GAYLORD HOSPITAL INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: GAYLORD HOSPITAL INC (EIN 06-0646649)
Tax period: 2020-10-01 to 2021-09-30
Filed: 2022-07-14
IRS object ID: 202231959349301423
Schema version: 2020v4.0
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule J
Schedule K
Schedule O
Schedule R
Affiliated Group Schedule

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-07-14T15:37:36-05:00	ReturnTs
Tax Period End	2021-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	350921680	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CROWE LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	9600 Brownsboro Road Suite 400	AddressLine1Txt
City	Louisville	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	402413902	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	060646649	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Gaylord Hospital INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	GAYL	BusinessNameControlTxt
Phone	2032842800	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 400 GAYLORD FARM ROAD	AddressLine1Txt
City	WALLINGFORD	CityNm
State Abbreviation	CT	StateAbbreviationCd
ZIP	06492	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Christopher Hayes	PersonNm
Person Title	CFO	PersonTitleTxt
Signature	2022-07-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	Christopher	PersonFirstNm
Person Last	Hayes	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Kim Scifres	PreparerPersonNm
PTIN	P01316095	PTIN
Phone	5023263996	PhoneNum

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Sonja LaBarbera	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 400 GAYLORD FARM ROAD	AddressLine1Txt
City	WALLINGFORD	CityNm
State Abbreviation	CT	StateAbbreviationCd
ZIP	06492	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$94,614,350	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.GAYLORD.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1991	FormationYr
Legal Domicile State	CT	LegalDomicileStateCd
Activity Or Mission	TO ENHANCE HEALTH, MAXIMIZE FUNCTION AND TRANSFORM LIVES.	ActivityOrMissionDesc
Voting Members Governing Body	26	VotingMembersGoverningBodyCnt
Voting Members Independent	24	VotingMembersIndependentCnt
Total Employee	1101	TotalEmployeeCnt
Total Volunteers	47	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$9,810,183	PYContributionsGrantsAmt
CY Contributions Grants	$4,156,706	CYContributionsGrantsAmt
PY Program Service Revenue	$84,256,143	PYProgramServiceRevenueAmt
CY Program Service Revenue	$88,303,770	CYProgramServiceRevenueAmt
PY Investment Income	$673,388	PYInvestmentIncomeAmt
CY Investment Income	$863,475	CYInvestmentIncomeAmt
PY Other Revenue	$515,702	PYOtherRevenueAmt
CY Other Revenue	$540,860	CYOtherRevenueAmt
PY Total Revenue	$95,255,416	PYTotalRevenueAmt
CY Total Revenue	$93,864,811	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$57,477,013	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$60,500,962	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$194,513	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$1,316,140	CYTotalFundraisingExpenseAmt
PY Other Expenses	$26,454,173	PYOtherExpensesAmt
CY Other Expenses	$27,782,593	CYOtherExpensesAmt
PY Total Expenses	$84,125,699	PYTotalExpensesAmt
CY Total Expenses	$88,283,555	CYTotalExpensesAmt
PY Revenues Less Expenses	$11,129,717	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$5,581,256	CYRevenuesLessExpensesAmt
Total Assets BOY	$119,095,182	TotalAssetsBOYAmt
Total Assets EOY	$128,915,259	TotalAssetsEOYAmt
Total Liabilities BOY	$47,029,507	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$42,998,651	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$72,065,675	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$85,916,608	NetAssetsOrFundBalancesEOYAmt
Mission	TO ENHANCE HEALTH, MAXIMIZE FUNCTION AND TRANSFORM LIVES.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$73,601,534	ExpenseAmt
Revenue	$88,583,170	RevenueAmt
Desc	ESTABLISHED IN 1902 AS A TB SANATORIUM, GAYLORD HOSPITAL HAS GROWN INTO A 137-BED LONG-TERM ACUTE CARE HOSPITAL SPECIALIZING IN MEDICALLY COMPLEX CARE AND REHABILITATION. OUR NATIONAL REPUTATION FOR REHABILITATION THERAPY INCLUDES SPECIALIZED CARE FOR PATIENTS WHO HAVE EXPERIENCED LIFE-ALTERING EVENTS SUCH AS SPINAL CORD INJURY, TRAUMATIC BRAIN INJURY AND STROKE. THESE PATIENTS REQUIRE SIGNIFICANT LEVELS OF CLINICAL CARE, INCLUDING WEANING FROM VENTILATORS AND INTENSIVE WOUND CARE, AND PARTICIPATE IN SPECIALIZED TREATMENT PROGRAMS WITH THE GOAL OF MEDICAL RECOVERY, IMPROVED FUNCTION THROUGH REHABILITATION AND THE ABILITY TO RETURN TO INDEPENDENCE. GAYLORD'S INPATIENT HOSPITAL IN WALLINGFORD ADMITS 1,400+ PATIENTS ANNUALLY. GAYLORD SEES OUTPATIENTS IN WALLINGFORD, CHESHIRE, CROMWELL AND NORTH HAVEN AND HAS OVER 94,000 ANNUAL VISITS. GAYLORD HOSPITAL ALSO SUPPORTS THE REGION'S ECONOMY AS THE THIRD LARGEST EMPLOYER IN WALLINGFORD, OPERATING WITH A STAFF OF APPROXIMATELY 923 FULL-TIME, PART-TIME AND PER-DIEM EMPLOYEES. GAYLORD HOSPITAL IS ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS. INPATIENT AND OUTPATIENT REHABILITATION PROGRAMS ARE ACCREDITED BY THE INTERNATIONAL COMMISSION FOR ACCREDITATION OF REHABILITATION FACILITIES (CARF) WITH SPECIALTY ACCREDITATION IN THE AREAS OF SPINAL CORD INJURY, BRAIN INJURY AND STROKE REHABILITATION, A DESIGNATION ONLY ACHIEVED BY TWO OTHER PROVIDERS IN THE USA. GAYLORD ALSO IS AFFILIATED WITH THE YALE UNIVERSITY SCHOOL OF MEDICINE AND THE UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE. GAYLORD ALSO HAS A CLINICAL PARTNERSHIP WITH QUINNIPIAC UNIVERSITY MEDICAL SCHOOL AND SCHOOL OF ALLIED HEALTH AND GOODWIN UNIVERSITY. IN 2021 GAYLORD HAS AFFILIATED WITH UCONN SCHOOL OF MEDICINE AS A CLINICAL PARTNER FOR THE NEWLY CREATED RESIDENCY PROGRAM IN PHYSIATRY, THE FIRST AND ONLY ONE IN THE STATE OF CONNECTICUT MISSION STATEMENT: GAYLORD'S MISSION IS TO PRESERVE AND ENHANCE HEALTH, MAXIMIZE FUNCTION AND TRANSFORM LIVES. THE ROLE OF THE HOSPITAL IN CONNECTICUT: GAYLORD HOSPITAL FULFILLS A UNIQUE PLACE IN THE HEALTHCARE CONTINUUM. THE HOSPITAL'S 137 LICENSED BEDS REPRESENT A SIGNIFICANT PART OF THE REHABILITATION, LONG-TERM ACUTE AND CHRONIC DISEASE HOSPITAL CAPACITY EXISTING IN THE STATE. GAYLORD FILLS THE GAP BETWEEN THE ACUTE CARE HOSPITAL AND OTHER TERTIARY LEVELS OF CARE SUCH AS THE SKILLED NURSING FACILITY, HOME CARE AGENCY OR ASSISTED LIVING CENTER. BY PROVIDING A HOSPITAL LEVEL OF CARE, GAYLORD OFFERS 24-HOUR MEDICAL, NURSING AND RESPIRATORY STAFF COVERAGE. THEREFORE, IT PROVIDES DIAGNOSTIC AND TREATMENT RESOURCES AT THE HOSPITAL LEVEL OF CARE, BUT WITH THE OPTION OF LONGER LENGTH OF STAY (AN AVERAGE OF GREATER THAN 25 DAYS) AND AT LESS COST THAN AN ACUTE CARE HOSPITAL. (SEE DISCUSSION UNDER "MARKET SHARE" HEREIN.) MORE THAN 90 PERCENT OF THE HOSPITAL'S INPATIENT ADMISSIONS ARE FROM ACUTE CARE HOSPITALS. MOST OUTPATIENT THERAPY VISITS ARE DRIVEN BY PHYSICIAN REFERRALS. PROGRAM BACKGROUND AND KEY SERVICES: PATIENTS ADMITTED TO GAYLORD FOR INPATIENT SERVICES MAY TAKE ADVANTAGE OF THE MEDICAL DIVISION OR THE REHABILITATION DIVISION, DEPENDING ON THEIR INDIVIDUAL NEEDS. THE MEDICAL DIVISION CONSISTS OF THE MEDICALLY COMPLEX PROGRAM FOR PATIENTS WITH SERIOUS MEDICAL ISSUES, INCLUDING WOUND CARE AND COMPLICATUIONS FROM INFECTIOUS DISEASES AND SURGICAL COMPLICATIONS, DUE TO ILLNESS OR INJURY REQUIRING 24-HOUR MEDICAL AND NURSING SUPERVISION; THE VENTILATOR CARE PROGRAM FOR THE CARE AND WEANING OF PATIENTS FROM VENTILATORS, AND THE PULMONARY PROGRAM FOR THOSE WITH CHRONIC RESPIRATORY INSUFFICIENCY. THE REHABILITATION DIVISION ADDRESSES THE NEEDS OF PATIENTS AFTER EXPERIENCING ACUTE ACCIDENTS OR ILLNESSES THAT MAY LEAVE THEM DISABLED IN SOME WAY. THE HOSPITAL'S MAJOR PROGRAMS ARE IN PULMONARY, STROKE, TRAUMATIC BRAIN INJURY, SPINAL CORD INJURY, ORTHOPEDIC AND MAJOR MULTIPLE TRAUMA. GAYLORD IS A PARTNER SITE OF A NATIONAL SPINAL CORD INJURY PROGRAM WHICH HAS BECOME DESIGNATED BY THE U.S. NATIONAL INSTITUTE ON DISABILITY AND REHABILITATION RESEARCH (NIDRR) AS A MODEL SYSTEM OF CARE FOR SPINAL CORD INJURY. ONLY 14 HEALTHCARE ORGANIZATIONS IN THE COUNTRY HAVE THIS DESIGNATION. GAYLORD CURRENTLY IS INVOLVED IN SPINAL CORD INJURY-RELATED CARE AND RESEARCH THROUGH THE SPAULDING NEW ENGLAND REGIONAL SPINAL CORD INJURY CENTER (SNERSCIC) AT GAYLORD WITH A GAYLORD PHYSICIAN AS THE PRINCIPLE INVESTIGATOR. GAYLORD HAS EMBRACED TECHNOLOGY AS A WAY TO IMPROVE FUNCTION AND OUTCOMES IN BOTH ITS INPATIENTS AND OUTPATIENTS. GAYLORD IS ONE OF 320 CENTERS WORLDWIDE TO HAVE THE EKSO BIONICS ROBOTIC SUIT TO HELP THOSE WITH PARAPARESIS DUE TO SPINAL CORD OR STROKE WALK. GAYLORD IS A MYOMO CLINICAL PARTNER AND WAS THE FIRST IN CT TO OFFER THIS NEURO-ROBOTIC TECHNOLOGY FOR STROKE PATIENTS. THE HOSPITAL WAS ALSO NAMED A CENTER OF EXCELLENCE BY PASSY-MUIR SPEAKING VALVE - ONE OF ONLY 16 IN THE COUNTRY. GAYLORD WAS THE FIRST TO BE NAMED A VAPOTHERM CENTER OF EXCELLENCE FOR THE PIONEERING USE OF HEATED HUMIDIFICATION TO ACHIEVE BETTER PULMONARY OUTCOMES. GAYLORD IS THE ONLY HOSPITAL TO EMPLOY SMARTWHEEL TECHNOLOGY IN ITS WHEELCHAIR CLINIC TO HELP PATIENTS RECEIVE AN IN-DEPTH ASSESSMENT OF THE USERS' PROPULSION TECHNIQUES TO MINIMIZE RISK FOR REPETITIVE STRESS INJURIES.GAYLORD USES PRESSURE MAPPING SYSTEMS FOR ADOLESCENT, ADULT & BARIATRIC WHEELCHAIR USERS TO DETERMINE OPTIMAL PRESSURE RELIEF TO AVOID SKIN BREAKDOWN. GAYLORD ALSO OFFERS FES STIMBIKE, BITS, THREE ALTER-G'S (ANTI-GRAVITY TREADMILLS), THE BIONESS UPPER EXTREMITY - HAND REHABILITATION SYSTEM AND AQUATIC OPTIONS FOR A FULL CONTINUUM OF TECHNOLOGY AND HANDS-ON MANUAL THERAPY TO MEET ALL PATIENTS NEEDS. GAYLORD INVESTED IN THE ONLY ZERO-G (OVERHEAD GAIT ROBOTIC SYSTEM) IN CT ALLOWING INPATIENTS TO MOBILIZE QUICKER AND DECREASE THE CHANCE OF PATIENT AND STAFF INJURIES. A KEY PROGRAM FOR PEOPLE WITH ACQUIRED BRAIN INJURY IS THE LOUIS D. TRAURIG TRANSITIONAL LIVING CENTER, A FREESTANDING, EIGHT-BED HOUSE ON THE MAIN CAMPUS THAT OFFERS THE OPPORTUNITY TO PRACTICE ACTIVITIES OF DAILY LIVING, PROBLEM-SOLVING TECHNIQUES AND ENHANCE SOCIAL SKILLS. BY OFFERING A THERAPUTIC, SUPERVISED SETTING AND COORDINATED PEER INTERACTION WHILE CONTINUING TO RECEIVE PHYSICIAN, NURSING AND THERAPY SERVICES. THIS SETTING ACHIEVES AN AVERAGE RATE OF 95% OF SUCCESSFULLY RETURNING RESIDENTS TO THEIR COMMUNITY. THE TRANSITIONAL LIVING CENTER IS THE ONLY FACILITY OF ITS KIND IN CONNECTICUT. IT IS LICENSED BY THE CONNECTICUT STATE DEPARTMENT OF PUBLIC HEALTH AND ADDICTION SERVICES. GAYLORD'S CONTINUUM OF CARE FOR PATIENTS IS EXTENDED THROUGH OUTPATIENT PHYSICIAN AND THERAPY SERVICES. IMPROVING ACCESSIBILITY TO OUTPATIENT REHABILITATION REMAINS ONE OF THE ORGANIZATION'S PRIORITIES, WHICH IS WHY GAYLORD OFFERS RESIDENTS FOUR LOCATIONS FOR THERAPY SERVICES IN NORTH HAVEN, CHESHIRE, CROMWELL AND WALLINGFORD. COLLECTIVELY, MORE THAN 30 CLINICAL SERVICES ENHANCE THE HOSPITAL'S OUTPATIENT TREATMENT PROGRAMS. GAYLORD CENTER FOR CONCUSSION CARE PROVIDES A STATEWIDE RESOURCE FOR THIS GROWING ISSUE AND HAS WORKED WITH AREA SCHOOLS, ATHLETIC TEAMS AND PEDIATRICIANS TO MOVE FOCUS TO THE DANGER OF AN UNTREATED CONCUSSION. WHILE THE MAJORITY OF OUTPATIENTS ARE FROM CT, OUT OF STATE PATIENTS UTILIZE PHYSIATRY AND SPEECH SERVICES ON A REGULAR BASIS BASED ON THE UNIQUE AND SPECIALIZED SERVICES OFFERED. PROFESSIONAL AND COMMUNITY EDUCATION: GAYLORD FOCUSES ON COMMUNITY RELATIONSHIPS TO PROMOTE WELLNESS AND ADVANCE HEALTHCARE THROUGH EDUCATION, RESEARCH AND IMPROVEMENT OF CLINICAL PRACTICE. EMPLOYEES ARE ACTIVELY ENGAGED IN COMMUNITY AND PROFESSIONAL ORGANIZATIONS. MORE THAN 293 STUDENTS PARTICIPATED IN ALMOST 10,893 HOURS OF EDUCATIONAL PROGRAMMING AT GAYLORD IN AREAS SUCH AS MEDICAL SERVICES, NURSING, PSYCHOLOGY, SOCIAL WORK, PHARMACY, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH AND LANGUAGE THERAPY, THERAPEUTIC RECREATION, RESPIRATORY THERAPY AND NUTRITION. WEEKLY MEDICAL AND REHABILITATION ROUNDS AT GAYLORD PROVIDED HEALTHCARE PROFESSIONALS AND LAY PEOPLE WITH DIVERSE TOPICS RELATED TO TIMELY TOPICS IN MEDICINE AND REHABILITATION. THE TOPICS FOCUSED ON DIAGNOSES AND TREATMENT OPTIONS FOR SPINAL CORD INJURY, PULMONARY DISORDERS AND VENTILATOR WEANING, BRAIN INJURY, STROKE AND WOUND CARE. GAYLORD STAFF MEMBERS HAVE BEEN PUBLISHED IN VARIOUS MEDIA, PRIMARILY IN MEDICAL JOURNALS RELATED TO THEIR SPECIALTY. THE MILNE INSTITUTE FOR HEALTHCARE INNOVATION WAS LAUNCHED IN AUG 2020 ON THE GAYLORD CAMPUS AND IS RIGOROUSLY PURSUING RESEARCH OPPORTUNITIES AND INVOLVING STAFF IN NEW PRODUCT INVENTION OPPORTUNITIES.	Desc
Total Program Service Expenses	$73,601,534	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	172	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1101	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	26	GoverningBodyVotingMembersCnt
Independent Voting Member	24	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Christopher Hayes CFO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	2032842800	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	GAYLORD FARM ROAD	AddressLine1Txt
City	WALLINGFORD	CityNm
State Abbreviation	CT	StateAbbreviationCd
ZIP	06492	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (39 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
CONNOR DOLAN
CHAIRMAN/DIRECTOR	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
DIANA WAKERLEY
SECRETARY / DIRECTOR	1.0		Yes (X)	Yes (X)	$0	$0	$0
KAREN A SCAPPATICCI
ASST SECRETARY/DIRECTOR(Through 12/15/2020)	1.0		Yes (X)	Yes (X)	$0	$0	$0
KIM HEALEY
VICE CHAIR/DIRECTOR	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
PETER DECKERS MD
Asst Treasurer/DIRECTOR	1.0		Yes (X)	Yes (X)	$0	$0	$0
ROBERT J MOBECK
Treasurer/DIRECTOR	1.0		Yes (X)	Yes (X)	$0	$0	$0
SONJA LABARBERA
CEO	38.0	2.0	Yes (X)	Yes (X)	$537,068	$0	$61,153
STEPHEN HOLLAND
V.P. & CMO	40.0		Yes (X)	Yes (X)	$406,329	$0	$32,708
AUGUSTUS MARCHETTI
DIRECTOR	1.0		Yes (X)		$0	$0	$0
BO BRADSTREET
DIRECTOR	1.0		Yes (X)		$0	$0	$0
BRIAN LAWLOR
DIRECTOR/ (Starting 12/15/2020)	1.0		Yes (X)		$0	$0	$0
CHRISTOPHER CARTLAND
DIRECTOR	1.0		Yes (X)		$0	$0	$0
CLEMENT LEWIN
DIRECTOR	1.0		Yes (X)		$0	$0	$0
CYNTHIA J GRIFFITH
DIRECTOR	1.0		Yes (X)		$0	$0	$0
GEORGE MILNE
DIRECTOR	1.0		Yes (X)		$0	$0	$0
MARIE ROBERTO PHD
DIRECTOR	1.0		Yes (X)		$0	$0	$0
MARY PEPE
DIRECTOR	1.0		Yes (X)		$0	$0	$0
MICHAEL BROODER
DIRECTOR	1.0		Yes (X)		$0	$0	$0
MICHELE VOLPE
DIRECTOR	1.0		Yes (X)		$0	$0	$0
PERRY WILSON MD
DIRECTOR	1.0		Yes (X)		$0	$0	$0
ROBERT J LYONS
DIRECTOR	1.0		Yes (X)		$0	$0	$0
ROBERT MCHUGH
DIRECTOR	1.0		Yes (X)		$0	$0	$0
ROBERT PRETTI Phd
DIRECTOR (Started 12/15/2020)	1.0		Yes (X)		$0	$0	$0
RYAN O'CONNELL
DIRECTOR	1.0		Yes (X)		$0	$0	$0
STEVEN RYDER MD
DIRECTOR (Started 12/15/2020)	1.0		Yes (X)		$0	$0	$0
SUSAN WHETSTONE
DIRECTOR	1.0		Yes (X)		$0	$0	$0
WILLIAM SIMEONE III
DIRECTOR	1.0		Yes (X)		$0	$0	$0
ARTHUR TEDESCO
VP & CFO	38.0	2.0		Yes (X)	$354,973	$0	$173
LISA KALAFUS
V.P. & C.N.O.	40.0			Yes (X)	$215,602	$0	$4,655
CRAIG STEARNS
C.I.O.	40.0				$206,583	$0	$4,325	Yes (X)
PAIGE PANDA
SR.PHILANTHROPIC ADVISOR	40.0				$150,006	$0	$10,043	Yes (X)
PETER E GREVELDING
V.P. CLINICAL OPERATIONS	40.0				$215,313	$0	$4,507	Yes (X)
TARA KNAPP
V.P. EXTERNAL AFFAIRS	40.0				$165,935	$0	$29,719	Yes (X)
WALTER HARPER
V.P. HUMAN RESOURCES	40.0				$200,906	$0	$20,703	Yes (X)
DR ALYSE SICKLICK
PHYSICIAN / INPATIENT	36.0				$248,381	$0	$34,829		Yes (X)
DR DAVID CHEN
PHYSICIAN/INPATIENT	40.0				$240,154	$0	$13,919		Yes (X)
DR DAVID ROSENBLUM
PHYSICIAN / MEDICAL DIRECTOR	40.0				$307,974	$0	$32,755		Yes (X)
DR HONGMEI WANG
PHYSICIAN/INPATIENT	40.0				$243,720	$0	$3,980		Yes (X)
JERROLD KAPLAN
PHYSICIAN/MEDICAL DIRECTOR	40.0				$318,529	$0	$31,072		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,811,473	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$284,541	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	75	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
NORTHEAST MEDICAL GROUP
PO BOX 9403	NEW HAVEN	CT	06534	PHYSICIAN SERVICES	$2,655,481
MORRISON MANAGEMENT SPECIALIST
PO BOX 102289	ATLANTA	GA	30368	DIETARY SERVICES	$907,921
QUEST DIAGNOSTICS
500 PLAZA DRIVE	SEACACUS	NJ	07094	LABRATORY SERVICES	$788,376
IMAGE FIRST MEDICAL WEAR
PO BOX 61323	KING OF PRUSSIA	PA	19406	LAUNDRY & LINEN SERVICES	$725,498
ALLIED UNIVERSAL COMPANY
PO Box 828854	PHILADELPHIA	PA	19182	SECURITY SERVICES	$447,309

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	20	CntrctRcvdGreaterThan100KCnt
Fundraising	$154,863	FundraisingAmt
Government Grants	$645,831	GovernmentGrantsAmt
All Other Contributions	$3,356,012	AllOtherContributionsAmt
Noncash Contributions	$22,946	NoncashContributionsAmt
Total Contributions	$4,156,706	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	622310	$88,186,356	$88,186,356
Other Department Revenue	622310	$117,414	$117,414

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$88,303,770	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$245,530	TotalRevenueColumnAmt
Exclusion	$245,530	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$261,460	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$261,460	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$261,460	TotalRevenueColumnAmt
Exclusion	$261,460	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,321,818	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$703,873	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$617,945	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$617,945	TotalRevenueColumnAmt
Exclusion	$617,945	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$45,666	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$154,863	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$45,666	FundraisingDirectExpensesAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	Other Operating Revenue	Desc
Business	622310	BusinessCd
Total Revenue Column	$279,400	TotalRevenueColumnAmt
Related Or Exempt Func Income	$279,400	RelatedOrExemptFuncIncomeAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$279,400	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$93,864,811	TotalRevenueColumnAmt
Related Or Exempt Func Income	$88,583,170	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$1,124,935	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,732,408	TotalAmt
Management And General	$2,447,396	ManagementAndGeneralAmt
Fundraising	$285,012	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$48,388,000	TotalAmt
Program Services	$43,367,366	ProgramServicesAmt
Management And General	$4,397,760	ManagementAndGeneralAmt
Fundraising	$622,874	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,139,991	TotalAmt
Program Services	$1,075,838	ProgramServicesAmt
Management And General	$48,410	ManagementAndGeneralAmt
Fundraising	$15,743	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$4,605,301	TotalAmt
Program Services	$4,173,649	ProgramServicesAmt
Management And General	$372,627	ManagementAndGeneralAmt
Fundraising	$59,025	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,635,262	TotalAmt
Program Services	$3,292,131	ProgramServicesAmt
Management And General	$295,481	ManagementAndGeneralAmt
Fundraising	$47,650	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$72,861	TotalAmt
Management And General	$69,361	ManagementAndGeneralAmt
Fundraising	$3,500	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$134,750	TotalAmt
Management And General	$134,750	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$102,460	TotalAmt
Program Services	$102,460	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$9,464,093	TotalAmt
Program Services	$7,885,819	ProgramServicesAmt
Management And General	$1,353,601	ManagementAndGeneralAmt
Fundraising	$224,673	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$656,166	TotalAmt
Program Services	$639,217	ProgramServicesAmt
Fundraising	$16,949	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,313,920	TotalAmt
Program Services	$888,080	ProgramServicesAmt
Management And General	$395,385	ManagementAndGeneralAmt
Fundraising	$30,455	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$775,287	TotalAmt
Program Services	$513,998	ProgramServicesAmt
Management And General	$261,289	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,914,036	TotalAmt
Program Services	$1,194,387	ProgramServicesAmt
Management And General	$719,649	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$18,460	TotalAmt
Program Services	$10,804	ProgramServicesAmt
Management And General	$3,644	ManagementAndGeneralAmt
Fundraising	$4,012	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$140,681	TotalAmt
Program Services	$81,091	ProgramServicesAmt
Management And General	$56,348	ManagementAndGeneralAmt
Fundraising	$3,242	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$619,649	TotalAmt
Management And General	$619,649	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$4,523,803	TotalAmt
Program Services	$3,211,900	ProgramServicesAmt
Management And General	$1,311,903	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,866,372	TotalAmt
Program Services	$1,263,288	ProgramServicesAmt
Management And General	$603,084	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Drugs	$2,347,596	$2,347,596
GENERAL MEDICAL SUPPLIES	$2,178,109	$2,153,874	$24,235
RENTAL EQUIPMENT	$1,141,839	$1,086,969	$54,870
Recruiting Fees	$203,125	$176,719	$26,406

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$309,386	TotalAmt
Program Services	$136,348	ProgramServicesAmt
Management And General	$170,033	ManagementAndGeneralAmt
Fundraising	$3,005	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$88,283,555	TotalAmt
Program Services	$73,601,534	ProgramServicesAmt
Management And General	$13,365,881	ManagementAndGeneralAmt
Fundraising	$1,316,140	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$31,933,173	BOYAmt
EOY	$33,615,295	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$7,964,661	BOYAmt
EOY	$5,059,471	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$11,612,945	BOYAmt
EOY	$13,247,864	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$3,453	BOYAmt
EOY	$0	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,069,849	BOYAmt
EOY	$1,522,960	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$113,083,105	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$82,737,764	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$30,294,149	BOYAmt
EOY	$30,345,341	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$30,651,301	BOYAmt
EOY	$36,429,970	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$887,633	BOYAmt
EOY	$1,131,230	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$4,678,018	BOYAmt
EOY	$7,563,128	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$119,095,182	BOYAmt
EOY	$128,915,259	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$8,548,513	BOYAmt
EOY	$10,495,738	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$616,281	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$11,960,000	BOYAmt
EOY	$11,470,000	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$2,927,639	BOYAmt
EOY	$2,420,568	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$22,977,074	BOYAmt
EOY	$18,612,345	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$47,029,507	BOYAmt
EOY	$42,998,651	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$36,448,204	BOYAmt
EOY	$50,139,820	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$35,617,471	BOYAmt
EOY	$35,776,788	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$72,065,675	BOYAmt
EOY	$85,916,608	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$119,095,182	BOYAmt
EOY	$128,915,259	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$5,581,256	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$1,998,065	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$6,271,612	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Organization Belongs Afflt Grp	Yes (X)	OrganizationBelongsAffltGrpInd

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Total Direct Lobbying TotalDirectLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$102,460	FilingOrganizationsTotalAmt
Affiliated Group Total	$102,460	AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$102,460	FilingOrganizationsTotalAmt
Affiliated Group Total	$102,460	AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$73,499,074	FilingOrganizationsTotalAmt
Affiliated Group Total	$73,499,074	AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$73,601,534	FilingOrganizationsTotalAmt
Affiliated Group Total	$73,601,534	AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,000,000	FilingOrganizationsTotalAmt
Affiliated Group Total	$1,000,000	AffiliatedGroupTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$250,000	FilingOrganizationsTotalAmt
Affiliated Group Total	$250,000	AffiliatedGroupTotalAmt

Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$1,000,000	CurrentYearMinus3Amt
Current Year Minus2	$1,000,000	CurrentYearMinus2Amt
Current Year Minus1	$1,000,000	CurrentYearMinus1Amt
Current Year	$1,000,000	CurrentYearAmt
Total	$4,000,000	TotalAmt

Field	Value	IRS element (for citing)
Lobbying Ceiling	$6,000,000	LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$65,364	CurrentYearMinus3Amt
Current Year Minus2	$65,305	CurrentYearMinus2Amt
Current Year Minus1	$65,346	CurrentYearMinus1Amt
Current Year	$102,460	CurrentYearAmt
Total	$298,475	TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$250,000	CurrentYearMinus3Amt
Current Year Minus2	$250,000	CurrentYearMinus2Amt
Current Year Minus1	$250,000	CurrentYearMinus1Amt
Current Year	$250,000	CurrentYearAmt
Total	$1,000,000	TotalAmt

Field	Value	IRS element (for citing)
Grassroots Ceiling	$1,500,000	GrassrootsCeilingAmt

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$0	CurrentYearMinus3Amt
Current Year Minus2	$0	CurrentYearMinus2Amt
Current Year Minus1	$0	CurrentYearMinus1Amt
Current Year	$0	CurrentYearAmt
Total	$0	TotalAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$19,602,021	BeginningYearBalanceAmt
Contributions	$847,894	ContributionsAmt
Investment Earnings Or Losses	$1,506,975	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$902,537	OtherExpendituresAmt
Administrative Expenses	$76,000	AdministrativeExpensesAmt
End Year Balance	$20,978,353	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$18,255,946	BeginningYearBalanceAmt
Contributions	$1,779,161	ContributionsAmt
Investment Earnings Or Losses	$781,622	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$1,131,312	OtherExpendituresAmt
Administrative Expenses	$83,396	AdministrativeExpensesAmt
End Year Balance	$19,602,021	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$17,980,012	BeginningYearBalanceAmt
Contributions	$559,391	ContributionsAmt
Investment Earnings Or Losses	$807,964	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$999,842	OtherExpendituresAmt
Administrative Expenses	$91,579	AdministrativeExpensesAmt
End Year Balance	$18,255,946	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$15,620,487	BeginningYearBalanceAmt
Contributions	$2,688,080	ContributionsAmt
Investment Earnings Or Losses	$860,011	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$1,110,366	OtherExpendituresAmt
Administrative Expenses	$78,200	AdministrativeExpensesAmt
End Year Balance	$17,980,012	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$20,094,626	BeginningYearBalanceAmt
Contributions	$411,623	ContributionsAmt
Investment Earnings Or Losses	$1,721,031	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$506,793	OtherExpendituresAmt
Administrative Expenses	$6,100,000	AdministrativeExpensesAmt
End Year Balance	$15,620,487	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.6	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.28	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.12	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$113,938	OtherCostOrOtherBasisAmt
Book Value	$113,938	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$57,456,299	OtherCostOrOtherBasisAmt
Depreciation	$43,120,066	DepreciationAmt
Book Value	$14,336,233	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,851,738	OtherCostOrOtherBasisAmt
Depreciation	$3,104,878	DepreciationAmt
Book Value	$4,746,860	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$45,356,863	OtherCostOrOtherBasisAmt
Depreciation	$36,512,820	DepreciationAmt
Book Value	$8,844,043	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,304,267	OtherCostOrOtherBasisAmt
Book Value	$2,304,267	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$30,345,341	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
UNAMORTIZED BOND COSTS	$263,055
DUE FROM AFFILIATES	$4,057,429
OTHER ASSETS	$600,615
INTEREST IN NET ASSETS OF GRI	$1,972
OPERATING LEASE ASSET	$2,640,057

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$7,563,128	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
DUE TO THIRD PARTY	$180,277
ROU LT and ST Liability	$2,661,740
INTEREST RATE SWAP LIABILITIES	$2,023,053
DUE TO AFFILIATES	$1,972
ACCRUED PENSION LIABILITY	$10,445,322
MEDICARE ADVANCED DUE	$2,232,510
DEFERRED SOCIAL SECURITY FUNDING (CARES ACT)	$1,067,471

Field	Value	IRS element (for citing)
Total Liability	$18,612,345	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule D, Part V, Line 4 Intended uses of endowment funds

THE ENDOWMENT CONSISTS OF MULTIPLE FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. THE ENDOWMENT INCLUDES BOTH DONOR-RESTRICTED ENDOWMENT FUNDS AND FUNDS DESIGNATED BY THE BOARD OF DIRECTORS TO FUNCTION AS ENDOWMENTS. THE TEMPORARILY RESTRICTED NET ASSETS ARE AVAILABLE FOR HEALTH CARE SERVICES SUCH AS PATIENT SPECIAL NEEDS, AS WELL AS OTHER RESTRICTED PURPOSES AND CAPITAL CAMPAIGNS. THE PERMANENTLY RESTRICTED NET ASSETS ARE RESTRICTED FOR THE PURPOSES OF INVESTMENTS TO BE HELD IN PERPETUITY, THE INCOME OF WHICH IS EXPENDABLE TO SUPPORT PATIENT SPECIAL NEEDS AND OTHER SERVICES; AND FOR THE BENEFICIAL INTEREST IN TRUSTS HELD BY OTHERS, THE INCOME OF WHICH IS EXPENDABLE TO SUPPORT OTHER HEALTH CARE SERVICES.

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

The Association 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 and state income taxes on related income pursuant to Section 501(a) of the Code. GRS is a not-for-profit captive insurance company organized under the laws of the Cayman Islands. The Association accounts for uncertain tax positions with provisions of FASB ASC 740, "Income Taxes" which provide a framework for how companies should recognize, measure, present and disclose uncertain tax positions in their consolidated financial statements. The Association 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 Association does not have any uncertain tax positions as of September 30, 2021 and 2020. The Association recognizes interest and/or penalties related to income tax matters within other operating expenses. As of September 30, 2021 and 2020, the Association did not record any penalties or interest associated with uncertain tax positions. The Association's prior three tax years are open and subject to examination by the Internal Revenue Service.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	Golf Tournament	Event1Nm
Gross Receipts Event1	$140,137	GrossReceiptsEvent1Amt
Charitable Contri Event1	$104,265	CharitableContriEvent1Amt
Gross Revenue Event1	$35,872	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$29,111	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$150	FoodAndBeverageEvent1Amt
Other Direct Expenses Event1	$6,611	OtherDirectExpensesEvent1Amt
Event2	Gaylord Gauntlet 5K	Event2Nm
Gross Receipts Event2	$60,392	GrossReceiptsEvent2Amt
Charitable Contri Event2	$50,598	CharitableContriEvent2Amt
Gross Revenue Event2	$9,794	GrossRevenueEvent2Amt
Non Cash Prizes Event2	$195	NonCashPrizesEvent2Amt
Food And Beverage Event2	$40	FoodAndBeverageEvent2Amt
Other Direct Expenses Event2	$9,559	OtherDirectExpensesEvent2Amt
Gross Revenue Other Events	$0	GrossRevenueOtherEventsAmt
Gross Receipts Total	$200,529	GrossReceiptsTotalAmt
Charitable Contributions Tot	$154,863	CharitableContributionsTotAmt
Gross Revenue Total Events	$45,666	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$195	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$29,111	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$190	FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events	$16,170	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$45,666	DirectExpenseSummaryEventsAmt
Net Income Summary	$0	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	250	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	550	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	false	FinancialAssistanceBudgetInd
Annual Community Bnft Report	false	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Persons Served	14	PersonsServedCnt
Total Community Benefit Expns	$38,956	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$38,956	NetCommunityBenefitExpnsAmt
Total Expense	0.0004	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,418,854	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,635,681	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,783,173	NetCommunityBenefitExpnsAmt
Total Expense	0.0429	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	14	PersonsServedCnt
Total Community Benefit Expns	$9,457,810	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,635,681	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,822,129	NetCommunityBenefitExpnsAmt
Total Expense	0.0433	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,166	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,166	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Persons Served	355	PersonsServedCnt
Total Community Benefit Expns	$340,310	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$340,310	NetCommunityBenefitExpnsAmt
Total Expense	0.0039	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Persons Served	32	PersonsServedCnt
Total Community Benefit Expns	$35,854	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$35,854	NetCommunityBenefitExpnsAmt
Total Expense	0.0004	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	387	PersonsServedCnt
Total Community Benefit Expns	$387,330	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$387,330	NetCommunityBenefitExpnsAmt
Total Expense	0.0044	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	401	PersonsServedCnt
Total Community Benefit Expns	$9,845,140	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,635,681	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,209,459	NetCommunityBenefitExpnsAmt
Total Expense	0.0477	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Persons Served	1910	PersonsServedCnt
Total Community Benefit Expns	$43,100	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$43,100	NetCommunityBenefitExpnsAmt
Total Expense	0.0005	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	96	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$9,079	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,079	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	96	ActivitiesOrProgramsCnt
Persons Served	1910	PersonsServedCnt
Total Community Benefit Expns	$52,179	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$52,179	NetCommunityBenefitExpnsAmt
Total Expense	0.0006	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$0	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$19,043,141	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$21,162,987	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$2,119,846	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GAYLORD HOSPITAL INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 400	AddressLine1Txt
City	WALLINGFORD	CityNm
State Abbreviation	CT	StateAbbreviationCd
ZIP	06492	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.GAYLORD.ORG	WebsiteAddressTxt
State License	CDH.00002CD	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
Other	LONG TERM ACUTE CARE HOSPITAL/OUTPATIENT CLINIC/SLEEP SERVICES	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	GAYLORD HOSPITAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.gaylord.org/Patients-Families/About/Community-Health-Needs-Assessment	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	www.chime.org/advocacy/community-health	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.gaylord.org/Patients-Families/About/Community-Health-Needs-Assessment	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	250.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	550.0	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.gaylord.org/Patients-Families/Patient-Information/Billing-Services/Financial-Assistance	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.gaylord.org/Patients-Families/Patient-Information/Billing-Services/Financial-Assistance	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.gaylord.org/Patients-Families/Patient-Information/Billing-Services/Financial-Assistance	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E	Gaylord examined the community identified as our service population thru health data from several sources. Gaylord then surveyed that community by canvasing patients and community stakeholders. Several needs were identified. The Hospital then reviewed its existing programs and outreach vehicles; its human and financial resources and the potential for community partnerships. It took in to account the health impacts of the needs; the number of people that could be affected; the impact on the communities quality of life and other factors. From this, the Hospital prioritized the four main needs it would focus on addressing.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - Gaylord Hospital, Inc.. Beginning in January 2019 and ending in June 2019 feedback was gathered from patients and community stakeholders to better understand the strategies they currently use to maintain their health, their experiences with assessing health care services and barriers to care, and their perceptions of gaps in care and community resources. This was done in the form of surveys. Gaylord surveyed our Referral Sources, Sports Association Patients (Online surveys), Brain Injury Association of Connecticut (online surveys), Connecticut Stroke Association (online surveys), Wallingford Health Department, and Chesprocott Health District. A total of 56 surveys were received in response to the Gaylord Community Health Needs Assessment. Survey respondents were asked to identify any barriers that exist in the community and at Gaylord Hospital in accessing the care needed to maintain health; to identify areas of unmet need or services that are not currently available; how well Gaylord serves the needs of individuals with spinal cord injury, brain injury, and pulmonary diseases and to identify key improvements to provide better health care to the communities it serves.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - Gaylord Hospital. Gaylord identified four major priorities when conducting its latest CHNA. First was a need for programs to address brain health especially for those with mild cognitive impairment. Second was the need for expanded services to help those who had suffered work place injuries. Third the need for pulmonary education and services based around ventilator weaning and caregiver training. The fourth area of need was public education through wellness lecturing and increased adaptive sports opportunities. Gaylord started quickly to implement a plan of action to address these issues. A strategy was put in place to partner with existing programs, partnerships and services to target the largest populations possible. Some of these initiatives are listed below: -Gaylord has begun relationships with facilities like the Mayo Clinic to start addressing brain health programs to better serve those with mild cognitive impairments . Gaylord has established dedicated programs for patients who have sustained work related injuries. Specialized programs and physicians have been added to help these patients to expedite recovery and assist them with working in the worker's compensation system to help them get back to work and normal life. in 2019 Gaylord with help from CHEFA put together an video to help those who are caregivers for patients on ventilators. We have increased our space to provide greater care for those outpatients who have pulmonary issues as well. Gaylord has also developed and implementation plan to improve the education of patients through community lectures. we have built relations ships with sports clubs, schools, etc. to allow physical therapy staff to interact with youth to get them on track to good habits. We have also expanded the support of the Gaylord Sports Association to better serve our communities with physical limitations do to stroke, brain and spinal cord injuries. Many barriers still exist. Identified in our survey were barriers such as ease of access to programs and cost and travel time to them. Insurance coverage for some of these programs is limited and or not available under certain plans. Gaylord is trying hard to expand its programming and accessibility to the public to access these unmet needs. These initiatives are explained and addressed in more detail in the Follow up report on our web site www.gaylord.org/about on the report named "Community Health Needs Assessment & Implementation Plan.

Field	Value	IRS element (for citing)
Facility	0	FacilityNum

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORT	Specialty hospitals, such as Gaylord Hospital which is a licensed chronic disease hospital in the state of Connecticut, are not required to file a community benefit report with the state.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	Medicare cost to charge ratio was used in 7a & b. All other costs are based on actual cost of providing the programs and benefits.
Schedule H, Part II Community Building Activities	As a specialty hospital, Gaylord responds to the needs of the community based on the expertise and resources it maintains. These activities focus on medical rehabilitation, therapy services, rehabilitation nursing, and community goodwill endeavors Such as volunteer involvement in community activities designed to promote wellness or causes for under-served populations. Gaylord sponsors Support Groups: Gaylord Hospital offers four Self-Help groups free use of meeting space to conduct support groups throughout the year. Since these groups are anonymous, without attendance records, it is estimated that based on 104 meetings throughout the year, which approximately 60 people are served through this program, with the Hospital providing approximately 120 man hours in human resources to prepare the meeting space. The Hospital also sponsors multiple support groups that are open to the community, serving those with Spinal Cord Injury, Stroke, Traumatic Brain Injury, Cardiac and Pulmonary issues and a COVID support group for Post illness issues. We have continued these groups some in person and others through Zoom or other web communications tools so that the communities could still meet and address their issues. Gaylord also reaches out to the community through its Sports Association running multiple clinics for those who have suffered spinal cord and traumatic brain injuries. In total Gaylord has sponsored over 332 community events. This is still lower than pre-pandemic volumes but is coming back as restrictions start to lessen.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	FOR FINANCIAL STATEMENT PURPOSES, GAYLORD HOSPITAL, INC. HAS ADOPTED ACCOUNTING STANDARDS UPDATE NO. 2014-09 (TOPIC 606). IMPLICIT PRICE CONCESSIONS INCLUDES BAD DEBTS. THEREFORE, BAD DEBTS ARE INCLUDED IN NET PATIENT REVENUE IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15 AND BAD DEBT EXPENSE IS NOT SEPARATELY REPORTED AS AN EXPENSE.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	THE TEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE CAN BE FOUND ON PAGE 15 OF THE CONSOLIDATED AUDIT REPORT.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	Non-negotiable Medicare rates are sometimes out-of-line with the true costs of treating Medicare patients. By continuing to treat patients eligible for Medicare, hospitals alleviate the Federal government's burden for directly providing medical services. The IRS has acknowledged that lessening the government burden associated with providing Medicare benefits is a charitable purpose. IRS Rev. Rul. 69-545 states that if a hospital serves patients with government health benefits, including Medicare, then this is an indication that the hospital operates to promote the health of the community. Any shortfalls would be viewed as a community benefit.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	Hospital practice is to contact the patient prior to collections or write off of any outstanding receivable amount and inquire again whether they would like to apply or think they qualify for free care under our hospital policy. If after review the patient qualifies, then the amount would be adjusted as charity care; if not, the debt would go to collections and follow the Collection/Bad Debt policy from there. The Hospital will make every reasonable effort to assist patients and families in obtaining financial assistance or making payment arrangements for services.
Schedule H, Part V, Section B, Line 16a FAP website	- GAYLORD HOSPITAL, INC.: Line 16a URL: https://www.gaylord.org/Patients-Families/Patient-Information/Billing-Services/Financial-Assistance;
Schedule H, Part V, Section B, Line 16b FAP Application website	- GAYLORD HOSPITAL, INC.: Line 16b URL: https://www.gaylord.org/Patients-Families/Patient-Information/Billing-Services/Financial-Assistance;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- GAYLORD HOSPITAL, INC.: Line 16c URL: https://www.gaylord.org/Patients-Families/Patient-Information/Billing-Services/Financial-Assistance;
Schedule H, Part VI, Line 2 Needs assessment	Gaylord has employees participate in community based organizations such as regional Chambers of Commerce, as well as sit on the boards of several medical based groups (UNITED SPINAL and BIAC : Brain Injury Assoc. of Connecticut). GAYLORD ALSO STAFFS MANY SUPPORT GROUPS, i.e. , AMPUTEE SUPPORT GROUP, COVID SURVIVORS SUPPORT GROUP. ALL OF THESE INTERACTIONS HELP EDUCATE AND INFORM MEMBERS OF THE ORGANIZATION ABOUT THE NEEDS OF THE COMMUNITY.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	Gaylord Hospital informs patients and their families about financial assistance and the charity care policy during the referral and admission process for all services. Information is posted throughout the hospital. Signs are placed at all patient reception desk; in the elevators and high patient volume areas. Notifications are also printed on brochures and included in patient information packets explaining where they can find the Policy and application forms. Signs explaining where forms can be found are placed at all of our satellite locations, as well as on the Hospital's website and in the patient handbook. All patient billing statements include a copy of the FAP and the application form.
Schedule H, Part VI, Line 4 Community information	GAYLORD HOSPITAL, AS A REFERRAL HOSPITAL AND ONE OF ONLY TWO LONG-TERM ACUTE CARE HOSPITALS IN CONNECTICUT, PRIMARILY SERVES RESIDENTS OF THE STATE BUT ALSO ADMITS PATIENTS FROM NEIGHBORING STATES AS WELL. THE MAJORITY OF PATIENTS ARE AGE 62 OR OLDER, WITH SLIGHTLY MORE PERCENTAGE OF MEN THAN WOMEN. GAYLORD DOES NOT INCLUDE VERIFICATION OF RACIAL BACKGROUND IN ITS ADMISSIONS PROCESS. GAYLORD HOSPITAL DOES NOT BASE ITS ADMISSIONS ON POVERTY GUIDELINES BUT RATHER ON MEDICALLY PRESCRIBED CRITERIA; HOWEVER GAYLORD HOSPITAL SERVICES MANY PATIENTS FROM OUR SURROUNDING COMMUNITIES WHICH ARE BELOW THE FEDERAL POVERTY GUIDELINES. ACCORDING TO 2021 REPORTS 23% OF THE CONNECTICUT POPULATON WAS AT OR BELOW 200% OF THE FEDERAL Poverty GUIDELINES, 27% WERE ON STATE MEDICAID AND 5.9% OF THE POPULATION WAS UNINSURED. AMONG OUR LARGEST ADMISSIONS SOURCES INCLUDE BUT ARE NOT LIMITED TO THE FOLLOWING: THE HOSPITALS OF THE YALE NEW HAVEN SYSTEM, THE HOSPITALS OF THE HARTFORD HEALTH CARE SYSTEM, ST MARY'S HOSPITAL, ST FRANCIS HOSPITAL, BRISTOL HOSPITAL AND MIDDLESEX HOSPITAL. ALL ARE ACUTE CARE HOSPITALS IN THE COUNTIES OF NEW HAVEN, HARTFORD, MIDDLESEX, LITCHFIELD AND FAIRFIELD.
Schedule H, Part VI, Line 5 Promotion of community health	A majority of the organization's governing body is comprised of persons who reside in the organization's primary service area. Board members are neither employees nor independent contractors of the organization, nor family members thereof. The organization extends medical staff privileges to all qualified physicians in its communities for all applicable departments and specialties. Gaylord hospital uses any surplus funds to reinvest in equipment and programming to improve the care and function of patients with spinal cord injury, stroke, traumatic brain injury, and pulmonary issues.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
SONJA LABARBERA
CEO	$448,601	$0	$88,000	$0	$467	$0	$48,337	$0	$12,816	$0	$598,221	$0	$0	$0
STEPHEN HOLLAND
V.P. & CMO	$389,674	$0	$13,500	$0	$3,155	$0	$5,600	$0	$27,108	$0	$439,037	$0	$0	$0
ARTHUR TEDESCO
VP & CFO	$350,896	$0	$1,000	$0	$3,077	$0	$0	$0	$173	$0	$355,146	$0	$0	$0
LISA KALAFUS
V.P. & C.N.O.	$214,177	$0	$1,000	$0	$425	$0	$4,453	$0	$202	$0	$220,257	$0	$0	$0
WALTER HARPER
V.P. HUMAN RESOURCES	$198,689	$0	$1,000	$0	$1,217	$0	$4,074	$0	$16,629	$0	$221,609	$0	$0	$0
PETER E GREVELDING
V.P. CLINICAL OPERATIONS	$206,626	$0	$8,500	$0	$187	$0	$4,303	$0	$204	$0	$219,820	$0	$0	$0
CRAIG STEARNS
C.I.O.	$205,159	$0	$1,000	$0	$424	$0	$4,123	$0	$202	$0	$210,908	$0	$0	$0
TARA KNAPP
V.P. EXTERNAL AFFAIRS	$164,292	$0	$1,000	$0	$643	$0	$2,697	$0	$27,022	$0	$195,654	$0	$0	$0
PAIGE PANDA
SR.PHILANTHROPIC ADVISOR	$132,806	$0	$17,200	$0	$0	$0	$0	$0	$10,043	$0	$160,049	$0	$0	$0
JERROLD KAPLAN
PHYSICIAN/MEDICAL DIRECTOR	$301,409	$0	$15,850	$0	$1,270	$0	$3,930	$0	$27,142	$0	$349,601	$0	$0	$0
DR DAVID ROSENBLUM
PHYSICIAN / MEDICAL DIRECTOR	$305,484	$0	$1,150	$0	$1,340	$0	$5,600	$0	$27,155	$0	$340,729	$0	$0	$0
DR ALYSE SICKLICK
PHYSICIAN / INPATIENT	$246,326	$0	$1,000	$0	$1,055	$0	$4,935	$0	$29,894	$0	$283,210	$0	$0	$0
DR DAVID CHEN
PHYSICIAN/INPATIENT	$238,947	$0	$1,000	$0	$207	$0	$2,346	$0	$11,573	$0	$254,073	$0	$0	$0
DR HONGMEI WANG
PHYSICIAN/INPATIENT	$242,494	$0	$1,000	$0	$226	$0	$3,744	$0	$236	$0	$247,700	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	FormAndLineReferenceDesc
Explanation	Gaylord Hospital Executives eligible to participate in supplemental executive retirement plan (SERP) are defined in the SERP plan documents. The SERP was established to provide additional retirement benefits to ensure reasonable market competitive benefits and to attract and retain talented, experienced executives. The following person constructively received a deferral to the supplemental executive retirement plan (SERP) in 2020. This deferral is included in schedule J, Part II, Column (C). Sonja LaBarbera - $44,000. There were no payments made during 2020.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	STATE OF CONNECTICUT HEALTH AND EDUCATIONAL FACILITIES AUTHORITY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	060806186	BondIssuerEIN
CUSIP	20774UNQ4	CUSIPNum
Bond Issued	2007-04-01	BondIssuedDt
Issue Price	$21,530,000	IssuePriceAmt
Purpose	CONSTRUCTION OF A 36-BED ADDITION and REFUND PRIOR ISSUE OF CHEFA SERIES A REVENUE BONDS.	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$10,060,000	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$21,530,000	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$449,233	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$11,510,767	CapitalExpendituresAmt
Other Spent Proceeds	$9,570,000	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Substantial Completion	2008	SubstantialCompletionYr
Refunding Tax Exempt Bonds	false	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	Yes (true)	RefundingTaxableBondsInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (true)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (true)	EngageBondCounselContractsInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0.0	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.0	PrivateBusConcerningUBIPct
Total Private Business Use	0.0	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	false	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	Yes (true)	NoRebateDueInd
Variable Rate Issue	Yes (true)	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd
Regulatory Safe Harbor Stsfd	false	RegulatorySafeHarborStsfdInd
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule K, Part IV, Line 2c COLUMN A	FormAndLineReferenceDesc
Explanation	Issuer name: STATE OF CONNECTICUT HEALTH AND EDUCATIONAL FACILITIES AUTHORITY The calculation for computing no rebate due was performed on 07/03/2017	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4a Program Service Description (continued)	PATIENT AND FAMILY EDUCATION AND SUPPORT: THE CHALLENGES THAT ARE EXPERIENCED BY PEOPLE AFTER ILLNESS OR INJURY OFTEN REQUIRE UNDERSTANDING, ONGOING SUPPORT AND THE BEST SERVICES POSSIBLE. GAYLORD PROVIDES CARE MANAGEMENT, CHAPLAIN SERVICES AND PSYCHOLOGY SERVICES AS PART OF OUR STANDARD OF CARE. PATIENT AND FAMILY EDUCATION ALSO INCLUDES ONGOING INSTRUCTIONAL CLASSES FOR INPATIENTS AND THEIR FAMILIES AS WELL AS REGULARLY SCHEDULED, DIAGNOSIS-RELATED SUPPORT GROUPS. OTHER FORMS OF PATIENT AND FAMILY EDUCATION INCLUDE: - PATIENT AND FAMILY EDUCATION GUIDES ARE AVAILABLE TO PEOPLE WITH BRAIN INJURY, DIABETES, MULTIPLE SCLEROSIS, SPINAL CORD INJURY, AMPUTATION, PULMONARY COMPLICATIONS AND STROKE. - A LIBRARY AND RESOURCE CENTER WITH A PART-TIME MEDICAL LIBRARIAN. - VALUE-ADDED SERVICES (FOR WHICH GAYLORD IS NOT REIMBURSED) INCLUDE: - THERAPEUTIC RECREATION AND SPORTS ACTIVITIES FOR THOSE WITH PHYSICAL DISABILITIES. - CARE MANAGEMENT TO GAYLORD'S TRANSITIONAL LIVING PROGRAM RESIDENTS. - Zoom education sessions for the greater community - Many support groups were converted to virtual session from in-person sessions during the pandemic. - NEW INPATIENT AND OUTPATIENT POST-COVID SUPPORT GROUPS WERE CREATED TO MEET THE NEEDS OF OUR PATIENTS AS THE PANDEMIC PROGRESSED. COVID'S IMPACT ON GAYLORD SERVICES GAYLORD HAS CONTINUED TO KEEP AS MANY BEDS AS POSSIBLE OPEN TO THE ACUTE CARE HOSPITALS TO HELP WITH COVID PATIENTS. THE TEAMS FLEXED TO ADD ADDITIONAL STAFFING AND NOT ONLY WERE POSITIVE COVID PATIENTS ADMITTED FOR MANAGEMENT OF RESPIRATORY COMPLICATIONS, SOME PATIENTS REMIANED VENTILATED OR WITH TRACHEOTOMIES WHICH OTHER HOSPITALS WERE NOT ADMITTING. MANY PATIENTS ADMITTED WERE POST-COVID AND NEEDED REHABILITATION FOR THEIR DECONDITIONING AND REMAINING NEUROLOGICAL DEFICITS. The pandemic also limits the number of patients who could remain in acute care for stroke, brain injury, SPINAL CORD INJURY, PULMONARY COMPLICATIONS AND THOSE WITH ON-GOING MEDICALLY COMPLEX NEEDS. MORE THAN 205 COVID PATIENTS WERE TREATED AND DISCHARGED FROM INPATIENT IN 2021. GAYLORD OUTPATIENT SERVICES CONTINUE TO TREAT POST-COVID PATIENTS FOR NEEDS RANGING FROM PULMONARY REHABILITATION, TO MEDICAL SERVICES PROVIDED BY THE REHABILITATION DOCTORS AND SPEECH PATHOLOGY SEEING PATIENTS FOR "BRAIN FOG" AND DECREASES IN MEMORY AND EXECUTIVE FUNCTIONING.
Form 990, Part VI, Line 18	THE AUDIT OVERSIGHT PROCESS AND SELECTION PROCESS OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED SINCE THE PREVIOUS YEAR.
Form 990, Part VI, Line 1a Delegate broad authority to a committee	The organization's Sole Member/Parent Company's Board of Directors has an Executive Committee, which has full authority and power to act for the Board of Directors and transact all regular business of the Corporation during the interim between meetings of the Board of Directors.
Form 990, Part VI, Line 2 Family/business relationships amongst interested persons	Kim Healey and Robert Lyons, Jr. - Business relationship
Form 990, Part VI, Line 6 Classes of members or stockholders	THERE IS ONE SOLE MEMBER OF THE HOSPITAL, GAYLORD FARM ASSOCIATION, INC
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	The Member shall have the exclusive right to take the following actions: (a) the election of the Hospital's directors; (b) the removal, with or without cause, of any or all of the Hospital's directors subject to any written contract rights, provided that directors may also be removed by judicial proceedings to the extent provided by the Act; and (c) the filling of any director vacancies.
Form 990, Part VI, Line 11b Review of form 990 by governing body	A MEETING IS HELD WITH THE AUDIT COMMITTEE AND SENIOR MANAGEMENT TO REVIEW THE 990. AFTER THIS REVIEW IS COMPLETE, A COMPLETE COPY IS PROVIDED TO ALL MEMBERS OF THE GOVERNING BODY BEFORE FILING.
Form 990, Part VI, Line 12c Conflict of interest policy	ANY CONFLICT OF INTEREST SITUATION MUST BE DISCLOSED TO THE BOARD OF DIRECTORS OF THE ASSOCIATION OR THE COMPLIANCE OFFICER IMMEDIATELY AND SUCH DIRECTOR, OFFICER OR EMPLOYEE WITH A CONFLICT OF INTEREST WILL BE REQUIRED TO REFRAIN FROM PARTICIPATING IN ANY DISCUSSION OR ACTION CONCERNING SUCH CONFLICTED SITUATION.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	GAYLORD HAS CONTRACTED WITH SEGAL CONSULTING TO PERFORM A TOTAL COMPENSATION REVIEW OF THE CEO. THIS PROCESS WILL BE DONE EVERY OTHER YEAR FOR THE AFOREMENTIONED POSITION. A REPORT WILL BE MADE BY THE VICE PRESIDENT OF HUMAN RESOURCES TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS ANNUALLY FOR THEIR ENDORSEMENT AND APPROVAL. THE LAST COMPENSATION REVIEW OCCURRED IN MAY OF 2021.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	GAYLORD HAS CONTRACTED WITH SEGAL CONSULTING TO PERFORM A TOTAL COMPENSATION REVIEW OF THREE KEY POSITIONS IN SENIOR MANAGEMENT: THE CEO, THE CFO AND THE CMO AND USE ONLY SOUTHERN NEW ENGLAND SURVEY DATA FOR THE VICE PRESIDENT OF CLINICAL SERVICES, THE VICE PRESIDENT OF HUMAN RESOURCES, THE VICE PRESIDENT OF DEVELOPMENT AND THE VICE PRESIDENT OF MARKETING/PUBLIC RELATIONS. THIS PROCESS WILL BE DONE EVERY OTHER YEAR FOR THE AFOREMENTIONED POSITIONS. A REPORT WILL BE MADE BY THE VICE PRESIDENT OF HUMAN RESOURCES TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS ANNUALLY FOR THEIR ENDORSEMENT AND APPROVAL. THE LAST COMPENSATION REVIEW OCCURRED IN MAY OF 2021 .
Form 990, Part VI, Line 19 Required documents available to the public	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST
Form 990, Part IX, Line 11g Other Fees	Other Fees for Services - Total Expense: 9464093, Program Service Expense: 7885819, Management and General Expenses: 1353601, Fundraising Expenses: 224673; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	PENSION RELATED CHANGES - 3434707; CHANGES IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT - 744412; LOSS FROM EQUITY INVESTMENTS - -574606; CHANGE IN BENEFICIAL INTEREST IN TRUSTS - 2444380; NET PERIODIC PENSION COSTS OTHER THAN SERVICE COSTS - 222719;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
GAYLORD FARM REHABILITATION CENTER INC
PO BOX 400 GAYLORD FARM ROAD	WALLINGFORD	CT	06492	061432065	RESIDENTIAL CARE HOME	CT	501(c)(3)	10	GAYLORD FARM ASSOCIATION INC	false
GAYLORD RESEARCH INSTITUTE INC
PO BOX 400 GAYLORD FARM ROAD	WALLINGFORD	CT	06492	061460112	RESEARCH ORGANIZATION	CT	501(c)(3)	4	GAYLORD FARM ASSOCIATION INC	false
THE GAYLORD FOUNDATION INC
PO BOX 400 GAYLORD FARM ROAD	WALLINGFORD	CT	06492	061460112	SUPPORTING Organization	CT	501(c)(3)	Type I	GAYLORD FARM ASSOCIATION INC	false
GAYLORD FARM ASSOCIATION INC
PO BOX 400 GAYLORD FARM ROAD	WALLINGFORD	CT	06492	061302029	Parent Organization	CT	501(c)(3)	Type I	NA	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	NORTH HAVEN FITNESS & WELLNESS LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 400 400 GAYLORD FARM ROAD	AddressLine1Txt
City	WALLINGFORD	CityNm
State Abbreviation	CT	StateAbbreviationCd
ZIP	06492	ZIPCd

Field	Value	IRS element (for citing)
EIN	201637848	EIN
Primary Activities	FITNESS CENTER	PrimaryActivitiesTxt
Legal Domicile State	CT	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	na	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Predominant Income Type	Related	PredominantIncomeTypeTxt
Share Of Total Income	-$270,605	ShareOfTotalIncomeAmt
Share Of EOY Assets	$0	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
General Or Managing Partner	false	GeneralOrManagingPartnerInd
Ownership	0.5	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
FARM PROPERTIES INC
PO BOX 400 400 GAYLORD FARM ROAD	WALLINGFORD	CT	06492	061301584	PROPERTY DEVELOPMENT	CT	GAYLORD FARM ASSOCIATION INC	C Corporation	false
GAYLORD RISK SOLUTIONS LTD
PO BOX 400 400 GAYLORD FARM ROAD	WALLINGFORD	CT	06492	980561423	INSURANCE PROVIDER		GAYLORD FARM ASSOCIATION INC	C Corporation	false	CJ

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Affiliated Group Schedule AffiliatedGroupSchedule

Affiliated Schedule AffiliatedScheduleGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Electing OrganizationElectingOrganizationInd	Total Grassroots LobbyTotalGrassrootsLobbyAmt	Total Direct LobbyTotalDirectLobbyAmt	Total Lobby ExpenditureTotalLobbyExpenditureAmt	Other Exempt Purpose ExpendOtherExemptPurposeExpendAmt	Total Exempt Purpose ExpendTotalExemptPurposeExpendAmt	Lobby NontxLobbyNontxAmt	Grassroots NontxGrassrootsNontxAmt	Total Lobby Grssroot Mns NontxTotalLobbyGrssrootMnsNontxAmt	Tot Lbby Expend Mns Lobby NontxTotLbbyExpendMnsLobbyNontxAmt	Share Excess Lobby ExpendShareExcessLobbyExpendAmt
Gaylord Hospital INC
PO BOX 400 GAYLORD FARM ROAD	WALLINGFORD	CT	06492	060646649	Yes (X)	$0	$102,460	$102,460	$73,499,074	$73,601,534	$1,000,000	$250,000	$0	$0	$0
Gaylord Farm Rehabilitation Center Inc
PO Box 400 Gaylord Farm Road	Wallingford	CT	06492	061432065	Yes (X)	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
Gaylord Research Institute Inc
PO Box 400 Gaylord Farm Road	Wallingford	CT	06492	061460112	Yes (X)	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0