Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2010
Open to Public Inspection
A For the calendar year, or tax year beginning 10-01-2010 and ending 09-30-2011
BCheck if applicable:
CName of organization
BRIDGEPORT HOSPITAL
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
267 GRANT STREET
 
Room/suite
City or town, state or country, and ZIP + 4
BRIDGEPORT, CT06610
D Employer identification number

06-0646554
E Telephone number

G Gross receipts $ 421,129,894
F Name and address of principal officer:
PATRICK MCCABE
267 GRANT STREET
BRIDGEPORT,CT06610
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.BRIDGEPORTHOSPITAL.ORG
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1878
M State of legal domicile: CT
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: TO OPERATE AN ACUTE CARE HOSPITAL IN BRIDGEPORT, CONNECTICUT FOR THE CARE AND TREATMENT OF PERSONS SUFFERING FROM DISEASE OR OTHER PHYSICAL OR MENTAL CONDITIONS WITHOUT REGARD TO RACE,COLOR, CREED, SEX, AGE OR ABILITY TO PAY.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) .... 3 16
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 12
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 2,783
6 Total number of volunteers (estimate if necessary) .... 6 472
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 0
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b  
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 2,115,151 2,993,835
9 Program service revenue (Part VIII, line 2g) ......... 359,062,488 409,614,594
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 853,546 1,478,243
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 6,869,807 6,064,187
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 368,900,992 420,150,859
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...   0
14 Benefits paid to or for members (Part IX, column (A), line 4) ....   0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 175,778,296 194,072,672
16a Professional fundraising fees (Part IX, column (A), line 11e)....   0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 176,333,083 192,164,527
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 352,111,379 386,237,199
19 Revenue less expenses. Subtract line 18 from line 12...... 16,789,613 33,913,660
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 298,260,449 328,429,551
21 Total liabilities (Part X, line 26)............ 195,161,996 209,614,015
22 Net assets or fund balances. Subtract line 21 from line 20 ..... 103,098,453 118,815,536
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid Preparer's Use Only Preparer's
signature
Big Right Arrow
Date
right pointing bullet image Preparer’s taxpayer identification number
(see instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4
Big Right Arrow




EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? (see instructions) .........
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2010)
Form 990 (2010)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .
1
Briefly describe the organization’s mission: TO OPERATE AN ACUTE CARE HOSPITAL IN BRIDGEPORT, CONNECTICUT FOR THE CARE AND TREATMENT OF PERSONS SUFFERING FROM DISEASE OR OTHER PHYSICAL OR MENTAL CONDITIONS WITHOUT REGARD TO RACE,COLOR, CREED, SEX, AGE OR ABILITY TO PAY.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 319,546,580 including grants of $   ) (Revenue $ 415,285,808 )
SEE SCHEDULE O BRIDGEPORT HOSPITAL, FOUNDED IN 1878, IS A 425-BED URBAN TEACHING HOSPITAL SERVING MORE THAN 19,000 INPATIENTS AND OVER 195,000 OUTPATIENTS A YEAR. RECOGNIZED FOR ITS 602 EXPERT PHYSICIANS AND QUALITY OF CARE, BRIDGEPORT HOSPITAL IS BEST IN FAIRFIELD COUNTY FOR GERIATRICS ACCORDING TO U.S. NEWS & WORLD REPORT'S 2011-2012 BEST HOSPITALS RANKINGS. THE HOSPITAL IS THE SITE OF THE CONNECTICUT BURN CENTER, THE ONLY DEDICATED BURN CENTER IN THE STATE; THE HEART INSTITUTE, INCLUDING THE CONNECTICUT CARDIAC ARRHYTHMIA CENTER; THE NORMA F. PFRIEM CANCER INSTITUTE AND BREAST CARE CENTER; THE WOMEN'S CARE CENTER; CENTER FOR WOUND HEALING & HYPERBARIC MEDICINE; AND AHLBIN CENTERS FOR REHABILITATION MEDICINE. BRIDGEPORT HOSPITAL PARTICIPATES IN THE TRAINING OF MORE THAN 235 RESIDENT PHYSICIANS AND FELLOWS. A MEMBER OF YNHHS SINCE 1996, BRIDGEPORT HOSPITAL OPERATES ITS OWN SCHOOL OF NURSING. THE HOSPITAL IS COMMITTED TO PROVIDING ACCESS TO HEALTH CARE SERVICES AND EDUCATION TO THE UNDERSERVED AND COMMUNITY AT LARGE, AND TO BEING A LEADER IN HEALTH CARE ADVOCACY AND COMMUNITY BUILDING. DURING FISCAL YEAR (FY) 2011, BRIDGEPORT HOSPITAL PROVIDED APPROXIMATELY 54.1 MILLION DOLLARS IN COMMUNITY BENEFITS. THIS FIGURE INCLUDES 33.5 MILLION DOLLARS IN CHARITY CARE AND UNDER REIMBURSED MEDICAID (AT COST), 17.1 MILLION IN HEALTH PROFESSIONS EDUCATION, AND OVER 3.5 MILLION IN COMMUNITY HEALTH IMPROVEMENT AND EDUCATION ACTIVITIES, SUBSIDIZED SERVICES, RESEARCH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS. AN ADDITIONAL 235,000 DOLLARS WAS PROVIDED IN THE AREA OF COMMUNITY BUILDING ACTIVITIES, WHICH INCLUDED SUPPORT FOR ECONOMIC DEVELOPMENT, ENVIRONMENTAL IMPROVEMENTS, WORKFORCE DEVELOPMENT, ADVOCACY AND COALITION BUILDING. BRIDGEPORT HOSPITAL HAS INVESTED A SIGNIFICANT AMOUNT OF TIME AND RESOURCES IN THE DEVELOPMENT AND IMPLEMENTATION OF PROJECTS TO IMPROVE HEALTH AND INCREASE ACCESS.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
SEE SCHEDULE O
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
SEE SCHEDULE O
4d Other program services. (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet$ 319,546,580
Form 990 (2010)
Form 990 (2010)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part II
Click to see attachment.........................
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part IIIClick to see attachment........................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part I
Click to see attachment
.......................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment
...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IV
Click to see attachment
...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
Yes
 
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
Yes
 
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II..
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III..
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II..........
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
Form 990 (2010)
Form 990 (2010)
Page 4
Part IV
Checklist of Required Schedules (continued)
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H..... Click to see attachment
20a
Yes
 
b
Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. ..... Click to see attachment
20b
Yes
 
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II..
21
 
No
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III.....
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?
......................
24c
 
 
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I...... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................ Click to see attachment
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II
........................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III............... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ......................... Click to see attachment
28a
Yes
 
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV
................... Click to see attachment
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV.. Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I
...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35
Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....
35
Yes
 
a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2010)
Form 990 (2010)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
287
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
 
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
2,783
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note.
All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2010)
Form 990 (2010)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year ..............
1a
16
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
12
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Does the organization have members or stockholders? ................
6
Yes
 
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................
7a
Yes
 
b
Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Does the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....
10b
 
 
11a
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Does the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................
12b
Yes
 
c
Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................
12c
Yes
 
13
Does the organization have a written whistleblower policy? ...............
13
Yes
 
14
Does the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
No
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
MICHAEL KRAHN
267 GRANT STREET
BRIDGEPORT,CT06610
(203) 384-3268
Form 990 (2010)
Form 990 (2010)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title
(B)
Average hours per week (describe hours for related organizations in Schedule O)
(C)
Position (check all that apply)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) GAYLE CAPOZZALO
GAYLE CAPOZALO
DIRECTOR
1.00 X           0 1,123,679 155,803
(2) WILLIAM M JENNINGS
WILLIAM M JENNINGS
PRESIDENT-CE
40.00 X   X       297,240 0 38,317
(3) WILLIAM G HULCHER
WILLIAM G HULCHER
DIRECTOR
1.00 X           0 0 0
(4) GEORGE P CARTER
GEORGE P CARTER
VICE CHAIR/D
1.00 X   X       0 0 0
(5) JANET M HANSEN
JANET M HANSEN
DIRECTOR
1.00 X           0 0 0
(6) JEFFERY P PINO
JEFFERY P PINO
DIRECTOR
1.00 X           0 0 0
(7) MERIDETH B REUBEN
MERIDETH B REUBEN
CHAIRMAN
1.00 X   X       0 0 0
(8) NEWMAN MARSILIUS III
NEWMAN MARSILIUS III
DIRECTOR
1.00 X           0 0 0
(9) PETER F HURST
PETER F HURST
DIRECTOR
1.00 X   X       0 0 0
(10) RICHARD FREEDMAN
RICHARD M FREEDMAN
DIRECTOR
1.00 X           0 0 0
(11) RICHARD M HOYT
RICHARD M HOYT
VICE CHAIRMA
1.00 X   X       0 0 0
(12) ROBERT S FOLMAN
DIRECTOR
1.00 X           0 0 0
(13) RONALD B NOREN ESQ
RONALD B NOREN ESQ
DIRECTOR
1.00 X           0 0 0
(14) PATRICIA L MCDERMOTT
PATRICIA L MCDERMOTT
DIRECTOR
1.00 X           0 0 0
(15) DUNCAN M O'BRIEN JR
DUNCAN M O'BRIEN JR
DIRECTOR
1.00 X           0 0 0
(16) HOWARD L TAUBIN
HOWARD L TAUBIN
VICE CHAIRMA
1.00 X   X       0 0 0
(17) DAVID BINDELGLASS
DAVID BINDELGLASS
DIRECTOR
1.00 X           0 0 0
Form 990 (2010)
Form 990 (2010)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title
(B)
Average hours per week (describe hours for related organizations in Schedule O)
(C)
Position (check all that apply)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) EMILY E BLAIR
EMILY E BLAIR
DIRECTOR
1.00 X           0 0 0
(19) JOHN FALCONI
JOHN FALCONI
DIRECTOR
1.00 X           0 0 0
(20) CHARLES E WELCH 102810
DIRECTOR
1.00 X           0 0 0
(21) SHANE FITZSIMONS 12910
DIRECTOR
1.00 X           0 0 0
(22) NORMAN G ROTH
NORMAN G ROTH
EXEC VP & SE
1.00     X       0 736,163 211,072
(23) BRUCE MCDONALD MD
BRUCE MCDONALD MD
SR.VP.
1.00     X       0 507,160 32,488
(24) PATRICK MCCABE
PATRICK MCCABE
TREASURER,SR
40.00     X       471,555 0 193,382
(25) HOPE JUCKEL-REGAN 63011
SECRETARY
40.00     X       421,458 0 115,155
(26) JOSEPH JANELL
JOSEPH JANELL
SR. VP.
40.00     X       362,706 0 119,058
(27) MICHAEL IVY MD
MICHAEL IVY MD
VP
40.00     X       347,923 0 52,635
(28) LYN SALSGIVER
LYN SALSGIVER
SR.VP.
40.00     X       314,720 0 136,370
(29) MARYELLEN KOSTURKO
MARYELLEN KOSTURKO
SR VP.
40.00     X       263,872 0 29,417
(30) MICHAEL WERDMANN MD
CHIEF-ER PHY
40.00         X   330,485 0 86,216
(31) JONATHAN MAISEL MD
ER PHYSICIAN
40.00         X   322,550 0 75,236
(32) JAMES SIRLEAF MD
JAMES SIRLEAF MD
ER PHYSICIAN
40.00         X   318,116 0 52,345
(33) THOMAS LAMONTEMD
THOMAS LAMONTE MD
ER PHYSICIAN
40.00         X   290,553 0 46,044
(34) GUILLERMO KATIGBAK
ER PHYSICIAN
40.00         X   287,733 0 62,536
(35) ROBERT J TREFRY 9302010
FORMER OFFIC
            X 1,698,112 0 116,782
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 5,727,023 2,367,002 1,522,856
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet109
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
UNITEX TEXTILE RENTAL
155 SOUTH TERRACE AVE
MOUNT VERNON,NY10550
LAUNDRY/SERVICE 2,145,199
NOVAMED
30 NUTMEG DRIVE
TRUMBULL,CT06611
BIOMEDICAL SVC 1,666,772
SECURITAS SECURITY SERVICES
PO BOX 409412
ATLANTA,GA30384
SECURITY 1,464,028
SCHINDLER ELEVATOR CORPORATION
120 MAIN STREET
DALLAS,TX75202
REPAIR SERVICES 1,258,164
MJ OROSS ELECTRICAL
360 SNIFFEN LANE
STRATFORD,CT06615
CONSTRUCTION SV 1,070,258
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet105
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d  
e Government grants (contributions)1e 2,993,835
f All other contributions, gifts, grants, and
similar amounts not included above
1f
 
g Noncash contributions included in lines 1a-1f:$  
h Total. Add lines 1a-1f.......MediumBullet 2,993,835
 Program Service Revenue Business Code
2a INPATIENT REVENUE   262,970,138 262,970,138    
b OUTPATIENT REVENUE   146,644,456 146,644,456    
c
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 409,614,594
 Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 1,409,141     1,409,141
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties............MediumBullet        
(i) Real (ii) Personal
6a Gross Rents 1,194,913  
b Less: rental expenses 801,940  
c Rental income or (loss) 392,973  
d Net rental income or (loss).......MediumBullet 392,973     392,973
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 246,197  
b Less: cost or other basis and sales expenses 177,095  
c Gain or (loss) 69,102  
d Net gain or (loss)..........MediumBullet 69,102     69,102
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a CAFETERIA/VENDING OTHER 900,099 5,671,214 5,671,214    
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ......MediumBullet 5,671,214
12 Total revenue. See Instructions....MediumBullet 420,150,859 415,285,808   1,871,216
Form 990 (2010)
Form 990 (2010)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service expenses
(C)
Management and general expenses
(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21    
2 Grants and other assistance to individuals in the U.S. See Part IV, line 22    
3 Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 5,852,854   5,852,854  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages 141,237,278 111,505,751 29,731,527  
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) .... 558,042 435,273 122,769  
9 Other employee benefits ....... 36,172,389 28,214,293 7,958,096  
10 Payroll taxes ........... 10,252,109 7,996,645 2,255,464  
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 740,953 577,943 163,010  
c Accounting ........... 355,028 276,922 78,106  
d Lobbying ........... 18,397 18,397    
e Professional fundraising. See Part IV, line 17..    
f Investment management fees ......        
g Other .......... 73,957,689 64,888,983 9,068,706  
12 Advertising and promotion ....        
13 Office expenses ....... 55,600,176 53,683,554 1,916,622  
14 Information technology ......        
15 Royalties ..        
16 Occupancy ........... 17,694,394 13,801,627 3,892,767  
17 Travel ............ 380,055 296,443 83,612  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings ....        
20 Interest ........... 3,109,607 2,425,493 684,114  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 17,878,711 13,945,395 3,933,316  
23 Insurance .............. 6,583,675 6,417,703 165,972  
24 Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a BAD DEBT EXPENSE 12,302,040 12,302,040    
b PUBLIC RELATIONS 1,486,130 1,159,181 326,949  
c OTHER MISC EXPENSES 913,449 708,883 204,566  
d DUES, FEES AND MEMBERSHIP 598,819 466,639 132,180  
e BOOKS, SUBSCRIPTIONS 372,437 290,501 81,936  
f All other expenses 172,967 134,914 38,053  
25 Total functional expenses. Add lines 1 through 24f 386,237,199 319,546,580 66,690,619 0
26 Joint costs. Check here MediumBullet if following
SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation
       
Form 990 (2010)
Form 990 (2010)
Page 11
Part X Balance Sheet
(A)
Beginning of year
(B)
End of year
Assets 1 Cash—non-interest-bearing .......... 8,000 1 8,000
2 Savings and temporary cash investments ....... 48,834,924 2 41,493,165
3 Pledges and grants receivable, net .........   3  
4 Accounts receivable, net ......... 29,145,624 4 41,819,156
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..........   5  
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L ..........   6  
7 Notes and loans receivable, net .............   7  
8 Inventories for sale or use .............. 3,852,178 8 3,786,057
9 Prepaid expenses and deferred charges ............ 7,979,477 9 18,285,928
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 389,016,333
b Less: accumulated depreciation. ..... 10b 264,951,962 116,853,231 10c 124,064,371
11 Investments—publicly traded securities .......... 20,409,768 11 20,408,068
12 Investments—other securities. See Part IV, line 11 ...... 20,572,056 12 23,757,516
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets .........   14  
15 Other assets. See Part IV, line 11 ........... 50,605,191 15 54,807,290
16 Total assets. Add lines 1 through 15 (must equal line 34)... 298,260,449 16 328,429,551
Liabilities 17 Accounts payable and accrued expenses . 38,245,867 17 40,756,922
18 Grants payable ..........   18  
19 Deferred revenue ..........   19  
20 Tax-exempt bond liabilities .......... 50,090,000 20 53,272,397
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities. Complete Part X of Schedule D..... 106,826,129 25 115,584,696
26 Total liabilities. Add lines 17 through 25..... 195,161,996 26 209,614,015
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 62,528,776 27 74,738,033
28 Temporarily restricted net assets ..... 23,261,865 28 24,996,762
29 Permanently restricted net assets ..... 17,307,812 29 19,080,741
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... 103,098,453 33 118,815,536
34 Total liabilities and net assets/fund balances ..... 298,260,449 34 328,429,551
Form 990 (2010)
Form 990 (2010)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .
1
Total revenue (must equal Part VIII, column (A), line 12) . . .
1
420,150,859
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
386,237,199
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
33,913,660
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
103,098,453
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
-18,196,577
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .
6
118,815,536
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?..
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
...........................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
Yes
 
