2018-08-14T17:03:16-05:00 2017-09-30 350921680 CROWE LLP 175 Powder Forest Drive Simsbury CT 060897902 990 2016-10-01 222577731 Bristol Health Care Inc BRIS 8605843400 400 NORTH MAIN STREET BRISTOL CT 06010 Richard Braam Vice President & CFO 2018-08-13 true KRISTIN ANDERSON P01231300 8606789200 2016 2022-09-23 18:48:47Z Kurt Barwis 400 NORTH MAIN STREET BRISTOL CT 06010 12025934 false X WWW.BRISTOLHOSPITAL.ORG X 1984 CT SHORT AND LONG TERM REHABILITATION AND SKILLED NURSING CARE, UNIQUELY TAILORED TO INDIVIDUAL NEEDS TO ENHANCE QUALITY OF LIFE AND IMPROVE PHYSICAL FUNCTIONING. 22 19 243 17 0 0 0 0 12046392 11969724 84473 -5604 15299 45972 12146164 12010092 0 0 0 0 7366632 7189758 0 0 0 3653752 4026379 11020384 11216137 1125780 793955 7542714 6637654 6781358 4491998 761356 2145656 TO PROVIDE QUALITY AND COMPREHENSIVE HEALTH CARE ACCORDING TO RESIDENT NEEDS, INCLUDING SHORT-TERM REHABILITATIVE CARE, SKILLED NURSING CARE, AND LONG-TERM CARE, WHILE BEING ATTENTIVE TO QUALITY OF LIFE AND PRESERVATION OF INDIVIDUAL DIGNITY IN A HOME-LIKE SETTING. false false 9981299 0 12009872 NURSING HOME AND LONG-TERM CARE FACILITY PROVIDING HEALTH CARE AND COMMUNITY HEALTH EDUCATION FOR THE ELDERLY AND OTHERS. 9981299 true false false false false false false false false false true false false false true true true true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 18 0 true 243 true false false false false false false false false false false X 22 19 false false false false true true true true true false false true true true true true true true true false X Kristen Poletta 8605853000 BRISTOL HOSPITAL BREWSTER ROAD BRISTOL CT 06011 KURT BARWIS President & CEO 4.0 40.0 X X 0 717311 34113 JOHN LODOVICO JR Vice Chairman 2.0 8.0 X X 0 0 0 DOUGLAS DEVNEW JR Chairman of the Board 2.0 8.0 X X 0 0 0 Glenn Heiser Secretary/Treasurer 2.0 6.0 X X 0 0 0 MARK BLUM Director 2.0 6.0 X X 0 0 0 JOHN J LEONE JR Director 2.0 8.0 X 0 0 0 VIJAY JOSHI MD Director 2.0 46.0 X 0 227029 0 BALA SHANMUGAM MD Director 2.0 46.0 X 0 315474 0 Carlos Badiola MD Director 2.0 6.0 X 0 0 0 Kenneth Benoit MD Director 2.0 6.0 X 0 0 0 Sharon Adler Medical Staff Representative 2.0 6.0 X 0 0 0 Louis Auletta Director 2.0 6.0 X 0 0 0 Mary Ann Cordeau PHD RN Director 2.0 6.0 X 0 0 0 CATHRYN ADDY Director 2.0 6.0 X 0 0 0 THOMAS MONAHAN Director 2.0 6.0 X 0 0 0 YONG-SUNG CHYUN Director 2.0 6.0 X 0 0 0 RONALD GREEN Director 2.0 6.0 X 0 0 0 LEXIE MANGUM Director 2.0 6.0 X 0 0 0 ANNE NOBLE Director 2.0 6.0 X 0 0 0 ELLEN SOLEK Director 2.0 6.0 X 0 0 0 MARIE O'BRIEN Director 2.0 6.0 X 0 0 0 JOSEPH LOCKWOOD Director 2.0 6.0 X 0 0 0 GEORGE EIGHMY VP of Finance/CFO (through 12/16) 2.0 38.0 X 0 299536 21344 Jonathan Neagle Administrator 40.0 0 X 0 135339 15201 0 1694689 70658 0 false true false SYMBRIA REHAB 28100 TORCH PARKWAY SUITE 600 WARRENVILLE IL 60555 REHAB THERAPY 877694 WEST RIVER PHARMACY 41 NORTHWEST DRIVE PLAINVILLE CT 06062 PHARMACY SERVICES 512121 US FOODS INC PO BOX 842700 BOSTON MA 022842700 FOOD SERVICE 266771 PMA Companies Inc PO Box 82487 Philadelphia PA 191824857 Insurance 224877 Unitex Textile Rental 401 South MacQuesten Pkwy Mount Vernon NY 105501700 Laundry Service 178205 6 0 PATIENT SERVICE REVENUE 623110 11969724 11969724 0 0 0 0 11969724 1016 1016 0 0 9222 15842 -6620 0 -6620 -6620 MISCELLANEOUS 900009 36882 36882 EMPLOYEE MEALS AND VENDING 722210 5824 5824 FOOD AND NUTRITION COUNSELING CTR 624190 3266 3266 0 0 0 0 45972 12010092 12009872 0 220 165685 0 165685 0 0 0 5902991 5704555 198436 182738 171774 10964 468350 440249 28101 469994 441794 28200 32700 32700 23861 23861 388242 0 388242 0 100 100 763033 712805 50228 60783 59567 1216 419416 276815 142601 884 884 110859 110859 452230 452230 71977 71977 OCC, PHYS, SPCH THERAPY FEES 865526 865526 PRESCRIPTIONS/PHARMACY EXPENSE 456260 456260 Prov for Bad Debts net of Recoveries 96000 96000 WORKERS COMP INS 192865 192865 91643 0 91643 0 11216137 9981299 1234838 0 2365300 1130655 1443029 2030297 0 0 0 31246 26179 2926 28466 12474625 10573888 2169722 1900737 1118529 1304101 253449 163763 12696 13491 145817 39965 7542714 6637654 2120475 1879150 273870 378809 2667141 1994744 1719872 239295 6781358 4491998 X 748660 2132165 12696 13491 761356 2145656 7542714 6637654 X 793955 166635 423710 X false true X true false X 41235 8638 0 0 0 49873 12345389 11720341 11883740 12059357 12009872 60018699 0 0 0 12386624 11728979 11883740 12059357 12009872 60068572 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60068572 23095 38962 12886 64268 1016 140227 0 23095 38962 12886 64268 1016 140227 0 16863 0 0 2334 5824 25021 12426582 11767941 11896626 12125959 12016712 60233820 0.9973 0.9965 0.0023 0.0030 X Schedule A, Part III, Line 12 Other Income DESCRIPTION - OTHER INCOME, COLUMN A - 16863.0, COLUMN B - , COLUMN C - , COLUMN D - , COLUMN E - , COLUMN F - 16863.0; DESCRIPTION - EMPLOYEE MEALS AND VENDING, COLUMN A - , COLUMN B - , COLUMN C - , COLUMN D - 2334.0, COLUMN E - 5824.0, COLUMN F - 8158.0; 343035 343035 10031065 8793171 1237894 1690894 1380683 310211 409631 400034 9597 1900737 DUE TO AFFILIATE 239295 239295 X 12600437 166635 423710 590345 12010092 0 0 12010092 11216137 0 0 11216137 0 0 11216137 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote The Company accounts for uncertain tax positions with provisions of FASB ASC 740, "Income Taxes," which provides a framework for how companies should recognize, measure, present and disclose uncertain tax positions in their consolidated financial statements. The Company 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 Company does not have any uncertain tax positions as of September 30, 2017 and 2016. It is the Company's policy to record penalties and interest associated with uncertain tax provisions as a component of operating expenses. As of September 30, 2017 and 2016, the Company did not record any penalties or interest associated with uncertain tax positions. The Company's prior three tax years are open and subject to examination by the Internal Revenue Service. Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION - 795 TRANSFER FROM BRISTOL HOSPITAL - 422915 false true false false false false false false true true KURT BARWIS President & CEO 0 507742 0 185932 0 23637 0 20217 0 13896 0 751424 0 0 VIJAY JOSHI MD Director 0 206921 0 20108 0 0 0 0 0 0 0 227029 0 0 BALA SHANMUGAM MD Director 0 315474 0 0 0 0 0 0 0 0 0 315474 0 0 GEORGE EIGHMY VP of Finance/CFO (through 12/16) 0 299536 0 0 0 0 0 1379 0 19965 0 320880 0 0 Jonathan Neagle Administrator 0 131839 0 3500 0 0 0 0 0 15201 0 150540 0 0 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan KURT BARWIS PARTICPATES IN THE 457(F) DEFINED CONTRIBUTION PLAN OF RELATED