DAY KIMBALL HEALTHCARE INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: DAY KIMBALL HEALTHCARE INC (EIN 06-0646599)
Tax period: 2017-10-01 to 2018-09-30
Filed: 2019-08-09
IRS object ID: 201902219349301525
Schema version: 2017v2.3
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 G
Schedule H
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-08-09T15:19:42-05:00	ReturnTs
Tax Period End	2018-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BKD 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	2017-10-01	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)
In Care Of	% PAUL A BEAUDOIN	InCareOfNm
Business Name Control	DAYK	BusinessNameControlTxt
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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	PAUL A BEAUDOIN	PersonNm
Person Title	CFO	PersonTitleTxt
Signature	2019-08-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Krystal K Creach	PreparerPersonNm
PTIN	P01248198	PTIN
Phone	4178658701	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	167.68.126.162	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	43032920192215000014	FederalOriginalSubmissionId
Federal Original Submission Id	2019-08-09	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	8F438207F781E16C0FE969051AA52AD6F3A8EA5F	AtSubmissionCreationDeviceId
At Submission Filing Device Id	AE6E5E46D41BC60DF08B4BEE75B34EFCBA1C7A6F	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

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

Field	Value	IRS element (for citing)
Principal Officer	ANNE DIAMOND	PrincipalOfficerNm

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)
Gross Receipts	$124,611,903	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	15	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	1031	TotalEmployeeCnt
Total Volunteers	180	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$79,353	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,598,273	PYContributionsGrantsAmt
CY Contributions Grants	$1,628,273	CYContributionsGrantsAmt
PY Program Service Revenue	$105,351,113	PYProgramServiceRevenueAmt
CY Program Service Revenue	$121,020,191	CYProgramServiceRevenueAmt
PY Investment Income	$1,729,742	PYInvestmentIncomeAmt
CY Investment Income	$681,472	CYInvestmentIncomeAmt
PY Other Revenue	$39,031	PYOtherRevenueAmt
CY Other Revenue	-$351,228	CYOtherRevenueAmt
PY Total Revenue	$109,718,159	PYTotalRevenueAmt
CY Total Revenue	$122,978,708	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$54,954,429	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$54,799,752	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$51,033,667	PYOtherExpensesAmt
CY Other Expenses	$60,463,543	CYOtherExpensesAmt
PY Total Expenses	$105,988,096	PYTotalExpensesAmt
CY Total Expenses	$115,263,295	CYTotalExpensesAmt
PY Revenues Less Expenses	$3,730,063	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$7,715,413	CYRevenuesLessExpensesAmt
Total Assets BOY	$93,138,645	TotalAssetsBOYAmt
Total Assets EOY	$94,302,713	TotalAssetsEOYAmt
Total Liabilities BOY	$101,713,410	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$93,856,549	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$8,574,765	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$446,164	NetAssetsOrFundBalancesEOYAmt
Mission	THE MISSION OF DAY KIMBALL HEALTHCARE IS TO MEET THE HEALTH NEEDS AND WELL-BEING OF OUR DIVERSE COMMUNITY THROUGH OUR CORE VALUES OF CLINICAL QUALITY, CUSTOMER SERVICE, FISCAL AND ENVIRONMENTAL RESPONSIBILITY AND LOCAL CONTROL.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$101,522,995	ExpenseAmt
Revenue	$115,977,588	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 AREA 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	$4,414,130	ExpenseAmt
Revenue	$5,042,603	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	$105,937,125	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	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 With Officer Ent	false	BusinessRlnWithOfficerEntInd
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	90	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1031	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	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

Field	Value	IRS element (for citing)
Person	PAUL A BEAUDOIN	PersonNm
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

