Form990
Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private
foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
A For the 2014 calendar year, or tax year beginning 10-01-2014 , and ending 09-30-2015
BCheck if applicable:
CName of organization
Gaylord Hospital INC
 
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
PO BOX 400 GAYLORD FARM ROAD
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
WALLINGFORD, CT06492
D Employer identification number

06-0646649
E Telephone number

(203) 284-2800
G Gross receipts $ 74,977,037
F Name and address of principal officer:
ARTHUR TEDESCO
PO BOX 400 GAYLORD FARM ROAD
WALLINGFORD,CT06492
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.GAYLORD.ORG
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:  
L Year of formation: 1991
M State of legal domicile: CT
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: TO PRESERVE & ENHANCE A PERSON'S HEALTH & FUNCTION
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 19
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 17
5 Total number of individuals employed in calendar year 2014 (Part V, line 2a) ...... 5 1,008
6 Total number of volunteers (estimate if necessary) ............. 6 77
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 0
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 985,043 1,190,558
9 Program service revenue (Part VIII, line 2g) ......... 73,820,223 71,681,654
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 3,004,810 1,362,756
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 952,746 742,069
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 78,762,822 74,977,037
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 0 0
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 50,745,941 49,104,780
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet622,115    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 24,553,160 23,377,640
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 75,299,101 72,482,420
19 Revenue less expenses. Subtract line 18 from line 12....... 3,463,721 2,494,617
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 90,122,226 87,772,654
21 Total liabilities (Part X, line 26)............. 40,552,556 42,307,067
22 Net assets or fund balances. Subtract line 21 from line 20..... 49,569,670 45,465,587
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet 2016-04-28
Signature of officer Date
JumboBullet ARTHUR TEDESCOCFO
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
RICHARD BUGGY
Preparer's signature
RICHARD BUGGY
Date
 
PTIN
P00512316
Firm's name MediumBullet
CROWE HORWATH LLP  
Firm's EIN MediumBullet35-0921680
Firm's address MediumBullet
175 POWDER FOREST DRIVE
 
SIMSBURY, CT06089
Phone no. (860) 678-9200
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2014)
Page 2
Form 990 (2014)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III ..............
1
Briefly describe the organization’s mission: TO PRESERVE AND ENHANCE A PERSON'S HEALTH AND FUNCTION
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ..........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 59,074,626 including grants of $   ) (Revenue $ 71,681,654 )
ESTABLISHED IN 1902 AS A TB SANATORIUM, GAYLORD HOSPITAL HAS GROWN INTO A 137-BED LONG-TERM ACUTE CARE HOSPITAL SPECIALIZING IN MEDICALLY COMPLEX CARE, REHABILITATION AND SLEEP MEDICINE. OUR NATIONAL REPUTATION FOR REHABILITATION THERAPY INCLUDES SPECIALIZED CARE FOR PATIENTS WHO HAVE EXPERIENCED LIFE-ALTERING EVENTS SUCH AS SPINAL CORD INJURY, TRAUMATIC BRAIN INJURY AND STROKE. THESE PATIENTS REQUIRE SIGNIFICANT LEVELS OF CLINICAL CARE AND PARTICIPATE IN SPECIALIZED TREATMENT PROGRAMS WITH THE GOAL OF MEDICAL RECOVERY, IMPROVED FUNCTION THROUGH REHABILITATION AND THE ABILITY TO RETURN TO INDEPENDENCE. GAYLORD'S INPATIENT HOSPITAL IN WALLINGFORD ADMITS 1,470 PATIENTS ANNUALLY. GAYLORD SEES OUTPATIENTS IN WALLINGFORD AND NORTH HAVEN AND HAS OVER 62,000 ANNUAL VISITS. GAYLORD ALSO HAD FOUR SLEEP MEDICINE LABS LOCATED IN NORTH HAVEN, GUILFORD, TRUMBULL AND GLASTONBURY WHICH WERE CLOSED IN 2015. GAYLORD HOSPITAL ALSO SUPPORTS THE REGION'S ECONOMY AS THE THIRD LARGEST EMPLOYER IN WALLINGFORD, OPERATING WITH A STAFF OF APPROXIMATELY 843 FULL-TIME, PART-TIME AND PER-DIEM EMPLOYEES. GAYLORD HOSPITAL IS ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS. ITS INPATIENT REHABILITATION PROGRAM IS ACCREDITED BY THE COMMISSION FOR ACCREDITATION OF REHABILITATION FACILITIES IN THE AREAS OF SPINAL CORD INJURY AND STROKE REHABILITATION. GAYLORD ALSO IS AFFILIATED WITH THE YALE UNIVERSITY SCHOOL OF MEDICINE AND THE UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE. GAYLORD ALSO HAS A CLINICAL PARTNERSHIP WITH QUINNIPIAC UNIVERSITY MEDICAL SCHOOL AND SCHOOL OF ALLIED HEALTH. MISSION STATEMENT: GAYLORD HOSPITAL'S MISSION IS TO PRESERVE AND ENHANCE A PERSON'S HEALTH AND FUNCTION. THE ROLE OF THE HOSPITAL IN CONNECTICUT: GAYLORD HOSPITAL FULFILLS A UNIQUE PLACE IN THE HEALTH CARE CONTINUUM. THE HOSPITAL'S 137 LICENSED BEDS REPRESENT A SIGNIFICANT PART OF THE REHABILITATION, LONG-TERM ACUTE AND CHRONIC DISEASE HOSPITAL CAPACITY EXISTING IN THE STATE. GAYLORD FILLS THE GAP BETWEEN THE ACUTE CARE HOSPITAL AND OTHER TERTIARY LEVELS OF CARE SUCH AS THE SKILLED NURSING FACILITY, HOME CARE AGENCY OR ASSISTED LIVING CENTER. BY PROVIDING A HOSPITAL LEVEL OF CARE, GAYLORD OFFERS 24-HOUR MEDICAL, NURSING AND RESPIRATORY STAFF COVERAGE. THEREFORE, IT PROVIDES DIAGNOSTIC AND TREATMENT RESOURCES AT THE HOSPITAL LEVEL OF CARE, BUT WITH THE OPTION OF LONGER LENGTH OF STAY (25 DAYS OR MORE) AND AT LESS COST THAN AN ACUTE CARE HOSPITAL. (SEE DISCUSSION UNDER "MARKET SHARE" HEREIN.) MORE THAN 90 PERCENT OF THE HOSPITAL'S INPATIENT ADMISSIONS ARE FROM ACUTE CARE HOSPITALS. MOST OUTPATIENT THERAPY VISITS ARE DRIVEN BY PHYSICIAN REFERRALS, AS ARE SLEEP MEDICINE EVALUATIONS AND STUDIES. PROGRAM BACKGROUND AND KEY SERVICES: PATIENTS ADMITTED TO GAYLORD FOR INPATIENT SERVICES MAY TAKE ADVANTAGE OF THE MEDICAL DIVISION OR THE REHABILITATION DIVISION, DEPENDING ON THEIR INDIVIDUAL NEEDS. THE MEDICAL DIVISION CONSISTS OF THE MEDICALLY COMPLEX PROGRAM FOR PATIENTS WITH SERIOUS MEDICAL ISSUES DUE TO ILLNESS OR INJURY REQUIRING 24-HOUR MEDICAL AND NURSING SUPERVISION; THE VENTILATOR CARE PROGRAM FOR THE CARE AND WEANING OF PATIENTS FROM VENTILATORS, AND THE PULMONARY PROGRAM FOR THOSE WITH CHRONIC RESPIRATORY INSUFFICIENCY. THE REHABILITATION DIVISION ADDRESSES THE NEEDS OF PATIENTS AFTER EXPERIENCING ACUTE ACCIDENTS OR ILLNESSES THAT MAY LEAVE THEM DISABLED IN SOME WAY. THE HOSPITAL'S MAJOR PROGRAMS ARE IN PULMONARY, STROKE, TRAUMATIC BRAIN INJURY, SPINAL CORD INJURY, MEDICALLY COMPLEX CARE AND WOUND CARE. PARTNERING WITH BOSTON UNIVERSITY, THE SPINAL CORD INJURY PROGRAM HAS BECOME DESIGNATED BY THE U.S. NATIONAL INSTITUTE ON DISABILITY AND REHABILITATION RESEARCH (NIDRR) AS A MODEL SYSTEM OF CARE FOR SPINAL CORD INJURY. ONLY 14 HEALTH CARE ORGANIZATIONS IN THE COUNTRY HAVE THIS DESIGNATION. GAYLORD CURRENTLY IS INVOLVED IN SPINAL CORD INJURY-RELATED CARE AND RESEARCH AS THE NEW ENGLAND REGIONAL SPINAL CORD INJURY CENTER (NERSCIC) AT GAYLORD. GAYLORD HAS EMBRACED TECHNOLOGY AS A WAY TO IMPROVE FUNCTION AND OUTCOMES IN BOTH ITS INPATIENTS AND OUTPATIENTS. GAYLORD IS THE ONLY HOSPITAL IN CT TO HAVE THE EKSO BIONICS ROBOTIC SUIT TO HELP PARAPLEGICS WALK. GAYLORD IS A MYOMO CLINICAL PARTNER AND WAS THE FIRST IN CT TO OFFER THIS NEURO-ROBOTIC TECHNOLOGY FOR STROKE PATIENTS. THE HOSPITAL WAS ALSO NAMED A CENTER OF EXCELLENCE BY PASSY-MUIR SPEAKING VALVE - ONE OF ONLY 8 IN THE COUNTRY. GAYLORD IS THE ONLY HOSPITAL TO EMPLOY THE SMARTWHEEL IN ITS WHEELCHAIR CLINIC TO HELP PATIENTS WHO ARE WHEELCHAIR BOUND AS WELL AS PRESSURE MAPPING SYSTEMS FOR BOTH ADULT AND BARIATRIC WHEELCHAIR-BOUND PATIENTS. GAYLORD ALSO OFFERS FES STIMBIKE AND THE BIONESS UPPER EXTREMITY - HAND REHABILITATION SYSTEM. A KEY PROGRAM FOR PEOPLE WITH ACQUIRED BRAIN INJURY IS THE LOUIS D. TRAURIG TRANSITIONAL LIVING CENTER, A FREESTANDING, EIGHT-BED HOUSE ON THE MAIN CAMPUS THAT OFFERS THEM THE OPPORTUNITY TO PRACTICE PROBLEM-SOLVING TECHNIQUES AND ENHANCE SOCIAL SKILLS IN A SUPERVISED SETTING THROUGH PEER INTERACTION WHILE CONTINUING TO RECEIVE PHYSICIAN, NURSING AND THERAPY SERVICES. THE TRANSITIONAL LIVING CENTER IS THE ONLY FACILITY OF ITS KIND IN CONNECTICUT. IT IS LICENSED BY THE CONNECTICUT STATE DEPARTMENT OF PUBLIC HEALTH AND ADDICTION SERVICES. GAYLORD'S CONTINUUM OF CARE FOR PATIENTS IS EXTENDED THROUGH OUTPATIENT PHYSICIAN AND THERAPY SERVICES. IMPROVING ACCESSIBILITY TO OUTPATIENT REHABILITATION REMAINS ONE OF THE HOSPITAL'S PRIORITIES, WHICH IS WHY GAYLORD OFFERS STATE RESIDENTS TWO LOCATIONS FOR THERAPY SERVICES IN NORTH HAVEN AND WALLINGFORD. COLLECTIVELY, MORE THAN 40 CLINICAL SERVICES ENHANCE THE HOSPITAL'S OUTPATIENT TREATMENT PROGRAMS. GAYLORD CENTER FOR CONCUSSION CARE PROVIDES A STATEWIDE RESOURCE FOR THIS GROWING ISSUE AND HAS WORKED WITH AREA SCHOOLS, ATHLETIC TEAMS AND PEDIATRICIANS TO MOVE FOCUS TO THE DANGER OF AN UNTREATED CONCUSSION. PROFESSIONAL AND COMMUNITY EDUCATION: GAYLORD FOCUSES ON COMMUNITY RELATIONSHIPS TO PROMOTE WELLNESS AND ADVANCE HEALTH CARE THROUGH EDUCATION, RESEARCH AND IMPROVEMENT OF CLINICAL PRACTICE. EMPLOYEES ARE ACTIVELY ENGAGED IN COMMUNITY AND PROFESSIONAL ORGANIZATIONS. MORE THAN 373 STUDENTS PARTICIPATED IN ALMOST 11,400 HOURS OF EDUCATIONAL PROGRAMMING AT GAYLORD IN AREAS SUCH AS MEDICAL SERVICES, NURSING, PSYCHOLOGY, SOCIAL WORK, PHARMACY, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH AND LANGUAGE THERAPY, THERAPEUTIC RECREATION, RESPIRATORY THERAPY AND NUTRITION. WEEKLY MEDICAL AND REHABILITATION ROUNDS AT GAYLORD PROVIDED HEALTH CARE PROFESSIONALS AND LAY PEOPLE WITH DIVERSE TOPICS RELATED TO TIMELY TOPICS IN MEDICINE AND REHABILITATION. TWELVE ONE-HOUR PROGRAMS GRANTING CONTINUING MEDICAL EDUCATION CREDITS WERE PRESENTED BY STAFF AND GUEST LECTURERS. THE TOPICS FOCUSED ON DIAGNOSES AND TREATMENT OPTIONS IN SPINAL CORD INJURY, PULMONARY DISORDERS AND VENTILATOR WEANING, BRAIN INJURY, STROKE AND WOUND CARE. GAYLORD STAFF MEMBERS HAVE BEEN PUBLISHED IN VARIOUS MEDIA, PRIMARILY IN MEDICAL JOURNALS RELATED TO THEIR SPECIALTY. GAYLORD STAFF ALSO INTRODUCED THE HOSPITAL AND AN OVERVIEW OF ITS SERVICES TO APPROXIMATELY 300 SCHOOL STUDENTS TO EDUCATE THEM ABOUT CAREERS IN HEALTH CARE AND THE BENEFITS OFFERED TO PATIENTS. PATIENT AND FAMILY EDUCATION AND SUPPORT: THE CHALLENGES THAT ARE EXPERIENCED BY PEOPLE AFTER ILLNESS OR INJURY OFTEN REQUIRE UNDERSTANDING, ONGOING SUPPORT AND THE BEST SERVICES POSSIBLE. GAYLORD PROVIDES CARE MANAGEMENT, CHAPLAIN SERVICES AND PSYCHOLOGY SERVICES AS PART OF OUR STANDARD OF CARE. PATIENT AND FAMILY EDUCATION ALSO INCLUDES ONGOING INSTRUCTIONAL CLASSES FOR INPATIENTS AND THEIR FAMILIES AS WELL AS REGULARLY SCHEDULED, DIAGNOSIS-RELATED SUPPORT GROUPS. OTHER FORMS OF PATIENT AND FAMILY EDUCATION INCLUDE: - PATIENT AND FAMILY EDUCATION GUIDES ARE AVAILABLE TO PEOPLE WITH BRAIN INJURY, DIABETES, MULTIPLE SCLEROSIS, SPINAL CORD INJURY AND STROKE. - A LIBRARY AND RESOURCE CENTER WITH A FULL-TIME MEDICAL LIBRARIAN. - VALUE-ADDED SERVICES (FOR WHICH GAYLORD IS NOT REIMBURSED) INCLUDE: - THERAPEUTIC RECREATION AND SPORTS ACTIVITIES FOR THOSE WITH PHYSICAL DISABILITIES. - CARE MANAGEMENT TO GAYLORD'S TRANSITIONAL LIVING PROGRAM RESIDENTS.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet59,074,626
Form 990 (2014)
Page 3
Form 990 (2014)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment..............
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, Part III.................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part I..................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part II...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III .............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IV..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IX............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII .................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions) ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see attachment
20b
Yes
 
Form 990 (2014)
Page 4
Form 990 (2014)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....
21
 
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............Click to see attachment
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
No
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I............
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I ...................
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If "Yes," complete Schedule L, Part II ................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III.........
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L,
Part IV
........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV.....................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV...
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..Click to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I.
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II ...........
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I ........Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2.............
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VI
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2014)
Page 5
Form 990 (2014)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
155
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
1,008
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBulletCJ
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
 
 
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
 
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
 
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
 
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds.
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? .........................
8
 
 
9a
Did the sponsoring organization make any taxable distributions under section 4966?...
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note.
See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
Form 990 (2014)
Page 6
Form 990 (2014)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI ..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
19
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
17
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
Yes
 
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .....................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletARTHUR TEDESCOGAYLORD FARM ROAD   WALLINGFORD,CT06492 (203) 284-2800
Form 990 (2014)
Page 7
Form 990 (2014)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII ..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) GEORGE KYRIACOU
 
PRESIDENT & CEO
40.00
.................
 
X   X       633,029 0 19,543
(2) ROBERT J LYONS
 
VICE CHAIR / DIRECTOR
1.00
.................
 
X   X       0 0 0
(3) DIANA WAKERLEY
 
SECRETARY / DIRECTOR
1.00
.................
 
X   X       0 0 0
(4) EDWARD H CANTOR ESQ
 
TREASURER / DIRECTOR
1.00
.................
 
X   X       0 0 0
(5) PETER DECKERS MD
 
CHAIR / DIRECTOR
1.00
.................
 
X   X       0 0 0
(6) STEPHEN HOLLAND
 
V.P. & CMO
40.00
.................
 
X   X       353,525 0 5,200
(7) MICHAEL HOBEN
 
DIRECTOR
1.00
.................
 
X           0 0 0
(8) KIMBERLY HARTMANN PHD
 
DIRECTOR
1.00
.................
 
X           0 0 0
(9) KAREN A SCAPPATICCI
 
DIRECTOR
1.00
.................
 
X           0 0 0
(10) GARY L CARTER
 
DIRECTOR
1.00
.................
 
X           0 0 0
(11) WILLIAM J SIMIONE JR
 
DIRECTOR
1.00
.................
 
X           0 0 0
(12) HORATIO W YEUNG PHD
 
DIRECTOR
1.00
.................
 
X           0 0 0
(13) KIM HEALEY
 
DIRECTOR
1.00
.................
 
X           0 0 0
(14) ROBERT J MOBECK
 
DIRECTOR
1.00
.................
 
X           0 0 0
(15) CAROL MILNE
 
DIRECTOR
1.00
.................
 
X           0 0 0
(16) ETHAN WEINER MD
 
DIRECTOR
1.00
.................
 
X           0 0 0
(17) EMILY LITTMAN PHD
 
DIRECTOR
1.00
.................
 
X           0 0 0
Form 990 (2014)
Page 8
Form 990 (2014)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) PERRY F WILSON
 
DIRECTOR
1.00
.......................  
X           0 0 0
(19) MICHAEL BROODER
 
DIRECTOR
1.00
.......................  
X           0 0 0
(20) MARIE ROBERTO PHD
 
DIRECTOR
1.00
.......................  
X           0 0 0
(21) JANINE EPRIGHT
 
V.P. & CFO
40.00
.......................  
    X       197,578 0 18,438
(22) VIRGINIA STAUBACH
 
V.P. & C.N.O.
40.00
.......................  
    X       158,384 0 13,036
(23) WALTER HARPER
 
V.P. HUMAN RESOURCES
40.00
.......................  
    X       173,779 0 21,276
(24) ARTHUR TEDESCO
 
INTERIM CFO
40.00
.......................1.00
    X       0 0 0
(25) GERARD MARONEY
 
INTERIM CIO
40.00
.......................  
    X       0 0 0
(26) SONJA LABARBERA
 
SR. DIR. OF INPATIENT & OUTPATIENT THERAPY
40.00
.......................  
      X     153,224 0 10,862
(27) DR KEITH DIXON
 
PHYSICIAN / MEDICAL DIRECTOR
40.00
.......................  
        X   233,809 0 21,293
(28) DR DAVID ROSENBLUM
 
PHYSICIAN / MEDICAL DIRECTOR
40.00
.......................  
        X   289,229 0 28,741
(29) DR ALYSE SICKLICK
 
PHYSICIAN / INPATIENT
36.00
.......................  
        X   211,406 0 27,343
(30) DR LORRAINE TROW
 
PHYSICIAN MEDICAL DIRECTOR
40.00
.......................  
        X   303,549 0 919
(31) DR JANET HOWARD-FLANDERS
 
PHYSICIAN SLEEP
40.00
.......................  
        X   280,575 0 0
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 2,988,087 0 166,651
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet38
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual
...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
Yes
 
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
HMP OF NEW HAVEN COUNTY LLC

PO BOX 645037
CINNCINNATI,OH45264
PHYSICIAN SERVICES 984,535
MORRISON MANAGEMENT SPECIALIST

PO BOX 102289
ATLANTA,GA30368
DIETARY SERVICES 859,859
CLINICAL LAB PARTNERS

129 EAST CEDAR STREET
NEWINGTON,CT06111
LABORATORY WORK 747,954
IMAGE FIRST MEDICAL WEAR

PO BOX 61323
KING OF PRUSSIA,PA19406
LAUNDRY & LINEN SERVICES 660,127
HUNTZINGER MANAGEMENT GROUP INC

670 NORTH RIVER ST STE 401
PLAINS,PA18705
INFORMATION TECHNOLOGY OVERSIGHT 657,380
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet24
Form 990 (2014)
Page 9
Form 990 (2014)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and similar amounts not included above1f 1,190,558
g Noncash contributions included in lines 1a-1f:$ 9,458
h Total.Add lines 1a-1f.......MediumBullet 1,190,558
 Program Service RevenueAmt Business Code
2a NET PATIENT SERVICE REVENUE 624310 71,681,654 71,681,654    
b
c
d
e
f All other program service revenue. 0 0 0 0
g Total.Add lines 2a–2f.....MediumBullet 71,681,654
 OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ........MediumBullet 482,585     482,585
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet        
(ii) Personal (i) Real
6a Gross rents   99,039
b Less: rental expenses   0
c Rental income or (loss) 0 99,039
d Net rental income or (loss)......MediumBullet 99,039     99,039
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory   880,171
b Less: cost or other basis and sales expenses   0
c Gain or (loss) 0 880,171
d Net gain or (loss).....MediumBullet 880,171     880,171
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities..MediumBullet        
10a Gross sales of inventory, less
returns and allowances ..
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Business Code Miscellaneous Revenue
11a NET ASSETS RELEASED FROM RESTRICTIONS 624310 312,796     312,796
b OTHER OPERATING REVENUE 624310 330,234     330,234
c            
d All other revenue .... 0 0 0 0
e Total. Add lines 11a–11d ...... MediumBullet 643,030
12 Total revenue. See Instructions......MediumBullet 74,977,037 71,681,654 0 2,104,825
Form 990 (2014)
Page 10
Form 990 (2014)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX ..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service expenses
(C)
Management and general expenses
(D)
Fundraising expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21    
2 Grants and other assistance to individuals in the United States. See Part IV, line 22    
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 2,132,638   2,132,638  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages 37,850,581 34,169,095 3,309,196 372,290
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 1,482,299 1,359,373 108,115 14,811
9 Other employee benefits ....... 4,888,872 4,251,916 590,629 46,327
10 Payroll taxes ........... 2,750,390 2,439,255 284,558 26,577
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 218,539   196,269 22,270
c Accounting ........... 109,373   109,373  
d Lobbying ........... 65,607   65,607  
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ......        
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 7,169,126 5,493,080 1,591,625 84,421
12 Advertising and promotion .... 362,040   354,378 7,662
13 Office expenses ....... 1,221,336 641,045 540,089 40,202
14 Information technology ...... 476,355   476,355  
15 Royalties ..        
16 Occupancy ........... 1,301,261 1,017,346 283,915  
17 Travel ............ 130,634 124,546 4,560 1,528
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 141,046 86,289 52,800 1,957
20 Interest ........... 755,556   755,556  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 3,776,384 2,681,233 1,095,151  
23 Insurance ... 1,557,788 1,190,393 367,395  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a DRUGS 2,590,870 2,590,870    
b GENERAL MEDICAL SUPPLIES 2,001,057 1,977,426 23,631  
c RENTAL EQUIPMENT 810,370 707,301 103,069  
d OTHER 524,622 201,320 319,232 4,070
e All other expenses 165,676 144,138 21,538 0
25 Total functional expenses. Add lines 1 through 24e 72,482,420 59,074,626 12,785,679 622,115
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2014)
Page 11
Form 990 (2014)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX ..............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 7,393,448 1 8,820,723
2 Savings and temporary cash investments .........   2  
3 Pledges and grants receivable, net ...... 136,368 3 126,000
4 Accounts receivable, net ............. 9,050,124 4 10,448,595
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L
  5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
  6 0
7 Notes and loans receivable, net .... 249,088 7 0
8 Inventories for sale or use ........   8  
9 Prepaid expenses and deferred charges ...... 1,274,457 9 998,768
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 97,769,146
b Less: accumulated depreciation 10b 63,639,296 36,126,947 10c 34,129,850
11 Investments—publicly traded securities .   11  
12 Investments—other securities. See Part IV, line 11 ..... 32,238,103 12 29,611,311
13 Investments—program-related. See Part IV, line 11 .. 0 13  
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ........... 3,653,691 15 3,637,407
16 Total assets. Add lines 1 through 15 (must equal line 34)... 90,122,226 16 87,772,654
Liabilities 17 Accounts payable and accrued expenses ..... 19,361,205 17 20,915,415
18 Grants payable ...   18  
19 Deferred revenue .........   19  
20 Tax-exempt bond liabilities ......... 17,040,000 20 16,280,000
21 Escrow or custodial account liability. Complete Part IV of Schedule D   21  
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L.. 0 22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ..   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D 4,151,351 25 5,111,652
26 Total liabilities. Add lines 17 through 25.. 40,552,556 26 42,307,067
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets 30,851,890 27 27,661,632
28 Temporarily restricted net assets ........... 1,079,729 28 1,090,393
29 Permanently restricted net assets 17,638,051 29 16,713,562
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund ...   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 49,569,670 33 45,465,587
34 Total liabilities and net assets/fund balances ........ 90,122,226 34 87,772,654
Form 990 (2014)
Page 12
Form 990 (2014)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
74,977,037
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
72,482,420
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
2,494,617
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
49,569,670
5
Net unrealized gains (losses) on investments ...............
5
-2,009,466
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-4,589,234
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
45,465,587
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII .............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
 
 
Form 990 (2014)
Page 13
Form 990 (2014)
Page 13
Additional Data


Software ID: 14000329
Software Version: 2014v1.0


Form 990, Special Condition Description:
Special Condition Description