2012-08-15T14:04:03-05:00 2011-09-30 MARCUM LLP CITY PLACE II 185 ASYLUM STREET HARTFORD CT 06103 990 2010-10-01 060646741 THE MILFORD HOSPITAL INC MILF 2038764000 300 SEASIDE AVENUE MILFORD CT 06460 LAURA SMITH 2038764000 2012-08-10 1 DOUGLAS FARRINGTON 8605498500 2010 2016-02-24 21:20:13Z LAURA SMITH 300 SEASIDE AVENUE MILFORD CT 06460 208244071 0 X WWW.MILFORDHOSPITAL.ORG X 1942 CT HOSPITAL SERVICES 19 17 885 364 5809380 -172035 13742 16925 206243041 185934229 1999104 2613024 964787 818391 209220674 189382569 76799 89905 0 0 55141995 54008642 0 0 0 158930809 138227891 214149603 192326438 -4928929 -2943869 72360491 64632155 45493123 49088137 26867368 15544018 X THE MISSION OF MILFORD HOSPITAL IS TO EFFECTIVELY AND EFFICIENTLY PROVIDE HIGH QUALITY, HEALTHCARE SERVICES IN A MODERN AND SAFE ENVIRONMENT, BY ANTICIPATING AND EXCEEDING THE NEEDS OF PATIENTS, PHYSICIANS AND ALL OF OUR CUSTOMERS WITH EXCELLENCE, CONVENIENCE AND 0 0 181297971 185934229 MILFORD HOSPITAL PROVIDES HIGH-QUALITY HEALTHCARE SERVICES TO THE RESIDENTS OF MILFORD, WEST HAVEN, ORANGE AND STRATFORD, CONNECTICUT AND ITS SURROUNDING COMMUNITIES WITHOUT REGARD TO RACE, GENDER, CREED OR ABILITY TO PAY.SEE SCHEDULE O FOR CONTINUATION 181297971 1 1 0 1 0 0 0 0 1 1 0 0 0 1 0 1 1 0 0 0 0 0 0 1 0 1 1 1 1 1 0 0 0 0 0 1 1 1 0 0 0 0 0 1 0 0 0 0 1 27 0 1 885 1 1 1 0 0 0 0 0 0 0 0 0 X 19 17 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X JOSEPH PELACCIA 2038764230 300 SEASIDE AVENUE MILFORD CT 06460 X JOSEPH PELACCIA 41.40 X X 351908 43771 30079 LAURA SMITH 41.10 X X 102133 15089 31836 HOWARD TREAT 1.00 X X 0 0 0 SAMUEL BERGAMI JR 1.00 X X 0 0 0 STEPHEN E RONAI ESQ 1.00 X X 0 0 0 RICHARD MEISENHEIMER 1.00 X X 0 0 0 LLOYD FRIEDMAN MD 33.30 X X 320103 40109 40015 JAMES BEARD 1.00 X 0 0 0 NANCY BENNETT 1.00 X 0 0 0 ARMAND CANTAFIO 1.00 X 0 0 0 RITA CANAS 1.00 X 0 0 0 LEO CARROLL 1.00 X 0 0 0 PATRICIA CUCUZZA 1.00 X 0 0 0 LOUIS D'AMATO 1.00 X 0 0 0 BRADFORD GESLER 1.00 X 0 0 0 CHARLES GUGLIN MD 1.00 X 0 0 0 ANN LOESCH 1.00 X 0 0 0 CAROL MCINNIS 1.00 X 0 0 0 LEN NAPOLI JR 1.00 X 0 0 0 RAYMOND S OLIVER 1.00 X 0 0 0 MICHAEL SAFFER ESQ 1.00 X 0 0 0 STEVEN SAUNDERS MD 1.00 X 0 0 0 ANDREW CHOW 40.00 X 306717 0 30939 MICHAEL BLOCH 40.00 X 295171 0 30939 WILLIAM SACKS MD 40.00 X 284179 0 13232 JAY WALSHON MD 40.00 X 280105 0 27384 CHRISTOPHER GENNINO 40.00 X 278170 0 30939 2218486 98969 235363 67 0 1 0 NEUBERGER BERMAN LLC 605 THIRD AVE 36TH FLOOR NEW YORK NY 10158 INVESTMENT SERVICES 531397 AMERICAN RED CROSS PO BOX 33093 NEWARK NJ 07188 PROCESS BLOOD 485542 AFTERCARE PHYSICAL THERAPY SERVICES 4154 MADISON AVE TRUMBULL CT 06611 THERAPY