MIDDLESEX HOSPITAL: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: MIDDLESEX HOSPITAL (EIN 06-0646718)
Tax period: 2009-10-01 to 2010-09-30
Filed: 2011-08-12
IRS object ID: 201122289349301347
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-08-12T11:25:37-05:00	Timestamp
Tax Period End Date	2010-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KPMG LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	One Financial Plaza	AddressLine1
City	Hartford	City
State	CT	State
ZIP Code	061032608	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2009-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	060646718	EIN

Name Name

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

Field	Value	IRS element (for citing)
Name Control	MIDD	NameControl
Phone	8603586395	Phone

US Address USAddress

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

Officer Officer

Field	Value	IRS element (for citing)
Name	SUSAN MARTIN	Name
Title	VP FINANCE TREASURER	Title
Date Signed	2011-08-12	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	8605223200	Phone

Field	Value	IRS element (for citing)
Tax Year	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

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

Field	Value	IRS element (for citing)
Gross Receipts	349943717	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c	X	Organization501c
Web Site	WWW.MIDDLESEXHOSPITAL.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1895	YearFormation
State Legal Domicile	CT	StateLegalDomicile
Activity Or Mission Description	MIDDLESEX HOSPITAL IS COMMITTED TO PROVIDING HIGH QUALITY INPATIENT AND OUTPATIENT HEALTHCARE SERVICES. THE HOSPITAL RECOGNIZES COMMUNITY TRANSPARENCY AND INTEGRITY AS FUNDAMENTAL RESPONSIBILITIES.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	13	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	9	NbrIndependentVotingMembers
Total Nbr Employees	2957	TotalNbrEmployees
Total Nbr Volunteers	650	TotalNbrVolunteers
Total Gross UBI	5924451	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	3497724	ContributionsGrantsPriorYear
Contributions Grants Current Year	3639178	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	323398467	ProgramServiceRevenuePriorYear
Program Service Revenue CY	331593872	ProgramServiceRevenueCY
Investment Income Prior Year	91241	InvestmentIncomePriorYear
Investment Income Current Year	4823349	InvestmentIncomeCurrentYear
Other Revenue Prior Year	291270	OtherRevenuePriorYear
Other Revenue Current Year	212181	OtherRevenueCurrentYear
Total Revenue Prior Year	327278702	TotalRevenuePriorYear
Total Revenue Current Year	340268580	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	176674972	SalariesEtcPriorYear
Salaries Etc Current Year	186394237	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	810508	TotalFundrsngExpCurrentYear
Other Expense Prior Year	132714044	OtherExpensePriorYear
Other Expenses Current Year	130620781	OtherExpensesCurrentYear
Total Expenses Prior Year	309389016	TotalExpensesPriorYear
Total Expenses Current Year	317015018	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	17889686	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	23253562	RevenuesLessExpensesCY
Total Assets BOY	374372000	TotalAssetsBOY
Total Assets EOY	392308000	TotalAssetsEOY
Total Liabilities BOY	236262000	TotalLiabilitiesBOY
Total Liabilities EOY	247498000	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	138110000	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	144810000	NetAssetsOrFundBalancesEOY
Mission Description	MIDDLESEX HOSPITAL IS COMMITTED TO PROVIDING HIGH QUALITY INPATIENT AND OUTPATIENT HEALTHCARE SERVICES. THE HOSPITAL RECOGNIZES COMMUNITY TRANSPARENCY AND INTEGRITY AS FUNDAMENTAL RESPONSIBILITIES.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	130743921	Expense
Revenue	132857954	Revenue
Description	INPATIENT CARE IN THE FISCAL YEAR ENDING 9/30/2010, INPATIENT CARE REPRESENTED 13,918 DISCHARGES AND 57,829 PATIENT CARE DAYS. ARMED WITH SKILLED STAFF, PROGRESSIVE DIAGNOSTIC TOOLS AND ADVANCED SURGICAL TECHNIQUES, THE HOSPITAL WAS WELL POSITIONED TO ENSURE A COMFORTABLE, SAFE ENVIRONMENT FOR EXCEPTIONAL MEDICAL TREATMENT AND RECOVERY. SEE SCHEDULE O FOR FURTHER DETAIL.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	57854350	Expense
Revenue	54907526	Revenue
Description	MIDDLESEX HOSPITAL EMERGENCY DEPARTMENT MIDDLESEX HOSPITAL EMERGENCY DEPARTMENT DELIVERS CARE AT THE WHALEN EMERGENCY CENTER AT THE HOSPITAL'S MAIN CAMPUS AS WELL AS TWO SATELLITE SITES LOCATED AT THE SHORELINE MEDICAL CENTER IN ESSEX AND THE MIDDLESEX HOSPITAL MEDICAL CENTER IN MARLBOROUGH. THE EMERGENCY DEPARTMENT TREAT AND RELEASE VISITS FOR THE FISCAL YEAR ENDING 9/30/2010 WERE 85,981. IN EACH, EMERGENCY CARE IS DEPLOYED BY EXPERT, BOARD-CERTIFIED EMERGENCY MEDICINE DOCTORS AND SPECIFICALLY TRAINED PHYSICIAN ASSISTANTS, NURSES, PATIENT CARE TECHNICIANS AND OTHER SUPPORT PERSONNEL. SEE SCHEDULE O FOR FURTHER DETAIL.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	17380242	Expense
Revenue	36696010	Revenue
Description	AMBULATORY OR OUTPATIENT SURGERY OUTPATIENT SERVICES OFFER THE LATEST IN DIAGNOSTIC TESTING AND LABORATORY SERVICES, AMBULATORY SURGERY OPTIONS, AND REHABILITATION AND SPORTS MEDICINE SERVICES. IN FY 10 THERE WERE 9,076 REVENUE GENERATING AMBULATORY SURGERY CASES FROM ENDOSCOPY/COLONOSCOPY TO ORTHOPEDIC AND OTHER OUTPATIENT PROCEDURES. SEE SCHEDULE O FOR FURTHER DETAIL.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	62268205	TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev	101238371	TotalOfOtherProgramServiceRev
Total Program Service Expense	268246718	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Balance Sheet Amounts Reported	true	BalanceSheetAmountsReported
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	true	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	true	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	true	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	212	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	2957	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	true	QuidProQuoContributions
Quid Pro Quo Disclosure	true	QuidProQuoDisclosure
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Nbr Voting Governing Body Members	13	NbrVotingGoverningBodyMembers
Number Independent Voting Members	9	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	CT	StatesWhereCopyOfReturnIsFiled
Own Website	X	OwnWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	SUSAN MARTIN	NamePerson
Telephone Number	8603583005	TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
NANCY D'OENCH
DIRECTOR	1.0	X	0	0	0
CHANDLER HOWARD
DIRECTOR	1.0	X	0	0	0
HUGH MACKENZIE
DIRECTOR	1.0	X	0	0	0
BRUCE MACMILLIAN
DIRECTOR	1.0	X	0	0	0
JAMES MATSCHULAT
DIRECTOR	1.0	X	0	0	0
JOHN RAFAL
DIRECTOR	1.0	X	0	0	0
ERIC THORNBURG
DIRECTOR	1.0	X	0	0	0
BARBARA WEISS
DIRECTOR	1.0	X	0	0	0
R CHRISTOPHER SEATON
CHAIRMAN	1.0	X	0	0	0	X
ROBERT KIELY
FORMER PRESIDENT CEO	40.0	X	1113319	0	200570	X
DAVID BAGGISH MD
CHIEF OF MEDICINE SECRETARY	40.0	X	341602	0	4166	X
VINCENT CAPECE JR
PRESIDENT CEO	40.0	X	519404	0	92730	X
GEOFFREY HERTER MD
ASSISTANT SECRETARY	1.0	X	0	0	0	X
GARY WILLIS
VICE CHAIRMAN	1.0	X	0	0	0	X
SUSAN MARTIN
VP FINANCE TREASURER	40.0		333612	0	68469	X
COLLEEN SMITH
VP NURSING	40.0		393414	0	96613		X
HARRY EVERT
VP ADMINISTRATION	40.0		274648	0	53074		X
GREGORY NOKES
VP HUMAN RESOURCES	40.0		276549	0	56593		X
ARTHUR MCDOWELL MD
VP CLINICAL AFFAIRS	40.0		406740	0	91929		X
MICHAEL SAXE MD
CHAIRMAN EMERGENCY MEDICINE	40.0		372567	0	14609		X
SUSAN MENICHETTI
VP OPERATIONS	40.0		240050	0	14421		X
BRIAN MCGUIRE MD
PHYSICIAN EMERGENCY DEPT	40.0		307567	0	3473			X
DAVID COSENTINO MD
MEDICAL DIRECTOR ED	40.0		302225	0	9686			X
RANDOLPH GOODWIN MD
CLINICAL DIRECTOR INF DISEASE	40.0		334749	0	3893			X
JONATHON BANKOFF
PHYSICIAN EMERGENCY DEPT	40.0		301802	0	5031			X
RICHARD GREINER
PHYSICIAN EMERGENCY DEPT	40.0		300636	0	3401			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	5818884	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	718658	TotalOtherCompensation
Number Individuals GT100 K	206	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
COMPANY 1 CONSULTING
6 CRAIG DRIVE	MONROE	CT	06468	INFORMATION SERVICES	1044407
GE HEALTHCARE
PO BOX 640200	PITTSBURGH	PA	15264	EQUIPMENT LEASING	1511589
ARAMARK CORPORATION
66 OXFORD DRIVE	FRANKLIN	MA	02038	DIETARY/HOUSEKEEPING	1284625
QUEST DIAGNOSTICS INC
2025 COLLECTION CENTER DRIVE	CHICAGO	IL	60693	LABORATORY SERVICES	968028
PHILBRICK TRANSCRIPTIONS
59 CARMEL HILL ROAD	BETHLEHEM	CT	06751	TRANSCRIPTION SVCS	887501

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	64	NumberOfContractorsGT100K
Fundraising Events	88214	FundraisingEvents
Government Grants	972837	GovernmentGrants
All Other Contributions	2578127	AllOtherContributions
Noncash Contributions	216278	NoncashContributions
Total Contributions	3639178	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SERVICES	900099	321467364	321467364
SPECIMEN LABORATORY	621500	5214945		5214945
CAFETERIA REVENUE	722210	1203261	1203261
TECHNICAL LABORATORY	621500	632104		632104
OUTSIDE LABORATORY	621500	24850		24850

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	3051348	TotalRevenueColumn
Related Or Exempt Function Income	2998796	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	52552	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Program Service Revenue	331593872	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	795484	TotalRevenueColumn
Exclusion	$795,484	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	21865	TotalRevenueColumn
Exclusion	$21,865	ExclusionAmount

Royalties Revenue RoyaltiesRevenue

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

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	219006	Real
Personal	0	Personal

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	219006	Real
Personal	0	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	219006	TotalRevenueColumn
Exclusion	$219,006	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	13630717	Securities
Other	0	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	9624717	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	4006000	Securities
Other	0	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	4006000	TotalRevenueColumn
Exclusion	$4,006,000	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	43595	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	88214	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	50420	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	-6825	TotalRevenueColumn
Related Or Exempt Function Income	-6825	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Gross Income Gaming	0	GrossIncomeGaming

Net Income From Gaming NetIncomeFromGaming

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

Net Income Or Loss NetIncomeOrLoss

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

Field	Value	IRS element (for citing)
Total Other Revenue	0	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	340268580	TotalRevenueColumn
Related Or Exempt Function Income	325662596	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	5924451	UnrelatedBusinessRevenue
Exclusion	$5,042,355	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	7381196	Total
Program Services	5904957	ProgramServices
Management And General	1476239	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	144592815	Total
Program Services	130958923	ProgramServices
Management And General	13633892	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	9690939	Total
Program Services	8657148	ProgramServices
Management And General	1033791	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	14699916	Total
Program Services	12999741	ProgramServices
Management And General	1700175	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	10029371	Total
Program Services	8858165	ProgramServices
Management And General	1171206	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	27751435	Total
Program Services	18687641	ProgramServices
Management And General	8253286	ManagementAndGeneral
Fundraising	810508	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	841609	Total
Management And General	841609	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	256439	Total
Management And General	256439	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	42702	Total
Management And General	42702	ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	0	Total

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1781110	Total
Program Services	618238	ProgramServices
Management And General	1162872	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	43324671	Total
Program Services	39644783	ProgramServices
Management And General	3679888	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	0	Total

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	7183947	Total
Program Services	4226142	ProgramServices
Management And General	2957805	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	1638607	Total
Program Services	1306806	ProgramServices
Management And General	331801	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	415263	Total
Program Services	357353	ProgramServices
Management And General	57910	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	3718716	Total
Management And General	3718716	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	2466000	Total
Program Services	2466000	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	21104353	Total
Program Services	19589915	ProgramServices
Management And General	1514438	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	4427275	Total
Management And General	4427275	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
DUES	614940	178876	436064
BAD DEBTS	11858436	11858436
OTHER MISCELLANEOUS EXPENSES	1978278	716594	1261684
EXPENSES FOR INTENDED PURPOSES	567000	567000
EQUITY IN JOINT VENTURE LOSS	650000	650000

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	317015018	Total
Program Services	268246718	ProgramServices
Management And General	47957792	ManagementAndGeneral
Fundraising	810508	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	47781000	BOY
EOY	50099000	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	19181000	BOY
EOY	27573000	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	773000	BOY
EOY	652000	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	39364000	BOY
EOY	39058000	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	248000	BOY
EOY	389000	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	1114000	BOY
EOY	970000	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2050000	BOY
EOY	1439000	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	395629000	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	236911000	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	157170000	BOY
EOY	158718000	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	100487000	BOY
EOY	106262000	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	6204000	BOY
EOY	7148000	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	374372000	BOY
EOY	392308000	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	40909000	BOY
EOY	43071000	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	600000	BOY
EOY	767000	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	73765000	BOY
EOY	71112000	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	5054000	BOY
EOY	817000	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	115934000	BOY
EOY	131731000	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	236262000	BOY
EOY	247498000	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	124916000	BOY
EOY	131224000	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	6606000	BOY
EOY	6782000	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	6588000	BOY
EOY	6804000	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	138110000	BOY
EOY	144810000	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	374372000	BOY
EOY	392308000	EOY

Field	Value	IRS element (for citing)
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Both	X	FinancialStatementBoth
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii
Contrib By Controlling Individual	false	ContribByControllingIndividual
Contribution By Related Party	false	ContributionByRelatedParty
Contrib By35 Controlled Entity	false	ContribBy35ControlledEntity

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$42,072	OtherActivitiesAmount
Total Lobbying Expenditures IIB	42072	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	LOBBYING ACTIVITY	Identifier
Return Reference	PART II-B, LINE 1I	ReturnReference
Explanation	MIDDLESEX HOSPITAL PAYS DUES TO BOTH THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE CONNECTICUT HOSPITAL ASSOCIATION (CHA). A PERCENTAGE OF THOSE DUES FUNDED LOBBYING ACTIVITIES DURING THE FISCAL YEAR. THE PORTION OF AHA DUES TOTALED $9,705 AND THE PORTION OF CHA DUES TOTALED $18,792. IN ADDITION MIDDLESEX HOSPITAL CONTRACTED WITH A CONSULTANT WHO PERFORMED LOBBYING ACTIVITIES. THOSE EXPENSES TOTALED $14,205.	Explanation

Schedule D IRS990ScheduleD

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

Current Year CurrentYear

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

Current Year Minus1 Year CurrentYearMinus1Year

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

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.89000	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.08000	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.03000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	816000	OtherCostOrOtherBasis
Book Value	816000	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	228344000	OtherCostOrOtherBasis
Depreciation	117013000	Depreciation
Book Value	111331000	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4212000	OtherCostOrOtherBasis
Depreciation	2904000	Depreciation
Book Value	1308000	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	154504000	OtherCostOrOtherBasis
Depreciation	114125000	Depreciation
Book Value	40379000	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	7753000	OtherCostOrOtherBasis
Depreciation	2869000	Depreciation
Book Value	4884000	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	158718000	TotalOfBookValueLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (8 entries)

DescriptionDescription	AmountAmount
SELF INSURANCE	$11,900,000
ACCRUED RETIREMENT	$107,876,000
LEASE OBLIGATION	$632,000
ACCRUED 457B	$1,093,000
ASSET RETIREMENT OBLIGATION	$795,000
UNALLOCATED 3RD PARTY	$9,281,000
OTHER LIABILITIES	$4,000
INVESTMENT IN JOINT VENTURE	$150,000

Field	Value	IRS element (for citing)
Total Of Amounts	131731000	TotalOfAmounts
Total Revenue	340268580	TotalRevenue
Total Expenses	317015018	TotalExpenses
Excess Or Deficit For Year	23253562	ExcessOrDeficitForYear
Net Unrealized GL On Investments	3676000	NetUnrealizedGLOnInvestments
Other	-$20,229,000	OtherAmount
Total Adjustments	-16553000	TotalAdjustments
Excess Or Deficit Per FS	6700562	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	323766000	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	3676000	NetUnrealizedGainsInvestments
Other Revenues	-20229000	OtherRevenues
Revenue Not Rptd F990	-16553000	RevenueNotRptdF990
Revenue Subtotal	340319000	RevenueSubtotal
Other Revenues Not Included	-50420	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	-50420	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	340268580	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	317065438	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	50420	OtherExpensesIncluded
Expenses Not Rptd F990	50420	ExpensesNotRptdF990
Expenses Subtotal	317015018	ExpensesSubtotal
Total Expenses Per Form990	317015018	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ENDOWMENT FUNDS	PART V, LINE 4	BOARD-DESIGNATED (QUASI-ENDOWMENT) FUNDS ARE ASSETS SET ASIDE BY THE BOARD FOR FUTURE UNSPECIFIED USES AND TO SUPPORT EDUCATION AND OTHER PROGRAMS OVER WHICH THE BOARD RETAINS CONTROL AND MAY, AT ITS DISCRETION, SUBSEQUENTLY USE FOR OTHER PURPOSES. PERMANENT ENDOWMENT FUNDS ARE ASSETS RECEIVED WITH THE DONOR STIPULATION THAT THE PRINCIPAL BE INVESTED IN PERPETUITY AND THAT ONLY THE INCOME EARNED THEREON IS AVAILABLE FOR SPECIFIC OR GENERAL SERVICES, SUCH AS FREE BED FUNDS AND SUPPORT OF HOSPITAL OPERATIONS. TERM ENDOWMENT FUNDS ARE ASSETS RESTRICTED BY THE DONOR EITHER AS TO PURPOSE AND/OR AS TO TIME OF EXPENDITURE, SUCH AS EDUCATION, HEALTH SERVICES AND CAPITAL PURCHASES.
CHANGE IN NET ASSETS	PART XI, LINE 8	ON JULY 31, 2009 THE HOSPITAL ADOPTED A SOFT FREEZE OF THE DEFINED BENEFIT RETIREMENT PLAN (THE PLAN), EFFECTIVE JANUARY 1, 2010. ALL PENSION ACCRUALS HAVE CEASED UNDER THE TERMS OF THE PLAN, WITH THE LIMITED EXCEPTION THAT PARTICIPANTS WHO ARE ACTIVELY EMPLOYED ON DECEMBER 31, 2009 WILL CONTINUE TO HAVE ELIGIBLE COMPENSATION EARNED AFTER DECEMBER 31, 2009 RECOGNIZED IN THE CALCULATION OF THEIR ACCRUED BENEFIT BEYOND DECEMBER 31, 2009. CHANGE IN ACCUMULATED PENSION CHARGES (20,229,000)
OTHER REVENUE INCLUDED IN FINANCIAL STATEMENTS NOT ON RETURN	PART XII, LINE 2D	CHANGE IN ACCUMULATED PENSION CHARGES (20,229,000) OTHER REVENUE INCLUDED ON RETURN NOT IN FINANCIAL STATEMENTS PART XII, LINE 4B SPECIAL EVENTS EXPENSE (50,420)
OTHER EXPENSES INCLUDED IN FINANCIAL STATEMENTS NOT ON RETURN	PART XIII, LINE 2D	SPECIAL EVENTS EXPENSE 50,420

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	GOLF TOURNAMENT	NameOfEvent1
Gross Receipts Event1	109760	GrossReceiptsEvent1
Charitable Contributions Event1	77560	CharitableContributionsEvent1
Gross Revenue Event1	32200	GrossRevenueEvent1
Non Cash Prizes Event1	1554	NonCashPrizesEvent1
Rent Facility Costs Event1	35073	RentFacilityCostsEvent1
Other Direct Expenses Event1	8488	OtherDirectExpensesEvent1
Name Of Event2	RAID GALLERY	NameOfEvent2
Gross Receipts Event2	10875	GrossReceiptsEvent2
Charitable Contributions Event2	1955	CharitableContributionsEvent2
Gross Revenue Event2	8920	GrossRevenueEvent2
Other Direct Expenses Event2	4988	OtherDirectExpensesEvent2
Total Number Of Other Events	1	TotalNumberOfOtherEvents
Gross Receipts Other Events	11174	GrossReceiptsOtherEvents
Charitable Contrib Other Events	8699	CharitableContribOtherEvents
Gross Revenue Other Events	2475	GrossRevenueOtherEvents
Other Direct Expenses Other Events	317	OtherDirectExpensesOtherEvents
Gross Receipts Total	131809	GrossReceiptsTotal
Charitable Contributions Total	88214	CharitableContributionsTotal
Gross Revenue Total Events	43595	GrossRevenueTotalEvents
Non Cash Prizes Total Events	1554	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	35073	RentFacilityCostsTotalEvents
Other Direct Expenses Total Events	13793	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	50420	DirectExpenseSummaryEvents
Net Income Summary	-6825	NetIncomeSummary

Schedule H IRS990ScheduleH

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

Discounted Other DiscountedOther

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

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

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Persons Served	5778	PersonsServed
Total Community Benefit Expense	2615381	TotalCommunityBenefitExpense
Direct Offsetting Revenue	231774	DirectOffsettingRevenue
Net Community Benefit Expense	2383608	NetCommunityBenefitExpense
Percent Of Total Expense	0.00780	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Persons Served	11693	PersonsServed
Total Community Benefit Expense	25634480	TotalCommunityBenefitExpense
Direct Offsetting Revenue	20802930	DirectOffsettingRevenue
Net Community Benefit Expense	4831550	NetCommunityBenefitExpense
Percent Of Total Expense	0.01580	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Persons Served	2963	PersonsServed
Total Community Benefit Expense	12847755	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6485454	DirectOffsettingRevenue
Net Community Benefit Expense	6362301	NetCommunityBenefitExpense
Percent Of Total Expense	0.02080	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	20434	PersonsServed
Total Community Benefit Expense	41097616	TotalCommunityBenefitExpense
Direct Offsetting Revenue	27520158	DirectOffsettingRevenue
Net Community Benefit Expense	13577459	NetCommunityBenefitExpense
Percent Of Total Expense	0.04440	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Persons Served	46530	PersonsServed
Total Community Benefit Expense	3787649	TotalCommunityBenefitExpense
Direct Offsetting Revenue	250	DirectOffsettingRevenue
Net Community Benefit Expense	3787399	NetCommunityBenefitExpense
Percent Of Total Expense	0.01240	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Persons Served	1034	PersonsServed
Total Community Benefit Expense	7134359	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2180886	DirectOffsettingRevenue
Net Community Benefit Expense	4953473	NetCommunityBenefitExpense
Percent Of Total Expense	0.01620	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Persons Served	25129	PersonsServed
Total Community Benefit Expense	43724572	TotalCommunityBenefitExpense
Direct Offsetting Revenue	28592223	DirectOffsettingRevenue
Net Community Benefit Expense	15132350	NetCommunityBenefitExpense
Percent Of Total Expense	0.04960	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Persons Served	129	PersonsServed
Total Community Benefit Expense	507865	TotalCommunityBenefitExpense
Net Community Benefit Expense	507865	NetCommunityBenefitExpense
Percent Of Total Expense	0.00170	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Persons Served	5269	PersonsServed
Total Community Benefit Expense	309188	TotalCommunityBenefitExpense
Net Community Benefit Expense	309188	NetCommunityBenefitExpense
Percent Of Total Expense	0.00100	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Persons Served	78091	PersonsServed
Total Community Benefit Expense	55463633	TotalCommunityBenefitExpense
Direct Offsetting Revenue	30773359	DirectOffsettingRevenue
Net Community Benefit Expense	24690275	NetCommunityBenefitExpense
Percent Of Total Expense	0.08090	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Persons Served	98525	PersonsServed
Total Community Benefit Expense	96561249	TotalCommunityBenefitExpense
Direct Offsetting Revenue	58293517	DirectOffsettingRevenue
Net Community Benefit Expense	38267734	NetCommunityBenefitExpense
Percent Of Total Expense	0.12530	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	36398	TotalCommunityBuildingExpense
Net Community Building Expense	36398	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Persons Served	763	PersonsServed
Total Community Building Expense	284408	TotalCommunityBuildingExpense
Net Community Building Expense	284408	NetCommunityBuildingExpense
Percent Of Total Expense	0.00090	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Persons Served	855	PersonsServed
Total Community Building Expense	16278	TotalCommunityBuildingExpense
Net Community Building Expense	16278	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Persons Served	562	PersonsServed
Total Community Building Expense	31859	TotalCommunityBuildingExpense
Net Community Building Expense	31859	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Persons Served	2180	PersonsServed
Total Community Building Expense	368943	TotalCommunityBuildingExpense
Net Community Building Expense	368943	NetCommunityBuildingExpense
Percent Of Total Expense	0.00120	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReported
Bad Debt Expense	$3,257,685	BadDebtExpenseAmount
Amount Attributable To	325769	AmountAttributableTo
Amount Reimbursed By Medicare	84958105	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	90060204	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-5102099	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (3 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
MIDDLESEX CENTER FOR
FREESTANDING OUTPATIENT
ADVANCED ORTHOPEDIC
ORTHOPEDIC SURGERY
SURGERY LLC
CENTER	0.50000	0.00000	0.50000

Form990 Schedule H Part V Form990ScheduleHPartV (11 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Teaching HospitalTeachingHospital	Er24 HoursEr24Hours	OtherOther
MIDDLESEX HOSPITAL
28 CRESCENT STREET	MIDDLETOWN	CT	06457	X	X	X	X
MIDDLESEX MEDICAL CENTER MARLBOROUGH
12 JONES HOLLOW ROAD	MARLBOROUGH	CT	06447				X	LABORATORY, RADIOLOGY
MIDDLESEX MEDICAL CENTER SHORELINE
252 WESTBROOK ROAD RTE 153	ESSEX	CT	06426				X	LABORATORY, NEUROLOGY,OUTPATIENT INFUSION & RADIOLOGY
MIDDLESEX SURGICAL CENTER
530 SAYBROOK ROAD	MIDDLETOWN	CT	06457		X			SURGICAL SERVICES
MIDDLESEX HOSPITAL OUTPATIENT CENTER
534 SAYBROOK ROAD	MIDDLETOWN	CT	06457					OUTPATIENT SERVICES OCCUPATIONAL MED, ANTI-COAGULATION
MIDDLESEX HOSPITAL CANCER CENTER
536 SAYBROOK ROAD	MIDDLETOWN	CT	06457					CANCER SERVICES
MIDDLESEX HOSPITAL CTR BEHAVIORAL HEALTH
51 BROAD STREET	MIDDLETOWN	CT	06457					CHILD & ADOLESCENT BEHAVIORIAL HEALTH OUTPATIENT SERVICES
MIDDLESEX HOSPITAL CTR BEHAVIORAL HEALTH
103 SOUTH MAIN STREET	MIDDLETOWN	CT	06457					ADULT BEHAVIORAL HEALTH OUTPATIENT SERVICES
MIDDLESEX HOSPITAL CTR BEHAVIORAL HEALTH
154 MAIN STREET	OLD SAYBROOK	CT	06475					ADULT BEHAVIORAL HEALTH OUTPATIENT SERVICES
MIDDLESEX HOSPITAL HOMECARE
770 SAYBROOK ROAD	MIDDLETOWN	CT	06457					HOMECARE SERVICES REHAB,HEART HEALTH, OTHER SERVICES
MIDDLESEX HOSPITAL CTR BEHAVIORAL HEALTH
33 PLEASANT STREET	MIDDLETOWN	CT	06457					ADULT BEHAVIORAL HEALTH PARTIAL HOSPITAL PRGRM SVCS

Form990 Schedule H Part VI Form990ScheduleHPartVI

Field	Value	IRS element (for citing)
Income Based Criteria	IN GENERAL, MIDDLESEX HOSPITAL ("THE HOSPITAL") USES FPG TO DETERMINE ELIGIBILITY. THERE ARE, HOWEVER, SPECIAL CIRCUMSTANCES (SUCH AS A CATASTROPHIC EVENT) WHICH MAY AFFECT A PATIENT'S ABILITY TO PAY. IN THIS CASE, THE HOSPITAL EVALUATES THE APPLICATION WITH CONSIDERATION GIVEN TO THE PATIENT'S CURRENT SITUATION. WITH SPECIAL CIRCUMSTANCES THE FPG THRESHOLD MAY BE IGNORED AND THE HOSPITAL MAY USE THE PATIENT'S ASSETS AND/OR TAX RETURN ITEMIZED DEDUCTIONS TO DETERMINE THE AMOUNT OF FINANCIAL ASSISTANCE.	IncomeBasedCriteria
Annual Community Benefit Expln	MIDDLESEX HOSPITAL PREPARES AND ISSUES AN ANNUAL COMMUNITY BENEFIT REPORT FOR COMMUNITY MEMBERS, AGENCY PARTNERS AND COLLEAGUES. THE REPORT CONTAINS QUANTIFIABLE DATA AND QUALITATIVE NARRATIVES AND SERVES TO 1) SHARE THE HOSPITAL'S COMMUNITY BENEFIT STORY; 2) PROMOTE ITS FREE-OF-COST AND SUBSIDIZED SERVICES, THUS ENSURING THAT ALL MEMBERS OF THE COMMUNITY, INCLUDING THE MOST AT-RISK POPULATIONS, ARE AWARE OF RESOURCE AVAILABILITY; 3) IMPROVE ACCESSIBILITY AND LINKAGES TO CARE; 4) INCREASE AWARENESS REGARDING THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM AND 4) INVITE ALL MEMBERS OF THE COMMUNITY TO VIEW MIDDLESEX HOSPITAL AS A WILLING RESOURCE AND PARTNER IN MOVING COMMUNITY INITIATIVES FORWARD TO ADDRESS UNMET NEED. IN FY10, THE HOSPITAL'S COMMUNITY BENEFIT REPORT WAS MAILED TO 20,000+ HOUSEHOLDS THROUGHOUT ITS 23-TOWN SERVICE AREA AND DISTRIBUTED TO PARTNERS IN THE COMMUNITY. ALL REPORTS ARE ARCHIVED AND AVAILABLE FOR DOWNLOAD ON THE HOSPITAL'S WEB-SITE AT WWW.MIDHOSP.ORG. THE HOSPITAL'S COMMUNITY BENEFIT REPORT HAS BEEN CREATED AND ISSUED FOR PUBLIC CONSUMPTION ON AN ANNUAL BASIS SINCE 2007.	AnnualCommunityBenefitExpln
Costing Method Used	FOR PART 1, LINE 7 SECTIONS (A) CHARITY CARE AT COST, (B) UNREIMBURSED MEDICAID, (C) UNREIMBURSED COSTS-OTHER MEANS-TESTED GOVERNMENT PROGRAMS, PORTIONS OF (F) HEALTH PROFESSIONS EDUCATION, AND (G) SUBSIDIZED HEALTH SERVICES, THE COSTING METHODOLOGY USED IS A HYBRID COST ACCOUNTING/MEDICARE COST-TO-CHARGE RATIO CALCULATION. THE PERCENTAGES ARE DERIVED FROM THE MOST CURRENT MEDICARE COST REPORT AND APPLIED BY CHARGE LINE APPROPRIATELY. INDIRECT COSTS WERE APPLIED TO SUBSIDIZED HEALTH SERVICES. THE MEDICARE COST REPORT DOES NOT ADDRESS ALL AREAS OF THE HOSPITAL IN THE SAME DETAIL, BUT DOES ACCURATELY ADDRESS INPATIENT AND OUTPATIENT, HOMECARE AND TO AN EXTENT PHYSICIAN SERVICES. SECTIONS (E) COMMUNITY HEALTH IMPROVEMENT; PORTIONS OF (F) HEALTH PROFESSIONS EDUCATION, (H) RESEARCH, AND (I) CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS ARE COMPRISED (EXCEPT FOR CASH DONATIONS AND IN-KIND MATERIAL DONATIONS) OF 1) SUPPLY EXPENSES; 2) PURCHASED SERVICES; AND 3) THE DIRECT SALARY COSTS FOR HOSPITAL STAFF WHOSE TIME WAS COMPENSATED BY THE HOSPITAL FOR TIME SPENT PARTICIPATING IN ACTIVITIES THAT QUALIFY AS COMMUNITY BENEFITS PLUS THE CURRENT FISCAL YEAR FRINGE BENEFIT RATE. INDIRECT COSTS WERE ONLY APPLIED TO A SMALL SELECTION OF SALARIES AND SERVICES UNDER COMMUNITY HEALTH IMPROVEMENT, RESEARCH, AND COMMUNITY BENEFIT OPERATIONS AND NOT BROADLY ACROSS ALL COMMUNITY BENEFIT ACTIVITY ENTRIES.	CostingMethodUsed
Subsidized Health Services Expln	MIDDLESEX HOSPITAL'S FAMILY PRACTICE GROUP IS A CRITICALLY IMPORTANT SUBSIDIZED OUTPATIENT SERVICE AS IT FILLS A GAP IN PRIMARY CARE SERVICES AND ADDRESSES ACCESS TO CARE CHALLENGES. MIDDLESEX COUNTY HAS BEEN DESIGNATED BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) TO BE A MEDICALLY UNDERSERVED AREA EXPERIENCING A SHORTAGE OF SELECT HEALTH SERVICES WHICH INCLUDE TOO FEW PRIMARY CARE PROVIDERS. IN ADDITION, HRSA REPORTS THAT MIDDLESEX COUNTY IS A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) FOR PRIMARY MEDICAL CARE. THE TOTAL FY10 FAMILY PRACTICE GROUP SUBSIDIZED SERVICE COSTS ARE $1,314,444 WITH 10,979 UNIQUE INDIVIDUALS SERVED.	SubsidizedHealthServicesExpln
Percent Of Total Expense Expln	THE PERCENT OF TOTAL EXPENSE IN PART 1, LINE 7, COLUMN (F) IS CALCULATED BY DIVIDING COLUMN (E), NET COMMUNITY BENEFIT EXPENSE, BY TOTAL EXPENSE. THE BAD DEBT EXPENSE OF $11,858,436 WAS SUBTRACTED FROM THE TOTAL EXPENSE VALUE USED TO CALCULATE THE PERCENTAGES IN PART 1, LINE 7, COLUMN (F ).	PercentOfTotalExpenseExpln
Bad Debt Footnote	THE COSTING METHODOLOGY USED FOR BAD DEBT IS A HYBRID COST ACCOUNTING/MEDICARE COST-TO-CHARGE RATIO CALCULATION. THE PERCENTAGES ARE DERIVED FROM THE MOST CURRENT MEDICARE COST REPORT AND APPLIED BY CHARGE LINE APPROPRIATELY. THE HOSPITAL ACCOUNTS FOR DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS IN DETERMINING BAD DEBT EXPENSE BY REDUCING BAD DEBT BY RECOVERIES ON THE HOSPITAL'S FINANCIALS. BAD DEBT DOLLARS ARE NOT INCLUDED IN ANY OF THE HOSPITAL'S PROGRAMMATIC COMMUNITY BENEFIT VALUES AND, WHILE NOTED, ARE NOT INCLUDED IN THE HOSPITAL'S COMMUNITY BENEFIT TOTALS IN ANY HOSPITAL COMMUNITY BENEFIT PUBLICATION. THE HOSPITAL AWARDS FINANCIAL ASSISTANCE TO THOSE PATIENTS IN COLLECTIONS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. ONCE IN COLLECTIONS, THERE ARE TWO METHODS WHICH ENABLE PATIENTS TO RECEIVE FINANCIAL ASSISTANCE AWARDS: 1) PATIENTS EITHER COMPLETE A FINANCIAL ASSISTANCE APPLICATION, MEET ELIGIBILITY CRITERIA AND ARE APPROVED; OR 2) THE THIRD PARTY ORGANIZATIONS THAT WORK ON BEHALF OF THE HOSPITAL TO COLLECT BALANCES SCREEN FOR FINANCIAL ASSISTANCE ELIGIBILITY. IN ORDER TO ENSURE THAT ALL PATIENTS IN COLLECTIONS ARE AWARE OF FINANCIAL ASSISTANCE AVAILABILITY, THE HOSPITAL REQUIRES THIRD PARTY ORGANIZATIONS TO FOLLOW THE HOSPITAL'S POLICIES REGARDING PATIENT NOTIFICATION ABOUT THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. WITHIN THE POLICY THERE IS A PROVISION WHEREBY COLLECTION AGENCIES, USING GUIDELINES SET FORTH BY THE HOSPITAL, ASSIST THE HOSPITAL IN IDENTIFYING PATIENTS WHO DO NOT HAVE A MEANS TO PAY FOR SERVICES AND THEREFORE QUALIFY FOR THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM - WHILE THESE PATIENTS HAVE NOT GONE THROUGH THE FORMAL APPLICATION PROCESS, THEY MEET THE ELIGIBILITY GUIDELINES FOR FINANCIAL ASSISTANCE AS DEFINED BY THE HOSPITAL. THESE PATIENTS ARE THEN TRANSFERRED AND INCLUDED UNDER THE HOSPITAL'S CHARITY CARE/FINANCIAL ASSISTANCE UMBRELLA. WHILE THIS PROCESS CAPTURES THE MAJORITY OF THOSE WHO ARE ELIGIBLE FOR CHARITY CARE, THE HOSPITAL RECOGNIZES IT WILL STILL HAVE A POPULATION OF PATIENTS WHO COULD POTENTIALLY QUALIFY FOR CHARITY CARE AND DO NOT RECEIVE AWARDS - THOSE WHO ARE UNCOOPERATIVE, UNRESPONSIVE OR HAVE MOVED AWAY. MIDDLESEX HOSPITAL DOES NOT PROVIDE TEXT IN THE FOOTNOTE TO ITS FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE. THE HOSPITAL ESTIMATES A RESERVE FOR UNCOLLECTIBLE ACCOUNTS AGAINST ITS PATIENT ACCOUNTS RECEIVABLES. WHEN BAD DEBTS ARE IDENTIFIED, THEY ARE ACCOUNTED FOR AS A COMPONENT OF THE OPERATING EXPENSE PROVISION FOR BAD DEBTS NET OF RECOVERIES.	BadDebtFootnote
Shortfall As Community Benefit	THE MEDICARE COST REPORT IS THE COSTING METHODOLOGY SYSTEM USED TO DETERMINE THE AMOUNT REPORTED ON PART III, LINE 6. THE HOSPITAL UTILIZES WORKSHEET 6 FOUND IN THE FORM 990 INSTRUCTIONS FOR SCHEDULE H TO CALCULATE ITS SUBSIDIZED SERVICES. THE INSTRUCTIONS STATE THAT "THE FINANCIAL LOSS IS MEASURED AFTER REMOVING LOSSES, MEASURED BY COST, ASSOCIATED WITH BAD DEBT, CHARITY CARE, MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS". GIVEN THAT THE INSTRUCTIONS DON'T SUGGEST REMOVING LOSSES ASSOCIATED WITH MEDICARE, A PORTION OF MEDICARE IS INCLUDED IN THE HOSPITAL'S SUBSIDIZED SERVICE CALCULATIONS. THE HOSPITAL TREATS ALL MEDICARE PATIENTS EQUALLY AND DOES NOT DISCRIMINATE AGAINST LOWER-MARGIN YIELDING SERVICES. AS A NOT-FOR-PROFIT HOSPITAL, MIDDLESEX HOSPITAL IS THE SAFETY-NET IN THE COMMUNITY FOR ALL MEDICARE PATIENTS, REGARDLESS OF LEVEL OF MEDICARE COVERAGE AND REGARDLESS IF A SURPLUS OR DEFICIT IS MADE. THIS OPEN ACCESS FOR MEDICARE PATIENTS PROMOTES ACCESS TO CARE, A FUNDAMENTAL TENET OF THE HOSPITAL'S COMMUNITY BENEFIT PROGRAM. THE HOSPITAL'S HEALTH ASSESSMENT FOUND THAT (FROM 2000-2006) THERE WAS 7.4% GROWTH IN MIDDLESEX COUNTY FOR AGE 65+ COMPARED TO <1% GROWTH IN THE STATE AND 20% GROWTH IN MIDDLESEX COUNTY FOR AGE 85+ COMPARED TO 15.9% GROWTH IN THE STATE. IN ADDITION, HIGH EMERGENCY DEPARTMENT USAGE FOR AMBULATORY CARE SENSITIVE CONDITIONS WAS FOUND IN THE 65+ AND 85+ AGE GROUPS, WHICH IS FURTHER CONFIRMATION OF THE HOSPITAL'S FUNCTION AS A SAFETY-NET PROVIDER FOR ITS COMMUNITY'S ELDERS. AS MIDDLESEX COUNTY HAS A DISPROPORTIONATE LEVEL OF COMMUNITY MEMBERS AGE 65+ AND 85+ WHEN COMPARED TO STATE AVERAGES, THE SHORTFALL THAT THE HOSPITAL EXPERIENCES IN PROVIDING CRITICAL HEALTHCARE SERVICES TO THE MEDICARE POPULATION SHOULD BE CONSIDERED A COMMUNITY BENEFIT WITHIN THE HOSPITAL'S SUBSIDIZED SERVICES, WHICH THOSE AGE 65+ ALSO HEAVILY RELY ON FOR CARE. THE HOSPITAL FILLS A HEALTHCARE DELIVERY GAP FOR MEDICARE PATIENTS, ONE WHICH WOULD BE DETRIMENTAL TO THE COMMUNITY IF THE HOSPITAL WAS NOT PRESENT.	ShortfallAsCommunityBenefit
Debt Collection Policy	MIDDLESEX HOSPITAL HAS A WRITTEN DEBT COLLECTION POLICY. THE POLICY STATES THAT PATIENTS WHO QUALIFY FOR CHARITY CARE WILL BE RESPONSIBLE FOR PAYING ANY BALANCE REMAINING AFTER THE CHARITY CARE ALLOWANCE HAS BEEN APPLIED (THAT IS, IF 100% CHARITY CARE HAS NOT BEEN AWARDED). THE POLICY ALSO OUTLINES THE PROCESS FOR PAYING OUTSTANDING BALANCES SHOULD THE PATIENT BE FOUND TO HAVE THE MEANS TO PAY A PARTIAL AMOUNT AFTER THE HOSPITAL'S CHARITY CARE DETERMINATION CRITERIA HAS BEEN APPLIED. FOR SUCH BALANCES, THE HOSPITAL WILL NOTIFY THE PATIENT OF HIS/HER LIABILITY. IF PAYMENT IS NOT MADE, THE POLICY STATES THAT THE HOSPITAL WILL USE APPROPRIATE METHODS TO PURSUE COLLECTION, WHICH MAY INCLUDE COLLECTIONS AGENCIES AND ATTORNEYS. THIS PRACTICE IS BROADLY UTILIZED FOR ALL PATIENTS WITH OUTSTANDING BALANCES. THE HOSPITAL MAKES EVERY EFFORT TO ENSURE THAT ALL PATIENTS KNOW PAYMENT PLANS ARE AVAILABLE FOR ANY BALANCE, INCLUDING THOSE PATIENTS WHO HAVE A BALANCE LEFT OVER AFTER A CHARITY CARE AWARD HAS BEEN APPLIED.	DebtCollectionPolicy
Number Of Facility Type Expln	N/A ALL MAJOR FACILITIES ARE LISTED UNDER THE HOSPITAL'S LICENSE. PLEASE REFER TO PART V OF THE SCHEDULE H.	NumberOfFacilityTypeExpln
Needs Assessment	MIDDLESEX HOSPITAL'S COMMUNITY BENEFIT POLICY STATES THAT, IN ORDER TO PRIORITIZE SPECIFIC COMMUNITY BENEFIT PROGRAMS, THE HOSPITAL WILL CONDUCT A COMMUNITY HEALTH ASSESSMENT AT REGULAR INTERVALS. THE HOSPITAL COMMISSIONED A COMPREHENSIVE, SCIENTIFIC, DATA-DRIVEN COUNTYWIDE HEALTH ASSESSMENT (COMPLETED OCTOBER 2008) USING PUBLICLY AVAILABLE DATA SOURCES AND PEER COUNTY, STATE AND NATIONAL BENCHMARKS. THE OBJECTIVES OF THE STUDY WERE TO 1) DESCRIBE THE HEALTH OF THE POPULATIONS RESIDING IN MIDDLETOWN AND MIDDLESEX COUNTY; 2) IDENTIFY PRIORITY HEALTH SERVICE ISSUES; 3) IDENTIFY OPPORTUNITIES TO IMPROVE THE HEALTH STATUS; 4) PROVIDE MIDDLESEX HOSPITAL WITH PLANNING INFORMATION TO ADDRESS IDENTIFIED COMMUNITY NEED; AND 5) IMPROVE POPULATION HEALTH IN COLLABORATION WITH COMMUNITY PARTNERS. THE STUDY DOMAINS INCLUDED POPULATION AND DEMOGRAPHIC PROFILES; HEALTH-BASED SOCIAL AND ECONOMIC CHARACTERISTICS; ACCESS TO CARE; CHRONIC DISEASE BURDEN AND POPULATION WELLNESS; FUNCTIONAL HEALTH STATUS; AMBULATORY CARE SENSITIVE CONDITIONS; AND KEY HEALTH FINDINGS. THE RESULTS WERE MADE PUBLICLY AVAILABLE WITH THE OBJECTIVE OF DEVELOPING COLLABORATIVE HOSPITAL-COMMUNITY PARTNER WORKGROUPS AND STRENGTHENING THOSE THAT ALREADY EXIST. APPROXIMATELY 555 BOUND HARD COPIES OF THE 66 PAGE DOCUMENT WERE DISTRIBUTED TO COMMUNITY STAKEHOLDERS AND ALL AFFILIATED MEDICAL STAFF. THREE PRIORITY AREAS EMERGED FROM THE STUDY'S FINDINGS: 1) ACCESS AND COORDINATION OF GERIATRIC SERVICES; 2) COORDINATION OF MENTAL HEALTH/SUBSTANCE ABUSE SERVICES WITH COMMUNITY PROVIDERS; AND, 3) DEVELOPMENT OF AN INPATIENT PATHWAY AND OUTPATIENT SERVICE FOR CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD). IN RESPONSE TO THESE DISCOVERIES, SPECIFIC SUB-COMMITTEES WERE FORMED WITH THE GOALS OF 1) DEVELOPING SHORT- AND LONG-TERM SOLUTIONS IN PARTNERSHIP WITH COMMUNITY AGENCIES TO DEVELOP A SAFETY-NET OF ALTERNATIVE/SUPPORT SERVICES FOR THE TARGET POPULATIONS, AND 2) MEETING PRIORITY AREA-SPECIFIC COMMUNITY BENEFIT INSTITUTIONAL GOALS. TO GUIDE THE PROCESS, A THREE YEAR HEALTH ASSESSMENT STRATEGIC PLAN WAS DEVELOPED. TO-DATE, COMMUNITY INVOLVEMENT HAS PLAYED AN IMPORTANT ROLE IN ADDRESSING EACH PRIORITY DOMAIN.	NeedsAssessment
Patient Education Assistance	GREAT CONCERN IS TAKEN TO ENSURE THAT PATIENTS ARE APPRISED OF THE AVAILABILITY OF FEDERAL/STATE/LOCAL GOVERNMENT PROGRAMS AND THE HOSPITAL'S FINANCIAL ASSISTANCE PLAN. NOTICE OF THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM IS DISPLAYED CONSPICUOUSLY IN ENGLISH AND SPANISH AT THE ENTRY OF EACH FACILITY AND ALL PATIENT REGISTRATION POINTS. THE NOTIFICATION INCLUDES AN OVERVIEW OF THE HOSPITAL'S FINANCIAL AID PROGRAM; THE AVAILABILITY OF FREE BED FUNDS AND OTHER FINANCIAL ASSISTANCE; SLIDING SCALE; AND FINANCIAL COUNSELOR CONTACT INFORMATION. AT THE TIME OF REGISTRATION, HOSPITAL ACCESS STAFF REVIEWS THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM AND ASKS THE PATIENT IF HE/SHE WOULD LIKE A FINANCIAL ASSISTANCE PACKAGE. BUILT INTO THE REGISTRATION DATA BASE IS A REQUIRED FINANCIAL ASSISTANCE FIELD WHICH MUST BE COMPLETED AS PART OF THE ADMISSIONS PROCESS. ONCE THE PATIENT EXPRESSES THE DESIRE TO RECEIVE A FINANCIAL ASSISTANCE PACKAGE, PAPERWORK WITH PATIENT NAME AND MEDICAL RECORD IS AUTOMATICALLY PRINTED AT THE REGISTRATION STATION AND HANDED TO THE PATIENT. OTHER METHODS OF COMMUNICATION TO INCREASE AWARENESS REGARDING THE FINANCIAL ASSISTANCE AND FREE BED FUND PROGRAM INCLUDE 1) A SEPARATE AND DISTINCT FINANCIAL ASSISTANCE SERVICES SECTION ON THE HOSPITAL'S WEB-SITE (WWW.MIDHOSP.ORG); 2) INCLUSION IN THE HOSPITAL'S INPATIENT ADMISSIONS BOOKLET; 3) NOTICE OF THE PROGRAM AND FINANCIAL COUNSELOR CONTACT INFORMATION ON EVERY BILLING STATEMENT; 4) NOTIFICATION AT DISCHARGE; AND 5) A LETTER OUTLINING THE PROGRAM SENT TO EVERY SELF-PAY PATIENT FOLLOWING DISCHARGE. THE HOSPITAL HAS A TEAM OF FINANCIAL COUNSELORS WHO ARE AVAILABLE TO ASSIST THE PATIENT THROUGH THE APPLICATION PROCESS EITHER BY PHONE OR VISIT. THE ROLE OF THE COUNSELORS IS TO HELP PATIENTS NAVIGATE THE HOSPITAL'S FINANCIAL ASSISTANCE PROCESS AND TO AID IN APPLICATION FOR MEDICAID/STATE PROGRAMS. ALL COUNSELORS RECEIVE DEPARTMENTAL TRAINING ON THE IMPORTANCE OF ASSISTING PATIENTS IN NEED OF STATE/GOVERNMENTAL OR HOSPITAL FINANCIAL ASSISTANCE, THE HOSPITAL'S FINANCIAL ASSISTANCE PROTOCOLS, SYSTEMS, NEW PROGRAM ENHANCEMENTS, AND HOW TO PROVIDE SUPPORT AND FOLLOW-UP FOR MEDICAID/STATE ENROLLMENT. AN IMPORTANT ADDITION TO MIDDLESEX HOSPITAL'S FINANCIAL ASSISTANCE PROCESS HAS BEEN THE DEVELOPMENT OF THE FINANCIAL ASSISTANCE WORKGROUP SEVERAL YEARS AGO. WORKGROUP TASKS INCLUDE: INCREASING AWARENESS REGARDING FINANCIAL ASSISTANCE AVAILABILITY; CONTINUOUS MONITORING OF APPROPRIATENESS, FEASIBILITY AND ACCESSIBILITY OF THE HOSPITAL'S FINANCIAL ASSISTANCE PRACTICES; AND ROLL-OUT OF A COMPREHENSIVE COMMUNICATIONS STRATEGY FOR INCREASING AWARENESS FOR FINANCIAL ASSISTANCE. IN FY10, MIDDLESEX HOSPITAL GRANTED $2,383,608 OF CHARITY CARE TO 5,778 UNIQUE RECIPIENTS AND ABSORBED $11,193,851 IN UNPAID COSTS OF MEDICAID (TOTAL OF MEDICAID INCLUDING MANAGED CARE AND SAGA), SERVING 14,656 INDIVIDUALS.	PatientEducationAssistance
Community Information	MIDDLESEX HOSPITAL IS THE SOLE HOSPITAL PROVIDER IN ITS SERVICE AREA, WHICH INCLUDES THE LARGE GEOGRAPHIC AREA OF MIDDLESEX COUNTY AND SURROUNDING TOWNS. IT ENCOMPASSES THE CITY OF MIDDLETOWN AND A MIX OF 21 OTHER SUBURBAN AND RURAL TOWNS WITHIN 623 SQUARE MILES AND HAS A POPULATION OF APPROXIMATELY 248,000 (WITH 165,918 ADULTS AND CHILDREN IN MIDDLESEX COUNTY PROPER). THE MAIN INDUSTRY INCLUDES: MIDDLESEX HOSPITAL, WESLEYAN UNIVERSITY, PRATT & WHITNEY AND THE SMALL BUSINESS COMMUNITY. MIDDLESEX COUNTY IS LOCATED IN SOUTHEASTERN CONNECTICUT AND SUPPORTS A POPULATION OF APPROXIMATELY 67,078 HOUSEHOLDS WITH 4.7% OF THE STATE'S POPULATION RESIDING IN THE COUNTY. THE POPULATION OF MIDDLETOWN (46,251 RESIDENTS) REPRESENTS 28% OF THE TOTAL POPULATION OF MIDDLESEX COUNTY. BETWEEN 2000 AND 2010, THE OVERALL POPULATION OF MIDDLESEX COUNTY INCREASED BY 7%, WITH MIDDLETOWN INCREASING BY 7.1%, COMPARED TO 3.1% STATEWIDE. THE HOSPITAL'S HEALTH ASSESSMENT STUDY FOUND THAT FROM 2000-2006, THE SIZE OF THE YOUNG POPULATION (AGES 0-17) DECREASED IN MIDDLESEX COUNTY AND MIDDLETOWN, WITH A SIMILAR DECREASE OF 1.2% IN BOTH STUDY AREAS FOR ADULTS AGES 18-44. INDICATIONS OF POPULATION GROWTH WERE APPARENT AMONG ADULTS AGES 45-64 IN MIDDLETOWN AND MIDDLESEX COUNTY AT 17% COMPARED TO THE STATE INCREASE OF 16.2%. OF INTEREST IS THE POPULATION OF ADULTS AGE 65+, WHICH FROM 2000 TO 2006 INCREASED 7.4% WITHIN MIDDLESEX COUNTY AND MIDDLETOWN COMPARED TO LESS THEN 1% FOR THE STATE; AND THE 85+ SUBGROUP WHICH INCREASED 20% IN MIDDLESEX COUNTY AND, 19.4% IN MIDDLETOWN, COMPARED TO 15.9% STATEWIDE. THE RACIAL AND ETHNIC COMPOSITION OF MIDDLESEX COUNTY IS 88.6% WHITE, 4.6% BLACK, 3.9% HISPANIC ORIGIN, 2.4% ASIAN PACIFIC, 0.04% NATIVE AMERICAN AND 4.2% OTHER/MULTI-RACE. REGARDING THE SOCIOECONOMIC MEASURES OF INCOME LEVEL, EDUCATION ATTAINMENT, EMPLOYMENT STATUS AND HEALTH INSURANCE COVERAGE: 1) THE AVERAGE ANNUAL HOUSEHOLD INCOME IS $61,791 IN MIDDLETOWN AND $74,627 IN MIDDLESEX COUNTY (2010); 2.) ACCORDING TO 2006 US CENSUS ESTIMATES, 7.5% OF MIDDLETOWN'S SINGLE ADULTS AND 7.4% OF MIDDLESEX COUNTY SINGLE ADULTS LIVE BELOW THE FEDERAL POVERTY LEVEL (FPL) COMPARED TO 8.3% ACROSS THE STATE; 3) APPROXIMATELY 3.5% OF MIDDLETOWN FAMILIES (OF UNDETERMINED SIZE) LIVE BELOW THE FPL; 4) 11% OF ADULTS UNDER AGE 25 IN MIDDLESEX COUNTY DON'T HAVE A HIGH SCHOOL DIPLOMA COMPARED TO 15.7% IN MIDDLETOWN AND 15.9% STATEWIDE; 5) AMONG ADULTS YOUNGER THAN 65 YEARS OF AGE LIVING IN MIDDLESEX COUNTY, BETWEEN 9.5%-11.5% ARE CURRENTLY UNINSURED, COMPARED TO 11.4% ACROSS THE STATE, AND 6) IN MIDDLESEX COUNTY, 34% OF UNINSURED ADULTS UNDER AGE 65 REPORT NOT HAVING A USUAL SOURCE OF CARE COMPARED TO 7.6% OF THOSE WITH INSURANCE. IN 2010, THE PERCENT OF HOSPITAL DISCHARGES FOR MEDICAID/SAGA/UNINSURED COMBINED FOR THE FOLLOWING SERVICE LINES WERE: 14.6% INPATIENT; 34.4% NEWBORN; 8.3% OUTPATIENT SURGERY; 32.6% EMERGENCY DEPARTMENT NON-ADMISSION.	CommunityInformation
Community Building Activities	MIDDLESEX HOSPITAL'S PARTICIPATION IN COMMUNITY BUILDING ACTIVITIES HAS A VITAL ROLE IN CONTINUING TO PROMOTE HEALTH AND WELL-BEING FOR RESIDENTS IN ITS SERVICE AREA AND, IN SOME CASES, THE INTERNATIONAL COMMUNITY. THE HOSPITAL OFFERS ITS RESOURCES AND EXPERTISE TO SUPPORT AND STRENGTHEN COMMUNITY ASSETS IN A VARIETY OF PROGRAMS THAT FALL UNDER THE SCOPE OF COMMUNITY BUILDING. STAFF MEMBERS ARE HIGHLY PARTICIPATIVE IN COMMUNITY PARTNERSHIPS AND COALITIONS, THE SUCCESS OF WHICH ARE GREATLY ENHANCED BY HOSPITAL COLLABORATION - MANY COMMUNITY INITIATIVES WOULD NOT BE AS EFFECTIVE WITHOUT THE HOSPITAL'S ADMINISTRATIVE AND CLINICAL STAFF IN-KIND INVOLVEMENT, SUPPORT AND EXPERTISE. AS COMMUNITY BUILDING PARTICIPATION IS FOCUSED ON HAVING A DIRECT IMPACT ON IMPROVING THE HEALTH OF THE COMMUNITY, IT MEETS THE CRITERIA FOR INCLUSION IN COMMUNITY BENEFIT AGGREGATE TOTALS. IN FY10 THE HOSPITAL'S COMMUNITY BUILDING ACTIVITIES TOTALED $368,943 AND SERVED 2,180 INDIVIDUALS. EXAMPLES INCLUDE (BUT ARE NOT LIMITED TO): OPPORTUNITY KNOCKS (OK): A MULTIDISCIPLINARY COMMUNITY COALITION THAT INCLUDES 70+ COLLABORATORS COMPRISED OF LOCAL HEALTH AND SOCIAL SERVICE AGENCIES, EARLY CARE AND EDUCATION PROVIDERS AND PARENTS. THE GOALS ARE TO ENSURE THAT CHILDREN ENTER KINDERGARTEN PHYSICALLY AND EMOTIONALLY HEALTHY AND READY TO SUCCEED. SINCE ITS INCEPTION IN 2003, OK HAS SERVED APPROXIMATELY 6,600 CHILDREN AGES 0-5. MIDDLESEX HOSPITAL PROVIDES: FUNDING; THE PROGRAM PLANNER, A PHYSICIAN CHAMPION, GRANT-WRITING SUPPORT, FISCAL ADMINISTRATION FOR THE FUNDING SOURCES AND PARTICIPATION FROM MULTIPLE DEPARTMENTAL STAFF MEMBERS. THE MIDDLESEX HOSPITAL-SAYAXCHE COMMUNITY PARTNERSHIP: EXTENDS THE HOSPITAL'S INVOLVEMENT IN COMMUNITY HEALTH TO THE GLOBAL COMMUNITY. THE GOAL OF THE PROJECT IS TO ESTABLISH A LONG-TERM, COLLABORATIVE, MUTUALLY BENEFICIAL AND ETHICALLY SOUND PARTNERSHIP BETWEEN MIDDLESEX HOSPITAL AND THE MIDDLETOWN, CT COMMUNITY WITH THE HEALTHCARE INFRASTRUCTURE OF THE PETEN REGION IN GUATEMALA. MIDDLESEX HOSPITAL ANNUALLY FUNDS AND HOSTS A SITE-VISIT FOR A DELEGATION FROM GUATEMALA FOR TEACHING AND EDUCATIONAL PURPOSES. THE HOSPITAL CONTRIBUTES FUNDING EARMARKED FOR THE PROJECT; IN-KIND STAFF HOURS; AND DONATED SUPPLIES. DISASTER READINESS: FOR DISASTER READINESS, THE HOSPITAL PLAYS A PIVOTAL ROLE BY WORKING IN COLLABORATION WITH KEY COMMUNITY PARTNERS TO ENSURE THE SAFETY OF THE COMMUNITY AT LARGE DURING A POTENTIAL DISASTER. TO PREPARE FOR DISASTERS, THE HOSPITAL PARTICIPATES IN SCHOOL SAFETY COMMITTEES; COMMUNITY FLU PREPARATION COMMITTEES; STATEWIDE/REGIONAL EMERGENCY MANAGEMENT COMMITTEES; REGULAR COLLABORATIVE COMMUNITY EDUCATION AND DRILLS; AND HOSTS YEARLY RADIATION DRILLS FOR THE STAFF OF A LOCAL NUCLEAR POWER PLANT. IN ADDITION, THE HOSPITAL STOCK-PILES LARGE QUANTITIES OF EXTENSIVE PANDEMIC SUPPLIES (PURCHASED BY THE HOSPITAL), WHICH INCLUDE MEDICATIONS FOR INFECTIOUS DISEASE AND CHEMICAL EXPOSURE CURATIVES. THE VALUE OF THE SUPPLIES, SPACE UTILIZATION AND COSTS ASSOCIATED TO MONITOR AND REPLENISH PANDEMIC PRODUCTS (WITHIN EXPIRATION DATES) ARE ABSORBED BY THE HOSPITAL.	CommunityBuildingActivities
Other Information	AS MIDDLESEX HOSPITAL IS A COMMUNITY HOSPITAL, INVOLVING COMMUNITY MEMBERS IN KEY FUNCTIONS HAS ALWAYS BEEN A PRIORITY. THE HOSPITAL'S BOARD IS COMPRISED MAINLY OF COMMUNITY MEMBERS WHO ARE NEITHER EMPLOYEES, FAMILY MEMBERS NOR CONTRACTORS OF THE ORGANIZATION, BUT ARE LONG-TERM RESIDENTS WHOSE PRIMARY INTEREST IS THE HEALTH AND WELL-BEING OF THE COMMUNITY AT LARGE. MIDDLESEX HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY BASED ON THE HOSPITAL'S CURRENT AND PROJECTED PATIENT CARE, TEACHING AND RESEARCH NEEDS, AND OVERALL COMMUNITY NEED. MEDICAL STAFF INPUT AND PARTICIPATION IS HIGHLY VALUED BY THE HOSPITAL AS EVIDENCED BY INCLUSION IN THE HOSPITAL'S MEDICAL EXECUTIVE COMMITTEE, THE MEDICAL STAFF COUNCIL AND COUNTLESS OTHER WORKING COMMITTEES. THE HOSPITAL HAS A FORMAL PROCESS FOR ALLOCATION OF SURPLUS FUNDS; A MULTIDISCIPLINARY CAPITAL BUDGETING COMMITTEE MEETS AND SETS PRIORITIES FOR INVESTMENTS IN PATIENT CARE, EDUCATION AND RESEARCH, AND PHYSICAL STRUCTURE. THE APPROACH TAKES INTO CONSIDERATION PATIENT, COMMUNITY AND STAFF NEEDS. EACH YEAR THE HOSPITAL ALLOCATES A PORTION OF SURPLUS FUNDING TO A WIDE ARRAY OF COMMUNITY BENEFIT PROGRAMS AND SERVICE LINES, INCLUDING SUBSTANTIAL HEALTH AND WELLNESS ACTIVITIES AND INITIATIVES, SUBSIDIZED SERVICES, MEDICAL EDUCATION, RESEARCH AND HEALTH ASSESSMENT COSTS. CONTINUOUS DEDICATION TO THE COMMUNITIES IT SERVES REMAINS THE HALLMARK OF MIDDLESEX HOSPITAL'S VISION, MISSION, AND STRATEGIC PLANNING. AMBITIOUS COMMUNITY BENEFIT GOALS, THE INCORPORATION OF COMMUNITY BENEFIT INTO ANNUAL ORGANIZATIONAL PLANNING, AND THE PROVISION OF COMMUNITY BENEFIT PROGRAMS THAT TARGET THE COMMUNITY'S MOST VULNERABLE AND AT-RISK POPULATIONS HAS ALLOWED THE HOSPITAL TO PUT A FORMAL STRUCTURE AROUND ITS FUNDAMENTAL PURPOSE. THE HOSPITAL'S COMMUNITY BENEFIT TOTAL FOR FY10 WAS $38,267,734 (EXCLUDING COMMUNITY BUILDING) WITH 98,525 SERVED (EXCLUDING COMMUNITY BUILDING). THE FOLLOWING IS AN OVERVIEW OF THE HOSPITAL'S COMMUNITY BENEFIT PROGRAM: COMMUNITY HEALTH IMPROVEMENT SERVICES: THE HOSPITAL UNDERWRITES A VAST RANGE OF COMMUNITY HEALTH EDUCATION AND HEALTH IMPROVEMENT PROGRAMS, NONE OF WHICH ARE DEVELOPED FOR MARKETING PURPOSES, ALL OF WHICH ARE SUPPORTED AS A MEANS OF FULFILLING THE HOSPITAL'S MISSION TO SERVE ITS COMMUNITY. ALMOST 100% OF THE TIME THESE SERVICES ARE OFFERED FREE OF CHARGE; IN THE RARE INSTANCE WHERE A NOMINAL FEE IS ASSESSED THE COST OF PROVIDING THE SERVICE IS NOT COVERED. COMMUNITY HEALTH EDUCATION IS PROVIDED TO THE COMMUNITY AT LARGE. SOME OF THE PROGRAMS REPRESENT ONE TIME EVENTS, HOWEVER MOST ARE ONGOING AND OVER THE YEARS HAVE BECOME ENTRENCHED IN THE COMMUNITY AS A SOURCE OF SUPPORT AND CONTINUED EDUCATION FOR A HEALTHFUL FUTURE. EXAMPLES OF COMMUNITY HEALTH IMPROVEMENT SERVICES INCLUDE (BUT ARE NOT LIMITED TO): 1) HEALTH EDUCATION (COMMUNITY EDUCATION PRESENTATIONS; HEALTH AND WELLNESS EVENTS/HEALTH FAIRS; SUPPORT GROUPS; LARGE SCALE CANCER AWARENESS AND EDUCATIONAL EVENTS; AND HEALTH LITERATURE); 2) COMMUNITY-BASED CLINICAL SERVICES (CLINICS AND SCREENINGS; ANNUAL FLU SHOTS; BLOOD PRESSURE CLINICS); AND 3) HEALTHCARE SUPPORT SERVICES OFFERED TO INCREASE ACCESS AND QUALITY OF CARE TO INDIVIDUALS, ESPECIALLY THOSE LIVING IN POVERTY AND/OR OTHER VULNERABLE POPULATIONS (CENTER FOR CHRONIC CARE MANAGEMENT DISEASE MANAGEMENT OUTPATIENT PROGRAMS FOR ADULT ASTHMA; CHILD ASTHMA; DIABETES EDUCATION AND DISEASE MANAGEMENT; MEDICAL NUTRITION THERAPY; SMOKING CESSATION; CHRONIC HEART FAILURE; AND CHILDHOOD WEIGHT MANAGEMENT). IN FY10, THE HOSPITAL'S COMMUNITY HEALTH IMPROVEMENT SERVICES SERVED 46,530 INDIVIDUALS AT A TOTAL COST OF $3,422,297 TO THE HOSPITAL. HEALTH PROFESSIONS EDUCATION: HELPING TO PREPARE FUTURE HEALTH CARE PROFESSIONALS IS A LONG-STANDING COMMITMENT OF MIDDLESEX HOSPITAL AND DISTINGUISHING CHARACTERISTIC THAT CONSTITUTES A SIGNIFICANT COMMUNITY BENEFIT. THE HOSPITAL'S FAMILY MEDICINE RESIDENCY PROGRAM GRADUATES FAMILY PRACTICE PHYSICIANS, MANY OF WHOM CONTINUE TO PRACTICE IN THE MIDDLESEX COUNTY AREA AFTER THEIR TRAINING IS COMPLETE. THIS IS ESPECIALLY IMPORTANT GIVEN THAT MIDDLESEX COUNTY HAS BEEN DESIGNATED BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) TO BE A MEDICALLY UNDERSERVED AREA EXPERIENCING A SHORTAGE OF SELECT HEALTH SERVICES WHICH INCLUDE TOO FEW PRIMARY CARE PROVIDERS. IN ADDITION, HRSA REPORTS THAT MIDDLESEX COUNTY IS A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) FOR PRIMARY MEDICAL CARE. THE HOSPITAL ALSO WELCOMES MEDICAL AND NURSING STUDENT INTERNS AND PROVIDES ON-SITE TRAINING DURING CLINICAL ROTATIONS. NURSING STUDENTS FROM LOCAL COLLEGES AND PROGRAMS RECEIVE HANDS-ON MENTORSHIP IN THE MAJORITY OF CLINICAL SERVICE LINES YEAR-ROUND. OTHER HEALTHCARE PROFESSIONAL EDUCATION INCLUDES THE HOSPITAL'S RADIOLOGY SCHOOL (WHICH OPERATES AT A LOSS FOR THE HOSPITAL) AND CLINICAL EDUCATIONAL STUDENT TRAINING IN MULTIPLE FIELDS. IN FY10, THE HOSPITAL'S HEALTH PROFESSIONS EDUCATION CATEGORY SERVED 1,034 INDIVIDUALS AT A TOTAL COST OF $4,953,473 TO THE HOSPITAL. SUBSIDIZED HEALTH SERVICES: THE HOSPITAL'S SUBSIDIZED HEALTH SERVICES REPRESENT A SIGNIFICANT PORTION OF MIDDLESEX HOSPITAL'S ANNUAL COMMUNITY BENEFIT AGGREGATE FINANCIALS AND NUMBERS SERVED. SUBSIDIZED SERVICES ARE PARTICULAR CLINICAL PROGRAMS PROVIDED TO THE COMMUNITY DESPITE A FINANCIAL LOSS, WITH NEGATIVE MARGINS REMAINING AFTER SPECIFIC DOLLARS (CHARITY CARE AND BAD DEBT) AND SHORTFALLS (MEDICAID) ARE REMOVED. IN ORDER TO QUALIFY AS A SUBSIDIZED SERVICE, THE PROGRAM MUST MEET CERTAIN HEALTH DELIVERY CRITERIA; MEET AN IDENTIFIED NEED IN THE COMMUNITY; AND WOULD BECOME UNAVAILABLE OR THE RESPONSIBILITY OF A GOVERNMENTAL OR ANOTHER NOT-FOR-PROFIT AGENCY TO PROVIDE IF THE HOSPITAL DISCONTINUED THE SERVICE. MIDDLESEX HOSPITAL'S SUBSIDIZED SERVICES FOR FY10 INCLUDE FAMILY PRACTICE SERVICES, BEHAVIORAL HEALTH (INPATIENT AND OUTPATIENT), HOMECARE, CARDIAC REHABILITATION, PARAMEDICS, HOSPICE, WOUND CARE AND PULMONARY REHABILITATION. IN FY10 THE HOSPITAL'S SUBSIDIZED SERVICES SERVED 25,129 PEOPLE WITH A TOTAL COST OF $15,132,350 TO THE HOSPITAL. RESEARCH: MIDDLESEX HOSPITAL CONDUCTS RESEARCH IN THE DOMAINS OF CLINICAL AND COMMUNITY HEALTH. CLINICAL EXAMPLES INCLUDE NATIONAL TRIALS BY THE HOSPITAL'S CANCER CENTER FOR BREAST, LUNG, PROSTATE, COLORECTAL, AMONG OTHERS. THE HOSPITAL'S BEHAVIORAL HEALTH DEPARTMENT CONDUCTS CLINICAL TRIALS FOR A VARIETY OF HEALTH DIAGNOSES. THE HOSPITAL CONTINUES TO PARTICIPATE IN THE PHYSICIAN GROUP DEMONSTRATION PROJECT, A NATIONAL COMMUNITY HEALTH INITIATIVE WITH THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) DESIGNED TO DETERMINE THE FEASIBILITY OF WORKING WITH PHYSICIAN GROUPS TO IMPROVE THE QUALITY OF CARE, PATIENT OUTCOMES AND THE COST EFFICIENCY OF HEALTH CARE SERVICES. FOR FY10, THE HOSPITAL'S ASSOCIATED COSTS FOR ALL RESEARCH PROJECTS TOTALED $507,865 AND SERVED 129 INDIVIDUALS. FINANCIAL AND IN-KIND CONTRIBUTIONS: MIDDLESEX HOSPITAL SUPPORTS THE COMMUNITY IN THE FORM OF FINANCIAL AND IN-KIND CONTRIBUTIONS. THE HOSPITAL'S IN-KIND CONTRIBUTIONS INCLUDE EQUIPMENT, FOOD, LINENS AND MEDICAL SUPPLIES THAT ARE DONATED BOTH LOCALLY AND GLOBALLY. OTHER IN-KIND DONATIONS INCLUDE CAFETERIA DISCOUNTS FOR YMCA RESIDENTS AND STAFF COORDINATION OF COMMUNITY SUPPORT DRIVES. THE HOSPITAL'S MAIN CAMPUS AND SATELLITE LOCATIONS MAKE MEETING SPACE AVAILABLE, FREE-OF-CHARGE AND ON AN ON-GOING BASIS, FOR MANY COMMUNITY GROUPS THAT WOULD OTHERWISE STRUGGLE TO PAY FOR SPACE. IN ADDITION, EACH YEAR THE HOSPITAL MAKES SUBSTANTIAL CASH DONATIONS TO CAREFULLY SELECTED MISSION-DRIVEN COMMUNITY ORGANIZATIONS THROUGHOUT ITS SERVICE AREA. THE HOSPITAL'S FY10 SUPPORT FOR FINANCIAL AND IN-KIND CONTRIBUTIONS TOTALED $309,188, SERVING 5,269 INDIVIDUALS.	OtherInformation
Affiliated Health Care System	N/A. MIDDLESEX HOSPITAL IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. COMMUNITY BENEFIT REPORT FILING: UNDER THE CONNECTICUT GENERAL STATUTES 19A-127K, HOSPITALS THAT HAVE A COMMUNITY BENEFIT PROGRAM IN PLACE, AS SPECIFIED BY THE STATUTE, ARE REQUIRED TO REPORT BIENNIALLY TO THE STATE OF CT. THIS BIENNIAL COMMUNITY BENEFIT REPORTING IS CURRENTLY UNDER THE AUSPICES OF THE STATE OF CONNECTICUT'S OFFICE OF THE HEALTHCARE ADVOCATE. AS MIDDLESEX HOSPITAL MEETS THE STATUTE AS HAVING A COMMUNITY BENEFIT PROGRAM IN PLACE, IT REPORTS BIENNIALLY TO THE STATE OF CT'S OFFICE OF THE HEALTHCARE ADVOCATE.	AffiliatedHealthCareSystem
Reports Filed With States	CT	ReportsFiledWithStates

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (15 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ROBERT KIELY
564888	0	190750	0	357681	0	198450	0	2120	0	1313889	0	0	0
DAVID BAGGISH MD
331396	0	0	0	10206	0	0	0	4166	0	345768	0	0	0
VINCENT CAPECE JR
344772	0	70500	0	104132	0	87500	0	5230	0	612134	0	0	0
SUSAN MARTIN
272548	0	52000	0	9064	0	66000	0	2469	0	402081	0	0	0
BRIAN MCGUIRE MD
303105	0	0	0	4462	0	0	0	3473	0	311040	0	0	0
DAVID COSENTINO MD
296746	0	0	0	5479	0	0	0	9686	0	311911	0	0	0
RANDOLPH GOODWIN MD
305719	0	0	0	29030	0	0	0	3893	0	338642	0	0	0
JONATHON BANKOFF
297163	0	0	0	4639	0	0	0	5031	0	306833	0	0	0
RICHARD GREINER
296234	0	0	0	4402	0	0	0	3401	0	304037	0	0	0
COLLEEN SMITH
225894	0	48500	0	119020	0	92500	0	4113	0	490027	0	0	0
HARRY EVERT
207343	0	48000	0	19305	0	50400	0	2674	0	327722	0	0	0
GREGORY NOKES
216209	0	42000	0	18340	0	52800	0	3793	0	333142	0	0	0
ARTHUR MCDOWELL MD
342073	0	43500	0	21167	0	84000	0	7929	0	498669	0	0	0
MICHAEL SAXE MD
330027	0	12000	0	30540	0	12000	0	2609	0	387176	0	0	0
SUSAN MENICHETTI
192279	0	43000	0	4771	0	11700	0	2721	0	254471	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
BENEFITS	PART I, LINE 1A	FIRST CLASS TRAVEL - THE HOSPITAL'S POLICY AUTHORIZES FIRST CLASS TRAVEL FOR THE CHIEF EXECUTIVE OFFICER ON TRIPS EXCEEDING FOUR HOURS IN DURATION. TRAVEL FOR COMPANIONS - THE HOSPITAL'S POLICY PROVIDES FOR SPOUSAL OR "SIGNIFICANT OTHER" TRAVEL IN CERTAIN INSTANCES RELATED TO BUSINESS ACTIVITIES AND PRESCRIBES THE PROPER TAX TREATMENT OF THAT BENEFIT. GROSS UP PAYMENTS - REPRESENTS THE FEDERAL AND STATE INCOME TAX PAID BY THE ORGANIZATION ON BEHALF OF THE INDIVIDUAL FOR CERTAIN NON-CASH BENEFITS PROVIDED. TWELVE (12) EMPLOYEES NOTED ON FORM 990, PART VII, RECEIVED THIS BENEFIT INCLUDING MEMBERS OF THE EXECUTIVE STAFF AND CERTAIN PHYSICIANS. SOCIAL CLUB DUES - REPRESENTS A CORPORATE MEMBERSHIP AT A GOLF CLUB USED FOR VARIOUS BUSINESS PURPOSES. TO THE EXTENT THIS MEMBERSHIP IS USED FOR PERSONAL REASONS THE ASSOCIATED COST IS INCLUDED IN THE TAXABLE INCOME OF THE EXECUTIVE STAFF MEMBER ACCORDING TO IRS RULES AND REGULATIONS. PERSONAL SERVICES - REPRESENTS TAX PLANNING AND/OR TAX PREPARATION FEES FOR FOUR (4) MEMBERS OF THE EXECUTIVE STAFF.
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN	PART I, LINE 4B	ALTHOUGH THE BENEFIT IS NOT PAYABLE UNTIL RETIREMENT, THE NONQUALIFIED RETIREMENT PLAN BENEFIT ACCRUES ANNUALLY AND THE PLAN PROVIDES THAT A PARTICIPANT VESTS AFTER FIVE (5) YEARS OF SERVICE. THE AMOUNT OF THE VESTED BENEFIT IS CONSIDERED "INCOME" TO THE EXECUTIVE AS IT IS EARNED. THE INCOME IS REPORTED ON THE EXECUTIVE'S W-2 FORM AND IS TAXABLE. MIDDLESEX HOSPITAL SUPPLEMENTS THE EXECUTIVE'S INCOME TO PAY FOR THIS TAX CONSEQUENCE AS THE EARNED BENEFITS VEST. THE TOTAL OF THESE SUPPLEMENTAL PAYMENTS, CUMULATIVE WITH INTEREST, ARE OFFSET AGAINST THE NONQUALIFIED RETIREMENT PLAN BENEFIT AT THE TIME OF RETIREMENT. THE FOLLOWING INDIVIDUALS PARTICIPATED IN A NONQUALIFIED RETIREMENT PLAN. THE AMOUNTS REPORTED BELOW REPRESENT BENEFITS ACCRUED DURING CALENDAR YEAR 2009, NOT PAYABLE UNTIL RETIREMENT. ROBERT KIELY $179,642 VINCENT CAPECE, JR. $ 41,780 COLLEEN SMITH $ 56,185
COMPENSATION CONTINGENT ON REVENUE	PART I, LINE 5A AND 5B	THERE ARE FOUR (4) BROAD CATEGORIES OF EXECUTIVE INCENTIVE GOALS: CLINICAL QUALITY AND PATIENT SATISFACTION (40%), FINANCIAL STRENGTH (30%), WORKPLACE ENVIRONMENT (15%), AND COMMUNITY BENEFIT/CHARITABLE MISSION EFFECTIVENESS (15%). WITHIN EACH CATEGORY ARE MORE SPECIFIC GOALS WHICH ARE DETERMINED FROM OUR OWN PAST EXPERIENCE AS WELL AS STATE AND NATIONAL BENCHMARK DATA. THE INCENTIVE COMPENSATION OF THE EXECUTIVE STAFF IS DETERMINED WITH REFERENCE TO PERFORMANCE RELATIVE TO THESE GOALS.
COMPENSATION	SCHEDULE J, PART II	BONUS & INCENTIVE COMPENSATION - COLUMN B(II) THE AMOUNTS REPORTED REPRESENT INCENTIVE COMPENSATION PAYMENTS MADE IN CALENDAR YEAR 2009. PAYMENTS INCLUDE AMOUNTS EARNED IN CALENDAR YEAR 2008 AND DEFERRED, WHERE APPLICABLE. DEFERRED COMPENSATION - COLUMN (C) THE DEFERRED COMPENSATION REPORTED IN COLUMN (C) REPRESENTS INCENTIVE COMPENSATION EARNED IN 2009 THAT WILL BE PAID AND INCLUDED IN TAXABLE WAGES IN A LATER YEAR.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer
STATE OF CT HEALTH & EDUCATIONAL FACILITIES AUTH
060806186	20774UGQ2	2006-12-07	23613507	CONSTRUCTION OF NEW EMERGENCY	false	false
STATE OF CT HEALTH & EDUCATIONAL FACILITIES AUTH
060806186	20774UGR0	2006-12-07	16620000	REFINANCE THE SER K BONDS FOR	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Amount DefeasedAmountDefeased	Amount UnspentAmountUnspent	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Working Capital ExpendituresWorkingCapitalExpenditures	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
23613507	1483350	0	0	1113112	0	21017045	2008	false	false	true	true
16620000	1092421	14841479	0	686100	0	0		true	false	true	true

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

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

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
true	false	false	false	false	true
true	false	false	false	false	true

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
THOMAS MCDOWELL - PAVILION CATERING
FAMILY MEMBER-A. MCDOWELL	15415	PAYMENTS FOR CATERING SERVICES	false
VICTORIA MCDOWELL - REGISTERED NURS
FAMILY MEMBER-A. MCDOWELL	71703	RECEIPT OF WAGES/COMPENSATION	false
STEVE MCDOWELL - PURCHASING MANAGER
FAMILY MEMBER-A. MCDOWELL	93414	RECEIPT OF WAGES/COMPENSATION	false
ESSEX FINANCIAL SERVICES
JOHN W RAFAL / DIRECTOR	176168	ENTITY MORE THAN 35% OWNED	false
JAMES S MATSCHULAT
FAM MEMBER -J.MATSCHULAT	15968	RECEIPT OF WAGES/COMPENSATION	false

Schedule M IRS990ScheduleM

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

Securities Publicly Traded SecuritiesPubliclyTraded

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	5	NumberOfContributions
Noncash Contribs Rptd F990	216278	NoncashContribsRptdF990
Method Of Determining Revenues	SELLING PRICE	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Securities Closely Held Stock		SecuritiesCloselyHeldStock
Securities Prtnrshp Trust Intrsts		SecuritiesPrtnrshpTrustIntrsts
Securities Miscellaneous		SecuritiesMiscellaneous
Qualified Contrib Hist Struct		QualifiedContribHistStruct
Qualified Contrib Other		QualifiedContribOther
Real Estate Residential		RealEstateResidential
Real Estate Commercial		RealEstateCommercial
Real Estate Other		RealEstateOther
Collectibles		Collectibles
Food Inventory		FoodInventory
Drugs And Medical Supplies		DrugsAndMedicalSupplies
Taxidermy		Taxidermy
Historical Artifacts		HistoricalArtifacts
Scientific Specimens		ScientificSpecimens
Archaeological Artifacts		ArchaeologicalArtifacts
Number Of8283 Received	0	NumberOf8283Received
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	true	ReviewProcessUnusualNCGifts
Third Parties Used	true	ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

Field	Value	IRS element (for citing)
Identifier	USE OF THIRD PARTIES TO SELL NONCASH CONTRIBUTIONS	Identifier
Return Reference	LINE 32B	ReturnReference
Explanation	DONORS OF STOCK ARE INSTRUCTED TO TRANSFER TO MERRILL LYNCH, IN WHICH MERRILL LYNCH IS INSTRUCTED TO SELL THE STOCK IMMEDIATELY.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ORGANIZATION'S MISSION	FORM 990, PART III, LINE 1	MIDDLESEX HOSPITAL IS AN ACUTE CARE GENERAL HOSPITAL SERVING THE RESIDENTS OF MIDDLESEX COUNTY AND VARIOUS SURROUNDING COMMUNITIES PROVIDING SELECTED HIGH QUALITY INPATIENT AND OUTPATIENT HEALTH SERVICES. THE HOSPITAL MAINTAINS FORMAL RELATIONSHIPS WITH SPECIALIZED PROVIDERS TO ASSURE COORDINATION OF CARE WHEN SERVICES ARE NOT LOCALLY AVAILABLE. AN INTEGRAL PART OF THE CORE PROGRAMS, SPANNING THEIR TRADITIONAL DIAGNOSTIC AND TREATMENT SERVICES, ARE THE SCORES OF SPECIAL PROGRAMS OFFERED TO THE COMMUNITIES SERVED, MANY OF WHICH FOCUS ON THE DISADVANTAGED AND UNDERSERVED, THOSE SPECIAL POPULATIONS SUCH AS MINORITIES, OLDER PERSONS, PERSONS LIVING IN POVERTY WITH DISABILITIES, CHRONICALLY MENTALLY ILL PERSONS, AND OTHER DISENFRANCHISED PERSONS. MANY OTHER SPECIAL PROGRAMS WITH A FOCUS TO REACH OUT TO ALL MEMBERS OF THE COMMUNITY REGARDLESS OF ECONOMIC CONDITION OR SOCIAL STATUS RESPOND TO PUBLIC HEALTH NEEDS AND INVOLVE EDUCATION OR RESEARCH THAT IMPROVES OVERALL COMMUNITY HEALTH. ALL OF THESE SPECIAL PROGRAMS ARE OFFERED FREE OF CHARGE OR OFFERED AT A RATE THAT IS CONSIDERABLY LESS THAN THE COST OF PROVIDING THEM.
PROGRAM SERVICES	FORM 990, PART III, LINE 4A-4D	PROGRAM SERVICE #1, INPATIENT CARE, LINE 4A INPATIENT CARE FROM REGISTRATION THROUGH DISCHARGE IS CAREFULLY MANAGED TO EXCEED REGULATORY REQUIREMENTS AND ENSURE QUALITY, PATIENT SATISFACTION, AND BEST PRACTICE WITH EACH ASPECT OF THE INPATIENT EXPERIENCE, INCLUDING ALL ELEMENTS OF CARE FROM NURSING COMPETENCY AND COMPASSION, TO MEAL QUALITY, LAB AND DIAGNOSTIC TESTING, SAFE AND SECURE PHYSICAL SURROUNDINGS TO PATIENT EDUCATION. MIDDLESEX HOSPITAL, LICENSED FOR 275 BEDS, PROVIDES ACUTE CARE FROM DEDICATED HEALTH CARE TEAMS WHICH INCLUDE SURGEONS, HOSPITALISTS, FAMILY PRACTITIONERS AND RESIDENTS, MEDICAL STAFF PHYSICIANS, MAGNET NURSES, PHYSICIAN ASSISTANTS, PATIENT CARE TECHNOLOGISTS, DIAGNOSTIC TECHNICIANS, PATHOLOGISTS, ADMINISTRATORS, ENVIRONMENTAL SERVICES, SECURITY, ENGINEERING AND A HOST OF OTHERS WORKING TOGETHER TO ENABLE THE ORGANIZATION'S SUCCESS. THE HOSPITAL UNITS INCLUDING INTENSIVE AND CRITICAL CARE, MEDICAL/SURGICAL, ONCOLOGY, ORTHOPEDIC, PULMONOLOGY, VASCULAR AND CARDIOLOGY, GASTROINTESTINAL, MATERNITY, A 20 BED PSYCHIATRIC FLOOR, AND HOSPICE SERVICES SPECIALIZE IN THE SPECIFIC NEEDS OF THEIR PATIENTS AND ARE STAFFED TO ACCOMMODATE THE UNIQUE TREATMENT REQUIREMENTS OF EACH. ALL ANCILLARY SERVICES INCLUDING LABS, RADIOLOGY, FOOD SERVICES, PATHOLOGY, PHARMACY, MEDICAL TRANSCRIPTION AND INFORMATION SERVICES TOO ARE A PART OF THE HOSPITAL TEAM. PATIENT CARE IS DEVELOPED WITH FULL CONSIDERATION OF THE WHOLE INDIVIDUAL, AS THEY ARE ASSIGNED TO CONDITION SPECIFIC CARE PATHWAYS AND SERVICES TO SECURE BEST TREATMENT AND RECOVERY. PROGRAM SERVICE #2, MIDDLESEX HOSPITAL EMERGENCY DEPARTMENT, LINE 4B EMERGENCY CARE IS PROVIDED 24 HOURS A DAY, 7 DAYS A WEEK. THE DEPARTMENTS ARE SUPPORTED BY A BROAD SPECTRUM OF DIAGNOSTIC CAPABILITIES AND SOPHISTICATED INFORMATION SYSTEMS. IN ADDITION TO EMERGENCY CARE THERE ARE ALSO ISOLATION AND DECONTAMINATION AREAS IN THE EMERGENCY DEPARTMENT AND A HELIPAD ON SITE FOR LIFE STAR MEDICAL HELICOPTER TRANSPORTS. MIDDLESEX HOSPITAL IS COMMITTED TO PROVIDING THE HIGHEST STANDARD OF CARE FOR BOTH THE PHYSICAL AND BEHAVIORAL HEALTH NEEDS OF OUR PSYCHIATRIC PATIENTS. THE EMERGENCY DEPARTMENT AT THE HOSPITAL HOUSES AN EIGHT BED EMERGENCY DEPARTMENT CRISIS UNIT. TREATMENT IS PROVIDED REGARDLESS OF THE PATIENT'S BACKGROUND OR STATUS. ED SERVICES ARE STAFFED WITH CLINICAL PERSONNEL SPECIFICALLY TRAINED TO CARE FOR THE UNIQUE NEEDS OF THEIR PATIENTS (PSYCHIATRISTS, STAFF NURSES, PATIENT CARE TECHNICIANS/MENTAL HEALTH WORKERS, SECRETARIES, NURSE EDUCATOR, SOCIAL WORKERS, COTAS, OT AND OTHERS). TOGETHER THE STAFF PARTNERS WITH HOSPITAL STAFF AND COMMUNITY RESOURCES TO DEVELOP THE BEST CARE PLAN FOR PATIENTS THROUGHOUT THEIR STAY IN THE HOSPITAL AND UPON DISCHARGE. IN FYE 10, THE EMERGENCY ROOM ACTIVITY ACCOUNTED FOR 85,981 EMERGENCY DEPARTMENT VISITS. DEMAND CONTINUES TO RISE AND THE SERVICES PROVIDED CONTINUE TO BE RECOGNIZED FOR CONTINUOUS PATIENT SATISFACTION IN PARTICULAR AS A RECIPIENT OF THE PRESS GANEY SUMMIT AWARD FOR ACHIEVING A 99% CUSTOMER SATISFACTION RATING FOR THREE CONSECUTIVE YEARS. PROGRAM SERVICE #3, AMBULATORY OR OUTPATIENT SURGERY, LINE 4C AMBULATORY OR OUTPATIENT SURGERY IS PERFORMED AT MIDDLESEX HOSPITAL, THE MIDDLESEX OUTPATIENT CENTER, THE SHORELINE MEDICAL CENTER IN ESSEX, THE MIDDLESEX HOSPITAL MEDICAL CENTER IN MARLBOROUGH, AS WELL AS LABORATORY OUTPATIENT FACILITIES IN MADISON AND WESTBROOK. PROGRAM SERVICE #4, OTHER SERVICES, LINE 4D OTHER SERVICES INCORPORATE A WIDE RANGE OF CARE PROVIDED TO PATIENTS THAT ARE NOT SPECIFICALLY CAPTURED IN THE OTHER CARE CATEGORIES. THIS DESIGNATION ACCOUNTS FOR 480,385 VISITS. THESE SERVICES INCLUDE CARE PROVIDED AT THE CANCER CENTER SUCH AS DIAGNOSTIC TESTING, TREATMENT AND SUCH SUPPORTS AS ALTERNATIVE MEDICINE THERAPIES/INTEGRATIVE MEDICINES, AND HEREDITARY RISK ASSESSMENTS. PHYSICAL MEDICINE AND REHABILITATION SERVICES ALSO ARE FOLDED INTO THIS GROUPING. SERVICES ARE AVAILABLE AT MULTIPLE LOCATIONS WHICH OFFER COMPREHENSIVE REHABILITATION AND OCCUPATIONAL MEDICINE AND PHYSICAL THERAPY (INCLUDING HAND THERAPY) SERVICES. CARE IS DELIVERED BY EXPERIENCED, HIGHLY-QUALIFIED STAFF, WITH ADVANCED TRAINING IN PHYSICAL AND OCCUPATIONAL THERAPY, SPEECH LANGUAGE PATHOLOGY AND RELATED FIELDS. IN EACH CLINICAL CASE, PATIENTS ARE EVALUATED AND RECEIVE A UNIQUE TREATMENT PLAN, WHICH INCLUDES DESIRED GOALS, ANTICIPATED OUTCOMES AND THE TIME FRAME NECESSARY TO ACHIEVE CLINICALLY OPTIMAL RESULTS. ADDITIONAL SERVICES ARE AVAILABLE BY THE WOUND AND SKIN TEAM AT MIDDLESEX HOSPITAL. THE MULTIDISCIPLINARY TEAM PROVIDES TREATMENT WHICH FOCUSES ON CLINICAL WOUND, OSTOMY AND SKIN ISSUES. THE HOSPITAL HAS CAREFUL AND ONGOING SERVICES FOR INDIVIDUALS WITH CHRONIC DISEASES. A SAMPLING OF SUCH PROGRAMS INCLUDE PULMONARY REHABILITATION SERVICES WHICH PROVIDE RESPIRATORY THERAPY AND CARE FOR PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE AS WELL AS DIABETES EDUCATION AND MEDICAL NUTRITION THERAPY AT THE CENTER FOR CHRONIC CARE MANAGEMENT PROVIDED TO INDIVIDUALS WITH A NEW DIAGNOSIS AND UNCONTROLLED DIABETES. MANY BEHAVIORAL HEALTH SERVICES ARE PROVIDED TO PATIENTS IN THE OUTPATIENT SETTING IN ADDITION TO COUNSELING AND SUPPORT GROUPS. PROGRAMS INCLUDE THE DAY TREATMENT PROGRAM (INTENSIVE OUTPATIENT SERVICES FOR ADULTS, GERIATRIC PATIENTS, AND DUALLY-DIAGNOSED PATIENTS), SERVICES AT THE OUTPATIENT CENTER FOR BEHAVIORAL HEALTH (PSYCHOTHERAPY AND MEDICATION MANAGEMENT FOR ADULTS) AND THE FAMILY ADVOCACY PROGRAM (MENTAL HEALTH TREATMENT FOR PATIENTS UNDER 18 YEARS OLD AND THEIR FAMILIES). THE HOSPITAL'S HOMECARE DEPARTMENT MAKES OVER 112,000 REVENUE GENERATING VISITS A YEAR TO COMMUNITY RESIDENTS. HOMECARE IS STAFFED WITH SPECIALTY NURSES, HOME HEALTH AIDES, PHYSICAL THERAPISTS, OCCUPATIONAL THERAPISTS, SPEECH THERAPISTS, MEDICAL SOCIAL WORKERS AND NUTRITIONISTS TO MEET THE PHYSICAL AND BEHAVIORAL HEALTH NEEDS OF PATIENTS CARED FOR IN THEIR HOMES AND OUTSIDE THE HOSPITAL SETTING. HOMECARE SERVICES INCLUDE: SPECIALIZED CARDIAC CARE; INCLUDING TELE MONITORING AND THE HEART SMART PROGRAM (A MULTIDISCIPLINARY PROGRAM WHICH INCLUDES THE FULL SPECTRUM CARDIAC SELF MANAGEMENT SUPPORT AND CLINICAL CARE), FULL SPECTRUM GERIATRIC CARE, INFUSION THERAPIES, LIFELINE SERVICES, AND A SIGNIFICANT RANGE OF RESPIRATORY, PULMONARY AND MEDICAL REHABILITATION SERVICES AS WELL AS PROVIDING OUTPATIENT HOSPICE AND PALLIATIVE SERVICES THROUGHOUT THE COMMUNITY. THE HOMECARE DEPARTMENT GENEROUSLY PROVIDES COMMUNITY HEALTH SERVICES INCLUDING FLU SHOTS, HEALTH FAIRS, AND COORDINATION OF LINKAGES WITH MEALS ON WHEELS, TRANSPORTATION, ADULT DAY CARE AND OTHER SERVICES ON CONTRACT WITH LOCAL ORGANIZATIONS.
MEMBERS OR STOCKHOLDERS	FORM 990, PART VI, SECTION A, LINES 6, 7A, AND 7B	THE SOLE MEMBER OF THE HOSPITAL SHALL BE MIDDLESEX HEALTH SYSTEM, INC., A CONNECTICUT NON-STOCK CORPORATION, OR ITS SUCCESSOR IN INTEREST ("SOLE MEMBER"), WHICH SHALL HAVE ALL OF THE MEMBERSHIP RIGHTS CONFERRED BY LAW, THE CERTIFICATE OF INCORPORATION OR THE MIDDLESEX HOSPITAL BY-LAWS.
FORM 990 REVIEW PROCESS	FORM 990, PART VI, SECTION B, LINE 11A	DRAFT FORMS OF THE 990, INCLUDING REQUIRED SCHEDULES, ARE PROVIDED TO EACH BOARD MEMBER FOR REVIEW. MEMBERS REVIEW THE DOCUMENT AND DISCUSS IT IN DETAIL AT A BOARD MEETING. ANY QUESTIONS OR COMMENTS ARE PRESENTED TO EXECUTIVE MANAGEMENT PRIOR TO FILING. A COPY OF THE FINAL FORM 990 WILL BE PROVIDED TO THE BOARD PRIOR TO FILING WITH THE IRS VIA A WEB BASED COMMUNICATION PORTAL.
CONFLICT OF INTEREST POLICY	FORM 990, PART VI, SECTION B, LINE 12	CONFLICT OF INTEREST FORMS ARE DISTRIBUTED ANNUALLY TO KEY EMPLOYEES, OFFICERS AND THE BOARD OF DIRECTORS. RESPONSES ARE RETURNED TO, TRACKED, AND REVIEWED BY THE COMPLIANCE OFFICER. INFORMATION REPORTED IS CONSIDERED PERSONAL AND CONFIDENTIAL AND ONLY DISCLOSED WHEN DEEMED NECESSARY TO PROTECT THE HOSPITAL AGAINST THE EFFECTS OF CONFLICTS OF INTEREST AND ONLY AFTER ADVISING THE REPORTING PERSON OF THE PROPOSED DISCLOSURE AND OF ITS EXTENT. MATERIAL CONFLICTS ARE REPORTED TO THE BOARDS AUDIT COMMITTEE FOR REVIEW AND DETERMINATION. IN ADDITION TO COMPLETING THE ANNUAL CONFLICT OF INTEREST FORM, BOARD MEMBERS MUST IMMEDIATELY DISCLOSE ANY INTEREST AND ALL MATERIAL FACTS TO THE BOARD OF DIRECTORS. THE BOARD THEN REVIEWS THE FACTS AND MAKES THE DETERMINATION AS TO WHETHER A SIGNIFICANT CONFLICT OF INTEREST EXISTS. IF SO, THE BOARD FOLLOWS DISABLING GUIDELINES TO DETERMINE IF THE BOARD MEMBER SHOULD BE ASKED TO RESIGN OR BE REMOVED.
COMPENSATION POLICY	FORM 990, PART VI, SECTION B, LINE 15	EXECUTIVE TEAM COMPENSATION IS REVIEWED ANNUALLY BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD. THE COMMITTEE HAS A CHARTER AND A POLICY STATEMENT SETTING FORTH A PROCESS AND CERTAIN GUIDELINES FOR DETERMINING COMPENSATION. EXECUTIVES RECEIVE A BASE SALARY AND HAVE THE OPPORTUNITY FOR INCENTIVE COMPENSATION WITHIN A RANGE SET BY THE POLICY. FOLLOWING THE CLOSE OF EACH FISCAL YEAR, THE COMMITTEE RECEIVES A MARKET ANALYSIS FROM INDEPENDENT CONSULTANTS REGARDING COMPENSATION AT PEER GROUPS OF COMPARABLE HOSPITALS AND HEALTH SYSTEMS. POSITIONS WITHIN THE EXECUTIVE TEAM ARE COMPARED TO BENCHMARK POSITIONS WITHIN THIS MARKET DATA AND THEIR COMPENSATION IS COMPARED TO THE DATA BOTH WITH RESPECT TO CASH COMPENSATION AND TOTAL COMPENSATION INCLUDING FRINGE BENEFITS. THE CEO RECOMMENDS THE INCENTIVE AWARDS AND BASE SALARY ADJUSTMENTS TO THE COMPENSATION OF THE EXECUTIVES WHO REPORT TO HIM, AND THE COMMITTEE REVIEWS THOSE RECOMMENDATIONS, APPROVES OR MODIFIES THEM, AND ALSO DETERMINES ANY INCENTIVE AWARD AND BASE SALARY ADJUSTMENT FOR THE CEO. THE CONSULTANTS PROVIDE A WRITTEN OPINION ANNUALLY CONFIRMING THAT THE COMPENSATION OF THE EXECUTIVES, AS ADJUSTED BY THIS PROCESS, IS "REASONABLE" WITHIN APPLICABLE IRS GUIDELINES. KEY EMPLOYEE COMPENSATION IS SET FOLLOWING THE GUIDELINES SET FORTH IN THE HOSPITAL COMPENSATION POLICY. THE OBJECTIVE OF THIS POLICY IS TO PAY EMPLOYEES BASED UPON HOSPITAL NEED, THE PROPER EXTERNAL LABOR MARKET AND PERFORMANCE.
PUBLIC DISCLOSURE	FORM 990, PART VI, SECTION C, LINE 19	MIDDLESEX HOSPITAL MAINTAINS A QUALITY AND COMPLIANCE SECTION ON ITS WEBSITE, MIDDLESEXHOSPITAL.ORG. THE HOSPITAL POSTS THE MOST CURRENT AUDITED FINANCIAL STATEMENTS THERE AS THEY BECOME AVAILABLE, AS WELL AS STATEMENTS FROM AT LEAST TWO PREVIOUS FISCAL YEARS. THE HOSPITAL'S CONFLICT OF INTEREST POLICY IS ALSO POSTED ON THE WEBSITE IN THE VENDORS AND SUPPLIERS SECTION. IN ADDITION, THE ORGANIZATION'S FORM 990 IS AVAILABLE AT WWW.GUIDESTAR.ORG AND UPON REQUEST.
BUSINESS TRANSACTIONS WITH INTERESTED PERSONS	SCHEDULE L, PART IV	THOMAS MCDOWELL, 100% OWNER OF PAVILION CATERING, IS THE BROTHER OF ARTHUR MCDOWELL, VICE PRESIDENT OF CLINICAL AFFAIRS. PAYMENTS MADE TO PAVILION CATERING FROM 10/01/09 TO 09/30/10 TOTALED $15,415. VICTORIA MCDOWELL, REGISTERED NURSE, IS THE SISTER-IN-LAW OF ARTHUR MCDOWELL, VICE PRESIDENT OF CLINICAL AFFAIRS. VICTORIA MCDOWELL'S WAGES FOR 10/01/09 TO 09/30/10 TOTALED $71,703. STEVE MCDOWELL, PURCHASING MANAGER, IS THE BROTHER OF ARTHUR MCDOWELL, VICE PRESIDENT OF CLINICAL AFFAIRS. STEVE MCDOWELL'S WAGES FOR 10/01/2009 TO 09/30/2010 TOTALED $93,414. JOHN W. RAFAL, DIRECTOR, IS 40% OWNER OF ESSEX FINANCIAL SERVICES. DURING THE REPORTING PERIOD, $176,168 OF MIDDLESEX HOSPITAL EMPLOYEE CONTRIBUTIONS WERE TRANSFERRED TO ESSEX FINANCIAL SERVICES FOR MANAGEMENT IN 403(B) PLANS. JAMES S. MATSCHULAT, INFORMATION TECHNOLOGY EMPLOYEE, IS THE SON OF JAMES O. MATSCHULAT, DIRECTOR. JAMES S. MATSCHULAT'S WAGES FOR 10/01/2009 TO 9/30/2010 TOTALED $15,968.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1
MIDDLESEX HEALTH SYSTEM INC
28 CRESCENT STREET	MIDDLETOWN	CT	06457	222676137	HEALTHCARE	CT	501(c)(3)	11	NA
MIDDLESEX HEALTH SERVICES INC
28 CRESCENT STREET	MIDDLETOWN	CT	06457	222676140	HEALTHCARE	CT	501(c)(3)	9	MSX HLTH SYS
MIDDLESEX HOSPITAL FOUNDATION
28 CRESCENT ST	MIDDLETOWN	CT	06457	273720822	SUPPORT	CT	501(C)(3)	11B	NA

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership
MIDDLESEX HEALTH RESOURCES INC
28 CRESCENT STREET	MIDDLETOWN	CT	06457	061089925	HEALTHCARE	CT	MID HEALTH SYS	C CORP	0	0	0.00000
INTEGRATED RESOURCES FOR THE MIDDLESEX
28 CRESCENT STREET	MIDDLETOWN	CT	06457	061462230	OUTPATIENT CARE	CT	MID HEALTH SYS	C CORP	0	0	0.00000
MHS PRIMARY CARE INC
28 CRESCENT STREET	MIDDLETOWN	CT	06457	061472743	HEALTHCARE	CT	MID HEALTH SYS	C CORP	0	0	0.00000

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