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THE MILFORD HOSPITAL INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
THE MILFORD HOSPITAL INC (EIN 06-0646741)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-15
IRS object ID
201112279349302966
Schema version
2009v1.7
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)
Timestamp2011-08-15T12:38:32-05:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

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 Date2009-10-01TaxPeriodBeginDate

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 Signed2011-08-12DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDouglas FarringtonName
Phone8605498500Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
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 Receipts233877770GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
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 Members19NbrIndependentVotingMembers
Total Nbr Employees921TotalNbrEmployees
Total Nbr Volunteers390TotalNbrVolunteers
Total Gross UBI6394860TotalGrossUBI
Net Unrelated Business Txbl Income-336022NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year60508ContributionsGrantsPriorYear
Contributions Grants Current Year13742ContributionsGrantsCurrentYear
Program Service Revenue Prior Year221158390ProgramServiceRevenuePriorYear
Program Service Revenue CY206243041ProgramServiceRevenueCY
Investment Income Prior Year-1953221InvestmentIncomePriorYear
Investment Income Current Year1999104InvestmentIncomeCurrentYear
Other Revenue Prior Year897292OtherRevenuePriorYear
Other Revenue Current Year964787OtherRevenueCurrentYear
Total Revenue Prior Year220162969TotalRevenuePriorYear
Total Revenue Current Year209220674TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year92944GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY76799GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year54834194SalariesEtcPriorYear
Salaries Etc Current Year55141995SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year172402979OtherExpensePriorYear
Other Expenses Current Year158930809OtherExpensesCurrentYear
Total Expenses Prior Year227330117TotalExpensesPriorYear
Total Expenses Current Year214149603TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-7167148RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-4928929RevenuesLessExpensesCY
Total Assets BOY79576694TotalAssetsBOY
Total Assets EOY72360491TotalAssetsEOY
Total Liabilities BOY41421266TotalLiabilitiesBOY
Total Liabilities EOY45493123TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY38155428NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY26867368NetAssetsOrFundBalancesEOY
Mission DescriptionHospital ServicesMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense202570523Expense
Revenue206243041Revenue
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 Expense202570523TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
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
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
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109626NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees921NumberOfEmployees
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
Nbr Voting Governing Body Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members19NumberIndependentVotingMembers
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

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
PAUL E MOSS
PRESIDENT37.90XX3289567863543040
JOSEPH PELACCIA
VP & CFO, President & CEO41.60XX2512853132831525
laura smith
accounting manager, cfo40.00XX100498029183
howard treat
chairman of the board1.00XX000
stephen e ronai esq
secretary1.00XX000
lloyd friedman md
vp med svc dir32.00373175059084X
Jay Walshon MD
ER Director40.00271137052485X
William Sacks MD
ER Physician40.00300968042537X
JOHN SCARFO
ER Physician40.00293879058065X
ANDREW CHOW
hospitalist40.00273977057986X
samuel bergami jr
treasurer1.00XX000
james beard
director1.00X000
rita canas
auxiliary co-president1.00X000
armand cantafio
director1.00X000
leo carroll
director1.00X000
MRS sally clemence
director1.00X000
patricia cucuzza
auxiliary co-president1.00X000
louis d'amato
director1.00X000
james c edwards
director1.00X000
bradford gesler
director1.00X000
ann loesch
director1.00X000
william maley sr
director1.00X000
carol mcinnis
director1.00X000
richard meisenheimer
director1.00X000
len napoli jr
director1.00X000
raymond s oliver
director1.00X000
michael saffer esq
director1.00X000
steven saunders md
medical staff represntative1.00X000
ted weisman md
medical staff president1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org2193875TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs109963TotalReportableCompFrmRltdOrgs
Total Other Compensation373905TotalOtherCompensation
Number Individuals GT100 K57NumberIndividualsGT100K
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
american red cross
po box 33093newarkNJ07188process blood611857
rehabilitation assoc of ct
41 old coach roadfairfieldCT06430therapy services460158
hbcs
118 lukens drivenew castleDE19720collection services343399
quest diagnostics inc
2025 collection center drivechicagoIL60693lab testing services322361
securitas security service usa inc
po box 403412atlantaGA30384security services254157
FieldValueIRS element (for citing)
Number Of Contractors GT100 K15NumberOfContractorsGT100K
All Other Contributions13742AllOtherContributions
Total Contributions13742TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
Special Services6215001554338181518044953629323
Routine Services6241004812262148122621
Other Services54161026866022686602
FieldValueIRS element (for citing)
Total Program Service Revenue206243041TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column555316TotalRevenueColumn
Unrelated Business Revenue3214UnrelatedBusinessRevenue
Exclusion$552,102ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real57350Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real8819Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real48531Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column48531TotalRevenueColumn
Exclusion$48,531ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities25992678Securities
Other11600Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities24559720Securities
Other770Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1432958Securities
Other10830Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1443788TotalRevenueColumn
Exclusion$1,443,788ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events38442GrossIncomeFundraisingEvents
Fundraising Direct Expenses12080FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column26362TotalRevenueColumn
Exclusion$26,362ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory126950GrossSalesOfInventory
Cost Of Goods Sold75707CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column51243TotalRevenueColumn
Exclusion$51,243ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountUnrelated Business RevenueUnrelatedBusinessRevenue
Cafeteria Revenue722210250149$250,149
Pharmacy Sales446110214397$214,397
Miscellaneous Income541610189452$182,9526500

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column184653TotalRevenueColumn
Unrelated Business Revenue69221UnrelatedBusinessRevenue
Exclusion$115,432ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue838651TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column209220674TotalRevenueColumn
Related Or Exempt Function Income199927116RelatedOrExemptFunctionIncome
Unrelated Business Revenue6394860UnrelatedBusinessRevenue
Exclusion$2,884,956ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total69649Total
Program Services69649ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total7150Total
Program Services7150ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total491816Total
Management And General491816ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total38384198Total
Program Services34768320ProgramServices
Management And General3615878ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total4619346Total
Program Services4150026ProgramServices
Management And General469320ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total9029146Total
Program Services6874921ProgramServices
Management And General2154225ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2617489Total
Program Services2333173ProgramServices
Management And General284316ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total72523Total
Management And General72523ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total158964Total
Management And General158964ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total224248Total
Management And General224248ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total5960685Total
Program Services4141495ProgramServices
Management And General1819190ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total93721Total
Management And General93721ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total10635949Total
Program Services10456344ProgramServices
Management And General179605ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total421593Total
Program Services47290ProgramServices
Management And General374303ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2265320Total
Program Services1924727ProgramServices
Management And General340593ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total17594Total
Program Services6363ProgramServices
Management And General11231ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total11585Total
Program Services11360ProgramServices
Management And General225ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total11102Total
Management And General11102ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total99566Total
Program Services86417ProgramServices
Management And General13149ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3585728Total
Program Services2608315ProgramServices
Management And General977413ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total15428Total
Management And General15428ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
Allowance for Unpaid Ca125381191125381191
Bad Debts67386706738670
Pharmaceutical Drugs17768101776810
Food647220647220
Charity Care299029299029

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total513883Total
Program Services242053ProgramServices
Management And General271830ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total214149603Total
Program Services202570523ProgramServices
Management And General11579080ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1048768BOY
EOY274581EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1980394BOY
EOY3250135EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY13535241BOY
EOY12226799EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY809925BOY
EOY778932EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY581707BOY
EOY623576EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis72086645LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec45954912LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY28533211BOY
EOY26131733EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY29726864BOY
EOY26620509EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY749093BOY
EOY777498EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2611491BOY
EOY1676728EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY79576694BOY
EOY72360491EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY13572863BOY
EOY12903963EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY3617035BOY
EOY2783548EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY24231368BOY
EOY29805612EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY41421266BOY
EOY45493123EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY36862335BOY
EOY25540870EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY689851BOY
EOY716206EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY603242BOY
EOY610292EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY38155428BOY
EOY26867368EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY79576694BOY
EOY72360491EOY
FieldValueIRS element (for citing)
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 D IRS990ScheduleD

Current Year CurrentYear

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

Current Year Minus1 Year CurrentYearMinus1Year

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 Basis38336603OtherCostOrOtherBasis
Depreciation18776406Depreciation
Book Value19657402BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis32107653OtherCostOrOtherBasis
Depreciation26486523Depreciation
Book Value5621130BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis720118OtherCostOrOtherBasis
Depreciation691983Depreciation
Book Value28135BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings26131733TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
Accrued Insurance$33,880
Accrued Pension$26,780,814
Due To Third Party$1,885,402
Deferred Compensation$563,527
Due to Affiliates$478,408
FINANCE LEASE PAYABLE$63,581
FieldValueIRS element (for citing)
Total Of Amounts29805612TotalOfAmounts
Total Revenue209220674TotalRevenue
Total Expenses214149603TotalExpenses
Excess Or Deficit For Year-4928929ExcessOrDeficitForYear
Net Unrealized GL On Investments1110476NetUnrealizedGLOnInvestments
Other-$7,469,607OtherAmount
Total Adjustments-6359131TotalAdjustments
Excess Or Deficit Per FS-11288060ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt82227496TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments1110476NetUnrealizedGainsInvestments
Other Revenues-152076OtherRevenues
Revenue Not Rptd F990958400RevenueNotRptdF990
Revenue Subtotal81269096RevenueSubtotal
Investment Expenses Not Included224248InvestmentExpensesNotIncluded
Other Revenues Not Included127727330OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt127951578RevenueNotRptdOnFinStmt
Total Revenue Per Form990209220674TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt86047740TotExpensesEtcAuditedFinclStmt
Other Expenses Included-6463OtherExpensesIncluded
Expenses Not Rptd F990-6463ExpensesNotRptdF990
Expenses Subtotal86054203ExpensesSubtotal
Investment Expenses Not Included2224248InvestmentExpensesNotIncluded2
Other Expenses Not Included127871152OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt128095400ExpensesNotRptdOnFinStmt
Total Expenses Per Form990214149603TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierExplanationExplanation
Part XI, Line 8 - Other Adjustments:Passthrough Income From CT Hospital Lab Network, LLC: -436. Passthrough Income From Health Connecticut, LLC: -2486. Change in Pension Fund Obligation: -5551334. Transfer to an Affiliate: -1943756. Change in Equity Interest in Milford Hospital foundation: 28405.
Part XII, Line 2d - Other Adjustments:other allowances: -156443. fundraising expenses: 4367.
Part XII, Line 4b - Other Adjustments:Allowance: XXX-XX-XXXX. Auxiliary Revenue: 79651. Charity Care: 299029. Passthrough Income: 2922. other expenses netted from revenue: 1946896. gain on sale of assets: 10830. REVENUE/EXPENSE RECLASS: 6811.
Part XIII, Line 2d - Other Adjustments:Gain on Sale of Assets: -10830. fundraising expenses: 4367.
Part XIII, Line 4b - Other Adjustments:Allowance: XXX-XX-XXXX. Auxiliary Expense: 80782. Charity Care: 299029. other expenses netted from revenue: 1946896. other allowances: 156443. REVENUE/EXPENSE RECLASS: 6811.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1celebration of treesNameOfEvent1
Gross Receipts Event113068GrossReceiptsEvent1
Gross Revenue Event113068GrossRevenueEvent1
Other Direct Expenses Event12603OtherDirectExpensesEvent1
Name Of Event2mother's day road raceNameOfEvent2
Gross Receipts Event212535GrossReceiptsEvent2
Gross Revenue Event212535GrossRevenueEvent2
Other Direct Expenses Event24367OtherDirectExpensesEvent2
Total Number Of Other Events6TotalNumberOfOtherEvents
Gross Receipts Other Events12839GrossReceiptsOtherEvents
Gross Revenue Other Events12839GrossRevenueOtherEvents
Other Direct Expenses Other Events5110OtherDirectExpensesOtherEvents
Gross Receipts Total38442GrossReceiptsTotal
Gross Revenue Total Events38442GrossRevenueTotalEvents
Other Direct Expenses Total Events12080OtherDirectExpensesTotalEvents
Direct Expense Summary Events12080DirectExpenseSummaryEvents
Net Income Summary26362NetIncomeSummary

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 Served70PersonsServed
Total Community Benefit Expense114229TotalCommunityBenefitExpense
Direct Offsetting Revenue6357DirectOffsettingRevenue
Net Community Benefit Expense107872NetCommunityBenefitExpense
Percent Of Total Expense0.03560PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Persons Served539PersonsServed
Total Community Benefit Expense2935773TotalCommunityBenefitExpense
Direct Offsetting Revenue1375592DirectOffsettingRevenue
Net Community Benefit Expense1560181NetCommunityBenefitExpense
Percent Of Total Expense0.51410PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Persons Served7082PersonsServed
Total Community Benefit Expense3886295TotalCommunityBenefitExpense
Direct Offsetting Revenue3031909DirectOffsettingRevenue
Net Community Benefit Expense854386NetCommunityBenefitExpense
Percent Of Total Expense0.28150PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served7691PersonsServed
Total Community Benefit Expense6936297TotalCommunityBenefitExpense
Direct Offsetting Revenue4413858DirectOffsettingRevenue
Net Community Benefit Expense2522439NetCommunityBenefitExpense
Percent Of Total Expense0.83120PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs33NumberOfActivitiesOrPrograms
Persons Served1840PersonsServed
Total Community Benefit Expense44135TotalCommunityBenefitExpense
Direct Offsetting Revenue9419DirectOffsettingRevenue
Net Community Benefit Expense34716NetCommunityBenefitExpense
Percent Of Total Expense0.01140PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs4NumberOfActivitiesOrPrograms
Persons Served121PersonsServed
Total Community Benefit Expense444228TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense444228NetCommunityBenefitExpense
Percent Of Total Expense0.14640PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Benefit Expense33478TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense33478NetCommunityBenefitExpense
Percent Of Total Expense0.01100PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs38NumberOfActivitiesOrPrograms
Persons Served1961PersonsServed
Total Community Benefit Expense521841TotalCommunityBenefitExpense
Direct Offsetting Revenue9419DirectOffsettingRevenue
Net Community Benefit Expense512422NetCommunityBenefitExpense
Percent Of Total Expense0.16880PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs38NumberOfActivitiesOrPrograms
Persons Served9652PersonsServed
Total Community Benefit Expense7458138TotalCommunityBenefitExpense
Direct Offsetting Revenue4423277DirectOffsettingRevenue
Net Community Benefit Expense3034861NetCommunityBenefitExpense
Percent Of Total Expense1.00000PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Persons Served30000PersonsServed
Total Community Building Expense71011TotalCommunityBuildingExpense
Direct Offsetting Revenue39600DirectOffsettingRevenue
Net Community Building Expense31411NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Persons Served30000PersonsServed
Total Community Building Expense71011TotalCommunityBuildingExpense
Direct Offsetting Revenue39600DirectOffsettingRevenue
Net Community Building Expense31411NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$2,574,172BadDebtExpenseAmount
Amount Reimbursed By Medicare20823099AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare24184845CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-3361746MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Form990 Schedule H Part V Form990ScheduleHPartV (2 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalEr24 HoursEr24HoursOtherOther
The Milford Hospital Inc
300 SEASIDE AVENUEMilfordCT06460XXX
The Milford Hospital Walk-In Center
831 Boston Post RoadMilfordCT06460Walk in Center

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Bad Debt FootnotePart III, Line 4: THE COST TO CHARGE RATIO WAS DERIVED FROM MILFORD HOSPITAL'S FY 2010 MEDICARE COST REPORT FORM 2552-96 SCHEDULE S-10. RCC FROM WORKSHEET 2 OF FORM 990 INSTRUCTIONS. 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 HEALTH CARE SERVICES AT NO COST TO THEM.BadDebtFootnote
Shortfall As Community BenefitPart III, Line 8: THE HOSPITALS 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).ShortfallAsCommunityBenefit
Debt Collection PolicyPart 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.DebtCollectionPolicy
Needs AssessmentPart 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.NeedsAssessment
Patient Education AssistancePart 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.PatientEducationAssistance
Community InformationPart VI, Line 4: Milford, CT is a small city of approximately 50,000 people located on Long Island Sound. The economy is diversified and supports manufacturing, retail, corporate office and service industry. 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.CommunityInformation
Community Building ActivitiesPart VI, Line 5: Milford Hospital provides emergency preparedness training and disaster planning for the Hospital and the community it serves.CommunityBuildingActivities
Affiliated Health Care SystemPart VI, Line 7: N/AAffiliatedHealthCareSystem

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 GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistancePurpose Of GrantPurposeOfGrant
MILFORD HOSPITAL FOUNDATION VIA MH WAYS & MEANS
300 seaside avenuemilfordCT06460222627350501(c)(3)173610BookN/Acharitable
Milford Hospital FOUNDATION VIA MH HOSPITALITY SHOP
300 seaside avenuemilfordCT06460222627350501(c)(3)500000BookN/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 Recipients5NumberOfRecipients
Amount Of Cash Grant7150AmountOfCashGrant
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 Plan0SupplementalNonqualRetirePlan
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
PAUL E MOSS
323329779420056276932376957301091126303636368699500
JOSEPH PELACCIA
2483783112200290720621804273262117782793003483800
lloyd friedman md
37317500000248660342180432259000
Jay Walshon MD
27113700000248660276190323622000
William Sacks MD
30096800000248660176710343505000
JOHN SCARFO
29387900000248660331990351944000
ANDREW CHOW
27397700000248660331200331963000

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (10 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Louis D'Amato
Director43023The hospital rents storage space of $34,023 and also rents I-95 Billboard of $9,000 from Mr. D'Amato.0
Dr Lloyd Friedman
vp - medical affairsDr. Friedman is a scientific advisor and shareholder in Cardiopulmonary Corp. The hospital does business with Cardiopulmonary Corp.0
Dr Lloyd Friedman
vp - medical affairsDr. Friedman is a scientific advisor for Ivy Biomedical. The hospital does business with Ivy Biomedical.0
Joseph Pelaccia
president & ceoJoseph Pelaccia is a board member of The Milford Bank. The hospital does business with Milford Bank.0
SAMUEL BERGAMI JR
board TreasurerSamuel Bergami, Jr. is a board member of The Milford Bank. The hospital does business with Milford Bank.0
Louis D'Amato
DirectorLouis D'Amato is a board member of The Milford Bank. The hospital does business with Milford Bank.0
James Beard
directorJames Beard is a board member of The Milford Bank. The hospital does business with Milford Bank.0
joseph Pelaccia
president & ceoMarcum 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
DirectorLeo Carroll is a board member of The Milford Bank. The hospital does business with Milford Bank.0
Carol McInnis
DirectorCarol McInnis is a board member of The Milford Bank. The hospital does business with Milford Bank.0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierExplanationExplanation
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.
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 vice-chairman 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: PAUL E. MOSS - 9.10 HRS JOSEPH PELACCIA - 5.30 HRS LAURA SMITH - 0.00 HRS HOWARD TREAT - 0.30 HRS STEPHEN E. RONAI, ESQ. - 0.30 HRS SAMUEL BERGAMI, JR. - 0.30 HRS JAMES BEARD - 0.30 HRS RITA CANAS - 0.30 HRS ARMAND CANTAFIO - 0.30 HRS LEO CARROLL - 0.30 HRS MRS. SALLY CLEMENCE - 0.30 HRS PATRICIA CUCUZZA - 0.30 HRS LOUIS D'AMATO - 0.30 HRS JAMES C. EDWARDS - 0.30 HRS BRADFORD GESLER - 0.30 HRS ANN LOESCH - 0.30 HRS WILLIAM MALEY, SR. - 0.30 HRS CAROL MCINNIS - 0.30 HRS RICHARD MEISENHEIMER - 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 TED WEISMAN, MD - 0.30 HRS
Form 990, Part XI, 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.
Form 990, Part III, Line 4a, Program Service Accomplishments (Continued):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: - Got Veins - Better Breathing Series - The Overactive Bladder - Diabetes - What You Should Know and Do - Oh My Aching Feet - Women Living Well - Simple Sanity Secrets for Stressed Out Women - Getting Good ZZZZZ - Sleep disorders - Menopause Wisdom - Smoking Cessation-Ready-Set-Quit - Sugar Blues - Setting and Reaching Goals Using Hypnosis - Resistance Strength Training for Women - Organic Companion Gardening - Understanding the Cancer Diagnosis - Your Feminine Charm - Powerful Positive Thinking - Kitchen Cures - Mother/Daughter puberty classes - Tea Talk - Yoga 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 - Children's Food & Latex Allergy - Multiple Sclerosis Support Group - Lupus - Breast Cancer Network of Strength - 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. - The Hospital Auxilians in cooperation with Milford Hospital's Education and Volunteer Department sponsor 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 "Tea Talk" program. This is a free informative talk for mothers and daughters (ages 11-14) on adolescent issues and concerns. This is planned to be an annual event. - Milford Hospital offers a "Women Living Well" program. This is a free informative talk for women on health and wellness issues and concerns. This is planned to be 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" (formerly Don't Smoke/Run Walk) 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 1,317 sandwiches and 12,189 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 School - Drug and alcohol panel - Corageous 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 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: - 4,542 patients on an inpatient basis - 38,194 patients through the Emergency Department/Walk-In Center - 1,970 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.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNA
milford health & medical inc
300 SEASIDE AVEMILFORDCT06460222627346SUPPORTING ORGANIZATIONCT501(C)(3)11 TYPE 2N/A
milford health care services inc
300 SEASIDE AVEMILFORDCT06460222627353HEALTH CARE SERVICESCT501(C)(3)PFN/A
MILFORD HOSPITAL FOUNDATION INC
300 SEASIDE AVEMILFORDCT06460222627350FUNDRAISINGCT501(C)(3)PFN/A
home care plus inc
p o box 161MILFORDCT06460061044331HOME HEALTH SERVICESCT501(C)(3)9N/A

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 Royalties1ReceiptOfIntAnnRentsRoyalties
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 Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Torry Corporation
A3214
Milford Medical laboratory inc
N801123
Torry Corporation
N123711