GAYLORD HOSPITAL INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: GAYLORD HOSPITAL INC (EIN 06-0646649)
Tax period: 2017-10-01 to 2018-09-30
Filed: 2019-05-02
IRS object ID: 201931229349301768
Schema version: 2017v2.2
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	2019-05-02T21:30:33-05:00	ReturnTs
Tax Period End	2018-09-30	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	175 POWDER FOREST DRIVE	AddressLine1Txt
City	SIMSBURY	CityNm
State Abbreviation	CT	StateAbbreviationCd
ZIP	06089	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-10-01	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	ARTHUR TEDESCO	PersonNm
Person Title	VICE PRESIDENT AND CFO	PersonTitleTxt
Signature	2019-05-02	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Kristin Anderson	PreparerPersonNm
PTIN	P01231300	PTIN
Phone	8606789200	PhoneNum

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	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	$89,890,304	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 PRESERVE & ENHANCE A PERSON'S HEALTH & FUNCTION	ActivityOrMissionDesc
Voting Members Governing Body	24	VotingMembersGoverningBodyCnt
Voting Members Independent	22	VotingMembersIndependentCnt
Total Employee	1066	TotalEmployeeCnt
Total Volunteers	88	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,415,800	PYContributionsGrantsAmt
CY Contributions Grants	$3,744,371	CYContributionsGrantsAmt
PY Program Service Revenue	$75,579,074	PYProgramServiceRevenueAmt
CY Program Service Revenue	$78,885,555	CYProgramServiceRevenueAmt
PY Investment Income	$1,282,202	PYInvestmentIncomeAmt
CY Investment Income	$899,841	CYInvestmentIncomeAmt
PY Other Revenue	$214,438	PYOtherRevenueAmt
CY Other Revenue	$419,948	CYOtherRevenueAmt
PY Total Revenue	$78,491,514	PYTotalRevenueAmt
CY Total Revenue	$83,949,715	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$51,565,783	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$54,300,069	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$111,230	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$822,859	CYTotalFundraisingExpenseAmt
PY Other Expenses	$23,593,024	PYOtherExpensesAmt
CY Other Expenses	$24,262,725	CYOtherExpensesAmt
PY Total Expenses	$75,158,807	PYTotalExpensesAmt
CY Total Expenses	$78,674,024	CYTotalExpensesAmt
PY Revenues Less Expenses	$3,332,707	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$5,275,691	CYRevenuesLessExpensesAmt
Total Assets BOY	$87,210,386	TotalAssetsBOYAmt
Total Assets EOY	$94,415,515	TotalAssetsEOYAmt
Total Liabilities BOY	$39,061,605	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$38,054,655	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$48,148,781	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$56,360,860	NetAssetsOrFundBalancesEOYAmt
Mission	TO PRESERVE AND ENHANCE A PERSON'S HEALTH AND FUNCTION	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$64,320,362	ExpenseAmt
Revenue	$79,219,332	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 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, AND NORTH HAVEN AND HAS OVER 84,500 ANNUAL VISITS. GAYLORD HOSPITAL ALSO SUPPORTS THE REGION'S ECONOMY AS THE THIRD LARGEST EMPLOYER IN WALLINGFORD, OPERATING WITH A STAFF OF APPROXIMATELY 900 FULL-TIME, PART-TIME AND PER-DIEM EMPLOYEES. GAYLORD HOSPITAL IS ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS. ITS INPATIENT REHABILITATION PROGRAM IS ACCREDITED BY THE COMMISSION FOR ACCREDITATION OF REHABILITATION FACILITIES IN THE AREAS OF SPINAL CORD INJURY, BRAIN INJURY AND STROKE REHABILITATION. 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. MISSION STATEMENT: GAYLORD HOSPITAL'S MISSION IS TO PRESERVE AND ENHANCE A PERSON'S HEALTH AND FUNCTION. THE ROLE OF THE HOSPITAL IN CONNECTICUT: GAYLORD HOSPITAL FULFILLS A UNIQUE PLACE IN THE HEALTH CARE 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 (25 DAYS OR MORE) 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 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, MEDICALLY COMPLEX CARE AND WOUND CARE. PARTNERING WITH BOSTON UNIVERSITY, THE SPINAL CORD INJURY PROGRAM 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 HEALTH CARE ORGANIZATIONS IN THE COUNTRY HAVE THIS DESIGNATION. GAYLORD CURRENTLY IS INVOLVED IN SPINAL CORD INJURY-RELATED CARE AND RESEARCH AS THE NEW ENGLAND REGIONAL SPINAL CORD INJURY CENTER (NERSCIC) AT GAYLORD. GAYLORD HAS EMBRACED TECHNOLOGY AS A WAY TO IMPROVE FUNCTION AND OUTCOMES IN BOTH ITS INPATIENTS AND OUTPATIENTS. GAYLORD IS THE ONLY HOSPITAL IN CT TO HAVE THE EKSO BIONICS ROBOTIC SUIT TO HELP PARAPLEGICS 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 14 IN THE COUNTRY. GAYLORD IS THE ONLY HOSPITAL TO EMPLOY THE SMARTWHEEL IN ITS WHEELCHAIR CLINIC TO HELP PATIENTS WHO ARE WHEELCHAIR BOUND AS WELL AS PRESSURE MAPPING SYSTEMS FOR BOTH ADULT AND BARIATRIC WHEELCHAIR-BOUND PATIENTS. GAYLORD ALSO OFFERS FES STIMBIKE AND THE BIONESS UPPER EXTREMITY - HAND REHABILITATION SYSTEM. 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 THEM THE OPPORTUNITY TO PRACTICE PROBLEM-SOLVING TECHNIQUES AND ENHANCE SOCIAL SKILLS IN A SUPERVISED SETTING THROUGH PEER INTERACTION WHILE CONTINUING TO RECEIVE PHYSICIAN, NURSING AND THERAPY SERVICES. 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 HOSPITAL'S PRIORITIES, WHICH IS WHY GAYLORD OFFERS STATE RESIDENTS THREE LOCATIONS FOR THERAPY SERVICES IN NORTH HAVEN, CHESHIRE AND WALLINGFORD. COLLECTIVELY, MORE THAN 40 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. PROFESSIONAL AND COMMUNITY EDUCATION: GAYLORD FOCUSES ON COMMUNITY RELATIONSHIPS TO PROMOTE WELLNESS AND ADVANCE HEALTH CARE THROUGH EDUCATION, RESEARCH AND IMPROVEMENT OF CLINICAL PRACTICE. EMPLOYEES ARE ACTIVELY ENGAGED IN COMMUNITY AND PROFESSIONAL ORGANIZATIONS. MORE THAN 348 STUDENTS PARTICIPATED IN ALMOST 16,475 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 HEALTH CARE PROFESSIONALS AND LAY PEOPLE WITH DIVERSE TOPICS RELATED TO TIMELY TOPICS IN MEDICINE AND REHABILITATION. TWELVE ONE-HOUR PROGRAMS GRANTING CONTINUING MEDICAL EDUCATION CREDITS WERE PRESENTED BY STAFF AND GUEST LECTURERS. THE TOPICS FOCUSED ON DIAGNOSES AND TREATMENT OPTIONS IN 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. GAYLORD STAFF ALSO INTRODUCED THE HOSPITAL AND AN OVERVIEW OF ITS SERVICES TO APPROXIMATELY 300 SCHOOL STUDENTS TO EDUCATE THEM ABOUT CAREERS IN HEALTH CARE AND THE BENEFITS OFFERED TO PATIENTS. 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 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.	Desc
Total Program Service Expenses	$64,320,362	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
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
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	Yes (true)	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 With Officer Ent	false	BusinessRlnWithOfficerEntInd
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	157	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1066	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
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	24	GoverningBodyVotingMembersCnt
Independent Voting Member	22	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (true)	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	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Other Website	Yes (X)	OtherWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ARTHUR TEDESCO	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 (37 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
MICHAEL HOBEN
VICE CHAIR/DIRECTOR	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
ROBERT J LYONS
CHAIRMAN/DIRECTOR	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
GARY L CARTER
ASST.SECT. / DIRECTOR (THROUGH 12/19/17)	1.0		Yes (X)	Yes (X)	$0	$0	$0
MICHAEL BROODER
TREASURER / DIRECTOR	1.0		Yes (X)	Yes (X)	$0	$0	$0
GEORGE KYRIACOU
PRESIDENT & CEO	38.0	2.0	Yes (X)	Yes (X)	$629,457	$0	$30,686
DIANA WAKERLEY
SECRETARY / DIRECTOR	1.0		Yes (X)	Yes (X)	$0	$0	$0
STEPHEN HOLLAND
V.P. & CMO	40.0		Yes (X)	Yes (X)	$366,298	$0	$6,685
TODD FONNER
DIRECTOR	1.0		Yes (X)		$0	$0	$0
PERRY WILSON
DIRECTOR	1.0		Yes (X)		$0	$0	$0
KAREN A SCAPPATICCI
DIRECTOR	1.0		Yes (X)		$0	$0	$0
WILLIAM J SIMIONE JR
DIRECTOR	1.0		Yes (X)		$0	$0	$0
KIM HEALY
DIRECTOR (STARTING 12/19/17)	1.0		Yes (X)		$0	$0	$0
ROBERT J MOBECK
DIRECTOR	1.0		Yes (X)		$0	$0	$0
MICHELE VOLPE
DIRECTOR(STARTING 12/19/17)	1.0		Yes (X)		$0	$0	$0
CONNOR DOLAN
DIRECTOR	1.0		Yes (X)		$0	$0	$0
EMILY LITTMAN PHD
DIRECTOR	1.0		Yes (X)		$0	$0	$0
F PERRY WILSON
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
MARIE ROBERTO PHD
DIRECTOR	1.0		Yes (X)		$0	$0	$0
PETER DECKERS MD
DIRECTOR	1.0		Yes (X)		$0	$0	$0
AUGUSTUS MARCHETTI
DIRECTOR	1.0		Yes (X)		$0	$0	$0
GEORGE MILNE
DIRECTOR	1.0		Yes (X)		$0	$0	$0
ROBERT MCHUGH
DIRECTOR	1.0		Yes (X)		$0	$0	$0
RYAN O'CONNELL
DIRECTOR	1.0		Yes (X)		$0	$0	$0
FRANK PIANTIDOSI
DIRECTOR	1.0		Yes (X)		$0	$0	$0
SUSAN WHETSTONE
DIRECTOR(STARTING 12/19/17)	1.0		Yes (X)		$0	$0	$0
CHRISTOPHER CARTLAND
DIRECTOR(STARTING 12/19/17)	1.0		Yes (X)		$0	$0	$0
ETHAN WEINER
DIRECTOR (THROUGH 12/19/17)	1.0		Yes (X)		$0	$0	$0
KIMBERLY HARTMANN
DIRECTOR (THROUGH 12/19/17)	1.0		Yes (X)		$0	$0	$0
VIRGINIA STAUBACH
V.P. & C.N.O.	40.0			Yes (X)	$186,903	$0	$14,266
ARTHUR TEDESCO
INTERIM CFO through 7/31/18. VP & CFO starting 8/1/18.	40.0			Yes (X)	$0	$0	$0
SONJA LABARBERA
V.P. OPERATIONS & STRATEGY	40.0				$186,193	$0	$12,665	Yes (X)
WALTER HARPER
V.P. HUMAN RESOURCES	40.0				$184,881	$0	$4,909	Yes (X)
DR DAVID ROSENBLUM
PHYSICIAN / MEDICAL DIRECTOR	40.0				$267,154	$0	$31,777		Yes (X)
DR ALYSE SICKLICK
PHYSICIAN / INPATIENT	36.0				$215,991	$0	$31,847		Yes (X)
DR LORRAINE TROW
PHYSICIAN / MEDICAL DIRECTOR	40.0				$306,893	$0	$12,547		Yes (X)
DR BRUCE HSU
PHYSICIAN/INPATIENT	40.0				$213,914	$0	$12,666		Yes (X)
DR NECOLLE MORGADO-VEGA
PHYSIATRIST-PHYSICIAN / INPATIENT	40.0				$194,253	$0	$4,484		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,751,937	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$162,532	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	43	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	Address Line2ContractorAddress/USAddress/AddressLine2Txt
HMP OF NEW HAVEN COUNTY LLC
PO BOX 742936	LOS ANGELES	CA	90074	PHYSICIAN SERVICES	$1,448,289
MORRISON MANAGEMENT SPECIALIST
PO BOX 102289	ATLANTA	GA	30368	DIETARY SERVICES	$895,272
QUEST DIAGNOSTICS
500 PLAZA DRIVE	SEACACUS	NJ	07094	LABRATORY SERVICES	$751,735
IMAGE FIRST MEDICAL WEAR
PO BOX 61323	KING OF PRUSSIA	PA	19406	LAUNDRY & LINEN SERVICES	$545,393
Pat Munger Construction
750 EAST MAIN STREET	BRANFORD	CT	06405	CONSTRUCTION SERVICES	$517,937	SUITE 1

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	17	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$3,744,371	AllOtherContributionsAmt
Noncash Contributions	$10,227	NoncashContributionsAmt
Total Contributions	$3,744,371	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	NET PATIENT SERVICE REVENUE	Desc
Business	622310	BusinessCd
Total Revenue Column	$78,885,555	TotalRevenueColumnAmt
Related Or Exempt Func Income	$78,885,555	RelatedOrExemptFuncIncomeAmt

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	$78,885,555	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$290,954	TotalRevenueColumnAmt
Exclusion	$290,954	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$86,171	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$86,171	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$86,171	TotalRevenueColumnAmt
Exclusion	$86,171	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$6,487,292	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$5,878,405	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$608,887	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$608,887	TotalRevenueColumnAmt
Exclusion	$608,887	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$62,184	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$173,885	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$62,184	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	Other Operating Revenue	Desc
Business	622310	BusinessCd
Total Revenue Column	$333,777	TotalRevenueColumnAmt
Related Or Exempt Func Income	$333,777	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	$333,777	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$83,949,715	TotalRevenueColumnAmt
Related Or Exempt Func Income	$79,219,332	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$986,012	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,194,326	TotalAmt
Management And General	$2,194,326	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$42,788,367	TotalAmt
Program Services	$37,865,982	ProgramServicesAmt
Management And General	$4,491,996	ManagementAndGeneralAmt
Fundraising	$430,389	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,559,043	TotalAmt
Program Services	$1,516,672	ProgramServicesAmt
Management And General	$24,725	ManagementAndGeneralAmt
Fundraising	$17,646	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$4,565,790	TotalAmt
Program Services	$3,969,130	ProgramServicesAmt
Management And General	$552,469	ManagementAndGeneralAmt
Fundraising	$44,191	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,192,543	TotalAmt
Program Services	$2,896,748	ProgramServicesAmt
Management And General	$262,870	ManagementAndGeneralAmt
Fundraising	$32,925	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$151,799	TotalAmt
Management And General	$151,799	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$126,000	TotalAmt
Management And General	$126,000	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$65,363	TotalAmt
Program Services	$65,363	ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$111,230	TotalAmt
Fundraising	$111,230	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$7,735,355	TotalAmt
Program Services	$6,467,409	ProgramServicesAmt
Management And General	$1,139,889	ManagementAndGeneralAmt
Fundraising	$128,057	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$368,747	TotalAmt
Management And General	$358,547	ManagementAndGeneralAmt
Fundraising	$10,200	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,082,717	TotalAmt
Program Services	$630,271	ProgramServicesAmt
Management And General	$411,339	ManagementAndGeneralAmt
Fundraising	$41,107	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$922,846	TotalAmt
Management And General	$922,846	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,491,739	TotalAmt
Program Services	$1,188,288	ProgramServicesAmt
Management And General	$303,451	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$138,290	TotalAmt
Program Services	$117,577	ProgramServicesAmt
Management And General	$18,773	ManagementAndGeneralAmt
Fundraising	$1,940	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$189,237	TotalAmt
Program Services	$83,161	ProgramServicesAmt
Management And General	$101,920	ManagementAndGeneralAmt
Fundraising	$4,156	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$732,142	TotalAmt
Management And General	$732,142	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$3,968,298	TotalAmt
Program Services	$2,817,492	ProgramServicesAmt
Management And General	$1,150,806	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,087,316	TotalAmt
Program Services	$792,522	ProgramServicesAmt
Management And General	$294,794	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
DRUGS	$2,464,534	$2,464,534
GENERAL MEDICAL SUPPLIES	$2,051,998	$2,044,573	$7,425
RENTAL EQUIPMENT	$869,040	$807,580	$61,460
Provision for Bad Debt	$310,125	$310,125

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$507,179	TotalAmt
Program Services	$282,935	ProgramServicesAmt
Management And General	$223,226	ManagementAndGeneralAmt
Fundraising	$1,018	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$78,674,024	TotalAmt
Program Services	$64,320,362	ProgramServicesAmt
Management And General	$13,530,803	ManagementAndGeneralAmt
Fundraising	$822,859	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$13,982,006	BOYAmt
EOY	$17,153,342	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$99,000	BOYAmt
EOY	$934,855	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$9,983,097	BOYAmt
EOY	$9,606,514	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)
EOY	$0	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$763,931	BOYAmt
EOY	$782,179	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$101,304,963	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$71,143,468	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$30,782,561	BOYAmt
EOY	$30,161,495	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$26,915,940	BOYAmt
EOY	$28,178,090	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$756,110	BOYAmt
EOY	$761,001	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$201,935	BOYAmt
EOY	$271,464	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$3,725,806	BOYAmt
EOY	$6,566,575	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$87,210,386	BOYAmt
EOY	$94,415,515	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$7,100,836	BOYAmt
EOY	$6,945,515	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$14,665,000	BOYAmt
EOY	$13,800,000	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$17,295,769	BOYAmt
EOY	$17,309,140	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$39,061,605	BOYAmt
EOY	$38,054,655	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$28,689,774	BOYAmt
EOY	$34,851,466	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,394,388	BOYAmt
EOY	$2,986,387	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$18,064,619	BOYAmt
EOY	$18,523,007	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$48,148,781	BOYAmt
EOY	$56,360,860	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$87,210,386	BOYAmt
EOY	$94,415,515	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$5,275,691	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$27,951	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$2,964,339	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	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

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	$65,364	FilingOrganizationsTotalAmt
Affiliated Group Total	$65,364	AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$65,364	FilingOrganizationsTotalAmt
Affiliated Group Total	$65,364	AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$64,254,999	FilingOrganizationsTotalAmt
Affiliated Group Total	$64,254,999	AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$64,320,363	FilingOrganizationsTotalAmt
Affiliated Group Total	$64,320,363	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	$65,609	CurrentYearMinus3Amt
Current Year Minus2	$65,607	CurrentYearMinus2Amt
Current Year Minus1	$65,301	CurrentYearMinus1Amt
Current Year	$65,364	CurrentYearAmt
Total	$261,881	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	$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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$18,539,740	BeginningYearBalanceAmt
Contributions	$35,779	ContributionsAmt
Investment Earnings Or Losses	$1,606,106	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$86,999	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$20,094,626	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$20,215,346	BeginningYearBalanceAmt
Contributions	$26,697	ContributionsAmt
Investment Earnings Or Losses	-$729,943	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$972,360	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$18,539,740	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$20,304,487	BeginningYearBalanceAmt
Contributions	$25,209	ContributionsAmt
Investment Earnings Or Losses	$1,560,426	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$1,674,776	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$20,215,346	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.575	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.32	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.105	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	$54,553,221	OtherCostOrOtherBasisAmt
Depreciation	$36,151,652	DepreciationAmt
Book Value	$18,401,569	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,119,638	OtherCostOrOtherBasisAmt
Depreciation	$3,619,288	DepreciationAmt
Book Value	$3,500,350	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$38,918,843	OtherCostOrOtherBasisAmt
Depreciation	$31,372,528	DepreciationAmt
Book Value	$7,546,315	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$599,323	OtherCostOrOtherBasisAmt
Book Value	$599,323	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$30,161,495	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
UNAMORTIZED BOND COSTS	$350,162
DUE FROM AFFILIATES	$3,230,596
OTHER ASSETS	$2,983,845
INTEREST IN NET ASSETS OF GRI	$1,972

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$6,566,575	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
DUE TO THIRD PARTY	$247,542
CAPITAL LEASE OBLIGATIONS	$69,127
INTEREST RATE SWAP LIABILITIES	$1,766,028
LEASE ABANDONMENT OBLIGATIONS	$618,342
DUE TO AFFILIATES	$1,972
LONG TERM LIABILITY	$3,393,404
ACCRUED PENSION LIABILITY	$11,212,725

Field	Value	IRS element (for citing)
Total Liability	$17,309,140	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, 2018 and 2017. The Association recognizes interest and/or penalties related to income tax matters within other operating expenses. As of September 30, 2018 and 2017, 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. On December 22, 2017, the government of the United States of America enacted comprehensive income tax legislation commonly referred to as the Tax Cuts and Jobs Act (the "Tax Act"). The Tax Act made broad and complex changes to the tax code that are applicable to the Association's year ended September 30, 2018 and later years, including, but not limited to, the assessment of unrelated business income tax on qualified transportation fringe benefits. During March 2018, the FASB issued ASU 2018-05, Income Taxes (Topic 740): Amendments to SEC Paragraphs Pursuant to SEC Staff Accounting Bulletin No. 118" (ASU 2018-05). ASU 2018-05 modified the SEC staff issued Staff Accounting Bulletin No. 118 (SAB 118) to address the application of U.S. GAAP in situations when a registrant does not have the necessary nformation available, prepared, or analyzed (including computations) in reasonable detail to complete the accounting for certain income tax effects of the Act. Due to a lack of information, the Association has not yet been able to make reasonable estimates of the impact of certain elements of the Tax Act or recorded any amounts with respect those elements and has continued accounting for income taxes in accordance with ASC 740 on the basis of the income tax laws in effect immediately prior to the enactment of the Tax Act. Accordingly, the Association has elected to apply the provisions of SU 2018-05 in their consolidated financial statements.

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	Yes (X)	MailSolicitationsInd
Email Solicitations	Yes (X)	EmailSolicitationsInd
Phone Solicitations	Yes (X)	PhoneSolicitationsInd
In Person Solicitations	Yes (X)	InPersonSolicitationsInd
Solicitation Of Non Govt Grants	Yes (X)	SolicitationOfNonGovtGrantsInd
Solicitation Of Govt Grants	Yes (X)	SolicitationOfGovtGrantsInd
Agrmt Prof Fundraising Acty	Yes (true)	AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp

Organization Business Name OrganizationBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	The Angeletti Group LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	17 Village Road Box 188	AddressLine1Txt
City	New Vernon	CityNm
State Abbreviation	NJ	StateAbbreviationCd
ZIP	07976	ZIPCd

Field	Value	IRS element (for citing)
Activity	Assist with setup and management of upcoming Capital Campaign	ActivityTxt
Fundraiser Control Of Funds	false	FundraiserControlOfFundsInd
Gross Receipts	$1,311,711	GrossReceiptsAmt
Retained By Contractor	$111,230	RetainedByContractorAmt
Net To Organization	$1,200,481	NetToOrganizationAmt

Field	Value	IRS element (for citing)
Total Gross Receipts	$1,311,711	TotalGrossReceiptsAmt
Total Retained By Contractors	$111,230	TotalRetainedByContractorsAmt
Total Net To Organization	$1,200,481	TotalNetToOrganizationAmt
Licensed States	CT	LicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	Golf Outing	Event1Nm
Gross Receipts Event1	$133,715	GrossReceiptsEvent1Amt
Charitable Contri Event1	$101,739	CharitableContriEvent1Amt
Gross Revenue Event1	$31,976	GrossRevenueEvent1Amt
Cash Prizes Event1	$0	CashPrizesEvent1Amt
Non Cash Prizes Event1	$5,200	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$26,408	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$0	FoodAndBeverageEvent1Amt
Entertainment Event1	$0	EntertainmentEvent1Amt
Other Direct Expenses Event1	$368	OtherDirectExpensesEvent1Amt
Event2	Gauntlet 5K	Event2Nm
Gross Receipts Event2	$102,354	GrossReceiptsEvent2Amt
Charitable Contri Event2	$72,146	CharitableContriEvent2Amt
Gross Revenue Event2	$30,208	GrossRevenueEvent2Amt
Cash Prizes Event2	$0	CashPrizesEvent2Amt
Non Cash Prizes Event2	$9,490	NonCashPrizesEvent2Amt
Rent Facility Costs Event2	$0	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$559	FoodAndBeverageEvent2Amt
Entertainment Event2	$0	EntertainmentEvent2Amt
Other Direct Expenses Event2	$20,159	OtherDirectExpensesEvent2Amt
Other Events Total	0	OtherEventsTotalCnt
Gross Revenue Other Events	$0	GrossRevenueOtherEventsAmt
Gross Receipts Total	$236,069	GrossReceiptsTotalAmt
Charitable Contributions Tot	$173,885	CharitableContributionsTotAmt
Gross Revenue Total Events	$62,184	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$0	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$14,690	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$26,408	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$559	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$0	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$20,527	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$62,184	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	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Persons Served	9	PersonsServedCnt
Total Community Benefit Expns	$193,395	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$193,395	NetCommunityBenefitExpnsAmt
Total Expense	0.0025	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,581,739	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,938,511	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,643,228	NetCommunityBenefitExpnsAmt
Total Expense	0.0465	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	9	PersonsServedCnt
Total Community Benefit Expns	$9,775,134	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,938,511	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,836,623	NetCommunityBenefitExpnsAmt
Total Expense	0.0490	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	18	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$3,719	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,719	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	659	ActivitiesOrProgramsCnt
Persons Served	348	PersonsServedCnt
Total Community Benefit Expns	$508,307	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$508,307	NetCommunityBenefitExpnsAmt
Total Expense	0.0065	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)
Total Community Benefit Expns	$54,313	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,453	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$45,860	NetCommunityBenefitExpnsAmt
Total Expense	0.0006	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	677	ActivitiesOrProgramsCnt
Persons Served	348	PersonsServedCnt
Total Community Benefit Expns	$566,339	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,453	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$557,886	NetCommunityBenefitExpnsAmt
Total Expense	0.0071	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	677	ActivitiesOrProgramsCnt
Persons Served	357	PersonsServedCnt
Total Community Benefit Expns	$10,341,473	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,946,964	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,394,509	NetCommunityBenefitExpnsAmt
Total Expense	0.0561	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)
Activities Or Programs	615	ActivitiesOrProgramsCnt
Persons Served	14499	PersonsServedCnt
Total Community Benefit Expns	$137,280	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$137,280	NetCommunityBenefitExpnsAmt
Total Expense	0.0018	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	40	ActivitiesOrProgramsCnt
Persons Served	1000	PersonsServedCnt
Total Community Benefit Expns	$5,295	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,295	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	655	ActivitiesOrProgramsCnt
Persons Served	15499	PersonsServedCnt
Total Community Benefit Expns	$142,575	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$142,575	NetCommunityBenefitExpnsAmt
Total Expense	0.0018	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense	$310,124	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$22,324,874	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$22,389,585	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$64,711	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
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	16	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	http://www.gaylord.org/about	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	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.gaylord.org/about	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
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	WWW.GAYLORD.ORG/patient info/financialservices	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.GAYLORD.ORG/patient info/financialservices	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.GAYLORD.ORG/patient info/financialservices	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 (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule H, Part V, Section B, Line 5 Facility , 1

Facility , 1 - Gaylord Hospital, Inc.. 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 (written surveys), Brain Injury Association of Connecticut (online and written surveys) and Connecticut Stroke Association (online and written surveys). A total of 105 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 Community based Primary care Physicians to accept patients with disabilities requiring rehab service, second the need for someone to work with Homecare Agencies for specialized home care services to persons with brain injuries and stokes, Third the need for community base educational programs and training for care-givers and fourth a post discharge support system for patients who have had brain injuries, strokes or have pulmonary disorders. 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 partnered with the Wallingford Dept. of Health and Masonicare to roll out "Project Healthy Wallingford" to educated the public about the issues caused by COPD. Programs have been held at venues like the YMCA and the Senior Center to begin educating the public as well as other initiatives. Gaylord has also developed and implementation plan to improve the education of patients and providers about the continuum of care for those patients that have had strokes or suffer from brain injuries. Some of these initiatives include educating families on the resources available to them after the Hospital stay; we have also collaborated with Yale Neurology to help improve the communications and foster clinical synergies to improve care in the healthcare continuum. A wellness initiative has also been rolled out to perform screenings and education to the public. 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 (16 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.
Rev. Proc. 2015-21 Disclosure:	SECTION 501(R): IN JANUARY 2018, THE ORGANIZATION ENGAGED AN OUTSIDE CONSULTING FIRM TO PERFORM A COMPREHENSIVE REVIEW OF ALL APPLICABLE POLICIES AND PRACTICES UNDER SECTION 501(R) OF THE INTERNAL REVENUE CODE AND THE TREASURY REGULATIONS ISSUED THEREUNDER. AS A RESULT OF THAT REVIEW, THE ORGANIZATION (1) UPDATED ITS FINANCIAL ASSISTANCE, EMERGENCY MEDICAL CARE, AND BILLING AND COLLECTION POLICIES, WHICH WERE ADOPTED BY THE ORGANIZATION'S BOARD OF DIRECTORS ON JUNE 26, 2018; (2) UPDATED ITS COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH WAS ADOPTED BY THE ORGANIZATION'S BOARD OF DIRECTORS ON JUNE 26, 2018; AND UPDATED CERTAIN OPERATIONAL PROCEDURES, INCLUDING UPDATING ITS WEBSITE AND OTHER PROCEDURES TO WIDELY PUBLICIZE THE AVAILABILITY OF FINANCIAL ASSISTANCE.
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation	310124
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	Medicare Cost to Charge Ratio was used in 7 A& B All other costs are based on actual cost of providing the programs and benefits.
Schedule H, Part II Community Building Activities	Gaylord's community building activities support both the local communities and the community of those we serve with multiple disabilities. Gaylord participates in many local functions from helping staff local food pantries; helping at read aloud days for elementary students to providing facilities for the local sports teams etc.... Gaylord also focusses its efforts at providing activities for those it serves as patients who have special needs. This can include everything from sponsoring a Disabled Hockey team to running golf clinics for amputees and those with physical handicaps. More than 14,400 people benefited from Gaylord's community support.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	On a monthly basis, the accounts receivable aging is reviewed. Based on historical percentages for each aging bucket, a total amount is estimated as bad debt.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	In evaluating the collectability of accounts receivable, the Association analyzes its past history and identifies trends for each of its major payer sources of revenue to estimate appropriate allowance for doubtful accounts and provision for bad debts based upon management's assessment of historical and expected net collections considering business and economic conditions, trends in health care coverage, and other collection indicators. Management regularly reviews data about these major payer sources of revenue in evaluating the sufficiency of the allowance for contractual adjustments and allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, the Association analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for bad debts (for example, for expected uncollectible deductibles and co-payments on accounts for which the third-party payor has not yet paid, or for payers who are known to be having financial difficulties that make the realization of amounts due unlikely). For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and co-payment balances due for which third-party coverage exists for part of the bill), the Association records a significant provision for bad debts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. For uninsured patients, the amounts not collected after all reasonable collection efforts have been exhausted is written off against the allowance for doubtful accounts in the period they are determined uncollectible. The Association's allowance for doubtful accounts for self-pay patients was 60% and 61% of self-pay accounts receivable as of September 30, 2018 and 2017, respectively. The Association's self pay write-offs totaled $243,273 and $145,272 for fiscal year 2018 and 2017, respectively. The Association did not change its charity care or financial assistance policy during fiscal year 2018 or 2017. The Association's allowance for doubtful accounts from third-party payers was $727,753 and $580,302 as of September 30, 2018 and 2017, respectively. The Association did not have significant write-offs from third-party payers
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.
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.
Schedule H, Part V, Section B, Line 16a FAP website	- GAYLORD HOSPITAL, INC.: Line 16a URL: WWW.GAYLORD.ORG/patient info/financialservices;
Schedule H, Part V, Section B, Line 16b FAP Application website	- GAYLORD HOSPITAL, INC.: Line 16b URL: WWW.GAYLORD.ORG/patient info/financialservices;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- GAYLORD HOSPITAL, INC.: Line 16c URL: WWW.GAYLORD.ORG/patient info/financialservices;
Schedule H, Part VI, Line 2 Needs assessment	Gaylord has employees who participate both in community based organizations like the regional Chamber's of Commerce, as well as members who sit on the boards of several medical based groups (NSCIA (National Spinal Cord Injury Assoc. and BIAC (Brain Injury Assoc.)) Affiliations with groups such as these allows us to continually be exposed to the needs and insights of those in the community that need our assistance and the programs that we provide.
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 and its satellite locations, as well as on the hospital's website and in the patient handbook.
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 GUIDLEINES. AMONG OUR LARGEST ADMISSIONS SOURCES ARE ACCUTE CARE HOSPITALS IN THE CITIES OF NEW HAVEN, HARTFORD, MERIDEN, WATERBURY AND BRIDGEPORT.
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. 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)
Independent Consultant	Yes (X)	IndependentConsultantInd
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 (10 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
GEORGE KYRIACOU
PRESIDENT & CEO	$487,695	$0	$0	$0	$141,762	$0	$21,312	$0	$9,374	$0	$660,143	$0	$139,857	$0
STEPHEN HOLLAND
V.P. & CMO	$365,308	$0	$0	$0	$990	$0	$5,200	$0	$1,485	$0	$372,983	$0	$0	$0
VIRGINIA STAUBACH
V.P. & C.N.O.	$186,392	$0	$0	$0	$511	$0	$3,573	$0	$10,693	$0	$201,169	$0	$0	$0
SONJA LABARBERA
V.P. OPERATIONS & STRATEGY	$186,110	$0	$0	$0	$83	$0	$3,772	$0	$8,893	$0	$198,858	$0	$0	$0
WALTER HARPER
V.P. HUMAN RESOURCES	$184,346	$0	$0	$0	$535	$0	$3,782	$0	$1,127	$0	$189,790	$0	$0	$0
DR DAVID ROSENBLUM
PHYSICIAN / MEDICAL DIRECTOR	$265,984	$0	$0	$0	$1,170	$0	$5,396	$0	$26,381	$0	$298,931	$0	$0	$0
DR ALYSE SICKLICK
PHYSICIAN / INPATIENT	$215,112	$0	$0	$0	$879	$0	$4,468	$0	$27,379	$0	$247,838	$0	$0	$0
DR LORRAINE TROW
PHYSICIAN / MEDICAL DIRECTOR	$305,584	$0	$0	$0	$1,309	$0	$2,836	$0	$9,711	$0	$319,440	$0	$0	$0
DR BRUCE HSU
PHYSICIAN/INPATIENT	$213,717	$0	$0	$0	$197	$0	$4,306	$0	$8,360	$0	$226,580	$0	$0	$0
DR NECOLLE MORGADO-VEGA
PHYSIATRIST-PHYSICIAN / INPATIENT	$194,151	$0	$0	$0	$102	$0	$4,382	$0	$102	$0	$198,737	$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	GEORGE KYRIACOU PARTICIPATES IN A 457F Supplemental nonqualified retirement PLAN and received a payment of $139,857 during the calendar year 2017. The hospital also accrued $16,118 on his behalf during calendar year 2017.	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	Yes (true)	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	$0	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
Current Refunding	false	CurrentRefundingInd
Advance Refunding	Yes (true)	AdvanceRefundingInd
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	false	MgmtContractBondFincdPropInd
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 04/01/2012	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 15a	GAYLORD HAS CONTRACTED WITH SIBSON CONSULTING TO PERFORM A TOTAL COMPENSATION REVIEW OF THE POSITION 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 FEBRUARY OF 2017.
Form 990, Part VI, Line 15b	GAYLORD HAS CONTRACTED WITH SIBSON CONSULTING TO PERFORM A TOTAL COMPENSATION REVIEW OF THREE KEY POSITIONS IN SENIOR MANAGEMENT: 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 FEBRUARY OF 2017.
Form 990, Part VI, Line 1a	The organization 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 3 Delegation of management duties	Gaylord Hospital, Inc. contracted with IMA Consulting to provide managment services to the organization, and related organizations. Arthur Tedesco was an employee of IMA Consulting through 7/31/18, and performed the duties of CFO on an interim basis. As of August 1,2018, Arthur Tedesco became an employee of Gaylord Hospital, Inc.
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 HAS THE POWER TO ELECT THE BOARD OF DIRECTORS OF THE HOSPITAL. THE MEMBER HAS OTHER RIGHTS, POWERS AND PRIVILEGES USUALLY OR BY LAW ACCORDED TO THE MEMBERS OF A NONSTOCK NON-PROFIT CORPORATION.
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 XI, Line 9 Other changes in net assets or fund balances	PENSION RELATED CHANGES - 2195248; CHANGES IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT - 854965; LOSS FROM EQUITY INVESTMENTS - -502000; CHANGE IN BENEFICIAL INTEREST IN TRUSTS - 416126;

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 NA	N/A	DirectControllingNACd
Predominant Income Type	Related	PredominantIncomeTypeTxt
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	OwnershipOwnershipPct	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	0	false
GAYLORD RISK SOLUTIONS LTD
PO BOX 400 400 GAYLORD FARM ROAD	WALLINGFORD	CT	06492	980561423	INSURANCE PROVIDER		GAYLORD FARM ASSOCIATION INC	C Corporation	0	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	$65,364	$65,364	$64,254,999	$64,320,363	$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