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
Yes
 
Form 990 (2010)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
BRIDGEPORT HOSPITAL
 
Employer identification number

06-0646554
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
 
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
(i)
Name of supported organization
(ii)
EIN
(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv)
Is the organization in col. (i) listed in your governing document?
(v)
Did you notify the organization in col. (i) of your support?
(vi)
Is the organization in col. (i) organized in the U.S.?
(vii)
Amount of support?
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3..            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public Support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public Support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)            
13 Total support (Add lines 9, 10c, 11 and 12.).            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2010
Name of organization
BRIDGEPORT HOSPITAL
 
Employer identification number

06-0646554
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule—
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part I
Name of organization
BRIDGEPORT HOSPITAL
 
Employer identification number

06-0646554
Part I
Contributors (see Instructions)
     
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part II
Name of organization
BRIDGEPORT HOSPITAL
 
Employer identification number

06-0646554
Part II
Noncash Property (see Instructions)
     
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part III
Name of organization
BRIDGEPORT HOSPITAL
 
Employer identification number

06-0646554
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
(a) No.
from
Part I
(b)
Purpose of gift
(c)
Use of gift
(d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b)
Purpose of gift
(c)
Use of gift
(d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b)
Purpose of gift
(c)
Use of gift
(d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b)
Purpose of gift
(c)
Use of gift
(d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.
SchCMd Bullet Attach to Form 990 or Form 990-EZ. SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
BRIDGEPORT HOSPITAL
 
Employer identification number

06-0646554
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c) except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities ....................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2010

Schedule C (Form 990 or 990-EZ) 2010
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check
B Check
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.)
(a) Filing
Organization's
Totals
(b) Affiliated Group
Totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.
   
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in)
(a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) Total
             
2a Lobbying non-taxable amount          
             
b Lobbying ceiling amount
(150% of line 2a, column(e))
         
             
c Total lobbying expenditures          
             
d Grassroots non-taxable amount          
             
e Grassroots ceiling amount
(150% of line 2d, column (e))
         
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2010


Schedule C (Form 990 or 990-EZ) 2010
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
Yes
 
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
Yes
 
500
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
Yes
 
78,717
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? If "Yes," describe in Part IV ..........................
Yes
 
37,270
j
Total. lines 1c through 1i ...................................
116,487
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
No
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
No
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
No
3
Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........
3
 
No
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ...........................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.
Identifier Return Reference Explanation
  SCHEDULE C, PART II-B, LINE 1I THE AMOUNT REPORTED IN "OTHER ACTIVITIES" REPRESENTS A PORTION OF PROFESSIONAL DUES ATTRIBUTABLE TO LOBBYING DURING 2011. THE HEALTH SYSTEM OFFICIALS HAD MEETINGS AND CONTACTS WITH STATE GOVERNMENT OFFICIALS, INCLUDING STATE LEGISLATURES AND THEIR STAFF TO DISCUSS VARIOUS HEALTH CARE REFORM PROPOSALS. BRIDGEPORT HOSPITAL HAS CERTAIN STAFF MEMBERS THAT LOBBY ON BEHALF OF THE HOSPITAL ON VARIOUS HEALTHCARE ISSUES. BRIDGEPORT HOSPITAL IS PART OF A CONTROLLED GROUP WITH THE FOLLOWING LOBBYING EXPENSES: YALE NEW HAVEN HOSPITAL EIN 06-0646652 422,377 GREENWICH HOSPITAL EIN 06-0646659 129,304
Schedule C (Form 990 or 990EZ) 2010

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
BRIDGEPORT HOSPITAL
 
Employer identification number

06-0646554
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year .......    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06 ........ 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance .... 32,083,000 26,634,000 28,740,000
b Contributions ........ 1,805,000 5,076,000 1,551,000
c Investment earnings or losses ... 1,209,000 1,260,000 -2,608,000
d Grants or scholarships .....      
e Other expenditures for facilities
and programs ........
-655,000 -887,000 -1,049,000
f Administrative expenses ....      
g End of year balance ...... 34,442,000 32,083,000 26,634,000
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet  
b
Permanent endowment: SchDMd Bullet55.000 %
c
Term endowment: SchDMd Bullet45.000 %
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
No
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Investments—Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of investment (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   1,654,818 1,654,818
b Buildings ................   123,594,454 93,843,438 29,751,016
c Leasehold improvements ............        
d Equipment ................   245,236,607 171,108,524 74,128,083
e Other .................   18,530,454   18,530,454
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 124,064,371
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)
(b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
(3)Other
(A) L-TIP INVESTMENT
20,140,941 F

(B) DEBT SERVICE FUND
3,616,575 F







Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)Small Bullet 23,757,516
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) INTEREST IN FOUNDATION, INC. 48,588,250
(2) THIRD PARTY RECEIVABLES 2,403,085
(3) DEFERRED ISSUANCE COSTS 1,731,569
(4) OTHER RECEIVABLES 1,627,856
(5) DUE FROM AFFILIATES 456,530




Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 54,807,290
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Amount
Federal Income Taxes  
PENSION OBLIGATION 51,982,542
THIRD PARTY PAYABLE 17,776,781
SELF INSURANCE 17,167,702
DUE TO AFFILIATES 13,833,845
ASSET RETIREMENT OBLIGATIONS 13,353,763
DEFERRED COMPENSATION 1,153,149
LEASE PAYABLE 316,914


Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet 115,584,696
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1 420,150,859
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2 386,237,199
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3 33,913,660
4 Net unrealized gains (losses) on investments .......................... 4 -417,181
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV) ................................. 8 509,127
9 Total adjustments (net). Add lines 4 - 8 ............................. 9 91,946
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10 34,005,606
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1 417,284,030
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a -417,181
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV): ............ 2d 1,330,235
e Add lines 2a through 2d ..................... 2e 913,054
3 Subtract line 2e from line 1..................... 3 416,370,976
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIV): ........... 4b 3,779,883
c Add lines 4a and 4b....................... 4c 3,779,883
5 Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ...... 5 420,150,859
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1 383,278,424
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV): ............ 2d 801,940
e Add lines 2a through 2d...................... 2e 801,940
3 Subtract line 2e from line 1..................... 3 382,476,484
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIV): ............ 4b 3,760,715
c Add lines 4a and 4b....................... 4c 3,760,715
5 Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ...... 5 386,237,199
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
INTENDED USES FOR ENDOWMENT FUNDS SCHEDULE D, PAGE 2, PART V, LINE 4 THE ENDOWED FUNDS' INTENDED USE IS TO GENERATE INCOME TO SUPPORT BRIDGEPORT HOSPITAL PROGRAM SERVICE FUNCTIONS AND OTHER OPERATIONS IN ACCORDANCE WITH THE BRIDGEPORT HOSPITAL POOLED INVESTMENT POLICY, TO PROVIDE FREE CARE BASED ON DONORS WISHES.
RECONCILIATION OF CHANGES - OTHER SCHEDULE D, PAGE 4, PART XI, LINE 8 BRIDEPORT HOSPITAL FOUNDATION -277,552 BANQUEST,GIFTS & GRANTS -223,000 ASSETS RELEASED FROM RESTRICTIONS 1,830,787 INVESTMENT GAIN FROM CHANGE IN NET ASSETS -821,108 CONTRIBUTIONS -2,770,835 RENTAL INCOME -187,940 RENTAL EXPENSE -801,940 CONTRIBUTION RECLASS FROM RECOVERY OF EXPENSE 2,770,835 RENTAL INCOME 989,880
REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER SCHEDULE D, PAGE 4, PART XII, LINE 2D BRIDEPORT HOSPITAL FOUNDATION -277,552 BANQUEST,GIFTS & GRANTS -223,000 ASSETS RELEASED FROM RESTRICTIONS 1,830,787
REVENUE AMOUNTS INCLUDED ON RETURN - OTHER SCHEDULE D, PAGE 4, PART XII, LINE 4B INVESTMENT GAIN FROM CHANGE IN NET ASSETS 821,108 CONTRIBUTIONS 2,770,835 RENTAL INCOME 187,940
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHER SCHEDULE D, PAGE 4, PART XIII, LINE 2D RENTAL EXPENSE 801,940
EXPENSE AMOUNTS INCLUDED ON RETURN - OTHER SCHEDULE D, PAGE 4, PART XIII, LINE 4B CONTRIBUTION RECLASS FROM RECOVERY OF EXPENSE 2,770,835 RENTAL INCOME 989,880
Schedule D (Form 990) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
BRIDGEPORT HOSPITAL
 
Employer identification number

06-0646554
Part I
Charity Care and Certain Other Community Benefits at Cost
Yes
No
1a
Does the organization have a charity care policy? If "No," skip to question 6a...........
1a
Yes
 
b
If "Yes," is it a written policy? .......................
1b
Yes
 
2
If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.
3
Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.
a
Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low
income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If
"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....
3b
Yes
 
c
If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.
4
Does the organization's policy provide free or discounted care to the "medically indigent"? ......
4
Yes
 
5a
Does the organization budget amounts for free or discounted care provided under its charity care policy? ...
5a
Yes
 
b
If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............
5c
 
 
6a
Does the organization prepare an annual community benefit report?.............
6a
Yes
 
6b
If "Yes," does the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Charity Care and Certain Other Community Benefits at Cost
Charity Care and
Means-Tested Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Charity care at cost (from
Worksheets 1 and 2) ..
1 13,583 15,881,355 7,353,355 8,528,000 2.280 %
b Unreimbursed Medicaid (from
Worksheet 3, column a) .
1 90,948 97,472,000 72,444,000 25,028,000 6.690 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....            
dTotal Charity Care and
Means-Tested Government Programs .....
2 104,531 113,353,355 79,797,355 33,556,000 8.970 %
Other Benefits
e Community health improvement
services and community
benefit operations (from
(Worksheet 4) ....
12 144,676 2,290,801 636,424 1,654,377 0.440 %
f Health professions education
(from Worksheet 5) ..
4 239 25,112,203 7,981,016 17,131,187 4.580 %
g Subsidized health services
(from Worksheet 6) ..
2 6,329 10,776,628 9,452,270 1,324,358 0.350 %
h Research (from Worksheet 7) 2 50 362,684   362,684 0.100 %
i Cash and in-kind contributions
to community groups
(from Worksheet 8) ..
5 27,425 119,943   119,943 0.030 %
jTotal Other Benefits ... 25 178,719 38,662,259 18,069,710 20,592,549 5.500 %
kTotal. Add lines 7d and 7j. .. 27 283,250 152,015,614 97,867,065 54,148,549 14.470 %
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 2
Part II
Community Building Activities Complete this table if the organization conducted any community building activities.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development 1   26,482   26,482 0.010 %
3 Community support 3 444 40,558   40,558 0.010 %
4 Environmental improvements 1   151,546 1 151,545 0.040 %
5 Leadership development and training for community members            
6 Coalition building 1   5,912   5,912  
7 Community health improvement advocacy            
8 Workforce development 1 126 10,392   10,392  
9 Other            
10 Total 7 570 234,890 1 234,889 0.060 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense (at cost).....
2
4,845,000
3
Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..
3
 
4
Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
144,858,060
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
148,191,270
7
Subtract line 6 from line 5. This is the surplus or (shortfall)........
7
-3,333,210
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:
Section C. Collection Practices
9a
Does the organization have a written debt collection policy? ...............
9a
Yes
 
b
If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......
9b
Yes
 
Part IV
Management Companies and Joint Ventures
(a) Name of entity (b) Description of primary
activity of entity
(c) Organization's
profit % or stock
ownership %
(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership%
(e) Physicians'
profit % or stock
ownership %
1NONE
 
