Bristol Hospital and Health Care Group

“The executive committee is comprised of the president of the medical staff of the hospital and additional members, all of whom are part of the governing body. The executive committee has the power to transact any business of the corporation requiring action during the interim between regular meetings of the board of directors, provided any action taken shall not conflict with the policies or express wishes of the board and further provided that the executive committee shall report all matters on which it acts to the board.”

“A completed 990 is provided to each board member before the return is filed. This provides an opportunity for members to ask questions and follow up with the finance team regarding any issues or concerns. The 990 is also reviewed internally by members of the finance and management teams prior to being filed.”

“The organization has three conflict of interest policies - one for the board of directors and committee members, one for non-medical staff employees, and one for medical staff members. Board of directors and committee members each of the above listed persons receives, reads and signs a statement once annually agreeing to comply with the conflict of interest policy. If any actual, apparent or potential conflict of interest arises, the person shall make full disclosure of such actual, apparent or potential conflict of interest within fifteen (15) days of the time that such conflict is discovered, or at least once annually at the commencement of each calendar year, with regular written updates to accord with any change in circumstances. The governance committee reviews all such disclosures to determine whether an actual, apparent or potential conflict of interest exists. Decisions pertaining to actual, apparent or potential conflicts of interest shall be made by the governance committee. The corporate compliance officer (cco) shall be available to the governance committee upon request. In the event that it determines that an apparent or potential conflict of interest exists, the governance committee shall institute a reasonable compliance management plan including periodic reviews of relationships or activities of any person or relative. Any changes or modifications in such relationships or activities shall be periodically reviewed and evaluated by the governance committee. Non-medical staff employees same process as outlined above with one exception: the oversight, review and determinations of disclosures are made by the cco. The bristol health executive leadership group (elg) shall be available to the cco upon request. Medical staff members medical staff members complete conflict of interest disclosure statements during the initial credentialing process and subsequently every two years during the recredentialing process. Any new relationships that arise in the interim deemed to be a potential conflict must be disclosed in a timely manner. Disclosures are reviewed and determinations are made by the executive committee of the medical staff (ecms). The cco is a member of this committee. In the event that the ecms determines that an apparent or potential conflict of interest exists, a reasonable compliance management plan including periodic reviews of relationships or activities of any person or relative will be instituted. Any changes or modifications in such relationships or activities shall be periodically reviewed and evaluated by the ecms.”

“The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.”

“Purchased services: program service expenses 438,404. Management and general expenses 0. Fundraising expenses 0. Total expenses 438,404. Shared services: program service expenses 180,068. Management and general expenses 0. Fundraising expenses 0. Total expenses 180,068. Medical services: program service expenses 363,485. Management and general expenses 0. Fundraising expenses 0. Total expenses 363,485. Other professional fees: program service expenses 48,061. Management and general expenses 0. Fundraising expenses 0. Total expenses 48,061.”

“Change in program related investments -7,039,323.”