2025-08-13T11:49:53+00:00 2024-09-30 440160260 Forvis Mazars LLP 910 E St Louis 200 PO Box 1190 Springfield MO 658062523 990 2023-10-01 060646599 Day Kimball Healthcare Inc DAYK 8609286541 320 Pomret Street Putnam CT 06260 KYLE KRAMER CEO 2025-08-13 true Brian Todd P00422601 4178658701 2025-08-13 2023 2025-03-06 01:10:19Z Day Kimball Hospital KYLE KRAMER 320 Pomret Street Putnam CT 06260 133726508 false X WWW.DAYKIMBALL.ORG X 1894 CT DKH IS A SHORT-TERM GENERAL CARE HOSPITAL PROVIDING COMPREHENSIVE HEALTHCARE SERVICES TO NORTHEASTERN CT AND BORDER COMMUNITIES IN MA AND RI. 18 14 1013 65 0 0 5918582 7356434 120890824 120233468 376227 1077905 -13370212 1805 113815421 128669612 636663 18440 0 0 55557863 57939132 0 0 0 74520817 71237240 130715343 129194812 -16899922 -525200 74285594 74951200 73927593 86241898 358001 -11290698 THE MISSION OF DAY KIMBALL HEALTHCARE IS TO IMPROVE THE HEALTH AND WELLBEING OF OUR COMMUNITY BY PROVIDING THE BEST MEDICAL CARE. false false 111184219 18440 111224571 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. 9005629 0 9008897 PHYSICIAN OFFICE PROVIDING PRIMARY CARE AND OUTPATIENT VISITS TO NORTHEASTERN CONNECTICUT COMMUNITIES. 120189848 true true false true false false false false true true true false true true false false true false false false false false false false false true true true false true true false false false false false false false false false false false false false false true true true true false false true 81 0 true 1013 true false false false false false false false false false false false false X 18 14 false true false false false true false true true false false true true true true true true true true false X PAUL A BEAUDOIN 8609286541 320 POMFRET STREET PUTNAM CT 06260 EDWIN HIGGINS TREASURER 1.0 0 X X 0 0 0 JANICE THURLOW CHAIRMAN END 05/24 1.0 2.0 X X 0 0 0 JAY CYR DIRECTOR END 05/24; VICE CHAIR BEG 06/24 1.0 0 X X 0 0 0 KATHY ROCHA SECRETARY 1.0 1.0 X X 0 0 0 KYLE KRAMER CHIEF EXECUTIVE OFFICER 40.0 3.0 X X 0 0 0 PETER DEARY VICE CHAIR END 05/24; CHAIRMAN BEG 06/24 1.0 1.0 X X 0 0 0 RICHARD WILCON MD PRESIDENT / MEDICAL STAFF 1.0 40.0 X X 34748 475576 28886 ANNE LAMONDY DIRECTOR 1.0 0 X 0 0 0 DANIEL SULLIVAN DIRECTOR END 05/24 1.0 0 X 0 0 0 JAMES ZAHANSKY DIRECTOR 1.0 0 X 0 0 0 JEFFREY RAWSON DIRECTOR BEG 06/24 1.0 0 X 0 0 0 KAREN COLE DIRECTOR 1.0 0 X 0 0 0 KRISTA MATSEN MD DIRECTOR END 07/24 1.0 40.0 X 12000 158974 6505 KRISTEN XELLER MD DIRECTOR BEG 06/24 1.0 0 X 0 0 0 MATTHEW DESAULNIER DIRECTOR 1.0 0 X 0 0 0 MICHAEL BAUM MD DIRECTOR 1.0 41.0 X 0 341698 28963 NANCY WEISS DIRECTOR 1.0 1.0 X 0 0 0 PAUL MATTY MD DIRECTOR 1.0 40.0 X 14000 264594 26039 PAUL SWEET DIRECTOR BEG 06/24 1.0 0 X 0 0 0 STEPHEN SCHIFF MD DIRECTOR BEG 06/24 1.0 40.0 X 0 398832 28913 STEVEN WEXLER MD DIRECTOR 1.0 0 X 0 0 0 PAUL A BEAUDOIN CHIEF FINANCIAL OFFICER 40.0 3.0 X 468010 0 458 JOHN O'KEEFE CNO 40.0 0 X 244657 0 26654 ALEJANDRO CARVAJAL PHYSICIAN 40.0 0 X 446517 0 17969 ALEXANDRE CARRE PHYSICIAN 40.0 0 X 363771 0 391 CHERYL PETRARCA EXECUTIVE DIRECTOR OF PATIENT CARE 40.0 0 X 191302 0 6370 JOHN MODICA PHYSICIAN 40.0 0 X 338143 0 18439 ROBERT VIENS EXEC. DIRECTOR OF PHARMACY/LAB/FACILITIES 40.0 0 X 168895 0 27189 CARMEN PISC FORMER PHYSICIAN 0.0 0 X 188521 0 0 2470564 1639674 216776 102 true true false ENSEMBLE RCM LLC PO BOX 639076 CINCINNATI OH 45263 OUTSOURCED SERVICES 3986834 MEDICAL SOLUTIONS