DAY KIMBALL HEALTHCARE INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: DAY KIMBALL HEALTHCARE INC (EIN 06-0646599)
Tax period: 2022-10-01 to 2023-09-30
Filed: 2024-12-10
IRS object ID: 202443459349301114
Schema version: 2022v5.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-12-10T12:49:37+00:00	ReturnTs
Tax Period End	2023-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	440160260	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Forvis Mazars LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	910 E St Louis 200 PO Box 1190	AddressLine1Txt
City	Springfield	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	658062523	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	060646599	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DAY KIMBALL HEALTHCARE INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	DAYK	BusinessNameControlTxt
Phone	8609286541	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	320 POMRET STREET	AddressLine1Txt
City	PUTNAM	CityNm
State Abbreviation	CT	StateAbbreviationCd
ZIP	06260	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	KYLE KRAMER	PersonNm
Person Title	CEO	PersonTitleTxt
Signature	2024-12-10	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	BRIAN TODD	PreparerPersonNm
PTIN	P00422601	PTIN
Phone	4178658701	PhoneNum

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2024-10-15 13:58:12Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Amended Return	Yes (X)	AmendedReturnInd

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	DAY KIMBALL HOSPITAL	BusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KYLE KRAMER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	320 POMRET STREET	AddressLine1Txt
City	PUTNAM	CityNm
State Abbreviation	CT	StateAbbreviationCd
ZIP	06260	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$121,364,651	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.DAYKIMBALL.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1894	FormationYr
Legal Domicile State	CT	LegalDomicileStateCd
Activity Or Mission	DKH IS A SHORT-TERM GENERAL CARE HOSPITAL PROVIDING COMPREHENSIVE HEALTHCARE SERVICES TO NORTHEASTERN CT AND BORDER COMMUNITIES IN MA AND RI.	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	1013	TotalEmployeeCnt
Total Volunteers	35	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$7,941,179	PYContributionsGrantsAmt
CY Contributions Grants	$5,918,582	CYContributionsGrantsAmt
PY Program Service Revenue	$118,250,256	PYProgramServiceRevenueAmt
CY Program Service Revenue	$120,890,824	CYProgramServiceRevenueAmt
PY Investment Income	$1,119,765	PYInvestmentIncomeAmt
CY Investment Income	$376,227	CYInvestmentIncomeAmt
PY Other Revenue	-$18,179	PYOtherRevenueAmt
CY Other Revenue	-$13,370,212	CYOtherRevenueAmt
PY Total Revenue	$127,293,021	PYTotalRevenueAmt
CY Total Revenue	$113,815,421	CYTotalRevenueAmt
CY Grants And Similar Paid	$636,663	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$53,693,251	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$55,557,863	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$66,219,538	PYOtherExpensesAmt
CY Other Expenses	$74,520,817	CYOtherExpensesAmt
PY Total Expenses	$119,912,789	PYTotalExpensesAmt
CY Total Expenses	$130,715,343	CYTotalExpensesAmt
PY Revenues Less Expenses	$7,380,232	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$16,899,922	CYRevenuesLessExpensesAmt
Total Assets BOY	$78,766,295	TotalAssetsBOYAmt
Total Assets EOY	$74,285,594	TotalAssetsEOYAmt
Total Liabilities BOY	$94,464,307	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$73,927,593	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$15,698,012	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$358,001	NetAssetsOrFundBalancesEOYAmt
Mission	THE MISSION OF DAY KIMBALL HEALTHCARE IS TO IMPROVE THE HEALTH AND WELLBEING OF OUR COMMUNITY BY PROVIDING THE BEST MEDICAL CARE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$110,944,284	ExpenseAmt
Grant	$636,663	GrantAmt
Revenue	$110,233,467	RevenueAmt
Desc	DAY KIMBALL HEALTHCARE PROVIDES A COMPREHENSIVE HEALTHCARE SYSTEM OFFERING PRIMARY CARE AND A MULTITUDE OF MEDICAL AND SURGICAL SPECIALTIES ALONG WITH LEADING -EDGE TECHNOLOGY AND SOPHISTICATED DIAGNOSTICS. OUR SERVICE ARE INCLUDES NORTHEAST CONNECTICUT AS WELL AS NEARBY MASSACHUSETTS AND RHODE ISLAND COMMUNITIES. DAY KIMBALL HEALTHCARE'S COMPREHENSIVE NETWORK OFFERS MORE THAN 1,000 EMPLOYEES INCLUDING MORE THAN 200 HIGHLY SKILLED PHYSICIANS, SURGEONS AND SPECIALISTS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$10,726,079	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$10,657,357	RevenueAmt
Desc	PHYSICIAN OFFICE PROVIDING PRIMARY CARE AND OUTPATIENT VISITS TO NORTHEASTERN CONNECTICUT COMMUNITIES.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$121,670,363	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	87	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1013	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	17	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (true)	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PAUL A BEAUDOIN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	8609286541	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	320 POMFRET STREET	AddressLine1Txt
City	PUTNAM	CityNm
State Abbreviation	CT	StateAbbreviationCd
ZIP	06260	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
EDWIN HIGGINS
ASSISTANT SECRETARY & TREASURER	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
JANICE THURLOW
CHAIRMAN	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
KATHY ROCHA
SECRETARY	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
KYLE KRAMER
CHIEF EXECUTIVE OFFICER	40.0	3.0	Yes (X)	Yes (X)	$0	$0	$0
PETER DEARY
VICE CHAIR	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
RICHARD WILCON
PRESIDENT/MEDICAL STAFF	1.0	40.0	Yes (X)	Yes (X)	$0	$533,844	$35,772
ANNE LOMONDY
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
DANIEL SULLIVAN
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
JAMES ZAHANSKY
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
JAY CYR
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
KAREN COLE
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
KEVIN P JOHNSTON
DIRECTOR END 11/22	1.0	0	Yes (X)		$0	$0	$0
KRISTA MATSEN
DIRECTOR	1.0	40.0	Yes (X)		$0	$206,102	$7,892
MATTHEW DESAULNIER
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
MICHAEL BAUM
DIRECTOR	1.0	41.0	Yes (X)		$0	$390,051	$29,213
NANCY WEISS
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
PAUL MATTY
DIRECTOR	1.0	40.0	Yes (X)		$0	$252,975	$26,591
STEVEN WEXLER
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
MARTIN DURTSCHI
VP MEDICAL AFFAIRS/CMO	40.0	0		Yes (X)	$276,922	$0	$0
PAUL A BEAUDOIN
CHIEF FINANCIAL OFFICER	40.0	3.0		Yes (X)	$424,388	$0	$458
ALEJANDRO CARVAJAL
PHYSICIAN	40.0	0			$387,573	$0	$18,469	Yes (X)
ALEXANDRE CARRE
PHYSICIAN	40.0	0			$367,271	$0	$391	Yes (X)
CARMEN PISC
PHYSICIAN	40.0	0			$565,656	$0	$1,094	Yes (X)
JOHN MODICA
PHYSICIAN	40.0	0			$306,094	$0	$18,189	Yes (X)
JOHN O'KEEFE
CNO	40.0	0			$130,333	$0	$7,541	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,458,237	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,382,972	TotReportableCompRltdOrgAmt
Total Other Compensation	$145,610	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	95	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
SODEXO OPERATIONS LLC
9801 WASHINGTON BLVD	GAITHERSBURG	MD	20878	NUTRITIONAL SERVICES	$2,300,816
TRIMEDX HOLDINGS LLC
5451 LAKEVIEW PARKWAY S DRIVE	INDIANAPOLIS	IN	46268	IT CONSULTING & SERVICING	$817,080
GARFUNKEL WILD PC
350 BEDFORD STREET SUITE 406A	STAMFORD	CT	06901	LEGAL SERVICES	$424,424
EASTERN CT HEMA AND ONCOLOGY
330 WASHINGTON STREET SUITE 220	NORWICH	CT	06360	HEALTHCARE SERVICES	$310,041
JACKSON & COKER
PO BOX 277638	ATLANTA	GA	30384	MEDICAL STAFFING AGENCY	$202,722

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	12	CntrctRcvdGreaterThan100KCnt
Government Grants	$5,911,282	GovernmentGrantsAmt
All Other Contributions	$7,300	AllOtherContributionsAmt
