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THE MILFORD HOSPITAL INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
THE MILFORD HOSPITAL INC (EIN 06-0646741)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-08-15
IRS object ID
201232289349302988
Schema version
2010v3.4
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-08-15T14:04:03-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MARCUM LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1CITY PLACE II 185 ASYLUM STREETAddressLine1
CityHARTFORDCity
StateCTState
ZIP Code06103ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN060646741EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE MILFORD HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMILFNameControl
Phone2038764000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 SEASIDE AVENUEAddressLine1
CityMILFORDCity
StateCTState
ZIP Code06460ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLAURA SMITHName
TitleCFO/VP OF FINANCETitle
Phone2038764000Phone
Date Signed2012-08-10DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDOUGLAS FARRINGTONName
Phone8605498500Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLAURA SMITHNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1300 SEASIDE AVENUEAddressLine1
CityMILFORDCity
StateCTState
ZIP Code06460ZIPCode
FieldValueIRS element (for citing)
Gross Receipts208244071GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MILFORDHOSPITAL.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1942YearFormation
State Legal DomicileCTStateLegalDomicile
Activity Or Mission DescriptionHOSPITAL SERVICESActivityOrMissionDescription
Nbr Voting Members Governing Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members17NbrIndependentVotingMembers
Total Nbr Employees885TotalNbrEmployees
Total Nbr Volunteers364TotalNbrVolunteers
Total Gross UBI5809380TotalGrossUBI
Net Unrelated Business Txbl Income-172035NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year13742ContributionsGrantsPriorYear
Contributions Grants Current Year16925ContributionsGrantsCurrentYear
Program Service Revenue Prior Year206243041ProgramServiceRevenuePriorYear
Program Service Revenue CY185934229ProgramServiceRevenueCY
Investment Income Prior Year1999104InvestmentIncomePriorYear
Investment Income Current Year2613024InvestmentIncomeCurrentYear
Other Revenue Prior Year964787OtherRevenuePriorYear
Other Revenue Current Year818391OtherRevenueCurrentYear
Total Revenue Prior Year209220674TotalRevenuePriorYear
Total Revenue Current Year189382569TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year76799GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY89905GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year55141995SalariesEtcPriorYear
Salaries Etc Current Year54008642SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year158930809OtherExpensePriorYear
Other Expenses Current Year138227891OtherExpensesCurrentYear
Total Expenses Prior Year214149603TotalExpensesPriorYear
Total Expenses Current Year192326438TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-4928929RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-2943869RevenuesLessExpensesCY
Total Assets BOY72360491TotalAssetsBOY
Total Assets EOY64632155TotalAssetsEOY
Total Liabilities BOY45493123TotalLiabilitiesBOY
Total Liabilities EOY49088137TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY26867368NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY15544018NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE MISSION OF MILFORD HOSPITAL IS TO EFFECTIVELY AND EFFICIENTLY PROVIDE HIGH QUALITY, HEALTHCARE SERVICES IN A MODERN AND SAFE ENVIRONMENT, BY ANTICIPATING AND EXCEEDING THE NEEDS OF PATIENTS, PHYSICIANS AND ALL OF OUR CUSTOMERS WITH EXCELLENCE, CONVENIENCE ANDMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense181297971Expense
Revenue185934229Revenue
DescriptionMILFORD HOSPITAL PROVIDES HIGH-QUALITY HEALTHCARE SERVICES TO THE RESIDENTS OF MILFORD, WEST HAVEN, ORANGE AND STRATFORD, CONNECTICUT AND ITS SURROUNDING COMMUNITIES WITHOUT REGARD TO RACE, GENDER, CREED OR ABILITY TO PAY.SEE SCHEDULE O FOR CONTINUATIONDescription
Total Program Service Expense181297971TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109627NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees885NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members17NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JOSEPH PELACCIABusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2038764230TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1300 SEASIDE AVENUEAddressLine1
CityMILFORDCity
StateCTState
ZIP Code06460ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
JOSEPH PELACCIA
PRESIDENT & CEO41.40XX3519084377130079
LAURA SMITH
VP FINANCE & CFO41.10XX1021331508931836
HOWARD TREAT
CHAIRMAN1.00XX000
SAMUEL BERGAMI JR
VICE CHAIRMAN1.00XX000
STEPHEN E RONAI ESQ
SECRETARY1.00XX000
RICHARD MEISENHEIMER
TREASURER1.00XX000
LLOYD FRIEDMAN MD
VP MEDICAL AFFAIRS & COO33.30XX3201034010940015
JAMES BEARD
DIRECTOR1.00X000
NANCY BENNETT
DIRECTOR1.00X000
ARMAND CANTAFIO
DIRECTOR1.00X000
RITA CANAS
DIRECTOR1.00X000
LEO CARROLL
DIRECTOR1.00X000
PATRICIA CUCUZZA
DIRECTOR1.00X000
LOUIS D'AMATO
DIRECTOR1.00X000
BRADFORD GESLER
DIRECTOR1.00X000
CHARLES GUGLIN MD
DIRECTOR1.00X000
ANN LOESCH
DIRECTOR1.00X000
CAROL MCINNIS
DIRECTOR1.00X000
LEN NAPOLI JR
DIRECTOR1.00X000
RAYMOND S OLIVER
DIRECTOR1.00X000
MICHAEL SAFFER ESQ
DIRECTOR1.00X000
STEVEN SAUNDERS MD
DIRECTOR1.00X000
ANDREW CHOW
HOSPITALIST40.00306717030939X
MICHAEL BLOCH
ER PHYSICIAN40.00295171030939X
WILLIAM SACKS MD
ER PHYSICIAN40.00284179013232X
JAY WALSHON MD
ER DIRECTOR40.00280105027384X
CHRISTOPHER GENNINO
ER PHYSICIAN40.00278170030939X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2218486TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs98969TotalReportableCompFrmRltdOrgs
Total Other Compensation235363TotalOtherCompensation
Number Individuals GT100 K67NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
NEUBERGER BERMAN LLC
605 THIRD AVE 36TH FLOORNEW YORKNY10158INVESTMENT SERVICES531397
AMERICAN RED CROSS
PO BOX 33093NEWARKNJ07188PROCESS BLOOD485542
AFTERCARE PHYSICAL THERAPY SERVICES
4154 MADISON AVETRUMBULLCT06611THERAPY SERVICES311903
QUEST DIAGNOSTICS INC
2025 COLLECTION CENTER DRIVECHICAGOIL60693LAB TESTING SERVICES309910
UNITEX TEXTILE RENTAL SERVICES
161 SOUTH MACQUESTEN PKWYMT VERNONNY10550LAUNDRY SERVICES265137
FieldValueIRS element (for citing)
Number Of Contractors GT100 K15NumberOfContractorsGT100K
All Other Contributions16925AllOtherContributions
Total Contributions16925TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
SPECIAL SERVICES6215001348485631317545733093990
ROUTINE SERVICES6241004845573748455737
OTHER SERVICES54161026299292629929
FieldValueIRS element (for citing)
Total Program Service Revenue185934229TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column479460TotalRevenueColumn
Exclusion$479,460ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real18200Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real8291Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real9909Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column9909TotalRevenueColumn
Exclusion$9,909ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities20890759Securities
Other2800Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities18676739Securities
Other83256Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities2214020Securities
Other-80456Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column2133564TotalRevenueColumn
Exclusion$2,133,564ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events52673GrossIncomeFundraisingEvents
Fundraising Direct Expenses13708FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column38965TotalRevenueColumn
Exclusion$38,965ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory125995GrossSalesOfInventory
Cost Of Goods Sold79508CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column46487TotalRevenueColumn
Exclusion$46,487ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
CAFETERIA REVENUE722210238157$238,157
PHARMACY SALES446110190688$190,688
PURCHASE DISCOUNTS900099105123$105,123

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column189062TotalRevenueColumn
Unrelated Business Revenue85461UnrelatedBusinessRevenue
Exclusion$103,601ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue723030TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column189382569TotalRevenueColumn
Related Or Exempt Function Income180210310RelatedOrExemptFunctionIncome
Unrelated Business Revenue5809380UnrelatedBusinessRevenue
Exclusion$3,345,954ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total78587Total
Program Services78587ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total11318Total