INC PO BOX 850737 MINNEAPOLIS MN 554850737 TEMP WORKERS 3181167 SODEXO OPERATIONS LLC P O BOX 360170 PITTSBURGH PA 152516170 FOOD SERVICES 1865885 LABORATORY CORP OF AMERICA PO BOX 12140 BURLINGTON NC 272162140 OUTSOURCED SERVICES 1506465 NAPA 68 SOUTH SERVICE ROAD SUITE 350 MELVILLE NY 11747 OUTSOURCED SERVICES 1423010 35 7284914 71520 7356434 NET PATIENT SERVICE REVENUE 621110 110954775 110954775 CAFETERIA 722514 532156 532156 AFFILIATE ORGANIZATION RENT 531120 334728 334728 PHARMACY 456110 112816 112816 8298993 8298993 0 0 120233468 481314 481314 180783 178978 1805 0 1805 1805 5474509 0 4722848 155070 751661 -155070 596591 596591 0 0 0 0 0 128669612 120233468 0 1079710 X 18440 18440 0 0 800527 271311 529216 46605347 43243925 3361422 600140 550950 49190 6335181 5821361 513820 3597937 3306757 291180 766124 766124 345298 345298 44075 44075 52135 52135 19444228 18010029 1434199 0 187453 172282 15171 4128772 3850463 278309 3751859 3448222 303637 2127289 1955128 172161 193695 178019 15676 4872 4478 394 1799227 1653616 145611 4455776 4095171 360605 2736107 2514675 221432 MEDICAL SUPPLIES & DRUGS 18487887 18487887 PROVIDER TAX 11411202 11411202 REPAIRS & MAINTENANCE 930392 855096 75296 LICENSES, DUES, & SUBSCRIPTION 370849 340836 30013 0 0 0 0 129194812 120189848 9004964 0 0 0 6653648 3893868 13870709 15031731 0 0 0 0 3620627 3423550 397356 509395 148385313 111741688 36823065 36643625 9895788 10675134 0 229623 32803 2794778 4741094 74285594 74951200 40643174 54070068 15562986 14105172 0 0 9775357 10852434 320883 212518 7625193 7001706 73927593 86241898 X -6015813 -18206583 6373814 6915885 358001 -11290698 74285594 74951200 X -525200 616134 -11739633 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 48411 48411 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY 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. 6471566 1541775 1250000 52135 6711206 7251762 977175 1699908 57463 6471566 13303763 -1726549 4250000 75452 7251762 11737988 2076148 430000 80373 13303763 11512363 672481 375000 71856 11737988 0.89 0.11 0.0 false false 1276668 1276668 90349851 66922290 23427561 98251 77055 21196 52974653 42622992 10351661 3685890 2119351 1566539 36643625 INVESTMENTS IN VHA COALITION 80000 C INVESTMENTS IN REAL ESTATE 77305 C FUNDS HELD IN TRUST BY OTHERS 3882946 F BOARD RESTRICTED ENDOWMENT FUND 6634883 F 10675134 RIGHT OF USE ASSETS 1797665 OTHER RECEIVABLES 2854216 ESTIMATED AMOUNT DUE FROM THIRD PARTY 89213 SETTLEMENT RECEIVABLE DUE FROM AFFILIATE 4741094 PENSION LIABILITIES ESTIMATED AMOUNTS DUE TO THIRD PARTIES 1769633 DEFERRED GAIN ON LIABILITIES 917213 OTHER LIABILITIES 2525511 RIGHT OF USE LIABILITY 1789349 7001706 129412589 616134 0 616134 128796455 52135 -178978 -126843 128669612 129321655 178978 178978 129142677 52135 0 52135 129194812 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 true true X true X true X true true true false true true 47010 47010 0.0004 34238272 23411356 10826916 0.0838 2589 2589 0.0000 0 0 34287871 23411356 10876515 0.0842 81959 81959 0.0006 46572 46572 0.0004 11601417 7097782 4503635 0.0349 0 0.0 18440 18440 0.0001 0 0 11748388 7097782 4650606 0.0360 0 0 46036259 30509138 15527121 0.1202 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 4600307 129218 24054177 27547498 -3493321 X true true 1 1 DAY KIMBALL HEALTHCARE 320 POMFRET STREET PUTNAM CT 06260 WWW.DAYKIMBALL.ORG 0043 X X X DAY KIMBALL