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
- 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 | 2025-08-13T11:49:53+00:00 | ReturnTs |
| Tax Period End | 2024-09-30 | 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 | 2023-10-01 | 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 | 2025-08-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Brian Todd | PreparerPersonNm |
| PTIN | P00422601 | PTIN |
| Phone | 4178658701 | PhoneNum |
| Preparation | 2025-08-13 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
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 | $133,726,508 | 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 | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 1013 | TotalEmployeeCnt |
| Total Volunteers | 65 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $5,918,582 | PYContributionsGrantsAmt |
| CY Contributions Grants | $7,356,434 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $120,890,824 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $120,233,468 | CYProgramServiceRevenueAmt |
| PY Investment Income | $376,227 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,077,905 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$13,370,212 | PYOtherRevenueAmt |
| CY Other Revenue | $1,805 | CYOtherRevenueAmt |
| PY Total Revenue | $113,815,421 | PYTotalRevenueAmt |
| CY Total Revenue | $128,669,612 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $636,663 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $18,440 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $55,557,863 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $57,939,132 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $74,520,817 | PYOtherExpensesAmt |
| CY Other Expenses | $71,237,240 | CYOtherExpensesAmt |
| PY Total Expenses | $130,715,343 | PYTotalExpensesAmt |
| CY Total Expenses | $129,194,812 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$16,899,922 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$525,200 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $74,285,594 | TotalAssetsBOYAmt |
| Total Assets EOY | $74,951,200 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $73,927,593 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $86,241,898 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $358,001 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$11,290,698 | 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 | $111,184,219 | ExpenseAmt |
| Grant | $18,440 | GrantAmt |
| Revenue | $111,224,571 | 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 | $9,005,629 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $9,008,897 | 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 | $120,189,848 | 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 | Yes (true) | 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 | 81 | 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 | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | 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 (29 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 | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| EDWIN HIGGINS | ||||||||||
| TREASURER | 1.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| JANICE THURLOW | ||||||||||
| CHAIRMAN END 05/24 | 1.0 | 2.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| JAY CYR | ||||||||||
| DIRECTOR END 05/24; VICE CHAIR BEG 06/24 | 1.0 | 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 END 05/24; CHAIRMAN BEG 06/24 | 1.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| RICHARD WILCON MD | ||||||||||
| PRESIDENT / MEDICAL STAFF | 1.0 | 40.0 | Yes (X) | Yes (X) | $34,748 | $475,576 | $28,886 | |||
| ANNE LAMONDY | ||||||||||
| DIRECTOR | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| DANIEL SULLIVAN | ||||||||||
| DIRECTOR END 05/24 | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| JAMES ZAHANSKY | ||||||||||
| DIRECTOR | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| JEFFREY RAWSON | ||||||||||
| DIRECTOR BEG 06/24 | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| KAREN COLE | ||||||||||
| DIRECTOR | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| KRISTA MATSEN MD | ||||||||||
| DIRECTOR END 07/24 | 1.0 | 40.0 | Yes (X) | $12,000 | $158,974 | $6,505 | ||||
| KRISTEN XELLER MD | ||||||||||
| DIRECTOR BEG 06/24 | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| MATTHEW DESAULNIER | ||||||||||
| DIRECTOR | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| MICHAEL BAUM MD | ||||||||||
| DIRECTOR | 1.0 | 41.0 | Yes (X) | $0 | $341,698 | $28,963 | ||||
| NANCY WEISS | ||||||||||
| DIRECTOR | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| PAUL MATTY MD | ||||||||||
| DIRECTOR | 1.0 | 40.0 | Yes (X) | $14,000 | $264,594 | $26,039 | ||||
| PAUL SWEET | ||||||||||
| DIRECTOR BEG 06/24 | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| STEPHEN SCHIFF MD | ||||||||||
| DIRECTOR BEG 06/24 | 1.0 | 40.0 | Yes (X) | $0 | $398,832 | $28,913 | ||||
| STEVEN WEXLER MD | ||||||||||
| DIRECTOR | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| PAUL A BEAUDOIN | ||||||||||
| CHIEF FINANCIAL OFFICER | 40.0 | 3.0 | Yes (X) | $468,010 | $0 | $458 | ||||
| JOHN O'KEEFE | ||||||||||
| CNO | 40.0 | 0 | $244,657 | $0 | $26,654 | Yes (X) | ||||
| ALEJANDRO CARVAJAL | ||||||||||
| PHYSICIAN | 40.0 | 0 | $446,517 | $0 | $17,969 | Yes (X) | ||||
| ALEXANDRE CARRE | ||||||||||
| PHYSICIAN | 40.0 | 0 | $363,771 | $0 | $391 | Yes (X) | ||||
| CHERYL PETRARCA | ||||||||||
| EXECUTIVE DIRECTOR OF PATIENT CARE | 40.0 | 0 | $191,302 | $0 | $6,370 | Yes (X) | ||||
| JOHN MODICA | ||||||||||
| PHYSICIAN | 40.0 | 0 | $338,143 | $0 | $18,439 | Yes (X) | ||||
| ROBERT VIENS | ||||||||||
| EXEC. DIRECTOR OF PHARMACY/LAB/FACILITIES | 40.0 | 0 | $168,895 | $0 | $27,189 | Yes (X) | ||||
| CARMEN PISC | ||||||||||
| FORMER PHYSICIAN | 0.0 | 0 | $188,521 | $0 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,470,564 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,639,674 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $216,776 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 102 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | 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 | Address Line2ContractorAddress/USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|
| ENSEMBLE RCM LLC | ||||||
| PO BOX 639076 | CINCINNATI | OH | 45263 | OUTSOURCED SERVICES | $3,986,834 | |
| MEDICAL SOLUTIONS INC | ||||||
| PO BOX 850737 | MINNEAPOLIS | MN | 554850737 | TEMP WORKERS | $3,181,167 | |
| SODEXO OPERATIONS LLC | ||||||
| P O BOX 360170 | PITTSBURGH | PA | 152516170 | FOOD SERVICES | $1,865,885 | |
| LABORATORY CORP OF AMERICA | ||||||
| PO BOX 12140 | BURLINGTON | NC | 272162140 | OUTSOURCED SERVICES | $1,506,465 | |
| NAPA | ||||||
| 68 SOUTH SERVICE ROAD | MELVILLE | NY | 11747 | OUTSOURCED SERVICES | $1,423,010 | SUITE 350 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 35 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $7,284,914 | GovernmentGrantsAmt |
| All Other Contributions | $71,520 | AllOtherContributionsAmt |
| Total Contributions | $7,356,434 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621110 | $110,954,775 | $110,954,775 |
| CAFETERIA | 722514 | $532,156 | $532,156 |
| AFFILIATE ORGANIZATION RENT | 531120 | $334,728 | $334,728 |
| PHARMACY | 456110 | $112,816 | $112,816 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,298,993 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,298,993 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $120,233,468 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $481,314 | TotalRevenueColumnAmt |
| Exclusion | $481,314 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $180,783 | 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 | $1,805 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,805 | TotalRevenueColumnAmt |
| Exclusion | $1,805 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,474,509 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $4,722,848 | SecuritiesAmt |
| Other | $155,070 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $751,661 | SecuritiesAmt |
| Other | -$155,070 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $596,591 | TotalRevenueColumnAmt |
| Exclusion | $596,591 | 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 | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $128,669,612 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $120,233,468 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,079,710 | 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 | $18,440 | TotalAmt |
| Program Services | $18,440 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $800,527 | TotalAmt |
| Program Services | $271,311 | ProgramServicesAmt |
| Management And General | $529,216 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,605,347 | TotalAmt |
| Program Services | $43,243,925 | ProgramServicesAmt |
| Management And General | $3,361,422 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $600,140 | TotalAmt |
| Program Services | $550,950 | ProgramServicesAmt |
| Management And General | $49,190 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,335,181 | TotalAmt |
| Program Services | $5,821,361 | ProgramServicesAmt |
| Management And General | $513,820 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,597,937 | TotalAmt |
| Program Services | $3,306,757 | ProgramServicesAmt |
| Management And General | $291,180 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $766,124 | TotalAmt |
| Management And General | $766,124 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $345,298 | TotalAmt |
| Management And General | $345,298 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,075 | TotalAmt |
| Management And General | $44,075 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,135 | TotalAmt |
| Management And General | $52,135 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,444,228 | TotalAmt |
| Program Services | $18,010,029 | ProgramServicesAmt |
| Management And General | $1,434,199 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $187,453 | TotalAmt |
| Program Services | $172,282 | ProgramServicesAmt |
| Management And General | $15,171 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,128,772 | TotalAmt |
| Program Services | $3,850,463 | ProgramServicesAmt |
| Management And General | $278,309 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,751,859 | TotalAmt |
| Program Services | $3,448,222 | ProgramServicesAmt |
| Management And General | $303,637 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,127,289 | TotalAmt |
| Program Services | $1,955,128 | ProgramServicesAmt |
| Management And General | $172,161 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $193,695 | TotalAmt |
| Program Services | $178,019 | ProgramServicesAmt |
| Management And General | $15,676 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,872 | TotalAmt |
| Program Services | $4,478 | ProgramServicesAmt |
| Management And General | $394 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,799,227 | TotalAmt |
| Program Services | $1,653,616 | ProgramServicesAmt |
| Management And General | $145,611 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,455,776 | TotalAmt |
| Program Services | $4,095,171 | ProgramServicesAmt |
| Management And General | $360,605 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,736,107 | TotalAmt |
| Program Services | $2,514,675 | ProgramServicesAmt |
| Management And General | $221,432 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management 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
| 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 | $129,194,812 | TotalAmt |
| Program Services | $120,189,848 | ProgramServicesAmt |
| Management And General | $9,004,964 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,653,648 | BOYAmt |
| EOY | $3,893,868 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,870,709 | BOYAmt |
| EOY | $15,031,731 | 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 | $3,620,627 | BOYAmt |
| EOY | $3,423,550 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $397,356 | BOYAmt |
| EOY | $509,395 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $148,385,313 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $111,741,688 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,823,065 | BOYAmt |
| EOY | $36,643,625 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,895,788 | BOYAmt |
| EOY | $10,675,134 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $229,623 | BOYAmt |
| EOY | $32,803 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,794,778 | BOYAmt |
| EOY | $4,741,094 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,285,594 | BOYAmt |
| EOY | $74,951,200 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,643,174 | BOYAmt |
| EOY | $54,070,068 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,562,986 | BOYAmt |
| EOY | $14,105,172 | 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 | $9,775,357 | BOYAmt |
| EOY | $10,852,434 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $320,883 | BOYAmt |
| EOY | $212,518 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,625,193 | BOYAmt |
| EOY | $7,001,706 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,927,593 | BOYAmt |
| EOY | $86,241,898 | 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 | -$6,015,813 | BOYAmt |
| EOY | -$18,206,583 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,373,814 | BOYAmt |
| EOY | $6,915,885 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $358,001 | BOYAmt |
| EOY | -$11,290,698 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,285,594 | BOYAmt |
| EOY | $74,951,200 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$525,200 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $616,134 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$11,739,633 | 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 | $48,411 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $48,411 | 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 | $6,471,566 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $1,541,775 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,250,000 | OtherExpendituresAmt |
| Administrative Expenses | $52,135 | AdministrativeExpensesAmt |
| End Year Balance | $6,711,206 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| 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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| 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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| 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 Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.89 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.11 | 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 | $90,349,851 | OtherCostOrOtherBasisAmt |
| Depreciation | $66,922,290 | DepreciationAmt |
| Book Value | $23,427,561 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $98,251 | OtherCostOrOtherBasisAmt |
| Depreciation | $77,055 | DepreciationAmt |
| Book Value | $21,196 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $52,974,653 | OtherCostOrOtherBasisAmt |
| Depreciation | $42,622,992 | DepreciationAmt |
| Book Value | $10,351,661 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,685,890 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,119,351 | DepreciationAmt |
| Book Value | $1,566,539 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $36,643,625 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (4 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| INVESTMENTS IN VHA COALITION | $80,000 | C |
| INVESTMENTS IN REAL ESTATE | $77,305 | C |
| FUNDS HELD IN TRUST BY OTHERS | $3,882,946 | F |
| BOARD RESTRICTED ENDOWMENT FUND | $6,634,883 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $10,675,134 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $4,741,094 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $7,001,706 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $129,412,589 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $616,134 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $0 | OtherRevenueAmt |
| Revenue Not Reported | $616,134 | RevenueNotReportedAmt |
| Revenue Subtotal | $128,796,455 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $52,135 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | -$178,978 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$126,843 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $128,669,612 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $129,321,655 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $178,978 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $178,978 | ExpensesNotReportedAmt |
| Expenses Subtotal | $129,142,677 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $52,135 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $0 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $52,135 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $129,194,812 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 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 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 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 |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| 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 | $47,010 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $47,010 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0004 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $34,238,272 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,411,356 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,826,916 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0838 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,589 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,589 | 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 | $34,287,871 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,411,356 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,876,515 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0842 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $81,959 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $81,959 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0006 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $46,572 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $46,572 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0004 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,601,417 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,097,782 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,503,635 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0349 | 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 | $18,440 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $18,440 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0001 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $11,748,388 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,097,782 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,650,606 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0360 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $46,036,259 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $30,509,138 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,527,121 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.1202 | 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 | $4,600,307 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $129,218 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $24,054,177 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $27,547,498 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$3,493,321 | 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 | 23 | 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 | 23 | 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 | 200.0 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.0 | FPGFamilyIncmLmtDscntCarePct |
| 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 Translated | Yes (X) | FAPTranslatedInd |
| 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. 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 , 1 | Facility , 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 , 1 | Facility , 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 |
| 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 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 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 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 FY2024 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, 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 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 8 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 FY2024 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 | DKH 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 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 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 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 H, Part VI, Line 7 State filing of community benefit report | CT |
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 | $18,440 | 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 |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | 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 (13 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 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 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 4a Severance or change-of-control payment | CARMEN PISC RECEIVED A SEVERANCE PAYMENT OF $188,521 IN 2023. |
| Schedule J, Part I, Line 7 Non-fixed payments | THERE 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
| 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 |
| 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 | $9,270,000 | 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 06/06/2023 |
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 FY24. |
| 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 | RICHARD 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 Revenue | OTHER - 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 Fees | CONTRACTED 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 balances | TRANSFER TO AFFILIATE - -12281704; CHANGE IN INTEREST IN BENEFICIAL TRUST - 542071; |
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 | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| DAY KIMBALL MEDICAL GROUP INC | ||
| J | $334,728 | COST |
| DAY KIMBALL MEDICAL GROUP INC | ||
| R | $12,288,531 | COST |
| DAY KIMBALL FOUNDATION | ||
| R | $274,734 | COST |
| DAY KIMBALL HOMEMAKERS | ||
| S | $281,561 | COST |