Civic Intelligence

Midstate Medical Center Auxiliary

EIN 06-6063082 • 501(c)3 • Meriden, CT

Profile

To advance the welfare of Midstate Medical Center.

435 Lewis AvenueMeriden, CT 06451

see schedule o

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

59th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)3 • <$500k nonprofits • Source year 2024

Liabilities / Revenue

61st percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)3 • <$500k nonprofits • Source year 2024

Net Margin

89th percentile

47%

Higher net margin than 89% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2024

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

42nd percentile

-7.0%

Faster asset growth than 42% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2023 to 2024

Revenue Growth

30th percentile

-22%

Faster revenue growth than 30% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2023 to 2024

Assets

Down

$211,466

Down $15,856 (-7.0%) from 2023

Liabilities

Flat

$0

Flat from 2023

Net Assets

Down

$211,466

Down $15,856 (-7.0%) from 2023

Revenue

Down

$373,751

Down $105,675 (-22%) from 2023

Expenses

Down

$199,779

Down $113,230 (-36%) from 2023

Net Income

Up

$173,972

Up $7,555 (+4.5%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$300K$200K$100K$0Assets 2011: $228,032Liabilities 2011: $0Net Assets 2011: $228,0322011Assets 2012: $254,527Liabilities 2012: $0Net Assets 2012: $254,5272012Assets 2013: $212,964Liabilities 2013: $0Net Assets 2013: $212,9642013Assets 2014: $263,345Liabilities 2014: $0Net Assets 2014: $263,3452014Assets 2015: $284,439Liabilities 2015: $0Net Assets 2015: $284,4392015Assets 2016: $277,986Liabilities 2016: $0Net Assets 2016: $277,9862016Assets 2017: $241,386Liabilities 2017: $0Net Assets 2017: $241,3862017Assets 2018: $192,633Liabilities 2018: $0Net Assets 2018: $192,6332018Assets 2019: $215,973Liabilities 2019: $0Net Assets 2019: $215,9732019Assets 2020: $163,443Liabilities 2020: $0Net Assets 2020: $163,4432020Assets 2021: $166,751Liabilities 2021: $0Net Assets 2021: $166,7512021Assets 2022: $237,964Liabilities 2022: $0Net Assets 2022: $237,9642022Assets 2023: $227,322Liabilities 2023: $0Net Assets 2023: $227,3222023Assets 2024: $211,466Liabilities 2024: $0Net Assets 2024: $211,4662024

Highlighted filing

2024

Assets$211,466
Liabilities$0
Net Assets$211,466

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$600K$400K$200K$0-$200KRevenue 2011: $384,257Expenses 2011: $306,215Net Income 2011: $78,0422011Revenue 2012: $437,157Expenses 2012: $405,845Net Income 2012: $31,3122012Revenue 2013: $371,187Expenses 2013: $383,196Net Income 2013: -$12,0092013Revenue 2014: $272,621Expenses 2014: $188,217Net Income 2014: $84,4042014Revenue 2015: $183,456Expenses 2015: $162,361Net Income 2015: $21,0952015Revenue 2016: $130,490Expenses 2016: $137,227Net Income 2016: -$6,7372016Revenue 2017: $249,915Expenses 2017: $256,787Net Income 2017: -$6,8722017Revenue 2018: $177,502Expenses 2018: $227,001Net Income 2018: -$49,4992018Revenue 2019: $291,959Expenses 2019: $258,589Net Income 2019: $33,3702019Revenue 2020: $143,682Expenses 2020: $195,645Net Income 2020: -$51,9632020Revenue 2021: $198,547Expenses 2021: $188,767Net Income 2021: $9,7802021Revenue 2022: $248,598Expenses 2022: $183,081Net Income 2022: $65,5172022Revenue 2023: $479,426Expenses 2023: $313,009Net Income 2023: $166,4172023Revenue 2024: $373,751Expenses 2024: $199,779Net Income 2024: $173,9722024

Highlighted filing

2024

Revenue$373,751
Expenses$199,779
Net Income$173,972

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$2.11$0.00$2.11$3.74$2.00$1.74
2023Detailed filing. Detailed filing data is available for this year.$2.27$0.00$2.27$4.79$3.13$1.66
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.38$0.00$2.38$2.49$1.83$0.66
2021Detailed filing. Detailed filing data is available for this year.$1.67$0.00$1.67$1.99$1.89$0.10
2020Detailed filing. Detailed filing data is available for this year.$1.63$0.00$1.63$1.44$1.96$0.52
2019Detailed filing. Detailed filing data is available for this year.$2.16$0.00$2.16$2.92$2.59$0.33
2018Detailed filing. Detailed filing data is available for this year.$1.93$0.00$1.93$1.78$2.27$0.49
2017Detailed filing. Detailed filing data is available for this year.$2.41$0.00$2.41$2.50$2.57$0.07
2016Detailed filing. Detailed filing data is available for this year.$2.78$0.00$2.78$1.30$1.37$0.07
2015Detailed filing. Detailed filing data is available for this year.$2.84$0.00$2.84$1.83$1.62$0.21
2014Summary only. Only limited summary data is available for this year.$2.63$0.00$2.63$2.73$1.88$0.84
2013Summary only. Only limited summary data is available for this year.$2.13$0.00$2.13$3.71$3.83$0.12
2012Summary only. Only limited summary data is available for this year.$2.55$0.00$2.55$4.37$4.06$0.31
2011Summary only. Only limited summary data is available for this year.$2.28$0.00$2.28$3.84$3.06$0.78
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2023 to Sep 30, 2024
Signed
Aug 13, 2025
Return Version
2023v6.0
Gross Receipts
$465,693
Mission and Program Overview

Mission

To advance the welfare of Midstate Medical Center.

To support Midstate Medical Center's mission to improve the health and healing of the people and communities we serve through various fund-raising activities.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$217,322$211,466▼ $5,856
Savings and Temporary Cash Investments$10,000--
Total Assets$227,322$211,466▼ $15,856
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$227,322$211,466▼ $15,856
Total Net Assets Fund Balance$227,322$211,466▼ $15,856
Total Liabilities and Net Assets / Fund Balance$227,322$211,466▼ $15,856
Compensation and Service Providers

Board Members and Trustees

NameTitle
Carol ThropeDirector/Past President
Mary Anne CombelicDirector/President
Charlene KrockDirector/Vice President
Barbara BourlandDirector
Cheryl RaeyDirector
Diane ShackettDirector
Jan CowlesDirector
Linda BraddockDirector
Lorraine GambleDirector
MaryAnn BoothDirector
Patricia ColandreaDirector
Shirley WarnerDirector
Susanne ServiceDirector
Jane ConleyDirector / Assistant Treasurer
Elizabeth TyrrellDirector/Secretary
Sue BartlettDirector/Treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$195,570
Program Service Revenue
$182,836
Investment Income
$387
Other Revenue
$-5,042
All Other Contributions
$115,266
Change in Net Assets
$173,972
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$191,544
Grants and Similar Amounts Paid$8,235
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Expenses$10,179--$10,179
Grants to Domestic Orgs$8,235--$8,235
Office Expenses$3,937--$3,937
Insurance$2,050--$2,050
Total Functional Expenses$199,779$0$0$199,779
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Midstate Medical CenterMeriden, CT501(c)3To support the mission of Midstate Medical Center.$0
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$91,942
Fundraising Gross Income$86,900
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Golf Event$157,750$86,900$17,810$69,090
Baskets Raffle$8,354-$1,955-
Total Events$166,104$86,900$91,942$-5,042
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, line 11B

The Form 990 was prepared by Hartford HealthCare's Tax Department. It was then forwarded to the Organization's President for review. The final Form was provided to the entire Board prior to submission to the Internal Revenue Services (IRS). Once the entire review process was completed, the Form was signed by the Board President and then filed with the IRS.

Form 990, Part VI, Section B, line 12C

The hospital's board has adopted the policy of the member, Hartford HealthCare Corporation (HHC). HHC's Conflict of Interest Policy (Policy) requires all covered individuals, including board members and officers, to provide a disclosure of relationships that create or have the appearance of creating a conflict of interest or commitment. The Policy requires updates if changes in circumstances arise during the year that either (a) create a new potential conflict of interest or commitment or (b) change or eliminate a conflict of interest or commitment previously disclosed. Conflict of interest disclosure statements are maintained by the HHC Office of Compliance and Integrity (OCI). Employee and physician disclosures are reviewed by OCI in collaboration with the Covered Individuals' supervisor, when deemed appropriate, to determine if there is a potential conflict. Conflict mitigation plans are developed by OCI. Other individuals who may review potential conflicts of interest and approve conflict management plans include: the SVP/EVP of the department/area in which the individual works, the Institute Physician-In-Chief, the Medical Group Physician-In-Chief, the Regional Vice President of Medical Affairs, and/or the HHC Legal Department. Board member disclosures are reported to the HHC Nominating and Governance Committee for determinations of conflicts and the management of them, where applicable.

Form 990, Part VI, Section C, line 18

Midstate Medical Center Auxiliary's Form 990 and its attachments are available upon request.

Form 990, Part VI, Section C, line 19

Midstate Medical Center Auxiliary's financial statements, governing documents and the Conflict of Interest Policy are available for inspection upon request at the organization's address.

Filing and Contact Details

Filer

Filer Name
Midstate Medical Center Auxiliary
EIN
06-6063082
Phone
2036948275
Address
435 Lewis Avenue, Meriden, CT 06451

Signing Officer

Name
MaryAnne Combelic
Title
President
Phone
2036948275
Signed
2025-08-13

Organization Details

Principal Officer
MaryAnne Combelic
Formed
1951
Legal Domicile
Ct
Voting Board Members
16
Independent Board Members
16
Employees
0
Volunteers
26
Supplemental Narrative

Additional Explanations

Form 990, Item J - Website Address

The website address for Midstate Medical Center Auxiliary is: https://midstatemedical.org/health-professionals/for-job-seekers/volunte er/auxiliary

Form 990, Part III Line 4D:

No other program services.

Form 990, Part XI, line 9:

Other Adjustments -189,828.

Raw XML AppendixShowing 400 of 1,186 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/InsuranceGrp/TotalAmt02050
IRS990/InvestmentIncomeGrp/ExclusionAmt0387
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt0387
IRS990/InvestmentInJointVentureInd00
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LegalDomicileStateCd0CT
IRS990/LoanOutstandingInd00
IRS990/LobbyingActivitiesInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembershipDuesAmt01100
IRS990/MembersOrStockholdersInd00
IRS990/MethodOfAccountingCashInd0X
IRS990/MinutesOfCommitteesInd01
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0To advance the welfare of Midstate Medical Center.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt0227322
IRS990/NetAssetsOrFundBalancesEOYAmt0211466
IRS990/NetIncmFromFundraisingEvtGrp/ExclusionAmt0-5042
IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt0-5042
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt0227322
IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt0211466
IRS990/NoListedPersonsCompensatedInd0X
IRS990/NondeductibleContributionsInd00
IRS990/OfficeExpensesGrp/ProgramServicesAmt03937
IRS990/OfficeExpensesGrp/TotalAmt03937
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsFASB117Ind0X
IRS990/OtherChangesInNetAssetsAmt0-189828
IRS990/OtherExpensesGrp/Desc0Purchased Merchandise
IRS990/OtherExpensesGrp/Desc1Allocated Salary
IRS990/OtherExpensesGrp/Desc2Miscellaneous
IRS990/OtherExpensesGrp/ProgramServicesAmt0104138
IRS990/OtherExpensesGrp/ProgramServicesAmt171240
IRS990/OtherExpensesGrp/ProgramServicesAmt210179
IRS990/OtherExpensesGrp/TotalAmt0104138
IRS990/OtherExpensesGrp/TotalAmt171240
IRS990/OtherExpensesGrp/TotalAmt210179
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PoliticalCampaignActyInd00
IRS990/PrincipalOfficerNm0MaryAnne Combelic
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0459420
IRS990/ProgramServiceRevenueGrp/Desc0Gift Shop Sales
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt0182836
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt0182836
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt0369017
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt0111946
IRS990/PYInvestmentIncomeAmt0391
IRS990/PYOtherExpensesAmt0201063
IRS990/PYOtherRevenueAmt0-69391
IRS990/PYProgramServiceRevenueAmt0179409
IRS990/PYRevenuesLessExpensesAmt0166417
IRS990/PYSalariesCompEmpBnftPaidAmt00
IRS990/PYTotalExpensesAmt0313009
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt0479426
IRS990/QuidProQuoContributionsInd01
IRS990/QuidProQuoContriDisclInd01
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt0173972
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd01
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd00
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd00
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt0182836
IRS990/SavingsAndTempCashInvstGrp/BOYAmt010000
IRS990ScheduleA/Form990SchASupportingOrgGrp/Contribution35ControlledInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionControllerInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionFamilyInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ControlledDisqualifiedPrsnInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnControllIntInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnOwnrIntInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ExcessBusinessHoldingsRulesInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ListedByNameGoverningDocInd01
IRS990ScheduleA/Form990SchASupportingOrgGrp/LoanDisqualifiedPersonInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/OrganizationChangeSuprtOrgInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/PaymentSubstantialContribtrInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgNotOrganizedUSInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgSectionC456Ind00
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportNonSupportedOrgInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/SuprtOrgNoIRSDeterminationInd00
IRS990ScheduleA/Form990SchAType1SuprtOrgGrp/OperateBenefitNonSuprtOrgInd00
IRS990ScheduleA/Form990SchAType1SuprtOrgGrp/PowerAppointMajorityDirTrstInd01
IRS990ScheduleA/OtherSupportSumAmt00
IRS990ScheduleA/SupportedOrganizationsCnt01
IRS990ScheduleA/SupportedOrganizationsTotalCnt01
IRS990ScheduleA/SupportedOrgInformationGrp/EIN0060646715
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd01
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd03
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt00
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt06100
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0Midstate Medical Center
IRS990ScheduleA/SupportingOrganization509a3Ind0X
IRS990ScheduleA/SupportingOrgType1Ind0X
IRS990ScheduleA/SupportSumAmt06100
IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine20RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
IRS990/ScheduleBRequiredInd01
IRS990ScheduleG/FundraisingEventInformationGrp/CashPrizesEvent1Amt00
IRS990ScheduleG/FundraisingEventInformationGrp/CashPrizesEvent2Amt00
IRS990ScheduleG/FundraisingEventInformationGrp/CashPrizesOtherEventsAmt00
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContributionsTotAmt079204
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriEvent1Amt070850
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriEvent2Amt08354
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriOtherEventsAmt00
IRS990ScheduleG/FundraisingEventInformationGrp/DirectExpenseSummaryEventsAmt091942
IRS990ScheduleG/FundraisingEventInformationGrp/EntertainmentEvent1Amt00
IRS990ScheduleG/FundraisingEventInformationGrp/EntertainmentEvent2Amt00
IRS990ScheduleG/FundraisingEventInformationGrp/EntertainmentOtherEventsAmt00
IRS990ScheduleG/FundraisingEventInformationGrp/Event1Nm0Golf Event
IRS990ScheduleG/FundraisingEventInformationGrp/Event2Nm0Baskets Raffle
IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageEvent1Amt035446
IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageEvent2Amt00
IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageOtherEventsAmt00
IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageTotalEventsAmt035446
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent1Amt0157750
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent2Amt08354
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsOtherEventsAmt00
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsTotalAmt0166104
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent1Amt086900
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueTotalEventsAmt086900
IRS990ScheduleG/FundraisingEventInformationGrp/NetIncomeSummaryAmt0-5042
IRS990ScheduleG/FundraisingEventInformationGrp/NonCashPrizesEvent1Amt02129
IRS990ScheduleG/FundraisingEventInformationGrp/NonCashPrizesEvent2Amt00
IRS990ScheduleG/FundraisingEventInformationGrp/NonCashPrizesOtherEventsAmt00
IRS990ScheduleG/FundraisingEventInformationGrp/NonCashPrizesTotalEventsAmt02129
IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssOtherEventsAmt00
IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssTotalEventsAmt019765
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent1Amt017810
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent2Amt01955
IRS990ScheduleG/FundraisingEventInformationGrp/OtherEventsTotalCnt01
IRS990ScheduleG/FundraisingEventInformationGrp/RentFacilityCostsEvent1Amt034602
IRS990ScheduleG/FundraisingEventInformationGrp/RentFacilityCostsEvent2Amt00
IRS990ScheduleG/FundraisingEventInformationGrp/RentFcltyCostsOtherEventsAmt00
IRS990ScheduleG/FundraisingEventInformationGrp/RentFcltyCostsTotalEventsAmt034602
IRS990ScheduleI/GrantRecordsMaintainedInd00
IRS990ScheduleI/RecipientTable/CashGrantAmt00
IRS990ScheduleI/RecipientTable/IRCSectionDesc0501(c)3
IRS990ScheduleI/RecipientTable/NonCashAssistanceAmt06100
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0To support the mission of Midstate Medical Center.
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt0Midstate Medical Center
IRS990ScheduleI/RecipientTable/RecipientEIN0060646715
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt0435 Lewis Avenue
IRS990ScheduleI/RecipientTable/USAddress/CityNm0Meriden
IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd0CT
IRS990ScheduleI/RecipientTable/USAddress/ZIPCd006451
IRS990ScheduleI/RecipientTable/ValuationMethodUsedDesc0FMV
IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt0Upon issuing the grant, the hospital attaches a letter that restricts the use of the funds for a specific purpose. All of the grants are made to public charities to assist in funding their exempt programs. Therefore, extensive monitoring of the use of these funds by these entities is not warranted.
IRS990ScheduleI/SupplementalInformationDetail/FormAndLineReferenceDesc0Part I, Line 2:
IRS990ScheduleI/Total501c3OrgCnt01
IRS990ScheduleI/TotalOtherOrgCnt00
IRS990/ScheduleJRequiredInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0The website address for Midstate Medical Center Auxiliary is: https://midstatemedical.org/health-professionals/for-job-seekers/volunte er/auxiliary
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1No other program services.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2The Form 990 was prepared by Hartford HealthCare's Tax Department. It was then forwarded to the Organization's President for review. The final Form was provided to the entire Board prior to submission to the Internal Revenue Services (IRS). Once the entire review process was completed, the Form was signed by the Board President and then filed with the IRS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3The hospital's board has adopted the policy of the member, Hartford HealthCare Corporation (HHC). HHC's Conflict of Interest Policy (Policy) requires all covered individuals, including board members and officers, to provide a disclosure of relationships that create or have the appearance of creating a conflict of interest or commitment. The Policy requires updates if changes in circumstances arise during the year that either (a) create a new potential conflict of interest or commitment or (b) change or eliminate a conflict of interest or commitment previously disclosed. Conflict of interest disclosure statements are maintained by the HHC Office of Compliance and Integrity (OCI). Employee and physician disclosures are reviewed by OCI in collaboration with the Covered Individuals' supervisor, when deemed appropriate, to determine if there is a potential conflict. Conflict mitigation plans are developed by OCI. Other individuals who may review potential conflicts of interest and approve conflict management plans include: the SVP/EVP of the department/area in which the individual works, the Institute Physician-In-Chief, the Medical Group Physician-In-Chief, the Regional Vice President of Medical Affairs, and/or the HHC Legal Department. Board member disclosures are reported to the HHC Nominating and Governance Committee for determinations of conflicts and the management of them, where applicable.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4Midstate Medical Center Auxiliary's Form 990 and its attachments are available upon request.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5Midstate Medical Center Auxiliary's financial statements, governing documents and the Conflict of Interest Policy are available for inspection upon request at the organization's address.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6Other Adjustments -189,828.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Item J - Website Address

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