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DAY KIMBALL HEALTHCARE INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
DAY KIMBALL HEALTHCARE INC (EIN 06-0646599)
Tax period
2023-10-01 to 2024-09-30
Filed
2025-08-13
IRS object ID
202512259349302006
Schema version
2023v6.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2025-08-13T11:49:53+00:00ReturnTs
Tax Period End2024-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN440160260PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Forvis Mazars LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1910 E St Louis 200 PO Box 1190AddressLine1Txt
CitySpringfieldCityNm
State AbbreviationMOStateAbbreviationCd
ZIP658062523ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN060646599EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Day Kimball Healthcare IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlDAYKBusinessNameControlTxt
Phone8609286541PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1320 Pomret StreetAddressLine1Txt
CityPutnamCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06260ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKYLE KRAMERPersonNm
Person TitleCEOPersonTitleTxt
Signature2025-08-13SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBrian ToddPreparerPersonNm
PTINP00422601PTIN
Phone4178658701PhoneNum
Preparation2025-08-13PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Day Kimball HospitalBusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1KYLE KRAMERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1320 Pomret StreetAddressLine1Txt
CityPutnamCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06260ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$133,726,508GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.DAYKIMBALL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1894FormationYr
Legal Domicile StateCTLegalDomicileStateCd
Activity Or MissionDKH 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 Body18VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee1013TotalEmployeeCnt
Total Volunteers65TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$5,918,582PYContributionsGrantsAmt
CY Contributions Grants$7,356,434CYContributionsGrantsAmt
PY Program Service Revenue$120,890,824PYProgramServiceRevenueAmt
CY Program Service Revenue$120,233,468CYProgramServiceRevenueAmt
PY Investment Income$376,227PYInvestmentIncomeAmt
CY Investment Income$1,077,905CYInvestmentIncomeAmt
PY Other Revenue-$13,370,212PYOtherRevenueAmt
CY Other Revenue$1,805CYOtherRevenueAmt
PY Total Revenue$113,815,421PYTotalRevenueAmt
CY Total Revenue$128,669,612CYTotalRevenueAmt
PY Grants And Similar Paid$636,663PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$18,440CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$55,557,863PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$57,939,132CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$74,520,817PYOtherExpensesAmt
CY Other Expenses$71,237,240CYOtherExpensesAmt
PY Total Expenses$130,715,343PYTotalExpensesAmt
CY Total Expenses$129,194,812CYTotalExpensesAmt
PY Revenues Less Expenses-$16,899,922PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$525,200CYRevenuesLessExpensesAmt
Total Assets BOY$74,285,594TotalAssetsBOYAmt
Total Assets EOY$74,951,200TotalAssetsEOYAmt
Total Liabilities BOY$73,927,593TotalLiabilitiesBOYAmt
Total Liabilities EOY$86,241,898TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$358,001NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$11,290,698NetAssetsOrFundBalancesEOYAmt
MissionTHE 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 SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$111,184,219ExpenseAmt
Grant$18,440GrantAmt
Revenue$111,224,571RevenueAmt
DescDAY 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

FieldValueIRS element (for citing)
Expense$9,005,629ExpenseAmt
Grant$0GrantAmt
Revenue$9,008,897RevenueAmt
DescPHYSICIAN OFFICE PROVIDING PRIMARY CARE AND OUTPATIENT VISITS TO NORTHEASTERN CONNECTICUT COMMUNITIES.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$120,189,848TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document81IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1013EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members18GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PAUL A BEAUDOINBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8609286541PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1320 POMFRET STREETAddressLine1Txt
CityPUTNAMCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06260ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
