2015-08-17T10:19:45-05:00 2014-09-30 111986323 MARCUM LLP CITY PLACE II 185 ASYLUM STREET HARTFORD CT 06103 990 2013-10-01 060646741 THE MILFORD HOSPITAL INC MILF 2038764000 300 SEASIDE AVENUE MILFORD CT 06460 LAURA SMITH CFO/VP OF FINANCE 2038764000 2015-08-14 1 DOUGLAS FARRINGTON P00370668 8607600600 2013 2016-02-25 16:41:14Z LAURA SMITH 300 SEASIDE AVENUE MILFORD CT 06460 204319446 0 X WWW.MILFORDHOSPITAL.ORG X 1942 CT HOSPITAL SERVICES 19 18 793 298 4647212 -2786 306145 5720 196473067 198736085 919106 680930 1631323 1496468 199329641 200919203 85946 76200 0 0 53760794 46643509 0 0 0 153563831 161045211 207410571 207764920 -8080930 -6845717 48484725 47049222 39769991 47964274 8714734 -915052 X 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 0 0 198699239 76200 199589080 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 198699239 1 0 0 1 0 0 0 0 0 1 1 0 0 1 1 0 1 1 0 0 0 0 0 0 1 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 39 0 1 793 1 1 1 0 0 0 0 0 0 0 0 0 X 19 18 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X JOSEPH PELACCIA 2038764230 300 SEASIDE AVENUE MILFORD CT 06460 SAMUEL BERGAMI JR CHAIRMAN 1.00 0.30 X X 0 0 0 LOUIS D'AMATO VICE CHAIRMAN 1.00 0.30 X X 0 0 0 MICHAEL SAFFER ESQ SECRETARY 1.00 0.30 X X 0 0 0 STEPHEN E RONAI ESQ SECRETARY 1.00 0.30 X X 0 0 0 RICHARD MEISENHEIMER TREASURER 1.00 0.30 X X 0 0 0 JOSEPH PELACCIA PRESIDENT & CEO 41.60 5.20 X X 511837 59999 122344 JAMES BEARD DIRECTOR 1.00 0.30 X 0 0 0 NANCY BENNETT DIRECTOR 1.00 0.30 X 0 0 0 ARMAND CANTAFIO DIRECTOR 1.00 0.30 X 0 0 0 LEO CARROLL ESQ DIRECTOR 1.00 0.30 X 0 0 0 BRADFORD GESLER DIRECTOR 1.00 0.30 X 0 0 0 ANN LOESCH DIRECTOR 0.20 0.10 X 0 0 0 CAROL MCINNIS DIRECTOR 0.20 0.10 X 0 0 0 LEN NAPOLI JR DIRECTOR 1.00 0.30 X 0 0 0 RAYMOND S OLIVER DIRECTOR 0.20 0.10 X 0 0 0 GARY OPIN DMD DIRECTOR 0.20 0.10 X 0 0 0 RONALD SILVERBERG DIRECTOR 0.20 0.10 X 0 0 0 CHARLES GUGLIN MD DIRECTOR / MEDICAL STAFF PRESIDENT 1.00 0.30 X 0 0 0 RITA CANAS DIRECTOR / AUXILIARY CO-PRESIDENT 0.20 0.10 X 0 0 0 PATRICIA CUCUZZA DIRECTOR / AUXILIARY CO-PRESIDENT 0.20 0.10 X 0 0 0 CONNIE MILLER DIRECTOR / AUXILIARY CO-PRESIDENT 0.20 0.10 X 0 0 0 SANDRA VIGILIO DIRECTOR / AUXILIARY CO-PRESIDENT 0.20 0.10 X 0 0 0 LLOYD FRIEDMAN MD VP MEDICAL AFFAIRS & COO 33.30 4.20 X 463836 54360 125887 LAURA SMITH VP FINANCE & CFO 36.30 5.30 X 148687 21534 59267 MICHAEL BLOCH E.R. PHYSICIAN 45.20 X 340753 0 25419 ANDREW CHOW HOSPITALIST 58.20 X 323436 0 27890 WILLIAM SACKS E.R. PHYSICIAN 41.90 X 318888 0 6300 ANITHA KAMATH CHIEF PATHOLOGIST 40.00 X 311528 0 27890 JOHN SCARFO E.R. PHYSICIAN 42.10 X 310226 0 25419 2729191 135893 420416 83 0 1 0 SODEXO OPERATIONS LLC PO BOX 360170 PITTSBURGH PA 15251 FOOD SERVICE 702803 AFTERCARE PHYSICAL THERAPY SERVICES 4154 MADISON AVE TRUMBULL CT 06611 THERAPY SERVICES 702699 ACCELECARE WOUND CENTER INC PO BOX 671242 DALLAS TX 75267 WOUND SERVICES 363856 AMERICAN RED CROSS PO BOX 33093 NEWARK NJ 07188 PROCESS BLOOD 362475 CORNERSTONE ADVISOR'S GROUP LLC PO BOX 569 GEORGETOWN CT 06829 MEDICATION RECONCILIATION SVCS 251139 14 5720 5720 SPECIAL SERVICES 621500 145989509 143549597 2439912 ROUTINE SERVICES 624100 50594580 50594580 OTHER SERVICES 541610 2151996 2151996 198736085 333801 333801 9350 5694 3656 3656 3656 3642375 21157 3295119 21284 347256 -127 347129 347129 48409 10133 38276 38276 109984 68013 41971 41971 MEANINGFUL USE INCOME 900099 852995 852995 CAFETERIA REVENUE 722210 183813 183813 PHARMACY SALES 446110 183449 183449 192308 55304 137004 1412565 200919203 194997172 4647212 1269099 71200 71200 5000 5000 1879381 810967 1068414 34857249 31660992 3196257 860623 860623 6491806 5861504 630302 2554450 2237286 317164 5281 5281 274252 274252 238154 238154 25362 25362 1447 1447 6392599 5215657 1176942 99014 278 98736 1109619 922126 187493 373156 69388 303768 1901722 1780072 121650 28015 10166 17849 17520 16785 735 26961 26961 104531 90726 13805 2687423 