DAY KIMBALL HEALTHCARE INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- DAY KIMBALL HEALTHCARE INC (EIN 06-0646599)
- Tax period
- 2012-10-01 to 2013-09-30
- Filed
- 2014-08-07
- IRS object ID
- 201442199349300129
- Schema version
- 2012v2.1
- 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 M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-08-07T10:18:19-05:00 | Timestamp |
| Tax Period End Date | 2013-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 061533253 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SASLOW LUFKIN & BUGGY LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 175 POWDER FOREST DRIVE | AddressLine1 |
| City | SIMSBURY | City |
| State | CT | State |
| ZIP Code | 06089 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 060646599 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAY KIMBALL HEALTHCARE INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | DAYK | NameControl |
| Phone | 8609286541 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 320 POMFRET STREET | AddressLine1 |
| City | PUTNAM | City |
| State | CT | State |
| ZIP Code | 06260 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ROBERT SMANIK | Name |
| Title | PRESIDENT | Title |
| Phone | 8609286541 | Phone |
| Date Signed | 2014-08-05 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BETH THURZ | Name |
| PTIN | P00346435 | PTIN |
| Phone | 8606789200 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAY KIMBALL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | ROBERT SMANIK | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 320 POMFRET STREET | AddressLine1 |
| City | PUTNAM | City |
| State | CT | State |
| ZIP Code | 06260 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 115519892 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.DAYKIMBALL.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1894 | YearFormation |
| State Legal Domicile | CT | StateLegalDomicile |
| Activity Or Mission Description | SHORT-TERM GENERAL CARE HOSPITAL PROVIDING HEALTHCARE NEEDS TO THE NORTHEASTERN CT COMMUNITY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1503 | TotalNbrEmployees |
| Total Nbr Volunteers | 272 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 2554211 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1669273 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 127208448 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 109135523 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 194664 | InvestmentIncomePriorYear |
| Investment Income Current Year | 161402 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 6156410 | OtherRevenuePriorYear |
| Other Revenue Current Year | 4470460 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 136113733 | TotalRevenuePriorYear |
| Total Revenue Current Year | 115436658 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 82458833 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 69228340 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 186168 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 51601424 | OtherExpensePriorYear |
| Other Expenses Current Year | 48178460 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 134246425 | TotalExpensesPriorYear |
| Total Expenses Current Year | 117406800 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1867308 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -1970142 | RevenuesLessExpensesCY |
| Total Assets BOY | 87880705 | TotalAssetsBOY |
| Total Assets EOY | 97043905 | TotalAssetsEOY |
| Total Liabilities BOY | 72081270 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 80958982 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 15799435 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 16084923 | NetAssetsOrFundBalancesEOY |
| Mission Description | THE MISSION OF DAY KIMBALL HEALTHCARE IS TO MEET THE HEALTH NEEDS OF OUR COMMUNITY THROUGH OUR CORE VALUES OF CLINICAL QUALITY, CUSTOMER SERVICE, FISCAL RESPONSIBILITY AND LOCAL CONTROL. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 93169288 | Expense |
| Revenue | 107318263 | Revenue |
| Description | 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. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 6782208 | Expense |
| Revenue | 4486193 | Revenue |
| Description | PHYSICIAN OFFICE PROVIDING PRIMARY CARE AND OUTPATIENT VISITS TO NORTHEASTERN CONNECTICUT COMMUNITIES. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 99951496 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 1 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 139 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1503 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | CT | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STEPHEN BURKE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8609286541 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 320 POMFRET STREET | AddressLine1 |
| City | PUTNAM | City |
| State | CT | State |
| ZIP Code | 06260 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (28 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| MICHAEL BAUM MD | |||||||||
