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Nonprofiteer
← BRISTOL HOSPITAL DEVELOPMENT FOUNDATION INC

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 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 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
  • Louis Auletta Jr

    SECRETARY / TREASURER

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

    DIRECTOR

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

    DIRECTOR

    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
  • Joseph Lockwood

    DIRECTOR

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

    DIRECTOR

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

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2 + 4 related
  • Jarre Betts

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2 + 4 related
  • Lisa Casey

    DIRECTOR

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

    MEDICAL STAFF REPRESENTATIVE

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

    CHAIRMAN OF BHDF BOARD

    Total calculated
    $0
    Hours/week
    2
  • Brian K Dehm

    VICE CHAIRMAN OF BHDF BOARD

    Total calculated
    $0
    Hours/week
    2
  • Katilyn Stankus

    SECRETARY

    Total calculated
    $77,918
    From this org
    $71,249
    From related orgs
    $0
    Other
    $6,669
    Hours/week
    40
  • David Van Allen

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2
  • Kenneth F Burns

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2
  • Nancy J Brault

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2
  • Terry B Fletcher

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2
  • Marilyn Perzan

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2
  • David Preleski

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2
  • Ralph Holyst

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2
  • Arthur P Funk Jr

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2
  • Leslie S Kish MD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2
  • Nancy O'Donnell

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2
  • Susan Heiser

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2
  • Jay Sattler

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2
  • Theodore Shafer

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2
  • Robin Shanmugam

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2
  • John E Smith

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2
  • Chris 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 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 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.

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.

Provenance

Return type
form_990
Tax year
2022
Filed
15 August 2024
IRS schema version
2022v5.0
Source object
202412289349302296

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