Form 990 for tax year 2022
Filed by BRISTOL HOSPITAL DEVELOPMENT FOUNDATION INC.
Totals
- Total revenue
- $992,629
- Total expenses
- $278,290
- Contributions and grants received
- $858,846
- Grants paid
- $0
- Program service revenue
- $0
- Investment income
- $163,479
- Other revenue
- -$29,696
- Total assets, end of year
- $7,644,232
- Total liabilities, end of year
- $1,358,327
- Net assets or fund balances, end of year
- $6,285,905
- Program services expenses (Part IX)
- $133,115
- Management and general expenses
- $69,372
- Fundraising expenses
- $75,803
- Program service expenses (Part III)
- $133,115
Program services were 47.8% 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.
-
1c · Fundraising events
$243,535
-
1f · All other contributions, gifts and grants
$615,311
-
1g · Noncash contributions included above
$68,746
-
3 · Investment income
total $163,479 · excluded $163,479
-
8a · Fundraising events: gross income
$87,085
-
8a · Fundraising events: contributions included on line 1c
$243,535
-
8b · Fundraising events: direct expenses
$122,981
-
8c · Net income from fundraising events
total -$35,896 · excluded -$35,896
-
9a · Gaming: gross income
$6,200
-
9b · Gaming: direct expenses
$0
-
9c · Net income from gaming
total $6,200 · excluded $6,200
Functional expenses
Part IX, the statement of functional expenses.
-
5 · Compensation of officers, directors and key employees
total $77,918 · program services $77,918
-
7 · Other salaries and wages
total $18,610 · program services $14,333 · management and general $4,277
-
9 · Other employee benefits
total $12,634 · program services $11,715 · management and general $919
-
10 · Payroll taxes
total $19 · program services $18 · management and general $1
-
11c · Fees: accounting
total $1,500 · program services $1,500
-
11f · Fees: investment management
total $42,820 · management and general $42,820
-
11g · Fees: other
total $21,252 · fundraising $21,252
-
12 · Advertising and promotion
total $8,130 · program services $8,130
-
13 · Office expenses
total $6,283 · management and general $6,283
-
14 · Information technology
total $14,039 · management and general $14,039
-
16 · Occupancy
total $6,000 · program services $5,714 · management and general $286
-
24a · Other expenses: DEVELOPMENT EXPENSES
total $54,551 · fundraising $54,551
-
24b · Other expenses: REPAIRS AND MAINTENANCE
total $12,616 · program services $12,015 · management and general $601
-
24c · Other expenses: MEALS
total $1,527 · program services $1,527
-
24d · Other expenses: DUES AND MEMBERSHIPS
total $245 · program services $245
-
24e · All other expenses
total $146 · management and general $146
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $305,159
-
3 · Pledges and grants receivable
beginning of year $307,444 · end of year $172,741
-
9 · Prepaid expenses and deferred charges
beginning of year $11,436 · end of year $10,896
-
11 · Investments: publicly traded securities
beginning of year $6,906,010 · end of year $6,953,815
-
15 · Other assets
beginning of year $0 · end of year $506,780
-
17 · Accounts payable and accrued expenses
beginning of year $739 · end of year $1,358,327
-
25 · Other liabilities
beginning of year $1,179,639 · end of year $0
-
27 · Net assets without donor restrictions
beginning of year $4,931,254 · end of year $4,924,981
-
28 · Net assets with donor restrictions
beginning of year $1,418,417 · end of year $1,360,924
Mission and programs · 2022
Mission
THE BRISTOL HOSPITAL DEVELOPMENT FOUNDATION IS DEDICATED TO THE FINANCIAL SUPPORT OF BRISTOL HOSPITAL AND HEALTH CARE GROUP THROUGH IMPLEMENTATION AND ENHANCEMENT OF HOSPITAL AND AFFILIATE-BASED DEVELOPMENT AND COMMUNITY RELATIONS PROGRAMS. THE BRISTOL HOSPITAL DEVELOPMENT FOUNDATION IS A NON-PROFIT, PUBLICLY SUPPORTED ORGANIZATION WHICH EXISTS TO SOLICIT, RECEIVE, INVEST, MANAGE, DISBURSE AND COORDINATE PHILANTHROPIC FUNDS ON BEHALF OF BRISTOL HOSPITAL AND HEALTH CARE GROUP AND ITS AFFILIATES.
Activities or mission (Part I)
TO PROVIDE FUNDRAISING AND FINANCIAL SUPPORT FOR THE BRISTOL HOSPITAL AND HEALTH CARE GROUP.