| ASST. TREASURER (2012 & 2013) | 40.00 | X | X | 369428 | 0 | 25400 | |||
| ROBERT E SMANIK FACHE | |||||||||
| PRESIDENT & CEO | 40.00 | X | X | 435841 | 0 | 37749 | 2.00 | ||
| JOHN GRAHAM MD | |||||||||
| SECRETARY (2012 & 2013) | 1.00 | X | X | 0 | 0 | 0 | |||
| ROCHELLE ALIX | |||||||||
| TREASURER (2012 & 2013) | 1.00 | X | X | 0 | 0 | 0 | |||
| GARFIELD DANENHOWER MD | |||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||||
| RONALD FRANZINO MD | |||||||||
| DIRECTOR | 40.00 | X | 294965 | 0 | 22116 | ||||
| JOSEPH BOTTA MD | |||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||||
| JOSEPH ALESSANDRO DO | |||||||||
| DIRECTOR | 1.00 | X | 57819 | 0 | 0 | 1.00 | |||
| ATTY WILLIAM ST ONGE | |||||||||
| VICE CHAIRMAN (2013) | 1.00 | X | X | 0 | 0 | 0 | |||
| JACK BURKE | |||||||||
| CHAIRMAN (2012 & 2013) | 1.00 | X | X | 0 | 0 | 0 | |||
| KAREN A COLE | |||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||||
| HADI BOZORGMANESH | |||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||||
| JANICE THURLOW | |||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||||
| SHAWN MCNERNEY | |||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||||
| JOSEPH ADILETTA | |||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||||
| WILLIAM JOHNSON | |||||||||
| DIRECTOR | 40.00 | X | 221644 | 0 | 21735 | ||||
| DOUGLAS WAITE MD | |||||||||
| VP OF MED. AFFAIRS | 40.00 | X | 284545 | 0 | 28577 | 1.00 | |||
| JULIE DROUIN | |||||||||
| VP OF FINANCE | 40.00 | X | 184496 | 0 | 27680 | ||||
| CHRISTINE VALLEE | |||||||||
| VP OF PHYSICIAN PRACTICES | 40.00 | X | 150723 | 0 | 20103 | ||||
| CAROL HOWLAND | |||||||||
| VP OF PATIENT CARE SERVICE | 40.00 | X | 128957 | 0 | 19621 | ||||
| SARA BRANDON | |||||||||
| VP OF MARKETING/COMMUNICATIONS | 40.00 | X | 120363 | 0 | 10480 | ||||
| DONALD ST ONGE | |||||||||
| COO/CNO | 40.00 | X | 46414 | 0 | 1301 | ||||
| ERICA KESSELMAN MD | |||||||||
| OB/GYN | 40.00 | 342532 | 0 | 29635 | X | ||||
| JOHN DAY MD | |||||||||
| PULMONARY PHYSICIAN | 40.00 | 319672 | 0 | 37019 | X | ||||
| TIMOTHY MONAHAN | |||||||||
| DERMATOLOGIST | 40.00 | 337639 | 0 | 9044 | X | ||||
| MANISH SAPRA | |||||||||
| MENTAL HEALTH PHYSICIAN | 40.00 | 312539 | 0 | 21586 | X | ||||
| ANDREW MACKENZIE | |||||||||
| MATERNAL FETAL MEDICINE PHYSICIAN | 40.00 | 392692 | 0 | 6731 | X | ||||
| JOHN P MILLER | |||||||||
| HR DIRECTOR/FORMER CHAIRMAN (2011) | 40.00 | 121835 | 0 | 17377 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 4122104 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 336154 | TotalOtherCompensation |
| Number Individuals GT100 K | 99 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| DOWNES CONSTRUCTION CO LLC | |||||
| 200 STANLEY STREET PO BOX 727 | NEW BRITAIN | CT | 06050 | CONSTRUCTION SERVICES | 1744172 |
| SOUTHWIND | |||||
| PO BOX 79461 | BALTIMORE | MD | 21279 | FINANCIAL CONSULTING | 1130131 |
| EASTERN CT HEMA & ONCOLOGY | |||||
| 330 WASHINGTON STREET SUITE 200 | NORWICH | CT | 06360 | PHYSICIAN SERVICES | 779340 |
| RDW GROUP INC | |||||
| 125 HOLDEN STREET | PROVIDENCE | RI | 02908 | ADVERTISING SERVICES | 596181 |
| SHEPLEY BULFINCH | |||||
| 2 SEAPORT LANE | BOSTON | MA | 02210 | INTERIOR DESIGN CONSULTING | 451699 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 24 | NumberOfContractorsGT100K |
| Government Grants | 764654 | GovernmentGrants |
| All Other Contributions | 904619 | AllOtherContributions |
| Total Contributions | 1669273 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 622110 | 104649330 | 104649330 |
| PHYSICIAN OFFICE VISITS | 621110 | 4486193 | 4486193 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 109135523 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 131086 | TotalRevenueColumn |
| Exclusion | $131,086 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 752331 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 752331 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 752331 | TotalRevenueColumn |
| Exclusion | $752,331 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 30316 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 30316 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 30316 | TotalRevenueColumn |
| Exclusion | $30,316 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 360820 | GrossIncomeFundraisingEvents |
| Fundraising Direct Expenses | 83234 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 277586 | TotalRevenueColumn |
| Exclusion | $277,586 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| MISC PROGRAMS AND SERVICES | 900099 | 2668933 | 2668933 | |
| CAFETERIA REVENUE | 722210 | 656742 | $656,742 | |
| PHARMACY REVENUE | 446110 | 114868 | $114,868 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 3440543 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 115436658 | TotalRevenueColumn |
| Related Or Exempt Function Income | 111804456 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $1,962,929 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1688681 | Total |
| Program Services | 1445045 | ProgramServices |
| Management And General | 243636 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 50148270 | Total |
| Program Services | 42913198 | ProgramServices |
| Management And General | 7235072 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5387021 | Total |
| Program Services | 4609818 | ProgramServices |
| Management And General | 777203 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8223717 | Total |
| Program Services | 7037254 | ProgramServices |
| Management And General | 1186463 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3780651 | Total |
| Program Services | 3235203 | ProgramServices |
| Management And General | 545448 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 672280 | Total |
| Management And General | 672280 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 143579 | Total |
| Management And General | 143579 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19236 | Total |
| Management And General | 19236 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12525422 | Total |
| Program Services | 10718334 | ProgramServices |
| Management And General | 1807088 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 606973 | Total |
| Program Services | 519403 | ProgramServices |
| Management And General | 87570 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19493899 | Total |
| Program Services | 16681445 | ProgramServices |
| Management And General | 2812454 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2564082 | Total |
| Program Services | 2194153 | ProgramServices |
| Management And General | 369929 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2258198 | Total |
| Program Services | 1932400 | ProgramServices |
| Management And General | 325798 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 382738 | Total |
| Program Services | 327519 | ProgramServices |
| Management And General | 55219 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 45165 | Total |
| Program Services | 38649 | ProgramServices |
| Management And General | 6516 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1021472 | Total |
| Program Services | 1021472 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4669672 | Total |
| Program Services | 3995962 | ProgramServices |
| Management And General | 673710 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1857929 | Total |
| Program Services | 1589879 | ProgramServices |
| Management And General | 268050 | ManagementAndGeneral |
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| REPAIRS & MAINTENANCE | 1566835 | 1340782 | 226053 |
| RESTR CONTR EXPENDITURE | 350980 | 350980 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 117406800 | Total |
| Program Services | 99951496 | ProgramServices |
| Management And General | 17455304 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2185919 | BOY |
| EOY | 4773821 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6927435 | BOY |
| EOY | 3263088 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1666567 | BOY |
| EOY | 1246375 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14415222 | BOY |
| EOY | 12870085 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2205114 | BOY |
| EOY | 2148305 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 302092 | BOY |
| EOY | 492155 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 112069300 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 70769313 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 37024087 | BOY |
| EOY | 41299987 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18874614 | BOY |
| EOY | 28043306 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 613449 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4279655 | BOY |
| EOY | 2293334 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 87880705 | BOY |
| EOY | 97043905 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15622563 | BOY |
| EOY | 16790150 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 30330000 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17864874 | BOY |
| EOY | 1689909 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38593833 | BOY |
| EOY | 32148923 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 72081270 | BOY |
| EOY | 80958982 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5284743 | BOY |
| EOY | 7050300 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6307797 | BOY |
| EOY | 4728936 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4206895 | BOY |
| EOY | 4305687 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15799435 | BOY |
| EOY | 16084923 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 87880705 | BOY |
| EOY | 97043905 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -1970142 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 252602 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 2003028 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $19,236 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 19236 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | DAY KIMBALL HEALTHCARE, INC. PAID LOBBYING EXPENSES TO THE FOLLOWING ORGANIZATIONS: AMERICAN HOSPITAL ASSOCIATION IN THE AMOUNT OF $5,338 CONNECTICUT HOSPITAL ASSOCIATION IN THE AMOUNT OF $13,898 | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 14006580 | BeginningOfYearBalance |
| Contributions | 2046244 | Contributions |
| Investment Earnings Or Losses | 1177981 | InvestmentEarningsOrLosses |
| Other Expenditures | 2779816 | OtherExpenditures |
| Administrative Expenses | 112027 | AdministrativeExpenses |
| End Of Year Balance | 14338962 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 11061361 | BeginningOfYearBalance |
| Contributions | 1960237 | Contributions |
| Investment Earnings Or Losses | 1537535 | InvestmentEarningsOrLosses |
| Other Expenditures | 464083 | OtherExpenditures |
| Administrative Expenses | 88470 | AdministrativeExpenses |
| End Of Year Balance | 14006580 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 9596540 | BeginningOfYearBalance |
| Contributions | 1894638 | Contributions |
| Investment Earnings Or Losses | -130663 | InvestmentEarningsOrLosses |
| Other Expenditures | 529839 | OtherExpenditures |
| Administrative Expenses | 75932 | AdministrativeExpenses |
| End Of Year Balance | 10754744 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 9240275 | BeginningOfYearBalance |
| Contributions | 382611 | Contributions |
| Investment Earnings Or Losses | 1054131 | InvestmentEarningsOrLosses |
| Other Expenditures | 1017578 | OtherExpenditures |
| Administrative Expenses | 62899 | AdministrativeExpenses |
| End Of Year Balance | 9596540 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 12660714 | BeginningOfYearBalance |
| Contributions | 500338 | Contributions |
| Investment Earnings Or Losses | 113264 | InvestmentEarningsOrLosses |
| Other Expenditures | 299665 | OtherExpenditures |
| End Of Year Balance | 12974651 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.68640 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.10390 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.20970 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3516235 | OtherCostOrOtherBasis |
| Book Value | 3516235 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 66307167 | OtherCostOrOtherBasis |
| Depreciation | 44735949 | Depreciation |
| Book Value | 21571218 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 31889736 | OtherCostOrOtherBasis |
| Depreciation | 26033364 | Depreciation |
| Book Value | 5856372 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 10356162 | OtherCostOrOtherBasis |
| Book Value | 10356162 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 41299987 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (5 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| INVESTMENTS IN REAL ESTATE | 236356 | C |
| FUNDS HELD IN TRUST BY OTHERS | 4538749 | F |
| FUNDS HELD UNDER BOND INDENTURE | 9507142 | F |
| BOARD RESTRICTED ENDOWMENT FUNDS | 10511560 | F |
| DONOR RESTRICTED ENDOWMENT FUNDS | 3249499 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 28043306 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| PENSION LIABILITIES | $31,081,416 |
| DUE TO THIRD PARTIES | $1,067,507 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 32148923 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 116516461 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 2055176 | OtherRevenues |
| Revenue Not Rptd F990 | 2055176 | RevenueNotRptdF990 |
| Revenue Subtotal | 114461285 | RevenueSubtotal |
| Other Revenues Not Included | 975373 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 975373 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 115436658 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 117406800 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 117406800 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 117406800 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | PART V, LINE 4: | THE HOSPTIAL'S ENDOWMENT CONSISTS OF MULTIPLE FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES INCLUDING CAPITAL EXPENDITURES, OPERATIONS, AND OTHER DONOR-SPECIFIED RESTRICTIONS. |
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X, LINE 2: | THE HOSPITAL ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH PROVISIONS OF FASB ASC 740, "INCOME TAXES" WHICH PROVIDES A FRAMEWORK FOR HOW COMPANIES SHOULD RECOGNIZE, MEASURE, PRESENT AND DISCLOSE UNCERTAIN TAX POSITIONS IN THEIR CONSOLIDATED FINANCIAL STATEMENTS. THE HOSPITAL MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE HOSPITAL DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS AS OF SEPTEMBER 30, 2013 AND 2012. AS OF SEPTEMBER 30, 2013 AND 2012, THE HOSPITAL DID NOT RECORD ANY PENALTIES OR INTEREST ASSOCIATED WITH UNCERTAIN TAX POSITIONS. THE HOSPITAL'S PRIOR THREE TAX YEARS ARE OPEN AND SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | ASSETS RELEASED FROM RESTRICTIONS FOR OPERATIONS 1,624,641. NON-OPERATING GAINS 430,535. | |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | TEMPORARILY RESTRICTED CONTRIBUTIONS 975,373. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GOLF TOURNAMENT | NameOfEvent1 |
| Gross Receipts Event1 | 121381 | GrossReceiptsEvent1 |
| Gross Revenue Event1 | 121381 | GrossRevenueEvent1 |
| Cash Prizes Event1 | 11118 | CashPrizesEvent1 |
| Non Cash Prizes Event1 | 6802 | NonCashPrizesEvent1 |
| Rent Facility Costs Event1 | 12948 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 15707 | FoodAndBeverageEvent1 |
| Other Direct Expenses Event1 | 1731 | OtherDirectExpensesEvent1 |
| Name Of Event2 | DEARY ROAD RACE, WALK & RIDE | NameOfEvent2 |
| Gross Receipts Event2 | 83508 | GrossReceiptsEvent2 |
| Gross Revenue Event2 | 83508 | GrossRevenueEvent2 |
| Cash Prizes Event2 | 1711 | CashPrizesEvent2 |
| Non Cash Prizes Event2 | 525 | NonCashPrizesEvent2 |
| Other Direct Expenses Event2 | 8270 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 7 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 155931 | GrossReceiptsOtherEvents |
| Gross Revenue Other Events | 155931 | GrossRevenueOtherEvents |
| Non Cash Prizes Other Events | 141 | NonCashPrizesOtherEvents |
| Rent Facility Costs Other Events | 2956 | RentFacilityCostsOtherEvents |
| Food And Beverage Other Events | 9727 | FoodAndBeverageOtherEvents |
| Other Direct Expenses Other Events | 11598 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 360820 | GrossReceiptsTotal |
| Gross Revenue Total Events | 360820 | GrossRevenueTotalEvents |
| Cash Prizes Total Events | 12829 | CashPrizesTotalEvents |
| Non Cash Prizes Total Events | 7468 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 15904 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 25434 | FoodAndBeverageTotalEvents |
| Other Direct Expenses Total Events | 21599 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 83234 | DirectExpenseSummaryEvents |
| Net Income Summary | 277586 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 250.000000000000 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | 0 | FPGReferenceDiscountedCare |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 0 | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 360 | PersonsServed |
| Total Community Benefit Expense | 324123 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 324123 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00280 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 36234 | PersonsServed |
| Total Community Benefit Expense | 19877850 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 19877850 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.16930 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 228707 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 209902 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 18805 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 36594 | PersonsServed |
| Total Community Benefit Expense | 20430680 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 209902 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 20220778 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.17230 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 18 | NumberOfActivitiesOrPrograms |
| Persons Served | 3169 | PersonsServed |
| Total Community Benefit Expense | 72871 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 17420 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 55451 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 150 | PersonsServed |
| Total Community Benefit Expense | 88855 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 88855 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00080 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 94568 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 94568 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00080 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 23 | NumberOfActivitiesOrPrograms |
| Persons Served | 3319 | PersonsServed |
| Total Community Benefit Expense | 256294 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 17420 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 238874 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00210 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 23 | NumberOfActivitiesOrPrograms |
| Persons Served | 39913 | PersonsServed |
| Total Community Benefit Expense | 20686974 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 227322 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 20459652 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.17440 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $2,073,717 | BadDebtExpenseAmount |
| Amount Attributable To | 1185333 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 30526008 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 41033497 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -10507489 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAY KIMBALL HEALTHCARE | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 320 POMFRET STREET | AddressLine1 |
| City | PUTNAM | City |
| State | CT | State |
| ZIP Code | 06260 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
| Er Other | X | ErOther |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAY KIMBALL HEALTHCARE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 1 | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Information Gaps | X | InformationGaps |
| Needs Assessment Conducted | 11 | NeedsAssessmentConducted |
| Take Into Account | 1 | TakeIntoAccount |
| Other Facilities | 1 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Develop Community Plan | X | DevelopCommunityPlan |
| Participate Community Plan | X | ParticipateCommunityPlan |
| Adopt Budget | X | AdoptBudget |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | 0 | AllNeedsAddressed |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 250.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 0 | UsesFPGDiscounted |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Permit Lien On Residence | X | PermitLienOnResidence |
| Collection Activities | 0 | CollectionActivities |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 16 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (16 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| 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 |
| PUTNAM SURGICAL ASSOCIATES | ||||
| 346 POMFRET STREET | PUTNAM | CT | 06260 | CONSULTATIVE AND SURGICAL SERVICES |
| WOODSTOCK MEDICAL ASSOCIATES | ||||
| 168 ROUTE 171 | SOUTH WOODSTOCK | CT | 06267 | PRIMARY CARE SERVICES |
| NORTHEAST CONNECTICUT DERMATOLOGY | ||||
| 55 GREEN HOLLOW ROAD | DANIELSON | CT | 06239 | DERMATOLOGY SERVICES |
| MRI KENNEDY DRIVE | ||||
| 39 KENNEDY DRIVE | PUTNAM | CT | 06260 | MRI SERVICES |
| BROOKLYN FAMILY MEDICAL ASSOCIATES | ||||
| 63 CANTERBURY ROAD | BROOKLYN | CT | 06234 | PRIMARY CARE SERVICES |
| MEDICAL CENTER OF NORTHEAST CONNECTICUT | ||||
| 612 HARTFORD PIKE | DAYVILLE | CT | 06241 | GERIATRICS; INTERNAL MEDICINE; PULMONOLOGY SERVICES |
| POMFRET STREET FAMILY MEDICAL ASSOCIATES | ||||
| 235 POMFRET STREET | PUTNAM | CT | 06260 | PRIMARY CARE SERVICES |
| THOMPSON HEALTHCARE CENTER | ||||
| 415 RIVERSIDE DRIVE | NORTH GROSVENORDALE | CT | 06255 | PEDIATRIC CENTER |
| CANTERBURY FAMILY MEDICAL ASSOCIATES | ||||
| 132 WESTMINISTER ROAD | CANTERBURY | CT | 06331 | PRIMARY CARE SERVICES |
| THOMPSON FAMILY MEDICAL ASSOCIATES | ||||
| 415 RIVERSIDE DRIVE | NORTH GROSVENORDALE | CT | 06255 | PRIMARY CARE SERVICES |
| DAYVILLE HEALTHCARE CENTER | ||||
| 11 DOG HILL ROAD | DAYVILLE | CT | 06241 | OB/GYN; DIABETES MANAGEMENT; GERIATRICS SERVICES |
| SPORTS MEDICINE ASSOCIATES | ||||
| 55 GREEN HOLLOW ROAD | DANIELSON | CT | 06239 | SPORTS MEDICINE SERVICES |
| PUTNAM HEALTHCARE CENTER | ||||
| 6-12 SOUTH MAIN STREET | PUTNAM | CT | 06260 | DURABLE MEDICAL EQUIPMENT SALES; PHYSICAL THERAPY; LAB DRAW |
Form990 Schedule H Part VI Form990ScheduleHPartVI (17 entries)
| ExplanationExplanation | IdentifierIdentifier |
|---|---|
| PART I, LINE 3C: ANYONE WHO IS UNINSURED IS ELIGIBLE TO RECEIVE DISCOUNTED RATES REGARDLESS OF INCOME LEVEL. | |
| PART I, LINE 6A: DURING THE PRIOR TAX YEAR DAY KIMBALL HEALTHCARE COMPLETED A COMMUNITY NEEDS ASSESSMENT AND A COMMUNITY BENEFIT REPORT IN CONJUNCTION WITH THE WINDHAM COUNTY HEALTHCARE CONSORTIUM WHICH IS MADE UP OF WINDHAM HOSPITAL, DAY KIMBALL HEALTHCARE, NATCHAUG HOSPITAL, GENERATIONS FAMILY HEALTH CENTER, UNITED SERVICES, VNA EAST, NORTHEAST DISTRICT DEPARTMENT OF HEALTH AND COMMUNITY HEALTH RESOURCES (CHR). | |
| PART I, LINE 7: THE COSTING METHODOLOGY THAT WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE WAS DAY KIMBALL HEALTHCARE'S COST-TO-CHARGE RATIO THAT WAS REPORTED IN THE FY2013 MEDICARE COST REPORT. | |
| PART I, LINE 7G: DAY KIMBALL HEALTHCARE PARTNERS WITH NORTHEASTERN CONNECTICUT COUNCIL OF GOVERNMENTS (NECCOG) TO PROVIDE LOCAL PARAMEDIC INTERCEPT SERVICES. DAY KIMBALL HEALTHCARE 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. | |
| PART III, LINE 4: PLEASE REFER TO THE ATTACHED AUDITED FINANCIAL STATEMENTS FOR NOTE 3 - REVENUES FROM SERVICES TO PATIENTS AND CHARITY CARE ON PAGE 11 THROUGH PAGE 13. | |
| PART III, LINE 8: THE SHORTFALL BETWEEN DAY KIMBALL HEALTHCARE'S MEDICARE COSTS AND PAYMENTS ARE CONSIDERED COMMUNITY BENEFIT BECAUSE THE SERVICES WERE PROVIDED BY DAY KIMBALL HEALTHCARE EVEN THOUGH THE COSTS WEREN'T 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 FY2013 MEDICARE COST REPORT. | |
| PART III, LINE 9B: IT IS THE PHILOSOPHY AND POLICY OF DAY KIMBALL HEALTHCARE THAT MEDICALLY NECESSARY HEALTH CARE SERVICES SHOULD BE AVAILABLE TO ALL INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THE POLICY HAS 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 501(R) INCLUDES A SERIES OF SPECIFIC REQUIREMENTS FOR HOSPITALS TO RECEIVE AND MAINTAIN SECTION 501(C)(3) ("TAX EXEMPT") STATUS. | |
| PART V, SECTION B, LINE 3: DAY KIMBALL HEALTHCARE ALONG WITH THE OTHER MEMBERS OF THE WINDHAM COUNTY HEALTHCARE CONSORTIUM (WINDHAM HOSPITAL, DAY KIMBALL HEALTHCARE, 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. | DAY KIMBALL HEALTHCARE |
| PART V, SECTION B, LINE 4: DAY KIMBALL HEALTHCARE CONDUCTED ITS NEEDS ASSESSMENT IN CONJUCTION WITH THE WINDHAM COUNTY HEALTHCARE CONSORTIUM. THE MEMBERS OF THIS CONSORTIUM INCLUDE WINDHAM HOSPITAL, DAY KIMBALL HEALTHCARE, NATCHAUG HOSPITAL, GENERATIONS FAMILY HEALTH CENTER, UNITED SERVICES, VNA EAST, NORTHEAST DISTRICT DEPARTMENT OF HEALTH AND COMMUNITY HEALTH RESOURCES (CHR). | DAY KIMBALL HEALTHCARE |
| PART V, SECTION B, LINE 7: MOST OF THE HEALTH NEEDS IDENTIFIED IN THE ASSESSMENT ARE ALREADY ADDRESSED BY DAY KIMBALL HEALTHCARE, 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 OF 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 PROVIDERSDAY KIMBALL HEALTHCARE'S STRATEGY INCLUDES THE ADOPTION OF A "MEDICAL HOME" SERVICE DELIVERY MODEL THROUGH THE ESTABLISHMENT OF A STRONG PRIMARY CARE PRATICE. ADDITIONALLY, WE ARE INTEGRATING OUR SERVICES ACROSS OUR MEDICAL NETWORK (DAY KIMBALL HOSPITAL, DAY KIMBALL HEALTHCARE CENTERS, DAY KIMBALL MEDICAL GROUP - OUR PHYSICIAN PRACTICES WHICH IS CURRENTLY TRANSITIONING TO THIS NOT-FOR-PROFIT FOUNDATION, DAY KIMBALL HOMECARE, DAY KIMBALL HOMEMAKERS, HOSPICE & PALLIATIVE CARE OF NORTHEASTERN CONNECTICUT) TO PROVIDE SEAMLESS CARE TO OUR PATIENTS. WE ARE IN THE PROCESS OF FORMALLY DOCUMENTING OUR STRATEGIC PLANNING AND IMPLEMENTATION PROCESS, AND WHILE WE DO TRACK OUR COMMUNITY BENEFIT PROGRAMS, WE HAVE NOT YET DONE SO IN RELATIONSHIP TO ADDRESSING THE HEALTH NEEDS OF THE COMMUNITY. | DAY KIMBALL HEALTHCARE |
| PART V, SECTION B, LINE 11: ANYONE WHO IS UNINSURED IS ELIGIBLE TO RECEIVE DISCOUNTED RATES REGARDLESS OF INCOME LEVEL. | DAY KIMBALL HEALTHCARE |
| PART V, SECTION B, LINE 20D: DAY KIMBALL HEALTHCARE USES A COST-TO-CHARGE RATIO TO DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. | DAY KIMBALL HEALTHCARE |
| PART VI, LINE 2: IN THE PREVIOUS TAX YEAR DAY KIMBALL HEALTHCARE 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. | |
| PART VI, LINE 3: 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 A 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. | |
| PART VI, LINE 4: DAY KIMBALL HEALTHCARE'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 117,604 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 CAUSES OF DEATH IN CONNECTICUT ARE HEART DISEASE AND CANCER. | |
| PART VI, LINE 5: THE MISSION OF DAY KIMBALL HEALTHCARE 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 HEALTHCARE 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. | |
| PART VI, LINE 6: DAY KIMBALL HEALTHCARE 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) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MICHAEL BAUM MD | ||||||||||||||
| ASST. TREASURER (2012 & 2013) | 261399 | 0 | 94720 | 0 | 13309 | 0 | 7349 | 0 | 18051 | 0 | 394828 | 0 | 0 | 0 |
| ROBERT E SMANIK FACHE | ||||||||||||||
| PRESIDENT & CEO | 389880 | 0 | 12000 | 0 | 33961 | 0 | 21838 | 0 | 15911 | 0 | 473590 | 0 | 0 | 0 |
| RONALD FRANZINO MD | ||||||||||||||
| DIRECTOR | 261794 | 0 | 33171 | 0 | 0 | 0 | 7349 | 0 | 14767 | 0 | 317081 | 0 | 0 | 0 |
| WILLIAM JOHNSON | ||||||||||||||
| DIRECTOR | 197119 | 0 | 10125 | 0 | 14400 | 0 | 6217 | 0 | 15518 | 0 | 243379 | 0 | 0 | 0 |
| DOUGLAS WAITE MD | ||||||||||||||
| VP OF MED. AFFAIRS | 284395 | 0 | 0 | 0 | 150 | 0 | 7336 | 0 | 21241 | 0 | 313122 | 0 | 0 | 0 |
| JULIE DROUIN | ||||||||||||||
| VP OF FINANCE | 184496 | 0 | 0 | 0 | 0 | 0 | 5577 | 0 | 22103 | 0 | 212176 | 0 | 0 | 0 |
| CHRISTINE VALLEE | ||||||||||||||
| VP OF PHYSICIAN PRACTICES | 150723 | 0 | 0 | 0 | 0 | 0 | 4612 | 0 | 15491 | 0 | 170826 | 0 | 0 | 0 |
| ERICA KESSELMAN MD | ||||||||||||||
| OB/GYN | 301231 | 0 | 0 | 0 | 41301 | 0 | 7237 | 0 | 22398 | 0 | 372167 | 0 | 0 | 0 |
| JOHN DAY MD | ||||||||||||||
| PULMONARY PHYSICIAN | 319672 | 0 | 0 | 0 | 0 | 0 | 14668 | 0 | 22351 | 0 | 356691 | 0 | 0 | 0 |
| TIMOTHY MONAHAN | ||||||||||||||
| DERMATOLOGIST | 299409 | 0 | 0 | 0 | 38230 | 0 | 7327 | 0 | 1717 | 0 | 346683 | 0 | 0 | 0 |
| MANISH SAPRA | ||||||||||||||
| MENTAL HEALTH PHYSICIAN | 276092 | 0 | 36447 | 0 | 0 | 0 | 7373 | 0 | 14213 | 0 | 334125 | 0 | 0 | 0 |
| ANDREW MACKENZIE | ||||||||||||||
| MATERNAL FETAL MEDICINE PHYSICIAN | 392692 | 0 | 0 | 0 | 0 | 0 | 6011 | 0 | 720 | 0 | 399423 | 0 | 0 | 0 |
| JOHN P MILLER | ||||||||||||||
| HR DIRECTOR/FORMER CHAIRMAN (2011) | 121835 | 0 | 0 | 0 | 0 | 0 | 1967 | 0 | 15410 | 0 | 139212 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART I, LINE 4B | ReturnReference |
| Explanation | ROBERT SMANIK, $33,961 PAYMENT RECEIVED FOR 457(F) PLAN, INCLUDED IN W-2 WAGES AS REPORTED ON THIS RETURN, WHICH INCLUDES A GROSS-UP FOR TAXES. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHEFA SERIES B | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 060806186 | IssuerEIN |
| CUSIP Number | 20774YPC5 | CUSIPNumber |
| Date Issued | 2013-06-06 | DateIssued |
| Issue Price | 30330000 | IssuePrice |
| Description Of Purpose | EMERGENCY DEPARTMENT EXPANSION AND RENOVATION | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Amount Retired | 15485409 | AmountRetired |
| Total Proceeds | 30330000 | TotalProceeds |
| Amount In Reserve Fund | 2340522 | AmountInReserveFund |
| Capitalized Interest | 1170295 | CapitalizedInterest |
| Issuance Costs From Proceeds | 606600 | IssuanceCostsFromProceeds |
| Capital Expenditures | 10723350 | CapitalExpenditures |
| Amount Unspent | 3824 | AmountUnspent |
| Year Of Subst Completion | 2014 | YearOfSubstCompletion |
| Current Refunding | 1 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 1 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Prcntge Prvt Business Use By Others | 0.00000 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0.00000 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUse |
| Bond Iss Meet Prvt Security Pay Test | 0 | BondIssMeetPrvtSecurityPayTest |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedProp |
| Non Qualified Bond Remed Procdrs | 1 | NonQualifiedBondRemedProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiled |
| Rebate Not Due Yet | 1 | RebateNotDueYet |
| Exception To Rebate | 0 | ExceptionToRebate |
| No Rebate Due | 0 | NoRebateDue |
| Variable Rate Issue | 0 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Written Proc To Monitor Reqs | 1 | WrittenProcToMonitorReqs |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSupplies
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 597925 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | COST | MethodOfDeterminingRevenues |
Other Non Cash Contributions Table OtherNonCashContributionsTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Description | WIC VOUCHERS | Description |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 756406 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | PROGRAM VOUCHERS | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of8283 Received | 0 | NumberOf8283Received |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Form990 Schedule M Part II Form990ScheduleMPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | NON REPORTING OF REVENUE: | Identifier |
| Return Reference | PART I, LINE 33: | ReturnReference |
| Explanation | NON-CASH CONTRIBUTIONS OF VACCINES AND WIC PROGRAM VOUCHERS WERE NOT INCLUDED AS REVENUE IN THE ORGANIZATION'S FINANCIAL STATEMENTS. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 7A | 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, SECTION B, LINE 11 | THE FORM 990 IS REVIEWED BY ROBERT SMANIK, PRESIDENT, AND STEPHEN BURKE, CORPORATE CONTROLLER, PRIOR TO FILING. A COPY OF THE 990 IS MADE AVAILABLE TO ALL BOARD MEMBERS. | |
| FORM 990, PART VI, SECTION B, LINE 12C | EVERY JANUARY THE BOARD OF DIRECTORS ARE REQUIRED TO FILL OUT A CONFLICT OF POLICY DISCLOSURE FORM. IF ANY CHANGE IN THE FORM ARISES THROUGHOUT THE YEAR THEY ARE REQUIRED TO REPORT THE CHANGE PROMPTLY TO THE CHAIR OF THE BOARD OF DIRECTORS OR THE PRESIDENT OF DAY KIMBALL HEALTHCARE. | |
| FORM 990, PART VI, SECTION B, LINE 15 | 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 DAY KIMBALL HEALTHCARE. ANY CHANGES THAT INVOLVE SIGNIFICANT FINANCIAL ADJUSTMENTS ARE PRESENTED TO THE BOARD OF DIRECTORS FOR APPROVAL. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. | |
| FORM 990, PART IX, LINE 11G | OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 10,718,334. MANAGEMENT AND GENERAL EXPENSES 1,807,088. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,525,422. | OTHER FEES |
| FORM 990, PART XI, LINE 9: | ASSETS RELEASED FROM RESTRICTION 2,683,948. CHANGE IN PERMANENTLY RESTRICTED NET ASSETS 98,792. CHANGES IN TEMPORARILY RESTRICTED NET ASSETS -2,554,234. PENSION RELATED CHANGES OTHER THAN NET PERIODIC PENSION COST 9,148,079. NON-OPERATING GAINS 430,535. TRANSFER TO DAY KIMBALL MEDICAL GROUP -4,999,305. INVESTMENT IN DAY KIMBALL MEDICAL GROUP -2,804,787. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990, PART XI, LINE 2C: | THE FINANCE COMMITTEE OF THE BOARD HAS THE RESPONSIBILITY FOR THE SELECTION OF INDEPEDENT ACCOUNTANTS AND OVERSIGHT OF THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PHYSICIAN SERVICES OF NORTHEAST CONNECTICUT LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 45 GREEN HOLLOW ROAD | AddressLine1 |
| City | DANIELSON | City |
| State | CT | State |
| ZIP Code | 06239 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 262565797 | EIN |
| Primary Activities | PHYSICIAN SERVICES | PrimaryActivities |
| Legal Domicile State | CT | LegalDomicileState |
| Total Income | 5004955 | TotalIncome |
| EOY Assets | 216472 | EOYAssets |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAY KIMBALL HEALTHCARE INC | BusinessNameLine1 |
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| DAY KIMBALL HOMEMAKERS | ||||||||||
| 320 POMFRET STREET | PUTNAM | CT | 062601836 | 061136893 | HOMEMAKER AND CHORE COMPANION SERVICES | CT | 501(C)(3) | 9 | DAY KIMBALL HEALTHCARE INC | 0 |
| DAY KIMBALL MEDICAL GROUP INC | ||||||||||
| 320 POMFRET STREET | PUTNAM | CT | 062601836 | 454077626 | PHYSICIAN SERVICES | CT | 501(C)(3) | 9 | DAY KIMBALL HEALTHCARE INC | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| PHYSICIAN SERVICES OF NORTHEAST CT LLC | ||
| B | 1180940 | ACTUAL |
| PHYSICIAN SERVICES OF NORTHEAST CT LLC | ||
| D | 968721 | ALLOCATED COST |
| PHYSICIAN SERVICES OF NORTHEAST CT LLC | ||
| L | 443499 | ALLOCATED COST |
| DAY KIMBALL MEDICAL GROUP INC | ||
| B | 3228359 | ACTUAL |
| DAY KIMBALL MEDICAL GROUP INC | ||
| D | 2087746 | ALLOCATED COST |
| DAY KIMBALL MEDICAL GROUP INC | ||
| L | 1330498 | ALLOCATED COST |
| DAY KIMBALL MEDICAL GROUP INC | ||
| R | 1770938 | ACTUAL |
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