BRISTOL HOSPITAL INCORPORATED: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- BRISTOL HOSPITAL INCORPORATED (EIN 06-0646559)
- Tax period
- 2016-10-01 to 2017-09-30
- Filed
- 2018-08-14
- IRS object ID
- 201832269349302413
- Schema version
- 2016v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-08-14T17:03:47-05:00 | ReturnTs |
| Tax Period End | 2017-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 350921680 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CROWE LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 175 Powder Forest Drive | AddressLine1Txt |
| City | Simsbury | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 060897902 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 060646559 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Bristol Hospital Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BRIS | BusinessNameControlTxt |
| Phone | 8605853000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | Brewster Road | AddressLine1Txt |
| City | Bristol | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06011 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Richard Braam | PersonNm |
| Person Title | Vice President & CFO | PersonTitleTxt |
| Signature | 2018-08-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Kristin Anderson | PreparerPersonNm |
| PTIN | P01231300 | PTIN |
| Phone | 8606789200 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Kurt Barwis | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | Brewster Road | AddressLine1Txt |
| City | Bristol | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06011 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $135,838,137 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.BRISTOLHOSPITAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1920 | FormationYr |
| Legal Domicile State | CT | LegalDomicileStateCd |
| Activity Or Mission | TO 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 Body | 22 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 19 | VotingMembersIndependentCnt |
| Total Employee | 1365 | TotalEmployeeCnt |
| Total Volunteers | 184 | TotalVolunteersCnt |
| Total Gross UBI | $264,806 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$57,334 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,370,695 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,573,141 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $135,066,183 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $132,245,962 | CYProgramServiceRevenueAmt |
| PY Investment Income | $800,615 | PYInvestmentIncomeAmt |
| CY Investment Income | $654,664 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,184,785 | PYOtherRevenueAmt |
| CY Other Revenue | $1,314,675 | CYOtherRevenueAmt |
| PY Total Revenue | $138,422,278 | PYTotalRevenueAmt |
| CY Total Revenue | $135,788,442 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $70,055,047 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $69,243,354 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $70,088,657 | PYOtherExpensesAmt |
| CY Other Expenses | $69,228,149 | CYOtherExpensesAmt |
| PY Total Expenses | $140,143,704 | PYTotalExpensesAmt |
| CY Total Expenses | $138,471,503 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,721,426 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$2,683,061 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $108,877,513 | TotalAssetsBOYAmt |
| Total Assets EOY | $99,248,190 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $92,378,632 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $77,407,276 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $16,498,881 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $21,840,914 | NetAssetsOrFundBalancesEOYAmt |
| Mission | BRISTOL HOSPITAL AND HEALTH CARE GROUP IS COMMITTED TO ENHANCING THE HEALTH AND WELL-BEING OF OUR COMMUNITY. WE WILL PROVIDE SAFE, QUALITY CARE AND SERVICES TO OUR PATIENTS THROUGH OUR CONTINUUM OF SERVICES AND HEALTH PROMOTION. WE WILL COLLABORATE WITH HEALTH PROFESSIONALS AND OTHER ORGANIZATIONS AS ADVOCATES FOR OUR COMMUNITY. WE WILL PROVIDE THE OPPORTUNITY FOR GROWTH TO OUR MEDICAL STAFF AND EMPLOYEES IN AN ENVIRONMENT WHERE EACH INDIVIDUAL IS RESPECTED AND VALUED. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $109,451,203 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $132,390,682 | RevenueAmt |
| Desc | AS A SHORT-TERM ACUTE CARE COMMUNITY HOSPITAL, BRISTOL HOSPITAL PROVIDES A BROAD SPECTRUM OF HEALTHCARE SERVICES TO ANY INDIVIDUAL REGARDLESS OF THE INDIVIDUALS ABILITY TO PAY. THE HOSPITAL PROVIDED CHARITY CARE TO THOSE UNABLE TO PAY FOR SERVICES AT COST OF OVER $2,362,000 DURING THE OPERATING YEAR AND SUPPORTED THE STATE MEDICAID PROGRAM THROUGH THE PAYMENT OF OVER $8.8 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 | $109,451,203 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (true) | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 133 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1365 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 22 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 19 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | CT | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Kristen Poletta | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8605853000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | BREWSTER ROAD | AddressLine1Txt |
