4A (Expenses $ 128150142 including grants of $ 0) (Revenue $ 145760252)
"AS A SHORT-TERM ACUTE CARE COMMUNITY HOSPITAL, BRISTOL HOSPITAL PROVIDES A BROAD SPECTRUM OF HEALTHCARE SERVICES TO ANY INDIVIDUAL REGARDLESS OF THE INDIVIDUAL'S ABILITY TO PAY. THE HOSPITAL PROVIDED CHARITY CARE TO THOSE UNABLE TO PAY FOR SERVICES AT COST OF OVER $144,000 DURING THE OPERATING YEAR AND SUPPORTED THE STATE MEDICAID PROGRAM THROUGH THE PAYMENT OF OVER $12.7 MILLION IN PROVIDER TAXES. THE HOSPITAL ALSO PROVIDES EDUCATION AND WELLNESS PROGRAMS TO THE COMMUNITY. THESE ACTIVITIES TYPICALLY REACH OVER 3,000 INDIVIDUALS PER QUARTER. THESE ACTIVITIES INCLUDE: WELLNESS CENTER- SPECIAL CENTER FOR EDUCATIONAL OUTREACH PROGRAMMING SERVING HUNDREDS OF INDIVIDUALS PER MONTH. - COMMUNITY HEALTH SCREENINGS - ONGOING FREE AND REDUCED PRICE SCREENINGS FOR MAMMOGRAMS, BLOOD PRESSURE, CHOLESTEROL, PROSTATE CANCER, SKIN CANCER AND A FLU CLINIC PROVIDING FREE FLU SHOTS IN THE FALL. - SPEAKERS BUREAU - A COMMUNITY SERVICE WHERE THE HOSPITAL PROVIDES SPEAKERS ON A VARIETY OF TOPICS TO SERVE THE COMMUNITY'S EDUCATIONAL NEEDS. - PERIODIC COMMUNITY SERVICE PROJECTS - THE HOSPITAL HAS SPONSORED TWO MAJOR OUTREACH EFFORTS, ONE TO PROMOTE EARLY DETECTION OF BREAST CANCER AND ONE TARGETED TO PREVENT COLON CANCER. BOTH PROGRAMS HAVE INCREASED THE COMMUNITY'S COMPLIANCE WITH THE RECOMMENDED CANCER SCREENINGS AND HAVE BEEN RECOGNIZED WITH STATE, REGIONAL AND NATIONAL AWARDS.BRISTOL HOSPITAL BACKGROUND: BRISTOL HOSPITAL, THE FLAGSHIP OF THE BRISTOL HOSPITAL AND HEALTH CARE GROUP, IS COMMITTED TO PROVIDING INPATIENT AND OUTPATIENT HEALTH CARE SERVICES THAT ARE PROGRESSIVE, COMPASSIONATE, COORDINATED, ACCESSIBLE, AFFORDABLE, HIGH QUALITY AND RESPONSIVE TO COMMUNITY NEEDS. THE HOSPITAL'S CENTRAL MISSION IS TO BE THE LEADING HEALTH CARE PROVIDER FOR THE PEOPLE WHO LIVE AND WORK IN THE GREATER BRISTOL AREA, A ROLE THAT IT HAS PLAYED FOR MANY GENERATIONS SINCE THE EARLY 1920S. BRISTOL HOSPITAL SERVES ALL PEOPLE WHO NEED CARE, REGARDLESS OF THEIR AGE, GENDER, SEXUAL ORIENTATION, RACE, RELIGION, NATIONAL ORIGIN, PERSONAL LIMITATIONS, OR ABILITY TO PAY. IN ADDITION TO BEING THE LEADING HEALTH CARE PROVIDER, BRISTOL HOSPITAL IS ALSO ONE OF THE AREA'S LARGEST EMPLOYERS. THE HOSPITAL'S BOARD OF DIRECTORS IS COMPRISED OF COMMUNITY AND CIVIC LEADERS, WORKING AND RETIRED LOCAL BUSINESS EXECUTIVES, AND PHYSICIANS WHO GUIDE THE OVERALL PHILOSOPHY AND DIRECTION OF THE ORGANIZATION TO MEET THE NEEDS OF THE LOCAL COMMUNITY.BRISTOL HOSPITAL VISION: BRISTOL HOSPITAL AND HEALTH CARE GROUP ASPIRES TO BE RECOGNIZED AS THE BEST COMMUNITY HEALTH CARE PROVIDER