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" on Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2018
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 on 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 or provision of all of 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
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on 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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on 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," on line 5a or 5b, describe in Part III.
6
For persons listed on 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," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2018
Page 2

Schedule J (Form 990) 2018
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on 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) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (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 in column (B) reported as deferred on prior Form 990
(i) Base
compensation
(ii) Bonus & incentive
compensation
(iii) Other reportable compensation
1WILLIAM JENNINGS
PRESIDENT & CEO/TRU./EX OFFICIO
(i)

(ii)
532,429
-------------
133,107
226,582
-------------
56,646
82,541
-------------
20,635
240,685
-------------
60,171
1,411
-------------
353
1,083,648
-------------
270,912
0
-------------
0
2VINCENT PETRINI
TRUSTEE/EX-OFFICIO
(i)

(ii)
74,895
-------------
424,405
23,325
-------------
132,173
20,659
-------------
117,068
33,598
-------------
190,387
2,812
-------------
15,935
155,289
-------------
879,968
0
-------------
0
3MICHAEL IVY
INTERIM CEO/TRUSTEE
(i)

(ii)
102,834
-------------
505,649
23,386
-------------
114,994
24,422
-------------
120,089
16,603
-------------
81,642
3,338
-------------
16,412
170,583
-------------
838,786
0
-------------
0
4RYAN O'CONNELL
VP OF PERFORMANCE & RISK
(i)

(ii)
155,244
-------------
245,902
26,048
-------------
41,260
15,836
-------------
25,085
19,090
-------------
30,237
7,651
-------------
12,118
223,869
-------------
354,602
0
-------------
0
5PAMELA SCAGLIARINI
COO & SECRETARY
(i)

(ii)
501,380
-------------
0
142,051
-------------
0
149,955
-------------
0
228,785
-------------
0
18,835
-------------
0
1,041,006
-------------
0
0
-------------
0
6MELISSA TURNER
SR. VP HUMAN RESOURCE
(i)

(ii)
175,964
-------------
175,964
47,928
-------------
47,928
53,034
-------------
53,034
69,534
-------------
69,534
9,205
-------------
9,205
355,665
-------------
355,665
0
-------------
0
7MARYELLEN KOSTURKO
SR. VP PATIENT CARE
(i)

(ii)
340,934
-------------
0
97,845
-------------
0
32,167
-------------
0
28,581
-------------
0
1,143
-------------
0
500,670
-------------
0
0
-------------
0
8MARY CHRISTOFFERSEN
VP OF NURSING
(i)

(ii)
240,207
-------------
0
28,150
-------------
0
21,009
-------------
0
21,433
-------------
0
11,736
-------------
0
322,535
-------------
0
0
-------------
0
9MARC LOMBARDI
ASSISTANT SECRETARY
(i)

(ii)
15,609
-------------
223,969
2,580
-------------
37,026
1,249
-------------
17,915
1,144
-------------
16,415
1,197
-------------
17,171
21,779
-------------
312,496
438
-------------
6,288
10JOHN SKELLY
SR. VP & TREASURER
(i)

(ii)
415,745
-------------
46,194
88,153
-------------
9,795
91,011
-------------
10,112
177,209
-------------
19,690
16,846
-------------
1,872
788,964
-------------
87,663
0
-------------
0
11GINA CALDER
VP OF AMBULATORY SERVICES
(i)

(ii)
241,953
-------------
0
37,677
-------------
0
3,232
-------------
0
16,493
-------------
0
6,309
-------------
0
305,664
-------------
0
0
-------------
0
12CAROLYN SALSGIVER
SR. VP STRATEGY & BUSINESS
(i)

(ii)
70,194
-------------
280,778
17,712
-------------
70,850
15,350
-------------
61,400
32,173
-------------
128,690
3,882
-------------
15,530
139,311
-------------
557,248
0
-------------
0
13THOMAS LAMONTE
PHYSICIAN
(i)

(ii)
386,644
-------------
0
7,540
-------------
0
2,707
-------------
0
30,360
-------------
0
15,733
-------------
0
442,984
-------------
0
0
-------------
0
14ROCKMAN FERRIGNO
PHYSICIAN
(i)

(ii)
583,347
-------------
0
18,726
-------------
0
52,100
-------------
0
59,364
-------------
0
15,926
-------------
0
729,463
-------------
0
0
-------------
0
15JONATHAN MAISEL
PHYSICIAN
(i)

(ii)
432,980
-------------
0
8,626
-------------
0
1,754
-------------
0
29,850
-------------
0
15,806
-------------
0
489,016
-------------
0
0
-------------
0
16GUILLERMO KATIGBAK
PHYSICIAN
(i)

(ii)
379,975
-------------
0
7,597
-------------
0
2,641
-------------
0
27,150
-------------
0
11,982
-------------
0
429,345
-------------
0
0
-------------
0
17FRANCISCO GARRIDO
PHYSICIAN
(i)

(ii)
592,820
-------------
0
12,217
-------------
0
608
-------------
0
15,715
-------------
0
16,929
-------------
0
638,289
-------------
0
0
-------------
0
18GAYLE CAPOZZALO
TRUSTEE/EX-OFFICIO (CURRENT YR COMP)
(i)

(ii)
0
-------------
398,863
0
-------------
271,950
0
-------------
675,507
0
-------------
25,325
0
-------------
12,795
0
-------------
1,384,440
0
-------------
151,250
19GAYLE CAPOZZALO
TRUSTEE/EX-OFFICIO (VESTED DEFERRED)
(i)

(ii)
0
-------------
0
0
-------------
0
0
-------------
131,149
0
-------------
0
0
-------------
0
0
-------------
131,149
0
-------------
0
Schedule J (Form 990) 2018
Page 3

Schedule J (Form 990) 2018
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
PART I, LINE 3 THE FILING ORGANIZATION DOES NOT HAVE AND/OR COMPENSATE ITS OWN CEO/EXECUTIVE DIRECTOR. INDIVIDUALS LISTED ON PART VII AS OFFICERS OF THE CORPORATION ARE EMPLOYEES OF A RELATED ORGANIZATION(S) AND COMPENSATED THROUGH THE RESPECTIVE RELATED ORGANIZATION(S). THE METHOD(S) USED BY THE RELATED ORGANIZATION(S) FOR DETERMINING COMPENSATION FOR THESE INDIVIDUALS ARE: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -WRITTEN EMPLOYMENT CONTRACT -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
PART I, LINE 4B THE INDIVIDUALS LISTED BELOW 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. SEVERANCE NONQUALIFIED EQUITY-BASED WILLIAM M. JENNINGS $0 $173,892 $0 PAMELA SCAGLIARINI 0 119,056 0 VINCENT PETRINI 0 119,235 0 JOHN SKELLY 0 103,806 0 MELISSA TURNER 0 82,430 0 CAROLYN SALSGIVER 0 82,103 0 THE INDIVIDUAL LISTED BELOW BECAME VESTED IN BENEFITS VALUED AT THE AMOUNT RESPECTIVELY REPORTED DURING THE REPORTING YEAR. INCLUDED IN SECTION II, COLUMN B (III) IS AMOUNT VESTED DURING THE 2018 CALENDAR YEAR THAT WAS RECOGNIZED AS TAXABLE EVENTS AND REPORTED IN THE INDIVIDUAL 2018 CALENDAR YEAR FORM W-2. GAYLE CAPOZZALO $131,149 THE SUPPLEMENTAL RETIREMENT INCOME PLAN (SRIP) / EXECUTIVE DEFERRED COMPENSATION ACCOUNT PLAN (EDCAP) ARE 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).
PART I, LINE 7 NON-FIXED PAYMENTS PROVIDED 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.
Schedule J (Form 990) 2018
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