NONE      
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 3
Part VFacility Information
Section A. Hospital Facilities
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many hospital facilities did the organization operate during the tax year?1
Name and address
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe)
1 BRIDGEPORT HOSPITAL
267 GRANT STREET
BRIDGEPORT,CT06610
X X X X     X    
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:BRIDGEPORT HOSPITAL
Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8   No
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9   No
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10   No
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11   No
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12   No
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13   No
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14   No
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16   No
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18 Yes  
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20   No
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21   No
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 7
Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many non-hospital facilities did the organization operate during the tax year?24
Name and address Type of Facility (Describe)
1 BRIDGEPORT HOSPITAL PRIMARY CARE
226 MILL HILL AVE
BRIDGEPORT,CT06610
OCC HLTH/PT/REHAB/AUDIO/CARDIAC/PRIM CAR
2 BRIDGEPORT HOSPITAL PRIMARY CARE
226 MILL HILL AVE
BRIDGEPORT,CT06610
OCC HLTH/PT/REHAB/AUDIO/CARDIAC/PRIM CAR
3 BRIDGEPORT HOSPITAL PRIMARY CARE
226 MILL HILL AVE
BRIDGEPORT,CT06610
OCC HLTH/PT/REHAB/AUDIO/CARDIAC/PRIM CAR
4 BRIDGEPORT HOSPITAL PRIMARY CARE
226 MILL HILL AVE
BRIDGEPORT,CT06610
OCC HLTH/PT/REHAB/AUDIO/CARDIAC/PRIM CAR
5 BRIDGEPORT HOSPITAL PRIMARY CARE
226 MILL HILL AVE
BRIDGEPORT,CT06610
OCC HLTH/PT/REHAB/AUDIO/CARDIAC/PRIM CAR
6 BRIDGEPORT HOSPITAL PRIMARY CARE
226 MILL HILL AVE
BRIDGEPORT,CT06610
OCC HLTH/PT/REHAB/AUDIO/CARDIAC/PRIM CAR
7 BRIDGEPORT HOSPITAL PRIMARY CARE
226 MILL HILL AVE
BRIDGEPORT,CT06610
OCC HLTH/PT/REHAB/AUDIO/CARDIAC/PRIM CAR
8 BRIDGEPORT HOSPITAL PRIMARY CARE
226 MILL HILL AVE
BRIDGEPORT,CT06610
OCC HLTH/PT/REHAB/AUDIO/CARDIAC/PRIM CAR
9 BRIDGEPORT HOSPITAL PRIMARY CARE
226 MILL HILL AVE
BRIDGEPORT,CT06610
OCC HLTH/PT/REHAB/AUDIO/CARDIAC/PRIM CAR
10 BRIDGEPORT HOSPITAL PRIMARY CARE
226 MILL HILL AVE
BRIDGEPORT,CT06610
OCC HLTH/PT/REHAB/AUDIO/CARDIAC/PRIM CAR
11 BRIDGEPORT HOSPITAL PRIMARY CARE
226 MILL HILL AVE
BRIDGEPORT,CT06610
OCC HLTH/PT/REHAB/AUDIO/CARDIAC/PRIM CAR
12 BRIDGEPORT HOSPITAL PRIMARY CARE
226 MILL HILL AVE
BRIDGEPORT,CT06610
OCC HLTH/PT/REHAB/AUDIO/CARDIAC/PRIM CAR
13 BRIDGEPORT HOSPITAL PRIMARY CARE
226 MILL HILL AVE
BRIDGEPORT,CT06610
OCC HLTH/PT/REHAB/AUDIO/CARDIAC/PRIM CAR
14 BRIDGEPORT HOSPITAL PRIMARY CARE
226 MILL HILL AVE
BRIDGEPORT,CT06610
OCC HLTH/PT/REHAB/AUDIO/CARDIAC/PRIM CAR
15 BRIDGEPORT HOSPITAL PRIMARY CARE
226 MILL HILL AVE
BRIDGEPORT,CT06610
OCC HLTH/PT/REHAB/AUDIO/CARDIAC/PRIM CAR
16 BRIDGEPORT HOSPITAL PRIMARY CARE
226 MILL HILL AVE
BRIDGEPORT,CT06610
OCC HLTH/PT/REHAB/AUDIO/CARDIAC/PRIM CAR
17 BRIDGEPORT HOSPITAL PRIMARY CARE
226 MILL HILL AVE
BRIDGEPORT,CT06610
OCC HLTH/PT/REHAB/AUDIO/CARDIAC/PRIM CAR
18 BRIDGEPORT HOSPITAL PRIMARY CARE
226 MILL HILL AVE
BRIDGEPORT,CT06610
OCC HLTH/PT/REHAB/AUDIO/CARDIAC/PRIM CAR
19 BRIDGEPORT HOSPITAL PRIMARY CARE
226 MILL HILL AVE
BRIDGEPORT,CT06610
OCC HLTH/PT/REHAB/AUDIO/CARDIAC/PRIM CAR
20 BRIDGEPORT HOSPITAL PRIMARY CARE
226 MILL HILL AVE
BRIDGEPORT,CT06610
OCC HLTH/PT/REHAB/AUDIO/CARDIAC/PRIM CAR
21 BRIDGEPORT HOSPITAL PRIMARY CARE
226 MILL HILL AVE
BRIDGEPORT,CT06610
OCC HLTH/PT/REHAB/AUDIO/CARDIAC/PRIM CAR
22 BRIDGEPORT HOSPITAL PRIMARY CARE
226 MILL HILL AVE
BRIDGEPORT,CT06610
OCC HLTH/PT/REHAB/AUDIO/CARDIAC/PRIM CAR
23 BRIDGEPORT HOSPITAL PRIMARY CARE
226 MILL HILL AVE
BRIDGEPORT,CT06610
OCC HLTH/PT/REHAB/AUDIO/CARDIAC/PRIM CAR
24 BRIDGEPORT HOSPITAL PRIMARY CARE
226 MILL HILL AVE
BRIDGEPORT,CT06610
OCC HLTH/PT/REHAB/AUDIO/CARDIAC/PRIM CAR
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 8
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2 Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Identifier ReturnReference Explanation
EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE PART I LINE 7 COLUMN F BAD DEBT EXPENSES OF 12302040 WERE EXCLUDED FROM THE TOTAL EXPENSES BEFORE CALCULATING OF TOTAL EXPENSES IN PART I AND II COLUMN F
COSTING METHODOLOGY EXPLANATION PART I LINE 7 THE HOSPITAL USES A COST ACCOUNTING SYSTEM TSI TO CALCULATE THE AMOUNTS PRESENTED IN PART I LINE 7 THE COST ACCOUNTING SYSTEM ADDRESSES ALL PATIENT SEGMENTS
COMMUNITY BUILDING ACTIVITIES PART II BRIDGEPORT HOSPITAL ALONG WITH MANY OTHER HOSPITALS ACROSS THE COUNTRY UTILIZES THE COMMUNITY BENEFITS INVENTORY FOR SOCIAL ACCOUNTABILITY CBISA DATABASE DEVELOPED BY LYON SOFTWARE TO CATALOG ITS COMMUNITY BENEFIT AND COMMUNITY BUILDING ACTIVITIES AND THE GUIDELINES DEVELOPED BY THE CATHOLIC HOSPITAL ASSOCIATION CHA IN ORDER TO CATALOG THESE BENEFITS THESE TWO ORGANIZATIONS HAVE WORKED TOGETHER FOR OVER TWENTY YEARS TO PROVIDE SUPPORT TO NONFORPROFIT HOSPITALS TO DEVELOP AND SUSTAIN EFFECTIVE COMMUNITY BENEFIT PROGRAMS THE MOST RECENT VERSION OF THE CHA GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFIT DEFINES COMMUNITY BUILDING ACTIVITIES AS PROGRAMS THAT ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS SUCH AS POVERTY HOMELESSNESS AND ENVIRONMENTAL PROBLEMS THESE ACTIVITIES ARE CATEGORIZED INTO EIGHT DISTINCT AREAS INCLUDING PHYSICAL IMPROVEMENT AND HOUSING ECONOMIC DEVELOPMENT COMMUNITY SUPPORT ENVIRONMENTAL IMPROVEMENTS LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS COALITION BUILDING ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENTS AND WORKFORCE DEVELOPMENT IN FISCAL YEAR 2011 THE COMMUNITY BUILDING ACTIVITIES THAT BRIDGEPORT HOSPITAL PROVIDED TOTALED 234900 DOLLARS HIGHLIGHTS OF THESE ACTIVITIES ARE INCLUDED BELOW BY CATEGORY WHERE APPLICABLE PHYSICAL IMPROVEMENTS AND HOUSING HOSPITAL LEADERSHIP CONTINUED TO PARTICIPATE ON TWO CITY OF BRIDGEPORT NEIGHBORHOOD REVITALIZATION ZONE STRATEGIC PLANNING COMMITTEES SERVING THE EAST END AND EAST SIDE OF BRIDGEPORT THESE COMMITTEES WERE FORMED AS PART OF AN ONGOING CITYWIDE URBAN RENEWAL EFFORT AND HAVE RESULTED IN COMPREHENSIVE PLANS FOR COMMUNITY ENHANCEMENT FOR THE NEIGHBORHOODS AS PART OF NATIONAL NURSES WEEK NURSES FROM BRIDGEPORT HOSPITAL HEADED OUT TO SEASIDE PARK IN BRIDGEPORT TO GIVE BACK TO THE COMMUNITY AND HELP CLEAN UP THE PARK APPROXIMATELY 20 STAFF MEMBERS AND THEIR FAMILIES PARTICIPATED IN THE EVENT WHICH WAS HELD IN MAY 2011 IN COLLABORATION WITH THE CITYS PARKS AND RECREATION DEPARTMENT OVER 10 BAGS OF LOOSE GARBAGE PLUS LARGER ITEMS WERE COLLECTED AT THE SITE THE 375 ACRE PARK WHICH WAS REGISTERED ON THE NATIONAL REGISTER OF HISTORIC PLACES IN 1982 WAS DESIGNED BY FREDERICK LAW OLMSTED ECONOMIC DEVELOPMENT BRIDGEPORT HOSPITAL IS ONE OF THE LARGEST EMPLOYERS IN THE CITY OF BRIDGEPORT IN FISCAL YEAR 2011 THE HOSPITAL EMPLOYED 2538 PEOPLE MEMBERS OF THE HOSPITALS LEADERSHIP AND MANAGEMENT STAFF ALSO SUPPORT ECONOMIC DEVELOPMENT BY SERVING ON THE BOARDS OF THE BRIDGEPORT REGIONAL BUSINESS COUNCIL BRIDGEPORT CHAMBER OF COMMERCE AND PARTICIPATING IN THE ROTARY CLUBS IN BOTH BRIDGEPORT AND TRUMBULL THROUGH THESE ORGANIZATIONS BRIDGEPORT HOSPITAL ADVOCATES FOR AND FACILITATES INCREASED ECONOMIC DEVELOPMENT FOR THE AREA COMMUNITY SUPPORT BRIDGEPORT HOSPITAL IS ONE OF THE LARGEST EMPLOYERS IN THE CITY OF BRIDGEPORT AND THEREFORE HAS TAKEN A LEADERSHIP ROLE IN IMPROVING THE HEALTH IN THE COMMUNITY IT SERVES THERE IS CONSIDERABLE RESEARCH LINKING THE IMPACT OF SOCIOECONOMIC CONDITIONS TO ONES HEALTH SOCIAL DETERMINANTS OF HEALTH INCLUDE HOUSING EDUCATION EMPLOYMENTEMPLOYABILITY AND NEIGHBORHOOD CONDITIONS THE HOSPITAL DEVELOPED A UNIQUE PROGRAM CALLED THE BRIDGEPORT HOSPITAL ADOPTABLOCK COMMUNITY PARTNERSHIP WHICH IS PART OF AN EFFORT LAUNCHED OVER FOUR YEARS AGO TO IMPLEMENT MEASURABLE AND SUSTAINABLE QUALITYOFLIFE ENHANCEMENTS IN THE NEIGHBORHOODS DIRECTLY SURROUNDING THE HOSPITAL OVER 900 NEIGHBORHOOD RESIDENTS RECEIVE INVITATIONS TO ATTEND THE HOSPITALSPONSORED MEETINGS THE RESIDENTS IDENTIFIED ISSUES OR CONCERNS THEY HAD RELATED TO THEIR NEIGHBORHOOD AND THE HOSPITAL WORKED WITH ITS NETWORK OF LOCAL GOVERNMENT AND COMMUNITY ORGANIZATIONS TO ADDRESS THESE ISSUES SUCH AS INCREASING THE POLICE PRESENCE IN NEIGHBORHOODS IDENTIFIED BY CITY RESIDENTS IMPROVING TRASH HAULING AND REDUCING BLIGHT OVER THE PAST YEAR 90 COMMUNITY MEMBERS ATTENDED MEETINGS FACILITATED BY THE HOSPITAL ONE MEETING FOCUSED ON SAFETY INCLUDED THE CHIEF OF POLICE TWO OTHER OFFICERS AND A MEMBER OF THE K9 UNIT AS GUEST SPEAKERS ANOTHER FOCUSED ON PROVIDING INFORMATION RELATED TO ELDER LAW TO RESIDENTS COVERING THE AREAS OF DURABLE POWERS OF ATTORNEY TRUSTS AND ESTATES TAX GROUPS AND MEDICAID ELIGIBILITY REQUIREMENTS A SCHOOL SUPPLY DRIVE WAS HELD AT THE HOSPITAL FOR STUDENTS AT THE HALL ELEMENTARY SCHOOL HOSPITAL EMPLOYEES CONTRIBUTED NOTEBOOKS BINDERS BACKPACKS RULERS PACKAGES OF PAPER CRAYONS AND PENCILS AND OTHER ITEMS TO HELP ASSIST THE 350 STUDENTS TO BEGIN THEIR SCHOOL YEAR THE PASTORAL CARE DEPARTMENT SPONSORS AN ANNUAL HOLIDAY TOY DRIVE FOR CHILDREN RESIDING IN THE EAST END NEIGHBORHOOD OF BRIDGEPORT MORE THAN 200 TOYS GAMES AND BOOKS WERE DONATED BY HOSPITAL EMPLOYEES DURING THE DRIVE ENVIRONMENT IMPROVEMENTS BRIDGEPORT HOSPITAL TRANSFERRED OWNERSHIP OF THE REGIONS FIRST AND ONLY LEADSAFE HOUSE TO THE BRIDGEPORT NEIGHBORHOOD TRUST BNT IN LATE SUMMER 2011 OPERATED SINCE 1995 THE LEADSAFE HOUSE SERVES AS A TEMPORARY RESIDENCE FOR CHILDREN UNDERGOING TREATMENT FOR LEAD POISONING AND THEIR FAMILIES BNT WILL CONTINUE TO MAINTAIN TEMPORARY QUARTERS FOR FAMILIES AFFECTED BY LEAD CONTAMINATION AND MAKE USE OF OTHER APARTMENTS IN THE HOUSE TO MEET THE CITYS GENERAL AFFORDABLE HOUSING NEEDS THE HOUSE WHICH WAS SOLD TO BNT FOR 1 WAS VALUED AT 134438 COALITION BUILDING THE HOSPITAL ALSO WORKS COLLABORATIVELY WITH MANY ORGANIZATIONS WITHIN THE GREATER BRIDGEPORT AREA AND PROVIDES EXPERTISE TO THE GOVERNING BODIES OF OTHER ORGANIZATIONS AS A RESULT THE HOSPITAL PROVIDED OVER 50000 OF INKIND SUPPORT TO ORGANIZATIONS SUCH AS OPTIMUS HEALTHCARE THE BRIDGEPORT REGIONAL BUSINESS COUNCIL HEALTHCARE COUNCIL LEADERSHIP GREATER BRIDGEPORT BRIDGEPORT CHAMBER OF COMMERCE BRIDGEPORT ROTARY TRUMBULL ROTARY CITY OF BRIDGEPORT NEIGHBORHOOD REVITALIZATION ZONES RONALD MCDONALD HOUSE OF CT BARNUM MUSEUM DEPARTMENT OF CHILDREN AND FAMILIES THE PRIMARY CARE ACTION GROUP THE COALITION TO END OBESITY IN BRIDGEPORT AND STRATFORD UNIVERSITY OF CONNECTICUT ALLIED HEALTH ADVISORY BOARD VNS OF CONNECTICUT STRATFORD BOARD OF EDUCATION HARDING HIGH SCHOOL AND THE GREATER BRIDGEPORT ADOLESCENT PREGNANCY PROGRAM THROUGH ITS INVOLVEMENT IN THE BRIDGEPORT PRIMARY CARE ACTION GROUP HOSPITAL SENIOR LEADERS ASSISTED IN OPENING THE HOPE DISPENSARY OF GREATER BRIDGEPORT A PHARMACY FOR PEOPLE WHO NEED PRESCRIPTIONS BUT HAVE NO INSURANCE COVERAGE AND LACK RESOURCES TO BUY THEM DURING FY 2011 THE HOPE DISPENSARY OF GREATER BRIDGEPORT ASSISTED OVER 100 PATIENTS IN GAINING ACCESS TO NECESSARY PRESCRIPTIONS FOR A TOTAL BENEFIT OF OVER 18000 ANOTHER PRIMARY CARE ACTION GROUP INITIATIVE THE COALITION TO ELIMINATE OBESITY IN BRIDGEPORT AND STRATFORD WHICH IS LED BY THE HOSPITAL GAINED MOMENTUM IN JULY WITH THE LAUNCH OF COMMUNITY TASK FORCES TO ADDRESS HEALTHY EATING PHYSICAL ACTIVITY AND SUPPORT SYSTEMS THE LAUNCH MEETING WAS FUNDED BY A 10000 GRANT FROM THE UNITED WAY OF COASTAL FAIRFIELD COUNTY IN ADDITION HOSPITAL EMPLOYEES ALSO RECRUITED VOLUNTEER WALKERS TO HELP RAISE AWARENESS AND FUNDS FOR THE AMERICAN HEART ASSOCIATION AMERICAN CANCER SOCIETY SUSAN G KOMEN FOR THE CURE CANCERCARE AND THE SOUTHERN REGIONAL SICKLE CELL ASSOCIATION THE EVENTS SUPPORT RESEARCH AND PATIENT EDUCATION INITIATIVES WHICH IN TURN BENEFITED PATIENTS AT BRIDGEPORT HOSPITAL ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENTS BRIDGEPORT HOSPITAL PLAYED A LEAD ROLE IN WORKING WITH LOCAL STATE AND FEDERAL LEGISLATORS AND GOVERNMENT AGENCIES TO IMPROVE ACCESS FOR PATIENTS TO AFFORDABLE HEALTH INSURANCE AND HEALTHCARE SERVICES TWO HOSPITAL REPRESENTATIVES CONTINUE TO CHAIR THE HEALTH CARE COUNCIL OF THE BRIDGEPORT REGIONAL BUSINESS COUNCIL IN FY 2011 THE COUNCIL HELD A WELLNESS EVENT TO HELP EMPLOYERS FIND WAYS TO KEEP THEIR EMPLOYEES HEALTHY A HEALTH CARE PANEL WITH KEY POLITICAL PRESENTERS WHO EDUCATED THE BUSINESS COMMUNITY ABOUT HEALTH CARE REFORM AND ITS IMPLICATIONS PUBLISHED THREE HEALTH CARE NEWSLETTERS FOCUSED ON WELLNESS INITIATIVES AND HEALTH CARE POLICY AND RAN A 10000 STEPS WELLNESS PROGRAM TO ENCOURAGE EMPLOYERS TO MOTIVATE THEIR EMPLOYEES TO WEAR PEDOMETERS AND WALK AT LEAST 10000 STEPS PER DAY IN ADVANCE OF THE LEGISLATIVE SESSION THE HOSPITAL HELD ITS ANNUAL JOINT LEGISLATIVE DINNER WITH ST VINCENTS MEDICAL CENTER THE DISCUSSION FOCUSED ON THE SAFETY AND PROGRAM ENHANCEMENTS AT THE HOSPITALS THE DIFFICULT STEPS TAKEN TO RECOVER FINANCIALLY FROM THE TOUGH ECONOMIC YEARS AND THE IMPORTANCE OF MAINTAINING CURRENT FUNDING LEVELS FOR MEDICAID AND OTHER STATE ASSISTANCE PROGRAMS WORKFORCE DEVELOPMENT HOSPITAL STAFF FORM VARIOUS DEPARTMENTS INCLUDING THE EMERGENCY DEPARTMENT WOMENS CARE CENTER SURGICAL SERVICES CENTRAL STERILE PROCESSING FOOD AND NUTRITION SERVICES AND PHYSICAL THERAPY PARTICIPATED IN MENTORING PROGRAMS COORDINATED THROUGH THE HOSPITALS HUMAN RESOURCES AND VOLUNTEER SERVICES DEPARTMENTS OVER 50 AREA HIGH SCHOOL STUDENTS PARTICIPATED IN THE PROGRAMS WHICH INCLUDE EMENTORING AN INTERNSHIP PROGRAM AND TEEN CAMP FOCUSED ON PROVIDING BASIC KNOWLEDGE AND INSIGHT INTO T