| City | BRISTOL | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06011 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| KURT BARWIS | ||||||||||
| PRESIDENT & CEO | 24.0 | 20.0 | Yes (X) | Yes (X) | $717,311 | $0 | $34,113 | |||
| JOHN LODOVICO JR | ||||||||||
| Vice Chairman | 2.0 | 8.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| DOUGLAS DEVNEW JR | ||||||||||
| Chairman of the Board | 2.0 | 8.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| BALA SHANMUGAM MD | ||||||||||
| President of the Medical Staff | 2.0 | 46.0 | Yes (X) | Yes (X) | $0 | $315,474 | $0 | |||
| Carlos Badiola MD | ||||||||||
| Vice President of the Medical Staff | 2.0 | 6.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Glenn Heiser | ||||||||||
| Secretary/Treasurer | 2.0 | 6.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| JOHN J LEONE JR | ||||||||||
| DIRECTOR | 2.0 | 8.0 | Yes (X) | $0 | $0 | $0 | ||||
| VIJAY JOSHI MD | ||||||||||
| DIRECTOR | 2.0 | 46.0 | Yes (X) | $0 | $227,029 | $0 | ||||
| Kenneth Benoit MD | ||||||||||
| DIRECTOR | 2.0 | 6.0 | Yes (X) | $0 | $0 | $0 | ||||
| Sharon Adler | ||||||||||
| Medical Staff Representative | 2.0 | 6.0 | Yes (X) | $0 | $0 | $0 | ||||
| Louis Auletta | ||||||||||
| DIRECTOR | 2.0 | 6.0 | Yes (X) | $0 | $0 | $0 | ||||
| Mary Ann Cordeau PHD RN | ||||||||||
| DIRECTOR | 2.0 | 6.0 | Yes (X) | $0 | $0 | $0 | ||||
| CATHRYN ADDY | ||||||||||
| DIRECTOR | 2.0 | 6.0 | Yes (X) | $0 | $0 | $0 | ||||
| THOMAS MONAHAN | ||||||||||
| DIRECTOR | 2.0 | 6.0 | Yes (X) | $0 | $0 | $0 | ||||
| YONG-SUNG CHYUN | ||||||||||
| DIRECTOR | 2.0 | 6.0 | Yes (X) | $0 | $0 | $0 | ||||
| RONALD GREEN | ||||||||||
| DIRECTOR | 2.0 | 6.0 | Yes (X) | $0 | $0 | $0 | ||||
| LEXIE MANGUM | ||||||||||
| DIRECTOR | 2.0 | 6.0 | Yes (X) | $0 | $0 | $0 | ||||
| ANNE NOBLE | ||||||||||
| DIRECTOR | 2.0 | 6.0 | Yes (X) | $0 | $0 | $0 | ||||
| MARK BLUM | ||||||||||
| DIRECTOR | 2.0 | 6.0 | Yes (X) | $0 | $0 | $0 | ||||
| ELLEN SOLEK | ||||||||||
| DIRECTOR | 2.0 | 6.0 | Yes (X) | $0 | $0 | $0 | ||||
| MARIE O'BRIEN | ||||||||||
| DIRECTOR | 2.0 | 6.0 | Yes (X) | $0 | $0 | $0 | ||||
| JOSEPH LOCKWOOD | ||||||||||
| DIRECTOR | 2.0 | 6.0 | Yes (X) | $0 | $0 | $0 | ||||
| GEORGE EIGHMY | ||||||||||
| VP of Finance/CFO (through 12/16) | 32.0 | 8.0 | Yes (X) | $299,536 | $0 | $21,344 | ||||
| KENNETH RHEE | ||||||||||
| Senior Vice President, Chief Medical Officer | 40.0 | 0 | $449,576 | $0 | $0 | Yes (X) | ||||
| CHRIS ANN MEANEY | ||||||||||
| Vice President/ Patient Care Services/ Chief Nursing Officer | 40.0 | 0 | $171,739 | $0 | $8,737 | Yes (X) | ||||
| JEANINE RECKDENWALD F | ||||||||||
| Vice President/ Human Resources and Support Services | 40.0 | 0 | $209,875 | $0 | $11,377 | Yes (X) | ||||
| KORRINE ROTH | ||||||||||
| Vice President Quality and Safety | 40.0 | 0 | $151,591 | $0 | $8,248 | Yes (X) | ||||
| RUSSEL TUVERSON MD | ||||||||||
| Occupational Health Physician | 32.0 | 0 | $169,851 | $0 | $142 | Yes (X) | ||||
| MARIA SIMMONE | ||||||||||
| Finance Director | 40.0 | 0 | $146,984 | $0 | $5,516 | Yes (X) | ||||
| CHRISTINE BABINA | ||||||||||
| Case Management Director | 40.0 | 0 | $136,349 | $0 | $9,630 | Yes (X) | ||||
| BETSY CORBIN | ||||||||||
| IT Systems Director | 40.0 | 0 | $134,038 | $0 | $15,911 | Yes (X) | ||||
| PATTY COPPOLA | ||||||||||
| Clinical Operations Director | 40.0 | 0 | $135,242 | $0 | $19,930 | Yes (X) | ||||
| Sheila Kempf PHD | ||||||||||
| Former Senior VP/Patient Care Services/Chief Nursing Center | 0 | $130,250 | $0 | $9,930 | Yes (X) | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,852,342 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $542,503 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $144,878 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 60 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt | Address Line2ContractorAddress/USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|
| THE ROI COMPANIES | ||||||
| PO BOX 842278 | BOSTON | MA | 022842278 | REVENUE CYCLE SERVICES | $1,217,190 | |
| RESTORIXHEALTH INC | ||||||
| 445 HAMILTON AVENUE | WHITE PLAINS | NY | 10601 | WOUND CARE SERVICES | $1,040,625 | SUITE 800 |
| ACG NORTH AMERICA INC | ||||||
| 12 HALCYON DRIVE | BRISTOL | CT | 06010 | DESIGN/CONSTRUCTION SERVICES | $737,144 | |
| IPC THE HOSPITALIST COMPANY INC | ||||||
| PO BOX 844929 | LOS ANGELES | CA | 90084 | PHYSICIAN SERVICES | $731,517 | |
| AMN HEALTHCARE INC | ||||||
| 2735 COLLECTION CENTER DR | CHICAGO | IL | 606932735 | TEMP LABOR | $578,363 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 46 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Related Organizations | $165,727 | RelatedOrganizationsAmt |
| Government Grants | $1,071,891 | GovernmentGrantsAmt |
| All Other Contributions | $335,523 | AllOtherContributionsAmt |
| Noncash Contributions | $12,838 | NoncashContributionsAmt |
| Total Contributions | $1,573,141 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT SERVICE REVENUE, Net | 622110 | $131,389,248 | $131,124,442 | $264,806 |
| OCCUPATIONAL HEALTH REVENUE | 621990 | $856,714 | $856,714 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $132,245,962 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $653,611 | TotalRevenueColumnAmt |
| Exclusion | $653,611 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $499,521 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $499,521 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $499,521 | TotalRevenueColumnAmt |
| Exclusion | $499,521 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $50,748 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $49,695 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,053 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,053 | TotalRevenueColumnAmt |
| Exclusion | $1,053 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| JOINT VENTURES | 900099 | $289,830 | $289,830 | |
| CAFETERIA | 722210 | $405,628 | $405,628 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $119,696 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $119,696 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $815,154 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $135,788,442 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $132,390,682 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $264,806 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,559,813 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,026,595 | TotalAmt |
| Management And General | $2,026,595 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,966,145 | TotalAmt |
| Program Services | $41,818,525 | ProgramServicesAmt |
| Management And General | $11,147,620 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,497,990 | TotalAmt |
| Program Services | $2,775,991 | ProgramServicesAmt |
| Management And General | $721,999 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,755,557 | TotalAmt |
| Program Services | $5,376,527 | ProgramServicesAmt |
| Management And General | $1,379,030 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,997,067 | TotalAmt |
| Program Services | $3,155,817 | ProgramServicesAmt |
| Management And General | $841,250 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $561,152 | TotalAmt |
| Program Services | $28,094 | ProgramServicesAmt |
| Management And General | $533,058 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $919,059 | TotalAmt |
| Management And General | $919,059 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $72,436 | TotalAmt |
| Management And General | $72,436 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,943,626 | TotalAmt |
| Program Services | $1,724,194 | ProgramServicesAmt |
| Management And General | $3,219,432 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,777,268 | TotalAmt |
| Program Services | $1,069,920 | ProgramServicesAmt |
| Management And General | $707,348 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $394,196 | TotalAmt |
| Program Services | $233,640 | ProgramServicesAmt |
| Management And General | $160,556 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,284,876 | TotalAmt |
| Program Services | $298,188 | ProgramServicesAmt |
| Management And General | $2,986,688 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,009,056 | TotalAmt |
| Program Services | $2,407,245 | ProgramServicesAmt |
| Management And General | $601,811 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $237,508 | TotalAmt |
| Program Services | $208,421 | ProgramServicesAmt |
| Management And General | $29,087 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,439,404 | TotalAmt |
| Program Services | $1,439,404 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,408,407 | TotalAmt |
| Program Services | $5,408,407 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,277,830 | TotalAmt |
| Program Services | $2,622,264 | ProgramServicesAmt |
| Management And General | $655,566 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| Drugs | $9,189,619 | $9,189,619 |
| Medical Supplies | $12,243,331 | $12,243,331 |
| Repairs & Maintenance | $2,446,664 | $2,446,664 |
| Medical Service Fees & Supplies | $14,320,579 | $14,320,579 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,703,138 | TotalAmt |
| Program Services | $2,684,373 | ProgramServicesAmt |
| Management And General | $3,018,765 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $138,471,503 | TotalAmt |
| Program Services | $109,451,203 | ProgramServicesAmt |
| Management And General | $29,020,300 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,120,112 | BOYAmt |
| EOY | $5,210,842 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $96,892 | BOYAmt |
| EOY | $97,783 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,168,498 | BOYAmt |
| EOY | $16,781,033 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,437,747 | BOYAmt |
| EOY | $1,731,855 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,197,696 | BOYAmt |
| EOY | $1,403,543 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $167,306,476 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $130,973,200 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,006,648 | BOYAmt |
| EOY | $36,333,276 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,091,437 | BOYAmt |
| EOY | $17,124,951 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,559,702 | BOYAmt |
| EOY | $10,187,738 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,678,104 | BOYAmt |
| EOY | $7,446,488 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,520,677 | BOYAmt |
| EOY | $2,930,681 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $108,877,513 | BOYAmt |
| EOY | $99,248,190 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,825,191 | BOYAmt |
| EOY | $24,252,386 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $298,184 | BOYAmt |
| EOY | $346,741 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,856,640 | BOYAmt |
| EOY | $21,388,065 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $261,758 | BOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,060,713 | BOYAmt |
| EOY | $1,159,366 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,076,146 | BOYAmt |
| EOY | $30,260,718 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $92,378,632 | BOYAmt |
| EOY | $77,407,276 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,457,317 | BOYAmt |
| EOY | $11,767,325 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,144,717 | BOYAmt |
| EOY | $2,976,800 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,896,847 | BOYAmt |
| EOY | $7,096,789 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,498,881 | BOYAmt |
| EOY | $21,840,914 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $108,877,513 | BOYAmt |
| EOY | $99,248,190 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$2,683,061 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,720,254 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $6,304,840 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | Yes (true) | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (true) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $2,145 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $70,291 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $72,436 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | THE HOSPITAL IS A MEMBER OF THE CONNECTICUT HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION. $16,291 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 ACTIVITY | THE HOSPITAL IS A MEMBER OF THE CONNECTICUT HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION. $16,291 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,896,847 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $395,609 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $195,667 | OtherExpendituresAmt |
| End Year Balance | $7,096,789 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,790,372 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $314,597 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $208,122 | OtherExpendituresAmt |
| End Year Balance | $6,896,847 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,085,488 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | -$295,116 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $6,790,372 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,020,579 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $64,909 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $7,085,488 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,927,603 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $92,976 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $7,020,579 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.0 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1.0 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.0 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,985,808 | OtherCostOrOtherBasisAmt |
| Book Value | $1,985,808 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $66,369,318 | OtherCostOrOtherBasisAmt |
| Depreciation | $49,137,957 | DepreciationAmt |
| Book Value | $17,231,361 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,338,239 | OtherCostOrOtherBasisAmt |
| Depreciation | $973,334 | DepreciationAmt |
| Book Value | $364,905 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $89,304,136 | OtherCostOrOtherBasisAmt |
| Depreciation | $78,246,034 | DepreciationAmt |
| Book Value | $11,058,102 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,308,975 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,615,875 | DepreciationAmt |
| Book Value | $5,693,100 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $36,333,276 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (5 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| FUNDS HELD FOR MALPRACTICE SELF-INSURANCE | $3,471,507 | F |
