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GAYLORD HOSPITAL INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
GAYLORD HOSPITAL INC (EIN 06-0646649)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-07-07
IRS object ID
201401889349300910
Schema version
2012v2.1
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-07-07T16:02:30-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN061533253EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1SASLOW LUFKIN & BUGGY LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1175 POWDER FOREST DRIVEAddressLine1
CitySIMSBURYCity
StateCTState
ZIP Code06089ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN060646649EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1GAYLORD HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlGAYLNameControl
Phone2032842800Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 400 GAYLORD FARM ROADAddressLine1
CityWALLINGFORDCity
StateCTState
ZIP Code06492ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameARTHUR TEDESCOName
TitleCFOTitle
Phone2032842800Phone
Date Signed2014-07-02DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRICHARD BUGGYName
PTINP00512316PTIN
Phone8606789200Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonARTHUR TEDESCONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 400 GAYLORD FARM ROADAddressLine1
CityWALLINGFORDCity
StateCTState
ZIP Code06492ZIPCode
FieldValueIRS element (for citing)
Gross Receipts95531643GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.GAYLORD.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1991YearFormation
State Legal DomicileCTStateLegalDomicile
Activity Or Mission DescriptionTO PRESERVE & ENHANCE A PERSON'S HEALTH & FUNCTIONActivityOrMissionDescription
Nbr Voting Members Governing Body22NbrVotingMembersGoverningBody
Nbr Independent Voting Members20NbrIndependentVotingMembers
Total Nbr Employees908TotalNbrEmployees
Total Nbr Volunteers70TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1209241ContributionsGrantsPriorYear
Contributions Grants Current Year983924ContributionsGrantsCurrentYear
Program Service Revenue Prior Year70082884ProgramServiceRevenuePriorYear
Program Service Revenue CY75933289ProgramServiceRevenueCY
Investment Income Prior Year972695InvestmentIncomePriorYear
Investment Income Current Year1058643InvestmentIncomeCurrentYear
Other Revenue Prior Year730348OtherRevenuePriorYear
Other Revenue Current Year831020OtherRevenueCurrentYear
Total Revenue Prior Year72995168TotalRevenuePriorYear
Total Revenue Current Year78806876TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year48860725SalariesEtcPriorYear
Salaries Etc Current Year50064889SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year712003TotalFundrsngExpCurrentYear
Other Expense Prior Year25681092OtherExpensePriorYear
Other Expenses Current Year25240766OtherExpensesCurrentYear
Total Expenses Prior Year74541817TotalExpensesPriorYear
Total Expenses Current Year75305655TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1546649RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3501221RevenuesLessExpensesCY
Total Assets BOY86351274TotalAssetsBOY
Total Assets EOY89824799TotalAssetsEOY
Total Liabilities BOY50220227TotalLiabilitiesBOY
Total Liabilities EOY42100699TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY36131047NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY47724100NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO PRESERVE AND ENHANCE A PERSON'S HEALTH AND FUNCTION.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense59409434Expense
Revenue75933289Revenue
DescriptionESTABLISHED 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 1,500 PAITENTS ANNUALLY. GAYLORD SEES OUTPATIENTS IN WALLINGFORD AND NORTH HAVEN AND HAS OVER 58,000 ANNUAL VISITS. GAYLORD ALSO HAS FOUR SLEEP MEDICINE LABS LOCATED IN NORTH HAVEN, GUILFORD, TRUMBULL AND GLASTONBURY WHICH SEE OVER 4,500 PATIENTS ANNUALLY.GAYLORD HOSPITAL ALSO SUPPORTS THE REGION'S ECONOMY AS THE THIRD LARGEST EMPLOYER IN WALLINGFORD, OPERATING WITH A STAFF OF APPROXIMATELY 908 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. GAYLORD ALSO IS AFFILIATED WITH THE YALE UNIVERSITY SCHOOL OF MEDICINE AND THE UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE.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 BRAIN INJURY, NEUROLOGICAL REHABILITATION, ORTHOPEDICS, SPINAL CORD INJURY AND STROKE.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 ANSWERS CONNECTICUT'S NEED FOR SLEEP MEDICINE SERVICES AS THE LARGEST SINGLE PROVIDER IN THE STATE. ACCREDITED BY THE AMERICAN ACADEMY OF SLEEP MEDICINE, GAYLORD SLEEP MEDICINE INCLUDES A STAFF OF PHYSICIANS WHO ARE BOARD-CERTIFIED IN SLEEP MEDICINE AS WELL AS THE SPECIALTIES OF NEUROLOGY, PEDIATRICS, PULMONARY MEDICINE, CRITICAL CARE MEDICINE, AND INTERNAL MEDICINE. THE HOSPITAL OFFERS CONSULTATIVE AND DIAGNOSTIC SERVICES AT CENTERS IN GLASTONBURY, GUILFORD, NORTH HAVEN AND TRUMBULL. 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 238 STUDENTS PARTICIPATED IN ALMOST 6,800 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 15 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 SOCIAL SERVICE, CASE 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. - SOCIAL WORK AND CASE MANAGEMENT TO GAYLORD'S TRANSITIONAL LIVING PROGRAM RESIDENTS.Description
Total Program Service Expense59409434TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096106NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees908NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account1ForeignFinancialAccount
Name Of Foreign CountryCJNameOfForeignCountry
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members22NbrVotingGoverningBodyMembers
Number Independent Voting Members20NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1ARTHUR TEDSCOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2032842800TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1GAYLORD FARM ROADAddressLine1
CityWALLINGFORDCity
StateCTState
ZIP Code06492ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (32 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
GEORGE KYRIACOU
PRESIDENT & CEO40.001.00XX400723076241
MICHAEL HOBEN
DIRECTOR1.00X000
ROBERT J LYONS
DIRECTOR1.00X000
JEFFREY A STEIN
SECRETARY/DIRECTOR1.00XX000
DIANA WAKERLEY
DIRECTOR1.00X000
KAREN A SCAPPATICCI
DIRECTOR1.00X000
EDWARD H CANTOR ESQ
VICE CHAIR/DIRECTOR1.001.00XX000
GARY L CARTER
DIRECTOR1.00X000
PETER DECKERS MD
DIRECTOR1.00X000
JAMES MONIELLO
DIRECTOR1.00X000
WILLIAM J SIMIONE JR
DIRECTOR1.00X000
HORATIO W YEUNG PHD
DIRECTOR1.00X000
KIM HEALY
DIRECTOR1.00X000
ROBERT J MOBECK
DIRECTOR1.00X000
CAROL MILNE
DIRECTOR1.00X000
ETHAN WEINER MD
DIRECTOR1.00X000
STEPHEN HOLLAND
VP & CMO40.00XX13077605414
THOMAS BALCEZAK MD
DIRECTOR1.00X000
EMILY LITTMAN PHD
DIRECTOR1.00X000
F PERRY WILSON
CHAIR/DIRECTOR1.001.00XX000
MICHAEL BROODER
DIRECTOR1.00X000
MARIE ROBERTO PHD
DIRECTOR1.00X000
JANINE EPRIGHT
VP & CFO40.001.00X282378021795
LUIS TEBA
VP & CMO40.00X278053017550
CHARLOTTE HYATT
VP & INPATIENT DIRECTOR40.0016455309278X
JACQUELINE A EPRIGHT
OUTPATIENT DIRECTOR40.00178942020784X
DR KEITH DIXON
PHYSICIAN/MEDICAL DIRECTOR40.00221124013325X
DR DAVID ROSENBLUM
PHYSICIAN/MEDICAL DIRECTOR40.00287251023232X
DR ALYSE SICKLICK
PHYSICIAN/INPATIENT36.00209849022185X
DR ALEXANDRU DINU
PHYSICIAN/INPATIENT40.0020627708963X
DR GREGORY MORGAN
PHYSICIAN/SLEEP RESEARCH40.0023911105029X
JAMES J CULLEN
PRESIDENT & CFO0.00166976606635X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4268803TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation230431TotalOtherCompensation
Number Individuals GT100 K40NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HMP OF NEW HAVEN COUNTY LLC
PO BOX 645037CINNCINNATIOH45264PHYSICIAN SERVICES1045500
CLINICAL LAB PARTNERS
129 EAST CEDAR STREETNEWINGTONCT06111LABORATORY WORK929372
MORRISON MANAGEMENT SPECIALIST
PO BOX 102289ATLANTAGA30368FOOD & NUTRITION SERVICES827589
IMAGE FIRST MEDICAL WEAR
PO BOX 61323KING OF PRUSSIAPA19406LAUNDRY & LINEN SERVICES724425
UNIVERSAL HOSPITAL SERVICES INC
29 KRIPES ROAD SUITE LGRANBYCT06026EQUIPMENT RENTAL & SERVICES461201
FieldValueIRS element (for citing)
Number Of Contractors GT100 K13NumberOfContractorsGT100K
All Other Contributions983924AllOtherContributions
Total Contributions983924TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET PATIENT SERVICE REVENUEDescription
Business Code624310BusinessCode
Total Revenue Column75933289TotalRevenueColumn
Related Or Exempt Function Income75933289RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue75933289TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column481612TotalRevenueColumn
Exclusion$481,612ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real300318Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real300318Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column300318TotalRevenueColumn
Exclusion$300,318ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities17301798Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities16724767Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities577031Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column577031TotalRevenueColumn
Exclusion$577,031ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
OTHER OPERATING REVENUE624310354134$354,134
NET ASSETS RELEASED FROM RESTRICT624310176568$176,568
FieldValueIRS element (for citing)
Total Other Revenue530702TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column78806876TotalRevenueColumn
Related Or Exempt Function Income75933289RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,889,663ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1679330Total
Management And General1679330ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total38107249Total
Program Services34681187ProgramServices
Management And General3061964ManagementAndGeneral
Fundraising364098Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1467260Total
Program Services1287309ProgramServices
Management And General166461ManagementAndGeneral
Fundraising13490Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5981198Total
Program Services5277336ProgramServices
Management And General648487ManagementAndGeneral
Fundraising55375Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2829852Total
Program Services2471040ProgramServices
Management And General332848ManagementAndGeneral
Fundraising25964Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total182110Total
Management And General166887ManagementAndGeneral
Fundraising15223Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total89115Total
Management And General89115ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total85783Total
Management And General85783ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total7357958Total
Program Services5828711ProgramServices
Management And General1481511ManagementAndGeneral
Fundraising47736Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total196030Total
Management And General190317ManagementAndGeneral
Fundraising5713Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1344204Total
Program Services796516ProgramServices
Management And General495424ManagementAndGeneral
Fundraising52264Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1067025Total
Management And General1067025ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1978698Total
Program Services1644683ProgramServices
Management And General334015ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total155451Total
Program Services143226ProgramServices
Management And General10683ManagementAndGeneral
Fundraising1542Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total148962Total
Program Services87596ProgramServices
Management And General59699ManagementAndGeneral
Fundraising1667Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total830714Total
Management And General830714ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3937040Total
Management And General3937040ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1401563Total
Program Services1052008ProgramServices
Management And General339396ManagementAndGeneral
Fundraising10159Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
DRUGS26215022621502
GENERAL MEDICAL SUPPLIE2182807215334229465
RENTAL EQUIPMENT1180968108542995539
OTHER33377215160363397118772

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total147064Total
Program Services127946ProgramServices
Management And General19118ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total75305655Total
Program Services59409434ProgramServices
Management And General15184218ManagementAndGeneral
Fundraising712003Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY392491BOY
EOY6369676EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY420587BOY
EOY179536EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY10522310BOY
EOY8949218EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY831021BOY
EOY956812EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis95033382LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec58312633LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY38177394BOY
EOY36720749EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY31145461BOY
EOY31972718EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY4862010BOY
EOY4676090EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY86351274BOY
EOY89824799EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY25581153BOY
EOY20099955EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY18465000BOY
EOY17770000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY6174074BOY
EOY4230744EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY50220227BOY
EOY42100699EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY18185770BOY
EOY29386442EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1149464BOY
EOY1079342EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY16795813BOY
EOY17258316EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY36131047BOY
EOY47724100EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY86351274BOY
EOY89824799EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses3501221ReconcilationRevenueExpenses
Reconciliation Unrealized Invest1416012ReconciliationUnrealizedInvest
Reconcilation Other Changes6675820ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Org Belongs To Affiliated GroupXOrgBelongsToAffiliatedGroup

Total Grassroots Lobbying TotalGrassrootsLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals
Affiliated Group Totals0AffiliatedGroupTotals

Total Direct Lobbying TotalDirectLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals85783FilingOrganizationsTotals
Affiliated Group Totals85783AffiliatedGroupTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals85783FilingOrganizationsTotals
Affiliated Group Totals85783AffiliatedGroupTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals59323651FilingOrganizationsTotals
Affiliated Group Totals59323651AffiliatedGroupTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals59409434FilingOrganizationsTotals
Affiliated Group Totals59409434AffiliatedGroupTotals

Lobbying Nontaxable LobbyingNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals1000000FilingOrganizationsTotals
Affiliated Group Totals1000000AffiliatedGroupTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals250000FilingOrganizationsTotals
Affiliated Group Totals250000AffiliatedGroupTotals

Tot Lobbying Grassroot Minus Non Tx TotLobbyingGrassrootMinusNonTx

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals
Affiliated Group Totals0AffiliatedGroupTotals

Tot Lobby Expend Mns Lobbying Nontx TotLobbyExpendMnsLobbyingNontx

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals
Affiliated Group Totals0AffiliatedGroupTotals

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus31000000CurrentYearMinus3
Current Year Minus21000000CurrentYearMinus2
Current Year Minus11000000CurrentYearMinus1
Current Year1000000CurrentYear
Total4000000Total
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

FieldValueIRS element (for citing)
Current Year Minus3136337CurrentYearMinus3
Current Year Minus279555CurrentYearMinus2
Current Year Minus1100733CurrentYearMinus1
Current Year85783CurrentYear
Total402408Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus3250000CurrentYearMinus3
Current Year Minus2250000CurrentYearMinus2
Current Year Minus1250000CurrentYearMinus1
Current Year250000CurrentYear
Total1000000Total
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmount

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance19905395BeginningOfYearBalance
Contributions34338Contributions
Investment Earnings Or Losses2707947InvestmentEarningsOrLosses
Other Expenditures2343193OtherExpenditures
End Of Year Balance20304487EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance19223046BeginningOfYearBalance
Contributions25958Contributions
Investment Earnings Or Losses3880124InvestmentEarningsOrLosses
Other Expenditures3223733OtherExpenditures
End Of Year Balance19905395EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance21959224BeginningOfYearBalance
Contributions29320Contributions
Investment Earnings Or Losses-734869InvestmentEarningsOrLosses
Other Expenditures2030629OtherExpenditures
End Of Year Balance19223046EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance21181655BeginningOfYearBalance
Contributions514253Contributions
Investment Earnings Or Losses2429752InvestmentEarningsOrLosses
Other Expenditures2166436OtherExpenditures
End Of Year Balance21959224EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance32790054BeginningOfYearBalance
Contributions124588Contributions
Investment Earnings Or Losses-137889InvestmentEarningsOrLosses
Other Expenditures-1651192OtherExpenditures
End Of Year Balance31125561EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.72000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.28000PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis161843OtherCostOrOtherBasis
Book Value161843BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis54553221OtherCostOrOtherBasis
Depreciation27595150Depreciation
Book Value26958071BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis4531219OtherCostOrOtherBasis
Depreciation2882060Depreciation
Book Value1649159BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis34503487OtherCostOrOtherBasis
Depreciation27835423Depreciation
Book Value6668064BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1283612OtherCostOrOtherBasis
Book Value1283612BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings36720749TotalOfBookValueLandBuildings

Other Securities OtherSecurities (4 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
OTHER MARKETABLE SECURITIES2572535F
MARKETABLE EQUITY SECURITITES1987651F
MUTUAL FUNDS15744301F
BENEFICIAL INTEREST IN TRUSTS HELD BY OTHERS11668231F
FieldValueIRS element (for citing)
Total Of Book Value Securities31972718TotalOfBookValueSecurities

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
UNAMORTIZED BOND COSTS321261
DUE FROM AFFILIATES3290593
INVESTMENT IN HEALTH & WELLNESS256510
OTHER ASSETS423171
INVESTMENT IN CPAP384555
FieldValueIRS element (for citing)
Total Book Value Other Assets4676090TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
DUE TO THIRD PARTY$246,805
CAPITAL LEASE OBLIGATIONS$233,148
INTEREST RATE SWAP LIABILITIES$2,993,142
LEASE ABANDONMENT OBLIGATIONS$555,677
TERM LOAN PROMISSORY NOTE$200,000
DUE TO AFFILIATES$1,972
FieldValueIRS element (for citing)
Total Of Amounts4230744TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt78806876TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal78806876RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99078806876TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt75305655TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal75305655ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99075305655TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4: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.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2: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, 2013 AND 2012. AS OF SEPTEMBER 30, 2013 AND 2012, 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.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage250.000000000000FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted Care0FPGReferenceDiscountedCare
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care0AmountsBudgetedForCharityCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served18PersonsServed
Total Community Benefit Expense118207TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense118207NetCommunityBenefitExpense
Percent Of Total Expense0.00160PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense10471147TotalCommunityBenefitExpense
Direct Offsetting Revenue8199272DirectOffsettingRevenue
Net Community Benefit Expense2271875NetCommunityBenefitExpense
Percent Of Total Expense0.03020PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served18PersonsServed
Total Community Benefit Expense10589354TotalCommunityBenefitExpense
Direct Offsetting Revenue8199272DirectOffsettingRevenue
Net Community Benefit Expense2390082NetCommunityBenefitExpense
Percent Of Total Expense0.03180PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs18NumberOfActivitiesOrPrograms
Total Community Benefit Expense3611TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense3611NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs238NumberOfActivitiesOrPrograms
Persons Served251PersonsServed
Total Community Benefit Expense208354TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense208354NetCommunityBenefitExpense
Percent Of Total Expense0.00280PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense45705TotalCommunityBenefitExpense
Direct Offsetting Revenue7144DirectOffsettingRevenue
Net Community Benefit Expense38561NetCommunityBenefitExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs256NumberOfActivitiesOrPrograms
Persons Served251PersonsServed
Total Community Benefit Expense257670TotalCommunityBenefitExpense
Direct Offsetting Revenue7144DirectOffsettingRevenue
Net Community Benefit Expense250526NetCommunityBenefitExpense
Percent Of Total Expense0.00330PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs256NumberOfActivitiesOrPrograms
Persons Served269PersonsServed
Total Community Benefit Expense10847024TotalCommunityBenefitExpense
Direct Offsetting Revenue8206416DirectOffsettingRevenue
Net Community Benefit Expense2640608NetCommunityBenefitExpense
Percent Of Total Expense0.03510PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs681NumberOfActivitiesOrPrograms
Persons Served36684PersonsServed
Total Community Building Expense116366TotalCommunityBuildingExpense
Net Community Building Expense116366NetCommunityBuildingExpense
Percent Of Total Expense0.00150PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Number Of Activities Or Programs45NumberOfActivitiesOrPrograms
Persons Served1000PersonsServed
Total Community Building Expense6304TotalCommunityBuildingExpense
Net Community Building Expense6304NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs726NumberOfActivitiesOrPrograms
Persons Served37684PersonsServed
Total Community Building Expense122670TotalCommunityBuildingExpense
Net Community Building Expense122670NetCommunityBuildingExpense
Percent Of Total Expense0.00160PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$422,924BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare26323217AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare22258859CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall4064358MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

FieldValueIRS element (for citing)
Business Name Line11 NORTH HAVEN FITNESS & WELLNESS LLCBusinessNameLine1
FieldValueIRS element (for citing)
Description Ent Primary ActivityFITNESS CENTERDescriptionEntPrimaryActivity
Organization Profit Or Ownership0.50000OrganizationProfitOrOwnership
Officers Etc Profit Or Ownership0.00000OfficersEtcProfitOrOwnership
Physicans Profit Or Ownership0.00000PhysicansProfitOrOwnership
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1GAYLORD HOSPITAL INCBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1PO BOX 400AddressLine1
CityWALLINGFORDCity
StateCTState
ZIP Code06492ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
OtherLONG TERM ACUTE CARE HOSPITAL/OUTPATIENT CLINIC/SLEEP SERVICESOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1GAYLORD HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA Conducted1CHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Information GapsXInformationGaps
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into Account1TakeIntoAccount
Other Facilities0OtherFacilities
CHNA Widely Available1CHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Other MethodXOtherMethod
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Include Operational PlansXIncludeOperationalPlans
Prioritize ServicesXPrioritizeServices
All Needs Addressed0AllNeedsAddressed
Organization Incur Excise Tax0OrganizationIncurExciseTax
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent250.000000000000FPGFreePercent
Uses FPG Discounted0UsesFPGDiscounted
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Insurance StatusXInsuranceStatus
Medicaid MedicareXMedicaidMedicare
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Permit Other ActionsXPermitOtherActions
Collection Activities0CollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care Policy0NondiscrimEmergencyCarePolicy
No Emergency CareXNoEmergencyCare
Average Negotiated RatesXAverageNegotiatedRates
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities1NumberOfOtherFacilities

Other Facilities OtherFacilities

Name Name

FieldValueIRS element (for citing)
Business Name Line1GAYLORD SLEEP MEDICINE EQUIPMENT LLCBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line150 GAYLORD FARM ROADAddressLine1
CityWALLINGFORDCity
StateCTState
ZIP Code06492ZIPCode
FieldValueIRS element (for citing)
Facility TypeDURABLE MEDICAL EQUIPMENTFacilityType

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
PART II: 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, 37,864 INDIVIDUALS WERE SERVED IN DIRECT COMMUNITY BUILDING ACTIVITIES.
PART III, LINE 4: 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 ASSOCIATIONS ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS WAS APPROXIMATELY 64% AND 51% OF SELF-PAY ACCOUNTS RECEIVABLE AS OF SEPTEMBER 30, 2013 AND, 2012, RESPECTIVELY. THE ASSOCIATIONS SELF-PAY WRITE-OFFS TOTALED $380,142 AND $466,102 FOR FISCAL YEAR 2013 AND 2012, RESPECTIVELY. THE ASSOCIATION DID NOT CHANGE ITS CHARITY CARE OR FINANCIAL ASSISTANCE POLICY DURING FISCAL 2013 OR 2012. 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.
PART III, LINE 9B: 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.
PART V, SECTION B, LINE 3: FEEDBACK WAS GATHERED FROM PATIENTS AND COMMUTITY 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.GAYLORD HOSPITAL, INC.
PART V, SECTION B, LINE 5C: GAYLORD'S CHNA CAN ALSO BE FOUND IN A COMPILATION AT THE CONNECTICUT HOSPITAL ASSOCIATION.GAYLORD HOSPITAL, INC.
PART V, SECTION B, LINE 7: GAYLORD CREATED AND PERFORMED ITS CHNA IN FY 2013 AND HAS IDENTIFIED THE NEEDS OF THE COMMUNITY AND SET UP ITS PRIORITY BASED ON THE NEEDS IDENTIFIED. THESE NEEDS WILL BE ADDRESSED AND WORKED ON IN THE NEXT FISCAL YEAR.GAYLORD HOSPITAL, INC.
PART V, SECTION B, LINE 16E: THE HOSPITAL'S POLICIES FOR BILLING AND COLLECTIONS DO NOT ADDRESS THE PROCESS FOR COLLECTING LATE OR BAD DEBT. IT STOPS WITH THE DEFINITIONS OF HOW NOTIFICATION OF DEBT WILL BE COMMUNICATED AND REFERENCES THE FREE CARE POLICY FOR THOSE WHO QUALIFY.GAYLORD HOSPITAL, INC.
PART VI, LINE 3: 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.
PART VI, LINE 4: 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 HOSPITAL'S PRIMARY SERVICE AREA TOWNS INCLUDE MERIDEN, NEW HAVEN, WALLINGFORD, AND WATERBURY. THE SECONDARY SERVICE AREA TOWNS ARE CHESHIRE, HAMDEN, MIDDLETOWN, NAUGATUCK, NORTH HAVEN, AND WEST HAVEN. THESE TOWNS REPRESENT APPROXIMATELY HALF OF THE HOSPITAL'S DISCHARGES. 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.
PART VI, LINE 5: GAYLORD WELLNESS LECTURE SERIES: A HEALTH CARE LECTURE SERIES IS PRESENTED BY HOSPITAL STAFF TO THE COMMUNITY AT NO CHARGE. IN 2012-2013, GAYLORD STAFF CONDUCTED 8 PRESENTATIONS, SERVING 221 PEOPLE WITHIN THE COMMUNITIES. THE HOSPITAL ASSUMED THE COST OF ADVERTISING THESE FREE COMMUNITY EVENTS, AT $11,100.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 2012-2013, 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 4 SEPARATE HEALTH SCREENINGS, WHICH CONSISTED OF 3 FALL SCREENINGS AND ONE HEARING SCREENING, AT AREA SENIOR CENTERS PROVIDING 40 HOURS OF STAFF TIME AND SERVING APPROXIMATELY 52 PEOPLE.MASTERS MANNA:THE SHELTER PROVIDES HEALTHY FOOD AND CLOTHING TO CLIENTS, WHO ALSO INCLUDE THE AREA'S POOR AND INDIGENT POPULATION. FORTY-FIVE EMPLOYEES REPORTED THEIR PARTICIPATION IN THIS ACTIVITY OVER 150 HOURS, SERVING APPROXIMATELY 700 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 FIVE SUPPORT GROUPS THAT ARE OPEN TO THE COMMUNITY, SERVING THOSE WITH SPINAL CORD INJURY, STROKE, TRAUMATIC BRAIN INJURY AND PULMONARY ISSUES. MOST MEET MONTHLY IN HOSPITAL MEETING SPACE. APPROXIMATELY 123 PEOPLE ARE SERVED IN THESE ACTIVITIES.
PART VI, LINE 6: N/A
CTREPORTS FILED WITH STATESPART VI, LINE 7

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantXIndependentConsultant
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
GEORGE KYRIACOU
PRESIDENT & CEO380723020000000550630211780476964000
JANINE EPRIGHT
VP & CFO2823780000023590194360304173000
LUIS TEBA
VP & CMO2780530000000175500295603000
CHARLOTTE HYATT
VP & INPATIENT DIRECTOR1252650003928801253080250173831000
JACQUELINE A EPRIGHT
OUTPATIENT DIRECTOR13138100047561013140194700199726000
DR KEITH DIXON
PHYSICIAN/MEDICAL DIRECTOR2211240000014460118790234449000
DR DAVID ROSENBLUM
PHYSICIAN/MEDICAL DIRECTOR2872510000025000207320310483000
DR ALYSE SICKLICK
PHYSICIAN/INPATIENT2098490000020880200970232034000
DR ALEXANDRU DINU
PHYSICIAN/INPATIENT206277000001019079440215240000
DR GREGORY MORGAN
PHYSICIAN/SLEEP RESEARCH239111000000050290244140000
JAMES J CULLEN
PRESIDENT & CFO54990000161477602600637501676401012298040

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL INFORMATIONIdentifier
Return ReferencePART IIIReturnReference
ExplanationPART 1 - LINE 4A: JAMES J. CULLEN - SEVERANCE SALARY - $384,972 CHARLOTTE HYATT - SEVERANCE SALARY & BENEFITS - $41,411 JACQUELINE A. EPRIGHT - SEVERANCE SALARY & BENEFITS - $52,600 PART 1 - LINE 4B: JAMES J. CULLEN - PAYOUT OF SERP CONTRIBUTION - $1,229,804 (INCLUDED IN 2012 W-2) GEORGE KYRIACOU - SERP CONTRIBUTION - $ 54,775Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1STATE OF CONNECTICUT HEALTH AND EDUCATIONAL FACILITIES AUTHORITY (CHEFA)BusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN060806186IssuerEIN
CUSIP Number20774UNQ4CUSIPNumber
Date Issued2007-04-01DateIssued
Issue Price21530000IssuePrice
Description Of PurposeCONSTRUCTION OF A 36-BED ADDITIONDescriptionOfPurpose
Defeased1Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds21530000TotalProceeds
Issuance Costs From Proceeds449233IssuanceCostsFromProceeds
Year Of Subst Completion2008YearOfSubstCompletion
Current Refunding0CurrentRefunding
Advance Refunding1AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Bond Iss Meet Prvt Security Pay Test0BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop0ChangeInUseBondFinancedProp
Non Qualified Bond Remed Procdrs0NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiled
Rebate Not Due Yet0RebateNotDueYet
Exception To Rebate0ExceptionToRebate
No Rebate Due0NoRebateDue
Variable Rate Issue1VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Written Proc To Monitor Reqs0WrittenProcToMonitorReqs

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoods

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F99075NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable (4 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XGIFT CERTIFICATES & MISC365722COST
XFOOD4452COST
XEQUIPMENT172787COST
XTIME & EQUIPMENT1700COST
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts1ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 6THE HOSPITAL HAS ONE CLASS OF MEMBERS. THERE IS ONE SOLE MEMBER OF THE HOSPITAL,GAYLORD FARM ASSOCIATION, INC.
FORM 990, PART VI, SECTION A, LINE 7ATHERE 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, SECTION B, LINE 11A MEETING IS HELD PRIOR TO FILING WITH THE AUDIT COMMITTEE OF THE BOARD AND SENIOR MANAGEMENT TO REVIEW THE 990 RETURNS. AFTER REVIEW, THE COMMITTEE REPORTS BACK TO THE FULL BOARD AND REVIEWS THE 990 WITH THEM. THE FULL BOARD THEN VOTES TO ACCEPT OR AMEND.
FORM 990, PART VI, SECTION B, LINE 12CANY 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, SECTION B, LINE 15GAYLORD 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 ANNUALLY 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 DURING THE SUMMER OF 2013.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9:PENSION RELATED CHANGES 5,009,717. GAINS (LOSSES) ON TRUST 428,165. NET ASSETS RELEASED FROM RESTRICTIONS -176,568. CHANGES IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT 1,718,952. LOSS ON EQUITY INVESTMENTS -219,718. RESTRICTED CONTRIBUTIONS 152,570. TEMPORARILY RESTRICTED REALIZED GAINS ON INVESTMENTS 113,506. TEMPORARILY RESTRICTED UNREALIZED GAINS ON INVESTMENTS 171,255. NET LOSS ON LEASE ABANDONMENTS -448,214. LOSS ON WHOLLY OWNED SUBSIDIARY -73,845.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XI, LINE 2CTHE 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 COMMITTEE SHALL ACQUAINT ITSELF WITH THE QUALITY AND DEPTH OF STAFFING OF THE CORPORATION'S ACCOUNTING AND FINANCIAL FUNCTIONS AND OF THE INTERNAL CONTROL SYSTEMS. THE COMMITTEE SHALL EVALUATE THE PERFORMANCE OF THE INDEPENDENT AUDITORS AND SHALL MAKE RECOMMENDATIONS, ANNUALLY OR WITH GREATER FREQUENCY AS NECESSARY, TO THE BOARD OF DIRECTORS ON THE ANNUAL SELECTION OF THE INDEPENDENT AUDITING FIRM OR ON ANY OTHER AUDIT MATTERS. THE AUDIT OVERSIGHT PROCESS AND SELECTION PROCESS OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED SINCE THE PREVIOUS YEAR.
FORM 990, PART III, LINE 4AGAYLORD OFFERS LOW-COST PROGRAMS SUCH AS A COMMUNITY AQUATICS PROGRAM AND A FITNESS PROGRAM FOR PEOPLE WITH DISABILITIES TO PROMOTE HEALTH AND WELLNESS. ASSISTIVE TECHNOLOGY EVALUATIONS ARE AVAILABLE, AS IS OUTPATIENT NUTRITIONAL COUNSELING. UNDERSCORING THE IMPORTANCE OF PATIENT AND FAMILY EDUCATION, GAYLORD SPONSORS SUPPORT GROUPS SUCH AS: ADULT CHILDREN OF ALCOHOLICS, AL-ANON, ALCOHOLICS ANONYMOUS AND NARCOTICS ANONYMOUS GROUPS; THE PEER SUPPORT PROGRAM FOR PEOPLE WITH SPINAL CORD INJURY; STROKE SUPPORT GROUP; BRAIN INJURY PATIENT AND FAMILY SUPPORT GROUP; BETTER BREATHERS GROUP; ALS SUPPORT GROUP. GAYLORD EMPLOYEES REPORT A TOTAL OF 196 HOURS SPENT IN THE COORDINATION, COUNSELING AND SUPPORT OF THESE GROUPS. ADDITIONAL HOSPITAL-FUNDED ACTIVITIES INCLUDE: SERVICES (INTERPRETERS, TTY'S, ASSISTIVE LISTENING DEVICES, VOLUME-CONTROLLED TELEPHONES AND CAPTIONED TV) FOR INDIVIDUALS WHO ARE DEAF OR HEARING IMPAIRED; INTERPRETER SERVICES FOR NON-ENGLISH-SPEAKING PATIENTS AND FAMILIES; CULTURAL AWARENESS AND DIVERSITY EDUCATION; HEALTH LITERACY AWARENESS AND PROMOTION; COMMUNITY RE-ENTRY SERVICES, A PATIENT ADVOCACY PROGRAM, AND GAYLORD IS PROVIDING LOANER I-PADS TO PATIENTS WITH SPEECH IMPAIRMENTS UNTIL THEY CAN AFFORD A DEVICE OF THEIR OWN. GAYLORD MAKES A COMMITMENT TO PROMOTE ACCESSIBILITY OF ALL SERVICES FOR PEOPLE WITH DISABILITIES INCLUDING APPROPRIATE EQUIPMENT FOR INDIVIDUALS WHO HAVE BARIATRIC NEEDS. ACCESSIBILITY ASSESSMENTS HAVE ALSO BEEN OFFERED TO CHURCHES AND PUBLIC BUILDINGS. FINANCIAL AND VOLUNTEER CONTRIBUTIONS: GAYLORD EMPLOYEES MADE CONTRIBUTIONS OF TIME AND MONEY TO HOSPITAL-SPONSORED PROGRAMS AND COMMUNITY ENDEAVORS. GAYLORD EMPLOYEES CONTRIBUTED OVER $43,956 TO THE ANNUAL APPEAL - A VOLUNTARY GIVING PROGRAM TO WHICH EMPLOYEES DESIGNATE WHERE THEIR FUNDS ARE USED WITHIN THE HOSPITAL. THE ANNUAL GAYLORD GOLF CLASSIC TOURNAMENT, HELD EVERY JUNE, NETTED $85,344 AFTER EXPENSES. THE PROCEEDS SUPPORT THE HOSPITAL'S THERAPEUTIC RECREATION DEPARTMENT PROGRAM. THERE WERE 119 EMPLOYEES WHO GAVE 443 HOURS OF VOLUNTEER TIME IN FISCAL YEAR 2013. ACTIVITIES INCLUDED BLOOD DRIVES, MAKING EASTER BASKETS, CAREER DAYS AND PICKING UP TRASH. GAYLORD ALSO PARTNERED WITH PROJECT LINUS TO MAKE BLANKETS, THE UNITED WAY FOR ITS DAY OF CARING, AND WALLINGFORD'S READ ALOUD DAY. THE IMPACT OF HOSPITAL VOLUNTEERS IS OUTSTANDING; 70 VOLUNTEERS GAVE OVER 11,411 HOURS TO GAYLORD, WHICH IS EQUIVALENT TO 5.49 FULL-TIME EMPLOYEES. CONTRIBUTIONS FROM HOSPITAL SUPPORTERS AND EMPLOYEES TO THE GOFF MEMORIAL SPECIAL NEEDS FUND TOTALED $11,044; APPROXIMATELY $14,278 OF THIS FUND WAS USED TO HELP MULTIPLE INDIVIDUALS MEET THE CHALLENGES OF AN INDEPENDENT LIFE. ITEMS MADE AVAILABLE THROUGH THE FUND INCLUDED: TUB BENCHES, MEDICAL SUPPLIES AND SERVICES, ADAPTIVE EQUIPMENT, CLOTHING, PERSONAL CARE ITEMS, FOOD AND TRANSPORT DEVICES SUCH AS WHEELCHAIRS AND WALKERS. INSURANCE COUNSELING WAS MADE AVAILABLE TO ASSIST INDIVIDUALS IN APPLYING FOR BENEFITS. IN ADDITION, GAYLORD PROVIDED QUALITY, FREE UNCOMPENSATED CARE THROUGH THE "FREE BED FUND" IN THE AMOUNT OF $118,207. GAYLORD PROVIDED OFFICE SPACE AND FINANCIAL CONTRIBUTIONS TO THE NATIONAL SPINAL CORD INJURY ASSOCIATION, CT CHAPTER THROUGH DUES, EXPENSES FOR PEER VISITORS AND CONTRIBUTIONS TO THEIR FUNDRAISERS. THE HOSPITAL'S COMMUNITY RELATIONS COMMITTEE MAKES REGULAR CONTRIBUTIONS TO COMMUNITY-BASED, NONPROFIT ORGANIZATIONS AND HEALTH-RELATED CAUSES SUCH AS RELAY FOR LIFE, THE BRAIN INJURY ASSOCIATION OF CONNECTICUT, PROJECT GRADUATIONS, AND LOCAL SOFTBALL AND LITTLE LEAGUE TEAMS. FINANCIAL SUPPORT TOTALED APPROXIMATELY $15,000. COMMUNITY HEALTH AND WELLNESS: GAYLORD EMPLOYEES DEVOTED OVER 1,100 HOURS TO A NUMBER OF HEALTH AND WELLNESS RELATED ACTIVITIES FOR THE COMMUNITY INCLUDING: THE GAYLORD WELLNESS CENTER LECTURE SERIES (PRESENTATIONS DEALING WITH TOPICS SUCH AS SLEEP DISORDERS, PHYSICAL THERAPY, LYMPHEDEMA, STRESS MANAGEMENT, SPORTS-RELATED INJURIES, FALLS INJURY PREVENTION, HEARING LOSS, OBESITY AND CURRENT TREATMENTS IN STROKE.) THREE LECTURES ON FALLS INJURY PREVENTION TO AREA SENIOR CITIZENS. ADMINISTERING FREE HEARING SCREENINGS TO CHILDREN AND ADULTS. DONATING MORE THAN 225 HOURS OF EMPLOYEE TIME TO DEVELOP AND ADMINISTER A WELLNESS PROGRAM THAT PROMOTED HEALTHY LIFESTYLES FOR EMPLOYEES. DEVOTING 220 HOURS TO THE GREATER NEW HAVEN HEART WALK. A COMMUNITY PROGRAM, THINKFIRST, IS A TRAUMA PREVENTION PROGRAM AIMED AT SCHOOL-AGED CHILDREN FROM ELEMENTARY THROUGH HIGH SCHOOL. THE PROGRAM WAS RECEIVED BY FIVE SCHOOLS IN THE STATE, REACHING APPROXIMATELY 250 STUDENTS RANGING IN AGES FROM 12 THROUGH 18. THE PROGRAM USES A "NO-PREACHING" METHOD AND INCLUDES REAL-LIFE STORIES WITH INDIVIDUALS WHO HAVE EXPERIENCED EITHER A BRAIN INJURY OR SPINAL CORD INJURY IN THE PRESENTATIONS TO EDUCATE STUDENTS ABOUT THE REALITY OF TRAUMATIC INJURIES. ADVOCACY: GAYLORD BELONGS TO TWO TRADE ORGANIZATIONS: THE NATIONAL ASSOCIATION OF LONG TERM HOSPITALS (NALTH) AND THE AMERICAN MEDICAL REHABILITATION PROVIDERS ASSOCIATION (AMRPA). THE ORGANIZATIONS ADDRESS ISSUES THAT COULD INFLUENCE LEGISLATION AFFECTING ACCESS TO CARE. SEVERAL MEMBERS OF SENIOR MANAGEMENT PARTICIPATED ON COMMITTEES AND ATTENDED MEETINGS. TAKING A LEADERSHIP ROLE IN THE ADVOCACY OF PEOPLE WITH DISABILITIES, INDIVIDUAL STAFF MEMBERS HOLD OFFICES OR BOARD POSITIONS WITH ADVOCACY GROUPS SUCH AS THE BRAIN INJURY ASSOCIATION OF CONNECTICUT AND THE NATIONAL SPINAL CORD INJURY ASSOCIATION-CONNECTICUT CHAPTER. STAFF CONTRIBUTED APPROXIMATELY 56 HOURS OF VOLUNTEER TIME RELATED TO THESE ROLES. OTHER SUPPORT SERVICES AND SPONSORED EVENTS: GAYLORD HELD A NUMBER OF EVENTS DESIGNED TO INCREASE AWARENESS OF DISABILITY (SUCH AS AN EXHIBITION OF PATIENT ART WORK AND A GOLF TOURNAMENT FOR PEOPLE WITH DISABILITIES), OR TO MEET A DESIGNATED COMMUNITY NEED (SUCH AS A HOSPITAL-SPONSORED HOLIDAY PARTY FOR UNDERPRIVILEGED CHILDREN FROM NEIGHBORING TOWNS). CREATING OPPORTUNITIES FOR PEOPLE WITH DISABILITIES TO MAXIMIZE THEIR INDIVIDUAL FUNCTIONALITY LIES IN THE HOSPITAL'S MISSION. GAYLORD'S SPORTS ASSOCIATION DEPARTMENT SPONSORED A NUMBER OF DISCOVERY NIGHT SESSIONS DESIGNED TO INTRODUCE PEOPLE WITH DISABILITIES TO ADAPTIVE SPORTING ACTIVITIES, INCLUDING WHEELCHAIR TENNIS, SKIING, SAILING, HORSEBACK RIDING, WATERSKIING, HAND CYCLING AND KAYAKING. GAYLORD CONTINUED TO HOST ARCHERY CLINICS, GOLF CLINICS, AND A WHEELCHAIR TENNIS TOURNAMENT. CONCLUSION: THE HOSPITAL IS COMMITTED TO SUPPORTING THE DESIGNATED HEALTH NEEDS OF THE COMMUNITY THROUGH THE EXPERTISE AND TIME OF ITS STAFF AS WELL AS THROUGH MONETARY DONATIONS. IN TOTAL, 300 EMPLOYEES REPORTED DONATING 4,000 HOURS OF TIME TO A HOST OF COMMUNITY- AND HOSPITAL-SPONSORED ACTIVITIES DESIGNED TO IMPROVE THE HEALTH AND FUNCTION OF PEOPLE SERVED. MANY EMPLOYEES ALSO VOLUNTEERED THEIR TIME TO PERSONAL OR COMMUNITY-BASED CAUSES SUCH AS THE BOY SCOUTS AND GIRL SCOUTS OF AMERICA, LOCAL CHURCHES AND SYNAGOGUES, AREA SCHOOLS, ANIMAL RESCUE MISSIONS, INTERNATIONAL 4H YOUTH EXCHANGE ASSOCIATION, SPECIAL OLYMPICS, AND THE MARCH OF DIMES.CONTINUATION OF PROGRAM SERVICES DESCRIPTION

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1GAYLORD SLEEP MEDICINE EQUIPMENT LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line150 GAYLORD FARM ROADAddressLine1
CityWALLINGFORDCity
StateCTState
ZIP Code06492ZIPCode
FieldValueIRS element (for citing)
EIN271698160EIN
Primary ActivitiesCPAP EQUIPMENT SALESPrimaryActivities
Legal Domicile StateCTLegalDomicileState
Total Income147536TotalIncome
EOY Assets462512EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1GAYLORD HOSPITAL INCBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
GAYLORD FARM REHABILITATION CENTER INC
PO BOX 400 GAYLORD FARM ROADWALLINGFORDCT06492061432065RESIDENTIAL CARE HOMECT501(C)(3)LINE 3GAYLORD FARM ASSOCIATION INC0
GAYLORD RESEARCH INSTITUTE INC
PO BOX 400 GAYLORD FARM ROADWALLINGFORDCT06492061460112RESEARCH ORGANIZATIONCT501(C)(3)LINE 4GAYLORD FARM ASSOCIATION INC0
THE GAYLORD FOUNDATION INC
PO BOX 400 GAYLORD FARM ROADWALLINGFORDCT06492061521864SUPPORTING CORPORATIONCT501(C)(3)LINE 11B TYPE IIGAYLORD FARM ASSOCIATION INC0
GAYLORD FARM ASSOCIATION INC
PO BOX 400 GAYLORD FARM ROADWALLINGFORDCT06492061302029SUPPORTING CORPORATIONCT501(C)(3)LINE 11B TYPE II0N/A

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1NORTH HAVEN FITNESS & WELLNESS LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 400 400 GAYLORD FARM ROADAddressLine1
CityWALLINGFORDCity
StateCTState
ZIP Code06492ZIPCode
FieldValueIRS element (for citing)
EIN201637848EIN
Primary ActivityFITNESS CENTERPrimaryActivity
Legal Domicile StateCTLegalDomicileState
Predominant Income TypeRELATEDPredominantIncomeType
Share Of Total Income-194409ShareOfTotalIncome
Share Of EOY Assets256510ShareOfEOYAssets
Disproportionate Allocations0DisproportionateAllocations
General Or Managing Partner0GeneralOrManagingPartner
Percentage Ownership0.50000PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityControlled OrgControlledOrgLegal Domicile Foreign CountryLegalDomicileForeignCountry
FARM PROPERTIES
PO BOX 400 400 GAYLORD FARM ROADWALLINGFORDCT06492061301584PROPERTY DEVELOPMENTCTGAYLORD FARM ASSOCIATION INCC0
GAYLORD RISK SOLUTIONS LTD
PO BOX 400 400 GAYLORD FARM ROADWALLINGFORDCT06492980561423INSURANCE PROVIDERGAYLORD FARM ASSOCIATION INCC0CJ
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
NORTH HAVEN FITNESS & WELLNESS LLC
B115000ACTUAL AMOUNT
GAYLORD FARM REHABILITATION CENTER INC
O508544ACTUAL AMOUNT
GAYLORD FARM REHABILITATION CENTER INC
N79143ACTUAL AMOUNT
GAYLORD FARM REHABILITATION CENTER INC
S550269ACTUAL AMOUNT

Affiliated Group Schedule AffiliatedGroupSchedule

Affiliated Schedule AffiliatedSchedule (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINTotal Grassroots LobbyingTotalGrassrootsLobbyingTotal Direct LobbyingTotalDirectLobbyingTotal Lobbying ExpendituresTotalLobbyingExpendituresOther Exempt Purpose ExpendituresOtherExemptPurposeExpendituresTotal Exempt Purpose ExpendituresTotalExemptPurposeExpendituresLobbying NontaxableLobbyingNontaxableAmountGrassroots NontaxableGrassrootsNontaxableAmountTot Lobbying Grassroot Minus NontxTotLobbyingGrassrootMinusNontxTot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontxShare Of Excess Lobbying ExpendtrsShareOfExcessLobbyingExpendtrs
GAYLORD FARM REHABILITATION CENTER INC
PO BOX 400 GAYLORD FARM ROADWALLINGFORDCT0649206143206500000$0$0000
GAYLORD RESEARCH INSTITUTE INC
PO BOX 400 GAYLORD FARM ROADWALLINGFORDCT0649206146011200000$0$0000