2017-08-13T15:00:09-05:00 2016-09-30 350921680 CROWE HORWATH LLP 175 Powder Forest Drive Simsbury CT 060897902 990 2015-10-01 222577731 Bristol Health Care Inc BRIS 8605843400 400 NORTH MAIN STREET BRISTOL CT 06010 Kurt Barwis President & CEO 2017-05-01 true KRISTIN ANDERSON P01231300 8606789200 2015 2021-01-29 14:40:06Z Kurt Barwis 400 NORTH MAIN STREET BRISTOL CT 06010 12161914 false X WWW.BRISTOLHOSPITAL.ORG X 1984 CT SHORT AND LONG TERM REHABILITATION AND SKILLED NURSING CARE, UNIQUELY TAILORED TO INDIVIDUAL NEEDS TO ENHANCE QUALITY OF LIFE AND IMPROVE PHYSICAL FUNCTIONING. 19 16 243 15 0 0 0 0 11881027 12046392 39099 84473 18615 15299 11938741 12146164 0 0 0 0 7346426 7366632 0 0 0 4842884 3653752 12189310 11020384 -250569 1125780 7402412 7542714 7781902 6781358 -379490 761356 TO PROVIDE QUALITY AND COMPREHENSIVE HEALTH CARE ACCORDING TO RESIDENT NEEDS, INCLUDING SHORT-TERM REHABILITATIVE CARE, SKILLED NURSING CARE, AND LONG-TERM CARE, WHILE BEING ATTENTIVE TO QUALITY OF LIFE AND PRESERVATION OF INDIVIDUAL DIGNITY IN A HOME-LIKE SETTING. false false 9828005 12059357 NURSING HOME AND LONG-TERM CARE FACILITY PROVIDING HEALTH CARE AND COMMUNITY HEALTH EDUCATION FOR THE ELDERLY AND OTHERS. 9828005 true false false false false false false false false false true false false false true true true true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 18 0 true 243 true false false false false false false false false false false X 19 16 false false false false false false false true true false false true true true true true true true true false X Maria Simmone 8605853000 BRISTOL HOSPITAL BREWSTER ROAD BRISTOL CT 06011 KURT BARWIS PRESIDENT & CEO 33.0 29.0 X X 0 814686 183320 BALA SHANMUGAM MD PRESIDENT OF THE MEDICAL STAFF 2.0 40.0 X X 0 348666 5300 CARLOS BADIOLA MD VICE PRESIDENT OF THE MEDICAL STAFF 2.0 2.0 X X 0 0 0 MARK BLUM VICE CHAIRMAN OF THE BOARD 2.0 8.0 X X 0 0 0 DOUGLAS DEVNEW JR CHAIRMAN - FINANCE COMMITTEE 2.0 8.0 X X 0 0 0 JOHN J LEONE JR CHAIRMAN 2.0 10.0 X X 0 0 0 KENNETH BENOIT MD DIRECTOR 2.0 2.0 X 0 0 0 GLENN HEISER DIRECTOR 2.0 2.0 X 0 0 0 SHARON ADLER MD MEDICAL STAFF REPRESENTATIVE 2.0 2.0 X 0 0 0 MARY ANN CORDEAU PHD RN DIRECTOR 2.0 2.0 X 0 0 0 VIJAY JOSHI MD DIRECTOR 2.0 40.0 X 0 233343 10500 JOHN LODOVICO JR DIRECTOR 2.0 8.0 X 0 0 0 THOMAS MONAHAN DIRECTOR 2.0 2.0 X 0 0 0 ELLEN SOLEK DIRECTOR 2.0 2.0 X 0 0 0 MARIE O'BRIEN DIRECTOR 2.0 10.0 X 0 0 0 LOUIS AULETTA JR DIRECTOR 2.0 6.0 X 0 0 0 THOMAS O BARNES SR DIRECTOR 2.0 6.0 X 0 0 0 YONG-SUNG CHYUN MD DIRECTOR 2.0 6.0 X 0 0 0 LEXIE R MANGUM DIRECTOR 2.0 6.0 X 0 0 0 GEORGE EIGHMY VICE PRESIDENT OF FINANCE/CFO 2.0 38.0 X 0 311484 21344 JONATHAN NEAGLE ASSISTANT VICE PRESIDENT & ADMINISTRATOR 40.0 0 X 146331 0 19041 146331 1708179 239505 0 false true false SYMBRIA REHAB 28100 TORCH PARKWAY SUITE 600 WARRENVILLE IL 60555 REHAB THERAPY 869629 WEST RIVER PHARMACY 41 NORTHWEST DRIVE PLAINVILLE CT 06062 PHARMACY SERVICES 243410 US FOODS INC PO BOX 842700 BOSTON MA 022842700 FOOD SERVICE 243346 MEDSTAT PHARMACY 41 NORTHWEST DRIVE PLAINVILLE CT 06062 PHARMACY SERVICES 169303 4 0 PATIENT SERVICE REVENUE 623110 12046392 12046392 0 0 0 0 12046392 64268 64268 0 0 35955 15750 20205 0 20205 20205 MISCELLANEOUS 900009 10692 10692 EMPLOYEE MEALS AND VENDING 722210 2334 2334 FOOD AND NUTRITION COUNSELING CTR 624190 2273 2273 0 0 0 0 15299 12146164 12059357 0 86807 6327111 5947484 379627 136707 128504 8203 415494 390564 24930 487320 458081 29239 873 873 33885 33885 422553 85817 336736 0 380 380 679140 665557 13583 22653 22200 453 352877 232899 119978 825 825 153913 153913 446949 446949 71977 71977 OCC, PHYS, SPCH THERAPY FEES 929697 929697 PRESCRIPTIONS/PHARMACY EXPENSE 406174 406174 Prov for Bad