-
THE BRISTOL HOSPITAL DEVELOPMENT FOUNDATION MAINTAINS FOR BRISTOL HOSPITAL AND HEALTH CARE GROUP A COMPREHENSIVE PROGRAM SEEKING PHILANTHROPIC DONATIONS FROM INDIVIDUALS, BUSINESSES/CORPORATIONS, FOUNDATIONS AND OTHER ORGANIZATIONS THROUGH FOUR PRINCIPAL ACTIVITIES:1) PROCUREMENT OF CAPITAL AND MAJOR GIFTS THROUGH PERIODIC CAMPAIGNS AND PROGRAMS TO ADDRESS SIGNIFICANT NEW CAPITAL AND PROGRAM NEEDS;2) PROCUREMENT OF ANNUAL GIFTS THROUGH DIRECT MAIL, MEMBERSHIP ENROLLMENT AND OTHER BROAD-BASED FUNDRAISING TECHNIQUES TO ADDRESS SHORT-TERM CAPITAL AND PROGRAM NEEDS;3) CONDUCT SPECIAL EVENTS TO INVOLVE COMMUNITY MEMBERS, SOLIDIFY AND ENHANCE DONOR RELATIONSHIPS AND PROMOTE THE CHARITABLE PURPOSES OF THE BRISTOL HOSPITAL DEVELOPMENT FOUNDATION;4) PROCUREMENT OF PLANNED GIFTS AND PROMOTION OF CHARITABLE ESTATE PLANNING TO BUILD ENDOWMENT FOR LONG-RANGE NEEDS.
Expenses $133,115
As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
Kurt BarwisKURT BARWIS
PRESIDENT & CEO
- Total calculated
- $713,127
- From this org
- $0
- From related orgs
- $676,472
- Other
- $36,655
- Hours/week
- 2 + 38 related
Schedule J breakdown matched by us
- Base
- $0 + $582,178 related
- Bonus
- $0 + $94,294 related
- Other
- $0
- Deferred
- $0 + $14,582 related
- Nontaxable benefits
- $0 + $22,073 related
- Filer's total
- $0 + $713,127 related
-
Glenn HeiserGLENN HEISER
CHAIRMAN OF THE BOARD
- Total calculated
- $0
- Hours/week
- 2 + 10 related
-
John Lodovico JrJOHN LODOVICO JR
VICE CHAIRMAN
- Total calculated
- $0
- Hours/week
- 2 + 10 related
-
Louis Auletta JrLOUIS AULETTA JR
SECRETARY / TREASURER
- Total calculated
- $0
- Hours/week
- 2 + 6 related
-
Liran Blum MDLIRAN BLUM MD
DIRECTOR / PHYSICIAN
- Total calculated
- $436,190
- From this org
- $0
- From related orgs
- $425,952
- Other
- $10,238
- Hours/week
- 2 + 46 related
Schedule J breakdown matched by us
- Base
- $0 + $355,500 related
- Bonus
- $0 + $70,452 related
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $0 + $10,238 related
- Filer's total
- $0 + $436,190 related
-
Rupalini Rawal-Dhingra MDRUPALINI RAWAL-DHINGRA MD
MEDICAL STAFF REPRESENTATIVE
- 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
-
Irene BassockIRENE BASSOCK
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2 + 6 related
-
Katarzyna LessardKATARZYNA LESSARD
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2 + 6 related
-
Yong-Sung Chyun MDYONG-SUNG CHYUN MD
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2 + 6 related
-
Michael HeimbachMICHAEL HEIMBACH
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2 + 6 related
-
Joseph LockwoodJOSEPH LOCKWOOD
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2 + 6 related
-
Lexie MangumLEXIE MANGUM
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2 + 6 related
-
Bradford MeachamBRADFORD MEACHAM
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2 + 4 related
-
Jarre BettsJARRE BETTS
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2 + 4 related
-
Lisa CaseyLISA CASEY
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2 + 2 related
-
Jennifer McCallister MDJENNIFER 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
-
Jeffrey Kaye MDJEFFREY KAYE MD
MEDICAL STAFF REPRESENTATIVE
- Total calculated
- $0
- Hours/week
- 2 + 6 related
-
Michael V AdamsMICHAEL V ADAMS
CHAIRMAN OF BHDF BOARD
- Total calculated
- $0
- Hours/week
- 2
-
Brian K DehmBRIAN K DEHM
VICE CHAIRMAN OF BHDF BOARD
- Total calculated
- $0
- Hours/week
- 2
-
Katilyn StankusKATILYN STANKUS
SECRETARY
- Total calculated
- $77,918
- From this org
- $71,249
- From related orgs
- $0
- Other
- $6,669
- Hours/week
- 40
-
David Van AllenDAVID VAN ALLEN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 2
-
Kenneth F BurnsKENNETH F BURNS
TRUSTEE
- Total calculated
- $0
- Hours/week
- 2
-