IN CONNECTICUT. WORKING WITH OUR PATIENTS, PHYSICIANS, EMPLOYEES, VOLUNTEERS AND COMMUNITY, BRISTOL HOSPITAL AND HEALTH CARE GROUP WILL UTILIZE OUR CORE VALUES TO ACHIEVE THE VISION WHICH CREATES A CULTURE OF SAFETY, QUALITY AND SERVICE THAT IS EMBRACED AS AN INDIVIDUAL AND TEAM RESPONSIBILITY; ENSURES A USER-FRIENDLY CONTINUUM MODELED ON PROVIDING PATIENT-CENTERED CARE AND SERVICES; CONTINUALLY ASSESSES AND PROMOTES NEW SERVICES AND TECHNOLOGY; AND SERVES AS THE RESPONSIBLE STEWARD AND ADVOCATE FOR THE HEALTH OF OUR COMMUNITY.BRISTOL HOSPITAL PATHWAYS COMMUNITY PROGRAMMING: THIS IS COMPRISED OF DOZENS OF LOW COST OR FREE CLASSES AND SEMINARS THAT ARE OFFERED THROUGH ITS PATHWAYS CATALOG. THE CATALOG ALSO IS MAILED TO HOUSEHOLDS IN TOWNS IN BRISTOL HOSPITAL'S PRIMARY AND SECONDARY SERVICE AREAS. THE COMMUNITY PROGRAMMING OFFERED THROUGH THE PATHWAYS INCLUDE: WEIGHT LOSS SURGERY INFORMATION, MATERNITY, PARENTING EDUCATION, NUTRITION, CPR/EMT, STRESS RELIEF, REIKI, PERSONAL HEALTH AND DEVELOPMENT, SUPPORT GROUPS, THE DOCTOR IS IN - FREE HEALTH INFORMATION AND SEMINAR SERIES, HEALTH SCREENINGS, WEIGHT LOSS SUPPORT GROUP, CANCER CARE GROUPS, EVENING DIABETES SUPPORT GROUP, DAYTIME DIABETES SUPPORT GROUP, ALZHEIMER'S SUPPORT GROUP, OVEREATERS ANONYMOUS, AND EPILEPSY SUPPORT. ""THE DOCTOR IS IN"" FREE HEALTH INFORMATION AND SEMINAR SERIES INCLUDES FREE PRESENTATIONS BY THE PHYSICIANS OF THE BRISTOL HOSPITAL MULTI-SPECIALTY GROUP IN THE FOLLOWING DISCIPLINES: DEMENTIA, HEALTHY LIVING, FALL PREVENTION, POLY PHARMACY, JOINT HEALTH, THYROID HEALTH, SMOKING, COPD & ASTHMA, BREAST HEALTH, EXERCISE FOR THE ELDERLY, AND CARDIO AND SPORTS HEALTH.BRISTOL HOSPITAL COMMUNITY RELATIONS/BENEFIT ACTIVITIES: THE PARENT AND CHILD CENTER AT BRISTOL HOSPITAL: THE CENTER'S PRIMARY FOCUS IS ON PREVENTION OF CHILD ABUSE, NEGLECT AND FAMILY VIOLENCE BY PROVIDING SUPPORT SYSTEMS FOR FAMILIES INCLUDING STRESS/ANGER MANAGEMENT, FAMILY FINANCES, CHILD DEVELOPMENT, COMMUNICATION SKILLS, EFFECTIVE DISCIPLINE, AND PLANNING/DECISION-MAKING SKILLS.BRISTOL HOSPITAL COMMUNITY CARE TEAM: THE OBJECTIVE OF THE BRISTOL HOSPITAL COMMUNITY CARE TEAM IS TO PROVIDE PATIENT-CENTERED CARE AND TO IMPROVE HEALTH OUTCOMES BY DEVELOPING AND IMPLEMENTING A SAFETY NET OF ALTERNATIVE SERVICES THROUGH MULTI-AGENCY INTERVENTION AND CARE PLANNING. THE TARGET POPULATION IS HIGH-RISK PATIENTS EXPERIENCING ACUTE AND CHRONIC MENTAL HEALTH ISSUES, SUBSTANCE ABUSE AND HIGH EMERGENCY DEPARTMENT UTILIZATION.NURSES IN THE COMMUNITY: THE BRISTOL HOSPITAL NURSE EXECUTIVE COUNCIL INITIATED NURSES IN THE COMMUNITY TO DISPLAY PROFESSIONALISM AND PROVIDE