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← BRISTOL HOSPITAL INCORPORATED

Form 990 for tax year 2022

Filed by BRISTOL HOSPITAL INCORPORATED.

Totals

Total revenue
$161,815,281
Total expenses
$160,925,186
Contributions and grants received
$5,004,522
Grants paid
$0
Program service revenue
$150,999,449
Investment income
$4,579,369
Other revenue
$1,231,941
Total assets, end of year
$103,337,029
Total liabilities, end of year
$127,612,608
Net assets or fund balances, end of year
-$24,275,579
Program services expenses (Part IX)
$129,366,312
Management and general expenses
$31,558,874
Fundraising expenses
$0
Program service expenses (Part III)
$129,366,312

Program services were 80.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1e · Government grants (contributions)

    $4,999,022

  • 1f · All other contributions, gifts and grants

    $5,500

  • 2a · Program service revenue: PATIENT SERVICE REVENUE

    total $150,296,281 · related or exempt $149,681,689 · unrelated business $614,592

  • 2b · Program service revenue: OCCUPATIONAL HEALTH REVENUE

    total $703,168 · related or exempt $703,168

  • 3 · Investment income

    total $3,872,637 · excluded $3,872,637

  • 6a · Gross rents

    real property $406,987

  • 6b · Less rental expenses

    real property $331,891

  • 6c · Rental income or loss

    real property $75,096

  • 6d · Net rental income or loss

    total $75,096 · excluded $75,096

  • 7a · Gross sales of assets other than inventory

    securities $855,604 · other assets $939,200

  • 7b · Less cost or other basis and sales expenses

    securities $914,758 · other assets $173,314

  • 7c · Gain or loss

    securities -$59,154 · other assets $765,886

  • 7d · Net gain or loss

    total $706,732 · excluded $706,732

  • 11a · Other revenue: CAFETERIA

    total $373,335 · excluded $373,335

  • 11b · Other revenue: MISCELLANEOUS INCOME

    total $347,715 · excluded $347,715

  • 11c · Other revenue: VENDOR REBATES

    total $340,699 · excluded $340,699

  • 11d · All other revenue

    total $95,096 · excluded $95,096

  • 11e · Other revenue, total

    $1,156,845

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $2,563,421 · management and general $2,563,421

  • 7 · Other salaries and wages

    total $66,285,141 · program services $56,724,594 · management and general $9,560,547

  • 8 · Pension plan contributions

    total $452,783 · program services $343,571 · management and general $109,212

  • 9 · Other employee benefits

    total $5,940,984 · program services $4,292,727 · management and general $1,648,257

  • 10 · Payroll taxes

    total $5,101,507 · program services $3,620,213 · management and general $1,481,294

  • 11b · Fees: legal

    total $383,421 · program services $210,964 · management and general $172,457

  • 11c · Fees: accounting

    total $318,211 · program services $55,000 · management and general $263,211

  • 11d · Fees: lobbying

    total $105,888 · management and general $105,888

  • 11f · Fees: investment management

    total $1,673 · management and general $1,673

  • 11g · Fees: other

    total $30,279,850 · program services $20,549,195 · management and general $9,730,655

  • 12 · Advertising and promotion

    total $1,234,489 · program services $50,144 · management and general $1,184,345

  • 13 · Office expenses

    total $2,627,518 · program services $2,018,429 · management and general $609,089

  • 14 · Information technology

    total $1,226,230 · program services $1,071,944 · management and general $154,286

  • 16 · Occupancy

    total $6,047,228 · program services $4,704,130 · management and general $1,343,098

  • 17 · Travel

    total $36,574 · program services $30,190 · management and general $6,384

  • 20 · Interest

    total $3,509,368 · program services $3,333,900 · management and general $175,468

  • 22 · Depreciation, depletion and amortization

    total $5,271,106 · program services $3,798,849 · management and general $1,472,257

  • 23 · Insurance

    total $2,890,187 · program services $2,159,299 · management and general $730,888

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $13,521,289 · program services $13,516,861 · management and general $4,428

  • 24b · Other expenses: DRUGS

    total $10,770,782 · program services $10,770,782

  • 24c · Other expenses: FOOD

    total $862,190 · program services $862,190

  • 24d · Other expenses: OPERATING LEASE EXPENSE

    total $840,559 · program services $840,559

  • 24e · All other expenses

    total $654,787 · program services $412,771 · management and general $242,016

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $1,389,329 · end of year $47,316

