2018-08-13T15:01:29-05:00 2017-09-30 350921680 CROWE LLP 175 POWDER FOREST DRIVE SIMSBURY CT 06089 990 2016-10-01 060646649 Gaylord Hospital INC GAYL 2032842800 PO BOX 400 GAYLORD FARM ROAD WALLINGFORD CT 06492 ARTHUR TEDESCO VICE PRESIDENT AND CFO 2018-08-13 true Kristin Anderson P01231300 8606789200 2016 2022-09-23 18:48:47Z ARTHUR TEDESCO PO BOX 400 GAYLORD FARM ROAD WALLINGFORD CT 06492 78491514 false X WWW.GAYLORD.ORG X 1991 CT TO PRESERVE & ENHANCE A PERSON'S HEALTH & FUNCTION 22 20 1013 94 0 0 1346909 1415800 71811940 75579074 550543 1282202 398320 214438 74107712 78491514 0 0 49244726 51565783 0 591040 22835575 23593024 72080301 75158807 2027411 3332707 90438303 87210386 51184776 39061605 39253527 48148781 TO PRESERVE AND ENHANCE A PERSON'S HEALTH AND FUNCTION false false 61927658 0 75726187 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 AND NORTH HAVEN AND HAS OVER 77,400 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 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 298 STUDENTS PARTICIPATED IN ALMOST 13,586 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. 61927658 true true false true false false false false false true true true false false true true false true false false false false false false false false true true false false true true false false false false false false false false false false false false false false true true true true false false true 188 0 true 1013 true false true CJ false false false false X 22 20 false true false false true true false true true false false true true true true true true true true true true X X ARTHUR TEDESCO 2032842800 GAYLORD FARM ROAD WALLINGFORD CT 06492 MICHAEL HOBEN VICE CHAIR/DIRECTOR 1.0 X X 0 0 0 ROBERT J LYONS CHAIRMAN/DIRECTOR 1.0 X X 0 0 0 GARY L CARTER ASST.SECT. / DIRECTOR 1.0 X X 0 0 0 MICHAEL BROODER TREASURER / DIRECTOR 1.0 X X 0 0 0 GEORGE KYRIACOU PRESIDENT & CEO 40.0 X X 493351 0 30357 DIANA WAKERLEY SECRETARY / DIRECTOR 1.0 X X 0 0 0 STEPHEN HOLLAND V.P. & CMO 40.0 X X 359298 0 6646 TODD FONNER DIRECTOR 1.0 X 0 0 0 PERRY WILSON DIRECTOR 1.0 X 0 0 0 KAREN A SCAPPATICCI DIRECTOR 1.0 X 0 0 0 WILLIAM J SIMIONE JR DIRECTOR 1.0 X 0 0 0 KIM HEALY DIRECTOR (PARTIAL YEAR) 1.0 X 0 0 0 ROBERT J MOBECK DIRECTOR 1.0 X 0 0 0 CAROL MILNE DIRECTOR (PARTIAL YEAR) 1.0 X 0 0 0 CONNOR DOLAN DIRECTOR 1.0 X 0 0 0 EMILY LITTMAN PHD DIRECTOR 1.0 X 0 0 0 F PERRY WILSON DIRECTOR 1.0 X 0 0 0 MARIE ROBERTO PHD DIRECTOR 1.0 X 0 0 0 PETER DECKERS MD DIRECTOR 1.0 X 0 0 0 AUGUSTUS MARCHETTI DIRECTOR 1.0 X 0 0 0 GEORGE MILNE DIRECTOR 1.0 X 0 0 0 ROBERT MCHUGH DIRECTOR 1.0 X 0 0 0 RYAN O'CONNELL DIRECTOR 1.0 X 0 0 0 FRANK PIANTIDOSI DIRECTOR 1.0 X 0 0 0 VIRGINIA STAUBACH V.P. & C.N.O. 40.0 X 164709 0 12473 WALTER HARPER V.P. HUMAN RESOURCES 40.0 X 178542 0 10238 ARTHUR TEDESCO INTERIM CFO 40.0 X 0 0 0 SONJA LABARBERA V.P. OPERATIONS & STRATEGY 40.0 X 167868 0 11572 DR DAVID ROSENBLUM PHYSICIAN / MEDICAL DIRECTOR 40.0 X 268734 0 31191 DR ALYSE SICKLICK PHYSICIAN / INPATIENT 36.0 X 212276 0 27604 DR LORRAINE TROW PHYSICIAN / MEDICAL DIRECTOR 40.0 X 300905 0 11305 DR BRUCE HSU PHYSICIAN/INPATIENT 40.0 X 215992 0 10750 DR JOSEPH TRETTEL PSYCHIATRIST-PHYSICIAN / INPATIENT 40.0 X 255304 0 7948 2616979 0 160084 34 false true true HMP OF NEW HAVEN COUNTY LLC PO BOX 742936 LOS ANGELES CA 90074 PHYSICIAN SERVICES 974431 MORRISON MANAGEMENT SPECIALIST PO BOX 102289 ATLANTA GA 30368 DIETARY SERVICES 884328 IMAGE FIRST MEDICAL WEAR PO BOX 61323 KING OF PRUSSIA PA 19406 LAUNDRY & LINEN SERVICES 612065 IMA CONSULTING 6 HILLMAN DRIVE SUITE 100 CHADDS FORD PA 19317 CONSULTING SERVICES 378131 USSECURITY ASSOC INC PO BOX 931703 ATLANTA GA 31193 SECURITY SERVICES 349017 16 1415800 17358 1415800 NET PATIENT SERVICE REVENUE 624310 75579074 75579074 0 0 0 0 75579074 311130 311130 67325 67325 0 67325 67325 971072 971072 0 971072 971072 Other Operating Revenue 624310 147113 147113 0 0 0 0 147113 78491514 75726187 0 1349527 1911826 0 1911826 40661627 36089676 4238132 333819 1605969 1504124 88158 13687 4362522 3860750 465135 36637 3023839 2760860 237442 25537 114020 114020 122930 122930 65301 65301 7113113 6002738 1009061 101314 410117 394796 15321 1116996 671016 387275 58705 850662 850662 1383969 1086173 297796 126209 117054 7070 2085 197627 114133 80592 2902 706232 706232 3739136 2654787 1084349 1401988 1065067 336921 DRUGS 2544886 2544886 GENERAL MEDICAL SUPPLIES 2110089 2103537 6552 RENTAL EQUIPMENT 806028 724898 81130 Provision for Bad Debt 274272 274272 509449 353687 154729 1033 75158807 61927658 12640109 591040 11853673 13982006 112500 99000 10506879 9983097 0 0 0 671830 763931 99817783 69035222 31937920 30782561 31583192 27672050 0 3772309 3927741 90438303 87210386 21695175 20671811 15490000 14665000 13999601 3724794 51184776 39061605 X 20855337 28689774 1231854 1394388 17166336 18064619 39253527 48148781 90438303 87210386 X 3332707 510478 5052069 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 0 65301 65301 65301 65301 61862357 61862357 61927658 61927658 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 64317 65609 65607 65301 260834 250000 250000 250000 250000 1000000 1500000 0 0 0 0 20094626 411623 1721031 0 6606793 15620487 18539740 35779 1606106 0 86999 0 20094626 20215346 26697 -729943 0 972360 0 18539740 20304487 25209 1560426 0 1674776 0 20215346 19905395 34338 2707947 0 2343193 0 20304487 0.615 0.3655 0.0195 false false 113938 113938 54553221 34440351 20112870 6167805 3265722 2902083 38344625 31329149 7015476 638194 638194 30782561 OTHER MARKETABLE SECURITIES 756110 F MUTUAL FUNDS 14560382 F BENEFICIAL INTEREST IN TRUSTS HELD BY OTHERS 12355558 F 27672050 DUE TO THIRD PARTY 247542 CAPITAL LEASE OBLIGATIONS 155840 INTEREST RATE SWAP LIABILITIES 2620993 LEASE ABANDONMENT OBLIGATIONS 224214 DUE TO AFFILIATES 1972 LONG TERM LIABILITY 474233 3724794 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 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, 2017 and 2016. The Association recognizes interest and/or penalties related to income tax matters within other operating expenses. As of September 30, 2017 and 2016, 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. true true X true X 250 true X 550 true true false false 480297 0 480297 0.0064 9682106 6317622 3364484 0.0449 0 0.0 0 0 10162403 6317622 3844781 0.0513 3719 0 3719 0.0000 428631 0 428631 0.0057 57412 6648 50764 0.0007 0 0.0 0 0.0 0 0 489762 6648 483114 0.0065 0 0 10652165 6324270 4327895 0.0578 0 0.0 0 0.0 624 14417 141643 0 141643 0.0019 0 0.0 0 0.0 40 1000 5295 0 5295 0.0001 0 0.0 0 0.0 0 0.0 664 15417 146938 0 146938 0.0020 true 274272 0 21482181 21009233 472948 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 16 true false false true X http://www.gaylord.org/about X www.chime.org/advocacy/community-health X true 16 true https://www.gaylord.org/about false true X 250.0 550.0 true true X X X X true X WWW.GAYLORD.ORG/patient info/financialservices X WWW.GAYLORD.ORG/patient info/financialservices X WWW.GAYLORD.ORG/patient info/financialservices X X X X X X true X false X X X X false X X false false 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 1 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 Bad Debt Expense excluded from financial assistance calculation 274272 Schedule H, Part II Community Building Activities HEALTH SCREENINGS: GAYLORD SPONSORED 2 SEPARATE HEARING SCREENING, AT AREA SENIOR CENTERS PROVIDING 8 HOURS OF STAFF TIME AND SERVING APPROXIMATELY 20 PEOPLE. SUPPORT GROUPS: GAYLORD HOSPITAL OFFERS TWO 12-STEP GROUPS FREE USE OF MEETING SPACE TO CONDUCT SUPPORT GROUPS THROUGHOUT THE YEAR. SINCE THESE GROUPS ARE ANONYMOUS, WITHOUT ATTENDANCE RECORDS, IT IS ESTIMATED THAT BASED ON 104 MEETINGS THROUGHOUT THE YEAR, THAT APPROXIMATELY 60 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 SIX SUPPORT GROUPS THAT ARE OPEN TO THE COMMUNITY, SERVING THOSE WITH SPINAL CORD INJURY, STROKE, TRAUMATIC BRAIN INJURY, ALS AND PULMONARY ISSUES. MOST MEET MONTHLY IN HOSPITAL MEETING SPACE. APPROXIMATELY 133 PEOPLE ARE SERVED IN THESE ACTIVITIES. 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 61% and 54% of self-pay accounts receivable as of September 30, 2017 and 2016, respectively. The Association's self pay write-offs totaled $145,272 and $350,634 for fiscal year 2017 and 2016, respectively. The Association did not change its charity care or financial assistance policy during fiscal year 2017 or 2016. The Association's allowance for doubtful accounts from third-party payers was $580,302 and $517,684 as of September 30, 2017 and 2016, respectively. The Association did not have significant write-offs from third-party payers. 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. X false true false false false false false false false GEORGE KYRIACOU PRESIDENT & CEO 423779 0 0 0 69572 0 21318 0 9039 0 523708 0 63834 0 STEPHEN HOLLAND V.P. & CMO 356865 0 0 0 2433 0 5200 0 1446 0 365944 0 0 0 VIRGINIA STAUBACH V.P. & C.N.O. 163780 0 0 0 929 0 3349 0 9124 0 177182 0 0 0 WALTER HARPER V.P. HUMAN RESOURCES 177509 0 0 0 1033 0 3608 0 6630 0 188780 0 0 0 SONJA LABARBERA V.P. OPERATIONS & STRATEGY 167724 0 0 0 144 0 3409 0 8163 0 179440 0 0 0 DR DAVID ROSENBLUM PHYSICIAN / MEDICAL DIRECTOR 267592 0 0 0 1142 0 5200 0 25991 0 299925 0 0 0 DR ALYSE SICKLICK PHYSICIAN / INPATIENT 211809 0 0 0 467 0 4382 0 23222 0 239880 0 0 0 DR LORRAINE TROW PHYSICIAN / MEDICAL DIRECTOR 299607 0 0 0 1298 0 2783 0 8522 0 312210 0 0 0 DR BRUCE HSU PHYSICIAN/INPATIENT 215800 0 0 0 192 0 4314 0 6436 0 226742 0 0 0 DR JOSEPH TRETTEL PSYCHIATRIST-PHYSICIAN / INPATIENT 255304 0 0 0 0 0 1942 0 6006 0 263252 0 0 0 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan GEORGE KYRIACOU PARTICIPATES IN A 457F Supplemental nonqualified retirement PLAN WITH THE HOSPITAL and received a payment of $63,836 during the calendar year 2016. A STATE OF CONNECTICUT HEALTH AND EDUCATIONAL FACILITIES AUTHORITY (CHEFA) 060806186 20774UNQ4 2007-04-01 21530000 CONSTRUCTION OF A 36-BED ADDITION and REFUND PRIOR ISSUE OF CHEFA SERIES A REVENUE BONDS. true false false A 0 0 21530000 0 0 0 449233 0 0 11510767 9570000 0 2008 false true true true A false false false false 0.0 0.0 0.0 false false true A false false false true true false false false false true A true Schedule K, Part IV, Line 2c COLUMN A Issuer name: STATE OF CONNECTICUT HEALTH AND EDUCATIONAL FACILITIES AUTHORITY (CHEFA) The calculation for computing no rebate due was performed on 04/01/2012 Form 990, Part VI, Line 3 Delegation of management duties ARTHUR TEDESCO, EMPLOYED BY IMA CONSULTING, IS ACTING IN AN ADVISORY CAPACITY AS CHIEF FINANCIAL OFFICER DIRECTING DAY TO DAY FINANCIAL DUTIES UNTIL A PERMANENT REPLACEMENT CAN BE FOUND. Form 990, Part VI, Line 6 Classes of members or stockholders THE HOSPITAL HAS ONE CLASS OF MEMBERS. 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 THERE IS ONE SOLE MEMBER OF THE HOSPITAL. 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 15a Process to establish compensation of top management official GAYLORD HAS CONTRACTED WITH SIBSON CONSULTING TO PERFORM A TOTAL COMPENSATION REVIEW OF THREE KEY POSITIONS IN SENIOR MANAGEMENT: THE CEO, THE CFO AND THE CMO AND USE ONLY SOUTHERN NEW ENGLAND SURVEY DATA FOR THE VICE PRESIDENT OF CLINICAL SERVICES, THE VICE PRESIDENT OF HUMAN RESOURCES, THE VICE PRESIDENT OF DEVELOPMENT AND THE VICE PRESIDENT OF MARKETING/PUBLIC RELATIONS. THIS PROCESS WILL BE DONE EVERY OTHER YEAR FOR THE AFOREMENTIONED POSITIONS. A REPORT WILL BE MADE BY THE VICE PRESIDENT OF HUMAN RESOURCES TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS ANNUALLY FOR THEIR ENDORSEMENT AND APPROVAL. THE LAST COMPENSATION REVIEW OCCURRED IN FEBRUARY OF 2017. Form 990, Part VI, Line 15b Process to establish compensation of other employees GAYLORD HAS CONTRACTED WITH SIBSON CONSULTING TO PERFORM A TOTAL COMPENSATION REVIEW OF THREE KEY POSITIONS IN SENIOR MANAGEMENT: THE CEO, THE CFO AND THE CMO AND USE ONLY SOUTHERN NEW ENGLAND SURVEY DATA FOR THE VICE PRESIDENT OF CLINICAL SERVICES, THE VICE PRESIDENT OF HUMAN RESOURCES, THE VICE PRESIDENT OF DEVELOPMENT AND THE VICE PRESIDENT OF MARKETING/PUBLIC RELATIONS. THIS PROCESS WILL BE DONE EVERY OTHER YEAR FOR THE AFOREMENTIONED POSITIONS. A REPORT WILL BE MADE BY THE VICE PRESIDENT OF HUMAN RESOURCES TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS ANNUALLY FOR THEIR ENDORSEMENT AND APPROVAL. THE LAST COMPENSATION REVIEW OCCURRED IN FEBRUARY OF 2017. 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 - 3230101; CHANGES IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT - 1145592; LOSS FROM EQUITY INVESTMENTS - -190616; CHANGE IN BENEFICIAL INTEREST IN TRUSTS - 866992; Form 990, Part XII, Line 2c Audit Oversight Responsibility THE AUDIT COMMITTEE IS RESPONSIBLE FOR REVIEWING WITH THE INDEPENDENT AUDITORS THE SCOPE OF THEIR EXAMINATION, WITH PARTICULAR EMPHASIS ON THE AREAS TO WHICH THE COMMITTEE BELIEVES SPECIAL ATTENTION SHOULD BE DIRECTED; AND SHALL REVIEW, AND IMPLEMENT AS REQUIRED, THE ANNUAL FINANCIAL AUDIT AND MANAGEMENT RECOMMENDATIONS OF THE INDEPENDENT AUDITORS. THE AUDIT OVERSIGHT PROCESS AND SELECTION PROCESS OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED SINCE THE PREVIOUS YEAR. GAYLORD FARM REHABILITATION CENTER INC PO BOX 400 GAYLORD FARM ROAD WALLINGFORD CT 06492 061432065 RESIDENTIAL CARE HOME CT 501(c)(3) 3 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 CORPORATION 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 SUPPORTING CORPORATION CT 501(c)(3) Type I NA false NORTH HAVEN FITNESS & WELLNESS LLC PO BOX 400 400 GAYLORD FARM ROAD WALLINGFORD CT 06492 201637848 FITNESS CENTER CT N/A Related false false 0.5 FARM PROPERTIES 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 CJ GAYLORD FARM ASSOCIATION INC C Corporation 0 false false true false false false false false false false false false false false true true false false false true Gaylord Hospital INC PO BOX 400 GAYLORD FARM ROAD WALLINGFORD CT 06492 060646649 X 0 65301 65301 61862357 61927658 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