EDWIN HIGGINS
TREASURER1.00Yes (X)Yes (X)$0$0$0
JANICE THURLOW
CHAIRMAN END 05/241.02.0Yes (X)Yes (X)$0$0$0
JAY CYR
DIRECTOR END 05/24; VICE CHAIR BEG 06/241.00Yes (X)Yes (X)$0$0$0
KATHY ROCHA
SECRETARY1.01.0Yes (X)Yes (X)$0$0$0
KYLE KRAMER
CHIEF EXECUTIVE OFFICER40.03.0Yes (X)Yes (X)$0$0$0
PETER DEARY
VICE CHAIR END 05/24; CHAIRMAN BEG 06/241.01.0Yes (X)Yes (X)$0$0$0
RICHARD WILCON MD
PRESIDENT / MEDICAL STAFF1.040.0Yes (X)Yes (X)$34,748$475,576$28,886
ANNE LAMONDY
DIRECTOR1.00Yes (X)$0$0$0
DANIEL SULLIVAN
DIRECTOR END 05/241.00Yes (X)$0$0$0
JAMES ZAHANSKY
DIRECTOR1.00Yes (X)$0$0$0
JEFFREY RAWSON
DIRECTOR BEG 06/241.00Yes (X)$0$0$0
KAREN COLE
DIRECTOR1.00Yes (X)$0$0$0
KRISTA MATSEN MD
DIRECTOR END 07/241.040.0Yes (X)$12,000$158,974$6,505
KRISTEN XELLER MD
DIRECTOR BEG 06/241.00Yes (X)$0$0$0
MATTHEW DESAULNIER
DIRECTOR1.00Yes (X)$0$0$0
MICHAEL BAUM MD
DIRECTOR1.041.0Yes (X)$0$341,698$28,963
NANCY WEISS
DIRECTOR1.01.0Yes (X)$0$0$0
PAUL MATTY MD
DIRECTOR1.040.0Yes (X)$14,000$264,594$26,039
PAUL SWEET
DIRECTOR BEG 06/241.00Yes (X)$0$0$0
STEPHEN SCHIFF MD
DIRECTOR BEG 06/241.040.0Yes (X)$0$398,832$28,913
STEVEN WEXLER MD
DIRECTOR1.00Yes (X)$0$0$0
PAUL A BEAUDOIN
CHIEF FINANCIAL OFFICER40.03.0Yes (X)$468,010$0$458
JOHN O'KEEFE
CNO40.00$244,657$0$26,654Yes (X)
ALEJANDRO CARVAJAL
PHYSICIAN40.00$446,517$0$17,969Yes (X)
ALEXANDRE CARRE
PHYSICIAN40.00$363,771$0$391Yes (X)
CHERYL PETRARCA
EXECUTIVE DIRECTOR OF PATIENT CARE40.00$191,302$0$6,370Yes (X)
JOHN MODICA
PHYSICIAN40.00$338,143$0$18,439Yes (X)
ROBERT VIENS
EXEC. DIRECTOR OF PHARMACY/LAB/FACILITIES40.00$168,895$0$27,189Yes (X)
CARMEN PISC
FORMER PHYSICIAN0.00$188,521$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,470,564TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,639,674TotReportableCompRltdOrgAmt
Total Other Compensation$216,776TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K102IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmtAddress Line2ContractorAddress/USAddress/AddressLine2Txt
ENSEMBLE RCM LLC
PO BOX 639076CINCINNATIOH45263OUTSOURCED SERVICES$3,986,834
MEDICAL SOLUTIONS INC
PO BOX 850737MINNEAPOLISMN554850737TEMP WORKERS$3,181,167
SODEXO OPERATIONS LLC
P O BOX 360170PITTSBURGHPA152516170FOOD SERVICES$1,865,885
LABORATORY CORP OF AMERICA
PO BOX 12140BURLINGTONNC272162140OUTSOURCED SERVICES$1,506,465
NAPA
68 SOUTH SERVICE ROADMELVILLENY11747OUTSOURCED SERVICES$1,423,010SUITE 350
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K35CntrctRcvdGreaterThan100KCnt
Government Grants$7,284,914GovernmentGrantsAmt
All Other Contributions$71,520AllOtherContributionsAmt
Total Contributions$7,356,434TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE621110$110,954,775$110,954,775
CAFETERIA722514$532,156$532,156
AFFILIATE ORGANIZATION RENT531120$334,728$334,728
PHARMACY456110$112,816$112,816

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,298,993TotalRevenueColumnAmt
Related Or Exempt Func Income$8,298,993RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$120,233,468TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$481,314TotalRevenueColumnAmt
Exclusion$481,314ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$180,783RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$178,978RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,805RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,805TotalRevenueColumnAmt
Exclusion$1,805ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$5,474,509SecuritiesAmt
Other$0OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$4,722,848SecuritiesAmt
Other$155,070OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$751,661SecuritiesAmt
Other-$155,070OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$596,591TotalRevenueColumnAmt
Exclusion$596,591ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$128,669,612TotalRevenueColumnAmt
Related Or Exempt Func Income$120,233,468RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,079,710ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$18,440TotalAmt
Program Services$18,440ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$800,527TotalAmt
Program Services$271,311ProgramServicesAmt
Management And General$529,216ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$46,605,347TotalAmt
Program Services$43,243,925ProgramServicesAmt
Management And General$3,361,422ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$600,140TotalAmt
Program Services$550,950ProgramServicesAmt
Management And General$49,190ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$6,335,181TotalAmt
Program Services$5,821,361ProgramServicesAmt