  • 2 · Savings and temporary cash investments

    beginning of year $5,690,344 · end of year $108,449

  • 4 · Accounts receivable

    beginning of year $21,714,906 · end of year $18,689,822

  • 5 · Loans and receivables from officers and key people

    end of year $2,241,375

  • 8 · Inventories for sale or use

    beginning of year $1,991,366 · end of year $2,092,070

  • 9 · Prepaid expenses and deferred charges

    beginning of year $3,661,960 · end of year $4,796,686

  • 10a · Land, buildings and equipment: cost or other basis

    $190,601,156

  • 10b · Land, buildings and equipment: accumulated depreciation

    $142,721,074

  • 10c · Land, buildings and equipment, net

    beginning of year $52,161,285 · end of year $47,880,082

  • 11 · Investments: publicly traded securities

    beginning of year $5,194,621 · end of year $890,297

  • 12 · Investments: other securities

    beginning of year $6,399,573 · end of year $6,886,102

  • 13 · Investments: program-related

    beginning of year $6,330,817 · end of year $6,254,535

  • 14 · Intangible assets

    end of year $3,898,735

  • 15 · Other assets

    beginning of year $8,862,539 · end of year $9,551,560

  • 17 · Accounts payable and accrued expenses

    beginning of year $56,430,907 · end of year $64,688,127

  • 19 · Deferred revenue

    beginning of year $3,015,148 · end of year $1,487,561

  • 20 · Tax-exempt bond liabilities

    beginning of year $33,451,692 · end of year $32,344,477

  • 23 · Secured mortgages and notes payable

    beginning of year $27,676,608 · end of year $21,699,501

  • 25 · Other liabilities

    beginning of year $882,812 · end of year $7,392,942

  • 27 · Net assets without donor restrictions

    beginning of year -$17,432,935 · end of year -$33,665,688

  • 28 · Net assets with donor restrictions

    beginning of year $9,372,508 · end of year $9,390,109

Mission and programs · 2022

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.

Activities or mission (Part I)

TO PROVIDE SAFE, QUALITY CARE AND SERVICES TO ENHANCE THE HEALTH AND WELL-BEING OF OUR COMMUNITY.

  • AS A SHORT-TERM ACUTE CARE COMMUNITY HOSPITAL, BRISTOL HOSPITAL PROVIDES A BROAD SPECTRUM OF HEALTHCARE SERVICES TO ANY INDIVIDUAL REGARDLESS OF THE INDIVIDUAL'S ABILITY TO PAY. THE HOSPITAL PROVIDED CHARITY CARE TO THOSE UNABLE TO PAY FOR SERVICES AT COST OF OVER $281,000 DURING THE OPERATING YEAR AND SUPPORTED THE STATE MEDICAID PROGRAM THROUGH THE PAYMENT OF OVER $12.7 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, NATIONAL 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 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. NURSES ALSO TRAVEL TO THE SHELTER TO TAKE BLOOD PRESSURES AND ACCESS WOUNDS. ADOPT A FAMILY FOR THE HOLIDAYS: EMPLOYEES HAVE 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.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 NEED 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.

    Expenses $129,366,312 · Revenue $150,384,857

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Kurt Barwis

    PRESIDENT & CEO

    Total calculated
    $713,127
    From this org
    $676,472
    From related orgs
    $0
    Other
    $36,655
    Hours/week
    30 + 10 related

    Schedule J breakdown matched by us

    Base
    $582,178
    Bonus
    $94,294
    Other
    $0
    Deferred
    $14,582
    Nontaxable benefits
    $22,073
    Filer's total
    $713,127
  • Jennifer McCallister MD

    MEDICAL STAFF REPRESENTATIVE

    Total calculated
    $427,531
    From this org
    $0
    From related orgs
    $425,331
    Other
    $2,200
    Hours/week
    2 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $405,331 related
    Bonus
    $0 + $20,000 related
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0 + $2,200 related
    Filer's total
    $0 + $427,531 related
  • Lisa Casey

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2 + 6 related
  • Jarre Betts

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2 + 6 related
  • Bradford Meacham

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2 + 6 related
  • Joseph Lockwood

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2 + 6 related
  • Glenn Heiser

    CHAIRMAN OF THE BOARD

    Total calculated
    $0
    Hours/week
    2 + 10 related
  • John Lodovico Jr

    VICE CHAIRMAN

    Total calculated
    $0
    Hours/week
    2 + 10 related
  • Jeffrey Kaye MD

    MEDICAL STAFF REPRESENTATIVE

    Total calculated
    $0
    Hours/week
    2 + 6 related
  • Louis Auletta Jr

    SECRETARY/TREASURER

    Total calculated
    $0
    Hours/week
    2 + 6 related
  • Yong-Sung Chyun MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2 + 6 related
  • Michael Heimbach

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2 + 6 related
  • Irene Bassock

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2 + 6 related
  • Katarzyna Lessard