| ASSETS HELD IN TRUST BY OTHERS | $3,296,833 | F |
| FUNDS HELD UNDER BOND INDENTURE | $2,505,145 | F |
| DONOR RESTRICTED INVESTMENTS | $787,140 | F |
| DEBT SERVICE FUND | $127,113 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $10,187,738 | TotalBookValueSecuritiesAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| INVESTMENTS IN JOINT VENTURES | $364,349 | C |
| INTEREST IN NET ASSETS OF FOUNDATION | $7,082,139 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $7,446,488 | TotalBookValueProgramRltdAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| LINE OF CREDIT | $300,000 |
| ASSET RETIREMENT OBLIGATIONS | $750,000 |
| ACCRUED PENSION LIABILITY | $26,252,856 |
| OTHER LIABILITIES | $1,289,497 |
| CAPITAL LEASE LIABILITIES | $1,289,657 |
| Due to affiliates | $378,708 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $30,260,718 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $138,136,944 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $1,720,254 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $0 | OtherRevenueAmt |
| Revenue Not Reported | $1,720,254 | RevenueNotReportedAmt |
| Revenue Subtotal | $136,416,690 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$628,248 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$628,248 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $135,788,442 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $138,471,503 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $0 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $138,471,503 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $0 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $138,471,503 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part V, Line 4 Intended uses of endowment funds | 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. |
| Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | 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, 2017 and 2016. 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, 2017 and 2016, 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. |
| Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements | Net Assets Released from Restrictions - -628248 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 250 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 800 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,362,488 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,362,488 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0171 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $37,386,677 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $25,232,481 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,154,196 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0878 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $39,749,165 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $25,232,481 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,516,684 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.1048 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $676,225 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $676,225 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0049 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,552,221 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $6,552,221 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0473 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $7,228,446 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,228,446 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0522 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $46,977,611 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $25,232,481 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $21,745,130 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.1570 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,853,719 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $713,430 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $56,322,655 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $67,436,678 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$11,114,023 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRISTOL HOSPITAL INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | BREWSTER ROAD | AddressLine1Txt |
| City | BRISTOL | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06010 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.bristolhospital.org | WebsiteAddressTxt |
| State License | 41 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Emergency Room Other | Yes (X) | EmergencyRoomOtherInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRISTOL HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | https://www.bristolhospital.org/About-Bristol-Hospital/Community-Health-Needs-Assessment.aspx | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | https://www.bristolhospital.org/About-Bristol-Hospital/Community-Health-Needs-Assessment.aspx | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 250.0 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.0 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | https://www.bristolhospital.org/Financial-Assistance.aspx | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | https://www.bristolhospital.org/Financial-Assistance.aspx | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | https://www.bristolhospital.org/Financial-Assistance.aspx | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 5 Facility , 1 | 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. |
| Schedule H, Part V, Section B, Line 11 Facility , 1 | 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. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 12 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (12 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| BRISTOL BEHAVIORAL HEALTH SERVICES | ||||
| 10 N MAIN STREET SUITE 210 | BRISTOL | CT | 06010 | BEHAVIORAL HEALTH |
| BRISTOL HOSPITAL CENTER FOR DIABETES | ||||
| 102 NORTH STREET | BRISTOL | CT | 06010 | DIABETES MEDICAL CARE AND EDUCATION |
| BRISTOL HOSPITAL COUNSELING CENTER | ||||
| 440-C NORTH MAIN STREET | BRISTOL | CT | 06010 | THERAPY AND COUNSELING |
| BRISTOL HOSPITAL WELLNESS CENTER | ||||
| 842 CLARK AVENUE | BRISTOL | CT | 06010 | MEDICAL AND FITNESS SERVICES |
| BRISTOL RADIOLOGY CENTER | ||||
| 25 COLLINS ROAD | BRISTOL | CT | 06010 | MAMMOGRAPHY AND MRI |
| MED HELP | ||||
| 539 FARMINGTON AVENUE | BRISTOL | CT | 06010 | URGENT CARE |
| MEDWORKS LLC | ||||
| 375 CEDAR STREET | NEWINGTON | CT | 06111 | MEDWORKS, LLC |
| PARENT & CHILD CENTER - BRISTOL HOSPITAL | ||||
| 9 PROSPECT ST | BRISTOL | CT | 06010 | CHILDREN AND FAMILY SERVICES |
| REHAB DYNAMICS | ||||
| 975 FARMINGTON AVENUE | BRISTOL | CT | 06010 | PHYSICAL THERAPY AND SPORTS MEDICINE |
| BRISTOL HOSPITAL LABORATORY | ||||
| 641 FARMINGTON AVENUE | BRISTOL | CT | 06010 | LABORATORY SERVICES |
| BRISTOL HOSPITAL LABORATORY | ||||
| 27 MAIN STREET | TERRYVILLE | CT | 06786 | LABORATORY SERVICES |
| BRISTOL HOSPITAL WIC PROGRAM | ||||
| 450 MAIN STREET | NEW BRITAIN | CT | 06051 | NUTRITION FOR WOMEN AND CHILDREN |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount | 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. |
| Schedule H, Part III, Line 3 Bad Debt Expense Methodology | The hospital estimates that 10% 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 footnote | 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 assts 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 costs | 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. |
| Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance | 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. |
| 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 assessment | 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. |
| Schedule H, Part VI, Line 3 Patient education of eligibility for assistance | 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. |
| Schedule H, Part VI, Line 4 Community information | 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. |
| Schedule H, Part VI, Line 5 Promotion of community health | 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. |
| Schedule H, Part VI, Line 7 State filing of community benefit report | CT |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (true) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | Yes (true) | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | Yes (true) | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KURT BARWIS | ||||||||||||||
| PRESIDENT & CEO | $507,742 | $0 | $185,932 | $0 | $23,637 | $0 | $20,217 | $0 | $13,896 | $0 | $751,424 | $0 | $0 | $0 |
| BALA SHANMUGAM MD | ||||||||||||||
| President of the Medical Staff | $0 | $315,474 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $315,474 | $0 | $0 |
| VIJAY JOSHI MD | ||||||||||||||
| DIRECTOR | $0 | $206,921 | $0 | $20,108 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $227,029 | $0 | $0 |
| GEORGE EIGHMY | ||||||||||||||
| VP of Finance/CFO (through 12/16) | $299,536 | $0 | $0 | $0 | $0 | $0 | $1,379 | $0 | $19,965 | $0 | $320,880 | $0 | $0 | $0 |
| Sheila Kempf PHD | ||||||||||||||
| Former Senior VP/Patient Care Services/Chief Nursing Center | $130,250 | $0 | $0 | $0 | $0 | $0 | $2,584 | $0 | $7,346 | $0 | $140,180 | $0 | $0 | $0 |
| KENNETH RHEE | ||||||||||||||
| Senior Vice President, Chief Medical Officer | $427,186 | $0 | $22,390 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $449,576 | $0 | $0 | $0 |
| CHRIS ANN MEANEY | ||||||||||||||
| Vice President/ Patient Care Services/ Chief Nursing Officer | $168,239 | $0 | $3,500 | $0 | $0 | $0 | $943 | $0 | $7,794 | $0 | $180,476 | $0 | $0 | $0 |
| JEANINE RECKDENWALD F | ||||||||||||||
| Vice President/ Human Resources and Support Services | $204,875 | $0 | $5,000 | $0 | $0 | $0 | $494 | $0 | $10,883 | $0 | $221,252 | $0 | $0 | $0 |
| KORRINE ROTH | ||||||||||||||
| Vice President Quality and Safety | $148,091 | $0 | $3,500 | $0 | $0 | $0 | $0 | $0 | $8,248 | $0 | $159,839 | $0 | $0 | $0 |
