
37
38
Was the organization related to any tax-exempt or taxable entity? If "Yes,"complete Schedule R, Parts II, III, IV,
and V, line 1 .
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IN
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Yes
35
Yes
Section 501(c )( 3) organizations . Did the organization make any transfers to an exempt non-charitable related
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organization? If "Yes,"complete Schedule R, Part V, line 2 .
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95
1 36
Yes
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 VI
37
Did the organization complete Schedule 0 and provide explanations in Schedule 0 for Part VI, lines 11 and 19?
Note . All Form 990 filers are required to complete Schedule 0
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38
Is any related organization a controlled entity within the meaning of section 512(b)(13)?
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, line2 .
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FYes fNo
99
No
Yes
Form 990 (2010)
Form 990 (2010)

KEW
Page 5
Statements Regarding Other IRS Filings and Tax Compliance

Check if Schedule 0 contains a response to any question in this Part V
Yes
la
No
Enter the number reported in Box 3 of Form 1096 Enter-0- if not applicable
b
c
2a
187
lb
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable
gaming (gambling) winnings to prize winners? .
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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 .
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la
Enter the number of Forms W-2G included in line la Enter-0- if not applicable
2a
1c
Yes
2b
Yes
3a
Yes
3b
Yes
1,578
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 la and 2a is greater than 250, you may be required to e-file (see instructions)
3a
Did the organization have unrelated business gross income of $ 1,000 or more during the
year? .
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b
4a
If "Yes," has it filed a Form 990-T for this year? If "No,"provide an explanation in Schedule 0 .
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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, securities account, or other financial
account)? .
b
5a
4a
No
5a
No
5b
No
If "Yes," enter the name of the foreign country 0See instructions for filing requirements for Form TD F 90-22 1, Report of Foreign Bank and Financial Accounts
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
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? .
.
b
6a
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts
were not tax deductible? .
No
6b
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
If "Yes," did the organization notify the donor of the value of the goods or services provided?
7b
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to
file Form 82827 .
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If"Yes,"indicate the number of Forms 8282 filed during the year
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit
contract? .
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7c
No
7e
No
No
I 7d
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?
7f
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as
required? .
7g
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a
Form 1098-C? .
7h
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? .
No
Sponsoring organizations maintaining donor advised funds.

a
b
10
Did the organization make any taxable distributions under section 4966?
9a
Did the organization make a distribution to a donor, donor advisor, or related person?
9b
Section 501(c )( 7) organizations. Enter
Initiation fees and capital contributions included on Part VIII, line 12
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club
facilities
11
10a
10b
Section 501(c)(12) organizations. Enter

a
Gross income from members or shareholders
Gross income from other sources (Do not net amounts due or paid to other sources
against amounts due or received from them ) .
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12a
b
13
11a
11b
Section 4947( a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
If "Yes," enter the amount of tax-exempt interest received or accrued during the
year
12a
12b
Section 501(c )( 29) qualified nonprofit health insurance issuers.
b
c
Is the organization licensed to issue qualified health plans in more than one state?
Note . See the instructions for additional information the organization must report on Schedule 0
Enter the amount of reserves the organization is required to maintain by the states
in which the organization is licensed to issue qualified health plans
13a
13b
Enter the amount of reserves on hand

13c
14a
b
Did the organization receive any payments for indoor tanning services during the tax year?
If "Yes," has it filed a Form 720 to report these payments? If "No,"provide an explanation in Schedule 0
14a
No
14b
Form 990 (2010)
Form 990 ( 2010)
Lam
Page 6
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
0. See instructions.
Check if Schedule 0 contains a response to any question in this Part VI
.F
Section A . Governing Body and Management

Yes
la
b
2
Enter the number of voting members of the governing body at the end of the tax
year .
.
.
.
.
.
.
.
.
.
.
.
.
la
24
Enter the number of voting members included in line la, above, who are
independent .
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
lb
17
No
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?
No
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?
No
Did the organization make any significant changes to its governing documents since the prior Form 990 was
filed?
No
Did the organization become aware during the year of a significant diversion of the organization's assets?
No
Does the organization have members or stockholders?
Yes
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the
governing body? .
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
7a
Yes
Are any decisions of the governing body subject to approval by members, stockholders, or other persons?
7b
b
8
No
Did the organization contemporaneously document the meetings held or written actions undertaken during the
year by the following
a
The governing body?
8a
Yes
Each committee with authority to act on behalf of the governing body?
8b
Yes
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 0
.
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
10a
b
11a
Does the organization have local chapters, branches, or affiliates?
10a
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
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
12a
Yes
12b
Yes
Does the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes,"
describe in Schedule 0 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?
b
12a
Describe in Schedule 0 the process, if any, used by the organization to review this Form 990
Does the organization have a written conflict of interest policy? If "No,"go to line 13
b Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise
to conflicts? .
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
c
The organization's CEO, Executive Director, or top management official
15a
Yes
Other officers or key employees of the organization
15b
Yes
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a
taxable entity during the year?
16a
Yes
If "Yes," has the organization adopted a written policy or procedure requiring the organization to evaluate its
participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the
organization's exempt status with respect to such arrangements?
16b
Yes
If "Yes" to line 15a or 15b, describe the process in Schedule 0

16a
b
No
No
(See instructions
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filed- CT
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990 -T (501(c)
(3 )s only) available for public inspection Indicate how you make these available Check all that apply
fl Own website fi Another' s website F Upon request
Describe in Schedule 0 whether ( and if so, how ), the organization makes its governing documents , conflict of
interest policy , and financial statements available to the public See Additional Data Table
19
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization0JAMES DOWNEY
130 DIVISION STREET
DERBY, CT 06418
(203)732-7528
Form 990 (2010)
Form 990 (2010)
Page 7
Compensation of Officers , Directors , Trustees , Key Employees , Highest Compensated
Employees , and Independent Contractors

Check if Schedule 0 contains a response to any question in this Part VII
(-
Section A. Officers, Directors, Trustees, Kev Employees, and Highest Compensated Employees
la 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
* 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
* List all of the organization' s current key employees, if any See instructions for definition of "key employee "
* 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
* List all of the organization's former officers, key employees, and highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations
* 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
fl Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee
(A)
Name and Title
(B)
Average
hours
per
week
(describe
hours
for
related
organizations
in
Schedule
0)
(C)
Position (check all
that apply)
_
7C
'D
C
r'
7.
5
-
^5
EL
0 ID
C1
-D 0
+D a
(D)
Reportable
compensation
from the
organization (W2/1099-MISC)
T
(E)
Reportable
compensation
from related
organizations
(W- 2/1099MISC)
(F)
Estimated
amount of other
compensation
from the
organization and
related
organizations
m
Q
See Additional Data Table
Form 990 (2010)
Form 990 (2010)
Page 8
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
0)
(C)
Position (check all
that apply)
(D)
Reportable
compensation
from the
_
7C
7
Q
C
r'
5
m
-
a
:
_0
D
-0
5
(E)
Reportable
compensation
from related
organizations
(W- 2/1099MISC)
(F)
Estimated
amount of other
compensation
from the
organization and
related
organizations
0
a,
Q
&
lb
Sub -Total
Total from continuation sheets to Part VII, Section A
Total ( add lines lb and 1c )
.
.
.
.
.
.
.
0-
.
.
0-
3,851,799
657,919
Total number of individuals (including but not limited to those listed above) who received more than
$100,000 in reportable compensation from the organization-87
No
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee
on line la? If "Yes," complete Schedule Jfor such individual .
.
.
.
.
.
.
.
.
.
.
.
4
For any individual listed on line la, is the sum of reportable compensation and other compensation from the
organization and related organizations greater than $150,0007 If "Yes," complete Schedule -7 for such
individual .
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
No
No
Did any person listed on line la receive or accrue compensation from any unrelated organization or individual for
services rendered to the organization? If "Yes,"complete Schedule J for such person .
Section B. Independent Contractors

1
Complete this table for your five highest compensated independent contractors that received more than
$100,000 of compensation from the organization
(A)
Name and business address
(B)
Description of services
(C)
Compensation
UNIDINE CORPORATION
75 REMITTANCE DRIVE
CHICAGO, IL 60675
FOOD SERVICE
TURNER CONSTRUCTION
440 WHEELERS FARM RD
MILFORD, CT 06461
CONSTRUCTION
981,683
DIRECT ENERGY SERVICES

PO BOX 462
CAROL STREAM, IL 60197
ELECTRIC SUPPLIER
528,650
CARDIOLOGY ASSOC OF DERBY

130 DIVISION STREET
DERBY, CT 06418
PHYSICIAN SERVICES
406,459
RINALDI LINEN SERVICES

47 COMMONS COURT
WATERBURY, CT 06704
LINEN SERVICE
404,138
1,565,262
Total number of independent contractors ( including but not limited to those listed above) who received more than
$100,000 in compensation from the organization 0-21
Form 990 (2010)
Form 990 (2010)

N
Page 9
Statement of Revenue
(A)
Total revenue
(B)
(C)
(D)
Related or Unrelated Revenue
exempt business
function
revenue excluded
revenue
from
tax
under
sections
512,
513, or
514
la
Federated campaigns
b Membership dues
c Fundraising events
cc
la
lb
1c
d Related organizations
ld
e Government grants ( contributions)
le
All other contributions, gifts, grants , and

similar amounts not included above
if
Noncash contributions included in lines la-If $
2,414,954
2,414,954
h Total . Add lines la -1f .

Business Code
2a
3,894,495
PATIENT REVENUE
621500
OTHER PROGRAM SERVICES
621500
122,026,213 118,131,718
5,578,322
5,578,322
d
e
All other program service revenue
g Total . Add lines 2a -2f .

3
127,604,535
Investment income ( including dividends, interest

and other similar amounts )
Income from investment of tax -exempt bond proceeds
Royalties
6a
Gross Rents
421,266
75,984
75,984
421,266
Net rental income or ( loss)
(i) Securities
7a
Gross amount
from sales of
assets other
than inventory
b Less cost or
other basis and
sales expenses
c Gain or (loss)
(ii) Other
75,984
75,984
10-
Net gain or (loss)
8a
421,266
(ii) Personal
421,266
b Less rental
expenses
c Rental income
or (loss)
380,331
. 0-
(i) Real
380,331
,
Gross income from fundraising events

(not including
of contributions reported on line 1c)
See Part IV, line 18
.
.
a
b Less
c
direct expenses
Net income or (loss) from fundraising events
9a
Gross income from gaming activities See Part IV, line 19
b Less
c
direct expenses
a
b
Net income or (loss ) from gaming activities
.0-
10a Gross sales of inventory, less

returns and allowances .
a
b Less
c
cost of goods sold
Net income or (loss ) from sales of inventory
0-
Miscellaneous Revenue
Business Code
11a
b
C
d All other revenue
e Total . Add lines 11a-11d
.
.
.
0-
12 Total revenue . See Instructions
0130,897,070
3,894,495
877,581
1 123, 710,040 1
Form 990 (2010)
Form 990 (2010)
Page 10
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).
( A)
Total expenses
Do not include amounts reported on lines 6b,

7b, 8b, 9b, and 10b of Part VIII .
Grants and other assistance to governments and organizations

in the U S See Part IV, line 21
Grants and other assistance to individuals in the

U S See Part IV, line 22
Grants and other assistance to governments,

organizations , and individuals outside the U S See
Part IV, lines 15 and 16
Benefits paid to or for members
Compensation of current officers, directors , trustees, and

key employees
Compensation not included above, to disqualified persons

(as defined under section 4958( f)(1)) and persons
described in section 4958 (c)(3)(B)
Other salaries and wages
Pension plan contributions (include section 401(k) and section

403(b) employer contributions )
9
10
a
(B)
Program service
expenses
(C)
Management and
general expenses
4,291,701
2,842,819
1,448,882
49,288,567
44,359,710
4,928,857
3 ,534,192
3,180,773
353,419
Other employee benefits
9 ,289,403
8,360,463
928,940
Payroll taxes
4,181,297
3,763,168
418,129
Fees for services ( non-employees)

Management
592,064
592,064
Legal
119,069
119,069
Accounting
234,220
234,220
Lobbying
Professional fundraising services See Part IV, line 17
Investment management fees
Other
9,821 ,488
8,839,340
982,148
372,847
335,563
37,284
Office expenses
217,776
196,000
21,776
14
Information technology
991,867
892,681
99,186
15
Royalties
294,650
265,185
29,465
218,463
196,617
21,846
5,146,009
5,146,009
12
Advertising and promotion
13
16
Occupancy
17
Travel
18
Payments of travel or entertainment expenses for any federal,

state, or local public officials
(D)
Fundraising
expenses
19
Conferences , conventions , and meetings
20
Interest
21
Payments to affiliates
137,511
137,511
22
Depreciation , depletion, and amortization
5,747,143
5,747,143
23
Insurance
2,414,227
2,172,805
24
Other expenses Itemize expenses not covered above (List

miscellaneous expenses in line 24f If line 24f amount exceeds 10% of
line 25, column ( A) amount, list line 24f expenses on Schedule 0
a
MEDICAL & DRUG SUPPLIES
16,298,191
16,298,191
UTILITIES
3,350,115
3,350,115
BAD DEBT
3,349,413
3,349,413
RESEARCH GRANT EXPENSES
2,141,922
1,927,729
FOOD
1,249,993
1,249,993
All other expenses
7,555,717
7,555,717
130,837,845
120,166,945
25
Total functional expenses. Add lines 1 through 24f
26
Joint costs. Check here 1F- 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
241,422
214,193
10,670,900
Form 990 (2010)
Form 990 (2010)
Page 11
Balance Sheet
(A)
Beginning of year
3,905,172
Cash-non-interest-bearing
Savings and temporary cash investments
Pledges and grants receivable, net

Accounts receivable, net
Receivables from current and former officers, directors, trustees, key employees, and
highest compensated employees Complete Part II of
15,222,331
Schedule L
5,513,612
17,025,431
Receivables from other disqualified persons (as defined under section 4958(f)(1 )),
persons described in section 4958(c)(3)(B), and contributing employers, and
sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary
organizations (see instructions)
Schedule L
(B)
End of year
Notes and loans receivable, net
Inventories for sale or use
Prepaid expenses and deferred charges
10a
11
Land, buildings, and equipment
cost or other basis
7
785,363
794,648
1,775,274
1,810,064
144,713,364
Complete
Part VI of Schedule D
10a
Less
10b
accumulated depreciation
82,631,177
64,043,604
Investments-publicly traded securities
10c
62,082,187
11
12
Investments-other securities
10,721,743
12
8,656,773
13
Investments-program-related
14,810,452
13
14,181,684
14
Intangible assets
15
Other assets
16
Total assets . Add lines 1 through 15 (must equal line 34)
17
Accounts payable and accrued expenses
18
Grants payable

.
14
10,757,192
15
12,570,011
122,021,131
16
122,634,410
25,047,155
17
26,635,850
18
19
Deferred revenue
20
Tax-exempt bond liabilities
21
Escrow or custodial account liability Complete Part IVof Schedule D
22
Payables to current and former officers, directors, trustees, key

employees, highest compensated employees, and disqualified
persons Complete Part II of Schedule L
16,630
19
33,048
54,196,490
20
53,037,112
21
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
26
Total liabilities . Add lines 17 through 25
Complete Part X of Schedule D
59,908,117
25
77,591,032
139,168,392
26
157,297,042
-24,966,200
27
-42,070,163
Organizations that follow SFAS 117, check here 1- F and complete lines 27
through 29, and lines 33 and 34.
co
c3
27
Unrestricted net assets
28
Temporarily restricted net assets
2,014,450
28
1,880,150
29
Permanently restricted net assets
5,804,489
29
5,527,381
Organizations that do not follow SFAS 117, check here 1 F- and complete
lines 30 through 34.
LL.
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
Z
Z
33
Total net assets or fund balances
-17,147,261
33
34
Total liabilities and net assets/fund balances
122,021,131
34
-34,662,632
122,634,410
Form 990 (2010)
Form 990 (2010)
Page 12
Reconcilliation of Net Assets

Check if Schedule 0 contains a response to any question in this Part XI
.F
Total revenue (must equal Part VIII, column (A), line 12)
Total expenses (must equal Part IX, column (A), line 25)
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A))
5
6
130,897,070
130,837,845
59,225
-17,147,261
-17,574,596
-34,662,632
Other changes in net assets or fund balances (explain in Schedule O)
Net assets or fund balances at end of year Combine lines 3, 4, and 5 (must equal Part X, line 33, column
(B))
GZMM-
Financial Statements and Reporting

Check if Schedule 0 contains a response to any question in this Part XII
.F
Yes
No
Accounting method used to prepare the Form 990

fl Cash F Accrual (Other
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule 0
2a
Were the organization's financial statements compiled or reviewed by an independent accountant?
2a
Were the organization's financial statements audited by an independent accountant?
2b
Yes
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 0
2c
Yes
3a
Yes
3b
Yes
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
fl Separate basis
3a
b
No
F Consolidated basis
fl Both consolidated and separated basis
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? .
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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 0 and describe any steps taken to undergo such audits
.
Form 990 (2010)
l efile
GRAPHIC p rint - DO NOT PROCESS
As Filed Data -
DLN: 93493136035862
OMB No 1545-0047
SCHEDULE A
Public Charity Status and Public Support
(Form 990 or 990EZ)
201 0
Complete if the organization is a section 501(c)( 3) organization or a section
4947( a)(1) nonexempt charitable trust.

^ Attach to Form 990 or Form 990-EZ. ^ See separate instructions.

Name of the organization
GRIFFIN HOSPITAL
Employer identification number
06-0647014
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
A church, convention of churches, or association of churches described in section 170 ( b)(1)(A)(i).
A school described in section 170 (b)(1)(A)(ii). (Attach Schedule E )
A hospital or a cooperative hospital service organization described in section 170 ( b)(1)(A)(iii).
A medical research organization operated in conjunction with a hospital described in section 170 (b)(1)(A)(iii). Enter the
hospital's name, city, and state
fl
An organization operated for the benefit of a college or university owned or operated by a governmental unit described in
fl
A federal, state, or local government or governmental unit described in section 170 ( b)(1)(A)(v).
An organization that normally receives a substantial part of its support from a governmental unit or from the general public
described in
section 170 ( b)(1)(A)(vi ) (Complete Part II )
fl
A community trust described in section 170 ( b)(1)(A)(vi ) (Complete Part II )
An organization that normally receives
section 170 ( b)(1)(A)(iv ). (Complete Part II )
(1) more than 331/3% of its support from contributions, membership fees, and gross
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
fl
An organization organized and operated exclusively to test for public safety Seesection 509(a)(4).
11
fl
An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of
one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2) See section 509 (a)(3). Check
the box that describes the type of supporting organization and complete lines 11e through 11h
a
fl Type I
b
fl Type II
c
fl Type III - Functionally integrated
d
fl Type III - Other
fl
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons
other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1 ) or
section 509(a)(2)
If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization,
check this box
F
Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
f
g
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)
Provide the following information about the supported organization(s)
0)
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?
Yes
No
( v)
Did you notify the
organization in
col (i) of your
support?
Yes
No
(vi)
Is the
organization in
col (i) organized
in the U S ?
Yes
vii
Amount of
support
No
Total
For Paperwork Reduction Act Notice, seethe Instructions for Form 990
Cat No
11285F
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Support Schedule for Organizations Described in Sections 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 Su pp ort
Calendar year (or fiscal year beginning

in) ^
Gifts, grants, contributions, and
1
membership fees received (Do not
include any "unusual
grants ")
Tax revenues levied for the
2
organization's benefit and either
paid to or expended on its
behalf
The value of services or facilities
3
furnished by a governmental unit to
the organization without charge
4
Total .Add lines 1 through 3
The portion of total contributions
5
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)
Public Support . Subtract line 5 from
6
line 4
Section B. Total Su pp ort

Calendaryear (or fiscal year beginning
in)
7
8
(a) 2006
(a) 2006
(b) 2007
(b) 2007
(c) 2008
(c) 2008
Amounts from line 4

Gross income from interest,
dividends, payments received on
securities loans, rents, royalties
and income from similar
sources
Net income from unrelated
business activities, whether or
not the business is regularly
carried on
Other income Do not include gain
or loss from the sale of capital
assets (Explain in Part IV
Total support (Add lines 7
through 10)
Gross receipts from related activities, etc (See instructions
10
11
12
13
(d) 2009
(d) 2009
(e) 2010
(f) Total
(e) 2010
(f) Total
12
First Five Years If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here
Section C. Com p utation of Public Su pp ort Percenta g e

14
Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f))
14
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
15
16a
331 / 3%support test - 2010 . If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here . The organization qualifies as a publicly supported organization
llik^Fb 33 1 / 3%support test - 2009 . If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here . The organization qualifies as a publicly supported organization
lk'F17a 10%-facts-and -circumstances test - 2010 . If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here . Explain
in Part IV how the organization meets the "facts and circumstances" test The organization qualifies as a publicly supported
organization
llik^Fb 10%-facts-and-circumstances test - 2009 . If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test The organization qualifies as a publicly
supported organization
lk'FPrivate Foundation If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
18
instructions
llik^FSchedule A (Form 990 or 990-EZ) 2010
Page 3
Support Schedule for Organizations Described in Section 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
IMMITM
Calendar year
(or fiscal year beginning

in) llik^
1
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
behalf
5
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 )
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total

(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
in)
9
Amounts from line 6
10a
sources
Unrelated business taxable
b
income (less section 511 taxes)
from businesses acquired after
June 30, 1975
c
Add lines 10a and 10b
11
business activities not included
in line 10b, whether or not the
business is regularly carried on
Other income Do not include
12
gain or loss from the sale of
capital assets (Explain in Part
IV )
Total support (Add lines 9, 10c,
13
11 and 12)
14
First Five Years If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section501(c)(3) organization,

15
15
16
Public support percentage from 2009 Schedule A, Part III, line 15
16
Section D . Computation of Investment Income Percentage

17
Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f))
17
18
Investment income percentage from 2009 Schedule A, Part III, line 17
18
19a
33 1/3%support tests-2010 . If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not
more than 33 1/3%, check this box and stop here . The organization qualifies as a publicly supported
organization
33 1 / 3% support tests- 2009 . If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line
18 is not more than 33 1/3%, check this box and stop here . The organization qualifies as a publicly supported organization
Private Foundation If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions
b
20
Page 4
Supplemental Information . Supplemental Information. Complete this part to provide the explanations
required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any
additional information. (See instructions).
Additional Data
Software ID:
Software Version:
EIN:
06 -0647014
Name :
GRIFFIN HOSPITAL
Form 990, Part VII - Compensation of Officers, Directors,Trustees, Key Employees, Highest
Compensated Employees, and Independent Contractors
(A)
Name and Title
(B)
Average
hours
per
week
(C)
Position (check all
that apply)
c c
,D =
boo
0r
2
_
' 4
(D )
Reportable
compensation
from the
( E)
Reportable
compensation
from related
organizations
(W- 2/1099MISC)
T
0
(F)
Estimated
amount of other
compensation
from the
organization and
related
organizations
m
m
c^
m
HENDRICKS DAVID
MD/BOARD MEMBER
40 00
CHARMEL PATRICK
PRESIDENT/CEO
40 00
BORIS GREGORY
MD/BOARD MEMBER
40 00
DOBULER KENNETH
MD/BOARD MEMBER
154,099
14,421
437,043
58,191
140,044
25,036
40 00
221,576
47,152
SCHWARTZ KENNETH
MD/BOARD MEMBER
40 00
212,674
67,325
STUMPO BARBARA J
V P /BOARD MEMBER
40 00
198,561
40,922
ANDREANA JOSEPH
TRUSTEE
1 00
BALDYGA KENNETH
TRUSTEE
100
BETKOSKI JOHN W III

CHAIRMAN
1 00
DINARDO NANCY
TRUSTEE
1 00
JANESKY LAWRENCE
TRUSTEE
1 00
FOX ROBERT A
TRUSTEE
1 00
GENTILE LINDA M
TRUSTEE
1 00
JONES JEAN CRUM

TRUSTEE
1 00
KLARIDES THEMIS
TRUSTEE
1 00
LOGAN GEORGE S
TRUSTEE
1 00
NUSSBAUM PAUL B
MD/TRUSTEE
1 00
OSAK FRANK M
TRUSTEE
1 00
MEZZO ROBERT
TRUSTEE
1 00
REISS ROBERT G
TRUSTEE
1 00
WEINER GERALD T
TRUSTEE
1 00
ZAPRZALKA JOHN J
TRUSTEE
1 00
EMANUEL JOSEPH
TRUSTEE
1 00
SACZYNSKI SHELLY
TRUSTEE
1 00
275,947
37,047
MOYLAN JAMES J
VICE PRESIDENT/CFO
40 00
(A)
Name and Title
(B)
Average
hours
per
week
(C)
Position ( check all
that apply )
,o =
^] 5
;rl L
a
-D
0 ID
0
Q
o
c C
c
' a
(D)
Reportable
compensation
from the
organization ( W2/1099-MISC)
T
-
( E)
Reportable
compensation
from related
organizations
( W- 2/1099MISC)
(F)
Estimated
amount of other
compensation
from the
organization and
related
organizations
m
m
POWANDA WILLIAM
VICE PRESIDENT
40 00
211,066
48,142
BERNS EDWARD
VICE PRESIDENT
40 00
174,146
36,541
MARTIN KATHLEEN
VICE PRESIDENT
40 00
172,497
37,662
DEEGAN MARGARET
VICE PRESIDENT
40 00
208,097
17,260
SHEPARD SETH
VICE PRESIDENT
40 00
191,144
19,503
FRAMPTON SUSAN
PRESIDENT/PLANETREE
40 00
312,059
27,667
D'SOUSA SEEMA
30 00
184,351
21,635
40 00
201,904
68,082
40 00
247,246
27,500
KUSTER GORDON
MD
40 00
129,471
54,040
RANDALL L CARTER
MD
40 00
179,874
9,793
MD
HALSTEAD EDWARD
MD
NAWAZ HAQ
MD
Form 990, Part III - 4 Program Service Accomplishments (See the Instructions)
4d. Other program services
(Code
) (Expenses $
595,392
PROVIDE HOSPICE SERVICES TO THE COMMUNITY
) (Revenue $
1,331,594
l efile
GRAPHIC
p rint - DO NOT PROCESS
DLN: 93493136035862
Political Campaign and Lobbying Activities
OMB No 1545-0047
For Organizations Exempt From Income Tax Under section 501(c) and section 527
201 0
1- Complete if the organization is described below.

1- Attach to Form 990 or Form 990-EZ. 1- See separate instructions.
O pen to Public
SCHEDULE C
(Form 990 or 990-EZ)
As Filed Data -

If the organization answered " Yes," to Form 990, Part IV , Line 3 , or Form 990-EZ , Part V, line 46 ( Political Campaign Activities),
then
Section 501(c)(3) organizations Complete Parts I-A and B Do not complete Part I-C
Section 501(c) (other than section 501(c)(3)) organizations Complete Parts I-A and C below Do not complete Part I-B
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
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
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
* Section 501(c)(4), (5), or (6) organizations Complete Part III
GRIFFIN HOSPITAL
06-0647014
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 in Part IV
Political expenditures
Volunteer hours
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
Enter the amount of any excise tax incurred by organization managers under section 4955
If the organization incurred a section 4955 tax, did it file Form 4720 for this year?
fl Yes
fl No
4a
Was a correction made?
fl Yes
fl No
If "Yes," describe in Part IV
rMWINTComplete 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
Enter the amount of the filing organization's funds contributed to other organizations for section 527
exempt funtion activities
Total exempt function expenditures Add lines 1 and 2 Enter here and on Form 1120-PO L, line 17b
Did the filing organization file Form 1120 -POL for this year?
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
For Paperwork Reduction Act notice, see the instructions for Form 990 or 990 -EZ.
fl Yes
( c) EIN
(d ) Amount paid from

filing organization's
funds If none, enter -0-
Cat No 50084S
fl No
(e) Amount of political

contributions received
and promptly and
directly delivered to a
separate political
organization If none,
enter -0-
Schedule C ( Form 990 or 990 - EZ) 2010
Schedule C (Form 990 or 990-EZ) 2010
Page 2
Complete if the organization is exempt under section 501 ( c)(3) and filed Form 5768 ( election
under section 501(h)).
A
B
Check
Check
F if the filing organization belongs to an affiliated group

1 if the filing organization checked box A and "limited control" provisions apply
(a) Filing
O rganization's
Totals
Limits on Lobbying Expenditures

(The term "expenditures " means amounts paid or incurred .)
la
(b) Affiliated
Group
Totals
Total lobbying expenditures to influence public opinion (grass roots lobbying)
Total lobbying expenditures to influence a legislative body (direct lobbying)
Total lobbying expenditures (add lines la and 1b)
Other exempt purpose expenditures
Total exempt purpose expenditures (add lines 1c and 1d)
Lobbying nontaxable amount Enter the amount from the following table in both
columns
If the amount on line le , column ( a) or (b ) is:
The lobbying nontaxable amount is:
Not over $500,000
20% of the amount on line le
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
Over $17,000,000
$1,000,000
Grassroots nontaxable amount (enter 25% of line 1f)
Subtract line 1g from line la If zero or less, enter-0-
Subtract line 1f from line 1c If zero or less, enter-0-
If there is an amount other than zero on either line 1h or line 11, did the organization file Form 4720 reporting
section 4911 tax for this year?
Yes
No
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 (orfiscaI year
beginning in)
2a
(a) 2007
(b) 2008
(c) 2009
(d) 2010
(e) Total
Lobbying non-taxable amount
Lobbying ceiling amount

150% of line 2a column e
Total lobbying expenditures
Grassroots non-taxable amount
Grassroots ceiling amount

(150% of line 2d, column (e))
Grassroots lobbying expenditures

Page 3
Complete if the organization is exempt under section 501 ( c)(3) and has NOT filed Form 5768
( election under section 501 ( h )) .
(a)
Yes
1
(b)
No
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
Volunteers?
No
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)?
No
Media advertisements?
No
Mailings to members, legislators, or the public?
No
Publications, or published or broadcast statements?
No
Grants to other organizations for lobbying purposes?
No
Direct contact with legislators, their staffs, government officials, or a legislative body?
No
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means?
Other activities? If "Yes," describe in Part IV
Total lines 1c through 11
2a
Amount
No
Yes
12,785
12,785
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)?
If "Yes," enter the amount of any tax incurred under section 4912
If "Yes," enter the amount of any tax incurred by organization managers under section 4912
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year?
No
Complete if the organization is exempt under section 501(c)(4), section 501(c )( 5), or section
501 ( c )( 6 ) .
Yes
1
Were substantially all (90% or more) dues received nondeductible by members?
Did the organization make only in-house lobbying expenditures of $2,000 or less?
Did the organization agree to carryover lobbying and political expenditures from the prior year?
No
501(c )( 6) if BOTH Part 111-A , lines 1 and 2 are answered "No " OR if Part III - A, line 3 is
answered "Yes".
1
2
Dues, assessments and similar amounts from members

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
b
Current year
Carryover from last year
2a
Total
2c
Aggregate amount reported in section 6033(e)(1 )(A) notices of nondeductible section 162(e) dues
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?
Taxable amount of lobbying and political expenditures (see instructions)
Su
2b
lementalInformation
Complete this part to provide the descriptions required for Part I-A, line 1, Part I-B, line 4, Part I-C, line 5, and Part II-B, line 1i
Also , com p lete this p art for an y additional information
Identifier
EXPLANATION OF OTHER
LOBBYING ACTIVITIES
Return Reference
PART II-B, LINE 1I
Explanation
THE GRIFFIN HOSPITAL PAID FOR MEMBERSHIP DUES TO
THE CONNECTICUT HOSPITAL ASSOCIATION FORTHE
FISCAL YEAR ENDED 9 /30/2011 $12,785 14 OF THE
MEMBERSHIP DUES PAID WAS USED FOR LOBBYING ON
ISSUES RELEVANT TO THE ORGANIZATION'S EXEMPT
PURPOSE
Schedule C (Form 990 or 990EZ) 2010
lefile GRAPHIC print - DO NOT PROCESS
DLN: 934931360358621
OMB No 1545-0047
SCHEDULE D
(Form 990)

I As Filed Data - I
2010
Supplemental Financial Statements

1- Complete if the organization answered "Yes," to Form 990,
Part IV , line 6, 7, 8, 9, 10, 11, or 12.
1- Attach to Form 990. 1- See separate instructions.

GRIFFIN HOSPITAL
bafffim
06-0647014
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts . Complete if the
or g anization answered "Yes" to Form 990 Part IV , line 6.
(a) Donor advised funds
1
Total number at end of year
Aggregate contributions to (during year)
( b) Funds and other accounts
Aggregate grants from ( during year)
Aggregate value at end of year
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?
F Yes
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
fl Yes
fl No
No
MRSTIConservation 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)
1 Preservation of land for public use ( e g , recreation or pleasure )
1 Preservation of an historically importantly land area
1
Protection of natural habitat
fl
Preservation of open space
Preservation of a certified historic structure
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
Total acreage restricted by conservation easements
2b
Number of conservation easements on a certified historic structure included in (a)
2c
Number of conservation easements included in (c) acquired after 8/17/06
2d
N umber of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year 04
N umber of states where property subject to conservation easement is located 0-
Does the organization have a written policy regarding the periodic monitoring , inspection , handling of violations, and
enforcement of the conservation easements it holds?
fl Yes
fl No
fl Yes
l No
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year 1Amount of expenses incurred in monitoring , inspecting , and enforcing conservation easements during the year - $
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
Organizations Maintaining Collections of Art, Historical Treasures , or Other Similar Assets.

Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
la
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
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
-$
(ii)Assets included in Form 990, Part X
-$
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
Assets included in Form 990, Part X
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
r:FTnFW
3
Page 2
Organizations Maintaining Collections of Art, Historical Treasures , or Other Similar Assets (continued)
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
F_
Public exhibition
fl
Loan or exchange programs
Scholarly research
(-
Other
Preservation for future generations
Provide a description of the organization's collections and explain how they further the organization's exempt purpose in
Part XIV
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
1 Yes
assets to be sold to raise funds rather than to be maintained as part of the organization's collection?
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.
la
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X7
If "Yes," explain the arrangement in Part XIV and complete the following table
Beginning balance
1c
Additions during the year
ld
Distributions during the year
le
Ending balance
if
1 Yes
1 No
F No
Amount
2a
b
Did the organization include an amount on Form 990, Part X, line 21?
fl Yes
fl No
If"Yes," explain the arrangement in Part XIV
MITIT-Endowment Funds . Com p lete If the or g anization answered "Yes" to Form 990, Part IV , line 10.
(a)Current Year
la
Beginning of year balance
Contributions
Investment earnings or losses
Grants or scholarships
Other expenditures for facilities

and programs
Administrative expenses
End of year balance
(b)Prior Year
(c)Two Years Back
( d)Three Years Back ( e)Four Years Back
2,953,261
2,773,278
2,677,652
-1,478
124,305
97,031
19,450
1,337
1,405
2,932,333
2,896,246
2,773,278
Provide the estimated percentage of the yearend balance held as

a
Board designated or quasi-endowment 0-
Permanent endowment
c
3a
73 000 %
27 000 %
Term endowment 0Are there endowment funds not in the possession of the organization that are held and administered for the
organization by
(i) unrelated organizations
b
4
(ii) related organizations

.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .
.
.
.
.
.
.
.
.
3a(i)
3a(ii)
.
. I
Yes
Yes
No
No
3b
Describe in Part XIV the intended uses of the organization's endowment funds
Investments-Land . Buildinas . and Eauioment . See Form 990. Part X. line 10.
(a) Cost or other
basis (investment)
Description of investment
la
Land
(c) Accumulated
depreciation
4,015,091
b Buildings
c Leasehold improvements
(b)Cost or other
basis (other)
(d) Book value

4,015,091
71,392,591
33,244,019
38,148,572
68,980,971
49,163,224
19,817,747
d Equipment
e Other
Total . Add lines la-le (Column (d) should equal Form 990, Part X, column (B), line 10(c).)
324,711
223,934
0-
100,777
62,082,187
Page 3
MrOW-Investments - 0ther Securities . See Form 990 , Part X , line 12.

(a) Description of security or category
(b)Book value
(including name of security)
(c) Method of valuation

Cost or end-of-year market value
(1 )Financial derivatives
(2)Closely-held equity interests
(3)Other
(A) FIXED INCOME SECURITIES
5,001,889
(B) MARKETABLE EQUITY SECURITIES
3,654,884
Total . (Column (b) should equal Form 990, Part X, col (B) line 12)
8,656,773
Investments - Pro ram Related . See Form 990 , Part X , line 1 3.

(a) Description of investment type
(b) Book value
(1) LIMITED USE ASSETS - CURRENT

704,176
31,384
(3) BENEFICIAL INTEREST IN TRUSTS
3,367,120
(4) UNDER INDENTURE AGREEMENT
4,288,799
(5) INVESTMENTS OF NET ASSETS OF AFFILIATES
5,790,205
(2) BOARD DESIGNATED INVESTMENTS
14,181,684
Other Assets . See Form 990, Part X, line 15.

(a) Description
(b) Book value
(1) OTHER RECEIVABLES
3,656,222
(2) DUE FROM AFFILIATES
5,411,702
(3) OTHER ASSETS
3,010,621
(4)THIRD PARTY
457,830
(5) DEFERRED REVENUE
Total . (Column (b) should equal Form 990, Part X, co/.(8) line 15.)
33,636
12,570,011
2. Fin 48 (A SC 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)
Page 4
171174T- Reconciliation of Chan g e in Net Assets from Form 990 to Financial Statements
1
Total revenue (Form 990, Part VIII, column (A), line 12)
130,897,070
Total expenses (Form 990, Part IX, column (A), line 25)
130,837,845
Excess or (deficit) for the year Subtract line 2 from line 1
59,225
Net unrealized gains (losses) on investments
-237,962
Donated services and use of facilities
Investment expenses
Prior period adjustments
Other (Describe in Part XIV)
-17,336,634
Total adjustments (net) Add lines 4 - 8
-17,574,596
Excess or (deficit) for the year per financial statements Combine lines 3 and 9
10
-17,515,371
10
Reconciliation of Revenue p er Audited Financial Statements With Revenue p er Return
Total revenue, gains, and other support per audited financial statements
130,659,108
Amounts included on line 1 but not on Form 990, Part VIII, line 12
a
Net unrealized gains on investments
Recoveries of prior year grants
Add lines 2a through 2d
2a
.
-237,962
2b
2c
Subtract line 2e from line 1 .
2d
.
.
2e
4c
-237,962
130,897,070
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
4b
Add lines 4a and 4b .
c
5
Total Revenue Add lines 3 and 4c. (This should equal Form 990, Part I, line 12
0
130,897,070
Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
Total expenses and losses per audited financial

statements .
130,837,845
1
Amounts included on line 1 but not on Form 990, Part IX, line 25
a
Prior year adjustments
Other losses
2a
2b
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
2c
.
Amounts included on Form 990, Part IX, line 25, but not on line 1:
a
2d
.
.
.
.
.
.
.
2e
130,837,845
4c
130,837,845
4b
.
Total expenses Add lines 3 and 4c. (This should equal Form 990, Part I, line 18
9711SNIM
4a
Su pp lemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9, Part III, lines la and 4, Part IV, lines lb and 2b,
Part V, line 4, Part X, Part XI, line 8, Part XII, lines 2d and 4b, and Part XIII, lines 2d and 4b Also complete this part to provide any
additional information
Identifier
Return Reference
Explanation
DESCRIPTION OF INTENDED USE

OF ENDOWMENT FUNDS
PART V, LINE 4
THE HOSPITAL'S ENDOWMENT FUNDS CONSIST OF DONOR

RESTRICTED FUNDS TO BE INVESTED IN PERPETUITY TO
PROVIDE A PERMANENT SOURCE OF INCOME
DESCRIPTION OF UNCERTAIN
TAX POSITIONS UNDER FIN 48
PART X
FIN 48 (ASC 740) IS NOT APPLICABLE TO GRIFFIN

HOSPITAL
PART XI, LINE 8 - OTHER

ADJUSTMENTS
TRANSFERS BETWEEN AFFILIATES 799,271 MINIMUM

PENSION LIABILITY ADJUSTMENT -17,771,550 CHANGE
IN NET ASSETS OF AFFILIATE 47,053 CHANGE IN
TEMPORARILY RESTRICTED NET ASSETS -134,300
CHANGE IN BENEFICIAL INTEREST IN TRUSTS -277,108
Additional Data
Software ID:
Software Version:
EIN:
Name :
06 -0647014
GRIFFIN HOSPITAL
Form 990 , Schedule D , Part X, - Other Liabil ities

1
(a) Description of Liability
(b) Amount
ACCRUED POST RETIREMENT - CURRENT
ACCRUED POST RETIREMENT - NONCURRENT
PROFESSIONAL AND GENERAL LIABILITY
MINIMUM PENSION LIABILITY
WORKERS COMPENSATION - LONG TERM
ACCRUED INTEREST PAYABLE
OTHER LIABILITIES
RETIREMENT OBLIGATION
525,000
7,340,696
849,246
50,147,716
1,514,632
365,713
11,649,431
125,216
CAPITAL LEASE - NET OF CURRENT
3,205,611
LT - CURRENT PORTION
1,867,771
l efile
GRAPHIC print - DO NOT PROCESS
As Filed Data -
SCHEDULE H
(Form 990)
DLN: 93493136035862
OMB No 1545-0047
Hospitals
2010
1- Complete if the organization answered "Yes" to Form 990, Part IV, question 20.

Ope n
Inspection

GRIFFIN HOSPITAL
06-0647014
Financial Assistance and Certain Other Communit y Benefits at Cost
Yes
Did the organization have a finnancial assistance policy during the tax year? If "No," skip to question 6a
la
b
2
If "Yes," is it a written policy?
.
.
Applied uniformly to all hospitals
Generally tailored to individual hospitals
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
F
1000/0
150%
200%
Yes
3a
Yes
3b
Yes
Other . 2250.000000000000 %
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
F
200%
250%
300%
350%
400%
0/0
Other
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
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax yea r
provide for free or discounted care to the "medically indigent"?
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year?
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount?
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? .
6a
Does the organization prepare a community benefit report during the tax
year? .
.
If "Yes," did the organization make it available to the public?
6b
lb
Applied uniformly to most hospitals
Answer the following based on the the financial assistance eligibility criteria that applied to the largest number of the
organization's patients during the tax year
5a
Yes
If the organization has multiple hospitals, indicate which of the following best describes application of the financial
assistance policy to its various hospital facilities during the tax year
la
No
Yes L
5a
Yes
5b
Yes
5c
No
6a
Yes
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
Financial Assistance and Certain Other Community Benefits at Cost
FinancialAssistanceand
Means - Tested
Government Programs
a
b
c
Financial Assistance at cost

(from Worksheets 1 and 2)
Unreimbursed Medicaid (from
Worksheet 3, column a)
Unreimbursed costs-other
means-tested government
programs (from Worksheet 3,
column b)
.
.
.
Total Financial Assistance 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
a Net community benefit (f) Percent of

( )
expense
total expense
382
2,372,201
2,372,201
1 810 %
9,136
9,677,882
6,009,646
3,668,236
2 800 %
89
96,486
83,214
13,272
0 010 %
9,607
12,146,569
6,092,860
6,053,709
4 620 %
57,726
938,403
12,901
925,502
0 710 %
275
6,833,841
4,736,505
2,097,336
1 600 %
40,667
19,854,691
18,878,888
975,803
0 750 %
1,359,782
1,359,782
1 040 %
Other Benefits
e
f
g
h
i
Community health improvement

services and community
benefit operations (from
(Worksheet 4)
.
.
.
Health professions education
(from Worksheet 5)
.
Subsidized health services
(from Worksheet 6)
.
Research (from Worksheet 7)
Cash and in-kind contributions
to community groups
(from Worksheet 8)
Total Other Benefits .
.
.
k Total . Add lines 7d and 7j
1,626
26,896
26,896
0 020 %
100,294
29,013,613
23,628,294
5,385,319
4 120 %
109,901
41,160,182
11,439,028
8 740 %
For Privacy Act and Paperwork Reduction Act Noticee see the Instructions for Form 990 .
29,721,154
Cat N o
50192T
Schedule H (Form 990) 2010
Page 2
Community Building Activities during the tax year, and describe in Part VI how its community building
activities during the tax year, and describe in Part VI how its community building activities promoted the health
of the communities it serves(a) Number of
(b) Persons
activities or
served (optional)
programs
(optional)
Ph y sical im p rovements and housin g
Economic development
Communit y su pp ort
Environmental improvements
Leadership development and training

for community members
Coalition building

advocacy
Workforce development
Other
10
Total
Ill:
(c) Total community

building expense
(d) Direct offsetting

revenue
(e) Net community

building expense
(f) Percent of
total expense
1,818
12,984
12,984
0 010 %
1,818
12,984
12,984
0 010 %
Bad Debt , Medicare , & Collection Practices
Section A. Bad Debt Expense
Yes
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
Statement No 15? .
Yes
Does the organization have a written debt collection policy?
9a
Yes
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
Mananement Comnanies and Joint Ventures
9b
Yes
Enterthe amount of the organization's bad debt expense (at cost)
Enter the estimated amount of the organization's bad debt expense (at cost)
attributable to patients eligible under the organization's financial assistance policy
No
1,061,762
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
Entertotal revenue received from Medicare (including DSH and IME)
Enter Medicare allowable costs of care relating to payments on line 5
Subtract line 6 from line 5 This is the surplus or (shortfall)
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
F Cost accounting system
.
.
F Cost to charge ratio
40,391,767
47,148,360
-6,756,593
F Other
Section C . Collection Practices

9a
b
(a) Name of entity
(b) Description of primary

activity of entity
(c) Organization's
profit % or stock
ownership %
(d) Officers, directors,

trustees, or key
employees' profit %
or stock ownership%
(e) Physicians'
profit % or stock
ownership
1
2
3
4
5
6
7
8
9
10
11
12
13
Page 3
Facility Information
Section A . Hospital Facilities
(list in order of size , measured by total revenue per facility , from

largest to smallest )
ow many hospital facilities did the organization operate during
the tax year ?
1
`^
Cu
a
M-
(P
-
2-
cu
Z
co
C.
CP
(P
o
P-
her ( Describe)
Name and address

1
GRIFFIN HOSPITAL
130 DIVISION STREET
DERBY CT 06418
MMA
Facility Information (continued)
Section C. Other Facilities That Are Not Licensed , Registered , or Similarly Recognized as a Hospital Facility
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many non-hospital facilities did the organization operate during the tax year?
Name and address
Typ e of Facility ( Describe )
1
1
2
3
4
5
6
7
8
9
10
Page 8
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, 3, 4, 5c, 6i, 7, 11h, 13g, 15e, 16e, 17e, 18d, 19d, 20, and 21
Needs assessment . Describe how the organization assesses the health care needs of the communities it serves, in addition to any
needs assessments reported in Part V, Section B
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
Community information . Describe the community the organization serves, taking into account the geographic area and demographic
constituents it serves
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 )
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
State filing of community benefit report . If applicable, identify all states with which the organization, or a related organization, files
a community benefit report
Identifier
ReturnReference
Explanation
PART I, LINE 3C GRIFFIN HOSPITAL'S FINANCIAL
ADVISOR WILL OBTAIN THE FOLLOWING INFORMATION
FROM THE PATIENT IN ORDER TO COMPLETE THE FREE
OR DISCOUNTED CARE APPLICATION PATIENT W-2
FORM (TAX STATEMENT FROM PREVIOUS AND CURRENT
EAR), THREE CONSECUTIVE PAY STUBS FROM PATIENT'S
CURRENT EMPLOYMENT, DEPENDENT INFORMATION
(FAMILY SIZE), ANY OR ALL BANK AND CHECKING
CCOUNT STATEMENTS, AND THE FINANCIAL ADVISOR
WILL REFER TO THE GRIFFIN HOSPITAL SLIDING SCALE
HIS IS BASED ON THE FEDERAL POVERTY INCOME
GUIDELINES (SLIDING SCALE AVAILABLE UPON
REQUEST) THE FINANCIAL ADVISOR WILL MAKE A
DETERMINATION OF FREE CARE ELIGIBILITY STATUS
Identifier
ReturnReference
Explanation
PART I, LINE 6A GRIFFIN HOSPITAL COMMUNITY BENEFIT
REPORT IS PROVIDED TO THE PUBLIC IN VARIOUS WAYS
SECTIONS AND HIGHLIGHTS OF THE REPORT ARE LISTED
IN OUR ANNUAL HOSPITAL REPORT GRIFFIN'S BOARD OF
DIRECTORS AND SENIOR MANAGEMENT ARE IN THE
PROCESS OF DEVELOPING GRIFFIN HOSPITAL'S
STRATEGIC PLAN FOR THE 2010 TO 2012 PERIODS THE
CURRENT PLAN INCLUDES AN INITIATIVE RELATED TO
INCREASE TRANSPARENCY THE FOLLOWING SET OF
CORPORATE SOCIAL RESPONSIBILITY GOALS HAS BEEN
PROPOSED FOR INCLUSION IN THE FINAL STRATEGIC
PLAN CSR REPORTING - DEVELOP CORPORATE SOCIAL
RESPONSIBILITY/COMMUNITY BENEFIT SECTION ON
GRIFFIN HOSPITAL'S WEB SITE
Identifier
ReturnReference
Explanation
PART I, LINE 7 THE COSTING METHODOLOGY
CONSISTED OF INFORMATION FROM THE HOSPITAL'S
COST ACCOUNTING SYSTEM, AS WELL AS THE MEDICARE
COST REPORT THE MEDICARE SHORTFALL WAS NOT
INCLUDED IN THE COMMUNITY BENEFIT REPORT
Identifier
ReturnReference
Explanation
PART I, LINE 7G SUBSIDIZED HEALTH SERVICES
REPORTED IN SECTION 7G INCLUDE DETAILS FROM
THREE DIFFERENT COMMUNITY BENEFIT PROGRAMS OF
HE HOSPITAL, NAMELY EMERGENCY SERVICES,
PSYCHIATRIC & MENTAL HEALTH SERVICES, AND
HOSPICE SERVICES GRIFFIN HOSPITAL EMERGENCY
DEPARTMENT (ED) IS OPEN 24 HOURS A DAY, 7 DAYS A
WEEK, CARING FOR NEARLY 40,000 PATIENTS EACH YEAR
GRIFFIN HOSPITAL OPENED ITS NEWLY EXPANDED AND
RENOVATED ED AT THE END OF 2009 GRIFFIN'S NEW ED
IS NOW 50% LARGER THAN ITS PREDECESSOR, WITH THE
NUMBER OF ED TREATMENT ROOMS INCREASED FROM 14
O 23, INCLUDING THREE NEW DEDICATED BEHAVIORAL
HEALTH CRISIS INTERVENTION ROOMS IN ADDITION TO
CREATING MORE MODERN, TECHNOLOGICALLY
A DVANCED SPACE FOR EMERGENCY TREATMENT,THE
EXPANSION ALSO INCLUDED A NEW MAIN ENTRANCE,
LARGER WAITING AREAS, AND PRIVATE TRIAGE ROOMS,
A LL DESIGNED TO INCREASE OPERATING EFFICIENCY
A ND PATIENT COMFORT WHILE MINIMIZING WAIT TIMES
HE ENTIRE DEPARTMENT HAS BEEN EXPANDED AND
REDESIGNED FOR OPTIMAL EFFICIENCY AND PATIENT
COMFORT - UTILIZING GRIFFIN'S PATIENT-CENTERED,
PLANETREE MODEL OF CARE - TO CREATE A MORE
HEALING ENVIRONMENT FOR PATIENTS, FAMILIES, AND
HOSPITAL STAFF TREATMENT ROOMS ARE IDENTICALLY
CONFIGURED AND EQUIPPED TO ACCOMMODATE ALL
LEVELS OF CARE, FROM MINOR COMPLAINTS TO MORE
SERIOUS INJURY AND ILLNESS BEDSIDE REGISTRATION
HELPS TO ELIMINATE DELAYS IN GETTING PATIENTS TO
HE TREATMENT AREA, AND NEWTECHNOLOGY,
INCLUDING A DEDICATED ED ULTRASOUND UNIT, AND
ENHANCED MONITORING EQUIPMENT, WHICH ENABLES
GRIFFIN'S ED PHYSICIANS TO VIEW CARDIOGRAMS
TRANSMITTED FROM AMBULANCES WHILE EN ROUTE TO
HE HOSPITAL, HELPS SPEED DIAGNOSIS AND
TREATMENT AT A TIME WHEN EVERY MINUTE COUNTS
OUR TEAM OF BOARD CERTIFIED, RESIDENCY TRAINED
EMERGENCY PHYSICIANS, ADVANCED CERTIFIED
NURSES, AND OTHER SPECIALLY TRAINED ED STAFF
SHARE A PASSION FOR DELIVERING STATE-OF-THE-ART,
PATIENT-CENTERED MEDICAL CARE IN OUR NEW,
PLANETREE-INSPIRED FACILITY PSYCHIATRIC & MENTAL
HEALTH SERVICES - THE GRIFFIN HOSPITAL
DEPARTMENT OF PSYCHIATRY OFFERS A FULL RANGE OF
INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH AND
CHEMICAL DEPENDENCY PROGRAMS IN A COMFORTABLE,
HEALING ENVIRONMENT CRISIS INTERVENTION
SERVICE - GRIFFIN HOSPITAL'S INPATIENT PSYCHIATRIC
UNIT IS A 14-BED ADULT AND GERIATRIC SHORT-TERM
TREATMENT UNIT PROVIDING COMPREHENSIVE
EVALUATION AND FOCUSED, CRISIS-ORIENTED
TREATMENT FOR PATIENTS WHO CANNOT BE TREATED
SAFELY ON AN OUTPATIENT BASIS THE TREATMENT
PROGRAM FOCUSES ON REDUCING SYMPTOMS, STRESS
MANAGEMENT, ENHANCING COPING SKILLS AND
MEDICATION MANAGEMENT TRADITIONAL
THERAPEUTIC APPROACHES, SUCH AS INDIVIDUAL AND
GROUP THERAPY AND PATIENT AND FAMILY EDUCATION,
RE ENHANCED WITH COMPLIMENTARY SERVICES SUCH
S ARTS AND ENTERTAINMENT, JOURNALING, YOGA,
AROMATHERAPY, RELAXATION AND SPIRITUALITY
GROUPS GRIFFIN HOSPITAL'S OUTPATIENT
PSYCHIATRIC SERVICES OFFERS COMPLETE CLINICAL
A SSESSMENTS AND A FULL RANGE OF ONGOING
TREATMENT FOR ADULTS, COUPLES AND FAMILIES
SERVICES INCLUDE 24-HOUR CRISIS INTERVENTION
A ND CONSULTATION SERVICES, OUTPATIENT
PSYCHIATRIC CLINIC FOR ADULTS, CHEMICAL
DEPENDENCY, PARTIAL HOSPITAL PROGRAM &
INTENSIVE OUTPATIENT PROGRAM (IOP), ADULT MENTAL
HEALTH PARTIAL HOSPITAL PROGRAM & INTENSIVE
OUTPATIENT PROGRAM (IOP), AND HOSPITAL
CONSULTATION AND LIAISON SERVICE FOR INPATIENTS
HE LAST SUBSIDIZED HEALTH SERVICE REPORTED IS
HOSPICE SERVICES FOR END OF LIFE CARE
Identifier
ReturnReference
Explanation
PART I, L7 COL(F) OUR TOTAL EXPENSE FROM FORM 990,
PART IX, LINE 25, COLUMN (A) WAS $130,837,845 THE
BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT WAS
$3,349,413, RESULTING IN A TOTAL NET EXPENSE OF
$127,488,432 FOR PURPOSES OF CALCULATING LINE 7,
COLUMN (F)
Identifier
ReturnReference
Explanation
PART II GRIFFIN HOSPITALS COMMUNITY BUILDING
CTIVITIES PROMOTED COALITION BUILDING, WHICH IN
URN FOSTERED THE HEALTH OFTHE COMMUNITIES IT
SERVES GRIFFIN HAS EXTENDED ITS MISSION TO
PROVIDE LEADERSHIP TO IMPROVE THE HEALTH OF THE
COMMUNITY SERVED," FAR BEYOND THE HOSPITAL'S
WALLS TO IMPROVE THE HEALTH AND QUALITY OF LIFE
OF PEOPLE OF ALL AGES WORKING WITH SCHOOLS,
SENIOR CENTERS, CHURCHES AND OTHER COMMUNITY
PARTNERS, HOSPITALS ARE REDEFINING HEALTHCARE
O INCLUDE THE HEALTH AND WELLNESS OF THE LARGER
COMMUNITY GRIFFIN HOSPITAL'S DEPARTMENT OF
COMMUNITY OUTREACH AND PARISH NURSING IS A KEY
COMPONENT OF COALITION BUILDING IN THE
NAUGATUCK VALLEY AND BEYOND EXAMPLES OFTHE
COALITION BUILDING THAT GRIFFIN EMPLOYEES SERVE
ON AND SUPPORT ARE VALLEY COUNCIL HEALTH &
HUMAN SERVICES, COMMUNITY FOUNDATION VALLEY
UNITED WAY, CPR, ECC BOARD, AHA, CT COUNCIL
PARISH NURSE, BOYS & GIRLS CLUB BOARD OF
DIRECTORS, ACA ADVISORY, VALLEY SUBSTANCE ABUSE
CTION COUNCIL, WOMEN MAKING A DIFFERENCE,
COMMUNITY FOUNDATION OF GREATER NEW HAVEN
GRANT REVIEW BOARD, SAFE KIDS AND CHIP
COLLABORATIVE, ANSONIA COMMUNITY ACTION
COUNCIL ADVISORY, AREA AGENCY ON AGING, BIRTH-8,
HE SPOONER HOUSE BOARD, SALVATION ARMY
DVISORY BOARD, AND GIRL SCOUTS BOARD
Identifier
ReturnReference
Explanation
PART III, LINE 4 GRIFFIN HOSPITAL DOES NOT PROVIDE
EXT IN THE FOOTNOTE TO ITS FINANCIAL STATEMENTS
THAT DESCRIBES BAD DEBT EXPENSE THE COSTING
METHODOLOGY USED FOR BAD DEBT IS ACTUAL BAD
DEBT EXPENSE PER GRIFFIN HOSPITAL'S AUDITED
FINANCIAL STATEMENTS, NET OF ANY BAD DEBT
RECOVERY, MULTIPLIED BY THE COST-TO-CHARGE
RATIO GRIFFIN HOSPITAL REQUIRES OUR COLLECTION
A GENCIES TFOLLOWTHE HOSPITAL'S FINANCIAL
SSISTANCE POLICY THEREFORE,THE HOSPITAL DID
NOT ATTRIBUTE ANY BAD DEBT EXPENSE TO PATIENTS
ELIGIBLE FOR FINANCIAL ASSISTANCE AT THIS TIME
Identifier
ReturnReference
Explanation
PART III, LINE 8 THE MEDICARE SHORTFALL WAS NOT
INCLUDED IN THE COMMUNITY BENEFIT COST THE
COSTS RELATED TO THE SHORTFALL WAS DERIVED FROM
HE GRIFFIN HOSPITAL PATIENT LEVEL COST
CCOUNTING SYSTEM PROCEDURAL CHARITY CARE
POLICY CONTAINS PROVISIONS ON THE COLLECTION
PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE
KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL
SSISTANCE COSTS ARE APPLIED TO ALL PATIENTS'
BILLS
Identifier
ReturnReference
Explanation
PART III, LINE 9B YES, OUR HOSPITAL DOES NOT
PURSUE COLLECTION OF AMOUNTS FROM PATIENTS
DETERMINED TO QUALIFY FOR CHARITY CARE GRIFFIN
HOSPITAL CHARITY CARE POLICY CONTAINS
PROVISIONS ON THE COLLECTION PRACTICES TO BE
FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY
FOR CHARITY CARE OR FINANCIAL ASSISTANCE IT
STATES IT IS THE RESPONSIBILITY OF GRIFFIN HOSPITAL
O RESPOND TO ALL PATIENT REQUESTS FOR CHARITY
ELIGIBILITY DURING ANY ONE OR MORE PATIENT
BUSINESS INTERACTIONS, NAMELY PREREGISTRATION,
REGISTRATION, AND DISCHARGE, OR AT ANY OTHER
TIME THE FACILITY STAFF ENCOUNTERS INFORMATION
DETAILING THE PATIENT'S FINANCIAL NEED CHARITY
CARE WILL BE RESCREENED THROUGHOUT THE REVENUE
CYCLE WHEN ACCOUNT EVENTS TRIGGER REVIEW
Identifier
GRIFFIN HOSPITAL
ReturnReference
Explanation
PART V, SECTION B, LINE 21 THE GROSS CHARGES FOR
NY SERVICE ARE LISTED ON THE PATIENT'S BILL, BUT
HE PATIENT IS ONLY RESPONSIBLE FOR THE
NEGOTIATED PRICE WITH THE INSURANCE CARRIER OF
HE PATIENT
Identifier
ReturnReference
Explanation
PART VI, LINE 2 GRIFFIN HOSPITAL ASSESSES THE
HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES
IN A VARIETY OF WAYS THE HOSPITAL USES RESOURCES
THAT ARE CONNECTED AND AFFILIATED WITH THE
HOSPITAL OR THE COMMUNITY IT SERVES, INCLUDING
GOVERNMENT INFORMATION EXAMPLES OF THESE ARE
HE COMMUNITY HEALTH PROFILE DONE BY THE YALEGRIFFIN PRC AT LEAST BI-ANNUALLY, THAT TRACKS
MORTALITY AND OTHER DATA BY DISEASE THIS
PROMPTED LAUNCHING OFTHE HIM PROJECT TO
DDRESS MALE PROSTATE AND COLON CANCER RATES,
HE VALLEY COUNCILS QUALITY OF LIFE REPORT
PUBLISHED LAST YEAR, THE CLARITAS DEMOGRAPHIC
PROFILE OFTHE HOSPITAL'S PRIMARY SERVICES, THE
COMMUNITY PERCEPTION TELEPHONE SURVEY DONE
EVERY TWO OR THREE YEARS TO 400 PRIMARY SERVICE
RESIDENTS WITH RESULTS POSTED ON THE GRIFFIN
WEBSITE, THE VALLEY COUNCIL OF HEALTH AND HUMAN
SERVICE ORGANIZATION, WHICH IS A COOPERATIVE
V ENTURE LINKING APPROXIMATELY 50 NON-PROFIT
HEALTH AND HUMAN SERVICE PROVIDERS THROUGHOUT
HE VALLEY ITS MISSION IS TO IDENTIFY, PLAN,
IMPLEMENT, AND COORDINATE A COMPREHENSIVE
SYSTEM OF HUMAN SERVICE DELIVERY, AND TO
DVOCATE FOR COMMUNITY-WIDE AND CULTURALLY
DIVERSE PLANNING APPROACHES IN THE LARGER
ALLEY COMMUNITY, THE GREATER VALLEY CHAMBER OF
COMMERCE HEALTHCARE COUNCIL THE HEALTHCARE
COUNCIL WAS CREATED BASED ON THE PREMISE THAT
HEALTH AND WELLNESS ARE INCREASINGLY IMPORTANT
ISSUES TO THE AREA BUSINESSES, VALLEY UNITED WAY
SENIOR NEEDS ASSESSMENT 2007, VALLEY NEEDS AND
OPPORTUNITIES PROJECT, THE YALE GRIFFIN
PREVENTION RESEARCH CENTER, THE HOSPITAL'S
SCHOOL BASED CHILDHOOD AND ADOLESCENT OBESITY
PREVENTION PROJECT, GRIFFIN HOSPITAL'S
COMMUNITY OUTREACH AND PARISH NURSING, WHICH
FOCUSES ON THE UNDERSERVED POPULATION, THE
PARISH NURSE PROGRAM, FOCUS GROUPS DONE WITH
PATIENTS AND COMMUNITY MEMBERS, THE GRIFFIN
HOSPITAL COMMUNITY ADVISORY COMMITTEE, AND
BOARD STRATEGIC PLANNING COMMITTEE AND
PROCESS
Identifier
ReturnReference
Explanation
PART VI, LINE 3 THE PATIENT IS REGISTERED BY THE
DMITTING REGISTRAR WHO WILL IDENTIFY TH E
PATIENT AS HAVING NO MEDICAL INSURANCE SELF PAY
HE PATIENT WILL BE GIVEN A FINANCIAL A SSISTANCE
PAMPHLET THAT WILL IDENTIFY ALL GRIFFIN HOSPITAL
FREE CARE ASSISTANCE PROGRAMS THE PAMPHLET
LSO INCLUDES HOSPITAL CONTACTS FOR PATIENTS
SEEKING STATE WELFARE, HUSKY, CI TY WELFARE, OR
OTHER STATE PROGRAMS PATIENTS WHO REGISTER AS
HAVING NO MEDICAL INSURANCE WITH ACCOUNT
BALANCES OVER $3,000 WILL BE REFERRED TO THE
HOSPITAL ELIGIBILITY WORKER THE PATIENT WILL BE
SEEN WITHIN 24 HOURS OF ADMISSION IF THE
ELIGIBILITY WORKER IS UNABLE TO FULFILL THIS
REQUIREMENT DUE TO ABSENCE,THE FINANCIAL
ADVISOR WILLTAKE THE NECESSARY ST EPS TO FULFILL
HIS REQUIREMENT ALL ACCOUNTS UNDER $3,000 WILL
BE REFERRED TO THE HOSPITAL FINANCIAL ADVISORS
HE HOSPITAL ELIGIBILITY WORKER WILL COMPLETE A
FINANCIAL SCREENING FOR THOSE PATIENTS SEEKING
ITLE 19 ELIGIBILITY AND FORTHE UNINSURED STATUS
HE HOSPITAL ELIGIBILITY WORKER WILL IDENTIFY
PATIENTS MEETING THE STATE HUSKY PROGRAM
CRITERIA FOR P ATIENTS MEETING THE CRITERIA, THE
PPLICATION PROCESS WILL BE COMPLETED AND ALL
PAPERWORK FORWARDED TO THE APPROPRIATE STATE
DEPARTMENT FOR PROCESSING THE PATIENTS WHO DO
NOT MEET THE CRITERIA FOR THE STATE HUSKY
PROGRAMS WILL BE REFERRED TO THE HOSPITAL
FINANCIAL ADVI SOR THE FINANCIAL ADVISOR WILL
BEGIN A REVIEWTO DETERMINE IF THE PATIENT MEETS
HE UNINS URED CRITERIA IDENTIFIED IN PUBLIC ACT
03266 A LETTER WILL BE SENT TO THE PATIENT
REQUEST ING THAT PATIENT TO VERIFY THAT THEY DO
NOT HAVE MEDICAL INSURANCE AS IDENTIFIED DURING
H EIR HOSPITAL REGISTRATION PROCESS THE LETTER
WILL ALSO REQUEST ADDITIONAL PATIENT INFORMA
ION REGARDING THE PATIENT INCOME IF NECESSARY
HE CRITERIA THE PATIENT MUST MEET AS IDEN TIFIED
IN PUBLIC ACT 03266 ARE AS FOLLOWS PATIENT
INCOME BASED ON FAMILY SIZE FALLS UNDER 250% OF
HE POVERTY INCOME GUIDELINES, POVERTY INCOME
GUIDELINE SCALE AVAILABLE UPON REQU EST,
HOSPITAL HAS MADE A FULL DETERMINATION AS TO THE
STATUS OF THE STATE HUSKY PROGRAMS, ALL GRIFFIN
HOSPITAL FREE BED FUNDS HAVE BEEN REVIEWED AND
DETERMINED NON APPLICABLE FORT HE PATIENT IN
REVIEW IF THE PATIENT RESPONDS TO THE LETTER SENT
OUT BY THE FINANCIAL ADVI SOR THIS WILL BEGIN THE
PPLICATION PROCESS FOR THE VERIFICATION OFTHE
UNINSURED PATIENT STATUS THE FOLLOWING
INFORMATION WILL NEED TO BE FINALIZED WITH THE
PATIENT IN ORDER FOR THE UNINSURED
DETERMINATION TO BE MADE - PROOF OF PATIENT
INCOME AND FAMILY SIZE HOSPITAL HAS MADE A FINAL
DETERMINATION AS TO THE STATUS OF THE STATE
HUSKY PROGRAMS VERIFICATION OF ALL FREE BED
FUNDS BEING REVIEWED WITH THE PATIENT UPON
DETERMINATION THAT A PATIENT M EETS THE OUTLINED
CRITERIA, THE PATIENT WILL BE CLASSIFIED AS
FOLLOWS - UNINSURED STATUS THE PATIENT'S
CCOUNT WILL BE TAKEN FROM TOTAL GROSS CHARGES
ND REDUCED TO COST BY APPLYI NG A FACTOR
SUPPLIED ANNUALLY BY THE OFFICE OF HEALTH CARE
CCESS THE PATIENT WILL BE INFORMED OF THIS
DECISION AND WILL BE SENT A LETTER THAT WILL
REFLECT THE BALANCE AT REDUCTIO N ON ALL
PPLICABLE ACCOUNTS THE PATIENT WILL BE ADVISED
OFTHE BALANCE THAT IS DUE AND P AYABLE THE
FINANCIAL ADVISOR WILL CONTACT THE PATIENT TO
CCOMPLISH THE FOLLOWING ATTEMPT PAYMENT
RRANGEMENT WITH THE PATIENT ON THE REMAINING
BALANCE IF THE PATIENT IDENTIFIES TO THE
FINANCIAL ADVISOR THAT THEY CANNOT AFFORD THE
REMAINING BALANCE,AN APPLICATION FO R FREE CARE
SSISTANCE WILL BE COMPLETED IF A PATIENT APPLIES
FOR FREE CARE ASSISTANCE,T HE FINANCIAL ADVISOR
WILL MAKE A DECISION ON FREE CARE ELIGIBILITY
BASED ON THE PATIENT FA MILY SIZE AND INCOME FREE
CARE WILL BE OFFERED BASED ON THE GRIFFIN
HOSPITAL FREE CARE AS SISTANCE SLIDING SCALE
VAILABLE UPON REQUEST THE FINANCIAL ADVISOR
WILL ADVISE THE PATIE NT OF THE FREE CARE
DETERMINATION THAT WILL BE APPLIED TO THE
PATIENT REMAINING BALANCE T HE FINANCIAL
DVISOR WILL COMPLETE ALL APPROPRIATE LOGS WITH
HE DECISIONS AND AMOUNTS FR EE CARE ASSISTANCE
POLICY PROCEDURE - ANY PATIENT REQUESTING
FINANCIAL ASSISTANCE IN PAYIN G THEIR GRIFFIN
HOSPITAL BILL CAN APPLY FOR THE FREE CARE
SSISTANCE PROGRAM BY CONTACTING THE HOSPITAL
FINANCIAL ADVISORY STAFF THE FINANCIAL ADVISOR
WILL BE CONTACTED BY THE PAT IENT TO COMPLETE THE
FREE CARE APPLICATION PROCESS THE FINANCIAL
CARE APPLICATION - PA TIENT W2 FORM TAX
STATEMENT FROM THE PREVIOUS AND CURRENT YEAR
THREE CONSECUTIVE PAY STUBS FROM PATIENT'S
CURRENT EMPLOYMENT, DEPENDENT INFORMATION AND
FAMILY SIZE, ANY OR ALL BAN K AND CHECKING
CCOUNT STATEMENTS THE FINANCIAL ADVISOR WILL
REFER TO THE GRIFFIN HOSPITA L SLIDING SCALE THIS
IS BASED ON THE FEDERAL POVERTY INCOME
GUIDELINES SLIDING SCALE AVAI LABLE UPON REQUEST
HE FINANCIAL ADVISOR WILL MAKE A DETERMINATION
OF FREE CARE ELIGIBILI TY STATUS IF THE PATIENT
QUALIFIES FOR FREE CARE ASSISTANCE THE
PPLICABLE DISCOUNT PERCE NTAGE WILL BE APPLIED
O THE PATIENT ACCOUNT BALAN
Identifier
ReturnReference
Explanation
CE IF A PATIENT BALANCE REMAINS, THE FINANCIAL
ADVISOR WILL PURSUE ONE OFTHE FOLLOWING WITH
HE PATIENT REQUIRE PAYMENT IN FULL, OR SET UP A
MONTHLY PAYMENT ARRANGEMENT IF A PA TIENT DOES
NOT QUALIFY FOR FREE CARE ASSISTANCE,THE
FINANCIAL ADVISOR WILL ATTEMPT TO OBT AIN
PAYMENT IN FULL OR SET UP A MONTHLY PAYMENT
RRANGEMENT IF THE PATIENT DOES NOT MAINT AIN
HE AGREED UPON PAYMENT SCHEDULE THE ACCOUNT
WILL BE FORWARDED TO AN OUTSIDE COLLECTIO N
GENCY AT THE FULL REMAINING BALANCE IN SOME
CASES IT IS NECESSARY TO OVERRIDE THE POLI CY
GUIDELINES ON INCOME DUE TO SPECIAL
CIRCUMSTANCE REQUIREMENTS SUCH AS SOCIAL ADMIT
MAXE D OUT DAY DECEASED PATIENTS AN OVERRIDE
CAN BE OBTAINED BY THE SUPERVISOR AND DIRECTOR
OR CFO ALLOWING FOR CONSIDERATION OF ELIGIBILITY
HE COLLECTION SUPERVISOR WILL MAINTAIN AL L
MONTHLY SPREADSHEETS THAT WILL IDENTIFY ALL FREE
BED FUNDS UNINSURED AND FREE CARE ASSISTANCE
LLOCATED ON A MONTHLY BASIS
Identifier
ReturnReference
Explanation
PART VI, LINE 4 GRIFFIN HOSPITAL IS A GENERAL,
CUTE CARE COMMUNITY TEACHING HOSPITAL
LOCATED IN DERBY, CT IT SERVES THE GEOGRAPHIC
REA ENCOMPASSING THE LOWER NAUGATUCK RIVER
ALLEY TOWNS OF ANSONIA, DERBY, SHELTON, OXFORD,
SEYMOUR AND BEACON FALLS WHICH HAVE A COMBINED
POPULATION OF APPROXIMATELY 103,800 PEOPLE WITH
N ADDITIONAL 60,200 FROM THE EXPANDED AREA
OWNS OF NAUGATUCK, SOUTHBURY AND WOODBURY
HE GEOGRAPHIC LOCATION IS SURROUNDED BY KEY
WATERWAYS LOCATED IN THE SOUTH CENTRAL PART OF
CONNECTICUT AND HAS A SHARED HISTORY OF
IMMIGRANTS WHO SETTLED IN THE REGION TO WORK IN
ITS MANUFACTURING CENTERS SINCE THE 1990'S,THE
REGIONAL ECONOMY HAS EXPERIENCED A SHIFT FROM A
MANUFACTURING BASED ECONOMY TO ONE THAT IS
MORE DIVERSE, BUT LESS DEPENDENT ON THE FACTORY
SECTOR IN ADDITION TO INCREASING IN POPULATION
SIZE,THE VALLEY COMMUNITY IS UNDERGOING
CHANGES AS NEW IMMIGRATION ALTERS THE MIX OF
ETHNIC AND LINGUISTIC DIVERSITY AMONG RESIDENTS
FOR EXAMPLE,THE PERCENTAGE OF HISPANIC
RESIDENTS GREW TO A TOTAL O F 6% OF THE VALLEYWIDE POPULATION BY 2009 THE VALLEY COMMUNITY
INCLUDES RESIDENTS WITH A DIVERSITY OF NATIONAL
ORIGINS AND NATIVE LANGUAGES A 2009
DEMOGRAPHIC SNAPSHOT REPORT ESTIMATES THAT 9%
OF VALLEY RESIDENTS SPEAK AN INDO-EUROPEAN
LANGUAGE, ALMOST 4% SPEAK SPANISH, AND 1%
SPEAKS AN ASIAN PACIFIC ISLANDER LANGUAGE
(CLARITA'S 2009) THE STUDENTS ENROLLED IN
PROGRAMS AT VALLEY REGIONAL ADULT EDUCATION
(VRAE) IN THE 2009-2010 FISCAL YEAR CAME FROM
OVER 60 COUNTRIES, SHOWING THE INCREASING WAYS
HE GLOBAL COMMUNITY IS REPRESENTED IN THE
ALLEY COMMUNITY EVEN THOUGH VALLEY INCOME
LEVELS ROSE OVER THE PAST DECADE, INCREASING
NUMBERS OF RESIDENTS DO NOT HAVE ACCESS TO THE
ECONOMIC OPPORTUNITIES NEEDED TO BUILD A
STRONG QUALITY OF LIFE THE UNEMPLOYMENT RATE IN
HE VALLEY HAS RISEN SUBSTANTIALLY SINCE 2005,
REACHING AN ANNUAL AVERAGE OF 8% IN 2009 AND
LMOST 9% THROUGH SEPTEMBER OF 2010, WITH EVEN
HIGHER LEVELS IN SOME TOWNS ALTHOUGH THE
CURRENT FEDERAL DEFINITION OF POVERTY
UNDERESTIMATES THE PERCENTAGE OF RESIDENTS
FACING ECONOMIC HARDSHIP,THE VALLEY'S POVERTY
RATE IN 2000 WAS 4 7% OF THE OVERALL POPULATION
T THAT TIME, 10% OR MORE OF CHILDREN WERE LIVING
IN POVERTY IN SEVERAL VALLEY TOWNS IT IS LIKELY
THAT THE POVERTY RATE HAS RISEN SHARPLY IN
RECENT YEARS, AS IS TRUE IN THE STATE THE
PERCENTAGE OF FAMILIES QUALIFYING FOR FREE OR
REDUCED PRICE LUNCH IN VALLEY SCHOOL DISTRICTS
INCREASED IN THE PAST DECADE,AN INDICATION OF
GROWING ECONOMIC HARDSHIP ALSO ADDING TO THE
CHANGING ECONOMIC COMPOSITION,THE VALLEY'S
POPULATION HAS BEEN AGING LIKE THE POPULATION OF
HE NATION AND THE STATE
Identifier
ReturnReference
Explanation
PART VI, LINE 6
Identifier
ReturnReference
Explanation
PART VI, LINE 7
N/A
Identifier
REPORTS FILED WITH STATES
ReturnReference
PART VI, LINE 7
Explanation
CT
l efile