BAD DEBT EXPENSE EXPLANATION PART III LINE 4 FOOTNOTE FROM AUDITED FINANCIAL STATEMENTS THE HOSPITALS COMMITMENT TO COMMUNITY SERVICE IS EVIDENCED BY SERVICES PROVIDED TO THE POOR AND BENEFITS PROVIDED TO THE BROADER COMMUNITY SERVICES PROVIDED TO THE POOR INCLUDE SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD HEALTHCARE BECAUSE OF INADEQUATE RESOURCES ANDOR WHO ARE UNINSURED OR UNDERINSURED FOR FINANCIAL REPORTING PURPOSES THE HOSPITAL REPORTS CARE PROVIDED FOR WHICH NO PAYMENT WAS RECEIVED FROM THE PATIENT OR INSURER AS UNCOMPENSATED CARE UNCOMPENSATED CARE IS THE SUM OF THE HOSPITALS FREE CARE PROVIDED CHARITY CARE PROVIDED AND BAD DEBT EXPENSE IN DETERMINING UNCOMPENSATED CARE THE HOSPITAL EXCLUDES CONTRACTUAL ALLOWANCES THE COST OF UNCOMPENSATED CARE AMOUNTED TO APPROXIMATELY 165 MILLION AND 155 MILLION IN 2011 AND 2010 RESPECTIVELY ADDITIONALLY THE HOSPITAL INCURRED LOSSES RELATED TO THE STATE MEDICAID PROGRAM OF APPROXIMATELY 277 MILLION AND 214 MILLION IN 2011 AND 2010 RESPECTIVELY THE ESTIMATED COST OF UNCOMPENSATED CARE AND MEDICAID LOSSES WERE DETERMINED USING HOSPITALSPECIFIC DATA ANNUALLY THE HOSPITAL ACCRUES FOR THE POTENTIAL LOSSES RELATED TO ITS UNCOLLECTIBLE ACCOUNTS AND THE AMOUNTS THAT MEET THE DEFINITION OF CHARITY AND FREE CARE ALLOWANCES AT SEPTEMBER 30 2011 AND 2010 THE AMOUNT ESTIMATED BY MANAGEMENT TO REPRESENT THE HOSPITALS UNCOLLECTIBLE AND CHARITY AND FREE CARE ALLOWANCE WHICH IS INCLUDED IN THE ACCOMPANYING BALANCE SHEET AS A REDUCTION OF ACCOUNTS RECEIVABLE FOR SERVICES TO PATIENTS WAS APPROXIMATELY 182 MILLION AND 170 MILLION RESPECTIVELY ADDITIONALLY THE HOSPITAL PROVIDES BENEFITS FOR THE BROADER COMMUNITY WHICH INCLUDES SERVICES PROVIDED TO OTHER NEEDY POPULATIONS THAT MAY NOT QUALIFY AS POOR BUT NEED SPECIAL SERVICES AND SUPPORT BENEFITS INCLUDE THE COST OF HEALTH PROMOTION AND EDUCATION OF THE GENERAL COMMUNITY INTERNS AND RESIDENTS HEALTH SCREENINGS AND MEDICAL RESEARCH THE BENEFITS ARE PROVIDED THROUGH THE COMMUNITY HEALTH CENTERS SOME OF WHICH SERVICE NONENGLISH SPEAKING RESIDENTS DISABLED CHILDREN AND VARIOUS COMMUNITY SUPPORT GROUPS IN ADDITION TO THE QUANTIFIABLE SERVICES DEFINED ABOVE THE HOSPITAL PROVIDES ADDITIONAL BENEFITS TO THE COMMUNITY THROUGH ITS ADVOCACY OF COMMUNITY SERVICE BY EMPLOYEES THE HOSPITALS EMPLOYEES SERVE NUMEROUS ORGANIZATIONS THROUGH BOARD REPRESENTATION MEMBERSHIP IN ASSOCIATIONS AND OTHER RELATED ACTIVITIES THE HOSPITAL ALSO SOLICITS THE ASSISTANCE OF OTHER HEALTHCARE PROFESSIONALS TO PROVIDE THEIR SERVICES AT NO CHARGE THROUGH PARTICIPATION IN VARIOUS COMMUNITY SEMINARS AND TRAINING PROGRAMS THE HOSPITAL MAKES AVAILABLE FREE CARE PROGRAMS FOR QUALIFYING PATIENTS IN ACCORDANCE WITH THE ESTABLISHED POLICIES OF THE HOSPITAL DURING THE REGISTRATION BILLING AND COLLECTION PROCESS A PATIENTS ELIGIBILITY FOR FREE CARE FUNDS IS DETERMINED FOR PATIENTS WHO WERE DETERMINED BY THE HOSPITAL TO HAVE THE ABILITY TO PAY BUT DID NOT THE UNCOLLECTED AMOUNTS ARE BAD DEBT EXPENSE FOR PATIENTS WHO DO NOT AVAIL THEMSELVES OF ANY FREE CARE PROGRAM AND WHOSE ABILITY TO PAY CANNOT BE DETERMINED BY THE HOSPITAL CARE GIVEN BUT NOT PAID FOR IS CLASSIFIED AS CHARITY CARE COSTING METHODOLOGY IN ACCORDANCE WITH THE ESTABLISHED POLICIES OF THE HOSPITAL DURING THE REGISTRATION BILLING AND COLLECTION PROCESS A PATIENTS ELIGIBILITY FOR FREE CARE FUNDS IS DETERMINED FOR PATIENTS WHO WERE DETERMINED BY THE HOSPITAL TO HAVE THE ABILITY TO PAY BUT DID NOT THE UNCOLLECTED AMOUNTS ARE BAD DEBT EXPENSE THE HOSPITALS COST ACCOUNTING SYSTEM UTILIZES PATIENTSPECIFIC DATA TO ACCUMULATE AND DERIVE COSTS RELATED TO THESE BAD DEBT ACCOUNTS
MEDICARE EXPLANATION PART III LINE 8 THE ENTIRE MEDICARE LOSS PRESENTED SHOULD BE TREATED AS A COMMUNITY BENEFIT FOR THE FOLLOWING REASONS THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO MEDICARE BENEFICIARIES IRS REVENUE RULING 69545 INDICATES THAT HOSPITALS OPERATE FOR THE PROMOTION OF HEALTH IN THE COMMUNITY WHEN IT PROVIDES CARE TO PATIENTS WITH GOVERNMENTAL HEALTH BENEFITS THE ORGANIZATION PROVIDES CARE TO MEDICARE PATIENTS REGARDLESS OF MEDICARE SHORTFALLS REDUCING THE BURDEN ON THE GOVERNMENT AND MANY OF THE MEDICARE PARTICIPANTS WOULD HAVE QUALIFIED FOR THE CHARITY CARE OR OTHER MEANS TESTED PROGRAMS ABSENT BEING ENROLLED IN THE MEDICARE PROGRAM THE MEDICARE SHORTFALL REPORTED IS DETERMINED BY THE HOSPITALS COST ACCOUNTING SYSTEM TSI
COLLECTION PRACTICES EXPLANATION PART III LINE 9B IF AT ANY TIME THE HOSPITAL OR A COLLECTION AGENCY OR LAW FIRM RECEIVES INFORMATION THAT A PATIENT IS OR MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER ONE OF THESE PROGRAMS OR UNDER ANY GOVERNMENTAL OR OTHER PROGRAM THE HOSPITAL COLLECTION AGENCY OR LAW FIRM SHALL CONSISTENT WITH CONNECTICUT LAW CEASE COLLECTION EFFORTS UNTIL THE HOSPITAL DETERMINES THE PATIENTS ELIGIBILITY FOR ASSISTANCE
NEEDS ASSESSMENT PART VI PART VI LINE 2 BRIDGEPORT HOSPITAL BH WORKS COLLABORATIVELY WITH LOCAL ORGANIZATIONS TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES IN FY 2010 THE HOSPITAL CONDUCTED A COMMUNITY NEEDS ASSESSMENT THROUGH THE PRIMARY CARE ACTION GROUP THE PRIMARY CARE ACTION GROUP IS A COMMUNITYWIDE GROUP REPRESENTING ALL PRIMARY CARE PROVIDERS IN THE COMMUNITY PLUS OTHER HEALTHCARE ORGANIZATIONS SPECIFIC MEMBERSHIP INCLUDES THE TWO ACUTE CARE HOSPITALS THE TWO FEDERALLY QUALIFIED HEALTH CARE CENTERS THE LOCAL MEDICAL ASSOCIATION AMERICARES THE HEALTH DEPARTMENT OF THE CITY OF BRIDGEPORT THE BRIDGEPORT OFFICES OF THE DEPARTMENTS OF MENTAL HEALTH AND ADDICTION SERVICES AND SOCIAL SERVICES AND TWO HEALTH CARE ADVOCACY ORGANIZATIONS BRIDGEPORT HOSPITAL STAFF LED THE COMMUNITY NEEDS ASSESSMENT ON BEHALF OF THE PRIMARY CARE ACTION GROUP LOOKING AT PAST NEEDS ASSESSMENT REPORTS LOCAL REGIONAL STATE AND NATIONAL PUBLIC HEALTH DATA AND STATE HOSPITAL AND OTHER LOCAL PROVIDER DATA TO IDENTIFY THE KEY HEALTH ISSUES OF THE COMMUNITY WHERE POSSIBLE DATA FOR INSURED PATIENTS WAS SPECIFICALLY COMPARED TO THAT OF UNINSURED PATIENTS TO IDENTIFY DIFFERENCES ADDITIONAL DATA WAS COLLECTED UTILIZING EMERGENCY DEPARTMENT UTILIZATION TO ANALYZE THE UNDERLYING CLINICAL REASONS THAT UNINSURED PATIENTS COME TO THE EMERGENCY DEPARTMENT AND ARE SUBSEQUENTLY ADMITTED TO THE HOSPITAL A GRID WAS DEVELOPED COMPARING ALL THE VARIOUS STUDIES AND IDENTIFYING THE KEY HEALTH ISSUES FOLLOWED BY A LISTING OF SIGNIFICANT HEALTH ISSUES THE DATA FROM THE PRIMARY CARE ACTION GROUP COMMUNITY ASSESSMENT WAS UTILIZED BY THE CITY OF BRIDGEPORT TO CREATE SPECIFIC QUESTIONS FOR THE CITYS COMMUNITY NEEDS ASSESSMENT WHICH WAS CONDUCTED IN SEPTEMBER AND OCTOBER 2011 BRIDGEPORT COMMUNITY ALLIED TO REACH HEALTH EQUITY CARES WAS MORE THAN A SURVEY AS IT SOUGHT TO ENGAGE BRIDGEPORT YOUNG PEOPLE AND RESIDENTS IN THE PROCESS THIRTY SURVEYORS WERE RECRUITED FROM AREA TEEN PARENTING PROGRAMS LOCAL HIGH SCHOOLS AND THE WORKPLACE YOUTHWORKS PROGRAM WHICH PROVIDES SUMMER WORK OPPORTUNITIES TO YOUNG PEOPLE INVOLVED IN THE JUVENILE JUSTICE SYSTEM DCF OR OTHER ATRISK GROUPS PRIOR TO THE WORK BEING APPROVED BY BRIDGEPORTS CITY COUNCIL THE SURVEYORS RECEIVED TRAINING ON HEALTH EQUITY SURVEY METHODS AND PERFORMED COMMUNITY SERVICE PROJECTS WORKING IN AREA SOUP KITCHENS RECLAIMING A NEGLECTED COMMUNITY GARDEN SITE AND BRINGING PRODUCE TO THE SOUP KITCHEN AND HAVING EDUCATIONAL SESSIONS AND ACTIVITIES TO UNDERSTAND THE IMPORTANCE OF HAVING A BANK ACCOUNT ENTREPRENEURSHIP AND OTHER LIFE SKILLS THE SURVEYS WERE CONDUCTED BY TEAMS THAT ALTERNATED WORK IN THE FIELD GOING DOOR TO DOOR AND WORKING ON THE PHONES USING A RANDOM DIGIT DIAL METHODOLOGY SURVEYS WERE CONDUCTED IN BOTH ENGLISH AND SPANISH IT WAS DECIDED THAT THE SURVEY SHOULD OVER SAMPLE NEIGHBORHOODS THAT WERE UNDER SAMPLED IN PREVIOUS EFFORTS AS SURVEYS WERE COMPLETED AND ENTERED INTO THE DATABASE THE SAMPLING METHODOLOGIES SHIFTED TO ENSURE THAT THE FINAL SAMPLE WOULD BE REPRESENTATIVE OF THE CITY AS A WHOLE THE SAME GROUP WHO HAD BEEN ENGAGED IN THE SURVEY DESIGN PARTICIPATED IN THE SURVEY ANALYSIS THREE MEETINGS WERE HELD TO REVIEW SURVEY RESULTS AND TO PROVIDE INPUT INTO THE ANALYSIS AND OUTCOMES GIVEN THE ENORMOUS DENSITY OF THE AVAILABLE INFORMATION THE GROUP RECOMMENDED THE DEVELOPMENT OF FACT SHEETS ON TOPICS OF INTEREST TO PARTICULAR GROUPS FACT SHEETS WERE CREATED FOR THE FOLLOWING PRIORITY AREAS OBESITY HISPANICS CHRONIC DISEASE DIABETES AND ASTHMA LEAD TESTING ISSUES RELATED TO CHILDREN HOMELESSNESS SMOKING AND FOOD INSECURITY BRIDGEPORT HOSPITAL AND OTHER COMMUNITY PARTNERS WHO ARE MEMBERS OF THE PRIMARY CARE ACTION GROUP FORMED THE COALITION TO ELIMINATE OBESITY IN BRIDGEPORT AND STRATFORD BASED ON THESE RESULTS PURSUED A FEDERAL GRANT ARE UTILIZING THIS AND OTHER DATA TO DEVELOP IMPLEMENTATION STRATEGIES TO ADDRESS THE NEEDS OF THE COMMUNITY
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI PART VI LINE 3 THE BRIDGEPORT HOSPITAL FREE CARE PROGRAM IS OFFERED THROUGH THE FOLLOWING CHANNELS THE BRIDGEPORT HOSPITAL WEB SITE NEWSPAPER ADVERTISEMENTS THROUGH A FIRST STATEMENT MAILER SENT TO THE PATIENT THROUGH THE HOSPITALS FRONT ACCESSREGISTRATION AREAS ON VISIBLE POSTINGS AND COMMUNICATIONS VISIBLE POSTINGS AND VERBAL COMMUNICATIONS MADE IN THE VIA BILLING AND COLLECTION LINES AND THROUGH THE FREE CARE DEPARTMENT IF A PATIENT INQUIRIES ABOUT FREE CARE OR NEEDS FINANCIAL ASSISTANCE AN APPLICATION IS EITHER SENT OR HANDED TO THE PATIENT TO COMPLETE INSTRUCTIONS AND INCOME GUIDELINES ACCOMPANY THE APPLICATION IN THE PACKAGE APPOINTMENTS ARE ALSO AVAILABLE TO ASSIST WITH THE APPLICATION PROCESS AND THE AGENCY AND FREE CARE COORDINATORS ARE READILY AVAILABLE EVERY FOURTH MONDAY OF EACH MONTH IN ADDITION TO THE UNRESTRICTED FREE CARE PROGRAM THERE ARE ALSO NOMINATED BED FUNDS THAT PATIENTS CAN APPLY FOR IF THEY MEET THE FREE CARE GUIDELINES FREE CARE ALSO INCORPORATES THE SLIDING SCALE AND CATASTROPHIC SLIDING PROGRAM SLIDING SCALE IS OFFERED TO PATIENTS WHO HAVE NO INSURANCE AND DO NOT WISH TO APPLY FOR A VALID STATE DENIAL ELIGIBILITY IS BASED ON FAMILY SIZE AND INCOME CATASTROPHIC SLIDING SCALE IS FOR THOSE PATIENTS WHO ARE OVER THE INCOME THRESHOLD BUT HAVE A BILL PAYABLE TO THE HOSPITAL THAT IS 10 OR GREATER OF THEIR ANNUAL INCOME IF A PATIENT WISHING TO PARTICIPATE MEETS ALL ELIGIBILITY REQUIREMENTS AND GUIDELINES THEN AN APPROVAL LETTER IS SENT TO THE PATIENT IF A PATIENT IS MISSING INFORMATION OR DENIED A LETTER TO THAT EFFECT IS SENT TO THE PATIENT WITH AN EXPLANATION OF WHAT IS NEEDED IN ORDER TO PROCESS AN APPEAL FREE CARE ELIGIBILITY IS VALID FOR SIX MONTHS FROM THE APPROVAL DATE ON THE LETTER AND SLIDING SCALE ELIGIBILITY IS VALID FOR ONE YEAR FROM APPROVAL DATE INDICATED ON LETTER ANY VISITS BY THE PATIENT TO THE HOSPITAL DURING THIS ELIGIBILITY PERIOD WILL BE TRACKED AND WRITTENOFF TO THE APPROPRIATE ALLOWANCE CODE
