2025-09-09T08:33:31-05:00 2024-09-30 390859910 BAKER TILLY ADVISORY GROUP LP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2023-10-01 061466555 BRISTOL HOSPITAL MULTI-SPECIALTY GROUP INC BRIS 8605853469 PO BOX 2828 BRISTOL CT 060112828 TIMOTHY AJAYI VP & CFO 8605853469 2025-09-02 1 1 KERRI N BOGDA P00760402 7177404863 2025-09-02 2023 2025-03-06 01:10:19Z KURT BARWIS PO BOX 2828 BRISTOL CT 060112828 38345445 0 X WWW.BRISTOLHOSPITAL.ORG X 2011 CT HIGH QUALITY PATIENT-CENTERED HEALTH CARE THAT RESPONDS TO EVOLVING PATIENT HEALTH CARE NEEDS. 9 2 352 3 0 0 10485583 9460303 28474525 27574766 -24321 -22512 149666 1310376 39085453 38322933 0 0 0 0 38815540 38753167 0 0 0 17535319 17394425 56350859 56147592 -17265406 -17824659 15526638 13995466 18654508 17288792 -3127870 -3293326 X TO PROVIDE ACCESSIBLE, HIGH QUALITY, SUSTAINABLE, PATIENT-CENTERED HEALTH CARE IN THE COMMUNITY, AND TO RESPOND TO THE EVOLVING HEALTH CARE NEEDS OF THE COMMUNITY. 0 0 47917003 27574766 THE BRISTOL HOSPITAL MULTISPECIALTY GROUP WAS FORMED TO DELIVER A FULL RANGE OF HEALTH AND SPECIALTY CARE SERVICES AT CONVENIENT LOCATIONS THROUGHOUT BRISTOL, CONNECTICUT, AND THE SURROUNDING TOWNS. THEY PROVIDE ACCESSIBLE, HIGH QUALITY, EVIDENCE-BASED, STATE-OF-THE-ART, COST-EFFECTIVE, COMPASSIONATE AND PATIENT-CENTERED HEALTH CARE IN THE COMMUNITIES SERVED BY BRISTOL HOSPITAL. THEY RESPOND APPROPRIATELY TO EVOLVING COMMUNITY HEALTH CARE NEEDS AND TO CHANGES IN TECHNOLOGY AND THE HEALTH CARE SYSTEM; AND THEY ASSURE A SUSTAINABLE LEGACY OF HEALTH CARE SERVICE EXCELLENCE IN THOSE COMMUNITIES. THESE SERVICES ARE AVAILABLE TO ALL PERSONS, WITHOUT REGARD TO THEIR ABILITY TO PAY FOR SUCH SERVICES, AND ARE OPERATIONAL AT ALL TIMES IN FURTHERANCE OF THE TAX-EXEMPT CHARITABLE MISSIONS OF BRISTOL HOSPITAL AND HEALTH CARE GROUP, INC. THE ORGANIZATION'S PHYSICIANS PROVIDE FREQUENT COMMUNITY-WIDE EDUCATION SUCH AS SEMINARS, ARTICLES IN THE LOCAL NEWSPAPERS, AND SESSIONS AT THE SENIOR CENTERS AND SCHOOLS. THESE COMMUNITY EVENTS ALSO PROVIDE THE PUBLIC THE OPPORTUNITY TO INTERACT WITH THE PHYSICIANS AT NO COST. 47917003 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 39 0 352 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 2 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 0 X TIM AJAYI 8605853024 41 BREWSTER ROAD BRISTOL CT 06010 CHRIS ANN MEANEY PRESIDENT OF BHMG 5.00 35.00 X X 0 330377 1230 KURT BARWIS PRESIDENT, CEO & CFO 2.00 38.00 X X 0 650032 37738 RUPALINI RAWAL-DHINGRA MD CHAIR OF THE BOARD 40.00 8.00 X X 370527 0 28912 MARGARITA REYES MD VICE CHAIR (UNTIL 5/23) 40.00 0.00 X X 324208 0 15583 JOHN LODOVICO JR SECRETARY/TREASURER 2.00 10.00 X X 0 0 0 GLENN HEISER DIRECTOR (UNTIL 4/24) 2.00 0.00 X 0 0 0 LIRAN BLUM MD DIRECTOR / PHYSICIAN 40.00 8.00 X 447429 0 28912 TOSHITA KUMAR MD DIRECTOR (UNTIL 11/23) / PHYSICIAN 40.00 0.00 X 390644 0 147 KEONA DAWSON-CAMEROTA APRN DIRECTOR (UNTIL 1/24) 40.00 0.00 X 149492 0 139 ROBERT BLACK MD VICE CHAIR OF THE BOARD 2.00 0.00 X 434871 0 148 MATTHEW HUNT APRN DIRECTOR 2.00 0.00 X 110383 0 5852 LOUIS AULETTA JR DIRECTOR 2.00 10.00 X 0 0 0 SAIMA PASHA DIRECTOR 2.00 0.00 X 381904 0 148 HENRY EDWARD VINCENT EXECUTIVE DIRECTOR 30.00 10.00 X 0 205085 14197 ANDREW LIM MD MEDICAL DIRECTOR 40.00 0.00 X 435923 0 382 KAI HANS HAMMERICH PHYSICIAN 40.00 0.00 X 1242323 0 2905 THOMAS O'SHEA PHYSICIAN 40.00 0.00 X 712193 0 22483 KYLE LAVERY PHYSICIAN 40.00 0.00 X 585596 0 31737 MORENIKEJI AYODELE BURAIMOH PHYSICIAN 40.00 0.00 X 659409 0 28912 VANESSA MALIT PHYSICIAN 40.00 0.00 X 694169 0 32303 6939071 1185494 251728 94 0 1 0 COMPHEALTH 7529 S BINGHAM JUNCTION BLVD MIDVALE UT 84047 PHYSICIAN SERVICES 503169 CHARTER ANESTHESIOLOGY LLC 151 MAIN STREET BRISTOL CT 06010 ANESTHESIOLOGY SERVICES 457291 CHALEEL LLC 9 HILLDALE ROAD WEST HARTFORD CT 06117 PHYSICIAN SERVICES 397580 MEDCARE BUSINESS SOLUTIONS LLC 59 PLEASANT STREET APT 2 BOSTON MA 02125 BILLING SERVICES 177973 MARLENE MURPHY SETZKO 15 RIVERSIDE AVENUE UROLOGY BRISTOL CT 06010 PHYSICIAN SERVICES 174488 7 9460303 9460303 PATIENT SERVICE REVENUE 621110 27574766 27574766 27574766 20700 0 20700 20700 20700 22512 -22512 -22512 -22512 INCENTIVE BONUS 900099 1215097 1215097 SLEEP CENTER MANAGEMENT FEE 900099 54000 54000 MEDICAL STUDENT TRAINING 900099 16950 16950 3629 3629 1289676 38322933 27574766 0 1287864 36111685 33692456 2419229 203777 153786 49991 448552 173124 275428 1989153 1810819 178334 46224 41766 4458 4538388 4538388 949577 737727 211850 1104764 1104764 258691 258691 2305701 2297345 8356 1409891 1409891 SHARED SERVICES 5077603 5400 5072203 MEDICAL SUPPLIES 937192 937192 DRUGS 755624 755624 MISCELLANEOUS EXPENSES 10770 30 10740 56147592 47917003 8230589 0 4068646 4468425 101135 170367 421541 629856 5758925 3773924 2222851 1985001 8712465 6741817 15526638 13995466 8990665 9675637 546590 434591 9117253 7178564 18654508 17288792 X -3127870 -3293326 -3127870 -3293326 15526638 13995466 X -17824659 17659203 X 0 1 X 1 0 X 10144772 12065632 11915034 10485583 9460303 54071324 25777769 25617975 26447030 28474525 27574766 133892065 35922541 37683607 38362064 38960108 37035069 187963389 0 0 0 187963389 11289 21446 23665 19200 20700 96300 11289 21446 23665 19200 20700 96300 42855 7788 7327 130466 1289676 1478112 35976685 37712841 38393056 39109774 38345445 189537801 0.99170 0.99840 0.00050 0.00050 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MEDICAL STUDENT TRAINING - 2019 AMOUNT: $ 7,804. 2020 AMOUNT: $ 7,788. 2021 AMOUNT: $ 6,875. 2022 AMOUNT: $ 127,787. 2023 AMOUNT: $ 16,950. INSURANCE CLAIM PROCEEDS - 2019 AMOUNT: $ 9,299. MISC REFUND - 2019 AMOUNT: $ 42. 2021 AMOUNT: $ 452. 2022 AMOUNT: $ 2,679. 2023 AMOUNT: $ 3,629. INSURANCE DISTRIBUTION - 2019 AMOUNT: $ 25,710. SLEEP CENTER MANAGEMENT FEE - 2023 AMOUNT: $ 54,000. INCENTIVE BONUS - 2023 AMOUNT: $ 1,215,097. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 33057 33057 0 2376375 1014352 1362023 3240581 2726515 514066 108912 108912 1985001 DUE FROM AFFILIATE 2042 RIGHT-OF-USE ASSETS, FINANCE LEASES 5199155 RIGHT-OF-USE ASSETS, OPERATING LEASES 1540620 6741817 CASH OVERDRAFT 76683 RIGHT-OF-USE ASSETS, FINANCE LEASES 5538135 RIGHT-OF-USE ASSETS, OPERATING LEASES 1563746 7178564 X 55982136 17659203 17659203 38322933 0 38322933 56147592 0 56147592 0 56147592 PART X, LINE 2: THE CORPORATION 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 CORPORATION 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 CORPORATION DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS AS OF SEPTEMBER 30, 2024 AND 2023. IT IS THE CORPORATION'S POLICY TO RECORD PENALTIES AND INTEREST ASSOCIATED WITH UNCERTAIN TAX PROVISIONS AS A COMPONENT OF OPERATING EXPENSES. AS OF SEPTEMBER 30, 2024 AND 2023, THE CORPORATION DID NOT RECORD ANY PENALTIES OR INTEREST ASSOCIATED WITH UNCERTAIN TAX POSITIONS. THE CORPORATION'S PRIOR THREE TAX YEARS ARE OPEN AND SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE CORPORATION DOES NOT EXPECT THE TOTAL AMOUNT OF UNRECOGNIZED TAX BENEFITS TO SIGNIFICANTLY CHANGE IN THE NEXT 12 MONTHS. PART XI, LINE 2D - OTHER ADJUSTMENTS: TRANSFER FROM AFFILIATES 17,659,143. OTHER CHANGES IN NET ASSETS 60. 0 1 0 0 0 0 0 1 0 KAI HANS HAMMERICH PHYSICIAN 821054 0 421269 0 0 0 0 0 2905 0 1245228 0 0 0 THOMAS O'SHEA PHYSICIAN 693693 0 18500 0 0 0 0 0 22483 0 734676 0 0 0 VANESSA MALIT PHYSICIAN 676044 0 18125 0 0 0 0 0 32303 0 726472 0 0 0 MORENIKEJI AYODELE BURAIMOH PHYSICIAN 650076 0 9333 0 0 0 0 0 28912 0 688321 0 0 0 KURT BARWIS PRESIDENT, CEO & CFO 0 650032 0 0 0 0 0 24314 0 13424 0 687770 0 0 KYLE LAVERY PHYSICIAN 577263 0 8333 0 0 0 0 0 31737 0 617333 0 0 0 LIRAN BLUM MD DIRECTOR / PHYSICIAN 356617 0 90812 0 0 0 0 0 28912 0 476341 0 0 0 ANDREW LIM MD MEDICAL DIRECTOR 435923 0 0 0 0 0 0 0 382 0 436305 0 0 0 ROBERT BLACK MD VICE CHAIR OF THE BOARD 434871 0 0 0 0 0 0 0 148 0 435019 0 0 0 RUPALINI RAWAL-DHINGRA MD CHAIR OF THE BOARD 353239 0 17288 0 0 0 0 0 28912 0 399439 0 0 0 TOSHITA KUMAR MD DIRECTOR (UNTIL 11/23) / PHYSICIAN 361394 0 29250 0 0 0 0 0 147 0 390791 0 0 0 SAIMA PASHA DIRECTOR 303212 0 78692 0 0 0 0 0 148 0 382052 0 0 0 MARGARITA REYES MD VICE CHAIR (UNTIL 5/23) 287301 0 36907 0 0 0 0 0 15583 0 339791 0 0 0 CHRIS ANN MEANEY PRESIDENT OF BHMG 0 330377 0 0 0 0 0 0 0 1230 0 331607 0 0 HENRY EDWARD VINCENT EXECUTIVE DIRECTOR 0 5842 0 82389 0 116854 0 3450 0 10747 0 219282 0 0 PART I, LINE 3 KURT BARWIS, THE ORGANIZATION'S PRESIDENT, CEO AND CFO, IS COMPENSATED BY A RELATED ORGANIZATION, BRISTOL HOSPITAL, INC., WHICH USES THE FOLLOWING METHODS TO ESTABLISH HIS COMPENSATION: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. 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 AND CHRIS ANN MEANEY. PART I, LINE 7 CERTAIN EXECUTIVES ARE PAID VARIABLE COMPENSATION BASED ON PRE-APPROVED QUALITY, SAFETY AND FINANCIAL GOALS. FORM 990, PAGE 5, PART V, LINE 2A THE FILING ENTITY IS AN AFFILIATE IN A GROUP OF WHICH BRISTOL HOSPITAL, INC. (EIN 06-0646559) IS CONSIDERED A COMMON PAY AGENT FOR W-2 REPORTING. BRISTOL HOSPITAL REPORTS ALL EMPLOYEES ON ITS FORM W-3, HOWEVER, EACH AFFILIATE HAS EMPLOYEES ALLOCATED TO THAT ENTITY. PER IRS INSTRUCTIONS, EMPLOYEES LISTED ON PART V, LINE 2A ARE THOSE WHO HAVE BEEN DEEMED TO BE EMPLOYEES OF THIS ORGANIZATION. BRISTOL HOSPITAL MULTI-SPECIALTY GROUP, INC. DOES NOT, HOWEVER, REPORT THESE EMPLOYEES ON A SEPARATE W-3 UNDER ITS OWN EIN. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS A SOLE MEMBER, WHICH IS BRISTOL HOSPITAL AND HEALTH CARE GROUP, INC. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION HAS A SOLE MEMBER, WHICH IS BRISTOL HOSPITAL AND HEALTH CARE GROUP, INC. THE MEMBER HAS THE RIGHT TO ELECT THE MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B CERTAIN DECISIONS, CONSIDERED "MAJOR ACTIONS," REQUIRE THE APPROVAL OF THE SOLE MEMBER, BRISTOL HOSPITAL AND HEALTH CARE GROUP, INC. THESE ACTIONS INCLUDE THE ADOPTION OF THE ORGANIZATION'S ANNUAL BUDGET AS WELL AS OTHER MAJOR ACTIONS. THE SOLE MEMBER HAS FULL VOTING RIGHTS. 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 INTEREST 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 15B THE ORGANIZATION'S CEO/CFO, KURT BARWIS, AND THE ORGANIZATION'S EXECUTIVE DIRECTOR, EDWARD HENRY, ARE COMPENSATED BY A RELATED ORGANIZATION, BRISTOL HOSPITAL, INC. IN ACCORDANCE WITH IRS INSTRUCTIONS, PART VI, LINE 15A IS THEREFORE MARKED NO. OFFICERS OF THE ORGANIZATION, RUPALINI RAWAL-DHINGRA, CHAIR OF THE BOARD, AND MARGARITA REYES, VICE CHAIR, RECEIVE COMPENSATION FROM THE ORGANIZATION FOR THEIR SERVICES AS PHYSICIANS. THEIR COMPENSATION IS BASED UPON FAIR MARKET VALUE FOR PHYSICIAN SERVICES IN THEIR GEOGRAPHICAL AREA. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: TRANSFER FROM AFFILIATES 17,659,143. OTHER CHANGES 60. BRISTOL HOSPITAL INC 41 BREWSTER RD BRISTOL CT 06010 060646559 SHORT-TERM ACUTE CARE COMMUNITY HOSPITAL CT 501(C)(3) LINE 3 BRISTOL HOSPITAL AND HEALTH CARE GROUP 0 BRISTOL HOSPITAL AND HEALTH CARE GROUP INC 41 BREWSTER RD BRISTOL CT 06010 222577726 HEALTHCARE PARENT COMPANY CT 501(C)(3) LINE 12B, II N/A 0 BRISTOL HOSPITAL DEVELOPMENT FOUNDATION INC 41 BREWSTER RD BRISTOL CT 06010 222577740 FUNDRAISING CT 501(C)(3) LINE 7 BRISTOL HOSPITAL AND HEALTH CARE GROUP 0 BRISTOL HEALTH CARE INC 41 BREWSTER RD BRISTOL CT 06010 222577731 NURSING HOME CT 501(C)(3) LINE 10 BRISTOL HOSPITAL AND HEALTH CARE GROUP 0 BRISTOL HOME CARE AND HOSPICE AGENCY INC 41 BREWSTER RD BRISTOL CT 06010 821663577 HOME CARE AND HOSPICE CT 501(C)(3) LINE 10 BRISTOL HOSPITAL AND HEALTH CARE GROUP 0 BRISTOL HOSPITAL EMS LLC 41 BREWSTER RD BRISTOL CT 06010 061547648 EMERGENCY MEDICAL SERVICES CT N/A C 0 0 0 1 1 1 0 0 0 0 0 1 0 0 0 1 0 0 0 1