DLN: 93493136035862
Compensation Information
Schedule J
(Form 990)
As Filed Data -
OMB No 1545-0047
For certain Officers, Directors, Trustees, Key Employees, and Highest

Compensated Employees
1- Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
20
Open to Public
Inspection

GRIFFIN HOSPITAL
06-0647014
Questions Regarding Compensation

Yes I No
la
b
2
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 la Complete Part III to provide any relevant information regarding these items
1
First-class or charter travel
Housing allowance or residence for personal use
Travel for companions
Payments for business use of personal residence
Tax idemnification and gross-up payments
Health or social club dues or initiation fees
Discretionary spending account
Personal services ( e g , maid, chauffeur, chef)
If any of the boxes in line la 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
lb
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 la?
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
F Compensation committee
fl Written employment contract
Independent compensation consultant
Compensation survey or study
fl
Form 990 of other organizations
Approval by the board or compensation committee
During the year, did any person listed in Form 990, Part VII, Section A, line la with respect to the filing organization
or a related organization
a
Receive a severance payment or change-of-control payment from the organization or a related organization?
4a
No
Participate in, or receive payment from, a supplemental nonqualified retirement plan?
4b
No
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 la, did the organization pay or accrue any
compensation contingent on the revenues of
a
The organization?
5a
No
Any related organization?
5b
No
If "Yes," to line 5a or 5b, describe in Part III

6
compensation contingent on the net earnings of
a
The organization?
6a
No
6b
No

7
For persons listed in Form 990, Part VII, Section A, line la, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III
No
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
No
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations
section 53 4958-6(c)?
Cat No 50053T
Schedule 3 ( Form 990) 2010
Schedule J (Form 990) 2010
Page 2
Officers , Directors , Trustees , Key Employees , and Highest Compensated Employees . Use duplicate copies if additional space is 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)(1)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line la
(A) Name
( B) Breakdown of W-2 and / or 1099-MISC compensation

(i) Base
compensation
(ii) Bonus &

incentive
compensation
( iii) Other
reportable
compensation
(C) Retirement and

other deferred
compensation
(D) Nontaxable
benefits
(E) Total of columns

(B)(1)-(D)
(F) Compensation
reported in prior
Form 990 or
Form 990-EZ

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
( 10 )
( 11 )
( 12 )
( 13 )
14
( 15 )
( 16 )
Schedule 3 (Form 990) 2010
Page 3
Complete this part to provide the information, explanation, or descriptions required for Part I, lines la, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8 Also complete this part for any additional information
Identifier
Return Reference
Explanation
Additional Data
Return to Form
Software ID:
Software Version:
EIN:
Name :
06 -0647014
GRIFFIN HOSPITAL
Form 990, Schedule J, Part II - Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
(A) Name
(B) Breakdown of W-2 and/or 1099-MISC compensation

(ii) Bonus &
incentive
compensation
(i) Base
Compensation
HENDRICKS DAVID
CHARMEL PATRICK
BORIS GREGORY
DOBULER KENNETH
SCHWARTZ KENNETH
STUMPO BARBARA J
MOYLAN JAMES J
POWANDA WILLIAM
BERNS EDWARD
MARTIN KATHLEEN
DEEGAN MARGARET
SHEPARD SETH
FRAMPTON SUSAN
D'SOUSA SEEMA
HALSTEAD EDWARD
NAWAZ HAQ
KUSTER GORDON
RANDALL L CARTER
(1)
153,641
Cu)
(i)
436,428
Cu)
(i)
139,429
Cu)
(1)
221,576
Cu)
(i)
212,329
Cu)
(i)
197,946
Cu)
(i)
275,332
Cu)
(i)
210,721
Cu)
(i)
173,531
Cu)
(i)
171,882
Cu)
(i)
207,482
Cu)
(i)
190,529
Cu)
(i)
311,444
Cu)
(i)
184,006
Cu)
(i)
201,289
(^^)
(i)
246,631
(^^)
(i)
129,126
(^^)
(i)
179,259
(u)
(C) Deferred
compensation
(D) Nontaxable
benefits

(B)(i)-(D)
(iii) Other
(F) Compensation
reported in prior Form
990 or Form 990-EZ
compensation
0
0
458
0
8,481
0
5,940
0
168,520
0
0
0
0
0
615
0
43,935
0
14,256
0
495,234
0
0
0
0
0
615
0
19,501
0
5,535
0
165,080
0
0
0
0
0
0
0
47,152
0
0
0
268,728
0
0
0
0
0
345
0
53,069
0
14,256
0
279,999
0
0
0
0
0
615
0
26,666
0
14,256
0
239,483
0
0
0
0
0
615
0
37,047
0
0
0
312,994
0
0
0
0
0
345
0
34,858
0
13,284
0
259,208
0
0
0
0
0
615
0
22,285
0
14,256
0
210,687
0
0
0
0
0
615
0
23,406
0
14,256
0
210,159
0
0
0
0
0
615
0
17,260
0
0
0
225,357
0
0
0
0
0
615
0
19,503
0
0
0
210,647
0
0
0
0
0
615
0
22,224
0
5,443
0
339,726
0
0
0
0
0
345
0
7,379
0
14,256
0
205,986
0
0
0
0
0
615
0
53,826
0
14,256
0
269,986
0
0
0
0
0
615
0
13,244
0
14,256
0
274,746
0
0
0
0
0
345
0
54,040
0
0
0
183,511
0
0
0
0
0
615
0
9,793
0
0
0
189,667
0
0
0
efile GRAPHIC urint - DO NOT PROCESS
I As Filed Data - I
DLN: 93493136035862
OMB No 1545-0047
Schedule K
(Form 990)
Supplemental Information on Tax Exempt Bonds
20
1- Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule 0 (Form 990).

GRIFFIN HOSPITAL
10
06-0647014
Bond Issues
(a)
Issuer Name
(b)
Issuer EIN
( )
c C U SIP #
(d)
Date Issued
( )
p
p
f Descri tion of Pur ose
(e) Issue Price
Yes
A
CHEFA SERIES B
CHEFA SERIES C
OOG
02-01-2005
05-01-2007
CONSTRUCTION OF NEW
24,800,000
WING
23,125,000
CONSTRUCTION OF NEW
CANCER CENTER &
RENOVATION OF
EMERGENCY DEPARTMENT
A
A mount of bonds retired
Amount of bonds legally defeased
Total proceeds of issue
Gross proceeds in reserve funds
Capitalized interest from proceeds
Proceeds in refunding escrow
Issuance costs from proceeds
Credit enhancement from proceeds
Working capital expenditures from proceeds
10
Capital expenditures from proceeds
11
Other spent proceeds
12
Other unspent proceeds
13
Year of substantial completion
Yes
No
Yes
No
25 ,769,812
22,982,209
1,406,958
1,406,958
24,573,303
435,721
234,306
760,791
1,133,492
20,207,453
20,207,453
1996
Yes
2010
No
Yes
14
Were the bonds issued as part of a current refunding issue?
15
Were the bonds issued as part of an advance refunding issue?
16
Has the final allocation of proceeds been made?
17
Does the organization maintain adequate books and records to support the final
allocation of proceeds?
OM
No
(i) Pool
financing
Proceeds
(h) On
Behalf of
Issuer
(g) Defeased
No
Yes
No
Yes
No
Yes
No
X
X
Private Business Use

A
Yes
B
No
Yes
C
No
Was the organization a partner in a partnership, or a member of an LLC, which owned

property financed by tax-exempt bonds?
Are there any lease arrangements that may result in private business use of bondfinanced property?
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990 .
Cat No 50193E
Yes
Schedule K (Form 990) 2010
No
Pa g e 2
Private Business Use (Continued)

A
Yes
3a
b
C
Are there any management or service contracts that may result in private business
use?
Are there any research agreements that may result in private business use of bondfinanced property?
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?
B
No
Yes
C
No
Yes
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
0-
0 %
0 %
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
0-
0 %
0 %
Total of lines 4 and 5
0%
0 %
Has the organization adopted management practices and procedures to ensure the
post-issuance compliance of its tax-exempt bond liabilities?
D
No
Yes
No
Arbitrage
A
Yes
1
B
No
Yes
C
No
Yes
D
No
Yes
No
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
Is the bond issue a variable rate issue?
3a
Has the organization or the governmental issuer entered

into a hedge with respect to the bond issue?
Name of provider
Term of hedge
Was the hedge superintegrated?
WACHOVIA BANK
2037 000000000000
X
Was a hedge terminated?

X
4a
Were gross proceeds invested in a GIC?
Name of provider
Term of GIC
Was the regulatory safe harbor for establishing the fair market
value of the GIC satisfied?
Were any gross proceeds invested beyond an available temporary
period?
Did the bond issue qualify for an exception to rebate?

X
Complete this part to provide additional information for responses to questions on Schedule K (see instructions)
efile GRAPHIC p rint - DO NOT PROCESS
As Filed Data -
DLN: 93493136035862
OMB No 1545-0047
SCHEDULE 0
Supplemental Information to Form 990 or 990-EZ
O
201

GRIFFIN HOSPITAL
Complete to provide information for responses to specific questions on

Open
Form 990 or to provide any additional information .
Inspection
1- Attach to Form 990 or 990-EZ.
06-0647014
Identifier
FORM 990, PART

VI, SECTION A,
LINE 6
Return
Reference
Explanation
GRIFFIN HOSPITAL IS A NON-STOCK CORPORATION THAT DOES NOT HAVE STOCKHOLDERS OR

MEMBERS, BUT WHICH DOES HAVE A BOARD OF INCORPORATORS WHO SERVE AS
REPRESENTATIVES OF THE COMMUNITY TO CARRY OUT THE EXEMPT AND CHARITABLE PURPOSES OF
THE HOSPITAL
Identifier
FORM 990, PART VI,

SECTION A, LINE 7A
Return
Reference
Explanation
THE BOARD OF TRUSTEES MAKES RECOMMENDATIONS TO THE INCORPORATORS OF THE

HOSPITAL REGARDING NOMINATIONS OF MEMBERS OF THE COMMUNITY TO SERVE AS
TRUSTEES
Identifier
FORM 990, PART VI, SECTION B, LINE 11
Return Reference
Explanation
FORM 990, INCLUDING SCHEDULE H, IS REVIEWED PRIOR TO FILING
Identifier
Return
Reference
FORM 990,
PART VI,
SECTION B,
LINE 12C
Explanation
EACH YEAR ALL MEMBERS OF THE HOSPITAL BOARD, OFFICERS, DIRECTORS, AND KEY EMPLOYEES
RECEIVE, SIGN, AND SUBMIT A CONFLICT OF INTEREST DISCLOSURE THE DISCLOSURES ARE REVIEWED BY
THE HOSPITAL BOARD AND DOCUMENTED IN THE MINUTES ANY DISCLOSURE OF A CONFLICT PREVENTS THE
INDIVIDUAL FROM INVOLVEMENT WITH OR PARTICIPATION IN SUBJECT MATTER THAT MIGHT AFFECT THE
DISCLOSED CONFLICT SUCH ACTIONS ARE DOCUMENTED IN BOARD MINUTES ALL CONFLICTS ARE
DISCLOSED TO BOARD MEMBERS AND CORPORATORS AT THE ANNUAL MEETING OF THE CORPORATION
Identifier
Return
Reference
FORM 990,
PART VI,
SECTION B,
LINE 15
Explanation
COMPENSATION OF OFFICERS AND KEY EMPLOYEES ARE REVIEWED ANNUALLY BY THE COMPENSATION
COMMITTEE WHICH IS A SUBCOMMITTEE OF THE HOSPITAL BOARD THIS COMMITTEE SETS THE
COMPENSATION FOR THE CEO BASED ON INDUSTRY DATA COMPENSATION OF OTHER OFFICERS AND
DIRECTORS IS SET BY THE CEO IN CONJUNCTION WITH THE HUMAN RESOURCE DEPARTMENT AGAIN
INDUSTRY COMPENSATION DATA IS THE BASIS FOR DETERMINING THE APPROPRIATENESS OF
COMPENSATION THE CEO REVIEWS WITH THE COMPENSATION COMMITTEE ALL OFFICERS AND DIRECTORS IN
THE FIRST QUARTER OF THE CALENDAR YEAR
Identifier
Return Reference
FORM 990, PART VI, SECTION
C, LINE 19
Explanation
THE GOVERNING DOCUMENTS ARE FILED WITH THE OFFICE OF HEALTH CARE ACCESS AND
ARE AVAILABLE TO THE PUBLIC UPON REQUEST
Identifier
CHANGES IN NET
ASSETS OR FUND
BALANCES
Return
Reference
FORM 990,
PART XI, LINE
5
Explanation
NET UNREALIZED LOSSES ON INVESTMENTS -237,962 TRANSFERS BETWEEN AFFILIATES 799,271

MINIMUM PENSION LIABILITY ADJUSTMENT -17,771,550 CHANGE IN NET ASSETS OF AFFILIATE
47,053 CHANGE IN TEMPORARILY RESTRICTED NET ASSETS -134,300 CHANGE IN BENEFICIAL
INTEREST IN TRUSTS -277,108 TOTAL TO FORM 990, PART XI, LINE 5 -17,574,596
Identifier
FORM 990, PART

XI, LINE 2C
Return
Reference
Explanation
THE BOARD OF TRUSTEES IS RESPONSIBLE FOR SELECTING AN INDEPENDENT AUDIT FIRM AND FOR
OVERSEEING THE FINANCIAL STATEMENT PREPARATION PROCESS THERE HAVE BEEN NO CHANGES IN
THESE PROCEDURES SINCE THE PRIOR YEAR
Identifier
FORM 990,
SCHEDULE
H, PART
VI, LINE 5
Return
Reference
Explanation
THROUGHOUT ITS HISTORY, GRIFFIN HAS FULFILLED ITS COMMITMENT AND DEMONSTRATED CONCERN ABOU T
THE WELFARE OF OUR EMPLOYEES AND THE PATIENTS WE SERVE, COMMUNITY DEVELOPMENT AND HEALTH,
HUMAN RIGHTS, EMPOWERING HEALTH CARE CONSUMERS THROUGH EDUCATION AND INFORMATION, PUBLIC
REPORTING AND TRANSPARENCY, AND PROVIDING A COMMUNITY BENEFIT THE BOARD OF DIRECTORS IS MADE
UP OF MEDICAL AND BUSINESS PROFESSIONALS THESE VOLUNTEERS GIVE COUNTLESS HOURS OF SE RV ICE
TO THE HOSPITAL IN THEIR OVERSIGHT ROLE THEY ARE INVOLVED IN THE COMMUNITY NEEDS AS SESSMENT
PROCESS AND IN GENERAL STEWARDSHIP GRIFFIN EMPLOYS 1,357, WITH 282 ACTIVE AND CO URTESY
MEMBERS OF ITS MEDICAL STAFF IN THE 2011 FISCAL YEAR, GRIFFIN SERVED 7,494 INPATIE NTS AND CLOSE
TO 40,000 EMERGENCY DEPARTMENT PATIENTS GRIFFIN IS THE LARGEST EMPLOYER IN THE LOWER
NAUGATUCK VALLEY REGION SALARIES AND BENEFITS PAID EXCEED $66 MILLION ANNUALLY GRIFFIN
HOSPITAL BENEFITS THE COMMUNITIES IT SERVES IN MYRIAD WAYS BY PROVIDING MORE THAN $900,000 IN
COMMUNITY HEALTH IMPROVEMENT SERVICES, SUBSIDIZING THE CARE PROVIDED TO PATIE NTS COVERED BY
MEDICARE, MEDICAID, AND OTHER PUBLIC PROGRAMS BY APPROXIMATELY $12 8 MILLIO N, PROVIDING $2
MILLION OF FREE CARE AND PROVIDING HEALTH PROFESSION EDUCATION AT A COST 0 F $2 MILLION
ANNUALLY TO HELP PREPARE THE NEXT GENERATION OF CAREGIVERS IN TOTAL, GRIFFIN HOSPITAL PROVIDES
OVER $18 MILLION IN COMMUNITY BENEFIT THE GRIFFIN HOSPITAL DEVELOPMENT FUND STAFF WORKS TO
GENERATE FINANCIAL SUPPORT FOR GRIFFIN HOSPITAL PRIORITIES BY PROMOTI NG MUTUALLY BENEFICIAL
PARTNERSHIPS WITH CORPORATIONS, FOUNDATIONS AND OTHER PHILANTHROPIC ORGANIZATIONS PARTNER
ORGANIZATIONS PROVIDE THE HOSPITAL FINANCIAL AND PROGRAMMATIC ASSI STANCE FOR MANY PATIENT
CARE SERVICES AND COMMUNITY OUTREACH PROGRAMS THE COLLABORATION B ETWEEN FOUNDATIONS
AND GRIFFIN ENRICHES THE HOSPITAL AND BRINGS TO LIFE THE PHILANTHROPIC PRIORITIES OF THE
FOUNDATION FOUNDATIONS AND CORPORATIONS ARE VALUED PARTNERS IN ASSISTIN G THE HOSPITAL TO
ACCOMPLISH ITS MISSION GRIFFIN TAKES THESE ACTIVITIES INTO THE COMMUNIT IES WHERE PATIENTS LIVE
AND WORK BY OFFERING A VARIETY OF SUPPORT GROUPS, TRAINING SESSIO NS, EDUCATIONAL PROGRAMS,
AND OTHER COMMUNITY-BASED RESOURCES AND ACTIVITIES, AND COLLABOR ATING WITH OTHER NON-PROFIT
ORGANIZATIONS AND GOVERNMENT ENTITIES, GRIFFIN HAS EXTENDED IT S MISSION TO PROVIDE LEADERSHIP
TO IMPROVE THE HEALTH OF THE COMMUNITY SERVED' FAR BEYOND THE HOSPITALS WALLS TO IMPROVE THE
HEALTH AND QUALITY OF LIFE OF PEOPLE OF ALL AGES THIS IS CONSISTENT WITH ONE OF THE PLANETREE
MODEL'S TEN COMPONENTS "HEALTHY COMMUNITIES - WO RKING WITH SCHOOLS, SENIOR CENTERS,
CHURCHES AND OTHER COMMUNITY PARTNERS, HOSPITALS ARE R EDEFINING HEALTHCARE TO INCLUDE THE
HEALTH AND WELLNESS OF THE LARGER COMMUNITY " GRIFFIN'S BOARD OF DIRECTORS AND SENIOR
MANAGEMENT ARE IN THE PROCESS OF DEVELOPING GRIFFIN HOSPIT AL'S STRATEGIC PLAN FOR THE 2010 2012 PERIOD THE CURRENT STRATEGIC PLAN INCLUDES AN INI TIATIVE RELATED TO TRANSPARENCY, WITH
WORK BEING DONE BY MANAGEMENT FOR INCREASED PUBLIC R EPORTING ON THE GRIFFIN WEB SITE
CORPORATE SOCIAL RESPONSIBILITY COMMITTEE - FORMALIZES T HE STRUCTURE AND EXPAND MEMBERSHIP
OF THE GRIFFIN HOSPITAL GREEN INITIATIVE TO ENCOMPASS C ORPORATE SOCIAL RESPONSIBILITY,
CHILDHOOD OBESITY INITIATIVE- DEVELOP A VALLEY-WIDE, SCHOOL BASED, CHILDHOOD OBESITY PROGRAM
TO REDUCE THE PREVALENCE OF OBESITY IN STUDENTS 6 TO 1 6 YEARS OLD APPROACH FOCUSES ON
EDUCATION, INCREASED AVAILABILITY OF HEALTHY CAFETERIA FO ODS AND INCREASED PHYSICAL
ACTIVITIES THE PROGRAM WILL PROMOTE THE USE OF STEW LEONARD'S THE HEALTHY WAY" TO TEACH
YOUNG CHILDREN HOW TO INCORPORATE HEALTHY EATING AND ACTIVITY I N A FUN AND ENGAGING WAY,
ADOPT THE FOOD BANKS - COMMIT TO AN ANNUAL YEAR LONG PROGRAM TO SUPPORT THE LOCAL FOOD
BANKS, INCLUDING THE SPOONER HOUSE, BY CONDUCTING REGULAR FOOD DRIV ES AND DEVELOPING OTHER
HOSPITAL AND COMMUNITY INITIATIVES THAT RESULT IN SUPPLYING FOOD T 0 THE FOOD BANKS, DEPARTMENT
OF COMMUNITY OUTREACH AND PARISH NURSING - GRIFFIN COORDINATES THE PROGRAM OUT OF ITS
DEPARTMENT OF COMMUNITY OUTREACH AND PARISH NURSING THE DEPARTME NT HAS 5 EMPLOYEES WHO
SUPPORT THE 75 VOLUNTEER PARISH NURSES AND 320 VOLUNTEERS WHO SERVE ON THE HEALTHCARE
CABINETS OF THE CHURCHES THE DEPARTMENT'S ANNUAL OPERATING BUDGET IS E NRICHED BY SIX GRANTS
TOTALING $70,850 FROM GOVERNMENT AND PRIVATE FLINDERS, THE MOBILE HEA LTH RESOURCE CENTER - A
31 FOOT CUSTOM BUILT WINNEBAGO WAS PURCHASED AT A COST OF $190,000 WITH GRANT FUNDS FROM
FIVE BENEFACTORS THE NEW RESOURCE CENTER REPLACED AN EARLIER SIX Y EAR OLD VEHICLE THE CENTER
VISITED SENIOR CENTERS, SHOPPING CENTERS, NEIGHBORHOODS, COMPA NIES AND COMMUNITY EVENTS AND
FAIRS IT IS A STATE OF THE ART VEHICLE WITH SIGNIFICANTLY INCREASED FEATURES AND CAPABILITIES,
INCLUDING EXTERNAL AND INTERNAL TELEVISIONS, A SINK AN D REFRIGERATOR FOR HEALTH SCREENING
PROCEDURES, A COMPUTER WORK STATION AND LAPTOP WITH WI RELESS INTERNET ACCESS AND EXTERNAL
GRAPHICS HIGHL
Identifier
FORM 990,
SCHEDULE
H, PART
VI, LINE 5
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Reference
Explanation
IGHTING THE DERBY PUBLIC RIVERWALK THE MOBILE HEALTH RESOURCE CENTER FOCUSES ON PREVENTIV E
HEALTH SERVICES AND PROVIDING HEALTH EDUCATION AND SCREENING SERVICES TO NEIGHBORHOODS,
COMMUNITY EVENTS, HEALTH FAIRS, SHOPPING CENTERS AND BUSINESSES/COMPANIES IT OFFERS HEALT H
EDUCATION USING THE INTERNET, COMPUTER SOFTWARE PROGRAMS AND AN ARRAY OF HEALTH RELATED
BOOKS, PUBLICATIONS AND AUDIO AND VIDEOTAPES IT IS EQUIPPED WITH CHOLESTEROL, OSTEOPOROSI S,
DIABETES AND BLOOD PRESSURE SCREENING EQUIPMENT, AS WELL AS A TELEVISION AND VCR, AED P
LACEMENT AT PUBLIC SITES - THE GRIFFIN HOSPITAL VALLEY PARISH NURSE PROGRAM COORDINATED OB
TAINING FUNDING FOR THE PURCHASE OF AUTOMATED EXTERNAL DEFIBRILLATORS (AED'S), AND HAS PLA CED
65 AED'S AT PUBLIC NON-PROFIT PUBLIC ACCESS DEFIBRILLATOR SITES IN THE COMMUNITY GRIF FIN HOSPITAL
ALSO PLACED SIX AED'S IN PUBLIC AND WORK AREAS, INCLUDING THE MAIN LOBBY AND THE CAFETERIA
AED'S ARE USER FRIENDLY, HEART SHOCKING DEVICES THAT CAN BE USED BY ANYONE TO TREAT SOMEONE
SUFFERING AN EMERGENCY CARDIAC ARREST, SUPPORT GROUPS - AS PART OF GRIFFI N'S HOLISTIC,
COMMUNITY-BASED APPROACH TO HEALTHCARE, THE HOSPITAL DEVOTES SIGNIFICANT TIM E AND ATTENTION
TO SUPPORT GROUPS THE CARING AND SHARING OF SUPPORT GROUPS HAVE BEEN SHOW N TO PLAY AN
IMPORTANT ROLE IN MAINTAINING WELLNESS BY HELPING PATIENTS AND THEIR FAMILIES DEAL WITH A
CHRONIC ILLNESS OR OTHER HEALTH-RELATED CONDITIONS THE POSITIVE INTERACTION, INCLUDING HEARING
THE EXPERIENCES OF OTHER PEOPLE, IS A CENTRAL PART OF CHANGING ATTITUDES AND BEHAVIOR THE
NEWEST INFORMATION IN TREATMENT OR COPING CAN BE SHARED OFTEN, GROUP MEMBERS EXPRESS RELIEF
THAT THEY HAVE FOUND OTHERS WHO UNDERSTAND, THROUGH PERSONAL EXPERI ENCE, AND WHO CARE
FEARS AND DOUBTS CAN BE OPENLY EXPRESSED, AND PEER SUPPORT CAN BEAN I NVALUABLE AID AMONG
THE SUPPORT GROUPS OFFERED AT GRIFFIN HOSPITAL ARE THOSE FOR BEREAVEM ENT, BREAST CANCER AND
OTHER FORMS OF CANCER, DIABETES, FIBROMYALGIA, NURSING MOTHERS, SLEEP APNEA, MULTIPLE
SCLEROSIS, AND HEART DISEASE A SPECIAL TWO PART PROGRAM IS OFFERED IN NOVEMBER AND DECEMBER
ON "COPING WITH GRIEF DURING THE HOLIDAYS" EACH YEAR EACH SUPPORT G ROUP IS CHAIRED BY A
HEALTHCARE PROFESSIONAL SPECIALIZING IN THAT AREA OF CARE, GRIFFIN HO SPITAL HEALTH RESOURCE
CENTER - IN ADDITION TO PROVIDING A LARGE ARRAY OF SERVICES IN THE COMMUNITY, GRIFFIN ALSO MAKES
EXTENSIVE HEALTHCARE RESOURCES AVAILABLE TO THE PUBLIC IN-HO USE THE HOSPITAL'S HEALTH
RESOURCE CENTER, WHICH HOUSES ONE OF THE LARGEST COLLECTIONS OF CONSUMER HEALTH
INFORMATION IN THE COUNTRY, HAS NEARLY 15,000 USERS EACH YEAR THE HRC IS AN EASY-TO-USE,
COMPREHENSIVE AND UP-TO-DATE SOURCE OF MEDICAL INFORMATION, MUCH OF WHIC H IS NOT EASILY
AVAILABLE IN OTHER COMMUNITY LIBRARIES STAFF ASSISTS VISITORS IN RESEARCH ING MEDICAL
CONDITIONS AND IN PERFORMING WEB SEARCHES ON A LARGE NUMBER OF MEDICAL TOPICS THE HRC IS A
COMPONENT OF THE PLANETREE CARE MODEL, AND A COMMITMENT OF PLANETREE HOSPITA LS, INCLUDING
GRIFFIN, TO EMPOWER PEOPLE BY PROVIDING INFORMATION AND EDUCATION THE HRC I S INTEGRATED INTO
GRIFFIN'S EXTENSIVE MEDICAL LIBRARY, WHICH IS USED PRIMARILY BY PHYSICIA NS AND OTHER HEALTHCARE
PROFESSIONALS, BUT IS ALSO OPEN TO LAYPERSONS SEEKING MORE IN-DEPT H MEDICAL INFORMATION THE
HRC STAFF CAN ALSO ACCESS COMPUTER DATABASES THAT PROVIDE COMPR EHENSIVE INDEXING AND
ABSTRACTS FOR HEALTH-RELATED PERIODICALS AND JOURNALS THE HRC ALSO HAS MULTIPLE PRIVATE
DATABASES NOT AVAILABLE ON THE INTERNET, AND HAS ADDED MD CONSULT AND NURSING CONSULT,
LEADING SOURCES OF ONLINE HEALTHCARE INFORMATION, WITH RESOURCES AVAILAB LE IN SPANISH AND
OTHER LANGUAGES, MINI MED SCHOOL - AS PART OF ITS COMMITMENT OF HEALTH EDUCATION AND
COMMUNITY HEALTH EMPOWERMENT, GRIFFIN HOSPITAL OFFERS SPRING AND FALL SESSIONS OF ITS 10-WEEK
MINI MED SCHOOL PROGRAM EVERY YEAR THE FREE SESSIONS ARE TYPICALLY ATTEN DED BY MORE THAN
80 COMMUNITY RESIDENTS, AND FEATURE A ROBUST CURRICULUM AND LECTURES
Identifier
FORM 990,
SCHEDULE H,
PART VI, LINE
5
(CONTINUED)
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Reference
Explanation
BY MORE THAN A DOZEN MEMBERS OF THE HOSPITAL'S MEDICAL STAFF THAT SERVE AS FACULTY GRIFFI N
ADDED AN 8-WEEK ADVANCED MINI MED SCHOOL SESSION THIS SPRING, WHICH WAS ATTENDED BY 60 M INI
MED SCHOOL "GRADUATES", AND FEATURED CASE PRESENTATIONS BY SPECIALISTS, SIMILAR IN FOR MAT
TO THOSE GIVEN TO ACTUAL MEDICAL STUDENTS FEEDBACK FROM THIS INITIAL ADVANCED SESSION WAS
OVERWHELMINGLY POSITIVE YALE GRIFFIN PREVENTION RESEARCH CENTER ESTABLISHED IN 1998 - THE
YALE GRIFFIN PREVENTION RESEARCH CENTER (PRC) IS A COLLABORATION BETWEEN YALE UNIVER SITY
AND GRIFFIN HOSPITAL ONE OF ONLY 33 SUCH CENTERS ACROSS THE COUNTRY, GRIFFIN'S IS TH E ONLY
ONE BASED AT A HOSPITAL FUNDED BY THE FEDERAL CENTERS FOR DISEASE CONTROL AND PREV ENTION,
THE NATIONAL INSTITUTES OF HEALTH, FOUNDATIONS, AND PRIVATE INDUSTRY, THE PRCS RE SEARCH
PORTFOLIO IS DIVERSE, WITH THE EMPHASIS ON COMMUNITY-BASED ISSUES ITS MANY AREAS 0 F FOCUS
ARE NUTRITION, PREVENTIVE CARDIOLOGY AND PHYSICAL ACTIVITY IT ALSO CONDUCTED RESEARCH ON
COMPLEMENTARY AND ALTERNATIVE MEDICINE (CAM), CHRONIC DISEASE MANAGEMENT AND OBESITY
PREVENTION, YALE GRIFFIN PRC COMMUNITY HEALTH PROFILE - THEYALE-GRIFFIN PRC PRODUCES A BIANNUAL COMMUNITY HEALTH PROFILE FOR THE SIX TOWN REGION SERVED BY GRIFFIN HOSPITAL TH E
PROFILE REPORTS DISEASE SPECIFIC MORTALITY RATES AND OTHER HEALTH AND SOCIAL INDICATOR D ATA
AND COMPARES THEM TO STATE RATES THE REPORT IS WIDELY USED BY VALLEY COUNCIL OF HEALT H
AND HUMAN SERVICE ORGANIZATIONS TO IDENTIFY NEEDS AND DEVELOP INTERVENTIONS IT IS ALSO USED
BY NON-PROFITS AND GOVERNMENT ENTITIES AS JUSTIFICATION IN GRANT APPLICATIONS THE YA LE
GRIFFIN PRC BEGAN PRODUCING A SIMILAR REPORT FOR THE CITIES OF NEW HAVEN AND HARTFORD, AND
WAS ASKED BY THE POMPERAUG HEALTH DISTRICT TO PRODUCE A SIMILAR REPORT FOR THE TOWNS I N
THEIR SERVICE AREA, WHICH INCLUDES SOUTHBURY, OXFORD AND WOODBURY, CONNECTICUT THE PRC
DOES NOT CHARGE FOR THE REPORTS PERFORMING STUDIES AND COLLECTING DATA IS PART OF THE PRC
'S MISSION THE OTHER PART IS WORKING CLOSELY WITH COMMUNITIES, USING THE RESULTS OF PREVE
NTION RESEARCH, TO INFORM AND EMPOWER LOCAL RESIDENTS AT GRIFFIN, WE BELIEVE THAT FOR HEA
LTH RESEARCH TO SUCCEED, YOU NEED BOTH TO BE ABLE TO MAKE A DIFFERENCE IN THE COMMUNITY AN D
TO MEASURE THE DIFFERENCE YOU MAKE THE PREVENTION RESEARCH CENTER EXCELS IN BOTH AREAS,
CREATING A POWERFUL FORMULA FOR POSITIVE CHANGE FOR THE DEVELOPMENT OF THE PROFILES, NEWVALLEY CARES - COMMUNITY ASSESSMENT, RESEARCH & EDUCATION FOR SOLUTIONS - GRIFFIN HOSPITAL
AND THE YALE GRIFFIN PREVENTION RESEARCH CENTER ARE SUPPORTING A COLLABORATIVE INITIATIVE
"NEW-VALLEY CARES", A COMMUNITY ASSESSMENT AND PLANNING EFFORT SPONSORED BY THE VALLEY
CO UNCIL OF HEALTH AND HUMAN SERVICE ORGANIZATIONS THE COUNCIL RECOGNIZED THE NEED TO
DEVELO PAN ON-GOING SYSTEM FOR ACCESSING INFORMATION ABOUT QUALITY OF LIFE IN THE VALLEY
COMMUNITY VALLEY CARES INCLUDES TWO MAIN GOALS TO IMPROVE THE LOCAL CAPACITY TO TRACK
INFORMATI ON ABOUT KEY QUALITY OF LIFE INDICATORS SO THAT VALLEY RESIDENTS, ORGANIZATIONS,
AND STAKE HOLDERS HAVE ON-GOING ACCESS TO INFORMATION ABOUT COMMUNITY STRENGTHS AND
CHALLENGES, AND TO DISSEMINATE INFORMATION ABOUT VALLEY QUALITY OF LIFE BROADLY WITHIN THE
COMMUNITY AND E NGAGE COMMUNITY MEMBERS IN ANALYZING ASSESSMENT FINDINGS AND PLANNING
SOLUTIONS TO IDENTIF IED COMMUNITY CHALLENGES THE YALE GRIFFIN PREVENTION RESEARCH CENTER,
WHICH IS A COUNCIL MEMBER AGENCY ALONG WITH GRIFFIN HOSPITAL, WITH EXTENSIVE EXPERIENCE IN
COMPILING THE VALL EY COMMUNITY HEALTH PROFILE, HAS EXPANDED ITS RESEARCH TO INCLUDE
INFORMATION ON INDICATOR S BEYOND HEALTH THE COUNCIL ALSO CONTRACTED A SURVEY RESEARCH
FIRM TO CONDUCT A COMMUNITY SURVEY TO OBTAIN INFORMATION ABOUT RESIDENT VIEWS THE TOPICS
TO BE COVERED IN THE VALLEY CARES COMMUNITY ASSESSMENT REPORT INCLUDE CREATING A
COMMUNITY CONTEXT THAT ALLOWS RESID ENTS TO THRIVE (EMPLOYMENT & ECONOMIC INDICATORS,
HOUSING, TRANSPORTATION), PROVIDING EDUCATION AND TRAINING FOR LIFE LONG SUCCESS,
PRESERVING THE NATURAL ENVIRONMENT, ENSURING RES IDENT SAFETY, PROMOTING SOCIAL AND
EMOTIONAL WELL BEING, ADVANCING COMMUNITY HEALTH, OFFER ING ARTS, CULTURE, AND RECREATION,
AND FOSTERING COMMUNITY HARMONY AND ENGAGEMENT, YALE-GR IFFIN PRC NUTRITION DETECTIVES
PROGRAM - IN AN ATTEMPT TO HELP CURB THE INCIDENCE OF CHILD HOOD OBESITY, DR DAVID KATZ,
DIRECTOR OF THE YALE GRIFFIN PREVENTION RESEARCH CENTER, PROVIDED COMPLIMENTARY COPIES OF
THE NUTRITION DETECTIVES DVD TO ALL SCHOOL DISTRICT SUPERINT ENDENTS IN CONNECTICUT NUTRITION
DETECTIVES IS A 90-MINUTE, NUTRITION PROGRAM DESIGNED FO R ELEMENTARY SCHOOL AGED CHILDREN
DR KATZ DEVELOPED THE PROGRAM TO HELP ADDRESS THE GROW ING EPIDEMIC OF OBESITY IN CHILDREN
THROUGH A NEW DVD FORMAT CHILDREN ARE TAKEN INTO A "M AGICAL CLASSROOM " THROUGH SPECIAL
EFFECTS AND SIMULATION, SIX STUDENTS IN THE "MAGICAL CL ASSROOM' ARE CONVERTED INTO
"CERTIFIED" NUTRITION DETECTIVES THE DVD TAKES THE VIEWING AU DIENCE ON A HEALTH PROMOTING
JOURNEY THE DVD TEAC
Identifier
FORM 990,
SCHEDULE H,
PART VI, LINE
5
(CONTINUED)
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Reference
Explanation
HES VALUABLE LESSONS ABOUT THE IMPORTANCE OF EATING WELL, WITH AN EMPHASIS ON PRACTICAL SK
ILLS NEEDED TO IDENTIFY AND CHOOSE NUTRITIOUS FOODS THE PROGRAM TEACHES CHILDREN TO BE "C
LUED Ifs!' TO HEALTH, AND GIVES THEM 5 ESSENTIAL CLUES A "NUTRITION DETECTIVE' NEEDS TO GET RIGHT
TO THE TRUTH ABOUT NUTRITION ON ANY FOOD PACKAGES, SEE PAST DECEPTIVE MARKETING CLAI MS,
DISTINGUISH WHOLE GRAIN FOODS FROM REFINED GRAINS, AND RECOGNIZE THE IMPORTANCE OF EAT ING
NATURAL WHOLE FOODS SUCH AS FRUITS AND VEGETABLES, SCHOOL-BASED HEALTH CENTER - FROM I TS
INCEPTION MORE THAN A DECADE AGO, GRIFFIN HOSPITAL PERSONNEL, THE ANSONIA BOARD OF EDUC
ATION, AND ANSONIA HIGH SCHOOL STAFF WORKED COLLABORATIVELY TO CREATE THE CHARGER
HEALTH C LINIC TO PROVIDE COMPREHENSIVE PHYSICAL AND MENTAL HEALTH SERVICES TO THE SCHOOL'S
STUDENTS THE TEAM OF HEALTH PROFESSIONALS PROVIDES SERVICES TO PREVENT AND REDUCE HIGH
RISK BEHAVIORS, ASSESS AND TREAT ACUTE AND CHRONIC ILLNESSES, AND PROVIDE HEALTH
EDUCATION THECLINIC HAS MORE THAN 900 STUDENT VISITS EACH YEAR CHARGER HEALTH CLINIC
OUTCOMES INCLUDE MON EY SAVED BY PREVENTING HOSPITALIZATIONS AND EMERGENCY DEPARTMENT
VISITS FOR CHILDREN WITH ASTHMA, INCREASED ACCESS TO MENTAL HEALTHCARE FOR CHILDREN, AND
GREATER OVERALL ACCESS TO PREVENTIVE CARE, GO GREEN INITIATIVE - GRIFFIN'S PATIENT CENTERED
CARE COUNCIL UNDERTOOK A NUMBER OF INITIATIVES TO PROMOTE SOCIAL RESPONSIBILITY TO THE
COMMUNITY AMONG THEM WAS THE "GRIFFIN GOES GREEN" PROGRAM TO INCREASE THE HOSPITAL'S USE
OF DISPOSABLE MATERIAL WHIL E ALSO INCREASING AWARENESS ABOUT THE NEED TO RECYCLE, GRIFFIN
HOSPITAL SENIOR MEALS CHOIC E PROGRAM - PARTNERSHIP WITH TEAM INC, THE COMMUNITY'S ANTIPOVERTY AGENCY, THE GRIFFIN H OSPITAL "SENIORS MEALS CHOICE' NUTRITION PROGRAM IS AVAILABLE
TO INDIVIDUALS 60 YEARS OF A GE OR OLDER, OR THE SPOUSE OF AN ELIGIBLE INDIVIDUAL, REGARDLESS
OF AGE THE PROGRAM OFFER S TASTY, FULL COURSE MEALS AT THE GRIFFIN HOSPITAL DINING CENTER
PARTICIPATION IN THE PRO GRAM CONTINUES TO GROW SENIORS ARE THRILLED WITH THE NUTRITIONALLY
BALANCED SELECTIONS AV AILABLE, AND ALTHOUGH MOST CONTRIBUTE THE THREE DOLLARS AS
SUGGESTED, THERE IS A SMALL PER CENTAGE WHO CONTRIBUTE LESS CONTRIBUTIONS ARE REINVESTED IN
THE PROGRAM TO SUPPLEMENT AND EXPAND NUTRITION SERVICES MEALS ARE AVAILABLE TUESDAY AND
WEDNESDAY NIGHTS AND THURSDAY LUNCH, COMMUNITY ADVISORY COMMITTEE- GRIFFIN HOSPITAL
FORMED A COMMUNITY ADVISORY COUNCIL TO ENGAGE THE COMMUNITY AND GET MEANINGFUL FEEDBACK
ABOUT THE HOSPITAL'S SERVICES THROUG HOUT ITS HISTORY, GRIFFIN'S MOST INNOVATIVE PROGRAMS
HAVE BEEN DEVELOPED USING INSIGHTS GL EANED FROM PATIENTS AND FAMILY MEMBER FOCUS GROUPS
THE COMMUNITY ADVISORY COUNCIL WAS A N ATURAL NEXT STEP FOR GRIFFIN AS A WAY TO SOLICIT THE
PATIENT'S PERSPECTIVE OF CARE, PROGRA MS AND SERVICES, AND TO IDENTIFY COMMUNITY NEEDS ON AN
ONGOING BASIS, FOUNDING THE VALLEY COUNCIL OF HEALTH AND HUMAN SERVICE ORGANIZATIONS GRIFFIN WAS ALSO THE LEADER IN ESTABLI SHING THE VALLEY COUNCIL OF HEALTH AND HUMAN SERVICE
ORGANIZATIONS, WHICH HAS BECOME A MOD EL FOR MANY OTHER COMMUNITIES THE VALLEY COUNCIL IS
A COOPERATIVE VENTURE LINKING APPROXI MATELY 50 NON-PROFIT HEALTH & HUMAN SERVICE PROVIDERS
THROUGHOUT THE VALLEY ITS MISSION I S TO IDENTIFY, PLAN, IMPLEMENT, AND COORDINATE A
COMPREHENSIVE SYSTEM OF HUMAN SERVICE DEL IVERY AND TO ADVOCATE FOR COMMUNITY-WIDE AND
CULTURALLY DIVERSE PLANNING APPROACHES IN THE LARGER VALLEY COMMUNITY DECISION MAKERS
FROM EACH OF THE ACTIVE MEMBERS MEET MONTHLY TH E COUNCIL'S OBJECTIVES ARE TO 1 ENGAGE IN
PERIODIC ASSESSMENT AND IDENTIFICATION OF LOCA L SERVICE NEEDS, INCLUDING CLIENT INPUT, 2
COLLABORATIVELY EVALUATE CURRENT SERVICES, IDENTIFY GAPS, AND STRATEGIZE ON HOW TO FILL
GAPS IN SERVICES, 3 SERVE AS THE PRIMARY PLANNI NG AND COORDINATING BODY FOR THE REGIONS'
SERVICE PROVISION SYSTEM, 4 PROVIDE A PLACE FOR SUPPORT AND NETWORKING AMONG THE VALLEY
HUMAN SERVICES COMMUNITY,
Identifier
FORM 990,
SCHEDULE H,
PART VI, LINE
5
(CONTINUED)
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Explanation
5 ADVOCATE FOR THE NEEDS OF LOCAL RESIDENTS AND FOR RESOURCES TO MEET THOSE NEEDS ON A
LOCAL, STATE, AND FEDERAL LEVEL, AND 6 SEEK TO DEVELOP PARTNERSHIPS WITH OTHER COMMUNITY
SYSTEMS (I E, SCHOOLS, BUSINESSES, STATE AND LOCAL GOVERNMENTS, PUBLIC SAFETY) TO ENHANCE
SERVICE DELIVERY GRIFFIN REMAINS AN ACTIVE MEMBER OF THE COUNCIL NOT ONLY IS GRIFFIN HOSPITAL
A CONTINUING MEMBER, THE VALLEY PARISH NURSE PROGRAM AND THE YALE GRIFFIN PREVENTION
RESEARCH CENTER ALSO ARE MEMBERS, HEALTHY VALLEY HEALTHY COMMUNITY PROJECT - GRIFFIN
HOSPITAL WAS ONE OF THE FOUNDERS OF HEALTHY VALLEY AND WAS THE ONLY CORPORATE FUNDING
SPONSOR HEALTHY VALLEY, LAUNCHED IN 1994, WAS CONNECTICUT'S FIRST HEALTHY COMMUNITY
PROJECT, AND RECEIVED RECOGNITION AND AWARDS AS A MODEL FOR OTHER COMMUNITIES ACROSS THE
COUNTRY DURING ITS DEVELOPMENT, IT WAS A GRASSROOTS INITIATIVE INVOLVING OVER 200
STAKEHOLDERS THE COMMUNITY'S GOAL WAS TO USE RESEARCH, QUANTITATIVE DATA AND A BROADBASED VISIONING AND PARTICIPATORY PROCESS TO IDENTIFY AND GAIN CONSENSUS ON PRIORITY
COMMUNITY NEEDS AND PROBLEMS, AND IDENTIFY RESOURCES TO ADDRESS THEM THE GOAL OF THE
HEALTHY VALLEY PROJECT IS TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF RESIDENTS BY MAKING
THE VALLEY A BETTER PLACE IN WHICH TO LIVE, WORK, SHOP AND ENJOY LIFE GRIFFIN'S LEADERSHIP AND
EMPLOYEES WERE ACTIVE MEMBERS OF THE ORGANIZATION'S STAKEHOLDER GROUP GRIFFIN VICE
PRESIDENT BILL POWANDA, CHAIR OF THE HEALTHY VALLEY STEERING COMMITTEE, WAS INVITED TO
PRESENT AT THE PRESIDENTS' SUMMIT FOR AMERICA'S FUTURE AND THE HOFSTRA UNIVERSITY
CONFERENCE ON THE PRESIDENCY OF GEORGE H W BUSH HEALTHY VALLEY WAS DESIGNATED "A POINT
OF LIGHT' BY PRESIDENT BUSH THE HEALTHY VALLEY RESEARCH IDENTIFIED THAT COLON CANCER,
BREAST CANCER AND PROSTATE CANCER DEATHS WERE SIGNIFICANTLY HIGHER THAN THE STATE
AVERAGE AS A RESULT OF LOW RATES OF SCREENING AND PRIMARY CARE ACCESS GRIFFIN INITIATED
AND CONTINUES A SERIES OF INITIATIVES INVOLVING MULTIPLE COMMUNITY ORGANIZATIONS AND
AGENCIES TO INCREASE SCREENING RATES THE HEALTHY VALLEY PROJECT CONTINUES TODAY, OTHER
SPECIAL INITIATIVES GRIFFIN HOSPITAL ENGAGES IN INCLUDE LEADERSHIP AND PARTICIPATION IN THE
VALLEY YMCA'S CORPORATE CUP COMPETITION, HOSTING THE ANNUAL CANCER SURVIVORS DAY
CELEBRATION, AND, HEALTH PROFESSIONS EDUCATION, COMMUNITY OUTREACH BY THE HOSPITAL'S
OCCUPATIONAL MEDICINE CENTER, WHICH MAKES APPROPRIATE REFERRALS TO COMMUNITY RESOURCES
AT ITS EMPLOYER CLIENTS' WORKSITES
jefile GRAPHIC print - DO NOT PROCESS
SCHEDULE R
(Form 990)
As Filed Data -
DLN:93493136035862
OMB No 1545-0047
Related Organizations and Unrelated Partnerships
2010
1- Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
1- Attach to Form 990.
1- See separate instructions.

GRIFFIN HOSPITAL
06-0647014
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
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)
or foreign country)
(d )
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))
(f)
Direct controlling
entity
(g)
Section 512(b)(13)
controlled
organization
Yes
No
(1) GRIFFIN HEALTH SERVICES CORPORATION

130 DIVISION STREET
HOLDING COMPANY
CT
501(C)(3)
509(A)(3)(B)(I)
N/A
No
MEDICAL/ EDUCATION
CT
501(C)(3)
509(A)(2)
N/A
No
FUND RAISING
CT
501(C)(3)
509(A)(1)
N/A
No
EDUCATION
CT
501(C)(3)
509(A)(2)
N/A
No
PHARMACY
CT
501(C)(3)
509(A)(2)
N/A
No
DERBY, CT 06418
22-2560257
(2) GRIFFIN FACULTY PRACTICE PLAN INC
130 DIVISION STREET
DERBY, CT 06418
06-1463147
(3) THE GRIFFIN HOSPITAL DEVELOPMENT FUND
130 DIVISION STREET
DERBY, CT 06418
22-2560254
(4) PLANETREE INC
130 DIVISION STREET
DERBY, CT 06418
06-1505284
(5) GRIFFIN PHARMACY & GIFT
130 DIVISION STREET
DERBY, CT 06418
22-2560257
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat No 50135Y
Schedule R (Form 990) 2010
Page 2
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)
(h)
(d)
Direct controlling
entity
(e)
Predominant income
(related,, unrelated,
excluded from tax
under sections 512
514)
(f)
of total income
(g )
Share of end-of-year
assets
Disproprtionate
allocations7
Yes
(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
No
0)
General or
managing
part ner?
Yes
(k)
Percentage
ownership
No
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)
(1) GH VENTURES INC

130 DIVISION STREET
DERBY, CT06418
22-2560247
(2) HEALTHCARE ALLIANCE INSURANCE COMPANY LTD
171 ELGIN AVENUE
GEORGETOWN
CJ
(3) CT PRACTICE MANAGEMENT INC
130 DIVISION STREET
DERBY, CT06418
06-1152819
(b)
Primary activity
MANAGE MEDICAL
BILLING
OFFSHORE CAPTIVE
INACTIVE
(c)
Legal domicile
(state or
foreign
country)
(d )
Direct controlling
entity
( e)
Type of entity
(C corp, S corp,
or trust)
CT
N/A
CJ
N/A
CT
N/A
(f)
Share of total income
(g)
Share of
end-of-year
assets
(h)
Percentage
ownership

ff^
Page 3
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Yes
Note . Complete line 1 if any entity is listed in Parts II, III or IV
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
la
No
Gift, grant, or capital contribution to other organization( s)
lb
No
Gift, grant, or capital contribution from other organization (s)
1c
No
Loans or loan guarantees to or for other organization( s)
ld
Yes
Loans or loan guarantees by other organization (s)
le
Yes
Sale of assets to other organization (s)
if
No
Purchase of assets from other organization( s)
1g
No
Exchange of assets
1h
No
ii
No
Lease of facilities, equipment, or other assets to other organization (s)
Lease of facilities, equipment, or other assets from other organization (s)
1j
No
Performance of services or membership or fundraising solicitations for other organization( s)
1k
No
11
No
m Sharing of facilities, equipment, mailing lists, or other assets
1m
No
Sharing of paid employees
in
No
Reimbursement paid to other organization for expenses
10
Reimbursement paid by other organization for expenses
1p
No
Other transfer of cash or property to other organization( s)
1q
No
Other transfer of cash or property from other organization( s)
lr
No
Performance of services or membership or fundraising solicitations by other organization (s)
Yes
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)
(^)
Amount involved
(d)
Method of determining
amount
involved
(1)
(2)
(3)
(4)
(5)
(6)
Page 4
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?
Yes
No
( e)
Share of
end-of-year
assets
(f)
Disproprtionate
allocations?
Yes
No
(g)
Code V-UBI
amount in box
20 of Schedule K-1
(Form 1065)
(h)
General or
managing
part ner?
Yes
No
Page 5
Complete this part to provide additional information for responses to questions on Schedule R (see instructions)
Identifier
Return Reference
Explanation
Additional Data
Return to Form
Software ID:
Software Version:
EIN:
Name :
06 -0647014
GRIFFIN HOSPITAL
Form 990 , Schedule R, Part V - Transactions With Related Organizations

(a)
(1)
HEALTHCARE ALLIANCE INSURANCE COMPANY LTD
(2)
GRIFFIN PHARMACY AND GIFT
(3)
GH VENTURES INC
(4)
GRIFFIN DEVELOPMENT FUND
(5)
PLANETREE INC
(6)
GRIFFIN HOSPITAL DEVELOPMENT FUND
(7)
GRIFFIN HEALTH SERVICES CORP
(8)
(9)
PLANETREE INC
(b)
Transaction
type(a-r)
(c)
Amount Involved
($)
(d)
amount involved
4,133,299 ACTUAL CASH
433,000 ACTUAL CASH
318,000 ACTUAL CASH
498,000 ACTUAL CASH
825,000 ACTUAL CASH
The Griffin Hospital and

Subsidiary
Consolidated Financial Statements and
Consolidating Information
September 30, 2011 and 2010
The Griffin Hospital and Subsidiary

Index
Page(s)
Report of Independent Auditors
Consolidated Financial Statements

Consolidated Balance Sheets
Consolidated Statements of Operations
Consolidated Statements of Changes in Net Assets
Consolidated Statements of Cash Flows
Notes to Consolidated Financial Statements
6-29
Report of Independent Auditors on Accompanying Consolidated Information
30
Consolidating Balance Sheet, September 30, 2011
31-32
Consolidating Balance Sheet, September 30, 2010
33-34
Consolidating Statement of Operations, Year ended September 30, 2011
35
Consolidating Statement of Operations, Year ended September 30, 2010
36
pwc
To the Board of Trustees of

The Griffin Hospital
In our opinion, the accompanying consolidated balance sheets and the related consolidated statements of
operations, of changes in net assets and of cash flows present fairly, in all material respects, the financial
position of The Griffin Hospital and Subsidiary (the "Hospital") at September 30, 2011 and 2010, and the
results of their operations, their changes in net assets and their cash flows for the years then ended in
conformity with accounting principles generally accepted in the United States of America These financial
statements are the responsibility of the Hospital's management Our responsibility is to express an
opinion on these financial statements based on our audits We conducted our audits of these statements
in accordance with auditing standards generally accepted in the United States of America Those
standards require that we plan and perform the audit to obtain reasonable assurance about whether the
financial statements are free of material misstatement An audit includes examining, on a test basis,
evidence supporting the amounts and disclosures in the financial statements, assessing the accounting
principles used and significant estimates made by management, and evaluating the overall financial
statement presentation We believe that our audits provide a reasonable basis for our opinion
Fr- 'k c Q_ wcAs- .o L,.
.Coaprv-v
LL P
February 6, 2012
Price waterhouseC dopers LLP, 18 5 Asyl m1 Street, Suite 2400, Hartford, CT o61o33-3404
T: (860) 241 70oo, F. (860) 2417590, vvw .pINc.com/us

Years Ended September 30, 2011 and 2010
2011
2010
2011
Assets
Liabilities and Net Deficit
Current assets
Current liabilities
Cash and cash equivalents
Investments
5,607,752
4,026,437
2010
Current portion of long-term debt and capital
7,625,803
9,660,079
lease obligations
704,176
708,386
Accounts payable
19, 825, 537
18, 696, 996
Patient accounts receivable, less
Accrued expenses
7,105,100
6,567,111
allowance for doubtful accounts of
Accrued interest payable
365,713
391,610
approximately $5,806,000
Accrued postretirement benefit liability
525,000
438,000
Deferred revenue
33,048
16,630
Due to affiliates
67,621
34,302,290
32,399,249
1,203,129
595,290
849,246
725,821
Assets limited as to use
and $4,126,000, respectively

Other current assets
Total current assets
17,300, 192
15,556,957
6,392,598
3 ,879,349
37,630,521
33, 831,208
Total current liabilities

Estimated third party settlements
Professional and general liability loss reserves
Workers compensation loss reserves
Accrued pension liability
Accrued postretirement benefit liability, net of current portion
Asset retirement obligation
Under indenture agreement

Total assets limited as to use
Long-term investments
31,384
319,085
4,288,799
4,291,702
4,320,183
4,610,787
3,205,611
5,037,671
7,973,902
6,822,104
157,591,829
139,385,345
Total liabilities
5,415,314
5,523,935
Unrestricted operating
Due from affiliates
5,411,702
6,250,422
Cumulative unrecognized pension charges
Beneficial interest in trusts
3,367,120
3,644,228
Total assets
220,661
2,994,897
80,978,493
83,796,089
122,929,197
6,381,956
Interest rate swap agreements
Interest in net assets of affiliate
457,830
7,469,095
Capital lease obligations, net of current portion
1,061,664
3,010,621
1,340,515
36,275,269
130,976
64,100,282
Estimated third party settlements, lo ng term
1,514,632
52,424,095
49,676,494
1,030,970
Other long-term assets
6,288,902
48,524,613
62,284,936
Property, plant and equipment , net
125,216
Long-term debt, net of current portion

Board-designated investments
6,380,271
Net deficit
Total unrestricted
20,659,590
19,992,003
(62,729,753)
(44,958,203)
(42,070,163)
(24,966,200)
Temporarily restricted
1,880,150
2,014,450
Permanently restricted
5,527,381
5,804,489
(34,662,632)
(17,147,261)
Total net deficit
122,238,084
Total liabilities and net deficit
The accompanying notes are an integral part of these consolidated financial statements
2
122,929,197
122,238,084

Operating revenues
Net patient service revenue
Other operating revenue
Net assets released from restrictions used for operations
Total operating revenues
Operating expenses
Employee compensation and related expenses
Supplies and other expenses
Depreciation and amortization
Interest
Provision for doubtful accounts, net of recoveries
Total operating expenses
Loss from operations
Non operating gains (losses)
Investment income
Net realized and unrealized losses on interest rate swaps
Grant revenues
Grant expenses
Deficiency of revenues over expenses
Other changes in unrestricted net assets
Change in interest in net assets of affiliate
Transfers between affiliates , net
Pension and other post-retirement related charges
other than net periodic benefit cost
Decrease in unrestricted net assets
2011
2010
$ 124,691,401
6,101,588
27,869
$ 120,786,185
3,769,345
12,143
130,820,858
124,567,673
73,723,186
45,693,455
5,837,895
2,618,102
3,461,056
73,089,990
41,555,602
6,379,290
2,555,303
1,398,195
131,333,694
124,978,380
(512,836)
(410,707)
218,353
(2,527,906)
2,414,954
(2,141,922)
886,194
(3,525,694)
1,920,282
(1,600,391)
(2,036,521)
(2,319,609)
(2,549,357)
(2,730,316)
(4,721)
3,221,665
273,587
(438,634)
(17,771,550 )
(5,314,605)
$ (17,103,963 )
(8,209,968)
3

2011
Transfers between affiliates, net
Decrease in unrestricted net assets
Investment income
Unrealized (loss) gain on investments
Decrease in temporarily restricted net assets
Change in beneficial interest in trusts
(Decrease) increase in permanently restricted net assets
(2,549,357)
(4,721)
3,221,665
2010
(2,730,316)
273,587
(438,634)
(17,771,550 )
(5,314,605)
(17,103,963)
(8,209,968)
(103,900)
33,862
(36,393)
(27,869)
(321,532)
81,832
6,185
(12,143)
(134,300)
(245,658)
(277,108)
125,394
(277,108)
125394
Decrease in net assets
(17,515,371)
(8,330,232)
Net deficit, beginning of year
(17,147,261 )
(8,817,030)
$ (34,662 ,632)
$ (17,147,262)
Net deficit, end of year
4

2011
Cash flows from operating activities
Adjustments to reconcile change in net assets
to net cash provided by operating activities
Pension and other post-retirement changes
Change in unrealized and realized gains and losses on investments
Change in fair value of interest rate swap
Changes in assets and liabilities
Patient accounts receivable
Other current and long-term assets
Due from affiliates, net
Accounts payable, accrued expenses and other
Estimated amounts due to third-party settlements
Deferred revenue
Accrued pension and postretirement benefit liabilities
2010
$ (17,515,371)
Total adjustments
Net cash provided by operating activities
Cash flows from investing activities
Purchases of property, plant and equipment, net
Purchases of investments
Proceeds from sales and maturities of investments
Net cash used in investing activities
Cash flows from financing activities
Proceeds from borrowing
Principal payments on debt
Principal payments on capital lease obligations
Net cash used in financing activities
(8,330,231)
17,771,550
5,985,361
(161,977)
277,108
1,151,798
3,461,056
3,221,655
108,621
5,314,605
6,538,142
585,635
(125,394)
2,200,011
1,398,195
438,634
47,945
(5,204,290)
(2,773,322)
906,341
2,322,907
370,670
16,418
(448,585)
246,383
(770,908)
(1,742,743)
655,106
(55,970)
(547,141)
(71,735)
27,005,311
14,110,765
9,489,940
5,780,534
(4,413,041)
(10,537,500)
13, 086,765
(3,221,655)
(4,223,463)
(11, 982,219)
13, 478, 587
(438,634)
(5,085,431)
(3,165,729)
700,000
(1,790,000)
(1,733,194)
(1,065,000)
(1,505,376)
(2,823,194)
(2,570,376)
Net increase in cash and cash equivalents
1,581,315
44,429
Cash and cash equivalents at beginning of year
4,026,437
3, 982,008
Cash and cash equivalents at end of year
5,607,752
4,026,437
Supplemental disclosures of cash flow information

Interest paid
4,020,108
4,031,238
3,200,000
599,466
989,967
Supplemental disclosure of noncash financing activities

Acquisition of property, plant and equipment financed with capital leases
Property, plant and equipment included in accounts payable
and accrued expenses
5

Organization
The Griffin Hospital (the "Hospital") is a licensed 160-bed acute care hospital located in Derby,
Connecticut and is part of an affiliated group which consists of its parent corporation, Griffin Health
Services Corporation ("GHSC"), including Griffin Pharmacy and Gifts ("GP&G"), and certain other
affiliates, primarily the Griffin Hospital Development Fund ("GHDF"), the fund-raising organization
for GHSC and the other tax-exempt subsidiaries, G H Ventures, Inc ("GHV"), a for profit
organization currently managing medical office buildings, Planetree Inc ("Planetree"), a not-forprofit entity assisting hospitals and other health care facilities in the development and
implementation of a patient centered model of care, the Griffin Faculty Practice Plan, Inc ("FPP"), a
not-for-profit entity incorporated for the purpose of providing medical services and to charge for
services performed by physicians as supervisors of interns, and Healthcare Alliance Insurance
Company, Ltd ("HAIC"), a for profit off-shore captive insurance company
In February 2008, the Hospital and GHV entered into a joint venture with TOPCO Associates, LLC,
to form a company called NuVal The purpose of this company is to commercialize an "Overall
Nutrition Quality Index" system, developed by the Hospital for promoting healthy eating habits
among the general population The Hospital's ownership interest in NuVal was transferred to GHV
in 2008 and as such all amounts related to NuVal are recorded in the GHV and consolidated GHSC
financial statements
2.
Summary of Significant Accounting Policies

Principles of Consolidation
The consolidated financial statements include the accounts of the Hospital and its wholly owned
subsidiary, FPP All significant intercompany accounts and transactions are eliminated in
consolidation
Basis of Presentation
The consolidated financial statements have been prepared on the accrual basis of accounting
Resources are reported for accounting purposes in separate classes of net assets based on the
existence or absence of donor-imposed restrictions In the accompanying financial statements, net
assets have been reported as follows
Permanently Restricted
Net assets subject to explicit donor-imposed stipulations that they be maintained by the Hospital in
perpetuity are classified as permanently restricted Generally, the donors of these assets permit
the Hospital to use all or part of the investment return on these assets for operating purposes
Temporarily Restricted
Net assets whose use by the Hospital is subject to explicit donor-imposed stipulations that can be
fulfilled upon incurrence of expenses by the Hospital pursuant to those stipulations or that expire by
the passage of time are classified as temporarily restricted
Unrestricted
Net assets that are not subject to explicit donor-imposed stipulations are classified as unrestricted
Unrestricted net assets may be designated for specific purposes by action of the Board of Trustees
or may otherwise be limited by contractual agreements with outside parties

Revenues from sources other than contributions are reported in unrestricted net assets
Contributions are reported as increases in the applicable category of net assets, consistent with
donor designation Expenses are reported as decreases in unrestricted net assets Gains and
losses on investments and other assets or liabilities are reported as increases or decreases in
unrestricted net assets, unless their use is restricted by explicit donor stipulations or by law
Expirations of temporary restrictions on net assets, that is, the donor-imposed stipulated purpose
has been accomplished and/or stipulated time period has elapsed, are reported as reclassifications
between the applicable classes of net assets
Grant revenues and expenses relating to Hospital operations are included within operating
revenues and expenses Grant revenues and expenses relating to research are included within
nonoperating gains and losses
Contributions, including unconditional promises to give, are recognized as increases in net assets
at the date the gift or promise is received Contributions of assets other than cash are recorded at
their estimated fair value Contributions to be received after one year are discounted at a rate
commensurate with the risks involved Amortization of the discount is recorded as additional
contribution revenue in accordance with the donor-imposed stipulations, if any, on the
contributions
Contributions restricted for the acquisition of land, buildings and equipment are reported as
temporarily restricted support These contributions are reclassified to unrestricted net assets when
the capital asset is acquired or placed in service
Use of Estimates
The preparation of financial statements in conformity with accounting principles generally accepted
in the United States of America requires management to make estimates and assumptions that
affect the reported amounts of assets and liabilities and disclosures of contingent assets and
liabilities at the date of the financial statements and the reported amounts of revenues and
expenses during the reporting period Actual results could differ from those estimates The
Hospital's and FPP's significant estimates include the allowances for patient accounts receivable
contractual allowances and estimated final settlements due to or from third party payors,
professional and general liability loss reserves and pension assumptions
Cash and Cash Equivalents
Cash and cash equivalents include investments in highly liquid instruments with a maturity of three
months or less when purchased, excluding amounts whose use is limited by the Board of Trustees
or other restrictive arrangements
The majority of the Hospital's banking activity, including cash and cash equivalents, is maintained
with a regional bank and from time to time exceeds federal insurance limits It is the Hospital's
policy to monitor the bank's financial strength on an ongoing basis
Beneficial Interest in Trusts
The fair value of contributions received from perpetual trust assets held by third parties is
measured at the Hospital's proportionate share of the fair value of the trust's assets at the time the
Hospital is notified of the trust's existence and periodically adjusted for changes in value
Distributions received by the Hospital may be restricted by the donor These assets are classified
as permanently restricted net assets

Inventories
Inventories, which are included in other current assets, are stated at the lower of cost, using the
first-in, first-out method, or market Inventories are included in other current assets
Fair Value Measurements
Fair value standards define fair value and establish a framework for measuring fair value The
framework provides a hierarchy that prioritizes the inputs to valuation techniques used to measure
fair value The hierarchy gives the highest priority to unadjusted quoted prices in active markets for
identical assets or liabilities (level 1 measurements) and the lowest priority to unobservable inputs
(level 3 measurements) The three levels of the fair value hierarchy under this principle are as
follows
Level 1 - Inputs to the valuation methodology are unadjusted quoted prices for identical assets or
liabilities in active markets that the Hospital and FPP have the ability to access
Level 2 - Inputs to the valuation methodology include
quoted prices for similar assets or liabilities in active markets,

quoted prices for identical or similar assets or liabilities in inactive markets,
inputs other than quoted prices that are observable for the asset or liability,
inputs that are derived principally from or corroborated by observable market data by
correlation or other means
If the asset or liability has a specified term, the level 2 input must be observable for
substantially the full term of the asset or liability
Level 3 - Inputs to the valuation methodology are unobservable and significant to the fair value
measurement
The asset's or liability's fair value measurement level within the fair value hierarchy is based on the
lowest level of any input that is significant to the fair value measurement Valuation techniques
used need to maximize the use of observable inputs and minimize the use of unobservable inputs
The fair value of the Hospital's and FPP's investments is based on quoted market values
The fair value of the Hospital's interest rate swaps liability is based on observable inputs other than
quoted prices for similar instruments
Investments and Investment Income
Investments in equity securities with readily determinable fair values and all investments in debt
securities are measured at fair value at the balance sheet date Investments of donor restricted
funds are classified as long-term investments Investment income or loss (including realized and
unrealized gains and losses on investments, interest and dividends) is included in the deficiency of
revenues over expenses unless the income or loss is restricted by donor or law
Assets Limited As To Use
Assets limited as to use include assets set aside by the Board of Trustees in a depreciation fund for
future capital improvements, and assets held by a trustee under an indenture agreement
Property, Plant and Equipment
Property, plant and equipment are recorded at cost or in the case of donated property at the fair
value at the date of gift Depreciation is provided over the estimated useful life of each class of
depreciable asset and is computed using the straight-line method with one-half year of depreciation
8

expense recorded in the year of acquisition Uniform useful lives assigned to assets are based
upon the American Hospital Association estimated useful lives of depreciable hospital assets
guidelines and range from 5 to 50 years Maintenance and repairs are charged to expense as
incurred, and betterments and major renewals are capitalized Upon sale or disposal of property,
plant or equipment, the cost and accumulated depreciation are removed from the respective
accounts, and any gain or loss is included in operations Equipment under capital leases is
amortized on the straight-line method over the shorter of the lease term or the estimated useful life
of the equipment Such amortization is included in depreciation and amortization expense
Interest cost incurred on borrowed funds during the construction period of capital assets is
capitalized as a component of the cost of acquiring those assets The Hospital capitalized
approximately $51,000 of interest costs related to construction projects in 2010, and none in 2011
The Hospital performed a review of certain building improvement and construction assets during
the course of the year The review determined that certain assets were being depreciated over a
term that was shorter than the assets' expected life As such the useful lives were adjusted and
the corresponding depreciation was prospectively adjusted as appropriate The changes in the
useful lives lead to a decrease in depreciation expense of approximately $461,000 during 2011
Gifts of long-lived assets such as land, buildings, or equipment are reported as unrestricted
support, and are excluded from the deficiency of revenues over expenses, unless explicit donor
stipulations specify how the donated assets must be used Gifts of long-lived assets with explicit
restrictions that specify how the assets are to be used and gifts of cash or other assets that must
be used to acquire long-lived assets are reported as restricted support Absent explicit donor
stipulations about how long-lived assets must be maintained, expirations of donor restrictions are
reported when the donated or acquired long-lived assets are placed in service
Asset Retirement Obligation
The Hospital accrues for asset retirement obligations, primarily asbestos related removal costs, in
the period in which they are incurred if sufficient information is available to reasonably estimate the
obligation Over time, the liability is accreted to its settlement value Upon settlement of the
liability, the Hospital will recognize a gain or loss for any difference between the settlement amount
and the liability recorded
Interest in Net Assets of Affiliate
Interest in net assets of affiliate represents the Hospital's interest in the net assets of GHDF
Cost of Borrowing
Issuance costs related to the Hospital's bond issuance are being amortized using the effective
interest method over the life of the debt Amortization expense, which is included in interest
expense, was $69,382 and $83,858 for 2011 and 2010, respectively
The discount from face value at which debt has been issued is reflected as a reduction of the
carrying value of such debt The premium from face value at which debt has been issued is
reflected as an addition to the carrying value of such debt Discounts and premiums are amortized
or accreted over the life of the debt, using the effective interest method
Professional and General Liability Loss Reserves
The liability for claims is determined by management based on data processed by independent
loss adjusters The liability for adverse claims development and the liability for claims incurred but
not reported are determined by management based on actuarial studies of related data prepared
by independent actuaries

Due to the nature of the underlying insurance risks and the general uncertainty surrounding
medical malpractice claims settlement, the liability for losses is an estimate and could vary
significantly from the amount ultimately paid However, the liability for losses reflects the best
estimate of ultimate loss based on historical experience and actuarial projections
Deficiency of Revenues Over Expenses
The statement of operations includes a deficiency of revenues over expenses Changes in
unrestricted net assets which are excluded from deficiency of revenues over expenses, consistent
with industry practice, include changes in interests in net assets of affiliate, transfers of assets to
and from affiliates for other than goods and services, and pension and other post-retirement related
changes other than net periodic benefit cost
Net Patient Service Revenue
The Hospital and FPP have agreements with third-party payors that provide for payments at
amounts different from established rates Payment arrangements include prospectively determined
rates per discharge, reimbursed costs, discounted charges, per diem payments, fee schedule
payments and capitated fees Net patient service revenue is reported at the estimated net
realizable amounts from patients, third-party payors, and others for services rendered, including
estimated retroactive adjustments under reimbursement agreements with third-party payors due to
future audits, reviews and investigations
Retroactive adjustments are accrued on an estimated basis in the period the related services are
rendered and adjusted in future periods as adjustments become known or as years are no longer
subject to such audits, reviews or investigations Contracts, loans and regulations governing the
Medicare and Medicaid programs are complex and subject to interpretation As a result, there is at
least a reasonable possibility that recorded estimates may change by a material amount in the
future During 2010 and 2009, the Hospital recorded several adjustments for amounts recognized
related to prior years, including adjustments to prior year estimates The net effect of such
adjustments was decrease in net patient service revenue of approximately $156,824 in 2011 and
an increase of approximately $167,000 in 2010
Free Care
The Hospital provides care to patients who meet certain criteria under its free care policy without
charge or at amounts less than its established and contractual rates Because the Hospital does
not pursue collection of amounts determined to qualify as free care, they are not reported as net
patient service revenue Free care of approximately $7,580,000 and $8,959,000 measured at the
Hospital's respective established rates was provided in fiscal year 2011 and 2010, respectively
Income Taxes
The Hospital and FPP are not-for-profit organizations, exempt from federal income taxes under
Section 501(c) (3) of the Internal Revenue Code
Subsequent Events
Management has evaluated subsequent events for the period after September 30, 2011 through
February 6, 2012, the date the financial statements were issued
Reclassifications
Certain amounts in the 2010 consolidated financial statement have been reclassified to conform to
the 2011 financial statement presentation
10

3.

