2024-09-13T14:35:24-05:00 2023-09-30 390859910 BAKER TILLY ADVISORY GROUP LP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2022-10-01 060646559 BRISTOL HOSPITAL INC BRIS 8605853000 41 BREWSTER ROAD BRISTOL CT 06010 TIMOTHY AJAYI VP & CFO 8605853000 2024-09-13 1 1 KERRI N BOGDA CPA P00760402 7177404863 2024-09-10 2022 2024-08-08 14:25:15Z KURT BARWIS 41 BREWSTER ROAD BRISTOL CT 06010 163235244 0 X WWW.BRISTOLHOSPITAL.ORG X 1920 CT TO PROVIDE SAFE, QUALITY CARE AND SERVICES TO ENHANCE THE HEALTH AND WELL-BEING OF OUR COMMUNITY. 15 13 1471 74 614592 0 5634759 5004522 146421880 150999449 1868687 4579369 1306749 1231941 155232075 161815281 0 0 0 0 78789871 80343836 0 0 0 76238037 80581350 155027908 160925186 204167 890095 113396740 103337029 121457167 127612608 -8060427 -24275579 X BRISTOL HOSPITAL AND HEALTH CARE GROUP IS COMMITTED TO ENHANCING THE HEALTH AND WELL-BEING OF OUR COMMUNITY. WE WILL PROVIDE SAFE, QUALITY CARE AND SERVICES TO OUR PATIENTS THROUGH OUR CONTINUUM OF SERVICES AND HEALTH PROMOTION. WE WILL COLLABORATE WITH HEALTH PROFESSIONALS AND OTHER ORGANIZATIONS AS ADVOCATES FOR OUR COMMUNITY. WE WILL PROVIDE THE OPPORTUNITY FOR GROWTH TO OUR MEDICAL STAFF AND EMPLOYEES IN AN ENVIRONMENT WHERE EACH INDIVIDUAL IS RESPECTED AND VALUED. 0 0 129366312 0 150384857 AS A SHORT-TERM ACUTE CARE COMMUNITY HOSPITAL, BRISTOL HOSPITAL PROVIDES A BROAD SPECTRUM OF HEALTHCARE SERVICES TO ANY INDIVIDUAL REGARDLESS OF THE INDIVIDUAL'S ABILITY TO PAY. THE HOSPITAL PROVIDED CHARITY CARE TO THOSE UNABLE TO PAY FOR SERVICES AT COST OF OVER $281,000 DURING THE OPERATING YEAR AND SUPPORTED THE STATE MEDICAID PROGRAM THROUGH THE PAYMENT OF OVER $12.7 MILLION IN PROVIDER TAXES. THE HOSPITAL ALSO PROVIDES EDUCATION AND WELLNESS PROGRAMS TO THE COMMUNITY. THESE ACTIVITIES TYPICALLY REACH OVER 3,000 INDIVIDUALS PER QUARTER. THESE ACTIVITIES INCLUDE: WELLNESS CENTER- SPECIAL CENTER FOR EDUCATIONAL OUTREACH PROGRAMMING SERVING HUNDREDS OF INDIVIDUALS PER MONTH. - COMMUNITY HEALTH SCREENINGS - ONGOING FREE AND REDUCED PRICE SCREENINGS FOR MAMMOGRAMS, BLOOD PRESSURE, CHOLESTEROL, PROSTATE CANCER, SKIN CANCER AND A FLU CLINIC PROVIDING FREE FLU SHOTS IN THE FALL. - SPEAKERS BUREAU - A COMMUNITY SERVICE WHERE THE HOSPITAL PROVIDES SPEAKERS ON A VARIETY OF TOPICS TO SERVE THE COMMUNITY'S EDUCATIONAL NEEDS. - PERIODIC COMMUNITY SERVICE PROJECTS - THE HOSPITAL HAS SPONSORED TWO MAJOR OUTREACH EFFORTS, ONE TO PROMOTE EARLY DETECTION OF BREAST CANCER AND ONE TARGETED TO PREVENT COLON CANCER. BOTH PROGRAMS HAVE INCREASED THE COMMUNITY'S COMPLIANCE WITH THE RECOMMENDED CANCER SCREENINGS AND HAVE BEEN RECOGNIZED WITH STATE, REGIONAL AND NATIONAL AWARDS.BRISTOL HOSPITAL BACKGROUND: BRISTOL HOSPITAL, THE FLAGSHIP OF THE BRISTOL HOSPITAL AND HEALTH CARE GROUP, IS COMMITTED TO PROVIDING INPATIENT AND OUTPATIENT HEALTH CARE SERVICES THAT ARE PROGRESSIVE, COMPASSIONATE, COORDINATED, ACCESSIBLE, AFFORDABLE, HIGH QUALITY AND RESPONSIVE TO COMMUNITY NEEDS. THE HOSPITAL'S CENTRAL MISSION IS TO BE THE LEADING HEALTH CARE PROVIDER FOR THE PEOPLE WHO LIVE AND WORK IN THE GREATER BRISTOL AREA, A ROLE THAT IT HAS PLAYED FOR MANY GENERATIONS SINCE THE EARLY 1920S. BRISTOL HOSPITAL SERVES ALL PEOPLE WHO NEED CARE, REGARDLESS OF THEIR AGE, GENDER, SEXUAL ORIENTATION, RACE, RELIGION, NATIONAL ORIGIN, PERSONAL LIMITATIONS, OR ABILITY TO PAY. IN ADDITION TO BEING THE LEADING HEALTH CARE PROVIDER, BRISTOL HOSPITAL IS ALSO ONE OF THE AREA'S LARGEST EMPLOYERS. THE HOSPITAL'S BOARD OF DIRECTORS IS COMPRISED OF COMMUNITY AND CIVIC LEADERS, WORKING AND RETIRED LOCAL BUSINESS EXECUTIVES, AND PHYSICIANS WHO GUIDE THE OVERALL PHILOSOPHY AND DIRECTION OF THE ORGANIZATION TO MEET THE NEEDS OF THE LOCAL COMMUNITY.BRISTOL HOSPITAL VISION: BRISTOL HOSPITAL AND HEALTH CARE GROUP ASPIRES TO BE RECOGNIZED AS THE BEST COMMUNITY HEALTH CARE PROVIDER IN CONNECTICUT. WORKING WITH OUR PATIENTS, PHYSICIANS, EMPLOYEES, VOLUNTEERS AND COMMUNITY, BRISTOL HOSPITAL AND HEALTH CARE GROUP WILL UTILIZE OUR CORE VALUES TO ACHIEVE THE VISION WHICH CREATES A CULTURE OF SAFETY, QUALITY AND SERVICE THAT IS EMBRACED AS AN INDIVIDUAL AND TEAM RESPONSIBILITY; ENSURES A USER-FRIENDLY CONTINUUM MODELED ON PROVIDING PATIENT-CENTERED CARE AND SERVICES; CONTINUALLY ASSESSES AND PROMOTES NEW SERVICES AND TECHNOLOGY; AND SERVES AS THE RESPONSIBLE STEWARD AND ADVOCATE FOR THE HEALTH OF OUR COMMUNITY.BRISTOL HOSPITAL PATHWAYS COMMUNITY PROGRAMMING: THIS IS COMPRISED OF DOZENS OF LOW COST OR FREE CLASSES AND SEMINARS THAT ARE OFFERED THROUGH ITS PATHWAYS CATALOG. THE CATALOG ALSO IS MAILED TO HOUSEHOLDS IN TOWNS IN BRISTOL HOSPITAL'S PRIMARY AND SECONDARY SERVICE AREAS. THE COMMUNITY PROGRAMMING OFFERED THROUGH THE PATHWAYS INCLUDE: WEIGHT LOSS SURGERY INFORMATION, MATERNITY, PARENTING EDUCATION, NUTRITION, CPR/EMT, STRESS RELIEF, REIKI, PERSONAL HEALTH AND DEVELOPMENT, SUPPORT GROUPS, THE DOCTOR IS IN - FREE HEALTH INFORMATION AND SEMINAR SERIES, HEALTH SCREENINGS, WEIGHT LOSS SUPPORT GROUP, CANCER CARE GROUPS, EVENING DIABETES SUPPORT GROUP, DAYTIME DIABETES SUPPORT GROUP, ALZHEIMER'S SUPPORT GROUP, OVEREATERS ANONYMOUS, AND EPILEPSY SUPPORT. "THE DOCTOR IS IN" FREE HEALTH INFORMATION AND SEMINAR SERIES INCLUDES FREE PRESENTATIONS BY THE PHYSICIANS OF THE BRISTOL HOSPITAL MULTI-SPECIALTY GROUP IN THE FOLLOWING DISCIPLINES: DEMENTIA, HEALTHY LIVING, FALL PREVENTION, POLY PHARMACY, JOINT HEALTH, THYROID HEALTH, SMOKING, COPD & ASTHMA, BREAST HEALTH, EXERCISE FOR THE ELDERLY, AND CARDIO AND SPORTS HEALTH.BRISTOL HOSPITAL COMMUNITY CARE TEAM: THE OBJECTIVE OF THE BRISTOL HOSPITAL COMMUNITY CARE TEAM IS TO PROVIDE PATIENT-CENTERED CARE AND TO IMPROVE HEALTH OUTCOMES BY DEVELOPING AND IMPLEMENTING A SAFETY NET OF ALTERNATIVE SERVICES THROUGH MULTI-AGENCY INTERVENTION AND CARE PLANNING. THE TARGET POPULATION IS HIGH-RISK PATIENTS EXPERIENCING ACUTE AND CHRONIC MENTAL HEALTH ISSUES, SUBSTANCE ABUSE AND HIGH EMERGENCY DEPARTMENT UTILIZATION.NURSES IN THE COMMUNITY: THE BRISTOL HOSPITAL NURSE EXECUTIVE COUNCIL INITIATED NURSES IN THE COMMUNITY TO DISPLAY PROFESSIONALISM AND PROVIDE SERVICE TO THE COMMUNITY. THE PROGRAM INCLUDES COLLECTED FOOD, GOODS, AND CLOTHING FROM NUMEROUS DRIVES CONDUCTED AT THE HOSPITAL. NURSES ALSO TRAVEL TO THE SHELTER TO TAKE BLOOD PRESSURES AND ACCESS WOUNDS. ADOPT A FAMILY FOR THE HOLIDAYS: EMPLOYEES HAVE AN OPPORTUNITY TO ADOPT A LOCAL FAMILY AND PURCHASE HOLIDAY GIFTS FOR THEM INCLUDING CLOTHES, BASIC NECESSITIES, TOYS, ETC.WEST END EVENT: THE EVENT ATTRACTED AN ESTIMATED 10,000-PLUS PEOPLE. THE TEAM FROM BRISTOL HANDED OUT EDUCATIONAL MATERIALS AND CONDUCTED FREE BLOOD PRESSURE AND PULSE-OX TESTS CHECKS.NAACP: EIGHT PROVIDERS FROM BRISTOL HOSPITAL MULTI-SPECIALTY GROUP CONDUCTED TWO EDUCATIONAL SEMINARS TO APPROXIMATELY 50 MEMBERS OF THE BRISTOL CHAPTER OF THE NAACP. THE SERIES TOOK PLACE AT TWO LOCAL CHURCHES.TEXTING AND DRIVING EVENT: BRISTOL HOSPITAL'S LEARNING CENTER PRESENTED ITS ANNUAL COMBINATION MEDICAL CAREER FAIR AND DISTRACTING DRIVING AWARENESS EVENT ENTITLED "CONSEQUENCES OF DISTRACTED DRIVING." THE TWO-PART EVENT INCLUDES A CAREER FAIR FOR STUDENTS WHO MAY BE INTERESTED IN PURSUING A CAREER IN HEALTH CARE.MEDICAL STAFF, THANKSGIVING FOOD DONATION: MORE THAN 80 MEMBERS OF THE BRISTOL HOSPITAL MEDICAL STAFF DONATED TO HELP FAMILIES IN NEED THROUGH BRISTOL HOSPITAL'S WOMEN'S, INFANTS AND CHILDREN'S PROGRAM. BECAUSE OF THE GENEROSITY, NUMEROUS FAMILIES ENJOYED A HOLIDAY MEAL ON THANKSGIVING.EMERGENCY MEDICAL SERVICES DONATION: THE BRISTOL HOSPITAL EMS TEAM REGULARLY DONATES THEIR TIME AND AMBULANCES TO COMMUNITY EVENTS, FREE OF CHARGE. SOME OF THESE EVENTS INCLUDE HEALTH FAIRS, HIGH SCHOOL SPORTING EVENTS, FOOD DRIVES AND COMMUNITY EVENTS.NURSING STUDENTS: BRISTOL HOSPITAL OVERSEES NURSING STUDENTS AS PART OF THEIR FIELD TRAINING. OUR NURSES AND PA-CS ACT AS THEIR SUPERVISORS, PROVIDING EDUCATION, HANDS ON LEARNING AND AN OPEN FORUM FOR QUESTIONS. 129366312 1 1 0 1 0 0 0 0 0 1 1 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 1 124 0 1471 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 15 13 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 CT X TIM AJAYI 8605853000 41 BREWSTER ROAD BRISTOL CT 06010 KURT BARWIS PRESIDENT & CEO 30.00 10.00 X X 676472 0 36655 JENNIFER MCCALLISTER MD MEDICAL STAFF REPRESENTATIVE 2.00 40.00 X 0 425331 2200 LISA CASEY DIRECTOR 2.00 6.00 X 0 0 0 JARRE BETTS DIRECTOR 2.00 6.00 X 0 0 0 BRADFORD MEACHAM DIRECTOR 2.00 6.00 X 0 0 0 JOSEPH LOCKWOOD DIRECTOR 2.00 6.00 X 0 0 0 GLENN HEISER CHAIRMAN OF THE BOARD 2.00 10.00 X X 0 0 0 JOHN LODOVICO JR VICE CHAIRMAN 2.00 10.00 X X 0 0 0 JEFFREY KAYE MD MEDICAL STAFF REPRESENTATIVE 2.00 6.00 X 0 0 0 LOUIS AULETTA JR SECRETARY/TREASURER 2.00 6.00 X X 0 0 0 YONG-SUNG CHYUN MD DIRECTOR 2.00 6.00 X 0 0 0 MICHAEL HEIMBACH DIRECTOR 2.00 6.00 X 0 0 0 IRENE BASSOCK DIRECTOR 2.00 6.00 X 0 0 0 KATARZYNA LESSARD DIRECTOR 2.00 6.00 X 0 0 0 LEXIE MANGUM DIRECTOR 2.00 6.00 X 0 0 0 MICHELLE NORMANDIN MD DIRECTOR/PATHOLOGIST 40.00 0.00 X 423447 0 148 RUPALINI RAWAL-DHINGRA MD DIRECTOR 2.00 46.00 X 0 353935 8708 EDWARD HENRY VP ADMIN SVSC, EXEC. DIRECTOR BHMSG 10.00 30.00 X 278313 0 29490 CHRIS ANN MEANEY SVP, COO & CNO 30.00 10.00 X 313567 0 6228 CHRISTINE LAPRISE VP, OPERATIONS 30.00 10.00 X 252809 0 22416 TIMOTHY AJAYI CPA VICE PRESIDENT & CFO 35.00 5.00 X 273692 0 22130 NANCY LAMONICA VICE PRESIDENT & CNO 40.00 0.00 X 205543 0 22512 RAYMOND MINOR DIR. OF INT. AUDIT & SYS. 40.00 0.00 X 178343 0 12355 NANCY COCCHIOLA NURSE 40.00 0.00 X 183075 0 7671 MICHAEL WALEY MD PHYSICIAN 40.00 0.00 X 251784 0 3876 BELINDA GUERRERA REGISTERED NURSE 40.00 0.00 X 177978 0 10004 VERA IRENE BETTS REGISTERED NURSE 40.00 0.00 X 169815 0 9322 3384838 779266 193715 139 0 1 0 CARDINAL HEALTH 7000 CARDINAL PLACE DUBLIN OH 43017 HEALTHCARE SOLUTIONS 10265908 BISMARK CONSTRUCTION 100 BRIDGEPORT AVENUE MILFORD CT 06460 CONSTRUCTION SERVICES 3298446 MEDICAL SOLUTIONS LLC 110 N 102ND STREET SUITE 300 OMAHA NE 68114 CONTRACT SERVICES 2780424 CHARTER ANESTHESIOLOGY LLC 151 MAIN STREET BRISTOL CT 06010 ANESTHESIOLOGY SERVICES 1505333 RESTORIXHEALTH INC 445 HAMILTON AVENUE SUITE 800 WHITE PLAINS NY 10601 WOUND CARE SERVICES 1126784 106 4999022 5500 5004522 PATIENT SERVICE REVENUE 622110 150296281 149681689 614592 OCCUPATIONAL HEALTH REVENUE 621990 703168 703168 150999449 3872637 3872637 406987 331891 75096 75096 75096 855604 939200 914758 173314 -59154 765886 706732 706732 CAFETERIA 722514 373335 373335 MISCELLANEOUS INCOME 900099 347715 347715 VENDOR REBATES 900099 340699 340699 95096 95096 1156845 161815281 150384857 614592 5811310 X 2563421 2563421 66285141 56724594 9560547 452783 343571 109212 5940984 4292727 1648257 5101507 3620213 1481294 383421 210964 172457 318211 55000 263211 105888 105888 1673 1673 30279850 20549195 9730655 1234489 50144 1184345 2627518 2018429 609089 1226230 1071944 154286 6047228 4704130 1343098 36574 30190 6384 3509368 3333900 175468 5271106 3798849 1472257 2890187 2159299 730888 MEDICAL SUPPLIES 13521289 13516861 4428 DRUGS 10770782 10770782 FOOD 862190 862190 OPERATING LEASE EXPENSE 840559 840559 654787 412771 242016 160925186 129366312 31558874 0 1389329 47316 5690344 108449 21714906 18689822 2241375 1991366 2092070 3661960 4796686 190601156 142721074 52161285 47880082 5194621 890297 6399573 6886102 6330817 6254535 3898735 8862539 9551560 113396740 103337029 56430907 64688127 3015148 1487561 33451692 32344477 27676608 21699501 882812 7392942 121457167 127612608 X -17432935 -33665688 9372508 9390109 -8060427 -24275579 113396740 103337029 X 890095 -1000932 -16104315 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 0 1 105888 105888 0 PART II-B, LINE 1: THE HOSPITAL IS A MEMBER OF THE CONNECTICUT HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION. $46,888 REPRESENTS THE PORTION OF THE DUES PAID TO THESE ASSOCIATIONS WHICH WAS USED FOR LOBBYING PURPOSES. THE HOSPITAL ENGAGED CAMILLIERE, CLOUD & KENNEDY, A CONNECTICUT LOBBYING AND BUSINESS DEVELOPMENT FIRM, FOR CONSULTING SERVICES IN THE AMOUNT OF $59,000. 5465537 211273 193672 5483138 9958622 365893 -2908978 1950000 5465537 10418884 -460262 9958622 9712412 1010207 303735 10418884 7180562 75000 2456850 9712412 0.00000 1.00000 0.00000 0 0 3133621 3133621 96274224 62975499 33298725 1523698 1248966 274732 87785071 78496609 9288462 1884542 1884542 47880082 FUNDS HELD FOR MALPRACTICE SELF-INSURANCE 2655295 F ASSETS HELD IN TRUST BY OTHERS 3508507 F FUNDS HELD UNDER BOND INDENTURE 63484 F DEBT SERVICE FUND 658816 C 6886102 INTEREST IN NET ASSETS OF FOUNDATION 6254535 F 6254535 DUE FROM AFFILIATES 4312977 DEFERRED EXPENSES AND OTHER ASSETS 5238583 9551560 ASSET RETIREMENT OBLIGATIONS 318470 DUE TO AFFILIATES 550188 RIGHT-OF-USE LIABILITIES, FINANCING LEASES 2955232 RIGHT-OF-USE LIABILITIES, OPERATING LEASES 1327677 SPLIT INTEREST INSURANCE PLAN 2241375 7392942 X 144592051 -1000932 -16554189 -17555121 162147172 -331891 -331891 161815281 160807203 331891 331891 160475312 449874 449874 160925186 PART V, LINE 4: THE HOSPITAL'S ENDOWMENT CONSISTS OF MULTIPLE FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES, SUCH AS CAPITAL EXPENDITURES, OPERATING EXPENSES, AND OTHER SPECIFIED DONOR AND BOARD RESTRICTED USES. PART X, LINE 2: THE HOSPITAL ACCOUNTS FOR UNCERTAIN TAX POSITIONS WITH PROVISIONS OF FASB ASC 740, INCOME TAXES, WHICH PROVIDES A FRAMEWORK FOR HOW COMPANIES SHOULD RECOGNIZE, MEASURE, PRESENT AND DISCLOSE UNCERTAIN TAX POSITIONS IN ITS CONSOLIDATED FINANCIAL STATEMENTS. THE HOSPITAL MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE HOSPITAL DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS AS OF SEPTEMBER 30, 2023 AND 2022. IT IS THE HOSPITAL'S POLICY TO RECORD PENALTIES AND INTEREST ASSOCIATED WITH UNCERTAIN TAX PROVISIONS AS A COMPONENT OF OPERATING EXPENSES. AS OF SEPTEMBER 30, 2023 AND 2022, THE HOSPITAL DID NOT RECORD ANY PENALTIES OR INTEREST ASSOCIATED WITH UNCERTAIN TAX POSITIONS. THE HOSPITAL'S PRIOR THREE TAX YEARS ARE OPEN AND SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE HOSPITAL DOES NOT EXPECT THE TOTAL AMOUNT OF UNRECOGNIZED TAX BENEFITS TO SIGNIFICANTLY CHANGE IN THE NEXT 12 MONTHS. THE HOSPITAL'S UNRELATED TRADE OR BUSINESS ACTIVITIES ARE GENERALLY LIMITED TO INCOME FROM THE LABORATORY DEPARTMENT. THE LABORATORY PROVIDES SERVICES TO PATIENTS REFERRED BY PRIVATE PHYSICIAN PRACTICES AND TESTS PATIENT SPECIMENS SUBMITTED BY SKILLED NURSING FACILITIES. AS OF SEPTEMBER 30, 2023 AND 2022, THE HOSPITAL HAD NET OPERATING LOSS CARRYFORWARDS TO REDUCE ITS FUTURE TAXABLE INCOME OF APPROXIMATELY $6.4 MILLION AND $5.8 MILLION, RESPECTIVELY. A FULL VALUATION ALLOWANCE HAS BEEN RECORDED FOR THE VALUE OF THE RESULTING DEFERRED TAX ASSET, DUE TO THE UNCERTAINTY OF REALIZATION. PART XI, LINE 2D - OTHER ADJUSTMENTS: TRANSFER TO BRISTOL HOSPITAL MULTISPECIALTY GROUP -16,640,356. CHANGE IN NET ASSETS OF FOUNDATION -76,282. CHANGE IN ASSETS HELD IN TRUST BY OTHERS 268,764. INVESTMENT FEES -1,673. TRANSFER FROM BRISTOL HOSPITAL DEVELOPMENT FOUNDATION, INC. 343,559. EXPENSES GROUPED IN REVENUE PER FINANCIALS -448,201. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -331,891. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 331,891. PART XII, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT FEES 1,673. EXPENSES GROUPED IN REVENUE PER FINANCIALS 448,201. 1 1 X 1 X 250.000000000000 1 X 1 1 1 0 1 1 2108763 2108763 0.01310 55346950 38656278 16690672 0.10370 57455713 38656278 18799435 0.11680 24366 24366 0.00020 7700527 7700527 0.04790 7724893 7724893 0.04810 65180606 38656278 26524328 0.16490 1 8886073 2491748 59835698 82955443 -23119745 X 1 1 1 1 BRISTOL HOSPITAL INC 41 BREWSTER ROAD BRISTOL CT 06010 WWW.BRISTOLHOSPITAL.ORG 41 X X X X BRISTOL HOSPITAL INC 1 0 0 1 X X X X X X X X X 22 1 0 0 1 X SEE PART VI, SUPPLEMENTAL SCHEDULE X 1 22 1 SEE PART VI, SUPPLEMENTAL SCHEDULE 0 1 X 250.000000000000 400.000000000000 X X 1 1 X X X X 1 X HTTPS://WWW.BRISTOLHOSPITAL.ORG/FINANCIAL-ASSISTANCE.ASPX X HTTPS://WWW.BRISTOLHOSPITAL.ORG/FINANCIAL-ASSISTANCE.ASPX X HTTPS://WWW.BRISTOLHOSPITAL.ORG/FINANCIAL-ASSISTANCE.ASPX X X X X X X 1 X 0 X X X X 1 X 0 0 BRISTOL HOSPITAL, INC. PART V, SECTION B, LINE 5: FACILITY NAME:BRISTOL HOSPITALDESCRIPTION:COMMUNITY ENGAGEMENT AND FEEDBACK WERE AN INTEGRAL PART OF THE CHNA PROCESS. BRISTOL HOSPITAL SOUGHT COMMUNITY INPUT THROUGH THE INCLUSION OF COMMUNITY LEADERS IN THE PRIORITIZATION AND IMPLEMENTATION PLANNING PROCESS. PUBLIC HEALTH AND HEALTH CARE PROFESSIONALS SHARED KNOWLEDGE AND EXPERTISE ABOUT HEALTH ISSUES, AND LEADERS AND REPRESENTATIVES OF NON-PROFIT AND COMMUNITY-BASED ORGANIZATIONS PROVIDED INSIGHT ON THE COMMUNITY, INCLUDING THE MEDICALLY UNDERSERVED, LOW INCOME, AND MINORITY POPULATIONS. FOR A COMPLETE LIST OF PARTICIPANTS, PLEASE SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT - FINAL SUMMARY REPORT, AVAILABLE ON THE BRISTOL HOSPITAL WEBSITE. BRISTOL HOSPITAL, INC. PART V, SECTION B, LINE 11: THE HOSPITAL FACILITY IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA AS FOLLOWS:MENTAL HEALTH AND SUBSTANCE/ALCOHOL ABUSE: THE BEHAVIORAL HEALTH TEAM AT BRISTOL HOSPITAL HOSTED A ROUNDTABLE DISCUSSION IN JANUARY 2014 WITH APPROXIMATELY 30 COMMUNITY LEADERS AND STAKEHOLDERS TO DISCUSS THE ISSUE OF MENTAL HEALTH AND SUBSTANCE/ALCOHOL ABUSE AND HOW BRISTOL HOSPITAL CAN BETTER SERVE THE COMMUNITY. ALSO IN 2014, BRISTOL HOSPITAL HOSTED ANOTHER MEETING WITH NUMEROUS STAKEHOLDERS TO ADDRESS THE GROWING CONCERN OF THE LACK OF RESPONSE, CARE AND RESOURCES, AND THE DIFFICULTIES ASSOCIATED WITH GETTING HOSPITAL PATIENTS TO THE LEAD MENTAL HEALTH AUTHORITY IN THE AREA, WHICH IS LOCATED IN NEW BRITAIN, CONNECTICUT. IN 2015, BRISTOL HOSPITAL AND WHEELER CLINIC REACHED AN AGREEMENT TO FURTHER IMPROVE BEHAVIORAL HEALTH CRISIS SERVICES FOR CHILDREN, ADULTS AND FAMILIES IN THE GREATER BRISTOL REGION. UNDER THE AGREEMENT, WHEELER WILL ASSUME RESPONSIBILITY FOR BRISTOL HOSPITAL'S EMERGENCY DEPARTMENT CRISIS SERVICE FROM 8 A.M. TO MIDNIGHT, SEVEN DAYS A WEEK, AND PROVIDE IMMEDIATE INTERVENTION AND FACILITATED CONNECTIONS TO COMMUNITY SERVICES AND RESOURCES, INCLUDING PRIMARY AND BEHAVIORAL HEALTH CARE. THE BRISTOL HOSPITAL/WHEELER CLINIC PARTNERSHIP CONTINUED IN 2016 WITH A COMMUNITY FORUM ON THE OPIOID EPIDEMIC IN WHICH APPROXIMATELY 75 MEMBERS OF THE COMMUNITY ATTENDED. BRISTOL HOSPITAL AND WHEELER CLINIC ALSO HOSTED TWO SUCCESSFUL MENTAL HEALTH FIRST AID PRESENTATIONS. THE EIGHT-HOUR CERTIFICATION COURSE IS DESIGNED TO HELP INDIVIDUALS BETTER UNDERSTAND MENTAL HEALTH CHALLENGES AND RECOVERY, AND TO HELP RESPOND IN APPROPRIATE WAYS TO PROVIDE HELP AND SUPPORT. BRISTOL HOSPITAL ALSO HOSTED A COMMUNITY EVENT WITH THE CONNECTICUT DEPARTMENT OF MENTAL HEALTH AND ADDICTION SERVICES ON THE SUBJECT OF NALOXONE.ACCESS TO CARE: SINCE 2013, BRISTOL HOSPITAL AND THE BRISTOL HOSPITAL MULTI-SPECIALTY GROUP HAVE ADDED 74 NEW MEDICAL STAFF AND ADDED 16 NEW MEDICAL OFFICES THROUGHOUT THE COMMUNITY. NEW SERVICE LINES HAVE BEEN CULTIVATED TO ADDRESS MEDICAL NEEDS WITHIN THE COMMUNITY, INCLUDING VASCULAR SURGERY, WOUND CARE, RHEUMATOLOGY, CARDIOLOGY, ORTHOPEDICS, SPINE SURGERY AND SPORTS MEDICINE, AND NEUROLOGY. SENIOR SUPPORT :BRISTOL HOSPITAL HAS INCREASED THE AMOUNT OF FREE SCREENINGS OFFERED THROUGHOUT THE COMMUNITY (INCLUDING THE SENIOR CENTER). FREE SCREENINGS INCLUDE: BLOOD PRESSURE CLINICS, BALANCE SCREENINGS, BLOOD SUGAR SCREENING, FOOT SCREENING AND NAIL CLINICS. THE HOSPITAL ALSO PROVIDES FREE EDUCATIONAL SEMINARS AT SENIOR CENTERS ON TOPICS SUCH AS DEMENTIA, LIVING WITH DIABETES, AND NUTRITION AND WELLNESS. OVERWEIGHT/OBESITY:THE BRISTOL HOSPITAL WEIGHT LOSS SURGERY PROGRAM OFFERS NUMEROUS SUPPORT GROUPS FOR ITS PATIENTS ON SUCH SUBJECTS AS PORTION CONTROL, GETTING THROUGH THE HOLIDAYS AND MAKING GOOD EATING CHOICES. IN 2014, THE WEIGHT LOSS SURGERY PROGRAM LAUNCHED ITS OWN FACEBOOK PAGE WITHIN THE BRISTOL HOSPITAL MAIN FACEBOOK PAGE. THIS IS A MEMBERS-ONLY PAGE FOR PATIENTS WHO CAN SHARE STORIES, RECIPES AND ADVICE TO THEIR FELLOW PATIENTS, BUT IN A PRIVATE SETTING. THE BRISTOL HOSPITAL PARENT AND CHILD CENTER HAS HAD GREAT SUCCESS SINCE 2013 IN ITS OBESITY PREVENTION EFFORTS THROUGH ITS SET OF FAMILY WELLNESS PROGRAMS. THE FAMILY WELLNESS PROGRAM'S GOAL IS TO PREVENT CHILDHOOD OBESITY BY PROMOTING FAMILY NUTRITION AND HEALTHY PHYSICAL ACTIVITY FOR LOW-INCOME FAMILIES WITH SUCH PROGRAMS AS "GARDENING FOR HEALTH, AND "COOKING MATTERS IN THE STORE." THE PARENT AND CHILD CENTER ALSO OFFERS FREE ZUMBA AND EXERCISE PROGRAMS FOR PARENTS AND CHILDREN. SINCE 2015, APPROXIMATELY 330 LOW-INCOME FAMILIES HAVE PARTICIPATED IN THESE PROGRAMS. PART V, SECTION B, LINE 7 - HOSPITAL FACILITY'S WEBSITE (LIST URL) HTTPS://WWW.BRISTOLHOSPITAL.ORG/ABOUT-BRISTOL-HOSPITAL/COMMUNITY-HEALTH-NEEDS-ASSESSMENT.ASPX PART V, SECTION B, LINE 10 - HOSPITAL'S IMPLEMENTATION STRATEGY (LIST URL) HTTPS://WWW.BRISTOLHOSPITAL.ORG/ABOUT-BRISTOL-HOSPITAL/COMMUNITY-HEALTH-NEEDS-ASSESSMENT.ASPX 12 1 - BRISTOL BEHAVIORAL HEALTH SERVICES 10 NORTH MAIN STREET SUITE 120 BRISTOL CT 06010 BEHAVIORAL HEALTH 2 - BRISTOL HOSPITAL CENTER FOR DIABETES 102 NORTH STREET BRISTOL CT 06010 DIABETES MEDICAL CARE AND EDUCATION 3 - BRISTOL HOSPITAL COUNSELING CENTER 440-C NORTH MAIN STREET BRISTOL CT 06010 THERAPY AND COUNSELING 4 - BRISTOL HOSPITAL WELLNESS CENTER 842 CLARK AVENUE BRISTOL CT 06010 MEDICAL AND FITNESS SERVICES 5 - BRISTOL RADIOLOGY CENTER 25 COLLINS ROAD BRISTOL CT 06010 MAMMOGRAPHY AND MRI 6 - MED HELP 539 FARMINGTON AVENUE BRISTOL CT 06010 URGENT CARE 7 - MEDWORKS LLC 375 CEDAR STREET NEWINGTON CT 06111 MEDWORKS, LLC 8 - PARENT & CHILD CENTER - BRISTOL HOSPITAL 9 PROSPECT STREET BRISTOL CT 06010 CHILDREN AND FAMILY SERVICES 9 - REHAB DYNAMICS 975 FARMINGTON AVENUE BRISTOL CT 06010 PHYSICAL THERAPY AND SPORTS MEDICINE 10 - BRISTOL HOSPITAL LABORATORY 641 FARMINGTON AVENUE BRISTOL CT 06010 LABORATORY SERVICES 11 - BRISTOL HOSPITAL LABORATORY 27 MAIN STREET TERRYVILLE CT 06786 LABORATORY SERVICES 12 - BRISTOL HOSPITAL WIC PROGRAM 450 MAIN STREET NEW BRITAIN CT 06051 NUTRITION FOR WOMEN AND CHILDREN PART III, LINE 2: THE HOSPITAL HAS A PROCESS IN PLACE WHICH RECORDS BAD DEBT EXPENSE AFTER 90 DAYS UNCOLLECTIBLE. ADDITIONALLY, ON A PERIODIC BASIS, ADDITIONAL BAD DEBT EXPENSE IS ACCRUED BASED ON A REVIEW OF ACCOUNTS RECEIVABLE BALANCES AND HISTORICAL TRENDS. PART III, LINE 3: THE HOSPITAL ESTIMATES THAT 25% OF BAD DEBT EXPENSE IS COMMUNITY BENEFIT EXPENSE. THIS IS BASED ON HISTORICAL TRENDS, NOTING THAT IF PATIENTS HAD APPLIED FOR FINANCIAL ASSISTANCE, THEY WOULD HAVE QUALIFIED FOR FREE OR DISCOUNTED CARE. PART III, LINE 4: USE OF ESTIMATES- THE PREPARATION OF FINANCIAL STATEMENTS IN CONFORMITY WITH GAAP REQUIRES MANAGEMENT TO MAKE ESTIMATES AND ASSUMPTIONS THAT IMPACT THE REPORTED AMOUNTS OF ASSETS AND LIABILITIES AND DISCLOSURE OF CONTINGENT ASSETS AND LIABILITIES AT THE DATE OF THE FINANCIAL STATEMENTS. ESTIMATES ALSO IMPACT THE REPORTED AMOUNTS OF REVENUES AND EXPENSES DURING THE REPORTING PERIOD. ACTUAL RESULTS COULD DIFFER FROM THOSE ESTIMATES. THE HOSPITAL'S SIGNIFICANT ESTIMATES RELATE TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND CONTRACTUAL ALLOWANCES ON PATIENT ACCOUNTS RECEIVABLE, VALUATION OF INVESTMENTS, ESTIMATED SETTLEMENTS DUE TO THIRD-PARTY PAYERS, RESERVES FOR SELF-INSURANCE LIABILITIES AND THE PENSION AND OTHER POSTRETIREMENT EMPLOYEE BENEFIT PLAN LIABILITY ASSUMPTIONS. PART III, LINE 8: THE CALCULATED MEDICARE SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT BECAUSE IT REPRESENTS UNREIMBURSED COSTS FOR PATIENT SERVICES. THESE UNREIMBURSED COSTS ARE BRISTOL HOSPITAL EXPENSES THAT ULTIMATELY BENEFIT THE COMMUNITY BRISTOL HOSPITAL SERVES. PART III, LINE 9B: IT IS THE POLICY OF BRISTOL HOSPITAL TO PROVIDE EVERY PATIENT FROM THE COMMUNITY WE SERVE WITH MEDICALLY NECESSARY HEALTH SERVICES REGARDLESS OF THEIR ABILITY TO PAY. THE POLICY SETS SPECIFIC GUIDELINES FOR THE COLLECTION OF PATIENT PAYMENTS AND ESTABLISHES A HIERARCHY FOR PAYMENT METHODS THAT ARE BOTH FRIENDLY TO THE PATIENT AND BENEFICIAL TO THE HOSPITAL. PATIENTS WHO ARE UNABLE TO PAY THEIR LIABILITY ARE REFERRED TO A FINANCIAL COUNSELOR WHO ASSESSES THE PATIENTS' ELIGIBILITY FOR CHARITY CARE OR ALTERNATIVE FUNDING SOURCES. FUNDING SOURCES INCLUDE: CHARITY CARE, OUTSIDE FINANCING, HOSPITAL PAYMENT PLANS, FEDERAL, STATE AND LOCAL PROGRAMS AND THE HOSPITAL FINANCIAL ASSISTANCE PROGRAM. PART VI, LINE 2: HOSPITAL ASSESSMENT OF THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES IS A DYNAMIC PROCESS THAT INVOLVES ALL LEVELS OF HOSPITAL ADMINISTRATION, STAFF, THE BOARD OF DIRECTORS, AND MEDICAL STAFF. VARIOUS COMMITTEES AND GROUPS AT THE HOSPITAL MEET PERIODICALLY TO DISCUSS THE NEEDS OF THE COMMUNITY WE SERVE AS WELL AS THE RESOURCES AND SERVICES AVAILABLE AT THE HOSPITAL AND OTHER AGENCIES IN THE AREA.THE HOSPITAL IS REPRESENTED AT COMMUNITY LEVEL ORGANIZATIONS AND GROUPS THAT ARE ALSO INVOLVED WITH ASSESSMENT OF THE COMMUNITY NEEDS. HOSPITAL RESOURCES ARE FREQUENTLY CALLED UPON TO PARTICIPATE IN PROGRAMS AND PROJECTS PUT TOGETHER TO ADDRESS THOSE NEEDS. PART VI, LINE 3: AT BRISTOL HOSPITAL, PATIENTS ARE NOTIFIED OF THEIR ABILITY TO DISCUSS FINANCIAL ASSISTANCE OPTIONS INCLUDING CHARITY CARE IN ALL OF THEIR BILLING STATEMENTS. THE HOSPITAL ALSO HAS POSTER BOARDS DETAILING THE AVAILABILITY OF FINANCIAL ASSISTANCE PRINTED IN BOTH ENGLISH AND SPANISH AT ALL ACCESS POINTS. THE HOSPITAL ENCOURAGES PATIENTS TO FIND OUT THEIR ELIGIBILITY FOR ASSISTANCE AND PROVIDES FINANCIAL COUNSELORS TO ASSIST PATIENTS IN APPLYING FOR CHARITY CARE. PATIENTS CAN CONTACT THE FINANCIAL ASSISTANCE DEPARTMENT WITHIN THE HOSPITAL AT 860-585-3878. THIS SUPPORT ALSO INCLUDES A REPRESENTATIVE THROUGH THE STATE OF CONNECTICUT (REPRESENTATIVE PAID BY BRISTOL HOSPITAL) SO WE ENSURE THAT ALL ASPECTS OF ASSISTANCE ARE PROVIDED FOR EACH PATIENT. THE FINANCIAL ASSISTANCE DEPARTMENT ALSO DISCUSSES GOVERNMENT BENEFITS WITH PATIENTS THAT THEY MAY BE ELIGIBLE FOR. CONTACT INFORMATION FOR OUR FINANCIAL COUNSELOR IS ALSO INCLUDED ON THE HOSPITAL WEBSITE FOR PATIENTS TO REFERENCE. THE HOSPITAL ALSO OFFERS MANY FREE PROGRAMS FOR UNINSURED INCLUDING FREE BLOOD PRESSURE CLINICS, SKIN CANCER SCREENING CLINICS AND SEMINARS TO PROVIDE PATIENTS ACCESS TO AS MUCH FREE HEALTH INFORMATION AS POSSIBLE. PART VI, LINE 4: BRISTOL HOSPITAL IS COMMITTED TO PROVIDING THE BEST PATIENT EXPERIENCE IN THE REGION. OUR 154-BED, FULL-SERVICE HEALTH CARE INSTITUTION PROVIDES COMPREHENSIVE INPATIENT AND OUTPATIENT CARE FOR THE GREATER BRISTOL, CONNECTICUT AREA. BRISTOL IS A SUBURBAN CITY LOCATED IN HARTFORD COUNTY, CONNECTICUT, UNITED STATES 20 MILES SOUTHWEST OF HARTFORD. BRISTOL HAS A TOTAL AREA OF 26.8 SQUARE MILES AND A POPULATION OF APPROX 62K. IN BRISTOL, 81.8% OF THE PEOPLE SPEAK ENGLISH AND 10.8% OF PEOPLE SPEAK SPANISH. IN BRISTOL, 45.8% OF PEOPLE ARE MARRIED AND 92.2% OF RESIDENTS WERE BORN IN THE US.COMMUNITY INFORMATIONTHE PRIMARY SERVICE AREA (PSA) FOR OUR HOSPITAL INCLUDES:BRISTOL (ZIP CODE 06010, 06011)- 2021 CENSUS 60,661BURLINGTON (ZIP CODE 06013)- 2021 CENSUS-9,665PLAINVILLE (ZIP CODE 06062)- 2021 CENSUS 17,623 PLYMOUTH (ZIP CODE 06781, 06782, 06786)- 2021 CENSUS 12,243 THE TOTAL POPULATION FROM THE 2021 CENSUS FOR OUR PSA IS- 100,192 IN 2021, THE LATEST DATE DATA BECAME AVAILABLE THE FOLLOWING DATA POINTS WERE PROVIDED: BRISTOL: MEDIAN HOUSEHOLD INCOME: $68,485 FAMILIES BELOW POVERTY LEVEL- 9.6% INDIVIDUALS BELOW POVERTY LEVEL- 7.7% RACE: WHITE: 84.0% BLACK OR AFRICA AMERICAN: 6.0% ASIAN: 5.5% OTHER RACE: 4.5% BURLINGTON: MEDIAN HOUSEHOLD INCOME: $143,038 FAMILIES BELOW POVERTY LEVEL- 1.2% INDIVIDUALS BELOW POVERTY LEVEL- 1.3% RACE: WHITE: 89.2% HISPANIC OR LATINO 4.3%BLACK OR AFRICAN AMERICA .2% ASIAN: 2.9% OTHER RACE 3.4% PLAINVILLE: MEDIAN HOUSEHOLD INCOME: $72,197 FAMILIES BELOW POVERTY LEVEL- 6.2% INDIVIDUALS BELOW POVERTY LEVEL- 5.0% RACE: WHITE: 87.1% BLACK OR AFRICA AMERICAN: 1.7% AMERICAN INDIAN OR ALASKA NATIVE: 0.9% ASIAN: 4.0% OTHER RACE: 6.3% PLYMOUTH: MEDIAN HOUSEHOLD INCOME: $84,550 FAMILIES BELOW POVERTY LEVEL- 2.7% INDIVIDUALS BELOW POVERTY LEVEL- 4.1% RACE: WHITE: 97.34% BLACK OR AFRICA AMERICAN: 0.78% AMERICAN INDIAN OR ALASKA NATIVE: 0.15% ASIAN: 0.42% OTHER RACE: 1.31% THE SECONDARY SERVICE AREA (SSA) FOR OUR HOSPITAL INCLUDES: FARMINGTON (ZIP CODE 06085, 06087) SOUTHINGTON (ZIP CODE 06489) WOLCOTT (ZIP CODE 06716) THOMASTON (ZIP CODE 06787) HARWINTON (ZIP CODE 06791) BOTH THE PSA (PRIMARY SERVICE AREA) AND SSA (SECONDARY SERVICE AREA) ARE PRIMARILY SUBURBAN AND RURAL AREAS BUT ALSO INCLUDE SOME URBAN AREAS AS WELL. SOME OF THE MAJOR HEALTH PROBLEMS PREVALENT IN OUR PSA ARE ASSOCIATED WITH BEHAVIORAL HEALTH, CHEMICAL DEPENDENCY, OBESITY, AND PULMONARY DISEASE. PART VI, LINE 5: BRISTOL HOSPITAL TAKES GREAT PRIDE IN SERVING THE COMMUNITY. AS PART OF ITS MISSION, BRISTOL HOSPITAL INCORPORATES A BROAD ARRAY OF COMMUNITY OUTREACH AND WELLNESS ACTIVITIES, DELIVERING EDUCATIONAL MATERIAL AND COUNSELING, OFFERING FREE OR LOW COST HEALTH SCREENINGS AND HOSTING PATIENT AND FAMILY SUPPORT GROUPS. WE UNDERSTAND THE IMPORTANCE AND VALUE OF EMPHASIZING GOOD HEALTH, FITNESS, SAFETY AND THE PROMOTION OF EARLY DETECTION OF ILLNESS OR DISEASE. THEREFORE, ALL OF OUR OUTREACH EFFORTS REFLECT OUR STRONG DESIRE TO IMPROVE THE QUALITY OF LIFE FOR ALL WHO LIVE AND WORK IN THE COMMUNITIES WE SERVE. BRISTOL HOSPITAL PROVIDES FINANCIAL SUPPORT AND ACCESS TO APPROPRIATE CLINICAL CARE FOR SEVERAL LIFE-SAVING INITIATIVES, INCLUDING THE BRISTOL COMMUNITY BREAST HEALTH PROJECT AND THE COLON CANCER AWARENESS PROJECT OF GREATER BRISTOL, WHICH ALLOW US TO OFFER FREE BREAST, AND COLORECTAL CANCER SCREENINGS TO THOSE WHO, DUE TO INSURANCE OR INCOME FACTORS, MIGHT NOT OTHERWISE HAVE ACCESS TO THESE VALUABLE DIAGNOSTIC SCREENING SERVICES. THE EYE CARE PROJECT OF GREATER BRISTOL PROVIDES VITAL ACCESS TO SERVICES FOR THOSE SUFFERING FROM VISION IMPAIRMENT.AT BRISTOL HOSPITAL WE UNDERSTAND THE IMPORTANCE OF OUR ROLE AS A EXEMPT HEALTHCARE PROVIDER TO THE COMMUNITY WE SERVICE. OUR LEADERSHIP TEAM IS COMMITTED TO PROVIDING OUTSTANDING PATIENT CARE AND PROMOTING THE HEALTH OF THE COMMUNITY. BH ATTEMPTS TO PROMOTE OUR FREE AND NON-REVENUE GENERATING PROGRAMS IN A VARIETY OF WAYS. THREE TIMES A YEAR, THE HOSPITAL MAILS A "PATHWAYS TO YOUR HEALTH" CATALOG. THE CATALOG CONTAINS A LISTING OF PROGRAMS TO THE GREATER BRISTOL COMMUNITY. THIS CATALOG IS MAILED TO OVER 60,000 RESIDENCES AND PROVIDES INFORMATION ON FREE HEALTH SCREENINGS, SUPPORT GROUPS, HEALTH EDUCATION, WELLNESS PROGRAMS, ETC. THE CATALOG IS ALSO INCLUDED ON OUR HOSPITAL WEBSITE TO PROVIDE INCREASED ACCESS TO PATIENTS. THE PATHWAYS CATALOG IS DELIVERED AND DISPLAYED IN EACH DEPARTMENT WITHIN THE HOSPITAL AND IS FREE FOR ALL PATIENTS TO TAKE. PROGRAMS ARE ALSO LISTED ON OUR WEBSITE UNDER AN "EVENTS" SECTION WHERE PATIENTS CAN REGISTER FOR FREE, DIRECTLY ONLINE.WE ALSO PROMOTE OUR PROGRAMS MONTHLY IN THE BRISTOL PRESS, BRISTOL OBSERVER, HARTFORD COURANT AND PLYMOUTH CONNECTION. WE SUBSCRIBE TO AN "ON-HOLD" SYSTEM FOR OUR PHONES WHICH ALLOWS US TO RECORD MESSAGES FOR PATIENTS WHEN THEY CALL THE HOSPITAL. MANY OF THESE MESSAGES ARE ABOUT FREE PROGRAMS AND SERVICES, HEALTH EDUCATION FACTS AND SERVICES TO THE COMMUNITY. PART VI, LINE 7, REPORTS FILED WITH STATES CT X X X X 0 1 0 0 0 0 0 1 1 1 KURT BARWIS PRESIDENT & CEO 582178 0 94294 0 0 0 14582 0 22073 0 713127 0 0 0 JENNIFER MCCALLISTER MD MEDICAL STAFF REPRESENTATIVE 0 405331 0 20000 0 0 0 0 0 2200 0 427531 0 0 MICHELLE NORMANDIN MD DIRECTOR/PATHOLOGIST 408447 0 15000 0 0 0 0 0 148 0 423595 0 0 0 RUPALINI RAWAL-DHINGRA MD DIRECTOR 0 332683 0 21252 0 0 0 0 0 8708 0 362643 0 0 CHRIS ANN MEANEY SVP, COO & CNO 279214 0 34353 0 0 0 3833 0 2395 0 319795 0 0 0 EDWARD HENRY VP ADMIN SVSC, EXEC. DIRECTOR BHMSG 278313 0 0 0 0 0 3824 0 25666 0 307803 0 0 0 TIMOTHY AJAYI CPA VICE PRESIDENT & CFO 253455 0 20237 0 0 0 3167 0 18963 0 295822 0 0 0 CHRISTINE LAPRISE VP, OPERATIONS 230284 0 22525 0 0 0 3173 0 19243 0 275225 0 0 0 MICHAEL WALEY MD PHYSICIAN 251784 0 0 0 0 0 3267 0 609 0 255660 0 0 0 NANCY LAMONICA VICE PRESIDENT & CNO 188211 0 17332 0 0 0 2788 0 19724 0 228055 0 0 0 NANCY COCCHIOLA NURSE 183075 0 0 0 0 0 1837 0 5834 0 190746 0 0 0 RAYMOND MINOR DIR. OF INT. AUDIT & SYS. 171274 0 7069 0 0 0 2416 0 9939 0 190698 0 0 0 BELINDA GUERRERA REGISTERED NURSE 177978 0 0 0 0 0 1187 0 8817 0 187982 0 0 0 VERA IRENE BETTS REGISTERED NURSE 169815 0 0 0 0 0 510 0 8812 0 179137 0 0 0 PART I, LINE 4B BRISTOL HOSPITAL PROVIDES SUPPLEMENTAL RETIREMENT BENEFITS TO ITS CHIEF EXECUTIVE OFFICER ("CEO") THROUGH AN ALTERNATIVE FUNDING ARRANGEMENT THE IRS CALLS "LOAN-REGIME SPLIT-DOLLAR" ("LRSD"). ALTHOUGH THE IRS REQUIRES LRSD TO COMPLY WITH THE TAX PRINCIPLES OF A LOAN FOR FEDERAL INCOME TAX PURPOSES (IRC 7872), LRSD IS NOT AN ACTUAL LOAN. NO FUNDS ARE TRANSFERRED TO THE EXECUTIVE. RATHER, THE "LOAN" TREATMENT APPLIES BECAUSE AFTER THE EXECUTIVE HAS RECEIVED RETIREMENT BENEFITS (SUBJECT TO VESTING REQUIREMENTS AND POLICY INVESTMENT PERFORMANCE), BRISTOL HOSPITAL RECOVERS ALL ITS OUTLAYS PLUS A MARKET RATE OF INTEREST. AS WITH AN EMPLOYER-EMPLOYEE LOAN, AND CONSISTENT WITH THE 2003 FINAL REGULATIONS AND IRC 7872, THE PLAN IS NON-COMPENSATORY TO THE PARTICIPATING EXECUTIVE, AS THE LOAN IS REPAID PLUS INTEREST UPON THE DEATH OF THE EXECUTIVE. UNDER THE REGULATIONS, THERE IS NO COMPENSATION IMPUTED TO THE EXECUTIVE. THE BRISTOL HOSPITAL LRSD PLAN WORKS AS FOLLOWS. BRISTOL HOSPITAL DEPOSITED FUNDS DIRECTLY INTO CASH VALUE LIFE INSURANCE POLICIES ON THE CEO'S LIFE. DURING LIFE, TO THE EXTENT THE CEO FULFILLS SERVICE AND VESTING REQUIREMENTS, THE CEO CAN BORROW AGAINST VALUES IN THE POLICIES TO SUPPLEMENT RETIREMENT INCOME. POLICY PERFORMANCE IS CLOSELY MONITORED. IF POLICY PERFORMANCE LAGS, THE CEO'S BORROWING RIGHTS COULD BE REDUCED TO PROTECT BRISTOL HOSPITAL'S RECOVERY RIGHTS. AT THE CEO'S DEATH, THE POLICY DEATH PROCEEDS ARE FIRST USED TO REPAY BRISTOL HOSPITAL'S DEPOSITS PLUS COMPOUNDED INTEREST (AT THE IRS LONG-TERM APPLICABLE FEDERAL RATE). THE CEO'S BENEFICIARY THEN RECEIVES ANY PROJECTED RETIREMENT BORROWING NOT ACCESSED DURING LIFE. SEVERAL EXECUTIVES PARTICIPATE IN THE HOSPITAL'S 457(F) DEFINED CONTRIBUTION PLAN, HOWEVER, NO CONTRIBUTIONS WERE MADE BY THE ORGANIZATION DURING THE YEAR. THE FOLLOWING INDIVIDUALS MAY RECEIVE CONTRIBUTIONS BY THE ORGANIZATION UNDER THE PLAN: EDWARD HENRY, CHRIS ANN MEANEY, CHRISTINE LAPRISE, AND TIMOTHY AJAYI. PART I, LINE 7 CERTAIN EXECUTIVES ARE PAID VARIABLE COMPENSATION BASED ON PRE-APPROVED QUALITY, SAFETY AND FINANCIAL GOALS. PART I, LINE 8 AMOUNTS WERE PAID TO KURT BARWIS PURSUANT TO A CONTRACT WITH THE HOSPITAL THAT WAS SUBJECT TO THE INITIAL CONTRACT EXCEPTION DESCRIBED IN REGS. SECTION 53.4958-4(A)(3). THE HOSPITAL FOLLOWED THE REBUTTABLE PRESUMPTION PROCEDURE DESCRIBED IN REGS. SECTION 53.4958-6(C). A CONNECTICUT HEALTH AND EDUCATIONAL FACILITIES AUTHORITY 060806186 20775DBL5 2019-06-01 37630000 REFUND SERIES 2002 BONDS 0 0 0 A 6885000 37111379 602857 4221081 32287441 2019 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 PART II, LINE 3: THE AMOUNT OF PROCEEDS DIFFERS FROM THE FACE AMOUNT OF THE BOND ISSUE DUE TO ORIGINAL ISSUE PREMIUMS. KURT BARWIS PRESIDENT AND CEO SPLIT DOLLAR "LOAN REGIME" RETIREMENT PLAN X 2241375 2241375 0 1 1 2241375 SCHEDULE L, PART II: THE EO PROVIDES SUPPLEMENTAL RETIREMENT BENEFITS THROUGH AN ALTERNATIVE FUNDING ARRANGEMENT THE IRS CALLS "LOAN REGIME SPLIT DOLLAR" (LRSD). ALTHOUGH THE IRS REQUIRES REPORTING IN THE LOAN SECTION OF SCHEDULE L, LRSD IS NOT AN ACTUAL LOAN. NO FUNDS ARE TRANSFERRED TO THE EXECUTIVE. RATHER, THE "LOAN" TREATMENT APPLIES BECAUSE AFTER THE EXECUTIVE HAS RECEIVED RETIREMENT BENEFITS, THE EO RECOVERS ALL OF ITS OUTLAYS PLUS INTEREST.THE RECOVERY RIGHT IS A KEY ADVANTAGE OF LRSD FOR THE EO. RATHER THAN PAYING RETIREMENT BENEFITS TO THE EXECUTIVE THAT WOULD NEVER BE RECOVERED, UNDER LRSD, THE EO RECOVERS NOT ONLY ITS OUTLAYS, BUT ALSO CONSIDERATION FOR THE TIME VALUE OF MONEY.LRSD WORKS AS FOLLOWS: THE EO DEPOSITS FUNDS INTO A CASH VALUE LIFE INSURANCE POLICY ON THE EXECUTIVE'S LIFE. DURING LIFE, TO THE EXTENT THE EXECUTIVE FULFILLS SERVICE AND VESTING REQUIREMENTS, THE EXECUTIVE CAN BORROW AGAINST VALUES IN THE POLICY TO SUPPLEMENT RETIREMENT INCOME. POLICY PERFORMANCE IS CLOSELY MONITORED. IF POLICY PERFORMANCE LAGS, THE EXECUTIVE'S BORROWING RIGHTS ARE REDUCED TO PROTECT THE EO'S RECOVERY RIGHTS.AT THE EXECUTIVE'S DEATH, THE POLICY DEATH PROCEEDS ARE FIRST USED TO REPAY THE EO ITS DEPOSITS PLUS COMPOUNDED INTEREST (AT THE IRS LONG-TERM APPLICABLE FEDERAL RATE). THE EXECUTIVE'S BENEFICIARY THEN RECEIVES ANY PROJECTED RETIREMENT BORROWING THE EXECUTIVE DID NOT ACCESS DURING LIFE. ANY REMAINING DEATH PROCEEDS:-ARE AVAILABLE TO BE PAID TO THE EXECUTIVE'S BENEFICIARY.-ARE DIVIDED BETWEEN THE EO AND THE EXECUTIVE'S BENEFICIARY.-WERE AVAILABLE TO BE PAID TO THE EXECUTIVE'S BENEFICIARY. HOWEVER, THE EXECUTIVE DECIDED TO MAKE A GIFT OF THE EXCESS PROCEEDS TO THE EO TO PROVIDE ADDITIONAL FUNDING FOR THE EO'S CHARITABLE ACTIVITIES. FORM 990, PART III, LINE 4A EXECUTIVE LEADERSHIP BOARD & COMMITTEE AFFILIATIONS: KURT A. BARWIS, FACHE, PRESIDENT AND CEO: MEMBER OF HEALTHCARE CABINET FOR THE STATE OF CONNECTICUT; CONNECTICUT REGENT FOR THE AMERICAN COLLEGE OF HEALTHCARE EXECUTIVES; BOARD MEMBER OF CONNECTICUT ASSOCIATION OF HEALTHCARE EXECUTIVES; DIRECTOR AND CO-CHAIR OF THE GOVERNMENTAL AFFAIRS COMMITTEE, BRISTOL CHAMBER OF COMMERCE. CHRIS ANN MEANEY, DNP, MHA, RN-BC, NE-BC, FACHE, PEER MENTOR FOR THE AMERICAN COLLEGE OF HEALTHCARE EXECUTIVES; MEMBER OF THE QUINNIPIAC UNIVERSITY ALUMNI COUNCIL; VOLUNTEER AT THE CHESTHELM NURSING HOME. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE IS COMPRISED OF THE PRESIDENT OF THE MEDICAL STAFF OF THE HOSPITAL AND ADDITIONAL MEMBERS, ALL OF WHOM ARE ON THE GOVERNING BODY. THE EXECUTIVE COMMITTEE HAS THE POWER TO TRANSACT ANY BUSINESS OF THE CORPORATION REQUIRING ACTION DURING THE INTERIM BETWEEN REGULAR MEETINGS OF THE BOARD OF DIRECTORS, PROVIDED ANY ACTION TAKEN SHALL NOT CONFLICT WITH THE POLICIES OR EXPRESS WISHES OF THE BOARD AND FURTHER PROVIDED THAT THE EXECUTIVE COMMITTEE SHALL REPORT ALL MATTERS ON WHICH IT ACTS TO THE BOARD. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS A SOLE MEMBER, WHICH IS BRISTOL HOSPITAL AND HEALTH CARE GROUP, INC. THERE ARE NO CLASSES OF MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION'S SOLE MEMBER HAS THE RIGHT TO ELECT THE BOARD OF DIRECTORS OF THE CORPORATION AND SHALL HAVE ALL OF THE OTHER RIGHTS, POWERS AND PRIVILEGES ACCORDED TO THE MEMBERS OF A NON-STOCK, NONPROFIT CORPORATION UNDER CONNECTICUT LAW. FORM 990, PART VI, SECTION A, LINE 7B THE ORGANIZATION'S SOLE MEMBER HAS THE FOLLOWING RIGHTS: (A) TO ACCEPT, AMEND OR REJECT, AFTER APPROVAL BY THE BOARD OF DIRECTORS, THE ANNUAL BUSINESS PLAN AND OPERATING AND CAPITAL BUDGETS OF THE CORPORATION. (B) TO APPROVE ANY PROGRAMS AND EXPENDITURES REQUIRING CERTIFICATE OF NEED APPROVAL BY APPROPRIATE GOVERNMENTAL BODIES AND PLANS THAT MATERIALLY AFFECT THE GROWTH AND DEVELOPMENT OF THE CORPORATION. (C) TO APPROVE SIGNIFICANT AFFILIATION AGREEMENTS BETWEEN THE CORPORATION AND OTHER INSTITUTIONS, SIGNIFICANT FUND RAISING PROGRAMS PROPOSED TO BE CONDUCTED BY THE CORPORATION, THE SALE OR DISPOSITION OF ANY ASSETS OF THE CORPORATION NOT IN THE ORDINARY COURSE OF BUSINESS, AND THE INCURRENCE OF ANY INDEBTEDNESS FOR BORROWED MONEY NOT IN ACCORDANCE WITH AN APPROVED OPERATING OR CAPITAL BUDGET. (D) TO REMOVE ANY MEMBER OF THE BOARD OF DIRECTORS AT ANY TIME, REGARDLESS OF THE TERM FOR WHICH SUCH DIRECTOR MAY HAVE BEEN ELECTED. (E) TO VOTE UPON ALL MATTERS ON WHICH MEMBERS ARE ENTITLED TO VOTE UNDER THE ACT. FORM 990, PART VI, SECTION B, LINE 11B A COMPLETED 990 IS PROVIDED TO EACH BOARD MEMBER BEFORE THE RETURN IS FILED. THIS PROVIDES AN OPPORTUNITY FOR MEMBERS TO ASK QUESTIONS AND FOLLOW UP WITH THE FINANCE TEAM REGARDING ANY ISSUES OR CONCERNS. THE 990 IS ALSO REVIEWED INTERNALLY BY MEMBERS OF THE FINANCE AND MANAGEMENT TEAMS. FORM 990, PART VI, SECTION B, LINE 12C THE PARENT ORGANIZATION, BRISTOL HOSPITAL AND HEALTH CARE GROUP, HAS THREE CONFLICT OF INTEREST POLICIES - ONE FOR THE BOARD OF DIRECTORS AND COMMITTEE MEMBERS, ONE FOR NON-MEDICAL STAFF EMPLOYEES, AND ONE FOR MEDICAL STAFF MEMBERS. BOARD OF DIRECTORS AND COMMITTEE MEMBERS EACH OF THE ABOVE LISTED PERSONS RECEIVES, READS AND SIGNS A STATEMENT ONCE ANNUALLY AGREEING TO COMPLY WITH THE CONFLICT OF INTEREST POLICY. IF ANY ACTUAL, APPARENT OR POTENTIAL CONFLICT OF INTEREST ARISES, THE PERSON SHALL MAKE FULL DISCLOSURE OF SUCH ACTUAL, APPARENT OR POTENTIAL CONFLICT OF INTEREST, WITHIN FIFTEEN (15) DAYS OF THE TIME THAT SUCH CONFLICT IS DISCOVERED, OR AT LEAST ONCE ANNUALLY AT THE COMMENCEMENT OF EACH CALENDAR YEAR, WITH REGULAR WRITTEN UPDATES TO ACCORD WITH ANY CHANGE IN CIRCUMSTANCES. THE GOVERNANCE COMMITTEE REVIEWS ALL SUCH DISCLOSURES TO DETERMINE WHETHER AN ACTUAL, APPARENT OR POTENTIAL CONFLICT OF INTEREST EXISTS. DECISIONS PERTAINING TO ACTUAL, APPARENT OR POTENTIAL CONFLICTS OF INTERESTS SHALL BE MADE BY THE GOVERNANCE COMMITTEE. THE CORPORATE COMPLIANCE OFFICER (CCO) SHALL BE AVAILABLE TO THE GOVERNANCE COMMITTEE UPON REQUEST. IN THE EVENT THAT IT DETERMINES THAT AN APPARENT OR POTENTIAL CONFLICT OF INTEREST EXISTS, THE GOVERNANCE COMMITTEE SHALL INSTITUTE A REASONABLE COMPLIANCE MANAGEMENT PLAN INCLUDING PERIODIC REVIEWS OF RELATIONSHIPS OR ACTIVITIES OF ANY PERSON OR RELATIVE. ANY CHANGES OR MODIFICATIONS IN SUCH RELATIONSHIPS OR ACTIVITIES SHALL BE PERIODICALLY REVIEWED AND EVALUATED BY THE GOVERNANCE COMMITTEE. NON-MEDICAL STAFF EMPLOYEES SAME PROCESS AS OUTLINED ABOVE WITH ONE EXCEPTION: THE OVERSIGHT, REVIEW AND DETERMINATIONS OF DISCLOSURES ARE MADE BY THE CCO. THE BRISTOL HEALTH EXECUTIVE LEADERSHIP GROUP (ELG) SHALL BE AVAILABLE TO THE CCO UPON REQUEST. MEDICAL STAFF MEMBERS MEDICAL STAFF MEMBERS COMPLETE CONFLICT OF INTEREST DISCLOSURE STATEMENTS DURING THE INITIAL CREDENTIALING PROCESS AND SUBSEQUENTLY EVERY TWO YEARS DURING THE RECREDENTIALING PROCESS. ANY NEW RELATIONSHIPS THAT ARISE IN THE INTERIM DEEMED TO BE A POTENTIAL CONFLICT MUST BE DISCLOSED IN A TIMELY MANNER. DISCLOSURES ARE REVIEWED AND DETERMINATIONS ARE MADE BY THE EXECUTIVE COMMITTEE OF THE MEDICAL STAFF (ECMS). THE CCO IS A MEMBER OF THIS COMMITTEE. IN THE EVENT THAT THE ECMS DETERMINES THAT AN APPARENT OR POTENTIAL CONFLICT OF INTEREST EXISTS, A REASONABLE COMPLIANCE MANAGEMENT PLAN INCLUDING PERIODIC REVIEWS OF RELATIONSHIPS OR ACTIVITIES OF ANY PERSON OR RELATIVE WILL BE INSTITUTED. ANY CHANGES OR MODIFICATIONS IN SUCH RELATIONSHIPS OR ACTIVITIES SHALL BE PERIODICALLY REVIEWED AND EVALUATED BY THE ECMS. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMPENSATION COMMITTEE IS AUTHORIZED UNDER THE BRISTOL HOSPITAL AND HEALTH CARE GROUP BYLAWS AND IS RESPONSIBLE FOR (1) DETERMINING THE OVERALL TOTAL COMPENSATION STRATEGY FOR ALL CORPORATE OFFICERS, (2) APPROVING ALL COMPENSATION AND BENEFITS DECISIONS FOR CORPORATE OFFICERS, AND (3) REPORTING SUCH ACTIONS TO THE FULL BRISTOL HOSPITAL AND HEALTH CARE GROUP BOARD ON AN ANNUAL BASIS. IN ADDITION, THE EXECUTIVE COMPENSATION COMMITTEE EXPRESSLY DETERMINES THE REASONABLENESS OF TOTAL COMPENSATION AND BENEFITS FOR ALL CORPORATE OFFICERS AND ASSURES THAT ALL OFFICER COMPENSATION DECISIONS ARE MADE AFTER THOROUGH CONSIDERATION OF AND COMPARISON TO THE MARKET PRACTICES OF OTHER SIMILARLY SITUATED NOT-FOR-PROFIT HEALTHCARE EXECUTIVES IN COMPARABLE ORGANIZATIONS. THE EXECUTIVE COMPENSATION COMMITTEE CONSISTS OF BOARD MEMBERS WHO DO NOT HAVE MATERIAL FINANCIAL INTERESTS THAT COULD BE AFFECTED BY THE OFFICER COMPENSATION DECISIONS MADE BY THE COMMITTEE. THE COMPARABILITY DATA USED TO ASSIST THE EXECUTIVE COMPENSATION COMMITTEE IN ITS COMPENSATION DELIBERATIONS ARE COMPILED BY AN INDEPENDENT, NATIONAL COMPENSATION CONSULTING FIRM THAT IS RETAINED BY AND REPORTS DIRECTLY TO THE EXECUTIVE COMPENSATION COMMITTEE. THE DATA COLLECTED BY THE CONSULTANT CONSISTS OF MARKET INFORMATION FOR EXECUTIVES IN FUNCTIONALLY SIMILAR POSITIONS IN SIMILARLY SITUATED NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS. THE DELIBERATIONS AND DECISIONS OF THE EXECUTIVE COMPENSATION COMMITTEE ARE CONTEMPORANEOUSLY DOCUMENTED, REVIEWED AND APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE AND PROVIDED TO THE BOARD ON AN ANNUAL BASIS. THE PROCESS DESCRIBED ABOVE WAS ALSO USED TO ESTABLISH COMPENSATION FOR OFFICERS AND KEY EMPLOYEES IN THE FOLLOWING ROLES AND POSITIONS: PRESIDENT/CEO, VICE PRESIDENT OF FINANCE/CFO, VICE PRESIDENT/HUMAN RESOURCES AND SUPPORT SERVICES, AVP OF INFORMATION TECHNOLOGY, SENIOR VP/PATIENT CARE SERVICES / CHIEF NURSING OFFICER, AVP CHIEF DEVELOPMENT OFFICER AND SENIOR VICE PRESIDENT/CHIEF MEDICAL OFFICER. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 10,335,247. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,335,247. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 2,509,475. MANAGEMENT AND GENERAL EXPENSES 13,168. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,522,643. CONSULTING FEES: PROGRAM SERVICE EXPENSES 331,141. MANAGEMENT AND GENERAL EXPENSES 1,051,510. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,382,651. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 7,373,332. MANAGEMENT AND GENERAL EXPENSES 8,665,977. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,039,309. FORM 990, PART XI, LINE 9: TRANSFER TO BRISTOL HOSPITAL MULTISPECIALTY GROUP -16,640,356. CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION -76,282. CHANGE IN ASSETS HELD IN TRUST BY OTHERS 268,764. TRANSFER FROM BRISTOL HOSPITAL DEVELOPMENT FOUNDATION, INC. 343,559. FORM 990 BRISTOL HOSPITAL, INC.'S EXECUTIVES WOULD LIKE TO BRING TO THE ATTENTION OF THE HOSPITAL'S STAKEHOLDERS A SITUATION OVER WHICH THEY HAVE LITTLE TO NO CONTROL, YET IS COSTING THE HOSPITAL SIGNIFICANT AMOUNTS OF REVENUE. THE ISSUE INVOLVES MEDICARE ADVANTAGE ("A") PLANS, WHICH PROCESS THE AUTHORIZATIONS TO MOVE HOSPITAL PATIENTS TO SKILLED NURSING FACILITIES. REIMBURSEMENT IS PREDICATED UPON THE EXPECTATION THAT THE AUTHORIZATION WILL TAKE APPROXIMATELY AN HOUR TO FACILITIATE. MA PLANS, HOWEVER, OFTEN DELAY THE TIMING OF THE AUTHORIZATIONS BY AS MUCH AS THREE TO FOUR DAYS, WHICH RESULTS IN PATIENTS REMAINING IN THE HOSPITAL LONGER THAN THEY SHOULD BE. NOT ONLY ARE THESE PATIENTS NOT GETTING THE REQUISITE THERAPEUTIC CARE, THEY BECOME POTENTIALLY MORE SUSCEPTIBLE TO HOSPITAL-BORNE INFECTIONS. THE DELAYS ALSO HAVE THE EFFECT OF MA NOT HAVING TO PAY THE HOSPITALS FOR THE EXTRA TIME, THEREFORE CONFERRING BENEFIT TO THEIR OWN BOTTOM LINES AND UNDERCUTTING THE HOSPITAL'S ABILITY TO PROPERLY CARE FOR ITS PATIENTS. THE MAGNITUDE OF THE FOREGONE MA PAYMENTS HAS REACHED A SIGNIFICANTLY CHALLENGING FINANCIAL ATMOSPHERE FOR THE HOSPITAL. THE HOSPITAL HAS REACHED OUT ON NUMEROUS OCCASIONS TO A MYRIAD OF OFFICIALS TO NO AVAIL. THE HOSPITAL HAS CHOSEN TO PUBLICIZE THIS ISSUE AS IT HAS REPERCUSSIONS NOT ONLY FOR THE HOSPITAL FOR THE SURROUNDING COMMUNITY THAT RELIES ON THE HOSPITAL FOR HEALTHCARE. 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