Total Contributions	$5,918,582	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	621110	$110,233,467	$110,233,467
OTHER	900099	$8,396,811	$8,396,811
PHARMACY	456110	$1,493,727	$1,493,727
CAFETERIA	722514	$464,623	$464,623
AFFILIATE ORGANIZATION RENT	531120	$302,196	$302,196

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$120,890,824	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$434,777	TotalRevenueColumnAmt
Exclusion	$434,777	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$223,353	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$178,978	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$44,375	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$44,375	TotalRevenueColumnAmt
Exclusion	$44,375	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$7,289,860	SecuritiesAmt
Other	$21,842	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$7,370,252	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$80,392	SecuritiesAmt
Other	$21,842	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$58,550	TotalRevenueColumnAmt
Exclusion	-$58,550	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	LOSS ON PENSION PLAN SETTLEMENT	Desc
Business	900099	BusinessCd
Total Revenue Column	-$13,414,587	TotalRevenueColumnAmt
Exclusion	-$13,414,587	ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	-$13,414,587	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$113,815,421	TotalRevenueColumnAmt
Related Or Exempt Func Income	$120,890,824	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	-$12,993,985	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$636,663	TotalAmt
Program Services	$636,663	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$701,768	TotalAmt
Program Services	$276,922	ProgramServicesAmt
Management And General	$424,846	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$44,134,228	TotalAmt
Program Services	$41,080,610	ProgramServicesAmt
Management And General	$3,053,618	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,371,680	TotalAmt
Program Services	$1,265,282	ProgramServicesAmt
Management And General	$106,398	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$6,012,368	TotalAmt
Program Services	$5,546,396	ProgramServicesAmt
Management And General	$465,972	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,337,819	TotalAmt
Program Services	$3,078,896	ProgramServicesAmt
Management And General	$258,923	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,081,669	TotalAmt
Management And General	$1,081,669	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$231,140	TotalAmt
Management And General	$231,140	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$53,425	TotalAmt
Management And General	$53,425	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$57,463	TotalAmt
Management And General	$57,463	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$24,436,889	TotalAmt
Program Services	$22,686,098	ProgramServicesAmt
Management And General	$1,750,791	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$138,516	TotalAmt
Program Services	$127,771	ProgramServicesAmt
Management And General	$10,745	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,524,407	TotalAmt
Program Services	$4,173,438	ProgramServicesAmt
Management And General	$350,969	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$3,614,359	TotalAmt
Program Services	$3,333,984	ProgramServicesAmt
Management And General	$280,375	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,068,813	TotalAmt
Program Services	$1,908,330	ProgramServicesAmt
Management And General	$160,483	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$197,531	TotalAmt
Program Services	$182,208	ProgramServicesAmt
Management And General	$15,323	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$19,696	TotalAmt
Program Services	$18,168	ProgramServicesAmt
Management And General	$1,528	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,736,966	TotalAmt
Program Services	$1,602,225	ProgramServicesAmt
Management And General	$134,741	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$4,292,278	TotalAmt
Program Services	$3,959,315	ProgramServicesAmt
Management And General	$332,963	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,495,020	TotalAmt
Program Services	$2,301,475	ProgramServicesAmt
Management And General	$193,545	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES & DRUGS	$16,078,949	$16,078,949
PROVIDER TAX	$12,461,583	$12,461,583
REPAIRS & MAINTENANCE	$727,903	$671,438	$56,465
LICENSES, DUES, SUBSCRIPTION	$304,210	$280,612	$23,598

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$130,715,343	TotalAmt
Program Services	$121,670,363	ProgramServicesAmt
Management And General	$9,044,980	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$6,666	BOYAmt
EOY	$0	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$8,889,876	BOYAmt
EOY	$6,653,648	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$12,986,456	BOYAmt
EOY	$13,870,709	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,182,101	BOYAmt
EOY	$3,620,627	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$413,811	BOYAmt
EOY	$397,356	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$144,788,827	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$107,965,762	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$38,754,275	BOYAmt
EOY	$36,823,065	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$10,421,053	BOYAmt
EOY	$9,895,788	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
EOY	$229,623	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$4,112,057	BOYAmt
EOY	$2,794,778	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$78,766,295	BOYAmt
EOY	$74,285,594	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$29,934,245	BOYAmt
EOY	$40,643,174	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$16,946,852	BOYAmt
EOY	$15,562,986	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$10,223,672	BOYAmt
EOY	$9,775,357	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$330,140	BOYAmt
EOY	$320,883	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$37,029,398	BOYAmt
EOY	$7,625,193	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$94,464,307	BOYAmt
EOY	$73,927,593	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	-$21,892,384	BOYAmt
EOY	-$6,015,813	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,194,372	BOYAmt
EOY	$6,373,814	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$15,698,012	BOYAmt
EOY	$358,001	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$78,766,295	BOYAmt
EOY	$74,285,594	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$16,899,922	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$852,152	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$32,103,783	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$53,425	OtherActivitiesAmt
Total Lobbying Expenditures	$53,425	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	DAY KIMBALL HOSPITAL PAID DUES TO THE CONNECTICUT HOSPITAL ASSOCIATION DURING THE FISCAL YEAR. A PORTION OF THESE DUES MAY BE ATTRIBUTABLE TO LOBBYING EXPENSE.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,251,762	BeginningYearBalanceAmt
Investment Earnings Or Losses	$977,175	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,699,908	OtherExpendituresAmt
Administrative Expenses	$57,463	AdministrativeExpensesAmt
End Year Balance	$6,471,566	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$13,303,763	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$1,726,549	InvestmentEarningsOrLossesAmt
Other Expenditures	$4,250,000	OtherExpendituresAmt
Administrative Expenses	$75,452	AdministrativeExpensesAmt
End Year Balance	$7,251,762	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$11,737,988	BeginningYearBalanceAmt
Investment Earnings Or Losses	$2,076,148	InvestmentEarningsOrLossesAmt
Other Expenditures	$430,000	OtherExpendituresAmt
Administrative Expenses	$80,373	AdministrativeExpensesAmt
End Year Balance	$13,303,763	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$11,512,363	BeginningYearBalanceAmt
Investment Earnings Or Losses	$672,481	InvestmentEarningsOrLossesAmt
