Middlesex Hospital FY2021 filing

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Middlesex Hospital exists to provide the safest, highest-quality health care and the best experience possible for our community. (continued on schedule o)

501(c)(3) charity; gifts are tax-deductible.
89¢ of each $1 spent went to programs.
$7.7M paid to officers and key staff.
Mission: Form 990 Part I, line 1 · Status: IRS Pub. 78 · Programs: Part IX · Pay: Part VII

Before you give

FY2021 · Form 990Independent: from IRS data, not the org
Download 990
IRS status
501(c)(3)
not on the IRS revocation list
Looks good: listed by the IRS and not on the revocation list.
IRS BMF · Auto-Revocation List
Tax-deductible gifts
Yes
Donations are tax-deductible
Looks good: the IRS lists gifts to it as deductible.
IRS Pub. 78 · IRS BMF
Latest return
FY2025
latest Form 990
Looks good: the latest return is for FY2025, 1 tax year back; within 2 tax years.
IRS e-file · Filing history
Surplus or deficit
6 of 6
filings with a surplus
Average surplus $31.8M a year · 6% of revenue · last 6 filings
Looks good: a surplus in 6 of the last 6 filings.
Pt I · Ln 19 · 6 filings
Spent on programs
89%
of spending
Looks good: 89% of spending went to programs; 75% or more.
Pt IX · Ln 25 · col B
Pay to officers and key staff
$7.7M
to officers and key staff · 2% of spending
Looks good: pay to officers and key staff is 2% of spending; 15% or less.
Pt VII · Sec A
3 mo
of spending, in cash
Plus $219.2M in investments, Pt X · Ln 11–13
Fine: 2.6 months of spending in cash; 1 to 3.
Pt X · Ln 1–2 · Pt I · Ln 18
Named funders
3
named funders · $84K
Looks good: 3 funders name it on their filings; 3 or more.
Funders’ Sch. I, 990-PF
Liabilities
$208.6M
33% of total assets
Looks good: liabilities are 33% of assets; 50% or less.
Pt X · Ln 26
Independent board members
12
of 13 voting members
Looks good: 12 of 13 voting members are independent, a majority.
Pt VI · Ln 1a–1b
Looks goodFineWorth a lookConcernNo data yetTap a box for the reason.
Revenue
$466.0M
+5% vs prior year
Spent
$440.4M
To programs
89%
Net assets
$419.4M
By yearFY2020–FY2025
Revenue
$466.0M
FY2021▲ +5%
Tap a bar for its year
Revenue by fiscal year
FY2020$444.8M
FY2021$466.0M
FY2022$484.5M
FY2023$512.6M
FY2024$539.7M
FY2025$562.6M
Expenses
$440.4M
FY2021▲ +5%
Tap a bar for its year
Expenses by fiscal year
FY2020$419.2M
FY2021$440.4M
FY2022$455.8M
FY2023$485.7M
FY2024$493.7M
FY2025$524.8M
Net assets
$419.4M
FY2021▲ +5%
Tap a bar for its year
Net assets by fiscal year
FY2020$398.5M
FY2021$419.4M
FY2022$394.9M
FY2023$408.7M
FY2024$467.6M
FY2025$496.3M

From the FY2021 Form 990 (year ending September 2021) · figures checked against the IRS filing · see the original

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You’re viewing the FY2021 filing — not the latest on file. See the latest (FY2025) →

Is it real?

Yes. Never revoked by the IRS. Latest filing on record: FY2025. IRS ruling in Dec 1939.

IRS Pub. 78 · IRS Auto-Revocation List · IRS Business Master File

Where the money goes

89 cents of each dollar spent went to programs.

Program services 89% · $391.3M Management & general 11% · $48.0M Fundraising 0% · $1.1M

Form 990 Part IX, line 25, columns B–D. Every line is in By the numbers.

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Who runs it and what they're paid

26 people listed on the 990; $7.7M paid to officers and key staff.

Part VII, Section A · reportable compensation · most recent filed roster (FY2020); the FY2021 filing did not itemize Part VII
President/CEO
$1,396,367Pt VII · Sec A
VP Finance/Treasurer
$698,966Pt VII · Sec A
VP Quality and Patient Safety
$694,115Pt VII · Sec A
Medical Director, Utilization Mgmt
$564,142Pt VII · Sec A
VP Strategic Planning and CIO
$531,668Pt VII · Sec A
Chairman Emergency Medicine
$480,985Pt VII · Sec A
VP Facilities and Support Services
$472,282Pt VII · Sec A
Chairman Dept Psych
$446,526Pt VII · Sec A

Vincent Capece JR’s $1.4M as President/CEO is at the 68th percentile of top reported officer pay among 1747 $100M+ health care nonprofits. Peer set: organizations in the same NTEE major field of work and revenue-size band, compared on each org’s own highest-paid officer/key-employee, from Form 990 Part VII / 990-PF Part VIII. Descriptive placement, not a verdict on whether the pay is appropriate.

Compensation history total reportable pay by year · 8 named individuals · Part VII

NameFY2025FY2024FY2023FY2022FY2021FY2020
Vincent Capece JR$1,377,038$1,465,474$1,361,746$1,339,056$1,396,367$1,312,797
Susan Martin$658,668$696,091$514,497$568,647$698,966$568,064
Jesse Wagner MD$106,233$206,816$276,824$388,533$694,115$647,910
David Cosentino$596,898$571,059$519,150$490,080$388,912—
Theodore Hartenstein$532,907$506,696$525,816$513,124$564,142$531,725
Jonathan Bankoff$541,616$501,396$492,992$469,303$480,985$439,018
Evan Jackson$520,594$529,738$500,649$492,961$531,668$439,138
David Giuffrida$478,666$516,951$482,551$441,488$472,282$424,410

Total reportable compensation (Form 990 Part VII column D / Schedule J column E) by filing year, matched by name within this organization. The Schedule J base / bonus / deferred breakdown is not parsed into this dataset.

See Middlesex Hospital executive salaries →

Questions the 990 asks

The form asks each of these directly. These are the filed answers.

  • Family or business ties among officersPt VI · Ln 2No
  • Top official's pay set by an independent reviewPt VI · Ln 15aYes

Programs and updates

Provides high-quality inpatient and outpatient healthcare services to the community.

Questions for Middlesex Hospital

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Your first name shows with your question. Middlesex Hospital answers here, for everyone.

1 program · $391.3M · in their own filed words · FY2020
01

In march of 2020, middlesex hospital as part of middlesex health's community health and well-being based work shifted dramatically to address the COVID-19 pandemic and respond to community level needs.

$391.3Mprogram expense

Funders

Who pays for it.

From grant filings on record. Receipts are incomplete: individual donors are never listed.

Grants

Schedule I · received and paid
Grants received · FY2025
Total grants receivedfrom 3 funders$84K
See all 3 funders →
Grants paid · 32 grants · $768K · 2019–2024
Varsity Communications INCFY2024$17,000
Varsity Communications INCFY2023$17,000
HavenCT · FY2023$10,000
Varsity Communications INCFY2022$15,500
Travelers ChampionshipCT · FY2022$10,040
See all 32 grants →

Federal money

Single Audit · Federal Audit Clearinghouse · money spent from federal programs
Year ending Sep 2025 · $2.6M federal money spent
Wic Special Supplemental Nutrition Program for Women, Infants, and ChildrenDepartment of Agriculture · ALN 10.557 · Through State of Conneticut Department of Public Health$1.4M
Temporary Assistance for Needy FamiliesDepartment of Health and Human Services · ALN 93.558 · Through State of Conneticut Department of Children and Families$706K
Disaster Grants - Public Assistance (presidentially Declared Disasters)Department of Homeland Security · ALN 97.036 · Through State of Conneticut Department of Homeland Security$327K
Covid-19 - Coronavirus State and Local Fiscal Recovery FundsDepartment of the Treasury · ALN 21.027 · Through State of Conneticut Department of Children and Families$107K
Immunization Cooperative AgreementsDepartment of Health and Human Services · ALN 93.268 · Through State of Conneticut Department of Public Health$37K

Plus 2 smaller programs.

The auditor reported no findings.

Year ending Sep 2024 · $2.1M federal money spent
Wic Special Supplemental Nutrition Program for Women, Infants, and ChildrenDepartment of Agriculture · ALN 10.557 · Through State of Connecticut Department of Public Health$1.4M
Temporary Assistance for Needy FamiliesDepartment of Health and Human Services · ALN 93.558 · Through State of Connecticut Department of Health and Human Services$653K
Immunization Cooperative AgreementsDepartment of Health and Human Services · ALN 93.268 · Through State of Connecticut Department of Health and Human Services$24K

The auditor reported: a weakness in money controls.

Year ending Sep 2023 · $6.7M federal money spent
Covid-19 - Provider Relief FundDepartment of Health and Human Services · ALN 93.498 · Direct$4.4M
Special Supplemental Nutrition Program for Women, Infants, and ChildrenDepartment of Agriculture · ALN 10.557 · Through State of Connecticut Department of Public Health$1.4M
Temporary Assistance for Needy FamiliesDepartment of Health and Human Services · ALN 93.558 · Through State of Connecticut Department of Health and Human Services$673K
Covid-19 - Coronavirus State and Local Fiscal Recovery FundsDepartment of the Treasury · ALN 21.027 · Direct$264K
Immunization Cooperative AgreementsDepartment of Health and Human Services · ALN 93.268 · Through State of Connecticut Department of Health and Human Services$4K

The auditor reported no findings.

Year ending Sep 2022 · $17.0M federal money spent
Disaster Grants - Public Assistance (presidentially Declared Disasters)Department of Homeland Security · ALN 97.036 · Direct$7.8M
Provider Relief FundDepartment of Health and Human Services · ALN 93.498 · Direct$7.1M
Special Supplemental Nutrition Program for Women, Infants, and ChildrenDepartment of Agriculture · ALN 10.557 · Through State of Connecticut Department of Public Health$1.3M
Temporary Assistance for Needy FamiliesDepartment of Health and Human Services · ALN 93.558 · Through State of Connecticut Department of Health and Human Services$646K
Immunization Cooperative AgreementsDepartment of Health and Human Services · ALN 93.268 · Through State of Connecticut Department of Health and Human Services:$4K

The auditor reported no findings.

By the numbers

The FY2021 990, line by line.

1The main four
Money inPt VIII
$466.0M
Ln 12
Fees for servicesLn 2g$431.7M
Investment incomeLn 3$16.9M
Other incomeLn 4–11$9.8M
Money outPt IX
$440.4M
Ln 25
Programscol B$391.3M
Managementcol C$48.0M
Fundraisingcol D$1.1M
Owns and owesPt X
$419.4M
net assets · Ln 32
Cash and savingsLn 1–2$97.0M
Total assetsLn 16$628.0M
LiabilitiesLn 26$208.6M
PeoplePt VI, VII
26
listed · VII A
PaidVII A14
Voting boardVI 1a13
IndependentVI 1b12
2In more detail
Revenue in detailPt VIII
Gifts and grantsLn 1h$7.7M
Government grantsLn 1e$6.4M
Noncash giftsLn 1g$53K
Fundraising eventsLn 1c$184K
Fees for servicesLn 2g$431.7M
Investment incomeLn 3$16.9M
Other incomeLn 4–11$9.8M
Gains on assetsLn 7$13.8M
Total revenueLn 12$466.0M
Assets in detailPt X, end of year
CashLn 1$2.6M
SavingsLn 2$94.4M
Cash and savings togetherLn 1–2$97.0M
InvestmentsLn 11–13$219.2M
Land, buildings, equipmentLn 10c$228.0M
Other assetsLn 15$26.2M
Total assetsLn 16$628.0M
LiabilitiesLn 26$208.6M
Net assetsLn 32$419.4M
OperationsPt I, VI
EmployeesI 53,868
VolunteersI 6170
Fiscal year endsHeaderSeptember
Conflict-of-interest policyVI 12aYes
Whistleblower policyVI 13Yes
Records policyVI 14Yes
3More from this return
Hospital careSch H · share of total expense
Charity care at costPt I 7a$2.3M · 0.5%
Bad debtPt III 2$17.1M · 3.9%
Total community benefitPt I 7k$67.1M · 15.2%
BondsSch K, Pt X
Tax-exempt bond debt owedX 20$31.1M
Bond issues listedSch K Pt I3
Raised by those issuesSch K Pt I$38.2M
Abroad and in kindSch F, M
Noncash gifts receivedSch M Pt I$53K
EndowmentSch D · Pt V
LineFY21FY20FY19FY18FY17
End of yearLn 1g$167.0M$139.9M$128.9M$124.7M$118.5M
Given inLn 1b$140K$67K$505K$451K
SpentLn 1d–1f$411K$111K−$166K−$3K−$271K
4Year over year
Balance sheet, start vs end of yearPt X · col A, B
LineStart FY21End FY21
Cash and savingsLn 1–2$123.9M$97.0M
InvestmentsLn 11–13$187.5M$219.2M
Land, buildings, equipmentLn 10c$241.4M$228.0M
Total assetsLn 16$619.2M$628.0M
LiabilitiesLn 26$220.7M$208.6M
Net assetsLn 32$398.5M$419.4M
5Every line
Statement of functional expensesPt IX · every line
LineTotalProgramsManagementFundraising
Grants to domestic organizationsLn 1$85K$85K
Pay of current officers, directors and key staffLn 5$5.5M$4.4M$1.1M
Pay of disqualified personsLn 6$404K$404K
Other salaries and wagesLn 7$204.5M$186.2M$18.3M
Pension plan contributionsLn 8$10.3M$9.5M$743K
Other employee benefitsLn 9$16.5M$15.2M$1.3M
Payroll taxesLn 10$14.0M$12.9M$1.1M
Management feesLn 11a$2.1M$982K$11K$1.1M
Legal feesLn 11b$373K$373K
Accounting feesLn 11c$189K$189K
Lobbying feesLn 11d$130K$130K
Investment management feesLn 11f$231K$231K
Other fees for servicesLn 11g$39.1M$33.5M$5.6M
Advertising and promotionLn 12$3.9M$37K$3.9M
Office expensesLn 13$7.1M$5.2M$1.9M
Information technologyLn 14$10.3M$6.2M$4.1M
OccupancyLn 16$7.9M$3.9M$4.0M
TravelLn 17$740K$721K$19K
Conferences, conventions and meetingsLn 19$482K$408K$74K
InterestLn 20$2.2M$2.2M
Depreciation, depletion and amortizationLn 22$28.5M$25.0M$3.5M
InsuranceLn 23$4.5M$4.5M$6K
Other expenses (24a–d)Ln 24$77.5M$77.0M$570K
All other expensesLn 24e$3.9M$3.0M$876K
Total functional expensesLn 25$440.4M$391.3M$48.0M$1.1M

Filing history

YearMoney inMoney outIn minus outNet assetsDownload
FY2025 LatestFiled with the IRS Aug 11, 2026 $562.6M$524.8M$37.8M$496.3M 990 PDF
FY2024Filed with the IRS Jul 31, 2025 $539.7M$493.7M$45.9M$467.6M 990 PDF
FY2023Filed with the IRS Aug 7, 2024 $512.6M$485.7M$26.9M$408.7M 990 PDF
FY2022Filed with the IRS Jul 14, 2023 $484.5M$455.8M$28.7M$394.9M 990 PDF
FY2021 ViewingFiled with the IRS Jul 21, 2022 $466.0M$440.4M$25.7M$419.4M 990 PDF
FY2020Filed with the IRS Jul 15, 2021 $444.8M$419.2M$25.6M$398.5M 990 PDF

Schedules filed Part IV

III · Programs R · Related orgs G · Fundraising L · Interested persons I · Grants A · Public support M · Noncash J · Pay O · Explanations
See the full FY2021 990 (6 parts)
Part I · Summary $466,024,134 revenue, 12 lines filed
I-8 Contributions and grantsPrior year $5,676,067$7,719,795
I-9 Program service revenuePrior year $425,748,491$431,695,661
I-10 Investment incomePrior year $7,476,106$16,852,994
I-11 Other revenuePrior year $5,916,024$9,755,684
I-12 Total revenuePrior year $444,816,688$466,024,134
I-13 Grants and similar amounts paidPrior year $127,025$85,000
I-14 Benefits paid to membersPrior year $0$0
I-15 Salaries and benefitsPrior year $239,978,052$251,211,773
I-16a Professional fundraising feesPrior year $0$0
I-17 Other expensesPrior year $179,130,254$189,071,954
I-18 Total expensesPrior year $419,235,331$440,368,727
I-19 Revenue less expensesPrior year $25,581,357$25,655,407
Part VI · Governance 12 of 13 board members independent, no flags
VI-1a Voting members of the governing body13
VI-1b Independent voting members12
VI-2 Family or business relationship among officers or directorsNo
VI-12a Written conflict of interest policyYes
VI-13 Written whistleblower policyYes
VI-14 Document retention and destruction policyYes
VI-15a Process for setting top official's payYes
Part VIII · Statement of revenue $466,024,134 across 12 lines filed
Lines not itemized here account for $6,994,984 of total revenue; see the IRS return.
VIII-1c Fundraising events$183,644
VIII-1e Government grants$6,422,421
VIII-1f All other contributions, gifts and grants$1,113,730
VIII-1g Noncash contributions (included above)$52,600
VIII-1h Total contributions, gifts and grants$7,719,795
VIII-2a-f Program service revenue, itemized rows (sum of 2a–2f as filed)Related to mission $429,477,000 · Unrelated business $2,218,661$431,695,661
VIII-3 Investment incomeExcluded from tax $3,066,976$3,066,976
VIII-6 Net rental income or lossExcluded from tax $258,467$258,467
VIII-7 Net gain or loss on sales of assetsExcluded from tax $13,785,849$13,785,849
VIII-8 Net income from fundraising eventsExcluded from tax $6,325$6,325
VIII-11a-d Other revenue, itemized rows (sum of 11a–11d as filed)Related to mission $1,275,511 · Excluded from tax $1,220,566$2,496,077
VIII-12 Total revenueRelated to mission $437,730,785 · Unrelated business $2,235,202 · Excluded from tax $18,338,352$466,024,134
Part IX · Statement of functional expenses $440,368,727 across 24 lines filed
IX-1 Grants to domestic organizationsPrograms $85,000$85,000
IX-5 Pay of current officers, directors and key staffPrograms $4,414,666 · Management $1,103,667$5,518,333
IX-6 Pay of disqualified personsPrograms $403,979$403,979
IX-7 Other salaries and wagesPrograms $186,200,128 · Management $18,314,034$204,514,162
IX-8 Pension plan contributionsPrograms $9,525,410 · Management $743,314$10,268,724
IX-9 Other employee benefitsPrograms $15,180,513 · Management $1,300,925$16,481,438
IX-10 Payroll taxesPrograms $12,903,126 · Management $1,122,011$14,025,137
IX-11a Management feesPrograms $982,060 · Management $11,064 · Fundraising $1,137,148$2,130,272
IX-11b Legal feesManagement $372,564$372,564
IX-11c Accounting feesManagement $188,876$188,876
IX-11d Lobbying feesManagement $129,842$129,842
IX-11f Investment management feesManagement $231,159$231,159
IX-11g Other fees for servicesPrograms $33,486,510 · Management $5,618,079$39,104,589
IX-12 Advertising and promotionPrograms $36,960 · Management $3,856,041$3,893,001
IX-13 Office expensesPrograms $5,204,437 · Management $1,863,431$7,067,868
IX-14 Information technologyPrograms $6,167,490 · Management $4,098,036$10,265,526
IX-16 OccupancyPrograms $3,936,757 · Management $3,965,848$7,902,605
IX-17 TravelPrograms $721,448 · Management $18,510$739,958
IX-19 Conferences, conventions and meetingsPrograms $408,420 · Management $73,597$482,017
IX-20 InterestPrograms $2,154,233$2,154,233
IX-22 Depreciation, depletion and amortizationPrograms $24,952,660 · Management $3,503,139$28,455,799
IX-23 InsurancePrograms $4,490,429 · Management $5,866$4,496,295
IX-24 Other expenses (24a–d)Programs $76,974,672 · Management $570,056$77,544,728
IX-24e All other expensesPrograms $3,036,449 · Management $876,173$3,912,622
IX-25 Total functional expensesPrograms $391,265,347 · Management $47,966,232 · Fundraising $1,137,148$440,368,727
Part X · Balance sheet $628,027,463 assets, 21 lines filed
Asset lines not itemized here account for $257,309; see the IRS return.
X-1 Cash, non-interest-bearingStart of year $1,966,108$2,647,764
X-2 Savings and temporary cash investmentsStart of year $121,960,697$94,350,554
X-3 Pledges and grants receivableStart of year $670,785$611,199
X-4 Accounts receivableStart of year $47,401,339$49,378,240
X-8 Inventories for sale or useStart of year $2,013,908$2,228,173
X-9 Prepaid expenses and deferred chargesStart of year $3,329,192$4,832,950
X-10c Land, buildings and equipment, netStart of year $241,399,045$227,957,883
X-11 Publicly traded securitiesStart of year $187,471,988$219,174,793
X-14 Intangible assetsStart of year $488,467$431,000
X-15 Other assetsStart of year $12,042,680$26,157,598
X-16 Total assetsStart of year $619,190,364$628,027,463
X-17 Accounts payable and accrued expensesStart of year $69,518,795$65,044,555
X-19 Deferred revenueStart of year $732,577$866,760
X-20 Tax-exempt bond liabilitiesStart of year $35,653,781$31,081,346
X-24 Unsecured notes and loans payableStart of year $6,000,000$0
X-25 Other liabilitiesStart of year $75,823,418$86,259,163
X-26 Total liabilitiesStart of year $220,705,076$208,628,151
X-27 Net assets without donor restrictionsStart of year $379,050,203$398,511,116
X-28 Net assets with donor restrictionsStart of year $19,435,085$20,888,196
X-32 Total net assets or fund balancesStart of year $398,485,288$419,399,312
X-33 Total liabilities and net assetsStart of year $619,190,364$628,027,463
Part XI · Reconciliation of net assets $419,399,312 net assets at year end
XI-1 Total revenue$466,024,134
XI-2 Total expenses$440,368,727
XI-3 Revenue less expenses$25,655,407
XI-4 Net assets at start of year$398,485,288
XI-5 Net unrealized gains (losses) on investments$12,081,797
XI-9 Other changes in net assets−$16,823,180
XI-10 Net assets at end of year$419,399,312

Form 990 e-file (XML) FY2021 from the IRS · Classification, formation year and address from the IRS Business Master File

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