MIDDLESEX HOSPITAL: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: MIDDLESEX HOSPITAL (EIN 06-0646718)
Tax period: 2011-10-01 to 2012-09-30
Filed: 2013-08-13
IRS object ID: 201312259349302376
Schema version: 2011v1.5
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 G
Schedule H
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-08-13T14:22:35-05:00	Timestamp
Tax Period End Date	2012-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	111 MONUMENT CIRCLE SUITE 2600	AddressLine1
City	INDIANAPOLIS	City
State	IN	State
ZIP Code	46204	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	060646718	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MIDDLESEX HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of Name	% DONALD LUDWIG CPA	InCareOfName
Name Control	MIDD	NameControl
Phone	8603586395	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	28 CRESCENT STREET	AddressLine1
City	MIDDLETOWN	City
State	CT	State
ZIP Code	06457	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	SUSAN MARTIN	Name
Title	VP FINANCE, TREASURER	Title
Date Signed	2013-08-12	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	3176817000	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	VINCENT CAPECE - PRESIDENTCEO	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	28 CRESCENT STREET	AddressLine1
City	MIDDLETOWN	City
State	CT	State
ZIP Code	06457	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	371937208	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.MIDDLESEXHOSPITAL.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1895	YearFormation
State Legal Domicile	CT	StateLegalDomicile
Activity Or Mission Description	MIDDLESEX HOSPITAL IS COMMITTED TO PROVIDING HIGH QUALITY INPATIENT AND OUTPATIENT HEALTHCARE SERVICES. THE HOSPITAL RECOGNIZES COMMUNITY TRANSPARENCY AND INTEGRITY AS FUNDAMENTAL RESPONSIBILITIES.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	13	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	10	NbrIndependentVotingMembers
Total Nbr Employees	3061	TotalNbrEmployees
Total Nbr Volunteers	615	TotalNbrVolunteers
Total Gross UBI	4465014	TotalGrossUBI
Contributions Grants Prior Year	3460686	ContributionsGrantsPriorYear
Contributions Grants Current Year	5380626	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	342349009	ProgramServiceRevenuePriorYear
Program Service Revenue CY	348999762	ProgramServiceRevenueCY
Investment Income Prior Year	6203632	InvestmentIncomePriorYear
Investment Income Current Year	2997354	InvestmentIncomeCurrentYear
Other Revenue Prior Year	1347490	OtherRevenuePriorYear
Other Revenue Current Year	9976768	OtherRevenueCurrentYear
Total Revenue Prior Year	353360817	TotalRevenuePriorYear
Total Revenue Current Year	367354510	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	198095488	SalariesEtcPriorYear
Salaries Etc Current Year	199306965	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	824734	TotalFundrsngExpCurrentYear
Other Expense Prior Year	136850977	OtherExpensePriorYear
Other Expenses Current Year	138777708	OtherExpensesCurrentYear
Total Expenses Prior Year	334946465	TotalExpensesPriorYear
Total Expenses Current Year	338084673	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	18414352	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	29269837	RevenuesLessExpensesCY
Total Assets BOY	402626000	TotalAssetsBOY
Total Assets EOY	440085000	TotalAssetsEOY
Total Liabilities BOY	264554000	TotalLiabilitiesBOY
Total Liabilities EOY	279080000	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	138072000	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	161005000	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	MIDDLESEX HOSPITAL EXISTS TO PROVIDE THE SAFEST, HIGHEST-QUALITY HEALTH CARE AND THE BEST EXPERIENCE POSSIBLE FOR OUR COMMUNITY.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	137785103	Expense
Revenue	147366896	Revenue
Description	Inpatient Care - In the fiscal year ending 9/30/2012, inpatient care represented 14,158 discharges and 59,473 patient care days. Armed with skilled staff, progressive diagnostic tools and advanced surgical techniques, the Hospital was well positioned to ensure a comfortable, safe environment for exceptional medical treatment and recovery. See Schedule O for further detail.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	51043731	Expense
Revenue	65773629	Revenue
Description	Emergency Department - Middlesex Hospital emergency department delivers care at the Whalen Emergency Center at the Hospital's main campus as well as two satellite sites located at the Shoreline Medical Center in Essex and the Middlesex Medical Center in Marlborough. The emergency department treat and release visits for the fiscal year ending 9/30/2012 were 85,082. In each, emergency care is deployed by expert, board-certified emergency medicine doctors and specifically trained physician assistants, nurses, patient care technicians and other support personnel. See Schedule O for further detail.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	19474104	Expense
Revenue	28709445	Revenue
Description	Ambulatory or Outpatient Surgery - In fiscal year ending 9/30/2012 there were 6,733 revenue generating ambulatory surgery cases from endoscopy/colonoscopy to orthopedic and other outpatient procedures. See Schedule O for further detail.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	78876274	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	2998000	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	116993232	TotalOfOtherProgramServiceRev
Total Program Service Expense	287179212	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	true	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	true	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Info In Schedule O Part V	X	InfoInScheduleOPartV
Number Forms Transmitted With1096	178	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	3061	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	true	QuidProQuoContributions
Quid Pro Quo Disclosure	true	QuidProQuoDisclosure
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	13	NbrVotingGoverningBodyMembers
Number Independent Voting Members	10	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	CT	StatesWhereCopyOfReturnIsFiled
Own Website	X	OwnWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	DONALD LUDWIG CPA	NamePerson
Telephone Number	8603586879	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	28 CRESCENT STREET	AddressLine1
City	MIDDLETOWN	City
State	CT	State
ZIP Code	06457	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
Vincent Capece Jr
President CEO	40.0	X	X	732250	0	340633
David Baggish MD
Chief of Medicine Secretary	40.0	X	X	335484	0	4054
R Christopher Seaton
Chairman	1.0	X	X	0	0	0
Gary Willis
Vice Chairman	1.0	X	X	0	0	0
Geoffrey Herter MD
Assistant Secretary	1.0	X	X	0	0	0
Nancy D'Oench
Director	1.0	X		0	0	0
Chandler Howard
Director	1.0	X		0	0	0
Hugh MacKenzie
Director	1.0	X		0	0	0
Bruce MacMillian
Director	1.0	X
James Matschulat
Director	1.0	X		0	0	0
John Rafal
Director	1.0	X		0	0	0
Eric Thornburg
Director	1.0	X		0	0	0
Barbara Weiss
Director	1.0	X		0	0	0
Susan Martin
VP Finance Treasurer	40.0		X	397845	0	960902
Arthur McDowell MD
VP Clinical Affairs	40.0			459186	0	347711	X
Harry Evert
Sr. VP Strategic Planning Ops	40.0			411022	0	46531	X
Colleen Smith
VP Nursing (Ret. 8/31/11)	40.0			374226	0	2960	X
Jesse Wagner MD
VP Quality and Patient Safety	40.0			326220	0	21557	X
Gregory Nokes
VP Human Resources	40.0			309025	0	197836	X
Jacquelyn Calamari
VP Nursing (Eff. 11/1/11)	40.0			242074	0	32621	X
Garrett Havican
VP Operations	40.0			158211	0	19157	X
Michael Saxe MD
Chairman Emergency Medicine	40.0			393494	0	19865	X
Jonathan Bankoff MD
Physician Emergency Department	40.0			354138	0	83722		X
Randolph Goodwin MD
Clinical Dir. Infectious Dis.	40.0			351236	0	6770		X
Richard Greiner MD
Physician Emergency Department	40.0			327676	0	79060		X
Benjamin Sigal MD
Physician Emergency Department	40.0			325513	0	71359		X
David Cosentino MD
Medical Dir. Emergency Dept.	40.0			324487	0	71818		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	5822087	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	2306556	TotalOtherCompensation
Number Individuals GT100 K	227	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Aramark Corporation
66 Oxford Drive	FRANKLIN	MA	02038	DIETARY/HOUSEKEEPING	1382887
Quest Diagnostics Inc
2025 Collection Center Drive	CHICAGO	IL	60693	LABORATORY SERVICES	1147776
Company 1 Consulting
6 Craig Drive	MONROE	CT	06468	INFORMATION SERVICES	917111
Tobin Carberry O'Malley
PO Box 58	NEW LONDON	CT	06320	ATTORNEY	873182
Murtha Cullina LLP
185 Asylum Street	HARTFORD	CT	06103	ATTORNEY	801936

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	71	NumberOfContractorsGT100K
Fundraising Events	113968	FundraisingEvents
Government Grants	804430	GovernmentGrants
All Other Contributions	4462228	AllOtherContributions
Noncash Contributions	408061	NoncashContributions
Total Contributions	5380626	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
Patient Revenues	621110	344565574	344565574
Specimen Laboratory	621500	3270050		3270050
TECHNICAL LABORATORY	621500	1164138		1164138

Field	Value	IRS element (for citing)
Total Program Service Revenue	348999762	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	603489	TotalRevenueColumn
Exclusion	$603,489	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	18865	TotalRevenueColumn
Exclusion	$18,865	ExclusionAmount

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	375620	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	275352	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	100268	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	100268	TotalRevenueColumn
Exclusion	$100,268	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	6614992	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	4239992	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	2375000	Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	2375000	TotalRevenueColumn
Exclusion	$2,375,000	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	69588	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	113968	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	67354	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	2234	TotalRevenueColumn
Exclusion	$2,234	ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
EHR INCOME TOTAL	900099	2838290	2838290
EQUITY IN JOINT VENTURE INCOME	900099	2176192	2176192
CAFETERIA REVENUE	722210	1263906	1263906

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	3595878	TotalRevenueColumn
Related Or Exempt Function Income	3565052	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	30826	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Other Revenue	9874266	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	367354510	TotalRevenueColumn
Related Or Exempt Function Income	354409014	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	4465014	UnrelatedBusinessRevenue
Exclusion	$3,099,856	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	5175548	Total
Program Services	4140438	ProgramServices
Management And General	1035110	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	232692	Total
Program Services	186154	ProgramServices
Management And General	46538	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	157412066	Total
Program Services	141568920	ProgramServices
Management And General	15843146	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	10690876	Total
Program Services	9565887	ProgramServices
Management And General	1124989	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	15037274	Total
Program Services	13396695	ProgramServices
Management And General	1640579	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	10758509	Total
Program Services	9575999	ProgramServices
Management And General	1182510	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	33091292	Total
Program Services	22011343	ProgramServices
Management And General	10255215	ManagementAndGeneral
Fundraising	824734	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	605719	Total
Management And General	605719	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	172414	Total
Management And General	172414	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	46088	Total
Management And General	46088	ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	0	Total

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1853543	Total
Program Services	870560	ProgramServices
Management And General	982983	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	10685906	Total
Program Services	7965331	ProgramServices
Management And General	2720575	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	0	Total

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	7484098	Total
Program Services	4920084	ProgramServices
Management And General	2564014	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	1700177	Total
Program Services	1335071	ProgramServices
Management And General	365106	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	567662	Total
Program Services	415177	ProgramServices
Management And General	152485	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	3106032	Total
Management And General	3106032	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	21471596	Total
Program Services	20490344	ProgramServices
Management And General	981252	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	2077805	Total
Management And General	2077805	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL EXPENSES	34609055	34609055
Bad Debts	12199395	12199395
STATE NET PATIENT REV TAX	4089909		4089909
TRANSFER TO MSH PRIMARY CARE	2998000	2998000

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	2019017	Total
Program Services	930759	ProgramServices
Management And General	1088258	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	338084673	Total
Program Services	287179212	ProgramServices
Management And General	50080727	ManagementAndGeneral
Fundraising	824734	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	56459000	BOY
EOY	54769000	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	10647000	BOY
EOY	10187000	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	542000	BOY
EOY	1668000	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	45270000	BOY
EOY	47154000	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	766000	BOY
EOY	645000	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	1436000	BOY
EOY	1347000	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2029000	BOY
EOY	3970000	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	387892000	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	208046000	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	174742000	BOY
EOY	179846000	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	106486000	BOY
EOY	138950000	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	4249000	BOY
EOY	1549000	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	402626000	BOY
EOY	440085000	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	50554000	BOY
EOY	53975000	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	621000	BOY
EOY	671000	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	69502000	BOY
EOY	66330000	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	152000	BOY
EOY	1620000	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	143725000	BOY
EOY	156484000	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	264554000	BOY
EOY	279080000	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	124933000	BOY
EOY	144992000	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	6259000	BOY
EOY	9049000	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	6880000	BOY
EOY	6964000	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	138072000	BOY
EOY	161005000	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	402626000	BOY
EOY	440085000	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	29269837	ReconcilationRevenueExpenses
Reconcilation Other Changes	-6336837	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Both	X	FinancialStatementBoth
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

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)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$46,088	OtherActivitiesAmount
Total Lobbying Expenditures IIB	46088	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Lobbying Activity	Identifier
Return Reference	Part II-B, Line 1I	ReturnReference
Explanation	Middlesex Hospital pays dues to both the American Hospital Association (AHA) and the Connecticut Hospital Association (CHA). A percentage of those dues funded lobbying activities during the fiscal year. The portion of AHA dues totaled $10,086 and the portion of CHA dues totaled $20,362. In addition, Middlesex Hospital contracted with a consultant who performed lobbying activities. Those expenses totaled $15,640.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	87389000	BeginningOfYearBalance
Contributions	83000	Contributions
Investment Earnings Or Losses	14929000	InvestmentEarningsOrLosses
Other Expenditures	47000	OtherExpenditures
End Of Year Balance	102354000	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	87748000	BeginningOfYearBalance
Contributions	85000	Contributions
Investment Earnings Or Losses	-354000	InvestmentEarningsOrLosses
Other Expenditures	90000	OtherExpenditures
End Of Year Balance	87389000	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	80828000	BeginningOfYearBalance
Contributions	208000	Contributions
Investment Earnings Or Losses	6856000	InvestmentEarningsOrLosses
Other Expenditures	144000	OtherExpenditures
End Of Year Balance	87748000	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	79900000	BeginningOfYearBalance
Contributions	416000	Contributions
Investment Earnings Or Losses	597000	InvestmentEarningsOrLosses
Other Expenditures	85000	OtherExpenditures
Administrative Expenses	85000	AdministrativeExpenses
End Of Year Balance	80743000	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.90000	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.07000	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.03000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	8541000	OtherCostOrOtherBasis
Book Value	8541000	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	222251000	OtherCostOrOtherBasis
Depreciation	108609000	Depreciation
Book Value	113642000	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2062000	OtherCostOrOtherBasis
Depreciation	1206000	Depreciation
Book Value	856000	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	136913000	OtherCostOrOtherBasis
Depreciation	95476000	Depreciation
Book Value	41437000	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	18125000	OtherCostOrOtherBasis
Depreciation	2755000	Depreciation
Book Value	15370000	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	179846000	TotalOfBookValueLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescription	AmountAmount
Due To Third Party Reimbursers	$2,944,000
Accrued Retirement Liabilities	$129,767,000
Security Deposits	$4,000
Asset Retirement Obligation	$732,000
Lease Incentive Obligation	$26,000
Unallocated 3rd Party	$9,500,000
Self Insurance Liabilities	$13,511,000

Field	Value	IRS element (for citing)
Total Of Amounts	156484000	TotalOfAmounts
Total Revenue	367354510	TotalRevenue
Total Expenses	338084673	TotalExpenses
Excess Or Deficit For Year	29269837	ExcessOrDeficitForYear
Other	-$195,837	OtherAmount
Total Adjustments	-195837	TotalAdjustments
Excess Or Deficit Per FS	29074000	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	363611000	TotRevenueEtcAuditedFinclStmt
Revenue Subtotal	363611000	RevenueSubtotal
Other Revenues Not Included	3743510	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	3743510	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	367354510	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	334537000	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	334537000	ExpensesSubtotal
Other Expenses Not Included	3547673	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	3547673	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	338084673	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	Endowment Funds	Identifier
Return Reference	Part V, Line 4	ReturnReference
Explanation	Board-designated (Quasi-Endowment) funds are assets set aside by the Board for future unspecified uses and to support education and other programs over which the Board retains control and may, at its discretion, subsequently use for other purposes. Permanent Endowment funds are assets received with the donor stipulation that the principal be invested in perpetuity and that only the income earned thereon is available for specific or general services, such as free bed funds and support of Hospital operations. Temporarily restricted Endowment funds are assets restricted by the donor either as to purpose and/or as to time of expenditure, such as education, health services and capital purchases. Part XI Reconciliation of Change in Net Assets from Form 990 to Audited Financial Statements Payments to Affiliates 2,998,000 Restricted Contributions (2,972,000) Restricted Investment Income (222,000) Rounding 163 Line 8 Total (195,837) Part XII Reconciliation of Revenue per Audited Financial Statements with Revenue Per Return Restricted Contributions 2,972,000 Restricted Investment Income 222,000 Net Fund Raising Activities 824,734 Rental Expenses (275,352) Rounding 128 Line 4b Total 3,743,510 Part XIII Reconciliation of Expenses per Audited Financial Statements with Expenses per Return Payments to Affiliates 2,972,000 Net Fund Raising Activites 824,734 Rental Expenses (275,352) Rounding 291 Line 4b Total 3,547,673	Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	TPC Golf	NameOfEvent1
Gross Receipts Event1	114480	GrossReceiptsEvent1
Charitable Contributions Event1	79115	CharitableContributionsEvent1
Gross Revenue Event1	35365	GrossRevenueEvent1
Non Cash Prizes Event1	2044	NonCashPrizesEvent1
Rent Facility Costs Event1	31327	RentFacilityCostsEvent1
Other Direct Expenses Event1	7121	OtherDirectExpensesEvent1
Name Of Event2	Hospice Golf	NameOfEvent2
Gross Receipts Event2	45112	GrossReceiptsEvent2
Charitable Contributions Event2	22612	CharitableContributionsEvent2
Gross Revenue Event2	22500	GrossRevenueEvent2
Non Cash Prizes Event2	240	NonCashPrizesEvent2
Rent Facility Costs Event2	17053	RentFacilityCostsEvent2
Other Direct Expenses Event2	2709	OtherDirectExpensesEvent2
Total Number Of Other Events	2	TotalNumberOfOtherEvents
Gross Receipts Other Events	23964	GrossReceiptsOtherEvents
Charitable Contrib Other Events	12241	CharitableContribOtherEvents
Gross Revenue Other Events	11723	GrossRevenueOtherEvents
Other Direct Expenses Other Events	6860	OtherDirectExpensesOtherEvents
Gross Receipts Total	183556	GrossReceiptsTotal
Charitable Contributions Total	113968	CharitableContributionsTotal
Gross Revenue Total Events	69588	GrossRevenueTotalEvents
Non Cash Prizes Total Events	2284	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	48380	RentFacilityCostsTotalEvents
Other Direct Expenses Total Events	16690	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	67354	DirectExpenseSummaryEvents
Net Income Summary	2234	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other
Discounted Other Percentage	500.	DiscountedOtherPercentage

Field	Value	IRS element (for citing)
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	false	ExpensesExceededBudget
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Persons Served	5908	PersonsServed
Total Community Benefit Expense	5591510	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3410168	DirectOffsettingRevenue
Net Community Benefit Expense	2181341	NetCommunityBenefitExpense
Percent Of Total Expense	0.00670	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Persons Served	15679	PersonsServed
Total Community Benefit Expense	49786078	TotalCommunityBenefitExpense
Direct Offsetting Revenue	37575702	DirectOffsettingRevenue
Net Community Benefit Expense	12210376	NetCommunityBenefitExpense
Percent Of Total Expense	0.03750	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4522253	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3476118	DirectOffsettingRevenue
Net Community Benefit Expense	1046134	NetCommunityBenefitExpense
Percent Of Total Expense	0.00320	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	21587	PersonsServed
Total Community Benefit Expense	59899841	TotalCommunityBenefitExpense
Direct Offsetting Revenue	44461988	DirectOffsettingRevenue
Net Community Benefit Expense	15437851	NetCommunityBenefitExpense
Percent Of Total Expense	0.04740	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Persons Served	23221	PersonsServed
Total Community Benefit Expense	4374506	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1527	DirectOffsettingRevenue
Net Community Benefit Expense	4372979	NetCommunityBenefitExpense
Percent Of Total Expense	0.01340	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Persons Served	1304	PersonsServed
Total Community Benefit Expense	7266988	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2109792	DirectOffsettingRevenue
Net Community Benefit Expense	5157196	NetCommunityBenefitExpense
Percent Of Total Expense	0.01580	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Persons Served	27059	PersonsServed
Total Community Benefit Expense	40609930	TotalCommunityBenefitExpense
Direct Offsetting Revenue	26608927	DirectOffsettingRevenue
Net Community Benefit Expense	14001003	NetCommunityBenefitExpense
Percent Of Total Expense	0.04300	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Persons Served	68	PersonsServed
Total Community Benefit Expense	432797	TotalCommunityBenefitExpense
Net Community Benefit Expense	432797	NetCommunityBenefitExpense
Percent Of Total Expense	0.00130	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Persons Served	6659	PersonsServed
Total Community Benefit Expense	417391	TotalCommunityBenefitExpense
Net Community Benefit Expense	417391	NetCommunityBenefitExpense
Percent Of Total Expense	0.00130	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Persons Served	58311	PersonsServed
Total Community Benefit Expense	53101612	TotalCommunityBenefitExpense
Direct Offsetting Revenue	28720246	DirectOffsettingRevenue
Net Community Benefit Expense	24381366	NetCommunityBenefitExpense
Percent Of Total Expense	0.07480	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Persons Served	79898	PersonsServed
Total Community Benefit Expense	113001453	TotalCommunityBenefitExpense
Direct Offsetting Revenue	73182234	DirectOffsettingRevenue
Net Community Benefit Expense	39819217	NetCommunityBenefitExpense
Percent Of Total Expense	0.12220	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	7283	TotalCommunityBuildingExpense
Net Community Building Expense	7283	NetCommunityBuildingExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Persons Served	1022	PersonsServed
Total Community Building Expense	195757	TotalCommunityBuildingExpense
Net Community Building Expense	195757	NetCommunityBuildingExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Persons Served	539	PersonsServed
Total Community Building Expense	10936	TotalCommunityBuildingExpense
Net Community Building Expense	10936	NetCommunityBuildingExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Persons Served	86	PersonsServed
Total Community Building Expense	89615	TotalCommunityBuildingExpense
Net Community Building Expense	89615	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Persons Served	1647	PersonsServed
Total Community Building Expense	303591	TotalCommunityBuildingExpense
Net Community Building Expense	303591	NetCommunityBuildingExpense
Percent Of Total Expense	0.00090	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReported
Bad Debt Expense	$12,199,395	BadDebtExpenseAmount
Amount Attributable To	1219940	AmountAttributableTo
Amount Reimbursed By Medicare	83129028	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	97936212	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-14807184	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MIDDLESEX HOSPITAL	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	28 CRESCENT STREET	AddressLine1
City	MIDDLETOWN	City
State	CT	State
ZIP Code	06457	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Teaching Hospital	X	TeachingHospital
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	MIDDLESEX HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	200.	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	500.	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
State Regulation	X	StateRegulation
Other Factors	X	OtherFactors
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Available On Request	X	AvailableOnRequest
Other Publicity	X	OtherPublicity
Actions On Nonpayment	true	ActionsOnNonpayment
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	1	NumberOfOtherFacilities

Other Facilities OtherFacilities

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MIDDLESEX HOSPITAL HOMECARE	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	770 SAYBROOK ROAD	AddressLine1
City	MIDDLETOWN	City
State	CT	State
ZIP Code	06457	ZIPCode

Field	Value	IRS element (for citing)
Facility Type	HOMECARE SERVICES, REHAB, HEART HEALTH, OTHER SERVICES	FacilityType

Form990 Schedule H Part VI Form990ScheduleHPartVI (2 entries)

IdentifierIdentifier

ExplanationExplanation

Q1 - Part I, line 3c: In general, Middlesex Hospital ("the Hospital")

uses FPG to determine eligibility. There are, however, special circumstances (such as a catastrophic event) which may affect a patient's ability to pay. In this case, the Hospital evaluates the application with consideration given to the patient's current situation. With special circumstances the FPG threshold may be ignored and the Hospital may use the patient's assets and/or tax return itemized deductions to determine the amount of financial assistance. Q1 - Part I, line 7, column (f): The percent of total expense in Part 1, Line 7, Column (f) is calculated by dividing column (e), net community benefit expense, by total expense. The bad debt expense of $12,199,395 was subtracted from the total expense value used to calculate the percentages in Part 1, Line 7, Column (f). Q1 - Part I, line 7: For Part 1, Line 7 sections (a) financial assistance at cost, (b) Medicaid, (c) costs of other means-tested government programs, portions of (f) health professions education, and (g) subsidized health services, the costing methodology used is a hybrid cost accounting/Medicare Cost-to-Charge Ratio calculation. The percentages are derived from the most current Medicare Cost Report and applied by charge line appropriately. Indirect costs were applied to subsidized health services. The Medicare Cost Report does not address all areas of the Hospital in the same detail, but does accurately address inpatient and outpatient, Homecare and to an extent physician services. Sections (e) community health improvement; portions of (f) health professions education, (h) research, and (i) cash and in-kind contributions to community groups are comprised (except for cash donations and in-kind material donations) of 1) supply expenses; 2) purchased services; and 3) the direct salary costs for Hospital staff whose time was compensated by the Hospital for time spent participating in activities that qualify as community benefits plus the current fiscal year fringe benefit rate. Indirect costs were applied to subsidized services and to a small selection of salaries and services under community health improvement, research, and community benefit operations, but not broadly across all community benefit activity entries. Q1 - Part II: Middlesex Hospital's participation in Community Building activities has a vital role in continuing to promote health, well-being and safety for residents in its service area and, in some cases, the international community. The Hospital offers its resources and expertise to support and strengthen community assets in a variety of programs that fall under the scope of community building. Staff members are highly participative in community partnerships and coalitions, the success of which are greatly enhanced by Hospital collaboration - many community initiatives would not be as effective without the Hospital's administrative and clinical staff in-kind involvement, support and expertise. As Community Building participation is focused on having a direct impact on improving the health of the community, it meets the criteria for inclusion in community benefit aggregate totals. In FY12 the Hospital's Community Building Activities totaled $303,591 and served 1,647 individuals. Examples include (but are not limited to): " Opportunity Knocks (OK): a multidisciplinary community coalition that includes 70+ collaborators comprised of local health and social service agencies, early care and education providers and parents. The goals are to ensure that children enter kindergarten physically and emotionally healthy and ready to succeed. Since its inception in 2003, OK has served approximately 7,922 children ages 0-5. Middlesex Hospital provides: funding; the program planner, a physician champion, grant-writing support, fiscal administration for the funding sources and participation from multiple departmental staff members. " The Middlesex Hospital-Sayaxche Community Partnership: extends the Hospital's involvement in community health to the global community. The goal of the project is to establish a long-term, collaborative, mutually beneficial and ethically sound partnership between Middlesex Hospital and the Middletown, CT community with the healthcare infrastructure of the Peten region in Guatemala. Middlesex Hospital annually funds and hosts a site-visit for a delegation from Guatemala for teaching and educational purposes. The Hospital contributes in-kind staff hours and donated supplies. " Disaster Readiness: For disaster readiness, the Hospital plays a pivotal role by working in collaboration with key community partners to ensure the safety of the community at large during a potential disaster. To prepare for disasters, the Hospital participates in school safety committees; community flu preparation committees; statewide/regional emergency management committees; regular collaborative community education and drills; and hosts yearly radiation drills for the staff of a local nuclear power plant. In addition, the Hospital purchases and stock-piles large quantities of extensive pandemic supplies to be used should a community-wide disaster occur. Included in this stock-pile are medications for infectious disease and chemical exposure curatives. The majority of the value of the supplies, space utilization and costs associated to monitor and replenish pandemic products (within expiration dates) are absorbed by the Hospital. Q1 - Part III, line 4: The Bad Debt Expense amount in Part III, line 2 is based on charges and tied to the Hospital's audited financial statements. The Hospital accounts for discounts and payments on patient accounts in determining bad debt expense by reducing bad debt by recoveries on the Hospital's financials. For Part III, line 3, the Hospital estimates that 10% of its Bad Debt expense is attributable to patients eligible under the organization's financial assistance policy. The Hospital has a well-established process with its third party agencies to capture as many patients eligible for financial assistance as possible and awards financial assistance to those patients in collections who are known to qualify. Once in collections, there are two methods which enable patients to receive financial assistance awards: 1) patients either complete a financial assistance application, meet eligibility criteria and are approved; or 2) the third party organizations that work on behalf of the Hospital to collect balances screen for financial assistance eligibility. In order to ensure that all patients in collections are aware of financial assistance availability, the Hospital requires third party organizations to follow the Hospital's policies regarding patient notification about the Hospital's financial assistance program. Within the policy there is a provision whereby collection agencies, using guidelines set forth by the Hospital, assist the Hospital in identifying patients who do not have a means to pay for services and therefore qualify for the Hospital's financial assistance program - while these patients have not gone through the formal application process, they meet the eligibility guidelines for financial assistance as defined by the Hospital. These patients are then transferred and included under the Hospital's financial assistance umbrella. While this process captures the majority of those who are eligible for charity care, the Hospital recognizes it will still have a population of patients who could potentially qualify for charity care and do not receive awards - those who are uncooperative, unresponsive or have moved away. Middlesex Hospital does not provide text in the footnote to its financial statements that describes bad debt expense. The Hospital estimates a reserve for uncollectible accounts against its patient accounts receivables. When bad debts are identified, they are accounted for as a component of the operating expense provision for bad debts net of recoveries. Bad debt dollars are not included in any of the Hospital's programmatic community benefit values and, while noted, are not included in the Hospital's community benefit totals in any Hospital community benefit publication. Q1 - Part III, line 8: The Medicare Cost Report is the costing methodology system used to determine the amount reported on Part III, Lines 5 and 6. The Hospital utilizes Worksheet 6 found in the Form 990 Instructions for Schedule H to calculate its subsidized services. The instructions state that "the financial loss is measured after removing losses, measured by cost, associated with bad debt, charity care, Medicaid and other means-tested government programs". Given that the instructions don't suggest removing losses associated with Medicare, a portion of Medicare is included in the Hospital's subsidized service calculations. So as not to double count Medicare values in Part III, Section B, Lines 5 and 6, the portion of Medicare Shortfall included in our subsidized services calculations has been subtracted from the Medicare revenue and costs der

Middlesex Hospital conducts research in the domains of clinical and

community health. Clinical examples include national trials by the Hospital's Cancer Center for breast, lung, prostate, colorectal, among others. For FY12, the Hospital's associated costs for all research projects totaled $432,797 and served 68 individuals. Financial and In-Kind Contributions: Middlesex Hospital supports the community in the form of financial and in-kind contributions. The Hospital's in-kind contributions include equipment, food, linens and medical supplies that are donated both locally and globally. Other in-kind donations include cafeteria discounts for YMCA residents and staff coordination of community support drives. The Hospital's main campus and satellite locations make meeting space available, free-of-charge and on an on-going basis, for many community groups that would otherwise struggle to pay for space. In addition, each year the Hospital makes substantial cash donations to carefully selected mission-driven community organizations throughout its service area. The Hospital's FY12 support for financial and in-kind contributions totaled $417,391, serving 6,659 individuals. Community Benefit Operations: Community Benefit Operations include activities and costs associated with community benefit strategic planning, administration, annual goal attainment, and community health needs assessment production and implementation. Middlesex Hospital has a dedicated manager of community benefit, along with a community benefit steering committee (comprised of hospital leadership) that oversees community benefit planning and operations. Outside of on-going community benefit activities, the main goals of the Hospital's community benefit program in FY12 continued to focus on the health assessment priority areas and collaborating with community partners. The Hospital's FY12 Community Benefit Operations expense totaled $353,550. Q6 - Affiliated Health System: N/A. Middlesex Hospital is not part of an affiliated health care system. Q7 - Community Benefit Report Filing: Under the Connecticut General Statutes 19a-127k, hospitals that have a community benefit program in place, as specified by the statute, are required to report biennially to the State of CT. This biennial community benefit reporting is currently under the auspices of the State of Connecticut's Office of the Healthcare Advocate. As Middlesex Hospital meets the statute as having a community benefit program in place, it reports biennially to the State of CT's Office of the Healthcare Advocate.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	X	FirstClassOrCharterTravel
Travel For Companions	X	TravelForCompanions
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Club Dues Or Fees	X	ClubDuesOrFees
Personal Services	X	PersonalServices
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	true	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (16 entries)

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
Vincent Capece Jr
516419	0	175000	0	40831	0	334028	0	6605	0	1072883	0	175000	0
David Baggish MD
316495	0	16521	0	2468	0	0	0	4054	0	339538	0	6353	0
Susan Martin
316212	0	67500	0	14133	0	958020	0	2882	0	1358747	0	67500	0
Arthur McDowell MD
363390	0	75250	0	20546	0	340109	0	7602	0	806897	0	75000	0
Harry Evert
222838	0	145500	0	42684	0	44500	0	2031	0	457553	0	145500	0
Colleen Smith
141179	0	49500	0	183547	0	0	0	2960	0	377186	0	49500	0
Jesse Wagner MD
291985	0	15000	0	19235	0	15000	0	6557	0	347777	0	5843	0
Gregory Nokes
238882	0	52000	0	18143	0	193215	0	4621	0	506861	0	52000	0
Jacquelyn Calamari
222074	0	20000	0	0	0	32500	0	121	0	274695	0	0	0
Garrett Havican
145211	0	13000	0	0	0	13000	0	6157	0	177368	0	0	0
Michael Saxe MD
352492	0	33034	0	7968	0	15000	0	4865	0	413359	0	22076	0
Jonathan Bankoff MD
280407	0	73731	0	0	0	77565	0	6157	0	437860	0	4976	0
Randolph Goodwin MD
300339	0	20794	0	30103	0	5767	0	1003	0	358006	0	6278	0
Richard Greiner MD
253591	0	74085	0	0	0	74392	0	4668	0	406736	0	0	0
Benjamin Sigal MD
260458	0	65055	0	0	0	62175	0	9184	0	396872	0	0	0
David Cosentino MD
250060	0	73825	0	602	0	66224	0	5594	0	396305	0	4322	0

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
Supplemental Compensation Information	BENEFITS PART I, LINE 1A FIRST CLASS TRAVEL - THE HOSPITAL'S POLICY AUTHORIZES FIRST CLASS TRAVEL FOR THE CHIEF EXECUTIVE OFFICER ON TRIPS EXCEEDING FOUR HOURS IN DURATION. NONE WAS USED DURING THE REPORTING PERIOD. TRAVEL FOR COMPANIONS - THE HOSPITAL'S POLICY PROVIDES FOR SPOUSAL OR "SIGNIFICANT OTHER" TRAVEL IN CERTAIN INSTANCES RELATED TO BUSINESS ACTIVITIES AND PRESCRIBES THE PROPER TAX TREATMENT OF THAT BENEFIT. THIS BENEFIT WAS TREATED AS TAXABLE COMPENSATION. GROSS UP PAYMENTS - REPRESENTS THE FEDERAL AND STATE INCOME TAX PAID BY THE ORGANIZATION ON BEHALF OF THE INDIVIDUAL FOR CERTAIN NON-CASH BENEFITS PROVIDED. SIX (6) EMPLOYEES NOTED ON FORM 990, PART VII, RECEIVED THIS BENEFIT. THIS BENEFIT WAS TREATED AS TAXABLE COMPENSATION. SOCIAL CLUB DUES - REPRESENTS A CORPORATE MEMBERSHIP AT A GOLF CLUB USED FOR VARIOUS BUSINESS PURPOSES. TO THE EXTENT THIS MEMBERSHIP IS USED FOR PERSONAL REASONS THE ASSOCIATED COST IS INCLUDED IN THE TAXABLE INCOME OF THE EXECUTIVE STAFF MEMBER ACCORDING TO IRS RULES AND REGULATIONS. THIS BENEFIT WAS TREATED AS TAXABLE COMPENSATION. PERSONAL SERVICES - REPRESENTS TAX PLANNING AND/OR TAX PREPARATION FEES FOR ONE (1) MEMBER OF THE EXECUTIVE STAFF. THIS BENEFIT WAS TREATED AS TAXABLE COMPENSATION.
SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN	ALTHOUGH THE BENEFIT IS NOT PAYABLE UNTIL RETIREMENT, THE NONQUALIFIED RETIREMENT PLAN BENEFIT ACCRUES ANNUALLY AND THE PLAN PROVIDES THAT A PARTICIPANT VESTS AFTER FIVE (5) YEARS OF SERVICE. THE AMOUNT OF THE VESTED BENEFIT IS CONSIDERED "INCOME" TO THE EXECUTIVE AS IT IS EARNED. THE INCOME IS REPORTED ON THE EXECUTIVE'S W-2 FORM AND IS TAXABLE. MIDDLESEX HOSPITAL SUPPLEMENTS THE EXECUTIVE'S INCOME TO PAY FOR THIS TAX CONSEQUENCE AS THE EARNED BENEFITS VEST. THE TOTAL OF THESE SUPPLEMENTAL PAYMENTS, CUMULATIVE WITH INTEREST, ARE OFFSET AGAINST THE NONQUALIFIED RETIREMENT PLAN BENEFIT AT THE TIME OF RETIREMENT. THE FOLLOWING INDIVIDUALS PARTICIPATED IN A NONQUALIFIED RETIREMENT PLAN. THE AMOUNTS REPORTED BELOW REPRESENT BENEFITS ACCRUED DURING CALENDAR YEAR 2011, NOT PAYABLE UNTIL RETIREMENT. COLLEEN SMITH $168,258 JESSE WAGNER $ 13,966 HARRY EVERT $ 22,548 THE FOLLOWING PARTICIPANTS HAD FUNDS CONTRIBUTED TO THEIR SERP ACCOUNT IN 2011: VINCENT CAPECE $157,528 SUSAN MARTIN $890,520 ARTHUR MCDOWELL $266,609 GEGORY NOKES $144,215	PART I, LINE 4B
COMPENSATION CONTINGENT ON NET REVENUE	THERE ARE FOUR (4) BROAD CATEGORIES OF EXECUTIVE INCENTIVE GOALS: CLINICAL QUALITY AND PATIENT SATISFACTION (40%), FINANCIAL STRENGTH (30%), WORKPLACE ENVIRONMENT (15%), AND COMMUNITY BENEFIT/CHARITABLE MISSION EFFECTIVENESS (15%). WITHIN EACH CATEGORY ARE MORE SPECIFIC GOALS WHICH ARE DETERMINED FROM OUR OWN PAST EXPERIENCE AS WELL AS STATE AND NATIONAL BENCHMARK DATA. THE INCENTIVE COMPENSATION OF THE EXECUTIVE STAFF IS DETERMINED WITH REFERENCE TO PERFORMANCE RELATIVE TO THESE GOALS.	PART 1, LINE 6A
COMPENSATION	BONUS & INCENTIVE COMPENSATION - COLUMN B(II) THE AMOUNTS REPRESENT INCENTIVE COMPENSATION PAYMENTS MADE IN CALENDAR YEAR 2011. PAYMENTS INCLUDE AMOUNTS EARNED IN 2010 AND DEFERRED, WHERE APPLICABLE. DEFERRED COMPENSATION - COLUMN (C) THE DEFERRED COMPENSATION REPORTED IN COLUMN (C) REPRESENTS INCENTIVE COMPENSATION EARNED IN 2011 THAT WILL BE PAID AND INCLUDED IN TAXABLE WAGES IN A LATER YEAR.	SCHEDULE J, PART II

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
STATE OF CT HEALTH & EDUCATIONAL FACILITIES AUTH
060806186	20774UGQ2	2006-12-07	23613507	CONSTRUCTION OF NEW EMERGENCY ROOM	false	false	false
STATE OF CT HEALTH & EDUCATIONAL FACILITIES AUTH
060806186	20774UGRO	2006-12-07	16620000	Refinance 11/15/2002 (Series K)	false	false	false
STATE OF CT HEALTH & EDUCATIONAL FACILITIES AUTH
060806186	20774YAW7	2011-07-26	33803383	Refinance 10/9/1997 (Series H)	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
1765000	24649762	1625617	392822	720290	21821549	89483	2008	false	false	true	true
3700000	16775130	1219669	256847	429253	14869361	0	2007	true	false	true	true
1970000	33803651	0	537961	0	33265690	0	2011	true	false	true	true

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
false	false	false	false	0.00000	0.00000	0.00000	true
				0
				0

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line1NameOfGICProvider/BusinessNameLine1	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
0
false	false	false	false	0	false	false
0
false	false	false	false	0	false	false
0
false	false	false	false	0	false	false

Field	Value	IRS element (for citing)
Fed Tax Requirements Compliance	X	FedTaxRequirementsCompliance

Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Part II Line 3 (All bonds):	0	The difference between the issue price and the total proceeds is interest in the amount of: $1,036,255 for Column A bond, $155,130 for Column B bond and $268 for Column C bond.
Part II Line 7 (Column C bond):	0	THIS AMOUNT WILL NOT TIE TO 8038 DUE TO ALLOCATION TO OBLIGATED GROUP.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
VICTORIA MCDOWELL - REGISTERED NURS
FAMILY MEMBER-A. MCDOWELL	70234	RECEIPT OF WAGES/COMPENSATION	false
STEVE MCDOWELL - PURCHASING MANAGER
FAMILY MEMBER-A. MCDOWELL	96801	RECEIPT OF WAGES/COMPENSATION	false
ANNE CALAMARI - LCSW COORDINATOR
FAMILY MEMBER-J. CALAMARI	56495	RECEIPT OF WAGES/COMPENSATION	false
ESSEX FINANCIAL SERVICES
JOHN W. RAFAL/DIRECTOR	593299	ENTITY MORE THAN 35% OWNED	false

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Identifier	BUSINESS TRANSACTIONS WITH INTERESTED PERSONS	Identifier
Return Reference	PART IV	ReturnReference
Explanation	VICTORIA MCDOWELL, REGISTERED NURSE, IS THE SISTER-IN-LAW OF ARTHUR MCDOWELL, VICE PRESIDENT OF CLINICAL AFFAIRS. VICTORIA MCDOWELL'S WAGES FOR 10/01/11 TO 09/30/12 TOTALED $70,234. STEVE MCDOWELL, PURCHASING MANAGER, IS THE BROTHER OF ARTHUR MCDOWELL, VICE PRESIDENT OF CLINICAL AFFAIRS. STEVE MCDOWELL'S WAGES FOR 10/01/11 TO 09/30/12 TOTALED $96,801. ANNE CALAMARI, LCSW COORDINATOR, IS THE daughter of Jacquelyn Calamari, VP Nursing. ANNE CALAMARI'S WAGES FOR 10/01/11 TO 09/30/12 TOTALED $56,495. JOHN W. RAFAL, DIRECTOR, IS 40% OWNER OF ESSEX FINANCIAL SERVICES. DURING THE REPORTING PERIOD, $593,299 OF MIDDLESEX HOSPITAL EMPLOYER CONTRIBUTIONS WERE TRANSFERRED TO ESSEX FINANCIAL SERVICES FOR MANAGEMENT IN 403(B) PLANS.	Explanation

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArt
Art Historical Treasures		ArtHistoricalTreasures
Art Fractional Interest		ArtFractionalInterest
Books And Publications		BooksAndPublications
Clothing And Household Goods		ClothingAndHouseholdGoods
Cars And Other Vehicles		CarsAndOtherVehicles
Boats And Planes		BoatsAndPlanes
Intellectual Property		IntellectualProperty

Securities Publicly Traded SecuritiesPubliclyTraded

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	6	NumberOfContributions
Noncash Contribs Rptd F990	408061	NoncashContribsRptdF990
Method Of Determining Revenues	SELLING PRICE	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Securities Closely Held Stock		SecuritiesCloselyHeldStock
Securities Prtnrshp Trust Intrsts		SecuritiesPrtnrshpTrustIntrsts
Securities Miscellaneous		SecuritiesMiscellaneous
Qualified Contrib Hist Struct		QualifiedContribHistStruct
Qualified Contrib Other		QualifiedContribOther
Real Estate Residential		RealEstateResidential
Real Estate Commercial		RealEstateCommercial
Real Estate Other		RealEstateOther
Collectibles		Collectibles
Food Inventory		FoodInventory
Drugs And Medical Supplies		DrugsAndMedicalSupplies
Taxidermy		Taxidermy
Historical Artifacts		HistoricalArtifacts
Scientific Specimens		ScientificSpecimens
Archaeological Artifacts		ArchaeologicalArtifacts
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	true	ReviewProcessUnusualNCGifts
Third Parties Used	true	ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

Field	Value	IRS element (for citing)
Identifier	USE OF THIRD PARTIES TO SELL NONCASH CONTRIBUTIONS	Identifier
Return Reference	LINE 32B	ReturnReference
Explanation	Donors of stock are instructed to transfer to Merrill Lynch, in which Merrill Lynch is instructed to sell the stock immediately.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (21 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ORGANIZATION'S MISSION	Form 990, Part III, LINE 1	MIDDLESEX HOSPITAL IS AN ACUTE CARE GENERAL HOSPITAL SERVING THE RESIDENTS OF MIDDLESEX COUNTY AND VARIOUS SURROUNDING COMMUNITIES PROVIDING SELECTED HIGH QUALITY INPATIENT AND OUTPATIENT HEALTH SERVICES. THE HOSPITAL MAINTAINS FORMAL RELATIONSHIPS WITH SPECIALIZED PROVIDERS TO ASSURE COORDINATION OF CARE WHEN SERVICES ARE NOT LOCALLY AVAILABLE. AN INTEGRAL PART OF THE CORE PROGRAMS, SPANNING THEIR TRADITIONAL DIAGNOSTIC AND TREATMENT SERVICES, ARE THE SCORES OF SPECIAL PROGRAMS OFFERED TO THE COMMUNITIES SERVED, MANY OF WHICH FOCUS ON THE DISADVANTAGED AND UNDERSERVED, THOSE SPECIAL POPULATIONS SUCH AS MINORITIES, OLDER PERSONS, PERSONS LIVING IN POVERTY WITH DISABILITIES, CHRONICALLY MENTALLY ILL PERSONS, AND OTHER DISENFRANCHISED PERSONS. MANY OTHER SPECIAL PROGRAMS WITH A FOCUS TO REACH OUT TO ALL MEMBERS OF THE COMMUNITY REGARDLESS OF ECONOMIC CONDITION OR SOCIAL STATUS RESPOND TO PUBLIC HEALTH NEEDS AND INVOLVE EDUCATION OR RESEARCH THAT IMPROVES OVERALL COMMUNITY HEALTH. ALL OF THESE SPECIAL PROGRAMS ARE OFFERED FREE OF CHARGE OR OFFERED AT A RATE THAT IS CONSIDERABLY LESS THAN THE COST OF PROVIDING THEM.
PROGRAM SERVICES	FORM 990, PART III, LINE 4A	PROGRAM SERVICE #1, INPATIENT CARE, LINE 4A INPATIENT CARE FROM REGISTRATION THROUGH DISCHARGE IS CAREFULLY MANAGED TO EXCEED REGULATORY REQUIREMENTS AND ENSURE QUALITY, PATIENT SATISFACTION, AND BEST PRACTICE WITH EACH ASPECT OF THE INPATIENT EXPERIENCE, INCLUDING ALL ELEMENTS OF CARE FROM NURSING COMPETENCY AND COMPASSION, TO MEAL QUALITY, LAB AND DIAGNOSTIC TESTING, SAFE AND SECURE PHYSICAL SURROUNDINGS TO PATIENT EDUCATION. MIDDLESEX HOSPITAL, LICENSED FOR 275 BEDS AND 22 BASSINETS, PROVIDES ACUTE CARE FROM DEDICATED HEALTH CARE TEAMS WHICH INCLUDE SURGEONS, HOSPITALISTS, FAMILY PRACTITIONERS AND RESIDENTS, MEDICAL STAFF PHYSICIANS, MAGNET NURSES, PHYSICIAN ASSISTANTS, PATIENT CARE TECHNOLOGISTS, DIAGNOSTIC TECHNICIANS, PATHOLOGISTS, ADMINISTRATORS, ENVIRONMENTAL SERVICES, SECURITY, ENGINEERING AND A HOST OF OTHERS WORKING TOGETHER TO ENABLE THE ORGANIZATION'S SUCCESS. THE HOSPITAL UNITS INCLUDING INTENSIVE AND CRITICAL CARE, MEDICAL SURGICAL, ONCOLOGY, ORTHOPEDIC, PULMONOLOGY, VASCULAR AND CARDIOLOGY, GASTROINTESTINAL, MATERNITY, A 20 BED PSYCHIATRIC FLOOR, AND HOSPICE SERVICES SPECIALIZE IN THE SPECIFIC NEEDS OF THEIR PATIENTS AND ARE STAFFED TO ACCOMMODATE THE UNIQUE TREATMENT REQUIREMENTS OF EACH. ALL ANCILLARY SERVICES INCLUDING LABS, RADIOLOGY, FOOD SERVICES, PATHOLOGY, PHARMACY, MEDICAL TRANSCRIPTION AND INFORMATION SERVICES TOO ARE A PART OF THE HOSPITAL TEAM. PATIENT CARE IS DEVELOPED WITH FULL CONSIDERATION OF THE WHOLE INDIVIDUAL, AS THEY ARE ASSIGNED TO CONDITION SPECIFIC CARE PATHWAYS AND SERVICES TO SECURE BEST TREATMENT AND RECOVERY.
PROGRAM SERVICES	FORM 990, PART III, LINE 4B	PROGRAM SERVICE #2, MIDDLESEX HOSPITAL EMERGENCY DEPARTMENT, LINE 4B EMERGENCY CARE IS PROVIDED 24 HOURS A DAY, 7 DAYS A WEEK. THE DEPARTMENTS ARE SUPPORTED BY A BROAD SPECTRUM OF DIAGNOSTIC CAPABILITIES AND SOPHISTICATED INFORMATION SYSTEMS. IN ADDITION TO EMERGENCY CARE THERE ARE ALSO ISOLATION AND DECONTAMINATION AREAS IN THE EMERGENCY DEPARTMENT AND A HELIPAD ON SITE FOR LIFE STAR MEDICAL HELICOPTER TRANSPORTS. MIDDLESEX HOSPITAL IS COMMITTED TO PROVIDING THE HIGHEST STANDARD OF CARE FOR BOTH THE PHYSICAL AND BEHAVIORAL HEALTH NEEDS OF OUR PSYCHIATRIC PATIENTS. THE EMERGENCY DEPARTMENT AT THE HOSPITAL HOUSES AN EIGHT BED EMERGENCY DEPARTMENT CRISIS UNIT. TREATMENT IS PROVIDED REGARDLESS OF THE PATIENT'S BACKGROUND OR STATUS. ED SERVICES ARE STAFFED WITH CLINICAL PERSONNEL SPECIFICALLY TRAINED TO CARE FOR THE UNIQUE NEEDS OF THEIR PATIENTS (PSYCHIATRISTS, STAFF NURSES, PATIENT CARE TECHNICIANS/MENTAL HEALTH WORKERS, SECRETARIES, NURSE EDUCATOR, SOCIAL WORKERS, COTAS, OT AND OTHERS). TOGETHER THE STAFF PARTNERS WITH HOSPITAL STAFF AND COMMUNITY RESOURCES TO DEVELOP THE BEST CARE PLAN FOR PATIENTS THROUGHOUT THEIR STAY IN THE HOSPITAL AND UPON DISCHARGE. IN FYE 12, THE EMERGENCY ROOM ACTIVITY ACCOUNTED FOR 85,082 EMERGENCY DEPARTMENT VISITS. DEMAND CONTINUES TO RISE AND THE SERVICES PROVIDED CONTINUE TO BE RECOGNIZED FOR CONTINUOUS PATIENT SATISFACTION IN PARTICULAR AS A RECIPIENT OF THE PRESS GANEY SUMMIT AWARD FOR ACHIEVING A 99% CUSTOMER SATISFACTION RATING FOR THREE CONSECUTIVE YEARS.
PROGRAM SERVICES	FORM 990, PART III, LINE 4C	AMBULATORY OR OUTPATIENT SURGERY IS PERFORMED AT MIDDLESEX HOSPITAL AND THE MIDDLESEX OUTPATIENT CENTER. PROGRAM SERVICE #4, OTHER SERVICES, LINE 4D OTHER SERVICES INCORPORATE A WIDE RANGE OF CARE PROVIDED TO PATIENTS THAT ARE NOT SPECIFICALLY CAPTURED IN THE OTHER CARE CATEGORIES. THIS DESIGNATION ACCOUNTS FOR 510,031 VISITS. THESE SERVICES INCLUDE CARE PROVIDED AT THE CANCER CENTER SUCH AS DIAGNOSTIC TESTING, TREATMENT AND SUCH SUPPORTS AS ALTERNATIVE MEDICINE THERAPIES/INTEGRATIVE MEDICINES, AND HEREDITARY RISK ASSESSMENTS. PHYSICAL MEDICINE AND REHABILITATION SERVICES ALSO ARE FOLDED INTO THIS GROUPING. SERVICES ARE AVAILABLE AT MULTIPLE LOCATIONS WHICH OFFER COMPREHENSIVE REHABILITATION AND OCCUPATIONAL MEDICINE AND PHYSICAL THERAPY (INCLUDING HAND THERAPY) SERVICES. CARE IS DELIVERED BY EXPERIENCED, HIGHLY-QUALIFIED STAFF, WITH ADVANCED TRAINING IN PHYSICAL AND OCCUPATIONAL THERAPY, SPEECH LANGUAGE PATHOLOGY AND RELATED FIELDS. IN EACH CLINICAL CASE, PATIENTS ARE EVALUATED AND RECEIVE A UNIQUE TREATMENT PLAN, WHICH INCLUDES DESIRED GOALS, ANTICIPATED OUTCOMES AND THE TIME FRAME NECESSARY TO ACHIEVE CLINICALLY OPTIMAL RESULTS. ADDITIONAL SERVICES ARE AVAILABLE BY THE WOUND AND SKIN TEAM AT MIDDLESEX HOSPITAL. THE MULTIDISCIPLINARY TEAM PROVIDES TREATMENT WHICH FOCUSES ON CLINICAL WOUND, OSTOMY AND SKIN ISSUES. THE HOSPITAL HAS CAREFUL AND ONGOING SERVICES FOR INDIVIDUALS WITH CHRONIC DISEASES. A SAMPLING OF SUCH PROGRAMS INCLUDE PULMONARY REHABILITATION SERVICES WHICH PROVIDE RESPIRATORY THERAPY AND CARE FOR PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE AS WELL AS DIABETES EDUCATION AND MEDICAL NUTRITION THERAPY AT THE CENTER FOR CHRONIC CARE MANAGEMENT PROVIDED TO INDIVIDUALS WITH A NEW DIAGNOSIS AND UNCONTROLLED DIABETES. MANY BEHAVIORAL HEALTH SERVICES ARE PROVIDED TO PATIENTS IN THE OUTPATIENT SETTING IN ADDITION TO COUNSELING AND SUPPORT GROUPS. PROGRAMS INCLUDE THE DAY TREATMENT PROGRAM (INTENSIVE OUTPATIENT SERVICES FOR ADULTS, GERIATRIC PATIENTS, AND DUALLY-DIAGNOSED PATIENTS), SERVICES AT THE OUTPATIENT CENTER FOR BEHAVIORAL HEALTH (PSYCHOTHERAPY AND MEDICATION MANAGEMENT FOR ADULTS) AND THE FAMILY ADVOCACY PROGRAM (MENTAL HEALTH TREATMENT FOR PATIENTS UNDER 18 YEARS OLD AND THEIR FAMILIES). THE HOSPITAL'S HOMECARE DEPARTMENT MAKES OVER 101,000 REVENUE GENERATING VISITS A YEAR TO COMMUNITY RESIDENTS. HOMECARE IS STAFFED WITH SPECIALTY NURSES, HOME HEALTH AIDES, PHYSICAL THERAPISTS, OCCUPATIONAL THERAPISTS, SPEECH THERAPISTS, MEDICAL SOCIAL WORKERS AND NUTRITIONISTS TO MEET THE PHYSICAL AND BEHAVIORAL HEALTH NEEDS OF PATIENTS CARED FOR IN THEIR HOMES AND OUTSIDE THE HOSPITAL SETTING. HOMECARE SERVICES INCLUDE: SPECIALIZED CARDIAC CARE; INCLUDING TELE MONITORING AND THE HEART SMART PROGRAM (A MULTIDISCIPLINARY PROGRAM WHICH INCLUDES THE FULL SPECTRUM CARDIAC SELF MANAGEMENT SUPPORT AND CLINICAL CARE), FULL SPECTRUM GERIATRIC CARE, INFUSION THERAPIES, LIFELINE SERVICES, AND A SIGNIFICANT RANGE OF RESPIRATORY, PULMONARY AND MEDICAL REHABILITATION SERVICES AS WELL AS PROVIDING OUTPATIENT HOSPICE AND PALLIATIVE SERVICES THROUGHOUT THE COMMUNITY. THE HOMECARE DEPARTMENT GENEROUSLY PROVIDES COMMUNITY HEALTH SERVICES INCLUDING FLU SHOTS, HEALTH FAIRS, AND COORDINATION OF LINKAGES WITH MEALS ON WHEELS, TRANSPORTATION, ADULT DAY CARE AND OTHER SERVICES ON CONTRACT WITH LOCAL ORGANIZATIONS.
MEMBERS OR STOCKHOLDERS	FORM 990, PART VI, SECTION A, LINES 6, 7A AND 7B	THE SOLE MEMBER OF THE HOSPITAL SHALL BE MIDDLESEX HEALTH SYSTEM, INC., A CONNECTICUT NON-STOCK CORPORATION, OR ITS SUCCESSOR IN INTEREST ("SOLE MEMBER"), WHICH SHALL HAVE ALL OF THE MEMBERSHIP RIGHTS CONFERRED BY LAW, THE CERTIFICATE OF INCORPORATION OR THE MIDDLESEX HOSPITAL BY-LAWS, BY VOTE OF ITS BOARD OF DIRECTORS, ITS PRESIDENT, OR BY OR THROUGH ANY OTHER PERSON(S) DESIGNATED BY ITS BOARD OF DIRECTORS ON ITS BEHALF. ANY SUCH ACTION MAY ALSO BE TAKEN WITHOUT A MEMBERSHIP MEETING IF CONSENT THERETO IS CONFIRMED THROUGH A WRITTEN COMMUNICATION OF A DULY AUTHORIZED REPRESENTATIVE OF THE SOLE MEMBER ACTING WITHIN THE LIMITS OF SUCH REPRESENTATIVE'S AUTHORITY. ANY SUCH ACTION BY THE SOLE MEMBER OR ITS DULY AUTHORIZED REPRESENTATIVE SHALL BE FILED WITH THE SECRETARY OF THE HOSPITAL. THE ANNUAL ELECTION OF THE BOARD OF DIRECTORS OF THE HOSPITAL BY THE DULY AUTHORIZED REPRESENTATIVE OF THE SOLE MEMBER SHALL BE DEEMED THE ANNUAL MEETING OF THE MEMBERSHIP OF THE HOSPITAL FOR ALL PURPOSES. THE SECRETARY OF THE HOSPITAL SHALL PROVIDE APPROPRIATE NOTICES TO THE SOLE MEMBER AS REQUIRED BY LAW IN ADVANCE OF ACTIONS BEING REQUESTED OF THE SOLE MEMBER BY THE BOARD OF DIRECTORS OF THE HOSPITAL. FORM 990 REVIEW PROCESS FORM 990, PART VI, SECTION B, LINE 11A DRAFT FORMS OF THE 990, INCLUDING REQUIRED SCHEDULES, ARE PROVIDED TO EACH BOARD MEMBER FOR REVIEW. MEMBERS REVIEW THE DOCUMENTS, HIGHLIGHT ANY SIGNIFICANT CHANGES AND ATTEST THEIR APPROVAL. ANY QUESTIONS OR COMMENTS ARE PRESENTED TO EXECUTIVE MANAGEMENT PRIOR TO FILING. A COPY OF THE FINAL FORM 990 WILL BE PROVIDED TO THE BOARD PRIOR TO FILING WITH THE IRS VIA A WEB BASED COMMUNICATION PORTAL. CONFLICT OF INTEREST POLICY FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST FORMS ARE DISTRIBUTED ANNUALLY TO KEY EMPLOYEES, OFFICERS AND THE BOARD OF DIRECTORS. RESPONSES ARE RETURNED TO, TRACKED, AND REVIEWED BY THE COMPLIANCE OFFICER. INFORMATION REPORTED IS CONSIDERED PERSONAL AND CONFIDENTIAL AND ONLY DISCLOSED WHEN DEEMED NECESSARY TO PROTECT THE HOSPITAL AGAINST THE EFFECTS OF CONFLICTS OF INTEREST AND ONLY AFTER ADVISING THE REPORTING PERSON OF THE PROPOSED DISCLOSURE AND OF ITS EXTENT. MATERIAL CONFLICTS ARE REPORTED TO THE BOARDS AUDIT COMMITTEE FOR REVIEW AND DETERMINATION. IN ADDITION TO COMPLETING THE ANNUAL CONFLICT OF INTEREST FORM, BOARD MEMBERS MUST IMMEDIATELY DISCLOSE ANY INTEREST AND ALL MATERIAL FACTS TO THE BOARD OF DIRECTORS. THE BOARD THEN REVIEWS THE FACTS AND MAKES THE DETERMINATION AS TO WHETHER A SIGNIFICANT CONFLICT OF INTEREST EXISTS. IF SO, THE BOARD FOLLOWS DISABLING GUIDELINES TO DETERMINE IF THE BOARD MEMBER SHOULD BE ASKED TO RESIGN OR BE REMOVED.
COMPENSATION POLICY	FORM 990, PART VI, SECTION B, LINES 15A & 15B	EXECUTIVE TEAM COMPENSATION IS REVIEWED ANNUALLY BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD. THE COMMITTEE HAS A CHARTER AND A POLICY STATEMENT SETTING FORTH A PROCESS AND CERTAIN GUIDELINES FOR DETERMINING COMPENSATION. EXECUTIVES RECEIVE A BASE SALARY AND HAVE THE OPPORTUNITY FOR INCENTIVE COMPENSATION WITHIN A RANGE SET BY THE POLICY. FOLLOWING THE CLOSE OF EACH FISCAL YEAR, THE COMMITTEE RECEIVES A MARKET ANALYSIS FROM INDEPENDENT CONSULTANTS REGARDING COMPENSATION AT PEER GROUPS OF COMPARABLE HOSPITALS AND HEALTH SYSTEMS. POSITIONS WITHIN THE EXECUTIVE TEAM ARE COMPARED TO BENCHMARK POSITIONS WITHIN THIS MARKET DATA AND THEIR COMPENSATION IS COMPARED TO THE DATA BOTH WITH RESPECT TO CASH COMPENSATION AND TOTAL COMPENSATION INCLUDING FRINGE BENEFITS. THE CEO RECOMMENDS THE INCENTIVE AWARDS AND BASE SALARY ADJUSTMENTS TO THE COMPENSATION OF THE EXECUTIVES WHO REPORT TO HIM, AND THE COMMITTEE REVIEWS THOSE RECOMMENDATIONS, APPROVES OR MODIFIES THEM, AND ALSO DETERMINES ANY INCENTIVE AWARD AND BASE SALARY ADJUSTMENT FOR THE CEO. THE CONSULTANTS PROVIDE A WRITTEN OPINION ANNUALLY CONFIRMING THAT THE COMPENSATION OF THE EXECUTIVES, AS ADJUSTED BY THIS PROCESS, IS "REASONABLE" WITHIN APPLICABLE IRS GUIDELINES. KEY EMPLOYEE COMPENSATION IS SET FOLLOWING THE GUIDELINES SET FORTH IN THE HOSPITAL COMPENSATION POLICY. THE OBJECTIVE OF THIS POLICY IS TO PAY EMPLOYEES BASED UPON HOSPITAL NEED, THE PROPER EXTERNAL LABOR MARKET AND PERFORMANCE.
PUBLIC DISCLOSURE	FORM 990, PART VI, SECTION C, LINE 19	MIDDLESEX HOSPITAL MAINTAINS A QUALITY AND COMPLIANCE SECTION ON ITS WEBSITE, MIDDLESEXHOSPITAL.ORG. THE HOSPITAL POSTS THE MOST CURRENT AUDITED FINANCIAL STATEMENTS THERE AS THEY BECOME AVAILABLE, AS WELL AS STATEMENTS FROM AT LEAST TWO PREVIOUS FISCAL YEARS. THE HOSPITAL'S CONFLICT OF INTEREST POLICY IS ALSO POSTED ON THE WEBSITE IN THE VENDORS AND SUPPLIERS SECTION. IN ADDITION, THE ORGANIZATION'S FORM 990 IS AVAILABLE AT WWW.GUIDESTAR.ORG AND UPON REQUEST. OTHER CHANGES IN NET ASSETS PART XI, LINE 5 CHANGE IN NET UNREALIZED GAINS ON SECURITIES $13,974,000 CHANGE IN ACCUMULATED PENSION CHARGES (19,085,000) EXPENDITURES FOR INTENDED PURPOSES (1,226,000) ROUNDING (163) TOTAL ($6,336,837)
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Vincent Capece, Jr. TITLE:President CEO HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:David Baggish, MD TITLE:Chief of Medicine Secretary HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:R. Christopher Seaton TITLE:Chairman HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Gary Willis TITLE:Vice Chairman HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Geoffrey Herter, MD TITLE:Assistant Secretary HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Nancy D'Oench TITLE:Director HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Chandler Howard TITLE:Director HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Hugh MacKenzie TITLE:Director HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Bruce MacMillian TITLE:Director HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:James Matschulat TITLE:Director HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:John Rafal TITLE:Director HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Eric Thornburg TITLE:Director HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Barbara Weiss TITLE:Director HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Susan Martin TITLE:VP Finance Treasurer HOURS:1

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
MIDDLESEX HEALTH SYSTEM INC
28 CRESCENT STREET	MIDDLETOWN	CT	06457	222676137	SUPPORT	CT	501(C) (3)	11, TYPE II	NA	false
MIDDLESEX HEALTH SERVICES INC
28 CRESCENT STREET	MIDDLETOWN	CT	06457	222676140	ASST. LIVING	CT	501 (C) (3)	9	MSX HLTH SYS	true
MIDDLESEX HOSPITAL FOUNDATION
28 CRESCENT STREET	MIDDLETOWN	CT	06457	273720822	SUPPORT	CT	501 (C) (3)	11, TYPE II	MSX HOSPITAL	true

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity
MIDDLESEX HEALTH RESOURCES INC
28 CRESCENT STREET	MIDDLETOWN	CT	06457	061089925	HEALTHCARE	CT	MID HEALTH SYS	C CORP
INTEGRATED RESOURCES FOR THE MIDDLESEX
28 CRESCENT STREET	MIDDLETOWN	CT	06457	061462230	OUTPATIENT CARE	CT	MID HEALTH SYS	C CORP
MHS PRIMARY CARE INC
28 CRESCENT STREET	MIDDLETOWN	CT	06457	061472743	HEALTHCARE	CT	MID HEALTH SYS	C CORP

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
MIDDLESEX HEALTH SERVICES INC
O	5160000
MIDDLESEX HEALTH SYSTEM INC
B	2998000
MIDDLESEX HEALTH SERVICES INC
P	2208907
MHS PRIMARY CARE INC
P	2046600
MIDDLESEX HEALTH SYSTEM INC
O	892088
MIDDLESEX HEALTH RESOURCES INC
J	463367
MIDDLESEX HEALTH SERVICES INC
N	128416
MIDDLESEX HEALTH RESOURCES INC
P	71084
MHS PRIMARY CARE INC
N	53400