| RUSSEL TUVERSON MD | ||||||||||||||
| Occupational Health Physician | $169,851 | $0 | $0 | $0 | $0 | $0 | $142 | $0 | $0 | $0 | $169,993 | $0 | $0 | $0 |
| MARIA SIMMONE | ||||||||||||||
| Finance Director | $143,488 | $0 | $3,496 | $0 | $0 | $0 | $313 | $0 | $5,203 | $0 | $152,500 | $0 | $0 | $0 |
| PATTY COPPOLA | ||||||||||||||
| Clinical Operations Director | $133,844 | $0 | $1,398 | $0 | $0 | $0 | $55 | $0 | $19,875 | $0 | $155,172 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan | KURT BARWIS, PRESIDENT, PARTICIPATES IN THE HOSPITAL'S 457(F) DEFINED CONTRIBUTION PLAN. $18,000 WAS DEFERRED DURING CALENDAR YEAR 2016, AND IS INCLUDED IN SCHEDULE J COLUMN D. |
| Schedule J, Part I, Line 6a Compensation contingent on net earnings of the organization | COMPENSATION FOR KEY EMPLOYEES IS PARTIALLY SET BASED ON THE FOLLOWING PERFORMANCE METRICS: PATIENT SAFETY, PATIENT SATISFACTION, EMPLOYEE ENGAGEMENT AND FINANCIAL RESULTS INCLUDING NET INCOME. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 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 stockholders | The organization's sole member has the following rights: (a) To accept, amend or reject, after approval by the Board of Directors, the annual business plan and operating and capital budgets of the Corporation. (b) To approve any programs and expenditures requiring Certificate of Need approval by appropriate governmental bodies and plans that materially affect the growth and development of the Corporation. (c) To approve significant affiliation agreements between the Corporation and other institutions, significant fund raising programs proposed to be conducted by the Corporation, the sale or disposition of any assets of the Corporation not in the ordinary course of business, and the incurrence of any indebtedness for borrowed money not in accordance with an approved operating or capital budget. (d) To remove any member of the Board of Directors at any time, regardless of the term for which such Director may have been elected. (e) To vote upon all matters on which members are entitled to vote under the Act. |
| Form 990, Part VI, 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 | ANNUALLY, ALL APPLICABLE PARTIES ARE REQUIRED TO RECEIVE AND SIGN A STATEMENT ACKNOWLEDGING THAT THEY HAVE READ, UNDERSTOOD AND AGREE TO COMPLY WITH THE CONFLICT OF INTEREST POLICY. |
| 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 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 2016. |
| Form 990, Part VI, Line 19 Required documents available to the public | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| Form 990, Part VIII, Line 11d Other Miscellaneous Revenue | Vendor Rebates - Total Revenue: 45657, Related or Exempt Function Revenue: 45657, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Miscellaneous Revenue - Total Revenue: 74039, Related or Exempt Function Revenue: 74039, 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 balances | INCREASE IN ASSETS HELD IN TRUST BY OTHERS - 199942; TRANSFER TO BRISTOL HOSPITAL MULTISPECIALTY GROUP - -5026632; PENSION CHANGES OTHER THAN NET PERIODIC BENEFIT COSTS - 10217592; CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION - 1336853; TRANSFER TO BRISTOL HEALTHCARE, INC AND SUBSIDIARY - -422915; |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HG PROPERTY HOLDINGS LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 41 BREWSTER RD | AddressLine1Txt |
| City | BRISTOL | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06010 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 272548373 | EIN |
| Primary Activities | REAL ESTATE | PrimaryActivitiesTxt |
| Legal Domicile State | CT | LegalDomicileStateCd |
| Total Income | -$45,956 | TotalIncomeAmt |
| End Of Year Assets | $914,956 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRISTOL HOSPITAL INC | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| 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 HEALTH CARE INC | ||||||||||
| 400 NORTH MAIN STREET | BRISTOL | CT | 06010 | 222577731 | NURSING HOME | CT | 501(c)(3) | 9 | BRISTOL HOSPITAL AND HEALTH CARE GROUP INC | false |
| BRISTOL HOSPITAL MULTISPECIALTY GROUP INC | ||||||||||
| BREWSTER ROAD | BRISTOL | CT | 06010 | 061466555 | HEALTHCARE SERVICES | CT | 501(c)(3) | 9 | BRISTOL HOSPITAL AND HEALTH CARE GROUP INC | false |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRISTOL HOSPITAL EMS LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 977 | AddressLine1Txt |
| City | BRISTOL | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06011 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 061547648 | EIN |
| Primary Activities | EMERGENCY MEDICAL SERVICES | PrimaryActivitiesTxt |
| Legal Domicile State | CT | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C Corporation | EntityTypeTxt |
| Share Of Total Income | $0 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $0 | ShareOfEOYAssetsAmt |
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |