2020-07-21T06:30:24-05:00 2019-09-30 350921680 CROWE LLP 175 Powder Forest Drive Simsbury CT 060897902 990 2018-10-01 222676137 Middlesex Health System Inc MIDD 8603586395 28 Crescent Street Middletown CT 06457 SUSAN MARTIN TREASURER 2020-07-21 true Kristin Anderson P01231300 8606789200 2018 2020-11-19 02:30:22Z Vincent Capece Jr 28 Crescent Street Middletown CT 06457 1060389 false X WWW.MIDDLESEXHOSPITAL.ORG X 1895 CT THE ORGANIZATION IS THE PARENT COMPANY OF MIDDLESEX HOSPITAL AND ITS AFFILIATED ENTITIES AND ALSO PROVIDES FUNDRAISING SERVICES TO THE EXEMPT ORGANIZATIONS, WHICH WERE ESTABLISHED TO PROVIDE HIGH QUALITY HEALTH SERVICES TO THE COMMUNITY. 14 13 7 55 0 0 0 0 1064536 1060389 0 0 0 0 1064536 1060389 0 0 0 0 757700 754579 0 0 0 909946 920402 1667646 1674981 -603110 -614592 14592 14592 0 0 14592 14592 THE ORGANIZATION IS THE PARENT COMPANY OF MIDDLESEX HOSPITAL AND ITS AFFILIATED ENTITIES AND ALSO PROVIDES FUNDRAISING SERVICES TO THE EXEMPT ORGANIZATIONS, WHICH WERE ESTABLISHED TO PROVIDE HIGH QUALITY HEALTH SERVICES TO THE COMMUNITY. false false 1029804 0 1060389 MIDDLESEX HEALTH SYSTEM, INC. MANAGES THE FUNDRAISING ACTIVITIES OF MIDDLESEX HOSPITAL. IT PROMOTES THE DEVELOPMENT OF COMPREHENSIVE HEALTHCARE RELATED SERVICES THROUGH MANAGEMENT OF FUNDRAISING ACTIVITIES. 614592 0 0 Middlesex Health is the state's first member of the Mayo Clinic Care Network. This means that our team of experts is working together with Mayo Clinic specialists on your behalf-sharing the latest lifesaving research, joining forces to resolve the most complex cases, and bringing the world's most advanced medical knowledge here to Connecticut. 1644396 true false false false false false false false false false false false false false true false true false false false false false false false false false false false true false false false false false false false false false false false false false true true true false false true 4 0 true 7 true false false false false false false false false false false false false X 14 13 false false false false false false false true true false false true true true true true true false true false CT X X SHANNON ST HILAIRE 8603586000 28 CRESCENT STREET MIDDLETOWN CT 06457 VINCENT CAPECE JR PRESIDENT/CEO 1.0 43.0 X X 0 1262910 285456 BRUCE S MACMILLIAN CHAIRMAN 1.0 3.0 X X 0 0 0 CHANDLER J HOWARD VICE CHAIRMAN 1.0 3.0 X X 0 0 0 JONATHAN D LEVINE MD SECRETARY 1.0 43.0 X X 0 0 0 MARK D LORENZE ASST SECRETARY 1.0 2.0 X X 0 0 0 GERALD P MIGLIACCIO DIRECTOR 1.0 4.0 X 0 0 0 JEAN M D'AQUILA DIRECTOR 1.0 4.0 X 0 0 0 DAVID C BENOIT DIRECTOR 1.0 3.0 X 0 0 0 JOHN J GAUTHIER DIRECTOR 1.0 3.0 X 0 0 0 ROBERT C HINTON DIRECTOR 1.0 3.0 X 0 0 0 DARRELL G PATASKA DIRECTOR 1.0 3.0 X 0 0 0 SABRA R PURTILL DIRECTOR 1.0 3.0 X 0 0 0 CHRISTINE H REPASY DIRECTOR 1.0 3.0 X 0 0 0 R CHRISTOPHER SEATON DIRECTOR 1.0 3.0 X 0 0 0 SUSAN MARTIN VP FINANCE/TREASURER 1.0 43.0 X 0 543761 64792 LAURA MARTINO VP MARKETING & DEVELOPMENT 40.0 0 X 356423 0 48366 SARAH MOORE DIR FUND DEVELOPMENT 40.0 0 X 143240 0 7293 499663 1806671 405907 2 false true false Mayo Clinic 200 First Street SW Rochester MN 559050002 Consulting Services 614592 1 0 Fundraising Services 900099 1060389 1060389 0 0 0 0 1060389 0 0 0 0 0 0 0 0 0 1060389 1060389 0 0 X 423309 423309 293223 293223 20737 20737 17310 17310 5580 5580 3465 3465 778375 778375 0 0 25 25 49366 49366 9737 9737 10541 10541 3445 3445 1725 1725 10999 10999 Bank Service fees 7302 7302 Dues & Subscriptions 1128 1128 Catering 38714 38714 0 0 0 0 1674981 1644396 30585 0 14592 14592 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14592 14592 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 14592 14592 0 0 0 0 0 0 0 0 0 0 14592 14592 14592 14592 X -614592 0 0 0 0 614592 X false true X true false X X X 1 MIDDLESEX HOSPITAL 060646718 3 true 0 1674981 1 0 1674981 true false false false false true false false false false false false false false false true Schedule A, Part I Line 12g The organization provides non-monetary support to Middlesex Hospital by providing fundraising services. Schedule A, Part IV, Section A, Line 6 Support to other supported orgs Middlesex Health System supports MHS Primary Care, which was organized as a Connecticut nonprofit medical foundation providing medical and health care services to the Middlesex community. 0 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote 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 September 30, 2019 and 2018. 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, 2019 and 2018, 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. false false false false false false false false false VINCENT CAPECE JR PRESIDENT/CEO 0 730342 0 253050 0 279518 0 244671 0 40785 0 1548366 0 251283 SUSAN MARTIN VP FINANCE/TREASURER 0 408504 0 98000 0 37257 0 35817 0 28975 0 608553 0 18197 LAURA MARTINO VP MARKETING & DEVELOPMENT 266680 0 71243 0 18500 0 21103 0 27263 0 404789 0 0 0 SARAH MOORE DIR FUND DEVELOPMENT 123740 0 19500 0 0 0 5088 0 2205 0 150533 0 0 0 Schedule J, Part II, Column (B)(ii) BONUS AND INCENTIVE COMPENSATION THE AMOUNTS REPRESENT INCENTIVE COMPENSATION PAYMENTS MADE IN CALENDAR YEAR 2018. PAYMENTS INCLUDE AMOUNTS EARNED IN 2017 AND DEFERRED, WHERE APPLICABLE. Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation MIDDLESEX HEALTH SYSTEM OFFICER SALARIES AND BENEFITS ARE PAID BY MIDDLESEX HOSPITAL. The hospital uses a compensation committee, independent compensation consultant, other Form 990 as comparable data, a compensation survey and approval by the board when approving compensation for the CEO. Form 990, Part VI, Line 11b Review of form 990 by governing body DRAFT FORMS OF THE 990, INCLUDING REQUIRED SCHEDULES, ARE PROVIDED TO EACH BOARD MEMBER FOR REVIEW. MEMBERS REVIEW THE DOCUMENTS, HIGHLIGHT ANY SIGNIFICANT CHANGES AND ATTEST THEIR APPROVAL. ANY QUESTIONS OR COMMENTS ARE PRESENTED TO EXECUTIVE MANAGEMENT PRIOR TO FILING. A COPY OF THE FINAL FORM 990 WILL BE PROVIDED TO THE BOARD PRIOR TO FILING WITH THE IRS VIA A WEB BASED COMMUNICATION PORTAL. Form 990, Part VI, Line 12c Conflict of interest policy CONFLICT OF INTEREST FORMS ARE DISTRIBUTED ANNUALLY TO KEY EMPLOYEES, OFFICERS AND THE BOARD OF DIRECTORS. RESPONSES ARE RETURNED TO, TRACKED, AND REVIEWED BY THE COMPLIANCE OFFICER. INFORMATION REPORTED IS CONSIDERED PERSONAL AND CONFIDENTIAL AND ONLY DISCLOSED WHEN DEEMED NECESSARY TO PROTECT THE HOSPITAL AGAINST THE EFFECTS OF CONFLICTS OF INTEREST AND ONLY AFTER ADVISING THE REPORTING PERSON OF THE PROPOSED DISCLOSURE AND OF ITS EXTENT. MATERIAL CONFLICTS ARE REPORTED TO THE BOARD'S AUDIT COMMITTEE FOR REVIEW AND DETERMINATION. IN ADDITION TO COMPLETING THE ANNUAL CONFLICT OF INTEREST FORM, BOARD MEMBERS MUST IMMEDIATELY DISCLOSE ANY INTEREST AND ALL MATERIAL FACTS TO THE BOARD OF DIRECTORS. THE BOARD THEN REVIEWS THE FACTS AND MAKES THE DETERMINATION AS TO WHETHER A SIGNIFICANT CONFLICT OF INTEREST EXISTS. IF SO, THE BOARD FOLLOWS DISABLING GUIDELINES TO DETERMINE IF THE BOARD MEMBER SHOULD BE ASKED TO RESIGN OR BE REMOVED. Form 990, Part VI, Line 15b Process to establish compensation of other employees MIDDLESEX HEALTH SYSTEM'S OFFICER SALARIES AND BENEFITS ARE PAID BY MIDDLESEX HOSPITAL. OFFICER SALARIES ARE DETERMINED UNDER THE COMPENSATION POLICIES OF MIDDLESEX HOSPITAL WHICH INCLUDE THE FOLLOWING: EXECUTIVE TEAM COMPENSATION IS REVIEWED ANNUALLY BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD. THE COMMITTEE HAS A CHARTER AND A POLICY STATEMENT SETTING FORTH A PROCESS AND CERTAIN GUIDELINES FOR DETERMINING COMPENSATION. EXECUTIVES RECEIVE A BASE SALARY AND HAVE THE OPPORTUNITY FOR INCENTIVE COMPENSATION WITHIN A RANGE SET BY THE POLICY. FOLLOWING THE CLOSE OF EACH FISCAL YEAR, THE COMMITTEE RECEIVES A MARKET ANALYSIS FROM INDEPENDENT CONSULTANTS REGARDING COMPENSATION AT PEER GROUPS OF COMPARABLE HOSPITALS AND HEALTH SYSTEMS. POSITIONS WITHIN THE EXECUTIVE TEAM ARE COMPARED TO BENCHMARK POSITIONS WITHIN THIS MARKET DATA AND THEIR COMPENSATION IS COMPARED TO THE DATA BOTH WITH RESPECT TO CASH COMPENSATION AND TOTAL COMPENSATION INCLUDING FRINGE BENEFITS. THE CEO RECOMMENDS THE INCENTIVE AWARDS AND BASE SALARY ADJUSTMENTS TO THE COMPENSATION OF THE EXECUTIVES WHO REPORT TO HIM, AND THE COMMITTEE REVIEWS THOSE RECOMMENDATIONS, APPROVES OR MODIFIES THEM, AND ALSO DETERMINES ANY INCENTIVE AWARD AND BASE SALARY ADJUSTMENT FOR THE CEO. THE CONSULTANTS PROVIDE A WRITTEN OPINION ANNUALLY CONFIRMING THAT THE COMPENSATION OF THE EXECUTIVES, AS ADJUSTED BY THIS PROCESS, IS "REASONABLE" WITHIN APPLICABLE IRS GUIDELINES. KEY EMPLOYEE COMPENSATION IS SET FOLLOWING THE GUIDELINES SET FORTH IN THE HOSPITAL COMPENSATION POLICY. THE OBJECTIVE OF THIS POLICY IS TO PAY EMPLOYEES BASED UPON HOSPITAL NEED, THE PROPER EXTERNAL LABOR MARKET AND PERFORMANCE. THE LAST COMPENSATION REVIEW OCCURRED IN DECEMBER 2018. Form 990, Part VI, Line 19 Required documents available to the public THE MIDDLESEX HEALTH SYSTEM, INC. MAINTAINS A QUALITY AND COMPLIANCE SECTION ON THE HOSPITAL'S WEBSITE, MIDDLESEXHOSPITAL.ORG. THE SYSTEM POSTS THE MOST CURRENT AUDITED FINANCIAL STATEMENTS AND FORM 990 WITH THOSE OF THE HOSPITAL AND OTHER AFFILIATES AS THEY BECOME AVAILABLE, AS WELL AS STATEMENTS AND FORMS FROM AT LEAST TWO PREVIOUS FISCAL YEARS. THE SYSTEM'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 IX, Line 11g Other Fees Mayo clinic consulting - Total Expense: 614592, Program Service Expense: 614592, Management and General Expenses: , Fundraising Expenses: ; purchased svs - Total Expense: 163783, Program Service Expense: 163783, Management and General Expenses: , Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances TRANSFER (TO) / FROM MIDDLESEX HOSPITAL - 614592; MIDDLESEX HOSPITAL FOUNDATION INC 28 CRESCENT STREET MIDDLETOWN CT 06457 273720822 SUPPORT CT 501(c)(3) Type II MIDDLESEX HOSPITAL false MIDDLESEX HOSPITAL 28 CRESCENT STREET MIDDLETOWN CT 06457 060646718 HEALTHCARE CT 501(c)(3) 3 MIDDLESEX HEALTH SYSTEM true MIDDLESEX HEALTH SERVICES INC 28 CRESCENT STREET MIDDLETOWN CT 06457 222676140 ASSISTED LIVING CT 501(c)(3) 10 MIDDLESEX HEALTH SYSTEM true MHS PRIMARY CARE INC 28 Crescent Street Middletown CT 06457 061472743 HEALTHCARE CT 501(c)(3) Type II MIDDLESEX HEALTH SYSTEM true MIDDLESEX HEALTH RESOURCES INC 28 CRESCENT STREET MIDDLETOWN CT 06457 061089925 RENTAL REAL ESTATE CT MIDDLESEX HEALTH SYSTEM C Corporation 691818 3015338 true INTEGRATED RESOURCES FOR MIDDLESEX AREA LLC 28 CRESCENT STREET MIDDLETOWN CT 06457 061462230 OUTPATIENT CARE CT MIDDLESEX HEALTH SYSTEM C Corporation 0 0 true false true false false false false false false false false false false false false false false true false false Middlesex Hospital Q 614591 MHS Primary Care Inc B 10084000