ORGANIZATION - BRISTOL HOSPITAL, INC. AMOUNT DEFERRED IN CALENDAR YEAR 2016 WAS $18,000, AND IS INCLUDED IN SCHEDULE J, COLUMN D. Schedule J, Part I, Line 8 Payments on contract that is subject to the initial contract exception AMOUNTS WERE PAID BY A RELATED ORGANIZATION (BRISTOL HOSPITAL) 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). Form 990, Part VI, Line 1a Delegate broad authority to a committee 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. Form 990, Part VI, Line 6 Classes of members or stockholders The organization has a sole member, which is Bristol Hospital and Health Care Group, Inc. There are no classes of members. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body The sole member has right to elect the Board of Directors of the Corporation and has all of the other rights, powers and privileges accorded to members of a non-stock nonprofit corporation under Connecticut law. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders In addition to such other rights, powers and privileges under Connecticut law, the sole member has the following rights, powers and privileges: (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 body A COMPLETED 990 IS PROVIDED TO EACH BOARD MEMBER BEFORE IT IS FILED. THIS PROVIDES AN OPPORTUNITY FOR MEMBERS TO ASK QUESTIONS AND FOLLOW UP WITH THE FINANCE TEAM REGARDING ANY ISSUES OR CONCERNS. THE 990 IS ALSO REVIEWED INTERNALLY BY MEMBERS OF THE FINANCE AND MANAGEMENT TEAMS. Form 990, Part VI, Line 12c Conflict of interest policy THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY VIA THE USE OF ANNUAL DISCLOSURE STATEMENTS. Form 990, Part VI, Line 15a Process to establish compensation of top management official 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 in December 2016. Form 990, Part VI, Line 15b Process to establish compensation of other employees A PROCESS WAS USED TO ESTABLISH THE FOLLOWING ROLES AND POSITIONS FOR OFFICERS AND KEY EMPLOYEES AS FOLLOWS: 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 2016. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. Form 990, Part XI, Line 9 Other changes in net assets or fund balances CHANGE IN INTEREST IN NET ASSETS OF BRISTOL HOSPITAL FOUNDATION - 795; TRANSFER FROM HOSPITAL - 422915; BRISTOL HOSPITAL INC BREWSTER ROAD BRISTOL CT 06010 060646559 SHORT-TERM ACUTE CARE COMMUNITY HOSPITAL CT 501(c)(3) 3 BRISTOL OHSPITAL AND HEALTH CARE GROUP INC false BRISTOL HOSPITAL AND HEALTH CARE GROUP INC BREWSTER ROAD BRISTOL CT 06010 222577726 HEALTHCARE PARENT COMPANY CT 501(c)(3) Type II na false BRISTOL HOSPITAL DEVELOPMENT FOUNDATION INC BREWSTER ROAD BRISTOL CT 06010 222577740 FUNDRAISING CT 501(c)(3) 7 BRISTOL HOSPITAL AND HEALTH CARE GROUP INC false BRISTOL HOSPITAL MULTISPECIALTY GROUP INC BREWSTER ROAD BRISTOL CT 06011 061466555 HEALTHCARE SERVICES CT 501(c)(3) 9 BRISTOL HOSPITAL AND HEALTH CARE GROUP INC false BRISTOL HOSPITAL EMS LLC PO BOX 977 BRISTOL CT 06010 061547648 EMERGENCY MEDICAL SERVICES CT NA C Corporation false false false true false false false false false false false false false true false true true false false true Schedule R, Part IV, Column (i) IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS CORP OR TRUST NAME OF RELATED ORGANIZATION: BRISTOL HOSPITAL EMS, LLC DIRECT CONTROLLING ENTITY: BRISTOL HOSPITAL AND HEALTH CARE GROUP