THE MILFORD HOSPITAL INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- THE MILFORD HOSPITAL INC (EIN 06-0646741)
- Tax period
- 2012-10-01 to 2013-09-30
- Filed
- 2015-12-22
- IRS object ID
- 201523569349300622
- Schema version
- 2012v3.0
- 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 B
- Schedule C
- Schedule D
- Schedule F
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2015-12-22T14:04:33-06:00 | Timestamp |
| Tax Period End Date | 2013-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 111986323 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARCUM LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| 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 | ReturnType |
| Tax Period Begin Date | 2012-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 060646741 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE MILFORD HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MILF | NameControl |
| Phone | 2038764000 | Phone |
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 |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | LAURA SMITH | Name |
| Title | CFO/VP OF FINANCE | Title |
| Phone | 2038764000 | Phone |
| Date Signed | 2015-12-22 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DOUGLAS FARRINGTON | Name |
| PTIN | P00370668 | PTIN |
| Phone | 8607600600 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amended Return | X | AmendedReturn |
| Name Of Principal Officer Person | LAURA SMITH | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| 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 | 208641190 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.MILFORDHOSPITAL.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1942 | YearFormation |
| State Legal Domicile | CT | StateLegalDomicile |
| Activity Or Mission Description | HOSPITAL SERVICES | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 20 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 19 | NbrIndependentVotingMembers |
| Total Nbr Employees | 834 | TotalNbrEmployees |
| Total Nbr Volunteers | 315 | TotalNbrVolunteers |
| Total Gross UBI | 5396682 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 6316 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 306145 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 190860963 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 196473067 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 2252656 | InvestmentIncomePriorYear |
| Investment Income Current Year | 919106 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 2678203 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1631323 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 195798138 | TotalRevenuePriorYear |
| Total Revenue Current Year | 199329641 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 86537 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 85946 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 56289295 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 53760794 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 141155851 | OtherExpensePriorYear |
| Other Expenses Current Year | 153563831 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 197531683 | TotalExpensesPriorYear |
| Total Expenses Current Year | 207410571 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -1733545 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -8080930 | RevenuesLessExpensesCY |
| Total Assets BOY | 58315458 | TotalAssetsBOY |
| Total Assets EOY | 48484725 | TotalAssetsEOY |
| Total Liabilities BOY | 50954217 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 39769991 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 7361241 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 8714734 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | 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 | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 197385196 | Expense |
| Grants | 85946 | Grants |
| Revenue | 197450125 | Revenue |
| Description | 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 | Description |
| Total Program Service Expense | 197385196 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 1 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 1 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 39 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 834 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 20 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 19 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOSEPH PELACCIA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2038764230 | TelephoneNumber |
Address US AddressUS
| 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 Form990PartVIISectionA (28 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| 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 | |
| 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 | 41.70 | 5.20 | X | X | 462897 | 58002 | 124037 | |
| 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 | ||||||||
| 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 | ||
| GARY OPIN DMD | ||||||||
| DIRECTOR | 0.20 | 0.10 | X | 0 | 0 | 0 | ||
| RAYMOND S OLIVER | ||||||||
| DIRECTOR | 0.20 | 0.10 | X | 0 | 0 | 0 | ||
| MICHAEL SAFFER | ||||||||
| DIRECTOR | 1.00 | 0.30 | X | 0 | 0 | 0 | ||
| RONALD SILVERBERG | ||||||||
| DIRECTOR | 0.20 | 0.10 | X | 0 | 0 | 0 | ||
| STEVEN SAUNDERS MD | ||||||||
| DIRECTOR / MEDICAL STAFF PRESIDENT | 1.00 | 0.30 | X | 0 | 0 | 0 | ||
| CHARLES GUGLIN MD | ||||||||