SERVICES 311903 QUEST DIAGNOSTICS INC 2025 COLLECTION CENTER DRIVE CHICAGO IL 60693 LAB TESTING SERVICES 309910 UNITEX TEXTILE RENTAL SERVICES 161 SOUTH MACQUESTEN PKWY MT VERNON NY 10550 LAUNDRY SERVICES 265137 15 16925 16925 SPECIAL SERVICES 621500 134848563 131754573 3093990 ROUTINE SERVICES 624100 48455737 48455737 OTHER SERVICES 541610 2629929 2629929 185934229 479460 479460 18200 8291 9909 9909 9909 20890759 2800 18676739 83256 2214020 -80456 2133564 2133564 52673 13708 38965 38965 125995 79508 46487 46487 CAFETERIA REVENUE 722210 238157 238157 PHARMACY SALES 446110 190688 190688 PURCHASE DISCOUNTS 900099 105123 105123 189062 85461 103601 723030 189382569 180210310 5809380 3345954 78587 78587 11318 11318 881520 325839 555681 38492791 34878014 3614777 3161550 2832246 329304 8734294 7071016 1663278 2738487 2440493 297994 134345 134345 155472 155472 16999 16999 208211 208211 5211022 3787744 1423278 110946 110946 10581294 10388120 193174 392938 42605 350333 2256244 1986158 270086 21997 11591 10406 20373 19128 1245 7718 7718 99964 86762 13202 3127849 2352232 775617 25170 25170 ALLOWANCE FOR UNPAID CA 104061679 104061679 BAD DEBTS 7611772 7611772 PHARMACEUTICAL DRUGS 1840706 1840706 FOOD 710951 710951 HOSPITAL TAX 590865 590865 1041376 761010 280366 192326438 181297971 11028467 0 274581 927181 3250135 2959748 12226799 12622341 778932 799838 623576 751650 72022772 47323119 26131733 24699653 26620509 19697244 777498 745924 1676728 1428576 72360491 64632155 12903963 13201087 2783548 1891051 29805612 33995999 45493123 49088137 X 25540870 14244094 716206 626161 610292 673763 26867368 15544018 72360491 64632155 X -2943869 -8379481 X X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 16999 16999 0 EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: THE 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. 663319 5000 16992 685311 657181 5000 1138 663319 647698 5000 4483 657181 1.00000 0 1 1 825066 825066 97205 38429546 20179428 18347323 31950837 26444992 5505845 720118 698699 21419 24699653 ACCRUED INSURANCE 58880 ACCRUED PENSION 30733115 DUE TO THIRD PARTY 2024212 DEFERRED COMPENSATION 364964 DUE TO AFFILIATES 593506 FINANCE LEASE PAYABLE 41608 OTHER ACCRUED BENEFITS 155900 AUTO LOAN PAYABLE 23814 33995999 189382569 192326438 -2943869 -2445378 -5934103 -8379481 -11323350 80201698 -2445378 -442238 -2887616 83089314 208211 106085044 106293255 189382569 85587520 80456 80456 85507064 208211 106611163 106819374 192326438 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. CELEBRATION OF TREES 15965 15965 2876 MOTHER'S DAY ROAD RACE 15525 15525 5505 11 21183 21183 5327 52673 52673 13708 