Net patient service revenue for the years ended September 30, 2011 and 2010 is comprised as
follows
2011
FPP
Hospital
Patient service charges
Contractual allowances
384,534,584
(262,536,240)
$
121,998,344
Total
5,881,174
(3,188,117)
$
390,415,758
(265,724,357)
2,693,057
124,691,401
2010
FPP
Hospital
372,285,546
(254,199,065)
$
118,086,481
6,346,728
Total
(3,647,024)
$
2,699,704
378,632,274
(257,846,089)
120,786,185
The Hospital and FPP have agreements with the Federal Medicare Program ("Medicare"), the
State of Connecticut ("State") Medicaid Program ("Medicaid"), and certain indemnity and managed
care programs that determine payments for services rendered to patients covered by these
programs
A summary of the payment arrangements with major third-party payors is as follows
Medicare
The Hospital is reimbursed for services rendered to nonpsychiatric inpatients under the prospective
payment system ("PPS"), under which payments are based on standard national and regional
amounts depending on patient diagnosis (Diagnosis Related Group or "DRG") and without regard
to the Hospital's actual costs PPS permits additional payments, within specified limitations, to be
made for atypical cases (outliers) and graduate medical education Inpatient psychiatric services
are also paid under a prospective per deem payment system established by Medicare
The Hospital is reimbursed for most outpatient services under a prospective payment methodology
based on ambulatory payment classifications ("APC") which are paid on standard national and
regional amounts for procedures rendered to the patients and without regard to the Hospital's
actual costs The remaining outpatient services (e g , routine clinical lab, physical therapy) are
reimbursed on a fee schedule
The Hospital is reimbursed for cost reimbursable items at a tentative rate with final settlement after
submission of annual cost reports and audits thereof by the Medicare fiscal intermediary The
estimated amounts due to or from the program are reviewed and adjusted annually based on the
status of such audits and any subsequent appeals Differences between final settlements and
amounts accrued in previous years are reported as adjustments to net patient service revenue in
the year the examination is substantially complete The Hospital's Medicare cost reports have
been audited by the Medicare fiscal intermediary through September 30, 2007
Medicaid
Inpatient services rendered to Medicaid program beneficiaries , except for those beneficiaries in the
State's Aid to Families with Dependent Children ("AFDC") population , are reimbursed under a cost
reimbursement methodology The Hospital is reimbursed a tentative rate with final settlement
determined after submission of annual cost reports by the Hospital and audits thereof by the State
Outpatient services are reimbursed at predetermined fee schedules or percent of charges In
addition , the State also contracts with various managed care organizations to provide services to
the State 's AFDC population The Hospital contracts with one or more of these managed care
organizations and provides services on a per deem rate for inpatient and fee schedules or percent
of charges for outpatients
11

Other Payers
The Hospital has also entered into payment agreements with certain commercial insurance
carriers, health maintenance organizations, and preferred provider organizations The basis for
payment to the Hospital under these agreements includes prospectively determined rates per
discharge, discounts from established charges, prospectively determined per diem rates, fee
schedule payments and capitated fees
Future Reimbursement
Current trends in the health care industry include mergers and other forms of affiliations among
providers, increasing shifts to managed care, an overall reduction in inpatient average length of
stay, increasingly restrictive reimbursement policies by governmental and private payors, and the
prospect of significant changes in legislation at the State and national level The Hospital cannot
assess or project the ultimate effect of these or other items that may have an impact on the future
operations of the Hospital
4.
Investments
Investments
Investments, at fair value, at September 30 include
2011
Fixed income securities

Marketable equity securities
2010
Cost
Fair Value
Cost
Fair Value
$ 5,406,886
3,419,266
$ 5,001,889
3,654,884
$ 5,651,703
4,991,693
$ 5,722,058
4,999,685
$ 8,826,152
$ 8,656,773
$ 10,643,396
$ 10,721,743
Assets Limited As To Use

The composition of assets limited as to use at September 30, 2011 and 2010 is as follows
2011
Cost
Board-designated
For capital acquisition
For postretirement benefits
Held by trustee under indenture agreement

U S Treasury obligations
Accrued interest receivable
Less current portion
20,507
20,507
Cost
126,130
Fair Value
126,130
10,877
10,877
192,955
192,955
31,384
31,384
319,085
319,085
4,992,520
1,354
4,991,621
1,354
4,996,946
2,046
4,998,042
2,046
4,993,874
4,992,975
4,998,992
5,000,088
(704,176)
(704,176)
4,289,698
$
2010
Fair Value
4,321,082
12
(708,386)
4,288,799
$
4,320,183
(708,386)
4,290,606
$
4,609,691
4,291,702
$
4,610,787

Investment income and unrealized gains and losses for assets limited as to use, cash equivalents
and other investments are comprised of the following for 2011 and 2010
2011
Income
Interest and dividend income
Net realized gain
Change in unrealized gains and losses on investments
2010
380,331
75,984
(237,961)
300,559
540,686
44,949
218,353
886,194
The following table represents the Hospital's financial assets and liabilities by fair value hierarchy
as of September 30, 2011
September 30, 2011

Fair Value
Investments
Fixed income
Equity Securities
Total investments
Remainder trusts
Perpetual trusts
5,001,889
3,654,884
8,656,773

Quoted Prices in Significant Other Significant
in Active Markets for Observable
Unobservable
Identical Assets
Inputs
Inputs
(Level 1)
(Level 2)
(Level 3)
101,612
3,265,508
101,612
3,265,508
Total assets at fair value
$ 12,023,893
Liabilities
Interest rate swaps liability
7,973,902
7,973,902
Total liabilities at fair value
5,001,889
3,654,884
8,656,773
8,656 ,773
3 ,367,120
7,973,902
7,973,902
The following table sets forth a summary of changes in the fair value of the Hospital's level 3 assets
for the year ended September 30, 2011
Beginning balance at September 30, 2010
$ 3,644,228
Change in unrealized value of interest in trusts

Balance at September 30, 2011
(277,108)
$ 3,367,120
There were no transfers between levels during 2011 or 2010
13

The following table represents the Hospital 's financial assets and liabilities by fair value hierarchy
Quoted Prices in Significant Other Significant
in Active Markets for Observable
Unobservable
Identical Assets
Inputs
Inputs
(Level 1)
(Level 2)
(Level 3)
September 30, 2010

Fair Value
Investments
Fixed income
Equity Securities
Total investments
Remainder trusts
Perpetual trusts
5,722,058
4,999,685
10,721,743
112,045
3,532,183
$ 14,365,971
Liabilities
6,822,104
6,822,104
5,722,058
4,999,685
10,721,743
10,721,743
112,045
3,532,183
3,644,228
6,822,104
6,822,104
The following table sets forth a summary of changes in the fair value of the Hospital's level 3 assets
for the year ended September 30, 2010
Beginning balance at September 30, 2009
$ 3,518,834
125,394

5.
$ 3,644,228

Property, plant and equipment and accumulated depreciation as of September 30, 2011 and 2010
are summarized as follows
Land and improvements

Buildings and improvements
Fixed and movable equipment
Less Accumulated depreciation
Construction-in-progress
14
2011
2010
$ 5,107,308
70,300,374
69,071,589
$ 5,078,573
69,732,893
66,093,538
144,479,271
140,905,004
(82,909,524)
(77,240,361)
61,569,747
63,664,643
715,189
435,639
$ 62,284,936
$ 64,100,282

Depreciation expense was $3,871,478 and $4,775,375 for 2011 and 2010 , respectively
Included in property, plant and equipment as of September 30, 2011 and 2010 are capital lease
assets for major movable equipment with a cost of $8,901,170 Accumulated amortization on the
the respective capital lease assets was $3,187,762 and $1,221,344 as of September 30, 2011 and
2010, respectively
Amortization expense on capital lease assets was $1,966,417 and $1,498,373 for 2011 and 2010,
respectively
6.
Insurance Liability Loss Reserves

HAIC insures the professional and general liabilities of the Hospital under a claims-made policy
with a retroactive date of October 1, 1986 There are known claims and incidents that may result in
the assertion of additional claims as well as claims from unknown incidents that may be asserted
arising from services provided to patients The Hospital has utilized independent actuaries to
estimate the ultimate costs, if any, of the settlement of such claims Accrued malpractice reserves
for professional and general liability have been discounted at 3 5% at September 30, 2011 and
4 0% at September 30, 2010 In management's opinion these reserves provide an adequate
reserve for loss The Hospital has purchased excess insurance coverage to cover claims in excess
of $1,500,000 and $4,500,000 in the aggregate An independent actuary has been utilized to
estimate the ultimate cost of claims incurred contingencies
Effective January 1, 2003 Griffin Hospital began retaining the first $250,000 of all loss and
allocated loss adjustment expense per accident for its workers compensation exposure Excess
coverage above $250,000 per accident was purchased Beginning January 1, 2007 the per
occurrence retention was increased to $300,000 Annual aggregate coverage was also purchased
which provides $1 million of coverage above a maximum limit of retained losses within the per
occurrence retention Beginning October 1, 2010 the per occurrence retention was increased to
$400,000 and the annual aggregate coverage was discontinued The workers' compensation
reserves have been discounted at 3 0% and 3 5% at September 30, 2011 and 2010 respectively,
and in management's opinion provide an adequate reserve for loss contingencies
The Hospital also has recorded self-insurance reserves for its employee health plan, for the
deductible portion of workers' compensation indemnity losses from January 1, 1999 and prior, and
for the medical cost component of its workers' compensation losses prior to January 1, 2003,
subject to certain umbrella and stop-loss coverage limits The Hospital accrues its best estimate of
its retained liability for occurrences through each balance sheet date
7.
Long-Term Debt
Long-term consists of the following at September 30, 2011 and 2010
15

State of Connecticut Health and Educational Facilities Authority

Series B
Series C
Series D
Loan payable
Premium and discount on bonds, net of accumulated accretion
and amortization of $254,924 and $185,543, respectively
Less Current portion
2011
2010
$ 18,375,000
22,625,000
10,750,000
700,000
$ 19,490,000
23,125,000
10,925,000
-
587,113
656,494
53,037,113
54,196,494
(4,512,500)
(4,520,000)
$ 48,524,613
$ 49,676,494
The State of Connecticut Health and Educational Facilities Authority ("CHEFA") Revenue Bonds,
The Griffin Hospital Issue, Series B, totaling $24,800,000 were issued in February 2005 The
Series B bonds bear interest at rates ranging from 2 4% to 5 0% Interest is due semi-annually on
January 1 and July 1 A bond premium of $969,815 and bond issuance costs of $1,196,512 are
amortized over the life of the bond using the effective interest rate method The Series B bonds
are insured by Radian Asset Guaranty Corporation The bonds are payable annually each July 1
through 2015 and on July 1, 2020 and July 1, 2023 in the amounts of 7,750,000 and 5,640,000,
respectively The Series B bonds maturing after July 1, 2015 are subject to redemption prior to
maturity commencing July 1, 2015 The estimated fair value of the Series B bond was
approximately $18,161,000 and $19,743,000 at September 30, 2011 and 2010, respectively
In May 2007 , CHEFA issued $23,125 ,000 revenue bonds , The Griffin Hospital Issue, Series C and
$10,925 , 000 variable rate revenue bonds , The Griffin Hospital Issue , Series D
In May 2008, the Hospital refunded The Griffin Hospital Issue 2007 Series C and The Griffin
Hospital Issue 2007 Series D bonds, which were initially issued as auction rate bonds, and issued
$23,125,000 Griffin Hospital Issue 2008 Series C Variable Rate Demand bonds and $10,925,000
Griffin Hospital Issue 2008 Series D Variable Rate Demand Bonds (together referred to as "Series
2008 Bonds") The Series 2008 Bonds are insured by Radian Asset Guaranty Corporation
In order to provide liquidity for the Series 2008 Bonds, the Hospital has a standby letter of credit
with a financial institution which expires in May 2012 The Hospital has obtained an extension of
this letter of credit to May 2013 Should the Series 2008 Bonds be put back, and the standby letter
of credit be called, the Hospital would be required to repay the principal ratably over a five-year
period, beginning 180 days following the put
Under the terms of the CHEFA bonds, the Obligated Group (the Hospital, GHSC and GHDF) are
required to maintain 50 days operating cash on hand and a debt service coverage ratio of 1 2 to 1
Additionally, the Obligated Group is required to maintain a capitalization ratio of less than 65
The CHEFA bonds are collateralized by the gross receipts of the Obligated Group and certain real
property of the Hospital
Aggregate scheduled principal payments on all long-term debt are as follows
16

2012
2013
2014
2015
2016
Thereafter
1,900,000
1,935,000
2,040,000
2,135,000
2,225,000
42,215,000
$ 52,450,000
To the extent the Hospital is unable to remarket the Series 2008 bonds, the Hospital would be
obligated to repurchase these bonds from the proceeds of the Hospital's standby letter of credit
The previous debt maturities table reflects the payment of principal on these bonds according to
their scheduled maturity dates If the Series 2008 bonds were fully tendered by the bondholders to
the Hospital as of September 30, 2011, the table of annual principal payments would become
2011
2012
2013
2014
2015
Thereafter
$ 4,512,500
7,885,000
7,940,000
8,010,000
8,075,000
16,027,500
$ 52,450,000
Under the terms of the bond agreements, the Hospital is required to maintain certain funds with a
trustee for specified purposes and time periods Required payments to the trustee are made by the
Hospital in amounts sufficient to provide for the payment of principal, interest and sinking fund
installments as they become due, and certain other payments Assets held by the trustees
pursuant to the indentures as of September 30, 2011 and 2010 are as follows
2011
Debt service reserve fund
Debt service fund
Principal fund
2010
4,288,344
225,970
477,307
1,354
4,288,561
241,153
468,325
2,049
4,992,975
5,000,088
In fiscal year 2011 the Hospital borrowed $700,000 of the net cash value of certain officer universal
life insurance policies for working capital purposes There is no repayment requirement relative to
the borrowing
8.
Derivative Instruments
The Hospital initially issued its Series 2007 Series C and 2007 Series D bonds bearing interest at a
variable rate In May 2007, the Hospital entered into two interest rate swap agreements to manage
interest rate risk These agreements involve payment of fixed rate interest payments by the
Hospital in exchange for the receipt of variable rate interest payments from the counterparties,
17

based on a percentage of the London Interbank Offered Rate (LIBOR) In 2008, the Hospital
refinanced the Series 2007 bonds and issued the Series 2008 Bonds These bonds also bear
interest at a variable rate The two original swap agreements continue to be utilized by the Hospital
to manage its interest rate risk At September 30, 2011, the notional amount of the derivative
financial instruments was $22,625,000 (Series 2008 Issue C nontaxable bonds) and $10,750,000
(Series 2008 Issue D taxable bonds), respectively
Upon the occurrence of certain events of default or termination events identified in the derivative
contracts, either the Hospital or the counterparty could terminate the contract in accordance with its
terms Termination would result in the payment of a termination amount by one party to
compensate the other party for its economic losses The cost of termination would depend, in
major part, on the then current interest rate levels, and if the interest rate levels were then lower
than those specified in the derivative contract, the cost of termination to the Hospital could be
significant
The fair value of these derivatives was a liability of $7,973,902 and $6,822,104 as of
September 30, 2011 and 2010, respectively, which is included in long-term liabilities The impact
of the change in fair value was $1,151,797 and $2,200,011 for the years ended September 30,
2011 and 2010, respectively This change is included in the net realized and unrealized losses on
interest rate swap agreements, which also includes the net periodic settlement payments related to
the swap agreements of $1,376,109 and $1,325,683 for 2011 and 2010, respectively
The following table lists the fair value of derivatives by contract type included in the consolidated
balance sheet at September 30, 2011 and 2010
Initial
Notional
September 30, 2011

Derivatives not designated as
hedging instruments
Interest rate swaps
$ 34,050,000
Fair
Value
Initial
Notional
September 30, 2010

hedging instruments
Interest rate swaps
$ 34,050,000
(7,973,902)
Fair
Value
(6,822,104)
The following table indicates the realized and unrealized losses by contract type, as included in the
consolidated statements of operations for the years ended September 30, 2011 and 2010
18

Year ended September 30, 2011

Derivatives not designated for
hedging Instruments
Interest rate swaps
Year ended September 30, 2010

hedging Instruments
Interest rate swaps
9.
Location of Gain or (Loss )

on Derivatives
Net realized and unrealized

losses on interest rate swaps
Gain or (Loss)
on Derivatives
Location of Gain or (Loss)

on Derivatives

(2,527,906)
Gain or (Loss)
on Derivatives
(3,525,694)
Lease Commitments
Capital Leases
The Hospital leases certain equipment under capital leases which extend through 2015
Future minimum rental payments, by year and in aggregate, under capital leases consist of the
following as of September 30, 2011
2012
2013
2014
2015
Less Amounts representing interest
2,057,277
2,024,967
1,214,035
110,886
5,407,165
333,733
Present value of minimum lease payments
5,073,432
1,867,771
Capital lease obligation , net of current portion
3,205,661
Operating Leases
The Hospital leases various equipment and office space under operating leases, expiring at various
dates through 2015 Some of these leases contain renewal options Rent expense under such
leases was approximately $779,000 and $754,000 for the years ended September 30, 2011 and
2010, respectively
Future minimum rental payments as of September 30, 2011 under noncancelable operating leases
are as follows
2012
2013
2014
2015
2016
19
994,060
953,116
947,462
941,045
919,833
4,755,516

10
Temporarily and Permanently Restricted Net Assets

Temporarily restricted net assets are available for the following purposes as of September 30, 2011
and 2010
2011
Unspent income and appreciation on endowment
funds expendable for specified healthcare services
Change in the unspent income and (depreciation ) appreciation
on GHDF endowment funds
Restricted for purchase of equipment
Restricted for specified healthcare services
613 , 618
(20,928)
813,033
474,427
$ 1,880,150
2010
644,018
88,017
1 , 009,004
273,411
$ 2,014,450
Permanently restricted net assets at September 30, 2011 and 2010 are comprised as follows
2011
Investments to be held in perpetuity, the income of
which is expendable to support health care services
Interest in permanently restricted net assets of GHDF's
endowment, the income of which is expendable
for specified health care services
11
417,645
2010
417,645
1,742,616
3,367,120
1,742,616
3,644,228
$ 5,527,381
$ 5,804,489
Other Debt Arrangements and Guarantees

On March 5, 2005, the Hospital entered into a $262,500 letter of credit agreement with Wachovia
Bank On February 23, 2009, the Hospital also entered into an additional $750,000 letter of credit
agreement with Wachovia Bank On January 21, 2010, the letter of credit agreement for $262,500
was reduced to $50,000 No borrowings had been made on either letter of credit as of
September 30, 2011 or 2010
12
Transactions with Affiliated Corporations

Due from affiliates represents amounts receivable for various monthly operating expenses and
other operating purposes paid by the Hospital The following summarizes the due from affiliates as
of September 30
Health Alliance Insurance Company, Ltd (HAIC)

G H Ventures, Inc (GHV)
Planetree
GHSC
Griffin Pharmacy and Gift Shop (GP&GS)
20
2011
2010
$ 4,252,041
1,159,661
-
$ 4,112,001
713,192
86,755
1,033,464
305,010
5,411,702
6,250,422

The following summarizes the due to affiliates as of September 30
2011
Planetree
GP&GS
2010
5,633
61,988
67,621
The Hospital incurs charges related to various administrative and operating expenses, including
salaries and related costs for all affiliated entities The Hospital allocates such amounts to the
affiliated entities based on actual costs incurred
G. H. Ventures, Inc.
The Hospital advances funds to pay certain operating expenses for GHV which totaled
approximately $318,000 and $205,000 in 2011 and 2010, respectively
Griffin Hospital Development Fund
The Hospital paid operating expenses for GHDF totaling approximately $498,000 and $486,000 in
2011 and 2010, respectively Additionally, GHDF made a transfer to the Hospital of $825,000 and
to GHSC of approximately $700,000 in 2011 and 2010
Griffin Pharmacy and Gifts
The Hospital advanced operating expenses for GP&G totaling approximately $433,000 and
$440,000 in 2011 and 2010, respectively GP&G reimbursed the Hospital approximately $800,000
and $250,000 during 2011 and 2010, respectively
Healthcare Alliance Insurance Company, Ltd.
The Hospital obtains professional and general liability coverage under a policy between GHSC and
HAIC (See note 6) Total premiums incurred for this insurance coverage in 2011 and 2010 were
approximately $2,991,260 and $2,970,000, respectively The Hospital pays claims processing
expenses on behalf of HAIC and is subsequently reimbursed for these expenses As of
September 30, 2011 and 2010, the Hospital was due $4,133,299 and $4,112,001, respectively,
from HAIC for reimbursement of claims processing expense
Griffin Health Services Corporation
The Hospital paid operating expenses of approximately $3,000 and $6,000 for 2011 and 2010,
respectively GHSC transferred to the Hospital approximately $5,315,000 and $5,415,000 in 2011
and 2010, respectively The Hospital made cash advances to GHSC of approximately $1,000,000
and $3,161,000 in 2011 and 2010, respectively
Planetree, Inc.
The Hospital advanced operating expenses for Planetree totaling approximately $1,653,000 and
$2,579,000 in 2011 and 2010, respectively Planetree reimbursed the Hospital approximately
$1,745,000 and $2,050,000 in 2011 and 2010, respectively Planetree transferred $1,800,000 to
the Hospital during 2011 which represented a return of capital
13.
Pension and Other Postretirement Benefits

Pension Benefits
The Hospital sponsors a noncontributory defined benefit pension plan that covers substantially all
of its employees and provides for retirement and death benefits The Hospital's policy is to fund
actuarially determined pension costs as accrued
21

Effective May 1, 2010, credited service accruals under the retirement plans for employees of the
Griffin Hospital were frozen for the April 1, 2010 to March 31, 2012 plan year Participants continue
to earn vesting service during the freeze period and pay increases during the freeze period will be
reflected in participant's final earnings calculation however no credited service will be earned for
the period from April 1, 2010 to March 31, 2012
The Hospital's accumulated benefit obligation was $88 ,758,523 and $78,171,765 at September 30,
2011 and 2010, respectively
Other Postretirement Benefits
The Hospital also provides certain health care and life insurance benefits for eligible retired
employees and their dependents Substantially all of the Hospital's full-time employees may
become eligible for these benefits upon retirement if certain age and service criteria are met
Effective January 1, 2004, employees will need to be at least age 62 at retirement to be eligible for
coverage Employees who are eligible for these benefits at the time of their retirement and who
meet the requirements to receive an immediate pension plan benefit are provided continued health
and life insurance coverage throughout their retirement The plan is unfunded
Pertinent information relating to these plans is as follows, based on a September 30 measurement
date
Pension Benefits
2011
2010
Change in benefit obligation
Benefit obligation at beginning of year
Service cost
Interest cost
Actuarial loss
Benefits paid
86,252,605
100,000
4,228,200
14,114,413
(3,734,445)
77,615,552
1,309,950
4,208,395
6,145,618
(3,026,910)
6,819,956
225,851
330,609
1,128,017
(510,338)
6,318,827
214,747
335,766
400,963
(450,347)
$ 100,960,773
86,252,605
7,994,095
6,819,956
49 ,977,336
(1,353,510)
3,647,297
(3,734,445)
46,082,024
3,248,879
3,673,343
(3,026,910)
510,338
(510,338)
450,347
(450,347)
Fair value of plan assets at end of year
48,536,678
49,977,336
Unfunded status - recognized as a liability
(52,424,095)
(36,275,269)
(7,994, 095)
(6 , 819,956)
Benefit obligation at end of year

Change in plan assets
Fair value of plan assets at beginning of year
Actual return on plan assets
Employer contributions
Benefits paid
Other Benefits
2011
2010
22

Components of net periodic benefit cost are as follows
Pension Benefits
2011
2010
Service cost
Interest cost
Expected return on plan assets
Amortization of unrecognized prior
service credit
Amortization of transition obligation
Net actuarial loss
Net periodic benefit cost
Other Benefits
2011
2010
100,000
4,228,200
(4,272,234)
$ 1,309,950
4,208,395
(4,084,502)
3,308,346
2,430,483
$ 3,364,312
$ 3,864,326
225,851
330,609
(523,414)
10,104
301,588
$
214,747
335,766
(716,529)
10,104
343,541
344,738
187,629
Amounts recognized in the consolidated balance sheets consist of

Pension Benefits
2011
2010
Current liabilities
Noncurrent liabilities
52,424,095
$ 52,424,095
36,275,269
$ 36,275,269
Other Benefits
2011
2010
$
525,000
7,469,095
$ 7,994,095
438,000
6,381,956
$ 6,819,956
Pension Plan
Amounts in consolidated unrestricted net assets that are not yet recognized as a component of net
periodic benefit cost are as follows
Net actuarial loss
2011
2010
$ 58 ,934,533
$ 42,502,722
$ 58,934,533
$ 42,502,722
Other changes in plan assets and benefit obligations recognized in other changes in unrestricted
net assets
2011
Net actuarial loss
Amortization of
Actuarial loss
$ 19,740,157
(3,308,346)
2010
$
6,981,241
(2,430,483)
Expected amounts to be amortized from unrestricted net assets into net periodic benefit cost for the
next fiscal year
Actuarial loss
$ 4,621,222
23

Post-Retirement Plan
Amounts recognized in unrestricted net assets that are not yet recognized on a component of net
2011
Net transition obligation
Net prior service credit
Net actuarial loss
2010
(892,232)
4,687,452
$ 3,795,220
10,104
(1,415,646)
3,861,023
$ 2,455,481
Other changes in plan assets and benefit obligations included in unrestricted net assets not yet
recognized in periodic benefit cost are
2011
Net actuarial loss
2010
$ 1,128,017
Amortization of
Transition obligation
Prior service cost
Actuarial gain
(10,104)
523,414
(301,588 )
400,963
(10,104)
716,529
(343,541)
$ 1,339,739
763,847
next fiscal year
Prior service credit
Actuarial loss
10,104
(523,414)
826,429
Actuarial assumptions are as follows

Pension Benefits
2011
2010
Weighted average assumptions used to
determine year end benefit obligation
Discount rate
Rate of compensation increase
4 54%
4 00%
24
500%
400%
Other Benefits
2011
2010
454%
N/A
500%
N/A

Pension Benefits
2011
2010
determine net periodic benefit cost
Discount rate
Expected long-term return on plan assets
5 00%
8 50%
4 00%
Other Benefits
2011
2010
5 50%
8 50%
4 00%
5 00%
N/A
N/A
Pre-65
Health care cost trend rate assumed for next year

Rate to which the cost trend rate is assumed
to decline (the ultimate trend rate)
Year that the rate reaches the ultimate trend rate
5 50%
N/A
N/A
Post-65
2011
2010
2011
2010
8 00%
8 00%
8 00%
8 00%
5 00%
2018
5 00%
2017
5 00%
2018
5 00%
2017
A one-percentage-point change in assumed health care cost trend rates would have the following
effects on
Service and interest cost components

Postretirement benefit obligation
1-Percentage
Point
Increase
1-Percentage
Point
Decrease
$
$
$
$
16,000
161,088
(14,000)
(142,102)
Contributions
The Hospital expects to contribute approximately $3,772,000 to its pension plan and $525,000 to
its other postretirement benefit plan in fiscal year 2012
Estimated Future Benefit Payments
The following benefit payments, which reflect expected future service, are expected to be paid as
of September 30
Pension
Benefits
2012
2013
2014
2015
2016
2017-2021
25
3,772,000
4,002,000
4,296,000
4,683,000
4,991,000
30,531,000
Other
Benefits
$
525,000
508,000
499,000
495,000
536,000
2,933,000

Pension plan assets are invested as follows
2011
Asset category
US Large Cap
US Small Cap
International Equity
Fixed Income
Real Estate
2010
1 %
36
4 %
35
7
18
29
9
6
19
28
8
100 %
100 %
2011
2010
Target Asset Allocations

US Large Cap
38 %
US Small Cap
38 %
20
20
Fixed Income
25
25
Real Estate
10
10
100 %
100 %
The fair value of plan assets as of September 30, 2011, by asset category were as follows
(in thousands)
Total
U S Large Cap
U S Small Cap
Fixed Income
Real Estate Mutual Funds
Total
September 30, 2011

Quoted
Prices in
Significant
Active Markets
Other
for Identical
Observable
Assets
Inputs
(Level 1)
(Level 2)
Significant
Unobservable
Inputs
(Level 3)
617
17,607
3,200
8,547
14,280
4,331
617
17,607
3,200
8,547
679
-
13,601
4,331
48,582
30,650
17,932
26

The fair value of plan assets as of September 30, 2010, by asset category were as follows
(in thousands)
Total
U S Large Cap
U S Small Cap
Fixed Income
Real Estate Mutual Funds
Total
September 30, 2010

Quoted
Prices in
Significant
Active Markets
Other
for Identical
Observable
Assets
Inputs
(Level 1)
(Level 2)
Significant
Unobservable
Inputs
(Level 3)
1,901
17,340
3,091
9,442
14,014
4,189
1,901
17,340
3,091
9,442
10,908
-
3,106
4,189
49,977
42,682
7,295
Asset Investment Strategy

Investments shall be made solely in the interest of the participants and beneficiaries of the Trust,
and for the exclusive purpose of providing benefits accrued thereunder and defraying the
reasonable expenses of administration The Trust shall be invested with the care, skill, prudence,
and diligence under the circumstances then prevailing that a prudent person acting in like capacity
and familiar with such matters would use in the investment of a fund of like character and with like
aims Investment of the Trust shall be diversified to minimize the risk of large losses, unless under
the circumstances it is clearly prudent not to do so The long term strategy of the fund is to achieve
long-term growth In order to meet its needs, the investment strategy of the Trust is to emphasize
total return, that is, the aggregate return from capital appreciation, dividends and interest income
14.
Concentrations of Credit Risk

The Hospital grants credit without collateral to its patients, most of whom are local residents and
are insured under third-party payor agreements The mix in patient accounts receivable as of
September 30, 2011 and 2010 before allowances for doubtful accounts, consisted of the following
2011
Medicare and Medicaid
Commercial insurance
Managed care
Self-pay patients
City Welfare
27
2010
18 %
17
29
34
2
20 %
14
29
34
3
100 %
100 %

15.
Functional Expenses
The Hospital provides general health care services to residents within its geographic location
Expenses relating to providing these services at September 30, 2011 and 2010 are as follows
Patient care and clinical

General and administrative
16.
2011
2010
$ 112,943,128
18,758 ,730
$ 107,611,862
17 ,366,518
$ 131,701,858
$ 124,978,380
Endowments
The Hospital's endowment funds consist of donor restricted funds to be invested in perpetuity to
provide a permanent source of income The net assets associated with endowment funds are
classified and reported based on the existence or absence of donor imposed restrictions
The Hospital has interpreted the Connecticut UPMIFA statute as requiring the preservation of the
original gift as of the gift date of the donor-restricted endowment funds absent explicit donor
stipulations to the contrary As a result of this interpretation, the Hospital classifies as permanently
restricted net assets, (a) the original value of gifts donated to the permanent endowment, (b) the
original value of subsequent gifts to the permanent endowment, and (c) accumulations to the
permanent endowment made in accordance with the direction of the applicable donor gift
instrument at the time the accumulation is added to the fund The remaining portion of the
donor-restricted endowment fund that is not classified in permanently restricted net assets is
classified as temporarily restricted net assets until those amounts are appropriated for expenditure
by the Hospital in a manner consistent with the standard of prudence prescribed by UPMIFA In
accordance with UPMIFA, the Hospital considers the following factors in making a determination to
appropriate or accumulate endowment funds
1)
2)
3)
4)
5)
The duration and preservation of the fund

The purposes of the Hospital and the donor restricted endowment fund
General economic conditions
The possible effect of inflation and deflation
The expected total return from income and the appreciation of investments
28

6)
7)
Other resources of the Hospital

The investment policies of the Hospital
Endowment net asset composition by type of fund as of September 30 is as follows
Endowment net assets, beginning of year
Temporarily
Restricted
2011
Permanently
Restricted
Investment income and net depreciation

(realized and unrealized)
Appropriation of endowment assets for
expenditure for healthcare services
Endowment net assets, end of year
793,000
2,160,261
Total
$ 2,953,261
(1,478)
(1,478)
(19,450)
(19,450)
2 ,160,261
$ 2 ,932,333
772,072
Changes in endowment net assets for the years ended September 30 are as follows
Endowment net assets, beginning of year
Temporarily
Restricted
2010
Permanently
Restricted

Endowment net assets, end of year
613,017
Total
2,160,261
$ 2 ,773,278
181,320
181,320
(1,337)
(1,337)
793,000
2 , 160,261
$ 2 , 953,261
The primary long-term management objective for the Hospital's endowment funds is to maintain the
permanent nature of each endowment fund, while providing a predictable, stable, and constant
stream of earnings Consistent with that objective, the primary investment goal is to earn annual
interest and dividends
17.
Commitments and Contingencies

The Hospital is involved in various legal matters arising in the normal course of activities Although
the ultimate outcome is not determinable at this time, management, after taking into consideration
advice of legal counsel, believes that the resolution of these pending matters will not have a
material adverse effect, individually or in the aggregate, upon the consolidated financial
statements
29
pwc
Report of Independent Auditors On Accompanying Consolidating Information

The report on our audits of the consolidated financial statements of The Griffin Hospital and Subsidiary as
of September 30, 2011 and 2010 and for the years then ended appears on page 1 of this document
Those audits were conducted for the purpose of forming an opinion on the consolidated financial
statements taken as a whole The consolidating information is presented for purposes of additional
analysis of the consolidated financial statements rather than to present the financial position and results of
operations of the individual companies Accordingly, we do not express an opinion on the financial
position and results of operations of the individual companies However, the consolidating information has
been subjected to the auditing procedures applied in the audits of the consolidated financial statements
and, in our opinion, is fairly stated, in all material respects, in relation to the consolidated financial
statements taken as a whole
Fr- 'k c Q_ wcAs- .o L,.
.Coaprv-v
LL P
February 6, 2012
Price waterhouseC dopers LLP, 18 5 Asyl m1 Street, Suite 2400, Hartford, CT o61o33-3404
T: (860) 241 70oo, F. (860) 2417590, vvw .pINc.com/us

Consolidating Balance Sheet
September 30, 2011
The
Griffin
Hospital
Assets
Current assets
Investments
Patient accounts receivable, net

Property, plant and equipment, net
Due from affiliates
Investment in affiliate
Estimated third party settlements, long-term
Total assets
5,513,612
7,625,803
704,176
17,025,431
6,294,570
94,140
274,761
98,028
Eliminations
Total
5,607,752
7,625,803
704,176
17,300,192
6,392,598
37,163,592
466,929
37,630,521
31,384
4,288,799
31,384
4,288,799
4,320,183
4,320,183
1,030,970
62,082,187
5,415,314
5,411,702
374,891
457,830
3,367,120
3,010,621
202,749
-
(374,891)
-
1,030,970
62,284,936
5,415,314
5,411,702
457,830
3,367,120
3,010,621
81,150,635
202,749
(374,891)
80,978,493
(374,891)
$ 122,929,197
$ 122,634,410
31
Griffin
Faculty
Practice Plan
669,678

September 30, 2011
The
Griffin
Hospital
Liabilities and Net (Deficit ) Assets
Current liabilities
lease obligations
Accounts payable
Accrued expenses
Deferred revenue
Due to affiliates

Estimated third party settlements, long term
Workers compensation loss reserves, net of current portion
Conditional asset retirement obligations
Capital leases, net of current portion
Interest rate swap agreement
Total liabilities
Net (deficit) assets
Cumulative unrecognized pension changes
Total unrestricted
Total net (deficit) assets
Total liabilities and net (deficit) assets
6,380,271
19,696,544
6,939,306
365,713
33,048
67,621
525,000
128,993
165,794
-
Eliminations
Total
6,380,271
19,825,537
7,105,100
365,713
33,048
67,621
525,000
34,007,503
294,787
34,302,290
1,203,129
849,246
1,514,632
52,424,095
7,469,095
125,216
48,524,613
3,205,611
7,973,902
1,203,129
849,246
1,514,632
52,424,095
7,469,095
125,216
48,524,613
3,205,611
7,973,902
157,297,042
294,787
157,591,829
20,659,590
(62,729,753)
374,891
-
(374,891)
-
20,659,590
(62,729,753)
(42,070,163)
374,891
(374,891)
(42,070,163)
1,880,150
5,527,381
1,880,150
5,527,381
(34,662,632)
374,891
(374,891)
(34,662,632)
$ 122,634,410
32
Griffin
Faculty
Practice Plan
669,678
(374,891)
$ 122,929,197

September 30, 2010
The
Griffin
Hospital
Assets
Current assets
Investments
Due from affiliates
Total assets
3,905,172
9,660,079
708,386
15,222,331
3,851,849
Griffin
Faculty
Practice Plan
121,265
334,626
27,500
Eliminations
Total
4,026,437
9,660,079
708,386
15,556,957
3,879,349
33,347,817
483,391
33,831,208
319,085
4,291,702
319,085
4,291,702
4,610,787
4,610,787
1,061,664
64,043,605
5,523,935
6,250,422
323,116
220,661
3,644,228
2,994,897
56,677
-
(323,116)
-
1,061,664
64,100,282
5,523,935
6,250,422
220,661
3,644,228
2,994,897
84,062,528
56,677
(323,116)
83,796,089
(323,116)
$ 122,238,084
$ 122,021,132
33
540,068

September 30, 2010
The
Griffin
Hospital
Liabilities and Net (Deficit) Assets
Current liabilities
lease obligations
Accounts payable
Accrued expenses
Deferred revenue
Total liabilities
Total unrestricted
6,288,902
18,682,449
6,364,706
391,610
16,630
438,000
Griffin
Faculty
Practice Plan
14,547
202,405
-
Eliminations
Total
6,288,902
18,696,996
6,567,111
391,610
16,630
438,000
32,182,297
216,952
32,399,249
595,290
725,821
1,340,515
36,275,269
6,381,956
130,976
49,676,494
5,037,671
6,822,104
595,290
725,821
1,340,515
36,275,269
6,381,956
130,976
49,676,494
5,037,671
6,822,104
139,168,393
216,952
139,385,345
19,992,003
(44,958,203)
323,116
-
(323,116)
-
19,992,003
(44,958,203)
(24,966,200)
323,116
(323,116)
(24,966,200)
2,014,450
5,804,489
2,014,450
5,804,489
(17,147,261)
323,116
(323,116)
(17,147,261)
(323,116)
$ 122,238,084
$ 122,021,132
34
540,068

Consolidating Statement of Operations
Year Ended September 30, 2011
The
Griffin
Hospital
Operating revenues
Net assets released from restrictions for operations

Operating expenses
Depreciation
Interest
Gain (loss) from operations
No operating gains (losses)
Investment income
Change in fair value of interest rate swaps
Research grant revenues
Research grant expenses

Pension and other post-retirement related changes
(Decrease) increase in unrestricted net assets
121,998,344
5,999,588
27,869
Griffin
Faculty
Practice Plan
$
Eliminations
2,693,057
819,206
-
Total
(717,206)
-
128,025,801
3,512,263
(717,206)
130,820,858
70,585,175
43,868,190
5,747,143
2,618,102
3,349,408
3,138,011
2,542,471
90,752
111,648
(717,206)
-
73,723,186
45,693,455
5,837,895
2,618,102
3,461,056
126,168,018
5,882,882
(717,206)
131,333,694
1,857,783
(2,370,619)
(512,836)
218,353
(2,527,906)
2,414,954
(2,141,922)
218,353
(2,527,906)
2,414,954
(2,141,922)
(2,036,521)
(2,036,521)
(178,738)
(2,370,619)
(2,549,357)
47,054
799,271
2,422,394
(51,775)
(4,721)
3,221,665
(17,771,550)
$
35
124,691,401
6,101,588
27,869
(17,103,963)
(17,771,550)
$
51,775
(51,775 )
(17,103,963)

The
Griffin
Hospital
Operating revenues

Operating expenses
Depreciation
Interest
No operating gains (losses)
Investment income

Change in investment in affiliate
36
118,086,481
3,769,345
12,143
Griffin
Faculty
Practice Plan
$
Eliminations
2,699,704
668,840
-
Total
(668,840)
-
120,786,185
3,769,345
12,143
121,867,969
3,368,544
(668,840)
124,567,673
70, 362, 510

40,009,090
6,320,420
2,555,303
1,246,161
2,727,480
2,215,352
58,870
152,034
(668,840)
-
73, 089, 990

41,555,602
6,379,290
2,555,303
1,398,195
120,493,484
5,153,736
(668,840)
124,978,380
1,374,485
(1,785,192)
(410,707)
886,194
(3,525,694)
1,920,282
(1,600,391)
886,194
(3,525,694)
1,920,282
(1,600,391)
(2,319,609)
(2,319,609)
(945,124)
(1,785,192)
(2,730,316)
96,636
273,587
(2,320,462)
1,881,828
(96,636)
-
273,587
(438,634)
(5,314,605)
(5,314,605)
(8,209,968)
96,636
(96,636)
(8,209,968)
DIVIDER

Form
As Filed Data -
DLN: 93493223002013
OMB No 1545-0047
990
Under section 501 (c), 527, or 4947 ( a)(1) of the Internal Revenue Code ( except black lung
2011

A For the 2011
MEMO
calendar year, or tax year beginning 10-01-2011
and ending 09-30-2012

tmpioyer iaenuricarion nu
GRIFFIN HOSPITAL
1 Address change
Doing Business As
06-0647014
E Telephone number
Number and street ( or P 0 box if mail is not delivered to street address ) Room/suite
130 DIVISION STREET
Name change
(203)732-7528
r_ I nitia I return
F_ Terminated
1 Amended return
City or town, state or country , and ZIP + 4

DERBY, CT 06418

PATRICK S CHARMEL
130 DIVISION STREET
DERBY,CT 06418
H(a) Is this a group return for

affiliates?
fl Yes
H(b)
Are all affiliates included ?
F No
fl Yes
F_ No

I
Tax - exempt status
Website :0- GRIFFINHEALTH ORG
F 501(c)(3)
501( c) (
) -4 (insert no )
1 4947(a)(1) or
F_ 527
H(c)
K Form of organization F Corporation 1 Trust F_ Association 1 Other 0-
L Year of formation
1908
CT
Summary
1

GRIFFIN HOSPITAL IS COMMITTED TO PROVIDING PERSONALIZED, HUMANISTIC, CONSUMER-DRIVEN HEALTH CARE
22
18
1,531
486
7a
3,663,683
7aTotal unrelated business revenue from Part VIII, column (C), line 12
7b
Prior Year
13-
Program service revenue (Part VIII, line 2g)
10
Investment income (Part VIII, column (A), lines 3, 4, and 7d
11
12
12)
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
13
14
15
Salaries, other compensation, employee benefits (Part IX, column (A ), lines

5-10)
16a
sC
LLJ
2,414,954
2,234,902
127,604,535
126,387,570
456,315
464,000
421,266
422,129
130,897,070
129,508,601
70,585,160
72,639,965
60,252,685
61,258,997
130,837,845
133,898,962
59,225
-4,390,361
Professional fundraising fees (Part IX, column (A), line l le)
17
Other expenses (Part IX, column (A), lines 1la-11d, 11f-24e)
18
19
Year
'M
ZLL
20
21
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
Signature Block
Under penalties of perjury, I declare that I have examined this return , including acco
knowledge and belief, it is true, correct , and complete . Declaration of preparer (other
knowledge.
Sign
Here
PATRICK S CHARMEL CEO
Preparers
signature
Date
BETH THURZ
Paid
Preparer's
Use Only
-1,442,351
Current Year
Firm's name (or yours

If self-employed),
address, and ZIP + 4
SASLOW LUFKIN & BUGGY LLP

TEN TOWER LANE
AVON, CT 06001
May the IRS discuss this return with the preparer shown above? (see instructio
End of Year
122,634,410
129,920,217
157,297,042
159,955,862
-34,662,632
-30,035,645
Form 990 ( 2011)
Page 2

1
.F

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fl Yes F No

3
services? .
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F Yes F No

4
4a
Describe the organization 's program service accomplishments for each of its three largest program services, as measured 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
(Code
) ( Expenses $
116,126,636
) (Revenue $
109,680,301
4b
(Code
) ( Expenses $
3,754,826
) (Revenue $
8 ,911,560
) (Revenue $
2 ,791,088
) ( Revenue $
1 ,340,938
4c
(Code
) ( Expenses $
2,018,059
(Code
) ( Expenses $
483,799
4d
Other program services (Describe in Schedule 0

(Expenses $
4e
483,799
Total program service expensesl-$
) ( Revenue $
1 ,340,938
122,383,320
Form 990 (2011 )
Form 990 (2011)
Page 3

Yes
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1
2
No
Yes
Is the organization required to complete Schedule B, Schedule of Contnbutors(see instructions)? IN .
candidates for public office? If "Yes,"complete Schedule C, Part Is .
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election in effect during the tax year? If "Yes , "complete Schedule C, Part II
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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," completeSchedu/e C, Part III
S .
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the
Schedule D, Part ID .
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the environment, historic land areas or historic structures? If "Yes,"complete Schedule D, Part 1195
No
complete Schedule D, Part III . .
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No
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 IV' .
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No
7
8
9
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments,
permanent endowments, or quasi-endowments? If "Yes,"complete Schedule D, Part V
11
If the organization's answer to any of the following questions is 'Yes/then complete Schedule D, Parts VI, VII,
a
b
c
d
e
f
12a
No
lla
Yes
its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VII.
llb
Yes
its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII.
llc
Yes
reported in Part X, line 16? If "Yes," complete Schedule D, Part IX.
lid
Yes
lie
Yes
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part X.
addresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes,"complete
Schedule D, Part X.9
11f
No
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes,"complete )
Schedule D, Parts XI, XII, and XIII 95
12a
No
14a
12b
Yes
13
No
14a
No
14b
No
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 and IV .
15
No
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," completeSchedu/e F, Part III and IV .
16
No
17
No
18
No
19
No
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment,
and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? if "Yes, " complete
Schedule F, Part I .
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," completeSchedu/e G, PartI
18
VIII, lines 1c and 8a? If "Yes," completeSchedu/e G, Part II .
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19
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20a
Did the organization operate one or more hospitals? If "Yes, "complete Schedule H .
No
Did the organization report an amount for land, buildings, and equipment in Part X, linel0? If "Yes,"complete
Schedule D, Part VI.
16
Yes
Yes
13
15
No
10
"Yes,"and if the organization answered 'No'to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional
Yes
19
If"Yes" to line 20a, did the organization attach its audited financial statement to this return? Note . All Form 990
filers that operated one or more hospitals must attach audited financial statements
20a
Yes
20b
Yes
Form 990 (2011)
Form 990 (2011)
Page 4

21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in
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21
No
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the U nited States
on Part IX, column (A), line 2? If "Yes,"complete Schedule I, Parts I and III .
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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,"completeScheduleJ .
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23
Yes
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
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complete Schedule K. If "No,"go to line 25 .
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24a
Yes
24b
No
. 124c
No
24d
No
Section 501(c )( 3) and 501 ( c)(4) organizations . Did the organization engage in an excess benefit transaction with
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25a
No
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25b
No
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or
Part II .
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26
No
contributor, or a grant selection committee member, or to a person related to such an individual? If "Yes,"
complete Schedule L, Part III .
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27
No
28a
No
28b
No
A n 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 .
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28c
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes, " complete Schedule M
29
No
30
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30
No
PartI .
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31
No
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32
No
sections 301 7701-2 and 301 7701-3? If "Yes,"complete Schedule R, PartI .
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33
No
Was the organization related to any tax-exempt or taxable entity? If "Yes,"complete Schedule R, Parts II, III, IV,
and V, line l .
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IN
34
24a
d
25a
b
26
27
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part
IV .
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b A family member of a current or former officer, director , trustee, or key employee? If "Yes,"
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c
31
32
33
34
35a
b
36
37
38
Is any related organization a controlled entity of the filing organization within the meaning of section 512(b)(13)?
35a I Yes
Did the organization receive any payment from or engage in any transaction with a controlled entity within the
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meaning of section 512(b)(13 )? If "Yes,"complete Schedule R, Part V, line 2 .
35b
Yes
36
Yes
.
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organization? If "Yes,"complete Schedule R, Part V, line 2 .
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15
and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VI 95
1 37
Did the organization complete Schedule 0 and provide explanations in Schedule 0 for Part VI, lines 11 and 19?
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Yes
38
No
Yes
Form 990 (2011 )
Form 990 (2011)

KEW
Page 5

Check if Schedule 0 contains a response to any question in this Part V
Yes
la
No
Enter the number reported in Box 3 of Form 1096 Enter-0- if not applicable
b
c
2a
183
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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 .
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la
2a
1c
Yes
2b
Yes
3a
Yes
3b
Yes
1,531
3a
Did the organization have unrelated business gross income of $1,000 or more during the
year? .
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b
4a
If "Yes," has it filed a Form 990-T for this year? If "No,"provide an explanation in Schedule O .
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.
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)? .
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b
5a
4a
No
5a
No
5b
No
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?
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? .
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b
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6a
No
6b

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7a
7b
file Form 82827 .
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7c
No
If "Yes," indicate the number of Forms 8282 filed during the year
contract? .
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7e
No
7f
No
required? .
7g
Form 1098-C? .
7h
Sponsoring organizations maintaining donor advised funds and section 509(a )( 3) supporting organizations. Did
No
7d

a
b
10
9a
.
9b
facilities
11
10a
10b

a
Gross income from other sources (Do not net amounts due or paid to other
sources against amounts due or received from them ) .
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12a
b
13
11a
11b
Section 4947( a)(1) non -exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
year
12a
12b
Note . All 501(c)(29) organizations must list in Schedule 0 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
13a
allocated to each state
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
Enter the aggregate amount of reserves on hand

13c
14a
b
If "Yes," has it filed a Form 720 to report these payments? If "No,"provide an explanation in Schedule 0 .
14a
No
14b
Form 990 (2011 )
Form 990 ( 2011)
Lam
Page 6
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
0. See instructions.
.F

Yes
la
b
2
Enter the number of voting members of the governing body at the end of the tax
year .
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la
22
independent .
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lb
18
No
No
No
filed?
No
No
Did the organization have members or stockholders?
Yes
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or
more members of the governing body? .
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7a
Yes
b
8
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders,
or persons other than the governing body?
7b
No
a
The governing body?
b
9
8a
Yes
8b
Yes
organization's mailing address? If"Yes," provide the names and addresses i n Schedule 0
.
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F
9
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code. )
Yes
10a
b
11a
b
12a
Did the organization have local chapters, branches, or affiliates?
10a
If"Yes," did the organization have written policies and procedures governing the activities of such chapters,
affiliates, and branches to ensure their operations are consistent with the organization's exempt
purposes? .
.
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing
the form?
No
10b
11a
No
Describe in Schedule 0 the process, if any, used by the organization to review the Form 990
12a
Yes
Did the organization have a written conflict of interest policy? If "No,"go to line 13
12b
Yes
Did the organization regularly and consistently monitor and enforce compliance with the policy? If"Yes," describe
in Schedule 0 how this was done .
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12c
Yes
13
Did the organization have a written whistleblower policy?
13
Yes
14
Did the organization have a written document retention and destruction policy?
14
Yes
15
b Were officers, directors or trustees, and key employees required to disclose annually interests that could give
rise to conflicts? .
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c
No
15a
Yes
15b
Yes
16a
Yes
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its
participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the
organization's exempt status with respect to such arrangements?
16b
Yes
If "Yes," to line 15a or 15b, describe the process in Schedule 0 (see instructions)
16a
b
17
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 made these available Check all that apply
fl Own website fi Another 's website F Upon request
Describe in Schedule 0 whether (and if so, how), the organization made its governing documents , conflict of
interest policy , and financial statements available to the public See Additional Data Table
19
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization0JAMES DOWNEY
130 DIVISION STREET
DERBY, CT 06418
(203)732-7528
Form 990 (2011)
Form 990 (2011)
Page 7
Compensation of Officers , Directors , Trustees, Key Employees , Highest Compensated

(-
tax year
* 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
* List all of the organization' s current key employees, if any See instructions for definition of "key employee "
* List all of the organization's former officers, key employees, or highest compensated employees who received more than $100,000
* List all of the organization' s former directors or trustees that received, in the capacity as a former director or trustee of the
List persons in the following order individual trustees or directors, institutional trustees, officers, key employees, highest
compensated employees, and former such persons
fl 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
(C)
Position (do not check
more than one box,
unless person is both
an officer and a
director/trustee)
iD =
boo
rt
,^
m 4
C
Schedule
0)
5
m
t
'
Qr
(D)
Reportable
compensation
from the
( E)
Reportable
compensation
from related
organizations
(W- 2/1099MISC)
(F)
Estimated
amount of other
compensation
from the
organization and
related
organizations
T
0
4
^
M
1
^
Form 990 (2011 )
Form 990 (2011)
Page 8
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
(C)
more than one box,
an officer and a
director/trustee)
iD =
boo
L
D
0 {7
'D
G
t
m 4
C
Schedule
0)
5
m
( E)
Reportable
compensation
from related
organizations
(W- 2/1099MISC)
(F)
Estimated
amount of other
compensation
from the
organization and
related
organizations
T
0
t
'
(D)
Reportable
compensation
from the
M
1
Qr
lb
Sub -Total
.
.
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.
.
.
3,183,900
274,324
594,987
$100,000 of reportable compensation from the organization-76
No
on line la? If "Yes," completeScheduleJforsuch individual .
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4
individual .
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No
No

1
Complete this table for your five highest compensated independent contractors that received more than
$100,000 of compensation from the organization Report compensation for the calendar year ending with
or within the organization's tax year
(A)
(B)
(C)
Compensation
UNIDINE CORPORATION
75 REMITTANCE DRIVE
CHICAGO, IL 60675
FOOD SERVICE
F & F MECHANICAL ENTERPRISES

2 DWIGHT STREET
NORTH HAVEN, CT 06473
CONSTRUCTION
418,396
CONNECTICUT EMERGENCY MEDICINE SPECIALIS

PO BOX 271618
WEST HARTFORD, CT 06127
E R PHYSICIAN SERVICES
411,762
CARDIOLOGY ASSOC OF DERBY

130 DIVISION STREET
DERBY, CT 06418
PHYSICIAN SERVICES
399,621
NEW MILFORD LAUNDRY

47 COMMONS COURT
WATERBURY, CT 06704
LAUNDRY SERVICE
384,115
1,478,271
Total number of independent contractors ( including but not limited to those listed above ) who received more than
$100,000 of compensation from the organization 0-20
Form 990 (2011 )
Form 990 (2011)

N
Page 9
(A)
Total revenue
la
C C
45
Cx^
i
Federated campaigns
Membership dues
Fundraising events
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under
sections
512, 513, or
514
la
.
lb
1c
Related organizations
Government grants (contributions)
ld
le
1,908,138

if
326,764
Noncash contributions included in
lines la-1f $
Total . Add lines la -1f .
0-
2,234,902
PATIENT REVENUE
621500
121,066,315
117,402,632
621500
5,321,255
5,321,255
Business Code
2a
a2
S
3,663,683
d
e
f
Total . Add lines 2a -2f .
. 0-
126,387,570
Investment income ( including dividends , interest

10-

4
Income from investment of tax- exempt bond proceeds
Royalties
6a
Gross rents
422,129
Less rental
expenses
Rental income
or (loss)
(i) Real
c
d
c
d
Net gain or ( loss)
8a
422,129
422,129
112,285
112,285
. 0-
(ii) Personal
422,129
(i) Securities
Gross amount
from sales of
assets other
than inventory
Less cost or
other basis and
sales expenses
Gain or (loss)
351,715
0-
Net rental inco me or ( loss)
7a
351,715
(ii) Other
112,285
112,285
.
. 10-
Gross income from fundraising

events ( not including
$
w
3

See Part IV, line 18 .
L
a
b
Less
Net income or (loss ) from fundraising events
9a
direct expenses
Gross income from gaming activities

See Part IV, line 19 .
.
a
Less
Net income or (loss ) from gaming activities
10a
direct expenses
b
.
.0-
Gross sales of inventory, less

returns and allowances .
a
Less
cost of goods sold
0-
Business Code
11a
b
C
d
All other revenue
Total .Add lines 11a-11d
.
.
.
0-
12
Total revenue . See Instructions

129,508,601
122,723,887 ,
3,663,683
886,129
Form 990 (2011 )
Form 990 (2011)
Page 10

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)
Check if Schedule 0 contains a response to any question in this Part IX
( A)
Total expenses


in the United States See Part IV, line 21

United States See Part IV, line 22

organizations , and individuals outside the United
States See Part IV, lines 15 and 16
Compensation of current officers, directors, trustees, and

key employees

(as defined under section 4958 (f)(1)) and persons
Pension plan contributions ( include section 401(k) and section

403(b) employer contributions ) .
10
Payroll taxes
11

a
Management
(B)
Program service
expenses
(-
(C)
Management and
general expenses
3,183,757
2,101,280
1,082,477
49,478,334
44,530,501
4,947,833
5 ,288,072
4,759,265
528,807
10 ,586,624
9,527,962
1,058,662
4,103,178
3,692,860
410,318
6,491,127
5,842,014
649,113
Legal
237 ,404
237,404
Accounting
255,252
255,252
Lobbying
Professional fundraising See Part IV, Tine 17
Other
(D)
Fundraising
expenses
10,081,414
9,073,273
478,606
478,606
12
13
Office expenses
358,359
322,523
14
427,133
427,133
15
Royalties
16
Occupancy
313,890
313,890
17
Travel
348,787
348,787
18

19
Conferences , conventions, and meetings
20
Interest
5,233,260
5,233,260
21
22
5,913,219
5,913,219
23
Insurance
945,756
851,180
24

miscellaneous expenses in line 24f If line 24f amount exceeds 10% of
line 25, column ( A) amount, list line 24f expenses on Schedule 0
1,008,141
35,836
15,930,763
15,930,763
2,259,698
2,033,728
FOOD
1,186,176
1,186,176
BAD DEBT
985,616
985,616
94,576
225,970
e
f
All other expenses
25
Total functional expenses. Add lines 1 through 24f
26
Joint costs. Check here 1F- 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
9,812,537
8,831,284
981,253
133,898,962
122,383,320
11,515,642
Form 990(2011)
Form 990 (2011)
Page 11
Balance Sheet
(A)
Beginning of year
5,513,612
8,071,213
Receivables from current and former officers, directors, trustees, key employees, and
highest compensated employees Complete Part II of
3
17,025,431
Schedule L
6
(B)
End of year
12,754,987
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
10a
11
Land, buildings, and equipment
cost or other basis
852,072
1,810,064
2,258,893
10c
59,966,718
148,245,027
Complete
Part VI of Schedule D
10a
Less
10b
794,648
88 ,278,309
62,082,187
11
12
8,656,773
13
14,181,684
14
Intangible assets
15
Other assets
16
17
18
Grants payable
6,519,819
13
15,213,004
14

.
12,570,011
15
24,283,511
122,634,410
16
129,920,217
26,635,850
17
28,300,556
18
19
Deferred revenue
20
21
Escrow or custodial account liability Complete Part IVof Schedule D
22
Payables to current and former officers, directors, trustees, key

employees, highest compensated employees, and disqualified
12
33,048
19
40,179
53,037,112
20
51,432,599
21
22
23
23
24
24
25
Other liabilities (including federal income tax, payables to related third parties,
and other liabilities not included on lines 17-24) Complete Part X of Schedule
D
26
77,591,032
25
80,182,528
157,297,042
26
159,955,862
-42,070,163
27
-38,049,002
28
2,203,003
29
5,810,354
Organizations that follow SFAS 117, check here 1- F and complete lines 27
through 29, and lines 33 and 34.
C5
M
ca
27
28
1,880,150
29
5,527,381
r
_
Organizations that do not follow SFAS 117, check here 1 F- and complete
lines 30 through 34.
W_
<
30
30
31
31
32
32
33
-34,662,632
34
122,634,410
33
-30,035,645
34
129,920,217
Form 990 (2011 )
Form 990 (2011)
Page 12

Check if Schedule 0 contains a response to any question in this Part XI
.F
5
6
129,508,601
133,898,962
-4,390,361
-34,662,632
9,017,348
-30,035,645
Other changes in net assets or fund balances (explain in Schedule O)
Net assets or fund balances at end of year Combine lines 3, 4, and 5 (must equal Part X, line 33, column
(B))
GZMM-

.F
Yes
No

If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule 0
2a
Were the organization's financial statements compiled or reviewed by an independent accountant?
2a
Were the organization's financial statements audited by an independent accountant?
2b
Yes
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?
Schedule 0
2c
Yes
3a
Yes
3b
Yes
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
fl Separate basis
3a
b
No
fl Both consolidated and separated basis
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? .
.
.
.
.
.
.
.
.
.
.
.
.
.
.
audit or audits, explain why in Schedule 0 and describe any steps taken to undergo such audits
.
Form 990 (2011 )
Additional Data
Software ID:
Software Version:
EIN:
Name :
06 -0647014
GRIFFIN HOSPITAL
Form 990, Part III - 4 Program Service Accomplishments (See the Instructions)
4d. Other program services
(Code
) (Expenses $
483,799
) (Revenue $
1,340,938
(A)
Name and Title
(B)
Average
hours
per
week
(C)
Position (check all
that apply)
,o =
0
=
Z
4
c
Q'
HENDRICKS DAVID
MD/BOARD MEMBER
(D
o
m
+ 00
(D)
Reportable
compensation
from the
( E)
Reportable
compensation
from related
organizations
(W- 2/1099MISC)
T
-
(F)
Estimated
amount of other
compensation
from the
organization and
related
organizations
0V,
it
413,379
58,191
14 00
226,511
47,152
SCHWARTZ KENNETH
MD/BOARD MEMBER
16 00
190,532
67,325
STUMPO BARBARA J
V P /BOARD MEMBER
40 00
169,709
40,922
ANDREANA JOSEPH
TRUSTEE
1 00
BALDYGA KENNETH
TRUSTEE
100
BETKOSKI JOHN W III

CHAIRMAN
1 00
DINARDO NANCY
TRUSTEE
1 00
FOX ROBERT A
TRUSTEE
1 00
JONES JEAN CRUM

TRUSTEE
1 00
KLARIDES THEMIS
TRUSTEE
1 00
LOGAN GEORGE S
TRUSTEE
1 00
OSAK FRANK M
TRUSTEE
1 00
MEZZO ROBERT
TRUSTEE
1 00
REISS ROBERT G
TRUSTEE
1 00
WEINER GERALD T
TRUSTEE
1 00
ZAPRZALKA JOHN J
TRUSTEE
1 00
SACZYNSKI SHELLY
TRUSTEE
1 00
BINGAMAN LARRY
TRUSTEE
1 00
PEARSON WM NEIL
MD/TRUSTEE
1 00
1 00
40 00
BORIS GREGORY
MD/BOARD MEMBER
1 00
DOBULER KENNETH
MD/BOARD MEMBER
CHARMEL PATRICK
PRESIDENT/CEO
MOYLAN JAMES J
VICE PRESIDENT/CFO
40 00
249,920
39,027
POWANDA WILLIAM
VICE PRESIDENT
40 00
181,708
48,142
BERNS EDWARD
VICE PRESIDENT
40 00
152,735
36,514
(A)
Name and Title
(B)
Average
hours
per
week
(C)
Position ( check all
that apply)
,o =
Z
L
-D 4
CD `
(D
c
c
0
M
Q'
ET
(D)
Reportable
compensation
from the
organization (W2 /1099-MISC)
( E)
Reportable
compensation
from related
organizations
( W- 2/1099MISC)
(F)
Estimated
amount of other
compensation
from the
organization and
related
organizations
in
Q.
Q.
iV
MARTIN KATHLEEN
VICE PRESIDENT
40 00
149,614
37,662
DEEGAN MARGARET
VICE PRESIDENT
40 00
204,758
31,516
SHEPARD SETH
VICE PRESIDENT
40 00
183,468
21,483
FRAMPTON SUSAN
PRESIDENT/PLANETREE
40 00
274,324
28,232
D'SOUSA SEEMA
30 00
179,424
21,635
40 00
199,780
68,082
40 00
240,796
27,500
SALABARRIA 3AVIER
MD
40 00
266,555
21,604
HURIBAL MARSEL
MD
40 00
175,011
MD
HALSTEAD EDWARD
MD
N A WA Z H A Q
MD
l efile
As Filed Data -
DLN: 93493223002013
OMB No 1545-0047
SCHEDULE A
2011
(Form 990 or 990EZ)

Complete if the organization is a section 501(c )(3) organization or a section
4947 (a)(1) nonexempt charitable trust.

^ Attach to Form 990 or Form 990-EZ . ^ See separate instructions.