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
MICHAEL BAUM MD
DIRECTOR	1.0	40.0	Yes (X)	$26,400	$310,279	$22,429
KAREN COLE
SECRETARY	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
ANTHONY CHIEFFALO
DIRECTOR	1.0	40.0	Yes (X)	$21,079	$280,525	$15,629
EDWIN HIGGINS
ASST. SECRETARY/TREASURER	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
DR PAUL MATTY
DIRECTOR	1.0	40.0	Yes (X)	$11,000	$259,646	$21,093
JANICE THURLOW
VICE CHAIRWOMAN	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
STEVEN SCHIMMEL MD
MEDICAL STAFF REPRESENTATIVE	1.0	0.0	Yes (X)	$0	$0	$0
PETER DEARY
DIRECTOR BEG 01/18	1.0	0.0	Yes (X)	$0	$0	$0
JEFFREY PAUL
TREASURER	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
JOSEPH ADILETTA
CHAIRMAN; INTERIM PRESIDENT	40.0	1.0	Yes (X)	$201,761	$0	$10,305	Yes (X)
KATHY ROCHA
DIRECTOR BEG 01/18	1.0	0.0	Yes (X)	$0	$0	$0
SHAWN MCNERNEY
DIRECTOR	1.0	1.0	Yes (X)	$0	$0	$0
NANCY WEISS
DIRECTOR BEG 01/18	1.0	0.0	Yes (X)	$0	$0	$0
ANNE DIAMOND
PRESIDENT AND CEO BEG 08/2017	40.0	1.0	Yes (X)	$160,940	$0	$9,450	Yes (X)
KEVIN JOHNSTON
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
JOSEPH ALESSANDRO DO
DIRECTOR END 12/17	1.0	2.0	Yes (X)	$46,130	$0	$0
WILLIAM ST ONGE
DIRECTOR END 12/17	1.0	1.0	Yes (X)	$0	$0	$0
JOSEPH BOTTA
DIRECTOR END 12/17	1.0	0.0	Yes (X)	$0	$0	$0
JACK BURKE
DIRECTOR END 12/17	1.0	1.0	Yes (X)	$0	$0	$0
MARK SHAMBER
DIRECTOR END 12/17	1.0	0.0	Yes (X)	$0	$0	$0
PAUL BEAUDOIN
CFO	40.0	1.0		$299,277	$0	$8,964	Yes (X)
JOHN GRAHAM
V.P. MEDICAL AFFAIRS, CMO	40.0	1.0		$274,101	$0	$8,307		Yes (X)
JOHN O'KEEFE
V.P. OF NURSING, CNO	40.0	0.0		$166,309	$0	$5,179		Yes (X)
SARAH JANE DEASIS
PHYSICIAN	40.0	0.0		$301,390	$0	$18,619			Yes (X)
JOHN MODICA
PHYSICIAN	40.0	0.0		$232,409	$0	$14,140			Yes (X)
KRISTEN LESCAULT
O.R. COORDINATOR	60.0	0.0		$168,467	$0	$27,549			Yes (X)
ODILE ROMANICK
DIRECTOR OF I.T.	40.0	0.0		$145,579	$0	$26,630			Yes (X)
RENEE SMITH
ADMINISTRATOR	30.0	10.0		$119,438	$33,254	$8,342			Yes (X)
ROBERT SMANIK
FORMER PRESIDENT AND DIRECTOR,	40.0	1.0		$443,064	$0	$4,794				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,617,344	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$883,704	TotReportableCompRltdOrgAmt
Total Other Compensation	$201,430	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	44	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
DOWNES CONSTRUCTION CO LLC
200 STANLEY STREET	NEW BRITIAN	CT	06051	CONSTRUCTION SVCS.	$1,819,950
EASTERN CT HEMATOLOGY AND ONCOLOGY
330 WASHINGTON ST STE 230	NORWICH	CT	06360	ONCOLOGY SVCS.	$794,873
LOCUMTENENSCOM
PO BOX 405547	ATLANTA	GA	303845547	TEMP PLACEMENT	$522,128
RDW GROUP
125 HOLDEN STREET	PROVIDENCE	RI	02908	MARKETING/COMM.	$509,847
ORTHOPEDIC ASSOCIATES OF WINDHAM CO
255 POMFRET STREET	PUTNAM	CT	06260	PHYSICIAN SVCS.	$502,295

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	24	CntrctRcvdGreaterThan100KCnt
Fundraising	$175,400	FundraisingAmt
Government Grants	$805,121	GovernmentGrantsAmt
All Other Contributions	$647,752	AllOtherContributionsAmt
Total Contributions	$1,628,273	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	621110	$115,977,588	$115,977,588
OTHER	900099	$4,078,205	$4,078,205
CAFETERIA	722514	$567,943	$567,943
AFFILIATED ORGANIZATION RENT	900099	$316,211	$316,211
PHARMACY	446110	$80,244	$80,244

Field	Value	IRS element (for citing)
Total Program Service Revenue	$121,020,191	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$571,278	TotalRevenueColumnAmt
Exclusion	$571,278	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$183,629	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$173,921	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$9,708	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,708	TotalRevenueColumnAmt
Exclusion	$9,708	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,520,816	SecuritiesAmt
Other	$10,000	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$1,379,472	SecuritiesAmt
Other	$41,150	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$141,344	SecuritiesAmt
Other	-$31,150	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$110,194	TotalRevenueColumnAmt
Exclusion	$110,194	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$31,770	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$175,400	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$38,652	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$6,882	TotalRevenueColumnAmt
Exclusion	-$6,882	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	LOSS ON DEBT EXTINGUISHMENT	Desc
Business	900099	BusinessCd
Total Revenue Column	-$354,054	TotalRevenueColumnAmt
Exclusion	-$354,054	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	-$354,054	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$122,978,708	TotalRevenueColumnAmt
Related Or Exempt Func Income	$121,020,191	RelatedOrExemptFuncIncomeAmt
Exclusion	$330,244	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,650,930	TotalAmt
Program Services	$371,172	ProgramServicesAmt
Management And General	$1,279,758	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$40,939,198	TotalAmt
Program Services	$37,760,443	ProgramServicesAmt
Management And General	$3,178,755	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,693,334	TotalAmt
Program Services	$1,521,512	ProgramServicesAmt
Management And General	$171,822	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$7,299,496	TotalAmt
Program Services	$6,569,615	ProgramServicesAmt
Management And General	$729,881	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,216,794	TotalAmt
Program Services	$2,882,523	ProgramServicesAmt
Management And General	$334,271	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$355,137	TotalAmt
Management And General	$355,137	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$163,930	TotalAmt
Management And General	$163,930	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$89,917	TotalAmt
Management And General	$89,917	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$9,267,420	TotalAmt
Program Services	$8,304,401	ProgramServicesAmt
Management And General	$963,019	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$402,768	TotalAmt
Program Services	$360,915	ProgramServicesAmt
Management And General	$41,853	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,322,376	TotalAmt
Program Services	$3,873,219	ProgramServicesAmt
Management And General	$449,157	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$3,020,809	TotalAmt
Program Services	$2,706,903	ProgramServicesAmt
Management And General	$313,906	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,164,666	TotalAmt
Program Services	$1,939,726	ProgramServicesAmt
Management And General	$224,940	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$175,787	TotalAmt
Program Services	$157,520	ProgramServicesAmt
Management And General	$18,267	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$23,594	TotalAmt
Program Services	$21,142	ProgramServicesAmt
Management And General	$2,452	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,841,040	TotalAmt
Program Services	$1,649,729	ProgramServicesAmt
Management And General	$191,311	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$4,975,451	TotalAmt
Program Services	$4,458,430	ProgramServicesAmt
Management And General	$517,021	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,433,294	TotalAmt
Program Services	$1,284,354	ProgramServicesAmt
Management And General	$148,940	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
PROVIDER TAX	$13,810,397	$13,810,397
MEDICAL SUPPLIES & DRUGS	$13,759,197	$13,759,197
BAD DEBT	$3,196,626	$3,196,626
REPAIRS & MAINTENANCE	$1,198,642	$1,074,086	$124,556

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$262,492	TotalAmt
Program Services	$235,215	ProgramServicesAmt
Management And General	$27,277	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$115,263,295	TotalAmt
Program Services	$105,937,125	ProgramServicesAmt
Management And General	$9,326,170	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$282,640	BOYAmt
EOY	$243,493	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$15,082,286	BOYAmt
EOY	$15,272,529	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$45,722	BOYAmt
EOY	$205,888	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$9,645,362	BOYAmt
EOY	$10,307,569	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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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	$2,341,451	BOYAmt
EOY	$2,472,900	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$318,844	BOYAmt
EOY	$1,362,611	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$131,610,875	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$86,551,373	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$46,965,736	BOYAmt
EOY	$45,059,502	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$2,438,919	BOYAmt
EOY	$64,002	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$15,588,299	BOYAmt
EOY	$18,500,983	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$429,386	BOYAmt
EOY	$813,236	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$93,138,645	BOYAmt
EOY	$94,302,713	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$15,601,716	BOYAmt
EOY	$22,839,585	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$25,617,185	BOYAmt
EOY	$21,853,272	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	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	$11,291,122	BOYAmt
EOY	$10,493,552	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$201,208	BOYAmt
EOY	$124,192	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$49,002,179	BOYAmt
EOY	$38,545,948	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$101,713,410	BOYAmt
EOY	$93,856,549	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	-$14,575,043	BOYAmt
EOY	-$5,767,874	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,572,296	BOYAmt
EOY	$1,708,308	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,427,982	BOYAmt
EOY	$4,505,730	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$8,574,765	BOYAmt
EOY	$446,164	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$93,138,645	BOYAmt
EOY	$94,302,713	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$7,715,413	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$527,120	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$778,396	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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
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	$19,919	OtherActivitiesAmt
Total Lobbying Expenditures	$19,919	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 1I	FormAndLineReferenceDesc
Explanation	OTHER LOBBYING ACTIVITIES: DAY KIMBALL HOSPITAL PAID DUES TO THE CONNECTICUT HOSPITAL ASSOCIATION DURING THE FISCAL YEAR. A PORTION OF THESE DUES MAY BE ATTRIBUTABLE TO LOBBYING EXPENSES.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$11,812,302	BeginningYearBalanceAmt
Investment Earnings Or Losses	$863,836	InvestmentEarningsOrLossesAmt
Other Expenditures	$500,000	OtherExpendituresAmt
Administrative Expenses	$74,586	AdministrativeExpensesAmt
End Year Balance	$12,101,552	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$9,884,933	BeginningYearBalanceAmt
Contributions	$16,104	ContributionsAmt
Investment Earnings Or Losses	$2,005,447	InvestmentEarningsOrLossesAmt
Administrative Expenses	$94,182	AdministrativeExpensesAmt
End Year Balance	$11,812,302	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$9,568,620	BeginningYearBalanceAmt
Contributions	$548,627	ContributionsAmt
Investment Earnings Or Losses	$753,291	InvestmentEarningsOrLossesAmt
Other Expenditures	$878,996	OtherExpendituresAmt
Administrative Expenses	$106,609	AdministrativeExpensesAmt
End Year Balance	$9,884,933	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$13,426,179	BeginningYearBalanceAmt
Investment Earnings Or Losses	$187,403	InvestmentEarningsOrLossesAmt
Other Expenditures	$3,920,227	OtherExpendituresAmt
Administrative Expenses	$124,735	AdministrativeExpensesAmt
End Year Balance	$9,568,620	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$15,007,697	BeginningYearBalanceAmt
Contributions	$1,543,560	ContributionsAmt
Investment Earnings Or Losses	$452,041	InvestmentEarningsOrLossesAmt
Other Expenditures	$3,449,846	OtherExpendituresAmt
Administrative Expenses	$127,273	AdministrativeExpensesAmt
End Year Balance	$13,426,179	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.86000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.14000	PrmnntEndowmentBalanceEOYPct
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	$3,378,743	OtherCostOrOtherBasisAmt
Book Value	$3,378,743	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$84,348,421	OtherCostOrOtherBasisAmt
Depreciation	$54,252,489	DepreciationAmt
Book Value	$30,095,932	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$41,115,121	OtherCostOrOtherBasisAmt
Depreciation	$32,298,884	DepreciationAmt
Book Value	$8,816,237	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,768,590	OtherCostOrOtherBasisAmt
Book Value	$2,768,590	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$45,059,502	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (5 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
INV IN VHA COALITION	$80,000	C
FUNDS HEAD IN TRUST BY OTHERS	$3,507,452	F
INVESTMENT IN REAL ESTATE	$159,723	C
BOARD RESTRICTED ENDOW FUNDS	$13,624,330	F
DONOR RESTRICTED ENDOW FUNDS	$1,129,478	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$18,500,983	TotalBookValueSecuritiesAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
PENSION LIABILITIES	$34,195,825
EST AMT DUE TO THIRD PARTIES	$2,744,999
DEFERRED GAIN ON LIABILITIES	$1,605,124

Field	Value	IRS element (for citing)
Total Liability	$38,545,948	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$119,899,171	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$527,120	NetUnrealizedGainsInvstAmt
Other Revenue	-$3,331,064	OtherRevenueAmt
Revenue Not Reported	-$2,803,944	RevenueNotReportedAmt
Revenue Subtotal	$122,703,115	RevenueSubtotalAmt
Other Revenues Not Included	$275,593	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$275,593	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$122,978,708	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$111,092,002	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$212,573	OtherExpensesIncludedAmt
Expenses Not Reported	$212,573	ExpensesNotReportedAmt
Expenses Subtotal	$110,879,429	ExpensesSubtotalAmt
Other Expenses Not Included	$4,383,866	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$4,383,866	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$115,263,295	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PART X, LINE 4	ENDOWMENT FUND: 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 V, 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 XI, LINE 2D	AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART VIII, LINE 12: $(6,198,590) TRANSFER TO AFFILIATE (3,196,626) BAD DEBT (1,097,323) PENSION EXPENSE ( 89,917) INVESTMENT MANAGEMENT FEES 213,802 NET ASSETS RELEASED FROM RESTRICTION 7,037,590 CHANGE IN DEFINED BENEFIT PLAN ------------ $(3,331,064)
SCHEDULE D, PART XI, LINE 4B	AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $( 173,921) RENT EXPENSE ( 38,652) FUNDRAISING EXPENSE 488,166 TEMPORARILY RESTRICTED CONTRIBUTIONS ------------ 275,593
SCHEDULE D, PART XII, LINE 2D	AMOUNTS INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART IX, LINE 25: $ 173,921 RENT EXPENSE 38,652 FUNDRAISING EXPENSE ------------ $ 212,573
SCHEDULE D, PART XII, LINE 4B	AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 3,196,626 BAD DEBT 1,097,323 PENSION EXPENSE 89,917 INVESTMENT MANAGEMENT FEES ------------ $ 4,383,866

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	GOLF CLASSIC	Event1Nm
Gross Receipts Event1	$103,422	GrossReceiptsEvent1Amt
Charitable Contri Event1	$78,462	CharitableContriEvent1Amt
Gross Revenue Event1	$24,960	GrossRevenueEvent1Amt
Cash Prizes Event1	$1,250	CashPrizesEvent1Amt
Non Cash Prizes Event1	$3,571	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$18,481	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$645	FoodAndBeverageEvent1Amt
Entertainment Event1	$1,050	EntertainmentEvent1Amt
Other Direct Expenses Event1	$279	OtherDirectExpensesEvent1Amt
Event2	TREE OF LIFE	Event2Nm
Gross Receipts Event2	$32,285	GrossReceiptsEvent2Amt
Charitable Contri Event2	$32,285	CharitableContriEvent2Amt
Other Direct Expenses Event2	$3,623	OtherDirectExpensesEvent2Amt
Other Events Total	6	OtherEventsTotalCnt
Gross Receipts Other Events	$71,463	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$64,653	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$6,810	GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events	$1,960	NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events	$705	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$3,430	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$775	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$2,883	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$207,170	GrossReceiptsTotalAmt
Charitable Contributions Tot	$175,400	CharitableContributionsTotAmt
Gross Revenue Total Events	$31,770	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$1,250	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$5,531	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$19,186	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$4,075	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$1,825	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$6,785	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$38,652	DirectExpenseSummaryEventsAmt
Net Income Summary	-$6,882	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

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

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$117,368	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$117,368	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$33,215,581	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$25,141,489	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,074,092	NetCommunityBenefitExpnsAmt
Total Expense	0.07200	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,878	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,878	NetCommunityBenefitExpnsAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$33,336,827	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$25,141,489	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,195,338	NetCommunityBenefitExpnsAmt
Total Expense	0.07300	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,903	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,903	NetCommunityBenefitExpnsAmt