Debts net of Recoveries -66168 -66168 WORKERS COMP INS 26334 26334 171690 0 171690 0 11020384 9828005 1192379 0 1951950 2365300 1539863 1443029 0 0 31246 31246 2890 2926 12319128 10149406 2483511 2169722 912746 1118529 253449 253449 9071 12696 217686 145817 7402412 7542714 2190676 2120475 135125 273870 3252092 2667141 2204009 1719872 7781902 6781358 X -388561 748660 9071 12696 -379490 761356 7402412 7542714 X 1125780 11441 3625 X false true X true false X 12807 41235 8638 0 0 62680 12590692 12345389 11720341 11883740 12059357 60599519 0 0 0 12603499 12386624 11728979 11883740 12059357 60662199 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60662199 45410 23095 38962 12886 64268 184621 0 45410 23095 38962 12886 64268 184621 0 12059 16863 0 0 2334 31256 12660968 12426582 11767941 11896626 12125959 60878076 0.9965 0.9967 0.0030 0.0026 X Schedule A, Part III, Line 12 Other Income DESCRIPTION - OTHER INCOME, COLUMN A - 12059.0, COLUMN B - 16863.0, COLUMN C - , COLUMN D - , COLUMN E - 2334.0, COLUMN F - 31256.0; 343035 343035 9872283 8430558 1441725 1659259 1320572 338687 444551 398276 46275 2169722 DUE TO AFFILIATE 1719872 1719872 X 12161230 11441 3625 15066 12146164 0 0 12146164 11020384 0 0 11020384 0 0 11020384 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote The Company accounts for uncertain tax positions with provisions of FASB ASC 740, "Income Taxes," which provides a framework for how companies should recognize, measure, present and disclose uncertain tax positions in their consolidated financial statements. The Company may recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by the taxing authorities, based on the technical merits of the position. The Company does not have any uncertain tax positions as of September 30, 2016 and 2015. It is the Company's policy to record penalties and interest associated with uncertain tax provisions as a component of operating expenses. As of September 30, 2016 and 2015, the Company did not record any penalties or interest associated with uncertain tax positions. The Company's prior three tax years are open and subject to examination by the Internal Revenue Service. Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION - 3625 false true false false false false false false true true KURT BARWIS PRESIDENT & CEO 0 510792 0 303894 0 0 0 168010 0 15310 0 998006 0 0 BALA SHANMUGAM MD PRESIDENT OF THE MEDICAL STAFF 0 348666 0 0 0 0 0 5300 0 0 0 353966 0 0 VIJAY JOSHI MD DIRECTOR 0 211090 0 22253 0 0 0 10500 0 0 0 243843 0 0 GEORGE EIGHMY VICE PRESIDENT OF FINANCE/CFO 0 269562 0 41922 0 0 0 1379 0 19965 0 332828 0 0 JONATHAN NEAGLE ASSISTANT VICE PRESIDENT & ADMINISTRATOR 146331 0 0 0 0 0 0 0 19041 0 165372 0 0 0 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan KURT BARWIS PARTICPATES IN THE 457(F) DEFINED CONTRIBUTION PLAN OF RELATED ORGANIZATION - BRISTOL HOSPITAL, INC. AMOUNT DEFERRED IN CALENDAR YEAR 2015 = 165,150. Schedule J, Part I, Line 8 Payments on contract that is subject to the initial contract exception AMOUNTS WERE PAID BY A RELATED ORGANIZATION (BRISTOL HOSPITAL) TO KURT BARWIS PURSUANT TO A CONTRACT WITH THE HOSPITAL THAT WAS SUBJECT TO THE INITIAL CONTRACT EXCEPTION DESCRIBED IN REGS. SECTION 53.4958-4(A)(3). THE HOSPITAL FOLLOWED THE REBUTTABLE PRESUMPTION PROCEDURE DESCRIBED IN REGS. SECTION 53.4958-6(C). Form 990, Part VI, Line 11b Review of form 990 by governing body A COMPLETED 990 IS PROVIDED TO EACH BOARD MEMBER BEFORE IT IS FILED. THIS PROVIDES AN OPPORTUNITY FOR MEMBERS TO ASK QUESTIONS AND FOLLOW UP WITH THE FINANCE TEAM REGARDING ANY ISSUES OR CONCERNS. THE 990 IS ALSO REVIEWED INTERNALLY BY MEMBERS OF THE FINANCE AND MANAGEMENT TEAMS. Form 990, Part VI, Line 12c Conflict of interest policy THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY VIA THE USE OF ANNUAL DISCLOSURE STATEMENTS. Form 990, Part VI, Line 15a Process to establish compensation of top management official The Executive Compensation Committee is authorized under the Bristol Hospital and Health Care Group bylaws and is responsible for (1) determining the overall total compensation strategy for all corporate officers, (2) approving all compensation and benefits decisions for corporate officers, and (3) reporting such actions to the full Bristol Hospital and Health Care Group Board on an annual basis. In addition, the Executive Compensation Committee expressly determines the reasonableness of total compensation and benefits for all corporate officers and assures that all officer compensation decisions are made after thorough consideration of and comparison to the market practices of other similarly situated not-for-profit healthcare executives in comparable organizations. The Executive Compensation Committee consists of Board members who do not have material financial interests that could be affected by the officer compensation decisions made by the Committee. The comparability data used to assist the Executive Compensation Committee in its compensation deliberations are compiled by an independent, national compensation consulting firm that is retained by and reports directly to the Executive Compensation Committee. The data collected by the consultant consists of market information for executives in functionally similar positions in similarly situated not-for-profit healthcare organizations. The deliberations and decisions of the Executive Compensation Committee are contemporaneously documented, reviewed and approved by the Executive Compensation Committee and provided to the Board on an annual basis. The last compensation review for the CEO, other officers and key employees occurred in December 2015. Form 990, Part VI, Line 15b Process to establish compensation of other employees A PROCESS WAS USED TO ESTABLISH THE FOLLOWING ROLES AND POSITIONS FOR OFFICERS AND KEY EMPLOYEES AS FOLLOWS: PRESIDENT/CEO, VICE PRESIDENT OF FINANCE/CFO, VICE PRESIDENT/HUMAN RESOURCES AND SUPPORT SERVICES, AVP OF INFORMATION TECHNOLOGY, SENIRO VP/PATIENT CARE SERVICES / CHIEF NURSING OFFICER, AVP CHIEF DEVELOPMENT OFFICER AND SENIOR VICE PRESIDENT/CHIEF MEDICAL OFFICER. THIS PROCESS LAST OCCURRED IN DECEMBER 2015. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. Form 990, Part XI, Line 9 Other changes in net assets or fund balances CHANGE IN INTEREST IN NET ASSETS OF BRISTOL HOSPITAL FOUNDATION - 3625; BRISTOL HOSPITAL INC BREWSTER ROAD BRISTOL CT 06010 060646559 SHORT-TERM ACUTE CARE COMMUNITY HOSPITAL CT 501(c)(3 3 BRISTOL OHSPITAL AND HEALTH CARE GROUP INC false BRISTOL HOSPITAL AND HEALTH CARE GROUP INC BREWSTER ROAD BRISTOL CT 06010 222577726 HEALTHCARE PARENT COMPANY CT 501(c)(3 Type II N/A false BRISTOL HOSPITAL DEVELOPMENT FOUNDATION INC BREWSTER ROAD BRISTOL CT 06010 222577740 FUNDRAISING CT 501(c)(3 7 BRISTOL HOSPITAL AND HEALTH CARE GROUP INC false BRISTOL HOSPITAL MULTISPECIALTY GROUP INC BREWSTER ROAD BRISTOL CT 06011 061466555 HEALTHCARE SERVICES CT 501(c)(3 9 BRISTOL HOSPITAL AND HEALTH CARE GROUP INC false BRISTOL HOSPITAL EMS LLC PO BOX 977 BRISTOL CT 06010 061547648 EMERGENCY MEDICAL SERVICES CT NA C Corporation false false false true false false false false false false false false false true false true true false false true Schedule R, Part IV, Column (i) IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS CORP OR TRUST NAME OF RELATED ORGANIZATION: BRISTOL HOSPITAL EMS, LLC DIRECT CONTROLLING ENTITY: BRISTOL HOSPITAL AND HEALTH CARE GROUP