THE MILFORD HOSPITAL INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- THE MILFORD HOSPITAL INC (EIN 06-0646741)
- Tax period
- 2013-10-01 to 2014-09-30
- Filed
- 2015-08-17
- IRS object ID
- 201522299349302007
- Schema version
- 2013v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-08-17T10:19:45-05:00 | ReturnTs |
| Tax Period End | 2014-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 111986323 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARCUM LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | CITY PLACE II 185 ASYLUM STREET | AddressLine1 |
| City | HARTFORD | City |
| State | CT | State |
| ZIP Code | 06103 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 060646741 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE MILFORD HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MILF | BusinessNameControlTxt |
| Phone | 2038764000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 SEASIDE AVENUE | AddressLine1 |
| City | MILFORD | City |
| State | CT | State |
| ZIP Code | 06460 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LAURA SMITH | PersonNm |
| Person Title | CFO/VP OF FINANCE | PersonTitleTxt |
| Phone | 2038764000 | PhoneNum |
| Signature | 2015-08-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DOUGLAS FARRINGTON | PreparerPersonNm |
| PTIN | P00370668 | PTIN |
| Phone | 8607600600 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | LAURA SMITH | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 SEASIDE AVENUE | AddressLine1 |
| City | MILFORD | City |
| State | CT | State |
| ZIP Code | 06460 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $204,319,446 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MILFORDHOSPITAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1942 | FormationYr |
| Legal Domicile State | CT | LegalDomicileStateCd |
| Activity Or Mission | HOSPITAL SERVICES | ActivityOrMissionDesc |
| Voting Members Governing Body | 19 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 18 | VotingMembersIndependentCnt |
| Total Employee | 793 | TotalEmployeeCnt |
| Total Volunteers | 298 | TotalVolunteersCnt |
| Total Gross UBI | $4,647,212 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$2,786 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $306,145 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,720 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $196,473,067 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $198,736,085 | CYProgramServiceRevenueAmt |
| PY Investment Income | $919,106 | PYInvestmentIncomeAmt |
| CY Investment Income | $680,930 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,631,323 | PYOtherRevenueAmt |
| CY Other Revenue | $1,496,468 | CYOtherRevenueAmt |
| PY Total Revenue | $199,329,641 | PYTotalRevenueAmt |
| CY Total Revenue | $200,919,203 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $85,946 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $76,200 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $53,760,794 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $46,643,509 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $153,563,831 | PYOtherExpensesAmt |
| CY Other Expenses | $161,045,211 | CYOtherExpensesAmt |
| PY Total Expenses | $207,410,571 | PYTotalExpensesAmt |
| CY Total Expenses | $207,764,920 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$8,080,930 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$6,845,717 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $48,484,725 | TotalAssetsBOYAmt |
| Total Assets EOY | $47,049,222 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $39,769,991 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $47,964,274 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $8,714,734 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$915,052 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF MILFORD HOSPITAL IS TO EFFECTIVELY AND EFFICIENTLY PROVIDE HIGH QUALITY HEALTHCARE SERVICES IN A MODERN AND SAFE ENVIRONMENT, BY ANTICIPATING AND EXCEEDING THE NEEDS OF PATIENTS, PHYSICIANS AND ALL OF OUR CUSTOMERS WITH EXCELLENCE, CONVENIENCE AND | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $198,699,239 | ExpenseAmt |
| Grant | $76,200 | GrantAmt |
| Revenue | $199,589,080 | RevenueAmt |
| Desc | MILFORD HOSPITAL PROVIDES HIGH-QUALITY HEALTHCARE SERVICES TO THE RESIDENTS OF MILFORD, WEST HAVEN, ORANGE AND STRATFORD, CONNECTICUT AND ITS SURROUNDING COMMUNITIES WITHOUT REGARD TO RACE, GENDER, CREED OR ABILITY TO PAY.SEE SCHEDULE O FOR CONTINUATION | Desc |
| Total Program Service Expenses | $198,699,239 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 39 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 793 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 19 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 18 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOSEPH PELACCIA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2038764230 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 SEASIDE AVENUE | AddressLine1 |
| City | MILFORD | City |
| State | CT | State |
| ZIP Code | 06460 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| SAMUEL BERGAMI JR | ||||||||
| CHAIRMAN | 1.00 | 0.30 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| LOUIS D'AMATO | ||||||||
| VICE CHAIRMAN | 1.00 | 0.30 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MICHAEL SAFFER ESQ | ||||||||
| SECRETARY | 1.00 | 0.30 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| STEPHEN E RONAI ESQ | ||||||||
| SECRETARY | 1.00 | 0.30 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| RICHARD MEISENHEIMER | ||||||||
| TREASURER | 1.00 | 0.30 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JOSEPH PELACCIA | ||||||||
| PRESIDENT & CEO | 41.60 | 5.20 | Yes (X) | Yes (X) | $511,837 | $59,999 | $122,344 | |
| JAMES BEARD | ||||||||
| DIRECTOR | 1.00 | 0.30 | Yes (X) | $0 | $0 | $0 | ||
| NANCY BENNETT | ||||||||
| DIRECTOR | 1.00 | 0.30 | Yes (X) | $0 | $0 | $0 | ||
| ARMAND CANTAFIO | ||||||||
| DIRECTOR | 1.00 | 0.30 | Yes (X) | $0 | $0 | $0 | ||
| LEO CARROLL ESQ | ||||||||
| DIRECTOR | 1.00 | 0.30 | Yes (X) | $0 | $0 | $0 | ||
| BRADFORD GESLER | ||||||||
| DIRECTOR | 1.00 | 0.30 | Yes (X) | $0 | $0 | $0 | ||
| ANN LOESCH | ||||||||
| DIRECTOR | 0.20 | 0.10 | Yes (X) | $0 | $0 | $0 | ||
| CAROL MCINNIS | ||||||||
| DIRECTOR | 0.20 | 0.10 | Yes (X) | $0 | $0 | $0 | ||
| LEN NAPOLI JR | ||||||||
| DIRECTOR | 1.00 | 0.30 | Yes (X) | $0 | $0 | $0 | ||
| RAYMOND S OLIVER | ||||||||
| DIRECTOR | 0.20 | 0.10 | Yes (X) | $0 | $0 | $0 | ||
| GARY OPIN DMD | ||||||||
| DIRECTOR | 0.20 | 0.10 | Yes (X) | $0 | $0 | $0 | ||
| RONALD SILVERBERG | ||||||||
| DIRECTOR | 0.20 | 0.10 | Yes (X) | $0 | $0 | $0 | ||
| CHARLES GUGLIN MD | ||||||||
| DIRECTOR / MEDICAL STAFF PRESIDENT | 1.00 | 0.30 | Yes (X) | $0 | $0 | $0 | ||
| RITA CANAS | ||||||||
| DIRECTOR / AUXILIARY CO-PRESIDENT | 0.20 | 0.10 | Yes (X) | $0 | $0 | $0 | ||
| PATRICIA CUCUZZA | ||||||||
| DIRECTOR / AUXILIARY CO-PRESIDENT | 0.20 | 0.10 | Yes (X) | $0 | $0 | $0 | ||
| CONNIE MILLER | ||||||||
| DIRECTOR / AUXILIARY CO-PRESIDENT | 0.20 | 0.10 | Yes (X) | $0 | $0 | $0 | ||
| SANDRA VIGILIO | ||||||||
| DIRECTOR / AUXILIARY CO-PRESIDENT | 0.20 | 0.10 | Yes (X) | $0 | $0 | $0 | ||
| LLOYD FRIEDMAN MD | ||||||||
| VP MEDICAL AFFAIRS & COO | 33.30 | 4.20 | Yes (X) | $463,836 | $54,360 | $125,887 | ||
| LAURA SMITH | ||||||||
| VP FINANCE & CFO | 36.30 | 5.30 | Yes (X) | $148,687 | $21,534 | $59,267 | ||
| MICHAEL BLOCH | ||||||||
| E.R. PHYSICIAN | 45.20 | $340,753 | $0 | $25,419 | Yes (X) | |||
| ANDREW CHOW | ||||||||
| HOSPITALIST | 58.20 | $323,436 | $0 | $27,890 | Yes (X) | |||
| WILLIAM SACKS | ||||||||
| E.R. PHYSICIAN | 41.90 | $318,888 | $0 | $6,300 | Yes (X) | |||
| ANITHA KAMATH | ||||||||
| CHIEF PATHOLOGIST | 40.00 | $311,528 | $0 | $27,890 | Yes (X) | |||
| JOHN SCARFO | ||||||||
| E.R. PHYSICIAN | 42.10 | $310,226 | $0 | $25,419 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,729,191 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $135,893 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $420,416 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 83 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SODEXO OPERATIONS LLC | |||||
| PO BOX 360170 | PITTSBURGH | PA | 15251 | FOOD SERVICE | $702,803 |
| AFTERCARE PHYSICAL THERAPY SERVICES | |||||
| 4154 MADISON AVE | TRUMBULL | CT | 06611 | THERAPY SERVICES | $702,699 |
| ACCELECARE WOUND CENTER INC | |||||
| PO BOX 671242 | DALLAS | TX | 75267 | WOUND SERVICES | $363,856 |
| AMERICAN RED CROSS | |||||
| PO BOX 33093 | NEWARK | NJ | 07188 | PROCESS BLOOD | $362,475 |
| CORNERSTONE ADVISOR'S GROUP LLC | |||||
| PO BOX 569 | GEORGETOWN | CT | 06829 | MEDICATION RECONCILIATION SVCS | $251,139 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 14 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $5,720 | AllOtherContributionsAmt |
| Total Contributions | $5,720 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| SPECIAL SERVICES | 621500 | $145,989,509 | $143,549,597 | $2,439,912 |
| ROUTINE SERVICES | 624100 | $50,594,580 | $50,594,580 | |
| OTHER SERVICES | 541610 | $2,151,996 | $2,151,996 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $198,736,085 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $333,801 | TotalRevenueColumnAmt |
| Exclusion | $333,801 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $9,350 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $5,694 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,656 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,656 | TotalRevenueColumnAmt |
| Exclusion | $3,656 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,642,375 | SecuritiesAmt |
| Other | $21,157 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,295,119 | SecuritiesAmt |
| Other | $21,284 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $347,256 | SecuritiesAmt |
| Other | -$127 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $347,129 | TotalRevenueColumnAmt |
| Exclusion | $347,129 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $48,409 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $10,133 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $38,276 | TotalRevenueColumnAmt |
| Exclusion | $38,276 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $109,984 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $68,013 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $41,971 | TotalRevenueColumnAmt |
| Exclusion | $41,971 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| MEANINGFUL USE INCOME | 900099 | $852,995 | $852,995 | |
| CAFETERIA REVENUE | 722210 | $183,813 | $183,813 | |
| PHARMACY SALES | 446110 | $183,449 | $183,449 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $192,308 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $55,304 | UnrelatedBusinessRevenueAmt |
| Exclusion | $137,004 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,412,565 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $200,919,203 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $194,997,172 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $4,647,212 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,269,099 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,200 | TotalAmt |
| Program Services | $71,200 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,000 | TotalAmt |
| Program Services | $5,000 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,879,381 | TotalAmt |
| Program Services | $810,967 | ProgramServicesAmt |
| Management And General | $1,068,414 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,857,249 | TotalAmt |
| Program Services | $31,660,992 | ProgramServicesAmt |
| Management And General | $3,196,257 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $860,623 | TotalAmt |
| Program Services | $860,623 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,491,806 | TotalAmt |
| Program Services | $5,861,504 | ProgramServicesAmt |
| Management And General | $630,302 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,554,450 | TotalAmt |
| Program Services | $2,237,286 | ProgramServicesAmt |
| Management And General | $317,164 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,281 | TotalAmt |
| Management And General | $5,281 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $274,252 | TotalAmt |
| Management And General | $274,252 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $238,154 | TotalAmt |
| Management And General | $238,154 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,362 | TotalAmt |
| Management And General | $25,362 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,447 | TotalAmt |
| Management And General | $1,447 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,392,599 | TotalAmt |
| Program Services | $5,215,657 | ProgramServicesAmt |
| Management And General | $1,176,942 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $99,014 | TotalAmt |
| Program Services | $278 | ProgramServicesAmt |
| Management And General | $98,736 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,109,619 | TotalAmt |
| Program Services | $922,126 | ProgramServicesAmt |
| Management And General | $187,493 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $373,156 | TotalAmt |
| Program Services | $69,388 | ProgramServicesAmt |
| Management And General | $303,768 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,901,722 | TotalAmt |
| Program Services | $1,780,072 | ProgramServicesAmt |
| Management And General | $121,650 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,015 | TotalAmt |
| Program Services | $10,166 | ProgramServicesAmt |
| Management And General | $17,849 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,520 | TotalAmt |
| Program Services | $16,785 | ProgramServicesAmt |
| Management And General | $735 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,961 | TotalAmt |
| Management And General | $26,961 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104,531 | TotalAmt |
| Program Services | $90,726 | ProgramServicesAmt |
| Management And General | $13,805 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,687,423 | TotalAmt |
| Program Services | $1,708,169 | ProgramServicesAmt |
| Management And General | $979,254 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,047 | TotalAmt |
| Management And General | $30,047 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| ALLOWANCE FOR UNPAID CA | $127,615,381 | $127,615,381 |
| MEDICAL EXPENSES | $10,680,217 | $10,680,217 |
| BAD DEBTS | $5,608,309 | $5,608,309 |
| PHARMACEUTICAL DRUGS | $2,133,639 | $2,133,639 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,692,562 | TotalAmt |
| Program Services | $1,340,754 | ProgramServicesAmt |
| Management And General | $351,808 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $207,764,920 | TotalAmt |
| Program Services | $198,699,239 | ProgramServicesAmt |
| Management And General | $9,065,681 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,331,986 | BOYAmt |
| EOY | $927,082 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,549,156 | BOYAmt |
| EOY | $8,698,413 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,618,035 | BOYAmt |
| EOY | $8,850,797 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $918,069 | BOYAmt |
| EOY | $799,067 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,216,823 | BOYAmt |
| EOY | $337,599 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $51,713,669 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $30,714,786 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,160,470 | BOYAmt |
| EOY | $20,998,883 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,035,828 | BOYAmt |
| EOY | $933,032 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $894,273 | BOYAmt |
| EOY | $960,239 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,760,085 | BOYAmt |
| EOY | $4,544,110 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,484,725 | BOYAmt |
| EOY | $47,049,222 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,061,882 | BOYAmt |
| EOY | $15,605,433 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $6,000,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,708,109 | BOYAmt |
| EOY | $26,358,841 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,769,991 | BOYAmt |
| EOY | $47,964,274 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,266,461 | BOYAmt |
| EOY | -$2,429,291 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $774,510 | BOYAmt |
| EOY | $840,476 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $673,763 | BOYAmt |
| EOY | $673,763 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,714,734 | BOYAmt |
| EOY | -$915,052 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,484,725 | BOYAmt |
| EOY | $47,049,222 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$6,845,717 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$341,223 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$2,442,846 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $25,362 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $25,362 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE HOSPITAL PAID DUES TO THE CT HOSPITAL ASSOCIATION (CHA), WHICH INCLUDED LOBBYING COSTS OF $19,500. CHA REPRESENTS CT HOSPITALS AND WORKS WITH OTHER ORGANIZATIONS LIKE AHA TO ADDRESS STATE AND FEDERAL LEGISLATIVE ISSUES AFFECTING HOSPITALS. THE HOSPITAL ALSO PAID DUES TO THE AMERICAN HOSPITAL ASSOCIATION (AHA), WHICH INCLUDED LOBBYING COSTS OF $5,862. AHA REPRESENTS ALL HOSPITALS, NATIONWIDE, AND WORKS ALONG WITH STATE HOSPITAL ASSOCIATIONS, LIKE CHA TO ADDRESS FEDERAL LEGISLATIVE ISSUES AFFECTING HOSPITALS. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $724,626 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $17,634 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $112,750 | OtherExpendituresAmt |
| End Year Balance | $629,510 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $741,399 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$16,773 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $724,626 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $685,311 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $56,088 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $741,399 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $663,319 | BeginningYearBalanceAmt |
| Contributions | $5,000 | ContributionsAmt |
| Investment Earnings Or Losses | $16,992 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $685,311 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $657,181 | BeginningYearBalanceAmt |
| Contributions | $5,000 | ContributionsAmt |
| Investment Earnings Or Losses | $1,138 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $663,319 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.88000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.12000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $825,066 | OtherCostOrOtherBasisAmt |
| Book Value | $825,066 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $103,155 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $15,477,641 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,243,318 | DepreciationAmt |
| Book Value | $14,337,478 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $34,694,933 | OtherCostOrOtherBasisAmt |
| Depreciation | $28,879,778 | DepreciationAmt |
| Book Value | $5,815,155 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $612,874 | OtherCostOrOtherBasisAmt |
| Depreciation | $591,690 | DepreciationAmt |
| Book Value | $21,184 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $20,998,883 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM AFFILIATES | $541,820 |
| OTHER RECEIVABLES | $534,579 |
| INSURED CLAIMS RECEIVABLE | $3,467,711 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $4,544,110 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED PENSION | $18,262,691 |
| DUE TO THIRD PARTY | $2,226,150 |
| DEFERRED COMPENSATION | $296,764 |
| DUE TO AFFILIATES | $122,749 |
| OTHER ACCRUED BENEFITS | $991,713 |
| INSURED CLAIMS LIABILITIES | $3,467,711 |
| DEFERRED GRANT INCOME | $301,148 |
| MALPRACTICE LIABILITY | $689,915 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $26,358,841 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $70,498,808 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$341,223 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$349,394 | OtherRevenueAmt |
| Revenue Not Reported | -$690,617 | RevenueNotReportedAmt |
| Revenue Subtotal | $71,189,425 | RevenueSubtotalAmt |
| Other Revenues Not Included | $129,729,778 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $129,729,778 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $200,919,203 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $77,684,910 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $127 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $127 | ExpensesNotReportedAmt |
| Expenses Subtotal | $77,684,783 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $1,447 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $130,078,690 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $130,080,137 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $207,764,920 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | OTHER ALLOWANCES -342,666. INVESTMENT EXPENSES -1,447. MANAGEMENT FEE -5,281. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | ALLOWANCE 127,615,381. AUXILIARY REVENUE 72,416. CHARITY CARE 579,794. PASSTHROUGH INCOME 641. OTHER EXPENSES NETTED FROM REVENUE 1,431,807. REVENUE/EXPENSE RECLASS 8,618. LOSS ON SALE OF ASSETS -127. MEDICAL STAFF ACCOUNT REVENUE 21,248. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | LOSS ON SALE OF ASSETS 127. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | ALLOWANCE 127,615,381. AUXILIARY EXPENSE 76,935. CHARITY CARE 579,794. OTHER EXPENSES NETTED FROM REVENUE 1,431,807. OTHER ALLOWANCES 342,666. REVENUE/EXPENSE RECLASS 8,618. MEDICAL STAFF ACCOUNT EXPENSE 18,208. MANAGEMENT FEE 5,281. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | CELEBRATION OF TREES | NameOfEvent1Amt |
| Gross Receipts Event1 | $17,991 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $17,991 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $942 | OtherDirectExpensesEvent1Amt |
| Name Of Event2 | MOTHER'S DAY ROAD RACE | NameOfEvent2Amt |
| Gross Receipts Event2 | $16,398 | GrossReceiptsEvent2Amt |
| Gross Revenue Event2 | $16,398 | GrossRevenueEvent2Amt |
| Non Cash Prizes Event2 | $308 | NonCashPrizesEvent2Amt |
| Other Direct Expenses Event2 | $5,572 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $34,389 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $34,389 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $308 | NonCashPrizesTotalEventsAmt |
| Oth Direct Expnss Total Events | $6,514 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $6,822 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $27,567 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 250.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 271 | PersonsServedCnt |
| Total Community Benefit Expns | $264,381 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,299 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $244,082 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00120 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 10579 | PersonsServedCnt |
| Total Community Benefit Expns | $11,724,814 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,346,713 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,378,101 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02170 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 10850 | PersonsServedCnt |
| Total Community Benefit Expns | $11,989,195 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,367,012 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,622,183 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02290 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 41 | ActivitiesOrProgramsCnt |
| Persons Served | 101131 | PersonsServedCnt |
| Total Community Benefit Expns | $78,204 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,885 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $75,319 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 7 | ActivitiesOrProgramsCnt |
| Persons Served | 154 | PersonsServedCnt |
| Total Community Benefit Expns | $484,644 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $484,644 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00240 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 11 | ActivitiesOrProgramsCnt |
| Persons Served | 68002 | PersonsServedCnt |
| Total Community Benefit Expns | $108,038 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $108,038 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 59 | ActivitiesOrProgramsCnt |
| Persons Served | 169287 | PersonsServedCnt |
| Total Community Benefit Expns | $670,886 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,885 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $668,001 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00330 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 59 | ActivitiesOrProgramsCnt |
| Persons Served | 180137 | PersonsServedCnt |
| Total Community Benefit Expns | $12,660,081 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,369,897 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,290,184 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02620 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $5,298 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,298 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 54523 | PersonsServedCnt |
| Total Community Benefit Expns | $55,595 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $55,595 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $18,691 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $18,691 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 54523 | PersonsServedCnt |
| Total Community Benefit Expns | $79,584 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $79,584 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $5,608,309 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $579,795 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $19,296,474 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $24,102,580 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$4,806,106 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE MILFORD HOSPITAL INC | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 SEASIDE AVENUE | AddressLine1 |
| City | MILFORD | City |
| State | CT | State |
| ZIP Code | 06460 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE MILFORD HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.MILFORDHOSPITAL.ORG | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Exec Community Wide Plan | Yes (X) | ExecCommunityWidePlanInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | Yes (1) | AllNeedsAddressedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (1) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 250.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (1) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| State Regulation | Yes (X) | StateRegulationInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Attached To Invoice | Yes (X) | AttachedToInvoiceInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Average Negotiated Rates | Yes (X) | AverageNegotiatedRatesInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | THE MILFORD HOSPITAL, INC. | FormAndLineReferenceDesc |
| Explanation | PART V, SECTION B, LINE 3: IN PREPARING THE CHNA, MILFORD HOSPTIAL CONSULTED WITH HOLLERAN ASSOCIATES. THE CHNA WAS COMPRISED OF BOTH QUALITATIVE AND QUANTITATIVE RESEARCH COMPONENTS INCLUDING IN DEPTH REVIEW OF THE MILFORD COMMUNITY NEEDS ASSESSMENT CONDUCTED BY THE UNITED WAY OF CONNECTICUT'S COMMUNITY RESULTS CENTER. THIS STUDY WAS COMPRISED OF FOCUS GROUPS, KEY INFORMANT INTERVIEWS, A WEB BASED SURVEY AND SECONDARY DATA. IN ADDITION, A COLLECTION AND ANALYSIS OF ADDITIONAL DATA INCLUDING HEALTH INDICATORS AND STATISTICS AS REPORTED BY THE CDC AND THE STATE OF CONNECTICUT DEPARTMENT OF PUBLIC HEALTH WAS CONDUCTED.IN DEVELOPING AN IMPLEMENTATION STRATEGY AND COMMUNITY PLAN, THE HOSPITAL HELD A STRATEGIC PLANNING SESSION WITH THE FOLLOWING COMMUNITY LEADERS AND PROVIDERS:JOSEPH PELACCIA, MILFORD HOSPITAL, PRESIDENT AND CEOLAURA SMITH, MILFORD HOSPITAL, VICE PRESIDENT FINANCE AND CFODR. LLOYD FRIEDMAN, VICE PRESIDENT MEDICAL AFFAIRS AND COOKAREN KIPFER, MILFORD HOSPITAL, DIRECTOR OF COMMUNITY RELATIONSSENATOR GAYLE SLOSSBERG, STATE SENATORSTEVE FOURNIER, ASSISTANCE MAYOR, CITY OF MILFORDDR. ELIZABETH FESER, SUPERINTENDENT OF SCHOOLS, CITY OF MILFORDDR. DENNIS MCBRIDE, DIRECTOR, CITY OF MILFORD HEALTH DEPARTMENTJOHN A. HARKINS, MAYOR, CITY OF STRATFORD, CTGARY JOHNSON, UNITED WAY OF MILFORD, PRESIDENTBARRY KASDAN, PRESIDENT AND CEO, BRIDGES, A COMMUNITY SUPPORT SYSTEMROBERT LEWIS, MD, CARDIOVASCULAR PHYSICIANS AND CONSULTANTS, LLCJOYCE LINDSAY, DIRECTOR, HOME CARE PLUSANN MARIE RICKS, MD, SEASIDE OB/GYN OF MILFORDCALVIN E. ROBINSON, JR., PASTOR, FIRST BAPTIST CHURCH | ExplanationTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE MILFORD HOSPITAL WALK-IN CENTER | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 831 BOSTON POST ROAD | AddressLine1 |
| City | MILFORD | City |
| State | CT | State |
| ZIP Code | 06460 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | WALK IN CENTER | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | N/A |
| PART II, COMMUNITY BUILDING ACTIVITIES: | MILFORD HOSPITAL PROVIDES EMERGENCY PREPAREDNESS TRAINING AND DISASTER PLANNING FOR THE HOSPITAL AND THE COMMUNITY IT SERVES. |
| PART III, LINE 2: | COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 2: THE CALCULATION OF THE HOSPITAL'S RCC WAS DERIVED FROM WORKSHEET 2 OF THE FORM 990 INSTRUCTIONS. |
| PART III, LINE 3: | COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 3: THE CALCULATION OF THE HOSPITAL'S RCC WAS DERIVED FROM WORKSHEET 2 OF THE FORM 990 INSTRUCTIONS.RATIONALE FOR INCLUDING A PORTION OF BAD DEBT AMOUNTS AS COMMUNITY BENEFIT: THE HOSPITAL DOES NOT RECEIVE PAYMENTS FOR HEALTHCARE SERVICES PROVIDED TO UNINSURED INDIVIDUALS IN THE MILFORD COMMUNITY. INDIVIDUAL MEMBERS OF THE COMMUNITY ARE BENEFITING FROM GETTING HEALTHCARE SERVICES AT NO COST TO THEM. |
| PART III, LINE 4: | TEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE: PATIENT ACCOUNTS RECEIVABLE RESULT FROM THE HEALTH CARE SERVICES PROVIDED BY THE HOSPITAL. ADDITIONS TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS RESULT FROM THE PROVISION FOR BAD DEBTS. ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE ARE DEDUCTED FROM THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE AMOUNT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN MEDICARE AND MEDICAID HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS. |
| PART III, LINE 8: | THE HOSPITAL'S COSTS EXCEED REVENUE RECEIVED FROM CMS FOR MEDICARE PATIENTS BY APPROXIMATELY $4.8M. THE COSTS WERE DERIVED FROM THE MEDICARE COST REPORT. |
| PART III, LINE 9B: | THE HOSPITAL HAS POLICIES AND PROCEDURES TO ASSIST COLLECTION PERSONNEL IN DETERMINING A PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE WHO HAVE NO INSURANCE AND MEET SPECIFIC INCOME THRESHOLDS BASED ON THE POVERTY GUIDELINES. |
| PART VI, LINE 2: | IN ADDITION TO THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH GUIDES THE PLANNING AND IMPLEMENTATION OF HEALTH AND WELLNESS PROGRAMMING AND SERVICES, MILFORD HOSPITAL SURVEYS COMMUNITY ORGANIZATIONS, THE SCHOOL SYSTEMS AND THE LOCAL GOVERNMENT TO ASSESS THE HEALTH AND EDUCATIONAL NEEDS OF THE COMMUNITY. THIS IS DONE VIA COMMITTEE AND COALITION MEETINGS AND PARTNERSHIPS, AS WELL AS, INFORMAL AND FORMAL SURVEYS AND EVALUATIONS. |
| PART VI, LINE 3: | NOTIFICATION OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IS POSTED BY THE HOSPITAL IN BOTH ENGLISH AND SPANISH IN THE FOLLOWING LOCATIONS: ADMITTING, EMERGENCY, BILLING AND CREDIT AND COLLECTIONS AND SOCIAL SERVICES DEPARTMENTS. |
| PART VI, LINE 4: | MILFORD HOSPITAL SERVES THE COMMUNITY OF MILFORD, CT AND SEVERAL SURROUNDING COMMUNITIES. MILFORD IS A SMALL CITY OF 52,759 RESIDENTS LOCATED ON LONG ISLAND SOUND. THE ECONOMY IS DIVERSIFIED AND SUPPORTS MANUFACTURING, RETAIL, CORPORATE OFFICE AND SERVICE INDUSTRIES. THE MAJORITY OF THE POPULATION IDENTIFIES THEMSELVES AS WHITE (89.15%), HOWEVER, THE ASIAN AND HISPANIC POPULATIONS HAVE INCREASED RAPIDLY. MILFORD HAS AN OLDER POPULATION (16.3% OVER THE AGE OF 65), HIGHER THAN BOTH THE CONNECTICUT AND NATIONAL AVERAGES. CHILDREN AND YOUTH COMPRISE 20% OF THE POPULATION. THE ECONOMIC INDICATORS ARE MIXED. RESIDENTS HAVE EXPERIENCED FINANCIAL STRESS IN RECENT YEARS. THE SURROUNDING COMMUNITIES HAVE SIMILAR DEMOGRAPHIC PROFILES. |
| PART VI, LINE 5: | MILFORD HOSPITAL IS NOT ONLY THE HEALTHCARE PROVIDER FOR THE COMMUNITY, BUT ALSO A RESOURCE AND A PARTNER TO NUMEROUS COMMUNITY BOARDS, COALITIONS, PROGRAMS AND ORGANIZATIONS. IN ADDITION, THE HOSPITAL PROVIDES EMERGENCY PREPAREDNESS AND DISASTER PLANNING FOR THE HOSPITAL AND THE ENTIRE COMMUNITY WHICH IT SERVES. COMMUNITY HEALTH AND WELLNESS PROGRAMS, HEALTH PROFESSIONAL EDUCATION AND HEALTH PROMOTION ACTIVITIES ARE OFFERED TO THE COMMUNITY THROUGHOUT THE YEAR. IN 2014, OVER 10,000 PERSONS WERE SERVED VIA EDUCATIONAL OFFERINGS AND MORE THAN 100,000 PEOPLE WERE IMPACTED THROUGH HEALTH PROMOTION, EMERGENCY PLANNING AND OTHER ACTIVITIES. |
| PART VI, LINE 6: | N/APART VI, LINE 7: MILFORD HOSPITAL FILES A COMMUNITY BENEFIT REPORT TO THE STATE OF CONNECTICUT VIA THE CONNECTICUT HOSPITAL ASSOCIATION (CHA). |
| PART VI, LINE 7, REPORTS FILED WITH STATES | CT |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|---|
| MILFORD HOSPITAL FOUNDATION VIA MH WAYS & MEANS | |||||||||
| 300 SEASIDE AVENUE | MILFORD | CT | 06460 | 222627350 | 501(C)(3) | $26,500 | BOOK | N/A | EQUIPMENT PURCHASE |
| MILFORD HOSPITAL FOUNDATION VIA MH HOSPITALITY SHOP | |||||||||
| 300 SEASIDE AVENUE | MILFORD | CT | 06460 | 222627350 | 501(C)(3) | $44,000 | BOOK | N/A | EQUIPMENT PURCHASE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|---|
| SCHOLARSHIPS AWARDED TO JUNIOR VOLUNTEERS FOR HIGHER EDUCATION | 5 | $3,000 | BOOK | N/A |
| SCHOLARSHIPS | 2 | $2,000 | BOOK | N/A |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | HOSPITAL ADMINISTRATION MONITORS THE USE OF GRANT FUNDS BY REQUIRING A CAPITAL EQUIPMENT REQUEST (CER) AND A REQUEST FOR PAYMENT BE COMPLETED BEFORE FUNDS ARE RELEASED. ALL CERS MUST BE APPROVED BY THE CEO AND CFO OF THE HOSPITAL. THE REQUEST FOR PAYMENT IS APPROVED BY THE DIRECTOR OF THE FOUNDATION AND THE CFO OF THE HOSPITAL. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOSEPH PELACCIA | ||||||||||||||
| PRESIDENT & CEO | $478,837 | $59,999 | $0 | $0 | $33,000 | $0 | $100,423 | $12,583 | $8,298 | $1,040 | $620,558 | $73,622 | $0 | $0 |
| LLOYD FRIEDMAN MD | ||||||||||||||
| VP MEDICAL AFFAIRS & COO | $433,836 | $54,360 | $0 | $0 | $30,000 | $0 | $91,765 | $11,498 | $20,105 | $2,519 | $575,706 | $68,377 | $0 | $0 |
| LAURA SMITH | ||||||||||||||
| VP FINANCE & CFO | $148,687 | $21,534 | $0 | $0 | $0 | $0 | $34,208 | $4,954 | $17,562 | $2,543 | $200,457 | $29,031 | $0 | $0 |
| MICHAEL BLOCH | ||||||||||||||
| E.R. PHYSICIAN | $340,753 | $0 | $0 | $0 | $0 | $0 | $6,300 | $0 | $19,119 | $0 | $366,172 | $0 | $0 | $0 |
| ANDREW CHOW | ||||||||||||||
| HOSPITALIST | $323,436 | $0 | $0 | $0 | $0 | $0 | $6,300 | $0 | $21,590 | $0 | $351,326 | $0 | $0 | $0 |
| WILLIAM SACKS | ||||||||||||||
| E.R. PHYSICIAN | $318,888 | $0 | $0 | $0 | $0 | $0 | $6,300 | $0 | $0 | $0 | $325,188 | $0 | $0 | $0 |
| ANITHA KAMATH | ||||||||||||||
| CHIEF PATHOLOGIST | $311,528 | $0 | $0 | $0 | $0 | $0 | $6,300 | $0 | $21,590 | $0 | $339,418 | $0 | $0 | $0 |
| JOHN SCARFO | ||||||||||||||
| E.R. PHYSICIAN | $310,226 | $0 | $0 | $0 | $0 | $0 | $6,300 | $0 | $19,119 | $0 | $335,645 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 4B | FormAndLineReferenceDesc |
| Explanation | JOSEPH PELACCIA, LAURA SMITH AND LLOYD FRIEDMAN PARTICIPATED IN A SUPPLEMENTAL RETIREMENT PLAN. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 1 | COMPASSION. AS A COMMUNITY HEALTHCARE PROVIDER, MILFORD HOSPITAL IS COMMITTED TO REMAINING IN THE FOREFRONT OF THE CLINICAL, TECHNOLOGICAL, AND ELECTRONIC INFORMATION ADVANCES THAT MAKE THE CONTINUOUS DELIVERY OF HIGH-QUALITY, COST-EFFECTIVE HEALTHCARE SERVICES POSSIBLE. MILFORD HOSPITAL RECOGNIZES THAT THE QUALITY OF HUMAN RESOURCES - STAFF, PHYSICIANS AND VOLUNTEERS - IS THE KEY TO CONTINUED SUCCESS AND THEREFORE STRIVES TO CREATE AN ENVIRONMENT OF TEAMWORK AND PARTICIPATION WHERE, THROUGH CONTINUOUS QUALITY IMPROVEMENT AND A FOCUS ON PATIENT SAFETY, PEOPLE PURSUE EXCELLENCE AND TAKE PRIDE IN THE QUALITY OF THEIR WORK IN THE ORGANIZATION. MILFORD HOSPITAL ENGAGES IN A WIDE RANGE OF HEALTH EDUCATIONAL ACTIVITIES DESIGNED TO MEET THE EDUCATIONAL NEEDS OF PATIENTS, STAFF, PHYSICIANS AND THE COMMUNITY. |
| FORM 990, PART III, LINE 4A | AS A COMMUNITY HEALTHCARE PROVIDER, MILFORD HOSPITAL IS COMMITTED TO THOSE WE SERVE, BOTH PATIENTS AND NON-PATIENTS. OUR GOAL IS NOT ONLY TO PROVIDE QUALITY COMPASSIONATE CARE WHEN AN INDIVIDUAL ENTERS OUR HEALTHCARE INSTITUTION, BUT ALSO TO PROMOTE AND COMMUNICATE WELLNESS INFORMATION AND EDUCATION SO THAT FAMILIES IN OUR AREA CAN KEEP FROM BECOMING ILL AND LEAD HEALTHIER LIVES. IN FY 2014, MILFORD HOSPITAL PROVIDED HEALTHCARE SERVICES TO: 3,119 PATIENTS ON AN INPATIENT BASIS 31,198 PATIENTS THROUGH THE EMERGENCY DEPARTMENT/WALK-IN CENTER 1,458 PATIENTS IN OUR AMBULATORY SURGERY SUITE IN ADDITION TO DIRECT PATIENT CARE, THE HOSPITAL PROVIDED EDUCATION, HEALTH SCREENINGS AND SUPPORT SERVICES TO OVER 5,000 INDIVIDUALS THROUGH A VARIETY OF MODALITIES INVOLVING PERSONAL INTERACTION. INDIRECTLY, DURING FY 2014, VIA OUR WEBSITE ALONE, THE HOSPITAL PROVIDED INFORMATION TO MORE THAN 93,000 UNIQUE USERS FROM OUR SERVICE AREA AND BEYOND. IN SEPTEMBER 2013, IN ACCORDANCE WITH THE REQUIREMENTS SET FORTH IN THE AFFORDABLE CARE ACT, MILFORD HOSPITAL LED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE PURPOSE OF THE CHNA WAS TO GATHER INFORMATION ABOUT LOCAL HEALTH NEEDS AND BEHAVIORS IN AN EFFORT TO ENSURE THAT MILFORD HOSPITAL PROGRAMS, SERVICES AND OFFERINGS ARE IN ALIGNMENT WITH COMMUNITY