Nancy J BraultNANCY J BRAULT
TRUSTEE
- Total calculated
- $0
- Hours/week
- 2
-
Terry B FletcherTERRY B FLETCHER
TRUSTEE
- Total calculated
- $0
- Hours/week
- 2
-
Marilyn PerzanMARILYN PERZAN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 2
-
David PreleskiDAVID PRELESKI
TRUSTEE
- Total calculated
- $0
- Hours/week
- 2
-
Ralph HolystRALPH HOLYST
TRUSTEE
- Total calculated
- $0
- Hours/week
- 2
-
Arthur P Funk JrARTHUR P FUNK JR
TRUSTEE
- Total calculated
- $0
- Hours/week
- 2
-
Leslie S Kish MDLESLIE S KISH MD
TRUSTEE
- Total calculated
- $0
- Hours/week
- 2
-
Nancy O'DonnellNANCY O'DONNELL
TRUSTEE
- Total calculated
- $0
- Hours/week
- 2
-
Susan HeiserSUSAN HEISER
TRUSTEE
- Total calculated
- $0
- Hours/week
- 2
-
Jay SattlerJAY SATTLER
TRUSTEE
- Total calculated
- $0
- Hours/week
- 2
-
Theodore ShaferTHEODORE SHAFER
TRUSTEE
- Total calculated
- $0
- Hours/week
- 2
-
Robin ShanmugamROBIN SHANMUGAM
TRUSTEE
- Total calculated
- $0
- Hours/week
- 2
-
John E SmithJOHN E SMITH
TRUSTEE
- Total calculated
- $0
- Hours/week
- 2
-
Chris Ann MeaneyCHRIS ANN MEANEY
SVP, COO & CNO
- Total calculated
- $319,795
- From this org
- $0
- From related orgs
- $313,567
- Other
- $6,228
- Hours/week
- 2 + 38 related
Schedule J breakdown matched by us
- Base
- $0 + $279,214 related
- Bonus
- $0 + $34,353 related
- Other
- $0
- Deferred
- $0 + $3,833 related
- Nontaxable benefits
- $0 + $2,395 related
- Filer's total
- $0 + $319,795 related
-
Edward HenryEDWARD HENRY
VP ADMIN. SVCS & EXEC. DIR. BH
- Total calculated
- $307,803
- From this org
- $0
- From related orgs
- $278,313
- Other
- $29,490
- Hours/week
- 2 + 38 related
Schedule J breakdown matched by us
- Base
- $0 + $278,313 related
- Bonus
- $0
- Other
- $0
- Deferred
- $0 + $3,824 related
- Nontaxable benefits
- $0 + $25,666 related
- Filer's total
- $0 + $307,803 related
-
Christine LapriseCHRISTINE LAPRISE
VICE PRESIDENT, OPERATIONS
- Total calculated
- $275,225
- From this org
- $0
- From related orgs
- $252,809
- Other
- $22,416
- Hours/week
- 2 + 38 related
Schedule J breakdown matched by us
- Base
- $0 + $230,284 related
- Bonus
- $0 + $22,525 related
- Other
- $0
- Deferred
- $0 + $3,173 related
- Nontaxable benefits
- $0 + $19,243 related
- Filer's total
- $0 + $275,225 related
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
- 4b · Supplemental nonqualified retirement plan
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
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- PART I, LINE 3
- KURT BARWIS, THE ORGANIZATION'S PRESIDENT, CEO AND CFO, IS COMPENSATED BY A RELATED ORGANIZATION, BRISTOL HOSPITAL, INC. WHICH USES THE FOLLOWING METHODS TO ESTABLISH HIS COMPENSATION: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
- 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, AND CHRISTINE LAPRISE.
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.
-
501(C)(3) · SHORT-TERM ACUTE CARE COMMUNITY HOSPITAL · CT
Directly controlled by BRISTOL HOSPITAL AND HEALTH CARE GROUP
-
BRISTOL HOSPITAL AND HEALTH CARE GROUP
501(C)(3) · HEALTHCARE PARENT COMPANY · CT
-
501(C)(3) · SKILLED NURSING FACILITY · CT
Directly controlled by BRISTOL HOSPITAL AND HEALTH CARE GROUP
-
BRISTOL HOSPITAL MULTISPECIALTY GROUP INC
501(C)(3) · HEALTHCARE SERVICES · CT
Directly controlled by BRISTOL HOSPITAL AND HEALTH CARE GROUP
-
BRISTOL HOME CARE AND HOSPICE INC
501(C)(3) · HOME CARE AND HOSPICE · CT
Directly controlled by BRISTOL HOSPITAL AND HEALTH CARE GROUP
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.
Related corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
C · EMERGENCY MEDICAL SERVICES · CT
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 15 August 2024
- IRS schema version
- 2022v5.0
- Source object
- 202412289349302296
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