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2 + 6 related
  • Lexie Mangum

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2 + 6 related
  • Michelle Normandin MD

    DIRECTOR/PATHOLOGIST

    Total calculated
    $423,595
    From this org
    $423,447
    From related orgs
    $0
    Other
    $148
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $408,447
    Bonus
    $15,000
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $148
    Filer's total
    $423,595
  • Rupalini Rawal-Dhingra MD

    DIRECTOR

    Total calculated
    $362,643
    From this org
    $0
    From related orgs
    $353,935
    Other
    $8,708
    Hours/week
    2 + 46 related

    Schedule J breakdown matched by us

    Base
    $0 + $332,683 related
    Bonus
    $0 + $21,252 related
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0 + $8,708 related
    Filer's total
    $0 + $362,643 related
  • Edward Henry

    VP ADMIN SVSC, EXEC. DIRECTOR BHMSG

    Total calculated
    $307,803
    From this org
    $278,313
    From related orgs
    $0
    Other
    $29,490
    Hours/week
    10 + 30 related

    Schedule J breakdown matched by us

    Base
    $278,313
    Bonus
    $0
    Other
    $0
    Deferred
    $3,824
    Nontaxable benefits
    $25,666
    Filer's total
    $307,803
  • Chris Ann Meaney

    SVP, COO & CNO

    Total calculated
    $319,795
    From this org
    $313,567
    From related orgs
    $0
    Other
    $6,228
    Hours/week
    30 + 10 related

    Schedule J breakdown matched by us

    Base
    $279,214
    Bonus
    $34,353
    Other
    $0
    Deferred
    $3,833
    Nontaxable benefits
    $2,395
    Filer's total
    $319,795
  • Christine Laprise

    VP, OPERATIONS

    Total calculated
    $275,225
    From this org
    $252,809
    From related orgs
    $0
    Other
    $22,416
    Hours/week
    30 + 10 related

    Schedule J breakdown matched by us

    Base
    $230,284
    Bonus
    $22,525
    Other
    $0
    Deferred
    $3,173
    Nontaxable benefits
    $19,243
    Filer's total
    $275,225
  • Timothy Ajayi CPA

    VICE PRESIDENT & CFO

    Total calculated
    $295,822
    From this org
    $273,692
    From related orgs
    $0
    Other
    $22,130
    Hours/week
    35 + 5 related

    Schedule J breakdown matched by us

    Base
    $253,455
    Bonus
    $20,237
    Other
    $0
    Deferred
    $3,167
    Nontaxable benefits
    $18,963
    Filer's total
    $295,822
  • Nancy Lamonica

    VICE PRESIDENT & CNO

    Total calculated
    $228,055
    From this org
    $205,543
    From related orgs
    $0
    Other
    $22,512
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $188,211
    Bonus
    $17,332
    Other
    $0
    Deferred
    $2,788
    Nontaxable benefits
    $19,724
    Filer's total
    $228,055
  • Raymond Minor

    DIR. OF INT. AUDIT & SYS.

    Total calculated
    $190,698
    From this org
    $178,343
    From related orgs
    $0
    Other
    $12,355
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $171,274
    Bonus
    $7,069
    Other
    $0
    Deferred
    $2,416
    Nontaxable benefits
    $9,939
    Filer's total
    $190,698
  • Nancy Cocchiola

    NURSE

    Total calculated
    $190,746
    From this org
    $183,075
    From related orgs
    $0
    Other
    $7,671
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $183,075
    Bonus
    $0
    Other
    $0
    Deferred
    $1,837
    Nontaxable benefits
    $5,834
    Filer's total
    $190,746
  • Michael Waley MD

    PHYSICIAN

    Total calculated
    $255,660
    From this org
    $251,784
    From related orgs
    $0
    Other
    $3,876
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $251,784
    Bonus
    $0
    Other
    $0
    Deferred
    $3,267
    Nontaxable benefits
    $609
    Filer's total
    $255,660
  • Belinda Guerrera

    REGISTERED NURSE

    Total calculated
    $187,982
    From this org
    $177,978
    From related orgs
    $0
    Other
    $10,004
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $177,978
    Bonus
    $0
    Other
    $0
    Deferred
    $1,187
    Nontaxable benefits
    $8,817
    Filer's total
    $187,982
  • Vera Irene Betts

    REGISTERED NURSE

    Total calculated
    $179,137
    From this org
    $169,815
    From related orgs
    $0
    Other
    $9,322
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $169,815
    Bonus
    $0
    Other
    $0
    Deferred
    $510
    Nontaxable benefits
    $8,812
    Filer's total
    $179,137

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception
  • 9 · Followed the rebuttable-presumption procedure

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings

The filer's explanations (Part III)

