Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORT
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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.
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Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation
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189027
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Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance
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Medicare Cost to Charge Ratio was used in 7 A& B All other costs are based on actual cost of providing the programs and benefits.
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Schedule H, Part II Community Building Activities
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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 underserved 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 104 meetings throughout the year, that approximately 60 people are served through this program, with the Hospital providing approximately 120 man hours in human resources to prepare the meeting space. The Hospital also sponsors six support groups that are open to the community, serving those with Spinal Cord Injury, Stroke, Traumatic Brain Injury , Cardiac issues and Pulmonary 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 650 community events.
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Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount
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On a monthly basis, the accounts receivable aging is reviewed. Based on historical percentages for each aging bucket, a total amount is estimated as bad debt.
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Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote
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THE TEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE CAN BE FOUND ON PAGE 15 OF THE CONSOLIDATED AUDIT REPORT.
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Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs
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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.
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Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance
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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.
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Schedule H, Part V, Section B, Line 16a FAP website
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- GAYLORD HOSPITAL, INC.: Line 16a URL: WWW.GAYLORD.ORG/patient info/financialservices;
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Schedule H, Part V, Section B, Line 16b FAP Application website
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- GAYLORD HOSPITAL, INC.: Line 16b URL: WWW.GAYLORD.ORG/patient info/financialservices;
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Schedule H, Part V, Section B, Line 16c FAP plain language summary website
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- GAYLORD HOSPITAL, INC.: Line 16c URL: WWW.GAYLORD.ORG/patient info/financialservices;
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Schedule H, Part VI, Line 2 Needs assessment
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Gaylord has employees who participate both in community based organizations like the regional Chamber's of Commerce, as well as members who sit on the boards of several medical based groups (NSCIA (National Spinal Cord Injury Assoc. and BIAC (Brain Injury Assoc.)) Affiliations with groups such as these allows us to continually be exposed to the needs and insights of those in the community that need our assistance and the programs that we provide.
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Schedule H, Part VI, Line 3 Patient education of eligibility for assistance
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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.
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Schedule H, Part VI, Line 4 Community information
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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 2018 REPORTS 24% OF THE CONNECTICUT POPULATON WAS AT OR BELOW 200% OF THE FEDERAL POverty GUIDELINES, 21% WERE ON STATE MEDICAID AND 6% 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 HEALTH CARE 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.
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Schedule H, Part VI, Line 5 Promotion of community health
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A majority of the organization's governing body is comprised of persons who reside in the organization's primary service area. Board members are neither employees nor independent contractors of the organization, nor family members thereof. The organization extends medical staff privileges to all qualified physicians in its communities for all applicable departments and specialties. Gaylord hospital uses any surplus funds to reinvest in equipment and programming to improve the care and function of patients with spinal cord injury, stroke, traumatic brain injury, and pulmonary issues.
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