HEALTHCARE 1 false false true X X X X X X X X X 23 true true false true X HTTPS://WWW.DAYKIMBALL.ORG/ABOUT-DAY-KIMBALL-HEALTHCARE/IN-THE-COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSE X true 23 true HTTPS://WWW.DAYKIMBALL.ORG/ABOUT-DAY-KIMBALL-HEALTHCARE/IN-THE-COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSE false true X 200.0 400.0 X X true true X X X X true X HTTPS://WWW.DAYKIMBALL.ORG/RESOURCES/FINANCIAL-SERVICES/ X HTTPS://WWW.DAYKIMBALL.ORG/RESOURCES/FINANCIAL-SERVICES/ X HTTPS://WWW.DAYKIMBALL.ORG/RESOURCES/FINANCIAL-SERVICES/ X X X X X X true X false X X X true X false false 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 6 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 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 true KB AMBULANCE CORPS INC PO BOX 209 DANIELSON CT 06239 061017053 501(C)(3) 18440 SUPPORT 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds 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. X true true X X X true false false false false false false true false RICHARD WILCON MD PRESIDENT / MEDICAL STAFF 34748 446799 0 25136 0 3641 0 9900 0 18986 34748 504462 0 0 MICHAEL BAUM MD DIRECTOR 0 274023 0 64465 0 3210 0 9900 0 19063 0 370661 0 0 KRISTA MATSEN MD DIRECTOR END 07/24 12000 158974 0 0 0 0 0 4783 0 1722 12000 165479 0 0 PAUL MATTY MD DIRECTOR 14000 264594 0 0 0 0 0 8220 0 17819 14000 290633 0 0 STEPHEN SCHIFF MD DIRECTOR BEG 06/24 0 388102 0 5000 0 5730 0 9900 0 19013 0 427745 0 0 PAUL A BEAUDOIN CHIEF FINANCIAL OFFICER 402603 0 63000 0 2407 0 0 0 458 0 468468 0 0 0 JOHN O'KEEFE CNO 243110 0 0 0 1547 0 7671 0 18983 0 271311 0 0 0 CARMEN PISC FORMER PHYSICIAN 0 0 0 0 188521 0 0 0 0 0 188521 0 0 0 ALEXANDRE CARRE PHYSICIAN 318726 0 41250 0 3795 0 0 0 391 0 364162 0 0 0 ALEJANDRO CARVAJAL PHYSICIAN 412173 0 34344 0 0 0 9150 0 8819 0 464486 0 0 0 CHERYL PETRARCA EXECUTIVE DIRECTOR OF PATIENT CARE 188722 0 0 0 2580 0 5676 0 694 0 197672 0 0 0 JOHN MODICA PHYSICIAN 336528 0 0 0 1615 0 9900 0 8539 0 356582 0 0 0 ROBERT VIENS EXEC. DIRECTOR OF PHARMACY/LAB/FACILITIES 168895 0 0 0 0 0 0 0 27189 0 196084 0 0 0 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. A STATE OF CONNECTICUT HEALTH AND EDUCATION FACILITIES 060806186 20774YPC5 2013-06-06 30330000 false false false A 9270000 0 30330000 2340522 1170295 15485409 606600 0 0 10723350 3824 0 2014 true false true true A false false false false 0.0 false false true A false false false true false false false false true A true 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 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; PHYSICIAN SERVICES OF NORTHEAST CT 45 GREEN HOLLOW ROAD DANIELSON CT 06239 262565797 PHYSICIAN SERVICES CT DAY KIMBALL HEALTHCARE DAY KIMBALL HOMEMAKERS 320 POMFRET STREET PUTNAM CT 06260 061136893 HOMEMAKERS CT 501(c)(3) 10 DAY KIMBALL HEALTHCARE true DAY KIMBALL MEDICAL GROUP INC 320 POMFRET STREET PUTNAM CT 06260 454077626 PHYSICIAN SERVICES CT 501(c)(3) 10 DAY KIMBALL HEALTHCARE true DAY KIMBALL HEALTHCARE FOUNDATION INC 309 POMFRET STREET PUTNAM CT 06260 833150493 SUPPORT CT 501(c)(3) Type I DAY KIMBALL HEALTHCARE true false false false false false false false false false true false false false false false true false true true DAY KIMBALL MEDICAL GROUP INC J 334728 COST DAY KIMBALL MEDICAL GROUP INC R 12288531 COST DAY KIMBALL FOUNDATION R 274734 COST DAY KIMBALL HOMEMAKERS S 281561 COST