GRIFFIN HOSPITAL
06-0647014
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
A church, convention of churches, or association of churches section 170 ( b)(1)(A)(i).
A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).
fl
fl
described in
section 170 ( b)(1)(A)(vi ) (Complete Part II )
fl
acquired by the organization after June 30, 1975 See section 509 (a)(2). (Complete Part III )
10
fl
An organization organized and operated exclusively to test for public safety Seesection 509(a)(4).
11
fl
one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2) See section 509 (a)(3). Check
the box that describes the type of supporting organization and complete lines 11e through 11h
a
fl Type I
b
fl Type II
c
d
fl Type III - Other
fl
section 509(a)(2)
If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization,
check this box
F
following persons?
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
f
g
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)
0)
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?
Yes
No
(v)
Did you notify the
organization in
col (i) of your
support?
Yes
No
(vi)
Is the
organization in
col (i) organized
in the U S ?
Yes
vii
Amount of
support?
No
Total
For Paperwork Reduction Act Notice, seethe Instructions for Form 990
Cat No
11285F
Page 2
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.)
in)
1
grants ")
2
behalf
3
4
5
(f)
6
Public Support . Subtract line 5 from
line 4
(a) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(f) Total
(e) 2011
(f) Total

Calendaryear (or fiscal year beginning
(a) 2007
(b) 2008
in)
7
Amounts from line 4
8
sources
business activities, whether or
not the business is regularly
carried on
Other income (Explain in Part
10
IV ) Do not include gain or loss
from the sale of capital assets
Total support (Add lines 7
11
through 10)
12
Gross receipts from related activities, etc (See instructions
13
(c) 2009
(d) 2010
12
llik^F-
Section C. Computation of Public Support Percentage

14
14
15
Public Support Percentage for 2010 Schedule A, Part II, line 14
15
16a
331 / 3%support test - 2011 . Ifthe organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
b 33 1 / 3%support test - 2010 . Ifthe organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
17a 10%-facts-and -circumstances test-2011 . If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here . Explain
in Part IV how the organization meets the "facts and circumstances" test The organization qualifies as a publicly supported
organization
b 10%-facts-and-circumstances test - 2010 . If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test The organization qualifies as a publicly
18
Private Foundation If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions
Page 3
Support Schedule for Organizations Described in IRC 509(a)(2)

IMMITM
Calendar year
(or fiscal year beginning

in)
1
2
purpose
3
4
behalf
5
6
persons
8
Public Support (Subtract line 7c
from line 6 )
(a) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(f) Total

(a) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(f) Total
in)
9
Amounts from line 6
10a
sources
b
June 30, 1975
c
11
12
IV )
Total support (Add lines 9, 10c,
13
11 and 12)
14

15
15
16
16
Section D . Computation of Investment Income Percentage

17
Investment income percentage for 2011 (line 10c column (f) divided by line 13 column (f))
17
18
18
19a
33 1/3%support tests-2011 . If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not
more than 33 1/3%, check this box and stop here . The organization qualifies as a publicly supported organization
33 1/3% support tests- 2010 . If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line
18 is not more than 33 1/3%, check this box and stop here . The organization qualifies as a publicly supported organization
Private Foundation If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions
b
20
Page 4
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
l efile
GRAPHIC
DLN: 93493223002013
OMB No 1545-0047
2011
SCHEDULE C
As Filed Data -

1- Complete if the organization is described below.

1- Attach to Form 990 or Form 990-EZ. 1- See separate instructions .
'
If the organization answered " Yes," to Form 990, Part IV , Line 3 , or Form 990-EZ , Part V, line 46 ( Political Campaign Activities),
then
If the organization answered " Yes," to Form 990, Part IV , Line 4, or Form 990-EZ , Part VI, line 47 ( Lobbying Activities), then
If the organization answered " Yes," to Form 990, Part IV , Line 5 (Proxy Tax) or Form 990-EZ , line 35c ( Proxy Tax), then
GRIFFIN HOSPITAL
06-0647014
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
Volunteer hours
Complete if the organization is exempt under section 501(c)(3).

1
fl Yes
fl No
4a
fl Yes
fl No
rMWINTComplete if the organization is exempt under section 501 ( c) except section 501(c)(3).
1
exempt funtion activities
(a) Name
(b) Address
fl Yes
( c) EIN
i-or Privacy Act ana raperworK rteauction Act Notice, see the instructions Tor corm 99U.

Cat No 50084S
fl No

and promptly and
separate political
enter -0-
Schedule C ( Form 990 or 990 - EZ) 2011
Page 2
A
Check
Check
F if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN,
expenses, and share of excess lobbying expenditures)
1 if the filing organization checked box A and "limited control" provisions apply
(a) Filing
O rganization's
Totals

(The term "expenditures " means amounts paid or incurred.)
la
(b) Affiliated
Group
Totals
columns
Not over $500,000
Over $500,000 but not over $1,000,000
Over $1,000,000 but not over $1,500,000
Over $1,500,000 but not over $17,000,000
Over $17,000,000
$1,000,000
Yes
No
(Some organizations that made a section 501 ( h) election do not have to complete all of the five
Lobbying Expenditures During 4 - Year Averaging Period
Calendar year ( orfiscaI year
beginning in)
2a
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) Total
Lobbying non-taxable amount

150% of line 2a column e
Grassroots non-taxable amount

(150% of line 2d, column (e))

Page 3
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768
( election under section 501 ( h )) .
(a)
Yes
1
(b)
No
through the use of
Volunteers?
No
No
No
No
No
No
No
Other activities? If "Yes," describe in Part IV
Total lines 1c through 11
2a
Amount
No
Yes
11,700
11,700
No
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section
501 ( c )( 6 ) .
Yes
1
Did the organization agree to carryover lobbying and political expenditures from the prior year?
No
501(c)(6) if BOTH Part 111-A , lines 1 and 2 are answered "No " OR if Part III - A, line 3 is
answered "Yes".
1
2

Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
a
b
Current year
2a
Total
2c
Su
2b
lementalInformation
Complete this part to provide the descriptions required for Part I-A, line 1 , Part I-B, line 4, Part I-C, line 5, and Part II-B, line 1i
Also , com p lete this p art for an y additional information
Identifier
EXPLANATION OF LOBBYING
ACTIVITIES
Return Reference
PART II-B, LINE 1
Explanation
FISCAL YEAR ENDED 9 /30/2012 $11,699 62 OF THE
PURPOSE
DLN: 934932230020131
OMB No 1545-0047
SCHEDULE D
(Form 990)

I As Filed Data - I
2011

Part IV, line 6, 7, 9, 10, 11a 11b 11c 11d 11e 11f 12a , or 12b

GRIFFIN HOSPITAL
bafffim
06-0647014
or g anization answered "Yes" to Form 990 Part IV , line 6.
1
( b) Funds and other accounts
funds are the organization ' s property , subject to the organization ' s exclusive legal control?
F Yes
Did the organization inform all grantees , donors, and donor advisors in writing that grant funds may be
conferring impermissible private benefit
fl Yes
fl No
No
MRSTIConservation Easements . Complete if the organization answered "Yes" to Form 990, Part IV , line 7.
1
1 Preservation of land for public use ( e g , recreation or pleasure )
1 Preservation of an historically importantly land area
1
Protection of natural habitat
fl
Preservation of open space
Complete lines 2a-2d if the organization held a qualified conservation contribution in the form of a conservation
a
2a
2b
2c
Number of conservation easements included in (c) acquired after 8/17/06
2d
N umber of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year 04
fl Yes
fl No
1 Yes
fl No
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year 1Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
0-$
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

Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
la
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
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
following amounts required to be reported under SFAS 116 relating to these items
a
$
$
Cat No 52283D
r:FTnFW
3
Page 2
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
F_
Public exhibition
fl
Scholarly research
(-
Other
Provide a description of the organization 's collections and explain how they further the organization 's exempt purpose in
Part XIV
1 Yes
la
If "Yes," explain the arrangement in Part XIV and complete the following table
Beginning balance
1c
ld
le
Ending balance
if
1 Yes
1 No
F No
Amount
2a
b
Did the organization include an amount on Form 990 , Part X, line 21?
fl Yes
fl No
If"Yes," explain the arrangement in Part XIV
MITIT Endowment Funds . Com p lete if the or g anization answered "Yes" to Form 990 , Part IV , line 10.
(a)Current Year
la
Contributions
Investment earnings or losses

and programs
End of year balance
( b)Prior Year
(c)Two Years Back
( d)Three Years Back
2,932,333
2,953,261
2,773,278
2,677,652
322,207
-1,478
124,305
97,031
5,000
19,450
1,337
1,405
3,249,540
2,932,333
2,896,246
2,773,278
(e)Four Years Back
Provide the estimated percentage of the year end balance held as

a
Permanent endowment 0-
c
3a
66 500 %
33 500 %
Term endowment 0Are there endowment funds not in the possession of the organization that are held and administered for the
organization by
b
4

.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
3a(i)
3a(ii)
.
. I
Yes
Yes
No
No
3b
Describe in Part XIV the intended uses of the organization's endowment funds
ITT Mvi d
Land . Buildinas . and Eauioment . See Form 990. Part X. line 10.
(a) Cost or other
basis ( investment )
Description of property
la
Land
( c) Accumulated
depreciation
4,015 ,091
b Buildings
(b)Cost or other
basis (other)
(d) Book value

4,015,091
72 ,926,054
34,898,661
38,027,393
70,963,696
53,127,705
17,835,991
d Equipment
e Other
Total . Add lines la -le (Column (d) should equal Form 990, Part X, column (B), line 10 (c).) .
340,186
251,943
0-
88,243
59,966,718
Page 3
MrOW-Investments - 0ther Securities . See Form 990 , Part X , line 12.

(b)Book value

(3)Other
3,611,174
2,908,645
6,5 19,8 19

(b) Book value

700,398
10,001
3,650,093
4,288,627
6,563,885
15,213,004

(a) Description
(3) OTHER ASSETS & INSURANCE RECOVERABLE
(4) THIRD PARTY
(b) Book value

2,405,920
7,998,375
12,635,039
1,203,411
Total . (Column (b) should equal Form 990, Part X, co/.(8) line 15.)
40,766
24,283,511
2. Fin 48 (A SC 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)
Page 4
171174T- Reconciliation of Chan g e in Net Assets from Form 990 to Financial Statements
1
Total revenue (Form 990, Part VIII, column (A), line 12)
129,508,601
Total expenses (Form 990, Part IX, column (A), line 25)
133,898,962
Excess or (deficit) for the year Subtract line 2 from line 1
-4,390,361
534,665
Investment expenses
Total adjustments (net) Add lines 4 - 8
9,017,348
Excess or (deficit) for the year per financial statements Combine lines 3 and 9
10
4,626,987
10
Reconciliation of Revenue p er Audited Financial Statements With Revenue p er Return
130,043,266
a
Other (Describe in Part XIV )
2a
.
534,665
2b
2c
2d
.
.
2e
4c
534,665
129,508,601
a
4a
4b
c
5
Total Revenue Add lines 3 and 4c. (This should equal Form 990, Part I, line 12
0
129,508,601
Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
Total expenses and losses per audited financial

statements .
133,898,962
1
a
Other losses
2a
2b
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
2c
.
a
8,482,683
2d
.
.
.
.
.
Other (Describe in Part XIV )
.
.
2e
133,898,962
4c
133,898,962
4b
.
Total expenses Add lines 3 and 4c. (This should equal Form 990, Part I, line 18
9711SNIM
4a
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

OF ENDOWMENT FUNDS
PART V, LINE 4
THE HOSPITAL'S ENDOWMENT FUNDS CONSIST OF DONOR

RESTRICTED FUNDS TO BE INVESTED IN PERPETUITY TO
PROVIDE A PERMANENT SOURCE OF INCOME
DESCRIPTION OF UNCERTAIN
TAX POSITIONS UNDER FIN 48
PART X
THERE IS NO FIN 48 (ASC 740) FOOTNOTE IN THE GRIFFIN

HOSPITAL AUDITED FINANCIAL STATEMENTS
PART XI, LINE 8 - OTHER

ADJUSTMENTS
TRANSFERS BETWEEN AFFILIATES -2,731,233 MINIMUM

PENSION LIABILITY ADJUSTMENT 10,040,391 CHANGE IN
NET ASSETS OF AFFILIATE 567,699 CHANGE IN
TEMPORARILY RESTRICTED NET ASSETS 322,853
CHANGE IN BENEFICIAL INTEREST IN TRUSTS 282,973
TOTAL TO SCHEDULE D, PART XI, LINE 8 8,482,683
Additional Data
Software ID:
Software Version:
EIN:
Name :
06 -0647014
GRIFFIN HOSPITAL
Form 990, Schedule D , Part X, - Other Liabil ities

1
(b) Amount
OTHER LIABILITIES
435,000
8,484,801
876,637
42,429,930
2,108,091
347,111
22,138,767
119,709
1,299,057
LT - CURRENT PORTION
1,943,425
l efile
As Filed Data -
SCHEDULE H
(Form 990)
DLN: 93493223002013
OMB No 1545-0047
Hospitals
2011

Ope n
Inspection

GRIFFIN HOSPITAL
06-0647014
EVINW - Charity Care and Certain Other Communit y Benefits at Cost

Yes
Did the organization have a charity care policy? If "No," skip to question 6a
la
b
2
If "Yes," is it a written policy?
.
.
la
Yes
lb
Yes
3a
Yes
3b
Yes
If the organization had multiple hospitals, indicate which of the following best describes application of the charity
care policy to the various hospitals
F
Applied uniformly to all hospitals
Generally tailored to individual hospitals
Applied uniformly to most hospitals
Answer the following based on the charity care eligibility criteria that applies to the largest number of the
organization's patients during the tax year
Did the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care?
If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care
F
No
1000/0
150%
200%
Other. 2250.000000000000 %
Did the organization use FPG to determine eligibility for providing discounted care? If
"Yes," indicate which of the following is the family income limit for eligibility for discounted care
F
200%
250%
300%
350%
400%
0/0
Other
If the organization did 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
Did the organization's policy provide free or discounted care to the "medically indigent"?
Yes
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? .
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
5a
Yes
If "Yes," did the organization's charity care expenses exceed the budgeted amount?
5b
Yes
care to a patient who was eligibile for free or discounted care? .
5c
6a
Did the organization prepare a community benefit reportduring the tax year?
6a
Yes
6b
6b
Yes
No
7
Charity Care and Certain Other Community Benefits at Cost
Charity Care and

Means-Tested
Government Programs
a
b
c
Charity care at cost (from

Worksheet 1)
.
.
.
Medicaid (from Worksheet 3,
column a)
.
.
.
.
Costs of other means-tested
government programs (from
Worksheet 3, column b)
Total Charity Care and
Means-Tested Government
Programs
(a) Number of
activities or
programs
(optional)
(b) Persons
served
(optional)
(c) Total community

benefit expense

revenue
(e) Net community benefit (f) Percent of

expense
total expense
275
2,150,116
2,150,116
1 610 %
10,197
10,577,781
7,060,403
3,517,378
2 630 %
145
310,135
241,706
68,429
0 050 %
10,617
13,038,032
7,302,109
5,735,923
4 290 %
46,175
896,911
6,830
890,081
0 660 %
140
5,850,061
4,797,952
1,052,109
0 790 %
42,141
21,661,980
20,149,686
1,512,294
1 130 %
1,183,995
1,183,995
0 880 %
Other Benefits
e
f
g
h
i

services and community
benefit operations (from
(Worksheet 4)
.
.
.
(from Worksheet 5)
.
(from Worksheet 6)
.
Cash and in-kind contributions
for community benefit (from
Worksheet 8)
.
.
.
Total Other Benefits .
.
.
k Total . Add lines 7d and 7j
2,133
38,051
38,051
0 030 %
90,589
29,630,998
24,954,468
4,676,530
3 490 %
101,206
42,669,030 ,
32,256,577
10,412,453 ,
7 780 %
Cat N o
50192T
Page 2
Community Building Activities Complete this table if the organization conducted any community building
activities.
(a) Number of
(b) Persons
activities or
served (optional)
programs
(optional)
Physical improvements and housing
Economic develo p ment
Community support
Environmental im p rovements

for communit y members
Coalition building

advocacy
Other
10
Total
(c) Total community

building expense

revenue
(e) Net community

building expense
(f) Percent of
total expense
2,878
34,180
34,180
0 030 %
2,878 ,
34,180 ,
34,180 ,
0 030 %
Bad Debt, Medicare, & Collection Practices

Yes
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
Statement No 15? .
Enterthe amount of the organization's bad debt expense
Enter the estimated amount of the organization's bad debt expense attributable to
patients eligible under the organization's charity care policy .
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
Yes
9a
Yes
9b
Yes
No
312,439
Section B. Medicare
5
Subtract line 6 from line 5 This is the surplus or (shortfall)
.
.
Cost to charge ratio
41,800,233
49,286,120
-7,485,887
Other
Section C. Collection Practices

9a
b
Did the organization have a written debt collection policy during the tax year?
If "Yes," did the organization's collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial
assistance? Describe in Part VI
Management Comeanies and Joint Ventures (see instructions)
(a) Name of entity

activity of entity
(c) Organization's
profit % or stock
ownership %

trustees, or key
employees' profit %
or stock ownership%
(e) Physicians'
profit % or stock
ownership
1
2
3
4
5
6
7
8
9
10
11
12
13
Page 3
2-
CD
cu
{3
f}
{6
g_
0
0
Cp
I'D
list in order of size from largest to smallest )
+k
(P
'
{6
Cu
ow many hospital facilities did the organization operate during

1
the tax year?
c^yo
ry
rL
(P
P-
3
n
ame and address

er (Describe)
1
GRIFFIN HOSPITAL
130 DIVISION STREET
DERBY CT 06418
Page 4

Section B. Facility Policies and Practices.
(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
GRIFFIN HOSPITAL
Name of Hospital Facility:
Line Number of Hospital Facility (from Schedule H, Part V, Section A):
1
Yes I No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2011
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
. . . . . . . . . . . . . . . . . . . . .
If"Yes," indicate what the Needs Assessment describes (check all that apply)
a
No
F A definition of the community served by the hospital facility
b F Demographics of the community

c
d
Existing health care facilities and resources within the community that are available to respond to the health
needs of the community
F How data was obtained
e F The health needs of the community

f
g
F Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and
minority groups
F The process for identifying and prioritizing community health needs and services to meet those needs
h F The process for consulting with persons representing the community's interests
i
F Information gaps that limit the hospital facility's ability to assess the community's health needs
F 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
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 . . . . . . . . . . . . . . . . . . . . . . . . . . .
5 Did the hospital facility make its Needs Assessment widely available to the public? . . . . . . . . . . .
3
4
If"Yes," indicate how the Needs Assessment was made widely available (check all that apply)
a
1 Hospital facility's website
b 1 Available upon request from the hospital facility

c
1 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 F Adoption of an implementation strategy to address the health needs of the hospital facility's community
b F
Execution of the implementation strategy
F Development of a community-wide community benefit plan for the facility
e F
Participation in community-wide community benefit plan

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
h F
i
Prioritization of health needs in the community

Prioritization of services that the hospital facility will undertake to meet health needs in its community
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If"No,"
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?
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care? . . . .
If "Yes," indicate the FPG family income limit for eligibility for free care 250 000000000000 %
If "No," explain in Part VI the criteria the hospital facility used
8
9
Yes
Yes
Page 5
Facilit y information (continued)

Yes
10 Used FPG to determine eligibility for providing discounted care?
. . . . . . . . . . . .
If"Yes," indicate the FPG family income limit for eligibility for discounted care 400 000000000000 %
11 Explained the basis for calculating amounts charged to patients? . . . . . . . . . . . . . . . . .
10
Yes
11
Yes
No
If"Yes," indicate the factors used in determining such amounts (check all that apply)
a
I Income level
b I Asset level
c
I Medical indigency
I Insurance status
e I Uninsured discount
f
F Medicaid/Medicare
F State regulation
h 1 Other (describe in Part VI)

12 Explained the method for applying for financial assistance? . . . . . . . . . . . .
13 Included measures to publicize the policy within the community served by the hospital facility?
12
Yes
13
Yes
14
Yes
16
Yes
If"Yes," indicate how the hospital facility publicized the policy (check all that apply)
a
F The policy was posted at all times on the hospital facility's web site
b I The policy was attached to all billing invoices

c
I The policy was posted in the hospital facility's emergency rooms or waiting rooms
I The policy was posted in the hospital facility's admissions offices
e F The policy was provided, in writing, to patients upon admission to the hospital facility
f
F' The policy was available upon request
1' 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 (FAP) that explained actions the hospital facility may take upon non-payment? . . . . . . .
15 Check all of the following collection actions against an individual that were permitted under the hospital facility's
policies during the tax year before making reasonable efforts to determine the patient's eligibility under the facility's
FA P
a 1' Reporting to credit agency
b I' Lawsuits
c
1' Liens on residences
1' Body attachments or arrests
e FO ther similar actions (describe in Part VI)

16 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before
making reasonable efforts to determine the patient's eligibility under the facility's FAP? . . . . . . . . .
If"Yes," check all actions in which the hospital facility or a third party engaged
F Reporting to credit agency

b F Lawsuits
c F Liens on residences
a
F Body attachments
e 1' Other similar actions (describe in Part VI)
d
17 Indicate which efforts the hospital facility made before initiating any of the actions checked in question 16 (check all
that apply)
a F Notified patients of the financial assistance policy upon admission
b F' Notified patients of the financial assistance policy prior to discharge
c
F' Notified patients of the financial assistance policy in communications with the patients regarding the patients'
bills
d F' Documented its determination of whether patients were eligible for financial assistance under the hospital
facility's financial assistance policy
e
' Other (describe in Part VI)
Page 6

Policy Relating to Emergency Medical Care
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? . . . . . . . . . .
If"No," indicate why
a
18
Yes
1 The hospital facility did not provide care for any emergency medical conditions
b 1 The hospital facility's policy was not in writing

c
1 The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part
VI)
d 1 Other(describe in Part VI)
Individuals Eligible for Financial Assistance
19 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FA Peligible individuals for emergency or other medically necessary care
a F The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum
amounts that can be charged
b 1 The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating
the maximum amounts that can be charged
c 1 The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged
d
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? . . . . . . . . .
If"Yes," explain in Part VI
21 Did the hospital facility charge any of its FAP-eligible patients an amount equal to the gross charge for services
provided to that patient?
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
20
No
21
No
Page 7
MWITZ-Facility Information (continued)
Section C. Other Facilities That Are Not Licensed, Registered , or Similarly Recognized as a Hospital Facility
(list in order of size from largest to smallest)
How many non-hospital facilities did the organization operate during the tax year?
Name and address
Typ e of Facility ( Describe )
1
2
3
4
5
6
7
8
9
10
Page 8
1
Required descriptions. Provide the descriptions 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, 3, 4, 5c, 6i, 7, 9, 10, 11h, 13g, 15e, 16e, 17e, 18d, 19d, 20, and 21
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
Identifier
ReturnReference
Explanation
PART I, LINE 3C
N/A

Identifier
Page 8
ReturnReference
Explanation
PART II THE DEPARTMENT OF COMMUNITY OUTREACH
ND PARISH NURSING HAS PROMOTED THE HEALTH OF
HE COMMUNITIES IT SERVES THROUGH ITS
COMMUNITY BUILDING ACTIVITIES GRIFFIN HOSPITAL
SPONSORS AND PROVIDES OPERATIONAL LEADERSHIP
FOR THE VALLEY PARISH NURSE PROGRAM THROUGH
COMMUNITY HEALTH IMPROVEMENT ADVOCACY THE
DEPT OF COMMUNITY OUTREACH HAS MADE A
SUBSTANTIAL IMPACT ON THE GREATER NAUGATUCK
ALLEY COMMUNITY HEALTH IMPROVEMENT ADVOCACY
CTIVITIES COLLABORATE WITH THE COMMUNITY ON
VARIOUS OUTREACH NEEDS SOME EXAMPLES OF THE
GROUPS AND BOARDS THAT ARE INVOLVED ARE BOYS &
GIRLS CLUB BOARD, CT COUNCIL OF PARISH NURSE
COORDINATORS, VALLEY COUNCIL FOR HEALTH &
HUMAN SERVICES, WOMEN MAKING A DIFFERENCE,
VITALS, VALLEY UNITED WAY, KOMEN FOUNDATION
GRANT EXPLORATION,ANSONIA COMMUNITY ACTION
DVISORY BOARD, BIRTH TO 9, CT HOSPITAL
SSOCIATION, VNA ANNUAL MEETING , NEW HAVEN
BUSINESS ASSOCIATION, SPOONER HOUSE FOOD DRIVE,
ALLEY SUBSTANCE ABUSE ACTION COUNCIL,
MERICAN HEART ASSOCIATION, ECC/CPR BOARD,
COMMUNITY FOUNDATION FOR GREATER NEW HAVEN, CT
HOSPITAL ASSOCIATION AND SUB COMMITTEE

Identifier
Page 8
ReturnReference
Explanation
PART III, LINE 4 GRIFFIN HOSPITAL'S AUDITED
FINANCIAL STATEMENTS DO NOT HAVE A FOOTNOTE
THAT DESCRIBES BAD DEBT EXPENSE BAD DEBT
EXPENSE IS REPORTED ON LINE 2 PER GRIFFIN
HOSPITAL'S AUDITED FINANCIAL STATEMENTS, NET OF
NY BAD DEBT RECOVERY, MULTIPLIED BY THE COST TO
CHARGE RATIO GRIFFIN HOSPITAL REQUIRES OUR
COLLECTION AGENCIES TO FOLLOWTHE HOSPITAL'S
FINANCIAL ASSISTANCE POLICY, THEREFORE THE
HOSPITAL DID NOT ATTRIBUTE ANY BAD DEBT EXPENSE
O PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE

Identifier
Page 8
ReturnReference
Explanation
PART III, LINE 8 GRIFFIN HOSPITAL BELIEVES THAT ALL
OF THE $7 486 MILLION SHORTFALL SHOULD BE
CONSIDERED AS COMMUNITY BENEFIT THE IRS
COMMUNITY BENEFIT STANDARD INCLUDES THE
PROVISION OF CARE TO THE ELDERLY AND MEDICARE
PATIENTS MEDICARE SHORTFALLS MUST BE ABSORBED
BY THE HOSPITAL IN ORDER TO CONTINUE TREATING
HE ELDERLY IN OUR COMMUNITY THIS YEAR, MEDICARE
CCOUNTED FOR 5 9% OF HOSPITAL EXPENSES THE
HOSPITAL PROVIDES CARE REGARDLESS OF THIS
SHORTFALL AND THEREBY RELIEVES THE FEDERAL
GOVERNMENT OF THE BURDEN OF PAYING THE FULL
COST FOR MEDICARE BENEFICIARIES

Identifier
Page 8
ReturnReference
Explanation
PART III, LINE 9B GRIFFIN HOSPITAL HAS A WRITTEN
POLICY ABOUT WHEN AND UNDER WHOSE AUTHORITY
PATIENT DEBT IS ADVANCED FOR COLLECTION AND
SHALL USE ITS BEST EFFORTS TO ENSURE THE PATIENT
CCOUNTS ARE PROCESSED FAIRLY AND CONSISTENTLY
GRIFFIN HOSPITAL WILL ENSURE THAT PRACTICES TO BE
USED BY THEIR OUTSIDE (NON HOSPITAL) COLLECTION
GENCIES WILL CONFORM TO THE STANDARDS SET
FORTH IN THIS POLICY AND SHALL OBTAIN WRITTEN
COMMITMENTS FROM SUCH AGENCIES AT TIME OF
BILLING GRIFFIN HOSPITAL WILL PROVIDE TO ALL LOWINCOME UNINSURED PATIENTS THE SAME INFORMATION
CONCERNING SERVICES AND CHARGES PROVIDED TO
LL OTHER PATIENTS WHO RECEIVE CARE AT THE
HOSPITAL FOR PATIENTS WHO HAVE AN APPLICATION
PENDING DETERMINATION FOR EITHER GOVERNMENT
SPONSORED COVERAGE OR FOR THE HOSPITAL'S OWN
FINANCIAL ASSISTANCE PROGRAM GRIFFIN HOSPITAL
WILL NOT KNOWINGLY SEND THAT PATIENT'S BILL TO A
COLLECTION AGENCY

Identifier
Page 8
ReturnReference
Explanation
PART VI, LINE 2 THE GRIFFIN HOSPITAL IS CURRENTLY
DEVELOPING AN ACTION PLAN TO ADDRESS IDENTIFIED
NEEDS, WHICH WILL BE COMPLETED, FILED AND
PUBLISHED ON THE GRIFFIN HOSPITAL WEB SITE GRIFFIN
HOSPITAL ASSESSES THE HEALTH CARE NEEDS OF THE
COMMUNITIES IT SERVES IN A VARIETY OF WAYS THE
HOSPITAL USES RESOURCES THAT ARE CONNECTED AND
FFILIATED WITH THE HOSPITAL OR THE COMMUNITY IT
SERVES EXAMPLES OFTHESE ARE COMMUNITY HEALTH
PROFILE DONE BY THE YALE-GRIFFIN PRC AT LEAST BINNUALLY THAT TRACKS MORTALITY AND OTHER DATA
BY DISEASE, WHICH PROMPTED LAUNCHING OF THE HIM
PROJECT TO ADDRESS MALE PROSTATE AND COLON
CANCER RATES VALLEY COUNCIL'S QUALITY OF LIFE
REPORT PUBLISHED LAST YEAR FOR THE FIRST TIME
(WWWVALLEYCOUNCIL ORG) THE INITIATIVE OFTHE
ALLEY COUNCIL IS DESIGNED TO TRACK KEY
INDICATORS OF QUALITY OF LIFE IN THE VALLEY OVER
IME OUR GOAL IS TO SEE WHAT ASPECTS OF
COMMUNITY LIFE HAVE GOTTEN BETTER OVERTIME AND
WHAT AREAS MAY NEED IMPROVEMENT PRODUCTION OF
HE VALLEY CARES REPORT WAS MADE POSSIBLE BY
GENEROUS GRANTS FROM THE COMMUNITY
FOUNDATION FOR GREATER NEW HAVEN,THE VALLEY
COMMUNITY FOUNDATION,THE VALLEY UNITED WAY,
ND THE KATHARINE MATTHIES FOUNDATION
DDITIONAL SUPPORT PROVIDED BY YALE-GRIFFIN
PREVENTION RESEARCH CENTER, NAUGATUCK VALLEY
HEALTH DISTRICT, GRIFFIN HOSPITAL, BIRMINGHAM
GROUP HEALTH SERVICES, INC THE WORKPLACE, INC
ND THE MEMBER AGENCIES OFTHE VALLEY COUNCIL
CLARITAS - DEMOGRAPHIC PROFILE OF THE HOSPITAL'S
PRIMARY SERVICE AREA COMMUNITY PERCEPTION
T ELEPHONE SURVEY DONE EVERY TWO OR THREE YEARS
OF 400 PRIMARY SERVICE AREA RESIDENTS VALLEY
COUNCIL OF HEALTH AND HUMAN SERVICE
ORGANIZATIONS WHICH IS A COOPERATIVE VENTURE
LINKING APPROXIMATELY 50 NON-PROFIT HEALTH &
HUMAN SERVICE PROVIDERS THROUGHOUT THE VALLEY
ITS MISSION IS TO IDENTIFY, PLAN, IMPLEMENT, AND
COORDINATE A COMPREHENSIVE SYSTEM OF HUMAN
SERVICE DELIVERY AND TO ADVOCATE FOR COMMUNITYWIDE AND CULTURALLY DIVERSE PLANNING APPROACHES
IN THE LARGER VALLEY COMMUNITY STRATEGIC PLAN GREATER VALLEY CHAMBER OF COMMERCE'S
HEALTHCARE COUNCIL THE HEALTHCARE COUNCIL WAS
CREATED BASED ON THE PREMISE THAT HEALTH AND
WELLNESS ARE INCREASINGLY IMPORTANT ISSUES TO
REA BUSINESSES FROM PROVIDING INSIGHTS INTO
CHRONIC DISEASES TO THE EFFECTS POOR HEALTH HAS
ON PRODUCTIVITY AND EMPLOYEE ATTENDANCE,THE
COUNCIL IS AN EDUCATIONAL RESOURCE ON HEALTH
ND WELLNESS FOR BUSINESSES THROUGHOUT THE
GREATER VALLEY REGION VALLEY UNITED WAY SENIOR
NEEDS ASSESSMENT - 2007, VALLEY NEEDS AND
OPPORTUNITIES PROJECT - REPORT ON PROGRESS,
MOUNT AUBURN ASSOCIATES - 2005, YALE-GRIFFIN
PREVENTION RESEARCH CENTER CORPORATE SOCIAL
RESPONSIBILITY SECTION OF THE FORTUNE
PPLICATION Q 16 GRIFFIN HOSPITAL'S SCHOOL-BASED
CHILDHOOD AND ADOLESCENT OBESITY PREVENTION
PROJECT, OUR DEPARTMENT OF COMMUNITY OUTREACH
ND PARISH NURSING WHICH FOCUSES ON THE
UNDERSERVED POPULATIONS THE PARISH NURSE
PROGRAM ITSELF

Identifier
Page 8
ReturnReference
Explanation
PART VI, LINE 3 GRIFFIN HOSPITAL SHALL
COMMUNICATE TO THE PUBLIC THROUGH APPROPRIATE
MEANS REGARDING THE AVAILABILITY OF FINANCIAL
SSISTANCE TO LOW-INCOME UNINSURED PATIENTS
NOTICES ARE POSTED IN VISIBLE LOCATIONS
T HROUGHOUT THE HOSPITAL SUCH AS ADMITTING,
REGISTRATION, BILLING OFFICE, EMERGENCY
DEPARTMENT AND OTHER OUTPATIENT SETTINGS EVERY
POSTED NOTICE REGARDING FINANCIAL ASSISTANCE
POLICIES SHALL CONTAIN BRIEF INSTRUCTIONS ON
HOWTO APPLY FOR FINANCIAL ASSISTANCE OR A
DISCOUNTED PAYMENT THE NOTICES WILL INCLUDE A
CONTACT TELEPHONE NUMBER THAT A PATIENT OR
FAMILY MEMBER CAN CALL TO OBTAIN MORE
INFORMATION GRIFFIN HOSPITAL SHALL ENSURE THAT
PPROPRIATE STAFF MEMBERS ARE KNOWLEDGEABLE
BOUT THE EXISTENCE OF THE HOSPITAL'S FINANCIAL
SSISTANCE POLICIES TRAINING WILL BE PROVIDED TO
STAFF MEMBERS WHO DIRECTLY INTERACT WITH
PATIENTS REGARDING THEIR HOSPITAL BILLS WHEN
COMMUNICATING TO PATIENTS REGARDING THEIR
FINANCIAL ASSISTANCE POLICIES GRIFFIN HOSPITAL
SHALL ATTEMPT TO DO SO IN THE PRIMARY LANGUAGE
OF THE PATIENT OR HIS /HER FAMILY, IF REASONABLY
POSSIBLE, AND IN A MANNER CONSISTENT WITH ALL
PPLICABLE FEDERAL AND STATE LAWS AND
REGULATIONS GRIFFIN HOSPITAL SHALL SHARE ITS
FINANCIAL ASSISTANCE POLICIES WITH APPROPRIATE
COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES
ND OTHER ORGANIZATIONS THAT ASSIST SUCH
PATIENTS

Identifier
Page 8
ReturnReference
Explanation
PART VI, LINE 4 THE COMBINED POPULATION OF
GRIFFIN'S SIX TOWN PRIMARY SERVICE AREA (THE
ALLEY) IS 107,269 THE SIX SUBURBAN TOWNS THAT
MAKE UP THE HOSPITAL'S PRIMARY SERVICE AREA
RE ANSONIA - POPULATION 19,219, SIZE 6 2 SQ MILES,
BEACON FALLS - POPULATION 6,038, SIZE 9 9 SQ MILES,
DERBY - POPULATION 12,882, SIZE 5 4 SQ MILES,
OXFORD - POPULATION 12,662, SIZE 33 SQ MILES,
SEYMOUR - POPULATION 16,514,15 SQ MILES, SHELTON
- POPULATION 39,954, SIZE 32 SQ MILES THE
COMBINED SIZE OF THE SIX TOWN VALLEY REGIONS IS
101 5 SQUARE MILES THE VALLEY, GEOGRAPHICALLY
LOCATED IN SOUTH CENTRAL CONNECTICUT, IS
SURROUNDED BY THREE OFTHE STATE'S LARGEST
CITIES, NEW HAVEN,TO THE SOUTH, BRIDGEPORT, TO
HE SOUTHWEST,AND WATERBURY TO THE NORTH EACH
BOUT 15 MILES FROM GRIFFIN HOSPITAL THERE ARE
TWO TERTIARY CARE HOSPITALS IN EACH OF THE CITIES
ND EACH HAS VARYING DEGREES OF MARKET SHARE IN
GRIFFIN'S PRIMARY SERVICE AREA TOWNS DEPENDING
ON THE PROXIMITY TO THE THREE CITIES AND THE
HOSPITALS LOCATED THERE THE VALLEY'S POPULATION
IS PRIMARILY WHITE AT 91 1% THE BLACK OR AFRICAN
MERICAN POPULATION IS 2 9% AND THE ASIAN
POPULATION IS 2 3% THE HISPANIC OR LATINO
POPULATION IS 5 9% THE AGE 65 AND OVER
POPULATION IS 14% COMPARED TO THE STATE OF
CONNECTICUT ALSO AT 14% IN 2010 ENGLISH IS THE
PRIMARY LANGUAGE SPOKEN IN 86% OF HOMES THE
ESTIMATED AVERAGE FAMILY HOUSEHOLD INCOME FOR
ALLEY RESIDENTS IS $95,592 AND THE MEDIAN FAMILY
HOUSEHOLD INCOME IS $83,335 IT IS ESTIMATED THAT
1,149 FAMILIES (3 9%) OF VALLEY FAMILIES HAVE
INCOMES BELOWTHE POVERTY LEVEL GRIFFIN
HOSPITAL IS A NON-PROFIT, 160 BED, 20 BASSINETTE
CUTE CARE HOSPITAL WITH 6,904 DISCHARGES AND
196,386 OUTPATIENT VISITS IN FISCAL YEAR 2012 WITH
1,325 FULL TIME, PART TIME AND PER DIEM EMPLOYEES
IT IS THE VALLEY'S LARGEST EMPLOYER WITH EMPLOYEE
COMPENSATION AND BENEFITS LAST YEAR TOTALING
$72 6 MILLION, SIXTY-ONE PERCENT OF GRIFFIN'S
EXPENSE BUDGET OF $120 MILLION OVER $46 MILLION
IS SPENT ON SUPPLIES AND SERVICES MUCH OF WHICH
IS TO AREA VENDORS WITH 70% OF THE HOSPITAL'S
EMPLOYEES RESIDING IN THE HOSPITAL PRIMARY
SERVICE AREA, GRIFFIN HOSPITAL IS AN ECONOMIC
ENGINE FOR THE COMMUNITY IT SERVES

Identifier
Page 8
ReturnReference
Explanation
PART VI, LINE 5 GRIFFIN HOSPITAL IS AN ACUTE CARE
HOSPITAL PROVIDING INPATIENT AND OUTPAT IENT
MEDICAL CARE AND RELATED SERVICES FOR
OBSTETRICS, SURGERY AND ACUTE MEDICAL CONDITION
S OR INJURIES USUALLY FOR A SHORT DURATION
GRIFFIN PROVIDES PSYCHIATRIC AND MENTAL HEALTH
SERVICES INCLUDING AN INPATIENT UNIT GRIFFIN
OFFERS A NUMBER OF INNOVATIVE PROGRAMS DESI
GNED TO PROVIDE ENHANCED COMMUNITY ACCESS TO A
BROAD RANGE OF SERVICES AND MEET COMMUNITY
NEEDS THESE INCLUDE A WOUND TREATMENT CENTER,
INTEGRATIVE MEDICINE CENTER, MULTIPLE SCLE ROSIS
CENTER, PAIN AND HEADACHE TREATMENT CENTER,
SLEEP WELLNESS CENTER, JOINT REPLACEMENT CENTER,
OCCUPATIONAL MEDICINE CENTER, INPATIENT HOSPICE
SERVICE, CENTER FOR CANCER CARE WITH RADIATION
THERAPY SERVICE, CENTER FOR BREAST WELLNESS,
BARIATRICS SERVICE, MEDI-WEIGHT LOSS SERVICE,
GRIFFIN RETAIL PHARMACY, CHEMICAL DEPENDENCY
A ND ADDICTION SERVICE, ENHANCE D EXTERNAL
COUNTER PULSATION SERVICE, ANTI-COAGULATION
SERVICE AND AN INFUSION CENTER CON SISTENT WITH
GRIFFIN HOSPITAL'S MISSION TO IMPROVE THE HEALTH
OFTHE COMMUNITY IT SERVES,THE DEPARTMENT OF
COMMUNITY OUTREACH AND VALLEY PARISH NURSE
(VPN) PROGRAM CONTINUED TO EX TEND THE
HOSPITAL'S REACH WELL BEYOND ITS WALLS IN 2012
A CCOUNTING FOR MORE THAN 50,000 C OMMUNITY
CONTACTS IN 2012,THIS OUTREACH INCLUDED
EVERYTHING FROM FITTING BIKE HELMETS TO TRAINING
A DULTS AND CHILDREN IN CPR TO PROVIDING HEALTH
EDUCATION AND SCREENINGS AT SENIOR CENTERS,
SHOPPING CENTERS, NEIGHBORHOODS, COMPANIES,
A ND COMMUNITY EVENTS AND HEALTH FAIRS THESE
COMMUNITY CONTACTS INCLUDED MORE THAN 8,300
HEALTH SCREENINGS - WHICH CAN HELP ID ENTIFY
PROBLEMS WHEN THEY ARE MOST TREATABLE - AND
NEARLY 22,000 REFERRALS FOR FOLLOW UP C ARE (SOME
OF GRIFFIN HOSPITAL'S COMMUNITY BENEFIT
ACTIVITIES ARE SUMMARIZED ON THE OUTREA CH AND
SCREENING STATISTICS PAGE OFTHIS REPORT )AS PART
OFTHE HOSPITAL'S COMMITMENT TO PROMOTING
COMMUNITY HEALTH AND WELLNESS WHILE CLOSING
RACIAL, ETHNIC, GENDER, AND SOCIOECO NOMIC GAPS
IN HEALTH STATUS, GRIFFIN CONTINUED ITS
COLLABORATION WITH COMMUNITY PARTNERS 0 N
INITIATIVES SUCH AS THE VALLEY INITIATIVE TO
A DVANCE HEALTH & LEARNING IN SCHOOLS AND TH E
HEALTH INITIATIVE FOR MEN THE VALLEY INITIATIVE TO
A DVANCE HEALTH & LEARNING IN SCHOOLS (VITAHLS),
WHICH GRIFFIN LAUNCHED IN PARTNERSHIP WITH
ALLEY SCHOOL DISTRICTS AND THE YALE -GRIFFIN
PREVENTION RESEARCH CENTER (PRC) IN 2011
CONTINUED ITS EFFORTS TO REDUCE OBESITY AND
PROMOTE HEALTH AND ACADEMIC READINESS IN
STUDENTS THE SCHOOL-BASED PROGRAM, WHICH HAS
INTRODUCED A VARIETY OF NUTRITION AND PHYSICAL
ACTIVITY PROGRAMS TO REDUCE OBESITY AND PR
OMOTE HEALTH AND ACADEMIC READINESS IN
STUDENTS IN PRE-K TO GRADE 12, KICKED OFF ITS
SECOND YEAR BY HOSTING A FAMILY FUN DAY ON
SUNDAY, OCTOBER 21 AT EMMETT O'BRIEN TECHNICAL
HIGH SCHOOL IN ANSONIA THE FREE EVENT FEATURED A
FESTIVAL FEEL WITH MANY BOOTHS FEATURING GAME S,
NUTRITIONAL AND FITNESS ACTIVITIES, FREE HEALTHY
SNACKS AND A FARMER'S MARKET OTHER NOT ABLE
ITAHLS ACTIVITIES INCLUDED THE INTRODUCTION OF
HE NUVAL NUTRITIONAL SCORING SYSTEM BY DERBY
MIDDLE SCHOOL AND DERBY HIGH SCHOOL BOTH
SCHOOLS' CAFETERIAS AND VENDING MACHINE S NOW
FEATURE FOOD LABELED WITH A "NUVAL SCORE " A
NUMBER BETWEEN 1-100 THAT DETERMINES TH E
NUTRITIONAL VALUE OF THE FOOD (THE HIGHER THE
SCORE, THE BETTER THE OVERALL NUTRITION) NUVAL
SCORES CAN NOW BE FOUND ON A LA CARTE ITEMS IN
HE CAFETERIAS AND ON FOOD IN ALL VEN DING
MACHINES, ENCOURAGING STUDENTS TO MAKE MORE
INFORMED, AND HEALTHIER, FOOD CHOICES AS PART OF
HE HEALTH INITIATIVE FOR MEN (HIM), THE HOSPITAL
ONCE AGAIN TEAMED WITH LOCAL SCH OOLS TO
DISTRIBUTE FATHER'S DAY CARDS TO STUDENT'S DADS
ENCOURAGING THEM TO "GET TO THE DO CTOR" FOR
HEIR ANNUAL CHECK-UPS MORE THAN 20,000 OF THESE
FREE CARDS, WHICH INCLUDED MEN 'S HEALTH
SCREENING GUIDELINES AND CHECKLISTS, WERE
DISTRIBUTED AT AREA SCHOOLS AND AT GRI FFIN
HOSPITAL THE EFFORT WAS MADE POSSIBLE BY THE
"HEALTH INITIATIVE FOR MEN FUND," ESTAB LISHED BY
NSONIA BUSINESSMAN FRANK MICHAUD AND HIS WIFE,
JUDY, TO HELP INSPIRE MEN TO HAV E AN ANNUAL
PHYSICAL AND RAISE AWARENESS ABOUT MEN'S HEALTH
ISSUES, SUCH AS PROSTATE CANCE R AND COLORECTAL
CANCER GRIFFIN ALSO BEGAN OFFERING FREE
PROSTATE-SPECIFIC ANTIGEN (PSA)TESTS AND OTHER
HEALTH SCREENINGS TO MEN AT VARIOUS COMMUNITY
EVENTS THE GRIFFIN HOSPITAL MINI MED SCHOOL
CELEBRATED ITS SEVENTH YEAR IN 2012, GRADUATING
MORE THAN 50 STUDENTS FRO M ITS FALL SESSION THE
10-WEEK COURSE WAS TAUGHT BY MEMBERS OF THE
GRIFFIN HOSPITAL MEDIC AL STAFF WHO VOLUNTEERED
HEIR TIME AS FACULTY FOR THE COURSE,
EXEMPLIFYING THE HOSPITAL'S COMMITMENT TO
HEALTH EDUCATION AND ACCESS TO INFORMATION FOR
PATIENTS, THEIR FAMILIES, AN D MEMBERS OF THE
COMMUNITY ANOTHER KEY COMPONENT OF THIS
COMMITMENT, GRIFFIN'S ONGOING SER IES OF FREE
COMMUNITY HEALTH LECTURES, CONTINUED WITH THE
INTRODUCTION OF THE "HEALTHY U" TUESDAY TALK
SERIES GRIFFIN EXPERTS PROVIDED HEALTH AND
WELLNESS INFORMATION AND ENCOURAG ED
COMMUNITY RESIDENTS TO TAKE A MORE ACTIVE ROLE

Identifier
Page 8
ReturnReference
Explanation
IN THEIR HEALTH AND THEIR HEALTHCARE IN A SERIES
OF TALKS HELD AT GRIFFIN AND IN VARIOUS C
OMMUNITY SETTINGS, INCLUDING RESIDENTIAL
COMMUNITIES, PUBLIC LIBRARIES, AND SENIOR AND
COM MUNITY CENTERS THE HOSPITAL'S HEALTH
RESOURCE CENTER, WHICH IS OPEN SIX DAYS A WEEK
ND STAFFED BY PROFESSIONAL LIBRARIANS,
PROVIDED SUPPORT FOR ALL OF GRIFFIN'S HEALTH
EMPOWERMENT ACTIVITIES, OFFERING RESOURCES AND
A SSISTANCE TO PATIENTS, STAFF, AND COMMUNITY
MEMBERS THE CENTER FEATURES A VAST COLLECTION
OF CONSUMER HEALTH BOOKS, PERIODICALS, AND
VIDEO RE SOURCES, AS WELL AS ACCESS TO A NUMBER
OF PEER-REVIEWED ELECTRONIC DATABASES SINCE THE
CE NTER OPENED IN 1994, MORE THAN 10,000
COMMUNITY MEMBERS HAVE SIGNED UP FOR LIBRARY
CARDS T HAT ALLOWTHEM TO CHECK OUT MATERIALS
S THEY WOULD AT A PUBLIC LIBRARY THESE
CTIVITIES A ND MORE COMPRISED THE MORE THAN $18
MILLION IN COMMUNITY BENEFIT THAT GRIFFIN
HOSPITAL CON TRIBUTED TO ITS COMMUNITY THAT
MOUNT INCLUDED THE PROVISION OF NEARLY $2 8
MILLION IN CH ARITY CARE, APPROXIMATELY $12 6
MILLION IN SUBSIDIZED CARE TO PATIENTS COVERED
BY MEDICARE , MEDICAID, AND OTHER PUBLIC
PROGRAMS, MORE THAN $1 MILLION WORTH OF HEALTH
PROFESSIONS ED UCATION TO HELP PREPARE THE NEXT
GENERATION OF CAREGIVERS, AND NEARLY $1 9
MILLION WORTH 0 F OTHER COMMUNITY BENEFIT
CTIVITIES AND HEALTH SERVICES SUBSIDIES

Identifier
Page 8
ReturnReference
Explanation
PART VI, LINE 6
N/A

Identifier
Page 8
ReturnReference
PART VI, LINE 7
Explanation
CT
l efile

DLN: 93493223002013
Schedule J
(Form 990)
As Filed Data -
OMB No 1545-0047

2011
Open to Public
Inspection

GRIFFIN HOSPITAL
06-0647014

Yes I No
la
b
2
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
1
Tax idemnification and gross - up payments
reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain
lb
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line la?
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
F Compensation committee
fl Written employment contract
fl
a
Receive a severance payment or change-of-control payment?
4a
No
4b
No
4c
No
5
a
The organization?
5a
No
5b
No

6
a
The organization?
6a
No
6b
No

7
No
subject to the initial contract exception described in Regs section 53 4958-4(a)(3)? If "Yes," describe
in Part III
No
section 53 4958-6(c)?
Cat No 50053T
Page 2
Officers, Directors , Trustees , Key Employees, and Highest Compensated Employees . Use Schedule 3-1 if additional space needed.
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) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line la, columns (D) and (E) for that individual
(A) Name

(i) Base
compensation
(ii) Bonus &
(iii) Other
incentive
compensation
reportable
compensation
(C) Retirement and

other deferred
(D) Nontaxable
benefits

(B)(i)-(D)
compensation
(F) Compensation
reported in prior
Form 990 or
Form 990-EZ
(1) CHARMEL
PATRICK
(1)
(ii)
373,073
0
39,541
0
765
0
43,935
0
14,256
0
471,570
0
0
0
(2) DOBULER
KENNETH
(i)
(ii)
226,511
0
0
0
0
0
47,152
0
0
0
273,663
0
0
0
(3) SCHWARTZ
KENNETH
(i)
(ii)
166,971
0
22,796
0
765
0
53,069
0
14,256
0
257,857
0
0
0
(4) STUMPO BARBARA

J
(1)
(ii)
152,020
0
16,948
0
741
0
26,666
0
14,256
0
210,631
0
0
0
(5) MOYLAN JAMES J
(i)
(^^)
219,160
0
29,995
0
765
0
37,047
0
1,980
0
288,947
0
0
0
(6) POWANDA
WILLIAM
(i)
(ii)
163,711
0
17,664
0
333
0
34,858
0
13,284
0
229,850
0
0
0
(7) BERNS EDWARD
(i)
(^^)
133,289
0
18,768
0
678
0
22,258
0
14,256
0
189,249
0
0
0
(8) MARTIN
KATHLEEN
(i)
(ii)
130,520
0
18,427
0
667
0
23,406
0
14,256
0
187,276
0
0
0
(9) DEEGAN
MARGARET
(i)
(ii)
178,696
0
25,297
0
765
0
17,260
0
14,256
0
236,274
0
0
0
(10) SHEPARD SETH
(i)
(^^)
160,485
0
22,232
0
751
0
19,503
0
1,980
0
204,951
0
0
0
(11) FRAMPTON
SUSAN
(i)
(ii)
0
235,966
0
37,803
0
555
0
22,234
0
5,998
0
302,556
0
0
(12)D'SOUSA SEEMA
(1)
01)
179,079
0
0
0
345
0
7,379
0
14,256
0
201,059
0
0
0
(13) HALSTEAD
EDWARD
(1)
(ii)
199,015
0
0
0
765
0
53,826
0
14,256
0
267,862
0
0
0
(14) NAWAZ HAQ
(1)
01)
240,031
0
0
0
765
0
13,244
0
14,256
0
268,296
0
0
0
(15)SALABARRIA
JAVIER
(1)
(ii)
265,790
0
0
0
765
0
8,320
0
13,284
0
288,159
0
0
0
(16) HURIBAL MARSEL
(1)
(u)
175,011
0
0
0
0
0
0
0
0
0
175,011
0
0
0
Page 3
Complete this part to provide the information, explanation, or descriptions required for Part I, lines la, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8 Also complete this part for any additional information
Identifier
Return Reference
Explanation
Additional Data
Return to Form
Software ID:
Software Version:
EIN:
Name :
06 -0647014
GRIFFIN HOSPITAL
Form 990, Schedule J . Part I I - Officers , Directors , Trustees , Key Employees , and Highest Compensated Employees
(A) Name

(i) Base
Compensation
(ii) Bonus &

incentive
compensation
(C) Deferred
compensation
(D) Nontaxable
benefits

(B)(i)-(D)
(iii) Other
(F) Compensation
990 or Form 990-EZ
compensation
CHARMEL PATRICK
(1)
(u)
373,073
0
39,541
0
765
0
43,935
0
14,256
0
471,570
0
0
0
DOBULER KENNETH
(i)
(H)
226,511
0
0
0
0
0
47,152
0
0
0
273,663
0
0
0
SCHWARTZ KENNETH
(i)
(H)
166,971
0
22,796
0
765
0
53,069
0
14,256
0
257,857
0
0
0
STUMPO BARBARA 3
(i)
(H)
152,020
0
16,948
0
741
0
26,666
0
14,256
0
210,631
0
0
0
MOYLAN JAMES 3
(i)
(H)
219,160
0
29,995
0
765
0
37,047
0
1,980
0
288,947
0
0
0
POWANDA WILLIAM
(i)
(H)
163,711
0
17,664
0
333
0
34,858
0
13,284
0
229,850
0
0
0
BERNS EDWARD
(i)
(H)
133,289
0
18,768
0
678
0
22,258
0
14,256
0
189,249
0
0
0
MARTIN KATHLEEN
(i)
(H)
130,520
0
18,427
0
667
0
23,406
0
14,256
0
187,276
0
0
0
DEEGAN MARGARET
(i)
(H)
178,696
0
25,297
0
765
0
17,260
0
14,256
0
236,274
0
0
0
SHEPARD SETH
(i)
(H)
160,485
0
22,232
0
751
0
19,503
0
1,980
0
204,951
0
0
0
FRAMPTON SUSAN
(^)
(H)
0
235,966
0
37,803
0
555
0
22,234
0
5,998
0
302,556
0
0
D'SOUSA SEEMA
(i)
(H)
179,079
0
0
0
345
0
7,379
0
14,256
0
201,059
0
0
0
HALSTEAD EDWARD
(i)
(H)
199,015
0
0
0
765
0
53,826
0
14,256
0
267,862
0
0
0
NAWAZ HAQ
(i)
(H)
240,031
0
0
0
765
0
13,244
0
14,256
0
268,296
0
0
0
SALABARRIA 3AVIER
(i)
(H)
265,790
0
0
0
765
0
8,320
0
13,284
0
288,159
0
0
0
HURIBAL MARSEL
(i)
(H)
175,011
0
0
0
0
0
0
0
0
0
175,011
0
0
0
efile GRAPHIC print - DO NOT PROCESS
I As Filed Data - I
DLN: 93493223002013
OMB No 1545-0047
Schedule K
(Form 990)
2011
explanations, and any additional information in Schedule 0 (Form 990).

GRIFFIN HOSPITAL
06-0647014
Bond Issues
(a)
Issuer Name
(b)
Issuer EIN
( )
c CUSIP #
(d)
Date Issued
( )
p
p
f Descri tion of Pur ose
(e) Issue Price
Yes
A
CHEFA SERIES B
CHEFA SERIES C
n.ii
06-0806186
06-0806186
02-01-2005
05-01-2007
CONSTRUCTION OF NEW
24,800,000
WING
23,125,000
CONSTRUCTION OF NEW
CANCER CENTER &
RENOVATION OF
EMERGENCY DEPARTMENT
No
Yes
(i) Pool
financing
No
Yes
No
Proceeds
A
A mount of bonds defeased
Proceeds in refunding escrow
25 ,769,812
22,982,209
1,406,958
24,573,303
435,721
234,306
760,791
1,133,492
10
11
12
13
14
15
16
17
20,207,453
1996
Yes
FUTZWM
(h) On
Behalf of
Issuer
(g) Defeased
2010
No
Yes
No
Yes
No
Yes
No
X
X

A
Yes
B
No
Yes
C
No

Cat No 50193E
Yes
D
No
Yes
No
Pa g e 2

A
Yes
3a
b
Are there any management or service contracts that may result in private business
use?
If'Yes'to line 3a, does the organization routinely engage bond counsel or other outside
counsel to review any management or service contracts relating to the financed
property?
B
No
Yes
C
No
Yes
Yes
No
If'Yes'to line 3c, does the organization routinely engage bond counsel or other outside
counsel to review any research agreements relating to the financed property?
0-
0 %
0 %
0-
0 %
0 %
0%
0 %
Has the organization adopted management practices and procedures to ensure the
post-issuance compliance of its tax-exempt bond liabilities?
D
No
Arbitrage
A
Yes
1
B
No
Yes
C
No
Yes
D
No
Yes
No
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
3a

into a hedge with respect to the bond issue?
Name of provider
Term of hedge
WACHOVIA BANK
2037 000000000000
X

X
4a
Were gross proceeds invested in a GIC?
Name of provider
Term of GIC
period?
Did the bond issue qualify for an exception to rebate?
Procedures To Undertake Corrective Action

Check the box if the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary
closing agreement program if self-remediation is not available under applicable regulations
fl Yes 17 No
IFTWOM
Supplemental information
Complete this part to provide additional information for responses to questions on Schedule K (see instructions)
Identifier
Return Reference
Explanation
As Filed Data -
DLN: 93493223002013
OMB No 1545 0047
SCHEDULE 0



GRIFFIN HOSPITAL
Identifier
CHANGES IN
NET ASSETS OR
FUND
BALANCES
FORM 990,
PART XI, LINE
2C
Return
Reference
2011
Open
Inspection
Explanation
FORM 990,
PART VI,
SECTION A,
LINE 6
GRIFFIN HOSPITAL IS A NON-STOCK CORPORATION THAT DOES NOT HAVE STOCKHOLDERS OR

MEMBERS, BUT WHICH DOES HAVE A BOARD OF INCORPORATORS WHO SERVE AS REPRESENTATIVES
OF THE COMMUNITY TO CARRY OUT THE EXEMPT AND CHARITABLE PURPOSES OF THE HOSPITAL
FORM 990,
PART VI,
SECTION A,
LINE 7A
THE BOARD OF TRUSTEES MAKES RECOMMENDATIONS TO THE INCORPORATORS OF THE HOSPITAL

REGARDING NOMINATIONS OF MEMBERS OF THE COMMUNITY TO SERVE AS TRUSTEES
FORM 990,
PART V I,
SECTION B,
LINE 11
FORM 990 IS REVIEWED BY MANAGEMENT PRIOR TO FILING
FORM 990,
PART VI,
SECTION B,
LINE 12C
RECEIVE, SIGN, AND SUBMIT A CONFLICT OF INTEREST DISCLOSURE THE DISCLOSURES ARE
REVIEWED BY THE HOSPITAL BOARD AND DOCUMENTED IN THE MINUTES ANY DISCLOSURE OF A
CONFLICT PREVENTS THE INDIVIDUAL FROM INVOLVEMENT WITH OR PARTICIPATION IN SUBJECT
MATTER THAT MIGHT AFFECT THE DISCLOSED CONFLICT SUCH ACTIONS ARE DOCUMENTED IN BOARD
MINUTES ALL CONFLICTS ARE DISCLOSED TO BOARD MEMBERS AND CORPORATORS AT THE ANNUAL
MEETING OF THE CORPORATION
FORM 990,
PART VI,
SECTION B,
LINE 15
COMPENSATION OF OFFICERS AND KEY EMPLOYEES ARE REVIEWED ANNUALLY BY THE

COMPENSATION COMMITTEE WHICH IS A SUBCOMMITTEE OF THE HOSPITAL BOARD THIS COMMITTEE
SETS THE COMPENSATION FOR THE CEO BASED ON INDUSTRY DATA COMPENSATION OF OTHER
OFFICERS AND DIRECTORS IS SET BY THE CEO IN CONJUNCTION WITH THE HUMAN RESOURCE
DEPARTMENT AGAIN INDUSTRY COMPENSATION DATA IS THE BASIS FOR DETERMINING THE
APPROPRIATENESS OF COMPENSATION THE CEO REVIEWS WITH THE COMPENSATION COMMITTEE ALL
OFFICERS AND DIRECTORS IN THE FIRST QUARTER OF THE CALENDAR YEAR
FORM 990,
PART VI,
SECTION C,
LINE 19
THE GOVERNING DOCUMENTS ARE FILED WITH THE OFFICE OF HEALTH CARE ACCESS AND ARE
AVAILABLE TO THE PUBLIC UPON REQUEST
FORM 990,
PART XI, LINE
5
NET UNREALIZED GAINS ON INVESTMENTS 534,665 TRANSFERS BETWEEN AFFILIATES -2,731,233

MINIMUM PENSION LIABILITY ADJUSTMENT 10,040,391 CHANGE IN NET ASSETS OF AFFILIATE 567,699
CHANGE IN TEMPORARILY RESTRICTED NET ASSETS 322,853 CHANGE IN BENEFICIAL INTEREST IN
TRUSTS 282,973 TOTAL TO FORM 990, PART XI, LINE 5 9,017,348
OVERSEEING THE FINANCIAL STATEMENT PREPARATION PROCESS THERE HAVE BEEN NO CHANGES IN
THESE PROCEDURES SINCE THE PRIOR YEAR
SCHEDULE R
(Form 990)
As Filed Data -
DLN:93493223002013
OMB No 1545-0047
2011

GRIFFIN HOSPITAL
06-0647014
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)
or foreign country)
(d)
Total income
(e)
End-of-year assets
(f)
Direct controlling
entity
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one
(a)
(b)
Primary activity
(g)
(c)
or foreign count rY)
(d)
Exempt Code section
(f)
Direct controlling
entity

(if section 501(c)
(3))
Section 512(b)(13)
controlled
organization
Yes
No

130 DIVISION STREET
HOLDING COMPANY
CT
501(C)(3)
509(A)(3)(B)(I)
N/A
No
MEDICAL/ EDUCATION
CT
501(C)(3)
509(A)(2)
FUND RAISING
CT
501(C)(3)
509(A)(1)
GRIFFIN HEALTH SERVICES

CORPORATION
No
EDUCATION
CT
501(C)(3)
509(A)(2)

CORPORATION
No
DERBY, CT 06418
22-2560257
130 DIVISION STREET
GRIFFIN HOSPITAL
No
DERBY, CT 06418
06-1463147
130 DIVISION STREET
DERBY, CT 06418
22-2560254
(4) PLANETREE INC
130 DIVISION STREET
DERBY, CT 06418
06-1505284
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat No 50135Y
Page 2
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34
(a)
Name, address, and EIN
of
(b)
Primary activity
(c)
Legal
domicile
(state or
foreign
country)
(d)
Direct controlling
entity
(e)
Predominant income
(related, unrelated,
excluded from tax
under sections 512514)
(f)
Share of total
income
(g)
Share of end-ofyear
assets
(h)
Disproprtionate
allocations7
Yes
(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
0)
General or
managing
part ner?
Yes
N.
(k)
Percentage
ownership
N.
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV,
(a)
(1) GH VENTURES INC

130 DIVISION STREET
DERBY, CT 06418
22-2560247
(2) HEALTHCARE ALLIANCE INSURANCE COMPANY LTD
171 ELGIN AVENUE
GEORGETOWN
CJ
(3) CT PRACTICE MANAGEMENT INC
130 DIVISION STREET
DERBY, CT 06418
06-1152819
(b)
Primary activity
(c)
Legal domicile
(state or
foreign
country)
(d )
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
MANAGE MEDICAL
BILLING
CT
GRIFFIN HEALTH
SERVICES
CORPORATION
OFFSHORE CAPTIVE
Cl
GRIFFIN HEALTH
SERVICES
CORPORATION
INACTIVE
CT
N/A
Share(oftotal
income
(g)
Share of
end-of-year
assets
(h)
Percentage
ownership

ff^
Page 3
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Yes
Note . Complete line 1 if any entity is listed in Parts II, III or IV
No
a
Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity
la
No
Gift, grant, or capital contribution to related organization( s)
lb
No
Gift, grant, or capital contribution from related organization( s)
1c
No
Loans or loan guarantees to or for related organization( s)
ld
Yes
Loans or loan guarantees by related organization( s)
le
Yes
Sale of assets to related organization (s)
if
No
Purchase of assets from related organization( s)
1g
No
Exchange of assets with related organization( s)
1h
No
ii
No
Lease of facilities, equipment, or other assets to related organization( s)
Lease of facilities, equipment, or other assets from related organization (s)
1j
No
Performance of services or membership or fundraising solicitations for related organization( s)
1k
No
11
No
m Sharing of facilities, equipment, mailing lists, or other assets with related organization (s)
1m
No
Sharing of paid employees with related organization( s)
in
No
Reimbursement paid to related organization(s) for expenses
10
Reimbursement paid by related organization(s) for expenses
1p
Other transfer of cash or property to related organization(s)
1q
Yes
Other transfer of cash or property from related organization(s)
lr
Yes
Performance of services or membership or fundraising solicitations by related organization( s)
Yes
No
(a)
(b)
Transaction
type(a-r)
(^)
Amount involved
(d)
amount
involved
(1) See Additional Data Table

(2)
(3)
(4)
(5)
(6)
Page 4
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
(a)
entity
(b)
Primary activity
(c)
Legal domicile
(state or
foreign
country)
(d)
Predominant
income(related,
unrelated,
excluded from
tax under
sections 512514 )
(e)
Are all
partners
section
501(c)(3)
organizations?
Yes
No
(f)
Share of
total income
(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
Yes
No
(i)
Code V-UBI
amount in box
20 of Schedule K-1
(Form 1065)
U)
General or
managing
part ner?
Yes
(k)
Percentage
ownership
No
Page 5
Identifier
Return Reference
Explanation
Additional Data
Return to Form
Software ID:
Software Version:
EIN:
Name :
06 -0647014
GRIFFIN HOSPITAL
Form 990, Schedule R, Part V - Transactions With Related Organizations

(a)
(1)
(2)
GH VENTURES INC
(3)
GRIFFIN DEVELOPMENT FUND
(4)
PLANETREE INC
(5)
(6)
(7)
GRIFFIN FACULTY PRACTICE PLAN
(b)
Transaction
type (a r)
Amount
Involved
)
(d)
amount involved
387,977 ACTUAL CASH
383,280 ACTUAL CASH
546,936 ACTUAL CASH
885,000 ACTUAL CASH
120,000 ACTUAL CASH

Subsidiary

Index
Page(s)

Balance Sheets
2-3
Statements of Operations
Statements of Changes in Net Assets
Statements of Cash Flows
Notes to Financial Statements
7-32
Balance Sheets
33-36
37-38
y ^ê^fy
:^
y
NAM
pwc

In our opinion, the accompanying consolidated balance sheets and the related consolidated statements of
operations, of changes in net assets and of cash flows present fairly, in all material respects, the financial
position of The Griffin Hospital and Subsidiary (the "Hospital") at September 30, 2012 and 2011, and the
results of their operations and their cash flows for the years then ended in conformity with accounting
principles generally accepted in the United States of America These financial statements are the
responsibility of the Hospital's management Our responsibility is to express an opinion on these financial
statements based on our audits We conducted our audits of these statements in accordance with
auditing standards generally accepted in the United States of America Those standards require that we
plan and perform the audit to obtain reasonable assurance about whether the financial statements are
free of material misstatement An audit includes examining, on a test basis, evidence supporting the
amounts and disclosures in the financial statements, assessing the accounting principles used and
significant estimates made by management, and evaluating the overall financial statement presentation
We believe that our audits provide a reasonable basis for our opinion
Fri c
Jat".4Low.- .eCaa-acrs
LL P
April 18, 2013
PricewaterhouseCoopers LLP, 185 Asylum Street, Suite 2400 , Hartford, CT o6103-3404

T: (860) 241 7ooo, F: (860) 241 7590, www.pwc.com/us

2012
Assets
Current assets
In estments
and $5,806,000, respectiely
8,167,417
5,371,978
700,398
2011
5,607,752
7,625,803
704,176
13,110,545
5,665,669
17,300,192
6,392,598
33,016,007
37,630,521
10,001
4,288,627
31,384
4,288,799
4,298,628
4,320,183
Property, plant and equipment , net
Due from affiliates
Other long-term assets and insurance recoverable
1,147,841
60,325,720
5,952,786
7,998,375
3,650 ,093
1 ,203,411
12,635,039
1,030,970
62,284,936
5,415,314
5,411,702
3,367,120
457,830
12,654,401
92,913,265
90,622,273
$ 130,227,900
$ 132,572,977

Board-designated in estments
Total assets

2012
Current liabilities
lease obligations
Accounts payable
Accrued expenses
Deferred revenue
Due to affiliates

Accrued postretirement benefit liability , net of current portion
Total liabilities
Net deficit
Cumulatie unrecognized pension charges
Total unrestricted
6,418,425
20,201,504
8,406,735
347,111
435,000
40,179
196,466
6,380,271
19,825,537
7,105,100
365,713
525,000
33,048
67,621
34,302,290
3 ,179,514
10,488,070
2,108,091
42,427,930
8,484,801
119 ,709
46,957,600
1,299,057
9,153,353
1,203,129
10,493,026
1,514,632
52,424,095
7,469,095
125,216
48,524,613
3,205,611
7,973,902
160,263,545
167,235,609
13 ,419,944
(51,468,946)
20,659,590
(62,729,753)
(38,049,002)
(42,070,163)
(30,035,645)
36,045,420
2,203,003
5,810,354
Total net deficit
2011
$ 130,227,900
1,880,150
5,527,381
(34,662,632)
$132,572,977
3

Operating revenues
Net patient service reenue
2012
2011
$123 ,980,407
5 ,743,384
5,000
$124,691,401
6,101,588
27,869
129,728,791
130,820,858
76,243,963
48,809,594
5,999,975
2 ,709,709
1,101,989
73,723,186
45,693,455
5,837,895
2,618,102
3,461,056
134,865,230
131,333,694

Operating expenses
Interest
Provision for doubtful accounts , net of recoeries
Nonoperating gains (losses)
Investment income
Net realized and unrealized losses on interest rate swaps
Grant retinues
Grant expenses
Deficiency of retinues over expenses

Increase ( decrease ) in unrestricted net assets
(5,136,439)
(512,836)
998,665
(2,523,551)
2,234,902
(2,259,698)
218,353
(2,527,906)
2,414,954
(2,141,922)
(1,549,682)
(2,036,521)
( 6,686 ,121)
(2,549,357)
331,491
335,400
(4,721)
3,221,665
10,040,391
(17,771,550)
4,021,161
$ (17,103,963)
4

2012
Deficiency of retinues over expenses
Other changes
Increase (decrease) in unrestricted net assets

Investment income
Unrealized gain (loss) on inestments
Increase (decrease) in temporarily restricted net assets
Increase (decrease) in permanently restricted net assets
Increase (decrease) in net assets
Net deficit
Beginning of year
End of year
(6,686 ,121)
331,491
335,400
2011
(2,549,357)
(4,721)
3,221,665
10,040,391
(17,771,550)
4,021,161
(17 , 103,963)
205,982
46,808
75,063
(5,000)
( 103,900)
33,862
(36,393)
(27,869)
322,853
(134,300)
282,973
(277,108)
282,973
(277,108)
4,626,987
(17,515,371)
(34,662,632)
(17,147,261)
$ (30,035,645)
$ (34,662,632)
5

2012
Pro\nsion for doubtful accounts, net of recoveries
Deferred revenue
4,626,987
2011
$ (17,515,371)
(10, 040, 391)

6,154,192
647,012
(282,973)
1,179,451
1,101,989
335,400
(537,472)
17, 771, 550

5,985,361
(161,977)
277,108
1,151,798
3,461,056
3,221,655
108,621
3,087,657
535,512
(2,457,828)
1,667,633
1,230,804
7,131
969,932
(5,204,290)
(2,773,322)
906,341
2,322,907
370,670
16,418
(448,585)
Total adjustments
3,598,049
27,005,311
Net cash pro\nded by operating activities
8,225,036
9,489,940
(3,476, 398)
(11,098,922)
12,614,197
(335,400)
(4,413,041)
(10, 537, 500 )
13, 086, 765
(3,221,655)
(2, 296, 523)
(5,085,431)
362,048
(1,900,000)
(1,830,896)
700,000
(1,790,000)
(1,733,194)
(3, 368, 848)
(2,823,194)
2,559,665
1,581,315
5,607,752
4,026,437

Net increase in cash and cash equivalents
Beginning of year
End of year
8,167,417
5,607,752

Interest paid
4,072,410
4,020,108

Property, plant and equipment included in accounts payable and
1,173, 836
6
599,466

Organization
organization currently managing medical office buildings, Planetree Inc ("Planetree"), a not-forprofit entity assisting hospitals and other health care facilities in the development and
In February 2008 , the Hospital and GHV entered into a joint venture with TOPCO Associates, LLC,
to form a company called NuVal The purpose of this company is to commercialize an "Overall
Nutrition Quality Index " system , developed by the Hospital for promoting healthy eating habits
among the general population The Hospital's ownership interest in NuVal was transferred to GHV
in 2008 and as such all amounts related to NuVal are recorded in the GHV and consolidated GHSC
financial statements
2.

consolidation
Unrestricted

contributions
Use of Estimates
policy to monitor the bank ' s financial strength on an ongoing basis

Inventories
identical assets or liabilities (Level 1 measurements) and the lowest priority to unobservable inputs
(Level 3 measurements) The three levels of the fair value hierarchy under this principle are as
follows
Level 1
Inputs to the valuation methodology are unadjusted quoted prices for identical assets or
Level 2
Inputs to the valuation methodology include
Quoted prices for similar assets or liabilities in active markets,
Quoted prices for identical or similar assets or liabilities in inactive markets,
Inputs other than quoted prices that are observable for the asset or liability,
Inputs that are derived principally from or corroborated by observable market data
by correlation or other means
If the asset or liability has a specified term, the Level 2 input must be observable for
Level 3
Inputs to the valuation methodology are unobservable and significant to the fair value
measurement
Assets Limited as to Use

capitalized as a component of the cost of acquiring those assets
the course of last year The review determined that certain assets were being depreciated over a
the corresponding depreciation was prospectively adjusted as appropriate The changes in the
useful lives lead to a decrease in depreciation expense of approximately $461,000 during 2011
Cost of Borrowing
10

Deficiency of Revenues Over Expenses
The statement of operations includes a deficiency of revenues over expenses Changes in
unrestricted net assets which are excluded from deficiency of revenues over expenses, consistent
adjustments was decrease in net patient service revenue of approximately $553,459 in 2012 and a
decrease of approximately $156,824 in 2011
Free Care
Income Taxes
Subsequent Events
April 18, 2013, the date the financial statements were issued
11

Reclassifications
Certain amounts in the 2011 consolidated financial statement have been reclassified to conform to
3.

follows
2012
FPP
Hospital
S 411,206,017
(290,144,702)
Net patient service revenue 5 121 ,061,315
Total
Hospital
2011
FPP
Total
5,471,322
(2,552,230)
5 416,677,339
(292,696,932)
5 384,534,584
(262,536,240)
5,881,174
(3,188,117)
5 390,415,758
(265,724,357)
2,919,092
5 123,980,407
5 121,998,344
2,693,057
5 124,691,401
programs
Medicare
are also paid under a prospective per diem payment system established by Medicare
12

Medicaid
Inpatient services rendered to Medicaid program beneficiaries, except for those beneficiaries in the
State's Aid to Families with Dependent Children ("AFDC") population, are reimbursed under a cost
addition, the State also contracts with various managed care organizations to provide services to
the State's AFDC population The Hospital contracts with one or more of these managed care
organizations and provide services on a per diem rate for inpatient and fee schedules or percent of
charges for outpatients
Other Payers
4.
Investments
Investments
2012

2011
Cost
Fair Value
Cost
Fair Value
$ 3,602,337
2,891,762
$ 3,611,174
2,908,645
$ 5,406,886
3,419,266
$ 5,001,889
3,654,884
$ 6,494,099
$ 6,519,819
$ 8,826,152
$ 8,656,773
13

Cost
Board-designated

Less
Current portion
2012
Fair Value
10,001
10,001
Cost
2011
Fair Value
20 ,507
20,507
10,877
10,877
10.001
10 .001
31.384
31.384
4,988,754
831
4,988,194
831
4,992,520
1,354
4,991,621
1,354
4,989,585
4,989,025
4,993,874
4,992,975
(700,398)
(700,398)
(704,176)
(704,176)
4,289,187
4,288,627
4,289,698
4,288,799
$4,299,188
$4,298,628
$4,321,082
$4,320,183
2012
Income
Net realized gain
Change in unrealized gains and losses on inestments
14
2011
351,715
112,285
534,665
380,331
75,984
(237,961)
998,665
218,353

Significant
Other
Significant
Observable
Unobservable
Inputs
Inputs
(Level 2)
(Level 3)
Quoted Prices
in Active
Markets for
Identical Assets
(Level 1)
Investments
Fixed income
Equity securities
3,611,174
2,908,645
Total investments
6,519,819
6,519,819
Total liabilities at fair value $
Liabilities
3,611,174
2,908,645
Remainder trusts
Perpetual trusts
Fair Value
6,519,819
109,818
3,540,275
109,818
3,540,275
3,650,093
10,169,912
9,153,353
9,153,353
9,153,353
9,153,353
The following table sets forth a summary of changes in the fair value of the Hospital's Level 3
assets for the year ended September 30, 2012
3,367,120
282,973
3,650,093

Significant
Other
Significant
Observable
Unobservable
Inputs
Inputs
(Level 2)
(Level 3)
Quoted Prices
in Active
Markets for
Identical Assets
(Level 1)
Investments
Fixed income
Equity securities
Total investments
Remainder trusts
Perpetual trusts
5,001,889
3,654,884
Fair Value
5,001,889
3,654,884
8,656,773
8,656,773
101,612
3,265,508
101,612
3,265,508
8,656,773
3,367,120
12,023,893
7,973,902
7,973,902
Total liabilities at fair value $
7,973,902
7,973,902
Liabilities
15

3,644,228
(277,108)
Balance at September30 , 2011

5.
3,367,120

2012
Land and improements
Buildings and improements
Less
Accumulated depreciation
Construction- in-progress
5,107, 308
71, 833, 837
71, 898, 214
2011
$
5,107, 308
70, 300, 374
69, 071, 589
148, 839, 359
144, 479, 271
(88,643,415)
(82,909,524)
60,195, 944
61, 569, 747
129,776
715,189
$ 60, 325, 720
$ 62, 284, 936
Depreciation expense was $4,698,788 and $3,871,478 for 2012 and 2011, respectively
respective capital lease assets was $4,488,949 and $3,187,762 as of September 30, 2012 and
2011, respectively
Amortization expense on capital lease assets was $1,301,187 and $1,966,417 for2012 and 2011,
respectively
6.

16

reserves have been discounted at 2 5% and 3 0% at September 30, 2012 and 2011, respectively,
7.
Long-Term Debt

Series B
Series C
Series D
Loan payable
Less
Current portion
2012
2011
$17,200,000
22,100,000
10,550,000
1,062,048
$18,375,000
22,625,000
10,750,000
700,000
520,552
587,113
51,432, 600
53, 037,113
(4,475,000)
(4,512,500)
$46,957,600
$48,524,613
through 2015 and on July 1, 2020 and July 1, 2023 in the amounts of $7,750,000 and $5,640,000,
In May 2007, CHEFA issued $23,125,000 revenue bonds, The Griffin Hospital Issue, Series C and
$10,925,000 variable rate revenue bonds, The Griffin Hospital Issue, Series D
17

with Wells Fargo Bank N A for $34,050,000 which expires in May 2013 As of September 30, 2012
the Hospital was in violation of the letter of credit's required debt service coverage ratio and
capitalization ratio In April 2013, Wells Fargo amended the letter of credit agreement to allow, as
of September 30, 2012, the calculation of these ratios to exclude certain non-recurring
expenditures for consulting expenses The consulting expenditures were incurred to help the
Hospital identify and implement cost reductions and put in place software and controls designed to
monitor and continue the cost containment process In connection with the amendment the
Hospital has obtained an extension of this letter of credit to May 2014 Should the Series 2008
Bonds be put back, and the standby letter of credit be called, the Hospital would be required to
repay the principal ratably over a 5-year period, beginning 180 days following the put
Additionally, the Obligated Group is required to maintain a capitalization ratio of less than 65 As of
September 30, 2012 the Obligated Group failed to meet the debt service coverage and
capitalization ratios As a result of the covenant violations, the Obligated Group entered into a
Forbearance Agreement in April 2013 with Radian Asset Assurance, Inc , the bond insurer The
Forbearance Agreement waives the covenant violations as of September 30, 2012 and modifies
the debt to equity ratio calculation going forward to allow exclusion of any realized or unrealized
gains (losses) on the interest rate swap In addition, the forbearance agreement added an
additional loan covenant that beginning March 31, 2013 requires the Obligated Group to maintain
an average payment period days of less than 110 days
Under both the letter of credit agreement and the CHEFA bonds there was a requirement to
provide audited financial statements within 120 days of year end which was not met for the
September 30, 2012 year end In April 2013, both Wells Fargo Bank and Radian have provided a
waiver of this covenant violation
2013
2014
2015
2016
2017
Thereafter
1,935,000
2,040,000
2,135, 000
2,225,000
2,345,000
40,232,048
$ 50,912,048
18

2012
2013
2014
2015
2016
Thereafter
4,475,000
7,795,000
7,865,000
7,930,000
8,000,000
14, 847, 048
$ 50,912,048
19

2012
Debt service fund
Principal fund
2011
4,287,910
215,120
485,164
831
4,288,344
225,970
477,307
1,354
4,989,025
4,992,975
The Hospital borrowed $1,062,048 and $700,000 of the net cash value of certain officer universal
life insurance policies for working capital purposes in fiscal years 2011 and 2010 respectively The
fiscal year 2010 borrowing was paid back in fiscal year 2011 There is no repayment requirement
relative to the borrowing
significant
of the change in fair value was $1 ,179,451 and $1,151,797 for the years ended September 30,
2012 and 2011, respectively This change is included in the net realized and unrealized losses on
interest rate swap agreements , which also includes the net periodic settlement payments related to
the swap agreements of $1,344,099 and $1,376,109 for 2012 and 2011, respectively
20

balance sheets at September 30, 2012 and 2011
2012
Initial
Notional
hedging instruments
Interest rate swaps
Fair
Value
$ 34, 050, 000
(9,153, 353)
2011
Initial
Notional
hedging instruments
Interest rate swaps
$ 34,050,000
Fair
Value
(7,973,902)
2012
on Derivatives
hedging Instruments
Interest rate swaps

2011
on Derivatives
hedging Instruments
Interest rate swaps
8.

Gain or (Loss)
on Derivatives
(2,523,551)
Gain or (Loss)
on Derivatives
Lease Commitments
Capital Leases
21
(2,527,906)

Future minimum rental payments , by year and in aggregate, under capital leases consist of the
2013
2014
2015
2,024,967
1,214,035
110,886
3,349,888
Less
Amounts representing interest
144,274

Less
3 ,205,614
Current portion
1,906,557
Capital lease obligation , net current portion
1,299,057
Operating Leases
2011, respectively
are as follows
2013
2014
2015
2016
2017
9.
1,048,456
1,042,802
1,036,385
1,015,173
573,833
4,716,649

and 2011
2012
$
Change in the unspent income and (depreciation) appreciation
Restricted specified healthcare services
$
22
730,489
2011
316,479
324,977
831,058
2,203,003
613,618
(20,928)
813,033
474,427
1,880,150

2012
1,742,616
3,650,093
$
10
417,645
2011
5,810,354
417,645
1,742,616
3,367,120
$
5,527,381

On March 5, 2005, the Hospital entered into a $262,500 letter of credit agreement with Wells Fargo
agreement with Wells Fargo Bank On January 21, 2010, the letter of credit agreement for
$262,500 was reduced to $50,000 No borrowings had been made on either letter of credit as of
11

of September 30
2012
Health Alliance Insurance Company , Ltd (HAIC )
G H Ventures , Inc (GHV)
Planetree
G HS C
2011
5,169 ,742
1,542,941
644,696
315,007
325,989
4,252,041
1, 159,661
-
7,998,375
5,411,702

2012
Planetree, Inc
The Griffin Hospital Development Fund, Inc
2011
196,466
-
5,633
61,988
196,466
67,621
23

$825,000 in 2012 and 2011 respectively
during 2011
HAIL (note 6) Total premiums incurred for this insurance coverage in 2012 and 2011 were
expenses on behalf of HAIL and is subsequently reimbursed for these expenses As of
September 30, 2012 and 2011, the Hospital was due $5,169,741 and $2,574,461, respectively,
from HAIL for favorable claim development net of insurance premiums due
The Hospital paid operating expenses of approximately $3,000 for both 2012 and 2011 GHSC
transferred to the Hospital approximately $120,000 and $5,315,000 in 2012 and 2011, respectively
The Hospital made cash advances to GHSC of approximately $1,000,000 in 2011
Planetree, Inc.
$2,035,121 and $1,745,000 in 2012 and 2011, respectively Planetree transferred $1,800,000 to
the Hospital during 2011 which represented a return of capital
12.

Pension Benefits
Griffin Hospital were frozen for the April 1, 2010 to March 31, 2012 plan year Participants continue
to earn vesting service during the freeze period and pay increases during the freeze period will be
reflected in participant's final earnings calculation however no credited service will be earned for
the period from April 1, 2010 to March 31, 2012 Effective April 1, 2012 the plan freeze was
terminated and credit service accruals were reestablished at a reduced rate
The Hospital' s accumulated benefit obligation was $100,786,846 and $88,758,523 at
September 30, 2012 and 2011, respectively
24

date
Pension Benefits
2012
2011
Other Benefits
2012
2011

service cost
Interest cost
Amendments
Actuarial loss
Benefits paid
$ 100,960,773
1,123,268
4,255,880
(10,194,555)
8,206,927
(3,372,846)
$ 86,252,605
100,000
4,228,200
14,114,413
(3,734,445)
7,994,095
242,639
350,023
1,168,473
(835,429)
6,819,956
225,851
330,609
1,128,017
(510,338)
7,994,095
$ 100,979,447
$ 100,960,773
8,919,801

Benefits paid
$ 48,539,678
9,507,095
3,880,590
(3,372,846)
$ 49,977,336
(1,353,510)
3,647,297
(3,734,445)
$ 58,554,517
$ 48,536,678
$ (42,424,930)
$ (52,424,095)
(8,919,801)
835,429
(835,429)
510,338
(510,338)
(7,994,095)

Pension Benefits
2012
2011
Service cost
Interest cost
ser\nce credit
Net actuarial loss
1,123,268
4,255,880
(4,147,333)
(654,432)
4,567,849
5,145,232
25
100,000
4,228,200
(4,272,234)
Other Benefits
2012
2011
$
3,308,346
$
3,364,312
242,639
350,023
-
(389,620)
337,677
$
540,719
225,851
330,609
(523,414)
10,104
301,588
344,738

Pension Benefits
2012
2011
Current liabilities
42,427,930
$ 42,427, 930
Other Benefits
2012
2011
52,424,095
435,000
8,484,801
525,000
7,469,095
$ 52,424, 095
8,919 ,801
7,994,095
Pension Plan
Net actuarial loss
2012
2011
$ 57,213,849
$ 58,934,533
$ 57,213,849
$ 58,934,533
net assets
2012
Net actuarial loss
Amortization of
Actuarial loss
2,847 ,165
2011
$ 19 ,740,157
(4,567,849)
$
(1,720,684)
(3,308,346)
$ 16,431,811
next fiscal year
$
Actuarial loss
4,187,550
Post- Retirement Plan

2012
Net transition obligation
Net actuarial loss
26
2011
(502,612)
5,518,248
(892,232)
4,687,452
5,015,636
3,795,220

2012
Net actuarial loss
Amortization of
Prior service cost
Actuarial gain
2011
1,168 ,473
389,620
(337,677)
$
1,220,416
1 ,128,017
(10,104)
523,414
( 301,588)
1 ,339,739
next fiscal year
Actuarial loss
(389,620)
830,796

Pension Benefits
2012
2011
Discount rate
391%
4 00%
Other Benefits
2012
2011
454%
4 00%
Pension Benefits
2012
2011
Discount rate
4 54%
7 89%
4 00%
391%
N/A
Other Benefits
2012
2011
5 00%
8 50%
4 00%
4 54%
N/A
N/A
Pre-65

27
454%
N/A
5 00%
N/A
N/A
Post-65
2012
2011
2012
2011
8 00%
8 00%
8 00%
8 00%
5 00%
2019
5 00%
2018
5 00%
2019
5 00%
2018

effects on
(in 000's)
1-Percentage
1-Percentage
Point
Point
Increase
Decrease
23,197
200,155
(19,981)
(176,390)
Contributions
of September 30
Pension
Benefits
2013
2014
2015
2016
2017
2018-2022
3,852,000
4,107, 000
4,373,000
4,703,000
4,960,000
28, 582, 000
Other
Benefits
$
435,000
461,000
491,000
546,000
594,000
3,161, 000

2012
Asset category
U S Large cap
U S Small cap
International equity
Alternative investment
Fixed income
Real estate
28
2011
95 %
5
-
1 %
36
7
18
29
9
100%
100%

2012
Target asset allocations
Cash
US Large cap
US Small cap
Fixed income
Real estate
2011
100 %
-
0%
38
7
20
25
10
100%
100%
The fair value of plan assets as of September 30, 2012, by asset category was as follows
(in thousands)
September 30, 2012

Quoted
Prices in
Active Markets
for Identical
Assets
(Level 1)
Significant
Other
Observable
Inputs
(Level 2)
Significant
Unobservable
Inputs
(Level 3)
Total
Cash and cash equivalents $

U S Large cap
U S Small cap
Alternative investments
Fixed income
Real estate mutual funds
55,293
643
-
2,619
-
55,293
2,619
643
-
55,936
2,619
58,555
(in thousands)
September 30, 2011

Quoted
Prices in
Active Markets
for Identical
Assets
(Level 1)

U S Large cap
US Small cap
Fixed income
617
17,607
3,200
8,547
679
-
Significant
Other
Observable
Inputs
(Level 2 )
$
JU,t)ou
Significant
Unobservable
Inputs
( Level 3)
-
13,601
11, iiL
29
Total
$
617
17,607
3,200
8,547
14,280
4t5,5t5L

The Hospital has adopted a liability driven investment ("LDI") strategy Primary focus is to minimize
the volatility of the funding ratio by aligning the Plan's assets with its liabilities in terms of how
both respond to interest rate changes; this is then followed by an investment objective strategy to
achieve a satisfactory rate of return based on the asset allocation profile in the long term and
satisfy the plan's benefit obligations, while incurring an acceptable pension cost to the sponsor in
the long run. The objective will result in a prescribed asset mix between return seeking assets and
a LDI bond portfolio.
13.

The Hospital grants credit without collateral to its patients, most of who are local residents and are
insured under third-party payor agreements The mix in patient accounts receivable as of
2012
Managed care
Self-pay patients
City Welfare
14.
2011
13 %
21
27
37
2
18 %
17
29
34
2
100%
100%
Functional Expenses

15.
2012
2011
$112, 399, 993

22,465, 237
$112,
112,943,128
18, 758, 730
$134, 865, 230
$131, 701, 858
Endowments
30

(1) The duration and preservation of the fund
(2) The purposes of the Hospital and the donor restricted endowment fund
(3) General economic conditions
(4) The possible effect of inflation and deflation
(5) The expected total return from income and the appreciation of investments
(6) Other resources of the Hospital
(7) The investment policies of the Hospital
Temporarily
Restricted
Endowment net assets at beginning of year

772,072
2012
Permanently
Restricted
$
(5,000)
$
1,089,279
Temporarily
Restricted

Endowment net assets at end of year
793,000
322,207
2,160, 261
Total
322,207
2,160, 261
(5,000)
$
2011
Permanently
Restricted
$
2,160, 261
2,932,333
3,249,540
Total
$
2,953,261
(1,478)
(1,478)
(19,450)
(19,450)
772,072
2,160, 261
2,932,333
31

16.

statements
17.
Subsequent Events
On March 28, 2013 the Hospital entered into an agreement to transfer its malpractice loss portfolio
to an insurance company by making a one time payment of $7,400,000 The loss portfolio transfer
effectively transfers the liabilities and subsequent risk to a third party insurer As a result of the
transaction, cash of $3,900,000 was freed up and transferred from HAIL to the Hospital
32
y ^ê^fy
:^
y
NAM
pwc
Report of Independent Auditors on Accompanying Consolidating Information

of September 30, 2012 and 2011 and for the years then ended appears on page 1 of this document
Those audits were conducted for the purpose of forming an opinion on the consolidated financial
statements taken as a whole The consolidating information is presented for purposes of additional
analysis of the consolidated financial statements rather than to present the financial position and results of
operations of the individual companies Accordingly, we do not express an opinion on the financial
position and results of operations of the individual companies However, the consolidating information has
been subjected to the auditing procedures applied in the audits of the consolidated financial statements
and, in our opinion, is fairly stated, in all material respects, in relation to the consolidated financial
statements taken as a whole
pri C4L s.JO
OL
C-o^ vs
LI. P
April 18, 2013


September 30, 2012
Assets
Current assets
In estments
The
Griffin
Hospital
Griffin
Faculty
Practice Plan
8,071,213
5,371,978
700,398
12,754,987
5,557,652
96,204
355,558
108,017
Eliminations
Total
8,167,417
5,371,978
700,398
13,110,545
5,665,669
32,456, 228
559,779
33, 016, 007
10,001
4,288,627
10,001
4,288,627
4,298,628
4,298,628
Long-term in estments
Due from affiliates
Other long-term assets and insurance recoerable
1,147,841
59,966,717
5,952,786
7,998,375
611,099
1,203,411
3,650,093
12,635,039
359,003
-
(611,099)
-
1,147,841
60,325,720
5,952,786
7,998,375
1,203,411
3,650,093
12,635,039
93,165, 361
359,003
(611, 099)
92, 913, 265
(611, 099)
$ 130, 227, 900

Total assets
$ 129, 920, 217
33
918,782

September 30, 2012
The
Griffin
Hospital
Liabilities and Net ( Deficit) Assets
Current liabilities
lease obligations
Accounts payable
Accrued expenses
Deferred revenue
Due to affiliates

Total liabilities
Total unrestricted
34
Total
6,418,425
20,201,504
8,406,735
347,111
40,179
196,466
435,000
307,683
36,045,420
3,179,514
10,488,070
2,108,091
42,427,930
8,484,801
119,709
46,957,600
1,299,057
9,153,353
3,179,514
10,488,070
2,108,091
42,427,930
8,484,801
119,709
46,957,600
1,299,057
9,153,353
159,955,862
307,683
160,263,545
13,419,944
(51,468,946)
611,099
-
(611,099)
-
13,419,944
(51,468,946)
(38,049,002)
611,099
(611,099)
(38,049,002)
(30,035,645)
$
157,140
150,543
-
Eliminations
35,737,737
2,203,003
5,810,354

6,418,425
20,044,364
8,256,192
347,111
40,179
196,466
435,000
Griffin
Faculty
Practice Plan
129,920,217
611,099
$
918,782
2,203,003
5,810,354
(611,099)
$
(611,099)
(30,035,645)
$
130,227,900

September 30, 2011
Assets
Current assets
In estments
The
Griffin
Hospital
Griffin
Faculty
Practice Plan
5,513,612
7,625,803
704,176
17, 025,431
6,294,570
94,140
274,761
98,028
Eliminations
Total
5,607,752
7,625,803
704,176
17, 300,192
6,392,598
37,163,592
466,929
37,630,521
31,384
4,288,799
31,384
4,288,799
4,320,183
4,320,183
Long-term in estments
Due from affiliates
Other long-term assets and insurance recoerable
1,030,970
62, 082,187
5,415,314
5,411,702
374,891
457,830
3,367,120
12,654,401
202,749
-
(374,891)
-
1,030,970
62, 284, 936
5,415,314
5,411,702
457,830
3,367,120
12,654,401
90,794,415
202,749
(374,891)
90,622,273
(374,891)
$ 132,572,977

Total assets
$ 132,278,190
35
669,678

September 30, 2011
The
Griff in
Hospital
Liabilities and Net ( Deficit ) Assets
Current liabilities
lease obligations
Accounts payable
Accrued expenses
Deferred revenue
Due to affiliates

Total liabilities
Total unrestricted
36
Total
6,380,271
19,825,537
7,105,100
365,713
33,048
67,621
525,000
294,787
34,302,290
1,203,129
10,493,026
1,514,632
52,424,095
7,469,095
125,216
48,524,613
3,205,611
7,973,902
1,203,129
10,493,026
1,514,632
52,424,095
7,469,095
125,216
48,524,613
3,205,611
7,973,902
166,940,822
294,787
167,235,609
20,659,590
(62,729,753)
374,891
-
(374,891)
-
20,659,590
(62,729,753)
(42,070,163)
374,891
(374,891)
(42,070,163)
(34,662,632)
$
128,993
165,794
-
Eliminations
34,007,503
1,880,150
5,527,381

6,380,271
19,696,544
6,939,306
365,713
33,048
67,621
525,000
Griff in
Faculty
Practice Plan
132,278,190
374,891
$
669,678
1,880,150
5,527,381
(374,891)
$
(374,891)
(34,662,632)
$
132,572,977

September 30, 2012
The
Griffin
Hospital
Operating revenues
121 ,061 ,315

5,743,384
5,000
Griffin
Faculty
Practice Plan
Eliminations
2,919,092
772,102
-
Total
(772,102)
-
123,980,407
5,743,384
5,000
126,809,699
3,691,194
(772,102)
129,728,791
Operating expenses
Depreciation
Interest
72,639,969
46,867,207
5,913,216
2,709,709
985,612
3,603,994
2,714,489
86,759
116,377
(772,102)
-
76,243,963
48,809,594
5,999,975
2,709,709
1 ,101 ,989
129,1 15,713
6,521,619
(772,102)
134,865,230
(2,306,014)

Investment income

Transfers between affiliates
(2,830,425)
998,665
(2,523,551 )
2,234,902
(2,259,698)
(1,549,682)
(1,549,682)
(6,686,121 )
(3,855,696)
(2,830,425)
567,699
(2,731,234)
3,066,634
4,021,160
37
(5,136,439)
998,665
(2,523,551)
2,234,902
(2,259,698)
10,040,391
$
(236,208)
236,209
331,491
335,400
(236,208)
10,040,391
$
4,021,161

The
Griffin
Griffin
Faculty
Hospital
Practice Plan
Eliminations
Total
Operating revenues
121,998,344
5,999,588

2,693,057
819,206
27,869
128,025,801
3,512,263
(717,206)
124,691,401
6,101,588
27,869
(717,206)
130,820,858
Operating expenses
70,585,175
3,138,011
43,868,190
2,542,471
Depreciation
5,747,143
90,752
5,837,895
Interest
2,618,102
2,618,102
3,349,408
111,648
3,461,056
126,168,018
5,882,882

1,857,783
73,723,186
(717,206)
45,693,455
(717,206)
(2,370,619)
131,333,694
(512,836)

Investment income
(2,527,906)
218,353
2,414,954
2,414,954
(2,141,922)
(2,141,922)
(2,036,521)
(2,036,521)
(2,549,357)
(178,738)

(2,370,619)
47,054
799,271
2,422,394
218,353
(2,527,906)
(51,775)
(4,721)
3,221,665

(17,771,550)
$
38
(17,103,963)
51,775
(51,775)
(17,771,550)
$
(17,103,963)
DIVIDER
Form
As Filed Data -
DLN: 93493225008404
OMB No 1545-0047
990
Under section 501 (c), 527, or 4947( a)(1) of the Internal Revenue Code ( except black lung
2012
A For the 2012 calendar year, or tax year beginning 10-01-2012

, 2012, and ending 09-30-2013
GRIFFIN HOSPITAL
D Employer identification number
F Address change
06-0647014
Doing Business As
F Name change
1 Initial return
Number and street (or P 0 box if mail is not delivered to street address) Room/suite
130 DIVISION STREET
p Terminated
E Telephone number
(203)732-7528
( - Amended return
City or town, state or country, and ZIP + 4

DERBY, CT 06418

PATRICK S CHARMEL
130 DIVISION STREET
DERBY, CT 06418
Tax-exempt status
Website :1- GRIFFINHEALTH ORG
F 501(c)(3)
501(c) (
) I (insert no )

affiliates?
(-Yes
No
H(b) Are all affiliates included? 1 Yes (- No

(- 4947(a)(1) or
F_ 527
Group exemption number -
H(c)
K Form of organization F Corporation 1 Trust F_ Association (- Other 0-
L Year of formation
1908
CT
Summary
1

of
:2
.
.
.
.
.
.

22
18
1,453
232
7a
3,312,813
7b
-960,068
Prior Year
Program service revenue (Part V I I I , l i n e 2g)
Current Year
2,234,902
2,231,692
128,990,660
126,387,570
10
Investment income (Part VIII, column (A), lines 3, 4, and 7d )
464,000
320,617
11
422,129
452,490
12
12)
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129,508,601
131,995,459
13
14
15
Salaries, other compensation, employee benefits (Part IX, column (A), lines
5-10)
72,639,965
72,402,078
16a
Professional fundraising fees (Part IX, column (A), line 11e)
b
LLJ
17
Other expenses (Part IX, column (A), lines 11a-11d, 11f-24e)
18
19
61,258,997
57,266,011
133,898,962
129,668,089
-4,390,361
2,327,370
Year
-A
M
%TS
20
21
ZLL
22
lijaW
Signature Block
Under penalties of perjury, I declare that I have examined this return, includin
my knowledge and belief, it is true, correct, and complete Declaration of preps
preparer has any knowledge
Sign
Here
MARK O'NEILL VP FINANCE/ CFO
Print/Type preparer's name
BETH THURZ
Paid
Pre pare r
Use Only
Firm's name
Preparers signature
1- SASLOW LUFKIN & BUGGY LLP
Firm's address 1-175 POWDER FOREST DRIVE

SIMSBURY, CT 06089
For Paperwork Reduction Act Notice, see the separate instructions.
End of Year
129,920,217
119,856,922
159,955,862
133,564,097
-30,035,645
-13,707,175
Form 990 ( 2012)
Page 2

1
.F
Briefly describe the organization's mission

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fl Yes F No
F Yes F7 No

3
services? .
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4
4a
expenses Section 501(c)(3) and 501( c)(4) organizations are required to report the amount of grants and allocations to others,
the total expenses , and revenue , if any, for each program service reported
(Code
) (Expenses $
113,144,931
) (Revenue $
114,088,796
4b
(Code
) ( Expenses $
3,542,420
) ( Revenue $
8 ,237,606
) ( Revenue $
1 ,876,818
) ( Revenue $
1 ,508,490
4c
(Code
) ( Expenses $
1,982,636
(Code
) ( Expenses $
589,683
4d
Other program services (Describe in Schedule 0

(Expenses $
4e
589,683
Total program service expenses 0-
) ( Revenue $
1 ,508,490
119,259,670
Form 990 (2012)
Form 990 (2012)
Page 3

Yes
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2
No
Yes
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)?
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assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C,
Part HIS .
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Schedule D, Part I
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the environment, historic land areas, or historic structures? If "Yes,"complete Schedule D, Part IIS .
No
complete Schedule D, Part 111 19 .
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No
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability, 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 IV
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No
7
8
9
10
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11
If the organization's answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII,
a
b
c
d
.
its total assets reported in Part X, line 16? If "Yes, "complete Schedule D, Part VIIS .
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llb
Yes
.
its total assets reported in Part X, line 16? If "Yes, "complete Schedule D, Part VIII
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llc
Yes
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reported in Part X, line 16? If "Yes," complete Schedule D, Part IX' .
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lid
Yes
lle
Yes
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes,"complete Schedule D, Parts XI and XII . .
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"Yes,"and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional IN
13
14a
llf
No
12a
No
12b
Yes
13
No
14a
No
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising,
business, investment, and program service activities outside the United States, or aggregate foreign investments
14b
.
valued at $100,000 or more? If "Yes,"complete Schedule F, Parts I and IV .
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No
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 United States? If "Yes," complete Schedule F, Parts II and IV
15
No
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 United States? If "Yes," complete Schedule F, Parts III and IV .
16
No
17
No
18
No
19
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 11 e? If "Yes," complete Schedule G, Part I (see instructions) .
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18
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VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II .
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19
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20a
Did the organization operate one or more hospital facilities? If "Yes,"completeScheduleH
No
Yes
addresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740 )? If "Yes,"complete
Schedule D, Part X. .
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16
No
lla
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes,"complete Schedule D, Part VI.
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15
Yes
Yes
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part )(
No
10
12a
Yes
If"Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20a
20b
Yes
Yes
Form 990 (2012)
Form 990 (2012)
Page 4

21
Did the organization report more than $5,000 of grants and other assistance to any government or organization in
.
.
21
No
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States
on Part IX, column (A), line 2? If "Yes, "complete Schedule I, Parts I and III .
22
No
23
Did the organization answer "Yes" to Part VII, Section A, line 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 .
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23
Yes
as of the last day of the year, that was issued after December 31, 2002? If"Yes," answer lines 24b through 24d
.
and complete Schedule K. If "No,"go to line 25 .
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24a
Yes
24b
No
24c
No
24d
No
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25a
No
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25b
No
Was a loan to or by a current or former officer, director, trustee, key employee, highest compensated employee, o
Part II .
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26
No
contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family
member of any of these persons? If "Yes,"complete Schedule L, Part III .
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27
No
28a
No
28b
No
.
28c
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes,"completeScheduleM
29
No
30
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30
No
Part I .
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31
No
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32
No
33
ISI 33
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sections 301 7701-2 and 301 7701-3? If "Yes, "complete Schedule R, PartI .
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No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes, "complete Schedule R, Part II, III, orIV,
t
and Part V, line 1 .
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24a
d
25a
b
26
27
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV
IV .
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c
31
32
35a
b
36
37
38
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
If'Yes'to line 35a, 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 .
34
Yes
35a
Yes
35b
Yes
organization? If "Yes,"complete Schedule R, Part t<, line 2 .
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36
No
37
No
Did the organization complete Schedule 0 and provide explanations in Schedule 0 for Part VI, lines 1 lb and 19?
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38
Yes
Form 990 (2012)
Form 990 (2012)

MEW-
Page 5

Check if Schedule 0 contains a res p onse to an y q uestion in this Part V
(Yes
la Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable
la
183
lb
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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 .
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b
2a
If "Yes," has it filed a Form 990-T for this year? If "No,"provide an explanation in Schedule 0 .
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4a At any time during the calendar year, did the organization have an interest in, or a signature or other authority
account)? .
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b
Yes
2b
Yes
3a
Yes
3b
Yes
1,453
3a Did the organization have unrelated business gross income of $ 1,000 or more during the year?
b
1c
No
4a
No
5a
No
5b
No
5a Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?
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 as charitable contributions? .
.
b
7
6a
No
6b
7a
7b
file Form 82827 .
No
7c
No
contract? .
7e
No
7f
No
required? .
7g
Form 1098-C? .
7h
h
8
7d
10
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9a
9b
facilities
11
10a
10b

a
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12a
b
13
11a
11b
year
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12a
12b
Section 501(c)(29) qualified nonprofit health insurance issuers.
13b
13c
c
14a
b
13a
14a
No
14b
Form 990 (2012)
Form 990 ( 2012)
Lam
Page 6
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 0.
See instructions.
.F

Yes
la Enter the number of voting members of the governing body at the end of the tax
year .
.
la
22
lb
18
No
If there are material differences in voting rights among members of the governing
body, or if the governing body delegated broad authority to an executive committee
or similar committee, explain in Schedule 0
b
independent .
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filed? .
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No
No
No
Yes
7a
Yes
7a Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or
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b Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders,
8
No
7b
No
The governing body?
8a
Yes
8b
Yes
organization's mailing address? If "Yes,"provide the names and addresses in Schedule 0 .
.
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.
No
Section B. Policies ( This Section B re q uests information about p olicies not re q uired b y the Internal Revenue Code.)
Yes
10a
b
11a
b
12a
10a
If"Yes," did the organization have written policies and procedures governing the activities of such chapters,
affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
the form? .
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11a
No
12a
Yes
12b
Yes
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes,"describe
12c
Yes
13
13
Yes
14
14
Yes
15
b Were officers, directors, or trustees, and key employees required to disclose annually interests that could give
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c
No
No
15a
Yes
15b
Yes
16a
Yes
organization's exempt status with respect to such arrangements? .
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.
16b
Yes
If "Yes" to line 15a or 15b, describe the process in Schedule 0 (see instructions)
16a
b
17
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)
fl Own website fl Another's website 17 Upon request fl Other (explain in Schedule O)
Describe in Schedule 0 whether (and if so, how), the organization made its governing documents, conflict of
interest policy, and financial statements available to the public during the tax year
19
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization
-JAMES DOWNEY 130 DIVISION STREET DERBY, CT (203)732-7528
Form 990 (2012)
Form 990 (2012)
Page 7
Compensation of Officers , Directors , Trustees , Key Employees, Highest Compensated

.(-
tax year
* List all of the organization's current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation Enter-0- in columns (D), (E), and (F) if no compensation was paid
* List all of the organization 's current key employees, if any See instructions for definition of "key employee "
* List all of the organization's former directors or trustees that received, in the capacity as a former director or trustee of the
fl Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee
(A)
Name and Title
(B)
Average
hours per
week (list
any hours
for related
organizations
below
dotted line)
(C)
more than one box, unless
person is both an officer
and a director/trustee)
T
0 =
ado
.
m_
art
ca:
D
(D )
Reportable
compensation
from the
( E)
Reportable
compensation
from related
organizations
(W- 2/1099MISC)
(F)
Estimated
amount of other
compensation
from the
organization and
related
organizations
J.
Form 990 (2012)
Form 990 (2012)
Page 8
(A)
Name and Title
(B)
Average
hours per
week (list
any hours
for related
organizations
below
dotted line )
(C)
0T
;rl M=
boo
a
m_
74
7.
C:
SL
lb
Sub -Total
(F)
Estimated
amount of other
compensation
from the
organization and
related
organizations
ur
.
.
( E)
Reportable
compensation
from related
organizations (W2/1099-MISC)
fD
;3
(D)
Reportable
compensation
from the
organization ( W2/1099-MISC)
.
.
.
.
.
.
0-
3,536,970
283,241
657,878
No
on line la? If "Yes," complete Schedule Jfor such individual .
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4
individual .
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No
No
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.

1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of
compensation from the organization Report compensation for the calendar year ending with or within the organization's tax year
(A)
(B)
(C)
Compensation
HURON CONSULTING SERVICE 4795 PAYSPHERE CIRCLE CHICAGO IL60674
CONSULTING SERVICE
2,027,291
UNIDINE CORPORATION 75 REMITTANCE DRIVE CHICAGO IL60675
FOOD SERVICE
1,675,858
CONNECTICUT EMERGENCY MEDICINE SPECIALIS PO BOX 271618 WEST HARTFORD CT 06127
1,357,834
F & F MECHANICAL ENTERPRISES 2 DWIGHT STREET NORTH HAVEN CT 06473
CONSTRUCTION
534,920
CARDIOLOGY ASSOC OF DERBY 130 DIVISION STREET DERBY CT 06418
PHYSICIAN SERVICES
391,306
Total number of independent contractors ( including but not limited to those listed above) who received more than
Form 990 (2012)
Form 990 (2012)
Page 9
Check if Schedule 0 contains a response to any question in this Part VIII
(A)
Total revenue
6-
la
Federated campaigns
Membership dues
Fundraising events
le
1,802,806
V
^
All other contributions, gifts, grants, and

if
428,886
Noncash contributions included in lines

la-If $
Total . Add lines la-1f .
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
F
(D)
Revenue
excluded from
tax under
sections
512, 513, or
514
la
.
lb
0 E
1c
ld
tJ'
2,231,692
Business Code
2a
PATIENT SERVICE REVENUE
622110
125,805,820
122,526,870
a2
S
621500
3,184,840
3,184,840
3,278,950
d
e
f
Total . Add lines 2a-2f .
Income from investment of tax-exempt bond proceeds
Royalties
(i) Real
6a
Gross rents
Less rental
expenses
Rental income
or (loss)
266,799
418,627
418,627
53,818
53,818
0-
0-
418,627
Net rental inco me or (loss)
7a
Gross amount
from sales of
assets other
than inventory
Less cost or
other basis and
sales expenses
Gain or (loss)
(i) Securities
(ii) Other
53,818
0
53,818
Net gain or (loss)
8a

events (not including
$
266,799
(ii) Personal
418,627
128,990,660
0-
Investment income (including dividends, interest,

and other similar amounts)
lim-

a
b
Less
direct expenses
Net income or (loss) from fundraising events
9a

.
.
a
b
c
Less
direct expenses
0-
Net income or (loss) from gaming acti vities
10a
.0-

returns and allowances
.
a
Less
cost of goods sold
Net income or (loss) from sales of inventory

11a
lim-
Business Code
900099
P ARTNERSHIP INCOME
33,863
33,863
b
C
d
All other revenue
.
.
033,863
12
0- 1
131,995,459
125,711,710
3,312,813
739,244
Form 990 (2012)
Form 990 (2012)
Page 10

Section 501(c)(3) and 501(c)(4) organizations must complete all columns All other organizations must complete column (A)
Check if Schedule 0 contains a response to any auestion in this Part IX



organizations, and individuals outside the United
Compensation of current officers, directors, trustees, and

key employees

(as defined under section 4958( f)(1)) and persons
described in section 4958( c)(3)(B)
Pension plan accruals and contributions ( include section 401(k)

and 403(b) employer contributions )
10
Payroll taxes
11
Total expenses
.
( A)

Management
Legal
Accounting
Lobbying
Other ( If line 11g amount exceeds 10 % of line 25,

column ( A) amount, list line 11g expenses on
Schedule O)
(B)
Program service
expenses
(C)
Management and
general expenses
3,372,665
2,225,959
1,146,706
49,865,601
44,879,041
4,986,560
4 ,951,853
4,456,668
495,185
10 ,117,788
9,106,009
1,011,779
4,094,171
3,684,754
409,417
3,279,143
2,951,229
327,914
259 ,177
259,177
256,296
256,296
.
(D)
Fundraising
expenses
9,461,837
8,515,653
12
397,456
397,456
13
Office expenses
317,785
286,007
14
371,608
371,608
15
Royalties
329,676
329,676
190,183
190,183
4,254,018
4,254,018
16
Occupancy
17
Travel
18

19
Conferences , conventions , and meetings
20
Interest
21
22
6,099,345
6,099,345
23
Insurance
3,082,676
2,774,408
24

miscellaneous expenses in line 24e If line 24e amount exceeds 10%
of line 25, column ( A) amount, list line 24e expenses on Schedule 0
16,774,433
16,774,433
946,184
31,778
2,291,549
2,062,394
DIETARY
1,186,475
1,186,475
All other expenses
8,714,354
8,714,354
129,668,089
119,259,670
308,268
229,155
d
e
25
Total functional expenses . Add lines 1 through 24e
26
Joint costs. Complete this line only if the organization

reported in column ( B) joint costs from a combined
educational campaign and fundraising solicitation Check
here - fl if following SOP 98-2 (ASC 958-720)
10,408,419
Form 990 (2012)
Form 990 (2012)
Page 11
Balance Sheet
Check if Schedule 0 contains a response to any question in this Part X
F
(A)
Beginning of year
8,071,213

Loans and other receivables from current and former officers, directors, trustees, key
employees, and highest compensated employees Complete Part II of
Schedule L .
.
5,178,405
(B)
End of year
3
.
12,754,987
14,419,423
5
6
Loans and other receivables from other disqualified persons (as defined under section
4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers
and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary
organizations (see instructions) Complete Part II of Schedule L
10a
b
Land, buildings, and equipment cost or other basis

Complete Part VI of Schedule D
10a
149,939,077
Less
10b
94,328,204
11
12
13
14
Intangible assets
12
10,227,164
13
16,149,279
17
18
Grants payable
19
Deferred revenue
14
55,610,873
6,519,819
Other assets
10c
59,966,718
15,213,004
2,669,266
804,168
11
16
15
852,072
2,258,893
.
.
.
.
119,856,922
28,300,556
17
25,957,546
14,798,344
16
40,179
18
51,432,599
19
194,930
20
48,355,712
Escrow or custodial account liability Complete Part IV of Schedule D
22
Loans and other payables to current and former officers, directors, trustees,
key employees, highest compensated employees, and disqualified
23
23
24
24
25
26
15
21
24,283,511
129,920,217
20
21
22
80,182, 528
25
59, 055, 909
159,955,862
26
133,564,097
-38,049,002
27
-22,179,759
2,203,003
28
2,641,381
5,810,354
29
5,831,203
Organizations that follow SFAS 117 (ASC 958 ), check here 1- F and complete
lines 27 through 29, and lines 33 and 34.
gu
27
M
ca
28
29
r
_
Organizations that do not follow SFAS 117 (ASC 958 ), check here 1
complete lines 30 through 34.
W_
4T
and
30
30
31
31
32
33
34
32
-30,035,645
33
129,920,217
34
-13,707,175
119,856,922
Form 990 (2012)
Form 990 (2012)
Page 12

('hark if crhariiila () rnntainc a rocnnnca to anv niiactinn in Chic Part YT
131,995,459
129,668,089
2,327,370
-30,035,645
81,689

6
Investment expenses
.
7
.
8
Other changes in net assets or fund balances (explain in Schedule 0)
10
Net assets or fund balances at end of year Combine lines 3 through 9 (must equal Part X, line 33,
column (B))
13,919,411
10
-13,707,175

F
Yes
No

fl Cash 17 Accrual (Other
If the organization changed its method of accounting from a prior year or checked " Other," explain in
Schedule 0
2a Were the organization 's financial statements compiled or reviewed by an independent accountant?
2a
No
If'Yes,'check a box below to indicate whether the financial statements for the year were compiled or reviewed on
a separate basis, consolidated basis, or both
fl Separate basis
fl Consolidated basis
fl Both consolidated and separate basis
b Were the organization 's financial statements audited by an independent accountant?
2b
Yes
2c
Yes
3a
Yes
3b
Yes
If'Yes,'check a box below to indicate whether the financial statements for the year were audited on a separate
basis, consolidated basis, or both
fl Separate basis
c
If"Yes,"to line 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?
Schedule 0
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 0 MB Circular A-1 33?
b
audit or audits , explain why in Schedule 0 and describe any steps taken to undergo such audits
Form 990 (2012)
Additional Data
Software ID:
Software Version:
EIN:
Name :
06 -0647014
GRIFFIN HOSPITAL
(A)
Name and Title
(B)
Average
hours
per
week
(list
any
hours
for
related
organizations
below
dotted
line)
(C)
more than one box,
an officer and a
director/trustee)
( E)
Reportable
compensation
from related
organizations (W2/1099-MISC)
(F)
Estimated amount
of other
compensation
from the
organization and
related
organizations
487,577
65,392
232,023
47,152
200,262
67,934
179,979
48,122
248,830
192,757
49,769
157,815
52,985
s
C:
74
7+
(D )
Reportable
compensation
from the
moo
'
-n
m
_
(D
=71
a'
fl,
HENDRICKS DAVID
MD/BOARD MEMBER
CHARM EL PATRICK
PRESIDENT/CEO
BORIS GREGORY
MD/BOARD MEMBER
DOBULER KENNETH
MD/BOARD MEMBER
SCHWARTZ KENNETH
MD/BOARD MEMBER
STUMPO BARBARA J
V P /BOARD MEMBER
ANDREANA JOSEPH
TRUSTEE
BALDYGA KENNETH
TRUSTEE
BETKOSKI JOHN W III
CHAIRMAN
DINARDO NANCY
TRUSTEE
FOX ROBERT A
TRUSTEE
JONES JEAN CRUM
TRUSTEE
KLARIDES THEMIS
TRUSTEE
LOGAN GEORGE S
TRUSTEE
OSAK FRANK M
TRUSTEE
MEZZO ROBERT
TRUSTEE
REISS ROBERT G
TRUSTEE
WEINER GERALD T
TRUSTEE
ZAPRZALKA JOHN J
TRUSTEE
SACZYNSKI SHELLY
TRUSTEE
BINGAMAN LARRY
TRUSTEE
PEARSON WM NEIL
MD/TRUSTEE
MOYLAN JAMES J
VICE PRESIDENT/CFO
POWANDA WILLIAM
VICE PRESIDENT
BERNS EDWARD
VICE PRESIDENT
1 00
X
40 00
X
5 00
1 00
14 00
16 00
40 00
X
1 00
1 00
1 00
X
1 00
1 00
1 00
1 00
1 00
1 00
1 00
1 00
1 00
1 00
1 00
1 00
1 00
40 00
40 00
40 00
(A)
Name and Title
(B)
Average
hours
per
week
(list
any
hours
for
related
organizations
below
dotted
line)
(C)
more than one box,
an officer and a
director/trustee )
0
,o
0
00
n
EL
te
m
0
_
o
^
te
c
2
a 6
-
(D)
Reportable
compensation
from the
= T
DEEGAN MARGARET
VICE PRESIDENT
SHEPARD SETH
VICE PRESIDENT
FRAMPTON SUSAN
PRESIDENT/PLANETREE
O'NEILL MARK
V P /CFO
D'SOUSA SEEMA
MD
HALSTEAD EDWARD
MD
NAWAZ HAQ
MD
SALABARRIA JAVIER
MD
PAXTON HEATHER
MD
(F)
Estimated amount
of other
compensation
from the
organization and
related
organizations
fD
r.
a
1
m
a,
MARTIN KATHLEEN
VICE PRESIDENT
(E)
Reportable
compensation
from related
organizations (W2/1099-MISC )
fD
40 00
X
155,252
51,790
213,625
38,716
193,645
21,483
283,241
46,714
83,160
10,462
205,177
9,576
218,803
75,282
277,385
27,997
288,852
23,048
201,828
21,456
40 00
40 00
40 00
40 00
30 00
40 00
40 00
40 00
40 00
As Filed Data -
DLN: 93493225008404
OMB No 1545-0047
SCHEDULE A
(Form 990 or 990EZ)

2012
Complete if the organization is a section 501(c )(3) organization or a section

4947( a)(1) nonexempt charitable trust.

^ Attach to Form 990 or Form 990-EZ. ^ See separate instructions.

GRIFFIN HOSPITAL
1 06-0647014
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organi zation is not a private foundation because it is (For lines 1 through 11, check only one box )
1
A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).
fl
fl
described in section 170 ( b)(1)(A)(vi ). (Complete Part II )
acquired by the organization after June 30, 1975 See section 509(a)(2). (Complete Part III )
10
fl
An organization organized and operated exclusively to test for public safety See section 509(a)(4).
11
one or more publicly supported organizations described in section 509 ( a)(1) or section 509(a )( 2) See section 509 ( a)(3). Check
the box that describes the type of supporting organization and complete lines Ile through 11 h
a
fl Type I
b
1 Type II
c
d
(- Type III - Non - functionally integrated
(-
section 509(a)(2)
If the organization received a written determination from the IRS that it is a Type I, Type II, orType III supporting organization,
check this box
(Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?
(i) A person who directly or indirectly controls , either alone or together with persons described in (ii)
Yes
No
f
g
and (iii) below, the governing body of 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)

(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?
Yes
No
(v) Did you notify

the organization
in col (i) of your
support?
Yes
(vi) Is the
organization in
col (i) organized
in the U S ?
No
Yes
(vii) Amount of
monetary
support
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ .
Cat No 11285F
ScheduleA(Form 990 or 990-EZ)2012
MU^
Page 2
Support Schedule for Organizations Described in Sections 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.)

Calendar year ( or fiscal year beginning
in) 11111
1
grants ")
2
behalf
3
4
5
(f)
6
Public support . Subtract line 5 from
line 4
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
(d) 2011
(e) 2012
(f) Total

(a) 2008
(b) 2009
in) ^
7
Amounts from line 4
8
sources
9
business activities, whether or not
the business is regularly carried
on
10
assets (Explain in Part IV )
Total support (Add lines 7 through
11
10)
12
Gross receipts from related activities, etc (see instructions)
13
(c) 2010
12
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check
this box and stop here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .ItE

14
Public support percentage for 2012 (line 6, column (f) divided by line 11, column (f))
14
15
Public support percentage for 2011 Schedule A, Part II, line 14
15
16a
331 / 3%support test - 2012 . If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
b 331 / 3%support test - 2011 . If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
17a 10%-facts-and -circumstances test-2012 . If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here . Explain
in Part IV how the organization meets the "facts-and-circumstances" test The organization qualifies as a publicly supported
organization
b 10%-facts-and-circumstances test - 2011 . If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts- and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test The organization qualifies as a publicly
18
Private foundation . If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions
Page 3

IMMITM

in) 11111
1
2
purpose
3
4
behalf
5
6
persons
8
Public support (Subtract line 7c
from line 6 )
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
Section B. Total Suuuort

(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
in) ^
9
Amounts from line 6
10a
sources
b
June 30, 1975
c
11
12
IV )
Total support . (Add lines 9, 1Oc,
13
11, and 12 )
14
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
15
Public support percentage for 2012 ( line 8, column (f) divided by line 13, column (f))
15
16
16
Section D . Com p utation of Investment Income Percenta g e

17
Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f))
17
18
Investment income percentage from 2011 Schedule A , Part III, line 17
18
19a
331 / 3%support tests- 2012 . If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not
lk'F331 / 3%support tests- 2011 . If the organization did not check a box on line 14 or line 19a , and line 16 is more than 33 1/3% and line 18
is not more than 33 1/3%, check this box and stop here . The organization qualifies as a publicly supported organization
lk'FPrivate foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions
b
20
Schedule A (Form 990 or 990- EZ) 2012
Page 4
Supplemental Information . Complete this part to provide the explanations required by Part II, line 10;
Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See
instructions).
Explanation
l efile
GRAPHIC
DLN: 93493225008404
OMB No 1545-0047
SCHEDULE C
As Filed Data -
201 2
1- Complete if the organization is described below. 0- Attach to Form 990 or Form 990-EZ.
0- See separate instructions .
Open
Inspection
I
If the organization answered " Yes" to Form 990, Part IV , Line 3 , or Form 990-EZ , Part V, line 46 (Political Campaign Activities), then
If the organization answered " Yes" to Form 990, Part IV , Line 4 , or Form 990-EZ , Part VI, line 47 (Lobbying Activities), then
If the organization answered " Yes" to Form 990, Part IV , Line 5 ( Proxy Tax) or Form 990-EZ , Part V, line 35c (Proxy Tax), then
GRIFFIN HOSPITAL
06-0647014
1
Volunteer hours
0-
0-
0-
fl Yes
fl No
4a
fl Yes
fl No
rMWINTComplete if the organization is exempt under section 501(c), except section 501(c)(3).
1
exempt function activities
00-
$
$
(a) Name
(b) Address
i-or raperworK rteauction Act Notice, see the instructions Tor corm 99 U or yyu -tc.
0-
$
fl Yes
( c) EIN

Cat No 50084S
fl No

and promptly and
separate political
enter -0-
Schedule C ( Form 990 or 990-EZ) 2012
Page 2
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election
A
Check
Check
if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN,
- (- if the filing organization checked box A and "limited control" provisions apply
(a) Filing
organization's
totals

(The term "expenditures " means amounts paid or incurred .)
la
(b) Affiliated
group
totals
columns
Not over $500,000
Over $500,000 but not over $1,000,000
Over $1,000,000 but not over $1,500,000
Over $1,500,000 but not over $17,000,000
Over $17,000,000
$1,000,000
F- Yes
F- No
(Some organizations that made a section 501(h) election do not have to complete all of the five
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in)
2a
Lobbying nontaxable amount

(150% of line 2a, column(e))
Grassroots nontaxable amount

150% of line 2d column e
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) Total

Complete if the organization is exempt under section 501 ( c)(3) and has NOT
Pa g e 3
filed Form 5768 election under section 501 ( h )) .
(b)
(a)
For each "Yes" response to lines la through li below, provide in Part IV a detailed description of the lobbying
activity .
Yes
No
through the use of
Volunteers?
No
No
No
No
No
No
No
Other activities?
Total Add lines 1c through 11
2a
Amount
No
Yes
14,464
14,464
No
501 ( c )( 6 ) .
Yes
1
Did the organization agree to carry over lobbying and political expenditures from the prior year?
No
Complete if the organization is exempt under section 501 ( c)(4), section 501(c)(5), or section
501(c )( 6) and if either ( a) BOTH Part 111-A , lines 1 and 2 , are answered "No " OR (b) Part 111-A,
line 3 , is answered "Yes."
1
2

Section 162(e) nondeductible lobbying and political expenditures ( do not include amounts of political
a
b
Current year
2a
Total
2c
Su
2b
lementalInformation
Complete this part to provide the descriptions required for Part I-A, line 1, Part I-B, line 4, Part I-C, line 5, Part II-A (affiliated group list),
Part II-A line 2 , and Part II-B line 1 Also , com p lete this p art for an y additional information
Identifier
EXPLANATION OF LOBBYING
ACTIVITIES
Return Reference
PART II-B, LINE 1
Explanation
FISCAL YEAR ENDED 9/30/2013 $14,464 OFTHE
PURPOSE
DLN: 93493225008404
OMB No 1545-0047
SCHEDULE D
(Form 990)
As Filed Data -
2012

Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b

GRIFFIN HOSPITAL
1 06-0647014
or g anization answered "Yes" to Form 990 , Part IV , line 6.
1
(b) Funds and other accounts
funds are the organization ' s property , subject to the organization's exclusive legal control?
F Yes
I No
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
conferring impermissible private benefit?
fl Yes
fl No
MRSTIConservation Easements . Complete if the organization answered "Yes" to Form 990, Part IV , line 7.
1
1 Preservation of land for public use ( e g , recreation or education )
1 Preservation of an historically important land area
1 Protection of natural habitat
fl Preservation of open space

2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation
a
2a
2b
2c
Number of conservation easements included in (c) acquired after 8/17/06, and not on a
historic structure listed in the National Register
2d
N umber of conservation easements modified, transferred , released, extinguished , or terminated by the organization during
the tax year 0-
Staff and volunteer hours devoted to monitoring , inspecting , and enforcing conservation easements during the year
Amount of expenses incurred in monitoring , inspecting , and enforcing conservation easements during the year
fl Yes
fl No
F Yes
1 No
0-
0- $
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i)
and section 170(h)(4)(B)(ii)?
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and

Complete if the oraanization answered "Yes" to Form 990. Part IV. line 8.
la
If the organization elected, as permitted under SFAS 116 (ASC 958), 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 XIII, the text of the footnote to its financial statements that describes these items
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet
service, provide the following amounts relating to these items
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items
a
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
$
$
Cat No 52283D
r:FTnFW
3
Page 2
Using the organization's acquisition, accession, and other records, check any of the following that are a significant use of its
collection items (check all that apply)
a
F_
Public exhibition
fl
Scholarly research
(-
Other
Part XIII
1 Yes
la
If "Yes," explain the arrangement in Part XIII and complete the following table
Beginning balance
1c
ld
le
Ending balance
if
1 No
1 Yes
F No
A mount
2a
b
fl Yes
If"Yes," explain the arrangement in Part XIII Check here if the explanation has been provided in Part XI II
. .
. .
. .
fl No
.
MWAFEndowment Funds . Com p lete if the or g anization answered "Yes" to Form 990 , Part IV , line 10.
(a)Current year
la
Contributions
Net investment earnings, gains, and losses

and programs
End of year balance
(b)Prior year
b (c)Two years back ( d)Three years back
( e)Four years back
3,249,540
2,932,333
2,953,261
2,773,278
2,677,652
183,001
322,207
-1,478
124,305
97,031
23,479
5,000
19,450
1,337
1,405
3,409,062
3,249,540
2,932,333
2,896,246
2,773,278
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as
a
36 600 %
Temporarily restricted endowment 0The percentages in lines 2a, 2b, and 2c should equal 100%
3a
63 400 %
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by
b
4

.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
3a(i)
3a(ii)
.
. I
Yes
Yes
No
No
3b
Describe in Part XIII the intended uses of the organization's endowment funds
Land . Buildings . and Eauiument . See Form 990. Part X. line 10.
( a) Cost or other
basis ( investment )
la
( b)Cost or other
basis ( other)
Land
4,015 ,091
b Buildings
(c) Accumulated
depreciation
( d) Book value
4,015,091
73 , 218,689
36 ,499,924
36,718,765
72,365,111
57,553,954
14,811,157
d Equipment
e Other
Total . Add lines 1a through 1 e (Column (d) must equal Form 990, Part X, column (B), line 10(c).)
340 ,186
274,326
10-
65,860
55,610,873
Page 3
MrOW-Investments-0ther Securities . See Form 990 , Part X , line 12.

(b)Book value

(3)Other
5,270,018
4,957,146
Total . (Column (b) must equal Form 990, Part X, col (B) line 12)
10,227,164

(b) Book value

710,605
43,179
3,670,942
4,289,166
7,435,387
0.
16,149,279

(a) Description
(b) Book value

1,739,959
3,659,921
8,840,778
(4)THIRD PARTY
480,486
Total . (Column (b) must equal Form 990, Part X, co/.(8) line 15.)
77,200
14,798,344
2. Fin 48 (A SC 740) Footnote In Part XIII, 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 (A SC 740) Check here if the text of the footnote has been provided in
Part XIII
F
Page 4
171174T- Reconciliation of Revenue p er Audited Financial Statements With Revenue p er Return

1
132,077,148
a
2a
.
2b
2c
Other (Describe in Part XIII )
2d
81,689
2e
4c
81,689
131,995,459
a
c
5
4a
4b
Total revenue Add lines 3 and 4c. (This must equal Form 990, Part I, line 12 )
.
.
.
.
.
.
.
.
0
131,995,459
OREM- Reconciliation of Ex p enses p er Audited Financial Statements With Ex p enses p er Return

1
Total expenses and losses per audited financial statements
a
Other losses
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
129,668,089
4c
129,668,089
2c
.
2d
.
.
.
.
.
4a
4b
.
Total expenses Add lines 3 and 4c. (This must equal Form 990, Part I, line 18 )
OTIT."
M
2e
2b
129,668,089
2a
.
.
.
.
.
.
.
.
Part V, line 4, Part X, line 2, Part XI, lines 2d and 4b, and Part XII, lines 2d and 4b Also complete this part to provide any additional
information
Identifier
OF ENDOWMENT FUNDS
Return Reference
PART V, LINE 4
Explanation
THE HOSPITAL'S ENDOWMENT FUNDS CONSIST OF
DONOR RESTRICTED FUNDS TO BE INVESTED IN
PERPETUITY TO PROVIDE A PERMANENT SOURCE OF
INCOME
Additional Data
Software ID:
Software Version:
EIN:
06 -0647014
Name :
GRIFFIN HOSPITAL
Form 990 , Schedule D , Part X, - Other Liabil ities

1
(b) Book Value
OTHER LIABILITIES
DUE TO AFFILIATES
389,000
7,605,700
908,285
30,640,516
2,317,799
316,307
15,431,054
114,445
1,221,917
110,886
l efile
As Filed Data -
SCHEDULE H
(Form 990)
DLN: 93493225008404
OMB No 1545-0047
Hospitals
201
Ope n
Inspection

GRIFFIN HOSPITAL
06-0647014
Financial Assistance and Certain Other Communit y Benefits at Cost

Yes
la
b
2
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a
If "Yes," was it a written policy?
la
Yes
lb
Yes
3a
Yes
3b
Yes
Yes
5a
Yes
No
If the organization had multiple hospital facilities, indicate which of the following best describes application of the
financial assistance policy to its various hospital facilities during the tax year
F Applied uniformly to all hospital facilities
F
Applied uniformly to most hospital facilities
Generally tailored to individual hospital facilities
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the
organization ' s patients during the tax year
a
Did the organization use Federal Poverty Guidelines ( FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care
F 100% F 150% F 200% I_
25000 0000000000 %
Other
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes ," indicate
which of the following was the family income limit for eligibility for discounted care
F 200% F 250% F 300% F 350% F 4000/o F Other
4
5a
If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based
criteria for determining eligibility for free or discounted care Include in the description whether the organization
used an asset test or other threshold , regardless of income, as a factor in determining eligibility for free or
discounted care
Did the
provide
Did the
the tax
organization ' s financial assistance policy that applied to the largest number of its patients during the tax yea r
for free or discounted care to the "medically indigent"?
organization budget amounts for free or discounted care provided under its financial assistance policy during
year? .
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
If "Yes," did the organization ' s financial assistance expenses exceed the budgeted amount?
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
Did the organization prepare a community benefit report during the tax year?
6a
Yes
6b
Yes
6a
b
5b
No
7
Financial Assistance and

Means - Tested
Government Programs
a
b
c

(from Worksheet 1)
.
.
column a)
.
.
.
Total Financial Assistance
and Means-Tested
Government Programs
(a) Number of
activities or
programs
(optional)
b Persons
O
served
(optional)
( c) Total communit y
benefit expense
d Direct offsetting
O
revenue
(e) Net community benefit

expense
(f) Percent of
total expense
307
1,477,742
1,477,742
1 140 %
11,886
12,780,807
8,827,233
3,953,574
3 050 %
110
160,935
119,507
41,428
0 030 %
12,303
14,419,484
8,946,740
5,472,744
4 220 %
46,723
1,026,737
7,210
1,019,527
0 790 %
4,539
7,256,619
5,062,395
2,194,224
1 690 %
40,995
21,100,488
21,303,418
-202,930
0 %
1,247,810
1,247,810
0 960 %
Other Benefits
e
f
g
h
i
Community health
improvement services and
community benefit operations
(from Worksheet 4)
.
(from Worksheet 5)
.
(from Worksheet 6)
.
Cash and in-kind

contributions for community
benefit (from Worksheet 8)
Total . Other Benefits .
Total . Add lines 7d and 7j
2,186
48,878
48,878
0 040 %
94,443
30,680,532
26,373,023
4,307,509
3 480 %
106,746
45,100,016
35,319,763
9,780,253
7 700 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990 .
Cat N o
5019 2T
Page
(b) Persons
activities or
served (optional)
programs
(optional)

Coalition building

advocacy
Other
10
Total
(c) Total community

building expense

revenue
(e) Net community

building expense
(f) Percent of
total expense
Ill:
Yes
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
Statement No 15? .
Enter the amount of the organization's bad debt expense Explain in Part VI the
methodology used by the organization to estimate this amount
patients eligible under the organization's financial assistance policy Explain in Part VI
the methodology used by the organization to estimate this amount and the rationale, if
any, for including this portion of bad debt as community benefit
No
Yes
723,180
or the page number on which this footnote is contained in the attached financial statements
Section B. Medicare
5
43,184,948
50,292,672
-7,107,724
Subtract line 6 from line 5 This is the surplus (or shortfall)
F Other

9a
b
If "Yes," did the organization 's collection policy that applied to the largest number of its patients during the tax year
9b
assistance? Describe in Part VI .
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
Management Comnanies and Joint VenturesrnvunPri ,n nr mnra hvnfrarc rLrartnrc triictaac kavamnlnvaac and nhvananc-s
(a) Name of entity

activity of entity
(c) Organization's
profit % or stock
ownership %

trustees, or key
employees' profit %
or stock ownership
Yes
inctrnrtinncl
(e) Physicians'
profit % or stock
ownership
1
2
3
4
5
6
7
8
9
10
11
12
13
Page
5
LD
CID
(P
(list in order of size from largest to

smallest - see instructions )
How many hospital facilities did the
organization operate during the tax year?
CL
5
o
(P
CD
s.
{3
=2
0
-0
P_
^y
I
N
Cp
-,
(
o
1
e3
n
-
Name , address, and primary website address

1
GRIFFIN HOSPITAL
130 DIVISION STREET
DERBY,CT 06418
GRIFFINHEALTH ORG
^
Other ( Describe )
Facility reporting group
Page

Section B. Facility Policies and Practices
(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
GRIFFIN HOSPITAL
Name of hospital facility or facility reporting group
For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A)
No
i Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012
During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community
health needs assessment (CHNA)? If "No," skip to line 9 . . . . . . . . . . . . . . . . . . .
If"Yes," indicate what the CHNA report describes (check all that apply)
a
Yes
Yes
7 A definition of the community served by the hospital facility
b I Demographics of the community

c 7 Existing health care facilities and resources within the community that are available to respond to the health needs of
the community
d I How data was obtained
e I The health needs of the community
f
r- Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority
groups
F The process for identifying and prioritizing community health needs and services to meet the community health needs
h F The process for consulting with persons representing the community's interests
Information gaps that limit the hospital facility's ability to assess the community's health needs
2
3
Indicate the tax year the hospital facility last conducted a CHNA 20 12
In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the community
served by the hospital facility, including those with special knowledge of or expertise in public health? 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 . . . . . . . . . . . . . . . . . . . .
Was the hospital facility's CHNA conducted with one or more other hospital facilities? If"Yes," list the other hospital
facilities in Part VI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Did the hospital facility make its CHNA report widely available to the public? . . . . . . . . . . . . .
4
5
4
5
No
Yes
If"Yes," indicate how the CHNA report was made widely available ( check all that apply)
F Hospital facility's website
b F Available upon request from the hospital facility
c I Other( describe in Part VI)

6
If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply
to date)
a F Adoption of an implementation strategy that addresses each of the community health needs identified through the
CHNA
b 7 Execution of the implementation strategy
c F Participation in the development of a community- wide plan
d
F Participation in the execution of a community -wide plan
e F Inclusion of a community benefit section in operational plans

f
F Prioritization of health needs in its community
h F Prioritization of services that the hospital facility will undertake to meet health needs in its community
i
F Other ( describe in Part VI)
Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If"No," explain in Part VI
which needs it has not addressed and the reasons why it has not addressed such needs . . . . . . . .
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as
required by section 501 (r)(3)? . . . . . . . . . . . . . . . . . . . . . . . . . . .
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? . . . . . .
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its
hospital facilities? $
No
8a
No
8b
Page

Yes

9
No
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care? . . . . . . . . . . .
11 Used FPG to determine eligibility for providing discounted care? . . . . . . . . . . . . . . . . .
If"Yes," indicate the FPG family income limit for eligibility for discounted care 400 000000000000 %
9
10
Yes
Yes
11
Yes
12
Yes
If"Yes," indicate the factors used in determining such amounts (check all that apply)
a
F' Income level
b F' Asset level

c F' Medical indigency
d
I Insurance status
f
F' Medicaid/Medicare
F' State regulation
h F' Other (describe in Part VI)

13
Yes
14
Yes
15
Yes
If"Yes," indicate how the hospital facility publicized the policy (check all that apply)
a
I The policy was posted on the hospital facility's website
b I The policy was attached to billing invoices

c I The policy was posted in the hospital facility's emergency rooms or waiting rooms
d
e I The policy was provided, in writing, to patients on admission to the hospital facility
f
F The policy was available upon request
I Other (describe in Part VI)

16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during
the tax year before making reasonable efforts to determine the patient's eligibility under the facility's FA P
a F' Reporting to credit agency
b F' Lawsuits
c F' Liens on residences
d
e
F' Body attachments

' Other similar actions (describe in Part VI)
making reasonable efforts to determine the patient's eligibility under the facility's FAP? . . . . . . . . .
If"Yes," check all actions in which the hospital facility or a third party engaged
a
17
No
' Reporting to credit agency
b F' Lawsuits
d
F' Body attachments
e FO ther similar actions (describe in Part VI)

Page

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply)
a
F Notified individuals of the financial assistance policy on admission
b F Notified individuals of the financial assistance policy prior to discharge

c 7 Notified individuals of the financial assistance policy in communications with the patients regarding the patients' bills
d
7 Documented its determination of whether patients were eligible for financial assistance under the hospital facility's
financial assistance policy
e 1 Other (describe in Part VI)
Yes No
19 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? . . . . . . . . . .
If"No," indicate why
a
19 Yes
b 1 The hospital facility's policy was not in writing

c 1 The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d
Charges to Individuals Eligible for Assistance under the FAP (FAP - Eligible Individuals)
a F- The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that
can be charged
b F The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the
maximum amounts that can be charged
d
21 During the tax year, did the hospital facility charge

emergency or other medically necessary services,
covering such care? . . . . . . . . . .
22 During the tax year, did the hospital facility charge
service provided to that individual? . . . . .
any FAP-eligible individuals to whom the hospital facility provided

more than the amounts generally billed to individuals who had insurance
. . . . . . . . . . . . . . . . . .
21
No
any FAP-eligible individuals an amount equal to the gross charge for any
22
. . . . . . . . . . . . . . . . . . .
No
Page
MWITZ-Facility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed , Registered, or Similarly Recognized as a
Hospital Facility
(list in order of size, from largest to smallest)

How many non-hospital health care facilities did the organization operate during the tax year?
Name and address
T yp e of Facility ( describe )
1
2
3
4
5
6
7
8
9
10
Page
1
Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7, Part II, Part III, lines 4, 8, and 9b, Part V,
Section A, and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22
needs assessments reported in Part V, Section B
Facility reporting group (s). If applicable, for each hospital facility in a facility reporting group provide the descriptions required for
Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22
Identifier
ReturnReference
PART I, LINE 6A
Explanation
PART I, LINE 3C GRIFFIN HOSPITAL CRITERIA FOR
DETERMINING ELIGIBILITY FOR FREE CARE OR
DISCOUNTED CARE INCLUDE ELIGIBILITY
REQUIREMENTS ALL GUARANTORS WITH FAMILY INCOME
EQUALTO OR BELOW TWO HUNDRED PERCENT OF THE
FEDERAL POVERTY STANDARD ADJUSTED FOR FAMILY
SIZE SHALL BE DETERMINED TO BE INDIGENT PERSONS
QUALIFYING FOR CHARITY SPONSORSHIP FOR THE FULL
MOUNT OF HOSPITAL CHARGES RELATED TO
PPROPRIATE HOSPITAL-BASED MEDICAL SERVICES
THAT ARE NOT COVERED BY PRIVATE OR PUBLIC THIRDPARTY SPONSORSHIP ALL GUARANTORS WITH FAMILY
INCOME BETWEEN TWO HUNDRED ONE PERCENT (201%)
ND FOUR HUNDRED PERCENT (400%) OFTHE FEDERAL
POVERTY STANDARD ADJUSTED FOR FAMILY SIZE SHALL
BE DETERMINED TO BE INDIGENT PERSONS QUALIFYING
FOR DISCOUNTS FROM CHARGES RELATED TO
PPROPRIATE HOSPITAL BASED MEDICAL SERVICES IN
CCORDANCE WITH THE HOSPITAL'S SLIDING FEE
SCHEDULE AND POLICIES REGARDING INDIVIDUAL
FINANCIAL CIRCUMSTANCES BASED ON THE BELOW
CRITERIA A ELIGIBILITY SHALL BE BASED ON FIANCIAL
NEED AT THE TIME OF APPLICATION BY COMPARING
OTAL FAMILY INCOME WITH THE CURRENT FEDERAL
POVERTY GUIDELINES IF A FAMILY'S TOTAL INCOME IS
GREATER THAN 100% OF THE FEDERAL POVERTY
GUIDELINE FAMILY ASSETS, OTHER THAN EXEMPT
SSETS LISTED BELOW, MAY BE CONSIDERED AS A
SOURCE OF PAYMENT B EXEMPT ASSETS (BASED ON
MEDICARE EXEMPTED ASSETS) LISTED BELOW SHOULD
NOT BE ADDED TO FAMILY WORTH FOR CHARITY REVIEW
I FAMILY PRINICPAL RESIDENCE, II NECESSARY MOTOR
VEHICLES REQUIRED FOR EMPLOYMENT, REQUIRED FOR
CCESS TO TREATMENT, OR MODIFIED FOR OPERATION
OR TRANSPORT OFA DISABLED PERSON, III PERSONAL
EFFECTS AND HOUSEHOLD GOODS, IV RESOURCES
NECESSARY FOR SELF-SUPPORT ALL RESOURCES OF
BOTH SPOUSES ARE CONSIDERED TOGETHER C
CHARITY WILL BE ASSIGNED USING THE MOST RECENTLY
PUBLISHED FEDERAL POVERTY STANDARDS AND
EVALUATED ON THE ADJUSTED FAMILY INCOME AS
EXPLAINED ABOVE FOR THOSE ABOVE 201% OF SUCH
STANDARDS D DOCUMENTATION WILL BE REQUESTED
ND IN MOST CASES WILL BE REQUIRED TO ESTABLISH
ELIGIBILITY FOR CHARITY CARE IN THE EVENT THAT
HE GUARANTOR IS NOT ABLE TO PROVIDE THE
DOCUMENTATION DESCRIBED ABOVE,THE HOSPITAL
SHALL RELY UPON WRITTEN AND SIGNED STATEMENTS
FROM THE GUARANTOR TO MAKE A FINAL
DETERMINATION OF ELIGIBILITY FOR CLASSIFICATION
S AN INDIGENT PERSON
GRIFFIN HOSPITAL DID PREPARE A COMMUNITY BENEFIT
REPORT FOR YEAR ENDING 2013, WHICH WAS INCLUDED
S PART OF OUR ANNUAL REPORT
Identifier
ReturnReference
PART I, LINE 6B
PART I, LINE 7
Explanation
GRIFFIN HOSPITAL POSTS ITS COMMUNITY BENEFIT
REPORT AND INFORMATION ON THE HOSPITAL WEBSITE
GRIFFINHEALTH ORG
CHARITY CARE AND OTHER COMMUNITY BENEFITS WERE
CALCULATED USING A COST ACCOUNTING SYSTEM OR
COST TO CHARGE RATIO THE COST ACCOUNTING
SYSTEM ADDRESSES ALL PATIENT SEGMENTS AND
A SSIGNS COSTS TO INDIVIDUAL SERVICES
Identifier
ReturnReference
Explanation
PART III, LINE 4 SEE PAGE 11 OFTHE ATTACHED
AUDITED FINANCIAL STATEMENTS PART III, LINE
2 GRIFFIN HOSPITAL BAD DEBT EXPENSE IS DETERMINED
USING UNCOLLECTED ACCOUNTS NET OF ANY BAD DEBT
RECOVERY MULTIPLIED BY THE COST TO CHARGE RATIO
GRIFFIN HOSPITAL HAS A WRITTEN POLICY ABOUT WHEN
A ND UNDER WHOSE AUTHORITY PATIENT DEBT IS
A DVANCED FOR COLLECTION AND SHALL USE ITS BEST
EFFORTS TO ENSURE THAT THE PATIENT ACCOUNTS ARE
PROCESSED FAIRLY AND CONSISTENTLY CHARTIY
APPROVAL WILL AFFECT ALL ACCOUNTS FOR WHICH THE
APPROVED GUARANTOR IS RESPONSIBLE THE APPROVED
CHARITY PERCENTAGE WILL BE APPLIED TO ALL
EXISTING ACCOUNTS WITH DEBIT BALANCES ACCOUNTS
MAY ALSO BE RETURNED FROM BAD DEBT STATUS IF
FINANCIAL CIRCUMSTANCES WARRANT AND CHARITY
MAY BE APPLIED THE HOSPITAL PROVIDES CARE TO
PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS FREE
CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS
HAN ITS ESTABLISHED AND CONTRACTUAL RATES
BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION
OF AMOUNTS DETERMINED TO QUALIFY AS FREE CARE,
THEY ARE NOT REPORTED AS NET PATIENT SERVICE
REVENUE GRIFFIN HOSPITAL DOES NOT ATTRIBUTE ANY
BAD DEBT TO COMMUNITY BENEFIT EXPENSE
UNCOLLECTED BALANCES ARE REVIEWED AT MANY
STAGES TO DETERMINE IFTHEY FALL UNDER UNINSURED
OR FREE CARE ASSISTANCE
PART III, LINE 8 THE $7 107 MILLION MEDICARE
SHORTFALL SHOULD BE CONSIDERED AS COMMUNITY
BENEFIT THE IRS COMMUNITY BENEFIT STANDARD
INCLUDES THE PROVISION OF CARE TO THE ELDERLY
A ND MEDICARE PATIENTS MEDICARE SHORTFALLS MUST
BE ABSORBED BY THE HOSPITAL IN ORDER TO CONTINUE
TREATING THE ELDERLY IN OUR COMMUNITY THIS YEAR
MEDICARE ACCOUNTED FOR 5 5% OF HOSPITAL
EXPENSES THE HOSPITAL PROVIDES CARE REGARDLESS
OFTHIS SHORTFALL AND THEREBY RELIEVES THE
FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE
FULL COST FOR MEDICARE BENEFICIARIES
Identifier
GRIFFIN HOSPITAL
ReturnReference
Explanation
PART III, LINE 9B GRIFFIN HOSPITAL HAS A WRITTEN
POLICY ABOUT WHEN AND UNDER WHOSE AUTHORITY
PATIENT DEBT IS ADVANCED FOR COLLECTION AND
SHALL USE ITS BEST EFFORTS TO ENSURE THE PATIENT
MOUNTS ARE PROCESSED FAIRLY AND CONSISTENTLY
GRIFFIN WILL ENSURE THAT PRACTICES TO BE USED BY
HEIR OUTSIDE COLLECTION AGENCIES WILL CONFORM
O THE STANDARDS SET FORTH IN THIS POLICY AND
SHALL OBTAIN WRITTEN COMMITMENTS FROM SUCH
A GENCIES AT TIME OF BILLING GRIFFIN WILL PROVIDE
O ALL LOW INCOME UNINSURED PATIENTS THE SAME
INFORMATION CONCERNING SERVICES AND CHARGES
PROVIDED TO ALL OTHER PATIENTS WHO RECEIVE CARE
T THE HOSPITAL FOR PATIENTS WHO HAVE AN
APPLICATION PENDING DETERMINATION FOR EITHER
GOVERNMENT SPONSORED COVERAGE OR FOR THE
HOSPITAL'S OWN FINANCIAL ASSISTANCE PROGRAM,
GRIFFIN WILL NOT KNOWINGLY SEND THAT PATIENT'S
BILL TO A COLLECTION AGENCY IFA PATIENT DOES NOT
MAINTAIN THE AGREED UPON PAYMENT SCHEDULE THE
MOUNT WILL BE FORWARDED TO AN OUTSIDE
COLLECTION AGENCY AT THE FULL REMAINING BALANCE
IF IT IS LATER DETERMINED BY THE GRIFFIN HOSPITAL
OR OR A COLLECTION AGENCY ACTING ON BEHALF OF
GRIFFIN HOSPITAL THAT THE PATIENT FINANCIAL
CONDITIONS HAVE CHANGED AND THE PATIENT WAS
UNABLE TO PAY THE OUTSTANDING ACCOUNT BALANCES
N OVERRIDE MAY BE APPLIED BY THE BUSINESS
SERVICES DIRECTOR THE UNCOLLECTED DEBT WILL BE
TRANSFERRED TO UNINSURED OR FREE CARE
A SSISTANCE BY THE SUPERVISOR AFTER REVIEW
PART V, SECTION B, LINE 3 REGIONAL COOPERATION ON
HEALTH ISSUES - REGIONAL COOPERATION, THE
LEADERSHIP OF GRIFFIN HOSPITAL ON COMMUNITY
HEALTH IMPROVEMENT AND THE EFFECTIVENESS OF
EFFORTS WAS POSITIVELY NOTED IN FOCUS GROUPS,
FORUMS AND SURVEYS OF PARTICULAR NOTE WAS THE
ALLEY COUNCIL OF HEALTH AND HUMAN SERVICE
ORGANIZATIONS (VCHHSO) GRIFFIN HOSPITAL WAS A
LEADER IN ESTABLISHING THE VALLEY COUNCIL OF
HEALTH AND HUMAN SERVICE ORGANIZATIONS WHICH
HAS BECOME A MODEL FOR OTHER COMMUNITIES THE
ALLEY COUNCIL IS A COOPERATIVE VENTURE FOUNDED
OVER TWENTY YEARS AGO LINKING APPROXIMATELY 50
NON-PROFIT HEALTH &HUMAN SERVICE PROVIDERS
T HROUGHOUT THE VALLEY ITS MISSION IS TO IDENTIFY,
PLAN, IMPLEMENT, AND COORDINATE A COMPREHENSIVE
SYSTEM OF HUMAN SERVICE DELIVERY AND TO
A DVOCATE FOR COMMUNITY-WIDE AND CULTURALLY
DIVERSE PLANNING APPROACHES IN THE LARGER VALLEY
COMMUNITY DECISION MAKERS FROM EACH OFTHE
ACTIVE MEMBERS MEET MONTHLY THE COUNCIL'S
OBJECTIVES ARE TO 1 ENGAGE IN PERIODIC
A SSESSMENT AND IDENTIFICATION OF LOCAL SERVICE
NEEDS, INCLUDING CLIENT INPUT 2 COLLABORATIVELY
EVALUATE CURRENT SERVICES, IDENTIFY GAPS, AND
STRATEGIZE ON HOWTO FILL GAPS IN SERVICES 3
SERVE AS THE PRIMARY PLANNING AND COORDINATING
BODY FOR THE REGIONS' SERVICE PROVISION SYSTEM 4
PROVIDE A PLACE FOR SUPPORT AND NETWORKING
A MONG THE VALLEY HUMAN SERVICES COMMUNITY 5
A DVOCATE FOR THE NEEDS OF LOCAL RESIDENTS AND
FOR RESOURCES TO MEET THOSE NEEDS ON A LOCAL,
STATE, AND FEDERAL LEVEL 6 SEEK TO DEVELOP
PARTNERSHIPS WITH OTHER COMMUNITY SYSTEMS (I E
SCHOOLS, BUSINESSES, STATE AND LOCAL
GOVERNMENTS, PUBLIC SAFETY)TO ENHANCE SERVICE
DELIVERY GRIFFIN REMAINS AN ACTIVE MEMBER OF THE
COUNCIL NOT ONLY IS GRIFFIN HOSPITAL A
CONTINUING MEMBER, THE VALLEY PARISH NURSE
PROGRAM AND THE YALE-GRIFFIN PREVENTION
RESEARCH CENTER ALSO ARE MEMBERS THE COMMUNITY
ADVISORY COUNCIL ENGAGED THE PATIENTS AND THE
COMMUNITY TO GET MEANINGFUL FEEDBACK ABOUT THE
HOSPITAL'S SERVICES THROUGHOUT ITS HISTORY,
GRIFFIN'S MOST INNOVATIVE PROGRAMS HAVE BEEN
DEVELOPED USING INSIGHTS GLEANED FROM PATIENTS
A ND FAMILY MEMBER FOCUS GROUPS THE COMMUNITY
ADVISORY COUNCIL WAS A NATURAL NEXT STEP FOR
GRIFFIN AS A WAY TO SOLICIT THE PATIENT'S
PERSPECTIVE OF CARE, PROGRAMS AND SERVICES AND
O IDENTIFY COMMUNITY NEEDS ON AN ONGOING
BASIS THE VALLEY CARES TASKFORCE BETH PATTON
COMERFORD, MS,YALE-GRIFFIN PREVENTION RESEARCH
CENTER (TASKFORCE CO-CHAIR) MARY S NESCOTT, MPH,
BIRMINGHAM GROUP HEALTH SERVICES, INC
(TASKFORCE CO-CHAIR) HEIDI ZAVATONE-VETH, PHD,
ALLEY COUNCIL FOR HEALTH & HUMAN SERVICES
(VALLEY COUNCIL COORDINATOR) KAREN N SPARGO,
MA, MPH, NAUGATUCK VALLEY HEALTH DISTRICT JESSE
REYNOLDS, MS, (CURRENTLY YALE UNIVERSITY) ANN
HARRISON, THE WORKPLACE, INC (CURRENTLY
WORKFORCE ALLIANCE) THE MATERIAL IN THIS
COMMUNITY HEALTH NEEDS ASSESSMENT WILL
DOCUMENT GRIFFIN'S COMMITMENT TO THE SIX TOWN
ALLEY COMMUNITIES THAT HAS BEEN ITS PRIMARY
SERVICE AREA FOR OVER A CENTURY MUCH OF THE
RESEARCH REFERENCED AND USED IN THE CHNA HAS
BEEN DONE OVER A TWO DECADE PERIOD OF TIME AND
HAS BEEN A COLLABORATIVE EFFORT BETWEEN THE
ALLEY COUNCIL OF HEALTH AND HUMAN SERVICE
ORGANIZATIONS, GRIFFIN HOSPITAL AND THE YALEGRIFFIN PREVENTION RESEARCH CENTER
Identifier
GRIFFIN HOSPITAL
GRIFFIN HOSPITAL
ReturnReference
Explanation
PART V, SECTION B, LINE 5C THE CHNA REPORT IS
WIDELY AVAILABLE ON THE GRIFFIN HOSPITAL WEBSITE
HTTP //WWW GRIFFINHEALTH ORG/AND THE STATE OF
CONNECTICUT'S WEBSITE HTTP //WWWCT GOV/DPH/CWP/
LSO THE CHNA IS AVAILABLE AT THE FACILITY
PART V, SECTION B, LINE 7 GRIFFIN'S CHNA IDENTIFIED
OUR COMMUNITY NEEDS AS AWARENESS OF HEALTH AND
HUMAN SERVICES, TRANSPORTATION, OBESITY, PRIMARY
CARE ACCESS, COMMUNITY POPULATION BASED
MEDICAL ISSUES, CLINICAL SERVICES, SUBSTANCE
BUSE, PRE-NATAL CARE AND REGIONAL COOPERATION
ON HEALTH ISSUES GRIFFIN PLANS TO ADDRESS
PRIORITY AREAS WITH IMPLEMENTATION PLANS ON ALL
BUT ONE OFTHE SUGGESTED NEEDS THERE WAS A
PERCEPTION THAT PRE-NATAL CARE WAS LOW AND THAT
N INTERVENTION WAS NEEDED RESEARCH, HOWEVER,
REVEALED THAT PRENATAL CARE FOR MOTHERS-TO-BE IN
HE VALLEY WAS SIGNIFICANTLY BETTER WHEN
COMPARED TO THE STATE AND NEW HAVEN COUNTY AS
REPORTED BY THE CONNECTICUT DEPARTMENT OF
PUBLIC HEALTH BASED ON THE ACTUAL DATA THERE IS
NO ACTION REQUIRED RELATED TO PRE-NATAL CARE
HE INFORMATION WILL BE WIDELY SHARED WITH HEALTH
ND HUMAN SERVICE ORGANIZATIONS AND OTHER
COMMUNITY LEADERS TO ENSURE THAT THERE IS
INCREASED KNOWLEDGE OFTHE VALLEY DATA AS
COMPARED TO NEWHAVEN COUNTY AND THE STATE OF
CONNECTICUT
Identifier
ReturnReference
Explanation
PART VI, LINE 2 GRIFFIN HAS A HISTORY OF COMMUNITY
SERVICE AND SOCIAL RESPONSIBILITY DATING BACK TO
ITS FOUNDING 100 YEARS AGO, AND OF PROVIDING
EDUCATIONAL, PREVENTION AND SCREENING PROGRAMS
ND SERVICES IN 1970, FUNDED BY A GRANT FROM THE
KELLOGG FOUNDATION, GRIFFIN ESTABLISHED ONE OF
HE FIRST HOSPITAL DEPARTMENTS OF COMMUNITY
HEALTH IN THE COUNTRY TO FOCUS ON THE HEALTH AND
SOCIAL NEEDS OFTHE COMMUNITY IT SERVES OVER THE
PAST FIFTEEN YEARS, GRIFFIN'S REACH HAS BEEN
EXPANDING INTO THE COMMUNITY IN ADDITION TO
PROVIDING HEALTH INFORMATION AND SERVICES TO
HE PUBLIC AT THE HOSPITAL AND OTHER SATELLITE
LOCATIONS, GRIFFIN TAKES THESE ACTIVITIES INTO
HE COMMUNITIES WHERE PATIENTS LIVE AND WORK BY
OFFERING A VARIETY OF SUPPORT GROUPS, TRAINING
SESSIONS, EDUCATIONAL PROGRAMS, AND OTHER
COMMUNITY-BASED RESOUCES AND ACTIVITIES, AND
COLLABORATING WITH OTHER NON-PROFIT
ORGANIZATIONS AND GOVERNMENT ENTITIES, GRIFFIN
HAS EXTENDED ITS MISSION FAR BEYOND THE
HOSPITAL'S WALLS TO IMPROVE THE HEALTH AND
QUALITY OF LIFE OF PEOPLE OF ALL AGES COMMUNITY
LEADERSHIP RECOGNIZED THE NEED TO RESPOND TO
HE CHANGING COMMUNITY DEMOGRAPHICS AND THE
DIFFERENT SOCIOECONOMIC AND HEALTH NEEDS AND
EXPECTATIONS OFTHE MORE DIVERSE POPULATION
THREE MAJOR NEW STRUCTURES WERE CREATED IN 1993,
HE VALLEY COUNCIL OF HEALTH AND HUMAN SERVICE
ORGANIZATION (VCHHSO) WAS FOUNDED MORE THAN 55
ORGANIZATIONS THAT PROVIDE MOST OF THE HEALTH
ND HUMAN SERVICES ARE MEMBERS VCHHSO'S VISION
IS A PROVIDER NETWORK THAT WORKS
COLLABORATIVELY TO CREATE AN INTEGRATED HUMAN
SERVICES DELIVERY SYSTEM THAT MEETS THE NEEDS OF
A LL RESIDENTS "HEALTHY VALLEY 2000", THE STATE'S
FIRST HEALTHY COMMUNITY EFFORT, WAS LAUNCHED IN
1994 WITH FOUNDATION GRANT SUPPORT,THE
NATIONAL CIVIC LEAGUE WAS ENGAGED TO GUIDE
STAKEHOLDERS THROUGH THE PROCESS THE VISION OF
HE BROAD-BASED, VOLUNTEER INSPIRED AND MANAGED
EFFORT WAS TO IMPROVE THE HEALTH AND QUALITY OF
LIFE OF THE COMMUNITY AND ITS RESIDENTS BY MAKING
HE COMMUNITY A BETTER PLACE IN WHICH TO LIVE,
WORK, SHOP, RAISE A FAMILY AND ENJOY LIFE BASED ON
RESEARCH, INCLUDING USE OF THE NATIONAL CIVIC
LEAGUE INDEX, A S W O T ANALYSIS, AND
BRAINSTORMING, 175 STAKEHOLDERS IDENTIFIED ARTS
& RECREATION, COMMUNITY INVOLVEMENT, ECONOMIC
DEVELOPENT, EDUCATION AND HEALTH AS PRIORITIES
TASK FORCE DEVELOPED A WORK PLAN FOR EACH OF
HE PRIORITIES AND AN HONOR ROLE WAS DEVELOPED
O RECOGNIZE INITIATIVES UNDERTAKEN
INDEPENDENTLY BY INDIVIDUALS OR ORGANIZATIONS
RELATED TO THE IDENTIFIED PRIORITIES THE BOARD
DOPTED STRATEGIC PLAN FOR THE 2010 - 2013
PERIODS, WHICH INCLUDED A PROVISION TO CONDUCT
COMMUNITY HEALTH NEEDS ASSESSMENT AND ADOPT
STRATEGY TO MEET COMMUNITY HEALTH NEEDS
IDENTIFIED IN THE ASSESSMENT THE PROVISION
INCLUDED OBTAINING INPUT FROM A BROADLY DIVERSE
CROSS SECTION OF THE COMMUNITY THE HOSPITAL
SERVES IT ALSO INCLUDED THE POSTING OF THE
A SSESSMENT ON THE CORPORATE SOCIAL
RESPONSIBILITY SECTION OF THE HOSPITAL'S WEBSITE
PART VI, LINE 3 GRIFFIN HOSPITAL'S BUSINESS
SERVICES OFFICE IS AVAILABLE TO HELP YOU
UNDERSTAND YOUR BILL AND PAYMENT OPTIONS IF YOU
HAVE A QUESTION ABOUT A BILL YOU RECEIVED, OR YOU
WOULD LIKE TO MEET WITH A FINANCIAL ADVISOR,
PLEASE CALL THE BUSINESS OFFICE AT (203)732-7360
GRIFFIN HOSPITAL MAINTAINS A PROFESSIONAL STAFF
OF SPECIALISTS TO HELP YOU RESOLVE FINANCIAL
PROBLEMS REGARDING YOUR BILL A REPRESENTATIVE
WILL BE ASSIGNED TO YOU WHO WILL HELP OBTAIN
BILLING INSTRUCTIONS, ASSIST YOU IN COMPLETING
FORMS AND ADVISE YOU OF YOUR FINANCIAL
RESPONSIBILITY POLICY &PROCEDURE ANY PATIENT
REQUESTING FINANCIAL ASSISTANCE IN PAYING THEIR
GRIFFIN HOSPITAL BILL CAN APPLY FOR THE FREE CARE
SSISTANCE PROGRAM BY CONTACTING THE HOSPITAL'S
FINANCIAL ADVISORY STAFF THE FINANCIAL ADVISOR
WILL BE CONTACTED BY THE PATIENT TO COMPLETE THE
FREE CARE APPLICATION PROCESS THE FINANCIAL
CARE APPLICATION PATIENT'S W-2 FORM (TAX
STATEMENT FROM PREVIOUS AND CURRENT YEAR),
THREE CONSECUTIVE PAY STUBS FROM PATIENT'S
CURRENT EMPLOYMENT, DEPENDENT INFORMATION
(FAMILY SIZE), AND ANY OR ALL BANK AND CHECKING
CCOUNT STATEMENTS THE FINANCIAL ADVISOR WILL
REFER TO THE GRIFFIN HOSPITAL SLIDING SCALE THIS
IS BASED ON THE FEDERAL POVERTY INCOME
GUIDELINES (SLIDING SCALE AVAILABLE UPON
REQUEST) THE FINANCIAL ADVISOR WILL MAKE A
DETERMINATION OF FREE CARE ELIGIBILITY STATUS IF
HE PATIENT QUALIFIES FOR FREE CARE ASSISTANCE,
HE APPLICABLE DISCOUNT PERCENTAGE WILL BE
PPLIED TO THE PATIENT'S ACCOUNT BALANCE IF A
PATIENT BALANCE REMAINS,THE FINANCIAL ADVISOR
WILL PURSUE ONE OF THE FOLLOWING WITH THE
PATIENT REQUIRE PAYMENT IN FULL OR SET UP A
MONTHLY PAYMENT ARRANGEMENT IF THE PATIENT
DOES NOT MAINTAIN THE AGREED UPON PAYMENT
SCHEDULE,THE ACCOUNT WILL BE FORWARDED TO AN
OUTSIDE COLLECTION AGENCY AT THE FULL REMAINING
BALANCE IFA PATIENT DOES NOT QUALIFY FOR FREE
CARE ASSISTANCE,THE FINANCIAL ADVISOR WILL
TTEMPT TO OBTAIN PAYMENT IN FULL OR SET UP A
MONTHLY PAYMENT ARRANGEMENT IF THE PATIENT
DOES NOT MAINTAIN THE AGREED UPON PAYMENT
SCHEDULE,THE ACCOUNT WILL BE FORWARDED TO AN
OUTSIDE COLLECTION AGENCY AT THE FULL REMAINING
BALANCE IN SOME CASES, IT IS NECESSARY TO
OVERRIDE THE POLICY GUIDELINES ON INCOME DUE TO
"SPECIAL" CIRCUMSTANCE REQUIREMENTS, I E , SOCIAL
DMITS, MAXED OUT DAYS, DECEASED PATIENTS AN
OVERRIDE CAN BE OBTAINED BY THE SUPERVISOR AND
DIRECTOR OR CFO ALLOWING FOR CONSIDERATION OF
ELIGIBILITY THE COLLECTION SUPERVISOR WILL
MAINTAIN ALL MONTHLY SPREADSHEETS THAT WILL
IDENTIFY ALL FREE BED FUNDS, UNINSURED, AND FREE
CARE ASSISTANCE ALLOCATED ON A MONTHLY BASIS
Identifier
ReturnReference
Explanation
PART VI, LINE 6
PART VI, LINE 7
CT
N/A
Identifier
STATE FILINGS OF COMMUNITY
BENEFIT REPORT
ReturnReference
PART VI, LINE 7
Explanation
S PART OFTHE ANNUAL REPORTING FILINGS GRIFFIN
HOSPITAL SUBMITS THEIR IRS FORM 990 - COMMUNITY
BENEFIT REPORT TO CT STATE OFFICE OF THE HEALTH
CARE
DVOCATE HTTP //WWW CT GOV/DPH/CWP/VIEW ASP?
=3902&Q=538810
l efile

DLN: 93493225008404
Schedule J
(Form 990)
As Filed Data -
OMB No 1545-0047

20
12
Open to Public
Inspection

GRIFFIN HOSPITAL
06-0647014

Yes I No
la
b
2
1
reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain
lb
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 la?
Indicate which , if any, of the following the filing organization used to establish the compensation of the
organization 's CEO/ Executive Director Check all that apply Do not check any boxes for methods
used by a related organization to establish compensation of the CEO / Executive Director, but explain in Part III
Compensation committee
Written employment contract

a
4a
No
4b
No
4c
No
5
For persons listed in Form 990, Part VII, Section A, line la, did the organization pay or accrue any
a
The organization?
5a
No
5b
No

6
a
The organization?
6a
No
6b
No

7
No
subject to the initial contract exception described in Regulations section 53 4958-4(a)(3)? If "Yes," describe
in Part III
No
section 53 4958-6(c)?
Cat No 50053T
Page 2
Officers, Directors , Trustees , Key Employees , and Highest Compensated Employees . Use duplicate copies if additional space is needed.
instructions, on row (ii) Do not list any individuals that are not listed on Form 990, Part VII
Note . The sum of columns (B)(1)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line la, applicable column (D) and (E) amounts for that individual
(A) Name and Title

(ii) Bonus &
(iii) Other
(i) Base
compensation
incentive
compensation
reportable
compensation
(C) Retirement and

other deferred
compensation
(D) Nontaxable
benefits
(E) Total of
columns
(B)(i)-(D)
(F) Compensation
reported as deferred
in prior Form 990

Page 3
Complete this part to provide the information, explanation, or descriptions required for Part I, lines la, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II
Also complete this part for any additional information
Identifier
Return Reference
Explanation
Additional Data
Return to Form
Software ID:
Software Version:
EIN:
Name :
06 -0647014
GRIFFIN HOSPITAL
(A) Name

(ii) Bonus &
incentive
compensation
(i) Base
Compensation
CHARMEL PATRICK
DOBULER KENNETH
SCHWARTZ KENNETH
STUMPO BARBARA J
MOYLAN JAMES J
POWANDA WILLIAM
BERNS EDWARD
MARTIN KATHLEEN
DEEGAN MARGARET
SHEPARD SETH
FRAMPTON SUSAN
D'SOUSA SEEMA
HALSTEAD EDWARD
NAWAZ HAQ
SALABARRIA JAVIER
PAXTON HEATHER
(1)
413,851
(u)
(i)
232,023
(H)
(i)
171,712
(H)
(i)
154,917
(H)
(i)
48,808
(H)
(i)
167,181
(H)
(i)
135,160
(H)
(i)
131,983
(H)
(i)
182,837
(H)
(C) Deferred
compensation
(D) Nontaxable
benefits

(B)(i)-(D)
(iii) Other
(F) Compensation
990 or Form 990-EZ
compensation
72,961
0
765
0
43,935
0
21,457
0
552,969
0
0
0
0
0
0
0
47,152
0
0
0
279,175
0
0
0
27,785
0
765
0
53,069
0
14,865
0
268,196
0
0
0
24,321
0
741
0
26,666
0
21,456
0
228,101
0
0
0
35,600
0
164,422
0
0
0
0
0
248,830
0
0
0
25,350
0
226
0
34,858
0
14,911
0
242,526
0
0
0
22,274
0
381
0
35,265
0
17,720
0
210,800
0
0
0
22,881
0
388
0
34,070
0
17,720
0
207,042
0
0
0
30,023
0
765
0
17,260
0
21,456
0
252,341
0
0
0
(i)
164,706
(H)
28,188
0
751
0
19,503
0
1,980
0
215,128
0
0
0
(i)
(ii)
0
242,704
0
40,537
0
0
0
28,994
0
17,720
0
329,955
0
0
17,119
0
345
0
7,379
0
2,197
0
214,753
0
0
0
0
0
765
0
53,826
0
21,456
0
294,085
0
0
0
66,741
0
765
0
13,244
0
14,753
0
305,382
0
0
0
0
0
765
0
8,320
0
14,728
0
311,900
0
0
0
0
0
663
0
0
0
21,456
0
223,284
0
0
0
(i)
187,713
(H)
(i)
218,038
(H)
(i)
209,879
(H)
(i)
288,087
(H)
(i)
201,165
(H)
efile GRAPHIC urint - DO NOT PROCESS
I As Filed Data - I
DLN: 93493225008404
OMB No 1545-0047
Schedule K
(Form 990)
20
explanations, and any additional information in Part VI.

GRIFFIN HOSPITAL
12
06-0647014
Bond Issues
(a) Issuer name
( b) Issuer EIN
(c) CUSIP #
( d) Date issued
( e) Issue price
(f) Description of purpose
Yes
A
CHEFA SERIES B
CHEFA SERIES C
m.ii
06-0806186
06-0806186
02-01-2005
05-01-2007
No
Yes
No
(i) Pool
financing
Yes
No
24,800,000
CONSTRUCTION OF NEW
WING
23,125,000
CONSTRUCTION OF NEW
CANCER CENTER &
RENOVATION OF EMERGENCY
DEPARTMENT
Proceeds
A
(h) On
behalf of
issuer
(g) Defeased
25 ,769,812
22,982,209
1,406,958
1,406,958
Proceeds in refunding escrows
24,573,303
435,721
10
11
12
13
234,306
760,791
1,133,492
20,207,453
20,207,453
1996
Yes
2010
No
Yes
14
15
16
17
i n.iii
No
Yes
No
Yes
No
Yes
No
X
X

A
Yes
B
No
Yes
C
No

Cat No 50193E
Yes
D
No
Pa g e 2

A
Yes
Are there any management or service contracts that may result in private business use
of bond-financed property?
If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside
counsel to review any management or service contracts relating to the financed
property?
If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside
counsel to review any research agreements relating to the financed property?
3a
B
No
Yes
No
Yes
0-
0 00000%
0 00000%
0-
0 00000%
0 00000%
0 00000%
0 00000%
Does the bond issue meet the private security or payment test?
ga
Has there been a sale or disposition of any of the bond financed property to a
nongovernmental person other than a 501(c)(3) organization since the bonds were
issued?
If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of
4
5
If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections
1 141-12 and 1 145-27
Has the organization established written procedures to ensure that all nonqualified
bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1 141-12 and 1 145-2?
c
g
D
No
Yes
No
Arbitrage
A
Yes
1
Has the issuerfiled Form 8038-T?
If "No" to line 1, did the following apply?
B
No
Yes
C
No
Rebate not due yet?
Exception to rebate?
No rebate due?
If you checked No rebate due" in line 2c , provide in Part VI

the date the rebate computation was performed
3
4a

into a qualified hedge with respect to the bond issue?
WACHOVIA BANK
Yes
D
No
Yes
No
WACHOVIA BANK
Name of provider
Term of hedge
2037 000000000000
2037 000000000000
Schedule K (Form 990 ) 2012
Page 3
Arbitrage (Continued )
A
Yes
5a
6
7
Were gross proceeds invested in a guaranteed investment

contract (GIC)7
Name of provider
Term of GIC
period?
Has the organization established written procedures to monitor
the requirements of section 148?
ffîlll
B
No
Yes
Yes
No
Yes
No
Yes
No

A
Yes
C
No
B
No
Yes
C
No
Yes
No
F-
Has the organization established written procedures to ensure

that violations of federal tax requirements are timely identified
and corrected through the voluntary closing agreement program if
self-remediation is not available under arDlicable regulations?
Su pp lemental Information . Com p lete this p art to provide additional information for res p onses to q uestions on Schedule K ( see instructions ) .
Identifier
Return Reference
Explanation
SCHEDULE 0
As Filed Data -
OMB No 1545 0047

2012
Open
Inspection

GRIFFIN HOSPITAL
Identifier
DLN: 93493225008404
Return Reference
Explanation
FORM 990, PART VI,

SECTION A, LINE 6
CHANGES IN NET ASSETS OR

FUND BALANCES
FORM 990, PART XI, LINE 2C
FORM 990, PART VI,

SECTION A, LINE 7A
THE BOARD OF TRUSTEES MAKES RECOMMENDATIONS TO THE

INCORPORATORS OF THE HOSPITAL REGARDING
NOMINATIONS OF MEMBERS OF THE COMMUNITY TO SERVE AS TRUSTEES
FORM 990, PART VI,

SECTION B, LINE 11
FORM 990, PART VI,

SECTION B, LINE 12C
EACH YEAR ALL MEMBERS OF THE HOSPITAL BOARD, OFFICERS, DIRECTORS,

AND KEY EMPLOYEES RECEIV
E, SIGN, AND SUBMIT A CONFLICT OF INTEREST DISCLOSURE THE
DISCLOSURES ARE REVIEWED BY THE
HOSPITAL BOARD AND DOCUMENTED IN THE MINUTES ANY DISCLOSURE OF A
CONFLICT PREVENTS THE I
NDIVIDUAL FROM INVOLVEMENT WITH OR PARTICIPATION IN SUBJECT MATTER
THAT MIGHT AFFECT THE D
ISCLOSED CONFLICT SUCH ACTIONS ARE DOCUMENTED IN BOARD MINUTES
ALL CONFLICTS ARE DISCLOS
ED TO BOARD MEMBERS AND CORPORATORS AT THE ANNUAL MEETING OF
THE CORPORATION
FORM 990, PART VI,

SECTION B, LINE 15
COMPENSATION OF OFFICERS AND KEY EMPLOYEES ARE REVIEWED

ANNUALLY BY THE COMPENSATION COMMI
TTEE WHICH IS A SUBCOMMITTEE OF THE HOSPITAL BOARD THIS COMMITTEE
SETS THE COMPENSATION F
OR THE CEO BASED ON INDUSTRY DATA COMPENSATION OF OTHER OFFICERS
AND DIRECTORS IS SET BY
THE CEO IN CONJUNCTION WITH THE HUMAN RESOURCE DEPARTMENT AGAIN
INDUSTRY COMPENSATION DAT
A IS THE BASIS FOR DETERMINING THE APPROPRIATENESS OF COMPENSATION
THE CEO REVIEWS WITH T
HE COMPENSATION COMMITTEE ALL OFFICERS AND DIRECTORS IN THE FIRST
QUARTER OF THE CALENDAR
YEAR
FORM 990, PART VI,

SECTION C, LINE 19
THE GOVERNING DOCUMENTS ARE FILED WITH THE OFFICE OF HEALTH CARE
ACCESS AND ARE AVAILABLE TO THE PUBLIC UPON REQUEST
FORM 990, PART XI, LINE

9
TRANSFERS BETWEEN AFFILIATES -3,563,164 MINIMUM PENSION LIABILITY

ADJUSTMENT 14,637,527
CHANGE IN NET ASSETS OF AFFILIATE 471,884 CHANGE IN TEMPORARILY
RESTRICTED NET ASSETS 438
,379 CHANGE IN BENEFICIAL INTEREST IN TRUSTS 20,849 CHANGE IN FAIR
VALUE OF INTEREST RAT
E SWAP 1,803,353 NET ASSETS RELEASED FROM RESTRICTION 110,583
THE BOARD OF TRUSTEES IS RESPONSIBLE FOR SELECTING AN INDEPENDENT
AUDIT FIRM AND FOR OVERS
EEING THE FINANCIAL STATEMENT PREPARATION PROCESS THERE HAVE BEEN
NO CHANGES IN THESE PRO
CEDURES SINCE THE PRIOR YEAR
SCHEDULE R
(Form 990)
As Filed Data -
DLN:93493225008404
OMB No 1545-0047
2012

GRIFFIN HOSPITAL
06-0647014
Identification of Disregarded Entities (Complete if the organization answered "Yes" to Form 990, Part IV, line 33.)
(a)
Name, address, and EIN (if applicable) of disregarded entity
(b)
Primary activity
(c)
or foreign country)
(d)
Total income
(e)
End-of-year assets
(f)
Direct controlling
entity
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one
(a)
(b)
Primary activity
( c)
or foreign country)
(d)
Exempt Code section
(e)
501(C)(3)
509(A)(3)(B)(I)
(f)
Direct controlling
entity
(g)
Section 512
(b)(13)
controlled
entity?
Yes
HOLDING COMPANY
CT
130 DIVISION STREET
No
No
N/A
DERBY, CT 06418
22-2560257
MEDICAL/ EDUCATION
CT
501(C)(3)
509(A)(2)
GRIFFIN HOSPITAL
Yes
FUND RAISING
CT
501(C)(3)
509(A)(1)

CORPORATION
Yes
EDUCATION
CT
501(C)(3)
509(A)(2)

CORPORATION
Yes
130 DIVISION STREET

DERBY, CT 06418
06-1463147
130 DIVISION STREET
DERBY, CT 06418
22-2560254
(4) PLANETREE INC
130 DIVISION STREET
DERBY, CT 06418
06-1505284
Cat No 50135Y
Page 2
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 34
(a)
(b)
Primary activity
(c)
Legal
domicile
(state or
foreign
country)
(d)
Direct
controlling
entity
(e)
Predominant
income(related,
unrelated,
excluded from
tax under
sections 512514)
(f)
(g)
(h)
(i)
0)
Share of
Share of Disproprtionate Code V-UBI General or
total income end-of-year allocations?
amount in box managing
assets
20 of
partner?
Schedule K-1
(Form 1065)
Yes
No
Yes
(k)
Percentage
ownership
No
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" to Form 990, Part IV,
(a)
(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 endof-year
assets
(h)
Percentage
ownership
(i)
Section 512
(b)(13)
controlled
entity?
Yes
(1) GH VENTURES INC
RENTAL REAL ESTATE
130 DIVISION STREET

DERBY, CT 06418
22-2560247
(2) HEALTHCARE ALLIANCE
INSURANCE COMPANY LTD
N/A
N/A
N/A
No
Yes
CT
OFFSHORE CAPTIVE
INSURANCE
CJ
No
171 ELGIN AVENUE

GEORGETOWN
CJ
(3) CT PRACTICE
MANAGEMENT INC
130 DIVISION STREET
DERBY, CT 06418
06-1152819
INACTIVE
Yes
CT
ff^
Page 3
Transactions With Related Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34, 35b, or 36.)
YesFNo
Note . Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule
a
Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity
No
Gift, grant, or capital contribution to related organization(s)
No
Gift, grant, or capital contribution from related organization(s)
No
Loans or loan guarantees to or for related organization(s)
Yes
Loans or loan guarantees by related organization(s)
Yes
Dividends from related organization(s)
if
No
Sale of assets to related organization(s)
1g
No
Purchase of assets from related organization(s)
1h
No
No
No
Exchange of assets with related organization(s)
ii
Lease of facilities, equipment, or other assets to related organization(s)
ii
Lease of facilities, equipment, or other assets from related organization(s)

Performance of services or membership or fundraising solicitations for related organization(s)
No
m Performance of services or membership or fundraising solicitations by related organization(s)
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s)
No
Sharing of paid employees with related organization(s)
No
No
Yes
Yes
Yes
No
(a)
(b)
Transaction
type (a-s)
(c)
Amount involved
(1) GRIFFIN HEALTH SERVICES CORP
463,062 ACTUAL CASH
(2) GH VENTURES INC
436,798 ACTUAL CASH
(3) GRIFFIN HOSPITAL DEVELOPMENT FUND
500 ,000 ACTUAL CASH
(4) PLANETREE INC
(5) GRIFFIN HOSPITAL DEVELOPMENT FUND
589 ,211 ACTUAL CASH
(6) GRIFFIN FACULTY PRACTICE PLAN
(d)
Method of determining amount involved
Page 4
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 37.)
(a)
(b)
Primary activity
(c)
Legal
domicile
(state or
foreign
country)
(d)
Predominant
income
(related,
unrelated,
excluded from
tax under
section 512514)
(e)
Are all partners
section
501(c)(3)
organizations?
Yes
No
(f)
Share of
total
income
(g)
Share of
end-of-year
assets
(h)
Disproprtionate
allocations?
Yes
No
(i)
Code V-UBI
amount in
box 20
of Schedule
K-1
(Form 1065)
U)
General or
managing
part ner?
Yes
(k)
Percentage
ownership
No
Additional Data
Return to Form
Software ID:
Software Version:
EIN:
Name :
06 -0647014
GRIFFIN HOSPITAL
Page 5
Identifier
Return Reference
Explanation
--> Form 990_ Schedule R. Part V - Transactions With Related Ornaniiations

(a)
(b)
Transaction
type (a-s)
(c)
Amount Involved
(d)
amount involved
463,062 ACTUAL CASH
GH VENTURES INC
436,798 ACTUAL CASH
500,000 ACTUAL CASH
PLANETREE INC
589,211 ACTUAL CASH

Subsidiary

Index
Page(s)
Independent Auditors Report

Balance Sheets
2-3
7-32
33
Balance Sheets
34-37
38-39
mom
pwc
Independent Auditors Report

Griffin Hospital
We have audited the accompanying consolidated financial statements of Griffin Hospital and its
subsidiary (the "Hospital"), which comprise the consolidated balance sheets as of September 30, 2013 and
2012, and the related consolidated statement of operations, consolidated statement of changes in net
assets and consolidated statement of cash flows for the years then ended.
Management's Responsibility for the Consolidated Financial Statements
Management is responsible for the preparation and fair presentation of the consolidated financial
statements in accordance with accounting principles generally accepted in the United States of America;
this includes the design, implementation, and maintenance of internal control relevant to the preparation
and fair presentation of consolidated financial statements that are free from material misstatement,
whether due to fraud or error.
Auditor's Responsibility
Our responsibility is to express an opinion on the consolidated financial statements based on our audits.
We conducted our audits in accordance with auditing standards generally accepted in the United States of
America. Those standards require that we plan and perform the audit to obtain reasonable assurance
about whether the consolidated financial statements are free from material misstatement.
An audit involves performing procedures to obtain audit evidence about the amounts and disclosures in
the consolidated financial statements. The procedures selected depend on our judgment, including the
assessment of the risks of material misstatement of the consolidated financial statements, whether due to
fraud or error. In making those risk assessments, we consider internal control relevant to the Hospital's
preparation and fair presentation of the consolidated financial statements in order to design audit
procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on
the effectiveness of the Hospital's internal control. Accordingly, we express no such opinion. An audit
also includes evaluating the appropriateness of accounting policies used and the reasonableness of
significant accounting estimates made by management, as well as evaluating the overall presentation of
the consolidated financial statements. We believe that the audit evidence we have obtained is sufficient
and appropriate to provide a basis for our audit opinion.
Opinion
In our opinion, the consolidated financial statements referred to above present fairly, in all material
respects, the financial position of Griffin Hospital and its subsidiary at September 30, 2013 and 2012 and
the results of their operations and their cash flows for the years then ended in accordance with accounting
principles generally accepted in the United States of America.
LC P
January 30, 2014


2013
Assets
Current assets
Investments
and $4,593,000, respectively
5,309,111
9,040,563
710,605
2012
8,167,417
5,371,978
700,398
14,743,574
5,426,579
13,110,545
5,665,669
35,230,432
33,016,007
43,179
4,289,166
10,001
4,288,627
4,332,345
4,298,628
Due from affiliates
1,186, 601
56,068,701
6,969,447
3,659,921
3,670,942
480,486
8,840 ,778
1,147, 841
60,325,720
5,952,786
7,998,375
3,650,093
1,203,411
12, 635,039
80,876 , 876
92,913,265
$ 120,439,653
$ 130,227,900

Board -designated investments
Total assets

2013
Current liabilities
Current portion of long -term debt and capital
lease obligations
Accounts payable
Accrued expenses
Deferred revenue
Due to affiliates

Accrued postretirement benefit liability , net of current portion
Long-term debt , net of current portion
Total liabilities
Net deficit
Total unrestricted
Total net deficit
5,679,417
19 ,129,038
7,396,947
316,307
389,000
194 ,930
14,292
2012
6,418,425
20,201,504
8,406,735
347,111
435,000
40,179
196,466
33,119,931
36,045,420
3,424,484
6,892,848
2,317,799
30,640,516
7,605,700
114 ,445
43,898,212
110,886
6,022,007
3,179,514
10,488,070
2,108,091
42,427,930
8,484,801
119,709
46,957,600
1 ,299,057
9,153,353
134,146,828
160,263,545
15 ,872,075
(38,051,834)
14,640,360
(52,689,362)
(22,179,759)
(38,049,002)
2 ,641,381
5,831,203
2,203,003
5,810,354
(13,707,175)
(30,035,645)
$ 120,439,653
$ 130,227,900
3

2013
2012
$ 131,528,811
(2,487,760 )
$ 123,980,407
(1,101,989)
129,041,051
122,878,418
3 ,603,467
110,583
5,743,384
5,000
132,755,101
128,626,802
Operating expenses
Interest
76,790,169
48,810,546
6,175,846
2 ,451,658
76,243,963
48,809,594
5,999,975
2,709,709
134,228,219
133,763,241
Operating revenues
Net patient service revenue less provision for doubtful accounts

Investment income
Net realized and unrealized gains ( losses ) on interest rate swaps
Grant revenues
Grant expenses
Total nonoperating gains ( losses )
Excess (deficiency) of revenues over expenses
(1,473,118)
(5,136,439)
436,170
1,803,353
2,231,692
(2,291,549)
998,665
(2,523,551)
2,234,902
(2,259,698)
2,179,666
(1,549,682)
706,548
(6,686,121)
617,043
(91,875)
331,491
335,400
14,637,527
Increase in unrestricted net assets
$ 15,869,243
10,040,391
$
4,021,161
4

2013
Excess (deficiency) of revenues over expenses
Other changes
Increase in unrestricted net assets

Investment income
Unrealized gain on investments
Increase in temporarily restricted net assets
Increase in permanently restricted net assets
Increase in net assets
Net deficit
Beginning of year
End of year
706,548
617,043
(91,875)
2012
(6,686,121)
331,491
335,400
14,637,527
10,040,391
15,869 ,243
4, 021,161
399,619
16,727
45,512
(23,479)
205,982
46,808
75,063
(5,000)
438,379
322,853
20,849
282,973
20,849
282,973
16,328,471
4,626,987
(30,035,645)
(34,662,632)
$ (13,707,174 )
$ (30,035,645)
5

2013
Increase in net assets
Pension and other post - retirement changes
Provision for doubtful accounts , net of recoveries
Due from affiliates , net
Estimated amounts due to third - party settlements
Deferred revenue
16,328,471
2012
4,626,987
(14,637,517)
6,320,384
135,507
(20,850)
(3,131,346)
2,487,760
(91 ,875)
(1,016,661 )
(10,040,391)
6,154,192
647,012
(282,973)
1,179,451
1,101,989
335,400
(537,472)
(4,120,789)
3,808,972
4,156,280
(4,829,649)
967,895
154,751
1,925,002
3,087,657
535,512
(2,457,828)
1,667,633
1,230,804
7,131
969,932
(7,892,136)
3,598,049
8,436,335
8,225,036
(2,593,009)
(17,341,757)
13,454,981
91,875
(3,476,398)
(11,098,922)
12,614,197
(335,400)
(6,387,910)
(2,296,523)

(2,997,048)
(1,909,683)
362,048
(1,900,000)
(1,830,896)
(4,906,731)
(3,368,848)
Net (decrease) increase in cash and cash equivalents
(2,858,306)
2,559,665
8,167,417
5,607,752
Total adjustments

Beginning of year
End of year
5,309,111
8,167,417

Interest paid
3,810,455
4,072,410

499,653
1,173,836

Organization
organization currently managing medical office buildings, Planetree Inc ("Planetree"), a
not-for-profit entity assisting hospitals and other health care facilities in the development and
2.

consolidation
Unrestricted

contributions
Use of Estimates
The majority of the Hospital ' s banking activity, including cash and cash equivalents , is maintained
policy to monitor the bank ' s financial strength on an ongoing basis
Inventories

follows
Level 1
Level 2
Level 3
measurement

the course of last year The review determined that certain assets were being depreciated over a
the corresponding depreciation was prospectively adjusted as appropriate
Cost of Borrowing
10

Excess of Revenues Over Expenses
The statement of operations includes an excess of revenues over expenses Changes in
unrestricted net assets which are excluded from the excess of revenues over expenses, consistent
New Accounting Pronouncement
The Corporation adopted Accounting Standard Update ("ASU") No 2011-7, which requires health
care entities to change the presentation of their statement of operations by reclassifying the
provision for bad debts associated with patient service revenue from an operating expense to a
deduction from patient service revenue (net of contractual allowances and discounts) Additionally
those health care entities are required to provide enhanced disclosures about their policies for
recognizing revenue, assessing bad debts, and disclosures of patient service revenue (net of
contractual allowances and discounts)
adjustments was a decrease in net patient service revenue of approximately $196,000 and a
decrease of approximately $554,000 in fiscal years 2013 and 2012, respectively
11

Free Care
Income Taxes
Subsequent Events
January 30, 2014, the date the financial statements were issued
Reclassifications
Certain amounts in the 2012 consolidated financial statements have been reclassified to conform to
the 2013 fiancial statement presentation
3.

follows
2013
FPP
Hospital
Net patient service revenue ( less contractuals )

Provision for doubtful accounts net of recoveries
438 847 354

(310 668 116 )
128 179 238

(2373418)
$
125 805 820
Total
6 190 769
(2841 196)
445 038 123

(313 509 312)
3 349 573
(114 342)
131 528 811

(2487760)
3 235 231
129 041 051
2012
FPP
Hospital
$
411 206 017

(290 144 702)
121 061 315

(985 612)
$
120 075 703
5 471 322
(2552230)
Total
$
2 919 092
(116 377 )
$
2 802 715
416 677 339

(292 696 932)
123 980 407
(1 101 989)
122 878 418
programs
Medicare
12

Medicaid
addition, the State also contracts with various managed care organizations to provide services to
the State's AFDC population The Hospital contracts with one or more of these managed care
organizations and provide services on a per diem rate for inpatient and fee schedules or percent of
charges for outpatients
Other Payers
4.
Investments
Investments
2013

2012
Cost
Fair Value
Cost
Fair Value
$ 5 ,445,810
4,629,469
$ 5,270,018
4,957,146
$ 3,602,337
2,891,762
$ 3,611,174
2,908,645
$ 10,075,279
$ 10,227,164
$ 6,494 ,099
$ 6 ,519,819
13

2013
Cost
Board -designated

Less
10,644
Cost
10,644
Fair Value
10,001
10,001
32,535
32,535
43,179
43,179
10,001
10,001
4 ,999,286
1,107
4,998,664
1,107
4,988,754
831
4,988,194
831
5,000,393
4,999,771
4,989,585
4,989,025
Current portion
(710,605)
(710,605)
4,289,788
$
2012
Fair Value
4,332,967
(700,398)
4,289,166
$
4,332,345
(700,398)
4,289,187
$
4,288,627
4,299,188
4,298,628
Investment income and unrealized gains and losses for assets limited as to use , cash eq uivalents
2013
Income
Net realized gain
14
2012
300,663
53,818
81,689
351,715
112,285
534,665
436,170
998,665

Significant
Other
Significant
Observable
Unobservable
Inputs
Inputs
(Level 2)
(Level 3)
Quoted Prices
in Active
Markets for
Identical Assets
(Level 1)
Investments
Fixed income
Equity securities
Total investments
5,270,018
4,957,146
Liabilities
5,270,018
4,957,146
10,227,164
10,227,164
3,670,942
3,670,942
Remainder trusts
Perpetual trusts
Fair Value
10 ,227,164
3,670,942
6,022,007
6,022 ,007
13,898,106
6,022,007
$
6,022,007

Assets released from restriction
131,432
(110,583)
$
15
3,650,093
3,670,942

Significant
Other
Significant
Observable
Unobservable
Inputs
Inputs
(Level 2)
(Level 3)
Quoted Prices
in Active
Markets for
Identical Assets
(Level 1)
Investments
Fixed income
Equity securities
Total investments
3,611,174
2,908,645
Liabilities
3,611,174
2,908,645
6,519,819
6,519,819
109,818
3,540,275
109,818
3,540,275
Remainder trusts
Perpetual trusts
Fair Value
6 , 519,819
3,650,093
10,169,912
9,153,353
9,153,353
9,153 ,353
9,153,353
3,367,120
282,973

5.
3,650,093

2013
Less Accumulated amortization and depreciation
5,107,308
72,126,472
73,479,349
2012
$
5,107,308
71,833,837
71,898,214
150,713,129
148,839,359
(94,769,810)
(88,643,415)
55,943,319
60,195,944
125,382
129,776
$ 56,068,701
$ 60,325,720
16

2012, respectively
Amortization expense on capital lease assets was $1,238,202 and $1,301,187 for2013 and 2012,
respectively
6.

HAIL insures the professional and general liabilities of the Hospital under a claims-made policy
Effective March 28, 2013 the Hospital entered into a novation agreement with American Insurance
Group Inc , where it legally transfed all exposure relating to primary layer professional liability and
physicians professional liability policies issued to the Hospital in the years 2006/07, 2007/08,
2009/10, 2010/11 and 2011/12, by making a onetime premium payment of $7,400,000 The loss
portfolio transfer effectively transfers the liabilities and subsequent adverse claim development risk
to a third party insurer As a result of the transaction, cash of $3,900,000 became unrestricted and
was transferred from HAIL to the Hospital In addition, a loss of $818,214 was realized on the
transaction The loss was the result of the premium payment exceeding the amount of loss
reserves previously recorded at HAIL The loss is included in the fiscal year 2013 operating
expenses of the Hospital
17

7.
Long -Term Debt


Series B
Series C
Series D
Loan payable
2013
2012
$ 15,990,000
21,575,000
10,350,000
$ 17,200,000
22,100,000
10,550,000
1,062,048
440,712
520,552
48,355,712
51,432,600
(4,457,500)
(4,475,000)
$ 43,898,212
$ 46,957,600
$10,925,000 variable rate revenue bonds, The Griffin Hospital Issue, Series D
with Wells Fargo Bank N A for $34,050,000 which expires in May 2015 As of September 30,
2012 the Hospital was in violation of the letter of credit's required debt service coverage ratio and
capitalization ratio In April 2013, Wells Fargo amended the letter of credit agreement to allow, as
of September 30, 2012, the calculation of these ratios to exclude certain nonrecurring expenditures
for consulting expenses The consulting expenditures were incurred to help the Hospital identify
and implement cost reductions and put in place software and controls designed to monitor and
continue the cost containment process Should the Series 2008 Bonds be put back, and the
standby letter of credit be called, the Hospital would be required to repay the principal ratably over
a 5-year period, beginning 180 days following the put
18

Additionally, the Obligated Group is required to maintain a capitalization ratio of less than 65 As
of September 30, 2012 the Obligated Group failed to meet the debt service coverage and
capitalization ratios As a result of the covenant violations, the Obligated Group entered into a
Forbearance Agreement in April 2013 with Radian Asset Assurance, Inc , the bond insurer The
Forbearance Agreement waived the covenant violations as of September 30, 2012 and modified
the debt to equity ratio calculation going forward to allow exclusion of any realized or unrealized
gain or loss on the interest rate swap In addition, the forbearance agreement added an additional
loan covenant that beginning March 31, 2013 requires the Obligated Group to maintain an average
payment period days of less than 110 days
The obligated group was in compliance with all debt covenants in fiscal year 2013
2014
2015
2016
2017
2018
Thereafter
2,040,000
2,135,000
2,225,000
2,345,000
2,475,000
36,695,000
$ 47,915,000
2013
2014
2015
2016
2017
Thereafter
4,457,500
7,720,000
7,785,000
7,855,000
7,935,000
12,162,500
$ 47,915,000
19

2013
Debt service fund
Principal fund
2012
4,288,126
199,829
511,955
1,107
4,287,910
215,120
485,164
831
5,001,017
4,989,025
In fiscal year 2012 the Hospital borrowed $1,062,048 of the net cash value of certain officer
universal life insurance policies for working capital purposes The fiscal year 2012 borrowing was
repaid in fiscal year 2013 There were no borrowings in fiscal year 2013
significant
of the change in fair value was income of $3,131,346 and expense of $1,179,451 for the years
ended September 30, 2013 and 2012, respectively This change is included in the net realized and
unrealized losses on interest rate swap agreements , which also includes the net periodic
settlement payments related to the swap agreements of $1,327,993 and $1,344,099 for 2013 and
2012, respectively
20

2013
Initial
Notional
hedging instruments
Interest rate swaps
Fair
Value
$ 34,050,000
(6,022,007)
2012
Initial
Notional
hedging instruments
Interest rate swaps
$ 34,050,000
Fair
Value
(9,153,353)
2013
Location of Gain or ( Loss)
on Derivatives
hedging Instruments
Interest rate swaps

gains on interest rate swaps
2012
on Derivatives
hedging Instruments
Interest rate swaps
8.

Gain or (Loss)
on Derivatives
1,803,353
Gain or (Loss)
on Derivatives
Lease Commitments
Capital Leases
21
(2,523,551)

2014
2015
1,214,035
110,886
1,324,921
25,864
1,299,057
1,188,171
Capital lease obligation, net current portion
110,886
Operating Leases
2012, respectively
are as follows
2014
2015
2016
2017
2018
9.
985,323
976,150
963,670
963,670
693,670
4,582,483

and 2012
2013
62,240
885,564
924,328
$
22
769,249
2012
2,641,381
730,489
316,479
324,977
831,058
2,203,003

2013
1,742,616
3,670,942
$
10.
417,645
2012
5,831,203
417,645
1,742,616
3,650,093
$
5,810,354

11.

of September 30
2013
Planetree
GHSC
2012
362,462
1,979,739
897,177
306,847
113,696
5,169,742
1,542,941
644,696
315,007
325,989
3,659,921
7,998,375

2013
Griffin Health Ventures
2012
14,292
-
196,466
14,292
196,466
23

$885,000 in 2013 and 2012 respectively
during 2013
HAIL (note 6) Total premiums incurred for this insurance coverage in 2013 and 2012 were
expenses on behalf of HAIL and is subsequently reimbursed for these expenses As of
September 30, 2013 and 2012, the Hospital was due $362,462 and $5,169,741, respectively, from
HAIL for favorable claim development net of insurance premiums due
The Hospital paid operating expenses of approximately $3,000 for both 2013 and 2012 GHSC
transferred to the Hospital approximately $120,000 in 2012
Planetree, Inc.
$942,919 and $687,089 in 2013 and 2012, respectively
12.

Pension Benefits
Griffin Hospital were frozen for the April 1, 2010 to March 31, 2012 period Participants continued
to earn vesting service during the freeze period and pay increases during the freeze period was
reflected in participant's final earnings calculation however no credited service was earned for the
period from April 1, 2010 to March 31, 2012 Effective April 1, 2012 the plan freeze was terminated
and credit service accruals were reestablished at a reduced rate
The Hospital' s accumulated benefit obligation was $93,064,814 and $100,786,846 at
24

date
Pension Benefits
2013
2012
Other Benefits
2013
2012

Service cost
Interest cost
Amendments
Actuarial (gain) loss
Benefits paid
$ 100,982,447
1,639,334
3,866,724
(8,810,774)
(3,782,502)
$ 100,963,773
1,123,268
4,255,880
(10,194,555)
8,206,927
(3,372,846)
8,919,801
307,509
339,544
(1,065,776)
(506,378)
7,994,095
242,639
350,023
1,168,473
(835,429)
$ 93,895,229
$ 100,982,447
7,994,700
8,919,801

Benefits paid
$ 58,554,517
5,440,386
3,042,312
(3,782,502)
$ 48,539,678
9,507,095
3,880,590
(3,372,846)
$ 63,254,713
$ 58,554,517
$ (30,640,516)
$ (42,427,930)
506,378
(506,378)
835,429
(835,429)
(7,994,700)
(8,919,801)

Pension Benefits
2013
2012
Service cost
Interest cost
service credit
Net actuarial loss
1,639,334
3,866,724
(4,891,312)
(1,121,883)
5,309,432
4,802,295
25
1,123,268
4,255,880
(4,147,333)
Other Benefits
2013
2012
$
(654,432)
4,567,849
$
5,145,232
307,509
339,544
-
(389,620)
413,974
$
671,407
242,639
350,023
(389,620)
337,677
540,719

Pension Benefits
2013
2012
Current liabilities
30,640,516
$ 30,640,516
Other Benefits
2013
2012
42,427,930
389,000
7,605,700
435,000
8,484,801
$ 42,427,930
7,994,700
8 ,919,801
Pension Plan
2013
Negative prior service cost
Net actuarial loss
$
.p
(8,418,240)
J4, ILV,JLS
2012
$
p
(9,540,123)
4l
VI J,I LV
net assets
2013
Net actuarial ( gain) loss
Amortization of
Actuarial loss
(9,359,848)
2012
$
(5,309,432)
$ (14,669,280)
2,847,165
(4,567,849)
(1,720,684)
next fiscal year
Actuarial loss
2,059,401
Post- Retirement Plan

2013
Net actuarial loss
26
2012
(112,992)
4,038,498
(502,612)
5,518,248
3,925,506
5,015,636

2013
Net actuarial (gain) loss
Amortization of
Prior service cost
Actuarial gain
2012
(1,065,776)
389,620
(413,974)
$
(1,090,130 )
1,168,473
389,620
(337,677)
1,220,416
Expected amounts to be amortized from unre stricted net assets into net periodic benefit cost for the
next fiscal year
Actuarial gain
( 389,620)
(1,479,750)

Pension Benefits
2013
2012
Discount rate
472%
4 00%
Other Benefits
2013
2012
391%
4 00%
Pension Benefits
2013
2012
Discount rate
391%
8 22%
4 00%
472%
N/A
Other Benefits
2013
2012
454%
7 89%
4 00%
391%
N/A
N/A
Pre-65

27
391%
N/A
454%
N/A
N/A
Post-65
2013
2012
2013
2012
7 50%
8 00%
7 50%
8 00%
5 00%
2019
5 00%
2019
5 00%
2019
5 00%
2019

effects on
(in 000's)
1-Percentage
1-Percentage
Point
Point
Increase
Decrease
26,557
184,711
(22,843)
(166,473)
Contributions
of September 30
Pension
Benefits
2014
2015
2016
2017
2018
2019-2023
4,124,000
4,344,000
4,671,000
4,915,000
5,239,000
29,666,000
Other
Benefits
$
389,000
442,000
513,000
571,000
626,000
3,026,000

2013
Asset category
U S Large cap
U S Small cap
Fixed income
Real estate
28
2012
2%
37
8
13
7
29
4
95 %
5
-
100%
100%

2013
Cash
U S Large cap
U S Small cap
Fixed income
Real estate
2012
0%
27
7
12
10
40
4
100%
-
100%
100%
(in thousands)
September 30, 2013

Quoted
Prices in
Active Markets
for Identical
Assets
(Level 1 )

U S Large cap
US Small cap
Fixed income
Significant
Other
Observable
Inputs
( Level 2 )
Significant
Unobservable
Inputs
( Level 3)
Total
1,206
23 ,116
5,047
8,103
1,807
18,767
2,497
2,712
-
1,206
23,116
5,047
8,103
4,519
18,767
2,497
60,543
2,712
63,255
29

(in thousands)
September 30, 2012

Quoted
Prices in
Active Markets
for Identical
Assets
(Level 1 )

US Large cap
US Small cap
Fixed income
Significant
Other
Observable
Inputs
(Level 2)
Significant
Unobservable
Inputs
(Level 3)
Total
55,293
643
-
2,619
-
55,293
2,619
643
-
55,936
2,619
58,555

the volatility of the funding ratio by aligning the Plan's assets with its liabilities in terms of how both
respond to interest rate changes, this is then followed by an investment objective strategy to
the long run The objective will result in a prescribed asset mix between return seeking assets and
a LDI bond portfolio
13.

