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      <PersonNm>Richard Braam</PersonNm>
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      <ActivityOrMissionDesc>TO 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>
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      <MissionDesc>BRISTOL HOSPITAL AND HEALTH CARE GROUP IS COMMITTED TO ENHANCING THE HEALTH AND WELL-BEING OF OUR COMMUNITY. WE WILL PROVIDE SAFE, QUALITY CARE AND SERVICES TO OUR PATIENTS THROUGH OUR CONTINUUM OF SERVICES AND HEALTH PROMOTION. WE WILL COLLABORATE WITH HEALTH PROFESSIONALS AND OTHER ORGANIZATIONS AS ADVOCATES FOR OUR COMMUNITY. WE WILL PROVIDE THE OPPORTUNITY FOR GROWTH TO OUR MEDICAL STAFF AND EMPLOYEES IN AN ENVIRONMENT WHERE EACH INDIVIDUAL IS RESPECTED AND VALUED.</MissionDesc>
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      <Desc>AS 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 &amp; 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 &amp; 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 &amp; 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>
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        <FormAndLineReferenceDesc>Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 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 &amp; 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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 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 &amp; 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.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule D, Part V, Line 4 Intended uses of endowment funds</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL'S ENDOWMENT CONSISTS OF MULTIPLE FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES, SUCH AS CAPITAL EXPENDITURES, OPERATING EXPENSES, AND OTHER SPECIFIED DONOR AND BOARD RESTRICTED USES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>The Hospital accounts for uncertain tax positions with provisions of FASB ASC 740, "Income Taxes," which provides a framework for how companies should recognize, measure, present and disclose uncertain tax positions in their 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.</ExplanationTxt>
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        <NetCommunityBenefitExpnsAmt>0</NetCommunityBenefitExpnsAmt>
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        <NetCommunityBenefitExpnsAmt>0</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0</TotalExpensePct>
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      </CostingMethodologyUsedGrp>
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          <AddressLine1Txt>BREWSTER ROAD</AddressLine1Txt>
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        <CommunityDemographicsInd>X</CommunityDemographicsInd>
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        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>https://www.bristolhospital.org/about-bristol-hospital/community-health-needs-assessment.aspx</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>15</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>https://www.bristolhospital.org/about-bristol-hospital/community-health-needs-assessment.aspx</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
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        <FPGFamilyIncmLmtDscntCarePct>400.0</FPGFamilyIncmLmtDscntCarePct>
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        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>12</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BRISTOL BEHAVIORAL HEALTH SERVICES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>10 N MAIN STREET SUITE 210</AddressLine1Txt>
            <CityNm>BRISTOL</CityNm>
            <StateAbbreviationCd>CT</StateAbbreviationCd>
            <ZIPCd>06010</ZIPCd>
          </USAddress>
          <FacilityTxt>BEHAVIORAL HEALTH</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BRISTOL HOSPITAL CENTER FOR DIABETES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>102 NORTH STREET</AddressLine1Txt>
            <CityNm>BRISTOL</CityNm>
            <StateAbbreviationCd>CT</StateAbbreviationCd>
            <ZIPCd>06010</ZIPCd>
          </USAddress>
          <FacilityTxt>DIABETES MEDICAL CARE AND EDUCATION</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BRISTOL HOSPITAL COUNSELING CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>440-C NORTH MAIN STREET</AddressLine1Txt>
            <CityNm>BRISTOL</CityNm>
            <StateAbbreviationCd>CT</StateAbbreviationCd>
            <ZIPCd>06010</ZIPCd>
          </USAddress>
          <FacilityTxt>THERAPY AND COUNSELING</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BRISTOL HOSPITAL WELLNESS CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>842 CLARK AVENUE</AddressLine1Txt>
            <CityNm>BRISTOL</CityNm>
            <StateAbbreviationCd>CT</StateAbbreviationCd>
            <ZIPCd>06010</ZIPCd>
          </USAddress>
          <FacilityTxt>MEDICAL AND FITNESS SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BRISTOL RADIOLOGY CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>25 COLLINS ROAD</AddressLine1Txt>
            <CityNm>BRISTOL</CityNm>
            <StateAbbreviationCd>CT</StateAbbreviationCd>
            <ZIPCd>06010</ZIPCd>
          </USAddress>
          <FacilityTxt>MAMMOGRAPHY AND MRI</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MED HELP</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>539 FARMINGTON AVENUE</AddressLine1Txt>
            <CityNm>BRISTOL</CityNm>
            <StateAbbreviationCd>CT</StateAbbreviationCd>
            <ZIPCd>06010</ZIPCd>
          </USAddress>
          <FacilityTxt>URGENT CARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MEDWORKS LLC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>375 CEDAR STREET</AddressLine1Txt>
            <CityNm>NEWINGTON</CityNm>
            <StateAbbreviationCd>CT</StateAbbreviationCd>
            <ZIPCd>06111</ZIPCd>
          </USAddress>
          <FacilityTxt>MEDWORKS, LLC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PARENT &amp; CHILD CENTER - BRISTOL HOSPITAL</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>9 PROSPECT ST</AddressLine1Txt>
            <CityNm>BRISTOL</CityNm>
            <StateAbbreviationCd>CT</StateAbbreviationCd>
            <ZIPCd>06010</ZIPCd>
          </USAddress>
          <FacilityTxt>CHILDREN AND FAMILY SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>REHAB DYNAMICS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>975 FARMINGTON AVENUE</AddressLine1Txt>
            <CityNm>BRISTOL</CityNm>
            <StateAbbreviationCd>CT</StateAbbreviationCd>
            <ZIPCd>06010</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICAL THERAPY AND SPORTS MEDICINE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BRISTOL HOSPITAL LABORATORY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>641 FARMINGTON AVENUE</AddressLine1Txt>
            <CityNm>BRISTOL</CityNm>
            <StateAbbreviationCd>CT</StateAbbreviationCd>
            <ZIPCd>06010</ZIPCd>
          </USAddress>
          <FacilityTxt>LABORATORY SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BRISTOL HOSPITAL LABORATORY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>27 MAIN STREET</AddressLine1Txt>
            <CityNm>TERRYVILLE</CityNm>
            <StateAbbreviationCd>CT</StateAbbreviationCd>
            <ZIPCd>06786</ZIPCd>
          </USAddress>
          <FacilityTxt>LABORATORY SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BRISTOL HOSPITAL WIC PROGRAM</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>450 MAIN STREET</AddressLine1Txt>
            <CityNm>NEW BRITAIN</CityNm>
            <StateAbbreviationCd>CT</StateAbbreviationCd>
            <ZIPCd>06051</ZIPCd>
          </USAddress>
          <FacilityTxt>NUTRITION FOR WOMEN AND CHILDREN</FacilityTxt>
        </OthHlthCareFcltsGrp>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount</FormAndLineReferenceDesc>
        <ExplanationTxt>The hospital has a process in place which records bad debt expense after 90 days uncollectible. Additionally, on a periodic basis, additional bad debt expense is accrued based on a review of accounts receivable balances and historical trends.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 3 Bad Debt Expense Methodology</FormAndLineReferenceDesc>
        <ExplanationTxt>The hospital estimates that 25% of bad debt expense is community benefit expense. This is based on historical trends, noting that if the patients had applied for financial assistance, they would have qualified for free or discounted care.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>Use of estimates - The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that impact the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements. Estimates also impact the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates. The 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 8 Community benefit &amp; methodology for determining medicare costs</FormAndLineReferenceDesc>
        <ExplanationTxt>The 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>The policy sets specific guidelines for the collection of patient payments and establishes a hierarchy for payment methods that are both friendly to the patient and beneficial to the hospital. Bristol Hospital will not engage in extraordinary collection actions before making reasonable efforts to determine whether a patient is eligible for assistance under Bristol Hospital's financial assistance policy. To that end, Bristol Hospital will notify individuals about the financial assistance policy before initiating any extraordinary collection actions to obtain payment for the care and refrain from initiating such extraordinary collection actions for at least 120 days from the date Bristol Hospital provides the first post-discharge billing statement for the care. Bristol Hospital's Billing and Collection Policy contains provisions on suspending or reversing extraordinary collection actions if a patient applies for and/or is approved for financial assistance, and governs the issuance of refunds of amounts paid when financial assistance has been granted.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>- BRISTOL HOSPITAL, INC.: Line 16a URL: https://www.bristolhospital.org/financial-assistance.aspx;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP Application website</FormAndLineReferenceDesc>
        <ExplanationTxt>- BRISTOL HOSPITAL, INC.: Line 16b URL: https://www.bristolhospital.org/financial-assistance.aspx;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c FAP plain language summary website</FormAndLineReferenceDesc>
        <ExplanationTxt>- BRISTOL HOSPITAL, INC.: Line 16c URL: https://www.bristolhospital.org/financial-assistance.aspx;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2 Needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>Hospital assessment of the health care needs of the community it serves is a dynamic process that involves all levels of hospital administration, staff, the Board of Directors (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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3 Patient education of eligibility for assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>At Bristol Hospital, financial assistance information is provided to all patients upon admission. Also, patients are notified of their ability to discuss financial assistance options including charity care in all of their billing statements. The hospital also has poster boards detailing the availability of financial assistance printed in both English and Spanish at all access points. The hospital encourages patients to find out their eligibility for assistance and provides financial counselors to assist patients in applying for charity care. Patients can contact the Financial Assistance department within the hospital at 860-585-3878. This support also includes a representative through the State of Connecticut (representative paid by Bristol Hospital) so we ensure that all aspects of assistance are provided for each patient. The Financial Assistance department also discusses government benefits with patients that they may be eligible for. Contact information for our Financial Counselor is also included on the hospital website for patients to reference. The hospital also offers many free programs for uninsured including free blood pressure clinics, skin cancer screening clinics and seminars to provide patients access to as much free health information as possible.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4 Community information</FormAndLineReferenceDesc>
        <ExplanationTxt>Bristol Hospital is committed to providing the best patient experience in the region. Our 134-bed, full-service health care institution provides comprehensive inpatient and outpatient care for the greater Bristol, Connecticut area. Bristol is a suburban city located in Hartford County, Connecticut, United States 20 miles southwest of Hartford. Bristol has a total area of 26.8 square miles and a population of approx 62K. In Bristol, 84.2% of the people speak English and 4.8% of people speak Spanish. In Bristol, 54.6% of people are married and 92.2% of residents were born in the US. Community Information The primary service area (PSA) for our hospital includes: Bristol (zip code 06010,06011)- 2011 census 62,078 Burlington (zip code 06013)- 2011 census- 10,011 Plainville (zip code 06062)- 2011 census 17,767 Plymouth (zip code 06781,06782,06786)- 2011 census 12,605 The total population from the 2011 census for our PSA is- 102,461 In 2009, the latest date data became available the following data points were provided: Bristol Median Household Income: $57,781 Families below poverty level- 5.6% Individuals below poverty level- 7.7% Race: White: 87.7% Black or Africa American: 3.6% American Indian or Alaska Native: 0.3% Asian: 1.8% Other Race: 3.9% Burlington Median Household Income: $116,419 Families below poverty level- 1.2% Individuals below poverty level- 1.9% Race: White: 98% Black or African American: 0.2% American Indian or Alaska Native: 0.1% Asian: 1.2% Plainville Median Household Income: $62,440 Families below poverty level- 4.1% Individuals below poverty level- 5.0% Race: White: 93.1% Black or Africa American: 2.5% American Indian or Alaska Native: 0.3% Asian: 1.3% Other Race: 0.6% Plymouth Median Household Income: $70,132 Families below poverty level- 2.9% Individuals below poverty level- 5.6% Race: White: 96.7% Black or Africa American: 0.5% American Indian or Alaska Native: 0.3% Asian: 0.6% Other Race: 0.7% The secondary service area (SSA) for our hospital includes: Farmington (zip code 06085,06087)- 2011 census 6,058 Southington (zip code 06489)- 2011 census 33,560 Wolcott (zip code 06716)- 2011 census 17,458 Thomaston (zip code 06787)- 2011 census 8,512 Harwinton (zip code 06791)- 2011 census 5,938 The total population from the 2011 census for our SSA is- 71,526 Both the PSA (Primary Service Area) and SSA (Secondary Service Area) are primarily suburban and rural areas but also include some urban areas as well. Some of the major health problems prevalent in our PSA are associated with Behavioral Health, Chemical Dependency, Obesity, and Pulmonary Disease.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of community health</FormAndLineReferenceDesc>
        <ExplanationTxt>A 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 7 State filing of community benefit report</FormAndLineReferenceDesc>
        <ExplanationTxt>CT</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
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          <BusinessNameLine1Txt>KURT BARWIS</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>JEANINE RECKDENWALD F</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>BETSY CORBIN</BusinessNameLine1Txt>
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        <TitleTxt>IT Systems Director</TitleTxt>
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          <BusinessNameLine1Txt>MICHELLE MIRANDA</BusinessNameLine1Txt>
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        <TitleTxt>Patient Services Director</TitleTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>KURT 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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 8 Payments on contract that is subject to the initial contract exception</FormAndLineReferenceDesc>
        <ExplanationTxt>AMOUNTS WERE PAID TO KURT BARWIS PURSUANT TO A CONTRACT WITH THE HOSPITAL THAT WAS SUBJECT TO THE INITIAL CONTRACT EXCEPTION DESCRIBED IN REGS. SECTION 53.4958-4(A)(3). THE HOSPITAL FOLLOWED THE REBUTTABLE PRESUMPTION PROCEDURE DESCRIBED IN REGS. SECTION 53.4958-6(C).</ExplanationTxt>
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    </IRS990ScheduleJ>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 1a Delegate broad authority to a committee</FormAndLineReferenceDesc>
        <ExplanationTxt>The 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization has a sole member, which is Bristol Hospital and Health Care Group, Inc. There are no classes of members.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization's sole member has the right to elect the Board of Directors of the Corporation and shall have all of the other rights, powers and privileges accorded to the members of a non-stock, nonprofit corporation under Connecticut law.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization's sole member has the following rights: (a) To accept, amend or reject, after approval by the Board of Directors, the annual business plan and operating and capital budgets of the Corporation. (b) To approve any programs and expenditures requiring Certificate of Need approval by appropriate governmental bodies and plans that materially affect the growth and development of the Corporation. (c) To approve significant affiliation agreements between the Corporation and other institutions, significant fund raising programs proposed to be conducted by the Corporation, the sale or disposition of any assets of the Corporation not in the ordinary course of business, and the incurrence of any indebtedness for borrowed money not in accordance with an approved operating or capital budget. (d) To remove any member of the Board of Directors at any time, regardless of the term for which such Director may have been elected. (e) To vote upon all matters on which members are entitled to vote under the Act.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>A COMPLETED 990 IS PROVIDED TO EACH BOARD MEMBER BEFORE IT IS FILED. THIS PROVIDES AN OPPORTUNITY FOR MEMBERS TO ASK QUESTIONS AND FOLLOW UP WITH THE FINANCE TEAM REGARDING ANY ISSUES OR CONCERNS. THE 990 IS ALSO REVIEWED INTERNALLY BY MEMBERS OF THE FINANCE AND MANAGEMENT TEAMS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>The parent organization, Bristol Hospital and Health Care Group, has three conflict of interest policies - one for the Board of Directors and Committee Members, one for Non-Medical Staff Employees, and one for Medical Staff Members. Board of Directors and Committee Members Each of the above listed persons receives, reads and signs a statement once annually agreeing to comply with the Conflict of Interest Policy. If any actual, apparent or potential conflict of interest arises, the person shall make full disclosure of such actual, apparent or potential conflict of interest, within fifteen (15) days of the time that such conflict is discovered, or at least once annually at the commencement of each calendar year, with regular written updates to accord with any change in circumstances. The Governance Committee reviews all such disclosures to determine whether an actual, apparent or potential conflict of interest exists. Decisions pertaining to actual, apparent or potential conflicts of interests shall be made by the Governance Committee. The Corporate Compliance Officer (CCO) shall be available to the Governance Committee upon request. In the event that it determines that an apparent or potential conflict of interest 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>The Executive Compensation Committee is authorized under the Bristol Hospital and Health Care Group bylaws and is responsible for (1) determining the overall total compensation strategy for all corporate officers, (2) approving all compensation and benefits decisions for corporate officers, and (3) reporting such actions to the full Bristol Hospital and Health Care Group Board on an annual basis. In addition, the Executive Compensation Committee expressly determines the reasonableness of total compensation and benefits for all corporate officers and assures that all officer compensation decisions are made after thorough consideration of and comparison to the market practices of other similarly situated not-for-profit healthcare executives in comparable organizations. The Executive Compensation Committee consists of Board members who do not have material financial interests that could be affected by the officer compensation decisions made by the Committee. The comparability data used to assist the Executive Compensation Committee in its compensation deliberations are compiled by an independent, national compensation consulting firm that is retained by and reports directly to the Executive Compensation Committee. The data collected by the consultant consists of market information for executives in functionally similar positions in similarly situated not-for-profit healthcare organizations. The deliberations and decisions of the Executive Compensation Committee are contemporaneously documented, reviewed and approved by the Executive Compensation Committee and provided to the Board on an annual basis. The last compensation review for the CEO, other officers and key employees occurred November 30, 2017.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>The process described above WAS also USED TO ESTABLISH COMPENSATION FOR OFFICERS AND KEY EMPLOYEES IN THE FOLLOWING ROLES AND POSITIONS: PRESIDENT/CEO, VICE PRESIDENT OF FINANCE/CFO, VICE PRESIDENT/HUMAN RESOURCES AND SUPPORT SERVICES, AVP OF INFORMATION TECHNOLOGY, SENIOR VP/PATIENT CARE SERVICES / CHIEF NURSING OFFICER, AVP CHIEF DEVELOPMENT OFFICER AND SENIOR VICE PRESIDENT/CHIEF MEDICAL OFFICER. THIS PROCESS LAST OCCURRED IN DECEMBER 2017.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 11d Other Miscellaneous Revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>Other revenue - Total Revenue: 340773, Related or Exempt Function Revenue: 340773, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>INCREASE 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;</ExplanationTxt>
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