COMMUNITY INFORMATION PART VI PART VI LINE 4 THE HOSPITALS PRIMARY SERVICE AREA IS COMPRISED OF EIGHT CITIES AND TOWNS ALONG THE SOUTHWEST COAST OF CT INCLUDING BRIDGEPORT FAIRFIELD EASTON TRUMBULL MONROE SHELTON STRATFORD AND MILFORD THE HOSPITAL ITSELF IS LOCATED IN BRIDGEPORT WHICH IS THE MOST POPULOUS CITY IN CONNECTICUT AND THE FIFTH LARGEST CITY IN NEW ENGLAND LOCATED IN FAIRFIELD COUNTY THE CITY HAS AN ESTIMATED POPULATION OF 142546 THE CITY IS THE CORE OF THE GREATER BRIDGEPORT AREA WHICH ITSELF IS CONSIDERED PART OF THE LABOR MARKET AREA FOR NEW YORK CITY THE PER CAPITA INCOME FOR BRIDGEPORT IS 19854 WHICH IS 16921 BELOW THE STATE OF CONNECTICUT PER CAPITA INCOME OF 36775 ABOUT 208 OF THE POPULATION OF BRIDGEPORT LIVES BELOW THE FEDERAL POVERTY LEVEL VERSUS 92 FOR THE WHOLE STATE BRIDGEPORT HAS A HIGH PROPORTION OF UNDER OR UNINSURED PATIENTS WHILE THE SURROUNDING TOWNS ARE SOME OF THE MOST AFFLUENT TOWNS IN THE COUNTRY WHICH CREATES AN URBANSUBURBAN DIVIDE IN THE AREA THERE ARE THREE HOSPITALS IN THE PRIMARY SERVICE AREA BRIDGEPORT HOSPITAL ST VINCENTS MEDICAL CENTER AND MILFORD HOSPITAL BRIDGEPORT AND ST VINCENTS ARE LARGE COMMUNITY TEACHING HOSPITALS OF EQUIVALENT SIZE LOCATED IN THE URBAN CENTER OF BRIDGEPORT HOWEVER BRIDGEPORT HOSPITAL HAS MORE EXTENSIVE TEACHING PROGRAMS THE STATES ONLY BURN CENTER IS THE WOMENS AND CHILDRENS HOSPITAL FOR THE AREA AND HAS A MUCH HIGHER MIX OF UNDER AND UNINSURED PATIENTS NEARLY A THIRD OF THE INPATIENTS AT BRIDGEPORT HOSPITAL 6288 PATIENTS 33 OF TOTAL WERE MEDICAID OR UNINSURED IN FY 2011 THE HOSPITAL IS A DISPROPORTIONATE SHARE HOSPITAL AND ALSO QUALIFIES FOR 340B PHARMACY PRICING THE BRIDGEPORT HOSPITAL EMERGENCY ROOM PROVIDES A HEALTH CARE SAFETY NET FOR THOUSANDS OF PEOPLE EACH YEAR BY SERVING AS THE PRIMARY CARE PROVIDER FOR UNINSURED AND UNDERINSURED PATIENTS IN FY 2011 THE TOTAL NUMBER OF EMERGENCY ROOM VISITS WERE 75672 INCLUDING BOTH TREATED AND ADMITTED AND TREATED AND DISCHARGED PATIENTS THE TREATED AND DISCHARGED PATIENTS MAKE UP 85 PERCENT OF THE TOTAL WITH 8173 OF THOSE PATIENTS IDENTIFIED AS NOT HAVING INSURANCE AND ANOTHER 34185 IDENTIFIED AS MEDICAID BENEFICIARIES
HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE PART VI PART VI LINE 5 BRIDGEPORT HOSPITAL IS A NOTFORPROFIT 425BED TEACHING HOSPITAL LOCATED IN BRIDGEPORT CONNECTICUT AND IS A TEACHING AFFILIATE OF THE YALE SCHOOL OF MEDICINE BRIDGEPORT HOSPITAL IS A FULL SERVICE ACUTE CARE COMMUNITY TEACHING HOSPITAL THAT OFFERS MORE THAN 60 SUBSPECIALTIES IN FISCAL YEAR 2011 THE HOSPITAL RECORDED 19058 INPATIENT DISCHARGES AND OVER 195112 OUTPATIENT ENCOUNTERS INCLUDING 65670 TREATED AND DISCHARGED VISITS FROM THE HOSPITALS EMERGENCY DEPARTMENT OVER 645 OF THE OUTPATIENTS TREATED IN THE EMERGENCY DEPARTMENT WERE MEDICAIDINSURED AND UNINSURED PATIENTS BRIDGEPORT HOSPITAL IS THE SITE OF THE ONLY SPECIALIZED BURN FACILITY BETWEEN NEW YORK AND BOSTON AND A REGIONAL AMERICAN COLLEGE OF SURGEONSAPPROVED TRAUMA CENTER IT IS ALSO THE SITE OF SOUTHERN CONNECTICUTS ONLY MULTIPERSON HYPERBARIC OXYGEN THERAPY CHAMBER WHICH AIDS IN THE TREATMENT OF STUBBORN WOUNDS CAUSED BY DIABETES CIRCULATORY PROBLEMS RADIATION TRAUMATIC INJURY AND OTHER CONDITIONS OTHER SPECIALTIES AT BRIDGEPORT HOSPITAL INCLUDE THE HEART INSTITUTE THE NORMA F PFRIEM CANCER INSTITUTE THE NORMA F PFRIEM BREAST CARE CENTER THE BIRTHPLACE A PEDIATRIC INTENSIVE CARE UNIT PEDIATRIC ASTHMA CENTER AND A CHILDRENS EMERGENCY CENTER THE JOINT RECONSTRUCTION CENTER ADVANCED NEUROSURGICAL SERVICESMENTAL HEALTH SERVICES INCLUDING INPATIENT CARE A 24HOUR EMERGENCY CRISIS SERVICE GERIATRIC ASSESSMENT SERVICE AND DAY HOSPITAL PROGRAMS A BLOODLESS MEDICINE AND SURGERY PROGRAM AND OCCUPATIONAL HEALTH PROGRAMS FOR AREA EMPLOYERS DURING FISCAL YEAR FY 2011 BRIDGEPORT HOSPITAL PROVIDED APPROXIMATELY 541 MILLION DOLLARS IN COMMUNITY BENEFITS THIS FIGURE INCLUDES 335 MILLION DOLLARS IN CHARITY CARE AND UNREIMBURSED MEDICAID AT COST 171 MILLION IN HEALTH PROFESSIONS EDUCATION AND OVER 35 MILLION IN COMMUNITY HEALTH IMPROVEMENT AND EDUCATION ACTIVITIES SUBSIDIZED SERVICES AND INKIND CONTRIBUTIONS TO COMMUNITY GROUPS THE HOSPITAL PROVIDES A SIGNIFICANT AMOUNT OF HEALTH PROFESSIONS EDUCATION ON AN ANNUAL BASIS FOR 106 MEDICAL PROFESSIONALS THIS INCLUDES GRADUATE AND INDIRECT MEDICAL EDUCATION IN THE AREA OF RESIDENCY AND FELLOWSHIP EDUCATION FOR PHYSICIANS MEDICAL STUDENTS THE BRIDGEPORT HOSPITAL SCHOOL OF NURSING INCLUDING A STUDENT REGISTERED NURSE ANESTHETIST PROGRAM ALLIED HEALTH EDUCATION RADIOLOGY RESIDENCY PROGRAM PASTORAL CARE RESIDENCY PROGRAM AND A PHARMACY PROGRAM IN ADDITION THE HOSPITAL PROVIDES A CLINICAL SETTING FOR UNDERGRADUATE TRAINING TO APPROXIMATELY 133 STUDENTS ENROLLED IN PROGRAMS OUTSIDE THE ORGANIZATION IN THE AREAS OF NURSING DIETARY PROFESSIONALS PHYSICAL AND OCCUPATIONAL THERAPISTS TECHNICIANS AND OTHER NON CLINICAL AREAS SUCH AS MARKETING AND PUBLIC RELATIONS BRIDGEPORT HOSPITAL HAS INVESTED A SIGNIFICANT AMOUNT OF TIME AND RESOURCES IN THE DEVELOPMENT AND IMPLEMENTATION OF PROJECTS TO IMPROVE HEALTH AND INCREASE ACCESS SOME EXAMPLES OF COMMUNITY PROGRAMS AND SERVICES THAT PROMOTE HEALTH AND WELLNESS ARE LISTED BELOW THE HOSPITALS COMMUNITY ASSISTANCE PROGRAM ASSISTS UNINSURED AND UNDERSERVED PATIENTS TO OBTAIN EXPENSIVE PRESCRIPTION MEDICATION AND THERAPIES FOR A VARIETY OF CONDITIONS THROUGH EXISTING PHARMACEUTICAL ASSISTANCE PROGRAMS A FULLTIME DEDICATED COORDINATOR FOR THE PROGRAM ASSISTED 55 PATIENTS IN THE COMMUNITY IN FY 2011 ACHIEVING AN OUTOFPOCKET COST SAVINGS FOR THESE PATIENTS OF MORE THAN 527165 THE HOSPITALS CHILDFIRST IS AN EARLY CHILDHOOD MENTAL HEALTH INITIATIVE THAT IDENTIFIES ATRISK CHILDREN AND ARRANGES THE APPROPRIATE INTERVENTION AND SUPPORT SUPPORTED BY GRANTS FROM A COALITION OF FUNDING PARTNERS INCLUDING THE ROBERT WOOD JOHNSON FOUNDATION CHILDFIRST SERVED MORE THAN 700 CHILDREN AND 250 FAMILIES DURING THE YEAR THE COST OF RUNNING THE PROGRAM IN FY 2011 WAS 10 MILLION DOLLARS WHICH WAS PRIMARILY OFFSET BY GRANT FUNDING THE HOSPITAL OFFERS THE NURTURING CONNECTIONS PARENTING PROGRAM FOR FIRSTTIME PARENTS WHO LIVE IN BRIDGEPORT THE SUPPORT PROGRAM FOCUSES ON INFANT HEALTH AND GOOD PARENTING AND COVERS A VARIETY OF DEVELOPMENTAL NEWBORN SUBJECTS SUCH AS ESTABLISHING ROUTINES WAYS TO PROMOTE DEVELOPMENT IN NEWBORNS BRAIN EYE AND MOTOR AREAS AND PROPER NUTRITION THE PROGRAM ALSO HELPS TO CONNECT FAMILIES WITH HELPFUL COMMUNITY RESOURCES THE NORMA F PFRIEM BREAST CARE CENTERS UNDERSERVED PROGRAM PROVIDED MORE THAN 539000 IN EDUCATION OUTREACH AND OTHER BREAST CARE SERVICES TO 609 UNINSURED WOMEN IN THE BRIDGEPORT COMMUNITY SERVICES INCLUDED MAMMOGRAPHY AND OTHER DIAGNOSTIC SCREENINGS PHYSICIAN VISITS WIGS PROSTHETICS AND MANY OTHER TYPES OF CARE FOR WOMEN AND THEIR FAMILIES INCLUDING BREAST CANCER EDUCATION AND SUPPORT GROUPS THE ONCOLOGY SOCIAL WORKER IN THE NORMA F PFRIEM CANCER INSTITUTE ASSISTED 190 PATIENTS WITH REQUESTS FOR REFERRALS OR ASSISTANCE FROM OUTSIDE AGENCIES THESE REQUESTS WERE FOR A VARIETY OF COMMUNITY RESOURCES INCLUDING TRANSPORTATION FINANCIAL ASSISTANCE SUPPORT SERVICES AND HEAD COVERINGS THROUGH THESE REFERRALS INDIVIDUALS RECEIVED NEARLY 40000 IN FINANCIAL GRANTS FROM ORGANIZATIONS SUCH AS THE AMERICAN CANCER SOCIETY CANCER CARE CONNECTICUT SPORTS FOUNDATION AGAINST CANCER THE LEUKEMIA AND LYMPHOMA SOCIETY NATIONAL BRAIN TUMOR ASSOCIATION CHAIN FUND BREAST CANCER EMERGENCY FUND AND TAKE A SWING AGAINST CANCER THE HOSPITAL SPONSORED FREE SUPPORT GROUPS FOR PATIENTS RECOVERING FROM CANCER HEART DISEASE LUNG DISEASE STROKE AND OTHER CONDITIONS NEARLY 450 PEOPLE PARTICIPATED IN THESE GROUPS DURING FY 2011 MORE THAN 2000 PEOPLE ATTENDED FREE HOSPITALSPONSORED HEALTH LECTURES AND AWARENESS EVENTS ON TOPICS SUCH AS BACK PAIN DIABETES GYNECOLOGICAL ISSUES HEADACHES MENTAL HEALTH AND SMOKING CESSATION THE FOURTH ANNUAL CELEBRATE LIFE CANCER SURVIVORS EVENT AT THE CONNECTICUT BEARDSLEY ZOO IN JUNE ATTRACTED MORE THAN 300 PEOPLE AND PROVIDED INFORMATION ABOUT CANCER PREVENTION AND TREATMENT IN ADDITION TO THE ACTIVITIES DESCRIBED BRIDGEPORT HOSPITAL ALSO CONTRIBUTES TO THE COMMUNITY IN WAYS THAT ARE NOT QUANTIFIED AS PART OF THIS REPORT AND SERVES AS AN IMPORTANT COMMUNITY RESOURCE THIS INCLUDES HAVING A COMMUNITYBASED BOARD OF DIRECTORS WITH THE MAJORITY OF THE MEMBERS RESIDING IN THE HOSPITALS PRIMARY AND SECONDARY SERVICE AREA TOWNS OF FAIRFIELD TRUMBULL EASTON STRATFORD NEWTOWN AND WESTPORT THE HOSPITAL ALSO EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY A TOTAL OF 52 PHYSICIANS JOINED THE HOSPITALS MEDICAL STAFF IN FISCAL YEAR 2011 WHICH NOW TOTALS 762 MEMBERS THE HOSPITAL AS A NOTFORPROFIT APPLIES SURPLUS FUNDS TO IMPROVEMENTS IN PATIENT CARE MEDICAL EDUCATION AND RESEARCH FY 2011 EXAMPLES INCLUDED THE FOLLOWING YALENEW HAVEN CHILDRENS HOSPITAL AND BRIDGEPORT HOSPITAL JOINTLY INITIATED A PROCESS TO INTEGRATE THEIR TWO PEDIATRIC SERVICES CREATING TWO INPATIENT CAMPUSES OPERATING UNDER THE YALENEW HAVEN HOSPITAL LICENSE WITH A GOAL OF INCREASING SAFETY AND QUALITY THROUGH A SINGLE STANDARD OF CARE THE INTEGRATION OF THESE TWO PEDIATRIC SERVICES WILL ALLOW FOR THE COMPREHENSIVE EXPANSION OF SERVICES FOR THE BRIDGEPORT COMMUNITY THE CREATION OF A LARGER CONTINUUM OF CARE AND THE PROVISION OF BROAD ACCESS TO A WIDER VARIETY OF SPECIALTY SERVICES THE NORMA F PFRIEM CANCER INSTITUTE BEGAN CONSTRUCTION ON A NEW OUTPATIENT RADIATION ONCOLOGY CENTER IN TRUMBULL ADJACENT TO OTHER CANCER SERVICES ON PARK AVENUE THE NEW CENTER WILL ALLOW THE HOSPITAL TO CONSOLIDATE ITS RADIATION ONCOLOGY SERVICE INTO ONE CONVENIENT WELCOMING NEW BUILDING THAT WILL HOUSE A NEW STATEOFTHEART LINEAR ACCELERATOR FOR A VARIETY OF RADIATION ONCOLOGY TREATMENTS COMPLETION OF THE CENTER IS EXPECTED IN THE FALL OF 2012 THE NORMA F PFRIEM BREAST CARE CENTER INTRODUCED EXPANDED WOMENS WELLNESS SERVICES AT ITS FAIRFIELD SITE ON BEACH ROAD THESE SERVICES INCLUDED YOGA MASSAGE MENTAL HEALTH COUNSELING NATUROPATHIC MEDICINE NUTRITION COUNSELING AND PILATES THE BREAST CARE CENTER WAS ALSO ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS BRIDGEPORT HOSPITALS CENTER FOR GERIATRICS NAMED BEST IN FAIRFIELD COUNTY FOR GERIATRICS BY US NEWS AND WORLD REPORTS 201112 BEST HOSPITALS RANKINGS RECRUITED A FIFTH GERIATRICIAN AND EXPANDED ITS GERIATRIC EMERGENCY MEDICINE PROGRAM THE CENTER FOR GERIATRICS ALSO RECRUITED A DEDICATED ADVANCED PRACTICE REGISTERED NURSE TO COORDINATE ITS PALLIATIVE CARE PROGRAM BRIDGEPORT HOSPITALS DA VINCI ROBOTASSISTED MINIMALLY INVASIVE SURGERY PROGRAM LAUNCHED IN JANUARY 2007 REACHED ITS 1000TH PROCEDURE MILESTONE THE MOST DONE AT ANY HOSPITAL IN FAIRFIELD COUNTY THE HEART INSTITUTE AT BRIDGEPORT HOSPITAL REPACKAGED ITS HEART RHYTHM SERVICES INTO THE NEW CONNECTICUT CARDIAC ARRHYTHMIA CENTER CCAC IN JUNE CCAC PHYSICIANS PERFORMED NEW ENGLANDS FIRST HYBRID ABLATION FOR ATRIAL FIBRILLATION AN INNOVATIVE PROCEDURE THAT COMBINES THE BEST MINIMALLY INVASIVE SURGICAL AND CATHETERBASED APPROACHES A RENOVATED ELECTROPHYSIOLOGY EP LABORATORY OPENED ON JULY 1ST IN THE HOSPITALS 10TH FLOOR ANGIOPLASTYEP SUITE THE NEW LAB IS MORE SPACIOUS AND INCLUDES ADVANCED
AFFILIATED HEALTH CARE INFORMATION PART VI PART VI LINE 6 THE YALE NEW HAVEN HEALTH SYSTEMS FUNDAMENTAL MISSION IS TO ENSURE THAT THE DELIVERY NETWORKS ASSOCIATED WITH THE SYSTEM PROMOTE THE HEALTH OF THE COMMUNITIES THEY SERVE AND ENSURE THAT ALL IN NEED HAVE ACCESS TO APPROPRIATE HEALTHCARE SERVICES THE YALE NEW HAVEN HEALTH SYSTEM HOLDS ITS EXECUTIVES ACCOUNTABLE TO INCORPORATE PLANS TO PROMOTE HEALTHY COMMUNITIES WITHIN THEIR EXISTING BUSINESS PLANS FOR WHICH THEY ARE HELD ACCOUNTABLE IN ADDITION REGULAR REPORTING ON SUCH IS REQUIRED ON A QUARTERLY BASIS AND OBJECTIVES IN THE EXECUTIVES INCENTIVE SYSTEMS ARE ASSOCIATED WITH PROVIDING BENEFITS TO THE COMMUNITY EACH DELIVERY NETWORKS MISSION VISION AND BUSINESS PLANS INCORPORATES THE CONCEPTS OF WORKING WITH THEIR COMMUNITIES TO IDENTIFY OPPORTUNITIES TO PROMOTE HEALTHY COMMUNITIES PROVIDING SERVICES IN THE COMMUNITY THAT PROMOTE HEALTH AND ENHANCE THE WELLBEING OF THEIR COMMUNITIES AND PROVIDE CHARITY CARE AND FREE CARE TO THOSE THAT CAN NOT AFFORD THE NECESSARY SERVICES
LIST OF STATES WHERE COMMUNITY BENEFIT REPORT IS FILED PART VI CONNECTICUT
Schedule H (Form 990) 2010
Additional Data


Software ID:  
Software Version:  
Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
BRIDGEPORT HOSPITAL
 
Employer identification number

06-0646554
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
 
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits
(E) Total of columns
(B)(i)-(D)
(F) Compensation
reported in prior
Form 990 or
Form 990-EZ
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) GAYLE CAPOZZALO
GAYLE CAPOZALO
(i)
(ii)
 
655,732
 
188,910
 
279,037
 
140,600
 
15,203
 
1,279,482
 
65,864
(2) WILLIAM M JENNINGS
WILLIAM M JENNINGS
(i)
(ii)
117,079
 
170,000
 
10,161
 
35,167
 
3,150
 
335,557
 
 
 
(3) NORMAN G ROTH
NORMAN G ROTH
(i)
(ii)
 
486,760
 
183,188
 
66,215
 
195,866
 
15,206
 
947,235
 
23,359
(4) BRUCE MCDONALD MD
BRUCE MCDONALD MD
(i)
(ii)
 
395,970
 
94,715
 
16,475
 
32,488
 
 
 
539,648
 
 
(5) PATRICK MCCABE
PATRICK MCCABE
(i)
(ii)
329,826
 
89,032
 
52,697
 
160,334
 
33,048
 
664,937
 
 
 
(6) HOPE JUCKEL-REGAN 63011 (i)
(ii)
290,525
 
94,105
 
36,828
 
90,952
 
24,203
 
536,613
 
 
 
(7) JOSEPH JANELL
JOSEPH JANELL
(i)
(ii)
234,879
 
74,492
 
53,335
 
92,416
 
26,642
 
481,764
 
 
 
(8) MICHAEL IVY MD
MICHAEL IVY MD
(i)
(ii)
287,775
 
43,648
 
16,500
 
12,438
 
40,197
 
400,558
 
 
 
(9) LYN SALSGIVER
LYN SALSGIVER
(i)
(ii)
207,232
 
64,737
 
42,751
 
106,732
 
29,638
 
451,090
 
 
 
(10) MARYELLEN KOSTURKO
MARYELLEN KOSTURKO
(i)
(ii)
198,121
 
43,851
 
21,900
 
20,598
 
8,819
 
293,289
 
 
 
(11) MICHAEL WERDMANN MD (i)
(ii)
307,548
 
286
 
22,651
 
24,500
 
61,716
 
416,701
 
 
 
(12) JONATHAN MAISEL MD (i)
(ii)
269,494
 
31,056
 
22,000
 
24,217
 
51,019
 
397,786
 
 
 
(13) JAMES SIRLEAF MD
JAMES SIRLEAF MD
(i)
(ii)
273,229
 
31,468
 
13,419
 
17,150
 
35,195
 
370,461
 
 
 
(14) THOMAS LAMONTEMD
THOMAS LAMONTE MD
(i)
(ii)
275,256
 
2,047
 
13,250
 
24,500
 
21,544
 
336,597
 
 
 
(15) GUILLERMO KATIGBAK (i)
(ii)
270,359
 
1,978
 
15,396
 
22,050
 
40,486
 
350,269
 
 
 
(16) ROBERT J TREFRY 9302010 (i)
(ii)
879,883
 
535,259
 
282,970
 
105,379
 
11,403
 
1,814,894
 
376,312
 
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS SCHEDULE J, PAGE 1, PART I, LINE 4 WILLIAM M JENNINGS 0 34,300 0 NORMAN G ROTH 0 116,916 0 PATRICK MCCABE 0 89,275 0 HOPE JUCKEL-REGAN (6/30/11) 0 61,582 0 JOSEPH JANELL 0 65,466 0 LYN SALSGIVER 0 56,942 0
NON-FIXED PAYMENTS PROVIDED SCHEDULE J, PAGE 1, PART I, LINE 7 THE SHORT TERM INCENTIVE PLAN IS A VARIABLE COMPENSATION PLAN WHICH PROVIDES ONE-TIME PAYMENTS TO ELIGIBLE MEMBERS OF MANAGEMENT IN RECOGNITION OF THE ACCOMPLISHMENT OF KEY ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE OBJECTIVES. PERFORMANCE LEVELS ARE ESTABLISHED AND REVIEWED ANNUALLY AT THRESHOLD, TARGET AND MAXIMUM LEVELS, ACCORDING TO PLANNED "STRETCH" GOALS AND OBJECTIVES. INCENTIVE AWARD OPPORTUNITIES ARE ESTABLISHED ACCORDING TO MARKET PRACTICES BASED ON EACH ELIGIBLE POSITION'S RESPONSIBILITIES, PERFORMANCE AND LEVEL OF AUTHORITY. PERFORMANCE RELATIVE TO STIP AWARD OPPORTUNITIES INCORPORATES A BROAD SPECTRUM OF PRE-DEFINED FINANCIAL AND NON-FINANCIAL METRICS THAT ARE ALIGNED WITH ORGANIZATIONAL MISSION AND VALUES.
OTHER ADDITIONAL INFORMATION SCHEDULE J, PART III SCHEDULE J, PART I, LINE 4B: THE INDIVIDUALS LISTED ABOVE ARE PARTICIPANTS IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THESE ACCRUALS ARE INCLUDED IN THE AMOUNTS REPORTED IN PART II, COLUMN C (DEFERRED COMPENSATION) AND REPRESENTS BOTH THE REPORTING ENTITY'S AND RELATED ENTITY'S COMBINED AMOUNTS CONSISTENT WITH THE COMPENSATION REPORTING PER IRS INSTRUCTIONS. INDIVIDUALS LISTED BELOW BECAME VESTED IN BENEFITS VALUED AT THE AMOUNTS RESPECTIVELY REPORTED DURING THE REPORTING YEAR. INCLUDED IN SECTION II, COLUMN B (III) ARE AMOUNTS VESTED DURING THE 2010 CALENDAR YEAR THAT WERE RECOGNIZED AS TAXABLE EVENTS AND REPORTED IN THE INDIVIDUALS' 2010 CALENDAR YEAR FORM W-2S. GAYLE CAPAZZALO 189,156 ROBERT TREFRY 447,587 THE SUPPLEMENTAL RETIREMENT PLAN IS DESIGNED TO ENSURE THE PAYMENT OF A COMPETITIVE LEVEL OF RETIREMENT INCOME WHEN ADDED TO OTHER SOURCES OF RETIREMENT INCOME IN ORDER TO ATTRACT AND RETAIN KEY MANAGEMENT EMPLOYEES SERVING AS CORPORATE OFFICERS. THE PLAN PROVIDES SUPPLEMENTAL RETIREMENT INCOME THROUGH AN UNFUNDED, NONQUALIFIED DEFERRED COMPENSATION ARRANGEMENT UNDER SECTION 457(F) AND THROUGH A DEFERRED COMPENSATION PLAN UNDER SECTION 409A OF THE INTERNAL REVENUE CODE AND A MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES' PLAN UNDER THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974 (ERISA).
Schedule J (Form 990) 2010

Additional Data


Software ID:  
Software Version:  
Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBulletSee separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
BRIDGEPORT HOSPITAL
 
Employer identification number

06-0646554
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Description of transaction (c) Corrected?
Yes No





2
Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.
(a) Name of interested person and purpose (b) Loan to or from the organization? (c)Original principal amount (d)Balance due (e) In default? (f) Approved by board or committee? (g)Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b)Relationship between interested person and the organization (c)Amount of grant or type of assistance
For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2010
Schedule L (Form 990 or 990-EZ) 2010
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) EASTERN BAG AND PAPER GROUP SEE SCHEDULE O 126,261 SEE SCHEDULE O   No
(2) CENTURY FINANCIAL SERVICES INC SEE SCHEDULE O 327,798 SEE SCHEDULE O   No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
ADDITIONAL INFORMATION SCHEDULE L PART V INFORMATION FOR PART V OF SCHEDULE L PART IV COLUMN D BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS NAME OF INTERESTED PERSON CENTURY FINANCIAL SERVICES INC OFFICER PATRICK MCCABE IS AN OFFICER AND DIRECTOR OF CENTURY FINANCIAL SERVICES INC CENTURY FINANCIAL SERVICES INC PROVIDES BILLING AND COLLECTION SERVICES FOR THE HOSPITAL CENTURY FINANCIAL SERVICES INC IS PARTIALLY OWNED BY THE HOSPITALS CORPORATE PARENT BRIDGEPORT HOSPITAL AND HEALTHCARE SERVICES INC AMOUNT OF TRANSACTION 327798 NAME OF INTERESTED PERSON EASTERN BAG AND PAPER GROUP TRUSTEE MEREDITH REUBEN IS THE SOLE STOCKHOLDER AND CEO OF EASTERN BAG AND PAPER GROUP AFTER PERFORMING AN OBJECTIVE REVIEW PROCESS WHICH INCLUDED A COMPARISON TO COMPETITIVE ALTERNATIVES AVAILABLE IN THE MARKETPLACE AND IN WHICH MS REUBEN WAS NOT INVOLVED THE HOSPITAL PURCHASED JANITORIAL AND FOOD SERVICE SUPPLIES AND SERVICES FROM EASTERN BAG AND PAPER GROUP AMOUNT OF TRANSACTION 12625096
Schedule L (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
BRIDGEPORT HOSPITAL
 
Employer identification number

06-0646554
Identifier Return Reference Explanation
ADDITIONAL INFORMATION FORM 990 PART I, LINE 4 & PART VI, LINE IB NUMBER OF INDEPENDENT VOTING MEMBERS OF THE GOVERNING BODY THE ORGANIZATION SOUGHT TO CONFIRM THE INDEPENDENCE OF EACH VOTING MEMBER OF ITS GOVERNING BODY BY REQUESTING THAT EACH SUCH VOTING MEMBER RESPOND TO A QUESTIONAIRE CONTAINING THE PERTINENT INSTRUCTIONS AND DEFINITIONS AND DESIGNED TO ELICT THE INFORMATION NECESSARY TO DETERMINE INDEPENDENCE. BASED ON RESPONSES TO THE QUESTIONAIRES RECEIVED BY THE ORGANIZATION AND ANNUAL CONFLICTS OF INTEREST DISCLOSURES, THE ORGANIZATION WAS ABLE TO CONFIRM THAT 12 VOTING MEMBERS ARE INDEPENDENT.
FIRST ACHIEVEMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4A BRIDGEPORT HOSPITAL, FOUNDED IN 1878, IS A 425-BED URBAN TEACHING HOSPITAL SERVING MORE THAN 19,000 INPATIENTS AND OVER 195,000 OUTPATIENTS A YEAR. RECOGNIZED FOR ITS 602 EXPERT PHYSICIANS AND QUALITY OF CARE, BRIDGEPORT HOSPITAL IS BEST IN FAIRFIELD COUNTY FOR GERIATRICS ACCORDING TO U.S. NEWS & WORLD REPORT'S 2011-2012 BEST HOSPITALS RANKINGS. THE HOSPITAL IS THE SITE OF THE CONNECTICUT BURN CENTER, THE ONLY DEDICATED BURN CENTER IN THE STATE; THE HEART INSTITUTE, INCLUDING THE CONNECTICUT CARDIAC ARRHYTHMIA CENTER; THE NORMA F. PFRIEM CANCER INSTITUTE AND BREAST CARE CENTER; THE WOMEN'S CARE CENTER; CENTER FOR WOUND HEALING & HYPERBARIC MEDICINE; AND AHLBIN CENTERS FOR REHABILITATION MEDICINE. BRIDGEPORT HOSPITAL PARTICIPATES IN THE TRAINING OF MORE THAN 235 RESIDENT PHYSICIANS AND FELLOWS. A MEMBER OF YNHHS SINCE 1996, BRIDGEPORT HOSPITAL OPERATES ITS OWN SCHOOL OF NURSING. THE HOSPITAL IS COMMITTED TO PROVIDING ACCESS TO HEALTH CARE SERVICES AND EDUCATION TO THE UNDERSERVED AND COMMUNITY AT LARGE, AND TO BEING A LEADER IN HEALTH CARE ADVOCACY AND COMMUNITY BUILDING. DURING FISCAL YEAR (FY) 2011, BRIDGEPORT HOSPITAL PROVIDED APPROXIMATELY 54.1 MILLION DOLLARS IN COMMUNITY BENEFITS. THIS FIGURE INCLUDES 33.5 MILLION DOLLARS IN CHARITY CARE AND UNDER REIMBURSED MEDICAID (AT COST), 17.1 MILLION IN HEALTH PROFESSIONS EDUCATION, AND OVER 3.5 MILLION IN COMMUNITY HEALTH IMPROVEMENT AND EDUCATION ACTIVITIES, SUBSIDIZED SERVICES, RESEARCH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS. AN ADDITIONAL 235,000 DOLLARS WAS PROVIDED IN THE AREA OF COMMUNITY BUILDING ACTIVITIES, WHICH INCLUDED SUPPORT FOR ECONOMIC DEVELOPMENT, ENVIRONMENTAL IMPROVEMENTS, WORKFORCE DEVELOPMENT, ADVOCACY AND COALITION BUILDING. BRIDGEPORT HOSPITAL HAS INVESTED A SIGNIFICANT AMOUNT OF TIME AND RESOURCES IN THE DEVELOPMENT AND IMPLEMENTATION OF PROJECTS TO IMPROVE HEALTH AND INCREASE ACCESS.
ADDITIONAL INFORMATION FORM 990, PART VI PART VI, LINE 2 BUSINESS RELATIONS BETWEEN OFFICERS, DIRECTORS, TRUSTEES OR KEY EMPLOYEES TRUSTEES GEORGE CARTER, JENET HANSEN, AND RICHARD HOYT ARE BOARD MEMBERS OF THE SAME BUSINESS ENTITY. SOME OF THE ORGANIZATION'S CURRENT OFFICERS AND TRUSTEES SERVE AS OFFICERS AND/OR DIRECTORS OF TAXABLE AFFILIATES OR JOINT VENTURES WITHIN THE ORGANIZATION'S CORPORATE SYSTEM. THE INDIVIDUAL OFFICERS AND TRUSTEES DO NOT HAVE PERSONAL FINANCIAL INTERESTS IN THE TAXABLE AFFILIATES OR JOINT VENTURES AND SERVE ONLY AS A FUNCTION OF THEIR ROLES WITH THE ORGANIZATION. THE TAXABLE AFFILIATES AND JOINT VENTURES FOR WHICH SOME OF THE ORGANIZATION'S OFFICERS AND TRUSTEES SERVE AS OFFICERS AND/OR DIRECTORS INCLUDE: YALE-NEW HAVEN AMBULATORY SERVICES CORPORATION AND MYCARE, LLC.
RELATED PARTY INFORMATION AMONG OFFICERS FORM 990, PAGE 6, PART VI, LINE 2 SEE ABOVE
CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PAGE 6, PART VI, LINE 6 THE SOLE MEMBER OF BRIDGEPORT HOSPITAL IS BRIDGEPORT HOSPITAL & HEALTHCARE SERVICES, INC.
ELECTION OF MEMBERS AND THEIR RIGHTS FORM 990, PAGE 6, PART VI, LINE 7A THE HOSPITAL IS GOVERNED BY ITS BOARD OF DIRECTORS, WHICH ELECTS THE PERSONS TO SERVE ON SUCH BOARD OF DIRECTORS
DECISIONS SUBJECT TO APPROVAL OF MEMBERS FORM 990, PAGE 6, PART VI, LINE 7B BRIDGEPORT HOSPITAL & HEALTHCARE SERVICES, INC. SHALL HAVE THE FOLLOWING RIGHTS, POWERS AND PRIVILEGES: A)TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS, PROGRAMS AND EXPENDITURES REQUIRING CERTIFICATE OF NEED APPROVAL BY APPROPRIATE GOVERNMENTAL BODIES, AND PLANS THAT MATERIALLY AFFECT THE GROWTH, OPERATING AND DEVELOPMENT OF THE HOSPITAL. B)TO VOTE UPON ALL MATTERS ON WHICH MEMBERS ARE ENTITLED TO VOTE UNDER THE CONNECTICUT REVISED NONSTOCK CORPORATION ACT, AS AMENDED, SUPPLEMENTED OR OTHERWISE MODIFIED FROM TIME TO TIME C)TO ELECT AND REMOVE THE DIRECTORS AND NON-VOTING PHYSICIAN DIRECTORS IN ACCORDANCE WITH THE PROVISIONS BY THESE BYLAWS. D)TO ELECT AND REMOVE THE OFFICERS AND THE HOSPITAL IN ACCORDANCE WITH THE PROVISIONS OF THE BYLAWS E)TO ACT ON ANY OTHER MATTERS ON WHICH ACTION BY MEMBERS IS REQUIRED OR PERMITTED BY THESE BYLAWS
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11B THE FORM 990 TAX RETURN AND ATTACHED SCHEDULES WERE PREPARED BY EMPLOYEES OF THE SYSTEM TAX DEPARTMENT. THE RETURN IS INITIALLY REVIEWED BY THE ADMINISTRATIVE DIRECTOR OF FINANCE. SUBSEQUENTLY IT IS SENT TO ERNST & YOUNG US, LLP FOR THEIR INITIAL REVIEW. AFTER ALL COMMENTS FROM THE ABOVE GROUP ARE CLEARED, THE RETURN IS THEN REVIEWED BY THE CHIEF FINANCIAL OFFICER OF THE ENTITY AND A FINAL VERSION OF THE RETURN IS SENT BACK TO ERNST & YOUNG US, LLP FOR FINAL REVIEW. PRIOR TO FILING, THE ORGANIZATION MADE AVAILABLE A COMPLETE COPY OF THE RETURN TO THE BOARD OF DIRECTORS VIA A WEB PORTAL.
ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C BRIDGEPORT HOSPITAL IS COVERED UNDER THE YALE NEW HAVEN HEALTH SERVICES CORP. CONFLICT OF INTEREST POLICY. THE YALE NEW HAVEN HEALTH SYSTEM CONFLICT OF INTEREST POLICY (CC:R-7) AND INDIVIDUAL ANNUAL DISCLOSURE FORM APPLIES TO A POOL OF EMPLOYEES, BOARD MEMBERS AND NON-BOARD MEMBERS SERVING ON BOARD COMMITTEES. THESE "COVERED INDIVIDUALS" ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT, UPON BEGINNING EMPLOYMENT OR OTHERWISE BECOMING A COVERED INDIVIDUAL AND ANNUALLY THEREAFTER. COVERED INDIVIDUALS ARE ALSO REQUIRED TO IMMEDIATELY REPORT MATERIAL CHANGES TO THEIR MOST RECENTLY COMPLETED DISCLOSURE STATEMENT. THESE DISCLOSURE STATEMENTS AND REPORTS ARE REVIEWED BY THE OFFICE OF PRIVACY AND CORPORATE COMPLIANCE AND/OR THE LEGAL AND RISK SERVICES DEPARTMENT TO ENSURE COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. IF A POTENTIAL CONFLICT ARISES, THE PRESIDENT AND CEO WOULD CONSULT WITH THE BOARD CHAIRPERSON AND THE LEGAL AND RISK SERVICES DEPARTMENT AND TAKE ANY ACTIONS THAT SHE DEEMS REQUIRED OR APPROPRIATE TO MANAGE OR RESOLVE A POTENTIAL CONFLICT OF INTEREST. FOR EXAMPLE, A VOTING BOARD OR COMMITTEE MEMBER WOULD BE REQUIRED TO RECUSE HIMSELF OR HERSELF FROM VOTING ON MATTERS RELATED TO THE POTENTIAL CONFLICT AND THE POTENTIAL CONFLICT WOULD BE DISCLOSED TO OTHER VOTING MEMBERS.
COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A THE MANAGEMENT AFFAIRS COMMITTEE OF BRIDGEPORT HOSPITAL STRIVES TO TAKE THE STEPS NECESSARY TO QUALIFY FOR THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER FEDERAL TAX LAW. THE MANAGEMENT AFFAIRS COMMITTEE IS AUTHORIZED UNDER THE BRIDGEPORT HOSPITAL 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 BRIDGEPORT HOSPITAL BOARD ON AN ANNUAL BASIS. IN ADDITION, THE MANAGEMENT AFFAIRS 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 MANAGEMENT AFFAIRS 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 MANAGEMENT AFFAIRS COMMITTEE IN ITS COMPENSATION DELIBERATIONS ARE COMPILED BY AN INDEPENDENT, NATIONAL COMPENSATION CONSULTING FIRM THAT IS RETAINED BY AND REPORTS DIRECTLY TO THE MANAGEMENT AFFAIRS 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 MANAGEMENT AFFAIRS COMMITTEE ARE CONTEMPORANEOUSLY DOCUMENTED, REVIEWED AND APPROVED BY THE MANAGEMENT AFFAIRS COMMITTEE, AND PROVIDED TO THE BOARD.
COMPENSATION PROCESS FOR OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B THE MANAGEMENT AFFAIRS COMMITTEE OF THE BRIDGEPORT HORPITAL STRIVES TO TAKE THE STEPS NECESSARY TO QUALIFY FOR THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER FEDERAL TAX LAW. THE MANAGEMENT AFFAIRS COMMITTEE IS AUTHORIZED UNDER THE BRIDGEPORT HOSPITAL 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 BRIDGEPORT HOSPITAL BOARD ON AN ANNUAL BASIS. IN ADDITION, THE MANAGEMENT AFFAIRS 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 MANAGEMENT AFFAIRS 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 MANAGEMENT AFFAIRS COMMITTEE IN ITS COMPENSATION DELIBERATIONS ARE COMPILED BY AN INDEPENDENT, NATIONAL COMPENSATION CONSULTING FIRM THAT IS RETAINED BY AND REPORTS DIRECTLY TO THE MANAGEMENT AFFAIRS 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 MANAGEMENT AFFAIRS COMMITTEE ARE CONTEMPORANEOUSLY DOCUMENTED, REVIEWED AND APPROVED BY THE MANAGEMENT AFFAIRS COMMITTEE, AND PROVIDED TO THE BOARD.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 COPIES OF FORM 990, FORM 1023 AND AUDITED FINANCIAL STATEMENTS ARE MAINTAINED IN THE SYSTEM TAX DEPARTMENT. OTHER CORPORATE GOVERNING DOCUMENTS ARE MAINTAINED BY THE LEGAL AND RISK SERVICES DEPARTMENT. THE CONFLICT OF INTEREST POLICY, WHISTLEBLOWER POLICY, AND DOCUMENT RETENTION POLICY ARE AVAILABLE TO ALL EMPLOYEES ON THE CORPORATE INTERNAL WEBSITE. COPIES OF ALL DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
RELATED ORGANIZATIONS FORM 990, PAGE 7, PART VII SCHEDULE J - FOR INDIVIDUALS WHO RECEIVE COMPENSATION FROM RELATED ORGANIZATIONS. OFFICERS WORK AN AVERAGE OF 40 HOURS SPREAD OVER THE FILING ENTITY AND THE ENTITIES LISTED IN SCHEDULE R.
OTHER CHANGES IN NET ASSETS EXPLANATION FORM 990, PART XI, LINE 5 OTHER CHANGES IN NET ASSETS OR FUND BALANCES: NET CHANGE IN INTEREST IN BHF, INC. (1,285,000) INCREASE IN TEMP RESTRICTED NET ASSETS (450,000) INCREASE IN PERM RESTRICTED NET ASSETS (1,773,000) TRANSFER FROM YNHHSC (900,000) OTHER TRANSFERS (168,477) NET ASSETS RELEASED FOR CAPITAL ACQUISITIONS (535,000) PENSION LIABILITY ADJUSTMENT 14,167,000 TRANSFERS TO BHHS AND HSC 9,233,000 RECLASSIFICATION IN CHANGE OF NET ASSETS ( 91,946) ------------------- OTHER CHANGES (18,196,577) ====================
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
BRIDGEPORT HOSPITAL
 
Employer identification number

06-0646554
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income



(e)
End-of-year assets


(f)
Direct controlling
entity



















Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section



(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled organization
Yes No
(1) SOUTHERN CT HEALTH SYSTEM PROP INC

267 GRANT STREET

BRIDGEPORT,CT06610
06-1297708
TITLE HOLD CT 501C2   BHHS
 
Yes
 
(2) YALE NEW HAVEN HEALTH SERVICES CORP

789 HOWARD AVENUE

NEW HAVEN,CT06519
22-2529464
SUPPORT CT 501C3 11A NA
 
 
No
(3) NORMA F PFRIEM BREAST CENTER INC

111 BEACH ROAD

FAIRFIELD,CT06430
06-0567752
HEALTHCARE CT 501C3 11A BH
 
Yes
 
(4) BRIDGEPORT HOSPITAL AND HEALTHCARE

267 GRANT STREET

BRIDGEPORT,CT06610
06-1066729
SUPPORT CT 501C3 11A YNHHSC
 
 
No
(5) BRIDGEPORT HOSPITAL FOUNDATION INC

267 GRANT STREET

BRIDGEPORT,CT06610
22-2908698
SUPPORT CT 501C3 7 BHHS
 
Yes
 
(6) BRIDGEPORT HOSPITAL AUXILIARY INC

267 GRANT STREET

BRIDGEPORT,CT06610
06-6042500
SUPPORT CT 501C3 11A BHHS
 
Yes
 
(7) GREENWICH HOSP ENDOWMENT FUND INC

5 PERRYRIDGE ROAD

GREENWICH,CT06830
06-1526642
SUPPORT CT 501C3 11B GHCS INC
 
Yes
 
(8) GREENWICH HEALTH CARE SERVICES INC

5 PERRYRIDGE ROAD

GREENWICH,CT06830
22-2593399
SUPPORT CT 501C3 11B YNHHSC
 
 
No
(9) GREENWICH HOSPITAL

5 PERRYRIDGE ROAD

GREENWICH,CT06830
06-0646659
HEALTHCARE CT 501C3 3 GHCS INC
 
Yes
 
(10) PERRYRIDGE CORPORATION

5 PERRYRIDGE ROAD

GREENWICH,CT06830
06-1207316
SUPPORT CT 501C3 11B GHCS INC
 
Yes
 
(11) NORTHEAST MEDICAL GROUP INC

226 MILL HILL AVENUE

BRIDGEPORT,CT06610
06-1330992
HEALTHCARE CT 501C3 9 YNHHSC
 
Yes
 
(12) NORTHEAST MEDICAL GROUP PLLC

226 MILL HILL AVENUE

BRIDGEPORT,CT06610
35-2380180
HEALTHCARE CT 501C3 11A NEMG
 
Yes
 
(13) YNH NETWORK CORP

789 HOWARD AVENUE

NEW HAVEN,CT06519
06-1513687
SUPPORT CT 501C3 11A YNHHSC
 
 
No
(14) YALE-NEW HAVEN HOSPITAL

20 YORK STREET

NEW HAVEN,CT06504
06-0646652
HEALTHCARE CT 501C3 3 YNHNETWORK
 
Yes
 
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No
(1) SHORELINE SURGERY CENTER LLC

60 TEMPLE STREET
NEW HAVEN,CT06510
90-0110459
HEALTHCARE CT N/A
        No     No  
(2) SSC II LLC

111 GOOSE LANE
GUILFORD,CT06437
26-1709383
HEALTHCARE CT N/A
        No     No  
(3) ORTHO & NEUROSUR CTR GREENWICH

55 HOLLY HILL LANE
GREENWICH,CT06830
27-3411797
HEALTHCARE CT N/A
        No     No  
(4) SHORELINE SURGERY CENTER LLC

60 TEMPLE STREET
NEW HAVEN,CT06510
90-0110459
HEALTHCARE CT N/A
        No     No  
(5) SSC II LLC

111 GOOSE LANE
GUILFORD,CT06437
26-1709383
HEALTHCARE CT N/A
        No     No  
(6) ORTHO & NEUROSUR CTR GREENWICH

55 HOLLY HILL LANE
GREENWICH,CT06830
27-3411797
HEALTHCARE CT N/A
        No     No  
(7) SHORELINE SURGERY CENTER LLC

60 TEMPLE STREET
NEW HAVEN,CT06510
90-0110459
HEALTHCARE CT N/A
        No     No  
(8) SSC II LLC

111 GOOSE LANE
GUILFORD,CT06437
26-1709383
HEALTHCARE CT N/A
        No     No  
(9) ORTHO & NEUROSUR CTR GREENWICH

55 HOLLY HILL LANE
GREENWICH,CT06830
27-3411797
HEALTHCARE CT N/A
        No     No  
(10) SHORELINE SURGERY CENTER LLC

60 TEMPLE STREET
NEW HAVEN,CT06510
90-0110459
HEALTHCARE CT N/A
        No     No  
(11) SSC II LLC

111 GOOSE LANE
GUILFORD,CT06437
26-1709383
HEALTHCARE CT N/A
        No     No  
(12) ORTHO & NEUROSUR CTR GREENWICH

55 HOLLY HILL LANE
GREENWICH,CT06830
27-3411797
HEALTHCARE CT N/A
        No     No  
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization



(b)
Primary activity



(c)
Legal domicile
(state or
foreign
country)
(d)
Direct controlling
entity


(e)
Type of entity
(C corp, S corp,
or trust)

(f)
Share of total income



(g)
Share of
end-of-year
assets

(h)
Percentage
ownership


(1) YNHH MSO INC
789 HOWARD AVE
NEW HAVEN,CT06519
06-1467717
MGT SVCS CT N/A
       
(2) YALE NEW HAVEN AMBULATORY SERV CORP
40 TEMPLE STREET
NEW HAVEN,CT06510
06-1398526
HEALTHCARE CT N/A
       
(3) YORK ENTERPRISES INC
50 YORK STREET
NEW HAVEN,CT06511
06-1110937
TITLE HOLD CT N/A
       
(4) YNHH PHYSICIANS CORP
789 HOWARD AVE
NEW HAVEN,CT06519
06-1202305
ADMIN SVCS CT N/A
       
(5) MEDICAL CENTER REALTY INC
50 YORK STREET
NEW HAVEN,CT06511
06-1110858
RENTAL CT N/A
       
(6) MEDICAL CENTER PHARMACY
50 YORK STREET
NEW HAVEN,CT06511
06-1087673
PHARMACY CT N/A
       
(7) QUINNIPIAC MEDICAL PC
789 HOWARD AVE
NEW HAVEN,CT06519
06-1405531
HEALTHCARE CT N/A
       
(8) YNH GERIATRIC SERVICES PC
789 HOWARD AVE
NEW HAVEN,CT06519
06-1561581
HEALTHCARE CT N/A
       
(9) CHC PHYSICIANS PC
789 HOWARD AVE
NEW HAVEN,CT06519
06-1436530
HEALTHCARE CT N/A
       
(10) YNH MEDICAL SERVICES PC
789 HOWARD AVE
NEW HAVEN,CT06519
06-1561583
HEALTHCARE CT N/A
       
(11) GREENWICH HEALTH SERVICES INC
5 PERRYRIDGE ROAD
GREENWICH,CT06830
06-1233643
HEALTHCARE CT N/A
       
(12) GREENWICH FERTILITY & IVF CENTER PC
5 PERRYRIDGE ROAD
GREENWICH,CT06830
30-0145464
HEALTHCARE CT N/A
       
(13) GREENWICH INTEGRATIVE MEDICINE PC
35 RIVER ROAD
COS COB,CT06807
26-0236411
HEALTHCARE CT N/A
       
(14) GREENWICH OCCUPATION HEALTH SERV PC
5 PERRYRIDGE ROAD
GREENWICH,CT06830
06-1540101
HEALTHCARE CT N/A
       
(15) GREENWICH PEDIATRIC SERVICES P C
5 PERRYRIDGE ROAD
GREENWICH,CT06830
74-3054409
HEALTHCARE CT N/A
       
(16) YNHH MSO INC
789 HOWARD AVE
NEW HAVEN,CT06519
06-1467717
MGT SVCS CT N/A
       
(17) YALE NEW HAVEN AMBULATORY SERV CORP
40 TEMPLE STREET
NEW HAVEN,CT06510
06-1398526
HEALTHCARE CT N/A
       
(18) YORK ENTERPRISES INC
50 YORK STREET
NEW HAVEN,CT06511
06-1110937
TITLE HOLD CT N/A
       
(19) YNHH PHYSICIANS CORP
789 HOWARD AVE
NEW HAVEN,CT06519
06-1202305
ADMIN SVCS CT N/A
       
(20) MEDICAL CENTER REALTY INC
50 YORK STREET
NEW HAVEN,CT06511
06-1110858
RENTAL CT N/A
       
(21) MEDICAL CENTER PHARMACY
50 YORK STREET
NEW HAVEN,CT06511
06-1087673
PHARMACY CT N/A
       
(22) QUINNIPIAC MEDICAL PC
789 HOWARD AVE
NEW HAVEN,CT06519
06-1405531
HEALTHCARE CT N/A
       
(23) YNH GERIATRIC SERVICES PC
789 HOWARD AVE
NEW HAVEN,CT06519
06-1561581
HEALTHCARE CT N/A
       
(24) CHC PHYSICIANS PC
789 HOWARD AVE
NEW HAVEN,CT06519
06-1436530
HEALTHCARE CT N/A
       
(25) YNH MEDICAL SERVICES PC
789 HOWARD AVE
NEW HAVEN,CT06519
06-1561583
HEALTHCARE CT N/A
       
(26) GREENWICH HEALTH SERVICES INC
5 PERRYRIDGE ROAD
GREENWICH,CT06830
06-1233643
HEALTHCARE CT N/A
       
(27) GREENWICH FERTILITY & IVF CENTER PC
5 PERRYRIDGE ROAD
GREENWICH,CT06830
30-0145464
HEALTHCARE CT N/A
       
(28) GREENWICH INTEGRATIVE MEDICINE PC
35 RIVER ROAD
COS COB,CT06807
26-0236411
HEALTHCARE CT N/A
       
(29) GREENWICH OCCUPATION HEALTH SERV PC
5 PERRYRIDGE ROAD
GREENWICH,CT06830
06-1540101
HEALTHCARE CT N/A
       
(30) GREENWICH PEDIATRIC SERVICES P C
5 PERRYRIDGE ROAD
GREENWICH,CT06830
74-3054409
HEALTHCARE CT N/A
       
(31) YNHH MSO INC
789 HOWARD AVE
NEW HAVEN,CT06519
06-1467717
MGT SVCS CT N/A
       
(32) YALE NEW HAVEN AMBULATORY SERV CORP
40 TEMPLE STREET
NEW HAVEN,CT06510
06-1398526
HEALTHCARE CT N/A
       
(33) YORK ENTERPRISES INC
50 YORK STREET
NEW HAVEN,CT06511
06-1110937
TITLE HOLD CT N/A
       
(34) YNHH PHYSICIANS CORP
789 HOWARD AVE
NEW HAVEN,CT06519
06-1202305
ADMIN SVCS CT N/A
       
(35) MEDICAL CENTER REALTY INC
50 YORK STREET
NEW HAVEN,CT06511
06-1110858
RENTAL CT N/A
       
(36) MEDICAL CENTER PHARMACY
50 YORK STREET
NEW HAVEN,CT06511
06-1087673
PHARMACY CT N/A
       
(37) QUINNIPIAC MEDICAL PC
789 HOWARD AVE
NEW HAVEN,CT06519
06-1405531
HEALTHCARE CT N/A
       
(38) YNH GERIATRIC SERVICES PC
789 HOWARD AVE
NEW HAVEN,CT06519
06-1561581
HEALTHCARE CT N/A
       
(39) CHC PHYSICIANS PC
789 HOWARD AVE
NEW HAVEN,CT06519
06-1436530
HEALTHCARE CT N/A
       
(40) YNH MEDICAL SERVICES PC
789 HOWARD AVE
NEW HAVEN,CT06519
06-1561583
HEALTHCARE CT N/A
       
(41) GREENWICH HEALTH SERVICES INC
5 PERRYRIDGE ROAD
GREENWICH,CT06830
06-1233643
HEALTHCARE CT N/A
       
(42) GREENWICH FERTILITY & IVF CENTER PC
5 PERRYRIDGE ROAD
GREENWICH,CT06830
30-0145464
HEALTHCARE CT N/A
       
(43) GREENWICH INTEGRATIVE MEDICINE PC
35 RIVER ROAD
COS COB,CT06807
26-0236411
HEALTHCARE CT N/A
       
(44) GREENWICH OCCUPATION HEALTH SERV PC
5 PERRYRIDGE ROAD
GREENWICH,CT06830
06-1540101
HEALTHCARE CT N/A
       
(45) GREENWICH PEDIATRIC SERVICES P C
5 PERRYRIDGE ROAD
GREENWICH,CT06830
74-3054409
HEALTHCARE CT N/A
       
(46) YNHH MSO INC
789 HOWARD AVE
NEW HAVEN,CT06519
06-1467717
MGT SVCS CT N/A
       
(47) YALE NEW HAVEN AMBULATORY SERV CORP
40 TEMPLE STREET
NEW HAVEN,CT06510
06-1398526
HEALTHCARE CT N/A
       
(48) YORK ENTERPRISES INC
50 YORK STREET
NEW HAVEN,CT06511
06-1110937
TITLE HOLD CT N/A
       
(49) YNHH PHYSICIANS CORP
789 HOWARD AVE
NEW HAVEN,CT06519
06-1202305
ADMIN SVCS CT N/A
       
(50) MEDICAL CENTER REALTY INC
50 YORK STREET
NEW HAVEN,CT06511
06-1110858
RENTAL CT N/A
       
(51) MEDICAL CENTER PHARMACY
50 YORK STREET
NEW HAVEN,CT06511
06-1087673
PHARMACY CT N/A
       
(52) QUINNIPIAC MEDICAL PC
789 HOWARD AVE
NEW HAVEN,CT06519
06-1405531
HEALTHCARE CT N/A
       
(53) YNH GERIATRIC SERVICES PC
789 HOWARD AVE
NEW HAVEN,CT06519
06-1561581
HEALTHCARE CT N/A
       
(54) CHC PHYSICIANS PC
789 HOWARD AVE
NEW HAVEN,CT06519
06-1436530
HEALTHCARE CT N/A
       
(55) YNH MEDICAL SERVICES PC
789 HOWARD AVE
NEW HAVEN,CT06519
06-1561583
HEALTHCARE CT N/A
       
(56) GREENWICH HEALTH SERVICES INC
5 PERRYRIDGE ROAD
GREENWICH,CT06830
06-1233643
HEALTHCARE CT N/A
       
(57) GREENWICH FERTILITY & IVF CENTER PC
5 PERRYRIDGE ROAD
GREENWICH,CT06830
30-0145464
HEALTHCARE CT N/A
       
(58) GREENWICH INTEGRATIVE MEDICINE PC
35 RIVER ROAD
COS COB,CT06807
26-0236411
HEALTHCARE CT N/A
       
(59) GREENWICH OCCUPATION HEALTH SERV PC
5 PERRYRIDGE ROAD
GREENWICH,CT06830
06-1540101
HEALTHCARE CT N/A
       
(60) GREENWICH PEDIATRIC SERVICES P C
5 PERRYRIDGE ROAD
GREENWICH,CT06830
74-3054409
HEALTHCARE CT N/A
       
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III or IV.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
 
No
d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
Yes
 
j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
Yes
 
k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization
(b)
Transaction
type(a-r)
(c)
Amount involved
(d)
Method of determining amount involved
(1) BRIDGEPORT HOSPITAL & HEALTHCARE

Q 7,107,472 TRANSACTION REVIEW
(2) BRIDGEPORT HOSPITAL & HEALTHCARE

I 304,022 COMPARABLE MARKET VALUE
(3) BRIDGEPORT HOSPITAL FOUNDATION

P 1,080,692 TRANSACTION REVIEW
(4) BRIDGEPORT HOSPITAL FOUNDATION

I 4,200 COMPARABLE MARKET VALUE
(5) BRIDGEPORT HOSPITAL FOUNDATION

K 349,168 TRANSACTION REVIEW
(6) SCHS PROPERTIES INC

J 135,763 TRANSACTION REVIEW
(7) YALE NEW HAVEN HEALTH SERVICES CORP

O 5,830,000 TRANSACTION REVIEW
(8) YALE NEW HAVEN HEALTH SERVICES CORP

L 40,121,633 COMPARABILE MARKET VALUE
(9) SCHS PROPERTIES INC

P 15,024 TRANSACTION REVIEW
(10) SCHS PROPERTIES INC

K 45,202 TRANSACTION REVIEW
(11) YALE NEW HAVEN HEALTH SERVICES CORP

R 6,914,760 CASH
(12) BRIDGEPORT HOSPITAL FOUNDATION INC

R 2,454,959 TRANSACTION REVIEW
(13) SCHS PROPERTIES INC

Q 50,000 TRANSACTION REVIEW
(14) NORTHEAST MEDICAL GROUP INC

L 8,273,836 TRANSACTION REVIEW
(15) NORMA PFRIEM BREAST CARE CTR INC

R 1,129,816 CASH
(16) BRIDGEPORT HOSPITAL & HEALTHCARE

Q 7,107,472 TRANSACTION REVIEW
(17) BRIDGEPORT HOSPITAL & HEALTHCARE

I 304,022 COMPARABLE MARKET VALUE
(18) BRIDGEPORT HOSPITAL FOUNDATION

P 1,080,692 TRANSACTION REVIEW
(19) BRIDGEPORT HOSPITAL FOUNDATION

I 4,200 COMPARABLE MARKET VALUE
(20) BRIDGEPORT HOSPITAL FOUNDATION

K 349,168 TRANSACTION REVIEW
(21) SCHS PROPERTIES INC

J 135,763 TRANSACTION REVIEW
(22) YALE NEW HAVEN HEALTH SERVICES CORP

O 5,830,000 TRANSACTION REVIEW
(23) YALE NEW HAVEN HEALTH SERVICES CORP

L 40,121,633 COMPARABILE MARKET VALUE
(24) SCHS PROPERTIES INC

P 15,024 TRANSACTION REVIEW
(25) SCHS PROPERTIES INC

K 45,202 TRANSACTION REVIEW
(26) YALE NEW HAVEN HEALTH SERVICES CORP

R 6,914,760 CASH
(27) BRIDGEPORT HOSPITAL FOUNDATION INC

R 2,454,959 TRANSACTION REVIEW
(28) SCHS PROPERTIES INC

Q 50,000 TRANSACTION REVIEW
(29) NORTHEAST MEDICAL GROUP INC

L 8,273,836 TRANSACTION REVIEW
(30) NORMA PFRIEM BREAST CARE CTR INC

R 1,129,816 CASH
(31) BRIDGEPORT HOSPITAL & HEALTHCARE

Q 7,107,472 TRANSACTION REVIEW
(32) BRIDGEPORT HOSPITAL & HEALTHCARE

I 304,022 COMPARABLE MARKET VALUE
(33) BRIDGEPORT HOSPITAL FOUNDATION

P 1,080,692 TRANSACTION REVIEW
(34) BRIDGEPORT HOSPITAL FOUNDATION

I 4,200 COMPARABLE MARKET VALUE
(35) BRIDGEPORT HOSPITAL FOUNDATION

K 349,168 TRANSACTION REVIEW
(36) SCHS PROPERTIES INC

J 135,763 TRANSACTION REVIEW
(37) YALE NEW HAVEN HEALTH SERVICES CORP

O 5,830,000 TRANSACTION REVIEW
(38) YALE NEW HAVEN HEALTH SERVICES CORP

L 40,121,633 COMPARABILE MARKET VALUE
(39) SCHS PROPERTIES INC

P 15,024 TRANSACTION REVIEW
(40) SCHS PROPERTIES INC

K 45,202 TRANSACTION REVIEW
(41) YALE NEW HAVEN HEALTH SERVICES CORP

R 6,914,760 CASH
(42) BRIDGEPORT HOSPITAL FOUNDATION INC

R 2,454,959 TRANSACTION REVIEW
(43) SCHS PROPERTIES INC

Q 50,000 TRANSACTION REVIEW
(44) NORTHEAST MEDICAL GROUP INC

L 8,273,836 TRANSACTION REVIEW
(45) NORMA PFRIEM BREAST CARE CTR INC

R 1,129,816 CASH
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Are all
partners
section
501(c)(3)
organizations?
(e)
Share of
end-of-year
assets
(f)
Disproprtionate allocations?
(g)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065)
(h)
General or
managing
partner?
Yes No Yes No Yes No






























Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
Additional Data


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