Program Services11318ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total881520Total
Program Services325839ProgramServices
Management And General555681ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total38492791Total
Program Services34878014ProgramServices
Management And General3614777ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3161550Total
Program Services2832246ProgramServices
Management And General329304ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total8734294Total
Program Services7071016ProgramServices
Management And General1663278ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2738487Total
Program Services2440493ProgramServices
Management And General297994ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total134345Total
Management And General134345ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total155472Total
Management And General155472ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total16999Total
Management And General16999ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total208211Total
Management And General208211ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total5211022Total
Program Services3787744ProgramServices
Management And General1423278ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total110946Total
Management And General110946ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total10581294Total
Program Services10388120ProgramServices
Management And General193174ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total392938Total
Program Services42605ProgramServices
Management And General350333ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2256244Total
Program Services1986158ProgramServices
Management And General270086ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total21997Total
Program Services11591ProgramServices
Management And General10406ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total20373Total
Program Services19128ProgramServices
Management And General1245ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total7718Total
Management And General7718ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total99964Total
Program Services86762ProgramServices
Management And General13202ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3127849Total
Program Services2352232ProgramServices
Management And General775617ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total25170Total
Management And General25170ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
ALLOWANCE FOR UNPAID CA104061679104061679
BAD DEBTS76117727611772
PHARMACEUTICAL DRUGS18407061840706
FOOD710951710951
HOSPITAL TAX590865590865

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1041376Total
Program Services761010ProgramServices
Management And General280366ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total192326438Total
Program Services181297971ProgramServices
Management And General11028467ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY274581BOY
EOY927181EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3250135BOY
EOY2959748EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY12226799BOY
EOY12622341EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY778932BOY
EOY799838EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY623576BOY
EOY751650EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis72022772LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec47323119LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY26131733BOY
EOY24699653EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY26620509BOY
EOY19697244EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY777498BOY
EOY745924EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1676728BOY
EOY1428576EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY72360491BOY
EOY64632155EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY12903963BOY
EOY13201087EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2783548BOY
EOY1891051EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY29805612BOY
EOY33995999EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY45493123BOY
EOY49088137EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY25540870BOY
EOY14244094EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY716206BOY
EOY626161EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY610292BOY
EOY673763EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY26867368BOY
EOY15544018EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY72360491BOY
EOY64632155EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-2943869ReconcilationRevenueExpenses
Reconcilation Other Changes-8379481ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$16,999OtherActivitiesAmount
Total Lobbying Expenditures IIB16999TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF OTHER LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1I:ReturnReference
ExplanationTHE HOSPITAL PAID DUES TO THE CT HOSPITAL ASSOCIATION (CHA), WHICH INCLUDED LOBBYING COSTS OF $10,958. CHA REPRESENTS CT HOSPITALS AND WORKS WITH OTHER ORGANIZATIONS LIKE AHA TO ADDRESS STATE AND FEDERAL LEGISLATIVE ISSUES AFFECTING HOSPITALS. THE HOSPITAL ALSO PAID DUES TO THE AMERICAN HOSPITAL ASSOCIATION (AHA), WHICH INCLUDED LOBBYING COSTS OF $6,041. AHA REPRESENTS ALL HOSPITALS, NATIONWIDE, AND WORKS ALONG WITH STATE HOSPITAL ASSOCIAITONS, LIKE CHA TO ADDRESS FEDERAL LEGISLATIVE ISSUES AFFECTING HOSPITALS.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance663319BeginningOfYearBalance
Contributions5000Contributions
Investment Earnings Or Losses16992InvestmentEarningsOrLosses
End Of Year Balance685311EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance657181BeginningOfYearBalance
Contributions5000Contributions
Investment Earnings Or Losses1138InvestmentEarningsOrLosses
End Of Year Balance663319EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance647698BeginningOfYearBalance
Contributions5000Contributions
Investment Earnings Or Losses4483InvestmentEarningsOrLosses
End Of Year Balance657181EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs1EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R1AreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis825066OtherCostOrOtherBasis
Book Value825066BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis97205InvestmentCostOrOtherBasis
Other Cost Or Other Basis38429546OtherCostOrOtherBasis
Depreciation20179428Depreciation
Book Value18347323BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis31950837OtherCostOrOtherBasis
Depreciation26444992Depreciation
Book Value5505845BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis720118OtherCostOrOtherBasis
Depreciation698699Depreciation
Book Value21419BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings24699653TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (8 entries)

DescriptionDescriptionAmountAmount
ACCRUED INSURANCE$58,880
ACCRUED PENSION$30,733,115
DUE TO THIRD PARTY$2,024,212
DEFERRED COMPENSATION$364,964
DUE TO AFFILIATES$593,506
FINANCE LEASE PAYABLE$41,608
OTHER ACCRUED BENEFITS$155,900
AUTO LOAN PAYABLE$23,814
FieldValueIRS element (for citing)
Total Of Amounts33995999TotalOfAmounts
Total Revenue189382569TotalRevenue
Total Expenses192326438TotalExpenses
Excess Or Deficit For Year-2943869ExcessOrDeficitForYear
Net Unrealized GL On Investments-2445378NetUnrealizedGLOnInvestments
Other-$5,934,103OtherAmount
Total Adjustments-8379481TotalAdjustments
Excess Or Deficit Per FS-11323350ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt80201698TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-2445378NetUnrealizedGainsInvestments
Other Revenues-442238OtherRevenues
Revenue Not Rptd F990-2887616RevenueNotRptdF990
Revenue Subtotal83089314RevenueSubtotal
Investment Expenses Not Included208211InvestmentExpensesNotIncluded
Other Revenues Not Included106085044OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt106293255RevenueNotRptdOnFinStmt
Total Revenue Per Form990189382569TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt85587520TotExpensesEtcAuditedFinclStmt
Other Expenses Included80456OtherExpensesIncluded
Expenses Not Rptd F99080456ExpensesNotRptdF990
Expenses Subtotal85507064ExpensesSubtotal
Investment Expenses Not Included2208211InvestmentExpensesNotIncluded2
Other Expenses Not Included106611163OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt106819374ExpensesNotRptdOnFinStmt
Total Expenses Per Form990192326438TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierExplanationExplanation
PART XI, LINE 8 - OTHER ADJUSTMENTS:PASSTHROUGH INCOME FROM CT HOSPITAL LAB NETWORK, LLC -987. PASSTHROUGH INCOME FROM HEALTH CONNECTICUT, LLC -2,184. CHANGE IN PENSION FUND OBLIGATION -4,694,052. TRANSFER TO AN AFFILIATE -1,205,306. CHANGE IN EQUITY INTEREST IN MILFORD HOSPITAL FOUNDATION -31,574.
PART XII, LINE 2D - OTHER ADJUSTMENTS:OTHER ALLOWANCES -442,238.
PART XII, LINE 4B - OTHER ADJUSTMENTS:ALLOWANCE 104,061,679. AUXILIARY REVENUE 87,220. CHARITY CARE 187,766. PASSTHROUGH INCOME 3,171. OTHER EXPENSES NETTED FROM REVENUE 1,824,250. REVENUE/EXPENSE RECLASS 1,414. LOSS ON SALE OF ASSETS -80,456.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:LOSS ON SALE OF ASSETS 80,456.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:ALLOWANCE 104,061,679. AUXILIARY EXPENSE 93,816. CHARITY CARE 187,766. OTHER EXPENSES NETTED FROM REVENUE 1,824,250. OTHER ALLOWANCES 442,238. REVENUE/EXPENSE RECLASS 1,414.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1CELEBRATION OF TREESNameOfEvent1
Gross Receipts Event115965GrossReceiptsEvent1
Gross Revenue Event115965GrossRevenueEvent1
Other Direct Expenses Event12876OtherDirectExpensesEvent1
Name Of Event2MOTHER'S DAY ROAD RACENameOfEvent2
Gross Receipts Event215525GrossReceiptsEvent2
Gross Revenue Event215525GrossRevenueEvent2
Other Direct Expenses Event25505OtherDirectExpensesEvent2
Total Number Of Other Events11TotalNumberOfOtherEvents
Gross Receipts Other Events21183GrossReceiptsOtherEvents
Gross Revenue Other Events21183GrossRevenueOtherEvents
Other Direct Expenses Other Events5327OtherDirectExpensesOtherEvents
Gross Receipts Total52673GrossReceiptsTotal
Gross Revenue Total Events52673GrossRevenueTotalEvents
Other Direct Expenses Total Events13708OtherDirectExpensesTotalEvents
Direct Expense Summary Events13708DirectExpenseSummaryEvents
Net Income Summary38965NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage250.000000000000FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent350XPcent350
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served38PersonsServed
Total Community Benefit Expense83067TotalCommunityBenefitExpense
Direct Offsetting Revenue14807DirectOffsettingRevenue
Net Community Benefit Expense68260NetCommunityBenefitExpense
Percent Of Total Expense0.02500PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Persons Served2722PersonsServed
Total Community Benefit Expense4388809TotalCommunityBenefitExpense
Direct Offsetting Revenue2835075DirectOffsettingRevenue
Net Community Benefit Expense1553734NetCommunityBenefitExpense
Percent Of Total Expense0.57300PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Persons Served5538PersonsServed
Total Community Benefit Expense4420426TotalCommunityBenefitExpense
Direct Offsetting Revenue3924721DirectOffsettingRevenue
Net Community Benefit Expense495705NetCommunityBenefitExpense
Percent Of Total Expense0.18300PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served8298PersonsServed
Total Community Benefit Expense8892302TotalCommunityBenefitExpense
Direct Offsetting Revenue6774603DirectOffsettingRevenue
Net Community Benefit Expense2117699NetCommunityBenefitExpense
Percent Of Total Expense0.78100PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs33NumberOfActivitiesOrPrograms
Persons Served9256PersonsServed
Total Community Benefit Expense87514TotalCommunityBenefitExpense
Direct Offsetting Revenue12722DirectOffsettingRevenue
Net Community Benefit Expense74792NetCommunityBenefitExpense
Percent Of Total Expense0.02700PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs6NumberOfActivitiesOrPrograms
Persons Served130PersonsServed
Total Community Benefit Expense493152TotalCommunityBenefitExpense
Net Community Benefit Expense493152NetCommunityBenefitExpense
Percent Of Total Expense0.18200PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served150PersonsServed
Total Community Benefit Expense27511TotalCommunityBenefitExpense
Net Community Benefit Expense27511NetCommunityBenefitExpense
Percent Of Total Expense0.01000PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs41NumberOfActivitiesOrPrograms
Persons Served9536PersonsServed
Total Community Benefit Expense608177TotalCommunityBenefitExpense
Direct Offsetting Revenue12722DirectOffsettingRevenue
Net Community Benefit Expense595455NetCommunityBenefitExpense
Percent Of Total Expense0.21900PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs41NumberOfActivitiesOrPrograms
Persons Served17834PersonsServed
Total Community Benefit Expense9500479TotalCommunityBenefitExpense
Direct Offsetting Revenue6787325DirectOffsettingRevenue
Net Community Benefit Expense2713154NetCommunityBenefitExpense
Percent Of Total Expense1.00000PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Persons Served30400PersonsServed
Total Community Building Expense47935TotalCommunityBuildingExpense
Net Community Building Expense47935NetCommunityBuildingExpense
Percent Of Total Expense0.81500PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense10916TotalCommunityBuildingExpense
Net Community Building Expense10916NetCommunityBuildingExpense
Percent Of Total Expense0.18500PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Persons Served30400PersonsServed
Total Community Building Expense58851TotalCommunityBuildingExpense
Net Community Building Expense58851NetCommunityBuildingExpense
Percent Of Total Expense1.00000PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$3,143,662BadDebtExpenseAmount
Amount Reimbursed By Medicare18600471AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare24821551CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-6221080MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities2NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalEr24 HoursEr24HoursOtherOther
THE MILFORD HOSPITAL INC
1300 SEASIDE AVENUEMILFORDCT06460XXX
THE MILFORD HOSPITAL WALK-IN CENTER
2831 BOSTON POST ROADMILFORDCT06460WALK IN CENTER

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumber
NA
1
NA
2

Form990 Schedule H Part VI Form990ScheduleHPartVI (10 entries)

ExplanationExplanation
PART I, LINE 3C: N/A
PART II: MILFORD HOSPITAL PROVIDES EMERGENCY PREPAREDNESS TRAINING AND DISASTER PLANNING FOR THE HOSPITAL AND THE COMMUNITY IT SERVES.
PART III, LINE 4: TEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBEDS BAD DEBT EXPENSE: PATIENT ACCOUNTS RECEIVABLE RESULT FROM THE HEALTH CARE SERVICES PROVIDED BY THE HOSPITAL. ADDITIONS TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS RESULT FROM THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS. ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE ARE DEDUCTED FROM THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE AMOUNT OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN MEDICARE AND MEDICAID HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS.COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINES 2 AND 3: THE CALCULATION OF THE HOSPITAL'S RCC WAS DERIVED FROM WORKSHEET 2 OF THE FORM 990 INSTRUCTIONS.RATIONALE FOR INCLUDING A PORTION OF BAD DEBT AMOUNTS AS COMMUNITY BENEFIT: THE HOSPITAL DOES NOT RECEIVE PAYMENTS FOR HEALTHCARE SERVICES PROVIDED TO UNINSURED INDIVIDUALS IN THE MILFORD COMMUNITY. INDIVIDUAL MEMBERS OF THE COMMUNITY ARE BENEFITING FROM GETTING HEALTHCARE SERVICES AT NO COST TO THEM.
PART III, LINE 8: THE HOSPITAL'S COSTS EXCEED REVENUES RECEIVED FROM CMS FOR MEDICARE PATIENTS BY APPROXIMATELY $3.4M. THE COST TO CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 (FORM 990 INSTRUCTIONS).
PART III, LINE 9B: THE HOSPITAL HAS POLICIES AND PROCEDURES TO ASSIST COLLECTION PERSONNEL IN DETERMINING A PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE WHO HAVE NO INSURANCE AND MEET SPECIFIC INCOME THRESHOLDS BASED ON THE POVERTY GUIDELINES.
PART VI, LINE 2: MILFORD HOSPITAL SENDS OUT COMMUNITY NEEDS ASSESSMENT SURVEYS TO ASSESS COMMUNITY ORGANIZATION NEEDS AND WORKS WITH INDIVIDUALS TO ASSESS SCHOOL AND EDUCATION NEEDS.
PART VI, LINE 3: NOTIFICATION OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IS POSTED BY THE HOSPITAL IN BOTH ENGLISH AND SPANISH IN THE FOLLOWING LOCATIONS: ADMITTING, EMERGENCY DEPARTMENT, BILLING AND CREDIT COLLECTIONS AND SOCIAL SERVICES.
PART VI, LINE 4: MILFORD, CT IS A SMALL CITY OF APPROXIMATELY 52,212 PEOPLE LOCATED ON LONG ISLAND SOUND, AS OF 2000 CENSUS. THE ECONOMY IS DIVERSIFIED AND SUPPORTS MANUFACTURING, RETAIL, CORPORATE OFFICE AND SERVICE INDUSTRY. IN THE 2000 CENSUS, THERE WERE 20,138 HOUSEHOLDS OUT OF WHICH 29.3% HAD CHILDREN UNDER THE AGE OF 18 LIVING WITH THEM, 54.7% WERE MARRIED COUPLES LIVING TOGETHER, 9.7% HAD A FEMALE HEAD OF HOUSEHOLD WITH NO HUSBAND PRESENT, AND 32.4% WERE NON-FAMILIES. 26.3% OF ALL HOUSEHOLDS WERE MADE UP OF INDIVIDUALS AND 10.3% HAD SOMEONE LIVING ALONE WHO WAS 65 YEARS OF AGE OR OLDER. THE AVERAGE HOUSEHOLD SIZE WAS 2.49 AND THE AVERAGE FAMILY SIZE WAS 3.04. ABOUT 2.4% OF FAMILIES AND 3.8% OF THE POPULATION WERE BELOW THE POVERTY LINE, INCLUDING 4.1% OF THOSE UNDER AGE 18 AND 5.4% OF THOSE AGE 65 OR OVER. THE HOSPITAL IS LOCATED IN CLOSE PROXIMITY TO THE TOWN GREEN, THE SECOND LARGEST IN NEW ENGLAND. MILFORD HAS A STRONG RETAIL COMMUNITY, INCLUDING A MALL AND MANY SHOPS AND RETAIL OUTLETS. PARTICIPATION IN COMMUNITY PROGRAMS ALSO COME FROM ORANGE, WEST HAVEN, AND STRATFORD.
