2024-08-07T15:52:36-05:00 2023-09-30 111986323 MARCUM LLP 555 LONG WHARF DRIVE NEW HAVEN CT 06511 990 2022-10-01 061472743 MHS PRIMARY CARE INC MHSP 8603586395 28 CRESCENT STREET MIDDLETOWN CT 06457 SUSAN MARTIN TREASURER 8603586395 2024-08-01 1 0 MARY ANTONETTI P00431862 2037819600 2024-08-01 2022 2024-08-08 14:25:15Z VINCENT CAPECE JR 28 CRESCENT STREET MIDDLETOWN CT 06457 37337545 0 X WWW.MHPRIMARYCARE.ORG X 1997 CT TO PROVIDE PATIENT-CENTERED COMPASSIONATE CARE TO ALL MEMBERS OF OUR COMMUNITY (SEE SCHEDULE O)ALL MHSPC PROVIDERS ARE DEDICATED COMMUNITY HEALTHCARE PROFESSIONALS WHOSE TOP PRIORITY IS PROVIDING PATIENTS AND THEIR FAMILIES WITH THE VERY BEST CARE POSSIBLE WITH MANY PHYSICIANS WITH UNIQUE SPECIALTIES.WE BELIEVE THAT OUR PATIENTS DESERVE COORDINATED CARE, AND WE ARE PROUD TO BE A PART OF MIDDLESEX HEALTH WHICH GIVES OUR PATIENTS ACCESS TO SOME OF CONNECTICUT'S TOP SPECIALISTS AND FACILITIES.OUR MISSION IS TO PROVIDE AN EXCEPTIONAL, SAFE, HIGH-QUALITY PRIMARY CARE EXPERIENCE AS THE CORNERSTONE OF MIDDLESEX HEALTH. OUR VISION IS TO BE THE CLEAR, FIRST CHOICE FOR PRIMARY CARE IN THE COMMUNITIES WE SERVE.WE PROVIDE ALL OUR SERVICES BASED ON OUR CORE VALUES:-CARING: DELIVER TEAM-BASED, COMPASSIONATE CARE THAT EXCEEDS EXPECTATIONS.-ACCESS: FULFILL PATIENT AND FAMILY NEEDS.-RESPECT: VALUE OUR PATIENTS AND STAFF.-EXCELLENCE: PURSUE CLINICAL AND SERVICE EXCELLENCE. 12 11 449 12 0 0 696276 0 33702336 37267981 0 0 51952 61019 34450564 37329000 0 0 0 0 36551126 40979341 0 0 0 15538910 16196546 52090036 57175887 -17639472 -19846887 12918351 14118894 15700193 15621444 -2781842 -1502550 X ALL MHSPC PROVIDERS ARE DEDICATED COMMUNITY HEALTHCARE PROFESSIONALS WHOSE TOP PRIORITY IS PROVIDING PATIENTS AND THEIR FAMILIES WITH THE VERY BEST CARE POSSIBLE WITH MANY PHYSICIANS WITH UNIQUE SPECIALTIES. 0 0 23441330 22519410 MHS PRIMARY CARE OFFICES PROVIDE PATIENTS WITH SKILLED PRIMARY CARE PHYSICIANS, ADVANCED PRIMARY CARE, DIAGNOSIS AND TREATMENT. THERE ARE TWELVE OFFICES LOCATED IN CHESTER, CROMWELL, DURHAM, EAST HADDAM, ESSEX, MADISON, MIDDLETOWN, OLD SAYBROOK, PORTLAND, AND WESTBROOK, CT.IN MARCH 2020, THE PRESIDENT OF THE UNITED STATES ISSUED A PROCLAMATION DECLARING A NATION EMERGENCY CONCERNING THE NOVEL CORONAVIRUS (COVID-19) OUTBREAK. MHS PRIMARY CARE CONTINUED TO BE A VITAL SUPPORT TO THE COMMUNITY AS IT STRUGGLED WITH COVID-19 AND CONTINUED TO PROVIDE CARE TO ALL PATIENTS EITHER IN PERSON OR THROUGH VIRTUAL VISITS. IN A SUPPLEMENTAL ROLE, SEVERAL OF THE MHS PRIMARY CARE OFFICES PROVIDED COVID-19 VACCINES AND OR COVID-19 TESTING. 11961512 4865604 MHS SURGICAL ALLIANCE IS A TEAM OF THE MOST HIGHLY SKILLED AND EXPERTLY TRAINED SURGICAL SPECIALISTS AND SUB-SPECIALISTS IN THE MIDDLESEX COUNTY, CT AREA. THESE SURGEONS, MANY OF WHOM ARE PROFESSORS AND PUBLISHERS IN THEIR AREA OF EXPERTISE, HAVE DECADES OF COMBINED EXPERIENCE IN PERFORMING A WIDE RANGE OF COMPLEX GYNECOLOGIC, THORACIC SURGERY, COLORECTAL SURGERY, BREAST AND GENERAL SURGICAL PROCEDURES. THERE ARE TWO MAIN OFFICES IN MIDDLETOWN AND SATELLITE OFFICES IN MADISON, WESTBROOK, NEW LONDON, AND MARLBOROUGH. 3164088 3395438 MHS URGENT CARE OFFICES PROVIDE PATIENTS WITH CONVENIENT AND LOW-COST CARE FOR NON-LIFE-THREATENING ISSUES SUCH AS COLDS, COUGHS, EARACHES, MODERATE FEVERS, MINOR CUTS, BRUISES, SEVERE SPRAINS AND MORE. THERE IS URGENT CARE SITE IN MIDDLETOWN AND ONE URGENT CARE SITE IN OLD SAYBROOK.MHS URGENT CARE'S ACTIVITIES EXPANDED IN 2020 TO AID WITH THE INTERNATIONAL PANDEMIC SURROUNDING COVID-19. ASIDE FROM BEING ON THE FOREFRONT OF MAINTAINING ALL CDC PROTOCOLS TO PROTECT PATIENTS DURING THE CRISIS MHS URGENT CARE HELPED THE COMMUNITY BY PERFORMING COVID-19 TESTING. 9342687 6488195 UROLOGY: UROLOGICAL PROBLEMS AND CONDITIONS CAN BE A SENSITIVE SUBJECT. AS A PATIENT, YOU WANT A UROLOGY TEAM WITH SPECIALISTS DEDICATED TO PROVIDING CARE THAT IS BOTH EFFECTIVE AND DESIGNED TO MEET YOUR INDIVIDUAL NEEDS. AT MIDDLESEX HEALTH, OUR UROLOGY TEAM PROVIDES THE MOST ADVANCED, SENSITIVE CARE IN A WELCOMING AND PRIVATE ENVIRONMENT. OUR BOARD-CERTIFIED UROLOGISTS PROVIDE PERSONALIZED EVALUATION AND TREATMENT OF UROLOGICAL PROBLEMS, INCLUDING THOSE OF THE URINARY SYSTEM IN CHILDREN AND ADULTS, AND THOSE OF THE REPRODUCTIVE SYSTEM IN MEN. PALLIATIVE CARE: THE PALLIATIVE CARE PROGRAM PREVENTS AND EASES THE SUFFERING AND STRESS ASSOCIATED WITH ILLNESS AND AIMS TO IMPROVE THE QUALITY OF LIFE FOR EACH PATIENT TREATED. 9342687 6488195 47909617 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 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 0 0 0 1 35 0 1 449 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 11 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 CT X X SHANNON ST HILAIRE 8603586000 28 CRESCENT STREET MIDDLETOWN CT 06457 DAVID C BENOIT DIRECTOR 1.00 3.00 X 0 0 0 VINCENT CAPECE JR PRESIDENT/CEO/DIRECTOR 1.00 43.00 X X 0 1361746 312709 JEAN M D'AQUILA DIRECTOR 1.00 4.00 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 CHANDLER J HOWARD VICE CHAIRMAN 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 BRUCE S MACMILLIAN DIRECTOR (LEFT 9/30/23) 1.00 4.00 X 0 0 0 DARRELL G PATASKA CHAIRMAN 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 SUSAN MARTIN TREASURER 1.00 43.00 X 0 514497 69174 DAVID GLADSTONE PRESIDENT OF MMG 40.00 0.00 X 279402 0 43605 JONATHAN ARANOW SURGEON 40.00 0.00 X 662703 0 55289 DANA KIVLIN PHYSICIAN 40.00 0.00 X 500426 0 43320 RICHARD FRINK PHYSICIAN 40.00 0.00 X 528837 0 46670 CHIA CHI WANG SURGEON 40.00 0.00 X 571078 0 20640 MEREDETH LINDNER PHYSICIAN 40.00 0.00 X 501288 0 46439 3043734 1876243 637846 84 0 1 0 HARTFORD HEALTHCARE MEDICAL 80 SEYMOUR STREET HARTFORD CT 06102 PHYSICIAN SERVICES 617849 ULTIMATE MAINTENANCE CONCEPTS II 44 W POPLAR RD MIDDLETOWN CT 06457 MAINTENANCE SERVICES 148073 2 NET PATIENT SERVICE REVENUE 621400 35334677 35334677 ANCILLARY REVENUES 621400 1933304 1933304 37267981 68898 8545 60353 60353 60353 PURCHASE DISCOUNTS 621400 666 666 666 37329000 37268647 0 60353 X 411035 246621 164414 33952644 31573546 2379098 1526827 398567 1128260 2970016 700810 2269206 2118819 560905 1557914 152040 152040 1419 1419 36804 36804 6502767 5620284 882483 113933 106692 7241 420137 339400 80737 53436 12408 41028 3459563 3458944 619 66511 23595 42916 150461 120907 29554 13437 13437 833241 813582 19659 1121495 662542 458953 MEDICAL SUPPLIES 3094818 3094818 DUES 101844 96400 5444 BEDDING LINEN 24974 24974 EMPLOYEE RELATIONS 13901 12284 1617 35765 28901 6864 57175887 47909617 9266270 0 4440 4440 818087 986866 2077326 2215706 0 32500 0 106156 11561026 8074053 3862904 3486973 6155594 7286253 12918351 14118894 6132596 4958118 258854 182291 9308743 10481035 15700193 15621444 X -2781842 -1502550 -2781842 -1502550 12918351 14118894 X -19846887 21126179 X X 0 1 X 1 1 1 X 2901727 696276 0 3598003 28635418 26463821 30886990 33702336 37267981 156956546 28635418 26463821 33788717 34398612 37267981 160554549 0 0 0 160554549 104347 106559 96380 72103 68898 448287 104347 106559 96380 72103 68898 448287 104 17 666 787 28739765 26570380 33885201 34470732 37337545 161003623 0.99720 0.99690 0.00280 0.00310 X 306780 306780 1494798 914733 580065 7243477 5695977 1547500 2515330 1463343 1051987 641 641 3486973 RIGHT-OF-USE ASSETS 7217620 DEPOSITS 68633 7286253 EST. SELF-INSURANCE LIABILITIES 2888772 MHSPC RETENTION BONUS 175112 OPERATING LEASE LIABILITIES 7407651 ASSET RETIREMENT OBLIGATION 9500 10481035 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 FASB ASC 740, "INCOME TAXES," WHICH PROVIDES A FRAMEWORK FOR HOW COMPANIES SHOULD RECOGNIZE, MEASURE, PRESENT AND DISCLOSE UNCERTAIN TAX POSITIONS IN THEIR CONSOLIDATED FINANCIAL STATEMENTS. THE SYSTEM MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE SYSTEM DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS AS OF SEPTEMBER 30, 2023 AND 2022. 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, 2023 AND 2022, 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/DIRECTOR 0 829309 0 185400 0 347037 0 279400 0 33309 0 1674455 0 310507 JONATHAN ARANOW SURGEON 390494 0 270919 0 1290 0 21350 0 33939 0 717992 0 0 0 CHIA CHI WANG SURGEON 415692 0 154936 0 450 0 18300 0 2340 0 591718 0 0 0 SUSAN MARTIN TREASURER 0 472809 0 0 0 41688 0 43880 0 25294 0 583671 0 23866 RICHARD FRINK PHYSICIAN 342551 0 184306 0 1980 0 21350 0 25320 0 575507 0 0 0 MEREDETH LINDNER PHYSICIAN 382904 0 118153 0 231 0 15250 0 31189 0 547727 0 0 0 DANA KIVLIN PHYSICIAN 343280 0 156876 0 270 0 12200 0 31120 0 543746 0 0 0 DAVID GLADSTONE PRESIDENT OF MMG 249504 0 29700 0 198 0 18570 0 25035 0 323007 0 0 0 PART I, LINE 3 THE PRESIDENT/CEO OF MHS PRIMARY CARE, 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 = $310,507 SUSAN MARTIN = $23,866 SERP CONTRIBUTIONS WERE MADE FOR THE FOLLOWING INDIVIDUALS AND ARE INCLUDED IN PART II, COLUMN C: VINCENT CAPECE = $255,000 SUSAN MARTIN = $19,480 PART II, COLUMN (B)(II) - BONUS & INCENTIVE COMPENSATION: THE AMOUNTS REPRESENT INCENTIVE COMPENSATION PAYMENTS MADE IN CALENDAR YEAR 2022. PAYMENTS INCLUDE AMOUNTS EARNED IN 2021 AND DEFERRED, WHERE APPLICABLE. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE CORPORATE MEMBER OF MHS PRIMARY CARE, INC ("MHSPC") IS MIDDLESEX HEALTH SYSTEM, INC. ("SOLE MEMBER") A CONNECTICUT NON-STOCK CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE ANNUAL ELECTION OF THE BOARD OF DIRECTORS OF MHSPC BY THE DULY AUTHORIZED REPRESENTATIVE OF THE SOLE MEMBER SHALL BE DEEMED THE ANNUAL MEETING OF THE MEMBERSHIP OF MHSPC FOR ALL PURPOSES. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE MEMBER, MIDDLESEX HEALTH SYSTEM, INC, SHALL HAVE ALL OF THE MEMBERSHIP RIGHTS CONFERRED BY LAW, THE CERTIFICATE OF INCORPORATION OR THE MHSPC BY-LAWS, BY VOTE OF ITS BOARD OF DIRECTORS, ITS PRESIDENT, OR BY OR THROUGH ANY OTHER PERSON(S) DESIGNATED BY ITS BOARD OF DIRECTORS ON ITS BEHALF. THE SECRETARY OF MHSPC SHALL PROVIDE APPROPRIATE NOTICES TO THE SOLE MEMBER AS REQUIRED BY LAW IN ADVANCE OF ACTIONS BEING REQUESTED OF THE SOLE MEMBER BY THE BOARD OF DIRECTORS OF MHSPC. 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 ORGANIZATION 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 15 THE PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL IS DETERMINED BY THE MHS PRIMARY CARE'S RELATED ORGANIZATION, MIDDLESEX HOSPITAL. MIDDLESEX HOSPITAL'S PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL IS AS FOLLOWS: 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 12/2022. FORM 990, PART VI, SECTION C, LINE 19 MHS PRIMARY CARE 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. FORM 990, PART IX, LINE 11G OTHER SERVICES: PROGRAM SERVICE EXPENSES 621,500. MANAGEMENT AND GENERAL EXPENSES 685,017. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,306,517. REPAIRS: PROGRAM SERVICE EXPENSES 93,255. MANAGEMENT AND GENERAL EXPENSES 10,128. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 103,383. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 3,859,943. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,859,943. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,045,586. MANAGEMENT AND GENERAL EXPENSES 187,338. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,232,924. FORM 990, PART XI, LINE 9: TRANSFER (TO) / FROM MIDDLESEX HOSPITAL 21,126,179. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990, PART XII, LINE 3B: MHS PRIMARY CARE DOES NOT HAVE A SEPARATE AUDIT PERFORMED UNDER THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133. MHS PRIMARY CARE IS INCLUDED IN THE A-133 AUDIT PERFORMED FOR MIDDLESEX HEALTH SYSTEM FOR PURPOSES OF THE A-133 AUDIT. THE RELEVANT ACTIVITIES AND EXPENDITURES OF MHS PRIMARY CARE ARE REVIEWED AND THE RESULTS ARE INCLUDED IN THE SINGLE A-133 AUDIT REPORT FOR MIDDLESEX HEALTH SYSTEM. MIDDLESEX HOSPITAL 28 CRESCENT STREET MIDDLETOWN CT 06457 060646718 HEALTHCARE CT 501(C)(3) LINE 3 MIDDLESEX HEALTH SYSTEM INC 0 MIDDLESEX HEALTH SERVICES INC 28 CRESCENT STREET MIDDLETOWN CT 06457 222676140 ASSISTED LIVING CT 501(C)(3) LINE 10 MIDDLESEX HEALTH SYSTEM INC 0 MIDDLESEX HEALTH SYSTEM INC 28 CRESCENT STREET MIDDLETOWN CT 06457 222676137 SUPPORT CT 501(C)(3) LINE 12B, II N/A 0 MIDDLESEX HOSPITAL FOUNDATION INC 28 CRESCENT STREET MIDDLETOWN CT 06457 273720822 SUPPORT CT 501(C)(3) LINE 12B, II MIDDLESEX HOSPITAL 0 MIDDLESEX HEALTH RESOURCES INC 28 CRESCENT STREET MIDDLETOWN CT 06457 061089925 RENTAL REAL ESTATE CT N/A C 0 INTEGRATED RESOURCES FOR MIDDLESEX AREA LLC 28 CRESCENT STREET MIDDLETOWN CT 06457 061462230 OUTPATIENT CARE CT N/A C 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0