2026-08-11T13:06:54-05:00 2025-09-30 390859910 BAKER TILLY ADVISORY GROUP LP 1 HIGHWOOD DRIVE TEWKSBURY MA 01876 990 2024-10-01 222676137 MIDDLESEX HEALTH SYSTEM INC MIDD 8603586395 28 CRESCENT STREET MIDDLETOWN CT 06457 SUSAN MARTIN TREASURER 8603586395 2026-08-11 1 1 MARY-EVELYN ANTONETTI P00431862 9785575300 2026-08-11 2024 2025-03-06 01:10:19Z VINCENT CAPECE JR 28 CRESCENT STREET MIDDLETOWN CT 06457 1179286 0 X WWW.MIDDLESEXHOSPITAL.ORG X 1895 CT PARENT OF AND PROVIDES FUNDRAISING FOR MIDDLESEX HOSPITAL. (CONTINUED ON SCHEDULE O)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. 12 11 6 70 0 0 0 0 995357 1179286 0 0 0 0 995357 1179286 0 0 0 0 677107 677936 0 0 0 977797 1180745 1654904 1858681 -659547 -679395 14592 14592 0 57421 14592 -42829 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. 0 0 1168997 1179286 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. 678836 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. 1847833 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 6 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 1 0 CT X X SHANNON ST HILAIRE 8603586000 28 CRESCENT STREET MIDDLETOWN CT 06457 VINCENT CAPECE JR PRESIDENT/CEO 1.00 43.00 X X 0 1377038 337894 CHANDLER J HOWARD CHAIR (AS OF 6/25) 1.00 3.00 X X 0 0 0 JONATHAN D LEVINE MD SECRETARY 1.00 4.00 X X 0 0 0 MARK D LORENZE ASST. SECRETARY 1.00 3.00 X X 0 0 0 DAVID C BENOIT DIRECTOR 1.00 3.00 X 0 0 0 JEAN M D'AQUILA VICE CHAIR (AS OF 6/25) 1.00 4.00 X X 0 0 0 JOHN J GAUTHIER DIRECTOR 1.00 3.00 X 0 0 0 ROBERT C HINTON DIRECTOR 1.00 3.00 X 0 0 0 DARRELL G PATASKA CHAIRMAN (TILL 7/2025) 1.00 3.00 X X 0 0 0 CHRISTINE H REPASY DIRECTOR 1.00 3.00 X 0 0 0 GARY M WALLACE DIRECTOR 1.00 3.00 X 0 0 0 MARK BERTOLAMI DIRECTOR 1.00 3.00 X 0 0 0 ELIZABETH G JUDD DIRECTOR 1.00 3.00 X 0 0 0 SUSAN MARTIN VP FINANCE/TREASURER 1.00 43.00 X 0 658668 52451 SARAH MOORE DIR FUND DEVELOPMENT 40.00 0.00 X 227044 0 19395 227044 2035706 409740 1 0 1 0 MAYO CLINIC 200 FIRST STREET SW ROCHESTER MN 559080002 CONSULTING SERVICES 662748 1 RELATED PARTY MGMT FEE INCOME 541610 1179286 1179286 1179286 1179286 1179286 0 0 X 541511 541511 28270 28270 35435 35435 72720 72720 6672 6672 4176 4176 890057 890057 400 400 27829 27829 12240 12240 840 840 4364 4364 26304 26304 SPECIAL EVENTS 188411 188411 CATERING 17689 17689 FOOD AND BEVERAGE 1264 1264 MEDICAL SUPPLIES 171 171 328 328 1858681 1847833 10848 0 14592 14592 14592 14592 0 57421 0 57421 X 14592 -42829 14592 -42829 14592 14592 X -679395 621974 X X 0 1 X 1 0 X X X 1 MIDDLESEX HOSPITAL 060646718 3 1 0 1858122 1 0 1858122 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 PART I, LINE 12G: THE ORGANIZATION PROVIDES NON-MONETARY SUPPORT TO MIDDLESEX HOSPITAL BY PROVIDING FUNDRAISING SERVICES. PART IV, SECTION A, LINE 6: MIDDLESEX HEALTH SYSTEM SUPPORTS MHS PRIMARY CARE, WHICH WAS ORGANIZED AS A CONNECTICUT NON-PROFIT MEDICAL FOUNDATION PROVIDING MEDICAL AND HEALTH CARE SERVICES TO THE MIDDLESEX COMMUNITY. 0 X PART X, LINE 2: BELOW IS AN EXCERPT FROM FOOTNOTE 2 OF THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS FOR MIDDLESEX HEALTH SYSTEM, INC. AND SUBSIDIARIES. THE SYSTEM ACCOUNTS FOR UNCERTAIN TAX POSITIONS WITH PROVISIONS OF ASC 740, "INCOME TAXES," WHICH PROVIDES A FRAMEWORK FOR HOW COMPANIES SHOULD RECOGNIZE, MEASURE, PRESENT AND DISCLOSE UNCERTAIN TAX POSITIONS IN THEIR CONSOLIDATED FINANCIAL STATEMENTS. THE SYSTEM MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE SYSTEM DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS AS OF SEPTEMBER 30, 2025 AND 2024. 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, 2025 AND 2024, 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. 0 1 0 0 0 0 0 0 0 VINCENT CAPECE JR PRESIDENT/CEO 0 912188 0 200000 0 264850 0 300820 0 37074 0 1714932 0 237124 SUSAN MARTIN VP FINANCE/TREASURER 0 519272 0 76000 0 63396 0 22220 0 30231 0 711119 0 52703 SARAH MOORE DIR FUND DEVELOPMENT 208475 0 18500 0 69 0 17324 0 2071 0 246439 0 0 0 PART I, LINE 3 THE PRESIDENT/CEO OF MIDDLESEX HEALTH SERVICES, INC. IS PAID BY MIDDLESEX HOSPITAL, A RELATED ENTITY. MIDDLESEX HOSPITAL USES THE FOLLOWING METHODS TO DETERMINE THE COMPENSATION FOR THE PRESIDENT/CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINE 4B THE FOLLOWING INDIVIDUALS RECEIVED COMPENSATION FROM A SERP, WHICH WAS INCLUDED IN PART II, COLUMN B(III) AND COLUMN F: VINCENT CAPECE = $237,124 SUSAN MARTIN = $52,703 SERP CONTRIBUTIONS WERE MADE FOR THE FOLLOWING INDIVIDUALS AND ARE INCLUDED IN PART II, COLUMN C: VINCENT CAPECE = $276,120 PART II, COLUMN (B)(II) - BONUS & INCENTIVE COMPENSATION: THE AMOUNTS REPRESENT INCENTIVE COMPENSATION PAYMENTS MADE IN CALENDAR YEAR 2024. PAYMENTS INCLUDE AMOUNTS EARNED IN 2023 AND DEFERRED, WHERE APPLICABLE. FORM 990, PART VI, SECTION B, LINE 11B 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, SECTION B, LINE 12C CONFLICT OF INTEREST FORMS ARE DISTRIBUTED ANNUALLY TO KEY EMPLOYEES, OFFICERS AND THE BOARD OF DIRECTORS. RESPONSES ARE RETURNED TO, TRACKED, AND REVIEWED BY THE SYSTEM COMPLIANCE OFFICER. 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, SECTION B, LINE 15B 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 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 12/2024. FORM 990, PART VI, SECTION C, LINE 19 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 PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 185,905. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 185,905. MAYO CLINIC CONSULTING: PROGRAM SERVICE EXPENSES 678,836. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 678,836. CONSULTING EXPENSE: PROGRAM SERVICE EXPENSES 25,316. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,316. FORM 990, PART XI, LINE 9: TRANSFER (TO) / FROM MIDDLESEX HOSPITAL 621,974. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. MIDDLESEX HOSPITAL FOUNDATION INC 28 CRESCENT STREET MIDDLETOWN CT 06457 273720822 SUPPORT CT 501(C)(3) LINE 12B, II MIDDLESEX HOSPITAL 1 MIDDLESEX HOSPITAL 28 CRESCENT STREET MIDDLETOWN CT 06457 060646718 HEALTHCARE CT 501(C)(3) LINE 3 MIDDLESEX HEALTH SYSTEM INC 1 MIDDLESEX HEALTH SERVICES INC 28 CRESCENT STREET MIDDLETOWN CT 06457 222676140 ASSISTED LIVING CT 501(C)(3) LINE 10 MIDDLESEX HEALTH SYSTEM INC 1 MHS PRIMARY CARE INC 28 CRESCENT STREET MIDDLETOWN CT 06457 061472743 HEALTHCARE CT 501(C)(3) LINE 12B, II MIDDLESEX HEALTH SYSTEM INC 1 MIDDLESEX HEALTH RESOURCES INC 28 CRESCENT STREET MIDDLETOWN CT 06457 061089925 RENTAL REAL ESTATE CT MIDDLESEX HEALTH SYSTEM INC C -250 2009 1.00000 1 INTEGRATED RESOURCES FOR MIDDLESEX AREA LLC 28 CRESCENT STREET MIDDLETOWN CT 06457 061462230 OUTPATIENT CARE CT MIDDLESEX HEALTH SYSTEM INC C -250 2675 1.00000 1 0 1 1 0 0 0 0 0 0 0 0 1 0 1 1 1 1 0 0 MIDDLESEX HOSPITAL C 621975 ACTUAL MHS PRIMARY CARE INC O 3492673 ACTUAL MHS PRIMARY CARE INC N 4690084 ACTUAL MHS PRIMARY CARE INC P 1826384 ACTUAL MHS PRIMARY CARE INC B 12134705 ACTUAL MIDDLESEX HOSPITAL L 1179286 ACTUAL