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BRISTOL HOSPITAL INCORPORATED: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
BRISTOL HOSPITAL INCORPORATED (EIN 06-0646559)
Tax period
2017-10-01 to 2018-09-30
Filed
2019-08-12
IRS object ID
201902249349301295
Schema version
2017v2.2
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 ReturnHeader

FieldValueIRS element (for citing)
Return2019-08-12T14:30:28-05:00ReturnTs
Tax Period End2018-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN350921680PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CROWE LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1175 Powder Forest DriveAddressLine1Txt
CitySimsburyCityNm
State AbbreviationCTStateAbbreviationCd
ZIP060897902ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN060646559EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Bristol Hospital IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBRISBusinessNameControlTxt
Phone8605853000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line141 Brewster RoadAddressLine1Txt
CityBristolCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06010ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRichard BraamPersonNm
Person TitleVice President & CFOPersonTitleTxt
Signature2019-08-12SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKristin AndersonPreparerPersonNm
PTINP01231300PTIN
Phone8606789200PhoneNum
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1Kurt BarwisBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line141 Brewster RoadAddressLine1Txt
CityBristolCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06010ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$146,048,762GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.BRISTOLHOSPITAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1920FormationYr
Legal Domicile StateCTLegalDomicileStateCd
Activity Or MissionTO ENHANCE 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 PROFESSIONAL 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.ActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee1378TotalEmployeeCnt
Total Volunteers124TotalVolunteersCnt
Total Gross UBI$91,605TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,573,141PYContributionsGrantsAmt
CY Contributions Grants$2,756,885CYContributionsGrantsAmt
PY Program Service Revenue$132,245,962PYProgramServiceRevenueAmt
CY Program Service Revenue$140,184,438CYProgramServiceRevenueAmt
PY Investment Income$654,664PYInvestmentIncomeAmt
CY Investment Income$950,147CYInvestmentIncomeAmt
PY Other Revenue$1,314,675PYOtherRevenueAmt
CY Other Revenue$2,131,635CYOtherRevenueAmt
PY Total Revenue$135,788,442PYTotalRevenueAmt
CY Total Revenue$146,023,105CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$69,243,354PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$72,817,647CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$69,228,149PYOtherExpensesAmt
CY Other Expenses$67,231,698CYOtherExpensesAmt
PY Total Expenses$138,471,503PYTotalExpensesAmt
CY Total Expenses$140,049,345CYTotalExpensesAmt
PY Revenues Less Expenses-$2,683,061PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$5,973,760CYRevenuesLessExpensesAmt
Total Assets BOY$99,248,190TotalAssetsBOYAmt
Total Assets EOY$107,807,029TotalAssetsEOYAmt
Total Liabilities BOY$77,407,276TotalLiabilitiesBOYAmt
Total Liabilities EOY$77,294,452TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$21,840,914NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$30,512,577NetAssetsOrFundBalancesEOYAmt
MissionBRISTOL 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 SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$110,939,645ExpenseAmt
Grant$0GrantAmt
Revenue$141,278,211RevenueAmt
DescAS A SHORT-TERM ACUTE CARE COMMUNITY HOSPITAL, BRISTOL HOSPITAL PROVIDES A BROAD SPECTRUM OF HEALTHCARE SERVICES TO ANY INDIVIDUAL REGARDLESS OF THE INDIVIDUALS ABILITY TO PAY. THE HOSPITAL PROVIDED CHARITY CARE TO THOSE UNABLE TO PAY FOR SERVICES AT COST OF OVER $3,916,000 DURING THE OPERATING YEAR AND SUPPORTED THE STATE MEDICAID PROGRAM THROUGH THE PAYMENT OF OVER $13.8 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, NATURAL 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 THAT 12 HEALTH FAIRS THROUGHOUT THE YEAR. ADOPT A FAMILY FOR THE HOLIDAYS: THE EMPLOYEES WITH 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 HOSPITALS 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 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 NON-CLINICAL 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 HEALTHCARE. 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. 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 EXECUITVES; 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.Desc
Total Program Service Expenses$110,939,645TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstYes (true)ReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document142IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1378EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OfYes (true)Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldCTStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Kristen PolettaBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8605853000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1BREWSTER ROADAddressLine1Txt
CityBRISTOLCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06011ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Carlos Badiola MD
Vice President of the Medical Staff2.06.0Yes (X)Yes (X)$0$0$0
KURT BARWIS
PRESIDENT & CEO24.053.0Yes (X)Yes (X)$559,736$0$34,820
DOUGLAS DEVNEW JR
Chairman of the Board2.010.0Yes (X)Yes (X)$0$0$0
Glenn Heiser
Secretary/Treasurer2.06.0Yes (X)Yes (X)$0$0$0
JOHN LODOVICO JR
Vice Chairman2.010.0Yes (X)Yes (X)$0$0$0
BALA SHANMUGAM MD
President of the Medical Staff40.046.0Yes (X)Yes (X)$0$311,254$23,355
Richard Braam
VP, Finance and CFO40.082.0Yes (X)$110,569$0$6,240Yes (X)
CATHRYN ADDY
DIRECTOR2.06.0Yes (X)$0$0$0
Sharon Adler
Medical Staff Representative2.06.0Yes (X)$0$0$0
Louis Auletta
DIRECTOR2.06.0Yes (X)$0$0$0
LIRAN BLUM MD
DIRECTOR2.046.0Yes (X)$0$412,117$22,031
YONG-SUNG CHYUN
DIRECTOR2.06.0Yes (X)$0$0$0
Mary Ann Cordeau PHD RN
DIRECTOR2.06.0Yes (X)$0$0$0
RONALD GREEN
DIRECTOR2.06.0Yes (X)$0$0$0
Michael Heimbach
DIRECTOR2.06.0Yes (X)$0$0$0
JOSEPH LOCKWOOD
DIRECTOR2.06.0Yes (X)$0$0$0
LEXIE MANGUM
DIRECTOR2.06.0Yes (X)$0$0$0
THOMAS MONAHAN
DIRECTOR2.06.0Yes (X)$0$0$0
EDWARD HENRY
Executive Director BHMSG40.080.0$222,716$0$18,019Yes (X)
CHRIS ANN MEANEY
Vice President/ Patient Care Services/ Chief Nursing Officer40.040.0$171,739$0$9,731Yes (X)
Bob Smanik
Vice President Operations40.040.0$121,617$0$6,389Yes (X)
JEANINE RECKDENWALD F
Vice President/ Human Resources and Support Services40.00$173,358$0$13,448Yes (X)
PATTY COPPOLA
Clinical Operations Director40.00$138,973$0$24,961Yes (X)
BETSY CORBIN
IT Systems Director40.00$139,052$0$19,180Yes (X)
Dennis Ferguson MD
Physician Advisor30.00$148,200$0$0Yes (X)
MICHELLE MIRANDA
Patient Services Director40.00$132,103$0$19,180Yes (X)
Susanne Wargo
Psych Clinician Nurse Specialist40.00$140,048$0$0Yes (X)
VIJAY JOSHI MD
DIRECTOR2.046.0$0$231,394$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,058,112TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$954,765TotReportableCompRltdOrgAmt
Total Other Compensation$197,354TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K72IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmtAddress Line2ContractorAddress/USAddress/AddressLine2Txt
GILBANE BUILDING COMPANY
7 JACKSON WALKWAYPROVIDENCERI02903Construction Services$2,744,235
RESTORIXHEALTH INC
445 HAMILTON AVENUEWHITE PLAINSNY10601WOUND CARE SERVICES$1,146,950SUITE 800
AMN HEALTHCARE INC
2735 COLLECTION CENTER DRCHICAGOIL606932735TEMP LABOR$851,468
IPC THE HOSPITALIST COMPANY INC
PO BOX 844929LOS ANGELESCA90084PHYSICIAN SERVICES$806,229
QUEST DIAGNOSTICS
12436 COLLECTIONS CENTER DRIVECHICAGOIL606932436LAB SERVICES$605,328
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K52CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIIIYes (X)InfoInScheduleOPartVIIIInd
Related Organizations$183,284RelatedOrganizationsAmt
Government Grants$1,763,324GovernmentGrantsAmt
All Other Contributions$810,277AllOtherContributionsAmt
Noncash Contributions$14,108NoncashContributionsAmt
Total Contributions$2,756,885TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE, Net622110$139,479,196$139,387,591$91,605
OCCUPATIONAL HEALTH REVENUE621990$705,242$705,242

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$140,184,438TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$933,327TotalRevenueColumnAmt
Exclusion$933,327ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$511,543RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$511,543RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$511,543TotalRevenueColumnAmt
Exclusion$511,543ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$42,477SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$25,657SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$16,820SecuritiesAmt
Other$0OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,820TotalRevenueColumnAmt
Exclusion$16,820ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
JOINT VENTURES900099$238,583$238,583
CAFETERIA722210$434,714$434,714
VENDOR REBATES900099$606,022$606,022

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$340,773TotalRevenueColumnAmt
Related Or Exempt Func Income$340,773RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,620,092OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$146,023,105TotalRevenueColumnAmt
Related Or Exempt Func Income$141,278,211RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$91,605UnrelatedBusinessRevenueAmt
Exclusion$1,896,404ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,691,476TotalAmt
Management And General$1,691,476ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$56,516,071TotalAmt
Program Services$44,003,726ProgramServicesAmt
Management And General$12,512,345ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,277,399TotalAmt
Program Services$2,565,816ProgramServicesAmt