PART I, LINE 4B
BRISTOL HOSPITAL PROVIDES SUPPLEMENTAL RETIREMENT BENEFITS TO ITS CHIEF EXECUTIVE OFFICER ("CEO") THROUGH AN ALTERNATIVE FUNDING ARRANGEMENT THE IRS CALLS "LOAN-REGIME SPLIT-DOLLAR" ("LRSD"). ALTHOUGH THE IRS REQUIRES LRSD TO COMPLY WITH THE TAX PRINCIPLES OF A LOAN FOR FEDERAL INCOME TAX PURPOSES (IRC 7872), LRSD IS NOT AN ACTUAL LOAN. NO FUNDS ARE TRANSFERRED TO THE EXECUTIVE. RATHER, THE "LOAN" TREATMENT APPLIES BECAUSE AFTER THE EXECUTIVE HAS RECEIVED RETIREMENT BENEFITS (SUBJECT TO VESTING REQUIREMENTS AND POLICY INVESTMENT PERFORMANCE), BRISTOL HOSPITAL RECOVERS ALL ITS OUTLAYS PLUS A MARKET RATE OF INTEREST. AS WITH AN EMPLOYER-EMPLOYEE LOAN, AND CONSISTENT WITH THE 2003 FINAL REGULATIONS AND IRC 7872, THE PLAN IS NON-COMPENSATORY TO THE PARTICIPATING EXECUTIVE, AS THE LOAN IS REPAID PLUS INTEREST UPON THE DEATH OF THE EXECUTIVE. UNDER THE REGULATIONS, THERE IS NO COMPENSATION IMPUTED TO THE EXECUTIVE. THE BRISTOL HOSPITAL LRSD PLAN WORKS AS FOLLOWS. BRISTOL HOSPITAL DEPOSITED FUNDS DIRECTLY INTO CASH VALUE LIFE INSURANCE POLICIES ON THE CEO'S LIFE. DURING LIFE, TO THE EXTENT THE CEO FULFILLS SERVICE AND VESTING REQUIREMENTS, THE CEO CAN BORROW AGAINST VALUES IN THE POLICIES TO SUPPLEMENT RETIREMENT INCOME. POLICY PERFORMANCE IS CLOSELY MONITORED. IF POLICY PERFORMANCE LAGS, THE CEO'S BORROWING RIGHTS COULD BE REDUCED TO PROTECT BRISTOL HOSPITAL'S RECOVERY RIGHTS. AT THE CEO'S DEATH, THE POLICY DEATH PROCEEDS ARE FIRST USED TO REPAY BRISTOL HOSPITAL'S DEPOSITS PLUS COMPOUNDED INTEREST (AT THE IRS LONG-TERM APPLICABLE FEDERAL RATE). THE CEO'S BENEFICIARY THEN RECEIVES ANY PROJECTED RETIREMENT BORROWING NOT ACCESSED DURING LIFE. SEVERAL EXECUTIVES PARTICIPATE IN THE HOSPITAL'S 457(F) DEFINED CONTRIBUTION PLAN, HOWEVER, NO CONTRIBUTIONS WERE MADE BY THE ORGANIZATION DURING THE YEAR. THE FOLLOWING INDIVIDUALS MAY RECEIVE CONTRIBUTIONS BY THE ORGANIZATION UNDER THE PLAN: EDWARD HENRY, CHRIS ANN MEANEY, CHRISTINE LAPRISE, AND TIMOTHY AJAYI.
PART I, LINE 7
CERTAIN EXECUTIVES ARE PAID VARIABLE COMPENSATION BASED ON PRE-APPROVED QUALITY, SAFETY AND FINANCIAL GOALS.
PART I, LINE 8
AMOUNTS WERE PAID TO KURT BARWIS PURSUANT TO A CONTRACT WITH THE HOSPITAL THAT WAS SUBJECT TO THE INITIAL CONTRACT EXCEPTION DESCRIBED IN REGS. SECTION 53.4958-4(A)(3). THE HOSPITAL FOLLOWED THE REBUTTABLE PRESUMPTION PROCEDURE DESCRIBED IN REGS. SECTION 53.4958-6(C).

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

  • HG PROPERTY HOLDINGS LLC

    REAL ESTATE · CT · income $0 · assets $1,153,265

    Directly controlled by BRISTOL HOSPITAL INC

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • BRISTOL MSO LLC

    RELATED · RADIOLOGY SERVICES · CT · 50% owned · share of income -$41,798 · share of assets $407,536 · general or managing partner

    Directly controlled by BRISTOL HOSPITAL INC

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2022
Filed
13 September 2024
IRS schema version
2022v5.0
Source object
202402579349300940

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