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  5. BRIDGEPORT HOSPITAL

BRIDGEPORT HOSPITAL

Company Details

Entity Name: BRIDGEPORT HOSPITAL
Jurisdiction: Connecticut
Legal type: Non-Stock
Citizenship: Domestic
Status: Active
Date Formed: 15 Mar 1878
Business ALEI: 0285134
Annual report due: 15 Mar 2024
NAICS code: 622110 - General Medical and Surgical Hospitals
Business address: 267 GRANT STREET, BRIDGEPORT, CT, 06610, United States
Mailing address: 267 GRANT STREET, BRIDGEPORT, CT, United States, 06610
ZIP code: 06610
County: Fairfield
Place of Formation: CONNECTICUT
E-Mail: Compliancemail@cscinfo.com

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
EFENGVLM8JD5 2024-12-05 267 GRANT ST, BRIDGEPORT, CT, 06610, 2805, USA 267 GRANT STREET, BRIDGEPORT, CT, 06610, 2805, USA

Business Information
Congressional District 04
State/Country of Incorporation CT, USA
Activation Date 2023-12-08
Initial Registration Date 2006-12-07
Entity Start Date 1878-03-15
Fiscal Year End Close Date Sep 30

Points of Contacts
Electronic Business
Title PRIMARY POC
Name ELAINE FORTE
Role ASSOCIATE DIR.
Address 200 ORCHARD ST. 4TH FLOOR, NEW HAVEN, CT, 06519, USA
Government Business
Title PRIMARY POC
Name ELAINE FORTE
Role ASSOCIATE DIR.
Address 200 ORCHARD ST. 4TH FLOOR, NEW HAVEN, CT, 06519, USA
Past Performance Information not Available

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
4LXJ5 Obsolete Non-Manufacturer 2006-12-07 2024-03-08 No data 2024-12-05

Contact Information
POC ELAINE FORTE
Phone +1 203-650-7247
Fax +1 203-688-4618
Address 267 GRANT ST, BRIDGEPORT, CT, 06610 2805, UNITED STATES

Ownership of Offeror Information
Highest Level Owner Information not Available
Immediate Level Owner Information not Available
List of Offerors (1)
CAGE number 4TUR8
Owner Type Immediate
Legal Business Name BRIDGEPORT HOSPITAL FOUNDATION, INC.

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BRIDGEPORT HOSPITAL EMPLOYER CONTRIBUTION RETIREMENT PLAN 2023 060646554 2024-10-15 BRIDGEPORT HOSPITAL 6846
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2006-10-01
Business code 622000
Sponsor’s telephone number 2033843000
Plan sponsor’s mailing address 267 GRANT STREET, BRIDGEPORT, CT, 066102805
Plan sponsor’s address 267 GRANT STREET, BRIDGEPORT, CT, 066102805

Number of participants as of the end of the plan year
Active participants 4331
Retired or separated participants receiving benefits 410
Other retired or separated participants entitled to future benefits 2416
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 10
Number of participants with account balances as of the end of the plan year 6613
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 348
BRIDGEPORT HOSPITAL TAX SHELTERED ANNUITY PLAN 2023 060646554 2024-10-15 BRIDGEPORT HOSPITAL 6325
File View Page
Three-digit plan number (PN) 006
Effective date of plan 2006-10-01
Business code 622000
Sponsor’s telephone number 2033843000
Plan sponsor’s mailing address 267 GRANT STREET, BRIDGEPORT, CT, 066102805
Plan sponsor’s address 267 GRANT STREET, BRIDGEPORT, CT, 06610

Number of participants as of the end of the plan year
Active participants 4457
Retired or separated participants receiving benefits 692
Other retired or separated participants entitled to future benefits 1282
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 13
Number of participants with account balances as of the end of the plan year 5302
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0
PRESCRIPTION PLAN 2023 060646554 2024-10-11 BRIDGEPORT HOSPITAL 4178
File View Page
Three-digit plan number (PN) 519
Effective date of plan 1998-01-01
Business code 622000
Sponsor’s telephone number 2033843000
Plan sponsor’s mailing address 267 GRANT STREET, BRIDGEPORT, CT, 066102805
Plan sponsor’s address 267 GRANT STREET, BRIDGEPORT, CT, 06610

Number of participants as of the end of the plan year
Active participants 2229
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2024-10-11
Name of individual signing MARGERY STEHMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-11
Name of individual signing MARGERY STEHMAN
Valid signature Filed with authorized/valid electronic signature
PRESCRIPTION PLAN 2022 060646554 2023-10-11 BRIDGEPORT HOSPITAL 4332
File View Page
Three-digit plan number (PN) 519
Effective date of plan 1998-01-01
Business code 622000
Sponsor’s telephone number 2033843000
Plan sponsor’s mailing address 267 GRANT STREET, BRIDGEPORT, CT, 066102805
Plan sponsor’s address 267 GRANT STREET, BRIDGEPORT, CT, 06610

Number of participants as of the end of the plan year
Active participants 4152
Retired or separated participants receiving benefits 26
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2023-10-11
Name of individual signing MARGERY STEHMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-11
Name of individual signing MARGERY STEHMAN
Valid signature Filed with authorized/valid electronic signature
BRIDGEPORT HOSPITAL TAX SHELTERED ANNUITY PLAN 2022 060646554 2023-10-10 BRIDGEPORT HOSPITAL 6205
File View Page
Three-digit plan number (PN) 006
Effective date of plan 2006-10-01
Business code 622000
Sponsor’s telephone number 2033843000
Plan sponsor’s mailing address 267 GRANT STREET, BRIDGEPORT, CT, 066102805
Plan sponsor’s address 267 GRANT STREET, BRIDGEPORT, CT, 06610

Number of participants as of the end of the plan year
Active participants 4407
Retired or separated participants receiving benefits 617
Other retired or separated participants entitled to future benefits 1289
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 12
Number of participants with account balances as of the end of the plan year 5123
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0
RETIREMENT PLAN FOR EMPLOYEES OF BRIDGEPORT HOSPITAL 2022 060646554 2023-10-10 BRIDGEPORT HOSPITAL 2633
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1965-01-01
Business code 622000
Sponsor’s telephone number 2033843000
Plan sponsor’s mailing address 267 GRANT STREET, BRIDGEPORT, CT, 066102805
Plan sponsor’s address 267 GRANT STREET, BRIDGEPORT, CT, 066102805

Number of participants as of the end of the plan year
Active participants 0
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
BRIDGEPORT HOSPITAL EMPLOYER CONTRIBUTION RETIREMENT PLAN 2022 060646554 2023-10-10 BRIDGEPORT HOSPITAL 6671
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2006-10-01
Business code 622000
Sponsor’s telephone number 2033843000
Plan sponsor’s mailing address 267 GRANT STREET, BRIDGEPORT, CT, 066102805
Plan sponsor’s address 267 GRANT STREET, BRIDGEPORT, CT, 066102805

Number of participants as of the end of the plan year
Active participants 4229
Retired or separated participants receiving benefits 452
Other retired or separated participants entitled to future benefits 2158
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 7
Number of participants with account balances as of the end of the plan year 6251
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 382
BRIDGEPORT HOSPITAL EMPLOYER CONTRIBUTION RETIREMENT PLAN 2021 060646554 2022-10-14 BRIDGEPORT HOSPITAL 6274
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2006-10-01
Business code 622000
Sponsor’s telephone number 2033843000
Plan sponsor’s mailing address 267 GRANT STREET, BRIDGEPORT, CT, 066102805
Plan sponsor’s address 267 GRANT STREET, BRIDGEPORT, CT, 066102805

Number of participants as of the end of the plan year
Active participants 4221
Retired or separated participants receiving benefits 401
Other retired or separated participants entitled to future benefits 2046
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 3
Number of participants with account balances as of the end of the plan year 6012
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 447
BRIDGEPORT HOSPITAL TAX SHELTERED ANNUITY PLAN 2021 060646554 2022-10-14 BRIDGEPORT HOSPITAL 5904
File View Page
Three-digit plan number (PN) 006
Effective date of plan 2006-10-01
Business code 622000
Sponsor’s telephone number 2033843000
Plan sponsor’s mailing address 267 GRANT STREET, BRIDGEPORT, CT, 066102805
Plan sponsor’s address 267 GRANT STREET, BRIDGEPORT, CT, 06610

Number of participants as of the end of the plan year
Active participants 4377
Retired or separated participants receiving benefits 639
Other retired or separated participants entitled to future benefits 1186
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 8
Number of participants with account balances as of the end of the plan year 4987
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0
RETIREMENT PLAN FOR EMPLOYEES OF BRIDGEPORT HOSPITAL 2021 060646554 2022-10-14 BRIDGEPORT HOSPITAL 2672
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1965-01-01
Business code 622000
Sponsor’s telephone number 2033843000
Plan sponsor’s mailing address 267 GRANT STREET, BRIDGEPORT, CT, 066102805
Plan sponsor’s address 267 GRANT STREET, BRIDGEPORT, CT, 066102805

Number of participants as of the end of the plan year
Active participants 432
Retired or separated participants receiving benefits 1229
Other retired or separated participants entitled to future benefits 840
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 132
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Agent

Name Role
CORPORATION SERVICE COMPANY Agent

Officer

Name Role Business address Residence address
Emil Meshberg Officer No data 4200 PARK AVENUE, BRIDGEPORT, CT, 06604, United States
Ed Rodrigez Officer 267 GRANT STREET, BRIDGEPORT, CT, 06610, United States 267 GRANT STREET, BRIDGEPORT, CT, 06610, United States
Gail Kosyla Officer 267 GRANT STREET, BRIDGEPORT, CT, 06610, United States 789 HOWARD AVE, NEW HAVEN, CT, 06519, United States
Anne Diamond Officer 267 GRANT STREET, BRIDGEPORT, CT, 06610, United States 267 GRANT STREET, BRIDGEPORT, CT, 06610, United States

Director

Name Role Business address Residence address
Emil Meshberg Director No data 4200 PARK AVENUE, BRIDGEPORT, CT, 06604, United States
Ed Rodrigez Director 267 GRANT STREET, BRIDGEPORT, CT, 06610, United States 267 GRANT STREET, BRIDGEPORT, CT, 06610, United States
Anne Diamond Director 267 GRANT STREET, BRIDGEPORT, CT, 06610, United States 267 GRANT STREET, BRIDGEPORT, CT, 06610, United States

License

Credential Credential type Status Status reason Issue date Effective date Expiration date
CSL.0000154 CONTROLLED SUBSTANCE LABORATORY INACTIVE No data No data 1998-02-01 1999-01-31
CHR.0002244-EXEMPT PUBLIC CHARITY-EXEMPT FROM FINANCIAL REQUIREMENTS ACTIVE No data No data No data No data
GH.0000040 General Hospital ACTIVE CURRENT 2010-04-01 2024-04-01 2026-03-31
CSP.0003900-HOSP CONTROLLED SUBSTANCE REGISTRATION FOR HOSPITALS ACTIVE CURRENT 1999-03-01 2023-03-01 2025-02-28
NATP.000091-GH Nurse Aide Training Program-Hospital INACTIVE LAPSED DUE TO NON-RENEWAL 1994-12-02 1994-12-02 2010-01-31

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012594370 2024-04-01 No data Annual Report Annual Report No data
BF-0011909802 2023-08-01 2023-08-01 Change of NAICS Code NAICS Code Change No data
BF-0011392883 2023-03-20 No data Annual Report Annual Report No data
BF-0010263963 2022-03-29 No data Annual Report Annual Report 2022
BF-0010457592 2022-01-14 2022-01-14 Mass Agent Change � Address Agent Address Change No data
0007278315 2021-03-31 No data Annual Report Annual Report 2021
0006943532 2020-07-06 2020-07-06 Change of Agent Address Agent Address Change No data
0006950703 2020-07-06 2020-07-06 Change of Agent Address Agent Address Change No data
0006825617 2020-03-11 No data Annual Report Annual Report 2020
0006489793 2019-03-25 No data Annual Report Annual Report 2019

Related by officers

Emil Meshberg

THE JEWISH HOME FOR THE ELDERLY OF FAIRFIELD COUNTY, INC. Beaches II, LLC

Gail Kosyla

YALE NEW HAVEN HEALTH SERVICES CORPORATION NORTHEAST MEDICAL GROUP, INC. THE NEW CLINICAL PROGRAM DEVELOPMENT CORPORATION YNH Waterbury Hospital, Inc. YNH Manchester Memorial Hospital, Inc.

Related by address

267 GRANT STREET, BRIDGEPORT, CT, 06610, United States

BRIDGEPORT HOSPITAL FOUNDATION, INC. SOUTHERN CONNECTICUT HEALTH SYSTEM PROPERTIES, INC. BRIDGEPORT HOSPITAL AUXILIARY, INC.

267 GRANT STREET, BRIDGEPORT, CT, United States, 06610

SOUTHERN CONNECTICUT HEALTH SYSTEM PROPERTIES, INC. BRIDGEPORT HOSPITAL AUXILIARY, INC.

Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website

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