1708169 979254 30047 30047 ALLOWANCE FOR UNPAID CA 127615381 127615381 MEDICAL EXPENSES 10680217 10680217 BAD DEBTS 5608309 5608309 PHARMACEUTICAL DRUGS 2133639 2133639 1692562 1340754 351808 207764920 198699239 9065681 0 1331986 927082 2549156 8698413 9618035 8850797 918069 799067 1216823 337599 51713669 30714786 22160470 20998883 4035828 933032 894273 960239 5760085 4544110 48484725 47049222 14061882 15605433 6000000 25708109 26358841 39769991 47964274 X 7266461 -2429291 774510 840476 673763 673763 8714734 -915052 48484725 47049222 X -6845717 -341223 -2442846 X X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 25362 25362 0 PART II-B, LINE 1: 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. 724626 17634 112750 629510 741399 -16773 724626 685311 56088 741399 663319 5000 16992 685311 657181 5000 1138 663319 0.00000 0.88000 0.12000 0 1 1 825066 825066 103155 15477641 1243318 14337478 34694933 28879778 5815155 612874 591690 21184 20998883 DUE FROM AFFILIATES 541820 OTHER RECEIVABLES 534579 INSURED CLAIMS RECEIVABLE 3467711 4544110 ACCRUED PENSION 18262691 DUE TO THIRD PARTY 2226150 DEFERRED COMPENSATION 296764 DUE TO AFFILIATES 122749 OTHER ACCRUED BENEFITS 991713 INSURED CLAIMS LIABILITIES 3467711 DEFERRED GRANT INCOME 301148 MALPRACTICE LIABILITY 689915 26358841 70498808 -341223 -349394 -690617 71189425 129729778 129729778 200919203 77684910 127 127 77684783 1447 130078690 130080137 207764920 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. CELEBRATION OF TREES 17991 17991 942 MOTHER'S DAY ROAD RACE 16398 16398 308 5572 34389 34389 308 6514 6822 27567 1 1 1 X 250.000000000000 1 X 1 1 0 1 1 271 264381 20299 244082 0.00120 10579 11724814 7346713 4378101 0.02170 10850 11989195 7367012 4622183 0.02290 41 101131 78204 2885 75319 0.00040 7 154 484644 484644 0.00240 11 68002 108038 108038 0.00050 59 169287 670886 2885 668001 0.00330 59 180137 12660081 7369897 5290184 0.02620 1 5298 5298 0.00000 2 54523 55595 55595 0.00030 1 18691 18691 0.00010 4 54523 79584 79584 0.00040 1 5608309 579795 19296474 24102580 -4806106 X 1 1 1 1 THE MILFORD HOSPITAL INC 300 SEASIDE AVENUE MILFORD CT 06460 X X X THE MILFORD HOSPITAL INC 1 1 X X X X X X X 13 1 0 1 X WWW.MILFORDHOSPITAL.ORG X X X X X X X 1 0 1 1 250.000000000000 1 400.000000000000 1 X X X X X 1 1 X X X X X 1 0 X X X 1 X 0 0 THE MILFORD HOSPITAL, INC. 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 1 THE MILFORD HOSPITAL WALK-IN CENTER 831 BOSTON POST ROAD MILFORD CT 06460 WALK IN CENTER 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 1 MILFORD HOSPITAL FOUNDATION VIA MH WAYS & MEANS 300 SEASIDE AVENUE MILFORD CT 06460 222627350 501(C)(3) 26500 BOOK N/A EQUIPMENT PURCHASE MILFORD HOSPITAL FOUNDATION VIA MH HOSPITALITY SHOP 300 SEASIDE AVENUE MILFORD CT 06460 222627350 501(C)(3) 44000 BOOK N/A EQUIPMENT PURCHASE 2 0 SCHOLARSHIPS AWARDED TO JUNIOR VOLUNTEERS FOR HIGHER EDUCATION 5 3000 BOOK N/A SCHOLARSHIPS 2 2000 BOOK N/A PART I, LINE 2: 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. X X X X X X 0 1 0 0 0 0 0 0 0 JOSEPH PELACCIA PRESIDENT & CEO 478837 59999 0 0 33000 0 100423 12583 8298 1040 620558 73622 0 0 LLOYD FRIEDMAN MD VP MEDICAL AFFAIRS & COO 433836 54360 0 0 30000 0 91765 11498 20105 2519 575706 68377 0 0 LAURA SMITH VP FINANCE & CFO 148687 21534 0 0 0 0 34208 4954 17562 2543 200457 29031 0 0 MICHAEL BLOCH E.R. PHYSICIAN 340753 0 0 0 0 0 6300 0 19119 0 366172 0 0 0 ANDREW CHOW HOSPITALIST 323436 0 0 0 0 0 6300 0 21590 0 351326 0 0 0 WILLIAM SACKS E.R. PHYSICIAN 318888 0 0 0 0 0 6300 0 0 0 325188 0 0 0 ANITHA KAMATH CHIEF PATHOLOGIST 311528 0 0 0 0 0 6300 0 21590 0 339418 0 0 0 JOHN SCARFO E.R. PHYSICIAN 310226 0 0 0 0 0 6300 0 19119 0 335645 0 0 0 PART I, LINE 4B JOSEPH PELACCIA, LAURA SMITH AND LLOYD FRIEDMAN PARTICIPATED IN A SUPPLEMENTAL RETIREMENT PLAN. 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. 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