THE MILFORD HOSPITAL INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
THE MILFORD HOSPITAL INC (EIN 06-0646741)
Tax period
2015-10-01 to 2016-09-30
Filed
2017-08-15
IRS object ID
201732279349302773
Schema version
2015v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-08-15T13:59:26-05:00ReturnTs
Tax Period End2016-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390859910PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Baker Tilly Virchow Krause LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11650 Market Street Suite 4500AddressLine1Txt
CityPhiladelphiaCityNm
State AbbreviationPAStateAbbreviationCd
ZIP191037341ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN060646741EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1The Milford Hospital IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMILFBusinessNameControlTxt
Phone2038764000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 Seaside AvenueAddressLine1Txt
CityMilfordCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06460ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLaura SmithPersonNm
Person TitleChief Financial Officer/VP FinancePersonTitleTxt
Phone2038764000PhoneNum
Signature2017-08-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJulius C Green CPAPreparerPersonNm
PTINP00350393PTIN
Phone2159720701PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLaura SmithPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 Seaside AvenueAddressLine1Txt
CityMilfordCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06460ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$74,011,651GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.milfordhospital.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1942FormationYr
Legal Domicile StateCTLegalDomicileStateCd
Activity Or MissionTo effectively and efficiently provide high quality healthcare services.ActivityOrMissionDesc
Voting Members Governing Body19VotingMembersGoverningBodyCnt
Voting Members Independent18VotingMembersIndependentCnt
Total Employee784TotalEmployeeCnt
Total Volunteers286TotalVolunteersCnt
Total Gross UBI$1,938,138TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$355,902NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$27,118PYContributionsGrantsAmt
CY Contributions Grants$335,989CYContributionsGrantsAmt
PY Program Service Revenue$205,565,894PYProgramServiceRevenueAmt
CY Program Service Revenue$71,280,394CYProgramServiceRevenueAmt
PY Investment Income$310,457PYInvestmentIncomeAmt
CY Investment Income$218,495CYInvestmentIncomeAmt
PY Other Revenue$783,297PYOtherRevenueAmt
CY Other Revenue$2,137,544CYOtherRevenueAmt
PY Total Revenue$206,686,766PYTotalRevenueAmt
CY Total Revenue$73,972,422CYTotalRevenueAmt
PY Grants And Similar Paid$68,581PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,212,190CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$43,940,948PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$42,004,864CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$167,069,486PYOtherExpensesAmt
CY Other Expenses$30,871,710CYOtherExpensesAmt
PY Total Expenses$211,079,015PYTotalExpensesAmt
CY Total Expenses$75,088,764CYTotalExpensesAmt
PY Revenues Less Expenses-$4,392,249PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,116,342CYRevenuesLessExpensesAmt
Total Assets BOY$42,633,067TotalAssetsBOYAmt
Total Assets EOY$37,063,110TotalAssetsEOYAmt
Total Liabilities BOY$63,873,278TotalLiabilitiesBOYAmt
Total Liabilities EOY$65,270,855TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$21,240,211NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$28,207,745NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionThe mission of Milford Hospital is to effectively and efficiently provide high quality healthcare services in a modern and safe environment, by anticipating and exceeding the needs of all of our patients and physicians with excellence, convenience, and compassion. As a community healthcare provider, Milford Hospital is committed to remaining in the forefront of the clinical, technological, and electronic information advances that make the continuous delivery of high quality, cost effective healthcare service possible. Milford Hospital recognizes that the quality of human resources - staff, physicians, and volunteers - is the key to continued success and, therefore, strives to create an environment of teamwork and participation where, through continuous quality improvement and a focus on patient safety, people pursue excellence and take pride in the quality of their work in the organization.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$66,733,635ExpenseAmt
Grant$2,212,190GrantAmt
Revenue$70,772,891RevenueAmt
DescMilford Hospital provides high-quality healthcare services to the residents of Milford, West Haven, Orange and Stratford, Connecticut and its surrounding communities without regard to race, gender, creed or ability to pay. As a community healthcare provider, Milford Hospital is committed to those we serve, both patients and non-patients. Our goal is not only to provide quality compassionate care when an individual enters our healthcare institution, but also to promote and communicate wellness information and education so that families inour area prevent illness and chronic disease and lead healthier lives.In FY 2016, Milford Hospital provided healthcare services to 3,472 patients on an inpatient basis, 31,379 patients through the Emergency Department/Walk-In Center, and 1,218 patients in our ambulatory surgery suite. In addition to direct patient care, the hospital provided education, health screenings and support services to over 8,500 individuals through a variety of modalities involving personal interaction. Indirectly, during FY 2016, via our website alone, the hospital provided information to more than 89,000 unique users from our service area and beyond.In September 2013, in accordance with the requirements set forth in the Affordable Care Act, Milford Hospital led it's first comprehensive Community Health Needs Assessment (CHNA). During the early months of FY 2014, an implementation strategy was developed and adopted to guide the community benefit initiatives of the institution. To both remain in compliance with the ACA, as well as, because of our ongoing commitment to the health of the communities we serve, Milford Hospital proudly joined the Healthier Greater New Haven Partnership to complete our 2016 Community Health Needs Assessment. This coalition is an exceptional team that includes representation from 2 local hospitals (Milford Hospital and Yale New Haven Hospital), 16 public health departments and numerous community organizations. A multi year, data driven process, the 2016 Community Health Needs Assessment is a study which evaluates the health status, behaviors and needs of the residents in the Greater New Haven area including Milford and surrounding communities. Also included is a comprehensive and collaborative Community Health Improvement Plan designed to address the major unmet needs in the area. The 2016 CHNA was made broadly, publicly available on the partner hospital websites in August of 2016. Among our goals relative to community benefits in FY 2016 was to address the common risk factors associated with aging as well as chronic and infectious diseases. In doing so, the hospital established an objective of continuing and expanding it's offering of Community Health and Wellness programs both at Milford Hospital and in the community.These programs are offered at no-charge and are delivered by health care professionals and educators and included the following: Heart Health, Diabetes Management, Vascular Health, Skin Cancer Prevention, Recognizing the Signs and Symptoms of Strokes, Colorectal Cancer Prevention and Treatment, End The Weight- Non-surgical and surgical techniques in weight-loss, Understanding and Treating Gastrointestinal Disturbances, Orthopedic Conditions, Sleep Disturbances, Wound Care Basics - Understanding and Treating Chronic/Non-Healing Wounds, Stress Reduction, Vein Health, Senior Help Desk - Linking Seniors with Community Resources, Urgent or Emergency - Evaluating Health Conditions, and Physician Town Hall Meeting.Also as part of its' objective to increase awareness and understanding of healthy lifestyles, risk factors and disease prevention, the hospital continued to conduct free and low cost health screenings. Offered on a quarterly basis, screenings are held both in the hospital and in the community. In FY 2016, health screenings and disease prevention initiatives included: Blood Pressure Screening, Blood Sugar (Diabetes) Screening, Cholesterol (Total and HDL) Testing, Prostate Cancer Screening, Influenza Immunizations, Foot Health Screenings, PAD and Vascular Screening, Yoga and Meditation Classes.In September, 2016 Milford Hospital sponsored "Boomers and Beyond" a special event aimed at linking the aging population with local resources to maintain health and wellness. Over 3,000 individuals attended this event and participated in health screenings, lectures and visited vendors providing education, information and resources.In addition, Milford Hospital works with local businesses and organizations as a wellness partner for their employees. Health Screenings and counseling are provided off-site, in the work place, and include, cholesterol, blood pressure, blood sugar screening and nutritional counseling. The following is a list our corporate/organizational partners: Milford Senior Center, City of Milford, Milford Police Department, Alinabal, Inc., Bic Corporation, Administrative Building, and Bic Corporation, Manufacturing Plant.For community members diagnosed with, or caring for someone with, an illness or chronic health condition, a community network of support is available at Milford Hospital. To foster understanding and the ability to cope with illness and chronic health conditions the hospital offers the following Support Groups on a regularly scheduled basis: Alzheimer's Support Group, Multiple Sclerosis Support Group, Lupus Support Group, Amputee Support Group, Breast Cancer Support Group, Epilepsy Support Group, Essential Tremors Support Group, and Milford Early Learning Center.While Milford Hospital terminated its' maternity service in 2015, the hospital did maintain its' long-standing partnership with the Young Parent Program (YPP) of Milford through most of FY 2016. The YPP provides parenting and pregnancy services to teens and young adults which promote positive birth outcomes, healthy choices, pregnancy prevention and responsible decision making. The hospital provides the organization with office space and all associated overhead expenses, clerical support and more.The following list is inclusive of special events and services that the hospital offers to patients and the community. While not all of the offerings are unique to Milford Hospital, they are, nonetheless, available and offered as a resource, a service or an opportunity to support our patients and our community:- The Hospital hosts variety of health and wellness groups and programs. Of these, six meet monthly. Others may meet less frequently. Each is provided with meeting space, refreshments and associated costs at no charge.- Staff and physicians participate in a local television and radio stations as guest experts/resources regarding health and wellness topics.- The hospital maintains a Speakers Bureau, which provides physicians and members of the Hospital staff to speak to local community organizations on a wide variety of topics at no charge.- Milford Hospital hosts an annual 5k "Live Well" community event. This event offsets the cost associated with community programming and health screenings offered by Milford Hospital.- The hospital sponsors Red Cross Blood Drives three to four times a year in providing, auditorium space, volunteers, refreshments and assistance promoting each drive.- In compliance with the Consent Decree regarding the Hearing Impaired, Milford Hospital provides various assisted listening devices for the hard of hearing, interpreters, and TTY machines for the deaf, free of charge for any patient/companion.- Milford Hospital also provides a linguistic service for non-English-speaking patients. If a language interpreter must be called via a special phone, the cost of the call is assumed by the Hospital.- Milford Hospital offers a "Physician Finder" telephone service for community residents needing a doctor, and provides a "Directory of Staff Physicians" which lists their specialty, phone number, and address.- Hospital meeting space is made available to health related and other not-for-profit community groups in need of a meeting room at no charge.- The hospital provides free Medicare/Medicaid counseling and assistance by trained hospital volunteers. In addition, the hospital hosted Health Care Exchange enrollment and information sessions in coordination with the State of Connecticut.- Clinical staff initiated a follow-up program for Congestive Heart Failure patients to provide education and clinical support.- The Hospital offers college and post graduate students training opportunities in Registered Nursing, Licensed Practical Nursing, Diagnostic Imaging, Medical Coding Sciences, Pharmacy, Laboratory Sciences, Dietetic Services, Public and Community Health, Environment of Care -Emergency Preparedness and Nursing Assistant.Desc
Total Program Service Expenses$66,733,635TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan OutstandingYes (1)LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document28IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee784EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members19GoverningBodyVotingMembersCnt
Independent Voting Member18IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJoseph PelacciaPersonNm
Phone2038764230PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 Seaside AvenueAddressLine1Txt
CityMilfordCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06460ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Samuel Bergami Jr
Chair1.004.30Yes (X)Yes (X)$0$0$0
Louis D'Amato
Vice Chair1.003.30Yes (X)Yes (X)$0$0$0
Richard Meisenheimer
Treasurer1.005.30Yes (X)Yes (X)$0$0$0
Michael Saffer Esq
Secretary1.002.30Yes (X)Yes (X)$0$0$0
Joseph Pelaccia
President & Chief Executive Officer41.407.30Yes (X)Yes (X)$1,191,942$263,318$50,934
James Beard
Director1.003.30Yes (X)$0$0$0
Nancy Bennett
Director1.001.30Yes (X)$0$0$0
Armand Cantafio
Director1.000.30Yes (X)$0$0$0
Leo Carroll Esq
Director1.000.30Yes (X)$0$0$0
Bradford Gesler
Director1.001.30Yes (X)$0$0$0
Ann Loesch
Director0.200.10Yes (X)$0$0$0
Carol McInnis
Director0.200.10Yes (X)$0$0$0
Len Napoli Jr
Director1.001.30Yes (X)$0$0$0
Raymond S Oliver
Director0.200.10Yes (X)$0$0$0
Gary Opin DMD
Director0.200.10Yes (X)$0$0$0
Ronald Silverberg
Director0.200.10Yes (X)$0$0$0
Latha Alaparthi MD
Medical Staff President1.000.30Yes (X)$0$0$0
Clifford Kramer MD
Medical Staff Representative (non-voting)0.200.10Yes (X)$0$0$0
Grayce Mower
Auxiliary Co-President0.200.10Yes (X)$0$0$0
Mary Jane Robbins
Auxiliary Co-President0.200.10Yes (X)$0$0$0
Lloyd Friedman MD
VP Medical Affairs & COO30.307.20Yes (X)$621,794$164,216$145,083
Laura Smith
VP Finance & Chief Financial Officer36.309.70Yes (X)$154,713$41,613$69,261
Dr Magdalen Mauriello
Director Hosp.Svc.40.000.00$326,220$0$7,674Yes (X)
Dr Anitha Kamath
Chief Pathologist38.000.00$304,477$16,040$7,291Yes (X)
Dr Michael Rudolph
Hospitalist34.750.00$253,596$0$7,674Yes (X)
Dr Resul Dalipi
Hospitalist35.170.00$250,897$0$7,674Yes (X)
Dr Michael Bloch
Emergency Room Phys.24.820.00$241,502$0$2,374Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,345,141TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$485,187TotReportableCompRltdOrgAmt
Total Other Compensation$297,965TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K8IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Aftercare Physical Therapy Services
4154 Madison AveTrumbullCT06611Therapy Services$696,970
Weatherby Locums Inc
PO Box 972633DallasTX75397Physician Services$599,484
Sodexo Operations LLC
PO Box 360170PittsburghPA15251Food Service$533,544
Accelecare Wound Center Inc
PO Box 671242DallasTX75267Wound Services$413,660
American Red Cross
PO Box 33093NewarkNJ07188Process Blood$331,862
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K16CntrctRcvdGreaterThan100KCnt
Fundraising$56,886FundraisingAmt
Related Organizations$276,618RelatedOrganizationsAmt
All Other Contributions$2,485AllOtherContributionsAmt
Total Contributions$335,989TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Patient Serv. Revenue624100$66,006,513$65,626,130$380,383
Inpatient Rehab Rev.624100$5,273,881$5,273,881
FieldValueIRS element (for citing)
Total Program Service Revenue$71,280,394TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$211,044TotalRevenueColumnAmt
Exclusion$211,044ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$22,062RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$18,379RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$3,683RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,683TotalRevenueColumnAmt
Exclusion$3,683ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$10,600OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$3,149OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$7,451OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,451TotalRevenueColumnAmt
Exclusion$7,451ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$56,886ContriRptFundraisingEventAmt
Fundraising Direct Expenses$17,701FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$17,701TotalRevenueColumnAmt
Exclusion-$17,701ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
SERVICES/LABS FOR MML621500$1,016,743$1,016,743
SERVICES TO RELATED PA900099$541,012$541,012
COMP. CARE MGMT PROG.621990$411,000$411,000

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$182,807TotalRevenueColumnAmt
Related Or Exempt Func Income-$127,120RelatedOrExemptFuncIncomeAmt
Exclusion$309,927ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,151,562OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$73,972,422TotalRevenueColumnAmt
Related Or Exempt Func Income$70,772,891RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,938,138UnrelatedBusinessRevenueAmt
Exclusion$925,404ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,206,690TotalAmt
Program Services$2,206,690ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$5,500TotalAmt
Program Services$5,500ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,534,101TotalAmt
Program Services$1,343,073ProgramServicesAmt
Management And General$191,028ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$32,333,878TotalAmt
Program Services$28,307,635ProgramServicesAmt
Management And General$4,026,243ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,315,010TotalAmt
Program Services$2,026,743ProgramServicesAmt
Management And General$288,267ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,529,492TotalAmt
Program Services$3,117,896ProgramServicesAmt
Management And General$411,596ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,292,383TotalAmt
Program Services$2,006,933ProgramServicesAmt
Management And General$285,450ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$197,076TotalAmt
Management And General$197,076ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$180,462TotalAmt
Management And General$180,462ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$23,222TotalAmt
Management And General$23,222ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,106TotalAmt
Management And General$1,106ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$6,810,462TotalAmt
Program Services$5,499,900ProgramServicesAmt
Management And General$1,310,562ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$71,106TotalAmt
Management And General$71,106ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$241,135TotalAmt
Program Services$92,135ProgramServicesAmt
Management And General$149,000ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$368,257TotalAmt
Program Services$18,630ProgramServicesAmt
Management And General$349,627ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,794,359TotalAmt
Program Services$1,693,913ProgramServicesAmt
Management And General$100,446ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$19,213TotalAmt
Program Services$11,965ProgramServicesAmt
Management And General$7,248ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$13,909TotalAmt
Program Services$7,060ProgramServicesAmt
Management And General$6,849ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$68,338TotalAmt
Program Services$2,124ProgramServicesAmt
Management And General$66,214ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$107,690TotalAmt
Program Services$93,468ProgramServicesAmt
Management And General$14,222ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,362,075TotalAmt
Program Services$1,738,675ProgramServicesAmt
Management And General$623,400ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$25,798TotalAmt
Management And General$25,798ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL EXPENSES$12,128,956$12,125,126$3,830
BAD DEBT EXPENSE$4,447,525$4,447,525
MALPRACTICE$641,448$641,448
MML/LAB SERVICE EXPENSE$583,400$583,400

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$786,173TotalAmt
Program Services$763,796ProgramServicesAmt
Management And General$22,377ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$75,088,764TotalAmt
Program Services$66,733,635ProgramServicesAmt
Management And General$8,355,129ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$654,674BOYAmt
EOY$1,649,558EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$5,496,550BOYAmt
EOY$1,925,374EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$8,480,597BOYAmt
EOY$6,548,786EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$803,259BOYAmt
EOY$1,100,067EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$360,501BOYAmt
EOY$428,579EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$52,598,495LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$34,239,316LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$20,301,782BOYAmt
EOY$18,359,179EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$779,309BOYAmt
EOY$2,174,016EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$946,440BOYAmt
EOY$1,216,926EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$4,809,955BOYAmt
EOY$3,660,625EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$42,633,067BOYAmt
EOY$37,063,110EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$14,399,146BOYAmt
EOY$11,339,482EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
EOY$233,407EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$8,000,000BOYAmt
EOY$8,000,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$41,474,132BOYAmt
EOY$45,697,966EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$63,873,278BOYAmt
EOY$65,270,855EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$22,740,651BOYAmt
EOY-$29,978,671EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$826,677BOYAmt
EOY$1,097,163EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$673,763BOYAmt
EOY$673,763EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$21,240,211BOYAmt
EOY-$28,207,745EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$42,633,067BOYAmt
EOY$37,063,110EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$1,116,342ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$39,227NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments-$126,923PriorPeriodAdjustmentsAmt
Other Changes In Net Assets-$5,685,042OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$23,222OtherActivitiesAmt
Total Lobbying Expenditures$23,222TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationTHE HOSPITAL PAID DUES TO THE CT HOSPITAL ASSOCIATION (CHA), WHICH INCLUDED LOBBYING COSTS OF $17,564. CHA REPRESENTS CT HOSPITALS AND WORKS WITH OTHER ORGANIZATIONS LIKE AHA TO ADDRESS STATE AND FEDERAL LEGISLATIVE ISSUES AFFECTING HOSPITALS. THE HOSPITAL ALSO PAID DUES TO THE AMERICAN HOSPITAL ASSOCIATION (AHA) WHICH INDLUDED LOBBYING COSTS OF $5,658. AHA REPRESENTS ALL HOSPITALS, NATIONWIDE, AND WORKS ALONG WITH STATE HOSPITAL ASSOCIATIONS, LIKE CHA TO ADDRESS FEDERAL LEGISLATIVE ISSUES AFFECTING HOSPITALS.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$636,486BeginningYearBalanceAmt
Investment Earnings Or Losses$35,565InvestmentEarningsOrLossesAmt
Administrative Expenses$4,874AdministrativeExpensesAmt
End Year Balance$667,177EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$629,510BeginningYearBalanceAmt
Investment Earnings Or Losses$6,976InvestmentEarningsOrLossesAmt
End Year Balance$636,486EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$724,626BeginningYearBalanceAmt
Investment Earnings Or Losses$17,634InvestmentEarningsOrLossesAmt
Other Expenditures$112,750OtherExpendituresAmt
End Year Balance$629,510EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$741,399BeginningYearBalanceAmt
Investment Earnings Or Losses-$16,773InvestmentEarningsOrLossesAmt
End Year Balance$724,626EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$685,311BeginningYearBalanceAmt
Investment Earnings Or Losses$56,088InvestmentEarningsOrLossesAmt
End Year Balance$741,399EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.87000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.13000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$825,066OtherCostOrOtherBasisAmt
Book Value$825,066BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$103,155InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$15,507,286OtherCostOrOtherBasisAmt
Depreciation$3,265,705DepreciationAmt
Book Value$12,344,736BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$35,550,113OtherCostOrOtherBasisAmt
Depreciation$30,376,752DepreciationAmt
Book Value$5,173,361BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$612,875OtherCostOrOtherBasisAmt
Depreciation$596,859DepreciationAmt
Book Value$16,016BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$18,359,179TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
Due from Affiliates$848,417
Other Receivables$426,384
Insured Claims Receivable$2,385,824
FieldValueIRS element (for citing)
Total Book Value Other Assets$3,660,625TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDescAmtAmt
Accrued Pension$38,712,756
Due to Third Party$1,473,090
Deferred Compensation$349,867
Due to Affiliates$169,786
Other Accrued Benefits$763,728
Insured Claims Liabilities$2,385,824
Deferred Grant Income$1,411,324
Malpractice Liability$431,591
FieldValueIRS element (for citing)
Total Liability$45,697,966TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$66,379,446TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$39,227NetUnrealizedGainsInvstAmt
Other Revenue-$7,287,381OtherRevenueAmt
Revenue Not Reported-$7,326,608RevenueNotReportedAmt
Revenue Subtotal$73,706,054RevenueSubtotalAmt
Other Revenues Not Included$266,368OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$266,368RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$73,972,422TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$73,220,057TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included-$266,368OtherExpensesIncludedAmt
Expenses Not Reported-$266,368ExpensesNotReportedAmt
Expenses Subtotal$73,486,425ExpensesSubtotalAmt
Other Expenses Not Included$1,602,339OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$1,602,339ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$75,088,764TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:TEMPORARILY RESTRICTED NET ASSETS ARE THOSE WHERE USE BY THE HOSPITAL HAS BEEN LIMITED BY DONORS TO A SPECIFIC TIME FRAME OR PURPOSE. PERMANENTLY RESTRICTED NET ASSETS ARE AMOUNTS TO BE MAINTAINED IN PERPETUITY, THE INCOME OF WHICH CAN BE USED FOR CAPITAL EXPENDITURES.
Part X, Line 2:The Hospital is a not-for-profit corporation as described in Section 501(c)(3) of the Internal Revenue Code (the "Code"), and is exempt from federal income taxes on related income pursuant to Section 501(a) of the Code and is exempt from the state of Connecticut and local income taxes. The Hospital has a net operating loss carryforward from unrelated business activities of approximately $6,365,000. A deferred tax asset for these losses of approximately $2,546,000 is offset by a corresponding valuation allowance of the same amount. Operating loss carryforwards will begin to expire in three years.
Part XI, Line 2d - Other Adjustments:investment fees -1,106. Change in Beneficial Interest in Milford Hospital Foundation 270,486. Pension Liability Adjustment -5,955,528. ADDITIONAL BAD DEBT NETTED ON FINANCIALS -464,930. UBI EXPENSES NETTED WITH REVENUES ON FINANCIALS -1,136,303.
Part XI, Line 4b - Other Adjustments:GAIN ON DISPOSAL OF ASSET 7,451. RELATED PARTY CONTRIBUTIONS NETTED WITH GRANTS ON THE FINANCIALS 276,618. FUNDRAISING EXPENSES -17,701.
Part XII, Line 2d - Other Adjustments:GAIN ON DISPOSAL OF ASSET -7,451. RELATED PARTY CONTRIBUTIONS NETTED WITH GRANTS ON THE FINANCIALS -276,618. FUNDRAISING EXPENSES 17,701.
Part XII, Line 4b - Other Adjustments:investment fees 1,106. ADDITIONAL BAD DEBT NETTED ON FINANCIALS 464,930. UBI EXPENSES NETTED WITH REVENUES ON FINANCIALS 1,136,303.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1CELEBRATION OF TREESEvent1Nm
Gross Receipts Event1$27,536GrossReceiptsEvent1Amt
Charitable Contri Event1$27,536CharitableContriEvent1Amt
Other Direct Expenses Event1$4,273OtherDirectExpensesEvent1Amt
Event2MOTHER'S DAY ROAD RACEEvent2Nm
Gross Receipts Event2$14,560GrossReceiptsEvent2Amt
Charitable Contri Event2$14,560CharitableContriEvent2Amt
Non Cash Prizes Event2$355NonCashPrizesEvent2Amt
Other Direct Expenses Event2$7,824OtherDirectExpensesEvent2Amt
Other Events Total10OtherEventsTotalCnt
Gross Receipts Other Events$14,790GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$14,790CharitableContriOtherEventsAmt
Rent Fclty Costs Other Events$474RentFcltyCostsOtherEventsAmt
Entertainment Other Events$450EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events$4,325OthDirectExpnssOtherEventsAmt
Gross Receipts Total$56,886GrossReceiptsTotalAmt
Charitable Contributions Tot$56,886CharitableContributionsTotAmt
Non Cash Prizes Total Events$355NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$474RentFcltyCostsTotalEventsAmt
Entertainment Total Events$450EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$16,422OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$17,701DirectExpenseSummaryEventsAmt
Net Income Summary-$17,701NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other250.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Persons Served154PersonsServedCnt
Total Community Benefit Expns$121,393TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$13,767DirectOffsettingRevenueAmt
Net Community Benefit Expns$107,626NetCommunityBenefitExpnsAmt
Total Expense0.00150TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Persons Served10026PersonsServedCnt
Total Community Benefit Expns$10,721,490TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,020,293DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,701,197NetCommunityBenefitExpnsAmt
Total Expense0.05330TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served10180PersonsServedCnt
Total Community Benefit Expns$10,842,883TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,034,060DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,808,823NetCommunityBenefitExpnsAmt
Total Expense0.05480TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs27ActivitiesOrProgramsCnt
Persons Served98581PersonsServedCnt
Total Community Benefit Expns$88,623TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,377DirectOffsettingRevenueAmt
Net Community Benefit Expns$82,246NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs5ActivitiesOrProgramsCnt
Persons Served170PersonsServedCnt
Total Community Benefit Expns$397,047TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$397,047NetCommunityBenefitExpnsAmt
Total Expense0.00570TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs8ActivitiesOrProgramsCnt
Persons Served68135PersonsServedCnt
Total Community Benefit Expns$47,578TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$47,578NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs40ActivitiesOrProgramsCnt
Persons Served166886PersonsServedCnt
Total Community Benefit Expns$533,248TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,377DirectOffsettingRevenueAmt
Net Community Benefit Expns$526,871NetCommunityBenefitExpnsAmt
Total Expense0.00760TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs40ActivitiesOrProgramsCnt
Persons Served177066PersonsServedCnt
Total Community Benefit Expns$11,376,131TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,040,437DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,335,694NetCommunityBenefitExpnsAmt
Total Expense0.06240TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$8,390TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$8,390NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served108418PersonsServedCnt
Total Community Benefit Expns$49,073TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$49,073NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$7,458TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$7,458NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs5ActivitiesOrProgramsCnt
Persons Served108418PersonsServedCnt
Total Community Benefit Expns$64,921TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$64,921NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$3,982,595BadDebtExpenseAmt
Bad Debt Expense Attributable$300,473BadDebtExpenseAttributableAmt
Reimbursed By Medicare$27,421,063ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$35,545,195CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$8,124,132MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1The Milford Hospital IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 seaside avenueAddressLine1Txt
CitymilfordCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06460ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.milfordhospital.orgWebsiteAddressTxt
State License31StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
Otherwalk-in centerOtherDesc
Facility Reporting GroupaFacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Facility Reporting Group - ABusinessNameLine1Txt
FieldValueIRS element (for citing)
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttp://www.milfordhospital.org/about/community-health-needs-assessment/OwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLhttp://www.milfordhospital.org/about/community-health-needs-assessment/StrategyWebsiteURLTxt
Strategy Attached0StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care250.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLwww.milfordhospital.org/patients-visitors/billing-information/FAPAvailableOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Average Negotiated RatesYes (X)AverageNegotiatedRatesInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Section BFacility Reporting Group A
Facility Reporting Group A consists of:- Facility 1: The Milford Hospital, Inc.
Facility Reporting Group - A Part V, Section B, line 5:TO BOTH REMAIN IN COMPLIANCE WITH THE ACA, AS WELL AS, BECAUSE OF OUR ONGOING COMMITMENT TO THE HEALTH OF THE COMMUNITIES WE SERVE, MILFORD HOSPITAL PROUDLY JOINED THE HEALTHIER GREATER NEW HAVEN PARTNERSHIP TO COMPLETE OUR 2016 COMMUNITY HEALTH NEEDS ASSESSMENT. IN DEVELOPING AN IMPLEMENTATION STRATEGY AND COMMUNITY PLAN, THE HOSPITAL CONDUCTED FOCUS GROUPS WITH COMMUNITY MEMBERS. MEMBERS WERE REPRESENTATIVE OF KEY DEMOGRAPHIC AREAS INCLUDING THE AGING POPULATION AND PARENTS. THE HOSPITAL HELD A STRATEGIC PLANNING SESSION FOR OUR IMPLEMENTATION PLAN WITH THE FOLLOWING COMMUNITY LEADERS AND PROVIDERS:JOSEPH PELACCIA, MILFORD HOSPITAL, PRESIDENT AND CEOLAURA SMITH, MILFORD HOSPITAL, VICE PRESIDENT FINANCE AND CFODR. LLOYD FRIEDMAN, VICE PRESIDENT MEDICAL AFFAIRS AND COOKAREN KIPFER, MILFORD HOSPITAL, DIRECTOR OF COMMUNITY RELATIONSMARCY WINKEL, MILFORD HOSPITAL, DIRECTOR, SOCIAL SERVICESSENATOR GAYLE SLOSSBERG, STATE SENATORREP PAM STANESKI, STATE REPRESENTATIVE MILFORD/ORANGEREP CHARLES FERRARO, STATE REPRESENTATIVE MILFORD/ORANGE/WEST HAVENREP KIM ROSE, STATE REPRESENTATIVE MILFORDMAYOR BEN BLAKE, CITY OF MILFORDJOAN CAMPBELL, CITY OF MILFORD, DIRECTOR OF NURSING, HEALTH DEPARTMENTJOSEPH DEEPA, CITY OF MILFORD, DIRECTOR, HEALTH DEPARTMENTMAUREEN LILLIS, CITY OF WEST HAVEN HEALTH DEPARMENT, DIRECTORJULIE NASH, CITY OF MILFORD, ECONOMIC & COMMUNITY DEVELOPMENT DIRECTORELIZABETH FESER, CITY OF MILFORD, SUPERINTENDENT OF SCHOOLSDR. ANDREW CARLSON, CITY OF MILFORD, SCHOOL & COMMUNITY MEDICAL ADVISORDR. ROBERT LEWIS, CARDIOVASCULAR PHYSICIANS AND CONSULTANTS, CARDIOLOGISTBARBARA DEMAURO, BRIDGES, PRESIDENT AND CEOWENDY GIBBONS, MILFORD PREVENTION COUNCIL, DIRECTORJANICE JACKSON, MILFORD SENIOR CENTER, EXECUTIVE DIRECTORGARY JOHNSON, UNITED WAY OF MILFORD, EXECUTIVE DIRECTORPEGGY KELLY, MILFORD FAMILY RESOURCE CENTER, DIRECTORJOYCE LINDSAY, HOME CARE PLUS, DIRECTORAUGUSTA MUELLER, YNHH SYSTEM, DIRECTOR, COMMUNITY BENEFIT
Facility Reporting Group - A Part V, Section B, line 6a:THE HOSPITAL'S CHNA WAS CONDUCTED WITH ONE OTHER HOSPITAL FACILITY - YALE NEW HAVEN HOSPITAL.
Facility Reporting Group - A Part V, Section B, line 6b:THE HOSPITAL'S CHNA WAS CONDUCTED WITH THE PARTNERS OF HEALTHIER GREATER NEW HAVEN. ALL PARTNERS ARE AS FOLLOWS:Clifford Beers ClinicCommuniCareCT Mental Health CenterCornell Scott-Hill Health CenterFair Haven Community Health CenterMilford HospitalNortheast Medical GroupNew Haven Community Medical GroupPlanned Parenthood of Southern New EnglandProject Access- New HavenSchool-Based Health CentersSouthern Central CT ConsortiumYale New Haven HealthYale New Haven HospitalYale Medical GroupYale Pediatric & Internal MedicineEast Shore District Health DistrictGuilford Health DepartmentMadison Health DepartmentMilford Health DepartmentNew Haven Health DepartmentQuinnipiack Valley Health DistrictWest Haven Health DepartmentHousing Authority of New HavenNew Haven Community Services AdministrationNew Haven Parks, Recreation and TreesCentral CT Coast YMCA and Elm City, Hamden/ North Haven Soundview Family and Woodruff Family YMCA LocationsCommon Ground High SchoolData HavenNew Haven Family AllianceNew Haven Healthy StartNew Haven Land TrustAmerican Cancer SocietyAmerican Lung AssociationCAiRConnecticut Hospital AssociationCT Academy of Nutrition and DieteticsNew Haven Food Policy CouncilHealthy West Haven CollaborativeMatch CoalitionMilford Prevention CouncilNew Haven Dental AssociationProject Smile CTPutting on AirsRegion 6 Asthma Advisory CouncilTobacco-Free New Haven CoalitionTriggers Be GoneNew Haven Public Schools (District Wellness Committee)Southern CT State UniversityYale School of Medicine, Primary Care Residency ProgramYale School of Medicine, Scholars ProgramCommunity Alliance for Research & Engagement (CARE) at the Yale School of Public HealthCommunity Foundation for Greater New HavenUnited Way of Greater New HavenUnited Way of MilfordCT Dental Health PartnersCT Department of CorrectionsCT Department of Public HealthCT Department of Social ServicesCT State Department of EducationCT State Dental AssociationAccess Health CTCommunity Health NetworkGreater New Haven Chamber of CommerceLogistiCare
Facility Reporting Group - A Part V, Section B, line 11:the milford hospital is addressing three main priorities identified in its most recent CHNA: access to care, healthy lifestyles, & mental health & substance abuse.THE FIRST PRIORITY IS TO PROVIDE ACCESS TO CARE BY ACHIEVING ACCESS TO INTEGRATED HEALTH SERVICES IN THE GREATER NEW HAVEN REGION. THE STRATEGIES FOR MEETING THIS GOAL ARE:- DECREASE THE NUMBER OF PEOPLE WHO ARE NEGATIVELY IMPACTED BY INSURANCE REDETERMINATION IN GREATER NEW HAVEN.- INCREASE THE NUMBER OF YOUNG ADULTS AND ADULTS THAT HAVE A PRIMARY CARE PROVIDER OR PLACE IN GREATER NEW HAVEN.- Decrease the number of patients expressing difficulty in accessing health services due to the lack of nonemergency transportation.- increase adults accessing dental care in greater new haven.- increase access to specialty careTHE SECOND PRIORITY IS HEALTHY LIFESTYLES BY REDUCING THE PREVALENCE AND BURDEN OF CHRONIC DISEASE THROUGH SUSTAINABLE, EVIDENCE-BASED EFFORTS. THE STRATEGIES FOR MEETING THIS GOAL ARE:- TO PROMOTE HEALTHY EATING IN GREATER NEW HAVEN.- TO PROMOTE PHYSICAL ACTIVITY IN GREATER NEW HAVEN.- TO ADVOCATE FOR CHANGE TO IMPROVE ACCESS TO HEALTHY FOOD, PHYSICAL ACTIVITY, AND ISSUES THAT IMPACT HEALTHY LIFESTYLES.- TO EDUCATE THE COMMUNITY ABOUT THE DANGERS OF ALL FORMS OF TOBACCO.- TO PROMOTE AND ENHANCE EVIDENCE-BASED APPROACHES FOR POPULATION-BASED ASTHMA CARE THAT SUPPORTS THE MEDICAL HOME AND COMMUNITY-WIDE EFFORTS.- TO PROMOTE FINANCIAL SUPPORT AND REIMBURSEMENT FOR EVIDENCE-BASED LEVELS OF COST-EFFECTIVE ASTHMA CARE AND REVISE PROCESSES AND POLICIES THAT RESULT IN EXCESS UTILIZATION OF HOSPITAL SERVICES.- IDENTIFY ADDITIONAL MEASURES/TABLES TO ADD TO THE CT ASTHMA SURVEILLANCE REPORT TO BETTER UNDERSTAND DISPARITIES AND OTHER VARIABLES AND SEEK TO FURTHER ALIGN THE CHIP WITH DPH'S STATE HEALTH IMPROVEMENT PLAN.- TO SUPPORT NEW HAVEN CITY TRANSFORMATION PLAN'S EFFORTS TO TARGET AREAS IDENTIFIED WITH HIGH CONCENTRATIONS OF CHILDREN WITH ASTHMA.While the Hospital is focusing on these three main priority areas, there are other areas that have been identified that are currently not being directly addressed by the Hospital. The other areas identified as emerging issues are: -Lack of affordable community activities, lack of coordination of agencies, lack of affordable insurance, lack of sufficient transportation, environment and climate change, increasing aging population, and limited funding.

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 7:THE CALCULATION OF THE HOSPITAL'S RCC WAS DERIVED FROM WORKSHEET 2 OF THE FORM 990 INSTRUCTIONS.
Part I, Ln 7 Col(f):THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), IS $4,447,525.
Part III, Line 2:PATIENT ACCOUNTS RECEIVABLE RESULT FROM THE HEALTH CARE SERVICES PROVIDED BY THE HOSPITAL. ADDITIONS TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS RESULT FROM THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS. ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE ARE DEDUCTED FROM THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE AMOUNT OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN MEDICARE AND MEDICAID HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS.
Part III, Line 3:THE HOSPITAL DOES NOT RECEIVE PAYMENTS FOR HEALTHCARE SERVICES PROVIDED TO UNINSURED INDIVIDUALS IN THE MILFORD COMMUNITY. INDIVIDUAL MEMBERS OF THE COMMUNITY ARE BENEFITING FROM GETTING HEALTHCARE SERVICES AT NO COST TO THEM.
Part III, Line 4:Patient accounts receivable result from the health care services provided by the Hospital. Additions to the allowance for doubtful accounts result from the provision for bad debts. Accounts written off as uncollectible are deducted from the allowance for doubtful accounts. The amount of the allowance for doubtful accounts is based upon management's assessment of historical and expected net collections, business and economic conditions, trends in Medicare and Medicaid health care coverage, and other collection indicators.The Hospital's primary concentration of credit risk is patient accounts receivable, which consists of amounts owed by various governmental agencies, insurance companies, and private patients. The Hospital manages the receivables by regularly reviewing its patient accounts and contracts, and by providing appropriate allowances for doubtful amounts. Significant concentrations of gross patient accounts receivable, before allowances for doubtful accounts, include 40% for Medicare, and 11% and 7% for Medicaid, at September 30, 2016 and 2015, respectively.
Part III, Line 8:THE HOSPITAL'S COSTS EXCEED REVENUE RECEIVED FROM CMS FOR MEDICARE PATIENTS BY APPROXIMATELY $8.1M. THE COSTS WERE DERIVED FROM THE MEDICARE COST REPORT.
Part III, Line 9b:THE HOSPITAL HAS POLICIES AND PROCEDURES TO ASSIST COLLECTION PERSONNEL IN DETERMINING A PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE WHO HAVE NO INSURANCE AND MEET SPECIFIC INCOME THRESHOLDS BASED ON THE POVERTY GUIDELINES.
Part VI, Line 2:IN ADDITION TO THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH GUIDES THE PLANNING AND IMPLEMENTATION OF HEALTH AND WELLNESS PROGRAMMING AND SERVICES, MILFORD HOSPITAL SURVEYS COMMUNITY ORGANIZATIONS, THE SCHOOL SYSTEMS AND THE LOCAL GOVERNMENT TO ASSESS THE HEALTH AND EDUCATIONAL NEEDS OF THE COMMUNITY. THIS IS DONE VIA COMMITTEE AND COALITION MEETINGS AND PARTNERSHIPS, AS WELL AS, INFORMAL AND FORMAL SURVEYS AND EVALUATIONS.
Part VI, Line 3:NOTIFICATION OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IS POSTED BY THE HOSPITAL IN BOTH ENGLISH AND SPANISH IN THE FOLLOWING LOCATIONS: ADMITTING, EMERGENCY, BILLING AND CREDIT AND COLLECTIONS AND SOCIAL SERVICES DEPARTMENTS. FINANCIAL ASSISTANCE INFORMATION IS ALSO MADE PUBLICLY AVAILABLE ON THE MILFORD HOSPITAL WEBSITE.
Part VI, Line 4:MILFORD HOSPITAL SERVES THE COMMUNITY OF MILFORD, CT AND SEVERAL SURROUNDING COMMUNITIES. MILFORD IS A SMALL CITY OF 52,759 RESIDENTS LOCATED ON LONG ISLAND SOUND. THE ECONOMY IS DIVERSIFIED AND SUPPORTS MANUFACTURING, RETAIL, CORPORATE OFFICE AND SERVICE INDUSTRIES. THE MAJORITY OF THE POPULATION IDENTIFIES THEMSELVES AS WHITE (89.15%), HOWEVER, THE ASIAN AND HISPANIC POPULATIONS HAVE INCREASED RAPIDLY. MILFORD HAS AN OLDER POPULATION (16.3% OVER THE AGE OF 65), HIGHER THAN BOTH THE CONNECTICUT AND NATIONAL AVERAGES. CHILDREN AND YOUTH COMPRISE 20% OF THE POPULATION. THE ECONOMIC INDICATORS ARE MIXED. RESIDENTS HAVE EXPERIENCED FINANCIAL STRESS IN RECENT YEARS. THE SURROUNDING COMMUNITIES HAVE SIMILAR DEMOGRAPHIC PROFILES.
Part VI, Line 5:MILFORD HOSPITAL IS NOT ONLY THE HEALTHCARE PROVIDER FOR THE COMMUNITY, BUT ALSO A RESOURCE AND A PARTNER TO NUMEROUS COMMUNITY BOARDS, COALITIONS, PROGRAMS AND ORGANIZATIONS. IN ADDITION, THE HOSPITAL PROVIDES EMERGENCY PREPAREDNESS AND DISASTER PLANNING FOR THE ENTIRE COMMUNITY WHICH IT SERVES. COMMUNITY HEALTH AND WELLNESS PROGRAMS, HEALTH PROFESSIONAL EDUCATION AND HEALTH PROMOTION ACTIVITES ARE OFFERED TO THE COMMUNITY THROUGHOUT THE YEAR. IN 2016, OVER 10,000 PERSONS WERE SERVED VIA EDUCATIONAL OFFERINGS AND MORE THAN 100,000 PEOPLE WERE IMPACTED THROUGH HEALTH PROMOTION, EMERGENCY PLANNING AND OTHER ACTIVITIES.
Part VI, Line 7, Reports Filed With StatesCT

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
Milford Health & Medical Inc
300 SEASIDE AVENUEMILFORDCT06460222627346501(C)(3)$218,888GENERAL OPERATING NEEDS
Home Care Plus Inc
PO Box 161MILFORDCT06460061044331501(C)(3)$94,460GENERAL OPERATING NEEDS
Seabridge Corporation
300 SEASIDE AVENUEMILFORDCT06460222626962$68,835GENERAL OPERATING NEEDS
Milford Medical Laboratory Inc
300 SEASIDE AVENUEMILFORDCT06460066368893$166,767GENERAL OPERATING NEEDS
Torry Corporation
300 SEASIDE AVENUEMILFORDCT06460010724230$168,213GENERAL OPERATING NEEDS
MILFORD PHYSICIANS SERVICES
234 BROAD STREETMILFORDCT06460061456709$921,786GENERAL OPERATING NEEDS
SURGICAL ASSOCIATES OF MILFORD PC
831 BOSTON POST ROADMILFORDCT06460202026502$564,856GENERAL OPERATING NEEDS
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org6TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypescholarshipGrantTypeTxt
Recipient7RecipientCnt
Cash Grant$5,500CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationHOSPITAL ADMINISTATION MONITORS THE USE OF GRANT FUNDS BY REQUIRING A CAPITAL EQUIPMENT REQUEST (CER) AND A REQUEST FOR PAYMENT BE COMPLETED BEFORE FUNDS ARE RELEASED. ALL CERS MUST BE APPROVED BY THE CEO AND CFO OF THE HOSPITAL. THE REQUEST FOR PAYMENT IS APPROVED BY THE DIRECTOR OF THE FOUNDATION AND THE CFO OF THE HOSPITAL. IN ADDITION TO GRANT FUNDING, THE HOSPITAL PROVIDES SUPPORT TO RELATED ORGANIZATIONS. THIS SUPPORT IS MONITORED THROUGH COMMON MANAGEMENT.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Joseph Pelaccia
President & Chief Executive Officer$497,441$109,892$0$0$694,501$153,426$31,045$6,858$10,673$2,358$1,233,660$272,534$304,842$7,368
Lloyd Friedman MD
VP Medical Affairs & COO$452,292$119,451$0$0$169,502$44,765$95,862$25,317$18,910$4,994$736,566$194,527$0$0
Laura Smith
VP Finance & Chief Financial Officer$154,387$41,525$0$0$326$88$36,447$9,803$18,134$4,877$209,294$56,293$0$0
Dr Magdalen Mauriello
Director Hosp.Svc.$325,770$0$0$0$450$0$7,674$0$0$0$333,894$0$0$0
Dr Anitha Kamath
Chief Pathologist$304,192$16,025$0$0$285$15$7,291$0$0$0$311,768$16,040$0$0
Dr Michael Rudolph
Hospitalist$236,662$0$16,484$0$450$0$7,674$0$0$0$261,270$0$0$0
Dr Resul Dalipi
Hospitalist$223,558$0$27,039$0$300$0$7,674$0$0$0$258,571$0$0$0
Dr Michael Bloch
Emergency Room Phys.$241,502$0$0$0$0$0$2,374$0$0$0$243,876$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 4bFormAndLineReferenceDesc
ExplanationThe following individual participated in a supplemental non-qualified retirement plan in calendar year 2015 and received the following distributions: Joseph Pelaccia, President & CEO - $578,533 The following individuals participated in a supplemental non-qualified retirement plan in calendar year 2015 and did not receive any distributions: Lloyd Friedman, VP of Medical Affairs & COO Laura Smith, VP of Finance & CFOExplanationTxt

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

FieldValueIRS element (for citing)
PersonJOSEPH PELACCIAPersonNm
Relationship With OrgPRESIDENT & CEORelationshipWithOrgTxt
Loan PurposeADDITIONAL SERP PAYOUT DUE TO PRESIDENT & CEOLoanPurposeTxt
Loan To OrganizationYes (X)LoanToOrganizationInd
Original Principal$233,407OriginalPrincipalAmt
Balance Due$233,407BalanceDueAmt
Default0DefaultInd
Board Or Committee ApprovalYes (1)BoardOrCommitteeApprovalInd
Written AgreementYes (1)WrittenAgreementInd
FieldValueIRS element (for citing)
Total Balance Due$233,407TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARIE WILLISBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionSPOUSE OF JOSEPH PELACCIA - PRESIDENT & CEORelationshipDescriptionTxt
Transaction$76,697TransactionAmt
TransactionCOMPENSATIONTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 1 (continued)Milford Hospital engages in a wide range of health educational activities designed to meet the educational needs of patients, staff, physicians, and the community.
form 990, Part III, Line 4a (continued)- The Social Services Department offers assistance to patients and their families with completion of Title-19 applications, conservator applications, completion of Advanced Directives and referrals to other Social Service Agencies. - Cab vouchers are provided to patients and families through the Social Service Department when other forms of transportation are not available. The hospital has also covered the cost of ambulance transportation for uninsured Title-19 patients going to DMHAS facilities. - The Social Services Department also maintains a fund to provide assistance to patients as needed; i.e., cover cost of prescriptions, transportation etc. - Administration and Department leadership respond to requests for speakers at various community forums and organizations (including school groups, civic organizations, senior programs etc.) - Milford Hospital Administration and Department leadership maintain professional affiliations with, and strongly support, local organizations through participation on boards, advisory committee, and councils of the following: Alzheimers Association of Connecticut, American Cancer Society, American College of Healthcare Executives, American Heart Association, American Lung Association, American Red Cross, Bridges - A Community Support Agency, City of Milford Health and Wellness Council, Connecticut Association of Respiratory Care, Connecticut College of Health Care Executives, Connecticut Hospital Association, Connecticut League for Nursing, Connecticut Organization for Nurse Executives, Connecticut Tuberculosis Advisory Committee, Connecticut Yankee Council - Boy Scouts of America, Healthcare Human Resources Association, Kids Count 12345, Milford Chamber of Commerce, Milford Mayors Youth Forum, Milford - Orange YMCA, Milford Prevention Council, New Haven Tuberculosis Coalition, Partnership for Greater New Haven, Rape Crisis Center, Social Services Network of Milford, State Regional Psychiatric Committee, United Way of Milford, Woodruff Family YMCA, and Young Parent Program. The activities as outlined above are reflective of the strong commitment by Milford Hospital and its staff to the well-being of the communities we serve. The future of hospital health care depends as much on the successful prevention of illness as does the treatment. Our investment in community education, special outreach programs, healthcare seminars, and memberships in independent health organizations, all contribute toward the overall welfare of our citizenry.
Form 990, Part VI, Section A, line 2Board members Joseph Pelaccia, Samuel Bergami, Jr., Louis D'Amato, James Beard, Leo Carroll, and Carol McInnis are also board members of the Milford Bank.
Form 990, Part VI, Section B, line 11In addition to a review of the Form 990 by management of the Milford Hospital, the return was reviewed by the CFO/VP of Finance on behalf of the board of directors. The return was then reviewed by the executive and professional committee of the board. The return was then sent by secure e-mail to all board members prior to filing with the IRS.
Form 990, Part VI, Section B, line 12cConflict of interest questionnaires are sent to officers, directors, and key employees annually. The completed questionnaires are reviewed by the President. Whenever the Board or Board Committee of the organization is considering a transaction or arrangement with an organization, entity, or individual in which a person covered by the policy or his or her family may be an interested person: 1. The interested person must disclose the financial interest and all material facts to the board or board committee so that it may consider whether there is a conflict of interest; 2. If appropriate, the board may appoint a disinterested person or committee to investigate alternatives to the proposed transaction or arrangement; 3. The board chair, the board committee or the board shall direct the interested person to leave the meeting during discussion of the financial interest and potential conflict. The interested person may make a statement or answer any questions on the matter before leaving and may be called back to answer additional questions; 4. The interested person will not vote on the matter; and 5. In order to approve the transaction, the board or board committee must first find, by a majority vote of the board members then in office, without counting the vote of the interested person, that the proposed transaction or arrangement is in the best interest of the organization, that the proposed transaction is fair and reasonable, and, after reasonable investigation, that the organization cannot obtain a more advantageous transaction or arrangement with reasonable efforts under the circumstances.
Form 990, Part VI, Section B, line 15The Executive Committee of the Board of Directors reviews and approves the compensation of all officers and key employees of the organization. Decisions regarding compensation are documented in the committee meeting minutes. The organization uses a compensation committee, the Form 990 of other organizations, written employment contracts, and compensation surveys or studies in its process for determining compensation for officers and key employees.
Form 990, Part VI, Section C, line 19The governing documents, conflict of interest policy, and financial statements are kept in the President's office and are available upon request.
Form 990, Part XI, line 9:Pension Liability Adjustment -5,955,528. Change in Beneficial Interest in Milford Hospital Foundation 270,486.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Milford Health & Medical Inc
300 Seaside AvenueMilfordCT06460222627346Supporting OrganizationCT501(c)(3)Line 11b, IIN/A0
Milford Health Care Services Inc
300 Seaside AvenueMilfordCT06460222627353Health Care ServicesCT501(c)(3)PF0Milford Health & Medical Inc
Milford Hospital Foundation Inc
300 Seaside AvenueMilfordCT06460222627350FundraisingCT501(c)(3)PF0Milford Health & Medical Inc
Home Care Plus Inc
PO Box 161MilfordCT06460061044331Home Health ServicesCT501(c)(3)Line 90Milford Health & Medical Inc

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
Seabridge Corporation
300 Seaside AvenueMilfordCT06460222626962Other Medical ServicesCTN/AC0
Milford Medical Laboratory Inc
300 Seaside AvenueMilfordCT06460066368893Laboratory ServicesCTN/AC0
Torry Corporation
300 Seaside AvenueMilfordCT06460010724230Rental Real EstateCTN/AC0
Seaside Indemnity Alliance Ltd
300 Seaside AvenueMilfordCT06460Liability InsuranceN/AC0CJ
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

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