Management And General$513,820ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,597,937TotalAmt
Program Services$3,306,757ProgramServicesAmt
Management And General$291,180ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$766,124TotalAmt
Management And General$766,124ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$345,298TotalAmt
Management And General$345,298ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$44,075TotalAmt
Management And General$44,075ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$52,135TotalAmt
Management And General$52,135ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$19,444,228TotalAmt
Program Services$18,010,029ProgramServicesAmt
Management And General$1,434,199ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$187,453TotalAmt
Program Services$172,282ProgramServicesAmt
Management And General$15,171ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,128,772TotalAmt
Program Services$3,850,463ProgramServicesAmt
Management And General$278,309ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,751,859TotalAmt
Program Services$3,448,222ProgramServicesAmt
Management And General$303,637ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,127,289TotalAmt
Program Services$1,955,128ProgramServicesAmt
Management And General$172,161ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$193,695TotalAmt
Program Services$178,019ProgramServicesAmt
Management And General$15,676ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$4,872TotalAmt
Program Services$4,478ProgramServicesAmt
Management And General$394ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,799,227TotalAmt
Program Services$1,653,616ProgramServicesAmt
Management And General$145,611ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$4,455,776TotalAmt
Program Services$4,095,171ProgramServicesAmt
Management And General$360,605ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,736,107TotalAmt
Program Services$2,514,675ProgramServicesAmt
Management And General$221,432ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES & DRUGS$18,487,887$18,487,887
PROVIDER TAX$11,411,202$11,411,202
REPAIRS & MAINTENANCE$930,392$855,096$75,296
LICENSES, DUES, & SUBSCRIPTION$370,849$340,836$30,013

All Other Expenses AllOtherExpensesGrp

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

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$129,194,812TotalAmt
Program Services$120,189,848ProgramServicesAmt
Management And General$9,004,964ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$6,653,648BOYAmt
EOY$3,893,868EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$13,870,709BOYAmt
EOY$15,031,731EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,620,627BOYAmt
EOY$3,423,550EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$397,356BOYAmt
EOY$509,395EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$148,385,313LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$111,741,688LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$36,823,065BOYAmt
EOY$36,643,625EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$9,895,788BOYAmt
EOY$10,675,134EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$229,623BOYAmt
EOY$32,803EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,794,778BOYAmt
EOY$4,741,094EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$74,285,594BOYAmt
EOY$74,951,200EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$40,643,174BOYAmt
EOY$54,070,068EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$15,562,986BOYAmt
EOY$14,105,172EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$9,775,357BOYAmt
EOY$10,852,434EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$320,883BOYAmt
EOY$212,518EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,625,193BOYAmt
EOY$7,001,706EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$73,927,593BOYAmt
EOY$86,241,898EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$6,015,813BOYAmt
EOY-$18,206,583EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,373,814BOYAmt
EOY$6,915,885EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$358,001BOYAmt
EOY-$11,290,698EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$74,285,594BOYAmt
EOY$74,951,200EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$525,200ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$616,134NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$11,739,633OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$48,411OtherActivitiesAmt
Total Lobbying Expenditures$48,411TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYFormAndLineReferenceDesc
ExplanationDAY 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

FieldValueIRS element (for citing)
Beginning Year Balance$6,471,566BeginningYearBalanceAmt
Investment Earnings Or Losses$1,541,775InvestmentEarningsOrLossesAmt
Other Expenditures$1,250,000OtherExpendituresAmt
Administrative Expenses$52,135AdministrativeExpensesAmt
End Year Balance$6,711,206EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$11,512,363BeginningYearBalanceAmt
Investment Earnings Or Losses$672,481InvestmentEarningsOrLossesAmt
Other Expenditures$375,000OtherExpendituresAmt
Administrative Expenses$71,856AdministrativeExpensesAmt
End Year Balance$11,737,988EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.89BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.11PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.0TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$90,349,851OtherCostOrOtherBasisAmt
Depreciation$66,922,290DepreciationAmt
Book Value$23,427,561BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$98,251OtherCostOrOtherBasisAmt
Depreciation$77,055DepreciationAmt
Book Value$21,196BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$52,974,653OtherCostOrOtherBasisAmt
Depreciation$42,622,992DepreciationAmt
Book Value$10,351,661BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,685,890OtherCostOrOtherBasisAmt
Depreciation$2,119,351DepreciationAmt
Book Value$1,566,539BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$36,643,625TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (4 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
INVESTMENTS IN VHA COALITION$80,000C
INVESTMENTS IN REAL ESTATE$77,305C
FUNDS HELD IN TRUST BY OTHERS$3,882,946F
BOARD RESTRICTED ENDOWMENT FUND$6,634,883F
FieldValueIRS element (for citing)
Total Book Value Securities$10,675,134TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
RIGHT OF USE ASSETS$1,797,665
OTHER RECEIVABLES$2,854,216
ESTIMATED AMOUNT DUE FROM THIRD PARTY$89,213
SETTLEMENT RECEIVABLE
DUE FROM AFFILIATE
FieldValueIRS element (for citing)
Total Book Value Other Assets$4,741,094TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
PENSION LIABILITIES
ESTIMATED AMOUNTS DUE TO THIRD PARTIES$1,769,633
DEFERRED GAIN ON LIABILITIES$917,213
OTHER LIABILITIES$2,525,511
RIGHT OF USE LIABILITY$1,789,349
FieldValueIRS element (for citing)
Total Liability$7,001,706TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$129,412,589TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$616,134NetUnrealizedGainsInvstAmt
Other Revenue$0OtherRevenueAmt
Revenue Not Reported$616,134RevenueNotReportedAmt
Revenue Subtotal$128,796,455RevenueSubtotalAmt
Investment Expenses Not Incld$52,135InvestmentExpensesNotIncldAmt
Other Revenues Not Included-$178,978OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$126,843RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$128,669,612TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$129,321,655TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$178,978OtherExpensesIncludedAmt
Expenses Not Reported$178,978ExpensesNotReportedAmt
Expenses Subtotal$129,142,677ExpensesSubtotalAmt
Investment Expenses Not Incld2$52,135InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$0OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$52,135ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$129,194,812TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONSMANAGEMENT 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 fundsTHE 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 4(b) Other revenues in form 990 not in audited financial statementsRENT EXPENSE - -178978
Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990RENT EXPENSE - 178978

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$47,010TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$47,010NetCommunityBenefitExpnsAmt
Total Expense0.0004TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$34,238,272TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$23,411,356DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,826,916NetCommunityBenefitExpnsAmt
Total Expense0.0838TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,589TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,589NetCommunityBenefitExpnsAmt
Total Expense0.0000TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$34,287,871TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$23,411,356DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,876,515NetCommunityBenefitExpnsAmt
Total Expense0.0842TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$81,959TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$81,959NetCommunityBenefitExpnsAmt
Total Expense0.0006TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$46,572TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$46,572NetCommunityBenefitExpnsAmt
Total Expense0.0004TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,601,417TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,097,782DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,503,635NetCommunityBenefitExpnsAmt
Total Expense0.0349TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$18,440TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$18,440NetCommunityBenefitExpnsAmt
Total Expense0.0001TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$11,748,388TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,097,782DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,650,606NetCommunityBenefitExpnsAmt
Total Expense0.0360TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$46,036,259TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$30,509,138DirectOffsettingRevenueAmt
Net Community Benefit Expns$15,527,121NetCommunityBenefitExpnsAmt
Total Expense0.1202TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$4,600,307BadDebtExpenseAmt
Bad Debt Expense Attributable$129,218BadDebtExpenseAttributableAmt
Reimbursed By Medicare$24,054,177ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$27,547,498CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$3,493,321MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DAY KIMBALL HEALTHCAREBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1320 POMFRET STREETAddressLine1Txt
CityPUTNAMCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06260ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.DAYKIMBALL.ORGWebsiteAddressTxt
State License0043StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1DAY KIMBALL HEALTHCAREBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted23CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTPS://WWW.DAYKIMBALL.ORG/ABOUT-DAY-KIMBALL-HEALTHCARE/IN-THE-COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSEOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt23ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLHTTPS://WWW.DAYKIMBALL.ORG/ABOUT-DAY-KIMBALL-HEALTHCARE/IN-THE-COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSEStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.0FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.0FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLHTTPS://WWW.DAYKIMBALL.ORG/RESOURCES/FINANCIAL-SERVICES/FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTPS://WWW.DAYKIMBALL.ORG/RESOURCES/FINANCIAL-SERVICES/FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLHTTPS://WWW.DAYKIMBALL.ORG/RESOURCES/FINANCIAL-SERVICES/FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - DAY KIMBALL HOSPITAL. IN FY 2021, DKH GATHERED INPUT FROM INDIVIDUALS AND ORGANIZATION REPRESENTING THE BROAD INTEREST OF THE COMMUNITY, INPUT WAS COLLECTED THROUGH GROUP MEETINGS WITH LEADERS, RESIDENTS, AND STAKEHOLDERS REGARDING ACCESS, QUALITY, AND SERVICES NEEDED. DATA SOURCES INCLUDED: - MEETINGS WITH OVER 50 COMMUNITY LEADERS INCLUDING REPRESENTATIVES FROM LOCAL SCHOOLS, MUNICIPALITIES, HEALTHCARE ORGANIZATIONS AND SERVICE AGENCIES - DAY KIMBALL HEALTHCARE BOARD OF DIRECTORS - REVIEW OF MULTIPLE PUBLICLY REPORTED DATA SOURCES - SURVEYS ADMINISTERED TO ONCOLOGY PATIENTS IN EARLY 2021 - RIDER SURVEYS FROM THE NORTHEAST CONNECTICUT TRANSIT DISTRICT (NECTD) TO EVALUATE TRANSPORTATION NEEDS AND SERVICES GAPS
Schedule H, Part V, Section B, Line 6a Facility , 1Facility , 1 - DAY KIMBALL HOSPITAL. DAY KIMBALL HOSPITAL CONDUCTED ITS CHNA IN COLLABORATION WITH SEVERAL NON-HOSPITAL ORGANIZATIONS. COMMUNITY INPUT WAS GATHERED THROUGH MEETINGS AND INTERVIEWS WITH OVER 50 LOCAL LEADERS REPRESENTING: - LOCAL PUBLIC SCHOOL SYSTEMS (PLAINFIELD, PUTNAM, THOMPSON AND WOODSTOCK) - NORTHEASTERN CONNECTICUT COUNCIL OF GOVERNMENTS (NEECOG) - NORTHEASTERN CONNECTICUT TRANSIT DISTRICT - INTERFAITH HUMAN SERVICES/DAILY BREAD - NORTHEAST DISTRICT DEPT. OF HEALTH - HALE YMCA - LOCAL SENIOR CENTERS - COMMUNITY COALITION FOR ADDICTION RECOVERY (CCAR) - OTHER REGIONAL NONPROFIT AND SOCIAL SERVICE ORGANIZATIONS
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - DAY KIMBALL HOSPITAL. DAY KIMBALL HOSPITAL CONTINUES TO ENGAGE IN ACTIVE DIALOGUE WITH COMMUNITY PARTNERS TO ADDRESS HEALTHCARE NEEDS IDENTIFIED IN ITS 2021 CHNA. IN FY24, EFFORTS FOCUSED ON THE FOLLOWING: - COVID: NO SPECIFIC ACTIONS WERE REQUIRED AS COVID MOVED FROM PANDEMIC TO ENDEMIC DISEASE PHASE - TRANSPORTATION: SUBSIDIZED TRANSPORTATION FOR 178 ONCOLOGY PATIENTS - FOOD INSECURITY: CAITLYN'S CUPBOARD PROVIDED NUTRITION SUPPORT TO 19 PATIENTS ACROSS 44 VISITS. PATIENTS RECEIVED SHELF-STABLE AND PERISHABLE FOOD ITEMS TAILORED TO ONCOLOGY-RELATED NUTRITIONAL NEEDS, AS WELL AS NUTRITION COUNSELING FROM AN ONCOLOGY-CERTIFIED REGISTERED DIETITIAN. - FALL PREVENTION: THE DAY KIMBALL AT HOME FALL PREVENTION PROGRAM PROVIDED EDUCATION, RISK ASSESSMENTS, HOME SAFETY EVALUATIONS, MEDICATION REVIEWS, AND INDIVIDUALIZED PLANS. IN FY24, 28 PRESENTATIONS WERE CONDUCTED ACROSS A NUMBER OF VENUES, INCLUDING SENIOR CENTERS, TOWN HALLS, AND THE LOCAL YMCA. - STROKE: TO REDUCE STROKE-RELATED DISABILITY AND MORTALITY, DKH PROMOTED STROKE AWARENESS AND EDUCATION THROUGH SOCIAL MEDIA AND DEDICATED RADIO SEGMENTS ON THE WINY RADIO NEW DAY SHOW. THESE EFFORTS SUPPORT IMPROVED OUTCOMES BY ENCOURAGING EARLY RECOGNITION AND TIMELY TREATMENT. - CANCER SERVICES: THOUGH UNSUCCESSFUL, PHYSICIAN RECRUITMENT EFFORTS CONTINUED IN FY24, AND THE HOSPITAL MAINTAINED ITS CANCER PROGRAM ACCREDITATION, ENSURING ONGOING ACCESS TO HIGH-QUALITY CANCER CARE. CONDUCTED COMMUNITY MELANOMA SCREENING FOR 106 AREA RESIDENTS. OFFERED LOOK GOOD FEEL BETTER SERVICES FOR BREAST CANCER PATIENTS. OFFERED ADULT BEREAVEMENT SUPPORT GROUP MEETINGS. - SURGICAL SERVICES: IMPLEMENTED ENHANCED RECOVERY AFTER SURGERY PROGRAM TO REDUCE SURGICAL SITE INFECTIONS AND REDUCE OPIOID USAGE POST-OPERATIVELY. - DIABETES: THIS IS AN INITIATIVE OF THE DAY KIMBALL MEDICAL GROUP, WHICH OPERATES UNDER A SEPARATE EIN FROM DAY KIMBALL HOSPITAL. - BEHAVIORAL HEALTH: LIMITED FINANCIAL AND STAFFING RESOURCES DID NOT PERMIT THAT ACTIVITY IN FY 24
FieldValueIRS element (for citing)
Facility6FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
PLAINFIELD HEALTHCARE CENTER
31 DOW ROAD/12 LATHROP ROADPLAINFIELDCT06374PRIMARY CARE; PEDIATRICS; WOMEN'S HEALTH; LABORATORY DIAGNOSTIC IMAGING
DANIELSON HEALTHCARE CENTER
55 GREEN HOLLOW ROADDANIELSONCT06239DIAGNOSTIC IMAGING; LABORATORY; PHYSICAL MEDICINE SERVICES
DANIELSON MEDICAL ASSOCIATES
45 GREEN HOLLOW ROADDANIELSONCT06239PRIMARY CARE SERVICES
POMFRET STREET FAMILY MEDICAL ASSOCIATES
346 POMFRET STREETPUTNAMCT06260PRIMARY CARE SERVICES; PULMONOLOGY SERVICES
PUTNAM HEALTHCARE CENTER
6-12 SOUTH MAIN STREETPUTNAMCT06260LAB AND THERAPY SERVICES
DAY KIMBALL HOMEMAKERS HOMECAREHOSPICE
24-32 SOUTH MAIN STREETPUTNAMCT06260UNSKILLED HOMECARE SERVICES; SKILLED SERVICES

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 3a , 3B, & 3C - DETERMINING ELIGIBILITY FOR FREE & DISCOUNTED CARETO 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 200% OF THE CURRENT FEDERAL INCOME POVERTY LEVEL (FPL). 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 400% OF THE CURRENT FEDERAL INCOME POVERTY LEVEL (FPL). - 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 EXPENSETO 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 7 Costing Methodology used to calculate financial assistanceTHE 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 FY2024 MEDICARE COST REPORT.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amountTHE 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, 2024. 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 MethodologyBAD 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 footnoteTHE 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 8 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costsTHE 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 FY2024 MEDICARE COST REPORT.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistanceIT 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 assessmentDKH RECENTLY COMPLETED A TRANSITIONAL CHNA TO ALIGN WITH THE CHNA CYCLE OF OTHER MAJOR HEALTH SYSTEMS IN CONNECTICUT. A FULL CHNA IS SCHEDULED FOR COMPLETION IN 2025. DURING THE TRANSITIONAL YEAR, IN PARTNERSHIP WITH COMMUNITY STAKEHOLDERS, SIX KEY HEALTH PRIORITIES WERE IDENTIFIED WITH FOCUSED EFFORTS PLACED ON THREE: BEHAVIORAL HEALTH, TRANSPORTATION AND FOOD INSECURITY.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistanceALL 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 informationDAY 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 450 SQUARE MILES AND CONTAINS APPROXIMATELY 90,417 POPULATIONS 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 2023 IN WINDHAM COUNTY WAS $63,209 (THE LOWEST INCOME OF ANY COUNTY IN THE STATE OF CONNECTICUT), WHILE THE STATE MEDIAN WAS $93,760. 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 2023 CENSUS, 11.9% OF THE POPULATION IS UNDER POVERTY LEVEL AND 17.2% 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.
Schedule H, Part VI, Line 5 Promotion of community healthTHE 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 systemDAY 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 H, Part VI, Line 7 State filing of community benefit reportCT

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1KB AMBULANCE CORPS INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 209AddressLine1Txt
CityDANIELSONCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06239ZIPCd
FieldValueIRS element (for citing)
Recipient EIN061017053RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$18,440CashGrantAmt
Purpose Of GrantSUPPORTPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part I, Line 2 Procedures for monitoring use of grant fundsFormAndLineReferenceDesc
ExplanationDAY 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

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceYes (X)HousingAllowanceOrResidenceInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
RICHARD WILCON MD
PRESIDENT / MEDICAL STAFF$34,748$446,799$0$25,136$0$3,641$0$9,900$0$18,986$34,748$504,462$0$0
MICHAEL BAUM MD
DIRECTOR$0$274,023$0$64,465$0$3,210$0$9,900$0$19,063$0$370,661$0$0
KRISTA MATSEN MD
DIRECTOR END 07/24$12,000$158,974$0$0$0$0$0$4,783$0$1,722$12,000$165,479$0$0
PAUL MATTY MD
DIRECTOR$14,000$264,594$0$0$0$0$0$8,220$0$17,819$14,000$290,633$0$0
STEPHEN SCHIFF MD
DIRECTOR BEG 06/24$0$388,102$0$5,000$0$5,730$0$9,900$0$19,013$0$427,745$0$0
PAUL A BEAUDOIN
CHIEF FINANCIAL OFFICER$402,603$0$63,000$0$2,407$0$0$0$458$0$468,468$0$0$0
JOHN O'KEEFE
CNO$243,110$0$0$0$1,547$0$7,671$0$18,983$0$271,311$0$0$0
CARMEN PISC
FORMER PHYSICIAN$0$0$0$0$188,521$0$0$0$0$0$188,521$0$0$0
ALEXANDRE CARRE
PHYSICIAN$318,726$0$41,250$0$3,795$0$0$0$391$0$364,162$0$0$0
ALEJANDRO CARVAJAL
PHYSICIAN$412,173$0$34,344$0$0$0$9,150$0$8,819$0$464,486$0$0$0
CHERYL PETRARCA
EXECUTIVE DIRECTOR OF PATIENT CARE$188,722$0$0$0$2,580$0$5,676$0$694$0$197,672$0$0$0
JOHN MODICA
PHYSICIAN$336,528$0$0$0$1,615$0$9,900$0$8,539$0$356,582$0$0$0
ROBERT VIENS
EXEC. DIRECTOR OF PHARMACY/LAB/FACILITIES$168,895$0$0$0$0$0$0$0$27,189$0$196,084$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 1a Housing allowance or residence for personal useHOUSING 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 4a Severance or change-of-control paymentCARMEN PISC RECEIVED A SEVERANCE PAYMENT OF $188,521 IN 2023.
Schedule J, Part I, Line 7 Non-fixed paymentsTHERE ARE 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

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1STATE OF CONNECTICUT HEALTH AND EDUCATION FACILITIESBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN060806186BondIssuerEIN
CUSIP20774YPC5CUSIPNum
Bond Issued2013-06-06BondIssuedDt
Issue Price$30,330,000IssuePriceAmt
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$9,270,000RetiredAmt
Bond Defeased$0BondDefeasedAmt
Total Proceeds$30,330,000TotalProceedsAmt
In Reserve Fund$2,340,522InReserveFundAmt
Capitalized Interest$1,170,295CapitalizedInterestAmt
Refunding Escrow$15,485,409RefundingEscrowAmt
Issuance Costs From Proceeds$606,600IssuanceCostsFromProceedsAmt
Credit Enhancement$0CreditEnhancementAmt
Working Capital Expenditures$0WorkingCapitalExpendituresAmt
Capital Expenditures$10,723,350CapitalExpendituresAmt
Other Spent Proceeds$3,824OtherSpentProceedsAmt
Unspent$0UnspentAmt
Substantial Completion2014SubstantialCompletionYr
Refunding Tax Exempt BondsYes (true)RefundingTaxExemptBondsInd
Refunding Taxable BondsfalseRefundingTaxableBondsInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropfalseMgmtContractBondFincdPropInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Total Private Business Use0.0TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (true)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetfalseRebateNotDueYetInd
Exception To RebatefalseExceptionToRebateInd
No Rebate DueYes (true)NoRebateDueInd
Variable Rate IssuefalseVariableRateIssueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (true)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule K, Part I, Column (f) DESCRIPTION OF PURPOSECURRENT REFUNDING AND EMERGENCY DEPARTMENT EXPANSION AND RENOVATION.