| DIRECTOR / MEDICAL STAFF PRESIDENT | 1.00 | 0.30 | 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 | 33.40 | 4.20 | X | 418985 | 52499 | 150301 | ||
| LAURA SMITH | ||||||||
| VP FINANCE & CFO | 36.40 | 6.80 | X | 143849 | 26786 | 72459 | ||
| ANDREW CHOW | ||||||||
| HOSPITALIST | 60.20 | 0.00 | 306427 | 0 | 26215 | X | ||
| RESUL DALIPI | ||||||||
| HOSPITALIST | 57.80 | 0.00 | 304871 | 0 | 22273 | X | ||
| ANITHA KAMATH | ||||||||
| CHIEF PATHOLOGIST | 40.00 | 0.00 | 305909 | 0 | 26324 | X | ||
| WILLIAM SACKS | ||||||||
| E.R. PHYSICIAN | 42.80 | 0.00 | 319549 | 0 | 6991 | X | ||
| JOHN SCARFO | ||||||||
| E.R. PHYSICIAN | 41.80 | 0.00 | 310233 | 0 | 26291 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2572720 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 137287 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 454891 | TotalOtherCompensation |
| Number Individuals GT100 K | 75 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| AFTERCARE PHYSICAL THERAPY SERVICES | |||||
| 4154 MADISON AVE | TRUMBULL | CT | 06611 | THERAPY SERVICES | 693040 |
| SODEXO OPERATIONS LLC | |||||
| PO BOX 360170 | PITTSBURGH | PA | 15251 | FOOD SERVICE | 605386 |
| AMERICAN RED CROSS | |||||
| PO BOX 33093 | NEWARK | NJ | 07188 | PROCESS BLOOD | 422419 |
| ACCELECARE WOUND CENTER INC | |||||
| PO BOX 671242 | DALLAS | TX | 75267 | WOUND SERVICES | 293412 |
| WEATHERBY LOCUMS INC | |||||
| PO BOX 972633 | DALLAS | TX | 75397 | PHYSICIAN SERVICES | 285418 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 15 | NumberOfContractorsGT100K |
| All Other Contributions | 306145 | AllOtherContributions |
| Total Contributions | 306145 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| SPECIAL SERVICES | 621500 | 142339309 | 139205248 | 3134061 |
| ROUTINE SERVICES | 624100 | 51948387 | 51948387 | |
| OTHER SERVICES | 541610 | 2185371 | 2185371 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 196473067 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 261675 | TotalRevenueColumn |
| Exclusion | $261,675 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 10200 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 7323 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 2877 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2877 | TotalRevenueColumn |
| Exclusion | $2,877 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 9831248 | Securities |
| Other | 35000 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 9184408 | Securities |
| Other | 24409 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 646840 | Securities |
| Other | 10591 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 657431 | TotalRevenueColumn |
| Exclusion | $657,431 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 79107 | GrossIncomeFundraisingEvents |
| Fundraising Direct Expenses | 31705 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 47402 | TotalRevenueColumn |
| Exclusion | $47,402 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 113712 | GrossSalesOfInventory |
| Cost Of Goods Sold | 63704 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 50008 | TotalRevenueColumn |
| Exclusion | $50,008 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| MEANINGFUL USE INCOME | 900099 | 977058 | 977058 | |
| CAFETERIA REVENUE | 722210 | 216623 | $216,623 | |
| PHARMACY SALES | 446110 | 178878 | $178,878 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 158477 | TotalRevenueColumn |
| Unrelated Business Revenue | 77250 | UnrelatedBusinessRevenue |
| Exclusion | $81,227 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1531036 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 199329641 | TotalRevenueColumn |
| Related Or Exempt Function Income | 192130693 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 5396682 | UnrelatedBusinessRevenue |
| Exclusion | $1,496,121 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 79696 | Total |
| Program Services | 79696 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6250 | Total |
| Program Services | 6250 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1328367 | Total |
| Program Services | 544333 | ProgramServices |
| Management And General | 784034 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37933329 | Total |
| Program Services | 34125705 | ProgramServices |
| Management And General | 3807624 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 862429 | Total |
| Program Services | 862429 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11007857 | Total |
| Program Services | 9776929 | ProgramServices |
| Management And General | 1230928 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2628812 | Total |
| Program Services | 2320767 | ProgramServices |
| Management And General | 308045 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 349282 | Total |
| Management And General | 349282 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 175834 | Total |
| Management And General | 175834 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16118 | Total |
| Management And General | 16118 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 45451 | Total |
| Management And General | 45451 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6836600 | Total |
| Program Services | 5356071 | ProgramServices |
| Management And General | 1480529 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 124994 | Total |
| Management And General | 124994 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 703619 | Total |
| Program Services | 507672 | ProgramServices |
| Management And General | 195947 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 360207 | Total |
| Program Services | 62714 | ProgramServices |
| Management And General | 297493 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2239640 | Total |
| Program Services | 2094218 | ProgramServices |
| Management And General | 145422 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26473 | Total |
| Program Services | 10548 | ProgramServices |
| Management And General | 15925 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34472 | Total |
| Program Services | 32752 | ProgramServices |
| Management And General | 1720 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4067 | Total |
| Management And General | 4067 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 102986 | Total |
| Program Services | 89385 | ProgramServices |
| Management And General | 13601 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4191568 | Total |
| Program Services | 3481281 | ProgramServices |
| Management And General | 710287 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24808 | Total |
| Management And General | 24808 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| ALLOWANCE FOR UNPAID CA | 117910483 | 117910483 |
| MEDICAL EXPENSES | 10367519 | 10367519 |
| BAD DEBTS | 6456481 | 6456481 |
| PHARMACEUTICAL DRUGS | 1725499 | 1725499 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1867730 | Total |
| Program Services | 1574464 | ProgramServices |
| Management And General | 293266 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 207410571 | Total |
| Program Services | 197385196 | ProgramServices |
| Management And General | 10025375 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 369970 | BOY |
| EOY | 1331986 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3303475 | BOY |
| EOY | 2549156 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12293728 | BOY |
| EOY | 9618035 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 886768 | BOY |
| EOY | 918069 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 613085 | BOY |
| EOY | 1216823 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 50192656 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 28032186 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23582152 | BOY |
| EOY | 22160470 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11013706 | BOY |
| EOY | 4035828 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 789204 | BOY |
| EOY | 894273 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5463370 | BOY |
| EOY | 5760085 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 58315458 | BOY |
| EOY | 48484725 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13411819 | BOY |
| EOY | 14061882 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 935367 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36607031 | BOY |
| EOY | 25708109 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 50954217 | BOY |
| EOY | 39769991 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6018037 | BOY |
| EOY | 7266461 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 669441 | BOY |
| EOY | 774510 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 673763 | BOY |
| EOY | 673763 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7361241 | BOY |
| EOY | 8714734 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 58315458 | BOY |
| EOY | 48484725 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -8080930 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | -779045 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 10213468 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Both | X | FinancialStatementBoth |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $16,118 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 16118 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | THE HOSPITAL PAID DUES TO THE CT HOSPITAL ASSOCIATION (CHA), WHICH INCLUDED LOBBYING COSTS OF $9,896. 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 $6,222. AHA REPRESENTS ALL HOSPITALS, NATIONWIDE, AND WORKS ALONG WITH STATE HOSPITAL ASSOCIATIONS, LIKE CHA TO ADDRESS FEDERAL LEGISLATIVE ISSUES AFFECTING HOSPITALS. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 741399 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -16773 | InvestmentEarningsOrLosses |
| End Of Year Balance | 724626 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 685311 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 56088 | InvestmentEarningsOrLosses |
| End Of Year Balance | 741399 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 663319 | BeginningOfYearBalance |
| Contributions | 5000 | Contributions |
| Investment Earnings Or Losses | 16992 | InvestmentEarningsOrLosses |
| End Of Year Balance | 685311 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 657181 | BeginningOfYearBalance |
| Contributions | 5000 | Contributions |
| Investment Earnings Or Losses | 1138 | InvestmentEarningsOrLosses |
| End Of Year Balance | 663319 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 647698 | BeginningOfYearBalance |
| Contributions | 5000 | Contributions |
| Investment Earnings Or Losses | 4483 | InvestmentEarningsOrLosses |
| End Of Year Balance | 657181 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.00000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.00000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 1 | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | 1 | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 825066 | OtherCostOrOtherBasis |
| Book Value | 825066 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 103155 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 15124983 | OtherCostOrOtherBasis |
| Depreciation | 227639 | Depreciation |
| Book Value | 15000499 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 33530177 | OtherCostOrOtherBasis |
| Depreciation | 27216646 | Depreciation |
| Book Value | 6313531 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 609275 | OtherCostOrOtherBasis |
| Depreciation | 587901 | Depreciation |
| Book Value | 21374 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 22160470 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| DUE FROM AFFILIATES | 348164 |
| OTHER RECEIVABLES | 510928 |
| INSURED CLAIMS RECEIVABLE | 4900993 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 5760085 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (7 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ACCRUED INSURANCE | $475,000 |
| ACCRUED PENSION | $16,863,248 |
| DUE TO THIRD PARTY | $1,691,606 |
| DEFERRED COMPENSATION | $296,052 |
| DUE TO AFFILIATES | $781,977 |
| OTHER ACCRUED BENEFITS | $699,233 |
| INSURED CLAIMS LIABILITIES | $4,900,993 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 25708109 | TotalOfAmounts |
| Tot Revenue Etc Audited Fincl Stmt | 77697708 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -779045 | NetUnrealizedGainsInvestments |
| Other Revenues | -565105 | OtherRevenues |
| Revenue Not Rptd F990 | -1344150 | RevenueNotRptdF990 |
| Revenue Subtotal | 79041858 | RevenueSubtotal |
| Investment Expenses Not Included | 45451 | InvestmentExpensesNotIncluded |
| Other Revenues Not Included | 120242332 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 120287783 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 199329641 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 86573727 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | -10591 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | -10591 | ExpensesNotRptdF990 |
| Expenses Subtotal | 86584318 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 45451 | InvestmentExpensesNotIncluded2 |
| Other Expenses Not Included | 120780802 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 120826253 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 207410571 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | OTHER ALLOWANCES -565,105. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | ALLOWANCE 117,910,483. AUXILIARY REVENUE 88,713. CHARITY CARE 643,601. PASSTHROUGH INCOME -1,816. OTHER EXPENSES NETTED FROM REVENUE 1,559,188. REVENUE/EXPENSE RECLASS 9,291. GAIN ON SALE OF ASSETS 10,591. MEDICAL STAFF ACCOUNT REVENUE 22,281. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | GAIN ON SALE OF ASSETS -10,591. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | ALLOWANCE 117,910,483. AUXILIARY EXPENSE 85,251. CHARITY CARE 643,601. OTHER EXPENSES NETTED FROM REVENUE 1,559,188. OTHER ALLOWANCES 565,105. REVENUE/EXPENSE RECLASS 9,291. MEDICAL STAFF ACCOUNT EXPENSE 7,883. |
Schedule F IRS990ScheduleF
Accts Actvs Out US Table AcctsActvsOutUSTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | CENTRAL AMERICA AND THE CARIBBEAN | Region |
| Type Of Activities Conducted | INVESTMENTS | TypeOfActivitiesConducted |
| Total Expenditures | 1100000 | TotalExpenditures |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Number Of Offices | 0 | SubtotalNumberOfOffices |
| Subtotal Number Of Employees | 0 | SubtotalNumberOfEmployees |
| Cont Number Of Offices | 0 | ContNumberOfOffices |
| Cont Number Of Employees | 0 | ContNumberOfEmployees |
| Total Number Of Offices | 0 | TotalNumberOfOffices |
| Total Number Of Employees | 0 | TotalNumberOfEmployees |
| Subtotal Amount Spent | 1100000 | SubtotalAmountSpent |
| Cont Amount Spent | 0 | ContAmountSpent |
| Total Amount Spent | 1100000 | TotalAmountSpent |
| Transfer To Foreign Corp | 0 | TransferToForeignCorp |
| Interest In Foreign Trust | 0 | InterestInForeignTrust |
| Own Foreign Corp | 0 | OwnForeignCorp |
| Passive Foreign Invest Co | 0 | PassiveForeignInvestCo |
| Foreign Partnership | 0 | ForeignPartnership |
| Boycott Countries | 0 | BoycottCountries |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GARDEN OF LIFE | NameOfEvent1 |
| Gross Receipts Event1 | 28941 | GrossReceiptsEvent1 |
| Gross Revenue Event1 | 28941 | GrossRevenueEvent1 |
| Other Direct Expenses Event1 | 20497 | OtherDirectExpensesEvent1 |
| Name Of Event2 | CELEBRATION OF TREES | NameOfEvent2 |
| Gross Receipts Event2 | 18962 | GrossReceiptsEvent2 |
| Gross Revenue Event2 | 18962 | GrossRevenueEvent2 |
| Other Direct Expenses Event2 | 625 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 12 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 31204 | GrossReceiptsOtherEvents |
| Gross Revenue Other Events | 31204 | GrossRevenueOtherEvents |
| Other Direct Expenses Other Events | 10583 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 79107 | GrossReceiptsTotal |
| Gross Revenue Total Events | 79107 | GrossRevenueTotalEvents |
| Other Direct Expenses Total Events | 31705 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 31705 | DirectExpenseSummaryEvents |
| Net Income Summary | 47402 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 250.000000000000 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 115 | PersonsServed |
| Total Community Benefit Expense | 321486 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 91506 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 229980 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00110 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 4214 | PersonsServed |
| Total Community Benefit Expense | 5351211 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4147081 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1204130 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00580 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 6450 | PersonsServed |
| Total Community Benefit Expense | 5000520 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4233825 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 766695 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00370 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 10779 | PersonsServed |
| Total Community Benefit Expense | 10673217 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8472412 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2200805 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01060 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 38 | NumberOfActivitiesOrPrograms |
| Persons Served | 71012 | PersonsServed |
| Total Community Benefit Expense | 70763 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7086 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 63677 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 6 | NumberOfActivitiesOrPrograms |
| Persons Served | 135 | PersonsServed |
| Total Community Benefit Expense | 465482 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 465482 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00220 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 100 | PersonsServed |
| Total Community Benefit Expense | 111094 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 111094 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 47 | NumberOfActivitiesOrPrograms |
| Persons Served | 71247 | PersonsServed |
| Total Community Benefit Expense | 647339 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7086 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 640253 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00300 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 47 | NumberOfActivitiesOrPrograms |
| Persons Served | 82026 | PersonsServed |
| Total Community Benefit Expense | 11320556 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8479498 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2841058 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01360 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 31208 | PersonsServed |
| Total Community Building Expense | 69845 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 69845 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 31208 | PersonsServed |
| Total Community Building Expense | 69845 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 69845 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $6,456,481 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 18861469 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 28942432 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -10080963 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 2 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)
| Facility NumberFacilityNumber | Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Er24 HoursEr24Hours | OtherOther |
|---|---|---|---|---|---|---|---|---|
| THE MILFORD HOSPITAL INC | ||||||||
| 1 | 300 SEASIDE AVENUE | MILFORD | CT | 06460 | X | X | X | |
| THE MILFORD HOSPITAL WALK-IN CENTER | ||||||||
| 2 | 831 BOSTON POST ROAD | MILFORD | CT | 06460 | WALK IN CENTER | |||
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)
| Hospital Facility NumberHospitalFacilityNumber | CHNA ConductedCHNAConducted | Community DefinitionCommunityDefinition | Community DemographicsCommunityDemographics | Existing ResourcesExistingResources | How Data ObtainedHowDataObtained | Community Health NeedsCommunityHealthNeeds | Other Health IssuesOtherHealthIssues | Identifying ProcessIdentifyingProcess | Needs Assessment ConductedNeedsAssessmentConducted | Take Into AccountTakeIntoAccount | Other FacilitiesOtherFacilities | CHNA Widely AvailableCHNAWidelyAvailable | Own WebsiteOwnWebsite | On RequestOnRequest | Adopt Implement StrategyAdoptImplementStrategy | Execute Implement StrategyExecuteImplementStrategy | Develop Community PlanDevelopCommunityPlan | Participate Community PlanParticipateCommunityPlan | Prioritize Health NeedsPrioritizeHealthNeeds | Prioritize ServicesPrioritizeServices | All Needs AddressedAllNeedsAddressed | Organization Incur Excise TaxOrganizationIncurExciseTax | Eligibility Criteria ExplainedEligibilityCriteriaExplained | Uses FPG FreeUsesFPGFree | FPG Free PercentFPGFreePercent | Uses FPG DiscountedUsesFPGDiscounted | FPG Discount PercentFPGDiscountPercent | Explains BasisExplainsBasis | Income LevelIncomeLevel | Asset LevelAssetLevel | Uninsured DiscountUninsuredDiscount | State RegulationStateRegulation | Explains Application MethodExplainsApplicationMethod | Includes Publicity MeasuresIncludesPublicityMeasures | Attached To InvoicesAttachedToInvoices | Posted In Emergency RoomPostedInEmergencyRoom | Posted In Admission OfficePostedInAdmissionOffice | Provided On AdmissionProvidedOnAdmission | Available On RequestAvailableOnRequest | Actions On NonpaymentActionsOnNonpayment | Collection ActivitiesCollectionActivities | Notify Upon AdmissionNotifyUponAdmission | Notify Before DischargeNotifyBeforeDischarge | Notified All PatientsNotifiedAllPatients | Documented DeterminationDocumentedDetermination | Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy | Average Negotiated RatesAverageNegotiatedRates | Amounts Generally BilledAmountsGenerallyBilled | Gross ChargesGrossCharges |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| THE MILFORD HOSPITAL INC | |||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | 1 | X | X | X | X | X | X | X | 12 | 1 | 0 | 1 | X | X | X | X | X | X | X | X | 1 | 0 | 1 | 1 | 250.000000000000 | 1 | 300.000000000000 | 1 | X | X | X | X | 1 | 1 | X | X | X | X | X | 1 | 0 | X | X | X | X | 1 | X | 0 | 0 |
| THE MILFORD HOSPITAL WALK-IN CENTER | |||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | 1 | X | X | X | X | X | X | X | 12 | 1 | 0 | 1 | X | X | X | X | X | X | X | X | 1 | 0 | 1 | 1 | 250.000000000000 | 1 | 300.000000000000 | 1 | X | X | X | X | 1 | 1 | X | X | X | X | X | 1 | 0 | X | X | X | X | 1 | X | 0 | 0 |
Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| PART I, LINE 3C: N/A | ||
| PART II: MILFORD HOSPITAL PROVIDES EMERGENCY PREPAREDNESS TRAINING AND DISASTER PLANNING FOR THE HOSPITAL AND THE COMMUNITY IT SERVES. | ||
| 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 UNCOLLECTIBLE ACCOUNTS RESULT FROM THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS. ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE ARE DEDUCTED FROM THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE AMOUNT OF THE ALLOWANCE FOR UNCOLLECTIBLE 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.COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINES 2 AND 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 8: THE HOSPITAL'S COSTS EXCEED REVENUE RECEIVED FROM CMS FOR MEDICARE PATIENTS BY APPROXIMATELY $10M. 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 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 | 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 | THE MILFORD HOSPITAL WALK-IN CENTER | |
| PART VI, LINE 2: IN ADDITION TO THE 2012 COMMUNITY HEALTH NEEDS ASSESSMENT, MILFORD HOSPITAL REGULARLY SURVEYS COMMUNITY ORGANIZATIONS, THE SCHOOL SYSTEMS AND LOCAL GOVERNMENT TO ASSESS THE HEALTH AND EDUCATIONAL NEEDS OF THE COMMUNITY. | ||
| 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 DEPARTMENT, BILLING AND CREDIT COLLECTIONS AND SOCIAL SERVICES. | ||
| 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 (89.1%), 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 2013, 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). | ||
| CT | REPORTS FILED WITH STATES | PART VI, LINE 7 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Method Of ValuationMethodOfValuation | Description Of Non Cash AssistanceDescriptionOfNonCashAssistance | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|---|---|
| MILFORD HOSPITAL FOUNDATION VIA MH WAYS & MEANS | |||||||||
| 300 SEASIDE AVENUE | MILFORD | CT | 06460 | 222627350 | 501(C)(3) | 33425 | BOOK | N/A | CHARITABLE |
| MILFORD HOSPITAL FOUNDATION VIA MH HOSPITALITY SHOP | |||||||||
| 300 SEASIDE AVENUE | MILFORD | CT | 06460 | 222627350 | 501(C)(3) | 43000 | BOOK | N/A | CHARITABLE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 2 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part III Form990ScheduleIPartIII (2 entries)
| Type Of GrantTypeOfGrant | Number Of RecipientsNumberOfRecipients | Amount Of Cash GrantAmountOfCashGrant | Method Of ValuationMethodOfValuation | Description Of Non Cash AssistanceDescriptionOfNonCashAssistance |
|---|---|---|---|---|
| SCHOLARSHIPS AWARDED TO JUNIOR VOLUNTEERS FOR HIGHER EDUCATION | 7 | 4250 | BOOK | N/A |
| SCHOLARSHIPS | 2 | 2000 | BOOK | N/A |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, 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. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOSEPH PELACCIA | ||||||||||||||
| PRESIDENT & CEO | 462897 | 58002 | 0 | 0 | 0 | 0 | 115093 | 638 | 7381 | 925 | 585371 | 59565 | 0 | 0 |
| LLOYD FRIEDMAN MD | ||||||||||||||
| VP MEDICAL AFFAIRS & COO | 418985 | 52499 | 0 | 0 | 0 | 0 | 130093 | 638 | 17391 | 2179 | 566469 | 55316 | 0 | 0 |
| LAURA SMITH | ||||||||||||||
| VP FINANCE & CFO | 143849 | 26786 | 0 | 0 | 0 | 0 | 53743 | 697 | 15190 | 2829 | 212782 | 30312 | 0 | 0 |
| ANDREW CHOW | ||||||||||||||
| HOSPITALIST | 306427 | 0 | 0 | 0 | 0 | 0 | 6777 | 0 | 19438 | 0 | 332642 | 0 | 0 | 0 |
| RESUL DALIPI | ||||||||||||||
| HOSPITALIST | 304871 | 0 | 0 | 0 | 0 | 0 | 6736 | 0 | 15537 | 0 | 327144 | 0 | 0 | 0 |
| ANITHA KAMATH | ||||||||||||||
| CHIEF PATHOLOGIST | 305909 | 0 | 0 | 0 | 0 | 0 | 6886 | 0 | 19438 | 0 | 332233 | 0 | 0 | 0 |
| WILLIAM SACKS | ||||||||||||||
| E.R. PHYSICIAN | 319549 | 0 | 0 | 0 | 0 | 0 | 6991 | 0 | 0 | 0 | 326540 | 0 | 0 | 0 |
| JOHN SCARFO | ||||||||||||||
| E.R. PHYSICIAN | 310233 | 0 | 0 | 0 | 0 | 0 | 6853 | 0 | 19438 | 0 | 336524 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART I, LINE 4B | ReturnReference |
| Explanation | JOSEPH PELACCIA, LAURA SMITH AND LLOYD FRIEDMAN PARTICIPATED IN A SUPPLEMENTAL RETIREMENT PLAN. | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (9 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| LOUIS D'AMATO | |||
| VICE CHAIRMAN | 69229 | THE HOSPITAL RENTS STORAGE SPACE OF $39,229 AND ALSO RENTS I-95 BILLBOARD OF $30,000 FROM MR. D'AMATO. | 0 |
| DR LLOYD FRIEDMAN | |||
| VP MEDICAL AFFAIRS & COO | 13759 | DR. FRIEDMAN IS A SCIENTIFIC ADVISOR AND SHAREHOLDER IN CARDIOPULMONARY CORP. THE HOSPITAL DOES BUSINESS WITH CARDIOPULMONARY CORP. | 0 |
| JOSEPH PELACCIA | |||
| PRESIDENT & CEO | JOSEPH PELACCIA IS A BOARD MEMBER OF THE MILFORD BANK. THE HOSPITAL DOES BUSINESS WITH MILFORD BANK. | 0 | |
| SAMUEL BERGAMI JR | |||
| CHAIRMAN | SAMUEL BERGAMI, JR. IS A BOARD MEMBER OF THE MILFORD BANK. THE HOSPITAL DOES BUSINESS WITH MILFORD BANK. | 0 | |
| LOUIS D'AMATO | |||
| VICE CHAIRMAN | LOUIS D'AMATO IS A BOARD MEMBER OF THE MILFORD BANK. THE HOSPITAL DOES BUSINESS WITH MILFORD BANK. | 0 | |
| JAMES BEARD | |||
| DIRECTOR | JAMES BEARD IS A BOARD MEMBER OF THE MILFORD BANK. THE HOSPITAL DOES BUSINESS WITH MILFORD BANK. | 0 | |
| JOSEPH PELACCIA | |||
| PRESIDENT & CEO | MARCUM LLP PROVIDES TAX SERVICES FOR MILFORD HOSPITAL. JOSEPH PELACCIA'S SON IS EMPLOYED BY MARCUM LLP BUT IS NOT INVOLVED IN ANY OF THE MILFORD HOSPITAL TAX WORK. | 0 | |
| LEO CARROLL | |||
| DIRECTOR | LEO CARROLL IS A BOARD MEMBER OF THE MILFORD BANK. THE HOSPITAL DOES BUSINESS WITH MILFORD BANK. | 0 | |
| CAROL MCINNIS | |||
| DIRECTOR | CAROL MCINNIS IS A BOARD MEMBER OF THE MILFORD BANK. THE HOSPITAL DOES BUSINESS WITH MILFORD BANK. | 0 | |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION MISSION STATEMENT | 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. |
| PROGRAM SERVICE STATEMENT | 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. DURING THE PAST YEAR, OUR SERVICE ACCOMPLISHMENTS IN THE COMMUNITY CONTINUED TO GROW. THE DEPARTMENT OF EDUCATION CONTINUES TO PROVIDE A MONTHLY HEALTH EDUCATION ARTICLE FOR THE MILFORD SENIOR CENTER NEWSLETTER. A COMMUNITY EDUCATION SCHEDULE IS PUBLISHED AND DISTRIBUTED TWICE A YEAR. OUR HEALTH EDUCATION PROGRAMS REACHED OVER 10,000 INDIVIDUALS. THE FOLLOWING HEALTH AND WELLNESS PROGRAMS WERE OFFERED AT MILFORD HOSPITAL. - BRAIN CONNECTIONS - ADHD - AUTISM - LEARNING DISABILITIES - UNDERSTANDING DIABETES - WILLS AND ESTATE PLANNING - END THE WEIGHT - YOGA - BELLY DANCING - WHAT EVERY GIRL WANTS TO KNOW - WOMEN LIVING WELL - MIND OVER MATTER - WHAT YOUR BODY IS TELLING YOU - SMART WEIGH - DRUM IN THE NEW YEAR - HEART AND VASCULAR HEALTH - MEDITATION - "KEEPING IT SIMPLE" - UNDERSTANDING ACID REFLUX - WHAT EVERY GIRL WANTS TO KNOW - THE NEXT STEP - CATARACT UPDATE - FEMALE INCONTINENCE - PELVIC ORGAN PROLAPSE - MANAGING BACK PAIN THROUGH NEURORADIOLOGY CHILDBIRTH EDUCATION: 1. PREPARED CHILDBIRTH CLASSES (LAMAZE) 2. BREASTFEEDING 3. BIG BROTHERS & SISTERS 4. YOUNG PARENT PROGRAM SCREENING PROGRAMS WERE HELD FOR: 1. BLOOD PRESSURE 2. BLOOD SUGAR (DIABETES) 3. CHOLESTEROL (TOTAL AND HDL) 4. PROSTATE CANCER WE ALSO PROVIDE THE FOLLOWING SUPPORT GROUPS ON A REGULARLY SCHEDULED BASIS: - ALZHEIMER'S SUPPORT GROUP - MULTIPLE SCLEROSIS SUPPORT GROUP - LUPUS - BREAST CANCER - EPILEPSY MILFORD HOSPITAL OFFERS CORPORATE SCREENINGS TO LOCAL BUSINESSES. THESE WERE PROVIDED AT THEIR PLACE OF BUSINESS AND INCLUDED, CHOLESTEROL, BLOOD PRESSURE, BLOOD SUGAR AND NUTRITIONAL COUNSELING. - MILFORD SENIOR CENTER - MILFORD POLICE DEPARTMENT - BIC CORPORATION, MAIN BUILDING - BIC CORPORATION, BUILDING 5 - THE EDGE - FITNESS CENTER - REGIONAL WATER AUTHORITY - DRILL MASTERS SPECIAL EVENTS AND SERVICES - 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 FOR BIANNUAL "BABY SHOWER" SPONSORED BY J.C.PENNY CO.; AND, PARTICIPATES IN FUNDRAISERS, COMMUNITY EDUCATION PROGRAMS, AND ANNUAL FAIR FOR KIDS COUNT 12345. - THE HOSPITAL HOSTS MONTHLY LALECHE MEETING, PROVIDES REFRESHMENTS. - MILFORD HOSPITAL OFFERS A "WOMEN LIVING WELL" PROGRAM. THIS IS A FREE INFORMATIVE TALK FOR WOMEN ON HEALTH AND WELLNESS ISSUES AND CONCERNS. "WOMEN LIVING WELL" IS AN ANNUAL EVENT. - MILFORD HOSPITAL PARTICIPATES IN A LOCAL CABLE TALK SHOW "HEALTH FROM THE HILL" AS A GUEST ON HEALTH AND WELLNESS TOPICS. - MILFORD HOSPITAL SPONSORS AND 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 HELPS TO SPONSOR MANY OF THE COMMUNITY PROGRAMS AND SCREENINGS OFFERED BY MILFORD HOSPITAL. - THE VOLUNTEER SERVICES DEPARTMENT SPONSORS RED CROSS BLOOD DRIVES THREE TIMES A YEAR IN THE HOSPITAL AUDITORIUM. THE GENERAL PUBLIC AS WELL AS EMPLOYEES ARE INVITED TO PARTICIPATE. - 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. - MILFORD HOSPITAL OFFERS A FREE "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. - MILFORD HOSPITAL PROVIDES THE AVAILABILITY OF A BED (ON A TEMPORARY BASIS) FOR ANY DISABLED PERSON LEFT ALONE WHEN THEIR CARETAKER SUFFERS A MEDICAL EMERGENCY. USUALLY PERMANENT PLACEMENT IS FOUND IN THE COMMUNITY WITHIN 24 HOURS. - MILFORD HOSPITAL PROVIDES FREE OFFICE SPACE FOR THE MILFORD YOUNG PARENT PROGRAM AND IN ADDITION, REGISTERED NURSES PARTICIPATE ON THE TEACHING STAFF. - OUR PHARMACY DEPARTMENT COMMUNICATES WITH AND MAKES AVAILABLE TIME TO MEET WITH RESIDENTS IN OUR HOSPITAL TO REVIEW THEIR PRESCRIPTIONS AND MEDICATIONS. THIS IS DONE DURING NATIONAL PHARMACY WEEK AND IS PROMOTED IN THE LOCAL PAPERS. - THE HOSPITAL AUDITORIUM IS MADE AVAILABLE TO HEALTH RELATED AND OTHER NOT-FOR-PROFIT COMMUNITY GROUPS IN NEED OF A MEETING ROOM. - MILFORD HOSPITAL THROUGH ITS VOLUNTEER DEPARTMENT PROVIDES FREE COUNSELING AND MEDICARE/MEDICAID CLAIMS ASSISTANCE BY TRAINED HOSPITAL VOLUNTEERS. - MILFORD HOSPITAL, THROUGH ITS HUMAN RESOURCE DEPARTMENT PROVIDES THE MILFORD FIRE DEPARTMENT WITH FREE PHOTOS OF THEIR NEW FIREMEN SO THEY CAN MAKE ID BADGES. - MILFORD HOSPITAL, THROUGH THE DIAGNOSTIC AND TREATMENT CENTER, HAS INITIATED A FREE FOLLOW-UP PROGRAM FOR CONGESTIVE HEART FAILURE PATIENTS TO PROVIDE EDUCATION AND CLINICAL SUPPORT. - THE HOSPITAL ACCEPTS STUDENTS FOR TRAINING IN REGISTERED NURSING, LICENSED PRACTICAL NURSING, LABORATORY SCIENCES, DIETETIC SERVICES, PUBLIC AND COMMUNITY HEALTH, ENVIRONMENT OF CARE-EMERGENCY PREPAREDNESS AND NURSING ASSISTANT TRAINING. - THE SOCIAL WORKERS HERE AT THE HOSPITAL PROVIDE ASSISTANCE TO PATIENTS AND THEIR FAMILIES WITH COMPLETION OF TITLE-19 APPLICATIONS, ASSISTANCE WITH 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. SOCIAL SERVICE ALSO MAINTAINS A FUND TO PROVIDE ASSISTANCE TO PATIENTS AS NEEDED; I.E., COVER COST OF PRESCRIPTIONS, TRANSPORTATION ETC. - THE HOSPITAL PREPARED 958 SANDWICHES AND 9,778 MEALS FOR "MEALS ON WHEELS" FOR AREA RESIDENTS UNABLE TO COOK MEALS FOR THEMSELVES DUE TO THEIR PHYSICAL CONDITION. - OUR STAFF MEMBERS ALSO HELP OUR COMMUNITY IN MANY DIFFERENT WAYS. THE HOSPITAL COVERS THE COSTS OF STAFF THAT SPEAK AT VARIOUS COMMUNITY ORGANIZATIONS, SCHOOL GROUPS, SCOUTING CLASSES, DAY CARE CENTERS, SENIOR CENTER, ETC. STAFF MEMBERS ALSO RESPOND TO REQUESTS AND QUESTIONS FROM PEOPLE IN THE COMMUNITY AND PROVIDE ASSISTANCE TO STUDENTS WITH SCHOOL PROJECTS. MILFORD HOSPITAL SPONSORS AND MAINTAINS A SPEAKERS BUREAU, WHICH PROVIDES PHYSICIANS AND MEMBERS OF THE HOSPITAL STAFF TO SPEAK TO LOCAL COMMUNITY ORGANIZATIONS AND SCHOOLS ON A WIDE VARIETY OF TOPICS AT NO CHARGE. |
| THESE INCLUDE: - MILFORD SENIOR CENTER - EMBRACING WELLNESS - PLATT TECH HIGH SCHOOL - MEDICAL GRADUATION COMMENCEMENT SPEAKER - BOYS AND GIRLS VILLAGE HEART HEALTH FOR PARENTS (INCLUDING BLOOD PRESSURES) - SAINT MARY'S CHURCH - SPEAKERS' BUREAU - BIC - LUNCH AND LEARN - SIMPLE SANITY SECRETS - BIC - LUNCH AND LEARN - HOME CARE PLUS - IN-SERVICE "TEAMS" - DISCOVERY MUSEUM - SMOKING EDUCATION MILFORD HOSPITAL STRONGLY SUPPORTS THE MILFORD UNITED WAY CAMPAIGN. STAFF PARTICIPATION INCLUDES SERVING ON: - THE BOARD OF DIRECTORS - CAMPAIGN CABINET - MARKETING SUB COMMITTEE - BUDGET REVIEW AND ALLOCATIONS COMMITTEE - WOMAN WITH UNITED VISION MANY MEMBERS OF OUR STAFF HAVE PROFESSIONAL AFFILIATIONS WITH OTHER ORGANIZATIONS OR GROUPS, WHICH HELP OUR COMMUNITIES, MANAGE AND IMPROVE THEIR HEALTH RELATED CARE. ALL OF THE FOLLOWING ORGANIZATIONS HAVE ONE OR MORE OF MILFORD HOSPITAL EMPLOYEES ON THEIR BOARDS: - CONNECTICUT TUBERCULOSIS ADVISORY COMMITTEE - CONNECTICUT ASSOCIATION OF RESPIRATORY CARE - AMERICAN LUNG ASSOCIATION - NEW HAVEN TUBERCULOSIS COALITION - AMERICAN HEART ASSOCIATION - MILFORD BOARD MEMBER - MILFORD CHAMBER OF COMMERCE - BOARD MEMBER - LEGISLATION ACTION COMMITTEE - HEALTHCARE HUMAN RESOURCES ASSOCIATION - MILFORD - ORANGE YMCA - CONNECTICUT YANKEE COUNCIL - BOY SCOUTS OF AMERICA - CONNECTICUT LEAGUE FOR NURSING - CONNECTICUT ORGANIZATION FOR NURSE EXECUTIVES - STATE REGIONAL PSYCHIATRIC COMMITTEE - CATCHMENT AREA COUNCIL - PSYCHIATRIC - AMERICAN CANCER SOCIETY - KIDS COUNT 12345 - YOUNG PARENT PROGRAM - AMERICAN RED CROSS - ALZHEIMER'S ASSOCIATION - SOCIAL SERVICE NETWORK OF MILFORD - RAPE CRISIS CENTER - FREE CARE FOR THE INDIGENT - UNITED WAY OF MILFORD - MILFORD MAYORS YOUTH FORUM - MILFORD PREVENTION COUNCIL IN ADDITION, MILFORD HOSPITAL TREATED: - 3,345 PATIENTS ON AN INPATIENT BASIS - 33,381 PATIENTS THROUGH THE EMERGENCY DEPARTMENT/WALK-IN CENTER - 1,567 PATIENTS IN OUR AMBULATORY SURGERY SUITE WE BELIEVE THAT THIS REPORT INDICATES A 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 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. | |
| 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. | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | FORM 990, PART XI, LINE 9: | PASSTHROUGH INCOME FROM CT HOSPITAL LAB NETWORK, LLC -885. PASSTHROUGH INCOME FROM HEALTH CONNECTICUT, LLC 2,701. CHANGE IN PENSION FUND OBLIGATION 12,309,985. TRANSFER TO AN AFFILIATE -2,203,402. CHANGE IN EQUITY INTEREST IN MILFORD HOSPITAL FOUNDATION 105,069. |
| 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. | |
| AMENDED RETURN | THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED SEPTEMBER 30, 2013 WERE NOT ISSUED UNTIL SEPTEMBER 29, 2014. THE FORM 990 E-FILED ON AUGUST 15,2014 (EXTENDED DUE DATE) WAS BASED ON DRAFT FINANCIAL STATEMENTS. CHANGES WERE MADE TO THE FINANCIAL STATEMENTS BETWEEN THE FILING OF THE FORM 990 AND THE ISSUANCE OF THE FINANCIAL STATEMENTS. THE FOLLOWING PARTS AND SCHEDULES OF THE FORM 990 WERE AMENDED AS A RESULT OF THE CHANGES TO THE FINANCIAL STATEMENTS: - FORM 990, PART III, LINE 4A, PROGRAM EXPENSE & REVENUE AMOUNTS - FORM 990, PART VIII, LINE 11A, MEANINGFUL USE INCOME AMOUNT - FORM 990, PART IX, LINE 9, COLUMN (B), OTHER EMPLOYEE BENEFITS AMOUNT - FORM 990, PART IX, LINE 22, COLUMN (B), DEPRECIATION EXPENSE AMOUNT - FORM 990, PART IX, LINE 24A, COLUMN (B), ALLOWANCE FOR UNPAID CARE - FORM 990, PART IX, LINE 24D, COLUMNS (B)+(C), PHARMACEUTICAL DRUGS - FORM 990, PART IX, LINE 24E, COLUMNS (B)+(C), ALL OTHER EXPENSES - FORM 990, PART X, LINE 4, ACCOUNTS RECEIVABLE, NET AMOUNT - FORM 990, PART X, LINE 10A, 10B, AND 10C, COST BASIS AND ACCUMULATED DEPRECIATION AMOUNTS - FORM 990, PART X, LINE 25, OTHER LIABILITIES AMOUNT - FORM 990, PART X, LINE 27, UNRESTRICTED NET ASSETS - FORM 990, PART XI, RECONCILIATION - SCHEDULE D, PART VI, LINE 1B(B), 1B(C), AND 1B(D), BUILDINGS COST BASIS AND ACCUMULATED DEPRECIATION AMOUNTS - SCHEDULE D, PART X, SECTION 1, LINE (4), DUE TO THIRD PARTY AMOUNT - SCHEDULE D, PART X, SECTION 1, LINE (6), DUE TO AFFILIATES AMOUNT - SCHEDULE D, PART XI, LINES 1, 3, 4B, 4C, AND 5, RECONCILIATION OF REVENUE - SCHEDULE D, PART XII, LINES 1, 4B, 4C, AND 5, RECONCILIATION OF EXPENSES - SCHEDULE H, PART III, SECTION A, LINE 2, BAD DEBT EXPENSE |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | 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 | |
Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |