Civic Intelligence

Gaylord Hospital Inc

EIN 06-0646649 • 501(c)3 • Wallingford, CT

Profile

To enhance health, maximize function and transform lives.

PO Box 400 Gaylord Farm RoadWallingford, CT 06492

www.gaylord.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

47th percentile

0.24x

Higher debt load relative to assets than 47% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Liabilities / Revenue

41st percentile

0.31x

Higher debt load relative to revenue than 41% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Net Margin

44th percentile

2.6%

Higher net margin than 44% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Top Officer Pay

67th percentile

$687,456

Higher top officer pay than 67% of similar nonprofits.

Top officer pay equals 0.7% of source-year revenue.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Asset Growth

29th percentile

1.4%

Faster asset growth than 29% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Revenue Growth

24th percentile

-1.1%

Faster revenue growth than 24% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Assets

Up

$133,851,057

Up $1,808,843 (+1.4%) from 2023

Liabilities

Down

$31,534,420

Down $6,242,291 (-17%) from 2023

Net Assets

Up

$102,316,637

Up $8,051,134 (+8.5%) from 2023

Revenue

Down

$102,527,524

Down $1,149,262 (-1.1%) from 2023

Expenses

Up

$99,853,899

Up $5,433,047 (+5.8%) from 2023

Net Income

Down

$2,673,625

Down $6,582,309 (-71%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$150M$100M$50M$0Assets 2010: $93,186,921Liabilities 2010: $50,988,173Net Assets 2010: $42,198,7482010Assets 2011: $87,088,723Liabilities 2011: $51,976,811Net Assets 2011: $35,111,9122011Assets 2012: $86,351,274Liabilities 2012: $50,220,227Net Assets 2012: $36,131,0472012Assets 2013: $89,824,799Liabilities 2013: $42,100,699Net Assets 2013: $47,724,1002013Assets 2014: $90,122,226Liabilities 2014: $40,552,556Net Assets 2014: $49,569,6702014Assets 2015: $87,772,654Liabilities 2015: $42,307,067Net Assets 2015: $45,465,5872015Assets 2016: $90,438,303Liabilities 2016: $51,184,776Net Assets 2016: $39,253,5272016Assets 2017: $87,210,386Liabilities 2017: $39,061,605Net Assets 2017: $48,148,7812017Assets 2018: $94,415,515Liabilities 2018: $38,054,655Net Assets 2018: $56,360,8602018Assets 2019: $103,327,659Liabilities 2019: $41,551,530Net Assets 2019: $61,776,1292019Assets 2020: $119,095,182Liabilities 2020: $47,029,507Net Assets 2020: $72,065,6752020Assets 2021: $128,915,259Liabilities 2021: $42,998,651Net Assets 2021: $85,916,6082021Assets 2022: $125,204,910Liabilities 2022: $42,149,594Net Assets 2022: $83,055,3162022Assets 2023: $132,042,214Liabilities 2023: $37,776,711Net Assets 2023: $94,265,5032023Assets 2024: $133,851,057Liabilities 2024: $31,534,420Net Assets 2024: $102,316,6372024

Highlighted filing

2024

Assets$133,851,057
Liabilities$31,534,420
Net Assets$102,316,637

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$150M$100M$50M$0Expenses 2010: $70,761,0722010Expenses 2011: $70,781,5742011Expenses 2012: $74,541,8172012Revenue 2013: $78,806,876Expenses 2013: $75,305,655Net Income 2013: $3,501,2212013Revenue 2014: $78,762,822Expenses 2014: $75,299,101Net Income 2014: $3,463,7212014Revenue 2015: $74,977,037Expenses 2015: $72,482,420Net Income 2015: $2,494,6172015Revenue 2016: $74,107,712Expenses 2016: $72,080,301Net Income 2016: $2,027,4112016Revenue 2017: $78,491,514Expenses 2017: $75,158,807Net Income 2017: $3,332,7072017Revenue 2018: $83,949,715Expenses 2018: $78,674,024Net Income 2018: $5,275,6912018Revenue 2019: $90,322,350Expenses 2019: $80,333,939Net Income 2019: $9,988,4112019Revenue 2020: $95,255,416Expenses 2020: $84,125,699Net Income 2020: $11,129,7172020Revenue 2021: $93,864,811Expenses 2021: $88,283,555Net Income 2021: $5,581,2562021Revenue 2022: $92,321,285Expenses 2022: $90,499,242Net Income 2022: $1,822,0432022Revenue 2023: $103,676,786Expenses 2023: $94,420,852Net Income 2023: $9,255,9342023Revenue 2024: $102,527,524Expenses 2024: $99,853,899Net Income 2024: $2,673,6252024

Highlighted filing

2024

Revenue$102,527,524
Expenses$99,853,899
Net Income$2,673,625

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$134$31.5$102$103$99.9$2.67
2023Detailed filing. Detailed filing data is available for this year.$132$37.8$94.3$104$94.4$9.26
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$125$42.1$83.1$92.3$90.5$1.82
2021Detailed filing. Detailed filing data is available for this year.$129$43.0$85.9$93.9$88.3$5.58
2020Detailed filing. Detailed filing data is available for this year.$119$47.0$72.1$95.3$84.1$11.1
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$103$41.6$61.8$90.3$80.3$9.99
2018Detailed filing. Detailed filing data is available for this year.$94.4$38.1$56.4$83.9$78.7$5.28
2017Detailed filing. Detailed filing data is available for this year.$87.2$39.1$48.1$78.5$75.2$3.33
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$90.4$51.2$39.3$74.1$72.1$2.03
2015Detailed filing. Detailed filing data is available for this year.$87.8$42.3$45.5$75.0$72.5$2.49
2014Detailed filing. Detailed filing data is available for this year.$90.1$40.6$49.6$78.8$75.3$3.46
2013Import issue. A filing source exists for this year, but detailed import did not complete cleanly.$89.8$42.1$47.7$78.8$75.3$3.50
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$86.4$50.2$36.1$74.5
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$87.1$52.0$35.1$70.8
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$93.2$51.0$42.2$70.8
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2023 to Sep 30, 2024
Signed
Jul 15, 2025
Return Version
2023v6.0
Gross Receipts
$105,615,863
Mission and Program Overview

Mission

To enhance health, maximize function and transform lives.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$49,820,754$54,865,103▲ $5,044,349
Investments in Publicly Traded Securities$28,992,814$34,882,940▲ $5,890,126
Accounts Receivable$15,116,933$16,829,834▲ $1,712,901
Savings and Temporary Cash Investments-$5,253,611-
Investments Other Securities$4,059,243$4,964,159▲ $904,916
Pledges and Grants Receivable$10,213,741$4,244,898▼ $5,968,843
Prepaid Expenses and Deferred Charges$1,272,400$1,178,876▼ $93,524
Inventories for Sale or Use$879,127$800,539▼ $78,588
Cash and Non-Interest-Bearing Accounts$9,292,113$2,030▼ $9,290,083
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Program Related$0--
Loans From Officers Directors$0$0→ $0
Total Assets$132,042,214$133,851,057▲ $1,808,843
Other Assets Total$12,395,089$10,829,067▼ $1,566,022
Liabilities
Accounts Payable and Accrued Expenses$11,578,257$13,025,202▲ $1,446,945
Tax Exempt Bond Liabilities$10,425,000$9,661,889▼ $763,111
Other Liabilities$10,658,718$4,810,706▼ $5,848,012
Unsecured Notes Loans Payable$5,114,736$4,036,623▼ $1,078,113
Total Liabilities$37,776,711$31,534,420▼ $6,242,291
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$63,768,186$72,835,556▲ $9,067,370
Net Assets With Donor Restrictions$30,497,317$29,481,081▼ $1,016,236
Total Net Assets Fund Balance$94,265,503$102,316,637▲ $8,051,134
Total Liabilities and Net Assets / Fund Balance$132,042,214$133,851,057▲ $1,808,843

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$11,961,523$43,287,495$55,249,018
Equipment$22,209,904$24,968,418$47,178,322
Leasehold Improvements$15,469,152$7,241,581$22,710,733
Other Land Buildings$5,110,586-$5,110,586
Land$113,938-$113,938
Other Assets Org$106,680--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2023$22,833,266$2,709,039▲ $1,593,320$498,843$26,560,782
2022$21,897,007$1,443,119▲ $2,148,165$2,541,025$22,833,266
2021$20,978,353$1,765,517▲ $831,658$1,640,521$21,897,007
2020$19,602,021$847,894▲ $1,506,975$902,537$20,978,353
2019$18,255,946$1,779,161▲ $781,622$1,131,312$19,602,021
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Sonja LabarberaPresident & CEOFT$582,702$104,754$687,456
Dr JERROLD KAPLANPhysician/medical DirectorFT$415,090$104,055$519,145
Stephen Holland MdCMOFT$431,279$42,649$473,928
Dr DAVID ROSENBLUMPhysician/medical DirectorFT$349,123$44,683$393,806
Chris HayesCFOFT$343,093$17,182$360,275
Paige PandaFormer Sr Philanthropic advisor-$246,079$68,971$315,050
Dr ALYSE SICKLICKPhysican/inpatientFT$259,047$21,547$280,594
Dr HONGMEI WANGPhysician/inpatientFT$258,482$5,163$263,645
Allen AbayaoRegistered NurseFT$243,282$6,083$249,365
Peter GreveldingCOOFT$238,219$5,346$243,565
Lisa KalafusCNOFT$231,421$5,792$237,213
Tara KnappVP of External AffairsFT$182,138$35,651$217,789
Mitchell PodobVP Human ResourcesFT$214,925-$214,925
Craig StearnsCIOFT$209,580$5,232$214,812

Board Members and Trustees

NameTitle
Bo BradstreetCHAIR/DIRECTOR Thru 6/30/24
MICHELE VOLPE EsqDirector/vice Chair From 7/1
Robert MchughVICE CHAIR Thru 6/30/24/DIRECTOR CHAIR From 7/1/24
Brian LawlorDirector
CLEMENT LEWIN PhDDirector
Christopher CartlandDirector
Connor DolanDirector
GEORGE MILNE PhDDirector
Kim HealeyDirector
Michael BrooderDirector
ROBERT PRETI PhDDirector
RYAN O'CONNELL MDDirector
Steve Ryder MdDirector
Susan WhetsoneDirector
William Simione IiiDirector
Carly BrownDIRECTOR from 7/1/24
Erika SmithDIRECTOR from 7/1/24
John MotleyDIRECTOR from 7/1/24
Steven AngusDIRECTOR from 7/1/24
Diana WakerleySecretary/director
Robert J Lyons JrTreasurer/director
Mary PepeDirecotr

Highest Paid Contractors

ContractorServicesLocationCompensation
Northeast Medical GroupPhysician ServicesPO BOX 9403, New Haven, CT 06534$2,985,600
Morrison Management SpecialistDietary ServicesPO BOX 102289, Atlanta, GA 30368$1,202,242
Image First Medical WearLaundry & Linen ServicesPO BOX 61323, King Of Prussia, PA 19406$745,074
Allied Universal CompanySecurity ServicesPO Box 828854, Philadelphia, PA 19182$693,793
Quest DiagnosticsLabratory Services500 PLAZA DRIVE, Secaucus, NJ 07094$485,839
Revenue and Support

Revenue Composition

Contributions and Grants
$6,119,557
Program Service Revenue
$94,834,785
Investment Income
$808,703
Other Revenue
$764,479
All Other Contributions
$3,898,075
Change in Net Assets
$2,673,625

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
No
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Other Non Cash Contri Table29$40,345Market value
Other Non Cash Contri Table90$26,310Market value
Other Non Cash Contri Table28$8,003Market value
Total Noncash Contributions147$74,658-
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$68,485,065
Other Expenses$31,368,834
Total Fundraising Expense$1,310,804
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$48,640,765$4,904,763$647,141$54,192,669
Fees for Services Other$9,147,537$1,271,255$416,513$10,835,305
Other Employee Benefits$5,411,272$502,597$71,962$5,985,831
Depreciation Depletion$3,737,334$1,526,517-$5,263,851
Payroll Taxes$3,685,711$368,824$49,506$4,104,041
Current Officers, Directors, Trustees, and Key Employees-$3,021,602-$3,021,602
Occupancy$2,037,719$365,451-$2,403,170
Insurance$1,701,008$530,460-$2,231,468
Information Technology$1,559,887$539,867-$2,099,754
Office Expenses$818,560$486,709$53,166$1,358,435
Pension Plan Contributions$1,065,917$100,671$14,334$1,180,922
Advertising$557,751-$30,384$588,135
Interest-$558,639-$558,639
Other Expenses$215,480$32,198-$247,678
Conferences and Meetings$160,503$34,299$18,713$213,515
Fees for Services Accounting-$180,275-$180,275
All Other Expenses$129,638$-42,880$3,551$90,309
Travel$55,527$24,265$5,534$85,326
Fees for Services Legal-$72,801-$72,801
Fees for Services Lobbying$59,610--$59,610
Total Functional Expenses$83,988,846$14,554,249$1,310,804$99,853,899
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$151,661
Fundraising Gross Income$151,661
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Gaylord Golf Classic$145,885$68,723$3,082$65,641
Gaylord Gauntlet (5k)$117,482$36,789$25,675$11,114
Total Events$367,542$151,661$151,661$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
ROU LT and ST Liability$4,321,969
Interest Rate Swap Liabilities$459,932
Due to Third Party$26,778
Due to Affiliates$2,027
Accrued Pension Liability-

Bond Issues

BondIssuerIssuedIssue PricePurpose
AState of Connecticut Health and Educational Facilities Authority2007-04-01$21,530,000CONSTRUCTION OF A 36-BED ADDITION and REFUND PRIOR ISSUE OF CHEFA SERIES A REVENUE BONDS.

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$21,530,000$9,570,000$11,660,000$449,233

Bond Financing Compliance

No rebate due
Yes
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 15A PROCESS USED 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 september 2023.

Form 990, Part VI, Line 15B PROCESS USED TO ESTABLISH COMPENSATION OF OTHER OFFICERS/KEY 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 september 2023.

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 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

Filing and Contact Details

Filer

Filer Name
Gaylord Hospital INC
EIN
06-0646649
Phone
2032842800
Address
PO BOX 400 GAYLORD FARM ROAD, WALLINGFORD, CT 06492

Signing Officer

Name
Christopher Hayes
Title
CFO
Signed
2025-07-15
Discuss with paid preparer
Yes

Organization Details

Formed
1991
Legal Domicile
Ct
Voting Board Members
23
Independent Board Members
21
Employees
1,206
Volunteers
77

Preparer

Firm
Crowe Llp
Address
4801 Olympia Park Plaza Suite 4000, Louisville, KY 40241-2098
Preparer
Kim Scifres
Phone
5023263996
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 4A Program Service Description (continued)

PATIENT AND FAMILY EDUCATION AND SUPPORT: THE CHALLENGES THAT ARE EXPERIENCED BY PEOPLE AFTER ILLNESS OR INJURY OFTEN REQUIRE UNDERSTANDING, ONGOING SUPPORT AND THE BEST SERVICES POSSIBLE. GAYLORD PROVIDES CARE MANAGEMENT, CHAPLAIN SERVICES AND PSYCHOLOGY SERVICES AS PART OF OUR STANDARD OF CARE. PATIENT AND FAMILY EDUCATION ALSO INCLUDES ONGOING INSTRUCTIONAL CLASSES FOR INPATIENTS AND THEIR FAMILIES AS WELL AS REGULARLY SCHEDULED, DIAGNOSIS-RELATED SUPPORT GROUPS. OTHER FORMS OF PATIENT AND FAMILY EDUCATION INCLUDE: - PATIENT AND FAMILY EDUCATION GUIDES ARE AVAILABLE TO PEOPLE WITH BRAIN INJURY, DIABETES, MULTIPLE SCLEROSIS, SPINAL CORD INJURY, AMPUTATION, PULMONARY COMPLICATIONS AND STROKE. - A LIBRARY AND RESOURCE CENTER WITH A PART-TIME MEDICAL LIBRARIAN. - VALUE-ADDED SERVICES (FOR WHICH GAYLORD IS NOT REIMBURSED) INCLUDE: - THERAPEUTIC RECREATION AND SPORTS ACTIVITIES FOR THOSE WITH PHYSICAL DISABILITIES. - CARE MANAGEMENT TO GAYLORD'S TRANSITIONAL LIVING PROGRAM RESIDENTS. - Zoom education sessions for the greater community - Many support groups were converted to virtual session from in-person sessions during the pandemic. - NEW INPATIENT AND OUTPATIENT POST-COVID SUPPORT GROUPS WERE CREATED TO MEET THE NEEDS OF OUR PATIENTS AS THE PANDEMIC PROGRESSED. COVID'S IMPACT ON GAYLORD SERVICES GAYLORD HAS CONTINUED TO KEEP AS MANY BEDS AS POSSIBLE OPEN TO THE ACUTE CARE HOSPITALS TO HELP WITH COVID PATIENTS. THE TEAMS FLEXED TO ADD ADDITIONAL STAFFING AND NOT ONLY WERE POSITIVE COVID PATIENTS ADMITTED FOR MANAGEMENT OF RESPIRATORY COMPLICATIONS, SOME PATIENTS REMIANED VENTILATED OR WITH TRACHEOTOMIES WHICH OTHER HOSPITALS WERE NOT ADMITTING. MANY PATIENTS ADMITTED WERE POST-COVID AND NEEDED REHABILITATION FOR THEIR DECONDITIONING AND REMAINING NEUROLOGICAL DEFICITS. The pandemic also limits the number of patients who could remain in acute care for stroke, brain injury, SPINAL CORD INJURY, PULMONARY COMPLICATIONS AND THOSE WITH ON-GOING MEDICALLY COMPLEX NEEDS. MORE THAN 205 COVID PATIENTS WERE TREATED AND DISCHARGED FROM INPATIENT IN 2021. GAYLORD OUTPATIENT SERVICES CONTINUE TO TREAT POST-COVID PATIENTS FOR NEEDS RANGING FROM PULMONARY REHABILITATION, TO MEDICAL SERVICES PROVIDED BY THE REHABILITATION DOCTORS AND SPEECH PATHOLOGY SEEING PATIENTS FOR "BRAIN FOG DECREASES IN MEMORY AND EXECUTIVE FUNCTIONING.

Form 990, Part IX, Line 11G Other Fees

Other Fees for Services - Total Expense: 2781643, Program Service Expense: 2216187, Management and General Expenses: 283763, Fundraising Expenses: 281693; Physician Consult Fee - Total Expense: 93328, Program Service Expense: 93328, Management and General Expenses: , Fundraising Expenses: ; Pulmonary Services - Total Expense: 272000, Program Service Expense: 272000, Management and General Expenses: , Fundraising Expenses: ; Neurology Services - Total Expense: 104219, Program Service Expense: 104219, Management and General Expenses: , Fundraising Expenses: ; Collection Services - Total Expense: 13354, Program Service Expense: , Management and General Expenses: 13354, Fundraising Expenses: ; NEMG Fee for Medical Services - Total Expense: 3047739, Program Service Expense: 3047739, Management and General Expenses: , Fundraising Expenses: ; Other Professional General - Total Expense: 595082, Program Service Expense: , Management and General Expenses: 542252, Fundraising Expenses: 52830; Temporary Labor - Total Expense: 319770, Program Service Expense: 259870, Management and General Expenses: 59900, Fundraising Expenses: ; Freight - Total Expense: 21230, Program Service Expense: , Management and General Expenses: 21230, Fundraising Expenses: ; Catered Events - Total Expense: 207800, Program Service Expense: , Management and General Expenses: 125810, Fundraising Expenses: 81990; Cat Legacy Week - Total Expense: 36943, Program Service Expense: , Management and General Expenses: 36943, Fundraising Expenses: ; Cat EE Apprec - Total Expense: 24402, Program Service Expense: , Management and General Expenses: 24402, Fundraising Expenses: ; F&N - Morrison Patient Cost Food and Admin - Total Expense: 1051609, Program Service Expense: 1051609, Management and General Expenses: , Fundraising Expenses: ; Professional Consulting - Total Expense: 92060, Program Service Expense: , Management and General Expenses: 92060, Fundraising Expenses: ; Laboratory/Blood Lab - Total Expense: 596186, Program Service Expense: 596186, Management and General Expenses: , Fundraising Expenses: ; Ambulance Service - Total Expense: 409818, Program Service Expense: 409818, Management and General Expenses: , Fundraising Expenses: ; Dialysis (Hemo) Services - Total Expense: 186171, Program Service Expense: 186171, Management and General Expenses: , Fundraising Expenses: ; Other Hospital's Services (interrupted Stays) - Total Expense: 163240, Program Service Expense: 163240, Management and General Expenses: , Fundraising Expenses: ; Security Services - Total Expense: 71541, Program Service Expense: , Management and General Expenses: 71541, Fundraising Expenses: ; Linen & Bedding Services - Total Expense: 747170, Program Service Expense: 747170, Management and General Expenses: , Fundraising Expenses: ;

Form 990, Part XI, Line 9 Other changes in net assets or fund balances

Pension related changes - 349230; changes in fair value of interest rate swap agreement - -123483; change in beneficial interest in trusts - 2471068; net periodic pension costs other than service costs - -292232; investment in grs - 171435;

Financial Statement Notes

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, 2024 and 2023. The Association recognizes interest and/or penalties related to income tax matters within other operating expenses. As of September 30, 2024 and 2023, 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.

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