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$140,540	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$140,540	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,430,126	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,567,318	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,862,807	NetCommunityBenefitExpnsAmt
Total Expense	0.02560	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,575,569	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,567,318	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,008,250	NetCommunityBenefitExpnsAmt
Total Expense	0.02690	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$41,912,396	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$30,708,807	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,203,588	NetCommunityBenefitExpnsAmt
Total Expense	0.09990	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$3,196,626	BadDebtExpenseAmt
Bad Debt Expense Attributable	$283,124	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$28,776,876	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$35,148,210	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$6,371,334	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
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	17	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	SEE PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	17	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	250.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	250.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, LINE 5	COMMUNITY INPUT: DAY KIMBALL HOSPITAL ALONG WITH THE OTHER MEMBERS OF THE WINDHAM COUNTY HEALTHCARE CONSORTIUM (WINDHAM HOSPITAL, DAY KIMBALL HOSPITAL, NATCHAUG HOSPITAL, GENERATIONS FAMILY HEALTH CENTER, UNITED SERVICES, VNA EAST, NORTHEAST DISTRICT DEPARTMENT OF HEALTH AND COMMUNITY HEALTH RESOURCES (CHR)) UTILIZED THE CENTER FOR RESEARCH AND PUBLIC POLICY (CRPP), AN INDEPENDENT RESEARCH FIRM, TO CONDUCT A COMPREHENSIVE NEEDS ASSESSMENT UTILIZING FOCUS GROUPS AND PHONE SURVEYS OF COUNTY RESIDENTS ALONG WITH STATE AND FEDERAL DATA TO IDENTIFY AND PRIORITIZE THE HEALTHCARE NEEDS IN WINDHAM COUNTY. COUNTY RESIDENTS ALONG WITH STATE AND FEDERAL DATA TO IDENTIFY AND PRIORITIZE THE HEALTHCARE NEEDS IN WINDHAM COUNTY.
SCHEDULE H, PART V, LINE 6A	CHNA CONDUCTED WITH OTHER HOSPITALS: DAY KIMBALL HOSPITAL CONDUCTED ITS NEEDS ASSESSMENT IN CONJUNCTION WITH THE WINDHAM COUNTY HEALTHCARE CONSORTIUM. THE MEMBERS OF THIS CONSORTIUM INCLUDE WINDHAM HOSPITAL, DAY KIMBALL HOSPITAL, NATCHAUG HOSPITAL, GENERATIONS FAMILY HEALTH CENTER, UNITED SERVICES, VNA EAST, NORTHEAST DISTRICT DEPARTMENT OF HEALTH AND COMMUNITY HELATH RESOURCES (CHR).
SCHEDULE H, PART V, LINE 7A	CHNA AVAILABILITY: THE ORGANIZATION'S CHNA REPORT WAS MADE AVAILABLE AT THE FOLLOWING URL: HTTPS://WWW.DAYKIMBALL.ORG/ABOUT-DAY-KIMBALL-HEALTHCARE/IN-THE-COMMUNITY/ COMMUNITY-HEALTH-NEEDS-ASSESSMENT/
SCHEDULE H, PART V, LINE 10A	IMPLEMENTATION STRATEGY AVAILABILITY: THE ORGANIZATION'S IMPLEMENTATION STRATEGY IS AVAILABLE AT THE FOLLOWING URL: HTTPS://WWW.DAYKIMBALL.ORG/ABOUT-DAY-KIMBALL-HEALTHCARE/IN-THE/COMMUNITY/ COMMUNITY-HEALTH-NEEDS-ASSESSMENT
SCHEDULE H, PART V, LINE 11	ADDRESSING IDENTIFIED NEEDS: MOST OF THE HEALTH NEEDS IDENTIFIED IN THE ASSESSMENT ARE ALREADY ADDRESSED BY DAY KIMBALL HOSPITAL, EITHER BY DIRECT DELIVERY OF SERVICE TO THE COMMUNITY OR THROUGH OUR COLLABORATIONS WITH SUCH ORGANIZATIONS AS HEALTHQUEST. THESE INCLUDE SERVICES AND PROGRAMS SUCH AS: - EXPANDING OUR INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH SERVICES - PARTNERING WITH WHOLESOME WAVE, WIC, AND THE LOCAL FARMER'S MARKET TO SUBSIDIZE MARKET COUPONS, DOUBLING THEIR VALUE, FOR FAMILIES WITH CHILDREN - WORKING WITH HEALTHQUEST AS AN ACTIVE MEMBER AND FUNDER ON SUCH PROGRAMS AS FOLLOW THE FIFTY, HEART HEALTH, PROGRAM FOR WOMEN AND WRITE STEPS, AN ELEMENTARY SCHOOL-BASED WALKING AND WRITING PROGRAM TO IMPROVE HEALTH (IN PARTICULAR OBESITY IN CHILDREN) AND EDUCATION - BECOMING A SMOKE-FREE ORGANIZATION AND OFFERING SMOKING CESSATION CLASSES TO OUR EMPLOYEES AND CONTINUING TO OFFER CLASSES TO THE COMMUNITY - OFFERING DIABETES CARE MANAGEMENT SERVICES IN ALL OUR PRIMARY CARE OFFICES - IMPLEMENTING A SERIES OF COMMUNITY-BASED FLU SHOT CLINICS TO IMPROVE ACCESS - EXPANDING OUR SLEEP LAB WITH IN-HOME TESTING NOW AVAILABLE - CONDUCTING EDUCATIONAL SEMINARS ON COLON CANCER AND COLONOSCOPIES HOSTED BY OUR SPECIALTY TEAM OF PROVIDERS
SCHEDULE H, PART V, LINES 16A, 16B, & 16C	FINANCIAL ASSISTANCE POLICY AVAILABILITY: THE FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE POLICY APPLICATION AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE AT THE FOLLOWING URL: https://www.daykimball.org/resources/financial-services/

Field	Value	IRS element (for citing)
Facility	11	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (11 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
DANIELSON HEALTHCARE CENTER
55 GREEN HOLLOW ROAD	DANIELSON	CT	06239	DIAGNOSTIC IMAGING
DANIELSON MEDICAL ASSOCIATES
45 GREEN HOLLOW ROAD	DANIELSON	CT	06239	PRIMARY CARE SERVICES
PUTNAM SURGICAL ASSOCIATES
346 POMFRET STREET	PUTNAM	CT	06260	CONSULTATIVE AND SURGICAL SERVICES
WOODSTOCK MEDICAL ASSOCIATES
168 ROUTE 171	SOUTH WOODSTOCK	CT	06267	INTERNAL MEDICINE
NORTHEAST CONNECTICUT DERMATOLOGY
55 GREEN HOLLOW ROAD	DANIELSON	CT	06239	DERMATOLOGY SERVICES
MEDICAL CENTER OF NORTHEAST CONNECTICUT
612 HARTFORD DRIVE	DAYVILLE	CT	06241	INTERNAL MEDICINE
POMFRET STREET FAMILY MEDICAL ASSOCIATES
235 POMFRET STREET	PUTNAM	CT	06260	PRIMARY CARE SERVICES
PUTNAM HEALTHCARE CENTER
6-12 SOUTH MAIN STREET	PUTNAM	CT	06260	LAB AND THERAPY SERVICES
DAY KIMBALL HOMEMAKERS
24-32 SOUTH MAIN STREET	PUTNAM	CT	06260	UNSKILLED HOMECARE SERVICES
ST LUKE'S FAMILY PRACTICE
7 KENNEDY DRIVE	PUTNAM	CT	06260	PRIMARY CARE SERVICES

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINES 3A, 3B, & 3C	DETERMINING ELIGIBILITY FOR FREE & DISCOUNTED CARE: TO QUALIFY FOR FREE CARE, AN INDIVIDUAL MUST MEET ALL OF THE CRITERIA: - SINGLE ACCOUNT BALANCE OF $250 OR GREATER OR ACCOUNTS SPANNING SIX MONTHS TOTALING $500 OR GREATER (INDIVIDUAL) OR ACCOUNTS SPANNING SIX MONTHS TOTALING $1000 OR GREATER FOR 2 OR MORE FAMILY MEMBERS (UNDER SAME GUARANTOR). - ANNUAL INCOME IS LESS THAN 250% OF THE CURRENT FEDERAL INCOME POVERTY LEVEL (FPL). - LIQUID ASSETS MUST NOT EXCEED $100,000 (INCLUDES STOCKS, BONDS, CASH, 401K, IRA, CD, PROPERTY AND BUSINESS VALUE, AND RECREATIONAL VEHICLES). TO QUALIFY FOR A 75% CHARITY CARE DISCOUNT, AN INDIVIDUAL MUST MEET ALL OF THE FOLLOWING CRITERIA: - SINGLE ACCOUNT BALANCE OF $250 OR GREATER OR ACCOUNTS SPANNING SIX MONTHS TOTALING $500 OR GREATER (INDIVIDUAL) OR ACCOUNTS SPANNING SIX MONTHS TOTALING $1000 OR GREATER FOR 2 OR MORE FAMILY MEMBERS (UNDER SAME GUARANTOR). - ANNUAL INCOME IS LESS THAN 250% OF THE CURRENT FEDERAL INCOME POVERTY LEVEL (FPL). - LIQUID ASSETS MUST NOT EXCEED $100,000 INCLUDING (STOCKS, BONDS, CASH, 401, IRA, CD, PROPERTY AND BUSINESS VALUE AND RECREATIONAL VEHICLES). - INSURED PATIENTS WHO HAVE NO ADDITIONAL COVERAGE (AND HAVE DOCUMENTATION THAT THEY HAVE EXHAUSTED THEIR INSURANCE) FOR THE REMAINDER OF THEIR PLAN YEAR WILL BE DEEMED "UNINSURED" UNDER SECTION A OF THIS POLICY. IF GRANTED CHARITY CARE, IT WILL BE ONE-TIME GRANTING.
SCHEDULE H, PART I, LINE 7	COSTING METHODOLOGY: 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 FY2018 MEDICARE COST REPORT.
SCHEDULE H, PART I, LINE 7G	SUBSIDIZED SERVICES: DAY KIMBALL HOSPITAL PARTNERS WITH NORTHEASTERN CONNECTICUT COUNCIL OF GOVERNMENTS (NECCOG) TO PROVIDE LOCAL PARAMEDIC INTERCEPT SERVICES. DAY KIMBALL HOSPITAL AND NECCOG AGREED THAT THE ABSENCE OF PARAMEDIC INTERCEPT SERVICES IN NORTHEASTERN CONNECTICUT, COMPRISED OF MANY RURAL TOWNS, WOULD CREATE A SIGNIFICANT DEFICIENCY IN THE AVAILABILITY AND ACCESSIBILITY OF MEDICAL SERVICES IN THE COMMUNITY. THE HOSPITAL PROVIDES CERTAIN MONETARY AND IN-KIND SERVICES FOR THE PROVISION OF PARAMEDIC INTERCEPT SERVICES.
SCHEDULE H, PART I, LINE 7, COLUMN F	PERCENT OF TOTAL EXPENSE: TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR WHICH EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25, OF FORM 990 WAS REDUCED BY BAD DEBT EXPENSE OF $3,196,626.
SCHEDULE H, PART III, SECTION A, LINE 2	BAD DEBT EXPENSE: THE ORGANIZATION CALCULATED BAD DEBT EXPENSE USING THE AMOUNTS CALCULATED IN THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS.
SCHEDULE H, PART III, SECTION A, LINE 3	BAD DEBT EXPENSE ATTRIBUTABLE TO CHARITY CARE: 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, SECTION A, LINE 4	BAD DEBT EXPENSE FOOTNOTE: PLEASE REFER TO THE ATTACHED AUDITED FINANCIAL STATEMENTS FOR NOTE 1 - PATIENT ACCOUNTS RECEIVABLE AND CHARITY CARE.
SCHEDULE H, PART III, SECTION B, LINE 8	COMMUNITY BENEFIT RATIONALE: 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 FY2018 MEDICARE COST REPORT.
SCHEDULE H, PART III, SECTION B, LINE 9B	COLLECTION POLICY: 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 BEEN 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 VI, LINE 2	NEEDS ASSESSMENT: DAY KIMBALL HOSPITAL HAS RECENTLY COMPLETED A COMMUNITY NEEDS ASSESSMENT IN CONJUNCTION WITH THE WINDHAM COUNTY HEALTHCARE CONSORTIUM. THE CONSORTIUM UTILIZED A NATIONAL CONSULTING FIRM TO ASSIST IN THE PROCESS OF IDENTIFYING SPECIFIC HEALTH CARE NEEDS IN WINDHAM COUNTY. FOCUS GROUPS, TELEPHONE SURVEYS AND STATE AND FEDERAL DATA WAS USED TO IDENTIFY THE SPECIFIC HEALTH CARE NEEDS DURING THIS ASSESSMENT.
SCHEDULE H, PART VI, LINE 3	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: ALL PATIENTS WHO ARE UNINSURED ARE REFERRED TO THE FINANCIAL COUNSELING DEPARTMENT; INPATIENTS ARE ALL VISITED BY A FINANCIAL COUNSELOR (OR GIVEN A FINANCIAL COUNSELING PACKET) PRIOR TO DISCHARGE WITH ALL OF THE AVAILABLE PROGRAMS THAT ARE AVAILABLE THROUGH OUR FINANCIAL ASSISTANCE (CHARITY CARE) POLICY. ANY SCHEDULED PATIENTS WHO ARE UNINSURED ARE CALLED BY THE FINANCIAL COUNSELORS IN ADVANCE TO PROVIDE ALL OF THE OPTIONS INCLUDING SCREENING FOR MEDICAID ASSISTANCE, CHARITY CARE, AS WELL AS SEVERAL OTHER LOCAL FUNDING SOURCES THAT THEY MAY QUALIFY FOR. ALL PATIENT STATEMENTS HAVE INFORMATION ABOUT OUR CHARITY CARE POLICY AS WELL AS DOWNLOADABLE CHARITY CARE APPLICATION. ALL OF OUR THIRD PARTY VENDORS, INCLUDING OUR BAD DEBT AGENCIES AND OUR LONG TERM PATIENT FINANCING PROGRAM THROUGH CAREPAYMENT ALSO PROVIDE OUR CHARITY CARE POLICY TO PATIENTS UPON REQUEST. OUR FINANCIAL ASSISTANCE GUIDELINES ARE ALSO POSTED IN ALL PATIENT REGISTRATION AREAS OF THE HOSPITAL.
SCHEDULE H, PART VI, LINE 4	COMMUNITY INFORMATION: DAY KIMBALL HOSPITAL'S PRIMARY SERVICE AREA CONSISTS OF 13 TOWNS IN THE NORTHEASTERN CORNER OF CONNECTICUT AS WELL AS BORDERING MASSACHUSETTS AND RHODE ISLAND TOWNS. DAY KIMBALL'S SERVICE AREA IS OVER 438 SQUARE MILES AND CONTAINS APPROXIMATELY 116,192 IN WINDHAM COUNTY. THE POPULATION RANGES FROM LONG-TERM, MULTI-GENERATIONAL FAMILIES TO NEWLY IMMIGRATED RESIDENTS FROM URBAN AREAS. ACCORDING TO THE 2010 CENSUS, 11.7% OF THE POPULATION IS UNDER POVERTY LEVEL AND 14.3% ARE OVER AGE 65. THERE IS A WIDE RANGE OF SOCIO-ECONOMIC FACTORS INCLUDING VERY HIGH INCOME TO POVERTY; ADVANCED EDUCATION TO INCOMPLETE HIGH SCHOOL. THE MEDIAN HOUSEHOLD INCOME IN 2010 IN WINDHAM COUNTY WAS $58,489 (THE LOWEST INCOME OF ANY COUNTY IN THE STATE OF CONNECTICUT), WHILE THE STATE MEDIAN WAS $69,519. ACCORDING TO THE HEALTHY CONNECTICUT 2020 STATE HEALTH ASSESSMENT THAT WAS RELEASED IN MARCH 2014 THE LEADING CAUSE OF DEATH IN CONNECTICUT ARE HEART DISEASE AND CANCER.
SCHEDULE H, PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH: THE MISSION OF DAY KIMBALL HOSPITAL IS TO MEET THE HEALTH NEEDS OF OUR COMMUNITY THROUGH OUR CORE VALUES OF CLINICAL QUALITY, CUSTOMER SERVICE, FISCAL RESPONSIBILITY AND LOCAL CONTROL. DAY KIMBALL HOSPITAL IS GOVERNED BY A BOARD OF DIRECTORS COMPRISED OF COMMUNITY MEMBERS AND PHYSICIANS. THE MEDICAL STAFF IS OPEN TO ALL PHYSICIANS IN THE COMMUNITY WHO MEET MEMBERSHIP AND CLINICAL PRIVILEGE REQUIREMENTS. INPATIENT, OUTPATIENT AND EMERGENCY SERVICES THAT ARE MEDICALLY NECESSARY ARE PROVIDED TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY.
SCHEDULE H, PART VI, LINE 6	AFFILIATE STRUCTURE: 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 J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
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	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 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
MICHAEL BAUM MD
DIRECTOR	$26,400	$287,893	$0	$20,929	$0	$1,457	$0	$7,830	$0	$14,599	$26,400	$332,708	$0	$0
ANTHONY CHIEFFALO
DIRECTOR	$21,079	$223,493	$0	$39,583	$0	$17,449	$0	$0	$0	$15,629	$21,079	$296,154	$0	$0
DR PAUL MATTY
DIRECTOR	$11,000	$258,395	$0	$0	$0	$1,251	$0	$6,564	$0	$14,529	$11,000	$280,739	$0	$0
JOSEPH ADILETTA
CHAIRMAN; INTERIM PRESIDENT	$190,269	$0	$0	$0	$11,492	$0	$0	$0	$10,305	$0	$212,066	$0	$0	$0
PAUL BEAUDOIN
CFO	$297,987	$0	$0	$0	$1,290	$0	$1,684	$0	$7,280	$0	$308,241	$0	$0	$0
ANNE DIAMOND
PRESIDENT AND CEO BEG 08/2017	$150,940	$0	$10,000	$0	$0	$0	$0	$0	$9,450	$0	$170,390	$0	$0	$0
ROBERT SMANIK
FORMER PRESIDENT AND DIRECTOR,	$51,087	$0	$0	$0	$391,977	$0	$0	$0	$4,794	$0	$447,858	$0	$0	$0
SARAH JANE DEASIS
PHYSICIAN	$288,599	$0	$12,350	$0	$441	$0	$2,977	$0	$15,642	$0	$320,009	$0	$0	$0
JOHN MODICA
PHYSICIAN	$150,267	$0	$81,302	$0	$840	$0	$7,120	$0	$7,020	$0	$246,549	$0	$0	$0
KRISTEN LESCAULT
O.R. COORDINATOR	$167,169	$0	$0	$0	$1,298	$0	$5,296	$0	$22,253	$0	$196,016	$0	$0	$0
ODILE ROMANICK
DIRECTOR OF I.T.	$142,637	$0	$0	$0	$2,942	$0	$4,520	$0	$22,110	$0	$172,209	$0	$0	$0
RENEE SMITH
ADMINISTRATOR	$119,058	$33,254	$0	$0	$380	$0	$1,300	$0	$7,042	$0	$127,780	$33,254	$0	$0
JOHN GRAHAM
V.P. MEDICAL AFFAIRS, CMO	$272,335	$0	$0	$0	$1,766	$0	$7,950	$0	$357	$0	$282,408	$0	$0	$0
JOHN O'KEEFE
V.P. OF NURSING, CNO	$165,012	$0	$0	$0	$1,297	$0	$4,989	$0	$190	$0	$171,488	$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: ANNE DIAMOND, PRESIDENT, RECEIVED A HOUSING ALLOWANCE. THE ALLOWANCE WAS TAXABLE IN THE YEAR RECEIVED.
SCHEDULE J, PART I, LINE 4C	SEVERANCE PAYMENTS: ROBERT SMANIK, RESIGNED ON 11/23/16, RECEIVED A SEVERANCE PACKAGE IN THE AMOUNT OF $305,888 WHICH INCLUDED EQUAL WEEKLY PAYMENTS OVER A 52 WEEK PERIOD.
SCHEDULE J, PART I, LINE 7	NON-FIXED PAYMENTS: BONUSES AWARDED DURING THE YEAR WERE EITHER STIPENDS FOR AN INDIVIDUAL SERVING AS A DEPARTMENT OR COMMITTEE CHAIRPERSON OR INCENTIVE PAYMENTS FOR RVU'S WORKED.

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	BusinessNameLine1Txt

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

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$0	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
Current Refunding	Yes (true)	CurrentRefundingInd
Advance Refunding	false	AdvanceRefundingInd
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
Private Bus Use By Others	0	PrivateBusUseByOthersPct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Remedial Action Taken	false	RemedialActionTakenInd
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	Yes (true)	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	false	NoRebateDueInd
Variable Rate Issue	false	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
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

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE K, PART I(F)	FormAndLineReferenceDesc
Explanation	DESCRIPTION OF PURPOSE: CURRENT REFUNDING AND EMERGENCY DEPARTMENT EXPANSION AND RENOVATION.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 7A	POWER TO ELECT THE GOVERNING BODY: THE HOSPITAL HAS MORE THAN 400 CORPORATORS WHO ARE DEDICATED TO THE HOSPITALS 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, VI, SECTION B, LINE 11B	REVIEW OF FORM 990: 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, SECTION B, 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 FORM 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 OF CONFLICT HAS BEEN RESOLVED.
FORM 990, PART VI, SECTION C, LINE 15A & 15B	COMPENSATION OF TOP MANAGEMENT: DAY KIMBALL HEALTHCARE PARTNERS WITH AN EXTERNAL CONSULTANT TO ANALYZE ALL LEVELS OF COMPENSATION WITHIN THE ORGANIZATION. THIS ENABLES US TO ENSURE THAT THERE IS A SOLID FRAMEWORK TO MAKE EFFECTIVE, CONSISTENT, STRATEGIC AND OPERATIONAL COMPENSATION DECISIONS THAT IMPACT OUR EMPLOYEES FOR THE SUPPORT THEY PROVIDE TO THE OVERALL MISSION AND STRATEGY OF THE HOSPITAL. ANY CHANGES THAT INVOLVE SIGNIFICANT FINANCIAL ADJUSTMENTS ARE PRESENTED TO THE BOARD OF DIRECTORS FOR APPROVAL.
FORM 990, PART VI, SECTION C, LINE 19	DOCUMENT DISCLOSURE: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VII, SECTION A	COMPENSATION OF BOARD OF DIRECTORS: NO BOARD MEMBERS RECEIVE COMPENSATION FOR THEIR DUTIES AS DIRECTORS. DIRECTORS WITH COMPENSATION LISTED ON PART VII ARE EITHER EMPLOYEES OF THE FILING ORGANIZATION, OR EMPLOYEES AND/OR INDEPENDENT CONTRACTORS FOR A RELATED ORGANIZATION, DAY KIMBALL MEDICAL GROUP. THEY ARE COMPENSATED FOR THEIR DUTIES IN THAT CAPACITY.
FORM 990, PART XI, LINE 9	CHANGES IN NET ASSETS: $(6,198,590) TRANSFER TO AFFILIATE ( 60,604) CHANGE IN INTEREST IN BENEFICIAL TRUST 7,037,590 CHANGE IN DEFINED BENEFIT PENSION PLAN ------------ $ 778,396

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 SVC	PrimaryActivitiesTxt
Legal Domicile State	CT	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	DK HLTHCR	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 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	DK HLTHCR	Yes (true)
DAY KIMBALL MEDICAL GROUP INC
320 POMFRET STREET	PUTNAM	CT	06260	454077626	PHYS SERVICES	CT	501(C)(3)	10	DK HLTHCR	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	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
DAY KIMBALL MEDICAL GROUP INC
R	$6,198,590	COST
DAY KIMBALL MEDICAL GROUP INC
J	$316,211	COST