Other Expenditures	$375,000	OtherExpendituresAmt
Administrative Expenses	$71,856	AdministrativeExpensesAmt
End Year Balance	$11,737,988	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$12,101,552	BeginningYearBalanceAmt
Investment Earnings Or Losses	$233,920	InvestmentEarningsOrLossesAmt
Other Expenditures	$750,000	OtherExpendituresAmt
Administrative Expenses	$73,109	AdministrativeExpensesAmt
End Year Balance	$11,512,363	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.87	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.13	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.0	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,276,668	OtherCostOrOtherBasisAmt
Book Value	$1,276,668	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$89,994,000	OtherCostOrOtherBasisAmt
Depreciation	$64,679,901	DepreciationAmt
Book Value	$25,314,099	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$50,784,063	OtherCostOrOtherBasisAmt
Depreciation	$41,192,464	DepreciationAmt
Book Value	$9,591,599	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,734,096	OtherCostOrOtherBasisAmt
Depreciation	$2,093,397	DepreciationAmt
Book Value	$640,699	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$36,823,065	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (4 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
INVESTMENTS IN VHA COALITION	$80,000	C
INVESTMENTS IN REAL ESTATE	$91,041	C
FUNDS HELD IN TRUST BY OTHERS	$3,340,875	F
BOARD RESTRICTED ENDOWMENT FUND	$6,383,872	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$9,895,788	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
PENSION LIABILITIES	$750,000
ESTIMATED AMOUNTS DUE TO THIRD PARTIES	$1,400,000
DEFERRED GAIN ON LIABILITIES	$1,101,570
OTHER LIABILITIES	$2,685,000
RIGHT OF USE LIABILITY	$1,688,623

Field	Value	IRS element (for citing)
Total Liability	$7,625,193	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$113,950,825	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$852,152	NetUnrealizedGainsInvstAmt
Other Revenue	-$838,263	OtherRevenueAmt
Revenue Not Reported	$13,889	RevenueNotReportedAmt
Revenue Subtotal	$113,936,936	RevenueSubtotalAmt
Investment Expenses Not Incld	$57,463	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	-$178,978	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	-$121,515	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$113,815,421	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$129,991,974	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$178,978	OtherExpensesIncludedAmt
Expenses Not Reported	$178,978	ExpensesNotReportedAmt
Expenses Subtotal	$129,812,996	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$57,463	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$844,884	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$902,347	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$130,715,343	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONS	MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
Schedule D, Part V, Line 4 Intended uses of endowment funds	THE HOSPITAL'S ENDOWMENT CONSISTS OF MULTIPLE FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES INCLUDING CAPITAL EXPENDITURES, OPERATIONS, AND OTHER DONOR-SPECIFIED RESTRICTIONS.
Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990	PENSION EXPENSE - -844884 NET ASSETS RELEASED FROM RESTRICTION - 6621
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements	RENT EXPENSE - -178978
Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990	RENT EXPENSE - 178978
Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements	PENSION EXPENSE - 844884

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	250	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent250	Yes (X)	Percent250Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$262,872	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$262,872	NetCommunityBenefitExpnsAmt
Total Expense	0.0020	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$37,331,338	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,662,965	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,668,373	NetCommunityBenefitExpnsAmt
Total Expense	0.1046	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,628	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,628	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$37,597,838	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,662,965	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,934,873	NetCommunityBenefitExpnsAmt
Total Expense	0.1066	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$109,572	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$109,572	NetCommunityBenefitExpnsAmt
Total Expense	0.0008	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$37,026	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$37,026	NetCommunityBenefitExpnsAmt
Total Expense	0.0003	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,649,200	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,152,259	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,496,941	NetCommunityBenefitExpnsAmt
Total Expense	0.0268	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$636,663	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$636,663	NetCommunityBenefitExpnsAmt
Total Expense	0.0049	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$12,432,461	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,152,259	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,280,202	NetCommunityBenefitExpnsAmt
Total Expense	0.0327	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$50,030,299	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$31,815,224	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,215,075	NetCommunityBenefitExpnsAmt
Total Expense	0.1393	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$5,208,266	BadDebtExpenseAmt
Bad Debt Expense Attributable	$686,529	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$23,666,734	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$29,661,970	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$5,995,236	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DAY KIMBALL HEALTHCARE	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	320 POMFRET STREET	AddressLine1Txt
City	PUTNAM	CityNm
State Abbreviation	CT	StateAbbreviationCd
ZIP	06260	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.DAYKIMBALL.ORG	WebsiteAddressTxt
State License	0043	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	DAY KIMBALL HEALTHCARE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	20	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTPS://WWW.DAYKIMBALL.ORG/ABOUT-DAY-KIMBALL-HEALTHCARE/IN-THE-COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSE	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	21	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://WWW.DAYKIMBALL.ORG/ABOUT-DAY-KIMBALL-HEALTHCARE/IN-THE-COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSE	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	250.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	250.0	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTPS://WWW.DAYKIMBALL.ORG/RESOURCES/FINANCIAL-SERVICES/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://WWW.DAYKIMBALL.ORG/RESOURCES/FINANCIAL-SERVICES/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://WWW.DAYKIMBALL.ORG/RESOURCES/FINANCIAL-SERVICES/	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - DAY KIMBALL HOSPITAL. DAY KIMBALL HOSPITAL CONDUCTED A COMPREHENSIVE NEEDS ASSESSMENT UTILIZING FOCUS GROUPS AND PHONE SURVEYS OF COUNTY RESIDENTS ALONG WITH STATE AND FEDERAL DATA TO IDENTIFY AND PRIORITIZE THE HEALTHCARE NEEDS IN WINDHAM COUNTY. A BROAD RANGE OF INFORMATION WAS COLLECTED FROM THE FOLLOWING SOURCES: - ANONYMOUS PAPER AND ELECTRONIC SURVEYS TO EMPLOYEES AND DKH CORPORATORS FOCUSING ON ACCESS, QUALITY, AND SERVICES NEEDED. - INTERVIEWS WITH MORE THAN 50 COMMUNITY LEADERS. - DAY KIMBALL HEALTHCARE BOARD OF DIRECTORS. - DATA REVIEW FROM MULTIPLE PUBLICLY REPORTED RESOURCES.