Management And General$711,583ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$7,101,649TotalAmt
Program Services$5,592,880ProgramServicesAmt
Management And General$1,508,769ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$4,231,052TotalAmt
Program Services$3,294,321ProgramServicesAmt
Management And General$936,731ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$580,077TotalAmt
Program Services$24,333ProgramServicesAmt
Management And General$555,744ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$479,128TotalAmt
Management And General$479,128ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$75,957TotalAmt
Management And General$75,957ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$5,142,113TotalAmt
Program Services$2,418,571ProgramServicesAmt
Management And General$2,723,542ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,951,575TotalAmt
Program Services$67,418ProgramServicesAmt
Management And General$1,884,157ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$285,216TotalAmt
Program Services$149,582ProgramServicesAmt
Management And General$135,634ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,038,080TotalAmt
Program Services$388,334ProgramServicesAmt
Management And General$2,649,746ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,764,382TotalAmt
Program Services$2,211,506ProgramServicesAmt
Management And General$552,876ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$255,250TotalAmt
Program Services$207,802ProgramServicesAmt
Management And General$47,448ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,401,823TotalAmt
Program Services$1,401,823ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$5,770,854TotalAmt
Program Services$5,770,854ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,464,691TotalAmt
Program Services$1,171,753ProgramServicesAmt
Management And General$292,938ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
Drugs$8,723,733$8,723,733
Medical Supplies$13,607,928$13,607,928
Repairs & Maintenance$2,472,949$2,472,949
Medical Service Fees & Supplies$14,284,867$14,284,867

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$4,933,075TotalAmt
Program Services$2,581,449ProgramServicesAmt
Management And General$2,351,626ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$140,049,345TotalAmt
Program Services$110,939,645ProgramServicesAmt
Management And General$29,109,700ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$5,210,842BOYAmt
EOY$6,706,905EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$97,783BOYAmt
EOY$99,452EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$16,781,033BOYAmt
EOY$19,053,904EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,731,855BOYAmt
EOY$1,422,567EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,403,543BOYAmt
EOY$1,291,336EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$159,750,597LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$120,939,385LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$36,333,276BOYAmt
EOY$38,811,212EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$17,124,951BOYAmt
EOY$18,664,410EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$10,187,738BOYAmt
EOY$10,361,988EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$7,446,488BOYAmt
EOY$7,875,117EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,930,681BOYAmt
EOY$3,520,138EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$99,248,190BOYAmt
EOY$107,807,029EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$24,252,386BOYAmt
EOY$22,010,282EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$346,741BOYAmt
EOY$891,499EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$21,388,065BOYAmt
EOY$22,172,278EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,159,366BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$30,260,718BOYAmt
EOY$32,220,393EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$77,407,276BOYAmt
EOY$77,294,452EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$11,767,325BOYAmt
EOY$19,425,044EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,976,800BOYAmt
EOY$3,906,972EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,096,789BOYAmt
EOY$7,180,561EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$21,840,914BOYAmt
EOY$30,512,577EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$99,248,190BOYAmt
EOY$107,807,029EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$5,973,760ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,156,624NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$1,541,279OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementYes (true)PaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$1,628DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$74,329OtherActivitiesAmt
Total Lobbying Expenditures$75,957TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYTHE HOSPITAL IS A MEMBER OF THE CONNECTICUT HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION. $20,329 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 $54,000. THE HOSPITAL PRESIDENT AND CEO HAD MEETINGS WITH VARIOUS CONNECTICUT GOVERNMENT OFFICIALS AND LEGISLATORS.
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYTHE HOSPITAL IS A MEMBER OF THE CONNECTICUT HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION. $20,329 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 $54,000. THE HOSPITAL PRESIDENT AND CEO HAD MEETINGS WITH VARIOUS CONNECTICUT GOVERNMENT OFFICIALS AND LEGISLATORS.

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,020,579BeginningYearBalanceAmt
Investment Earnings Or Losses$64,909InvestmentEarningsOrLossesAmt
Other Expenditures$0OtherExpendituresAmt
End Year Balance$7,085,488EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.0BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY1.0PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.0TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,901,793OtherCostOrOtherBasisAmt
Book Value$1,901,793BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$70,812,514OtherCostOrOtherBasisAmt
Depreciation$49,520,317DepreciationAmt
Book Value$21,292,197BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,334,125OtherCostOrOtherBasisAmt
Depreciation$1,012,876DepreciationAmt
Book Value$321,249BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$79,113,525OtherCostOrOtherBasisAmt
Depreciation$67,524,443DepreciationAmt
Book Value$11,589,082BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,588,640OtherCostOrOtherBasisAmt
Depreciation$2,881,749DepreciationAmt
Book Value$3,706,891BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$38,811,212TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (5 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
FUNDS HELD FOR MALPRACTICE SELF-INSURANCE$3,555,488F
ASSETS HELD IN TRUST BY OTHERS$3,380,605F
FUNDS HELD UNDER BOND INDENTURE$2,505,243F
DONOR RESTRICTED INVESTMENTS$787,140F
DEBT SERVICE FUND$133,512C
FieldValueIRS element (for citing)
Total Book Value Securities$10,361,988TotalBookValueSecuritiesAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
INVESTMENTS IN JOINT VENTURES$163,638C
INTEREST IN NET ASSETS OF FOUNDATION$7,711,479F
FieldValueIRS element (for citing)
Total Book Value Program Rltd$7,875,117TotalBookValueProgramRltdAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
LINE OF CREDIT$1,000,000
ASSET RETIREMENT OBLIGATIONS$743,766
ACCRUED PENSION LIABILITY$16,849,672
OTHER LIABILITIES$8,986,439
CAPITAL LEASE LIABILITIES$3,019,490
Due to affiliates$1,621,026
FieldValueIRS element (for citing)
Total Liability$32,220,393TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$147,179,729TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$1,156,624NetUnrealizedGainsInvstAmt
Other Revenue$0OtherRevenueAmt
Revenue Not Reported$1,156,624RevenueNotReportedAmt
Revenue Subtotal$146,023,105RevenueSubtotalAmt
Other Revenues Not Included$0OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$146,023,105TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$140,049,345TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$0OtherExpensesIncludedAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$140,049,345ExpensesSubtotalAmt
Other Expenses Not Included$0OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$140,049,345TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part V, Line 4 Intended uses of endowment fundsTHE 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.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteThe 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 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, 2018 and 2017. 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, 2018 and 2017, 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.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other250FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other400DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,677,631TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,677,631NetCommunityBenefitExpnsAmt
Total Expense0.0120TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$42,869,829TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$31,863,282DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,006,547NetCommunityBenefitExpnsAmt
Total Expense0.0786TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$44,547,460TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$31,863,282DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,684,178NetCommunityBenefitExpnsAmt
Total Expense0.0906TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$719,228TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$719,228NetCommunityBenefitExpnsAmt
Total Expense0.0051TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,675,013TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,675,013NetCommunityBenefitExpnsAmt
Total Expense0.0477TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$7,394,241TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,394,241NetCommunityBenefitExpnsAmt
Total Expense0.0528TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$51,941,701TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$31,863,282DirectOffsettingRevenueAmt
Net Community Benefit Expns$20,078,419NetCommunityBenefitExpnsAmt
Total Expense0.1434TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$2,939,623BadDebtExpenseAmt
Bad Debt Expense Attributable$734,906BadDebtExpenseAttributableAmt
Reimbursed By Medicare$58,262,425ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$67,282,477CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$9,020,052MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BRISTOL HOSPITAL INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1BREWSTER ROADAddressLine1Txt
CityBRISTOLCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06010ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.bristolhospital.orgWebsiteAddressTxt
State License41StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
Emergency Room OtherYes (X)EmergencyRoomOtherInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1BRISTOL HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttps://www.bristolhospital.org/about-bristol-hospital/community-health-needs-assessment.aspxOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLhttps://www.bristolhospital.org/about-bristol-hospital/community-health-needs-assessment.aspxStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care250.0FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.0FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttps://www.bristolhospital.org/financial-assistance.aspxFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttps://www.bristolhospital.org/financial-assistance.aspxFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttps://www.bristolhospital.org/financial-assistance.aspxFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - Bristol Hospital. 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.
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - Bristol Hosptial, Inc.. The hospital facility is addressing the significant needs identified in its most recently conducted CHNA as follows: 1. Mental Health and Substance/Alcohol Abuse and Senior Support: Bristol Hospital engaged Horizon Health to support the development of a Senior Behavioral Health Unit as market analysis has shown there is a significant unmet need for this service. Construction on the new unit began during the Hospital's 2017 fiscal year and the unit is slated to open in the middle of fiscal year 2018. 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 am 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 2017 with a continued emphasis on the opioid epidemic. 2. Access to Care. Since 2013, Bristol Hospital and the Bristol Hospital Multi-Specialty Group have added nearly 100 new medical staff and added new medical offices throughout the community. New service lines have been cultivated to address medical need within the community, including vascular surgery, wound care, rheumatology, cardiology, orthopedics, spine surgery and sports medicine, and neurology. During 2017, new providers were added in the specialties of Urology, Podiatry and Internal Medicine and new practice locations have been added in Wolcott, Burlington and New Britain. Planning is underway and a development agreement has been signed in support of the building of new 60,000 square foot ambulatory center. 3. Senior Support Bristol Hospital provides free screenings 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. Bristol Hospital - through its affiliated medical group - also employs a Gerontologist to meet the specialized care needs of the senior population. 4. Obesity The Bristol Hospital Weight Loss Surgery Program offers numerous support groups and nutrition counseling for its patients on such subjects as portion control, getting through the holidays and making good eating choices. Since 2014, the Weight Loss Surgery program has maintained its own Facebook page within the Bristol Hospital main Facebook page. This is a members-only page and serves as a virtual support group where patients can share stories, recipes and advice to their fellow patients 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. At this point, there are no significant needs that are not being addressed by the organization.
FieldValueIRS element (for citing)
Facility12FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
BRISTOL BEHAVIORAL HEALTH SERVICES
10 N MAIN STREET SUITE 210BRISTOLCT06010BEHAVIORAL HEALTH
BRISTOL HOSPITAL CENTER FOR DIABETES
102 NORTH STREETBRISTOLCT06010DIABETES MEDICAL CARE AND EDUCATION
BRISTOL HOSPITAL COUNSELING CENTER
440-C NORTH MAIN STREETBRISTOLCT06010THERAPY AND COUNSELING
BRISTOL HOSPITAL WELLNESS CENTER
842 CLARK AVENUEBRISTOLCT06010MEDICAL AND FITNESS SERVICES
BRISTOL RADIOLOGY CENTER
25 COLLINS ROADBRISTOLCT06010MAMMOGRAPHY AND MRI
MED HELP
539 FARMINGTON AVENUEBRISTOLCT06010URGENT CARE
MEDWORKS LLC
375 CEDAR STREETNEWINGTONCT06111MEDWORKS, LLC
PARENT & CHILD CENTER - BRISTOL HOSPITAL
9 PROSPECT STBRISTOLCT06010CHILDREN AND FAMILY SERVICES
REHAB DYNAMICS
975 FARMINGTON AVENUEBRISTOLCT06010PHYSICAL THERAPY AND SPORTS MEDICINE
BRISTOL HOSPITAL LABORATORY
641 FARMINGTON AVENUEBRISTOLCT06010LABORATORY SERVICES
BRISTOL HOSPITAL LABORATORY
27 MAIN STREETTERRYVILLECT06786LABORATORY SERVICES
BRISTOL HOSPITAL WIC PROGRAM
450 MAIN STREETNEW BRITAINCT06051NUTRITION FOR WOMEN AND CHILDREN

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amountThe 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.
Schedule H, Part III, Line 3 Bad Debt Expense MethodologyThe 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.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnoteUse 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 Hospitals 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.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costsThe calculated Medicare shortfall should be considered community benefit because it represents unreimbursed costs for patient services. This unreimbursed costs are Bristol Hospital expenses that ultimately benefit the community Bristol Hospital services.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistanceThe 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.
Schedule H, Part V, Section B, Line 16a FAP website- BRISTOL HOSPITAL, INC.: Line 16a URL: https://www.bristolhospital.org/financial-assistance.aspx;
Schedule H, Part V, Section B, Line 16b FAP Application website- BRISTOL HOSPITAL, INC.: Line 16b URL: https://www.bristolhospital.org/financial-assistance.aspx;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website- BRISTOL HOSPITAL, INC.: Line 16c URL: https://www.bristolhospital.org/financial-assistance.aspx;
Schedule H, Part VI, Line 2 Needs assessmentHospital 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 (BOD), 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.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistanceAt 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.
Schedule H, Part VI, Line 4 Community informationBristol 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.
Schedule H, Part VI, Line 5 Promotion of community healthA majority of the organization's governing body is comprised of persons who reside in the organization's primary service area who are neither employees nor independent contractors of the organization, nor family members thereof. The organization extends medical staff privileges to all qualified physicians in its community for some or all of its departments or specialties; and the organization applies surplus funds to maintenance and improvements to healthcare facilities, investments in upgrades to technology, and initiatives to improve patients' access to healthcare services.
Schedule H, Part VI, Line 7 State filing of community benefit reportCT

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionYes (true)InitialContractExceptionInd
Rebuttable Presumption ProcYes (true)RebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KURT BARWIS
PRESIDENT & CEO$496,682$0$39,417$0$23,637$0$18,000$0$16,820$0$594,556$0$0$0
BALA SHANMUGAM MD
President of the Medical Staff$0$311,254$0$0$0$0$0$0$0$23,355$0$334,609$0$0
VIJAY JOSHI MD
DIRECTOR$0$226,890$0$4,505$0$0$0$0$0$0$0$231,394$0$0
LIRAN BLUM MD
DIRECTOR$0$354,669$0$57,448$0$0$0$0$0$22,031$0$434,148$0$0
EDWARD HENRY
Executive Director BHMSG$210,296$0$12,420$0$0$0$0$0$18,019$0$240,735$0$0$0
CHRIS ANN MEANEY
Vice President/ Patient Care Services/ Chief Nursing Officer$155,786$0$15,953$0$0$0$0$0$9,731$0$181,470$0$0$0
JEANINE RECKDENWALD F
Vice President/ Human Resources and Support Services$173,358$0$0$0$0$0$0$0$13,448$0$186,806$0$0$0
PATTY COPPOLA
Clinical Operations Director$135,403$0$3,570$0$0$0$0$0$24,961$0$163,934$0$0$0
BETSY CORBIN
IT Systems Director$136,567$0$2,485$0$0$0$0$0$19,180$0$158,232$0$0$0
MICHELLE MIRANDA
Patient Services Director$129,767$0$2,336$0$0$0$0$0$19,180$0$151,283$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planKURT BARWIS, PRESIDENT, PARTICIPATES IN THE HOSPITAL'S 457(F) DEFINED CONTRIBUTION PLAN. $18,000 WAS DEFERRED DURING CALENDAR YEAR 2017, AND IS INCLUDED IN SCHEDULE J COLUMN D.
Schedule J, Part I, Line 8 Payments on contract that is subject to the initial contract exceptionAMOUNTS 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 O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 1a Delegate broad authority to a committeeThe Executive Committee is comprised of the President of the Medical Staff of the Hospital and additional members, all of which 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, Line 6 Classes of members or stockholdersThe organization has a sole member, which is Bristol Hospital and Health Care Group, Inc. There are no classes of members.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyThe 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, Line 7b Decisions requiring approval by members or stockholdersThe 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, Line 11b Review of form 990 by governing bodyA 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, Line 12c Conflict of interest policyThe 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 exits, 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 re-credentialing 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 exits, 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, Line 15a Process to establish compensation of top management officialThe 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 last compensation review for the CEO, other officers and key employees occurred November 30, 2017.
Form 990, Part VI, Line 15b Process to establish compensation of other employeesThe 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. THIS PROCESS LAST OCCURRED IN DECEMBER 2017.
Form 990, Part VI, Line 19 Required documents available to the publicGOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
Form 990, Part VIII, Line 11d Other Miscellaneous RevenueOther revenue - Total Revenue: 340773, Related or Exempt Function Revenue: 340773, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesINCREASE IN ASSETS HELD IN TRUST BY OTHERS - 83772; TRANSFER TO BRISTOL HOSPITAL MULTISPECIALTY GROUP - -5562110; PENSION CHANGES OTHER THAN NET PERIODIC BENEFIT COSTS - 7685799; CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION - 629340; TRANSFER TO BRISTOL HEALTHCARE, INC AND SUBSIDIARY - -619591; TEMP RESTRICTED NET ASSETS RELEASED FROM RESTRICTIONS - -675931;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1HG PROPERTY HOLDINGS LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line141 BREWSTER RDAddressLine1Txt
CityBRISTOLCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06010ZIPCd
FieldValueIRS element (for citing)
EIN272548373EIN
Primary ActivitiesREAL ESTATEPrimaryActivitiesTxt
Legal Domicile StateCTLegalDomicileStateCd
Total Income-$55,480TotalIncomeAmt
End Of Year Assets$912,331EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1BRISTOL HOSPITAL INCBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
BRISTOL HOSPITAL AND HEALTH CARE GROUP INC
41 BREWSTER ROADBRISTOLCT06010222577726HEALTHCARE PARENT COMPANYCT501(c)(3)Type IINAfalse
BRISTOL HOSPITAL DEVELOPMENT FOUNDATION INC
41 BREWSTER ROADBRISTOLCT06010222577740FUNDRAISINGCT501(c)(3)7BRISTOL HOSPITAL AND HEALTH CARE GROUP INCfalse
BRISTOL HEALTH CARE INC
400 NORTH MAIN STREETBRISTOLCT06010222577731NURSING HOMECT501(c)(3)10BRISTOL HOSPITAL AND HEALTH CARE GROUP INCfalse
BRISTOL HOSPITAL MULTISPECIALTY GROUP INC
240 Main StreetBRISTOLCT06010061466555HEALTHCARE SERVICESCT501(c)(3)10BRISTOL HOSPITAL AND HEALTH CARE GROUP INCfalse
Bristol Home Care and Hospice Inc
41 Brewster RoadBristolCT06010821663577HOME CARE AND HOSPICECT501(c)(3)10BRISTOL HOSPITAL AND HEALTH CARE GROUPfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1BRISTOL MSO LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line125 COLLINS ROADAddressLine1Txt
CityBRISTOLCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06010ZIPCd
FieldValueIRS element (for citing)
EIN061506024EIN
Primary ActivitiesRADIOLOGY SERVICESPrimaryActivitiesTxt
Legal Domicile StateCTLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Bristol Hospital IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeRelatedPredominantIncomeTypeTxt
Share Of Total Income$284,516ShareOfTotalIncomeAmt
Share Of EOY Assets$226,816ShareOfEOYAssetsAmt
Disproportionate AllocationsfalseDisproportionateAllocationsInd
UBI Code V$0UBICodeVAmt
General Or Managing PartnerYes (true)GeneralOrManagingPartnerInd
Ownership0.5OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1BRISTOL HOSPITAL EMS LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line141 Brewster RoadAddressLine1Txt
CityBRISTOLCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06010ZIPCd
FieldValueIRS element (for citing)
EIN061547648EIN
Primary ActivitiesEMERGENCY MEDICAL SERVICESPrimaryActivitiesTxt
Legal Domicile StateCTLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeC CorporationEntityTypeTxt
Share Of Total Income$0ShareOfTotalIncomeAmt
Share Of EOY Assets$0ShareOfEOYAssetsAmt
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd