2013-08-13T14:22:35-05:00 2012-09-30 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE SUITE 2600 INDIANAPOLIS IN 46204 990 2011-10-01 060646718 MIDDLESEX HOSPITAL % DONALD LUDWIG CPA MIDD 8603586395 28 CRESCENT STREET MIDDLETOWN CT 06457 SUSAN MARTIN 2013-08-12 3176817000 2011 2016-02-24 21:20:13Z VINCENT CAPECE - PRESIDENTCEO 28 CRESCENT STREET MIDDLETOWN CT 06457 371937208 false X WWW.MIDDLESEXHOSPITAL.ORG X 1895 CT MIDDLESEX HOSPITAL IS COMMITTED TO PROVIDING HIGH QUALITY INPATIENT AND OUTPATIENT HEALTHCARE SERVICES. THE HOSPITAL RECOGNIZES COMMUNITY TRANSPARENCY AND INTEGRITY AS FUNDAMENTAL RESPONSIBILITIES. 13 10 3061 615 4465014 3460686 5380626 342349009 348999762 6203632 2997354 1347490 9976768 353360817 367354510 0 0 0 0 198095488 199306965 0 0 824734 136850977 138777708 334946465 338084673 18414352 29269837 402626000 440085000 264554000 279080000 138072000 161005000 X MIDDLESEX HOSPITAL EXISTS TO PROVIDE THE SAFEST, HIGHEST-QUALITY HEALTH CARE AND THE BEST EXPERIENCE POSSIBLE FOR OUR COMMUNITY. false false 137785103 147366896 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. 51043731 65773629 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. 19474104 28709445 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. 78876274 2998000 116993232 287179212 true true false true false false false false false true true false false false true false true true false false false false false false true false true true false false true true false false false false false false false false true true true false false false false true true true false false true X 178 0 true 3061 true true true false false false false true true false false false false X 13 10 false false false false true true true true true false false true true true true true true true true true true CT X X DONALD LUDWIG CPA 8603586879 28 CRESCENT STREET MIDDLETOWN CT 06457 X Vincent Capece Jr 40.0 X X 732250 0 340633 David Baggish MD 40.0 X X 335484 0 4054 R Christopher Seaton 1.0 X X 0 0 0 Gary Willis 1.0 X X 0 0 0 Geoffrey Herter MD 1.0 X X 0 0 0 Nancy D'Oench 1.0 X 0 0 0 Chandler Howard 1.0 X 0 0 0 Hugh MacKenzie 1.0 X 0 0 0 Bruce MacMillian 1.0 X James Matschulat 1.0 X 0 0 0 John Rafal 1.0 X 0 0 0 Eric Thornburg 1.0 X 0 0 0 Barbara Weiss 1.0 X 0 0 0 Susan Martin 40.0 X 397845 0 960902 Arthur McDowell MD 40.0 X 459186 0 347711 Harry Evert 40.0 X 411022 0 46531 Colleen Smith 40.0 X 374226 0 2960 Jesse Wagner MD 40.0 X 326220 0 21557 Gregory Nokes 40.0 X 309025 0 197836 Jacquelyn Calamari 40.0 X 242074 0 32621 Garrett Havican 40.0 X 158211 0 19157 Michael Saxe MD 40.0 X 393494 0 19865 Jonathan Bankoff MD 40.0 X 354138 0 83722 Randolph Goodwin MD 40.0 X 351236 0 6770 Richard Greiner MD 40.0 X 327676 0 79060 Benjamin Sigal MD 40.0 X 325513 0 71359 David Cosentino MD 40.0 X 324487 0 71818 5822087 0 2306556 227 false true false 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 71 113968 804430 4462228 408061 5380626 Patient Revenues 621110 344565574 344565574 Specimen Laboratory 621500 3270050 3270050 TECHNICAL LABORATORY 621500 1164138 1164138 348999762 603489 603489 18865 18865 0 375620 275352 100268 100268 100268 6614992 4239992 2375000 2375000 2375000 69588 113968 67354 2234 2234 0 0 EHR INCOME TOTAL 900099 2838290 2838290 EQUITY IN JOINT VENTURE INCOME 900099 2176192 2176192 CAFETERIA REVENUE 722210 1263906 1263906 3595878 3565052 30826 9874266 367354510 354409014 4465014 3099856 0 0 0 0 5175548 4140438 1035110 232692 186154 46538 157412066 141568920 15843146 10690876 9565887 1124989 15037274 13396695 1640579 10758509 9575999 1182510 33091292 22011343 10255215 824734 605719 605719 172414 172414 46088 46088 0 0 0 1853543 870560 982983 10685906 7965331 2720575 0 0 7484098 4920084 2564014 1700177 1335071 365106 0 567662 415177 152485 3106032 3106032 0 21471596 20490344 981252 2077805 2077805 MEDICAL EXPENSES 34609055 34609055 Bad Debts 12199395 12199395 STATE NET PATIENT REV TAX 4089909 4089909 TRANSFER TO MSH PRIMARY CARE 2998000 2998000 2019017 930759 1088258 338084673 287179212 50080727 824734 56459000 54769000 10647000 10187000 542000 1668000 45270000 47154000 0 0 0 0 766000 645000 1436000 1347000 2029000 3970000 387892000 208046000 174742000 179846000 106486000 138950000 0 0 0 0 0 0 4249000 1549000 402626000 440085000 50554000 53975000 0 0 621000 671000 69502000 66330000 0 0 0 0 152000 1620000 0 0 143725000 156484000 264554000 279080000 X 124933000 144992000 6259000 9049000 6880000 6964000 138072000 161005000 402626000 440085000 X 29269837 -6336837 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 46088 46088 false Lobbying Activity Part II-B, Line 1I 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. 87389000 83000 14929000 47000 102354000 87748000 85000 -354000 90000 87389000 80828000 208000 6856000 144000 87748000 79900000 416000 597000 85000 85000 80743000 0.90000 0.07000 0.03000 false false 8541000 8541000 222251000 108609000 113642000 2062000 1206000 856000 136913000 95476000 41437000 18125000 2755000 15370000 179846000 0 Due To Third Party Reimbursers 2944000 Accrued Retirement Liabilities 129767000 Security Deposits 4000 Asset Retirement Obligation 732000 Lease Incentive Obligation 26000 Unallocated 3rd Party 9500000 Self Insurance Liabilities 13511000 156484000 367354510 338084673 29269837 -195837 -195837 29074000 363611000 363611000 3743510 3743510 367354510 334537000 334537000 3547673 3547673 338084673 Endowment Funds Part V, Line 4 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 TPC Golf 114480 79115 35365 2044 31327 7121 Hospice Golf 45112 22612 22500 240 17053 2709 2 23964 12241 11723 6860 183556 113968 69588 2284 48380 16690 67354 2234 true true X true X true X 500. true true false true true 5908 5591510 3410168 2181341 0.00670 15679 49786078 37575702 12210376 0.03750 4522253 3476118 1046134 0.00320 21587 59899841 44461988 15437851 0.04740 23221 4374506 1527 4372979 0.01340 1304 7266988 2109792 5157196 0.01580 27059 40609930 26608927 14001003 0.04300 68 432797 432797 0.00130 6659 417391 417391 0.00130 58311 53101612 28720246 24381366 0.07480 79898 113001453 73182234 39819217 0.12220 7283 7283 1022 195757 195757 0.00060 539 10936 10936 86 89615 89615 0.00030 1647 303591 303591 0.00090 false 12199395 1219940 83129028 97936212 -14807184 X true true 1 1 MIDDLESEX HOSPITAL

28 CRESCENT STREET MIDDLETOWN CT 06457

X X X X MIDDLESEX HOSPITAL 1 true true 200. true 500. true X X X X true true X X true true X false false 1 MIDDLESEX HOSPITAL HOMECARE

770 SAYBROOK ROAD MIDDLETOWN CT 06457

HOMECARE SERVICES, REHAB, HEART HEALTH, OTHER SERVICES 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. X X X X X true true X X X X X false true false false false true false false false 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 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 PART I, LINE 4B 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 COMPENSATION CONTINGENT ON NET REVENUE PART 1, LINE 6A 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. COMPENSATION SCHEDULE J, PART II 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. 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 1765000 0 24649762 1625617 0 0 392822 720290 0 21821549 89483 0 2008 false false true true 3700000 0 16775130 1219669 0 0 256847 429253 0 14869361 0 0 2007 true false true true 1970000 0 33803651 0 0 0 537961 0 0 33265690 0 0 2011 true false true true false false false false 0.00000 0.00000 0.00000 true 0 0 false false false 0 false 0 false false false false false 0 false 0 false false false false false 0 false 0 false false X 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. 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 BUSINESS TRANSACTIONS WITH INTERESTED PERSONS PART IV 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. X 6 408061 SELLING PRICE false true true USE OF THIRD PARTIES TO SELL NONCASH CONTRIBUTIONS LINE 32B Donors of stock are instructed to transfer to Merrill Lynch, in which Merrill Lynch is instructed to sell the stock immediately. 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 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 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 false false false false false false false false false true false false false true true true true false 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