2022-07-14T15:37:36-05:00 2021-09-30 350921680 CROWE LLP 9600 Brownsboro Road Suite 400 Louisville KY 402413902 990 2020-10-01 060646649 Gaylord Hospital INC GAYL 2032842800 PO BOX 400 GAYLORD FARM ROAD WALLINGFORD CT 06492 Christopher Hayes CFO 2022-07-14 true Christopher Hayes 999009999 Kim Scifres P01316095 5023263996 2020 2022-09-23 18:48:47Z Sonja LaBarbera PO BOX 400 GAYLORD FARM ROAD WALLINGFORD CT 06492 94614350 false X WWW.GAYLORD.ORG X 1991 CT TO ENHANCE HEALTH, MAXIMIZE FUNCTION AND TRANSFORM LIVES. 26 24 1101 47 0 0 9810183 4156706 84256143 88303770 673388 863475 515702 540860 95255416 93864811 0 0 57477013 60500962 194513 0 1316140 26454173 27782593 84125699 88283555 11129717 5581256 119095182 128915259 47029507 42998651 72065675 85916608 TO ENHANCE HEALTH, MAXIMIZE FUNCTION AND TRANSFORM LIVES. false false 73601534 88583170 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. 73601534 true true false true false false false false true true false false true true true false true false false false false false false true false true true false false true true false false false false false false false false false false false false false false false true false false false true 172 0 true 1101 true false false false false false true true false false false false false false X 26 24 true false false false true true false true true false false true true true true true true true true true true X Christopher Hayes CFO 2032842800 GAYLORD FARM ROAD WALLINGFORD CT 06492 CONNOR DOLAN CHAIRMAN/DIRECTOR 1.0 2.0 X X 0 0 0 DIANA WAKERLEY SECRETARY / DIRECTOR 1.0 X X 0 0 0 KAREN A SCAPPATICCI ASST SECRETARY/DIRECTOR(Through 12/15/2020) 1.0 X X 0 0 0 KIM HEALEY VICE CHAIR/DIRECTOR 1.0 1.0 X X 0 0 0 PETER DECKERS MD Asst Treasurer/DIRECTOR 1.0 X X 0 0 0 ROBERT J MOBECK Treasurer/DIRECTOR 1.0 X X 0 0 0 SONJA LABARBERA CEO 38.0 2.0 X X 537068 0 61153 STEPHEN HOLLAND V.P. & CMO 40.0 X X 406329 0 32708 AUGUSTUS MARCHETTI DIRECTOR 1.0 X 0 0 0 BO BRADSTREET DIRECTOR 1.0 X 0 0 0 BRIAN LAWLOR DIRECTOR/ (Starting 12/15/2020) 1.0 X 0 0 0 CHRISTOPHER CARTLAND DIRECTOR 1.0 X 0 0 0 CLEMENT LEWIN DIRECTOR 1.0 X 0 0 0 CYNTHIA J GRIFFITH DIRECTOR 1.0 X 0 0 0 GEORGE MILNE DIRECTOR 1.0 X 0 0 0 MARIE ROBERTO PHD DIRECTOR 1.0 X 0 0 0 MARY PEPE DIRECTOR 1.0 X 0 0 0 MICHAEL BROODER DIRECTOR 1.0 X 0 0 0 MICHELE VOLPE DIRECTOR 1.0 X 0 0 0 PERRY WILSON MD DIRECTOR 1.0 X 0 0 0 ROBERT J LYONS DIRECTOR 1.0 X 0 0 0 ROBERT MCHUGH DIRECTOR 1.0 X 0 0 0 ROBERT PRETTI Phd DIRECTOR (Started 12/15/2020) 1.0 X 0 0 0 RYAN O'CONNELL DIRECTOR 1.0 X 0 0 0 STEVEN RYDER MD DIRECTOR (Started 12/15/2020) 1.0 X 0 0 0 SUSAN WHETSTONE DIRECTOR 1.0 X 0 0 0 WILLIAM SIMEONE III DIRECTOR 1.0 X 0 0 0 ARTHUR TEDESCO VP & CFO 38.0 2.0 X 354973 0 173 LISA KALAFUS V.P. & C.N.O. 40.0 X 215602 0 4655 CRAIG STEARNS C.I.O. 40.0 X 206583 0 4325 PAIGE PANDA SR.PHILANTHROPIC ADVISOR 40.0 X 150006 0 10043 PETER E GREVELDING V.P. CLINICAL OPERATIONS 40.0 X 215313 0 4507 TARA KNAPP V.P. EXTERNAL AFFAIRS 40.0 X 165935 0 29719 WALTER HARPER V.P. HUMAN RESOURCES 40.0 X 200906 0 20703 DR ALYSE SICKLICK PHYSICIAN / INPATIENT 36.0 X 248381 0 34829 DR DAVID CHEN PHYSICIAN/INPATIENT 40.0 X 240154 0 13919 DR DAVID ROSENBLUM PHYSICIAN / MEDICAL DIRECTOR 40.0 X 307974 0 32755 DR HONGMEI WANG PHYSICIAN/INPATIENT 40.0 X 243720 0 3980 JERROLD KAPLAN PHYSICIAN/MEDICAL DIRECTOR 40.0 X 318529 0 31072 3811473 0 284541 75 false true false NORTHEAST MEDICAL GROUP PO BOX 9403 NEW HAVEN CT 06534 PHYSICIAN SERVICES 2655481 MORRISON MANAGEMENT SPECIALIST PO BOX 102289 ATLANTA GA 30368 DIETARY SERVICES 907921 QUEST DIAGNOSTICS 500 PLAZA DRIVE SEACACUS NJ 07094 LABRATORY SERVICES 788376 IMAGE FIRST MEDICAL WEAR PO BOX 61323 KING OF PRUSSIA PA 19406 LAUNDRY & LINEN SERVICES 725498 ALLIED UNIVERSAL COMPANY PO Box 828854 PHILADELPHIA PA 19182 SECURITY SERVICES 447309 20 154863 645831 3356012 22946 4156706 NET PATIENT SERVICE REVENUE 622310 88186356 88186356 Other Department Revenue 622310 117414 117414 0 0 0 0 88303770 245530 245530 261460 0 261460 0 261460 261460 1321818 703873 617945 0 617945 617945 45666 154863 45666 Other Operating Revenue 622310 279400 279400 0 0 0 0 279400 93864811 88583170 0 1124935 X 2732408 2447396 285012 48388000 43367366 4397760 622874 1139991 1075838 48410 15743 4605301 4173649 372627 59025 3635262 3292131 295481 47650 72861 69361 3500 134750 134750 102460 102460 9464093 7885819 1353601 224673 656166 639217 16949 1313920 888080 395385 30455 775287 513998 261289 1914036 1194387 719649 18460 10804 3644 4012 140681 81091 56348 3242 619649 619649 4523803 3211900 1311903 1866372 1263288 603084 Drugs 2347596 2347596 GENERAL MEDICAL SUPPLIES 2178109 2153874 24235 RENTAL EQUIPMENT 1141839 1086969 54870 Recruiting Fees 203125 176719 26406 309386 136348 170033 3005 88283555 73601534 13365881 1316140 31933173 33615295 7964661 5059471 11612945 13247864 0 0 0 0 3453 0 1069849 1522960 113083105 82737764 30294149 30345341 30651301 36429970 887633 1131230 0 4678018 7563128 119095182 128915259 8548513 10495738 616281 0 11960000 11470000 0 0 2927639 2420568 22977074 18612345 47029507 42998651 X 36448204 50139820 35617471 35776788 72065675 85916608 119095182 128915259 X 5581256 1998065 6271612 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 0 0 102460 102460 102460 102460 73499074 73499074 73601534 73601534 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 65364 65305 65346 102460 298475 250000 250000 250000 250000 1000000 1500000 0 0 0 0 0 19602021 847894 1506975 0 902537 76000 20978353 18255946 1779161 781622 0 1131312 83396 19602021 17980012 559391 807964 0 999842 91579 18255946 15620487 2688080 860011 0 1110366 78200 17980012 20094626 411623 1721031 0 506793 6100000 15620487 0.6 0.28 0.12 false false 113938 113938 57456299 43120066 14336233 7851738 3104878 4746860 45356863 36512820 8844043 2304267 2304267 30345341 UNAMORTIZED BOND COSTS 263055 DUE FROM AFFILIATES 4057429 OTHER ASSETS 600615 INTEREST IN NET ASSETS OF GRI 1972 OPERATING LEASE ASSET 2640057 7563128 DUE TO THIRD PARTY 180277 ROU LT and ST Liability 2661740 INTEREST RATE SWAP LIABILITIES 2023053 DUE TO AFFILIATES 1972 ACCRUED PENSION LIABILITY 10445322 MEDICARE ADVANCED DUE 2232510 DEFERRED SOCIAL SECURITY FUNDING (CARES ACT) 1067471 18612345 X 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. Golf Tournament 140137 104265 35872 29111 150 6611 Gaylord Gauntlet 5K 60392 50598 9794 195 40 9559 0 200529 154863 45666 195 29111 190 16170 45666 0 true true X true X 250 true X 550 true false false 14 38956 0 38956 0.0004 9418854 5635681 3783173 0.0429 0 0.0 0 14 9457810 5635681 3822129 0.0433 11166 0 11166 0.0001 355 340310 0 340310 0.0039 0 0.0 0 0.0 32 35854 0 35854 0.0004 0 387 387330 0 387330 0.0044 0 401 9845140 5635681 4209459 0.0477 0 0.0 0 0.0 1910 43100 0 43100 0.0005 0 0.0 0 0.0 96 9079 0 9079 0.0001 0 0.0 0 0.0 0 0.0 96 1910 52179 0 52179 0.0006 true 0 0 19043141 21162987 -2119846 X true true 1 1 GAYLORD HOSPITAL INC PO BOX 400 WALLINGFORD CT 06492 WWW.GAYLORD.ORG CDH.00002CD X LONG TERM ACUTE CARE HOSPITAL/OUTPATIENT CLINIC/SLEEP SERVICES GAYLORD HOSPITAL INC 1 false false true X X X X X X X X 18 true false false true X https://www.gaylord.org/Patients-Families/About/Community-Health-Needs-Assessment X www.chime.org/advocacy/community-health X true 18 true https://www.gaylord.org/Patients-Families/About/Community-Health-Needs-Assessment false true X 250.0 550.0 X X X true true X X X X true X https://www.gaylord.org/Patients-Families/Patient-Information/Billing-Services/Financial-Assistance X https://www.gaylord.org/Patients-Families/Patient-Information/Billing-Services/Financial-Assistance X https://www.gaylord.org/Patients-Families/Patient-Information/Billing-Services/Financial-Assistance X X X X X X true X false X X X X true X false false 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. 0 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. X X X X false true false false false false false false false SONJA LABARBERA CEO 448601 0 88000 0 467 0 48337 0 12816 0 598221 0 0 0 STEPHEN HOLLAND V.P. & CMO 389674 0 13500 0 3155 0 5600 0 27108 0 439037 0 0 0 ARTHUR TEDESCO VP & CFO 350896 0 1000 0 3077 0 0 0 173 0 355146 0 0 0 LISA KALAFUS V.P. & C.N.O. 214177 0 1000 0 425 0 4453 0 202 0 220257 0 0 0 WALTER HARPER V.P. HUMAN RESOURCES 198689 0 1000 0 1217 0 4074 0 16629 0 221609 0 0 0 PETER E GREVELDING V.P. CLINICAL OPERATIONS 206626 0 8500 0 187 0 4303 0 204 0 219820 0 0 0 CRAIG STEARNS C.I.O. 205159 0 1000 0 424 0 4123 0 202 0 210908 0 0 0 TARA KNAPP V.P. EXTERNAL AFFAIRS 164292 0 1000 0 643 0 2697 0 27022 0 195654 0 0 0 PAIGE PANDA SR.PHILANTHROPIC ADVISOR 132806 0 17200 0 0 0 0 0 10043 0 160049 0 0 0 JERROLD KAPLAN PHYSICIAN/MEDICAL DIRECTOR 301409 0 15850 0 1270 0 3930 0 27142 0 349601 0 0 0 DR DAVID ROSENBLUM PHYSICIAN / MEDICAL DIRECTOR 305484 0 1150 0 1340 0 5600 0 27155 0 340729 0 0 0 DR ALYSE SICKLICK PHYSICIAN / INPATIENT 246326 0 1000 0 1055 0 4935 0 29894 0 283210 0 0 0 DR DAVID CHEN PHYSICIAN/INPATIENT 238947 0 1000 0 207 0 2346 0 11573 0 254073 0 0 0 DR HONGMEI WANG PHYSICIAN/INPATIENT 242494 0 1000 0 226 0 3744 0 236 0 247700 0 0 0 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan 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. A STATE OF CONNECTICUT HEALTH AND EDUCATIONAL FACILITIES AUTHORITY 060806186 20774UNQ4 2007-04-01 21530000 CONSTRUCTION OF A 36-BED ADDITION and REFUND PRIOR ISSUE OF CHEFA SERIES A REVENUE BONDS. false false false A 10060000 0 21530000 0 0 0 449233 0 0 11510767 9570000 0 2008 false true true true A false false true true false 0.0 0.0 0.0 false false true A false false false true true false false false false true A true Schedule K, Part IV, Line 2c COLUMN A Issuer name: STATE OF CONNECTICUT HEALTH AND EDUCATIONAL FACILITIES AUTHORITY The calculation for computing no rebate due was performed on 07/03/2017 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; 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 NORTH HAVEN FITNESS & WELLNESS LLC PO BOX 400 400 GAYLORD FARM ROAD WALLINGFORD CT 06492 201637848 FITNESS CENTER CT na Related -270605 0 false false 0.5 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 CJ GAYLORD FARM ASSOCIATION INC C Corporation false false false false false false false false false false false false false false true true false false false false Gaylord Hospital INC PO BOX 400 GAYLORD FARM ROAD WALLINGFORD CT 06492 060646649 X 0 102460 102460 73499074 73601534 1000000 250000 0 0 0 Gaylord Farm Rehabilitation Center Inc PO Box 400 Gaylord Farm Road Wallingford CT 06492 061432065 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 X 0 0 0 0 0 0 0 0 0 0