SERVICE TO THE COMMUNITY. THE PROGRAM INCLUDES COLLECTED FOOD GOODS AND CLOTHING FROM NUMEROUS DRIVES CONDUCTED AT THE HOSPITAL. THE NURSES ALSO TRAVEL TO THE SHELTER TO TAKE BLOOD PRESSURES AND ACCESS WOUNDS. ADOPT A FAMILY FOR THE HOLIDAYS: EMPLOYEES HAVE AN OPPORTUNITY TO ADOPT A LOCAL FAMILY AND PURCHASE HOLIDAY GIFTS FOR THEM INCLUDING CLOTHES, BASIC NECESSITIES, TOYS, ETC.WEST END EVENT: THE EVENT ATTRACTED AN ESTIMATED 10,000-PLUS PEOPLE. THE TEAM FROM BRISTOL HANDED OUT EDUCATIONAL MATERIALS AND CONDUCTED FREE BLOOD PRESSURE AND PULSE-OX TESTS CHECKS.NAACP: EIGHT PROVIDERS FROM BRISTOL HOSPITAL MULTI-SPECIALTY GROUP CONDUCTED TWO EDUCATIONAL SEMINARS TO APPROXIMATELY 50 MEMBERS OF THE BRISTOL CHAPTER OF THE NAACP. THE SERIES TOOK PLACE AT TWO LOCAL CHURCHES.TEXTING AND DRIVING EVENT: BRISTOL HOSPITAL'S LEARNING CENTER PRESENTED ITS ANNUAL COMBINATION MEDICAL CAREER FAIR AND DISTRACTING DRIVING AWARENESS EVENT ENTITLED ""CONSEQUENCES OF DISTRACTED DRIVING."" THE TWO-PART EVENT INCLUDES A CAREER FAIR FOR STUDENTS WHO MAY BE INTERESTED IN PURSUING A CAREER IN HEALTH CARE.MEDICAL STAFF, THANKSGIVING FOOD DONATION: MORE THAN 80 MEMBERS OF THE BRISTOL HOSPITAL MEDICAL STAFF DONATED TO HELP FAMILIES IN NEED THROUGH BRISTOL HOSPITAL'S WOMEN'S, INFANTS AND CHILDREN'S PROGRAM. BECAUSE OF THE GENEROSITY, NUMEROUS FAMILIES ENJOYED A HOLIDAY MEAL ON THANKSGIVING.EMERGENCY MEDICAL SERVICES DONATION: THE BRISTOL HOSPITAL EMS TEAM REGULARLY DONATES THEIR TIME AND AMBULANCES TO COMMUNITY EVENTS, FREE OF CHARGE. SOME OF THESE EVENTS INCLUDE HEALTH FAIRS, HIGH SCHOOL SPORTING EVENTS, FOOD DRIVES AND COMMUNITY EVENTS.NURSING STUDENTS: BRISTOL HOSPITAL OVERSEES NURSING STUDENTS AS PART OF THEIR FIELD TRAINING. OUR NURSES AND PA-CS ACT AS THEIR SUPERVISORS, PROVIDING EDUCATION, HANDS ON LEARNING AND AN OPEN FORUM FOR QUESTIONS."

BRISTOL HOSPITAL, INC.
PART V, SECTION B, LINE 5: FACILITY NAME:BRISTOL HOSPITALDESCRIPTION:COMMUNITY ENGAGEMENT AND FEEDBACK WERE AN INTEGRAL PART OF THE CHNA PROCESS. BRISTOL HOSPITAL SOUGHT COMMUNITY INPUT THROUGH THE INCLUSION OF COMMUNITY LEADERS IN THE PRIORITIZATION AND IMPLEMENTATION PLANNING PROCESS. PUBLIC HEALTH AND HEALTH CARE PROFESSIONALS SHARED KNOWLEDGE AND EXPERTISE ABOUT HEALTH ISSUES, AND LEADERS AND REPRESENTATIVES OF NON-PROFIT AND COMMUNITY-BASED ORGANIZATIONS PROVIDED INSIGHT ON THE COMMUNITY, INCLUDING THE MEDICALLY UNDERSERVED, LOW INCOME, AND MINORITY POPULATIONS. FOR A COMPLETE LIST OF PARTICIPANTS, PLEASE SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT - FINAL SUMMARY REPORT, AVAILABLE ON THE BRISTOL HOSPITAL WEBSITE.

BRISTOL HOSPITAL, INC.