NEEDS. THE FINDINGS OF THE CHNA WERE EVALUATED AND PRIORITIZED BY A TEAM OF COMMUNITY PARTNERS AND LEADERS. DURING THE EARLY MONTHS OF FY 2014, AN IMPLEMENTATION STRATEGY WAS DEVELOPED AND ADOPTED TO GUIDE THE COMMUNITY BENEFIT INITIATIVES OF THE INSTITUTION. WHILE THE CHNA PROVIDES AN OVERVIEW AND PERSPECTIVE OF OUR LOCAL COMMUNITY, A NUMBER OF OVERLAPPING HEALTH ISSUES WERE MADE CLEAR INCLUDING: A BROAD RANGE OF CHRONIC HEALTH CONDITIONS, THE RAPIDLY AGING POPULATION, MATERNAL AND CHILD HEALTH AND ACCESS TO CARE. AMONG OUR GOALS RELATIVE TO COMMUNITY BENEFITS IN FY 2014 WAS TO ADDRESS THE COMMON RISK FACTORS ASSOCIATED WITH AGING AS WELL AS CHRONIC AND INFECTIOUS DISEASES. IN DOING SO, THE HOSPITAL ESTABLISHED AN OBJECTIVE OF CONTINUING AND EXPANDING IT'S OFFERING OF COMMUNITY HEALTH AND WELLNESS PROGRAMS BOTH AT MILFORD HOSPITAL AND IN THE COMMUNITY. THESE PROGRAMS ARE OFFERED AT NO-CHARGE AND ARE DELIVERED BY HEALTH CARE PROFESSIONALS AND EDUCATORS AND INCLUDED THE FOLLOWING: - FIBROMYALGIA AND CHRONIC FATIGUE SYNDROME - UNDERSTANDING DIABETES AND DIABETES MANAGEMENT - THYROID CONDITIONS - BECOMING HEART SMART - END THE WEIGHT - NON-SURGICAL AND SURGICAL TECHNIQUES IN WEIGHT-LOSS. - UNDERSTANDING AND TREATING GASTROINTESTINAL DISTURBANCES - ARTHRITIS AND CHRONIC KNEE PAIN - THE SMART WEIGH - NUTRITION AND WEIGHT MANAGEMENT (6 SESSION SERIES) - WHAT EVERY GIRL WANTS TO KNOW - WOMEN LIVING WELL - FEMALE PHYSICAL AND MENTAL WELLNESS - WOMEN'S HEALTH AWARENESS SERIES - FROM PUBERTY TO MENOPAUSE AND BEYOND (4 SESSION SERIES) - WOUND CARE BASICS - UNDERSTANDING AND TREATING CHRONIC / NON-HEALING WOUNDS - MINDFUL MEDITATION (4 SESSION SERIES) - WHAT EVERY GIRL WANTS TO KNOW - THE PHYSICAL AND EMOTIONAL CHANGES OF PUBERTY AND ADOLESCENCE (2 SESSION SERIES) - SPRING INTO DRUMS ALSO AS PART OF ITS' OBJECTIVE TO INCREASE AWARENESS AND UNDERSTANDING OF HEALTHY LIFESTYLES, RISK FACTORS AND DISEASE PREVENTION, THE HOSPITAL CONTINUED TO CONDUCT FREE AND LOW COST HEALTH SCREENINGS. OFFERED ON A QUARTERLY BASIS, SCREENINGS ARE HELD BOTH IN THE HOSPITAL AND IN THE COMMUNITY. IN FY 2014, HEALTH SCREENINGS AND DISEASE PREVENTION INITIATIVES INCLUDED: - BLOOD PRESSURE SCREENING - BLOOD SUGAR (DIABETES) SCREENING - CHOLESTEROL (TOTAL AND HDL) TESTING - PROSTATE CANCER SCREENING - INFLUENZA IMMUNIZATIONS - ARTHRITIC CONDITIONS OF THE KNEE SCREENING IN ADDITION, MILFORD HOSPITAL WORKS WITH LOCAL BUSINESSES AND ORGANIZATIONS AS A WELLNESS PARTNER FOR THEIR EMPLOYEES. HEALTH SCREENINGS AND COUNSELING ARE PROVIDED OFF-SITE, IN THE WORK PLACE, AND INCLUDE, CHOLESTEROL, BLOOD PRESSURE, BLOOD SUGAR SCREENING AND NUTRITIONAL COUNSELING. THE FOLLOWING IS A LIST OUR CORPORATE / ORGANIZATIONAL PARTNERS: - MILFORD SENIOR CENTER - CITY OF MILFORD - MILFORD POLICE DEPARTMENT - ALINABAL, INC. - BIC CORPORATION, MAIN BUILDING - BIC CORPORATION, BUILDING 5 - THE EDGE - FITNESS CENTER - REGIONAL WATER AUTHORITY - DRILL MASTERS FOR COMMUNITY MEMBERS DIAGNOSED WITH, OR CARING FOR SOMEONE WITH, AN ILLNESS OR CHRONIC HEALTH CONDITION, A COMMUNITY NETWORK OF SUPPORT IS AVAILABLE AT MILFORD HOSPITAL. TO FOSTER UNDERSTANDING AND THE ABILITY TO COPE WITH ILLNESS AND CHRONIC HEALTH CONDITIONS THE HOSPITAL OFFERS THE FOLLOWING SUPPORT GROUPS ON A REGULARLY SCHEDULED BASIS: - ALZHEIMER'S SUPPORT GROUP - MULTIPLE SCLEROSIS SUPPORT GROUP - LUPUS - BREAST CANCER - EPILEPSY THE FAMILY CHILDBIRTH CENTER AT MILFORD HOSPITAL AND THEIR STAFF OF WOMEN'S HEALTH EDUCATORS OFFERED ONGOING CHILDBIRTH AND PARENTING EDUCATION CLASSES TO WOMEN OF CHILDBEARING AGE WHICH INCLUDED: - PREPARED CHILDBIRTH EDUCATION - BREASTFEEDING BASICS AND SUPPORT - BIG BROTHERS & SISTERS ALSO RELATIVE TO MATERNAL CHILD HEALTH, MILFORD HOSPITAL HAS A LONG-STANDING PARTNERSHIP WITH THE YOUNG PARENT PROGRAM (YPP) OF MILFORD. THE YPP PROVIDES PARENTING AND PREGNANCY SERVICES TO TEENS AND YOUNG ADULTS WHICH PROMOTE POSITIVE BIRTH OUTCOMES, HEALTHY CHOICES, PREGNANCY PREVENTION AND RESPONSIBLE DECISION. THE HOSPITAL PROVIDES THE ORGANIZATION WITH OFFICE SPACE AND ALL ASSOCIATED OVERHEAD EXPENSES, CLERICAL SUPPORT AND MORE. THE FOLLOWING LIST IS INCLUSIVE OF SPECIAL EVENTS AND SERVICES THAT THE HOSPITAL OFFERS TO PATIENTS AND THE COMMUNITY. WHILE NOT ALL OF THE OFFERINGS ARE UNIQUE TO MILFORD HOSPITAL, THEY ARE, NONETHELESS, AVAILABLE AND OFFERED AS A RESOURCE, A SERVICE OR AN OPPORTUNITY TO SUPPORT OUR PATIENTS AND OUR COMMUNITY: - THE HOSPITAL PROVIDES LITERACY PROGRAMS: BOOKS FOR BABIES AND BIRTHDAY BOOKS FOR BABIES PROGRAM IN COORDINATION WITH THE LITERACY CENTER OF MILFORD; PROVIDES PREGNANCY EDUCATION THROUGH ANNUAL "BABY FAIR" AND PARTICIPATES IN FUNDRAISERS, COMMUNITY EDUCATION PROGRAMS, AND ANNUAL FAIR FOR KIDS COUNT 12345. - THE HOSPITAL HOSTS VARIETY OF HEALTH AND WELLNESS SUPPORT GROUPS AND PROGRAMS. OF THESE, SIX MEET MONTHLY. OTHERS MAY MEET LESS FREQUENTLY. EACH IS PROVIDED WITH MEETING SPACE, REFRESHMENTS AND ASSOCIATED COSTS AT NO CHARGE. - MILFORD HOSPITAL OFFERS A "WOMEN LIVING WELL" PROGRAM. THIS IS A FREE INFORMATIVE DAY LONG SEMINAR FOR WOMEN ON HEALTH AND WELLNESS ISSUES AND CONCERNS. - STAFF AND PHYSICIANS PARTICIPATE IN A LOCAL CABLE TALK SHOW "HEALTH FROM THE HILL" AS A GUEST EXPERTS ON HEALTH AND WELLNESS TOPICS. - THE HOSPITAL MAINTAINS A SPEAKERS BUREAU, WHICH PROVIDES PHYSICIANS AND MEMBERS OF THE HOSPITAL STAFF TO SPEAK TO LOCAL COMMUNITY ORGANIZATIONS ON A WIDE VARIETY OF TOPICS AT NO CHARGE. - MILFORD HOSPITAL HOSTS AN ANNUAL 5K "LIVE WELL" COMMUNITY EVENT. THIS EVENT OFFSETS THE COST ASSOCIATED WITH COMMUNITY PROGRAMMING AND HEALTH SCREENINGS OFFERED BY MILFORD HOSPITAL. - THE HOSPITAL SPONSORS RED CROSS BLOOD DRIVES THREE TIMES A YEAR IN PROVIDING, AUDITORIUM SPACE, VOLUNTEERS, REFRESHMENTS AND ASSISTANCE PROMOTING EACH DRIVE. - IN COMPLIANCE WITH THE CONSENT DECREE REGARDING THE HEARING IMPAIRED, MILFORD HOSPITAL PROVIDES VARIOUS ASSISTED LISTENING DEVICES FOR THE HARD OF HEARING, INTERPRETERS, AND TTY MACHINES FOR THE DEAF, FREE OF CHARGE FOR ANY PATIENT/COMPANION. - MILFORD HOSPITAL ALSO PROVIDES A LINGUISTIC SERVICE FOR NON-ENGLISH-SPEAKING PATIENTS. IF A LANGUAGE INTERPRETER MUST BE CALLED VIA A SPECIAL PHONE, THE COST OF THE CALL IS ASSUMED BY THE HOSPITAL. |