2013
Managed care
Self-pay patients
City Welfare
30
2012
18 %
19
27
33
3
13 %
21
27
37
2
100%
100%

14.
Functional Expenses

15.
2013
2012
$ 115,173,502
21,542,477
$ 112,399,993
22,465,237
$ 136,715,979
$ 134,865,230
Endowments
31

Temporarily
Restricted

1,089,279

3,249,540
183,001
(23,479)
(23,479)
1,248,801
772,072
1,089,279
2,160,261
2012
Permanently
Restricted
$
2,160,261
2,160,261
2,932,333
322,207
3,409,062
Total
(5,000)
$
322,207
2,160,261
Total
183,001
Temporarily
Restricted
2013
Permanently
Restricted
(5,000)
$
3,249,540
16.

statements
32
^
r^
^yY
6R'Ca
i3
LBO
pwc
Report of Independent Auditors on Accompanying Consolidating Information

The Griffin Hospital:
of September 30, 2013 and 2012 and for the years then ended appears on page 1 of this document. Those
audits were conducted for the purpose of forming an opinion on the consolidated financial statements
taken as a whole. The consolidating information is presented for purposes of additional analysis of the
consolidated financial statements rather than to present the financial position and results of operations of
the individual companies. Accordingly, we do not express an opinion on the financial position and results
of operations of the individual companies. However, the consolidating information has been subjected to
the auditing procedures applied in the audits of the consolidated financial statements and, in our opinion,
is fairly stated, in all material respects, in relation to the consolidated financial statements taken as a
whole.
Fri cQt.Ja.Xrr^. ou
_âo Irvs
UP
January 30, 2014

T: (860) 241 7ooo, F: (860) 241 7590 , www.pwc.com/us

September 30, 2013
The
Griffin
Hospital
Assets
Current assets
Investments
5,178,405
9,040,563
710,605
14,419,423
5,290,594
Griffin
Faculty
Practice Plan
130,706
324,151
135,985
Eliminations
Total
5,309,111
9,040,563
710,605
14,743,574
5,426,579
34,639,590
590,842
35,230,432
43,179
4,289,166
43,179
4,289,166
4,332,345
4,332,345
Due from affiliates
1,186, 601
55,610,872
6,969,447
3,659,921
465,940
480,486
3,670,942
8,840,778
457,829
-
(465,940)
-
1,186, 601
56,068,701
6,969,447
3,659,921
480,486
3,670,942
8,840,778
80,884,987
457,829
(465,940)
80,876,876
(465,940)
$ 120,439,653

Total assets
$ 119,856,922
34
1,048,671

September 30, 2013
The
Griffin
Hospital
Current liabilities
lease obligations
Accounts payable
Accrued expenses
Deferred revenue
Due to affiliates

Total liabilities
Total unrestricted
5,679,417
18,863,396
7,094,150
316,307
194,930
389,000
Griffin
Faculty
Practice Plan
35
5,679,417
19,129,038
7,396,947
316,307
194,930
14,292
389,000
582,731
33,119,931
3,424,484
6,892,848
2,317,799
30,640,516
7,605,700
114,445
43,898,212
110,886
6,022,007
3,424,484
6,892,848
2,317,799
30,640,516
7,605,700
114,445
43,898,212
110,886
6,022,007
133,564,097
582,731
134,146,828
15,872,075
(38,051,834)
465,940
-
(465,940)
-
15,872,075
(38,051,834)
(22,179,759)
465,940
(465,940)
(22,179,759)
(13,707,175)
Total
32,537,200
2,641,381
5,831,203
265,642
302,797
14,292
-
Eliminations
119,856,922
465,940
$
1,048,671
2,641,381
5,831,203
(465,940)
$
(465,940)
(13,707,175)
$
120,439,653

September 30, 2012
The
Griffin
Hospital
Assets
Current assets
Investments
8,071,213
5,371,978
700,398
12,754,987
5,557,652
Griffin
Faculty
Practice Plan
96,204
355,558
108,017
Eliminations
Total
8,167,417
5,371,978
700,398
13,110,545
5,665,669
32,456,228
559,779
33,016,007
10,001
4,288,627
10,001
4,288,627
4,298,628
4,298,628
Due from affiliates
1,147,841
59,966,717
5,952,786
7,998,375
611,099
1,203,411
3,650,093
12,635,039
359,003
-
(611,099)
-
1,147,841
60,325,720
5,952,786
7,998,375
1,203,411
3,650,093
12,635,039
93,165,361
359,003
(611,099)
92,913,265
(611,099)
$ 130,227,900

Total assets
$ 129,920,217
36
918,782

September 30, 2012
The
Griffin
Hospital
Liabilities and Net (Deficit) Assets
Current liabilities
lease obligations
Accounts payable
Accrued expenses
Deferred revenue
Due to affiliates

Total liabilities
Total unrestricted
6,418,425
20,044,364
8,256,192
347,111
40,179
196,466
435,000
Griffin
Faculty
Practice Plan
37
6,418,425
20,201,504
8,406,735
347,111
40,179
196,466
435,000
307,683
36,045,420
3,179,514
10,488,070
2,108,091
42,427,930
8,484,801
119,709
46,957,600
1,299,057
9,153,353
3,179,514
10,488,070
2,108,091
42,427,930
8,484,801
119,709
46,957,600
1,299,057
9,153,353
159,955,862
307,683
160,263,545
14,640,360
(52,689,362)
611,099
-
(611,099)
-
14,640,360
(52,689,362)
(38,049,002)
611,099
(611,099)
(38,049,002)
(30,035,645)
Total
35,737,737
2,203,003
5,810,354
157,140
150,543
-
Eliminations
129,920,217
611,099
$
918,782
2,203,003
5,810,354
(611,099)
$
(611,099)
(30,035,645)
$
130,227,900

The
Griffin
Hospital
Operating revenues

128,179,238
(2,373,418)
Griffin
Faculty
Practice Plan
Eliminations
3,349,573
(114,342)
Total
131,528,811
(2,487,760)
125,805,820
3,603,467
110,583
3,235,231
630,773
-
(630,773)
-
129,041,051
3,603,467
110,583
129,519,870
3,866,004
(630,773)
132,755,101
Operating expenses
72,402,054
4,388,115

Depreciation
Interest
46,423,483
6,099,345
2,451,658
3,017,836
76,501
-
(630,773)
-
48,810,546
6,175,846
2,451,658
7,482,452
(630,773)
134,228,219
127,376,540

Nonoperating gains ( losses)
Investment income

$
38
76,790,169
2,143,330
(3,616,448)
(1,473,118)
436,170
1,803,353
436,170
1,803,353
2,231,692
(2,291,549)
2,231,692
(2,291,549)
2,179,666
2,179,666
4,322,996
(3,616,448)
706,548
471,884
(3,563,164)
3,471,289
145,159
-
14,637,527
15,869,243
(145,159)
145,159
617,043
(91,875)
14,637,527
$
15,869,243

Operating revenues

Operating expenses
Depreciation
Interest
The
Griffin
Griffin
Faculty
Hospital
Practice Plan
121,061,315
39
123,980,407
(1,101,989)
122,878,418
5,743,384
5,000
125,824,087
6,377,532
(772,102)
128,626,802
72,639,969
46,867,207
3,603,994
2,714,489
(772,102)
76,243,963
48,809,594
5,913,216
2,709,709
86,759
-
128,130,101
6,405,242
5,999,975
2,709,709
(772,102)
(27,710)
133,763,241
(5,136,439)
998,665
(2,523,551)
2,234,902
(2,259,698)
998,665
(2,523,551)
2,234,902
(2,259,698)
(1,549,682)
(1,549,682)
(6,686,121)
(27,710)
3,066,634
10,040,391
(772,102)
-
567,699
(2,731,234)
(116,377)
2,802,715
772,102
-
(3,855,696)

2,919,092
Total
(985,612)
120,075,703
5,743,384
5,000
(2,306,014)

Investment income
Eliminations
4,021,160
(236,208)
3,038,924
331,491
335,400
(236,208)
10,040,391
$
4,021,161
DIVIDER
Form
As Filed Data -
DLN: 93493226005345
OMB No 1545-0047
990

Under section 501 ( c), 527, or 4947 ( a)(1) of the Internal Revenue Code (except private
foundations)
Do not enter Social Security numbers on this form as it may be made public By law, the IRS
generally cannot redact the information on the form
- Information about Form 990 and its instructions is at www.IRS.gov/form990
For the 2013 calendar year, or tax year beginning 10-01-2013

2O1 3
Open
Inspection
, 2013, and ending 09-30-2014
GRIFFIN HOSPITAL
D Employer identification number
F Address change
06-0647014
Doing Business As
Name change
1 Initial return
Number and street (or P 0 box if mail is not delivered to street address) Room/suite
130 DIVISION STREET
p Terminated
E Telephone number
(203)732-7528
( - Amended return
City or town, state or province, country, and ZIP or foreign postal code
DERBY, CT 06418

PATRICK S CHARMEL
130 DIVISION STREET
DERBY, CT 06418
Tax-exempt status
Website :- GRIFFINHEALTH ORG
F 501(c)(3)
501(c) (
) I (insert no

subordinates?
H(b) Are all subordinates
included?
(- 4947(a)(1) or
F_ 527
No
(-Yes
1 Yes (- No
H(c)
K Form of organization F Corporation 1 Trust F_ Association (- Other 0-
L Year of formation
1908
CT
Summary
1

N umber of independent voting members of the governing body (Part V I, line 1b)
of
:2
.
.
.
.
.
.
3
.

15
1,461
450
7a
3,664,269
7b
-596,810
Prior Year
8
Program service revenue (Part V I I I , l i n e 2g)
Current Year
2,231,692
1,883,920
128,990,660
138,777,765
320,617
323,608
11
452,490
554,385
12
12)
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
131,995,459
141,539,678
14
15
Salaries, other compensation, employee benefits (Part IX, column (A), lines
5-10)
72,402,078
72,464,593
9
N
18
10
Investment income (Part VIII, column (A), lines 3, 4, and 7d )
13
16a
b
LLJ
Professional fundraising fees (Part IX, column (A), line 11e)

17
Other expenses (Part IX, column (A), lines 11a-11d, 11f-24e)
18
19
57,266,011
59,780,750
129,668,089
132,245,343
2,327,370
9,294,335
Year
-A
M
%TS
20
21
ZLL
22
lijaW
.
.
Signature Block
Under penalties of perjury, I declare that I have examined this return, includin
my knowledge and belief, it is true, correct, and complete Declaration of preps
preparer has any knowledge
Sign
Here
MARK O'NEILL VP FINANCE/ CFO
Print/Type preparer's name
BETH THURZ
Paid
Pre pare r
Use Only
Firm's name
Preparers signature
1- CROWE HORWATH LLP
Firm's address 1-175 POWDER FOREST DRIVE

SIMSBURY, CT 06089
For Paperwork Reduction Act Notice, see the separate instructions.
End of Year
119,856,922
119,095,066
133,564,097
135,761,625
13,707,175
-16,666,559
Form 990 ( 2013)
Page 2

Check if Schedule 0 contains a response or note to any line in this Part III
1
.F

.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
fl Yes F No
F Yes F No
If "Yes," describe these new services on Schedule 0

3
services? .
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
If "Yes," describe these changes on Schedule 0

4
4a
expenses Section 501(c)(3) and 501( c)(4) organizations are required to report the amount of grants and allocations to others,
the total expenses , and revenue , if any, for each program service reported
(Code
) ( Expenses $
114,783,740
) (Revenue $
122,796,073
4b
(Code
) ( Expenses $
3,630,422
) (Revenue $
8 ,957,280
) ( Revenue $
2 ,193,968
) (Revenue $
1 ,329,708
4c
(Code
) ( Expenses $
2,079,957
(Code
) ( Expenses $
649,588
4d
Other program services ( Describe in Schedule 0

(Expenses $
4e
649,588
Total program service expenses 1-
) ( Revenue $
1 ,329,708
121,143,707
Form 990 (2013)
Form 990 (2013)
Page 3

Yes
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
1
2
No
Yes
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)?
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C,
Part HIS .
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
Schedule D, Part I
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
the environment, historic land areas, or historic structures? If "Yes,"complete Schedule D, Part IIS .
No
complete Schedule D, Part 111 19 .
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
No
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability, 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 IV
.
.
.
.
.
.
.
.
.
.
.
.
No
7
8
9
10
.
11
If the organization's answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII,
a
b
c
d
.
its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIS .
.
.
.
.
llb
Yes
.
its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII
.
.
.
.
.
llc
Yes
.
.
reported in Part X, line 16? If "Yes," complete Schedule D, Part IX' .
.
.
.
.
.
.
.
.
.
lid
Yes
lle
Yes
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII . .
.
.
.
.
.
.
.
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.
.
.
.
"Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional IN
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," completeScheduleE
14a
llf
No
12a
No
12b
Yes
13
No
14a
No
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising,
business, investment, and program service activities outside the United States, or aggregate foreign investments
14b
.
valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV .
.
.
.
.
.
.
No
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or
for any foreign organization? If "Yes," complete Schedule F, Parts II and IV
15
No
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other
.
assistance to or for foreign individuals? If "Yes," complete Schedule F, Parts III and IV .
16
No
17
No
18
No
19
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, PartI (seeinstructions) .
.
.
.
18
.
VIII, lines lc and 8a? If "Yes," complete Schedule G, Part II .
.
.
.
.
.
.
.
.
.
19
"Yes," complete Schedule G, Part III .
.
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.
20a
Did the organization operate one or more hospital facilities? If "Yes,"completeScheduleH .
No
Yes
addresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete
Schedule D, Part X. .
.
.
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16
No
lla
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.
.
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.
.
15
Yes
Yes
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part X
No
10
12a
Yes
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20a
20b
Yes
Yes
Form 990 (2013)
Form 990 (2013)
Page 4

21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or
government on Part IX, column (A), line 1? If "Yes, "complete Schedule I, Parts I and II .
.
.
21
No
22
Did the organization report more than $5,000 of grants or other assistance to individuals in the United States on
Part IX, column (A), line 2? If "Yes," complete Schedule I, Parts I and III .
22
No
23
Did the organization answer "Yes" to Part VII, Section A, line 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 .
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23
Yes
as of the last day of the year, that was issued after December 31, 2002? If"Yes," answer lines 24b through 24d
and complete Schedule K. If "No,"go to line 25a .
.
.
.
.
.
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.
.
24a
Yes
24b
No
24c
No
Did the organization act as an
24d
No
.
.
.
.
.
.
25a
No
"Yes," complete Schedule L, Part I .
.
.
.
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.
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.
.
25b
No
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current
or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons?
If so, complete Schedule L, Part II .
.
.
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.
.
26
No
contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family
member of any of these persons? If "Yes," complete Schedule L, Part III .
.
.
.
.
.
.
.
.
27
No
28a
No
28b
No
.
28c
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes,"completeScheduleM
29
No
30
conservation contributions? If "Yes," complete Schedule M .
.
.
.
.
.
.
.
.
.
.
.
.
30
No
Part I .
.
.
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.
31
No
.
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.
.
.
.
32
No
33
95 1 33
.
.
sections 301 7701-2 and 301 7701-3? If "Yes," complete Schedule R, PartI .
.
.
.
.
.
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes,"complete Schedule R, Part II, III, orIV,
t
and Part V, line 1 .
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
.
24a
d
25a
b
26
27
28
on behalf of issuer for bonds outstanding at any time during the year?
IV .
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.
.
c
31
32
35a
b
37
38
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV
36
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
If'Yes'to line 35a, 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 .
34
Yes
35a
Yes
35b
Yes
organization? If "Yes," complete Schedule R, Part V, line2 .
.
.
.
.
.
.
.
.
.
.
.
.
36
No
37
No
Did the organization complete Schedule 0 and provide explanations in Schedule 0 for Part VI, lines 1 lb and 19?
.
.
.
.
.
.
.
.
.
.
38
Yes
Form 990 (2013)
Form 990 (2013)

MEW-
Page 5

Check if Schedule 0 contains a response or note to any line in this Part V
(Yes
la Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable
la
203
Enter the number of Forms W-2G included in line la Enter -0- if not applicable
lb
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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 .
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
b
2a
.
If"Yes," has it filed a Form 990-T for this year? If "No"to line 3b, provide an explanation in Schedule 0 .
4a At any time during the calendar year, did the organization have an interest in, or a signature or other authority
account)? .
.
.
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.
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.
.
.
.
b
Yes
2b
Yes
3a
Yes
3b
Yes
No
1,461
3a Did the organization have unrelated business gross income of $ 1,000 or more during the year?
b
1c
4a
No
5a
No
5b
No
5a Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?
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 as charitable contributions? .
.
b
7
6a
No
6b
7a
7b
file Form 82827 .
No
7c
No
contract? .
7e
No
7f
No
required? .
7g
Form 1098-C? .
7h
h
8
7d
10
.
.
9a
9b
facilities
11
10a
10b

a
.
.
.
.
.
.
.
.
12a
b
13
11a
11b
year
.
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.
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.
.
.
.
.
.
.
.
.
12a
12b
13b
13c
c
14a
b
13a
14a
No
14b
Form 990 (2013)
Form 990 ( 2013)
Lam
Page 6
Governance , Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a
"No" response to lines 8a, 8b, or 1Ob below, describe the circumstances, processes, or changes in Schedule 0.
See instructions.
Check if Schedule 0 contains a response or note to any line in this Part VI
.F

Yes
la Enter the number of voting members of the governing body at the end of the tax
year .
.
la
18
lb
15
No
If there are material differences in voting rights among members of the governing
body, or if the governing body delegated broad authority to an executive committee
or similar committee, explain in Schedule 0
b
independent .
.
.
.
.
.
.
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.
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.
.
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.
.
filed? .
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.
.
.
.
.
.
.
.
.
.
No
No
No
Yes
7a
Yes
7a Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
b Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders,
8
No
7b
No
The governing body?
8a
Yes
8b
Yes
organization's mailing address? If "Yes,"provide the names and addresses in Schedule 0 .
.
.
.
.
.
No
Section B. Policies ( This Section B re q uests information about p olicies not re q uired b y the Internal Revenue Code.)
Yes
10a
b
11a
b
12a
10a
If "Yes," did the organization have written policies and procedures governing the activities of such chapters,
affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
the form? .
.
.
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.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
11a
No
12a
Yes
12b
Yes
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe
12c
Yes
13
13
Yes
14
14
Yes
15
b Were officers, directors, or trustees, and key employees required to disclose annually interests that could give
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
c
No
No
15a
Yes
15b
Yes
16a
Yes
organization's exempt status with respect to such arrangements? .
.
.
.
.
.
.
.
.
.
16b
Yes
If "Yes" to line 15a or 15b, describe the process in Schedule 0 (see instructions)
16a
b
17
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990 -T (501(c)
fl Own website fl Another' s website F Upon request fl Other ( explain in Schedule O )
Describe in Schedule 0 whether ( and if so, how ) the organization made its governing documents , conflict of
interest policy , and financial statements available to the public during the tax year
19
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization
-JAMES DOWNEY 130 DIVISION STREET
DERBY, CT 06418 (203)732-7528
Form 990 (2013)
Form 990 (2013)
Page 7
Compensation of Officers , Directors , Trustees , Key Employees , Highest Compensated

Check if Schedule 0 contains a response or note to any line in this Part VII
.(-
tax year
* List all of the organization's current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation Enter-0- in columns (D), (E), and (F) if no compensation was paid
* List all of the organization's current key employees, if any See instructions for definition of "key employee "
* List all of the organization's former directors or trustees that received, in the capacity as a former director or trustee of the
1 Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee
(A)
Name and Title
(1) HENDRICKS DAVID
(B)
Average
hours per
week (list
any hours
for related
organizations
below
dotted line)
(C)
5 0 = T
:1
2 fD ado a
CL
m (D art,
_
u S
- -
(D)
Reportable
compensation
from the
organization
(W- 2/1099MISC)
( E)
Reportable
compensation
from related
organizations
(W- 2/1099MISC)
(F)
Estimated
amount of
other
compensation
from the
organization
and related
organizations
1 00
X
457,568
61,107
234,903
47,152
173,967
64,324
MD/BOARD MEMBER
(2) CHARM EL PATRICK
40 00
X
PRESIDENT/CEO/SEC/TREASURER
5 00
(3) BORIS GREGORY
1 00
MD/BOARD MEMBER
(4) DOBULER KENNETH
14 00
MD/BOARD MEMBER
(5) SCHWARTZ KENNETH
16 00
MD/BOARD MEMBER
(6) ANDREANA JOSEPH
1 00
TRUSTEE
(7) BALDYGA KENNETH
1 00
TRUSTEE
(8) BETKOSKI JOHN W III
1 00
TRUSTEE
(9) DINARDO NANCY
1 00
TRUSTEE
(10) JONES JEAN CRUM
1 00
TRUSTEE
(11) KLARIDES THEMIS
1 00
TRUSTEE
(12) LOGAN GEORGE S
1 00
TRUSTEE
(13) OSAK FRANK M
1 00
TRUSTEE
(14) REISS ROBERT G
1 00
TRUSTEE
(15) WEINER GERALD T
1 00
X
CHAIRMAN
(16) ZAPRZALKA JOHN J
1 00
X
TRUSTEE
(17) BINGAMAN LARRY
1 00
X
TRUSTEE
0
I
Form 990 (2013)
Form 990 (2013)
Page 8
(A)
Name and Title
(B)
Average
hours per
week ( list
any hours
for related
organizations
below
dotted line )
(C)
and a director/trustee )
0 ;rl M = T
- EL
^] (o
5
Q
r
m
a,
0
a,
C:
T! fD 0
SL
(D
=71
(D)
Reportable
compensation
from the
organization
(W- 2/1099MISC)
( E)
Reportable
compensation
from related
organizations
(W- 2/1099MISC)
(F)
Estimated
amount of other
compensation
from the
organization
and related
organizations
_0
LEI
J.
V
(18) PEARSON WM NEIL
1 00
X
129,095
42,672
171,849
43,838
136,945
30,335
140,345
30,958
184,438
34,538
164,097
23,008
245,070
10,480
287,181
18,980
225,150
36,627
329,925
34,172
292,547
17,172
175,063
23,387
MD/TRUSTEE
(19) POWANDA WILLIAM
40 00
VICE PRESIDENT
(20) STUMPO BARBARA]
40 00
VP
(21) BERNS EDWARD
40 00
VICE PRESIDENT
(22) MARTIN KATHLEEN
40 00
VICE PRESIDENT
(23) DEEGAN MARGARET
40 00
VICE PRESIDENT
(24) SHEPARD SETH
40 00
VICE PRESIDENT
(25) O'NEILL MARK
40 00
V P /CFO
(26) D'SOUSA SEEMA
30 00
MD
(27) HALSTEAD EDWARD
40 00
MD
(28) NAWAZ HAQ
40 00
MD
(29) SALABARRIA JAVIER
40 00
MD
(30) PAXTON HEATHER
40 00
MD
lb
Sub -Total
.
.
.
.
.
.
0-
0-
.
.
0-
3,348,143
518,750
No
on line la? If "Yes," completeScheduleJforsuch individual .
.
.
.
.
.
.
.
.
.
.
.
.
4
individual .
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
No
No
services rendered to the organization? If "Yes," complete Schedule Jfor such person .
.
.
.
.
.
.

1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of
compensation from the organization Report compensation for the calendar year ending with or within the organization's tax year
(A)
(B)
(C)
Compensation
HURON CONSULTING SERVICE 4795 PAYSPHERE CIRCLE CHICAGO IL60674
CONSULTING SERVICE
3,104,216
CONNECTICUT EMERGENCY MEDICINE SPECIALIS PO BOX 271618 WEST HARTFORD CT 06127
1,673,090
UNIDINE CORPORATION 75 REMITTANCE DRIVE CHICAGO IL60675
FOOD SERVICE
1,529,480
GRIFFIN PATHOLOGY 1140 FAIRFIELD AVENUE BRIDGEPORT CT 06605
PHYSICIAN SERVICES
458,963
QUEST DIAGNOSTICS 2025 COLLECTION CENTER CHICAGO IL60693
MEDICAL SERVICES
353,946
Total number of independent contractors ( including but not limited to those listed above ) who received more than
Form 990 (2013)
Form 990 (2013)
Page 9
Check if Schedule 0 contains a response or note to any line in this Part VIII
(A)
Total revenue
r
6-
la
Federated campaigns
Membership dues
Fundraising events
le
1,661,116
V
^

if
222,804
Noncash contributions included in lines

la-If $
Total . Add lines la -1f .
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
F
(D)
Revenue
excluded from
tax under
sections
512-514
la
.
lb
0 E
1c
ld
tJ'
1,883,920
Business Code
2a
622110
135,897,993
132,397,257
a2
S
621500
2,879,772
2,879,772
3,500,736
d
e
f
Total . Add lines 2a -2f .
138,777,765
0-
Investment income ( including dividends , interest,

Income from investment of tax- exempt bond proceeds
Royalties
6a
Gross rents
390,852
Less rental
expenses
Rental income
or (loss)
(i) Real
c
d
c
d
Net gain or (loss)
8a
W
390,852
390,852
54,532
54,532
0-
0-
390,852
Net rental inco me or ( loss)
Gross amount
from sales of
assets other
than inventory
Less cost or
other basis and
sales expenses
Gain or (loss)
269,076
(ii) Personal
(i) Securities
7a
269,076
(ii) Other
54,532
0
54,532
.
lim-

events ( not including
$
a
Less
Net income or (loss ) from fundraising events
9a
direct expenses
b
.
0-

.
.
a
Less
Net income or (loss ) from gaming acti vities
10a
direct expenses
b
.
.0-

returns and allowances
.
a
Less
cost of goods sold
11a
lim-
Business Code
900099
P ARTN ERSHIP INCOME
163,533
163,533
b
C
d
All other revenue
.
.
0163,533
12
0- 1
141,539,678
135,277,029
3,664,269
714,460
Form 990 (2013)
Form 990 (2013)
Page 10

Section 501(c)(3) and 501(c)(4) organizations must complete all columns All other organizations must complete column (A)
Check if Schedule 0 contains a response or note to any line in this Part IX
( A)

Total expenses



organizations , and individuals outside the United
Compensation of current officers, directors , trustees, and

key employees

(as defined under section 4958 (f)(1)) and persons
Pension plan accruals and contributions ( include section 401(k)

and 403(b) employer contributions )
(B)
Program service
expenses
(C)
Management and
general expenses
1,916,339
1,638,470
277,869
53,786,635
50,320,751
3,465,884
2 ,972,123
2,772,362
199,761
9 ,554,311
8,902,794
651,517
10
Payroll taxes
4,235,185
3,950,532
284,653
11
Fees for services (non-employees)

3,506,241
2,360,214
1,146,027
Management
Legal
Accounting
Lobbying
Other ( If line 11g amount exceeds 10 % of line 25,

column ( A) amount, list line 11g expenses on
Schedule O) .
169 ,634
169,634
269,004
269,004
(D)
Fundraising
expenses
10 ,725,776
9,783,028
942,748
12
432,860
432,860
13
Office expenses
353,575
313,387
40,188
14
383,317
159,324
223,993
15
Royalties
16
Occupancy
348,388
288,697
59,691
17
Travel
235,950
205,496
30,454
18

19
Conferences, conventions , and meetings
20
Interest
386,004
105,180
280,824
3,531,137
2,401,173
1,129,964
21
22
5,750,660
4,767,227
983,433
23
Insurance
2,235,254
1,609,383
625,871
24

miscellaneous expenses in line 24e If line 24e amount exceeds 10%
of line 25, column (A) amount, list line 24e expenses on Schedule 0
19,889,030
19,889,030
1,969,557
1,649,436
DIETARY
1,237,808
1,237,808
All other expenses
8,356,555
8,356,555
132,245,343
121,143,707
320,121
d
e
25
Total functional expenses. Add lines 1 through 24e
26
Joint costs. Complete this line only if the organization

reported in column (B) joint costs from a combined
educational campaign and fundraising solicitation Check
here - fl if following SOP 98-2 (ASC 958-720)
11,101,636
Form 990 (2013)
Form 990 (2013)
Page 11
Balance Sheet
Check if Schedule 0 contains a response or note to any line in this Part X
F
(A)
Beginning of year
5,178,405

Loans and other receivables from current and former officers, directors, trustees, key
employees, and highest compensated employees Complete Part II of
Schedule L .
.
7,492,599
(B)
End of year
3
.
14,419,423
12,651,193
5
6
Loans and other receivables from other disqualified persons (as defined under section
4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers
and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary
organizations (see instructions) Complete Part II of Schedule L
10a
b
Land, buildings, and equipment cost or other basis

Complete Part VI of Schedule D
10a
152,106,216
Less
10b
98 ,968,474
11
12
13
14
Intangible assets
17
18
Grants payable
19
Deferred revenue
.
.
.
.
.
.
15
14,612,900
16
119,095,066
25,957,546
17
24,399,592
14,798,344
119,856,922
194,930
18
48,355,712
19
39,289
20
46,974,634
Escrow or custodial account liability Complete Part IV of Schedule D
22
Loans and other payables to current and former officers, directors, trustees,
key employees, highest compensated employees, and disqualified
23
23
24
24
25
26
13
21
9,337,106
18,270,288
20
12
14
53,137,742
16,149,279
Other assets
10c
55,610,873
10,227,164
2,653,216
940,022
11
16
15
804,168
2,669,266
21
22
59,055,909
25
64,348,110
133,564,097
26
135,761,625
-22,179,759
27
-26,106,535
2,641,381
28
5,831,203
29
Organizations that follow SFAS 117 ( ASC 958), check here 1- F and complete
lines 27 through 29, and lines 33 and 34.
C5
27
M
ca
28
29
3,519,544
5,920,432
r
_
Organizations that do not follow SFAS 117 (ASC 958 ), check here 1
complete lines 30 through 34.
W_
4T
and
30
30
31
31
32
33
34
32
-13,707,175
33
119,856,922
34
-16,666,559
119,095,066
Form 990 (2013)
Form 990 (2013)
Page 12

Check if Schedule 0 contains a response or note to any line in this Part XI
. F
141,539,678
132,245,343
9,294,335
-13,707,175
263,170

6
Investment expenses
.
7
.
8
Other changes in net assets or fund balances (explain in Schedule 0)
10
Net assets or fund balances at end of year Combine lines 3 through 9 (must equal Part X, line 33,
column (B))
-12,516,889
10
-16,666,559

Check if Schedule 0 contains a response or note to any line in this Part XII
F
Yes
No

If the organization changed its method of accounting from a prior year or checked " Other," explain in
Schedule 0
2a Were the organization 's financial statements compiled or reviewed by an independent accountant?
2a
No
If'Yes,'check a box below to indicate whether the financial statements for the year were compiled or reviewed on
a separate basis, consolidated basis, or both
fl Separate basis
fl Consolidated basis
b Were the organization 's financial statements audited by an independent accountant?
2b
Yes
2c
Yes
3a
Yes
3b
Yes
If'Yes,'check a box below to indicate whether the financial statements for the year were audited on a separate
basis, consolidated basis, or both
fl Separate basis
c
If "Yes," to line 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?
Schedule 0
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 0 MB Circular A-1 33?
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 0 and describe any steps taken to undergo such audits
Form 990 (2013)
As Filed Data -
DLN: 93493226005345
OMB No 1545-0047
SCHEDULE A
(Form 990 or 990EZ)
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1)

nonexempt charitable trust.
Department of the
Treasury
2013
Oil Attach to Form 990 or Form 990-EZ. Oil See separate instructions.
Oil Information about Schedule A (Form 990 or 990 - EZ) and its instructions is at
www.irs. g ov form 990.

GRIFFIN HOSPITAL
Ope n
Ins pe ct
MIMM" 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
A church, convention of churches, or association of churches described in section 170 ( b)(1)(A)(i).
fl
fl
described in section 170 ( b)(1)(A)(vi ). (Complete Part II )
section 170(b)(1)(A)(iv ). (Complete Part II )
acquired by the organization after June 30, 1975 See section 509 ( a)(2). (Complete Part III )
10
An organization organized and operated exclusively to test for public safety See section 509(a)(4).
11
one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2) See section 509(a)(3). Check
the box that describes the type of supporting organization and complete lines Ile through 11 h
a
fl Type I
b
fl Type II
c
d
fl Type III - Non -functionally integrated
(-
other than foundation managers and other than one or more publicly supported organizations described in section 509 ( a)(1 ) or
section 509(a)(2)
If the organization received a written determination from the IRS that it is a Type I, Type II, orType III supporting organization,
check this box
F
following persons?
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
f
g
and (iii) below, the governing body of 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)

(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?
Yes
No
(v) Did you notify

the organization
in col (i) of your
support?
Yes
(vi) Is the
organization in
col (i) organized
in the U S ?
No
Yes
(vii) Amount of
monetary
support
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ .
Cat No 11285F
ScheduleA(Form 990 or 990-EZ)2013
MU^
Page 2
Support Schedule for Organizations Described in Sections 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.)

in) 11111
1
grants ")
2
behalf
3
4
5
(f)
6
Public support . Subtract line 5 from
line 4
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
(d) 2012
(e) 2013
(f) Total

(a) 2009
(b) 2010
in) ^
7
Amounts from line 4
8
sources
9
business activities, whether or not
the business is regularly carried
on
10
assets (Explain in Part IV )
Total support (Add lines 7 through
11
10)
12
Gross receipts from related activities, etc (see instructions)
13
(c) 2011
12
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check
this box and stop here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ^

14
Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f))
14
15
Public support percentage for 2012 Schedule A, Part II, line 14
15
16a
331 / 3%support test-2013. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
b 331 / 3%support test - 2012 . If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
17a 10%-facts-and -circumstances test - 2013. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here . Explain
in Part IV how the organization meets the "facts-and-circumstances" test The organization qualifies as a publicly supported
organization
b 10%-facts-and-circumstances test - 2012 . If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts- and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test The organization qualifies as a publicly
18
Private foundation . If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions
Page 3

IMMITM

in) 11111
1
2
purpose
3
4
behalf
5
6
persons
8
Public support (Subtract line 7c
from line 6 )
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
Section B. Total Suuuort

(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
in) ^
9
Amounts from line 6
10a
sources
b
June 30, 1975
c
11
12
IV )
Total support . (Add lines 9, 1Oc,
13
11, and 12 )
14
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
15
Public support percentage for 2013 ( line 8, column (f) divided by line 13, column (f))
15
16
Public support percentage from 2012 Schedule A , Part III, line 15
16
Section D . Com p utation of Investment Income Percenta g e

17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
17
18
18
19a
331 / 3% support tests- 2013. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not
lk'F331 / 3% support tests- 2012 . If the organization did not check a box on line 14 or line 19a , and line 16 is more than 33 1/3% and line 18
is not more than 33 1/3%, check this box and stop here . The organization qualifies as a publicly supported organization
lk'FPrivate foundation . If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions
b
20
Page 4
Supplemental Information . Provide the explanations required by Part II, line 10; Part II, line 17a or
17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Return Reference
Explanation
I
l efile
GRAPHIC

DLN: 93493226005345
OMB No 1545-0047
2013
SCHEDULE C
(Form 990 or 990-EZ )
As Filed Data -
1- Complete if the organization is described below. 0- Attach to Form 990 or Form 990-EZ.
0- See separate instructions . 0- Information about Schedule C (Form 990 or 990 - EZ) and its
instructions is at www. irs. g ov form 990.
If the organization answered "Yes" to Form 990, Part IV , Line 3 , or Form 990-EZ , Part V, line 46 (Political Campaign Activities), then
If the organization answered "Yes" to Form 990, Part IV , Line 4, or Form 990-EZ , Part VI, line 47 ( Lobbying Activities), then
If the organization answered "Yes" to Form 990, Part IV , Line 5 ( Proxy Tax) or Form 990-EZ, Part V, line 35c ( Proxy Tax), then
GRIFFIN HOSPITAL
06-0647014
1
Volunteer hours
0-
0-
0-
fl Yes
fl No
4a
fl Yes
fl No
rMWINTComplete if the organization is exempt under section 501 ( c), except section 501 ( c)(3).
1
exempt function activities
00-
$
$
(a) Name
(b) Address
i-or raperworK rteauction Act Notice, see the instructions Tor corm 99U or yyu -tc.
0-
$
fl Yes
( c) EIN

Cat No 50084S
fl No

and promptly and
separate political
enter -0-
Schedule C (Form 990 or 990 - EZ) 2013
Page 2
A
Check
Check
- (- if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN,
- (- if the filing organization checked box A and "limited control" provisions apply
(a) Filing
organization's
totals

(The term "expenditures" means amounts paid or incurred .)
la
columns
If the amount on line le, column ( a) or (b) is:
Not over $500,000
Over $500,000 but not over $1,000,000
Over $1,000,000 but not over $1,500,000
Over $1,500,000 but not over $17,000,000
Over $17,000,000
$1,000,000
(b) Affiliated
group
totals
LE
F- Yes
F- No
(Some organizations that made a section 501(h) election do not have to complete all of the five
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in)
2a
Lobbying nontaxable amount

(150% of line 2a, column(e))
Grassroots nontaxable amount

150% of line 2d column e
(a) 2010
(b) 2011
(c) 2012
(d) 2013
(e) Total

Complete if the organization is exempt under section 501 ( c)(3) and has NOT
Pa g e 3
filed Form 5768 election under section 501 ( h )) .
(b)
(a)
For each "Yes " response to lines la through li below, provide in Part IV a detailed description of the lobbying
activity.
Yes
No
through the use of
Volunteers?
No
No
No
No
No
No
No
Other activities?
Total Add lines 1c through 11
2a
Amount
No
Yes
23,941
23,941
No
Complete if the organization is exempt under section 501 ( c)(4), section 501(c)(5), or section
501 ( c )( 6 ) .
Yes
1
Did the organization agree to carry over lobbying and political expenditures from the prior year?
No
501(c )( 6) and if either (a) BOTH Part 111-A , lines 1 and 2, are answered " No" OR ( b) Part 111-A,
line 3 , is answered "Yes."
1
2

Section 162(e) nondeductible lobbying and political expenditures ( do not include amounts of political
expenses for which the section 527(f ) tax was paid).
a
b
Current year
2a
Total
2c
Su
2b
lementalInformation
Provide the descriptions required for Part I-A, line 1, Part I-B, line 4, Part I-C, line 5, Part II-A (affiliated group list), Part II-A, line 2, and
Part II-B line 1 Also , com p lete this D art for an y additional information
Return Reference
PART II-B, LINE 1
Explanation
THE GRIFFIN HOSPITAL PAID FOR MEMBERSHIP DUES TO THE CONNECTICUT HOSPITAL
ASSOCIATION FOR THE FISCAL YEAR ENDED 9/30/2014 $23,941 OF THE MEMBERSHIP
DUES PAID WAS USED FOR LOBBYING ON ISSUES RELEVANT TO THE ORGANIZATION'S
EXEMPT PURPOSE
Page 4
SCHEDULE D
As Filed Data -
DLN: 93493226005345
OMB No 1545-0047
(Form 990)
2013
0- Complete if the organization answered " Yes," to Form 990,

Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
. 0- Attach to Form 990. 0- See separate instructions. 1- Information about Schedule D (Form 990) II
and its instructions is at www . irs.gov /form990 .

GRIFFIN HOSPITAL
. Employer identification number
06-0647014
or g anization answered "Yes" to Form 990 , Part IV , line 6.
1
(b) Funds and other accounts
Aggregate grants from (during year)
funds are the organization's property, subject to the organization's exclusive legal control?
F Yes
I No
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
conferring impermissible private benefit?
fl Yes
fl No
MRSTIConservation 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)
1 Preservation of land for public use (e g , recreation or education)
1 Preservation of an historically important land area
1 Protection of natural habitat
fl Preservation of open space

2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation
a
2a
2b
2c
Number of conservation easements included in (c) acquired after 8/17/06, and not on a
historic structure listed in the National Register
2d
N umber of conservation easements modified, transferred , released, extinguished , or terminated by the organization during
the tax year 0-
Staff and volunteer hours devoted to monitoring , inspecting, and enforcing conservation easements during the year
Amount of expenses incurred in monitoring, inspecting , and enforcing conservation easements during the year
fl Yes
fl No
F Yes
1 No
0-
0- $
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i)
and section 170(h)(4)(B)(ii)?
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.

Complete if the oraanization answered "Yes" to Form 990. Part IV. line 8.
la
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet
service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet
service, provide the following amounts relating to these items
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items
a
$
$
Cat No 52283D
r:FTnFW
3
Page 2
Using the organization's acquisition, accession, and other records, check any of the following that are a significant use of its
collection items (check all that apply)
a
F_
Public exhibition
fl
Scholarly research
(-
Other
Part XIII
1 Yes
la
If "Yes," explain the arrangement in Part XIII and complete the following table
Beginning balance
1c
ld
le
Ending balance
if
1 No
1 Yes
F No
A mount
2a
b
fl Yes
If "Yes," explain the arrangement in Part XIII Check here if the explanation has been provided in Part XIII
. .
. .
. .
fl No
.
MWAFEndowment Funds . Com p lete if the or g anization answered "Yes" to Form 990 , Part IV, line 10.
(a)Current year
la
Contributions
Net investment earnings, gains, and losses

and programs
End of year balance
( b)Prior year
b (c)Two years back ( d)Three years back
(e)Four years back
3,409,062
3,249,540
2,932,333
2,953,261
2,773,278
242,728
183,001
322,207
-1,478
124,305
25,358
23,479
5,000
19,450
1,337
3,626,432
3,409,062
3,249,540
2,932,333
2,896,246
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as
a
40 400 %
Temporarily restricted endowment 0The percentages in lines 2a, 2b, and 2c should equal 100%
3a
59 600 %
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by
b
4

.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
3a(i)
Yes
Yes
No
3a(ii)
.
. I
No
3b
Describe in Part XIII the intended uses of the organization's endowment funds
Land , Buildings , and Equipment . Complete if the organization answered 'Yes' to Form 990, Part IV, line
1 1 a See Form 990 Part X line 1(l
( a) Cost or other
basis (investment )
la
( b)Cost or other
basis ( other)
Land
4,015 ,091
b Buildings
( c) Accumulated
depreciation
( d) Book value
4,015,091
73 ,363,740
38,051,000
35,312,740
74,378,178
60,672,419
13,705,759
d Equipment
e Other
Total . Add lines la through le (Column (d) must equal Form 990, Part X, column (8), line 10 (c).) .
349 ,207
245,055
0-
104,152
53,137,742
Page 3
Investments - Other Securities . Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b.
See Form 990. Part X. line 12(a) Description of security or category
(b)Book value

(3)Other
4,284,319
5,052,787
9,337,106
gLvJ$$
Investments - Program Related . Complete it the organization answered 'Yes' to Form 990, Part IV, line 11c.
See Form 990. Part X. line 13.
(a) Description of investment
( b) Book value


718,521
30,866
3,760,171
4,289,408
(5) INVESTMENTS IN NET ASSETS OF AFFILIATES
9,471,322
I T.ii7
11.
18,270,288
Other Assets . Complete if the organization answered 'Yes' to Form 990. Part IV. line lld See Form 990. Part X. line 15
(a) Description
( b) Book value
1,443,122
6,230,012
6,137,382
(4)THIRD PARTY
765,159
37,225
Total . (Column (b) must equal Form 990, Part X, co/.(8) line 15.)
14,612,900
Other Liabilities . Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See
Form QQfl
Part Y
imp 7S
2. Liability for uncertain tax positions In Part XIII, 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 (A SC 740) Check here if the text of the footnote has been
provided in Part XIII
F
Page 4
Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if
the or g anization answered 'Yes' to Form 990 , Part IV line 12a.
1
141,802,848
a
2a
.
263,170
2b
2c
2d
.
.
.
.
2e
3
263,170
141,539,678
a
4a
4b
.
Total revenue Add lines 3 and 4c. (This must equal Form 990, Part I, line 12 )
4c
0
141,539,678
Reconciliation of Expenses per Audited Financial Statements With Expenses per Return . Complete
if the org anization answered 'Yes' to Form 990 , Part IV line 12a.
Total expenses and losses per audited financial statements
132,245,343
2e
a
Other losses
.
.
2a
2b
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
2c
.
.
.
2d
.
.
.
.
.
132,245,343
4c
132,245,343
a
4a
4b
.
Total expenses Add lines 3 and 4c. (This must equal Form 990, Part I, line 18 )
OT1174M
Provide the descriptions required for Part II, lines 3, 5, and 9, Part III, lines la and 4, Part IV, lines lb and 2b,
Part V, line 4, Part X, line 2, Part XI, lines 2d and 4b, and Part XII, lines 2d and 4b Also complete this part to provide any additional
information
Return Reference
PART V, LINE 4
Explanation
THE HOSPITAL'S ENDOWMENT FUNDS CONSIST OF DONOR RESTRICTED FUNDS TO BE
INVESTED IN PERPETUITY TO PROVIDE A PERMANENT SOURCE OF INCOME
Page 5
Additional Data
Software ID:
Software Version:
EIN:
06 -0647014
Name :
GRIFFIN HOSPITAL
Form 990, Schedule D , Part X, - Other Liabil ities

1
(b) Book Value
OTHER LIABILITIES
447,000
8,517,526
842,593
35,030,915
2,178,810
295,828
2,229,003
109,412
1,720,364
SWAP OBLIGATION
6,436,499
CLAIM RESERVE
DUE TO THIRD PARTY
842,593
5,697,567
l efile
As Filed Data -
SCHEDULE H
(Form 990)
DLN: 93493226005345
OMB No 1545-0047
Hospitals
2013
0- Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
Ope n
Inspection

GRIFFIN HOSPITAL
06-0647014

Yes I
la
b
2
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a
If "Yes," was it a written policy?
la
Yes
lb
Yes
3a
Yes
3b
Yes
Yes
5a
Yes
No
If the organization had multiple hospital facilities , indicate which of the following best describes application of the
financial assistance policy to its various hospital facilities during the tax year
F Applied uniformly to all hospital facilities
F Applied uniformly to most hospital facilities
F Generally tailored to individual hospital facilities

3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the
organization ' s patients during the tax year
a
Did the organization use Federal Poverty Guidelines ( FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care
25000 0000000000 %
F 100% F 150% F 200% F Other

b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes ," indicate
which of the following was the family income limit for eligibility for discounted care
F 200% F 250% F 300% F 350% F 4000/o F Other
4
5a
If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based
criteria for determining eligibility for free or discounted care Include in the description whether the organization
used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or
discounted care
Did the
provide
Did the
the tax
organization's financial assistance policy that applied to the largest number of its patients during the tax year
for free or discounted care to the "medically indigent"?
organization budget amounts for free or discounted care provided under its financial assistance policy during
year?
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount?
care to a patient who was eligibile for free or discounted care?
5c
Did the organization prepare a community benefit report during the tax year?
6a
Yes
6b
Yes
6a
b
5b
No
7
Financial Assistance and

Means - Tested
Government Programs
a
b
c
(a) Number of
activities or
programs
(optional)

(from Worksheet 1)
.
column a)
.
.
.
Total Financial Assistance
and Means-Tested
Government Programs
b Persons
( )served
(optional)
c Total community
( )benefit expense
d Direct offsetting
( ) revenue
g
a Net community benefit

()
expense
f Percent of
( ) expense
total
278
1,077,837
1,077,837
0 820 %
13,928
14,980,475
11,687,429
3,293,046
2 490 %
85
77,853
72,569
5,284
0 %
14,291
16,136,165
11,759,998
4,376,167
3 310 %
16
44,311
881,535
54,896
826,639
0 630 %
212
7,300,952
5,938,278
1,362,674
1 030 %
39,626
7,723,089
6,645,147
1,077,942
0 820 %
1,137,037
1,130,680
6,357
0 %
Other Benefits
e
f
g
h
i
Community health
improvement services and
community benefit operations
(from Worksheet 4)
.
.
(from Worksheet 5)
.
.
(from Worksheet 6)
.
.
Cash and in-kind

contributions for community
benefit (from Worksheet 8)
Total . Other Benefits
Total . Add lines 7d and 7j
1,623
32,184
18,917
13,267
0 010 %
23
85,772
17,074,797
13,787,918
3,286,879
2 490 %
23
100,063
33,210,962
25,547,916
7,663,046
5 800
For Paperwork Reduction Act Noticee see the Instructions for Form 990 .
Cat N o
50192T
Page 2 2
(b) Persons
activities or
served (optional)
programs
(optional)

Coalition building

advocacy
Other
10
Total
(c) Total community

building expense

revenue
(e) Net community

building expense
(f) Percent of
total expense
175
1,010
1,010
175
1,010
1,010
0 %
Ill:
Yes
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
Statement No 15? .
Enter the amount of the organization's bad debt expense Explain in Part VI the
methodology used by the organization to estimate this amount
patients eligible under the organization's financial assistance policy Explain in Part VI
the methodology used by the organization to estimate this amount and the rationale, if
any, for including this portion of bad debt as community benefit
No
Yes
300,338
or the page number on which this footnote is contained in the attached financial statements
Section B. Medicare
5
45,782,394
49,493,109
-3,710,715
Subtract line 6 from line 5 This is the surplus (or shortfall)
F Other

9a
If "Yes," did the organization 's collection policy that applied to the largest number of its patients during the tax year
9b
assistance? Describe in Part VI .
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
MITUT Mananernent Comnanies and Joint VenturesrnvunPri ,n nr mnra hvnfrarc rLrartnrc triictaac kavamnlnvaac and nhvananc-s
b
(a) Name of entity

activity of entity
(c) Organization's
profit % or stock
ownership %

trustees, or key
employees' profit %
or stock ownership
Yes
inctrnrtinncl
(e) Physicians'
profit % or stock
ownership
1
2
3
4
5
6
7
8
9
10
11
12
13
Page 3 2
-^
CD
(list in order of size from largest to

smallest-see instructions)
How many hospital facilities did the
CL
5
organization operate during the tax year?

1
Name, address, primary website address,

and state license number
a
-0
(
a
U
Other (Describe)
Facility reporting group
Page 4 2

Section B. Facility Policies and Practices
(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
GRIFFIN HOSPITAL
Name of hospital facility or facility reporting group
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A)
1
No
munity Health Needs Assessment ( Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1
During the tax year or either of the two immediately preceding tax years , did the hospital facility conduct a community
health needs assessment (CHNA)? If "No," skip to line 9 . . . . . . . . . . . . . . . . . . .
If "Yes," indicate what the CHNA report describes ( check all that apply)
a
1 IYes
F A definition of the community served by the hospital facility
b F Demographics of the community

c 7 Existing health care facilities and resources within the community that are available to respond to the health needs of
the community
d F' How data was obtained
e F' The health needs of the community
f
9
Primary and chronic disease needs and other health issues of uninsured persons, low- income persons, and minority
groups
I The process for identifying and prioritizing community health needs and services to meet the community health needs
h I The process for consulting with persons representing the community's interests
Information gaps that limit the hospital facility's ability to assess the community 's health needs
Other (describe in Part VI)
2
Indicate the tax year the hospital facility last conducted a CHNA 20 12
In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad
interests of the community served by the hospital facility, including those with special knowledge of or expertise in public
health? 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 . . . . . . . . . . . . . . . . . . . .
Was the hospital facility's CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital
facilities in Part VI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Did the hospital facility make its CHNA report widely available to the public? . . . . . . . . . . . . .
4
5
3
41
Yes
INo
If "Yes," indicate how the CHNA report was made widely available (check all that apply)
F Hospital facility's website ( list url ) HTTP //WWW GRIFFINHEALTH ORG
b 7 Otherwebsite ( list url ) HTTP //WWW CT GOV/DPH/CWP/VIEW

c F' Available upon request from the hospital facility
d
6
F' Other (describe in Part VI)
If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply
as of the end of the tax year)
a 7' Adoption of an implementation strategy that addresses each of the community health needs identified through the
CHNA
b F Execution of the implementation strategy
c F Participation in the development of a community-wide plan
d
I Participation in the execution of a community - wide plan
e 1' Inclusion of a community benefit section in operational plans

f
9 F Prioritization of health needs in its community

h F Prioritization of services that the hospital facility will undertake to meet health needs in its community
1' Other ( describe in Part VI)
7
Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No,"
which needs it has not addressed and the reasons why it has not addressed such needs . . . . . .
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a
required by section 501 (r)(3)? . . . . . . . . . . . . . . . . . . . . . . . . .
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? . . . .
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form
hospital facilities? $
explain in Part VI
. .
CHNA as
. .
. .
4720 for all of its
8a
No
Page 5 2

Yes

9
No
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care? . . . . . . . . . . .
11 Used FPG to determine eligibility for providing discounted care? . . . . . . . . . . . . . . . . .
If "Yes," indicate the FPG family income limit for eligibility for discounted care 400 000000000000 %
9
10
Yes
Yes
11
Yes
12
Yes
If "Yes," indicate the factors used in determining such amounts (check all that apply)
a
F' Income level
b F' Asset level

c F' Medical indigency
d
I Insurance status
f
F' Medicaid/Medicare
F' State regulation
h F' Residency
i
F' Other (describe in Part VI)

13
Yes
14
Yes
15
Yes
If "Yes," indicate how the hospital facility publicized the policy (check all that apply)
a
I The policy was posted on the hospital facility's website
b I The policy was attached to billing invoices

c I The policy was posted in the hospital facility's emergency rooms or waiting rooms
d
e I The policy was provided, in writing, to patients on admission to the hospital facility
f
F The policy was available upon request

16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during
the tax year before making reasonable efforts to determine the individual's eligibility under the facility's FAP
a F' Reporting to credit agency
b F' Lawsuits
d
e
F' Body attachments

' Other similar actions (describe in Section C)
making reasonable efforts to determine the individual's eligibility under the facility's FAP? . . . . . . .
If "Yes," check all actions in which the hospital facility or a third party engaged
a
17
No
F' Reporting to credit agency
b F' Lawsuits
d
F' Body attachments
e F' Other similar actions (describe in Section C)

Page 6 2

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply)
a
F Notified individuals of the financial assistance policy on admission
b F Notified individuals of the financial assistance policy prior to discharge

c 7 Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals' bills
d
7 Documented its determination of whether individuals were eligible for financial assistance under the hospital facility's
financial assistance policy
e 1 Other (describe in Section C)
No
19 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? . . . . . . . . . .
If "No," indicate why
1 The hospital facility's policy was not in writing
1 The hospital facility limited who was eligible to receive care for emergency medical conditions ( describe in Part VI)
1 Other ( describe in Part VI)
Charges to Individuals Eligible for Assistance under the FAP (FAP -Eligible Individuals)
a F- The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that
can be charged
b F- The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the
maximum amounts that can be charged
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual 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? . . . . . . . . . . . . . . . . . . . . . . . . . . . .
If "Yes," explain in Part VI
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any
service provided to that individual? . . . . . . . . . . . . . . . . . . . . . . . . .
If "Yes," explain in Part VI
21
No
22
No
Page 7 2

Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines
1], 3, 4, 5d, 61, 7, 10, 11, 121, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions
for each facilit y in a facilit y reporting g rou p, desi g nated b y "Facilit y A , " "Facility B , " etc.
Form and Line Reference
Explanation
Page 8 2
MVIVI-Facility Information (continued)

Section D . Other Health Care Facilities That Are Not Licensed , Registered , or Similarly Recognized as a
Hospital Facility
(list in order of size, from largest to smallest)

How many non-hospital health care facilities did the organization operate during the tax year?
Name and address
T yp e of Facility ( describe )
1
2
3
4
5
6
7
8
9
10
Page 9 2
Provide the following information
1
Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7, Part II and Part III, lines 2, 3, 4, 8 and 9b
CHNAs reported in Part V, Section B

PART I, LINE 3C
Explanation
GRIFFIN HOSPITAL CRITERIA FOR DETERMINING ELIGIBILITY FOR FREE CARE OR
DISCOUNTED CARE INCLUDE ELIGIBILITY REQUIREMENTS ALL GUARANTORS WITH FAMILY
INCOME EQUAL TO OR BELOWTWO HUNDRED PERCENT OF THE FEDERAL POVERTY
STANDARD ADJUSTED FOR FAMILY SIZE SHALL BE DETERMINED TO BE INDIGENT PERSONS
QUALIFYING FOR CHARITY SPONSORSHIP FOR THE FULL AMOUNT OF HOSPITAL CHARGES
RELATED TO APPROPRIATE HOSPITAL-BASED MEDICAL SERVICES THAT ARE NOT
COVERED BY PRIVATE OR PUBLIC THIRD-PARTY SPONSORSHIP ALL GUARANTORS WITH
FAMILY INCOME BETWEEN TWO HUNDRED AND FIFTY PERCENT (250%) AND FOUR HUNDRED
PERCENT (400%) OF THE FEDERAL POVERTY STANDARD ADJUSTED FOR FAMILY SIZE SHALL
BE DETERMINED TO BE INDIGENT PERSONS QUALIFYING FOR DISCOUNTS FROM CHARGES
RELATED TO APPROPRIATE HOSPITAL BASED MEDICAL SERVICES IN ACCORDANCE WITH
HE SLIDING FEE SCHEDULE AND POLICIES REGARDING INDIVIDUAL FINANCIAL
CIRCUMSTANCES BASED ON THE BELOW CRITERIA A ELIGIBILITY SHALL BE BASED ON
FINANCIAL NEED AT THE TIME OF APPLICATION BY COMPARING TOTAL FAMILY INCOME
WITH THE CURRENT FEDERAL POVERTY GUIDELINES IF A FAMILY'S TOTAL INCOME IS
GREATER THAN 100% OF THE FEDERAL POVERTY GUIDELINE FAMILY ASSETS, OTHER THAN
EXEMPT ASSETS LISTED BELOW, MAY BE CONSIDERED AS A SOURCE OF PAYMENT B
EXEMPT ASSETS (BASED ON MEDICARE EXEMPTED ASSETS) LISTED BELOW SHOULD NOT BE
DDED TO FAMILY WORTH FOR CHARITY REVIEW I FAMILY PRINCIPAL RESIDENCE, II
NECESSARY MOTOR VEHICLES REQUIRED FOR EMPLOYMENT, REQUIRED FOR ACCESS TO
REATMENT, OR MODIFIED FOR OPERATION FOR TRANSPORT OF A DISABLED PERSON, III
PERSONAL EFFECTS AND HOUSEHOLD GOODS, IV RESOURCES NECESSARY FOR SELFSUPPORT ALL RESOURCES OF BOTH SPOUSES ARE CONSIDERED TOGETHER C CHARITY
WILL BE ASSIGNED USING THE MOST RECENTLY PUBLISHED FEDERAL POVERTY STANDARDS
ND EVALUATED ON THE ADJUSTED FAMILY INCOME AS EXPLAINED ABOVE FOR THOSE
BOVE 250% OF SUCH STANDARDS D DOCUMENTATION WILL BE REQUESTED AND IN
MOST CASES WILL BE REQUIRED TO ESTABLISH ELIGIBILITY FOR CHARITY CARE IN THE
EVENT THAT THE GUARANTOR IS NOT ABLE TO PROVIDE THE DOCUMENTATION
DESCRIBED ABOVE,THE HOSPITAL SHALL RELY UPON WRITTEN AND SIGNED STATEMENTS
FROM THE GUARANTOR TO MAKE A FINAL DETERMINATION OF ELIGIBILITY FOR
CLASSIFICATION AS AN INDIGENT PERSON

PART I, LINE 6A
Explanation
GRIFFIN HOSPITAL DID PREPARE A COMMUNITY BENEFIT REPORT FOR THE YEAR ENDING
2014 IT WAS PART OF OUR ANNUAL REPORT

PART I, LINE 6B
Explanation
GRIFFIN HOSPITAL POSTS ITS COMMUNITY BENEFIT REPORT AND INFORMATION ON THE
HOSPITAL WEBSITE GRIFFINHEALTH ORG

PART I, LINE 7
Explanation
CHARITY CARE AND OTHER COMMUNITY BENEFITS TABLES WERE CALCULATED USING A
COST ACCOUNTING SYSTEM OR COST TO CHARGE RATIO THE COST ACCOUNTING SYSTEM
DDRESSES ALL PATIENT SEGMENTS AND ASSIGNS COST TO INDIVIDUAL SERVICES

PART II, COMMUNITY BUILDING
CTIVITIES
Explanation
EXPOSING STUDENTS AND ADULTS TO THE POSSIBILITIES OF A HEALTH CAREER
PROFESSION IS A COMMUNITY BUILDING ACTIVITY THAT PROMOTES THE HEALTH OF THE
COMMUNITY IT SERVES EDUCATING AND POTENTIALLY EMPLOYING INDIVIDUALS WOULD
LEAD TO FAMILY SUPPORT AND ECONOMIC STABILITY GRIFFIN HOSPITAL SPONSORED
PROGRAMS TO INTRODUCE STUDENTS TO HEALTHCARE CAREERS THESE PROGRAMS WERE
HELD AT VARIOUS CAREER FAIRS AND INFORMATIONAL SESSIONS FOLLOWING IS A
PARTIAL LIST OF THE SCHOOLS INVOLVED CAREER FAIR DERBY HIGH SCHOOL,
INFORMATION SESSION, EMMITT O'BRIEN TECH, INFORMATION SESSION NAUGATUCK,
ALLEY PROJECT, CAREER FAIR ANSONIA HIGH SCHOOL, INFORMATION SESSION SHELTON
HIGH SCHOOL, CAREER FAIR JONATHAN LAW HIGH SCHOOL, NAUGATUCK VALLEY PROJECT
COMMUNITY OUTREACH, VALLEY REGIONAL ADULT ED INFORMATIONAL SESSION,
NAUGATUCK VALLEY PROJECT COMMUNITY OUTREACH, NAUGATUCK HIGH SCHOOL
CAREER FAIR, JONATHAN LAW HIGH CAREER FAIR, EMMITT O'BRIEN SHADOW PROGRAM,
CAREER FAIR EMMITT O'BRIEN TECH, HOSPITALTOUR EMMITT O'BRIEN TECH, HEALTH FAIR
PN

PART III, LINE 2
Explanation
GRIFFIN HOSPITAL BAD DEBT EXPENSE IS DETERMINED USING UNCOLLECTED ACCOUNTS
NET OF ANY BAD DEBT RECOVERY MULTIPLIED BY THE COST TO CHARGE RATIO GRIFFIN
HOSPITAL HAS A WRITTEN POLICY ABOUT WHEN AND UNDER WHOSE AUTHORITY PATIENT
DEBT IS ADVANCED FOR COLLECTION AND SHALL USE ITS BEST EFFORTS TO ENSURE THAT
HE PATIENT ACCOUNTS ARE PROCESSED FAIRLY AND CONSISTENTLY CHARITY
PPROVAL WILL AFFECT ALL ACCOUNTS FOR WHICH THE APPROVED GUARANTOR IS
RESPONSIBLE THE APPROVED CHARITY PERCENTAGE WILL BE APPLIED TO ALL EXISTING
CCOUNTS WITH DEBIT BALANCES ACCOUNTS MAY ALSO BE RETURNED FROM BAD DEBT
STATUS IF FINANCIAL CIRCUMSTANCES WARRANT AND CHARITY MAY BE APPLIED THE
HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS FREE
CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED AND
CONTRACTUAL RATES BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF
MOUNTS DETERMINED TO QUALIFY AS FREE CARE,THEY ARE NOT REPORTED AS NET

PART III, LINE 3
Explanation
GRIFFIN HOSPITAL DOES NOT ATTRIBUTE ANY BAD DEBT TO COMMUNITY BENEFIT
EXPENSE UNCOLLECTED BALANCES ARE REVIEWED AT MANY STAGES TO DETERMINE IF
HEY FALL UNDER UNINSURED OR FREE CARE ASSISTANCE

PART III, LINE 4
Explanation
GRIFFIN HOSPITAL AND SUBSIDIARY NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
SEPTEMBER 30, 2014, PAGE 11 NEW ACCOUNTING PRONOUNCEMENT THE CORPORATION
DOPTED ACCOUNTING STANDARD UPDATE ("ASU") NO 2011-7, WHICH REQUIRES HEALTH
CARE ENTITIES TO CHANGE THE PRESENTATION OF THEIR STATEMENT OF OPERATIONS BY
RECLASSIFYING THE PROVISION FOR BAD DEBTS ASSOCIATED WITH PATIENT SERVICE
REVENUE FROM AN OPERATING EXPENSE TO A DEDUCTION FROM PATIENT SERVICE
REVENUE (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS) ADDITIONALLY THOSE
HEALTH CARE ENTITIES ARE REQUIRED TO PROVIDE ENHANCED DISCLOSURES ABOUT
HEIR POLICIES FOR RECOGNIZING REVENUE, ASSESSING BAD DEBTS, AND DISCLOSURES
OF PATIENT SERVICE REVENUE (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS)

PART III, LINE 8
Explanation
GRIFFIN HOSPITAL BELIEVES THAT ALL OF THE $3 710 MILLION SHORTFALL SHOULD BE
CONSIDERED AS COMMUNITY BENEFIT THE IRS COMMUNITY BENEFIT STANDARD
INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS
MEDICARE SHORTFALLS MUST BE ABSORBED BY THE HOSPITAL IN ORDER TO CONTINUE
REATING THE ELDERLY IN OUR COMMUNITY THIS YEAR MEDICARE ACCOUNTED FOR 2 8
OF HOSPITAL EXPENSES THE HOSPITAL PROVIDES CARE REGARDLESS OF THIS
SHORTFALL AND THEREBY RELIEVES THE FEDERAL GOVERNMENT OF THE BURDEN OF
PAYING THE FULL COST FOR MEDICARE BENEFICIARIES
010

PART III, LINE 9B
Explanation
GRIFFIN HOSPITAL HAS A WRITTEN POLICY ABOUT WHEN AND UNDER WHOSE AUTHORITY
PATIENT DEBT IS ADVANCED FOR COLLECTION AND SHALL USE ITS BEST EFFORTS TO
ENSURE THE PATIENT AMOUNTS ARE PROCESSED FAIRLY AND CONSISTENTLY GRIFFIN
WILL ENSURE THAT PRACTICES TO BE USED BY THEIR OUTSIDE COLLECTION AGENCIES
WILL CONFORM TO THE STANDARDS SET FORTH IN THIS POLICY AND SHALL OBTAIN
WRITTEN COMMITMENTS FROM SUCH AGENCIES AT TIME OF BILLING GRIFFIN WILL
PROVIDE TO ALL LOW INCOME UNINSURED PATIENTS THE SAME INFORMATION
CONCERNING SERVICES AND CHARGES PROVIDED TO ALL OTHER PATIENTS WHO RECEIVE
CARE AT THE HOSPITAL FOR PATIENTS WHO HAVE AN APPLICATION PENDING
DETERMINATION FOR EITHER GOVERNMENT SPONSORED COVERAGE OR FOR THE
HOSPITAL'S OWN FINANCIAL ASSISTANCE PROGRAM, GRIFFIN WILL NOT KNOWINGLY SEND
THAT PATIENT'S BILL TO A COLLECTION AGENCY IFA PATIENT DOES NOT MAINTAIN THE
GREED UPON PAYMENT SCHEDULE THE AMOUNT WILL BE FORWARDED TO AN OUTSIDE
COLLECTION AGENCY AT THE FULL REMAINING BALANCE IF IT IS LATER DETERMINED BY
HE GRIFFIN HOSPITAL OR OR A COLLECTION AGENCY ACTING ON BEHALF OF GRIFFIN
HOSPITALTHAT THE PATIENT FINANCIAL CONDITIONS HAVE CHANGED AND THE PATIENT
WAS UNABLE TO PAY THE OUTSTANDING ACCOUNT BALANCES AN OVERRIDE MAY BE
PPLIED BY THE BUSINESS SERVICES DIRECTOR THE UNCOLLECTED DEBT WILL BE
RANSFERRED TO UNINSURED OR FREE CARE ASSISTANCE BY THE SUPERVISOR AFTER
REVIEWTHE MEDICARE COSTS WERE OBTAINED FROM THE HOSPITAL'S INTERNAL COST
CCOUNTING SYSTEM

PART VI, LINE 2
Explanation
GRIFFIN HAS A HISTORY OF COMMUNITY SERVICE AND SOCIAL RESPONSIBILITY DATING
BACK TO ITS FOUNDING 100 YEARS AGO, AND OF PROVIDING EDUCATIONAL, PREVENTION
ND SCREENING PROGRAMS AND SERVICES IN 1970, FUNDED BY A GRANT FROM THE
KELLOGG FOUNDATION, GRIFFIN ESTABLISHED ONE OF THE FIRST HOSPITAL
DEPARTMENTS OF COMMUNITY HEALTH IN THE COUNTRY TO FOCUS ON THE HEALTH AND
SOCIAL NEEDS OFTHE COMMUNITY IT SERVES OVER THE PAST FIFTEEN YEARS, GRIFFIN'S
REACH HAS BEEN EXPANDING INTO THE COMMUNITY IN ADDITION TO PROVIDING
HEALTH INFORMATION AND SERVICES TO THE PUBLIC AT THE HOSPITAL AND OTHER
SATELLITE LOCATIONS, GRIFFIN TAKES THESE ACTIVITIES INTO THE COMMUNITIES
WHERE PATIENTS LIVE AND WORK BY OFFERING A VARIETY OF SUPPORT GROUPS,
RAINING SESSIONS, EDUCATIONAL PROGRAMS, AND OTHER COMMUNITY-BASED
RESOUCES AND ACTIVITIES, AND COLLABORATING WITH OTHER NON-PROFIT
ORGANIZATIONS AND GOVERNMENT ENTITIES, GRIFFIN HAS EXTENDED ITS MISSION FAR
BEYOND THE HOSPITAL'S WALLS TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF
PEOPLE OF ALL AGES COMMUNITY LEADERSHIP RECOGNIZED THE NEED TO RESPOND TO
HE CHANGING COMMUNITY DEMOGRAPHICS AND THE DIFFERENT SOCIOECONOMIC AND
HEALTH NEEDS AND EXPECTATIONS OFTHE MORE DIVERSE POPULATION THREE MAJOR
NEW STRUCTURES WERE CREATED IN 1993,THE VALLEY COUNCIL OF HEALTH AND HUMAN
SERVICE ORGANIZATION (VCHHSO) WAS FOUNDED MORE THAN 55 ORGANIZATIONS THAT
PROVIDE MOST OF THE HEALTH AND HUMAN SERVICES ARE MEMBERS VCHHSO'S VISION
IS A PROVIDER NETWORK THAT WORKS COLLABORATIVELY TO CREATE AN INTEGRATED
HUMAN SERVICES DELIVERY SYSTEM THAT MEETS THE NEEDS OF ALL RESIDENTS
"HEALTHY VALLEY 2000",THE STATE'S FIRST HEALTHY COMMUNITY EFFORT, WAS
LAUNCHED IN 1994 WITH FOUNDATION GRANT SUPPORT,THE NATIONAL CIVIC LEAGUE
WAS ENGAGED TO GUIDE STAKEHOLDERS THROUGH THE PROCESS THE VISION OFTHE
BROAD-BASED, VOLUNTEER INSPIRED AND MANAGED EFFORT WAS TO IMPROVE THE
HEALTH AND QUALITY OF LIFE OFTHE COMMUNITY AND ITS RESIDENTS BY MAKING THE
COMMUNITY A BETTER PLACE IN WHICH TO LIVE, WORK, SHOP, RAISE A FAMILY AND ENJOY
LIFE BASED ON RESEARCH, INCLUDING USE OF THE NATIONAL CIVIC LEAGUE INDEX,A
S W O T ANALYSIS, AND BRAINSTORMING, 175 STAKEHOLDERS IDENTIFIED ARTS &
RECREATION, COMMUNITY INVOLVEMENT, ECONOMIC DEVELOPENT, EDUCATION AND
HEALTH AS PRIORITIES A TASK FORCE DEVELOPED A WORK PLAN FOR EACH OF THE
PRIORITIES AND AN HONOR ROLE WAS DEVELOPED TO RECOGNIZE INITIATIVES
UNDERTAKEN INDEPENDENTLY BY INDIVIDUALS OR ORGANIZATIONS RELATED TO THE
IDENTIFIED PRIORITIES THE PATIENT PROTECTION AND AFFORDABLE CARE ACT
REQUIRES NON-PROFIT HOSPITALS TO PERFORM A COMMUNITY HEALTH NEEDS
SSESSMENT (CHNA) EVERY THREE YEARS AND TO ADOPT AN IMPLEMENTATION STRATEGY
O MEET OUTSTANDING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE ASSESSMENT AS
CONDITION OF MAINTAINING THE INSTITUTION'S FEDERAL TAX EXEMPTION GRIFFIN
HOSPITAL'S FIRST CHNA WAS REQUIRED TO BE SUBMITTED NOT LATER THAN SEPTEMBER
30, 2013 IN PREPARING THE GRIFFIN HOSPITAL CHNA,THE HOSPITAL COLLABORATED
WITH THE VALLEY COUNCIL OF HEALTH AND HUMAN SERVICE ORGANIZATIONS, THE
LOWER NAUGATUCK VALLEY HEALTH DISTRICT,THE CONNECTICUT HOSPITAL
SSOCIATION AND THE CONNECTICUT ASSOCIATION OF DIRECTORS OF HEALTH AND
NUMEROUS LOCAL COMMUNITY HEALTH AND HUMAN SERVICE ORGANIZATIONS THAT
PARTICIPATED IN FOCUS GROUPS AND REVIEWOFTHE CHNA DOCUMENT GRIFFIN'S CHNA
WAS SHARED WITH THE LOWER NAUGATUCK VALLEY HEALTH DISTRICT FOR USE IN
PREPARING ITS COMMUNITY HEALTH IMPROVEMENT PLAN

PART VI, LINE 3
Explanation
FINANCIAL ASSISTANCE BROCHURE IS POSTED THROUGHOUT THE HOSPITAL
(CHILDBIRTH AREA, ER AREA, AND CUSTOMER SERVICE AREA) IN ENGLISH AND SPANISH
EXPLAINING THE FINANCIAL ASSISTANCE POLICY AND HOWTO CONTACT THE FINANCIAL
COUNSELORS THE FOLLOWING POLICY REPRESENTS GRIFFIN HOSPITAL'S PROCEDURES
FORTHE UNINSURED PATIENT, FREE CARE ASSISTANCE,AND FREE BED FUNDS AVAILABLE
FOR PATIENTS WHO DO NOT HAVE MEDICAL INSURANCE 1 UNINSURED PATIENT
PROCEDUREA PATIENTS THAT ARE EITHER SCHEDULED OR REGISTERED WITH NO ACTIVE
INSURANCE WILL IMPORT ONTO THE THREE FINANCIAL ADVISORS ONTRAC WORK LIST B
PATIENTS THAT ARE REGISTERED WILL RECEIVE A STATE APPLICATION PACKET FROM THE
PATIENT ACCESS STAFF THIS CONSISTS OF THE FINANCIAL ADVISOR'S BUSINESS CARD,
STATE APPLICATION, AND LIST OF DOCUMENTS NEEDED TO COMPLETE THE STATE
PPLICATION A LISTING OF THE DSS OFFICES IS INCLUDED IN THE PACKET C ALL
PATIENTS IDENTIFIED WILL RECEIVE A CALL OR A DIRECT VISIT, IF ADMITTED TO THE
HOSPITAL, BY A FINANCIAL ADVISOR D THE FINANCIAL ADVISOR WILL SCREEN THE
PATIENT FOR ANY CURRENT SPONSORSHIP AND DISCUSS ALL ELIGIBILITY OPTIONS WITH
HE PATIENT E IF THE PATIENT MEETS CRITERIA, THE FINANCIAL ADVISORS WILL BEGIN
HE HUSKY APPLICATION PROCESS WITH THE PATIENT F A DUE DILIGENCE PROCESS WILL
BE FOLLOWED BY THE FINANCIAL ADVISORS TO ENSURE THAT THE PATIENTS ARE
PURSUING ACTIVE COVERAGE THE FINANCIAL ADVISORS WILL MONITOR THE DSS
WEBSITE TO TRACK THE PROGRESS OF THE APPLICATION WITH THE STATE G ONCE
ELIGIBILITY HAS BEEN DETERMINED , ALL APPROPRIATE ACCOUNTS WILL BE UPDATED TO
HE HUSKY INSURANCE AND BILLED ACCORDINGLY H ALL UNINSURED PATIENTS NOT
GRANTED STATE/HUSKY COVERAGE WILL HAVE THE CHA UNINSURED RATE APPLIED TO
HEIR ACCOUNT THE UNINSURED RATE WAS DETERMINED BY THE HOSPITAL TO
REPRESENT THE CONNECTICUT NOT-FOR-PROFIT HOSPITAL DISCOUNT POLICY AS
DOPTED BY THE CONNECTICUT HOSPITAL ASSOCIATION 4/10/2006 2 FREE CARE
SSISTANCEA ANY PATIENT REQUESTING CONSIDERATION FOR FREE CARE ASSISTANCE
IN PAYING THEIR GRIFFIN HOSPITAL BILLS OR FINANCIAL RESPONSIBILITY AFTER
INSURANCE PAYMENT SHOULD CONTACT THE HOSPITAL'S FINANCIAL ADVISORY STAFF B
HE FINANCIAL ADVISOR WILL OBTAIN THE FOLLOWING INFORMATION FROM THE PATIENT
IN ORDER TO COMPLETE THE FREE CARE APPLICATION THE INFORMATION REQUIRED
FROM THE PATIENT TO COMPLETE THE FREE CARE APPLICATION IS AS FOLLOWS PATIENT W-2 FORM OR MOST CURRENT AND COMPLETED TAX RETURN - OR THREE
CONSECUTIVE PAYSTUBS FROM THE PATIENT'S CURRENT EMPLOYMENT/PROOF OF SOCIAL
SECURITY - DEPENDENT INFORMATION (SPOUSE AND MINOR CHILDREN ONLY)- ANY OR
LL BANK AND CHECKING ACCOUNT STATEMENTS C THE FINANCIAL ADVISOR WILL REFER
O THE GRIFFIN HOSPITAL SLIDING SCALE THIS IS BASED ON THE FEDERAL GOVERNMENT
POVERTY INCOME GUIDELINES THE FINANCIAL ADVISOR WILL MAKE A DETERMINATION
OF THE PATIENT'S FREE CARE ELIGIBILITY STATUS D IF THE PATIENT QUALIFIES FOR FREE
CARE ASSISTANCE, THE APPLICABLE DISCOUNT PERCENTAGE WILL BE APPLIED TO THE
PATIENT'S ACCOUNT BALANCE THEN A LETTER WILL BE SENT OUT REFLECTING THE
PATIENT'S NEWADJUSTED BALANCE E IFA PATIENT DOES NOT QUALIFY FOR FREE CARE
ASSISTANCE, THFINANCIAL ADVISOR WILL ATTEMPT TO - OBTAIN PAYMENT IN FULL SEND TO AN OUTSIDE AGENCY TO SET UP A MONTHLY PAYMENT ARRANGEMENT F IF THE
PATIENT DOES NOT MAINTAIN THE AGREED UPON PAYMENT SCHEDULE,THE ACCOUNT
WILL BE FORWARDED TO AN OUTSIDE COLLECTION AGENCY AT THE FULL REMAINING
BALANCES G IF IT IS LATER DETERMINED BY THE GRIFFIN HOSPITAL OR A COLLECTION
GENCY ACTING ON BEHALF OF GRIFFIN HOSPITAL THAT THE PATIENT'S FINANCIAL
CONDITIONS HAVE CHANGED AND THE PATIENT WAS UNABLE TO PAY THE OUTSTANDING
CCOUNT BALANCES,AN ADMINISTRATIVE OVERRIDE MAY BE APPLIED BY THE BUSINESS
SERVICES COLLECTION SUPERVISOR OR DIRECTOR OF BUSINESS SERVICES ALL
DMINISTRATIVE OVERRIDES WILL BE SIGNED OFF BY EACH OF THOSE PARTIES H THE
BUSINESS SERVICES COLLECTION SUPERVISOR WILL MAINTAIN ALL MONTHLY
SPREADSHEETS THAT WILL IDENTIFY ALL APPLIED FREE BED FUNDS, UNINSURED, AND FREE
CARE ASSISTANCE ALLOCATED ON A MONTHLY BASIS 3 FREE BED FUNDSTHE HOSPITAL
HAS THE FOLLOWING FREE BED FUNDS AVAILABLE FOR PATIENTS WHO MEET THE
FOLLOWING OUTLINED CRITERIA FOR EACH FUND A THE ENO FUND THE APPLICANT MUST
BE A WOMAN, 60 YEARS OF AGE OR OLDER, AND BE A RESIDENT OF ANSONIA, DERBY OR
SEYMOUR B PINE TRUST THE FUND IS AVAILABLE TO INDIGENT PATIENTS OF GRIFFIN
HOSPITAL WHO RESIDE IN THE CITY OF ANSONIA C DN CLARK THE FUND IS AVAILABLE
0 SHELTON RESIDENTS ALL FREE BED FUNDS GRANTED ARE PROCESSED THROUGH THE
HOSPITAL'S FINANCIAL ADVISOR STAFF

PART VI, LINE 4
Explanation
GRIFFIN HOSPITAL, LICENSED BY THE STATE OF CONNECTICUT FOR 160 BEDS AND 15
BASSINETS, IS A GENERAL ACUTE CARE HOSPITAL SERVING A PRIMARY SERVICE AREA
(PSA) OF SIX TOWNS ANSONIA, BEACON FALLS, DERBY, OXFORD, SYMOUR AND SHELTON,
CONNECTICUT THE SIX TOWN REGION HAS COME TO BE KNOWN AS THE LOWER
NAUGATUCK VALLEY THE SIX TOWNS, WITH AN AREA OF A LITTLE MORE THAN 100 SQUARE
MILES, HAVE A COMBINED POPULATION OF OVER 107,000 BASED ON CURRENT
ESTIMATES THE VALLEY, GEOGRAPHICALLY LOCATED IN SOUTH CENTRAL CONNECTICUT,
IS SURROUNDED BY THREE OF THE STATE'S LARGEST CITIES, NEW HAVEN, TO THE SOUTH,
BRIDGEPORT, TO THE SOUTHWEST, AND WATERBURY,TO THE NORTH, EACH BETWEEN 9
ND 15 MILES FROM GRIFFIN HOSPITAL THERE ARE TWO TERTIARY CARE HOSPITALS IN
BRIDGEPORT AND WATERBURY, AND WITH THE MERGER OF THE HOSPITAL OF ST RAPHAEL
WITH YALE NEW HAVEN HOSPITAL, ONE VERY LARGE HOSPITAL IN NEW HAVEN YALE NEW
HAVEN HOSPITAL IS NOW ONE OF THE TEN LARGEST HOSPITALS IN THE COUNTRY EACH
HAS VARYING DEGREES OF MARKET SHARE IN GRIFFIN'S PRIMARY SERVICE AREA TOWNS
DEPENDING ON THE PROXIMITY TO THE THREE CITIES AND THE HOSPITALS LOCATED
HERE GRIFFIN'S LARGER GEOGRAPHIC REGION IS ONE OF THE MOST COMPETITIVE
HOSPITAL MARKETS IN THE COUNTRY FOR BOTH PATIENTS AND STAFF THE
DEMOGRAPHICS IN TERMS OF POPULATION BY AGE GROUP MIRROR THOSE OF THE STATE
OF CONNECTICUT THE VALLEY'S AFRICAN AMERICAN POPULATION IS 4% COMPARED TO
10 1% FOR THE STATE, AND THE HISPANIC POPULATION IS 6% COMPARED TO 13 4% FOR
HE STATE THE AFRICAN AMERICAN POPULATION IS CENTERED PRIMARILY IN ANSONIA
(11 6%), AND THE HISPANIC POPULUATION IS CENTERED PRIMARILY IN ANSONIA (16 7%)
ND DERBY (14 2%) POPULATION BY ETHNIC BACKGROUND REMAINS PRIMARILY ITALIAN
- 23%, POLISH/RUSSIAN/UKRAINIAN - 17%, AND IRISH - 11% THE AGE 65 AND OVER
POPULATION IS 14% COMPARED TO THE STATE OF CONNECTICUT ALSO AT 14% IN
2010 MEDIAN HOUSEHOLD INCOME (2007-2011) IN ALL VALLEY TOWNS HAS BEEN
INCREASING, BUT ANSONIA ($55,259) AND DERBY ($55,478) REMAIN ALMOST $15,000
BELOWTHE STATE MEDIAN THE REMAINING TOWNS, SEYMOUR ($65,036), BEACON FALLS
($70,228), SHELTON ($79,176), AND OXFORD ($95,710), WERE CLOSE TO OR CONSIDERABLY
BOVE THE CONNECTICUT MEDIAN ($68,055), AN INDICATION OF THE ECONOMIC
DISPARITIES WITHIN THE VALLEY THE NUMBER OF FOOD STAMP RECIPIENTS IN ANSONIA
(2,998 - 16%) AND DERBY (1,612 - 12%) WERE HIGHER THAN THE CONNECTICUT RATE
(10%) ALL OTHER TOWNS WERE CONSIDERABLY BELOW THE STATE RATE THE OVERALL
POVERTY RATE WAS THE HIGHEST IN THE VALLEY (YEAR 2009) IN DERBY (11 5%) AND
NSONIA (10 7%) ALL OTHER TOWNS WERE CONSIDERABLY BELOW THE STATE RATE
(11 9%) WITH OXFORD THE LOWEST (2 1%) ANSONIA AND DERBY EXPERIENCED
INSIGNIFICANT POPULATION DECLINES BETWEEN THE 2000 AND 2010 CENSUS IN ALL
OTHER TOWNS THE POPULATION GREW BETWEEN 4% AND 31% IN OXFORD WHICH WAS THE
FASTEST GROWING TOWN IN THE STATE PERCENTAGE WISE THE TOTAL VALLEY
POPULATION IS PROJECTED TO BE 109,510 IN 2017 UP FROM THE CURRENT
107,000 UNDER 18 YEARS OLD 23,701 (22%)ABOVE 65 YEARS OLD 16,353 (15%)HISPANIC
OR LATINO 9,227 (9%)NON-HISPANIC WHITE 88,855 (83%)NON-HISPANIC BLACK 4,412
(4%)NON-HISPANIC ASIAN 2,834 (3%)NON-HISPANIC OTHER 1,638 (2%)BACHELOR'S
DEGREE OR HIGHER 20,565 (28%)NUMBER OF PEOPLE IN POVERTY 5,831 (6%)

PART VI, LINE 5
Explanation
GRIFFIN HOSPITAL FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE
COMMUNITY THROUGH MANY PROGRAMS AND ASSOCIATIONS INCLUDING - DEPARTMENT
OF COMMUNITY OUTREACH AND PARISH NURSING GRIFFIN COORDINATES THE PROGRAM
OUT OF ITS DEPARTMENT OF COMMUNITY OUTREACH AND PARISH NURSING THE
DEPARTMENT HAS FIVE EMPLOYEES WHO SUPPORT THE 75 VOLUNTEER PARISH NURSES
ND 320 VOLUNTEERS WHO SERVE ON THE HEALTHCARE CABINETS OFTHE CHURCHES
HE VALLEY PARISH NURSING PROGRAM (VPN) AT GRIFFIN HOSPITAL WILL CELEBRATE ITS
25TH YEAR WITH A CELEBRATION AT GRIFFIN HOSPITAL IN HONOR OFTHIS IMPRESSIVE
MILESTONE, WE OFFER SOME OF THE PROGRAM'S GREATEST ACHIEVEMENTS IN
IMPROVING THE HEALTH OF VALLEY COMMUNITIES IN KEEPING WITH THE VALLEY PARISH
NURSE PHILOSOPHY TO EMPOWER EACH AND EVERY PERSON TO CARE FOR HIS OR HER
WHOLE BODY, MIND AND SPIRIT, THE VALLEY PARISH NURSES HAVE EMBARKED ON MANY
NEW INITIATIVES IN ITS HISTORY THE MOST NOTABLE ARE THE WOMEN & HEART DISEASE
PROGRAM, CHILDHOOD IDENTIFICATION PROGRAM (CHIP), PUBLIC ACCESS
DEFIBRILLATOR (PAD) PROGRAM, CHILDREN'S HEALTH & SAFETY FAIRS, FALLS PREVENTION
PROGRAMS, AND BREAST WELLNESS OUTREACH PERHAPS THE MOST INFLUENTIAL
PROGRAM STARTED BY THE VALLEY PARISH NURSE PROGRAM IS ITS CPR INITIATIVE BY
BRINGING CPR TRAINING AND HELPING SET UP AUTOMATIC EXTERNAL DEFIBRILLATORS
(AEDS) AT PLACES THROUGHOUT THE VALLEY, VPN HAS PLAYED A KEY ROLE IN
INCREASING THE CARDIAC SURVIVAL RATE AT GRIFFIN HOSPITAL TO 26 PERCENT - THE
NATIONAL SURVIVAL RATE IS 9% SINCE THE INITIATIVE BEGAN, VALLEY PARISH NURSES
HAVE ALSO RECEIVED MANY STORIES OF SURVIVAL RELATING TO CHOKING AND
RECOGNIZING THE SIGNS OF HEART ATTACK AND CALLING 9-1-1 - THE MOBILE HEALTH
RESOURCE CENTER - THE MOBILE HEALTH RESOURCE CENTER FOCUSES ON PREVENTIVE
HEALTH SERVICES AND PROVIDING HEALTH EDUCATION AND SCREENING SERVICES TO
NEIGHBORHOODS, COMMUNITY EVENTS, HEALTH FAIRS, SHOPPING CENTERS AND
BUSINESSES/COMPANIES - COMMUNITY OUTREACH SERVICES - IN FISCAL YEAR 2013, THE
DEPARTMENT OF COMMUNITY OUTREACH AND THE VALLEY PARISH NURSE PROGRAM
SERVED 39,054 PEOPLE SERVICES INCLUDED 4,411 HEALTH SCREENING RECIPIENTS
WHICH CONTRIBUTED TO 14,915 REFERRALS TO NEEDED SERVICES IN ADDITION, 1,388
EDUCATIONAL PROGRAMS WERE PROVIDED ATTENDED BY 30,709 PEOPLE AND 3,540
PEOPLE WERE TRAINED IN CPR THE PROGRAM ALSO PROVIDED AND PLACED AED'S
(AUTOMATED EXTERNAL DEFIBRILLATORS)AT COMMUNITY SITES BRINGING THE TOTAL
NUMBER OF AED'S PLACED AT COMMUNITY SITES TO 67 STARTING SIX YEARS AGO
GRIFFIN HOSPITALTHROUGH ITS DEPARTMENT OF COMMUNITY OUTREACH AND PARISH
NURSING, JOINED WITH ANSONIA COMMUNITY ACTION,THE NON-PROFIT AGENCY
PROVIDING SERVICES TO THE AFRICAN AMERICAN COMMUNITY, FOR AN OUTREACH
PROGRAM TO PROVIDE FREE CHOLESTEROL, DIABETES, AND HYPERTENSION SCREENING
ND HEALTH EDUCATION FOR PEOPLE WHO ARE 60 AND OLDER - GREATER NAUGATUCK
ALLEY SAFE KIDS CHAPTER - IN MARCH 2005 THE VALLEY PARISH NURSE PROGRAM
ESTABLISHED THE GREATER NAUGATUCK VALLEY SAFE KIDS CHAPTER GRIFFIN HOSPITAL,
HE VALLEY PARISH NURSE PROGRAM, THE VALLEY N A A C P ,THE CITY OFANSONIA AND
HE COMMUNITY FOUNDATION OF GREATER NEW HAVEN SPONSORED THE ANNUAL
COMMUNITY HEALTH AND SAFETY - CERTIFIED CPR TRAINING CENTER - GRIFFIN HOSPITAL
HAS BEEN A CERTIFIED COMMUNITY AMERICAN HEART ASSOCIATION CPR TRAINING
CENTER SINCE 2006 - GRIFFIN BREAST HEALTH INITIATIVE - THE PURPOSE OF THE
GRIFFIN BREAST HEALTH INITIATIVE IS TO PROVIDE OUTREACH AND EDUCATION TO
WOMEN, INCLUDING THE UNINSURED OR UNDERINSURED, ABOUT THE IMPORTANCE OF
BREAST WELLNESS AND EARLY BREAST CANCER DETECTION AND PROVIDE SCREENING
MAMMOGRAMS TO WOMEN WHO WOULD OTHERWISE NOT BE ABLE TO AFFORD ONE ALLEY WOMEN'S HEALTH INITIATIVE- AED PLACEMENT AT PUBLIC SITES - THE GRIFFIN
HOSPITAL VALLEY PARISH NURSE PROGRAM COORDINATED OBTAINING FUNDING FOR THE
PURCHASE OF AUTOMATED EXTERNAL DEFIBRILLATORS (AEDS)AND HAS PLACED 65 AEDS
T PUBLIC NON-PROFIT PUBLIC ACCESS DEFIBRILLATOR SITES IN THE COMMUNITY HOMELESS SHELTER FOOD BANK DONATIONS - PATIENT AND COMMUNITY SUPPORT
GROUPS AND EDUCATIONAL MEETINGS- BY YOUR SIDE - CAREGIVER SUPPORT GROUPBEREAVEMENT SUPPORT GROUP- BEREAVEMENT SUPPORT GROUP FOR PARENTS- THE
WIDOWAND WIDOWER SUPPORT GROUP

PART VI, LINE 6
Explanation
N/A

PART VI, LINE 7, REPORTS FILED
WITH STATES
Explanation
CT
Additional Data
Software ID:
Software Version:
EIN:
Name :
06 -0647014
GRIFFIN HOSPITAL
990 Schedule H, Supplemental Information
Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines
1], 3, 4, 5d, 6i, 7, 10, 11, 121, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions
for each facility in a facility re p ortin g g rou p, desi g nated b y "Facility A , " "Facility 13 , " etc.
Form and
Line
Reference
Explanation
GRIFFIN
HOSPITAL
GRIFFIN
HOSPITAL
PART V, SECTION B, LINE 4
CHNA WAS NOT CONDUCTED WITH ANY OTHER HOSPITAL
GRIFFIN
HOSPITAL
PART V, SECTION B, LINE 5D

HTTP //WWW GRIFFINHEALTH ORG/PORTALS/O/CHNA/CHIP PDFHTTP //WWW GUIDESTAR ORG/FINDOCUMENTS/2013
- GUIDESTAR
GRIFFIN
HOSPITAL
PART V, SECTION B, LINE 7 GRIFFIN'S CHNA IDENTIFIED OUR COMMUNITY NEEDS AS AWARENESS OF H
EALTH AND HUMAN SERVICES, TRANSPORTATION, OBESITY, PRIMARY CARE ACCESS, COMMUNITY POPULATI
ON BASED MEDICAL ISSUES, CLINICAL SERVICES, SUBSTANCE ABUSE, PRE-NATAL CARE AND REGIONAL C
OOPERATION ON HEALTH ISSUES GRIFFIN PLANS TO ADDRESS PRIORITY AREAS WITH IMPLEMENTATION P
LANS ON ALL BUT ONE OF THE SUGGESTED NEEDS THERE WAS A PERCEPTION THAT PRE-NATAL CARE WAS
LOW AND THAT AN INTERVENTION WAS NEEDED RESEARCH, HOWEVER, REVEALED THAT PRENATAL CARE F
OR MOTHERS-TO-BE IN THE VALLEY WAS SIGNIFICANTLY BETTER WHEN COMPARED TO THE STATE AND NEW
HAVEN COUNTY AS REPORTED BY THE CONNECTICUT DEPARTMENT OF PUBLIC HEALTH BASED ON THE ACT
UAL DATA THERE IS NO ACTION REQUIRED RELATED TO PRE-NATAL CARE THE INFORMATION WILL BE WI
DELY SHARED WITH HEALTH AND HUMAN SERVICE ORGANIZATIONS AND OTHER COMMUNITY LEADERS TO ENS
URE THAT THERE IS INCREASED KNOWLEDGE OFTHE VALLEY DATA AS COMPARED TO NEW HAVEN COUNTY A
ND THE STATE OF CONNECTICUT
GRIFFIN
HOSPITAL
PART V, SECTION B, LINE 20D THE UNINSURED RATES ARE ESTABLISHED BASED ON THE AVERAGE PAYMENTS
RECEIVED FROM OUR LARGEST PARTICIPATING HMO
l efile

DLN: 93493226005345
Schedule J
(Form 990)
As Filed Data -
OMB No 1545-0047

1- Complete if the organization answered " Yes" to Form 990, Part IV, line 23.
1- Information about Schedule J (Form 990) and its instructions is at www.irs.gov /form990 .

GRIFFIN HOSPITAL
2013
'
06-0647014
MYRTE
Q uestions Re g ardin g Com p ensation

Yes
la
b
2
No
1
If any of the boxes in line la are checked , did the organization follow a written policy regarding payment or
reimbursement or provision of all of the expenses described above? If "No ," complete Part III to explain
lb
directors , trustees , officers, including the CEO/ Executive Director, regarding the items checked in line la?
Indicate which , if any, of the following the filing organization used to establish the compensation of the
organization 's CEO/ Executive Director Check all that apply Do not check any boxes for methods
used by a related organization to establish compensation of the CEO / Executive Director, but explain in Part III
Compensation committee
Written employment contract

a
4a
No
4b
No
4c
No
Only 501(c)(3) and 501 ( c)(4) organizations only must complete lines 5-9.
5
a
The organization?
5a
No
5b
No

6
a
The organization?
6a
No
6b
No

7
No
subject to the initial contract exception described in Regulations section 53 4958-4(a)(3)? If "Yes," describe
in Part III
No
section 53 4958-6(c)?
Cat No 50053T
Schedule 3 ( Form 990) 2013
Page 2
Officers , Directors , Trustees , Key Employees, and Highest Compensated Employees . Use duplicate copies if additional space is needed.
instructions, on row (ii) Do not list any individuals that are not listed on Form 990, Part VII
Note . The sum of columns (B)(1)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line la, applicable column (D) and (E) amounts for that individual
(A) Name and Title

(ii) Bonus &
(iii) Other
(i) Base
compensation
incentive
compensation
reportable
compensation
(C) Retirement and

other deferred
compensation
(D) Nontaxable
benefits
(E) Total of
columns
(B)(i)-(D)
(F) Compensation
reported as deferred
in prior Form 990

Page 3
Provide the information, explanation, or descriptions required for Part I, lines la, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II
Also complete this part for any additional information
Return Reference
Explanation
Additional Data
Software ID:
Software Version:
EIN:
Name :
06 -0647014
GRIFFIN HOSPITAL
(A) Name

(ii) Bonus &
incentive
tion
compensation
(i) Base
Compensation
(C) Deferred
compensation
(D) Nontaxable
benefits
(E) Total of
columns
(B)(i) (D)
(iii) Other
(F) Compensation
990 or Form 990-EZ
compensation
CHARMEL PATRICK
(1)
PRESIDENT/CEO/SEC/TREASURER (i1)
429,942
0
27,038
0
588
0
43,935
0
17,172
0
518,675
0
0
0
DOBULER KENNETH
MD/BOARD MEMBER
(i)
(ii)
234,903
0
0
0
0
0
47,152
0
0
0
282,055
0
0
0
SCHWARTZ KENNETH
MD/BOARD MEMBER
(i)
(ii)
173,379
0
0
0
588
0
47,152
0
17,172
0
238,291
0
0
0
POWANDA WILLIAM
VICE PRESIDENT
(i)
(ii)
128,527
0
0
0
568
0
25,500
0
17,172
0
171,767
0
0
0
STUMPO BARBARA J
V P
(i)
(ii)
171,297
0
0
0
552
0
26,666
0
17,172
0
215,687
0
0
0
BERNS EDWARD VICE

PRESIDENT
(1)
(ii)
136,468
0
0
0
477
0
13,163
0
17,172
0
167,280
0
0
0
MARTIN KATHLEEN
VICE PRESIDENT
(i)
(ii)
139,855
0
0
0
490
0
13,786
0
17,172
0
171,303
0
0
0
DEEGAN MARGARET
VICE PRESIDENT
(i)
(ii)
183,870
0
0
0
568
0
17,366
0
17,172
0
218,976
0
0
0
SHEPARD SETH VICE

PRESIDENT
(1)
(ii)
163,572
0
0
0
525
0
5,836
0
17,172
0
187,105
0
0
0
O'NEILL MARK
V P /CFO
(i)
(ii)
244,482
0
0
0
588
0
8,500
0
1,980
0
255,550
0
0
0
D'SOUSA SEEMA MD
HALSTEAD EDWARD
MD
NAWAZ HAQ
MD
(i)
258,174
(^^)
28,419
0
588
0
17,000
0
1,980
0
306,161
0
0
0
(i)
(ii)
224,562
0
0
0
588
0
19,455
0
17,172
0
261,777
0
0
0
(i)
265,200
(^^)
64,137
0
588
0
17,000
0
17,172
0
364,097
0
0
0
SALABARRIA JAVIER
MD
(1)
(ii)
291,979
0
0
0
568
0
0
0
17,172
0
309,719
0
0
0
PAXTON HEATHER
MD
(i)
(u)
174,516
0
0
0
547
0
6,215
0
17,172
0
198,450
0
0
0
l efile GRAPHIC print - DO NOT PROCESS

Schedule K
As Filed Data -
DLN: 93493226005345
OMB No 1545-0047
(Form 990)
explanations, and any additional information in Part VI.

GRIFFIN HOSPITAL
2013
1-Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990 .

06-0647014
Bond Issues
(a) Issuer name
( b) Issuer EIN
(c) CUSIP #
( d) Date issued
(e) Issue price
(f) Description of purpose
Yes
A
CHEFA SERIES B
CHEFA SERIES C & D
m.ii
06-0806186
06-0806186
02-01-2005
05-01-2007
No
Yes
No
(i) Pool
financing
Yes
No
24,800,000
CONSTRUCTION OF NEW
WING
23,125,000
CONSTRUCTION OF NEW
CANCER CENTER &
RENOVATION OF EMERGENCY
DEPARTMENT
Proceeds
A
(h) On
behalf of
issuer
(g) Defeased
25 ,769,812
1,406,958
Proceeds in refunding escrows
24,573,303
435,721
10
11
12
13
22,982,209
234,306
760,791
1,133,492
20,207,453
1996
Yes
2010
No
Yes
14
15
16
17
i n.iii
No
Yes
No
Yes
No
Yes
No
X
X

A
Yes
B
No
Yes
C
No

Cat No 50193E
Yes
D
No
Pa g e 2

A
Yes
Are there any management or service contracts that may result in private business use
of bond-financed property?
If "Yes" to line 3a, does the organization routinely engage bond counsel or other
outside counsel to review any management or service contracts relating to the financed
property?
If "Yes" to line 3c, does the organization routinely engage bond counsel or other
outside counsel to review any research agreements relating to the financed property?
3a
B
No
Yes
C
No
Yes
0-
0 %
0 %
0-
0 %
0 %
0%
0 %
Does the bond issue meet the private security or payment test?
ga
Has there been a sale or disposition of any of the bond financed property to a
nongovernmental person other than a 501(c)(3) organization since the bonds were
issued?
If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of
If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections
1 141-12 and 1 145-27
Has the organization established written procedures to ensure that all nonqualified
bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1 141-12 and 1 145-2?
c
g
D
No
Yes
No
Arbitrage
A
Yes
1
Has the issuerfiled Form 8038-T?
If "No" to line 1, did the following apply?
B
No
Yes
C
No
Rebate not due yet?
Exception to rebate?
No rebate due?
If you checked No rebate due" in line 2c, provide in

Part VI the date the rebate computation was performed
3
4a

into a qualified hedge with respect to the bond issue?
Yes
D
No
Yes
No
WACHOVIA BANK
Name of provider
Term of hedge
Was the hedge terminated?
2037 000000000000
Page 3
Arbitrage (Continued)
A
Yes
5a
6
7
No
Were gross proceeds invested in a guaranteed investment

contract (GIC)7
Name of provider
Term of GIC
period?
Has the organization established written procedures to monitor
the requirements of section 148?
Yes
No
Yes
No
Yes
No

A
I
Yes
D
I
No
Yes
No
Yes
Has the organization established written procedures to ensure

that violations of federal tax requirements are timely identified
and corrected through the voluntary closing agreement program if
self-remediation is not available under arDlicable regulations?
NOTION
Supplemental information . Provide additional information for responses to questions on Schedule K (see instructions).
No
Yes
No
DLN: 93493226005345
OMB No 1545 0047
SCHEDULE 0

As Filed Data -

1- Information about Schedule 0 (Form 990 or 990-EZ) and its instructions is at
2013
Open
Inspection
www.irs. g ov/form990.
GRIFFIN HOSPITAL
06-0647014
990 Schedule 0, Supplemental Information

Return Reference
Explanation
FORM 990, PART VI, SECTION A,

LINE 6
FORM 990, PART VI, SECTION A,
LINE 7A
THE BOARD OF TRUSTEES MAKES RECOMMENDATIONS TO THE INCORPORATORS OF THE HOSPITAL

REGARDING
NOMINATIONS OF MEMBERS OF THE COMMUNITY TO SERVE AS TRUSTEES
FORM 990, PART VI, SECTION B,

LINE 11

LINE 12C
RECEIV
E, SIGN, AND SUBMIT A CONFLICT OF INTEREST DISCLOSURE THE DISCLOSURES ARE REVIEWED BY THE
HOSPITAL BOARD AND DOCUMENTED IN THE MINUTES ANY DISCLOSURE OF A CONFLICT PREVENTS THE
I
NDIVIDUAL FROM INVOLVEMENT WITH OR PARTICIPATION IN SUBJECT MATTER THAT MIGHT AFFECT THE
D
ISCLOSED CONFLICT SUCH ACTIONS ARE DOCUMENTED IN BOARD MINUTES ALL CONFLICTS ARE
DISCLOS
ED TO BOARD MEMBERS AND CORPORATORS AT THE ANNUAL MEETING OF THE CORPORATION

LINE 15
COMPENSATION OF OFFICERS AND KEY EMPLOYEES ARE REVIEWED ANNUALLY BY THE

COMPENSATION COMMI
TTEE WHICH IS A SUBCOMMITTEE OF THE HOSPITAL BOARD THIS COMMITTEE SETS THE COMPENSATION
F
OR THE CEO BASED ON INDUSTRY DATA COMPENSATION OF OTHER OFFICERS AND DIRECTORS IS SET
BY
THE CEO IN CONJUNCTION WITH THE HUMAN RESOURCE DEPARTMENT AGAIN INDUSTRY
COMPENSATION DAT
A IS THE BASIS FOR DETERMINING THE APPROPRIATENESS OF COMPENSATION THE CEO REVIEWS WITH
T
HE COMPENSATION COMMITTEE ALL OFFICERS AND DIRECTORS IN THE FIRST QUARTER OF THE
CALENDAR
YEAR
FORM 990, PART VI, SECTION C,

LINE 19
THE GOVERNING DOCUMENTS ARE FILED WITH THE OFFICE OF HEALTH CARE ACCESS AND ARE
AVAILABLE TO THE PUBLIC UPON REQUEST
FORM 990, PART XI, LINE 9
TRANSFERS BETWEEN AFFILIATES -6,954,076 MINIMUM PENSION LIABILITY ADJUSTMENT -6,052,464

CHANGE IN NET ASSETS OF AFFILIATE 1,245,634 CHANGE IN TEMPORARILY RESTRICTED NET ASSETS 8
78,163 CHANGE IN BENEFICIAL INTEREST IN TRUSTS 89,229 CHANGE IN FAIR VALUE OF INTEREST R
ATE SWAP -1,723,375
FORM 990, PART XI, LINE 2C
OVERS
EEING THE FINANCIAL STATEMENT PREPARATION PROCESS THERE HAVE BEEN NO CHANGES IN THESE
PRO
CEDURES SINCE THE PRIOR YEAR
SCHEDULE R
(Form 990)
As Filed Data -
DLN:93493226005345
OMB No 1545-0047
2013
1- Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
1- Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990 .

GRIFFIN HOSPITAL
06-0647014
Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity
(b)
Primary activity
(c)
or foreign country)
(d)
Total income
(e)
End-of-year assets
(f)
Direct controlling
entity
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)
(b)
Primary activity
(c)
or foreign country)
(d)
Exempt Code section
(e)
501(C)(3)
509(A) (3) (1)
(f)
Direct controlling
entity
(g)
Section 512
(b)(13)
controlled
entity?
Yes
HOLDING COMPANY
CT
130 DIVISION STREET
No
No
N/A
DERBY, CT 06418
22-2560257
MEDICAL/ EDUCATION
CT
501(C)(3)
509(A)(2)
GRIFFIN HOSPITAL
Yes
FUND RAISING
CT
501(C)(3)
509(A)(3)(I)

CORPORATION
Yes
EDUCATION
CT
501(C)(3)
509(A)(2)

CORPORATION
Yes
130 DIVISION STREET

DERBY, CT 06418
06-1463147
130 DIVISION STREET
DERBY, CT 06418
22-2560254
(4) PLANETREE INC
130 DIVISION STREET
DERBY, CT 06418
06-1505284
Cat No 50135Y
Page 2
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)
(b)
Primary activity
(c)
Legal
domicile
(state or
foreign
country)
(d)
Direct
controlling
entity
(e)
Predominant
income(related,
unrelated,
excluded from
tax under
sections 512514)
(f)
(g)
(h)
(i)
0)
Share of
Share of Disproprtionate Code V-UBI General or
total income end-of-year allocations?
amount in box managing
assets
20 of
partner?
Schedule K-1
(Form 1065)
Yes
No
Yes
(k)
Percentage
ownership
No
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)
(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-ofyear
assets
(h)
Percentage
ownership
(i)
Section 512
(b)(13)
controlled
entity?
Yes
(1) GH VENTURES INC
RENTAL REAL ESTATE
CT
N/A
N/A
N/A
No
Yes
130 DIVISION STREET

DERBY, CT 06418
22-2560247
(2) HEALTHCARE ALLIANCE
INSURANCE COMPANY LTD
OFFSHORE CAPTIVE
INSURANCE
CJ
No
171 ELGIN AVENUE

GEORGETOWN
CJ
(3) CT PRACTICE
MANAGEMENT INC
INACTIVE
CT
Yes
130 DIVISION STREET

DERBY, CT 06418
06-1152819
ff^
Page 3
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
YesFNo
Note . Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule
a
Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity
No
Gift, grant, or capital contribution to related organization(s)
No
Gift, grant, or capital contribution from related organization(s)
No
Loans or loan guarantees to or for related organization(s)
Yes
Loans or loan guarantees by related organization(s)
Yes
Dividends from related organization(s)
if
No
Sale of assets to related organization(s)
1g
No
Purchase of assets from related organization(s)
1h
No
No
No
Exchange of assets with related organization(s)
ii
Lease of facilities, equipment, or other assets to related organization(s)
ii
Lease of facilities, equipment, or other assets from related organization(s)

Performance of services or membership or fundraising solicitations for related organization(s)
No
m Performance of services or membership or fundraising solicitations by related organization(s)
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s)
No
Sharing of paid employees with related organization(s)
No
No
Yes
Yes
Yes
Yes
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
Page 4
Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
(a)
(b)
Primary activity
(c)
Legal
domicile
(state or
foreign
country)
(d)
Predominant
income
(related,
unrelated,
excluded from
tax under
sections 512514)
(e)
Are all partners
section
501(c)(3)
organizations?
Yes
No
(f)
Share of
total
income
(g)
Share of
end-of-year
assets
(h)
Disproprtionate
allocations?
Yes
No
(i)
Code V7UBI
amount in
box 20
of Schedule
K-1
(Form 1065)
U)
General or
managing
part ner?
Yes
(k)
Percentage
ownership
No
Page 5
Provide additional information for responses to auestions on Schedule R (see instructions
Return Reference
Explanation
Additional Data
Software ID:
Software Version:
EIN:
Name :
06 -0647014
GRIFFIN HOSPITAL
Form 990, Schedule R. Part V - Transactions With Related Organizations

(a)
(b)
Transaction
type (a-s)
(c)
Amount Involved
(d)
amount involved
GH VENTURES INC
976,444 ACTUAL CASH
498,897 ACTUAL CASH
PLANETREE INC
984,412 ACTUAL CASH
GRIFFIN HEALTH SERVICES CORPORATION
581,511 ACTUAL CASH
GRIFFIN HEALTH SERVICES CORPORATION
497,598 ACTUAL CASH
HAIC
PLANETREE INC
375,766 ACTUAL CASH

Subsidiary

Index
Page(s)
Independent Auditor's Report

Balance Sheets
2-3
7-31
Independent Auditor's Report on Accompanying Consolidated Information
32
Balance Sheets
33-36
37-38
L
pwc
Independent Auditor's Report
Griffin Hospital
We have audited the accompanying consolidated financial statements of Griffin Hospital and its
subsidiary (the "Hospital"), which comprise the consolidated balance sheets as of September 30, 2014 and
2013, and the related consolidated statements of operations, consolidated statements of changes in net
assets and consolidated statements of cash flows for the years then ended.
Management 's Responsibility for the Consolidated Financial Statements
Management is responsible for the preparation and fair presentation of the consolidated financial
statements in accordance with accounting principles generally accepted in the United States of America;
this includes the design, implementation, and maintenance of internal control relevant to the preparation
and fair presentation of consolidated financial statements that are free from material misstatement,
whether due to fraud or error.
Auditor's Responsibility
Our responsibility is to express an opinion on the consolidated financial statements based on our audits.
We conducted our audits in accordance with auditing standards generally accepted in the United States of
America. Those standards require that we plan and perform the audit to obtain reasonable assurance
about whether the consolidated financial statements are free from material misstatement.
An audit involves performing procedures to obtain audit evidence about the amounts and disclosures in
the consolidated financial statements. The procedures selected depend on our judgment, including the
assessment of the risks of material misstatement of the consolidated financial statements, whether due to
fraud or error. In making those risk assessments, we consider internal control relevant to the Hospital's
preparation and fair presentation of the consolidated financial statements in order to design audit
procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on
the effectiveness of the Hospital's internal control. Accordingly, we express no such opinion. An audit
also includes evaluating the appropriateness of accounting policies used and the reasonableness of
significant accounting estimates made by management, as well as evaluating the overall presentation of
the consolidated financial statements. We believe that the audit evidence we have obtained is sufficient
and appropriate to provide a basis for our audit opinion.
Opinion
In our opinion, the consolidated financial statements referred to above present fairly, in all material
respects, the financial position of Griffin Hospital and its subsidiary at September 30, 2014 and 2013 and
the results of their operations and their cash flows for the years then ended in accordance with accounting
principles generally accepted in the United States of America.
Pri c a JC-lLo^,.,e C-oo^rvs
LL P
February 6, 2015
Price uwaterhousecoopers LLP, 185 Asylum Street, Suite 2400, Hartford, CT 06103-3404
c.com/us
T. (860) 241 7000, F: (860) 241 7590,

2014
Assets
Current assets
Investments
Patient accounts receivable, less allowance for
doubtful accounts of approximately $4,339,000 and
$5,256,000, respectively
7,743,894
8,062,643
718,522
2013
5,309,111
9,040,563
710,605
13,166,233
5,215,469
14,743,574
5,426,579
34,906,761
35,230,432
30,866
4,289,408
43,179
4,289,166
4,320,274
4,332,345
Due from affiliates
1,274,463
54,730,046
8,188,186
6,230,012
3,760,171
765,169
6,137,382
1,186,601
56,068,701
6,969,447
3,659,921
3,670,942
480,486
6,279,439
81,085,429
78,315,537
$ 120,312,464
$ 117,878,314

Total assets

2014
Current liabilities
lease obligations
Accounts payable
Accrued expenses
Deferred revenue
Due to affiliates
6,170,364
16,322,401
9,255,798
295,828
447,000
39,289
38,792
2013
5,679,417
19,129,038
7,396,947
316,307
389,000
194,930
14,292
32,569,472
33,119,931
5,697,567
4,048,289
2,178,810
35,030,914
8,517,526
109,412
42,390,534
6,436,499
3,424,484
4,331,509
2,317,799
30,640,516
7,605,700
114,445
43,898,212
110,886
6,022,007
136,979,023
131,585,489
17,997,763
(44,104,298)
15,872,075
(38,051,834)
Total unrestricted
(26,106,535)
(22,179,759)

3,519,544
5,920,432
2,641,381
5,831,203
Total net deficit
(16,666,559)
(13,707,175)

Total liabilities
Net deficit
Unrestricted operating net assets
$ 120,312,464
$ 117,878,314
3

2014
2013
$ 141,890,715
(1,107,461)
$ 131,528,811
(2,487,760)
140,783,254
129,041,051
3,057,064
-
3,603,467
110,583
143,840,318
132,755,101
Operating expenses
Interest
79,777, 259
50,402,324
5,920 , 339
3,531,142
76 , 790,169
48 , 810,546
6,175,846
2 , 451,658
139,631 , 064
134 , 228,219
4,209,254
(1,473,118)
750,312
(1,723,375)
1,883,920
( 1,969,857)
436,170
1,803,353
2,231,692
(2,291,549)
( 1,059,000 )
2,179,666
Operating revenues
Income (loss) from operations

Investment income
Net realized and unrealized ( losses ) gains on interest rate swaps
Grant revenues
Grant expenses
Total nonoperating ( losses) gains
Excess of revenues over expenses
(Decrease ) increase in unrestricted net assets
3,150,254
706,548
428,439
(1,453,005)
617,043
(91,875)
(6,052,464)
14,637,527
(3,926 ,776)
$ 15 ,869,243
4

2014
Excess of revenues over expenses
Other changes
3,150,254
428,439
(1,453,005)

Investment income
Unrealized gain on investments
Increase in temporarily restricted net assets
Increase in permanently restricted net assets
(Decrease) increase in net assets
Net deficit
Beginning of year
End of year
2013
706,548
617,043
(91,875)
(6,052 ,464)
14,637,527
(3,926 ,776)
15, 869,243
790,300
32,751
40,437
14,675
399,618
16,727
45,512
(23,479)
878,163
438,378
89,229
20,849
89,229
20,849
(2,959,384)
16,328,470
(13,707,175)
(30 ,035,645)
$ (16,666 , 559)
$ (13 ,707,175)
5

2014
(Decrease) increase in net assets
Non-cash correction of an error
Deferred revenue
(2,959,384)
2013
16,328,470
1,157,727
6,052,464
5,853,483
317,703
(89,229)
414,492
1,107,461
(1,453,005)
(1,218,739)
(14,637,527)
6,320,384
135,507
(20,849)
(3,131,346)
2,487,760
(91,875)
(1,016,661)
469,880
154,025
(2,545,591)
(2,702,486)
1,988,400
(155,641)
(692,240)
(4,120,789)
3,808,972
4,156,280
(4,829,639)
967,895
154,751
1,925,002
Total adjustments
8,658,704
(7,892,135)
5,699,320
8,436,335
(2 ,938,172)
( 9,786 ,114)
10,362 ,623
1,453 , 005
( 2,593,009)
(17,341,757)
13 ,454,981
91,875
(908,658)
(6,387,910)

735,000
(2,040,000)
(1,050,879)
(2,997,048)
(1,909,683)
(2,355,879)
(4,906,731)
2,434,783
(2,858,306)
5,309,111
8,167,417

Purchases of property , plant and equipment , net
Net increase (decrease) in cash and cash equivalents

Beginning of year
End of year
7,743,894
5,309,111

Interest paid
3,721,727
3,810,455

1,765,016
6
499,653

Organization
organization currently managing medical office buildings, Planetree Inc ("Planetree"), a
not-for-profit entity assisting hospitals and other health care facilities in the development and
Company, Ltd ("HAIL'), a for profit off-shore captive insurance company
During the preparation of the September 30, 2014 financial statements, the Hospital identified
two prior period errors in accounting The first is for a capital equipment lease the Hospital entered
into in Fiscal 2010 where the lease obligation amount capitalized was not correctly amortized The
second is the purchase of a perpetual software license entered into in Fiscal 2012 where the
amounts capitalized were not correct The Company has corrected the errors by charging
$123,744 to depreciation expense and $1,104,486 to interest expense in the year ended
September 30, 2014 financial statements The Hospital also increased its capital lease obligation
and accrued liabilities by $1,489,468 and its property, plant and equipment balance by $261,238
Correction of the errors had the effect of decreasing net assets as of October 1, 2013 by
$1,228,230 The Hospital has evaluated the errors and does not believe the amounts are material
to any of the periods impacted
2.

consolidation

Unrestricted
contributions
Use of Estimates
policy to monitor the bank's financial strength on an ongoing basis

Inventories
follows
Level 1
Level 2
Level 3
measurement

unrealized gains and losses on investments, interest and dividends) is included in the excess of
future capital improvements, postretirement benefit obligations and assets held by a trustee under
an indenture agreement
Cost of Borrowing
Issuance costs and premiums related to the Hospital's bond issuance are being amortized/accreted
using the effective interest method over the life of the debt Net amortization expense, which is
included in interest expense, was $123,064 and $144,540 for 2014 and 2013, respectively
10

Excess of Revenues Over Expenses
The statements of operations includes an excess of revenues over expenses Changes in
unrestricted net assets which are excluded from the excess of revenues over expenses, consistent
New Accounting Pronouncement
The Corporation adopted Accounting Standard Update ("ASU") No 2011-7, which requires health
care entities to change the presentation of their statement of operations by reclassifying the
provision for bad debts associated with patient service revenue from an operating expense to a
deduction from patient service revenue (net of contractual allowances and discounts) Additionally
those health care entities are required to provide enhanced disclosures about their policies for
recognizing revenue, assessing bad debts, and disclosures of patient service revenue (net of
contractual allowances and discounts)
adjustments was a decrease in net patient service revenue of approximately $1,034,000 and a
decrease of approximately $196,000 in fiscal years 2014 and 2013, respectively
11

Free Care
Income Taxes
Subsequent Events
February 6, 2015, the date the financial statements were issued
Reclassifications
Certain amounts in the 2013 consolidated financial statements have been reclassified to conform to
3.

follows
2014
FPP
Hospital
Net patient service
revenue (less contractuals)
$ 479,133,995
(342,181,446)
489,805,116
(347,914,401)
$ 438,847,354
(310,668,116)
136,952,549
4,938,166
141,890,715
128,179,238
(1,054,556)
(52,905)
(1,107,461)
(2,373,418)
$ 140,783,254
$ 125,805,820
4,885,261
2013
FPP
Hospital
10,671,121
(5,732,955)
$ 135,897,993
Total
6,190,769
(2,841,196)
3,349,573
(114,342)
3,235,231
Total
$ 445,038,123
(313,509,312)
131,528,811
(2,487,760)
$ 129,041,051
programs
Medicare
12

Medicaid
Outpatient services are reimbursed at predetermined fee schedules or percent of charges
Other Payers
4.
Investments
Investments
2014
Cost
2013
Fair Value
Cost
Fair Value
4,376,782
4,464,530
4,284,319
5,052,787
5,445,810
4,629,469
5,270,018
4,957,146
8,841,312
9,337,106
10,075,279
10,227,164
13

2014
Cost
Board -designated

59
Cost
59
Fair Value
10,644
10,644
30,807
30,807
32,535
32,535
30,866
30,866
43,179
43,179
5,007,632
598
5,007,332
598
4,999,286
1,107
4,998,664
1,107
5,008,230
5,007,930
5,000,393
4,999,771
(718,522)
(718,522)
(710,605)
4,289,708
$
2013
Fair Value
4,320,574
4,289,408
$
4,320,274
(710,605)
4,289,788
$
4,289,166
4,332,967
4,332,345
2014
Income
Net realized gain
2013
432,609
54,533
263,170
300,663
53,818
81,689
750,312
436,170
Significant
Other
Significant
Observable
Unobservable
Inputs
Inputs
(Level 2)
(Level 3)
Quoted Prices
in Active
Markets for
Identical Assets
(Level 1)
Investments
Fixed income
Equity securities
Total investments
4,284,319
5,052,787
Liabilities
9,337,106
Perpetual trusts
Fair Value
3,760,171
3,760,171
$ 13,097,277
9,337,106
3,760,171
6,436,499
6 ,436,499
14
4,284,319
5,052,787
9,337,106
6,436,499
$
6,436,499


3,670,942
89,229
-
3,760,171

Significant
Other
Significant
Observable
Unobservable
Inputs
Inputs
(Level 2)
(Level 3)
Quoted Prices
in Active
Markets for
Identical Assets
(Level 1)
Investments
Fixed income
Equity securities
Total investments
5,270,018
4,957,146
10,227,164
Liabilities
5,270,018
4,957,146
10,227,164
Perpetual trusts
Fair Value
3,670,942
$
10,227,164
3,670,942
6,022,007
6,022,007
3,670,942
$
13, 898,106
6,022,007
$
6,022,007

131,432
(110,583)
$
15
3,650,093
3,670,942

5.

2014
Less Accumulated amortization and depreciation

5,107,308
72,989,015
76,035,914
2013
$
5,107,308
72,126,472
73,479,349
154,132,237
150,713,129
(99,579,746)
(94,769,810)
54,552,491
55,943,319
177,555
125,382
$ 54,730,046
$ 56,068,701
2013, respectively
Amortization expense on capital lease assets was $835,984 and $1,238,202 for 2014 and 2013,
respectively
6.

16

Effective March 28, 2013 the Hospital entered into a novation agreement with American Insurance
Group Inc , where it legally transferred all exposure relating to primary layer professional liability
and physicians professional liability policies issued to the Hospital in the years 2006/07, 2007/08,
2009/10, 2010/11 and 2011/12, by making a onetime premium payment of $7,400,000 The loss
portfolio transfer effectively transfers the liabilities and subsequent adverse claim development risk
to a third party insurer As a result of the transaction, cash of $3,900,000 became unrestricted and
was transferred from HAIC to the Hospital In addition, a loss of $818,214 was realized on the
transaction The loss was the result of the premium payment exceeding the amount of loss
reserves previously recorded at HAIC The loss is included in the fiscal year 2013 operating
expenses of the Hospital
7.
Long-Term Debt
2014
Series B
Series C
Series D
Loan payable
Premium and discount on bonds , net of accumulated accretion
and amortization of $477, 391 and $401,323, respectively
Less
Current portion
14,725,000
21,025,000
10,125,000
735,000
2013
15,990,000
21,575,000
10,350,000
-
364,634
440,712
46,974,634
48,355,712
(4,584,100)
(4,457,500)
$ 42,390,534
$ 43,898,212
$10,925,000 variable rate revenue bonds, The Griffin Hospital Issue, Series D The estimated fair
value of the Series C and Series D bonds was approximately $21,025,000 and $10,125,000 at
September 30, 2014 respectively and $21,575,000 and $10,350,000 September 30, 2013,
respectively
17

with Wells Fargo Bank N A for $34,050,000 which expires in May 2016 Should the Series 2008
Bonds be put back, and the standby letter of credit be called, the Hospital would be required to
repay the principal ratably over a 5-year period, beginning 180 days following the put
required to maintain 50 days operating cash on hand, an average payment period days of less than
110 days and a debt service coverage ratio of 1 2 to 1 Additionally, the Obligated Group is
required to maintain a capitalization ratio excluding any realized or unrealized gain or loss on the
interest rate swap instrument of less than 65
In August 2014 the Hospital entered into a loan in the amount of $735,000 to finance certain
diagnostic equipment The loan is for five years at a rate of 4 5% payable monthly in a fixed
amount of $13,703 per month
2015
2016
2017
2018
2019
Thereafter
2,269,100
2,365,260
2,491,704
2,628,443
2,735,493
34,120,000
$ 46,610,000
2014
2015
2016
2017
2018
Thereafter
4,584,100
7,770,260
7,846,704
7,933,443
8,015,493
10,460,000
$ 46,610,000
18

2014
Debt service fund
Principal fund
2013
4,288,555
184,260
535,119
598
4,288,126
199,829
511,955
1,107
5,008,532
5,001,017
significant
of the change in fair value was a loss of $414,492 and a gain of $3,131,346 for the years ended
September 30, 2014 and 2013, respectively This change is included in the net realized and
unrealized losses on interest rate swap agreements, which also includes the net periodic
settlement payments related to the swap agreements of $1,308,883 and $1,327,993 for 2014 and
2013, respectively
19

2014
Initial
Notional
hedging instruments
Interest rate swaps
Fair
Value
$ 34,050,000
(6,436,499)
2013
Initial
Notional
hedging instruments
Interest rate swaps
$ 34,050, 000
Fair
Value
(6 ,022,007)
2014
on Derivatives
hedging Instruments
Interest rate swaps

$
2013
on Derivatives

hedging Instruments
Interest rate swaps
8.

gains on interest rate swaps
Gain or (Loss)
on Derivatives
(1,723,375)
Gain or (Loss)
on Derivatives
1,803,353

20

9.
Lease Commitments
Capital Leases
2015
1,611,040
1,611,040
24,776
1,586,264
1,586,264
Capital lease obligation, net of current portion
Operating Leases
leases was approximately $1,065,965 and $985,323 for the years ended September 30, 2014 and
2013, respectively
are as follows
2015
2016
2017
2018
2019
10.
1,056,736
1,037,056
1,024,225
1,003,972
954,316
5,076,305

and 2013
2014
73,188
1,773,159
816,085
$
21
857,112
2013
3,519,544
769,249
62,240
885,564
924,328
2,641,381

2014
1,742,616
3,760,171
$
11.
417,645
2013
5,920,432
417,645
1,742,616
3,670,942
$
5,831,203
Transactions With Affiliated Corporations

of September 30
2014
Planetree
GHSC
2013
1,958,746
1,979,739
1,505,823
56,859
531,235
197,610
6,230,012
362,462
1,979,739
897,177
306,847
113,696
3,659,921

2014
Griffin Health Ventures
2013
38,792
14,292
38,792
14,292
2014 and 2013, respectively Additionally, GHDF made a transfer to the Hospital of $500,000 in
2013
22

and $675,354 in 2014 and 2013 respectively
HAIC (Note 6) Total premiums incurred for this insurance coverage in 2014 and 2013 were
expenses on behalf of HAIC and is subsequently reimbursed for these expenses As of
September 30, 2014 and 2013, the Hospital was due $1,958,747 and $362,462, respectively, from
HAIC for favorable claim development net of insurance premiums due
The Hospital paid operating expenses of approximately $3,000 for both 2014 and 2013
Planetree, Inc.
The Hospital advanced operating expenses for Planetree totaling approximately $984,412 and
$375,766 and $942,919 in 2014 and 2013, respectively
12.

Pension Benefits
Griffin Hospital were frozen for the April 1, 2010 to March 31, 2012 period Participants continued
to earn vesting service during the freeze period and pay increases during the freeze period was
reflected in participant's final earnings calculation however no credited service was earned for the
period from April 1, 2010 to March 31, 2012 Effective April 1, 2012 the plan freeze was terminated
and credit service accruals were reestablished at a reduced rate
The Hospital's accumulated benefit obligation was $103,002,425 and $93,064,814 at
23

date
Pension Benefits
2014
2013

2014
2013
Change in projected benefit obligation

Service cost
Interest cost
Actuarial (gain) loss
Benefits paid
$ 93,895,229
1,612,645
4,326,274
8,658,086
(4,100,441)
$ 100,982,447
1,639,334
3,866,724
(8 ,810,774)
(3,782,502)
7,994,700
273,974
367,395
779,450
(450,993)
8,919,801
307,509
339,544
(1,065,776)
(506,378)
$ 104,391,793
$ 93,895,229
8,964,526
7,994,700

Benefits paid
$ 63,254,713
6,338,435
3,868,172
(4,100,441)
$ 58,554,517
5,440,386
3,042,312
(3,782,502)
$ 69,360,879
$ 63,254,713
$ (35,030,914)
$ (30,640,516)
(8,964,526)
(7,994,700)
450,993
(450,993)
506,378
(506,378)

Pension Benefits
2014
2013
Service cost
Interest cost
service credit
Net actuarial loss
1,612,645
4,326,274
(5,194,767)
(1,121,883)
3,181,284
2,803,553

2014
2013
1,639,334
3,866,724
(4,891,312)
(1,121,883)
5,309,432
$
273,974
367,395
-
(112,992)
294,995
4,802,295
307,509
339,544
(389,620)
413,974
823,372
671,407

Pension Benefits
2014
2013
Current liabilities
35,030,914
$ 35,030,914
24
Other Benefits
2014
2013
30,640,516
447,000
8,517,526
389,000
7,605,700
$ 30,640,516
8,964,526
7,994,700

Pension Plan
2014
Negative prior service cost
Net actuarial loss
(7,296,357)
46,877,703
$ 39,581,346
2013
$
(8,418,240)
42,544,569
$ 34,126,329
net assets
2014
Amortization of
Actuarial loss
7,514,418
2013
$
(9,359,848)
(3,181,284)
(5,309,432)
4,333,134
$ (14,669,280)
next fiscal year
Actuarial loss
2,294,470
Post-Retirement Plan
2014
Net actuarial loss
2013
4,522,953
(112,992)
4,038,498
4,522,953
3,925,506
2014
Amortization of
Prior service cost
Actuarial gain
779,450
2013
$
112,992
(294,995)
$
25
597,447
(1,065,776)
389,620
(413,974)
(1,090,130)

next fiscal year
Actuarial gain
334,556

Pension Benefits
2014
2013
Discount rate
4 13%
4 00%
Other Benefits
2014
2013
4 13%
N/A
472%
4 00%
Pension Benefits
2014
2013
Discount rate
472%
8 22%
4 00%
472%
N/A
Other Benefits
2014
2013
391%
8 22%
4 00%
472%
N/A
N/A
Pre-65
391%
N/A
N/A
Post-65
2014
2013
2014
2013

7 00%
7 50%
7 00%
7 50%
to decline ( the ultimate trend rate )

5 00%
2019
5 00%
2019
5 00%
2019
5 00%
2019
A one - percentage - point change in assumed health care cost trend rates would have the following
effects on
1-Percentage
Point
Increase
(in 000's)
25,721
194,208
1-Percentage
Point
Decrease
$
(22,375)
(175,211)
Contributions
26

of September 30
Pension
Benefits
2015
2016
2017
2018
2019
2020-2024
4,416,000
4,747,000
4,969,000
5,290,000
5,519,000
31,114,000
Other
Benefits
$
447,000
528,000
572,000
636,000
605,000
3,101,000

2014
Asset category
US Large cap
U S Small cap
Fixed income
Real estate
1 %
38
8
13
6
30
4
2%
37
8
13
7
29
4
100%
100%
2014
Cash
US Large cap
U S Small cap
Fixed income
Real estate
27
2013
2013
0%
27
7
12
10
40
4
0%
27
7
12
10
40
4
100%
100%

September 30, 2014
(in thousands)
Quoted
Prices in
Active Markets
for Identical
Assets
(Level 1)
Significant
Other
Observable
Inputs
(Level 2)

US Large cap
US Small cap
Fixed income
703
25,863
5,302
8,813
1,936
21,094
2,820
66,530
Significant
Unobservable
Inputs
(Level 3)
$
Total
$
703
25,863
5,302
8,813
4,767
21,094
2,820
69,361
2,831
2,831
September 30, 2013
(in thousands)
Quoted
Prices in
Active Markets
for Identical
Assets
(Level 1)
Significant
Other
Observable
Inputs
(Level 2)
Significant
Unobservable
Inputs
(Level 3)
Total

U S Large cap
US Small cap
Fixed income
1,206
23,116
5,047
8,103
1,807
18,767
2,497
2,712
-
1,206
23,116
5,047
8,103
4,519
18,767
2,497
(t
An I;AA
2,712
63,255

the volatility of the funding ratio by aligning the Plan's assets with its liabilities in terms of how both
respond to interest rate changes, this is then followed by an investment objective strategy to
the long run The objective will result in a prescribed asset mix between return seeking assets and
a LDI bond portfolio
28

13.

2014
Managed care
Self-pay patients
14.
2013
26 %
21
35
18
21 %
19
27
33
100%
100%
Functional Expenses
2014
15.
2013
$ 116,310,243
23,320,821
$ 112,685,742
21,542,477
$ 139,631,064
$ 134,228,219
Endowments
29

2014
Permanently
Restricted
Temporarily
Restricted

1,248,801

3,409,062
242,728
242,728
(25,358)
(25,358)
1,466,171
1,089,279
2,160,261
2013
Permanently
Restricted
Temporarily
Restricted
2,160,261
Total
2,160,261
3,626,432
Total
$
3,249,540
183,001
183,001
(23,479)
(23,479)
1,248,801
2,160,261
3,409,062
16.

statements
30

During May, 2014, the Hospital became aware of a safety concern related to the use of multi-dose
insulin pens on more than one patient On investigation, it was discovered that in a small number
of cases, multi-dose insulin pen cartridges intended for single patient use may have been used for
more than one patient, either after installing a new, sterile safety needle on the cartridge, or by
drawing up insulin with a new sterile syringe Through improper use of the insulin pens there is a
remote possibility that patients could have been exposed to certain blood-borne infections
In response , the Hospital decided to offer all of the approximately 3,149 patients for whom an
insulin pen was ordered during their hospitalization on or after September 1, 2008 and before
May 7 , 2014, free and confidential testing for hepatitis B, hepatitis C , and HIV The testing protocol
was determined after consultation with the Infectious Disease and Gastroenterology division chiefs
and in accordance with the current CDC guidelines
As of January 12, 2015, 7 patients have been identified as in need of further treatments and
testing The Hospital has established a reserve in the amount of $1,050,000 for cost associated
with the testing, treatment of patients and any litigation associated with the potential claims as of
September 30, 2014
31
L
pwc
Independent Auditor's Report on
Accompanying Consolidating Information
of September 30, 2014 and 2013 and for the years then ended appears on page 1 of this document. Those
audits were conducted for the purpose of forming an opinion on the consolidated financial statements
taken as a whole. The consolidating information is presented for purposes of additional analysis of the
consolidated financial statements rather than to present the financial position and results of operations of
the individual companies. Accordingly, we do not express an opinion on the financial position and results
of operations of the individual companies. However, the consolidating information has been subjected to
the auditing procedures applied in the audits of the consolidated financial statements and, in our opinion,
is fairly stated, in all material respects, in relation to the consolidated financial statements taken as a
whole.
Fri c c
a GiLo...QC- oo(sc,-s
L(.. 1
February- 6, 2015
Price uwaterhousecoopers LLP, 185 Asylum Street, Suite 2400, Hartford, CT 06103-3404
T. (860) 241 7000, F: (860) 241 7590, wwi\.pi\ c .com/us

September 30, 2014
The
Griffin
Hospital
Assets
Current assets
Investments

7,492,599
8,062,643
718,522
12,651,193
5,073,574
33,998,531
Griffin
Faculty
Practice Plan
251,295
515,040
141,895
908,230
Eliminations
Total
7,743,894
8,062,643
718,522
13,166,233
5,215,469
34,906,761
30,866
4,289,408
30,866
4,289,408
4,320,274
4,320,274
Due from affiliates
1,274,463
53,137,742
8,188,186
6,230,012
1,283,136
3,760,171
765,169
6,137,382
1,592,304
-
(1,283,136)
-
1,274,463
54,730,046
8,188,186
6,230,012
3,760,171
765,169
6,137,382
80,776,261
1,592,304
(1,283,136)
81,085,429
(1,283,136)
$ 120,312,464
Total assets
$ 119,095 ,066
33
2,500,534

September 30, 2014
The
Griffin
Hospital
Current liabilities
lease obligations
Accounts payable
Accrued expenses
Deferred revenue
Due to affiliates
6,170,364
15,842,410
8,557,183
295,828
447,000
39,289
-
Griffin
Faculty
Practice Plan
479,991
698,615
38,792
Eliminations
Total
6,170,364
16,322,401
9,255,798
295,828
447,000
39,289
38,792
31,352,074
1,217,398
32,569,472
5,697,567
4,048,289
2,178,810
35,030,914
8,517,526
109,412
42,390,534
6,436,499
5,697,567
4,048,289
2,178,810
35,030,914
8,517,526
109,412
42,390,534
6,436,499
135,761,625
1,217,398
136,979,023
17,997,763
(44,104,298)
1,283,136
-
(1,283,136)
-
17,997,763
(44,104,298)
Total unrestricted
(26,106,535)
1,283,136
(1,283,136)
(26,106,535)

3,519,544
5,920,432
(16,666,559)
1,283,136
(1,283,136)
3,519,544
5,920,432
(16,666,559)
(1,283,136)
$ 120,312,464

Total liabilities
$ 119,095 ,066
34
2,500,534

September 30, 2013
The
Griffin
Hospital
Assets
Current assets
Investments

5,178,405
9,040,563
710,605
14,419,423
5,290,594
34,639,590
Griffin
Faculty
Practice Plan
130,706
324,151
135,985
590,842
Eliminations
Total
5,309,111
9,040,563
710,605
14,743,574
5,426,579
35,230,432
43,179
4,289,166
43,179
4,289,166
4,332,345
4,332,345
Due from affiliates
1,186,601
55,610,872
6,969,447
3,659,921
465,940
3,670,942
480,486
6,279,439
457,829
-
(465,940)
-
1,186,601
56,068,701
6,969,447
3,659,921
3,670,942
480,486
6,279,439
78,323,648
457,829
(465,940)
78,315,537
(465,940)
$ 117,878,314
Total assets
$ 117,295,583
35
1,048,671

September 30, 2013
The
Griffin
Hospital
Current liabilities
lease obligations
Accounts payable
Accrued expenses
Deferred revenue
Due to affiliates

Total liabilities
Total unrestricted
5,679,417
18,863,396
7,094,150
316,307
389,000
194,930
32,537,200
265,642
302,797
14,292
582,731
Eliminations
Total
5,679,417
19,129,038
7,396,947
316,307
389,000
194,930
14,292
33,119,931
3,424,484
4,331,509
2,317,799
30,640,516
7,605,700
114,445
43,898,212
110,886
6,022,007
3,424,484
4,331,509
2,317,799
30,640,516
7,605,700
114,445
43,898,212
110,886
6,022,007
131,002,758
582,731
131,585,489
15,872,075
(38,051,834)
(22,179,759)
465,940
465,940
(465,940)
(465,940)
2,641,381
5,831,203
(13,707,175)
465,940
(465,940)
(13,707,175)
(465,940)
$117,878,314
$ 117,295,583
36
Griffin
Faculty
Practice Plan
1,048,671
15,872,075
(38,051,834)
(22,179,759)
2,641,381
5,831,203

The
Griffin
Hospital
Operating revenues
$ 136,952,549
(1,054,556)
135,897,993
3,270,624
Griffin
Faculty
Practice Plan
4,938,166
(52,905)
4,885,261
715,737
Eliminations
Total
(929,297)
$ 141,890,715
(1,107,461)
140,783,254
3,057,064
139,168,617
5,600,998
(929,297)
143,840,318
Operating expenses
Depreciation
Interest
72,458,212
48,535,460
5,750,673
3,531,142
7,319,047
2,796,161
169,666
-
(929,297)
-
79,777,259
50,402,324
5,920,339
3,531,142
130,275,487
10,284,874
(929,297)
139,631,064
8,893,130
(4,683,876)
4,209,254
750,312
(1,723,375)
1,883,920
(1,969,857)
750,312
(1,723,375)
1,883,920
(1,969,857)
(1,059,000)
(1,059,000)
7,834,130
(4,683,876)
3,150,254
1,245,634
(6,954,076)
5,501,071
(817,195)
-
428,439
(1,453,005)
(6,052,464)
(6,052,464)

Investment income
37
(3,926,776)
817,195
(817,195)
(3,926,776)

The
Griffin
Hospital
Operating revenues
$ 128,179,238
(2,373,418)
125,805,820
3,603,467
110,583
Griffin
Faculty
Practice Plan
3,349,573
(114,342)
3,235,231
630,773
-
Eliminations
Total
(630,773)
-
$ 131,528,811
(2,487,760)
129,041,051
3,603,467
110,583
129,519,870
3,866,004
(630,773)
132,755,101
Operating expenses
Depreciation
Interest
72,402,054
46,423,483
6,099,345
2,451,658
4,388,115
3,017,836
76,501
-
(630,773)
-
76,790,169
48,810,546
6,175,846
2,451,658
127,376,540
7,482,452
(630,773)
134,228,219
2,143,330
(3,616,448)
(1,473,118)
436,170
1,803,353
2,231,692
(2,291,549)
436,170
1,803,353
2,231,692
(2,291,549)
2,179,666
2,179,666
4,322,996
(3,616,448)
706,548
471,884
(3,563,164)
3,471,289
145,159
-
617,043
(91,875)
14,637,527
145,159
$ 15,869,243

Investment income
14,637,527
$ 15,869,243
38
(145,159)

Griffin Hospital, Derby, CT, IRS 990s, 2011-2014

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l efile GRAPHIC p rint - DO NOT PROCESS

Return of Organization Exempt From Income Tax

Department of the Treasury

Internal Revenue Service

A For the 2010

ca lendar year, or tax year beginning 10-01-2010

and ending 09-30-2011

City or town, state or country, and ZIP + 4

F Name and address of principal officer

Is this a group return foraffliates7l

Are all affiliates included?

If "No," attach a list (see instructions)

Tax - exempt status

Group exemption number 0-

K Form of organization F Corporation 1 Trust F_ Association 1 Other 0-

M State of legal domicile

Briefly describe the organization's mission or most significant activities

6 Total number of volunteers (estimate if necessary)

Contributions and grants (Part VIII, line 1h)

Program service revenue (Part VIII, line 2g)

Investment income (Part VIII, column (A), lines 3, 4, and 7d

Benefits paid to or for members (Part IX, column (A), line 4)

Salaries, other compensation, employee benefits (Part IX, column (A ), lines

Professional fundraising fees (Part IX, column (A), line l le)

Total fundraising expenses (Part IX, column (D), line 25) 0- 0

Other expenses (Part IX, column (A), lines h1a-11d, 11f-24f)

Revenue less expenses Subtract line 18 from line 12

Total assets (Part X, line 16)

Total liabilities (Part X, line 26)

Net assets or fund balances Subtract line 21 from line 20

SASLOW LUFKIN & BUGGY LLP

Form 990 ( 2010)

Statement of Program Service Accomplishments

Briefly describe the organization 's mission

GRIFFIN HOSPITAL IS COMMITTED TO PROVIDING PERSONALIZED, HUMANISTIC, CONSUMER-DRIVEN HEALTH CARE IN A

If"Yes,"describe these new services on Schedule 0

If"Yes,"describe these changes on Schedule 0

PROVIDE CANCER RELATED RADIOLOGY SERVICES TO THE COMMUNITY

PROVIDE PSYCHIATRIC SERVICES TO THE COMMUNITY ON AN OUTPATIENT BASIS

Total program service expensesl-$

Form 990 (2010)

Checklist of Required Schedules

Is the organization required to complete Schedule B, Schedule of Contributors (see instruction) ?

Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes, "complete Schedule E

Form 990 (2010)

Form 990 (2010)

Checklist of Required Schedules (continued)

Form 990 (2010)

Statements Regarding Other IRS Filings and Tax Compliance

If"Yes" to line 5a or 5b, did the organization file Form 8886-T?

Organizations that may receive deductible contributions under section 170(c).

If"Yes,"indicate the number of Forms 8282 filed during the year

Sponsoring organizations maintaining donor advised funds.

Section 501(c )( 7) organizations. Enter

Initiation fees and capital contributions included on Part VIII, line 12

Section 501(c)(12) organizations. Enter

Gross income from members or shareholders

Section 501(c )( 29) qualified nonprofit health insurance issuers.

Enter the amount of reserves on hand

Form 990 ( 2010)

Section A . Governing Body and Management

Does the organization have members or stockholders?

The governing body?

Each committee with authority to act on behalf of the governing body?