PART VI, LINE 6: N/A
PART VI, LINE 7: N/A

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistancePurpose Of GrantPurposeOfGrant
MILFORD HOSPITAL FOUNDATION VIA MH WAYS & MEANS
300 SEASIDE AVENUEMILFORDCT06460222627350501(C)(3)24501BOOKN/ACHARITABLE
MILFORD HOSPITAL FOUNDATION VIA MH HOSPITALITY SHOP
300 SEASIDE AVENUEMILFORDCT06460222627350501(C)(3)50000BOOKN/ACHARITABLE
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantSCHOLARSHIPS AWARDED TO JUNIOR VOLUNTEERS FOR HIGHER EDUCATIONTypeOfGrant
Number Of Recipients9NumberOfRecipients
Amount Of Cash Grant11318AmountOfCashGrant
Amount Of Non Cash Assistance0AmountOfNonCashAssistance
Method Of ValuationBOOKMethodOfValuation
Description Of Non Cash AssistanceN/ADescriptionOfNonCashAssistance

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: HOSPITAL ADMINISTRATION MONITORS THE USE OF GRANT FUNDS BY REQUIRING A CAPITAL EQUIPMENT REQUEST (CER) AND A REQUEST FOR PAYMENT BE COMPLETED BEFORE FUNDS ARE RELEASED. ALL CERS MUST BE APPROVED BY THE CEO AND CFO OF THE HOSPITAL. THE REQUEST FOR PAYMENT IS APPROVED BY THE DIRECTOR OF THE FOUNDATION AND THE CFO OF THE HOSPITAL.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JOSEPH PELACCIA
3476814356500422720620420255963097913786374712100
LLOYD FRIEDMAN MD
319032399750010711342042025591513918973556624456500
ANDREW CHOW
30671700000126920182470337656000
MICHAEL BLOCH
29517100000126920182470326110000
WILLIAM SACKS MD
284179000001269205400297411000
JAY WALSHON MD
28010500000126920146920307489000
CHRISTOPHER GENNINO
27817000000126920182470309109000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 4BReturnReference
ExplanationJOSEPH PELACCIA PARTICIPATED IN A SUPPLEMENTAL RETIREMENT PLAN.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (10 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
LOUIS D'AMATO
DIRECTOR73632THE HOSPITAL RENTS STORAGE SPACE OF $35,724 AND ALSO RENTS I-95 BILLBOARD OF $37,908 FROM MR. D'AMATO.0
DR LLOYD FRIEDMAN
VP - MEDICAL AFFAIRS9905DR. FRIEDMAN IS A SCIENTIFIC ADVISOR AND SHAREHOLDER IN CARDIOPULMONARY CORP. THE HOSPITAL DOES BUSINESS WITH CARDIOPULMONARY CORP.0
LEN NAPOLI JR
DIRECTOR727LEN NAPOLI IS AN OWNER OF NAPOLI MOTORS AND PERFORMED AUTO SERVICE AND MAINTENANCE TO HOSPITAL VEHICLES IN THE AMOUNT OF $727 IN FY 2011.0
JOSEPH PELACCIA
PRESIDENT & CEO0JOSEPH PELACCIA IS A BOARD MEMBER OF THE MILFORD BANK. THE HOSPITAL DOES BUSINESS WITH MILFORD BANK.0
SAMUEL BERGAMI JR
BOARD TREASURER0SAMUEL BERGAMI, JR. IS A BOARD MEMBER OF THE MILFORD BANK. THE HOSPITAL DOES BUSINESS WITH MILFORD BANK.0
LOUIS D'AMATO
DIRECTOR0LOUIS D'AMATO IS A BOARD MEMBER OF THE MILFORD BANK. THE HOSPITAL DOES BUSINESS WITH MILFORD BANK.0
JAMES BEARD
DIRECTOR0JAMES BEARD IS A BOARD MEMBER OF THE MILFORD BANK. THE HOSPITAL DOES BUSINESS WITH MILFORD BANK.0
JOSEPH PELACCIA
PRESIDENT & CEO0MARCUM LLP PROVIDES TAX SERVICES FOR MILFORD HOSPITAL. JOSEPH PELACCIA'S SON IS EMPLOYED BY MARCUM LLP BUT IS NOT INVOLVED IN ANY OF THE MILFORD HOSPITAL TAX WORK.0
LEO CARROLL
DIRECTOR0LEO CARROLL IS A BOARD MEMBER OF THE MILFORD BANK. THE HOSPITAL DOES BUSINESS WITH MILFORD BANK. HE ALSO PROVIDES LEGAL SERVICES TO OTHER BOARD MEMBERS.0
CAROL MCINNIS
DIRECTOR0CAROL MCINNIS IS A BOARD MEMBER OF THE MILFORD BANK. THE HOSPITAL DOES BUSINESS WITH MILFORD BANK.0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION MISSION STATEMENTFORM 990, PART III, LINE 1COMPASSION. AS A COMMUNITY HEALTHCARE PROVIDER, MILFORD HOSPITAL IS COMMITTED TO REMAINING IN THE FOREFRONT OF THE CLINICAL, TECHNOLOGICAL, AND ELECTRONIC INFORMATION ADVANCES THAT MAKE THE CONTINUOUS DELIVERY OF HIGH-QUALITY, COST-EFFECTIVE HEALTHCARE SERVICES POSSIBLE. MILFORD HOSPITAL RECOGNIZES THAT THE QUALITY OF HUMAN RESOURCES - STAFF, PHYSICIANS AND VOLUNTEERS - IS THE KEY TO CONTINUED SUCCESS AND THEREFORE STRIVES TO CREATE AN ENVIRONMENT OF TEAMWORK AND PARTICIPATION WHERE, THROUGH CONTINUOUS QUALITY IMPROVEMENT AND A FOCUS ON PATIENT SAFETY, PEOPLE PURSUE EXCELLENCE AND TAKE PRIDE IN THE QUALITY OF THEIR WORK AND THE ORGANIZATION. MILFORD HOSPITAL ENGAGES IN A WIDE RANGE OF HEALTH EDUCATIONAL ACTIVITIES DESIGNED TO MEET THE EDUCATIONAL NEEDS OF PATIENTS, STAFF, PHYSICIANS AND THE COMMUNITY.
PROGRAM SERVICE STATEMENTFORM 990, PART III, LINE 4AAS A COMMUNITY HEALTHCARE PROVIDER, MILFORD HOSPITAL IS COMMITTED TO THOSE WE SERVE, BOTH PATIENTS AND NON-PATIENTS. OUR GOAL IS NOT ONLY TO PROVIDE QUALITY COMPASSIONATE CARE WHEN AN INDIVIDUAL ENTERS OUR HEALTHCARE INSTITUTION, BUT ALSO TO PROMOTE AND COMMUNICATE WELLNESS INFORMATION AND EDUCATION SO THAT FAMILIES IN OUR AREA CAN KEEP FROM BECOMING ILL AND LEAD HEALTHIER LIVES. DURING THE PAST YEAR, OUR SERVICE ACCOMPLISHMENTS IN THE COMMUNITY CONTINUED TO GROW. THE DEPARTMENT OF EDUCATION CONTINUES TO PROVIDE A MONTHLY HEALTH EDUCATION ARTICLE FOR THE MILFORD SENIOR CENTER NEWSLETTER. THE DEPARTMENT ALSO PROVIDES FREE SMOKING CESSATION AND SMOKING PREVENTION PROGRAMS TO MILFORD PUBLIC AND PAROCHIAL SCHOOLS. A COMMUNITY EDUCATION SCHEDULE IS PUBLISHED AND DISTRIBUTED TWICE A YEAR. OUR HEALTH EDUCATION PROGRAMS REACHED OVER 10,000 INDIVIDUALS. THE FOLLOWING HEALTH AND WELLNESS PROGRAMS WERE OFFERED AT MILFORD HOSPITAL. - SUGAR BLUES - TEA TALK - MEAN GIRLS - WHAT EVERY GIRL WANTS TO KNOW - THE NEXT STEP - SETTING & REACHING GOALS USING HYPNOSIS - YOGA - RESISTANCE STRENGTH TRAINING FOR WOMEN - ORGANIC COMPANION GARDENING - UNDERSTANDING THE CANCER DIAGNOSIS - WHAT HAPPENS NEXT? - YOUR FEMININE CHARM - HOW TO TAP INTO YOUR POWER AS A WOMAN - POWERFUL POSITIVE THINKING - KITCHEN CURES - HAND ARTHRITIS - ATTENTION ALL MEN: DO YOU KNOW YOUR NUMBERS? AND WHY THEY MATTER? BP, BMI, CHOLESTEROL, AND PSA - ACUPUNCTURE - WOMEN LIVING WELL - BEAUTY FROM THE OUTSIDE IN - TIMELESS BEAUTY - FINDING YOUR INNER BEAUTY - DIABETES - WHAT YOU SHOULD KNOW - WHAT YOU SHOULD DO - STRESSED OUT - SIMPLE SANITY SECRETS - MOTHER/DAUGHTER PUBERTY CLASSES CHILDBIRTH EDUCATION: 1. PREPARED CHILDBIRTH CLASSES (LAMAZE) 2. BREASTFEEDING 3. BABY STEPS TO PARENTING 4. BIG BROTHERS & SISTERS 5. YOUNG PARENT PROGRAM SCREENING PROGRAMS WERE HELD FOR: 1. BLOOD PRESSURE 2. BLOOD SUGAR (DIABETES) 3. CHOLESTEROL (TOTAL AND HDL) 4. PROSTATE CANCER 5. PAD SCREENING WE ALSO PROVIDE THE FOLLOWING SUPPORT GROUPS ON A REGULARLY SCHEDULED BASIS: - ALZHEIMER'S SUPPORT GROUP - MULTIPLE SCLEROSIS SUPPORT GROUP - LUPUS - BREAST CANCER NETWORK OF STRENGTH (Y-ME BREAST CANCER) - EPILEPSY - CARING NETWORK GRIEVING SUPPORT MILFORD HOSPITAL OFFERS CORPORATE SCREENINGS TO LOCAL BUSINESSES. THESE WERE PROVIDED AT THEIR PLACE OF BUSINESS AND INCLUDED, CHOLESTEROL, BLOOD PRESSURE, BLOOD SUGAR AND NUTRITIONAL COUNSELING. - MILFORD SENIOR CENTER - MILFORD POLICE DEPARTMENT - BIC CORPORATION, MAIN BUILDING - BIC CORPORATION, BUILDING 5 - HONEYWELL FIRE SOLUTIONS - SOUTHERN CONNECTICUT GAS COMPANY - REGIONAL WATER AUTHORITY SPECIAL EVENTS AND SERVICES - MILFORD HOSPITAL HOSTS AN ANNUAL "BABY FAIR" FOR EXPECTANT MOTHERS AND THEIR FAMILIES IN WHICH INFORMATION ABOUT THE CARE AND SAFETY OF THEIR NEW BABY IS DISCUSSED. APPROXIMATELY 300 VISITORS ATTEND THIS ONE-DAY EVENT EACH YEAR. - THE HOSPITAL PROVIDES LITERACY PROGRAMS: BOOKS FOR BABIES AND BIRTHDAY BOOKS FOR BABIES PROGRAM IN COORDINATION WITH THE LITERACY CENTER OF MILFORD; PROVIDES PREGNANCY EDUCATION FOR BIANNUAL "BABY SHOWER" SPONSORED BY J.C.PENNY CO.; AND, PARTICIPATES IN FUNDRAISERS, COMMUNITY EDUCATION PROGRAMS, AND ANNUAL FAIR FOR KIDS COUNT 12345. - THE HOSPITAL HOSTS MONTHLY LALECHE MEETING, PROVIDES REFRESHMENTS, AND HOSTS THE ANNUAL WORLD WIDE WALK FOR BREASTFEEDING, SPONSORED BY THE LALECHE LEAGUE OF MILFORD. - MILFORD HOSPITAL'S EDUCATION DEPARTMENT SPONSORS AN ANNUAL "CAREERS TO YOUR HEALTH FAIR" FOR MILFORD HIGH SCHOOL STUDENTS. IT IS A TABLETOP HEALTH AND CAREER INFORMATION FAIR TO INTRODUCE THE STUDENTS TO A VARIETY OF HEALTH CAREERS ALONG WITH SPECIFIC HEALTH INFORMATION. - MILFORD HOSPITAL OFFERS A "TEA TALK" PROGRAM. THIS IS A FREE INFORMATIVE TALK FOR MOTHERS AND DAUGHTERS (AGES 11-14) ON ADOLESCENT ISSUES AND CONCERNS. "TEA TALK" IS AN ANNUAL EVENT HELD EACH SPRING. - MILFORD HOSPITAL OFFERS A "WOMEN LIVING WELL" PROGRAM. THIS IS A FREE INFORMATIVE TALK FOR WOMEN ON HEALTH AND WELLNESS ISSUES AND CONCERNS. "WOMEN LIVING WELL" IS AN ANNUAL EVENT. - MILFORD HOSPITAL SPONSORS AND MAINTAINS A SPEAKERS BUREAU, WHICH PROVIDES PHYSICIANS AND MEMBERS OF THE HOSPITAL STAFF TO SPEAK TO LOCAL COMMUNITY ORGANIZATIONS ON A WIDE VARIETY OF TOPICS AT NO CHARGE. - MILFORD HOSPITAL HOSTS AN ANNUAL 5K "LIVE WELL" COMMUNITY EVENT. THIS EVENT HELPS TO SPONSOR MANY OF THE COMMUNITY PROGRAMS AND SCREENINGS OFFERED BY MILFORD HOSPITAL. - THE VOLUNTEER SERVICES DEPARTMENT SPONSORS RED CROSS BLOOD DRIVES THREE TIMES A YEAR IN THE HOSPITAL AUDITORIUM. THE GENERAL PUBLIC AS WELL AS EMPLOYEES ARE INVITED TO PARTICIPATE. - IN COMPLIANCE WITH THE CONSENT DECREE REGARDING THE HEARING IMPAIRED, MILFORD HOSPITAL PROVIDES VARIOUS ASSISTED LISTENING DEVICES FOR THE HARD OF HEARING, INTERPRETERS, AND TTY MACHINES FOR THE DEAF, FREE OF CHARGE FOR ANY PATIENT/COMPANION. - MILFORD HOSPITAL ALSO PROVIDES A LINGUISTIC SERVICE FOR NON-ENGLISH-SPEAKING PATIENTS. IF A LANGUAGE INTERPRETER MUST BE CALLED VIA A SPECIAL PHONE, THE COST OF THE CALL IS ASSUMED BY THE HOSPITAL. - MILFORD HOSPITAL OFFERS A FREE "PHYSICIAN FINDER" TELEPHONE SERVICE FOR COMMUNITY RESIDENTS NEEDING A DOCTOR, AND PROVIDES A "DIRECTORY OF STAFF PHYSICIANS" WHICH LISTS THEIR SPECIALTY, PHONE NUMBER, AND ADDRESS. - MILFORD HOSPITAL PROVIDES THE AVAILABILITY OF A BED (ON A TEMPORARY BASIS) FOR ANY DISABLED PERSON LEFT ALONE WHEN THEIR CARETAKER SUFFERS A MEDICAL EMERGENCY. USUALLY PERMANENT PLACEMENT IS FOUND IN THE COMMUNITY WITHIN 24 HOURS. - MILFORD HOSPITAL PROVIDES FREE OFFICE SPACE FOR THE MILFORD YOUNG PARENT PROGRAM AND IN ADDITION, REGISTERED NURSES PARTICIPATE ON THE TEACHING STAFF. - OUR PHARMACY DEPARTMENT COMMUNICATES WITH AND MAKES AVAILABLE TIME TO MEET WITH RESIDENTS IN OUR HOSPITAL TO REVIEW THEIR PRESCRIPTIONS AND MEDICATIONS. THIS IS DONE DURING NATIONAL PHARMACY WEEK AND IS PROMOTED IN THE LOCAL PAPERS. - THE HOSPITAL AUDITORIUM IS MADE AVAILABLE TO HEALTH RELATED COMMUNITY GROUPS IN NEED OF A MEETING ROOM. - MILFORD HOSPITAL THROUGH ITS VOLUNTEER DEPARTMENT PROVIDES FREE COUNSELING AND MEDICARE/MEDICAID CLAIMS ASSISTANCE BY TRAINED HOSPITAL VOLUNTEERS. - MILFORD HOSPITAL, THROUGH ITS HUMAN RESOURCE DEPARTMENT PROVIDES THE MILFORD FIRE DEPARTMENT WITH FREE PHOTOS OF THEIR NEW FIREMEN SO THEY CAN MAKE ID BADGES. - MILFORD HOSPITAL, THROUGH THE DIAGNOSTIC AND TREATMENT CENTER, HAS INITIATED A FREE FOLLOW-UP PROGRAM FOR CONGESTIVE HEART FAILURE PATIENTS TO PROVIDE EDUCATION AND CLINICAL SUPPORT. - THE HOSPITAL ACCEPTS STUDENTS FOR TRAINING IN REGISTERED NURSING, LICENSED PRACTICAL NURSING, LABORATORY SCIENCES, DIETETIC SERVICES PUBLIC AND COMMUNITY HEALTH AND NURSING ASSISTANT TRAINING. - THE SOCIAL WORKERS HERE AT THE HOSPITAL PROVIDE ASSISTANCE TO PATIENTS AND THEIR FAMILIES WITH COMPLETION OF TITLE-19 APPLICATIONS, ASSISTANCE WITH CONSERVATOR APPLICATIONS, COMPLETION OF ADVANCED DIRECTIVES AND REFERRALS TO OTHER SOCIAL SERVICE AGENCIES. - CAB VOUCHERS ARE PROVIDED TO PATIENTS AND FAMILIES THROUGH THE SOCIAL SERVICE DEPARTMENT WHEN OTHER FORMS OF TRANSPORTATION ARE NOT AVAILABLE. THE HOSPITAL HAS ALSO COVERED THE COST OF AMBULANCE TRANSPORTATION FOR UNINSURED TITLE-19 PATIENTS GOING TO DMHAS FACILITIES. SOCIAL SERVICE ALSO MAINTAINS A FUND TO PROVIDE ASSISTANCE TO PATIENTS AS NEEDED; I.E., COVER COST OF PRESCRIPTIONS, TRANSPORTATION ETC. - THE HOSPITAL PREPARED 902 SANDWICHES AND 9,981 MEALS FOR "MEALS ON WHEELS" FOR AREA RESIDENTS UNABLE TO COOK MEALS FOR THEMSELVES DUE TO THEIR PHYSICAL CONDITION. - OUR STAFF MEMBERS ALSO HELP OUR COMMUNITY IN MANY DIFFERENT WAYS. THE HOSPITAL COVERS THE COSTS OF STAFF THAT SPEAK AT VARIOUS COMMUNITY ORGANIZATIONS, SCHOOL GROUPS, SCOUTING CLASSES, DAY CARE CENTERS, SENIOR CENTER, ETC. STAFF MEMBERS ALSO RESPOND TO REQUESTS AND QUESTIONS FROM PEOPLE IN THE COMMUNITY AND PROVIDE ASSISTANCE TO STUDENTS WITH SCHOOL PROJECTS. MILFORD HOSPITAL SPONSORS AND MAINTAINS A SPEAKERS BUREAU, WHICH PROVIDES PHYSICIANS AND MEMBERS OF THE HOSPITAL STAFF TO SPEAK TO LOCAL COMMUNITY ORGANIZATIONS AND SCHOOLS ON A WIDE VARIETY OF TOPICS AT NO CHARGE.
THESE INCLUDE: - WEST HAVEN HIGH SCHOOL - RN SPEAKER ON WHAT IS AN ER NURSE? - MODERATOR MILFORD HIGH SCHOOLS - DRUG AND ALCOHOL PANEL - COURAGEOUS PARENTING FIVE SERIES WORKSHOP FOR PARENTS OF MILFORD SCHOOL SYSTEM - BALDWIN SENIOR COMMUNITY - NUTRITION AND WELLNESS - MILFORD SENIOR CENTER - SENIOR WELLNESS - JONATHAN LAW HIGH SCHOOL GIRLS' SOFTBALL - NUTRITION AND SELF-ESTEEM - PLATT TECH HIGH SCHOOL - MEDICAL GRADUATION COMMENCEMENT SPEAKER - BOYS AND GIRLS VILLAGE HEART HEALTH FOR PARENTS (INCLUDING BLOOD PRESSURES) - MOMS GROUP FIRST UNITED CHURCH - POSITIVE PARENTING - SISTER TO SISTER - LIVE FROM THE HEART - FORAN HIGH SCHOOL - NUTRITION FOR HIGH SCHOOL STUDENTS MILFORD HOSPITAL STRONGLY SUPPORTS THE MILFORD UNITED WAY CAMPAIGN. STAFF PARTICIPATION INCLUDES SERVING ON: - THE BOARD OF DIRECTORS - CAMPAIGN CABINET - MARKETING SUB COMMITTEE - BUDGET REVIEW AND ALLOCATIONS COMMITTEE - WOMAN WITH UNITED VISION MANY MEMBERS OF OUR STAFF HAVE PROFESSIONAL AFFILIATIONS WITH OTHER ORGANIZATIONS OR GROUPS, WHICH HELP OUR COMMUNITIES, MANAGE AND IMPROVE THEIR HEALTH RELATED CARE. ALL OF THE FOLLOWING ORGANIZATIONS HAVE ONE OR MORE OF MILFORD HOSPITAL EMPLOYEES ON THEIR BOARDS: - CONNECTICUT TUBERCULOSIS ADVISORY COMMITTEE - CONNECTICUT ASSOCIATION OF RESPIRATORY CARE - AMERICAN LUNG ASSOCIATION - NEW HAVEN TUBERCULOSIS COALITION - AMERICAN HEART ASSOCIATION - MILFORD BOARD MEMBER - MILFORD CHAMBER OF COMMERCE - BOARD MEMBER - LEGISLATION ACTION COMMITTEE - HEALTHCARE HUMAN RESOURCES ASSOCIATION - MILFORD - ORANGE YMCA - CONNECTICUT YANKEE COUNCIL - BOY SCOUTS OF AMERICA - CONNECTICUT LEAGUE FOR NURSING - CONNECTICUT ORGANIZATION FOR NURSE EXECUTIVES - STATE REGIONAL PSYCHIATRIC COMMITTEE - CATCHMENT AREA COUNCIL - PSYCHIATRIC - AMERICAN CANCER SOCIETY - KIDS COUNT 12345 - YOUNG PARENT PROGRAM - AMERICAN RED CROSS - ALZHEIMER'S ASSOCIATION - SOCIAL SERVICE NETWORK OF MILFORD - RAPE CRISIS CENTER - FREE CARE FOR THE INDIGENT - UNITED WAY OF MILFORD - MILFORD MAYORS YOUTH FORUM - MILFORD PREVENTION COUNCIL IN ADDITION, MILFORD HOSPITAL TREATED: - 4,371 PATIENTS ON AN INPATIENT BASIS - 38,824 PATIENTS THROUGH THE EMERGENCY DEPARTMENT/WALK-IN CENTER - 1,803 PATIENTS IN OUR AMBULATORY SURGERY SUITE WE BELIEVE THAT THIS REPORT INDICATES A STRONG COMMITMENT BY MILFORD HOSPITAL AND ITS STAFF TO THE WELL-BEING OF THE COMMUNITIES WE SERVE. THE FUTURE OF HOSPITAL HEALTH CARE DEPENDS AS MUCH ON THE SUCCESSFUL PREVENTION OF ILLNESS AS DOES THE TREATMENT. OUR INVESTMENT IN COMMUNITY EDUCATION, SPECIAL OUTREACH PROGRAMS, HEALTHCARE SEMINARS, AND MEMBERSHIPS IN INDEPENDENT HEALTH ORGANIZATIONS, ALL CONTRIBUTE TOWARD THE OVERALL WELFARE OF OUR CITIZENRY.
FORM 990, PART VI, SECTION A, LINE 2DIRECTOR LOUIS D'AMATO OWNS A COMPANY THAT PURCHASES SAND AND GRAVEL FROM DIRECTOR JAMES BEARD'S COMPANY. ATTORNEY LEO CARROLL PROVIDES LEGAL SERVICES TO OTHER BOARD MEMBERS.
FORM 990, PART VI, SECTION B, LINE 11IN ADDITION TO A REVIEW OF FORM 990 BY MANAGEMENT OF THE MILFORD HOSPITAL, THE RETURN IS REVIEWED BY THE CHAIRMAN AND TREASURER OF THE BOARD ON BEHALF OF THE BOARD OF DIRECTORS. THE RETURN IS THEN MADE AVAILABLE VIA OFFICE OUTLOOK WEB ACCESS TO EACH BOARD MEMBER BEFORE IT'S FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CCONFLICT OF INTEREST STATEMENTS ARE SENT TO OFFICERS, DIRECTORS, AND KEY EMPLOYEES ANNUALLY. THE COMPLETED STATEMENTS ARE REVIEWED BY THE PRESIDENT.
FORM 990, PART VI, SECTION B, LINE 15BOARD OF DIRECTORS APPROVES COMPENSATION OF OFFICERS.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE KEPT IN THE PRESIDENT'S OFFICE AND ARE AVAILABLE UPON REQUEST.
FORM 990, PART VII, SECTION A:AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS: JOSEPH PELACCIA - 5.10 HRS LAURA SMITH - 6.10 HRS HOWARD TREAT - 0.30 HRS SAMUEL BERGAMI, JR. - 0.30 HRS STEPHEN E. RONAI, ESQ. - 0.30 HRS RICHARD MEISENHEIMER - 0.30 HRS LLOYD FRIEDMEN, MD - 11.70 HRS JAMES BEARD - 0.30 HRS NANCY BENNETT - 0.30 HRS ARMAND CANTAFIO - 0.30 HRS RITA CANAS - 0.30 HRS LEO CARROLL - 0.30 HRS PATRICIA CUCUZZA - 0.30 HRS LOUIS D'AMATO - 0.30 HRS BRADFORD GESLER - 0.30 HRS CHARLES GUGLIN, MD - 0.30 HRS ANN LOESCH - 0.30 HRS CAROL MCINNIS - 0.30 HRS LEN NAPOLI, JR. - 0.30 HRS RAYMOND S. OLIVER - 0.30 HRS MICHAEL SAFFER - 0.30 HRS STEVEN SAUNDERS, MD - 0.30 HRS
CHANGES IN NET ASSETS OR FUND BALANCES:FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -2,445,378. PASSTHROUGH INCOME FROM CT HOSPITAL LAB NETWORK, LLC -987. PASSTHROUGH INCOME FROM HEALTH CONNECTICUT, LLC -2,184. CHANGE IN PENSION FUND OBLIGATION -4,694,052. TRANSFER TO AN AFFILIATE -1,205,306. CHANGE IN EQUITY INTEREST IN MILFORD HOSPITAL FOUNDATION -31,574. TOTAL TO FORM 990, PART XI, LINE 5: -8,379,481.
FORM 990, PART XII, LINE 2C:THE BOARD OF DIRECTORS HAS DELEGATED ITS OVERSIGHT RESPONSIBILITY OF THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS TO THE FINANCE, INSURANCE AND PENSION COMMITTEE.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
MILFORD HEALTH & MEDICAL INC
300 SEASIDE AVEMILFORDCT06460222627346SUPPORTING ORGANIZATIONCT501(C)(3)11 TYPE 2MILFORD HEALTH & MEDICAL0
MILFORD HEALTH CARE SERVICES INC
300 SEASIDE AVEMILFORDCT06460222627353HEALTH CARE SERVICESCT501(C)(3)PFMILFORD HEALTH & MEDICAL0
MILFORD HOSPITAL FOUNDATION INC
300 SEASIDE AVEMILFORDCT06460222627350FUNDRAISINGCT501(C)(3)PFMILFORD HEALTH & MEDICAL0
HOME CARE PLUS INC
P O BOX 161MILFORDCT06460061044331HOME HEALTH SERVICESCT501(C)(3)9MILFORD HEALTH & MEDICAL0

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntity
SEABRIDGE CORPORATION
300 SEASIDE AVEMILFORDCT06460222626962OTHER MEDICAL SERVICESCTN/AC
MILFORD MEDICAL LABORATORY INC
300 SEASIDE AVEMILFORDCT06460066368893LABORATORY SERVICESCTN/AC
TORRY CORPORATION
300 SEASIDE AVEMILFORDCT06460010724230RENTAL REAL ESTATECTN/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg