MIDDLESEX HOSPITAL: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- MIDDLESEX HOSPITAL (EIN 06-0646718)
- Tax period
- 2020-10-01 to 2021-09-30
- Filed
- 2022-07-21
- IRS object ID
- 202212029349301301
- Schema version
- 2020v4.2
- 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 I
- Schedule J
- Schedule K
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-07-21T11:26:43-05:00 | ReturnTs |
| Tax Period End | 2021-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 111986323 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARCUM LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 555 LONG WHARF DRIVE | AddressLine1Txt |
| City | NEW HAVEN | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06511 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 060646718 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MIDDLESEX HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MIDD | BusinessNameControlTxt |
| Phone | 8603586395 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 28 CRESCENT STREET | AddressLine1Txt |
| City | MIDDLETOWN | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06457 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SUSAN MARTIN | PersonNm |
| Person Title | VP FINANCE & TREASURER | PersonTitleTxt |
| Phone | 8603586395 | PhoneNum |
| Signature | 2022-07-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | SUSAN | PersonFirstNm |
| Person Last | MARTIN | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MARY ANTONETTI | PreparerPersonNm |
| PTIN | P00431862 | PTIN |
| Phone | 2037819600 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | VINCENT CAPECE JR | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 28 CRESCENT STREET | AddressLine1Txt |
| City | MIDDLETOWN | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06457 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $532,675,013 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MIDDLESEXHOSPITAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1895 | FormationYr |
| Legal Domicile State | CT | LegalDomicileStateCd |
| Activity Or Mission | A NON-PROFIT, ACUTE CARE, COMMUNITY HOSPITAL IN MIDDLETOWN, CT. (SEE SCHEDULE O)MIDDLESEX HOSPITAL IS COMMITTED TO PROVIDING HIGH QUALITY INPATIENT AND OUTPATIENT HEALTHCARE SERVICES. THE HOSPITAL RECOGNIZES COMMUNITY TRANSPARENCY AND INTEGRITY AS FUNDAMENTAL RESPONSIBILITIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 3604 | TotalEmployeeCnt |
| Total Volunteers | 247 | TotalVolunteersCnt |
| Total Gross UBI | $2,235,202 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $5,676,067 | PYContributionsGrantsAmt |
| CY Contributions Grants | $7,719,795 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $425,748,491 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $431,695,661 | CYProgramServiceRevenueAmt |
| PY Investment Income | $7,476,106 | PYInvestmentIncomeAmt |
| CY Investment Income | $16,852,994 | CYInvestmentIncomeAmt |
| PY Other Revenue | $5,916,024 | PYOtherRevenueAmt |
| CY Other Revenue | $9,755,684 | CYOtherRevenueAmt |
| PY Total Revenue | $444,816,688 | PYTotalRevenueAmt |
| CY Total Revenue | $466,024,134 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $127,025 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $85,000 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $239,978,052 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $251,211,773 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $1,137,148 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $179,130,254 | PYOtherExpensesAmt |
| CY Other Expenses | $189,071,954 | CYOtherExpensesAmt |
| PY Total Expenses | $419,235,331 | PYTotalExpensesAmt |
| CY Total Expenses | $440,368,727 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $25,581,357 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $25,655,407 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $619,190,364 | TotalAssetsBOYAmt |
| Total Assets EOY | $628,027,463 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $220,705,076 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $208,628,151 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $398,485,288 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $419,399,312 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | MIDDLESEX HOSPITAL EXISTS TO PROVIDE THE SAFEST, HIGHEST-QUALITY HEALTH CARE AND THE BEST EXPERIENCE POSSIBLE FOR OUR COMMUNITY. (CONTINUED ON SCHEDULE O) | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $391,265,347 | ExpenseAmt |
| Grant | $85,000 | GrantAmt |
| Revenue | $439,949,446 | RevenueAmt |
| Desc | IN MARCH OF 2020, MIDDLESEX HOSPITAL AS PART OF MIDDLESEX HEALTH'S COMMUNITY HEALTH AND WELL-BEING BASED WORK SHIFTED DRAMATICALLY TO ADDRESS THE COVID-19 PANDEMIC AND RESPOND TO COMMUNITY LEVEL NEEDS. MIDDLESEX HOSPITAL CONTINUES TO GO ABOVE AND BEYOND TO PROVIDE THE SAFEST POSSIBLE CARE TO ALL PATIENTS, WHETHER OR NOT THEIR ILLNESS IS RELATED TO THE CORONAVIRUS. MIDDLESEX HOSPITAL CONTINUES TO PROVIDE UPDATES AND ACCESS TO RESOURCES TO HELP MEMBERS OF THE COMMUNITY STAY SAFE AND HEALTHY DURING THESE CHALLENGING TIMES. 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. (CONTINUED ON SCHEDULE O)IN THE FISCAL YEAR ENDING 9/30/21, INPATIENT CARE REPRESENTED 12,891 DISCHARGES AND 54,527 PATIENT CARE DAYS. INPATIENT CARE FROM REGISTRATION THROUGH DISCHARGE IS CAREFULLY MANAGED TO EXCEED REGULATORY REQUIREMENTS AND ENSURE QUALITY, PATIENT SATISFACTION, AND BEST PRACTICE WITH EACH ASPECT OF THE INPATIENT EXPERIENCE, INCLUDING ALL ELEMENTS OF CARE FROM NURSING COMPETENCY AND COMPASSION, TO MEAL QUALITY, LAB AND DIAGNOSTIC TESTING, SAFE AND SECURE PHYSICAL SURROUNDINGS TO PATIENT EDUCATION. MIDDLESEX HOSPITAL, LICENSED FOR 275 BEDS AND 22 BASSINETS, PROVIDES ACUTE CARE FROM DEDICATED HEALTH CARE TEAMS WHICH INCLUDE SURGEONS, HOSPITALISTS, FAMILY PRACTITIONERS AND RESIDENTS, MEDICAL STAFF PHYSICIANS, MAGNET NURSES, PHYSICIAN ASSISTANTS, PATIENT CARE TECHNOLOGISTS, DIAGNOSTIC TECHNICIANS, PATHOLOGISTS, ADMINISTRATORS, ENVIRONMENTAL SERVICES, SECURITY, ENGINEERING AND A HOST OF OTHERS WORKING TOGETHER TO ENABLE THE ORGANIZATION'S SUCCESS.THE HOSPITAL UNITS INCLUDING INTENSIVE AND CRITICAL CARE, MEDICAL SURGICAL, ONCOLOGY, ORTHOPEDIC, PULMONOLOGY, VASCULAR AND CARDIOLOGY, GASTROINTESTINAL, MATERNITY, A 20-BED PSYCHIATRIC FLOOR, AND HOSPICE SERVICES SPECIALIZE IN THE SPECIFIC NEEDS OF THEIR PATIENTS AND ARE STAFFED TO ACCOMMODATE THE UNIQUE TREATMENT REQUIREMENTS OF EACH. ALL ANCILLARY SERVICES INCLUDING LABS, RADIOLOGY, FOOD SERVICES, PATHOLOGY, PHARMACY, MEDICAL TRANSCRIPTION AND INFORMATION SERVICES TOO ARE A PART OF THE HOSPITAL TEAM. PATIENT CARE IS DEVELOPED WITH FULL CONSIDERATION OF THE WHOLE INDIVIDUAL, AS THEY ARE ASSIGNED TO CONDITION SPECIFIC CARE PATHWAYS AND SERVICES TO SECURE BEST TREATMENT AND RECOVERY. | Desc |
| Total Program Service Expenses | $391,265,347 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (1) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 252 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 3604 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | Yes (1) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | CT | StatesWhereCopyOfReturnIsFldCd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SHANNON ST HILAIRE | PersonNm |
| Phone | 8603586000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 28 CRESCENT STREET | AddressLine1Txt |
| City | MIDDLETOWN | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06457 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| VINCENT CAPECE JR | ||||||||||
| PRESIDENT/CEO | 40.00 | 4.00 | Yes (X) | Yes (X) | $1,396,367 | $0 | $311,526 | |||
| DAVID C BENOIT | ||||||||||
| DIRECTOR | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| JEAN M D'AQUILA | ||||||||||
| DIRECTOR | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOHN J GAUTHIER | ||||||||||
| DIRECTOR | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| ROBERT C HINTON | ||||||||||
| DIRECTOR | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| CHANDLER J HOWARD | ||||||||||
| VICE CHAIRMAN | 1.00 | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| JONATHAN D LEVINE MD | ||||||||||
| SECRETARY | 1.00 | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| MARK D LORENZE MD | ||||||||||
| ASST SECRETARY | 1.00 | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| BRUCE S MACMILLIAN | ||||||||||
| CHAIRMAN | 1.00 | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| DARRELL G PATASKA | ||||||||||
| DIRECTOR | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| SABRA R PURTILL | ||||||||||
| DIRECTOR | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| CHRISTINE H REPASY | ||||||||||
| DIRECTOR | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| GARY M WALLACE | ||||||||||
| DIRECTOR | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| SUSAN MARTIN | ||||||||||
| VP FINANCE/TREASURER | 40.00 | 4.00 | Yes (X) | $698,966 | $0 | $80,814 | ||||
| JONATHAN BANKOFF | ||||||||||
| CHAIRMAN EMERGENCY MEDICINE | 40.00 | 0.00 | $480,985 | $0 | $71,062 | Yes (X) | ||||
| TODD BISHOP | ||||||||||
| CHIEF DEPT OF MED | 40.00 | 0.00 | $423,987 | $0 | $19,500 | Yes (X) | ||||
| DAVID GIUFFRIDA | ||||||||||
| VP FACILITIES AND SUPPORT SERVICES | 40.00 | 0.00 | $472,282 | $0 | $81,598 | Yes (X) | ||||
| EVAN JACKSON | ||||||||||
| VP STRATEGIC PLANNING AND CIO | 40.00 | 0.00 | $531,668 | $0 | $94,773 | Yes (X) | ||||
| DONNA STRONESKI | ||||||||||
| VP HUMAN RESOURCES | 40.00 | 0.00 | $358,723 | $0 | $62,502 | Yes (X) | ||||
| JESSE WAGNER MD | ||||||||||
| VP QUALITY AND PATIENT SAFETY | 40.00 | 0.00 | $694,115 | $0 | $121,976 | Yes (X) | ||||
| DAVID COSENTINO | ||||||||||
| CHIEF MEDICAL INFORMATION OFFICER | 40.00 | 0.00 | $388,912 | $0 | $83,071 | Yes (X) | ||||
| BRIAN MCGUIRE | ||||||||||
| MEDICAL DIRECTOR ED | 40.00 | 0.00 | $430,415 | $0 | $63,467 | Yes (X) | ||||
| JEFFREY SHELTON | ||||||||||
| CHAIRMAN DEPT PSYCH | 40.00 | 0.00 | $446,526 | $0 | $59,569 | Yes (X) | ||||
| THEODORE HARTENSTEIN | ||||||||||
| MEDICAL DIRECTOR, UTILIZATION MGMT | 40.00 | 0.00 | $564,142 | $0 | $61,232 | Yes (X) | ||||
| ALAN DOUGLASS | ||||||||||
| DIRECTOR FAMILY MED RESIDENCY PROG | 40.00 | 0.00 | $398,696 | $0 | $87,318 | Yes (X) | ||||
| JACQUELYN CALAMARI | ||||||||||
| VP PATIENT CARE SERVICES/CNO | 40.00 | 0.00 | $387,647 | $0 | $60,371 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $7,673,431 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,258,779 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 556 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| EPIC SYSTEMS | |||||
| 1979 MILKY WAY | VERONA | WI | 53593 | TECHNOLOGY SERVICES | $4,244,776 |
| MEDICAL SOLUTIONS | |||||
| PO BOX 310737 | DES MOINES | IA | 50331 | TEMPORARY LABOR SERVICES | $3,930,704 |
| QUEST DIAGNOSTICS INC | |||||
| PO BOX 844217 | BOSTON | MA | 02284 | LABORATORY SERVICES | $3,441,828 |
| ACSYS INC DBA PIMACY | |||||
| 1577 NEW BRITAIN AVENUE | FARMINGTON | CT | 06032 | MARKETING | $2,390,313 |
| ARAMARK CORPORATION | |||||
| 66 OXFORD DRIVE | FRANKLIN | MA | 02038 | DIETARY / HOUSEKEEPING SERVICES | $2,012,695 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 102 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $183,644 | FundraisingAmt |
| Government Grants | $6,422,421 | GovernmentGrantsAmt |
| All Other Contributions | $1,113,730 | AllOtherContributionsAmt |
| Noncash Contributions | $52,600 | NoncashContributionsAmt |
| Total Contributions | $7,719,795 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 622110 | $427,202,801 | $427,202,801 | |
| NET INCOME FROM JOINT VENTURES | 900099 | $2,274,199 | $2,274,199 | |
| SPECIMEN LAB | 621500 | $2,218,661 | $2,218,661 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $431,695,661 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,066,976 | TotalRevenueColumnAmt |
| Exclusion | $3,066,976 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $169 | TotalRevenueColumnAmt |
| Exclusion | $169 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,039,782 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $781,315 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $258,467 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $258,467 | TotalRevenueColumnAmt |
| Exclusion | $258,467 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $79,564,938 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $65,779,089 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $13,785,849 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,785,849 | TotalRevenueColumnAmt |
| Exclusion | $13,785,849 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $96,800 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $183,644 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $90,475 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,325 | TotalRevenueColumnAmt |
| Exclusion | $6,325 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| PURCHASE DISCOUNTS | 900099 | $1,275,511 | $1,275,511 | |
| CAFETERIA REVENUE | 722514 | $1,095,566 | $1,095,566 | |
| INSURANCE PROCEEDS | 900099 | $125,000 | $125,000 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,994,815 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,978,274 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $16,541 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $9,490,892 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $466,024,134 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $437,730,785 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $2,235,202 | UnrelatedBusinessRevenueAmt |
| Exclusion | $18,338,352 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $85,000 | TotalAmt |
| Program Services | $85,000 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,518,333 | TotalAmt |
| Program Services | $4,414,666 | ProgramServicesAmt |
| Management And General | $1,103,667 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $403,979 | TotalAmt |
| Program Services | $403,979 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $204,514,162 | TotalAmt |
| Program Services | $186,200,128 | ProgramServicesAmt |
| Management And General | $18,314,034 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,268,724 | TotalAmt |
| Program Services | $9,525,410 | ProgramServicesAmt |
| Management And General | $743,314 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,481,438 | TotalAmt |
| Program Services | $15,180,513 | ProgramServicesAmt |
| Management And General | $1,300,925 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,025,137 | TotalAmt |
| Program Services | $12,903,126 | ProgramServicesAmt |
| Management And General | $1,122,011 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,130,272 | TotalAmt |
| Program Services | $982,060 | ProgramServicesAmt |
| Management And General | $11,064 | ManagementAndGeneralAmt |
| Fundraising | $1,137,148 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $372,564 | TotalAmt |
| Management And General | $372,564 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $188,876 | TotalAmt |
| Management And General | $188,876 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $129,842 | TotalAmt |
| Management And General | $129,842 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $231,159 | TotalAmt |
| Management And General | $231,159 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,104,589 | TotalAmt |
| Program Services | $33,486,510 | ProgramServicesAmt |
| Management And General | $5,618,079 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,893,001 | TotalAmt |
| Program Services | $36,960 | ProgramServicesAmt |
| Management And General | $3,856,041 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,067,868 | TotalAmt |
| Program Services | $5,204,437 | ProgramServicesAmt |
| Management And General | $1,863,431 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,265,526 | TotalAmt |
| Program Services | $6,167,490 | ProgramServicesAmt |
| Management And General | $4,098,036 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,902,605 | TotalAmt |
| Program Services | $3,936,757 | ProgramServicesAmt |
| Management And General | $3,965,848 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $739,958 | TotalAmt |
| Program Services | $721,448 | ProgramServicesAmt |
| Management And General | $18,510 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $482,017 | TotalAmt |
| Program Services | $408,420 | ProgramServicesAmt |
| Management And General | $73,597 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,154,233 | TotalAmt |
| Program Services | $2,154,233 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,455,799 | TotalAmt |
| Program Services | $24,952,660 | ProgramServicesAmt |
| Management And General | $3,503,139 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,496,295 | TotalAmt |
| Program Services | $4,490,429 | ProgramServicesAmt |
| Management And General | $5,866 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $44,531,917 | $44,531,662 | $255 |
| STATE HOSPITAL TAX | $31,074,824 | $31,074,824 | |
| FOOD | $1,215,448 | $1,215,388 | $60 |
| DUES | $722,539 | $152,798 | $569,741 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,912,622 | TotalAmt |
| Program Services | $3,036,449 | ProgramServicesAmt |
| Management And General | $876,173 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $440,368,727 | TotalAmt |
| Program Services | $391,265,347 | ProgramServicesAmt |
| Management And General | $47,966,232 | ManagementAndGeneralAmt |
| Fundraising | $1,137,148 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,966,108 | BOYAmt |
| EOY | $2,647,764 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $121,960,697 | BOYAmt |
| EOY | $94,350,554 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $670,785 | BOYAmt |
| EOY | $611,199 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,401,339 | BOYAmt |
| EOY | $49,378,240 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $446,155 | BOYAmt |
| EOY | $257,309 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,013,908 | BOYAmt |
| EOY | $2,228,173 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,329,192 | BOYAmt |
| EOY | $4,832,950 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $659,020,904 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $431,063,021 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $241,399,045 | BOYAmt |
| EOY | $227,957,883 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $187,471,988 | BOYAmt |
| EOY | $219,174,793 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $488,467 | BOYAmt |
| EOY | $431,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,042,680 | BOYAmt |
| EOY | $26,157,598 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $619,190,364 | BOYAmt |
| EOY | $628,027,463 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,518,795 | BOYAmt |
| EOY | $65,044,555 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $732,577 | BOYAmt |
| EOY | $866,760 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,653,781 | BOYAmt |
| EOY | $31,081,346 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,976,505 | BOYAmt |
| EOY | $25,376,327 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,000,000 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,823,418 | BOYAmt |
| EOY | $86,259,163 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $220,705,076 | BOYAmt |
| EOY | $208,628,151 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $379,050,203 | BOYAmt |
| EOY | $398,511,116 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,435,085 | BOYAmt |
| EOY | $20,888,196 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $398,485,288 | BOYAmt |
| EOY | $419,399,312 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $619,190,364 | BOYAmt |
| EOY | $628,027,463 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $25,655,407 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $12,081,797 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$16,823,180 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $129,842 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $129,842 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| 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 $12,514 AND THE PORTION OF CHA DUES TOTALED $53,828. IN ADDITION, MIDDLESEX HOSPITAL CONTRACTED WITH TWO CONSULTANTS WHO PERFORMED LOBBYING ACTIVITIES. THOSE EXPENSES TOTALED $63,500. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $139,852,000 | BeginningYearBalanceAmt |
| Contributions | $140,000 | ContributionsAmt |
| Investment Earnings Or Losses | $27,444,000 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $411,000 | OtherExpendituresAmt |
| End Year Balance | $167,025,000 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $128,949,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $11,014,000 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $111,000 | OtherExpendituresAmt |
| End Year Balance | $139,852,000 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $124,738,999 | BeginningYearBalanceAmt |
| Contributions | $67,000 | ContributionsAmt |
| Investment Earnings Or Losses | $3,977,000 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | -$166,001 | OtherExpendituresAmt |
| End Year Balance | $128,949,000 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $118,528,000 | BeginningYearBalanceAmt |
| Contributions | $505,000 | ContributionsAmt |
| Investment Earnings Or Losses | $5,702,999 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | -$3,000 | OtherExpendituresAmt |
| End Year Balance | $124,738,999 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $103,326,000 | BeginningYearBalanceAmt |
| Contributions | $451,000 | ContributionsAmt |
| Investment Earnings Or Losses | $14,480,000 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | -$271,000 | OtherExpendituresAmt |
| End Year Balance | $118,528,000 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.92000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.08000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $15,442,063 | OtherCostOrOtherBasisAmt |
| Book Value | $15,442,063 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $357,495,271 | OtherCostOrOtherBasisAmt |
| Depreciation | $222,107,954 | DepreciationAmt |
| Book Value | $135,387,317 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,245,847 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,100,572 | DepreciationAmt |
| Book Value | $145,275 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $280,483,737 | OtherCostOrOtherBasisAmt |
| Depreciation | $204,947,480 | DepreciationAmt |
| Book Value | $75,536,257 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,353,986 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,907,015 | DepreciationAmt |
| Book Value | $1,446,971 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $227,957,883 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (10 entries)
| DescDesc | AmtAmt |
|---|---|
| THIRD PARTY ADVANCE REIMBURSEMENT | $27,699,530 |
| EST. SELF-INSURANCE LIABILITIES | $25,775,768 |
| ACCRUED RETIREMENT LIABILITIES | $4,530,345 |
| ASSET RETIREMENT OBLIGATION | $580,250 |
| THIRD-PARTY SETTLEMENTS | $11,689,699 |
| OTHER LIABILITIES | $367,868 |
| SECURITY DEPOSITS | $4,172 |
| DUE TO RELATED PARTIES | $314 |
| HOME CARE | $1,512 |
| OPERATING LEASE LIABILITIES | $15,609,705 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $86,259,163 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE WITHOUT DONOR RESTRICTIONS RECORDED IN THE 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. THESE ARE NOT IDENTIFIED ON THE AUDIT STATEMENTS IN THIS FASHION FOR FY2021. THEY ARE IN AS EITHER WITH OR WITHOUT DONOR RESTRICTIONS. TEMPORARILY RESTRICTED ENDOWMENT FUNDS ARE ASSETS RESTRICTED BY THE DONOR EITHER AS TO PURPOSE AND/OR AS TO TIME OF EXPENDITURE, SUCH AS EDUCATION, HEALTH SERVICES AND CAPITAL PURCHASES. |
| PART X, LINE 2: | BELOW IS AN EXCERPT FROM FOOTNOTE 2 OF THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS FOR MIDDLESEX HEALTH SYSTEM, INC. AND SUBSIDIARIES. THE SYSTEM ACCOUNTS FOR UNCERTAIN TAX POSITIONS WITH PROVISIONS OF FASB ASC 740, "INCOME TAXES," WHICH PROVIDES A FRAMEWORK FOR HOW COMPANIES SHOULD RECOGNIZE, MEASURE, PRESENT AND DISCLOSE UNCERTAIN TAX POSITIONS IN THEIR CONSOLIDATED FINANCIAL STATEMENTS. THE SYSTEM MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE SYSTEM DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS AS OF SEPTEMBER 30, 2021 AND 2020. IT IS THE SYSTEM'S POLICY TO RECORD PENALTIES AND INTEREST ASSOCIATED WITH UNCERTAIN TAX PROVISIONS AS A COMPONENT OF OPERATING EXPENSES. AS OF SEPTEMBER 30, 2021 AND 2020, THE SYSTEM DID NOT RECORD ANY PENALTIES OR INTEREST ASSOCIATED WITH UNCERTAIN TAX POSITIONS. THE SYSTEM'S PRIOR THREE TAX YEARS ARE OPEN AND SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | TPC GOLF | Event1Nm |
| Gross Receipts Event1 | $140,610 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $83,700 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $56,910 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $49,278 | RentFacilityCostsEvent1Amt |
| Other Direct Expenses Event1 | $9,494 | OtherDirectExpensesEvent1Amt |
| Event2 | HOSPICE GOLF | Event2Nm |
| Gross Receipts Event2 | $98,904 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $68,034 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $30,870 | GrossRevenueEvent2Amt |
| Cash Prizes Event2 | $4,090 | CashPrizesEvent2Amt |
| Rent Facility Costs Event2 | $8,360 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $11,609 | FoodAndBeverageEvent2Amt |
| Other Direct Expenses Event2 | $1,093 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 2 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $40,930 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $31,910 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $9,020 | GrossRevenueOtherEventsAmt |
| Cash Prizes Other Events | $251 | CashPrizesOtherEventsAmt |
| Food And Beverage Other Events | $3,000 | FoodAndBeverageOtherEventsAmt |
| Entertainment Other Events | $200 | EntertainmentOtherEventsAmt |
| Oth Direct Expnss Other Events | $3,100 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $280,444 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $183,644 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $96,800 | GrossRevenueTotalEventsAmt |
| Cash Prizes Total Events | $4,341 | CashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $57,638 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $14,609 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $200 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $13,687 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $90,475 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $6,325 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 500.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 1276 | PersonsServedCnt |
| Total Community Benefit Expns | $6,221,050 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,919,724 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,301,326 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00520 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 20745 | PersonsServedCnt |
| Total Community Benefit Expns | $88,742,159 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $58,987,076 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $29,755,083 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06760 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 22021 | PersonsServedCnt |
| Total Community Benefit Expns | $94,963,209 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $62,906,800 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $32,056,409 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07280 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 15222 | PersonsServedCnt |
| Total Community Benefit Expns | $2,830,075 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $166,006 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,664,069 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00600 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 1080 | PersonsServedCnt |
| Total Community Benefit Expns | $13,693,863 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,069,715 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,624,148 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02640 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 25392 | PersonsServedCnt |
| Total Community Benefit Expns | $59,255,454 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $39,232,033 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $20,023,421 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04550 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 160 | PersonsServedCnt |
| Total Community Benefit Expns | $310,107 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,205 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $294,902 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 1339 | PersonsServedCnt |
| Total Community Benefit Expns | $404,622 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $404,622 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 43193 | PersonsServedCnt |
| Total Community Benefit Expns | $76,494,121 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $41,482,959 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $35,011,162 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07950 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 65214 | PersonsServedCnt |
| Total Community Benefit Expns | $171,457,330 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $104,389,759 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $67,067,571 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.15230 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,425 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,425 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,380,551 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,375,551 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00310 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,392,976 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,387,976 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00310 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $17,148,415 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1,714,841 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $40,971,723 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $41,788,634 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$816,911 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MIDDLESEX HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 28 CRESCENT STREET | AddressLine1Txt |
| City | MIDDLETOWN | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06457 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.MIDDLESEXHEALTH.ORG | WebsiteAddressTxt |
| State License | 000069 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MIDDLESEX HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 18 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE STATEMENT | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE STATEMENT | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 500.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE STATEMENT | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE STATEMENT | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE STATEMENT | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| MIDDLESEX HOSPITAL | PART V, SECTION B, LINE 3J: IN ADDITION TO THE ELEMENTS SELECTED IN PART V, LINE 3, MIDDLESEX HOSPITAL'S MOST RECENTLY COMPLETED (2019) COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) EXAMINED HOW SOCIAL DETERMINANTS OF HEALTH AND HEALTH DISPARITIES IMPACT HEALTH OUTCOMES. THE REPORT CONTINUED TO RAISE AWARENESS ABOUT HEALTH-RELATED SOCIAL NEEDS, WELL-BEING AND QUALITY OF LIFE; HEALTH DISPARITIES; AND, VULNERABLE POPULATIONS. ACHIEVING HEALTH EQUITY THE ATTAINMENT OF THE HIGHEST LEVEL OF HEALTH FOR ALL PEOPLE STARTS WITH ASKING THE APPROPRIATE QUESTIONS RELATIVE TO DETERMINANTS OF HEALTH AND HOW THEY DISPROPORTIONATELY AFFECT CERTAIN GROUPS OF PEOPLE; NEXT STEPS INVOLVE ADDRESSING THE CONDITIONS THAT PREVENT THE REALIZATION OF GOOD HEALTH FOR THESE VULNERABLE OR MARGINALIZED GROUPS. THROUGH EXAMINATION OF THE INFLUENCE OF DETERMINANTS OF HEALTH, IT IS POSSIBLE TO DEVELOP STRATEGIES THAT ELIMINATE PERSISTENT AND PERVASIVE HEALTH DISPARITIES, PROMOTE HEALTH EQUITY, IMPROVE HEALTH OUTCOMES AND REDUCE FINANCIAL COST. |
| MIDDLESEX HOSPITAL | PART V, SECTION B, LINE 5: IN COMPLETING ITS MOST RECENT (2019) COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), MIDDLESEX HOSPITAL TOOK INTO ACCOUNT INPUT FROM REPRESENTATIVES OF ITS COMMUNITY SERVED, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. A COMMUNITY HEALTH NEEDS ASSESSMENT ADVISORY COMMITTEE WAS FORMED TO PROVIDE INPUT AND GUIDANCE THROUGHOUT THE PROCESS, INCLUDING REVIEW OF THE STUDY'S COMPONENTS; REVIEW AND INPUT ON THE KEY INFORMANT SURVEY; ASSISTANCE WITH SERVICE AREA-WIDE KEY INFORMANT SURVEY DISSEMINATION; REVIEW AND INPUT ON COMMUNITY RESOURCES AND ASSETS; AND FINAL STUDY REVIEW. THE ADVISORY COMMITTEE WAS COMPRISED OF STAKEHOLDERS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING LOCAL HEALTH DEPARTMENTS, HEALTH CARE ORGANIZATIONS (INCLUDING MEDICAL AND BEHAVIORAL), COMMUNITY BASED ORGANIZATIONS, SCHOOLS, MUNICIPALITIES, FOUNDATIONS, ADVOCACY GROUPS, FAITH-BASED ORGANIZATIONS AND PUBLIC SAFETY. AN EFFORT WAS MADE TO ENSURE THAT MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS WERE REPRESENTED (SEE CHNA REPORT, APPENDIX - TABLE A1 - WHICH SETS FORTH REPRESENTED SECTORS/COMMUNITIES). TO CAPTURE BROAD COMMUNITY INPUT ON HEALTH NEEDS, SOCIAL DETERMINANTS OF HEALTH AND HEALTH EQUITY, MIDDLESEX HOSPITAL ADMINISTERED ITS KEY INFORMANT SURVEY THROUGH THE ONLINE SURVEYMONKEY FORMAT. A FOCUS ON SOCIAL DETERMINANTS OF HEALTH AND HEALTH EQUITY REMAINED AS INTEGRAL SECTIONS OF THE 2019 SURVEY. THE 14 QUESTION SURVEY WAS ADMINISTERED THROUGH THE ONLINE SURVEYMONKEY FORMAT AND INCLUDED TWO SEPARATE AND DISTINCT URLS FOR THE COMMUNITY AND MIDDLESEX HOSPITAL STAFF. SURVEYING STAFF WAS INCLUDED, AS THEY LIVE AND WORK IN THE HOSPITAL'S SERVICE AREA. THE SURVEYS WERE OPEN FOR COMPLETION FOR A FOUR WEEK TIME PERIOD. THE COMMUNITY E-SURVEY WAS EXTENSIVELY DISSEMINATED TO AN ARRAY OF SECTOR CONTACTS IN MIDDLETOWN, MIDDLESEX COUNTY AND THE PERIPHERY TOWNS OF MIDDLESEX HOSPITAL'S PRIMARY SERVICE AREA IN ORDER TO ENSURE RESPONSES FROM A WIDE RANGE OF REPRESENTATIVE COMMUNITY MEMBERS AND LEADERS WITH DIVERSE BACKGROUNDS, PERSPECTIVES AND FIRST-HAND KNOWLEDGE ABOUT THEIR COMMUNITIES. SECTORS INCLUDED ADVOCACY GROUPS, ALLIANCES/COALITIONS, THE BUSINESS COMMUNITY, EDUCATIONAL INSTITUTIONS, COMMUNITY BASED ORGANIZATIONS, COMMUNITY RESIDENTS, ELECTED OFFICIALS, FAITH-BASED ORGANIZATIONS, FOUNDATIONS, HEALTH CARE ORGANIZATIONS (INCLUDING MEDICAL AND BEHAVIORAL), LOCAL HEALTH DEPARTMENTS, MENTAL HEALTH ORGANIZATIONS, PRIMARY CARE/FAMILY MEDICINE PRACTICES, PUBLIC SAFETY ORGANIZATIONS (POLICE, FIRE, EMERGENCY MANAGEMENT), SOCIAL SERVICES, SUBSTANCE TREATMENT FACILITIES, AND YOUTH AND FAMILY SERVICES. COMMUNITY HEALTH NEEDS ASSESSMENT ADVISORY COMMITTEE MEMBERS WERE ASKED TO BROADLY SHARE THE COMMUNITY SURVEY LINK, AND ALL SURVEY RECIPIENTS WERE INVITED TO SHARE THE LINK WITH CO-WORKERS/COLLEAGUES, FRIENDS AND FAMILY OR ANYONE WHO LIVES OR WORKS IN MIDDLESEX COUNTY. THE SPECIFIC MIDDLESEX HOSPITAL E-SURVEY WAS SENT TO LEADERSHIP E-DISTRIBUTION LISTS (EXECUTIVE STAFF, DIRECTORS, MANAGERS, SUPERVISORS) WITH A REQUEST TO SHARE THE EXPLANATION OF PURPOSE AND SURVEY URL WITH INDIVIDUAL DEPARTMENTAL STAFF E-DISTRIBUTION LISTS. A TOTAL OF 427 SURVEYS WERE COMPLETED, WITH 239 COMPLETED BY THE COMMUNITY AND 188 COMPLETED BY MIDDLESEX HOSPITAL STAFF. THE COMMUNITY AND MIDDLESEX HOSPITAL RESPONSE RESULTS WERE ANALYZED SEPARATELY AND INCLUDED THROUGHOUT THE CHNA. |
| MIDDLESEX HOSPITAL | PART V, SECTION B, LINE 7D: MIDDLESEX HOSPITAL POSTED ITS MOST RECENTLY COMPLETED CHNA (2019) ON ITS WEB-SITE (HTTPS://MIDDLESEXHEALTH.ORG/MIDDLESEX-AND-THE-COMMUNITY/SERVING-OUR-COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT) AND ELECTRONICALLY DISTRIBUTED IT THROUGH THE FOLLOWING DISSEMINATION CHANNELS: THE CHNA ADVISORY COMMITTEE; KEY INFORMANT COMMUNITY PARTNERS; COMMUNITY MEMBERS; AND EXISTING HOSPITAL-COMMUNITY BASED PARTNERSHIP DISTRIBUTION LISTS. RECIPIENTS WERE ENCOURAGED TO WIDELY SHARE THE ASSESSMENT. ELECTRONIC COPIES WERE ALSO DISTRIBUTED TO MIDDLESEX HOSPITAL LEADERSHIP, MANAGEMENT STAFF, MEDICAL STAFF, BOARD OF DIRECTORS, AND STAFF THROUGH INCLUSION IN MIDDLESEX HOSPITAL'S WEEKLY ELECTRONIC NEWSLETTER. HARD COPIES OF THE CHNA WERE HANDED OUT AT THE MIDDLESEX HEALTH CHNA IMPLEMENTATION STRATEGY COMMUNITY CONVERSATION (HELD ON JANUARY 28, 2020) AND WILL CONTINUE TO BE PROVIDED UPON REQUEST. |
| MIDDLESEX HOSPITAL | PART V, SECTION B, LINE 11: MIDDLESEX HOSPITAL COMPLETED ITS LAST COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2019, AND ITS CHNA IMPLEMENTATION STRATEGY WAS APPROVED BY MIDDLESEX HEALTH'S GOVERNING BODY ON FEBRUARY 7, 2020. TO ASSIST MIDDLESEX HEALTH IN PRIORITIZING THE SIGNIFICANT HEALTH AND HEALTH-RELATED NEEDS IDENTIFIED IN ITS MOST RECENTLY COMPLETED CHNA, A FACILITATED COMMUNITY CONVERSATION WAS HELD. THE COMMUNITY CONVERSATION FORMAT WAS SELECTED AS IT PROVIDES A PRACTICAL, PURPOSEFUL AND INTERACTIVE APPROACH. THE INVITATION TO THE EVENT WAS WIDELY DISSEMINATED TO AN ARRAY OF CONTACTS IN MIDDLETOWN, MIDDLESEX COUNTY AND THE PERIPHERY TOWNS OF MIDDLESEX HEALTH'S PRIMARY SERVICE AREA TO ENSURE PARTICIPATION BY COMMUNITY LEADERS, STAKEHOLDERS AND COMMUNITY MEMBERS WITH DIVERSE BACKGROUNDS, PERSPECTIVES AND FIRST-HAND KNOWLEDGE ABOUT THEIR COMMUNITIES. ATTENDEES REPRESENTED VARIOUS SECTORS INCLUDING ADVOCACY GROUPS, ALLIANCES/COALITIONS, EDUCATIONAL INSTITUTIONS, COMMUNITY BASED ORGANIZATIONS, COMMUNITY RESIDENTS, ELECTED OFFICIALS, FAITH-BASED ORGANIZATIONS, HEALTH CARE ORGANIZATIONS (INCLUDING MEDICAL AND BEHAVIORAL), LOCAL HEALTH DEPARTMENTS, MUNICIPAL AGENCIES, PUBLIC SAFETY ORGANIZATIONS (POLICE, EMERGENCY MANAGEMENT), SOCIAL SERVICES, STATE AGENCIES AND YOUTH AND FAMILY SERVICES. FACILITATORS WITH EXPERTISE IN COMMUNITY CONVERSATIONS LED THE ATTENDEES IN A PRIORITIZATION EXERCISE AND A DISCUSSION OF POTENTIAL STRATEGIES AND SOLUTIONS. PARTICIPANTS WERE ASKED TO CONSIDER THE IMPACTS OF SOCIAL DETERMINANTS OF HEALTH AND HEALTH DISPARITIES WHEN REVIEWING EACH HEALTH ISSUE. ONCE THE RANKING PROCESS WAS COMPLETED, THE RESULTS WERE TALLIED AND FIVE PRIORITY AREAS WERE DETERMINED. THE RESULTS OF THE COMMUNITY CONVERSATION SERVED AS A GUIDE FOR MIDDLESEX HEALTH'S SELECTION OF PRIORITY AREAS FOR ITS CHNA IMPLEMENTATION STRATEGY. THROUGH THIS PROCESS, THE FOLLOWING HEALTH TOPICS WERE SELECTED AS AREAS OF FOCUS FOR THE IMPLEMENTATION STRATEGY: 1) HEALTHY WEIGHT / OBESITY / DIABETES PREVENTION; 2) MENTAL HEALTH ADVERSE CHILDHOOD EXPERIENCES; 3) SUBSTANCE USE DISORDER OPIOIDS; AND 4) CANCER, WITH SOCIAL DETERMINANTS OF HEALTH AND HEALTH EQUITY AS ESSENTIAL COMPONENTS FOR EACH HEALTH AREA. WITH REGARD TO NEEDS THAT ARE NOT BEING ADDRESSED, MIDDLESEX HOSPITAL RECOGNIZES THAT IT CANNOT FOCUS ON EVERY HEALTH AND SOCIAL NEED IDENTIFIED IN ITS PREVIOUSLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT AND IS THEREFORE COMMITTED TO ALLOCATING RESOURCES AND IN-KIND TIME TO THE HIGHEST AREAS OF IDENTIFIED NEED AND/OR AREAS WITH GREATEST POTENTIAL FOR IMPACT AND FEASIBILITY (THE SELECTED PRIORITY AREAS). RESOURCE CONSTRAINTS PREVENT THE HOSPITAL FROM ADDRESSING EVERY NEED, AND IN MANY CASES, OTHER LOCAL COMMUNITY BASED ORGANIZATIONS MAY BE BETTER SUITED TO TAKE A LEADERSHIP ROLE IN IMPROVING CERTAIN HEALTH OUTCOMES. AS WITH OUR PREVIOUS COMMUNITY HEALTH NEEDS ASSESSMENTS, THE HOSPITAL WILL CONTINUE TO BE A WILLING PARTNER, WHEN ABLE, FOR INITIATIVES NOT RELATED TO ITS SELECTED CHNA IMPLEMENTATION STRATEGY PRIORITY AREAS.IN FY21, MIDDLESEX HOSPITAL'S COMMUNITY HEALTH AND WELL-BEING BASED WORK CONTINUED TO FOCUS ON THE COVID-19 PANDEMIC AND RESPOND TO COMMUNITY LEVEL NEEDS. NEW COVID-19 INITIATIVES IN FY21 INCLUDED A VACCINE EQUITY CAMPAIGN. TO ALIGN WITH ITS COMMUNITY HEALTH NEEDS ASSESSMENT FOCUS ON ADVANCING HEALTH EQUITY BY ADDRESSING THE ROOT CAUSES OF HEALTH DISPARITIES, MIDDLESEX HOSPITAL HAS ADOPTED A COLLABORATIVE PHILOSOPHY FOR ITS COMMUNITY HEALTH AND WELL-BEING VISION, IN FY21 MIDDLESEX HOSPITAL SECURED $1,046,133 IN GRANT FUNDING AND CONTINUATION FUNDING FOR COMMUNITY-LED PROGRAMS DEVELOPED TO IN SUPPORT OF STRATEGIC, PLACE-BASED PARTNERSHIPS. HEALTH SYSTEMS ARE ANCHOR INSTITUTIONS IN THEIR SERVICE AREAS. BY SUPPORTING ONGOING COMMUNITY INITIATIVES, MIDDLESEX HOSPITAL IS ENSURING THAT ITS COMMUNITY BENEFIT PROGRAMS MEET COMMUNITY NEEDS, AS DEFINED BY COMMUNITY INPUT AND VOICE. BY INFUSING 100% OF THIS GRANT MONEY INTO THE COMMUNITY AND CREATING COMMUNITY-BASED JOBS, MIDDLESEX HOSPITAL IS HELPING TO ADVANCE EQUITABLE AND INCLUSIVE ECONOMIC DEVELOPMENT STRATEGIES IN MEANINGFUL WAYS; THIS IS IMPORTANT BECAUSE SOCIOECONOMIC STATUS AND RELATED FACTORS, SUCH AS EMPLOYMENT, ARE DRIVERS OF HEALTH. THESE GRANTS, WRITTEN BY MIDDLESEX HOSPITAL AND SECURED IN PARTNERSHIP, HAVE UNDERWRITTEN MULTIPLE COMMUNITY-BASED PROGRAMS THAT FOCUS ON ADDRESSING SYSTEMIC BARRIERS THAT BLACK, INDIGENOUS, AND PEOPLE OF COLOR (BIPOC) AND LATINO/A/X INDIVIDUALS EXPERIENCE WITH ACCESS TO QUALITY HEALTH CARE SERVICES. EACH PROGRAM HAS BEEN DESIGNED, IMPLEMENTED AND LED BY BIPOC OR LATINO/A/X COMMUNITY LEADERS AND COMMUNITY MEMBERS WHO KNOW THE NEEDS OF AND SOLUTIONS FOR THEIR COMMUNITIES BEST. IN ADDITION TO PROVIDING SUPPORT FOR GRANT WRITING, BUDGET PREPARATION, PROGRAM DESIGN, PROGRAM IMPLEMENTATION, PROGRAM EVALUATION AND GRANT REPORTING, MIDDLESEX HEALTH IS AN ACTIVE PARTNER WITH THE ORGANIZATIONS OVERSEEING THE PROGRAMS. GRANT DOLLARS SECURED BY MIDDLESEX HOSPITAL HAVE FUNDED: COVID-19 CRISIS COUNSELORS; COVID-19 TRUSTED MESSENGERS; BEHAVIORAL HEALTH CRISIS COUNSELORS; RECOVERY COACHES; DOULA AND COMMUNITY HEALTH WORKERS; AN ORAL HEALTH COMMUNITY HEALTH WORKER; GENERALIST COMMUNITY HEALTH WORKERS; COVID-19 EMERGENCY FUNDING; COVID-19 WELLNESS KITS; A LATINX FOCUS GROUP STUDY; AND AN ADULT AND FAMILY-ORIENTED EDUCATIONAL SERIES. THESE GRANTS HAVE CREATED APPROXIMATELY 18 FULL-TIME EQUIVALENT POSITIONS FOR BIPOC AND LATINO/A/X INDIVIDUALS AND HAVE ENABLED MIDDLESEX HOSPITAL TO BE A COLLABORATIVE PARTNER THAT SUPPORTS SHARED GOALS OF ADVANCING HEALTH EQUITY.(CONTINUED AT END OF SECTION) |
| MIDDLESEX HOSPITAL | PART V, SECTION B, LINE 13H: MIDDLESEX HOSPITAL'S SLIDING SCALE OUTLINES THE FACTORS THAT IT USES TO DETERMINE FINANCIAL ASSISTANCE DETERMINATIONS: THE FEDERAL POVERTY INCOME GUIDELINES AND NUMBER OF PERSONS IN HOUSEHOLD. |
| PART V, SECTION B, LINE 7A: | HTTPS://MIDDLESEXHEALTH.ORG/MIDDLESEX-AND-THE-COMMUNITY/SERVING-OUR-COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT |
| PART V, SECTION B, LINE 10A: | HTTPS://MIDDLESEXHEALTH.ORG/MIDDLESEX-AND-THE-COMMUNITY/SERVING-OUR-COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT |
| PART V, SECTION B, LINE 16A, FAP WEBSITE: | HTTPS://MIDDLESEXHEALTH.ORG/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE-SERVICES |
| PART V, SECTION B, LINE 16B, FAP APPLICATION WEBSITE: | HTTPS://MIDDLESEXHEALTH.ORG/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE-SERVICES |
| PART V, SECTION B, LINE 16C, FAP PLAIN LANGUANCE SUMMARY WEBSITE: | HTTPS://MIDDLESEXHEALTH.ORG/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE-SERVICES |
| PART V, SECTION B, LINE 11 (CONTINUED): | OF THE TOTAL $1,046,133 IN NEW OR CONTINUATION GRANT DOLLARS SECURED AND AWARDED TO COMMUNITY PARTNERS BASED ON GRANT PROPOSALS WRITTEN BY MIDDLESEX HOSPITAL, $665,358 WAS FOR COVID-19 RELATED INITIATIVES AND $380,775 WAS FOR OTHER HEALTH EQUITY PROJECTS. FUNDING SECURED FOR THE COVID-19 RELATED INITIATIVES INCLUDE: 1) COACH 2 CRISIS COUNSELOR PROGRAM: ADMINISTERED BY THE MINISTERIAL HEALTH FELLOWSHIP AND FUNDED BY THE STATE OF CONNECTICUT DEPARTMENT OF MENTAL HEALTH AND ADDICTION SERVICES (DMHAS) BY WAY OF THE FEDERAL FEMA PROGRAM, WHERE CRISIS COUNSELORS ARE DEPLOYED THROUGHOUT THE STATE OF CONNECTICUT TO PROVIDE INDIVIDUAL CRISIS COUNSELING; EDUCATION; ASSESSMENT, REFERRAL AND LINKAGE TO NEEDED COMMUNITY SUPPORTS AND RESOURCES IN RESPONSE TO THE PANDEMIC. THE TARGET POPULATION FOR THIS INITIATIVE WAS PEOPLE OF COLOR WHO WOULD BENEFIT FROM THESE SERVICES AND WERE LINKED TO CHURCHES OR COMMUNITIES IN THE TARGET GEOGRAPHIC LOCATIONS. ADDITIONAL CRISIS COUNSELOR DUTIES INCLUDED ASSISTING WITH COVID-19 VACCINE CAMPAIGNS ONCE THE VACCINE WAS MADE AVAILABLE TO THE PUBLIC AND ADDRESSING VACCINE CONFIDENCE CONCERNS WITHIN BIPOC COMMUNITIES. DURING THE CRISIS COUNSELOR ORIENTATIONS, MIDDLESEX HOSPITAL PROVIDED IN-DEPTH TRAINING ON COVID-19, INCLUDING MODULES ON PREVENTION, SAFETY, VACCINE AND MESSAGING; 2) THE COVID-19 TRUSTED MESSENGERS PROGRAM: ADMINISTERED BY THE MINISTERIAL HEALTH FELLOWSHIP AND FUNDED BY THE CONNECTICUT HEALTH FOUNDATION. THE GOAL OF THE TRUSTED MESSENGER MODEL WAS FOR TRUSTED MESSENGERS WHO LIVE, WORK AND WORSHIP IN THE COMMUNITIES THEY SERVE TO PROVIDE CULTURALLY-SENSITIVE COVID-19 SAFETY INFORMATION AND VACCINE EDUCATION IN A SUPPORTIVE ENVIRONMENT TO BIPOC COMMUNITY MEMBERS. THE INTENT OF THIS MODEL IS TO MITIGATE A WIDENING OF THE DISPROPORTIONATE IMPACT OF COVID-19 ON COMMUNITIES OF COLOR. PARTNERING WITH THE FAITH COMMUNITY IS INTEGRAL TO BUILDING TRUST, AS BLACK AND LATINX CHURCHES HAVE BEEN ENGAGED IN HEALTH MINISTRIES FOR DECADES, WITH CONGREGANTS AND COMMUNITY MEMBERS LOOKING TO THEIR HOUSES OF WORSHIP NOT ONLY AS PLACES OF HEALING AND REFUGE, BUT AS TRUSTED CHANNELS FOR RELIABLE HEALTH INFORMATION; 3) VACCINE EQUITY PARTNERSHIP PROGRAM OVERSEEN BY THE CITY OF MIDDLETOWN DEPARTMENT OF HEALTH AND THE MINISTERIAL HEALTH FELLOWSHIP. MIDDLETOWN WAS ONE OF 27 MUNICIPALITIES TO RECEIVE FEDERAL STIMULUS FUNDING THROUGH THE CONNECTICUT DEPARTMENT OF HEALTH FOR THIS PROGRAM. FOCUSING ON VACCINE EQUITY IS AN IMPORTANT HEALTH EQUITY INITIATIVE. EARLY VACCINE DATA IN CONNECTICUT INDICATED DISPARITIES IN COVID-19 VACCINATION IN COMMUNITIES OF COLOR AND VULNERABLE POPULATIONS THROUGHOUT CONNECTICUT. THESE DISPARITIES UNDERSCORED AN URGENCY TO ADDRESS INEQUITIES AND CLOSE THE VACCINE COVERAGE GAP FOR COMMUNITIES OF COLOR AND VULNERABLE POPULATIONS. MIDDLETOWN'S VACCINE EQUITY PARTNERSHIP PROGRAM FOCUSED ON ENSURING THAT COVID-19 VACCINES REACHED BIPOC AND LATINO/A/X INDIVIDUALS BY MEETING PEOPLE WHERE THEY LIVE AND ENGAGING WITH PEOPLE THEY TRUST. THE MIDDLETOWN PROJECT USED "COVID-19 TRUSTED MESSENGERS" FROM THE MIDDLETOWN COMMUNITY, WHO REACHED OUT TO INDIVIDUALS TO ADDRESS COVID-19 VACCINE CONCERNS, ANSWER QUESTIONS, AND TO BREAK DOWN BARRIERS TO COVID-19 VACCINE ACCESS. THE COVID-19 TRUSTED MESSENGERS CANVASSED LOCAL NEIGHBORHOODS, PROVIDED CULTURALLY-SENSITIVE COVID-19 VACCINE EDUCATION AND RESOURCES IN A SUPPORTIVE, NON-JUDGMENTAL WAY, PROVIDED INFORMATION ABOUT COVID-19 VACCINE CLINICS, REGISTERED PEOPLE FOR COVID-19 VACCINATION APPOINTMENTS, AND STAFFED THE WEEKLY MIDDLETOWN HEALTH DEPARTMENT AND MINISTERIAL HEALTH FELLOWSHIP WEEKLY COVID-19 VACCINE CLINIC AT CROSS STREET AME ZION CHURCH IN MIDDLETOWN; 4) COVID-19 WELLNESS PACKAGES, OVERSEEN BY THE MINISTERIAL HEALTH FELLOWSHIP, WHERE OVER 1,000 COVID-19 WELLNESS PACKAGES WERE PREPARED AND DISTRIBUTED TO COMMUNITY MEMBERS WITH AN ADDITIONAL FOCUS ON BIPOC COMMUNITY INDIVIDUALS. MIDDLESEX HOSPITAL ALSO DEVELOPED CULTURALLY-SENSITIVE COVID-19 EDUCATIONAL MATERIALS FOR COVID-19 PREVENTION, SAFETY AND THE VACCINE - WHICH ALSO ADDRESSED COVID-19 VACCINE MYTHS AND MISINFORMATION. THE EDUCATIONAL INFORMATION PRODUCED BY MIDDLESEX HOSPITAL WAS ALSO USED FOR THE COVID-19 CRISIS COUNSELOR PROGRAM AND COVID-19 TRUSTED MESSENGERS PROGRAM DESCRIBED ABOVE; 5) ACCESS TO HEALTH SERVICES AND ADDRESSING COVID-19 HEALTH DISPARITIES AMONG HIGH-RISK AND UNDERSERVED POPULATIONS, A CDC GRANT FUNDED PROGRAM BY WAY OF CT'S OFFICE OF HEALTH STRATEGY AND OVERSEEN BY THE MINISTERIAL HEALTH FELLOWSHIP. COVID-19 HAS DISPROPORTIONATELY AFFECTED POPULATIONS AT GREATER RISK AND THOSE WHO ARE MEDICALLY UNDERSERVED, INCLUDING SPECIFIC RACIAL AND ETHNIC GROUPS WHO ARE AT HIGHER RISK OF EXPOSURE, INFECTION, HOSPITALIZATION, AND MORTALITY. THIS INITIATIVE LEVERAGES CURRENT RESPONSE EFFORTS TO MEET SPECIFIC EQUITY GOALS BY REMOVING PHYSICAL, SOCIAL AND LINGUISTIC ACCESS BARRIERS, AND EMPLOYS A COMMUNITY HEALTH WORKER AND DOULA TO DELIVER MITIGATION ASSISTANCE AND ONGOING SOCIAL SUPPORTS AND RESOURCES DURING THE RECOVERY PHASE TO AT-RISK RESIDENTS. THIS PROGRAM IS ALSO IN PARTNERSHIP WITH THE GREATER MIDDLETOWN AREA HEALTH ENHANCEMENT COMMUNITY. FUNDING SECURED FOR THE NON-COVID-19 RELATED INITIATIVES INCLUDE (BUT ARE NOT LIMITED TO): 1) PREGNANT WITH POSSIBILITIES (PWP), WHICH IS FUNDED BY CT OFFICE OF HEALTH STRATEGY (BY WAY OF THE NATIONAL OFFICE OF MINORITY HEALTH) AND OVERSEEN BY THE MINISTERIAL HEALTH FELLOWSHIP THROUGH THE GREATER MIDDLETOWN AREA HEALTH ENHANCEMENT COMMUNITY. PWP IS A COMMUNITY-BASED PROGRAM THAT PROVIDES DOULA/COMMUNITY HEALTH WORKER (CHW) SERVICES IN ORDER TO ADDRESS THE SIGNIFICANT DISPARITIES IN PREGNANCY AND BIRTH OUTCOMES AMONG BIPOC AND LATINX PERSONS AND THEIR BABIES. PWP PROVIDES PROFESSIONALS WHO ARE TRAINED AND CERTIFIED AS DOULAS, AND SOON TO BE TRAINED AND CERTIFIED AS CHWS. THE DOULA/CHWS SUPPORT PARTICIPANTS BEFORE, DURING AND UP TO ONE YEAR AFTER DELIVERY. DOULA/CHW SUPPORT IS ALSO PROVIDED IN SPANISH. COLLABORATING PARTNERS INCLUDE MIDDLESEX HEALTH; THE COMMUNITY HEALTH CENTER, AND OTHER COMMUNITY BASED AGENCIES; 2) CONTINUATION FUNDING FOR THE "HOW CAN WE HELP?" PROGRAM OVERSEEN BY THE MINISTERIAL HEALTH FELLOWSHIP, A DMHAS-FUNDED OPIOID RISK-REDUCTION PROGRAM FOR GREATER MIDDLETOWN THAT PROVIDES RECOVERY SUPPORT SERVICES TO PEOPLE WHO ARE ACTIVELY USING OPIOIDS; HAVE HAD OR ARE AT RISK OF AN OPIOID OVERDOSE; ARE IN/WANT TO REMAIN IN RECOVERY; ARE STRUGGLING WITH OTHER SUBSTANCE USE. SUPPORT SERVICES ARE ALSO PROVIDED TO FAMILIES, LOVED ONES AND FRIENDS OF THOSE STRUGGLING WITH AN OPIOID USE DISORDER OR OTHER SUBSTANCE USE DISORDERS. RECOVERY COACHES PROVIDE ONE-ON-ONE SUPPORT AND COACHING TO HELP INDIVIDUALS LIVE HEALTHY LIVES; THIS INCLUDES EDUCATION AND CONNECTION TO NEEDED TREATMENT, RECOVERY SUPPORT SERVICES, SOCIAL SERVICES AND OTHER RESOURCES; 3) ORAL HEALTH PROGRAM, FUNDED BY CAREQUEST, IS OVERSEEN BY THE MINISTERIAL HEALTH FELLOWSHIP, ADDRESSES THE PERSISTENT DISPARITIES IN ORAL HEALTH THAT EXIST FOR BIPOC INDIVIDUALS. THIS PROGRAM UTILIZES A COMMUNITY HEALTH WORKER (CHW) WITHIN A FAITH-BASED ENVIRONMENT TO: BROADLY ADVOCATE FOR SYSTEMS-CHANGE FOR IMPROVED ACCESS TO ORAL CARE IN CONNECTICUT, THEREBY REDUCING ORAL HEALTH DISPARITIES AND IMPROVING ORAL HEALTH; AND, PROVIDE BIPOC INDIVIDUALS AND THEIR FAMILIES (IN THE SERVICE AREA FOR THIS PROJECT) ORAL HEALTH EDUCATION AND CONNECTION TO SERVICES THAT IMPROVE ORAL HEALTH OUTCOMES, AND PROMOTE SELF- AND COMMUNITY-ADVOCACY FOR IMPROVED ACCESS TO QUALITY ORAL CARE IN CONNECTICUT; 4) MIDDLESEX COUNTY NAACP HEALTH COMMITTEE LATINX FOCUS GROUP STUDY (PHASE 2) DESIGNED TO: GAIN AN UNDERSTANDING OF THE LIVED EXPERIENCES OF THE LATINX COMMUNITY WITHIN THE SYSTEMS THAT CONTRIBUTE TO THEIR HEALTH OUTCOMES; TO BETTER UNDERSTAND THE MOST SALIENT SOCIAL DETERMINANTS OF HEALTH AND OTHER DRIVERS THAT NEGATIVELY IMPACT HEALTH OUTCOMES FOR LATINX RESIDENTS; STRENGTHEN THE CONNECTION BETWEEN LATINX RESIDENTS, THE HEALTH SYSTEM AND COMMUNITY SERVICE ORGANIZATIONS; AND, ULTIMATELY CREATE SYSTEMS CHANGES TO ADVANCE HEALTH EQUITY; 5) MIDDLESEX COUNTY NAACP HEALTH COMMITTEE ADULT AND YOUTH HEALTH & WELL-BEING SERIES, FUNDED BY THE COMMUNITY FOUNDATION OF MIDDLESEX COUNTY, SEEKS TO IMPROVE THE HEALTH STATUS OF PEOPLE OF COLOR IN MIDDLESEX COUNTY BY ADDRESSING EXISTING HEALTH DISPARITIES. BASED ON HEALTH CONCERNS AND CONTRIBUTORS AMONG PEOPLE OF COLOR, IDENTIFIED BY THE PHASE 1 MIDDLESEX COUNTY NAACP HEALTH EQUITY FOCUS GROUP REPORT, THIS PROGRAM OFFERS A SERIES OF INTERACTIVE HEALTH EDUCATION AND DISCUSSION SESSIONS FOR ADULTS AND MONTHLY HEALTH EDUCATION SESSIONS WITH AN ACCOMPANYING ART PROJECT FOR ELEMENTARY SCHOOL-AGED CHILDREN AND THEIR CAREGIVERS. |
| PART V, SECTION B, LINE 20A: | WRITTEN NOTICE ABOUT UPCOMING ECAS WAS NOT REQUIRED BECAUSE THE ORGANIZATION DID NOT PURSUE ANY EXTRAORDINARY COLLECTION ACTION'S DURING THE YEAR. IF AN ECA WAS PURSUED IN THE FUTURE, PROPER NOTICE WOULD BE GIVEN. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 - MIDDLESEX HOSPITAL HOMECARE | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 770 SAYBROOK ROAD | AddressLine1Txt |
| City | MIDDLETOWN | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06457 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | HOMECARE SERVICES, REHAB, HEART HEALTH, OTHER SERVICES | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | IN GENERAL, MIDDLESEX HOSPITAL ("THE HOSPITAL") USES FPG TO DETERMINE ELIGIBILITY. THERE ARE, HOWEVER, SPECIAL CIRCUMSTANCES (SUCH AS A CATASTROPHIC EVENT) WHICH MAY AFFECT A PATIENT'S ABILITY TO PAY. IN THIS CASE, THE HOSPITAL EVALUATES THE APPLICATION WITH CONSIDERATION GIVEN TO THE PATIENT'S CURRENT SITUATION. WITH SPECIAL CIRCUMSTANCES, IN ORDER TO MAXIMIZE THE AMOUNT OF FINANCIAL ASSISTANCE DISCOUNT, 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. |
| PART I, LINE 7: | FOR PART 1, LINE 7 SECTIONS (A) FINANCIAL ASSISTANCE AT COST, (B) MEDICAID, (C) COSTS OF OTHER MEANS-TESTED GOVERNMENT PROGRAMS, PORTIONS OF (F) HEALTH PROFESSIONS EDUCATION, AND (G) SUBSIDIZED HEALTH SERVICES, THE COSTING METHODOLOGY USED IS A HYBRID COST ACCOUNTING/MEDICARE COST-TO-CHARGE RATIO CALCULATION. THE PERCENTAGES ARE DERIVED FROM THE MOST CURRENT MEDICARE COST REPORT AND APPLIED BY CHARGE LINE APPROPRIATELY. INDIRECT COSTS WERE APPLIED TO SUBSIDIZED HEALTH SERVICES. THE MEDICARE COST REPORT DOES NOT ADDRESS ALL AREAS OF THE HOSPITAL IN THE SAME DETAIL, BUT DOES ACCURATELY ADDRESS INPATIENT AND OUTPATIENT, HOMECARE AND TO AN EXTENT PHYSICIAN SERVICES. SECTIONS (E) COMMUNITY HEALTH IMPROVEMENT; PORTIONS OF (F) HEALTH PROFESSIONS EDUCATION, (H) RESEARCH, AND (I) CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS ARE COMPRISED (EXCEPT FOR CASH DONATIONS AND IN-KIND MATERIAL DONATIONS) OF 1) SUPPLY EXPENSES; 2) PURCHASED SERVICES; AND 3) THE DIRECT SALARY COSTS FOR HOSPITAL STAFF WHOSE TIME WAS COMPENSATED BY THE HOSPITAL FOR TIME SPENT PARTICIPATING IN ACTIVITIES THAT QUALIFY AS COMMUNITY BENEFITS PLUS THE CURRENT FISCAL YEAR FRINGE BENEFIT RATE. IN ADDITION TO SUBSIDIZED SERVICES, INDIRECT COSTS WERE APPLIED TO A SMALL SELECTION OF SALARIES AND SERVICES UNDER COMMUNITY HEALTH IMPROVEMENT, RESEARCH, AND COMMUNITY BENEFIT OPERATIONS, BUT NOT BROADLY ACROSS ALL COMMUNITY BENEFIT ACTIVITY ENTRIES. |
| PART I, LINE 7G: | MIDDLESEX HOSPITAL INCLUDES ITS FAMILY MEDICINE GROUP AS A SUBSIDIZED SERVICE. FOR FY21, 7,527 UNIQUE INDIVIDUALS WERE SERVED WITH A TOTAL HOSPITAL SUBSIDY OF $1,642,678 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 HEALTH PROFESSIONAL SHORTAGE AREAS (HPSAS) FOR PRIMARY CARE (MIDDLETOWN SERVICE AREA; LOW INCOME POPULATION), MENTAL HEALTH (MIDDLESEX COUNTY; HIGH NEED GEOGRAPHIC) AND DENTAL HEALTH (CENTRAL MIDDLETOWN; LOW INCOME POPULATION). MIDDLESEX HOSPITAL'S FAMILY MEDICINE GROUP FILLS A VITAL COMMUNITY HEALTH NEED BY PROVIDING ACCESS TO PRIMARY CARE SERVICES. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | THE MAJORITY OF MIDDLESEX HOSPITAL'S COMMUNITY BASED HEALTH IMPROVEMENT WORK IS CAPTURED UNDER COMMUNITY BENEFIT CATEGORIES. THE HOSPITAL'S PARTICIPATION IN COMMUNITY BUILDING ACTIVITIES, HOWEVER, HAS A VITAL ROLE IN CONTINUING TO PROMOTE THE HEALTH, WELL-BEING AND SAFETY FOR RESIDENTS IN ITS SERVICE AREA. THE HOSPITAL OFFERS ITS RESOURCES AND EXPERTISE TO SUPPORT AND STRENGTHEN COMMUNITY ASSETS IN A VARIETY OF WAYS THAT FALL UNDER THE SCOPE OF COMMUNITY BUILDING. STAFF MEMBERS PARTICIPATE IN MULTIPLE 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.THE CRITICAL ROLE OF THE NOT-FOR-PROFIT HOSPITAL AS A SAFETY NET AND ANCHOR HEALTHCARE INSTITUTION HAS NEVER BEEN MORE APPARENT THAN DURING THE COVID-19 PANDEMIC THAT COMMENCED IN THE UNITED STATES IN THE EARLY MONTHS OF 2020 AND HAS CONTINUED THROUGH 2021 WITH NEW COVID-19 VARIANTS EMERGING AND CONTINUING TO CAUSE SURGES IN THE HEALTHCARE SYSTEM. CONTINUING TO RESPOND TO THE COVID-19 PANDEMIC IN ORDER TO TREAT ITS COVID-19 PATIENTS AND ALL ITS OTHER PATIENTS NEEDING MEDICAL CARE CONTINUED TO BE AN EXTENSIVE UNDERTAKING FOR HOSPITALS AND HEALTHCARE SYSTEMS, AND WAS NO DIFFERENT FOR MIDDLESEX HOSPITAL IN FY21. IN ORDER TO CONTINUE TO RESPOND TO THE COVID-19 PUBLIC HEALTH EMERGENCY AND ADDRESS THE ONGOING COVID-19 NEEDS OF THE COMMUNITY WHILE MAINTAINING COVID-19 SAFETY PROTOCOLS WITHIN THE HOSPITAL'S WALLS AND PURVIEW, IN FY21 MIDDLESEX HOSPITAL MAINTAINED ITS COVID-19 COMMAND CENTER UNDER THE LEADERSHIP OF ITS ENVIRONMENTAL SAFETY & EMERGENCY PREPAREDNESS DEPARTMENT. THIS DISASTER PREPAREDNESS AND RESPONSE STRUCTURE ALLOWED THE HOSPITAL TO CONTINUE TO 1) TREAT THE COVID-19 PATIENTS WHO CAME TO THE HOSPITAL AND 2) KEEP ITS NON-COVID-19 PATIENTS SAFE FROM THE VIRUS. MIDDLESEX HOSPITAL COMMAND CENTER ACTIVITIES IN FY21, WHICH REPRESENT SIGNIFICANT STAFF TIME, INCLUDED (BUT ARE NOT LIMITED TO): 1) ONGOING COORDINATION AND PLANNING WITH MUNICIPALITIES, HEALTH DIRECTORS IN THE HOSPITAL'S SERVICE AREA, COMMUNITY BASED ORGANIZATIONS, AND STATE LEVEL EMERGENCY RESPONSE TEAMS; 2) SIGNIFICANT PLANNING FOR COMMUNITY-BASED COVID-19 VACCINE CLINIC ROLL-OUT; 3) SUPPLY CHAIN MANAGEMENT AND MONITORING; 4) MAINTAINING AND UPDATING, WHEN NECESSARY, COVID-19 SPECIFIC POLICIES AND PROTOCOLS; 5) PROVIDING SUPPORT, EXPERT CONSULTATION AND RESOURCES BOTH INTERNALLY AND EXTERNALLY; 6) TRACKING AND REPORTING COVID-19 CENSUS DATA TO THE CONNECTICUT HOSPITAL ASSOCIATION, STATE OF CONNECTICUT AND FEDERAL AGENCIES; 7) PATIENT SURGE PLANNING; AND 8) MANY OTHER VITAL FUNCTIONS RELATED TO COVID-19 MANAGEMENT. IN FY21, THE HOSPITAL'S COSTS ASSOCIATED WITH COVID-19 ADMINISTRATIVE LEADERSHIP AND ITS COMMAND CENTER TOTALLED $1,256,251. NO OFFSETTING GRANT DOLLARS FOR ADMINISTRATIVE COSTS ASSOCIATED WITH COVID-19 WERE RECEIVED IN FY21. WHILE MIDDLESEX HEALTH RECEIVED REIMBURSEMENT FOR ITS COMMUNITY-BASED COVID-19 VACCINE CLINICS IN FY21, IT IS IMPORTANT TO NOTE THE NUMBERS SERVED BY MIDDLESEX HEALTH'S ABILITY TO RAPIDLY PREPARE FOR AND ADMINISTER COVID-19 VACCINES TO COMMUNITY MEMBERS ONCE THE VACCINES BECAME AVAILABLE. IN FY21, MIDDLESEX HEALTH ADMINISTERED VACCINES TO 21,413 COMMUNITY MEMBERS (41,238 DOSES). |
| PART III, LINE 2: | THE BAD DEBT EXPENSE AMOUNT IN PART III, LINE 2 IS BASED ON CHARGES AND TIED TO THE HOSPITAL'S AUDITED FINANCIAL STATEMENTS. THE HOSPITAL ACCOUNTS FOR DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS IN DETERMINING BAD DEBT EXPENSE BY REDUCING BAD DEBT BY RECOVERIES ON THE HOSPITAL'S FINANCIALS. |
| PART III, LINE 3: | THE HOSPITAL ESTIMATES THAT 10% OF ITS BAD DEBT EXPENSE IS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. THE HOSPITAL HAS A WELL-ESTABLISHED PROCESS WITH ITS THIRD PARTY AGENCIES TO CAPTURE AS MANY PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE AS POSSIBLE AND AWARDS FINANCIAL ASSISTANCE TO THOSE PATIENTS IN COLLECTIONS WHO ARE KNOWN TO QUALIFY. ONCE IN COLLECTIONS, THERE ARE TWO METHODS WHICH ENABLE PATIENTS TO RECEIVE FINANCIAL ASSISTANCE AWARDS: 1) PATIENTS EITHER COMPLETE A FINANCIAL ASSISTANCE APPLICATION, MEET ELIGIBILITY CRITERIA AND ARE APPROVED; OR 2) THE THIRD PARTY ORGANIZATIONS THAT WORK ON BEHALF OF THE HOSPITAL TO COLLECT BALANCES SCREEN FOR FINANCIAL ASSISTANCE ELIGIBILITY. IN ORDER TO ENSURE THAT ALL PATIENTS IN COLLECTIONS ARE AWARE OF FINANCIAL ASSISTANCE AVAILABILITY, THE HOSPITAL REQUIRES THIRD PARTY ORGANIZATIONS TO FOLLOW THE HOSPITAL'S POLICIES REGARDING PATIENT NOTIFICATION ABOUT THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. WITHIN THE POLICY THERE IS A PROVISION WHEREBY COLLECTION AGENCIES, USING GUIDELINES SET FORTH BY THE HOSPITAL, ASSIST THE HOSPITAL IN IDENTIFYING PATIENTS WHO DO NOT HAVE A MEANS TO PAY FOR SERVICES AND THEREFORE QUALIFY FOR THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM WHILE THESE PATIENTS HAVE NOT GONE THROUGH THE FORMAL APPLICATION PROCESS, THEY MEET THE ELIGIBILITY GUIDELINES FOR FINANCIAL ASSISTANCE AS DEFINED BY THE HOSPITAL. THESE PATIENTS ARE THEN TRANSFERRED AND INCLUDED UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE UMBRELLA. WHILE THIS PROCESS CAPTURES THE MAJORITY OF THOSE WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE, THE HOSPITAL RECOGNIZES IT WILL STILL HAVE A POPULATION OF PATIENTS WHO COULD POTENTIALLY QUALIFY FOR FINANCIAL ASSISTANCE AND DO NOT RECEIVE AWARDS THOSE WHO ARE UNCOOPERATIVE, UNRESPONSIVE OR HAVE MOVED AWAY. 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. |
| PART III, LINE 4: | 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 NET PATIENT REVENUE PROVISION FOR BAD DEBTS NET OF RECOVERIES. PAGE 16 OF THE MIDDLESEX HEALTH SYSTEM'S CONSOLIDATED FY21 AUDITED FINANCIAL STATEMENT STATES: THE SYSTEM DETERMINES ITS ESTIMATE OF IMPLICIT PRICE CONCESSIONS BASED ON ITS HISTORICAL COLLECTION EXPERIENCE FROM THAT CATEGORY OF PAYOR. |
| PART III, LINE 8: | THE MEDICARE COST REPORT IS THE COSTING METHODOLOGY SYSTEM USED TO DETERMINE THE AMOUNT REPORTED ON PART III, LINES 5 AND 6. THE HOSPITAL UTILIZES WORKSHEET 6 FOUND IN THE FORM 990 INSTRUCTIONS FOR SCHEDULE H TO CALCULATE ITS SUBSIDIZED SERVICES. THE INSTRUCTIONS STATE THAT "THE FINANCIAL LOSS IS MEASURED AFTER REMOVING LOSSES, MEASURED BY COST, ASSOCIATED WITH BAD DEBT, CHARITY CARE, MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS". GIVEN THAT WORKSHEET 6 DOESN'T SUGGEST REMOVING LOSSES ASSOCIATED WITH MEDICARE, A PORTION OF MEDICARE IS INCLUDED IN THE HOSPITAL'S SUBSIDIZED SERVICE CALCULATIONS. SO AS NOT TO DOUBLE COUNT MEDICARE VALUES IN PART III, SECTION B, LINES 5 AND 6, THE PORTION OF MEDICARE SHORTFALL INCLUDED IN OUR SUBSIDIZED SERVICES CALCULATIONS HAS BEEN SUBTRACTED FROM THE MEDICARE REVENUE AND COSTS DERIVED FROM THE MEDICARE COST REPORT. THE VALUES INDICATED IN PART III, LINES 5 AND 6 ARE THEREFORE WHAT REMAINS AFTER THE MEDICARE REVENUE AND COSTS INCLUDED IN THE SUBSIDIZED SERVICES CALCULATIONS HAS BEEN SUBTRACTED OUT. GIVEN THIS, THE RESULTING VALUES (PART III, LINES 5, 6 AND 7) WOULD NEED TO BE COMBINED WITH THE MEDICARE REVENUE/COSTS INCLUDED IN OUR SUBSIDIZED SERVICES TO GET THE FULL OVERVIEW OF MEDICARE REVENUE, COSTS AND ANY REMAINING SHORTFALL OR SURPLUS. WE AGREE WITH THE CURRENT SUBSIDIZED SERVICES CALCULATION METHODOLOGY THAT ALLOWS THE INCLUSION OF MEDICARE DOLLARS AS THE MEDICARE POPULATION COMPRISES AN IMPORTANT SEGMENT OF THOSE RECEIVING SUBSIDIZED SERVICES CARE. 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 RESULTS. THIS OPEN ACCESS FOR MEDICARE PATIENTS PROMOTES ACCESS TO CARE, A FUNDAMENTAL TENET OF THE HOSPITAL'S COMMUNITY BENEFIT PROGRAM.THERE REMAINS A DISPROPORTIONATE PERCENTAGE OF OLDER ADULTS IN MIDDLESEX COUNTY WHEN COMPARED TO STATE AVERAGES. MIDDLESEX HOPSPITAL'S MOST RECENTLY COMPLETED (2019) COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOUND THAT, WHEN EXTRACTING THE AGE 65+ POPULATION, MIDDLESEX COUNTY (18.4%) EXCEEDS CONNECTICUT (16.0%), (CONNECTICUT DATA COLLABORATIVE, 2013-2017) AND THE MAJORITY OF THE TOWNS IN MIDDLESEX HEALTH'S SERVICE AREA CONTINUE TO HAVE A GREATER CONCENTRATION OF OLDER ADULTS WHEN COMPARED TO CONNECTICUT. THE TOWNS OF COLCHESTER, MIDDLETOWN AND EAST HAMPTON FALL BELOW THE STATE AVERAGE OF 16.0%. MARLBOROUGH, EAST HADDAM, AND DURHAM ARE ON PAR WITH THE STATE AVERAGE, WHILE MIDDLEFIELD, CROMWELL, CLINTON, DEEP RIVER, HADDAM, PORTLAND, KILLINGWORTH, WESTBROOK, CHESTER, OLD SAYBROOK, OLD LYME, ESSEX AND LYME CONSIDERABLY EXCEED THE STATE AVERAGE WITH A RANGE OF 18.5%-32.4% AGE 65+ (CONNECTICUT DATA COLLABORATIVE, 2013-2017). THE TREND OF A DISPROPORTIONATELY HIGHER 65+ OLDER ADULT POPULATION IN THE MAJORITY OF TOWNS IN MIDDLESEX HEALTH'S SERVICE AREA WHEN COMPARED TO THE STATE AVERAGE CONTINUES TO BE EVIDENT FOR POPULATION PROJECTIONS FOR 2020, 2030, AND 2040. FOR 2020, EXCLUDING MIDDLETOWN AND COLCHESTER (AT 14.3% AND 15.2%), THE EXPECTED GROWTH FOR AGE 65+ RANGES FROM 17.3% TO 30.0% IN THE REMAINING SEVENTEEN TOWNS IN MIDDLESEX HEALTH'S SERVICE AREA COMPARED TO 16.1% FOR CONNECTICUT. FOR 2030, EXCLUDING MIDDLETOWN (AT 14.9%), THE EXPECTED GROWTH FOR AGE 65+ RANGES FROM 19.5% TO 34.9% FOR THE REMAINING EIGHTEEN TOWNS IN MIDDLESEX HEALTH'S SERVICE AREA COMPARED TO 17.9% FOR CONNECTICUT. FOR 2040, EXCLUDING MIDDLETOWN (AT 13.9%), THE EXPECTED GROWTH FOR AGE 65+ RANGES FROM 18.5% TO 36.4% IN THE REMAINING EIGHTEEN TOWNS IN MIDDLESEX HEALTH'S SERVICE AREA COMPARED TO 17.3% FOR CONNECTICUT (CONNECTICUT STATE DATA CENTER, 2015-2040 PROJECTIONS). AS MIDDLESEX COUNTY HAS A DISPROPORTIONATE LEVEL OF COMMUNITY MEMBERS AGE 65+ 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 RELY HEAVILY 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. |
| PART III, LINE 9B: | MIDDLESEX HOSPITAL HAS A WRITTEN DEBT COLLECTION POLICY. THE POLICY STATES THAT PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE WILL BE RESPONSIBLE FOR PAYING ANY BALANCE REMAINING AFTER THE FINANCIAL ASSISTANCE ALLOWANCE HAS BEEN APPLIED (THAT IS, IF 100% FINANCIAL ASSISTANCE 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 FINANCIAL ASSISTANCE 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. 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 FINANCIAL ASSISTANCE AWARD HAS BEEN APPLIED. IN ORDER TO CAPTURE THE PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE, THE HOSPITAL HAS PROVISIONS IN ITS COLLECTION POLICY. IN THE CASE WHERE PATIENTS WHO WOULD QUALIFY FOR FINANCIAL ASSISTANCE DO NOT COMPLETE A FINANCIAL ASSISTANCE APPLICATION AND ARE PLACED INTO COLLECTIONS, THE THIRD PARTY ORGANIZATIONS THAT WORK ON BEHALF OF THE HOSPITAL TO COLLECT BALANCES SCREEN FOR FINANCIAL ASSISTANCE ELIGIBILITY. THE THIRD PARTY ORGANIZATIONS FOLLOW HOSPITAL POLICY BY ALERTING ALL PATIENTS IN COLLECTIONS TO THE AVAILABILITY OF THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. WITHIN THE HOSPITAL'S COLLECTION POLICY THERE IS A PROVISION WHEREBY COLLECTION AGENCIES, USING GUIDELINES SET FORTH BY THE HOSPITAL, ASSIST THE HOSPITAL IN IDENTIFYING PATIENTS WHO DO NOT HAVE A MEANS TO PAY FOR SERVICES AND THEREFORE QUALIFY FOR THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM WHILE THESE PATIENTS HAVE NOT GONE THROUGH THE FORMAL APPLICATION PROCESS, THEY MEET THE ELIGIBILITY GUIDELINES FOR FINANCIAL ASSISTANCE AS DEFINED BY THE HOSPITAL. THESE PATIENTS ARE THEN TRANSFERRED AND INCLUDED UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE UMBRELLA. THIS PROCESS WAS PUT IN PLACE BY THE HOSPITAL IN ORDER TO CAPTURE AS MANY PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE AS POSSIBLE. |
| PART VI, LINE 2: | SINCE THE INCEPTION OF MIDDLESEX HEALTH'S COMMUNITY BENEFIT POLICY IN 2007, AND PRIOR TO THE MANDATE OF THE AFFORDABLE CARE ACT, CONDUCTING A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN ORDER TO PRIORITIZE SPECIFIC COMMUNITY BENEFIT INITIATIVES HAS BEEN A CORE ELEMENT OF THE HOSPITAL'S COMMUNITY BENEFIT PROGRAM. IN ADDITION TO COMPLETING A CHNA, THE HOSPITAL ASSESSES THE NEEDS OF THE COMMUNITIES IT SERVICES ON AN ON-GOING BASIS THROUGH A VARIETY OF METHODS. EXAMPLES INCLUDE UNDERSTANDING THE LOCAL AND STATE-WIDE NEEDS DERIVED FROM: 1) PARTICIPATION IN COMMUNITY HEALTHCARE COALITIONS AND BOARDS, WHICH INCLUDE STRATEGIC PLANNING THAT IS RESPONSIVE TO COMMUNITY NEED; 2) PARTICIPATION IN THE LEADERSHIP TEAM OF THE GREATER MIDDLETOWN HEALTH ENHANCEMENT COMMUNITY (GMHEC), A PLACE-BASED INITIATIVE THAT SUPPORTS LONG-TERM, COLLABORATIVE, AND CROSS-SECTOR EFFORTS TO IMPROVE COMMUNITY HEALTH AND WELL-BEING THROUGH BROAD, SYSTEMIC CHANGE BY BUILDING HEALTHY AND EQUITABLE COMMUNITIES THAT ACTIVELY WORK TOGETHER TO PREVENT THE DEVELOPMENT OF DISEASE; 3) PARTICIPATION IN THE STATE'S HOSPITAL ASSOCIATION POPULATION AND COMMUNITY HEALTH INITIATIVES BASED ON STATE-WIDE AND LOCAL COMMUNITY HEALTH ISSUES; 4) ANY REAL-TIME COMMUNITY BASED INPUT, FEED-BACK, RECOMMENDATIONS AND SUGGESTIONS; AND 5) CONTINUOUS ASSESSMENT AND ADJUSTMENTS, WHEN NECESSARY, OF THE HOSPITAL'S COMMUNITY BENEFIT PROGRAMS THROUGH SURVEYS AND PATIENT/PARTICIPANT FEED-BACK. HAVING A STRONG PRESENCE IN COMMUNITY COALITIONS AND PARTNERSHIPS, IN ADDITION TO BEING RESPONSIVE TO THE NEEDS EXPRESSED BY OUR COMMUNITY RESIDENTS, ALLOWS MIDDLESEX HOSPITAL TO CONTINUALLY ASSESS THE HEALTHCARE NEEDS OF OUR COMMUNITY IN BETWEEN COMMUNITY HEALTH NEEDS ASSESSMENT CYCLES. |
| PART VI, LINE 3: | 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 AT 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 DATABASE 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 FINANCIAL ASSISTANCE BROCHURE THAT AIDS PATIENTS IN THE PROCESS, ANSWERS KEY QUESTIONS AND PROVIDES EASY ACCESS FOR HELP (AVAILABLE AT MULTIPLE HOSPITAL DEPARTMENTS AND LOCATIONS, INCLUDING KIOSKS AT EVERY HOSPITAL ENTRY POINT); 2) A SEPARATE AND DISTINCT FINANCIAL ASSISTANCE SERVICES SECTION ON THE HOSPITAL'S WEB-SITE (HTTPS://MIDDLESEXHEALTH.ORG/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE-SERVICES) WHICH INCLUDES APPLICATION, INSTRUCTIONS, AND SLIDING SCALE; 3) INCLUSION OF FINANCIAL ASSISTANCE INFORMATION IN THE HOSPITAL'S INPATIENT ADMISSIONS BOOKLET; 4) NOTICE OF THE PROGRAM AND FINANCIAL COUNSELOR CONTACT INFORMATION ON EVERY BILLING STATEMENT; 5) NOTIFICATION AT DISCHARGE; AND 6) 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. THE HOSPITAL'S SOCIAL WORKERS ALSO ASSIST PATIENTS WITH COMPLETION OF HOSPITAL FINANCIAL ASSISTANCE APPLICATIONS AS WELL AS MEDICAID/STATE APPLICATIONS. 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 A COMPREHENSIVE COMMUNICATIONS STRATEGY FOR INCREASING AWARENESS FOR FINANCIAL ASSISTANCE. IN FY21, MIDDLESEX HOSPITAL GRANTED $2,301,326 IN FINANCIAL ASSISTANCE TO 1,276 UNIQUE RECIPIENTS AND ABSORBED $29,755,083 IN UNPAID COSTS OF MEDICAID (TOTAL OF MEDICAID INCLUDING MANAGED CARE AND LIA), SERVING 20,745 INDIVIDUALS. |
| PART VI, LINE 4: | 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 24 MUNICIPALITIES, INCLUDING THE 15 TOWNS OF MIDDLESEX COUNTY. MIDDLESEX HOSPITAL HEALTH'S SERVICE AREA INCLUDES TWENTY-FOUR MUNICIPALITIES. THERE ARE NINETEEN TOWNS IN ITS PRIMARY SERVICE AREA: CHESTER, CLINTON, CROMWELL, DEEP RIVER, DURHAM, EAST HADDAM, EAST HAMPTON, ESSEX, HADDAM, KILLINGWORTH, MIDDLEFIELD, MIDDLETOWN, OLD SAYBROOK, PORTLAND, AND WESTBROOK (THE FIFTEEN TOWNS OF MIDDLESEX COUNTY) AND COLCHESTER, LYME, MARLBOROUGH AND OLD LYME; AND, FIVE TOWNS IN ITS SECONDARY SERVICE AREA: GUILFORD, HEBRON, MADISON, MERIDEN, AND ROCKY HILL. BY LAND AREA, MIDDLESEX COUNTY (369 SQUARE MILES) IS THE SMALLEST COUNTY OF THE EIGHT COUNTIES IN CONNECTICUT, AND IS THE SIXTH IN POPULATION SIZE (CONNECTICUT DATA COLLABORATIVE, 2017). MUNICIPALITY SIZES BY LAND MASS VARY THROUGHOUT THE COUNTY, FROM 54 SQUARE MILES (EAST HADDAM) TO 10 SQUARE MILES (ESSEX), WITH MIDDLETOWN HAVING 41 SQUARE MILES OF LAND AREA. THE CITY OF MIDDLETOWN (ZIP CODE 06457) IS CENTRALLY LOCATED 16 MILES SOUTH OF HARTFORD. THE POPULATION IN MIDDLETOWN IS ECONOMICALLY AND RACIALLY/ETHNICALLY MORE DIVERSE WHEN COMPARED TO OTHER MUNICIPALITIES IN MIDDLESEX COUNTY AND IS ONE OF THE FEW COMMUNITIES IN CONNECTICUT TO INCLUDE URBAN, SUBURBAN, AND RURAL CHARACTERISTICS. THE DATA THAT FOLLOWS IS PER MIDDLESEX HEALTH'S MOST RECENTLY COMPLETED COMMUNITY HEALTH NEEDS ASSESSMENT (2019). OF THE TOTAL STATE OF CONNECTICUT POPULATION (3,588,184), 4.6% (163,410) RESIDE IN MIDDLESEX COUNTY. WITH A POPULATION OF 46,478 (CONNECTICUT DATA COLLABORATIVE, 2017), MIDDLETOWN IS THE LARGEST MUNICIPALITY IN MIDDLESEX COUNTY. THE REMAINING TOWNS IN MIDDLESEX HEALTH'S PRIMARY SERVICE AREA FALL INTO THREE POPULATION RANGES: COLCHESTER, CROMWELL, CLINTON, EAST HAMPTON AND OLD SAYBROOK HAVE POPULATIONS BETWEEN 10,000 AND 16,100; PORTLAND, EAST HADDAM, HADDAM, OLD LYME, DURHAM, WESTBROOK, ESSEX, KILLINGWORTH, AND MARLBOROUGH HAVE POPULATIONS BETWEEN 5,000 AND 9,999; AND CHESTER, DEEP RIVER, MIDDLEFIELD, AND LYME HAVE POPULATIONS LESS THAN 5,000. THE CONNECTICUT OFFICE OF RURAL HEALTH (CT-ORH) DEFINES RURAL AS ALL TOWNS WITH A POPULATION CENSUS OF 10,000 OR LESS AND A POPULATION DENSITY OF 500 OR LESS PEOPLE PER SQUARE MILE. BASED ON THIS METRIC, THE TOWNS OF CHESTER, DEEP RIVER, DURHAM, EAST HADDAM, HADDAM, KILLINGWORTH, LYME, MARLBOROUGH, MIDDLEFIELD, OLD LYME, PORTLAND, AND WESTBROOK ARE CONSIDERED RURAL.FOR THE AGE DISTRIBUTIONS, MIDDLESEX COUNTY IS BELOW STATE AVERAGES IN THE 0-44 AGE CATEGORIES AND HAS A HIGHER PERCENTAGE OF RESIDENTS IN THE 45-54, 55-64, 65-74, 75-84, AND 85+ AGE RANGES WHEN COMPARED TO THE STATE. WHEN EXTRACTING AGE 65+, MIDDLESEX COUNTY (18.4%) EXCEEDS CONNECTICUT (16.0%), AND THE MAJORITY OF THE TOWNS IN MIDDLESEX HEALTH'S SERVICE AREA CONTINUE TO HAVE A GREATER CONCENTRATION OF OLDER ADULTS WHEN COMPARED TO CONNECTICUT. THE TOWNS OF COLCHESTER, MIDDLETOWN AND EAST HAMPTON FALL BELOW THE STATE AVERAGE OF 16.0%. MARLBOROUGH, EAST HADDAM, AND DURHAM ARE ON PAR WITH THE STATE AVERAGE, WHILE MIDDLEFIELD, CROMWELL, CLINTON, DEEP RIVER, HADDAM, PORTLAND, KILLINGWORTH, WESTBROOK, CHESTER, OLD SAYBROOK, OLD LYME, ESSEX AND LYME CONSIDERABLY EXCEED THE STATE AVERAGE WITH A RANGE OF 18.5%-32.4% AGE 65+ (CONNECTICUT DATA COLLABORATIVE, 2013-2017).MIDDLETOWN HAS A MORE DIVERSE DEMOGRAPHIC RELATIVE TO THE OTHER TOWNS IN MIDDLESEX COUNTY AND RESEMBLES CONNECTICUT EXCEPT IN THE HISPANIC OR LATINO CATEGORY, WHERE MIDDLETOWN HAS A SMALLER POPULATION. MIDDLESEX COUNTY'S RACE AND HISPANIC OR LATINO ORIGIN COMPOSITION IS 83.7% WHITE, NON-HISPANIC; 5.5% BLACK OR AFRICAN AMERICAN, NON-HISPANIC; 6.4% HISPANIC OR LATINO; 3.2% ASIAN, NON-HISPANIC; 2.1% TWO OR MORE RACES, NON-HISPANIC (U.S. CENSUS QUICK FACTS 2017; VINTAGE 2018 POPULATION ESTIMATES PROGRAM). MIDDLETOWN'S RACE AND HISPANIC OR LATINO ORIGIN COMPOSITION IS 69.5%% WHITE, NON-HISPANIC; 13.6% BLACK OR AFRICAN AMERICAN, NON-HISPANIC; 9.2% HISPANIC OR LATINO; 5.6% ASIAN, NON-HISPANIC; 2.9% TWO OR MORE RACES, NON-HISPANIC (U.S. CENSUS QUICK FACTS 2017; VINTAGE 2018 POPULATION ESTIMATES PROGRAM).THE MEDIAN HOUSEHOLD INCOME IN MIDDLESEX COUNTY ($81,673) IS HIGHER THAN THE STATE OF CONNECTICUT AVERAGE ($73,781) [CONNECTICUT DATA COLLABORATIVE, 2017]. THERE IS A SIGNIFICANT RANGE BETWEEN THE TOWNS IN MIDDLESEX COUNTY, WITH MIDDLETOWN AT THE LOWER BOUND ($63,914) AND DURHAM AT THE HIGHEST LEVEL ($116,232) [CONNECTICUT DATA COLLABORATIVE, 2017]. THERE ARE SIGNIFICANT MEDIAN HOUSEHOLD INCOME DISPARITIES AMONG THE BLACK OR AFRICAN AMERICAN ALONE ($44,554 FOR MIDDLETOWN AND $47,642 FOR MIDDLESEX COUNTY) AND HISPANIC OR LATINO POPULATIONS ($47,313 FOR MIDDLETOWN AND $71,131 FOR MIDDLESEX COUNTY) WHEN COMPARED TO WHITE ALONE NOT HISPANIC OR LATINO ($69,509 FOR MIDDLETOWN AND $84,402 FOR MIDDLESEX COUNTY) [CONNECTICUT DATA COLLABORATIVE, 2013-2017]. FOR POVERTY STATUS, MIDDLETOWN'S TOTAL (11.3%) AND UNDER 18 (15.5%) POVERTY RATES EXCEED CONNECTICUT'S RATE OF 10.1% AND 13.5% RESPECTIVELY (CONNECTICUT DATA COLLABORATIVE, 2013-2017), WITH THE TOWNS OF CLINTON, COLCHESTER, CROMWELL, DEEP RIVER, MIDDLEFIELD AND PORTLAND EXPERIENCING INCREASED POVERTY STATUS FOR THE UNDER 18 CATEGORY RELATIVE TO THE OTHER TOWNS IN MIDDLESEX HOSPITAL'S SERVICE AREA. TOTAL AND UNDER 18 POVERTY RATES ARE SIGNIFICANTLY MORE PRONOUNCED AMONG THE BLACK OR AFRICAN AMERICAN ALONE (TOTAL: 20.3% FOR MIDDLETOWN AND 17.8% FOR MIDDLESEX COUNTY & UNDER 18: 30.0% FOR MIDDLETOWN AND 26.9% FOR MIDDLESEX COUNTY) AND HISPANIC OR LATINO POPULATIONS (TOTAL: 25.1% FOR MIDDLETOWN AND 17.4% FOR MIDDLESEX COUNTY & UNDER 18: 27.9% FOR MIDDLETOWN AND 23.0% FOR MIDDLESEX COUNTY) WHEN COMPARED TO WHITE ALONE NOT HISPANIC OR LATINO (TOTAL: 8.0% FOR MIDDLETOWN AND 5.9% FOR MIDDLESEX COUNTY & UNDER 18: 10.0% FOR MIDDLETOWN AND 5.6% FOR MIDDLESEX COUNTY) [CONNECTICUT DATA COLLABORATIVE, 2013-2017].THE EDUCATIONAL ATTAINMENT FOR MIDDLESEX COUNTY MIRRORS CONNECTICUT, EXCEPT IN THE OUTER BOUNDS (PERCENT OF NO HIGH SCHOOL DIPLOMA AND PERCENT OF BACHELOR'S DEGREE OR HIGHER) FOR MIDDLESEX COUNTY WHICH INDICATE SOMEWHAT BETTER RATES WHEN BENCHMARKED AGAINST CONNECTICUT (AMERICAN COMMUNITY SURVEY (ACS) 5-YEAR; DATAHAVEN ANALYSIS 2017). THE UNEMPLOYMENT RATES FOR THE TOWNS IN MIDDLESEX HEATH'S SERVICE AREA ARE LOWER THAN CONNECTICUT'S AVERAGE OF 4.1% (CONNECTICUT DATA COLLABORATIVE, 2018), EXCEPT FOR MIDDLETOWN, WHICH MIRRORS THE STATE RATE. WHILE THE MAJORITY OF TOWNS IN MIDDLESEX HEALTH'S SERVICE AREA EXPERIENCE A LOWER HOUSING COST-BURDEN RATE (HOUSEHOLDS THAT SPEND AT LEAST 30% OF THEIR ANNUAL HOUSEHOLD INCOME ON HOUSING COSTS) WHEN COMPARED TO CONNECTICUT (40.7%), THE PERCENTAGE OF HOUSEHOLDS IN THE TOWNS THAT ARE COST-BURDENED IS HIGH, RANGING FROM 26.9% - 35.8%. THE TOWNS OF MIDDLETOWN AND WESTBROOK COMPARE TO CONNECTICUT, WHILE CLINTON, LYME, DEEP RIVER AND OLD SAYBROOK EXCEED THE STATE AVERAGE WITH A RANGE OF 43.3% - 47.9% EXPERIENCING HOUSING COST-BURDEN (CONNECTICUT DATA COLLABORATIVE, 2013-2017).ALL TOWNS IN MIDDLESEX HEALTH'S SERVICE AREA HAVE A LOWER UNINSURED RATE WHEN COMPARED TO CONNECTICUT (6.4%), EXCEPT CLINTON (8.1%), DEEP RIVER (8.1%) AND WESTBROOK (6.9%). DEEP RIVER IS THE ONLY TOWN IN MIDDLESEX HEALTH'S SERVICE AREA THAT HAS A SLIGHTLY LOWER PRIVATE INSURANCE RATE WHEN COMPARED TO CONNECTICUT. ALL TOWNS IN MIDDLESEX HEALTH'S SERVICE AREA HAVE A LOWER PERCENTAGE OF PUBLIC HEALTH INSURANCE WHEN COMPARED TO CONNECTICUT (33.4%), EXCEPT OLD SAYBROOK (41.6%), LYME (40.1%), OLD LYME (37.2%), ESSEX (36.7%) AND CHESTER (35.3%), WHICH IS LIKELY DUE TO HIGHER MEDICARE ENROLLMENT GIVEN THE AGE DISTRIBUTION OF THOSE TOWNS (CONNECTICUT DATA COLLABORATIVE, 2013-2017).IN 2021, THE PERCENT OF HOSPITAL DISCHARGES FOR MEDICAID/SAGA/UNINSURED COMBINED WERE: 20% INPATIENT; 15% OUTPATIENT; 29% EMERGENCY DEPARTMENT NON-ADMISSION; AND, FOR THE FOLLOWING SERVICES: 38% NEWBORN; 48% INPATIENT PSYCHIATRY; 16% OUTPATIENT SURGERY AND 13% OTHER OUTPATIENT SERVICES. 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 A LACK OF ACCESS TO PRIMARY CARE SERVICES. |
| PART VI, LINE 5: | AS MIDDLESEX HOSPITAL IS A COMMUNITY HOSPITAL, INVOLVING COMMUNITY MEMBERS IN KEY FUNCTIONS HAS ALWAYS BEEN A PRIORITY. MIDDLESEX 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. MIDDLESEX 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 FY21 WAS $67,067,572 (EXCLUDING COMMUNITY BUILDING) WITH 65,214 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 THE AVAILABILITY OF 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. IN FY21, THE HOSPITAL'S COMMUNITY HEALTH IMPROVEMENT SERVICES SERVED 15,222 INDIVIDUALS AT A TOTAL COST OF $2,531,038 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 (MUA) EXPERIENCING A SHORTAGE OF SELECT HEALTH SERVICES WHICH INCLUDES 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/NON-CLINICAL EDUCATIONAL STUDENT TRAINING IN MULTIPLE FIELDS. IN FY21, THE HOSPITAL'S HEALTH PROFESSIONS EDUCATION CATEGORY SERVED 1,080 INDIVIDUALS AT A TOTAL COST OF $11,624,148 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 (FINANCIAL ASSISTANCE 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 INCLUDE FAMILY PRACTICE SERVICES, BEHAVIORAL HEALTH (INPATIENT AND OUTPATIENT), HOMECARE, PARAMEDICS, HOSPICE, CENTER FOR CHRONIC CARE MANAGEMENT DISEASE MANAGEMENT OUTPATIENT PROGRAMS (ADULT ASTHMA; CHILD ASTHMA; DIABETES EDUCATION AND DISEASE MANAGEMENT; MEDICAL NUTRITION THERAPY; SMOKING CESSATION; CHRONIC HEART FAILURE; AND CHILDHOOD WEIGHT MANAGEMENT); AMBULATORY INFUSION, CARDIAC REHAB, AND WOUND CARE. IN FY21 THE HOSPITAL'S SUBSIDIZED SERVICES SERVED 25,392 PEOPLE WITH A TOTAL COST OF $20,023,422 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. FOR FY21, THE HOSPITAL'S ASSOCIATED COSTS FOR ALL (NON-INDUSTRY) RESEARCH PROJECTS TOTALED $294,902 AND SERVED 160 INDIVIDUALS. FINANCIAL AND IN-KIND CONTRIBUTIONS: MIDDLESEX HOSPITAL SUPPORTS THE COMMUNITY IN THE FORM OF FINANCIAL AND IN-KIND CONTRIBUTIONS. 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 FY21 SUPPORT FOR FINANCIAL AND IN-KIND CONTRIBUTIONS TOTALED $404,622, SERVING 1,339 INDIVIDUALS. COMMUNITY BENEFIT OPERATIONS: COMMUNITY BENEFIT OPERATIONS INCLUDE ACTIVITIES AND COSTS ASSOCIATED WITH COMMUNITY BENEFIT STRATEGIC PLANNING, ADMINISTRATION, ANNUAL GOAL ATTAINMENT, AND COMMUNITY HEALTH NEEDS ASSESSMENT PRODUCTION AND IMPLEMENTATION. MIDDLESEX HOSPITAL HAS A DEDICATED DIRECTOR OF COMMUNITY BENEFIT AND A REPORTING STRUCTURE THAT OVERSEES COMMUNITY BENEFIT PLANNING AND OPERATIONS. OUTSIDE OF ON-GOING COMMUNITY BENEFIT ACTIVITIES, KEY COMPONENTS OF THE HOSPITAL'S COMMUNITY BENEFIT PROGRAM IS CONDUCTING A COMMUNITY HEALTH NEEDS ASSESSMENT AND DEVELOPING A CHNA IMPLEMENTATION STRATEGY EVERY THREE TAXABLE YEARS, ENSURING THAT THE CHNA IMPLEMENTATION STRATEGY GOALS ARE ADDRESSED THROUGH COLLABORATION WITH COMMUNITY PARTNERS, AND FOCUSING ON HEALTH EQUITY AND HEALTH-RELATED SOCIAL NEEDS. THE HOSPITAL'S FY21 COMMUNITY BENEFIT OPERATIONS EXPENSE TOTALED $133,031. |
| PART VI, LINE 6: | THE ORGANIZATION IS PART OF AN AFFILIATED HEALTH CARE SYSTEM. MIDDLESEX HEALTH IS A FULLY COMPREHENSIVE NETWORK OF EXPERT HEALTH CARE PROVIDERS THAT HAS CONVENIENT LOCATIONS THROUGHOUT CENTRAL CONNECTICUT AND THE SHORELINE. MEMBERS OF THE COMMUNITY ARE ALWAYS CLOSE TO CARE FOR EVERY FAMILY MEMBER AT EVERY AGE. MIDDLESEX HEALTH PROVIDES THE BEST CARE POSSIBLE FOR JUST ABOUT ALL YOUR HEALTH AND WELLNESS NEEDS.THE ORGANIZATIONS INCLUDED IN THE AFFILIATED HEALTH CARE SYSTEM ARE AS FOLLOWS:MIDDLESEX HOSPITAL - A NON-PROFIT, ACUTE CARE, COMMUNITY HOSPITAL IN MIDDLETOWN, CT.MIDDLESEX HEALTH SERVICES PROVIDED HIGH QUALITY ASSISTED LIVING SERVICES TO THE COMMUNITY THROUGH MAY 2021 AND CONTINUES TO SUPPORT THE MISSION OF THE HEALTH SYSTEM.MHS PRIMARY CARE - PROVIDES PATIENT-CENTERED COMPASSIONATE CARE TO ALL MEMBERS OF THE COMMUNITY.MIDDLESEX HOSPITAL FOUNDATION - SUPPORTS MIDDLESEX HOSPITAL.MIDDLESEX HEALTH SYSTEM - PARENT OF AND PROVIDES FUNDRAISING SERVICES FOR MIDDLESEX HOSPITAL. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | CT |
| PART VI, LINE 7, STATE FILING OF COMMUNITY BENEFIT REPORT: | 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 HEALTH STRATEGY. 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 HEALTH STRATEGY. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| MIDDLESEX CHAMBER OF COMMERCE | |||||||
| 393 MAIN STREET | MIDDLETOWN | CT | 06457 | 060452410 | 501(C)(3) | $60,000 | GENERAL SUPPORT |
| FRIENDS OF LONG HILL ESTATE | |||||||
| 421 WADSWORTH STREET | MIDDLETOWN | CT | 06457 | 061546991 | 501(C)(3) | $5,000 | GENERAL SUPPORT |
| CONNECTICUT STATE GOLF ASSOCIATION | |||||||
| 35 COLD SPRING ROAD SUITE 212 | ROCKY HILL | CT | 06067 | 222587856 | 501(C)(3) | $20,000 | GENERAL SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 3 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE PUBLIC RELATIONS DEPARTMENT HAS A POLICY REGARDING WHICH ORGANIZATIONS THEY ARE WILLING TO PARTNER WITH AND GIVE GRANTS OR ASSISTANCE. THEN ONCE THE GRANT OR ASSISTANCE IS AWARDED THE PUBLIC RELATIONS DEPARTMENT WORKS CLOSELY WITH EACH OF THE ORGANIZATIONS TO ENSURE THAT THE GRANT OR ASSISTANCE IS USED FOR THE INTENDED PURPOSES. THIS IS DONE BY CONTACT AND ATTENDANCE AT THE SPONSORED EVENTS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| VINCENT CAPECE JR | ||||||||||||||
| PRESIDENT/CEO | $821,279 | $0 | $300,000 | $0 | $275,088 | $0 | $279,024 | $0 | $32,502 | $0 | $1,707,893 | $0 | $251,670 | $0 |
| JESSE WAGNER MD | ||||||||||||||
| VP QUALITY AND PATIENT SAFETY | $511,030 | $0 | $123,500 | $0 | $59,585 | $0 | $88,874 | $0 | $33,102 | $0 | $816,091 | $0 | $50,738 | $0 |
| SUSAN MARTIN | ||||||||||||||
| VP FINANCE/TREASURER | $470,354 | $0 | $200,600 | $0 | $28,012 | $0 | $57,384 | $0 | $23,430 | $0 | $779,780 | $0 | $19,784 | $0 |
| EVAN JACKSON | ||||||||||||||
| VP STRATEGIC PLANNING AND CIO | $384,431 | $0 | $110,000 | $0 | $37,237 | $0 | $63,101 | $0 | $31,672 | $0 | $626,441 | $0 | $33,906 | $0 |
| THEODORE HARTENSTEIN | ||||||||||||||
| MEDICAL DIRECTOR, UTILIZATION MGMT | $531,580 | $0 | $32,250 | $0 | $312 | $0 | $18,421 | $0 | $42,811 | $0 | $625,374 | $0 | $0 | $0 |
| DAVID GIUFFRIDA | ||||||||||||||
| VP FACILITIES AND SUPPORT SERVICES | $351,338 | $0 | $81,500 | $0 | $39,444 | $0 | $67,610 | $0 | $13,988 | $0 | $553,880 | $0 | $34,455 | $0 |
| JONATHAN BANKOFF | ||||||||||||||
| CHAIRMAN EMERGENCY MEDICINE | $448,773 | $0 | $31,750 | $0 | $462 | $0 | $27,916 | $0 | $43,146 | $0 | $552,047 | $0 | $0 | $0 |
| JEFFREY SHELTON | ||||||||||||||
| CHAIRMAN DEPT PSYCH | $427,759 | $0 | $18,300 | $0 | $467 | $0 | $25,162 | $0 | $34,407 | $0 | $506,095 | $0 | $0 | $0 |
| BRIAN MCGUIRE | ||||||||||||||
| MEDICAL DIRECTOR ED | $326,522 | $0 | $103,426 | $0 | $467 | $0 | $29,918 | $0 | $33,549 | $0 | $493,882 | $0 | $0 | $0 |
| ALAN DOUGLASS | ||||||||||||||
| DIRECTOR FAMILY MED RESIDENCY PROG | $354,979 | $0 | $43,000 | $0 | $717 | $0 | $39,024 | $0 | $48,294 | $0 | $486,014 | $0 | $0 | $0 |
| DAVID COSENTINO | ||||||||||||||
| CHIEF MEDICAL INFORMATION OFFICER | $346,705 | $0 | $41,500 | $0 | $707 | $0 | $33,470 | $0 | $49,601 | $0 | $471,983 | $0 | $0 | $0 |
| JACQUELYN CALAMARI | ||||||||||||||
| VP PATIENT CARE SERVICES/CNO | $255,144 | $0 | $101,500 | $0 | $31,003 | $0 | $39,024 | $0 | $21,347 | $0 | $448,018 | $0 | $23,288 | $0 |
| TODD BISHOP | ||||||||||||||
| CHIEF DEPT OF MED | $367,148 | $0 | $56,527 | $0 | $312 | $0 | $0 | $0 | $19,500 | $0 | $443,487 | $0 | $0 | $0 |
| DONNA STRONESKI | ||||||||||||||
| VP HUMAN RESOURCES | $301,208 | $0 | $52,600 | $0 | $4,915 | $0 | $58,222 | $0 | $4,280 | $0 | $421,225 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | SOCIAL CLUB DUES - REPRESENTS A CORPORATE MEMBERSHIP AT A GOLF CLUB USED FOR VARIOUS BUSINESS PURPOSES. THE ASSOCIATED COST IS INCLUDED IN THE TAXABLE COMPENSATION OF THE EXECUTIVE STAFF MEMBER ACCORDING TO IRS RULES AND REGULATIONS. THIS BENEFIT WAS PROVIDED TO THE FOLLOWING INDIVIDUAL: VINCENT CAPECE |
| PART I, LINE 4B | THE FOLLOWING INDIVIDUALS RECEIVED COMPENSATION FROM A SERP, WHICH WAS INCLUDED IN PART II, COLUMN B(III) AND COLUMN F: VINCENT CAPECE = $251,670 SUSAN MARTIN = $19,784 JESSE WAGNER, MD = $50,738 DAVID GIUFFRIDA = $34,455 JACQUELYN CALAMARI = $23,288 EVAN JACKSON = $33,906 SERP CONTRIBUTIONS WERE MADE FOR THE FOLLOWING INDIVIDUALS AND ARE INCLUDED IN PART II, COLUMN C: VINCENT CAPECE = $240,000 SUSAN MARTIN = $18,360 JESSE WAGNER, MD = $49,850 DAVID GIUFFRIDA = $34,140 EVAN JACKSON = $38,070 DONNA STRONESKI = $29,240 |
| PART II, COLUMN (B)(II) - BONUS & INCENTIVE COMPENSATION: | THE AMOUNTS REPRESENT INCENTIVE COMPENSATION PAYMENTS MADE IN CALENDAR YEAR 2020. PAYMENTS INCLUDE AMOUNTS EARNED IN 2019 AND DEFERRED, WHERE APPLICABLE. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| CHEFA - SERIES O | ||||||||
| A | 060806186 | 20774YWD5 | 2015-05-19 | $19,491,965 | REFINANCE L BONDS | 0 | 0 | 0 |
| CHEFA - SERIES P | ||||||||
| B | 060806186 | 2016-06-10 | $9,683,000 | REFINANCE M BONDS | 0 | 0 | 0 | |
| CHEFA - SERIES Q | ||||||||
| C | 060806186 | 2017-11-21 | $9,069,272 | REFINANCE N BONDS | 0 | 0 | 0 | |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|
| A | $3,790,000 | $19,491,965 | $388,960 | $19,103,010 | 2015 | 0 | Yes (1) | Yes (1) | Yes (1) |
| B | $4,586,684 | $10,347,540 | $193,660 | $10,153,880 | 2016 | 0 | Yes (1) | Yes (1) | Yes (1) |
| C | $930,561 | $11,599,000 | $231,980 | $11,367,020 | 0 | Yes (1) | 0 | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| C | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
| C | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| DATE REBATE COMPUTATION PERFORMED | ISSUER NAME: CHEFA - SERIES O DATE THE REBATE COMPUTATION WAS PERFORMED: 05/19/2020 ISSUER NAME: CHEFA - SERIES P DATE THE REBATE COMPUTATION WAS PERFORMED: 06/10/2021 |
| SCHEDULE K, PART II, LINE 3: | SERIES P BONDS (COLUMN B) AND SERIES Q BONDS (COLUMN C) - THE DIFFERENCE BETWEEN THE ISSUE PRICE AND THE TOTAL PROCEEDS IS INVESTMENT EARNINGS. |
| SCHEDULE K, PART II, LINE 11: | THE AMOUNT INCLUDED IN PART II, LINE 11, OTHER SPENT PROCEEDS FOR THE SERIES O BONDS (COLUMN A) WAS USED TO REFUND THE CHEFA SERIES L BONDS DATED DECEMBER 7, 2006. THE AMOUNT INCLUDED IN PART II, LINE 11, OTHER SPENT PROCEEDS FOR THE SERIES P BONDS (COLUMN B) WAS USED TO REFUND THE CHEFA SERIES M BONDS DATED DECEMBER 7, 2006. THE AMOUNT INCLUDED IN PART II, LINE 11, OTHER SPENT PROCEEDS FOR THE SERIES Q BONDS (COLUMN C) WAS USED TO PARTIALLY REFUND THE CHEFA SERIES N BONDS DATED JULY 26, 2011. IN ADDITION, $736 WAS A PREPAYMENT OF INTEREST. |
| SCHEDULE K, PART III, LINE 3: | SERIES O BONDS (COLUMN A) AND SERIES P BONDS (COLUMN B) - THE ORGANIZATION HAS DETERMINED THAT ALL MANAGEMENT/SERVICE CONTRACTS MEET THE SAFE HARBOR UNDER REV. PROC. 2017-13, 2017-6 I.R.B. 787. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| DAVID GIUFFRIDA | |||
| KEY EMPLOYEE | $896,271 | SEE PART V | 0 |
| JACQUELYN CALAMARI | |||
| KEY EMPLOYEE | $144,951 | SEE PART V | 0 |
| JESSE WAGNER MD | |||
| KEY EMPLOYEE | $55,537 | SEE PART V | 0 |
| DAVID COSENTINO | |||
| KEY EMPLOYEE | $203,491 | SEE PART V | 0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: | FormAndLineReferenceDesc |
| Explanation | (A) NAME OF INTERESTED PERSON: DAVID GIUFFRIDA(D) DESCRIPTION OF TRANSACTION: MIDDLESEX HOSPITAL HAS AN INDEPENDENT CONTRACTOR ARRANGEMENT WITH GUIFFRIDA ELECTRIC, CO., WHICH IS MORE THAN 35% OWNED BY A FAMILY MEMBER OF DAVID GIUFFRIDA.(A) NAME OF INTERESTED PERSON: JACQUELYN CALAMARI(D) DESCRIPTION OF TRANSACTION: MIDDLESEX HOSPITAL HAS AN EMPLOYMENT ARRANGEMENT WITH ANNE CALAMARI, LCSW COORDINATOR, WHO IS A FAMILY MEMBER OF JACQUELYN CALAMARI.(A) NAME OF INTERESTED PERSON: JESSE WAGNER, MD(D) DESCRIPTION OF TRANSACTION: MIDDLESEX HOSPITAL HAS AN EMPLOYMENT ARRANGEMENT WITH RUTH WAGNER, REGISTERED NURSE, WHO IS A FAMILY MEMBER OF JESSE WAGNER, MD.(A) NAME OF INTERESTED PERSON: DAVID COSENTINO(D) DESCRIPTION OF TRANSACTION: MIDDLESEX HOSPITAL HAS AN EMPLOYMENT ARRANGEMENT WITH MEGAN COSENTINO, WHO IS A FAMILY MEMBER OF DAVID COSENTINO. | ExplanationTxt |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 8 | ContributionCnt |
| Noncash Contributions Rpt F990 | $52,600 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, COLUMN (B): | FormAndLineReferenceDesc |
| Explanation | THE NUMBER IN COLUMN B IS THE NUMBER OF CONTRIBUTIONS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: | 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. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF THE HOSPITAL IS MIDDLESEX HEALTH SYSTEM, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE SOLE MEMBER, MIDDLESEX HEALTH SYSTEM, INC. HAS THE RIGHT TO ANNUALLY ELECT THE BOARD OF DIRECTORS OF THE HOSPITAL. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE SOLE MEMBER, MIDDLESEX HEALTH SYSTEM, INC., HAS ALL RIGHTS CONFERRED BY LAW, THE CERTIFICATE OF INCORPORATION AND MIDDLESEX HOSPITAL BY-LAWS, BY VOTE OF ITS BOARD OF DIRECTORS, ITS PRESIDENT, OR BY OR THROUGH ANY OTHER PERSON(S) DESIGNATED BY ITS BOARD OF DIRECTORS IN ITS BEHALF. |
| FORM 990, PART VI, SECTION B, LINE 11B | A DRAFT COPY OF THE FORM 990 IS PROVIDED TO EACH BOARD MEMBER FOR THEIR REVIEW AND CHANGES FROM PRIOR YEAR ARE HIGHLIGHTED. ANY QUESTIONS OR COMMENTS THEY HAVE ARE PRESENTED TO EXECUTIVE MANAGEMENT. A COMPLETE COPY OF THE FINAL FORM 990 IS PROVIDED TO ALL MEMBERS OF THE BOARD PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | CONFLICT OF INTEREST FORMS ARE DISTRIBUTED ANNUALLY TO KEY EMPLOYEES, OFFICERS, AND THE BOARD OF DIRECTORS. RESPONSES ARE RETURNED TO, TRACKED, AND REVIEWED BY THE SYSTEM COMPLIANCE OFFICER. MATERIAL CONFLICTS ARE REPORTED TO THE 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, AS THEY OCCUR. 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. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE COMPENSATION OF THE PRESIDENT/CEO IS REVIEWED ANNUALLY BY THE EXECUTIVE COMPENSATION COMMITTEE. THE COMMITTEE HAS A CHARTER AND A POLICY STATEMENT SETTING FORTH A PROCESS AND CERTAIN GUIDELINES FOR DETERMINING COMPENSATION, WHICH INCLUDES A BASE SALARY AND AN INCENTIVE COMPENSATION WITHIN A RANGE SET BY THE POLICY. FOLLOWING THE CLOSE OF EACH FISCAL YEAR, THE COMMITTEE RECEIVES MARKET ANALYSIS FROM AN INDEPENDENT CONSULTANT REGARDING COMPENSATION AT PEER GROUPS OF COMPARABLE HOSPITALS AND HEALTH SYSTEMS. COMPENSATION IS COMPARED TO BENCHMARKS WITH RESPECT TO CASH COMPENSATION AND TOTAL COMPENSATION INCLUDING FRINGE BENEFITS. THE INDEPENDENT CONSULTANT PROVIDES A WRITTEN OPINION ANNUALLY CONFIRMING THAT THE COMPENSATION AS ADJUSTED BY THIS PROCESS, IS "REASONABLE" WITHIN APPLICABLE IRS GUIDELINES. THE COMPENSATION IS APPROVED BY THE COMMITTEE AND DOCUMENTED IN THE MINUTES. THE LAST COMPENSATION REVIEW OCCURRED 12/2020. THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES IS REVIEWED ANNUALLY BY THE EXECUTIVE COMPENSATION COMMITTEE WHICH HAS A CHARTER AND A POLICY STATEMENT SETTING FORTH A PROCESS AND CERTAIN GUIDELINES FOR DETERMINING COMPENSATION, WHICH INCLUDES A BASE SALARY AND THE OPPORTUNITY FOR INCENTIVE COMPENSATION WITHIN A RANGE SET BY THE POLICY. FOLLOWING THE CLOSE OF EACH FISCAL YEAR, THE COMMITTEE RECEIVES MARKET ANALYSIS FROM AN INDEPENDENT CONSULTANT REGARDING COMPENSATION AT PEER GROUPS OF COMPARABLE HOSPITALS AND HEALTH SYSTEMS. POSITIONS WITHIN THE EXECUTIVE TEAM ARE COMPARED TO BENCHMARK POSITIONS 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, AND APPROVES OR MODIFIES THEM. THE CONSULTANT PROVIDES A WRITTEN OPINION ANNUALLY CONFIRMING THAT THE COMPENSATION OF THE EXECUTIVES, AS ADJUSTED BY THIS PROCESS, IS "REASONABLE" WITHIN APPLICABLE IRS GUIDELINES. THE COMPENSATION OF THESE OTHER OFFICERS AND KEY EMPLOYEES IS APPROVED BY THE COMMITTEE AND DOCUMENTED IN THE MINUTES. THE LAST COMPENSATION REVIEW OCCURRED 12/2020. |
| 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 AND FORM 990 WITH THOSE OF OTHER AFFILIATES AS THEY BECOME AVAILABLE, AS WELL AS STATEMENTS AND FORMS 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. |
| FORM 990, PART XI, LINE 9: | TRANSFER (TO) / FROM MIDDLESEX HEALTH SERVICES, INC. 3,628,279. TRANSFER (TO) / FROM MIDDLESEX HEALTH SYSTEM, INC. -19,828,696. CHANGE IN ASSETS HELD IN TRUST 543,932. CHANGE IN TEMP RESTRICTED NET ASSETS -1,166,695. |
| FORM 990, PART XII, LINE 2C: | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
| FORM 990, PART XII, LINE 3B: | MIDDLESEX HOSPITAL DOES NOT HAVE A SEPARATE AUDIT PERFORMED UNDER THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133. MIDDLESEX HOSPITAL IS INCLUDED IN THE A-133 AUDIT PERFORMED FOR MIDDLESEX HEALTH SYSTEM FOR PURPOSES OF THE A-133 AUDIT. THE RELEVANT ACTIVITIES AND EXPENDITURES OF MIDDLESEX HOSPITAL ARE REVIEWED AND THE RESULTS ARE INCLUDED IN THE SINGLE A-133 AUDIT REPORT FOR MIDDLESEX HEALTH SYSTEM. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| MIDDLESEX HEALTH SYSTEM INC | |||||||||||
| 28 CRESCENT STREET | MIDDLETOWN | CT | 06457 | 222676137 | SUPPORT | CT | 501(C)(3) | LINE 12B, II | N/A | 0 | |
| MIDDLESEX HEALTH SERVICES INC | |||||||||||
| 28 CRESCENT STREET | MIDDLETOWN | CT | 06457 | 222676140 | ASSISTED LIVING | CT | 501(C)(3) | LINE 10 | 0 | MIDDLESEX HEALTH SYSTEM INC | |
| MIDDLESEX HOSPITAL FOUNDATION INC | |||||||||||
| 28 CRESCENT STREET | MIDDLETOWN | CT | 06457 | 273720822 | SUPPORT | CT | 501(C)(3) | LINE 12B, II | Yes (1) | MIDDLESEX HOSPITAL | |
| MHS PRIMARY CARE INC | |||||||||||
| 28 CRESCENT STREET | MIDDLETOWN | CT | 06457 | 061472743 | HEALTHCARE | CT | 501(C)(3) | LINE 10 | 0 | MIDDLESEX HEALTH SYSTEM INC | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| MIDDLESEX HEALTH RESOURCES INC | |||||||||
| 28 CRESCENT STREET | MIDDLETOWN | CT | 06457 | 061089925 | RENTAL REAL ESTATE | CT | N/A | C | 0 |
| INTEGRATED RESOURCES FOR THE MIDDLESEX AREA LLC | |||||||||
| 28 CRESCENT STREET | MIDDLETOWN | CT | 06457 | 061462230 | OUTPATIENT CARE | CT | N/A | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |