2016-08-12T09:00:32-05:00 2015-09-30 350921680 CROWE HORWATH LLP 175 POWDER FOREST DRIVE SIMSBURY CT 06089 990 2014-10-01 060646649 Gaylord Hospital INC GAYL 2032842800 PO BOX 400 GAYLORD FARM ROAD WALLINGFORD CT 06492 ARTHUR TEDESCO CFO 2016-04-28 true RICHARD BUGGY P00512316 8606789200 2014 2016-09-27 15:27:22Z ARTHUR TEDESCO PO BOX 400 GAYLORD FARM ROAD WALLINGFORD CT 06492 74977037 false X WWW.GAYLORD.ORG X 1991 CT TO PRESERVE & ENHANCE A PERSON'S HEALTH & FUNCTION 19 17 1008 77 0 0 985043 1190558 73820223 71681654 3004810 1362756 952746 742069 78762822 74977037 0 0 0 0 50745941 49104780 0 0 622115 24553160 23377640 75299101 72482420 3463721 2494617 90122226 87772654 40552556 42307067 49569670 45465587 TO PRESERVE AND ENHANCE A PERSON'S HEALTH AND FUNCTION false false 59074626 71681654 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, REHABILITATION AND SLEEP MEDICINE. 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 1,470 PATIENTS ANNUALLY. GAYLORD SEES OUTPATIENTS IN WALLINGFORD AND NORTH HAVEN AND HAS OVER 62,000 ANNUAL VISITS. GAYLORD ALSO HAD FOUR SLEEP MEDICINE LABS LOCATED IN NORTH HAVEN, GUILFORD, TRUMBULL AND GLASTONBURY WHICH WERE CLOSED IN 2015. GAYLORD HOSPITAL ALSO SUPPORTS THE REGION'S ECONOMY AS THE THIRD LARGEST EMPLOYER IN WALLINGFORD, OPERATING WITH A STAFF OF APPROXIMATELY 843 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, AS ARE SLEEP MEDICINE EVALUATIONS AND STUDIES. 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 8 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 TWO LOCATIONS FOR THERAPY SERVICES IN NORTH HAVEN 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 373 STUDENTS PARTICIPATED IN ALMOST 11,400 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 FULL-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. 59074626 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 true false false false true true true true false false true 155 0 true 1008 true false true CJ false false false false X 19 17 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 GEORGE KYRIACOU PRESIDENT & CEO 40.00 X X 633029 0 19543 ROBERT J LYONS VICE CHAIR / DIRECTOR 1.00 X X 0 0 0 DIANA WAKERLEY SECRETARY / DIRECTOR 1.00 X X 0 0 0 EDWARD H CANTOR ESQ TREASURER / DIRECTOR 1.00 X X 0 0 0 PETER DECKERS MD CHAIR / DIRECTOR 1.00 X X 0 0 0 STEPHEN HOLLAND V.P. & CMO 40.00 X X 353525 0 5200 MICHAEL HOBEN DIRECTOR 1.00 X 0 0 0 KIMBERLY HARTMANN PHD DIRECTOR 1.00 X 0 0 0 KAREN A SCAPPATICCI DIRECTOR 1.00 X 0 0 0 GARY L CARTER DIRECTOR 1.00 X 0 0 0 WILLIAM J SIMIONE JR DIRECTOR 1.00 X 0 0 0 HORATIO W YEUNG PHD DIRECTOR 1.00 X 0 0 0 KIM HEALEY DIRECTOR 1.00 X 0 0 0 ROBERT J MOBECK DIRECTOR 1.00 X 0 0 0 CAROL MILNE DIRECTOR 1.00 X 0 0 0 ETHAN WEINER MD DIRECTOR 1.00 X 0 0 0 EMILY LITTMAN PHD DIRECTOR 1.00 X 0 0 0 PERRY F WILSON DIRECTOR 1.00 X 0 0 0 MICHAEL BROODER DIRECTOR 1.00 X 0 0 0 MARIE ROBERTO PHD DIRECTOR 1.00 X 0 0 0 JANINE EPRIGHT V.P. & CFO 40.00 X 197578 0 18438 VIRGINIA STAUBACH V.P. & C.N.O. 40.00 X 158384 0 13036 WALTER HARPER V.P. 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OF INPATIENT & OUTPATIENT THERAPY 40.00 X 153224 0 10862 DR KEITH DIXON PHYSICIAN / MEDICAL DIRECTOR 40.00 X 233809 0 21293 DR DAVID ROSENBLUM PHYSICIAN / MEDICAL DIRECTOR 40.00 X 289229 0 28741 DR ALYSE SICKLICK PHYSICIAN / INPATIENT 36.00 X 211406 0 27343 DR LORRAINE TROW PHYSICIAN MEDICAL DIRECTOR 40.00 X 303549 0 919 DR JANET HOWARD-FLANDERS PHYSICIAN SLEEP 40.00 X 280575 0 0 2988087 0 166651 38 false true true HMP OF NEW HAVEN COUNTY LLC PO BOX 645037 CINNCINNATI OH 45264 PHYSICIAN SERVICES 984535 MORRISON MANAGEMENT SPECIALIST PO BOX 102289 ATLANTA GA 30368 DIETARY SERVICES 859859 CLINICAL LAB PARTNERS 129 EAST CEDAR STREET NEWINGTON CT 06111 LABORATORY WORK 747954 IMAGE FIRST MEDICAL WEAR PO BOX 61323 KING OF PRUSSIA PA 19406 LAUNDRY & LINEN SERVICES 660127 HUNTZINGER MANAGEMENT GROUP INC 670 NORTH RIVER ST STE 401 PLAINS PA 18705 INFORMATION TECHNOLOGY OVERSIGHT 657380 24 1190558 9458 1190558 NET PATIENT SERVICE REVENUE 624310 71681654 71681654 0 0 0 0 71681654 482585 482585 99039 0 99039 0 99039 99039 880171 0 880171 0 880171 880171 NET ASSETS RELEASED FROM RESTRICTIONS 624310 312796 312796 OTHER OPERATING REVENUE 624310 330234 330234 0 0 0 0 643030 74977037 71681654 0 2104825 2132638 2132638 37850581 34169095 3309196 372290 1482299 1359373 108115 14811 4888872 4251916 590629 46327 2750390 2439255 284558 26577 218539 196269 22270 109373 109373 65607 65607 7169126 5493080 1591625 84421 362040 354378 7662 1221336 641045 540089 40202 476355 476355 1301261 1017346 283915 130634 124546 4560 1528 141046 86289 52800 1957 755556 755556 3776384 2681233 1095151 1557788 1190393 367395 DRUGS 2590870 2590870 GENERAL MEDICAL SUPPLIES 2001057 1977426 23631 RENTAL EQUIPMENT 810370 707301 103069 OTHER 524622 201320 319232 4070 165676 144138 21538 0 72482420 59074626 12785679 622115 7393448 8820723 136368 126000 9050124 10448595 0 0 249088 0 1274457 998768 97769146 63639296 36126947 34129850 32238103 29611311 0 3653691 3637407 90122226 87772654 19361205 20915415 17040000 16280000 0 4151351 5111652 40552556 42307067 X 30851890 27661632 1079729 1090393 17638051 16713562 49569670 45465587 90122226 87772654 X 2494617 -2009466 -4589234 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 0 0 65609 65609 65609 65609 59009019 59009019 59074628 59074628 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 100733 85783 64317 65609 316442 250000 250000 250000 250000 1000000 1500000 0 0 20215346 26697 -729943 0 972360 0 18539740 20304487 25209 1560426 0 1674776 0 20215346 19905395 34338 2707947 0 2343193 0 20304487 19223046 25958 3880124 0 3223733 0 19905395 21959224 29320 -734869 0 2030629 0 19223046 0.7 0.3 0.0 false false 113938 113938 54553221 31017751 23535470 5985282 2688584 3296698 36923280 29932961 6990319 193425 193425 34129850 OTHER MARKETABLE SECURITIES 973923 F MUTUAL FUNDS 17565817 F BENEFICIAL INTEREST IN TRUSTS HELD BY OTHERS 11071571 F 29611311 DUE TO THIRD PARTY 252194 CAPITAL LEASE OBLIGATIONS 221169 INTEREST RATE SWAP LIABILITIES 3719716 LEASE ABANDONMENT OBLIGATIONS 602017 DUE TO AFFILIATES 1972 LONG TERM LIABILITY 314584 5111652 X 74977037 0 0 74977037 0 0 74977037 72482420 0 0 72482420 0 0 72482420 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, 2015 AND 2014. THE ASSOCIATION RECOGNIZES INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS WITHIN OTHER OPERATING EXPENSES. AS OF SEPTEMBER 30, 2015 AND 2014, 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 EXAMINIATION BY THE INTERNAL REVENUE SERVICE. true true X true X 250 false true true false false 12 55721 0 55721 0.0008 8505656 5684785 2820871 0.0389 0 0 0 0.0 0 12 8561377 5684785 2876592 0.0397 18 3646 0 3646 0.0001 438 373 353978 0 353978 0.0049 0 0 0 0.0 0 0 0 0.0 62763 14124 48639 0.0007 456 373 420387 14124 406263 0.0056 456 385 8981764 5698909 3282855 0.0453 0 0.0 0 0.0 536 23993 118676 0 118676 0.0016 0 0.0 0 0.0 40 1000 5191 0 5191 0.0001 0 0.0 0 0.0 0 0.0 576 24993 123867 0 123867 0.0017 true 593515 0 25634206 25798944 -164738 X true true NORTH HAVEN FITNESS & WELLNESS LLC FITNESS CENTER 0.5 0.0 0.0 1 1 GAYLORD HOSPITAL INC WWW.GAYLORD.ORG CDH.00002CD X LONG TERM ACUTE CARE HOSPITAL/OUTPATIENT CLINIC/SLEEP SERVICES GAYLORD HOSPITAL INC 1 true false true X X X X X X X X X 12 true false false true X http://www.gaylord.org/Portals/0/PDFS/2015%20Community%20Needs%20Assessment.pdf X true 12 true http://www.gaylord.org/Portals/0/PDFS/2015%20Community%20Needs%20Assessment.pdf false false true X 2.5 true true X X X X true X WWW.GAYLORD.ORG X WWW.GAYLORD.ORG X X X X X true 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 management immediately set out to respond to and develop solutions to all items identified in the CHNA. As of Fiscal year 2014 all items had been addressed and resolution processes to these items were added to the report and the report was placed on the Gaylord Hospital website. Schedule H, Part V, Section B, Line 18d Facility , 1 Facility , 1 - GAYLORD HOSPITAL, INC.. THE HOSPITAL'S POLICY FOR BILLING AND COLLECTIONS ARE AS FOLLOWS, Self pay balances are turned over for collection only after 3 statements and a pre-bad debt letter have been sent to the patient. Accounts are reviewed to ensure the balance is accurate. If payment is not received after the third statement, the balance may be transferred to Bad Debt by the Department Manager and the back up information sent to a collection agency. Payments received by the facility are reported monthly to the Agency via a faxed report. Once an account is in Bad Debt status, it can only be removed by either the A/R Coordinator or the Department Manager. Insurance holds may be placed with the Agency for 60 days. 1 Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 0 Schedule H, Part II Community Building Activities As a specialty hospital, Gaylord responds to the needs of the community based on the expertise and resources it maintains. These activities focus on medical rehabilitation, therapy services, rehabilitation nursing, and community goodwill endeavors (such as monetary donations to charitable community causes and volunteer involvement in community activities designed to promote wellness or causes for underserved populations). Overall, 24,993 individuals were served in direct community building 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 approximately 67% and 64% of self-pay accounts receivable as of September 30, 2015 and 2014, respectively. The Association's self-pay write-offs totaled $446,625 and $717,198 for fiscal year 2015 and 2014, respectively. The Association did not change its charity care or financial assistance policy during fiscal year 2015 or 2014. The Association does not maintain a material allowance for doubtful accounts from third-party payers, nor did it 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; Schedule H, Part V, Section B, Line 16b FAP Application website - GAYLORD HOSPITAL, INC.: Line 16b URL: WWW.GAYLORD.ORG; 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 Gaylord Wellness Lecture Series: A health care lecture series IS presented by hospital staff to the community at no charge. In 2014-2015, Gaylord staff conducted 2 presentations, serving 117 people within the communities. The hospital assumed the cost of advertising these free community events, at $3,167. Community Not-for-profit Meeting Space: Gaylord opens its meeting rooms to area not-for-profit organizations in need of meeting space at no cost to the visiting organization. Priority is given to organizations with a health care focus. During 2014-2015, Gaylord welcomed 30 groups who met 312 times. The hospital also provided staff resources to set up and clean up for each meeting, at a total estimate of 300 man hours. Based on estimated attendance, 180 people have been served in this activity. Health Screenings: Gaylord sponsored 6 separate health screenings, which consisted of 3 fall screenings and 3 hearing screening, at area senior centers providing 42 hours of staff time and serving approximately 51 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. 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. Schedule H, Part VI, Line 7 State filing of community benefit report CT X true true false false false false false false false GEORGE KYRIACOU PRESIDENT & CEO 417628 0 35000 0 180401 0 13185 0 6358 0 652572 0 177345 0 STEPHEN HOLLAND V.P. & CMO 351967 0 0 0 1558 0 5200 0 0 0 358725 0 0 0 JANINE EPRIGHT V.P. & CFO 197201 0 0 0 377 0 1996 0 16442 0 216016 0 0 0 VIRGINIA STAUBACH V.P. & C.N.O. 157509 0 0 0 875 0 3209 0 9827 0 171420 0 0 0 WALTER HARPER V.P. HUMAN RESOURCES 172767 0 0 0 1012 0 3556 0 17720 0 195055 0 0 0 SONJA LABARBERA SR. DIR. OF INPATIENT & OUTPATIENT THERAPY 153098 0 0 0 126 0 3104 0 7758 0 164086 0 0 0 DR KEITH DIXON PHYSICIAN / MEDICAL DIRECTOR 233487 0 0 0 322 0 4742 0 16551 0 255102 0 0 0 DR DAVID ROSENBLUM PHYSICIAN / MEDICAL DIRECTOR 288629 0 0 0 600 0 5200 0 23541 0 317970 0 0 0 DR ALYSE SICKLICK PHYSICIAN / INPATIENT 210948 0 0 0 458 0 4319 0 23024 0 238749 0 0 0 DR LORRAINE TROW PHYSICIAN MEDICAL DIRECTOR 302273 0 0 0 1276 0 919 0 0 0 304468 0 0 0 DR JANET HOWARD-FLANDERS PHYSICIAN SLEEP 280575 0 0 0 0 0 0 0 0 0 280575 0 0 0 Schedule J, Part I, Line 4a Severance or change-of-control payment JANINE EPRIGHT VP& CFO RECIEVED $51,000 AS SEVERANCE DURING THE 2014 CALENDAR YEAR. THIS AMOUNT IS INCLUDED ON SCHEDULE J SECTION VIII. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan FROM ALL RELATED ORGANIZATIONS: GEORGE KYRIACOU PARTICIPATES IN A SERP PLAN WITH THE HOSPITAL. A STATE OF CONNECTICUT HEALTH AND EDUCATIONAL FACILITIES AUTHORITY (CHEFA) 060806186 20774UNQ4 2007-04-01 21530000 CONSTRUCTION OF A 36-BED ADDITION true false false A 0 0 21530000 0 0 0 449233 0 0 0 0 0 2008 false true true true A false false false false 0.0 0.0 0.0 false false false A false false false false true false false false false false A false X Gift Certificates 24 5343 Cost X Food 6 1310 Cost X Equipment 9 2805 Cost 0 false true false Schedule M, Part I Explanations of reporting method for number of contributions Other: Number of Contributions Other: Number of Contributions Other: Number of Contributions Form 990, Part VI, Line 3 Delegation of management duties ART 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. GERARD MARONEY, EMPLOYED BY THE HUNTZINGER MANAGEMENT GROUP, IS ACTING IN AN ADVISORY CAPACITY AS CHIEF INFORMATION OFFICER DIRECTING DAY TO DAY INFORAMTION TECHNOLOGY 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 TOWERS WATSON 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. THE LAST COMPENSATION REVIEW OCCURRED IN APRIL OF 2014. Form 990, Part VI, Line 15b Process to establish compensation of other employees GAYLORD HAS CONTRACTED WITH TOWERS WATSON 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. THE LAST COMPENSATION REVIEW OCCURRED IN APRIL OF 2014. 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 - -2719290; NET ASSETS RELEASED FROM RESTRICTIONS - -312792; CHANGES IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT - -653474; LOSS FROM EQUITY INVESTMENTS - -193907; RESTRICTED CONTRIBUTIONS - 438181; ACCELERATED DEPRECIATION ON DISCONTINUED OPERATIONS - -64051; LOSS ON DISCONTINUED OPERATIONS - -134687; CHANGE IN BENEFICIAL INTEREST IN TRUSTS - -951186; DUE TO AFFILIATE - GAYLORD RESEARCH INSTITUTE - 1972; Core Form 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. 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