| FORM 990, PART III, LINE 4A | - MILFORD HOSPITAL OFFERS A "PHYSICIAN FINDER" TELEPHONE SERVICE FOR COMMUNITY RESIDENTS NEEDING A DOCTOR, AND PROVIDES A "DIRECTORY OF STAFF PHYSICIANS" WHICH LISTS THEIR SPECIALTY, PHONE NUMBER, AND ADDRESS. - THE PHARMACY DEPARTMENT COMMUNICATES WITH AND MAKES AVAILABLE TIME TO MEET WITH RESIDENTS TO REVIEW THEIR PRESCRIPTIONS AND MEDICATIONS. THIS IS TYPICALLY DONE IN COORDINATION WITH NATIONAL PHARMACY WEEK. - HOSPITAL MEETING SPACE IS MADE AVAILABLE TO HEALTH RELATED AND OTHER NOT - FOR- PROFIT COMMUNITY GROUPS IN NEED OF A MEETING ROOM AT NO -CHARGE. - THE HOSPITAL PROVIDES FREE MEDICARE / MEDICAID COUNSELING AND ASSISTANCE BY TRAINED HOSPITAL VOLUNTEERS. IN ADDITION, THE HOSPITAL HOSTED HEALTH CARE EXCHANGE ENROLLMENT AND INFORMATION SESSIONS IN COORDINATION WITH THE STATE OF CONNECTICUT. - CLINICAL STAFF INITIATED A FOLLOW-UP PROGRAM FOR CONGESTIVE HEART FAILURE PATIENTS TO PROVIDE EDUCATION AND CLINICAL SUPPORT. - THE HOSPITAL OFFERS COLLEGE AND POST GRADUATE STUDENTS TRAINING OPPORTUNITIES IN REGISTERED NURSING, LICENSED PRACTICAL NURSING, DIAGNOSTIC IMAGING, MEDICAL CODING SCIENCES, PHARMACY, LABORATORY SCIENCES, DIETETIC SERVICES, PUBLIC AND COMMUNITY HEALTH, ENVIRONMENT OF CARE -EMERGENCY PREPAREDNESS AND NURSING ASSISTANT. - THE SOCIAL SERVICES DEPARTMENT OFFERS ASSISTANCE TO PATIENTS AND THEIR FAMILIES WITH COMPLETION OF TITLE-19 APPLICATIONS, CONSERVATOR APPLICATIONS, COMPLETION OF ADVANCED DIRECTIVES AND REFERRALS TO OTHER SOCIAL SERVICE AGENCIES. - CAB VOUCHERS ARE PROVIDED TO PATIENTS AND FAMILIES THROUGH THE SOCIAL SERVICE DEPARTMENT WHEN OTHER FORMS OF TRANSPORTATION ARE NOT AVAILABLE. THE HOSPITAL HAS ALSO COVERED THE COST OF AMBULANCE TRANSPORTATION FOR UNINSURED TITLE-19 PATIENTS GOING TO DMHAS FACILITIES. - THE SOCIAL SERVICES DEPARTMENT ALSO MAINTAINS A FUND TO PROVIDE ASSISTANCE TO PATIENTS AS NEEDED; I.E., COVER COST OF PRESCRIPTIONS, TRANSPORTATION ETC. - ADMINISTRATION AND DEPARTMENT LEADERSHIP RESPOND TO REQUESTS FOR SPEAKERS AT VARIOUS COMMUNITY FORUMS AND ORGANIZATIONS (INCLUDING SCHOOL GROUPS, CIVIC ORGANIZATIONS, SENIOR PROGRAMS ETC.) - MILFORD HOSPITAL ADMINISTRATION AND DEPARTMENT LEADERSHIP MAINTAINS PROFESSIONAL AFFILIATIONS WITH AND STRONGLY SUPPORT LOCAL ORGANIZATIONS THROUGH PARTICIPATION ON BOARDS, ADVISORY COMMITTEE, AND COUNCILS OF THE FOLLOWING: - ALZHEIMERS ASSOCIATION OF CONNECTICUT - AMERICAN CANCER SOCIETY - AMERICAN COLLEGE OF HEALTHCARE EXECUTIVES - AMERICAN HEART ASSOCIATION - AMERICAN LUNG ASSOCIATION - AMERICAN RED CROSS - BRIDGES - A COMMUNITY SUPPORT AGENCY - CITY OF MILFORD HEALTH AND WELLNESS COUNCIL - CONNECTICUT ASSOCIATION OF RESPIRATORY CARE - CONNECTICUT COLLEGE OF HEALTH CARE EXECUTIVES - CONNECTICUT HOSPITAL ASSOCIATION - CONNECTICUT LEAGUE FOR NURSING - CONNECTICUT ORGANIZATION FOR NURSE EXECUTIVES - CONNECTICUT TUBERCULOSIS ADVISORY COMMITTEE - CONNECTICUT YANKEE COUNCIL - BOY SCOUTS OF AMERICA - HEALTHCARE HUMAN RESOURCES ASSOCIATION - KIDS COUNT 12345 - MILFORD CHAMBER OF COMMERCE - MILFORD MAYORS YOUTH FORUM - MILFORD - ORANGE YMCA - MILFORD PREVENTION COUNCIL - NEW HAVEN TUBERCULOSIS COALITION - PARTNERSHIP FOR GREATER NEW HAVEN - RAPE CRISIS CENTER - SOCIAL SERVICES NETWORK OF MILFORD - STATE REGIONAL PSYCHIATRIC COMMITTEE - UNITED WAY OF MILFORD - YOUNG PARENT PROGRAM THE ACTIVITIES AS OUTLINED ABOVE ARE REFLECTIVE OF THE STRONG COMMITMENT BY MILFORD HOSPITAL AND ITS STAFF TO THE WELL-BEING OF THE COMMUNITIES WE SERVE. THE FUTURE OF HOSPITAL HEALTH CARE DEPENDS AS MUCH ON THE SUCCESSFUL PREVENTION OF ILLNESS AS DOES THE TREATMENT. OUR INVESTMENT IN COMMUNITY EDUCATION, SPECIAL OUTREACH PROGRAMS, HEALTHCARE SEMINARS, AND MEMBERSHIPS IN INDEPENDENT HEALTH ORGANIZATIONS, ALL CONTRIBUTE TOWARD THE OVERALL WELFARE OF OUR CITIZENRY. |
| FORM 990, PART VI, SECTION A, LINE 2 | BOARD MEMBERS JOSEPH PELACCIA, SAMUEL BERGAMI, JR., LOUIS D'AMATO, JAMES BEARD, LEO CARROLL, AND CAROL MCINNIS ARE ALSO BOARD MEMBERS OF THE MILFORD BANK. |
| FORM 990, PART VI, SECTION B, LINE 11 | IN ADDITION TO A REVIEW OF FORM 990 BY MANAGEMENT OF THE MILFORD HOSPITAL, THE RETURN IS REVIEWED BY THE CFO / VICE PRESIDENT OF FINANCE ON BEHALF OF THE BOARD OF DIRECTORS. THE RETURN IS THEN MADE AVAILABLE VIA OFFICE OUTLOOK WEB ACCESS TO EACH BOARD MEMBER BEFORE IT'S FILED WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | CONFLICT OF INTEREST STATEMENTS ARE SENT TO OFFICERS, DIRECTORS, AND KEY EMPLOYEES ANNUALLY. THE COMPLETED STATEMENTS ARE REVIEWED BY THE PRESIDENT. |
| FORM 990, PART VI, SECTION B, LINE 15 | BOARD OF DIRECTORS APPROVES COMPENSATION OF OFFICERS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE KEPT IN THE PRESIDENT'S OFFICE AND ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | PASSTHROUGH INCOME FROM CT HOSPITAL LAB NETWORK, LLC -641. TRANSFER TO AFFILIATES -926,625. TRANSFER FROM AFFILIATES 74,440. CHANGE IN EQUITY INTEREST IN MILFORD HOSPITAL FOUNDATION 65,966. CHANGE IN PENSION FUND OBLIGATION -1,655,986. |
| FORM 990, PART XII, LINE 2C: | THE BOARD OF DIRECTORS HAS DELEGATED ITS OVERSIGHT RESPONSIBILITY OF THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS TO THE FINANCE, INSURANCE AND PENSION COMMITTEE. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| MILFORD HEALTH & MEDICAL INC | |||||||||||
| 300 SEASIDE AVE | MILFORD | CT | 06460 | 222627346 | SUPPORTING ORGANIZATION | CT | 501(C)(3) | LINE 11B, II | N/A | 0 | |
| MILFORD HEALTH CARE SERVICES INC | |||||||||||
| 300 SEASIDE AVE | MILFORD | CT | 06460 | 222627353 | HEALTH CARE SERVICES | CT | 501(C)(3) | PF | 0 | MILFORD HEALTH & MEDICAL | |
| MILFORD HOSPITAL FOUNDATION INC | |||||||||||
| 300 SEASIDE AVE | MILFORD | CT | 06460 | 222627350 | FUNDRAISING | CT | 501(C)(3) | PF | 0 | MILFORD HEALTH & MEDICAL | |
| HOME CARE PLUS INC | |||||||||||
| P O BOX 161 | MILFORD | CT | 06460 | 061044331 | HOME HEALTH SERVICES | CT | 501(C)(3) | LINE 9 | 0 | MILFORD HEALTH & MEDICAL | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|
| SEABRIDGE CORPORATION | ||||||||||
| 300 SEASIDE AVE | MILFORD | CT | 06460 | 222626962 | OTHER MEDICAL SERVICES | CT | N/A | C | 0 | |
| MILFORD MEDICAL LABORATORY INC | ||||||||||
| 300 SEASIDE AVE | MILFORD | CT | 06460 | 066368893 | LABORATORY SERVICES | CT | N/A | C | 0 | |
| TORRY CORPORATION | ||||||||||
| 300 SEASIDE AVE | MILFORD | CT | 06460 | 010724230 | RENTAL REAL ESTATE | CT | N/A | C | 0 | |
| SEASIDE INDEMNITY ALLIANCE LTD | ||||||||||
| 300 SEASIDE AVE | MILFORD | CT | 06460 | LIABILITY INSURANCE | N/A | C | 0 | CJ | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |