BRISTOL HOSPITAL INCORPORATED: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: BRISTOL HOSPITAL INCORPORATED (EIN 06-0646559)
Tax period: 2018-10-01 to 2019-09-30
Filed: 2020-08-17
IRS object ID: 202002309349303900
Schema version: 2018v3.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule C
Schedule D
Schedule H
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-08-17T20:10:49-05:00	ReturnTs
Tax Period End	2019-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	390859910	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BAKER TILLY US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1570 FRUITVILLE PIKE SUITE 400	AddressLine1Txt
City	LANCASTER	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	17601	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	060646559	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BRISTOL HOSPITAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	BRIS	BusinessNameControlTxt
Phone	8605853000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	41 BREWSTER ROAD	AddressLine1Txt
City	BREWSTER	CityNm
State Abbreviation	CT	StateAbbreviationCd
ZIP	06010	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	KURT BARWIS	PersonNm
Person Title	PRESIDENT, CEO & CFO	PersonTitleTxt
Phone	8605853000	PhoneNum
Signature	2020-08-17	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	KERRI N BOGDA CPA	PreparerPersonNm
PTIN	P00760402	PTIN
Phone	7177404863	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	71.58.172.53	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-08-17	IPDt
IP Tm	15:59:23	IPTm
IP Timezone	ED	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	BF90B4BE16E9AE312C0D8383967EBAED4A365E8B	AtSubmissionCreationDeviceId
At Submission Filing Device Id	BF90B4BE16E9AE312C0D8383967EBAED4A365E8B	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-09-23 17:36:50Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	KURT BARWIS	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	41 BREWSTER ROAD	AddressLine1Txt
City	BREWSTER	CityNm
State Abbreviation	CT	StateAbbreviationCd
ZIP	06010	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$152,802,518	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.BRISTOLHOSPITAL.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1920	FormationYr
Legal Domicile State	CT	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE SAFE, QUALITY CARE AND SERVICES TO ENHANCE THE HEALTH AND WELL-BEING OF OUR COMMUNITY.	ActivityOrMissionDesc
Voting Members Governing Body	18	VotingMembersGoverningBodyCnt
Voting Members Independent	15	VotingMembersIndependentCnt
Total Employee	1406	TotalEmployeeCnt
Total Volunteers	83	TotalVolunteersCnt
Total Gross UBI	$893,776	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$594,308	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,756,885	PYContributionsGrantsAmt
CY Contributions Grants	$1,150,527	CYContributionsGrantsAmt
PY Program Service Revenue	$140,184,438	PYProgramServiceRevenueAmt
CY Program Service Revenue	$147,795,615	CYProgramServiceRevenueAmt
PY Investment Income	$950,147	PYInvestmentIncomeAmt
CY Investment Income	$2,382,268	CYInvestmentIncomeAmt
PY Other Revenue	$2,131,635	PYOtherRevenueAmt
CY Other Revenue	$1,169,899	CYOtherRevenueAmt
PY Total Revenue	$146,023,105	PYTotalRevenueAmt
CY Total Revenue	$152,498,309	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$72,817,647	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$77,433,482	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$67,231,698	PYOtherExpensesAmt
CY Other Expenses	$74,937,929	CYOtherExpensesAmt
PY Total Expenses	$140,049,345	PYTotalExpensesAmt
CY Total Expenses	$152,371,411	CYTotalExpensesAmt
PY Revenues Less Expenses	$5,973,760	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$126,898	CYRevenuesLessExpensesAmt
Total Assets BOY	$107,807,029	TotalAssetsBOYAmt
Total Assets EOY	$132,516,386	TotalAssetsEOYAmt
Total Liabilities BOY	$77,294,452	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$120,249,948	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$30,512,577	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$12,266,438	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	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.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$127,262,566	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$147,795,615	RevenueAmt
Desc	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 $1,498,000 DURING THE OPERATING YEAR AND SUPPORTED THE STATE MEDICAID PROGRAM THROUGH THE PAYMENT OF OVER $13.7 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 RELATIONS/BENEFIT ACTIVITIES: THE PARENT AND CHILD CENTER AT BRISTOL HOSPITAL: THE CENTER'S PRIMARY FOCUS IS ON PREVENTION OF CHILD ABUSE, NEGLECT AND FAMILY VIOLENCE BY PROVIDING SUPPORT SYSTEMS FOR FAMILIES INCLUDING STRESS/ANGER MANAGEMENT, FAMILY FINANCES, CHILD DEVELOPMENT, COMMUNICATION SKILLS, EFFECTIVE DISCIPLINE, AND PLANNING/DECISION-MAKING SKILLS.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. THE NURSES ALSO TRAVEL TO THE SHELTER TO TAKE BLOOD PRESSURES AND ACCESS WOUNDS. HEALTH FAIRS: BRISTOL HOSPITAL PARTICIPATES IN MORE THAN 12 HEALTH FAIRS THROUGHOUT THE YEAR.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.MARATHONS AND FREE FOOT CHECKS: BRISTOL HOSPITAL'S NEWLY-APPOINTED PODIATRIST CONDUCTED FREE FOOT CHECKS FOR MORE THAN 40 PARTICIPANTS AT THREE DIFFERENT COMMUNITY ROAD RACES.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.JOB SHADOWING: BRISTOL HOSPITAL PROVIDES JOB SHADOWING EXPERIENCES TO LOCAL HIGH SCHOOL STUDENTS. STUDENTS TYPICALLY SHADOW THE NURSING DEPARTMENT, PHYSICIAN ASSISTANTS OR PHYSICAL THERAPISTS.CLINICAL & NON-CLINICAL JOB FAIR: OUR EDUCATION DEPARTMENT HOSTS A CLINICAL AND NONCLINICAL JOB FAIR DAY FOR HIGH SCHOOL STUDENTS TO COME INTO THE HOSPITAL AND VISIT DIFFERENT DEPARTMENTS TO LEARN MORE ABOUT HOW THE DEPARTMENTS RUN. IT PROVIDES AN OPPORTUNITY FOR STUDENTS TO LEARN ABOUT CLINICAL AND NON-CLINICAL CAREERS IN HEALTH CARE. TYPICALLY 50 STUDENTS ATTEND AND 15-20 DEPARTMENTS ARE REPRESENTED.BRISTOL COMMUNITY ORGANIZATION: BRISTOL HOSPITAL PARTICIPATES WITH THE BRISTOL COMMUNITY ORGANIZATION'S EMPLOYMENT OPPORTUNITIES FOR AT-RISK YOUNG ADULTS. THE HOSPITAL EMPLOYS THE PARTICIPANTS FOR 30 HOURS PER WEEK, SIX TO EIGHT WEEKS A YEAR.EMS FOOD DRIVE: HOSPITAL EMPLOYEES PARTNERED WITH SPRINT TO COLLECT FOOD AND TOYS FOR LOCAL COMMUNITY ORGANIZATIONS. FOOD WAS DONATED TO ST. VINCENT DE PAUL'S IN BRISTOL AND TOYS WERE DONATED TO TOYS FOR TOTS.	Desc
Total Program Service Expenses	$127,262,566	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	0	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (1)	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	142	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	1406	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	18	GoverningBodyVotingMembersCnt
Independent Voting Member	15	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	CT	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	TIMOTHY AJAYI	PersonNm
Phone	8605853000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	41 BREWSTER ROAD	AddressLine1Txt
City	BRISTOL	CityNm
State Abbreviation	CT	StateAbbreviationCd
ZIP	06010	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
CARLOS BADIOLA MD
DIRECTOR (TERM EXP. APRIL '19)	2.00	6.00	Yes (X)	$0	$0	$0
WILLIAM HAMZY
DIRECTOR	2.00	6.00	Yes (X)	$0	$0	$0
LISA CASEY
DIRECTOR	2.00	6.00	Yes (X)	$0	$0	$0
JARRE BETTS
DIRECTOR	2.00	6.00	Yes (X)	$0	$0	$0
BRADFORD MEACHAM
DIRECTOR	2.00	6.00	Yes (X)	$0	$0	$0
THOMAS MONAHAN
DIRECTOR (TERM EXP. APRIL '19)	2.00	6.00	Yes (X)	$0	$0	$0
JENNIFER MCCALLISTER MD
MEDICAL STAFF REPRESENTATIVE	2.00	6.00	Yes (X)	$0	$376,029	$9,718
JOSEPH LOCKWOOD
DIRECTOR	2.00	6.00	Yes (X)	$0	$0	$0
MICHAEL HEIMBACH
DIRECTOR	2.00	6.00	Yes (X)	$0	$0	$0
RONALD GREEN
DIRECTOR (TERM EXP. APRIL '19)	2.00	6.00	Yes (X)	$0	$0	$0
LEXIE MANGUM
DIRECTOR	2.00	6.00	Yes (X)	$0	$0	$0
YONG-SUNG CHYUN
DIRECTOR	2.00	6.00	Yes (X)	$0	$0	$0
DOUGLAS DEVNEW
DIRECTOR	2.00	10.00	Yes (X)	$0	$0	$0
GLENN HEISER
CHAIRMAN OF THE BOARD	2.00	6.00	Yes (X)	$0	$0	$0	Yes (X)
JOHN LODOVICO JR
VICE CHAIRMAN	2.00	10.00	Yes (X)	$0	$0	$0	Yes (X)
MARY ANN CORDEAU PHD RN
DIRECTOR	2.00	6.00	Yes (X)	$0	$0	$0
JEFFREY KAYE MD
MEDICAL STAFF REPRESENTATIVE	2.00	6.00	Yes (X)	$0	$0	$0
CATHRYN ADDY
DIRECTOR (RESIGNED AUG. '19)	2.00	6.00	Yes (X)	$0	$0	$0
SHARON ADLER
MEDICAL STAFF REPRESENTATIVE	2.00	6.00	Yes (X)	$0	$0	$0
LOUIS AULETTA JR
SECRETARY/TREASURER	2.00	6.00	Yes (X)	$0	$0	$0	Yes (X)
LIRAN BLUM MD
DIRECTOR	2.00	46.00	Yes (X)	$0	$402,221	$22,185
KURT BARWIS
PRESIDENT, CEO & CFO	30.00	10.00	Yes (X)	$756,900	$0	$88,908	Yes (X)
RICHARD BRAAM
VP, FINANCE AND CFO	30.00	10.00		$346,608	$0	$26,200	Yes (X)
CHRIS ANN MEANEY
VP/PAT. CARE SERV./CHIEF NURSING OFF.	30.00	10.00		$266,581	$0	$2,621		Yes (X)
EDWARD HENRY
EXECUTIVE DIRECTOR BHMSG	10.00	30.00		$262,300	$0	$27,442		Yes (X)
ROBERT SMANIK
VICE PRESIDENT OPERATIONS	38.00	2.00		$262,045	$0	$10,194		Yes (X)
DENNIS FERGUSON MD
PHYSICIAN ADVISOR	40.00	0.00		$198,997	$0	$18,407			Yes (X)
DAGMARA SCALISE
SYSTEMS DIRECTOR, MARKETING	40.00	0.00		$156,276	$0	$1,035			Yes (X)
RAYMOND MINOR
DIR. OF INT. AUDIT & SYS. INTEG.	40.00	0.00		$173,714	$0	$10,578			Yes (X)
CHRISTINE HEDDEN
SYSTEMS DIRECTOR, HUMAN RESOURCES	40.00	0.00		$150,027	$0	$20,432			Yes (X)
NANCY COCCHIOLA
NURSE	40.00	0.00		$138,802	$0	$19,951			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,712,250	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$778,250	TotReportableCompRltdOrgAmt
Total Other Compensation	$257,671	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	78	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
BISMARK CONSTRUCTION
100 BRIDGEPORT AVENUE	MILFORD	CT	06460	CONSTRUCTION SERVICES	$2,281,639
CARDINAL HEALTH
7000 CARDINAL PLACE	DUBLIN	OH	43017	HEALTHCARE SOLUTIONS	$1,807,748
NAVIGANT
685 THIRD AVENUE 14TH FLOOR	NEW YORK	NY	10017	CONSULTING SERVICES	$743,371
AMN HEALTHCARE INC
12400 HIGH BLUFF DRIVE	SAN DIEGO	CA	92130	TEMP LABOR	$725,005
RESTORIXHEALTH INC
445 HAMILTON AVENUE SUITE 800	WHITE PLAINS	NY	10601	WOUND CARE SERVICES	$694,345

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	52	CntrctRcvdGreaterThan100KCnt
Government Grants	$1,082,507	GovernmentGrantsAmt
All Other Contributions	$68,020	AllOtherContributionsAmt
Total Contributions	$1,150,527	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE	622110	$146,966,185	$146,072,409	$893,776
OCCUPATIONAL HEALTH REVENUE	621990	$829,430	$829,430

Field	Value	IRS element (for citing)
Total Program Service Revenue	$147,795,615	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,315,764	TotalRevenueColumnAmt
Exclusion	$2,315,764	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$510,520	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$287,938	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$222,582	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$222,582	TotalRevenueColumnAmt
Exclusion	$222,582	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$82,775	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$16,271	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$16,271	SecuritiesAmt
Other	$82,775	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$66,504	TotalRevenueColumnAmt
Exclusion	$66,504	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFETERIA	722210	$427,030	$427,030
MISCELLANEOUS INCOME	900099	$340,948	$340,948
VENDOR REBATES	900099	$42,756	$42,756

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$136,583	TotalRevenueColumnAmt
Exclusion	$136,583	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$947,317	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$152,498,309	TotalRevenueColumnAmt
Related Or Exempt Func Income	$146,901,839	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$893,776	UnrelatedBusinessRevenueAmt
Exclusion	$3,552,167	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,218,616	TotalAmt
Management And General	$1,218,616	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$62,836,165	TotalAmt
Program Services	$53,412,743	ProgramServicesAmt
Management And General	$9,423,422	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$848,547	TotalAmt
Program Services	$664,867	ProgramServicesAmt
Management And General	$183,680	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$7,801,293	TotalAmt
Program Services	$5,665,207	ProgramServicesAmt
Management And General	$2,136,086	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,728,861	TotalAmt
Program Services	$3,416,187	ProgramServicesAmt
Management And General	$1,312,674	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$54,000	TotalAmt
Program Services	$54,000	ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$656,427	TotalAmt
Program Services	$304,701	ProgramServicesAmt
Management And General	$351,726	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$450,008	TotalAmt
Program Services	$48,061	ProgramServicesAmt
Management And General	$401,947	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$34,898	TotalAmt
Management And General	$34,898	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$44,319	TotalAmt
Management And General	$44,319	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$26,227,400	TotalAmt
Program Services	$24,614,082	ProgramServicesAmt
Management And General	$1,613,318	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,153,899	TotalAmt
Program Services	$56,066	ProgramServicesAmt
Management And General	$2,097,833	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,478,448	TotalAmt
Program Services	$1,464,854	ProgramServicesAmt
Management And General	$1,013,594	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,521,544	TotalAmt
Program Services	$699,369	ProgramServicesAmt
Management And General	$822,175	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$5,030,166	TotalAmt
Program Services	$3,288,540	ProgramServicesAmt
Management And General	$1,741,626	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$290,333	TotalAmt
Program Services	$220,975	ProgramServicesAmt
Management And General	$69,358	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$16,065	TotalAmt
Program Services	$3,471	ProgramServicesAmt
Management And General	$12,594	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,086,957	TotalAmt
Program Services	$2,023,458	ProgramServicesAmt
Management And General	$63,499	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$5,239,659	TotalAmt
Program Services	$3,755,080	ProgramServicesAmt
Management And General	$1,484,579	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,825,319	TotalAmt
Program Services	$1,323,268	ProgramServicesAmt
Management And General	$502,051	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
MEDICAL SUPPLIES	$13,132,462	$13,132,462
DRUGS	$10,848,333	$10,848,333
LOSS ON REFINANCING	$884,148	$884,148
FOOD	$692,513	$692,513

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,271,031	TotalAmt
Program Services	$690,181	ProgramServicesAmt
Management And General	$580,850	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$152,371,411	TotalAmt
Program Services	$127,262,566	ProgramServicesAmt
Management And General	$25,108,845	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$6,706,905	BOYAmt
EOY	$1,244,816	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$99,452	BOYAmt
EOY	$101,798	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$19,053,904	BOYAmt
EOY	$21,699,113	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,422,567	BOYAmt
EOY	$2,018,274	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,291,336	BOYAmt
EOY	$3,774,324	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$167,206,788	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$126,275,274	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$38,811,212	BOYAmt
EOY	$40,931,514	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$18,664,410	BOYAmt
EOY	$13,379,643	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$10,361,988	BOYAmt
EOY	$33,952,991	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$7,875,117	BOYAmt
EOY	$9,390,117	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$3,520,138	BOYAmt
EOY	$6,023,796	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$107,807,029	BOYAmt
EOY	$132,516,386	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$22,010,282	BOYAmt
EOY	$37,254,370	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$891,499	BOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$22,172,278	BOYAmt
EOY	$36,493,897	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
EOY	$30,374,466	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$32,220,393	BOYAmt
EOY	$16,127,215	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$77,294,452	BOYAmt
EOY	$120,249,948	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$19,425,044	BOYAmt
EOY	-$1,352,945	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,906,972	BOYAmt
EOY	$6,438,822	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,180,561	BOYAmt
EOY	$7,180,561	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$30,512,577	BOYAmt
EOY	$12,266,438	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$107,807,029	BOYAmt
EOY	$132,516,386	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$126,898	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$741,853	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$17,631,184	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consol And Sep Basis Fincl Stmt	Yes (X)	ConsolAndSepBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$34,898	OtherActivitiesAmt
Total Lobbying Expenditures	$34,898	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	THE HOSPITAL IS A MEMBER OF THE CONNECTICUT HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION. $30,398 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 $4,500.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,180,562	BeginningYearBalanceAmt
Contributions	$75,000	ContributionsAmt
Investment Earnings Or Losses	$2,456,850	InvestmentEarningsOrLossesAmt
End Year Balance	$9,712,412	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,096,789	BeginningYearBalanceAmt
Investment Earnings Or Losses	$286,346	InvestmentEarningsOrLossesAmt
Other Expenditures	$202,573	OtherExpendituresAmt
End Year Balance	$7,180,562	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$6,896,847	BeginningYearBalanceAmt
Investment Earnings Or Losses	$395,609	InvestmentEarningsOrLossesAmt
Other Expenditures	$195,667	OtherExpendituresAmt
End Year Balance	$7,096,789	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$6,790,372	BeginningYearBalanceAmt
Investment Earnings Or Losses	$314,597	InvestmentEarningsOrLossesAmt
Other Expenditures	$208,122	OtherExpendituresAmt
End Year Balance	$6,896,847	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,085,488	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$295,116	InvestmentEarningsOrLossesAmt
Other Expenditures	$0	OtherExpendituresAmt
End Year Balance	$6,790,372	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,133,621	OtherCostOrOtherBasisAmt
Book Value	$3,133,621	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$75,364,045	OtherCostOrOtherBasisAmt
Depreciation	$54,728,474	DepreciationAmt
Book Value	$20,635,571	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,501,593	OtherCostOrOtherBasisAmt
Depreciation	$1,062,388	DepreciationAmt
Book Value	$439,205	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$81,400,430	OtherCostOrOtherBasisAmt
Depreciation	$70,484,412	DepreciationAmt
Book Value	$10,916,018	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,807,099	OtherCostOrOtherBasisAmt
Book Value	$5,807,099	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$40,931,514	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (4 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
FUNDS HELD FOR MALPRACTICE SELF-INSURANCE	$3,703,883	F
ASSETS HELD IN TRUST BY OTHERS	$4,129,194	F
FUNDS HELD UNDER BOND INDENTURE	$25,627,282	F
DEBT SERVICE FUND	$492,632	C

Field	Value	IRS element (for citing)
Total Book Value Securities	$33,952,991	TotalBookValueSecuritiesAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
INVESTMENT IN JOINT VENTURES	$109,059	C
INTEREST IN NET ASSETS OF FOUNDATION	$9,281,058	F

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$9,390,117	TotalBookValueProgramRltdAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
ASSET RETIREMENT OBLIGATIONS	$422,600
ACCRUED PENSION LIABILITY	$13,940,261
DUE TO AFFILIATES	$1,764,354

Field	Value	IRS element (for citing)
Total Liability	$16,127,215	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$133,484,743	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$741,853	NetUnrealizedGainsInvstAmt
Other Revenue	-$18,559,651	OtherRevenueAmt
Revenue Not Reported	-$19,301,504	RevenueNotReportedAmt
Revenue Subtotal	$152,786,247	RevenueSubtotalAmt
Other Revenues Not Included	-$287,938	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	-$287,938	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$152,498,309	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$151,730,882	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$287,938	OtherExpensesIncludedAmt
Expenses Not Reported	$287,938	ExpensesNotReportedAmt
Expenses Subtotal	$151,442,944	ExpensesSubtotalAmt
Other Expenses Not Included	$928,467	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$928,467	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$152,371,411	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 THEIR 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 SEPTEMBER 30, 2019 AND 2018. 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, 2019 AND 2018, 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, 2019 AND 2018, THE HOSPITAL HAD NET OPERATING LOSS CARRYFORWARDS TO REDUCE ITS FUTURE TAXABLE INCOME OF APPROXIMATELY $3,964,131 AND $4,005,745, RESPECTIVELY. A FULL VALUATION ALLOWANCE HAS BEEN RECORDED FOR THE VALUE OF THE RESULTING DEFERRED TAX ASSET, AS THE ABILITY TO USE THE DEFERRED TAX ASSET IS IN THE PROCESS OF BEING ASSESSED.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	PENSION SETTLEMENT -11,418,666. TRANSFER TO BRISTOL HOSPITAL MULTISPECIALTY GROUP -7,651,305. TRANSFER TO BRISTOL HEALTH CARE INC -879,381. CHANGE IN NET ASSETS OF FOUNDATION 1,569,579. CHANGE IN ASSETS HELD IN TRUST BY OTHERS 748,589. LOSS ON REFINANCING -884,148. INVESTMENT FEES -44,319.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	RENTAL EXPENSES -287,938.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSES 287,938.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	LOSS ON REFINANCING 884,148. INVESTMENT FEES 44,319.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	250.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,446,213	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,446,213	NetCommunityBenefitExpnsAmt
Total Expense	0.01610	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$48,383,787	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$31,863,282	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,520,505	NetCommunityBenefitExpnsAmt
Total Expense	0.10840	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$50,830,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$31,863,282	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,966,718	NetCommunityBenefitExpnsAmt
Total Expense	0.12450	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,300,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,300,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00850	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,675,013	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,675,013	NetCommunityBenefitExpnsAmt
Total Expense	0.04380	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,975,013	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,975,013	NetCommunityBenefitExpnsAmt
Total Expense	0.05230	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$58,805,013	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$31,863,282	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$26,941,731	NetCommunityBenefitExpnsAmt
Total Expense	0.17680	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$6,044,318	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,511,080	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$58,262,425	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$80,066,066	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$21,803,641	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BRISTOL HOSPITAL INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	41 BREWSTER ROAD	AddressLine1Txt
City	BRISTOL	CityNm
State Abbreviation	CT	StateAbbreviationCd
ZIP	06010	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.BRISTOLHOSPITAL.ORG	WebsiteAddressTxt
State License	41	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Emergency Room Other	Yes (X)	EmergencyRoomOtherInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	BRISTOL HOSPITAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART VI, SUPPLEMENTAL SCHEDULE	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART VI, SUPPLEMENTAL SCHEDULE	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	250.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTPS://WWW.BRISTOLHOSPITAL.ORG/FINANCIAL-ASSISTANCE.ASPX	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://WWW.BRISTOLHOSPITAL.ORG/FINANCIAL-ASSISTANCE.ASPX	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://WWW.BRISTOLHOSPITAL.ORG/FINANCIAL-ASSISTANCE.ASPX	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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

Field	Value	IRS element (for citing)
Facility	12	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (12 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
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

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 THE 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 SERVICES.
PART III, LINE 9B:	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. BRISTOL HOSPITAL WILL NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS BEFORE MAKING REASONABLE EFFORTS TO DETERMINE WHETHER A PATIENT IS ELIGIBLE FOR ASSISTANCE UNDER BRISTOL HOSPITAL'S FINANCIAL ASSISTANCE POLICY. TO THAT END, BRISTOL HOSPITAL WILL NOTIFY INDIVIDUALS ABOUT THE FINANCIAL ASSISTANCE POLICY BEFORE INITIATING ANY EXTRAORDINARY COLLECTION ACTIONS TO OBTAIN PAYMENT FOR THE CARE AND REFRAIN FROM INITIATING SUCH EXTRAORDINARY COLLECTION ACTIONS FOR AT LEAST 120 DAYS FROM THE DATE BRISTOL HOSPITAL PROVIDES THE FIRST POST-DISCHARGE BILLING STATEMENT FOR THE CARE. BRISTOL HOSPITAL'S BILLING AND COLLECTION POLICY CONTAINS PROVISIONS ON SUSPENDING OR REVERSING EXTRAORDINARY COLLECTION ACTIONS IF A PATIENT APPLIES FOR AND/OR IS APPROVED FOR FINANCIAL ASSISTANCE, AND GOVERNS THE ISSUANCE OF REFUNDS OF AMOUNTS PAID WHEN FINANCIAL ASSISTANCE HAS BEEN GRANTED.
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, FINANCIAL ASSISTANCE INFORMATION IS PROVIDED TO ALL PATIENTS UPON ADMISSION. ALSO, 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 134-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, 84.2% OF THE PEOPLE SPEAK ENGLISH AND 4.8% OF PEOPLE SPEAK SPANISH. IN BRISTOL, 54.6% OF PEOPLE ARE MARRIED AND 92.2% OF RESIDENTS WERE BORN IN THE US. COMMUNITY INFORMATION : THE PRIMARY SERVICE AREA (PSA) FOR OUR HOSPITAL INCLUDES: BRISTOL (ZIP CODE 06010,06011)- 2011 CENSUS 62,078 BURLINGTON (ZIP CODE 06013)- 2011 CENSUS- 10,011 PLAINVILLE (ZIP CODE 06062)- 2011 CENSUS 17,767 PLYMOUTH (ZIP CODE 06781,06782,06786)- 2011 CENSUS 12,605 THE TOTAL POPULATION FROM THE 2011 CENSUS FOR OUR PSA IS- 102,461 IN 2009, THE LATEST DATE DATA BECAME AVAILABLE THE FOLLOWING DATA POINTS WERE PROVIDED: BRISTOL: MEDIAN HOUSEHOLD INCOME: $57,781 FAMILIES BELOW POVERTY LEVEL- 5.6% INDIVIDUALS BELOW POVERTY LEVEL- 7.7% RACE: WHITE: 87.7% BLACK OR AFRICA AMERICAN: 3.6% AMERICAN INDIAN OR ALASKA NATIVE: 0.3% ASIAN: 1.8% OTHER RACE: 3.9% BURLINGTON: MEDIAN HOUSEHOLD INCOME: $116,419 FAMILIES BELOW POVERTY LEVEL- 1.2% INDIVIDUALS BELOW POVERTY LEVEL- 1.9% RACE: WHITE: 98% BLACK OR AFRICAN AMERICAN: 0.2% AMERICAN INDIAN OR ALASKA NATIVE: 0.1% ASIAN: 1.2% PLAINVILLE: MEDIAN HOUSEHOLD INCOME: $62,440 FAMILIES BELOW POVERTY LEVEL- 4.1% INDIVIDUALS BELOW POVERTY LEVEL- 5.0% RACE: WHITE: 93.1% BLACK OR AFRICA AMERICAN: 2.5% AMERICAN INDIAN OR ALASKA NATIVE: 0.3% ASIAN: 1.3% OTHER RACE: 0.6% PLYMOUTH: MEDIAN HOUSEHOLD INCOME: $70,132 FAMILIES BELOW POVERTY LEVEL- 2.9% INDIVIDUALS BELOW POVERTY LEVEL- 5.6% RACE: WHITE: 96.7% BLACK OR AFRICA AMERICAN: 0.5% AMERICAN INDIAN OR ALASKA NATIVE: 0.3% ASIAN: 0.6% OTHER RACE: 0.7% THE SECONDARY SERVICE AREA (SSA) FOR OUR HOSPITAL INCLUDES: FARMINGTON (ZIP CODE 06085,06087)- 2011 CENSUS 6,058 SOUTHINGTON (ZIP CODE 06489)- 2011 CENSUS 33,560 WOLCOTT (ZIP CODE 06716)- 2011 CENSUS 17,458 THOMASTON (ZIP CODE 06787)- 2011 CENSUS 8,512 HARWINTON (ZIP CODE 06791)- 2011 CENSUS 5,938 THE TOTAL POPULATION FROM THE 2011 CENSUS FOR OUR SSA IS- 71,526 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 RESIDENCE 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

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	Yes (1)	InitialContractExceptionInd
Rebuttable Presumption Proc	Yes (1)	RebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JENNIFER MCCALLISTER MD
MEDICAL STAFF REPRESENTATIVE	$0	$376,029	$0	$0	$0	$0	$0	$0	$0	$9,718	$0	$385,747	$0	$0
LIRAN BLUM MD
DIRECTOR	$0	$340,821	$0	$61,400	$0	$0	$0	$0	$0	$22,185	$0	$424,406	$0	$0
KURT BARWIS
PRESIDENT, CEO & CFO	$578,900	$0	$135,000	$0	$43,000	$0	$70,088	$0	$18,820	$0	$845,808	$0	$0	$0
RICHARD BRAAM
VP, FINANCE AND CFO	$295,428	$0	$51,180	$0	$0	$0	$865	$0	$25,335	$0	$372,808	$0	$0	$0
CHRIS ANN MEANEY
VP/PAT. CARE SERV./CHIEF NURSING OFF	$228,769	$0	$37,812	$0	$0	$0	$1,863	$0	$758	$0	$269,202	$0	$0	$0
EDWARD HENRY
EXECUTIVE DIRECTOR BHMSG	$222,832	$0	$39,468	$0	$0	$0	$2,213	$0	$25,229	$0	$289,742	$0	$0	$0
ROBERT SMANIK
VICE PRESIDENT OPERATIONS	$228,023	$0	$34,022	$0	$0	$0	$0	$0	$10,194	$0	$272,239	$0	$0	$0
DENNIS FERGUSON MD
PHYSICIAN ADVISOR	$198,997	$0	$0	$0	$0	$0	$0	$0	$18,407	$0	$217,404	$0	$0	$0
DAGMARA SCALISE
SYSTEMS DIRECTOR, MARKETING	$156,276	$0	$0	$0	$0	$0	$433	$0	$602	$0	$157,311	$0	$0	$0
RAYMOND MINOR
DIR. OF INT. AUDIT & SYS. INTEG.	$173,714	$0	$0	$0	$0	$0	$1,015	$0	$9,563	$0	$184,292	$0	$0	$0
CHRISTINE HEDDEN
SYSTEMS DIRECTOR, HUMAN RESOURCES	$150,027	$0	$0	$0	$0	$0	$1,348	$0	$19,084	$0	$170,459	$0	$0	$0
NANCY COCCHIOLA
NURSE	$138,802	$0	$0	$0	$0	$0	$1,432	$0	$18,519	$0	$158,753	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 4B	KURT BARWIS, THE ORGANIZATION'S PRESIDENT, CEO AND CFO, PARTICIPATES IN THE HOSPITAL'S 457(F) DEFINED CONTRIBUTION PLAN. $65,000 WAS DEFERRED DURING CALENDAR YEAR 2018, AND IS INCLUDED IN SCHEDULE J, COLUMN C. $43,000 IMMEDIATELY VESTED AND IS INCLUDED IN TAXABLE COMPENSATION AS OTHER REPORTABLE COMPENSATION.
PART I, LINE 7	CERTAIN EXECUTIVES ARE AWARDED DISCRETIONARY BONUSES BASED UPON A NUMBER OF CRITERIA WHICH INCLUDE BOTH FINANCIAL AND NON-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).

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	CONNECTICUT HEALTH AND EDUCATIONAL FACILITIES AUTHORITY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	060806186	BondIssuerEIN
CUSIP	20775DBL5	CUSIPNum
Bond Issued	2019-06-01	BondIssuedDt
Issue Price	$37,630,000	IssuePriceAmt
Purpose	REFUND SERIES 2002 BONDS	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	$37,111,379	TotalProceedsAmt
Issuance Costs From Proceeds	$602,857	IssuanceCostsFromProceedsAmt
Capital Expenditures	$4,221,081	CapitalExpendituresAmt
Other Spent Proceeds	$20,644,450	OtherSpentProceedsAmt
Unspent	$11,642,991	UnspentAmt
Substantial Completion	2019	SubstantialCompletionYr
Refunding Tax Exempt Bonds	Yes (1)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	0	RefundingTaxableBondsInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	0	MgmtContractBondFincdPropInd
Any Research Agreements	0	AnyResearchAgreementsInd
Private Bus Use By Others	0.00000	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00000	PrivateBusConcerningUBIPct
Total Private Business Use	0.00000	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	Yes (1)	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	0	NoRebateDueInd
Variable Rate Issue	0	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II, LINE 3:	FormAndLineReferenceDesc
Explanation	THE AMOUNT OF PROCEEDS DIFFERS FROM THE FACE AMOUNT OF THE BOND ISSUE DUE TO ORIGINAL ISSUE PREMIUMS.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 1	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 IT 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 14,100,908. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,100,908. TEMPORARY LABOR: PROGRAM SERVICE EXPENSES 307,639. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 307,639. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 5,878,018. MANAGEMENT AND GENERAL EXPENSES 954,247. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,832,265. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 2,165,341. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,165,341. CONSULTING FEES: PROGRAM SERVICE EXPENSES 2,162,176. MANAGEMENT AND GENERAL EXPENSES 659,071. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,821,247.
FORM 990, PART XI, LINE 9:	PENSION SETTLEMENT -11,418,666. TRANSFER TO BRISTOL HOSPITAL MULTISPECIALTY GROUP -7,651,305. TRANSFER TO BRISTOL HEALTH CARE INC -879,381. CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION 1,569,579. CHANGE IN ASSETS HELD IN TRUST BY OTHERS 748,589.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	HG PROPERTY HOLDINGS LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	41 BREWSTER ROAD	AddressLine1Txt
City	BRISTOL	CityNm
State Abbreviation	CT	StateAbbreviationCd
ZIP	06010	ZIPCd

Field	Value	IRS element (for citing)
EIN	272548373	EIN
Primary Activities	REAL ESTATE	PrimaryActivitiesTxt
Legal Domicile State	CT	LegalDomicileStateCd
Total Income	-$91,948	TotalIncomeAmt
End Of Year Assets	$1,333,722	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	BRISTOL HOSPITAL INC	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
BREWSTER HOSPITAL AND HEALTH CARE GROUP INC
41 BREWSTER ROAD	BRISTOL	CT	06010	222577726	HEALTHCARE PARENT COMPANY	CT	501(C)(3)	LINE 12B, II	N/A	0
BREWSTER HOSPITAL DEVELOPMENT FOUNDATION INC
41 BREWSTER ROAD	BRISTOL	CT	06010	222577740	FUNDRAISING	CT	501(C)(3)	LINE 7		0	BRISTOL HOSPITAL AND HEALTH CARE GROUP INC
BRISTOL HEALTH CARE INC
400 NORTH MAIN STREET	BRISTOL	CT	06010	222577731	NURSING HOME	CT	501(C)(3)	LINE 10		0	BRISTOL HOSPITAL AND HEALTH CARE GROUP INC
BRISTOL HOSPITAL MULTISPECIALTY GROUP INC
240 MAIN STREET	BRISTOL	CT	06010	061466555	HEALTHCARE SERVICES	CT	501(C)(3)	LINE 10		0	BRISTOL HOSPITAL AND HEALTH CARE GROUP INC
BRISTOL HOME CARE AND HOSPICE INC
41 BREWSTER ROAD	BRISTOL	CT	06010	821663577	HOME CARE AND HOSPICE	CT	501(C)(3)	LINE 10		0	BRISTOL HOSPITAL AND HEALTH CARE GROUP INC

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	BRISTOL MSO LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	25 COLLINS ROAD	AddressLine1Txt
City	BRISTOL	CityNm
State Abbreviation	CT	StateAbbreviationCd
ZIP	06010	ZIPCd

Field	Value	IRS element (for citing)
EIN	061506024	EIN
Primary Activities	RADIOLOGY SERVICES	PrimaryActivitiesTxt
Legal Domicile State	CT	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	BRISTOL HOSPITAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Predominant Income Type	RELATED	PredominantIncomeTypeTxt
Disproportionate Allocations	0	DisproportionateAllocationsInd
General Or Managing Partner	Yes (1)	GeneralOrManagingPartnerInd
Ownership	0.50000	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	BRISTOL HOSPITAL EMS LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	41 BREWSTER ROAD	AddressLine1Txt
City	BRISTOL	CityNm
State Abbreviation	CT	StateAbbreviationCd
ZIP	06010	ZIPCd

Field	Value	IRS element (for citing)
EIN	061547648	EIN
Primary Activities	EMERGENCY MEDICAL SERVICES	PrimaryActivitiesTxt
Legal Domicile State	CT	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd
Entity Type	C	EntityTypeTxt
Controlled Organization	0	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd