2025-07-15T13:06:14+00:00 2024-09-30 350921680 CROWE LLP 4801 Olympia Park Plaza Suite 4000 Louisville KY 402412098 990 2023-10-01 060646649 Gaylord Hospital INC GAYL 2032842800 PO BOX 400 GAYLORD FARM ROAD WALLINGFORD CT 06492 Christopher Hayes CFO 2025-07-15 true Kim Scifres P01316095 5023263996 2025-07-15 2023 2025-03-06 01:10:19Z Sonja LaBarbera PO BOX 400 GAYLORD FARM ROAD WALLINGFORD CT 06492 105615863 false X WWW.GAYLORD.ORG X 1991 CT TO ENHANCE HEALTH, MAXIMIZE FUNCTION AND TRANSFORM LIVES. 23 21 1206 77 0 0 11353968 6119557 89930664 94834785 1882389 808703 509765 764479 103676786 102527524 0 0 65177428 68485065 0 1310804 29243424 31368834 94420852 99853899 9255934 2673625 132042214 133851057 37776711 31534420 94265503 102316637 TO ENHANCE HEALTH, MAXIMIZE FUNCTION AND TRANSFORM LIVES. false false 83988846 95483008 Gaylord Specialty Healthcare is a nationally renowned, independent, nonprofit health system offering specially designed and accredited medical management and intensive rehabilitation from common to catastrophic illness or injury. It specializes in programs for patients with spinal cord injury, stroke, brain injury, pulmonary, and complex medical cases. Gaylord Outpatient Services rehabilitates patients in the community, and physical therapy, orthopedics, and sports medicine help athletes recover to peak physical performance after injury, leveraging leading-edge technology and provider expertise. In addition, Gaylord is home to the Milne Institute for Healthcare Innovation, providing access to leading-edge research in rehabilitative medicine, and Traurig House, offering a transitional living experience for brain-injured and stroke patients as an interim step between hospital and home. Gaylord's 137-bed inpatient hospital in Wallingford admits 1,400+ patients annually; while it's five outpatient sites (Wallingford, Madison, Cheshire, Cromwell and North Haven) see more than 9,000 patients per annum. With a staff of approximately 1019 full-time, part-time, and per-diem employees, Gaylord Hospital is the third largest employer in Wallingford contributing to the region's economy. Gaylord Specialty Healthcare is accredited nationally by the Joint Commission and internationally by CARF (Commission on Accreditation of Rehabilitation Facilities) for all inpatient and outpatient rehabilitation programs. Gaylord has additional specialty accreditation for its spinal cord, stroke, and brain injury programs - making it one of two long-term acute care hospitals in the world and the only kind in the U.S. with this unique level of CARF accreditation. Gaylord has clinical affiliations with the following schools: Yale University School of Medicine; the University of Connecticut School of Medicine; Quinnipiac University Medical School and School of Allied Health; Southern Connecticut State University, Gateway Community College, Naugatuck Valley Community College, Lincoln Tech, and Goodwin University. In 2021 Gaylord affiliated with UConn School of Medicine as a clinical partner for the newly created residency program in Physiatry, the first and only one in Connecticut. We also partner with Albertus Magnus, Griffin Hospital School of Allied Health, and the University of St. Joseph. 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 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% of the hospital's inpatient admissions are from acute care hospitals. Physician referrals drive most outpatient therapy visits. Program background and key services: Depending on their individual needs, patients admitted to Gaylord for inpatient services may take advantage of the medical or rehabilitation divisions. The medical division consists of a medically complex program for patients with serious medical issues, including wound care and complications 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 patients' needs 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 multiple major trauma. Gaylord is a partner site of a national spinal cord injury program 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 is currently 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 principal investigator. Gaylord has a long and distinguished history of firsts and prides itself on being an early adopter of various medical and rehabilitation technologies regionally and nationally. Gaylord was the first in Connecticut to become a Passy Muir Valve Center of Excellence to allow patients with a tracheostomy or on mechanical ventilation to speak; the first in Connecticut to offer spinal cord injury patients the opportunity to walk using the Ekso robotic suit and was the second in North America to achieve the one-million step milestone; the first in the United States to become a Vapotherm Center of Excellence recognizing the value of heated humidification for pulmonary patients to improve outcomes. Gaylord was the first and only organization in Connecticut to use the ZeroG gait and balance system and the first in New England to use it in an outpatient facility. 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 the risk of 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 an FES stim bike, BITS, four 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 patient's needs. In 2023, Gaylord became the first healthcare organization in North America to use the Phagenyx Neurostimulation System from Phagenesis, Ltd. to treat dysphagia among stroke patients. An essential program for people with acquired brain injury is the Louis D. Traurig transitional living center, a freestanding, eight-bed house on the Wallingford campus that offers the opportunity to practice activities of daily living and problem-solving techniques and enhance social skills by providing a therapeutic, 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. The Connecticut State Department of Public Health and Addiction Services licenses it. 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 five locations for therapy services in North Haven, Madison, Cheshire, Cromwell and Wallingford. More than 30 clinical services enhance the hospital's outpatient treatment programs. Gaylord's Center for Concussion Care provides a statewide resource for this growing issue and has worked with area schools, athletic teams, and pediatricians to move to focus on the danger of an untreated concussion. While most outpatients are from CT, out-of-state patients regularly utilize Physiatry and Speech services based on unique and specialized services. Professional and community education: Gaylord focuses on community relationships to promote wellness and advance healthcare through education, research, and clinical practice improvement. Employees are actively engaged in community and professional organizations. More than 155 students participated in almost 11,300 hours of educational programming at Gaylord in medical services, nursing, psychology, social work, pharmacy, physical therapy, occupational therapy, speech and language therapy, therapeutic recreation, respiratory therapy, and nutrition. 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 August 2020 on the Gaylord campus and is rigorously pursuing research opportunities and involving staff in new product invention opportunities. 83988846 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 true false false false false true false false false true 233 0 true 1206 true false false false false false true true false false false false false false X 23 21 false false false false true true false true true false false true true true true true true false false false X Chris Hayes CFO 2032842800 GAYLORD FARM ROAD WALLINGFORD CT 06492 BO BRADSTREET CHAIR/DIRECTOR Thru 6/30/24 1.0 4.0 X X 0 0 0 DIANA WAKERLEY SECRETARY/DIRECTOR 1.0 1.0 X X 0 0 0 MICHELE VOLPE Esq DIRECTOR/VICE CHAIR FROM 7/1 1.0 2.0 X X 0 0 0 ROBERT J LYONS JR TREASURER/DIRECTOR 1.0 1.0 X X 0 0 0 ROBERT MCHUGH VICE CHAIR Thru 6/30/24/DIRECTOR CHAIR From 7/1/24 1.0 4.0 X X 0 0 0 SONJA LABARBERA PRESIDENT & CEO 36.0 4.0 X X 666671 0 20785 STEPHEN HOLLAND MD CMO 40.0 0 X X 434861 0 39067 BRIAN LAWLOR DIRECTOR 1.0 1.0 X 0 0 0 CARLY BROWN DIRECTOR from 7/1/24 1.0 1.0 X 0 0 0 CHRISTOPHER CARTLAND DIRECTOR 1.0 1.0 X 0 0 0 CLEMENT LEWIN PhD DIRECTOR 1.0 1.0 X 0 0 0 CONNOR DOLAN DIRECTOR 1.0 1.0 X 0 0 0 ERIKA SMITH DIRECTOR from 7/1/24 1.0 1.0 X 0 0 0 GEORGE MILNE PhD DIRECTOR 1.0 1.0 X 0 0 0 JOHN MOTLEY DIRECTOR from 7/1/24 1.0 1.0 X 0 0 0 KIM HEALEY DIRECTOR 1.0 1.0 X 0 0 0 MARY PEPE DIRECOTR 1.0 2.0 X 0 0 0 MICHAEL BROODER DIRECTOR 1.0 1.0 X 0 0 0 ROBERT PRETI PhD DIRECTOR 1.0 1.0 X 0 0 0 RYAN O'CONNELL MD DIRECTOR 1.0 2.0 X 0 0 0 STEVE RYDER MD DIRECTOR 1.0 1.0 X 0 0 0 STEVEN ANGUS DIRECTOR from 7/1/24 1.0 1.0 X 0 0 0 SUSAN WHETSONE DIRECTOR 1.0 1.0 X 0 0 0 WILLIAM SIMIONE III DIRECTOR 1.0 1.0 X 0 0 0 CHRIS HAYES CFO 38.0 3.0 X 353328 0 6947 CRAIG STEARNS CIO 40.0 0 X 210406 0 4406 LISA KALAFUS CNO 40.0 0 X 232360 0 4853 PETER GREVELDING COO 40.0 1.0 X 238558 0 5007 MITCHELL PODOB VP HUMAN RESOURCES 40.0 0 X 214925 0 0 TARA KNAPP VP OF EXTERNAL AFFAIRS 40.0 0 X 183263 0 34526 ALLEN ABAYAO REGISTERED NURSE 40.0 0 X 243415 0 5950 Dr ALYSE SICKLICK PHYSICAN/INPATIENT 40.0 0 X 260726 0 19868 Dr DAVID ROSENBLUM PHYSICIAN/MEDICAL DIRECTOR 40.0 0 X 351103 0 42703 Dr HONGMEI WANG PHYSICIAN/INPATIENT 40.0 0 X 258733 0 4912 Dr JERROLD KAPLAN PHYSICIAN/MEDICAL DIRECTOR 40.0 0 X 481432 0 37713 PAIGE PANDA Former Sr Philanthropic advisor 0.0 0.0 X 298338 0 16712 4428119 0 243449 102 true true false NORTHEAST MEDICAL GROUP PO BOX 9403 NEW HAVEN CT 06534 PHYSICIAN SERVICES 2985600 MORRISON MANAGEMENT SPECIALIST PO BOX 102289 ATLANTA GA 30368 DIETARY SERVICES 1202242 IMAGE FIRST MEDICAL WEAR PO BOX 61323 KING OF PRUSSIA PA 19406 LAUNDRY & LINEN SERVICES 745074 ALLIED UNIVERSAL COMPANY PO Box 828854 PHILADELPHIA PA 19182 SECURITY SERVICES 693793 QUEST DIAGNOSTICS 500 PLAZA DRIVE Secaucus NJ 07094 LABRATORY SERVICES 485839 24 215881 2005601 3898075 74658 6119557 NET PATIENT SERVICE REVENUE 622310 94792414 94792414 Other Department Revenue 622310 42371 42371 0 0 0 0 94834785 675848 675848 116256 116256 0 116256 116256 3069533 2936678 132855 0 132855 132855 151661 215881 151661 Other Operating Revenue 622310 648223 648223 0 0 0 0 648223 102527524 95483008 0 924959 X 3021602 3021602 54192669 48640765 4904763 647141 1180922 1065917 100671 14334 5985831 5411272 502597 71962 4104041 3685711 368824 49506 72801 72801 180275 180275 59610 59610 10835305 9147537 1271255 416513 588135 557751 30384 1358435 818560 486709 53166 2099754 1559887 539867 2403170 2037719 365451 85326 55527 24265 5534 213515 160503 34299 18713 558639 558639 5263851 3737334 1526517 2231468 1701008 530460 General Medical Supplies 2169469 2160135 9334 Drugs 2053312 2053312 RENTAL EQUIPMENT 857782 791180 66602 Recruiting Fees 247678 215480 32198 90309 129638 -42880 3551 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1779161 781622 0 1131312 83396 19602021 0.62 0.23 0.15 false false 113938 113938 55249018 43287495 11961523 22710733 7241581 15469152 47178322 24968418 22209904 5110586 5110586 54865103 UNAMORTIZED BOND COSTS 208111 DUE FROM AFFILIATES 4716201 OTHER ASSETS 384176 INTEREST IN NET ASSETS OF GRI 2027 OPERATING LEASE ASSET 4201680 OTHER ASSET HELD BY TRUSTEE-ESCROW FROM LOAN 1210192 ASSETS HELD UNDER BOND INDENTURE 106680 10829067 DUE TO THIRD PARTY 26778 ROU LT and ST Liability 4321969 INTEREST RATE SWAP LIABILITIES 459932 DUE TO AFFILIATES 2027 ACCRUED PENSION LIABILITY 4810706 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. All entities are not-for-profit entities. 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, 2024 and 2023. The Association recognizes interest and/or penalties related to income tax matters within other operating expenses. As of September 30, 2024 and 2023, 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. GAYLORD GAUNTLET (5K) 117482 80693 36789 9926 1188 25675 GAYLORD GOLF CLASSIC 145885 77162 68723 4921 24680 36040 3082 1 104175 58026 46149 15331 16028 7025 7765 367542 215881 151661 14847 40011 53256 7025 36522 151661 0 true true X true X 250 true X 550 true false false 2 3955 0 3955 0.0000 14028532 6770998 7257534 0.0727 0 0.0 0 2 14032487 6770998 7261489 0.0727 6223 53816 0 53816 0.0005 156 575760 0 575760 0.0058 0 0.0 369354 299199 70155 0.0007 960 62700 0 62700 0.0006 0 7339 1061630 299199 762431 0.0076 0 7341 15094117 7070197 8023920 0.0804 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 72 22215 0 22215 0.0002 0 0.0 0 0.0 0 0.0 72 0 22215 0 22215 0.0002 true 0 0 12862385 15301917 -2439532 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 X 21 true false false true X https://www.gaylord.org/about X www.chime.org/advocacy/community-health X true 21 true https://www.gaylord.org/about false true X 250.0 550.0 X X X true true X X X X true X https://www.gaylord.org/billing-services#Financial-Assistance X https://www.gaylord.org/billing-services#Financial-Assistance X https://www.gaylord.org/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 2022 AND ENDING IN JULY 2022 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 CONDUCTED ITS LATEST COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND IDENTIFIED FOUR CRUCIAL PRIORITIES. THESE PRIORITIES INCLUDE: 1. BRAIN HEALTH: GAYLORD RECOGNIZES THE NEED FOR PROGRAMS THAT SPECIFICALLY ADDRESS BRAIN HEALTH, WITH A FOCUS ON INDIVIDUALS WITH MILD COGNITIVE IMPAIRMENT. 2. WORKPLACE INJURY SUPPORT: THERE IS A GROWING DEMAND FOR EXPANDED SERVICES TO AID THOSE WHO HAVE SUFFERED WORKPLACE INJURIES. GAYLORD AIMS TO PROVIDE COMPREHENSIVE SUPPORT AND HELP THESE INDIVIDUALS RECOVER AND NAVIGATE THE WORKER'S COMPENSATION SYSTEM EFFECTIVELY. 3. PULMONARY EDUCATION AND SERVICES: GAYLORD ACKNOWLEDGES THE IMPORTANCE OF PULMONARY EDUCATION AND SERVICES, PARTICULARLY IN AREAS SUCH AS VENTILATOR WEANING AND CAREGIVER TRAINING. 4. PUBLIC EDUCATION AND ADAPTIVE SPORTS: GAYLORD BELIEVES IN THE POWER OF PUBLIC EDUCATION AND WELLNESS LECTURES TO PROMOTE COMMUNITY HEALTH. ADDITIONALLY, THE ORGANIZATION AIMS TO INCREASE ADAPTIVE SPORTS OPPORTUNITIES FOR INDIVIDUALS WITH PHYSICAL LIMITATIONS. TO ADDRESS THESE PRIORITIES, GAYLORD HAS DEVELOPED A STRATEGIC PLAN OF ACTION. THE ORGANIZATION HAS FORGED PARTNERSHIPS WITH ESTEEMED INSTITUTIONS LIKE THE MAYO CLINIC TO ENHANCE BRAIN HEALTH PROGRAMS FOR INDIVIDUALS WITH MILD COGNITIVE IMPAIRMENTS. DEDICATED PROGRAMS AND SPECIALIZED PHYSICIANS HAVE BEEN ESTABLISHED TO EXPEDITE RECOVERY AND ASSIST THOSE WHO HAVE SUFFERED WORK-RELATED INJURIES. FURTHERMORE, GAYLORD HAS EXPANDED ITS FACILITIES TO PROVIDE ENHANCED CARE FOR OUTPATIENTS WITH PULMONARY ISSUES. IN TERMS OF PUBLIC EDUCATION, GAYLORD HAS IMPLEMENTED COMMUNITY LECTURES AND ESTABLISHED RELATIONSHIPS WITH SPORTS CLUBS AND SCHOOLS. THESE EFFORTS AIM TO EDUCATE PATIENTS AND PROMOTE HEALTHY HABITS, PARTICULARLY AMONG THE YOUTH. ADDITIONALLY, GAYLORD HAS EXPANDED ITS SUPPORT FOR THE GAYLORD SPORTS ASSOCIATION, CATERING TO INDIVIDUALS WITH STROKE, BRAIN, AND SPINAL CORD INJURIES. DESPITE THESE INITIATIVES, SEVERAL BARRIERS STILL EXIST. SURVEY FINDINGS HAVE HIGHLIGHTED CHALLENGES RELATED TO PROGRAM ACCESSIBILITY, COST, AND TRAVEL TIME. SOME INSURANCE PLANS ALSO OFFER LIMITED OR NO COVERAGE FOR CERTAIN PROGRAMS. GAYLORD IS COMMITTED TO OVERCOMING THESE OBSTACLES BY EXPANDING ITS PROGRAMMING AND IMPROVING ACCESSIBILITY, ENSURING THAT THE PUBLIC CAN ACCESS THE UNMET NEEDS. FOR FURTHER DETAILS ON THESE INITIATIVES, PLEASE REFER TO THE FOLLOW-UP REPORT AVAILABLE ON OUR WEBSITE AT WWW.GAYLORD.ORG/ABOUT UNDER THE SECTION TITLED "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 96 meetings throughout the year, which approximately 75 people are served through this program, with the Hospital providing approximately 100 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 300 community events. 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 13-15 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/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/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/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 2023 REPORTS 22.8% OF THE CONNECTICUT POPULATON WAS AT OR BELOW 200% OF THE FEDERAL Poverty GUIDELINES, 22% 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 false false false false false false false false STEPHEN HOLLAND MD CMO 431279 0 0 0 3582 0 5800 0 33267 0 473928 0 0 0 SONJA LABARBERA PRESIDENT & CEO 582702 0 83279 0 690 0 5800 0 14985 0 687456 0 0 0 PETER GREVELDING COO 238219 0 0 0 339 0 4764 0 243 0 243565 0 0 0 CHRIS HAYES CFO 343093 0 9785 0 450 0 5800 0 1147 0 360275 0 0 0 LISA KALAFUS CNO 231421 0 0 0 939 0 4616 0 237 0 237213 0 0 0 CRAIG STEARNS CIO 209580 0 0 0 826 0 4192 0 214 0 214812 0 0 0 PAIGE PANDA Former Sr Philanthropic advisor 246079 0 51924 0 335 0 5168 0 11544 0 315050 0 0 0 TARA KNAPP VP OF EXTERNAL AFFAIRS 182138 0 0 0 1125 0 2793 0 31733 0 217789 0 0 0 MITCHELL PODOB VP HUMAN RESOURCES 214925 0 0 0 0 0 0 0 0 0 214925 0 0 0 ALLEN ABAYAO REGISTERED NURSE 243282 0 0 0 133 0 4331 0 1619 0 249365 0 0 0 Dr JERROLD KAPLAN PHYSICIAN/MEDICAL DIRECTOR 415090 0 64362 0 1980 0 5800 0 31913 0 519145 0 0 0 Dr DAVID ROSENBLUM PHYSICIAN/MEDICAL DIRECTOR 349123 0 0 0 1980 0 5460 0 37243 0 393806 0 0 0 Dr ALYSE SICKLICK PHYSICAN/INPATIENT 259047 0 0 0 1679 0 4220 0 15648 0 280594 0 0 0 Dr HONGMEI WANG PHYSICIAN/INPATIENT 258482 0 0 0 251 0 4648 0 264 0 263645 0 0 0 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 11660000 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 true Bank of America NA 20.0 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 07/03/2022 X Gift Certificates 90 26310 Market value X FOOD 28 8003 Market value X Equipment 29 40345 Market value 0 false false false Schedule M, Part I Explanations of reporting method for number of contributions Other - Gift Certificates - Combination of Both the number of contributions and the number of items received Other - FOOD Number of Contributions Other - Equipment Number of Contributions 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 DECREASES IN MEMORY AND EXECUTIVE FUNCTIONING. Form 990, Part VI, Line 15a PROCESS USED TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL GAYLORD HAS CONTRACTED WITH USI CONSULTING GROUP TO PERFORM A TOTAL COMPENSATION REVIEW OF THE PRESIDENT AND THE MANAGEMENT EXECUTIVE COMMITTEE. 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 SEPTEMBER 2023. Form 990, Part VI, Line 15b PROCESS USED TO ESTABLISH COMPENSATION OF OTHER OFFICERS/KEY EMPLOYEES GAYLORD HAS CONTRACTED WITH USI CONSULTING GROUP TO PERFORM A TOTAL COMPENSATION REVIEW OF THE PRESIDENT AND THE MANAGEMENT EXECUTIVE COMMITTEE. 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 SEPTEMBER 2023. 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 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 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: 2781643, Program Service Expense: 2216187, Management and General Expenses: 283763, Fundraising Expenses: 281693; Physician Consult Fee - Total Expense: 93328, Program Service Expense: 93328, Management and General Expenses: , Fundraising Expenses: ; Pulmonary Services - Total Expense: 272000, Program Service Expense: 272000, Management and General Expenses: , Fundraising Expenses: ; Neurology Services - Total Expense: 104219, Program Service Expense: 104219, Management and General Expenses: , Fundraising Expenses: ; Collection Services - Total Expense: 13354, Program Service Expense: , Management and General Expenses: 13354, Fundraising Expenses: ; NEMG Fee for Medical Services - Total Expense: 3047739, Program Service Expense: 3047739, Management and General Expenses: , Fundraising Expenses: ; Other Professional General - Total Expense: 595082, Program Service Expense: , Management and General Expenses: 542252, Fundraising Expenses: 52830; Temporary Labor - Total Expense: 319770, Program Service Expense: 259870, Management and General Expenses: 59900, Fundraising Expenses: ; Freight - Total Expense: 21230, Program Service Expense: , Management and General Expenses: 21230, Fundraising Expenses: ; Catered Events - Total Expense: 207800, Program Service Expense: , Management and General Expenses: 125810, Fundraising Expenses: 81990; Cat Legacy Week - Total Expense: 36943, Program Service Expense: , Management and General Expenses: 36943, Fundraising Expenses: ; Cat EE Apprec - Total Expense: 24402, Program Service Expense: , Management and General Expenses: 24402, Fundraising Expenses: ; F&N - Morrison Patient Cost Food and Admin - Total Expense: 1051609, Program Service Expense: 1051609, Management and General Expenses: , Fundraising Expenses: ; Professional Consulting - Total Expense: 92060, Program Service Expense: , Management and General Expenses: 92060, Fundraising Expenses: ; Laboratory/Blood Lab - Total Expense: 596186, Program Service Expense: 596186, Management and General Expenses: , Fundraising Expenses: ; Ambulance Service - Total Expense: 409818, Program Service Expense: 409818, Management and General Expenses: , Fundraising Expenses: ; Dialysis (Hemo) Services - Total Expense: 186171, Program Service Expense: 186171, Management and General Expenses: , Fundraising Expenses: ; Other Hospital's Services (interrupted Stays) - Total Expense: 163240, Program Service Expense: 163240, Management and General Expenses: , Fundraising Expenses: ; Security Services - Total Expense: 71541, Program Service Expense: , Management and General Expenses: 71541, Fundraising Expenses: ; Linen & Bedding Services - Total Expense: 747170, Program Service Expense: 747170, Management and General Expenses: , Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances PENSION RELATED CHANGES - 349230; CHANGES IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT - -123483; CHANGE IN BENEFICIAL INTEREST IN TRUSTS - 2471068; NET PERIODIC PENSION COSTS OTHER THAN SERVICE COSTS - -292232; INVESTMENT IN GRS - 171435; 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 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 59610 59610 83929236 83988846 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