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - DAY KIMBALL HOSPITAL. DAY KIMBALL HOSPITAL CONDUCTED ITS NEEDS ASSESSMENT IN CONJUNCTION WITH THE WINDHAM COUNTY HEALTHCARE CONSORTIUM. THE MEMBERS OF THIS CONSORTIUM INCLUDE WINDHAM HOSPITAL, DAY KIMBALL HOSPITAL, NATCHAUG HOSPITAL, GENERATIONS FAMILY HEALTH CENTER, UNITED SERVICES, VNA EAST, NORTHEAST DISTRICT DEPARTMENT OF HEALTH AND COMMUNITY HEALTH RESOURCES (CHR).
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - DAY KIMBALL HOSPITAL. DAY KIMBALL LEADERS CONTINUE TO HAVE ACTIVE DISCUSSIONS WITH REGIONAL OFFICIALS, SCHOOL ADMINISTRATORS, AND OTHER MEMBERS OF THE COMMUNITY REGARDING OVERARCHING HEALTH CARE RELATED ISSUES ACROSS THE REGION. THROUGH THESE ONGOING DISCUSSIONS, DAY KIMBALL HAVE IDENTIFIED THOSE NEEDS, GOALS TO CLOSE THE GAPS, AND IMPLEMENTATION STRATEGY FOR DOING SO OVER THE NEXT SEVERAL YEARS. DAY KIMBALL HOSPITAL WILL CONTINUE TO WORK WITH COMMUNITY PARTNERS AND ADVOCATES TOWARDS ADDRESSING SOCIAL AND ECONOMIC FORCES THAT CONCURRENTLY IMPACT THE HEALTH AND WELFARE OF THOSE THEY SERVE. IDENTIFIED NEEDS THAT DAY KIMBALL HOSPITAL IS COMMITTED TO ADDRESSING INCLUDE: - MAINTAIN PARTNERSHIPS WITH STATE AND LOCAL AGENCIES TO ASSESS RISK, REDUCE TRANSMISSION AND PROMOTE PREVENTION OF COVID-19. CONTINUE FOLLOWING EMERGING DATA, POLICIES, AND REGULATIONS. EXPLORE ALTERNATE RECRUITING STRATEGIES TO ADDRESS DYNAMIC CHANGES IN WORKFORCE. - INCREASE AVAILABILITY OF TRANSPORTATION IN THE REGION. INCREASE ADVOCACY FOR STATE AND FEDERAL SUPPORT OF IMPROVED TRANSPORTATION SYSTEMS. PROVIDE ONGOING SUPPORT OF ENHANCED TRANSPORTATION SYSTEMS; I.E. RIDESHARES AND BUSSING SERVICES. ONGOING EXPLORATION OF GRANT OPPORTUNITIES - ADDRESS NUTRITIONAL CONCERNS FOR HEMATOLOGY/ONCOLOGY PATIENTS. ADDRESSING THE NEEDS OF CANCER PATIENTS WHO STRUGGLE WITH FOOD PROVISIONS. PROVIDE SHELF-STABLE AND PERISHABLE FOOD TO DKH ONCOLOGY PATIENTS. PROVIDE NUTRITION EDUCATION AND INTERVENTIONS. - REDUCE FALLS AND DECREASE UTILIZATION OF FALL RELATED SERVICES WITH THE COMMUNITY. EXPAND FALL PREVENTION EFFORTS THROUGH THE "CONTINUUM OF HEALTHCARE" INCLUDING: DKH HOSPITAL, HOMEMAKERS, OUTPATIENT REHAB, AND BEYOND. BOLSTER COMMUNITY PARTNERSHIPS TO PROVIDE EXPANDED PROGRAMS. - PROVIDE EDUCATION TO REDUCE MORBIDITY AND MORTALITY ASSOCIATED WITH STROKE. EDUCATION ON STROKE INTERVENTION, DIAGNOSIS, TREATMENT, AND MANAGEMENT. EDUCATION ON POST-STROKE CARE AND MANAGEMENT. REDUCE POSSIBILITY OF DISABILITY ASSOCIATED WITH STROKE. - PROVIDE SERVICES TO TREAT THE INCREASED NUMBER OF LOCAL CANCER CASES IN: RECRUIT TWO MEDICAL ONCOLOGISTS SUPPORT CANCER SERVICE LINE GROWTH MAINTAIN A SUCCESSFUL ACCREDITED CANCER CARE PROGRAM AT DKH. - EFFECTIVELY OPTIMIZE SURGICAL PATIENTS TO PREVENT SURGICAL SITE INFECTIONS AND MANAGE PAIN CONTROL. UTILIZE ENHANCED RECOVERY AFTER SURGERY (ERAS) MEASURES TO PREVENT SURGICAL SITE INFECTIONS (SSI) DECREASE OPIOID USAGE UTILIZING ALTERNATIVE MODALITIES FOR PAIN. - MANAGE PATIENT ENDOCRINE AND METABOLIC DISORDERS WITH EXPANDED SPECIALTY CARE SERVICES. ADDRESS THE TRANSPORTATION ISSUES OF OUR DIABETIC PATIENTS BY PROVIDING EDUCATION AND INSTRUCTION ABOUT HOW TO PERFORM DIABETIC SELF-CARE AT HOME. PROVIDE A MORE DEFINED EDUCATIONAL PROGRAM TO PRE-DIABETIC PATIENTS. - PROVIDE COMPREHENSIVE ASSESSMENT, DIAGNOSIS, AND TREATMENT FOR A RANGE OF PSYCHIATRIC CONDITIONS FOR NORTHEASTERN CONNECTICUT COMMUNITY MEMBERS. ADDRESS EMOTIONAL NEEDS OF SCHOOL-AGE CHILDREN AND THEIR FAMILIES. MAKE SIGNIFICANT INVESTMENTS IN TECHNOLOGY RESOURCES TO PROTECT PATIENT PRIVACY. *IMPLEMENT NEW PROGRAMS THAT SUPPORT AND ADDRESS STIGMA.THE COMMUNITY.

Field	Value	IRS element (for citing)
Facility	6	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
PLAINFIELD HEALTHCARE CENTER
31 DOW ROAD/12 LATHROP ROAD	PLAINFIELD	CT	06374	PRIMARY CARE; PEDIATRICS; WOMEN'S HEALTH; LABORATORY DIAGNOSTIC IMAGING
DANIELSON HEALTHCARE CENTER
55 GREEN HOLLOW ROAD	DANIELSON	CT	06239	DIAGNOSTIC IMAGING; LABORATORY; PHYSICAL MEDICINE SERVICES
DANIELSON MEDICAL ASSOCIATES
45 GREEN HOLLOW ROAD	DANIELSON	CT	06239	PRIMARY CARE SERVICES
POMFRET STREET FAMILY MEDICAL ASSOCIATES
346 POMFRET STREET	PUTNAM	CT	06260	PRIMARY CARE SERVICES; PULMONOLOGY SERVICES
PUTNAM HEALTHCARE CENTER
6-12 SOUTH MAIN STREET	PUTNAM	CT	06260	LAB AND THERAPY SERVICES
DAY KIMBALL HOMEMAKERS HOMECAREHOSPICE
24-32 SOUTH MAIN STREET	PUTNAM	CT	06260	UNSKILLED HOMECARE SERVICES; SKILLED SERVICES

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3a , 3B, & 3C - DETERMINING ELIGIBILITY FOR FREE & DISCOUNTED CARE	TO QUALIFY FOR FREE CARE, AN INDIVIDUAL MUST MEET ALL OF THE CRITERIA: - SINGLE ACCOUNT BALANCE OF $250 OR GREATER OR ACCOUNTS SPANNING SIX MONTHS TOTALING $500 OR GREATER (INDIVIDUAL) OR ACCOUNTS SPANNING SIX MONTHS TOTALING $1000 OR GREATER FOR 2 OR MORE FAMILY MEMBERS (UNDER SAME GUARANTOR). - ANNUAL INCOME IS LESS THAN 250% OF THE CURRENT FEDERAL INCOME POVERTY LEVEL (FPL). - LIQUID ASSETS MUST NOT EXCEED $100,000 (INCLUDES STOCKS, BONDS, CASH, 401K, IRA, CD, PROPERTY AND BUSINESS VALUE, AND RECREATIONAL VEHICLES). TO QUALIFY FOR A 75% CHARITY CARE DISCOUNT, AN INDIVIDUAL MUST MEET ALL OF THE FOLLOWING CRITERIA: - SINGLE ACCOUNT BALANCE OF $250 OR GREATER OR ACCOUNTS SPANNING SIX MONTHS TOTALING $500 OR GREATER (INDIVIDUAL) OR ACCOUNTS SPANNING SIX MONTHS TOTALING $1000 OR GREATER FOR 2 OR MORE FAMILY MEMBERS (UNDER SAME GUARANTOR). - ANNUAL INCOME IS LESS THAN 250% OF THE CURRENT FEDERAL INCOME POVERTY LEVEL (FPL). - LIQUID ASSETS MUST NOT EXCEED $100,000 INCLUDING (STOCKS, BONDS, CASH, 401, IRA, CD, PROPERTY AND BUSINESS VALUE AND RECREATIONAL VEHICLES). - INSURED PATIENTS WHO HAVE NO ADDITIONAL COVERAGE (AND HAVE DOCUMENTATION THAT THEY HAVE EXHAUSTED THEIR INSURANCE) FOR THE REMAINDER OF THEIR PLAN YEAR WILL BE DEEMED "UNINSURED" UNDER SECTION A OF THIS POLICY. IF GRANTED CHARITY CARE, IT WILL BE ONE-TIME GRANTING.
Schedule H, Part I, Line 7 , COLUMN F - PERCENT OF TOTAL EXPENSE	TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR IS EQUAL TO TOTAL OPERATING EXPENSES PER PART IX, LINE 25, OF FORM 990.
Schedule H, Part I, Line 7g Subsidized Health Services	DAY KIMBALL HOSPITAL PARTNERS WITH NORTHEASTERN CONNECTICUT COUNCIL OF GOVERNMENTS (NECCOG) TO PROVIDE LOCAL PARAMEDIC INTERCEPT SERVICES. DAY KIMBALL HOSPITAL AND NECCOG AGREED THAT THE ABSENCE OF PARAMEDIC INTERCEPT SERVICES IN NORTHEASTERN CONNECTICUT, COMPRISED OF MANY RURAL TOWNS, WOULD CREATE A SIGNIFICANT DEFICIENCY IN THE AVAILABILITY AND ACCESSIBILITY OF MEDICAL SERVICES IN THE COMMUNITY. THE HOSPITAL PROVIDES CERTAIN MONETARY AND IN-KIND SERVICES FOR THE PROVISION OF PARAMEDIC INTERCEPT SERVICES.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	THE COSTING METHODOLOGY THAT WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE WAS DAY KIMBALL HOSPITAL'S COST-TO-CHARGE RATIO THAT WAS REPORTED IN THE FY2022 MEDICARE COST REPORT.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HOSPITAL DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HOSPITAL'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED SEPTEMBER 30, 2023. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS ESTIMATED USING THE PERCENTAGE OF THE POPULATION THAT IS BELOW THE POVERTY LINE IN THE HOSPITAL'S SERVICE AREA.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENT ACCOUNTS RECEIVABLE, THAT NOTE CAN BE FOUND ON PAGE 9 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	THE SHORTFALLS BETWEEN DAY KIMBALL HOSPITAL'S MEDICARE COSTS AND PAYMENTS ARE CONSIDERED COMMUNITY BENEFIT BECAUSE THE SERVICES WERE PROVIDED BY DAY KIMBALL HOSPITAL EVEN THOUGH THE COSTS WERE NOT COVERED OR REIMBURSED. THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6 WAS GROSS CHARGES REDUCED BY THE COST TO CHARGE RATIO THAT WAS REPORTED IN THE FY2023 MEDICARE COST REPORT.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	IT IS THE PHILOSOPHY AND POLICY OF DAY KIMBALL HOSPITAL THAT MEDICALLY NECESSARY HEALTH CARE SERVICES SHOULD BE AVAILABLE TO ALL INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THE POLICY WAS WRITTEN IN ACCORDANCE WITH SECTION 9007 OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (ACT), SIGNED INTO LAW ON MARCH 23, 2010, WHICH ADDS NEW SECTIONS 501(R) AND 4959 TO THE INTERNAL REVENUE CODE. SECTION 510(R) INCLUDES A SERIES OF SPECIFIC REQUIREMENTS FOR HOSPITALS TO RECEIVE AND MAINTAIN SECTION 501(C)(3) "TAX EXEMPT" STATUS.
Schedule H, Part V, Section B, Line 16a FAP website	- DAY KIMBALL HEALTHCARE: Line 16a URL: HTTPS://WWW.DAYKIMBALL.ORG/RESOURCES/FINANCIAL-SERVICES/;
Schedule H, Part V, Section B, Line 16b FAP Application website	- DAY KIMBALL HEALTHCARE: Line 16b URL: HTTPS://WWW.DAYKIMBALL.ORG/RESOURCES/FINANCIAL-SERVICES/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- DAY KIMBALL HEALTHCARE: Line 16c URL: HTTPS://WWW.DAYKIMBALL.ORG/RESOURCES/FINANCIAL-SERVICES/;
Schedule H, Part VI, Line 2 Needs assessment	DAY KIMBALL HOSPITAL HAS RECENTLY COMPLETED A COMMUNITY NEEDS ASSESSMENT. THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS UNDERTAKEN TO IDENTIFY SPECIFIC HEALTH CARE NEEDS IN WINDHAM COUNTY. FOCUS GROUPS, TELEPHONE SURVEYS AND STATE AND FEDERAL DATA WAS USED TO IDENTIFY THE SPECIFIC HEALTH CARE NEEDS DURING THIS ASSESSMENT.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	ALL PATIENTS WHO ARE UNINSURED ARE REFERRED TO THE FINANCIAL COUNSELING DEPARTMENT; INPATIENTS ARE ALL VISITED BY A FINANCIAL COUNSELOR (OR GIVEN A FINANCIAL COUNSELING PACKET) PRIOR TO DISCHARGE WITH ALL OF THE AVAILABLE PROGRAMS THAT ARE AVAILABLE THROUGH OUR FINANCIAL ASSISTANCE (CHARITY CARE) POLICY. ANY SCHEDULED PATIENTS WHO ARE UNINSURED ARE CALLED BY THE FINANCIAL COUNSELORS IN ADVANCE TO PROVIDE ALL OF THE OPTIONS INCLUDING SCREENING FOR MEDICAID ASSISTANCE, CHARITY CARE, AS WELL AS SEVERAL OTHER LOCAL FUNDING SOURCES THAT THEY MAY QUALIFY FOR. ALL PATIENT STATEMENTS HAVE INFORMATION ABOUT OUR CHARITY CARE POLICY AS WELL AS DOWNLOADABLE CHARITY CARE APPLICATION. ALL OF OUR THIRD PARTY VENDORS, INCLUDING OUR BAD DEBT AGENCIES AND OUR LONG TERM PATIENT FINANCING PROGRAM THROUGH CAREPAYMENT ALSO PROVIDE OUR CHARITY CARE POLICY TO PATIENTS UPON REQUEST. OUR FINANCIAL ASSISTANCE GUIDELINES ARE ALSO POSTED IN ALL PATIENT REGISTRATION AREAS OF THE HOSPITAL.
Schedule H, Part VI, Line 4 Community information	DAY KIMBALL HOSPITAL'S PRIMARY SERVICE AREA CONSISTS OF 13 TOWNS IN THE NORTHEASTERN CORNER OF CONNECTICUT AS WELL AS BORDERING MASSACHUSETTS AND RHODE ISLAND TOWNS. DAY KIMBALL'S SERVICE AREA IS OVER 438 SQUARE MILES AND CONTAINS APPROXIMATELY 116,192 IN WINDHAM COUNTY. THE POPULATION RANGES FROM LONG TERM, MULTI-GENERATIONAL FAMILIES TO NEWLY IMMIGRATED WIDE RANGE OF SOCIO-ECONOMIC FACTORS INCLUDING VERY HIGH INCOME TO POVERTY; ADVANCED EDUCATION TO INCOMPLETE HIGH SCHOOL. THE MEDIAN HOUSEHOLD INCOME IN 2010 IN WINDHAM COUNTY WAS $58,489 (THE LOWEST INCOME OF ANY COUNTY IN THE STATE OF CONNECTICUT), WHILE THE STATE MEDIAN WAS $69,519. ACCORDING TO THE HEALTHY CONNECTICUT 2020 STATE HEALTH ASSESSMENT THAT WAS RELEASED IN MARCH 2014 THE LEADING CAUSE OF DEATH IN CONNECTICUT ARE HEART DISEASE AND CANCER. RESIDENTS FROM URBAN AREAS. ACCORDING TO THE 2010 CENSUS, 11.7% OF THE POPULATION IS UNDER POVERTY LEVEL AND 14.3% ARE OVER AGE 65. THERE IS A WIDE RANGE OF SOCIO-ECONOMIC FACTORS INCLUDING VERY HIGH INCOME TO POVERTY; ADVANCED EDUCATION TO INCOMPLETE HIGH SCHOOL. THE MEDIAN HOUSEHOLD INCOME IN 2010 IN WINDHAM COUNTY WAS $58,489 (THE LOWEST INCOME OF ANY COUNTY IN THE STATE OF CONNECTICUT), WHILE THE STATE MEDIAN WAS $69,519. ACCORDING TO THE HEALTHY CONNECTICUT 2020 STATE HEALTH ASSESSMENT THAT WAS RELEASED IN MARCH 2014 THE LEADING CAUSE OF DEATH IN CONNECTICUT ARE HEART DISEASE AND CANCER.
Schedule H, Part VI, Line 5 Promotion of community health	THE MISSION OF DAY KIMBALL HOSPITAL IS TO MEET THE HEALTH NEEDS OF OUR COMMUNITY THROUGH OUR CORE VALUES OF CLINICAL QUALITY, CUSTOMER SERVICE, FISCAL RESPONSIBILITY AND LOCAL CONTROL. DAY KIMBALL HOSPITAL IS GOVERNED BY A BOARD OF DIRECTORS COMPRISED OF COMMUNITY MEMBERS AND PHYSICIANS. THE MEDICAL STAFF IS OPEN TO ALL PHYSICIANS IN THE COMMUNITY WHO MEET MEMBERSHIP AND CLINICAL PRIVILEGE REQUIREMENTS. INPATIENT, OUTPATIENT AND EMERGENCY SERVICES THAT ARE MEDICALLY NECESSARY ARE PROVIDED TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY.
Schedule H, Part VI, Line 6 Affiliated health care system	DAY KIMBALL HOSPITAL HAS A RELATIONSHIP WITH UMASS MEMORIAL MEDICAL CENTER AS ITS TERTIARY CARE SITE. WHEN PATIENTS' CARE REQUIRES SPECIALIZED TREATMENTS, DAY KIMBALL COLLABORATES WITH PROMINENT MEDICAL CENTERS TO PROVIDE THE CARE THEY NEED. FOR INSTANCE, DAY KIMBALL PARTNERS WITH UMASS MEMORIAL MEDICAL CENTER IN WORCESTER, MA, FOR CARDIAC CARE AND HAS DEVELOPED A SYSTEMATIC APPROACH TO STABILIZING AND TRANSPORTING HEART ATTACK PATIENTS TO UMASS FOR FURTHER TREATMENT.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KB AMBULANCE CORPS INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 209	AddressLine1Txt
City	DANIELSON	CityNm
State Abbreviation	CT	StateAbbreviationCd
ZIP	06239	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	061017053	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$636,663	CashGrantAmt
Purpose Of Grant	SUPPORT	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	DAY KIMBALL'S LEADERSHIP TEAM HAS WORKED CLOSELY WITH THE KB AMBULANCE TEAM TO ESTABLISH A PATIENT TRANSPORTATION ARM. DAY KIMBALL HAS COMMITTED TO SUBSIDIZING CERTAIN STARTUP COSTS AS KB AMBULANCE GETS BILLING AND STAFFING STABILIZED. THESE ENHANCED PATIENT TRANSPORTATION SERVICES WILL PROVIDE A SIGNIFICANT BENEFIT TO OUR COMMUNITY.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
RICHARD WILCON
PRESIDENT/MEDICAL STAFF	$0	$487,223	$0	$34,912	$0	$11,709	$0	$7,500	$0	$28,272	$0	$569,616	$0	$0
MICHAEL BAUM
DIRECTOR	$0	$298,013	$0	$88,828	$0	$3,210	$0	$9,150	$0	$20,063	$0	$419,264	$0	$0
KRISTA MATSEN
DIRECTOR	$0	$205,644	$0	$0	$0	$458	$0	$6,184	$0	$1,708	$0	$213,994	$0	$0
PAUL MATTY
DIRECTOR	$0	$250,079	$0	$0	$0	$2,896	$0	$7,745	$0	$18,846	$0	$279,566	$0	$0
PAUL A BEAUDOIN
CHIEF FINANCIAL OFFICER	$349,981	$0	$72,000	$0	$2,407	$0	$0	$0	$458	$0	$424,846	$0	$0	$0
MARTIN DURTSCHI
VP MEDICAL AFFAIRS/CMO	$276,922	$0	$0	$0	$0	$0	$0	$0	$0	$0	$276,922	$0	$0	$0
ALEXANDRE CARRE
PHYSICIAN	$319,476	$0	$44,000	$0	$3,795	$0	$0	$0	$391	$0	$367,662	$0	$0	$0
CARMEN PISC
PHYSICIAN	$321,635	$0	$92,256	$0	$151,765	$0	$0	$0	$1,094	$0	$566,750	$0	$0	$0
ALEJANDRO CARVAJAL
PHYSICIAN	$350,266	$0	$37,000	$0	$307	$0	$9,150	$0	$9,319	$0	$406,042	$0	$0	$0
JOHN MODICA
PHYSICIAN	$149,741	$0	$154,738	$0	$1,615	$0	$9,150	$0	$9,039	$0	$324,283	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a Housing allowance or residence for personal use	HOUSING ALLOWANCE IS PROVIDED FOR THE CONTRACTED PRESIDENT AND CEO, KYLE KRAMER AS PART OF HIS COMPENSATION WITH THE MANAGEMENT COMPANY.
Schedule J, Part I, Line 7 Non-fixed payments	THERE ARE THREE PROVIDERS THAT RECEIVE A BONUS WHICH ARE ALL BASED ON PRODUCTIVITY AND ARE CALCULATED OFF OF THEIR WRVUS FOR THE CONTRACT PERIOD.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	STATE OF CONNECTICUT HEALTH AND EDUCATION FACILITIES	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	060806186	BondIssuerEIN
CUSIP	20774YPC5	CUSIPNum
Bond Issued	2013-06-06	BondIssuedDt
Issue Price	$30,330,000	IssuePriceAmt
Purpose	EMERGENCY DEPARTMENT EXPANSION	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$7,760,000	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$30,330,000	TotalProceedsAmt
In Reserve Fund	$2,340,522	InReserveFundAmt
Capitalized Interest	$1,170,295	CapitalizedInterestAmt
Refunding Escrow	$15,485,409	RefundingEscrowAmt
Issuance Costs From Proceeds	$606,600	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$10,723,350	CapitalExpendituresAmt
Other Spent Proceeds	$3,824	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Substantial Completion	2014	SubstantialCompletionYr
Refunding Tax Exempt Bonds	Yes (true)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	false	RefundingTaxableBondsInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	false	MgmtContractBondFincdPropInd
Any Research Agreements	false	AnyResearchAgreementsInd
Total Private Business Use	0.0	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	false	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	Yes (true)	NoRebateDueInd
Variable Rate Issue	false	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part I, Column (f) DESCRIPTION OF PURPOSE	CURRENT REFUNDING AND EMERGENCY DEPARTMENT EXPANSION AND RENOVATION.
Schedule K, Part IV, Line 2c COLUMN A	Issuer name: STATE OF CONNECTICUT HEALTH AND EDUCATION FACILITIES The calculation for computing no rebate due was performed on 06/30/2018

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 15a &15B - COMPENSATION OF TOP MANAGEMENT	THE ORGANIZATION REVIEWS THE COMPENSATION OF THE CEO AND OTHER OFFICERS AND KEY EMPLOYEES ON A REGULAR BASIS. COMPENSATION ADJUSTMENTS ARE SUBJECT TO BOARD APPROVAL AND THE PROCESS AND CONCLUSIONS ARE DOCUMENTED IN THE BOARD MINUTES. THE COMPENSATION REVIEW INCLUDES AN ANALYSIS OF COMPARABILITY DATA. IN APRIL 2019, GALLAGHER GROUP PREPARED AN ANNUAL HOSPITAL WAGE SURVEY FOR THE CONNECTICUT, MASSACHUSETTS AND RHODE ISLAND HOSPITAL ASSOCIATIONS AVAILABLE FOR USE BY MEMBER HOSPITALS. THIS SURVEY WAS USED BY DAY KIMBALL HEALTHCARE IN THE COMPENSATION DETERMINATION PROCESS.
Form 990, Part VI, Line 3 Delegation of management duties	DAY KIMBALL HEALTHCARE CONTRACTS WITH A MANAGEMENT COMPANY TO PROVIDE ONSITE EXECUTIVE MANAGEMENT SERVICES. CEO KYLE KRAMER WAS COMPENSATED BY THE MANAGEMENT COMPANY DURING FY23.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	THE HOSPITAL HAS MORE THAN 400 CORPORATORS WHO ARE DEDICATED TO THE HOSPITAL'S MISSION. CORPORATORS ARE INDIVIDUALS INTERESTED IN THE PURPOSES OF THE HOSPITAL AND REPRESENT THE COMMUNITIES SERVED. CORPORATORS HAVE THE RIGHT TO PARTICIPATE IN THE ELECTION OF DIRECTORS AND OFFICERS.
Form 990, Part VI, Line 11b Review of form 990 by governing body	FORM 990 IS REVIEWED BY PAUL A. BEAUDOIN, CFO, PRIOR TO FILING. A COPY OF THE 990 IS MADE AVAILABLE TO ALL BOARD MEMBERS BEFORE FILING.
Form 990, Part VI, Line 12c Conflict of interest policy	THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY REQUIRING BOARD MEMBERS, ADMINISTRATION, THE MEDICAL STAFF, AND ALL OTHER EMPLOYEES TO FILL OUT A CONFLICT OF INTEREST DISCLOSURE ANNUALLY. IF ANY CHANGE IN THE FORM ARISES THROUGHOUT THE YEAR, IT IS REQUIRED TO BE REPORTED PROMPTLY TO THE CHAIR OF THE BOARD OF DIRECTORS OR THE PRESIDENT OF DAY KIMBALL HOSPITAL. IN THE EVENT A POTENTIAL CONFLICT OF INTEREST HAS A DIRECT IMPLICATION FOR PATIENT CARE, THE INSTITUTION MAY CONVENE AN ETHICS COMMITTEE MEETING TO ASSIST IN THE RESOLUTION OF THE ISSUE. IF AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST IS DISCLOSED, THE AFFECTED EMPLOYEE WILL REFRAIN FROM FURTHER PARTICIPATION IN MATTERS TO WHICH THE CONFLICT RELATES UNTIL THE QUESTION HAS BEEN RESOLVED.
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 VII, Section A COMPENSATION OF BOARD OF DIRECTORS	NO BOARD MEMBERS RECEIVE COMPENSATION FOR THEIR DUTIES AS DIRECTORS. DIRECTORS WITH COMPENSATION LISTED ON PART VII ARE EITHER EMPLOYEES OF THE FILING ORGANIZATION, OR EMPLOYEES AND/OR INDEPENDENT CONTRACTORS FOR A RELATED ORGANIZATION, DAY KIMBALL MEDICAL GROUP. THEY ARE COMPENSATED FOR THEIR DUTIES IN THAT CAPACITY.
Form 990, Part IX, Line 11g Other Fees	CONTRACTED SERVICES - Total Expense: 13868859, Program Service Expense: 12793016, Management and General Expenses: 1075843, Fundraising Expenses: ; PROFESSIONAL FEES - Total Expense: 6293975, Program Service Expense: 5805735, Management and General Expenses: 488240, Fundraising Expenses: ; LAB SERVICES - Total Expense: 1867173, Program Service Expense: 1867173, Management and General Expenses: , Fundraising Expenses: ; CONSULTING FEES - Total Expense: 1843738, Program Service Expense: 1700715, Management and General Expenses: 143023, Fundraising Expenses: ; OTHER FEES - Total Expense: 563144, Program Service Expense: 519459, Management and General Expenses: 43685, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	TRANSFER TO AFFILIATE - -9545300; CHANGE IN INTEREST IN BENEFICIAL TRUST - 186063; CHANGE IN DEFINED BENEFIT PENSION PLAN - 41463020;
FORM 990, LINE B AMENDED RETURN	THE ORGANIZATION IS AMENDING ITS 2022 TAX RETURN TO REPORT GRANTS PAID TO A LOCAL TAX-EXEMPT ORGANIZATION. FORM 990, PART IX, LINE 1 AND LINE 11G, SCHEDULE H, PART I, LINE 7G AND LINE 7I HAVE BEEN UPDATED TO REFLECT THE GRANTS PAID DURING FY23. SCHEDULE I IS ADDED TO DISCLOSE THE ORGANIZATION THAT RECEIVED THE GRANT FUNDS.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	PHYSICIAN SERVICES OF NORTHEAST CT	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	45 GREEN HOLLOW ROAD	AddressLine1Txt
City	DANIELSON	CityNm
State Abbreviation	CT	StateAbbreviationCd
ZIP	06239	ZIPCd

Field	Value	IRS element (for citing)
EIN	262565797	EIN
Primary Activities	PHYSICIAN SERVICES	PrimaryActivitiesTxt
Legal Domicile State	CT	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	DAY KIMBALL HEALTHCARE	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
DAY KIMBALL HOMEMAKERS
320 POMFRET STREET	PUTNAM	CT	06260	061136893	HOMEMAKERS	CT	501(c)(3)	10	DAY KIMBALL HEALTHCARE	Yes (true)
DAY KIMBALL MEDICAL GROUP INC
320 POMFRET STREET	PUTNAM	CT	06260	454077626	PHYSICIAN SERVICES	CT	501(c)(3)	10	DAY KIMBALL HEALTHCARE	Yes (true)
DAY KIMBALL HEALTHCARE FOUNDATION INC
309 POMFRET STREET	PUTNAM	CT	06260	833150493	SUPPORT	CT	501(c)(3)	Type I	DAY KIMBALL HEALTHCARE	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
DAY KIMBALL MEDICAL GROUP INC
J	$302,196	COST
DAY KIMBALL MEDICAL GROUP INC
R	$9,362,868	COST
DAY KIMBALL FOUNDATION
R	$182,432	COST