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      <Description>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 1,500 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>
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        <NamePerson>GARY L CARTER</NamePerson>
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        <NamePerson>PETER DECKERS MD</NamePerson>
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        <NamePerson>JAMES MONIELLO</NamePerson>
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        <NamePerson>HORATIO W YEUNG PHD</NamePerson>
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        <ManagementAndGeneral>334015</ManagementAndGeneral>
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        <ManagementAndGeneral>830714</ManagementAndGeneral>
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        <ManagementAndGeneral>3937040</ManagementAndGeneral>
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        <ProgramServices>2621502</ProgramServices>
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      <OtherExpenses>
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      <OtherAssets>
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      <OtherLiabilities>
        <Description>CAPITAL LEASE OBLIGATIONS</Description>
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      <OtherLiabilities>
        <Description>INTEREST RATE SWAP LIABILITIES</Description>
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      <OtherLiabilities>
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      <OtherLiabilities>
        <Description>TERM LOAN PROMISSORY NOTE</Description>
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      <OtherLiabilities>
        <Description>DUE TO AFFILIATES</Description>
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        <Identifier>DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:</Identifier>
        <ReturnReference>PART V, LINE 4:</ReturnReference>
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            <City>WALLINGFORD</City>
            <State>CT</State>
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      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>GAYLORD HOSPITAL, INC.</Identifier>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>GAYLORD HOSPITAL, INC.</Identifier>
        <Explanation>PART V, SECTION B, LINE 5C: GAYLORD'S CHNA CAN ALSO BE FOUND IN A COMPILATION AT THE CONNECTICUT HOSPITAL ASSOCIATION.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>GAYLORD HOSPITAL, INC.</Identifier>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>GAYLORD HOSPITAL, INC.</Identifier>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 6: N/A</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>REPORTS FILED WITH STATES</Identifier>
        <ReturnReference>PART VI, LINE 7</ReturnReference>
        <Explanation>CT</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
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        <NamePerson>GEORGE KYRIACOU</NamePerson>
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        <NamePerson>JANINE EPRIGHT</NamePerson>
        <Title>VP &amp; CFO</Title>
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        <NamePerson>LUIS TEBA</NamePerson>
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        <NamePerson>CHARLOTTE HYATT</NamePerson>
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        <NamePerson>JACQUELINE A EPRIGHT</NamePerson>
        <Title>OUTPATIENT DIRECTOR</Title>
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        <NamePerson>DR KEITH DIXON</NamePerson>
        <Title>PHYSICIAN/MEDICAL DIRECTOR</Title>
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        <NamePerson>DR DAVID ROSENBLUM</NamePerson>
        <Title>PHYSICIAN/MEDICAL DIRECTOR</Title>
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        <NamePerson>DR ALYSE SICKLICK</NamePerson>
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        <NamePerson>DR ALEXANDRU DINU</NamePerson>
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        <NamePerson>DR GREGORY MORGAN</NamePerson>
        <Title>PHYSICIAN/SLEEP RESEARCH</Title>
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        <NamePerson>JAMES J CULLEN</NamePerson>
        <Title>PRESIDENT &amp; CFO</Title>
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        <Identifier>SUPPLEMENTAL INFORMATION</Identifier>
        <ReturnReference>PART III</ReturnReference>
        <Explanation>PART 1 - LINE 4A: JAMES J. CULLEN - SEVERANCE SALARY - $384,972 CHARLOTTE HYATT - SEVERANCE SALARY &amp; BENEFITS - $41,411 JACQUELINE A. EPRIGHT - SEVERANCE SALARY &amp; 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 - $ 54,775</Explanation>
      </Form990ScheduleJPartIII>
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        <IssuerName>
          <BusinessNameLine1>STATE OF CONNECTICUT HEALTH AND EDUCATIONAL FACILITIES AUTHORITY (CHEFA)</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>060806186</IssuerEIN>
        <CUSIPNumber>20774UNQ4</CUSIPNumber>
        <DateIssued>2007-04-01</DateIssued>
        <IssuePrice>21530000</IssuePrice>
        <DescriptionOfPurpose>CONSTRUCTION OF A 36-BED ADDITION</DescriptionOfPurpose>
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        <NonQualifiedBondRemedProcdrs>0</NonQualifiedBondRemedProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiled>0</Form8038TFiled>
        <RebateNotDueYet>0</RebateNotDueYet>
        <ExceptionToRebate>0</ExceptionToRebate>
        <NoRebateDue>0</NoRebateDue>
        <VariableRateIssue>1</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <WrittenProcToMonitorReqs>0</WrittenProcToMonitorReqs>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <ClothingAndHouseholdGoods>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NoncashContribsRptdF990>75</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FMV</MethodOfDeterminingRevenues>
      </ClothingAndHouseholdGoods>
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>GIFT CERTIFICATES &amp; MISC</Description>
        <NumberOfContributions>36</NumberOfContributions>
        <NoncashContribsRptdF990>5722</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>COST</MethodOfDeterminingRevenues>
      </OtherNonCashContributionsTable>
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>FOOD</Description>
        <NumberOfContributions>4</NumberOfContributions>
        <NoncashContribsRptdF990>452</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>COST</MethodOfDeterminingRevenues>
      </OtherNonCashContributionsTable>
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>EQUIPMENT</Description>
        <NumberOfContributions>17</NumberOfContributions>
        <NoncashContribsRptdF990>2787</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>COST</MethodOfDeterminingRevenues>
      </OtherNonCashContributionsTable>
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>TIME &amp; EQUIPMENT</Description>
        <NumberOfContributions>1</NumberOfContributions>
        <NoncashContribsRptdF990>700</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>COST</MethodOfDeterminingRevenues>
      </OtherNonCashContributionsTable>
      <NumberOf8283Received>0</NumberOf8283Received>
      <AnyPropertyThatMustBeHeld>0</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>1</ReviewProcessUnusualNCGifts>
      <ThirdPartiesUsed>0</ThirdPartiesUsed>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 6</ReturnReference>
        <Explanation>THE HOSPITAL HAS ONE CLASS OF MEMBERS. THERE IS ONE SOLE MEMBER OF THE HOSPITAL,GAYLORD FARM ASSOCIATION, INC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7A</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>A 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>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 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 9:</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART XI, LINE 2C</ReturnReference>
        <Explanation>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 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CONTINUATION OF PROGRAM SERVICES DESCRIPTION</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 4A</ReturnReference>
        <Explanation>GAYLORD 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.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>GAYLORD SLEEP MEDICINE EQUIPMENT LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>50 GAYLORD FARM ROAD</AddressLine1>
          <City>WALLINGFORD</City>
          <State>CT</State>
          <ZIPCode>06492</ZIPCode>
        </AddressUS>
        <EIN>271698160</EIN>
        <PrimaryActivities>CPAP EQUIPMENT SALES</PrimaryActivities>
        <LegalDomicileState>CT</LegalDomicileState>
        <TotalIncome>147536</TotalIncome>
        <EOYAssets>462512</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>GAYLORD HOSPITAL INC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>GAYLORD FARM REHABILITATION CENTER INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 400 GAYLORD FARM ROAD</AddressLine1>
          <City>WALLINGFORD</City>
          <State>CT</State>
          <ZIPCode>06492</ZIPCode>
        </AddressUS>
        <EIN>061432065</EIN>
        <PrimaryActivities>RESIDENTIAL CARE HOME</PrimaryActivities>
        <LegalDomicileState>CT</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>GAYLORD FARM ASSOCIATION INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>GAYLORD RESEARCH INSTITUTE INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 400 GAYLORD FARM ROAD</AddressLine1>
          <City>WALLINGFORD</City>
          <State>CT</State>
          <ZIPCode>06492</ZIPCode>
        </AddressUS>
        <EIN>061460112</EIN>
        <PrimaryActivities>RESEARCH ORGANIZATION</PrimaryActivities>
        <LegalDomicileState>CT</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 4</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>GAYLORD FARM ASSOCIATION INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>THE GAYLORD FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 400 GAYLORD FARM ROAD</AddressLine1>
          <City>WALLINGFORD</City>
          <State>CT</State>
          <ZIPCode>06492</ZIPCode>
        </AddressUS>
        <EIN>061521864</EIN>
        <PrimaryActivities>SUPPORTING CORPORATION</PrimaryActivities>
        <LegalDomicileState>CT</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 11B TYPE II</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>GAYLORD FARM ASSOCIATION INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>GAYLORD FARM ASSOCIATION INC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>PO BOX 400 GAYLORD FARM ROAD</AddressLine1>
          <City>WALLINGFORD</City>
          <State>CT</State>
          <ZIPCode>06492</ZIPCode>
        </AddressUS>
        <EIN>061302029</EIN>
        <PrimaryActivities>SUPPORTING CORPORATION</PrimaryActivities>
        <LegalDomicileState>CT</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 11B TYPE II</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>NORTH HAVEN FITNESS &amp; WELLNESS LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>PO BOX 400 400 GAYLORD FARM ROAD</AddressLine1>
          <City>WALLINGFORD</City>
          <State>CT</State>
          <ZIPCode>06492</ZIPCode>
        </AddressUS>
        <EIN>201637848</EIN>
        <PrimaryActivity>FITNESS CENTER</PrimaryActivity>
        <LegalDomicileState>CT</LegalDomicileState>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>-194409</ShareOfTotalIncome>
        <ShareOfEOYAssets>256510</ShareOfEOYAssets>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
        <PercentageOwnership>0.50000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>FARM PROPERTIES</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>PO BOX 400 400 GAYLORD FARM ROAD</AddressLine1>
          <City>WALLINGFORD</City>
          <State>CT</State>
          <ZIPCode>06492</ZIPCode>
        </AddressUS>
        <EIN>061301584</EIN>
        <PrimaryActivity>PROPERTY DEVELOPMENT</PrimaryActivity>
        <LegalDomicileState>CT</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>GAYLORD FARM ASSOCIATION INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>GAYLORD RISK SOLUTIONS LTD</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>PO BOX 400 400 GAYLORD FARM ROAD</AddressLine1>
          <City>WALLINGFORD</City>
          <State>CT</State>
          <ZIPCode>06492</ZIPCode>
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        <EIN>980561423</EIN>
        <PrimaryActivity>INSURANCE PROVIDER</PrimaryActivity>
        <LegalDomicileForeignCountry>CJ</LegalDomicileForeignCountry>
        <DirectControllingEntityName>
          <BusinessNameLine1>GAYLORD FARM ASSOCIATION INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>1</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>0</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <DividendsRelatedOrganization>0</DividendsRelatedOrganization>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>1</SharingOfFacilities>
      <SharingOfPaidEmployees>1</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>0</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
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        <MethodOfAmtDetermination>ACTUAL AMOUNT</MethodOfAmtDetermination>
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        <MethodOfAmtDetermination>ACTUAL AMOUNT</MethodOfAmtDetermination>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>GAYLORD FARM REHABILITATION CENTER INC</BusinessNameLine1>
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        <AmountInvolved>79143</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL AMOUNT</MethodOfAmtDetermination>
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