Schedule K, Part IV, Line 2c COLUMN AIssuer name: STATE OF CONNECTICUT HEALTH AND EDUCATION FACILITIES The calculation for computing no rebate due was performed on 06/06/2023

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 15a &15B - COMPENSATION OF TOP MANAGEMENTTHE 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 dutiesDAY KIMBALL HEALTHCARE CONTRACTS WITH A MANAGEMENT COMPANY TO PROVIDE ONSITE EXECUTIVE MANAGEMENT SERVICES. CEO KYLE KRAMER WAS COMPENSATED BY THE MANAGEMENT COMPANY DURING FY24.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyTHE 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 bodyFORM 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 policyTHE 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 publicTHE 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 DIRECTORSRICHARD WILCON, KRISTA MATSEN AND PAUL MATTY RECEIVED STIPENDS FROM DAY KIMBALL HEALTHCARE FOR THEIR SERVICE AS A DIRECTOR ON THE HOSPITAL BOARD. THEY ARE ALSO EMPLOYED BY DAY KIMBALL MEDICAL GROUP, A RELATED ORGANIZATION, AND RECEIVED COMPENSATION FOR THEIR DUTIES IN THAT CAPACITY. ALL OTHER BOARD MEMBERS LISTED WITH COMPENSATION 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 VIII, Line 2f Other Program Service RevenueOTHER - Total Revenue: 8298993, Related or Exempt Function Revenue: 8298993, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other FeesCONTRACTED SERVICES - Total Expense: 11446501, Program Service Expense: 10520139, Management and General Expenses: 926362, Fundraising Expenses: ; PROFESSIONAL FEES - Total Expense: 3994064, Program Service Expense: 3670826, Management and General Expenses: 323238, Fundraising Expenses: ; LAB SERVICES - Total Expense: 1722677, Program Service Expense: 1722677, Management and General Expenses: , Fundraising Expenses: ; CONSULTING FEES - Total Expense: 1082373, Program Service Expense: 994777, Management and General Expenses: 87596, Fundraising Expenses: ; OTHER FEES - Total Expense: 1198613, Program Service Expense: 1101610, Management and General Expenses: 97003, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesTRANSFER TO AFFILIATE - -12281704; CHANGE IN INTEREST IN BENEFICIAL TRUST - 542071;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1PHYSICIAN SERVICES OF NORTHEAST CTBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line145 GREEN HOLLOW ROADAddressLine1Txt
CityDANIELSONCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06239ZIPCd
FieldValueIRS element (for citing)
EIN262565797EIN
Primary ActivitiesPHYSICIAN SERVICESPrimaryActivitiesTxt
Legal Domicile StateCTLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1DAY KIMBALL HEALTHCAREBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
DAY KIMBALL HOMEMAKERS
320 POMFRET STREETPUTNAMCT06260061136893HOMEMAKERSCT501(c)(3)10DAY KIMBALL HEALTHCAREYes (true)
DAY KIMBALL MEDICAL GROUP INC
320 POMFRET STREETPUTNAMCT06260454077626PHYSICIAN SERVICESCT501(c)(3)10DAY KIMBALL HEALTHCAREYes (true)
DAY KIMBALL HEALTHCARE FOUNDATION INC
309 POMFRET STREETPUTNAMCT06260833150493SUPPORTCT501(c)(3)Type IDAY KIMBALL HEALTHCAREYes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
DAY KIMBALL MEDICAL GROUP INC
J$334,728COST
DAY KIMBALL MEDICAL GROUP INC
R$12,288,531COST
DAY KIMBALL FOUNDATION
R$274,734COST
DAY KIMBALL HOMEMAKERS
S$281,561COST