13708 38965 1 1 1 X 250.000000000000 1 X 1 1 0 1 1 38 83067 14807 68260 0.02500 2722 4388809 2835075 1553734 0.57300 5538 4420426 3924721 495705 0.18300 8298 8892302 6774603 2117699 0.78100 33 9256 87514 12722 74792 0.02700 6 130 493152 493152 0.18200 2 150 27511 27511 0.01000 41 9536 608177 12722 595455 0.21900 41 17834 9500479 6787325 2713154 1.00000 30400 47935 47935 0.81500 10916 10916 0.18500 30400 58851 58851 1.00000 1 3143662 18600471 24821551 -6221080 X 1 1 2 1 THE MILFORD HOSPITAL INC

300 SEASIDE AVENUE MILFORD CT 06460

X X X 2 THE MILFORD HOSPITAL WALK-IN CENTER

831 BOSTON POST ROAD MILFORD CT 06460

WALK IN CENTER NA 1 NA 2 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 1 MILFORD HOSPITAL FOUNDATION VIA MH WAYS & MEANS 300 SEASIDE AVENUE MILFORD CT 06460 222627350 501(C)(3) 24501 BOOK N/A CHARITABLE MILFORD HOSPITAL FOUNDATION VIA MH HOSPITALITY SHOP 300 SEASIDE AVENUE MILFORD CT 06460 222627350 501(C)(3) 50000 BOOK N/A CHARITABLE 2 0 SCHOLARSHIPS AWARDED TO JUNIOR VOLUNTEERS FOR HIGHER EDUCATION 9 11318 0 BOOK N/A PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: HOSPITAL ADMINISTRATION MONITORS THE USE OF GRANT FUNDS BY REQUIRING A CAPITAL EQUIPMENT REQUEST (CER) AND A REQUEST FOR PAYMENT BE COMPLETED BEFORE FUNDS ARE RELEASED. ALL CERS MUST BE APPROVED BY THE CEO AND CFO OF THE HOSPITAL. THE REQUEST FOR PAYMENT IS APPROVED BY THE DIRECTOR OF THE FOUNDATION AND THE CFO OF THE HOSPITAL. X X X X X X 0 1 0 0 0 0 0 0 0 JOSEPH PELACCIA 347681 43565 0 0 4227 206 20420 2559 6309 791 378637 47121 0 0 LLOYD FRIEDMAN MD 319032 39975 0 0 1071 134 20420 2559 15139 1897 355662 44565 0 0 ANDREW CHOW 306717 0 0 0 0 0 12692 0 18247 0 337656 0 0 0 MICHAEL BLOCH 295171 0 0 0 0 0 12692 0 18247 0 326110 0 0 0 WILLIAM SACKS MD 284179 0 0 0 0 0 12692 0 540 0 297411 0 0 0 JAY WALSHON MD 280105 0 0 0 0 0 12692 0 14692 0 307489 0 0 0 CHRISTOPHER GENNINO 278170 0 0 0 0 0 12692 0 18247 0 309109 0 0 0 PART I, LINE 4B JOSEPH PELACCIA PARTICIPATED IN A SUPPLEMENTAL RETIREMENT PLAN. LOUIS D'AMATO DIRECTOR 73632 THE 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 AFFAIRS 9905 DR. FRIEDMAN IS A SCIENTIFIC ADVISOR AND SHAREHOLDER IN CARDIOPULMONARY CORP. THE HOSPITAL DOES BUSINESS WITH CARDIOPULMONARY CORP. 0 LEN NAPOLI JR DIRECTOR 727 LEN 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 & CEO 0 JOSEPH PELACCIA IS A BOARD MEMBER OF THE MILFORD BANK. THE HOSPITAL DOES BUSINESS WITH MILFORD BANK. 0 SAMUEL BERGAMI JR BOARD TREASURER 0 SAMUEL BERGAMI, JR. IS A BOARD MEMBER OF THE MILFORD BANK. THE HOSPITAL DOES BUSINESS WITH MILFORD BANK. 0 LOUIS D'AMATO DIRECTOR 0 LOUIS D'AMATO IS A BOARD MEMBER OF THE MILFORD BANK. THE HOSPITAL DOES BUSINESS WITH MILFORD BANK. 0 JAMES BEARD DIRECTOR 0 JAMES BEARD IS A BOARD MEMBER OF THE MILFORD BANK. THE HOSPITAL DOES BUSINESS WITH MILFORD BANK. 0 JOSEPH PELACCIA PRESIDENT & CEO 0 MARCUM LLP PROVIDES TAX SERVICES FOR MILFORD HOSPITAL. JOSEPH PELACCIA'S SON IS EMPLOYED BY MARCUM LLP BUT IS NOT INVOLVED IN ANY OF THE MILFORD HOSPITAL TAX WORK. 0 LEO CARROLL DIRECTOR 0 LEO 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 DIRECTOR 0 CAROL MCINNIS IS A BOARD MEMBER OF THE MILFORD BANK. THE HOSPITAL DOES BUSINESS WITH MILFORD BANK. 0 ORGANIZATION MISSION STATEMENT FORM 990, PART III, LINE 1 COMPASSION. AS A COMMUNITY HEALTHCARE PROVIDER, MILFORD HOSPITAL IS COMMITTED TO REMAINING IN THE FOREFRONT OF THE CLINICAL, TECHNOLOGICAL, AND ELECTRONIC INFORMATION ADVANCES THAT MAKE THE CONTINUOUS DELIVERY OF HIGH-QUALITY, COST-EFFECTIVE HEALTHCARE SERVICES POSSIBLE. MILFORD HOSPITAL RECOGNIZES THAT THE QUALITY OF HUMAN RESOURCES - STAFF, PHYSICIANS AND VOLUNTEERS - IS THE KEY TO CONTINUED SUCCESS AND THEREFORE STRIVES TO CREATE AN ENVIRONMENT OF TEAMWORK AND PARTICIPATION WHERE, THROUGH CONTINUOUS QUALITY IMPROVEMENT AND A FOCUS ON PATIENT SAFETY, PEOPLE PURSUE EXCELLENCE AND TAKE PRIDE IN THE QUALITY OF THEIR WORK 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 STATEMENT FORM 990, PART III, LINE 4A AS A COMMUNITY HEALTHCARE PROVIDER, MILFORD HOSPITAL IS COMMITTED TO THOSE WE SERVE, BOTH PATIENTS AND NON-PATIENTS. OUR GOAL IS NOT ONLY TO PROVIDE QUALITY COMPASSIONATE CARE WHEN AN INDIVIDUAL ENTERS OUR HEALTHCARE INSTITUTION, BUT ALSO TO PROMOTE AND COMMUNICATE WELLNESS INFORMATION AND EDUCATION SO THAT FAMILIES IN OUR AREA CAN KEEP FROM BECOMING ILL AND LEAD HEALTHIER LIVES. DURING THE PAST YEAR, OUR SERVICE ACCOMPLISHMENTS IN THE COMMUNITY CONTINUED TO GROW. THE DEPARTMENT OF EDUCATION CONTINUES TO PROVIDE A MONTHLY HEALTH EDUCATION ARTICLE FOR THE MILFORD SENIOR CENTER NEWSLETTER. 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 2 DIRECTOR 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 11 IN 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 12C CONFLICT OF INTEREST STATEMENTS ARE SENT TO OFFICERS, DIRECTORS, AND KEY EMPLOYEES ANNUALLY. THE COMPLETED STATEMENTS ARE REVIEWED BY THE PRESIDENT. FORM 990, PART VI, SECTION B, LINE 15 BOARD OF DIRECTORS APPROVES COMPENSATION OF OFFICERS. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE KEPT IN THE PRESIDENT'S OFFICE AND ARE AVAILABLE UPON REQUEST. FORM 990, PART 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. 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