"PART V, SECTION B, LINE 11: THE HOSPITAL FACILITY IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA AS FOLLOWS:MENTAL HEALTH AND SUBSTANCE/ALCOHOL ABUSE: THE BEHAVIORAL HEALTH TEAM AT BRISTOL HOSPITAL HOSTED A ROUNDTABLE DISCUSSION IN JANUARY 2014 WITH APPROXIMATELY 30 COMMUNITY LEADERS AND STAKEHOLDERS TO DISCUSS THE ISSUE OF MENTAL HEALTH AND SUBSTANCE/ALCOHOL ABUSE AND HOW BRISTOL HOSPITAL CAN BETTER SERVE THE COMMUNITY. ALSO IN 2014, BRISTOL HOSPITAL HOSTED ANOTHER MEETING WITH NUMEROUS STAKEHOLDERS TO ADDRESS THE GROWING CONCERN OF THE LACK OF RESPONSE, CARE AND RESOURCES, AND THE DIFFICULTIES ASSOCIATED WITH GETTING HOSPITAL PATIENTS TO THE LEAD MENTAL HEALTH AUTHORITY IN THE AREA, WHICH IS LOCATED IN NEW BRITAIN, CONNECTICUT. IN 2015, BRISTOL HOSPITAL AND WHEELER CLINIC REACHED AN AGREEMENT TO FURTHER IMPROVE BEHAVIORAL HEALTH CRISIS SERVICES FOR CHILDREN, ADULTS AND FAMILIES IN THE GREATER BRISTOL REGION. UNDER THE AGREEMENT, WHEELER WILL ASSUME RESPONSIBILITY FOR BRISTOL HOSPITAL'S EMERGENCY DEPARTMENT CRISIS SERVICE FROM 8 A.M. TO MIDNIGHT, SEVEN DAYS A WEEK, AND PROVIDE IMMEDIATE INTERVENTION AND FACILITATED CONNECTIONS TO COMMUNITY SERVICES AND RESOURCES, INCLUDING PRIMARY AND BEHAVIORAL HEALTH CARE. THE BRISTOL HOSPITAL/WHEELER CLINIC PARTNERSHIP CONTINUED IN 2016 WITH A COMMUNITY FORUM ON THE OPIOID EPIDEMIC IN WHICH APPROXIMATELY 75 MEMBERS OF THE COMMUNITY ATTENDED. BRISTOL HOSPITAL AND WHEELER CLINIC ALSO HOSTED TWO SUCCESSFUL MENTAL HEALTH FIRST AID PRESENTATIONS. THE EIGHT-HOUR CERTIFICATION COURSE IS DESIGNED TO HELP INDIVIDUALS BETTER UNDERSTAND MENTAL HEALTH CHALLENGES AND RECOVERY, AND TO HELP RESPOND IN APPROPRIATE WAYS TO PROVIDE HELP AND SUPPORT. BRISTOL HOSPITAL ALSO HOSTED A COMMUNITY EVENT WITH THE CONNECTICUT DEPARTMENT OF MENTAL HEALTH AND ADDICTION SERVICES ON THE SUBJECT OF NALOXONE.ACCESS TO CARE: SINCE 2013, BRISTOL HOSPITAL AND THE BRISTOL HOSPITAL MULTI-SPECIALTY GROUP HAVE ADDED 74 NEW MEDICAL STAFF AND ADDED 16 NEW MEDICAL OFFICES THROUGHOUT THE COMMUNITY. NEW SERVICE LINES HAVE BEEN CULTIVATED TO ADDRESS MEDICAL NEEDS WITHIN THE COMMUNITY, INCLUDING VASCULAR SURGERY, WOUND CARE, RHEUMATOLOGY, CARDIOLOGY, ORTHOPEDICS, SPINE SURGERY AND SPORTS MEDICINE, AND NEUROLOGY. SENIOR SUPPORT :BRISTOL HOSPITAL HAS INCREASED THE AMOUNT OF FREE SCREENINGS OFFERED THROUGHOUT THE COMMUNITY (INCLUDING THE SENIOR CENTER). FREE SCREENINGS INCLUDE: BLOOD PRESSURE CLINICS, BALANCE SCREENINGS, BLOOD SUGAR SCREENING, FOOT SCREENING AND NAIL CLINICS. THE HOSPITAL ALSO PROVIDES FREE EDUCATIONAL SEMINARS AT SENIOR CENTERS ON TOPICS SUCH AS DEMENTIA, LIVING WITH DIABETES, AND NUTRITION AND WELLNESS. OVERWEIGHT/OBESITY:THE BRISTOL HOSPITAL WEIGHT LOSS SURGERY PROGRAM OFFERS NUMEROUS SUPPORT GROUPS FOR ITS PATIENTS ON SUCH SUBJECTS AS PORTION CONTROL, GETTING THROUGH THE HOLIDAYS AND MAKING GOOD EATING CHOICES. IN 2014, THE WEIGHT LOSS SURGERY PROGRAM LAUNCHED ITS OWN FACEBOOK PAGE WITHIN THE BRISTOL HOSPITAL MAIN FACEBOOK PAGE. THIS IS A MEMBERS-ONLY PAGE FOR PATIENTS WHO CAN SHARE STORIES, RECIPES AND ADVICE TO THEIR FELLOW PATIENTS, BUT IN A PRIVATE SETTING. THE BRISTOL HOSPITAL PARENT AND CHILD CENTER HAS HAD GREAT SUCCESS SINCE 2013 IN ITS OBESITY PREVENTION EFFORTS THROUGH ITS SET OF FAMILY WELLNESS PROGRAMS. THE FAMILY WELLNESS PROGRAM'S GOAL IS TO PREVENT CHILDHOOD OBESITY BY PROMOTING FAMILY NUTRITION AND HEALTHY PHYSICAL ACTIVITY FOR LOW-INCOME FAMILIES WITH SUCH PROGRAMS AS ""GARDENING FOR HEALTH, AND ""COOKING MATTERS IN THE STORE."" THE PARENT AND CHILD CENTER ALSO OFFERS FREE ZUMBA AND EXERCISE PROGRAMS FOR PARENTS AND CHILDREN. SINCE 2015, APPROXIMATELY 330 LOW-INCOME FAMILIES HAVE PARTICIPATED IN THESE PROGRAMS."

PART V, SECTION B, LINE 7 - HOSPITAL FACILITY'S WEBSITE (LIST URL)
HTTPS://WWW.BRISTOLHOSPITAL.ORG/ABOUT-BRISTOL-HOSPITAL/COMMUNITY-HEALTH-NEEDS-ASSESSMENT.ASPX

PART V, SECTION B, LINE 10 - HOSPITAL'S IMPLEMENTATION STRATEGY (LIST URL)
HTTPS://WWW.BRISTOLHOSPITAL.ORG/ABOUT-BRISTOL-HOSPITAL/COMMUNITY-HEALTH-NEEDS-ASSESSMENT.ASPX

PART III, LINE 2:
THE HOSPITAL HAS A PROCESS IN PLACE WHICH RECORDS BAD DEBT EXPENSE AFTER 90 DAYS UNCOLLECTIBLE. ADDITIONALLY, ON A PERIODIC BASIS, ADDITIONAL BAD DEBT EXPENSE IS ACCRUED BASED ON A REVIEW OF ACCOUNTS RECEIVABLE BALANCES AND HISTORICAL TRENDS.

PART III, LINE 3:
THE HOSPITAL ESTIMATES THAT 25% OF BAD DEBT EXPENSE IS COMMUNITY BENEFIT EXPENSE. THIS IS BASED ON HISTORICAL TRENDS, NOTING THAT IF PATIENTS HAD APPLIED FOR FINANCIAL ASSISTANCE, THEY WOULD HAVE QUALIFIED FOR FREE OR DISCOUNTED CARE.

PART III, LINE 4:
USE OF ESTIMATES- THE PREPARATION OF FINANCIAL STATEMENTS IN CONFORMITY WITH GAAP REQUIRES MANAGEMENT TO MAKE ESTIMATES AND ASSUMPTIONS THAT IMPACT THE REPORTED AMOUNTS OF ASSETS AND LIABILITIES AND DISCLOSURE OF CONTINGENT ASSETS AND LIABILITIES AT THE DATE OF THE FINANCIAL STATEMENTS. ESTIMATES ALSO IMPACT THE REPORTED AMOUNTS OF REVENUES AND EXPENSES DURING THE REPORTING PERIOD. ACTUAL RESULTS COULD DIFFER FROM THOSE ESTIMATES. THE HOSPITAL'S SIGNIFICANT ESTIMATES RELATE TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND CONTRACTUAL ALLOWANCES ON PATIENT ACCOUNTS RECEIVABLE, VALUATION OF INVESTMENTS, ESTIMATED SETTLEMENTS DUE TO THIRD-PARTY PAYERS, RESERVES FOR SELF-INSURANCE LIABILITIES AND THE PENSION AND OTHER POSTRETIREMENT EMPLOYEE BENEFIT PLAN LIABILITY ASSUMPTIONS.

PART III, LINE 8:
THE CALCULATED MEDICARE SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT BECAUSE IT REPRESENTS UNREIMBURSED COSTS FOR PATIENT SERVICES. THESE UNREIMBURSED COSTS ARE BRISTOL HOSPITAL EXPENSES THAT ULTIMATELY BENEFIT THE COMMUNITY BRISTOL HOSPITAL SERVES.

PART III, LINE 9B:
IT IS THE POLICY OF BRISTOL HOSPITAL TO PROVIDE EVERY PATIENT FROM THE COMMUNITY WE SERVE WITH MEDICALLY NECESSARY HEALTH SERVICES REGARDLESS OF THEIR ABILITY TO PAY. THE POLICY SETS SPECIFIC GUIDELINES FOR THE COLLECTION OF PATIENT PAYMENTS AND ESTABLISHES A HIERARCHY FOR PAYMENT METHODS THAT ARE BOTH FRIENDLY TO THE PATIENT AND BENEFICIAL TO THE HOSPITAL. PATIENTS WHO ARE UNABLE TO PAY THEIR LIABILITY ARE REFERRED TO A FINANCIAL COUNSELOR WHO ASSESSES THE PATIENTS' ELIGIBILITY FOR CHARITY CARE OR ALTERNATIVE FUNDING SOURCES. FUNDING SOURCES INCLUDE: CHARITY CARE, OUTSIDE FINANCING, HOSPITAL PAYMENT PLANS, FEDERAL, STATE AND LOCAL PROGRAMS AND THE HOSPITAL FINANCIAL ASSISTANCE PROGRAM.

PART VI, LINE 2:
HOSPITAL ASSESSMENT OF THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES IS A DYNAMIC PROCESS THAT INVOLVES ALL LEVELS OF HOSPITAL ADMINISTRATION, STAFF, THE BOARD OF DIRECTORS, AND MEDICAL STAFF. VARIOUS COMMITTEES AND GROUPS AT THE HOSPITAL MEET PERIODICALLY TO DISCUSS THE NEEDS OF THE COMMUNITY WE SERVE AS WELL AS THE RESOURCES AND SERVICES AVAILABLE AT THE HOSPITAL AND OTHER AGENCIES IN THE AREA.THE HOSPITAL IS REPRESENTED AT COMMUNITY LEVEL ORGANIZATIONS AND GROUPS THAT ARE ALSO INVOLVED WITH ASSESSMENT OF THE COMMUNITY NEEDS. HOSPITAL RESOURCES ARE FREQUENTLY CALLED UPON TO PARTICIPATE IN PROGRAMS AND PROJECTS PUT TOGETHER TO ADDRESS THOSE NEEDS.

PART VI, LINE 3:
AT BRISTOL HOSPITAL, PATIENTS ARE NOTIFIED OF THEIR ABILITY TO DISCUSS FINANCIAL ASSISTANCE OPTIONS INCLUDING CHARITY CARE IN ALL OF THEIR BILLING STATEMENTS. THE HOSPITAL ALSO HAS POSTER BOARDS DETAILING THE AVAILABILITY OF FINANCIAL ASSISTANCE PRINTED IN BOTH ENGLISH AND SPANISH AT ALL ACCESS POINTS. THE HOSPITAL ENCOURAGES PATIENTS TO FIND OUT THEIR ELIGIBILITY FOR ASSISTANCE AND PROVIDES FINANCIAL COUNSELORS TO ASSIST PATIENTS IN APPLYING FOR CHARITY CARE. PATIENTS CAN CONTACT THE FINANCIAL ASSISTANCE DEPARTMENT WITHIN THE HOSPITAL AT 860-585-3878. THIS SUPPORT ALSO INCLUDES A REPRESENTATIVE THROUGH THE STATE OF CONNECTICUT (REPRESENTATIVE PAID BY BRISTOL HOSPITAL) SO WE ENSURE THAT ALL ASPECTS OF ASSISTANCE ARE PROVIDED FOR EACH PATIENT. THE FINANCIAL ASSISTANCE DEPARTMENT ALSO DISCUSSES GOVERNMENT BENEFITS WITH PATIENTS THAT THEY MAY BE ELIGIBLE FOR. CONTACT INFORMATION FOR OUR FINANCIAL COUNSELOR IS ALSO INCLUDED ON THE HOSPITAL WEBSITE FOR PATIENTS TO REFERENCE. THE HOSPITAL ALSO OFFERS MANY FREE PROGRAMS FOR UNINSURED INCLUDING FREE BLOOD PRESSURE CLINICS, SKIN CANCER SCREENING CLINICS AND SEMINARS TO PROVIDE PATIENTS ACCESS TO AS MUCH FREE HEALTH INFORMATION AS POSSIBLE.

PART VI, LINE 4:
BRISTOL HOSPITAL IS COMMITTED TO PROVIDING THE BEST PATIENT EXPERIENCE IN THE REGION. OUR 134-BED, FULL-SERVICE HEALTH CARE INSTITUTION PROVIDES COMPREHENSIVE INPATIENT AND OUTPATIENT CARE FOR THE GREATER BRISTOL, CONNECTICUT AREA. BRISTOL IS A SUBURBAN CITY LOCATED IN HARTFORD COUNTY, CONNECTICUT, UNITED STATES 20 MILES SOUTHWEST OF HARTFORD. BRISTOL HAS A TOTAL AREA OF 26.8 SQUARE MILES AND A POPULATION OF APPROX 62K. IN BRISTOL, 81.8% OF THE PEOPLE SPEAK ENGLISH AND 10.8% OF PEOPLE SPEAK SPANISH. IN BRISTOL, 45.8% OF PEOPLE ARE MARRIED AND 92.2% OF RESIDENTS WERE BORN IN THE US.COMMUNITY INFORMATIONTHE PRIMARY SERVICE AREA (PSA) FOR OUR HOSPITAL INCLUDES:BRISTOL (ZIP CODE 06010, 06011)- 2021 CENSUS 60,661BURLINGTON (ZIP CODE 06013)- 2021 CENSUS-9,665PLAINVILLE (ZIP CODE 06062)- 2021 CENSUS 17,623 PLYMOUTH (ZIP CODE 06781, 06782, 06786)- 2021 CENSUS 12,243 THE TOTAL POPULATION FROM THE 2021 CENSUS FOR OUR PSA IS- 100,192 IN 2021, THE LATEST DATE DATA BECAME AVAILABLE THE FOLLOWING DATA POINTS WERE PROVIDED: BRISTOL: MEDIAN HOUSEHOLD INCOME: $68,485 FAMILIES BELOW POVERTY LEVEL- 9.6% INDIVIDUALS BELOW POVERTY LEVEL- 7.7% RACE: WHITE: 84.0% BLACK OR AFRICA AMERICAN: 6.0% ASIAN: 5.5% OTHER RACE: 4.5% BURLINGTON: MEDIAN HOUSEHOLD INCOME: $143,038 FAMILIES BELOW POVERTY LEVEL- 1.2% INDIVIDUALS BELOW POVERTY LEVEL- 1.3% RACE: WHITE: 89.2% HISPANIC OR LATINO 4.3%BLACK OR AFRICAN AMERICA .2% ASIAN: 2.9% OTHER RACE 3.4% PLAINVILLE: MEDIAN HOUSEHOLD INCOME: $72,197 FAMILIES BELOW POVERTY LEVEL- 6.2% INDIVIDUALS BELOW POVERTY LEVEL- 5.0% RACE: WHITE: 87.1% BLACK OR AFRICA AMERICAN: 1.7% AMERICAN INDIAN OR ALASKA NATIVE: 0.9% ASIAN: 4.0% OTHER RACE: 6.3% PLYMOUTH: MEDIAN HOUSEHOLD INCOME: $84,550 FAMILIES BELOW POVERTY LEVEL- 2.7% INDIVIDUALS BELOW POVERTY LEVEL- 4.1% RACE: WHITE: 97.34% BLACK OR AFRICA AMERICAN: 0.78% AMERICAN INDIAN OR ALASKA NATIVE: 0.15% ASIAN: 0.42% OTHER RACE: 1.31% THE SECONDARY SERVICE AREA (SSA) FOR OUR HOSPITAL INCLUDES: FARMINGTON (ZIP CODE 06085, 06087) SOUTHINGTON (ZIP CODE 06489) WOLCOTT (ZIP CODE 06716) THOMASTON (ZIP CODE 06787) HARWINTON (ZIP CODE 06791) BOTH THE PSA (PRIMARY SERVICE AREA) AND SSA (SECONDARY SERVICE AREA) ARE PRIMARILY SUBURBAN AND RURAL AREAS BUT ALSO INCLUDE SOME URBAN AREAS AS WELL. SOME OF THE MAJOR HEALTH PROBLEMS PREVALENT IN OUR PSA ARE ASSOCIATED WITH BEHAVIORAL HEALTH, CHEMICAL DEPENDENCY, OBESITY, AND PULMONARY DISEASE.

PART VI, LINE 7, REPORTS FILED WITH STATES
CT

PART VI, LINE 5:
"BRISTOL HOSPITAL TAKES GREAT PRIDE IN SERVING THE COMMUNITY. AS PART OF ITS MISSION, BRISTOL HOSPITAL INCORPORATES A BROAD ARRAY OF COMMUNITY OUTREACH AND WELLNESS ACTIVITIES, DELIVERING EDUCATIONAL MATERIAL AND COUNSELING, OFFERING FREE OR LOW COST HEALTH SCREENINGS AND HOSTING PATIENT AND FAMILY SUPPORT GROUPS. WE UNDERSTAND THE IMPORTANCE AND VALUE OF EMPHASIZING GOOD HEALTH, FITNESS, SAFETY AND THE PROMOTION OF EARLY DETECTION OF ILLNESS OR DISEASE. THEREFORE, ALL OF OUR OUTREACH EFFORTS REFLECT OUR STRONG DESIRE TO IMPROVE THE QUALITY OF LIFE FOR ALL WHO LIVE AND WORK IN THE COMMUNITIES WE SERVE. BRISTOL HOSPITAL PROVIDES FINANCIAL SUPPORT AND ACCESS TO APPROPRIATE CLINICAL CARE FOR SEVERAL LIFE-SAVING INITIATIVES, INCLUDING THE BRISTOL COMMUNITY BREAST HEALTH PROJECT AND THE COLON CANCER AWARENESS PROJECT OF GREATER BRISTOL, WHICH ALLOW US TO OFFER FREE BREAST, AND COLORECTAL CANCER SCREENINGS TO THOSE WHO, DUE TO INSURANCE OR INCOME FACTORS, MIGHT NOT OTHERWISE HAVE ACCESS TO THESE VALUABLE DIAGNOSTIC SCREENING SERVICES. THE EYE CARE PROJECT OF GREATER BRISTOL PROVIDES VITAL ACCESS TO SERVICES FOR THOSE SUFFERING FROM VISION IMPAIRMENT.AT BRISTOL HOSPITAL WE UNDERSTAND THE IMPORTANCE OF OUR ROLE AS A EXEMPT HEALTHCARE PROVIDER TO THE COMMUNITY WE SERVICE. OUR LEADERSHIP TEAM IS COMMITTED TO PROVIDING OUTSTANDING PATIENT CARE AND PROMOTING THE HEALTH OF THE COMMUNITY. BH ATTEMPTS TO PROMOTE OUR FREE AND NON-REVENUE GENERATING PROGRAMS IN A VARIETY OF WAYS. THREE TIMES A YEAR, THE HOSPITAL MAILS A ""PATHWAYS TO YOUR HEALTH"" CATALOG. THE CATALOG CONTAINS A LISTING OF PROGRAMS TO THE GREATER BRISTOL COMMUNITY. THIS CATALOG IS MAILED TO OVER 60,000 RESIDENCES AND PROVIDES INFORMATION ON FREE HEALTH SCREENINGS, SUPPORT GROUPS, HEALTH EDUCATION, WELLNESS PROGRAMS, ETC. THE CATALOG IS ALSO INCLUDED ON OUR HOSPITAL WEBSITE TO PROVIDE INCREASED ACCESS TO PATIENTS. THE PATHWAYS CATALOG IS DELIVERED AND DISPLAYED IN EACH DEPARTMENT WITHIN THE HOSPITAL AND IS FREE FOR ALL PATIENTS TO TAKE. PROGRAMS ARE ALSO LISTED ON OUR WEBSITE UNDER AN ""EVENTS"" SECTION WHERE PATIENTS CAN REGISTER FOR FREE, DIRECTLY ONLINE.WE ALSO PROMOTE OUR PROGRAMS MONTHLY IN THE BRISTOL PRESS, BRISTOL OBSERVER, HARTFORD COURANT AND PLYMOUTH CONNECTION. WE SUBSCRIBE TO AN ""ON-HOLD"" SYSTEM FOR OUR PHONES WHICH ALLOWS US TO RECORD MESSAGES FOR PATIENTS WHEN THEY CALL THE HOSPITAL. MANY OF THESE MESSAGES ARE ABOUT FREE PROGRAMS AND SERVICES, HEALTH EDUCATION FACTS AND SERVICES TO THE COMMUNITY."