2026-08-12T13:21:13+00:00 2025-09-30 350921680 CROWE LLP 5100 TOWN CENTER CIR 420 420 BOCA RATON FL 33486 990 2024-10-01 060646649 GAYLORD HOSPITAL INC GAYL 2032842800 PO BOX 400 GAYLORD FARM ROAD WALLINGFORD CT 06492 CHRISTOPHER HAYES CFO 2026-08-12 true BRITTNEY KOCAJ P01320603 5618071600 2026-08-12 2024 2025-03-06 01:10:19Z SONJA LABARBERA PO BOX 400 GAYLORD FARM ROAD WALLINGFORD CT 06492 109910286 false X WWW.GAYLORD.ORG X 1991 CT TO ENHANCE HEALTH, MAXIMIZE FUNCTION AND TRANSFORM LIVES. 26 24 1219 89 0 6119557 6605985 94834785 98061159 808703 483705 764479 508528 102527524 105659377 0 0 0 0 68485065 71529663 0 0 1454843 31368834 32766095 99853899 104295758 2673625 1363619 133851057 135095219 31534420 29973570 102316637 105121649 TO ENHANCE HEALTH, MAXIMIZE FUNCTION AND TRANSFORM LIVES. false false 87796590 0 98448878 GAYLORD SPECIALTY HEALTHCARE IS A NATIONALLY RENOWNED, INDEPENDENT, NONPROFIT HEALTH SYSTEM OFFERING SPECIALLY DESIGNED AND ACCREDITED MEDICAL MANAGEMENT AND INTENSIVE REHABILITATION FROM COMMON TO CATASTROPHIC ILLNESS OR INJURY. IT SPECIALIZES IN PROGRAMS FOR PATIENTS WITH SPINAL CORD INJURY, STROKE, BRAIN INJURY, PULMONARY, AND COMPLEX MEDICAL CASES. GAYLORD OUTPATIENT SERVICES REHABILITATES PATIENTS IN THE COMMUNITY, AND PHYSICAL THERAPY, ORTHOPEDICS, AND SPORTS MEDICINE HELP ATHLETES RECOVER TO PEAK PHYSICAL PERFORMANCE AFTER INJURY, LEVERAGING LEADING-EDGE TECHNOLOGY AND PROVIDER EXPERTISE. IN ADDITION, GAYLORD IS HOME TO THE MILNE INSTITUTE FOR HEALTHCARE INNOVATION, PROVIDING ACCESS TO LEADING-EDGE RESEARCH IN REHABILITATIVE MEDICINE, AND TRAURIG HOUSE, OFFERING A TRANSITIONAL LIVING EXPERIENCE FOR BRAIN-INJURED AND STROKE PATIENTS AS AN INTERIM STEP BETWEEN HOSPITAL AND HOME. (CONTINUED ON SCHEDULE O) 87796590 true true false true false false false false false true true false false true true true false true false false false false false false true false true true false false true true false false false false false false false false false false true true false false false true false false false false true 229 0 true 1219 true false false false false false true true false false false false false false X 26 24 false false false false true true false true true false false false true true true true true true true true false false X CHRIS HAYES CFO 2032842800 GAYLORD FARM ROAD WALLINGFORD CT 06492 CONNOR DOLAN ASSISTANT TREASURER (FROM 12/17/24)/DIRECTOR 1.0 1.0 X X 0 0 0 DIANA WAKERLEY SECRETARY/DIRECTOR 1.0 1.0 X X 0 0 0 KIM HEALEY ASSISTANT SECRETARY (FROM 12/17/24)/DIRECTOR 1.0 1.0 X X 0 0 0 MICHAEL IVY MD CMO 40.0 0 X X 362956 0 20661 MICHELE VOLPE ESQ VICE CHAIR (THRU 12/17/24), CHAIR /DIRECTOR 1.0 4.0 X X 0 0 0 ROBERT J LYONS JR TREASURER/DIRECTOR 1.0 1.0 X X 0 0 0 ROBERT MCHUGH CHAIR (THRU 12/17/24), VICE CHAIR/DIRECTOR 1.0 4.0 X X 0 0 0 SONJA LABARBERA PRESIDENT & CEO 36.0 4.0 X X 739704 0 53901 BRIAN LAWLOR DIRECTOR 1.0 1.0 X 0 0 0 CARLY BROWN DIRECTOR 1.0 1.0 X 0 0 0 CLEMENT LEWIN PHD DIRECTOR 1.0 1.0 X 0 0 0 ERIKA SMITH DIRECTOR 1.0 1.0 X 0 0 0 GEORGE MILNE PHD DIRECTOR 1.0 1.0 X 0 0 0 JOHN MOTLEY DIRECTOR 1.0 2.0 X 0 0 0 LEN SUZIO DIRECTOR (BEGAN 12/17/24) 1.0 1.0 X 0 0 0 LUCY SIRICO DIRECTOR (BEGAN 12/17/24) 1.0 1.0 X 0 0 0 MARCELLE APPLEWHAITE DIRECTOR (BEGAN 12/17/24) 1.0 1.0 X 0 0 0 MARY LOU BOUTWELL DIRECTOR (BEGAN 12/17/24) 1.0 1.0 X 0 0 0 MARY PEPE DIRECTOR 1.0 2.0 X 0 0 0 MICHAEL BROODER DIRECTOR 1.0 1.0 X 0 0 0 ROBERT PRETI PHD DIRECTOR 1.0 1.0 X 0 0 0 RYAN O'CONNELL MD DIRECTOR 1.0 2.0 X 0 0 0 STEVE RYDER MD DIRECTOR 1.0 1.0 X 0 0 0 STEVEN ANGUS DIRECTOR 1.0 1.0 X 0 0 0 SUSAN WHETSONE DIRECTOR 1.0 1.0 X 0 0 0 WILLIAM SIMIONE III DIRECTOR 1.0 1.0 X 0 0 0 CHRIS HAYES VP & CFO 37.0 3.0 X 378367 0 9167 LISA KALAFUS CNO 40.0 0 X 237097 0 5379 CRAIG STEARNS CIO 40.0 0 X 166279 0 3740 MITCHELL PODOB VP HUMAN RESOURCES 40.0 0 X 225796 0 5106 PETER GREVELDING COO 40.0 1.0 X 273133 0 5962 TARA KNAPP VP OF EXTERNAL AFFAIRS 40.0 0 X 186464 0 34297 DR ALYSE SICKLICK PHYSICIAN/INPATIENT 40.0 0 X 260658 0 29229 DR DAVID ROSENBLUM PHYSICIAN/MEDICAL DIRECTOR 40.0 0 X 357935 0 38156 DR HONGMEI WANG PHYSICIAN/INPATIENT 40.0 0 X 263931 0 5157 DR JERROLD KAPLAN PHYSICIAN/MEDICAL DIRECTOR 40.0 0 X 475491 0 41338 DR PATRICK SIEGELE PHYSICIAN/OUTPATIENT 40.0 0 X 233185 0 44822 STEPHEN HOLLAND FORMER CMO (THRU 3/31/24), MEDICAL CONSULTANT 5.0 0 X 210754 0 12555 4371750 0 309470 129 true true false NORTHEAST MEDICAL GROUP PO BOX 9403 NEW HAVEN CT 06534 PHYSICIAN SERVICES 3184420 MORRISON MANAGEMENT SPECIALIST PO BOX 102289 ATLANTA GA 30368 DIETARY SERVICES 1163840 IMAGE FIRST MEDICAL WEAR PO BOX 61323 KING OF PRUSSIA PA 19406 LAUNDRY & LINEN SERVICES 795713 QUEST DIAGNOSTICS 500 PLAZA DRIVE SECAUCUS NJ 07094 LABORATORY 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76000 26560782 21897007 1443119 2148165 0 2541025 114000 22833266 20978353 1765517 831658 0 1640521 38000 21897007 19602021 847894 1506975 0 902537 76000 20978353 0.64 0.23 0.13 false false 113938 113938 55249018 43791694 11457324 27452368 8883681 18568687 52714349 28560446 24153903 2032067 2032067 56325919 UNAMORTIZED BOND COSTS 180776 DUE FROM AFFILIATES 4793044 OTHER ASSETS 201335 INTEREST IN NET ASSETS OF GRI 2027 OPERATING LEASE ASSET 3309363 OTHER ASSET HELD BY TRUSTEE-ESCROW FROM LOAN ASSETS HELD UNDER BOND INDENTURE 208303 8694848 0 FEDERAL INCOME TAXES 0 DUE TO THIRD PARTY 17234 ROU LT AND ST LIABILITY 3402665 INTEREST RATE SWAP LIABILITIES 300369 DUE TO AFFILIATES 2027 ACCRUED PENSION LIABILITY 254779 3977074 X 0 0 0 0 0 0 0 0 0 0 0 0 SCHEDULE D, PART V, LINE 4 INTENDED USES OF ENDOWMENT FUNDS THE ENDOWMENT CONSISTS OF MULTIPLE FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. THE ENDOWMENT INCLUDES BOTH DONOR-RESTRICTED ENDOWMENT FUNDS AND FUNDS DESIGNATED BY THE BOARD OF DIRECTORS TO FUNCTION AS ENDOWMENTS. THE TEMPORARILY RESTRICTED NET ASSETS ARE AVAILABLE FOR HEALTH CARE SERVICES SUCH AS PATIENT SPECIAL NEEDS, AS WELL AS OTHER RESTRICTED PURPOSES AND CAPITAL CAMPAIGNS. THE PERMANENTLY RESTRICTED NET ASSETS ARE RESTRICTED FOR THE PURPOSES OF INVESTMENTS TO BE HELD IN PERPETUITY, THE INCOME OF WHICH IS EXPENDABLE TO SUPPORT PATIENT SPECIAL NEEDS AND OTHER SERVICES; AND FOR THE BENEFICIAL INTEREST IN TRUSTS HELD BY OTHERS, THE INCOME OF WHICH IS EXPENDABLE TO SUPPORT OTHER HEALTH CARE SERVICES. SCHEDULE D, PART X, LINE 2 FIN 48 (ASC 740) FOOTNOTE THE ASSOCIATION IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. GRS IS A NOT-FOR-PROFIT CAPTIVE INSURANCE COMPANY ORGANIZED UNDER THE LAWS OF THE CAYMAN ISLANDS. ALL ENTITIES ARE NOT-FOR-PROFIT ENTITIES. 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, 2025 AND 2024. THE ASSOCIATION RECOGNIZES INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS WITHIN OTHER OPERATING EXPENSES. AS OF SEPTEMBER 30, 2025 AND 2024, THE ASSOCIATION DID NOT RECORD ANY PENALTIES OR INTEREST ASSOCIATED WITH UNCERTAIN TAX POSITIONS. THE ASSOCIATION'S PRIOR THREE TAX YEARS ARE OPEN AND SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. GAYLORD GAUNTLET (5K) 129774 63558 66216 26164 4675 238 35139 GAYLORD GOLF CLASSIC 106762 49775 56987 29378 25740 1869 1 104819 74254 30565 50 18153 9896 1500 966 341355 187587 153768 26214 52206 35874 1500 37974 153768 0 true true X true X 250 true X 550 true false false 15132 15132 0 0.0 14443001 6770705 7672296 0.07356 0 0.0 0 0 14458133 6785837 7672296 0.07356 43196 0 43196 0.00041 737163 0 737163 0.00707 0 0.0 371581 289008 82573 0.00079 59685 0 59685 0.00057 0 0 1211625 289008 922617 0.00885 0 0 15669758 7074845 8594913 0.08241 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 72 23982 23982 0.00023 0 0.0 0 0.0 0 0.0 72 0 23982 0 23982 0.00023 true 0 0 13711922 16808778 -3096856 X true true 1 1 GAYLORD HOSPITAL INC PO BOX 400 WALLINGFORD CT 06492 WWW.GAYLORD.ORG CDH.00002CD X LONG-TERM ACUTE CARE HOSPITAL/OUTPATIENT CLINIC/SLEEP SERVICES GAYLORD HOSPITAL INC 1 false false true X X X X X X X X X 24 true false false true X https://www.gaylord.org/about X true 24 true https://www.gaylord.org/about false true X 250.0 550.0 X X X true true X X X X true X https://www.gaylord.org/billing-services#Financial-Assistance X https://www.gaylord.org/billing-services#Financial-Assistance X https://www.gaylord.org/billing-services#Financial-Assistance X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 3E GAYLORD EXAMINED THE COMMUNITY IDENTIFIED AS OUR SERVICE POPULATION THROUGH HEALTH DATA FROM SEVERAL SOURCES. GAYLORD THEN SURVEYED THAT COMMUNITY BY CANVASSING PATIENTS AND COMMUNITY STAKEHOLDERS. SEVERAL NEEDS WERE IDENTIFIED. THE HOSPITAL THEN REVIEWED ITS EXISTING PROGRAMS AND OUTREACH VEHICLES; ITS HUMAN AND FINANCIAL RESOURCES AND THE POTENTIAL FOR COMMUNITY PARTNERSHIPS. IT TOOK INTO ACCOUNT THE HEALTH IMPACTS OF THE NEEDS; THE NUMBER OF PEOPLE THAT COULD BE AFFECTED; THE IMPACT ON THE COMMUNITY'S QUALITY OF LIFE AND OTHER FACTORS. FROM THIS, THE HOSPITAL PRIORITIZED THE FOUR MAIN NEEDS IT WOULD FOCUS ON ADDRESSING. SCHEDULE H, PART V, SECTION B, LINE 5 FACILITY , 1 FACILITY , 1 - GAYLORD HOSPITAL, INC.. BEGINNING IN JANUARY 2025 AND ENDING IN JULY 2025 FEEDBACK WAS GATHERED FROM PATIENTS AND COMMUNITY STAKEHOLDERS TO BETTER UNDERSTAND THE STRATEGIES THEY CURRENTLY USE TO MAINTAIN THEIR HEALTH, THEIR EXPERIENCES WITH ASSESSING HEALTH CARE SERVICES AND BARRIERS TO CARE, AND THEIR PERCEPTIONS OF GAPS IN CARE AND COMMUNITY RESOURCES. THIS WAS DONE IN THE FORM OF SURVEYS. GAYLORD SURVEYED OUR REFERRAL SOURCES, SPORTS ASSOCIATION PATIENTS (ONLINE SURVEYS), BRAIN INJURY ASSOCIATION OF CONNECTICUT (ONLINE SURVEYS), CONNECTICUT STROKE ASSOCIATION (ONLINE SURVEYS), WALLINGFORD HEALTH DEPARTMENT, AND CHESPROCOTT HEALTH DISTRICT. A TOTAL OF 56 SURVEYS WERE RECEIVED IN RESPONSE TO THE GAYLORD COMMUNITY HEALTH NEEDS ASSESSMENT. SURVEY RESPONDENTS WERE ASKED TO IDENTIFY ANY BARRIERS THAT EXIST IN THE COMMUNITY AND AT GAYLORD HOSPITAL IN ACCESSING THE CARE NEEDED TO MAINTAIN HEALTH; TO IDENTIFY AREAS OF UNMET NEED OR SERVICES THAT ARE NOT CURRENTLY AVAILABLE; HOW WELL GAYLORD SERVES THE NEEDS OF INDIVIDUALS WITH SPINAL CORD INJURY, BRAIN INJURY, AND PULMONARY DISEASES AND TO IDENTIFY KEY IMPROVEMENTS TO PROVIDE BETTER HEALTH CARE TO THE COMMUNITIES IT SERVES. SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY , 1 FACILITY , 1 - GAYLORD HOSPITAL. DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2025, GAYLORD SPECIALTY HEALTHCARE CONTINUED TO IMPLEMENT INITIATIVES IDENTIFIED IN ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). EFFORTS DURING THE YEAR FOCUSED ON EXPANDING HEALTH EDUCATION, STRENGTHENING SUPPORT FOR PATIENTS AND CAREGIVERS, IMPROVING ACCESS TO SPECIALIZED REHABILITATION SERVICES, AND ADVANCING ENVIRONMENTAL SUSTAINABILITY. KEY ACTIVITIES UNDERTAKEN DURING THE REPORTING PERIOD ARE SUMMARIZED BELOW. HEALTH EDUCATION & AWARENESS: TO IMPROVE HEALTH EDUCATION AND AWARENESS, GAYLORD LAUNCHED AN ONLINE EDUCATIONAL VIDEO LIBRARY FOR PATIENTS, FAMILIES, AND CAREGIVERS. DURING THE REPORTING PERIOD, MORE THAN 20 DIAGNOSIS-SPECIFIC EDUCATIONAL VIDEOS COVERING SPINAL CORD INJURY, BRAIN INJURY, AND STROKE REHABILITATION WERE DEVELOPED AND MADE PUBLICLY AVAILABLE THROUGH GAYLORD'S WEBSITE AND YOUTUBE CHANNEL. THESE RESOURCES PROVIDE ACCESSIBLE REHABILITATION EDUCATION AND SUPPORT PATIENTS AND CAREGIVERS BEYOND THE HOSPITAL SETTING. CAREGIVER AND PATIENT SUPPORT: GAYLORD STRENGTHENED SUPPORT FOR PATIENTS AND CAREGIVERS BY IMPLEMENTING SEVERAL NEW INITIATIVES. THE ORGANIZATION DEVELOPED A "WHAT TO EXPECT" GUIDE THAT IS PROVIDED TO EVERY INPATIENT UPON ADMISSION AND INCLUDES INFORMATION ABOUT REHABILITATION SERVICES AND AVAILABLE PATIENT SUPPORT GROUPS. SUPPORT GROUP INFORMATION WAS ALSO ADDED TO GAYLORD'S WEBSITE TO IMPROVE COMMUNITY AWARENESS AND ACCESSIBILITY. IN MAY 2025, GAYLORD LAUNCHED A WEEKLY CAREGIVER SUPPORT GROUP TO PROVIDE EMOTIONAL AND SPIRITUAL SUPPORT, PEER CONNECTION, AND RESOURCES FOR FAMILY MEMBERS AND CAREGIVERS THROUGHOUT THE REHABILITATION PROCESS. IN ADDITION, GAYLORD ESTABLISHED A MULTIDISCIPLINARY COMMITTEE TO DEVELOP WORKFLOWS FOR EXPANDING ITS VIRTUAL NURSING PLATFORM TO INCLUDE ENHANCED DISCHARGE SUPPORT AND A DEDICATED POST-DISCHARGE HEALTHLINE, BUILDING ON ITS EXISTING CASE MANAGER FOLLOW-UP PROCESS. ACCESS TO QUALITY CARE: TO IMPROVE ACCESS TO SPECIALIZED REHABILITATION SERVICES, GAYLORD LAUNCHED PHASE 1 OF ITS SPINAL CORD INJURY DAY TREATMENT PROGRAM IN AUGUST 2025. THE OUTPATIENT DAY TREATMENT PROGRAM WAS DEVELOPED TO ADDRESS GAPS IN POST-ACUTE REHABILITATION SERVICES FOR INDIVIDUALS WITH SPINAL CORD INJURIES WHILE EVALUATING COMMUNITY NEED PRIOR TO EXPANDING THE PROGRAM. ENVIRONMENTAL STEWARDSHIP & SUSTAINABLE HEALTHCARE: GAYLORD EXPANDED ITS ENVIRONMENTAL SUSTAINABILITY EFFORTS BY IMPLEMENTING A FOOD WASTE COMPOSTING PROGRAM IN PARTNERSHIP WITH BLUE EARTH COMPOSTING. DURING THE REPORTING PERIOD, FOOD WASTE FROM PATIENT MEALS, THE CAFETERIA, AND KITCHEN OPERATIONS WAS DIVERTED FROM LANDFILLS FOR COMPOSTING, SUPPORTING THE ORGANIZATION'S SUSTAINABILITY GOALS AND REDUCING ITS ENVIRONMENTAL IMPACT. 0 SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT SPECIALTY HOSPITALS, SUCH AS GAYLORD HOSPITAL WHICH IS A LICENSED CHRONIC DISEASE HOSPITAL IN THE STATE OF CONNECTICUT, ARE NOT REQUIRED TO FILE A COMMUNITY BENEFIT REPORT WITH THE STATE. SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY USED TO CALCULATE FINANCIAL ASSISTANCE MEDICARE COST TO CHARGE RATIO WAS USED IN 7A & B. ALL OTHER COSTS ARE BASED ON ACTUAL COST OF PROVIDING THE PROGRAMS AND BENEFITS. SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES AS A SPECIALTY HOSPITAL, GAYLORD RESPONDS TO THE NEEDS OF THE COMMUNITY BASED ON THE EXPERTISE AND RESOURCES IT MAINTAINS. THESE ACTIVITIES FOCUS ON MEDICAL REHABILITATION, THERAPY SERVICES, REHABILITATION NURSING, AND COMMUNITY GOODWILL ENDEAVORS SUCH AS VOLUNTEER INVOLVEMENT IN COMMUNITY ACTIVITIES DESIGNED TO PROMOTE WELLNESS OR CAUSES FOR UNDER-SERVED POPULATIONS. GAYLORD SPONSORS SUPPORT GROUPS: GAYLORD HOSPITAL OFFERS FOUR SELF-HELP 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 96 MEETINGS THROUGHOUT THE YEAR, WHICH APPROXIMATELY 75 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 MULTIPLE SUPPORT GROUPS THAT ARE OPEN TO THE COMMUNITY, SERVING THOSE WITH SPINAL CORD INJURY, STROKE, TRAUMATIC BRAIN INJURY, CARDIAC AND PULMONARY ISSUES AND A COVID SUPPORT GROUP FOR POST ILLNESS ISSUES. WE HAVE CONTINUED THESE GROUPS SOME IN PERSON AND OTHERS THROUGH ZOOM OR OTHER WEB COMMUNICATIONS TOOLS SO THAT THE COMMUNITIES COULD STILL MEET AND ADDRESS THEIR ISSUES. GAYLORD ALSO REACHES OUT TO THE COMMUNITY THROUGH ITS SPORTS ASSOCIATION RUNNING MULTIPLE CLINICS FOR THOSE WHO HAVE SUFFERED SPINAL CORD AND TRAUMATIC BRAIN INJURIES. IN TOTAL GAYLORD HAS SPONSORED OVER 300 COMMUNITY EVENTS. SCHEDULE H, PART III, LINE 2 BAD DEBT EXPENSE - METHODOLOGY USED TO ESTIMATE AMOUNT FOR FINANCIAL STATEMENT PURPOSES, GAYLORD HOSPITAL, INC. HAS ADOPTED ACCOUNTING STANDARDS UPDATE NO. 2014-09 (TOPIC 606). IMPLICIT PRICE CONCESSIONS INCLUDES BAD DEBTS. THEREFORE, BAD DEBTS ARE INCLUDED IN NET PATIENT REVENUE IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15 AND BAD DEBT EXPENSE IS NOT SEPARATELY REPORTED AS AN EXPENSE. SCHEDULE H, PART III, LINE 4 BAD DEBT EXPENSE - FINANCIAL STATEMENT FOOTNOTE THE TEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE CAN BE FOUND ON PAGE 13-15 OF THE CONSOLIDATED AUDIT REPORT. SCHEDULE H, PART III, LINE 8 COMMUNITY BENEFIT & METHODOLOGY FOR DETERMINING MEDICARE COSTS NON-NEGOTIABLE MEDICARE RATES ARE SOMETIMES OUT-OF-LINE WITH THE TRUE COSTS OF TREATING MEDICARE PATIENTS. BY CONTINUING TO TREAT PATIENTS ELIGIBLE FOR MEDICARE, HOSPITALS ALLEVIATE THE FEDERAL GOVERNMENT'S BURDEN FOR DIRECTLY PROVIDING MEDICAL SERVICES. THE IRS HAS ACKNOWLEDGED THAT LESSENING THE GOVERNMENT BURDEN ASSOCIATED WITH PROVIDING MEDICARE BENEFITS IS A CHARITABLE PURPOSE. IRS REV. RUL. 69-545 STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. ANY SHORTFALLS WOULD BE VIEWED AS A COMMUNITY BENEFIT. SCHEDULE H, PART III, LINE 9B COLLECTION PRACTICES FOR PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE HOSPITAL PRACTICE IS TO CONTACT THE PATIENT PRIOR TO COLLECTIONS OR WRITE OFF OF ANY OUTSTANDING RECEIVABLE AMOUNT AND INQUIRE AGAIN WHETHER THEY WOULD LIKE TO APPLY OR THINK THEY QUALIFY FOR FREE CARE UNDER OUR HOSPITAL POLICY. IF AFTER REVIEW THE PATIENT QUALIFIES, THEN THE AMOUNT WOULD BE ADJUSTED AS CHARITY CARE; IF NOT, THE DEBT WOULD GO TO COLLECTIONS AND FOLLOW THE COLLECTION/BAD DEBT POLICY FROM THERE. THE HOSPITAL WILL MAKE EVERY REASONABLE EFFORT TO ASSIST PATIENTS AND FAMILIES IN OBTAINING FINANCIAL ASSISTANCE OR MAKING PAYMENT ARRANGEMENTS FOR SERVICES. SCHEDULE H, PART V, SECTION B, LINE 16A FAP WEBSITE - GAYLORD HOSPITAL, INC.: LINE 16A URL: HTTPS://WWW.GAYLORD.ORG/BILLING-SERVICES#FINANCIAL-ASSISTANCE; SCHEDULE H, PART V, SECTION B, LINE 16B FAP APPLICATION WEBSITE - GAYLORD HOSPITAL, INC.: LINE 16B URL: HTTPS://WWW.GAYLORD.ORG/BILLING-SERVICES#FINANCIAL-ASSISTANCE; SCHEDULE H, PART V, SECTION B, LINE 16C FAP PLAIN LANGUAGE SUMMARY WEBSITE - GAYLORD HOSPITAL, INC.: LINE 16C URL: HTTPS://WWW.GAYLORD.ORG/BILLING-SERVICES#FINANCIAL-ASSISTANCE; SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT GAYLORD HAS EMPLOYEES PARTICIPATE IN COMMUNITY BASED ORGANIZATIONS SUCH AS REGIONAL CHAMBERS OF COMMERCE, AS WELL AS SIT ON THE BOARDS OF SEVERAL MEDICAL BASED GROUPS (UNITED SPINAL AND BIAC: BRAIN INJURY ASSOC. OF CONNECTICUT). GAYLORD ALSO STAFFS MANY SUPPORT GROUPS, I.E. , AMPUTEE SUPPORT GROUP, COVID SURVIVORS SUPPORT GROUP. ALL OF THESE INTERACTIONS HELP EDUCATE AND INFORM MEMBERS OF THE ORGANIZATION ABOUT THE NEEDS OF THE COMMUNITY. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE GAYLORD HOSPITAL INFORMS PATIENTS AND THEIR FAMILIES ABOUT FINANCIAL ASSISTANCE AND THE CHARITY CARE POLICY DURING THE REFERRAL AND ADMISSION PROCESS FOR ALL SERVICES. INFORMATION IS POSTED THROUGHOUT THE HOSPITAL. SIGNS ARE PLACED AT ALL PATIENT RECEPTION DESK; IN THE ELEVATORS AND HIGH PATIENT VOLUME AREAS. NOTIFICATIONS ARE ALSO PRINTED ON BROCHURES AND INCLUDED IN PATIENT INFORMATION PACKETS EXPLAINING WHERE THEY CAN FIND THE POLICY AND APPLICATION FORMS. SIGNS EXPLAINING WHERE FORMS CAN BE FOUND ARE PLACED AT ALL OF OUR SATELLITE LOCATIONS, AS WELL AS ON THE HOSPITAL'S WEBSITE AND IN THE PATIENT HANDBOOK. ALL PATIENT BILLING STATEMENTS INCLUDE A COPY OF THE FAP AND THE APPLICATION FORM. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION GAYLORD HOSPITAL, AS A REFERRAL HOSPITAL AND ONE OF ONLY TWO LONG-TERM ACUTE CARE HOSPITALS IN CONNECTICUT, PRIMARILY SERVES RESIDENTS OF THE STATE BUT ALSO ADMITS PATIENTS FROM NEIGHBORING STATES AS WELL. THE MAJORITY OF PATIENTS ARE AGE 62 OR OLDER, WITH SLIGHTLY MORE PERCENTAGE OF MEN THAN WOMEN. GAYLORD DOES NOT INCLUDE VERIFICATION OF RACIAL BACKGROUND IN ITS ADMISSIONS PROCESS. GAYLORD HOSPITAL DOES NOT BASE ITS ADMISSIONS ON POVERTY GUIDELINES BUT RATHER ON MEDICALLY PRESCRIBED CRITERIA; HOWEVER GAYLORD HOSPITAL SERVICES MANY PATIENTS FROM OUR SURROUNDING COMMUNITIES WHICH ARE BELOW THE FEDERAL POVERTY GUIDELINES. ACCORDING TO 2023 REPORTS 22.8% OF THE CONNECTICUT POPULATON WAS AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES, 22% WERE ON STATE MEDICAID AND 5.9% OF THE POPULATION WAS UNINSURED. AMONG OUR LARGEST ADMISSIONS SOURCES INCLUDE BUT ARE NOT LIMITED TO THE FOLLOWING: THE HOSPITALS OF THE YALE NEW HAVEN SYSTEM, THE HOSPITALS OF THE HARTFORD HEALTHCARE SYSTEM, ST MARY'S HOSPITAL, ST FRANCIS HOSPITAL, BRISTOL HOSPITAL AND MIDDLESEX HOSPITAL. ALL ARE ACUTE CARE HOSPITALS IN THE COUNTIES OF NEW HAVEN, HARTFORD, MIDDLESEX, LITCHFIELD AND FAIRFIELD. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH GOVERNANCE AND INDEPENDENCE: A MAJORITY OF THE ORGANIZATION'S GOVERNING BODY CONSISTS OF INDIVIDUALS WHO LIVE WITHIN THE ORGANIZATION'S PRIMARY SERVICE AREA AS WELL AS FORMER PATIENTS ENSURING THAT STRATEGIC DECISIONS REFLECT LOCAL NEEDS, COMMUNITY PRIORITIES, AND MOST IMPORTANTLY, THE VOICE OF OUR PATIENTS. BOARD MEMBERS SERVE NON-COMPENSATED, INDEPENDENT INDIVIDUALS VOLUNTEERING THEIR TIME AND EXPERTISE. THEY ARE NOT EMPLOYEES OR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR ARE THEY FAMILY MEMBERS OF SUCH INDIVIDUALS. THIS STRUCTURE PROMOTES ACCOUNTABILITY, MITIGATES CONFLICTS OF INTEREST, AND STRENGTHENS PUBLIC TRUST. OPEN MEDICAL STAFF MODEL: THE ORGANIZATION FOLLOWS A NONDISCRIMINATORY, OPEN MEDICAL STAFF POLICY, GRANTING CLINICAL PRIVILEGES TO ALL QUALIFIED PHYSICIANS PRACTICING IN ITS COMMUNITIES ACROSS APPLICABLE DEPARTMENTS AND SPECIALTIES. CREDENTIALING AND PRIVILEGING ARE BASED ON VERIFIED EDUCATION, TRAINING, EXPERIENCE, COMPETENCY, AND QUALITY METRICS, SUPPORTING ACCESS TO COMPREHENSIVE, HIGH-QUALITY CARE FOR PATIENTS. COMMUNITY BENEFIT AND REINVESTMENT: AS A NOT-FOR-PROFIT ORGANIZATION, GAYLORD IS MISSION DRIVEN AND REINVESTS ANY SURPLUS FUNDS TO ADVANCING PATIENT CARE RATHER THAN DISTRIBUTING PROFITS TO SHAREHOLDERS. REINVESTMENT PRIORITIES INCLUDE: - CAPITAL AND TECHNOLOGY: UPGRADING DIAGNOSTIC AND THERAPEUTIC EQUIPMENT, ASSISTIVE TECHNOLOGIES, AND REHABILITATION DEVICES TO ENHANCE SAFETY, EFFECTIVENESS, AND OUTCOMES. - CLINICAL PROGRAMS AND INNOVATION: EXPANDING AND REFINING EVIDENCE-BASED PROGRAMS FOCUSED ON SPINAL CORD INJURY, STROKE, TRAUMATIC BRAIN INJURY, AND PULMONARY REHABILITATION, INCLUDING INTERDISCIPLINARY CARE PATHWAYS AND CONTINUITY OF CARE AFTER DISCHARGE. - WORKFORCE DEVELOPMENT: SUPPORTING TRAINING, CERTIFICATION, AND CONTINUING EDUCATION FOR CLINICAL AND SUPPORT STAFF TO MAINTAIN HIGH STANDARDS OF COMPETENCY AND PATIENT EXPERIENCE. - ACCESS AND EQUITY: STRENGTHENING COMMUNITY OUTREACH, CARE COORDINATION, AND FINANCIAL ASSISTANCE INITIATIVES THAT REDUCE BARRIERS TO CARE FOR UNDERSERVED POPULATIONS. - QUALITY AND OUTCOMES: INVESTING IN DATA SYSTEMS, RESEARCH PARTICIPATION, AND PERFORMANCE IMPROVEMENT TO TRACK OUTCOMES, INFORM BEST PRACTICES, AND DRIVE MEASURABLE GAINS IN FUNCTION AND QUALITY OF LIFE. ACCOUNTABILITY AND TRANSPARENCY: THESE PRACTICES ARE SUPPORTED BY DOCUMENTED POLICIES, REGULAR BOARD OVERSIGHT, AND PUBLIC REPORTING ALIGNED WITH APPLICABLE REGULATORY AND ACCREDITATION STANDARDS, ENSURING THAT GOVERNANCE, STAFFING, AND REINVESTMENT DECISIONS REMAIN MISSION-DRIVEN AND COMMUNITY-FOCUSED. X X X X false false false false false false false false false MICHAEL IVY MD CMO 361471 0 0 0 1485 0 0 0 20661 0 383617 0 0 0 SONJA LABARBERA PRESIDENT & CEO 592991 0 145970 0 743 0 39156 0 14745 0 793605 0 0 0 STEPHEN HOLLAND FORMER CMO (THRU 3/31/24), MEDICAL CONSULTANT 210012 0 0 0 742 0 4364 0 8191 0 223309 0 0 0 CHRIS HAYES VP & CFO 349957 0 27667 0 743 0 7557 0 1610 0 387534 0 0 0 LISA KALAFUS CNO 236059 0 0 0 1038 0 4721 0 658 0 242476 0 0 0 PETER GREVELDING COO 272701 0 0 0 432 0 5239 0 723 0 279095 0 0 0 TARA KNAPP VP OF EXTERNAL AFFAIRS 185228 0 0 0 1236 0 3447 0 30850 0 220761 0 0 0 MITCHELL PODOB VP HUMAN RESOURCES 224411 0 0 0 1385 0 4488 0 618 0 230902 0 0 0 CRAIG STEARNS CIO 165618 0 0 0 661 0 3312 0 428 0 170019 0 0 0 DR JERROLD KAPLAN PHYSICIAN/MEDICAL DIRECTOR 409025 0 64362 0 2104 0 9748 0 31590 0 516829 0 0 0 DR DAVID ROSENBLUM PHYSICIAN/MEDICAL DIRECTOR 355803 0 0 0 2132 0 7379 0 30777 0 396091 0 0 0 DR ALYSE SICKLICK PHYSICIAN/INPATIENT 258801 0 0 0 1857 0 5333 0 23896 0 289887 0 0 0 DR PATRICK SIEGELE PHYSICIAN/OUTPATIENT 232984 0 0 0 201 0 4143 0 40679 0 278007 0 0 0 DR HONGMEI WANG PHYSICIAN/INPATIENT 263661 0 0 0 270 0 4462 0 695 0 269088 0 0 0 A STATE OF CONNECTICUT HEALTH AND EDUCATIONAL FACILITIES AUTHORITY 060806186 20774UNQ4 2007-04-01 21530000 CONSTRUCTION OF A 36-BED ADDITION AND REFUND PRIOR ISSUE OF CHEFA SERIES A REVENUE BONDS. false false false A 12240000 0 21530000 0 0 0 449233 0 0 11510767 9570000 0 2008 false true true true A false false true true false false 0.0 0.0 0.0 false false 0 false true A false false false true true true BANK OF AMERICA NA 20.0 true false false 0 false false true A true SCHEDULE K, PART IV, LINE 2C COLUMN A ISSUER NAME: STATE OF CONNECTICUT HEALTH AND EDUCATIONAL FACILITIES AUTHORITY THE CALCULATION FOR COMPUTING NO REBATE DUE WAS PERFORMED ON 07/03/2022 1 6000 MARKET VALUE 33 6776 MARKET VALUE X GIFT CERTIFICATES 102 55051 MARKET VALUE X EQUIPMENT 33 41734 MARKET VALUE 0 false false false SCHEDULE M, PART I EXPLANATIONS OF REPORTING METHOD FOR NUMBER OF CONTRIBUTIONS OTHER - GIFT CERTIFICATES - COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED FOOD INVENTORY - FOOD - THE NUMBER OF CONTRIBUTIONS OTHER - EQUIPMENT - THE NUMBER OF ITEMS RECEIVED ART - WORKS OF ART - - THE NUMBER OF ITEMS RECEIVED FORM 990, PART III, LINE 4A PROGRAM SERVICE DESCRIPTION GAYLORD'S 137-BED INPATIENT HOSPITAL IN WALLINGFORD ADMITS 1,400+ PATIENTS ANNUALLY; WHILE ITS FIVE OUTPATIENT SITES (WALLINGFORD, MADISON, CHESHIRE, CROMWELL, AND NORTH HAVEN) SEE APPROXIMATELY 9,000 PATIENTS PER ANNUM. WITH A STAFF OF APPROXIMATELY 1047 FULL-TIME, PART-TIME, AND PER-DIEM EMPLOYEES, GAYLORD HOSPITAL IS THE THIRD LARGEST EMPLOYER IN WALLINGFORD CONTRIBUTING TO THE REGION'S ECONOMY. GAYLORD SPECIALTY HEALTHCARE IS ACCREDITED NATIONALLY BY THE JOINT COMMISSION AND INTERNATIONALLY BY CARF (COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES) FOR ALL INPATIENT AND OUTPATIENT REHABILITATION PROGRAMS. GAYLORD HAS ADDITIONAL SPECIALTY ACCREDITATION FOR ITS SPINAL CORD, STROKE, AND BRAIN INJURY PROGRAMS - MAKING IT ONE OF TWO LONG-TERM ACUTE CARE HOSPITALS IN THE WORLD AND THE ONLY KIND IN THE U.S. WITH THIS UNIQUE LEVEL OF CARF ACCREDITATION. GAYLORD HAS CLINICAL AFFILIATIONS WITH THE FOLLOWING SCHOOLS: YALE UNIVERSITY SCHOOL OF MEDICINE; THE UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE; QUINNIPIAC UNIVERSITY MEDICAL SCHOOL AND SCHOOL OF ALLIED HEALTH; SOUTHERN CONNECTICUT STATE UNIVERSITY, GATEWAY COMMUNITY COLLEGE, NAUGATUCK VALLEY COMMUNITY COLLEGE, LINCOLN TECH, AND GOODWIN UNIVERSITY. IN 2021 GAYLORD AFFILIATED WITH UCONN SCHOOL OF MEDICINE AS A CLINICAL PARTNER FOR THE NEWLY CREATED RESIDENCY PROGRAM IN PHYSIATRY, THE FIRST ONE IN CONNECTICUT. WE ALSO PARTNER WITH ALBERTUS MAGNUS, GRIFFIN HOSPITAL SCHOOL OF ALLIED HEALTH, AND THE UNIVERSITY OF ST. JOSEPH. MISSION STATEMENT: GAYLORD'S MISSION IS TO PRESERVE AND ENHANCE HEALTH, MAXIMIZE FUNCTION, AND TRANSFORM LIVES. THE ROLE OF THE HOSPITAL IN CONNECTICUT: GAYLORD HOSPITAL FULFILLS A UNIQUE PLACE IN THE HEALTHCARE 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 STAY (AN AVERAGE OF GREATER THAN 25 DAYS) AND AT LESS COST THAN AN ACUTE CARE HOSPITAL. (SEE DISCUSSION UNDER "MARKET SHARE" HEREIN.) MORE THAN 90% OF THE HOSPITAL'S INPATIENT ADMISSIONS ARE FROM ACUTE CARE HOSPITALS. PHYSICIAN REFERRALS DRIVE MOST OUTPATIENT THERAPY VISITS. PROGRAM BACKGROUND AND KEY SERVICES: DEPENDING ON THEIR INDIVIDUAL NEEDS, PATIENTS ADMITTED TO GAYLORD FOR INPATIENT SERVICES MAY TAKE ADVANTAGE OF THE MEDICAL OR REHABILITATION DIVISIONS. THE MEDICAL DIVISION CONSISTS OF A MEDICALLY COMPLEX PROGRAM FOR PATIENTS WITH SERIOUS MEDICAL ISSUES, INCLUDING WOUND CARE AND COMPLICATIONS FROM INFECTIOUS DISEASES AND SURGICAL COMPLICATIONS 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 PATIENTS' NEEDS AFTER EXPERIENCING ACUTE ACCIDENTS OR ILLNESSES THAT MAY LEAVE THEM DISABLED IN SOME WAY. THE HOSPITAL'S MAJOR PROGRAMS ARE PULMONARY, STROKE, TRAUMATIC BRAIN INJURY, SPINAL CORD INJURY, ORTHOPEDIC, AND MULTIPLE MAJOR TRAUMAS. GAYLORD IS A PARTNER SITE OF A NATIONAL SPINAL CORD INJURY PROGRAM DESIGNATED BY THE U.S. NATIONAL INSTITUTE ON DISABILITY AND REHABILITATION RESEARCH (NIDRR) AS A MODEL SYSTEM OF CARE FOR SPINAL CORD INJURY. ONLY 18 HEALTHCARE ORGANIZATIONS IN THE COUNTRY HAVE THIS DESIGNATION. GAYLORD IS CURRENTLY INVOLVED IN SPINAL CORD INJURY-RELATED CARE AND RESEARCH THROUGH THE SPAULDING NEW ENGLAND REGIONAL SPINAL CORD INJURY CENTER (SNERSCIC) AT GAYLORD, WITH A GAYLORD PHYSICIAN AS THE PRINCIPAL INVESTIGATOR. GAYLORD HAS A LONG AND DISTINGUISHED HISTORY OF FIRSTS AND PRIDES ITSELF ON BEING AN EARLY ADOPTER OF VARIOUS MEDICAL AND REHABILITATION TECHNOLOGIES REGIONALLY AND NATIONALLY. GAYLORD WAS THE FIRST IN CONNECTICUT TO BECOME A PASSY MUIR VALVE CENTER OF EXCELLENCE TO ALLOW PATIENTS WITH A TRACHEOSTOMY OR ON MECHANICAL VENTILATION TO SPEAK; THE FIRST IN CONNECTICUT TO OFFER SPINAL CORD INJURY PATIENTS THE OPPORTUNITY TO WALK USING THE EKSO ROBOTIC SUIT AND WAS THE SECOND IN NORTH AMERICA TO ACHIEVE THE ONE-MILLION STEP MILESTONE; THE FIRST IN THE UNITED STATES TO BECOME A VAPOTHERM CENTER OF EXCELLENCE RECOGNIZING THE VALUE OF HEATED HUMIDIFICATION FOR PULMONARY PATIENTS TO IMPROVE OUTCOMES. GAYLORD WAS THE FIRST AND ONLY ORGANIZATION IN CONNECTICUT TO USE THE ZEROG GAIT AND BALANCE SYSTEM AND THE FIRST IN NEW ENGLAND TO USE IT IN AN OUTPATIENT FACILITY. GAYLORD IS THE ONLY HOSPITAL TO EMPLOY SMARTWHEEL TECHNOLOGY IN ITS WHEELCHAIR CLINIC TO HELP PATIENTS RECEIVE AN IN-DEPTH ASSESSMENT OF THE USERS' PROPULSION TECHNIQUES TO MINIMIZE THE RISK OF REPETITIVE STRESS INJURIES. GAYLORD USES PRESSURE MAPPING SYSTEMS FOR ADOLESCENT, ADULT & BARIATRIC WHEELCHAIR USERS TO DETERMINE OPTIMAL PRESSURE RELIEF TO AVOID SKIN BREAKDOWN. GAYLORD ALSO OFFERS AN FES STIM BIKE, BITS, FOUR ALTER-G'S (ANTI-GRAVITY TREADMILLS), THE BIONESS UPPER EXTREMITY-HAND REHABILITATION SYSTEM, AND AQUATIC OPTIONS FOR A FULL CONTINUUM OF TECHNOLOGY AND HANDS-ON MANUAL THERAPY TO MEET ALL PATIENT'S NEEDS. IN 2023, GAYLORD BECAME THE FIRST HEALTHCARE ORGANIZATION IN NORTH AMERICA TO USE THE PHAGENYX NEUROSTIMULATION SYSTEM FROM PHAGENESIS, LTD. TO TREAT DYSPHAGIA AMONG STROKE PATIENTS. AN ESSENTIAL PROGRAM FOR PEOPLE WITH ACQUIRED BRAIN INJURY IS THE LOUIS D. TRAURIG TRANSITIONAL LIVING CENTER, A FREESTANDING, EIGHT-BED HOUSE ON THE WALLINGFORD CAMPUS THAT OFFERS THE OPPORTUNITY TO PRACTICE ACTIVITIES OF DAILY LIVING AND PROBLEM-SOLVING TECHNIQUES AND ENHANCE SOCIAL SKILLS BY PROVIDING A THERAPEUTIC, SUPERVISED SETTING AND COORDINATED PEER INTERACTION WHILE CONTINUING TO RECEIVE PHYSICIAN, NURSING, AND THERAPY SERVICES. THIS SETTING ACHIEVES AN AVERAGE RATE OF 95% OF SUCCESSFULLY RETURNING RESIDENTS TO THEIR COMMUNITY. THE TRANSITIONAL LIVING CENTER IS THE ONLY FACILITY OF ITS KIND IN CONNECTICUT. THE CONNECTICUT STATE DEPARTMENT OF PUBLIC HEALTH AND ADDICTION SERVICES LICENSES IT. GAYLORD'S CONTINUUM OF CARE FOR PATIENTS IS EXTENDED THROUGH OUTPATIENT PHYSICIAN AND THERAPY SERVICES. IMPROVING ACCESSIBILITY TO OUTPATIENT REHABILITATION REMAINS ONE OF THE ORGANIZATION'S PRIORITIES, WHICH IS WHY GAYLORD OFFERS RESIDENTS FIVE LOCATIONS FOR THERAPY SERVICES IN NORTH HAVEN, MADISON, CHESHIRE, CROMWELL AND WALLINGFORD. MORE THAN 30 CLINICAL SERVICES ENHANCE THE HOSPITAL'S OUTPATIENT TREATMENT PROGRAMS. GAYLORD'S CENTER FOR CONCUSSION CARE PROVIDES A STATEWIDE RESOURCE FOR THIS GROWING ISSUE AND HAS WORKED WITH AREA SCHOOLS, ATHLETIC TEAMS, AND PEDIATRICIANS TO MOVE TO FOCUS ON THE DANGER OF AN UNTREATED CONCUSSION. WHILE MOST OUTPATIENTS ARE FROM CT, OUT-OF-STATE PATIENTS REGULARLY UTILIZE PHYSIATRY AND SPEECH SERVICES BASED ON UNIQUE AND SPECIALIZED SERVICES. PROFESSIONAL AND COMMUNITY EDUCATION: GAYLORD FOCUSES ON COMMUNITY RELATIONSHIPS TO PROMOTE WELLNESS AND ADVANCE HEALTHCARE THROUGH EDUCATION, RESEARCH, AND CLINICAL PRACTICE IMPROVEMENT. EMPLOYEES ARE ACTIVELY ENGAGED IN COMMUNITY AND PROFESSIONAL ORGANIZATIONS. MORE THAN 155 STUDENTS PARTICIPATED IN ALMOST 11,300 HOURS OF EDUCATIONAL PROGRAMMING AT GAYLORD IN MEDICAL SERVICES, NURSING, PSYCHOLOGY, SOCIAL WORK, PHARMACY, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH AND LANGUAGE THERAPY, THERAPEUTIC RECREATION, RESPIRATORY THERAPY, AND NUTRITION. GAYLORD STAFF MEMBERS HAVE BEEN PUBLISHED IN VARIOUS MEDIA, PRIMARILY IN MEDICAL JOURNALS RELATED TO THEIR SPECIALTY. THE MILNE INSTITUTE FOR HEALTHCARE INNOVATION WAS LAUNCHED IN AUGUST 2020 ON THE GAYLORD CAMPUS AND IS RIGOROUSLY PURSUING RESEARCH OPPORTUNITIES AND INVOLVING STAFF IN NEW PRODUCT INVENTION OPPORTUNITIES. FORM 990, PART VI, LINE 1A DELEGATE BROAD AUTHORITY TO A COMMITTEE THE ORGANIZATION'S SOLE MEMBER/PARENT COMPANY'S BOARD OF DIRECTORS HAS AN EXECUTIVE COMMITTEE, WHICH HAS FULL AUTHORITY AND POWER TO ACT FOR THE BOARD OF DIRECTORS AND TRANSACT ALL REGULAR BUSINESS OF THE CORPORATION DURING THE INTERIM BETWEEN MEETINGS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS THERE IS ONE SOLE MEMBER OF THE HOSPITAL, GAYLORD FARM ASSOCIATION, INC. FORM 990, PART VI, LINE 7A MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODY THE MEMBER SHALL HAVE THE EXCLUSIVE RIGHT TO TAKE THE FOLLOWING ACTIONS: (A) THE ELECTION OF THE HOSPITAL'S DIRECTORS; (B) THE REMOVAL, WITH OR WITHOUT CAUSE, OF ANY OR ALL OF THE HOSPITAL'S DIRECTORS SUBJECT TO ANY WRITTEN CONTRACT RIGHTS, PROVIDED THAT DIRECTORS MAY ALSO BE REMOVED BY JUDICIAL PROCEEDINGS TO THE EXTENT PROVIDED BY THE ACT; AND (C) THE FILLING OF ANY DIRECTOR VACANCIES. FORM 990, PART VI, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY A MEETING IS HELD WITH THE AUDIT COMMITTEE AND SENIOR MANAGEMENT TO REVIEW THE 990. AFTER THIS REVIEW IS COMPLETE, A COMPLETE COPY IS PROVIDED TO ALL MEMBERS OF THE GOVERNING BODY BEFORE FILING. FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY ANY CONFLICT OF INTEREST SITUATION MUST BE DISCLOSED TO THE BOARD OF DIRECTORS OF THE ASSOCIATION OR THE COMPLIANCE OFFICER IMMEDIATELY AND SUCH DIRECTOR, OFFICER OR EMPLOYEE WITH A CONFLICT OF INTEREST WILL BE REQUIRED TO REFRAIN FROM PARTICIPATING IN ANY DISCUSSION OR ACTION CONCERNING SUCH CONFLICTED SITUATION. FORM 990, PART VI, LINE 15A PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL GAYLORD HAS CONTRACTED WITH USI CONSULTING GROUP TO PERFORM A TOTAL COMPENSATION REVIEW OF THE PRESIDENT AND THE MANAGEMENT EXECUTIVE COMMITTEE. THIS PROCESS WILL BE DONE EVERY OTHER YEAR FOR THE AFOREMENTIONED POSITION. A REPORT WILL BE MADE BY THE VICE PRESIDENT OF HUMAN RESOURCES TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS ANNUALLY FOR THEIR ENDORSEMENT AND APPROVAL. THE LAST COMPENSATION REVIEW OCCURRED IN MAY OF 2025. FORM 990, PART VI, LINE 15B PROCESS TO ESTABLISH COMPENSATION OF OTHER EMPLOYEES GAYLORD HAS CONTRACTED WITH USI CONSULTING GROUP TO PERFORM A TOTAL COMPENSATION REVIEW OF THE PRESIDENT AND THE MANAGEMENT EXECUTIVE COMMITTEE. THIS PROCESS WILL BE DONE EVERY OTHER YEAR FOR THE AFOREMENTIONED POSITION. A REPORT WILL BE MADE BY THE VICE PRESIDENT OF HUMAN RESOURCES TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS ANNUALLY FOR THEIR ENDORSEMENT AND APPROVAL. THE LAST COMPENSATION REVIEW OCCURRED IN MAY OF 2025. FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST FORM 990, PART IX, LINE 11G OTHER FEES OTHER FEES FOR SERVICES - TOTAL EXPENSE: 42695, PROGRAM SERVICE EXPENSE: 29806, MANAGEMENT AND GENERAL EXPENSES: 12889, FUNDRAISING EXPENSES: ; PHYSICIAN CONSULT FEE - TOTAL EXPENSE: 90392, PROGRAM SERVICE EXPENSE: 90392, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; PULMONARY SERVICES - TOTAL EXPENSE: 331658, PROGRAM SERVICE EXPENSE: 331658, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; NEUROLOGY SERVICES - TOTAL EXPENSE: 107345, PROGRAM SERVICE EXPENSE: 107345, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; COLLECTION SERVICES - TOTAL EXPENSE: 84967, PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: 84967, FUNDRAISING EXPENSES: ; NEMG FEE FOR MEDICAL SERVICES - TOTAL EXPENSE: 3383121, PROGRAM SERVICE EXPENSE: 3383121, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; OTHER PROFESSIONAL GENERAL - TOTAL EXPENSE: 452181, PROGRAM SERVICE EXPENSE: 90887, MANAGEMENT AND GENERAL EXPENSES: 302581, FUNDRAISING EXPENSES: 58713; TEMPORARY LABOR - TOTAL EXPENSE: 117962, PROGRAM SERVICE EXPENSE: 117962, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; FREIGHT - TOTAL EXPENSE: 18541, PROGRAM SERVICE EXPENSE: 5918, MANAGEMENT AND GENERAL EXPENSES: 12601, FUNDRAISING EXPENSES: 22; CATERED EVENTS - TOTAL EXPENSE: 151240, PROGRAM SERVICE EXPENSE: 51640, MANAGEMENT AND GENERAL EXPENSES: 41552, FUNDRAISING EXPENSES: 58048; CAT LEGACY WEEK - TOTAL EXPENSE: 42579, PROGRAM SERVICE EXPENSE: 31934, MANAGEMENT AND GENERAL EXPENSES: 10645, FUNDRAISING EXPENSES: ; CAT EE APPREC - TOTAL EXPENSE: 32199, PROGRAM SERVICE EXPENSE: 24149, MANAGEMENT AND GENERAL EXPENSES: 8050, FUNDRAISING EXPENSES: ; F&N - MORRISON PATIENT COST FOOD AND ADMIN - TOTAL EXPENSE: 1042480, PROGRAM SERVICE EXPENSE: 1042480, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; SOFTWARE CONTRACTED SERVICES - TOTAL EXPENSE: 1001826, PROGRAM SERVICE EXPENSE: 410061, MANAGEMENT AND GENERAL EXPENSES: 527033, FUNDRAISING EXPENSES: 64732; LABORATORY/BLOOD LAB - TOTAL EXPENSE: 618448, PROGRAM SERVICE EXPENSE: 618448, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; AMBULANCE SERVICE - TOTAL EXPENSE: 431868, PROGRAM SERVICE EXPENSE: 431868, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; DIALYSIS (HEMO) SERVICES - TOTAL EXPENSE: 184611, PROGRAM SERVICE EXPENSE: 184611, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; OTHER HOSPITAL'S SERVICES (INTERRUPTED STAYS) - TOTAL EXPENSE: 140370, PROGRAM SERVICE EXPENSE: 140370, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; MAINTENANCE CONTRACT - TOTAL EXPENSE: 439140, PROGRAM SERVICE EXPENSE: 402898, MANAGEMENT AND GENERAL EXPENSES: 36242, FUNDRAISING EXPENSES: ; LINEN & BEDDING SERVICES - TOTAL EXPENSE: 685686, PROGRAM SERVICE EXPENSE: 685686, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; PURCHASE SERVICES GENERAL - TOTAL EXPENSE: 1190016, PROGRAM SERVICE EXPENSE: 877866, MANAGEMENT AND GENERAL EXPENSES: 254393, FUNDRAISING EXPENSES: 57757; RESIDENCY PROGRAM - TOTAL EXPENSE: 275290, PROGRAM SERVICE EXPENSE: 275290, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; CATERING NEW EMPLOYEE ORIENTATION & ICARE - TOTAL EXPENSE: 12445, PROGRAM SERVICE EXPENSE: 9334, MANAGEMENT AND GENERAL EXPENSES: 3111, FUNDRAISING EXPENSES: ; FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES PENSION RELATED CHANGES - -700080; CHANGES IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT - 159563; CHANGE IN BENEFICIAL INTEREST IN TRUSTS - 1145067; NET PERIODIC PENSION COSTS OTHER THAN SERVICE COSTS - -300086; TOTAL - 304464; GAYLORD FARM REHABILITATION CENTER INC PO BOX 400 GAYLORD FARM ROAD WALLINGFORD CT 06492 061432065 RESIDENTIAL CARE HOME CT 501(C)(3) 10 GAYLORD FARM ASSOCIATION INC false GAYLORD RESEARCH INSTITUTE INC PO BOX 400 GAYLORD FARM ROAD WALLINGFORD CT 06492 061460112 RESEARCH ORGANIZATION CT 501(C)(3) 4 GAYLORD FARM ASSOCIATION INC false THE GAYLORD FOUNDATION INC PO BOX 400 GAYLORD FARM ROAD WALLINGFORD CT 06492 061521864 SUPPORTING ORGANIZATION CT 501(C)(3) TYPE II GAYLORD FARM ASSOCIATION INC false GAYLORD FARM ASSOCIATION INC PO BOX 400 GAYLORD FARM ROAD WALLINGFORD CT 06492 061302029 PARENT ORGANIZATION CT 501(C)(3) TYPE I NA false FARM PROPERTIES INC PO BOX 400 400 GAYLORD FARM ROAD WALLINGFORD CT 06492 061301584 PROPERTY DEVELOPMENT CT NA C CORPORATION false GAYLORD RISK SOLUTIONS LTD PO BOX 400 400 GAYLORD FARM ROAD WALLINGFORD CT 06492 980561423 INSURANCE PROVIDER NA C CORPORATION false false false false false false false false false false false false false false true true false false false false GAYLORD HOSPITAL INC PO BOX 400 GAYLORD FARM ROAD WALLINGFORD CT 06492 060646649 X 0 61124 61124 87735466 87796590 1000000 250000 0 0 0 GAYLORD FARM REHABILITATION CENTER INC PO BOX 400 GAYLORD FARM ROAD WALLINGFORD CT 06492 061432065 X 0 0 0 481438 481438 96288 24072 0 0 0 GAYLORD RESEARCH INSTITUTE INC PO BOX 400 GAYLORD FARM ROAD WALLINGFORD CT 06492 061460112 X 0 0 0 0 0 0 0 0 0 0 GAYLORD HOSPITAL INC PO BOX 400 GAYLORD FARM ROAD WALLINGFORD CT 06492 060646649 X 0 61124 61124 87735466 87796590 1000000 250000 0 0 0